Gastric Bypass. Bariatric and Metabolic Surgery Perspectives

Part I - Introduction

1. History of the gastric bypass
2. Gastric bypass - Mechanisms of functioning
3. Rationale for gastric bypass

Part II - Bariatric Surgery

Section A - General concepts

4. Morbid obesity
5. Obesity and related diseases
6. Obesity and cancer
7. Systemic inflammation in the morbidly obese patient
8. Metabolic syndrome
9. Non-Alcoholic fatty liver disease - NAFLD

Section B - Preoperative concerns

10. The bariatric team
11. Bariatric clinic/hospital infrastructure
12. Patient selection
13. Preparing the patient for gastric bypass
14. Tests and exams
15. Preoperative endoscopy
16. Informed consent
17. Nutritional issues
18. Psychological and psychiatric issues
19. Sleep apnea management
20. Preoperative weight loss
21. The superobese patient

Section C - Anaesthesia

22. Airway evaluation and management
23. Positioning the patient before the procedure
24. Monitoring the morbidly obese
25. Methods of anaesthesia
26. Perioperative anaesthesia
27. Postoperative Analgesia

Section D - Techniques for Gastric bypass

28. Instruments and materials
29. Anatomic considerations
30. Open Roux-en Y gastric bypass
31. Developing the laparoscopic gastric bypass
32. Robotic Roux-en Y gastric bypass
33. Roux-en-Y Gastric Bypass Learning curve
34. Ante colic Roux-en-Y gastric bypass
35. Retro colic Roux-en Y gastric by-pass
36. Fobi Roux-en Y gastric bypass
37. Capella Roux-en Y gastric bypass
38. Roux-en-Y gastric bypass hand sewn
39. Roux-en-Y gastric bypass - gastrojejunostomy with Trans-oral circular stapling
40. Roux-en-Y gastric bypass - gastrojejunostomy with circular stapler via transabdominal
41. Roux-en-Y gastric bypass - gastrojejunostomy with linear stapler
42. Mini gastric bypass - Technique
43. Staged gastric bypass for high risk patients
44. Roux-en Y gastric bypass in adolescents
45. Conversion of sleeve gastrectomy to gastric bypass
46. Conversion of gastric banding to gastric bypass
47. Conversion of vertical banded gastroplasty
48. Gastric bypass reoperation for weight regain
49. Banding the gastric bypass due to weight regain
50. Pancreatic neoplasm after gastric bypass
51. Gastric Bypass Leaning Curve - Laparoscopic & Robotic

Section E - Technical issues

52. Staple lines reinforcement
53. Drainage
54. Gastrojejunostomy testing
55. Closing the gaps
56. Preventing complications

Section F - Postoperative care

57. ICU for the gastric bypass patient
58. Preventing thromboembolism
59. Physiotherapy
60. Vitamins and minerals
61. Nutrition
62. Psicological assistance

Section G - Complications

63. Intraoperative complications
64. Leaks
65. Infection - diagnosis and treatment
66. Bleeding
67. Bowel obstruction
68. Internal hernias
69. Stenosis
70. Ulcer disease
71. Reflux
72. Dumping syndrome
73. Thromboembolism
74. Rhabdomyolisis
75. Weight regain
76. Depression, suicide and alcoholism
77. Eating disorders
78. Gallbladder stones
79. Bacterial overgrowth
80. The rebel patient
81. Therapeutic endoscopy

Section H - Endoscopy

82. Preoperative intragastric balloon
83. Endoscopic treatment of obesity
84. Endoscopic treatment of complications
85. Endoscopic treatment of weight regain

Section I - Miscellaneous

86. Plastic surgery after gastric bypass
87. Malpractice and medico-legal issues
88. Pregnancy
89. Bariatric surgeon training
90. Re-operative bariatric surgery
91. Quality of life before and after gastric bypass
92. Radiographic evaluation
93. Cost and economics of gastric bypass
94. Gastric bypass outcomes in bariatric surgery

Part III - Metabolic surgery / Type 2 diabetes

95. Type 2 diabetes
96. Type 2 diabetes and the foregut
97. Mechanisms of control of diabetes 2 with gastric bypass
98. Experimental studies
99. Tests and exams
100. Endocrinology point of view
101. Selecting patients
102. Preoperative care
103. Gastric bypass in patients with metabolic syndrome
104. Gastric bypass for type 2 diabetes BMI > 35kg/m2
105. Gastric bypass for type 2 diabetes BMI < 35kg/m2
106. Postoperative care
107. Complications
108. Gastric bypass outcomes in patients with type 2 diabetes
109. Selected articles

This book presents and describes the various uses of gastric bypass in bariatric and metabolic surgery and outlines the different techniques currently available. Furthermore, the possible complications with the procedure and ways to avoid them are also discussed. The use of the gastric bypass for the treatment of diabetes is emphasized and the new indications for the operative treatment of diabetes are featured in detail. Endoscopic uses concerning the gastric bypass are also addressed, covering preoperative evaluation, complications treatment, weight regain treatment and endoscopic treatment of obesity. The most advanced techniques and new technologies available for performing gastric bypass surgeries are presented in the most didactic possible way, making use of value-added learning features throughout the text.Gastric Bypass - Bariatric and Metabolic Surgery Perspectives is intended as a practical guide for all those interested and involved with bariatric surgery, including general surgeons, bariatric surgeons, GI surgeons and surgery residents.