A Bariatric surgery currently offers the possibility of losing weight in patients with morbid obesity who are resistant to various medical, pharmacological and dietary treatments. The weight loss that is achieved with surgery is a real change of life.
These changes make it possible to exercise normal daily activities with reduced risks of illness, the resolution of complications of medical conditions related to obesity (heart disease, diabetes, hypertension, osteo-articular problems, sleep apnoea). Bariatric surgery, through different types of surgical interventions depending on the patient's clinical situation, will allow weight loss and an improvement in the overall quality of life of the
obese patient. There are various types of bariatric interventions, which are divided roughly into 3 main groups: pure restrictive (adjustable gastric banding, gastric plication), malabsorptive (gastric bypass, bilio-pancreatic
diversion...) and restrictive-metabolic (sleeve gastrectomy, sleeve gastrectomy with associated fundoplication). ECOS (European Center for Obesity Surgery) recognized as a Center of Excellence since 2016, offers a comprehensive treatment proposal to the obese patient.
All the most common, safe and effective bariatric procedures are performed. A continuous work of updating and research allows the team of the Center to perform interventions for any degree of obesity with a laparoscopic technique, after an appropriate preoperative path that is organized at the facilities of the Center itself. The aim of this course is to provide the surgeons with the theoretical and practical bases of the surgical treatment of obesity, as recognized by the international guidelines and carried out at ECOS: defining correct indications to laparoscopic approach in bariatric and upper GI laparoscopic surgery and providing technical skills and pattern. Through lecture sessions, the state of the art of laparoscopic bariatric surgery and the technical measures for a correct and safe laparoscopic technique will be presented. In practical sessions, through the use of pelvic trainers and laparoscopic surgery simulators, the trainees will be able - under the supervision of the tutors - to put into practice what they learned in the theoretical sessions.
Course Schedule and learning objectives.
- Theoretical session and simulation
- Laparoscopic surgery, upper GI and bariatric surgery: basic elements and techniques
- Presentation of clinical cases
- Knots and laparoscopic sutures
- Intracorporal anastomosis with laparoscopic technique
- Advanced bariatric and upper GI surgery: interventions and complications, re-do surgery