Bariatric Surgery Complications and Emergencies

This book provides a concise, focused and clinically relevant summary of complications and emergencies related to bariatric surgery. The first section of the text addresses general complications related to anesthesia and the stress of surgery, including issues such as deep vein thrombosis, pulmonary embolism, hemorrhage, pneumonia and cardiac complications. Additionally, this section addresses the workup of the bariatric patient with abdominal pain. The second portion of the text focuses on gastric bypass and sleeve-specific complications, including staple line and anastomotic leaks, internal hernia, marginal ulceration, GI obstruction, hernia formation and gallstone disease. The third portion of the book examines metabolic, nutritional and psychological complications after bariatric surgery. The text also covers management of weight loss failure. Bariatric Surgery Complications and Emergencies serves as a very useful resource for physicians and surgeons who are involved in any parts of evaluation or management of bariatric patients suffering from postoperative complications or emergencies including bariatric surgeons who perform these operations on a regular basis, non-bariatric general surgeons who cover such patients when on-call, surgical trainees, and primary care physicians.

Introduction and Overview of Current and Emerging Operations.-Anesthesia for the bariatric patient: optimizing safety and managing complications.- Optimizing perioperative management: Perioperative care & protocols to prevent & detect early complications.- Thromboembolic disease in the bariatric patient: Prevention, diagnosis and management.- Hemorrhage after bariatric surgery: evaluation and management.- Enteric Leaks after Gastric Bypass: Prevention and Management.- Enteric Leaks After Sleeve Gastrectomy: Prevention and Management.- Workup of abdominal pain in the gastric bypass and vertical sleeve gastrectomy patient.- Work-up of Abdominal Pain or Vomiting in the Gastric Band Patient.- Internal hernias: prevention, diagnosis & management.- Marginal and Peptic Ulcers: Prevention, Diagnosis, and Management.- Gastrointestinal Obstruction in the Bypass Patient.- Food intolerance in the sleeve patient:  prevention, evaluation and management.- Gallstones and Common Bile Duct Stones in the Bariatric Surgery Patient: Surgical and Endoscopic Management.- Management of Abdominal Wall Hernias in the Bariatric Patient.- Band Prolapse: Diagnosis and Management.- Band erosion: surgical and endoscopic management.- Vertical Banded Gastroplasty: Evaluation and Management of Complications.- Inadequate Weight Loss after Bypass and Sleeve.- Failed weight loss after lap band surgery.- Post-Gastric Bypass Hypoglycemia: Diagnosis and Management.- Nutritional complications and emergencies.- Excessive Skin After Massive Weight Loss: Body Contouring and Bariatric Surgery.- The Psychological complications after bariatric surgery (eating disorders, substance abuse, depression, body image, etc.).- Medical Malpractice in the 21st Century.

"It is designed to be a thorough guide to complications in the postoperative care of bariatric surgery patients. ... The intended audience includes bariatric surgeons and the entire team. ... This is a strong addition to the bariatric literature. It provides an excellent review of standards of care and the studies which have led to improvements in care." (Luke Kinsinger, Doody's Book Reviews, July, 2016)