2012 POSTGRADUATE COURSE SYLLABUS

Transcription

1 2012 POSTGRADUATE COURSE SYLLABUS Program Description, Faculty Listing and Disclosure Information...vii Course Evaluation and CME Information...xi SATURDAY MORNING, OCTOBER 20, 2012 Session 1A: Upper GI Tract Moderator: Joel E. Richter, MD, MACG What s New in GERD...1 Philip O. Katz, MD, FACG Review updated information on gastroesophageal reflux disease and understand appropriate diagnostic and therapeutic options. Evaluation and Treatment of Barrett s Esophagus...4 Kenneth K. Wang, MD, FACG Be familiar with the latest screening and surveillance recommendation and evaluate the various options to diagnose and treat Barrett s esophagus. Diagnosis and Management of Eosinophilic Esophagitis...7 Joel E. Richter, MD, MACG Identify the clinical presentations of eosinophilic esophagitis and provide effective treatments. Celiac Disease and Gluten Sensitivity: New Tests and Approaches...10 Joseph A. Murray, MD, FACG Recognize patients with celiac disease and gluten sensitivity, compare the available diagnostic tests and provide a management strategy. The David Sun Lecture: Helping Your Patient by Helping Yourself: How to Improve the Patient-Physician Relationship...12 Douglas A. Drossman, MD, MACG Identify and overcome barriers in communication to enhance the patient physician relationship. Session 1B: Colon Polyps and Colorectal Cancer Moderator: Douglas K. Rex, MD, MACG Colon Cancer Screening and Surveillance in Carol A. Burke, MD, FACG Apply the latest screening and surveillance recommendations for colon cancer detection and prevention. How to Recognize and Manage Hereditary Colon Cancer Syndromes...21 Sapna Syngal, MD, MPH, FACG Identify patients with hereditary colon cancer syndromes and understand comprehensive management strategies. Detection and Removal of Flat Polyps, Big Polyps and Ugly Polyps...25 Steven A. Edmundowicz, MD Illustrate the endoscopic approaches to the management of large and difficult colon polyps. How to Improve Your Performance of Colonoscopy...28 Douglas K. Rex, MD, MACG Discuss optimal techniques to perform colonoscopy and demonstrate specific methods to improve quality. i

2 SATURDAY AFTERNOON, OCTOBER 20, 2012 Saturday Learning Luncheons 1. The Art of the History and Physical Exam Lawrence J. Brandt, MD, MACG Gain a fuller appreciation for the value of the medical history and physical examination in directing differential diagnosis and diagnostic testing. 2. Management of Proton Pump Inhibitors and Anti-platelet Agents...32 Neena S. Abraham, MD, MSCE, FACG Explore the current controversy of the clinical significance of the interaction between proton pump inhibitors and anti-platelet agents. 3. Clostridium difficile Colitis: Current Diagnosis and Treatments...38 Christina M. Surawicz, MD, MACG Diagnose C. difficile colitis and define the current treatment options for standard, recurrent and refractory cases. 4. New Concepts in Managing Acute and Chronic Pancreatitis...41 Darwin L. Conwell, MD Discuss the latest evaluation and treatment guidelines in acute and chronic pancreatitis. 5. Current Treatment of H. pylori...42 William D. Chey, MD, FACG Summarize the latest treatment regimens for H. pylori infection and understand their efficacy. 6. Obesity: What Is the Role of the Gastroenterologist?...45 John K. DiBaise, MD, FACG Analyze the factors that lead to obesity and focus on effective management strategies. 7. Optimal Bowel Preparations for Colonoscopy...49 Jack A. Di Palma, MD, FACG Assess the efficacy and safety of the current available bowel preparation for colonoscopy. 8. The Role of Capsule Endoscopy Today: It s Not Just for Bleeding Anymore...52 Felice Schnoll-Sussman, MD, FACG Be familiar with the current indications and illustrate the applications of capsule endoscopy. 9. Practical Applications of Advanced Endoscopic Imaging Techniques...55 Julia J. Liu, MD, FACG Summarize the current information on the practical use of innovative endoscopy imaging modalities including narrow band imaging and confocal endomicroscopy. 10. Complementary Therapies in Gastrointestinal and Hepatic Disease...57 David J. Hass, MD, FACG Define the roles and benefits of complementary therapies within astrointestinal and hepatic disease, identify the regulatory aspects of complementary medicine, and assess potential medication interactions between complementary therapies and traditionally prescribed medications. 11. Evaluation of a Patient for Liver Transplantation...62 Paul Martin, MD, FACG Outline the optimal timing and testing for the patient with liver disease for liver transplantation. 12. Approach to Abnormal Liver Tests...65 Mitchell L. Shiffman, MD, FACG Review the differential diagnosis and diagnostic strategies to evaluate patients with abnormal liver tests. 13. Minimizing Complications in Endoscopy...69 Douglas G. Adler, MD, FACG Propose methods to prevent endoscopic complications, but recognize and comprehensively manage adverse events when they occur. 14. Approach to the Difficult ERCP Cannulation...72 Jeffrey H. Lee, MD, FACG Provide an approach to be successful at achieving ERCP cannulation in difficult cases and illustrate examples of effective techniques. ii

