AORN Journal
Volume 88, Issue 1 , Pages 30-58 , July 2008

Perioperative Nursing Care of the Bariatric Surgical Patient

  • Patricia Ide, RN, MS, CNOR

      Affiliations

    • Patricia Ide, RN, MS, CNOR, is a staff nurse at Brigham and Women's Hospital, Boston, MA. Ms Ide has no declared affiliation that could be perceived as a potential conflict of interest in publishing this article.
  • ,
  • Elliott S. Farber, MD

      Affiliations

    • Elliott S. Farber, MD, is a staff anesthesiologist and clinical instructor at Brigham and Women's Hospital. Dr Farber has no declared affiliation that could be perceived as a potential conflict of interest in publishing this article.
  • ,
  • David Lautz, MD

      Affiliations

    • David Lautz, MD, is the medical director for bariatric surgery at Brigham and Women's Hospital. Dr Lautz has no declared affiliation that could be perceived as a potential conflict of interest in publishing this article.

  • Image Result

    Roux-en-Y gastric bypass is restrictive and malabsorptive. (Figures 1-3 reprinted from Ferraro DR. Laparoscopic adjustable banding for morbid obesity. AORN J. 2003;77(5):926, with permission from AORN

    Roux-en-Y gastric bypass is restrictive and malabsorptive. (Figures 1-3 reprinted from Ferraro DR. Laparoscopic adjustable banding for morbid obesity. AORN J. 2003;77(5):926, with permission from AORN, Inc, Denver, CO.)

  • Image Result
    Gastric banding systems are adjustable and reversible and can be placed laparoscopically.

    Gastric banding systems are adjustable and reversible and can be placed laparoscopically.

  • Image Result
    Vertical banded gastroplasty creates a tubular stomach that is restrictive. Note the direction of food flow.

    Vertical banded gastroplasty creates a tubular stomach that is restrictive. Note the direction of food flow.

  • Image Result
    Biliopancreatic diversion with duodenal switch and sleeve gastrectomy. (Reprinted from Graling P, Elariny H. Perioperative care of the patient with morbid obesity. AORN J. 2003; 77(4):816, with permis

    Biliopancreatic diversion with duodenal switch and sleeve gastrectomy. (Reprinted from Graling P, Elariny H. Perioperative care of the patient with morbid obesity. AORN J. 2003; 77(4):816, with permission from AORN, Inc, Denver, CO.)

  indicates that continuing education contact hours are available for this activity. Earn the contact hours by reading this article and taking the examination on pages 55–56 and then completing the answer sheet and learner evaluation on pages 57–58.You also may access this article online at http://www.aornjournal.org.The behavioral objectives and examination for this program were prepared by Rebecca Holm, RN, MSN, CNOR, clinical editor, with consultation from Susan Bakewell, RN, MS, BC, director, Center for Perioperative Education. Ms Holm and Ms Bakewell have no declared affiliations that could be perceived as potential conflicts of interest in publishing this article.This program meets criteria for CNOR and CRNFA recertification, as well as other continuing education requirements.AORN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.AORN is provider-approved by the California Board of Registered Nursing, Provider Number CEP 13019. Check with your state board of nursing for acceptance of this activity for relicensure.

PII: S0001-2092(08)00121-X

doi: 10.1016/j.aorn.2008.02.015

AORN Journal
Volume 88, Issue 1 , Pages 30-58 , July 2008