Gastric Bypass: Surgical Procedures, Health Effects and Common Complications

Obesity, especially morbid obesity, is a major health problem with considerable impact on physical, mental and social quality of life. It is now estimated that more than 66% of the adult population in the US is overweight or obese. Bariatric surgery has become increasingly more common for the treatment of morbid obesity. This book describes the main nutritional deficiencies and complications observed after gastric bypass, as well as prevention and treatment strategies of these deficiencies. This book also analyzes the results of gastric bypass in the treatment of diabetes mellitus in a series of operated morbid obese patients. In addition, the Roux-en-Y gastric bypass (RYGBP) is well-known as the gold standard of bariatric surgery. The authors of this book examine this technique as well as other techniques which have been included in the range of therapeutic possibilities of bariatric surgery. A technique of laparoscopic sleeve gastrectomy with duodenojejunal bypass (LSG/DJB) is introduced as well as for patients at risk of gastric cancer. Other chapters in this book provide a brief review of the literature on the relationship between severe obesity in adults and suicidal ideation, suicidal behavior and non-suicidal self-injury. Table of Contents: Preface Chapter I. Comorbidities Associated with Morbid Obesity and Evolution with Bariatric Surgery: Alterations of Lipid Metabolism, Hapatic Steatosis, Thrombophilia and Satiety Factors, pp. 1-40 (Julia Peinado-Onsurbe, Eva Pardina, Roberto Catalán, Roser Ferrer, Rosa Galard, Albert Lecube, Helena Allende, Víctor Vargas, Jose M. Fort, Juan A. Baena-Fustegueras, Biochemistry and Molecular Biology Department, Biology Faculty, Barcelona University, Spain, and others) Chapter II. Nutritional Consequences of Gastric Bypass, pp. 41-70 (Daniéla Oliveira Magro, Mirian Ueno, Francisco Callejas Neto, José Carlos Pareja, Department of Internal Medicine, Medical Science School (FCM), University of Campinas (UNICAMP), Campinas, Brazil, and others) Chapter III. Quality of Life Before and After Bariatric Surgery, pp. 71-98 (Eveline J. Wouters, Rinie Geenen, Fontys University of Applied Sciences, Eindhoven, the Netherlands, and others) Chapter IV. Gastric Bypass: Controversies in the Treatment of Diabetes Mellitus in the Morbid Obese Patient, pp. 99-118 (Andrés Sánchez-Pernaute, Miguel Angel Rubio Herrera, María Elia Pérez-Aguirre, Lucio Cabrerizo, Ana Barabash, Óscar Cano Valderrama, Sofía Cárdenas Crespo, Pilar Matía, Antonio Torres, Hospital Clínico San Carlos, Madrid, Spain, and others) Chapter V. Bariatric Surgery: From Historical Procedures to Hormonal Operations, pp. 119-138 (Uzer Khan, Ehab Akkary, West Virginia University, School of Medicine, West Virginia) Chapter VI. Metabolic Effects of Bariatric Surgery, pp. 139-158 (Whitney Goldner, Department of Internal Medicine, Section of Diabetes, Endocrinology, and Metabolism, University of Nebraska Medical Center, Omaha, Nebraska) Chapter VII. ROUX-EN-Y Gastric Bypass: Is it Still Considered a Gold Standard, pp. 159-180 (Daniel Del Castillo Dejardin, Fatima Sabench Pereferrer, Merce Hernandez Gonzalez, Santiago Blanco Blasco, Arantxa Cabrera Vilanova, Antonio Sanchez Marin, Surgery Department, Faculty of Medicine and Health Sciences, Sant Joan University Hospital, IISPV. “Rovira i Virgili” University, Reus, Tarragona, Spain) Chapter VIII. Severe Obesity, Bariatric Surgery and Suicide, pp. 181-194 (Eunice Y. Chen, Karla Fettich, Stephanie Harold, James E, Mitchell, Department of Psychiatry and Behavioral Neurosciences, The University of Chicago, Chicago, Illinois, and others) Chapter IX. Laparoscopic Sleeve Gastrectomy with Duodenojejunal Bypass Compared with Laparoscopic Roux-en-Y Gastric Bypass, pp. 195-208 (Nobumi Tagaya, Kazunori Kasama, Keiichi Kubota, Second Department of Surgery, Dokkyo Medical University, Tochigi, Japan, and others) Chapter X. Laparoscopic Sleeve Gastrectomy (LSG), pp. 209-226 (Meaghan Noud, Colin Kealey MD, Amir Mehran MD, Director of Bariatric Surgery, Associate Clinical Professor of Surgery, UCLA Department of Surgery, Los Angeles, CA ) Chapter XI. Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S)…or…Is it Necessary to Perform a Roux-en-Y in the Duodenal Switch?, pp. 227-236 (Andrés Sánchez-Pernaute, Hospital Clínico San Carlos, Madrid, Spain) Short Commentary: Gastric Bypass: Surgical Procedures, Health Effects and Common Complications, pp. 237-238 (Uzer Khan, Ehab Akkary, West Virginia University, School of Medicine, West Virginia) Index