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

Un nuevo estudio desarrollado por la Organización Mundial de la Salud reconoce los beneficios de la Cirugía Metabólica para pacientes con afecciones complejas como la Obesidad Mórbida y comorbilidades asociadas como la Diabetes. De hecho, la institución pone de manifiesto que más de 350 millones de adultos requieren intervenciones quirúrgicas especializadas para mejorar su bienestar general a largo plazo. Frente a esta realidad, los facultativos necesitan actualizar sus conocimientos asiduamente para fortalecer sus habilidades clínicas y garantizar la realización de procedimientos elevadamente personalizados.  Solamente así, contribuirán a asegurar una óptima recuperación de los individuos y reducir los riesgos vinculados con el sobrepeso.

Bajo esta máxima premisa, TECH presenta un innovador Postgraduate diploma en Postgraduate Diploma in Revision Surgery, Metabolic Surgery and Special Situations after Bariatric Surgery. El itinerario académico profundizará en la planificación quirúrgica individualizada y la selección de técnicas modernas adaptadas a cada situación clínica. También, el temario abordará el manejo de complicaciones postoperatorias complejas, proporcionando estrategias efectivas de seguimiento nutricional, metabólico y psicológico. A su vez, los materiales didácticos ahondarán en los protocolos de actuación más actualizados para garantizar intervenciones seguras. Como resultado, los egresados obtendrán competencias avanzadas para optimizar los resultados clínicos y mejorar la calidad de vida de los usuarios bariátricos a largo plazo.

En lo que respecta a la metodología, esta propuesta académica se cimenta en el disruptivo sistema del Relearning para promover una actualización de conocimientos natural, eficiente y progresivo. Como colofón, un prestigioso Director Invitado Internacional impartirá unas exhaustivas 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 reputado Director Invitado Internacional ofrecerá unas exclusivas Masterclasses sobre los avances más recientes en el campo de la Cirugía Bariátrica, de Revisión y Metabólica” 

Esta Postgraduate diploma en Postgraduate Diploma in Revision Surgery, Metabolic Surgery and Special Situations after Bariatric Surgery 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 

Abordarás las indicaciones y contraindicaciones tanto de los procedimientos de Revisión como de las diferentes técnicas metabólicas” 

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 alumno 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. 

Manejarás diversas complicaciones complejas de la postcirugía Bariátrica, incluyendo Obstrucciones Intestinales y Deficiencias Nutricionales severas” 

Con la revolucionaria metodología Relearning de TECH Global University, asimilarás todos los conocimientos de forma eficiente y natural para optimizar tu práctica clínica diaria de forma considerable” 

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. Basics of Metabolic Surgery

1.1. Metabolic Syndrome and Mediators of Inflammation 

1.1.1. Bariatric Surgery vs. Metabolic Surgery Anatomo-Physiological Basis of Metabolic Surgery
1.1.2. Control Mechanisms of the Different Comorbidities Associated with Obesity
1.1.3. Future Perspectives of Metabolic Surgery

1.2. Pathophysiology of Diabetes Medical and Dietary Treatment of Diabetes 

1.2.1. Insulin and Alteration in its Cellular Response.
1.2.2. Hyperglycemia, Hyperlipidemia and Tissue Damage
1.2.3. Energetic Metabolism Alterations
1.2.4. Associated Phenomena; Inflammation, Apoptosis, Steatosis and Cellular Fibrosis

1.3. Role of Gastrointestinal Hormones in the Resolution of Type 2 Diabetes Mellitus after Bariatric Surgery 

1.3.1. Introduction
1.3.2. Gastointestinal Hormones Involved in the Metabolism of Glucose

1.3.2.1. Incretinic Effect

1.3.3. Pathphysiology and Etipathogenesis of Type 2 Diabetes in Obese Patients

1.3.3.1. Role of Gastrintestinal Hormones in Resistance to Insulin

1.3.4. Contribution of Bariatric Surgery to the Resolution of Type 2 Diabetes

1.3.4.1. Weight Loss
1.3.4.2. Modification of Nutrients and Microbiota
1.3.4.3. Effect of Gastrointestinal Hormones: Proximal and Distal Bowel Theory

