Scientific Sessions & Panels
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). Thursday sessions (concurrent only) are also included in Registration Option B. Friday/Saturday sessions and panels are included in Registration Option C (see registration form on page 58). All fees include entrance to all didactic session rooms (not including hands-on course labs or lunches),
Final Program, entrance to the Exhibit Hall, Learning Center, Posters, continental breakfast & breaks, and lunch in the
Exhibit Hall on Friday.
Concurrent Sessions: (accepted oral & video presentations)
Friday, April 24, 2009
7:00 AM - 8:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Surgical Treatment of Type II Diabetes and Metabolic Syndrome Panel: What Does the Science/Evidence Say?
Friday, April 24, 2009
7:00 AM - 8:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Alfonso Torquati, M.D.; Co-Chair: Atul Madan, M.D.
Bariatric surgery is the most effective and long lasting treatment for morbid obesity. However, now there is a growing body of substantial evidence supporting the efficacy of bariatric procedures in controlling type II diabetes and metabolic syndrome. These findings have sparked an intense scientific debate but several questions remain unanswered: Which surgical procedure produces the most significant clinical and biochemical improvement in glucose homeostasis? Which mechanisms are responsible for such remarkable metabolic response? Should the BMI restrictions for bariatric surgery be lifted in diabetic patients?
The invited speakers will provide an evidence-based overview of the literature to support their point and position in these controversial issues.
Objectives:
At the conclusion of this session, participants will be able to review and discuss both sides of the debate on three issues germane to the treatment of type II diabetes and metabolic syndrome:
- Role of surgery in the management of type II diabetes mellitus
- Metabolic hypotheses behind the change in glucose metabolism induced by bariatric procedures
- Surgery versus medical treatment in the management of type II diabetes in class 1 obesity (BMI 30-35)
Schedule
| 7:00 AM | Introduction | Alfonso Torquati, M.D. & Adul Madan, M.D. |
| Morbid Obesity with Type II Diabetes: Which Operation is Best? | ||
| 7:05 AM | Adjustable Gastric Banding | John Dixon, M.D. |
| 7:15 AM | Roux-en-Y Gastric Bypass | Ninh Nguyen, M.D. |
| 7:25 AM | Discussion | |
| Surgical Mechanisms of Diabetes Improvement | ||
| 7:35 AM | Weight Loss Plays A Key Role in Diabetes Improvement | Eric DeMaria, M.D. |
| 7:45 AM | Changes in Hormone Signaling from the Small Bowel are the Dominant Mechanisms | Lee Kaplan, M.D. |
| 7:55 AM | Discussion | |
| Diabetes in Class 1 Obesity (BMI 30-35 kg/m²): A Surgical or Medical Disease? | ||
| 8:05 AM | Time for Surgery | Philip Schauer, M.D. |
| 8:15 AM | Surgeon Put Away Your Scalpel | James R. Gavin III, M.D., Ph.D. |
| 8:25 AM | Discussion | |
SAGES acknowledges a generous educational grant in support of this panel from Covidien.
Guidelines Panel: Evidence-Based Guidelines – They’re More Important Than You Might Think
Friday, April 24, 2009
7:00 AM - 8:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Robert D. Fanelli, M.D.; Co-Chair: Liane S. Feldman, M.D.
This 90-minute session will use a combined presentation and panel discussion design to convey key points regarding the creation and use of SAGES evidence-based clinical practice guidelines. Legal experts will discuss the manner in which regulators, insurers, and attorneys use clinical practice guidelines, and surgeons who are members of the SAGES Guidelines Committee will discuss recently created clinical practice guidelines and how to access them. The session moderators, panelists, and presenters will facilitate discussions regarding guidelines implementation in surgical practice, the role of clinical practice guidelines in improving patient care and safety, and the importance of participating in the process of creating guidelines.
Objectives:
After attending this session surgeons will be able to:
- Restate the process by which SAGES guidelines are created
- Explain the benefits that SAGES guidelines provide, and the potential drawbacks
- Find the SAGES guidelines as well as other tools like the National Guidelines Clearinghouse, to find other society’s guidelines
- Discuss how health insurers, regulators, and attorneys use guidelines
- Summarize the importance of guidelines, the value in using them, and the importance of participating in their creation
Schedule
| 7:00 AM | Welcome and Introduction of Panelists | Robert D. Fanelli, M.D. & Liane S. Feldman, M.D. |
| 7:05 AM | Introduction of Featured Speaker, W. Scott Liebert, Esq. | Robert D. Fanelli, M.D. |
| 7:10 AM | The Legal and Regulatory Impact of Evidence-Based Clinical Practice Guidelines: How Insurers, Regulators, and Attorneys Use Guidelines | W. Scott Liebert, Esq. |
| 7:35 AM | Discussion: Using Guidelines in Practice: Overcoming Implementation Hurdles | Moderator: Liane S. Feldman, M.D. |
| 7:45 AM | SAGES Guidelines: How Are They Created? Where Can I Find Them? | Robert D. Fanelli, M.D. |
| 7:50 AM | SAGES Guideline for Clinical Application of Laparoscopic Bariatric Surgery | Timothy M. Farrell, M.D. |
| 8:00 AM | SAGES Guideline for Diagnosis, Treatment, and Use of Laparoscopy for Surgical Problems During Pregnancy | Raymond R. Price, M.D. |
| 8:10 AM | SAGES Guideline on Prophylaxis Against Deep Venous Thrombosis During Laparoscopic Surgery | William S. Richardson, M.D. |
| 8:20 AM | Discussion | |
SAGES/ASCRS Laparoscopic Colorectal Surgery Panel
Friday, April 24, 2009
7:00 AM - 8:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Conor Delaney, M.D., Ph.D.; Co-Chair: John Marks, M.D.
