BookChristopher C. Thompson, editor ; Michele B. Ryan, assistant editor.
Summary: 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.
Contents:
The epidemiology of obesity
Pathophysiology of obesity
Medical weight management
Presurgical GI evaulation in bariatric surgery
Surgical management of obesity: surgical procedures, preoperative evaluation, and patient selection
Basic postoperative management of the bariatric patient
Normal postsurgical anatomy
Early GI bleeding after bariatric surgery
Management of postsurgical leaks and fistulae
Ulceration in the bariatric patient
Management of strictures
Accessing the pacreatobiliary 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 the bariatric patient
Procedural sedation in the obese patient
Special nursing considerations in caring for the bariatric patient
Endoscopy unit considerations.