Main description:

Morbid obesity is an epidemic as more than 2/3 of the United States population is obese and as such, has a high burden of weight-related co-morbid diseases. Bariatric surgery has proven to be effective and durable for treatment of severe obesity. Technological advances including applications of laparoscopy and endolumenal techniques have rapidly advanced this field. Data and outcomes examining treatments have also improved and as providers, we have a wide spectrum of therapeutic options to treat patients.
As techniques and outcomes have evolved, access to a comprehensive yet focused resource regarding bariatric surgery is currently limited. The proposed textbook is designed to present a comprehensive and state-of the-art approach to the current and future status of Bariatric interventions, which has changed significantly since the first edition of the Manual. Updates in this version will include the rapidly expanding field of endoluminal bariatric procedures, with a focus on new devices and theories of mechanisms. New data regarding laparoscopic approaches to treat obesity, as well as improved longer-term data outcomes will be reviewed. Newer surgical approaches to treat metabolic disease and obesity are included, as well as proposed mechanisms of action and efficacy. Additional new sections include sections on the application of robotic technologies, special circumstances including transplantation and pregnancy, and telemedicine and social media in bariatric surgery.
Sections will address the evolution in specific treatments available to patients, initial evaluation and selection of procedures for individual patients, the latest surgical and endoscopic techniques being employed to treat patients including data on outcomes, and future directions for therapy. In particular and unique amongst references, a major focus of this text will be on both the bariatric and metabolic bases of therapies and outcomes.
The SAGES Manual A Practical Guide to Bariatric Surgery, Second Edition aligns with the new SAGES UNIVERSITY MASTERS Program. The Manual supplements the Bariatric Surgery Pathway from Competency to Proficiency to Mastery. Whether it's for Biliary, Hernia, Colon, Foregut or Bariatric, the key technical steps for the anchoring bariatric procedures are highlighted in detail as well as what the reader needs to know to successfully submit a video clip to the SAGES Facebook Channels for technical feedback. Readers will also learn about how to count credits for Bariatric from the other Master Program Series, Guidelines, Top 21 Videos, Pearls, FLS, FES, FUSE, SMART and Annual SAGES Meeting. The Masters Program promotes lifelong deliberate learning.

Contents:

Part I: SAGES Masters Program.- Introduction: Sages Masters Program Bariatric Pathway.- Masters Program Bariatric Pathway: Adjustable Gastric Band.- Masters Program Bariatric Pathway: Laparoscopic Sleeve Gastrectomy.- Masters Program Bariatric Pathway: Roux-en Y Gastric Bypass.- Masters Program Bariatric Pathway: Revision of Adjustable Gastric Band.- Part II: Bariatric Programs in 2018.- Bariatric Surgery: An Historical Perspective.- The Obesity Epidemic.- Patient Selections Prior to Bariatric Surgery.- The Role of Advanced Practice Provider in the Management of the Bariatric Patient.- The Role of Social Worker in the Management of the Bariatric Patient.- The Role of the Psychologist in the Management of the Bariatric Patient.- Pre-Operative Checklist for Bariatric Surgery.- Postoperative Care Pathways for the Bariatric Patient.- The MBSAQIP (Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program) Comprehensive Bariatric Program (MBSAQIP-ASMBS/ACS).- Establishing a Comprehensive Bariatric Surgery Program.- Long Term Follow-Up of Bariatric Patients.- Part III Treatment.- Medically Supervised Weight-Loss Programs- Index Endoscopic Malabsorptive Procedures in Obesity Treatment: Techniques and Outcomes.- Neurohormonal Procedures in Obesity Treatment.- The Genetic and Microbial Influences in Obesity.- The Role of Pre-Operative, Intra-Operative, and Post-Operative Diagnostic Endoscopy in Bariatric Surgery.- Long-Term Nutritional/Metabolic Sequelae of Bariatric Surgery.- Robotic Index Bariatric Surgery.- Duodenal Switch: Technique and Outcomes.- Comparative Surgical Outcomes in Bariatric Surgery.- Part IV: Complications.- Complications of Endolumenal Bariatric Therapies (EBTs).- Complications of Adjustable Gastric Banding.- Complications of Sleeve Gastrectomy.- Complications of Roux-en Gastric Bypass.- Complications of Biliopancreatic Diversion and Duodenal Switch.- Part V: Revision and Conversion.- Weight Recidivism after Bariatric Surgery: Evaluation and Implications.- Revision Endolumenal Therapies for Weight Recidivism.- Conversion and Revisional Surgery: Roux-en Y Gastric Bypass.- Conversion and Revisional Surgery: Duedenal Switch.- Robotic Conversion and Revisional Surgery.- Part VI: Special Circumstances.- Bariatric Emergencies for the General Surgeon.- Social Medial and Bariatric Surgery.- Bariatric Tourism: Bidirectional and in the U.S.- Pregnancy and Bariatric Surgery.- Solid Organ Transplantation and Bariatric Surgery.- Adolescents and Bariatric Surgery: Techniques and Outcomes.- Esophageal Reflux Disease Before and After Bariatric Surgery.