Download or read book FIFTEEN YEARS AFTER LAPAROSCOPIC ROUX EN Y GASTRIC BYPASS RESULTS COMPLICATIONS AND RESOLUTION OF COMORBIDITIES written by luca feraro and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and aims: RYGB has gained its success as a gold standard treatment for morbid obesity over the last 50 years due to its excellent results in term of weight loss and resolution of comorbidities. The aim of this article is to report the results of 15 years follow-up after Laparoscopic Roux-en-Y Gastric Bypass (RYGB).Methods: This retrospective review included a prospectively maintained database of 110 patients underwent RYGB, performed with Orvil Technique by a single surgeon, between February 2000 and December 2003. Retrospective data analysis on weight loss, long-term complications, quality of life (QOL), and comorbidities are reported.Results: A total of 110 patients underwent RYGB, 104 primary and 6 revisional procedures. The follow-up rate was 85.37%, 84.43, 84.11% while the mean excess weight loss (EWL%) was 69.34%, 61.21%, 59,93% at 5, 10, 15 years, respectively. Failure to achieve an EWL% of > 50% was of 33.7%. Outcomes were better in patients with an initial BMI

Download or read book Obesity Bariatric and Metabolic Surgery written by Sanjay Agrawal and published by Springer. This book was released on 2015-09-04 with total page 708 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by leading experts from all across the globe, this comprehensive yet concise textbook offers up-to-date summary in the field of Obesity and its Surgical Management for a wide range of healthcare professionals involved within a Bariatric Multidisciplinary Team including Surgeons, Dieticians, Metabolic Physicians, Anaesthesiologists, Psychologists, Psychiatrists, Radiologists and Nursing staff. The book also serves as a reference manual for General Physicians, General Surgeons & General Practitioners.

Download or read book Laparoscopic Sleeve Gastrectomy written by Salman Al-Sabah and published by Springer Nature. This book was released on 2021-01-04 with total page 674 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a complete guide to laparoscopic sleeve gastrectomy and the management of obesity. The chapters discuss guidelines for healthcare providers for the management of patients with obesity, the rationale behind choosing patients, performing the procedure in line with the patient’s condition, the perioperative period, postoperative requirements, and postoperative complications. This book aims to give readers an understanding of the surgical techniques involved in laparoscopic sleeve gastrectomy and the wider treatment options available. It is relevant to bariatric, metabolic, and general surgeons, physicians, clinical nutritionists as well as students.

Download or read book Essentials of Mini One Anastomosis Gastric Bypass written by Mervyn Deitel and published by Springer. This book was released on 2018-05-15 with total page 371 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book indicates the technique and fine points of the mini- and one-anastomosis gastric bypass, and looks at the means of revising other operations related to it. The chapters discuss postoperative complications, treatment and requirements, postoperative diet and medications, the remarkable effects on the co-morbidities of morbid obesity, and the durability of the weight loss, as well as the improvement in the quality of life. Essentials of Mini ‒ One Anastomosis Gastric Bypass aims to help surgeons manage the difficulties encountered within this procedure and to help create improved practice.

Download or read book Minimally Invasive Bariatric Surgery written by Stacy A. Brethauer and published by Springer. This book was released on 2015-03-03 with total page 535 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of Minimally Invasive Bariatric Surgery provides a comprehensive, state-of-the art review of this field, and it serves as a valuable resource for clinicians, surgeons and researchers with an interest in minimally invasive bariatric surgery. Additionally, the second edition includes new features that will benefit the resident, fellow, or bariatric surgeon new to the field. Specifically, each evidence-based chapter (i.e. outcomes, complications, epidemiology, etc) concludes with three or four exam questions that emphasize the salient points of the chapter and provide fellowship programs a valuable training tool and resource for their academic curriculum. These questions are either single-answer multiple choice or true/false format and the correct response with a brief explanation follows. As more emphasis is placed on completing a comprehensive curriculum and obtaining certification for bariatric training, this aspect of the book is unique and provides added value to the text. The new edition also incorporates many new or updated medical illustrations to enhance the technique chapters and provide more uniformity for the artwork throughout the book. Each of the major procedures include surgical technique, outcomes, and management of complications in separate chapters to provide an easy reference for the busy clinician preparing for a case or presentation. Another unique feature of the text is a link to video files hosted online for the relevant chapters. This video library will be of great value to the user. As the number of fellowships in laparoscopic bariatric surgery continues to increase, this updated text will provide a valuable resource for general and bariatric surgeons, laparoscopic surgeons, fellows, residents, medical students, obesity researchers, and industry representatives involved in this field.

