Bariatric Surgery PDF
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Bariatric Surgery P727.tp.indd 1 12/14/10 3:35 PM TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk Bariatric Surgery Editors Nadey S Hakim Imperial College Healthcare NHS Trust London, UK Franco Favretti Vicenza Regional Hospital, Italy Gianni Segato Vicenza Regional Hospital, Italy Bruno Dillemans St. Jan Hospital, Bruges, Belgium Imperial College Press ICP P727.tp.indd 2 12/14/10 3:35 PM Published by Imperial College Press 57 Shelton Street Covent Garden London WC2H 9HE Distributed by World Scientific Publishing Co. Pte. Ltd. 5 Toh Tuck Link, Singapore 596224 USA office: 27 Warren Street, Suite 401-402, Hackensack, NJ 07601 UK office: 57 Shelton Street, Covent Garden, London WC2H 9HE British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library. BARIATRIC SURGERY Copyright © 2011 by Imperial College Press All rights reserved. This book, or parts thereof, may not be reproduced in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage and retrieval system now known or to be invented, without written permission from the Publisher. For photocopying of material in this volume, please pay a copying fee through the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA. In this case permission to photocopy is not required from the publisher. ISBN-13978-1-84816-588-5 ISBN-101-84816-588-9 Typeset by Stallion Press Email: [email protected] Printed in Singapore. JQuek - Bariatric Surgery.pmd 1 3/23/2011, 11:40 AM b1024_FM.qxd 11/11/2010 2:50 PM Page v b1024 Bariatric Surgery Contents Contributors xi Foreword xvii (by Michael G. Sarr, Mayo Clinic, USA) Chapter1 Indications forBariatric Surgery and Selecting 1 the Appropriate Procedure John B. Dixon Indications for Bariatric Surgery 1 References 10 Chapter2 Anaesthesia in Bariatric Surgery 15 Ernesto Pizzirani and Giuseppe Calcarella 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 v b1024_FM.qxd 11/11/2010 2:50 PM Page vi b1024 Bariatric Surgery vi Contents Chapter3 Intragastric Balloon (BIB®) in the Management 61 of Morbid Obesity Disease Alfredo Genco, Roberta Maselli and Nicola Basso Introduction 61 Results 71 Discussion and Conclusion 84 References 86 Chapter4 Laparoscopic Adjustable Gastric Banding 91 Gianni Segato, Nadey Hakim, Maurizio De Luca and Franco Favretti 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 Chapter5 Long-Term Results in Laparoscopic Adjustable 105 Gastric Banding (LAP-BAND®) forObese Patients Maurizio De Luca, Luca Busetto, Gianni Segato, Nadey S. Hakim and Franco Favretti Introduction 105 Laparoscopic Technique 106 Role of the Balloon 109 Lap-Band®Series at Vicenza Regional 110 Hospital, Padua Discussion 118 Life Expectancy Study 120 Conclusion 121 References 122 b1024_FM.qxd 11/11/2010 2:50 PM Page vii b1024 Bariatric Surgery Contents vii Chapter6 Laparoscopic Adjustable Gastric Banding 125 (LAP-BAND®): Diagnosis, Prevention and Treatment of Complications Maurizio De Luca, Luca Busetto, Gianni Segato, Nadey S. Hakim and Franco Favretti Introduction 125 Lap-Band®Series at Vicenza Regional 126 Hospital, Padua Complications 127 Conclusions 151 References 152 Chapter7 Roux-en-YGastric Bypass 155 Bruno Dillemans and Sebastiaan Van Cauwenberge Introduction 155 Physiology of the Roux-en-YGastric Bypass 156 Preoperative Evaluation 159 Medical Evaluation 160 Psychological Evaluation 160 Technical Aspects of the Laparoscopic RYGB 161 Procedure Operative Technique of the Fully Stapled 164 Laparoscopic Roux-en-YGastric Bypass Complications of Roux-en-YGastric Bypass 171 Side Effects of Roux-en-YGastric Bypass 179 Weight Evolution After RYGB 183 Conclusion 188 Acknowledgements 188 References 188 Chapter8 New Technologies in Bariatric Surgery 199 Matthias Lannoo and Andre D’Hoore Introduction 199 b1024_FM.qxd 11/11/2010 2:50 PM Page viii b1024 Bariatric Surgery viii Contents Sleeve Gastrectomy 199 New Minimally Invasive Techniques in Bariatric 214 Surgery References 217 Chapter9 Imaging of Complications AfterBariatric Surgery 223 Jose C. Varghese and Shuvro H. Roy-Choudhury Introduction 223 Laparoscopic Adjustable Gastric Banding 224 Roux-en-YGastric Bypass (RYGB) 245 Summary 273 References 275 Chapter10 Sequential Treatment of Obesity 285 Maurizio De Luca, Luca Busetto, Gianni Segato and Franco Favretti 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 Chapter11 Bariatric Surgery: When the Miracle is Not 293 Enough Melodie K. Moorehead Introduction 293 Bariatric Surgery is a Behavioural Surgery Too 296 AHolistic Approach to Bariatric Surgery: Recovery 302 Managed by Healthcare Specialists Establishing a Three-Stage Psychoeducational 305 Recovery Programme The Initial Psychoeducational Interview 311 What is the Value of Speaking the Same Language 317 in Outcomes? b1024_FM.qxd 11/11/2010 2:50 PM Page ix b1024 Bariatric Surgery Contents ix Discussion 320 Acknowledgements 322 References 323 Suggested Reading 324 Chapter12 Effects of Bariatric Surgery on Co-Morbidities 327 Sebastiaan Van Cauwenberge and Bruno Dillemans 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 Chapter13 Impact on Life Expectancy AfterBariatric 359 Surgery Luca Busetto, Elisa Calo’, Marco Mazza and Giuliano Enzi Introduction 359 Impact of Morbid Obesity on Morbidity and 360 Mortality Effects of Bariatric Surgery on Metabolic 361 Co-Morbidities Effects of Bariatric Surgery on Respiratory 371 Disturbances Impact of Bariatric Surgery on Health Related 377 Quality of Life Impact of Bariatric Surgery on Life Expectancy 378 Conclusion 383 References 383 Index 389
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