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Table of Contents
Intro; Introduction; Contents; List of Editor and Contributors; 1: A Brief History of Bariatric Surgery to the Present; 1.1 How Did Obesity Develop To This Point?; 1.2 Operations for Morbid Obesity; 1.2.1 Jejuno-Ileal Bypass; 1.2.2 Gastric Bypass; 1.2.3 Gastric Partition; 1.2.4 Gastric Banding; 1.2.5 Laparoscopic Technique; 1.2.6 Biliopancreatic Diversion; 1.2.7 Duodenal Switch; 1.2.8 Sleeve Gastrectomy; 1.2.9 Gastric Plication (GP); 1.2.10 Single-Anastomosis Duodenoileal Bypass with Sleeve Gastrectomy (SADI-S)
1.2.11 Mini-Gastric Bypass (MGB) and One-Anastomosis Gastric Bypass (OAGB)1.3 Resolution of Type 2 Diabetes; 1.4 Nutritional Complications and Their Prevention; 1.5 The Bariatric Team; References; 2: Understanding the Technique of MGB: Clearing the Confusion; 2.1 Introduction; 2.2 What a Bariatric Surgeon Should Not Forget; 2.3 Critical Factors in Creation of the MGB Gastric Pouch; 2.4 Port Placement; 2.5 Management of Hiatal Hernia; 2.6 The Biliopancreatic Limb; 2.7 Measuring the Bowel Length; 2.8 Creation of the Gastro-Jejunostomy
2.9 Proper Positioning of the GJ Stapler: Beware the Lateral Gastric Pouch Staple-Line2.10 Further GJ Points; 2.11 GJ Closure; 2.12 Leak Testing; 2.13 Discussion; References; 3: Physiology of the MGB: How It Works for Long-Term Weight Loss; 3.1 Introduction; 3.2 Physiology and Mechanisms of MGB-OAGB; 3.2.1 Functional Restriction-Not Mechanical Obstruction-The Kular-Rutledge Hypothesis; 3.2.2 Malabsorption-The Long 150-200 cm BP Limb; 3.2.3 Change in Dietary Behavior After MGB-OAGB-"A Tilt Towards the Mediterranean Diet"; 3.3 Role of Type 2 Dumping
4.4.9 Gastro-Jejunostomy4.4.10 Closure and Leak Test; 4.5 Precautions To Be Taken; References; 5: The Ideal Length of Jejunal Limb in MGB; 5.1 General Considerations; 5.2 Experiences from Large MGB-OAGB Series; 5.3 Arguments Favoring Longer Bypass Lengths; 5.4 Arguments Towards Shorter Bypass Lengths; 5.5 Experiences with Other Types of Procedures; 5.6 Discussion; References; 6: Perioperative Care in the MGB and Anesthetic Management; 6.1 Introduction; 6.2 Fast-Track Bariatric Surgery; 6.3 Anesthetic Preoperative Care; 6.4 Perioperative Anesthetic Management
1.2.11 Mini-Gastric Bypass (MGB) and One-Anastomosis Gastric Bypass (OAGB)1.3 Resolution of Type 2 Diabetes; 1.4 Nutritional Complications and Their Prevention; 1.5 The Bariatric Team; References; 2: Understanding the Technique of MGB: Clearing the Confusion; 2.1 Introduction; 2.2 What a Bariatric Surgeon Should Not Forget; 2.3 Critical Factors in Creation of the MGB Gastric Pouch; 2.4 Port Placement; 2.5 Management of Hiatal Hernia; 2.6 The Biliopancreatic Limb; 2.7 Measuring the Bowel Length; 2.8 Creation of the Gastro-Jejunostomy
2.9 Proper Positioning of the GJ Stapler: Beware the Lateral Gastric Pouch Staple-Line2.10 Further GJ Points; 2.11 GJ Closure; 2.12 Leak Testing; 2.13 Discussion; References; 3: Physiology of the MGB: How It Works for Long-Term Weight Loss; 3.1 Introduction; 3.2 Physiology and Mechanisms of MGB-OAGB; 3.2.1 Functional Restriction-Not Mechanical Obstruction-The Kular-Rutledge Hypothesis; 3.2.2 Malabsorption-The Long 150-200 cm BP Limb; 3.2.3 Change in Dietary Behavior After MGB-OAGB-"A Tilt Towards the Mediterranean Diet"; 3.3 Role of Type 2 Dumping
4.4.9 Gastro-Jejunostomy4.4.10 Closure and Leak Test; 4.5 Precautions To Be Taken; References; 5: The Ideal Length of Jejunal Limb in MGB; 5.1 General Considerations; 5.2 Experiences from Large MGB-OAGB Series; 5.3 Arguments Favoring Longer Bypass Lengths; 5.4 Arguments Towards Shorter Bypass Lengths; 5.5 Experiences with Other Types of Procedures; 5.6 Discussion; References; 6: Perioperative Care in the MGB and Anesthetic Management; 6.1 Introduction; 6.2 Fast-Track Bariatric Surgery; 6.3 Anesthetic Preoperative Care; 6.4 Perioperative Anesthetic Management