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Preoperative Preparation and Workup

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Global Bariatric Surgery

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Abstract

Obesity rates continue to increase worldwide with an estimated 400 million adults being classified as obese and an estimated 300,000 yearly deaths attributable to complications of obesity such as heart disease, diabetes, and hypertension. Bariatric surgery remains the most efficacious treatment for obesity and its comorbidities. Over the past 15 years, surgery-associated morbidity and mortality rates have decreased substantially secondary to the development of dedicated bariatric surgery fellowships, centers of excellence, defined protocols and procedures, databases, and ongoing research. Attention to appropriate patient selection, preoperative workup, and preparation are essential to continue these trends. The purpose of this chapter is to share our group’s experience combined with that of the published literature in the preoperative process. Although we are aware that this process can seem lengthy and may result in a delay to surgery, our aim is to fulfill the essence of the Hippocratic Oath: first do no harm.

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Authors and Affiliations

  1. Department of Surgery, Grand Health Partners, Mercy Health Saint Mary’s, Grand Rapids, MI, USA

    Paul R. Kemmeter

  2. Department of Surgery, Grand Health Partners, North Ottawa Community Health System, Grand Rapids, MI, USA

    Eric J. Krebill

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  1. University of Illinois at Chicago, Chicago, IL, USA

    Rami Lutfi

  2. University of Buenos Aires, Buenos Aires, Argentina

    Mariano Palermo

  3. Saint-Pierre University Hospital, European School of Laparoscopic Surgery, Brussels, Belgium

    Guy-Bernard Cadière

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Kemmeter, P.R., Krebill, E.J. (2018). Preoperative Preparation and Workup. In: Lutfi, R., Palermo, M., Cadière, GB. (eds) Global Bariatric Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-93545-4_34

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