Bariatric and Metabolic Surgery

This book describes the surgical bariatric procedures most frequently performed worldwide and examines their evolution in recent years both within Italy and internationally. For each operation, indications, the surgical technique, potential complications, and the outcomes with respect to weight and obesity-associated comorbidities are presented. In view of the significant failure rate revealed by studies on the long-term results of bariatric surgery, the problem of weight regain and revision surgery are also discussed in detail, covering the different types of revision, conversion to other procedures, and the main outcomes. In addition, individual chapters focus on selected topics of importance. The role of bariatric surgery in the cure of type 2 diabetes (“diabetes surgery”) is discussed and the debate over the significance of gastroesophageal reflux disease and hiatal hernia for choice of procedure is summarized. Finally, the most common endoluminal procedures, which have been gaining in importance, are described and other bariatric operations, outlined.

Dr Luigi Angrisani. Current position: Director General and Endoscopic Surgery Unit, S.Giovanni Bosco Hospital, Naples, Italy. He was IFSO President 2013-2014. Research/clinical field of interest: since 1996 Prof Angrisani has performed about 2050 anti-obesity surgical procedures (including Gastric Banding, Sleeve Gastrectomy, Gastric Bypass, BPD/DS and recently SADIs) but also endoluminal procedure (BIB, Obalon, Gastric plication and Apollo). He also published more than 80 original articles on international Journals and several chapters about bariatric surgery. Dr Antonella Santonicola. Current position: Gastroenterologist. Gastrointestinal Unit, S. Giovanni di Dio e Ruggi d’Aragona Hospital, Salerno, Italy. Research/clinical field of interest: Dr. Santonicola performs the preoperative and postoperative gastroenterological evaluation of obese patients who underwent bariatric procedure at the Bariatric Surgery Center of Prof Angrisani. She specifically studies the relationship between gastroesofageal reflux disease and hiatal hernia in obese patients before and after bariatric surgery. She also published several original articles on international Journals about bariatric surgery and its gastroenterological outcomes. Dr. Giampaolo Formisano Current position: General Surgeon. Department of General and Minimally-Invasive Surgery. International School of Robotic Surgery, Misericordia Hospital, Grosseto, Italy. Research/clinical fieldof interest: Dr Formisano is mainly interested in Bariatric and Metabolic Surgery, Upper and Lower Gastrointestinal Surgery, Oncologic Minimally Invasive Surgery, with a special interest in robotic surgery. During his residency surgery program, he attended the Bariatric Surgery Center directed by Prof. Angrisani for 3 years. He published several original articles and book chapters on international peer-reviewed Journals about bariatric and robotic surgery. He also contributed to a book on robotic surgery, edited by Prof. Giuseppe Spinoglio.