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December 1, 2002Anesthesia & Analgesia

Anesthetic Considerations for Bariatric Surgery

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Population

Patients with morbid obesity seeking surgical or medical weight loss.

Design

Review

Authors

BOBabatunde OgunnaikeThe University of Texas Southwestern Medical CenterSJStephanie B. JonesNorthwell HealthDJDaniel B. JonesRutgers, The State University of New Jersey

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Overview

Supports individualized risk-benefit discussions for bariatric candidates; leaves open need for prospective trials on anesthesia-specific outcomes.

Structured PICO

P
Population
Patients with morbid obesity (BMI >35 kg/m2 with life-threatening cardiopulmonary problems or severe diabetes mellitus, or BMI >40 kg/m2) seeking surgical or medical weight loss.
I
Intervention
Bariatric surgery (including Roux-en-Y gastric bypass and adjustable gastric banding) and medical therapy (including sibutramine and orlistat).

Bariatric surgery, particularly Roux-en-Y gastric bypass, is an effective treatment for morbid obesity that produces significant weight loss and resolution of comorbidities such as Type II diabetes, though it carries specific surgical and anesthetic risks.

Cite This Study

Ogunnaike et al. (2002) studied this question.

synapsesocial.com/papers/6a767b8b232067cbf2ec0d8dhttps://doi.org/10.1097/00000539-200212000-00061
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effects of weight reduction on blood lipids and lipoproteins: a meta-analysis1992 · 1,066 citations
  2. 2Peripheral nerve injuries associated with anaesthesia2000 · 199 citations