This session is designed to increase knowledge of the participants in laparoscopic colorectal surgery. State-of the art lectures will discuss current status and optimal surgical techniques for inflammatory bowel disease (covering ulcerative colitis and Crohn’s disease), rectal cancer (specifically addressing optimal surgical techniques), difficult intra-abdominal conditions (dealing with abscesses, reoperation, fistulas and phlegmons), and an update on the current state of laparoscopy for colon cancer. The session will conclude with a debate on the very topical issue of the possible benefit of hand-assist techniques in colorectal surgery. Each talk will be given by well-recognized leaders in the field.
Objectives:
At the conclusion of this session, the attendee will be able to:
- Review the role of laparoscopic surgery in the management of inflammatory bowel disease
- Describe the best technique for low recurrence rates in the management of rectal cancer
- Discuss methods to deal with difficult inflammatory and re-operative intra-abdominal conditions
Schedule
| 7:00 AM | Introduction | Conor Delaney, M.D., Ph.D. & John Marks, M.D. |
| 7:05 AM | Current Status of Laparoscopy for Inflammatory Bowel Disease | Barry Salky, M.D. |
| 7:20 AM | Laparoscopy for Re-Operation, Fistula and Abscess | Conor Delaney, M.D., Ph.D. |
| 7:30 AM | Optimizing Laparoscopic Technique for Rectal Cancer | Eric Rullier, M.D. |
| 7:45 AM | Laparoscopy is Better Than Open Surgery for Colon Cancer | John Marks, M.D. |
| Debate: Hand-Assisted Techniques Improve Colorectal Surgical Outcomes | ||
| 8:00 AM | For | Robert Cima, M.D. |
| 8:10 AM | Against | Anthony Senagore, M.D. |
| 8:20 AM | Discussion | |
Plenary Session I
Friday, April 24, 2009
8:30 AM - 9:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
SAGES/IPEG Exhibits and Posters Open
SAGES Learning Center Open
Friday, April 24, 2009
9:30 AM - 3:30 PM
Keynote Lectures:
SAGES Presidential Address: State of the SAGES Union
Friday, April 24, 2009
9:30 AM - 10:00 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Mark
A. Talamini, MD
Professor & Chairman,
Department of Surgery,
University of California – San Diego, CA
Gerald Marks Lecture: The Surgeon as a Role Model
Friday, April 24, 2009
10:00 AM - 10:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
John
Cameron, MD
Alfred Blalock Distinguished Service Professor of
Surgery,
The Johns Hopkins University School of Medicine, Baltimore, MD
SAGES acknowledges our Platinum Level Donors for their support of this
lecture:
Covidien
Ethicon Endo-Surgery, Inc.
Karl Storz Endoscopy-America
Olympus America, Inc.
Concurrent Sessions (accepted oral & video presentations)
Friday, April 24, 2009
10:30 AM - 11:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Re-Operation for Laparoscopic Complications Panel: Diagnostic, Technical, and Outcomes Considerations
Friday, April 24, 2009
10:30 AM - 12:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: David W. Easter, M.D.; Co-Chair: Niazy Selim, M.D., MBChB
This two-part panel will deal with immediate re-operation and delayed re-operation for unfavorable outcomes following laparoscopic surgery. Video clips of specific situations will be presented. An emphasis will be placed on the principles of
re-operation strategies rather than specific procedures. These strategies will therefore be broadly applicable to most situations that arise when a surgeon considers re-operation following laparoscopic surgery.
Objectives:
After attending this panel, surgeons will be able to describe and review the following surgical principles of re-operative laparoscopic surgery:
- Pre-operative issues for re-operative laparoscopic surgery, including, indications for redo surgery, laparoscopic vs. open approach, and the best way to assess the patient’s abdomen
- Operative skills including anatomy variations, technical considerations, port placements, coagulation energy options, adhesiolysis, proper tissue dissection, bleeding control, and risk of bowel injury
- Post-operative concerns, including legal and counseling advice, patient communication, and key terminology.
