INTERNATIONAL SYMPOSIUM: Prevention and Management of Complications in Bariatric Surgery

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Endorsed By: Digestive Disease Institute INTERNATIONAL SYMPOSIUM: Prevention and Management of Complications in October 17 18, 2014 InterContinental Hotel and Bank of America Conference Center and Simulation Center FEATURING: HANDS-ON SKILLS WORKSHOP Endoscopic Stent placement, Endoscopic Suturing Proper stapling, sealing, buttressing, and reinforcement techniques Register Today! ccfcme.org/bmicomp

DON T MISS OUT ON OUR EXCITING NEW COURSE This Symposium features internationally respected experts discussing a broad spectrum of bariatric complications, from minor to life threatening. Emphasis will be placed on prevention and early evaluation and management of typical and rare complication of bariatric surgery with practical application of evidence-based clinical medicine. The course includes an interactive hands-on skills lab workshop featuring endoscopic stent placement, suturing, stapling, sealing, buttressing and reinforcement techniques! AFTER COMPLETING THIS EDUCATIONAL ACTIVITY YOU WILL BE ABLE TO: Illustrate hands-on training on best surgical practices Review new procedures and their risks and benefits Analyze medico-legal consequences of complications Summarize guidance on improving patients experience Prepare interactive cases studies Debate on an expert panel discussion on controversies in bariatric surgery. Demonstrate step-by-step guidances on treatment of complications Identify prevention strategies to avoid bariatric surgical complications WHO SHOULD ATTEND Bariatric surgeons; general and acute service surgeons; trauma and emergency doctors; endoscopists; gastroenterologists; bariatric nurses and practitioners. KEY TOPICS: Risks-Benefits Balance Sleeve Gastrectomy Complications Gastric Bypass Complications New Bariatric Procedures Non Technical Complications Anesthesia And Pre-Surgical Issues Acute Care Services Intensive Therapy Care Intestinal Disaster COURSE DIRECTORS Tomasz Rogula, MD Philip Schauer, MD FACULTY Luigi Angrisani, MD Clinica Villa Del Sole Napoli, Italy Kareem Abu-Elmagd, MD, PhD Jacek Cywinski, MD David Einstein, MD Ajai Khanna, MD Raul Rosenthal, MD Florida Weston, FL Intestinal Transplantation After Endoscopic Evaluation and Treatment Role of Radiology in Evaluation of Complications Training And Guidelines Quality Of Care/Patient Satisfaction/ Outcomes Medical Legal Issues ORGANIZING COMMITTEE Stacy Brethauer, MD Matthew Kroh, MD Haris Khwaja, MD, PhD Phoenix Health Supercentre Liverpool, England James Merlino, MD Michael Samotowka, MD Amanda R. Budak, RN, CBN, PhD SE Healthcare Quality Consulting Charleston, SC Marc Popovich, MD Scott A. Shikora, MD, FACS Brigham and Womens Hospital Boston, MA

