Preoperative Medical Weight Management in Bariatric Surgery: a Review and Reconsideration

Colleen Tewksbury, Noel N Williams, Kristoffel R Dumon, David B Sarwer, Colleen Tewksbury, Noel N Williams, Kristoffel R Dumon, David B Sarwer

Abstract

Bariatric surgery is the most robust treatment for extreme obesity. The impact of preoperative medical weight management sessions designed, in theory, with the primary goal of promoting preoperative weight loss, is unclear. This paper reviews studies that have investigated the relationship between preoperative weight loss and bariatric surgical outcomes, both with respect to postoperative weight loss and complications. We conclude that the most robust of preoperative interventions has not been implemented or evaluated in a manner which would conclusively assess the value of this element of care. We offer a reconsideration of the role of preoperative medical weight management and provide recommendations for future research in this area.

Keywords: Bariatric surgery; Medical weight management; Obesity; Preoperative weight loss.

Conflict of interest statement

Conflict of Interest CT is a full-time employee for Penn Metabolic and Bariatric Surgery Program and a part time student in Temple University College of Public Health.

CT, NNW, and KD have no financial conflicts of interest to disclose. DBS has consulting relationships with Baronova, Covidien, and Ethicon.

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Source: PubMed

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