1.3.5. Evidence of Bariatric Surgery in Type 2 Diabetes

1.3.5.1. Short and Long term Impact of Bariatric Surgery in Regulating Glucose Metabolism
1.3.5.2. Medical vs. Surgical Treatment
1.3.5.3. GBP vs. VG

1.4. Concept of Metabolic Surgery, Concept and Scientific Evidence 

1.4.1. Introduction: History of Metabolic Surgery
1.4.2. Concepts of Metabolic Surgery:

1.4.2.1. General Concepts: Obesity Surgery and the Metabolic Complications
1.4.2.2. Specific Concepts: Diabetes Surgery

1.4.3. Indications of Metabolic Surgery:

1.4.3.1. Indications in Diabetic Patients with Morbid Obesity
1.4.3.2. Indications in Type 2 Diabetic Patients with BMI 35-40
1.4.3.3. Indiciations in Diabetic Patients with BMI< 30

1.4.4. Surgical Defects

1.4.4.1. Classic Techniques (Gastric Banding, Vertical Gastrectomy, Gastric Bypass and Biliopancreatic Bypass)
1.4.4.2. New Techniques: BAGUA SADI-S, Gastroileal Bypass of One Anastomosis, others)

1.4.5. Current Scientific Evidence on Metabolic Surgery
1.4.4. Ethical and Deontological Aspects of Metabolic Surgery

1.5. Importance of Loop Lengths in Bariatric Surgery 

1.5.1. Determing the Cutting Points
1.5.2. Patient Monitoring
1.5.3. Comorbidity Remission

1.6. Influence of the Microbiota in Bariatric Surgery 

1.6.1. Microbiome: basic concepts
1.6.2. Microbiome and Obesity
1.6.3. Changes in Microbiome after Bariatric Surgery

1.7. Obesity and NASH Role of the Liver as Metabolism Regulator

1.7.1. Role of the Liver as Metabolism Regulator
1.7.2. Obesity and Non-Alcoholic Fatty Liver Disease
1.7.3. Bariatric Surgery and Non-Alcoholic Fatty Liver Disease

1.8. Influence of Bile Acids

1.8.1. Bile Acid Synthesis and Hepatic Circulation
1.8.2. Regulation of Dietary Fat Availability by Bile Acids
1.8.3. Main Bile Acid Receptors: TGR5 - FXR
1.8.4. Regulation of Metabolism by the Bile Acids
1.8.5. Metabolic Effects of Manipulating Intestinal Bile Acid Availability after Bariatric Surgery

1.9. Influence of Bariatric Surgery on Hypogonadism and Polycystic Ovary Syndrome (POS) 

1.9.1. Prevalance of Male Hypogonadism and POS in Bariatric Surgery Candidates
1.9.2. Effects of Bariatric Surgery in the Hormonal Concentrations of Patients with Male Hypogonadism and the Semen Quality
1.9.3. Effects of Bariatric Surgery on the Resolution of POS and Female Fertility

1.10. Timing of Metabloic Surgery and its Effect on the Pancreas 

1.10.1. Time as a Predictor of Diabetes Resolution after Metabolic Surgery
1.10.2. Pancreas Remodeling Capacity of the Pancreas in Man versus Animal Models
1.10.3. Regeneration of the Pancreas and Hyperinsulinism after Bariatric Surgery

Module 2. Transplantation, Abdominal Wall and Special Situations in Bariatric Surgery

2.1. Technical Considerations in the Perioperative Management of the Morbidly Obese Patient with Associated Abdominal Wall Pathology 

2.1.1. Preoperative Optimization
2.1.2. Obesity Surgery Before Wall Surgery
2.1.3. Dermolipectomies as an Associated Procedure in Abdominal Wall Reconstruction

2.2. Solid Organ Transplant and Bariatric Surgery 

2.2.1. Obesity and Donors
2.2.2. Transplantation and Surgical Technique
2.2.3. Post-Transplant Obesity: Metabolic Syndrome
2.2.4. Bariatric Surgery and Liver or Kidney Transplant

