Exploring Frontiers in the Management of Digestive and Liver Disorders

Transcription

1 FOURTH ANNUAL SYMPOSIUM Lynda K. and David M. Underwood Center for Digestive Disorders at Exploring Frontiers in the Management of Digestive and Liver Disorders MARCH 23-24, 2018 Research Institute 6670 Bertner Ave. John F. Bookout Auditorium, 2nd Floor Auditorium Houston, TX Featuring: Saturday Hands-on Endolumenal Therapies for Gastroenterologists and Surgeons* events.houstonmethodist.org/underwood-symposium PROGRAM DIRECTOR: *Limited workshop space available

2 COURSE DIRECTOR David M. Underwood Chair of Medicine in Digestive Disorders, Department of Medicine Professor of Medicine, Director, Lynda K. and David M. Underwood Center for Digestive Disorders Division Head, Gastroenterology/Hepatology Vice Chair, Department of Research, Department of Medicine KEYNOTE SPEAKERS Richard A. Kozarek, MD Executive Director, Digestive Disease Institute Virginia Mason Medical Center Seattle, Washington Mark Whiteford, MD, FACS, FASCRS Director, Colon and Rectal Surgery, Providence Cancer Center Medical Director, Providence Anal Dysplasia Clinic Portland, Oregon HOUSTON METHODIST FACULTY Maen Abdelrahim, MD, PhD, B Pharm Oncology Partners Director, Cockrell Center for Advanced Therapeutics Bincy P. Abraham, MD, MS, AGAF, FACG Associate Professor of Clinical Medicine, Adjunct Associate Professor of Internal Medicine, Texas A&M University, College of Medicine Director, Gastroenterology Fellowship Program, Director and Distinguished Professor, Fondren Inflammatory Bowel Disease Program, Lynda K. and David M. Underwood Center for Digestive Disorders Victor Ankoma-Sey, MD, FACP, AGAF, FAASLD Director, Liver Associates of Texas, PA Director, Liver Transplant Program, Sherrie and Alan Conover Center for Liver Disease & Transplantation, and J.C. Walter Jr. Transplant Center Brian J. Dunkin, MD, FACS John F., Jr. and Carolyn Bookout Chair in Surgical Innovation and Technology, Institute for Technology, Innovation & Education Professor of Surgery, Institute for Academic Medicine Full Member, Research Institute Gulchin A. Ergun, MD Professor of Clinical Medicine, Institute for Academic Medicine Division Chair, Department of Medicine Director, Reflux Center and Digestive Disease Endoscopy Sandeep Lahoti, MD Associate Division Chief for Clinical Affairs Division of Gastroenterology Gastroenterology Associates Robert S. McFadden, MD Assistant Professor of Clinical Medicine, Interim Chief, Section of Hepatology, Department of Medicine All faculty are located in Houston, Texas, unless otherwise noted. Lee M. Morris, MD Assistant Professor of Surgery, Institute for Academic Medicine Patrick R. Reardon, MD, FACS Clinical Professor of Surgery, Chief, Section of Foregut Surgery, Department of Surgery Lynda K. and David M. Underwood Center for Digestive Disorders Wade R. Rosenberg, MD, FACS Assistant Professor of Clinical Surgery David W. Victor, III, MD Director, Academic Hepatology Research Director, Hepatocellular Carcinoma Program Associate Director, GI Fellowship Program Assistant Professor of Clinical Medicine, Institute for Academic Medicine Karen Woods, MD Gastroenterology Associates President, The American Society for Gastrointestinal Endoscopy SESSION CHAIRS Alberto O. Barroso, MD Associate Professor of Clinical Medicine, Institute for Academic Medicine Richard E. Caplan, MD Assistant Professor of Clinical Surgery, Institute for Academic Medicine Steven J. Frachtman, MD Gastroenterologist, Gastroenterology Associates Eric Haas, MD, FACS, FASCRS Chief, Division of Colon and Rectal Surgery Program Director, Minimally Invasive Colon and Rectal Surgery Fellowship The University of Texas Medical School at Houston Joseph S. Galati, MD, FACG, FAASLD Director, Liver Specialists of Texas Medical Director, Sherrie and Alan Conover Center for Liver Disease & Transplantation Min Peter Kim, MD Chief, Division of Thoracic Surgery Associate Professor of Surgery, Ashish Saharia, MD, FACS Assistant Professor of Clinical Surgery, Associate Director, Kidney Pancreas Program General Surgery and Organ Transplantation Peter J. Schwarz, MD Gastroenterologist, Gastroenterology Associates,

