Conference Program

Stephen A. Glazer, MD, FRCP(C ), FCCP
Internal Medicine
Critical Care Medicine
Diplomate of the American Board of Obesity Medicine

Medical Director, Bariatric Surgical Program
Humber River Regional Hospital
American College of Surgeons Level 1 Accredited Bariatric Center of Excellence

Medical Director, Greater Toronto Area Medical Bariatric Program
Humber River Regional Hospital/University Health Network

Assistant Professor, Department of Medicine
Division of Endocrinology and Metabolism
Queen's University

Lecturer, Department of Internal Medicine
University of Toronto

Dr. Stephen Glazer is a board certified specialist from the University of Toronto in Internal Medicine and Intensive Care Medicine. He is also a Diplomate of the American Board of Obesity Medicine. In April 2010 he was appointed as the Medical Director for the Bariatric Surgical Program at Humber River Regional Hospital. He was instrumental in redeveloping their comprehensive bariatric surgical program. In that year, the bariatric surgical program was nominated as a Leading Practice by Accreditation Canada. In 2012 Dr. Glazer was appointed as a the Director of the only hospital-based Medical Bariatric Program for the Greater Toronto Area, which has enjoyed great growth and development due to the significant contributions of its multidiscipline team members. Dr. Glazer's commitment to the Obesity Epidemic is further displayed by his participation in many committees through the Ontario Bariatric Network and the Canadian Association of Bariatric Physicians and Surgeons. He has a strong interest in program development, quality care initiatives, and physician education. He has personally been involved in direct patient care of over thousands of bariatric patients in the attempt to facilitate weight loss for improved overall health. His research interests include perioperative risk assessment and management as well as sleep apnea in the morbidly obese.

Laurent Biertho, MD
Université Laval, 
Département de Chirurgie
Institut de cardiologie et de pneumologie de Québec

Dr. Laurent Biertho is Clinical Professor of Surgery at Laval University. After being trained in Biomedical Sciences (1993) and Medicine (1998) at the University of Liege, Belgium, he completed his residency in General Surgery (2004). He underwent post-doctoral training in Minimally Invasive surgery at the Mount Sinai School of Medicine in New York, USA, and McMaster University, Canada (2004-2006). At the end of his training, he was appointed Assistant Professor at McMaster University. He was then offered a position as an Associate Professor of Surgery at Laval University, to introduce minimally invasive bariatric and metabolic surgery at the Institut Universitaire de Cardiologie et Pneumologie de Québec. He is the director of the fellowship program in Bariatric and Metabolic surgery at Laval University and co-director of the Research Chair in Bariatric and Metabolic Surgery. He is also the president of the Canadian Association of Bariatric Physicians and Surgeons. His research interests focus on 1) the long-term metabolic outcomes of bariatric surgeries 2) tailoring surgical approaches to the patients’ needs 3) the study and development of new bariatric procedures.  He is the current President of the Canadian Association of Bariatric Physicians and Surgeons (CABPS).

Jill Hamilton, MD, FRCPC 
Professor of Paediatrics, University of Toronto
Staff Physician , Division of Endocrinology
Senior Associate Scientist, Research Institute
Director, Centre for Healthy Active Kids
Mead Johnson Chair in Nutritional Science
The Hospital for Sick Children

Jill Hamilton (MD, MSc, FRCPC) is a Pediatric Endocrinologist at the Hospital for Sick Children, Senior Associate Scientist at the Research Institute, and Professor of Paediatrics at University of Toronto.  Her clinical work is in endocrinology and diabetes with a particular focus in the areas of complex obesity (including hypothalamic obesity and bariatric surgery patients). She is the medical director of the SickKids Team Obesity Management Program (STOMP) and co-chair of the Ontario Paediatric Bariatric Network (OPBN).   Her research focuses on (i) the metabolic complications of obesity in childhood, (ii) biologic and psychosocial determinants of obesity, and (iii) obesity treatment.  She has over 100 peer-reviewed publications and has received research funding from agencies including Canadian Institutes for Health Research (CIHR), National Institute of Health (NIH), Heart and Stroke Foundation and Canadian Diabetes Association.

Dr. Elizabeth Dettmer 

Dr. Elizabeth Dettmer is licensed as a clinical psychologist with a specialty in health psychology in the U.S., Canada, and Botswana.  She is an Assistant Professor in the Division of Paediatrics at the University of Toronto, a Project Investigator with the SickKids Research Institute, and the Mental Health lead of the Sick Kids Team Obesity Management Program, a clinic at the Hospital for Sick Children devoted to children and adolescents with severe obesity.  Dr. Dettmer’s research focuses on how psychological factors impact the development and treatment of obesity as well as psychological issues related to adolescent bariatric surgery. Dr. Dettmer is a member of the Motivational Interviewing Network of Trainers (MINT) and is experienced in providing cognitive behavioural therapy and motivational interviewing in individual, family, and group therapy contexts.

Presentation Overview
A significant subset of adolescents with obesity experience eating disorders such as Binge Eating Disorder, Bulimia Nervosa, and Eating Disorders Not Otherwise Specified.  These disorders are frequently not diagnosed and standard weight loss programming is often not effective or worse, can actually contribute to maintenance of the disorders.  Recent case studies have also warned that a small percent of adolescents may be at risk for taking weight loss strategies too far and developing Anorexia Nervosa. In this twenty-minute presentation Dr. Dettmer, a Health Psychologist that specializes in the treatment of obesity, will present on the symptoms and warning signs of the different eating disorders that adolescents with obesity and their families are likely to reveal to healthcare providers within a treatment setting. She will include suggestions of how to incorporate eating disorder sensitive messaging when working with adolescents and a summary of when to refer individuals for specialty mental health treatment. 

Learning Objectives
At the end of this presentation, participants should be able to:

• Recognize the symptoms of different types of eating disorders most commonly seen in adolescents with obesity 
• Approach their patients with sensitivity and in a way that does not promote the development of eating disorders
• Initiate first steps of treatment and triage/refer adolescents appropriately for additional specialty car

Jacob Langer, MD
Staff Surgeon, General and Thoracic Surgery
The Hospital for Sick Children
Professor of Surgery, University of Toronto

Presentation Overview
Obesity is a major problem in the pediatric population. Bariatric surgery may be helpful for adolescents who fail medical, dietary and lifestyle management, particularly for those who have associated morbidity. This presentation will review the indications for bariatric surgery in adolescents, present the current evidence for outcomes, and discuss the various models for establishing a bariatric surgery program which is focused on the pediatric population.

Learning Objectives
At the end of this presentation, participants should be able to:

1. Understand the indications and surgical options for bariatric surgery in adolescents
2. Be familiar with reported outcomes for adolescent bariatric surgery
3. Appreciate the various models for how an adolescent bariatric surgery program can be set up

Jill Hamilton, MD, FRCPC 
Professor of Paediatrics, University of Toronto
Staff Physician , Division of Endocrinology
Senior Associate Scientist, Research Institute
Director, Centre for Healthy Active Kids
Mead Johnson Chair in Nutritional Science
The Hospital for Sick Children

Jill Hamilton (MD, MSc, FRCPC) is a Pediatric Endocrinologist at the Hospital for Sick Children, Senior Associate Scientist at the Research Institute, and Professor of Paediatrics at University of Toronto.  Her clinical work is in endocrinology and diabetes with a particular focus in the areas of complex obesity (including hypothalamic obesity and bariatric surgery patients). She is the medical director of the SickKids Team Obesity Management Program (STOMP) and co-chair of the Ontario Paediatric Bariatric Network (OPBN).   Her research focuses on (i) the metabolic complications of obesity in childhood, (ii) biologic and psychosocial determinants of obesity, and (iii) obesity treatment.  She has over 100 peer-reviewed publications and has received research funding from agencies including Canadian Institutes for Health Research (CIHR), National Institute of Health (NIH), Heart and Stroke Foundation and Canadian Diabetes Association.

Learning Objectives

1. Recognize the biologic and psychologic complexities driving excess weight gain
2. Distinguish eating phenotypes that may direct managemen

Judy Shiau, MD, FRCPC, DipABOM
Assistant Professor University of Ottawa
Bariatric Medicine Fellowship Program Director
Medical Director and Lead Physician
LEAF Weight Management Clinic

Dr. Shiau’s goal is to provide comprehensive care for patients who are trying to be at a healthy weight. As a general internist, her specialty initially focused on the treatment of cardiovascular disease, diabetes, cholesterol, and hypertension. She soon realized that many of these health issues were linked with weight management and this was the stimulus for her to develop the EMERALD (Evaluation of the MEtabolic syndrome for the Reduction of Atherosclerosis, Lipids, and Diabetes) weight management program at the Ottawa Cardiovascular Centre, treating over 1,000 patients from 2002 to 2012. In 2012, she joined The Ottawa Hospital Weight Management Clinic (TOH-WMC) to help support the Ontario Bariatric Network (OBN) funded medical and surgical weight management programs. However, recognizing the need for a community-based clinic to support patients, Dr. Shiau founded the LEAF Weight Management Clinic (www.leafwmc.com). LEAF stands for Live.Eat.Activity.Forever.

