15th International B.E.S.T. Congress 2018

A quest for algorithms in revisionalbariatric-metabolic procedures

Course directors: Bruno Dillemans, Jacques Himpens, Nilton KawaharaDate: 3-4 December 2018Venue: Concertgebouw Bruges, BelgiumInfo: www.best2018.be

International Federation for the Surgery of Obesity and Metabolic Disorders

Endorsed by

© Jan D’Hondt © Jan Darthet

15th International B.E.S.T. Congress 2018, Bruges BELGIUMA quest for algorithms in revisional bariatric-metabolic procedures

DAY 1 – Monday 3rd December 2018

OPENING OF THE CONGRESS07.00 Registration

07.30 Welcome B. Dillemans / J. Himpens / N. Kawahara

07.40 How to define success and failure in bariatric surgery H. Buchwald

07.50 Weight regain: biology or behavior? Who is candidate for revision?

N. Di Lorenzo

08.00 Failure of metabolic and bariatric surgery: medical approach

C. Le Roux

08.10 Failure of metabolic and bariatric surgery: surgical approach

R. Rosenthal

08.20 A quest for Algorithms in revisional surgery: establishing the framework for the algorithm

B. Dillemans / J. Himpens

1. FAILED VBG/BANDChair: M. VixModerators: M. Suter, J. Valk, N. Kawahara

08.30 Clinical & radiologic assessmentSurgical options

L. Angrisani

– VBG

08.40 Conversion to RNY Gastric Bypass B. Dillemans

– Band

08.50 Rebanding F. Pattou

09.00 Conversion to RNY Gastric Bypass A. Ramos

09.10 Conversion to Omega Loop Bypass J-M. Chevallier

09.20 Conversion to Sleeve D. Nocca

09.30 Leaving the Band in place J-W. Greve

09.40 One or two steps? M. Suter

09.50 Tips & Tricks & Booby traps K. Higa

10.00 Wrapping up and voting M. Vix

10.10 Break

10.30 Live transmission from OR3 revisional casesChair: G. CamposModerators: R. Ribeiro, S. Weiner, P. OmelanczukSurgeons: to be assignedCases: to be selected

12.00 Lunch

2. FAILED SLEEVEChair: J. HimpensModerators: J. Closset, R. Rosenthal, C-F. Chaux

13.00 Clinical & radiologic assessmentSurgical options

S. Weiner

13.10 – Re-Sleeve M. Gagner

13.20 – Banding the sleeve M. Bhandari

13.30 – SADI-s A. Torres

13.40 – DS J. Himpens

13.50 – RNY Gastric Bypass P. Omelanczuk

14.00 – Omega loop Bypass/ SASI K. Mahawar

14.10 – Bipartition S. Santoro

14.20 Tips & Tricks & Booby traps C. Copaescu

14.30 Wrapping up and voting J. Himpens

15th International B.E.S.T. Congress 2018, Bruges BELGIUMA quest for algorithms in revisional bariatric-metabolic procedures

14.40 Break

15.00 Live transmission from OR3 revisional casesChair: S. ShikoraModerators: : N. Di Lorenzo, P. Hauters, R. BaratieriSurgeons: to be assignedCases: to be selected

3. CHALLENGING SITUATIONS & COMPLICATIONSA) Type 2 Diabetes evolution after bariatric procedures

Chair: D. CummingsModerators: G. Prager, M. Lannoo, A. De Paula

16.30 Intestinal glucose absorption in bariatric surgery F. Pattou

16.40 Bile acid physiology as driver for sustained metabolic improvement after bariatric surgery

G. Campos

16.50 Scoring Systems in Diabetes – Diabetes Severity & Remission Scores

S. Urgale

17.00 Why do we talk about diabetes remission and not cure? M. Lannoo

17.10 Why does diabetes re-occur after a bariatric procedure? C. Le Roux

17.20 The need for new guidelines governing the use of metabolic surgery

D. Cummings

B) Reflux and Barrett after bariatric procedures

Chair: M. GagnerModerators: H. Buchwald, A. Ramos, L. Angrisani

17.30 Do we have to worry? A. Genco

17.40 Prevention of reflux/ Barrett? D. Nocca

17.50 Must we close the crura? L. Agrisani

18.00 Surgical treatment options N. Kawahara

DEBATE: Is Barrett esophagitis the death-blow for sleeve gastrectomy?

18.10 Chair: R. RosenthalPanelists: A. Genco, K. Higa, M. Gagner, G. Prager, M. Suter, H. Buchwald

18.30 Wrapping up and voting R. Rosenthal

Parallel session: Case & Video Presentation (BARIAlink)

Session 108.30 Why BARIALINK? B. Dillemans /

P. Tempelaere

08.40 Chair: A. NeimarkModerators: F. Akin, C. Stier, MJ. Legrand, R. de Souza6 cases

10.10 Break

10.30 Live transmission from OR3 revisional cases

12.00 Lunch

Session 213.00 Chair: : J. Horevoets

Moderators: M. Solovyeva, R. Vilallonga, E. Van Vyve, M. Loureiro6 cases

14.40 Break

15.00 Live transmission from OR3 revisional cases

Session 316.30 Chair: : B. Khatsiev

Moderators: A. Zaid, T. Lafullarde, T. Khewater, LF. Osorio6 cases

15th International B.E.S.T. Congress 2018, Bruges BELGIUMA quest for algorithms in revisional bariatric-metabolic procedures

