Digestive System
In Module Two, we approach the “Digestive System” in 4 parts: the esophagus, stomach, small bowel, and colon. An additional chapter will focus on bariatrics. For each, we discuss the unique anatomy, pathology, surgical and endoscopic knowledge and the complications involved. We will cover diagnostic EGD, surveillance and treatment of Barrett’s esophagus (including advanced imaging techniques) and therapeutic basics such as biopsy, tissue resection and ablation – for esophagus and stomach as well. From there we address enteral access and the unique diagnostic and therapeutic issues in the colon and rectum. Special interests and focus also include advanced therapeutic endoscopy, comprehensive open and laparoscopic surgical care for complex laparoscopic foregut surgery, inflammatory bowel disease surgical care, colorectal and anorectal surgery, surgical care for gastrointestinal malignancies using evidence-based practice guidelines.
We will then revisit the stomach in regard to bariatrics, first discussing endoscopic management of failures and complications after primary surgery. Finally we cover the rapidly evolving area of primary endoscopic bariatric and metabolic procedures.
Objectives
- Safely and effective access the upper and lower GI tract with a variety of endoscopes.
- Recognize and manage abnormal findings of the GI tract, with an understanding of the pertinent anatomy, pathology and imaging.
- Recognize and understand how to evaluate post-surgical anatomy of the GI tract, with an understanding normal versus abnormal postoperative findings.
- Recognize and treat surgical and endoscopic complications in the digestive tract.
- Be able to perform basic upper and lower GI diagnostic and therapeutic procedures, including:
- Tissue biopsy
- Ablation
- Hemostasis
- Dilation of stenoses
- Endoscopic enteral access
- Placement of stents for palliation of management of complications
- Understand the advanced endoscopic techniques for treatment of GERD, Barrett’s esophagus, achalasia and obesity.
Modules
1. GERD - HIATAL HERNIA
Leçons
- Upper gastrointestinal endoscopy and gastro-esophageal reflux disease
- Laparoscopic Antireflux Surgery for GERD
- Complications and failures of antireflux and hiatal hernia repair: morphologic features and management
- Laparoscopic paraesophageal hernia repair: current techniques and controversies
- Ablative and Resective therapies for Barrett esophagus
2. ESOPHAGEAL MOTILITY DISORDERS
Leçons
3. NEOPLAMS
Leçons
- TNM classification of esophageal and gastric cancers
- Gastrectomie partielle et totale pour cancer. Principes et techniques de reconstruction.
- Esophagectomy for thoracic and esophagogastric junction neoplams
- BONUS - Respective indications of EMR and ESD
- BONUS - Video cases of complications during ESD and EMR
4. BARIATRIC
Leçons
- Morbid obesity procedures
- Acute complications of bariatric procedures
- Chronic complications of bariatric procedures
- Endoscopic treatment to CBD stones after bypassbariatric surgery
- Bariatric endoscopy: anatomy
- Bariatric endoscopy and Gastric Band
- Endoscopie bariatrique : Roux-and-Y Gastric Bypass
- Bariatric endoscopy: Sleeve gastrectomy
- Bariatric endoscopy and Sleeve gastrectomy: Leaks and fistula
- Endoscopic procedures for bariatric and metabolic patients: DMR
- BONUS – Quel est le niveau d’évidence pour l’utilisation clinique du ballon intragastrique
