Download or read book Is Health Related Quality of Life HRQoL and Body Mass Index BMI Improved After Roux en Y Gastric Bypass Surgery RYGB Along with Other Obesity Related Co morbidities in Indian Population written by Aditya Shivram Nar and published by . This book was released on 2016 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Psychosocial Assessment and Treatment of Bariatric Surgery Patients written by James Edward Mitchell and published by Routledge. This book was released on 2011 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this comprehensive resource the worldwide leaders of bariatric surgery treatment provide the most up-to-date information on the psychosocial issues that affect their patients, including physical activity and nutritional care after surgery, and the special issues present in treating adolescents.

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 Nutrition and Bariatric Surgery written by Robert F. Kushner and published by CRC Press. This book was released on 2014-08-21 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bariatric surgery has led to improved health outcomes including significant weight loss and reduction in co-morbidities among patients with obesity. Clinical practice guidelines recommend that patients considering bariatric surgery undergo a comprehensive nutritional assessment. Nutrition and Bariatric Surgery is the first comprehensive book that uniquely addresses the dietary and nutritional care of the bariatric surgery patient. This book reviews the nutritional and physiological changes imposed by surgical revision of the gastrointestinal tract. Also discussed are nutritional assessment of the bariatric surgical patient as well as pre- and postoperative dietary management recommendations. Other clinical topics covered include nutritional anemia, metabolic bone disease, neurological disorders, and protein–calorie malnutrition. Nutrition and Bariatric Surgery examines eating behaviors before and after bariatric surgery as well as psychological issues, mood disorders, and nutritional concerns associated with weight regain. The book also addresses nutritional needs of special populations undergoing bariatric surgery including adolescents, pregnant or lactating women, and severely obese ICU patients. The book is an authoritative guide for health care professionals caring for the bariatric patient including physicians, dietitians, physician assistants, nurses, and nurse practitioners.

Download or read book Appraisal of the Impact of Bariatric Surgery on Health Related Quality of Life and Work Productivity in Morbidly Obese Patients written by Nathalie Desrosiers and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Appraisal of the impact of Bariatric surgery on health related quality of life and work productivity in morbidly obese patients Background: In the last decades, morbid obesity has emerged as an increasingly prevalent chronic metabolic disorder affecting populations located in both developed and emerging countries. Obesity is associated with increased morbidity, disability and premature mortality. Given the impact of obesity on health status and its related economic burden, it is reasonable to anticipate that weight loss in obese patients will be associated with health and economic benefits. Bariatric surgery has emerged as a treatment of choice for this patient population. Significant reductions in mean percent excess weight loss and BMI percent change are observed as a consequence of Bariatric surgery. Several studies have established that obese individuals experience significant impairments in quality of life as a result of their condition. Health related quality of life (HRQoL) represents a particularly important and relevant outcome when assessing the overall impact of chronic conditions such as obesity. The data published as of date reports a significant correlation between excess weight loss and improvement in weight specific and physical aspects of HRQoL. However, trends toward decreases in HRQoL associated with weight regain between the first and sixth year post surgery have also been reported. The evidence relating to change in HRQoL in obese patients following Bariatric surgery for weight loss is currently either of relatively low quality or mainly focussed on evaluating the short-term impact of the intervention on HRQoL. Often overlooked but equally important is the relationship between obesity and its outcome on work productivity. Ample evidence underlining the correlation between obesity, increased work limitation and productivity loss may be found in the literature. The need for further evaluation of HRQoL and productivity loss outcomes over longer time horizons, following Bariatric surgery, has actually been identified as key areas of focus in this field of research, given the chronic nature of the disease and its considerable economic burden. Long-term outcomes data related to HRQoL and productivity loss following Bariatric surgery remains scarce in the Canadian setting. Objective: To describe the impact of Bariatric surgery on HRQoL and work productivity in patients with morbid obesity. Methodology: A cross-sectional survey measuring health related quality of life and work productivity outcomes, using the SF-36, the EQ-5D and the WLQ, for morbidly obese patients sampled from a population of patients being treated at the McGill University Health Centre (MUHC). Results: We observed Improvements in HRQoL and WLQ outcomes over the follow-up time period following Bariatric surgery and that, for all outcome measures. Conclusion: Following Bariatric surgery, patients may experience less physical disability and mental health issues and the perception of their health related quality of life state was reported to be significantly better than before the surgery. Per our findings, the initial positive impact of Bariatric surgery on HRQoL appeared to be sustained over time. Increases in physical disability, work limitations and decreases in patients' perception of their health status may be consequential to increments in BMI units and years of follow-up since the surgical intervention. Our findings further corroborated trends towards decreases in the occurrence of chronic comorbidities following Bariatric surgery." --

