15th AnnualBARIATRIC SUMMIT SEPTEMBER 22–23, 2018Renaissance Boston Waterfront Hotel, Boston, MA

COURSE DIRECTOR Scott A. Shikora, MD, FACS, FASMBS ASSOCIATE DIRECTORSPaul Davidson, PhD Kellene A. Isom, MS, RD, LDN, CAGS Julie Kim, MD, FACS, FASMBS Kenneth MacDonald, Jr., MD, FACS

HIGHLIGHTS . . . • Live Surgery• Interactive Debates• Nutrition Guidelines• Behavior Therapy • Integrated Health• Recent Literature• Revisions, Conversion, Reversals • And more!MANAGED AND PRODUCED BY

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Course OverviewApproximately 60 million adults in the United States are obese, and 9 million are severely obese. Morbid obesity has become a major public health risk. Every year, millions of people suffer comorbidities of obesity, including but not limited to diabetes, hypertension, heart disease, sleep apnea, and many more, not to mention the psychological, social, and economic burdens of the disease. Weight loss surgery is the only proven treatment option to achieve long-term weight control, improving quality of life for the morbidly obese, and lowering long-term health care costs by reducing the incidence of the comorbidities.

This September, the Bariatric Summit will return to its roots and host the 2018 meeting in Boston, MA. Over the past 14 years, the conference has taken place in preferred locations across the United States, including Amelia Island, Charleston, New Orleans, Baltimore, Nashville, Austin, and Savannah. It has united general surgeons, bariatric physicians, dietitians, nutritionists, psychologists, plastic surgeons, and other health care professionals dedicated to the management of severe obesity.

Course director, Scott A. Shikora, MD, who has led the conference since the beginning, always looks to showcase relevant and cutting-edge talks from well-known thought leaders in bariatric surgery, focusing on a spectrum of hot topics in the industry.

This year’s conference will maintain the high standards to which attendees have become accustomed. The Summit will explore leading-edge clinical and technical innovations related to the advanced management and treatment of severe obesity. The 2018 agenda will review decision-making, operative strategies, advanced technical details, controversies, management of complications, and many other topics in bariatric surgery, including the essentials of a successful bariatric program.

Please join us in Boston for another exciting Bariatric Summit.

HOTEL LODGINGRenaissance Boston Waterfront Hotel606 Congress StreetBoston, MA 02210

If reserving by phone, call 1-888-236-2427 and ask for Bariatric Summit Group.

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Activity GoalExplore leading-edge clinical and technical innovations related to the advanced management and treatment of severe obesity. This activity is designed to address the following core and team competencies: Patient Care, Medical Knowledge, Teams & Teamwork, Interprofessional Collaboration, and Interprofessional Communication.

Target AudienceGeneral Surgeons, Bariatric Surgeons, Bariatric Physicians, Primary Care Physicians, Pediatricians, Plastic Surgeons, Legal Professionals, Nurses, Hospital Administrators, Nutritionists, Dietitians, Psychologists, Behavioral Health Professionals, and other Allied Health Professionals interested in the medical and surgical advancements and management of clinically severe obesity.

Physician Learning ObjectivesAfter attending this activity, physicians should be able to:

• Describe criteria for identification of appropriate surgical candidates• Describe the principles underlying a multidisciplinary approach to bariatric surgery• Discuss perioperative and postoperative care of obese patients• Explain diet and lifestyle changes after bariatric surgery• Describe the essentials of a successful bariatric program• Identify key risk management strategies• Discuss advanced issues in the surgical treatment of clinically severe obesity• Identify the components of metabolic syndrome and its relation to obesity• Discuss treatment path for severe type II diabetes and the impact of surgical intervention

Nursing Learning ObjectivesAfter attending this activity, nurses should be able to:

• Identify the various nursing roles in a bariatric program• Identify key equipment and environmental needs of a bariatric program• Identify the challenges of the physical assessment with regard to the bariatric patient• Identify the nursing role as it relates to the multidisciplinary team• Identify the key components of bariatric documentation

AccreditationIn support of improving patient care, Ciné-Med Inc. is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team.Ciné-Med designates this live activity for a maximum of 12.5 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.This activity provides 12.5 contact hours for nurses.

DietitiansCiné-Med is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 12.5 continuing professional education units (CPEUs) for completion of this program (CDR # 140139).

