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On The Bleeding Edge: Mastering GI Emergencies and Inpatient GI Consultation

On the Bleeding Edge: Mastering GI Emergencies and Inpatient GI Consultation

September 26, 2026, 7:00 AM - September 27, 2026, 12:00 PM

*US Central Time

Course Directors:
Michelle Hughes, MD
Andy Tau, MD, FASGE

Location:
ASGE IT&T or Virtual

Register Now

Take on the most urgent and complex challenges in inpatient GI care with a high-impact program designed for real-world practice. Through dynamic case-based sessions and hands-on training, you’ll gain practical, guideline-driven strategies to confidently approach GI bleeding, hepatobiliary emergencies, perforations, malignant obstruction, acute severe IBD and more. Learn from expert faculty across advanced endoscopy, hepatology and inpatient GI and GI hospitalists as they walk through real-world decision-making, risk stratification and when to escalate care.

Put your skills into action during two extended simulation-based labs designed to strengthen hemostasis techniques, manage refractory bleeding and navigate critical interventions like emergency ERCP and PEG troubleshooting. With a focus on team-based care, workflow optimization and delivering high-quality outcomes in fast-paced hospital settings, this course equips you to respond with precision when it matters most.

Secure your spot today!

 Participants will be able to:

  • Evaluate and manage upper, lower, and small‑bowel gastrointestinal bleeding, applying evidence‑based strategies for resuscitation, risk stratification, and endoscopic hemostasis
  • Assess and treat hepatobiliary and pancreatic emergencies, including cholangitis, biliary obstruction, difficult stones, bile leaks, and indications for urgent ERCP
  • Recognize and manage time‑sensitive inpatient GI conditions, such as acute severe IBD, Ogilvie’s syndrome, volvulus, and acute liver failure/ACLF, with appropriate escalation pathways
  • Identify and manage GI perforations, fistulas, foreign bodies, and food bolus impactions, including selection and application of endoscopic closure and airway‑protective techniques
  • Perform safe and appropriate enteral access management, including PEG/PEG‑J decision‑making and the evaluation and treatment of common device‑related complications
  • Enhance inpatient GI consultation effectiveness, incorporating structured decision‑making, imaging interpretation, interdisciplinary communication, and awareness of medicolegal and billing considerations
Michelle Hughes, MD

Michelle Hughes, MD

Yale School of Medicine, Section of Digestive Diseases

New Haven, CT

Andy Tau, MD, FASGE

Andy Tau, MD, FASGE

Austin Gastroenterology - Westlake Hills

Austin, TX

September 26, 2026

Print Agenda

*US Central Time

6:30 AM -
7:00 AM

Shuttle Transportation from Westin Hotel to ASGE facility

Shuttle departure times: 6:30 AM and 7:00 AM. Please note that these are the only shuttle transfer times. If you are unable to access the designated shuttle time, you will be responsible for your transfer to ASGE IT&T.
6:45 AM -
8:00 AM

Registration, Breakfast and Exhibits

8:00 AM -
8:15 AM

Welcome, Course Overview and Orientation

8:15 AM -
9:15 AM

Non-Variceal Hemostasis

  • Resuscitation and Risk Stratification
  • Injection, Thermal, Mechanical, Topical Agents
  • Failure Pathways and Escalation
  • Q&A
9:15 AM -
9:45 AM

Variceal Hemostasis

  • Pre-Endoscopy Management
  • Banding vs Glue vs Stent
  • Refractory Bleeding & Timing of TIPS
  • Q&A
9:45 AM -
10:00 AM

Break

10:00 AM -
10:30 AM

Lower GI Hemostasis

  • Diverticular Bleeding
  • Post-Polypectomy Hemorrhage
  • Role of CTA and IR and Colonoscopy
  • Q&A
10:30 AM -
11:00 AM

Mc-GI-Ver: DIY the Inpatient GI Service

  • Review Modifications (Off-Label) to Existing Devices
  • Review Novel Ways To Use Older Devices
  • Q&A
11:00 AM -
11:30 AM

The Difficult Food Bolus and Foreign Bodies

  • Airway-Protective Strategies
  • Novel and Time-Saving Endoscopic Devices
  • Q&A
11:30 AM -
12:00 PM

Enteral Access and Managing Complications

  • PEG vs PEG-J Selection
  • Managing Leaks, Migration, Buried Bumper
  • Q&A
12:00 PM -
1:00 PM

