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Clin Colon Rectal Surg
DOI: 10.1055/s-0044-1786391
Review Article

Challenges and Strategies in Colorectal Surgery among Patients with Morbid Obesity

Shukri H.A. Dualeh
1   Division of General Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan
2   Institute for Healthcare Policy & Innovation, University of Michigan, Center for Healthcare Outcomes and Policy, Ann Arbor, Michigan
,
Ryan Howard
1   Division of General Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan
2   Institute for Healthcare Policy & Innovation, University of Michigan, Center for Healthcare Outcomes and Policy, Ann Arbor, Michigan
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Abstract

This chapter explores the interplay between morbid obesity and the challenges encountered in colorectal surgery. Understanding the unique considerations in preoperative and intraoperative management along with weight optimization tools such as bariatric surgery emerges as potential mitigators, demonstrating benefits in reducing colorectal cancer risk and improving perioperative outcomes. Furthermore, the pervasive stigma associated with morbid obesity further complicates patient care, emphasizing the need for empathetic and nuanced approaches. Recommendations for minimizing stigma involve recognizing obesity as a medical diagnosis, fostering respectful communication, and actively dispelling misconceptions. Colorectal surgeons are pivotal in navigating these complexities, ensuring comprehensive and tailored care for patients with morbid obesity.

Keywords

morbid obesity - colorectal surgery - bariatric surgery - stigma


Publication History

Article published online:
25 April 2024

© 2024. Thieme. All rights reserved.

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