Annual Scientific Meeting & Postgraduate Course

AMERICAN COLLEGE OF GASTROENTEROLOGY Annual Scientific Meeting & Postgraduate Course ACG O

OCTOBER O O The Premier GI Clinical Meeting & Postgraduate Course

PRELIMINARY t ACG 2018 PROGRAM October 5-10, 2018 • Pennsylvania Convention Center, Philadelphia, PA ACG Join the Global O GI Community at OCTOBER O O The Premier GI Clinical Meeting & Postgraduate Course ACG 2018

ACG 2018 pre-registration deadline Friday, September 28th, 2018 REGISTER ONLINE AT: ACGMEETINGS.GI.ORG

TABLE of CONTENTS Message from the ACG President...... 1

General Information Schedule-at-a-Glance...... 2 Registration and Pricing Information...... 4 General Information...... 6 Housing and Travel Information...... 7 Explore Philadelphia and more...... 9 Special Events & Receptions...... 10 ACG Auxiliary Events and Tours...... 11 GI Fellows-in-Training Events...... 12 Featured Lectures...... 13 Hands-On Endoscopy Workshop Center...... 14

Educational Programs Needs Assessment, Faculty Disclosure Requirements...... 15 Accreditation / CME / MOC Information...... 17 Friday Courses: • GI Pathology and Imaging Course...... 18 • What’s New in GI Pharmacology Course...... 19 • Practice Management Course...... 20 • ASGE Postgraduate Course...... 22 Three-Day Clinical Review Overview...... 24 Annual Postgraduate Course...... 25 Annual Postgraduate Course Faculty Listing...... 30 Annual Scientific Meeting...... 31 Annual Scientific Meeting Faculty Listing...... 42

Poster Presentations Poster Presentation Times...... 44 Sunday, October 7, Posters P1 – P881...... 45 Monday, October 8, Posters P882 – P1761...... 89 Tuesday, October 9, Posters 1762 – P2641...... 133

Exhibit Hall...... 177

Late-Breaking Abstract Submission Information...... 178 Join Your Colleagues in Philadelphia for ACG 2018 The Premier GI Clinical Event of the Year! Dear Colleagues,

It is my great pleasure to invite you to ACG 2018, the 7th. See page 14 for more information. American College of Gastroenterology's Annual Scientific The ACG Annual Scientific Meeting is the ONLY major GI Meeting and Postgraduate Course, which is the premier GI meeting that is still offered as a member benefit at no charge. clinical event of the year. This year ACG returns to the City ACG members also receive discounted registration rates for of Brotherly Love, and to Philadelphia at the Pennsylvania the Postgraduate Course and Friday courses. One reason the Convention Center for courses and scientific plenary sessions College can continue to offer this as a member benefit is due with a focus on the educational needs and priorities of clinical to the participation of exhibitors at the meeting. Exhibitor GI practitioners. Internationally known faculty and rising stars participation in the Exhibit Hall, as well as Exhibitor sponsorship in the fields of gastroenterology and hepatology will deliver and promotion, helps offset costs for the meeting. Without their the latest clinical updates on common and not-so-common GI support, the meeting in its current form would not be possible. disorders, as well as what is on the horizon that may impact Exhibitor participation also gives you the opportunity to learn your practice. Get the answers you seek, exchange ideas with the latest information about their products without disrupting fellow colleagues, learn the latest clinical updates, and gain your busy work schedule. I encourage every attendee to visit the insight from the experts at ACG 2018. Exhibit Hall while at ACG 2018, take advantage of all that you The scientific program, course agendas, and symposia have can see and learn, and express your appreciation to exhibitors been planned for GI physicians and their non-physician for their participation at the meeting. colleagues by members of ACG’s Educational Affairs The Exhibit Hall Opening Reception will be held on Sunday, Committee whose experience and insights inform the October 7th, immediately following the Postgraduate Course. College’s educational priorities. The Committee has designed This event provides an opportunity for PG Course registrants ACG 2018 to cover the topics of greatest importance to you. to mix and mingle with colleagues while browsing the Hall The College seeks to meet the needs of busy GI clinicians and and viewing the posters being presented. Those registered for offers flexible options to maximize your education during time the Annual Scientific Meeting are also invited to attend the away from your practice. You can customize your schedule to evening reception. attend one day for one or more of the special Friday courses, Once again in 2018, the College will be all-digital with faculty two days for the Postgraduate Course, three days for the Annual presentations for ALL courses available through the ACG Scientific Meeting, or a combination of the three. Mobile app. Charge your phone, tablet, or laptop and bring At ACG 2018, you won’t find dozens of concurrent sessions it with you to ACG 2018 to view speaker slides during the which means you won’t miss any important topics relevant presentations, and take notes within the app. to your practice. I urge you to join me in Philadelphia, October 5th through

ACG 2018 delivers many benefits to attendees: the 10th. You will return to the office re-energized about your Numerous educational sessions that will provide profession having reconnected with colleagues. Registration ways to enhance patient care and improve efficiency and housing for ACG 2018 are now open. You can find more in your practice information beginning on page 4. Learn more about what to do and see in Philadelphia on page 9. Earn CME and MOC credit for all courses Cutting-edge research presented by colleagues from the U.S. and abroad Sincerely, Networking events to connect with old colleagues and make new contacts An exhibit hall showcasing the latest advances in technology and therapeutics

ACG’s popular Hands-On Workshop Center is back again. Located in the Exhibit Hall, leading experts will demonstrate Irving M. Pike, MD, FACG, ACG President the latest tools and techniques using the most advanced devices and equipment. Registration for the hands-on P.S. Follow ACG on Twitter @AmCollegeGastro sessions will take place on-site in Philadelphia. The Hands-On Workshop Center will be open beginning Sunday, October and tag social media posts #ACG2018

For more information on ACG 2018 and to register, visit acgmeetings.gi.org / 1 Schedule at-a-glance

FRIDAY, OCTOBER 5 SUNDAY, OCTOBER 7

Registration Registration 6:00 am – 5:00 pm 7:00 am – 6:30 pm Broad Street Atrium Broad Street Atrium

Continental Breakfast for Friday Course Continental Breakfast for Postgraduate 6:30 am – 7:30 am Attendees 7:00 am – 7:50 am Course Attendees Terrace Ballroom Lobby Terrace Ballroom Lobby

GI Pathology and Imaging Course Postgraduate Course 7:00 am – 12:30 pm 7:50 am – 5:00 pm Terrace Ballroom 2-3 Terrace Ballroom Optional Learning Luncheons ASGE Endoscopy Course 7:30 am – 4:30 pm 12:20 pm – 1:35 pm (pre-registration required) Terrace Ballroom 1 Room numbers will be listed on your badge. Trainees' Luncheon Practice Management Course 7:30 am – 4:40 pm 12:20 pm – 1:35 pm (pre-registration required) Terrace Ballroom 4 Room 115C What’s New in GI Pharmacology Course Exhibit Hall Opens 1:45 pm – 5:15 pm 3:00 pm – 7:00 pm Terrace Ballroom 2-3 Exhibit Halls DE

Trainees’ Workshop: Navigating, Networking, Scientific Poster Sessions 5:00 pm – 8:15 pm and Negotiating Your First Job 3:30 pm – 7:00 pm (Authors Present from 5:15 pm - 6:30 pm) Room 120AB Exhibit Halls DE

Hands-On Endoscopy Workshop Center 3:45 pm – 7:00 pm SATURDAY, OCTOBER 6 Exhibit Halls DE

SCOPY Awards Reception and Workshop Registration 3:30 pm – 5:00 pm 7:00 am – 5:15 pm Room 120A Broad Street Atrium International Attendee Reception Continental Breakfast for Postgraduate 5:15 pm – 6:00 pm Room 124 7:00 am – 7:50 am Course Attendees Terrace Ballroom Lobby NP / PA Attendee Reception 5:15 pm – 6:00 pm Postgraduate Course Room 125 7:50 am – 5:00 pm Terrace Ballroom Women and Minorities in GI Reception 5:15 pm – 6:00 pm David Sun Lecture Room 123 10:00 am – 10:30 am Terrace Ballroom Exhibitor Theater 5:15 pm – 6:00 pm Optional Learning Luncheons Exhibit Halls DE 12:20 pm – 1:35 pm (pre-registration required) Room numbers will be listed on your badge. Exhibit Hall Opening Welcome Reception 5:15 pm – 7:00 pm Exhibit Halls DE Career Opportunities for Women in 12:20 pm – 1:35 pm GI Luncheon Alumni Receptions 6:00 pm – 7:00 pm Room 119A See invitation for room assignment GI Jeopardy Competition 5:15 pm – 7:00 pm Exhibitor Theater Room 120AB 6:15 pm – 7:00 pm Exhibit Halls DE

2 \ 2018 Annual Scientific Meeting & Postgraduate Course MONDAY, OCTOBER 8 TUESDAY, OCTOBER 9

Registration Registration INFORMATION 6:00 am – 5:00 pm 6:00 am – 5:00 pm Broad Street Atrium Broad Street Atrium GENERAL

Optional Breakfast Sessions Optional Breakfast Sessions 6:30 am – 7:45 am (pre-registration required) 6:45 am – 8:15 am (pre-registration required) Room numbers will be listed on your badge. Room numbers will be listed on your badge.

Trainees' Breakfast: Physician Burnout Simultaneous Plenary Session 2 and Work-Life Balance 8:30 am – 10:00 am 6:30 am – 7:45 am Terrace Ballroom (pre-registration required) Room numbers will be listed on your badge. Exhibit Hall Open 10:00 am – 4:30 pm Exhibit Halls DE Hands-On Workshop Center - 7:45 am – 9:30 am Trainee-Only Sessions ACG’s J. Edward Berk Distinguished Lecture Exhibit Halls DE 10:05 am – 10:35 am Terrace Ballroom 2-3 Presidential Plenary Session 1 8:00 am – 9:00 am Hands-On Endoscopy Workshop Center Terrace Ballroom 10:05 am – 4:30 pm Exhibit Halls DE President's Address 9:00 am – 9:30 am Terrace Ballroom Break—Visit the Exhibit Hall and 10:35 am – 11:30 am Browse Posters Presidential Plenary Session 2 Exhibit Halls DE 9:30 am – 10:30 am Terrace Ballroom 10:35 am – 11:30 am Exhibitor Theater Exhibit Hall Opens 10:00 am – 4:45 pm Exhibit Halls DE Simultaneous Symposia Session 3 11:30 am – 12:45 pm Terrace Ballroom Hands-On Endoscopy Workshop Center 10:15 am – 4:40 pm Exhibit Halls DE 12:45 pm – 1:20 pm Exhibitor Theater

Break – Visit the Exhibit Hall and Lunch Break / Posters 10:30 am – 11:30 am Browse Posters 12:45 pm – 2:15 pm (Authors Present from 1:00 pm - 2:15 pm) Exhibit Halls DE Exhibit Halls DE

Exhibitor Theater 10:30 am – 11:30 am 1:40 pm - 2:15 pm Exhibitor Theater Simultaneous Symposia Session 1 11:30 am – 12:45 pm Simultaneous Plenary Session 3 Terrace Ballroom 2:15 pm – 3:45 pm Terrace Ballroom 12:45 pm – 1:20 pm Exhibitor Theater Break – Visit the Exhibit Hall and 3:45 pm – 4:30 pm Browse Posters Lunch Break / Posters Exhibit Halls DE 12:45 pm – 2:15 pm (Authors Present from 1:00 pm - 2:15 pm) Exhibit Halls DE Emily Couric Memorial Lecture 4:30 pm – 5:00 pm 1:40 pm - 2:15 pm Exhibitor Theater Terrace Ballroom 2-3

Simultaneous Plenary Session 1 Simultaneous Symposia Session 4 2:15 pm – 3:00 pm 5:10 pm – 6:25 pm Terrace Ballroom Terrace Ballroom

The American Journal of 3:15 pm – 3:45 pm Gastroenterology Lecture WEDNESDAY, OCTOBER 10 Terrace Ballroom 2-3 Registration 6:30 am – 12:15 pm Break – Visit the Exhibit Hall and Broad Street Atrium 3:45 pm – 4:45 pm Browse Posters Exhibit Halls DE Optional Breakfast Sessions 6:45 am – 8:15 am (pre-registration required) 3:45 pm – 4:45 pm Exhibitor Theater Room numbers will be listed on your badge. How to Get Published: ACG Journal Simultaneous Plenary Session 4 4:00 pm – 5:00 pm Editors' Roundtable 8:30 am – 10:15 am Room 119B Terrace Ballroom

Simultaneous Symposia Session 2 David Y. Graham Lecture 4:45 pm – 6:00 pm 10:20 am – 10:50 am Terrace Ballroom Terrace Ballroom 2-3

ACG Annual Business Meeting Simultaneous Symposia Session 5 6:00 pm - 6:30 pm 11:00 am – 12:15 pm Terrace Ballroom 2-3 Terrace Ballroom

PRE-REGISTRATION INFORMATION ON-SITE REGISTRATION Registration for ACG 2018 is online only at our secure website, acgmeetings.gi.org. You may register on-site at the Pre-registration will remain open until Friday, September 28. After this date, on-site ACG Registration Desk at the registration will be required. For questions regarding registration, contact ACG Meeting Pennsylvania Convention Center, Services at [email protected]. Philadelphia, Pennsylvania,

ACG MEMBER REGISTRATION PRICING Registration Packages – Save up to 10%

BEST VALUE! 3-Day Clinical Review 3-Day Clinical Review & ACG 2018 Postgraduate Course & (GI Pathology and Imaging Course, What's New in GI Annual Scientific Meeting ACG 2018 Annual Scientific Meeting Pharmacology Course, and Postgraduate Course) (GI Pathology and Imaging, GI Pharmacology, Postgraduate Course, and ACG 2018 Annual Scientific Meeting) ACG Member Type Price ACG Member Type Price

ACG Member Type Price Physician $850 Physician $500

Physician $850 Resident / Trainee / Candidate $350 Resident / Trainee / Candidate $0

Resident / Trainee / Candidate $350 Advanced Practice Provider / Associate $650 Advanced Practice Provider / Associate $320

Advanced Practice Provider / Associate $650

ACG MEMBER À LA CARTE OPTIONS

Resident / Trainee / Advanced Practice Provider Course Member Physician Candidate Member / Associate Member

GI Pathology and Imaging Course $225 $200 $200 (Friday, October 5, half day, morning)

What’s New in GI Pharmacology Course $225 $200 $200 (Friday, October 5, half day, afternoon)

Practice Management Course $275 $75 $200 (Friday, October 5, all-day program)

ASGE Endoscopy Course $395 $200 $200 (Friday, October 5, all-day program)

Postgraduate Course $500 $0 $320 (Saturday-Sunday, October 6-7)

ACG 2018 Annual Scientific Meeting $0 $0 $0 (Monday-Wednesday, October 8-10)

4 \ 2018 Annual Scientific Meeting & Postgraduate Course REGISTRATION and PRICING INFORMATION INFORMATION GENERAL

ON-SITE REGISTRATION CANCELLATION beginning Friday, October 5. Written notice of cancellation and requests for refunds must be sent to Some sessions have limited [email protected] by September 12. There will be a $50 administrative fee for space available. Pre-registration cancellation of paid events. Refunds will be issued after the meeting. After this date, is strongly recommended. no refunds will be possible. Registration cancellations are not accepted by telephone.

NON-MEMBER REGISTRATION PRICING Registration Packages – Save up to 10%

Non-Member Type Price Physician $1050 Physician $1000

Physician $1520 Exhibitor / Guest / PharmD / PhD $1050 Exhibitor / Guest / PharmD / PhD $1000

Exhibitor / Guest / PharmD / PhD $1520 Resident / Trainee $700 Resident / Trainee $280

NP / PA / Allied Health / Resident / Trainee $700 NP / PA / Allied Health / $950 $750 Practice Manager Practice Manager NP / PA / Allied Health / $1200 Practice Manager

ACG NON-MEMBER À LA CARTE OPTIONS Non-Member NP / PA / Non-Member Exhibitor / Guest / Non-Member Course Allied Health / Physician PharmD / PhD Resident / Trainee Practice Manager

GI Pathology and Imaging Course $275 $275 $250 $250 (Friday, October 5, half day, morning)

What’s New in GI Pharmacology Course $275 $275 $250 $250 (Friday, October 5, half day, afternoon)

Practice Management Course $325 $325 $250 $250 (Friday, October 5, all-day program)

ASGE Endoscopy Course $495 $495 $250 $250 (Friday, October 5, all-day program)

Postgraduate Course $620 $620 $280 $550 (Saturday-Sunday, October 6-7)

ACG 2018 Annual Scientific Meeting $500 $500 $0 $300 (Monday-Wednesday, October 8-10)

PRE-REGISTRATION NOW OPEN THE JOB FORUM Pre-registration for ACG 2018 is available online only at the The Job Forum will open online in July 2018. Employers will have the meeting's secure website, acgmeetings.gi.org. opportunity to post jobs both in advance and on-site in the Broad Street Atrium. Continue to visit acgmeetings.gi.org for updates. Pre-registration will remain open until Friday, September 28. After this date, on-site registration will be required. For THE ACG STORE questions regarding registration, contact Meeting Services Visit the Store while at the meeting to purchase promotional at [email protected]. items from ACG.

ON-SITE REGISTRATION ON-SITE CHILD CARE You may register on-site at the ACG 2018 Registration Desk at Child care services will be available on-site during ACG the Pennsylvania Convention Center beginning on Friday, 2018. Check acgmeetings.gi.org/meeting-info/child-care October 5. Some sessions have limited space available. Pre- for registration, fees, and payment information. Child care registration is strongly recommended. will be provided at the Philadelphia Marriott Downtown, the headquarters hotel. Full and half-day child care services will be CANCELLATION offered on the following dates and times: Written notice of cancellation and requests for refunds must be sent to [email protected] by Wednesday, September 12. Saturday, October 6 7:00 am – 5:30 pm After this date, no refunds will be possible. There will be a $50 administrative fee for cancellation of paid events. Refunds will Sunday, October 7 7:00 am – 5:30 pm be issued after the meeting. Registration cancellations are not Monday, October 8 7:00 am – 7:00 pm accepted by telephone. Tuesday, October 9 7:00 am – 7:00 pm MEETING MATERIALS Wednesday, October 10 7:00 am – 12:30 pm Meeting materials, such as attendee badges and bags, will be available for pick-up on-site at the ACG 2018 Registration Desk beginning on Friday, October 5. Attendees who are registered ABOUT ACG for the Postgraduate Course will also receive a complimentary The American College of Gastroenterology is a recognized copy of the 2018 Self-Assessment Test (SAT) book. leader in educating GI professionals and the general public about digestive disorders. Our mission is to advance world-class care Your registration includes access to the course presentations via for patients with gastrointestinal disorders through excellence, the ACG Mobile app (available as both a mobile app and online). innovation, and advocacy in the areas of scientific investigation, With the app, attendees will have full access to all available slide education, prevention, and treatment. To learn more about ACG, presentations for each course for which they have registered. The visit our website at gi.org. app also contains a fully searchable schedule of events, list of program participants, abstracts, maps, exhibit information, and ABOUT PHILADELPHIA more. (NOTE: No printed syllabus materials or USBs will Plan your trip to Philadelphia, Pennsylvania. Learn about be available.) what to do and see in Philly beginning on page 9 or visit discoverphl.com/meet/convention/acg. Information on how to access the app, from both Apple and Android app stores, will be e-mailed to all registrants shortly ACCOMMODATIONS before the meeting. For additional information about the app, Ten hotels are included in the ACG 2018 room block and are in close please visit acgmeetings.gi.org/education/meeting-materials. proximity to the Pennsylvania Convention Center. The Philadelphia Marriott Downtown, located at 1201 Market Street, will be the ACG EXHIBIT HALL 2018 headquarters hotel. Book your room now through the official The science and technology of medicine is ever-changing and housing website. See page 7 for more information. advancing the practice of gastroenterology. Showcasing these advances is the ACG 2018 Exhibit Hall, where more than 150 AMERICANS WITH DISABILITIES ACT (ADA) companies will display and demonstrate their products and Attendees at ACG 2018 who need additional reasonable services. Exhibitors include pharmaceutical manufacturers, accommodations or who have special needs should contact medical instrument suppliers, research companies, technology the ACG office no later thanWednesday, September 12, 2018 companies, publishers, non-profit organizations, recruiters, at [email protected]. and more.

6 \ 2018 Annual Scientific Meeting & Postgraduate Course Housing and Travel INFORMATION GENERAL

ENJOY YOUR STAY IN PHILADELPHIA AT ONE OF THESE HOTELS IN THE ACG 2018 ROOM BLOCK. Rooms have been booked at ten hotels in close proximity to the Pennsylvania Convention Center. The Philadelphia Marriott Downtown, located at 1201 Market Street, will be the ACG headquarters hotel. Book your room now through the official ACG 2018 Housing Bureau at at acg.registration.meetingsites.net. For any questions, please call 888-863-7817.

 Meeting Sites Resource is the official housing bureau for 2018 ACG Annual Scientific Meeting and Postgraduate Course. We strongly recommend you book your housing through acg.registration.meetingsites.net. Do not book with any other housing bureau that contacts you directly. Meeting Sites Resource will never contact you unsolicited. ACG and Meeting Sites Resource cannot guarantee that other housing companies are legitimate and cannot guarantee your reservation at ACG 2018 if you book outside of the official housing bureau.

HEADQUARTERS HOTEL ADDITIONAL HOTELS

•2 Aloft Philadelphia •5 Hampton Inn •8 Loews Philadelphia Hotel Downtown Philadelphia Center City - 1200 Market Street 101 North Street Convention Center Group rate: $269 + tax Group rate: $279 + tax 1301 Race Street Group rate: $245 + tax •9 Sheraton Philadelphia •3 Courtyard by Marriott Downtown Hotel Philadelphia Downtown •6 Hilton Garden Inn 201 North 17th Street 21 North Juniper Street Philadelphia Center City Group rate: $239 + tax Group rate: $282 + tax 1100 Arch Street •1 Philadelphia Marriott Group rate: $250 + tax •10 Home2 Suites by Downtown •4 Four Points by Sheraton Hilton Philadelphia - 1201 Market Street Philadelphia City Center •7 Le Meridien Philadelphia Convention Center Philadelphia, PA 19107 1201 Race Street 1421 Arch Street 1200 Arch Street Group rate: $291 + tax Group rate: $259 + tax Group rate: $299 + tax Group rate: $229 + tax

 Cutoff Date for Hotel Reservations at the Group Rate: WEDNESDAY, SEPTEMBER 12, 2018

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Register for ACG 2018: acgmeetings.gi.org / 7 TRAVEL DISCOUNT INTERNATIONAL TRAVEL AND VISA INFORMATION UNITED AIRLINES Book online via www.united.com, and use offer code APPLYING FOR A VISA ZEZ8108294 in the offer code box. If booking through a travel For information on applying for a visa to attend professional or United Meetings at 1-800-426-1122, give the ACG 2018 in Philadelphia, visit the U.S. Department following information: Agreement Code – 108294 and of State website. Z Code – ZEZ8. To apply, you will need the following: A $25 service fee will apply when booking through United Meetings Reservations. There is no additional service fee when valid passport booking online. photo ID

completed Form DS-160 DELTA AIRLINES (Nonimmigrant Visa Application) Book online via www.delta.com or by calling 1-800-328- 1111 and use Group Code NMRT9. Please note that a Direct payment of required fees Ticketing Charge will apply for booking by phone. When We recommend applying for a visa as early booking online, select Meeting Event Code and enter NMRT9 as possible. in the box provided on the Search Flight page.

OFFICIAL ACG 2018 DIRECT TRAVEL You can book airline reservations through ACG’s official travel DOCUMENTATION provider, Direct Travel, by calling 1-800-455-0983. ACG provides several documents as proof of your intended participation in the conference. Please note that ACG cannot provide further communication with AMTRAK the U.S. Embassy or with the U.S. Department of State Amtrak offers a 10% discount off the best available rail fare to on behalf of any conference registrant. Philadelphia. To book your reservation, call 1-800-872-7245 and refer to Convention Fare Code X52H-999. This offer is not REGISTRATION CONFIRMATION: Once you have valid on the Auto Train and Acela Service. completed your registration for ACG 2018, you will receive a confirmation e-mail. The e-mail will outline the courses that you have registered for, as well as show proof of payment. If you do not receive this e-mail upon completion of your registration, please contact [email protected].

LETTER OF INVITATION: A link to a personalized Letter of Invitation will be included in all registration To book your hotel room online, confirmation e-mails sent to registrants from outside the U.S. and Canada. ACG cannot provide Letters of visit the ACG Housing Bureau website Invitation to individuals who have not fully registered for the conference. acg.registration.meetingsites.net

Hotel Reservation Deadline:  Wednesday, September 12, 2018

8 \ 2018 Annual Scientific Meeting & Postgraduate Course What to Terminal Market. The Market is one of America's oldest and largest public markets that offers food from a variety of local

vendors. Grab a quick bite to eat then head back to the INFORMATION

meeting after lunch. GENERAL

ATTEND ACG 2018 AND VISIT PHILADELPHIA! in Learn more about the area and plan your trip to Philadelphia, See Do PHILLY visit: discoverphl.com/meet/convention/acg Few cities in the U.S. hold as much historical significance as TRAVELING TO PHILADELPHIA IS EASY BY PLANE, Philadelphia, which is one of the reasons why ACG has chosen TRAIN, OR AUTOMOBILE Philadelphia as the host& city for ACG 2018. When asked about If traveling by air, the Philadelphia International Airport is serviced Philadelphia, most know it as the birthplace of our nation, or by more than 30 airlines offering 700 convenient daily nonstop as home of the Liberty Bell, Benjamin Franklin, and The City of flights, including 52 daily nonstop flights from more than 30 Brotherly Love. Some may also remember it as the backdrop international cities. The Philadelphia International Airport is just to the movie “Rocky,” where Rocky raised his arms in triumph seven miles outside Philadelphia and visitors can reach the city by after running to the top of the famous steps of the Philadelphia rail service at the airport or by taxi. Many visitors can also travel Museum of Art. Still others may think of Love Park and the famous to Philadelphia by train on Amtrak, which offers transportation “LOVE” statue that has been immortalized on postage stamps, to the 30th Street Station in downtown Philadelphia. If you are while some recognize the city’s passion for its sports teams, coming from a city along the Northeast corridor, Amtrak offers like the Super Bowl champion Eagles, 76ers, Phillies, and Flyers. a convenient, ideal service that runs from Boston to Washington, Situated on the banks of the Delaware River, this historically DC and all points in between. Philadelphia is also a short drive important city is a thriving, ethnically diverse metropolis that away from most major cities along the Northeast corridor. offers something for every visitor. Attend ACG 2018 to experience the vibrancy of Philadelphia. WHAT TO DO AND SEE IN POPULAR PHILADELPHIA NEIGHBORHOODS HOME OF OUR HISTORY, A CITY OF FIRSTS Historic District Friendship Gate at Any history lover will put Philadelphia on the top of their list Chinatown as places to visit to learn more about the United States, our Independence National Founding Fathers, and our fight for independence. You can walk Historical Park featuring the Parkway / Museum District Liberty Bell, Independence cobbled streets, meet actors dressed in historical garb, see the Hall and Carpenters’ Hall Philadelphia Museum Liberty Bell at Independence Center, or take a carriage ride of Art through the area. The Museum of the American Revolution The Franklin Institute Science Museum SEE PHILADELPHIA FROM ITS SIDEWALKS Elfreth’s Alley—the oldest Philadelphia is considered one of the most walkable cities in the continuously occupied The Academy of U.S. Put on your walking shoes and explore the various, distinct street in the U.S. Natural Sciences neighborhoods of Philadelphia. There is the Historic / Waterfront Waterfront District Philadelphia Zoo District, Washington Square District, Rittenhouse Square District, Please Touch Museum, University City / West Philadelphia, North Philadelphia, South Independence Seaport Philadelphia’s children’s Philadelphia, and Manayunk / Germantown / Chestnut Hill. Along Museum museum the way, visit the museums, historical attractions, and shops in Penn’s Landing each neighborhood. Don’t forget to do your own impersonation Mütter Museum Adventure Aquarium of “Rocky” at the steps of the Philadelphia Museum of Art. Then Rittenhouse Square, take a step inside to see some beautiful works of art from around Washington Square District one of the city’s most the world. popular parks Jeweler’s Row, the largest and oldest jewelry district Academy of Music FOOD LOVER’S DELIGHT There is no cheesesteak like the one you can get in Philadelphia. Antique Row The Kimmel Center for South Philadelphia made these sinfully delicious concoctions the Performing Arts Convention Center District famous. It’s well known in Philly that several establishments boast Walnut Street's fine dining, the best in the city, but we’ll leave it for you to decide. Whether Reading Terminal Market shopping, and salons you are looking for fine or casual dining, you will find a wide The Gallery at Market East, LOVE Park across variety of cuisines to try throughout your stay. Just across the the largest downtown from City Hall street from the Pennsylvania Convention Center is the Reading shopping center in the U.S.

