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Preoperative Testing and Counseling

  • Abraham Fridman
Chapter
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Abstract

Preoperative work-up for patients with morbid obesity interested in a laparoscopic gastric bypass (LGBP) is extremely important in selecting appropriate candidates. It doesn’t only include detailed personal history, medical history, and surgical history, but it needs to have a very detailed psychiatric and nutritional history as well. Mental health associates knowledgeable with bariatric surgery should be included in the work-up process. Patients need to undergo a full physical exam to identify potential risk factors for anesthesia and surgery. Multiple medical subspecialties (pulmonary, cardiology, endocrinology, gastroenterology) play a vital role in the proper preparation. Since there is anatomic alteration in the gastrointestinal tract, proper preoperative evaluation with an upper endoscopy, an upper gastrointestinal series, and a transabdominal ultrasonography (US) could identify abnormalities that may change the surgical plan. Finally, a thorough informed consent assures proper understanding by the patient of the entire preoperative and postoperative course. A standardized care plan, from initial evaluation all the way to the actual surgery, will ease and expedite this process.

Keywords

Bariatric surgery Laparoscopic gastric bypass (LGBP) Morbid obesity Weight loss Obstructive sleep apnea (OSA) Upper endoscopy (EGD) Transabdominal ultrasound (US) Helicobacter pylori (H. pyloriCholelithiasis Cholecystectomy Informed consent 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Abraham Fridman
    • 1
  1. 1.Griffin HospitalDerbyUSA

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