Malabsorptive Surgery: Surgical Techniques, Results, and Challenges describes the development of classic and new malabsorptive surgical techniques. Coverage includes the results obtained after the procedures, as well as postoperative complications - including early complications (associated with the difficulty of the operation) and late complications (associated with nutritional sequelae). This book is the perfect reference for basic and translational research focused on the mechanism of action of malabsorptive procedures, that goes beyond the bypassing of intestinal loops, affecting the regulation of hormonal signals. The content is also useful for bariatric surgeons and endocrinologists dealing with the bariatric options and results. Despite the aims of bariatric surgery focusing on performing procedures associated with low postoperative complications rates (mostly restrictive procedures), there is increasing evidence showing mid- and long-term failure of restrictive and mixed procedures in terms of weight regain and recurrence of comorbidities. This has increased the need for revisional surgeries after failed primary procedures, and consequently, increased the popularity of malabsorptive techniques.
Table of Contents
1. Types of bariatric procedures and their fundaments 2. Selection of patients for malabsorptive surgery. Indications and contraindications 3. Psychological evaluation of candidates for a malabsorptive surgery 4. Special anesthetic considerations for patients planned for a malabsorptive surgery 5. Nutritional optimization prior to malabsorptive surgery 6. Biliopancreatic diversion 7. Duodenal switch 8. One anastomosis gastric bypass 9. Single-anastomosis duodeno-ileal bypass with sleeve (SADI-s) 10. Revisional surgery 11. Endobarrier 12. Other techniques: SAGIS/SASI, Bipartici�n intestinal 13. Early postoperative complications 14. Weight loss and remission of comorbidities 15. Nutritional sequelae 16. Specific supplementation requirements 17. Long term effects and complications of malabsorptive techniques 18. Impact of physical activity pre- and postoperatively 19. ERAS protocols 20. Personal experience of a bariatric surgeon and simultaneously patient undergoing a malabsorptive procedure 21. Future basic research lines on malabsorptive procedures 22. Economic impact of malabsorptive procedures 23. Quality of life of patients undergoing malabsorptive techniques
