Bariatric Therapy: Alliance between Gastroenterologists and Surgeons

Description

This book aims to deepen collaboration between gastroenterologists and surgeons by providing endoscopists and gastroenterologists with a clear understanding of the anatomic alterations likely to be observed after bariatric surgery and acquainting bariatric surgeons with the possibilities offered by endoscopic treatment of obesity itself and of the complications associated with bariatric surgery. The treatment approach in patients with obesity and morbid obesity is usually stepwise, starting with dietary measures, exercise, and behavioral therapy, followed by pharmaceutical therapies, endoscopic bariatric therapy, and, finally, bariatric surgery. Endoscopists and gastroenterologists are involved first because the gastrointestinal tract is affected by obesity-related co-morbidity and second because it provides access for a range of treatment modalities involving endoscopy. Bariatric surgeons may need the assistance of endoscopists and gastroenterologists in the preoperative work-up of patients, in the perioperative period, when acute complications may require an endoscopic intervention, or in the late follow-up period, when complications or insufficient weight loss may be present. This book will be of value for both groups of specialists, enabling them to optimize their cooperation to the benefit of patients. Front Matter ....Pages i-xii Epidemiology and Comorbidities (Elisabeth M. H. Mathus-Vliegen, Jérôme Dargent)....Pages 1-83 Current Endoscopic/Laparoscopic Bariatric Procedures (Elisabeth M. H. Mathus-Vliegen, Jérôme Dargent)....Pages 85-176 Bariatric Surgery (Elisabeth M. H. Mathus-Vliegen, Jérôme Dargent)....Pages 177-220 Endoscopists and Surgeons Playing in the Same Team: The Multidisciplinary Approach in Screening and Preoperative Workup (Elisabeth M. H. Mathus-Vliegen, Jérôme Dargent)....Pages 221-260 When the Surgeon Needs the Endoscopist in Rescuing Bariatric Surgery: Intraoperative and Early Post-operative Period (Elisabeth M. H. Mathus-Vliegen, Jérôme Dargent)....Pages 261-335 When the Surgeon Needs the Endoscopist in Rescuing Bariatric Surgery: Intermediate and Late Post-operative Period (Elisabeth M. H. Mathus-Vliegen, Jérôme Dargent)....Pages 337-455 Perioperative and Postoperative Guidance of the Bariatric Patient (Elisabeth M. H. Mathus-Vliegen, Jérôme Dargent)....Pages 457-482 When the Endoscopist Needs the Surgeon (Elisabeth M. H. Mathus-Vliegen, Jérôme Dargent)....Pages 483-489 Input of New Ways of Reasoning (Elisabeth M. H. Mathus-Vliegen, Jérôme Dargent)....Pages 491-508 When Surgeons and Endoscopists Should or Could “Act as One” Regardless of Their Conflicts of Interest (Elisabeth M. H. Mathus-Vliegen, Jérôme Dargent)....Pages 509-521 When Surgeons and Endoscopists Are Possible Opponents (Elisabeth M. H. Mathus-Vliegen, Jérôme Dargent)....Pages 523-535