Ulceration in the Bariatric Patient
Fig. 10.1 Endoscopic view of a marginal ulcer (image provided courtesy of Christopher C. Thompson, MD, MSc, Brigham and Women’s Hospital, Harvard Medical School) Incidence and Predisposing Factors The incidence…
Management of Strictures
Fig. 11.1 Endoscopic view of an anastomotic stricture after Roux-en-Y gastric bypass Fig. 11.2 Endoscopic view showing a balloon catheter traversing the gastrojejunal anastomosis Fig. 11.3 Endoscopic view showing gastrojejunal…
The Epidemiology of Obesity
BMI (kg/m2) Classification Principal cut-off points Additional cut-off points Normal range 18.50–24.99 18.50–22.99 23.00–24.99 Overweight ≥25.00 ≥25.00 Pre-obese 25.00–29.99 25.00–27.49 27.50–29.99 Obese ≥30.00 ≥30.00 Obese class I 30.00–34.99 30.00–32.49…
Diagnosis and Treatment of Dumping Syndrome After Gastric Bypass for Morbid Obesity
Fig. 16.1 Pathophysiology of dumping syndrome and mode of action of different therapeutic agents The rapid emptying of hyperosmolar contents into the small intestine is followed by a fluid shift…
Medical Weight Management
BMI category Treatment 25–26.9 27–29.9 30–34.9 35–39.9 ≥40 Diet, physical activity, and behavior therapy With comorbidities With comorbidities + + + Pharmacotherapy With comorbidities + + + Surgery With…
Presurgical GI Evaluation in Bariatric Surgery
Fig. 4.1 (a) Fundic gland polyps. (b) Fundic gland polyps on narrow band imaging (NBI); they do not appear to have a bluish cap that most adenomas do Hyperplastic polyps…
Pathophysiology of Obesity
Fig. 2.1 The hypothesis of a role of the gut in the pathophysiology of obesity and diabetes. A dysfunctional intestinal signal is posited to be involved in the pathophysiology of…
Surgical Anatomy of the Esophageal Hiatus
Fig. 1.1 The clasp and sling muscle fibers that make up the lower esophageal reflux barrier in the contracted and relaxed state Fig. 1.2 The anatomic relationship of the gastroesophageal…
Reoperative Antireflux Surgery
Surgical fundoplication 360° Fundoplication (Nissen Fundoplication) 180° Posterior fundoplication (Toupet Fundoplication) 180° Anterior fundoplication (Dor Fundoplication) Posterior gastropexy (Hill Procedure) Transthoracic posterior plication (Belsey Procedure) Endoluminal procedures Radiofrequency application to…