3 Session 1C: Endoscopic Techniques & Cases: Video Presentations Moderator: Douglas O. Faigel, MD, FACG Endoscopic Mucosal Resection...78 Kenneth K. Wang, MD, FACG Review the indications, technical aspects, and complications in the performance of endoscopic mucosal resection. Stenting: From Esophagus to Colon...80 Steven A. Edmundowicz, MD Appraise the most recent issues in the endoscopic placement of luminal stents for the management of benign and malignant conditions. ERCP Tricks of the Trade...84 Martin L. Freeman, MD, FACG Illustrate the best practices to achieve successful outcomes in difficult situations. Case Presentations and Panel Discussion Case Presenter: Douglas O. Faigel, MD, FACG Panelists: Kenneth K. Wang, MD, FACG, Steven A. Edmundowicz, MD, Martin L. Freeman, MD, FACG, Brenda J. Hoffman, MD, FACG Provide challenging cases to illustrate techniques to diagnose and treat a variety of gastrointestinal disorders using endoscopic methods. Simultaneous Sessions Symposium A: Challenges in Pancreatobiliary Disorders Moderator: Brenda J. Hoffman, MD, FACG Pancreatic Cysts: Discerning the Benign from the Not-So-Benign...92 Brenda J. Hoffman, MD, FACG Analyze the diagnostic and therapeutic algorithms for pancreatic cysts and provide management recommendations. Management of Pancreatic Pseudocysts and Complex Fluid Collections...95 Michael J. Levy, MD Examine the treatment options for pancreatic fluid collections and provide an evidence-based approach. Benign and Malignant Biliary Strictures: How to Evaluate and Manage...98 Michel Kahaleh, MD, FACG Assess the various methods to differentiate benign from malignant biliary strictures and determine an effective diagnostic and therapeutic approach. Symposium B: Clinical Challenges in IBD A Case-based Approach Moderator: Stephen B. Hanauer, MD, FACG Refractory IBD 104 Gary R. Lichtenstein, MD, FACG Propose a schema to evaluate and manage patients with refractory IBD including the use of biologic agents. Postoperative Recurrence of Crohn s Disease Miguel D. Regueiro, MD, FACG Outline the methods to prevent and manage the post-operative recurrence of Crohn s disease. Case Presentations and Panel Discussion The Difficult-to-Manage IBD Patient Case Presenter: Stephen B. Hanauer, MD, FACG Panelists: Gary R. Lichtenstein, MD, FACG, Miguel D. Regueiro, MD, FACG, Sonia Friedman, MD, FACG Provide challenging IBD cases to illustrate current controversies in diagnosis and treatment. iii

