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. Lifestyle 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 among others. Each of these surgeries may also have important variations, and are in turn associated with unique gastrointestinal complications. Additionally, there are new medications and emerging endobariatric therapies that are gaining wide acceptance, and offering less invasive alternatives to this struggling population.
This textbook on obesity management and 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. 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.
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.
Dr. Thompson is Professor of Medicine at Harvard Medical School (HMS), Director of Endoscopy and Co-Director of the Center for Weight Management and Wellness at Brigham and Womens Hospital (BWH), is Principal Investigator of the Developmental Endoscopy Lab and serves on the HMS admissions committee. He operates on the Governing Board of the American Society for Gastrointestinal Endoscopy (ASGE), and is Editor-in-Chief for iGIE, the societys new open access journal. Dr. Thompsons academic and clinical efforts have consistently focused on three main areas (1) obesity and metabolic disease, (2) development of new endosurgical procedures and technologies, and (3) endoscopic training and assessment. He has invented numerous procedures, including Endoscopic Sleeve Gastroplasty (ESG), Transoral Outlet Reduction (TORe), and Gastroplasty with Endoscopic Myotomy (GEM), and he has led several US pivotal trials. These projects have resulted in substantial Department of Defense and societal funding, numerous patents, the development and licensing of new technologies, over 250 peer-reviewed publications with an H-index of over 60, various innovation awards, and five successful start-up companies. He has served on advisory boards for industry partners, insurance companies, and investment banks, and has co-founded several societal ventures including the Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR) and the Association for Bariatric Endoscopy (ABE). He has also mentored a diverse group of trainees who have gone on to leadership roles in major US and international academic centers, with one becoming a White House Fellow and another Chief Medical Officer for a Fortune 500 medical device company. Dr. Thompson recently had the honor of receiving the ASGEs highest mentoring award, the Distinguished Endoscopic Research Mentoring Award. He also has been credited with being the founding father of the field of Bariatric Endoscopy, among other accolades.
