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The issues presented in this text have particular relevance in our obesogenic society. Over one-third of the adult population in the United States suffers from obesity, and it is now apparent that this epidemic is progressively becoming global in scale. Lifestyle modification, dietary programs, and medical therapies have an important role, however, alone they are not adequate for many patients.
Bariatric surgery has provided an effective alternative for achieving durable weight loss in many patients with morbid obesity, and there are currently several types of surgery being employed for weight loss and the treatment of obesity associated comorbid illness. It is estimated that over 200,000 bariatric procedures are performed annually in the United States. The most common are Roux-en-Y gastric bypass and sleeve gastrectomy among others. Each of these surgeries may also have important variations, and are in turn associated with unique gastrointestinal complications. Additionally, there are new medications and emerging endobariatric therapies that are gaining wide acceptance, and offering less invasive alternatives to this struggling population.
This textbook on obesity management and bariatric endoscopy is the work of a multidisciplinary group of international experts and is intended to serve as a comprehensive guide to the endoscopic management of patients with obesity. It is divided into three main sections: I. Obesity Overview and Medical Management; II. Traditional Bariatric Surgery and Endoscopic Management of Complications; and III. Endoscopic Bariatric Therapies. Epidemiology, pharmacological and surgical treatment of obesity, surgical anatomy, post-operative complications, endoscopic treatment of complications, and endoscopic bariatric therapies are covered in-depth. In addition to thoroughly revised chapters from the previous edition, the latest volume includes more than 10 new chapters.
Clinical gastroenterologists, gastroenterologists in training, and surgeons with a special interest in obesity management will find this book to be of practical importance.
Pages i-xv
Front Matter
Pages 1-1
Pages 3-13
Pages 15-22
Pages 23-40
Lifestyle Therapy: Diet and Exercise in the Management of Obesity
Pages 41-50
Pharmacologic Therapy of Obesity
Pages 51-55
Presurgical Gastrointestinal Evaluation in Bariatric Surgery
Pages 57-66
Pages 67-74
Front Matter
Pages 75-75
Surgical Management of Obesity: Surgical Procedures, Preoperative Evaluation, Patient Selection
Pages 77-92
Perioperative Management of the Bariatric Patient
Pages 93-110
Pages 111-118
Abdominal Pain Following Bariatric Surgery
Pages 119-129
Early GI Bleeding After Bariatric Surgery
Pages 131-136
Management of Leaks Following Gastric Bypass
Pages 137-150
Management of Chronic Gastrogastric Fistula in the Post-Bypass Patient
Pages 151-158
Pages 159-170
Management of Strictures in Bariatric Surgery
Pages 171-182
Accessing the Pancreatobiliary Limb and ERCP
Pages 183-192
Pages i-xv
Front Matter
Pages 1-1
Pages 3-13
Pages 15-22
Pages 23-40
Lifestyle Therapy: Diet and Exercise in the Management of Obesity
Pages 41-50
Pharmacologic Therapy of Obesity
Pages 51-55
Presurgical Gastrointestinal Evaluation in Bariatric Surgery
Pages 57-66
Pages 67-74
Front Matter
Pages 75-75
Surgical Management of Obesity: Surgical Procedures, Preoperative Evaluation, Patient Selection
Pages 77-92
Perioperative Management of the Bariatric Patient
Pages 93-110
Pages 111-118
Abdominal Pain Following Bariatric Surgery
Pages 119-129
Early GI Bleeding After Bariatric Surgery
Pages 131-136
Management of Leaks Following Gastric Bypass
Pages 137-150
Management of Chronic Gastrogastric Fistula in the Post-Bypass Patient
Pages 151-158
Pages 159-170
Management of Strictures in Bariatric Surgery
Pages 171-182
Accessing the Pancreatobiliary Limb and ERCP
Pages 183-192
Mucosal Resurfacing in the Management of Type II Diabetes
Pages 411-416
Pages 417-427
Other Devices Under Clinical or Preclinical Investigations
Pages 429-439
Pages 441-450
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