This book provides a concise, focused and clinically relevant summary of complications and emergencies related to bariatric surgery. The first section of the text addresses general complications related to anesthesia and the stress of surgery, including issues such as deep vein thrombosis, pulmonary embolism, hemorrhage, pneumonia and cardiac complications. Additionally, this section addresses the workup of the bariatric patient with abdominal pain. The second portion of the text focuses on gastric bypass and sleeve-specific complications, including staple line and anastomotic leaks, internal hernia, marginal ulceration, GI obstruction, hernia formation and gallstone disease. The third portion of the book examines metabolic, nutritional and psychological complications after bariatric surgery. The text also covers management of weight loss failure. Bariatric Surgery Complications and Emergencies serves as a very useful resource for physicians and surgeons who are involved in any parts of evaluation or management of bariatric patients suffering from postoperative complications or emergencies including bariatric surgeons who perform these operations on a regular basis, non-bariatric general surgeons who cover such patients when on-call, surgical trainees, and primary care physicians.

This text focuses on the complications following bariatric surgery. The focus is on the immediate and long term complications that would be important to both the general surgeon and those surgeons with specialty experience in bariatric surgery. Sections address the nutritional deficiencies following bariatric surgery with specific attention to Roux en Y gastric bypass and pancreatico-biliary diversion as well as the correction of these deficiencies with medical intervention as well as the indications for surgical revision or reversal. The text reviews the work-up of a bariatric patient with abdominal pain including the appropriate imaging and threshold for operative intervention and the techniques to achieve optimal visualization during this difficult situation. This section focuses on the operative management of anastomotic and staple line leaks and how to definitively manage these surgical emergencies as well as achieve source control and stabilization. Later chapters focus on specific complications following bariatric surgery with specific focus on RYGB, vertical sleeve gastrectomy (VSG), biliary pancreatic diversion, and gastric band. Complications include gastric fistula, gastric staple line disruption following VSG, gastro-jejunal leak following RYGB, relux following bariatric surgery, and failure of weight loss following bariatric surgery. These sections are written by experts in the field of bariatrics and include evidence based medicine as well as expert opinion on the management of bariatric complications. The sections provide a review of the literature and references at the close of each section. Complications in Bariatric Surgery will serve as a resource for both the general surgeon who handles bariatric emergencies as well as the bariatric specialist.

As bariatric procedures become more commonplace, the safety and quality of bariatric surgery continues to rise. Risk factors remain inconsistent from hospital to hospital and procedure to procedure, however, highlighting the necessity for comprehensive education on the prevention and management of their resulting complications. In response to this need, Prevention and Management of Complications in Bariatric Surgery is the first book to compile the most up-to-date prevention and management strategies in this field. Edited by leading experts, it provides sound recommendations for collecting, monitoring, and analyzing outcomes, with an emphasis on quality and process improvement. Its scope is tremendously comprehensive, covering everything from common complications, such as leaks, bleeding, wound infections, and venous thromboembolism; to rare-but-deadly complications, such as Wernicke's encephalopathy and rhabdomyolsis as well as the emergency management of various life-threatening complications, including internal hernia, gastric nectrosis from banding, pulmonary embolus, and bleeding. Readers also learn about early-day, late-day, and intraoperative complications, for which the authors provide evidence-based recommendations for swift and accurate diagnosis, preventive strategies, and best practices in medical and surgical management. Comprehensive and accessible, this book is a valuable resource for bariatric surgeons and surgical trainees, physicians, and nurses who participate in the perioperative care of the bariatric patient.

This book provides a complete guide to laparoscopic sleeve gastrectomy and the management of obesity. The chapters discuss guidelines for healthcare providers for the management of patients with obesity, the rationale behind choosing patients, performing the procedure in line with the patient’s condition, the perioperative period, postoperative requirements, and postoperative complications. This book aims to give readers an understanding of the surgical techniques involved in laparoscopic sleeve gastrectomy and the wider treatment options available. It is relevant to bariatric, metabolic, and general surgeons, physicians, clinical nutritionists as well as students.