Download or read book Assessing Physical Activity and Sedentary Behaviour Long term Post Roux en Y Gastric Bypass Surgery written by Ryan Reid and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Over the past 30 years, the prevalence of obesity (BMI ≥ 30kg/m2) in Canada has increased 400 %. Even more concerning, the prevalence of Class III (BMI ≥ 40kg/m2) obesity has increased over 1000 % during the same period. Obesity is associated with type-2-diabetes, cardiovascular disease, depression, and musculoskeletal pain. These co-morbidities collectively cost the Canadian economy $ 4.3 billion per year in healthcare costs and lost productivity at work. Moreover, obesity results in mobility impairments including reduced stride length and slower walking cadence. For individuals living with extreme obesity and a related co-morbidity, bariatric surgery is the preferred treatment option. Bariatric surgery yields dramatic weight loss, resolution of most co-morbidities, reductions in pain, and improvements in physical functioning. Although these alterations are thought to yield more physical activity, to date, no changes in steps per day or sedentary time have been objectively measured from pre- to one-year post-surgery. After surgery, patients fail to meet established physical activity guidelines and begin to show small amounts of weight regain as early as two-years post-surgery.The first two manuscripts presented in this dissertation focused on evaluating the free-living movement patterns of individuals' long-term post-bariatric surgery (steps, sedentary time, and cadence), and determining if these patterns affect weight regain. It was found that patients do not step enough (6375 ± 2690 steps/day), are excessively sedentary (9.7 ± 2.3 hrs/day), and walk at significantly slower speeds on weekends compared to weekdays. As the built environment plays a role in physical activity and sedentary time on a population scale, it became important to assess if these constructs had the same effect on the bariatric population. Therefore, the third and fourth investigations evaluated the effect of neighbourhood walkability and employment status on physical activity, sedentary time, and weight regain respectively. These investigations proved that the built environment does not affect activity habits or obesity severity in the bariatric population. As substantial weight loss from surgery and aspects of the built environment have failed to promote physical activity and limit sedentary time, it is apparent that self-monitoring in this population is important. Therefore, the final investigation of this dissertation examined the validity of inexpensive, commercially available physical activity monitors against a research-grade accelerometer. This study showed that FitbitTM activity monitors are effective measurement tools for monitoring daily steps and time spent in light intensity activities. This confirmation allows bariatric surgeons to prescribe these activity monitors with confidence and can help patients self-monitor, meet established physical activity guidelines, and avoid weight regain post-surgery.This thesis was the first to objectively monitor physical activity and sedentary time long-term post-bariatric surgery. These studies filled important gaps in the literature related to the effects of the built and occupational environments on physical activity, sedentary habits, and weight regain post-surgery. Future studies should evaluate the effectiveness of interventions pre- and post-surgery designed to reduce and break up extended periods of sedentary time, while simultaneously promoting walking through light intensity activities. Interventions should employ the use of inexpensive commercially available activity monitors to improve self-monitoring, which can help individuals to meet established national activity guidelines." --

Download or read book Weight Loss Surgery After Age 50 written by Rita Laws, PH D and published by Independently Published. This book was released on 2021-10-09 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: This memoir of one woman's fifty-year struggle with super morbid obesity (BMI of 63) culminates in lasting improvement at age sixty-two after gastric bypass surgery. Funny and devastating, it chronicles her weight war through multiple weight loss attempts, diets, support groups, regaining pounds, co-morbidities, battles with health insurance companies, and an earlier stomach band surgery that was nearly fatal. Now at age sixty-five and 113 pounds lighter (BMI of 40) the author is living a healthier happier life with much more energy. All co-morbidities are better or much better, The Hunger Monster is under control because all of the lifelong questions about her obesity have been answered. With this knowledge she was able to create an effective fifteen-point strategy for keeping the weight off permanently without suffering, and for keeping critically important motivation at a constant high level. Since bariatric surgery is much less common in her age group, the author wants to share her experience with those who want to know more about the before, during, and after of various weight loss surgeries. Bariatric surgery can increase the length and quality of life. Since losing significant amounts of weight means a decreased need for sleep, you can gain hours in the day, too. Procedures like RYGB (gastric bypass) and sleeve gastrectomy can be for the geriatric population because there is no upper age limit for these procedures. If you are over fifty, it's not too late to consider consulting with a bariatric surgeon. The long-term effects of obesity create misery in the Golden Years. Suffering in silence, procrastinating, or ignoring the pain won't help. Looking for potential solutions and encouragement is the wiser course. The 67,000-word book includes before and after photographs plus weight and size conversion charts for international readers

