Obesity, Bariatric and Metabolic Surgery

Mr Sanjay Agrawal is a Consultant Surgeon specialising in Bariatric (Obesity/Weight-Loss) Surgery at Homerton University Hospital in London and Honorary Senior Lecturer, Barts and The London School of Medicine and Dentistry, Queen Mary, University of London, London, UK. Mr Agrawal is certified as ‘Surgeon of Excellence in Metabolic and Bariatric SurgeryTM, SOEMBSTM’ by Surgical Review Corporation of USA. He has the privilege of being the First (and only) surgeon in the UK to achieve this designation. Mr Agrawal has the honour of being the First (and only) Post-CCT Fellow in Bariatric and Upper GI Surgery awarded under the National Surgical Fellowship Scheme through the Royal College of Surgeons of England in partnership with the Surgical Specialist Associations in the year, 2009-10. Mr Agrawal has made numerous presentations (approx. 100) at national and international meetings as well as has multiple publications (approx. 100) in peer-reviewed journals. Mr Agrawal is a member of the British Obesity and Metabolic Surgery Society (BOMSS) Education and Research Subcommittee (2013 onwards) and of International Committee in the American Society for Metabolic & Bariatric Surgery (ASMBS) (2015-16). Mr Agrawal has served as Faculty in different capacities (Chair/Moderator/Speaker) in multiple national and international meetings.

"The audience is physicians who deal with morbidly obese patients, specifically metabolic and bariatric surgeons. ... the coherent and lucid nature of this book may benefit any healthcare practitioner who desires in-depth knowledge on the subject. ... This is a first-class book on obesity and metabolic surgery that touches on a wide range of subjects and provides in-depth information in a concise yet lucid fashion." (Sheetal Nijhawan, Doody's Book Reviews, October, 2015)

