Bariatric Surgery Complications and Emergencies by Daniel M. Herron

April 3, 2017 | Digestive Organs | By admin | 0 Comments

By Daniel M. Herron

This publication offers a concise, targeted and clinically proper precis of problems and emergencies concerning bariatric surgical procedure. the 1st component of the textual content addresses common issues relating to anesthesia and the tension of surgical procedure, together with matters comparable to deep vein thrombosis, pulmonary embolism, hemorrhage, pneumonia and cardiac issues. also, this part addresses the workup of the bariatric sufferer with belly ache. the second one part of the textual content makes a speciality of gastric pass and sleeve-specific issues, together with staple line and anastomotic leaks, inner hernia, marginal ulceration, GI obstruction, hernia formation and gallstone disorder. The 3rd component of the publication examines metabolic, dietary and mental problems after bariatric surgical procedure. The textual content additionally covers administration of weight-loss failure.

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2014;8, CD008930. Davidson JE, Callery C. Care of the obesity surgery patient requiring immediate-level care or intensive care. Obes Surg. 2001;11(1):93–7. Helling TS, Willoughby TL, Maxfield DM, Ryan P. Determinants of the need for intensive care and prolonged mechanical ventilation in patients undergoing bariatric surgery. Obes Surg. 2004;14(8):1036–41. Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway.

4 Estrogen Therapy Any form of estrogen therapy (oral contraceptives in premenopausal women or hormone replacement therapy in postmenopausal women) should be discontinued at least 3 weeks prior to bariatric surgery to diminish the risks of perioperative venous thromboembolic phenomenon [10]. 5 Tobacco Smoking is a well-established independent risk factor for adverse surgical outcomes irrespective of the type of procedure. Increased BMI being a naturally constant risk factor in this population, modification of the other risk factors especially smoking is of utmost importance.

3. Juvin P, Lavaut E, Dupont H, Lefevre P, Demetriou M, Dumoulin JL, et al. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg. 2003;97(2):595–600. table of contents. 4. Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008;108(5):812–21. 5. Kheterpal S, Martin L, Shanks AM, Tremper KK. Prediction and outcomes of impossible mask ventilation: a review of 50,000 anesthetics.

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