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Book Review

Prevention and Management of Complications in Bariatric Surgery

Prevention and Management of Complications in Bariatric Surgery is the first book to compile the most up-to-date prevention and management strategies in this field

It is a great honour for me to be requested to write an independent review for this book Prevention and Management of Complications in Bariatric Surgery published by Oxford University Press this year (2018).

I would like to congratulate all the Editors, Dr Rogula, Dr Schauer and Dr Fouse for their fantastic effort in bringing together this book on prevention and management of complications when the number of bariatric operations being performed has increased exponentially in recent years and continues to increase year on year worldwide.

This article was authored by Mr Sanjay Agrawal, Consultant Bariatric Surgeon, Homerton University Hospital and Honorary Senior Lecturer, Queen Mary, University of London, UK

The book deals with strategies for both prevention and management of complications in bariatric surgery. Based on latest evidence, it provides recommendations for collecting, monitoring, and analysing outcomes, with an emphasis on quality and process improvement. The book covers everything from common complications, such as leaks, bleeding, wound infections, and venous thromboembolism to rare complications, such as rhabdomyolysis and Wernicke’s encephalopathy. It also covers emergency management of various life-threatening complications, including internal hernia, gastric necrosis from banding, pulmonary embolism, and bleeding.

The book has 40 chapters which is spread across four parts and is well illustrated with photos where necessary. Part ‘One’ outlines a summary of the guidelines and standards for perioperative care of bariatric patients from the American Society of Metabolic and Bariatric Surgery and provides an evidence-based standard for preventing and managing complications.

Part ‘Two’ deals with prevention and management of perioperative complications and is subdivided into five sections (I – Preoperative, II – Operating room, III – Postoperative, IV – High-Risk comorbidities and V – General considerations). Part ‘Three’ covers procedure-specific complications for common (Roux-en-Y gastric bypass, sleeve gastrectomy and gastric band), less common (biliopancreatic diversion with duodenal switch), historic (jejunoileal bypass and vertical banded gastroplasty) and new or emerging (gastric plication, intragastric balloon and single-anastomosis gastric bypass) operations. Lastly, Part ‘Four’ deals with medicolegal and economic implications of complication management.

The book is very comprehensive to guide a variety of healthcare professionals including surgeons (bariatric as well as general), primary care general practitioners, specialists (medicine, cardiology, gastroenterology, respiratory, paediatrics), psychologists, dieticians, nurse specialists, nurses, and others including trainees and medical students.

Once again, I applaud all the editors for their hard work and wish them ‘All the Best’ for the success of the book.

About the book

As bariatric procedures become more commonplace, the safety and quality of bariatric surgery continues to rise. Risk factors remain inconsistent from hospital to hospital and procedure to procedure, however, highlighting the necessity for comprehensive education on the prevention and management of their resulting complications.

In response to this need, Prevention and Management of Complications in Bariatric Surgery is the first book to compile the most up-to-date prevention and management strategies in this field. Edited by leading experts, it provides sound recommendations for collecting, monitoring, and analysing outcomes, with an emphasis on quality and process improvement. Its scope is tremendously comprehensive, covering everything from common complications, such as leaks, bleeding, wound infections, and venous thromboembolism; to rare-but-deadly complications, such as Wernicke's encephalopathy and Rhabdomyolysis as well as the emergency management of various life-threatening complications, including internal hernia, gastric necrosis from banding, pulmonary embolus, and bleeding.

Readers also learn about early-day, late-day, and intraoperative complications, for which the authors provide evidence-based recommendations for swift and accurate diagnosis, preventive strategies, and best practices in medical and surgical management. Comprehensive and accessible, this book is a valuable resource for bariatric surgeons and surgical trainees, physicians, and nurses who participate in the perioperative care of the bariatric patient.

Readers can purchase the book from the Oxford University Press website (https://global.oup.com/academic/or Amazon.com

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