Agenda (Preliminary)

Day 1 - Saturday - September 22

2:30 - 3:00 p.m. Registration
Session 1 - Integrated Health-Disciplines Discuss the "Best" Operation for Complex Patients?
(Moderator: Shikora; Panel: Shah, Kim, Lautz, Blackstone, Price, Greenberg, Sarwer, Ariagno)
3:00 - 3:20 p.m. Scenario 1 - 78 y.o. male with BMI = 38, PMH = T2DM on insulin, HTN on 2 meds, h/o CABG, lives alone, uses a cane-wants to get off insulin
3:20 - 3:40 p.m. Scenario 2 - 47 y.o. male, PMH = IVDA, hep C with cirrhosis s/p interferon tx, no history of GIB, EGD 2010 - no varices. BMI = 50, has a large hiatal hernia
3:40 - 4:00 p.m. Scenario 3 - 37 y.o. female, BMI = 48, s/p left colectomy for diverticulitis, Jehovah's Witness, has no immediate family
4:00 - 4:20 p.m. Scenario 4 – 16 year old female, BMI= 45, T2DM on insulin, insurance won't cover because of her age but parents can afford to pay. Her parents are divorced and she lives with the mom. Her Mom is very supportive of her having surgery but dad is against it.
4:20 - 4:40 p.m. Scenario 5 - 59 y.o. female of limited intelligence but very compliant, has a case worker, BMI = 58, PMH = T2DM on 2 orals, HTN on 2 meds, OSA, asthma on steroids, s/p pulmonary embolus on Coumadin, s/p transphenoidal excision of a pituitary adenona, will require XRT but only after weight loss, PSH = c-s x2, open chole, has Medicaid/Medicare
4:40 - 5:00 p.m. Scenario 6 - 50 y.o. female, BMI = 43. PMH = HTN on 2 meds, DOE, hyperlipidemia. S/p LAGB poor results, S/p Lap RYGBP limb = 100cm, lost only 35 lbs. Lovely lady, well-liked in the program but admits to poor dietary compliance
Evening Session - Keynote Address
5:30 - 6:30 p.m. Bariatric Surgery: Where Has it Come and Where is it Going? - Robin Blackstone, MD

Day 2 - Sunday - September 23

7:30 - 8:00 a.m. Continental breakfast
Session 2 - Please Help Us! Audience to Bring Cases to the "Experts"
(Moderator - Kim; Panel: MacDonald, Baker, Rosenthal, Hawkins, Power, Luz, Isom)
8:00 - 8:15 a.m. Case 1
8:15 - 8:30 a.m. Case 2
8:30 - 8:45 a.m. Case 3
8:45 - 9:00 a.m. Case 4
9:00 - 9:15 a.m. Case 5
9:15 - 10:00 a.m. Panel Q&A
10:00 - 10:30 a.m. Break
Session 3 - How Do Things Work?
10:30 - 10:50 a.m. Surgical Stapling Devices - Randal Baker, MD
10:50 - 11:10 a.m. The Role of Gut Hormones in Body Weight and Pancreatic Function - David Lautz, MD
11:10 - 11:30 a.m. The Vagus Nerve in Weight Regulation - Scott Shikora, MD
11:30 - 11:50 a.m. Neuroglycopenia After Gastric Bypass - Kenneth MacDonald, MD
11:50 - 12:00 p.m. Panel Discussion
Breakout Session 4 - Bariatric Nursing
10:30 - 10:45 a.m. Ethics in Bariatric Surgery - Kenneth MacDonald, MD
10:45 - 11:00 a.m. Do Nurses Need to be Concerned about Malpractice Lawsuits? - Kathleen McCauley
11:00 - 11:15 a.m. Evidenced Based Nursing Care in Bariatric Surgery - Bobbie Lou Price, RN, BSN
11:15 - 11:30 a.m. Sensitivity Training – Stephanie Power, PhD
11:30 - 11:45 a.m. Special Needs in Bariatric Nursing - Bobbie Lou Price, RN, BSN
11:45 - 12:00 p.m. Panel Discussion
12:00 - 1:30 p.m. Lunch
Session 5 - Controversies in Bariatric Surgery: Yes, No, Maybe?
1:30 - 1:50 p.m. Revisional Surgery for Weight Regain - David Lautz, MD
1:50 - 2:10 p.m. Bariatric Surgery for Patients With HIV, Cancer, COPD, Cirrhosis - Raul Rosenthal, MD
2:10 - 2:30 p.m. Bariatric Surgery Malpractice Lawsuits. Are we Winning or Losing? - Kathleen McCauley, Esq.
2:30 - 2:50 p.m. Behavioral Issues; Questionable Compliance, Anger, Non-supportive Family, Depression - Isaac Greenberg, PhD
2:50 - 3:10 p.m. Is Gastric Plication Just a Safer Sleeve? - Raul Rosenthal, MD
3:10 - 3:30 p.m. Panel Q&A, Adjourn
Breakout Session 6 - Nutritional Management in Bariatric Surgery
1:30 - 1:50 p.m. 2012 Vitamin Update - Meghan Ariagno, RD
1:50 - 2:10 p.m. How to Get the Patient Back? Fearful of Eating/Setback/Stricture - Kerri Hawkins, MS, RD, LDN
2:10 - 2:30 p.m. Preventing Wernicki's and Other Rare Disorders, the Dietitian's Role - Meghan Ariagno, RD
2:30 - 3:00 p.m. Pre-op Weight Loss, Best Practice. Review of Different Liquid Diets/Protein Supplements - Kerri Hawkins, MS, RD, LDN
3:00 p.m. Adjourn

