Un programa exhaustivo y 100% online, exclusivo de TECH y con una perspectiva internacional respaldada por nuestra afiliación con la Obesity Medicine Association” 

Según un reciente estudio efectuado por la Organización Mundial de la Salud, la Obesidad Mórbida afecta a millones de personas a escala global. De hecho, estima que el año pasado se realizaron más de 500.000 cirugías metabólicas y bariátricas. A pesar de que la mortalidad Perioperatoria tras la Cirugía Bariátrica es baja, se ha producido un incremento de situaciones de emergencias como Perforaciones que dificultan la labor de los médicos considerablemente. En este contexto, los profesionales tienen la responsabilidad de incorporar a su práctica clínica diaria las estrategias más modernas para optimizar la detección precoz de las Urgencias y la respuesta quirúrgica en usuarios bariátricos. 

Ante este escenario, TECH ha creado un pionero programa en Perioperative Management for Morbid Obesity. Bariatric Patient Emergencies. Confeccionado por expertos de renombre, el itinerario académico profundizará en la evaluación diagnóstica integral y en la identificación de comorbilidades críticas. A su vez, el temario proporcionará diversas estrategias orientadas a la prevención de complicaciones intraoperatorias y el abordaje de situaciones de emergencias como Obstrucciones. También, los materiales didácticos ofrecerán los protocolos de seguimiento postoperatorio más actualizados para asegurar la óptima recuperación de las personas. Gracias a esto, los egresados desarrollarán competencias avanzadas que les permitirá mejorar la calidad de vida de los pacientes a largo plazo.  

En cuanto a la metodología, esta titulación se imparte mediante la disruptiva metodología del Relearning para impulsar una actualización de conocimientos natural y progresiva.  Además, un reconocido Director Invitado Internacional impartirá unas intensivas Masterclasses. 

Asimismo, gracias a que TECH es miembro de la Obesity Medicine Association (OMA), el profesional contará con materiales especializados, guías y planes de clase en el manejo de la obesidad. Adicionalmente, podrá asistir a eventos académicos, recibir descuentos en publicaciones y conectarse con una red internacional de investigadores, reforzando la comprensión clínica y promoviendo el abordaje de la obesidad y comorbilidades desde un enfoque interdisciplinario. 

Un prestigioso Director Invitado Internacional ofrecerá unas rigurosas Masterclasses sobre los últimos avances terapéuticos en el tratamiento de la Obesidad Mórbida” 

Esta Postgraduate diploma en Perioperative Management for Morbid Obesity. Bariatric Patient Emergencies contiene el programa universitario más completo y actualizado del mercado. Sus características más destacadas son:

• El desarrollo de casos prácticos presentados por expertos en Medicina 
• Los contenidos gráficos, esquemáticos y eminentemente prácticos con los que están concebidos recogen una información científica y práctica sobre aquellas disciplinas indispensables para el ejercicio profesional 
• Los ejercicios prácticos donde realizar el proceso de autoevaluación para mejorar el aprendizaje 
• Su especial hincapié en metodologías innovadoras 
• Las lecciones teóricas, preguntas al experto, foros de discusión de temas controvertidos y trabajos de reflexión individual 
• La disponibilidad de acceso a los contenidos desde cualquier dispositivo fijo o portátil con conexión a internet 

El disruptivo sistema del Relearning te permitirá actualizar tus conocimientos con menos esfuerzo y más rendimiento, implicándote más en tu especialización como cirujano Bariátrico”

Incluye en su cuadro docente a profesionales pertenecientes al ámbito de la Medicina, que vierten en este programa la experiencia de su trabajo, además de reconocidos especialistas de sociedades de referencia y universidades de prestigio. 

Su contenido multimedia, elaborado con la última tecnología educativa, permitirá al profesional un aprendizaje situado y contextualizado, es decir, un entorno simulado que proporcionará un estudio inmersivo programado para entrenarse ante situaciones reales. 

