006 Interview w/ Dr Mark Eaton re: RYGB

by reeger on August 24, 2013

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Roux-en-Y gastric Bypassdr_eaton

An Interview with bariatric surgeon Dr Mark Eaton, medical director of Southern Oregon Bariatric Center in Medford, Oregon, USA.
During this interview Dr Eaton goes over:
◆ Pre-op criteria for having bariatric surgery including RYGB.
◆ Considerations for why someone might or might not be a good candidate for RYGB.
◆ His thoughts on a patients right to choose their surgery.
◆ The surgical creation of a RYGB, step-by-step.
◆ Early post-operative care.
◆ Normal post-operative findings vs abnormal findings.
◆ Evaluation of potential RYGB surgical complications and the treatments.
◆ Risk vs benefit of RYGB

Anatomical terms mentioned in this episode:

Depositphotos_8701590_xs ◆ Gastro-esophageal sphincter AKA Cardiac sphincter or Lower esophageal sphincter: narrowing point where the esophagus and the stomach meet.
◆ Omentum: A layer of fatty tissue inside the abdomen that covers and protects the abdominal internal organs.
◆ Transverse Colon: Colon is the large intestine. The transverse colon is the part of the colon that lays across the abdomen cavity just below the stomach.
◆ Duodenum: first part of the small bowel, after the stomach.
◆ Jejunum: second part of the small bowel, after the duodenum.
◆ Ligament of Treitz: a band of smooth muscle that holds or suspends the duodenum approximately in the left upper abdominal cavity. It is an anatomical landmark for the transition point between the duodenum and the jejunum.
◆ Mesentery: fold of tissue that anchors the small intestine to the back of the abdominal wall.
◆ Lesser curvature: the upper, smaller curve of the stomach

Surgical and Medical terms mentioned in this episode:
◆ Laparoscopy or Laparoscopic: A surgical technique completed with small incisions through which long thin instruments are placed, including the lens of a camera. The surgery is seen through the camera and watched on monitors above the patient.
◆ Trocars: are enclosed cannulas used to keep the small incisions on the abdomen open, allowing the surgery team to easily pass instruments in and out of the abdomen.
◆ Cautery: The use of electric current to burn tissue to prevent or stop bleeding. Either done with a Bovie or a Harmonic scalpel.
◆ Anastomosis: The creation of a passage or connection from one organ to another; in this case one part of the intestine is surgical connected to another section of intestine or the new stomach, AKA pouch.
◆ Lumen: a circular opening or hole.
◆ Ischemic or Ischemia: Loss of blood supply.
◆ Anti-colic: In front, or on top, of the small intestine and colon.
◆ Anti-gastric: In front of the stomach.
◆ Anesthesiologist: A doctor who specializes in giving anesthetics, or sleeping drugs, during surgery.
◆ Heparin: Medicine given to temporarily reduce the bloods ability to form clots.
◆ DVT: Deep vein thrombosis is a blood clot in the deep veins of the legs.
◆ Pulmonary Embolus: A blood clot in the lungs.

Items mentioned in this episodes include:
◆ Southern Oregon Bariatric Center: http://sobariatrics.com
◆ Obesity Action Coalition: www.obesityaction.org
◆ Connie Stapleton, PhD: http://www.conniestapletonphd.com
◆ Heidi Hanna, PhD: http://www.learnitlive.com/heidihanna

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