Bariatric and Metabolic Surgery: Indications, Complications and Revisional Procedures (Updates in Surgery)

This book describes the surgical bariatric procedures most frequently performed worldwide and examines their evolution in recent years both within Italy and internationally. For each operation, indications, the surgical technique, potential complications, and the outcomes with respect to weight and obesity-associated comorbidities are presented. In view of the significant failure rate revealed by studies on the long-term results of bariatric surgery, the problem of weight regain and revision surgery are also discussed in detail, covering the different types of revision, conversion to other procedures, and the main outcomes. In addition, individual chapters focus on selected topics of importance. The role of bariatric surgery in the cure of type 2 diabetes (“diabetes surgery”) is discussed and the debate over the significance of gastroesophageal reflux disease and hiatal hernia for choice of procedure is summarized. Finally, the most common endoluminal procedures, which have been gaining in importance, are described and other bariatric operations, outlined. Front Matter....Pages i-xv History of Obesity Surgery in Italy....Pages 1-7 Current Indications to Bariatric Surgery in Adult, Adolescent, and Elderly Obese Patients....Pages 9-18 Bariatric Surgery Worldwide....Pages 19-24 Evolution of Bariatric Surgery in Italy: Results of the National Survey....Pages 25-30 Gastric Banding....Pages 31-40 Sleeve Gastrectomy....Pages 41-55 Roux-en-Y Gastric Bypass....Pages 57-67 Mini-Gastric Bypass/One Anastomosis Gastric Bypass....Pages 69-77 Standard Biliopancreatic Diversion....Pages 79-91 Duodenal Switch....Pages 93-105 Single Anastomosis Duodenoileal Bypass with Sleeve Gastrectomy....Pages 107-115 Ileal Interposition....Pages 117-125 The Problem of Weight Regain....Pages 127-135 Band Revision and Conversion to Other Procedures....Pages 137-142 Sleeve Revision and Conversion to Other Procedures....Pages 143-149 RYGB Revision and Conversion to Other Procedures....Pages 151-164 The Problem of Gastroesophageal Reflux Disease and Hiatal Hernia....Pages 165-172 Diabetes Surgery: Current Indications and Techniques....Pages 173-181 Endoluminal Procedures....Pages 183-193 Other Bariatric Procedures....Pages 195-206