This book explains the concept of metabolic surgery and provides step-by-step descriptions of all the principal minimally invasive surgical techniques employed to treat morbid obesity. The approach adopted is very practical. For each procedure, indications, technical aspects, clinical management and outcomes are described and helpful tips and tricks, highlighted. Guidance is provided on the management of emergencies and potential complications, as well as on general postoperative management and long-term follow-up. The coverage also includes new frontiers of robotic and endoscopic surgery. While the focus is on surgical techniques, emphasis is placed on the need for a multidisciplinary approach, with explanation of the role of the multidisciplinary team and the bariatric center. In addition, important information is presented on the definition of morbid and severe obesity, incidence/prevalence, pathophysiology and obesity-related comorbidities. The authors are internationally acknowledged experts who present best practice know-how in the field and draw on the most recent research literature.
Part I Obesity.- 1 Historical background: from the past to present.- 2 Incidence and prevalence of Obesity. -3 The Pathophisiological of Obesity.- 4 Obesity-related Comorbidities .- 5 Hypogonadism and Obesity.- 6 The microbiota organ and bariatric surgery.- Part II Surgery of Obesity.- 7 The “Bariatric Multidisciplinary Centre”.- 8 Metabolic surgery.- 9 Diabetes Surgery.- 10 The role of laparoscopy in Bariatric Surgery.- 11 Anesthesia in Bariatric Surgery.- 12 Fast Track in bariatric Surgery- Safety, quality, teaching aspects, logistics and cost-efficacy in 8000 consecutive cases.- Part III Surgical Treatment.- 13 Indications For Bariatric Surgery.- 14 Endoscopic treatment: Intragastric Balloon.- 15 Endoscopic Treatment: New technologies.- 16 Adjustable Gastric Banding.- 17 Laparoscopic Roux-en-Y Gastric Bypass: Technical Aspects, Clinical Management and Outcomes.- 18 Laparoscopic Sleeve Gastrectomy .- 19 Bariatric and Metabolic Mini-invasive Surgery: Principles and Technical Aspects.- 20 Laparoscopic Duodenal Switch .- 21 Laparoscopic Gastric Plication.- 22 Revisional Surgery: Gastric Banding failure.- 23 Revisional or conversion procedures for Roux-en-Y Gastric Bypass Failure.- 24 Revisional Surgery: Biliopancreatic Diversion failure.- 25 Emergencies in Bariatric Surgery: Highlights for the General Surgeon.- 26 Emergencies in bariatric surgery: Internal hernia.- Part IV Outcomes.- 27 Nutrition Outcomes.- 28 Long-Term Follow Up after Bariatric Surgery.
After graduating cum laude in Medicine and Surgery in 1981 at the University of Rome “La Sapienza”, Marcello Lucchese specializes in digestive surgery and urology in Rome and Florence becoming assistant general surgeon in 1988 and earning a surgery fellowship at Pittsburgh University in 1992. Since 1992 he is head of the Tuscany Reference Centre for the Surgical Treatment of Severe Obesity at Careggi Hospital, Florence, Italy, he is also full professor of surgery at the medical school of the University, Florence. Past president of the Italian Society for Obesity, Surgery and Metabolic Disorders (S.I.C.OB.) in which he is still actively involved and president in charge of the A.I.O. (Italian Association of Obesity), Prof. Lucchese is author of several scientific publications and was conference speaker at national and international events, recently most related to bariatric surgery and laparoscopic surgery.