Bariatric Surgery Complications: The Medical Practitioner’s Essential Guide

This text provides a background of scientific evidence to understand the complications that occur after bariatric surgery for all providers responsible for care after surgical intervention. Written by experts and based on current peer reviewed literature, the text provides a focused approach to the identification and treatment of bariatric surgery complications. To establish a context for providers, the initial section concentrates on presenting the current procedures as well as risks and expected benefits of each with an emphasis on mechanism of action. It examines the issue of weight regain from the aspect of heterogeneity in order to present the perspective that every procedure has risk of weight regain. The text provides guidance to those front line providers who manage acute emergencies and chronic long term problems. State of the art management of complications like leaks, bleeding, ulcers, blood clots and pneumonia are discussed for all procedures in addition to the management of rapid remission of obesity related disease like Type 2 Diabetes and coagulopathies (Leiden Factor V, Protein C and S) that occur commonly in patients with obesity. Each chapter features a review of the current literature in an easy to reference table format and where appropriate an algorithm to focus the reader on the process of care for any given presenting sign or symptom.

Bariatric Surgery Complications will be of great value to fellows in minimally invasive surgery, general surgeons, emergency room physicians, gastroenterologists, primary care physicians, medical students and residents in surgery rotations, integrated health personnel.

Table of Contents:

1. The Surgical Management of Obesity

Shanu N. Kothari and Julie J. Kim

2. Thirty-Day (Early) Complications of Bariatric Surgical Procedures

Giselle G. Hamad and Veronica T. Guerrero

3. Late Complications of Bariatric Procedures

Marina S. Kurian and Collin R. Creange

4. Failure to Rescue the Patient with a Complication

D. Brandon Williams and Matthew D. Spann

5. Management of the Patient with a History of Bariatric Surgery and Abdominal Pain in the Emergency Department

Aurora D. Pryor and Dana A. Telem

6. Postoperative Management of Obesity Related Diseases

Ann M. Rogers and Toms Augustin

7. International Perspective on the Endoscopic Treatment of Bariatric Surgery Complications

Manoel Galvao Neto,  Lyz Bezerra Silva, and Josemberg Marins Campos

8. Role of Endoscopy, Stenting, and Other Non-operative Interventions in the Management of Bariatric Complications in the United States

Amber L. Shada, Kristin W. Beard, and Kevin M. Reavis

9. Postoperative Bariatric Complications Not Related to the Bariatric Surgical Procedure

David A. Provost

10. Weight Regain After Bariatric Surgery

Robin P. Blackstone

11. Pregnancy in the Woman with a History of Bariatric Surgery 

Melissa M. Davis and Robin L. Parry

12. General Surgery Procedures in the Obese Patient with and Without a History of Bariatric Surgery

Rachel L. Moore

13. Metabolic and Bariatric Surgery Accreditation:  Why It Matters to Your Patient

Wayne J. English