Scientific Sessions & Panels
Friday, April 11, 2008
Description:
This section of the SAGES Meeting includes panels with invited faculty who will speak on specific topics, and sessions of oral & video presentations of abstracts selected by the SAGES Program Committee. Panel information is listed below; information about the abstract & video presentation sessions will be available in the Final Program distributed on-site.
What Is Included:
The SAGES Scientific Session is included in Registration SuperPass (Option A) or Registration Option C (see form on page 51). Both fees include entrance to all didactic session rooms on Friday and Saturday (not including hands-on course labs or lunches), Final Program, entrance to the Exhibit Hall, Learning Center, Posters, Thursday evening Exhibit Reception, continental breakfast & breaks, and lunch in the Exhibit Hall on Saturday.
Concurrent Sessions: (accepted oral & video presentations)
Esophagus/Gastric,
Bariatric, Colon, Basic Science
7:00 AM - 8:00 AM
Plenary Video Session
8:00 AM - 9:00 AM
SAGES Exhibits & SAGES Learning Center Open
9:00 AM - 4:00 PM
Keynote Lectures
SAGES Presidential Address
9:00 AM - 9:45 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Steve Eubanks, MD
Professor & Chairman, Department of Surgery,
University of Missouri – Columbia, MO
part of SAGES international webcast
Gerald Marks Lecture
9:45 AM - 10:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
James “Butch” Rosser, MD
Professor, Department of Surgery,Chief of MIS, Director of AMTI,
Albert Einstein College of Medicine, New York, NY
SAGES acknowledges our Platinum
Level Donors for their support of this lecture:
Allegan, Inc. • Covidien • Ethicon Endo-Surgery, Inc.
Karl Storz Endoscopy America • Merck
Olympus Surgical America • Power Medical Interventions, Inc.
part of SAGES international webcast
Concurrent Sessions (accepted oral & video presentations)
Education/Outcomes
10:30 AM - 11:30 AM
SAGES/AHS Consensus Panel: The Explosion of Biomaterials for Hernia Repair;
What Do I Do?
Friday, April 11, 2008
10:30 AM - 11:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Maurice E. Arregui, M.D., Chair: Guy Voeller, M.D.
During this session, the types of bio-materials, synthetic, barrier coated and biologicals, in hernia repair will be presented. The differences in the biomaterials, advantages and disadvantages, costs and indications will be discussed. The following questions will be posed: Is the weight of the mesh important? How do mesh materials impact quality of life? Is mesh cost effective? When are biologicals indicated?
Objectives:
At the conclusion of this session, participants will be able to:
- Discuss the different types of biomaterials available for hernia repair, indications for the various biomaterials in open and laparoscopic hernia repair, and the outcomes in comfort and quality of life with the various meshes
| Schedule | ||
|---|---|---|
| 10:30 AM | Synthetic Meshes: Types, Costs, Advantages, and Disadvantages | Bruce Ramshaw, M.D. |
| 10:40 AM | Barrier Coated Meshes | Brent Matthews, M.D. |
| 10:50 AM | Quality of Life with Different Meshes | Scott Roth, M.D. |
| 11:00 AM | The Ideal Synthetic Mesh – Has it Arrived? | Andrew Kingsnorth, M.D. |
| 11:10 AM | Biological Meshes – Sources, Advantages and Costs | W. Scott Helton, M.D. |
| 11:20 AM | Panel Discussion | |
| 11:30 AM | Adjourn | |
SAGES acknowledges an educational grant in support of this panel from Tissue Science Laboratories
SAGES/ASMBS Panel: Diabetes Mellitus: A Surgical Disease?
Friday, April 11, 2008
10:30 AM - 11:30
AM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Mohamed Ali, M.D., Co-Chair: Bruce Schirmer, M.D.
The surgical treatment of diabetes mellitus is rooted in bariatric surgery, where anatomic bypass of the proximal gastrointestinal tract was observed to produce marked clinical and biochecmical improvement in glucose homeostases. This virtual cure far exceeds the capability of any medical treatment. These findings have sparked scientific and clinical curiosities to elucidate the mechanisms underlying this remarable response and to develop surgical therapies that can be offered to diabetic patients.