AGENDA Friday, October 17th, 2014 7:00 am Breakfast / Registration 7:30 am Welcome Tomasz Rogula, MD, Phil Schauer, MD 7:40 am Risks-Benefits Balance Philip Schauer, MD Patient s selection criteria: who should not have bariatric surgery? Sleeve or bypass: balancing the risks. Revisional surgery: is risk always worth benefits? 8:00 am Training and Guidelines Stacy Brethauer, MD ASMBS Guidelines and ACS recommendations Reporting complications Fellowship and residency training 8:20 am General Surgery Acute Care Service Michael Samotowka, MD Evaluation and management of abdominal pain and vomiting in the postoperative patient Algorithms and guidance in acute care Role of general surgery acute care service in management of bariatric complications. 8.40 am Intensive Surgical Therapy of Bariatric Complications Marc Popovich, MD Diagnosis and management of early and late postoperative sepsis Critical Care: managing the morbidly obese patient in the ICU Ethical problems and life decisions making in critically ill patients 9:05 am Anesthesia and pre-surgical issues Jacek Cywinski, MD PACE clinic for pre-anesthesia evaluation Management of anesthesia problems (IV access, difficult airways, chronic pain, etc) Acute and chronic respiratory problems 9:30 am Break 10:00 am Prevention and Management of Intestinal Disasters After Ajai Khanna, MD Ischemic bowel: Resect or observe? Gastric bypass reversal: when, where and how? 10:25 am Intestinal Transplantation After Kareem Abu-Elmagd, MD, PhD Indications Short and long term outcomes 10:50 am Best Practices to Deliver Quality Care that Promotes Optimal Outcomes James Merlino, MD 11:15 am Medical Legal Issues in Bariatric Surgery Complications Amanda R. Budak, RN, CBN, PhD 12.00 pm Lunch 1:00 pm Sleeve Gastrectomy Complications Luigi Angrisani MD Leaks Strictures Bleeding Persistent nausea and reflux Chronic pain 1:30 pm Gastric Bypass complications Scott A. Shikora, MD, FACS Leaks Marginal ulcers Bowel obstruction Chronic abdominal pain Pouch, remnant and intestinal dilatations 2:00 pm Rare and New Bariatric Procedures Raul Rosenthal, MD Gastric banding Banded gastric bypass Gastric plication Gastric banded plication BPD-DS Extended Roux-gastric bypass Endoluminal procedures Mini Gastric Bypass 2:30 pm Break 2:45 pm Prevention and Management of Non-technical Complications Haris Khwaja, MD, Dphil (Oxon), FRCS DVT, PE, hidden thromboembolic disease Modern and new prophylactic and therapeutic options Bleeding Best feeding access 3:10 pm Modern Radiology in Early Diagnosis and Management of Bariatric Complication David Einstein, MD Which study is best to diagnose complications? Should UGI be done routinely? New and modern diagnostic modalities 3:35 pm Endoscopic evaluation and treatment Matthew Kroh, MD Stent for leaks in sleeve and gastric bypass Endoscopic suturing Endoscopic dilatations of strictures Bleeding and ulcers New techniques 4:00 pm Nutritional Issues after Abdullah Shatnawei, MD Preventive strategies for nutritional deficiencies Management of acute and chronic vitamins, mineral and protein deficiencies Optimal feeding access Hydratation Clinic 4:20 pm Round Table Discussions: Best Practices to Prevent and Manage Complications Moderators: Phil Schauer, MD, Tomasz Rogula, MD Panelists: Luigi Angrisani MD, Raul Rosenthal, MD, Scott A. Shikora, MD, FACS, Matthew Kroh, MD, David Einstein, MD, Haris Khwaja, Abdullah Shatnawei, MD 5:00 pm Tour

