June 22–24, 2017

JW Marriott Orlando Grande LakesOrlando, Florida

DUKE CENTER FOR SURGIC AL EDUC ATION AND INNOVATION PRESENTS

2017 Duke Masters of Minimally Invasive Bariatric Surgery

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Statement of NeedThis course is designed to address recent innovations in endoscopic procedures for bariatric surgery, advanced revisional surgery, metabolic surgery, and the management of weight regain after bariatric surgery. Learners will gain hands-on experience performing advanced, flexible endoscopy techniques and learn more about the integral role of these procedures in the management of bariatric complications. Learners will discuss the technical aspects of the most challenging procedures with faculty who are experts in their field.

Target AudienceThis program is designed to meet the continuing education needs of bariatric surgeons, MIS fellows, general surgery residents, physician extenders, and allied health professionals.

Learning ObjectivesAt the conclusion of this activity, participants should be able to:

• Describe approaches and technical issues in various bariatric

surgery procedures

• Describe techniques for revision of gastric bypass, sleeve,

and banding procedures

• Discuss options for patients experiencing weight regain after

bariatric surgery

• Explain laparoscopic and endoscopic management techniques for

correcting complications

• Identify new and advanced concepts used to treat obesity and

metabolic disease

ACCREDITATION This activity has been planned and implemented by the Duke University Health System Department of Clinical Education and Professional Development and Cine-Med for the advancement of patient care. The Duke University Health System Department of Clinical Education and Professional Development is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for the health care team.

CREDIT DESIGNATION Duke University Health System Department of Clinical Education & Professional Development designates this live activity for a maximum of 14.75 AMA PRA Category 1 Credit(s)™. Self Assessment credits toward Part 2 of the ABS MOC Program are also available. Physicians should claim only credit commensurate with the extent of their participation in the activity.

COMMERCIAL SUPPORT This CME activity is supported by educational grants. A complete list of supports will be published in the course syllabus.

JOINTLY PROVIDED BY Duke University Health System Department of Clinical Education and Professional Development and Cine-Med.

Course DirectorDana Portenier, MDAssistant Professor of SurgeryChief, Division of Metabolic and Weight Loss SurgeryDuke University School of Medicine

Agenda

THURSDAY, JUNE 22, 2017

ENDOSCOPIC SKILLS FOR BARIATRIC SURGEONS Lab Director: Dana Portenier, MD

This hands-on lab will cover the role of interventional endoscopic techniques in the management of bariatric complications.

2:00 pm DIDACTIC SESSIONDana Portenier, MD

2:30 pm FLEXIBLE ENDOSCOPY LAB Faculty: Dana Portenier, MD; Chan Park, MD; Ranjan Sudan, MD;

Jin Yoo MD

• Gold Probe, Injection and Clipping

• Stenting and Balloon Dilatation

• Endoscopic suturing with Overstitch

• Radio Frequency Ablation of Barrett’s esophagus

• Radio Frequency Treatment for GERD in bariatric patients

• Intra-gastric Balloon

5:30 pm ADJOURN

6:00–8:00 pm WELCOME RECEPTION AND REGISTRATION

FRIDAY, JUNE 23, 2017

7:00 am REGISTRATION, CONTINENTAL BREAKFAST, EXHIBITS

7:20 am WELCOME AND OVERVIEWDana Portenier, MD

SESSION I: LIVE SURGERY AND PANEL DISCUSSION Session Chair: Dana Portenier, MD

7:35 am Live Surgery, Videos, and Panel Discussion All faculty

10:00 am BREAK AND EXHIBITS

10:30 am Live Surgery, Videos, and Panel Discussion All faculty

SESSION II: HOW I DEAL WITH NORMAL ANATOMY WEIGHT REGAIN AFTER BARIATRIC SURGERY Session Chair: Ranjan Sudan, MD

11:00 am Debate Options for Weight Regain after Gastric Bypass

Pouch/Stoma Revision (endo or surgical)

Distal Bypass, Reversal with Conversion to Duodenal Switch

NOON LUNCH

1:00 pm Surgical options for weight regain after sleeve gastrectomy

RYGB Re-Sleeve, Duodenal Switch

2:00 pm BREAK AND EXHIBITS

Registration

June 22–24, 2017

JW Marriott Orlando Grande Lakes Orlando, Florida

REGISTRATION Register online at innovation.surgery.duke.edu/courses

By April 20 After April 20

$595 $695 Surgeons/Physicians

$150 $300 Allied Health, Fellows, Residents

ENDOSCOPIC HANDS-ON LAB $200—Space is limited for the lab and will be confirmed on a space availability basis.

