Download Bariatric and Metabolic Surgery: Indications, Complications by Luigi Angrisani (eds.) PDF

By Luigi Angrisani (eds.)

This e-book describes the surgical bariatric systems most often played world wide and examines their evolution lately either inside Italy and the world over. for every operation, symptoms, the surgical procedure, power issues, and the results with admire to weight and obesity-associated comorbidities are provided. In view of the numerous failure fee printed through experiences at the long term result of bariatric surgical procedure, the matter of weight regain and revision surgical procedure also are mentioned intimately, protecting the differing kinds of revision, conversion to different techniques, and the most results. furthermore, person chapters specialise in chosen subject matters of significance. The position of bariatric surgical procedure within the remedy of style 2 diabetes (“diabetes surgery”) is mentioned and the controversy over the importance of gastroesophageal reflux affliction and hiatal hernia for collection of process is summarized. ultimately, the most typical endoluminal tactics, that have been gaining in significance, are defined and different bariatric operations, outlined.

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Extra resources for Bariatric and Metabolic Surgery: Indications, Complications and Revisional Procedures

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A USA/Canada, B Europe, C Latin/South America, D Asia/Pacific, RYGB Roux-en-Y gastric bypass, SG sleeve gastrectomy, AGB adjustable gastric banding, BPD-DS biliopancreatic diversion/duodenal switch, OAGB one-anastomosis gastric bypass 22 L. Angrisani et al. 9, 3, and 11% was observed for RYGB in USA/Canada, Europe, and Asia/Pacific, respectively. 9%. 7%, respectively). 7%). 7%). No data on MGB/OAGB were reported by USA/Canada. Data on regional trends are summarized in Fig. 2. 5 Discussion and Conclusions Over recent years, different endoluminal procedures – Orbera intragastric balloon, BioEnterics intragastric balloon (BIB), Obalon balloon, Spatz Adjustable Balloon System, Heliosphere Bag, Primary Obesity Surgery Endoluminal (POSE) weightloss procedure, StomaphyX, Apollo Overstitch Endosurgery, EndoBarrier – have gained popularity among bariatric surgeons in the attempt to fill the gap between medical and surgical treatment for borderline patients [8].

In some bariatric centers, LAGB is now performed via a single umbilical incision. Despite its popularity among patients and its minimal invasiveness, LAGB is a demanding procedure that should not be performed on an occasional basis in medical facilities with little experience in the postoperative management of the gastric band patient. Successful long–term outcomes after LAGB depend on a number of variables, including surgical technique and skills, careful patient selection, managing patient expectations, and close postoperative monitoring and follow-up.

4 Evolution of Bariatric Surgery in Italy: Results of the National Survey 29 As is clearly shown by collected data, the key objective of the national register – to accumulate sufficient data to allow a comprehensive report on outcomes following bariatric surgery – has been met. Over the last few years, more procedures have been recorded, new centers have begun uploading their caseloads, and long-term follow-up data are available for more patients. At present, the register allows constant monitoring of bariatric surgery in Italy, not just in terms of number of procedures performed but especially in terms of outcomes.

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