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Roux-en-Y Gastric Bypass Chronic Complications

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  Roux-en-Y Gastric Bypass Chronic Complications

Credits: 1.00   Post-Assessment Questions:  4

Release Date: 5 Oct 2020
Expiration Date: 16 Aug 2021
Last Reviewed: 16 Aug 2020
Estimated Time To Finish: 60 Minutes

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Activity Description

Bariatric surgery for weight loss has become a common practice. The second most common bariatric procedure done today is the Roux-en-Y gastric bypass (RYGB). To be a practicing health professional in the modern era, one must recognize the more common chronic complications that may result from altering the gastrointestinal (GI) tract and how to manage these complications. To develop knowledge regarding the potential sequela of the operation, one must have knowledge of the anatomy of the GI tract and the resulting physiologic effects of altering that anatomy. Roux-en-Y gastric bypass involves creating a small gastric pouch (restricting food intake) connected to a roux limb (typically between 75 to 150 cm) which bypasses a large portion of the small intestine (preventing absorption of nutrients.) This results in the food bolus bypassing the majority of the stomach (bypasses the part of the stomach containing most of the parietal cells and stomach acid), the duodenum, and the first 40 to 50 cm of jejunum. Nutrients will only be absorbed distal to these bypassed segments, and the majority will be absorbed in the "common channel" which is distal to the where the biliopancreatic and the roux limb connect. This activity reviews the common chronic complications following an RYGB with respect to epidemiology, presentation, diagnosis, and treatment and highlights the role of the interprofessional team in evaluating and treating patients with this condition.

Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Describe the basics of the roux-en-y procedure.
  • Explain the expected pathophysiologic results of the roux-en-y procedure.
  • Outline the expected presentation of a patient with complications of the roux-en-y procedure.

Author(s) / Contributors Disclosure of Conflicts of Interest

Each author, editor, faculty and planning committee member have completed a disclosure form indicating that neither they nor their spouse/partner has a financial interest/arrangement or affiliation that could be perceived as a real or apparent conflict of interest related to the content of this activity.

COMMERCIAL SUPPORT: This activity has received NO commercial support.

Contributors

Hover over the contributor names to see details and disclosures of any financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity.

Authors: Kevin Seeras, Robert Acho
Editors: Peter Lopez
Editors-In-Chief: J Michael Gonzalez-CampoyScott IsaacsRoop Kaw
Chief Medical Reviewer: Saran Lotfollahzadeh
Nurse Planner/Reviewer/Editor: Lisa Haddad
Pharmacy Planner/Reviewer/Editor: Mark Pellegrini
Physician Planner/Reviewer/Editor: Scott Dulebohn

Continuing Education Accreditation Information


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Quillen College of Medicine, East Tennessee State University, and StatPearls, LLC. The Quillen College of Medicine, East Tennessee State University is accredited by the ACCME to provide continuing medical education for physicians.

Quillen College of Medicine, East Tennessee State University designates this activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

 

Cancellation Policy: Cancellations must be received in writing and a money-back guarantee is provided if not completely satisfied.

  • StatPearls and ETSU reserve the right to cancel any course due to unforeseen circumstances. StatPearls and ETSU will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and ETSU are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives, and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and ETSU adhere to ACCME Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and ETSU that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved, and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

Media Usage Rights

The contributors and editors of StatPearls have attested that all associated media (images and video) have been legally cleared for use with this activity.  All copyrights are reserved.

  • Name: 'Gastric_Bypass,_Roux_en-Y.jpg' Attribution: Contributed by Wikimedia Commons, Ethicon Endosurgery, Inc.

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