El diseño de este programa se centra en el Aprendizaje Basado en Problemas, mediante el cual el profesional deberá tratar de resolver las distintas situaciones de práctica profesional que se le planteen a lo largo del curso académico. Para ello, el profesional contará con la ayuda de un novedoso sistema de vídeo interactivo realizado por reconocidos expertos. 

Profundizarás en la identificación temprana de complicaciones críticas propias del Paciente Bariátrico como Obstrucciones, Perforaciones y Hemorragias"

Realizarás un Manejo Perioperatorio de la Obesidad Mórbida holístico que contemple la optimización de comorbilidades y el abordaje anestésico"

The contents of this Postgraduate diploma have been developed by the different experts involved in the program, with a clear purpose: to ensure that our students acquire each and every one of the necessary skills to become true experts in this field. A complete and well-structured program that will take you to the highest standards of quality and success. 

A comprehensive teaching program, structured in well-developed teaching units, oriented toward learning that is compatible with your personal and professional life"

Module 1 Perioperative Management

1.1. ERAS Program in Bariatric Surgery 

1.1.1. Introduction
1.1.2. ERAS Protocols in Bariatric Surgery
1.1.3. Results of Implementation
1.1.4. GERM Multidisciplinary Working Group Protocol Update

1.2. Multidisciplinary Management of the Bariatric Patient 

1.2.1. Pre Surgery

1.2.1.1. Endocrinology and Nutrition
1.2.1.2. Dietitian
1.2.1.3. Psychiatry
1.2.1.4. Psychology
1.2.1.5. Pneumology
1.2.1.6. Cardiology
1.2.1.7. Digestive System
1.2.1.8. Radiology
1.2.1.9. Surgery
1.2.1.10. Anaesthesiology
1.2.1.11. Rehabilitation and Physiotherapy

1.2.2. Hospital Admission

1.2.2.1. Pre Surgery
1.2.2.2. Intraoperative
1.2.2.3. Post-Operative

1.2.3. Monitoring

1.2.3.1. Surgery
1.2.3.2. Endocrinology and Nutrition
1.2.3.3. Dietitian    
1.2.3.4. Psychiatry and Psychology
1.2.3.5. Pneumology
1.2.3.6. Primary Care

1.3. Patient Information, Objectives and Establishing Realistic Expectations 

1.3.1. What is Obesity?
1.3.2. Affectations Arising from Obesity
1.3.3. Obesity in the Current Day
1.3.4. Can it be Modified?
1.3.5. Benefits of Fighting It
1.3.6. Post Surgery Results

1.3.6.1. Complications
1.3.6.2. Weight Regain
1.3.6.3. Therapy Options

1.3.7. Monitoring

1.4. Psychological Assessment 

1.4.1. Psychological Focus on an Obese Patient in Bariatric Surgery
1.4.2. Emotional State and Quality of Life in Candidates of Bariatric Surgery
1.4.3. Considerations in the Pre Surgery Psychological Assessment
1.4.4. Aspects to be Addressed in the Initial Interviews

1.4.4.1. History of the Start and Evolution of Their Obesity
1.4.4.2. Explore Expectations, Motivation and Goals of the Patient
1.4.4.3. Patient’s Lifestyle
1.4.4.4. Family Circle
1.4.4.5. Patient Coping Strategies

1.4.5. Recommended Assessment Instruments

1.4.5.1. Depression/ Anxiety Scale
1.4.5.2. Decision-Making and Self Control
1.4.5.3. Quality of life
1.4.5.4. Body image
1.4.5.5. Eating Disorders
1.4.5.6. Personality

1.4.6. Considerations for Interpreting the Information Collected

1.5. Perioperative Nutritional Management for Patients Put Forward for Bariatric Surgery 

1.5.1. Introduction
1.5.2. Benefits of Pre-Surgery Weight Loss in Bariatric Surgery
1.5.3. Preoperative Treatment Guidelines:

1.5.3.1. Hypocalorie Diet and Very Low-Calorie Diet
1.5.3.2. Medical treatment
1.5.3.3. Other treatments

1.5.4. Postoperative Nutritional Treatment

1.5.4.1. Dietary Progression in the First Weeks
1.5.4.2. Micronutrient Supplementation Guidelines
1.5.4.3. Special Situations

