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REVIEW ARTICLE
Year : 2019  |  Volume : 32  |  Issue : 4  |  Page : 1169-1172

Predictors of outcomes in bariatric surgery and anesthesia


1 Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Anesthesia at Kafrelsheikh General Hospital, Kafrelsheikh, Egypt

Correspondence Address:
Mansour Gamal Shaban Alhanouny
Kafrelsheikh
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_239_18

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Objective The aim of this study was to assess the perioperative and postoperative complications and predictors of outcomes in bariatric surgery and anesthesia. Materials and methods We reviewed papers on the predictors of outcomes in bariatric surgery and anesthesia from Medline databases, which are PubMed, Medscape, Science Direct, and EMF-Portal, and all materials available in the internet up to 2017. The initial search presented articles that studied the predictors of outcomes in bariatric surgery and anesthesia. If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls mentioned, and adequate information provided and assessment measures defined. Significant data were collected. Thus, a structured review was performed. Findings Results showed that bariatric surgery is considered high risk, but careful planning, preoperative risk assessment, adequate anesthetic management, strict venothrombotic event prevention, and effective postoperative pain control will all help to reduce the risk. Conclusion Careful planning, preoperative risk assessment, adequate anesthetic management, strict venothrombotic event prevention, and effective postoperative pain control will all help to improve outcomes and reduce the risk of perioperative mortality.


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