7:00 - 5:00 PM REGISTRATION

7:15 - 8:00 AM Continental Breakfast

8:00 - 8:15 AM Welcome / Opening Remarks - Scott A. Shikora, MD, FACS, FASMBS

8:15 - 9:30 AM Session 1 - Interactive Multidiscplinary Cases Paul Davidson, PhD, Kellene A. Isom, MS, RD, LDN, CAGS, Bobbie Lou Price, RN, BSN, CBN

8:15 - 8:35 AM Scenario 1 - Surgery Case - Reactive Hypoglycemia - Mary Elizabeth Patti, MD, FACP

8:35 - 8:50 AM Scenario 2 - Behavioral Case - Paul Davidson, PhD

8:50 - 9:10 AM Scenario 3 - Nutritional Case - Micronutrient Deficiency After Bariatric Surgery Melissa Majumdar, MS, RD, LDN, CPT, CSOWM

9:10 - 9:30 AM Scenario 4 - Endoscopy Case - Christopher Thompson, MD, MHES

9:30 - 10:00 AM BREAK AND EXHIBITS

10:00 - 12:30 PM Session 2 - Bariatric Potpourri Allison Shafran, PA-C, Christopher Thompson, MD, MHES

10:00 - 10:30 AM How to Use Social Media to Enhance Your Practice - Neil Floch, MD, FACS

10:30 - 10:50 AM Can Bariatric Surgery Safely Utilize ERAS?

10:50 - 11:10 AM Endoscopic Options for Weight Regain After Gastric Bypass Christopher Thompson, MD, MHES

11:10 - 11:30 AM Using the SAR to Develop Quality Improvement Projects Laura Andromalos, MS, RD, CD, CDE

11:30 - 11:45 AM Bariatric Surgery: Myths and Facts - Kellene A. Isom, MS, RD, LDN, CAGS

11:45 - 12:30 PM Keynote Address - “Obesity and Cancer” - Raul Rosenthal, MD, FACS, FASMBS

12:30 - 2:00 PM LUNCH

2:00 - 3:30 PM Session 3 - Preparing the Patient for Recuperative Surgery Henry Buchwald, MD, PhD, Sue Cummings, MS, RD, LDN

2:00 - 2:15 PM Medical Work Up For Patients Considering Surgery for Weight Regain Allison Shafran, PA-C

2:15 - 2:30 PM Behavioral Work Up for Patients Considering Surgery for Weight Regain Paul Davidson, PhD

2:30 - 2:45 PM Surgical Evaluation for Patients Considering Surgery for Weight Regain Henry Buchwald, MD, PhD

2:45 - 3:00 PM Nutritional Evaluation for Patients Considering Surgery for Weight Regain Sue Cummings, MS, RD, LDN

3:00 - 3:30 PM Panel Discussion

3:30 - 4:00 PM BREAK AND EXHIBITS

4:00 - 6:00 PM Session 4 - Live Surgery Neil Floch, MD, FACS, Julie Kim, MD, FACS, FASMBS, Kenneth MacDonald, Jr., MD, FACS, Raul J. Rosenthal, MD, FACS, FASMBS

4:00 - 5:45 PM Conversion of Sleeve to One Anastomosis Gastric Bypass Scott A. Shikora, MD, FACS, FASMBS

5:45 - 6:00 PM Wrap up and Adjourn Scott A. Shikora, MD, FACS, FASMBS

AGENDA – SATURDAY, SEPTEMBER 22

7:15 - 8:00 AM CONTINENTAL BREAKFAST

8:00 - 9:45 AM Session 5 - Integrated Health Focus - Scott Kahan, MD, MPH, Melissa Majumdar, MS, RD, LDN, CPT, CSOWM, Bobbie Lou Price, RN, BSN, CBN

8:00 - 8:15 AM Tribute to Henry Buchwald - Scott A. Shikora, MD, FACS, FASMBS, Julie Kim, MD, FACS, FASMBS, Kenneth MacDonald, Jr., MD, FACS

8:15 - 8:30 AM Where Did the Term Metabolic Surgery Come From? - Henry Buchwald, MD, PhD

8:30 - 8:45 AM Neuroimaging Lessons in Bariatric Surgery - Paul Davidson, PhD

8:45 - 9:00 AM Can Pharmacology Rescue Bariatric Surgical Patients With Weight Regain? Scott Kahan, MD, MPH

9:00 - 9:15 AM Explaining Weight Bias to People Who Don’t Want to Know - Scott Kahan, MD, MPH

