This book provides a practical guide to decision making within bariatric surgery. Through uniform and well-structured chapters, topics relating to patient selection, preoperative preparation, the ethics of bariatric surgery, choice of procedure, complications, late failure and management, malabsorptive procedures, and pediatric bariatric surgery are discussed and examined. Difficult Decisions in Bariatric Surgery aims to help readers navigate an increasingly complex surgical specialty and come to reasoned and evidence-based conclusions. This book is of interest to practicing and trainee surgeons, endocrinologists, endoscopists, and pediatricians.

This book looks at specific vascular surgery questions that have arisen and where careful analysis is given according to the level of supporting evidence available. As new technology is introduced to treat the cardiovascular system, alternative therapies begin to challenge and also complement traditional vascular surgery. All chapters contain the PICO table to summarise specific characteristics relative to the questions posed in each chapter. Difficult Decisions in Vascular Surgery- An Evidence-Based Approach is a current and timely reference source for practicing surgeons, surgeons in training, and educators, that describes the recommended ideal approach, rather than customary care, in selected clinical situations.

This book provides a detailed guide to the ethical considerations involved when making decisions in surgery. Chapters feature a uniform format, which feature a case that represents a real-life problem, discussion of the medical indications of that issue, the latest available medical solutions, and related ethical considerations. In some cases, more in-depth debate is provided on why a particular decision should or should not be made based-upon ethical principles. Information boxes containing key statements and relevant data in clear easy-to-digest tables facilitates the reader in being able to assimilate the most important points covered in each chapter. Difficult Decisions in Surgical Ethics: An Evidence-Based Approach is a thorough review of ethical considerations in a range of surgical scenarios encompassing both adult and pediatric topics, training surgical residents, ethical care during a pandemic, critical care, palliative care, sensitivity to religious and ethnic mores, clinical research, and innovation. It is intended to be a vital resource for practicing and trainee surgeons seeking a comprehensive up-to-date resource on ethical topics in surgical practice. The work is part of the Difficult Decisions in Surgery series covering a range of surgical specialties.

This updated volume provides a practical guide to decision making within thoracic surgery. Focussed chapters contain pithy analyses and recommendations that allow useful information to be identified at a glance. All new chapters bring insight into the challenges faced operating on the lung, esophagus, diaphragm, airway, pleaura, mediastinum, and chest wall. Difficult Decisions in Thoracic Surgery aims to help the reader navigate the complexities of thoracic surgery through clearly formatted and evidence-based chapters. The book is relevant to practicing and trainee surgeons, as well as medical professionals working within thoracic surgery.

Whether you’re already planning to have weight-loss surgery or are still trying to decide, here is what you need to know about the operation that could save your life If you are considering weight-loss surgery, you are not alone. Obesity is the most common chronic disease in the U.S. today, affecting one out of every four Americans. In this indispensable resource, Dr. Louis Flancbaum, one of the world’s foremost experts on weight-loss surgery, takes you through the entire process, from presurgical evaluation to postop care. You’ll find everything you need to know to get the most out of the latest groundbreaking procedures available that can radically improve your health--and your quality of life. You’ll discover: • Why WLS is the safest treatment for patients with clinically severe or morbid obesity • How to determine if you’re a candidate for WLS • What to look for when choosing a surgeon • How to choose the surgical procedure that’s right for you • What to expect pre-, peri-, and postsurgery • Common side effects and what they can mean for you • Diet and nutritional guidelines after WLS Plus: what to do if your insurance policy excludes obesity treatment, how to determine when you can resume normal activities and return to work, healthful recipes, patient success stories, support groups . . . and much more Including detailed charts and tables, helpful resources, and websites, this is the only sourcebook on weight-loss surgery you’ll ever need.

