Hardcover(New Edition)

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Product Details

ISBN-13: 9781848165885
Publisher: Imperial College Press
Publication date: 02/21/2011
Edition description: New Edition
Pages: 396
Product dimensions: 6.10(w) x 9.00(h) x 0.90(d)

Table of Contents

Contributors xi

Foreword Michael G. Sarr xvii

Chapter 1 Indications for Bariatric Surgery and Selecting the Appropriate Procedure John B. Dixon 1

Indications for Bariatric Surgery 1

References 10

Chapter 2 Anaesthesia in Bariatric Surgery Ernesto Pizzirani Giuseppe Calcarella 15

Definitions 15

Epidemiology 16

Pathophysiologic Aspects Connected to Obesity 19

Pharmacologic Considerations 31

Evaluating the Patient Before Anaesthesia 37

General Anaesthesia 47

Loco-Regional Anaesthesia 50

Post-Operative Treatment 51

Conclusions 53

References 53

Chapter 3 Intragastric Balloon (BIB®) in the Management of Morbid Obesity Disease Alfredo Genco Roberta Maselli Nicola Basso 61

Introduction 61

Results 71

Discussion and Conclusion 84

References 86

Chapter 4 Laparoscopic Adjustable Gastric Banding Gianni Segato Nadey Hakim Maurizio De Luca Franco Favretti 91

Introduction 91

Indications and Contraindications 91

Preparation for Surgery 93

Surgical Instruments 93

Patient and Surgical Team Positioning 94

Procedural Steps 94

References 102

Suggested Reading 103

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 Franco Favretti 105

Introduction 105

Laparoscopic Technique 106

Role of the Balloon 109

Lap-Band® Series at Vicenza Regional Hospital, Padua 110

Discussion 118

Life Expectancy Study 120

Conclusion 121

References 122

Chapter 6 Laparoscopic Adjustable Gastric Banding (LAP-BAND®): Diagnosis, Prevention and Treatment of Complications Maurizio De Luca Luca Busetto Gianni Segato Nadey S. Hakim Franco Favretti 125

Introduction 125

Lap-Band® Series at Vicenza Regional Hospital, Padua 126

Complications 127

Conclusions 151

References 152

Chapter 7 Roux-en-Y Gastric Bypass Bruno Dillemans Sebastiaan Van Cauwenberge 155

Introduction 155

Physiology of the Roux-en-Y Gastric Bypass 156

Preoperative Evaluation 159

Medical Evaluation 160

Psychological Evaluation 160

Technical Aspects of the Laparoscopic RYGB Procedure 161

Operative Technique of the Fully Stapled Laparoscopic Roux-en-Y Gastric Bypass 164

Complications of Roux-en-Y Gastric Bypass 171

Side Effects of Roux-en-Y Gastric Bypass 179

Weight Evolution After RYGB 183

Conclusion 188

Acknowledgements 188

References 188

Chapter 8 New Technologies in Bariatric Surgery Matthias Lannoo Andre D'Hoore 199

Introduction 199

Sleeve Gastrectomy 199

New Minimally Invasive Techniques in Bariatric Surgery 214

References 217

Chapter 9 Imaging of Complications After Bariatric Surgery Jose C. Varghese Shuvro H. Roy-Choudhury 223

Introduction 223

Laparoscopic Adjustable Gastric Banding 224

Roux-en-Y Gastric Bypass (RYGB) 245

Summary 273

References 275

Chapter 10 Sequential Treatment of Obesity Maurizio De Luca Luca Busetto Gianni Segato Franco Favretti 285

Introduction 285

Classification of Bariatric Operation 286

Effectiveness/Invasiveness of Various Operations 286

Undertreatment and Overtreatment 287

Surgical Treatment of Obesity 290

Conclusions 291

References 292

Chapter 11 Bariatric Surgery: When the Miracle is Not Enough Melodie K. Moorehead 293

Introduction 293

Bariatric Surgery is a Behavioural Surgery Too 296

A Holistic Approach to Bariatric Surgery: Recovery Managed by Healthcare Specialists 302

Establishing a Three-Stage Psychoeducational Recovery Programme 305

The Initial Psychoeducational Interview 311

What is the Value of Speaking the Same Language in Outcomes? 317

Discussion 320

Acknowledgements 322

References 323

Suggested Reading 324

Chapter 12 Effects of Bariatric Surgery on Co-Morbidities Sebastiaan Van Cauwenberge Bruno Dillemans 327

Introduction 327

Hypertension 327

Obstructive Sleep Apnoea 331

Dyslipidemia 334

Type 2 Diabetes 337

Other Co-Morbidities 343

Quality of Life After Bariatric Surgery 346

References 348

Chapter 13 Impact on Life Expectancy After Bariatric Surgery Luca Busetto Elisa Calo' Marco Mazza Giuliano Enzi 359

Introduction 359

Impact of Morbid Obesity on Morbidity and Mortality 360

Effects of Bariatric Surgery on Metabolic Co-Morbidities 361

Effects of Bariatric Surgery on Respiratory Disturbances 371

Impact of Bariatric Surgery on Health Related Quality of Life 377

Impact of Bariatric Surgery on Life Expectancy 378

Conclusion 383

References 383

Index 389

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