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E-raamat: Difficult Decisions in Bariatric Surgery

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This book provides a practical guide to decision making within bariatric surgery. Through uniform and well-structured chapters, topics relating to patient selection, preoperative preparation, the ethics of bariatric surgery, choice of procedure, complications, late failure and management, malabsorptive procedures, and pediatric bariatric surgery are discussed and examined.





Difficult Decisions in Bariatric Surgery aims to help readers navigate an increasingly complex surgical specialty and come to reasoned and evidence-based conclusions. This book is of interest to practicing and trainee surgeons, endocrinologists, endoscopists, and pediatricians.
Part I Introductory Materials
1 "A Patient, a Surgeon, and an Insurance Agent Walk into a Bar..."
3(2)
John Alverdy
2 Evidence-Based Medicine and Decision Making
5(12)
Grace E. Chao
Justin B. Dimick
Part II Patient Selection
3 Bariatric Surgery for Uncontrolled Hypertension
17(8)
Kathleen Lak
Jon Gould
4 Diabetes as an Indication for Bariatric Surgery
25(14)
Andrea Stroud
Ryland Stucke
5 Bariatric Procedure Selection in Diabetics
39(10)
Andrea Stroud
Ryland Stucke
6 Should Patients with Obesity Hypoventilation Syndrome Undergo Bariatric Surgery
49(10)
Maximiliano Tamae-Kakazu
7 Bariatric Surgery in Heart Failure
59(8)
Mark Belkin
John Blair
8 Bariatric Surgery in Those with Coronary Artery Disease
67(8)
Nathan W. Kong
John E. A. Blair
9 What Are the Nutritional "Red Flags" to Look Out for Prior to Bariatric Surgery?
75(6)
Jessica Schultz
10 Are There Psychiatric Diagnoses That Preclude Safe Bariatric Surgery?
81(10)
Emily R. Fink
Leslie J. Heinberg
11 Does Weight Loss Prior to Surgery Accurately Predict Success Following Bariatric Surgery?
91(8)
Maria E. Linnaus
Tammy Lyn Kindel
12 Optimization Prior to Knee and Hip Arthroplasty as an Indication for Bariatric Surgery
99(12)
Alexander S. McLawhorn
David C. Landy
Part III Preoperative Preparation
13 The Ideal Preoperative Bariatric Surgery Diet
111(20)
Megan Miller
Deborah Hutcheon
Shanu N. Kothari
14 Is Routine Upper Endoscopy and H. pylori Testing Indicated in Advance of Bariatric Surgery?
131(12)
Matthew August Odenwald
Robert T. Kavitt
15 Manometry is Useful Prior to Bariatric Surgery
143(12)
Anna M. Lipowska
16 Smoking Cessation Is Essential Prior to Bariatric Surgery
155(14)
Shushmita M. Ahmed
Victoria Lyo
Part I Ethics and Bariatric Surgery
17 Is the Insurance Requirement for Supervised Weight Loss Prior to Bariatric Surgery an Ethical Strategy to Prevent Non-compliant Patients from Undergoing Surgery?
169(12)
Colston Edgerton
Scott A. Shikora
18 Ethical Concerns of Bariatric Surgery in the Pediatric Population
181(12)
Saunders Lin
Manish Tushar Raiji
Part V Choice of Bariatric Procedure
19 Adjustable Gastric Banding: Why Did It Fail?
193(8)
Elizaveta Walker
Bruce Wolfe
20 What Is the Role of Bariatric Surgery in the Treatment of Nonalcoholic Steatohepatitis?
201(12)
Adam C. Sheka
Sayeed Ikramuddin
21 Is Roux-en-Y Gastric Bypass Less Safe Than Sleeve Gastrectomy?
213(18)
Mikhail Attaar
Stephen P. Haggerty
22 The National Shift to Sleeve Gastrectomy: Long-Term Disappointment and Recidivism or Patient Preference?
231(16)
Randal Zhou
John M. Morton
23 Single-Stage Duodenal Switch is Better than Two-Stage
247(10)
L. Kasey Welsh
Ranjan Sudan
Part VI Complications
24 Stenting for Leaks After Sleeve Gastrectomy
257(16)
Betty Li
Uzma D. Siddiqui
25 Reoperation for Repair of Anastomotic Leaks and Staple Line Disruptions
273(14)
Andres Felipe Sanchez
Emanuele Lo Menzo
Samuel Szomstein
Raul J. Rosenthal
