Additional Information
Book Details
Abstract
The intent of the book is to provide readers with a summary of the obesity problem with specific focus on the metabolic health issues (ie, diabetes mellitus), obstructive sleep apnea, non-alcoholic fatty liver disease and the psychological effects of obesity. This will provide readers with an understanding of the commonly performed operations for obesity along with evidence-based outcomes, nutritional issues, and metabolic consequences.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Contents | v | ||
| Preface | vii | ||
| Chapter 1. Obesity-Related Health Issues | 1 | ||
| Health Risks | 2 | ||
| Hypertension: | 2 | ||
| Dyslipidemia: | 3 | ||
| Diabetes Mellitus: | 3 | ||
| Coronary artery disease: | 3 | ||
| Atrial flutter/fibrillation: | 3 | ||
| Congestive heart failure (CHF): | 4 | ||
| Stroke: | 4 | ||
| Sleep apnea: | 4 | ||
| GERD: | 4 | ||
| Hepato-biliary disease: | 5 | ||
| Cancer: | 5 | ||
| Deep venous thrombosis (DVT): | 5 | ||
| Endocrine changes: | 5 | ||
| Genitourinary disease: | 6 | ||
| Pseudotumor cerebri (Idiopathic Intracranial Hypertension): | 6 | ||
| Osteoarthritis: | 6 | ||
| Skin changes: | 6 | ||
| Psychosocial dysfunction: | 7 | ||
| Conclusion | 7 | ||
| References | 7 | ||
| Chapter 2. History of Bariatric Surgery | 11 | ||
| Introduction | 11 | ||
| Jejunoileal Bypass (JIB) | 12 | ||
| Gastric Bypass | 14 | ||
| Gastroplasty | 16 | ||
| Biliopancreatic Diversion (BPD) and Duodenal Switch (DS) | 17 | ||
| Gastric Banding | 19 | ||
| Sleeve Gastrectomy | 21 | ||
| Minimally Invasive Techniques | 22 | ||
| Conclusions | 23 | ||
| References | 23 | ||
| Chapter 3. Roux-en-Y Gastric Bypass: Indications, Procedures and Outcomes | 29 | ||
| Introduction and Indications | 29 | ||
| Procedure | 30 | ||
| Outcomes | 33 | ||
| References | 35 | ||
| Chapter 4. Biliopancreatic Diversion and Duodenal Switch: Indications, Procedure and Outcomes | 37 | ||
| Introduction | 37 | ||
| Background | 38 | ||
| Development of BPD/DS | 38 | ||
| Framework for BPD/DS | 40 | ||
| Principles of BPD/DS | 41 | ||
| Diabetes and the Entero-Insulin Axis | 42 | ||
| Advantages/Indications | 44 | ||
| Disadvantages of the BPD/DS | 45 | ||
| Preoperative Evaluation and Preparation | 46 | ||
| Psychiatric evaluation | 46 | ||
| Nutritional consultation | 46 | ||
| Preoperative Testing | 47 | ||
| Postoperative Management | 48 | ||
| Operative Technique | 48 | ||
| Gastric sleeve | 48 | ||
| Duodenal dissection | 49 | ||
| Entero-enterostomy | 49 | ||
| Duodeno-ileostomy | 50 | ||
| Early and Late Complications of DS | 50 | ||
| Malnutrition/protein malnutrition | 51 | ||
| Conclusion | 51 | ||
| References | 51 | ||
| Chapter 5. Sleeve Gastrectomy: Indications, Procedure and Outcomes | 55 | ||
| Introduction | 55 | ||
| Indications | 56 | ||
| Procedure | 57 | ||
| Benefits/Risks | 60 | ||
| Benefits | 60 | ||
| Risks | 61 | ||
| Outcomes | 61 | ||
| Reasons for Failure | 63 | ||
| Conclusion | 63 | ||
| References | 63 | ||
| Chapter 6. Comparative Outcomes in Bariatric Surgery | 67 | ||
