Schedule

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7.25 - 7.30 am      Welcome & opening remarksBanke Agarwal, MD

7.30 – 9.15 am      Session I

Screening, surveillance and endoscopic therapy for colon cancer
Moderators: Steven Fern, DO & David Cort, MD

Screening and endoscopic therapy for colon cancer

Screening colonoscopyDavid Lieberman, MD

      • For whom, when and how often
      • Data on potential benefit of screening colonoscopy
      • Should screening be started earlier in some high risk groups
      • Screening in the elderly: is screening is really beneficial
      • Impact of screening colonoscopy on right and left sided colonic tumors

        View Presentation

CT colonography: Are we dealing with the inevitableJoel Brill, MD

  • Issues/factors favoring use of CT colonography
  • Why CMS did not cover CT colonography
  • Cost of CT colonography vs. colonoscopy
  • Will gastroenterologists ever be reimbursed for interpreting CT colonography
  • Potential partnerships between radiologists and gastroenterologists for developing centers for colon cancer screening

    View Presentation

Molecular markers for colon cancer screeningSteven Itzkowitz, MD

  • Anticipated role of molecular markers in colon cancer screening and diagnosis
  • Are there any markers available for use in near future
  • Could the development of molecular markers lead to more efficient and cost-effective screening programs
  • What kind of validation studies are required prior to their use clinically
  • Performance characteristics acceptable for their use in colon cancer screening

    View Presentation

Endoscopic therapy of colorectal polypsDouglas Rex, MD

  • Realistic miss rate of significant polyps during colonoscopy
  • Is withdrawal time a realistic quality indicator
  • Is repeat colonoscopy ever justified for missed polyps
  • Does the data showing the reduction of colon cancer by screening colonoscopy factor in missed polyps and flat adenomas
  • What to do with diminutive polyps?
    • Remove all polyps even when they are numerous
    • Remove all right sided polyps even when they are diminutive

      View Presentation

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Case discussions and Q&A – 45 mins       Download

9.15 - 9.30 am        Coffee Break

9.30 - 11.00 am      Session II

Commonly encountered neuroendocrine tumors of the gut
Moderators: Giuseppe Aliperti, MD & Steven Edmundowicz, MD

Endoscopic management of the common neuroendocrine tumors of gut –
Douglas Faigel, MD

  • Common sites where the neuroendocrine tumors are encountered in the gut
  • Pathologic types encountered in the gut and their frequency
  • Malignant potential of the NE tumors of the gut
  • Role of EUS in evaluation
  • Role of endoscopic mucosal resection
  • Follow up these patients for tumor recurrence and metastatic lesions
  • Management of recurrent gastric carcinoids in the background of atrophic gastritis

    View Presentation                    Watch Video

Evaluation and medical management of NE tumors encountered during
 endoscopy or abdominal imaging – Lowell Anthony, MD

  • Is further work-up for systemic disease needed in all patients with NE tumors of the gut
  • What kind of further evaluation is needed if the gut lesion is
    • Carcinoid tumor
    • Gastrinoma
    • Non-functioning NE tumor
  • How to evaluate patients with serum hypergastrinemia
    • What to do if no gastrin producing lesion is identifiable
    View Presentation

Surgical management of neuroendocrine tumors of the gutRichard Hodin, MD

  • Type of surgery for treatment of NE tumors
    • Gastroduodenal nodules/tumors
    • Small bowel tumors
    • Colorectal nodules/tumors
  • Role of surgery in patients  with MEN syndrome and ZE syndrome
  • Pre-operative evaluation
  • Post-operative follow up and management

    View Presentation

Case discussions and Q&A       Download

11.00 - 12.00 pm        Session III

Physicians and the law: What to do and not do when sued
Andrew Schlafly, JD and Christina McCracken, JD

View Presentation

  

12.00 – 12.45 pm        Lunch

12.45 -2.45 pm           Session IV

Imaging techniques in the diagnosis, staging and follow up of GI cancers
Moderators: Banke Agarwal, MD and Paul Schultz, MD

