SAGES 2005 Postgraduate Courses
Bariatric Postgraduate Course
Wednesday, April 13, 2005
7:30 AM - 5:00 PM
Course Chair: Ninh T. Nguyen, MD
Course Co-Chair: Giselle Hamad, MD
Description:
Bariatric surgery is the fastest growing subspecialty in general surgery.
This full-day program provides a comprehensive overview of the surgical management
of morbid obesity for both surgeons and allied healthcare professionals.
This course will consist of lectures by world-renowned experts who will discuss
the most recent advances in laparoscopic bariatric surgery and focus on the
two most commonly performed laparoscopic operations for the treatment of
morbid obesity (gastric bypass and gastric banding). There will be an intense
concentration on appropriate perioperative management, prevention and management
of complications, and practical technical issues to improve outcomes.
Objectives:
Upon completion of this activity participants should be able to:
- Identify selection criteria for laparoscopic bariatric surgery
- Describe technical aspects of the surgical techniques which may improve perioperative outcome.
- List common complications of laparoscopic gastric bypass and laparoscopic gastric banding.
- Describe the management of complications after laparoscopic gastric bypass and laparoscopic gastric banding.
- Identify important elements necessary to start and maintain a successful bariatric surgery program and elements in obtaining “Centers of Excellence” accreditation.
| Program Outline: | ||
|---|---|---|
| 7:30 - 7:45 AM | Course Welcome and Introduction | Ninh Nguyen, MD & Giselle Hamad, MD |
| I. Multidisciplinary Bariatric Program and Perioperative Issues | Moderator: Giselle Hamad | |
| 7:45 - 8:00 AM | Evolution of Bariatric Operations | Harvey Sugerman, MD |
| 8:00 - 8:15 AM | Essentials of a Bariatric Program (Facilities, Personnel, Staff) | Eric DeMaria, MD |
| 8:15 - 8:30 AM | Preoperative Screening and Evaluation (Comorbidities, Psychology) | Bruce Schirmer, MD |
| 8:30 - 8:45 AM | Perioperative Issues (DVT prophylaxis, Cholecystectomy) | Giselle Hamad, MD |
| 8:45 - 9:00 AM | Postoperative care (Nutritional management, Support group) | Sayeed Ikramuddin, MD |
| 9:00 - 9:15 AM | Laparoscopic vs Open Bariatric Surgery | Ninh Nguyen, MD |
| 9:15 - 9:40 AM | Q & A Session | Nguyen, Ikramuddin, Schirmer, DeMaria, Sugerman |
| 9:40 - 10:00 AM | Break | |
| II. Laparoscopic Roux-en-Y Gastric Bypass | Moderator: Ninh Nguyen | |
| 10:00 - 10:15 AM | Techniques: Gastrojejunostomy | Phil Schauer, MD |
| 10:15 - 10:30 AM | Techniques: Jejunojejunostomy | Brad Needleman, MD |
| 10:30 - 10:45 AM | Techniques: Antecolic vs Retrocolic Roux limb | Ricardo Cohen, MD |
| 10:45 - 11:00 AM | Early Complications and its Management (Leak, Bleeding) | Eric DeMaria, MD |
| 11:00 - 11:15 AM | Fibrin Glue and Staple-line Reinforcement | Daniel Jones, MD |
| 11:15 - 11:30 AM | Late Complications and its Management (Stricture, Bowel obstruction) | Bruce Schirmer, MD |
| 11:30 - 11:55 AM | Q & A Session | Schirmer, Jones, DeMaria, Cohen, Needleman, Higa |
| 12:00 - 1:00 PM | Lunch on Your Own | |
| III. Laparoscopic Adjustable Gastric Banding | Moderator: Giselle Hamad | |
| 1:00 - 1:20 PM | Techniques of Lap-Band | Daniel Jones, MD |
| 1:20 - 1:40 PM | Management of Lap-Band Complications | Jeffrey Allen, MD |
| 1:40 - 2:00 PM | Lap-Band Adjustment Strategies | Santiago Horgan, MD |
| 2:00 - 2:20 PM | Outcomes of Lap-Band | Jeffrey Allen, MD |
| 2:20 - 2:40 AM | Questions and Answer Session | Jones, Horgan, Allen |
2:40 - 3:00 PM |
Break | |
| IV. Centers of Excellence, Credentialing issues, and Adjuncts | Moderator: Phil Schauer | |
| 3:00 - 3:15 PM | GERD in the Obese: Bypass vs Nissen | Sayeed Ikramuddin, MD |
| 3:15 - 3:30 PM | Ventral Hernia management in Bariatric Surgery | George Eid, MD |
| 3:30 - 3:45 PM | Application of Robotics in Bariatric Surgery | Santiago Horgan, MD |
| 3:45 - 4:00 PM | Volume and Outcome in Bariatric Surgery | Ninh Nguyen, MD |
| 4:00 - 4:15 PM | Centers of Excellence Criteria | Ken Champion, MD |
| 4:15 - 4:30 PM | Credentialing issues and advice for getting started | Phil Schauer, MD |
| 4:30 - 5:00 PM | Q & A Session | Ikramuddin, Eid, Horgan, Nguyen, Champion |
SAGES gratefully acknowledges educational grants from Ethicon Endo-Surgery, Inc., Karl Storz Endoscopy & Stryker Endoscopy in support of this course.