Download or read book The Perfect Sleeve Gastrectomy written by Michel Gagner and published by Springer Nature. This book was released on 2020-05-06 with total page 501 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sleeve gastrectomy (SG) is the most common bariatric procedure performed worldwide, more than 55% of bariatric procedures are sleeve gastrectomies. This title will be comprehensive and detail all the approaches used in performing sleeve gastrectomy, offering readers all the tools needed to perform the perfect SG. Obesity has become a major global problem that continues to spread in both developed and developing countries. It costs more than any other health problem due to its prevalence and its many costly complications such diabetes and heart disease as well as in disability and loss of productivity. While prevention of obesity is the best approach for the future, the current problem lies with managing those who are already obese or morbidly obese who constitute close to two thirds of the population in many countries such as the US. Diet, exercise, and behavioral change are the mainstays for any meaningful attempt for significant and durable weight loss. Unfortunately, for those who are morbidly obese, these measures alone almost consistently fail to achieve acceptable weight loss in the long term. Today, bariatric surgery is the only evidence-based treatment for morbid obesity with a low complication rate and acceptable results in the long-term for both weight loss and resolution of comorbidities. Despite the data, the acceptance of these operations was limited due to fear of what was perceived as major surgery. Today, applying minimally invasive technology to these complex operations made them more acceptable to patients due to decreased pain, faster recovery and fewer overall complications. This, in addition to improved outcomes as we went further along the learning curve, has made these operations more common and helped growing the field to be an independent specialty for surgeons and perhaps a new specialty for gastroenterologist. In these exciting times, the 5 international editors (one of them, Michel Gagner, is the creator of the SG) wanted to capture the global standards of practice at a time of change, excitement, and lots of controversy, regarding this common procedure. We an aim to shed light on best practices across the borders, the intention of this volume is to develop a reliable reference to guide the practicing physician anywhere in the world, and from whatever specialty (surgeon, gastroenterologist or endoscopist) to navigate through the many current options of therapy in this rapidly changing field. We also aim to provide high quality illustrations and high-definition videos of these techniques to go with the didactic chapters written by thought leaders. In this book we will focus first on the clinical problems of the patients and the indications for the sleeve. Regarding the technical aspects, we will describe the technique step-by-step (including videos) and also we will detail the staplers, its size and different colors -- and the different sizes of the bougies, and also special description of the reinforcement of the sutures after the sleeve. We know that mainly the SG has a restrictive function, but we will also describe the metabolic effects of this surgery. Then we will describe the nontraditional SG techniques, such as the endoscopic approach, staples sleeve and robotic technologies. Bariatric surgery has very few rates of complications, but when complications happen, they are severe. Thus we will describe how to identify them immediately and also the different approaches to treat them by endoscopy, laparoscopy and percutaneous image guided surgery. A chapter will also cover revisional surgery and the different revisional procedures, not only from sleeve to other procedures but also from other procedures to SG. For the last section,we will include the lessons learned from almost 20 years now since the SG was first described, providing an overview on how we imagine the future will be for the most common bariatric procedure performed worldwide. This title will be an ideal reference for general surgeons, bariatric surgeons, endoscopists and gastroenterologists with interest in obesity management as well as researchers with interest in obesity. Residents and fellows training in general and bariatric surgery as well as in endoscopy. Dietitians, diabetes specialist, psychotherapists with interest in obesity management as well as hospital administrators and quality officers in hospitals with bariatric practices will also benefit by this book.

