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Laparoscopic Malabsorption Procedures: Postoperative Management and Nutritional Evaluation

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Minimally Invasive Bariatric Surgery

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Abstract

Minimally invasive malabsorptive procedures such as the biliopancreatic diversion, developed by Scopinaro et al. (1), and duodenal switch, popularized by Marceau et al. (2) and Hess (3), are effective surgical procedures to produce permanent weight loss. However, they are technically more complex with morbidity and mortality that may exceed those seen with laparoscopic adjustable gastric band or Roux-en-Y gastric bypass (4). In addition, malabsorptive procedures carry a higher risk of nutritional abnormalities such as protein and vitamin deficiencies. Because of higher risks associated with malabsorptive procedures, the postoperative management and nutritional assessment in these patients is a lifelong commitment for both patient and surgeon.

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Author information

Authors and Affiliations

  1. Department of Surgery, Good Samaritan Hospital, Portland, OR, USA

    Dennis Hong MD, MSc, FRCSC (Surgeon)

  2. Bariatric Surgery Program, Department of Surgery, Legacy Health System, Portland, OR, USA

    Emma J. Patterson MD, FACS, FRCSC (Medical Director)

Authors
  1. Dennis Hong MD, MSc, FRCSC
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  2. Emma J. Patterson MD, FACS, FRCSC
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Editor information

Editors and Affiliations

  1. Lerner College of Medicine, USA

    Philip R. Schauer MD (Professor of Surgery) (Professor of Surgery)

  2. Advanced Laparoscopic and Bariatric Surgery, Bariatric and Metabolic Institute The Cleveland Clinic Foundation, Cleveland, OH, 44195, USA

    Philip R. Schauer MD (Professor of Surgery) (Professor of Surgery)

  3. Department of Surgery Health Sciences Center, University of Virginia Health System, Charlottesville, VA, 22908, USA

    Bruce D. Schirmer MD (Stephen H. Watts Professor of Surgery) (Stephen H. Watts Professor of Surgery)

  4. Advanced Laparoscopic and Bariatric Surgery, Department of Surgery, The Cleveland Clinic Foundation, Cleveland, OH, USA

    Stacy A. Brethauer MD (Staff Surgeon) (Staff Surgeon)

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© 2007 Springer Science+Business Media, LLC

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Hong, D., Patterson, E.J. (2007). Laparoscopic Malabsorption Procedures: Postoperative Management and Nutritional Evaluation. In: Schauer, P.R., Schirmer, B.D., Brethauer, S.A. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68062-0_39

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  • DOI: https://doi.org/10.1007/978-0-387-68062-0_39

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-68058-3

  • Online ISBN: 978-0-387-68062-0

  • eBook Packages: MedicineMedicine (R0)

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