Handbook of Metabolic and Bariatric Surgery

Iskandar Idris, M.D. is Professor of Diabetes and Metabolic Medicine at the University of Nottingham, UK and Honorary Consultant Physician at the Derby Teaching Hospital, Derby, UK.

Abdelrahman Nimeri,MD, FACS, FASMBS is Associate Professor & Section chief of Bariatric Surgery. Medical director of Atrium Health Weight Management and Program director of the Atrium Health Bariatric fellowship at Atrium Health. He is the secretary/treasurer of the Internal Federation for Surgery of Obesity [IFSO] and an Associate editor of the Obesity Surgery Journal.

Sherif Awad is Consultant Upper GI, Bariatric and Laproscopic Surgeon at East-Midlands Bariatric and Metabolic Institute (EMBMI), Royal Derby Hospital, Derby, UK and Council Member and Trustee of the British Obesity and Metabolic Surgery Society (BOMSS).

List of Contributors viii

Preface x

Part I Introduction to Obesity 1

1 Introduction to Obesity and Obesity- Related Diseases 3
Iskandar Idris

2 Diagnosis and Classification of Obesity 16
Brijesh Madhok

3 The Epidemiology of Obesity 20
Benjamin Reed and Salim Abunnaja

4 Public Health Aspects of Obesity and Related Co- Morbidities 27
Waleed Al- Khyatt

5 Non- Surgical Management of Obesity 33
Petra Hanson and Thomas M. Barber

6 Organisation of Care for Complex Obesity 46
David Hughes

7 The History of Metabolic and Bariatric Surgery 53
Jordan Robinson and Abdelrahman Nimeri Copyrighted Material

Part II Metabolic and Bariatric Surgery 59
8 Indications and Contraindications of Bariatric and Metabolic Surgery 61
Sherif Awad

9 Pre- Operative Medical Management 64
Iskandar Idris

10 Pre- Operative Management of a Bariatric Patient (Nutritional) 77
Lindsay Parry

11 Pre- Operative Management: Psychological Aspects 95
Chris Gillespie

12 Pre- Operative Management: Anaesthetic 107
Nick Reynolds

13 Pre- Operative Management: Surgical Considerations 113
Sherif Awad

14 Mechanism of Action of Bariatric Procedures 119
Ahmad Bashir

15 Laparoscopic Adjustable Gastric Banding – Technique and Outcomes 132
Paul Leeder

16 Sleeve Gastrectomy 140
Sherif Awad

17 Roux- en- Y Gastric Bypass 147
Selwan Barbat and Abdelrahman Nimeri

18 Alternative Bariatric Procedure 161
Ashraf Haddad

19 Early Surgical Complications after Metabolic and Bariatric Surgery 170
Vilok Vijayanagar and Abdelrahman Nimeri

20 Post- Operative Management and Follow- Up 176
Sherif Awad

Part III Outcomes of Metabolic and Bariatric Surgery 185

21 Metabolic Outcomes of Bariatric Surgery 187
Petra Hanson and Thomas M. Barber

22 Non- Metabolic Outcomes of Bariatric Surgery 195
Iskandar Idris

23 Medical Management of Nutritional Complications 206
David Hughes

24 Metabolic Complications of Bariatric Surgery 215
Iskandar Idris

25 Long- Term Surgical Complications of Bariatric Surgery 225
Tahir E. Yunus and Ahmad G. Jan

26 Psychological Considerations Post- Surgery 235
Paul Davidson

27 Consideration for Revisional Surgery 243
Kai Tai Derek Yeung and Sanjay Purkayastha

28 Weight Regain 249
Lindsay Parry

29 Patient Perspective 257
Paul Stevenson

Index 261