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Bariatric Endoscopy de Christopher C. Thompson

Bariatric Endoscopy

Editat de Christopher C. Thompson
en Limba Engleză Hardback – 12 feb 2025

Subliniem utilitatea critică a lucrării Bariatric Endoscopy în contextul unei societăți afectate global de epidemia de obezitate, unde intervențiile chirurgicale au devenit o soluție de primă linie. Considerăm că valoarea practică a acestui volum rezidă în capacitatea sa de a pregăti clinicianul pentru complexitatea anatomiei post-chirurgicale. După parcurgerea textului, gastroenterologul va putea să planifice cu o precizie superioară procedurile endoscopice, selectând corect echipamentul și tipul de sedare în funcție de specificul fiecărei intervenții bariatrice, fie că este vorba de bypass gastric Roux-en-Y sau gastrectomie longitudinală (sleeve).

Notăm cu interes structura riguroasă a cărții, organizată în trei piloni esențiali. Prima parte oferă o bază solidă despre fiziopatologia și managementul medical al obezității, în timp ce a doua secțiune face trecerea către managementul endoscopic al complicațiilor post-operatorii. Aici, capitolele dedicate sângerărilor gastrointestinale precoce, managementului fistulelor și tratamentului stenozelor oferă protocoale clinice clare. Cea de-a treia parte explorează noile frontiere ale terapiilor endoscopice bariatrice, oferind o perspectivă de viitor asupra tratamentelor minim invazive.

Această lucrare din seria Cărți chirurgie bariatrică completează volumul Endoscopy in Obesity Management de Bipan Chand prin accentul pus pe detaliile tehnice ale anatomiei chirurgicale și prin cele peste 10 capitole noi care actualizează standardele de îngrijire. În timp ce Obesity, Bariatric and Metabolic Surgery oferă o privire de ansamblu asupra tehnicilor chirurgicale, volumul editat de Christopher C. Thompson se concentrează strict pe interfața dintre endoscopie și chirurgie, fiind indispensabil pentru gestionarea complicațiilor specifice precum eroziunea inelelor de silastic sau dificultățile de acces în procedurile ERCP post-bypass.

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Specificații

ISBN-13: 9783031700033
ISBN-10: 3031700031
Pagini: 468
Ilustrații: Approx. 450 p. 150 illus. in color.
Dimensiuni: 183 x 260 x 29 mm
Greutate: 1.17 kg
Ediția:Second Edition 2024
Editura: Springer
Locul publicării:Cham, Switzerland

De ce să citești această carte

Recomandăm această carte gastroenterologilor și chirurgilor care doresc să stăpânească managementul complicațiilor post-bariatrice. Cititorul câștigă o înțelegere profundă a modificărilor anatomice post-operatorii, esențială pentru evitarea erorilor în timpul procedurilor endoscopice. Este un instrument de lucru clinic care transformă teoria în decizii practice sigure, oferind soluții concrete pentru scurgeri, fistulă și stenoze, într-un format Hardback durabil, ideal pentru consultare frecventă.

Despre autor

Christopher C. Thompson este un expert recunoscut în domeniul gastroenterologiei și endoscopiei, cu o activitate academică și clinică susținută. În calitate de editor al acestui volum din seria Cărți chirurgie bariatrică, el a reunit o echipă internațională de specialiști pentru a documenta evoluția rapidă a tehnicilor endoscopice. Thompson deține diplome de licență și master de la Oakwood University și își dedică activitatea profesională îmbunătățirii rezultatelor clinice pentru pacienții cu obezitate morbidă, locuind și activând în prezent în Columbus, Ohio.

Descriere scurtă

The issues presented in this text have particular relevance in our obesogenic society.  Over one-third of the adult population in the United States suffers from obesity, and it is now apparent that this epidemic is progressively becoming global in scale. Behavioral modification, dietary programs, and medical therapies have an important role, however, alone they are not adequate for many patients. 
Bariatric surgery has provided an effective alternative for achieving durable weight loss in many patients with morbid obesity, and there are currently several types of surgery being employed for weight loss and the treatment of obesity associated comorbid illness. It is estimated that over 200,000 bariatric procedures are performed annually in the United States.  The most common are Roux-en-Y gastric bypass and sleeve gastrectomy; others include adjustable gastric band, duodenal switch, biliopancreatic diversion, among others. Each of these surgeries may also haveimportant variations, and are in turn associated with unique gastrointestinal complications. For example, one version of the Roux-en-Y gastric bypass includes placement of a Silastic ring at the gastrojejunal anastomosis which can erode the overlying mucosa and cause severe pain necessitating endoscopic removal.  Additionally, some surgeons create longer Roux limbs that may render ERCP unfeasible even with longer equipment.  It is important to be familiar with local surgical practice and to review operative reports prior to scheduling endoscopic procedures. This will result in better procedural planning, more accurate choice of sedation and equipment, and better outcomes.
This text on bariatric endoscopy is the work of a multidisciplinary group of international experts, and is intended to serve as a comprehensive guide to the endoscopic management of patients with obesity.  It is divided into three main sections: I. Obesity Overview and Medical Management;II. Traditional Bariatric Surgery and Endoscopic Management of Complications; and III. Endoscopic Bariatric Therapies. Epidemiology, pharmacological and surgical treatment of obesity, surgical anatomy, post-operative complications, endoscopic treatment of complications, and endoscopic bariatric therapies are covered in-depth.
This new edition serves as a comprehensive guide to the endoscopic management of patients with obesity. Written by a multidisciplinary group of international experts, the text provides in-depth coverage of epidemiology, pharmacological and surgical treatment of obesity, surgical anatomy, post-operative complications, endoscopic treatment of complications, and endoscopic bariatric therapies. In addition to thoroughly revised chapters from the previous edition, the latest volume includes more than 10 new chapters. 
Clinical gastroenterologists, gastroenterologists in training, and surgeons with a special interest in obesity management will find this book to be of practical importance.

