Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery

Part I - Introduction.- A Brief History of the Duodenal Switch.- Duodenal Switch. Mechanisms of functioning.- Duodenal Switch and Its Derivatives.- Primary Single Anastomosis Duodenal Switch: Perspective from a Lengthy Experience.- Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery.- Part II - Weight Loss Surgery.- Pathophysiology of the cardiometabolic alterations in obesity.- Pathophysiology of bile acid regulation.- Nonalcoholic steatohepatitis (NASH).- Patient Selection.- Psychological and Psychiatric Work Up.- Nutritional, Behavioral, and Support for Duodenal Switch.- Preoperative endoscopy.- Postoperative care.- Preoperative Testing and Counseling.- Risk Assessment and Reduction.- Airway Evaluation and Management.- Patient Positioning and Positioning for Bariatric Surgery.- Intraoperative Monitoring Of The Morbidly Obese Patient.- Method of anesthesia: gas selection and adjunct medications.- Regional Anesthesia in Bariatric Surgery.- Multimodal Analgesia inBariatric Surgery.- Anatomical Considerations.- Robotic Duodenal Switch and SADI-S: Technical Aspects.- Laparoscopic Biliopancreatic Diversion with Duodenal Switch: Surgical technique.- SADIS - Technical details.- Technical Aspects of Single Anastomosis Duodenal Switch-SIPS Version.- Duodenal Bipartition or Side-to-Side Duodeno-Ileostomy. Rationale and Technical Details.- Duodenoileal anastomosis with handsewn technique.- Circular Anastomosis in Duodenal Switch.- Duodenoileal anastomosis with linear stapler technique.- Staged Duodenal Switch for High-Risk Patients.- Duodenal Switch, SADI and SIPS in Adolescent.- Duodenal Switch (DS), Single Anastomosis Duodeno-Ileal bypass (SADI) and Stomach Intestinal Pylorus-Sparing (SIPS) Surgery in the Elderly.- Right Gastric Artery Ligation: The Brazilian Results.- Surgery Failure: what are the options?.- Causes of Weight Regain After Duodenal Switch and its Derivatives.- Revisional Surgery for Weight Regain.- Conversion of Sleeve Gastrectomy toDuodenal Switch and SADI-S.- Gastric Band Revision to Duodenal Switch.- Endoscopic Treatment of Weight Regain in Duodenal Switch.- Conversion of Gastric Bypass to Duodenal Switch.- Management of Duodenal Stump blowout.- Duodenoileal anastomosis testing.- Closing the mesenteric defects.- Preventing Surgical Complications.- Malabsorbative complications.- Postoperative Psychological Assistance.- Surgical Management of Leaks.- Internal Hernias and Bowell Obstruction.- Management of Portal Vein Thrombosis Following Bariatric Surgery.- Gallstones and Choledocholithiasis.- Hyperinsulinemic postprandial hypoglycemia after duodenal switch.- Diarrhea after Duodenal Switch: Medical and Surgical Management.- Endoscopic Treatment of Complications.- Global analyisis of our experience with hypoabsortive tecnique: > 500 cases DS vs SADI-S.- Body Contouring after Duodenal Switch.- Bariatric Surgery Population in the ICU.- Bariatric Emergencies For The General Surgeon.- Robotic bariatric surgeon training.- Part III - Metabolic and Diabetes Type 2 Surgery.- Mechanisms of control of diabetes 2 with duodenal switch.- The Evolution of Single anastomosis Duodenal Switch.- Metabolic Syndrome Control and the influence of hormonal changes post-Duodenal Switch (DS).- Staged Duodenal Switch for High-Risk Patients.- Duodenal Switch in Patients with Metabolic Syndrome.- Duodenal Switch (DS) for the Surgical Treatment of Diabetes and Metabolic Disease.- Postoperative care.- Metabolic Syndrome and the Influence of Bile Acids.

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• Cirurgia
• Prática geral
• Medicina interna e clínica
• Anatomia

Bariatric surgery;Weight loss;Metabolic diseases;Duodenal switch;Ilium;Single anastomosis;Diabetes