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To date, diet programs and medical therapies for the treatment of obesity have had limited success. Bariatric surgery, however, provides a means of effective weight loss for many of those with morbid obesity. Most of these weight loss procedures are performed with a variety of techniques that continue to evolve. Each technique is associated with unique challenges and complications and it is important for the clinician to be knowledgeable about the endoscopic management of these patients. Additionally, as endoscopic technology evolves it may offer more than just the diagnosis and treatment of complications. Endoscopic therapy may soon allow less invasive bariatric revision procedures as well as a variety of primary obesity therapies for various patient populations. Bariatric Endoscopy reviews the management of obesity, normal post-surgical anatomy, endoscopic and medical management of post-surgical complications, and future endoscopic therapies for obesity management. Organized into five sections, the volume covers an obesity overview, traditional therapy, endoscopy and the bariatric patient, medical management of post-surgical complications, and the future role of endoscopy in obesity management. Detailed illustrations are also provided for surgical procedures, complications and obesity management chapters. Authored by authorities in the field, Bariatric Endoscopy is an indispensible tool for the gastroenterologist or surgical endoscopist as they care for patients with complicated bariatric issues.
List of contents
The Epidemiology of Obesity.- Pathophysiology of Obesity.- Medical Weight Management.- Pre-Surgical GI Evaluation in Bariatric Surgery.- Surgical Management of Obesity: Surgical Procedures, Preoperative Evaluation, Patient Selection.- Basic Postoperative Management of the Bariatric Patient.- Normal Post-Surgical Anatomy.- Early GI Bleeding after Bariatric Surgery.- Management of Post-Surgical Leaks and Fistulae.- Ulceration in the Bariatric Patient.- Management of Strictures.- Accessing the Pancreatobiliary Limb and ERCP.- Endoscopic Management of Post-Bariatric Foreign Bodies: Dysfunctional Sutures, Staples, and Bands.- Nutritional Management of the Bariatric Patient: Diets and Deficiencies.- Anemia.- Diagnosis and treatment of Dumping Syndrome after Gastric Bypass for Morbid Obesity.- Rare Complications.- Endoscopic Therapy for Weight Regain after Bariatric Surgery.- Primary Endoluminal Techniques for Weight Loss.- Imaging in the Bariatric Patient.- Procedural Sedation in the Obese Patient.- Special Nursing Considerations in Caring for the Bariatric Patient.- Endoscopy Unit Considerations.
About the author
Christopher C. Thompson, MD, MSc, FACG, FASGE
Brigham and Women's Hospital, Harvard Medical School,
Division of Gastroenterology, Hepatology and Endoscopy, Boston, MA, USA
Summary
Bariatric Endoscopy reviews the management of obesity, normal post-surgical anatomy, endoscopic and medical management of post-surgical complications, and future endoscopic therapies for obesity management.
