Minimally Invasive Bariatric and Metabolic Surgery

1. Front Matter

   Pages i-ix

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2. Obesity

   1. Front Matter

      Pages 1-1

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   2. Historical Background: From the Past to Present

      • John B. Dixon, T. Rice

      Pages 3-9

   3. Incidence and Prevalence of Obesity

      • Luca Busetto, Stefania Maggi

      Pages 11-15

   4. The Pathophysiology of Obesity

      • Geltrude Mingrone, Marco Castagneto

      Pages 17-23

   5. Obesity-Related Comorbidities

      • Paola Fierabracci, Anna Tamberi, Ferruccio Santini

      Pages 25-34

   6. Hypogonadism and Obesity

      • Mario Maggi, Annamaria Morelli, Micaela Luconi, Francesco Lotti, Marcello Lucchese, Enrico Facchiano et al.

      Pages 35-42

   7. Microbiota Organ and Bariatric Surgery

      • Nicola Basso, Giovanni Casella, Emanuele Soricelli, Geltrude Mingrone, Adriano Redler

      Pages 43-55

3. Surgery of Obesity

   1. Front Matter

      Pages 57-57

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   2. The “Bariatric Multidisciplinary Center”

      • John Melissas

      Pages 59-67

   3. Metabolic Surgery

      • Henry Buchwald

      Pages 69-79

   4. Diabetes Surgery

      • Francesco Rubino

      Pages 81-97

   5. The Role of Laparoscopy in Bariatric Surgery

      • Marcello Lucchese, Alessandro Sturiale, Giovanni Quartararo, Enrico Facchiano

      Pages 99-108

   6. Anesthesia in Bariatric Surgery

      • Jay B. Brodsky

      Pages 109-118

   7. Fast-Track in Bariatric Surgery: Safety, Quality, Teaching Aspects, Logistics and Cost-Efficacy in 8,000 Consecutive Cases

      • Hjortur Gislason, H. J. Jacobsen, A. Bergland, E. Aghajani, B. J. Nergard, B. G. Leifsson et al.

      Pages 119-129

4. Surgical Treatment

   1. Front Matter

      Pages 131-131

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   2. Indications for Bariatric Surgery

      • Marcello Lucchese, Giovanni Quartararo, Lucia Godini, Alessandro Sturiale, Enrico Facchiano

      Pages 133-143

   3. Endoscopic Treatment: Intragastric Balloon

      • Alfredo Genco, Roberta Maselli, Massimiliano Cipriano, Emanuele Soricelli, Giovanni Casella, Adriano Redler

      Pages 145-152

   4. Endoscopic Treatment: New Technologies

      • Nicola Di Lorenzo, Francesco Maria Carrano

      Pages 153-163

   5. Adjustable Gastric Banding

      • Karl A. Miller

      Pages 165-173

This book explains the concept of metabolic surgery and provides step-by-step descriptions of all the principal minimally invasive surgical techniques employed to treat morbid obesity. The approach adopted is very practical. For each procedure, indications, technical aspects, clinical management and outcomes are described and helpful tips and tricks, highlighted. Guidance is provided on the management of emergencies and potential complications, as well as on general postoperative management and long-term follow-up. The coverage also includes new frontiers of robotic and endoscopic surgery. While the focus is on surgical techniques, emphasis is placed on the need for a multidisciplinary approach, with explanation of the role of the multidisciplinary team and the bariatric center. In addition, important information is presented on the definition of morbid and severe obesity, incidence/prevalence, pathophysiology and obesity-related comorbidities. The authors are internationally acknowledged experts who present best practice know-how in the field and draw on the most recent research literature.

• Laparoscopic surgery
• Morbid obesity
• Multidisciplinary approach to obesity
• Pathophysiology of obesity
• Weight loss
• metabolic disease

“This is a comprehensive review of the advances in metabolic surgery over the past century, with a particular focus on minimally invasive procedures. … The intended audience is primarily bariatric surgeons, with a secondary audience of all healthcare workers. However, this book will likely be used only by bariatric surgeons or others working in bariatric centers.” (Luke Kinsinger, Doody’s Book Reviews, October, 2015)

• General and Emergency Surgery, Bariatric Surgery, Careggi University Hospital, Florence, Italy

  Marcello Lucchese

• Department of Surgery, Medical School, University of Genoa, Genoa, Italy

  Nicola Scopinaro

After graduating cum laude in Medicine and Surgery in 1981 at the University of Rome “La Sapienza”, Marcello Lucchese specializes in digestive surgery and urology in Rome and Florence becoming assistant general surgeon in 1988 and earning a surgery fellowship at Pittsburgh University in 1992. Since 1992 he is head of the Tuscany Reference Centre for the Surgical Treatment of Severe Obesity at Careggi Hospital, Florence, Italy, he is also full professor of surgery at the medical school of the University, Florence. Past president of the Italian Society for Obesity, Surgery and Metabolic Disorders (S.I.C.OB.) in which he is still actively involved and president in charge of the A.I.O. (Italian Association of Obesity), Prof. Lucchese is author of several scientific publications and was conference speaker at national and international events, recently most related to bariatric surgery and laparoscopic surgery.

Policies and ethics