| |
|
|
|
|
|
|
|
|
1. |
Record Nr. |
UNINA9910624378803321 |
|
|
Titolo |
Obesity and metabolic surgery / / Jürgen Ordemann and Ulf Elbelt, editors |
|
|
|
|
|
|
|
Pubbl/distr/stampa |
|
|
Berlin, Germany : , : Springer, , [2022] |
|
©2022 |
|
|
|
|
|
|
|
|
|
ISBN |
|
|
|
|
|
|
Descrizione fisica |
|
1 online resource (199 pages) |
|
|
|
|
|
|
Disciplina |
|
|
|
|
|
|
Soggetti |
|
Obesity - Surgery |
Obesity |
Metabolism |
|
|
|
|
|
|
|
|
Lingua di pubblicazione |
|
|
|
|
|
|
Formato |
Materiale a stampa |
|
|
|
|
|
Livello bibliografico |
Monografia |
|
|
|
|
|
Nota di bibliografia |
|
Includes bibliographical references and index. |
|
|
|
|
|
|
Nota di contenuto |
|
Intro -- Preface -- Contents -- Contributors -- 1: Obesity -- 1.1 Classification of Obesity -- 1.2 "Globesity": The Current Pandemic -- 1.3 Why Are We Getting More and More Obese? Etiology and Pathophysiology -- 1.3.1 Food and Eating Habits -- 1.3.2 Lack of Physical Activity -- 1.3.3 Genetic Causes -- 1.3.4 Psychological Causes -- 1.3.5 Endocrine Causes -- 1.3.6 Drugs Promoting Weight Gain -- 1.4 Regulation of Hunger and Satiety in Obesity -- 1.4.1 Definition of Hunger and Satiety -- 1.4.2 Peripheral Mediators of Hunger and Satiety Regulation -- Ghrelin -- Nesfatin-1 -- Cholecystokinin -- Pancreatic Polypeptide -- Peptide YY -- Glucagon-Like Peptide 1 -- Leptin -- Insulin -- Glucagon -- 1.4.3 Signalling from the Periphery to the Brain -- 1.4.4 Central Nervous Signal Integration -- 1.4.5 Psychological Constructs -- Conclusion -- 1.5 Secondary Diseases of Obesity -- 1.5.1 Metabolic Syndrome -- 1.5.2 Diabetes Mellitus Type 2 -- 1.5.3 Arterial Hypertension -- 1.5.4 Dyslipidemia -- 1.5.5 Cardiovascular Complications -- 1.5.6 Liver Disease -- 1.5.7 Obesity and Sleep-Related Breathing Disorders -- 1.5.8 Diseases of the Musculoskeletal System -- 1.5.9 Malignant Diseases -- 1.5.10 Other Obesity-Related Diseases -- 1.6 Psychosocial Aspects of Obesity -- 1.6.1 Stigmatisation of Obese People -- 1.6.2 Quality of Life -- 1.6.3 Stress -- 1.6.4 Depression -- |
|
|
|
|
|
|
|
|
|
1.6.5 Anxiety Disorders -- 1.6.6 Neglect, Abuse and Post-traumatic Stress Disorder -- 1.6.7 Eating Disorders -- 1.6.8 Personality and Personality Disorders -- 1.6.9 Substance Abuse -- 1.6.10 Suicidal Tendencies -- 1.6.11 Social Inequality -- References -- 1.1 to 1.3 -- 1.5 -- Further Reading -- 1.4 -- 1.5 -- 1.6 -- 2: Conservative Treatment of Obesity -- 2.1 Therapeutic Goals -- 2.2 Nutrition Therapy -- 2.3 Physical Exercise. |
2.4 Lifestyle Change: Psychotherapy and Psychoeducation -- 2.5 Drug Therapy -- 2.5.1 Orlistat -- 2.5.2 Liraglutide -- 2.5.3 Metformin -- 2.6 Multimodal Therapy Programmes -- References -- Further Readings -- 3: Surgical Therapy of Obesity -- 3.1 Frequency of Obesity Surgery -- 3.2 Therapeutic Goals and Evaluation Criteria -- Conclusion -- 3.3 Indications for Surgical Treatment of Obesity -- 3.4 Obesity Surgical Procedures -- 3.4.1 Laparoscopic Adjustable Gastric Banding -- 3.4.2 Laparoscopic Sleeve Gastrectomy -- 3.4.3 Laparoscopic Proximal Roux-en-Y Gastric Bypass -- 3.4.4 One-Anastomosis Laparoscopic Bypass -- 3.4.5 Biliopancreatic Diversion (According to Scopinaro) -- 3.4.6 Biliopancreatic Diversion with Duodenal Switch -- 3.5 Mechanisms of Action -- 3.5.1 Restriction and Malabsorption -- Restriction -- Malabsorption -- 3.5.2 