Post Graduate Courses

TUESDAY OCTOBER 19

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POSTGRADUATE COURSE: BARIATRIC ENDOSCOPY IN 2021, WHERE WE STAND – PART 1

8:30 AM – 12:00 PM

Chair: Barham Abu Dayyeh

Co-Chairs: Erik Wilson, Gontrand Lopez Nava, Reem Sharaya, Eduardo Grecco and Christine Steir

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Module 1 – Understanding the Role of Bariatric and Metabolic Endoscopy in the Spectrum of Obesity Care

• Obesity Re-worked as Adiposity-Based Chronic Disease: Understanding the Disease and Therapeutic Spectrum

• Observations and comments on: Obesity Re-worked as Adiposity-Based Chronic Disease: Understanding the Disease and Therapeutic Spectrum

• Defining the Field: What is Bariatric and Metabolic Endoscopy and Where are We Going? 

• Observations and comments on: Defining the Field: What is Bariatric and Metabolic Endoscopy and where are we going?

• Bariatric and Metabolic Endoscopy for Obesity Comorbidities and Unique Patients Populations: NASH, HIV, Childhood Obesity, GERD Intersection, Bridge to Non-Bariatric Surgery, and Organ Transplantation. 

• Observations and comments on: Bariatric and Metabolic Endoscopy for Obesity Comorbidities and Unique Patients Populations: NASH, HIV, Childhood Obesity, GERD Intersection, Bridge to Non-Bariatric Surgery, and Organ Transplantation.

• Integrative Medicine: How to Optimize Outcomes of Bariatric and Metabolic Endoscopy: Nutrition, Behaviors, Pharmacotherapy, Sequential Therapy.

• Observations and comments on: Integrative medicine: How to Optimize Outcomes of Bariatric and Metabolic Endoscopy: Nutrition, Behaviors, Pharmacotherapy, Sequential Therapy.

• Discussion with the moderators and the audience about Module 1 – Understanding the role of Bariatric and Metabolic Endoscopy in the Spectrum of Obesity Care
   

Module 2 – Bariatric Endoscopy to the Rescue: Orientation to Endoscopic Anatomy and Management of Bariatric Surgery Complications

• Bariatric (endoscopic) Anatomy

• RYGB complications endoluminal treatment. State of the art

• Sleeve Gastrectomy leaks treatment with Stents

• Sleeve Gastrectomy leaks treatment with internal drainage

• Sleeve Gastrectomy leaks treatment with e-vac

• Sleeve Gastrectomy leaks treatment with septomy

• Discussion

POSTGRADUATE COURSE: BARIATRIC ENDOSCOPY HANDS-ON

1:00 PM -4:30 PM

Chair: Luiz Quadros

Co- Chairs: Eduardo Grecco, Martín Edgardo Rojano Rodriguez, Sujey Romero Loera,Luiz Zurita Macias Valadez

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POSTGRADUATE COURSE: INTEGRATED HEALTH FROM LATINOAMERICA TO THE WORLD

PARADIGM SHIFT IN THE TREATMENT OF OBESITY. LONG-TERM PROJECT OF A CHRONIC, MULTIFACTORIAL AND PROGRESSIVE DISEASE

1:00 PM – 4:15 PM

Chair: Mg. Laura Fantelli Pateiro

Co-Chairs: Natalia Panpillon, Claudia Carbajal, Silvia Pereira, María José Escafi, Tarissa Prety and Lilia Cafaro

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• Opening of the course and words of welcome

• Stigmatization of Obesity

• A nutritional approach to the paradigm shift

• Eating disorders

• New drugs for the management of Obesity

• Combination treatments: drugs and bariatric Surgery

• Gut microbiota

• Chrononutrition

• Endoscopic therapeutic options

• Weight recurrence or disease progression?

