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Preoperative Care of the Bariatric Patient

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The ASMBS Textbook of Bariatric Surgery

Abstract

Preoperative care of the bariatric patient starts before the patient arrives. Both evaluation and individualized risk assessment are essential for achieving best outcomes and allowing the patient to give a truly informed consent. Best preoperative care will yield a comprehensive understanding of a patient’s medical history as it pertains to predicted outcomes, cardiac health, venous thromboembolism risk, sleep architecture and pulmonary function, gastroesophageal anatomy and Helicobacter pylori status, and psychological ability to comply with required postoperative recommendations for health maintenance and to achieve success following weight loss surgery. This chapter will describe evidence-based comprehensive preoperative evaluation of the bariatric patient, discuss risk assessment to optimize patient selection and informed consent, and explain establishment of preoperative pathways.

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Author information

Authors and Affiliations

  1. Department of Surgery, Thomas Jefferson University Hospital, 211 S. 9th Street, Suite 402, Philadelphia, PA, 19107, USA

    David S. Tichansky MD

  2. Departments of Surgery and Psychiatry, Duke University Medical Center, 200 Trent Drive, DUMC Box 2834, Durham, NC, 27710, USA

    Ranjan Sudan MD

Authors
  1. David S. Tichansky MD
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  2. Ranjan Sudan MD
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Corresponding author

Correspondence to David S. Tichansky MD .

Editor information

Editors and Affiliations

  1. Division of Gastrointestinal Surgery, Department of Surgery, University of California, Irvine Medical Center, Orange, California, USA

    Ninh T. Nguyen

  2. Scottsdale Bariatric Center, Scottsdale, Arizona, USA

    Robin P. Blackstone

  3. Section of Bariatric and Minimally Invasive (BMI) Surgery, Stanford School of Medicine, Stanford, California, USA

    John M. Morton

  4. Bariatric Surgery, Hamilton Medical Center, Dalton, Georgia, USA

    Jaime Ponce

  5. Professor of Surgery and Chairman Department of General Surgery Director, The Bariatric and Metabolic Institute Cleveland Clinic, Weston, Florida, USA

    Raul J. Rosenthal

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Tichansky, D.S., Sudan, R. (2015). Preoperative Care of the Bariatric Patient. In: Nguyen, N., Blackstone, R., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1206-3_7

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  • DOI: https://doi.org/10.1007/978-1-4939-1206-3_7

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1205-6

  • Online ISBN: 978-1-4939-1206-3

  • eBook Packages: MedicineMedicine (R0)

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