There are numerous opportunities at ACG 2018 to NP/PA ATTENDEE RECEPTION network with your peers. Here are a few of the events Sunday, October 7 | 5:15 pm – 6:00 pm Room 125 taking place this year at ACG 2018. All NP/PA ACG 2018 attendees are invited to attend.

WOMEN AND MINORITIES IN EXHIBIT HALL OPENING GASTROENTEROLOGY RECEPTION Sunday, October 7 | 5:15 pm – 6:00 pm WELCOME RECEPTION Room 123

All those interested in the issues facing women and minorities Sunday, October 7, 5:15 pm – 7:00 pm in the GI field are invited to attend.

ACG PRESIDENT'S ADDRESS Immediately following the conclusion of the Monday, October 8 | 9:00 am - 9:30 am Postgraduate Course, join colleagues for the ACG Terrace Ballroom

2018 Opening Welcome Reception in the Exhibit Irving M. Pike, MD, FACG, ACG President, will address attendees Hall. The reception will feature hors d’oeuvres and during the President's Address to mark the beginning of the refreshments.This casual social gathering will give ACG 2018 Annual Scientific Meeting. The President uses this all attendees the opportunity to explore the Hall, opportunity to welcome attendees, highlight accomplishments meet with exhibitors, and network and mingle over the past year, and bid farewell as the leadership passes on to the President-Elect. with colleagues.

HOW TO GET PUBLISHED: ACG JOURNAL EDITORS' ROUNDTABLE Monday, October 8 | 4:00 pm - 5:00 pm ACG SCOPY AWARD CEREMONY & WORKSHOP Rom 119B Sunday, October 7 | 3:30 pm – 5:00 pm Room 120A ACG’s journal editors frequently receive questions about how best to get published, how they assess submissions, and Join the ACG Public Relations Committee and celebrate your how to best format a manuscript. In this session, the editors colleagues receiving 2018 ACG SCOPY Awards. Be inspired reveal answers to the top 10 questions they receive about by a dynamic panel presentation on some of the best, most the publication process and share pearls of wisdom about innovative and impactful community education programs what works – and what doesn’t – when submitting papers for to raise awareness of colorectal cancer and enjoy a cocktail publication. If you want to start or improve your publishing reception. SCOPY is ACG’s Service Award for Colorectal career, then don’t miss this valuable opportunity to hear Cancer Outreach, Prevention & Year-Round Excellence. directly from the editors who are eager to help! Free and open to all attendees. INTERNATIONAL ATTENDEE RECEPTION Sunday, October 7 | 5:15 pm – 6:00 pm ACG ANNUAL BUSINESS MEETING Room 124 Monday, October 8 | 6:00 pm – 6:30 pm All international attendees are invited to attend and enjoy Terrace Ballroom 2-3 cocktails and hors d’oeuvres while meeting colleagues. All Members and Fellows (FACG) are encouraged to attend the Annual Business Meeting where College business will be discussed and voted on.

10 \ 2018 Annual Scientific Meeting & Postgraduate Course ACG AUXILIARY  AUXILIARY SCHEDULE events and tours AT A GLANCE INFORMATION  SATURDAY, OCTOBER 6 ACG AUXILIARY-SPONSORED TOURS GENERAL Conference Registration Register for the tours: acgmeetings.gi.org Pennsylvania Convention Center – BARNES FOUNDATION Broad Street Atrium | 7:00 am – 5:15 pm Saturday, October 6 | 10:00 am - 11:00 am Cost: $55, ACG Auxiliary Member | $65, Non-member Auxiliary Registration/Hospitality Suite* Philadelphia Marriott Downtown – Join the Auxiliary group as they immerse themselves into the renowned Room 310 | 8:00 am - 10:00 am Barnes Foundation. The Barnes Foundation is an art collection and educational institution promoting the appreciation of art and horticulture. Learn about the various art exhibits and network with at this hour-long docent led tour. Group  SUNDAY, OCTOBER 7 will meet in the lobby of the Philadelphia Marriott Downtown and walk to the Conference Registration Barnes Foundation. Pennsylvania Convention Center – MURAL ARTS TOUR Broad Street Atrium | 7:00 am – 6:30 pm Sunday, October 7 | 10:00 am - 12:00 noon Auxiliary Registration/Hospitality Suite* Cost: $40, ACG Auxiliary Member | $50, Non-member Philadelphia Marriott Downtown – The Auxiliary group will be exploring the numerous murals in Philadelphia Room 310 | 8:00 am - 10:00 am onboard the Masterpieces East Trolley Tour. Join them for this 2-hour adventure through the various neighborhoods of the city while getting a glimpse of Opening Welcome Reception** some of the beautiful murals. The group will meet the trolley in front of the Pennsylvania Convention Center Philadelphia Marriott Downtown at 10:00 am. Exhibit Hall | 5:15 pm – 7:00 pm

THE CONSTITUTIONAL WALKING TOUR Monday, October 8 | 10:00 am - 11:15 am  MONDAY, OCTOBER 8 Cost: $20, ACG Auxiliary Member | $30, Non-member Conference Registration Immerse yourself in a 75-minute walking tour that will take you all across the Pennsylvania Convention Center – city of Philadelphia. Group will meet in the lobby of the Philadelphia Marriott Broad Street Atrium | 6:00 am – 5:00 pm Downtown. During this 1.25-mile journey you will explore sites like the Liberty Bell, Independence Hall, and the Betsy Ross House with a private docent. Come Auxiliary Registration/Hospitality Suite* join other members of the Auxiliary group and learn about the rich history that Philadelphia Marriott Downtown – lies in Philly. The tour will take place rain or shine. Room 310 | 8:00 am - 10:00 am

AUXILIARY LUNCHEON—MEMBERS ONLY Auxiliary Member Luncheon** Monday, October 8 | 12:30 pm – 3:00 pm Room 306 | 12:30 pm – 3:00 pm Cost: complimentary for ACG Auxiliary Members

Join a chef from the Philadelphia Marriott Downtown for a personalized  TUESDAY, OCTOBER 9 cooking demonstration demo and catered lunch. You will be able to not only taste what you see created, but also take the recipes home to try on your own. Conference Registration This is an Auxiliary Member only lunch. Pennsylvania Convention Center – Broad Street Atrium | 6:00 am – 5:00 pm ** Please note that tours and fees are subject to change** Auxiliary Registration/Hospitality Suite* Philadelphia Marriott Downtown – Visit the ACG Auxiliary webpage and Facebook page for information Room 310 | 8:00 am - 10:00 am on the tours, hospitality suite, luncheon, and auxiliary membership.

Website: acgaux.gi.org | Facebook: ACG Auxiliary  WEDNESDAY, OCTOBER 10 Conference Registration ACG AUXILIARY OFFICERS 2017-2018 Pennsylvania Convention Center – President: Vice-President: Secretary: Treasurer: Broad Street Atrium | 6:30 am – 12:15 pm Renee Remily Shelley DeVault Una Quigley Laurie Leighton * Breakfast will be available Saturday through Vice Presidents Vice Presidents Vice President Tuesday in the Auxiliary Hospitality Suite. (Activities): (Hospitality): (Membership/ Lynn Reynolds Celly Morris Communications): ** All Auxiliary members invited. Dorisann Rusche Carol Rubin Mimi Chung

The American College of Gastroenterology is committed to serving the specific needs of GI trainees. ACG 2018 includes elements designed with this aim in mind.

NAVIGATING, NETWORKING, AND NEGOTIATING YOUR Agreements and Financial Considerations." Attorney Marc L. FIRST JOB WORKSHOP Davidson will cover topics including Contacts, Compensation, Friday, October 5 | 5:00 pm – 8:15 pm | Room 120AB Shareholder Agreements, Life and Disability Insurance, and Estate Planning. Don't delay, as this luncheon sells out every year. The ACG Women in GI Committee is hosting a program for both men and women geared towards senior GI fellows, and junior This luncheon is available to all trainees in gastroenterology faculty, addressing the specifics of both the private practice and and hepatology, and has a fee of $40. To register, please visit academic job search. Discussions will focus on details of private the ACG 2018 registration page: acgmeetings.gi.org/registration. practice versus academics, contract analysis, networking skills, negotiating skills, and work-life balance. Separate breakouts for TRAINEES BREAKFAST small group discussions are planned. Monday, October 8 | 6:30 am – 7:45 am | Room 121B

Advance registration is required and space is limited. There is a For the first time, the ACG Training Committee will be offering $30 fee for this workshop. Dinner will be provided. To register, a special breakfast session exclusively for fellows-in-training on please visit the ACG 2018 registration page. Monday, October 8th, from 6:30 am - 7:45 am during the Annual Scientific Meeting entitled “Avoiding Burnout: Creating Work-Life CAREER OPPORTUNITIES FOR WOMEN IN GI LUNCHEON Balance in Training and Early in Practice”. This breakfast session Saturday, October 6 | 12:20 pm – 1:35 pm | Room 119A will provide trainees with information on how to recognize and The ACG Women in GI Committee is hosting a program prevent burnout, and ways to help achieve work-life balance early geared toward residents, trainees, and junior faculty who in your career. The session will end with a panel discussion and are facing difficult decisions regarding the future of their a question and answer session. Don’t delay as this trainee-only medical careers. Female gastroenterologists from a variety of breakfast session will only be offered on Monday morning. medical backgrounds will address the issues of being a female This breakfast is available to all trainees in gastroenterology subspecialist, balancing career and family, and opportunities and hepatology, and has a fee of $35. To register, please visit for women in medicine, and more specifically, gastroenterology. the ACG 2018 registration page: acgmeetings.gi.org/registration. This is a free program for attendees at ACG 2018. Advance registration is required and space is limited. Register online: HANDS-ON WORKSHOP CENTER—TRAINEE-ONLY SESSIONS acgmeetings.gi.org/career-opportunities-for-women-in-gi-luncheon Monday, October 8 | 7:45 am – 9:30 am | Exhibit Halls DE

GI JEOPARDY: BUZZ IN FOR YOUR TRAINING PROGRAM The ever-popular Hands-On Workshop Center will again be Saturday, October 6 | 5:15 pm – 7:00 pm | Room 120AB offered in the Exhibit Hall. Expert faculty will demonstrate techniques or devices, and attendees will have an opportunity to GI Jeopardy will return in 2018! To become a contestant, you practice using the equipment. Each session will feature a wide must be a fellow-in-training, but all are welcome to attend the variety of equipment and products. In addition, trainee-only competitive final round, a spirited GI version of the television classic. hands-on sessions will be offered. More detailed information The competition begins in July with a preliminary round open to regarding registration coming soon. Trainees are welcome to all GI training programs. Groups of fellows take an online test on participate in any hands-on session offered Sunday – Tuesday. a variety of GI topics and diseases. The top five scoring programs will then be invited to send two-person teams to compete in front HOW TO GET PUBLISHED: AN ACG JOURNAL of a live audience at ACG 2018. Travel expenses for the teams EDITORS' ROUNDTABLE will be covered by ACG. Last year’s GI Jeopardy finalists were Monday, October 8 | 4:00 pm – 5:00 pm | Room 119B supported by more than 300 lively audience members giving ACG’s journal editors frequently receive questions about how best the event a real game show atmosphere. Light refreshments to get published, how they assess submissions, and how to best will be provided. format a manuscript. In this session, the editors reveal answers to the “Top 10 Questions” they receive about the publication process TRAINEES LUNCHEON and share pearls of wisdom about what works—and what doesn’t Sunday, October 7 | 12:20 pm – 1:35 pm | Room 115C —when submitting papers for publication. If you want to start Once again, a special lunch exclusively for Fellows-in-Training or improve your publishing career, then don’t miss this valuable will be offered on Sunday, October 7th during the Postgraduate opportunity to hear directly from the editors who are eager to Course. The topic of this year's session will be "Employment help! Free and open to all attendees.

12 \ 2018 Annual Scientific Meeting & Postgraduate Course Featured LECTURES Digestive Health Center at Northwestern Feinberg School of Medicine and Clifford Joseph Barborka Professor of Medicine. Dr. Hanauer has authored over 400 peer-reviewed journal articles, books and book chapters, abstracts,

DAVID SUN LECTURE monographs, and editorials. He is ex-Editor-in-Chief of Nature Clinical INFORMATION Translational Approaches to Common GI Diseases... Practice Gastroenterology & Hepatology and served as Associate Editor GENERAL Thinking Out of the Box...The Future is Now! (IBD) of Clinical Gastroenterology and Hepatology. He is a member of the David A. Johnson, MD, MACG editorial boards of numerous journals, including The American Journal of Gastroenterology, and Inflammatory Bowel Diseases. Saturday, October 6 | 10:00 am – 10:30 am | Terrace Ballroom  The J. Edward Berk Distinguished Lecture is awarded to individuals prominent in Hear Dr. David A. Johnson discuss how diet, prebiotic/microbiome changes, sleep/behavioral, and non-prescription medication use can act as pathways for gastroenterology or a related area. The lecturer is nominated by the ACG President optimizing disease management when he presents the ACG David Sun Lecture. and the appointment is subject to approval by the ACG Board of Trustees. The lectureship was established in recognition of the significant contributions made Dr. David A. Johnson is Professor of Medicine and Chief of Gastroenterology by J. Edward Berk, MD, MACG, to clinical gastroenterology during his long and at Eastern Virginia School of Medicine in Norfolk, VA. He has been published distinguished clinical and academic career. in many peer-reviewed journals and books. He is a Past President of ACG (2006-2007). Since 2000, he has served on both the GI Multi-society CRC Screening Task Force and ACG guidelines committee for CRC screening and has EMILY COURIC MEMORIAL LECTURE co-authored these screening guidelines and others. He has delivered multiple 80% Colorectal Cancer Screening by 2018: named lectures, including the AJG, Couric, and Berk Lectures at the national How Did We Do and Where Do We Go From Here? ACG meetings. He has been honored by the ACG as a "Master," received the David A. Greenwald, MD, FACG ACG's Berk/Fise Clinical Achievement Award for lifetime achievements and Tuesday, October 9 | 4:30 pm – 5:00 pm | Terrace Ballroom 2-3 contributions in 2012, and in 2015, received the ACG Board of Governors William Learn about the goals, successes, and future plans of the “80% by 2018” D. Carey Award for lifetime distinguished contributions. In 1999-2000, he campaign for colorectal cancer screening, when Dr. David Greenwald presents worked with State Senator Emily Couric to develop the historic legislation to the Emily Couric Lecture, “80% Colorectal Cancer Screening by 2018: How Did mandate colon cancer screening with colonoscopy as the preferred standard. We Do and Where Do We Go From Here?”  The David Sun Lecture, held during the Postgraduate Course, was established Dr. David A. Greenwald is currently Director of Clinical Gastroenterology and by Mrs. Sun in memory of her husband, Dr. David Sun, an outstanding Endoscopy at Mount Sinai Hospital in New York and Professor of Medicine at gastroenterologist and investigator. Each year, a lecturer with a distinguished the Icahn School of Medicine at Mount Sinai. He is Treasurer of the ACG and a background in gastroenterology or an allied field is chosen by the Course Directors member of the Board of Trustees, and previously was Chair of the ACG Board of the Postgraduate Course subject to the approval of the ACG Educational Affairs of Governors. He is a Board Member of GIQuIC, the GI Quality Improvement Committee and the ACG Board of Trustees. Consortium. He has been a member of the Steering Committee of the National Colorectal Cancer Roundtable, and is now the Co-Chair of that organization's THE AMERICAN JOURNAL OF GASTROENTEROLOGY LECTURE Public Awareness and Social Media Committee. In New York, he is the co- What Causes Functional GI Disorders? The Latest Data chairman of the Citywide Colorectal Cancer Control Coalition (C5). and Insights  The Emily Couric Memorial Lecture, developed by the ACG, the Virginia Nicholas J. Talley, AC, MD, MBBS, PhD, MMedSci, MACG Gastroenterological Society, and the Old Dominion Society of Gastroenterology Monday, October 8 | 3:15 pm – 3:45 pm | Terrace Ballroom 2-3 Nurses and Associates, is in honor of Virginia State Senator Emily Couric, who died Learn how to recognize known and emerging risk factors for functional GI of pancreatic cancer in October of 2001. Senator Couric was a strong advocate for disorders including infections, foods, and alterations in the microbiome when health care issues, particularly in her instrumental work to pass the nation’s first Dr. Nicholas Talley presents, “What Causes Functional GI Disorders? The Latest legislation mandating health insurance coverage for colorectal cancer screening. Data and Insights.” Laureate Professor Nicholas J. Talley AC, MD, MBBS, PhD, MMedSci, MACG, is DAVID Y. GRAHAM LECTURE currently Pro Vice-Chancellor, Global Research at the University of Newcastle, Management of Patients With Colorectal Polyps: Australia. He is an expert clinician, educator and researcher, with extensive A Personalized Approach Based on Etiology experience as a leader in the medical and University sectors. Professor Talley Carol A. Burke, MD, FACG has published over 900 original and review articles in peer-reviewed literature, Wednesday, October 10 | 10:20 am – 10:50 am | Terrace Ballroom 2-3 and is considered one of the world's most influential clinician-researchers (H Gain a better understanding of the roles lifestyle, genetics, and polyp index 130 Scopus). characteristics play on the management of patients with colorectal polyps  The AJG Lecturer was chosen by the co-editors of The American Journal of when Dr. Carol Burke presents the ACG David Y. Graham Lecture. Gastroenterology with approval from the ACG Educational Affairs Committee and Dr. Carol A. Burke is immediate past president of ACG, and a past president the ACG Board of Trustees. of the Collaborative Group of the Americas on Inherited Colorectal Cancer. She is Vice Chair of the Department of Gastroenterology and Hepatology J. EDWARD BERK DISTIGUISHED LECTURE at Cleveland Clinic and has been a staff member there since 1993 after Fake News and Alternative Facts on Personalized completion of her GI fellowship at the Clinic. She holds joint appointments in Medicine in IBD the Taussig Cancer Center and the Department of Colorectal Surgery. She is Stephen B. Hanauer, MD, FACG the Director of the Center for Colon Polyp and Cancer Prevention and leads Tuesday, October 9 | 10:05 am – 10:35 am | Terrace Ballroom 2-3 the section of Polyposis in the Sanford R. Weiss, MD Center for Hereditary Colorectal Neoplasia. She is internationally known for her expertise in inherited Hear about best practices in IBD and learn how to differentiate the supporting colon cancer syndromes and the prevention of colorectal neoplasia. She has evidence from the current misinformation and misunderstandings that detract authored over 100 publications. She is a visiting professor and invited speaker from optimal patient care when Dr. Stephen Hanauer presents ACG’s J. Edward at national and international conferences on the prevention of colorectal Berk Distinguished Lecture. neoplasia and the inherited colon cancer syndromes. She is past associate Stephen B. Hanauer is past President of the ACG (2014-2015). He completed editor for The American Journal of Gastroenterology, and is a reviewer for a medical degree, with honors, at the University of Illinois in Chicago. His many journals. postdoctoral training included an internship and residency in internal medicine,  The Graham Lecturer is chosen by the ACG president and is subject to approval as well as a fellowship in gastroenterology, at the University of Chicago. He by the ACG Board of Trustees. Established in 2004 in recognition of the many served as the Joseph B. Kirsner Chair Professor of Medicine and was Chief contributions to clinical gastroenterology made by David Y. Graham, MD, MACG, this of the Section of Gastroenterology, Hepatology and Nutrition where he named lectureship was made possible through a donation by Otsuka Pharmaceutical served from 2000-2014. Dr. Hanauer is currently the Medical Director of the Co., Inc., and Meretek Diagnostics, Inc.

Hands-On Endoscopy Workshop Directors: Vivek Kaul, MD, FACG, and Qiang Cai, MD, PhD, FACG

LEARN FROM THE EXPERTS WHEN YOU ATTEND ONE OF THE MANY HANDS-ON ENDOSCOPY WORKSHOP SESSIONS OFFERED AT ACG 2018! Watch expert faculty demonstrate various endoscopic procedures, and try out the latest products and equipment.

Workshop registration will take place onsite in Philadelphia, and tickets will be given out on a first-come, first-served basis. The workshops will be held during Exhibit Hall hours.

SUNDAY, OCTOBER 7, 2018  GI FELLOWS ONLY SESSIONS ERCP MONDAY, OCTOBER 8, 2018 Faculty Leader: Jason R. Taylor, MD 3:45 pm – 6:45 pm EMR/Polypectomy ERCP Faculty Leader: Andrew Y. Wang, MD, FACG Faculty Leader: Vivek Kaul, MD, FACG Foreign Body Removal Faculty Leader: Seth A. Gross, MD, FACG EMR/Polypectomy 4:00 pm – 7:00 pm 7:45 am - Faculty Leader: Amit Rastogi, MD Hemostasis 9:30 am Faculty Leader: David A. Greenwald, MD, FACG Foreign Body Removal / Stenting MONDAY, OCTOBER 8, 2018 Faculty Leader: Ashley L. Faulx, MD, FACG

ERCP Hemostasis Faculty Leader: Douglas G. Adler, MD, FACG Faculty Leader: Kevin E. Woods, MD, MPH 10:15 am – 12:55 pm EMR/Polypectomy Faculty Leader: Laith H. Jamil, MD, FACG  RESIDENT TRAINING SESSIONS Stenting BACK BY POPULAR DEMAND! Faculty Leader: Immanuel K. H. Ho, MD, FACG 10:30 am – 1:05 pm Hemostasis • Sunday, October 7, 2018 | 4:00 pm – 5:00 pm Faculty Leader: John R. Saltzman, MD, FACG Faculty Leader: David J. Hass, MD, FACG EUS Faculyy Leader: Girish Mishra, MD, MS, FACG • Monday, October 8, 2018 | 10:30 am – 11:30 am 1:55 pm – 4:30 pm Faculty Leader: Pichamol Jirapinyo, MD ESD with Asian Experts Faculty Leader: Qiang Cai, MD, PhD, FACG • Monday, October 8, 2018 | 3:45 pm – 4:45 pm Mucosal Ablation Faculty Leader: Eun J. Shin, MD Faculty Leader: Prasad G. Iyer, MD, FACG 2:05 pm – 4:40 pm Hemorrhoid Therapy Faculty Leader: Stephen W. Landreneau, MD, FACG

TUESDAY, OCTOBER 9, 2018 ERCP Faculty Leader: Georgios I. Papachristou, MD, PhD, FACG 10:05 am – 12:45 pm Enteroscopy Faculty Leader: Steven A. Keilin, MD Mucosal Ablation Faculty Leader: Kenneth K. Wang, MD, FACG 10:20 am – 12:55 pm Capsule Endoscopy Faculty Leader: Christian S. Jackson, MD, FACG Hemorrhoid Therapy 1:45 pm – 4:20 pm Faculty Leader: David A. Johnson, MD, MACG Foreign Body Removal Faculty Leader: Field F. Willingham, MD, MPH 1:55 pm – 4:30 pm Esophageal / Anorectal Manometry Faculty Leader: Satish S.C. Rao, MD, PhD, FACG

Hands-On Endoscopy Sessions do not offer CME. Limited space available.

