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College of
Health Sciences

Program overview

Curriculum

Your time with us will be focused, intensive and hands-on. Our Bariatric and Foregut Surgery Fellowship program follows the American Society for Metabolic & Bariatric Surgery (ASMBS) curriculum for certification of bariatric surgeons, which includes 18 subject areas:

  • Epidemiology of obesity
  • History of bariatric surgery
  • Physiology and interactive mechanisms in morbid obesity
  • Preoperative evaluation of the bariatric patient
  • Psychology of the morbidly obese patient
  • Essentials of a bariatric program
  • Postoperative management of the bariatric patient
  • Laparoscopic versus open
  • Laparoscopic adjustable banding
  • Other restrictive operations
  • Gastric bypass
  • Biliopancreatic diversion/duodenal switch
  • Revisional weight loss surgery
  • Managing postoperative complications
  • Nutritional deficiencies
  • Obesity in childhood and adolescence
  • Outcomes of bariatric surgery
  • Role of endoscopy in bariatric surgery

Education

  • Weekly teaching rounds/organizational meeting
  • Bimonthly MIS/GI multidisciplinary conference
  • Biweekly research meeting
  • Monthly innovations in surgery conference
  • Monthly multidisciplinary bariatric conference
  • Monthly/bimonthly benign esophageal Q&A

Focus procedures

  • Non bariatric/gastric procedures
    • Benign esophageal disorders
      • Laparoscopic Heller myotomy for achalasia
      • Laparoscopic repair of giant paraesophageal hernia
      • Laparoscopic resection of esophageal diverticulum
      • Laparoscopic antireflux surgery (Nissen, Toupet, Dor)
      • Laparoscopic Collis gastroplasty
      • Laparoscopic resection of esophageal leiomyoma
      • Endoscopic cricopharyngotomy for Zenker’s diverticulum

    • Esophageal cancer
      • Laparoscopic/VATS esophageal mobilization and esophagogastrectomy with lymph node removal
      • VATS/laparoscopic staging of esophageal cancer
      • Endoscopic esophageal stent placement

    • Laparoscopic gastric resection with reconstruction
    • Transgastric/intragastric resection of gastric masses
    • Laparoscopic gastrostomy tube
       
  • Bariatric procedures
    • Laparoscopic single anastomosis duodeno-Ileal bypass
    • Laparoscopic/robotic gastric bypass
    • Laparoscopic biliopancreatic diversion with duodenal switch
    • Laparoscopic sleeve gastrectomy
    • Laparoscopic/robotic revisional procedures
    • Laparoscopic trans-gastric access for ERCP
  • Foregut
    • Laparoscopic paraesophageal hernia repair
    • Laparoscopic fundoplication
    • Laparoscopic esophageal diverticulectomy
    • Laparoscopic esophagectomy
    • Laparoscopic foregut revisions
  • Endoscopic
    • Diagnostic endoscopy
    • Endoscopic stent placement
    • Endoscopic dilation
    • Endoscopic BRAVO placement/interpretation
    • Endoscopic biopsy
  • Less common procedures you may have exposure to
    • Laparoscopic feeding jejunostomy
    • Laparoscopic splenectomy
    • Laparoscopic adrenalectomy
    • Laparoscopic distal pancreatectomy
    • Laparoscopic gastrectomy with lymph node dissection
    • Laparoscopic truncal and highly selective vagotomy
    • Laparoscopic pyloroplasty/pyloromyotomy
    • Laparoscopic ventral hernia repair
    • Laparoscopic colon resection
    • Laparoscopic small bowel resection
    • Laparoscopic small bowel harvest for urologic reconstructive procedures
    • Thoracic sympathectomy for hyperhidrosis
Publications

  • Falvo AM, Vacharathit V, Dove J, Fluck M, Daouadi M, Gabrielsen J, Horsley R, Petrick A, Parker DM. A 3-Year MBSAQIP propensity-matched analysis of Roux-en-Y gastric bypass with concomitant cholecystectomy: Is the robotic or laparoscopic approach preferred? Surg Endosc. 2020 Sep 21. doi: 10.1007/s00464-020-07939-0. Epub ahead of print. PMID: 32959181

  • Mahan M, Vacharathit V, Falvo A, Dove J, Parker DM, Gabrielsen J, Daouadi M, Shabahang M, Petrick AT, Horsley RD. Emergency department overutilization following cholecystectomy and inguinal hernia repair. Surg Endosc 2020. https://doi.org/10.1007/s00464-020-07949-y

  • Berglund DD, McGraw T, Falvo A, Vacharathit V, Daouadi M, Parker DM, Petrick AT. Examining emergency department utilization in the post-foregut surgery patient. Surg Endosc 2020. https://doi.org/10.1007/s00464-020-07877-x

