Over the last several years, AACE has taken a leadership position in the clinical management of obesity issues. That expertise will be on display during Sunday morning’s symposium “Bariatric Surgery and Its Implications.”
“It’s going to be a unique opportunity to hear experts discuss topics that are going to be difficult to find anywhere else,” said Jeffrey Mechanick, MD, FACN, FACP, FACE, ECNU, who is moderating the two-part symposium. “For example, discussions right from the source where the bariatric guidelines are being updated for 2018, and Dr. Bilezikian, a world expert on bone, speaking about bone and bariatric surgery.”
Dr. Mechanick, who is Professor of Medicine, Endocrinology, Diabetes and Bone Disease at The Mount Sinai Hospital, noted that guidelines on the perioperative management of patients who have had bariatric surgery are on track for publication in early 2019 and will be particularly notable because five societies, including AACE, are co-sponsoring them.
“It is quite an accomplishment to forge these relationships among sister societies so that the guidelines have a very strong unified voice,” he said, noting that in addition to AACE, the American Society of Metabolic and Bariatric Surgery, The Obesity Society, the Obesity Medicine Association, and the American Society of Anesthesiologists are co-sponsors of the upcoming guidelines.
The symposium will provide an early look at the updated evidence-based recommendations and access to some of the authors.
Part one of the symposium will feature Travis McKenzie, MD, Assistant Professor of Surgery at Mayo Clinic, discussing novel surgical and non-surgical bariatric procedures that endocrinologists need to know. Dr. Mechanick will follow with a presentation on the clinically significant endocrine and nutritional consequences of bariatric surgery.
John Bilezikian, MD, who is the Dorothy L. and Daniel H. Silberberg Professor of Medicine and Professor of Pharmacology at the College of Physicians & Surgeons, Columbia University and Chief of the Division of Endocrinology and Director of the Metabolic Bone Diseases Program at Columbia University Medical Center, will share his vast expertise on bone mineralization and bariatric surgery.
“This is going to be a very contemporary and thought-provoking talk,” said Dr. Mechanick.
The first half will wrap up with a look at the long-term cardiovascular considerations in bariatric patients by Daniel Hurley, MD, FACE, AACE President Elect, who is Associate Professor of Medicine at Mayo Clinic.
Part two of the symposium will feature all the speakers in a panel discussion moderated by Dr. Mechanick.
“I’ll generate questions that are relevant to the clinical practice of obesity and the preoperative and postoperative management of patients undergoing bariatric procedures, focusing on nutrition, metabolism, weight, cardiovascular risk, and bone,” said Dr. Mechanick. “We also will be entertaining questions from the audience.”
Dr. Mechanick added that he expects attendees will have a better appreciation for how bariatric surgery fits in an updated chronic care model for obesity care.
“So AACE has published a position paper on adiposity-based chronic disease and the complication-centric algorithm for management. And if you look at the way bariatric surgery is configured when it’s presented in other venues, it’s configured very directly associated with BMI. Whereas here we’re configuring decision making for bariatric surgery based on risk: composite risk factors, cardiovascular risk, general health, and this larger obesity care model,” he said.
Session Notes: SGS4: Bariatric Surgery and Its Implications 8:15 am Sunday in Ballroom A-C Jeffrey Mechanick, MD, FACE, will serve as moderator.