Description:
The rise of sleeve gastrectomy (SG) as the most commonly performed bariatric operation and the need for effective revisional surgery due to anticipated inadequate weight loss and co-morbidity control following SG has led many surgeons to contemplate adding SADI/LoopDS to their bariatric practice. Although the interest is high, safety and outcomes data are favorable, and ASMBS no longer considers SADI/LoopDS to be an investigational procedure, adoption of SADI/LoopDS remains slow. This course aims to address in depth three major barriers to implementation of SADI/LoopDS into today’s surgical practice: technical aspects of duodenal dissection, nutritional management in the setting of current bariatric practices, and appropriate positioning of SADI/LoopDS in the bariatric procedure selection algorithm. The primary audience for this course is surgeons and their teams that are in the contemplation stage of SADI/LoopDS implementation or are relatively early (< 30 cases) in their experience with this procedure.
Learning Objectives:
- Provide background on SADI/Loop DS physiology and mechanism of action.
- Describe the strengths and limitations of the surgical approaches to duodenal dissection including antropyloric mobilization, limited retroduodenal tunnel, and the role of robotic assistance.
- Discuss the relative impact of SADI/Loop DS on malabsorption and nutrition as compared to other procedures.
- Compare and contrast nutrition management strategies specific to SADI/Loop DS to those of other procedures.
- Summarize an evidence-based framework for SADI/Loop DS as a primary and revisional bariatric procedure.
| 3:15pm |
Introduction Vivek Prachand, MD |
| 3:17pm |
Loop DS Background Vivek Prachand, MD |
| 3:22pm |
"My Path to Loop DS" Vivek Prachand, MD; Paul Enochs, MD; Megan Jenkins, MD |
| 3:27pm |
Duodenal Dissection: Pyloric mobilization Paul Enochs, MD |
| 3:35pm |
Duodenal Dissection: Robotic approach Megan Jenkins, MD |
| 3:43pm |
Duodenal Dissection: Retroduodenal tunnel Vivek Prachand, MD |
| 3:51pm |
Duodenal Dissection Question and Answer Vivek Prachand, MD; Paul Enochs, MD; Megan Jenkins, MD |
| 3:59pm |
How malabsorptive is LoopDS? Megan Jenkins, MD |
| 4:09pm |
LoopDS and supplement strategy for your bariatric program Heather Mackie, MS RDN LD |
| 4:17pm |
Nutrition Discussion Question and Answer |
| 4:25pm |
Where does LoopDS fit in the surgery algorithm? Laurent Biertho, MD |
| 4:35pm |
Discussion Question and Answer |
| 4:44pm |
Closing Wrap-Up Vivek Prachand, MD |
| 4:45pm | Adjourn |