Prophylaxis in Bariatric Surgery

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Series: Surgery – Procedures, Complications, and Results
BISAC: MED085000

Patients undergoing bariatric surgery are special subjects, as they present several features that convert them into high-risk patients, despite often being young and without severe comorbidities. Medical staff is often not used to managing these patients and they do not consider that different measures or doses of drugs should be employed.

Moreover, several postoperative complications are much more frequent in obese patients than in the general population, such as thromboembolic events, surgical-site infections, or pulmonary complications. These issues must be considered in all the perioperative courses; pre-, intra- and postoperatively. There are many protocols and guidelines for diverse prophylaxis, but most of them do not consider the special characteristics of morbidly obese patients, and so the measures recommended for the general population cannot be applied to them.

Some bariatric surgery societies have made an effort to elaborate on recommendations for obese patients, but the lack of studies in this population group implies low evidence grade, leading to weak recommendations and sometimes even acting as controversial between different groups. The aim of this book is to revise the actual evidence of the most important prophylactic measures that a morbidly obese patient must undergo.

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Table of Contents

Table of Contents

Preface

Chapter 1. Antibiotic Prophylaxis in Bariatric Surgery
(Andrés García-Marín and Mercedes Pérez-López, Department of Pathology and Surgery, University Miguel Hernández, Elche, Spain, and others)

Chapter 2. Thromboembolic Prophylaxis
(Jaime Ruiz-Tovar and Carolina Llavero, Department of Surgery, Universidad Autónoma de Madrid, Spain)

Chapter 3. Antiemetic Prophylaxis
(Esther García-Villabona, MD, Carmen Vallejo-Lantero, MD, and Graciela García-Villabona, MD, Anesthesiology Department, Hospital Universitario de La Princesa, Madrid, Spain, and others)

Chapter 4. Nutritional Prophylaxis: Weight Loss for the Reduction of Surgical Risk
(Irene Portero Larragueta, Anesthesiology, Rey Juan Carlos Hospital, Móstoles, Madrid)

Chapter 5. Prophylaxis of Postoperative Cholelithiasis
(Dennis Cesar Levano-Linares, MD, Patricia Sanchez-Salcedo, Gustavo Díaz García, MD, David Alías Jimenez, MD, PhD, Manuel Durán Poveda, MD, PhD and Jaime Ruíz-Tovar, MD, PhD, Department of Surgery, University Hospital Rey Juan Carlos, Mostoles, Madrid, Spain, and others)

Chapter 6. Prophylactic Measures to Reduce Staple Line Leaks and Bleeding
(Irene Ortega-Vázquez, Infanta Sofía University Hospital, European University of Madrid, San Sebastian de los Reyes, Madrid, Spain)

Chapter 7. Postoperative Ileus Prophylaxis: Enhanced Recovery after Surgery (ERAS)
(Pablo Royo Dachary and Helen Almeida Ponce, Department of Surgery, University of Zaragoza, Zaragoza, Spain)

Chapter 8. Prophylaxis of Stress Ulcers, Anastomotic Ulcers and Gastroesophageal Reflux Disease
(Pablo Priego, Department of General Surgery, Division of Esophagogastric and Bariatric Surgery, Ramón y Cajal University Hospital, Madrid, Spain)

Chapter 9. Postoperative Pain Prophylaxis and Management
(Carmen Vallejo-Lantero and Esther García-Villabona, Anesthesiology Department, Hospital Universitario de La Princesa, Madrid, Spain)

Chapter 10. The Use of Prophylactic Mesh in Open and Laparoscopic Bariatric Surgery
(Montiel Jiménez-Fuertes, General and Digestive Surgery, Rey Juan Carlos University Hospital, Madrid, Spain)

Chapter 11. Prophylaxis of Internal Hernias
(Manuel Ferrer-Márquez, Maria José Solvas-Salmerón, Bariatric Surgery Department, Torrecárdenas Hospital, Almería, Spain)

Index

Keywords: Prophylaxis, Bariatric Surgery, Obesity, Laparoscopy

Audience:
Professionals: Bariatric surgeons, Endocrinologists, Dietitians, General practitioners and Medical students.
Industry: Medical industry of laparoscopic devices (Medtronic, Johnson&Johnson), industries commercializing low molecular weight heparins (Sanofi, Hibor,…), industries of anesthetic devices,…
Non-professionals: Obesity and diabetic blogs and chats

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