Solid Organ Postgraduate Course
Saturday, April 16, 2005
8:00 AM - 11:30 AM
Course Chair: B. Todd Heniford, MD
Description:
The SAGES Postgraduate Solid Organ Course will feature national experts in
advanced laparoscopy discussing a wide variety of topics, including resectional
techniques, use of intra-operative ultrasound, establishment of programs,
and laparoscopy in malignancy. The more recent applications of hand-assisted
surgery and 3-D imaging will be also discussed. In addition, a panel discussion
of difficult intra-operative problems (including video presentation) will
be an interesting part of the course. The program is designed for attending
surgeons, fellows, residents and other hospital personnel who have an interest
in advanced laparoscopy.
Who Should Attend SAGES Postgraduate Solid Organ Course:
- Practicing surgeons who are interested in the latest techniques and technology utilized in minimally invasive solid organ surgery
- Laparoscopic or GI Fellows who want to hear expert tips for success in performing laparoscopic abdominal solid organ surgery
- General Surgery Residents with an interest in advanced laparoscopy
- Nurses, Nurse Practitioners, Physicians Assistants and operating room personnel interested in minimally invasive surgery
Objectives:
At the completion of this course, participants will:
- Be able to describe the function and use of intra-operative ultrasound in solid organ surgery.
- Be able to discuss how futuristic imaging technology may be able to aid in planning and executing advanced laparoscopy.
- Have working knowledge of the available hand-assist devices and their use in solid organ resection.
- Be able to discuss the role of laparoscopy in the resection of solid organ malignancy.
- Be able to describe the techniques of laparoscopic splenectomy for both normal-size and massive spleens
- Be able to identify techniques of laparoscopic liver.
- Be able to discuss methods of minimally invasive pancreatic surgery, including resection and debridement of pancreatic necrosis.
- Be able to describe laparoscopic surgery as performed on cirrhotic patients.
- Have the ability to discuss the needs for establishing a nephrectomy program as a General Surgeon.
- Be able to discuss the laparoscopic approach to adrenal tumors and paragangliomas.
