Thursday, March 30, 2000: SAGES Postgraduate Courses
Registration includes: For each postgraduate course, program materials will be available at the Registration desk beginning at 4:00 PM Monday, March 27, 2000. Fee includes course materials, a syllabus, Wednesday evening exhibit reception, continental breakfast, and breaks.
Postgraduate Course I:Oncology (Full Day)
Postgraduate Course II: Barrett's Esophagus (Morning)
Postgraduate Course III: Motility (Afternoon)
Postgraduate Course I: Oncology (Full Day)
Laparoscopy in the Management of Malignancy: How Much Is Too Little?
David W. Rattner, MD, Course Chairman
OBJECTIVES:
At the conclusion of this course, the participant shall:
- Appreciate honest differences of opinion regarding the appropriate use of minimally invasive techniques for Rx of Cancer
- Identify contraindications in the use of MIS in treatment of malignancy
- Understand technique of staging laparoscopy, laparoscopic US and EUS
- Understand diagnosis and staging of colonic neoplasms
- Understand the techniques for performing laparoscopic colon resection
COURSE DESCRIPTION:
The course will highlight areas of controversy in the application of minimally invasive techniques to cancer staging and treatment. The speakers will address both the biological basis for therapy and the clinical data to support their views. Focus areas will include treatment of liver lesions, staging and triage of pancreatic cancer patients, staging and treatment of esophagogastric neoplasms and controversies in laparoscopic colectomy for colon and rectal cancer.
ONCOLOGY COURSE PROGRAM:
8:00 AM Keynote Address: Laparoscopy in the Management of Malignancy - How much is too little? F. Greene Staging Upper Abdominal Malignancy Moderator: D. Rattner 8:30 AM When is staging important? D. Rattner 8:40 AM Environmental considerations in the peritoneal cavity: Macrophage function, tumor cell implantation, and positive cytology. P. Jackson 9:00 AM Management of an unexpected liver lesion R. Adams 9:15 AM Laparoscopic Liver resection N. Katkhouda 9:30 AM Thermal therapy of Liver lesions A. Siperstein Pancreatic Cancer Moderator: L. W. Traverso 9:45 AM Laparoscopy is not necessary K. Lillimoe 9:55 AM Simple Laparoscopy improves resectability rate C. Fernandez-del Castillo 10:05 AM Extended Laparoscopy and Laparoscopic Ultrasound should be a routine part of staging K. Conlon 10:15 AM Laparoscopic palliation of Pancreatic Cancer W. S. Eubanks 10:25 AM Is regionalization of care necessary? L. W. Traverso 10:35 AM Discussion 11:00 AM - 2:00 PM--Break: Exhibits/Posters/Learning Center Laparoscopic Management of Foregut Neoplasms Moderator: C. D. Smith 2:00 PM Staging Gastric and Esophageal Cancer-Techniques and implications for therapy M. Talamini 2:15 PM Role of Endoscopic US in staging Gastric and Esophageal Cancer J. Affronti 2:30 PM Minimally Invasive Management of Gastric neoplasms (early gastric ca and submucosal tumors) P. Goh 2:45 PM Minimally Invasive techniques for esophagectomy - Fact or Fantasy? L. Swanstrom 3:00 PM
Discussion Colon and Rectal Panel Moderator: R. L. Whelan 3:30 PM Pathology Review of Polyps/malignancy/stalk invasion Emory Pathologist (TBA) 3:40 PM Sentinel Node Techniques for Colorectal neoplasms D. Ota 4:00 PM Trocar Site Recurrence - Myth or real Concern S. Wexner 4:10 PM Technical Aids for Laparoscopic Colectomy T. Young-Fadok 4:25 PM Low Anterior Resection and APR - Tricks of the trade J. Fleshman 4:40 PM Discussion: Laparoscopic Colectomy should be performed only as part of a RCT All. SAGES gratefully acknowledges a generous educational grant from Karl Storz Endoscopy in support of the Oncology Course.