Schedule
| 10:30 AM | Introduction | David W. Easter, M.D. & Niazy Selim, M.D. |
| Part I: Immediate Re-Operation | ||
| 10:35 AM | Pre-Op Considerations – Consent, Documentation, Conversion Criteria | C. Daniel Smith, M.D. |
| 10:42 AM | Recognition of Complications – Variable Anatomy, Heuristic Thinking, Expectations | John Hunter, M.D. |
| 10:50 AM | Communication of Failure – Key Words, Do’s and Don’ts, Medical Records | Dennis Fowler, M.D. |
| 10:57 AM | Open vs. Laparoscopic Re-Operation? – Analyze Failure, Get Help, Open Strategies | Mark A. Talamini, M.D. |
| 11:05 AM | Discussion | |
| Part II: Delayed Re-Operatioin | ||
| 11:15 AM | Outcomes Expectations – Surgeon vs. Patient Goals | David Easter, M.D. |
| 11:22 AM | Right Surgeon, Right Approach – Special Tools? Robotics? | Niazy Selim, M.D. |
| 11:30 AM | Tricks of the Re-Do Trade – Special Devices, Stents, Hand Assist? Flexible Endoscope | Todd Heniford, M.D. |
| 11:37 AM | Risk of Litigation – Documentation, Chosen Words, Expectations | Barry Salky, M.D. |
| 11:45 AM | Discussion | |
Global Initiative and Opportunities for Surgeons in Service Panel – Giving Back to the Developing World
Friday, April 24, 2009
10:30 AM - 12:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Ramon Berguer, M.D.; Co-Chair: Raymond Price, M.D.
SAGES Go-Global Initiative hopes to address some of the vast unmet global surgical needs. Surgeons will draw from their own experiences to explore the issues involved in volunteering to teach laparoscopic surgery in the developing world.
Objectives:
At the conclusion of this session, the attendee will be able to:
- Describe the need and validity of teaching laparoscopic surgery in resource poor areas
- List the components of successful sustainable global surgical projects
- Review and evaluate solutions to the barriers that impede one’s ability to participate in surgical volunteer experiences
- Locate appropriate surgical volunteer opportunities
Schedule
| 10:30 AM | Introduction | Ramon Berguer, M.D. & Raymond Price, M.D. |
| Why Teach Laparoscopy in the Developing World? | ||
| 10:40 AM | 1st Perspective | David Earle, M.D. |
| 10:50 AM | 2nd Perspective | Christiana Bertocchi, M.D. |
| Methods to Sustain Laparoscopy in Developing Countries | ||
| 11:00 AM | Methods for Short Term Missions | Ramon Berguer, M.D. |
| 11:10 AM | Developing Local Ownership/Sustainability | Raymond Price, M.D. |
| Overcoming Barriers to Participate in Surgical Volunteerism | ||
| 11:20 AM | Practical Logistics – Cost, Coverage, Legal, Family | Bruce MacFadyen, M.D. |
| 11:30 AM | Fear of Working in Foreign Environment/Limited Equipment | Mark Pleatman, M.D. |
| 11:40 AM | Discussion | |
From FLS to the Web Learning Center Panel: A Spectrum of SAGES Offerings to Enhance Your Knowledge and Skills in MIS
Friday, April 24,
2009
10:30 AM - 11:30 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Gerald Fried, M.D.; Co-Chair: L. Michael Brunt, M.D.
In this session, SAGES materials for enhancing knowledge and skills related to minimally invasive surgery will be reviewed. The session will provide an update on SAGES Fundamentals of Laparoscopic Surgery (FLS) and how it is being implemented nationally, will review SAGES video offerings and how they can be incorporated into your surgical education program, and will discuss how SAGES materials are being integrated into the SCORE national curriculum project.
Objectives:
After attending this panel, the attendee will be able to:
- Describe the educational resources available to the surgeons
- Motivate surgeons to use these resources
- Utilize these resources within a self-directed learning program
Schedule
| 10:30 AM | Introduction | L. Michael Brunt, M.D. |
| 10:35 AM | FLS: From Concept to the Present | Gerald M. Fried, M.D. |
| 10:55 AM | SAGES Video Offerings: Changing the Format of Video Education | Daniel B. Jones, M.D. |
| 11:05 AM | The SCORE Curriculum: Current and Future Opportunities for SAGES to Contribute to Resident Education in GI Surgery | Jo Buyske, M.D. |
| 11:20 | Discussion | |
Break: Exhibits, Posters, Learning Center
Friday, April 24, 2009
11:30 AM - 1:00 PM
Don’t forget: Friday lunch in the Exhibit Hall, free for all SAGES & IPEG Scientific Session registrants!
Friday, April
24, 2009
12:00 PM - 1:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Concurrent Sessions (accepted oral & video presentations)
Friday, April 24, 2009
1:00 PM - 5:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Friday Afternoon at the Movies: Double Feature
Friday, April 24, 2009
1:00 PM - 5:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
I. SAGES Video Classics Session
Friday, April 24, 2009
1:00 PM - 3:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Frederick L. Greene, M.D.; Co-Chair: Kenneth A. Forde, M.D.
