monthly focus

video lecture

In this key lecture, Professor Carel Le Roux addresses the following question: "How the gut talks to the brain". Prof. Carel le Roux, an internist specialized in metabolic medicine and chair of experimental pathology at the University College in Dublin (Ireland) presents a challenging view of obesity through a brilliant description of the complex connections between the digestive tract and the central nervous system and how these connections might be modified by bariatric surgery in order to control the desire to eat and the perception of satiety.

How the gut talks to the brain

Comment l'intestin parle au cerveau

Optimisation du bypass gastrique primaire : "Avons-nous un standard de référence ? Devrions-nous envisager d'autres techniques ?"

In this key lecture, Dr. Higa focuses on optimizing primary gastric bypass and addresses the following concern: do we have a gold standard and/or should we consider other techniques? 

Dr. Higa, specialized in bariatric and metabolic surgery, explains the reasons why until now it has not been possible to reach a consensus on the gold standard surgical procedure for the treatment of obesity and emphasizes the importance of making decisions based on the individual characteristics of each patient, especially after the failure of the treatment performed.

Optimizing primary gastric bypass: “do we have a gold standard? Should we consider other techniques?”

In this key lecture, Dr. Higa outlines the initial management of morbidly obese patients with complications. 

Dr. Higa, an internationally recognized expert in revision bariatric surgery focuses on complications as an inherent part of the surgical profession and presents his strategy to avoid their occurrence and to deal with them, highlighting the importance of transparent communication both within the medical team and with the patient and their relatives.





Initial management of complications

Prise en charge initiale des complications

In this key lecture, Dr. El-Kadre focuses on alcohol use disorder (AUD) and bariatric surgery. Dr. Luciana Janene El-Kadre, specialized in bariatric and metabolic surgery introduces us with a controversial evaluation of the benefits and risks of bariatric surgery, from the perspective of its effects on the brain, and particularly so in the regulation of the limbic reward system. She also shows how these modifications predispose patients to the development of alcoholism and abuse of illicit substances.

Alcohol use disorder (AUD) and bariatric surgery

Troubles liés à la consommation d'alcool et chirurgie bariatrique

Technologies innovatrices : chirurgie robotique bariatrique

In this key lecture, Professor Leon Katz outlines innovative technologies in robotic bariatric surgery. 

Dr. Leon Katz, a bariatric robotic surgeon, talks about the former limitations of robotic platforms and how recent technological developments have led to the creation of a new kind of platforms which offer a quick and simple docking process, greater flexibility of movements on surgical tables, less invasive accesses, and a greater versatility of instruments. Finally, with reference clinical cases, he illustrates the usefulness of robotic platforms in complex and challenging situations, in which they not only allow greater precision of surgical gestures, but also provide additional advantages for educational purposes.

Innovative technologies: robotic bariatric surgery

In this key lecture, Dr. Cardoso Ramos focuses on ways to prevent complications intraoperatively. 

Dr. Cardoso Ramos, specialized in bariatric and metabolic surgery, exposes the most frequent causes of intraoperative and postoperative complications during bariatric surgery and highlights the importance of knowing not only the surgical technique but also the characteristics of the materials and the mechanism of action of the instruments used. He also describes the importance of adequate preoperative preparation, the maintenance of an adequate work space, along with strategies to deal with unexpected events. 

How to avoid complications intraoperatively

Comment éviter les complications pendant l'intervention

In this authoritative lecture, Dr. Buchwald focuses on metabolic and bariatric surgery for type 2 diabetes. 

Through a valuable account of the historical evolution of the concept of metabolic surgery, Dr. Henry Buchwald, Professor of surgery and biomedical engineering as well as Owen and Sarah Davidson Wangensteen Chair in Experimental Surgery Emeritus at the University of Minnesota shows us the important role that different surgical procedures, both bariatric and non-bariatric, have played in the treatment of diverse metabolic pathologies, especially in the treatment of type 2 diabetes mellitus, emphasizing the rich and intense research activity which has generated this progress and the future of surgery in the treatment of chronic metabolic diseases.

Metabolic/bariatric surgery for type 2 diabetes

Chirurgie métabolique/bariatrique pour le diabète de type 2

surgical intervention video

In this original live educational 2-hour video, Dr. Kelvin Higa describes his personal technique of laparoscopic Roux-en-Y gastric bypass after removal of an adjustable gastric band, highlighting the importance of proper placement of working ports, careful dissection of the esophagogastric junction, objective measurement of the total length of the small bowel, and hand-sewing of the gastrojejunal anastomosis. 

Laparoscopic Roux-en-Y gastric bypass after gastric band removal: a live educational procedure

Bypass gastrique laparoscopique après ablation d'anneau gastrique : intervention live

In this live educational video, Dr. Vieira d’Almeida demonstrates a stepwise robotic Roux-en-Y gastric bypass in a 51-year old female patient with a BMI of 51. After splitting of the greater omentum and stapled creation of the gastric pouch, a sutured (antecolic/antegastric) gastrojejunostomy and a jejunojejunostomy are performed. Both mesentery hernia ports are closed. 

Robotic Roux-en-Y gastric bypass for morbid obesity: a live educational procedure

Bypass gastrique pour obésité morbide : intervention live assistée par robot

In this live educational video, Dr. Michel Vix demonstrates a stepwise laparoscopic Roux-en-Y gastric bypass procedure in a 39-year-old female patient with a BMI of 38. After stapled creation of the gastric pouch and splitting of the greater omentum, a stapled (antecolic/antegastric) gastrojejunostomy and a jejunojejunostomy are performed. Both mesentery hernia ports are closed. 

Focus on Bariatric and Metabolic Surgery, Laparoscopic Vs. Robotic Approaches