David is currently working as a fulltime private General and Bariatric surgeon in Hamilton and Wellington, New Zealand. He has created a busy obesity surgery practice, and performs around 200 obesity procedures a year, almost entirely laparoscopically. He has performed in excess of 1600 laparoscopic gastric bypasses and over 700 gastric banding procedures, as well as a number of revisional procedures and sleeve gastrectomies. He has assembled a ground-breaking multi-disciplinary team of professionals in both practices to create a unique service with an holistic approach to obesity. He is extensively involved in mentoring and teaching Bariatric Surgeons from Australia and New Zealand through a clinical immersion program. He is also still actively involved in other benign upper GI surgery.
| Tackling Obesity & Bariatric Surgery
Pre-conference Workshop - Part 1 and 2 |
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| Thursday, 12 June 2014 | Start 2:00pm | Duration: 120mins | Room 4 |
| Start 4:30pm | Duration: 120mins | Room 4 | |
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Part 1 - Tackling Obesity - addressing the epidemic of obesity and removing the blame game
Medical risks - John Dixon * Common co-morbidities – HTN, T2DM, CVD, Cholesterol (metabolic syndrome) * Cancers – breast, colon, endometrial, etc * Knee pain reduction comparison study * Quality of Life – psychosocial impact * Inability to exercise The Need to Eat - David Schroeder * Triad – fear, control, pleasure centres * 5 types of overeaters – mechanisms * Insulin resistance * Mindless eating Relevant Physiology/ determinants of obesity - John Dixon * Pattern is set from early life – genetics, epigenetics * Losing weight is very difficult * Obesity is a chronic disease that requires chronic disease management * We need a range of tools to treat obesity – behavioural, lifestyle, drugs, surgery What has to change? - David Schroeder -to prevent further weight gain, induce weight loss, induce healthier lifestyles. * Calorie in vs calorie out balance * Portion control * Type of foods – low CHO (insulin resistance) * Restraint theory – George Blair West Seeking Help - David Schroeder * How do you know who needs help? Observing trends in family and individual * Helping people make the change * When to ask for help Part 2 - Bariatric Surgery Surgical Indications - Andrea Schroeder - why do we need surgery? * 2 groups – too much to lose, those who have given up hope of doing it on their own * to empower people to make the changes they need to be healthier * resolution/prevention of co-morbidities * criteria for surgery Risks and Benefits - David Schroeder * procedure related risks and complications, side effects * Benefits- QoL, reduced co-morbid disease states, reduced health costs to society, improved …(halo effect) * GP aftercare flyer available Available Options - David Schroeder * surgical options available – bypass and sleeve, BPD and bands * non-surgical approach (with dietitian and psych team) * retreats and aftercare program * public vs private Ideal Referral - John Dixon * indications – eligibility * NZ Bariatric prioritization tool * How to assess * no predictors of motivation and willingness to change Post-op management - David Schroeder * holistic approach – multidisciplinary team * chronic disease management * 2 years of paid follow-up * retreats – based on CBT approach to self care and self awareness/management |
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| Bariatric Surgery - A Stitch in Time Saves Lives
Concurrent Workshop Repeated |
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| Friday, 13 June 2014 | Start 4:30pm | Duration: 55mins | Room 9 |
| Start 5:35pm | Duration: 55mins | Room 9 | |
| Surgical Indications - David Schroeder - why do we need surgery? * 2 groups – too much to lose, those who have given up hope of doing it on their own * to empower people to make the changes they need to be healthier * resolution/prevention of co-morbidities * criteria for surgery Risks and Benefits - David Schroeder * procedure related risks and complications, side effects * Benefits- QoL, reduced co-morbid disease states, reduced health costs to society, improved …(halo effect) * GP aftercare flyer available Available Options - David Schroeder * surgical options available – bypass and sleeve, BPD and bands * non-surgical approach (with dietitian and psych team) * retreats and aftercare program * public vs private Ideal Referral - John Dixon * indications – eligibility * NZ Bariatric prioritization tool * How to assess * no predictors of motivation and willingness to change Post-op management - David Schroeder * holistic approach – multidisciplinary team * chronic disease management * 2 years of paid follow-up * retreats – based on CBT approach to self care and self awareness/management |
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