The Curbsiders Internal Medicine Podcast #275 Bariatric Surgery for the Internist with Dr. Vivian Sanchez
May 24, 2021
In this engaging discussion, Dr. Vivian Sanchez, an Assistant Professor of Surgery at Boston University and a bariatric surgery expert, sheds light on the transformative power of bariatric surgery. She explores how this underutilized tool can promote significant weight loss, correct diabetes, and enhance quality of life. Dr. Sanchez emphasizes the critical aspects of patient selection, preoperative preparations, and the complexities of postoperative care, providing valuable insights for healthcare professionals to better support their patients.
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Early Referral for Bariatric Surgery
- Refer patients for bariatric surgery earlier, before comorbidities progress significantly.
- Educate patients and practitioners about the low mortality rate (under 1%) of bariatric surgery.
Referral Expectations
- When referring a patient for bariatric surgery, inform them about the multidisciplinary team they will see.
- This includes a surgeon, nutritionist, behavioral health psychologist, and other specialists as needed.
Common Bariatric Surgeries
- Sleeve gastrectomy and Roux-en-Y gastric bypass are the two most common bariatric surgeries.
- The choice between procedures depends on individual patient factors, such as presence of reflux.