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The Importance of a Multidisciplinary Team Approach

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The ASMBS Textbook of Bariatric Surgery

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Abstract

Severe obesity is a chronic disease. Bariatric and metabolic surgery is extremely effective in allowing remission of life-threatening medical comorbidities (diseases in their own right) including improving quality of life. Preoperative evaluation, education, and long-term follow-up are imperative for optimal success in controlling these life-threatening diseases. A multidisciplinary team approach, with specialized education and training, plays a valuable role in the patient’s short- and long-term success of improved health.

This chapter will outline the need of the multidisciplinary team approach in bariatric and metabolic surgery. Included is the importance of each individual’s role, necessary training, education, and long-term follow-up.

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References

  1. American College of Surgeons. Continuing quality improvement. Bariatric Surgery Center Network Program. http://www.facs.org/cqi/bscn/index.html. Accessed 2009.

  2. Gastrointestinal Surgery for Severe Obesity.NIH consensus statement online, 25–27 Mar 1991. http://www.ncbi.nlm.nih.gov/books/bv.fcg?rid=hstat4.chapter.9282. 1991.

  3. American Society for Bariatric Surgery, Society for American Gastrointestinal Endoscopic Surgeons. Guidelines for laparoscopic and open surgical treatment for morbid obesity. Obes Surg. 2000;10:378–9.

    Article  Google Scholar 

  4. Sugerrman H. Pathophysiology of severe obesity. Surg Obes Relat Dis. 2005;1(2):109–19.

    Article  Google Scholar 

  5. Kendrick M, Clark M, et al. Multidisciplinary team in a bariatric surgery program. In: Buchwald H, Cowan G, editors. Surgical management of obesity. Philadelphia: Saunders/Elsevier; 2007.

    Google Scholar 

  6. CDC.gov/obesity/data/adult.html. Accessed 2012.

  7. Hofso D, Jennsen T, et al. Fasting plasma glucose in the screening of type II diabetes in morbid obese subjects. Obes Surg. 2010;20:302–7.

    Article  PubMed  Google Scholar 

  8. Finkelstein E, Trogdon JG, et al. Annual medical spending attributable to obesity: Payor-and service-specific estimates. Health Aff. 2009;28(5):w822–31.

    Article  Google Scholar 

  9. Lehman Center Weight Loss Surgery Expert Panel. Commonwealth of Massachusetts Betsy Lehman center for patient safety and medical error reduction expert panel on weight loss surgery; executive report. Obes Res. 2005;13:205–26.

    Article  Google Scholar 

  10. Al Z, Zoon CK, Klein HW, et al. Psychiatric aspects of childhood and adolescent obesity: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry. 2004;43(2):134–50, 151–3.

    Article  Google Scholar 

  11. Maronet D, Golub S. Nurses attitudes toward obese persons and certain ethnic groups. Percept Mot Skills. 1992;75:387–91.

    Google Scholar 

  12. De Maria EJ, Portenier D, et al. Obesity surgery mortality risk score: proposal for a clinically useful score to predict mortality risk in patients undergoing gastric bypass. Surg Obes Relat Dis. 2007;3:134–40.

    Article  Google Scholar 

  13. Cottam D, Lord J, et al. Medicolegal analysis of 100 malpractice claims against bariatric surgeons. Surg Obes Relat Dis. 2007;3(1):60–6.

    Article  PubMed  Google Scholar 

  14. Livingston E. Complications of bariatric surgery. Surg Clin N Am. 2005;85:853–68.

    Article  PubMed  Google Scholar 

  15. Berger N, Callahan J, et al. Path to bariatric nurse certification: the practice analysis. Surg Obes Relat Dis. 2010;6(4):399–407.

    Article  PubMed  Google Scholar 

  16. Kushner R, Neff L. Bariatric surgery: a key role for registered dieticians. Jour Diet Assoc. 2010;110(4):524–6.

    Article  Google Scholar 

  17. Aills L, Blankenship J, et al. Bariatric nutrition: suggestions for the surgical weight loss patient. Surg Obes Relat Dis. 2008;4:S73–108.

    Article  PubMed  Google Scholar 

  18. Krieger JW, Sitrens HS, et al. Effects of variation in protein and carbohydrate intake on body mass and composition during energy restriction: meta-regression. Am J Clin Nutr. 2006;83:260–74.

    PubMed  CAS  Google Scholar 

  19. Zielegler O, Sirveaux MA, et al. Metical follow up after bariatric surgery: nutritional and drug issues general recommendation for prevention and treatment of nutritional deficiencies. Diabetes Metab. 2009;35:544–57.

    Article  Google Scholar 

  20. Sarwer DB, Wadden TA, et al. Pre operative eating behavior, post operative dietary adherence, and weight loss after gastric bypass surgery. Surg Obes Relat Dis. 2008;4(5):640–6.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Wadden TA, Sarwer DB. Psychological and behavioral status of patients undergoing bariatric surgery; what to expect after surgery. Med Clin North Am. 2007;91(3):451–69.

