CONFERENCE BOOK -...

1www.goss2016.com

30th Nov - 2nd Dec, 2016 | The Gulf Hotel, Kingdom of Bahrain

www.goss2016.com

CONFERENCE BOOK

2 3www.goss2016.com www.goss2016.com

Welcome message

With a great pleasure and pride I invite you to the 4th Annual Gulf Obesity Surgery Society Meeting (GOSS 2016) which is going to be held in the Gulf Hotel, Kingdom of Bahrain, 30th Nov - 2nd Dec 2016.

The meeting will be organized by the Gulf Obesity & Metabolic Surgery Society and Supreme Council of Health Bahrain. The Annual GOSS Meeting becomes the region’s premiere educational platform in the field of bariatric surgery where practitioners, researchers and allied healthprofessionals come to learn and network.

The organizing and scientific committees of GOSS 2016 unify their efforts to provide an excellent scientific program. World-renowned faculty and up-and-coming experts will be invited to facilitate sessions that will broaden the knowledge and improve the skill sets of attendees.

Additionally, I encourage you to take this opportunity to explore the many facets of the Kingdom of Bahrain.

Sincerely,

Dr. Amer AlderaziConference President, GOSS 2016


goss 2016 committee

President of the ConferenceAmer Alderazi (Bahrain)

Honorary President of the ConferenceMajor General (Prof) Khalid Bin Ali Alkhalifa (Bahrain)

Scientific Committee:Organizing Committee

Nabeel Alasheeri (Bahrain) Chairman

Salman Al Sabah (Kuwait)

Abdel Rahman Nimeri (UAE)

Adnan Bakr Mofti (KSA)

Mohammed Khalid Mirza (KSA)

Basim Al Khafaji (UAE)

Mohammed AlKawari (Qatar)

Raad Al Mehdi (Oman)

Reem Alali (Bahrain)

Ali AlQayim (Bahrain) Chairman

Mohammed Aljarallah (Kuwait)

Ali Khammas (UAE)

Ali Almontashery (KSA)

Abdulazeem Wahab (Qatar)

Mubarak Alkandari (Kuwait)

Mohammed Alsaibani (Oman)

Essam Jumaa (Bahrain)

general information

Opening Ceremony: The organizers of the conference invited all registered del-egates to attend the Opening Ceremony which is held on Thursday, 1st December 2016 at 10:00 – 11:00 in Al Dana Ballroom.

Registration: Registration desks for name badge collection and on-site registration is located at the lobby of the convention center and will be open from 08:00 am on all days of the conference.

Badges: Name badges must be visible and used at all times while attending the conference.

Speakers Room: There is a dedicated room for speaker registration and badge col-lection in Al Dana 5 which is operational during the same time as the registration desks.

Food & Beverage: Coffee breaks will take place in the pre-function area and lunches will be provided in the exhibition area on both days of the conference.

Rules: There are designated smoking areas in the hotel. Kindly ask the conference or hotel staff for directions.

Mobile Phones - delegates are kindly requested to keep their mobile phones in the silent mode while attending scientific sessions.

Prayer Room: Male & female prayer rooms are available in the hotel. Kindly ask the conferenceor hotel staff for directions.

Conference Secretariat:MCI Middle East, United Arab EmiratesTel: +971 (0) 4 311 6300 | E: [email protected] | W: www.goss2016.com

Evacuation Assembly Point: In case of an emergency evacuation procedure, please proceed in an orderly fashion to the open area in front of the hotel. Please follow the instructions of the hotel staff at all times.


eXHiBition floor Plan

PRE-FUNCTION AREA

CONFERENCE HALLS

AL DANA 2AL DANA 3&4

EXHIBITION

AL DANA 1

MAIN ENTRANCE

REGISTRATION DESK


conference sPeakers conference sPeakers

Amer Alderazi, MBBCh, MSc, CABS, MD-PhDConference PresidentConsultant General and Bariatric SurgeonSalmaniya Medical Complex GOSS General Secretary Bahrain

Antonio José Torres MD, PhD, FACS, FASMBSProfessor of SurgeryComplutense University of MadridSpain

Atul N.C Peters, MB, DNB, MNAMS, FMAS, FIAGESDirector & Head-Institute of Bariatric & Metabolic SurgeryFortis Hospital, Shalimar BaghIndia

Ali Khammas, MDConsultant Bariatric SurgeonRashid Hospital, DubaiUAE

Faheem Aly Abdou Elbassiony, MD, MSc, MBBCHEmeritus Professor Gen& Lap SurgeryCairo UniversityEgypt