Videos and presentations from past SAGES meetings and from surgical innovators who did the first laparoscopic or endoscopic case of various procedures or who presented videos at a SAGES meeting that would be considered video “classics” will be asked to present a brief summary of these 1st cases and show a video of their original technique or representative early case.
Objectives:
After attending this session, attendees will be able:
- Summarize the significant innovations in Laparo/Endoscopic surgery
- Become familiar with the process of introducing innovation into surgery
- Discuss the techniques used by the leading innovators in minimal access surgery
Schedule
| 1:00 PM | Introduction | Frederick L. Greene, M.D. & Kenneth A. Forde, M.D. |
| 1:05 PM | Flexible Colonoscopy | Kenneth A. Forde, M.D. |
| 1:15 PM | Laparoscopic Cholecystectomy | Jacques Perissat, M.D. |
| 1:25 PM | Nissen Fundoplication | Bernard Dallemagne, M.D. |
| 1:35 PM | Laparoscopic Adrenalectomy | Michel Gagner, M.D. |
| 1:45 PM | Common Bile Duct Exploration | Joseph Petelin, M.D. |
| 1:55 PM | Laparoscopic Colectomy | Moises Jacobs, M.D. |
| 2:05 PM | Discussion | |
II. SAGES/JSES International Olympic MIS Video Session
Friday, April 24, 2009
3:00 pm - 5:00 pm
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Lee Swanstrom, M.D.; Co-Chair: Manabu Yamamoto, M.D.
Even in a world defined by high-technology and the latest information exchange abilities, there is still a lack of knowledge of happenings from outside our individual countries.
The International Olympic MIS video session seeks to decrease this knowledge deficit and to show new and surprising surgical developments from all over the world. In this session, eight videos from some of the world’s most skilled surgeons from different countries will be presented in a special forum that will allow them to discuss the cultural context of their surgery and answer questions from a panel of other international experts. The panel of experts as well as the audience will assign “scores” as during the Olympic games.
Participants will watch the expert surgeon’s procedures while enjoying the different culture, epidemiology, facilities and surgical philosophies from various medical systems around the world.
Objectives:
At the conclusion of this course, participants will:
- Understand the differences and similarity of MIS surgical techniques across the world
- Find tips for better patient care
- See what procedures are done in the world by expert surgeons
- Develop critical assessment skills as the judges of the International Olympics of Surgery
Schedule
| 3:00 PM | Introduction | Lee Swanstrom, M.D. & Manabu Yamamoto, M.D. |
Creating the Future of Surgery Session: From Medical Device to Field Development
Friday, April 24, 2009
1:00 pm - 3:30 pm
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Steve Eubanks, M.D.; Co-Chair: Raymond Onders, M.D.
Historically, surgeons have always been innovators developing techniques and devices to optimize patient care. This session will outline many of the steps in device development from fostering the climate of innovation to the end results of financing the company that manufactures the device.
Objectives:
After attending this session, participants will be able to:
- Describe what constitutes intellectual property and how to manage conflicts of interest
- Describe the role of the FDA in evaluating new devices
- Develop a knowledge of how new devices become approved by insurance carriers
- Review the role of funding in starting new biotech companies
Schedule
| 1:00 PM | Introduction | Steve Eubanks, M.D. & Raymond Onders, M.D. |
| 1:05 PM | Developing a Department that Fosters Innovation: Guiding Junior Faculty and Focusing Their Research | Barbara Bass, M.D. |
| 1:25 PM | You Have a Thought for a Device: How to Protect It and When Do You Need an IP Lawyer | Jim Shay, Esq., |
| 1:45 PM | How to Handle the Conflict of Interest that Develops During the Course of Innovation | David Easter, M.D. |
| 2:05 PM | What Does the FDA Require to Study Your Devices in Humans | Colleen Hittle, RAC |
| 2:25 PM | Device Development in Pediatric Surgery: Humanitarian Use Devices(HUD’s) and Orphan Diseases | Todd Ponsky, M.D. |
| 2:45 PM | Getting Insurance Carriers to Cover New Devices: What Is Required? | Paresh Shah, M.D. |
| 3:05 PM | You Have a Great New Device But Will a Venture Capitalist Fund the Company that Makes It?: What Does a VC Look For? | Joon Yun, M.D. CFA |
| 3:25 PM | Discussion |
SAGES acknowledges a generous educational grant in support of this panel from Ethicon Endo-Surgery, Inc.
Joint SAGES/AHS Case Discussion Panel: Hernia Problems You Wish Were Referred Elsewhere
Friday, April 24, 2009
1:00 pm - 2:30 pm
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Edward Felix, M.D.; Co-Chair: Shirin Towfigh, M.D.
This is an interactive session with audience and expert panel participation. After a brief case description of a difficult-to-handle hernia, a distinguished panel of hernia surgeons will share evidence and expert opinion regarding diagnosis and management of complex hernia scenarios. The audience will have the opportunity for interactive participation.
