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UNIVERSITY OF MALAGA IX MEETING SURGICAL CONTINIOUS EDUCATION and XIV NUTRITION

WHICH SURGICAL PROCEDURE SHOULD BE CARRIED OUT FOR TYPE 2 DIABETES? Mรกlaga 17 - 19 February 2010 Aula Magna - Medical Faculty ORGANIZED BY

PROF. M. GARCรA-CABALLERO (Professor of Surgery)

DR. F. TINAHONES (Chief of Endocrinology University Hospital Malaga)

PRELIMINARY PROGRAMME Accreditation requested for Continuing Educational Activity Recognition requested for Doctorate Credits Recognition requested for Optional Credits


Honorary Committee Excma. Sra. Trinidad Jiménez García-Herrera Spanish Ministry of Health and Consumer Excma. Sra. María Jesús Montero Andalussian Ministry of Health Excma. y Mgfca. Sra. Adelaida de la Calle Martín Rector University Malaga Excmo. Sr. José Luís GutiérrezPérez Manager Of Andalusian Health Service Ilma. Sra. María de la Antigua Escalera Urkiaga Andalusian Health Delegate in Málaga Ilmo. Sr. Alfredo Blanes Berenguer Dean Medical Faculty Málaga Ilmo. Sr. Juan José Sánchez Luque President of the College of Physicians of Málaga Ilmo. Sr. Antonio Pérez Rielo Manager of University Hospital “Carlos Haya” Ilmo. Sr. José Manuel Martín Vázquez Manager of University Hospital “Virgen de la Victoria”

Objectives This new area of the Surgery has been developed as consequence of the results obtained by morbid obese patients that suffered diabetes type 2. These patients few weeks after undergoing to anti-obesity surgery, and even before losing weight, they standardize the levels of blood glucose. During the more than 30 years of experience with obesity surgery has registered a rate of recovery of the diabetes type 2 of more than 90%. Diabetes Surgery would be applied in patients with normal weight but diabetic type 2. It has as objective to exclude of the traffic of food portions of the small bowel, with the aim of cause changes in hormones and receptors located in this area that related to the control glucose levels. It is well know that the GLP-1 is produced by L cells of the ileum and stimulated mainly by carbohydrates, which release it is activated by the secretion of insulin. On the contrary, when food is in contact with the duodeno-jejunal mucosa, stimulate the production of other hormones that tend to elevate the levels of glucose. Therefore surgery should avoid the contact of food with the first portions of the intestine and bring it to parts far from the stomach. Furthermore decrease leptine levels (synthesize by fatty cells) and of glucagon (that acts on carbohydrates). But this new Surgery has just started. Very fast advances are taking place that we intend to review and to update for offering our patients always the best.


PROGRAMME Wednesday 17th February

Single Port Laparoscopic Surgery for 8 participants Tutors: Dr. R. Tacchino, Dr. D. Osorio, Dr. JM Mata y Prof. M. García-Caballero 08.00 08.30 10.30 11.00

– – – –

08.30 10.30 11.00 13.00

13.00 – 14.30

Theorical introduction on SILS and coffee SILS: Cholecystectomy and sutures (4 pigs x 2 surgeons/pig) Coffee SILS: Cholecystectomy and sutures (4 pigs x 2 surgeons/pig) Documentation

Ingestion, absorption, transport and use of the glucose in humans Moderators:

14.30

– 14.50

14.50

– 15.20

15.20 –

15.45

15.45 – 16.10 16.10 – 16.30

Dr. F. Tinahones y Prof. M. García-Caballero

Glucemic Index of the food: modulators factors. (Dr. JM García Almeida, Málaga) Transport mechanisms and levels of absorption of glucose in duodenum, jejunum and illeum: changes produced by surgery. (Prof. M. Muñoz Gómez, Málaga) Distribution of glucose in the organism after its absorption (Dr. F. Cardona, Málaga) Mechanisms of regulation of glucose levels (Dr. X Formiguera, Barcelona) Discussion

16.30 – 17.00

Coffee

Pancreas, insuline and adipose tissue Moderators: Dr. MA. Calvo y Prof. M. García-Caballero 17.00 – 17.20 17.20 – 17.40 17.40 – 18.00 18.00 – 18.20 18.20 – 18.40 18.40 – 19.00 19.00 – 19.30 19.30 – 20.00

