Acute Care Surgery

Bariatric Emergencies

Activity Details
  • Credit Type: CME
  • Credit Amount: 1.00
  • Cost: $70.00
  • Release: Dec 15, 2016
  • Expires: Dec 14, 2019
  • Estimated Time to Complete:
    1 Hour(s)
  • System Requirements:
  • Average User Rating:
    ( Ratings)

Faculty

Matthew J.  Martin Matthew J. Martin, MD
Associate Professor of Surgery
Division of Surgery
Uniformed Services University of Health Sciences
Tacoma, Washington

Trauma Medical Director
Madigan Army Medical Center
Tacoma, Washington

Andrea  Pakula Andrea Pakula, MD, MPH
Associate Director Surgical ICU, Director of Bariatrics
Kern Medical
Bakersfield, California

Needs Statement

Bariatric surgery use has exploded in the U.S. and worldwide, and now represents one of the most common major abdominal procedures performed by general surgeons. With the increase in the types of bariatric procedures as well as the unique issues related to the care of the morbidly obese patient, bariatric surgery has now evolved as a recognized sub-specialty. Although bariatric specialists typically provide the immediate and early postoperative care of these patients, subsequent care for surgical problems or complications may require urgent or emergent evaluation and intervention by a non-bariatric surgeon. Acute care surgeons are increasingly called upon to evaluate and manage a variety of complaints or emergencies in patients who have previously undergone bariatric surgery. These complaints or problems may be directly related to the prior bariatric procedure, or may be causally unrelated but complicated by the presence of the altered bariatric anatomy, morbid obesity, or obesity-related conditions. Therefore the acute care surgeon (or team member) must be familiar with the commonly performed bariatric procedures, the anatomic details of each procedure, and the evaluation and management of common urgent or emergent problems that can develop in this patient cohort.

Target Audience

All acute care surgeons, emergency room physicians, residents, advanced practitioners, and medical students who provide surgical consultation and urgent care for patients who have had prior bariatric surgery

Objectives

Upon completion of this activity, participants will be able to:

  1. Identify the surgical anatomy of the three most commonly performed bariatric procedures in the U.S.
  2. List at least two emergent surgical complications that can develop following each type of bariatric procedure.
  3. Identify at least 3 strengths and 3 weaknesses of CT imaging for identifying emergent surgical problems in the post- bariatric surgery patient.
  4. Discuss the indications for operative versus nonoperative management of a postoperative leak after 1) a sleeve gastrectomy and 2) a gastric bypass.
  5. Compare the management options for a common bile duct stone in a patient with a history of a prior sleeve gastrectomy versus a prior gastric bypass.

Accreditation

CME
The University of Kentucky College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

ACGME Competencies

  • Patient care
  • Medical knowledge

Faculty Disclosure

No speakers, authors, planners or content reviewers have any relevant financial relationships to disclose. 

The material presented in this course represents information obtained from the scientific literature as well as the clinical experiences of the speakers. In some cases, the presentations might include discussion of investigational agents and/or off-label indications for various agents used in clinical practice. Speakers will inform the audience when they are discussing investigational and/or off-label uses.

Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

CE Content Concerns

Policy

Concerns or complaints related to ACPE or ACCME standards may be submitted in writing to the Director of UK HealthCare CECentral by fax to 859-323-2920, or by mail to 2365 Harrodsburg Road, Ste B475, Lexington, KY 40504

Procedures

  • The Director or his/her designee will review, investigate, forward and/or respond to complaints and will put forth a best effort to adjudicate the issue(s), along with CECentral staff members, within two (2) weeks of receipt of the grievance or complaint.
  • If needed, concerns, complaints, or grievances will be brought before the UK HealthCare CECentral Advisory Board.
  • Issues regarding activity content also will be reviewed and addressed by the Activity Director.
  • A written decision will be issued in a timely manner by the Director of UK HealthCare CECentral or his/herdesignee.
  • Grievances will be considered when planning future activities.

Appeal Procedure

  • Persons who wish to appeal a decision should address the appeal by email, fax or in writing to the Director of UK HealthCare CECentral within two (2) weeks of receipt of the response.
  • The Director will bring the appeal to the UK HealthCare CECentral Advisory Board.
  • The results of the appeal will be sent to the participant no later than two (2) weeks following the meeting of the board.