A Postgraduate certificate created to take the professional through the essential knowledge in each and every one of the areas that make up a high-level Bariatric Unit"

We speak of metabolic surgery, to the set of surgical techniques that, by altering the intestinal transit, aims to correct or improve certain diseases such as diabetes mellitus, hypertension and dyslipidemia.

In 1995, an American surgeon named Pories, in his article: "Who would have thought?", an operation proves to be the most effective therapy for adult diabetes mellitus. He describes that the resolution of diabetes in morbidly obese people undergoing bariatric surgery occurs before the weight loss is significant.

From that moment on, there is an increase in medical and surgical research lines with the aim of clarifying the pathophysiological mechanisms involved in this process. Nowadays, bariatric surgery is also indicated in patients with poorly controlled diabetes mellitus and a BMI < 35 kg/m2.

In addition, this very complete educational itinerary is based on a 100% online teaching modality. In turn, for this program, students have a unique opportunity to acquire skills and knowledge from an internationally renowned expert. The International Guest Director of this Postgraduate certificate provides the students with the most disruptive criteria on Metabolic Surgery through an intensive and rigorous Masterclass.

Through an exclusive Masterclass, the International Guest Director of this program will update you on the main advances in Metabolic Surgery"

This Postgraduate certificate in Basic Fundamentals of Metabolic Surgery  contains the most complete and up-to-date scientific program on the market. The most important features include: 

• The latest technology in online teaching software
• A highly visual teaching system, supported by graphic and schematic contents that are easy to assimilate and understand
• Practical cases presented by practicing experts
• State-of-the-art interactive video systems
• Teaching supported by telepractice
• Continuous updating and recycling systems
• Autonomous learning: full compatibility with other occupations
• Practical exercises for self-assessment and learning verification
• Support groups and educational synergies: questions to the expert, debate and knowledge forums
• Communication with the teacher and individual reflection work
• Content that is accessible from any fixed or portable device with an Internet connection
• Supplementary documentation databases are permanently available, even after the program

The professors of this Postgraduate certificate have been selected on the basis of two criteria: excellence in their medical practice in the field of the creation, promotion and maintenance of bariatric units, and their proven teaching skills. To offer you the high-quality program you need"

Our teaching staff is composed of medical professionals, practicing specialists. That way we are sure to offer the educational update we intend to provide. A multidisciplinary cadre of physicians prepared and experienced in different environments, who will develop the theoretical knowledge efficiently, but, above all, will put at the service of the graduate the practical knowledge derived from their own experience: one of the differential qualities of this program.

This mastery of the subject is complemented by the effectiveness of the methodological design of this Postgraduate certificate. Developed by a multidisciplinary team of e-learning experts, it integrates the latest advances in educational technology. This way, you will be able to study with a range of comfortable and versatile multimedia tools that will give you the operability you need in your education.

The design of this program is based on Problem-Based Learning: an approach that conceives learning as a highly practical process. To achieve this remotely, we will use telepractice: with the help of an innovative interactive video system, and learning from an expert, you will be able to acquire the knowledge as if you were actually dealing with the scenario you are learning about. A concept that will allow you to integrate and fix learning in a more realistic and permanent way.

This Postgraduate certificate offers you access to the most innovative protocols in the organization of an increasingly advanced service"

With a methodological design based on proven teaching techniques, this Postgraduate certificate will take you through different teaching approaches to allow you to learn in a dynamic and effective way"

The contents of this program have been developed by the different experts on this course, with a clear purpose: to ensure that our students acquire each and every one of the necessary skills to become true experts in this field. A complete and well-structured program that will take you to the highest standards of quality and success.

A comprehensive teaching program, structured in well-developed teaching units, oriented towards learning that is compatible with your personal and professional life"

Module 1. Fundamentals of Metabolic Surgery

1.1. Metabolic Syndrome and Mediators of Inflammation

1.1.1. Bariatric Surgery vs. Metabolic Surgery. Anatomophysiological Basis of Metabolic Surgery
1.1.2. Control Mechanisms for Various Obesity Comorbidities
1.1.3. Future Perspectives of Metabolic Surgery

1.2. Pathophysiology of Diabetes Medical and Dietary Treatment of Diabetes

1.2.1. Insulin and Alteration in its Cellular Response.
1.2.2. Hyperglycemia, Hyperlipidemia and Tissue Damage
1.2.3. Energetic Metabolism Alterations
1.2.4. Associated Phenomena: Inflammation, Apoptosis, Steatosis and Cellular Fibrosis

