Description
Book SynopsisThis book provides extensive information on the duodenal switch and all of its derivatives. The number of procedures performed is progressively increasing, as cases of obesity are on the rise and patients’ body mass index (BMI) is getting higher. It discusses all the techniques involved in the duodenal switch procedure and its derivatives used in the primary and revision situations. Readers will learn what the procedure can offer not only in terms of weight loss, but also its potential with regard to metabolic diseases, since some data indicates that the duodenal switch may lead to rapid resolution of diabetes and other comorbidities.
The work is divided into three parts, the first of which provides an overview of the duodenal switch, its history, mechanisms of action and reasons for performing it. Part II covers patient selection, risk assessment, complications and different techniques regarding weight loss surgery. In addition, there are chapters on nutrition and psychological aspects. Lastly, the chapters in Part III address patient selection and preoperative and postoperative care in metabolic and diabetes type 2 surgeries.
The most important information on the duodenal switch is gathered in a single volume and includes its benefits for metabolic diseases. This book will give healthcare professionals new confidence with regard to this procedure and may serve as a reference guide not only for the bariatric community (surgeons, PA, ARNP, nutritionists) but also for teaching new residents and fellows.
Table of ContentsPart I – Introduction
1. A Brief History of the Duodenal Switch
2. Duodenal Switch. Mechanisms of functioning
3. Duodenal Switch and Its Derivatives
4. Primary Single Anastomosis Duodenal Switch: Perspective from a Lengthy Experience
5. Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery
Part II - Weight Loss Surgery
6. Pathophysiology of the cardiometabolic alterations in obesity
7. Pathophysiology of bile acid regulation
8. Nonalcoholic steatohepatitis (NASH)
9. Patient Selection
10. Psychological and Psychiatric Work Up
11. Nutritional, Behavioral, and Support for Duodenal Switch
12. Preoperative endoscopy
13. Postoperative care
14. Preoperative Testing and Counseling
15. Risk Assessment and Reduction
16. Airway Evaluation and Management
17. Patient Positioning and Positioning for Bariatric Surgery
18. Intraoperative Monitoring Of The Morbidly Obese Patient
19. Method of anesthesia: gas selection and adjunct medications
20. Regional Anesthesia in Bariatric Surgery
21. Multimodal Analgesia in Bariatric Surgery
22. Anatomical Considerations
23. Robotic Duodenal Switch and SADI-S: Technical Aspects
24. Laparoscopic Biliopancreatic Diversion with Duodenal Switch: Surgical technique
25. SADIS - Technical details
26. Technical Aspects of Single Anastomosis Duodenal Switch-SIPS Version
27. Duodenal Bipartition or Side-to-Side Duodeno-Ileostomy. Rationale and Technical Details
28. Duodenoileal anastomosis with handsewn tehcnique
29. Circular Anastomosis in Duodenal Switch
30. Duodenoileal anastomosis with linear stapler technique
31. Staged Duodenal Switch for High-Risk Patients
32. Duodenal Switch, SADI and SIPS in Adolescent
33. Duodenal Switch (DS), Single Anastomosis Duodeno-Ileal bypass (SADI) and Stomach Intestinal Pylorus-Sparing (SIPS) Surgery in the Elderly
34. Right Gastric Artery Ligation: The Brazilian Results
35. Surgery Failure: what are the options?
36. Causes of Weight Regain After Duodenal Switch and its Derivatives
37. Revisional Surgery for Weight Regain
38. Conversion of Sleeve Gastrectomy to Duodenal Switch and SADI-S
39. Gastric Band Revision to Duodenal Switch
40. Endoscopic Treatment of Weight Regain in Duodenal Switch
41. Conversion of Gastric Bypass to Duodenal Switch
42. Management of Duodenal Stump blowout
43. Duodenoileal anastomosis testing
44. Closing the mesenteric defects
45. Preventing Surgical Complications
46. Malabsorbative complications
47. Postoperative Psychological Assistance
48. Surgical Management of Leaks
49. Internal Hernias and Bowell Obstruction
50. Management of Portal Vein Thrombosis Following Bariatric Surgery
51. Gallstones and Choledocholithiasis
52. Hyperinsulinemic postprandial hypoglycemia after duodenal switch
53. Diarrhea after Duodenal Switch: Medical and Surgical Management
54. Endoscopic Treatment of Complications
55. Global analyisis of our experience with hypoabsortive tecnique: > 500 cases DS vs SADI-S
56. Body Contouring after Duodenal Switch
57. Bariatric Surgery Population in the ICU
58. Bariatric Emergencies For The General Surgeon
59. Robotic bariatric surgeon training
Part III - Metabolic and Diabetes Type 2 Surgery
60. Mechanisms of control of diabetes 2 with duodenal switch
61. The Evolution of Single anastomosis Duodenal Switch
62. Metabolic Syndrome Control and the influence of hormonal changes post-Duodenal Switch (DS)
63. Staged Duodenal Switch for High-Risk Patients
64. Duodenal Switch in Patients with Metabolic Syndrome
65. Duodenal Switch (DS) for the Surgical Treatment of Diabetes and Metabolic Disease
66. Postoperative care
67. Metabolic Syndrome and the Influence of Bile Acids