Karl Miller, MD, FACS, FASMBSAssociate Professor of Surgery, CMOMohamed Bin Rashid Al Maktoum Academic Medical CentreDubai Healthcare CityUAE

Shamsi El-Hasani, MBChB, DS, ABCS, FRCS (Eng), FRCS(Ed), FRCS(Gen)Consultant Bariatric and Laparoscopic Specialist, BMI HealthcareUnited Kingdom

Shaw Somers, BSc (Hons), MBChB, MD FRCSConsultant Specialist: Upper GI and Bariatric Surgeon, BMI Clementine Churchill Hospital London and Portsmouth Hospitals NHS TrustUnited Kingdom

Waleed Bukhari, MDSenior Laparoscopic ConsultantBariatiric and Metabolic SurgeonKSA

Abdul Azim A.W. Hussain, MBBChSenior Consultant of General & Bariatric Surgery, Chief of Medical StaffHead of General Surgery Department Al Ahli Hospital Qatar

Abdelrahman A. Nimeri, MBBCh, FACS., FASMBSDirector of Bariatric & Metabolic Institute Abu DhabiUAE

Ahmed Algarzaie, MDBariatric and Laparoscpic surgeonDirector of Somnacare Founder member and member in the first executive board of GOSSKSA

Mohamed Ismail, MDChairman & Managing Director,HOD- General Surgery Department andIndia

Mousa Khoursheed, MD Professor Kuwait Health Sciences CenterKuwait

Muffazal Lakdawala, MDChairman of Institute of Minimal Access Surgical Sciences and Research Centre, Saifee Hospital, MumbaiIndia

Osama Taha, MDMedical DirectorBariatric Centre, CairoEgypt

Osamah Alsanea, MDPrivate surgeon in Somna CareProcare Hospital in KhobarKSA

Safwan A Taha, MD, FACS, CABS, FRCS, GlasgChief Medical Officer, Director of the Bariatric and Metabolic Surgery CenterAl Noor HospitalUAE

Ali Almontashery, MDConsultant General / MIS Bariatric surgeonChairman of Specialized Surgical CenterKing Abdullah Medical CityKSA

Asaad Fayrouz Salama, MB.BCh., M.Sc., MD. Ph.D (Cairo Univ.), MRCS (Eng.)Specialist Bariatric & Metabolic surgery, Hamad Medical Corporation (HMC), DohaQatar

Aruna G. Varma, MD Anaesthesiologist Medeor Hospital, Dubai UAE

Biborka Bereczky, MD, PhDSpecialist General SurgeonDubai Hospital UAE

Haider A Al-Shurafa, MDConsultant Laparoscopic and Bariatric SurgeonPrince Sultan Military Medical CityKSA

Mina Girgis Najib Bisada, MDRegistrar General SurgeryKing Hamad University HospitalKSA


conference sPeakers

Mohammed T. B. Al Mohaidly, MD, FRCS Consultant Laparoscopic SurgeonPaediatric General SurgeryPrince Sultan Military Medical CityKSA

Mohammed Hamdy AbdelAziz AbdelHady, MDGeneral, Laparoscopic & Bariatric surgeonJahra hospital, Kuwait Ministry of HealthKuwait

Raad Almehdi, MBChB, MSc (Bagd), FRCS(Ed), FRACS, ICSHead of Department, Upper GI and Bariatric, Royal Hospital, Muscat Oman

Salman Al-Sabah MD, MBA, FRCSC, FACSDirector of Surgical Research and a Consultant Surgeon, Al-Amiri hospital and Royale Hayat Hospital Kuwait

Tarek Mahdy,MSc, MD, PhDProf of Bariatric and Endocrine Surgery Mansoura Faculty of MedicineEgypt

Yasser Aljehani, MD, SSC-SURGProfessor/Consultant Thoracic SurgeryUniversity of DammamKSA

Bakhos M. Alhaddad, MDSpecialist of General Surgery Department of SurgeryAl Ahli Hospital, DohaQatar

Abdulaziz Ali, MD

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scientific Program scientific Program

Sessions Master ClassLive Cases Parellal Sessions Lunch & Coffee Breaks

08:00 - 09:00 Registration


Session I: Regional Bariatric Experience Moderators: Major General (Prof) Khalid Bin Ali Alkhalifa (Bahrain) Mohammed Aljarallah (Kuwait) | Safwan A. Taha (UAE)

08:00 - 08:15 Cost-Effectiveness Analysis of Metabolic Surgery Vs Medical Amer Alderazi (Bahrain) Therapy for Diabetis

