Abstract

Background: Recent advances in laparoscopic and endoscopic technology has led to simplify many bariatric procedures especially laparoscopic sleeve gastrectomy and endoscopic intragastric balloon insertion. Because of the recent high demand for bariatric procedures, there has been a recent trend to perform bariatric procedures by general surgeons and physicians who were not trained to perform such procedures. Many surgeons would refuse to perform bariatric procedures on high risk patients to avoid complications of these elective procedures.

Analysis: In this paper, two cohorts of high-risk patients were analyzed, laparoscopic sleeve gastrectomy and endoscopic intragastric balloon insertion groups. All of these procedures were done by the same surgeon and for the purpose of weight loss. All of the selected patients had significant comorbidities that could have led to increased morbidities.

Conclusion: High risk bariatric patients carry a significant peri operative risk. Proper preoperative optimization and meticulous perioperative care can reduce post-operative risks and avoid significant post-operative morbidities and potential mortalities. There were no mortalities or any ICU admissions for any of the high and low risk patients.

Keywords: Laparoscopic Sleeve Gastrectomy; Intragastric Balloon; Candida; High Risk Patients; Endoscopy; Perioperative

References

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Citation

Citation: Omar S Mansour. “The Importance of Meticulous Peri-operative Care in Managing High-Risk Patients Undergoing Bariatric Procedures". Acta Scientific Gastrointestinal Disorders 3.10 (2020): 28-31.

Copyright

Copyright: © 2020 Omar S Mansour. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.