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SAGES Postgraduate Courses

Surgeon in the Digital Age Course

Bariatric Surgery Course

Fundoplication Course

Pediatric Laparoscopy Course

For each postgraduate course, program materials will be available at the Registration desk beginning at 4:00 PM on Tuesday, April 17, 2001. Fee includes course materials, a syllabus, Thursday evening exhibit reception, continental breakfast, and breaks.

The Surgeon in the Digital Age

Course Director: Steven D. Schwaitzberg, MD

Course Co-Director: Daniel M. Herron, MD

Time: 7:30 - 11:00AM

Location: America's Center

Course Description:

Registrants may attend the morning lectures only, or lectures followed by one of three afternoon sessions. This activity has been designed to develop and increase participants' knowledge, skills and performance in their service of patients, the public and the medical profession. Because of the very nature of endoscopic and laparoscopic surgery, surgeons must be well versed in video and imaging technology. This course addresses both proven methods and new technological developments in these areas. Because many surgeons teach or give lectures to colleagues, this course addresses methods to improve presentations to help participants increase the skills that they use while providing service to the medical profession. Because of the changing nature of the modern medical practice, surgeons are spending more time with paperwork and less time with patients. This course addresses computer technology, such as the PDA and the MS Office Suite, which can help to organize medical data, coding & billing, and personal scheduling to allow the surgeon to provide better health care to their patients. Finally, because both surgeons and patients are using the Internet in greater numbers each year for medical information, this course addresses methods for evaluating medical web sites as well as the identifying the type of information participants might include on their own web sites to better serve their patients.

Objectives:

At the completion of the lecture series the participant should be able to:

• Recognize the basic structure of Internet in terms of access. Identify a number of websites where the physicians can access accurate information.

• Identify a number of web sites where the physicians can access the information patients seek for surgical care.

• Understand the basic mechanisms by which physicians can setup their own web presence.

• Identify the features of a personal digital assistant (PDA) and medically related software available.

• Identify uses for a PDA that assist the surgeon
  a) to organize personal scheduling
  b) assist in surgical coding and billing
  c) collect perioperative information for research and quality assurance database

• Understand the nature of how a PDA can be used in a wireless medical environment to send and receive data.

• Learn the basics of Digital Photography that assist the surgeon in recording information acquired in the operating room, inpatient or outpatient settings for uses as visual aides in presentations or record keeping.

• Understand the key features of format, compression storage, and editing of photographs.

• Understand the key feature of digital video as it applies to capturing, editing, displaying, trans-coding and compressing scenes from the operating room environment for use in presentations, educational material, and webstreaming.

Lecture

Session I: The Internet
7:30 - 7:35 AM	Intro	Steven Schwaitzberg, MD
7:35 - 7:55 AM	Great Medical/Surgical Internet Sites	Andras Sandor, MD
7:55 - 8:15 AM	The Internet: Creating a Web Presence for Your Practice	Alex Gandsas, MD
8:15 - 8:20 AM	SAGES Internet Presence	Jason Levine
8:20 - 8:30 AM	Questions & Answers	Panel
Session II: The Personal Digital Assistant
8:30 - 8:50 AM	The PDA	Mark Talamini, MD
8:50 - 9:10 AM	PDA and the collection of Real-time medical data	William Traverso, MD
9:10 - 9:30 AM	Wireless PDA in Medicine	Dennis Fowler, MD
9:30 - 9:45 AM	Questions & Answers	All
Session III: Still and Video Photography
9:45 - 10:15 AM	Overview of Digital Still Photography	Daniel Herron, MD
10:15 - 10:45 AM	Video Primer: What does a surgeon need to know about video in 2001?	Steven Schwaitzberg, MD
10:45 - 11:00 AM	Questions & Answers	Panel
11:00 AM	Break: Exhibits, Learning Center, Posters, Lunch

Participants interested in the advanced portion of the Surgeon in the Digital Age Course may choose one of the following three workshops, which will take place simultaneously from 2:00 - 5:00 PM in different classrooms.

Workshop I:
Advanced Office Techniques - Beyond Basic Word Processing: Making Office Suite Applications Work For You

2:00 - 5:00 PM

Objectives:

• Learn to create mailings list and other merged files

• Learn to create forms and other protected mode documents

• Learn to utilize advanced features of presentation software to create more vivid visual medical presentation such as animation, timing, sound embedding, and linking.