14 \ 2018 Annual Scientific Meeting & Postgraduate Course NEEDS ASSESSMENT ACG 2018 Educational Programs

Clinical gastroenterology continues to experience an ever-increasing There is also a need to educate the gastroenterologist on the recent array of options and advancements affecting both the diagnosis published data that help support recommendations of previous versions and treatment of gastrointestinal (GI) disorders. Gastroenterologists of surveillance guidelines. This will hopefully serve to increase physician must stay abreast of the diagnostic and treatment options that are adherence to the guidelines. As the survival rates from these GI cancers available for managing their patients and effectively utilize them while continue to improve, the must continue educating gastroenterologists maximizing quality and safety. who provide ongoing care to these patients. This important and The multi-faceted pressures of new and increasing scientific evolving educational need must be met in a way that touches on the developments, pressures from payors and policymakers, and demands impact of various forms of cancer on the overall health and quality of by more knowledgeable patients mandate that gastroenterologists find life of these patients. ways to constantly reevaluate the diagnostic techniques and treatment modalities used and mechanisms for delivery in their practices. OBESITY Obesity has drastically increased in prevalence in the United States,

Declining reimbursement, increased demand for measurement of EDUCATIONAL from less than 15% in the 1960s to over 30% at present. It has been

quality, and an insufficient workforce also remain significant challenges PROGRAMS predicted that if the rates continue at their current pace, by 2015, 75% for gastroenterologists and their practices. As a consequence, it is of adults will be overweight or obese. Therefore, not only is it imperative important to identify more efficient ways to obtain the latest scientific for gastroenterologists to be knowledgeable regarding obesity knowledge and institute scientifically sound therapy so that the highest prevention and treatment options, but it is also important that they quality of patient care can be maintained. This objective, regardless of understand the importance of patient education. Patient education is a the specific practice setting, is to guarantee that each individual patient necessity to improve compliance and to achieve desired treatment obtains the treatment and service that is the best possible option for results. In those patients who undergo surgery for the management of their specific needs. obesity, information on the post-surgical complications has become The emphasis of ACG’s educational efforts focuses on these increasingly important. Specifically, endoscopic techniques and advancements in diagnosis and treatment options, as well as on the management options in these patients can be a challenge. It is essential policies, procedures, and guidelines gastroenterologists employ in the that gastroenterologists be familiar and up-to-date on endoscopic overall management of their practices. A primary CME educational techniques in this challenging group of patients. These topics, as well as program goal is to heighten the knowledge of clinicians and other health the latest information on what GI conditions are linked to or exacerbated care professionals involved in GI patient care in all areas of management, by obesity, have been requested as areas of further education by with an emphasis on those conditions with increasing prevalence and practicing gastroenterologists. those where management continues to present a challenge. Attention is also placed on advanced and improved endoscopic techniques and IBD practice management tools that can increase gastroenterologists’ Inflammatory bowel disease is an area of gastroenterology that continues efficiency and effectiveness in their daily practice. to see important developments in diagnostic and medical therapeutic options. The gastroenterologist must be fully aware of the latest COLON CANCER SCREENING developments in biologic and immunomodulator therapies including safety Colorectal cancer is the third most commonly diagnosed cancer among considerations and their place in patient management. In recent years both men and women. Colon cancer incidence rates have declined there have also been many advances made in laboratory, radiographic, and over the last two decades and survival rates have increased. This endoscopic modalities that directly impact the diagnosis and management likely relates at least in part to increased colorectal cancer screening of inflammatory bowel disease and in the surveillance for dysplasia in and surveillance, which allows physicians to detect and remove pre- ulcerative colitis and Crohn’s colitis. Education regarding optimizing the cancerous polyps or diagnose cancers at an early stage. Although use of such modalities is important to the practicing gastroenterologist. these trends are moving in a positive direction, there remains a need to The post-surgical management of inflammatory bowel disease patients increase the number of individuals being screened. also continues to be a topic of great importance and one in which the The proper and timely use of existing as well as newer screening clinician often faces challenges due to the complexity and unpredictability tests that may lead to prevention or early diagnosis of specific disease of the condition and the associated decision-making process. conditions is critical. Increasing the rate of patient participation in colorectal cancer screening and surveillance is also important. HEPATOLOGY Furthermore, providing and quantifying indicators that define a quality Gastroenterologists are frequently faced with challenges related to liver colonoscopy, including bowel preparation quality and adenoma disorders including hepatitis B and C, NAFLD, hepatic encephalopathy, detection rates, especially in light of recent findings on the prevalence cirrhosis, and autoimmune liver diseases. Often, the gastroenterologist of flat lesions, is a need that affects gastroenterologists. In addition, relies on the expertise of the hepatologist to assist in the management it is important that gastroenterologists understand the importance of of these patients; however, with hepatologists operating at capacity, grading bowel preparation using a validated scale, and that they are the gastroenterologist must be able to offer the best quality of familiar with recommendations for the timing of a repeat colonoscopy care and treatment options to patients with liver disease. With the in exams with inadequate bowel preparation. increased incidence of NAFLD, practical and clinically relevant physician There is also a need to recognize the potential role that the education is extremely important in this area. gastroenterologist plays in minimizing the occurrence of interval cancers. This includes the use of split-dose preparation in their practice as well HEPATITIS C as the use of proper polyp resection technique. The serrated pathway, Hepatitis C will be the most dramatically changing area of liver disease which may account for at least 15% of all colorectal cancers, requires over the next few years, and there will be two major areas that will gastroenterologists to understand the challenges in detection, resection, require focus and attention. First, HCV screening recommendations have and pathological interpretation and classification of these lesions. To aid shifted from the classic risk-based screening to an age-based screening. in surveillance of serrated polyps, gastroenterologists should be aware of The CDC and USPFTS have recommended one-time screening of all an expert panel’s recent recommendations: Guidelines for Colonoscopy persons born between 1945 and 1965. It will be essential that ACG Surveillance After Screening and Polypectomy: A Consensus Update by and gastroenterologists educate primary care providers as well as the US Multi-Society Task Force on Colorectal Cancer. There has also patients about the need for HCV screening. Secondly, there has been a been a recent update to the surveillance guidelines that includes the dramatic shift in the treatment of hepatitis C. Compared to the previous addition of recommendations for certain serrated polyps. treatments, the current treatment regimens are dramatically more effective and have shorter lengths of therapy, and have dramatically

Register for ACG 2018: acgmeetings.gi.org / 15 NEEDS ASSESSMENT ACG 2018 Educational Programs fewer adverse side effects. Also, within the next 1-2 years, therapy will incidence and has been the subject of intense research leading to recent likely be completely all-oral, interferon-free, and perhaps even ribavirin- clinical guidelines. Esophageal dysmotility remains an ongoing challenge, free. There will be a series of new regimens available, with new ones and this field has dramatically changed in the past several years due being introduced at a very rapid pace. Because there will be simple and to the adoption of new diagnostic modalities and an outpouring of effective therapies available, there will likely be more gastroenterologists outcomes data. This has been particularly significant for achalasia, which who are willing to treat HCV. For this reason, ACG must work to educate also has been the subject of recent consensus guidelines within the past gastroenterologists about the current and upcoming treatments. Also, year. Other upper GI conditions including Barrett’s esophagus, dyspepsia, with the expected rapid development and approval of multiple regimens, peptic ulcer disease, and H. pylori also require a clear understanding. It ACG must work to have a mechanism in place to allow rapid changes is important that published evidence-based practice guidelines for these and/or addendums to HCV treatment guidelines. upper GI conditions and many other identified GI disorders be available to the gastroenterologist for their explicit understanding and to enhance PANCREATICOBILIARY their ability to most effectively manage each of their patients. With Pancreaticobiliary diseases can also be extremely challenging to manage, guidelines published on gastroesophageal reflux disease, eosinophilic and can vary greatly in complexity and severity. Gastroenterologists esophagitis, and achalasia within the last year, this has been an play an essential role in both the evaluation and the management of active area and this new information needs to be disseminated to the patients with pancreaticobiliary disorders. Cystic neoplasms of the gastroenterology community. pancreas are more frequently diagnosed and management guidelines have been updated recently as our knowledge base continues to grow. ENDOSCOPY Gastroenterologist offer highly specialized care for such patients, Rapid technological advancements in endoscopy and other including advanced interventional endoscopic procedures. As endoscopic diagnostic and therapeutic areas in gastroenterology creates a need technology advances, patients are simultaneously becoming more to communicate the latest techniques and strategies for managing complex, making it essential that gastroenterologists are up-to-date everything from patients with altered anatomy to identification and on these management techniques and strategies. Education on the removal of large and difficult polyps to developing practice of natural diagnosis and management of various forms of pancreaticobiliary disease orifice transluminal endoscopic surgery. Gastroenterologists in a variety including pancreatitis, pancreatic cysts, pancreatic cancer, and biliary of practice settings need to learn and integrate these new therapies into disorders is critical to obtaining the best patient outcomes. their practice in order to provide state-of-the-art services to their patients.

FUNCTIONAL GI QUALITY Improvements in the understanding of the pathogenesis and treatment Finally, it is critical that gastroenterologists incorporate quality, safety, and of motility and functional GI disorders continue to progress as research service metrics into their clinical practice. In particular, quality and safety in this area expands. These disorders are among the most common GI issues in the endoscopy suite need to be addressed in order to improve disorders in the general population. Understanding the latest science patient outcomes. Other quality issues dealing with specific disease states with regard to these disorders and newer treatment modalities is and their management in the office practice also need to be addressed critical to improving clinical outcomes and quality of life for a large by the practicing gastroenterologist. Practice efficiency is also of great group of patients who have been among the most difficult to treat. importance as the demand for increased efficiency across all settings Understanding the potential role of enteric microbiota and inflammation continues to drive the search for practical tools to positively impact in these disorders will also help determine the appropriate course of care delivery and patient outcomes. Through the use of evidence-based action and play a critical role in managing these challenging conditions. approaches for treatment and rational public health policy, clinicians Diarrheal disorders can prove to be challenging to diagnose and need to identify new and innovative ways to deliver care across the manage. Whether it be acute or chronic, caused by a malabsorptive community. Ever-expanding access to information on a real-time basis condition, inflammatory, or infectious process, gastroenterologists must be by both clinicians and patients provides unique opportunities as well as aware of the various potential causes of diarrhea and the most appropriate challenges to the healthcare delivery system. When this is combined with corresponding treatment options. With the incidence and severity of the pressures associated with increased spending on healthcare in an Clostridium difficile infections increasing in recent years, this is yet another environment currently trending toward decreased reimbursement and condition that demands close attention by the gastroenterologist. inadequate rewards for the physician who spends more time with the patient, the importance of high-quality continuing medical education for GI BLEEDING gastroenterologists and their patients cannot be overstated. GI bleeding remains one of the most common yet most challenging issues confronted by the clinical gastroenterologist. New anticoagulants have been released in the last several years, and this new class of FACULTY DISCLOSURES drugs has made patients with GI bleeding even more difficult to treat. The American College of Gastroenterology (ACG) is accredited by It is critical that gastroenterologists are frequently updated on these the Accreditation Council for Continuing Medical Education (ACCME) new medications as these patients may require different management to provide continuing medical education for physicians. ACG, as strategies than those who are on traditional anticoagulants. Whether an ACCME accredited provider, ensures balance, independence, the GI bleeding is related to drug therapy, stress ulceration in the objectivity, and scientific rigor in all of its directly and jointly provided intensive care unit, anticoagulation, chronic liver disease, or obscure education activities. All who are in a position to control the content of gastrointestinal bleeding, the gastroenterologist must be up to date on an education activity (including their spouse or partner) are required the latest information on strategies to prevent, diagnose, and optimally to disclose to ACG all relevant financial relationships in any amount treat GI bleeding. occurring in the past 12 months with any commercial interest that GERD may create a conflict of interest related to the subject matter of an Gastroesophageal reflux disease is a common condition world-wide and education activity. Safeguards against commercial bias have been put affects 20% of American adults on a weekly basis. An understanding of in place by ACG. Anyone who refuses to disclose relevant financial its pathophysiology, diagnosis, treatment options, and complications relationships will be disqualified. ACG ensures any conflicts of interest is extremely important for the practicing gastroenterologist, and new are resolved before the educational activity occurs and discloses all guidelines have been published on reflux within the past year. While less relevant financial relationships to the learners prior to the beginning of common, eosinophilic esophagitis appears to be increasing markedly in an education activity.

16 \ 2018 Annual Scientific Meeting & Postgraduate Course ACCREDITATION Information

ACG COURSE ACCREDITATION INFORMATION

The American College of Gastroenterology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American College of Gastroenterology designates these live activities for a maximum number of AMA PRA Category 1 Credits™ as EDUCATIONAL PROGRAMS noted below. Physicians should claim only the credit commensurate with the extent of their participation in the activities.

Successful completion of these CME activities, which includes participation in the evaluation component, enables the participant to earn MOC points as noted below in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for each activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

COURSE CME CREDITS ABIM MOC POINTS

Pathology and Imaging Course 5.25 5.25

What’s New in GI Pharmacology Course 3.25 3.25

Practice Management Course 8 8

Postgraduate Course 13 13

• PG Course Learning Lunches - Saturday and Sunday (each) 1 0

• Self-Assessment Test 35 35

Annual Scientific Meeting 16.5 16.5

• Annual Meeting Breakfast Sessions - Monday 1.25 0

• Annual Meeting Breakfast Sessions- Tuesday and Wednesday (each) 1.5 0

• Annual Meeting Hands-On Sessions 0 0

ASGE ENDOSCOPY COURSE ACCREDITATION INFORMATION

The American Society for Gastrointestinal Endoscopy (ASGE) is accredited by the Accredited Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

ASGE designates this live activity for a maximum of 7.5 AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 7.5 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

PATHOLOGY AND IMAGING IN THE EVALUATION OF GASTROINTESTINAL DISEASE COURSE Friday, October 5, 2018 | 7:00 am - 12:30 pm | Terrace Ballroom 2-3 Course Directors: David A. Greenwald, MD, FACG, and Olga C. Aroniadis, MD, MSc

COURSE DESCRIPTION PROGRAM OBJECTIVES ACG’s Pathology and Imaging in the Evaluation of Gastrointestinal At the conclusion of this course, participants should be able to: Disease Course includes four mini-sessions, each devoted to Describe current concepts relevant to radiology and new developments and old problems of special interest to the pathology in the evaluation and treatment of patients clinical gastroenterologist in pathology and imaging in a specific with gastrointestinal disease. portion of the GI tract. A popular biennial offering of the College, Evaluate findings of radiologic exams related to this year’s course expands the mini-session concept to include a gastrointestinal disorders of the esophagus, stomach, small combination lecture by a pathologist and a radiologist with the bowel, large intestine, liver, gallbladder, and pancreas. addition of correlated endoscopic images. The course faculty are recognized experts in their fields and pioneers in the development Identify both basic and advanced pathology findings of new technologies and clinical paradigms. in patients with gastrointestinal illnesses through close examination of representative photomicrographs. The course is designed primarily for clinicians in GI/hepatology, as well as physician assistants, nurse practitioners, and other Correlate typical radiology and pathology findings with endoscopic images reflective of both the normal and advanced practice healthcare professionals interested in the clinical abnormal physiology and pathophysiology. application of GI pathology and imaging. Register for the course separately or as part of the Three-Day Clinical Review (see page 24).

FACULTY COURSE AGENDA Olga C. Aroniadis, MD, MSc 7:00 am Welcome and Introductions Assistant Professor of Medicine, Montefiore Medical Center, Bronx, NY David A. Greenwald, MD, FACG, and Olga C. Aroniadis, MD, MSc Karen Choi, MD 7:05 am Liver Cells, Bile Ducts, and Stones: Pathology and Imaging of Assistant Professor, Department of Pathology, University of Michigan, the Liver and Gallbladder Ann Arbor, MI Pathologist: Karen Choi, MD Greg dePrisco, MD Radiologist: Greg dePrisco, MD Staff Radiologist, Baylor University Medical Center, Dallas, TX 8:25 am Q & A Milana Flusberg, MD Associate Professor, Albert Einstein College of Medicine, NY 8:35 am Understanding Swallowing and Digestion: Pathology and David A. Greenwald, MD, FACG Imaging of the Esophagus and Stomach Director of Clinical Gastroenterology and Endoscopy, Mount Sinai Hospital, Pathologist: Nicole C. Panarelli, MD New York, NY Radiologist: Douglas S. Katz, MD, FACR Douglas S. Katz, MD, FACR 9:35 am Q & A Professor of Radiology, Stony Brook University School of Medicine, and Director, Body Imaging, and Vice Chair of Clinical Research and Education, 9:40 am Break Department of Radiology, NYU Winthrop Hospital, Mineola, NY David N. Lewin, MD 10:00 am Delving Deeper Into the GI Tract: Pathology and Imaging of Director of Gastrointestinal Pathology, Medical University of South Carolina, the Small Bowel and Pancreas Charleston, SC Pathologist: David N. Lewin, MD Radiologist: Milana Flusberg, MD Robert D. Odze, MD, FRCPC Professor of Pathology, Brigham and Women's Hospital, Boston, MA 11:05 pm Q & A Nicole C. Panarelli, MD Associate Professor of Pathology, Montefiore Medical Center, Bronx, NY 11:15 am Polyps, Tumors, IBD, and More: Pathology and Imaging of David J. Vining, MD the Colon and Rectum Pathologist: Robert D. Odze, MD, FRCPC Professor, Department of Diagnostic Radiology, The University of Texas MD Radiologist: David J. Vining, MD Anderson Cancer Center, Houston, TX 12:20 pm Q & A

12:30 pm Course Adjourns

18 \ 2018 Annual Scientific Meeting & Postgraduate Course FRIDAY COURSES Friday, October 5, 2018 Friday, October 5, 2018October 5, 2018

WHAT’S NEW IN GI PHARMACOLOGY COURSE Friday, October 5, 2018 | 1:45 pm - 5:15 pm | Terrace Ballroom 2-3 Course Directors: Brooks D. Cash, MD, FACG, and William D. Chey, MD, FACG

COURSE DESCRIPTION 2:50 pm Antibiotic Prophylaxis for the Gastroenterologist Michelle A. Anderson, MD, MSc Attend ACG’s What’s New in GI Pharmacology Course Explain the evidence for and against the application of antibiotic for an intensive review of key GI pharmacology, including prophylaxis in patients with gastroenterological diseases or undergoing endoscopic procedures.

comparisons and contrasts between conventional and emerging EDUCATIONAL

pharmacological treatment options. This course will consist of 3:10 pm Q & A PROGRAMS lectures and Q & A sessions on such topics as use of biosimilars to 3:25 pm Break treat IBD, treatment options for functional GI disorders, review of new anticoagulants, a GI’s guide to vaccinations, pharmacological 3:40 pm Pharmacologic Approach to Chronic Constipation and IBS-C therapy during pregnancy, treatment options for primary biliary Brooks D. Cash, MD, FACG Define current and emerging pharmacologic treatment options cirrhosis, and medico-legal issues in pharmacology. for constipation, including chronic idiopathic constipation, The course is designed primarily for physicians in GI/hepatology, as opioid-induced constipation, and IBS-C. well as physician assistants, nurse practitioners, and other advanced 4:00 pm Medical Management of Fatty Liver Disease practice healthcare professionals interested in the latest information Phillip K. Henderson, DO on state-of-the-art treatment of these illnesses. Register for the course Discuss the issues and interventions currently available for the management of patients with fatty liver disease, with a focus on separately or as part of the Three-Day Clinical Review (see page 24). available pharmacologic approaches. 4:20 pm Chemoprevention for Gastrointestinal Malignancies FACULTY John M. Inadomi, MD, FACG Identify the evidence for and against chemoprevention Michelle A. Anderson, MD, MSc John Inadomi, MD, FACG for malignancies of the gastrointestinal tract and provide Associate Professor, University of Division Head, Division of recommendations for appropriate use. Michigan, Ann Arbor, MI Gastroenterology, University of Brooks D. Cash, MD, FACG Washington School of Medicine, 4:40 pm Personalized IBD Management: Best Practices for Therapeutic Seattle, WA Professor of Medicine, University Drug Monitoring and for Managing Treatment Failures of Texas McGovern Medical School, David T. Rubin, MD, FACG David T. Rubin, MD, FACG Houston, TX Joseph B. Kirsner Professor of Medicine; Outline therapeutic drug monitoring in IBD patients, and how William D. Chey, MD, FACG Chief, Section of Gastroenterology, to optimize immunosuppressive drug therapy with regard to Nostrant Professor of Gastroenterology Hepatology and Nutrition; Co-Director, adjusting therapy in class or switching classes of biologics. & Nutrition, University of Michigan; Digestive Diseases Center, University of Director, GI Physiology Lab, Michigan Chicago Medicine, Chicago, IL 5:00 pm Q & A Medicine, Ann Arbor, MI Stuart J. Spechler, MD, FACG 5:15 pm Course Adjourns Phillip K. Henderson, DO Chief, Division of Gastroenterology; Assistant Professor of Medicine, Co-Director, Center for Esophageal University of South Alabama, Mobile, AL Diseases, Baylor University Medical Center at Dallas, Dallas, TX Maximize Your Learning and ave! Lisa L. Strate, MD, MPH, FACG when you register for ACG’s Associate Professor, Harborview $ Medical Center, Seattle, WA Three-Day Comprehensive Clinical GI Review

COURSE AGENDA FRIDAY, OCTOBER 5 1:45 pm Welcome and Introductions GI Pathology and What’s New in GI Brooks D. Cash, MD, FACG, and William D. Chey, MD, FACG Imaging Course Pharmacology Course 7:00 am - 12:30 pm 1:45 pm - 5:15 pm 1:50 pm Functional Dyspepsia: Current Pharmacologic Approaches William D. Chey, MD, FACG SATURDAY & SUNDAY, OCTOBER 6–7 Identify the epidemiology, diagnostic processes, and best Postgraduate Course practices for the management of functional dyspepsia. 7:50 am - 5:00 pm 2:10 pm Contemporary Review of PPI Therapy: What You and Your Your registration also includes: Patients Need to Know Self-Assessment Test PRINTED BOOK with 300 questions Stuart J. Spechler, MD, FACG plus comprehensive, annotated answers! Discuss the clinical evidence for the use of PPIs in a variety of Up to 21.5 hours of CME and MOC, plus an additional 35 hours of CME clinical scenarios, and review current evidence regarding short- and MOC for successful completion of the Self-Assessment Test and long-term safety of PPIs. Access to the slide sets for all presentations with 2:30 pm Approach to Symptomatic Diverticular Disease the ACG Mobile app Lisa L. Strate, MD, MPH, FACG Describe the various presentations of symptomatic diverticular Register for the Three-Day Clinical Review disease, and review current therapeutic approaches. and SAVE UP TO 10% On All Three Courses

PRACTICE MANAGEMENT COURSE Friday, October 5, 2018 | 7:30 am – 4:40 pm | Terrace Ballroom 4 Course Directors: Ralph D. McKibbin, MD, FACG, and Jay N. Yepuri, MD, MS, FACG

COURSE DESCRIPTION COURSE AGENDA Healthcare delivery is transforming at an accelerating rate, but 6:30 am Continental Breakfast opportunities in the field of gastroenterology remain strong for private practice physicians to claim ownership of their practices 7:30 am Welcome and Announcements and their careers. Managing challenges to independence will be Ralph D. McKibbin, MD, FACG, and Jay Yepuri, MD, MS even more important during these changing times, but that alone will not be enough for success. Participants in the ACG 2018 SESSION 1: Macro Trends in the Healthcare Landscape Practice Management Course will learn from colleagues about new and innovative ways to improve the operations, enhance 7:40 am Reading the Tea Leaves—A Legislative Update productivity, and guarantee success of their practices. Discuss the current political climate and policy priorities shaping the healthcare legislative process and the potential impacts of the 2018 elections. 8:00 am How Will the ACG Help Us Deal With Change? The 2018 Practice Management Course Irving M. Pike, MD, FACG, ACG President will provide up-to-date information about the state of Identify how to access relevant ACG materials, services, and activities that support practice growth and development. practice management. 8:20 am Practice Models: Are Clinically Integrated Networks the Answer? Rapid Fire Quick Tidbit Sessions will feature information on: Frank J. Chapman, MBA Evaluate possible adoption of the clinically integrated network Fee Schedule Optimization practice model. No-Show Patients: To Charge or Not to Charge? 8:40 am Q & A Password Protection Policies Identity Theft SESSION 2: Revenue Optimization Practices

9:00 am Quick Tidbit #1: Fee Schedule Optimization FACULTY 9:05 am How to Jumpstart the Revenue Cycle in the Era of Rising Deductibles Frank J. Chapman, MBA Irving M. Pike, MD, FACG Chief Operating Officer, Ohio Senior Vice President and Chief David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, Gastroenterology Group, Inc., Medical Officer, John Muir Health, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP Columbus, OH Walnut Creek, CA Discuss how practices can organize their revenue cycles to allow Shelley L. Colon, MHA, CMPE Suriya V. Sastri, MD, FACG earlier collection of revenue. Operations Director, Digestive Health Director, Midwest Endoscopy Center, 9:25 am Revenue Losses: Undercoding and Denials—Tips and Tricks Associates of Texas, P.A., Dallas, TX Willowbrook, IL Shelley L. Colon, MHA, CMPE Harish K. Gagneja, MD, FACG Christina M. Surawicz, MD, MACG Identify and adopt tools to limit and prevent revenue losses due Partner Physician, Austin Professor of Medicine; Associate Dean to undercoding and denials. Gastroenterology, Austin, TX for Faculty Development, University Costas H. Kefalas, MD, MMM, FACG of Washington School of Medicine, 9:45 am Report Cards, Metrics, and Reporting in Your Practice Seattle, WA Partner, Akron Digestive Disease Ralph D. McKibbin, MD, FACG Consultants, Inc., Akron, OH Eva Szigethy, MD, PhD, FACG Recognize key characteristics of successful quality Ralph D. McKibbin, MD, FACG Professor of Psychiatry, Medicine, and reporting programs. Director of Strategic Planning Pediatrics, University of Pittsburgh and Business Development, Blair School of Medicine, Pittsburgh, PA 10:05 am Q & A Gastroenterology Associates, Louis J. Wilson, MD, FACG Altoona, PA Managing Partner, Wichita Falls 10:25 am Break Amy S. Oxentenko, MD, FACG Gastroenterology Associates, Professor of Medicine; Residency Wichita Falls, TX SESSION 3: Growing Value in Your Practice Program Director and Associate Chair, Jay N. Yepuri, MD, MS, FACG Department of Medicine, Mayo Clinic, Partner, Digestive Health Associates 10:45 am Quick Tidbit #2: No-Show Patients: To Charge or Rochester, MN of Texas, P.A.; Medical Director, Texas Not to Charge? Daniel J. Pambianco, MD, FACG Health Harris Methodist HEB Hospital Associate, Charlottesville GI Lab, Bedford, TX 10:50 am Incorporating Efficiency and Best Practices in Gastroenterology Associates, David J. Zetter, PHR, SHRM-CP, CHCC, the Endoscopy Center Charlottesville, VA CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, Jay N. Yepuri, MD, MS PESC, CMAP, CMAPA, CMMP Propose strategies for improving efficiency and optimizing work Consultant, Zetter HealthCare, flow in the endoscopy center. Mechanicsburg, PA

20 \ 2018 Annual Scientific Meeting & Postgraduate Course FRIDAY COURSES Friday, October 5, 2018 Friday, October 5, 2018

11:10 am Advanced Practice Providers—The Value-Added Proposition Daniel J. Pambianco, MD, FACG Recognize job training trends for Advanced Practice Providers that can add value to the gastroenterology practice. 11:30 am Negotiating Payer Contracts in the Age of Cost and Quality Costas H. Kefalas, MD, MMM, FACG Apply strategies to improve payment for services. ACG 2018 11:50 am Q & A

Meeting App EDUCATIONAL 12:10 pm Break / Box Lunch Provided PROGRAMS 12:40 pm Working Luncheon Presentation: What Practices Need to Included with your registration is complimentary Know About Finance access to the course presentations via the ACG 2018 Meeting app, which is within the ACG Mobile app. (NOTE: A printed syllabus will not SESSION 4: Patient-Centered Development be provided.) The app can be used to view faculty presentations on 1:20 pm Quick Tidbit #3: Password Protection Policies tablets, mobile devices, and laptops, 1:25 pm Generational Differences in the Expectations of Employees, and offers note-taking and Patients, and Practitioners highlighting capabilities. Pre- Eva Szigethy, MD, PhD, FACG Identify the differences in healthcare priorities for stakeholders registrants will receive access from various generations. to the app prior to the meeting, to view, download, or print the 1:45 pm Employee Engagement Improves Patient Satisfaction Suriya V. Sastri, MD, FACG presentation slides. See page 6 Explain strategies to enhance employee engagement. for more information. 2:05 pm Patient-Centered Care: Growing Your Practice Culture Amy S. Oxentenko, MD, FACG Describe the concept of patient-centered care, and develop strategies for staff development that support this care. THE ONLINE ITINERARY 2:25 pm Q & A PLANNER IS OPEN! 2:45 pm Break Register today and start building your personal schedule for the ACG 2018 meeting. SESSION 5: Professional Development Update Use the Itinerary Planner to prioritize your time by 3:00 pm Quick Tidbit #4: Identity Theft planning your onsite activities in advance. Browse and bookmark the sessions, view presentations, posters, and 3:05 pm Practitioner Satisfaction: Lessons From the RAND Research Report events, and explore the Exhibit Hall layout and exhibitors. Christina M. Surawicz, MD, MACG Once registered for the meeting, you will be able to Describe the process for the optimization of practitioner satisfaction and wellness. create your Planner account, which allows you to build, access, and update your itinerary at any time. When 3:25 pm Planning for Retirement—The “Big Picture” Harish K. Gagneja, MD, FACG the meeting app is available in September, your saved Identify successful retirement planning strategies and review itinerary and bookmarked items will sync to the app on alternative employment models that can be a “win-win” for your device for use at the meeting in Philadelphia. medical practices. 3:45 pm Leadership: Creating a Written Personal Development Plan VISIT THE ITINERARY PLANNER: eventscribe.com/2018/ACG Louis J. Wilson, MD, FACG Discuss the PDP as a way to build and maintain a Note: Only registered attendees will be able to create successful practice. accounts and save itineraries that will sync to the ACG 2018 meeting app. 4:05 pm Q & A 4:25 pm Course Wrap-Up and Take-Away Points Ralph D. McKibbin, MD, FACG, and Jay N. Yepuri, MD, MS, FACG 4:40 pm Course Adjourns