Objectives:
At the conclusion of this session, participants will be able to:
- Discuss the role of surgery in the management of diabetes mellitus
- Discuss the response of diabetes mellitus to bariatric and non-bariatric gastrointestinal bypass surgery
- Understand the metabolic hypotheses behind the glycemic response to these operations
| Schedule | ||
|---|---|---|
| 10:30 AM | Introduction |
Mohamed Ali, M.D. |
| 10:35 AM | Managing Diabetes: When Do I Call a Surgeon? |
David Kelley, M.D. |
| 10:47 AM | Weight Loss as a Control for Diabetes | John Dixon, M.D. |
| 10:59 AM | The Remarkable Response of Diabetes Mellitus to Gastric Bypass:
Post-Operative Change and Long-Term Results |
Walter Pories, M.D. |
| 11:11 AM | Duodeno-jujunal Bypass for Diabetes Mellitus in Non-obese Patients | Francesco Rubino, M.D. |
| 11:23 AM | Discussion | |
SAGES/ASCRS Panel: Emerging Technology in the Future of Laparoscopic Colorectal Surgery
Friday, April 11, 2008
10:30 AM - 11:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: James Fleshman, M.D., Co-Chair: Jeffrey Milsom, M.D.
The use of hand assisted and NOTES™ techniques will be discussed in the setting of colorectal surgery with an emphasis on adoption and facilitation of the technique in general practice. The use of laparoscopic techniques for rectal cancer will be discussed in the context of the upcoming NCI/ACOSOG sponsored trial Z6051.
Objectives:
After completion of the course, participants will be able to:
- Discuss the evolution, benefits, drawbacks and controversies surrounding hand assisted approaches, NOTES™ and laparoscopy for colon and rectal disease
| Schedule | ||
|---|---|---|
| 10:30 AM | “Where Does Hand Assisted Laparoscopy Fit
in Minimally Invasive Colorectal Surgery?” |
Peter Marcello, M.D. |
| 10:45 AM | “What can We Expect in the Future for NOTES™ in
Colon and Rectal Surgery?” |
David Larson, M.D. |
| 11:00 AM | “What is the Status of Laparoscopic Resection of Rectal Cancer?” | Sang Lee, M.D. |
| 11:15 AM | Panel Discussion | |
SAGES acknowledges a generous educational grant
in support of this panel from
Covidien and Karl Storz Endoscopy-America.
part of SAGES international webcast
Break: Exhibits, Posters, Learning Center
Friday, April 11, 2008
11:30 AM - 1:00 PM
Educator’s Luncheon: Maintenance of Certification/Practice Based Learning
Friday, April 11, 2008
12:00 PM - 1:30 PM
*Separate Registration Fee: $40
Chair: Liane Feldman, M.D., Co-Chair: Raymond Onders, M.D.
New surgical technologies, from laparoscopy to natural orifice surgery, emerge continuously. If we saw one in residency or attended a weekend course, can we then go ahead and start doing it? The challenge of how and when to safely incorporate a promising new technique into practice is faced both by surgeons in training and in practice, as well as by credentialing bodies. This course will discuss the issue of the learning curve, whether it is inevitable, how it can be measured, and how it can be minimized. An update on the current approach to competency assessment by credentialing bodies will be presented, and a practical guide to the process of obtaining hospital privileges for a new procedure will be outlined.
Objectives:
During this session, participants will be able to:
- Identify strategies to reduce the effect of learning on performance of a new procedure
- Describe a practical approach to obtaining hospital privileges for a new technique
- Discuss how credentialing bodies measure and assess competency
| Schedule | ||
|---|---|---|
| 12:00 PM | Introduction |
Liane Feldman, M.D. & Raymond Onders, M.D. |
| 12:15 PM | Hospital Privileges: You Saw One in Residency or Went to a Course, How Do You Get Credentialed from Sentinel Nodes to NOTES™? | Michael Nussbaum, M.D. |
| 12:30 PM | The Learning Curve For a New Technique: Is it Inevitable? Can it be Minimized? | Ajit Sachdeva, M.D. |
| 12:45 PM | Maintenance of Certification: You are Out in Practice, How Does the American Board of Surgery Measure Your Ability? | Jo Buyske, M.D. |
| 1:00 PM | Discussion: Residency and Beyond: When Can We Say We “Learned” a Surgical Technique | Panelists |
Concurrent Sessions (accepted oral & video presentations)
NOTES™, Hernia, Ergonomics, Human Factors, Solid Organ, Video
Friday, April 11, 2008
1:00 PM -
6:00 PM
The Changing Face of Robots and MIS Panel
Friday, April 11, 2008
1:00 PM - 2:30 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Alex Gandsas, M.D., Co-Chair: W. Scott Melvin, M.D.
