Preoperative evaluation of the morbidly obese patients for bariatric surgery
Küçük Resim Yok
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ame Publ Co
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bariatric surgery is the gold standard treatment for morbid obesity with only means of long terms weight control. However, it is a major upper gastrointestinal system surgery. The patients have comorbidities that poses a significant perioperative risk. Thorough cardiac, pulmonary, upper gastrointestinal and psychiatric evaluation is mandatory. Any upper gastrointestinal premalignant lesion must be ruled out before any upper gastrointestinal intervention that could prevent a regular surveillance. However, majority of the postoperative serious complications are related with complications such as pulmonary embolism, postoperative hypoventilation, and myocardial infarction that can lead to mortality. Therefore, necessary precautions; such as low molecular weight heparin, external compression stockings and non-invasive mechanical ventilatory support; should be taken by the physician. Psychiatric consultations and support groups are very important for majority of the patients have psychosocial problems that cause cognitive problems in the patients that can change the compliance of the patients towards postoperative behavioral change. Furthermore, any substance abuse must be ruled out in these patient group. Team work is the only means of success when treating patients with morbid obesity. A team that consists of bariatric surgeon, nurse, dietician, endocrinologist, psychiatrist and behavioral psychologist is mandatory for a thorough evaluation of the patient and also for postoperative follow up.
Açıklama
Anahtar Kelimeler
Morbid obesity, bariatric surgery, metabolic surgery, preoperative evaluation
Kaynak
Annals of Laparoscopic and Endoscopic Surgery
WoS Q Değeri
N/A
Scopus Q Değeri
Q3
Cilt
6