08:15 - 08:30 Trends of peri-operative care for bariatric surgery in the Pan Abdelrahman Nimeri (UAE) Arab Region

08:30 - 08:45 Five year experience in MGB Osama Taha (Egypt)

08:45 - 09:00 SADI-S procedure: 5 years consolidated results Antonio Torres (Spain)

09:00 - 09:15 Banded One Anastomisis (mini) Gastric Bypass - Results Karl Miller (UAE) of a 2-year Follow-up pilot study

09:15 - 09:30 Discussion

09:30 - 10:00 Coffee Break

10:00 - 11:00 Opening Ceremony

Session II: Sleeve Gastrectomy Moderators: Salman Alsabah (Kuwait) | Elzaqui Ladha (Oman) | Waleed Bukhari (KSA)

11:00 - 11:15 Symptomatic Gall Stones after sleeve gastrectomy Haytham Fawal (Lebanon)

11:15 - 11:30 Prospective Randomized Controlled Trial comparing sleeve Mufazzal Lakdawala (India) gastrectomy vs single anastomosis gastric bypass vs banded gastric bypass

14:00 - 17:00 Master Class on Mini Gastric Bypass

Day 1 - Wednesday, 30 November 2016

Day 2 - Thursday, 1 December 2016

14:00 - 14:30 Mini Gastric Bypass – Patient preparation & Selection Ali Khammas (UAE) 14:30 - 15:00 Technical Elements of a Mini Gastric Bypass Ali Khammas (UAE)15:00 - 15:30 Coffee Break15:30 - 16:15 Management of surgical complication – Immediate/delayed Osama Taha (Egypt)16:15 - 17:00 Long term follow up and nutritional evaluation Osama Taha (Egypt)17:00 - 17:30 Q&A and Close

09:00 - 14:00 Live Surgery Cases: 3 - 4 bariatric cases broadcasted from the Bahrain Defense Force Hospital (BDF). Major General (Prof) Khalid Bin Ali Alkhalifa (Bahrain) Karl Miller (UAE) | Antonio Torres (Spain) | Osama Taha (Egypt) | Waleed Bukhari (KSA) Mousa Khoursheed (Kuwait)


11:30 - 11:45 The “Unhappy” Sleeve patient Shaw Somers (UK)

11:45 - 12:00 Sleeve gastrectomy with duodeno-jejunal bypass Atul Peters (India)

12:00 - 12:15 Weight Gain After Sleeve Gastrectomy: Sasi Bypass, Is It A Tarek Mahdy (Egypt) Good Option? 12:15 - 12:30 Discussion

12:30 - 14:00 Lunch Break

Session III: Mini Gastric Bypass Moderators: Ali Almontashery (KSA) | Raad Almehdi (Oman) | Mufazzal Lakdawala (India)

14:00 - 14:15 Four years of Laparoscopic Single Anastomosis Gastric Haider A Al-Shurafa (KSA) Bypass: Transition From Roux-en-Y Gastric Bypass after 16 years

14:15 - 14:30 Our experience in MGB Mohamed Ismail (India)

14:30 - 14:45 Mini gastric bypass practical problems Shamsi El Hasan (UK)

14:45 - 15:00 Complications of MGB Atul Peters (India)

15:00 - 15:15 Bile Reflux Gastritis after OAGB/MGB Abdelrahman Nimeri (UAE)



Session IV: Highlights from the IFSO World Congress 2016 in Rio, Brazil (Supported by Ethicon) Moderators: Karl Miller (UAE) | Abdel Rahman Nimeri (UAE)

16:00 - 16:15 Opening and Welcome Karl Miller (UAE)

16:15 - 16:45 TE in Bariatric surgery and the Cleveland Clinic study Abdelrahman Nimeri (UAE)

16:45 - 17:15 My Take home Messages from IFSO 2016 Mousa Khoursheed (Kuwait)

17:15 - 17:45 Guidelines – new strategy to touch and help more patients Karl Miller (UAE)


18:00 - 18:15 Closing

Session V: Matabolic Surgery (Parallel Session I) Moderators: Mohammed Khalid Mirza (KSA) | Mohammed Alkawari (Qatar) | Shaw Somers (UK)

14:00 - 14:15 Efficacy of Single Anastomosis Sleeve ILEAL (SASI) Bypass Tarek mahdy (Egypt) For Type-2 Diabetic Obese Patients: Gastric Bipartition, A Novel Metabolic Surgery Procedure

