Revisional Surgery: Techniques, Pearls and Pitfalls

Tuesday, November 12, 2013 | EST

Location: A315-A316

Co-Directors: Raul Rosenthal, MD, FACS, FASMBS, and Elie Chouillard, MD, PhD

CME Credits Available: 3.75

Course Overview and Target Audience

As the number of bariatric operations continue to climb worldwide, so do the number of patients that require re-interventions. Reasons for reoperations can be classified in acute or chronic, either due to failure or complications. This course is designed for experienced bariatric surgeons in order to enable them to discuss and clarify the current indications, technical pitfalls and outcomes of these complex operations. Revisions, reversals and conversions are clearly differentiated. All procedure types, restrictive or malabsorptive are being discussed.

Course Objectives

Upon completion of this activity, the participants should be able to:

  • Identify the indications for re-operative surgery after bariatric procedures
  • Review the technical pitfalls of each re-intervention
  • Evaluate the most important diagnostic algorithms
  • Analyze the different outcomes of these operations


Time Topic Faculty

Session I: Revisional Surgery for Failed and Complicated LAGB

Moderator: Emma Patterson, MD, FACS, FASMBS
Moderator: Antoine Younan, MD
8:00am Reposition of Slipped Bands and Removal of Eroded Band: Technique, Pitfalls and Outcomes
Jaime Ponce, MD, FACS, FASMBS
8:15am Single-Step Conversion of Band to Bypass or Sleeve: Technique, Pitfalls and Outcomes
Natan Zundel, MD, FACS, FASMBS
8:30am Discussion

Session II: Revisional Surgery of Failed or Complicated RYGBP/BPDDS/JIB

Moderator: John W. Baker, MD, FACS, FASMBS
Moderator: Raul J. Rosenthal, MD, FACS, FASMBS
8:45am Trimming of Pouch and Anastomosis for Weight Regain: How is it Done? Should We Do it?
Kelvin D Higa, MD, FACS, FASMBS
9:00am Gastro-Gastric Fistula, Dilated Pouch and Other than Weight Regain Complications in Patients with RYGBP: Management Approaches
Scott A. Shikora, MD, FACS, FASMBS
9:15am Too Much Malabsorption? Too Little Weight Loss? How to Manage Reoperations for BPD and BPD-DS
Philippe A. Topart, MD
9:30am Weight Loss Failure with Intact Bypass Anatomy: How I Manage it
Michel Gagner, MD, FACS, FASMBS
9:45am Discussion
10:00am Refreshment Break

Session III: Revisional Surgery of Stapling Procedures

Moderator: Robin L. Blackstone, MD, FACS, FASMBS
Moderator: Raul J. Rosenthal, MD, FACS, FASMBS
10:15am Hiatal Hernias Management During Bypass and Sleeve: Should Those Be Fixed?
Ninh T. Nguyen, MD, FACS, FASMBS
10:30am Management of Intestinal Complications: Internal Hernia, Intussuception and Bezoars
Samuel Szomstein, MD, FACS
10:45am Evaluating and Managing Chronic Abdominal Pain After Bariatric Surgery: When to Reoperate
Alan C. Wittgrove, MD, FACS, FASMBS
11:00am Discussion

Session IV: Reoperations for Complicated LSG

Moderator: Daniel Herron, MD, FACS
Moderator: Kevin Reavis, MD, FACS
11:15am Management of Sleeve Gastrectomy Leaks
Elie K. Chouillard, MD
11:30am Management of Non-Leak-Related Complications After Sleeve Gastrectomy
Jacques M. Himpens, MD, PhD
11:45am Discussion
12:00pm Adjourn