4 Symposium C: Update in GI Bleeding Moderator: John R. Saltzman, MD, FACG Innovative Approaches to Managing Upper GI Bleeding John R. Saltzman, MD, FACG Review the current evaluation and management strategies for upper GI bleeding and assess the efficacy of current endoscopic therapeutic modalities. Small Intestinal Bleeding: Not Obscure Anymore Jonathan A. Leighton, MD, FACG Discuss the tests and strategies to diagnose and treat patients with bleeding from the small bowel. The Role of Endoscopy in Lower GI Bleeding Lisa L. Strate, MD, MPH, FACG Analyze the current data on the timing and effectiveness of endoscopy in patients with lower GI bleeding. SUNDAY MORNING, OCTOBER 21, 2012 Session 2A: Management of Inflammatory Bowel Disease Moderator: Sunanda V. Kane, MD, MSPH, FACG Role of Serologic and Genetic Testing in IBD Stephen B. Hanauer, MD, FACG Analyze the emerging serologic and genetic tests available for the diagnosis and management of IBD. Optimal Use of Immunomodulators and Biologics Sunanda V. Kane, MD, MSPH, FACG Describe when to start and how to effectively use immunomodulators and biologics in patients with IBD. Colon Cancer in IBD: Detection, Prevention and Management David T. Rubin, MD, FACG Review the latest recommendations for prevention, screening, surveillance, and treatment of colon cancer in IBD patients. Health Maintenance of the IBD Patient Francis A. Farraye, MD, MSc, FACG Develop a comprehensive checklist for health maintenance issues in patients with IBD. Session 2B: Hot Topics in Liver Disease Moderator: Mitchell L. Shiffman, MD, FACG Management of Hepatitis B Jorge L. Herrera, MD, FACG Describe the current treatment strategies for hepatitis B patients. New Treatments for Hepatitis C Mitchell L. Shiffman, MD, FACG Analyze the latest available therapies for hepatitis C patients. Current Screening Strategies for Hepatocellular Carcinoma Hashem B. El-Serag, MD, MPH Apply the latest guidelines for screening for hepatocellular carcinoma in liver patients. Evaluation of Liver Mass Lesions Lewis R. Roberts, MB, ChB, PhD, FACG Determine the best strategies in the evaluation and diagnosis of liver mass lesions. NASH & NAFLD: What You Need to Know Naga P. Chalasani, MD, FACG Examine the latest strategies in the diagnosis and treatment of patients with non-alcoholic fatty liver disease. iv

5 SUNDAY AFTERNOON, OCTOBER 21, 2012 Sunday Learning Luncheons 15. Top Clinical Vignettes at ACG 2012 Stacie A. F. Vela, MD Discuss the best clinical vignettes at this year s ACG Meeting. 16. Approach to the Patient with Diarrhea Christina M. Surawicz, MD, MACG Outline an organized approach to the evaluation and management of patients with diarrhea. 17. Fertility and Pregnancy in IBD Sonia Friedman, MD, FACG Assess fertility issues and the monitoring and management of pregnancy in patients with IBD. 18. Small Intestinal Bacterial Overgrowth Eamonn M. M. Quigley, MD, FACG Understand when to consider the diagnosis of small intestinal bacterial overgrowth and how to effectively treat this condition. 19. New Concepts in Autoimmune Pancreatitis Michael J. Levy, MD Recognize the clinical presentation, accurate diagnosis and treatment of autoimmune pancreatitis. 20. Use of Esophageal ph and Impedance Testing in Your Practice Philip O. Katz, MD, FACG Illustrate the utility of esophageal ph monitoring and impedance testing in the evaluation of patients with typical and atypical GERD symptoms. 21. Current Indications and Applications of EUS Linda S. Lee, MD Describe the latest developments in endoscopic ultrasonography. 22. Deep Enteroscopy: How Low Can You Go? Charles Dye, MD Analyze the clinical applications, technical aspects, therapeutic options and potential complications of small bowel enteroscopy. 23. Barrett s Ablative Therapies Patient Selection, Technical Issues, Complications, and Post-Procedure Surveillance Nicholas J. Shaheen, MD, FACG Discuss practical issues in the performance of ablative therapies of Barrett s esophagus including radiofrequency ablation and cryoablation. 24. Endoscopic Challenges in Bariatric Surgery Patients Abraham Mathew, MD, MSc Identify the latest endoscopic techniques in the management of post-bariatric surgery complications. 25. Maximizing Efficiency in Your Endoscopy Unit Mark B. Pochapin, MD, FACG Propose different strategies for making your endoscopy unit more efficient. 26. Quality Initiatives in Your Practice in the Post Health Reform Environment David A. Johnson, MD, FACG Review different strategies for improving and documenting quality initiatives. 27. Management of Cholestatic Liver Diseases Kris V. Kowdley, MD, FACG Describe the different treatment options in primary biliary cirrhosis and primary sclerosing cholangitis. 28. Approach to the Patient with Non-ulcer Dyspepsia Deborah M. Bethards, MD, FACG Discuss the different treatment options available for patients with functional dyspepsia. v