    Article  PubMed  Google Scholar 

  22. Jacobe D, Ciangura C, et al. Physical activity and weight loss following bariatric surgery. Obes Rev. 2011;12:366–77.

    Article  Google Scholar 

  23. King WC, Bond DS. The importance of preoperative and post operative physical activity counseling in bariatric surgery. Exerc Sport Sci Rev. 2013;41:26–35.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Bond DS, Jakicic JM, et al. Objective quantification of physical activity in bariatric surgery candidates and normal weight controls. Surg Obes Relat Dis. 2010;6:72–8.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Bond DS, Thomas JG, et al. Self reported and objectively measured sedentary behaviors in bariatric surgery candidates. Surg Obes Relat Dis. 2013;9:123–8.

    Article  PubMed  PubMed Central  Google Scholar 

  26. McMahon MM, Sarr M, et al. Clinical management after bariatric surgery: value of a multidisciplinary approach. Mayo Clin Proc. 2006;81(10 suppl):s34–45.

    Article  PubMed  CAS  Google Scholar 

  27. Bond D, Phelan S, et al. Becoming physically active after bariatric surgery is associated with improved weight loss and health- related quality of life. Obesity. 2009;17(1):78–83.

    Article  PubMed  Google Scholar 

  28. Presutti RJ, Gorman RS. Primary care perspective on bariatric surgery. Mayo Clin Proc. 2004;79(9):1158–66.

    Article  PubMed  Google Scholar 

  29. Bell C, Walley AJ, et al. The genetics of human obesity. Genetics. 2005;6:221–34.

    PubMed  CAS  Google Scholar 

  30. Cdc.gov/obesity/adult/causes/index.html. Accessed Jan 2013.

  31. Still C. Before and after surgery: the team approach to management. J Fam Prac. 2005.

    Google Scholar 

  32. My P, Tarrant M. Obesity: attitudes of undergraduate student nurses and registered nurses. J Clin Nurs. 2009;18(16):2355–65.

    Article  Google Scholar 

  33. Schwartz M, Chammbliss H, et al. Weight bias among healthcare professionals specializing in obesity. Obes Res. 2003;11:1033–77.

    Article  PubMed  Google Scholar 

  34. Funnell M. The organization of multidisciplinary care team: modeling internal and external influences on care quality. J Nat Cancer Ins Monog. 2010;2010(40):72–80.

    Article  Google Scholar 

  35. Kaufman A, McNelis J, et al. Bariatric surgery claims- a medico-legal perspective. Obes Surg. 2006;16:1555–58.

    Article  PubMed  Google Scholar 

  36. D’Alfonso J. Designing competencies that count. Denver: Certified Boards Inc.; 2004.

    Google Scholar 

  37. Ryden A, Sullivan M. Severe obesity and personality: a comparative controlled study of personality traits. Int J Obes Relat Metab Disord. 2003;27(12):1534–40.

    Article  PubMed  CAS  Google Scholar 

  38. Klein S. Medical management of obesity. Surg Clin N Am. 2001;81:1025–38.

    Article  PubMed  CAS  Google Scholar 

  39. Stunkard AJ, Froch TT, et al. A twin study on human obesity. JAMA. 1986;265:51–4.

    Article  Google Scholar 

  40. Latner JD, Stunkard AJ, et al. Stigmatized students: age, sex, and ethnicity effects in stigmatization of obesity. Obes Res. 2005;13:1226–31.

    Article  PubMed  Google Scholar 

  41. Song Z, Reinhardt K, et al. Association between support group attendance and weight loss after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4:100–3.

    Article  PubMed  Google Scholar 

  42. Brownell KD, Puhl R, Schwartz MB, Rudd L, editors. Weight bias: nature, consequences, and remedies. New York: Guilford Publications; 2005.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Wittgrove Bariatric Center, La Jolla, 9834 Genessee Ave, Suite 328, La Jolla, CA, 90237, USA

    Tracy Martinez RN, BSN, CBN

Authors
  1. Tracy Martinez RN, BSN, CBN
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Correspondence to Tracy Martinez RN, BSN, CBN .

Editor information

Editors and Affiliations

  1. GI/Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA

    Christopher Still

  2. Department of Weight and Eating Disorders, University of Pennsylvania, Philadelphia, Pennsylvania, USA

    David B. Sarwer

  3. Policy Initiatives and Advocacy, American Dietetic Association, Falls Church, Virginia, USA

    Jeanne Blankenship

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Martinez, T. (2014). The Importance of a Multidisciplinary Team Approach. In: Still, C., Sarwer, D., Blankenship, J. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1197-4_19

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  • DOI: https://doi.org/10.1007/978-1-4939-1197-4_19

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1196-7

  • Online ISBN: 978-1-4939-1197-4

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