14:15 - 14:30 Laparoscopic Sleeve Gastrectomy for the Management of Salman Al-Sabah (Kuwait) Type 1 Diabetes Mellitus

14:30 - 14:45 Facing the tides of Diabetes – Early experience with Metabolic Raad Almehdi (Oman) surgery at the Royal Hospital in Muscat

14:45 - 15:00 Options for Revision Post Sleeve Gastrectomy Mufazzal Lakdawala (India)

15:00 - 15:15 Metabolic Surgery Mohamed Ismail (India)



scientific Program scientific Program



Session VI: Complications of Bariatric Surgery I (Parallel Session I) Moderators: Amer Alderazi (Bahrain) | Motaz Basha (Qatar) | Antonio Torres (Spain)

16:00 - 16:15 Methods and indications for Reversal of RYBG Haider A Al-Shurafa (KSA)

16:15 - 16:30 Thoracic Complications of bariatric Surgery; overlooked or Yasser Aljehani (KSA) underreported entities

16:30 - 16:45 One anastomosis duodenal switch vs one anastomosis Antonio Torres (Spain) gastric bypass. Any differences?

16:45 - 17:00 GERD in sleeve gastrectomy patients Mina Girgis (Bahrain)

17:00 - 17:15 Catastrophies in Bariatric Surgery Waleed Bukhari (KSA)


18:00 - 20:00 Master Class on Sleeve Gastrectomy

Welcome & Introductions

18:10 - 19:15 What does a perfect sleeve look like | Debate on real cases Karl Miller (UAE) Survey on sleeve gastrectomy | What to do when sleeves fail

19:00 - 19:45 Innovation in the Power of Sealing and Stapling Karl Miller (UAE)

19:45 - 20:00 Conclusion

20:00 Closing


Session VII: Complications of Bariatric Surgery II Moderators: Ali Alqayim (Bahrain) | Atul Peters (India) | Shamsi El Hasan (UK)

09:00 - 09:15 Aorto-Gastric Fistula As A Complication Post Sleeve Asaad Salama (Qatar) Gastrectomy Leak

09:15 - 09:30 Internal Hernia: Catastrophic outcome in the hands of non Osamah Alsanea (KSA) bariatric surgeons

09:30 - 09:45 Post LSG solid organ infection Mohammed Hamdy (Kuwait)

09:45 - 10:00 Internal hernia after laparoscopic Roux en Y gastric bypass Abdelrahman Nimeri (UAE)

10:00 - 10:15 Mini gastric bypass pitfalls and solutions Shamsi El Hasan (UK)

10:15 - 10:30 Role of Bariatric Surgery in Managing Obesity related Infertility Raad Almehdi (Oman) Early experience from Oman

10:30 - 10:45 Revision of the R-Y Gastric Bypass for the Weight regain Ahmed Algarzaie (KSA)


11:00 - 13:00 Friday Prayers and Lunch Break

Session VIII: Revisional Bariatric Surgery Moderators: Ali Khammas (UAE) | Osama Taha (Egypt) | Nabeel Alasheeri (Bahrain)

13:00 - 13:15 RE-DO in Bariatric Surgery, Experience From Saudi Arabia Ahmed Algarzaie (KSA)

Day 3 - Friday, 2 December 2016


13:15 - 13:30 Several bariatric revisions: Is it worth it? Haider A Al-Shurafa (KSA)

13:30 - 13:45 Bypass to sleeve revision Shaw Somers (UK)

13:45 - 14:00 Surgical revision for weight regain after RYGBP? Is there best option Ali Almontashery (KSA)

14:00 - 14:15 Revision Sleeve Gastrectomy: Why I prefer Single Anastomosis Osamah Alsanea (KSA) Duodenal Switch to Single Anastomosis Gastric Bypass as an additional procedure to resleeving


Session IX: Controversies in Bariatric Surgery Moderators: Adnan Mofti (KSA) | Mohamed Ismail (India) | Ahmed Algarzaie (KSA)

15:00 - 15:15 Sleeve Gastrectomy in more than 60 years old patients: Elie Chouillard (France) A prospective study of 89 patients

15:15 - 15:30 Bariatric Surgery in Children and Adolescents Where do we stand Mohammed Al Mohaidly (KSA)

15:30 - 15:45 MGB for problems of sleeve Faheem Elbassiony (Egypt)

15:45 - 16:00 Mandatory risk assessment reduces venous thromboembolism Abdelrahman Nimeri (UAE) in bariatric surgery patients

16:00 - 16:15 Management of Hiatus hernia during RYGB and Sleeve gastrectomy Mousa Khourseed (Kuwait)