The objective of this course is to provide the audience with an update of the most advanced robotic systems designed for surgical approaches. From robotic surgical assistants to devices that make possible tasks such as telesurgery, teleteaching, telemonitoring and telementoring, surgical robots are becoming part of the modern operating room. This program is intended to teach physicians, residents and other allied health professionals the possibilities robotic systems can offer to enhance patient care. The panel will also discuss the advantages and disadvantages of incorporating a surgical robotic system in your institution.
Objectives:
After this session, participants will be able to:
- Understand the current use and capabilities of surgical robots
- Discuss different new applications of surgical robots in minimally invasive surgery
- Understand the advantages and limitations of today’s robotic technology
- Learn about the role of wireless robotic remote presence in surgical education
| Schedule | ||
|---|---|---|
| 1:00 PM | Introduction |
Alex Gandsas, M.D. |
| 1:05 PM | Remote Telepresence Surgery |
Mehran Anvari, M.D. |
| 1:20 PM | Robotic Surgery in Zero Gravity | Timothy Broderick, M.D. |
| 1:35 PM | The Robotic Scrub Nurse | Michael Treat, M.D. |
| 1:50 PM | Surgical Micro Robots | Jacques Marescaux, M.D. |
| 2:05 PM | Wireless Robotic Remote Presence in Surgical Training | Alex Gandsas, M.D. |
| 2:20 PM | Discussion | |
Fellowship and MIS Program Coordinators Forum Panel: Current Concepts and
Controversies in Gastrointestinal Surgical Training
Friday, April 11, 2008
1:00 PM - 2:30 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Morris Franklin, M.D., Co-Chair: Raul Rosenthal, M.D.
This symposium will evaluate and discuss current controversies, strategies and trends related to the match, training and accreditation of fellowships in gastrointestinal surgery.
Objectives:
After this session, participants will be able to:
- Review the fellowship matching process
- Identify areas of concern during the academic year.
- Explore opportunities to improve the licensing and
certification process
- Understand the importance and how to implement FLS and FES into your program
- Appreciate the importance of certification
| Schedule | ||
|---|---|---|
| 1:00 PM | The Match. Program Director’s Prospective
How to Choose the Right Fellowship? Program Description. Identifying
a Standard Format. Content and Fellowship Duration. |
Lee Swanstrom, M.D. |
| 1:12 PM | The Match. Fellows Perspective–What are the Main Problems We Encounter? How Can it Get Better? | Carlos Godinez, MD |
| 1:20 PM | Licensure and Privileges for Training Purposes | Bruce Schirmer, M.D. |
| 1:30 PM | Certification and Privileges After Training | Scott Shikora, M.D. |
| 1:40 PM | Curriculum Incorporation into Your Program. What are the Basic Requirements? Creating a Template Implementing FLS and FES | Morris Franklin, M.D. |
| 1:50 PM | Curriculum Fulfillment: How Can You Get Your Program to Be Recertified? | Keith Lillemoe, M.D. |
| 2:00 PM | Panel Discussion | Dr. L. Swanstrom, SAGES; Dr. M. Franklin, SAGES; Dr. K. Lillemoe, AHPBA; Dr. S. Shikora, ASMBS; Dr. Bruce Schirmer, ACS; Dr. Carlos Godinez, IPEG |
| 2:30 PM | Adjourn | |
2008 Presidential Debates Panel
Friday, April 11, 2008
12:30 PM - 3:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Adrian Park, M.D.
Other presidential debates are underway this year. We present 2008 presidential debates that you do not want to miss. Our debaters engage a broad range of topics of relevance to all of us. Be there to cast your vote.
Objectives:
At the conclusion of this session, participants will be able to:
- Review and discuss both sides of the debate on 5 issues germane to the practicing surgeon in 2008.
