Textbook of Obesity, Bariatric and Metabolic Surgery: A Comprehensive Reference for Surgeons, Endocrinologists, and Bariatric Nurses
Three professionals look after the same bariatric patient and usually read three different books. The surgeon reads an operative reference, the endocrinologist reads a metabolic one, and the nurse reads neither. This textbook was written to be the book all three can use, because the problems that harm these patients sit in the spaces between those three jobs.
Eighteen chapters take the subject from the biology of obesity through every current operation to the service that has to look after the patient for the next thirty years. The anatomy, the operative technique, the metabolic mechanism and the bedside observation appear together, chapter by chapter, rather than in separate volumes.
What this book coversFoundations and patient selection. The biology of obesity as a disease, the mechanisms by which surgery acts, assessment and optimization, and the revised indication thresholds.
Operative anatomy. Gastric blood supply, the antireflux mechanism, duodenal and biliary relations, the small bowel mesentery and its defects, and the anatomy left behind by each operation.
The operations. Sleeve gastrectomy, gastric bypass with Y-shaped jejunal reconstruction, the malabsorptive procedures, and the endoscopic and device-based interventions, each with technique, mechanism, outcomes and procedure-specific complications.
Perioperative care and complications. Anesthesia and the airway, early complications including leak, bleeding, thromboembolism and organ failure, late complications including internal hernia, stricture, ulceration and reflux, and the full nutritional and micronutrient picture.
Metabolic and endocrine outcomes. Diabetes remission and relapse, cardiovascular, hepatic and respiratory outcomes, and the reproductive, endocrine and psychosocial dimensions.
The long term. Weight recurrence, revisional surgery, combined pharmacological and surgical therapy, and how to build and run a service.
How it is written
Every chapter opens with a clinical scenario and closes by answering it. Every chapter carries learning objectives, feature panels for the operative step, the metabolic mechanism, the red flag, the nursing observation and the trial behind a recommendation, and figures and tables designed for the page rather than borrowed from elsewhere.
Every factual claim is traceable to a named source. The reference list carries 84 sources, each read in full at a stated date. Where the evidence is weak, the text says so and says where. Where two sources disagree, both are given.
Reference apparatusDrug and drug-class reference by indication category, generic names only
Clinical decision thresholds and reference values, each with its source and date
Micronutrient monitoring and replacement tables organized by procedure
Limb length, calibration and anatomical reference by procedure
Clinical glossary, references in full, and a working index
Written for bariatric and metabolic surgeons, endocrinologists and physicians, bariatric nurses and nurse specialists, dietitians, anesthetists, trainees in any of these fields, and the primary care clinicians who inherit these patients.
Clinical information is for educational purposes. Verify all clinical decisions against current guidelines, local formulary and qualified clinical supervision.
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