Table of Contents

The epidemiology of obesity.
Pathophysiology of obesity.
Medical weight management.
Presurgical GI evaulation in bariatric surgery.
Surgical management of obesity: surgical procedures, preoperative evaluation, and patient selection.
Basic postoperative management of the bariatric patient.
Normal postsurgical anatomy.
Early GI bleeding after bariatric surgery.
Management of postsurgical leaks and fistulae.
Ulceration in the bariatric patient.
Management of strictures.
Accessing the pacreatobiliary limb and ERCP.
Endoscopic management of post-bariatric foreign bodies: dysfunctional sutures, staples, and bands.
Nutritional management of the bariatric patient: diets and deficiencies.
Anemia.
Diagnosis and treatment of dumping syndrome after gastric bypass for morbid obesity.
Rare complications.
Endoscopic therapy for weight regain after bariatric surgery.
Primary endoluminal techniques for weight loss.
Imaging the bariatric patient.
Procedural sedation in the obese patient.
Special nursing considerations in caring for the bariatric patient.
Endoscopy unit considerations. To date, diet programs and medical therapies for the treatment of obesity have had limited success. Bariatric surgery, however, provides a means of effective weight loss for many of those with morbid obesity. Most of these weight loss procedures are performed with a variety of techniques that continue to evolve. Each technique is associated with unique challenges and complications and it is important for the clinician to be knowledgeable about the endoscopic management of these patients.