CANCELLATION POLICY A $50 cancellation fee will apply for cancellations received more than 14 days prior to the start of thecourse. There will be no refunds if canceling within 14 days ofthe start of the course.

SPECIAL NEEDS Duke Surgery is committed to making its activities accessible to all individuals.

CONTACT/QUESTIONS For questions, special needs, or sponsorship, please contact:Alison Marinelli Ciné-Med Inc.127 Main Street NorthWoodbury, CT 06798

Office: 203-263-0006Toll-free: 800-253-7657E-mail: amarinelli@cine-med.net

HOTEL

JW Marriott Orlando Grande Lakes 4040 Central Florida Parkway Orlando, FL 32837

Phone: 407-206-2300 Fax: 407-206-2301

A limited block of rooms has been reserved at the JW Marriott Orlando Grande Lakes at the special rate of $169 per night plus tax for the course dates. The cut-off date for accepting reservations into this room block is May 24, 2017. Note—a limited number of rooms are being held, so please book as soon as possible. Reservation requests received after this date will be accepted on a space available basis.

You can make hotel reservations by calling 800-266-9432 and referencing the Duke Masters of Minimally Invasive Bariatric Surgery conference, or by visiting innovation.surgery.duke.edu/courses and using the link on the course Web site. Please book early—space is limited.

FRIDAY, JUNE 23, 2017

SESSION III: HOW I DEAL WITH COMPLICATIONS OF BARIATRIC SURGERY – VIDEO CASES

Session Chair: Jin Yoo, MD

2:30 pm Management of Sleeve Leak (acute and chronic)

3:00 pm Management of Bypass Leak (acute and chronic)

3:30 pm Management of Marginal Ulcers (urgent and non-urgent)

4:00 pm Management of Reflux after Sleeve Gastrectomy

4:30 pm Management of Significant Malnutrition (RYGB and BPD/DS)

5:00 pm ADJOURN

SATURDAY, JUNE 24, 2017

7:00 am CONTINENTAL BREAKFAST AND EXHIBITS

SESSION IV: SLEEVE PLUS, SIPS PROCEDURE, AND THE STANDARD BPD/DS Session Chair: Dana Portenier, MD

7:25 am Sleeve is Only the Beginning…”Plus” Options

8:00 am What is the Evidence on these Sleeve “Plus” Procedures?

8:30 am Current Status of the SIPS Procedure – Best candidates? Latest evidence? Technique

9:00 am Will the Real DS Procedure Please Stand up? – The Standard BPD-DS Procedure

9:20 am Should the Pre-op and Post-operative Management of Patients Undergoing Significant Malabsorptive Procedures be the Same as Those of RYGB or Sleeve Patients?

9:35 am BREAK AND EXHIBITS

SESSION V: NEW AND NOVEL BARIATRIC PROCEDURES Session Chair: Chan Park, MD

10:00 am Use of Fluorescence Imaging in Bariatric Surgery

10:30 am The Balloon and the G-tube. How Do They Fit in Algorithm for the Treatment of the Obesity in the U.S.?

11:00 am Beyond the Horizon – Innovative Bariatric Procedures

11:30 am ADJOURN

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Session Chairs

Chan Park, MDAssistant Professor of SurgeryDuke University School of Medicine

Ranjan Sudan, MDVice Chair of EducationAssociate Professor of SurgeryDuke University School of Medicine

Jin Yoo, MDAssistant Professor of SurgeryDuke University School of Medicine

Course Director

Dana Portenier, MDAssistant Professor of SurgeryChief, Division of Metabolic and Weight Loss SurgeryDuke University School of Medicine

Guest Faculty

Vivek Bindal, MDConsultant & Coordinator for Robotic Surgery Institute of Minimal Access, Metabolic and Bariatric Surgery and Institute of Robotic SurgerySir Ganga Ram HospitalNew Delhi, India

Stacy A. Brethauer, MDAssociate Professor of Surgery, Cleveland ClinicLerner College of MedicineDirector of Bariatric Surgery, Fairview HospitalPresident, American Society for Metabolic and Bariatric Surgery

Ninh T. Nguyen, MDProfessor and Interim Chair, Department of SurgeryChief, Division of Gastrointestinal SurgeryUniversity of California – Irvine

Jamie Ponce, MDMedical DirectorChattanooga Bariatrics

Basil Yurcisin, MD Garden State Bariatrics & Wellness Center

Peng Charles Zhang, MD, PhDProfessor of SurgeryShanghai Pudong HospitalFudan University Pudong Medical CenterShanghai, China