Download or read book Bariatric and Metabolic Surgery written by Seung Ho Choi and published by Springer Science & Business Media. This book was released on 2014-02-21 with total page 113 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bariatric and Metabolic Surgery is recognized to be an important and effective option for the treatment of severe obesity and the various associated conditions and diseases. This book presents state of the art knowledge on such surgery with the aim of facilitating the sharing and exchange of knowledge, documenting effective techniques, and enhancing safety and outcomes. All technical aspects are covered in detail, and the text is complemented by many helpful illustrations. A further key feature is the provision of accompanying surgical videos, which will be of value to both novice and experienced surgeons. This textbook will be a great asset in clinical practice for all who are involved or interested in bariatric and metabolic surgery.

Download or read book ROUX EN Y GASTRIC BYPASS SURGERY DURING MENOPAUSE written by Ryan Patrick Majcher and published by . This book was released on 2014 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: As obesity rates rise, new methods to provide substantial weight loss have become crucial to the healthcare industry. Bariatric surgery has proven to be the most effective treatment for obesity, and the Roux-en-Y Gastric Bypass operation has not only enabled many to lose excess weight, but also has resulted in the resolution of comorbid conditions. To date, research on the effectiveness of the RYGB surgery in postmenopausal women is minimal. Objective: This study was completed to compare excess body weight lost and metabolic syndrome resolution in pre- and postmenopausal Roux-en-Y Gastric Bypass surgery patients, preoperatively to one year postoperatively. Methods: A retrospective chart review was completed for 42 premenopausal and 36 postmenopausal RYGB surgery patients at Wood County Hospital in Bowling Green, Ohio. Surgeries took place between September 2008 and May 2012. Weight data was collected preoperatively, and at 2 week, 2 month, 6 month, and 1 year follow up appointments. To determine diagnosis of metabolic syndrome, preoperative, 6 month, and 1 year data was utilized. Results: At 1 year, percent excess body weight lost was 68.79% for the premenopausal group and 59.44% for the postmenopausal group, which was significant, t(73)= 2.61, p=0.011. To compare the effect time on percent excess body weight lost for those with data at all follow up appointments, a repeated measures analysis of variation was done, which showed a difference between groups as time elapsed, with significance at 1 year F(3,195)=4.71, p=0.0182. Excess percent body weight lost was greater than 50% in 64 of 78 individuals at 1 year. Significance between pre- and postmenopausal groups was also found for preoperative (X2 (1, n=76) p=0.0307) and midway glucose (X2 (1, n=76) p=0.0047), as well as midway (X2 (1, n=69) p=0.0024) and 1 year blood pressure (X2 (1, n=74) p=0.0089). Preoperatively, metabolic syndrome diagnosis was 54 of 78 (22 premenopausal and 32 postmenopausal), midway 37 of 78 (13 premenopausal and 24 postmenopausal), and 17 of 78 (7 premenopausal and 10 postmenopausal) at 1 year. Conclusion: In this retrospective chart review, premenopausal surgery patients lost a significantly greater amount percent excess body weight at 1 year, when compared to the postmenopausal group. Metabolic syndrome incidence was also less in the premenopausal group preoperatively, midway and at 1 year. This study shows that the Roux-en-Y bariatric surgery was able to provide weight loss and resolution of metabolic syndrome in both pre- and postmenopausal women, however postmenopausal women saw less success overall. In the future, a change in bariatric surgery inclusion criteria for those women in the perimenopausal period to include those at a lower BMI may be helpful to more quickly address issues with weight allowing for greater success in the postoperative time period after bariatric surgery.

Download or read book Prevention and Management of Complications in Bariatric Surgery written by Tomasz G. Rogula and published by Oxford University Press. This book was released on 2018-04-25 with total page 425 pages. Available in PDF, EPUB and Kindle. Book excerpt: As bariatric procedures become more commonplace, the safety and quality of bariatric surgery continues to rise. Risk factors remain inconsistent from hospital to hospital and procedure to procedure, however, highlighting the necessity for comprehensive education on the prevention and management of their resulting complications. In response to this need, Prevention and Management of Complications in Bariatric Surgery is the first book to compile the most up-to-date prevention and management strategies in this field. Edited by leading experts, it provides sound recommendations for collecting, monitoring, and analyzing outcomes, with an emphasis on quality and process improvement. Its scope is tremendously comprehensive, covering everything from common complications, such as leaks, bleeding, wound infections, and venous thromboembolism; to rare-but-deadly complications, such as Wernicke's encephalopathy and rhabdomyolsis as well as the emergency management of various life-threatening complications, including internal hernia, gastric nectrosis from banding, pulmonary embolus, and bleeding. Readers also learn about early-day, late-day, and intraoperative complications, for which the authors provide evidence-based recommendations for swift and accurate diagnosis, preventive strategies, and best practices in medical and surgical management. Comprehensive and accessible, this book is a valuable resource for bariatric surgeons and surgical trainees, physicians, and nurses who participate in the perioperative care of the bariatric patient.

