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TABLE OF CONTENTS

  • Background
  • An historical perspective of bariatric surgery
  • The Initial Phase (1950 - 1970) - Small bowel bypass.
  • The Middle Phase (1970 - 1990) - Stomach stapling.
  • The Current Phase (1990 - present) - Laparoscopic and adjustable procedures.
  • Current Methods in Bariatric Surgery
  • 1. Laparoscopic adjustable Gastric Banding (LAGB).
  • 2. Roux en Y Gastric Bypass (RYGB)
  • 3. Biliopancreatic Diversion / Duodenal Switch (BPD/DS)
  • 4. Sleeve Gastrectomy and other gastroplasties
  • Mechanisms of Action in Bariatric Surgery
  • 2. Mechanisms of Roux en Y Gastric Bypass (RYGB)
  • 3. Mechanisms in Sleeve Gastrectomy (SG)
  • 4. Mechanisms in Biliopancreatic bypass (BPD)
  • Outcome from bariatric surgery
  • 1. Mortality and adverse events
  • 2. Weight Loss Outcomes
  • 2. Changes in Health after Bariatric Surgery
  • Type 2 Diabetes
  • Dyslipidemia of obesity
  • Hypertension
  • Asthma
  • Obstructive sleep apnea
  • 3. Improvement in Quality of Life
  • 4. Improvement in Survival
  • The Hierarchy of Obesity Therapies
  • Comparison of bariatric surgery with non-surgical therapies
  • Comparison between bariatric surgical procedures.
  • Decision making re surgical options - A personal view
  • Who should be considered and who should not?
  • Needs and Challenges