Lunch

Industry Sponsored Lecture or Panel “Poopourri Session”
1:00 PM -
4:00 PM

Hands-On Session

8 Stations (~20 min each):
  1. Hemostasis – Topical Agents
  2. Hemostasis – Mechanical Tools (OTSC, TTS Clips, Band Ligation)
  3. Hemostasis – Thermal Tools (Hemostatic Forceps, Spray Coagulation)
  4. Hemostasis – Variceal Bleeding (FCSEM Stent, Blakemore, Glue/Sclerosants)
  5. Foreign Body Retrieval – Tips and Tricks
  6. PEG/PEGJ placement – Tips and Tricks*
  7. The Inpatient Fanny Pack/DIY Hacks**
  8. Rescue Station: Overtubes and Emergency Lithotripter **
    *Unique simulator
    **No scope/specimen
4:00 PM -
4:30 PM

Locum Tenens and the Fair Market Value of Inpatient GI Consultation

  • Pros and Cons of Locums
  • Compensation Traps/Contract Pitfalls
  • Q&A
4:45 PM

Reception (All)

6:00 PM

Shuttle to Westin Hotel (Participants)

6:30 PM -
8:30 PM

Faculty Dinner Onsite

September 27, 2026

6:30 AM -
7:00 AM

Shuttle Transportation from Westin Hotel to ASGE facility

Shuttle departure times: 6:30 AM and 7:00 AM. Please note that these are the only shuttle transfer times. If you are unable to access the designated shuttle time, you will be responsible for your transfer to ASGE IT&T.
6:45 AM -
8:00 AM

Registration, Breakfast and Exhibits

8:00 AM -
8:30 AM

Small Bowel Bleeding

  • Capsules, tRBC Scan vs Endoscopy – Practical Diagnostic Strategies
  • Managing Recurrent Obscure Bleeding
  • Q&A
8:30 AM -
9:00 AM

Ogilvie’s and Volvulus Management

  • Recognition by Anatomy and Imaging
  • Endoscopic vs Surgical Management
  • Recurrence Prevention and Definitive Therapy
  • Q&A
9:00 AM -
9:30 AM

Cirrhosis and Related Complications

  • Pearls in Managing Decompensated Cirrhosis
  • Managing ALF vs ACLF
  • NAC Beyond Acetaminophen
  • Practical Transplant Referral Pathways
  • Q&A
9:30 AM -
10:00 AM

Acute Severe IBD

  • Steroid Failure and Rescue Options (JAK, TNF, etc)
  • When to Call Surgery?
  • Q&A
10:00 AM -
10:30 AM

Pancreaticobiliary Dilemmas

  • Triaging/Timing and Tricks of ERCP
  • Updates in Management of Pancreatitis
  • Minimizing Post ERCP Pancreatitis
  • Q&A
10:30 AM -
11:00 AM

How to Build an Efficient GI Hospitalist Service without Burnout

  • Census-Based Staffing Models
  • Dedicated Inpatient Endoscopy Time
  • How to develop and optimally utilize APP support
  • Inpatient billing and coding pitfalls
  • Q&A
11:00 AM -
11:30 AM

The Art of the GI Consult: Etiquette, Communication, and the Value of Reputation

  • Consult Etiquette – “Affable, Available and Able”.
  • Building Rapport and Influencing Teams
  • The Importance of Continuity and Reputation
  • Optimizing Hand-Offs and Discharges
  • Q&A
11:30 AM -
12:00 PM

Course Wrap-Up and Closing Remarks

  • Take Home Points From The Course
  • CME Instructions

Registration Fees

 In-PersonVirtual
Physician Member$1,800$500
Physician Non-Member$2,100$700
Trainee Member$1,000$500
Trainee Non-Member$1,300$700
(APP, Nurse, GI Tech) Member$500$500
(APP, Nurse, GI Tech) Non-Member$700$700

Registration Options

  • Register online
  • Call 630-573-0600 Monday through Friday 9:00 am-5:00 pm CT to register by phone
  • If you would like to submit a check, please make it payable to ASGE and mail to:

    American Society for Gastrointestinal Endoscopy
    P.O. Box 809055, Chicago, IL 60680-9055
    Attention: On the Bleeding Edge

View ASGE’s Policies and Procedures for information on Cancellation & Refunds.

Hotel Accommodations

The Westin Chicago Lombard
70 Yorktown Center
Lombard, IL  60148
Phone: 630-719-8000

Group Rate: $143 per night *plus taxes*
Hotel Cut-Off Date: Monday, September 14, 2026

Book Your Room Now

ASGE CME Statement

The American Society for Gastrointestinal Endoscopy (ASGE) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ASGE designates this Other activity (blended learning) for a maximum of 7.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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