N - CARDIOMETABOLIC






Consider bariatric surgery as a last resort for individuals with morbid obesity and SCI due to the significant peri- and postoperative risks. If bariatric surgery is considered, an SCI clinician should provide preoperative, perioperative, and postoperative consultative services to the surgical and anesthesia teams to alert them to unique risks associated with SCI. In individuals with morbid obesity in SCI who have failed available options for weight loss, refer to a bariatric program to assess alternate treatments and appropriateness for surgery. (Adapted from NASH 2018, p.414; Level C)