Bariatric Surgery Complications

1. Front Matter

   Pages i-xii

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2. The Surgical Management of Obesity

   • Shanu N. Kothari, Julie J. Kim

   Pages 1-19

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

   • Giselle G. Hamad, Veronica T. Guerrero

   Pages 21-32

4. Late Complications of Bariatric Procedures

   • Marina Kurian, Collin Creange

   Pages 33-44

5. Failure to Rescue the Patient with a Complication

   • D. Brandon Williams, Matthew D. Spann

   Pages 45-55

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

   • Aurora D. Pryor, Dana A. Telem

   Pages 57-63

7. Postoperative Management of Obesity-Related Diseases

   • Toms Augustin, Ann M. Rogers

   Pages 65-76

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

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

   Pages 77-84

9. Role of Endoscopy, Stenting, and Other Nonoperative Interventions in the Management of Bariatric Complications: A US Perspective

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

   Pages 85-92

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

    • David A. Provost

    Pages 93-98

11. Weight Regain After Bariatric Surgery

    • Robin P. Blackstone

    Pages 99-107

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

    • Melissa M. Davis, Robin L. Parry

    Pages 109-118

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

    • Rachel L. Moore

    Pages 119-126

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

    • Wayne J. English

    Pages 127-140

15. Back Matter

    Pages 141-148

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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.

• ASMBS Approved Procedures
• Duodenal Switch
• Endoscopic Interventions
• Sleeve Gastrectomy
• Weight Regain

• University of Arizona School of Medicine-Phoenix, Center for Diabetes and Obesity, Phoenix, USA

  Robin P. Blackstone

As a practicing surgeon, dedicated researcher, author and medical school professor, Dr. Blackstone is recognized as a leading expert in the medical and surgical treatment of obesity, metabolic disease, and obesity-related diseases. She has performed more than 5,000 surgeries in the 13 years since she established the original Scottsdale Bariatric Center, one of the first institutions in the U.S. to be nationally accredited as a Center of Excellence by the American Society for Metabolic and Bariatric Surgery. As Clinical Associate Professor of Surgery at the University of Arizona College of Medicine, Dr. Blackstone has over the past years established a didactic “obesity course” for second year medical students. She also established clinical practice model rotations in obesity medicine for third and fourth year medical students and family practice residents.

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