2.3. Obesity and Gastroesophageal Reflux 

2.3.1. Pathophysiology of Reflux Diagnostic tests
2.3.2. GERD in the Context of Obesity
2.3.3. GERD Therapy Focus in an Obese Patient

2.3.3.1. Medical Treatment
2.3.3.2. Surgical Management

2.3.4. Monitoring of Patient with GERD

2.4. Management of a Morbidly Obese Patient What is the Ideal Strategy?

2.4.1. Definition of a Superobese Patient
2.4.2. Is a Superobese Patient Different to a Simple Obese Patient?
2.4.3. Multidisciplinary Preoperative Management of the Superobese Patient
2.4.4. Role of an Intragastric Balloon in a Superobese Patient
2.4.5. Anesthetic Management and Monitoring of the Superobese Patient
2.4.6. Surgery in Superobese Patients Is There a Technique of Choice?
2.4.7. What Results Can We Expect Following Surgery in Superobese Patients?
2.4.8. Nutritional Monitoring in a Superobese Patient After Surgery

2.5. Surgery in a Patient with BMI <35

2.5.1. Introduction
2.5.2. Impact of Class I Obesity (BMI 30-35kg/ m2) On Health
2.5.3. Non-Surgical Treatment of Class I Obesity
2.5.4. Evidence in the Literature on Bariatric Surgery in BMI 30-35 Kg/M2
2.5.5. Safety of Bariatric Surgery
2.5.6. Cost-Benefit Ratio
2.5.7. Recommendations from Different Scientific Societies

2.6. Pregnancy and Bariatric Surgery 

2.6.1. Perinatal Risks and Complications in Pregnant Women undergoing Bariatric Surgery
2.6.2. Management of Pregnant Woman Undergoing Bariatric Surgery

2.7. Adolescents and Bariatric Surgery Technique and Results 

2.7.1. Adolescents and Morbid Obesity
2.7.2. Indications and Current Situation
2.7.3. Therapeutic Perspectives and Results

2.8. Effects of Bariatric Surgery on Bone Metabolism 

2.8.1. Introduction
2.8.2. Pathophysiological Mechanisms

2.8.2.1. Malabsorption of Nutrients
2.8.2.2. Mechanical Disorders
2.8.2.3. Neurohormonal Mechanisms

2.8.3. Effects of Bariatric Surgery on Bone Metabolism

2.8.3.1. Adjustable Gastric Band
2.8.3.2. Gastric Bypass
2.8.3.3. Vertical Gastrectomy
2.8.3.4. Biliopancreatic Diversion-Duodenal Crossover

2.8.4. Fracture Risk
2.8.5. Recommendations in the Preoperative Evaluation and Treatment of Bone Metabolism Alterations after Bariatric Surgery.

2.8.5.1. Properative Evaluation
2.8.5.2. Treatment of Bone Metabolism Alterations after Bariatric Surgery

2.9. Other Special Situations in Bariatric Surgery 

2.9.1. Inflammatory Bowel Disease
2.9.2. Heart Disease
2.9.3. Kidney Diseases
2.9.5. Neurological Diseases and Mobility Problems
2.9.5. Psychiatric Illness

2.10. Sarcopenia and Loss of Muscle Mass 

2.10.1. Body Tissue
2.10.2. Energy Expenditure
2.10.3. Sarcopenia

    2.10.3.1. Definition
    2.10.3.2. Assessment
    2.10.3.3. Sarcopenic Obesity

2.10.4. Changes in Body Composition in Bariatric Patients
2.10.5. Inconveniences of Loss of Fat-Free Mass in Bariatric Patients

Module 3. Revision Surgery

3.1. Definition and Indications of Revision Surgery 

3.1.1. Definition and Indicators of the Success or Failure of the Bariatric Surgery
3.1.2. Indications of Revision Surgery
3.1.3. General Features of Revision Surgery
3.1.4. Surgical Strategy in Revision Surgery
3.1.5. General Criteria According to the Type of Primary Technique

3.2. Revision Surgery of Techniques No-Longer Used 

3.2.1. Introduction. Historical Review
3.2.2. Description of Techniques No-Longer Used
3.2.3. Indications of Revision Surgery
3.2.4. Preoperative Study and Preparation of the Patient
3.2.5. Therapy Options
3.2.6. Conclusions

