March 6–8, 2014

JW Marriott Orlando Grande LakesOrlando, Florida

THE DUKE CENTER FOR SURGIC AL INNOVATION PRESENTS

2014 Duke Masters of Minimally Invasive Bariatric Surgery

inn

ova

tio

n.s

urg

ery.

du

ke.e

du

/co

urs

es

DU

MC

10

28

05

Du

rha

m, N

C 2

771

0

No

n-p

rofi

t O

rg.

U.S

. Po

stag

ePA

IDD

urh

am,

NC

Perm

it N

o.

60

Statement of NeedThis course is designed to address recent innovations in endoscopic procedures for bariatric surgery, advanced revisional surgery, metabolic surgery, and the management of weight regain after bariatric surgery. Learners will gain hands-on experience performing advanced, flexible endoscopy techniques and learn more about the integral role of these procedures in the management of bariatric complications. Learners will discuss the technical aspects of the most challenging procedures with faculty who are experts in their field.

Target AudienceThis program is designed to meet the continuing education needs of bariatric surgeons, MIS fellows, general surgery residents, physician extenders, and allied health professionals.

Learning ObjectivesAt the conclusion of this activity, participants should be able to:

• Describe approaches and technical issues in various bariatric

surgery procedures

• Describe techniques for revision of gastric bypass, sleeve,

and banding procedures

• Discuss options for patients experiencing weight regain after

bariatric surgery

• Explain laparoscopic and endoscopic management techniques

for correcting complications

• Identify new and advanced concepts used to treat obesity and

metabolic disease

ACCREDITATION Duke University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Duke University School of Medicine designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™. Self-assessment credits toward Part 2 of the ABS MOC Program are also available. Physicians should only claim credit commensurate with the extent of their participation in the activity.

DISCLOSURE The Duke University School of Medicine adheres to ACCME Essential Areas, Standards, and Policies regarding industry support of continuing medical education. Disclosure of the planning committee and faculty’s commercial relationships will be made known at the activity. Speakers are required to openly disclose any limitations of data and/or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations.

RESOLUTION OF CONFLICTS OF INTEREST In accordance with the ACCME Standards for Commercial Support of CME, the Duke University School of Medicine will implement mechanisms, prior to the planning and implementation of this CME activity, to identify and resolve conflicts of interest for all individuals in a position to control content of this CME activity.

DISCLAIMER The information provided at this CME activity is for continuing medical education purposes only and is not meant to substitute the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

COMMERCIAL SUPPORT This CME activity is supported by educational grants. A complete list of supporters will be published in the course syllabus.

CO-SPONSORED BY Duke University School of Medicine and Ciné-Med.

AgendaTHURSDAY, MARCH 6, 2014

2:00–5:00 pm ENDOSCOPY FOR BARIATRIC SURGEONS (limited space availability) Lab Director: Dana Portenier, MDThis hands-on flexible, endoscopy lab will cover the role of endoscopic techniques in the management of bariatric complications and will include the following:

•GoldProbe,InjectionandClipping

•StentingandPneumaticDilatation

•EndoscopicsuturingwithOverstitch

•RadioFrequencyAblationofBarrett’sesophagus

•RadioFrequencyTreatmentforGERDinbariatricpatients

6:00–8:00 pm WELCOME RECEPTION AND REGISTRATION

FRIDAY, MARCH 7, 2014

7:00 am REGISTRATION, CONTINENTAL BREAKFAST, EXHIBITS

7:20 am WELCOME AND OVERVIEW Alfonso Torquati, MD

SESSION I: WHAT’S NEW IN BARIATRIC SURGERY Session Chair: Chan Park, MD

7:30 am RemissionofDiabetesafterBariatricSurgery:NewinsightsfromrecentpapersAlfonso Torquati, MD

7:45 am AddingtheDuodenalSwitchtoyourpracticeRanjan Sudan, MD

8:00 am Patient’sAccesstoBariatricSurgery:EffectoftherecentCMSdecisiononCOEandObamaCareJohn Morton, MD

8:25 am UpdateonNewDevicesforBariatricProceduresChan Park, MD

8:40 am DiversityofBariatricProceduresandPracticeinAsiaPeng Zhang, MD

9:00 am PANEL DISCUSSION

9:15 am BREAK AND EXHIBITS

SESSION II: THE “ELEPHANT IN THE ROOM”: WEIGHT REGAIN AFTER BARIATRIC SURGERY Session Chair: Ranjan Sudan, MD

9:30 am Surgicaloptionsforweightregainafteranadjustable gastricbandingJin Yoo, MD

9:55 am SurgicaloptionsforweightregainaftergastricbypassAlfonso Torquati, MD

10:10 am EndoscopicoptionsforweightregainaftergastricbypassDana Portenier, MD

10:25 am SurgicaloptionsforweightregainaftersleevegastrectomyRanjan Sudan, MD

10:50 am PANEL DISCUSSION

SESSION III: VIDEO SESSIONSelected Case Presentations by Participants

11:00 am ChallengingCases

11:50 am PANEL DISCUSSION

Registration

March 6–8, 2014

JW Marriott Orlando Grande Lakes Orlando, Florida

REGISTRATION Register online at innovation.surgery.duke.edu/courses

By January 3 After January 3

$595 $695 Surgeons/Physicians

$150 $300 Allied Health, Fellows, Residents

ENDOSCOPIC HANDS-ON LAB $150—Space is limited for the lab and will be confirmed on a space availability basis.

