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Bariatric Surgery: Global Markets for Services and Devices
Date:9/2/2014

20
COMBINED THERAPY 20
PHARMACOTHERAPY 20
BARIATRIC SURGERY (WEIGHT-LOSS SURGERY) 21

CHAPTER 4 OBESITY AND DIABETES TYPE 2 23

OBESITY AND DIABETES 23
DIABETES MELLITUS (DM) 23
GESTATIONAL DIABETES 23
LATENT AUTOIMMUNE DIABETES IN ADULTS (LADA) 23
FIGURE 3 GLOBAL DIABETES TYPES (% OF TOTAL DIABETES) 24
TYPE 2 DIABETES: ETIOLOGY AND PATHOPHYSIOLOGY 24
DISEASE SYMPTOMS AND RISK FACTORS 25
EPIDEMIOLOGY 26
TABLE 5 GLOBAL DIABETES PREVALENCE, 2012 AND 2030 27
TREATMENT AND MANAGEMENT OPTIONS 27
LIFESTYLE CHANGES 27
ANTIOBESITY MEASURES (PHARMACOLOGIC AGENTS) 28
DIABETES MEDICATIONS AND INSULIN THERAPY 28
BARIATRIC SURGERY 29
MARKET BURDEN 29

CHAPTER 5 OVERVIEW OF BARIATRIC PROCEDURES 32

GENERAL OVERVIEW 32
CRITERIA FOR BARIATRIC SURGERY 32
LAPAROSCOPIC SURGERY VS. OPEN SURGERY 32
FIGURE 4 GLOBAL OPEN VS. LAPAROSCOPIC BARIATRIC SURGERY OCCURRENCE,
2012 (% OF TOTAL BARIATRIC PROCEDURES) 34
BARIATRIC SURGERY PREPARATION 34
DIET MONITORING 34
DIET CONSULTATION 35
PSYCHOLOGICAL CONSULTATION 35
SCREENING BLOOD TESTS 35
INSURANCE COVERAGE 35
TYPES OF BARIATRIC SURGERIES 35
TABLE 6 TYPES OF BARIATRIC SURGERIES 36
MALABSORPTIVE 36
Biliopancreatic Diversion (BPD) 36
Advantages 37
Disadvantages 37
Biliopancreatic Diversion with a Duodenal Switch (BPD-DS) 37
Extended (Distal) Roux-en-Y Gastric Bypass (RYGBP-E) 38
Mini Gastric Bypass 38
Advantages of Malabsorptive Procedures 38
Disadvantages of Malabsorptive Procedures 38
RESTRICTIVE PROCEDURES 39
Sleeve Gastrectomy (SG) 39
Vertical Sleeve Gastrectomy (VSG) 39
Adjustable Gastric Banding (AGB) 40
Gastric Balloons 40
Advantages of Restrictive Procedures 40
Disadvantages of Restrictive Procedures 41
COMBINED RESTRICTIVE/MALABSORPTIVE 42
Gastric Bypass 42
Roux-en-Y Gastric Bypass (RYGB) 43
Advantages of Gastri
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