ASGE ENDOSCOPY COURSE Endoscopy on the Move: Preparing for the Next Decade Friday, October 5, 2018 | 7:30 am – 4:30 pm | Terrace Ballroom 1 Course Directors: Brian C. Brauer, MD, FASGE, and Dayna S. Early, MD, FACG, FASGE

COURSE DESCRIPTION FACULTY This year's course was created to provide information on a Hiroyuki Aihara, MD, PhD, FACG, FASGE Daniel K. Mullady, MD, FASGE diverse yet commonly encountered group of topics. The array Assistant Professor of Medicine, Associate Professor of Medicine, of topics presented is designed to appeal to attendees with all Harvard Medicine School, Brigham Washington University School of and Women's Hospital, Boston, MA Medicine, Saint Louis, MO levels of endoscopic expertise, and the panel of speakers are Brian C. Brauer, MD, FASGE Amrita Sethi, MD, FASGE well recognized content experts with significant experience in Associate Professor of Medicine, Assistant Professor of Medicine, delivering balanced presentations. Topics range from innovative Advanced Endoscopy Fellowship Columbia University Medical Center, endoscopic techniques in submucosal endoscopy, to everyday Program Director, University of New York, NY topics such as colonoscopy quality measures and techniques. Colorado Anschutz Medical Campus, Amandeep K. Shergill, MD Aurora, CO The course will also cover important pancreaticobiliary topics Director of Endoscopy, University such as indeterminate biliary strictures, as well as a session on Dayna S. Early, MD, FACG, FASGE of California San Francisco, San Professor of Medicine, Washington Francisco, CA premalignant lesions of the GI tract, including gastric IM and University School of Medicine, Saint Mihir S. Wagh, MD, FACG, FASGE pancreatic cysts. We have also included a "potpourri" session on Louis, MO Associate Professor of Medicine, endoscopic reprocessing, bariatrics, ergonomics in endoscopy Tonya R. Kaltenbach, MD, MS, FACG, FASGE Head, Endoscopic Surgery and Tissue and GI advocacy. To enhance audience engagement, there will be Associate Professor of Medicine, Apposition, University of Colorado, an audience response component to the course, and the lunch University of California San Francisco, Aurora, CO San Francisco Veterans Affairs Medical program will allow attendees to meet the speakers and enjoy Andrew Y. Wang, MD, FACG, FASGE Center, San Francisco, CA Associate Professor of Medicine, discussions about challenging cases and techniques. Rajesh N. Keswani, MD Co-Medical Director of Endoscopy, Associate Professor of Medicine, University of Virginia Health System, Northwestern University Feinberg Charlottesville, VA School of Medicine, Chicago, IL PROGRAM OBJECTIVES Upon completion of this educational activity, attendees will be able to: COURSE AGENDA

Recognize applications of submucosal endoscopy in 6:30 am Registration and Continental Breakfast daily practice. 7:30 am Welcome and Introductions Characterize current and new techniques in biliary Brian C. Brauer, MD, FASGE, and Dayna S. Early, MD, FACG, FASGE endoscopy. SESSION 1: The Submucosal Space: The Final Frontier? Evaluate techniques for management of routine and complex polyps in practice. 7:40 am POEM–Is all That Rhymes Good? Mihir S. Wagh, MD, FACG, FASGE Analyze techniques for management of common premalignant conditions of the GI tract. 8:00 am ESD: It Pays to be Picky! Proper Patient Selection and Technique Improve day-to-day operations of endoscopy practice. Hiroyuki Aihara, MD, PhD, FACG, FASGE

8:20 am Zenker’s: It’s Now an Endoscopic Disease Mihir S. Wagh, MD, FACG, FASGE

8:40 am Panel Discussion / Q & A FOR MORE INFORMATION ABOUT THIS COURSE, CONTACT ASGE SESSION 2: Pancreaticobiliary Endoscopy: New Trick for Old Dogs or • Toll free: 866-353-ASGE (2743) More of the Same? • Tel: 630-573-0600 • E-mail: [email protected] 8:55 am Indeterminate Biliary Strictures: Has New Technology Improved Diagnosis? • Web: www.asge.org Amrita Sethi, MD, FASGE

If you need auxiliary aids or services identified in the 9:15 am Pancreatic Fluid Collections: To LAMS or Not to LAMS? Americans with Disabilities Act (e.g., assistive listening Daniel K. Mullady, MD, FASGE devices or Braille materials), please contact ASGE.

22 \ 2018 Annual Scientific Meeting & Postgraduate Course FRIDAY COURSES Friday, October 5, 2018 Friday, October 5, 2018

9:35 am The Challenging Cannulation: When Do I Stop? Is EUS My Backup? Amrita Sethi, MD, FASGE

9:55 am Minimizing Complications: Pancreatitis and Beyond FOLLOW ACG 2018 Brian C. Brauer, MD, FASGE

10:15 am Panel Discussion / Q & A ON SOCIAL MEDIA

10:30 am Break Add #ACG2018 to meeting-related posts

on all social media platforms. Learn how EDUCATIONAL

SESSION 3: Colonoscopy Pearls PROGRAMS to sign up and get started on Twitter and 10:50 am Resect and Discard: Is It Old News or Is Everyone Doing It? other platforms; see who’s who in GI on Tonya R. Kaltenbach, MD, MS, FACG, FASGE Twitter, and more. Visit the ACG Blog at 11:10 am Large Colon Polyps: EMR, ESD or Surgery? ACGblog.org. Rajesh N. Keswani, MD

11:30 am FIT vs. Colonoscopy: Does It Matter? Amandeep K. Shergill, MD FOLLOW THE MEETING HASHTAG #ACG2018 11:50 am Quality Metrics in Colonoscopy: Do They Really Measure Quality? Rajesh N. Keswani, MD Follow #ACG2018 by visiting

12:10 pm Panel Discussion / Q & A Twitter.com/#ACG2018 or by searching for “#ACG2018” in the “Explore” tab of 12:25 pm Lunch Break the Twitter app on your mobile device.

SESSION 4: Premalignant Lesions of the GI Tract: How Much Surveillance Is Enough? CONNECT WITH ACG ON THESE SOCIAL MEDIA PLATFORMS: 1:35 pm Gastric IM: Survey or Not? Andrew Y. Wang, MD, FACG, FASGE Twitter: twitter.com/AmCollegeGastro 1:55 pm Barrett’s with Low-Grade or No Dysplasia: Ablate or Survey? Dayna S. Early, MD, FACG, FASGE Facebook: 2:15 pm Small Pancreatic Cysts: Do They Really Matter? facebook.com/AmCollegeGastro Andrew Y. Wang, MD, FACG, FASGE Instagram: 2:35 pm Panel Discussion / Q & A instagram.com/amcollegegastro

SESSION 5: Potpourri YouTube: youtube.com/user/ACGastroenterology 2:50 pm Endoscope Reprocessing: What’s New? Brian C. Brauer, MD, FASGE LinkedIn: 3:10 pm Ergonomics for the Endoscopist American College of Gastroenterology Amandeep K. Shergill, MD

3:30 pm Bariatrics: What Should a GI Practitioner Know? SOCIAL MEDIA Daniel K. Mullady, MD, FASGE HIGHLIGHTS EMAIL

3:50 pm GI Advocacy: What’s in it for Me? Onsite at #ACG2018, keep an eye out for Dayna S. Early, MD, FACG, FASGE a daily email highlighting social media 4:10 pm Panel Discussion / Q & A posts using #ACG2018.

4:30 pm Course Adjourns #ACG2018 acgmeetings.gi.org

Friday–Sunday | October 5–7, 2018 YOUR REGISTRATION INCLUDES

If you are looking for a comprehensive clinical review and don’t Two-Day Postgraduate Course want to spend too much time away from the office, attend ACG’s What's New in GI Pharmacology Course Three-Day Clinical Review. The Three-Day Clinical Review includes the GI Pathology and Imaging Course and the What’s New in Pathology and Imaging in the Evaluation of GI Pharmacology Course on Friday, plus the popular weekend Gastrointestinal Disease Course Postgraduate Course. Leading experts in the subspecialties will Self-Assessment Test PRINTED BOOK delve deeper into topics of interest to you and address the common with 300 questions, plus comprehensive, and not-so-common GI disorders you encounter in practice. annotated answers!

FRIDAY, OCTOBER 5, 2018 Access to the slide sets for all presentations (DAY 1 - MORNING) with the ACG Mobile app GI Pathology and Imaging Course | Terrace Ballroom 2-3 Up to 21.5 hours of CME credit and ACG’s Pathology and Imaging in the Evaluation of Gastrointestinal MOC points! Disease Course includes four mini-sessions, each devoted to new developments and old problems of special interest to the clinical gastroenterologist in pathology and imaging in a specific portion of the REGISTRATION GI tract. A popular biennial offering of the College, this year’s course MEMBER TYPE FEE expands the mini-session concept to include a combination lecture by a pathologist and a radiologist with the addition of correlated endoscopic images. Physician $850

FRIDAY, OCTOBER 5, 2018 Resident / Trainee / Candidate $350 (DAY 1 - AFTERNOON) What’s New in GI Pharmacology Course | Terrace Ballroom 2-3 Advanced Practice Provider / $650 Associate Attend the What’s New in GI Pharmacology Course for an intensive review of key GI pharmacology topics, including comparisons and contrasts between conventional and emerging pharmacological NON-MEMBER TYPE treatment options.

SATURDAY, OCTOBER 6 – SUNDAY, OCTOBER 7, 2018 Physician $1050 (DAYS 2 AND 3 - ALL DAY) Postgraduate Course | Terrace Ballrooms Exhibitor / Guest / PharmD / PhD $1050 With the need to remain abreast of the many new and emerging advancements in the field of gastroenterology and the patient volume Resident / Trainee $700 increasing as the population ages, the clinical gastroenterologist is challenged more than ever to deliver the best patient care. Research NP / PA / Allied Health / $950 across gastroenterology and hepatology areas is progressing at a rapid Practice Manager pace. Advances in technology, diagnostic modalities, and therapeutic options have had a positive impact on the management of many GI diseases. Scientific education, based on foundational knowledge and clinical skills, the communication of practical methods for treatment, SAVE UP TO 10% when you and the ability to integrate the newest tools in diagnosis with the latest bundle the two Friday courses with the therapeutic/treatment options, are key necessities for the GI clinician to Postgraduate Course and register for deliver top-quality patient care. $ the THREE-DAY CLINICAL REVIEW

24 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTGRADUATE COURSE Saturday & Sunday, October 6-7, 2018

Course Directors: Charles J. Kahi, MD, MSc, FACG, and Neil H. Stollman, MD, FACG

PROGRAM DESCRIPTION  SATURDAY, OCTOBER 6, 2018 | 7:50 AM - 5:00 PM With the need to remain abreast of the many new and emerging advancements 7:00 am REGISTRATION OPEN in the field of gastroenterology and the 7:00 am Continental Breakfast volume of patients continuing to increase as the population ages, the clinical 7:50 am Introduction by Course Directors gastroenterologist is more challenged  Terrace Ballroom than ever to deliver the best patient care Charles J. Kahi, MD, MSc, FACG, and Neil H. Stollman, MD, FACG in each situation they encounter. Research in a multitude of gastroenterology and SESSION 1A: Functional Disorders hepatology areas progresses at a rapid  Terrace Ballroom pace. Advances in technology, diagnostic Moderator: Brian E. Lacy, MD, PhD, FACG modalities, and therapeutic options have had a positive impact on the management 8:00 am Pharmacologic Treatment of IBS of many GI diseases. Scientific education, Lin Chang, MD, FACG Evaluate the selection of appropriate pharmacologic agents for the treatment of IBS. based on critical foundational knowledge and clinical skills, the communication 8:20 am Non-Pharmacologic Treatment of IBS of practical methods for treatment, and William D. Chey, MD, FACG POSTGRADUATE Discuss complementary, alternative, dietary, and psychosocial strategies in the treatment of IBS. the ability to integrate the newest tools in diagnosis with the latest therapeutic/ 8:40 am Food Allergies, Sensitivities, and Specialty Diets (Beyond Gluten) COURSE treatment options, are key necessities for Brian E. Lacy, MD, PhD, FACG Explain best current practice in the use of specialty diets in the care of patients with food the GI clinician to deliver top-quality patient allergies and sensitivities. care. This course will provide updates on a variety of gastroenterology and hepatology 9:00 am Chronic Abdominal Pain and Bloating Lawrence R. Schiller, MD, MACG subjects including cfunctional disorders, Identify diagnostic and management options in the treatment of chronic abdominal pain, liver disease, pregnancy and the GI patient, bloating, and dyspepsia. GI bleeding, gastrointestinal infections, 9:20 am Panel Q & A pancreaticobiliary disease, IBD, colorectal cancer prevention, endoscopy, esophagus, stomach, and motility. Expert faculty will 9:40 am Break deliver scientific presentations in a variety 10:00 am The David Sun Lecture: Translational Approaches to Common GI Diseases... of formats. Didactic lectures, followed by Thinking Out of the Box...The Future is Now! interactive question and answer sessions,  Terrace Ballroom small group learning luncheons, and a David A. Johnson, MD, MACG choice of simultaneous sessions on the Explore diet, prebiotic/microbiome changes, sleep/behavioral, and non-prescription latest topics in GI and liver clinical care medication use as pathways for optimizing disease management. will be offered. The program is designed primarily for SESSION 1B: Hepatology  clinicians in GI/hepatology, as well as Terrace Ballroom Moderator: David E. Bernstein, MD, FACG physician assistants, nurse practitioners, and other advanced practice providers 10:30 am NAFLD/NASH interested in a scientifically sound approach David E. Bernstein, MD, FACG to the management of GI and liver illnesses. Review diagnostic and treatment options in NAFLD/NASH. 10:50 am Drug-Induced Liver Injury: Causes and Management Raj K. Vuppalanchi, MD, FACG Describe important causes of drug-induced liver injury and management strategies. 11:10 am Approach to the Liver Mass Part of the Three-Day Clinical Review. Fasiha Kanwal, MD, MSHS REGISTER AND SAVE UP TO 10% Evaluate diagnostic and treatment interventions for patients with liver masses. when you bundle the Postgraduate Course 11:30 am Viral Hepatitis: Where We Are in 2018 with the two half-day Friday courses. Paul Y. Kwo, MD, FACG Summarize recent advances in the management of HBV and HCV. 11:50 am Panel Q & A

12:10 pm Break for Learning Luncheons

Register for ACG 2018: acgmeetings.gi.org / 25 POSTGRADUATE COURSE Saturday & Sunday, October 6-7, 2018 ACG 2016 EDUCATIONAL PROGRAMS

SATURDAY OPTIONAL LEARNING LUNCHEONS – Choose from 12 SIMULTANEOUS SYMPOSIA 12:20 pm – 1:35 pm 1:45 pm – 3:00 pm (You must register separately for learning lunches during the registration process.) SYMPOSIUM A: HELLP! My GI Patient Is Pregnant… 1. Post-Operative Care of the Bariatric Surgery Patient: Role of the  Terrace Ballroom 4 Gastroenterologist Moderator: Uma Mahadevan, MD, FACG Violeta B. Popov, MD, PhD, FACG Discuss aspects of post-operative care (nutritional, endoscopic) 1:45 pm Endoscopy and Sedation in Pregnancy of the patient after bariatric procedures (routine care and Joseph C. Anderson, MD, MHCDS, FACG Evaluate sedation and endoscopy in the pregnant patient. common complications). 2. Autoimmune Hepatitis 2:05 pm The Pregnant IBD Patient Mark W. Russo, MD, MPH, FACG Uma Mahadevan, MD, FACG Discuss outcomes and interventions in the pregnant IBD patient. Explain diagnostic and treatment recommendations for patients with autoimmune hepatitis. 2:25 pm Liver Disorders in Pregnancy Nancy S. Reau, MD, FACG 3. Tough Colons and Tough Polyps: Tips and Tricks Identify important hepatic disorders in pregnancy. Tonya Kaltenbach, MD, MS, FACG Summarize techniques most helpful in difficult colonoscopies 2:45 pm Panel Q & A and polypectomies. 4. Approach to the Patient With Refractory Esophageal Symptoms Ronnie Fass, MD, FACG SYMPOSIUM B: GI Bleeding Explain diagnosis and treatment of functional heartburn and chest pain.  Terrace Ballroom 1 Moderator: John R. Saltzman, MD, FACG 5. Endoscopy Extremes: Oropharyngeal and Perianal Primer for the Gastroenterologist 1:45 pm Non-Variceal GI Bleeding: Prevention and Treatment Amy E. Foxx-Orenstein, DO, MACG John R. Saltzman, MD, FACG Enumerate clinically relevant oropharyngeal and perianal findings that Explain prevention and treatment of non-variceal GI bleeding. may be encountered by gastroenterologists. 2:05 pm Variceal GI Bleeding: Prevention and Treatment 6. Management of Rumination, Cyclic Vomiting, and Cannabis Hyperemesis Robert J. Wong, MD, MS, FACG Lin Chang, MD, FACG Review prevention and treatment of variceal hemorrhage. Describe diagnostic and treatment plans for patients with rumination and 2:25 pm Obscure GIB: Imaging and Interventions emesis disorders. Jonathan A. Leighton, MD, FACG Describe algorithms and advice for identifying the causes of 7. Care of the CRC Patient After Diagnosis (Surgery, Chemotherapy, obscure GI bleeding and possible interventions. Surveillance) Charles J. Kahi, MD, MSc, FACG 2:45 pm Panel Q & A Discuss best practices after the diagnosis of colorectal cancer, with a focus on the role of the gastroenterologist. 8. SIBO: Testing and Treatment SYMPOSIUM C: Bugs N’ Guts Eamonn M. M. Quigley, MD, MACG  Terrace Ballroom 2-3 Identify practical testing and management plans for SIBO. Moderator: Christina M. Surawicz, MD, MACG 9. Eosinophilic Disorders of the GI Tract 1:45 pm Enteric Infections: The Usual Suspects and Beyond Evan S. Dellon, MD, MPH, FACG Christina M. Surawicz, MD, MACG Outline the treatment of eosinophilic esophagitis, and discuss other Identify diagnostic testing advances and treatments of patients with enteric infections. eosinophilic GI disorders. 10. Ischemic Bowel Disorders 2:05 pm Clostridium difficile: Are We Making Progress? Paul Feuerstadt, MD, FACG Jessica R. Allegretti, MD, MPH Evaluate recent pharmacologic, immunologic, and bacteriotherapy Review new understanding of mesenteric and colon ischemia in light of advances in the treatment of C. difficile. recent ACG guidelines. 2:25 pm Helicobacter pylori 11. Autoimmune Pancreaticobiliary Disease David A. Greenwald, MD, FACG Timothy B. Gardner, MD, MS, FACG Discuss state-of-the-art management approaches to H. pylori in Discuss the approach to and treatment of autoimmune pancreatitis, light of recent ACG guidelines. PBC, and PSC. 2:45 pm Panel Q & A 12. Dyssynergic Defecation and Pelvic Floor Disorders Satish S.C. Rao, MD, PhD, FACG Describe the evaluation of and interventions for patients with 3:00 pm Break defecatory dysfunction. 1:35 pm Break

26 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTGRADUATE COURSE Saturday & Sunday, October 6-7, 2018 ACG 2016 EDUCATIONAL PROGRAMS

SESSION 1C: Pancreatobiliary 10:00 am SESSION 2B: Colorectal Cancer Prevention  Terrace Ballroom  Terrace Ballroom Moderator: Timothy B. Gardner, MD, MS, FACG Moderator: Douglas K. Rex, MD, MACG

3:20 pm Prevention and Treatment of Acute Pancreatitis 10:00 am Colorectal Cancer Prevention in 2018 Timothy B. Gardner, MD, MS, FACG Jason A. Dominitz, MD, MHS Explain how best to prevent post-ERCP pancreatitis and treat Present an overview of the current status of CRC prevention patients with acute pancreatitis. in the U.S., including screening options and strategies to improve participation. 3:40 pm Medical, Endoscopic, and Surgical Approaches to 10:20 am Personalized CRC Screening and Surveillance in the Chronic Pancreatitis Douglas G. Adler, MD, FACG Average-Risk Patient Summarize possible medical, endoscopic, and surgical approaches Douglas J. Robertson, MD, MPH to chronic pancreatitis. Identify the best CRC screening test based on personal demographic and clinical features, and when to start and 4:00 pm Cystic Neoplasms of the Pancreas stop screening. Mohammad Al-Haddad, MD, FACG Describe diagnostic and treatment recommendations for 10:40 am Recognition and Management of the Patient at Increased pancreatic cysts. CRC Risk Aasma Shaukat, MD, MPH, FACG 4:20 pm Panel Q & A Recognize patients at increased CRC risk due to family history and genetic causes, and implement appropriate surveillance. 11:00 am Optimal Colonoscopy Technique and Polypectomy 4:40 pm Take-Home Pearls: What Did We Learn Today? Douglas K. Rex, MD, MACG Charles J. Kahi, MD, MSc, FACG, and Neil H. Stollman, MD, FACG Discuss the elements of high-quality colonoscopy, and

Review important and practical take-home messages from polypectomy strategies based on polyp characteristics. POSTGRADUATE today’s talks. 11:20 am Colonoscopy Quality: Measures and Systems

5:00 pm Adjourn for the day Irving M. Pike, MD, FACG COURSE Understand and apply colonoscopy quality standards and requirements.  SUNDAY, OCTOBER 7, 2018 | 7:50 AM - 5:00 PM 11:40 am Panel Q & A

7:00 am REGISTRATION OPEN 12:00 pm Break for Learning Luncheons 7:00 am Continental Breakfast

7:50 am Introduction by Course Directors  Terrace Ballroom Charles J. Kahi, MD, MSc, FACG, and Neil H. Stollman, MD, FACG

8:00 am SESSION 2A: Inflammatory Bowel Disease attend the  Terrace Ballroom Moderator: Sunanda V. Kane, MD, MSPH, FACG OPENING WELCOME RECEPTION 8:00 am Biologic-Based Therapies in IBD Sunanda V. Kane, MD, MSPH, FACG SUNDAY, OCTOBER 7, 5:15 PM – 7:00 PM Review current biologic agents for IBD, including biosimilars. 8:20 am Non-Biologic-Based Therapies in IBD Ashwin N. Ananthakrishnan, MD, MPH Immediately following the conclusion Describe the role of non-biologic agents including thiopurines, of the Postgraduate Course novel molecules, and non-pharmacologic options (diet, complementary medicine, and FMT) in managing IBD. Join colleagues for the ACG 2018 Opening Welcome 8:40 am Quality in IBD Care, From Monitoring to Maintenance Reception in the Exhibit Hall. The reception will feature Millie D. Long, MD, MPH, FACG Assess strategies to optimize health maintenance in IBD patients hors d’oeuvres and refreshments. This casual social including vaccinations, bone loss prevention, and monitoring of disease activity and drug levels. gathering will give all attendees the opportunity to 9:00 am Endoscopy in IBD explore the Hall, meet with exhibitors, visit the Poster Francis A. Farraye, MD, MSc, FACG Discuss the role of endoscopy in IBD patients, including assessment section, and network and mingle with colleagues. of disease activity, therapy of strictures, and dysplasia surveillance. 9:20 am Panel Q & A

9:40 am Break

SUNDAY OPTIONAL LEARNING LUNCHEONS – Choose from 12 SIMULTANEOUS SYMPOSIA 12:20 pm – 1:35 pm 1:45 pm – 3:00 pm (You must register separately for learning lunches during the registration process.) SYMPOSIUM D: Endoscopy 13. Diverticular Disease Update 2018  Terrace Ballroom 4 Neil H. Stollman, MD, FACG Moderator: John J. Vargo, II, MD, MPH, FACG Summarize new thinking in the role of antibiotics for acute diverticulitis and care of patients with SUDD and SCAD. 1:45 pm Sedation: Medical and Regulatory Update John J. Vargo, II, MD, MPH, FACG 14. Endoscopic and Surgical Approaches for Obesity Summarize the medical and regulatory status of sedation for Christopher C. Thompson, MD, MSc, FACG endoscopy in the U.S. Assess the role, benefits, and risks of endoscopic and surgical approaches to the treatment of obesity. 2:05 pm Prevention of Post-Procedure Bleeding Heiko Pohl, MD 15. Bowel Preparation Strategies: Routine to Challenging Explain the peri-endoscopic management of antithrombotic Brennan M. Spiegel, MD, MSHS, FACG agents, and endoscopic interventions to mitigate the risk of Present current agents and strategies to optimize bowel preparation post-procedure bleeding. quality, including difficult-to-prep patients. 2:25 pm Taking Care of the Endoscopist 16. Microscopic and Drug-Induced Colitis Amandeep K. Shergill, MD David S. Weinberg, MD, MSc Present ergonomic standards for the modern endoscopy Review the etiologies, diagnostic approaches, and treatment options unit, and strategies to maintain work-life balance and prevent burnout. for microscopic and drug-induced colitis. 2:45 pm Panel Q & A 17. Hepatitis B Reactivation David E. Bernstein, MD, FACG Identify management of HBV reactivation in patients with immunosuppression and during pregnancy. SYMPOSIUM E: Care of the Patient With Liver Disease  Terrace Ballroom 1 18. Endoscopic Treatment of Pancreatobiliary Cancers Moderator: Patrick S. Kamath, MD Douglas G. Adler, MD, FACG Provide an overview of the endoscopic treatment of patients with 1:45 pm Preventive Care of the Cirrhotic Patient pancreatobiliary cancers. Suthat Liangpunsakul, MD, FACG Outline the optimal care of patients with cirrhosis, including 19. Celiac and Gluten Sensitivity prevention of complications and vaccinations. Amy S. Oxentenko, MD, FACG List practical approaches to the diagnosis and management of patients 2:05 pm Alcoholic Liver Disease with celiac disease and non-celiac gluten sensitivity. Patrick S. Kamath, MD Review the treatment of patients with alcoholic liver disease, 20. Public Policy Update 2018 including alcoholic hepatitis. Costas H. Kefalas, MD, MMM, FACG Review recent public policy issues of concern to the gastroenterologist. 2:25 pm Liver Transplantation: Selection and Controversies Paul Y. Kwo, MD, FACG 21. Achalasia and Its Variants Explain the process of selection for liver transplantation, Marcelo F. Vela, MD, MSCR, FACG and controversies associated with evolving guidelines. Provide an overview of the diagnosis of achalasia and subtypes 2:45 pm Panel Q & A including GEJ outflow obstruction, and their treatment. 22. Challenging IBD Situations David T. Rubin, MD, FACG SYMPOSIUM F: Motility Discuss the optimal approaches to patients with anti-TNF refractory  Terrace Ballroom 2-3 disease, hospitalized patients with severe IBD, post-surgical patients, Moderator: Lawrence R. Schiller, MD, MACG and those who wish to stop therapy. 1:45 pm Chronic Constipation: Work-Up and Treatment 23. Serrated Polyps and the Serrated Polyposis Syndrome Lawrence R. Schiller, MD, MACG Carol A. Burke, MD, FACG Outline the diagnostic and therapeutic approach to Review serrated polyps, as well as the recognition and management of chronic constipation. serrated polyposis syndrome. 2:05 pm Delayed Gastric Emptying: Diagnosis and Treatment 24. Chronic Diarrhea Michael Camilleri, MD, FACG Christina M. Surawicz, MD, MACG Review progress in the diagnosis and treatment of delayed Explain practical diagnostic and therapeutic approaches to the patient gastric emptying. with chronic diarrhea. 2:25 pm Esophageal Motility Disorders Not Named Achalasia Felice Schnoll-Sussman, MD, FACG 1:35 pm Break Understand the terminology, diagnosis, and treatment of non-achalasia esophageal motility disorders. 2:45 pm Panel Q & A