Cuprins

I. OBESITY OVERVIEW AND MEDICAL MANAGEMENT.- 1. The Epidemiology of Obesity.- 2. Pathophysiology of Obesity.- 3. Obesity Related Comorbidities.- 4. Diet and Lifestyle Therapy in the Management of Obesity and its Comorbidities.- 5. Pharmacologic Therapy of Obesity.- 6. Pre-surgical GI Evaluation in Bariatric Surgery .- 7. Assessment of Liver Health Before and After Bariatric Procedures: Current Status and Future Directions Within EndoHepatology.- . II. TRADITIONAL BARIATRIC SURGERY AND ENDOSCOPIC MANAGEMENT OF COMPLICATIONS.- 8. Surgical Management of Obesity: Surgical Procedures, Preoperative Evaluation, Patient Selection.- 9. Peri-Operative Management of the Bariatric Patient.- 10. Normal Post-surgical Anatomy .- 11. Abdominal Pain in the RYGB Patient .- 12. Early GI Bleeding after Bariatric Surgery.- 13. Management of Leaks Following Gastric Bypass .- 14. Management of Chronic Gastro-gastric Fistula in the Post-Bypass Patient.- 15. Ulceration in the Bariatric Patient.- 16. Management of strictures.- 17. Accessing the Pancreatobiliary Limb and ERCP .- 18. Endoscopic management of foreign bodies in the post-bariatric population.- 19. Nutritional Management of the Bariatric Patient: Diets and Deficiencies.- 20. Anemia .- 21. Diagnosis and Treatment of Dumping Syndrome after Gastric Bypass for Morbid Obesity.- 22. Management of Sleeve Gastrectomy Complications: Reflux, Stenosis, Leaks.- 23. Management of LAGB Complications: Reflux, Band Erosion, Dilated Esophagus.- 24. Rare Complications.- 25. Endoscopic Therapy for Weight Regain After Bariatric Surgery  .- 26. Imaging in the Bariatric Patient.- 27. Anesthetic Considerations of Bariatric Endoscopy.- 28. Special Nursing Considerations in Caring for the Bariatric Patient.- 29. Endoscopy Unit Considerations  .- . III. ENDOSCOPIC BARIATRIC THERAPIES.- 30. Overview of Primary Endoscopic Bariatric Therapies – including surgical corollaries and mechanism of action.- 31. Aftercare Platforms.- 32. Intragastric Balloon.- 33. Endoscopic Sleeve Gastroplasty .- 34. POSE.- 35. Aspiration Therapy.- 36. Implantable Sleeves for Type II Diabetes.- 37. Mucosal Resurfacing in Management of Type II Diabetes.- 38. Magnetic Anastomosis.- 39. Other Devices Under Clinical or Pre-clinical Investigations.

Notă biografică

Christopher C. Thompson, MD, MSc, FACG, FASGE 
Director of Therapeutic Endoscopy
Assistant Professor, Harvard Medical School
Brigham and Women's Hospital
Division of Gastroenterology
75 Francis Street
Endoscopy Center
Boston, MA  02115
 
Dr. Christopher Thompson is the Director of Developmental Endoscopy at Brigham and Women’s Hospital and an Instructor in Medicine at Harvard Medical School. He is also on staff at the Dana Farber Cancer Institute and Children’s Hospital Boston, and is co-director of the DoD funded CIMIT Working Group on Endoscopic Surgery. He is an active clinician with focused interest in advanced endoscopy as it applies to post-surgical complications, bariatric endoscopy, reflux, and pancreatic disease. He has also established an active animal lab geared toward device development and industry partnering. The lab currently has several active protocols for Natural Orifice Transluminal Endoscopic Surgery (NOTES) and the development of endoluminal devices. His research interests include: Natural Orifice Transluminal Endoscopic Surgery (NOTES), Endoscopic Suturing, GERD, advanced endoscopy research and device development, and bariatric endoscopy.

Descriere

Descriere de la o altă ediție sau format:

To date, diet programs and medical therapies for the treatment of obesity have had limited success. Bariatric surgery, however, provides a means of effective weight loss for many of those with morbid obesity. Most of these weight loss procedures are performed with a variety of techniques that continue to evolve. Each technique is associated with unique challenges and complications and it is important for the clinician to be knowledgeable about the endoscopic management of these patients. Additionally, as endoscopic technology evolves it may offer more than just the diagnosis and treatment of complications. Endoscopic therapy may soon allow less invasive bariatric revision procedures as well as a variety of primary obesity therapies for various patient populations. Bariatric Endoscopy reviews the management of obesity, normal post-surgical anatomy, endoscopic and medical management of post-surgical complications, and future endoscopic therapies for obesity management. Organized into five sections, the volume covers an obesity overview, traditional therapy, endoscopy and the bariatric patient, medical management of post-surgical complications, and the future role of endoscopy in obesity management. Detailed illustrations are also provided for surgical procedures, complications and obesity management chapters. Authored by authorities in the field, Bariatric Endoscopy is an indispensible tool for the gastroenterologist or surgical endoscopist as they care for patients with complicated bariatric issues.