DAY 2 – Tuesday 4th December 2018

4. FAILED RNY GASTRIC BYPASSChair: B. DillemansModerators: G. Campos, S. Shah, M. Aceves

08.00 Clinical & radiologic assessmentSurgical options

D. Van Der Fraenen

– Resizing pouch/stoma

08.10 Endoluminal C. Stier

08.20 Laparoscopic S. Shah

– Band placement

08.30 Adjustable B. Dillemans

08.40 Non-adjustable E. Hazebroek

08.50 – Distalization of the bypass B. Navez

09.00 – Conversion to Sleeve/DS/SADI K. Mannur

09.10 Intestinal Hormonal issues in case of redo D. Cummings

09.20 Tips & Tricks & Booby traps K. Higa

09.30 Wrapping up and voting B. Dillemans

09.40 Break

10.00 Live transmission from OR 3 revisional casesChair: : S. ShahModerators: C. Copaescu, J-W. Greve, G. AlvarezSurgeons: to be assignedCases: to be selected

5. FAILED Other primary proceduresChair: L. LemmensModerators: A. Celik, K. Gawdat, A. Koyaishi

11.30 Nutritional complications after malabsorptive procedures L. El Kadre

11.40 Update on the Omega loop gastric bypass A. Subhi

Surgical options after failed OAGB

11.50 – Reflux J-M. Chevallier

12.00 – Excessive weight loss N. Sakran

12.10 Surgical options after failed BPD / DS Y. Yashkov

12.20 Surgical options after failed SADI M. Bhandari

12.30 Wrapping up and voting L. Lemmens

12.40 Lunch

13.30 Live transmission from OR 3 revisional casesChair: K. GawdatModerators: : L-C. Bremm, P. Noel, J. SaeySurgeons: to be assignedCases: to be selected

14.50 Break

6. NEW TECHNOLOGIES & SURGICAL APPROACHESChair: S. Shikora Moderators: M. Vix, J. Teixeira, A. Neimark

Novel approaches

15.10 Endoscopic revisional procedures S. Heyman

Robotics

15.20 – Technical aspects C. Vaz

15.30 – Critical review S. Shikora

Novel procedures

15.40 Ileal transposition A. de Paula

15.50 Transit bipartition S. Santoro

16.00 SASI T. Mahdy

16.10 Jejuno-ileal bypass E. Taskin

16.20 Gastric Clip P. Noel

16.30 N-sleeve D. Nocca (P. Noel)

16.40 Magenstrasse B. Majerus

16.50 SADI-S A. Torres

17.00 Diverted minibypass R. Ribeiro

17.10 Aspire-assist M. Gagner

17.20 Novel procedures: where are we heading? J. Teixeira

17.30 Wrapping up and voting S. Shikora

17.40 Highlights of the meeting & summary of the voting outcomes

B. Dillemans / J. Himpens / N. Kawahara

17.50 Attempt for an algorithm based on day one’s framework

HANDING OVER CERTIFICATES & ADJOURN

Registration feeEarly bird: € 350 (till the 15th of October 2018)Normal: € 400IFSO member: € 350Fellows: € 200Trainees and students: € 100Registration on site: € 450 (registration obligated)Diner: @ Forum 6, Concertgebouw; Monday evening 3rd December: € 75Info and online registration: www.best2018.be

Accreditation: Belgium: 16 CP - Europe: 16 European CME

This congress is endorsed by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO)

Course DirectorsBruno Dillemans (BEL) Jacques Himpens (BEL) Nilton Kawahara (BRA)

International FacultyLuigi Angrisani (ITA)Mohit Bhandari (IND)Henri Buchwald (USA)Guilherme Campos (USA)Alper Celik (TUR)Jean-Marc Chevallier (FRA)Catalin Copaescu (ROU)David Cummings (USA)Nicola Di Lorenzo (ITA)Michel Gagner (CAN)Khaled Gawdat (EGY)Alfredo Genco (ITA)Jan-Willem Greve (NLD)Eric Hazebroek (NLD)

Kelvin Higa (USA)Carel Le Roux (IRL)Kamal Mahawar (GBR)Tarek Mahdy (EGY)Kesava Mannur (GBR)Aleksan Neimark (RUS)David Nocca (FRA)Patrick Noel (FRA)François Pattou (FRA)Silvana Perretta (FRA)Gerhard Prager (AUT)Rui Ribeiro (PRT)Raul Rosenthal (USA) Nasser Sakran (ISR)

Shashank Shah (IND)Scott Alan Shikora (USA)Christine Stier (DEU)Abu Abeid Subhi (ISR) Michel Suter (CHE)Eren Taskin (TUR)Julio Teixeira (USA) Antonio Torres (ESP)Surendra Ugale (IND) Carlos Vaz (PRT)Ramon Vilallonga (ESP)Michel Vix (FRA)Sylvia Weiner (DEU)Yuri Yashkov (RUS)

South American FacultyManuel Aceves (MEX)Glauco Alvarez (BRA)Ricardo Baratieri (BRA)Luiz Carlos Bremm (BRA)Carlos Felipe Chaux (COL) Aureo De Paula (BRA)

Renato de Souza (BRA) Luciana El Kadre (BRA)Manoel Galvao Neto (BRA)Nilton Kawahara (BRA)Akemi Koyaishi (BRA)Marcelo Loureiro (BRA)

Pablo Omelanczuk (ARG)Luis Felipe Osorio (BRA) Almino Ramos (BRA)Sergio Santoro (BRA)

National FacultyJean ClossetJean-Marc Gillardin Philippe HautersStijn Heyman Pierre Hourlay Laurent KohnenThierry Lafullarde

Matthias LannooMarc-Julien LegrandLuc LemmensBernard MajerusJulien MunckBenoit NavezDenis Pitot

Jean SaeyJody ValkSebastiaan Van Cauwenberge Donald Van Der FraenenEtienne Van Vyve