- Have a broader understanding of the future of academic medical centers and the surgeon’s role in them
- Understand the role of evidence-based surgery driving the field forward and whether or not this serves to hamper innovation
| Schedule | ||
|---|---|---|
| Moderators: John Hunter, M.D. & Frederick Greene, M.D. | ||
| 12:30 PM | The Academic Medical Center is Failing…Economically, Operationally, Functionally and in Leading Innovation & Discovery | |
| Yes |
Lee Swanstrom, M.D. | |
| No | Nathaniel Soper, M.D. | |
| 1:00 PM | Surgeons Should be Paid to Take Call: With Inconvenience Comes Compensation | |
| Yes |
Greg Stiegmann, M.D. | |
| No | Desmond Birkett, M.D. | |
| 1:30 PM | The Words From Your Pen Belong to You, and Not Some Bloody Large Publishing House! | Moderators: Gerald Marks, M.D., George Berci, M.D. |
| Yes | Jeffrey Peters, M.D. | |
| No | John Hunter, M.D. | |
| 2:00 PM | NOTES™ is Nuts | |
| Yes | Daniel Deziel, M.D. | |
| No | David Rattner, M.D. | |
| 2:30 PM | Evidence Based Surgery is for Those Willing to Follow Behind–New Advances Can’t Wait! | |
| Yes | Richard Satava, M.D. | |
| No | William Traverso, M.D. | |
SAGES acknowledges our Silver Level Donors for their support of these Debates: Davol, Inc., Gore & Associates
part of SAGES international webcast
Planning, Building, & Operating a Simulation Center Panel
Friday, April 11, 2008
2:30 PM - 4:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Gerald Fried, M.D., Co-Chair: Daniel B. Jones, M.D.
All General Surgery residencies must have a skills lab or access to one by 2008 according to the RRC. SAGES FLS is integrated into residency assessment and credentialing guidelines. The ACS and ASPD have standardized a national curriculum for skills training and simulation. Already, the ACS has accredited approximately 25 comprehensive learning institutes. This panel highlights developments in skills training and simulation from SAGES members from around the world.
Objectives:
At the conclusion of this session, participants will be able to:
- Understanding investment in personnel and space requirements
- How to design a curriculum
- Use of skill and simulation assessment in surgery
- Highlight what makes simulation centers from around the world unique
- Appreciate accreditation and credentialing implications
| Schedule | ||
|---|---|---|
| 2:30 PM | How to Fund Your Simulation Center |
Carlos Pellegrini, M.D. |
| 2:45 PM | The Opportunities of the APDS/ACS Curriculum Initiative | Helen McRae, M.D. |
| 3:00 PM | Integrating SAGES FLS in to Your Simulation Curriculum: The Potential for Assessment | Gerald M. Fried, M.D. |
| 3:15 PM | Future Opportunities for Education Through Simulation | Sir Ara Darzi, M.D. |
| 3:30 PM | Building Effective Teams Through Simulation | Daniel Jones, M.D |
| 3:45 PM | Discussion | |
| 4:00 PM | Adjourn | |
SAGES acknowledges a generous educational grant in support of this panel from METI.
Residents and Fellows Scientific Session
Friday, April 11, 2008
2:30 PM - 5:30 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chairs: Simon Bergman, MD & Eric Hanly, MD
During this session, selected residents and fellows will have the opportunity to present their research to a panel of distinguished surgical faculty—all past presidents of SAGES. The panel will then be invited to discuss and critique the papers. Speakers will be judged not only on the content and originality of their work, but also on methodology and presentation skills. An award for the best presentation at this session will be given at the end of the session.
Objectives:
- To gain exposure to the current research endeavors of surgeons-in-training.
- To understand and recognize the methodological pitfalls that may cause some studies to lose scientific merit.
- To identify solutions to these problems and apply them in order to improve study design.
- To learn to optimize knowledge transfer in the context of the 10-minute talk.
Expert Panelists:
Richard M. Satava, MD
Desmond Birkett, MD
Nathaniel J. Soper, MD
Barry Salky, MD
SAGES/ASGE Panel: Complications of Flexible Endoscopy
Friday, April 11, 2008
2:30 PM - 4:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Brian Dunkin, M.D., Co-Chair: Christopher Thompson, M.D.
During this interactive symposium, expert surgical and medical endoscopists will describe how to manage common complications experienced by patients undergoing flexible endoscopic procedures. During the first hour, patient scenarios will be presented to the audience who will vote on their preferred management plan. The speakers will then give a focused presentation on management options for the complications described. Afterward, the audience will re-vote on their management choice.
During the last half hour of the program, real patient complication scenarios will be presented to the panel for discussion. Audience participants who preregister will be given the opportunity prior to the symposium to submit, via e-mail, patient complications they would like presented to the expert panel. The scenarios will not be revealed to the experts ahead of time and the audience will vote on their preference for solutions provided.
