Abstract
The disease of obesity, and its associated comorbid medical problems, is a major public health concern that has reached epidemic proportions. To date, bariatric surgery remains the only safe and long-term treatment modality for the chronic and relapsing disease of obesity. Although sustained weight loss is important, the surgery’s ability to resolve chronic comorbid medical problems such as diabetes mellitus, obstructive sleep apnea, fatty liver disease, and lipid dyscrasias arguably makes the weight loss itself secondary to its profound medical benefits. It stands to reason then that bariatric surgery patients presenting for surgery have a high incidence of comorbid medical problems. In a published large cohort of bariatric surgery comorbidities, approximately 36 % of patients were diabetic, 30 % had obstructive sleep apnea, 25 % had fatty liver disease, and 12 % had cardiovascular disease. This chapter will review perioperative and postoperative medical management of the bariatric surgery patients with an emphasis on practical clinical care.
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Still, C., Boulghassoul-Pietrzykowska, N., Franceschelli, J. (2014). The Perioperative and Postoperative Medical Management of the Bariatric Surgery Patient. In: Still, C., Sarwer, D., Blankenship, J. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1197-4_18
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DOI: https://doi.org/10.1007/978-1-4939-1197-4_18
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