By Seung Ho Choi, Kazunori Kasama
Bariatric and Metabolic surgical procedure is well-known to be an immense and powerful alternative for the therapy of critical weight problems and a number of the linked stipulations and illnesses. This booklet offers state-of-the-art wisdom on such surgical procedure with the purpose of facilitating the sharing and trade of information, documenting potent recommendations, and adorning protection and results. All technical features are lined intimately, and the textual content is complemented by way of many beneficial illustrations. another key characteristic is the availability of accompanying surgical video clips, for you to be of price to either amateur and skilled surgeons. This textbook may be a good asset in medical perform for all who're concerned or drawn to bariatric and metabolic surgery.
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Extra info for Bariatric and Metabolic Surgery
Two anterior suture lines are run from the distal anterior aspect of the enterotomy, the first being full thickness (Fig. 18) and the second a seromuscular suture (Fig. 19). Prior to completion of the anastomosis, the 36 Fr orogastric tube is carefully inserted across the anastomosis to help calibrate the opening as well as to provide assurance of a patent anastomosis. The anterior Fig. 19 Anterior seromuscular layer suturing sutures are tied with their respective posterior counterparts. The anastomosis and proximal staple lines can be tested with blue dye, air insufflation via the orogastric tube, or operative endoscopy.
There is no current justification on grounds of evidence of clinical effectiveness, cost-effectiveness, ethics, or equity that this group should be excluded from life-saving treatment. 4. Gastric banding, sleeve gastrectomy, and gastric bypass have been shown in randomized controlled trials to be well-tolerated and effective treatment for patients with BMI 30–35 kg/ m2 in the short and medium term. Traditionally, surgeons offered bariatric surgery to patients aged 18–60 years. However, in the current era of refined anesthesiology, effective critical care, and high-quality surgical outcomes, age restrictions are less rigidly employed.
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