3.3. Revision Surgery Following Adjustable Gastric Band 

3.3.1. Introduction, Indications and Basic Principles When Should We Consider Bandage Revision Surgery?
3.3.2. Revision Surgery Following Adjustable Gastric Band Technique Analysis of Surgery
3.3.3. Revision Surgery Following Adjustable Gastric Band: Results

3.4. Revision Surgery after a Vertical Gastrectomy 

3.4.1. Motives and Candidates for Revision Surgery after a Vertical Gastrectomy
3.4.2. Revision Surgery Due To Insufficient Loss or Weight Regain after Vertical Gastrectomy

3.4.1.1. Duodenal Crossover / SADI-S Revision or 2nd Part
3.4.1.2. Gastric Bypass as an Alternative to Duodenal Crossover
3.4.1.3. Other Possible Alternatives?

3.4.2. Revision Surgery for GER after Vertical Gastrectomy

3.4.2.1. Gastric By-Pass as the Best Option
3.4.2.2. Other Possible Alternatives?

3.5. Revision Surgery after a Gastric Bypass

3.5.1. Introduction
3.5.2. Indications

3.5.2.1. Insufficient Weight Loss
3.5.2.2. Weight Regain
3.5.2.3. Persistence of Comorbidities
3.5.2.4. Late Complications

3.5.2.4.1. Reservoir Dilatation
3.5.2.4.2. Alterations of the Gastro-Gastric Anastomosis
3.5.2.4.3. Gastroesophageal Reflux
3.5.2.4.5. Internal Hernias
3.5.2.4.6. Malnutrition
3.5.2.4.7. Hypoglycemia

3.5.3. Technical Aspects

3.5.3.1. Reconfection of the Reservoir
3.5.3.2. Reparation of the Gastro-Gastric Anastomosis
3.5.3.3. Modification of Handle Length
3.5.3.4. Conversion of Normal Anatomy

3.5.4. Conclusions

3.6. Revision Surgery after a One Anastomosis Bypass 

3.6.1. Introduction
3.6.2. Relevance of a Correct Technique
3.6.3. Indications

3.6.3.1. Weight Loss or Weight Regain
3.6.3.2. Persistence of Cormobidities
3.6.3.3. Gastroesophageal Reflux
3.6.3.4. Nutritional Disorders

3.6.4. Technical Aspects
3.6.5. Results
3.6.6. Conclusions

3.7. Revision Surgery after a Duodenal Crossover 

3.7.1. Revision Surgery after a Duodenal Crossover

3.7.1.1. Revision Surgery for Nutritional Complications

3.7.1.1.1. Indications
3.7.1.1.2. Technique Options

3.7.2. Revision Surgery for Insufficient Weight Loss or Weight Regain after Duodenal Crossover

3.7.2.1. Indications
3.7.2.2. Technique Options

3.8. Revision surgery after BPD 

3.8.1. Indications of Revision Surgery for Biliopancreatic Diversion
3.8.2. Revision Surgery due to Insufficient Loss or Weight Regain after Biliopancreatic Diversion
3.8.3. Medical-Surgical Criteria for Revision Surgery for Protein Malabsorption

3.8.3.1. Technique Options in Revision Surgery for Severe Protein Deficiency

3.8.4. Revision Surgery in Ulcerative Complications of Gastrojejunal Anastomosis in Biliopancreatic Diversion

3.9. Revision surgery after SADI-S 

3.9.1. Medium and Long-Term Results of SADI-S, Common Problems
3.9.2. Indications of Revision Surgery after SADI-S
3.9.3. Technique Options in Revision Surgery for Severe Protein Deficiency

3.10. Role of Endoscopic Surgery in the Management of Complications and Weight Regain 

3.10.1. Introduction
3.10.2. Gastrointestinal Bleeding
3.10.3. Anastomotic Ulcers
3.10.4. Stenosis
3.10.5. Leakages and Fistulas
3.10.6. Pancreatobiliary Pathology
3.10.7. Weight Regain