Description
The book provides a global approach to sleeve gastrectomy, currently the most commonly performed bariatric technique worldwide. Although classified as a restrictive procedure, it has been shown to produce effects that go beyond the simple reduction of gastric volume, including hormonal and biochemical changes associated with the surgery. With its multidisciplinary approach, featuring experts from various medical and non-medical fields such as nursing, physiotherapy, and psychology, the book discusses preoperative evaluation, intraoperative procedures, postoperative care, mechanisms of action, and the challenges associated with sleeve gastrectomy, all grounded in current evidence-based literature. Special attention is given to ERAS protocols, which have been applied to sleeve gastrectomy and have been demonstrated to be effective and safe. These protocols reduce postoperative complications, enhance recovery, and improve both the perceived quality of life and the quality of healthcare delivered.
This volume will be a valuable resource for all specialists involved in the care of patients undergoing sleeve gastrectomy.
Part I: Preoperative evaluation.- 1. Preoperative information of the patient and psychological suitability.- 2. Selection of patients for sleeve gastrectomy. Indications and contraindications.- 3. Nutritional optimization.- 4. Physical Prehabilitation.- 5. Upper Digestive Endoscopy and Screening of Helicobacter pylori Infection.- 6. Pneumological evaluation.- 7. Preoperative nursing evaluation.- Part II: Intraoperative procedure.- 8. Surgical Technique.- 9. Anesthetic considerations for patients undergoing sleeve gastrectomy.- 10. Revisional Surgery.- Part III: Postoperative course.- 11. Early postoperative complications.- 12. Critical care in the patient undergoing sleeve gastrectomy.- 13. Diet progression and lifestyle modification.- 14. Weight Loss and Remission of Comorbidities After Sleeve Gastrectomy.- 15. Challenges and Long-Term Complications of Sleeve Gastrectomy.- 16. Nutritional sequelae and specific supplementation requirements.- 17. Impact of physical activity on postoperative outcomes.- 18. Follow up schemes and role of the General Practitioner.- 19. Nursing involvement in the postoperative follow up.- 20. Postoperative quality of life.- 21. Economic Impact of Multidisciplinary Management of Sleeve Gastrectomy.- Part IV: Mechanism of action of sleeve gastrectomy and challenges.- 22. Hormonal and biochemical changes after sleeve gastrectomy.- 23. Impact of microbiota on the outcomes of sleeve gastrectomy.- 24. Enhanced Recovery After Surgery (ERAS) protocols.- 25. Sleeve gastrectomy in Pediatric and Adolescent Population.- 26. Sleeve Gastrectomy in the Elderly.- 27. Nissen sleeve: a modified procedure for treating severe obesity and gastroesophageal reflux disease.
Jaime Ruiz-Tovar, MD, PhD, is a General and Digestive Surgeon, a specialist in Bariatric Surgery, and is accredited as an Expert by the Spanish Society of Obesity Surgery. He is a Senior Professor of Health Sciences at Alfonso X University, Madrid, Spain, and the Director of the Master's Program in Bariatric Surgery Updates at TECH University.
He has been an active researcher in various aspects of sleeve gastrectomy over the past decade. He currently leads several research projects focused on obesity and translational studies involving microbiota and probiotics.
