e-Bariatric

To learn about medical and surgical aspects relating to the anatomy and pathophysiology ensuing from bariatric surgery (bypass, sleeves, etc.).
To learn about the prevalence of bariatric surgery-associated morbidity in the emergency room.
To learn about the specific symptomatology of abdominal emergencies after bariatric surgery. To be able to interpret the findings of additional examinations, medical tests, and diagnostic imaging in bariatric surgery patients presenting at the emergency room.
To learn to identify and begin early treatment of anastomotic leaks, staple line leaks, perforations of the digestive tract, and surgical site infections.
To learn to identify and begin early treatment of small bowel obstruction caused by adhesions, torsion, intussusception, incisional hernias, and internal hernias.
To learn to diagnose and treat the acute gastrointestinal complications associated with the different bariatric techniques: marginal ulcerations at the anastomotic site, impaction and stricture, gastrointestinal bleeding, port-site infection, and diarrhoea.
To be able to assess, diagnose, and treat hepatobiliary complications associated with chronic malabsorption, with a consideration of the limitations affecting endoscopic access to the biliary tract.
To be able to diagnose and treat cardiopulmonary complications caused or aggravated by the previous bariatric history: arrhythmias, DVT/PE, aspiration pneumonia, postoperative atelectasis, exacerbation of SAHS/OHS, haemoptysis, pleural effusion, and pulmonary oedema.
To be able to diagnose and treat complications arising from nutritional deficiencies associated with bariatric surgery and toxic effects following modification of the digestive tract: Wernicke’s encephalopathy, polyneuropathy, alcohol poisoning, substance dependence, medication.
To be able to diagnose and treat special situations during pregnancy, following endoscopic bariatric procedures dumping syndrome and reactive hypoglycemia

MODULE 1. Semiology and Examination

UNIT 1.
Medical and surgical history. Anatomy and pathophysiology of surgical techniques (gastric bypass, sleeve, gastric band, etc.) Schematic diagrams of the different techniques.

UNIT 2.
Specific aspects of the symptomatology of abdominal emergencies with a recent and distant bariatric history: dysphagia, vomiting, tachycardia, dyspnoea, tachypnoea, fever, hypotension, oliguria, and haemorrhage. Physical examination.

UNIT 3.
Additional emergency tests: biochemical markers, acute phase reactants, and diagnostic imaging. Warning signs.

MODULE 2. Abdominal emergencies

UNIT 4.
Surgical site infection. Leaks. Acute abdomen.

UNIT 5.
Small bowel obstruction: internal hernias, adhesions, torsion, intussusception, and abdominal wall hernias.

UNIT 6.
Acute gastrointestinal complications: margical ulcerations at the anastomotic site, impaction and stricture, gastrointestinal bleeding, diarrhoea, proctalgia.

UNIT 7.
Hepatobiliary complications associated with postoperative intestinal malabsorption. Bacterial overgrowth.

MODULE 3. Systemic complications

UNIT 8.
Cardiopulmonary complications aggravated by bariatric history.

UNIT 9.
Emergencies caused by nutritional deficiencies and toxicity.

UNIT 10.
Special cases: bariatric emergencies during pregnancy or due to endoscopic procedures. Dumping syndrome and reactive hypoglycaemia.

Emergencies after bariatric surgery:
Key points for physicians on duty

Emergencies after bariatric surgery:
Key points for physicians on duty

Emergencies after bariatric surgery:
Key points for physicians on duty

Emergencies after bariatric surgery: Key points for physicians on duty

MODULE 1. Semiology and Examination

MODULE 2. Abdominal emergencies

MODULE 3. Systemic complications