title: Preoperative Cardiac, Pulmonary and Digestive Comorbidities of Morbidly Obese Patients Undergoing Bariatric Surgery: Morbidity, Assessment and Management.
abstract: OBJECTIVE
  To investigate a proper preoperative assessment and management of preoperative cardiac, pulmonary and digestive comorbidities in morbidly obese patients undergoing bariatric surgery.
  
  
  METHODS
  A general description of comorbidities in bariatric patients was reviewed and a clinical practice path in assessment and management of comorbidities was summarized.
  
  
  RESULTS
  Morbidly obese patients frequently carried serious comorbidities in cardiovascular, pulmonary and digestive systems. The most common abnormalities included hypertension, left ventricular wall hypertrophy, ST and T wave abnormalities, obstructive sleep apnea, ventilatory dysfunction, and nonalcoholic fatty liver disease. A routine specialized preoperative evaluation could find the potential abnormality and screen the appropriate patients. Prophylactic treatments obviously reduced the morbidity of peri-operative complications
  
  
  CONCLUSIONS
  Comprehensive preoperative evaluation and proper management is essential to appropriately select and prepare bariatric patients, and minimize surgical risk.
authors.forename: Xiao
authors.initials: X
authors.lastname: Du
authors.forename: Si-Qin
authors.initials: SQ
authors.lastname: Zhang
authors.forename: Zhong
authors.initials: Z
authors.lastname: Cheng
authors.forename: Yang
authors.initials: Y
authors.lastname: Li
authors.forename: Hao-Ming
authors.initials: HM
authors.lastname: Tian
authors.forename: Jian-Kun
authors.initials: JK
authors.lastname: Hu
authors.forename: Zong-Guang
authors.initials: ZG
authors.lastname: Zhou
mesh_terms: D050110:Bariatric Surgery / Q000009:adverse effects; D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D015897:Comorbidity; D019091:Critical Pathways; D004066:Digestive System Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D019317:Evidence-Based Medicine; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D009767:Obesity, Morbid / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome