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The second edition of Minimally Invasive Bariatric Surgery provides a comprehensive, state-of-the art review of this field, and it serves as a valuable resource for clinicians, surgeons and researchers with an interest in minimally invasive bariatric surgery. Additionally, the second edition includes new features that will benefit the resident, fellow, or bariatric surgeon new to the field. Specifically, each evidence-based chapter (i.e. outcomes, complications, epidemiology, etc) concludes with three or four exam questions that emphasize the salient points of the chapter and provide fellowship programs a valuable training tool and resource for their academic curriculum. These questions are either single-answer multiple choice or true/false format and the correct response with a brief explanation follows. As more emphasis is placed on completing a comprehensive curriculum and obtaining certification for bariatric training, this aspect of the book is unique and provides added value to the text. The new edition also incorporates many new or updated medical illustrations to enhance the technique chapters and provide more uniformity for the artwork throughout the book. Each of the major procedures include surgical technique, outcomes, and management of complications in separate chapters to provide an easy reference for the busy clinician preparing for a case or presentation. Another unique feature of the text is a link to video files hosted online for the relevant chapters. This video library will be of great value to the user. As the number of fellowships in laparoscopic bariatric surgery continues to increase, this updated text will provide a valuable resource for general and bariatric surgeons, laparoscopic surgeons, fellows, residents, medical students, obesity researchers, and industry representatives involved in this field.
Recent improvements in the performance of light sources, i.e., reduction in pulse length and increases in wavelength range and power levels, have led toultrafast technology becoming a basic tool in a wide variety of scientific fields. This book presents the very latest developments in the rapidly rxpanding field of ultrashofrt lase pulses and their applications in physics, chemistry, biology, and artificial devices. It provides the most up-to-date record of current research and references in the field of ultrafast phenomena. Contents: Elementary Dynamics: Chemistry, Biology and Physics - Spectrospcopy and Advances in Measurements - Tools: Sources and Amplifiers - High Intensity and Nonlinear Effects - Semiconductors, Confinement and Opto-Electronics - Biology: Primary Dynamics, Electron and Energy Transfer - Chemistry: Electron and Energy Transfer, and Solvation Dynamics.
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.
This is a new reference edited by two leading authorities in the field of minimally invasive surgery that differentiates itself from other similar titles by providing a stronger emphasis on incorporating newer technologies. The book discussed the incorporation of flexible endoscopy into surgical practice, harvesting the expertise of gastroenterologists and surgical endoscopists. It also discusses minimally invasive operative procedures such as laparoscopically assisted vaginal hysterectomy.
This Atlas comprehensively covers minimally invasive operative techniques for benign and malignant cancer surgery of the esophagus and stomach. It provides easy-to-follow instructions accompanied by a range of pictures and illustrations, as well as a collection of interactive videos to aid the reader in developing a deeper understanding of each surgical procedure. Techniques covered include minimally invasive surgical treatment for esophageal and gastric cancer including different approaches such as thoracoscopic, transhiatal, laparoscopic, and robot-assisted resections. These chapters include different types of cervical and intrathoracic anastomoses after esophageal resections, and different anastomoses and reconstructions after gastrectomy. Moreover, the Atlas includes an extensive description of minimally invasive procedures in bariatric surgery including sleeve resection, gastric bypass, biliopancreatic diversion, and others. Minimally invasive approaches for other benign pathologies such as benign tumors and treatment of gastroduodenal ulcer complications are also depicted. All chapters, written by a renowned and experienced international group of surgeons and their teams, are focused on practical step-by-step description of the techniques. Atlas of Minimally Invasive Techniques in Upper Gastrointestinal Surgery systematically describes the most frequently performed surgical procedures of the esophagus and stomach and is a valuable resource for all practicing surgeons and trainee general surgeons dedicated to upper gastrointestinal surgery, such as bariatric and surgical oncologists.
This book provides a practical guide to decision making within bariatric surgery. Through uniform and well-structured chapters, topics relating to patient selection, preoperative preparation, the ethics of bariatric surgery, choice of procedure, complications, late failure and management, malabsorptive procedures, and pediatric bariatric surgery are discussed and examined. Difficult Decisions in Bariatric Surgery aims to help readers navigate an increasingly complex surgical specialty and come to reasoned and evidence-based conclusions. This book is of interest to practicing and trainee surgeons, endocrinologists, endoscopists, and pediatricians.
​The fully updated 2nd edition of this textbook continues to serve as a comprehensive guide for information dealing with the ever-evolving field of bariatric surgery. The chapters are written by experts in the field and include the most up-to-date information, including new sections on quality in bariatric surgery, endoscopic surgery, and management of bariatric complications. This new edition continues to cover the basic considerations for bariatric surgery, the currently accepted procedures, outcomes of bariatric surgery including long-term weight loss, improvement and resolution of comorbidities, and improvement in quality of life. Other special emphasis is given to the topics of metabolic surgery and surgery for patients with lower BMI. In addition, new endoscopic bariatric procedures including the gastric balloons, endoscopic revisional procedures, and newer pharmacotherapy for obesity are reviewed. The ASMBS Textbook of Bariatric Surgery Second Edition will continue to be a leading source of scientific information for surgeons, physicians, residents, students, and integrated health members today and for years to come.
A complete full-color overview of obesity surgery-written by the field's foremost experts Obesity Surgery: Principles and Practice brings together the top minds in the discipline who, collectively, deliver a benchmark reference that will prove indispensable for general and bariatric surgeons and residents. Page after page, the book's esteemed editors take you step by step through the very latest, most advanced surgical techniques and clinical protocols. Using full color throughout, this logically organized guide begins with an insightful look at the general principles of obesity surgery-one that provides a vital theoretical framework for subsequent chapters. The next sections of the book offer an in-depth review of surgical procedures and postoperative management that no other text can match. Features: Unequaled coverage that delivers an up-to-date, comprehensive survey of today's obesity surgery practice Valuable, skill-building insights that reflect the expertise of an international pool of editors and authors in the field of bariatric surgery Focus on topics not covered in other books, including Surgery in Adolescents, Cost Analysis of Laparoscopic versus Open Surgery, and Surgery in the “Super Obese” Full-color art program to clarify surgical protocols
SAGES represents a worldwide community of surgeons that can bring minimal access surgery, endoscopy and emerging techniques to patients in every country.
Issues in Gastrointestinal and Visceral Surgery: 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Gastrointestinal and Visceral Surgery. The editors have built Issues in Gastrointestinal and Visceral Surgery: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Gastrointestinal and Visceral Surgery in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Gastrointestinal and Visceral Surgery: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at
Sleeve gastrectomy (SG) is the most common bariatric procedure performed worldwide, more than 55% of bariatric procedures are sleeve gastrectomies. This title will be comprehensive and detail all the approaches used in performing sleeve gastrectomy, offering readers all the tools needed to perform the perfect SG. Obesity has become a major global problem that continues to spread in both developed and developing countries. It costs more than any other health problem due to its prevalence and its many costly complications such diabetes and heart disease as well as in disability and loss of productivity. While prevention of obesity is the best approach for the future, the current problem lies with managing those who are already obese or morbidly obese who constitute close to two thirds of the population in many countries such as the US. Diet, exercise, and behavioral change are the mainstays for any meaningful attempt for significant and durable weight loss. Unfortunately, for those who are morbidly obese, these measures alone almost consistently fail to achieve acceptable weight loss in the long term. Today, bariatric surgery is the only evidence-based treatment for morbid obesity with a low complication rate and acceptable results in the long-term for both weight loss and resolution of comorbidities. Despite the data, the acceptance of these operations was limited due to fear of what was perceived as major surgery. Today, applying minimally invasive technology to these complex operations made them more acceptable to patients due to decreased pain, faster recovery and fewer overall complications. This, in addition to improved outcomes as we went further along the learning curve, has made these operations more common and helped growing the field to be an independent specialty for surgeons and perhaps a new specialty for gastroenterologist. In these exciting times, the 5 international editors (one of them, Michel Gagner, is the creator of the SG) wanted to capture the global standards of practice at a time of change, excitement, and lots of controversy, regarding this common procedure. We an aim to shed light on best practices across the borders, the intention of this volume is to develop a reliable reference to guide the practicing physician anywhere in the world, and from whatever specialty (surgeon, gastroenterologist or endoscopist) to navigate through the many current options of therapy in this rapidly changing field. We also aim to provide high quality illustrations and high-definition videos of these techniques to go with the didactic chapters written by thought leaders. In this book we will focus first on the clinical problems of the patients and the indications for the sleeve. Regarding the technical aspects, we will describe the technique step-by-step (including videos) and also we will detail the staplers, its size and different colors -- and the different sizes of the bougies, and also special description of the reinforcement of the sutures after the sleeve. We know that mainly the SG has a restrictive function, but we will also describe the metabolic effects of this surgery. Then we will describe the nontraditional SG techniques, such as the endoscopic approach, staples sleeve and robotic technologies. Bariatric surgery has very few rates of complications, but when complications happen, they are severe. Thus we will describe how to identify them immediately and also the different approaches to treat them by endoscopy, laparoscopy and percutaneous image guided surgery. A chapter will also cover revisional surgery and the different revisional procedures, not only from sleeve to other procedures but also from other procedures to SG. For the last section,we will include the lessons learned from almost 20 years now since the SG was first described, providing an overview on how we imagine the future will be for the most common bariatric procedure performed worldwide. This title will be an ideal reference for general surgeons, bariatric surgeons, endoscopists and gastroenterologists with interest in obesity management as well as researchers with interest in obesity. Residents and fellows training in general and bariatric surgery as well as in endoscopy. Dietitians, diabetes specialist, psychotherapists with interest in obesity management as well as hospital administrators and quality officers in hospitals with bariatric practices will also benefit by this book.
A comprehensive and practically oriented introduction to the subject minimally invasive or laparoscopic surgery.
Abstract Morbid obesity and obesity‐related comorbidities are major public health problems around the world, including in East Asia. Although Asian populations have been shown to have an elevated risk of type 2 diabetes mellitus, hypertension, and hyperlipidemia at a relatively lower BMI than Western populations, the Asian perspective on bariatric and metabolic surgeries has not been actively discussed until recently. Bariatric surgery in East Asia has undergone a paradigm shift since the first laparoscopic vertical bariatric surgery was performed in Taiwan in 1998, which was subsequently followed by the introduction of laparoscopic adjustable gastric banding, Roux‐en‐Y gastric bypass, and mini‐gastric bypass. Since 2006, use of laparoscopic sleeve gastrectomy has remarkably increased because of its ease, speed, and safety. With regard to metabolic surgery, a randomized controlled trial in Taiwan demonstrated that laparoscopic Roux‐en‐Y gastric bypass is more effective than laparoscopic sleeve gastrectomy for surgical treatment of poorly controlled type 2 diabetes mellitus and metabolic syndrome. In this article, we describe the history of bariatric procedures, revision surgeries, weight‐loss effect, and metabolic surgeries in Asian populations, and we also discuss minimally invasive bariatric surgery with some important citations.
Obesity is a serious and rapidly increasing medical problem. Bariatric surgery is the only effective long-term treatment for morbid obesity and the performance of this surgery has increased dramatically over the years. Bariatric Surgery: A Primer for Your Medical Practice is a user-friendly, practical reference text that provides all the necessary information that the health care professional will need to assist in patient selection and preoperative assessment, as well as recommendations in dealing with complex postoperative care of the bariatric patient. Dr. Francis A. Farraye and Dr. R. Armour Forse, joined by leading experts, review what is required by today's practicing physician who will manage the care of obese adults. Inside the chapters of Bariatric Surgery, along with numerous tables, images, and charts, you will find many crucial elements of bariatric surgery extensively and practically covered. Bariatric Surgery is the perfect resource for the primary care physician, family practitioner, general internist, endocrinologist, nutritionist, gastroenterologist, radiologist, medical and surgical resident, and medical student. Long awaited, Bariatric Surgery is the answer many are searching for today. Some chapter topics: The medical management of obesity Types of bariatric surgery Assessments of patients prior to bariatric surgery Medical management of the patient after bariatric surgery Nutritional and psychological consequences of bariatric surgery Endoscopic and radiologic imaging
The Atlas of Metabolic and Weight Loss Surgery is a fully-illustrated step-by-step guide to 51 open and laparoscopic procedures for metabolic and weight loss surgery, including the latest information on sleeve gastrectomy, gastric banding, biliopancreatic diversion and more. Learn the latest technique in minimally invasive approaches to bariatric surgery-single incision-for sleeve gastrectomy and gastric band surgery. The Atlas also includes chapters on investigational procedures such as gastric balloons, gastric pacing, endoluminal sleeve and ileal interposition. This is an important text for all bariatric surgeons who want to brush up on the newest surgical procedures, and a must read for any general surgeon who would like to learn more about metabolic and weight loss surgery.

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