Where to begin and where to end? Preoperative assessment for patients undergoing metabolic surgery

Publication

Where to begin and where to end? Preoperative assessment for patients undergoing metabolic surgery

Journal Paper/Review - May 8, 2014

Bächler Thomas, Schiesser Marc, Lutz Thomas A, le Roux Carel W, Bueter Marco

Citation

Bächler T, Schiesser M, Lutz T, le Roux C, Bueter M. Where to begin and where to end? Preoperative assessment for patients undergoing metabolic surgery. Dig Surg 2014; 31:25-32.

Type

Journal Paper/Review (English)

Journal

Dig Surg 2014; 31

Publication Date

May 8, 2014

Issn Electronic

1421-9883

Pages

25-32

Brief description/objective

Bariatric surgery is the most effective treatment of obesity and its associated diseases like type 2 diabetes mellitus. Given the obesity epidemic and the efficacy of surgical treatment, the number of surgical weight loss procedures has grown in recent years. Nevertheless, there is little consensus regarding the extent of preoperative investigations required prior to patients undergoing surgery. This article aims to discuss the available evidence on which preoperative tests are useful for the detection and treatment of conditions such as venous thromboembolism, obstructive sleep apnea syndrome and Helicobacter pylori-positive gastritis prior to an operation. The present literature suggests that only a few preoperative investigations are essential, but that preoperative multidisciplinary care is beneficial. © 2014 S. Karger AG, Basel.