Malabsorptive Surgeries
Surgical Techniques, Results, and Challenges
- 1st Edition - June 7, 2024
- Imprint: Academic Press
- Editor: Jaime Ruiz Tovar
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 2 1 6 7 2 - 5
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 2 1 6 7 3 - 2
Malabsorptive Surgery: Surgical Techniques, Results, and Challenges describes the development of classic and new malabsorptive surgical techniques. Coverage includes the results o… Read more
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Request a sales quoteMalabsorptive Surgery: Surgical Techniques, Results, and Challenges describes the development of classic and new malabsorptive surgical techniques. Coverage includes the results obtained after the procedures, as well as postoperative complications - including early complications (associated with the difficulty of the operation) and late complications (associated with nutritional sequelae). This book is the perfect reference for basic and translational research focused on the mechanism of action of malabsorptive procedures, that goes beyond the bypassing of intestinal loops, affecting the regulation of hormonal signals. The content is also useful for bariatric surgeons and endocrinologists dealing with the bariatric options and results.
Despite the aims of bariatric surgery focusing on performing procedures associated with low postoperative complications rates (mostly restrictive procedures), there is increasing evidence showing mid- and long-term failure of restrictive and mixed procedures in terms of weight regain and recurrence of comorbidities. This has increased the need for revisional surgeries after failed primary procedures, and consequently, increased the popularity of malabsorptive techniques.
- Introduces new malabsorptive techniques, including OAGB and SADIS, which have improved results and reduced the nutritional sequalae of more classic approaches like biliopancreatic diversion and duodenal switch
- Provides insights into basic and translational research focused on the mechanism of action of malabsorptive procedures that goes beyond the bypassing of intestinal loops, thus affecting the regulation of hormonal signals
- Presents step-by-step procedures with accompanying images to guide performance of specific procedures
Translational Researchers in Obesity and Diabetes Mellitus, Bariatric Surgeons, and Endocrinologists, General Practioners, Cardiologists, and Pulmonologists involved in patient prep for bariatric surgery
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Section 1. Preoperative evaluation
- Chapter 1. Types of bariatric procedures and their fundaments
- Introduction
- Restrictive procedures
- Malabsorptive procedures
- Mixed procedures
- Chapter 2. Selection of patients for malabsorptive surgery: Indications and contraindications
- Introduction
- Patient selection
- Indications and contraindications
- Conclusions
- Chapter 3. Psychological assessment of candidates for a malabsorptive surgery
- Introduction
- Psychological preparation of candidates for a malabsorptive surgery
- Psychological Assessment of candidates for a malabsorptive surgery
- Psychological assessment tools
- Conclusion
- Chapter 4. Special anesthetic considerations for patients planned for a malabsorptive surgery
- Introduction
- Diseases associated with obesity
- Perioperative factors
- Main perioperative complications
- Conclusions
- Chapter 5. Nutritional optimization prior to malabsorptive surgery
- Introduction
- Preoperative nutritional optimization
- Assessment of nutrient deficiencies
- Addressment of nutritional deficiencies
- Dietary considerations
- Conclusion
- Section 2. Surgical techniques
- Chapter 6. Biliopancreatic diversion
- Introduction
- Biliopancreatic diversion with partial gastrectomy (classic scopinaro)
- Biliopancreatic diversion with gastric preservation (modified scopinaro)
- Chapter 7. Duodenal switch
- Introduction
- Indications
- Surgical technique [3]
- Results
- Complications
- Contraindications
- Chapter 8. One anastomosis gastric bypass
- Introduction
- Indications
- Surgical procedure
- Results
- Complications
- Contraindications
- Chapter 9. Single-anastomosis duodeno-ileal bypass with sleeve (SADI-s)
- Introduction
- Patient selection
- Surgical technique
- Weight loss
- Comorbidity resolution
- Postoperative complications
- Comparative results with other techniques
- Conclusions
- Chapter 10. Revisional surgery
- Indications
- Preoperative evaluation
- Outcomes
- Approach
- Section 3. Rare methods and endoscopic challengers
- Chapter 11. Endobarrier
- Introduction
- Pathophysiology
- Preparation and monitoring of the procedure
- Indications and contraindications
- Placement or implant
- POST implant controls
- Removal or explant
- Reimplantation
- Results
- Combination with other procedures
- Conclusions
- Chapter 12. Other techniques: SAGIS/SASI, bipartición intestinal
- Introduction
- Intestinal bipartition
- SASI: single anastomosis sleeve with ileal bypass
- SAGI: single anastomosis gastroileal bypass
- Section 4. Postoperative course
- Chapter 13. Early postoperative complications after malabsorptive bariatric surgery
- Introduction
- Critical sites in malabsorptive surgical techniques
- Chapter 14. Weight loss and remission of comorbidities
- Introduction
- Obesity and bariatric procedures
- Weight loss
- Type II diabetes remission
- Hypertension remission
- Dyslipemia remission
- Obstructive sleep apnea remission
- Bariatric surgery and gastroesophageal reflux disease
- Nonalcoholic fatty liver disease
- Physical activity, pregnancy, quality of life, and psychological remarks
- Conclusions
- Chapter 15. Nutritional sequelae after bariatric malabsorptive surgery
- Introduction
- Malnutrition and sarcopenia
- Micronutrient management
- Other metabolic complications
- Chapter 16. Specific supplementation requirements
- Recommendations after hospital discharge
- Nutritional modifications
- Specific supplementations
- Chapter 17. Long-term effects and complications of malabsorptive techniques
- Introduction
- Pathogenesis of nutritional deficiencies after malabsorptive surgery
- Clinical manifestations
- Quality of life
- Chapter 18. Impact of physical activity pre-and postoperative after bariatric malabsorptive surgery
- Introduction
- Disadvantages of bariatric surgery
- Exercise in bariatric patients
- Chapter 19. ERAS protocols
- Introduction
- Special features of enhanced recovery protocols in bariatric surgery
- Phases of the ERAS protocol
- Results of the implementation of enhanced recovery protocols in bariatric surgery
- Section 5. Other aspects of malabsorptive surgery
- Chapter 20. Personal experience of a bariatric surgeon and simultaneously patient undergoing a malabsorptive procedure
- Introduction
- Personal history
- Chapter 21. Future basic research lines on malabsorptive procedures
- Introduction
- Hormonal signaling changes
- Microbiota modifications
- Bowel limb lengths
- Chapter 22. Economic impact of malabsorptive procedures
- Development of the economic impact of malabsorptive procedures
- What types of expenses should we assess in order to analyze the economic impact of surgery with malabsorption techniques?
- What changes are necessary to improve the economic impact of surgery with malabsorption techniques?
- Chapter 23. Quality of life of patients undergoing malabsorptive techniques
- Introduction
- Concept of quality of life
- Types of questionnaires
- Results
- Different malabsorptive techniques
- Future perspectives
- Conclusions
- Index
- Edition: 1
- Published: June 7, 2024
- Imprint: Academic Press
- No. of pages: 300
- Language: English
- Paperback ISBN: 9780443216725
- eBook ISBN: 9780443216732
JT
Jaime Ruiz Tovar
Dr. Ruiz-Tovar Polo is a bariatric surgeon and professor of surgery at Universidad Rey Juan Carlos Madrid. He is an accredited expert in bariatric and metabolic surgery by the Spanish Society of Bariatric Surgery (SECO). He is author of more than 200 scientific articles, editor of 25 books and author of over 120 book chapters.
Affiliations and expertise
Senior Professor, Universidad Alfonso X, Madrid, SpainRead Malabsorptive Surgeries on ScienceDirect