Objectives:
After attending this panel, attendees will be able to:
- Identify at-risk populations for hernia failure
- Improve clinical decision-making for complex hernia problems
- Learn about surgical techniques specific to difficult-to-handle hernias
- Share common pitfalls in the management of complex hernias
Panel Discussants:
Edward Phillips, M.D.
George Ferzli, M.D.
Guy Voeller, M.D.
Karl LeBlanc, M.D.
Yuri Novitsky, M.D.
Bruce
Ramshaw, M.D.
Schedule
| 1:00 PM | Introduction | Edward Felix, M.D. & Shirin Towfigh, M.D. |
| 1:05 PM | Case #1: Recurrent Inguinal Hernia After Laparoscopic TAPP | Edward Felix, M.D. |
| 1:10 PM | Panel Discussion | Panel |
| 1:25 PM | Case #2: Symptomatic Incisional Hernia in a Morbidly Obese Patient Pre-op for Lap Roux-en-Y Gastric Bypass | Shirin Towfigh, M.D. |
| 1:30 PM | Panel Discussion | Panel |
| 1:45 PM | Case #3: Recurrent Hiatal Hernia After Failure from Synthetic and Biologic Mesh | Edward Felix, M.D. |
| 1:50 PM | Panel Discussion | Panel |
| 2:05 PM | Case #4: Recurrent Parastomal Hernia in High-Risk Patient | Shirin Towfigh, M.D. |
| 2:10 PM | Panel Discussion | Panel |
| 2:25 PM | Case #5: Chronic Inguinal Pain After Neurectomy Repair | Shirin Towfigh, M.D. |
SAGES acknowledges a generous educational grant in support of this panel from Covidien.
Resident and Fellows Scientific Session
Friday, April 24, 2009
1:00 PM - 3:30 PM
*Included in Registration SuperPass (Option A) or Registration option C
Chair: Eric Hanly, M.D.; Co-Chair: David A. McClusky, M.D.
During this session, selected residents and fellows will have the opportunity to present their research to a panel of distinguished surgical faculty—all SAGES leaders and MIS program directors. 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. SAGES 2008 Career Development Award Winner, Dr. Melina Vassiliou, will also present.
Objectives:
After attending this session, participants will be able to:
• Gain exposure to the current research endeavors of surgeons in training
• Understand and recognize the methodological pitfalls that may cause some studies to lose scientific merit
• Identify solutions to these problems and apply them in order to improve study design
• Learn to optimize knowledge transfer in the context of the 10 minute talk
Schedule
| 2:30 PM | Expert Panelists | Leena Khaitan, M.D. |
| W. Scott Melvin, M.D. | ||
| Michael Marohn, M.D. | ||
| Adrian Park, M.D. | ||
SAGES acknowledges a generous educational grant in support of this session from Ethicon Endo-Surgery, Inc.
Best Practices for Surgical Treatment of Obesity Session
Friday, April 24, 2009
1:00 PM - 3:30 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Daniel B. Jones, M.D.; Co-Chair: Jon Gould, M.D.
As one of the fastest growing fields, bariatric surgery offers the allure of strong demand and good financial reward. Rapidly accelerating advances in surgical technologies and techniques have raised concerns about patient safety as well as levels of scrutiny by regulatory agencies, insurers, and public health officials. The Betsy Lehman Center for Patient Safety and Medical Error Reduction reconvened a statewide panel of experts to review evidence-based literature and recommend best practice solutions in 2008. SAGES, the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) have all developed practice guidelines for weight loss surgery. This panel will update information on patient safety and best practice options with the aim of improving quality of life and transparency.
Objectives:
At the conclusion of this session, the attendee will be able to:
- Recognize challenges facing patients undergoing obesity surgery
- Describe approaches to reducing medical error
- Discuss criteria common to Centers of Excellence
- Discuss advances in surgical management
- Discuss controversies in surgical treatment
- Describe patient selection strategies
- Identify physician training requirements
- Recognize the role of multidisciplinary approach to obese patients
- Identify and start to address legislative and financial barriers to care
Schedule
| 1:00 PM | Introduction | Daniel B. Jones, M.D. & Jon Gould, M.D. |
| Benchmarks for Patient Safety | ||
| 1:05 PM | Betsy Lehman Center for Patient Safety and Medical Error Reduction | Daniel B. Jones, M.D. |
| 1:15 PM | Surgical Care: Levels of Evidence | Phil Schauer, M.D. |
| 1:25 PM | Patient Education & Informed Consent | Robert Fanelli, M.D. |
| 1:35 PM | Sleep Apnea and Anesthetic Care | Stephanie B. Jones, M.D. |
| 1:45 PM | Documenting Nutritional Status & Risk Adjustment Outcomes | Matthew Hutter, M.D. |
| 1:55 PM | Discussion | |
| Special Issues and Controversies | ||
| 2:15 PM | Multidisciplinary Team and Bariatric Program Accreditation | Bruce Schirmer, M.D. |
| 2:25 PM | Pediatric/Adolescent Care Concerns | Janey Pratt, M.D. |
| 2:35 PM | N.O.T.E.S. and Endoscopic Weight Loss Surgery Frontiers | James Ellsmere, M.D. |
| 2:45 PM | SAGES Educational Offerings | Steven Schwaitzberg, M.D. |
| 2:55 PM | Policy and Access | Scott Shikora, M.D. |
| 3:05 PM | Discussion | |
SAGES/IPEG Joint Session: Urgent and Emergent Acute Care Problems in Pediatric and Adult Patients
Friday, April 24, 2009
3:30 PM - 5:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chairs: John F. Sweeney, M.D. and Carroll “Mac” Harmon, M.D., Ph.D. (IPEG)
There are many general and pediatric surgeons who treat pediatric and adult patients with complex surgical problems. The topics covered in this joint SAGES/IPEG activity will outline the differences in presentation, diagnosis and management of several complex surgical problems in pediatric and adult patients.
