Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery, 2023 A Comprehensive Clinical Guide

This book provides extensive information on the duodenal switch and all of its derivatives. The number of procedures performed is progressively increasing, as cases of obesity are on the rise and patients? body mass index (BMI) is getting higher. It discusses all the techniques involved in the duodenal switch procedure and its derivatives used in the primary and revision situations. Readers will learn what the procedure can offer not only in terms of weight loss, but also its potential with regard to metabolic diseases, since some data indicates that the duodenal switch may lead to rapid resolution of diabetes and other comorbidities.

The most important information on the duodenal switch is gathered in a single volume and includes its benefits for metabolic diseases. This book will give healthcare professionals new confidence with regard to this procedure and may serve as a reference guide not only for the bariatric community (surgeons, PA, ARNP, nutritionists) but also for teaching new residents and fellows.

Part I – Introduction.- A Brief History of the Duodenal Switch.- Duodenal Switch. Mechanisms of functioning.- Duodenal Switch and Its Derivatives.- Primary Single Anastomosis Duodenal Switch: Perspective from a Lengthy Experience.- Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery.- Part II - Weight Loss Surgery.- Pathophysiology of the cardiometabolic alterations in obesity.- Pathophysiology of bile acid regulation.- Nonalcoholic steatohepatitis (NASH).- Patient Selection.- Psychological and Psychiatric Work Up.- Nutritional, Behavioral, and Support for Duodenal Switch.- Preoperative endoscopy.- Postoperative care.- Preoperative Testing and Counseling.- Risk Assessment and Reduction.- Airway Evaluation and Management.- Patient Positioning and Positioning for Bariatric Surgery.- Intraoperative Monitoring Of The Morbidly Obese Patient.- Method of anesthesia: gas selection and adjunct medications.- Regional Anesthesia in Bariatric Surgery.- Multimodal Analgesia inBariatric Surgery.- Anatomical Considerations.- Robotic Duodenal Switch and SADI-S: Technical Aspects.- Laparoscopic Biliopancreatic Diversion with Duodenal Switch: Surgical technique.- SADIS - Technical details.- Technical Aspects of Single Anastomosis Duodenal Switch-SIPS Version.- Duodenal Bipartition or Side-to-Side Duodeno-Ileostomy. Rationale and Technical Details.- Duodenoileal anastomosis with handsewn technique.- Circular Anastomosis in Duodenal Switch.- Duodenoileal anastomosis with linear stapler technique.- Staged Duodenal Switch for High-Risk Patients.- Duodenal Switch, SADI and SIPS in Adolescent.- Duodenal Switch (DS), Single Anastomosis Duodeno-Ileal bypass (SADI) and Stomach Intestinal Pylorus-Sparing (SIPS) Surgery in the Elderly.- Right Gastric Artery Ligation: The Brazilian Results.- Surgery Failure: what are the options?.- Causes of Weight Regain After Duodenal Switch and its Derivatives.- Revisional Surgery for Weight Regain.- Conversion of Sleeve Gastrectomy toDuodenal Switch and SADI-S.- Gastric Band Revision to Duodenal Switch.- Endoscopic Treatment of Weight Regain in  Duodenal Switch.- Conversion of Gastric Bypass to Duodenal Switch.- Management of Duodenal Stump blowout.- Duodenoileal anastomosis testing.- Closing the mesenteric defects.- Preventing Surgical Complications.- Malabsorbative complications.- Postoperative Psychological Assistance.- Surgical Management of Leaks.- Internal Hernias and Bowell Obstruction.- Management of Portal Vein Thrombosis Following Bariatric Surgery.- Gallstones and Choledocholithiasis.- Hyperinsulinemic postprandial hypoglycemia after duodenal switch.- Diarrhea after Duodenal Switch: Medical and Surgical Management.- Endoscopic Treatment of Complications.- Global analyisis of our experience with hypoabsortive tecnique: > 500 cases DS vs SADI-S.- Body Contouring after Duodenal Switch.- Bariatric Surgery Population in the ICU.- Bariatric Emergencies For The General Surgeon.- Robotic bariatric surgeon training.- Part III - Metabolic and Diabetes Type 2 Surgery.- Mechanisms of control of diabetes 2 with duodenal switch.- The Evolution of Single anastomosis Duodenal Switch.- Metabolic Syndrome Control and the influence of hormonal changes post-Duodenal Switch (DS).- Staged Duodenal Switch for High-Risk Patients.- Duodenal Switch in Patients with Metabolic Syndrome.- Duodenal Switch (DS) for the Surgical Treatment of Diabetes and Metabolic Disease.- Postoperative care.- Metabolic Syndrome and the Influence of Bile Acids.

Andre F. Teixeira received his medical degree at Morehouse School of Medicine and completed his internship in general surgery at Orlando Regional Medical Center. Following his internship, completed his residency training at Orlando Health, where he also served as general surgery chief resident. Following his residency, completed his bariatric and advanced MIS fellowship at Cleveland Clinic Florida. Currently, he is a bariatric surgeon for the Bariatric Program at Orlando Regional Medical Center. Dr. Teixeira is a member of the Society of American Gastrointestinal and Endoscopic Surgeons, the Florida Medical Association, the American College of Surgeons, the American Society and Metabolic Surgery (ASMBS). He is a fellow of the American College of Surgeons and ASMBS, and serves as vice chair of general surgery of Orlando Regional Medical Center.

Muhammad A. Jawad received his Medical Degree from Ain Shams University in Cairo, Egypt, graduating withhonors. He completed a surgical internship at Cook County Hospital in Chicago, IL. Following his internship, he practiced at Jackson Hospital in Alabama. He is board certified through the American Board of Surgery and serves as the Medical Director of Orlando Regional Medical Center’s Bariatric Program. Before joining ORMC, Dr. Jawad served as chief of surgery at Ocala Regional Medical Center in Florida following his position as chief of staff at Monroe Regional Hospital. Fellow of the American College of Surgeons, and member of many organizations including the American Society of Bariatric Surgery, the Florida Medical Association, the Society of Laparoendoscopic Surgeons and the Florida Physicians Association.

Manoel Passos Galvão Neto received his MD from the Bahiana School of Medicine and Public Health (1989) followed by a residency in Digestive Surgery at July 9th Hospital (São Paulo, Brazil). He obtained a Master’s degree in Digestive Surgery f