Key result
Preoperative investigations for metabolic surgery prove largely non-essential despite the benefits of multidisciplinary care.
Why the study?
There is little consensus regarding the extent of preoperative investigations required prior to patients undergoing metabolic surgery.
What preoperative investigations are useful for patients undergoing metabolic surgery?
What preoperative investigations are useful for patients undergoing metabolic surgery?
This review highlights that while few preoperative tests are strictly essential before bariatric surgery, multidisciplinary care is beneficial.
Cautions against routine preoperative testing; leaves open optimal multidisciplinary protocols for metabolic surgery.
Bariatric surgery is the most effective treatment of obesity and its associated diseases like type 2 diabetes mellitus. Given the obesity epidemic and the efficacy of surgical treatment, the number of surgical weight loss procedures has grown in recent years. Nevertheless, there is little consensus regarding the extent of preoperative investigations required prior to patients undergoing surgery. This article aims to discuss the available evidence on which preoperative tests are useful for the detection and treatment of conditions such as venous thromboembolism, obstructive sleep apnea syndrome and Helicobacter pylori-positive gastritis prior to an operation. The present literature suggests that only a few preoperative investigations are essential, but that preoperative multidisciplinary care is beneficial.
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Bächler et al. (2014) conducted a review in Obesity. Preoperative investigations was evaluated. Preoperative investigations prior to metabolic surgery are largely non-essential, though preoperative multidisciplinary care is beneficial.
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