CANCELLATION POLICY A $50 cancellation fee will apply forcancellations received more than 14 days prior to the start of thecourse. There will be no refunds if canceling within 14 days ofthe start of the course.

SPECIAL NEEDS Duke Surgery is committed to making its activities accessible to all individuals.

CONTACT/QUESTIONS For questions, special needs, or sponsorship, please contact:Daniele HartleyCiné-Med Inc.127 Main Street NorthWoodbury, CT 06798

Office: 203-263-0006Toll-free: 800-253-7657E-mail: dhartley@cine-med.net

HOTEL

JW Marriott Orlando Grande Lakes 4040 Central Florida Parkway Orlando, FL 32837

Phone: 407-206-2300 Toll-free: 800-576-5750 Fax: 407-206-2301

A limited block of rooms has been reserved at the JW Marriott Orlando Grande Lakes at the special rate of $209 per night plus tax for the course dates. The cut-off date for accepting reservations into this room block is February 5. Reservation requests received after this date will be accepted on a space available basis.

You can make hotel reservations by calling 800-266-9432 and referencing the Duke Masters of Minimally Invasive Bariatric Surgery conference, or by visiting innovation.surgery.duke.edu/courses and using the link on the course Web site. Please book early—space is limited.

Course DirectorAlfonso Torquati, MD, MSci Associate Professor of SurgeryChief, Division of Metabolic and Weight Loss Surgery Director, Duke Center for Bariatric SurgeryDuke University Medical Center

NOON LUNCH AND EXHIBITS

SESSION IV: CONTROVERSIES IN BARIATRIC SURGERY Session Chair: Alfonso Torquati, MD

1:00 pm RoboticsandBariatricSurgeryThe future - Dana Portenier, MDForget about it - William Richards, MD

1:30 pm Single-incisionSurgeryandBariatricsUseful tool in our armamentarium - Chan Park, MDI am not giving up my triangulation - Shanu Kothari, MD

2:00 pm StaplelineButtressingMinimizing complications - Alfons Pomp, MDIncreasing costs - Ranjan Sudan, MD

2:30 pm PatientswithType2DiabetesMellitusGastric bypass or DS of course! - Sayeed Ikramuddin, MDSleeve perhaps! - Jin Yoo, MD

3:00 pm BREAK AND EXHIBITS

SESSION V: STUMP THE EXPERTS Session Chair: Jin Yoo MD

3:30 pm Howtheydealwithdifficultcases?Interactive exchange between faculty and participants

4:30 pm ADJOURN

SATURDAY, MARCH 8, 2014

7:00 am CONTINENTAL BREAKFAST AND EXHIBITS

SESSION VI: HOW TO DEAL WITH CHALLENGESSession Chair: Dana Portenier, MD

7:45 am HowtomanageseverebilerefluxaftergastricbypassAlfonso Torquati, MD

8:10 am MarginalulcerafterRYGB:Medical/OperativeManagementAlfons Pomp, MD

8:35 am SurgicalstrategiesforthehighBMIpatientJohn Morton, MD

9:00 am HowtodealwithgastricbypassandsleeveleaksShanu Kothari, MD

9:25 am HowtomanagepreoperativeandpostoperativeSleevepitfalls:Reflux/HiatalHerniaWilliam Richards, MD

9:50 am Dealingwithfailuresfromthepast:VBGandmini gastricbypassSayeed Ikramuddin, MD

10:15 am DealingwithduodenalswitchcomplicationsRanjan Sudan, MD

10:40 am Gastroparesissecondarytodiabetes:gastricbypass orsleeve?Jin Yoo, MD

11:05 am PANEL DISCUSSIONAll Faculty

11:30 am ADJOURN

DC

RI

CO

MM

UN

ICA

TIO

NS

NO

VE

MB

ER

201

3

Session Chairs

Chan Park, MD Assistant Professor of Surgery Associate Director, Duke Surgical Education and Activities Lab Duke University Medical Center

Dana Portenier, MD Assistant Professor of Surgery Director, Duke Fellowship in MIS Bariatric SurgeryDuke University Medical Center

Ranjan Sudan, MD Associate Professor of Surgery Vice Chair, Education Director, Duke Surgical Education and Activities LabDuke University Medical Center

Jin Yoo, MD Assistant Professor of Surgery Director, Duke Hernia Center at Duke Regional HospitalDuke University Medical Center

Guest Faculty

Sayeed Ikramuddin, MDProfessor, Division of General Surgery Robert and Katherine Goodale Chair in Minimally Invasive Surgery Director, Gastrointestinal/Bariatric SurgeryUniversity of Minnesota

Shanu Kothari, MDDirector, Minimally Invasive Bariatric Surgery Center Gundersen Health System

John Morton, MD, MPHPresident-Elect ASMBSAssociate Professor of Surgery Director, Bariatric Surgery and Surgical Quality Section Chief, Minimally Invasive Surgery Stanford University

Alfons Pomp, MDLeon C. Hirsch Professor of Surgery. Chief, GI Metabolic and Bariatric Surgery Cornell University

William Richards, MDProfessor and Chair, Department of SurgerySurgery Program Director, General Surgery University of South Alabama, College of Medicine

Peng Zhang, MD, PhDProfessor of Surgery Fudan University Pudong Medical Center & Shanghai Pudong Hospital