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Obesity is an epidemic in most developed countries. Bariatric surgery is growing at an exponential rate, with more than 140,000 bariatric operations performed in the U.S. yearly. In keeping with the other manuals in the series, The SAGES Manual of Bariatric Surgery presents a practical "how to" approach to minimally invasive bariatric surgery.
The patient care needs are addressed in introductory chapters dealing with the rationale for surgery; overview of operations; preoperative assessment; psychological evaluation; and postoperative follow up, including behavioral issues and dietary guidelines. The editors then address the practicalities of setting up a bariatric program and both case and practice management.
The subsequent sections cover techniques (Roux-en-Y, Lap-Band, malabsorptive operations and staged procedures), outcomes (including adolescent cases), and possible complications (leaks, bleeding, obstruction, stomas). These procedural chapters allow the reader to make decisions based on the evidence and best practices.
Finally, the Manual wraps up with guidelines and accreditation requirements in bariatric surgery. This section stresses the importance of continuing education and consistent certifications.
List of contents
Essentials of Bariatric Surgery.- The Rationale for Bariatric Surgery.- Overview of Bariatric Operations.- Identification of Comorbidities and Their Management.- Definition of Obesity and Indications for Surgery.- Preoperative Nutritional Assessment and Postoperative Dietary Guidelines.- Essentials of a Bariatric Program.- Psychological Assessment.- Preoperative Check List.- Postoperative Care Pathway.- Long-term Follow-up Protocol of Bariatric Patients.- An Economic Approach to Opening a Bariatric Practice.- Techniques.- Roux-en-Y Gastric Bypass.- Lap-Band® and Adjustment Schedule.- Laparoscopic Duodenal Switch.- Laparoscopic Sleeve Gastrectomy: A Staged Procedure for Super-Super Obese Patients.- Laparoscopic Staged Roux-en-Y: A Staged Procedure for Super-Super Obese Patients.- Outcomes.- Outcomes of Laparoscopic Gastric Bypass.- Outcomes of Laparoscopic Adjustable Gastric Banding.- Outcomes of Duodenal Switch and Other Malabsorptive Procedures.- Outcomes of Bariatric Surgery in Adolescents.- Which Operation Is Best?.- Complications.- Anastomotic Leaks after Laparoscopic Gastric Bypass.- Gastric Bypass: Gastrointestinal Bleeding.- Intestinal Obstruction after Laparoscopic Gastric Bypass.- Roux-en-Y Gastric Bypass: Stomal Stenosis.- Gastric Bypass: Marginal Ulceration.- Laparoscopic Adjustable Gastric Banding: Infection, Slippage, and Hiatal Hernia.- Gastric Erosion Following Adjustable Gastric Banding.- Guidelines and Accreditation in Bariatric Surgery.- Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Bariatric Credentialing Guidelines.- Reporting of Bariatric Surgery Outcomes.- The Betsy Lehman Center Guidelines for Weight Loss Surgery.- American Society for Metabolic and Bariatric Surgery (ASMBS) Centers of Excellence Program.- The AmericanCollege of Surgeons (ACS) Bariatric Surgery Center Network.
Summary
Bariatric surgery is an increasingly common procedure, but far from an easy one. Training levels can be uneven among clinicians. The SAGES Manual of Bariatric Surgery bridges the gaps and serves as a practical and concise starting point for the surgeon adding these procedures to his skill set.
Additional text
From the reviews:
"This is a convenient, multifaceted guide to the principles and practice of bariatric surgery and related topics. … The manual is targeted primarily at the members of the multidisciplinary team involved in a bariatric surgery program: surgeons, fellows and residents, physician extenders, nutritionists, nurses, psychologists, and specialty physicians. … It will also be a valuable addition to the reference section of medical libraries." (Isaac Samuel, Doody’s Review Services, December, 2008)
