A Multidisciplinary Approach to Bariatric Surgery


Book Description

This monograph covers the medical, psychological and biological features of bariatric surgery. From a multidisciplinary view, important aspects both before and after bariatric surgery are considered. Firstly, this monograph focuses on the evaluation of bariatric surgery candidates, both considering the pathology and psychopathology of morbidly obese patients. Also, special attention is given to measurement instruments applied during the psychological assessment of these patients. Secondly, surgical techniques used in bariatric surgery are covered. A detailed description of these techniques, also considering their possible postoperative and late complications is provided. A comparison of long-term results obtained by the different surgical techniques is also included. Other features related to surgical intervention, such as revision surgery or plastic surgery are also covered. Thirdly, a chapter about bariatric surgery in adolescents has been included. Specific guidelines and considerations of the application of bariatric surgery to adolescents are discussed. Another aspect that is covered in the present publication are metabolic changes in morbidly obese patients, both before and after bariatric surgery. A description of changes in carbohydrate and lipid metabolism, satiety factors and other metabolic parameters involved in morbid obesity are also provided. Adherence to dietary recommendations is also considered. Dietary recommendations before and after bariatric surgery, and cognitive and behavioural techniques that promote their adherence are provided. Finally, the impact of morbid obesity on health-related quality of life, its improvement after bariatric surgery and the therapeutic approach to improve quality of life among these patients is included.




A Multidisciplinary Approach to Bariatric Surgery


Book Description

This monograph covers the medical, psychological and biological features of bariatric surgery. From a multidisciplinary view, important aspects both before and after bariatric surgery are considered. Firstly, this monograph focuses on the evaluation of bariatric surgery candidates, both considering the pathology and psychopathology of morbidly obese patients. Also, special attention is given to measurement instruments applied during the psychological assessment of these patients. Secondly, surgical techniques used in bariatric surgery are covered. A detailed description of these techniques, also considering their possible postoperative and late complications is provided. A comparison of long-term results obtained by the different surgical techniques is also included. Other features related to surgical intervention, such as revision surgery or plastic surgery are also covered. Thirdly, a chapter about bariatric surgery in adolescents has been included. Specific guidelines and considerations of the application of bariatric surgery to adolescents are discussed. Another aspect that is covered in the present publication are metabolic changes in morbidly obese patients, both before and after bariatric surgery. A description of changes in carbohydrate and lipid metabolism, satiety factors and other metabolic parameters involved in morbid obesity are also provided. Adherence to dietary recommendations is also considered. Dietary recommendations before and after bariatric surgery, and cognitive and behavioural techniques that promote their adherence are provided. Finally, the impact of morbid obesity on health-related quality of life, its improvement after bariatric surgery and the therapeutic approach to improve quality of life among these patients is included.




Multidisciplinary Approach to Obesity


Book Description

This book describes in detail the multidisciplinary management of obesity, providing readers with a thorough understanding of the rationale for a multidisciplinary approach and with the tools required to implement it effectively. The emphasis is on a translational approach, starting from basic concepts and fundamental mechanisms of the pathology and clinical morbidity. Experts in the field discuss the full range of relevant topics, including the significance of physical exercise, psychological issues, nutritional strategies, pharmacological options and bariatric surgery. Put another way, the book covers all aspects from the bench to the bedside. Physicians, scientists and postgraduate students will all find it to be invaluable in understanding the causes and optimal management of obesity, which has rapidly become a major public health problem.




Foregut Surgery


Book Description

​This book provides a state-of-the-art description of the clinical evaluation, diagnosis, management, and treatment of achalasia, gastroesophageal reflux disease, paraesophageal hernia, and morbid obesity. The prevalence of such diseases is increasing worldwide due to higher awareness and improved diagnosis rate. The text is divided in three different parts, each covering detailed surgical techniques of the main foregut operations: achalasia, gastroesophageal reflux disease (GERD), and obesity. Written by experts in the field, chapters focus on the preoperative work-up, indications, and technical aspects of each operation. Foregut Surgery proves to be an irreplaceable resource for surgeons, gastroenterologists, medical students, and surgical residents that care for patients with reflux, achalasia, and morbid obesity.