Objectives:
At the conclusion of this session, participants will be able to:
- Describe the differences in the presentation, diagnosis, and treatment of acute appendicitis, intestinal malrotation, and intussusception in pediatric and adult patients
- Review the role of laparoscopy in the treatment of small bowel obstruction
- Identify methods for improving the early detection of intestinal ischemia
- Discuss current recommendations for non-operative and operative management of acute diverticulitis
Schedule
| 3:30 PM | Introduction | John F. Sweeney, M.D. & Carroll “Mac” Harmon, MD, PhD |
| Diagnosis and Management in Pediatric and Adult Patients | ||
| 3:35 PM | Acute Appendicitis | Shawn D. St. Peter, MD |
| 3:45 PM | Intestinal Malrotation | Christopher Moir, MD |
| 3:55 PM | Intussusception | Keith Georgeson, MD |
| 4:05 PM | Discussion | |
| Other Emergent Problems | ||
| 4:15 PM | Small Bowel Obstruction: Is There a Role for Laparoscopy? | Vadim Sherman, M.D. |
| 4:25 PM | Intestinal Ischemia: Tips for Intervening Before It’s Too Late | S. Scott Davis, M.D. |
| 4:35 PM | Diverticulitis: Current Management and Recommendations for Surgical Intervention | Edward P. Dominguez, M.D. |
| 4:45 PM | Discussion | |
| 4:55 PM | Closing Remarks | John F. Sweeney, M.D. & Carroll “Mac” Harmon, MD, PhD |
SAGES “GameTime” 2009
Friday, April 24, 2009
4:30 PM - 5:30 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: James “Butch” Rosser, M.D.; Co-Chair: Terry Hicks, M.D.
Since the dawn of the age of television, game shows have been one of the highest rated and longest running members of this revolutionary medium of media. They have been a perennial source of family interaction and fun. Who can forget Password, Price is Right, Jeopardy, and Who Wants to Be a Millionaire? At the 2009 SAGES Congress, that same excitement will be experienced with the presentation of SAGES “GameTime”.
Butch Rosser, MD and Terry Hicks, MD will combine their game-based competition experience and put on a challenge of knowledge and surgical skill intimately aligned with these famous television icons.
For the debut of SAGES “GameTime”, two teams with intense rivalries will go head-to-head with the pride of their Universities put on the line. The inaugural battle will be between two major university powerhouses to be named later. For over an hour, they will engage in a match of general, pop culture, and surgical information. They will not be alone. At large contestants will be selected from the audience to assist each team. The general audience will also get their chance to participate with the use of interactive polling technology. The teams will not only have their knowledge base tested to the limit, but to be crowned the ultimate champion, they will have to demonstrate their skills with video games (Super Monkey Ball), passing a football, FLS and TOP GUN.
And just as it is with its television counterparts, this competition is all about winning for both teams and the audience. Prizes will be awarded to the audience and competitors alike, with the ultimate prize being the team SAGES “GameTime” trophy and individual member medals. Everybody will be welcome, attendees and their families alike. This will be an event that will be different, enlightening and fun. Please join us for SAGES “GameTime” 2009.
**SAGES is not offering CME credits for this event.
Meet the Leadership Reception For Residents, Fellows & New Members
Friday, April 24, 2009
6:00 PM - 7:00 PM
Location: Phoenix Sheraton Hotel
Don’t miss the SAGES/IPEG Main Event - Featuring: The SAGES Sing-Off!
Friday, April 24, 2009
7:30 PM - 11:00 PM
Location: Corona Ranch
Check this event on your registration form if you plan to attend. Free to all SuperPass Registrants (Registration Option A). Registration Options B & C must purchase tickets.
