Abstract
Obesity has become one of the greatest public health threats of our time, impacting a significant segment of the world’s population. This epidemic has increased the demand for therapies to achieve weight loss and resolve associated comorbidities. Surgery has been proven to be the most effective modality. The number of surgical procedures performed annually in the United States and worldwide continues to rise. Along with improving and refining bariatric procedures, clinicians have endeavored to improve perioperative care. Evidence-based postoperative care pathways have been standardized to decrease postoperative complications, improve resource utilization, and lower costs.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- ASMBS:
-
American Society for Metabolic and Bariatric Surgery
- BPD-DS:
-
Bilio-pancreatic diversion with duodenal switch
- COE:
-
Center of excellence
- IV:
-
Intravenous
- LAGB:
-
Laparoscopic adjustable gastric banding
- LRYGB:
-
Laparoscopic Roux-en-Y gastric bypass
- LSG:
-
Laparoscopic sleeve gastrectomy
- UGI:
-
Upper gastrointestinal
- VTE:
-
Venous thromboembolism
References
Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23:427–36.
Müller MK, Dedes KJ, Dindo D, Steiner S, Hahnloser D, Clavien PA. Impact of clinical pathways in surgery. Arch Surg. 2009; 394:31–9.
Huerta S, Heber D, Sawicki MP, Liu CD, Arthur D, Alexander P, et al. Reduced length of stay by implementation of a clinical pathway for bariatric surgery in an academic health care center. Am Surg. 2001;67(12):1128–35.
Yeats M, Wedergren S, Fox N, Thompson JS. The use and modification of clinical pathways to achieve specific outcomes in bariatric surgery. Am Surg. 2005;71(2):152–4.
Chakravartty S, Sarma DR, Patel AG. Rhabdomyolysis in bariatric surgery: a systematic review. Obes Surg. 2013;23(8):1333–40.
Mechanick JI, Youdim A, Jones DB, Garvey WT, Hurley DL, McMahon MM, et al. Clinical Practice Guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient-2013 update: cosponsored by the American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic and Bariatric Surgery. Surg Obes Relat Dis. 2013;9(2):159–91.
Cassidy MR, Rosenkranz P, McCabe K, Rosen JE, McAneny D. I COUGH: reducing postoperative pulmonary complications with a multidisciplinary patient care program. JAMA Surg. 2013;148(8): 740–5.
Shearer E, Magee CJ, Lacasia C, Raw D, Kerrigan D. Obstructive sleep apnea can be safely managed in a level 2 critical care setting after laparoscopic bariatric surgery. Surg Obes Relat Dis. 2013; 9(6):845–9.
Stein PD, Beemath A, Olson RE. Obesity as a risk factor in venous thromboembolism. Am J Med. 2005;118:978–80.
Stein PD, Goldman J. Obesity and thromboembolic disease. Clin Chest Med. 2009;30:489–93.
Longitudinal Assessment of Bariatric Surgery (LABS) Consortium, Flum DR, Belle SH, King WC, Wahed AS, Berk P. Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med. 2009;361(5):445–54.
Agarwal R, Hecht TE, Lazo MC, Umscheid CA. Venous thromboembolism prophylaxis for patients undergoing bariatric surgery: a systematic review. Surg Obes Relat Dis. 2010;6(2):213–20.
The American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. ASMBS updated position statement on prophylactic measures to reduce the risk of venous thromboembolism in bariatric surgery patients. Surg Obes Relat Dis. 2013;9(4):493–7.
Wu EC, Barba CA. Current practices in the prophylaxis of venous thromboembolism in bariatric surgery. Obes Surg. 2000;10(1):7–14.
Lee SD, Khouzam MN, Kellum JM, DeMaria EJ, Meador JG, Wolfe LG, et al. Selective, versus routine, upper gastrointestinal series leads to equal morbidity and reduced hospital stay in laparoscopic gastric bypass patients. Surg Obes Relat Dis. 2007;3(4): 413–6.
Frezza EE, Mammarappallil JG, Witt C, Wei C, Wachtel MS. Value of routine postoperative gastrographin contrast swallow studies after laparoscopic gastric banding. Arch Surg. 2009;144(8):766–9.
Allied Health Sciences Section Ad Hoc Nutrition Committee, Aills L, Blankenship J, Buffingtong C, Furtado M, Parrott J. ASMBS Allied health nutritional guidelines for the surgical weight loss patient. Surg Obes Relat Dis. 2008;4(5 Suppl):S73–108.
Favretti F, O’Brien PE, Dixon JB. Patient management after LAP-BAND placement. Am J Surg. 2002;184(6B):38–41.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media New York
About this chapter
Cite this chapter
Lynch, R., Pasini, D., Dan, A.G. (2015). 11 Postoperative Pathways in Minimally Invasive Bariatric Surgery. In: Brethauer, S., Schauer, P., Schirmer, B. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1637-5_11
Download citation
DOI: https://doi.org/10.1007/978-1-4939-1637-5_11
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-1636-8
Online ISBN: 978-1-4939-1637-5
eBook Packages: MedicineMedicine (R0)