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Titlebook: Surgery for Morbid Obesity; John H. Linner Book 1984 Springer-Verlag New York Inc. 1984 Fettsucht.obesity.surgery.abdominal surgery.hepato

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ong been aware of the discouraging intractability of morbid obesity to all forms of conservative management, and it is only recently that physicians have come to realize that surgery can provide very real palliation for the morbidly obese patient. Surgery does not attack the underlying etiology of m
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Gastric Operations: General Principles,edure by partially transecting the stomach from the lesser curvature, leaving a channel on the greater curvature—the first gastroplasty (Fig. 4–3).. Alden. introduced the use of the staple instrument to provide an incontinuity division between the upper pouch and distal stomach. This simplified the operation and made it safer (Fig. 4–4).
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Malabsorption Techniques,and potassium. In addition, during the last year of her life she developed angina pectoris and electrocardiographic evidence of coronary insufficiency despite a low serum cholesterol (60 to 120 mg%) and a normal serum triglyceride. She died in 1981 of a myocardial infarction at the age of 61 years.
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Body Contour Surgery Following Bypass Surgery,ith constant unpleasant reminders of their obese state. They are seldom able to redefine their body image in this new situation. Figure 12–1 illustrates the physical deformities of massive weight loss.
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Anesthesia for the Morbidly Obese Patient,nesthetic concerns include (1) securing a patent airway and adequate intravascular access; (2) preventing pulmonary aspiration of gastric contents; (3) choosing appropriate monitoring devices; and (4) selection of anesthetic technique and agents.
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Radiographic Examination of the Obese Patient,re of the distance from its source. Because the anterior-posterior diameter of an obese patient can be three times that of a normal-sized patient, the obese patient may require nine times the radiation to achieve the same film exposure and diagnostic information as his normal-sized counterpart.
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