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The first 25 slides, exactly as they appear. The full deck has 50 content slides.
General Surgery
Perspective on Morbid Obesity and Its Surgical Treatment
Built from Maingot's Abdominal Operations
What’s inside
5 sections · 50 slides
Overview
- Scope of this commentary
- Key terms in bariatric surgery
- Anatomy of the stomach
Obesity and type 2 diabetes
Why the surgical treatment of diabetes stopped being a fringe idea
- Global variation in adult obesity prevalence
- 285 m
- Growth of the diabetes burden
- Metabolic surgery and its changing reception
- Mechanisms of glucose improvement after surgery
- Sequence linking bypass surgery to early diabetes remission
- The incretin effect and gut hormones
- Bypass procedures compared with purely restrictive operations
- Roux-en-Y gastric bypass anatomy
- Speed of diabetes remission after bypass surgery
- Milestones in the acceptance of diabetes surgery
- International Diabetes Federation position statement
- “
- Evidence still needed in metabolic surgery
Sleeve gastrectomy
A newer operation, its critics, and the evidence that answered them
- Position of sleeve gastrectomy among bariatric operations
- Laparoscopic sleeve gastrectomy
- Laparoscopic adjustable gastric banding
- Risk and benefit across three bariatric operations
- Drawbacks and attractions of sleeve gastrectomy
- Sleeve gastrectomy compared with vertical banded gastroplasty
- Reasons vertical banded gastroplasty failed
- Complications rarely seen after sleeve gastrectomy
- Revisional surgery after sleeve gastrectomy
- Sleeve gastrectomy converted to a duodenal switch
- Sleeve gastrectomy as a metabolic procedure
- Gut hormone response after sleeve gastrectomy
- Ghrelin suppression after sleeve gastrectomy
- Long-term evidence for sleeve gastrectomy
- 53-69%
- Endorsement of sleeve gastrectomy as a primary operation
Innovation
Filling the gap between tablets and the operating theatre
- Gap between medical therapy and surgery
- Endoscopic therapy for obesity
- Obstacles facing endoluminal procedures
- Laparoscopic greater curvature plication
- Suture placement along the greater curvature
- Completed plication and the narrowed channel
- Investigational less invasive procedures
- Where new obesity therapies sit
- Responsible innovation in bariatric surgery
Summary
What to carry away from this commentary
- Summary: obesity and diabetes surgery
- Summary: sleeve gastrectomy and innovation
- References
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- Maingot's Abdominal Operations, 12th Edition