Objectives:
After participating in this symposium, the learner will be able to:
- Discuss endoscopic and surgical management options for common complications from flexible endoscopy procedures
- Use a magnet appropriately to manage patients who have implanted cardiac rhythm devices
- Order antibiotics appropriately for endocarditis prophylaxis in patients undergoing endoscopic procedures
- Describe the different levels of sedation and strategies to rescue oversedated patients
| Schedule | ||
|---|---|---|
| 2:30 PM | Avoid Complications Before They Start; Proper Patient Preparation and
Sedation |
John Vargo, M.D. |
| 2:45 PM | You Don’t Need a Surgeon Just Yet: Nonoperative Management of Endoscopic Complications | Jose Martinez, M.D. |
| 3:00 PM | Endoscopic Salvage of Complications | Doug Adler, M.D. |
| 3:15 PM | Surgical Management of Endoscopic Complications | Jeffrey Marks, M.D. |
| 3:30 PM | Presentation of Real Patient Complications Scenarios | |
| 3:45 PM | Discussion | |
SAGES acknowledges a generous educational grant in support of this panel from Karl Storz Endoscopy-America
part of SAGES international webcast
SAGES/JSES Joint Panel: The Difference of Endoscopic Surgery Between US and Japan
Friday, April 11, 2008
4:30 PM - 6:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Manabu Yamamoto, M.D., Co-Chair: John Mellinger, M.D.
In every country, the patient care is different because of culture, epidemiology, facilities and so forth. Even in closely related countries like US and Japan, various systems may differ. In this panel, expert US surgeons present their cases and discuss with Japanese experts to clarify the differences and similarities to find the better patient care.
Objectives:
At the conclusion of this session, participants will be able to:
- Understand the differences and similarity of patient care.
- Find some tips for the better patient care.
- See what procedures have been done by expert surgeons.
| Schedule | ||
|---|---|---|
| 4:30 PM | Liver (SAGES Presenter) |
Horacio Asbun, M.D. |
| Liver (JSES Discussant) | Prof. Hironori Kaneko | |
| 4:55 PM | Colon (SAGES Presenter) | Steven Wexner, M.D. |
| Colon (JSES Discussant) | Prof. Masahiko Watanabe | |
| 5:20 PM | Stomach (SAGES Presenter) |
Steven Schwaitzberg, M.D. |
| Stomach (JSES Discussant) | Prof. Yuko Kitagawa | |
| 5:45 PM | Discussion | |
Meet the Leadership Reception For Residents, Fellows & New Members
Friday, April 11, 2008
6:00
PM - 7:00 PM
Location: Philadelphia Marriott Hotel, Liberty Ballroom A
SAGES acknowledges a generous grant in support of this event from Power Medical Interventions, Inc.
Don’t miss the SAGES Main Event - Featuring: The SAGES Sing-Off!
Friday, April 11, 2008
7:30 PM - 11:00 PM
Location: Constitution Center.
Check this event on
your registration form if you plan to attend.
Free to all SuperPass Registrants
(Registration Option A).
SAGES acknowledges our Platinum and Gold Level Donors for their support of this event:
Platinum
Allergan, Inc.
Covidien
Ethicon Endo-Surgery, Inc.
Karl
Storz Endoscopy America
Merck
Olympus Surgical America
Power Medical Interventions, Inc.
Gold
Stryker Endoscopy
Saturday, April 12, 2008 Scientific Sessions & Panels
Concurrent Sessions (accepted oral & video presentations)
Flexible Endoscopy, Instruments, Robots
Saturday, April 12, 2008
7:00 AM - 8:30 AM
Leading in America Relevant to the World Panel
Saturday, April 12, 2008
7:00 AM - 8:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Steve Eubanks, M.D., Co-Chair: Natan Zundel, M.D.
This course (Symposium) is an exploration of minimally invasive surgery in other countries around the world, how technology can be modified and implemented there, but especially what role SAGES can play as a leader on the field.
Objectives:
At the conclusion of this session, participants will be able to:
- Understand and recognize the role of American medicine in other parts of the world
- Understand the challenges in practicing MIS in other countries
- Outline how technologic advances can be modified and adapted to different environments
- Identify some of the needs and how to help the implementation of minimally invasive techniques to other parts of the world
- Discuss opportunities that SAGES can provide to help those countries
| Schedule | ||
|---|---|---|
| 7:00 AM | The Development of Surgical Training in Africa |
Bruce Steffes, M.D. |
| 7:15 AM | Adaptation of Western Technologies in Developing Nations | Pankju Jani, M.D. |
| 7:30 AM | Development and Practice of Lapraoscopic Surgery in the Bush | Keir Thelander, M.D. |
| 7:45 AM | The Importance of Exchange of Developments in Minimally Invasive Surgery Between Asia and North America | TBD |
| 8:00 AM | The Influence of the US in South America Related to Complications in MIS | Juan Pekolj, M.D. |
| 8:15 AM | Discussion | |
Pharmaceutical Panel/Debate – Part 1: Fast-Track Minimally Invasive Surgery
Saturday, April 12, 2008
7:00 AM - 8:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Frederick Brody, M.D.
