BARIATRIC ENDOSCOPY COURSE IRCAD 2014

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Margery Gregory
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1 BARIATRIC ENDOSCOPY COURSE IRCAD 2014 Background: Bariatric Endoscopy (BE) is a neologism meaning a new term created to define the interface of advanced therapeutic endoscopy with Bariatric Surgery (BS) and obesity treatment. Mainly, its interface deals with treating bariatric surgery complications and primary obesity itself even revising secondary obesity (post-op weight loss failure or post-op weight regain). The interest about BE among bariatric surgeons and gastroenterologists/endoscopists are growing fast as training and information on this matter is truly needed since training opportunities are really scarce. That said, IRCAD on pioneering way offers a course focused on Bariatric Endoscopy on a with faculties very experienced on the field that will perform live cases and with a hands-on lab that will allow the participants to get in touch with the procedures and technology discussed closing the initial learning circle on this promising new field Course briefing: This particular course aims to give the participants an in-depth but practical view about what represents the Bariatric Endoscopy from its interface with bariatric surgery complications to the recent advances on endoscopic treatment of obesity and type 2 diabetes. To achieve that, the course is divided in three parts; the initial one will covers the topics with expert faculty presentations describing the comparative bariatric anatomy integrating surgical and imaging information followed by presentations over the main bariatric procedures and complications in-witch endoscopic approach plays a role. On the sequence, the endoscopic treatment of obesity will be presented with on its options, pros and cons, from the Intragastric balloons and its different models to the new procedures like endoscopic suturing and the Endolumenal bypass. Also the endoscopic approach for post-op weight regain will be covered. After initial presentations, a live procedures session will broadcast the available cases were endoscopy can be be use to treat complications and how endoscopy can be used to treat obesity and its comorbidities. At the end the end the participants will have a hands on training on the lab passing trough different stations were they will have the opportunity to interact with the technology and procedures presented. 1

2 Program: Presentations: Course presentation - 5min - Drs. Michel Vix, Silvana Peretta and Manoel Galvao Neto Bariatric Endoscopy 2 Overview General overview of bariatric endoscopy Surgeon perspective - 10min - Speaker: Dr Almino Ramos or Dr Michel Vix General overview of bariatric endoscopy - Endoscopist perspective - 10min - Speaker: Dr Silvana Perretta Bariatric Endoscopy anatomy 15min - Speaker: Dr Galvao Neto Live procedures 120min Chairman Dr. Almino Ramos Comments: Dr. Perretta, Dr. Vix, Dr. Marco Aurélio D assunção and Dr. Alex Escalona 3 simultaneous rooms changing from one to another showing the highlights Bellow follows a list of possible procedures with the estimated operative time. Migrated Fobi-ring removal 20min Stent implant for leak (RYGB or Sleeve) 30min Pneumatic dilation of sleeve gastrectomy for stenosis or leak 20min TTS-CRE balloon dilation on RYGB stenosis 15min Argon plasma for RYGB weight regain 20min Intragastric balloon implant 20min Intragastric balloon explant 20min If already approved in Brazil cases of EndoBarrier and Apollo overstitch can be also performed Break 15min Bariatric Endoscopy 2 Endoscopic treatment of bariatric surgery complications Adjustable Gastric Band: Erosion / Migration 10min Roux-and-Y Gastric Bypass (RYGB): Ring/Band complications 10min - Speaker: Dr. Luiz Gustavo de Quadros Stenosis 10min Leaks and Fistulas 10min - Speaker: Josemberg Campos Foreign bodies, Bleeding and ulcers 10min 2

3 - Speaker: Dr. Marco Aurélio D assunção Remnant stomach access 10min - Speaker: Dr. Marcelo Falcao Sleeve Gastrectomy: Reflux (endolumenal perspective) 10min - Speaker: Dr Silvana Paretta Kink and torsion 10min - Speaker: Dr Josemberg Campos Leaks and fistulas 10min Interactive panel discussion 20min All speakers and moderators Lunch 40min Bariatric Endoscopy 3 Endoscopic treatment of obesity, type 2 diabetes & weight regain Intragastric balloons overview, different types, technique, indications, results and complications 15min - Speaker: Dr. Eduardo Grecco Endoscopic treatment of post-op weight regain (overview and perspective) - 10min - Speaker: Dr. Alex Escalona Argon Plasma (APC) on RYGB post-op weight regain - 10min - Speaker: Joao Caetano Marchesini Endoscopic suturing on RYGB post-op weight regain - 10min - Speaker: Manoel Galvao Neto Endoscopic treatment of obesity (overview and perspective) 10min - Speaker : Dr. Silvana Peretta Endolumenal gastric plication 10min Endolumenal duodeno-jejunal bypass on type 2 diabetes treatment -10min - Speaker: Dr. Alex Escalona Interactive panel discussion 20min All speakers and moderators Lab - 195min Participants will rotate among training stations concealing baiatric surgery complications with hydrostatic balloon dilation, pneumatic balloon dilation, stent, eletrocautery (knifes), Clips, glue, overtubes. On endoscopic treatment of obesity side, staions with Intragastric balloon implant and explant, argon, EndoBarrier and Apollo overstitch 3