Effects of Bariatric Surgery on the Regulation of Hunger and Satiety -- Ghrelin -- Nesfatin-1 -- Cholecystokinin -- Pancreatic Polypeptide -- Peptide YY -- Glucagon-Like Peptide 1 -- Leptin -- Insulin -- Glucagon -- Conclusion -- 3.5.3 Intestinal Flora (Microbiome) -- Conclusion -- 3.5.4 Bile Acids -- References -- 3.1-3.3 -- 3.4.3 -- Further Readings -- 3.4.1 -- 3.4.2 -- 3.4.3 -- 3.4.4 -- 4: Metabolic Surgery -- 4.1 Prospective Studies -- 4.2 Meta-Analyses -- 4.3 Postoperative Incidence of Diabetes, Micro- and Macrovascular Complications, Life Expectancy -- Conclusion -- References -- Further Readings -- 5: Preoperative Evaluation of the Patient -- 5.1 Surgical Evaluation -- 5.2 Internal Evaluation -- 5.3 Psychosomatic Evaluation -- 5.4 Choice of Procedure -- 5.5 Informing the Patient -- References -- 5.1 -- 5.2 -- 5.3 -- Further Readings -- 5.2 -- 5.3 -- 5.4 -- 5.5 -- 6: Operation Preparation in Bariatric Surgery -- 6.1 Operating Room -- 6.2 Instruments -- 6.3 Positioning the Patient. |
6.4 Position of the Surgical Team -- 6.5 Antibiotic Treatment -- 6.6 Anticoagulation -- 6.7 Team Time Out -- 6.8 Structure of the Pneumoperitoneum -- References -- Further Readings -- 7: Anaesthesiology for Bariatric Surgery -- 7.1 Pathophysiological Aspects -- 7.1.1 The Cardiovascular System -- 7.1.2 Airway -- 7.1.3 Pulmonary System -- 7.1.4 Metabolism -- 7.1.5 Pharmacokinetics -- Determination of Body Weight and Other Parameters -- Pharmacokinetic Characteristics of Important Substances -- 7.2 Organisational Aspects -- 7.2.1 Personnel -- 7.2.2 Technical Equipment -- Blood Pressure Measurement -- Storage Material -- Ultrasound -- 7.3 Pre-medication Rounds -- 7.3.1 Pre-medication Consultation -- 7.3.2 Comorbidities -- Respiratory System -- Cardiovascular System -- 7.4 Preparation of the Anaesthesia -- 7.4.1 Monitoring -- 7.4.2 Vascular Accesses -- 7.4.3 Selection of Anaesthetics -- 7.5 Induction and Maintenance of Anaesthesia -- 7.5.1 Preoxygenation -- 7.5.2 Anaesthetic Induction -- 7.5.3 Maintenance of Anaesthesia -- 7.6 Postoperative Phase -- Further Readings -- 8: Laparoscopic, Adjustable Gastric Banding -- 8.1 Trocar Placement -- 8.2 Dissection -- 8.3 Placement of Gastric Band -- 8.4 Fixing the Gastric Band and Port -- 8.5 Aftercare, Band Filling -- 8.6 Pitfalls -- Further Readings -- 9: Sleeve Gastrectomy -- 9.1 Trocar Placement -- 9.2 Exploration -- 9.3 Dissection -- 9.4 Gastric Tube Calibration -- 9.5 Resection -- 9.6 Test for Staple Line Insufficiency |
|
|
|
|
|
|
|
-- 9.7 Removal of the Resected Specimen -- 9.8 Finishing the Operation -- 9.9 Pitfalls -- References -- Further Readings -- 10: Laparoscopic, Proximal Roux-en-Y Gastric Bypass -- 10.1 Trocar Placement -- 10.2 Exploration -- 10.3 Creating the Gastric Pouch -- 10.4 Measurement of the Intestine -- 10.4.1 Dividing the Greater Omentum. |
10.4.2 Mobilizing the First Jejunum Loop -- 10.5 Gastrojejunal Anastomosis -- 10.5.1 Linear Stapled Anastomosis -- 10.5.2 Circular Stapled Anastomosis -- Pressure Plate Inserted from the Abdomen -- Pressure Plate Inserted Orally -- 10.5.3 Hand Sewn Anastomosis -- 10.6 Measuring the Alimentary Loop -- 10.7 Jejunojejunostomy -- 10.8 Dividing of the Biliopancreatic Loop -- 10.9 Testing the Gastro-entero Anastomosis for Leaks -- 10.10 Closing the Mesentery -- 10.11 Finishing the Operation -- 10.12 