1.6. Thromboembolic Prophylaxis in Bariatric Surgery Prevention Measures for Surgical Site Infections 

1.6.1. Thromboembolic Prophylaxis

1.6.1.1. Introduction
1.6.1.2. Early Mobilization
1.6.1.3. Mechanical Prophylaxis
1.6.1.4. Pharmacological Prophylaxis

1.6.2. Prevention of Surgical Site Infections

1.6.2.1. Introduction
1.6.2.2. Preoperative Phase

1.6.2.2.1. Smoking Control
1.6.2.2.2. Shower and Shaving
1.6.2.2.3. Skin Asepsis and Antisepsis
1.6.2.2.4. Antibiotic Prophylaxis

1.6.2.3. Intra and Perioperative Phase

1.6.2.3.1. Door Opening Control
1.6.2.3.2. Body Temperature and Blood Sugar Level Control
1.6.2.3.3. Tissue Oxygenation
1.6.2.3.4. Wound/Operation Site Irrigation
1.6.2.3.5. Sutures with Antiseptics

1.6.2.4. Post Operative Phase

1.6.2.4.1. Skin Dressings
1.6.2.4.2. Measurement Packages

1.7. Antiemetic Prophylaxis and Goal-Directed Fluid Therapy 

1.7.1. Antiemetic Prophylaxis

1.7.1.1. Identification of Patients from Risk of Suffering Post Operative Nausea and Vomiting (PONV) in Bariatric Surgery
1.7.1.2. Detection and Intervention of Factors with Reduce the Basal Risk of PONV
1.7.1.3. Antiemetic Drug Management
1.7.1.4. Establishing a Prophylactic Algorithm to Establish Preventive Strategies in High-Risk Patients
1.7.1.5. Description of Treatment for PONV in Bariatric Surgery

1.7.2. Goal-Guided Fluid Therapy

1.7.2.1. Different Approaches to Fluid Administration in Obesity Surgery: Liberal vs. Restrictive Approach

1.7.2.1.1. Liberal vs Restrictive Fluid Therapy
1.7.2.1.2. Preoperative, Intraoperative and Postoperative Periods
1.7.2.1.3. Surgical Factors which Affect the Administration of Fluids

1.7.2.2. Concepts Goal-Guided Fluid Therapy
1.7.2.3. Description of the Parameters that Guide the Administration of Fluids in Bariatric Surgery

1.7.2.3.1. Volume Monitoring
1.7.2.3.2. Functional Hemodynamic Variables

1.7.2.4. Review of Current Monitoring Recommendations in Bariatric Surgery

1.8. Early Mobilization and Reintroduction or Oral Feeding 

1.8.1. Early Mobilization

1.8.1.1. Inconveniences Period of Inactivity
1.8.1.2. Benefits of Early Mobilization
1.8.1.3. Early Mobilization Guidelines

1.8.2. Reintroduction of Oral Feeding

1.8.2.1. Benefits of Early Oral Feeding
1.8.2.2. Importance of Protein Supplements
1.8.2.3. Guidelines for Reintroduction of Oral Feeding

1.9. Impact of Physical Training Programs on the Maintenance of Weight Loss Before and After Bariatric Surgery 

1.9.1. Impact of Physical Training Programs on the Physical Aptitude of Obese People
1.9.2. Physical Activity in the Preoperative and Postoperative Periods of Bariatric Surgery

1.9.2.1. Preoperative Physical Activity
1.9.2.2. Postoperative Physical Activity

1.9.3. Advice Before Starting a Physical Activity Program After Bariatric Surgery
1.9.4. Planning on Physical Activity after Bariatric Surgery

1.9.4.1. Physical Activity During the 1st Month
1.9.4.2. Physical Activity Between the 2nd and 6th Month
1.9.4.3. Physical Activity After the 6th Month

1.9.5. Types of Routines and Exercises

1.10. Optimization of Comorbidities Prior to Bariatric Surgery 

1.10.1. Concept of Multimodal Reahbilitation in Bariatric Surgery
1.10.2. Preanesthetic Consultation in Bariatric Surgery
1.10.3. Study and Detection of the Risk Factors of Corony Heart Disease
1.10.4. Screening for Sleep Apnea-Hypopnea Syndrome
1.10.5. Indications for Preoperative Spirometry in Obese Patients
1.10.6. Description of the Recommended Laboratory Studies on Proposed Patients for Bariatric Surgery
1.10.7. Nutritional Optimization in the Preoperative Period
1.10.8. Respiratory Physiotherapy
1.10.9. Physical Rehabilitation of the Bariatric Patient

Module 2 Postoperative Aftercare and Supplementation

2.1. Postoperative Aftercare and Screening for Nutritional Deficiencies

2.1.1. Dietary and Lifestyle Guidelines after Bariatric Surgery
2.1.2. Macronutrient Deficiencies

2.1.2.1. Vitamins
2.1.2.2. Minerals

2.2. Postoperative Supplementation Mineral and Vitamin Supplements 

2.2.1. Supplementation in Restrictive Techniques
2.2.2. Supplementation in Malabsorption Techniques
2.2.3. Supplementation in Mixed Techniques

2.3. Nutritional Recommendations after Restrictive Techniques 

2.3.1. Nutritional Recommendations in Patients Undergoing Restrictive Techniques
2.3.2. Post- Surgery Complications and Nutritional Problems

2.4. Nutritional Recommendations after Mixed Techniques

2.4.1. Introduction
2.4.2. Nutritional Objectives
2.4.3. Dietary Progression after Surgery

2.4.3.1. Clear Liquid Diet

2.5. Nutritional Recommendations after Malabsorptive Techniques

2.5.1. Introduction
2.5.2. Preoperative Evaluation and Supplementation
2.5.3. Postoperative Diet and Supplementation

2.5.3.1. Proteins
2.5.3.2. Micronutrients

2.5.4. Gastrointestinal Symptoms
2.5.5. Long-Term Monitoring
2.5.6. Conclusions

2.6. Nutritional Management of Patients Suffering from Complications (Critical Patients)

2.6.1. Nutritional Assessment for Critically Ill Patients
2.6.2. Therapeutic Approach for Patients with Complications

2.7. Specific Nutritional Requirements in Children and Adolescents 

2.7.1. Introduction
2.7.2. Nutritional Recommendations
2.7.3. Assessment of Nutritional Status
2.7.4. Nutritional Education
2.7.5. Nutritional Needs
2.7.6. Monitoring of Nutritional Status

2.8. Special Nutritional Requirements in the Elderly

2.8.1. Preoperative Age-Focused Assessment
2.8.2. Age-related Physiological Changes that Alter Supplementation
2.8.3. Special Supplementation and Monitoring

2.9. Special Nutritional Requirements in Women (Pregnancy, Breastfeeding and Menopause) 

2.9.1. Introduction
2.9.2. Obesity and Reproductive Function in Women
2.9.3. Bariatric Surgery, Pregnancy and Breastfeeding

2.9.3.1. Dietary Recommendations
2.9.3.2. Nutritional Supplements
2.9.3.3. Gestational Diabetes
2.9.3.4. Pregnancy Complications after Bariatric Surgery
2.9.3.5. Neonatal Care
2.9.3.6. Nursing

2.9.4. Bariatric Surgery and Menopause

2.10. Postoperative Management of Specific Complications: Anaemia, Protein Deficiency and Neurological Problems 

2.10.1. Introduction
2.10.2. Anaemia
2.10.3. Protein Deficiency
2.10.4. Neurological Complications

Module 3 Emergencies of the Bariatric Surgery Patient

3.1. Semiology of Abdominal Pathology and Complementary Explorations in the Emergency Department in Patients with a History of Bariatric Surgery

3.1.1. Introduction
3.1.2. Medical History and Anamnesis
3.1.3. Physical Exploration
3.1.4. Complementary Examination Orientation
3.1.5. Blood Analysis
3.1.6. Abdomen Rx
3.1.7. Abdominal ultrasound
3.1.8. Axial and Computerized Tomography
3.1.9. Esophagogram and Upper Intestinal Transit

