UNIVERSIDAD

DE MALAGA

International Federation for the Surgery

of Obesity and Metabolic Disorders

XV INTERNATIONAL MEETING FOR OBESITY AND DIABETES SURGERYXV INTERNATIONAL MEETING FOR OBESITY AND DIABETES SURGERY

Diabetes Surgery BMI 24-34: How and why?

Málaga 16 to 18 February 2012Aula Magna – Medical Faculty

ORGANIZER: Prof. M García-Caballero

Departament of Surgery: +34952137575 y 1556www.cirugiadelaobesidad.net

Official Accreditation requested for Continued Medical Education

Recognition requested as Doctorate Credits

Recognition requested for Optional Credits

Honorary Committee

Excma. Sra. Leire Pajín Iraola Health and consumer Minister

Excma. Sra. María Jesús Montero Health Advisor of the Andalusia Government

Excma. y Mgfca. Sra. Adelaida de la Calle Martín University of Málaga Rector

Excmo. Sr. Juan Carlos Castro Álvarez Manager of S.A.S.

Ilma. Sra. María de la Antigua Escalera Urkiaga Provincial health Delegate of Málaga

Ilmo. Sr. Alfredo Blanes Berenguer Dean of the medicine faculty from Málaga

Ilmo. Sr. Juan José Sánchez Luque President of the Illustrious College of Medical from Málaga

Ilmo. Sr. Antonio Pérez Rielo Manager of the University Hospital "Carlos Haya"

Ilmo. Sr. Tomás Urda Manager of the University Hospital “Virgen de la Victoria”

Objectives

Surgery is the most powerful treatment that exists at present to treat Diabetes Mellitus (DM) and the associated Metabolic Syndrome (MS).

We cure or improve DM and MS in obese patients with most obesity surgery procedures, although some other more effective than others.

Bariatric procedures vary in the mechanism of action and gastric bypass have immediately effects after surgery, independent of weight loss, while restrictive techniques depend on weight loss.

Another difference is the amount of weight loss after different bariatric procedures. Therefore, the use of certain techniques in normal weight DM patients may not be appropriate.

Another challenge for surgeons that perform Diabetes Surgery, is to adjust insulin and/or oral anti-diabetic, anti-hypertension drugs and another preoperative medication after surgery. It is necessary to "walk for a road" never walked until now. The metabolic changes after surgery are profound and more detailed understanding can change several areas of Medicine.

We therefore need more information to face these challenges.

PROGRAMME

Thursday 16th February

Workshop Gastric Bypass for Diabetes IMC 24-34 for 8 participants Tutors: Drs. Tacchino, Osorio, Mata, Mínguez, Martínez-Moreno y Garcíacaballero

08.00 – 08.30 Theoretical introduction and coffee 08.30 – 10.30 One Anastomosis and Roux-en-Y GB (4 pigs x 2 surgeons/pig) 10.30 – 11.00 Coffee 11.00 – 13.00 One Anastomosis and Roux-en-Y GB (4 pigs x 2 surgeons/pig) 13.00 – 14.30 Documentation

Selection, preparation and follow-up of Diabetes Surgery patients IMC 24-29 and 30-34

Moderators: Dr. Rui Ribeiro y D Prof. M. Garciacaballero 14:30 - 14:45 My experience: Starting from obesity surgery. (Prof. M Garciacaballero, Málaga) 14:45 - 15:15 Differences between Diabetes Surgery and Obesity Surgery patients

(Dr. F. Miralles, Málaga) 15:15 - 15:30 Diabetic retinopathy: changes after diabetes surgery?

(Prof. A. Moreno, Málaga) 15:30 - 15:45 Diabetic nephropathy: changes after diabetes surgery? (Dra. S. Ros, Málaga) 15:45 - 16:00 Which patients would benefit from surgery?. How I prepare the patients for

surgery? (Dr. M Frenken, Monheim am Rhein) 16:00 - 16:15 Managing the reduction of emdication after the surgery: how I do it? (Prof. A. Pontiroli, Milán) 16:15 – 17:00 Discussion

17.00 – 17.30 Coffee

How is the Surgery of Diabetes performed in IMC 24-29 and 30-34? Moderators: Dr. J Hernández Martínez y D Prof. M. Garciacaballero