Dr. Shiau graduated medical school from McGill University, completed general internal medicine residency training at McMaster University, and her fellowship year at the University of Toronto. She is certified as a Diplomate of the American Board in Obesity Medicine. As an Assistant Professor and Bariatric Medicine Fellowship program director at University of Ottawa, she trains future generation physicians how to better help their patients who have weight issues.

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Louis J. Aronne, MD, FACP 
Weill Professor of Metabolic Research
Weill Cornell Medical College
Medical Director
Comprehensive Weight Control Center, New York, NY

Louis J. Aronne, MD, FACP, DABOM is a leading authority on obesity and its treatment. He is the Sanford I. Weill Professor of Metabolic Research at Weill-Cornell Medical College where he directs the Comprehensive Weight Control Center, a state-of-the-art, multidisciplinary obesity research, and treatment center with one of the country’s few Obesity Medicine fellowship programs. He has an adjunct Associate Professor of Clinical Medicine appointment at Columbia University. Dr. Aronne is Founder and CEO of BMIQ, a cloud-based weight management system that enables high quality behavioral management of obesity by health care providers. Dr. Aronne graduated Phi Beta Kappa from Trinity College with a BS in biochemistry and from Johns Hopkins University School of Medicine. He completed his internship and residency at Albert Einstein College of Medicine, followed by a Kaiser Foundation Fellowship at Weill-Cornell. He is a member of the AOA Medical Honor Society. Dr. Aronne is former president of the Obesity Society and past Chairman of the American Board of Obesity Medicine. He has performed more than 50 clinical trials of novel obesity treatments, authored more than 100 papers and book chapters on obesity and edited the NIH Guide to the Identification, Evaluation, and Treatment of Overweight and Obesity. He served as a consultant in the development of the Veterans Administration MOVE program, the nation’s largest medically based weight control program. Dr. Aronne has won several awards for medical teaching. Since 2001 he has been ranked in Castle-Connelly’s Top Doctors in NY directory as a specialist in obesity and internal medicine.

Judy Shiau, MD, FRCPC, DipABOM
Assistant Professor University of Ottawa
Bariatric Medicine Fellowship Program Director
Medical Director and Lead Physician
LEAF Weight Management Clinic

Dr. Shiau’s goal is to provide comprehensive care for patients who are trying to be at a healthy weight. As a general internist, her specialty initially focused on the treatment of cardiovascular disease, diabetes, cholesterol, and hypertension. She soon realized that many of these health issues were linked with weight management and this was the stimulus for her to develop the EMERALD (Evaluation of the MEtabolic syndrome for the Reduction of Atherosclerosis, Lipids, and Diabetes) weight management program at the Ottawa Cardiovascular Centre, treating over 1,000 patients from 2002 to 2012. In 2012, she joined The Ottawa Hospital Weight Management Clinic (TOH-WMC) to help support the Ontario Bariatric Network (OBN) funded medical and surgical weight management programs. However, recognizing the need for a community-based clinic to support patients, Dr. Shiau founded the LEAF Weight Management Clinic (www.leafwmc.com). LEAF stands for Live.Eat.Activity.Forever.

Dr. Shiau graduated medical school from McGill University, completed general internal medicine residency training at McMaster University, and her fellowship year at the University of Toronto. She is certified as a Diplomate of the American Board in Obesity Medicine. As an Assistant Professor and Bariatric Medicine Fellowship program director at University of Ottawa, she trains future generation physicians how to better help their patients who have weight issues. 

Learning Objectives

1. Address the difference between natural course of weight gain versus weight regain
2. Describe the complex physiology behind weight regain
3. Describe the importance of fat mass set point
4. Recognize the consequences of weight cyclin

Dr. Sean Wharton, MD, PharmD, FRCP(C) 
Internal Medicine Specialist, Adjunct Professor McMaster University and York University
Diplomat of the American Board of Obesity Medicine
The Wharton Medical Clinic
Toronto East General Hospital
Hamilton Health Sciences Centre

Dr. Wharton has his doctorate in Pharmacy and Medicine. He is the medical director of the Wharton Medical Clinic, a community based internal medicine weight management and diabetes clinic.  He is an adjunct professor at McMaster University in Hamilton and York University in Toronto.  He also works as an internist at Toronto East General Hospital, and the Hamilton Health Sciences.  Dr. Wharton is a researcher, and is qualified as a diplomat of the American Board of Obesity Medicine.  Dr. Wharton’s research focuses on bariatric medicine and type 2 diabetes.  He is the lead author of the weight management section of the 2013 and 2018 Canadian Diabetes Guidelines, and co-chair of the 2018 Canadian Obesity Guidelines.

Presentation Overview
Weight gain post bariatric surgery has become the norm now, more than the exception.  The literature surrounding the treatment of reversing this weight gain and stopping further weight gain was previously very limited.  Over the past 5 years we have seen the introduction of a number of medications and pyschological treatment options such as CBT or Food Addiction treatment that have had an impact on this challenging area of medicine.  This presentation will give an update on the latest evidence in the treatment of post surgical weight regain.

Learning Objectives

• Understand the incidence of weight regain post bariatric surgery
• Understand the pathophysiology connected to weight regain post bariatric surgery
• Understand the treatment options available to address weight regain post bariatric surgery

Louis J. Aronne, MD, FACP 
Weill Professor of Metabolic Research
Weill Cornell Medical College
Medical Director
Comprehensive Weight Control Center, New York, NY

Louis J. Aronne, MD, FACP, DABOM is a leading authority on obesity and its treatment. He is the Sanford I. Weill Professor of Metabolic Research at Weill-Cornell Medical College where he directs the Comprehensive Weight Control Center, a state-of-the-art, multidisciplinary obesity research, and treatment center with one of the country’s few Obesity Medicine fellowship programs. He has an adjunct Associate Professor of Clinical Medicine appointment at Columbia University. Dr. Aronne is Founder and CEO of BMIQ, a cloud-based weight management system that enables high quality behavioral management of obesity by health care providers. Dr. Aronne graduated Phi Beta Kappa from Trinity College with a BS in biochemistry and from Johns Hopkins University School of Medicine. He completed his internship and residency at Albert Einstein College of Medicine, followed by a Kaiser Foundation Fellowship at Weill-Cornell. He is a member of the AOA Medical Honor Society. Dr. Aronne is former president of the Obesity Society and past Chairman of the American Board of Obesity Medicine. He has performed more than 50 clinical trials of novel obesity treatments, authored more than 100 papers and book chapters on obesity and edited the NIH Guide to the Identification, Evaluation, and Treatment of Overweight and Obesity. He served as a consultant in the development of the Veterans Administration MOVE program, the nation’s largest medically based weight control program. Dr. Aronne has won several awards for medical teaching. Since 2001 he has been ranked in Castle-Connelly’s Top Doctors in NY directory as a specialist in obesity and internal medicine.

Raul J. Rosenthal, MD, FASMBS 
Professor of Surgery and Chairman,
Department of General Surgery
Director, GS Residency Program
Director, The Bariatric and Metabolic Institute
Co-Editor in Chief, SOARD (Surgery for Obesity and Related Diseases)
Cleveland Clinic Weston, Florida

Dr. Raul Rosenthal completed his medical school and surgical residency in Rosario, Argentina. In 1982 he immigrated to Frankfurt, Germany where he repeated general surgery residency and became attending surgeon at the Northwest Hospital. In 1993 Dr. Rosenthal immigrated to the USA. Three years of minimally invasive surgery fellowship at Cedars Sinai Medical Center in LA were followed by third general surgery residency at Mount Sinai Medical Center in NY. Since 1999 he is Chief of MIS and Bariatric Surgery and Director of Fellowship in Minimally Invasive and Bariatric Surgery at Cleveland Clinic Florida. Since 2012 he is the Chairman of the Department of General Surgery and since 2011 the Director of the General Surgery Residency Program. Between 2014 and 2016 Dr. Rosenthal served as Chief of Staff and Chairman of the Medical Executive Committee at Cleveland Clinic Florida. Dr. Rosenthal was appointed for six years in the Board of Governors of SAGES and served for an equal amount of time in the SAGES Foundation. He also served on multiple committees and is the Senior Past President and member of the Executive Committee of ASMBS.

