Complications and RevisionsOrlando, FloridaJuly 25-26, 2013

Advanced Endoscopic Skills LabOrlando, FloridaJuly 24, 2013

Keith Kim, MD

Kelvin Higa, MD

Faculty:Josemburg Campos, MD

Almino Ramos Cardoso, MD

Nilton Kawahara, MD

Manoel Galvao Neto, MD

Alfonse Pomp, MD

Raul Rosenthal, MD

Randy Seeley, MD

Christopher Thompson, MD

Alan Wittgrove, MD

Course Directors: •UNDERSTANDINGOBESITY:WHYDOSURGERIESFAILANDWHATSHOULDWEDOWHENTHEYFAIL?

•SURGICALANDENDOSCOPICMANAGEMENTOFCOMPLICATIONS

•STEP-BY-STEPSURGICALAPPROACHTOREVISIONS

•WHENTOREVISEANDWHATPROCEDURESTOREVISETOANDWHY

•INTEGRATINGADVANCEDENDOSCOPYINTOYOURBARIATRICPRACTICE

•EMERGINGPROCEDURES:WHATTODOWHENTHEYFAIL

•NEWENDOSCOPICANDROBOTICTECHNOLOGYANDTHEIRROLES

NCSA-13-13016

TARGETAUDIENCE:Novice and experienced bariatric/metabolic surgeons, endoscopists, general surgeons, residents and fellows who wish to expand their knowledge of bariatric/metabolic surgery

DESCRIPTION: Bariatric/metabolic surgery has been shown to be safe and effective, yet complication management and weight-loss failure or recidivism continue to be challenges for the practicing surgeon. As patient and payer expectations remain high, innovative therapies need to be incorporated into treatment algorithms.

Internationally recognized experts will discuss the pathophysiology of the disease of obesity with relevance to weight-loss failure and re-operative strategy. There will also be a strong emphasis on the role of endoscopy for both complication management and surgical optimization.

This symposium is unique in that it will incorporate both minimally invasive and endoscopic strategies to optimize patient outcomes and improve patient performance after commonly performed bariatric/metabolic surgical procedures.

For more information or to register, visit ComplicationsandRevisions.com.

Presented By Sponsored By Endorsed By

NCSA-13-11356

Wednesday (July 24, 2013)PRE-COURSEENDOSCOPYLAB – space limited to 36 participants

Day One (Thursday, July 25, 2013)6:45-7:45am: Registration and Breakfast

7:45-8:00am: Welcome and Announcements

8:00-8:30am: Keynote lecture: The Disease of Obesity: Why do surgeries fail? – Randy Seeley, MD

GASTRICBYPASSCOMPLICATIONS:8:30-9:00am: Leaks Endoscopic management Operative management (indications, technique) 9:00-9:30am: Strictures Endoscopic management Operative management (indication, technique)9:30-10:15am: Non-healing ulcers Medical management Endoscopic management Operative management (indication, technique)

10:15-10:30am: Break10:30-11:00am: Gastro-gastric fistulas Endoscopic management Operative management11:00-11:30am: Severe reflux Work-up Nissen after bypass

11:30a-12:00pm:Chronic nausea/vomiting/pain Work-up and management Reversal of bypass (indication, technique)12:00-12:15pm: Common duct stones/biliary pancreatitis

12:15-1:15pm: Lunch

REVISIONS:1:15-1:35pm: Hypoglycemia: Indications for revision, choice of procedure, technique

WEIGHTREGAIN1:35-2:05pm: Pouch enlargement Resizing the pouch Plication of pouch2:05-2:45pm: Stomal dilation Revision of anastomosis Argon beam/sclerotheropy Endoscopic suture/placation

2:45-3:00pm: Break3:00-3:15pm: Alimentary limb dilation3:15-3:30pm: No obvious anatomical abnormality3:00-3:45pm: Debate Does stoma size matter? Bypass to DS: reasonable or crazy? Band over bypass: pro/con

Hernias/prior foregut procedures

3:45-4:00pm: Hiatal Hernias: Identification and management4:00-4:15pm: Prior anti-reflux procedure4:15-4:30pm: Incisional Hernias: Timing of repair and technique

Experimentalprocedures4:30-4:45pm: Banded placation: Data/complications/management

4:45-5:00pm: Greater curvature placation: Data/complications/management

Adjourn

Day Two (Friday, July 26, 2013)6:45-7:45am: Registration and Breakfast

7:45-8:00am: Welcome and Announcements

8:00-8:30am: Keynote Lecture - Fact and fiction about how bariatric/metabolic surgery works – Randy Seeley, MD

SLEEVEGASTRECTOMYCOMPLICATIONS:8:30-9:15am: Leaks Management Endoscopic management Surgical management9:15-10:00am: Strictures Endoscopic management Surgical management Revision to gastric bypass Seromyotomy

10:00-10:15am:Break10:15-10:45am: Twisted gastric pouch Diagnosis (radiologic and endoscopic) Surgical management (tips for prevention)10:45-11:15am: Severe reflux Evaluation and management Anti-reflux valve11:15-11:30am: Chronic nausea/vomiting/abd pain11:30am-12:15pm:Weight regain RYGB vs DS Sleeve to RYGB technical details Sleeve to DS technical details

12:15-1:15pm: Lunch1:15-2:15pm: Debate I would not do a sleeve gastrectomy in a patient with: Documented reflux? Moderate to large hiatal hernia? Portal hypertension? Diabetes?

LAGB COMPLICATIONS:2:15-2:45pm: Erosions Endoscopic management Surgical management2:45-3:15pm: Weight regain Best revisional procedure Banded plication (does it make sense?)

3:15-3:30pm: BreakEmergingtechnology

3:30-3:45pm: Primary endoluminal interventions for obesity3:45-4:00pm: New tools for advanced interventional endoscopy4:00-4:15pm: Role of robotics in complex cases4:15-5:15pm: Selected Case Presentations from faculty

Adjourn

For more information or to register, visit ComplicationsandRevisions.com.