Preoperative evaluation of the morbidly obese patients for bariatric surgery

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dc.contributor.authorSahin, Tevfik Tolga
dc.contributor.authorKutluturk, Koray
dc.date.accessioned2024-08-04T20:54:50Z
dc.date.available2024-08-04T20:54:50Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBariatric 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.en_US
dc.identifier.doi10.21037/ales-20-49
dc.identifier.issn2518-6973
dc.identifier.scopus2-s2.0-85176547825en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.21037/ales-20-49
dc.identifier.urihttps://hdl.handle.net/11616/101671
dc.identifier.volume6en_US
dc.identifier.wosWOS:000675601900001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherAme Publ Coen_US
dc.relation.ispartofAnnals of Laparoscopic and Endoscopic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMorbid obesityen_US
dc.subjectbariatric surgeryen_US
dc.subjectmetabolic surgeryen_US
dc.subjectpreoperative evaluationen_US
dc.titlePreoperative evaluation of the morbidly obese patients for bariatric surgeryen_US
dc.typeReview Articleen_US

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