Dr. Maria Tiboni, MD, FRCPC
Associate Professor, McMaster University
St. Joseph's Healthcare, Hamilton, ON

Dr. Maria Tiboni graduated with honors from the University of Buenos Aires, Argentina in 1990 and completed training in Internal Medicine.  She moved to Canada in 1999 and retrained in Internal Medicine at McMaster University receiving her FRCPC in Internal Medicine from the Royal College of Physicians and Surgeons of Canada in 2006.  Dr. Tiboni holds an academic appointment at the rank of Associate Professor, Department of Medicine, at McMaster University and she is also a staff physician at St. Joseph’s Healthcare Hamilton (SJH) since 2006.  She was appointed the Medical Director of the Bariatric Surgical Program at SJH in 2009, she is a member of the Ontario Bariatric Network Advisory Board and chairs the Ontario Bariatric Network Medical Task Force.

Her interests include perioperative and consultative medicine, medical student and resident education.  Dr. Tiboni’s research interest is perioperative medicine with focus on non-cardiac surgery and bariatric surgery.

She is the local Co-PI at Saint Joseph’s Healthcare of the Vision Study (Vascular Events In Non Cardiac Surgery PatIents COhort evaluatioN), the POISE 2 study (PeriOperative Ischemic Evaluation- 2 Trial). She is the local Co-PI at Saint Joseph's Healtcare of the Vision Study (Vascular Events In Non Cardiac Surgery PatIents COhort evaluantioN)

Marie-Philippe Morin, MD, FRCPC
General Internal Medicine specialist
Bariatric Medicine fellowship

Dr Marie-Philippe Morin works as a General Internal Medicine Specialist at the Quebec Heart and Lung Institute and is an Assistant Professor affiliated to Laval University. She completed her Doctorate in Medicine and her residency in General Internal Medicine at Laval University. In 2016, she achieved a one-year fellowship in bariatric medicine through the University of Ottawa at the Ottawa Hospital Bariatric Centre of Excellence and LEAF Weight Management Clinic. She is also a diplomate of the American Board of Obesity Medicine. Her specialty interests are cardiovascular risk factor management associated with obesity and the management of medical/nutritional complications after bariatric surgery, particularly duodenal switch.

Presentation Overview
Obesity is associated with an increased risk of infertility and maternal and fetal complications during pregnancy. Consequently, some women undergo bariatric procedures to improve fertility. In 2014, 80 % of bariatric surgery in Canada were performed in women and more than half were of reproductive age. More data is now available in the literature regarding fetal and maternal safety of pregnancy after bariatric surgery to help clinicians manage this population.

Learning Objectives

1. To understand the risk of obesity on pregnancy outcomes for mother and fetus. 
2. To understand the benefits and risks for mother and fetus after bariatric surgery.
3. To review the guidelines about pregnancy after bariatric surgery.
4. To review specific points of management for pregnant women after bariatric surgery

Ms. Michelle Mountain, B.Sc., RD
 

Michelle is a Registered Dietitian with a passion for nutrition and its vital role in bariatric surgery. Michelle is originally from New Brunswick. She received a Bachelor of science degree in psychology from Mount Allison University. After completing this degree she moved to Nova Scotia to pursue her passion in nutrition. She received her Bachelor of Science in Applied Human Nutrition from Mount Saint Vincent University and completed her dietetic internship at the Saint John Regional Hospital, Miramichi Regional Hospital, Atlantic Superstore and Nova Scotia Dietetic Association. She has a strong interest in the psychosocial and environmental factors that influence individual's eating behaviors. For the past 6 years Michelle has been working in the bariatric program  at the Humber River Hospital. She has vast experience working with patients both pre and post bariatric surgery. Michelle has been actively involved in helping with the development and incorporation of many programs within the bariatric program.

Jill Hamilton, MD, FRCPC 
Professor of Paediatrics, University of Toronto
Staff Physician , Division of Endocrinology
Senior Associate Scientist, Research Institute
Director, Centre for Healthy Active Kids
Mead Johnson Chair in Nutritional Science
The Hospital for Sick Children

Jill Hamilton (MD, MSc, FRCPC) is a Pediatric Endocrinologist at the Hospital for Sick Children, Senior Associate Scientist at the Research Institute, and Professor of Paediatrics at University of Toronto.  Her clinical work is in endocrinology and diabetes with a particular focus in the areas of complex obesity (including hypothalamic obesity and bariatric surgery patients). She is the medical director of the SickKids Team Obesity Management Program (STOMP) and co-chair of the Ontario Paediatric Bariatric Network (OPBN).   Her research focuses on (i) the metabolic complications of obesity in childhood, (ii) biologic and psychosocial determinants of obesity, and (iii) obesity treatment.  She has over 100 peer-reviewed publications and has received research funding from agencies including Canadian Institutes for Health Research (CIHR), National Institute of Health (NIH), Heart and Stroke Foundation and Canadian Diabetes Association.

Learning Objectives

1. Review changes in maternal physiology following surgery that may impact offspring long term outcomes
2. Update on literature related to offspring outcomes following maternal bariatric surger

Prof. Luc Van Gaal, MD, PhD  
Antwerp University
Faculty of Medicine, Belgium

Luc Van Gaal, MD, PhD, is a Professor of Medicine at Antwerp University. He is a nationally and internationally recognized specialist in obesity whose main clinical research has been devoted to weight management programs, body fat distribution and pharmacotherapy for obesity. Dr. Luc Van Gaal is Head of the Department of Diabetology, Metabolism and Clinical Nutrition at Antwerp University Hospital and responsible for the Metabolic Unit in this department.

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Dr. David Macklin, MD, CCFP 
Director of Weight Management at Medcan
Medical Director of Weight Management, High Risk Special Pregnancy BMI Unit, Mount Sinai Hospital
Department of Family and Community Medicine, Faculty of Medicine, University of Toronto

Dr. Macklin is a physician trained in family practice at the University of Toronto. Dr. Macklin is the Director of the Weight Management Program at the downtown Toronto Medcan Clinic. Dr Macklin also runs the Weight Management Program at the Toronto Mount Sinai Hospital High Risk Pregnancy unit. Dr. Macklin has committed his career to the prevention and treatment of obesity and for over nine years has exclusively run multidisciplinary, evidence based weight management programs.

Stephen A. Glazer, MD, FRCP(C ), FCCP
Internal Medicine
Critical Care Medicine
Diplomate of the American Board of Obesity Medicine

Medical Director, Bariatric Surgical Program
Humber River Regional Hospital
American College of Surgeons Level 1 Accredited Bariatric Center of Excellence

Medical Director, Greater Toronto Area Medical Bariatric Program
Humber River Regional Hospital/University Health Network

Assistant Professor, Department of Medicine
Division of Endocrinology and Metabolism
Queen's University

Lecturer, Department of Internal Medicine
University of Toronto  

Dr. Stephen Glazer is a board certified specialist from the University of Toronto in Internal Medicine and Intensive Care Medicine. He is also a Diplomate of the American Board of Obesity Medicine. In April 2010 he was appointed as the Medical Director for the Bariatric Surgical Program at Humber River Regional Hospital. He was instrumental in redeveloping their comprehensive bariatric surgical program. In that year, the bariatric surgical program was nominated as a Leading Practice by Accreditation Canada. In 2012 Dr. Glazer was appointed as a the Director of the only hospital-based Medical Bariatric Program for the Greater Toronto Area, which has enjoyed great growth and development due to the significant contributions of its multidiscipline team members. Dr. Glazer's commitment to the Obesity Epidemic is further displayed by his participation in many committees through the Ontario Bariatric Network and the Canadian Association of Bariatric Physicians and Surgeons. He has a strong interest in program development, quality care initiatives, and physician education. He has personally been involved in direct patient care of over thousands of bariatric patients in the attempt to facilitate weight loss for improved overall health. His research interests include perioperative risk assessment and management as well as sleep apnea in the morbidly obese.

