© 2020

Emergency Surgery in Obese Patients

Foreword by Paolo De Paolis

  • Diego Foschi
  • Giuseppe Navarra

Part of the Updates in Surgery book series (UPDATESSURG)

Table of contents

  1. Front Matter
    Pages i-xviii
  2. Anesthesia and Resuscitation in Obese Patients

    1. Front Matter
      Pages 1-1
    2. Diego Foschi, Marcello Lucchese, Giuliano Sarro, Andrea Rizzi
      Pages 3-10
    3. Rita Cataldo, Ida Di Giacinto, Massimiliano Sorbello, Flavia Petrini
      Pages 11-20
    4. Giulia Bonatti, Chiara Robba, Lorenzo Ball, Paolo Pelosi
      Pages 21-29
    5. Luca Cabrini, Martina Baiardo Redaelli, Stefano Turi, Luigi Beretta
      Pages 37-42
  3. Clinical Settings in Obese Patients

    1. Front Matter
      Pages 43-43
    2. Osvaldo Chiara, Stefania Cimbanassi, Francesco Ciancio, Vincenzo Rapisarda
      Pages 45-52
    3. Paolo Bernante, Matteo Rottoli, Stefano Cariani, Francesca Balsamo, Gilberto Poggioli
      Pages 53-58
    4. Francesco Roscio, Federico Clerici, Luigi Armiraglio, Ildo Scandroglio
      Pages 59-64
    5. Gennaro Nappo, Alessandro Zerbi, Marco Montorsi
      Pages 65-71
    6. Vincenzo Pilone, Mafalda Romano
      Pages 73-79
    7. Antonio Di Cataldo, Salvatore Perrotti, Carlos Rivera, Emanuele Lo Menzo
      Pages 81-85
    8. Jacopo Viganò, Angelo D’Ovidio, Gabriele Bocca, Paolo Dionigi
      Pages 87-93
  4. Clinical Settings After Bariatric Surgery

    1. Front Matter
      Pages 95-95
    2. Giuseppe Navarra, Gianfranco Silecchia, Luigi Piazza, Iman Komaei, Mauro Toppino
      Pages 97-107
    3. Giuseppe Maria Marinari
      Pages 109-112
    4. Alfredo Genco, Stefano Cariani, Ilaria Ernesti
      Pages 119-124

About this book


This comprehensive, multi-authored book covers all aspects of surgery on obese patients in emergency conditions.

 Obesity is a metabolic disease affecting a high percentage of world population.. It involves marked anthropometric changes, affecting surgical practice and altering patients’ ability to react to surgical stress. The prevalent comorbidities also affect the rate of complications and mortality after surgery. The obesity paradox, the ability of obese patients to survive emergency operations in spite of an increased risk of complications, is an effect of the widespread development of “Obesity Science”. This volume discusses this science, examining the frailty of the obese patients and the main comorbidities that affect clinical practice, as well as the most frequent emergency situations after trauma, inflammatory diseases and the complications of bariatric surgery.

With contributions from leading experts, it provides clinicians with detailed and updated information for better practice in this emerging field of surgery.


bariatric surgery emergency surgery bariatric surgery complications occlusion perforation peritonitis bleeding

Editors and affiliations

  • Diego Foschi
    • 1
  • Giuseppe Navarra
    • 2
  1. 1.Department of Biomedical Sciences Luigi SaccoUniversity of MilanMilanItaly
  2. 2.Department of Human Pathology of Adult and Evolutive AgeUniversity of MessinaMessinaItaly

About the editors

Diego Foschi is a Full Professor of General Surgery at the Department of Biomedical Sciences ‘Luigi Sacco’,University of Milan. In 2013 he became Head of the School of General Surgery, University of Milan, and from 2011 to 2018 he was Director of the Department of Surgery, L. Sacco Hospital, University of Milan. He subsequently became Head of the Unit of General Surgery 2 at the same University Hospital.
Author of 125 Scopus listed publications in general, bariatric, and oncologic surgery, he is Honorary President of the Società Lombarda di Chirurgia and President-elect of the Italian Society for the Surgery of Obesity and Metabolic Disorders. He is also a member of the Italian Society of Surgery, the International Federation for the Surgery of Obesity and Metabolic Disorders, the International College of Surgeons, and the American Academy of Sciences. 

Giuseppe Navarra is a Full Professor of General Surgery at the Department of Human Pathology of Adult and Evolutive Age ‘G. Barresi’, University of Messina.  

From 2008 to 2013 he was Coordinator of the PhD program in Clinical and Biomolecular Hepato-Gastroenterology and subsequently Director of the Training program in Visceral Surgery in the same University.
Professor Navarra is author of 171 Scopus listed publications, in general and bariatric surgery, surgical oncology, in-coming President of the Italian Society of Research in Surgery and Vice-president of the Italian Society of Endoscopic Surgery and New Technologies.
He is also a member of the Italian Society of Surgery, Italian Society for the Surgery of Obesity and Metabolic Disorders, and the International Federation for the Surgery of Obesity and Metabolic Disorders.

Bibliographic information

  • Book Title Emergency Surgery in Obese Patients
  • Book Subtitle Foreword by Paolo De Paolis
  • Editors Diego Foschi
    Giuseppe Navarra
  • Series Title Updates in Surgery
  • DOI
  • Copyright Information Springer Nature Switzerland AG 2020
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Softcover ISBN 978-3-030-17304-3
  • eBook ISBN 978-3-030-17305-0
  • Series ISSN 2280-9848
  • Series E-ISSN 2281-0854
  • Edition Number 1
  • Number of Pages XVIII, 197
  • Number of Illustrations 5 b/w illustrations, 12 illustrations in colour
  • Topics Surgery
    Emergency Medicine
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals
Surgery & Anesthesiology


“This book is helpful for surgeons, intensivists, and emergency medicine providers encountering unfamiliar patients with acute problems. … This book highlights some of the unique problems in patients receiving weight reduction surgery or presenting with untreated obesity to the emergency department with traditional acute surgical complications.” (David J. Dries, Doody's Book Reviews, May 22, 2020)