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1. Introduction
2. Genealogic tree of bariatric procedures
3. Early intestinal bypass
4. End-to-side JIB, 1953
5. End-to-side JIB, 1954
6. Classic 14" + 4" end-to-side jejunoileostomy
7. The modern intestinal bypass
8. Biliopancreatic bypass
9. Duodenal switch with division of the duodenum
10. Malabsorptive/restrictive producers: gastric bypass
11. Gastric transection with loop gastrojejunostomy
12. Horizontal gastric stapling: loop gastrojejunostomy
13. Horizontal gastric stapling: roux gastrojejunostomy
14. Vertical gastric stapling: roux gastrojejunostomy
15. Stapling: gastrojejunostomy + biliopancreatic limb
16. Gastric division: gastrojejunostomy + silastic ring
17. Laproscopic roux GIB
18. Laproscopic roux GIB with gastrojejunostomy
19. Purely restrictive procedures: VBG and LAGB
20. Gastroplasty: partial gastric transection
21. Gastroplasty: silastic ring vertical gastroplasty
22. Gastroplasty: vertical banded gastroplasty
23. Gastroplasty: silastic ring + notched stapler
24. Gastric band: adjustable silastic
25. Gastric band: laparoscopic esophago-gastric band
26. Gastric band: laparoscopic silastic band
27. Other procedures: gastric balloon, gastric pacing
28. Gastric electrode bipolar pulsation
29. Bariatric surgery - a systematic review
30. Results: data retrieval
31. Results: studies selected
32. Results: study characteristics
33. Results: patient characteristics
34. Results: weight loss
35. Results: operative mortality (30 days)
36. Results: outcomes - diabetes (1)
37. Results: outcomes - diabetes (2)
38. Results: outcomes - hyperlipidemia
39. Results: outcomes - hypertension
40. Results: outcomes - obstructive sleep apnea
41. Conclusion
42. Bariatric surgery effect on comorbidities (1)
43. Bariatric surgery effect on comorbidities (2)
44. Bariatric surgery impact on morbid obesity
45. Bariatric surgery effect on longevity
46. Weight reduction surgery impact on health care
47. Health care costs after the surgery (1)
48. Health care costs after the surgery (2)
49. Cost ratio (control/bariatric) in the follow-up years
50. Bariatric surgery: treatment for obesity? (1)
51. Bariatric surgery: treatment for obesity? (2)
52. Bariatric surgery worldwide
53. Traditional trend: convergence to the center
54. Predicted trend: divergence from the center
55. Bariatric surgery : who is a candidate?
56. Bariatric surgery : who is not a candidate?
57. Care of the adolescent patient
58. Recommendations (1)
59. Recommendations (2)
60. Recommendations (3)
61. Bariatric surgery: conclusions
62. Thank you

Topics Covered

• The evolution of bariatric surgery procedures
• Jejunoileal bypass
• Modern malabsorptive procedures
• Biliopancreatic diversion of Scopinaro
• Modification of the biliopancreatic diversion to a duodenal switch
• Gastric bypass
• Fobi procedure
• Laparoscopic Roux gastric bypass
• Vertical banded gastroplasty
• Laparoscopic adjustable gastric banding
• Robotic, laparoscopic gastric banding
• Gastric balloons
• Gastric pacing
• Prolongation of life expectancy by bariatric surgery
• Who is and who is not a candidate for bariatric surgery
• Bariatric surgery is the current treatment of choice for morbid obesity
• Bariatric surgery is relatively safe, reverses the co-morbidities of morbid obesity, improves quality of life, increases life expectancy and is cost effective

Links

Series:

• Obesity

Categories:

• Clinical Practice
• Metabolism & Nutrition

Therapeutic Areas:

• Cardiovascular & Metabolic

Talk Citation

Publication History

• Published on October 1, 2007

Financial Disclosures

• Prof. Henry Buchwald has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.