• Patient-Centred Weight Regain Program

• Closing Remarks

POST GRADUATE COURSE: REVISIONAL BARIATRIC SURGERY

8:30 AM – 4:40 PM

Chair: Juan Antonio Lopez Corvala

Co-Chairs: Christine Ren, Eric DeMaria, Alan Wittgrove, Jaime Ponce, Kelvin Higa    

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• Weight and Co-morbidities         

• Revision Surgery – Ethical Considerations             

• Disordered Eating Patterns and Cognitive Behavioral Therapy: Therapeutic Implications for Optimal Weight Loss.     

• Weight Regain: Behavior or Biology?      

• Role of Medications after Surgery?         

• Adjustable gastric band: Salvage or convert? What is the best strategy? 

• Best conversion strategy for weight loss failure: Sleeve gastrectomy        

• Best conversion strategy for weight loss failure: Gastric bypass   

• Best conversion strategy for weight loss failure: OAGB   

• Best conversion strategy for weight loss failure: Duodenal Switch              

• What would you do? Case Presentations              

• Complications   

• Panel Discussion: Should there be additional qualifications for surgeons and Centers?     

• GERD: It ain’t what you think.    

• Roux stasis: Is this a real disease?            

• Marginal ulcers I have known    

• Malnutrition, Malabsorption, Malpractice            

• Intussusception: When to intervene and what to do        

• Overview of OAGB complications             

• Video Tips and Tricks 1-4

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POSTGRADUATE COURSE: ONE ANASTOMOSIS PROCEDURE DISSECTED

9:00 AM – 6:00 PM

Chair: Jacques Himpens

Co-Chairs: Musella Mario, Jean-Marc Chevallier, Rui Ribeiro and Kamal Mahawar

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Module 1 – Technical Aspects of OAGB.

• Key steps of OAGB; differences with MGB?  The role of correct teaching of both procedures. The OAGB Masterclass

• What is the ideal length of the biliopancreatic limb? Should we measure the entire bowel length?

• Dimensions of the gastric pouch: how long, how wide, what are the landmarks?                 

• The gastro-enteral anastomosis: size, shape, technique?

• Must we close Petersen's defect? Closure techniques 

• Open Debate – Q&A

Module 2 – Physiology of OAGB versus RYGB.

• Importance of the (absence of) Roux limb for overall absorption, including vitamins and minerals

• Importance of the (absence of) Roux limb for glucose metabolism 

• Importance of the (absence of) Roux limb for bile reflux

• Weight loss and metabolic effects of OAGB in the long term, comparison with RYGB

• Open Debate-Q&A

Module 3 – Controversies in OAGB. What is the evidence?

• Nutritional deficiencies.

• Duodeno-gastro-esophageal Reflux.

• Esophago-gastric cancer.

• Marginal ulceration. Published evidence.

• Hiatal Hernia and the prevention/management of GERD.                                              

• Open Debate-Q&A including audience voting debate leader

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Module 4 – OAGB as a revisional procedure.

• OAGB/MGB after adjustable gastric banding

• OAGB/MGB after sleeve gastrectomy

• OAGB/MGB after SADI Rudolph Weiner

• Corrective measures versus conversion after flawed OAGB

• Open Debate-Q&A including audience voting debate leader

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WEDNESDAY OCTOBER 20

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POSTGRADUATE COURSE: BARIATRIC ENDOSCOPY IN 2021, WHERE WE STAND – PART 2 

8:30 AM -12:00 PM

Chair: Manoel Galvao Neto
Co-Chairs: Rachel Moore, Mousa Khoursheed, Nicole Peña, Luis Zurita Macías Valadez

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Module 3 – Endoscopic Bariatric and Metabolic Therapies: State of the Evidence             

• Updates on Intragastric Balloons: NASH Breakthrough, CPT coding, Novel Designs, and Society Guidelines. 

• Endoscopic Sleeve Gastroplasty Global Momentum: The Technique, The Evidence, The Future.

