Emergency Surgery in Obese Patients

Description

This comprehensive, multi-authored book covers all aspects of surgery on obese patients in emergency conditions. Obesity is a metabolic disease affecting a high percentage of world population.. It involves marked anthropometric changes, affecting surgical practice and altering patients’ ability to react to surgical stress. The prevalent comorbidities also affect the rate of complications and mortality after surgery. The obesity paradox, the ability of obese patients to survive emergency operations in spite of an increased risk of complications, is an effect of the widespread development of “Obesity Science”. This volume discusses this science, examining the frailty of the obese patients and the main comorbidities that affect clinical practice, as well as the most frequent emergency situations after trauma, inflammatory diseases and the complications of bariatric surgery. With contributions from leading experts, it provides clinicians with detailed and updated information for better practice in this emerging field of surgery. Front Matter ....Pages i-xviii Front Matter ....Pages 1-1 Frailty of the Obese Patient and the Obesity Paradox After Surgical Stress (Diego Foschi, Marcello Lucchese, Giuliano Sarro, Andrea Rizzi)....Pages 3-10 Emergency Anesthesia and Resuscitation in the Obese Patient (Rita Cataldo, Ida Di Giacinto, Massimiliano Sorbello, Flavia Petrini)....Pages 11-20 Perioperative and Intensive Care Management of the Obese Surgical Patient (Giulia Bonatti, Chiara Robba, Lorenzo Ball, Paolo Pelosi)....Pages 21-29 Postoperative Complications in the Intensive Care Unit (Michele Carron)....Pages 31-36 The ERAS Protocol (Luca Cabrini, Martina Baiardo Redaelli, Stefano Turi, Luigi Beretta)....Pages 37-42 Front Matter ....Pages 43-43 Trauma and Burns in Obese Patients (Osvaldo Chiara, Stefania Cimbanassi, Francesco Ciancio, Vincenzo Rapisarda)....Pages 45-52 Perforations of the Upper Gastrointestinal Tract (Paolo Bernante, Matteo Rottoli, Stefano Cariani, Francesca Balsamo, Gilberto Poggioli)....Pages 53-58 Acute Appendicitis in Obese Patients (Francesco Roscio, Federico Clerici, Luigi Armiraglio, Ildo Scandroglio)....Pages 59-64 Pancreatic and Biliary Emergencies (Gennaro Nappo, Alessandro Zerbi, Marco Montorsi)....Pages 65-71 Bowel Obstruction in Obese Patients (Vincenzo Pilone, Mafalda Romano)....Pages 73-79 Large Bowel Obstruction in Obese Patients (Antonio Di Cataldo, Salvatore Perrotti, Carlos Rivera, Emanuele Lo Menzo)....Pages 81-85 Abdominal Compartment Syndrome in Obese Patients (Jacopo Viganò, Angelo D’Ovidio, Gabriele Bocca, Paolo Dionigi)....Pages 87-93 Front Matter ....Pages 95-95 A Brief History of Bariatric Surgery (Giuseppe Navarra, Gianfranco Silecchia, Luigi Piazza, Iman Komaei, Mauro Toppino)....Pages 97-107 Bariatric Surgery Complications in the Emergency Department (Giuseppe Maria Marinari)....Pages 109-112 Metabolic Complications After Bariatric Surgery: The False Acute Abdomen (Luca Busetto)....Pages 113-118 Complications of Intragastric Balloons (Alfredo Genco, Stefano Cariani, Ilaria Ernesti)....Pages 119-124 Complications of Restrictive Procedures (Mirto Foletto, Alice Albanese, Luca Prevedello)....Pages 125-129 Upper Gastrointestinal Bleeding After Bariatric Surgery (Luigi Angrisani, Antonella Santonicola, Giovanni Galasso, Alessandra D’Alessandro, Antonio Vitiello, Paola Iovino)....Pages 131-138 Peptic Ulcer After Bariatric Surgery (Mario Musella, Antonio Vitiello)....Pages 139-143 Bowel Obstruction After Bariatric Surgery (Alessandro Giovanelli, Antonio Zullino)....Pages 145-151 Acute Peritonitis and Abscess After Bariatric Surgery (Stefano Olmi, Giovanni Cesana, Alberto Oldani)....Pages 153-158 Anastomotic Leak After Bariatric Surgery: Prevention and Treatment (Maurizio De Luca, Giacomo Piatto, Cesare Lunardi, Alberto Sartori, Nicola Clemente, Natale Pellicanò)....Pages 159-168 Gallstones and Related Complications, Cholecystitis and Cholangitis After Bariatric Surgery (Marco Antonio Zappa, Elisa Galfrascoli)....Pages 169-174 Emergencies After Bariatric Surgery: The Role of Flexible Endoscopy and Interventional Radiology (Antonio Granata, Michele Amata, Valeria Provenzano, Mario Traina)....Pages 175-187 Accreditation of the Surgeon in Emergency Bariatric Surgery (Valerio Ceriani, Ferdinando Pinna, Marta Tagliabue)....Pages 189-192 Litigation After Bariatric Surgery (Ludovico Docimo, Salvatore Tolone)....Pages 193-197