Download or read book Bariatric Surgery Makes Obese Patients Healthier U2013 Analysis of the National Bariatric Surgery Registry written by Kamocka Anna and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: The National Bariatric Surgery Registry (NBSR) is the largest and most holistic bespoke database in the field in the UK. Objectives: This NBSR analysis examined the disease burden of the UK surgical bariatric population and the effects of obesity surgery up to 5 years post-operatively.Methods: NBSR entries between 2000 and 2015 were analysed retrospectively. Type of operation, demographic data, patientsu2019 weight, Body Mass Index (BMI), functional status, comorbidities and yearly changes in these baseline characteristics up to 5 years post-operatively were analysed. Results: 50,782 procedures were recorded in the NBSR over 15 years. The cohort consisted predominantly of middle age (mean 45u00b111years) female patients (78%) of Caucasian ethnic background with a mean BMI of 48u00b18kg/m2. 83% had at least one obesity-related comorbidity at baseline. The commonest operation was Roux-en-Y Gastric Bypass (RYGB) (51.4%). The peak weight loss of 30% (u00b112) was recorded 2 years postoperatively. Over 5 years of follow up, statistically significant reductions were observed in the rates of type 2 diabetes mellitus, hypertension, dyslipidaemia, sleep apnoea, asthma, functional impairment, arthritis and gastro-oesophageal reflux disease. Obesity surgery was particularly effective on functional impairment and diabetes with almost a doubling of patients able to climb 3 flights of stairs and halving of the patients with diabetes related hyperglycaemia compared to pre-operatively. Obesity surgery was safe with morbidity of 3.1% and mortality of 0.07%. Conclusion: Obesity surgery in the UK does not only cause weight loss, but also substantial improvements of obesity related comorbidities. Patients suffer less, become healthier and more functional.

Download or read book Bariatric Surgery and Its Impact on Long term 5 Years Health Related Quality of Life written by Shannon Driscoll and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Bariatric surgery results in significant weight loss in the majority of patients living with severe obesity (BMI≥35kg/m2). Improvement in Health Related Quality of Life (HRQoL) is an equally important patient reported outcome; however, there are few studies reporting the impact of bariatric surgery on long-term (≥5 years) HRQoL outcomes. The main aim of this thesis was two-fold: first to conduct a SR in order to assess the quality of evidence and effectiveness of bariatric surgery on HRQoL ≥ 5 years in patients ≥18 years compared to non-surgical control groups and second to conduct a meta-analysis (MA) of studies that have been deemed appropriate. PubMed, Cochrane Review, EmBase, CINANL, PsycInfo, obesity conference abstracts, and reference lists of published papers were searched. Keywords were bariatric surgery, obesity, and quality of life. Studies were included if (1) there was ≥5 years follow-up, (2) patients had class II or III obesity, (3) individuals completed a validated HRQoL survey, and (4) there was a nonsurgical comparison group with obesity. Two reviewers independently assessed each study. From the initial 1376 articles, 9 studies were included in the SR and 6 in the MA. Inconsistent results for long-term improvements in physical and mental health emerged from the SR. However, in contrast, the MA found significant improvements in these domains ≥5 years after bariatric surgery. These study findings provide evidence for a substantial and significant improvement in physical and mental health favoring the surgical group compared with controls spanning 5 to 25 years after surgery, an important finding for patients, clinicians and decisionmakers.

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 Roux en Y Gastric Bypass for Obesity and Type 2 Diabetes written by Richard Carrol and published by . This book was released on 2016 with total page 461 pages. Available in PDF, EPUB and Kindle. Book excerpt: The prevalence of obesity is increasing at a rapid rate internationally, paralleled with an increase in the number of people with type 2 diabetes. Whilst the cornerstone of management of both conditions is lifestyle change, dietary interventions tend to result in only minimal weightless which is frequently regained over the subsequent years. Medical therapies for weight loss are only moderately more effective, whilst those used in the management of diabetes control hyperglycaemia rather than addressing the underlying pathophysiology. Bariatric surgery has therefore emerged as an apparently effective technique for both conditions, particular when occurring in association. Whilst high quality short term follow up studies now support bariatric surgery as the most effective treatment option available, there is a lack of longer term outcome studies to support its durability and safety. In chapter 1 of this thesis, I provide a summary of the current view of the pathophysiology of both obesity and type 2 diabetes, along with a review of non-surgical and surgical interventions. Lastly, I provide an overview of the research exploring the mechanisms by which bariatric surgery may induce these effects. In this thesis I report findings from a long term follow up study involving 118 participants following Roux-en-Y Gastric bypass surgery. The mean duration of follow up was 10.2 years, with the mean body weight loss 29.6% (38.5kg) at last follow up. 28% of participants with type 2 diabetes prior to surgery remained with type 2 diabetes at follow up, whilst 72% had improved glucose tolerance. Significant reductions in blood pressure and lipid markers were observed, as well as a reduced likelihood of depression, gout, and sleep apnoea after surgery. Quality of life was better when compared against non-surgical BMI matched controls. Furthermore, I report that the variable definitions of both diabetes at baseline and glycaemic outcomes used in the bariatric literature, results in significantly different published outcomes, and is an impediment to comparative analysis. In addition, I report the findings of two studies exploring further the mechanisms underlying the effects of bariatric surgery on durable weight loss and glucose homeostasis. In the first study, I demonstrate that whilst the acute hormonal stress response to RYGB surgery is short lived, an ongoing inflammatory response, still evident six days after surgery, should be considered when assessing changes in glucose homeostasis within this period. In the second study, I begin a line of research exploring the association between altered gut peptide physiology after bariatric surgery and longer term weight outcomes. These mechanistic studies are performed to both optimise outcomes following RYGB surgery, and to better understand the pathophysiology of obesity and type 2 diabetes.

