Bariatric Therapy Alliance between Gastroenterologists and Surgeons
This book aims to deepen collaboration between gastroenterologists and surgeons by providing endoscopists and gastroenterologists with a clear understanding of the anatomic alterations likely to be observed after bariatric surgery and acquainting bariatri
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Bariatric Therapy
Elisabeth M. H. Mathus-Vliegen Jérôme Dargent
Bariatric Therapy Alliance between Gastroenterologists and Surgeons
Elisabeth M. H. Mathus-Vliegen Amsterdam UMC (University Medical Centres) Amsterdam The Netherlands
Jérôme Dargent Polyclinique Lyon Nord Lyon France
ISBN 978-3-319-90073-5 ISBN 978-3-319-90074-2 (eBook) https://doi.org/10.1007/978-3-319-90074-2 Library of Congress Control Number: 2018945544 © Springer International Publishing AG, part of Springer Nature 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by the registered company Springer International Publishing AG part of Springer Nature. The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
Overweight and obesity are a global epidemic associated with many health consequences and an impressive psychosocial and economic burden. As yet, preventive measures to reverse the global trend have been unproductive and overweight has surpassed the incidence of undernutrition. Therapeutic options are limited. Intensive lifestyle interventions have been able to reduce the cumulative incidence of diabetes over a period of 4–6 years in obese patients with impaired glucose tolerance, but such interventions are difficult to sustain lifelong and thus are usually short-lived. Medical drug treatment is moderately effective and also hampered by a limited duration of prescription. Moreover, the Gaussian curve of the distribution of overweight shifts to the right, signifying that in the category of obesity patients move towards the category of morbid obesity and thus become eligible for bariatric surgery. Many obesity-associated comorbidities relate to the gastrointestinal tract, and formerly this was the only place where surgeons and gastroenterologist met. Nowadays they should form an allia
