Surgical Management of Obesity

Surgical Management of Obesity

By Henry Buchwald, MD, PhD, Professor of Surgery and Biomedical Engineering, Owen H. and Sarah Davidson Wangensteen Chair in Experimental Surgery Emeritus, Department of Surgery, University of Minnesota, Minneapolis, MN; George S. M. Cowan, Jr., MD, Professor Emeritus in Surgery, University of Tennessee Medical Director, Obesity Wellness Center, Memphis, TN; and Walter J. Pories, MD, Chief, Metabolic Institute, Professor of Surgery, Biochemistry, Sport and Exercise Science, Brody School of Medicine, East Carolina University, Greenville, NC

I. Background

1. Historical Perspectives

2. Incidence and Demography of Obesity

3. Etiology of Obesity

4. Biology of Obesity

II. Consequences

5. Obesity Comorbidities

6. Longevity and ObesityBR>
7. Social Implications of Obesity

8. Economic Implications of Obesity

III. Non-Operative Management

9. Dietary Management of Obesity

10. Drug Management of Obesity

11. Alternative Therapies for Obesity

IV. Preoperative, Perioperative, and Postoperative Patient Care

12. Patient Selection for Bariatric Surgery

13. Preoperative Preparation of the Bariatric Patient

14. Anesthesia Consideration for the Obese

15. Perioperative Management of the Bariatric Patient

16. Postoperative Care of the Bariatric Patient

17. Surgery in the Morbidly Obese Patient

V. Operative Procedures

18. Evolution of the Bariatric Procedures and Selection Algorithm

19. Laparoscopic Adjustable Gastric Banding

20. Vertical Banded Gastropasty

21. Laparoscopic Vertical Banded Gastroplasty

22. Open Roux-en Y Gastric Bypass

23. Laparoscopic Roux Gastric Bypass

24. Laparscopic Gastric Bypass Using the Linear Stapler

25. Laparoscopic Gastric Bypass Using the Circular Stapler

26. Laparoscopic Roux-en Y Gastric Bypass: Hand Sewn Gastrojejunostomy

27. The Banded Gastric Bypass

28. Long ?Limb Roux Gastric Bypass

29. Biliopancreatic Diversion

30. Biliopancreatic Diversion with Duodenal Switch

31. Laparoscopic Duodenal Switch

32. Implantable Gastric Stimulation for the Treatment of Severe Obesity

33. Secondary Plastic Procedures in Bariatric Surgery

34. Ancillary Procedures in Bariatric Surgery

VI. Reoperations and Complications

35. Principles of Revisional Bariatric Surgery

36. Strictures in Bariatric Surgery

37. Leaks, Gastric Disruption in Bariatric Surgery

VII. Outcome

38. Long-Term Follow-Up and Evaluations of Results in Bariatric Surgery

39. Pratical Training of the Bariatric Surgeon

40. Nutritional Outcomes of Bariatric Surgery

41. Resolution of Bariatric Co-Morbidities Diabetes

42. Resolution of Bariatric Comorbidities Hypertension

43. Resolution of Bariatric Comorbidities: Sleep Apnea

44. Resolution of Bariatric Comorbidities: Orthopedic

45. Nursing Care of the Bariatric Surgery Patient

46. Patient Support Groups in Bariatric Surgery

47. Open Vs Laparoscopic Bariatric Surgery

48. The Requirements for Medical Writing with Emphasis on Reporting Bariatric Surgical Outcomes

VIII. Educations and Practice

49. Academic Training of the Bariatric Surgeon

50. Metabolic Outcomes of Bariatric Surgery

51. The Multidisciplinary Team in a Bariatric Surgery Program: Importance of a Team Approach

52. The Allied Science Team in Bariatric Surgery

53. Requisite Facilities for Bariatric Surgical Practice

54. Laparoscopic Suites and Robotics in Bariatric Surgery

55. Liability Issues In Bariatric Surgery

56. Adolescent Bariatric Surgery