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By Nadey S. Hakim, Franco Favretti, Gianni Segato, Bruno Dillemans

ISBN-10: 1848165889

ISBN-13: 9781848165885

During the last 20 years, weight problems has reached epidemic proportions on the earth, leading to anguish and untimely loss of life. Morbid weight problems is a protracted clinical sickness that has long-reaching effects and is as a result of a number of components. Bariatric surgical procedure and different non-invasive tactics in conscientiously chosen sufferers are potent remedies for weight problems. it's the in basic terms software for sustained and potent long term weight-loss.

the sphere of surgical procedure is constructing quickly - delivering cutting edge innovations for sufferers who've didn't drop extra pounds by way of nutrition, workout and pharmacological equipment. The editors overview difficulties that the sufferers face within the perioperative interval and within the long-term, in addition to their changes in way of life and healthcare administration.

The textual content is authored by means of specialists who perform the multidisciplinary care of bariatric sufferers. it's going to handle the review and choice of sufferers' remedy ahead of surgical procedure, ideas for surgical intervention and postoperative clinical administration.

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Extra resources for Bariatric Surgery

Sample text

2005). Laparoscopic adjustable gastric banding in severely obese adolescents. Surg Obes Relat Dis 1(4): 399–405; discussion 405–397. 40. , Wolfe, L. (2007). Obesity surgery mortality risk score: proposal for a clinically useful score to predict mortality risk in patients undergoing gastric bypass. Surg Obes Relat Dis 3(2): 134–140. 41. , Gagner, M. Gentileschi, P. et al. (2004). The early effect of the Roux-en-Y gastric bypass on hormones involved in body weight regulation and glucose metabolism.

Qxd 11/11/2010 2:50 PM Page 20 b1024 Bariatric Surgery 20 E. Pizzirani and G. Calcarella Table 5. Co-morbidity of the obese associated with weight. 1. Arthropathies 2. Hyperdynamic state with increased intravascular blood volume Heart failure Fluid imbalance (oedema) Prolonged QT tract Sudden death 3. Increase of renal blood flow (RBF) 4. Respiratory disease Increase of intrathoracic pressure Increase of O2 consumption Hypoventilation OSA Sudden death 5. Skin lesions Intertrigo Ulceration 6. Increase of intra-abdominal pressure Pseudotumor cerebri Hernias Oesophageal reflux Eclampsia Urinary incontinence Venous stasis 7.

18 The combined action of these elements is responsible for the increase in the work of breathing (WOB) and in the reduced efficiency of the respiratory function. In normocapnic obese patients about 30 per cent of WOB is often due to the pulmonary inflation. In hypercapnic obese patients this increases some 100 per cent owing to pulmonary inflation and some 200 per cent owing to the mobilization of the thoracic wall. The explanation for this is that accelerated ventilation, increasing the energetic expenditure and O2 consumption, might cause alveolar hypoventilation.

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Bariatric Surgery by Nadey S. Hakim, Franco Favretti, Gianni Segato, Bruno Dillemans


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