Download or read book Vertical Sleeve Gastrectomy written by Margaret A. Stefater and published by . This book was released on 2011 with total page 165 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bariatric surgery has emerged as a superior treatment for obesity because of its ability to produce potent, durable weight loss. Vertical sleeve gastrectomy (VSG) is one bariatric procedure that is gaining popularity as an obesity therapy. It is less invasive and as effective as other bariatric procedures including the Roux-en-Y gastric bypass (RYGB). Here, we perform VSG in rats and demonstrate dramatic, long-term weight loss in rats following surgery. This weight loss was a specific loss of fat mass. Initial weight loss was due to early postsurgical reductions in food intake and was maintained a lack of compensatory hyperphagia in response to the postoperative weight loss. Ingestive behavior after the surgery was characterized by smaller, more frequent meals than in sham-operated controls. Importantly, we demonstrated that VSG does not impair ability to overeat in response to additional weight loss but instead appears to reduce motivation to overeat. Energy expenditure was unaffected by VSG, substantiating the idea that changes to food intake are primary determinants of a newly defended, postsurgical body fat level. Because leptin resistance is a feature of obesity that often precludes the maintenance of diet-induced weight loss, we initially hypothesized that enhanced leptin sensitivity contributes to defended body weight after VSG. Food intake reduction following an exogenous dose of leptin was greater in VSG- than sham-operated rats. However, because the response after VSG was comparable to the anorexia elicited in pair-fed rats, we concluded that behavioral sensitization to leptin after surgery is secondary to weight loss and is unlikely to drive reduced motivation of VSG-operated rats to overeat. This conclusion is supported by the absence of changes in the expression of genes in the mediobasal hypothalamus that regulate activity of the melanocortin axis. Highlighting the power of VSG as a treatment not only for obesity but also for obesity-related comorbidities, we show that the procedure produces significant, weight-independent improvements to lipid homeostasis. This benefit is primarily a postprandial phenomenon. Our data indicate that lower postprandial plasma lipid levels are due to reduced intestinal triglyceride secretion in the absence of any changes to hepatic triglyceride production. We did not detect any changes to the expression of genes regulating lipid transport and/or triglyceride production in either the proximal intestine or the liver. We hypothesize that changes to intestinal biology following VSG are not due to permanent, transcriptional changes but, rather, to altered patterns of intestinal nutrient delivery after surgery. Meal patterns and/or gastric emptying might elicit these changes. We also report weight-related enhancement of plasma bile acid levels, leading us to propose that bile acids may mediate some weight-dependent metabolic benefits to weight loss following VSG and potentially other bariatric procedures. Together, these data provide exciting promise for the use of VSG as a metabolic surgery for obese populations. Although it is unclear what mechanism(s) may suppress hyperphagic behavior and thus lower defended body fat level after VSG, our data contribute significantly to the understanding of the cascade of metabolic changes elicited by VSG. Additionally, we provide the first evidence that VSG induces weight-independent changes to lipid homeostasis. Therefore, VSG is a procedure that holds the potential to treat not only obesity, but obesity-related comobidities which may include atherosclerosis and hyperlipidemia. Further understanding the mechanisms for these improvements, including the role of intestinal nutrient sensing, is an important area for future research.

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 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 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 Multidisciplinary Approach to Obesity written by Andrea Lenzi and published by Springer. This book was released on 2014-11-18 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes in detail the multidisciplinary management of obesity, providing readers with a thorough understanding of the rationale for a multidisciplinary approach and with the tools required to implement it effectively. The emphasis is on a translational approach, starting from basic concepts and fundamental mechanisms of the pathology and clinical morbidity. Experts in the field discuss the full range of relevant topics, including the significance of physical exercise, psychological issues, nutritional strategies, pharmacological options and bariatric surgery. Put another way, the book covers all aspects from the bench to the bedside. Physicians, scientists and postgraduate students will all find it to be invaluable in understanding the causes and optimal management of obesity, which has rapidly become a major public health problem.

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.