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The Structure and Role of the Multidisciplinary Team in Bariatric Surgery

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Obesity, Bariatric and Metabolic Surgery

Abstract

Over the last decade, there has been increasing awareness of the importance of the multi-disciplinary team (MDT) in the management of a number of conditions which have traditionally been considered as surgical conditions. This is particularly true in bariatric surgery where the complex multifactorial nature of obesity combined with the need for regular follow-up and monitoring after the surgery means that this specialty lends itself to following an MDT approach. Members of the bariatric MDT vary according to circumstances but should have as its core members an obesity physician, specialist surgeon, dietitian, psychologist and anesthetist with the expertise of additional members (for example, plastic surgeons) available when needed. Although there is limited prospective data on the efficacy of the MDT in bariatric surgery, given the trends with respect to the rising incidence of high-risk surgical candidates and revisional surgery, it is likely that the MDT will have an increasingly important role in the future in managing pre- and post-bariatric patients.

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References

  1. Martin-Ucar AE, Waller DA, Atkins JL, Swinson D, O’Byrne KJ, Peake MD. The beneficial effects of specialist thoracic surgery on the resection rate for non-small-cell lung cancer. Lung Cancer. 2004;46:227–32.

    Article  PubMed  Google Scholar 

  2. Stephens MR, Lewis WG, Brewster AE, Lord I, Blackshaw GR, Hodzovic I, et al. Multidisciplinary team management is associated with improved outcomes after surgery for esophageal cancer. Dis Esophagus. 2006;19(3):164–71.

    Article  CAS  PubMed  Google Scholar 

  3. Jafari MD, Jafari F, Young MT, Smith BR, Phalen MJ, Nguyen NT. Volume and outcome relationship in bariatric surgery in the laparoscopic era. Surg Endosc. 2013;27:4539–46.

    Article  PubMed  Google Scholar 

  4. Branagan G, Davies N. Early impact of centralization of oesophageal cancer surgery services. Br J Surg. 2004;91:1630–2.

    Article  CAS  PubMed  Google Scholar 

  5. Jain R, Duval S, Adabag S. How accurate is the eyeball test?: A comparison of physician’s subjective assessment versus statistical methods in estimating mortality risk after cardiac surgery. Circ Cardiovasc Qual Outcomes. 2014;7:151–6.

    Article  PubMed  Google Scholar 

  6. Duke E, Borg CM, Elkalaawy M, Hashemi M, Jenkinson A, et al. Multidisciplinary case discussion for bariatric surgery- retrospective analysis of over 1000 cases. Br J Surg. 2012;99(S2):18–19.

    Google Scholar 

  7. NHS Commissioning Board. Clinical commissioning policy: complex and specialised obesity surgery. Available online at http://www.england.nhs.uk/wp-content/uploads/2013/04/a05-p-a.pdf. First published: April 2013. Accessed 18 Jun 2014.

  8. National Institute for Clinical Excellence (NICE). Specifying a bariatric surgical service for the treatment of people with severe obesity. Available online at http://www.nice.org.uk/usingguidance/commissioningguides/bariatric/SpecifyingABariatricSurgicalService.jsp. Updated: March 02, 2012. Accessed 18 Jun 2014.

  9. Heber D, Greenway FL, Kaplan LM, Livingston E, Salvador J, Still C, Endocrine Society. Endocrine and nutritional management of the post-bariatric surgery patient: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2010;95(11):4823–43.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Omar Khan MA, PhD, FRCS .

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Khan, O., Bano, G., Reddy, M. (2016). The Structure and Role of the Multidisciplinary Team in Bariatric Surgery. In: Agrawal, S. (eds) Obesity, Bariatric and Metabolic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-04343-2_15

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  • DOI: https://doi.org/10.1007/978-3-319-04343-2_15

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-04342-5

  • Online ISBN: 978-3-319-04343-2

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