This text provides a background of scientific evidence to understand the complications that occur after bariatric surgery for all providers responsible for care after surgical intervention. Written by experts and based on current peer reviewed literature, the text provides a focused approach to the identification and treatment of bariatric surgery complications. To establish a context for providers, the initial section concentrates on presenting the current procedures as well as risks and expected benefits of each with an emphasis on mechanism of action. It examines the issue of weight regain from the aspect of heterogeneity in order to present the perspective that every procedure has risk of weight regain. The text provides guidance to those front line providers who manage acute emergencies and chronic long term problems. State of the art management of complications like leaks, bleeding, ulcers, blood clots and pneumonia are discussed for all procedures in addition to the management of rapid remission of obesity related disease like Type 2 Diabetes and coagulopathies (Leiden Factor V, Protein C and S) that occur commonly in patients with obesity. Each chapter features a review of the current literature in an easy to reference table format and where appropriate an algorithm to focus the reader on the process of care for any given presenting sign or symptom. Bariatric Surgery Complications will be of great value to fellows in minimally invasive surgery, general surgeons, emergency room physicians, gastroenterologists, primary care physicians, medical students and residents in surgery rotations, integrated health personnel.

THE WORLD'S #1 SURGERY TEXT--UPDATED TO INCLUDE STATE-OF-THE-ART EVIDENCE-BASED SURGICAL CARE AND LEADERSHIP GUIDANCE FOR TRAINEES AND PRACTICING SURGEONS The Tenth Edition of Schwartz's Principles of Surgery maintains the book's unmatched coverage of the foundations of surgery while bringing into sharper focus new and emerging technologies. We have entered a new era of surgery in which minimally invasive surgery, robotic surgery, and the use of computers and genomic information have improved the outcomes and quality of life for patients. With these advances in mind, all chapters have been updated with an emphasis on evidence-based, state-of-the-art surgical care. An exciting new chapter, "Fundamental Principles of Leadership Training in Surgery," expands the scope of the book beyond the operating room to encompass the actual development of surgeons. This edition is also enriched by an increased number of international chapter authors and a new chapter on Global Surgery. More than ever, Schwartz's Principles of Surgery is international in scope--a compendium of the knowledge and technique of the world's leading surgeons. Features More clinically relevant than ever, with emphasis on high-yield discussion of diagnosis and treatment of surgical disease, arranged by organ system and surgical specialty Content is supported by boxed key points, detailed anatomical figures, diagnostic and management algorithms, and key references Beautiful full-color design

Leaders in the field present today's most comprehensive coverage of bariatric surgery, one of the most promising current treatments for the growing global epidemic of overweight and obesity. This brand new resource begins with a through examination of the history, incidence, demography, etiology, biology, comorbidities, longevity, and social and economic implications of obesity. It then discusses pre-, peri-, and postoperative issues of importance before examining the evolution of bariatric procedures. Individual chapters present the best surgical approaches, their outcomes, and other considerations involved in this surgical approach. Presents a comprehensive overview of the entire field of bariatric surgery, as well as a broad discussion of critical non-operative topics. Discusses the evolution of bariatric procedures, followed by individual chapters that examine laparoscopic adjustable gastric banding, vertical banded gastroplasty, the banded gastric bypass, and other surgical approaches. Reviews the outcomes of bariatric surgery with respect to nutrition, diabetes, hypertension, sleep apnea, orthopedic conditions, and metabolism. Offers guidance on practical and academic training of the bariatric surgeon, patient support groups, the importance of the multidisciplinary team, managed care, allied health, laparoscopic suites and robotics, liability issues, and more. Includes dietary, drug management, and other alternative non-operative approaches. Addresses the growing incidence of childhood obesity with a chapter focusing on adolescent bariatric surgery patients. With 91 additional contributing experts.