17:30 - 17:45 How I do it in BAGUA?: differences with BAGUA for obese (Prof. M Garciacaballero, Málaga) 17:45 -18:00 How I do Roux-en-Y Gastric Bypass?: Difference with obesity surgery (Dr. R. Tacchino, Roma ) 18:00 -18:15 Gastric band: differences with obesity surgery (Dr. J. Pujol, Barcelona) 18:15 -18:30 Sleeve gastrectomy: differences with obesity surgery (Prof. D. Del Castillo, Reus-Tarragona) 18:30 -18:45 Biliopancreatic derivation and Duodenal Switch in BMI 24-29 and 30 -34:

differences with obesity surgery (Prof. R. Weiner, Frankfurt) 18:45 -19:00 Duodeno-jejunal Bypass and other new techniques developed specifically for

diabetes surgery? (Dr. S. Navarrete, Caracas) 19:15 - 19:30 Less invasive procedures (gastric pacemakers and endoscopic procedures) in

diabetes surgery? (Dr. M Miras, Madrid) 19:30 -20:30 Discussion

Friday 17th February

Complications and long term results of diabetes surgery BMI 24-29 and 30 -34: the great "but" for the endocrinologists

Moderators: Prof. E. Neugebauer y Prof. M. García-Caballero 08:30 - 08:45 Gastric Band (Dr. F. Favretti, Padova) 08:45 - 09:00 Sleeve gastrectomy (Dr. R. Vilallonga, Barcelona) 09:00 - 09:15 BAGUA vs Y Roux Gastric Bypass (Dr. R. Tacchino, Roma ) 09:15 - 09:30 Biliopancreatic derivation and Duodenal switch (Prof A. Torres, Madrid) 09:30 - 09:45 Duodeno-jejunal Bypass and other new techniques (Dr. S. Navarrete, Caracas) 09:45 - 10:00 Gastric pacemakers and endoscopic procedures (Dr. M Miras, Madrid) 10:00 - 10:15 Simplicity, reproducibility, costs, perioperative and long term complications of the

different surgical alternative in the diabetes surgery (Prof. M. Martínez Díez, Zaragoza)

10:15 - 11:00 Discussion

11.00 – 11.30 Coffee

Effectiveness of Diabetes Surgery BMI 24-29 and 30-34: Comparison of the results of medical and surgical treatment in Diabetes Mellitus

Moderators: Dr. MA. Calvo y Prof. M. Garciacaballero 11:30 - 11:45 Modern medical treatment (Dr. C. Carrera, Caracas) 11:45 - 12:00 Morbidity-mortality of DM with medical treatment (Dr. J. Vidal, Barcelona) 12:00 - 12:15 Surgical treatment in DM2 BMI 24-29 vs IMC 30-34: is there differences among restrictive, malabsortive and gastric bypass procedures? (Prof M Garciacaballero, Málaga) 12:15 - 12:30 Surgical treatment in DM1 (Dra. S. Weiner, Frankfurt) 12:30 - 12:45 How does it influence the surgery in the evolution of the DM2 complications? (Prof A. Pontiroli, Milán) 12:45 - 13:00 Morbidity-mortality of DM with surgery (Dr. C. LeRoux, Londres) 13:00 - 13:20 Quality of life of the diabetic patients with medical or surgical treatment (Prof. E. Neugebauer, Colonia) 13:20 - 14:00 Discussion

14:00 – 15:30 Lunch

Glucose metabolism and Diabetes: has it changed after gastrointestinal surgery as Diabetes Mellitus treatment? Moderators:Dr. C. Masdevall y Prof. M. Garciacaballero

15.30 – 15.50 Glucose metabolism: has it changed after the diabetes surgery? (Prof. G. Mithieux, Lyon)

15.50 – 16.10 Differences within type 2 Diabetes Mellitus. Functional capacity of the different organs. (Dr. J. Vidal, Barcelona)

16.10 – 16.30 Fasting glucose levels, oral tolerance test, insulinemic euglucemic clamp and insulin suppression test in DM2 patient before and after the surgery: what can we learn? (Dr. C. Carrera, Caracas)

16.30 –16.50 Metabolically healthy Obese and metabolically sick normo weight subject: what do they teach us respect the diabetes surgery? (Prof A. Pontiroli, Milán)

16.50 – 17.30 Discussion 17.30 – 18.00 Coffee

The effect of gastro-intestinal surgery on the pathogenesis of Diabetes Mellitus Moderators: Prof. R. Weiner y Prof. M. García-Caballero

18.00 – 18:20 Influence of diabetes surgery on the pancreas β-cells mass. (Dr. J. Vidal, Barcelona) 18:20 –18:40 Influence of diabetes surgery on gut hormones and incretins (Dr. C. LeRoux, Londres) 18:40 – 19:00 Influence of diabetes surgery on the internal glucose production. (Dr. C. Carrera, Caracas) 19:20 –19:40 Does surgery influence insulin independent glucose transporters? (Prof. A. Pontiroli, Milan) 19:40 –20:00 Influence in the intestine-brain-liver axis

