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General Surgery
Perspective on Morbid Obesity and Its Surgical Treatment
Built from Maingot's Abdominal Operations
What’s inside
5 sections · 50 slides
Overview
- Scope of this commentary
- Key terms in bariatric surgery
- Anatomy of the stomach
Obesity and type 2 diabetes
Why the surgical treatment of diabetes stopped being a fringe idea
- Global variation in adult obesity prevalence
- 285 m
- Growth of the diabetes burden
- Metabolic surgery and its changing reception
- Mechanisms of glucose improvement after surgery
- Sequence linking bypass surgery to early diabetes remission
- The incretin effect and gut hormones
- Bypass procedures compared with purely restrictive operations
- Roux-en-Y gastric bypass anatomy
- Speed of diabetes remission after bypass surgery
- Milestones in the acceptance of diabetes surgery
- International Diabetes Federation position statement
- “
- Evidence still needed in metabolic surgery
Sleeve gastrectomy
A newer operation, its critics, and the evidence that answered them
- Position of sleeve gastrectomy among bariatric operations
- Laparoscopic sleeve gastrectomy
- Laparoscopic adjustable gastric banding
- Risk and benefit across three bariatric operations
- Drawbacks and attractions of sleeve gastrectomy
- Sleeve gastrectomy compared with vertical banded gastroplasty
- Reasons vertical banded gastroplasty failed
- Complications rarely seen after sleeve gastrectomy
- Revisional surgery after sleeve gastrectomy
- Sleeve gastrectomy converted to a duodenal switch
- Sleeve gastrectomy as a metabolic procedure
- Gut hormone response after sleeve gastrectomy
- Ghrelin suppression after sleeve gastrectomy
- Long-term evidence for sleeve gastrectomy
- 53-69%
- Endorsement of sleeve gastrectomy as a primary operation
Innovation
Filling the gap between tablets and the operating theatre
- Gap between medical therapy and surgery
- Endoscopic therapy for obesity
- Obstacles facing endoluminal procedures
- Laparoscopic greater curvature plication
- Suture placement along the greater curvature
- Completed plication and the narrowed channel
- Investigational less invasive procedures
- Where new obesity therapies sit
- Responsible innovation in bariatric surgery
Summary
What to carry away from this commentary
- Summary: obesity and diabetes surgery
- Summary: sleeve gastrectomy and innovation
- References
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- Maingot's Abdominal Operations, 12th Edition