This symposium provides surgeons with a variety of modalities to fast-track patients. These modalities include pre-, intra-, and post-operative techniques to expedite patients through their surgical experience. Many of these techniques have been utilized in large multi-center clinical trials. Speakers will provide clinical pearls to optimize and expedite patient care by enhancing the global affects of MIS surgery.
Objectives:
At the end of this session attendees will:
- Learn pre-, intra-, and post-operative pharmaceuticals to decrease post-operative nausea, emesis, and pain
- Understand the rationale regarding pre-operative antibiotics for a variety of MIS surgical cases
- Comprehend the current recommendations regarding pre-operative DVT prophylaxis
- Appreciate the pharmacological basis of intra-operative anesthetics in order to facilitate induction, intubation, and extubation
- Comprehend the rationale behind peri-operative nutrition and immunomodulators for MIS patients
- Understand the principles and results of pharmaceutical modalities to decrease post-operative ileus
| Schedule | ||
|---|---|---|
| 7:00 AM | C.N.S. Painless Surgery Without Paralysis |
Raymond Onders, M.D. |
| 7:12 AM | G.I. More Flatus and Less Nausea |
Michael Holzman, M.D. |
| 7:24 AM | Antibiotics: Avoiding Infection | Michael Tarnoff, M.D. |
Pharmaceutical Panel/Debate – Part 2: Unique Pharmacological & Nutritional Needs of the Bariatric Surgical Patient
Saturday, April 12, 2008
7:00 PM - 8:30
AM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Philip Schauer, M.D.
This symposium provides surgeons with an update on optimizing perioperative care of the bariatric surgery patient with an emphasis on pharmacologic solutions to common postoperative side effects and complications. Preoperative nutritional assessment as well as dietary and pharmacologic strategies for pre-surgery weight loss will also be addressed. Speakers will in particularly focus on issues unique to the use of agents in severely obese patients such as dose, duration and adverse effects. Speakers will provide clinical pearls to optimize patients for bariatric surgery as well as prevent and treat common postoperative problems.
Objectives:
At the end of this session attendees will:
- Learn the current recommendations regarding peri-operative DVT prophylaxis in patients undergoing bariatric surgery as well as controversial issues regarding dosage, timing, and extended therapy.
- Comprehend the rationale for preoperative nutritional assessment and methods of pharmacologic repletion of deficiencies.
- Learn about dietary and medical weight loss strategies to optimize patients prior to surgery.
- Become familiar with pre-, intra-, and post-operative pharmaceuticals to decrease post-operative nausea, emesis, and pain following bariatric surgery.
- Understand the rationale regarding perioperative antibiotics for bariatric surgery.
- Appreciate the high incidence of gallstones after bariatric surgery and learn about pharmacologic prevention strategies.
| Schedule | ||
|---|---|---|
| 7:36 AM | DVT Prophylaxis in Bariatric Surgery: Why, What, When, and How | Ninh Nguyen, M.D. |
| 7:48 AM | Nutrition Assessment and Pre-op Medical Weight Loss | Christopher Still, M.D. |
| 8:00 AM | Post-op Pharmacologic Management: Gallstone Prevention | Thomas Rogula, M.D. |
| 8:12 AM | Discussion | |
Keynote Lectures
Karl Storz Lecture
Saturday, April 12, 2008
8:30 AM - 9:15 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Thomas Krummel, MD
Emile Holman Professor and Chair, Department of Surgery, Stanford University School of Medicine; Susan B. Ford Surgeon-in-Chief, Lucile Packard Children’s Hospital; Director, Surgical Innovation Program at Stanford
Health Policy Lecture
Saturday, April 12, 2008
9:15 AM - 10:00 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Professor the Lord Darzi of Denham KBE, HonFREng., FMedSci
Professor of Surgery and Head of Department, Department of Biosurgery and Surgical Technology Division of Surgery, Oncology, Reproductive biology and Anaesthetics, Faculty of Medicine, Imperial College London, Imperial College of Science Technology and Medicine, St. Mary’s Hospital Campus
SAGES Exhibits, Posters & SAGES Learning Center Open
Saturday, April 12, 2008
9:00 AM - 2:00 PM
Plenary Session
Saturday, April 12, 2008
10:00 AM - 11:30 AM
Break: Exhibits, Posters, Learning Center
Saturday, April 12, 2008
11:30 AM - 1:00 PM
SAGES Annual General Membership Business Meeting
All SAGES Members Encouraged to Attend!
