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Bariatric surgery: Intensive care unit management of the complicated postoperative patient

Kevin Thornton, MD
Richard H Savel, MD, FCCM
Michael A Gropper, MD, PhD
Section Editors
Daniel Jones, MD
Scott Manaker, MD, PhD
Deputy Editor
Wenliang Chen, MD, PhD


Most obese patients with uncomplicated medical comorbidities following a bariatric operation are managed on the standard inpatient postoperative surgical unit. However, patients with severe obesity (body mass index >60 kg/m2) and/or severe comorbid illnesses (eg, refractory diabetes) may require intensive care unit (ICU) management prior to transfer to the inpatient surgical floor [1-7]. Parallels can be drawn from the management of the complicated postoperative patient undergoing a bariatric operation and applied to management of a complicated postoperative obese patient undergoing a different elective operation.

The ICU management of the complicated postoperative bariatric surgical patient will be reviewed here. A description of specific bariatric operations, indications for surgery, short-term and long-term complications and outcomes, morbidity and mortality, and management of the uncomplicated postoperative patient are reviewed as separate topics, including:

(See "Bariatric procedures for the management of severe obesity: Descriptions".)

(See "Bariatric operations for management of obesity: Indications and preoperative preparation".)

(See "Bariatric operations: Perioperative morbidity and mortality".)

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Literature review current through: Nov 2017. | This topic last updated: Sep 07, 2017.
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