Medical management of patients after bariatric surgery: Principles and guidelines

查看全文 作　　者：Abd Elrazek Mohammad Ali Abd [1]Elrazek;Abduh Elsayed Mohamed [2,3]Elbanna;Shymaa E [4]Bilasy

机构地区：[1]Department of Gatsroenterology and Hepatology,Al-Azhar Faculty of Medicine, Al-Azhar University, Asiut brach, Asuit 721572, Egypt;[2]Department of General,Laparoscopic and Bariatric Surgery-Head of Bariatric;[3]unit (D)-Al Husain university Hospital, Al Azhar University, Darrasa-Cairo 16789, Egypt;[4]Department of Biochemistry,Faculty of Pharmacy,Suez Canal University, Ismailia 41522,Egypt

出　　处：《World Journal of Gastrointestinal Surgery》索引2014年第6卷第11期,共9页

摘　　要：Obesity is a major and growing health care concern. Large epidemiologic studies that evaluated the relationship between obesity and mortality, observed that a higher body-mass index(BMI) is associated with increased rate of death from several causes, among them cardiovascular disease; which is particularly true for those with morbid obesity. Being overweight was also associated with decreased survival in several studies. Unfortunately, obese subjects are often exposed to public disapproval because of their fatness which significantly affects their psychosocial behavior. All obese patients(BMI ≥ 30 kg/m2) should receive counseling on diet, lifestyle, exercise and goals for weight management. Individuals with BMI ≥ 40 kg/m2 and those with BMI > 35 kg/m2 with obesity-related comorbidities; who failed diet, exercise, and drug therapy, should be considered for bariatric surgery. In current review article, we will shed light on important medical principles that each surgeon/gastroenterologist needs to know about bariatric surgical procedure, with special concern to the early post operative period. Additionally, we will explain the common complications that usually follow bariatric surgery and elucidate medical guidelines in their management. For the first 24 h after the bariatric surgery, the postoperative priorities include pain management, leakage, nausea and vomiting, intravenous fluid management, pulmonary hygiene, and ambulation. Patients maintain a low calorie liquid diet for the first few postoperative days that is gradually changed to soft solid food diet within two or three weeks following the bariatric surgery. Later, patients should be monitored for postoperative complications. Hypertension, diabetes, dumping syndrome, gastrointestinal and psychosomatic disorders are among the most important medical conditions discussed in this review. 关键词：OBESITY BARIATRIC surgery POSTOPERATIVE CARE BODY-MASS index El banna

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Medical management of patients after bariatric surgery: Principles and guidelines

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