The pancreas as endo- and exo-crine organ. (Dr. MA Suárez, Málaga) Secrection and mechanisms of action of insuline. (Dr. D Fernández García, Málaga) Insuline and immediate principles metabolism. (Dra. MM Roca Rodriguez, Málaga) Adipose tissue morphology: basic concepts and development. Adipocytes differentiation (Dra. R ElBekay, Málaga) Adipose tissue and lipogenic function (Dr. E García Fuentes, Málaga) Adipose tissue as secretion organ (Dr. JM Fernández Real, Girona) What is insuline ressistance? How is it developped? (Dr. F Soriguer, Málaga) Discussion


PROGRAMME Thursday 18th February Diabetes Moderators: Dr. F. Tinahones y Prof. M. García-Caballero 08.30 – 08.50 08.50 – 09.10 09.10 – 09.30 09.30– 09.50 09.50– 10.20 10.20– 11.00

What is Diabetes? Types (Dra. M Ruiz de Adana, Málaga) Diabetes in obese and non-obese: what are the differences? (Dr. J Vendrell , Tarragona) Medical control of diabetes and long term consequences of the dissease (Dra. MJ Picón, Málaga) Role of oxidative stress in endothelial disfunction of the diabetic vasculopathy (Prof. JA González Correa, Málaga) Management of Diabetes type 2 in Primary Health Care: When to consult with the Specialist? Is surgery propposed? (Dra. E Aguado, Málaga) Discussion

11.00 – 11.30

Coffee

Results of bariatric procedures as treatment of Diabetes Mellitus type 2: its relation with the surgical difficulty and perioperative complications Moderators: Dr. Ahmad Salman and Prof. M García-Caballero 11.30 – 11.45 11.45 – 12.00 12.00 – 12.15 12.15 – 12.30 12.30 – 13.00 13.00 – 13.15 13.15– 113.45

Sleeve gastrectomy (Dr. D Del Castillo, Tarragona) Roux-en-Y Gastric Bypass (Dr. R Tacchino, Roma) One Anastomosis Gastric Bypass (Prof. M García-Caballero, Málaga) Biliopancreatic diversion (Prof. M. Martínez Díez, Zaragoza) Duodenal Switch (Prof. R. Weiner, Frankfurt) Gastric Band (Prof. A Alarcó Hernández, Tenerife) Discussion

13.45 – 15.30

Lunch


PROGRAMME Results of surgical procedures specific for treating diabetes mellitus type 2 in patients with BMI 25-34 Moderators: Prof. M. García-Caballero y Dr. J. Hernández 15.30 – 15.45 15.45 – 16.00 16.00 – 16.30 16.30 –17.00

17.00 – 17.30

Short duodenal switch (Dr. S. Navarrete, Caracas) One Anastomosis Gastric Bypass (Prof. M. García-Caballero, Málaga) Biliopancreatic Diversion (Prof. N Scopinaro, Genova) Ileal interposition with sleeve gastrectomy. How many other procedures has been described and/or practiced? It is probed its superiority in comparison with the most used? Have more peripoerative complications? Are they more expensive? (Dr. R Cohen, Sao Paulo) Discussion

17.30 – 18.00

Coffee

Miguel Morell Free Papers Session Moderators: Prof. E. Gutiérrez y Prof. M. García-Caballero 18.00 – 20.30

We will choose the 10 better Abstracts received on Diabetes, Nutrition and Obesity (we give preference to those more direct related with the subjects presented in the Official Programme of the Meeting). Authors will dispose of 7 minutes for presentation and 8 minutes for discussion. The Abstratcs will be sent to “Diabetes Surgery Meeting. Facultad de Medicina. 29080 Málaga/Spain” before 15th January’2010. The Abstract will be writen in DIN A4 double space (max 250 words), with the following structure: Title, Authors, and Text (divided in Introduction, Objectives, Material and methods, Results and Conclusions).