Surgical Management of Obesity


Book Description

Leaders in the field present today's most comprehensive coverage of bariatric surgery, one of the most promising current treatments for the growing global epidemic of overweight and obesity. This brand new resource begins with a through examination of the history, incidence, demography, etiology, biology, comorbidities, longevity, and social and economic implications of obesity. It then discusses pre-, peri-, and postoperative issues of importance before examining the evolution of bariatric procedures. Individual chapters present the best surgical approaches, their outcomes, and other considerations involved in this surgical approach. Presents a comprehensive overview of the entire field of bariatric surgery, as well as a broad discussion of critical non-operative topics. Discusses the evolution of bariatric procedures, followed by individual chapters that examine laparoscopic adjustable gastric banding, vertical banded gastroplasty, the banded gastric bypass, and other surgical approaches. Reviews the outcomes of bariatric surgery with respect to nutrition, diabetes, hypertension, sleep apnea, orthopedic conditions, and metabolism. Offers guidance on practical and academic training of the bariatric surgeon, patient support groups, the importance of the multidisciplinary team, managed care, allied health, laparoscopic suites and robotics, liability issues, and more. Includes dietary, drug management, and other alternative non-operative approaches. Addresses the growing incidence of childhood obesity with a chapter focusing on adolescent bariatric surgery patients. With 91 additional contributing experts.




Obesity: A Multidisciplinary Approach, 1e (Clinics Collections)


Book Description

Clinics Collections: Obesity draws from Elsevier’s robust Clinics Review Articles database to provide multidisciplinary teams, including general practitioners, endocrinologists, pediatricians, gastroenterologists, nurses, and other healthcare professionals, with practical clinical advice and insights on this highly prevalent disease and its comorbidities. Clinics Collections: Obesity guides readers on how to apply current primary research findings on obesity to everyday practice to help overcome challenges and complications, keep up with new and improved treatment methods, and improve patient outcomes. Areas of focus include obesity and secondary disorders, pediatric obesity, metabolic issues, dietary approaches, surgical options, and special considerations. Each article begins with keywords and key points for immediate access to the most critical information. Articles are presented in an easy-to-digest and concisely worded format. Elsevier Clinics Collections provide concise reviews of today’s most prevalent conditions and significant medical developments. Other Clinics Collections titles available include Type II Diabetes Mellitus, Asthma, and Pain Management.




Minimally Invasive Bariatric and Metabolic Surgery


Book Description

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.




Obesity, Bariatric and Metabolic Surgery


Book Description

Written by leading experts from all across the globe, this comprehensive yet concise textbook offers up-to-date summary in the field of Obesity and its Surgical Management for a wide range of healthcare professionals involved within a Bariatric Multidisciplinary Team including Surgeons, Dieticians, Metabolic Physicians, Anaesthesiologists, Psychologists, Psychiatrists, Radiologists and Nursing staff. The book also serves as a reference manual for General Physicians, General Surgeons & General Practitioners.




Bariatric Surgery


Book Description

With obesity levels continuing to rise despite efforts in diet, exercise, and medical management, the focus has now turned to surgery to help combat the obesity epidemic. The operation is just the beginning, and there can be many different complications and side effects associated with weight loss surgery. Bariatric Surgery: What Every Provider Needs to Know takes a multidisciplinary team approach to maximize the patient’s weight loss and to minimize complications, from patient selection to postoperative care. This book was written for any healthcare providers or students involved with bariatric surgical patients to provide them with the important information needed to manage their patient. Drs. R. Armour Forse and Caroline M. Apovian and more than 50 contributors have designed Bariatric Surgery: What Every Provider Needs to Know to provide practical information for non-surgeons and non-nutrition experts who are involved in the care of a patient undergoing bariatric surgery and makes the concepts easy to understand and to apply when caring for a patient with obesity. Bariatric Surgery: What Every Provider Needs to Know covers the fundamental issues that need to be addressed with the overall care of the surgical patient for a multidisciplinary team, including nurse practitioners, physician assistants, gastroenterology residents, dieticians, and medical students. Some topics covered include: Adolescent obesity and weight loss surgery Various surgical procedures such as gastric banding, sleeve gastrectomy, and gastric bypass Anesthetic issues in the patient with obesity undergoing surgery Bariatric surgery and the elderly Immediate postoperative complications Medical management of the patient after bariatric surgery Psychological issues in the bariatric surgery patient




Weight Loss Surgery


Book Description