  • Tanner R, Falvo A, Parker D, Kennedy A. Laparoscopic Resection of pediatric gastric schwannoma/ perineuroma. J Ped Surg Case Reports 2020;59:101496. Doi:10.1016/j.epsc.2020.101496

  • Dudash M, Kuhn J, Dove J, Fluck M, Horsley R, Gabrielsen J, Daouadi M, Petrick AT, Parker DM. The Longitudinal Efficiency of Robotic Surgery: an MBSAQIP Propensity Matched 4-Year Comparison of Robotic and Laparoscopic Bariatric Surgery. Obes Surg. 2020;30(10):3706-3713. doi:10.1007/s11695-020-04712-z

  • Falvo A, Vacharathit V, Kuhn JE, Fluck M, Cunningham RM Petrick AT, Parker DM. Comparison of short-term outcomes following Roux-en-Y gastric bypass in male and female patients using the MBSAQIP database. Surg Obes Relat Dis. 2020;16(9):1236-1241. doi:10.1016/j.soard.2020.04.045

  • Gerhard GS, Davis B, Wu X, Hanson A, Wilhelmsen D, Piras IS, Still CD, Chu X, Petrick AT, DiStephano JK. Differentially expressed mRNAs and lncRNAs shared between activated human hepatic stellate cells and nash fibrosis. Biochem Biophys Rep. 2020;22:100753. Published 2020 Mar 24. doi:10.1016/j.bbrep.2020.100753

  • Ndubizu GU, Petrick AT, Horsley R. Concurrent magnetic sphincter augmentation and hiatal hernia repair for refractory GERD after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2020;16(1):168-170. doi:10.1016/j.soard.2019.09.072

  • Lent MR, Campbell LK, Kelly MC,Lawson JL, Murakami JM, Gorrell S, Wood GC, Yohn MM, Ranck S, Petrick AT, Cunningham K, Lamotte ME, Still CD. The feasibility of a behavioral group intervention after weight-loss surgery: A randomized pilot trial. PLoS One. 2019;14(10):e0223885. Published 2019 Oct 21. doi:10.1371/journal.pone.0223885

  • Buzalewski JM, Mahan ME, Fluck M, Dove J, Horsley RD, Parker DM, Petrick AT, Gabrielsen JD. Equivalent Peri-Operative Outcomes for Laparoscopic Roux-En-Y Gastric Bypass Patients Discharged on Post-Operative Day One. Obes Surg. 2019;29(8):2392-2398. doi:10.1007/s11695-019-03884-7

  • Petrick AT, Kuhn JE, Parker DM, Prasad J, Still C, Wood GC. Bariatric surgery is safe and effective in Medicare patients regardless of age: an analysis of primary gastric bypass and sleeve gastrectomy outcomes. Surg Obes Relat Dis. 2019;15(10):1704-1711. doi:10.1016/j.soard.2019.07.010

  • Gerhard GS, Hanson A, Wilhelmsen D, Piras IS, Still CD, Chu X, Petrick AT, DiStefano JK. AEBP1 expression increases with severity of fibrosis in NASH and is regulated by glucose, palmitate, and miR-372-3p. PLoS One. 2019;14(7):e0219764. Published 2019 Jul 12. doi:10.1371/journal.pone.0219764

  • Mahan ME, Parker DM, Fluck M, Gabrielsen JD, Petrick AT, Horsley RD. First assistant impact on early morbidity and mortality in bariatric surgery. Surg Obes Relat Dis. 2019;15(9):1541-1547. doi:10.1016/j.soard.2019.06.025

  • Horsley RD, Vogels ED, McField DAP, Parker DM, Medico C, Dove J, Fluck M, Gabrielsen JD, Gionfriddo MR, Petrick AT. Multimodal Postoperative Pain Control Is Effective and Reduces Opioid Use After Laparoscopic Roux-en-Y Gastric Bypass. Obes Surg. 2019;29(2):394-400. doi:10.1007/s11695-018-3526-z

  • Prasad J, Vogels E, Dove JT, Wood C, Petrick AT, Parker DM. Is age a real or perceived discriminator for bariatric surgery? A long-term analysis of bariatric surgery in the elderly. Surg Obes Relat Dis. 2019;15(5):725-731. doi:10.1016/j.soard.2018.12.019

  • May D, Vogels E, Parker D, Petrick A, Diehl D, Gabrielsen J. Overall outcomes of laparoscopic- assisted ERCP after Roux-en-Y gastric bypass and sphincter of Oddi dysfunction subgroup analysis. Endosc Int. 2019;7:1276-1280. Doi:10.1055/a-0832-1898

  • Berger ER, Huffman KM, Fraker T, Petrick AT, Brethauer SA, Hall BL, Ko CY, Morton JM. Prevalence and Risk Factors for Bariatric Surgery Readmissions: Findings From 130,007 Admissions in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Ann Surg. 2018;267(1):122-131. doi:10.1097/SLA.0000000000002079

