Bariatric Surgical Practice Guide

Part 1.Selection of a patient.- 1.Selection guidelines for bariatric surgery.- 2.Bariatric surgery in adolescents.- 3.Selection of bariatric surgery procedures in special circumstances.- 4.Preoperative evaluation and contraindications to bariatric surgery.- Part 2.Preoperative predictors of outcomes.- 5.Definition of outcomes after bariatric surgery.- 6.Preoperative predictors of weightloss after bariatric surgery.- 7.Preoperative predictors of Diabetes control following bariatric surgery.- Part 3.Technical considerations.- 8.Standardization of technique in sleeve gastrectomy.- 9.Technical considerations in gastric plication with or without a band.- 10.Standardization of technique in roux-en-Y gastric bypass.- 11.Technical considerations of duodenal switch and variants.- Part 4.Specific situations in bariatric surgery.- 12.Gastroesophageal reflux disease and bariatric surgery.- 13.Ventral hernia repair in the morbidly obese.- 14.Gallstone disease before and after bariatric surgery.-  15.Polycystic ovarian disease, pregnancy and bariatric surgery.- 16.Nonalcoholic fatty liver disease and effects of bariatric surgery.- 17.Outcomes of diabetic microvascular complications after bariatric surgery.-  18.Role of bariatric surgery in end-organ failure.- Part 5: Postoperative pathways.- 19.Peri-operative venous thromboembolism prophylaxis after bariatric surgery.- 20.Peri-operative management of  medical comorbidities  after bariatric surgery.- 21.Peri-operative management of  obstructive sleep apnea after bariatric surgery.- 22.Enhanced recovery after bariatric surgery.- Part 6.Surgical complications after bariatric surgery.- 23.Post Sleeve gastrectomy leaks.- 24.Detection and management of internal hernias.- 25.Prevention and management of marginal ulcers.- 26.Prevention and management of gastro-jejunostomy strictures.- 27.Management of leaks after gastric bypass.- 28.Prevention and management of bleeding after sleeve gastrectomy and gastric

Dr. Praveen Raj completed his graduate medical training from PSG Institute of Medical Sciences, Coimbatore with honors, and masters in General Surgery from the prestigious Sri Ramachandra University, Chennai. He also secured his masters in Surgery and surgical gastroenterology from the National Board (DNB). He has been conferred with the Honorary Fellow in Advanced laparoscopy (FALS) by the Indian Association for Gastrointestinal Endosurgeons (IAGES). Currently, he is director at the GEM hospital group and heads the GEM Obesity and Diabetes Surgery Centre. His center is recognized by the Dr. MGR Medical University for conducting a tw- year fellowship program in bariatric surgery. Through his bi-annual training program, he has trained more than 150 surgeons in the field of bariatric surgery.Dr. Praveen Raj is currently the President of the Indian chapter of the International Excellence Federation of Bariatric Surgery. He and his center were the first in South India to be accredited as an International Center of Excellence by the Surgical Review Corporation, USA. He has authored several papers on laparoscopic and bariatric surgery and presents frequently at conferences. His recently completed NASHOST trial, aimed to study the influence of bariatric surgery on non-alcoholic fatty liver disease is the first registered clinical trial on bariatric surgery in the country. He has also commenced a trial on lower BMI metabolic surgery for the treatment of type 2 diabetes mellitus, which when completed will be the first of its kind in the world. He has also instituted international fellowship programs where physicians from abroad train with him in India.
Dr. Saravana Kumar graduated in surgery from the Madurai Medical College, India. He later acquired his laparoscopic skills at the renowned Gem Hospital & Research Centre, Coimbatore under Prof. C. Palanivelu. He is currently a consultant in the department of Bariatric and upper GI surgery at the same Institute. He has