Day 3 - Monday - September 24

7:30 - 8:00 a.m. Continental breakfast
Session 7 - That's Debatable
8:00 - 8:20 a.m. Should We do Bariatric Surgery on Adolescents? Pro - David Lautz, MD; Con - Isaac Greenberg, PhD
8:20 - 8:40 a.m. Is the Band Still a Good Operation? Pro - Robin Blackstone, MD; Con - Randal Baker, MD
8:40 - 9:00 a.m. Endoscopic Pouch/Outlet Reduction is an Acceptable Option for Weight Regain Pro - Scott Shikora, MD; Con - Kenneth MacDonald, MD
9:00 - 9:20 a.m. Preoperative Behavioral Therapy is Beneficial to Long Term Success Pro - Stephanie Power, PhD; Con - David Sarwer, PhD
9:20 - 9:40 a.m. The Pros and Cons of Medical Tourism - Julie Kim, MD
9:40 - 10:00 a.m. Discussion
10:00 - 10:30 a.m. Break
Breakout Session 8 - How to Keep a Bariatric Program Current
8:00 - 8:20 a.m. What Every Bariatric Coordinator Needs to Know - Kellene Isom, RD, LD
8:20 - 8:40 a.m. How to Maintain a Strong Referral Base - Lisa Luz, RN, MSN, FNP-BC
8:40 - 9:00 a.m. The Keys to Running Successful Support Groups - Kellene Isom, RD, LD
9:00 - 9:20 a.m. Insurance Access: Strategies to Stay on Top of Denials/Appeals - Kellene Isom, RD, LD
9:20 - 9:40 a.m. Anything New with the Centers Of Excellence Programs? - Robin Blackstone, MD
9:40 - 10:00 a.m. Panel Q&A
10:00 - 10:30 a.m. Break
Session 9 - How I manage...
10:30 - 10:45 a.m. Excessive Weight Loss, Postoperative Malnutrition - Kerri Hawkins, RD or Meghan Ariagno, RD
10:45 - 11:00 a.m. Chronic Abdominal Pain - Kenneth MacDonald, MD
11:00 - 11:15 a.m. Pregnancy After Surgery - Julie Kim, MD
11:15 - 11:30 a.m. Significant Preoperative Comorbid Conditions; Sleep Apnea, Heart Disease, etc. - Randal Baker, MD
11:30 - 11:45 a.m. Band Failure. Can it be Resurrected? - Sajani Shah, MD
11:45 - 12:00 p.m. Panel Q&A
12:00 p.m. Adjourn
Breakout Session 10 - Behavioral Management in Bariatric Surgery
10:30 - 10:50 a.m. What to do with complicated pre-op patients: Do we give clearance? - Stephanie Power, PhD
10:50 - 11:10 a.m. How to manage challenging post-op patients - David Sarwer, PhD
11:10 - 11:30 a.m. What to do with the complicated patient interested in a revision - Isaac Greenberg, PhD
11:30 - 12:00 p.m. Panel and Audience
12:00 p.m. Adjourn