Introduction The evidence base for bariatric surgery (BS) has increased considerably over the last 10 years, with a number of large non-randomised and randomised studies , documenting its superiority over the best available medical therapy for the management of obesity…
Selection of procedure Patient choice Patients need to have a reasonable knowledge of the concepts of appetite, satiety, and weight-loss maintenance. An understanding of healthy diet, portion sizes, and eating behaviour is mandatory to successful long-term efficacy of bariatric surgery.…
Introduction World Health Organization (WHO) statistics reveal that 1.9 billion adults (39%) above 18 years of age were overweight, an estimated 650 million adults (13%) worldwide were obese in 2016, and 39 million children under 5 years of age were…
Introduction This chapter focuses on the diagnosis and management of injuries to the oesophagus and stomach from a variety of different insults, resulting in a spectrum of damage. It will deal with perforations of the oesophagus as a grouped entity,…
Introduction The chapter for this edition has been extended to include three types of diaphragmatic hernias: congenital diaphragmatic hernias, hiatus hernias and the management of gastric volvulus, and traumatic diaphragmatic hernias. All conditions require an understanding of the anatomy and…
Acknowledgements This chapter in the sixth edition was written by Peter Hamer and Peter Lamb, and I am grateful to them for those parts of the chapter that have been retained for this edition. I would also like to thank…
Introduction Following the assessment of a patient with a primary functional upper gastrointestinal (GI) problem or malignancy, it is likely there will be high-level evidence for the appropriate intervention, guiding the clinician and the patient. This is not the case…
Introduction Gastro-oesophageal reflux is common, affecting between 10% and 40% of the population of most Western countries. It is caused by excessive reflux of gastric contents, which contain acid and sometimes bile and pancreatic secretions, into the oesophageal lumen. Pathological…
Introduction Gastro-oesophageal reflux disease (GORD) is a common condition relating to the movement of stomach contents into the oesophagus, which can lead to unpleasant symptoms and a broad range of clinical complications. These associated symptoms and complications are highly eclectic…
Acknowledgement This chapter in the sixth edition was written by Mr Richard Hardwick and we are grateful to him for those parts of the chapter which we have kept in this edition. We would like to acknowledge the contribution of…