Postoperative Assessment, Documentation, and Follow-Up of Bariatric Roux-en-Y Surgical Patients
Bariatric procedures are major operations often performed on high-risk patients with multiple comorbidities. Meticulous postoperative assessment and management may avoid preventable complications. Early identification and treatment of postoperative complications may be lifesaving. Documentation and long-term follow-up may prevent complications and monitor the surgical outcomes. For these reasons, the American Society of Bariatric Surgeons (ASBS) has provided strict guidelines for centers performing bariatric surgery. The three main bariatric surgery center requirements are as follows: (1) The center should have an integrated program in which the pre- and postoperative care of a bariatric patient is performed by a multidisciplinary clinical staff of surgeons, bariatric internists, nurses, psychologists, physical therapists, nutritionists, and other consultants. (2) Surgeons and bariatric centers should document the followup on a regular basis for 5 years in at least 50% of patients who have undergone a restrictive procedure or 75% of patients who have had a malabsorptive procedure.
KeywordsObstructive Sleep Apnea Gastric Bypass Incisional Hernia Bariatric Procedure Internal Hernia
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