Publications by authors named "C Tewksbury"
Background: Psychiatric diagnoses are common among adults with severe obesity (body mass index [BMI] ≥40 kg/m) and may be associated with hypertension.
Objectives: To determine the association between lifetime and current psychiatric diagnoses, separately, with hypertension, uncontrolled blood pressure (BP), and systolic BP (SBP) among adults with severe obesity undergoing metabolic and bariatric surgery (MBS).
Setting: Academic medical center.
Article Synopsis
- The study investigates the impact of preoperative anticoagulation (AC) on perioperative outcomes in patients undergoing sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB).
- Analyzing data from the 2015-2021 MBSAQIP database, it was found that a small percentage of patients on AC experienced higher rates of complications such as anastomotic leaks and gastrointestinal bleeding compared to those not on AC.
- Overall, the findings suggest that patients on preoperative AC faced increased postoperative complications and longer hospital stays, emphasizing the need for careful management in these cases.
The improved efficacy and generally favorable safety profile of recently approved and emerging antiobesity medications (AOMs), which result in an average weight reduction of ≥15%, represent significant advancement in the treatment of obesity. This narrative review aims to provide practical evidence-based recommendations for nutritional assessment, management, and monitoring of patients treated with AOMs. Prior to treatment, clinicians can identify preexisting nutritional risk factors and counsel their patients on recommended intakes of protein, dietary fiber, micronutrients, and fluids.
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