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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Bariatric Surgery Indications
- Consider bariatric surgery for patients with BMI over 40, regardless of comorbidities.
- For patients with BMI over 35, consider surgery if they have major comorbidities like diabetes, OSA, hypertension, or reflux.
Weight Loss Efficacy
- Long-term success of medical weight loss is poor, under 10%.
- Bariatric surgery offers significant, sustained weight loss, ranging from 60-70% of excess weight.
Counseling on Bariatric Surgery Benefits
- Discuss quality of life, mortality improvements, and comorbidity reduction when counseling patients about bariatric surgery.
- Address specific comorbidities like diabetes, OSA, and hypertension, explaining expected improvements.