| Autor: |
Silva LED; - Bariatric and Metabolic Surgery Board of The Brazilian College of Surgeons - Rio de Janeiro - RJ - Brazil.; - Federal University of Goias, Medical School - Department of Surgery - Goiania - GO - Brazil., Cohen RV; - The Center for the Treatment of Obesity and Diabetes - Oswaldo Cruz Hospital, Sao Paulo - São Paulo - SP - Brazil., DE-Andrade JC; - Brazilian Society of Bariatric and Metabolic Surgery, Capitulo Mato Grosso do Sul - Campo Grande - MS - Brazil., SzegÖ T; - Center for Obesity and Gastroenterology Surgery - São Paulo - SP - Brazil., Santo MA; - University of São Paulo, Faculty of Medicine, Discipline of Surgery of the Digestive System - São Paulo - SP - Brazil., Ramos AC; - Clínica Gastro Obeso Center - São Paulo - SP - Brazil., Vilas-Boas ML; - Brazilian Society of Bariatric and Metabolic Surgery - São Paulo - SP - Brazil., Moraes-ZenÓbio CM; - Regional da Asa Norte Hospital (HRAN) - Specialized Center on Diabetes, Obesity and Hypertension - Brasilia - DF - Brazil., Alencar-Meneguesso AM; - Medical Sciences College (Unifacisa) - Campina Grande - PB - Brazil., VON-Bahten LC; - The Brazilian College of Surgeons - Rio de Janeiro - RJ - Brazil. |
| Jazyk: |
English; Portuguese |
| Zdroj: |
Revista do Colegio Brasileiro de Cirurgioes [Rev Col Bras Cir] 2020 Jun 12; Vol. 47, pp. e20202640. Date of Electronic Publication: 2020 Jun 12 (Print Publication: 2020). |
| DOI: |
10.1590/0100-6991e-20202640 |
| Abstrakt: |
Prioritizing surgical procedures aims at facilitating patient's access according to the clinical needs, maximizing access equity, and minimizing the damage from delayed access. Previous categorization of elective bariatric surgery have been adapted to define an objective prioritizing system that reflects those principles for bariatric and metabolic operations. Given the factors that contribute to the morbidity and mortality of obese and type 2 diabetes patients, surgical prioritization should be based on clinical risk stratification. For patients with type 2 diabetes, we suggest that the operation may be prioritized for those with a higher risk of morbidity and mortality in a relatively short term. Likewise, it is necessary to guide the surgical team regarding the necessary care both in the pre, per and postoperative periods of bariatric and metabolic surgery. These recommendations aim to reduce the risk of in-hospital contamination of the surgical team among health professionals and between health professionals and patients. In summary, these recommendations have been shaped after a thorough analysis of the available literature and are extremely important to mitigate the harm related to the clinical complications of obesity and its comorbidities while keeping healthcare providers' and patients' safety. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
