Patients can present to the office many years after bariatric surgery with a myriad of symptoms on an already complex health background. It can be challenging for healthcare providers to know where to start when patients report that everything is going badly. These situations can be more complicated when the patient had their primary bariatric surgery elsewhere and also has a significant mental health history. This case-based session will give attendees an overview of how to approach these puzzling cases with expert guidance from a registered dietitian, psychologist, bariatric surgeon, and obesity medicine specialist. Utilizing this multidisciplinary framework can optimize patient engagement, outcomes, and provider satisfaction.

Learning Objectives

  1. Describe a collaborative approach to patients presenting with chronic complications after bariatric surgery.
  2. Identify the roles for the multidisciplinary team in diagnosing and treating nutritional, mental health, surgical and medical concerns.
  3. Understand the biopsychosocial nature of post-bariatric complications after surgery, treatment approaches.
  4. Provide a framework for complex post-bariatric care.

8:00am Introduction
Afton Koball, PhD
8:10am RD: nutrition assessment /collaboration/ role in assessment post MBS/ patient ed and engagement
Christopher Schafer, RD RDN
8:25am Psych: Effective assessment, specific complexities that can impact post op course, how to gather meaningful info
Afton Koball, PhD
8:40am Surgery: Abdominal pain post MBS, what is the approach to evaluation?
Omar M. Ghanem, MD
8:55am Endo: Weight recurrence, review physio/metabolic changes post MBS/weight loss. Med recs that may be impacting post op symptoms.
Jaime P Almandoz, MD
9:10am Discussion/Question and Answer
Jaime P Almandoz, MD
9:30am Adjourn