Honorary Committee. Objectives

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2 Honorary Committee Excma. Sra. Ana Mato Health and consumer Minister Excma. Sra. María Jesús Montero Health Advisor of the Andalusia Government Excma. y Mgfca. Sra. Adelaida de la Calle Martín University of Málaga Rector Excmo. Sr. José Luís Gutierrez Pérez Manager of S.A.S. Ilma. Sra. María de la Antigua Escalera Urkiaga Provincial health Delegate of Málaga Ilmo. Sr. Alfredo Blanes Berenguer Dean of the medicine faculty from Málaga Ilmo. Sr. Juan José Sánchez Luque President of the Illustrious College of Medical from Málaga Ilmo. Sr. Antonio Pérez Rielo Manager of the University Hospital "Carlos Haya" Ilmo. Sr. Tomás Urda Manager of the University Hospital Virgen de la Victoria Objectives Surgery is the most powerful treatment that exists at present to treat Diabetes Mellitus (DM) and the associated Metabolic Syndrome (MS). We cure or improve DM and MS in obese patients with most obesity surgery procedures, although some other more effective than others. Bariatric procedures vary in the mechanism of action and gastric bypass have immediately effects after surgery, independent of weight loss, while restrictive techniques depend on weight loss. Another difference is the amount of weight loss after different bariatric procedures. Therefore, the use of certain techniques in normal weight DM patients may not be appropriate. Another challenge for surgeons that perform Diabetes Surgery, is to adjust insulin and/or oral anti-diabetic, anti-hypertension drugs and another preoperative medication after surgery. It is necessary to "walk for a road" never walked until now. The metabolic changes after surgery are profound and more detailed understanding can change several areas of Medicine. We therefore need more information to face these challenges.

3 Thursday 16th February PROGRAMME Workshop Gastric Bypass for Diabetes IMC for 8 participants Tutors: Drs. Tacchino, Osorio, Mata, Mínguez, Martínez-Moreno y Garcíacaballero Theoretical introduction and coffee One Anastomosis and Roux-en-Y GB (4 pigs x 2 surgeons/pig) Coffee One Anastomosis and Roux-en-Y GB (4 pigs x 2 surgeons/pig) Documentation Selection, preparation and follow-up of Diabetes Surgery patients IMC and Moderators: Dr. Rui Ribeiro y D Prof. M. Garciacaballero 14:30-14:45 My experience: Starting from obesity surgery. (Prof. M Garciacaballero, Málaga) 14:45-15:15 Differences between Diabetes Surgery and Obesity Surgery patients (Dr. F. Miralles, Málaga) 15:15-15:30 Diabetic retinopathy: changes after diabetes surgery? (Prof. A. Moreno, Málaga) 15:30-15:45 Diabetic nephropathy: changes after diabetes surgery? (Dra. S. Ros, Málaga) 15:45-16:00 Which patients would benefit from surgery?. How I prepare the patients for surgery? (Dr. M Frenken, Monheim am Rhein) 16:00-16:15 Managing the reduction of medication after the surgery: how I do it? (Prof. A. Pontiroli, Milán) 16:15 17:00 Discussion Coffee How is the Surgery of Diabetes performed in IMC and 30-34? Moderators: Dr. J Hernández Martínez y D Prof. M. Garciacaballero 17:30-17:45 How I do it in BAGUA?: differences with BAGUA for obese (Prof. M Garciacaballero, Málaga) 17:45-18:00 How I do Roux-en-Y Gastric Bypass?: Difference with obesity surgery (Dr. R. Tacchino, Roma ) 18:00-18:15 Gastric band: differences with obesity surgery (Dr. J. Pujol, Barcelona) 18:15-18:30 Sleeve gastrectomy: differences with obesity surgery (Prof. D. Del Castillo, Reus-Tarragona) 18:30-18:45 Biliopancreatic derivation and Duodenal Switch in BMI and 30-34: differences with obesity surgery (Prof. R. Weiner, Frankfurt) 18:45-19:00 Duodeno-jejunal Bypass and other new techniques developed specifically for diabetes surgery? (Dr. S. Navarrete, Caracas) 19:15-19:30 Less invasive procedures (gastric pacemakers and endoscopic procedures) in diabetes surgery? (Dr. M Miras, Madrid) 19:30-20:30 Discussion

