EMERGENCY SURGERY IN OBESE PATIENTS

Foreword
1 The frailty of the obese patients and the effect of surgical stress
2 Emergency anaesthesia in the obese patient
3 Perioperative and intensive care management of the obese surgical patient
4 Postoperative complications in ICU
5 The ERAS protocol
I CLINICAL SETTINGS IN OBESE PATIENTS
6 Trauma and burns in obese patients
7 Perforations of the upper gastrointestinal tract
8 Acute Diverticolitis
9 Acute appendicitis
10 Pancreatic and biliary emergencies
11 Bowel obstruction
12 Abdominal compartment syndrome
II CLINICAL SETTING AFTER BARIATRIC SURGERY
13 The evolution and development of bariatric surgery
14 Metabolic complications after b.s.: the faulse acute Abdomen
15 Complications after bariatric surgery.: a general overview
16 Complications of BIB therapy
17 Complications of restrictive operation
18 Upper G-I bleeding after bariatric surgery
19 Peptic ulcer after bariatric surgery
20 Bowel obstruction after bariatric surgery
21 Acute peritonitis and abscess after bariatric surgery
22 Anastomotic leakage after bariatric Surgery: from prevention to treatment
23 Gallstones and related complications, cholecistitis and Cholangitis after bariatric surgery
24 Emergencies After bariatric surgery: the role of flexible endoscopy and interventional radiology
25 Extreme remedial surgery for b.s. acute complications
26 Accreditation of the surgeon to emergency bariatric surgery
27 Litigation after bariatric surgery

This comprehensive, multi-authored book covers all aspects of surgery on obese patients in emergency conditions.
Obesity is a metabolic disease affecting a high percentage of world population.. It involves marked anthropometric changes, affecting surgical practice and altering patients’ ability to react to surgical stress. The prevalent comorbidities also affect the rate of complications and mortality after surgery. The obesity paradox, the ability of obese patients to survive emergency operations in spite of an increased risk of complications, is an effect of the widespread development of “Obesity Science”. This volume discusses this science, examining the frailty of the obese patients and the main comorbidities that affect clinical practice, as well as the most frequent emergency situations after trauma, inflammatory diseases and the complications of bariatric surgery.
With contributions from leading experts, it provides clinicians with detailed and updated information for better practice in this emerging field of surgery.

Features
• Covers all aspects of “obesity surgery” under emergency conditions
• Describes the frailty of obese patients and the critical care needs in emergency conditions
• Examines clinical pictures, the indications for surgery and the surgical approach in obese patients in emergency conditions in the general clinical setting and after bariatric surgery

Authors
• Diego Foschi is a Full Professor of General Surgery at the Department of Biomedical Sciences ‘Luigi Sacco’,University of Milan. In 2013 he became Head of the School of General Surgery, University of Milan, and from 2011 to 2018 he was Director of the Department of Surgery, L. Sacco Hospital, University of Milan. He subsequently became Head of the Unit of General Surgery 2 at the same University Hospital.
Author of 125 Scopus listed publications in general, bariatric, and oncologic surgery, he is Honorary President of the Società Lombarda di Chirurgia and President-elect of the Italian Society for the Surgery of Obesity and Metabolic Disorders. He is also a member of the Italian Society of Surgery, the International Federation for the Surgery of Obesity and Metabolic Disorders, the International College of Surgeons, and the American Academy of Sciences.
• Giuseppe Navarra is a Full Professor of General Surgery at the Department of Human Pathology of Adult and Evolutive Age ‘G. Barresi’, University of Messina.
From 2008 to 2013 he was Coordinator of the PhD program in Clinical and Biomolecular Hepato-Gastroenterology and subsequently Director of the Training program in Visceral Surgery in the same University.
Professor Navarra is author of 171 Scopus listed publications, in general and bariatric surgery, surgical oncology, in-coming President of the Italian Society of Research in Surgery and Vice-president of the Italian Society of Endoscopic Surgery and New Technologies.
He is also a member of the Italian Society of Surgery, Italian Society for the Surgery of Obesity and Metabolic Disorders, and the International Federation for the Surgery of Obesity and Metabolic Disorders.