If you’re morbidly obese, you are not alone. When Food is Your Frenemy helps those who are morbidly obese or who struggle with self-image make the necessary changes to live full and healthy lives. Jacob F. Bustos himself was morbidly obese and had to accept the harsh reality that he needed to make a change. He realized that the relationship he had with food was a love/hate relationship. While the bariatric process he underwent was a life-saving procedure, his battle with self-image continued. In 2015, Jacob also underwent a traumatic skin removal surgery that nearly ended his life. During this event, he had a very personal experience with his Maker that affirmed his mission to feed people with healthier options. When Food is Your Frenemy is a life story for those who are struggling to know the real battle that not only Jacob faces, but almost everyone does at some point with food being such a big part of all of our lives. When Food is Your Frenemy is also a cookbook to promote healthy eating with recipes that are not only healthy, but really transform ordinary foods into healthier versions.

The first book to provide APNs with the tools to effectively treat obese patients This book is the first resource to give the APN the practical tools with which to communicate, assess, and treat obese patients. Designed to help APNs to easily broach an uncomfortable topic, the book walks practitioners through the exam, providing tips on effective communication, understanding lifestyle constraints, and working with the patient to improve their condition without shame. Emphasizing multidisciplinary approaches and evidence-based treatment, the book addresses prevention, provider recognition, and treatment of adult and pediatric obesity with the goal of improving overall quality of life. The resource offers practical information on diet and exercise that foster healthy weight loss along with psychological, pharmacological, and surgical recommendations. Effective tips on all facets of working with obese patients, bolstered with real-life examples that provide the patient’s perspective, help APNs understand and provide a better quality of care to these vulnerable patients. Additionally, the book includes substantial information on comorbidities, which add to the complexity of obesity treatment. Chapters address current trends and causes of obesity; communication "dos" and "don'ts;" the technical aspects of obesity including genetics and pathophysiology, obesity as an addiction; eating disorders; assessment from the APN point of view; disease management; pharmacological, surgical, and medical management; and costs and insurance coverage. Several tools that can be used to enhance clinical practice are featured in the Appendix. Key Features: Written specifically for the Advanced Practice Nurse Covers all facets of communication with, assessment of, and treatment of obese patients Includes case studies and treatment plans from a nursing perspective Highlights a multidisciplinary approach Includes effective tips, photographs, and real-life examples that illustrate the patient’s perspective

Refusal, delay, or limitation of medical treatments, including vaccines, is an increasing phenomenon facing nurses and other healthcare practitioners daily. When a patient or family refuses treatment—maybe even lifesaving treatment—because it is contrary to their social, religious, or cultural beliefs, it can plunge healthcare providers, families, and patients into a difficult, emotionally charged conversation. Complex and diverse ethical dilemmas such as this can profoundly impact the health, welfare, and mental and emotional well-being of everyone involved. What’s more, today’s nurses and healthcare professionals will almost inevitably face this situation or one like it. Against Medical Advice details many of the medical, legal, social, cultural, and religious factors associated with treatment refusals. Authors Luanne Linnard-Palmer and Ellen Christiansen prepare healthcare professionals to compassionately assess and understand people’s beliefs, cultures, and philosophical perspectives. Their proven strategies and step-by-step examples guide providers to consider the patient’s and family’s point of view, share concerns with other healthcare team members, and negotiate the best possible outcome for all involved. TABLE OF CONTENTS Chapter 1: When Medical Treatment and Patient Needs Clash Chapter 2: Overview and Reasons for Treatment Refusals Chapter 3: Childhood Vaccines, Hesitancy, and Refusals Chapter 4: Pediatric Healthcare, Ethics, and Children’s Rights Chapter 5: Legal Implications and Consent: Informed Consent, Assent, and Parental Permission Chapter 6: Legal Perspectives of Treatment Refusal: Refusal Defined Chapter 7: In the Name of Religion: Historical Influences to Legal Exemptions Chapter 8: Adult Medical Treatment Refusals, Limitations, and Delays Chapter 9: Overview of Religious Doctrines Chapter 10: The Importance of Cultural Competence Chapter 11: Professional Groups’ Reactions to Treatment Refusal: Nursing, Medicine, Researchers, and Journalists Chapter 12: Overview of Professional Interventions: Power Distance, Negotiation, and Safety Appendix A: Reasons for Parental Decisions to Refuse Medical Treatment Appendix B: Guidelines for Staff Facing Parental Refusal of Pediatric Vaccines or Medical Treatments Appendix C: Guidelines for Staff Facing Adult Refusal of Medical Treatments Appendix D: Loss of Parental Guardianship: Court Overriding of a Parent’s Right to Refuse Medical Treatment Appendix E: Common Concerns About Vaccine Administration Appendix F: Pandemics and Trust in Rapid Vaccine Creation, Distribution, and Mandates Appendix G: Best Interest and the Law: Should State Statutes on Child Abuse Be Modified? Appendix H: Spiritual Abuse Defined Appendix I: Resources for More Information AVAILABLE ON THE SIGMA REPOSITORY · Chapter 2: Overview and Reasons for Treatment Refusals · AMA Quick Facts ABOUT THE AUTHORS Luanne Linnard-Palmer, EdD, RN, CPN, is a Professor of Nursing at Dominican University of California in San Rafael, California, and a Pediatric Educational Consultant and Pediatric Clinical Nurse at Sutter Health’s California Pacific Medical Center in San Francisco. Ellen Christiansen, DNP, RN, FNP-BC, PHNA-BC, is an Associate Professor of Nursing at Dominican University of California, where she teaches Community and Public Health Nursing.