  • Petrick A, Brindle SA, Vogels E, Dove J, Parker D, Gabrielsen J. The readmission contradiction: toward clarifying common misconceptions about bariatric readmissions and quality improvement. Surg Obes Relat Dis. 2018;14(7):1026-1032. doi:10.1016/j.soard.2018.02.017

  • Petrick AT, Morton J, Brethauer S. Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Accreditation: Time to Move From Competition to Collaboration.  JAMA Surg 2018;153:191

  • Daigle CR, Brethauer SA, Tu C, Petrick AT, Morton JM, Schauer PR, Aminian A.  Which Postoperative Complications Matter Most After Bariatric Surgery? Prioritizing Quality Improvement Efforts to Improve National Outcomes.  Surg Obes Relat Dis. 2018; 14:652-657

  • Benotti PN, Still CD, Wood CG, Seiler JL, Seiler CJ, Thomas SP, Petrick AT, Suk M, Irving BA. Surgical Weight-loss to Improve Functional Status Trajectories Following Total Knee Athroplasty: Swift Trial: Rationale, design and methods.  Contemp Clin Trials 2018. 69;1-9.

  • McField D, Horsley R, Parker D, Gabrielsen J, Petrick A. Surgery is more effective than Medical management for treatment for weight loss failure after bariatric surgery. Surg Obes Relat Dis 2016; 12:S182-S183

  • Horsley R, McField D, Parker D, Gabrielsen J, Petrick A. Multimodal Postoperative Pain Control is Effective and Reduces Narcotic Use after Laparoscopic Roux-en-Y Gastric Bypass (LRYGB). Surg Obes Relat Dis 2016; 12:S94-S95

  • McCracken E, Wood C, Petrick A, Still C, Benotti P. Association Between Post-Operative Iron Deficiency and Weight Loss After Roux-en-Y Gastric Bypass. Surg Obes Relat Dis 2016; 12:S174-175

  • Brindle S, Parker D, Gabrielsen J, Petrick A. Readmissions Affect Reimbursement in Bariatric Surgery, but what is Under Provider Control?. Surg Obes Relat Dis 2016; 12:S17

  • Krecioch P, Shin T, Gabrielsen J, Strodel W, Petric A. Emergent laparoscopic recurrent paraesophageal hernia repair after a Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2015;11:S37-38 DOI:10.1016/j.soard.2015.08.453

  • Krecioch P, Shin T, Hunsinger M, Plank M, Dove J, Fluck M, Petrick A, Gabrielsen J.  Primary Repair of Ventral Hernia During Initial Laparoscopic Bariatric Surgery Results in Very Low Long Term Recurrence Rates. Surg Obes Relat Dis 2015;11:S76-S77   DOI:10.1016/j.soard.2015.08.096

  • Shin T, Krecioch P, Dove J, Fluck M, Hunsinger M, Plank M, Strodel W, Gabrielsen J, Petrick A. Long-term surveillance for internal hernia after mesenteric closure in RYGB: Incidence and outcomes. Surg Obes Relat Dis 2015;11:S89-S90 DOI:10.1016/j.soard.2015.08.119

  • Brindle S, Krecioch P, Shin T, Hunsinger M, Dove J, Strodel W, Gabrielsen J, Petrick A. Predicting preventable causes after bariatric surgery: A look inside the “Black Box”. Surg Obes Relat Dis 2015;11:S103-S104 DOI:10.1016/j.soard.2015.08.146

  • Petrick A, Benotti P, Wood GC, Still CD, Strodel WE, Gabrielsen J, Rolston D, Chu X, Argyropoulos G, Ibele A, Gerhard GS. Utility of Ultrasound, Transaminases, and Visual Inspection to Assess Nonalcoholic Fatty Liver Disease in Bariatric Surgery Patients. Obes Surg. 2015;25:2368-75. doi: 10.1007/s11695-015-1707-6.

  • Petrick AT, Still CD, Wood CG, Vitunac MA, Plank M, McGrail L, Strodel WE, Gabrielsen JD, Rogers J, Benotti P.  Feasibility and impact of an evidence-based program for gastric bypass surgery. J Am Coll Surg. 2015;220:855-62. doi: 10.1016/j.jamcollsurg.2015.01.040

  • Gerhard GS, Benotti P, Wood GC, Chu X, Argyropoulos G, Petrick A, Strodel WE, Gabrielsen JD, Ibele A, Still CD, Kingsley C, DiStefano J. 3. Perturbations of fibroblast growth factors 19 and 21 in type 2 diabetes. PLoS One. 2015;10: e011692 doi: 10.1371/journal.pone.0116928

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