Panel:
Medical Oncologist: Axel Grothey, MD
Endosonographer: Michael Kochman, MD
PET/Nuclear Medicine: Val Lowe, MD
CT/MRI: Elliott Fishman, MD

How to choose appropriate imaging techniques for pre-operative/pre-treatment staging and for post-treatment follow up of patients with

  • esophageal cancer
  • gastric cancer
  • pancreatobiliary cancer
  • colorectal cancer
  • GI stromal tumor

Principles of staging of GI cancers: Axel Grothey

  • Luminal GI Cancers
    • How does T staging and N staging affect treatment choice and in which cancers
    • What other tests help determine best treatment choices and tailor therapy
  • Pancreatobiliary cancers
    • What factors determine resectability and need for adjuvant therapy

    View Presentation

EUS and Operator dependence: Why is it important to find a good endosonographer : Michael Kochman

  • Wide range of variation between accuracy for pancreatic cancer diagnosis
    • Make sure your endosongrapher has good and on-site cytology support
  • Cost of mis-staging of luminal cancers
  • Absence of immediate feedback mechanism for a “failed” or “suboptimal” EUS exam
    • You might find out the poor results of an endosonographer only when it is too late

    View Presentation

Advances in Radiologic imaging of GI cancers: Elliot Fishman

  • Are MDCT and MRI interchangeable in use
  • CT with reconstruction vs MR Angiogram
    • How to chose
  • What is CT arterial portography and CT hepatic arteriography
    • What are their potential uses in management of GI cancers

    View Presentation

Advances in Nuclear Imaging: Val Lowe

  • Role of PET scan in
    • Staging
    • Diagnosis
  • Caveats in the use of PET scan
  • Potential benefits of PET-CT

    View Presentation


Case discussions and Q&A       Download

2.45 - 3.00 pm             Coffee break

3.00 - 4.00 pm             Session V

Ethical dilemmas in the management of patients with GI cancers
Moderators: Ira Kodner, MD and Keith Naunheim, MD

4.00 - 5.00 pm             Session VI

Surveillance and Chemoprevention of GI cancers
Moderators: Charlene Prather, MD and Michael Presti, MD

Barrett’s surveillance, chemoprevention and treatmentPrateek Sharma, MD

Top »

  • Purpose of surveillance- to diagnose early or to prevent esophageal cancers
  • How effective are current surveillance protocols
  • Cost-effectiveness of Barrett’s surveillance
  • Chemoprevention of Barrett’s-
    • Are there any agents that are currently recommended
    • Which patients would qualify
  • Treatment of Barrett’s esophagus
    • RFA vs. EMR vs. Esophagectomy
    • Whom to treat- HGD vs. LGD vs. No dysplasia
    View Presentation

Colon cancer surveillance and chemoprevention in patients with IBDWilliam Tremaine, MD

  • Risk of colon cancer in patients with IBD
  • Do UC and Crohn’s disease patients have similar risks
  • Does the risk vary with disease severity and extent
  • Does good control of IBD reduce the risk of colon cancer
  • Chemoprevention of colon cancer- are any agents currently recommended
  • Do the biologics decrease the risk of colon cancer
  • How to determine the right time for colectomy for colon cancer risk

    View Presentation

Patients with FAP and HNPCC: Surveillance and chemoprevention for colon and extracolonic cancers – Dennis Ahnen, MD

  • Prevalence of these syndromes in the general population
  • When should we consider testing for these mutations
  • Clinical features of patients with attenuated FAP and HNPCC
  • Guidelines for management of colonic polyps/colon cancer
    • role of chemoprevention
    • surveillance colonoscopy
    • surgery
  • Extracolonic tumors in these patients
    • Recommendations for surveillance of these tumor
    View Presentation

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4.45 - 5.00 pm     Q&A  

5.00 pm               Conference Adjourned