Saturday, April 12, 2008
11:30 AM - 12:00 PM
SAGES Surgeons in Service Lunch: Surgeons in Service
Saturday, April 12, 2008
11:30 AM - 1:00 PM
Fee: $40
Chair: Bruce MacFadyen, Jr., MD
During this luncheon session, surgeons doing surgery in developing countries will present the opportunities for service in clinical practice, academic and educational opportunies. A list of organizations involved in these services will be provided.
Objectives:
At the conclusion of this session, participants will be able to:
- Identify clinical and educational opportunities for surgones in developing countries
- Identify the surgical needs and necessary equipment to do surgery in devloping countries
- Develop a list of individuals and organizations involved in surgery in devloping countries
- Encourage SAGES members to be involved in surgical projects in these countries
| Schedule | ||
|---|---|---|
| 11:30 AM | Teaching Laparoscopic Cholecystectomy in Developing Countries | Ramon Berguer, MD |
| 11:45 AM | Rural Based Surgical Training Initiative in Developing Countries | Bruce Steffes, MD |
| 12:00 PM | Surgery in Conflict Zones in Africa | Sherry Wren, MD |
| 12:15 PM | Hernia Repair in a Developing Country | Charles Filipi, MD |
| 12:30 PM | Discussion | |
Don’t forget: Saturday lunch in the Exhibit Hall, free for all SAGES Scientific Session registrants!
Saturday, April 12, 2008
12:00 PM - 1:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Concurrent Sessions (accepted oral & video presentations)
Bariatric, Colon, Esophagus/Gastric, Complications, HPB, Video
Saturday, April 12, 2008
1:00 PM - 5:00 PM
GERD/LERD Panel: Evolving Role of Laparoscopic/ Endoscopic Surgery for GERD
Saturday, April 12, 2008
1:00 PM - 2:30 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Mehran Anvari, M.D., Co-Chair: Bernard Dallemagne, M.D.
This course will review the changing indications and referral pattern for anti-rreflux surgery and also focus on selection and some of the technical aspects of performing surgery in difficult patients including children. We will also present an update on the current use of endoscopic anti-relux therapies and how this may influence the decision for laparoscopic anti-relux surgery.
Objectives:
After this session, participants will be able to:
- Understand the current selection criteria for LARS
- The use of LARS for upper and lower respiratory symptoms
- Indication and approach to LARS in children
- Technical hints in avoiding pitfalls during LARS in a difficult case
- Evolving indications of endoscopic anti-reflux therapies
| Schedule |
||
|---|---|---|
| 1:00 PM | Laparoscopic Anti-Reflux Surgery; Why the Decline in Numbers? | Carlos Pellegrini, M.D. |
| 1:15 PM | Use of LARS in Medically Controlled GERD Patients: Results of Recents RCTS | Mehran Anvari, M.D. |
| 1:30 PM | Role of Surgery in Treatment of GERD Related Upper and Lower Respiratory Symptoms | Paul Castellanos, M.D. |
| 1:45 PM | The Difficult Surgical Patient: Tips and Tricks | Bernard Dallemagne, M.D. |
| 2:00 PM | Indications and Approach to Anti-Reflux Surgery in Children | Peter Fitzgerald, M.D. |
| 2:15 PM | Endoscopic Anti-Reflux Therapies: Does the Current Evidence Justify Their Use? | William Richards, M.D. |
part of SAGES international webcast
Emerging Technologies Session
Saturday, April 12, 2008
1:00 PM - 3:30 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Coordinator: Daniel Herron, MD
For the fourth year, SAGES is offering an Emerging Technologies abstract category. This category of abstract is open to both physicians and industry engineers/scientists/ researchers. Selected presenters will report on cutting edge or emerging technologies for which formal experimental data may not yet be available and on technologies which may still be under development. Topics are not limited to formal studies or experiments, but may include descriptive abstracts or very preliminary results. Check the SAGES website in March, 2008 for the exact program and list of oral/poster presentations.
SAGES is not offering CME credits for this event.
SAGES acknowledges our Gold Level Donor for their support of this session: Stryker Endoscopy.
Business/Legislative Panel
Saturday, April 12, 2008
1:00 PM - 2:30 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Michael Edye, M.D., Co-Chair: Aaron Fink, M.D.