3 AGENDA n Friday, March 23, a.m. Registration and Breakfast 8 Welcome and Introductions SESSION I: Esophagus CHAIRS: Min Peter Kim, MD, and Peter J. Schwarz, MD 8:30 What are the Real Risks of Long-Term PPI Therapy? Gulchin A. Ergun, MD 8:50 Barrett s Esophagus: A Logical Approach to Management Sandeep Lahoti, MD 9:10 GERD Therapy Today: Choosing the Right Option/Selecting the Right Patient Patrick R. Reardon, MD, FACS 9:30 Panel Discussion 10 Break and Exhibits 10:30 GI KEYNOTE: Violating the Integrity of the GI Tract: Will It Still Respect Me in the Morning? Richard A. Kozarek, MD SESSION II: Colon/Inflammatory Bowel Disease CHAIRS: Eric Haas, MD, and Steven Frachtman, MD 11 New and Emerging Therapies for Ulcerative Colitis Bincy Abraham, MD, MS 11:20 Colon Cancer Screening 2018: What is the Status of Stool Tests, VCE, and Other Non-Invasive Approaches? Karen Woods, MD 11:40 IBS Any Progress? Noon Panel Discussion 12:30 p.m. Lunch, Exhibits, and Poster Presentations SESSION III: Pancreas and Biliary CHAIRS: Alberto O. Barroso, MD, and Richard E. Caplan, MD 1:30 Pancreatic Cancer: Updates on Evaluation and Surgical Strategies Wade R. Rosenberg, MD, FACS 1:50 Pancreatic Cancer: Current Status of Chemotherapy Maen Abdelrahim, MD, PhD 2:10 Intraoperative Bile Duct Exploration vs. ERCP Where are We? Lee M. Morris, MD, FACS 2:30 Panel Discussion 3 Break 3:30 SURGICAL KEYNOTE: Transanal Total Mesorectal Excision for Rectal Cancer: Up-Ending the Gold Standard Mark Whiteford, MD SESSION IV: Liver CHAIRS: Joseph S. Galati, MD, and Ashish Saharia, MD 4 Surgery in the Patient with Chronic Liver Disease: Risks and How to Minimize Them Robert S. McFadden, MD 4:20 Acute-on-Chronic Liver Failure Victor Ankoma-Sey, MD 4:40 Cholestatic Liver Disease: Update on Evaluation and Management David W. Victor, III, MD 5 Panel Discussion 5:30 Adjournment and Poster Awards PROGRAM OVERVIEW Several new surgical, endoscopic and pharmacological approaches to the management of digestive disorders have become available, yet their exact role in the management of these disorders is unclear. Providers need to recognize the range of therapeutic and diagnostic options that are now available for the management of digestive disorders and their clinical applications. This course will address the challenge of defining the role of new technologies, disease entities and therapies in everyday clinical practice by presenting the latest evidence-based information on diagnostics and therapeutics in digestive disorders. TARGET AUDIENCE Physicians, physician assistants, nurse practitioners, nurses, residents/fellows, students, and researchers in gastroenterology, GI surgery, colorectal surgery, internal medicine and hepatology will benefit from this course. EDUCATIONAL OBJECTIVES At the conclusion of this activity, the participant should be able to: Counsel patients on the true risks and benefits of proton pump inhibitors Select the optimal treatment strategy for the patient with GERD and the patient with Barrett s esophagus Describe the relative usefulness of the various approaches to colon cancer screening Define risks for surgery in the patient with cirrhosis and develop strategies to minimize them Describe current approaches to the management of pancreatic cancer Choose the best treatment options for patients with irritable bowel syndrome and ulcerative colitis Develop a logical approach to the patient with cholestasis and the patient with bile duct obstruction

4 OPTIONAL WORKSHOP n Saturday, March 24, 2018 Hands-on Endolumenal Therapies for Gastroenterologists and Surgeons Advanced Tissue Resection, Ablation, and Hemostasis 8 a.m. Noon Methodist Institute for Technology, Innovation & Education (MITIE) Workshop Co-Directors: Brian J. Dunkin, MD, FACS, and Sandeep Lahoti, MD This hands-on course is for practicing physician endoscopists who have experience with basic gastrointestinal (GI) tissue removal and hemostasis techniques and wish to learn more advanced approaches. Tissue resection and ablation techniques will be taught for utilization in both the upper and lower GI tract. Safe use of electrosurgical energy will also be reviewed as well as the use of advanced clips for hemostasis and wound closure. Workshop for third- and fourth-year fellows and practicing physicians only. WORKSHOP OBJECTIVES Upon completion of this activity, participants should be able to: Demonstrate proper technique for endoscopic mucosal resection using multiple methods. Demonstrate the use of rescue strategies for GI bleeding or perforation following advanced tissue removal in the GI tract. Describe important principles of electrosurgical energy as applied in the GI tract. Discuss technical differences between endoscopic submucosal resection (EMR) and endoscopic submucosal dissection (ESD). COURSE DESIGN This is a hands-on tissue explant lab where participants rotate among 45-minute stations to learn and rehearse techniques for advanced GI tissue resection, mucosal ablation, and hemostasis. Techniques Station 1: Station 2: Station 3: Station 4: Station 5: Endoscopic Mucosal Resection (EMR) Band EMR Cap EMR Colonic Resection Saline lift piecemeal EMR in the colon Radiofrequency Ablation Advanced Hemostasis Principles of coaptation TTS clips Bipolar Argon plasma Endoloops Tissue Closure TTS clips OTS clips Endoscopic suturing Technologies Saline lift piecemeal EMR in the colon - Cool Model? Band EMR - Cook Cap and Snare EMR RF Ablation - Medtronic Clips OTSC - Ovesco Overstitch - Apollo Endosurgery Endoloops APC - ERBE Gold Probe Specimen Retrieval (Roth net) - US Endoscopy Advanced Snares (isnare, etc.) - US Endoscopy If you prefer not to receive future communication from, please optout@houstonmethodist.org or call