4 Course directors: IRCAD directors and Barretos Cancer Hospital Endoscopic Unity director Co-directors: - Josemberg Campos Federal University of Pernambuco, Recife josembercampos@gmail.com - Manoel Galvao Neto 9 th of July Hospital / Gastro Obeso Center, Sao Paulo galvaon@gmail.com Brazilian Faculty (suggested) - Almino Ramos Gastro Obeso Centro Sao Paulo ramos.almino@gmail.com - Josemberg Campos Federal University of Pernambuco, Recife josembergcampos@gmail.com - Manoel Galvao Neto 9 th of July Hospital / Gastro Obeso Center, Sao Paulo galvaon@gmail.com - Luiz Gustavo de Quadros Kaiser Clinic, São José do Rio Preto gustavo_quadros@hotmail.com - Marcelo Falcão Federal University of Bahia, Salvador dr.marcelofalcao@gmail.com - Joao Caetano Marchesini Marchesini Clinic, Curitiba jcmarchesini@gmail.com - Eduardo Grecco Mario Covas hospital / ABC medical School, Santo Andre dreduardogrecco@gmail.com - Marco Aurélio D assunção Sirio-Libanes Hospital, Sao Paulo mada.endoscopia@hotmail.com Lab monitors (suggested) Lab coordinators: - Marco Aurélio D assunção Sirio-Libanes Hospital, Sao Paulo mada.endoscopia@hotmail.com - Michel Vix Strasburg, France - Silvana Perreta, Strasburg, France - Barretos Cancer Hospital Endoscopic Unity director Lab proctors: - IRCAD team - Josemberg Campos Federal University of Pernambuco, Recife josembergcampos@gmail.com - Manoel Galvao Neto - 9 th of July Hospital / Gastro Obeso Center, Sao Paulo galvaon@gmail.com - Luiz Gustavo de Quadros Kaiser Clinic, São José do Rio Preto gustavo_quadros@hotmail.com - Marcelo Falcao Federal University of Bahia, Salvador dr.marcelofalcao@gmail.com - Ricardo Dib - Ipiranga Hospital, São Paulo dibricardo@hotmail.com - Eduardo Grecco Mario Covas hospital / ABC medical School, Santo Andre dreduardogrecco@gmail.com - Thiago Souza Mario Covas hospital / ABC medical School, Santo Andre 4

5 - Joao Caetano Marchesini Marchesini Clinic, Curitiba jcmarchesini@gmail.com - Lyz Bezerra Agamenon Magalhaes Hospital, Recife lyzbezerra@gmail.com 5

6 Local companies to be contacted: Boston Scientific balloons, stents, clips, knifes, cautery s - Can use my and Josemberg Campos name as reference Cook - balloons, stents, clips, knifes, cautery s - Can use Josemberg Campos name as reference Alacer biomedica Stents - Can use my and Josemberg Campos name as reference Fuji (gastrocom) Overtubes, balloon removal graspers, Knifes - Can use my name as reference Ethicom Biologic glue - Can use my and Almino Ramos name as reference Allergan Balão intragástrico - Can use my name as reference Medicone Balão intragástrico - Can use Dr Eduardo Grecco and Thiago Silva name as reference CMS Apollo e EndoBarrier - Can use my name as reference Storz torres de vídeo Endoscopia e suporte - IRCAD as reference Wen Bisturi elétrico, plasma de Argônio - IRCAD as reference 6

MH. Huang Show Chwan Memorial Hospital Changhua, Taïwan

PROGRAM ENDOLUMIINAL AND LAPAROSCOPIIC BARIIATRIIC AND METABOLIIC SURGERY COURSE SEPTEMBER 10 12,, 2015 CHHAAIIRRMMAANN MH. Huang Show Chwan Memorial Hospital Changhua, Taïwan PPRREESSIIDDEENNTT SSUUPPEERRIINNTTEENNDDEENNTT