| Introduction | 67 | ||
| Comparative Outcomes of Bariatric Surgical Approaches | 68 | ||
| Surgery vs Medical Therapy for the Treatment of Type 2 Diabetes | 71 | ||
| Conclusion | 73 | ||
| References | 74 | ||
| Chapter 7. Complications of Bariatric Surgery and Management | 77 | ||
| Introduction | 77 | ||
| Early Complications | 78 | ||
| Mortality | 78 | ||
| Readmission and reoperation | 79 | ||
| Deep vein thrombosis (DVT ) and pulmonary embolism (PE ) | 79 | ||
| Surgical site infections (SSI ) | 80 | ||
| Cardiac complications | 81 | ||
| Late Complications | 81 | ||
| Gallstones | 81 | ||
| Trocar and incisional hernias | 82 | ||
| Procedure Specific Complications | 83 | ||
| LAGB | 83 | ||
| LSG | 86 | ||
| Laparoscopic RYGB | 89 | ||
| Conclusion | 93 | ||
| References | 93 | ||
| Chapter 8. Innovations in Bariatric Surgery | 97 | ||
| IGBs | 99 | ||
| Gastric Restrictive Methods | 100 | ||
| 1. Endoscopic stapling | 101 | ||
| 2. Endoluminal vertical gastroplasty (EVG ) or Transoral gastric volume reduction (TGVR) | 101 | ||
| Malabsorptive Methods | 103 | ||
| 1. Endoscopic duodenojejunal bypass sleeve | 103 | ||
| 2. Endoscopic gastroduodenal-jejunal sleeve | 104 | ||
| Gastric Botulin Toxin Injection | 104 | ||
| Gastric Pacing | 105 | ||
| VNS | 106 | ||
| Metabolic Surgery | 106 | ||
| Single Incision Laparoscopic Surgery (SILS) | 109 | ||
| References | 111 | ||
| Chapter 9. Nutrition After Bariatric Surgery | 113 | ||
| Diet Goals | 113 | ||
| Postoperative Nutrition Care and Diet Progression | 114 | ||
| Bariatric clear liquids | 115 | ||
| Bariatric high protein full liquids and the use of modular protein supplements | 116 | ||
| Bariatric purees | 121 | ||
| Bariatric soft diet | 122 | ||
| Bariatric regular diet | 123 | ||
| Recommendations for Macronutrient Intake | 124 | ||
| Protein | 124 | ||
| Fat | 125 | ||
| Carbohydrates | 126 | ||
| Micronutrient Requirements, Risk of Deficiencies and Laboratory Monitoring | 126 | ||
| Calcium | 127 | ||
| Vitamin D | 129 | ||
| Vitamin B-12 | 130 | ||
| Iron | 131 | ||
| Thiamin | 131 | ||
| Copper | 132 | ||
| Diet-Related Gastrointestinal Complications | 132 | ||
| Dehydration | 133 | ||
| Nausea and Vomiting | 133 | ||
| Early Dumping Syndrome | 135 | ||
| Late Stage Dumping and Postprandial Hypoglycemia | 136 | ||
| Food Intolerances | 136 | ||
| Lactose Intolerance | 136 | ||
| Dysphagia to Solid Foods | 137 | ||
| Obstruction of the Outlet of the Pouch | 137 | ||
| Reflux and Reflux–like Symptoms | 138 | ||
| Constipation | 138 | ||
| Malnutrition | 138 | ||
| Nutrition Support of the Bariatric Patient | 139 | ||
| Routine and Long-term Follow-up | 139 | ||
| Calorie intake | 140 | ||
| Weight Loss and Weight Maintenance | 141 | ||
| Conclusion | 142 | ||
| References | 142 | ||
| Chapter 10. Metabolic Impact of Bariatric Surgery | 147 | ||
| Background | 147 | ||
| Metabolic Comorbidities due to Obesity | 148 | ||
| Effects of Bariatric Surgery on Metabolism | 151 | ||
| Relative Impact of Various Bariatric Surgeries | 156 | ||
| References | 157 | ||
| Index | 161 |