Features  |   January 2020
Anesthetic Considerations of Bariatric Endoscopy
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Airway Management / Cardiovascular Anesthesia / Endocrine and Metabolic Systems / Gastrointestinal and Hepatic Systems / Patient Safety / Respiratory System / Technology / Equipment / Monitoring / Features
Features   |   January 2020
Anesthetic Considerations of Bariatric Endoscopy
ASA Monitor 1 2020, Vol.84, 18-21.
ASA Monitor 1 2020, Vol.84, 18-21.
Recent World Health Organization (WHO) reports estimate that the worldwide prevalence of obesity nearly tripled between 1975 and 2016, with approximately 13 percent of the world’s adult population classified as obese, based on body mass index (BMI) ≥30.1
Treatment for obesity requires a multifaceted approach, with behavioral modification (including dietary and exercise counseling), pharmacologic therapy, and bariatric surgery or endoscopic weight loss options all being important considerations for individual patients. The safety and efficacy of a variety of bariatric surgical procedures, such as the gastric band, vertical band gastroplasty, sleeve gastrectomy and Roux-en-Y gastric bypass (RYGB), have been described for the last several decades. However, although to date bariatric surgery seemed to be the most effective and durable treatment for obesity, it is associated with a high morbidity and mortality rate.2-4 Additionally, for a variety of reasons, including fear of associated complications, some patients refuse to pursue primary or revisional surgical procedures.
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