Download or read book Gastric Bypass written by João Ettinger and published by Springer Nature. This book was released on 2020-03-11 with total page 477 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents and describes the various uses of gastric bypass in bariatric and metabolic surgery and outlines the different techniques currently available. Furthermore, the possible complications with the procedure and ways to avoid them are also discussed. The use of the gastric bypass for the treatment of diabetes is emphasized and the new indications for the operative treatment of diabetes are featured in detail. Endoscopic uses concerning the gastric bypass are also addressed, covering preoperative evaluation, complications treatment, weight regain treatment and endoscopic treatment of obesity. The most advanced techniques and new technologies available for performing gastric bypass surgeries are presented in the most didactic possible way, making use of value-added learning features throughout the text.Gastric Bypass - Bariatric and Metabolic Surgery Perspectives is intended as a practical guide for all those interested and involved with bariatric surgery, including general surgeons, bariatric surgeons, GI surgeons and surgery residents.

Download or read book Bariatric Surgery Complications and Emergencies written by Daniel M. Herron and published by Springer. This book was released on 2016-03-08 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a concise, focused and clinically relevant summary of complications and emergencies related to bariatric surgery. The first section of the text addresses general complications related to anesthesia and the stress of surgery, including issues such as deep vein thrombosis, pulmonary embolism, hemorrhage, pneumonia and cardiac complications. Additionally, this section addresses the workup of the bariatric patient with abdominal pain. The second portion of the text focuses on gastric bypass and sleeve-specific complications, including staple line and anastomotic leaks, internal hernia, marginal ulceration, GI obstruction, hernia formation and gallstone disease. The third portion of the book examines metabolic, nutritional and psychological complications after bariatric surgery. The text also covers management of weight loss failure. Bariatric Surgery Complications and Emergencies serves as a very useful resource for physicians and surgeons who are involved in any parts of evaluation or management of bariatric patients suffering from postoperative complications or emergencies including bariatric surgeons who perform these operations on a regular basis, non-bariatric general surgeons who cover such patients when on-call, surgical trainees, and primary care physicians.

Download or read book The ASMBS Textbook of Bariatric Surgery written by Ninh T. Nguyen and published by Springer. This book was released on 2014-09-17 with total page 498 pages. Available in PDF, EPUB and Kindle. Book excerpt: Developed by the American Society for Metabolic and Bariatric Surgery (ASMBS), The ASMBS Textbook of Bariatric Surgery provides a comprehensive guide of information dealing with the ever evolving field of bariatric surgery. Volume 1: Bariatric Surgery covers the basic considerations for bariatric surgery, the currently accepted procedures, outcomes of bariatric surgery including long-term weight loss, improvement and resolution of comorbidities and improvement in quality of life. A section focuses on revisional bariatric surgery and new innovative endoscopic bariatric procedures. Other special emphasis given to the topics of metabolic surgery and surgery for patients with lower BMI (30-35). Volume II: Integrated Health is divided into 3 sections: bariatric medicine, psychosocial and nutritional aspects of bariatric surgery. The first section deals with the psychosocial issues associated with morbid obesity. The second section deals with the role of bariatric physicians in preoperative and postoperative support of the bariatric patients. The nutritional section discusses the preoperative and postoperative nutritional support for the bariatric patient. The ASMBS Textbook of Bariatric Surgery will be of great value to surgeons, residents and fellows, bariatric physicians, psychologists, psychiatrists and integrated health members that manage the morbidly obese.