Note: This course will require the participant to be familiar with basic word processing.This course will combine demonstration from the podium and practical application by the participants.

Participants will work on the medical applications of:

• Powerpoint: Inserting photos, sounds and videos clips, animations, transitions web export

• Access: Creating a database, report forms

• Excel: Basic formula, sorting

Workshop II:
Digital Still Photography & Editing

2:00 - 5:00 PM

Objectives:

• Learn to capture still operating room environment photograph into digital media.

• Apply the basics of photo editing for subsequent use in medical educational presentation in terms of file size,
  format, compression.

• Learn to apply basic editing techniques such as crop, filters, mask, and text overlay to achieve maximal visual effect for medical presentation, manuscript preparation, and web presentation.

This is an advanced user only course. A working knowledge of computer use is assumed. Participants must have a working knowledge of programs like Powerpoint and have an interest in still photo editing using Adobe Photoshop. Computer work stations will be provided, and there will be no more than two participants at each station. Demonstration of operating room video and still capture for manipulation will be made. Sample files will be loaded on each workshop computer and participants will work on advanced techniques such as layer creation, titling, filters, cropping, reformatting. Final projects may be rendered and saved in compressed formats.

Workshop III:
Digital Video Photography & Editing

2:00 - 5:00 PM

Objectives:

• Learn the basic skills of video capture of operating room environment footage and understand how this impacts file size and image quality.

• Learn and apply basic video editing skills to surgical footage such as trim, transition, title, and motion, and transparency.

• Apply and understand the various output options of edited surgical video in terms of format, intended use, and compression.

This is an advanced user only course. A working knowledge of computer use is assumed. Participants must have a working knowledge of programs like Powerpoint and an interest in digital video editing using Adobe Premiere. The workshop will include editing, tilting, transition, output selection, compression. Final projects may be rendered and saved in compressed formats. There will be no more than two participants at each station.

SAGES acknowledges generous educational grants from the following companies in support of this Postgraduate Course.

Olympus America, Inc.

Stryker Endoscopy

Autosuture Corp.

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Laparoscopic Bariatric Surgery

Course Director: Philip Schauer, MD

Time: 8:00 AM - 11:00 AM

Location: America's Center

Course Objectives:

• Distinguish the proper management of bariatric patients before and after surgery.

• Recognize the essential elements of open bariatric procedures, the "Gold Standards".

• List the advantages, disadvantages, and early results of laparoscopic approaches to Vertical Banded Gastroplasy, Gastric Banding, and Roux-en-Y Gastric Bypass.

• Identify selection criteria for laparoscopic bariatric procedures.

• Discuss the advantages of the technical aspects of laparoscopic bariatric surgery.

• Discuss common complications specific to laparoscopic bariatric surgery and methods of prevention.
  

PROGRAM

Session 1
8:00 AM	Introduction	Philip Schauer, MD
8:05 AM	Pathophysiology of Morbid Obesity	Eric DeMaria, MD
8:15 AM	Preoperative Evaluation and Selection	Scott Shikora, MD
8:25 AM	Operative Principles: Setting Up a Bariatric Program	Bruce Schirmer, MD
8:35 AM	Laparoscopy In the Morbidly Obese (including Pneumoperitoneum)	Sayeed Ikramuddin, MD
8:45 AM	Laparoscopic VBG	J. Kenneth Champion, MD
8:55 AM	Stapling Techniques in LGBP	Sayeed Ikramuddin, MD
9:05 AM	LGBP Anastomic Suturing and Pouch Banding	Aureo DePaula, MD
9:15 AM	Malabsorption	Michel Gagner, MD
9:25 AM	Hand Assisted Laparoscopic Bariatric Surgery	W. Scott Melvin, MD
9:35 AM	Discussion	ALL
Session 2
9:50 AM	Postop Management and Followup	C. Daniel Smith, MD
10:00 AM	LGBP Long term Outcomes	Alan Wittgrove, MD
10:10 AM	Laparoscopic Gastric Banding/The European Experience	Guy Cadiere, MD
10:20 AM	Laparoscopic Gastric Banding/The North American Experience	Louis Martin, MD
10:30 AM	Prevention and Management of Complications	Robert Brolin, MD
10:40 AM	Training and Outcomes	Philip Schauer, MD
10:50 AM	Discussion	ALL

SAGES acknowledges generous educational grants from the following companies in support of this Postgraduate Course.