Saturday, October 18th, 2014 Symposium Continued Cases Over Breakfast 7:30 am Breakfast/Registration 8:00 9:30 am Cases Over Breakfast Moderators: Phil Schauer, MD, Tomasz Rogula, MD 9.30 Break 9:30 10:00 am Walk Over to SIM/CAD Lab from ICH Hands-On Workshop 4 stations 45 min at each station then rotate/4 groups of 8 each = 32 max in lab Rotation Periods (Each participant will rotate through each station) 10:00 am Rotation 1 10:45 am Rotation 2 11:15 am Rotation 3 12:00 pm Rotation 4 12:45 pm Adjourn WORKSHOPS AND HAND-ON SESSION STATIONS: Circulating Faculty: Philip Schauer, Tomasz Rogula 1. Endoscopic Stent Placement, Endoscopic Suturing Faculty: Matthew Kroh, MD 2. Vessel sealing techniques Faculty: Haris Khwaja, MD, Dphil (Oxon), FRCS 3. Reinforcement and buttressing techniques Faculty: Stacy Brethauer, MD 4. Proper stapling techniques; Faculty: Raul Rosenthal, MD GENERAL INFORMATION Location The conference will be hosted at the Intercontinental Hotel and Bank of America Conference Center; all activities on October 17th will be located on the second floor of the hotel. The workshops on Saturday October 18th will take place at the Simulation Center (L Building, first floor L1-300). InterContinental Hotel and Bank of America Conference Center 9801 Carnegie Avenue 44106 Phone: 216.707.4100 or 877.707.8999 Hotel Information and Reservations A block of rooms has been reserved at the InterContinental Suites Hotel until 5:00 pm September 16, 2014. To make your reservation, contact the Hotel Reservations Department at 216.707.4100 or 877.707.8999. Please identify yourself as being with the Complications in Event Special rates are listed below: InterContinental Suites Hotel, $169 single/double plus tax The Suites Hotel is located at 8800 Euclid Avenue and is within walking distance to the InterContinental Hotel and Bank of America Conference Center. Parking Parking is available in the 100th Street Visitor s Parking Garage at own expense. Valet parking is available at the hotels at own expense. Information For further information about this activity, contact the Center for Continuing Education. Local: 216.448.0770 Toll Free: 800.238.6750 Website: ccfcme.org/bmicomp Registration and Cancellation Preregistrations are accepted by online until 9:00 am ET October 10th, 2014. To register after this date, please do so onsite. In case of cancellation, a full refund will be made if canceled by October 10th, 2013. After October 10th 2014, a $100 cancellation fee will be deducted from your refund. Written notification of your cancellation is required in order to process your refund. NO REFUNDS WILL BE ISSUED AFTER October 20th, 2014. For questions about registration, email us at cmeregistration@ccf.org or call 216.448.0777. Accreditation The Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Foundation Center for Continuing Education designates this live activity for a maximum of 11.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit. Faculty Disclosure The Foundation Center for Continuing Education has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education Standards for Commercial Support requiring resolution of all faculty conflicts of interest. Faculty declaring a relevant commercial interest will be identified in the activity syllabus. Americans with Disabilities Act The Foundation Center for Continuing Education fully intends to comply with the legal requirements of the Americans with Disabilities Act. If you need assistance, please notify us at least two weeks prior to the activity. Recording or reproducing of this activity in any format is prohibited.

Registration Form Course #02010311 INTERNATIONAL SYMPOSIUM: Prevention and Management of Complications in October 17 18, 2014 InterContinental Hotel and Bank of America Conference Center and Simulation Center Two Ways to Register ONLINE ccfcme.org/bmicomp employee fees and registration are available online only. BY MAIL The Educational Foundation PO Box 931653, 44193-1082 Make check payable to: The Educational Foundation Total check amount enclosed: $ Please Print If registering by mail, complete the information below. First Name: MI: Last Name: Degree: Institution Name: Address: City: State: Zip: Phone Number: Email Address: Fax Number: Specialty: Practice Type: Office-Based Hospital Staff Resident/Fellow Other Fees Fee includes: continental breakfast, breaks, lunch, and program booklet General Session: Physician/Surgeon $295 IFSO or IBC Member $195 Internal CC Physician $200 CC Alumni $250 Fellow/Resident/Nurse/AHP $150 Hands-On Skills Workshop (Limited to 32 people) Fee: $200 Yes, I would like to attend the workshop For registration questions, please send email to cmeregistration@ccf.org or call 216.448.0777. recognizes the importance of protecting the privacy and security of information provided to us. Therefore, we are no longer requesting credit card data in writing, including on registration forms or faxes. If you would like to register using a credit card, please log in to www.ccfcme.org/bmicomp or call 216.448.0777 where it will be handled directly by a certified processor. Center for Continuing Education reserves the right to cancel or postpone activity in our sole discretion. In the unlikely event that this occurs, any registration fee(s) paid will be refunded. Be advised that is not responsible for related costs including airline tickets, hotel costs, or any similar fee penalties incurred as a result of any trip cancellations or changes. Fee

INTERNATIONAL SYMPOSIUM: Prevention and Management of Complications in October 17 18, 2014 InterContinental Hotel and Bank of America Conference Center and Simulation Center Register Today! ccfcme.org/bmicomp The Digestive Disease Institute 9500 Euclid Avenue, AC30 44195 NON-PROFIT ORG. U.S. Postage Paid Permit No. 1918