3:00 pm Break / Visit the Exhibit Hall

28 \ 2018 Annual Scientific Meeting & Postgraduate Course functional dyspepsia therapy IBS celiac disease GERD screening surveillance Barrett’s esophagus anti- TNFs imaging dysplasia bloating treatment algorithms functional dyspepsia therapy IBS celiac disease GERD colonoscopy ERCP esophageal high resolution manometry screening surveillance Barrett’s esophagus anti- biosimilars clinical care achalasia diagnosis management TNFs imaging dysplasia bloating treatment algorithms microbiotaAMERICAN COLLEGEFGID pancreatitis OF GASTROENTEROLOGY polyps colon ablation ACG. Advancing gastroenterology, improving patient care. colonoscopy ERCP esophageal high resolution manometry eosinophilic esophagitis GERD colitis disease treatment biosimilars clinical care achalasia diagnosis management options C. difficile therapeutic agents stool DNA capsule microbiotaAMERICAN FGIDCOLLEGE pancreatitis OF GASTROENTEROLOGY polyps colon ablation endoscopy hepatitis hepatocellular carcinoma serrated polyps eosinophilicACG. Advancing esophagitis gastroenterology, improving GERD patient care. colitis disease treatment follow-up NASH lesions pancreas managementoptions C. difficile acute therapeutic agents stool DNA capsule pancreatitis nutrition pain biliary stricturesendoscopy autoimmune hepatitis hepatocellular carcinoma serrated polyps pancreatitis diagnostic criteria gastroparesisfollow-up H. NASH pylori lesions pancreas management acute evidence-based indications PPI therapypancreatitis monitoring nutrition ischemic pain biliary strictures autoimmune colitis NAFLD Crohn’s disease preventivepancreatitis care diagnostic tests criteria gastroparesis H. pylori endoscopic approaches GI diseases evidence-based variceal bleeding indications EMR PPI therapy monitoring ischemic ESD tools techniques lesions Lynchcolitis syndrome NAFLD surgery Crohn’s disease preventive care tests surveillance high-risk populations hepatitisendoscopic C obesityapproaches GI diseases variceal bleeding EMR bariatric procedures ESD tools techniques lesions Lynch syndrome surgery 2 018 surveillance high-risk populations hepatitis C obesity Self-Assessmentbariatric procedures Test 2 018 SESSION 2C: Esophagus and Stomach ANSWERS Self-Assessment Test  SAT Exam in conjunctionEXAMINATION with the Terrace Ballroom ACG 2018 Postgraduate Course

Moderator: Nicholas J. Shaheen, MD, MPH, FACG Saturday, October 6 and Sunday, October 7, 2018SAT Exam in conjunction with the THE 2018 ONLINE Pennsylvania Convention Center, Philadelphia, Pennsylvania ACG 2018 Postgraduate Course

Saturday, October 6 and Sunday, October 7, 2018 3:20 pm PPI Risks: Separating Fact From Fiction Pennsylvania Convention Center, Philadelphia, Pennsylvania Philip O. Katz, MD, MACG SELF-ASSESSMENT TEST Provide an evidence-based guide to risks associated with PPI use. 3:40 pm Premalignant Lesions of the Esophagus Buy Early Access, Nicholas J. Shaheen, MD, MPH, FACG Discuss treatment strategies in patients with Barrett’s esophagus and esophageal Study Longer, and SAVE! squamous neoplasia. 4:00 pm Premalignant Lesions and Polyps of the Stomach Douglas R. Morgan, MD, MPH, FACG Explain the approach to patients with gastric intestinal metaplasia and gastric polyps. SPECIAL PRE-MEETING DISCOUNTED PRICE 4:20 pm Panel Q & A Member price: $75* | Nonmember: $125*

The 2018 edition of the Online SAT includes: POSTGRADUATE 4:40 pm Take-Home Pearls: What Did We Learn Today? Charles J. Kahi, MD, MSc, FACG, and 300 questions Neil H. Stollman, MD, FACG COURSE Review important and practical take-home messages from today’s talks. Correct answers, detailed explanations, 5:00 pm Postgraduate Course Adjourns and a bibliography (with links to PubMed)

The ability to track scores overall and by category Your Postgraduate Course registration includes: PRE-ORDER AND SAVE! Purchase the Online SAT when you register. Two-Day Postgraduate Course

Self-Assessment Test PRINTED BOOK with 300 questions, plus

comprehensive, annotated answers! The 2018 Online Self-Assessment Test offers a Earn 35 CME credits and MOC points maximum of 35 AMA PRA Category 1 Credits™ and for successful completion. ABIM MOC points upon successful completion. NOTE: The PRINTED version of the 2018 Self-Assessment Test is included Up to 13 hours of CME and MOC. in the course registration for Postgraduate Course attendees and will be provided on-site at the meeting. Add Optional Learning Lunches on * Prices in effect only until Friday, September 28th. The discount only applies to those who Saturday and Sunday for up to 2 register through the ACG 2018 registration website at acgmeetings.gi.org. After September additional hours! 28th, the Online Self-Assessment Test can be purchased through the ACG website at full price.

Access to the slide sets for all presentations within the ACG ONLINE ACCESS OPENS SEPTEMBER 11, 2018 Mobile app SATEST.GI.ORG

Douglas G. Adler, MD, FACG Paul Feuerstadt, MD, FACG Uma Mahadevan, MD, FACG Lawrence R. Schiller, MD, MACG Professor of Medicine, University of Assistant Clinical Professor of Professor of Clinical Medicine, Clinical Professor, Texas A&M Utah School of Medicine; Director of Medicine, Gastroenterology Center of University of California, San Francisco; Dallas Campus; Program Director, Therapeutic Endoscopy, Huntsman Connecticut/Yale University School of Co-Medical Director, UCSF Center Gastroenterology Fellowship, Baylor Cancer Institute, Salt Lake City, UT Medicine, Hamden, CT for Colitis and Crohn's Disease, San University Medical Center, Dallas, TX Mohammad Al-Haddad, MD, FACG Amy E. Foxx-Orenstein, DO, MACG Francisco, CA Felice Schnoll-Sussman, MD, FACG Associate Professor of Medicine, Professor of Medicine, Mayo Clinic, Douglas R. Morgan, MD, MPH, FACG Associate Professor of Clinical Medicine, Indiana University School of Medicine, Scottsdale, AZ Associate Professor of Medicine, Weill Cornell Medical College, New York Indianapolis, IN Timothy B. Gardner, MD, MS, FACG Vanderbilt University, Nashville, TN Presbyterian Hospital, New York, NY Jessica R. Allegretti, MD, MPH Associate Professor, Geisel School Amy S. Oxentenko, MD, FACG Nicholas J. Shaheen, MD, MPH, FACG Director, Clinical Trials, Brigham & of Medicine at Dartmouth; Director, Professor of Medicine; Residency Professor of Medicine and Epidemiology; Women's Hospital, Boston, MA Pancreatic Disorders, Dartmouth- Program Director and Associate Chair, Chief, Division of Gastroenterology and Ashwin N. Ananthakrishnan, MD, MPH Hitchcock Medical Center, Lebanon, Department of Medicine, Mayo Clinic, Hepatology, University of North Carolina, Director, Crohn’s and Colitis Center, NH Rochester, MN Chapel Hill, NC Massachusetts General Hospital, David A. Greenwald, MD, FACG Irving M. Pike, MD, FACG Aasma Shaukat, MD, MPH, FACG Boston, MA Director of Clinical Gastroenterology Senior Vice President and Chief Professor of Medicine, University of Joseph C. Anderson, MD, MHCDS, FACG and Endoscopy, Mount Sinai Hospital, MedicalOfficer, John Muir Health, Minnesota; GI Section Chief, Minneapolis Associate Professor of Medicine, New York, NY Walnut Creek, CA VAHCS, Minneapolis, MN Dartmouth College Geisel School of David A. Johnson, MD, MACG Heiko Pohl, MD Amandeep K. Shergill, MD Medicine, Hanover, NH Professor of Medicine and Chief of Associate Professor of Medicine, Director of Endoscopy, Veterans Affairs David E. Bernstein, MD, FACG Gastroenterology, Eastern Virginia Dartmouth College Geisel School of San Francisco, University of California, Professor of Medicine, Zucker School Medical School, Norfolk, VA Medicine, Hanover, NH San Francisco, San Francisco, CA of Medicine at Hofstra/Northwell, Charles J. Kahi, MD, MSc, FACG Violeta B. Popov, MD, PhD, FACG Brennan M. Spiegel, MD, MSHS, FACG Manhasset, NY Professor of Clinical Medicine; Assistant Professor of Medicine, NYU Professor of Medicine and Public Health, Carol A. Burke, MD, FACG Indiana University; GI Section Chief, Langone Medical Center; VA NY Harbor Director of Health Services Research, Director, Center for Colon Polyp Roudebush VAMC, Indianapolis, IN Healthcare System, New York, NY Cedars-Sinai Health System; Cedars-Sinai and Cancer Prevention; Vice Chair, Tonya Kaltenbach, MD, MS, FACG Eamonn M. M. Quigley, MD, MACG Site Director, Clinical and Translational Department of Gastroenterology Associate Professor, University Professor of Medicine, Weill Cornell Science Institute (CTSI); Assistant Dean, and Hepatology, Cleveland Clinic of California, San Francisco; San Medical College; Chief, Division of David Geffen School of Medicine at Foundation, Cleveland, OH Francisco Veterans Affairs Medical Gastroenterology and Hepatology, UCLA, Cedars-Sinai Medical Center, Los Angeles, CA Michael Camilleri, MD, FACG Center, San Francisco, CA Houston Methodist Hospital, Professor of Medicine, Pharmacology, Patrick S. Kamath, MD Houston, TX Neil H. Stollman, MD, FACG and Physiology, Mayo Clinic College of Professor of Medicine, Mayo Clinic, Satish S.C. Rao, MD, PhD, FACG Associate Clinical Professor of Medicine, Medicine, Rochester, MN Rochester, MN Professor of Medicine, Digestive University of California San Francisco; Chief, Division of Gastroenterology, Lin Chang, MD, FACG Sunanda V. Kane, MD, MSPH, FACG Health Center, Medical College of Georgia, Augusta, GA Alta Bates Summit Medical Center, Professor of Medicine, David Geffen Professor of Medicine, Mayo Clinic, Oakland, CA School of Medicine at UCLA, Los Rochester, MN Nancy S. Reau, MD, FACG Christina M. Surawicz, MD, MACG Angeles, CA Fasiha Kanwal, MD, MSHS Associate Director of Solid Organ Transplantation, Section Chief, Professor of Medicine; Associate William D. Chey, MD, FACG Professor of Medicine, Michael E. Dean for Faculty Development, Nostrant Professor of Gastroenterology DeBakey VA Medical Center, Houston, TX Hepatology, Rush University Medical Center, Chicago, IL University of Washington School of & Nutrition, University of Michigan; Philip O. Katz, MD, MACG Medicine, Seattle, WA Director, GI Physiology Lab, Michigan Director, Motility Laboratories, Weill Douglas K. Rex, MD, MACG Medicine, Ann Arbor, MI Distinguished Professor of Medicine, Christopher C. Thompson, MD, MSc, FACG Cornell Medicine, New York, NY Director of Therapeutic Endoscopy, Evan S. Dellon, MD, MPH, FACG Indiana University School of Medicine, Costas H. Kefalas, MD, MMM, FACG Indianapolis, IN Brigham and Women's Hospital, Associate Professor of Medicine and Partner, Akron Digestive Disease Boston, MA Epidemiology, Center for Esophageal Consultants, Inc., Akron, OH Douglas J. Robertson, MD, MPH Diseases and Swallowing, University of Professor of Medicine, Geisel John J. Vargo, II, MD, MPH, FACG North Carolina at Chapel Hill School of Paul Y. Kwo, MD, FACG School of Medicine at Dartmouth Associate Professor of Medicine, Medicine, Chapel Hill, NC Professor of Medicine, Stanford & the Dartmouth Institute, Hanover, Cleveland Clinic Lerner College of University, Palo Alto, CA Medicine; Chair, Department of Jason A. Dominitz, MD, MHS NH; Chief, Gastroenterology, White River Junction VAMC, White River Gastroenterology and Hepatology, Professor of Medicine, University of Brian E. Lacy, MD, PhD, FACG Cleveland Clinic, Cleveland, OH Washington School of Medicine, Professor of Medicine, Mayo Clinic, Junction, VT Seattle, WA. Jacksonville, FL David T. Rubin, MD, FACG Marcelo F. Vela, MD, MSCR, FACG Professor of Medicine, Director, Francis A. Farraye, MD, MSc, FACG Jonathan A. Leighton, MD, FACG Joseph B. Kirsner Professor of Medicine; Chief, Section of Esophageal Disorders, Mayo Clinic, Professor of Medicine, Boston University Professor of Medicine, Mayo Clinic, Scottsdale, AZ School of Medicine; Clinical Director, Scottsdale, AZ Gastroenterology, Hepatology and Section of Gastroenterology; Co- Nutrition; Co-Director, Digestive Raj K. Vuppalanchi, MD, FACG Suthat Liangpunsakul, MD, FACG Diseases Center, University of Chicago Associate Professor of Medicine, Director, Center for Digestive Disorders, Professor of Medicine, Biochemistry Boston Medical Center, Boston, MA Medicine, Chicago, IL Indiana University School of Medicine, and Molecular Biology, Indiana Indianapolis, IN Ronnie Fass, MD, FACG University School of Medicine, Mark W. Russo, MD, MPH, FACG Professor of Medicine, Case Western Indianapolis, IN Professor of Medicine, Carolinas David S. Weinberg, MD, MSc Reserve University; Medical Director, Medical Center, Charlotte, NC Chairman, Department of Medicine, Fox Millie D. Long, MD, MPH, FACG Chase Cancer Center, Philadelphia, PA Digestive Health Center; Chair, Division Associate Professor of Medicine, John R. Saltzman, MD, FACG of Gastroenterology and Hepatology; University of North Carolina, Center Professor of Medicine, Harvard Robert J. Wong, MD, MS, FACG Head, Esophageal and Swallowing for Gastrointestinal Biology and Medical School; Director of Assistant Clinical Professor of Medicine, Center, MetroHealth Medical Center, Disease, Chapel Hill, NC Endoscopy, Brigham and Women’s Director of Research and Education, Cleveland, OH Hospital, Boston, MA Alameda Health System, Highland Hospital, Oakland, CA

30 \ 2018 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 8-10, 2018

The Annual Scientific Meeting is FREE for ACG members!

PROGRAM DESCRIPTION  MONDAY, OCTOBER 8, 2018 | 6:45 AM - 6:30 PM Gain insight from the experts, learn practical take home points, and network 6:00 am – 5:00 pm REGISTRATION OPEN with your colleagues when you attend the ACG Annual Scientific Meeting. Throughout OPTIONAL BREAKFAST SESSIONS – Choose from 4 the Scientific Meeting, faculty will present 6:30 am – 7:45 am (You must register and pay separately for breakfast sessions during the registration process.) the latest in GI and hepatology, and how to incorporate findings into patient care. BREAKFAST A: Advances in the Management of Cirrhosis and Portal Hypertension Hear about the latest clinical research when Moderator: Arun J. Sanyal, MD they present free papers/oral presentations • Evaluation of Acute Kidney Injury in a Cirrhotic Patient: HRS and Beyond during the plenary sessions. In addition, Arun J. Sanyal, MD there will be several featured lectures by Discuss best practices in the evaluation of acute kidney injury in patients with liver cirrhosis, and world-renowned experts that delve into guideline recommendations for the management of hepatorenal syndrome. deeper discussion on a specific topic. • Management of Hepatic Encephalopathy Catherine T. Frenette, MD Twelve scientific symposia and over 65 oral Apply current and evolving guidelines for the diagnosis and management of occult and overt abstract presentations will allow attendees hepatic encephalopathy. to hear lecture presentations from experts • Optimizing Your Patient With Ascites and to participate in interactive question Nahum Mendéz-Sanchéz, MD, MSc, PhD, FACG and answer sessions with the faculty. Outline a stepwise approach to managing a patient with ascites.

In addition, 16 optional scientific breakfast sessions will be offered, where BREAKFAST B: On the Wards—Challenges in the Hospitalized Patient a smaller setting allows for heightened Moderator: Kathy P. Bull-Henry, MD, FACG interaction with the speakers and greater • Refractory Small Bowel Bleeding audience involvement. Kathy P. Bull-Henry, MD, FACG MEETING Describe the approach to management of hospitalized patients with refractory small ANNUAL Finally, ACG's 6th Annual Endoscopy bowel bleeding. Video Forum will feature the best video • Abdominal Pain in Complicated Pancreatitis presentations submitted from colleagues Darwin L. Conwell, MD, MS, FACG from across the U.S. and around the world. Explain the management of hospitalized patients with complicated pancreatitis, including necrotizing pancreatitis and fluid collections. The Annual Scientific Meeting program • Management of Constipation, Ileus, and Narcotic Bowel is designed primarily for physicians in Melissa Latorre, MD, MS gastroenterology and hepatology, as well Discuss the timely management of hospitalized patients with generalized GI dysmotility with nausea, vomiting, chronic abdominal pain, and constipation. as physician assistants, nurse practitioners, and other advanced practice healthcare professionals interested in the latest BREAKFAST C: Concepts and Controversies in Diverticular Disease information on state-of-the-art treatment Moderator: Neil H. Stollman, MD, FACG of these illnesses. • Acute Diverticulitis: Can We Prevent It, How Best to Treat It, and Can We Decrease Its Recurrence? Neil H. Stollman, MD, FACG Identify risk factors for diverticulitis, possible interventions to prevent and treat it, and the changing role of antibiotics. • Diverticular Bleeding: Can We Prevent It, How Best to Treat It, and Can We Decrease Its Recurrence? Anne F. Peery, MD, MSCR Explain risk factors for diverticular bleeding, as well as possible interventions to prevent and treat it. • SUDD and SCAD: Are They Entities in Their Own Right, and How Should We Treat Them? Brennan M. Spiegel, MD, MSHS, FACG Discuss the emerging entities of SUDD and SCAD and their possible clinical outcomes and interventions.

Register for ACG 2018: acgmeetings.gi.org / 31 ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 8-10, 2018 MONDAY, OCTOBER 17, 2016

BREAKFAST D: Case-Based Functional GI Testing: Ask the Experts 4. A Multidisciplinary Clinical Care Pathway Improves the Quality of Moderator: Mark Pimentel, MD, FACG Inpatient Colonoscopy Bowel Preparations • Esophageal Motility and pH Testing  Fellows-in-Training Award (Colon Category) John E. Pandolfino, MD, MSCI, FACG Alexandra Strauss, MD, MIE, Jennifer Yeh, MD, Janet Yoder, BSN, Diego Illustrate the key factors related to the performance and interpretation Martinez, PhD, Lawrence Hsu, MS, Neysa Ernst, RN, MSN, Ravi Nehra, of esophageal motility and pH testing. PharmD, Haithem Al-Grain, MD, Anne-Marie Lennon, MD, Christopher • Breath Testing Fain, DO; Johns Hopkins Hospital, Baltimore, MD Mark Pimentel, MD, FACG 5. Examination of the Right Colon for Three Minutes or More Significantly Summarize the updated consensus recommendations on breath testing Increases Adenoma Detection Rate: A Multi-Center Prospective and describe clinical applications. Randomized Controlled Trial • Pelvic Floor Testing  ACG Governors Award for Excellence in Clinical Research Amy E. Foxx-Orenstein, DO, MACG Fahad F. Mir, MD, MSc1, Hasan Badar, MD2, Muhammad Shafiq, MD2, Jamie Discuss common diagnostic tests and their interpretation for Varghese2, Wendell Clarkston, MD3, Donald Campbell, MD4, Rajiv Chhabra, anorectal disorders. MD4, Fadi Hamid, MD4, Susana Escalante-Glorsky, MD4, James Kim, MD4, John Helzberg, MD4, Laura Alba, MD4, Sakher Albadarin, MD4, Hiliary Bownik, MD4, Sreenivasa S. Jonnalagadda, MD3; 1University of Missouri, 7:50 am – 6:30 pm Annual Scientific Meeting Mission, KS, 2University of Missouri, Kansas City, MO, 3St. Luke’s Health System, Kansas City, MO, 4St. Luke's Hospital, Kansas City, MO 7:50 am – 8:00 am Opening Remarks Irving M. Pike, MD, FACG, ACG President 9:00 am – 9:30 am President's Address 8:00 am – 9:00 am Presidential Plenary – Session 1  Terrace Ballroom  Terrace Ballroom Irving M. Pike, MD, FACG Moderators: Irving M. Pike, MD, FACG, Introduced by: Sunanda V. Kane, MD, MSPH, FACG, and Seth A. Gross, MD, FACG ACG President-Elect

1. Rectal Indomethacin Dose Escalation for Prevention of Post-ERCP 9:30 am – 10:30 am Presidential Plenary Session 2  Terrace Ballroom Pancreatitis in High-Risk Patients: Preliminary Report of a Multicenter Moderators: Sunanda V. Kane, MD, MSPH, FACG, Randomized Trial (RIDE Trial) and Seth A. Gross, MD, FACG  Category Award (Biliary/Pancreas) 1 1 Evan L. Fogel, MD, MSc , Glen A. Lehman, MD, FACG , Paul Tarnasky, 6. One versus Three Needle Actuations for EUS-Guided Liver Biopsy: 2 3 4 MD, FACG , Gregory A. Cote, MD, MSCI , Richard Kwon, MD , James L. A Prospective Randomized Trial 1 1 1 Watkins, MD , Suzette E. Schmidt, RN, BSN , Stuart Sherman, MD, FACG ,  Fellows-in-Training Award (Interventional Endoscopy Category) 4 1 Grace H. Elta, MD, FACG , Jeffrey J. Easler, MD , Douglas K. Pleskow, Rafael Ching-Companioni, MD1, Amitpal S. Johal, MD1, Bradley Confer, 5 1 4 MD, FACG , Ihab I. El Hajj, MD, MPH , Akbar K. Waljee, MD, MSc , Nalini DO1, Harshit S. Khara, MD, FACG1, Erin Forster, MD, MPH2, David L. Diehl, 6 7 2 M. Guda, MD, FACG , Mark A. Gromski, MD , Seena Arol, MBBS , Sheryl MD1; 1Geisinger Medical Center, Danville, PA, 2Medical University of South 4 1 8 Korsnes, MA, CCRC , Lee McHenry, Jr., MD , Alejandro L. Suarez, MD , Carolina, Charleston, SC Rebecca Spitzer, MPH3, Marilyn Miller, RN, CCRC9, Maria Hofbauer, MS5, B. Joseph Elmunzer, MD, MSc3; 1Indiana University, Indianapolis, IN, 7. Development of Non-Alcoholic Fatty Liver Disease in type-2 Diabetics 2Digestive Health Associates of Texas, Dallas, TX, 3Medical University and Factors Associated With Its Development of South Carolina, Charleston, SC, 4University of Michigan, Ann Arbor,  Fellows-in-Training Award (Liver Category) MI, 5Beth Israel Deaconess Medical Center, Boston, MA, 6University Amandeep Singh, MD 1, Falgun Gosai, MD2, Rocio Lopez, MS3, Naim of Wisconsin, Milwaukee, WI, 7Indiana University School of Medicine, Alkhouri, MD4, Donald Kirby, MD5, Arthur McCullough, MD6; 1Digestive Indianapolis, IN, 8Yale University, New Haven, CT, 9Aurora Research Disease Institute/Cleveland Clinic, Cleveland, OH, 2Fairview Hospital, Institute, Milwaukee, WI Cleveland Clinic, Cleveland, OH, 3Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH, 4Texas Liver Institute, San Antonio, TX, 2. Factors Associated With Over-Utilization of Repeat Upper Endoscopy in 5Cleveland Clinic, Cleveland, OH, 6Cleveland Clinic Foundation, Cleveland, Patients With Non-Dysplastic Barrett's Esophagus (NDBE): A Study Using OH the GI Quality Improvement Consortium (GIQuIC) National Registry  Category Award (Practice Management) 8. Gluten Contamination of Restaurant Food: Analysis of Sachin Wani, MD1, J. Lucas Williams, MPH2, Sri Komanduri, MD3, Raman Crowd-Sourced Data Muthusamy, MD4, Nicholas J. Shaheen, MD, MPH5; 1University of Colorado  Lawlor Resident Award Anschutz Medical Campus, Aurora, CO, 2GI Quality Improvement Benjamin A. Lerner, MD1, Lynn Phan Vo, BA2, Shireen Yates, MBA3, Andrew Consortium, Bethesda, MD, 3Feinberg School of Medicine, Northwestern G. Rundle, DrPH2, Peter H. R. Green, MD1, Benjamin Lebwohl, MD, MS1; University, Chicago, IL, 4University of California Los Angeles, Los Angeles, 1Columbia University Medical Center, New York, NY, 2Columbia University CA, 5University of North Carolina School of Medicine, Chapel Hill, NC Mailman School of Public Health, New York, NY, 3Nima Labs, San Francisco, CA 3. Progression of Barrett’s Esophagus (BE) and Dysplasia Detected by Wide Area Transepithelial Sampling With Computer-Assisted 3D Analysis 9. A Low FODMAP Diet May Reduce Symptoms in Patients with (WATS3D) Confirms the Clinical Significance of Crypt Dysplasia Fecal Incontinence  ACG Governors Award for Excellence in Clinical Research  Category Award (Functional Bowel Disease) 1 2 2 Nicholas J. Shaheen, MD, MPH, FACG1, Michael S. Smith, MD, MBA2, John Stacy B. Menees, MD, MS , Deepa Chandhrasekhar, BS , Ee Lane Liew , 1 1 R. Goldblum, MD3, Robert D. Odze, MD4; 1University of North Carolina, William D. Chey, MD, FACG ; University of Michigan, Ann Arbor, MI, 2 Chapel Hill, NC, 2Mount Sinai West & Mount Sinai St. Luke's Hospitals, Michigan Medicine, Ann Arbor, MI New York, NY, 3Cleveland Clinic Foundation, Cleveland, OH, 4Harvard Medical School, Boston, MA

