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Outcomes of Preoperative Weight Loss in High-Risk Patients Undergoing Gastric Bypass Surgery—Invited Critique
Raul J. Rosenthal, MD
Arch Surg. 2007;142(10):999.
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I would like to congratulate the authors of this manuscript on a well-executed and important study. With the dramatic increase in the prevalence of surgical treatment for morbid obesity, it has become essential for clinicians to better select and preoperatively prepare patients to decrease the postoperative procedure-related morbidity and mortality as well as to achieve excellent long-term results. Currently, there are no clear guidelines from the leading bariatric societies as to whether morbidly obese patients should undergo a preoperatively supervised diet to achieve postoperative weight loss and better outcomes.
In this study, Still and colleagues have demonstrated that, independent of the chosen approach—open or laparoscopic—even a modest preoperative weight loss will result in a shorter length of hospital stay and improvement in early postoperative weight loss. Similarly, Liu et al1 at the Cleveland Clinic Foundation conducted a retrospective review of 95 patients who underwent gastric bypass . . . [Full Text of this Article]
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Outcomes of Preoperative Weight Loss in High-Risk Patients Undergoing Gastric Bypass Surgery
Christopher D. Still, Peter Benotti, G. Craig Wood, Glenn S. Gerhard, Anthony Petrick, Mary Reed, and William Strodel
Arch Surg. 2007;142(10):994-998.
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