PROGRAMME

Friday 19th February

Live Surgery (from Hospital Parque San Antonio) Moderators: Dr. C. Masdevall y Prof. J. Ortega Serrano 09.00 – 11.30 09.00 – 11.30

One Anastomosis Gastric Bypass by Single Port (Dr. Roberto Tacchino, Rome) Short Duodenal Switch (Dr. Salvador Navarrete, Caracas)

11.30 – 12.00

Coffee

DEBATE: Indications of Surgery for the Treatment of Diabetes Mellitus type 2 and Criteria for measuring the results Moderador: Prof. M. García-Caballero 12.00 - 12.30 12.30 - 13.00 13.00 – 13.30

Pro (Dr. R Cohen, Sao Paulo) Contra (Dr. MA Rubio, Madrid) Discussion

13.30 – 15.30

Lunch

One step more in the facts that explain how are produced the changes after bariatric and metabolic surgery Moderators: Dr. Tarif Aita and Dr. Khalil Zayadin 15.30 – 15.50 15.50 - 16.10 16.10 - 16.30 16.30 - 16.50

Caloric restriction (Dr. L Cabrerizo, Madrid) Changes in taste and apetite (Dr. CW LeRoux, Londres) Role of incretins (Dr. J Salvador, Pamplona) Intestinal changes others than incretins (Dr FJ Tinahones, Málaga)


PROGRAMME 16.50 - 17.20 17.20 - 17.50 17.50 - 18.30

Intestinal neoglucogenesis (Dr. G Mithieux, Lyon ) How are connected these mechanisms in the nowdays more used surgical procedures? (Dr. R. Cohen, Sao Paulo) Discussion

18.30 – 19.00

19.00 – 21.00

Coffee

Round Table:

Related to Surgery for Diabetes type 2: What have we done in appropiate maner, what inappropiate and what is still for doing? Moderator: Prof. M. García-Caballero 1. What have we done in appropiate maner? (Dr. R. Cohen, Sao Paulo) 2. What was inappropiate maner done? (Prof. N. Scopinaro, Genova) 3. What is still for doing? (Dr. F Tinahones) Discussion: X Formiguera, G Mithieux, MA Rubio, M Martínez Diez; R Tacchino

22.00

Farewell Dinner


SPEAKERS Aguado E, Málaga Aita T, Damasco Alarcó A, Tenerife Cabrerizo L, Madrid Calvo Ros MA, Bilbao Cardona F, Málaga Cohen R, Sao Paulo Del Castillo D, Tarragona ElBekay R, Málaga Fernández García D, Málaga Fernández Real JM, Girona Formiguera X, Barcelona García Almeida JM, Málaga García-Caballero M, Málaga García Fuentes E, Málaga González Correa JA, Málaga Hernández Martínez J, Murcia LeRoux CW, Londres Martínez Díez M, Zaragoza Mata JM, Málaga

Masdevall C, Barcelona Mithieux G, Lyon Muñoz Gómez M, Málaga Navarrete S, Caracas Ortega Serrano J, Valencia Osorio D, Málaga Picón JM, Málaga Roca Rodríguez MM, Málaga Rubio MA, Madrid Ruiz de Adana M, Málaga Salman A, Arabia Saudita Salvador J, Pamplona Scopinaro N, Genova Soriguer F, Málaga Suárez MA, Málaga Tacchino R, Roma Tinahones F, Málaga Vendrell J, Tarragona Weiner R, Frankfurt Zayadin K, Amman

Registration fees - Transfer to: UNICAJA, Plaza de la Marina, 3 - 29015 Málaga. Account number: 21030146960030028661. Ref.: 80301412: - SILS Workshop and Meeting............................................................. - Meeting ………………....................................................................... - Surgeons in Education………………………………....................... - Students …………………………......................................................

700 Euros 250 Euros 100 Euros 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 Session Documentation Attendance Certificate (30 hours)

- 2 Lunches - Coffee of Breaks

Information (8 to 15 hours) - Departamento de Cirugía: 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: 952-13 25 46 - Fax: 952-13 34 81

Registration (www.cirugiadelaobesidad.net) - XIV Jornadas de Cirugía y Nutrición. Facultad de Medicina. 29080 Málaga Phone: +3495213 7575; Fax: +3495213 2678 ; gcaballe@uma.es


XIV English Program  

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