TY - CHAP M1 - Book, Section TI - Anesthesia for Bariatric Surgery A1 - Vaughns, Janelle D. A2 - Freeman, Brian S. A2 - Berger, Jeffrey S. Y1 - 2016 N1 - T2 - Anesthesiology Core Review: Part Two Advanced Exam AB - Bariatric surgery is an option to facilitate weight loss for select patients with obesity. Current guidelines for patient selection include BMI > 40 kg/m2 or ≥ 35 kg/m2 with comorbid disease states (e.g., hypertension and obstructive sleep apnea). Although bariatric procedures have plateaued in the United States, morbid obesity (>40–44.9 kg/m2) rates continue to increase. Important clinical advances in bariatric surgery include the expansion of operative techniques (laparoscopy), improved safety outcomes, and reversal of comorbidities. Many academic centers also offer bariatric procedures in the obese adolescent population (<20 years) as youth obesity rates continue to climb. Unfortunately, these patients have an increased risk of becoming obese adults. Evidence suggests approximately 30% of overweight US adolescents meet the criteria for metabolic syndrome which increases the risk for coronary heart disease and noninsulin-dependent diabetes. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1135740659 ER -