The second edition of Minimally Invasive Bariatric Surgery provides a comprehensive, state-of-the art review of this field, and it serves as a valuable resource for clinicians, surgeons and researchers with an interest in minimally invasive bariatric surgery. Additionally, the second edition includes new features that will benefit the resident, fellow, or bariatric surgeon new to the field. Specifically, each evidence-based chapter (i.e. outcomes, complications, epidemiology, etc) concludes with three or four exam questions that emphasize the salient points of the chapter and provide fellowship programs a valuable training tool and resource for their academic curriculum. These questions are either single-answer multiple choice or true/false format and the correct response with a brief explanation follows. As more emphasis is placed on completing a comprehensive curriculum and obtaining certification for bariatric training, this aspect of the book is unique and provides added value to the text. The new edition also incorporates many new or updated medical illustrations to enhance the technique chapters and provide more uniformity for the artwork throughout the book. Each of the major procedures include surgical technique, outcomes, and management of complications in separate chapters to provide an easy reference for the busy clinician preparing for a case or presentation. Another unique feature of the text is a link to video files hosted online for the relevant chapters. This video library will be of great value to the user. As the number of fellowships in laparoscopic bariatric surgery continues to increase, this updated text will provide a valuable resource for general and bariatric surgeons, laparoscopic surgeons, fellows, residents, medical students, obesity researchers, and industry representatives involved in this field.

Developed by the American Society for Metabolic and Bariatric Surgery (ASMBS), The ASMBS Textbook of Bariatric Surgery provides a comprehensive guide of information dealing with the ever evolving field of bariatric surgery. Volume 1: Bariatric Surgery covers the basic considerations for bariatric surgery, the currently accepted procedures, outcomes of bariatric surgery including long-term weight loss, improvement and resolution of comorbidities and improvement in quality of life. A section focuses on revisional bariatric surgery and new innovative endoscopic bariatric procedures. Other special emphasis given to the topics of metabolic surgery and surgery for patients with lower BMI (30-35). Volume II: Integrated Health is divided into 3 sections: bariatric medicine, psychosocial and nutritional aspects of bariatric surgery. The first section deals with the psychosocial issues associated with morbid obesity. The second section deals with the role of bariatric physicians in preoperative and postoperative support of the bariatric patients. The nutritional section discusses the preoperative and postoperative nutritional support for the bariatric patient. The ASMBS Textbook of Bariatric Surgery will be of great value to surgeons, residents and fellows, bariatric physicians, psychologists, psychiatrists and integrated health members that manage the morbidly obese.