26 Gastric Sleeve Stricture, Twist or Kink, Now What?
287(8)
Laurel L. Tangalakis
Jonathan A. Myers
27 Hiatal Hernia Complicating Bariatric Surgery
295(12)
Priya Rajdev
Phylicia Dupree
Farah Husain
28 Management of GERD in Duodenal Switch
307(8)
Michelle Campbell
Mustafa Hussain
Part VII Late Failure
29 Endoscopic Management of the Dilated Castro jejunal Anastomosis
315(24)
Ye Eun Kwak
Christopher G. Chapman
30 Suboptimal Weight Loss and Weight Regain: Is it Prime Time for Pharmacotherapy?
339(16)
Silvana Pannain
31 Does Resizing the Gastric Pouch Aid in Weight Loss?
355(16)
Michael S. McCormack
Michael B. Ujiki
32 Does Stoma Size Matter After Gastric Bypass?
371(12)
Michael Keating
Philip Omotosho
Part VIII The Pediatric Population
33 Indications, Choice of Operations and Outcomes of Metabolic and Bariatric Surgery in Children
383(10)
Katherine S. Blevins
Janey S. A. Pratt
34 Pediatric Bariatric Surgery and Sexual Developmental Milestones
393(8)
Kimberley Eden Steele
35 Which Surgical Specialist Should Perform Metabolic Bariatric Surgery in Children and Adolescents?
401(10)
Alexander Trenk
Mark B. Slidell
Part IX The Future
36 Deep Brain Stimulation as a Treatment for Obesity
411(8)
Micaela Esquivel
Casey Halpern
Dan Azagury
37 How Manipulating the Microbiome Can Affect the Outcome Following Bariatric Surgery
419(12)
Romina Pena
Jose M. Balibrea
Index 431
Dr. Alverdy is the Sarah and Harold Lincoln Thompson Professor of Surgery and Executive Vice-Chair of the department of surgery at the University of Chicago. Dr Alverdy is the director of the Center for Surgical Infection Research at the University of Chicago that studies the microbial pathogenesis of infections that develop following surgery including sepsis, wound infection, and anastomotic leak. He has been funded by the NIH for this work since 1999. He is the co-PI on a T32 training grant and has trained over 30 postdoctoral fellows in his laboratory over the last 25 years. Dr Alverdy is the co-associate director of the Digestive Disease Research Center Core (DDRCC- Eugene Chang MD Director) and a fellow of the Institute of Molecular Engineering at the University of Chicago. He is past president of the Surgical Infection Society North America.

Dr. Alverdy attended medical school at the Autonomous University of Guadalajara and Loyola University and received his surgical training at the Michael Reese Hospital/University of Chicago. He completed a surgical research fellowship at the University of California San Francisco. Dr Alverdy has an active gastrointestinal surgery practice involving minimally invasive surgery of the foregut including esophagus, stomach and pancreatobiliary tree. 



Dr. Vigneswaran is an assistant professor of advanced gastrointestinal and bariatric surgery in the department of surgery at the University of Chicago.  She received degrees in chemical engineering and molecular & cellular biology at the University of Illinois at Champaign-Urbana and received her medical degree from Rush University.  She completed surgical training at the University of Chicago and surgical fellowship in minimally invasive gastrointestinal surgery at the Oregon Health & Sciences University.  In addition, she received a masters in public health sciences at the University of Chicago with which she continues to study clinical outcomes in gastrointestinal surgery.  Dr Vigneswaran maintains a busy clinical practice in bariatric and advanced gastrointestinal surgery, including complex esophageal and foregut diseases as well as revisional bariatric surgery.  Her practice of minimally invasive surgery includes a robust robotic surgery practice and she continues to advance the field in minimally invasive surgery.