The SAGES Manual of Metabolic and Bariatric Surgery

1. SAGES Master Program for Bariatric Surgery.- 2. Bariatric Surgery: History & Evolution.- 3. The Obesity Epidemic.- 4. Bariatric Surgery Indications in the Twenty-Twenties.- 5. The Role of the Advanced Practice Provider, Social Worker, and Physical Therapist in the Management of the Bariatric Patient.- 6. The Role of the Registered Dietician in the Management of the Bariatric Patient.- 7. The Role of the Psychologist in the Management of the Bariatric Patient.- 8. The Role of the Obesity Medicine Physician in the Management of the Bariatric Patient.- 9. Establishing a Comprehensive Bariatric Program.- 10. MBSAQIP and the Value of Accreditation.- 11. Preoperative Optimization for Bariatric Surgery.- 12. Post Operative Bariatric Care and Enhanced Recovery Pathways.- 13. Obesity as a Chronic Disease: The Need for Long Term Follow-Up.- 14. Medically Supervised Weight Loss and Effects of Anti-Obesity Medications.- 15. Neurohormonal Treatment in Obesity Medicine.- 16. The Genetic and Microbial Influences in Obesity and Obesity Management.- 17. The Role of Preoperative, Intraoperative, and Postoperative Diagnostic Endoscopy in Bariatric Surgery.- 18. Index Endoscopic Bariatric and Metabolic Therapies.- 19. Adjustable Gastric Banding: Indications and Technique.- 20. Sleeve Gastrectomy: Indications and Technique.- 21. Roux-en-Y Gastric Bypass: Indications and Technique .- 22. Biliopancreatic Diversion with Duodenal Switch: Indications and Technique.- 23. Single Anastomosis Duodeno-ileostomy with Sleeve: Indications and Technique.- 24. One Anastomosis Gastric Bypass: Indications and Technique.- 25. Comparative Outcomes in Metabolic Surgery – Weight Loss.- 26. Comparative Outcomes in Metabolic Surgery – Diabetes and Cardiovascular Health.- 27. Adjustable Gastric Band Associated Complications.- 28. Venous Thromboembolism.- 29. Bleeding after Bariatric Surgery: Early and Late.- 30. Staple Line and Anastomotic Leaks.- 31. Sleeve Stenosis, Torsion and Delayed Emptying.- 32. Anastomotic Stenosis and Ulcers.- 33. Bowel Obstruction: Early and Late.- 34. Hyperinsulinemic Hypoglycemia after Metabolic Surgery.- 35. Reflux after Bariatric Surgery: Incidence and Work Up.- 36. Reflux after Bariatric Surgery: Management Options.- 37. Malnutrition: Incidence, Diagnosis and Management.- 38. Weight Recurrence: Definition, Evaluation, and Implications.- 39. Endoscopic Management of Weight Relapse.- 40. Revisions and Conversions after Adjustable Gastric Band.- 41. Revisions and Conversions after Sleeve Gastrectomy.- 42. Revisions and Conversions after Roux-en-Y Gastric Bypass.- 43. Surgical Revisions after Endoscopic Primary Procedures ().- 44. Revisions and Conversions after OAGB, SADI-S and BPD-DS.- 45. Concomitant Management of the Hiatus.- 46. Robotic Bariatric Surgery.- 47. Bariatric Emergencies for the General Surgeon.- 48. Adolescents and Bariatric Surgery: Techniques and Outcomes.- 49. Bariatric Surgery in the Elderly.- 50. Bariatric Surgery in Patients with Inflammatory Bowel Disease.- 51. Bariatric Surgery as a Bridge Therapy.- 52. Pregnancy and Bariatric Surgery.- 53. Bariatric Surgery and Cancer.- 54. Bariatric Tourism: Bidirectional and in the United States.- 55. Disparities in Bariatric Surgery Care.- 56. Same Day Bariatric Surgery.- 57. Biliary Considerations: Before, During and After Metabolic Surgery.- 58. Metabolic Surgery from the Patient Perspective.

• Presents a comprehensive approach to the current and future status of metabolic and bariatric surgery
• Discusses evolution of treatment, patient selection, the latest surgical techniques and future directions
• Addresses both the bariatric and metabolic bases of therapies and outcomes

Obesity is an epidemic - more than 40% of the United States population suffers from obesity and, as such, it has a high burden of weight-related conditions and diseases.  Metabolic and bariatric surgery has proven to be the most effective and durable treatment of severe obesity.  Technological advances including applications of laparoscopy, robotics and endoluminal techniques have rapidly advanced this field.  Data and outcomes examining treatments have also improved and, as providers, we have a wide spectrum of therapeutic options to treat patients.

As techniques and outcomes change rapidly, access to a comprehensive yet focused resource regarding bariatric surgery is currently limited.  The third edition of this manual is designed to present a comprehensive and state-of the-art approach to the current and future status of metabolic and bariatric surgery.  Sections will address the evolution in specific treatments available to patients, initial evaluation, and selection of procedures for individual patients, the latest surgical and endoscopic techniques being employed to treat patients including data on outcomes, and future directions for therapy.  In particular and unique amongst references, a major focus of this text will be on both the bariatric and metabolic bases of therapies and outcomes.

About the editors

Omar M. Ghanem, MD, FACS, Department of Surgery, Mayo Clinic, Rochester, MN, USA

Matthew Kroh, MD, FACS, Department of Surgery, Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA

Farah Husain, MD, FACS, FASMBS, Department of Surgery, University of Arizona College of Medicine, Phoenix, AZ, USA

Judy Y. Chen MD, FACS, FASMBS, Department of Surgery, University of Washington, Seattle, WA, USA

Robert B. Lim, MD, FACS, FASMBS, Department of Surgery, Wake Forest University, Atrium Health Carolinas, Charlotte, NC, USA