5 FOURTH ANNUAL SYMPOSIUM Lynda K. and David M. Underwood Center for Digestive Diseases at Exploring Frontiers in the Management of Digestive and Liver Disorders MARCH 23-24, 2018 REGISTRATION FOUR WAYS TO REGISTER Online: events.houstonmethodist.org/underwood-symposium Phone: Fax: Mail: Office of Continuing Medical Education ATTN: Digestive and Liver Disorders (369) 6670 Bertner Ave., R2 216 Houston, TX PAYMENT AND FEES FRIDAY DIDACTIC Physician...$175 Nurse...$50 Other Health Care Professional...$50 Resident/Fellow/Postdoctoral/Students...No fee SATURDAY HANDS-ON Limited space, register early Physician Workshop*... $150 *For third- and fourth-year fellows and practicing physicians only. (Please print clearly) Last Name: First Name: Credentials: Organization: Specialty: Title/Position: Address: City: State: ZIP: Office Phone: Office Fax: Check or Money Order (made payable in U.S. funds to ) Credit Card: I authorize to charge my: Visa Master Card AMEX Credit Card No. Name on the Card: Authorized Signature: Special/Dietary needs (specify): CONFERENCE ACCOMMODATIONS HOUSTON MARRIOTT AT THE TEXAS MEDICAL CENTER 6580 Fannin St., Houston, TX Please make your reservations directly with the hotel. Please identify yourself as part of the Methodist Hospital group to receive the discounted group rate. Rates start at $149 per night. The cutoff date is March 2, Exp. Date: FOR FURTHER INFORMATION, CONTACT Office of Continuing Medical Education 6670 Bertner Ave., R2-216, Houston, TX Phone: Fax: cme@houstonmethodist.org

6 Office of Continuing Medical Education 6670 Bertner Ave., R2 216 Houston, TX Nonprofit Org. U.S. Postage PAID Permit No Houston, TX FOURTH ANNUAL SYMPOSIUM Lynda K. and David M. Underwood Center for Digestive Disorders at Exploring Frontiers in the Management of Digestive and Liver Disorders MARCH 23-24, 2018 events.houstonmethodist.org/underwood-symposium PROGRAM DIRECTOR: Accreditation and Credit Designation Statements Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. designates this live activity for a maximum of 7.0 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians (Workshop) designates this live activity for a maximum of 4.0 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. ABIM/ABS MOC Part II Credit A self-assessment exam will be given to allow the opportunity to earn credit toward fulfilling Part 2 of the ABIM and ABS MOC program. Nurses is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. provides up to 7.25 contact hours for this activity. Participants must attend selected sessions in their entirety and complete the corresponding items on the evaluation tool. Fees, Registration and Conference Information Refer to the registration form for the fee schedule. Your registration will not be processed until payment is received. Your registration will be confirmed. If you have not received confirmation at least five business days before the activity start date, contact the Office of Continuing Medical Education (OCME) immediately. If you plan to register on-site, contact OCME at least 24 hours in advance to confirm activity status and space availability. OCME reserves the right to limit the number of participants in an activity and will not be responsible for any expenses incurred by an individual whose registration is not confirmed and for whom space is not available. Registration fee includes all designated meals, breaks and educational materials Educational Methods and Evaluation Didactic Presentations Q&A Hands-on workshop Evaluation will address program content, presentation and possible bias. ADA Statement In compliance with the Americans with Disabilities Act, will make reasonable efforts to accommodate persons with disabilities at this symposium. Please call for further information or if you need special assistance. Disclosure This CME activity is designed for use by health care professionals for educational purposes only. Information and opinions offered by the contributors represent their viewpoints. Conclusions drawn by the participant should be derived from careful consideration of all available scientific information. Prescription information and use of medical devices should be undertaken only after confirmation of information by consulting the FDA-approved uses and information. makes every effort to have accurate information presented; no warranty, expressed or implied, is offered. The participant should use his or her clinical judgment, knowledge, experience and diagnostic decision-making before applying any information, whether provided here or by others, for any professional use. Cancellation/Refund Policy Requests for registration refunds must be in writing and received by OCME at least 10 business days before the course begins. The date OCME receives the request will be considered the cancellation date. Requests received after the refund deadline will not be processed. Cancellations are subject to an administrative fee deducted from the registration fee paid to cover guarantees and other expenses. Requests should be mailed to OCME or faxed to OCME reserves the right to cancel activities, not less than 10 business days before the scheduled date, if extenuating circumstances make it necessary. Registrants will be notified at the contact number indicated on the registration form followed by written notification. If an activity is cancelled, OCME s liability is limited to the registration fee paid. Note: If payment is made by check, a Social Security number is required to process the refund.