(Prof. G. Mithieux, Lyon) 20:00 – 20:30 Discussion

22.00 Farewell Dinner

Saturday 18th February

Live Surgery (from HU Associate Parque San Antonio Malaga) Moderators: Prof. M. Martínez Díez y Dr. C. Masdevall Noguera

08:30 – 10.00 One Anastomosis Gastric Bypass for Diabetes (Prof. M. Garcíacaballero, Málaga)

10:00 – 10.30 Coffee 10.30 – 12.00 Duodenum-jejunal Bypass for Diabetes (Dr. Salvador Navarrete)

12:30 – 14:00 Round-table Diabetes Surgery BMI 24-29 and 30 -34: past, present and future? Moderator: Prof. M. García-Caballero

Participants: G Mithieux, J. Vidal, C. LeRoux, F. Tinahones, M. Frenken, M. Martínez, R. Tacchino, A Torres Discussion: open to the audience.

14.00 Closing Remarks

S P E A K E R S Calvo Ros MA, Bilbao Carreras C, Caracas Del Castillo D, Tarragona Fravretti F, Padova Frenken M, Monheim am Rhein Garciacaballero M, Málaga Hernández Martínez J, Murcia LeRoux CW, Londres Martínez Díez M, Zaragoza Martínez-Moreno JM, Málaga Masdevall C, Barcelona Mata JM, Málaga Mínguez A, Málaga Miralles F, Málaga Miras M, Madrid

Mithieux G, Lyon Moreno A, Málaga Navarrete S, Caracas Neugebauer E, Colonia Pontiroli A, Milán Pujol J, Barcelona Osorio D, Málaga Ros S, Málaga Rui Ribeiro J, Lisboa Tacchino R, Roma Torres A, Madrid Vidal J, Barcelona Vilallonga R, Barcelona Weiner R, Frankfurt Weiner S, Frankfurt

Registration fees

- Transfer to: UNICAJA, Plaza de la Marina, 3. 29015 Málaga,

Account number 21030146960030028661. Ref.: 80301412:

- Work-shop and meeting ................................................................................... 700 Euros

- Meeting.............................................................................................................. 250 Euros

- Surgeons in Education and Postgraduate Medical Students............................ 100 Euros

- Students................................................................................................................. 50 Euros

It is necessary to be registered to go in the Meeting Room.

Simultaneous translation Spanish/English and English/Spanish will be available.

Registration include:

- Admission to Scientific Sessions - 1 Lunch

- Documentation - Coffee of Breaks

- Attendance Certificate (30 hours)

Information (8 to 15 hours)

- Department of Surgery: Phone: +34952137575. Fax: +34952132678

- E-mail: gcaballe@uma.es; http://www.cirugiadelaobesidad.net

- HOTEL and TRAVEL: Viajes El Corte Inglés (9 to 19 h)

Ana Pérez - universidadmalaga@viajeseci.es . Phone: +34952132546. Fax: +34952133481

Registration (www.cirugiadelaobesidad.net)

-

- XV Jornadas de Cirugía Obesidad y Diabetes. Facultad de Medicina. 29080 Málaga

Phone: +34952137575. Fax: +34952132678. gcaballe@uma.es

UNIVERSITY OF MALAGA

XV INTERNATIONAL MEETING FOR OBESITY AND DIABETES SURGERY

Diabetes Surgery BMI 24-34:How and why? Málaga 16 - 18 February 2012

Aula Magna - Medical Faculty Univ. Malaga Organizer: Prof. Dr. M. Garcíacaballero

REGISTRATION SHEET

Surname: ………………………. Name: ……………………………………….

City: ………………………. Postal code: …………………………………

Phone: ………………………. Email: ………………………………………..

Work place: ………………………………………………………………………..

Registration fees - Transfer to: XV Jornadas de Cirugía. UNICAJA, Plaza de la Marina, 3. 29015 Málaga.

Account number: 21030146960030028661. Ref.: 80301529.

IBAN: ES24. SWIFT: UCJAES2M. - SILS Workshop and Meeting........................................................ 700 Euros

- Meeting ………………................................................................... 250 Euros

- IFSO Members.............................................................................. 200 Euros

- Surgeons in Education………………………………......................... 100 Euros

- Students …………………………........................................................ 50 Euros

It is necessary to be registered to go in the Meeting Room.

Simultaneous translation Spanish/English and English/Spanish will be available.

Registration include:

- Admission to Scientific Sessions - 1 Lunch

- Documentation - Coffee of Breaks

- Attendance Certificate (30 hours) - Diabetes Surgery book (McGraw-Hill)

......…… of ……………………………. 2012

(Signed by: )

IFSO has approved the endorsement of this activity