Normal Postsurgical Anatomy
Fig. 7.1 Roux-en-Y gastric bypass Modifications to be aware of on endoscopy include the presence of a loop instead of a Roux gastrojejunostomy, whether the gastric bypass is divided or…
Basic Postoperative Management of the Bariatric Patient
Fig. 6.1 Laparoscopic adjustable gastric banding The band functions as a restrictor or high-pressure zone that is placed distally to the GE junction. When the procedure is successful, the patient…
Early GI Bleeding After Bariatric Surgery
Fig. 8.1 Endoscopic view of gastrojejunal anastomosis of RYGB patient who developed overt GI bleeding on the second postoperative day. A visible vessel (arrow) is seen Fig. 8.2 Endoscopic view…
Special Nursing Considerations in Caring for the Bariatric Patient
6. Payer J, Jackuliac P, Nagyova M. Obesity and a risk of carcinoma. Vnitr Lek. 2010;56(10):1082–7.PubMed 7. Vial M, Grande L, Pera M. Epidemiology of adenoma of the esophagus, gastric…
Procedural Sedation in the Obese Patient
2. Bernante P, Breda C, Zangrandi F, Pomerri F, Pelizzo MR, Foletto M. Emergency sleeve gastrectomy as rescue treatment for acute gastric necrosis due to type II paraesophageal hernia in…
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…
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…
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…
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…
