PROGRAMME BARIATRIC ENDOSCOPY COURSE – 23RR DD, 2016

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N Henrique Prata General Director Hospital de Cancer de Barretos PPRRREEESSSIIIDDDEEENNNTTT DDIIIRRREEECCCTTTOOORRR Jacques Marescaux Armando Melani President, IRCAD University of Strasbourg, France Director, IRCAD América Latina Americas Medical City, Rio de Janeiro, Brazil CCOOOUUURRRSSSEEE DDIIIRRREEECCCTTTOOORRR CCOOOUUURRRSSSEEE CCOOO-­‐-­‐DDIIIRRREEECCCTTTOOORRR Manoel Galvao Neto Luiz Gustavo de Quadros Gastro Obeso Center, São Paulo, Brazil São José do Rio Preto, Brazil BBBAAACCCKKKGGGRRROOOUUUNNNDDD::: 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 CCCOOOUUURRRSSSEEE BBBRRRIIIEEEFFFIIINNNGGG::: 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 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. FFAACCUULLTTYY Andre Teixeira (USA) Artagnan Amorim (Brazil) Bruno Sander (Brazil) Caetano Marchesini (Brazil) Eduardo Grecco (Brazil) Luiz Gustavo de Quadros (Brazil) Lyz Bezerra (Brazil) Manoel Galvão Neto (Brazil) Marcelo Falcão (Brazil) Marco Aurélio D´Assunção (Brazil) Michel Vix (Brazil) Sergio Barrichelo (Brazil) Thiago Souza (Brazil) Thiago Secchi (Brazil) This programme may be subject to modifications or cancellations for timing reasons 14/06/2016
Friday , July 22 nd -­‐ 201 6 07.50 am Registration 08.00am Faculty & Participants Shuttle Bus : Hotel -­‐ AMITS Gustavo Quadros G. Neto M. Vix Welcome to participants Introduction of the course 08.15 AM -­‐ BARIATRIC ENDOSCOPY 1 – OVERVIEW •
Bariatric Endoscopy Anatomy G. Neto – 15´ 08.30 AM -­‐ BARIATRIC ENDOSCOPY 2 – LIVE OPERATIVE CASES Chairman at auditorium -­‐ ? / Chairman at OR – Dr. Quadros / Moderators: Dr. Marchesini OPEN COFFEE BREAK BARIATRIC ENDOSCOPY 3 – ENDOSCOPIC TREATMENT OF OBESITY, DIABETES AND WEIGHT REGAIN BARIATRIC 2 -­‐ OVERVIEW ENDOSCOPY BARIATRIC ENDOSCOPY 5 -­‐ ENDOSCOPIC TREATMENT OF OBESITY, DIABETES AND WEIGHT REGAIN • Intragastric balloons -­‐ Liquid Filled 1 – technique, results and complication -­‐ Liquid Filled 2 – technique, results and complication -­‐ Air Filled 3 – technique, results and complication -­‐ Adjustable -­‐ technique, results and complication • Weight regain and weight loss failure (overview and perspective) E. Grecco – 10´ T. Souza – 10´ Marcelo Falcão – 10´ S. Barrichello – 10´ C. Marchesini – 10´ C. Marchesini – 15´ •
Argon Plasma (APC) on RYGB post-­‐op weight regain •
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Roux-­‐and-­‐Y Gastric Bypass (RYGB): Ring/Band complications Endoscopic suturing on RYGB post-­‐op weight regain •
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Endolumenal gastric aplication -­‐ Endolumenal duodeno-­‐jejunal bypass for T2DM G. Neto – 10´ G. Neto – 15´ G. Neto – 15’ •
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Endolumenal Duodenal Resurfacing Discussion G. Neto – 10’ 20´ Gustavo Quadros – 10´ 01.20 PM -­‐ LUNCH 02.30 PM -­‐ PRACTICE ON THE LABORATORY: ENDOSCOPIC TREATMENT OF BARIATRIC COMPLICATION Chairman -­‐ All faculty Over RYGB and Sleeve gastrectomy models Ring removals, hydrostatic and pneumatic dilation, Stenotomy, stricturotomy, clipping, stenting 06.00pm End of the practice : AMITS -­‐ Hotel This programme may be subject to modifications or cancellations for timing reasons 14/06/2016
08.00 am Saturday, July 2 3 rd -­‐ 201 6 Faculty & Participants Shuttle Bus : Hotel – AMITS 08.20 AM -­‐ PRACTICE ON THE LABORATORY: ENDOSCOPIC TREATMENT OF OBESITY Trainers -­‐ All faculty Over RYGB, Sleeve gastrectomy and porcine models Intragastric Balloons (liquid-­‐filled, air filled and adjustable), Endoscopic RYGB revision with Argon Plasma (APC), Endoscopic RYGB revision with Apollo OverStitch*, Endolumenal suturing with Apollo OverStitch* and duodeno-­‐Jejunal bypass with EndoBarrier* * Pending on approval in Brazil 12.30 PM -­‐ LUNCH 01.30 PM -­‐ BARIATRIC ENDOSCOPY 4 – ENDOSCOPIC TREATMENT OF OBESITY, DIABETES AND WEIGHT REGAIN BARIATRIC 2 -­‐ O
ENDOSCOPY Chairman – VERVIEW
Dr. Marchesini, Dr. Grecco, Dr. Galvão Neto BARIATRIC E
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REATMENT OF pOerspective) BESITY, DIABETES AND WEIGHT REGAIN • Endoscopic treatment of obesity (overview and Galvao – 10´ C. Marchesini – 10´ C. Marchesini Galvão – 10´ 0’ Thiago Souza /Eduardo Grecco – 20’ Intragastric balloons • -­‐ Overview and evidences • Aspiration therapy 02.00 AM -­‐ BARIATRIC ENDOSCOPY 3 – CLINICAL CASES 02.30
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ENDOSCOPIC TREATMENT OF BARIATRIC SURGERY COMPLICATIONS BARIATRIC NDOSCOPY 3NDOSCOPY – CLINICAL 4C –ASES
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Oarchesini, VERVIEW Dr. Grecco, Dr. Campos Chairman – Dr. • Adjustable Gastric Band: Erosion / Migration • Stenosis
Erosion / Migration 04:00 pm • Leaks and Fistulas • Foreign bodies, Bleeding and ulcers • ERCP after gastric-­‐bypass • Sleeve gastrectomy : leaks & fistulas • Discussion End of course : AMITS -­‐ Hotel G. Neto – 10´ A.Teixeira – 10´ Gustavo Quadros – 10´ M. D‘ Assunção – 10’ M. Falcão/T. Secchi – 10‘ Gustavo Quadros – 15´ 20´ This programme may be subject to modifications or cancellations for timing reasons 14/06/2016