{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T04:00:17Z","timestamp":1773720017254,"version":"3.50.1"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T00:00:00Z","timestamp":1716249600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T00:00:00Z","timestamp":1716249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Legalization of marijuana has led to increased prevalence of medical and recreational cannabis use, underscoring the importance for anesthesiologists, surgeons, and perioperative physicians to understand the effects of this drug in patient care. Bariatric surgical patients represent a unique target population to understand peri-operative cannabis use and its effects as these patients undergo an extensive preoperative psychological and nutritional evaluation. Standardized guidelines on cannabis use in bariatric surgery are lacking and many clinicians remain uncertain on how to handle cannabis use in the peri-operative period. Here, we summarize the data on cannabis use in bariatric patients, specifically exploring anesthetic considerations, weight loss, complications, mortality, and psychiatric outcomes. We propose a clinical pathway to assist clinicians with perioperative decision making in bariatric patients who use marijuana.<\/jats:p>","DOI":"10.1007\/s11695-024-07281-7","type":"journal-article","created":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T02:01:44Z","timestamp":1716256904000},"page":"2656-2662","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Perioperative Cannabis Use in Bariatric Patients: A Review of Outcomes and Proposed Clinical Pathway for Management"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9493-5995","authenticated-orcid":false,"given":"Meghan H.","family":"Maceyko","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Neff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Halevy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marguerite","family":"Dunham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,21]]},"reference":[{"key":"7281_CR1","unstructured":"American Society for Metabolic and Bariatric Surgery (ASMBS). Estimate of bariatric surgery numbers, 2011\u20132018. Published June 2018. Available at: https:\/\/asmbs.org\/resources\/estimate-of-bariatric-surgery-numbers. Accessed Apr 15 2020."},{"key":"7281_CR2","first-page":"2416","volume":"310","author":"AP Courcoulas","year":"2013","unstructured":"Courcoulas AP, Christian NJ, Belle SH, et al. Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity. JAMA. 2013;310:2416\u201325.","journal-title":"JAMA"},{"issue":"2","key":"7281_CR3","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1016\/j.soard.2019.10.025","volume":"16","author":"JI Mechanick","year":"2020","unstructured":"Mechanick JI, Apovian C, Brethauer S, et al. Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures - 2019 update: cosponsored by American Association of Clinical Endocrinologists\/American College of Endocrinology, The Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists. Surg Obes Relat Dis. 2020;16(2):175\u2013247. https:\/\/doi.org\/10.1016\/j.soard.2019.10.025.","journal-title":"Surg Obes Relat Dis"},{"key":"7281_CR4","unstructured":"U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2018). National survey on drug use and health 2016 (NSDUH-2016-DS0001). Retrieved from https:\/\/datafiles.samhsa.gov\/."},{"key":"7281_CR5","doi-asserted-by":"publisher","unstructured":"King WC, Chen J, Courcoulas A, et al. Alcohol and other substance use after bariatric surgery: prospective evidence from a U.S. multicenter cohort study.\u00a0Surgery for obesity and related diseases. 2017;13(8):1392\u20131402.\u00a0https:\/\/www.clinicalkey.es\/playcontent\/1-s2.0-S1550728917301521. https:\/\/doi.org\/10.1016\/j.soard.2017.03.021.","DOI":"10.1016\/j.soard.2017.03.021"},{"key":"7281_CR6","doi-asserted-by":"publisher","unstructured":"Goetze RE, Clark MM, Rakocevic DB, et al. Cannabis use and bariatric surgery psychology practice: survey and insights. Surg Obe Relat Dis. 2021;17(4):701\u201310. https:\/\/doi.org\/10.1016\/j.soard.2020.12.004.doi:10.1016\/j.soard.2020.12.004\n.","DOI":"10.1016\/j.soard.2020.12.004.doi:10.1016\/j.soard.2020.12.004"},{"issue":"3","key":"7281_CR7","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1136\/rapm-2022-104013","volume":"48","author":"S Shah","year":"2023","unstructured":"Shah S, Schwenk ES, Sondekoppam RV, et al. ASRA pain medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids. Reg Anesth Pain Med. 2023;48(3):97. https:\/\/doi.org\/10.1136\/rapm-2022-104013.","journal-title":"Reg Anesth Pain Med"},{"key":"7281_CR8","doi-asserted-by":"publisher","unstructured":"American Psychiatric Association. (2013).\u00a0Diagnostic and statistical manual of mental disorders\u00a0(5th ed.). https:\/\/doi.org\/10.1176\/appi.books.9780890425596","DOI":"10.1176\/appi.books.9780890425596"},{"key":"7281_CR9","doi-asserted-by":"publisher","unstructured":"Pertwee RG.\u00a0Cannabinoids.\u00a0; 2005:1\u201351. https:\/\/doi.org\/10.1007\/3-540-26573-2_1.","DOI":"10.1007\/3-540-26573-2_1"},{"key":"7281_CR10","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1097\/ALN.0000000000003067","volume":"132","author":"A Goel","year":"2020","unstructured":"Goel A, McGuinness B, Jivraj NK, et al. 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