• POSE2.0 gastroplasty: The Technique and Perspective

• New and Novel Endoscopic Suturing Platforms

• Endolumenal Treatment of Diabetes and Metabolic Disease: The role of the small intestines and combination approaches 

• Aspiration therapy: Patient Selection and Optimizing Outcomes

• Discussion

Module 4 – Endolumenal Bariatric Revisional Procedures            

• Argon Plasma coagulation on RYGB weight regain. Niche procedure? Is there data? How it compares with endosuturing

• Endosuturing as revision for Weight regain after RYGB, Sleeve gastrectomy, MGB/OAGB and gastro-gastric fistulas. Where do we stand?

• Discussion

Module 5 – Video session. We heard them talking, so let’s see them perform.

• Liquid filled balloon implant-explant state of the art

• Adjustable balloon implant-explant state of the art

• Endoscopic Sleeve Gastroplasty. Show me your best.

• POSE 2.0 Gastroplasty. Show me your best…

• RYGB endoluminal revision with APC + endosuturing. Show us your suture pattern and your tricks

• Sleeve Gastrectomy endolumenal revision with endosuturing

GRADUATE COURSE: BARIATRIC ENDOSCOPY, HANDS-ON

1:00 PM -4:30 PM

Chair: Eduardo Grecco

Co-Chairs: Luiz Quadros, Martín Edgardo Rojano Rodriguez, Sujey Romero Loera, Luiz Zurita Macias Valadez

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POST GRADUATE COURSE: INTEGRATED HEALTH - BUILDING POST-OPERATIVE MOMENTUM

8:30 AM – 4:30 PM

Chair: Mary O’Kane

Co- Chairs: Tracy Martínez, Silvia Leite Faria, Mary Ann Mosti, Nate Sann, Maureen Mosti

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Session 1

• The IH role in bariatric surgery, 18 months in the pandemic

• Preventing and managing nutritional deficiencies

• Management of reactive hypoglycemia

• Chrono Nutrition and Obesity

• Q+A, panel discussion

Session 2

• The Role of Exercise for Weight Maintenance.

• Eating behaviours after Surgery for weight maintenance

• Pharmacological Support: When, why and how and which pharmacological agents cause weight gain?

• Acceptance and Commitment Therapy

• Behavioural Health evaluation, is it necessary?

• Self-care for the provider  

• Q&A Panel discussion

Session 3

• Triaging Weight regain and how to manage it

• Reconstructive Surgery after significant weight loss

• The use of technology to promote adherence to pre and postoperative recommendations

• Improving access to lifelong follow-up

• Engaging Support Groups

• Q&A Panel discussion

Session 4

• The way forward - planning for the future

• Meet the experts / Q+A / other interactive session

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POST GRADUATE COURSE: RESEARCH AND PUBLICATION IN METABOLIC/BARIATRIC SURGERY

8:30 AM – 4:30 PM

Chair: Scott A. Shikora

Co-Chair: Raul Rosenthal & Jane Buchwald

Session 1: Initiating a Successful Research Project

• Initiating a Successful Research Project

• Why Write and Publish an Excellent Research Article?

• How to Develop a Research Topic

• Conducting a Proper Electronic Literature Search

• Selecting an Optimal Study Design for the Research Topic

• How to Successfully Obtain Research Funding 

• Panel Discussion and Q & A

Session 2: Correct Use of Statistics to Describe and Interpret Research Data

• Correct Use of Statistics to Describe and Interpret Research Data

• Why Do We Need Statistics? and Five Key Steps of Analysis in a Research Article

• Part 1–Overview of Medical Statistics for the New Researcher

• Part 2–Overview of Medical Statistics for the New Researcher

• Interpreting the Results and Organizing the Data Into a Manuscript

• Guidelines for Construction of Tables and Figures

• Panel Discussion and Q & A

Session 3: Writing a Research Manuscript Worthy of Publication

• Writing a Research Manuscript Worthy of Publication

• Primary Content of Manuscript Components

• Writing the Technique Section Unique to Surgical Manuscripts

• Nine Forms of Study Bias and How to Avoid Them            

• Writing the Article Limitations, Conclusions, and Abstract

• Tips for Selecting the Best Journal for Your Manuscript

• How to Maximize the Likelihood of Acceptance for Publication:  What is the Journal Looking For?