Stephen A. Glazer, MD, FRCP(C ), FCCP
Internal Medicine
Critical Care Medicine
Diplomate of the American Board of Obesity Medicine

Medical Director, Bariatric Surgical Program
Humber River Regional Hospital
American College of Surgeons Level 1 Accredited Bariatric Center of Excellence

Medical Director, Greater Toronto Area Medical Bariatric Program
Humber River Regional Hospital/University Health Network

Assistant Professor, Department of Medicine
Division of Endocrinology and Metabolism
Queen's University

Lecturer, Department of Internal Medicine
University of Toronto

Dr. Stephen Glazer is a board certified specialist from the University of Toronto in Internal Medicine and Intensive Care Medicine. He is also a Diplomate of the American Board of Obesity Medicine. In April 2010 he was appointed as the Medical Director for the Bariatric Surgical Program at Humber River Regional Hospital. He was instrumental in redeveloping their comprehensive bariatric surgical program. In that year, the bariatric surgical program was nominated as a Leading Practice by Accreditation Canada. In 2012 Dr. Glazer was appointed as a the Director of the only hospital-based Medical Bariatric Program for the Greater Toronto Area, which has enjoyed great growth and development due to the significant contributions of its multidiscipline team members. Dr. Glazer's commitment to the Obesity Epidemic is further displayed by his participation in many committees through the Ontario Bariatric Network and the Canadian Association of Bariatric Physicians and Surgeons. He has a strong interest in program development, quality care initiatives, and physician education. He has personally been involved in direct patient care of over thousands of bariatric patients in the attempt to facilitate weight loss for improved overall health. His research interests include perioperative risk assessment and management as well as sleep apnea in the morbidly obese.

Ali Alshehri, MD 
Bariatric Medicine Fellow
University of Ottawa

Ali Alshehri graduated from medical school in Saudi Arabia and completed his training in internal medicine in 2012, he is certified with Saudi board of internal medicine. He worked as general internist staff for 3 years in Saudi Arabia. Now, he is a Bariatric Medicine Fellow at University of Ottawa.

Learning Objectives

• To know the background and prevalence of H pylori in general population and population with bariatric surgery.
• To know the clinical presentation, risk and diagnosis of H pylori.
• To identify the importance of H pylori treatment especially in post bariatric surgery patients. 
• To recognize the importance pf patient education regarding H pylori.
• To know the treatment of H pylori and literatures review for the last recommendation about the management. 
• To know the treatment of resistant H pylori and prevention of recurrence

David C. W. Lau, M.D., Ph.D., FRCPC 
Editor-in-Chief, Canadian Journal of Diabetes
Professor of Medicine, Biochemistry & Molecular Biology
Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta
University of Calgary Cumming School of Medicine

Dr. David Lau is Professor of Medicine, Biochemistry and Molecular Biology at the University of Calgary Cumming School of Medicine.  He is Editor-in-Chief meritus, Canadian Journal of Diabetes, and Past-President, Canadian Association of Bariatric Physicians and Surgeons.  Dr. Lau is Co-chair of the evidence-based 2018 Clinical Practice Guidelines update on the management of obesity.  He is also an Expert Panel member of the 2018 evidence-based Diabetes Canada CPGs (he also served as an expert member for the 1998, 2003, 2008, 2013 and 2018 updates), and a primary panel expert committee member of the 2012 and 2016 update of the Canadian Cardiovascular Society Guidelines for the diagnosis and treatment of dyslipidemia and prevention of cardiovascular disease in the adult.  Dr. Lau is involved in population health and clinical research programs in diabetes, obesity and lipid disorders.   Dr. Lau was honored as the top 20 notable Calgarians and top 50 Albertans in 2004 for his exemplary contributions to improve the health of Albertans.

Sarah Chapelsky, MD, FRCPC (GIM) 
Diplomate of the American Board of Obesity Medicine
General Internist, Edmonton Adult Bariatric Clinic
Royal Alexandra Hospital CSC 472

Dr. Sarah Chapelsky completed her undergraduate medical degree and internal medicine training at the University of Calgary, followed by a fellowship in general internal medicine at the University of British Columbia. Now based in Edmonton, she is a general internist at the Edmonton Adult Bariatric Specialty Clinic, a hospital-based medical and surgical program; medical lead of FEMME HOMME Weight Management Program, an intensive community-based program; Clinical Lecturer at the University of Alberta Department of Medicine; and Diplomate of the American Board of Obesity Medicine.

Presentation Overview
We will explore the direct effects of obesity on the kidney, and explore how this influences the epidemiology, presentation, and progression of chronic kidney disease in patients with obesity.

Learning Objectives
At the end of this presentation, participants should be able to:

1. Describe the association between body mass index and chronic kidney disease.
2. Explain the pathophysiology of obesity-related kidney disease.
3. Discuss the effect of weight loss on chronic kidney disease

John Hagen, MD, FRCS(C)
Assistant Professor of Surgery, University of Toronto
Minimally Invasive Surgery Group
Chief of Surgery, Humber River Hospital
Surgical Director Bariatric Surgery

bio coming soon.

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Sharadh Sampath, MD, FRCSC

Sharadh Sampath is a General and Bariatric Surgeon at Richmond Hospital.  He serves as the Founder and Director of the Richmond Hospital Bariatric Surgery Program as well as the Founder and President of the B.C. Obesity Society.  Dr. Sampath is the current Treasurer of the Canadian Association of Bariatric Physicians and surgeon (CABPS).

Raul J. Rosenthal, MD, FASMBS 
Professor of Surgery and Chairman,
Department of General Surgery
Director, GS Residency Program
Director, The Bariatric and Metabolic Institute
Co-Editor in Chief, SOARD (Surgery for Obesity and Related Diseases)
Cleveland Clinic Weston, Florida

Dr. Raul Rosenthal completed his medical school and surgical residency in Rosario, Argentina. In 1982 he immigrated to Frankfurt, Germany where he repeated general surgery residency and became attending surgeon at the Northwest Hospital. In 1993 Dr. Rosenthal immigrated to the USA. Three years of minimally invasive surgery fellowship at Cedars Sinai Medical Center in LA were followed by third general surgery residency at Mount Sinai Medical Center in NY. Since 1999 he is Chief of MIS and Bariatric Surgery and Director of Fellowship in Minimally Invasive and Bariatric Surgery at Cleveland Clinic Florida. Since 2012 he is the Chairman of the Department of General Surgery and since 2011 the Director of the General Surgery Residency Program. Between 2014 and 2016 Dr. Rosenthal served as Chief of Staff and Chairman of the Medical Executive Committee at Cleveland Clinic Florida. Dr. Rosenthal was appointed for six years in the Board of Governors of SAGES and served for an equal amount of time in the SAGES Foundation. He also served on multiple committees and is the Senior Past President and member of the Executive Committee of ASMBS.

Amy Neville MD, MSc, FRCSC
Medical Director, The Ottawa Hospital Bariatric Centre of Excellence
General and Bariatric Surgery, The Ottawa Hospital
Assistant Professor of Surgery, University of Ottawa

Amy Neville MDCM, MSc (Epi), FRCSC completed her residency training in general surgery as well as fellowships in Minimally Invasive Surgery and Bariatric Surgery at McGill University in Montreal. Dr Neville currently practices general, minimally invasive and bariatric surgery at The Ottawa Hospital- Civic Campus in Ottawa, ON. She is surgeon and assistant professor of surgery at the The Ottawa Hospital, University of Ottawa. Dr Neville is Medical Director of The Ottawa Hospital Regional Bariatric Centre of Excellence and a board member of the provincial Ontario Bariatric Network.

Dr. Ekua Yorke, BSc, MD, FRCSC
General, Laparoscopic and Bariatric Surgeon
Richmond Hospital

Dr. Ekua Yorke is a General, Laparoscopic and Bariatric Surgeon who practices at Richmond Hospital in the Vancouver Coastal Health Authority. She is also a clinical instructor with the Division of General Surgery at the University of  British Columbia. She obtained her medical degree from the University of Alberta in 2010 and completed her general surgery residency at the University of British Columbia in 2015. She went on to complete a year fellowship in advanced minimally invasive and bariatric surgery at the Centre for the Advancement of Minimally Invasive Surgery (CAMIS) at the Royal Alexandra Hospital in Edmonton, Alberta. Dr. Yorke joined the Richmond Metabolic and Bariatric Surgery Program in August 2016.

Nicolas Christou, MD, PhD, FRCSC
Professor of Surgery, McGill University Montreal, QC 

Nicolas Christou obtained his Bachelor of Science degree from McGill University in 1971 and his Doctor of Medicine in 1975. He completed his surgical training at McGill in 1980 and was appointed Assistant Professor of Surgery at McGill University and Attending Staff Surgeon at the Royal Victoria Hospital in 1981. He became a Professor of Surgery in 1991. He was head of the Division of General Surgery from 1991 to 2005. He is a member of many prestigious societies including the American Surgical Association, The Canadian Association of General Surgeons, The American College of Surgeons and the American Society of Metabolic and Bariatric Surgery.