Increasingly, third party insurers are basing their payments on Medicare reimbursement levels, which as a result of current federal laws, are decreasing. A working familiarity with CPT, RVUs, CMS conversion factors, and the effects of periodic (5 year) reviews is critical to understanding how changes to any of these parameters affect the business aspects of surgery.
Regulatory changes and reimbursements are being linked to participation in “quality initiatives”. Many physicians regard the administrative hurdles that must be negotiated to participate in these initiatives as a cynical strategy to further reduce reimbursements with no improvement of “quality”. A debate will examine the arguments for and against the current quality initiatives and their economic impact on the practice of surgery. Discussion with contributions from members of the audience will follow.
Objectives:
At the conclusion of this session, participants will be able to:
- Review the relevance of the CPT/RUC process, Relative Value Units and the Five year review to their practices.
- List the strengths, weaknesses and economic impact of current quality initiatives.
| Schedule | ||
|---|---|---|
| The CPT/RUC Process, RVUs and the Business of Surgery | ||
| 1:00 PM | The Birth, Life and Death of a CPT code | Aaron Fink, M.D. |
| 1:10 PM | The Determination and Meaning of Relative Value Units | Michael Edye, M.D. |
| 1:20 PM | Discussion | |
| Quality Initiatives | ||
| 1:30 PM | The Case for Quality Measures | Darrell Campbell, M.D. |
| 1:45 PM | The Case Against | David McKalip, M.D. |
| 2:00 PM | Economic Consequences of Quality Measures | Christopher Senkowski M.D. |
| 2:10 PM | Discussion | |
Intraoperative and Reoperative MIS Dilemmas Panel “Now What Do I Do?”
Saturday, April 12, 2008
2:30 PM - 4:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Nathaniel J. Soper, M.D., Co-Chair: Sergio Roll, M.D.
This panel provides expert commentary on preoperative, intraoperative and postoperative dilemmas occurring with MIS procedures. Well-illustrated case scenarios will be used to demonstrate both common and uncommon problems that can complicate MIS operative treatment. Experts will be ‘put on the spot’ to provide recommendations for management. Audience participation will allow interactivity and additional potential scenarios to be discussed.
Objectives:
At the conclusion of this session, participants will be able to:
- Review case scenarios that illustrate potential dilemmas for the MIS surgeon
- Understand the real-time thought processes utilized in solving these problems and complications
- Integrate clinical images obtained during cases that highlight dilemmas arising during primary and reoperative MIS procedures
| Schedule | ||
|---|---|---|
| 2:30 PM | Welcome and Introduction |
Nathaniel J. Soper, M.D. & Sergio Roll, M.D. |
| 2:35 PM | Foregut Surgery | Marco Patti, M.D. & Jeffrey Peters, M.D. |
| 3:00 PM | Biliary Tract Surgery | Gerald Fried, M.D. & W. Scott Helton, M.D. |
| 3:25 PM | Hindgut Surgery | Peter Marcello, M.D. & Morris E. Franklin, M.D. |
| 3:45 PM | Discussion | |
Hernia Debates Panel
Saturday, April 12, 2008
2:30 PM - 4:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Karl Leblanc, M.D., Co-Chair: Salvadore Morales-Conde, M.D.
This session is designed to acknowledge some of the significant controversial issues surrounding hernia repair. Discussion will center on the pros and cons of each topic.
Objectives:
After this session, participants will be able to:
- Decide which patients are suitable candidates for the use of mesh in the repair of hiatal hernias
- Understand the pros and cons regarding the use of transfascial sutures in the repair of incisional hernias laparoscopically
- Realize the appropriate use of meshes in contaminated fields
| Schedule | ||
|---|---|---|
| Hiatal Hernia Repair With or Without Mesh | ||
| 2:30 PM | With Mesh | Constantine Franzitides, M.D. |
| 2:42 PM | Without Mesh | Marco Patti, M.D. |
| 2:54 PM | Discussion | |
| Laparoscopic Incisional Hernia Repair – Are Sutures Necessary? | ||
| 3:00 PM | Sutures are Necessary | Steven Kavic, M.D. |
| 3:12 PM | Sutures are not Necessary | Salvadore Morales, M.D. |
| 3:24 PM | Discussion | |
| Use of Synthetic or Biological Meshes in Contaminated Hernia Repairs | ||
| 3:30 PM | Synthetic Meshes | Edward Felix, M.D. |
| 3:42 PM | Biological Meshes | Alfred Carbonell, M.D. |
| 3:54 PM | Discussion | |
SAGES acknowledges generous educational grants in support of this panel from Covidien and Gore & Associates
part of SAGES international webcast