Faculty

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
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Kentucky College of Medicine, and Eastern Association for the Surgery of Trauma. The University of Kentucky College of Medicine is accredited by the 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 claim only the 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.

Acknowledgement

This activity is jointly provided by the University of Kentucky and Eastern Association for the Surgery of Trauma.