Dr. Christou started the first laparoscopic weight loss surgery program in Canada on February 8, 2002. He is currently a "full-time" practicing laparoscopic bariatric surgeon. He is the Past President of the Canadian Association of Bariatric Physicians and Surgeons and the Past Chair of the Program Committee of the American Society of Metabolic and Bariatric Surgery.

Dr. Christou holds a Doctor of Philosophy degree from McGill University in Surgical Immunology. His research interests in the first 20 years of his academic career focused on surgical infections and the host response to infections. His current research interests are: Outcomes Research - Impact of Bariatric Surgery on Mortality, Morbidity and Health Care Costs. The North American coordinating site for the clinical study of a new telemetric adjustable gastric banding device. Basic Science Research -The impact of the leptin/adiponectin adipokinostat on the inflammatory response of severe obese subjects and Clinical Studies - He has published over 230 peer reviewed publications, more than 40 book chapters and over 350 abstracts.

Dr. Sanjeev Sockalingam

Dr. Sanjeev Sockalingam is an Associate Professor of Psychiatry at the University of Toronto and Deputy Psychiatrist-in-Chief at the University Health Network. He is the Director of the Bariatric Surgery Psychosocial Program. He co-leads ECHO Ontario Mental Health at the CAMH and the U of T, a provincial hub-and-spoke knowledge-sharing network building mental health capacity.

Dr. Sockalingam has >120 peer-reviewed publications and is the co-editor of the book, “Psychiatric Care in Severe Obesity”. His primary research focus on psychosocial outcomes related to bariatric surgery and psychological interventions for obesity care, and has received several CIHR grants to support this research.

Dr. Susan Wnuk, Ph.D., C. Psych. 
Staff Psychologist, Bariatric Surgery Program
Assistant Professor, Dept. of Psychiatry, University of Toronto
Toronto Western Hospital, UHN

Presentation Overview
Bariatric surgery patients have been observed to have higher rates of suicidal behaviour, both before and after surgery, compared with the population at large. The research literature investigating suicidal ideation, non-suicidal self-injury, and suicide attempts in bariatric surgery patients has grown in recent years and includes studies from various countries and jurisdictions. These findings demonstrate overall trends with some variability depending on research methods and patient sample.  Pre-existing suicidality and related psychiatric illness, such as depression, appear to be predictive of these problems post-operatively, but factors related to the surgical procedure itself may also be implicated. Research findings on this phenomenon will be summarized along with recommendations for identification and treatment of at-risk patients. 

Learning Objectives
At the end of this presentation, participants should be able to:

1. Understand research findings regarding suicidality in bariatric surgery patients
2. Recognize risk factors for suicidal behaviour
3. Identify methods for screening and supporting at-risk patients

Dr. Richard Yanofsky 

Richard Yanofsky graduated from McGill Medical School and did his Psychiatry residency training at the University of Toronto. He completed a fellowship in Consultation Liaison Psychiatry with research interests in the psychosocial assessment and treatment of Bariatric Surgery patients. He presently practices at University Health Network in the Medical Psychiatry Program, and works as psychiatrist in the Toronto Western Hospital Bariatric Surgery Program.

Stephanie E. Cassin, Ph.D., C.Psych. 
Associate Professor and Director of Clinical Training
Department of Psychology
Ryerson University

Dr. Cassin is a Clinical and Health Psychologist who received her Ph.D. in Clinical Psychology from the University of Calgary. She is an Associate Professor and the Director of Clinical Training in the Department of Psychology at Ryerson University, and Director of the Healthy Eating and Lifestyle (HEAL) Lab. In addition, she holds a faculty appointment at the University of Toronto (Department of Psychiatry). Prior to working in academia, she was a staff clinical psychologist in the Bariatric Surgery Program at Toronto Western Hospital. Dr. Cassin’s research interests are in the area of disordered eating, obesity, and bariatric surgery. Her current program of research focuses primarily on psychosocial predictors of bariatric surgery outcome, and psychosocial interventions with the potential to improve outcomes.

Dr. Sanjeev Sockalingam

Dr. Sanjeev Sockalingam is an Associate Professor of Psychiatry at the University of Toronto and Deputy Psychiatrist-in-Chief at the University Health Network. He is the Director of the Bariatric Surgery Psychosocial Program. He co-leads ECHO Ontario Mental Health at the CAMH and the U of T, a provincial hub-and-spoke knowledge-sharing network building mental health capacity.

Dr. Sockalingam has >120 peer-reviewed publications and is the co-editor of the book, “Psychiatric Care in Severe Obesity”. His primary research focus on psychosocial outcomes related to bariatric surgery and psychological interventions for obesity care, and has received several CIHR grants to support this research.

Jennifer Brown, MSc., RD 
Registered Dietitian | Dietetiste Professionnelle
Weight Management Clinic & Bariatric Centre of Excellence
The Ottawa Hospital | L’Hôpital d’Ottawa

Jennifer Brown is a registered dietitian with the Ottawa Hospital Bariatric Centre of Excellence. She received her nutrition degree from St. Francis Xavier University and completed her graduate studies at the University of Ottawa under supervisor, Dr. Eric Doucet. Her area of interest in research focuses on weight regain after bariatric surgery, specifically exploring appetite-related measures and peripheral hormone changes after Roux-en-Y gastric bypass surgery. She is involved with a number of obesity-related initiatives across North America, including her involvement as a steering committee member on the 2018-19 Canadian Clinical Practice Guidelines for the Treatment of Adults with Obesity, an expert member of the American and Canadian Dietitian associations, chair of the Ontario Bariatric Network Dietitian Working Group and the provincial lead for the eConsult Champlain LHIN in bariatric nutrition. She has presented at national and international conferences/scientific meetings, peer reviewed obesity-specific research and is dedicated to standardizing nutrition-related education, research and program development in bariatric care. 

Alexander McLean, P.dt (registered Dietitian)

Alexander McLean is a 2010 graduate of Dietetics at Mcgill University. He is currently a dietitian at Lakeshore General Hospital and a member of the nephrology team since 2011. Relevant areas of clinical practice include: general nephrology, hemodialysis and peritoneal dialysis. His background also includes geriatrics, intensive care and autism spectrum disorders.

Presentation Overview
Obesity is well known for its' deleterious effects on health, however is less well known as a risk factor for kidney disease and a barrier to renal transplantation. Bariatric surgery is becoming a popular solution in both renal and dialysis patients however there are nutritional concerns that may conflict with standard bariatric surgery regimens such as fluid, protein and electrolyte restrictions and micronutrient recommendations. In addition, the lack of homogeneity, even within similar renal populations makes clinician involvement extremely important, as well as communication between renal and bariatric centres.

Learning Objectives
At the end of this presentation, participants should be able to identify potential nutrition issues in renal bariatric patients, and prepare an appropriate pre-operative nutrition plan.

Susan Macfarlane, MScA, RD 
Registered Dietitian Nutritionist

Susan Macfarlane graduated from the University of Saskatchewan in 2011 with a degree in Nutrition and Dietetics. In 2012, Susan relocated to Ottawa, Ontario and in 2013, began an applied MSc in Human Nutrition at McGill University where she furthered her knowledge and skills in the areas of critical care nutrition, nutrition assessment and counseling, and eating disorder management. Susan has worked as a Registered Dietitian in many diverse community organizations including the Saskatoon Tribal Council, The North Lanark Community Health Centre, Loblaw Companies Limited, and the Arnprior and District Family Health Team. In 2016, Susan joined the team at the Bariatric Medical Institute in Ottawa where she delivered nutrition therapy to individuals and families seeking medical or surgical weight loss. In 2017, Susan left this role to open a private practice where she focuses on vegan and vegetarian nutrition, eating disorder recovery, and sustainable weight management.

Presentation Overview
Plant-based eating continues to be one of the fastest growing dietary trends with estimates reporting that 6% of the US population now identifies as vegan . Yet, despite this interest in plant-based eating, many healthcare professionals continue to feel uncomfortable working with those following such eating patterns, especially considering the unique nutritional needs of the post-bariatric surgery client.  In her presentation, vegan Registered Dietitian, Susan Macfarlane, will provide a practical overview of the nutritional needs of those consuming a plant-based diet and how they can be met following bariatric surgery. In addition, Susan will review some of the key trends in the plant-based food industry and discuss how to effectively use a vegan diet to help achieve sustainable weight loss in both the pediatric and adult population.

