Main description:

This book provides extensive information on the duodenal switch and all of its derivatives. The number of procedures performed is progressively increasing, as cases of obesity are on the rise and patients' body mass index (BMI) is getting higher. It discusses all the techniques involved in the duodenal switch procedure and its derivatives used in the primary and revision situations. Readers will learn what the procedure can offer not only in terms of weight loss, but also its potential with regard to metabolic diseases, since some data indicates that the duodenal switch may lead to rapid resolution of diabetes and other comorbidities.

The work is divided into three parts, the first of which provides an overview of the duodenal switch, its history, mechanisms of action and reasons for performing it. Part II covers patient selection, risk assessment, complications and different techniques regarding weight loss surgery. In addition, there are chapters on nutrition and psychological aspects. Lastly, the chapters in Part III address patient selection and preoperative and postoperative care in metabolic and diabetes type 2 surgeries.

The most important information on the duodenal switch is gathered in a single volume and includes its benefits for metabolic diseases. This book will give healthcare professionals new confidence with regard to this procedure and may serve as a reference guide not only for the bariatric community (surgeons, PA, ARNP, nutritionists) but also for teaching new residents and fellows.

Contents:

Part I - Introduction

1. A Brief History of the Duodenal Switch

2. Duodenal Switch. Mechanisms of functioning

3. Duodenal Switch and Its Derivatives

4. Primary Single Anastomosis Duodenal Switch: Perspective from a Lengthy Experience

5. Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery

Part II - Weight Loss Surgery

6. Pathophysiology of the cardiometabolic alterations in obesity

7. Pathophysiology of bile acid regulation

8. Nonalcoholic steatohepatitis (NASH)

9. Patient Selection

10. Psychological and Psychiatric Work Up

11. Nutritional, Behavioral, and Support for Duodenal Switch

12. Preoperative endoscopy

13. Postoperative care

14. Preoperative Testing and Counseling

15. Risk Assessment and Reduction

16. Airway Evaluation and Management

17. Patient Positioning and Positioning for Bariatric Surgery

18. Intraoperative Monitoring Of The Morbidly Obese Patient

19. Method of anesthesia: gas selection and adjunct medications

20. Regional Anesthesia in Bariatric Surgery

21. Multimodal Analgesia in Bariatric Surgery

22. Anatomical Considerations

23. Robotic Duodenal Switch and SADI-S: Technical Aspects

24. Laparoscopic Biliopancreatic Diversion with Duodenal Switch: Surgical technique

25. SADIS - Technical details

26. Technical Aspects of Single Anastomosis Duodenal Switch-SIPS Version

27. Duodenal Bipartition or Side-to-Side Duodeno-Ileostomy. Rationale and Technical Details

28. Duodenoileal anastomosis with handsewn tehcnique

29. Circular Anastomosis in Duodenal Switch

30. Duodenoileal anastomosis with linear stapler technique

31. Staged Duodenal Switch for High-Risk Patients

32. Duodenal Switch, SADI and SIPS in Adolescent

33. Duodenal Switch (DS), Single Anastomosis Duodeno-Ileal bypass (SADI) and Stomach Intestinal Pylorus-Sparing (SIPS) Surgery in the Elderly

34. Right Gastric Artery Ligation: The Brazilian Results

35. Surgery Failure: what are the options?

36. Causes of Weight Regain After Duodenal Switch and its Derivatives

37. Revisional Surgery for Weight Regain

38. Conversion of Sleeve Gastrectomy to Duodenal Switch and SADI-S

39. Gastric Band Revision to Duodenal Switch

40. Endoscopic Treatment of Weight Regain in Duodenal Switch

41. Conversion of Gastric Bypass to Duodenal Switch

42. Management of Duodenal Stump blowout

43. Duodenoileal anastomosis testing

44. Closing the mesenteric defects

45. Preventing Surgical Complications

46. Malabsorbative complications

47. Postoperative Psychological Assistance

48. Surgical Management of Leaks

49. Internal Hernias and Bowell Obstruction

50. Management of Portal Vein Thrombosis Following Bariatric Surgery

51. Gallstones and Choledocholithiasis

52. Hyperinsulinemic postprandial hypoglycemia after duodenal switch

53. Diarrhea after Duodenal Switch: Medical and Surgical Management

54. Endoscopic Treatment of Complications

55. Global analyisis of our experience with hypoabsortive tecnique: > 500 cases DS vs SADI-S

56. Body Contouring after Duodenal Switch

57. Bariatric Surgery Population in the ICU

58. Bariatric Emergencies For The General Surgeon

59. Robotic bariatric surgeon training

Part III - Metabolic and Diabetes Type 2 Surgery

60. Mechanisms of control of diabetes 2 with duodenal switch

61. The Evolution of Single anastomosis Duodenal Switch

62. Metabolic Syndrome Control and the influence of hormonal changes post-Duodenal Switch (DS)

63. Staged Duodenal Switch for High-Risk Patients

64. Duodenal Switch in Patients with Metabolic Syndrome

65. Duodenal Switch (DS) for the Surgical Treatment of Diabetes and Metabolic Disease

66. Postoperative care

67. Metabolic Syndrome and the Influence of Bile Acids