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Endoscopic Considerations in Morbid Obesity

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Principles of Flexible Endoscopy for Surgeons

Abstract

Obesity is a serious public health crisis associated with increased morbidity and mortality and decreased quality of life. According to the World Health Organization, in 2005 there were approximately 1.6 billion overweight adults and at least 400 million obese adults worldwide. The prevalence of obesity has increased so rapidly over the last few decades that it is now considered a global epidemic. Surgical treatments have become the most successful therapy for morbid obesity in the USA. The number of operations performed has increased significantly in the last decade, and weight loss with gastric bypass approaches 60–80 % of excess body weight in large series. While morbidity from surgical treatments has improved over the same time period, the most common operation performed, laparoscopic Roux-en-Y gastric bypass, still carries anastomotic leak rates of 0.5–3 %. Surgical mortality rates are low (<1 %), but the incidence of significant morbidity still approaches 20–30 %.

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Authors and Affiliations

  1. Division of General and Gastrointestinal Surgery, Department of Surgery, The Ohio State University, Columbus, OH, USA

    Vimal K. Narula M.D., F.A.C.S. & Jeffrey W. Hazey M.D., F.A.C.S.

  2. Department of Gastrointestinal Surgery, Wexner Medical Center at the Ohio State University, Columbus, OH, USA

    Dean J. Mikami M.D., F.A.C.S.

Authors
  1. Vimal K. Narula M.D., F.A.C.S.
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  2. Dean J. Mikami M.D., F.A.C.S.
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  3. Jeffrey W. Hazey M.D., F.A.C.S.
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Correspondence to Jeffrey W. Hazey M.D., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Jeffrey M. Marks

  2. The Methodist Hospital, Methodist Institute for Technology, Innovation and Education, Houston, Texas, USA

    Brian J. Dunkin

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StomaphyX System to decrease pouch size resulting from the deployment of multiple t-fasteners (MPG 21480 kb)

Endoscopic Retrograde Cholangiopancreatography (ERCP) after Laparoscopic Roux-en-Y gastric bypass procedure (MP4 42555 kb)

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Narula, V.K., Mikami, D.J., Hazey, J.W. (2013). Endoscopic Considerations in Morbid Obesity. In: Marks, J., Dunkin, B. (eds) Principles of Flexible Endoscopy for Surgeons. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6330-6_13

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  • DOI: https://doi.org/10.1007/978-1-4614-6330-6_13

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