• Ethics in Research and Publication

• Panel Discussion and Q & A

Session 4:  Critiquing the Published Bariatric Literature

• Case 1 – 4

• Panel Discussion and Q & A

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POST GRADUATE COURSE: METABOLIC SURGERY PRIME TIME: FACTS & MYTHS

8:00 AM – 4:15 PM

Chair: Miguel Herrera

Co- Chairs: Laurent Biertho, Carlos Schiavon, Mal Fobi, Matias Sepulveda

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• History of Metabolic Surgery      

• Hormonal changes are the main players of metabolic improvement: Fact or Myth?           

• Weight loss is the main player of metabolic improvement: Fact or Myth?              

• Physiological mechanisms of metabolic Surgery other than weight loss and hormonal changes    

• MS in patients with Diabetes and CKD    

• MS in patients with Hypertension and Sleep Apnea

• MS can improve NASH: Fact or Myth?    

• MS in patients with hyperlipidemia         

• Cardiovascular risk and mortality: Can MS reduce them?

• Differential outcomes of surgical procedures      

• Endoscopic metabolic procedures           

• Questions & Answers    

POST GRADUATE COURSE: HOW TO PREVENT BARIATRIC SURGERY COMPLICATIONS – CURRENT MANAGEMENT OF TREATMENT

8:30 AM -4:30 PM

Chair: Luigi Angrisani

Co-Chairs: Antonio Torres, Rudolf Weiner, Catalin Copaescu

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Sleeve Gastrectomy 1

• Hiatal hernia and GERD: pre-operative diagnosis

•  Intra-operative Diagnosis

• Post-operative Diagnosis

• The appropriate operative setting, technical options: orogastric tube – cartridges – staple line reinforcement

• Modifications of Sleeve Gastrectomy (Sleeve gastrectomy +)

Sleeve Gastrectomy 2

• Leak management

• Barrett’s, what do we mean by that?

• Gerd and Barrett’s management

• Esophageal motor disorder diagnosis and management

• Weight Regain

RYGB

• The perfect operation: pouch size – gastro-jejunostomy size – limbs length – mesenteric spaces closure

• Bowel obstruction - Internal Hernia – adhesions – invagination: Diagnosis and management

• Weight Regain – GERD: Treatment options

OAGB

• The perfect operation: pouch size – gastro-jejunostomy size – limbs length – mesenteric spaces closure.

• The real rate of complications and their management:

• Leak – Digestive bleeding – Ulcers – DGE Reflux – Internal hernias - Malabsorption

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POSTGRADUATE COURSE: HERNIAS AND THE MORBIDLY OBESE PATIENT

8:30 AM – 4:30 PM

Chair: Samuel Szomstein

Co-Chairs: Brian Jacob, Diego Camacho

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• Update Pre-operative Optimization for the Obese patient

• Hernia in the obese patient, before bariatric Surgery

• Hernia in the obese patient, during bariatric Surgery

• Hernia in the obese patient, after bariatric Surgery

• No weight loss after bariatric Surgery or Weight regains and Hernia; now what?

• MESH Update

• Mesh vs no mesh during bariatric Surgery?

• Trocar Strategies in the Obese patient

• Is Placation of the rectus muscle during Hernia repair in the post-bariatric necessary 

• Wound complications in the obese patient, what have we learned?

• Laparoscopic Inguinal Hernia in the Obese Patient

• Open Inguinal Hernia in the Obese Patient 

• Laparoscopic Robotic-Assisted Inguinal Hernia in the Obese Patient.

• Laparoscopic Umbilical Hernia in the Obese Patient 

• Open Umbilical Hernia in the Obese Patient 

• Laparoscopic Robotic-Assisted Umbilical Hernia in the Obese Patient

• Laparoscopic Ventral/Incisional Hernia in the Obese Patient

• Open Incisional/Ventral Hernia in the Obese Patient

• Laparoscopic Robotic-Assisted Incisional/Ventral Hernia in the Obese Patient 

• Abdominoplasty and Hernia repair after Bariatric Surgery?​

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