Learning Objectives
At the end of this presentation, participants should be able to:

1. Identify the nutrients at risk of deficiency on a plant-based diet
2. Understand the supplementation needs of those following a plant-based diet
3. Be able to support the post-bariatric surgery client who chooses to follow a plant-based diet
4. Understand how to effectively utilize a plant-based diet to achieve weight loss in their pediatric and adult population

Aurélie Baillot, Ph.D.
Professeure du département des sciences infirmières
Université du Québec en Outaouais 

Aurélie Baillot, is currently an assistant professor at the Université du Québec en Outaouais in the Department of Nursing. She obtained her PhD in Exercise Physiology from the University of Orléans (France) in 2010, and completed two postdoctoral training  in the Institut Universitaire de Cardiologie et de Pneumologie de Québec (JP Després) and in the Centre Hospitalier Universitaire de Sherbrooke Research Center (MF Langlois). His research interests focus on physical activity in individuals with severe obesity. His main research activities aimed to optimize the management of physical activity to improve the long-term physical and mental health of individuals with severe obesity. In particular, she developed and assessed a supervised exercise training adapted for patients awaiting bariatric surgery in person or by telehealth. In addition, she is the first author of two literature reviews on physical activity management in individuals with severe obesity. 

Presentation Overview
Physical activity is recommended by experts before and after bariatric surgery. However, there is no specific physical activity recommendation for this population. Yet, candidates for bariatric surgery need to be considered specifically because of higher prevalence of comorbidities, poorer quality of life and physical fitness compared with people with less severe obesity. In addition, they have several weight-related or unrelated barriers that can prevent them to reach recommended levels of physical activity. Indeed, the vast majority of patients awaiting bariatric surgery are inactive before surgery, and remain inactive after bariatric surgery. More and more evidence confirm that exercise interventions are feasible and effective to improve body composition, physical fitness, glucose metabolism, and quality of life in bariatric surgery patients. Overall, more high quality studies are now required to improve the level of evidence on the long-term efficacy of exercise interventions, and provide information on the optimal exercise support, modes of delivery, timing and dose in bariatric surgery patients. In addition, the assessment of implementation outcomes (compliance, adverse outcomes and satisfaction) and cost-effectiveness analyses are required to support that exercise intervention is a worthwhile option in the surgical treatment of severe obesity.

Learning Objectives

1. To discuss the importance of exercise supports before and after bariatric surgery
2. To review the efficacy of exercise interventions before and after bariatric surgery
3. To provide an overview of the evidence on exercise interventions modalities before and after bariatric surgery

Simon Marceau, MD, FRCSC
Chef du département de chirurgie
IUCPQ-Université Laval

Dr. Marceau graduated from Laval University in medicine in 1991 and general surgery in 1996. He did a fellowship at the Beth Israel Deaconess Medical Center, in Boston in 1997-98. He joined the Institut Universitaire de Cardiologie and Pneumologie de Québec (I.U.C.P.Q. formerly Hôpital Laval) in 1998 where his father had been practicing surgery for 35 years. The latter with Dr. Simon Biron has pioneered the development of bariatric surgery in Quebec and Canada and their work on the biliopancreatic diversion with duodenal switch has had an impact internationally recognized. He is currently Chief of surgery at the IUCPQ.

Dr. Simon Marceau has contributed to more than fifty scientific papers, scientific articles, abstracts or book chapters.

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Dr. Pierre Y. Garneau, MD, FRCS(C), FASMBS
Bariatric Surgeon
Chief of General Surgery, Hôpital du Sacré-Coeur de Montréal
Professor, University of Montréal

Dr. Pierre Garneau received his medical degree at Laval University in Quebec City in 1991. He completed his residency in general surgery at the University Laval, and had the opportunity to work with the team of Dr. Picard Marceau, one of the fathers of bariatric surgery. Dr. Garneau has been a member of the General Surgery team at Hôpital du Sacré-Coeur de Montreal since 1997 and is currently chief of general surgery and Professor at the University of Montreal. Research interest include the impact of obesity surgery on fat tissus and revisional surgery.

Elaine Lam MHSc MD FRCSC
General and bariatric surgeon, Vancouver Island Health Authority
Clinical Instructor, University of British Columbia

Elaine Lam is a general and bariatric surgeon within the Vancouver Island Health Authority in Victoria, British Columbia. She completed medical school, a residency in general surgery and Masters of Health Science at the University of British Columbia followed by a fellowship in advanced laparoscopic and bariatric surgery at the Centre for Minimal Access Surgery (CMAS) in Hamilton, Ontario. She currently works at Royal Jubilee Hospital and Victoria General Hospital and is a clinical instructor at the University of British Columbia medical school.

Dr. Pierre Y. Garneau, MD, FRCS(C), FASMBS
Bariatric Surgeon
Chief of General Surgery, Hôpital du Sacré-Coeur de Montréal
Professor, University of Montréal

Dr. Pierre Garneau received his medical degree at Laval University in Quebec City in 1991. He completed his residency in general surgery at the University Laval, and had the opportunity to work with the team of Dr. Picard Marceau, one of the fathers of bariatric surgery. Dr. Garneau has been a member of the General Surgery team at Hôpital du Sacré-Coeur de Montreal since 1997 and is currently chief of general surgery and Professor at the University of Montreal. Research interest include the impact of obesity surgery on fat tissus and revisional surgery.

Hala Muaddi, M.D., M.Sc. 
PGY3 Resident Physician
General Surgery Program
University of Toronto

Dr. Hala Muaddi completed medical education at the University of Toronto in 2015. She is currently a General Surgery resident at the University of Toronto. In July of 2018 Dr. Muaddi will start a graduate degree in Clinical Epidemiology as part of the Surgeon Scientist Residency Training program, a competitive program funded by the General Surgery department at the University of Toronto. Her research interests are primarily focused on minimally invasive surgery, oncology and quality improvement. 

Presentation Overview

• Description of a novel approach for the laparoscopic conversion of vertical band gastroplasty (VBG) to roux-en-y gastric bypass (RYGB) with proximal gastric resection
• Review the key technical steps involved in the novel method suggested
• Review patients’ peri-operative and post-operative outcomes for both traditional and novel approach
• Summary and Conclusion

Learning Objectives
At the end of this presentation, participants should be able to:

1. Describe a novel method of converting VBG to RYGB with gastric antrum resection
2. Evaluate patients’ peri-operative and post-operative performance

Dr. Francois Julien 
General and Bariatric Surgeon
Quebec City Heart and Lung Institute

Dr Francois Julien is a general and bariatric surgeon at the Quebec city Heart and Lung Institute.  He attended medical school at Université de Montréal and trained in general surgery at Université Laval, in Quebec City.  He pursued a minimally invasive and bariatric fellowship at the University of Ottawa and Université Laval. 

Stephen A. Glazer, MD, FRCP(C ), FCCP
Internal Medicine
Critical Care Medicine
Diplomate of the American Board of Obesity Medicine

Medical Director, Bariatric Surgical Program
Humber River Regional Hospital
American College of Surgeons Level 1 Accredited Bariatric Center of Excellence

Medical Director, Greater Toronto Area Medical Bariatric Program
Humber River Regional Hospital/University Health Network

Assistant Professor, Department of Medicine
Division of Endocrinology and Metabolism
Queen's University

Lecturer, Department of Internal Medicine
University of Toronto

Dr. Stephen Glazer is a board certified specialist from the University of Toronto in Internal Medicine and Intensive Care Medicine. He is also a Diplomate of the American Board of Obesity Medicine. In April 2010 he was appointed as the Medical Director for the Bariatric Surgical Program at Humber River Regional Hospital. He was instrumental in redeveloping their comprehensive bariatric surgical program. In that year, the bariatric surgical program was nominated as a Leading Practice by Accreditation Canada. In 2012 Dr. Glazer was appointed as a the Director of the only hospital-based Medical Bariatric Program for the Greater Toronto Area, which has enjoyed great growth and development due to the significant contributions of its multidiscipline team members. Dr. Glazer's commitment to the Obesity Epidemic is further displayed by his participation in many committees through the Ontario Bariatric Network and the Canadian Association of Bariatric Physicians and Surgeons. He has a strong interest in program development, quality care initiatives, and physician education. He has personally been involved in direct patient care of over thousands of bariatric patients in the attempt to facilitate weight loss for improved overall health. His research interests include perioperative risk assessment and management as well as sleep apnea in the morbidly obese.

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Dr. Vanessa Boudreau   MD.  FRCSC 

Dr. Vanessa Boudreau graduated from University of Montreal, Québec, in 2011.  She then completed her residency in General Surgery at University of Sherbrooke, Québec, in 2016. She recently completed a Fellowship in Minimally Invasive and Bariatric Surgery in Hamilton, Ontario, in 2017.