1.3. Role of Gastrointestinal Hormones in the Resolution of Type 2 Diabetes Mellitus after Bariatric Surgery

1.3.1. Introduction
1.3.2. Gastointestinal Hormones Involved in the Metabolism of Glucose

1.3.2.1. Incretinic Effect

1.3.3. Pathphysiology and Etipathogenesis of Type 2 Diabetes in Obese Patients

1.3.3.1. Role of Gastrintestinal Hormones in Resistance to Insulin

1.3.4. Contribution of Bariatric Surgery to the Resolution of Type 2 Diabetes

1.3.4.1. Weight Loss
1.3.4.2. Modification of Nutrients and Microbiota
1.3.4.3. Effect of Gastrointestinal Hormones: Proximal and Distal Gut Theory

1.3.5. Evidence of Bariatric Surgery in Type 2 Diabetes

1.3.5.1. Short and Long Term Impact of Bariatric Surgery in Regulating Glucose Metabolism
1.3.5.2. Surgical Treatment vs. Doctor
1.3.5.3. BPGL vs. GV

1.4. Concept of Metabolic Surgery, Concept and Scientific Evidence

1.4.1. Introduction: History of Metabolic Surgery
1.4.2. Concepts of Metabolic Surgery

1.4.2.1. General Concepts: Obesity Surgery and Metabolic Complications
1.4.2.2. Specific Concept: Diabetes Surgery

1.4.3. Indications of Metabolic Surgery

1.4.3.1. Indications in Diabetic Patients with Morbid Obesity
1.4.3.2. Indications in Type 2 Diabetic Patients with BMI 35-40
1.4.3.3. Indications in Diabetic Patients with BMI< 30

1.4.4. Surgical Techniques

1.4.4.1. Tradicional Techniques: (Gastric Banding, Vertical Gastrectomy, Gastric Bypass and Biliopancreatic Bypass)
1.4.4.2. New Techniques: BAGUA. SADI-S, Gastroileal Bypass of One Anastomosis, and Others

1.4.5. Current Scientific Evidence on Metabolic Surgery
1.4.4. Ethical and Deontological Aspects of Metabolic Surgery

1.5. Importance of Loop Lengths in Bariatric Surgery

1.5.1. Determining Cutting Points
1.5.2. Patient Monitoring
1.5.3. Comorbidity Remission

1.6. Influence of the Microbiota in Bariatric Surgery

1.6.1. Microbiome: Basic Concepts
1.6.2. Microbiome and Obesity
1.6.3. Changes in Microbiome after Bariatric Surgery

1.7. Obesity and NASH. Role of the Liver as Metabolism Regulator

1.7.1. Role of the Liver as Metabolism Regulator
1.7.2. Obesity and Non-Alcoholic Fatty Liver Disease
1.7.3. Bariatric Surgery and Non-Alcoholic Fatty Liver Disease

1.8. Influence of Bile Acids

1.8.1. Bile Acid Synthesis and Hepatic Circulation
1.8.2. Regulation of Dietary Fat Availability by Bile Acids
1.8.3. Main Bile Acid Receptors: TGR5 - FXR
1.8.4. Regulation of Metabolism by the Bile Acids
1.8.5. Metabolic Effects of Manipulating Intestinal Bile Acid Availability after Bariatric Surgery

1.9. Influence of Bariatric Surgery on Hypogonadism and Polycystic Ovary Syndrome (POS)

1.9.1. Prevalance of Male Hypogonadism and POS in Bariatric Surgery Candidates
1.9.2. Effects of Bariatric Surgery in the Hormonal Concentrations of Patients with Male Hypogonadism and Semen Quality
1.9.3. Effects of Bariatric Surgery on the Resolution of POS and Female Fertility

1.10. Timing of Metabolic Surgery and Its Effect on the Pancreas

1.10.1. Time as a Predictor of Diabetes Resolution following Metabolic Surgery
1.10.2. Pancreas Remodeling Capacity of the Pancreas in Human vs. Animal Models
1.10.3. Regeneration of the Pancreas and Hyperinsulinism after Bar

Take the opportunity to learn about the latest advances in this field in order to apply it to your daily practice"