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JCOM Abstract

J Clin Outcomes Manage 
2007 May ;14(5):262-274
Preoperative and postoperative management of the bariatric surgical patient
Pietras SM, Usdan LS, Apovian CM

Abstract Objective: To provide guidance for the primary care practitioner when evaluating a patient for weight loss surgery (WLS), to review commonly performed bariatric procedures, and to help guide management during the pre- and postoperative periods. Methods: Review of existing literature and summary of current practices. Results: Appropriate candidates for WLS include patients with a BMI of at least 40 kg/m2 or at least 35 kg/m2 with at least 1 significant comorbid condition. Obese patients require extensive screening and multidisciplinary care prior to consideration for WLS and during the postoperative period. Conclusions: While there is evidence for certain routine evaluations before and after WLS, there are areas that remain controversial and require further study.

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