| Program Outline: | ||
|---|---|---|
| Moderator: Adrian Park, MD | ||
| 8:00 - 8:05 | Introduction | |
| Influence of Laparoscopy on Solid Organ Surgery | B. Todd Heniford, MD | |
| 8:05 - 8:20 | Application of Intra-operative Ultrasound to Solid Organ Surgery | Alan Siperstein, MD |
| 8:20 - 8:35 | “Smart Image” approach to Solid Organ Resection | Adrian Park, MD |
| 8:35 - 8:50 | Hand-Assisted Surgery – Is there a role for it? | Brent Matthews, MD |
| 8:50 - 9:05 | Techniques of Splenectomy – Does Size Matter? | Raleigh Thompson, MD |
| 9:05 - 9:25 | Minimally Invasive Liver Surgery | Paul Hansen, MD |
| 9:25 - 9:45 | “Nobody knows the trouble I’ve seen…” Video segments and panel discussion of intra-operative problems and their management. | Heniford (Moderator), Park, Smith, Hansen, Melvin |
| 9:45 - 9:55 | Break | |
| Moderator: Kent Kercher, MD | ||
| 9:55 - 10:10 | Laparoscopic Pancreatic Resection | Michel Gagner, MD |
| 10:10 - 10:25 | Minimally Invasive Pancreatic Necrosectomy | Karen Horvath, MD |
| 10:25 - 10:40 | Laparoscopy in the Cirrhotic Patient | Kristi Harold, MD |
| 10:40 - 11:00 | General Surgeon’s Strategy to Laparoscopic Kidney Resection – Technique, Program Design, and Results |
Kent Kercher, MD |
| 11:00 - 11:20 | Laparoscopic approach to the Adrenal and Paragangliomas | Quan-Yang Duh, MD |
| 11:20 - 11:30 | Audience Questions and Answers | Panel Kercher (Moderator), Gagner, Harold, Duh, Horvath |
SAGES gratefully acknowledges an educational grant in support of this course from Karl Storz Endoscopy.
Endoluminal Therapy Postgraduate Course
Saturday, April 16, 2005
8:00 AM - 11:30 AM
Course Chair: Brian Dunkin, MD
Course Co-Chair: Jeffrey Hazey, MD
Description:
This course will provide the participant with the latest information on therapeutic
endoscopy as it pertains to surgeons and illustrate how flexible endoscopy
is changing the face of minimally invasive surgery. Each expert will present
a case scenario describing a challenging surgical problem. The audience will
then electronically vote on possible surgical or endoscopic solutions and
the results of this vote will be immediately displayed. The expert will then
present information about endoscopic solutions based on the latest technologies
and illustrate how these procedures are replacing surgery. Following the
presentation, the audience will re-vote on the surgical or endoscopic management
options and the pre and post presentation results will be compared to determine
if the expert has convinced the audience to pursue an endoscopic solution.
Objectives:
Upon completion of this course, the participant will be able to:
- Discuss the latest data for the endoluminal management of gastroesophageal reflux disease and how these technologies fit into the therapeutic armamentarium for GERD.
- Describe what new technology is available in enteral stenting
technology to improve the prevention and
management of benign and malignant strictures. - Discuss different endoscopic options for managing problems from gastric bypass surgery.
- Identify the latest technologies for the endoluminal management of obesity.
- Describe how flexible endoscopy can augment the surgeon’s armamentarium in the operating room for performing minimally invasive surgeries.
- Discuss the latest developments in endoluminal and transluminal surgery and how these techniques will change the face of general and minimally invasive surgery.
- Identify options for gaining expertise in therapeutic endoscopy
| Program Outline: | ||
|---|---|---|
| 8:00 - 8:05 | Introduction | Brian Dunkin, MD & Jeffrey Hazey, MD |
| 8:05 - 8:25 | Surgery or Endoscopy What’s new in endoluminal therapy for GERD? | William Richards, MD |
| 8:25 - 8:40 | New technologies in stricture management and stenting | Jeffrey Marks, MD |
| 8:40 - 9:00 | Endoscopic issues in Bariatric Surgery | Philip Schauer, MD |
| 9:00 - 9:15 | Latest uses of endoscopy in the operating room | Keith Gersin, MD |
| Radical Endoscopic Surgery | ||
| 9:15 - 9:30 | Endoscopic mucosal resection: Should we be doing more in the U.S.? | Sidney Chung, MD |
| 9:30 - 9:45 | Transanal endoscopic microsurgery | Lee Smith, MD |
| 9:45 - 10:00 | Latest technology for mucosal ablation | David Utley, MD |
| 10:00 - 10:15 | New devices for intraluminal resection | Jeffrey Milsom, MD |
| 10:15 - 10:45 | Transluminal | Jeffrey Ponsky, MD |
| 10:45 - 11:05 | How do I learn to do this stuff? | John Mellinger, MD |
| 11:55 - 11:30 | Panel Discussion | (All Faculty) |
SAGES gratefully acknowledges a generous educational grant in support of this course from Karl Storz Endoscopy.