Csowm Metabolic And Bariatric Surgery Study Guide Graded A+

What does Medicare require for surgery to be covered ? Other insurance requires what? {Ans: Obesity related comorbidity no matter the BMI; previous attempts at weight loss and documentation of a comprehensive dieting & weight hx}Aspiration therapy outcomes {Ans: 14.2-21.5% TBWL @ 12 months + improvements in metabolic + cardiac markers}Why do many convert to RYGB or BPD/DS over sleeve? {Ans: Due to GERD or inadequate weight loss}Mortality outcomes from bypass {Ans: Life expectancy increases ~7 years d/t significant improvement of remission of: CAD, T2DM, Cancer- compared to those who did not get this procedure per 1 study}IGB- Orbera {Ans: Single fluid filled IGB, endoscopically placed/removed, 6 months time frame; filled with 600-700 ccs of saline, 7.6% TWL compared to 3.1 in control group}IGB- Obalan {Ans: 1-3 gas filled balloons, swallowed for placement, endoscopically removed after 6 months; filled with 250 cc nitrogen ; 6.6% TWL compared to 3.4% in control group}