4 Friday 17th February Complications and long term results of diabetes surgery BMI and 30-34: the great "but" for the endocrinologists Moderators: Prof. E. Neugebauer y Prof. M. García-Caballero 08:30-08:45 Gastric Band (Dr. F. Favretti, Padova) 08:45-09:00 Sleeve gastrectomy (Dr. R. Vilallonga, Barcelona) 09:00-09:15 BAGUA vs Y Roux Gastric Bypass (Dr. R. Tacchino, Roma ) 09:15-09:30 Biliopancreatic derivation and Duodenal switch (Prof A. Torres, Madrid) 09:30-09:45 Duodeno-jejunal Bypass and other new techniques (Dr. S. Navarrete, Caracas) 09:45-10:00 Gastric pacemakers and endoscopic procedures (Dr. M Miras, Madrid) 10:00-10:15 Simplicity, reproducibility, costs, perioperative and long term complications of the different surgical alternative in the diabetes surgery (Prof. M. Martínez Díez, Zaragoza) 10:15-11:00 Discussion Coffee Effectiveness of Diabetes Surgery BMI and 30-34: Comparison of the results of medical and surgical treatment in Diabetes Mellitus Moderators: Dr. MA. Calvo y Prof. M. Garciacaballero 11:30-12:00 Modern medical treatment of Diabetes Mellitus and long term morbimortality: balancing efficacy and safety (Dr. C. Carrera, Caracas) 12:00-12:15 Surgical treatment in DM2 BMI vs IMC 30-34: is there differences among restrictive, malabsortive and gastric bypass procedures? (Prof M Garciacaballero, Málaga) 12:15-12:30 Surgical treatment in DM1 (Dra. S. Weiner, Frankfurt) 12:30-12:45 How does it influence the surgery in the evolution of the DM2 complications? (Prof A. Pontiroli, Milán) 12:45-13:00 Morbidity-mortality of DM with surgery (Dr. C. LeRoux, Londres) 13:00-13:20 Quality of life of the diabetic patients with medical or surgical treatment (Prof. E. Neugebauer, Colonia) 13:20-14:00 Discussion 14:00 15:30 Lunch Glucose metabolism and Diabetes: has it changed after gastrointestinal surgery as Diabetes Mellitus treatment? Moderators: Dr. C. Masdevall y Prof. M. Garciacaballero Pathophysiology of type 2 DM: more than the duo "resistance/deficit" of insulin secretion (Dr. C. Carrera, Caracas) Glucose metabolism: has it changed after the diabetes surgery? (Prof. G. Mithieux, Lyon)

5 Differences within type 2 Diabetes Mellitus. Functional capacity of the different organs (Prof M Garciacaballero, Málaga) Metabolically healthy Obese and metabolically sick normo weight subject: what do they teach us respect the diabetes surgery? (Prof A. Pontiroli, Milán) Discussion Coffee The effect of gastro-intestinal surgery on the pathogenesis of Diabetes Mellitus Moderators: Prof. R. Weiner y Prof. M. García-Caballero :20 Influence of diabetes surgery on the pancreas β-cells mass. (Dr. JM. Martínez-Moreno, Málaga) 18:20 18:40 Influence of diabetes surgery on gut hormones and incretins (Dr. C. LeRoux, Londres) 18:40 19:00 Does surgery influence insulin independent glucose transporters? (Prof. A. Pontiroli, Milan) 19:20 20:00 Influence of diabetes surgery on the internal glucose production. Influence in the intestine-brain-liver axis (Prof. G. Mithieux, Lyon) 20:00 20:30 Discussion Farewell Dinner Saturday 18th February Live Surgery (from HU Associate Parque San Antonio Malaga) Moderators: Prof. M. Martínez Díez y Dr. C. Masdevall Noguera 08: One Anastomosis Gastric Bypass for Diabetes (Prof. M. Garcíacaballero, Málaga) 10: Coffee Duodenum-jejunal Bypass (Short Duodenal Switch) for Diabetes (Dr. Salvador Navarrete, Caracas) 12:30 14:00 Round-table Diabetes Surgery BMI and 30-34: past, present and future? Moderator: Prof. M. García-Caballero Participants: G Mithieux, C. Carrera, C. LeRoux, A. Pontiroli, M. Frenken, M. Martínez, R. Tacchino, A Torres Discussion: open to the audience Closing Remarks

6 Calvo Ros MA, Bilbao Carrera C, Caracas Del Castillo D, Tarragona Fravretti F, Padova Frenken M, Monheim am Rhein Garciacaballero M, Málaga Hernández Martínez J, Murcia LeRoux CW, Londres Martínez Díez M, Zaragoza Martínez-Moreno JM, Málaga Masdevall C, Barcelona Mata JM, Málaga Mínguez A, Málaga Miralles F, Málaga Miras M, Madrid Registration fees - Transfer to: UNICAJA, P Account number Work-shop and meeting Euros - Meeting Euros - IFSO Members Euros - Surgeons in Education and Postgraduate Medical Students Euros - Students 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 Sessions - Documentation - Attendance Certificate (30 Information (8 to 15 hours) - Department of Surgery: Phone: Fax: gcaballe@uma.es; - HOTEL and TRAVEL: Viajes El Corte Inglés (9 to 19 h) Ana Pérez - universidadmalaga@viajeseci.es. Phone: Fax: Registration ( - XV Jornadas de Cirugía Obesidad y Diabetes. Facultad de Medicina Málaga Phone: Fax: gcaballe@uma.eses PATROCINADORES S P E A K E R S Mithieux G, Lyon Moreno A, Málaga Navarrete S, Caracas Neugebauer E, Colonia Pontiroli A, Milán Pujol J, Barcelona Osorio D, Málaga Ros S, Málaga Rui Ribeiro J, Lisboa Tacchino R, Roma Torres A, Madrid Vilallonga R, Barcelona Weiner R, Frankfurt Weiner S, Frankfurt Plaza de la Marina, Malaga Ref.: Lunch - Coffee of Breaks hours) - Diabetes Surgery book (M McGraw-Hill)