Prevention and Management of Complications in Bariatric Surgery

Description:

As bariatric procedures become more commonplace, the safety and quality of bariatric surgery continues to rise. Risk factors remain inconsistent from hospital to hospital and procedure to procedure, however, highlighting the necessity for comprehensive education on the prevention and management of their resulting complications. In response to this need, Prevention and Management of Complications in Bariatric Surgery is the first book to compile the most up-to-date prevention and management strategies in this field. Edited by leading experts, it provides sound recommendations for collecting, monitoring, and analyzing outcomes, with an emphasis on quality and process improvement. Its scope is tremendously comprehensive, covering everything from common complications, such as leaks, bleeding, wound infections, and venous thromboembolism; to rare-but-deadly complications, such as Wernicke's encephalopathy and rhabdomyolsis as well as the emergency management of various life-threatening complications, including internal hernia, gastric nectrosis from banding, pulmonary embolus, and bleeding. Readers also learn about early-day, late-day, and intraoperative complications, for which the authors provide evidence-based recommendations for swift and accurate diagnosis, preventive strategies, and best practices in medical and surgical management. Comprehensive and accessible, this book is a valuable resource for bariatric surgeons and surgical trainees, physicians, and nurses who participate in the perioperative care of the bariatric patient.

Table of Contents:

Part One Standards and Guidelines For Perioperative Care of Bariatric Patients

Standards and Guidelines for Perioperative Care of Bariatric Patients

Part Two Perioperative Complications

I Prevention and Management of Complications—Preoperative

1. Medical Evaluation of the Bariatric Surgery Patient

2. Support Groups and Behavioral Science

3. Evaluating Bariatric Surgical Risk Using Risk-Scoring Systems

4. Application of Statistical Methods in Bariatric Surgery

5. Online Preoperative Risk Assessment Tools

II Prevention and Management of Complications—Operating Room

6. Operating Room Set-up and Instrumentation for Laparoscopic Bariatric Surgery

7. Anesthesia and Recovery

8. Intraoperative Events

III Prevention and Management of Complications—Postoperative

9. Medical Complications of Bariatric Surgery

10. Bariatric Surgery and Perioperative Infections

11. Thromboembolic Complications after Bariatric Surgery

12. Biliary Complications of Bariatric Surgery

13. Nutritional Deficiencies and Bariatric Surgery

14. Medical Management of Endocrine Disorders after Bariatric Surgery: Re-evaluating Diabetes and Postprandial Hypoglycemia

15. Readmissions after Bariatric Surgery

IV Prevention and Management of Complications—High-Risk Comorbidities

16. Complications and Challenges of Bariatric Surgery in Super-Obese Patients

17. Obstructive Sleep Apnea

18. Bariatric Surgery and Acute Cardiovascular Complications in the ICU

19. Acute Kidney Injury after Bariatric Surgery

20. Safety and Efficacy of Bariatric Surgery in Patients with Cirrhosis

21. Bariatric Surgery in the Elderly

V Prevention and Management of Complications—General Considerations

22. Gut Failure after Bariatric Surgery: Clinical Types and Surgical Ingenuity

23. Revisional Bariatric Surgery

24. Weight Regain after Bariatric Surgery

25. Endoscopic Management of Complications: Bleeding, Leaks, and Strictures

26. Radiologic Assessment and Management of Complications

Part Three Procedure-Specific Complications

VI Roux-en-Y Gastric Bypass

27. Management of Surgical Complications after Gastric Bypass

28. Intestinal Complications of Roux-en-Y Gastric Bypass

VII Sleeve Gastrectomy

29. Management of Laparoscopic Sleeve Gastrectomy Staple-Line Leak

30. Management of Laparoscopic Sleeve Gastrectomy: Narrowing and Stenosis

31. Reflux, Esophagitis, and Chronic Nausea

VIII Gastric Band

32. Prevention and Management of Complications of Gastric Banding

IX Malabsorptive Procedures

33. Prevention and Management of Complications in Biliopancreatic Diversion with Duodenal Switch

X Historic and New Procedures

34. Complications of Jejunoileal Bypass

35. Vertical Banded Gastroplasty

36. Complications of Gastric Plication

37. Complications of the Intragastric Balloon

38. Single-Anastomosis Malabsorptive Procedures

Part Four Economic and Legal Considerations

39. Medicolegal Issues in Bariatric Surgery: A Complication Changes Everything

40. Economic Costs Associated with Bariatric Surgery Complications