BioEnterics, Inc.

Karl Storz Endoscopy America

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Problems Following Fundoplication

Course Director: Michael Holzman, MD

Time: 2:00 - 5:00 PM

Location: America's Center

Course Description:

This half day course is designed to assist the practicing physician better understand how to evaluate and treat patients who present with difficulties after having undergone an antireflux procedure. The course will consist of a panel of experts in the field of Gastroesophageal Reflux disease who will review symptoms, evaluation and management for patients who return with various difficulties post-operatively. Topics to be specifically addressed include: Dysphagia, Gas Bloat, Diarrhea, Persistent Nausea, Recurrent Heartburn/Pain. Operative approaches to these challenging problems will be reviewed along with technical tips.

The course will conclude with case presentation of challenging problems presented to the panel and participants.

Objectives:

Upon completion of this course, the participant will be able to:

1. Discuss points to avoid problems following fundoplication

2. List difficult problems which might occur after fundoplication

3. Evaluate diagnostic evaluation of individual problems after
   fundoplication

4. Understand treatment options for patients presenting with problems following fundoplication

PROGRAM

2:00 PM	Introduction	Michael Holzman, MD
Session 1
2:05 PM	Persistent Symptoms Following Lap Nissen - The Gastroenterologist Perspective	Raymond Clouse, MD
2:25 PM	Post-operative Dysphagia; Evaluation and Management	Aureo DePaula, MD
2:40 PM	Gas Bloat and Diarrhea	William Richards, MD
2:55 PM	Persistent Nausea	Lee Swanstrom, MD
3:10 PM	Management of Atypical Symptoms	Marco Patti, MD
3:25 PM	Discussion	Panel
Session 2
3:35 PM	Recurrent Heartburn	Jo Buyske, MD
3:50 PM	Re-operative Fundoplication/Shortened Esophagus	John Hunter, MD
4:10 PM	The Case For Open Re-do Surgery	Jeffrey Peters, MD
4:30 PM	Case Presentations (Question & Answer)	Michael Holzman, MD
4:45 PM	Discussion	Panel

SAGES acknowledges generous educational grants from the following companies in support of this Postgraduate Course.

Karl Storz Endoscopy America

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Pitfalls and Perils in Pediatric Laparoscopy

Course Director: Thom Lobe, MD

Time: 2:00 - 5:00 PM

Location: America's Center

Objectives:

At the completion of this activity, the participants should be able to:

1. Understand the potential problems and complications associated with the performance of laparoscopic surgery for GERD in infants and children

2. Recognize and avoid the potential problems with the performance of laparoscopic gastrostomy in children

3. Identify where problems can occur in the performance of a laparoscopic pyloromyotomy for Idiopathic Hypertrophic Pyloric Stenosis

4. Avoid complications and understand the problems that can occur in the performance of a laparoscopic pull-through for Hirschsprung's disease and Imperforate Anus

5. Avoid complications and understand the problems that can occur in laparoscopic surgery for inflammatory bowel disease in children and adolescents, and

6. Recognize and avoid the complications of the laparoscopic management of diseases of the appendix in children.

PROGRAM

Gastroesophageal Disorders
2:00 PM	Laparoscopy for Gastroesophageal Reflux Disorder	Mark Wulkan, MD
2:20 PM	Laparoscopic Gastrostomy	Keith Georgeson, MD
2:40 PM	Laparoscopic – Pyloric Stenosis	Raleigh Thompson, MD
3:00 PM	DISCUSSION	Panel
Colorectal Disorders
3:20 PM	Laparoscopy for Hirschsprung's Disease	Juda Jona, MD
3:40 PM	Laparoscopy for Imperforate Anus	Craig Albanese, MD
4:00 PM	Laparoscopy for Inflammatory Bowel Disease	Steven Rothenberg, MD
4:20 PM	Laparoscopic Appendectomy	CK Yeung, MD
4:40 PM	DISCUSSION	Panel

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