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Historical Background: From the Past to Present
Pages 3-9
This book explains the concept of metabolic surgery and provides step-by-step descriptions of all the principal minimally invasive surgical techniques employed to treat morbid obesity. The approach adopted is very practical. For each procedure, indications, technical aspects, clinical management and outcomes are described and helpful tips and tricks, highlighted. Guidance is provided on the management of emergencies and potential complications, as well as on general postoperative management and long-term follow-up. The coverage also includes new frontiers of robotic and endoscopic surgery. While the focus is on surgical techniques, emphasis is placed on the need for a multidisciplinary approach, with explanation of the role of the multidisciplinary team and the bariatric center. In addition, important information is presented on the definition of morbid and severe obesity, incidence/prevalence, pathophysiology and obesity-related comorbidities. The authors are internationally acknowledged experts who present best practice know-how in the field and draw on the most recent research literature.
Historical Background: From the Past to Present
Pages 3-9
Incidence and Prevalence of Obesity
Pages 11-15
The Pathophysiology of Obesity
Pages 17-23
Obesity-Related Comorbidities
Pages 25-34
Hypogonadism and Obesity
Pages 35-42
Microbiota Organ and Bariatric Surgery
Pages 43-55
The “Bariatric Multidisciplinary Center”
Pages 59-67
Metabolic Surgery
Pages 69-79
Diabetes Surgery
Pages 81-97
The Role of Laparoscopy in Bariatric Surgery
Pages 99-108
Anesthesia in Bariatric Surgery
Pages 109-118
Fast-Track in Bariatric Surgery: Safety, Quality, Teaching Aspects, Logistics and Cost-Efficacy in 8,000 Consecutive Cases
Pages 119-129
Indications for Bariatric Surgery
Pages 133-143
Endoscopic Treatment: Intragastric Balloon
Pages 145-152
Endoscopic Treatment: New Technologies
Pages 153-163
Adjustable Gastric Banding
Pages 165-173
Laparoscopic Sleeve Gastrectomy
Pages 175-185
Laparoscopic Gastric Plication
Pages 187-195
Laparoscopic Roux-en-Y Gastric Bypass: Technical Aspects, Clinical Management, and Outcomes
Pages 197-207
Laparoscopic Biliopancreatic Diversion
Pages 209-226
Laparoscopic Duodenal Switch
Pages 227-236
Revisional Surgery: Gastric Banding Failure
Pages 237-249
Revisional or Conversion Procedures for Roux-en-Y Gastric Bypass Failure
Pages 251-255
Revisional Surgery: Biliopancreatic Diversion Failure
Pages 257-266
Internal Hernia After Bariatric Procedures
Pages 267-271
Emergencies in Bariatric Surgery: Highlights for the General Surgeon
Pages 273-282
Nutritional Outcomes
Pages 285-301
Long-Term Follow-Up After Bariatric Surgery
Pages 303-311
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