• Section 1 Obesity and Metabolic Syndrome.- 1 Introduction to Obesity.- 2 Etiopathogenesis of Obesity.- 3 Gut-derived Hormones and Energy Homeostasis.- 4 Health Consequences–Obesity Associated Comorbidities.- 5 Medical Management of Obesity.- Section 2 Introduction to Bariatric Surgery.- 6 Historical Perspectives of Bariatric Surgery.- 7 Evidence Base for Bariatric Surgery.- 8 Patient Selection in Bariatric Surgery.- 9 Procedure Selection in Bariatric Surgery.- Section 3 Perioperative Assessment for Bariatric Surgery.- 10 Preoperative Medical Evaluation of the Bariatric Surgery Patient.- 11 Perioperative Dietary Evaluation of the Bariatric Surgery Patient.- 12 Psychological Assessment of the Bariatric Surgery Patient.- 13 Anaesthesia Considerations in the Obese Patient.- 14 Perioperative Risk Scoring System in Bariatric Surgery.- 15 The Structure and Role of the Multidisciplinary Team in Bariatric Surgery.- 16 Nursing Care of the Bariatric Surgery Patient.- 17 Perioperative Management of the Bariatric Surgery Patient.- 18 Enhanced Recovery after Bariatric Surgery.- Section 4 Laparoscopic Roux-en-Y Gastric Bypass (LRYGB): Techniques, Complications, Outcomes and Controversies.- 19 Laparoscopic Roux-en-Y Gastric Bypass: The Linear Technique.- 20 Laparoscopic Roux-en-Y Gastric Bypass: The Circular Stapler Technique (Including Transoral as well as Transabdominal Anvil Placement).- 21 Laparoscopic Roux-en-Y Gastric Bypass: Hand-Sewn Technique.- 22 Laparoscopic Roux-en-Y Gastric Bypass: The Fully Stapled Technique.- 23 Laparoscopic Roux-en-Y Gastric Bypass: Complications- Diagnosis and Management.- 24 Laparoscopic Roux-en-Y Gastric Bypass: Outcomes.- 25 Laparoscopic Roux-en-Y Gastric Bypass: Current Controversies.- Section 5 Laparoscopic Sleeve Gastrectomy (LSG): Technique, Complications, Outcomes and Controversies.- 26 Laparoscopic Sleeve Gastrectomy: The Technique.- 27 Laparoscopic Sleeve Gastrectomy: Complications, Diagnosis and Management.- 28 Laparoscopic Sleeve Gastrectomy: Outcomes.- 29 Laparoscopic Sleeve Gastrectomy: Current Controversies.- Section 6 Laparoscopic Adjustable Gastric Banding (LAGB): Technique, Complications, Outcomes and Controversies.- 30 Laparoscopic Adjustable Gastric Banding: The Technique.- 31 Laparoscopic Adjustable Gastric Banding: Complications- Diagnosis and Management.- 32 Laparoscopic Adjustable Gastric Banding: Outcomes.- 33 Laparoscopic Adjustable Gastric Banding: Current Controversies.- Section 7 Advances in Minimally Invasive Bariatric Surgery.- 34 Reduced Port Laparoscopic Bariatric Surgery.- 35 Single Incision Laparoscopic Roux-en-Y Gastric Bypass.- 36 Single Incision Laparoscopic Sleeve Gastrectomy.- 37 Single Incision Laparoscopic Adjustable Gastric Banding.- 38 Robotic Assisted Bariatric Surgery.- Section 8 Revisional Bariatric Surgery.- 39 Revisional Surgery after Vertical Banded Gastroplasty.- 40 Revisional Surgery after Laparoscopic Roux-en-Y Gastric Bypass.- 41 Revisional Surgery after Laparoscopic Sleeve Gastrectomy.- 42 Revisional Bariatric Surgery after Laparoscopic Adjustable Gastric Banding.- Section 9 Other Operations for Obesity.- 43 Laparoscopic Mini-Gastric (One Anastomosis) Bypass Surgery.- 44 Laparoscopic Biliopancreatic Diversion with Duodenal Switch (BPD-DS) Surgery.- 45 Laparoscopic Biliopancreatic Diversion (BPD) Surgery.- 46 Laparoscopic Banded Gastric Bypass Surgery.- 47 Single-Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) Surgery.- 48 Laparoscopic Gastric Plication.- 49 Laparoscopic Gastric Pacing.- Section 10 Endoscopic Approaches in Obesity and Bariatric Surgery.- 50 Intragastric Balloon Treatment for Obesity.- 51 Endoscopic Duodeno-Jejunal Bypass Sleeve Treatment for Obesity.- 52 Newer Endoluminal Interventions for Obesity.- 53 Endoscopic Treatment of Complications after Bariatric Surgery.- Section 11 Metabolic Effects of Bariatric Surgery.- 54 Mechanisms of Action of Bariatric Surgical Procedures.- 55 Glycemic Control and Reduction of Cardiovascular Risk following Bariatric Surgery.- 56 Resolution of Obesity Associated Comorbidities (Diabetes, Hypertension, Sleep Apnea and Metabolic Syndrome) following Bariatric Surgery.- 57 Metabolic Surgery for Type 2 Diabetes Mellitus in Patients with Body Mass Index less than 35 kg/m2.- 58 Ileal Interposition with Sleeve Gastrectomy for Type 2 Diabetes Mellitus and Metabolic Syndrome.- Section 12 Training, Reporting and Practice in Bariatric Surgery.- 59 Training in Bariatric Surgery.- 60 Bariatric Surgery Data Management and Reporting Worldwide.- 61 Surgical Review Corporation (SRC) Center of Excellence Programs for Bariatric Surgery.- 62 International Federation for Surgical Obesity (IFSO) Center of Excellence Program for Bariatric Surgery.- 63 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) by American Society for Metabolic and Bariatric Surgery (ASMBS) for Bariatric Surgery.- 64 Medicolegal Issues in Bariatric Surgery.- Section 13 Miscellaneous Topics.- 65 Nutritional Management of the Bariatric Surgery Patient.- 66 Management of Extreme Obesity (Body Mass Index greater than 60 Kgm2).- 67 Respiratory Considerations and Effect of Bariatric Surgery in the Obese Patient.- 68 Infertility, Pregnancy and Bariatric Surgery.- 69 Non-Alcoholic Fatty Liver Disease (NAFLD) and Bariatric Surgery.- 70 Cancer, Obesity and Bariatric Surgery.- 71 Psychological Issues Before and After Bariatric Surgery.- 72 Health-Related Quality of Life Before and After Bariatric Surgery.- Section 14 Special Topics.- 73 Management of Bariatric Emergencies by the General Surgeon.- 74 The Role of Primary Care in Bariatric Surgery.- 75 Intensive Care and Obesity.- 76 Radiological Imaging in Bariatric Surgery.- 77 Adolescent Bariatric Surgery.- 78 Body Contouring after Bariatric Surgery