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The Perfect Sleeve Gastrectomy - A Clinical Guide to Evaluation, Treatment, and Techniques (Hardcover, 1st ed. 2020)
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The Perfect Sleeve Gastrectomy - A Clinical Guide to Evaluation, Treatment, and Techniques (Hardcover, 1st ed. 2020)
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Sleeve gastrectomy (SG) is the most common bariatric procedure
performed worldwide, more than 55% of bariatric procedures are
sleeve gastrectomies. This title will be comprehensive and detail
all the approaches used in performing sleeve gastrectomy, offering
readers all the tools needed to perform the perfect SG. Obesity has
become a major global problem that continues to spread in both
developed and developing countries. It costs more than any other
health problem due to its prevalence and its many costly
complications such diabetes and heart disease as well as in
disability and loss of productivity. While prevention of obesity is
the best approach for the future, the current problem lies with
managing those who are already obese or morbidly obese who
constitute close to two thirds of the population in many countries
such as the US. Diet, exercise, and behavioral change are the
mainstays for any meaningful attempt for significant and durable
weight loss. Unfortunately, for those who are morbidly obese, these
measures alone almost consistently fail to achieve acceptable
weight loss in the long term. Today, bariatric surgery is the only
evidence-based treatment for morbid obesity with a low complication
rate and acceptable results in the long-term for both weight loss
and resolution of comorbidities. Despite the data, the acceptance
of these operations was limited due to fear of what was perceived
as major surgery. Today, applying minimally invasive technology to
these complex operations made them more acceptable to patients due
to decreased pain, faster recovery and fewer overall complications.
This, in addition to improved outcomes as we went further along the
learning curve, has made these operations more common and helped
growing the field to be an independent specialty for surgeons and
perhaps a new specialty for gastroenterologist. In these exciting
times, the 5 international editors (one of them, Michel Gagner, is
the creator of the SG) wanted to capture the global standards of
practice at a time of change, excitement, and lots of controversy,
regarding this common procedure. We an aim to shed light on best
practices across the borders, the intention of this volume is to
develop a reliable reference to guide the practicing physician
anywhere in the world, and from whatever specialty (surgeon,
gastroenterologist or endoscopist) to navigate through the many
current options of therapy in this rapidly changing field. We also
aim to provide high quality illustrations and high-definition
videos of these techniques to go with the didactic chapters written
by thought leaders. In this book we will focus first on the
clinical problems of the patients and the indications for the
sleeve. Regarding the technical aspects, we will describe the
technique step-by-step (including videos) and also we will detail
the staplers, its size and different colors -- and the different
sizes of the bougies, and also special description of the
reinforcement of the sutures after the sleeve. We know that mainly
the SG has a restrictive function, but we will also describe the
metabolic effects of this surgery. Then we will describe the
nontraditional SG techniques, such as the endoscopic approach,
staples sleeve and robotic technologies. Bariatric surgery has very
few rates of complications, but when complications happen, they are
severe. Thus we will describe how to identify them immediately and
also the different approaches to treat them by endoscopy,
laparoscopy and percutaneous image guided surgery. A chapter will
also cover revisional surgery and the different revisional
procedures, not only from sleeve to other procedures but also from
other procedures to SG. For the last section,we will include the
lessons learned from almost 20 years now since the SG was first
described, providing an overview on how we imagine the future will
be for the most common bariatric procedure performed worldwide.
This title will be an ideal reference for general surgeons,
bariatric surgeons, endoscopists and gastroenterologists with
interest in obesity management as well as researchers with interest
in obesity. Residents and fellows training in general and bariatric
surgery as well as in endoscopy. Dietitians, diabetes specialist,
psychotherapists with interest in obesity management as well as
hospital administrators and quality officers in hospitals with
bariatric practices will also benefit by this book.
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