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Obesity is an epidemic - more than 40% of the United States population suffers from obesity and, as such, it has a high burden of weight-related conditions and diseases. Metabolic and bariatric surgery has proven to be the most effective and durable treatment of severe obesity. Technological advances including applications of laparoscopy, robotics and endoluminal techniques have rapidly advanced this field. Data and outcomes examining treatments have also improved and, as providers, we have a wide spectrum of therapeutic options to treat patients.
As techniques and outcomes change rapidly, access to a comprehensive yet focused resource regarding bariatric surgery is currently limited. The third edition of this manual is designed to present a comprehensive and state-of the-art approach to the current and future status of metabolic and bariatric surgery. Sections will address the evolution in specific treatments available to patients, initial evaluation, and selection of procedures for individual patients, the latest surgical and endoscopic techniques being employed to treat patients including data on outcomes, and future directions for therapy. In particular and unique amongst references, a major focus of this text will be on both the bariatric and metabolic bases of therapies and outcomes.
Pages i-xxii
Front Matter
Pages 1-1
Pages 3-9
Foundations of Bariatric Surgery
Pages 11-30
Pages 31-35
Bariatric Surgery Indications in the 2020s
Pages 37-44
Pages 45-58
Pages 59-72
Pages 73-94
The Role of the Obesity Medicine Physician in the Management of the Bariatric Patient
Pages 95-103
How to Create a Comprehensive Bariatric Center
Pages 105-112
MBSAQIP and the Value of Accreditation
Pages 113-121
Essentials: Preoperative Optimization for Bariatric Surgery
Pages 123-135
Postoperative Bariatric Care and Enhanced Recovery Pathways
Pages 137-148
Obesity as a Chronic Disease: The Need for Long-Term Follow-Up Postoperatively
Pages 149-152
Front Matter
Pages 153-153
Medically Supervised Weight Loss and Effects of Anti-Obesity Medications
Pages 155-175
A Precision Medicine Approach for Obesity Management
Pages 177-197
The Genetic and Microbial Influences in Obesity and Obesity Management
Pages 199-210
Pages 211-223
Index Endoscopic Bariatric and Metabolic Therapies
Pages 225-244
Adjustable Gastric Banding: Indications and Technique
Pages 245-251
Sleeve Gastrectomy: Indications and Technique
Pages 253-266
Roux-en-Y Gastric Bypass: Indications and Technique
Pages 267-288
Robotic Duodenal Switch and SADI-S: Technical Aspects
Pages 289-297
Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S): Indications and Techniques
Pages 299-307
One-Anastomosis Gastric Bypass Technique and Indications
Pages 309-321
Comparative Outcomes in Metabolic Surgery: Weight Loss
Pages 323-333
Comparative Outcomes in Metabolic Surgery: Diabetes and Cardiovascular Health
Pages 335-350
Front Matter
Pages 351-351
Adjustable Gastric Band Associated Complications
Pages 353-366
Pages 367-384
Postoperative Bleeding After Sleeve Gastrectomy
Pages 385-397
Staple Line and Anastomotic Leaks
Pages 399-412
Sleeve Stenosis, Torsion, and Delayed Emptying
Pages 413-420
Anastomotic Stenosis and Ulcers
Pages 421-432
Gastrointestinal Obstruction After Bariatric Surgery
Pages 433-447
Pages 449-476
Reflux After Bariatric Surgery: Incidence and Workup
Pages 477-499
Reflux After Bariatric Surgery: Management Options
Pages 501-508
Malnutrition: Incidence, Diagnosis, and Management
Pages 509-529
Front Matter
Pages 531-531
Weight Recurrence and Metabolic and Bariatric Surgery: Definition, Evaluation, and Implications
Pages 533-551
Endoscopic Management of Weight Regain Post-Bariatric Surgery
Pages 553-567
Revisions and Conversions After Adjustable Gastric Band
Pages 569-575
Weight Recurrence After Sleeve Gastrectomy
Pages 577-592
Revisions/Conversions from Roux-en-Y Gastric Bypass due to Weight Recurrence
Pages 593-602
Surgical Revisions After Endoscopic Primary Procedures
Pages 603-615
Pages 617-635
Front Matter
Pages 637-637
Concomitant Treatment of the Hiatus
Pages 639-650
Robotic-Assisted Metabolic and Bariatric Surgery
Pages 651-679
Bariatric Emergencies for the General Surgeon
Pages 681-696
Adolescents and Bariatric Surgery: Techniques and Outcomes
Pages 697-712
Pages 713-725
Bariatric Surgery in Patients with Inflammatory Bowel Disease
Pages 727-735
Bariatric Surgery as a Bridge Therapy
Pages 737-749
Pregnancy and Bariatric Surgery
Pages 751-759
Obesity-Related Cancer and the Impact of Metabolic Surgery
Pages 761-774
Pages 775-780
Pages 781-791
Ambulatory Metabolic/Bariatric Surgery
Pages 793-800
Biliary Considerations Before, During, and After Metabolic Surgery
Pages 801-807
Metabolic and Bariatric Surgery: Patient Perspective
Pages 809-816
Pages 817-823
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