Download or read book Surgical Management of Obesity written by Henry Buchwald and published by Elsevier Health Sciences. This book was released on 2007 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leaders in the field present today's most comprehensive coverage of bariatric surgery, one of the most promising current treatments for the growing global epidemic of overweight and obesity. This brand new resource begins with a through examination of the history, incidence, demography, etiology, biology, comorbidities, longevity, and social and economic implications of obesity. It then discusses pre-, peri-, and postoperative issues of importance before examining the evolution of bariatric procedures. Individual chapters present the best surgical approaches, their outcomes, and other considerations involved in this surgical approach. Presents a comprehensive overview of the entire field of bariatric surgery, as well as a broad discussion of critical non-operative topics. Discusses the evolution of bariatric procedures, followed by individual chapters that examine laparoscopic adjustable gastric banding, vertical banded gastroplasty, the banded gastric bypass, and other surgical approaches. Reviews the outcomes of bariatric surgery with respect to nutrition, diabetes, hypertension, sleep apnea, orthopedic conditions, and metabolism. Offers guidance on practical and academic training of the bariatric surgeon, patient support groups, the importance of the multidisciplinary team, managed care, allied health, laparoscopic suites and robotics, liability issues, and more. Includes dietary, drug management, and other alternative non-operative approaches. Addresses the growing incidence of childhood obesity with a chapter focusing on adolescent bariatric surgery patients. With 91 additional contributing experts.

Download or read book Complications in Bariatric Surgery written by Diego Camacho and published by Springer. This book was released on 2018-04-26 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text focuses on the complications following bariatric surgery. The focus is on the immediate and long term complications that would be important to both the general surgeon and those surgeons with specialty experience in bariatric surgery. Sections address the nutritional deficiencies following bariatric surgery with specific attention to Roux en Y gastric bypass and pancreatico-biliary diversion as well as the correction of these deficiencies with medical intervention as well as the indications for surgical revision or reversal. The text reviews the work-up of a bariatric patient with abdominal pain including the appropriate imaging and threshold for operative intervention and the techniques to achieve optimal visualization during this difficult situation. This section focuses on the operative management of anastomotic and staple line leaks and how to definitively manage these surgical emergencies as well as achieve source control and stabilization. Later chapters focus on specific complications following bariatric surgery with specific focus on RYGB, vertical sleeve gastrectomy (VSG), biliary pancreatic diversion, and gastric band. Complications include gastric fistula, gastric staple line disruption following VSG, gastro-jejunal leak following RYGB, relux following bariatric surgery, and failure of weight loss following bariatric surgery. These sections are written by experts in the field of bariatrics and include evidence based medicine as well as expert opinion on the management of bariatric complications. The sections provide a review of the literature and references at the close of each section. Complications in Bariatric Surgery will serve as a resource for both the general surgeon who handles bariatric emergencies as well as the bariatric specialist.

Download or read book Global Bariatric Surgery written by Rami Lutfi and published by Springer. This book was released on 2018-09-07 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text captures the global standards of bariatric surgery practice at a time of change, excitement, and lots of controversy. The text sheds the light on best practices globally by providing a reliable reference to guide the practicing physician anywhere in the world, and from whatever specialty (surgeon, gastroenterologist or endoscopist) to navigate through the many current options of therapy in this rapidly changing field. The text provides high definition illustrations of these techniques to go with the didactic chapters written by the thought leaders in the field. In addition to the technical part, an important part of the book focuses on quality and outcome measures. The rapid growth and innovations impose the need for strict guidelines and quality control. Thought leaders who created the concept of “Centers of Excellence” shed light on outcome measures and different ways to monitor quality. This will appeal to administrators and different ancillary service providers. The medical section plays a major role as combination therapy seems to be the future. An entire section is dedicated to medical weight management with discussions of the dietary and psychological component of care. The text also provides a dedicated discussion of the metabolic aspect of bariatric surgery, cosmetic surgery and issues of training future surgeons. Thease features differentiate the book from others that only discuss the surgical component, and will broaden the level of interest to all who are involved in the management of this complex disease.

Download or read book Gastrointestinal Consequences of Bariatric Surgery written by Thomas Boerlage and published by . This book was released on 2018 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Gut Hormones written by Stephen Robert Bloom and published by . This book was released on 1981 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: