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Author Hakim, Nadey S
Title Bariatric Surgery
Imprint Singapore : World Scientific Publishing Company, 2011
book jacket
Descript 1 online resource (415 pages)
text txt rdacontent
computer c rdamedia
online resource cr rdacarrier
Note Intro -- Contents -- Foreword (by Michael G. Sarr, Mayo Clinic, USA) -- Chapter 1 Indications for Bariatric Surgery and Selecting the Appropriate Procedure John B. Dixon -- Indications for Bariatric Surgery -- When is surgery an option for a patient? When should it be recommended as best care? -- Age -- Ethnicity -- Co-morbidity -- Bariatric surgery recommended or indicated as 'best care' -- Bariatric surgery as an option for therapy -- Selection of the procedure -- References -- Chapter 2 Anaesthesia in Bariatric Surgery Ernesto Pizzirani and Giuseppe Calcarella -- Definitions -- Epidemiology -- Pathophysiologic Aspects Connected to Obesity -- Metabolic alterations -- Respiratory disorders -- Cardiovascular disorders -- Gastroenteric disorders -- Endocrine disorders -- Pharmacologic Considerations -- Liposoluble drugs -- Hydrosoluble drugs -- Anaesthetic drugs -- Thiopental -- Benzodiazepines -- Propofol -- Depolarizing muscle relaxants -- Pancuronium bromide -- Vecuronium -- Atracurium -- Nitrous oxide -- Volatile agents -- Local anaesthetics and opiates -- Evaluating the Patient Before Anaesthesia -- Pre-operative visit -- Cardiovascular evaluation -- Respiratory apparatus evaluation -- Haematochemical evaluation -- Pre-medication -- Intubation -- Positioning in the operating theatre -- Monitoring -- General Anaesthesia -- Loco-Regional Anaesthesia -- Post-Operative Treatment -- Conclusions -- References -- Chapter 3 Intragastric Balloon (BIB®) in the Management of Morbid Obesity Disease Alfredo Genco, Roberta Maselli and Nicola Basso -- Introduction -- BIB®: Characteristics and differences compared with the 1980s bubbles -- How it works -- Indications -- Contraindications -- Work up -- Placement and removal technique -- Post-placement pharmacological treatment -- Post-placement diet -- Follow-up -- Results -- Secondary post-placement effects
Weight loss -- Long-term results -- Effects of the weight loss on associated diseases -- BIB® and surgery -- pre-operative strategy -- sequential treatment -- Multiple treatment: What it is, why and when it is appropriate -- Complications -- Minor complications -- Major complications -- Discussion and Conclusion -- References -- Chapter 4 Laparoscopic Adjustable Gastric Banding Gianni Segato, Nadey Hakim, Maurizio De Luca and Franco Favretti -- Introduction -- Indications and Contraindications -- Preparation for Surgery -- Surgical Instruments -- Patient and Surgical Team Positioning -- Procedural Steps -- Perigastric technique -- Insufflation -- Trocar and instruments positioning -- Reference points -- Lesser curvature dissection-perigastric technique -- Retrogastric dissection -- Gastrophrenic ligament dissection -- Retrogastric tunnel -- Introduction and positioning of the Lap-Band® gastric bandage -- Band locking -- Stabilization sutures -- Port positioning -- Bandage adjustment -- Pars flaccida approach -- Mixed technique -- References -- Suggested Reading -- Chapter 5 Long-Term Results in Laparoscopic Adjustable Gastric Banding (LAP-BAND®) for Obese Patients Maurizio De Luca, Luca Busetto, Gianni Segato, Nadey S. Hakim and Franco Favretti -- Introduction -- Laparoscopic Technique -- Perigastric dissection -- Pars flaccida dissection -- Pars flaccida to perigastric dissection -- Role of the Balloon -- Lap-Band® Series at Vicenza Regional Hospital, Padua -- Methods -- Results -- Discussion -- Life Expectancy Study -- Conclusion -- References -- Chapter 6 Laparoscopic Adjustable Gastric Banding (LAP-BAND®): Diagnosis, Prevention and Treatment of Complications Maurizio De Luca, Luca Busetto, Gianni Segato, Nadey S. Hakim and Franco Favretti -- Introduction -- Lap-Band® Series at Vicenza Regional Hospital, Padua -- Complications
Gastric perforation -- Stomach slippage -- Stoma obstruction -- Oesophageal and gastric pouch dilatation -- Erosion -- Gastric necrosis -- Tubing/access port problems -- Lack of compliance/unsatisfactory results -- Results -- Conclusions -- References -- Chapter 7 Roux-en-Y Gastric Bypass Bruno Dillemans and Sebastiaan Van Cauwenberge -- Introduction -- Background and history of gastric bypass surgery -- Physiology of the Roux-en-Y Gastric Bypass -- Preoperative Evaluation -- Nutritional evaluation -- Medical Evaluation -- Psychological Evaluation -- Technical Aspects of the Laparoscopic RYGB Procedure -- Construction of the gastrojejunostomy -- Antecolic versus retrocolic placement of the alimentary limb -- Length of the alimentary limb -- Construction and closure of the jejuno-jejunostomy -- Closure versus non-closure of the mesenteric defects -- Operative Technique of the Fully Stapled Laparoscopic Roux-en-Y Gastric Bypass -- Patient positioning and trocar placement -- Creation of the gastric pouch -- Creation of the gastro-jejunostomy -- Creation of the jejuno-jejunostomy -- Testing of the gastro-jejunostomy -- Complications of Roux-en-Y Gastric Bypass -- Mortality -- Anastomotic leaks -- Aetiology of leakage -- Management of leakage -- Pulmonary embolus -- Bleeding -- Gastric remnant distension -- Wound infection -- Stomal stenosis -- Marginal ulcers -- Cholelithiasis -- Ventral incisional hernia -- Internal hernias -- Side Effects of Roux-en-Y Gastric Bypass -- Postoperative hypoglycaemia -- Dumping -- Nutritional deficiencies -- Secondary hyperparathyroidism -- Weight Evolution After RYGB -- Weight loss after RYGB -- Insufficient weight loss or weight regain after RYGB -- Resolution of co-morbidities after RYGB -- Health-related quality of life -- Long-term mortality after RYGB -- Conclusion -- Acknowledgements -- References
Chapter 8 New Technologies in Bariatric Surgery Matthias Lannoo and Andre D'Hoore -- Introduction -- Sleeve Gastrectomy -- Introduction -- History -- Definition -- Technique -- Results -- Weight loss -- Co-morbidities -- Complications -- Mechanisms of action -- Diabetes -- Indications -- SG as part of a two-step approach in super-obese patient (BMI > 55) -- SG as a primary bariatric operation -- SG is the best option in certain specific clinical situations -- New Minimally Invasive Techniques in Bariatric Surgery -- Natural orifice transluminal endoscopic surgery -- Single incision laparoscopic surgery -- References -- Chapter 9 Imaging of Complications After Bariatric Surgery Jose C. Varghese and Shuvro H. Roy-Choudhury -- Introduction -- Laparoscopic Adjustable Gastric Banding -- Early post-operative evaluation -- Early postoperative complications -- Port access and stomal adjustment -- Diagnosis of postoperative complications -- Gastric complications -- Band complications -- Balloon complications -- Connecting tube and port complications -- Miscellaneous -- Roux-en-Y Gastric Bypass (RYGB) -- Early postoperative complications -- Anastomotic obstruction -- Haemorrhage -- Late postoperative complications -- Staple line dehiscence -- Bowel obstruction -- Adhesions -- Anastomotic stricture -- Internal herniation -- Intussusception -- Miscellaneous -- Summary -- References -- Chapter 10 Sequential Treatment of Obesity Maurizio De Luca, Luca Busetto, Gianni Segato and Franco Favretti -- Introduction -- Classification of Bariatric Operation -- Effectiveness/Invasiveness of Various Operations -- Undertreatment and Overtreatment -- Surgical Treatment of Obesity -- Conclusions -- References -- Chapter 11 Bariatric Surgery: When the Miracle is Not Enough Melodie K. Moorehead -- Introduction -- Bariatric Surgery is a Behavioural Surgery Too
A Holistic Approach to Bariatric Surgery: Recovery Managed by Healthcare Specialists -- Establishing a Three-Stage Psychoeducational Recovery Programme -- The Initial Psychoeducational Interview -- What is the Value of Speaking the Same Language in Outcomes? -- Discussion -- Acknowledgements -- References -- Suggested Reading -- Chapter 12 Effects of Bariatric Surgery on Co-Morbidities Sebastiaan Van Cauwenberge and Bruno Dillemans -- Introduction -- Hypertension -- Pathogenesis of hypertension in obesity -- Effects of RYGB on hypertension -- Effects of AGB on hypertension -- Effects of BPD on hypertension -- Obstructive Sleep Apnoea -- Effects of RYGB on OSA -- Effects of AGB on OSA -- Effects of BPD on OSA -- Dyslipidemia -- Effects of RYGB on dyslipidemia -- Effects of AGB on dyslipidemia -- Effects of BPD on dyslipidemia -- Type 2 Diabetes -- Mechanisms of diabetes control -- Effects of RYGB on type 2 diabetes -- Effects of AGB on type 2 diabetes -- Effects of BPD on type 2 diabetes -- Other Co-Morbidities -- Gastro-oesophageal reflux disease -- Musculoskeletal problems -- Non-alcoholic steatohepatitis -- Pseudotumor cerebri -- Polycystic ovary syndrome -- Quality of Life After Bariatric Surgery -- References -- Chapter 13 Impact on Life Expectancy After Bariatric Surgery Luca Busetto, Elisa Calo', Marco Mazza and Giuliano Enzi -- Introduction -- Impact of Morbid Obesity on Morbidity and Mortality -- Effects of Bariatric Surgery on Metabolic Co-Morbidities -- Type 2 diabetes -- Hypertension -- Dyslipidemia -- Effects of Bariatric Surgery on Respiratory Disturbances -- Pulmonary volumes and respiratory function -- Obstructive sleep apnoea syndrome -- Impact of Bariatric Surgery on Health Related Quality of Life -- Impact of Bariatric Surgery on Life Expectancy -- Conclusion -- References -- Index
Over the last two decades, obesity has reached epidemic proportions in the world, resulting in suffering and premature death. Morbid obesity is a chronic medical illness that has long-reaching consequences and is caused by multiple factors. Bariatric surgery and other non-invasive procedures in carefully selected patients are effective treatments for obesity. It is the only tool for sustained and effective long-term weight loss. The field of surgery is developing rapidly - offering innovative options for patients who have failed to lose weight by diet, exercise and pharmacological methods. The editors review problems that the patients face in the perioperative period and in the long term, as well as their adjustments in lifestyle and healthcare management. The text is authored by authorities who participate in the multidisciplinary care of bariatric patients. It will address the assessment and selection of patients' treatment before surgery, options for surgical intervention and postoperative medical management
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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2020. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
Link Print version: Hakim, Nadey S Bariatric Surgery Singapore : World Scientific Publishing Company,c2011 9781848165885
Subject Obesity -- Surgery.;Morbid obesity -- Surgery
Electronic books
Alt Author Favretti, Franco
Segato, Gianni
Dillemans, Bruno
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