Description:

Differentiate between anatomical and physiological reflux and identify the decision-making process in the metabolic surgery patient. Identify important diagnostic questions and treatment options in the patient with obesity and a failed fundoplication. Identify important treatment considerations in patients with obesity and significant GERD.

Learning Objectives:

  1. Understand the preoperative evaluation and information to be obtained by testing.
  2. Understanding the decision making process in medical versus surgical treatment of GERD.
  3. Identify Post bariatric surgery reflux and determine best choices for management.

Part 1- Pre-op Evaluation
8:00am Welcome
Colleen I Kennedy, FASMBS MBA MD
8:05am Evaluation of the patient with reflux symptoms – no previous surgery
Ian S Soriano, MD FACS FASMBS
8:15am Use of manometry, EndoFlip, etc to evaluate the post bariatric surgery patient with reflux symptoms.
Barham Abu Dayyeh, MD
8:25am Questions
Christopher G DuCoin, MD MPH FACS FASMBS
Part 2- Medical versus Surgical treatment
8:30am Intro
Christopher G DuCoin, MD MPH FACS FASMBS
8:35am What is the best Bariatric Procedure for GERD and the why behind it?
Nestor de la Cruz-Munoz, MD FACS
8:45am When do you offer MSA for medically refractory reflux, and does MSA have a role in bariatric surgery
Linden Karas, FACS MD
8:55am Questions
Colleen I Kennedy, FASMBS MBA MD
9:00am Reflux symptoms in the post sleeve patient with BMI 28-35 – Side 1 (Speaker 1) – GBP is the treatment of choice Side 2 (Speaker 2)– LINX is the procedure of choice
Renee Hilton, MD FACS FASMBS; Sachin Kukreja, MD
9:15am In patients with a History of Nissen Fundoplication and refractory GERD Side 1 (Speaker 1) – GBP is the Treatment of Choice Side 2 (Speaker 2) – Redo Nissen Fundoplication is the Procedure of Choice
Matthew Brengman, MD MSHA; Sergio Bardaro, MD FACS FASMBS DABS-FPMBS
9:30am Adjourn