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To the Editor: In their Commentary on the gaps in bariatric surgical research, Drs Courcoulas and Flum¹ emphasize the need for an improved multidisciplinary evidence base for safe surgical and nonsurgical obesity treatments that includes short-term and long-term outcome measures. Safe anesthetic perioperative management is an integral and critical part of successful bariatric surgical patient care, influencing these outcomes. Obesity-related physical and physiological changes and comorbid conditions often result in increased anesthetic and perioperative risk and pose a challenge to anesthesiologists. The impact of different anesthetic techniques and the expertise of their delivery need to be part of any future bariatric surgery research.

Increasing public concerns about bariatric surgery and the need to fill the evidence gap have prompted efforts in several states to improve the safety of patients undergoing weight loss surgery.^2-3 Such endeavors underscore the desire of the medical community and the public to better understand the determinants . . . [Full Text of this Article]

Roman Schumann, MD
rschumann@tufts-nemc.org
Department of Anesthesiology
Tufts-New England Medical Center
Boston, Mass

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