6 Session 2C: Motility & Functional Disorders Moderator: William D. Chey, MD, FACG Chronic Nausea and Vomiting Lawrence R. Schiller, MD, FACG Develop an organized approach to the evaluation and management of patients with chronic nausea and vomiting. Approach to the Patient with Constipation William D. Chey, MD, FACG Outline the available diagnostic tests and treatment options in patients with chronic constipation. Probiotics and Alternative Approaches to Managing Irritable Bowel Syndrome Anthony J. Lembo, MD Critically evaluate the alternative therapies available for IBS patients including the use of probiotic agents. Case Presentations The Difficult-to-Manage Functional Patient Case Presenter: Anthony J. Lembo, MD Panelists: Lawrence R. Schiller, MD, FACG, William D. Chey, MD, FACG, and Eamonn M. M. Quigley, MD, FACG Provide challenging IBS cases to illustrate current dilemmas in patient management. Simultaneous Sessions Symposium D: Hot Issues in the Performance of Endoscopy Moderator: David A. Greenwald, MD, FACG Sedation: What s New? John J. Vargo, II, MD, MPH, FACG Discuss the latest in sedation alternatives for patients undergoing endoscopic procedures. Management of Anti-platelet and Anti-coagulant Agents David A. Greenwald, MD, FACG Understand the implications of discontinuing anti-platelet and anti-coagulant agents in patients undergoing endoscopy and develop strategies for the management of these agents in the periprocedural period. Measuring Quality of Endoscopy David A. Johnson, MD, FACG Outline specific benchmarks to monitor and improve your performance of endoscopy. Symposium E: Complex Issues in Hepatology Moderator: Paul Martin, MD, FACG Complications of Cirrhosis: Hepatic Encephalopathy and Ascites Arun Sanyal, MBBS, MD Describe the major complications of cirrhosis and their management. What s New in Hemochromatosis? Kris V. Kowdley, MD, FACG Discuss the latest issues in the diagnosis and treatment of hemochromatosis. Alcohol Liver Disease: Management in Paul Martin, MD, FACG Analyze the different treatment options for alcohol liver disease. Symposium F: Current Issues in GI Cancers Moderator: Raquel E. Davila, MD, FACG Gastrointestinal Stromal Tumors: Diagnosis, Management and Surveillance Raquel E. Davila, MD, FACG Discuss the different strategies for making a diagnosis and the latest recommendations for the management and surveillance of GIST. Management of Duodenal and Ampullary Polyps and Cancer Gregory B. Haber, MD, FACG Propose an approach for the evaluation and management of patients with duodenal and ampullary lesions. vi Pancreatic Cancer: Early Detection, Diagnosis, and Screening Manoop S. Bhutani, MD, FACG Review the current strategies for the early detection and accurate diagnosis of pancreatic cancer, and discuss screening in high-risk individuals.