• Hepato Gastroenterol · May 2014

    Review

    Preoperative Cardiac, Pulmonary and Digestive Comorbidities of Morbidly Obese Patients Undergoing Bariatric Surgery: Morbidity, Assessment and Management.

    • Xiao Du, Si-Qin Zhang, Zhong Cheng, Yang Li, Hao-Ming Tian, Jian-Kun Hu, and Zong-Guang Zhou.
    • Hepato Gastroenterol. 2014 May 1; 61 (131): 683-8.

    Background/AimsTo investigate a proper preoperative assessment and management of preoperative cardiac, pulmonary and digestive comorbidities in morbidly obese patients undergoing bariatric surgery.MethodologyA general description of comorbidities in bariatric patients was reviewed and a clinical practice path in assessment and management of comorbidities was summarized.ResultsMorbidly obese patients frequently carried serious comorbidities in cardiovascular, pulmonary and digestive systems. The most common abnormalities included hypertension, left ventricular wall hypertrophy, ST and T wave abnormalities, obstructive sleep apnea, ventilatory dysfunction, and nonalcoholic fatty liver disease. A routine specialized preoperative evaluation could find the potential abnormality and screen the appropriate patients. Prophylactic treatments obviously reduced the morbidity of peri-operative complicationsConclusionComprehensive preoperative evaluation and proper management is essential to appropriately select and prepare bariatric patients, and minimize surgical risk.

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