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Evaluating Bariatric Surgical Risk Using Risk-Scoring Systems 

Evaluating Bariatric Surgical Risk Using Risk-Scoring Systems
Chapter:
Evaluating Bariatric Surgical Risk Using Risk-Scoring Systems
Author(s):

Eric J. DeMaria

, and Claudia Jin Kim

DOI:
10.1093/med/9780190608347.003.0004
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date: 19 January 2022

Surgical risk assessment is a critical aspect of delivering safe bariatric and metabolic surgery care today. Years ago, there were no useful methodologies to differentiate morbidly obese patients based on surgical risk stratification. Today there are numerous available strategies that can identify patients at higher risk for complications and for otherwise poor results, such as insufficient weight loss and suboptimal resolution of comorbid medical conditions. These strategies can guide the preoperative evaluation, allow the provider to better inform the patient regarding risk, and allow for more aggressive perioperative care to be instituted on a selective basis, thus lowering overall costs of care. Identification of low-risk patients undergoing low-risk procedures has allowed for surgical treatment of some patients in free-standing surgical centers. In this chapter, we review available risk-stratification strategies that can be useful in the preoperative assessment of risk in the obese population undergoing bariatric surgery.

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