Plenary Session II
Saturday, April 25, 2009
7:30 AM - 8:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Keynote Lectures
Karl Storz Lecture
Saturday, April 25, 2009
8:30 AM - 9:00 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Peter
Pronovost, MD
Professor, Departments of Anesthesiology and Critical
Care Medicine and Surgery, The Johns Hopkins School of Medicine and Department
of Health Policy & Management; Bloomberg School of Public Heath; Medical
Director, Center for Innovations in Quality Patient Care, Director, Division
of Adult Critical Care, Baltimore, MD
Health Policy Lecture
Saturday, April 25, 2009
9:00 AM - 9:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Andrew
Harris, MD
Senator, Maryland; Commander, U.S. Naval Reserve Medical Corps; Anesthesiologist and Associate Professor of Anesthesiology and Critical Care Medicine, The Johns Hopkins University Hospital, Baltimore, MD
SAGES Posters & Learning Center Open (Exhibit Hall CLOSED)
Saturday, April 25, 2009
9:30 AM - 1:30 PM
Concurrent Sessions (accepted oral & video presentations)
Saturday, April 25, 2009
9:30 AM - 11:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Patient Safety Panel: Strategies for Reducing Errors in Surgical Care
Saturday, April 25, 2009
9:30 AM - 11:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Dennis Fowler, M.D.; Co-Chair: Fredrick Brody, M.D.
This panel reviews strategies to address issues of patient safety including analysis of errors, sentinel events, near misses, system challenges, team interactions, impact of errors on reimbursements, and more. The current status of these strategies is presented along with a review of the aviation and space paradigms and their relevance to the operating room.
Objectives:
At the conclusion of this session, the attendee will be able to:
- Discuss the critical importance of teamwork in a high stakes environment such as aviation, space travel, or the operating room
- Describe the results of improved communication in the operating room
- Practice effective communication techniques for a team approach in a high stakes environment
- Summarize the American College of Surgeons Patient Safety Program
Schedule
| 9:30 AM | Introduction | Dennis Fowler, M.D. & Fredrick Brody, M.D. |
| 9:35 AM | Safety and Teamwork in a High Stakes Environment | David Williams, M.D. |
| 10:05 AM | Checklists in the Perioperative Environment | TBA |
| 10:20 AM | Briefing and Debriefing in Surgery: Experience to Date | Donald Moorman, M.D. |
| 10:35 AM | Incorporating Lessons Learned in Aviation into Surgical Training: Graduated Training, Simulation, Assessment | Carlos Godinez, M.D. |
| 10:50 AM | The American College of Surgeons Patient Safety Agenda | TBA |
| 11:05 AM | Discussion | |
SAGES/SLS Panel: What Do I Do Now? Unexpected Findings at Laparoscopy – An Interactive Video/Case Presentation Panel
Saturday, April 25, 2009
9:30 AM - 11:30 AM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Barry A. Salky, M.D.; Co-Chair: David B. Earle, M.D.
This session will utilize photos and video to present cases where there were unexpected findings. The audience will have a chance to choose appropriate options with a remote audience survey system, after which the expert panelists will weigh in with their insight while participants interact via microphones on the floor. Follow up photos and/or videos will be shown if necessary.
Objectives:
After attending this session, attendees will be able to:
- Recognize these unexpected findings during laparoscopic procedures
- Describe an appropriate treatment strategy for these unexpected findings
- Anticipate unexpected findings in the future
Expert Panelists:
Edward Phillips, M.D.
Bruce Ramshaw, M.D.
Scott Shikora, M.D.
Kelvin Higa, M.D.
Morris Franklin, M.D.
Barry Salky, M.D.
Schedule
| 9:00 AM | Introduction | Barry A. Salky, M.D. & David B. Earle, M.D. |
| 9:35 AM | Large Left Lobe of Liver During Gastric Bypass/Foregut Surgery | |
| 9:45 AM | Cirrhosis Found During Gastric Byspass/Foregut Surgery | |
| 10:00 AM | Ventral Hernia During Gastric Bypass/Foregut Surgery | |
| 10:15 AM | Incisional Hernia Found During Colostomy Closure | |
| 10:30 AM | Unexpected Fistula During GI Surgery | |
| 10:45 AM | Enterotomy During Ventral Hernia Repair | |
| 11:00 AM | Short Esophagus During Paraesophageal Hernia Repair | |
| 11:15 AM | Intraluminal Bleeding After Sigmoid Anastomosis |
SAGES/SSAT Upper GI Neoplasms Panel: Current and Evolving Therapeutic Modalities for Upper GI Neoplasms
Saturday, April 25, 2009
9:30 AM - 12:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Chair: Chandrakanth Are, M.D.; Co-Chair: Vivian Strong, M.D.
The session will outline the current practice and evolving therapeutic strategies in the management of upper gastrointestinal malignancies. The session will focus on the management of early or pre-malignant lesions, address controversies in staging, outline neo-adjvant/adjuvant strategies and evaluate the open and emerging minimally invasive surgical techniques. The session will also place emphasis on the multi-discplinary approach and outcomes data following treatment of patients with upper gastrointestinal malignancies.
