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Table of Contents
Intro
Foreword
Preface
Acknowledgments
Contents
Part I: Introduction
Chapter 1: A Brief History of the Duodenal Switch
1.1 History
1.2 The Initiator: Scopinaro
1.3 The Pioneers: Hess and Marceau
1.4 The Laparoscopic DS (Gagner) and the Idea of Staging
1.5 Clinical Outcomes
1.6 New Developments: The Loop-DS
References
Chapter 2: Duodenal Switch: Mechanisms of Functioning
2.1 Introduction
2.2 The Sleeve Gastrectomy
2.3 Pyloric Preservation
2.4 Biliopancreatic Diversion
2.5 Conclusion
References
Chapter 3: Duodenal Switch and Its Derivatives
3.1 Introduction
3.2 History
3.3 Derivative Procedures of Duodenal Switch
3.4 Pre-operative Consideration
3.4.1 Indications for Surgery
3.4.2 Contraindications
3.5 Procedural Details
3.5.1 Patient Positioning and Port Placement
3.5.2 Laparoscopic Portion
3.5.3 Cholecystectomy
3.5.4 Sleeve Gastrectomy
3.5.5 Duodenal Dissection and Duodeno-Ileostomy
3.5.6 Ileo-Ileal Anastomosis
3.5.7 Mesentery Defect Closures
3.6 Post-operative Care
3.7 Complications
3.8 Outcomes
3.9 BPD-DS as Revisional Surgery for Weight Regain
3.10 Summary
References
Chapter 4: Primary Single Anastomosis Duodenal Switch: Perspective from a Lengthy Experience
4.1 Historical Perspective of Weight Loss Procedures
4.2 The Next Frontier
4.3 To Treat Obesity, It Is Necessary to Understand the Cause
4.4 The Next Domain: Glucose Variability and Matching Bariatric Surgery to Modern Obesity Treatment
4.5 Rationalization for Patient Selection
4.6 SADI/SADS vs. Traditional Roux DS
4.7 SADS vs. RYGB
4.8 SADS vs. OAGB (One Anastomosis Gastric Bypass)
4.9 Surgical Technique
4.10 Issues in Complication Management
4.11 Malnutrition: Input and Output Issues
4.12 Electrolyte and Micronutrient Deficiencies
4.13 Fat Soluble Vitamins
4.14 Vitamin B12
4.15 Trace Elements
4.16 Metabolic Bone Disease
4.17 Nephrolithiasis
4.18 SADS Surgical Correction for Malabsorption
4.19 Additional Complications of SADS: Gastroesophageal Reflux Disease (GERD)
4.20 Conclusion
References
Chapter 5: Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery
5.1 Introduction
5.2 Preoperative Workup
5.3 Techniques and Derivatives of BPD/DS
5.4 Post-operative Care
5.5 Complications
5.6 Outcomes
5.7 Conclusion
References
Part II: Weight Loss Surgery
Chapter 6: Pathophysiology of the Cardiometabolic Alterations in Obesity
6.1 Introduction
6.2 Body Fat Distribution and Excess Accumulation of Visceral Adipose Tissue
6.3 Pathophysiology of the Cardiometabolic Alterations in Obesity: Adipose Tissue Dysfunction
6.4 Cardiometabolic Alterations Associated with Visceral Obesity
6.5 Reversal of Metabolic Dysfunction After Bariatric Surgery
6.6 Conclusions
Foreword
Preface
Acknowledgments
Contents
Part I: Introduction
Chapter 1: A Brief History of the Duodenal Switch
1.1 History
1.2 The Initiator: Scopinaro
1.3 The Pioneers: Hess and Marceau
1.4 The Laparoscopic DS (Gagner) and the Idea of Staging
1.5 Clinical Outcomes
1.6 New Developments: The Loop-DS
References
Chapter 2: Duodenal Switch: Mechanisms of Functioning
2.1 Introduction
2.2 The Sleeve Gastrectomy
2.3 Pyloric Preservation
2.4 Biliopancreatic Diversion
2.5 Conclusion
References
Chapter 3: Duodenal Switch and Its Derivatives
3.1 Introduction
3.2 History
3.3 Derivative Procedures of Duodenal Switch
3.4 Pre-operative Consideration
3.4.1 Indications for Surgery
3.4.2 Contraindications
3.5 Procedural Details
3.5.1 Patient Positioning and Port Placement
3.5.2 Laparoscopic Portion
3.5.3 Cholecystectomy
3.5.4 Sleeve Gastrectomy
3.5.5 Duodenal Dissection and Duodeno-Ileostomy
3.5.6 Ileo-Ileal Anastomosis
3.5.7 Mesentery Defect Closures
3.6 Post-operative Care
3.7 Complications
3.8 Outcomes
3.9 BPD-DS as Revisional Surgery for Weight Regain
3.10 Summary
References
Chapter 4: Primary Single Anastomosis Duodenal Switch: Perspective from a Lengthy Experience
4.1 Historical Perspective of Weight Loss Procedures
4.2 The Next Frontier
4.3 To Treat Obesity, It Is Necessary to Understand the Cause
4.4 The Next Domain: Glucose Variability and Matching Bariatric Surgery to Modern Obesity Treatment
4.5 Rationalization for Patient Selection
4.6 SADI/SADS vs. Traditional Roux DS
4.7 SADS vs. RYGB
4.8 SADS vs. OAGB (One Anastomosis Gastric Bypass)
4.9 Surgical Technique
4.10 Issues in Complication Management
4.11 Malnutrition: Input and Output Issues
4.12 Electrolyte and Micronutrient Deficiencies
4.13 Fat Soluble Vitamins
4.14 Vitamin B12
4.15 Trace Elements
4.16 Metabolic Bone Disease
4.17 Nephrolithiasis
4.18 SADS Surgical Correction for Malabsorption
4.19 Additional Complications of SADS: Gastroesophageal Reflux Disease (GERD)
4.20 Conclusion
References
Chapter 5: Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery
5.1 Introduction
5.2 Preoperative Workup
5.3 Techniques and Derivatives of BPD/DS
5.4 Post-operative Care
5.5 Complications
5.6 Outcomes
5.7 Conclusion
References
Part II: Weight Loss Surgery
Chapter 6: Pathophysiology of the Cardiometabolic Alterations in Obesity
6.1 Introduction
6.2 Body Fat Distribution and Excess Accumulation of Visceral Adipose Tissue
6.3 Pathophysiology of the Cardiometabolic Alterations in Obesity: Adipose Tissue Dysfunction
6.4 Cardiometabolic Alterations Associated with Visceral Obesity
6.5 Reversal of Metabolic Dysfunction After Bariatric Surgery
6.6 Conclusions