Skip to main content

11 Postoperative Pathways in Minimally Invasive Bariatric Surgery

  • Chapter
  • First Online:
Minimally Invasive Bariatric Surgery

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

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

  1. Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23:427–36.

    Article  PubMed  Google Scholar 

  2. Müller MK, Dedes KJ, Dindo D, Steiner S, Hahnloser D, Clavien PA. Impact of clinical pathways in surgery. Arch Surg. 2009; 394:31–9.

    Article  Google Scholar 

  3. 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.

    CAS  PubMed  Google Scholar 

  4. 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.

    PubMed  Google Scholar 

  5. Chakravartty S, Sarma DR, Patel AG. Rhabdomyolysis in bariatric surgery: a systematic review. Obes Surg. 2013;23(8):1333–40.

    Article  PubMed  Google Scholar 

  6. 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.

    Article  PubMed  Google Scholar 

  7. 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.

    Article  PubMed  Google Scholar 

  8. 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.

    Article  PubMed  Google Scholar 

  9. Stein PD, Beemath A, Olson RE. Obesity as a risk factor in venous thromboembolism. Am J Med. 2005;118:978–80.

    Article  PubMed  Google Scholar 

  10. Stein PD, Goldman J. Obesity and thromboembolic disease. Clin Chest Med. 2009;30:489–93.

    Article  PubMed  Google Scholar 

  11. 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.

    Article  Google Scholar 

  12. 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.

    Article  PubMed  Google Scholar 

  13. 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.

    Article  Google Scholar 

  14. Wu EC, Barba CA. Current practices in the prophylaxis of venous thromboembolism in bariatric surgery. Obes Surg. 2000;10(1):7–14.

    Article  CAS  PubMed  Google Scholar 

  15. 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.

    Article  PubMed  Google Scholar 

  16. 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.

    Article  PubMed  Google Scholar 

  17. 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.

    Google Scholar 

  18. Favretti F, O’Brien PE, Dixon JB. Patient management after LAP-BAND placement. Am J Surg. 2002;184(6B):38–41.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Adrian G. Dan M.D. F.A.C.S. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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)

Publish with us

Policies and ethics