Postgraduate Course II: (Morning)
Treatment of Barrett's Esophagus - Current Concepts
Mark Talamini, MD, Course Chairman
OBJECTIVES:
At the conclusion of this course, participants will be able to:
- Identify the pathology, histology, and epidemiology of Barrett's Esophagus
- Recognize new means of diagnosing and treating Barrett's Esophagus
- Assess the central role of Anti-reflux surgery in the management of Barrett's Esophagus
- Recognize the complexity and importance of dysplasia in Barrett's Esophagus
COURSE DESCRIPTION:
The course will highlight the major issues and controversies in diagnosing and managing Barrett's Esophagus. The speakers will address diagnostic techniques, therapeutic options and provide clinical data to support their positions. Focus areas will include the relationship to diagnostic threshold, Barrett's Esophagus and cancer, ablative treatment, and surgical options..
Barrett's Esophagus Course Program
7:30 AM Introduction M. Talamini Session I: What & Why-What is Barrett's Esophagus, Why Is It Important? Moderator: M. Talamini 7:40 AM What is Barrett's Esophagus? P. Waring 8:00 AM Who Gets It, or Do we have an epidemic on our hands? B. Salky 8:20 AM New Frontiers In Endoscopic Diagnosis of Barrett's M. Feld 8:40 AM Barrett's Esophagus & Cancer: What is the relationship? L. Bonavina 9:00 AM Panel Discussion Session II: Management of Barrett's Esophagus Moderator: G. Jamieson 9:20 AM Endoscopic Management of Barrett's Esophagus, with or without surgery G. Vitale 9:40 AM Ablative Treatment - Promise fulfilled? J. Lightdale 10:00 AM The Nissen Fundoplication For Barrett's - What's the Real Story? J. Hunter 10:20 AM The patient with High Grade Dysplasia in BE - What to do? C. Pellegrini 10:40 AM Panel Discussion 11:00 AM Break: Exhibits, Learning Center, Posters, Lunch
Postgraduate Course III: Motility (Afternoon)
Esophageal Function Testing: What the GI Surgeon Needs to Know
Lelan Sillin, MD, Course Chairman
OBJECTIVES:
At the conclusion of this course, participants should be able to:
- Understand the requirements for establishing a foregut diagnostic laboratory
- Interpret esophageal motility records
- Recognize the motility records consistent with common esophageal motility disorders
- Integrate the results of foregut physiological tests into surgical decision making
COURSE DESCRIPTION:
The course will feature logistics of setting up a lab, techniques of manometry, emerging evaluative techniques; and interactive evaluation. The speakers will address reflux and non-reflux disease, pH monitoring and review methods of integrating results of tests into surgical decision making. Faculty experts will share clinical data to demonstrate issue. The unique teaching technique of faculty as "roving reporters" bring attendees into the decision making process.
MOTILITY COURSE PROGRAM
Session 1 Moderator: L. Sillin 2:00 PM Introduction L. Sillin 2:10 PM Esophageal function laboratory: Setting it up! W. Richards 2:20 PM Techniques of the esophageal manometric examination: how the tests are done and what the squiggles mean! Atlanta Tech/Nurse (TBA) 2:30 PM Future methods of evaluation - Patterns of common esophageal motility disorders R. Bell 2:40 PM a) reflux disease D. Dempsey 2:50 PM b) non-reflux disease M. Patti 3:00 PM pH monitoring P. Waring 3:10 PM Cricopharynx: what the GI surgeon needs to know! R. Mason 3:20 PM Integrating the results of esophageal physiologic tests into surgical decision making: who gets an operation, and, if so, which one! P. Crookes 3:30 PM DISCUSSION Session 2: Interactive evaluation of esophageal motility records Moderator: C. Bremner 3:45 PM Images of esophageal motility records will be projected for participants. "Roving reporters" will literally rove around the audience with wireless microphones, obtaining feedback from the audience. Participants will attempt to explain and identify what is happening in each image. "Roving reporters" J. Hunter, R. Hinder, P. Waring, R. Bell, M. Patti, G. Jamieson Live Motility Demonstration P. Crookes 4:45 PM Closing comments C. Pellegrini
SAGES acknowledges generous educational grants from the following companies in support of the above Course. Janssen Pharmaceutical Products, LP Medtronics Functional Diagnosis Stryker Endoscopy