32 \ 2018 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 8-10, 2018

10. Small Bowel Innate Immune Activation Predicts Clinical Response to SYMPOSIUM 1C: Advances in Non-Alcoholic Fatty Liver Disease (NAFLD) Vedolizumab Therapy in Crohn’s Disease  Terrace Ballroom 2-3  Category Award (IBD) Moderator: Naga P. Chalasani, MD, FACG Julia J. Liu, MD1, Matthew Ciorba, MD2, Sarah C. Glover, DO3, Bincy Abraham, • Initial Work-Up and Evaluation of a Patient With NAFLD MD, MS4, Freeha Khan, MD5, Quinton Palmer, MD1, Xueyan Guo, MD6, Eric Naga P. Chalasani, MD, FACG Yee, MD1, Felicia D. Allard, MD1, Brian Claggett7, Bo Shen, MD8, Ilyssa O. Describe an evidence-based approach for the general gastroenterologist Gordon, MD, PhD5; 1University of Arkansas for Medical Sciences, Little Rock, in the initial screening, diagnosis, work-up, and staging of patients with non-alcoholic fatty liver disease (NAFLD) and non-alcoholic AR, 2Washington University, St. Louis, MO, 3University of Florida, Gainesville, steatohepatitis (NASH). FL, 4Houston Methodist Hospital, Houston, TX, 5Cleveland Clinic, Cleveland, OH, 6UAMS, Xi’an, Shaanxi, China (People's Republic), 7Brigham & Women's • Current Management of NAFLD/NASH: Medical, Endoscopic, and Hospital, Boston, MA, 8Cleveland Clinic Digestive Disease Institute, Surgical Therapies Cleveland, OH Zobair M. Younossi, MD, MPH, FACG Discuss current guidelines for the management and treatment of nonalcoholic steatohepatitis (NASH), including medical, endoscopic, and 10:00 am – 4:45 pm Exhibit Hall Open surgical therapies. • Future Therapies for NAFLD/NASH 10:15 am – 4:40 pm Hands-On Endoscopy Workshop Center Open Arun J. Sanyal, MD Summarize evolving and future strategies for NASH treatment including clinical 10:30 am – 11:30 am Break – Visit the Exhibit Hall and Browse Scientific trial data and implications for clinical practice. Posters

10:30 am – 11:30 am Exhibitor Theater 12:45 pm – 2:15 pm Lunch Break – Visit the Exhibit Hall and Browse 10:30 am – 4:15 pm Scientific Poster Session Open Scientific Posters 12:45 pm – 2:15 pm ACG-FDA Public Forum SIMULTANEOUS SYMPOSIA – SESSION 1 Room 119B 11:30 am - 12:45 pm 12:45 pm – 1:20 pm Exhibitor Theater SYMPOSIUM 1A: Conundrums of the Esophagus  Terrace Ballroom 1 1:00 pm – 2:15 pm Poster Session – Authors Present Moderator: Fouad J. Moawad, MD, FACG • I Think It’s Stuck in My Gullet: Managing Dysphagia 1:40 pm – 2:15 pm Exhibitor Theater Ikuo Hirano, MD, FACG Discuss the stepwise approach to managing a patient with difficulty swallowing. SIMULTANEOUS PLENARY SESSION 1 • The EoE Spectrum: From the Clinically Responsive to 2:15 PM – 3:00 PM the Refractory Patient Fouad J. Moawad, MD, FACG

PLENARY SESSION 1A – IBD MEETING ANNUAL Recognize both the medical and endoscopic therapeutic treatment  Terrace Ballroom 4 endpoints for EoE. Moderators: Samir A. Shah, MD, FACG, and Laura E. Raffals, MD, MS, FACG • PPIs: Friend or Foe? Paul Moayyedi, MB ChB, PhD, MPH, FACG 11. A Randomized, Double-Blind, Placebo-Controlled Trial of a Selective, Identify the risks of long-term PPI use and weigh them against the Oral Sphingosine 1-Phosphate (S1P) Receptor Modulator, Etrasimod benefits. (APD334), in Moderate to Severe Ulcerative Colitis (UC): Results From the OASIS Study  ACG Auxiliary Award (Member) 1 2 SYMPOSIUM 1B: Update in CRC Screening William J. Sandborn, MD, FACG , Laurent Peyrin-Biroulet, MD, PhD , Luba 3 3 4  Terrace Ballroom 4 Trokan , Jinkun Zhang , Tanja Kühbacher, MD, PhD , Michael Chiorean, 5 6 7 Moderator: Joseph C. Anderson, MD, MHCDS, FACG MD , Scott D. Lee, MD , Severine Vermeire, MD, PhD , Bruce Yacyshyn, MD, FACG8, Snehal Naik3, Preston Klassen3, Julian Panes, PhD9; 1University of • CRC Screening Outside the ASC: Non-Invasive Testing California San Diego, La Jolla, CA, 2University Hospital of Nancy, University Douglas J. Robertson, MD, MPH 3 Discuss the performance characteristics of stool (FIT and fecal DNA) and of Lorraine, Nancy, Lorraine, France, Arena Pharmaceuticals, San Diego, 4 5 serum-based testing including implications of a positive test and a normal CA, Asklepio Westklinikum, Hamburg, Germany, Virginia Mason Medical colonoscopy. Center, Seattle, WA, 6University of Washington, Seattle, WA, 7University Hospitals Leuven, Leuven, Brussels Hoofdstedelijk Gewest, Belgium, • The Cutting Edge of Serrated Polyps 8University of Cincinnati, Cincinnati, OH, 9Hospital Clinic de Barcelona, Joseph C. Anderson, MD, MHCDS, FACG IDIBAPS, CIBERehd, Barcelona, Catalonia, Spain Identify the biology, diagnosis, and classification of serrated polyps, as well as optimal detection, resection and surveillance of them. • Thinking Big About Small Lesions Thomas F. Imperiale, MD Describe the management of small adenomas including detection, resection, and surveillance, and new concepts such as optical diagnosis and resect and discard.

Register for ACG 2018: acgmeetings.gi.org / 33 ANNUAL SCIENTIFIC MEETING MondayMONDAY, through OCTOBER Wednesday, 17, 2016 October 8-10, 2018

12. Risk Factors for Medication Non-Adherence to Biologic Therapy in 3:15 pm – 3:45 pm The American Journal of Gastroenterology Lecture Patients With Inflammatory Bowel Disease: A Retrospective Analysis What Causes Functional GI Disorders? The Latest Jennifer Haydek, BS1, Nisha B. Shah, PharmD1, James Slaughter, PhD1, Data and Insights Jonathan R. Ashton, Jr., BS2, Autumn Zuckerman, PharmD1, Rochelle  Terrace Ballroom 2-3 Wong, BS1, Francesca Raffa, MD1, Ailish Garrett, NP1, Caroline Duley, NP1, Nicholas J. Talley, AC, MD, MBBS, PhD, MMedSci, MACG Kim Annis, PA1, Julianne Wagnon, JD, NSN, FNP-BC3, Lawrence Gaines, Introduced by: Brian E. Lacy, MD, PhD, FACG, and PhD1, Robin Dalal, MD1, Elizabeth Scoville, MD, MSCI1, Dawn B. Beaulieu, Brennan M. Spiegel, MD, MSHS, FACG MD1, David Schwartz, MD1, Sara N. Horst, MD, MPH1; 1Vanderbilt University Recognize known and emerging risk factors for Medical Center, Nashville, TN, 2Vanderbilt Specialty Pharmacy, Nashville, TN, functional GI disorders including infections, foods, 3Vanderbilt IBD Center, Nashville, TN and alterations in the microbiome. See page 13 for more information. 13. Tofacitinib, an Oral Janus Kinase Inhibitor, in the Treatment of Ulcerative Colitis: An Interim Analysis of an Open-Label, Long-Term Extension Study 3:45 pm – 4:45 pm Break – Visit the Exhibit Hall and Browse With up to 4.9 Years of Treatment Scientific Posters Gary R. Lichtenstein, MD1, Edward V. Loftus, Jr., MD2, Stuart Bloom, DM, FRCP3, Nervin Lawendy, PharmD4, Gary Chan, PharmD4, Gary S. Friedman, 3:45 pm – 4:45 pm Exhibitor Theater MD4, Haiying Zhang, PhD4, Wenjin Wang, PhD4, Andrew J. Thorpe, PhD4, Chudy I. Nduaka, DVM, PhD4, Chinyu Su, MD4; 1Hospital of the University 4:00 pm – 5:00 pm How to Get Published: ACG Journal of Pennsylvania, Philadelphia, PA, 2Mayo Clinic, Rochester, MN, 3University Editors' Roundtable College London Hospitals NHS Foundation Trust, London, England, United  Room 119B Kingdom, 4Pfizer Inc., Collegeville, PA Brian E. Lacy, MD, PhD, FACG, Brennan M. Spiegel, MD, MSHS, FACG, and David C. Whitcomb, MD, PhD, FACG 14. Anastamotic Ulcers After Ileocolic Resection Predict Crohn’s See page 10 for more information. Disease Recurrence Sarah Lopatin, MD1, Daniel Castaneda Mayorga, MD1, Benjamin Cohen, MD2, SIMULTANEOUS SYMPOSIA – SESSION 2 Robert Hirten, MD2; 1The Mount Sinai Hospital, New York, NY, 2Icahn School 4:45 pm – 6:00 pm of Medicine at Mount Sinai, New York, NY SYMPOSIUM 2A: Is There Consensus? Challenging Cases in IBD PLENARY SESSION 1B – LIVER  Terrace Ballroom 4  Terrace Ballroom 2-3 Moderator: Sunanda V. Kane, MD, MSPH, FACG Moderators: Mitchell L. Shiffman, MD, FACG, and Renu Umashanker, MD, FACG • Managing Ulcerative Colitis in the Sick Outpatient Sunanda V. Kane, MD, MSPH, FACG 15. Sofosbuvir, Velpatasvir, Veloxpravir Efficacy in 12-Week Treatment in Illustrate the importance of a systematic approach to management of Triple Infected (Chronic Hepatitis C, Chronic Hepatitis B, and HIV) Geno 3 complicated ulcerative colitis patients. Naive Population: An Open Level Prospective Clinical Trial - SOLVVE – C • Crohn’s Disease Complicated by an Intraabdominal Abscess – What Patrick Basu, MD, MRCP, FACG1, Nimy John, MD2, Mark Aloysius, MD, PhD3, First? Poke, Prod, or Cut? Robert S. Brown, Jr., MD, MPH4; 1Weill Cornell Medicine, Flushing, NY, 2St. Miguel D. Regueiro, MD, FACG Vincent Hospital/University of Massachusetts Medical School, Worcester, Recognize the different approaches to managing the patient with MA, 3James J. Peters VA Medical Center, Bronx, NY, 4Weill Cornell Medical complicated Crohn’s disease. College, New York, NY • Perianal CD – When Anti-TNF Therapy Is Not Enough 16. Association Between Malnutrition, Nutritional Assessment Tools, David A. Schwartz, MD, FACG Describe the treatment options available for complicated perianal Disease-Severity and Health-Related Quality of Life in Cirrhosis Crohn’s disease. Elaine Chiu, MD, RD1, Lorian Taylor, PhD, MPH, RD1, Louisa Lam, RD2, Kaleb Marr, BSc, MBBS, FRCPC1, Melanie Stapleton, MD, FRCPC1, Puneeta Tandon, MD, FRCP(C), MSc(Epi)3, Maitreyi Kothandaraman, MD, MSc, FRCPC1; 1University of Calgary, Calgary, AB, Canada, 2Alberta Health Services, SYMPOSIUM 2B: How to Handle Tough Functional Disorders—What To Calgary, Alberta, Canada, 3University of Alberta, Edmonton, AB, Canada Do When Typical Treatments Fail  Terrace Ballroom 2-3 17. Low Incidence of Bleeding Events With a Restrictive Platelet Transfusion Moderator: Amy S. Oxentenko, MD, FACG Protocol in Patients With Cirrhosis and Concomitant End Stage Renal Disease • Burning, Chest Pain, Nausea, and Vomiting Lauren S. Cole, MD1, Michael Rowley, MD2, Sumit Agarwal, MBBS, MBA3, Anil 2 1 John O. Clarke, MD Seetharam, MD ; University of Arizona College of Medicine, Scottsdale, AZ, Formulate diagnostic and management algorithms for functional upper 2 3 University of Arizona College of Medicine, Phoenix, AZ, Banner University gastrointestinal symptoms. Medical Center, Phoenix, AZ • Bloating, Belching, and Abdominal Distention 18. Immunotherapy Induced Liver Injury: A Retrospective Analysis Amy S. Oxentenko, MD, FACG Vivek Bose, MD1, Daniel Sedhom, MD1, James Penn, MD1, Vinod Rustgi, Summarize different diagnostic and therapeutic approaches in the MD, MPH1, Tina John, MBBS, MPH2, Avantika Mishra, MD1; 1Rutgers Robert management of functional excess gas. 2 Wood Johnson Medical School, New Brunswick, NJ, Rutgers Robert Wood • ACG IBS Treatment Monograph: What You Need To Know Johnson Medical Group, New Brunswick, NJ Eamonn M. M. Quigley, MD, MACG Discuss current strategies around the diagnosis and management of irritable bowel syndrome.

34 \ 2018 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 8-10, 2018

SYMPOSIUM 2C: Live From Philadelphia! The 6th Annual Endoscopy 6:00 pm – 6:30 pm ACG’s Annual Business Meeting Video Forum  Terrace Ballroom 2-3  Terrace Ballroom 1 All Members and Fellows of ACG are invited. Moderators: Seth A. Gross, MD, FACG, and Vivek Kaul, MD, FACG Judges: Douglas G. Adler, MD, FACG, Qiang Cai, MD, PhD, FACG, Laith H. Jamil, 6:30 pm Annual Scientific Meeting Adjourns for the Day MD, FACG, Harshit S. Khara, MD, FACG, Shivangi T. Kothari, MD, FACG, Reem Z. Sharaiha, MD, MSc, and Meidong Xu, MD Demonstrate interesting endoscopic findings and techniques encountered  in daily clinical practice. TUESDAY, OCTOBER 9, 2018 | 6:45 AM - 6:25 PM

V1. Use of EUS-Guided Needle-Based Confocal Laser Endomicroscopy and 6:00 am – 5:00 pm REGISTRATION OPEN Microforceps Biopsy to Prevent an Unnecessary Cyst-Gastrostomy Steven Tsistrakis, MD1, Hongfa Zu, MD2, Scott Nguyen, MD2, Christopher J. DiMaio, MD3; 1Mount Sinai Beth Israel, New York, NY, 2Mount Sinai Hospital, OPTIONAL BREAKFAST SESSIONS – Choose from 8 New York, NY, 3Icahn School of Medicine at Mount Sinai, New York, NY 6:45 am – 8:15 am (You must register and pay separately for breakfast sessions during the V2. Chronic Refractory Fistula Closure: Fistula Plug with Endoscopic Suturing registration process.) and Oversewing Betty Li, MD1, Steven Shamah, MD2, Eric Swei, MD3, Christopher G. BREAKFAST E: Quality and Technique in Colonoscopy: Doing It Better Chapman, MD4; 1The University of Chicago Medicine, Chicago, IL, 2University Moderator: Jason B. Samarasena, MD, FACG of Chicago Medical Center, CERT Division, Brooklyn, NY, 3University of • Pre-Procedural Quality: Getting Them In and Getting Them Clean Chicago Hospitals, Chicago, IL, 4Center for Endoscopic Research and Jason B. Samarasena, MD, FACG Therapeutics (CERT), The University of Chicago Medicine, Chicago, IL Discuss interventions to improve colonoscopy preparation quality and patient tolerance, and ways to reduce procedure cancellation through use V3. Solving the Maze: Restoring the Oesophageal Lumen After Defective of navigators, apps, and improved dietary restrictions. Mucosal Healing of a Stented Circumferential Intramural Esophageal Dissection • Intra-Procedural Quality: Technology, Techniques, and Tips to Improve Effectiveness Danial Daneshvar, MD1, Youssef El Douaihy, MD1, Najib Nassani, MD2, Vera Seth A. Gross, MD, FACG Zarakat, MD1, Iskandar Barakat, MD1, Sherif Andrawes, MD1; 1Staten Island 2 Describe the current tools and techniques used to improve quality University Hospital, Staten Island, NY, University of Illinois, Chicago, IL during a colonoscopy, including assistive devices, water techniques, and V4. Endoscopic Neck Dissection Utilizing Peroral Endoscopic Myotomy computer analysis. (POEM) for Removal of Extraluminal Neck Foreign Body Migrated Out From • Post-Procedural Quality: How Did We Do and Can We Do Better? the Upper Esophagus Irving M. Pike, MD, FACG Sherif Andrawes, MD1, Magda Daoud, MD1, Hafiz Khan, MD1, Petros Benias, Summarize quality metrics such as ADR, withdrawal, surveillance intervals, MD2; 1Staten Island University Hospital, Staten Island, NY, 2Long Island adverse event tracking, and other possible interventions to increase Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, quality. Northwell Health System, New Hyde Park, NY V5. Utility of Lumen Apposing Metal Stents for Non-Pancreatic Interventions MEETING BREAKFAST F: Hot Topics in Liver Disease ANNUAL Aslam Syed, MD1, Mrinal Garg, MD1, Harshit S. Khara, MD, FACG2, Ghita Moderator: Renuka Umashanker, MD, FACG Moussaide, MD1, Katie Farah, MD1, Shivangi Kothari, MD3, Shyam Thakkar, MD1; 1Allegheny Health Network, Pittsburgh, PA, 2Geisinger Medical Center, • Approach to the Patient With Solid and Cystic Liver Lesions Danville, PA, 3University of Rochester Medical Center, Rochester, NY Renuka Umashanker, MD, FACG Outline current guideline recommendations in the evaluation, diagnosis, V6. Single Operator Cholangioscopy for Removal of a Proximally Migrated and management of patients with new liver lesions. Biliary Stent • Autoimmune Liver Disorders: PBC, PSC, Autoimmune Hepatitis Julie Guider, MD1, Santosh Kale, MBBS1, Baran Bulent, MD2, Ali Raza, MD1, R. David E. Bernstein, MD, FACG Tomas Davee, MD1, Nirav Thosani, MD3; 1University of Texas Health Science Discuss current and evolving diagnostic and treatment strategies in the Center at Houston, Houston, TX, 2Beth Israel Deaconess Medical Center, management of autoimmune liver disorders, and the application of new Boston, MA, 3University of Texas Health Science Center at Houston / therapeutic modalities in clinical practice. McGovern Medical School, Houston, TX • Evaluation of a Patient With Alcoholic Liver Disease V7. Endoscopic Ultrasound-Guided Gallbladder Drainage After Roux-En-Y Vijay H. Shah, MD, FACG Gastric Bypass: It Can Hide, but It Can’t Run! Summarize current guidelines in the management of patients with 1 2 1 alcoholic liver disease, and discuss evidence-based strategies for Wajeeh Salah, MD , Todd H. Baron, MD ; University of North Carolina, implementation in clinical practice. Scottsdale, AZ, 2University of North Carolina, Chapel Hill, NC V8. Endoscopic Appendectomy in a Patient with Malrotation and Previous Ladd Procedure Sarah Buckley, MD, Alicia Gaidry, MD, Romeo Ignacio, MD, Joseph Cheatham, MD, FACG; Navy Medical Center San Diego, San Diego, CA

V9. Endoscopic Robotic ESD in a Cadaveric Model Seth A. Gross, MD, Gregory Haber, MD, Mark Pochapin, MD; NYU Langone Health, New York, NY

BREAKFAST G: GERD – Weighing the Risks and Benefits BREAKFAST K: Pancreaticobiliary Moderator: Philip O. Katz, MD, MACG Moderator: Vivek Kaul, MD, FACG • GERD Diagnostics - Complementary Not Competitive • Management of Acute Pancreatitis: The First 48 Hours C. Prakash Gyawali, MD, FACG Vikesh K. Singh, MD, MSc Summarize the available techniques and develop a management Identify the guidelines and evidence-based early management of patients algorithm for the diagnosis of GERD. with acute pancreatitis and how it impacts outcome. • Personalized GERD Management • ERCP Complications: Prediction, Prevention, and Management Rena H Yadlapati, MD, MSHS Vivek Kaul, MD, FACG Describe the role of medical, endoscopic, or surgical management based Describe how to best predict, prevent, and manage ERCP complications on GERD phenotypes. based on current scientific evidence and guidelines. • Proton Pump Inhibitors: How to Help Get Your Patients Off of Them • Management of Complex Common Bile Duct Stones Philip O. Katz, MD, MACG Mansour A. Parsi, MD, MPH Identify possible strategies to help your patients discontinue the use of PPIs. Discuss the state-of-the-art approach to management of large and difficult to remove common bile duct stones.

BREAKFAST H: Optimizing IBD Management Moderator: Laura E. Raffals, MD, MS, FACG BREAKFAST L: What Is New in Enteropathy? • Treating to Target - What Exactly Should Our Target Be Now? Moderator: William D. Chey, MD, FACG Kara M. De Felice, MD • Diagnosis and Management of Celiac Disease Define the concept of treat-to-target for patients with IBD. Joseph A. Murray, MD, FACG Discuss the diagnosis and management of celiac disease and its mimics. • Looking Into the IBD Crystal Ball - Predicting the Course of Disease Laura E. Raffals, MD, MS, FACG • Non-Celiac Gluten Sensitivity Evaluate available tools for predicting disease course in patients with IBD. William D. Chey, MD, FACG Describe the diagnosis and management of patients with non-celiac • Choosing the Right Therapy for Your Newly Diagnosed IBD Patient gluten sensitivity. Adam S. Cheifetz, MD, FACG Identify how to select the best initial therapy for your patient with IBD. • What Is New in Leaky Gut? Julia J. Liu, MD, FACG Outline laboratory and endoscopic findings of leaky gut, and recognize the role of leaky gut in the pathogenesis of chronic intestinal disease. BREAKFAST I: Endoscopic Management of Perforations and Fistulae Moderator: Laith H. Jamil, MD, FACG (This session will begin with two didactic lectures followed by a hands-on 8:30 am - 6:25 pm Annual Scientific Meeting demonstration in the Hands-On Endoscopy Workshop Center in the Exhibit Hall. The hands-on workshop portion of the session does not offer CME.) SIMULTANEOUS PLENARY – SESSION 2 • Strategies for Chronic Fistulae 8:30 am – 10:00 am Christopher C. Thompson, MD, MSc, FACG Describe endoscopic techniques available for managing chronic fistulae. PLENARY SESSION 2A – PANCREAS/BILIARY, INTERVENTIONAL • Medical and Endoscopic Management of Luminal Perforations ENDOSCOPY/GI BLEEDING Laith H. Jamil, MD, FACG  Terrace Ballroom 4 Discuss both medical and endoscopic tools and techniques available for Moderators: Immanuel K. H. Ho, MD, FACG, and managing luminal perforations. John R. Saltzman, MD, FACG

• Hands-On Demonstration in the Exhibit Hall 19. Ringer’s Lactate vs Normal Saline in Acute Pancreatitis: A Systematic  Exhibit Halls DE Review and Meta-Analysis Laith H. Jamil, MD, FACG, Shivangi T. Kothari, MD, FACG, and Christopher C. 1 2 1 Thompson, MD, MSc, FACG Umair Iqbal, MD , Hafsa Anwar, MBBS , Munib Aftab, MD , Melissa Scribani, MPH1; 1Bassett Medical Center, Cooperstown, NY, 2Dow University of Health and Sciences, Cooperstown, NY

BREAKFAST J: Esophageal Endotherapy Moderator: Gary W. Falk, MD, MS, FACG REGISTER FOR THE THREE-DAY CLINICAL REVIEW • Barrett’s Esophagus: Burn, Freeze, or Cut? Gary W. Falk, MD, MS, FACG and AVE UP TO 10% ON ALL THREE COURSES Describe techniques of RFA, cryoablation, and EMR/ESD, as well as $ pros and cons, indications, and outcomes of each technique for treating FRIDAY, OCTOBER 5 Barrett’s esophagus. GI Pathology and Imaging Course What’s New in GI Pharmacology Course • Achalasia: Inject, Dilate, or Cut? 7:00 am - 12:30 pm 1:45 pm - 5:15 pm Walter W. Chan, MD, MPH Evaluate techniques of botox injection, pneumatic dilation, and POEM, SATURDAY & SUNDAY, OCTOBER 6–7 as well as pros and cons, indications, and outcomes of each technique in treating achalasia. Postgraduate Course 7:50 am - 5:00 pm • Strictures: Dilate, Cut, or Stent? Your registration also includes: Mihir S. Wagh, MD, FACG Compare techniques of dilation, endoscopic incisional therapy, and Self-Assessment Test PRINTED BOOK with 300 questions plus stenting for benign and malignant esophageal strictures, as well as pros comprehensive, annotated answers! and cons, indications, and outcomes of each technique. Up to 21.5 hours of CME and MOC, plus an additional 35 hours of CME and MOC for successful completion of the Self-Assessment Test Access to the slide sets for all presentations with the ACG Mobile app 36 \ 2018 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 8-10, 2018