9:15 - 9:45 AM Integated Health Key Note Address - “Thirty Years in Weight Management” Sue Cummings, MS, RD, LDN

9:45 - 10:15 AM BREAK AND EXHIBITS

10:15 - 11:15 AM BREAKOUT SESSION 6 - A Critical Look at the Recent Literature Raul J. Rosenthal, MD, FACS, FASMBS, Scott A. Shikora, MD, FACS, FASMBS

10:15 - 10:30 AM Paper 1: Nutrition - Kellene A. Isom, MS, RD, LDN, CAGS

10:30 - 10:45 AM Paper 2: Endoscopic Surgery or New Technologies - Scott A. Shikora, MD, FACS, FASMBS

10:45 - 11:00 AM Paper 3: Behavioral Therapy - Rachel Goldman, PhD

11:00 - 11:15 AM Paper 4: Surgery - Henry Buchwald, MD, PhD

10:15 - 11:30 AM BREAKOUT SESSION 7 - Interactive Debates Neil Floch, MD, FACS, Kenneth MacDonald, Jr., MD, FACS

10:15 - 10:35 AM 1: Sleeve Gastrectomy is Acceptable for a Patient with Significant GERD Raul J. Rosenthal, MD, FACS, FASMBS, Neil Floch, MD, FACS

10:35 - 10:55 AM 2: Should Patients Who Smoke Pot Not Be Considered Candidates for Metabolic Surgery? - Julie Kim, MD, FACS, FASMBS, Bobbie Lou Price, RN, BSN, CBN

10:55 - 11:15 AM 3: Metabolic Surgery Should be Considered for Type 2 Diabetics BMI<35kg/m2 Kenneth MacDonald, Jr., MD, FACS, Mary Elizabeth Patti, MD, FACP

11:15 - 11:30 AM Move to the Breakout Session

11:30 - 1:25 PM BREAKOUT SESSION 8 - Combined Nutrition and Behavioral Therapy Session Paul Davidson, PhD, Kellene A. Isom, MS, RD, LDN, CAGS

11:30 - 11:45 AM Cognitive Behavioral Strategies with Weight Management - Rachel Goldman, PhD

11:45 - 12:00 PM Preoperative Weight Loss: Necessary or Unnecessary Torture Laura Andromalos, MS, RD, CD, CDE

12:00 - 12:15 PM Losing Pounds and Patients: Addressing Bariatric Attrition - Paul Davidson, PhD

12:15 - 12:30 PM Choosing the Right Vitamin/Mineral Supplement for your Patient Melissa Majumdar, MS, RD, LDN, CPT, CSOWM

12:30 - 12:45 PM Treating Disordered Eating in the Bariatric Population - Rachel Goldman, PhD

12:45 - 1:00 PM Panel Discussion

1:00 - 1:25 PM Videos: The Strangest Bariatric Complications I have Seen/Heard Kenneth MacDonald, Jr., MD, FACS

11:30 - 1:30 PM BREAKOUT SESSION 9 - Revisions, Conversions and Reversals - Julie Kim, MD, FACS, FASMBS, Kenneth MacDonald, Jr., MD, FACS, Scott A. Shikora, MD, FACS, FASMBS

11:30 - 11:45 AM Indications for Reversing a Gastric Bypass - Kenneth MacDonald, Jr., MD, FACS

11:45 - 12:00 PM Sleeve or Bypass for Patients with Inadequate Weight Loss after LAGB? Julie Kim, MD, FACS, FASMBS

Faculty Laura Andromalos, MS, RD, CD, CDE Nutrition Program Manager Northwest Weight and Wellness Center, Everett, WA Certified Diabetes Educator Coach, Fit4D

Ronald Bleday, MDSection Chief, Division of Colorectal Surgery Associate Chairman of Surgery for Quality and SafetyAssociate Professor, Harvard Medical SchoolBrigham and Women’s Hospital, Boston, MA

Directors & Faculty

Scott A. Shikora MD, FACS, FASMBS Professor of Surgery Harvard Medical School Director, Center for Metabolic and Bariatric Surgery Brigham and Women’s Hospital Boston, MA

Kellene A. Isom MS, RD, LDN, CAGS Senior Dietitian/NutritionistBrigham and Women’s HospitalBoston, MA

Julie Kim MD, FACS, FASMBS Member Faculty of SurgeryHarvard Medical School Director, Weight Management Center, Mount Auburn HospitalCambridge, MA