Pitfalls -- Further Readings -- 11: Omega-Loop Bypass (One-Anastomosis Bypass, Mini-Gastric Bypass) -- 11.1 Indication -- 11.2 Trocar Placement -- 11.3 Dissection -- 11.4 Pouch -- 11.5 Measuring the Bypass Length -- 11.6 Anastomosis -- 11.7 Omega-Loop Bypass as a Redo Procedure After Sleeve Gastrectomy -- 11.8 Pitfalls -- 11.9 Peri- and Postoperative Management -- 11.10 Results -- 11.11 Complications and Complication Management -- References -- Further Readings -- 12: Biliopancreatic Diversion (Operation According to Scopinaro) -- 12.1 Introduction -- 12.2 Indication and Preparation for Surgery -- 12.3 Surgical Technique -- 12.3.1 Laparoscopy, Trocar Placement and Clarification of Operability -- 12.3.2 Transection of the Stomach -- 12.3.3 Measurement of the Loop Lengths -- 12.3.4 Small Intestine Anastomosis -- 12.3.5 Gastroileostomy -- 12.3.6 Simultaneous Appendectomy, Cholecystectomy and Hiatus Hernias -- 12.4 Pitfalls -- 12.5 Results -- 12.6 Morbidity and Mortality -- References -- Further Reading -- 13: Biliopancreatic Diversion with Duodenal Switch -- 13.1 Specific Indications for BPD-DS -- 13.2 Surgical Technique -- 13.2.1 Laparoscopy, Trocar Placement and Clarification of Operability -- 13.2.2 Sleeve Gastrectomy -- 13.2.3 Measurement of Loop Lengths -- 13.2.4 Small Intestine Anastomosis (In Case of Classical Reconstruction According to Roux-en-Y). |
13.2.5 Duodenum Transection -- 13.2.6 Duodenoileostomy -- 13.2.7 Simultaneous Appendectomy and Cholecystectomy -- 13.3 Pitfalls -- 13.4 Results -- 13.5 Morbidity and Mortality -- References -- Further Readings -- 14: Postoperative Management of Bariatric Surgery Patients -- 14.1 Initial Diet Regimen After Bariatric Surgery -- 14.1.1 First Stage -- 14.1.2 Second Stage -- 14.1.3 Third Stage -- 14.2 Long-Term Nutrition After Bariatric Surgery -- 14.3 Supplementation -- 14.4 Surgical Aftercare -- 14.5 Internal Aftercare -- 14.5.1 Follow-Up in the Early Postoperative Phase -- 14.5.2 Aftercare During the Weight Loss Phase ('Honeymoon Phase') -- 14.5.3 Aftercare in the Phase of Weight Stagnation or Weight Regain -- 14.5.4 Recommended Aftercare Intervals -- 14.5.5 Recommended Laboratory Diagnostics -- 14.6 Psychosomatic Aftercare -- 14.7 Surgical Complications -- 14.7.1 Early Surgical Complications -- Postoperative Leak -- Postoperative Bleeding -- Postoperative Obstruction -- Early Complications After Gastric Band Implantation -- Early Complications After a Sleeve Gastrectomy -- Early Complications After Gastric Bypass -- 14.7.2 Late Surgical Complications -- Late Complications After Gastric Band Implantation -- Late Complications After Sleeve Gastrectomy -- Late Complications After Gastric Bypass Surgery -- 14.8 Internal Complications -- 14.8.1 Hyperinsulinemic Hypoglycemic Syndrome After Gastric Bypass Surgery -- 14.8.2 Osteoporosis -- 14.8.3 Further Complications -- References -- 14.1-14.3 -- 14.7.1 -- Further |
|
|
|
|
|
|
|
|
Readings -- 14.4 -- 14.5 -- 14.6 -- 14.7.1 -- 14.7.2 -- 14.8 -- 15: Revision and Redo Operations After Bariatric Procedures -- 15.1 Background -- 15.2 Revision/Redo Procedure After Gastric Banding -- 15.2.1 Indication -- 15.2.2 Procedure -- 15.3 Revision/Redo Procedure After Sleeve Gastrectomy -- 15.3.1 Indication -- 15.3.2 Procedure. |
15.4 Revision/Redo Procedure After Gastric Bypass Surgery. |
|
|
|
|
|
| |