Vanessa is currently pursuing a Graduate Diploma in Clinical Epidemiology at McMaster University while having an academic position at McMaster University as a Clinical Scholar. Her research interests focus mainly on metabolic surgery and include diabetes remission, microbioma and implantation of new surgical techniques (SADI, Duodenal Switch)

Philippe Bouchard 
General Surgery Resident, PGY-3
McGill University

Philippe Bouchard completed his medical school at McGill University in 2015. He is presently a PGY-3 in General Surgery at McGill University where he is taking a year off to pursue a Masters in Epidemiology. His research interest are in healthcare delivery and surgical innovation. Philippe Bouchard a gradué en médecine à l’université McGill en 2015. Il poursuit présentement sa 3e année de résidence en chirurgie générale à McGill où il prend une année supplémentaire pour compléter sa maitrise en épidémiologie clinique. Ses intérêts en recherche inclue l’organisation du système de santé et l’innovation en chirurgie.

Presentation Overview

• Overview of the technique used for the SADI-S procedure at the MUHC.
• Description of the clinical trial, data collection and analysis.
• Presentation of preliminary short-term outcomes of the patients in the SADI-S arm.
• Summary and future

Learning Objectives
At the end of this short presentation, attendees should be able to:

1. Describe and understand the SADI-S procedure.
2. Compare and discuss the SADI-S in term of safety and short-term outcomes to other more common surgical procedures.

Dr. François-Charles Malo 

François-Charles Malo graduated in general surgery from Sherbrooke University. In August, he will complete a fellowship in bariatric and metabolic surgery at Lung and Heart Institute of Quebec. He will start is career as a bariatric surgeon and Assistant Professor at Sherbrooke University.

Shane Tamana, RPh.

Shane Tamana graduated with a degree in pharmacy in 2014 from the University of British Columbia. He currently works part-time as a clinical pharmacist while completing the second year of his medical degree at the Faculty of Medicine at UBC. Research interests include: analysis of medication use before and after bariatric surgery, medications for additional weight loss after bariatric surgery, hyperinsulinemic hypoglycemia developing after bariatric surgery, and different surgical techniques used in laparoscopic hemicolectomies.

Dr. Vanessa Boudreau   MD.  FRCSC 

Dr. Vanessa Boudreau graduated from University of Montreal, Québec, in 2011.  She then completed her residency in General Surgery at University of Sherbrooke, Québec, in 2016. She recently completed a Fellowship in Minimally Invasive and Bariatric Surgery in Hamilton, Ontario, in 2017.

Vanessa is currently pursuing a Graduate Diploma in Clinical Epidemiology at McMaster University while having an academic position at McMaster University as a Clinical Scholar. Her research interests focus mainly on metabolic surgery and include diabetes remission, microbioma and implantation of new surgical techniques (SADI, Duodenal Switch)

Presentation Overview

• Introduction overview of Vitamin D role in glucose homeostasis and potential association between Vitamin D Deficiency and T2DM remission after metabolic surgery
• Description of our retrospective study for obese patients with T2DM who underwent metabolic surgery in Ontario between January 2010 and September 2017 (Ontario Bariatric Registry)
• Presentation of overall results and subgroup analysis
• Summary and Conclusion

Learning Objectives
At the end of this presentation, participants should be able to:

1. Describe the role of Vitamin D in glucose homeostasis
2. Evaluate and compare diabetes remission after sleeve gastrectomy and gastric bypass surgery
3. Evaluate the impact of Vitamin D levels on diabetes remission after metabolic surgery

Fabio Garofalo
Clincial Fellow
Hopital du Sacré-Coeur
Department of Surgery
Montréal, Canada

Fabio Garofalo graduated from the University of Parlermo in italy. He did his surgical training in Switzerland and obtained diploma of General Surgery in 2014. He came to Canada in January 2015 to start a 2-year clinical fellowship in "Minimally invasive and Bariatric Surgery" at Sacré-Coeur Hospital in Montreal (University of Montreal). In 2017 he returned in Switzerland at Ospedale Regionale di Lugano. He continues to collaborate as research fellow at Sacré-Coeur Hospital.

Yaameen Chanda MDCM, FRCSC

Yaameen Chanda completed his undergraduate and medical degrees at McGill University in Montreal, Quebec. He subsequently completed general surgery residency at McMaster University in Hamilton, Ontario. Currently, he is a fellow in minimally invasive and bariatric surgery at St. Joseph's Healthcare Hamilton, affiliated with McMaster University.

Presentation Overview

• Background
• Bariatric surgery overview
• CIHI study
• Purpose of the study
• Study design
• Statistical Analysis
• Results
• Discussion
• Limitations
• Conclusion
• Acknowledgements

Learning Objectives
At the end of this presentation, participants should be able to understand the impact of bariatric surgery on family physician visits in Ontario.

Shane Tamana, RPh.

Shane Tamana graduated with a degree in pharmacy in 2014 from the University of British Columbia. He currently works part-time as a clinical pharmacist while completing the second year of his medical degree at the Faculty of Medicine at UBC. Research interests include: analysis of medication use before and after bariatric surgery, medications for additional weight loss after bariatric surgery, hyperinsulinemic hypoglycemia developing after bariatric surgery, and different surgical techniques used in laparoscopic hemicolectomies.

Zvi H. Perry, M.D., Ph.D. (Epidemiology) M.A. (Educational Psychology)

Dr. Perry graduated from Ben-Gurion University, Israel. He has done his residency at Soroka University Medical Center in General Surgery. He has a M.A. in Educational Psychology. He is a senior lecturer at the Ben-Gurion University, where he has been teaching Epidemiology for the last Decade, as well as finishing his PhD. in Surgical Epidemiology. He did his research fellow at Tuft New-England Medical Center in the Surgical research lab, under Prof. Shikora. These days he is doing his fellowship in Bariatrics at McGill University Hospital. He is also active in promoting general Bariatrics at the state level in Israel, and is a member of the Israeli surgical society, and of the Israeli Endoscopic Society. His academic activities include improving health quality measurements in Israel, as well as being a part of the Clalit HMO simulation center for the surgical professions.

Dr. Melinda Maggisano

Dr. Melinda Maggisano is currently a MIS FELLOW at the University of Toronto. She completed medical school at Trinity College in Dublin and then completed her residency in general surgery at the University of Toronto for which she was Valedictorian. Her research interests are focused on exercise and how it affects the bariatric patient population.

Malek Tabbara, M.D. 
Clinical Fellow in Metabolic & Bariatric Surgery, Minimal Invasive & Robotic Surgery
Department of Surgery
Division of Bariatric Surgery
Hôpital du Sacré-Coeur de Montréal
University of Montréal

Dr Malek Tabbara is currently a Clinical Fellow in Metabolic & Bariatric Surgery, Minimal Invasive & Robotic Surgery at Hôpital du Sacré-Coeur de Montréal, University of Montreal. He earned his General Surgery diploma in 2015 from the Lebanese University (Beirut, Lebanon) and Pierre & Marie Curie University (Paris, France). Dr Tabbara has a strong interest in clinical research and has completed 2 years as a Research Fellow at Massachusetts General Hospital & Harvard Medical School (2006-2008). He has published over 40 peer-reviewed articles both as a writer or co-writer.

Presentation Overview

Introduction

• Role of sleeve gastrectomy for morbidly obese patients
• Overview of nutritional follow-up post sleeve

Methods

• Patients selection
• Nutritional Follow-up

Results

• Comparison of pre-operative data
• Comparison of post-operative data

Conclusion

• Role & effectiveness of Nutritional follow-up post-sleeve gastrectomy

Dr. Sanjeev Sockalingam

Dr. Sanjeev Sockalingam is an Associate Professor of Psychiatry at the University of Toronto and Deputy Psychiatrist-in-Chief at the University Health Network. He is the Director of the Bariatric Surgery Psychosocial Program. He co-leads ECHO Ontario Mental Health at the CAMH and the U of T, a provincial hub-and-spoke knowledge-sharing network building mental health capacity.

Dr. Sockalingam has >120 peer-reviewed publications and is the co-editor of the book, “Psychiatric Care in Severe Obesity”. His primary research focus on psychosocial outcomes related to bariatric surgery and psychological interventions for obesity care, and has received several CIHR grants to support this research.

Dr. Sarah Royal, PhD, C.Psych. 
Psychologist
Bariatric Surgery Program
4 MP 305, Toronto Western Hospital
University Health Network

Dr. Sarah Royal is a staff psychologist at the Toronto Western Hospital Bariatric Surgery Program through University Health Network. She graduated with her MA and PhD in Clinical Psychology from Ryerson University and her dissertation examined a psychological treatment focused on relapse prevention in eating disorders. She began working in the field of bariatric surgery in 2010 and has presented at local, national, and international conferences. She has also published research articles related to bariatric surgery.

