Bariatric Endoscopy (BE) is a neologism meaning a new term

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.
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Program:
Presentations:
8.00 – 8.05
Course presentation - 5min
- Drs. Michel Vix, Silvana Peretta and Manoel Galvao Neto
8.05 – 8.45
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
8.45 – 10.45 - 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
10.45 – 11.00
Break 15min
11.00 – 12.45
Bariatric Endoscopy 2
Endoscopic treatment of bariatric surgery complications
Adjustable Gastric Band:
Erosion / Migration – 10min
- Speaker: Dr. Manoel Galvao Neto
Roux-and-Y Gastric Bypass (RYGB):
Ring/Band complications – 10min
- Speaker: Dr. Luiz Gustavo de Quadros
Stenosis – 10min
- Speaker: Dr. Manoel Galvao Neto
Leaks and Fistulas – 10min
- Speaker: Josemberg Campos
Foreign bodies, Bleeding and ulcers – 10min
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- 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
- Speaker: Dr. Manoel Galvao Neto
Interactive panel discussion – 20min
All speakers and moderators
12.50 – 13.30
Lunch 40min
13.30 – 15.15
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
- Speaker: Dr. Manoel Galvao Neto
Endolumenal duodeno-jejunal bypass on type 2 diabetes treatment -10min
- Speaker: Dr. Alex Escalona
Interactive panel discussion – 20min
All speakers and moderators
15.15 – 18.30
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
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Course directors:
IRCAD directors and Barretos Cancer Hospital Endoscopic Unity director
Co-directors:
- Josemberg Campos – Federal University of Pernambuco, Recife
[email protected]
- Manoel Galvao Neto –9th of July Hospital / Gastro Obeso Center, Sao Paulo
[email protected]
Brazilian Faculty (suggested)
- Almino Ramos – Gastro Obeso Centro – Sao Paulo
[email protected]
- Josemberg Campos – Federal University of Pernambuco, Recife
[email protected]
- Manoel Galvao Neto –9th of July Hospital / Gastro Obeso Center, Sao Paulo
[email protected]
- Luiz Gustavo de Quadros –Kaiser Clinic, São José do Rio Preto
[email protected]
- Marcelo Falcão – Federal University of Bahia, Salvador
[email protected]
- Joao Caetano Marchesini –Marchesini Clinic, Curitiba
[email protected]
- Eduardo Grecco –Mario Covas hospital / ABC medical School, Santo Andre
[email protected]
- Marco Aurélio D ‘assunção – Sirio-Libanes Hospital, Sao Paulo
[email protected]
Lab monitors (suggested)
Lab coordinators:
- Marco Aurélio D ‘assunção – Sirio-Libanes Hospital, Sao Paulo
[email protected]
- 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
[email protected]
- Manoel Galvao Neto - 9th of July Hospital / Gastro Obeso Center, Sao Paulo
[email protected]
- Luiz Gustavo de Quadros –Kaiser Clinic, São José do Rio Preto
[email protected]
- Marcelo Falcao – Federal University of Bahia, Salvador
[email protected]
- Ricardo Dib - Ipiranga Hospital, São Paulo
[email protected]
- Eduardo Grecco – Mario Covas hospital / ABC medical School, Santo Andre
[email protected]
- Thiago Souza – Mario Covas hospital / ABC medical School, Santo Andre
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[email protected]
- Joao Caetano Marchesini –Marchesini Clinic, Curitiba
[email protected]
- Lyz Bezerra –Agamenon Magalhaes Hospital , Recife
[email protected]
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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
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