20. Acute Pancreatitis Task Force on Quality (APTFQ): Formal 26. Trends of Early Colonoscopy and Their Outcomes in Patients Admitted Development of Quality Indicators With Acute Lower Gastrointestinal Bleeding Elaina Vivian, MPH, CPHQ1, Leslie Cler, MD, FACP, CPE2, Darwin Conwell, MD, Fellows-in-Training Award (GI Bleeding Category) MS3, Gregory A. Cote, MD, MSCI4, Richard Dickerman, MD, FACS5, Ashton Kalpit Devani, MD1, Paris Charilaou, MD2, Dhruvil Radadiya, MBBS1, Hardik Ellison, MBChB2, Martin Freeman, MD6, Timothy Gardner, MD, MS7, Samar Sonani, MBBS3, Chakradhar M. Reddy, MD, FACP4, Mark Young, MD1, Habash, MD8, Robert Hawes, MD, FACG9, Prashant Kedia, MD2, Rajesh Bhaumik Brahmbhatt, MBBS5; 1East Tennessee State University, Johnson Krishnamoorthi, MD10, Hellen Oduor, MBChB, MPH11, Stephen J. Pandol, MD12, City, TN, 2St. Peter's University Hospital, New Brunswick, NJ, 3University Georgios Papachristou, MD, PhD13, Sheila Rastegari, DO2, Rathan Reddy, MD2, of Mississippi, Jackson, AL, 4East Tennessee State University, Quillen Andrew Ross, MD10, Amrita Sethi, MD, MSc14, Shyam Varadarajulu, MD9, Santhi College of Medicine, Johnson City, TN, 5Mayo Clinic, Jacksonville, FL Swaroop Vege, MD, FACP, MACG15, Wahid Wassef, MD, MPH, FACG16, C. Mel Wilcox, MD17, David C. Whitcomb, MD, PhD, FACG13, Bechien Wu, MD, MPH18, 27. Hold for Late-Breaking Abstract Dhiraj Yadav, MD, MPH13, Timothy Yen, MD2, Paul R. Tarnasky, MD2; 1Methodist Dallas Medical Center, Irving, TX, 2Methodist Dallas Medical Center, Dallas, PLENARY SESSION 2B – ESOPHAGUS / OBESITY / TX, 3The Ohio State University Wexner Medical Center, Columbus, OH, PRACTICE MANAGEMENT 4Medical University of South Carolina, Charleston, SC, 5The Liver Institute,  Terrace Ballroom 2-3 6 Methodist Dallas Medical Center, Dallas, TX, University of Minnesota, Moderators: Christine Y. Hachem, MD, FACG, and Michael S. Smith, MD, MBA Minneapolis, MN, 7Dartmouth-Hitchcock Medical Center, Norwich, VT, 8AtlantiCare, Atlantic City, NJ, 9Florida Hospital, Orlando, FL, 10Virginia Mason 28. Manometric Esophageal Length Predicts Hiatal Hernia Recurrence Medical Center, Seattle, WA, 11Methodist Health System, Dallas, TX, 12Cedars- Pooja Lal, MD1, Shashank Sarvepalli, MD1, Andrew Tang, MD1, Siva Raja, Sinai Medical Center, Los Angeles, CA, 13University of Pittsburgh Medical MD, PhD2, Monica Ray, MD2, Sampurna Shakya1, Prasanthi N. Thota, Center, Pittsburgh, PA, 14Columbia University Medical Center, New York, NY, MD3, Scott Gabbard, MD2; 1Cleveland Clinic Foundation, Cleveland, OH, 15Mayo Clinic, Rochester, MN, 16University of Massachusetts Memorial Medical 2Cleveland Clinic, Cleveland, OH, 3Cleveland Clinic Digestive Disease Center, Worcester, MA, 17University of Alabama at Birmingham, Birmingham, Institute, Cleveland, OH AL, 18Kaiser Permanente Los Angeles, Los Angeles, CA 29. Comparative Cost-Effectiveness of Gastroesophageal Reflux Disease 21. Familial Pancreatic Cancer Risk by Subsite of Primary Cancer: Centric and Population Based Barrett’s Esophagus Screening A Population-Based Study  Fellows-in-Training Award (Esophagus Category) Divyanshoo R. Kohli, MD1, Ken Smith, PhD2, Jathine Wong, BS2, Zhe Yu, Sarmed S. Sami, MBChB, PhD, James Moriarty, MS, Jordan Rosedahl, BS, BS2, Kenneth Boucher, PhD2, Randall Burt, PhD2, Karen Curtin, PhD2, Niloy Bijan Borah, PhD, John Kisiel, MD, David A. Katzka, MD, Kenneth K. Wang, J. Samadder, MD3; 1Mayo Clinic, Overland Park, KS, 2University of Utah, MD, David A. Ahlquist, MD, Prasad G. Iyer, MD; Mayo Clinic, Rochester, MN Salt Lake City, UT, 3Mayo Clinic, Scottsdale, AZ 30. Automated Detection of Precancerous Lesion and Early Esophageal 22. Endoscopy and Anesthesia Efficiency and Access Project Squamous Cancer Using a Deep Learning Model Sooraj Tejaswi, MD, MSPH1, Sital Singh, MD2, Gary Levin, MD, MBA2, LinJie Guo, MD1, ChunCheng Wu, MS1, Xiao Xiao, PhD2, Zhiwei Zhang, Stephanie Yan, MD 2; 1University of California Davis Medical Center, MS2, Weimin Pan, BS2, Jingjia Liu, BS2, Bing Hu, BS1; 1West China Hospital, Sacramento, CA, 2University of California Davis, Sacramento, CA Chengdu, Sichuan, People’s Republic of China, 2Shanghai Wision AI CO., Ltd., Chengdu, Sichuan, People’s Republic of China 23. Endoscopic Ultrasonography-Guided Radiofrequency Ablation Combined With Lauromacrogol Ablation for Pancreatic Cystic Neoplasms 31. A Non-Invasive Predictive Score for the Presence of  ACG Governors Award for Excellence in Clinical Research Esophageal Varices MEETING Enqiang Linghu, MD, PhD, Xiuxue Feng, MD, Ningli Chai, MD, PhD, Huikai  ACG Governors Award for Excellence in Clinical Research ANNUAL Li, MD; Chinese PLA General Hospital, Beijing, People’s Republic of China Megan Hauer, BS1, Kayti Luu1, Tien Dong, MD1, Elizabeth Aby, MD1, Long Le, MD1, Amir Kalani, MD, PhD1, Keith Lindor, MD2, James H. 24. An International External Interobserver and Derivation Study Tabibian, MD, PhD3; 1University of California Los Angeles, Los Angeles, for the Detection of Advanced Neoplasia in IPMNs Using Confocal CA, 2Arizona State University, Phoenix, AZ, 3University of California Laser Endomicroscopy Los Angeles, Sylmar, CA Somashekar G. Krishna, MD, MPH1, John M. DeWitt, MD2, Christopher J. DiMaio, MD3, Pradermchai Kongkam, MD4, Bertrand Napoleon, MD5, 32. Peroral Endoscopic Myotomy (POEM) Is a Safe and Effective Mohamed Othman, MD6, Damien Tan, MBBS7, Samer El-dika, MD, Treatment Modality for Achalasia Patients After Failed Pneumatic MSc1, Sean McCarthy, MD1, Jon Walker, MD1, Mary Dillhoff, MD1, Andrei Dilatation (PD) Manilchuk, MD1, Phil Hart, MD1, Zobeida Cruz-Monserrate, PhD1, Darwin  Category Award (Esophagus) Conwell, MD, MS1; 1The Ohio State University Wexner Medical Center, Madhusudhan R. Sanaka, MD1, Malav P. Parikh, MD2, Prasanthi N. Thota, Columbus, OH, 2Indiana University Health Medical Center, Indianapolis, MD1, Niyati M. Gupta, MD3, George Khoudari, MD3, Monica Ray, MD2, Neha IN, 3Icahn School of Medicine at Mount Sinai, New York, NY, 4King Wadhwa, MD2, Scott Gabbard, MD2, Rocio Lopez, MS4, Sudish Murthy, MD, Chulalongkorn Memorial Hospital, Bangkok, Krung Thep, Thailand, PhD2, Siva Raja, MD, PhD2; 1Cleveland Clinic Digestive Disease Institute, 5Hôpital privé Jean Mermoz, Lyon, Auvergne, France, 6Baylor College Cleveland, OH, 2Cleveland Clinic, Cleveland, OH, 3Cleveland Clinic of Medicine, Houston, TX, 7Singapore General Hospital, Singapore, Foundation, Cleveland, OH, 4Lerner Research Institute/Cleveland Clinic Singapore Foundation, Cleveland, OH 25. Endoscopic Ultrasound-Guided Liver Biopsy Compared to 33. Increased Yield of Hereditary Cancer Risk Assessment in a GI Office Percutaneous and Transjugular Liver Biopsy: A Tertiary Center Experience Practice Utilizing NCCN Guidelines and Panel Testing Category Award (Interventional Endoscopy) Matthew McKinley, MD, Jennifer Deede, PA, Jeremy Rochester, MD, Abdul Hamid El Chafic, MD1, Muhammad F. Mubarak, MD1, Janak Shah, Robert Gal, MD, Frank Gerardi, MD, Betsy Pathical, MD, Hina Zaidi, MD1, George Therapondos, MD, MPH1, Ricardo Romero, MD1, Jerry Evans, MD, Brian Markowitz, MD, Michael Adler, MD, Lisa Lih-Brody, MD; MD2, Ari Cohen, MD1, Ahmed Alsaiari, MD1, Gretchen Galliano, MD1; ProHEALTHcare Associates, Lake Success, NY 1Ochsner Clinic Foundation, New Orleans, LA, 2Ochsner Health System, Kenner, LA

34. Rising, Age-Specific, Trends of Obesity-Related Gastrointestinal Cancers SYMPOSIUM 3B: Battling Physician Burnout: It Will Take a Village Correspond With Increasing Cancer Resections in Obese Patients: A 2002-  Terrace Ballroom 2-3 2013 National Analysis Using the SEER and NIS Databases Moderator: Carol A. Burke, MD, FACG  Category Award (Obesity) • Recognizing Burnout Hisham Hussan, MD1, Ravi Pavurala, MD1, Kyle Porter, MAS2, Rishi Jain, MD, Christina M. Surawicz, MD, MACG MS3, Steven K. Clinton, MD, PhD1, John M. Carethers, MD, MACP4, Kerry Recognize and identify burnout predictors. 5 1 S. Courneya, PhD ; The Ohio State University Wexner Medical Center, • What Can Your Institution or Practice Do? 2 Columbus, OH, Center for Biostatistics, The Ohio State University Wexner Joseph C. Anderson, MD, MHCDS, FACG 3 Medical Center, Columbus, OH, The Ohio State University, Columbus, OH, Describe what your institution or practice can do to mitigate burnout. 4University of Michigan, Ann Arbor, MI, 5University of Alberta, Edmonton, • Alberta, Canada The Pathway to Physician Wellness Carol A. Burke, MD, FACG 35. Hold for Late Breaking Abstract Identify ways to have work-life balance. 36. Hold for Late Breaking Abstract 12:45 pm – 2:15 pm Lunch Break – Visit the Exhibit Hall and Browse 10:00 am – 4:30 pm Exhibit Hall Open Scientific Posters

10:05 am – 4:30 pm Hands-On Endoscopy Workshop Center 12:45 pm – 1:20 pm Exhibitor Theater

10:05 am – 10:35 am J. Edward Berk Distinguished Lecture 1:00 pm – 2:15 pm Poster Session – Authors Present Fake News and Alternative Facts on Personalized Medicine in IBD 1:40 pm – 2:15 pm Exhibitor Theater  Terrace Ballroom 2-3 Stephen B. Hanauer, MD, FACG Introduced by: Irving M. Pike, MD, FACG, ACG President SIMULTANEOUS PLENARY – SESSION 3 Discuss best practices in IBD and differentiate the 2:15 pm – 3:45 pm supporting evidence from the current misinformation and misunderstandings that detract from optimal patient care. PLENARY SESSION 3A – COLORECTAL CANCER PREVENTION See page 13 for more information.  Terrace Ballroom 4 Moderators: Joseph C. Anderson, MD, MHCDS, FACG, and 10:35 am – 11:30 am Break – Visit the Exhibit Hall and Browse Aasma Shaukat, MD, MPH, FACG Scientific Posters 37. Endocuff Allows Shorter Colonoscopy Withdrawal Times with No Loss of 10:35 am – 4:00 pm Scientific Poster Session Open Detection: A Randomized Controlled Trial Douglas K. Rex, MD, MACG1, Seth A. Gross, MD2; 1Indiana University, 10:35 am – 11:30 am Exhibitor Theater Indianapolis, IN, 2NYU Langone Health, New York, NY 38. Factors Associated With Early (<50 Years) and Late Onset (≥50 Years) SIMULTANEOUS SYMPOSIA – SESSION 3 Colorectal Cancer: A Population-Based National Study 11:30 am – 12:45 pm Abbinaya Elangovan, MD1, Jacob M. Skeans, MD1, Dalbir S. Sandhu, MD1, David C. Kaelber, MD, MPH, PhD1, Gregory Cooper, MD2; 1Case Western SYMPOSIUM 3A: Current Challenges and Controversies Reserve University/MetroHealth Medical Center, Cleveland, OH, 2University in the Management of Viral Hepatitis Hospitals Cleveland Medical Center, Cleveland, OH  Terrace Ballroom 4 39. Delineating Deficiencies in Care Processes After Positive Fecal Moderator: Sonali Paul, MD, MS Immunochemical Test Results • How to Use Non-Invasive Liver Fibrosis Tests in Clinical Practice Christine Yu, MD1, Vivy Tran, MD1, Liu Yang, MD1, Tina Storage, MD2, Frank Sonali Paul, MD, MS W. Chen, MD1, Folasade P. May, MD, PhD2; 1David Geffen School of Medicine Identify the appropriate use of non-invasive liver fibrosis tests, such as at UCLA, Los Angeles, CA, 2University of California Los Angeles, Los serum fibrosis assays and imaging-based elastography, in clinical practice Angeles, CA for patients with viral hepatitis and other chronic liver disorders. • Challenges in Hepatitis C Management: DAA Failures, Special 40. Modifiable Factors Associated With Inadequate Bowel Preparation Populations, and Controversies Quality in Patients With Inadequate Bowel Preparation on Index Mitchell L. Shiffman, MD, FACG Outpatient Colonoscopy Describe the evidence addressing current challenges and controversies in Shashank Sarvepalli, MD, MS1, Ari Garber, MD1, Michael Rothberg, MD, HCV therapy, including treatment of DAA failures and special populations, MPH1, John McMichael, PhD1, Gareth Morris-Stiff, MD, PhD1, John J. Vargo, and the association between DAAs and both HCC and HBV reactivation. MD2, Maged Rizk, MD1, Carol A. Burke, MD, FACG2; 1Cleveland Clinic, • Challenges in Hepatitis B Management: HBV Reactivation Cleveland, OH, 2Digestive Disease Institute/Cleveland Clinic Foundation, James S. Park, MD, FACG Cleveland, OH Discuss evidence-based approaches to challenging issues in hepatitis B management, including the care of chronic HBV in pregnancy, and the 41. Can Artificial Intelligence (AI) Achieve Real-Time 'Resect and Discard' evaluation, prevention, and management of HBV reactivation in patients Thresholds Independently of Device or Operator? undergoing immunosuppressive drug therapy. Robin Zachariah, MD1, Andrew Ninh2, Tyler Dao3, James Requa2, William Karnes, MD1; 1University of California Irvine Medical Center, Orange, CA, 2Docbot, Irvine, CA, 3Docbot, Orange, CA

38 \ 2018 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 8-10, 2018

42. A Randomized Control Trial Comparing the Tolerance of Colon Prep: 51. Multiple Primary Crohn’s Disease-Associated Strictures Had Poor Same Day Colonoscopy Prep to Split Dose Prep for Afternoon Endoscopy Response to Endoscopic Balloon Dilation  Fellows-in-Training Award (General Endoscopy Category) Nan Lan, MD1, Bo Shen, MD2; 1Cleveland Clinic, Cleveland, OH, 2Cleveland Isabel Manzanillo-DeVore, DO1, Joshua A. Rosenbloom, DO2, Zuie Wakade, Clinic Digestive Disease Institute, Cleveland, OH DO3, Olga Klyuchnikova, DO 1, Cale Sebald, DO1, Stephen Hoffman, DO 1, Ronald Rasansky, DO 1, Rene Peleman, MD 4; 1Ascension St. John 52. Impact of a Standardized Reporting System for Magnetic Resonance Providence, Madison Heights, MI, 2Gastro Center of Maryland, Columbia, Enterography on Small Bowel Crohn’s Disease Management Adeeti Chiplunker, MD1, Richard Tsai, MD1, George Christophi, MD1, David MD, 3Ascension St. John Providence, Royal Oak, MI, 4Henry Ford, Clinton Bruining, MD2, Aaron Mintz, MD1, Matthew Ciorba, MD3, Michael Lin, MD1, Township, MI Kathryn Fowler, MD1, Parakkal Deepak, MBBS, MS1; 1Washington University 43. Total Underwater Colonoscopy versus Standard CO2 for Adenoma School of Medicine, St. Louis, MO, 2Mayo Clinic, St. Louis, MO, 3Washington Detection: A Randomized Controlled Tandem Colonoscopy Trial University, St. Louis, MO  Category Award (General Endoscopy) Joseph Anderson, MD1, Charles J. Kahi, MD, MSCI2, Jonathan R. Garcia, BS2, 53. Mortality in Elderly Onset Ulcerative Colitis: A Population-Based Andrew W. Sullivan, BS2, Douglas K. Rex, MD, MACG2; 1Dartmouth College, Cohort Study Louise Wang, MD1, Yu-Xiao Yang, MD, MSc(Epi)1, Nabeel H. Khan, MD2; Hanover, NH, 2Indiana University, Indianapolis, IN 1University of Pennsylvania, Philadelphia, PA, 2Corporal Michael J. Crescenz 44. Hold for Late Breaking Abstract Philadelphia VA Medical Center, Philadelphia, PA 45. Hold for Late Breaking Abstract 54. Anti-TNF Dose Augmentation Frequently Occurs in the Absence of Objective Evidence of Disease Activity  Fellows-in-Training Award (IBD Category) PLENARY SESSION 3B – SMALL INTESTINE / IBD Evan Elias, MD, Adebanke Oketola, BSc, MSc, Harminder Singh, MD, MPH,  Terrace Ballroom 2-3 Charles Bernstein, MD, Laura Targownik, MD, MSHS; University of Manitoba, Moderators: Ganesh R. Veerappan, MD, and Amy S. Oxentenko, MD, FACG Winnipeg, Manitoba, Canada 46. Symptoms of Gluten Ingestion in Patients With Non-Celiac Gluten Sensitivity: A Placebo-Controlled Study 3:45 pm – 4:30 pm Break – Visit Exhibit Hall and Browse  Fellows-in-Training Award (Small Intestine Category) Scientific Posters Apeksha Shah, MD1, Stephanie Moleski, MD2, Michael Matthews1, Gagan Kaushal1, Ahmed Hasan, MD3, Katelyn Koons1, Philip Durney, MD1, Colin 4:30 pm – 5:00 pm Emily Couric Memorial Lecture Smith, MD1, Anthony J. Dimarino, MD1; 1Thomas Jefferson University 80% Colorectal Cancer Screening by 2018: How Hospital, Philadelphia, PA, 2Thomas Jefferson University Hospitals, Did We Do and Where Do We Go From Here? Philadelphia, PA, 3Lehigh Gastroenterology Associates, Palmerton, PA  Terrace Ballroom 2-3 David A. Greenwald, MD, FACG 47. Subjects With Celiac Disease Have Difficulty Determining if They Introduced by: Irving M. Pike, MD, FACG, ACG President Received Gluten in a Randomized Double Blind Placebo Controlled Describe the goals of the 80% by 2018 campaign Gluten Challenge for colorectal cancer screening, the successes it has Amanda Cartee, MD, Carol Van Dyke, CCRP, Hinson Chadrick, King achieved, and plans for the future. See page 13 for Katherine, Irina Horwath, Eric Marietta, PhD, Rok Seon Choung, MD, PhD, more information. Joseph Murray, MD; Mayo Clinic, Rochester, MN MEETING 5:00 pm – 5:10 pm Break ANNUAL 48. Serum Adipokines and Increased Abdominal Visceral Adipose Tissue at Diagnosis Predict Need for Biologic Therapy in Pediatric Inflammatory SIMULTANEOUS SYMPOSIA – SESSION 4 Bowel Disease 5:10 pm – 6:25 pm  Pediatric GI Award 1 2 3 1 Jacob A. Kurowski, MD , Rishi Gupta, MD , Iulia Barbur , Sarah Worley, MS , SYMPOSIUM 4A: Interdisciplinary Management of Variceal Bleeding 1 3 1 Erick M. Remer, MD , Tracey Bonfield, PhD , Jean-Paul Achkar, MD, FACG ,  Terrace Ballroom 2-3 1 3 1 Claudio Fiocchi, MD , Satish E. Viswanath, MS, PhD , Marsha Kay, MD ; Moderator: Guadalupe Garcia-Tsao, MD, FACG 1Cleveland Clinic, Cleveland, OH, 2University of Maryland Medical Center, • Medical Management of Portal Hypertensive Bleeding 3 Baltimore, MD, Case Western Reserve University, Cleveland, OH Guadalupe Garcia-Tsao, MD, FACG 49. Long-Term Efficacy of Ustekinumab With and Without Concomitant Describe medical management of variceal bleeding as well as its Immunosuppressants for Crohn’s Disease: Results From IM-UNITI Long-Term appropriate surveillance. Extension Through 2 Years • Comprehensive Endoscopic Management of Esophageal and Bruce E. Sands, MD, MS1, Brian Kramer, PhD2, Christopher Gasink, MD2, Gastric Varices Douglas Jacobstein, MD3, Omoniyi J. Adedokun, MS, RPh3, Long-Long Uzma D. Siddiqui, MD Gao, PhD2, Paul Rutgeerts, MD, PhD4, Subrata Ghosh, MD5; 1Icahn School Assess standard as well as state-of-the-art endoscopic and EUS-guided of Medicine at Mount Sinai, New York, NY, 2Janssen Scientific Affairs, LLC, techniques for managing esophageal and gastric variceal bleeding. Horsham, PA, 3Janssen Research & Development, LLC, Spring House, PA, • The Role of Interventional Radiology in the Management of 4University Hospital Gasthuisberg, Leuven, Vlaams-Brabant, Belgium, Variceal Bleeding 5University of Birmingham, Birmingham, England Michael C. Soulen, MD Interpret radiology techniques as well as appropriate indications to 50. Early Endoscopic Evaluation After Initiation of Biologic Therapy Reduces manage esophageal and gastric variceal bleeding. Disease-Related Complications in Inflammatory Bowel Disease, Supporting the Concept of Treat-to-Target Berkeley Limketkai, MD, PhD1, Siddharth Singh, MD2, William J. Sandborn, MD, FACG2, Parambir S. Dulai, MD2; 1Stanford University School of Medicine, Palo Alto, CA, 2University of California San Diego, La Jolla, CA

SYMPOSIUM 4B: The Colonic Microbiome: C. difficile and Beyond BREAKFAST N: Esophageal Motility Disorders – Moving the Field Forward  Terrace Ballroom 4 Moderator: John E. Pandolfino, MD, MSCI, FACG Moderator: Lawrence J. Brandt, MD, MACG • EGJ Outflow Obstruction - Don’t Count on IRP • The Colonic Microbiome: What Do We Know in 2018? Abraham R. Khan, MD, FACG Lawrence J. Brandt, MD, MACG Define true pathology from artifact and determine appropriate Elaborate on the current state of knowledge about the human management for esophagogastric junction obstruction. microbiome; can we test, can we manipulate? • Personalized Management of Achalasia in the Era of POEM • Fecal Microbiota Transplant (FMT) in C. difficile infection Michael F. Vaezi, MD, PhD, MSc(Epi), FACG Colleen R. Kelly, MD, FACG Discuss appropriate treatment for manometric phenotypes and personal Explain the biology, technique, and outcomes of FMT in patients with preferences in patients with achalasia. C. difficile infection. • Borderline Esophageal Motor Function: The Garbage Can of Motility • Fecal Microbiota Transplant (FMT) for Other Emerging Indications: John E. Pandolfino, MD, MSCI, FACG Potential and Promise Recognize which esophageal motility disorders are clinically relevant. Paul Moayyedi, MB ChB, PhD, MPH, FACG Discuss the emerging data on the efficacy of FMT for other indications beyond C. difficile, including IBD, IBS, obesity, and hepatic encephalopathy. BREAKFAST O: The Shift From Humoring to Honoring Your Patient’s Questions (Going Beyond Medications) Moderator: Arun C. Swaminath, MD SYMPOSIUM 4C: Burning Issues in Barrett’s Esophagus • “Pot” Roast: Do Diet and Marijuana Have a Role in Management of IBD?  Terrace Ballroom 1 Arun C. Swaminath, MD Moderator: Prasad G. Iyer, MD, MS, FACG Summarize data-based advice regarding diet therapy and marijuana use in the management of IBD. • Screening and Surveillance - Why and How? Prasad G. Iyer, MD, MS, FACG • Recognizing and Managing Psychological Problems in the IBD Patient Recognize indications for screening and list surveillance Laurie A. Keefer, PhD recommendations for BE. Identifying and managing psychological issues in your IBD patient population. • Predicting Progression to Cancer - The Holy Grail Nicholas J. Shaheen, MD, MPH, FACG • Probiotics, Antibiotics, and Stool Transplants (A Gut Hack - Describe clinical features and biomarkers associated with progression Manipulating the Microbiome) to high grade dysplasia / cancer in Barrett’s esophagus. Colleen R. Kelly, MD, FACG Describe dysbiosis in IBD and interventions to repair it. • Tackling Issues in Endoscopic Therapy Vani J.A. Konda, MD, FACG Discuss issues relevant to the management of BE patients without dysplasia, with low grade dysplasia, and after successful ablation. BREAKFAST P: Emerging Medical and Surgical Therapies for Gastrointestinal Motility Disorders Moderator: Brooks D. Cash, MD, FACG 6:25 pm Annual Scientific Meeting adjourns for the day • GERD and Hypercontractile Esophageal Disorders Shivangi T. Kothari, MD, FACG Discuss new advances in medical and surgical therapies for GERD and hypercontractile esophageal disorders.  WEDNESDAY, OCTOBER 10, 2018 | • Gastroparesis 6:45 AM - 12:15 PM Braden Kuo, MD Explain the mechanisms and evidence regarding new advances in 6:30 AM - 12:15 PM Registration Open gastroparesis therapy. • Constipation and Incontinence Choose from 4 OPTIONAL BREAKFAST SESSIONS – Brooks D. Cash, MD, FACG 6:45 am - 8:15 am Recognize emerging therapies for functional anorectal disorders. (You must register and pay separately for breakfast sessions during the registration process.) 8:30 am - 12:15 pm Annual Scientific Meeting BREAKFAST M: The End of the Road: A Primer on Anorectal Disorders Moderator: Arnold Wald, MD, MACG SIMULTANEOUS PLENARY – SESSION 4 • Ouch: Diagnosis and Treatment of Hemorrhoids and Anal Fissures 8:30 am – 10:15 am Arnold Wald, MD, MACG Elaborate on current state of knowledge on the diagnosis and non- PLENARY SESSION 4A – LIVER / COLON procedural treatments for hemorrhoids and anal fissures.  Terrace Ballroom 4 • Oy, It’s Not Working Right: Defecatory Dysfunction Moderators: Joseph K. Lim, MD, FACG, and Delbert L. Chumley, MD, FACG Amy E. Foxx-Orenstein, DO, MACG Describe the pathophysiology and treatment of impaired defecation 55. Extensive Validation of a Disease-Specific Health Related Quality of Life including incontinence and dysynergy. Instrument in Patients With Biopsy-Proven Non-Alcoholic Steatohepatitis (NASH): Chronic Liver Disease Questionnaire-NASH (CLDQ-NASH) • But Can We Fix It? Anorectal Interventions for the Gastroenterologist  ACG Governors Award for Excellence in Clinical Research Harry E. Sarles, Jr., MD, FACG Zobair Younossi, MD, MPH1, Maria Stepanova, PhD2, Issah Younossi, MPH2, Discuss possible anorectal interventions such as banding, injectates, 1 1 and others. Andrei Racila, BS, OCP, MCITP ; Inova Fairfax Hospital, Falls Church, VA, 2Center for Outcomes Research in Liver Disease, Washington, DC

