Part 1

• Bariatric Surgery Then and Now (LA): A brief history of bariatric surgical operations including anatomy and physiology of commonly performed surgeries such as gastric bypass, sleeve gastrectomy, and biliopancreatic diversion with duodenal switch
• Newcomers to the Field (LA): Overview of endoscopic bariatric procedures including gastric balloons
• Adipose Tissue-Reducing Procedures (LA): What sets these apart from bariatric procedures?
• Choosing Words Wisely (PD): Patient-first language and reframing the way we discuss obesity and treatments
• Ready for Surgery? (LA & PD): What to cover in preoperative psychological & nutritional assessments
• Setting Patients Up for Success (PD): Facilitating success by setting expectations for postoperative outcomes
• To Diet or Not to Diet? (LA): Reviewing the evidence (or lack thereof?) behind preoperative diets & weight loss
• Getting Patients Moving (LA): Selling the case for preoperative exercise to patients

Part 2

• What to Eat and When (LA): Guidance for postoperative diet progression including considerations from enhanced recovery after surgery (ERAS) protocols
• Meeting Micronutrient Needs (LA): Guidance for postoperative micronutrient supplementation
• Dealing with Postoperative Behavioral Issues (PD): Early intervention to help patients mentally, physically, and emotionally adjust to postoperative changes
• Managing Nutrition Complications (LA): Troubleshooting diarrhea, constipation, GERD, dumping syndrome, gout, kidney stones, & reactive hypoglycemia
• Grazing Patterns (LA): Defining grazing and recognizing its impact on postoperative outcomes
• Facilitating Support Groups (PD): Running engaging groups to facilitate long-term success
• Success Beyond the Scale (PD & LA): Refocus patients on improved quality of life and success beyond weight loss
• Addressing Weight Regain (PD & LA): Identifying patients at risk for weight regain and strategies for management

 Learning Objectives

1. describe the physiological and anatomical changes associated with bariatric surgery, endoscopic bariatric therapies, and fat-reducing procedures.

2. identify the components of nutritional and psychological preoperative assessments for patients undergoing bariatric surgery.

3. describe pre-operative and post-operative nutrition guidelines for bariatric surgery patients.

4. identify mental, physical, and emotional challenges faced by pre-operative and post-operative bariatric surgery patients.

5. assess and manage nutrition complications including constipation, diarrhea, dumping syndrome, reactive hypoglycemia, gout, and kidney stones in post-operative bariatric surgery patients.

6. apply strategies for running effective support groups for pre-operative and post-operative bariatric surgery patients.

7. identify appropriate treatments for managing post-operative weight regain.

8. describe how the information in this course can be utilized to improve patient care and patient outcomes.