Bariatric and Metabolic Surgery

Part I: General knowledge for bariatric and metabolic surgery.- 1. Physiology of Morbid obese patient.- 2. Preoperative evaluation and preparation for patients.- 3. Anesthesia for morbid patients.- 4. Why bariatric surgery is risky?.- 5. Current indication.- 6. How to choose right procedures?.- Part II: surgical techniques and tips.- 1. Basic techniques and instruments.- a. Equipment for laparoscopic bariatric surgery.- b. Position of the patients and operating team.- c. How to make a pneumoperitoneum in morbid patients.- 2. Roux-en Y gastric bypass.- a. Procedure.- b. Tips of devascularization of lesser curvature, dissection of angle of His, or division of stomach in Roux-en Y gastric bypass.- c. Tips for gastrojejunostomy and jejunojejunostomy.- 3. Sleeve gastrectomy.- a. Procedure.- b. Tips for dissection of greater curvature around upper part of spleen.- c. Tip of how to make a good shaped sleeve.- d. Tip of lateral approach dissection for sleeve gastrectomy and median approach dissection.- e. Tip of crural repair.- 4. Gastric banding.- a. Procedure.- b. Tips for prevent slippage and erosion.- 5. Mini-gastric bypass.- a. Procedure.- b. Tips.- 6. Duodenojejunal bypass.- a. Procedure.- b. Tips for dissection of duodenum in duodenojejunal bypass and duodenal jejunal anastomosis.- 7. Others.- a. Tip of staple line reinforcement; Is it necessary?.- b. Tip of closing the defect possibly causing internal hernia.- c. Tip of how to measure limbs (and not to confuse limb direction).- Par III. Revisional surgery and management of complications.- 1. Revisional surgery.- 2. How to manage complications?.