ASGE Postgraduate Course at EndoFest
Winning Strategies for the GI Consultant
Friday, September 20
The one-day EndoFest Postgraduate Course will feature interactive, video-based discussions from the experts on clinical challenges and controversies in the management of GI conditions from the esophagus to the pancreas to the colon. New techniques and technologies will be discussed in the context of what is applicable and useful in everyday practice in endoscopy.
9:55 - 10:00 am Welcome and Introductions
Michelle A. Anderson, MD, FASGE
10:00 - 10:20 am Session 1: IBD & Endoscopy: Beyond Diagnostic Endoscopy in the High-Risk Patient
Thomas M. Savides, MD, FASGE
Update on surveillance in IBD: How often and how to do it correctly; Therapeutic endoscopy for the treatment of IBD-related strictures and fistulae including the role of EUS.
10:20 - 10:40 am Session 2: Diverticular Disease
Kenneth R. McQuaid, MD, FASGE
Management of diverticular bleeding and diverticulitis including the role of endoscopy in the evaluation, treatment, and timing of endoscopy in bleeding cases; endoscopic approaches to bleeding diverticula and when patients should be referred for surgical resection.
10:40 - 11:00 am Session 3: Idiopathic Pancreatitis - Evaluation and Management
Sreenivasa S. Jonnalagadda, MD, FASGE
A comprehensive synopsis for the busy clinician on evaluation including the role of genetic and autoimmune testing; manometry and endoscopic therapy (if, when and how); when is the evaluation complete and should these patients be referred to specialty centers.
11:00 - 11:20 am Session 4: Lumen "itis"
Nicholas J. Shaheen, MD, MPH
An update on how to diagnose and treat the non-IBD inflammatory conditions of the luminal GI tract including Eosinophilic esophagitis and eosinophilic gastroenteritis, microscopic and lymphocytic colitis, and collagenous colitis.
11:20 - 11:40 am Session 5: Approach to the Patient with Chronic Abdominal Pain
John J. Vargo, MD, MPH, FASGE
When do these patients need to undergo endoscopy and/or imaging and when is empiric medical therapy acceptable? What is the role of neuromodulators and how can you select the best one for your patient? Can a multi-disciplinary approach help in refractory cases?
11:40 am - Noon Session 6: Obscure GI Bleeding
Brooks D. Cash, MD, FASGE
What to do next when EGD and Colon are unrevealing - is repeat EGD or colonoscopy ever indicated? Video endoscopy versus radiology-based imaging - which is best in which patient? How can you use balloon-assisted endoscopy effectively in your own practice and what is ahead for reimbursement?
Noon - 1:00 pm Lunch
1:00-3:00 pm Rapid Fire GI Journal Club
Moderator: Sreenivasa S. Jonnalagadda, MD, FASGE
The IT&T Committee members will present selected high-impact articles published in the last two years in a concise and dynamic format lasting 20 minutes or less per area below. Case studies and take-home points will help you integrate these recent advances into your practice immediately. If you find yourself too busy to keep up with the latest literature, guidelines and treatment recommendations, this is your chance to catch up on what you may have missed. The following areas will be covered:
- Stomach and small bowel
- Biliary System
3:00 - 3:30 pm Break
3:30 - 3:50 pm Session 7: Endoscopy in the High-Risk Patient
Michelle A. Anderson, MD, FASGE
This session will include precautions and contraindications for endoscopy in patients with recent and/or significant cardiac co-morbidities, significant pulmonary disease or risk, the pregnant patient and the anticoagulated patient.
3:50 - 4:10 pm Session 8: Management of Pancreatitis-associated Fluid Collections
Andrew S. Ross, MD, FASGE
Discussion will address identification and classification of these conditions including the distinctions between organized necrosis and pseudocyst. Identify the best treatment approach including when endoscopy can help and when it can harm. We will discuss a multidisciplinary approach and when and how your radiology colleagues can be valuable partners.
4:10 - 4:30 pm Session 9: Hemorrhoid Treatment for the Endoscopist
Robert A. Ganz, MD, FASGE
What are the disease mimickers and how can you confidently exclude them? What are the indications and contraindications for endoscopic therapy for hemorrhoids? What are the tools of the trade and how does endoscopic therapy compare to alternative approaches to treatment?
4:30 - 4:50 pm Session 10: Sphincter of Oddi Dysfunction
Steven A. Edmundowicz, MD, FASGE
Is this real and are there any medical therapy options? If it is real, when is manometry needed and when to cut?
4:50 - 5:10 pm Session 11: Quality in Endoscopy
M. Brian Fennerty, MD, FASGE
Why is a good prep important and how can you get the best preps for your patients? How do you improve adenoma detection rate and is this quality measure here to stay? What are common pitfalls in reprocessing and how can you avoid them?
5:10 - 5:30 pm Session 12: Approach to the Patient with a Refractory Benign Stricture of the GI Lumen
Gottumukkala S. Raju, MD, FASGE
What is a "refractory" stricture? What are the current options for treatment of esophageal strictures, duodenal strictures and colonic strictures? Is there a role for covered stents in these patients and if so, what are the advantages/disadvantages to available devices? When should you refer your patient to a tertiary center and when should surgical consultation be considered?