- Written by internationally renowned authors
- A vast archive of figures, photos and videos is offered
- New technologies for the performing of gastric bypass are shown, including robotic surgery
- Covers pre-clinical aspects through post-surgical complications
- The use of endoscopy in weight regain, complications and preoperative is addressed
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
Table of ContentsPart I - Introduction- 1. History of the gastric bypass
- 2. Gastric bypass - Mechanisms of functioning
- 3. Rationale for gastric bypass
Part II - Bariatric SurgerySection A - General concepts
- 4. Morbid obesity
- 5. Obesity and related diseases
- 6. Obesity and cancer
- 7. Systemic inflammation in the morbidly obese patient
- 8. Metabolic syndrome
- 9. Non-Alcoholic fatty liver disease - NAFLD
Section B - Preoperative concerns
- 10. The bariatric team
- 11. Bariatric clinic/hospital infrastructure
- 12. Patient selection
- 13. Preparing the patient for gastric bypass
- 14. Tests and exams
- 15. Preoperative endoscopy
- 16. Informed consent
- 17. Nutritional issues
- 18. Psychological and psychiatric issues
- 19. Sleep apnea management
- 20. Preoperative weight loss
- 21. The superobese patient
Section C - Anaesthesia
- 22. Airway evaluation and management
- 23. Positioning the patient before the procedure
- 24. Monitoring the morbidly obese
- 25. Methods of anaesthesia
- 26. Perioperative anaesthesia
- 27. Postoperative Analgesia
Section D - Techniques for Gastric bypass
- 28. Instruments and materials
- 29. Anatomic considerations
- 30. Open Roux-en Y gastric bypass
- 31. Developing the laparoscopic gastric bypass
- 32. Robotic Roux-en Y gastric bypass
- 33. Roux-en-Y Gastric Bypass Learning curve
- 34. Ante colic Roux-en-Y gastric bypass
- 35. Retro colic Roux-en Y gastric by-pass
- 36. Fobi Roux-en Y gastric bypass
- 37. Capella Roux-en Y gastric bypass
- 38. Roux-en-Y gastric bypass hand sewn
- 39. Roux-en-Y gastric bypass - gastrojejunostomy with Trans-oral circular stapling
- 40. Roux-en-Y gastric bypass - gastrojejunostomy with circular stapler via transabdominal
- 41. Roux-en-Y gastric bypass - gastrojejunostomy with linear stapler
- 42. Mini gastric bypass - Technique
- 43. Staged gastric bypass for high risk patients
- 44. Roux-en Y gastric bypass in adolescents
- 45. Conversion of sleeve gastrectomy to gastric bypass
- 46. Conversion of gastric banding to gastric bypass
- 47. Conversion of vertical banded gastroplasty
- 48. Gastric bypass reoperation for weight regain
- 49. Banding the gastric bypass due to weight regain
- 50. Pancreatic neoplasm after gastric bypass
- 51. Gastric Bypass Leaning Curve - Laparoscopic & Robotic
Section E - Technical issues
- 52. Staple lines reinforcement
- 53. Drainage
- 54. Gastrojejunostomy testing
- 55. Closing the gaps
- 56. Preventing complications
Section F - Postoperative care
- 57. ICU for the gastric bypass patient
- 58. Preventing thromboembolism
- 59. Physiotherapy
- 60. Vitamins and minerals
- 61. Nutrition
- 62. Psicological assistance
Section G - Complications
- 63. Intraoperative complications
- 64. Leaks
- 65. Infection - diagnosis and treatment
- 66. Bleeding
- 67. Bowel obstruction
- 68. Internal hernias
- 69. Stenosis
- 70. Ulcer disease
- 71. Reflux72. Dumping syndrome
- 73. Thromboembolism
- 74. Rhabdomyolisis
- 75. Weight regain
- 76. Depression, suicide and alcoholism
- 77. Eating disorders
- 78. Gallbladder stones
- 79. Bacterial overgrowth
- 80. The rebel patient
- 81. Therapeutic endoscopy
Section H - Endoscopy
- 82. Preoperative intragastric balloon
- 83. Endoscopic treatment of obesity
- 84. Endoscopic treatment of complications
- 85. Endoscopic treatment of weight regain
Section I- Miscellaneous
- 86. Plastic surgery after gastric bypass
- 87. Malpractice and medico-legal issues
- 88. Pregnancy
- 89. Bariatric surgeon training
- 90. Re-operative bariatric surgery
- 91. Quality of life before and after gastric bypass
- 92. Radiographic evaluation
- 93. Cost and economics of gastric bypass
- 94. Gastric bypass outcomes in bariatric surgery
Part III - Metabolic surgery / Type 2 diabetes- 95. Type 2 diabetes
- 96. Type 2 diabetes and the foregut
- 97. Mechanisms of control of diabetes 2 with gastric bypass
- 98. Experimental studies
- 99. Tests and exams
- 100. Endocrinology point of view
- 101. Selecting patients
- 102. Preoperative care
- 103. Gastric bypass in patients with metabolic syndrome
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