Management of Morbid Obesity

• Publisher: Informa Healthcare
• Year: 2005
• Tongue: English
• Leaves: 260
• Edition: 1
• Category: Library

✦ Synopsis

Edited by world-renowned bariatric surgeons, this comprehensive reference provides a clear overview of multidisciplinary approaches to bariatric surgery and clearly details the techniques and outcomes of commonly performed bariatric operations, potential complications associated with bariatric surgery, and practices in long-term follow-up and nutritional management.

✦ Table of Contents

Front cover......Page 1
Preface......Page 6
Contents......Page 8
Contributors......Page 14
INTRODUCTION......Page 18
PROCESSING OF NUTRIENTS......Page 19
NUTRIENT SENSING......Page 20
HUNGER AND MOTIVATION......Page 21
SURGICAL TREATMENT OF OVEREATING......Page 22
REFERENCES......Page 24
EPIDEMIOLOGY......Page 26
Children......Page 27
COMORBID CONDITIONS......Page 28
CARDIOVASCULAR......Page 29
PULMONARY......Page 31
ENDOCRINE......Page 32
GASTROINTESTINAL......Page 33
GENITOURINARY......Page 34
MUSCULOSKELETAL......Page 35
HEMATOLOGIC......Page 36
NEUROLOGIC......Page 37
DERMATOLOGIC......Page 38
SOCIAL / ECONOMIC......Page 39
REFERENCES......Page 40
INTRODUCTION......Page 50
LIFESTYLE MODIFICATION......Page 51
DIETARY CHANGES......Page 54
PHYSICAL ACTIVITY......Page 56
COMBINING BEHAVIOR MODIFICATION AND PHARMACOTHERAPY......Page 57
SURGERY......Page 59
REFERENCES......Page 60
PREOPERATIVE EVALUATION The Role of the Bariatric Surgeon......Page 66
The Role of the Bariatric Nutritionist......Page 67
Cardiovascular Evaluation......Page 68
Obstructive Sleep Apnea (OSA)......Page 69
Diabetes......Page 70
Gastrointestinal Evaluation......Page 71
REVISIONAL BARIATRIC SURGERY......Page 72
Respiratory Mechanics......Page 73
ACKNOWLEDGMENT......Page 74
REFERENCES......Page 75
OVERVIEW OF ETIOLOGY AND EPIDEMIOLOGY OF MORBID OBESITY......Page 78
CRITERIA FOR SELECTION OF PATIENTS FOR BARIATRIC SURGERY......Page 79
COMPONENTS OF A BARIATRIC SURGERY PROGRAM Personnel......Page 80
Table 1......Page 86
Preoperative Workshops and Support Groups......Page 87
HOSPITAL REQUIREMENTS......Page 88
BARIATRIC SURGERY PROGRAM WEB SITE......Page 89
REFERENCES......Page 90
PRE-SURGICAL NUTRITION ASSESSMENT AND MANAGEMENT......Page 92
PRE-SURGICAL NUTRITION EDUCATION......Page 95
POSTOPERATIVE DIET GUIDELINES......Page 96
MALABSORPTIVE PROCEDURES......Page 97
ROUX-en-Y (RYGB)......Page 98
Vitamin B12 (Cobalamin)......Page 99
Folate......Page 100
POST-SURGICAL NUTRITION ASSESSMENT......Page 101
NUTRITION AND SURGICAL COMPLICATIONS......Page 102
REFERENCES......Page 103
INTRODUCTION......Page 108
METHODS Indications for Surgery......Page 110
Operative Technique Wedge VBG......Page 111
Postoperative Care......Page 113
RESULTS......Page 114
DISCUSSION......Page 115
REFERENCES......Page 117
Physiology of Laparoscopy in the Morbidly Obese......Page 118
Hemodynamic Changes and Cardiac Function......Page 119
Intraoperative Pulmonary Mechanics......Page 120
Venous Stasis......Page 121
REFERENCES......Page 122
INTRODUCTION......Page 126
Table 1......Page 128
CENTRAL (ANDROID) VS. PERIPHERAL (GYNOID) FAT DISTRIBUTION......Page 130
CARDIAC DYSFUNCTION AND DYSLIPIDEMIA......Page 131
PULMONARY DYSFUNCTION......Page 132
DIABETES......Page 133
VENOUS STASIS DISEASE......Page 134
URINARY INCONTINENCE......Page 135
PSEUDOTUMOR CEREBRI......Page 136
INFECTIOUS PROBLEMS ASSOCIATED WITH MORBID OBESITY......Page 137
MORTALITY......Page 138
REFERENCES......Page 139
MATERIALS AND METHODS: LAPAROSCOPIC GASTRIC BYPASS TECHNIQUE Patient Positioning and Operating Room Set-up......Page 146
Dissection and Creation of the Mesocolic Window......Page 147
Creation of the Roux-en-Y......Page 148
Creation of the Gastrojejunostomy......Page 151
Postoperative Management......Page 152
REFERENCES......Page 153
LITERATURE REVIEW—CASE SERIES......Page 156
LITERATURE REVIEW—PROSPECTIVE, RANDOMIZED CLINICAL TRIALS......Page 160
DISCUSSION......Page 162
REFERENCES......Page 167
INTRODUCTION......Page 170
Restrictive Phase......Page 171
BILIOPANCREATIC DIVERSION......Page 173
Quality of Life......Page 175
Comorbidities......Page 176
Vitamin and Mineral Deficiencies......Page 179
Change in Intestinal Flora......Page 180
REFERENCES......Page 181
INTRODUCTION......Page 184
PATIENT SELECTION......Page 185
OPERATIVE TECHNIQUE......Page 186
POSTOPERATIVE MANAGEMENT Immediate......Page 187
Long-Term: Band Adjustments......Page 188
Radiographic-Guided Adjustment......Page 189
Gastric Prolapse......Page 190
Erosion......Page 192
RESULTS......Page 193
Effect on Comorbidities......Page 194
REFERENCES......Page 195
What Is the Best Surgical Option?......Page 198
Characteristics of the Ideal Surgical Procedure......Page 199
Key Attributes of LAGB......Page 200
Sources of Data......Page 201
Outcomes......Page 202
DISCUSSION......Page 205
REFERENCES......Page 206
ROUX-EN-Y GASTRIC BYPASS Historical Perspective Comparisons with Restriction......Page 208
LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING (LAGB)......Page 211
International Studies......Page 212
American Experience......Page 214
Grade A Evidence......Page 217
Band Adjustment......Page 218
Comorbidity Resolution......Page 219
REFERENCES......Page 220
INTRODUCTION......Page 224
LEAKS......Page 225
INTESTINAL OBSTRUCTION FROM INTERNAL HERNIA......Page 226
BLEEDING......Page 227
STRICTURE FORMATION......Page 228
CHOLELITHIASIS......Page 229
MARGINAL ULCER......Page 230
LAPAROSCOPIC VS. OPEN BARIATRIC SURGERY......Page 231
CONCLUSION......Page 232
REFERENCES......Page 233
COMMONLY PERFORMED BARIATRIC PROCEDURES......Page 236
THE SIGNIFICANCE OF LONG-TERM FOLLOW-UP......Page 237
PROTEIN-CALORIE MALNUTRITION......Page 238
DEHYDRATION......Page 239
VITAMIN DEFICIENCIES......Page 240
Vitamin B12......Page 242
GASTROINTESTINAL ISSUES Abdominal Pain......Page 243
Gallbladder Disease......Page 244
Marginal Ulceration......Page 245
CONCLUSIONS......Page 246
REFERENCES......Page 247
Index......Page 250
Back cover......Page 260