Advanced Course in Complications,
Revisions and Recommendations in Bariatric Surgery

2019, May 02 - 04

COURSE OBJECTIVES

  • To cover a broad spectrum of difficulties and complications in surgical procedures in bariatric and metabolic surgery
  • To provide indications for weight loss failure treatment
  • To discuss management of post operative and metabolic complications
  • To highlight technicalities of redos in the field of obesity and metabolic surgery through the broadcasting of pre-recorded live procedures
  • To allow a real-time discussion between the experts and the participants
  • To provide hands-on session to improve skills in endoscopic management of common bariatric surgery complications, through practice on ex-vivo models under expert tutorial
  • To describe postoperative clinical results and practical applications of evidence-based clinical medicine


COURSE DIRECTOR

J. Marescaux F.

GUEST FACULTY

A. Cardoso Ramos BR, C. Copaescu ROM, B. Dallemagne B, B. Dillemans BE, C. Domene BR, G. Donatelli I, M. Galvao Neto BR, K. Higa USA, J. Himpens B, C. Le Roux UK, S. Perretta I, A. Pomp USA, L. Swanström USA, L.A. Vieira d'Almeida BR, M. Vix F

THURSDAY MAY 2

7.45 am
FOR OPTION A AND OPTION B

Registration and welcoming of participants

8.00 am
LIVE AND PRE-RECORDED OPERATIVE DEMONSTRATIONS
ENDOLUMINAL LIVE PROCEDURES
* Endoscopic revisions
* Treatment of sleeve gastrectomy  complications
* Treatment of gastric bypass complications
* Treatment of common bile duct stones after bypass

11.00 am
PLENARY SESSION - LECTURES
Why skills in flexible endoscopy are mandatory in bariatric surgery?
Endoluminal surgery
* Endoscopic bariatric anatomy
* Endoscopic treatment of complications of bariatric surgery:
   - Leaks and chronic fistula
   - Stricture
   - Anastomotic ulcer
   - Band migration
* CBD stones after gastric bypass
* Endoscopic revision surgery for failures of conventional bariatric surgery

1.00 pm Lunch at the Institute

2.00 pm
VIDEO SESSION
DIFFICULT CASES AND COMPLICATIONS
“WHEN BAD THINGS HAPPEN TO GOOD SURGEONS”

3.30 pm
FOR OPTION B

TRAINING ON EX-VIVO MODELS
ENDOSCOPIC MANAGEMENT OF COMMON BARIATRIC SURGERY COMPLICATIONS:
LEAKS, FISTULA, BLEEDING, STENOSIS
* Over the scope clips, stenting, internal drainage and pig tail placement, EndoVac therapy, dilatation techniques
* Endoscopic salvage procedure for weight regain after bariatric surgery
* Endoscopic suturing techniques

3.30 pm
FOR OPTION A

CLINICAL CASES VIDEO SESSION

6.00 pm
End of session

FRIDAY MAY 3

7.45 am
FOR OPTION A AND OPTION B

Evaluation of the previous day

8.00 am
LIVE AND PRE-RECORDED OPERATIVE DEMONSTRATIONS
REDO’S
* Band to bypass
* Sleeve to bypass
* Surgical revisions: weight loss failure, metabolic failure
* Bypass reversal
* Robotic approach

TREATMENT OF COMPLICATIONS
* Internal hernia
* Strictures
* Fistulas
* …

1.00 pm Lunch at the Institute

2.00 pm
PLENARY SESSION - LECTURES
HIATAL HERNIA, GERD, REDOS
* Hiatal hernia and GERD in obesity surgery
* Redo surgery
  – After gastric banding
  – After sleeve gastrectomy
  – After bypass
* Bypass reversal

CLINICAL CASES VIDEO SESSION
Intraoperative and early postoperative complications

6.00 pm
End of session

8.00 pm
Dinner in honor of participants


SATURDAY MAY 4

7.45 am
FOR OPTION A AND OPTION B

Evaluation of the previous day

8.00 am
EXPERTS’ RECOMMENDATIONS
* Metabolic complications in bariatric surgery (malnutrition, hypoglycemia, dumping syndrome, etc.)
* Pharmaceutical and psychiatric considerations
* Definition of success and failures in bariatric/metabolic surgery
* Treatment algorithms in complications
* Treatment algorithms for weight loss/regain for band/sleeve/GBP
* Redo strategies in bariatric surgery: endoscopic/surgical options
* Results after redo surgery/endoscopy for weight regain
* Enhanced recovery after bariatric surgery
* Why and when using a robot
* Metabolic complications
   - How to prevent
   - How to cure

TAKE HOME MESSAGES

1.00 pm Lunch at the Institute
End of course
Delivery of certificates of attendance
Program may be subject to modifications