Bariatric Surgery in the KP Northwest Region: Optimizing Outcomes by Using a Multidisciplinary Program

Keith H Bachman, MD; Brenda Buck, RD; Julie Hanna, LCSW; Tamara J Mucha, PT; Mary Lou Greenwood, RN, BSN; David Moiel, MD

Summer 2005 - Volume 9 Number 3


Although bariatric surgery can be an appropriate treatment option for extremely obese patients, uncertainty exists as to how to optimize treatment outcomes. This article describes a coordinated multidisciplinary program designed to educate and behaviorally prepare patients for bariatric surgery and to support long-term behavioral change.

Key aspects of our program include adequate preoperative obesity-related assessment, including nutritional, psychosocial, and physical assessment; emphasis on preoperative behavior change; changing the inpatient surgical treatment care path to decrease the length of hospital stay; and providing long-term management by using enhanced clinical decision support that includes Intranet-based practice resources embedded in the electronic medical record. Self-care is facilitated through group classes and support groups.

A multidisciplinary bariatric program optimizes short- and long-term postoperative success and maximizes the safety and cost-effectiveness of bariatric surgery.


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