Patient Assessment and Post-op Management from the Physician’s Point of View

摘要: Obesity is frequently associated with metabolic, cardiovascular, and respiratory comorbidities that may significantly increase the risk of perioperative complications in general as well bariatric surgery. In elective surgery, patient assessment should include a careful evaluation status, particular regarding presence type 2 diabetes, hypertension, sleep-related disturbances breathing. Ideally, good metabolic control be achieved before surgery patients overt tight blood pressure levels obtained hypertensive subjects. Patients moderate-to-severe sleep apnea syndrome requiring nocturnal ventilation adapted to ventilator continue therapy period. A brief course weight loss very low-calorie diet considered at least severe obesity high-risk comorbidities. Even moderate or partial body reduction has been demonstrated have significant impact on status severity morbid obese patients. early postoperative period, strict glucose mandatory both without given high frequency stress-related hyperglycemia its negative impacts prognosis . Careful observation warranted all