Chapter

Bariatric surgery and post-operative outcome

Mark Bellamy and Michel Struys

in Anaesthesia for the Overweight and Obese Patient

Published on behalf of Oxford University Press

ISBN: 9780199233953
Published online May 2011 | e-ISBN: 9780199607051 | DOI: http://dx.doi.org/10.1093/med/9780199233953.003.0011

Series: Oxford Anaesthesia Library

Bariatric surgery and post-operative outcome

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• Outcomes following anaesthesia and surgery in the morbidly obese are reasonably good. • Several large reported series have failed to confirm body mass index as an independent risk factor for adverse outcome. • Poor outcome is related to the presence of co-morbidities. • Patients undergoing open surgery have been shown to develop higher post-operative into abdominal pressures than those undergoing similar surgical procedures laparoscopically. • Three principles underlying bariatric surgery are reduction in stomach size, gastric outlet restriction, and malabsorption. • Early surgical procedures such as jejunoileal bypass had an unacceptably high post-operative complication rate. • Current surgical procedures include laparoscopic adjustable gastric banding and gastric bypass Roux loop reconstruction. • These techniques have a relatively low complication rate. • There is a clearly demonstrable effect of programs size, with larger programs having better outcomes.

Chapter.  2732 words.  Illustrated.

Subjects: Anaesthetics

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