Dr. Susan Wnuk, Ph.D., C. Psych. 
Staff Psychologist, Bariatric Surgery Program
Assistant Professor, Dept. of Psychiatry, University of Toronto
Toronto Western Hospital, UHN

Presentation Overview
Mindfulness-based interventions have demonstrated utility in healthcare settings for patients with a variety of conditions, including chronic pain, anxiety and depression. When applied to eating, mindfulness has been found to help individuals decrease binge eating, overeating and emotional eating and to lose weight. Group-based mindfulness eating interventions have demonstrated benefits in patients with binge eating disorder, overweight/obesity, and type II diabetes. Recent work has shown similar positive results in post-bariatric surgery patients. The theoretical rationale for mindful eating will be presented and research findings will be summarized. Elements from the group-based Mindfulness-Based Eating Awareness Training protocol, the most researched mindful eating protocol to date, will be presented to illustrate how mindful eating concepts are operationalized and conveyed to patients.

Learning Objectives
At the end of this presentation, participants should be able to:

1. Understand the theoretical rationale for mindful eating and proposed mechanisms of change
2. Summarize the research findings on mindful eating interventions
3. Identify mindful eating techniques for bariatric surgery patients to improve their eating habits 

Dr. Richard Yanofsky 

Richard Yanofsky graduated from McGill Medical School and did his Psychiatry residency training at the University of Toronto. He completed a fellowship in Consultation Liaison Psychiatry with research interests in the psychosocial assessment and treatment of Bariatric Surgery patients. He presently practices at University Health Network in the Medical Psychiatry Program, and works as psychiatrist in the Toronto Western Hospital Bariatric Surgery Program.

Stephanie E. Cassin, Ph.D., C.Psych. 
Associate Professor and Director of Clinical Training
Department of Psychology
Ryerson University

Dr. Cassin is a Clinical and Health Psychologist who received her Ph.D. in Clinical Psychology from the University of Calgary. She is an Associate Professor and the Director of Clinical Training in the Department of Psychology at Ryerson University, and Director of the Healthy Eating and Lifestyle (HEAL) Lab. In addition, she holds a faculty appointment at the University of Toronto (Department of Psychiatry). Prior to working in academia, she was a staff clinical psychologist in the Bariatric Surgery Program at Toronto Western Hospital. Dr. Cassin’s research interests are in the area of disordered eating, obesity, and bariatric surgery. Her current program of research focuses primarily on psychosocial predictors of bariatric surgery outcome, and psychosocial interventions with the potential to improve outcomes.

Jennifer Brown, MSc., RD 
Registered Dietitian | Dietetiste Professionnelle
Weight Management Clinic & Bariatric Centre of Excellence
The Ottawa Hospital | L’Hôpital d’Ottawa

Jennifer Brown is a registered dietitian with the Ottawa Hospital Bariatric Centre of Excellence. She received her nutrition degree from St. Francis Xavier University and completed her graduate studies at the University of Ottawa under supervisor, Dr. Eric Doucet. Her area of interest in research focuses on weight regain after bariatric surgery, specifically exploring appetite-related measures and peripheral hormone changes after Roux-en-Y gastric bypass surgery. She is involved with a number of obesity-related initiatives across North America, including her involvement as a steering committee member on the 2018-19 Canadian Clinical Practice Guidelines for the Treatment of Adults with Obesity, an expert member of the American and Canadian Dietitian associations, chair of the Ontario Bariatric Network Dietitian Working Group and the provincial lead for the eConsult Champlain LHIN in bariatric nutrition. She has presented at national and international conferences/scientific meetings, peer reviewed obesity-specific research and is dedicated to standardizing nutrition-related education, research and program development in bariatric care. 

Stephanie Kirsic, M.Sc., RD 
Registered Dietitian
Bariatric Surgical Program
St. Joseph's Healthcare Hamilton

Stephanie Kirsic graduated from The University of Western Ontario in 2008 with a Bachelor of Science degree in Human Ecology (Food & Nutrition). She continued her educational pursuits and completed a Master of Science degree in Dietetics with combined Dietetic Internship from D’Youville College in 2011, followed by formal membership with the College of Dietitians of Ontario in 2012.

Stephanie has worked in family health team settings, private consulting, and most notably, as a member of the Bariatric Surgery Program at St. Joseph’s Healthcare Hamilton (Bariatric Centre of Excellence) since 2012.

Presentation Overview
With obesity now being regarded as a progressive chronic disease, attention towards more effective bariatric surgical interventions has intensified in an effort to assist with better long-term health outcomes. This session will focus on common circumstances that may warrant conversion surgeries, while exploring considerations for assessment by Allied Health team members (with a particular emphasis on nutrition preparation).

Learning Objectives
At the end of this presentation, participants should be able to:

1. Distinguish situations that may necessitate conversion surgeries
2. Identify basic components of surgical preparation fundamental to Allied Health practitioners (particularly from a nursing and mental health perspective) 
3. Gain insight into practical elements required for adequate nutrition assessment and worku

Aspen Viets, PHC-NP, BScN 
The Ottawa Hospital

Aspen Viets graduated from The University of Victoria with a BScN and completed her Nurse Practitioner education at The University of Ottawa. She has worked in a variety of settings including street outreach with Ottawa’s homeless population before entering into her current role with The Ottawa Hospital Bariatric Centre of Excellence over six years ago. She currently functions in a primarily front line clinic role with pre and post-operative patients while helping provide program leadership for a multidisciplinary team.

Presentation Overview
An overview of a practical and clinically driven development of a multidisciplinary program for assessing and addressing weight regain after bariatric surgery using a client centred approach, while respecting the resources limitations of a busy clinical setting.

Learning Objectives
At the end of this presentation, participants should be able to understand how to approach assessing complaints of weight regain, identify resources already available or those needed within the clinical setting to assist in the assessment and treatment of weight regain and feel confident in discussing the complex antecedents of weight regain after bariatric surgery.

Monica Bashaw, MScA, DtP/PDt
Nutritionniste/Dietitian 
Chirurgie Perte de Poids / Weight Loss Surgery Clinic (Physimed)

Monica completed an MScA in Human Nutrition at McGill University in 2014 and a BASc in Applied Human Nutrition at the University of Guelph in 2012. Upon graduating from McGill, she gained her first work experience at the Montreal General Hospital’s Bariatric Centre of Excellence (2015-2017) Currently, Monica divides her time between two private bariatric practices. She is the lead dietitian at Weight Loss Surgery Inc owned by Dr. Christou & Dr. Chow. And she is the co-founder of Bariatric Surgery Nutrition, an online company that provides a variety of nutrition services to bariatric patients. Monica is also the co-author of The Complete Guide to Weight Loss Surgey: Your questions finally answered (published February 2018).

Presentation Overview
This presentation will highlight the gaps in care in the public system for bariatric patients. As more publicly funded bariatric centres across Canada are implementing discharge protocols and more patients are opting to have surgery abroad, the need for bariatric services, such as specialized private practices, in the community is growing. The value and challenges of running an online bariatric nutrition private practice will also be discussed.

Learning Objectives
At the end of this presentation, participants will be able to identify the current gaps in care of publicly funded bariatric centres, discuss the growing need for specialized community support, list why life-long care for bariatric patients is vital, and describe the value and challenges of running an online bariatric nutrition private practice.

Ryan Stallard 
Certified Bariatric Educator
Bariatric Centre of Excellence, Kingston, ON

Ryan Stallard is a registered dietitian who graduated from Western University in London, Ontario. He completed his clinical training at Sunnybrook Health Sciences Centre in Toronto, Ontario. He is presently at the Bariatric Centre of Excellence in Kingston, Ontario. He is a certified bariatric educator and holds the SCOPE certification through the World Obesity Federation. His past research focused on the impact of bariatric surgery on type 2 diabetes. His current research interests include understanding the use of internet-based applications in enhancing treatment in bariatric patients.

Presentation Overview
Using case studies, this presentation will discuss the role of meal replacements in post-bariatric surgery patients who experience weight regain. How to use Optifast 900 in these patients, expected treatment outcomes, and best practices will be reviewed.

Learning Objectives
At the end of this presentation participants will be able to identify patients who would benefit from meal replacement treatments in a post-bariatric surgery population. Additionally, they will be able to better counsel these patients on the role of meal replacements in managing weight regain and be able to educate them on the safe use of meal replacements as part of a comprehensive approach.