Minimally invasive techniques are scientifically validated as the best approach for weight loss surgeries as an alternative to conventional surgeries. While minimally invasive techniques are an option, there are still a number of procedures that are performed with an open approach. This presentation will review the four main types of weight loss surgeries; Adjustable Gastric Band (AGB), Vertical Sleeve Gastrectomy (VSG), Roux-en-Y Gastric Bypass (RYGB) and Biliopancreatic Diversion with a Duodenal Switch (BDP-DS), along with their indications and benefits. Doctors and patients must consider various risk ratio benefits when selecting the right surgical type and approach - these, along with clinical outcomes will also be discussed.

Learning Objectives
At the end of this educational activity, participants should be able to

1. Provide an explanation of the four main types of weight loss surgeries and key patient selection criteria for laparoscopic versus traditional surgery
2. Evaluate the risk benefit ratio of minimally invasive weight loss surgery versus traditional surgery on quality indicators including length of stay, infection, quality and financial outcomes
3. Identify strategies to increase competency and support for minimally-invasive surgery
4. Evaluate the evidence for minimally invasive surgeries in high-risk patients including elderly

Faculty Listing
Sayeed Ikramuddin, MD
Director, Gastrointestinal/Bariatric Surgery
Co-Director, Center of Minimally Invasive Surgery
Professor, Division of General Surgery
Robert and Katherine Goodale Chair in Minimally Invasive Surgery
University of Minnesota

Disclosures of Relevant Financial Relationships
In accordance with the ACCME Standards for Commercial Support^SM, OptumHealth Education requires all those involved in the development of activity content to disclose their relevant financial relationships. An individual has a relevant financial relationship if such person (or their spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the activity content over which the individual has control.
OptumHealth Education ensures that the content is independent of commercial bias.

Faculty Disclosure
The faculty reported the following:
Sayeed Ikramuddin, MD
Advisory Board: Novo Nordisk and Medica
Grant/ Research Support: Covidien, EnteroMedics, and Reshape Medical
Consultant: Metamodix Inc. and Covidien

Activity Planners
Sarah Chart-Hart, RN
Senior Director
OptumHealth Education

Arlene Rome, RN, BSN
Activity Manager
OptumHealth Education

Activity Planner Disclosures
All of the planners reported that they are employees of and own stock in UnitedHealth Group.

Reviewer Disclosures
To ensure fair balance and avoid bias, the content for this activity has been reviewed by an independent medical expert with no relevant financial relationships.

Method of Participation
There are no fees for participating in or receiving credit for this activity.
For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

Participants will receive a certificate upon successful completion of the activity, which includes the following:

• Completing the entire activity
• Completing the Pre- and Post-Activity Assessments, Activity Evaluation, and Application for Certificate of Credit forms

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Method for Calculating CE Credit
CE credit was calculated by the complexity of content.

Provided By
This activity is provided by OptumHealth Education and UnitedHealth Group.

Commercial Support
There was no commercial support received for this activity.

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