Session X: Video Session Moderators: Abdulazeem Wahab (Qatar) | Ahmed Jawad (Bahrain)

17:00 - 17:15 Revision of LSG to LRYGB for intractable bile reflux; tips and tricks Safwan Taha (UAE)

17:15 - 17:30 Non-cardiac Chest pain can be a sequel from previous surgeries Wadha Al Yaqout

17:30 - 17:45 Intrathorocic migration of gastric sleeve Mousa Khoursheed (Kuwait)

17:45 - 18:00 Revision of Mini gastric bypass/ One Anastomosis gastric bypass Ahmed Algarzaie (KSA) to Normal Anatomy

18:00 - 18:15 LSG for morbid obesity in a liver donor with a massive T-shaped Safwan Taha (UAE) abdominal scar and extensive intra-abdominal adhesions


18:30 - 19:00 Closing

Session XI: Regional Bariatric Experience II Moderators: Mohammed Alemadi (Qatar) | Moussa Khoursheed (Kuwait) | Haider A Al-Shurafa (KSA)

09:00 - 09:15 Lessons learnt from revising Roux-Y Gastric Bypass over the years Osamah Alsanea (KSA)

09:15 - 09:30 Gastric cancer after laparoscopic sleeve gastrectomy Ali Almontashery (KSA)

09:30 - 09:45 Redo after VBG Faheem Elbassiony (Egypt)

09:45 - 10:00 Experience with Laparoscopic Sleeve Gastrectomy and Bakhos M. Alhaddad (Qatar) management of its Complications in Al Ahli Hospital, Qatar

10:00 - 10:15 Laparoscopic anterior gastric plication in obese patients undergoing Sabry A. Mahmoud (Egypt) elective laparoscopic cholecystectomy; short term outcome

10:15 - 10:30 Bariatric surgery in elderly patients- Our Experience Aruna Varma (UAE)


scientific Program


10:30 - 10:45 Dubai Hospital experience in early postoperative outcome of Biborka Bereczky (UAE) standardized fully stapled laparoscopic Roux-en-Y gastric bypass surgery for morbid obesity


11:00 - 13:00 Friday Prayers and Lunch Break

Session XII: Controversies in Bariatric Surgery II Moderators: Basim Al Khafaji (UAE) | Ahmed Alansari (Bahrain)

13:00 - 13:15 Revisional metabolic surgery after failed primary restrictive Abdulaziz Ali procedure

13:15 - 13:30 Obstacles to starting a Bariatric Surgery Multidisciplinary Abdelrahman Nimeri (UAE) team Experience after 1000 complex bariatric surgery alignment

13:30 - 13:45 Do we really need to over sew the staple line in LSG? Safwan Taha (UAE)

13:45 - 14:00 Mini gastric bypass under paraverteberal block Haytham Fawal (Lebanon)

14:00 - 14:15 Surgical Treatment of BPD metabolic Complications Mohammed Khalid Mirza (KSA)



Session XIII: Video Session II Moderators: Mohammed Alsaibani (Oman) | Hani Alsaati (Bahrain)

15:00 - 15:15 Sleeve gastrectomy or RYGB in patients who had fundoplication Mousa Khourseed (Kuwait)

15:15 - 15:30 Gastrogastric Fistula: A Posiable Complication Of Gastric Bypass Ahmed Algarzaie (KSA)

15:30 - 15:45 Standard technique of sleeve gastrectomy to avoid leak, bleeding Mousa Khourseed (Kuwait) and GERD

15:45 - 16:00 Incidental operative findings Mina Girgis (Bahrain)

16:00 - 16:15 Redo challenges doing GBP after restrictive procedures Osama Taha (Egypt)



Session XIV: Endo Bariatric Surgery Moderators: Mubarak Alkandari (Kuwait) | Faheem Elbassiony (Egypt) | Haya Khalfan (Bahrain)

17:00 - 17:15 Short Experience with first POSE Procedures (Primary Obesity Abdul Azim A. W. Hussain Surgery, Endoluminal) and management of its Complications (Qatar)

17:15 - 17:30 Safety and feasibility of interagastric Balloon insertion as Ali Almontashery (KSA) bridging in high risk patient

17:30: - 17:45 Endoscopic management of sleeve stenois Salman Al-Sabah (Kuwait)

17:45 - 18:00 Allurion elipse gastric balloon Salman Al-Sabah (Kuwait)

18:00 - 18:15 Gastric baloon as a rescue in high BMI patients Salman Al-Sabah (Kuwait)


18:30 - 19:00 Closing


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