Kenneth MacDonald, Jr. MD, FACS Director Physicians East Greenville, NC

Henry Buchwald, MD, PhDProfessor, Department of Surgery Metabolic/Bariatric and General Surgery University of Minnesota Medical School Minneapolis, MN

Sue Cummings, MS, RD, LDNSenior DietitianMassachusetts General HospitalBoston, MA

Neil Floch, MD, FACSDirector of Bariatric Surgery Western Connecticut Healthcare Network and Fairfield County Bariatrics, P.C. Associate Clinical Professor University of Vermont Medical School and Associate Clinical Professor, Frank Netter School of Medicine, Quinnipiac University, Hamden, CT

Rachel Goldman, PhDLicensed Psychologist and Consultant Private Practice in NYC Clinical Assistant Professor Department of Psychiatry NYU School of Medicine, New York, NY

Scott Kahan, MD, MPHDirector, National Center for Weight and Wellness Weight Management and Preventive Medicine Johns Hopkins University, Baltimore, MD and George Washington University, Washington, DC

Melissa Majumdar, MS, RD, CSOWM, LDN, CPT Senior Bariatric DietitianCenter for Metabolic and Bariatric SurgeryBrigham and Women’s Hospital, Boston, MA

Mary Elizabeth Patti, MD, FACPInvestigator and Adult Endocrinologist Joslin Diabetes Center Associate Professor of Medicine Harvard Medical School, Boston, MA

Bobbie Lou Price, RN, BSN, CBNBariatric Program Coordinator Physicians East, Greenville, NC

Raul J. Rosenthal, MD, FACS, FASMBSProfessor of Surgery and Chairman Department of General Surgery Director, The Bariatric and Metabolic Institute President, South Florida Chapter of the American College of Surgeons Cleveland Clinic, Weston, FL

Allison Shafran, PA-C Physician Assistant, Surgical TechnologistCenter for Metabolic and Bariatric SurgeryBrigham and Women’s Hospital, Boston, MA

Christopher Thompson, MD, MHESDirector of Therapeutic Endoscopy Assistant Professor, Harvard Medical School Brigham and Women’s Hospital, Boston, MA

AGENDA – SUNDAY, SEPTEMBER 23

12:00 - 12:15 PM Switch or Bypass for Patients with Inadequate Weight Loss after a Sleeve? Raul J. Rosenthal, MD, FACS, FASMBS

12:15 - 12:30 PM Gastric Bypass Limb Distalization: Safe or Sorry? Scott A. Shikora, MD, FACS, FASMBS

12:30 - 12:50 PM Panel Discussion

12:50 - 1:00 PM Move to General Session Room for final joint presentation

1:25 - 1:30 PM Wrap up and Adjourn - Scott A. Shikora, MD, FACS, FASMBS

AGENDA – SUNDAY, SEPTEMBER 23 (cont.)

Requirements for Successful CompletionTo receive CE credit, participants must sign-in, attend all or a portion of the activity (at least 80%), and complete and submit the activity evaluation provided in the syllabus materials. Partial credit may be awarded for the portion of the activity attended.

Other healthcare professionals participating in this activity will receive completion certificates verifying that the activity was designated for AMA PRA Category 1 Credit(s)TM.

COI Statement: It is the policy of Ciné-Med to ensure balance, independence, objectivity, and scientific rigor in all of its sponsored education activities. All participating faculty, course directors, and planning committee members are required to disclose to the audience any financial relationships related to the subject matter of this program. Specific disclosure information for each course faculty will be shared with the audience prior to each presentation.

RegistrationTo register online, visit bariatricsummit.com. To pay by check, call (203) 263-0006.REGISTRATION FEES May 1 to July 8 to September 1 July 7, 2018 August 31, 2018 to onsite

Physician/Other $495 $550 $595

Nurse/Dietitian/Allied Health $295 $350 $395

Resident/Fellow $250 $295 $350

CANCELLATIONSCancellations must be received in writing at the Ciné-Med Inc. office before September 1, 2018. No refunds will be issued after this date.

Upon cancellation, a $75 administration fee will be subtracted from the refunded registration fee.

127 Main Street North, Woodbury, CT 06798 (203) 263-0006

Paul Davidson, PhDDirector of Behavioral Services Center for Metabolic and Bariatric Surgery Brigham and Women’s Hospital Boston, MA

Associate Directors

Course Director