Objectives:
After attending this panel, attendees will be able to:
- Describe how to provide surveillance to patients with Barrett’s Esophagus
- Determine the optimal approach (surgical and/versus endoscopic) in the management of patients with high grade dysplasia or early esophageal carcinoma
- Differentiate between the different techniques and determine the appropriate surgical approach for resection of esophageal carcinoma
- Review current standards on minimally invasive esophagectomy
- Obtain a comprehensive understanding of adjuvant/neoadjuvant treatment strategies for patients with upper gastrointestinal malignancies involving the multi-disciplinary approach
- Review current controversies and the role of MIS approaches in the surgical management of gastric cancer
- Review recent advances in the understanding and treatment of early gastric cancer, diffuse and familial gastric cancer
- Outline the current management approach of gastrointestinal tumors
- Evaluate outcomes following treatment of malignancies of the upper gastrointestinal tract
Schedule
| 9:30 AM | Introduction | Chandrakanth Are, M.D. & Vivian Strong, M.D. |
| Esophagus | ||
| 9:35 AM | Staging of Upper GI Malignancies | Paul Mansfield, M.D. |
| 9:45 AM | Treatment of Barrett’s Esophagus, High Grade Dysplasia (HGD) and Early Esophageal Cancer: Endoscopic Approaches | Brian Dunkin, M.D. |
| 9:55 AM | Treatment of Barrett’s Esophagus, HGD and Early Esophageal Cancer: Surgical Approaches | Steven De Meester, M.D. |
| 10:05 AM | Esophagectomy – Transhiatal Approach – How and Why I Do It? | Steven Yang, M.D. |
| 10:15 AM | Esophagectomy – Ivor Lewis Approach – How and Why I Do It? | Manjit Bains, M.D. |
| 10:25 AM | Minimally Invasive Approaches to Esophageal Cancer | James Luketich, M.D. |
| 10:35 AM | Discussion | |
| Gastric | ||
| 10:45 AM | Neoadjuvant and Adjuvant Treatment for Upper GI Malignancies | Manish Shah, M.D. |
| 10:55 AM | Familial Gastric Cancer/Diffuse Gastric Cancer and Early Gastric Cancer – Management Options | Henry Lynch, M.D. |
| 11:05 AM | Current Issues/Controversies in the Surgical Management of Gastric Cancer | Martin Karpeh, M.D. |
| 11:15 AM | Minimally Invasive Approaches to Gastric Cancer | Cristiano Huscher, M.D. |
| 11:25 AM | Gastric GIST and Neuroendocrine Tumors | Jason Gold, M.D. |
| 11:35 AM | National Trends and Outcomes in the Treatment of Upper GI Malignancies | Nabil Rizk, M.D. |
| 11:45 AM | Discussion | |
Break: Posters & Learning Center (Exhibit Hall CLOSED)
Saturday, April 25, 2009
11:30 AM - 1:00 PM
SAGES Annual General Membership Business Meeting
Saturday, April 25, 2009
11:30 AM - 12:00 PM
All SAGES Members Encouraged to Attend!
SAGES Technology Luncheon: Industry/Surgeon Partnerships in Promoting Surgical Innovation
Saturday, April 25, 2009
11:30 AM - 1:00 PM
Separate Registration fee: $45
Chair: Christopher M. Schlachta, M.D.
This session is for surgeons and industry partners who wish to learn more about the barriers, possible conflicts and opportunities for collaborative surgical innovation.
Objectives:
At the conclusion of this course, participants will have a better understanding of:
- What surgical innovation is
- What lessons can be learned from our forerunners
- What ethical considerations exist in partnering with industry
- How a surgeon approaches industry with an idea
- How industry chooses where to invest resources for development
- What kind of evidence third party payers need to support the adoption of new innovations
- The way in which the cost-effectiveness of a new innovation is measured
- How the surgeon/industry relationship must change for the future and what new ethical implications this carries
Schedule
| 11:30 AM | Introduction | Christopher Schlachta, M.D. |
| 11:40 AM | Surgical Innovation: What Have We Learned? | TBA |
| 11:55 AM | From Bedside to Bench to Bedside: Bringing Ideas to Market | Kenneth Dobler, M.D. |
| 12:10 PM | Health Technology Assessment: Evaluating the Cost and Benefit of Innovations | John H. Parker, M.D. |
| 12:25 PM | A Brave New World: The Future of Industry/Surgeon Partnerships | Richard M. Satava, M.D. |
| 12:40 PM | Discussion | |
Concurrent Sessions (accepted oral & video presentations)
Saturday, April 25, 2009
1:00 PM - 4:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Emerging Technologies Session
Saturday, April 25, 2009
1:00 PM - 4:00 PM
*Included in Registration SuperPass (Option A) or Registration Option C
Coordinator: Daniel Herron, MD
For the fifth 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, 2009 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 symposium: Stryker Endoscopy