January 03, 2010. Upper Digective Endoscopy
January 03, 2011. Endoscopic Retrograde Cholangiopancreatography
January 03, 2012. Cholangio Nuclear Magnetic Resonance
January 03, 2013. Echoendoscopy.
February 03, 2014. Exploratory Laparoscopy

3.2. Complications of Endoscopis Procedures (intragastric balloon, POSE, Apollo)

3.2.1. Definition of Techniques
3.2.2. Indication of Techniques
3.2.3. Development of Complications
3.2.4. Solution of Complications

3.3. Fistula Management After Bariatric Surgery

3.3.1. Introduction
3.3.2. Leakage and Postoperative Sepsis
3.3.3. Fistula after Laparoscopic Vertical Gastrectomy

3.3.3.1. Causes
3.3.3.2. How to Avoid Them
3.3.3.3. How to Diagnose Them
3.3.3.4. Management

3.3.4. Fistula after Gastric Bypass

3.3.4.1. Causes
3.3.4.2. How to Avoid Them
3.3.4.3. How to Diagnose Them
3.3.4.4. Management

3.3.5. Fistulas after Malabsorptive  Techniques

3.4. Intestinal Obstruction of the Upper and Lower Digestive Tract (bridles, internal hernias, trocars...) after Bariatric Surgery 

3.4.1. Introduction
3.4.2. Obstruction of Upper Digestive Tract
3.4.3. Causes of Intestinal Obstruction

3.4.3.1. After Open Surgery

3.4.3.1.1. Early Onset
3.4.3.1.2. Late Onset

3.4.3.2. After Laparoscopic Surgery

3.4.3.2.1. Early Onset
3.4.3.2.2. Late Onset

3.4.4. Diagnosis of Intestinal Obstruction
3.4.5. Treatment of Intestinal Obstruction
3.4.6. Additional Material

3.5. Acute Digestive Complications: marginal ulcer of anastomotic, stenosis, diarrhea, proctalgia... 

3.5.1. Introduction
3.5.2. Anastomotic Fistula
3.5.3. Marginal Ulcer
3.5.4. Anastomic Stenosis
3.5.5. Acute Diarrhea after Bariatric Surgery
3.5.6. Proctalgia after Bariatric Surgery

3.6. Management of Bleeding after Bariatric Surgery (Upper GI Hemorrhage, Hemoperitoneum...) 

3.6.1. Upper Gastrointestinal Bleeding

3.6.1.1. Early Onset
3.6.1.2. Late Onset

3.6.2. Lower Gastrointestinal Bleeding
3.6.3. Hemoperitoneum

3.7. Hepato-biliary Complications Secondary to Post-Surgical Intestinal Malabsorption. Bacterial Overgrowth 

3.7.1. Hepato-biliary Complications Colelitiasis
3.7.2. Effect of Bacterial Overgrowth on MO
3.7.3. Bacterial overgrowth and NASH

3.8. Medical Complications Related to Bariatric Surgery (dumping syndrome, reactive hypoglycemia, cardiopulmonary, renal). 

3.8.1. Dumping Syndrome
3.8.2. Reactive Hypoglycemia
3.8.3. Cardiopulmonary Complications
3.8.4. Renal Complications

3.9. Nutritional or Toxic Deficiency Emergencies

3.9.1. Introduction
3.9.2. Digestive Emergencies
3.9.3. Neurological Emergencies
3.9.4. Cardiac Emergencies
3.9.5. Nephrourological Emergencies
3.9.6. Psychiatric Emergencies

3.10. Chronic Pain After Bariatric Surgery: a Challenge for the Multidisciplinary Team 

3.10.1. Introduction
3.10.2. Definition
3.10.3. Etiology
3.10.4. Diagnosis
3.10.5. Non-Invasive Treatment
3.10.6. Invasive Treatment

A unique, key, and decisive training experience to boost your professional development"