Which endocrine tests are included in the bariatric preoperative endocrine evaluation?

Which endocrine tests are included in the bariatric preoperative endocrine evaluation?

• A. Thyroid function only
• B. A1c, TSH, androgens, Cushings
• C. A1c, TSH, androgens only
• D. A1c, TSH, Cushings only

Answer: (B)

In bariatric preoperative endocrine evaluation, the goal is to screen for metabolic and hormonal conditions that can influence surgical risk, anesthesia, and weight-loss outcomes. The essential tests are A1c to assess diabetes status, TSH to detect thyroid dysfunction, androgens to evaluate for androgen excess such as PCOS, plus a workup for Cushing’s syndrome to rule out cortisol overproduction. This combination covers glucose metabolism, thyroid function, androgen-related disorders, and cortisol excess—each of which can significantly impact both perioperative risk and long-term weight management. The other options omit one of these important areas (for example, missing androgen excess or missing Cushing’s screening), making them less comprehensive for this setting.

In bariatric preoperative endocrine evaluation, the goal is to screen for metabolic and hormonal conditions that can influence surgical risk, anesthesia, and weight-loss outcomes. The essential tests are A1c to assess diabetes status, TSH to detect thyroid dysfunction, androgens to evaluate for androgen excess such as PCOS, plus a workup for Cushing’s syndrome to rule out cortisol overproduction. This combination covers glucose metabolism, thyroid function, androgen-related disorders, and cortisol excess—each of which can significantly impact both perioperative risk and long-term weight management. The other options omit one of these important areas (for example, missing androgen excess or missing Cushing’s screening), making them less comprehensive for this setting.