40 \ 2018 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 8-10, 2018

56. Worse Performance Status at Time of Liver Transplant Is Associated With PLENARY SESSION 4B – FUNCTIONAL / STOMACH Significantly Lower Survival Following Liver Transplantation  Terrace Ballroom 2-3 Patrick McCabe, MD, MEd1, Benny Liu, MD2, Taft Bhuket, MD2, Robert Wong, Moderators: Scott L. Gabbard, MD, and Saowanee Ngamruengphong, MD MD3; 1California Pacific Medical Center/Sutter, San Francisco, CA,2 Highland Hospital, Oakland, CA, 3Alameda Health System - Highland Hospital, 65. Finally! Some Overdue Helicobacter pylori Data From the United States Oakland, CA Mohd Amer Alsamman, MD1, Eric Vecchio, MD2, Gabriel A. Gonzales, MD1, Murray Resnick, MD1, Steven Moss, MD1; 1Alpert Medical School of Brown 57. Comparison of Outcomes After Transjugular Intrahepatic Portosytemic University, Providence, RI, 2Brown University, Providence, RI Shunt Placement in Cirrhotic Patients with High MELD-Na Score versus Low MELD-Na Score Presenting With Refractory Variceal Bleed 66. Proton Pump Inhibitor Use and Risk of Dementia: Much Ado Ashley Wood, DO1, Maria Del Pilar Bayona Molano, MD1, Rocio Lopez, MS2, About Nothing? Jamak M. Esfeh, MD1; 1Cleveland Clinic Foundation, Cleveland, OH, 2Lerner  Fellows-in-Training Award (Stomach Category) Research Institute/Cleveland Clinic Foundation, Cleveland, OH Mubeen Khan Mohammed Abdul, MD1, Zubair Khan, MD, CMQ2, Shreesh Shrestha, MD3, Khwaja F. Haq, MD4, Muhammad Ali Khan, MD5, Colin W. 58. Efficacy and Safety of Rifaximin Treatment for Reducing the Risk of Overt Howden, MD, FACG5; 1University of Tennessee Health Sciences Center, Hepatic Encephalopathy by Baseline Hepatic Impairment Memphis, TN, 2University of Toledo Medical Center, Toledo, OH, 3UTHSC, 1 2 3 Steven L. Flamm, MD , Jasmohan S. Bajaj, MD , Zeev Heimanson, PharmD , Memphis, TN, 4Henry Ford Hospital, Detroit, MI, 5University of Tennessee 4 1 Guy Neff, MD ; Northwestern Feinberg School of Medicine, Chicago, Health Science Center, Memphis, TN IL, 2Virginia Commonwealth University and McGuire VA Medical Center, Richmond, VA, 3Salix Pharmaceuticals, Bridgewater, NJ, 4Florida Research 67. Should We Screen Gastric Cancer in an Intermediate Gastric Cancer Institute, Florida Digestive Health Specialists, Lakewood Ranch, FL Risk Country?  International Award 59. Black Patients with Acute Liver Failure Are Sicker at Presentation and Are Rui Gaspar, MD, Patricia Andrade, MD, Susana Lopes, MD, PhD, Guilherme More Likely to Undergo Liver Transplantation Than White Patients Macedo, MD, PhD, FACG; Centro Hospitalar São João, Porto, Portugal Lauren Nephew, MD, MSCE1, Zahra Zia, MD1, Marwan Ghabril, MD2, Eric Orman, MD1, Craig Lammert, MD2, Naga Chalasani, MD2; 1Indiana University, 68. Effect of a Team-Based Approach to Improve Enteral Access Indianapolis, IN, 2Indiana University School of Medicine, Indianapolis, IN Decision-Making Jannie Tran, PA-C1, Jessica Kimmel, MD1, Andrea Betesh, MD2, Melissa 60. Predictors for Early Readmission in Cirrhosis in the United States - A Latorre, MD, MS1, Andrew Dikman, MD1, Brigette Cohan, BA1, Savita Nationwide Population-based Study Seeriram-Saine, ANP1, Brian P. Bosworth, MD, FACG3; 1NYU Langone Health, 1 2 Chandraprakash Umapathy, MD, MS , Priyadarshini Loganathan, MD , New York, NY, 2Weill Cornell Medicine, New York, NY, 3NYU Langone Tisch 2 2 1 Christopher Dodoo, MS , Mahesh Gajendran, MD, MPH ; University of Hospital, New York, NY California San Francisco Fresno, Fresno, CA, 2Texas Tech University Health Sciences Center, El Paso, TX 69. Predictors of 30-Day Readmission in Patients Admitted With Gastroparesis: Nationwide Analysis 61. Outcomes of Vedolizumab Treatment in Patients With Immune Ravi Pavurala, MD1, Alice Hinton, PhD2, Peter P. Stanich, MD1, Somashekar Checkpoint Inhibitor-Induced Diarrhea and Colitis: A Multi-Center Study G. Krishna, MD, MPH1, Darwin Conwell, MD, MS1, Gokulakrishnan 1 2 3 Hamzah Abu-Sbeih, MD , Faisal S. Ali, MD , Dana Alsaadi, MD , Joseph Balasubramanian, MD2; 1The Ohio State University Wexner Medical Center, 3 1 1 1 Jennings, MD , Wenyi Luo, MD , Zimu Gong, MD , David Richards, MD , Aline Columbus, OH, 2The Ohio State University, Columbus, OH Charabaty, MD4, Yinghong Wang, MD1; 1University of Texas MD Anderson Cancer Center, Houston, TX, 2Presence Saint Joseph Hospital, Chicago, IL, 70. Does Gastric Retention Pattern Affect Outcome of Gastric Peroral MEETING 3Georgetown University Hospital, Washington, DC, 4MedStar Georgetown Endoscopic Myotomy for Patients with Gastroparesis? A Preliminary Study ANNUAL University Hospital, Washington, DC Robert Spandorfer, MD1, Yin Zhu, MD2, Parit Mekaroonkamol, MD1, Sunil Dacha, MBBS1, James R. Galt, PhD1, Raghuveer Halkar, MD1, 62. The NAP1 Strain of Clostridium difficile Is Strongly Associated With Qiang Cai, MD, PhD3; 1Emory University School of Medicine, Atlanta, GA, Fecal Microbiota Transplant Failure: A Large Retrospective Study 2 The First Hospital of Nanchang University, Nanchang, Jiangxi, People's Matthew T. Bender, MD, Thomas Hunold, BSPH, R. Ann Hays, MD; 3 Republic of China, Emory University, Atlanta, GA University of Virginia, Charlottesville, VA 71. Home Biofeedback Therapy Improves Fecal Incontinence Severity and 63. Non-Steroidal Anti-Inflammatory Drugs and Aspirin, but Not Quality of Life in a Non-Inferiority Randomized Controlled Study Acetaminophen, Are Associated With an Increased Risk of Microscopic Amol Sharma, MD, Xuelian Xiang, MD, Yun Yan, MD, Tanisa Patcharatrakul, Colitis: Results From the Nurses' Health Studies MD, Rachel Parr, MS, Satish S.C. Rao, MD, PhD; Augusta University Medical 1 2 Kristin E. Burke, MD, MPH , Po-Hong Liu, MD, MPH , Ashwin Center, Augusta, GA Ananthakrishnan, MD, MPH1, Paul Lochhead, MBChB, PhD1, Ola Olen, MD, PhD3, Jonas Ludvigsson, MD, PhD3, James Richter, MD1, Andrew Chan, MD, 72. Avoidant/Restrictive Food Intake Disorder in the Adult Gastroenterology MPH1, Hamed Khalili, MD, MPH1; 1Massachusetts General Hospital, Boston, Population: An Under-Recognized Diagnosis? MA, 2Massachusetts General Hospital, Dallas, TX, 3Karolinska Institutet, Kimberly Harer, MD1, Jason Baker, PhD1, Nerissa Reister2, Kristen Collins1, Stockholm, Stockholms Lan, Sweden Lydia Watts, BS1, Cari Phillips, BS1, William D. Chey, MD, FACG1; 1University of Michigan, Ann Arbor, MI, 2Universtiy of Michigan, Ann Arbor, MI 64. The Incidence of and Risk Factors for Local Recurrence With Malignancy After Endoscopic Resection of Large Colon Polyps With High Grade Dysplasia Ashraf Abushahin, MD1, Dhairya Mehta, MD2, Prabhleen Chahal, MD, FACG3, Tyler Stevens, MD3, Emre Gorgun, MD4, Conor Delaney, MD, PhD4, Scott Steele, MD4, Rocio Lopez, MS5, John J. Vargo, MD3, Matthew Kalady, MD4, James Church, MD4, Deepa T. Patil, MD4, Carol A. Burke, MD, FACG3, Amit Bhatt, MD3; 1Cleveland Clinic Foundation/Fairview Hospital, Cleveland, OH, 2University Hospital, Westlake, OH, 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH, 4Cleveland Clinic Foundation, Cleveland, OH, 5Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH

Register for ACG 2018: acgmeetings.gi.org / 41 ANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 8-10, 2018 Faculty

73. Mechanism of Action of Vibrant Capsule for the Treatment of Chronic Neena S. Abraham, MD, MSc (Epid), FACG Kenneth R. DeVault, MD, FACG Idiopathic Constipation: Pooled Results of 2 Different Studies Professor of Medicine, Mayo Clinic, Professor of Medicine, Mayo Clinic, Satish S.C. Rao, MD, PhD1, Anthony Lembo, MD2, William D. Chey, MD, FACG3, Keith Scottsdale, AZ Jacksonville, FL Friedenberg, MD4, Jorge Loredo, DO5, Kathleen Kelly, MD6, Lydie Hazan, MD7, Viv Douglas G. Adler, MD, FACG Christopher J. DiMaio, MD, FACG Huilgol, MD8, Daniel Lindenberg, MD9, Jeanette Straga, DO10, Joseph Lillo, MD11, Hai Professor of Medicine, University of Director of Therapeutic Endoscopy; Utah School of Medicine; Director of Director, Mount Sinai Pancreas Center, Nguyen, MD12, Patrick Dennis, MD13, Chester Fisher, MD14, Paula Lane, MD15, Dena 16 17 18 19 Therapeutic Endoscopy, Huntsman Icahn School of Medicine at Mount Peterson, MD , Duane Anderson, MD , Hessam Aazami, MD , Barry Heller, MD , Cancer Institute, Salt Lake City, UT Sinai, New York, NY Sean Su, MD17, Amit Paliwal, MD20, Eamonn M.M. Quigley, MD, MACG21, Bradley Block, 22 1 2 Joseph C. Anderson, MD, MHCDS, FACG Gary W. Falk, MD, MS, FACG MD ; Augusta University Medical Center, Augusta, GA, Harvard Medical School, Associate Professor of Medicine, Professor of Medicine, University of 3 4 Boston, MA, University of Michigan, Ann Arbor, MI, Great Lakes Gastroenterology Dartmouth College Geisel School of Pennsylvania Perelman School of Research, Mentor, OH, 5Floridian Research Institute, Miami, FL, 6Biofortis Clinical Medicine, Hanover, NH Medicine, Philadelphia, PA 7 8 Research, Addison, IL, ACTCA, Los Angeles, CA, NOLA Research Works, New David E. Bernstein, MD, FACG Amy E. Foxx-Orenstein, DO, MACG Orleans, LA, 9Clinical Research Center of Florida, Pompano Beach, FL, 10ICT Las Professor of Medicine, Zucker School Professor of Medicine, Mayo Clinic, Vegas, Las Vegas, NV, 11Elite Clinical Studies, Phoenix, AZ, 12DelRicht Research - of Medicine at Hofstra/Northwell, Scottsdale, AZ Gretna, Gretna, LA, 13DelRicht Research - NOLA, New Orleans, LA, 14Health Research Manhasset, NY Catherine T. Frenette, MD of Hampton Roads, Newport News, VA, 15Albuquerque Neuroscience, Albuquerque, Lawrence J. Brandt, MD, MACG Medical Director of Liver Transplant, NM, 16Noble Clinical Research, Tucson, AZ, 17Excel Clinical Research, Las Vegas, Professor of Medicine and Surgery, Director of the Hepatocellular NV, 18Hope Clinical Research, Canoga Park, CA, 19Long Beach Clinical Research, Albert Einstein College of Medicine; Carcinoma Program, Scripps Green Long Beach, CA, 20Empire Clinical Research, Upland, CA, 21Houston Methodist Emeritus Chief of Gastroenterology, Hospital, La Jolla, CA Montefiore Hospital, Bronx, NY Gastroenterology Associates, Houston, TX, 22Oviedo Medical Research, Oviedo, FL Scott L. Gabbard, MD, Kathy P. Bull-Henry, MD, FACG Assistant Professor, Cleveland Clinic, Assistant Professor of Medicine, Johns Cleveland, OH 74. Hold for Late Breaking Abstract Hopkins Hospital, Baltimore, MD Guadalupe Garcia-Tsao, MD, FACG Carol A. Burke, MD, FACG Professor of Medicine, Yale University; 10:15 am – 10:20 am Break Director, Center for Colon Polyp Chief Digestive Diseases, Yale and Cancer Prevention; Vice Chair, University / VA-CT Healthcare System, 10:20 am – 10:50 am David Y. Graham Lecture Department of Gastroenterology and New Haven, CT Management of Patients With Colorectal Polyps: Hepatology, Cleveland Clinic Foundation, David A. Greenwald, MD, FACG Cleveland, OH A Personalized Approach Based on Etiology Director of Clinical Gastroenterology  Terrace Ballroom 2-3 Qiang Cai, MD, PhD, FACG and Endoscopy, Mount Sinai Hospital, Carol A. Burke, MD, FACG Professor of Medicine, Director, Advanced New York, NY Introduced by: Irving M. Pike, MD, FACG, ACG President Endoscopy Fellowship, Emory University Seth A. Gross, MD, FACG Describe the implications of lifestyle, genetics, School of Medicine, Atlanta, GA Associate Professor of Medicine, and polyp characteristics on the management of patients Brooks D. Cash, MD, FACG NYU School of Medicine; Chief of with colorectal polyps. See page 13 for more information. Professor of Medicine, University of Texas Gastroenterology, Tisch Hospital, NYU McGovern Medical School, Houston, TX Langone Medical Center, 10:50 am – 11:00 am Break Naga P. Chalasani, MD, FACG New York, NY David W. Crabb Professor & Associate C. Prakash Gyawali, MD, FACG SIMULTANEOUS SYMPOSIA – SESSION 5 • 11:00 am – 12:15 pm Dean for Clinical Research; Director, Professor of Medicine, Washington Division of Gastroenterology and University, St. Louis, MO Hepatology, Indiana University School of Christine Y. Hachem, MD, FACG SYMPOSIUM 5A: Pancreatic Neoplasia Medicine, Indianapolis, IN  Terrace Ballroom 4 Associate Professor of Internal Medicine, Walter W. Chan, MD, MPH St. Louis University, St. Louis, MO Moderator: Linda S. Lee, MD Director, Center for Gastrointestinal Stephen B. Hanauer, MD, FACG • Pancreatic Cysts: Navigating the Guidelines Motility, Brigham and Women’s Hospital, Professor of Medicine, Feinberg School Linda S. Lee, MD Boston, MA of Medicine, Northwestern University, Apply the ACG Guidelines to the management of pancreatic cysts. Adam S. Cheifetz, MD, FACG Chicago, IL • Screening for Pancreatic Cancer: 2018 Update Director, Center for Inflammatory Bowel Ikuo Hirano, MD, FACG Vivek Kaul, MD, FACG Disease, Beth Israel Deaconess Medical Professor of Medicine, Northwestern Identify the current state of the science for pancreatic cancer screening in Center, Boston, MA University Feinberg School of high-risk populations. William D. Chey, MD, FACG Medicine, Chicago, IL Nostrant Professor of Gastroenterology • Malignant Masquerades in Pancreatic Disease Immanuel K. H. Ho, MD, FACG & Nutrition, University of Michigan; Clinical Professor of Medicine, Christopher J. DiMaio, MD, FACG Director, GI Physiology Lab, Michigan University of Pennsylvania School of Describe the various clinical conditions and imaging findings that mimic Medicine, Ann Arbor, MI Medicine, Philadelphia, PA pancreatic malignancy and how to evaluate and manage these patients. Delbert L. Chumley, MD, FACG Thomas F. Imperiale, MD Gastro Consultants of San Antonio, Professor of Medicine, Indiana SYMPOSIUM 5B: ACG Annual Debrief: IBD Highlights at This Year’s San Antonio, TX University School of Medicine; Annual Meeting John O. Clarke, MD Roudebush VA Medical Center,  Terrace Ballroom 2-3 Director, Esophageal Program, Stanford Indianapolis, IN Moderator: David T. Rubin, MD, FACG University, Stanford, CA Prasad G. Iyer, MD, MS, FACG • Ulcerative Colitis Medical Management Darwin L. Conwell, MD, MS, FACG Professor of Medicine, Mayo Clinic, David T. Rubin, MD, FACG Professor of Medicine; Director, Division Rochester, MN Discuss breakthroughs in clinical care for patients with ulcerative colitis. of Gastroenterology, Hepatology and Laith H. Jamil, MD, FACG Nutrition, Ohio State University Wexner Associate Director of Interventional • Crohn's Disease Medical Management Medical Center, Columbus, OH Endoscopy, Cedars-Sinai Medical Gary R. Lichtenstein, MD, FACG Kara M. De Felice, MD Center, Los Angeles, CA Describe breakthroughs in clinical care for patients with Crohn’s disease. Assistant Professor of Clinical Sunanda V. Kane, MD, MSPH, FACG Medicine, LSU Health Science Center, Professor of Medicine, Mayo Clinic, 12:15 pm Annual Scientific Meeting Adjourns New Orleans, LA Rochester, MN

42 \ 2018 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Faculty

Philip O. Katz, MD, MACG Nahum Mendéz-Sanchéz, MD, MSc, Miguel D. Regueiro, MD, FACG Vikesh K. Singh, MD, MSc Director, Motility Laboratories, Weill PhD, FACG Chief, Department of Gastroenterology and Associate Professor of Medicine; Cornell Medicine, New York, NY Professor and Scientist, Medica Sur Hepatology, Vice Chair, Digestive Disease Director, Pancreatitis Center; Vivek Kaul, MD, FACG Clinic & Foundation, Mexico City, Distrito and Surgical Institute, Professor of Medicine, Medical Director, Pancreatic Islet Segal-Watson Professor of Medicine, Federal, Mexico Lerner College of Medicine, Cleveland Clinic, Autotransplantation Program, Johns University of Rochester Medical Fouad J. Moawad, MD, FACG Cleveland, OH Hopkins Hospital, Baltimore, MD Center, Rochester, NY Associate Professor of Medicine, Scripps Douglas J. Robertson, MD, MPH Michael C. Soulen, MD Laurie A. Keefer, PhD Clinic, La Jolla, CA Professor of Medicine, Geisel School Professor of Radiology, University of Associate Professor of Medicine, Icahn Paul Moayyedi, MB ChB, PhD, MPH, FACG of Medicine at Dartmouth & the Pennsylvania, Philadelphia, PA School of Medicine at Mount Sinai; Professor, Department of Medicine; Dartmouth Institute, Hanover, NH; Chief, Brennan M. Spiegel, MD, MSHS, FACG Division of Gastroenterology, New Chair, Division of Gastroenterology, Gastroenterology, White Professor of Medicine and Public York, NY McMaster University, Hamilton, River Junction VAMC, White River Health, Director of Health Services Junction, VT Colleen R. Kelly, MD, FACG ON, Canada Research, Cedars-Sinai Health System; Associate Professor of Medicine, Joseph A. Murray, MD, FACG David T. Rubin, MD, FACG Cedars-Sinai Site Director, Clinical and Warren Alpert Medical School of Professor of Medicine, Consultant, Joseph B. Kirsner Professor of Medicine; Translational Science Institute (CTSI); Brown University, Providence, RI Division of Gastroenterology and Chief, Section of Gastroenterology, Assistant Dean, David Geffen School of Hepatology and Nutrition; Co-Director, Medicine at UCLA, Los Angeles, CA Abraham R. Khan, MD, FACG Hepatology and Department of Immunology, Mayo Clinic, Digestive Diseases Center, University of Neil H. Stollman, MD, FACG Assistant Professor of Medicine; Chicago Medicine, Chicago, IL Director, Center for Esophageal Rochester, MN Associate Clinical Professor of Medicine, Disease, NYU Langone Health, Saowanee Ngamruengphong, MD Jason B. Samarasena, MD, FACG University of California San Francisco; New York, NY Assistant Professor of Medicine, Johns Associate Professor of Medicine, H. H. Chief, Division of Gastroenterology, Alta Chao Comprehensive Digestive Disease Bates Summit Medical Center, Oakland, CA Harshit S. Khara, MD, FACG Hopkins University School of Medicine, Baltimore, MD Center, University of California Irvine, Christina M. Surawicz, MD, MACG Director of Endoscopic & Translational Yorba Linda, CA Research; Associate Director, Amy S. Oxentenko, MD, FACG Professor of Medicine; Associate Dean Advanced Therapeutic Endoscopy Professor of Medicine; Residency Arun J. Sanyal, MD for Faculty Development, University of Fellowship Program, Geisinger Medical Program Director and Associate Chair, Z. Reno Vlahcevic Professor of Washington School of Medicine, Center, Danville, PA Department of Medicine, Mayo Clinic, Gastroenterology Research, Education Seattle, WA Rochester, MN Core - Clinical Center of Translational Arun C. Swaminath, MD Vani J.A. Konda, MD, FACG Research (CCTR), Richmond, VA Clinical Director of the Center John E. Pandolfino, MD, MSCI, FACG Director, IBD Program, Lenox Hill Hospital for Esophageal Diseases, Baylor Professor of Medicine; Chief, Division Harry E. Sarles, Jr., MD, FACG / Northwell Health, New York, NY University Medical Center, Dallas, TX of Gastroenterology and Hepatology, Founding Partner and Medical Director, Nicholas J. Talley, AC, MD, MBBS, PhD, Northwestern University Feinberg Digestive Health Associates of Texas, DHAT MMedSci, MACG Shivangi T. Kothari, MD, FACG Research Institute, Rockwall, TX Assistant Professor of Medicine, School of Medicine, Chicago, IL Pro Vice-Chancellor, Global Research, Associate Director of Endoscopy, James S. Park, MD, FACG David A. Schwartz, MD, FACG University of Newcastle Australia, University of Rochester Medical Associate Professor of Medicine, Medical Professor of Medicine, Vanderbilt University Newcastle, New South Wales, Australia Center, Strong Memorial Hospital, Director of Liver Transplant, NYU Medical Center, Nashville, TN Christopher C. Thompson, MD, MSc, FACG Rochester, NY Langone Health, New York, NY Samir A. Shah, MD, FACG Director of Therapeutic Endoscopy, Braden Kuo, MD Mansour A. Parsi, MD, MPH Clinical Professor of Medicine, Alpert Brigham Women’s Hospital, Boston, MA Director of the Center for Chairman, Section of Gastroenterology Medical School of Brown University, Chief Renuka Umashanker, MD, FACG Neurointestinal Health at MGHB, GI & Hepatology, Tulane University Health of Gastroenterology, The Miriam Hospital, Assistant Clinical Professor, Yale School Unit Massachusetts General Hospital, Sciences Center, New Orleans, LA Providence, RI of Medicine, Gastroenterology of Boston, MA Vijay H. Shah, MD, FACG Connecticut, Hamden, CT MEETING

Sonali Paul, MD, MS ANNUAL Brian E. Lacy, MD, PhD, FACG Assistant Professor, University of Professor of Medicine, Physiology, Michael F. Vaezi, MD, PhD, MSc(Epi), FACG Professor of Medicine, Mayo Clinic, Chicago Medicine, Chicago, IL and Cancer Cell Biology; Chair, Professor of Medicine, Vanderbilt Jacksonville, FL Gastroenterology & Hepatology, Mayo University Medical Center, Nashville, TN Anne F. Peery, MD, MSCR Clinic, GI Research Unit, Rochester, MN Melissa Latorre, MD, MS Assistant Professor, University of North Ganesh R. Veerappan, MD, FACG Director, Inpatient Gastroenterology Carolina at Chapel Hill, Durham, NC Nicholas J. Shaheen, MD, MPH, FACG Akron Digestive Disease Consultants, Services, Division of Digestive and Professor of Medicine and Epidemiology; Assistant Professor of Internal Medicine, Irving M. Pike, MD, FACG Chief, Division of Gastroenterology and Liver Diseases, NYU Langone Health Senior Vice President and Chief Northeast Ohio Medical University, Tisch Hospital and Kimmel Pavilion, Hepatology, University of North Carolina, Akron, OH Medical Officer, John Muir Health, Chapel Hill, NC New York, NY Walnut Creek, CA Mihir S. Wagh, MD, FACG Reem Z. Sharaiha, MD, MSc Linda S. Lee, MD Mark Pimentel, MD, FACG Associate Professor, Head of Associate Professor of Medicine, Assistant Professor of Medicine, Weill Endoscopic Surgery and Tissue Director, GI Motility Program, Cornell Medical College, New York, NY Harvard Medical School, Associate Cedars-Sinai Medical Center, Apposition, University of Colorado, Director of Endoscopy, Director of Los Angeles, CA Aasma Shaukat, MD, MPH, FACG Aurora, CO Women’s Health in GI, Co-Director, Professor of Medicine, University of Eamonn M. M. Quigley, MD, MACG Arnold Wald, MD, MACG Pancreas Center, Brigham and Minnesota; GI Section Chief, Minneapolis Professor of Medicine, University of Women’s Hospital, Boston, MA Professor of Medicine, Weill Cornell VAHCS, Minneapolis, MN Medical College; Chief, Division of Wisconsin, Madison, WI Gary R. Lichtenstein, MD, FACG Gastroenterology and Hepatology, Mitchell L. Shiffman, MD, FACG Rena H. Yadlapati, MD, MSHS Professor of Medicine, University of Houston Methodist Hospital, Houston, TX Director, Liver Institute of Virginia, Bon Assistant Professor, University of Pennsylvania Perelman School of Secours Health System, Richmond, VA Colorado, Aurora, CO Medicine, Philadelphia, PA Laura E. Raffals, MD, MS, FACG Associate Professor of Medicine, Mayo Uzma D. Siddiqui, MD Zobair M. Younossi, MD, MPH, FACG Joseph K. Lim, MD, FACG Clinic, Rochester, MN Associate Professor of Medicine, Chairman, Department of Medicine, Professor of Medicine; Director, Yale Associate Director, Center for Endoscopic Nancy S. Reau, MD, FACG Inova Fairfax Medical Center, Viral Hepatitis Program, Yale University Research and Therapeutics; Director, Washington, DC School of Medicine, New Haven, CT Associate Director of Solid Organ Endoscopic Ultrasound and Advanced Transplantation, Section Chief, Meidong Xu, MD Julia J. Liu, MD, FACG Endoscopy Training, University of Hepatology, Rush University Medical Chicago, Chicago, IL Vice-Director of Endoscopy Center, Associate Professor, University of Center, Chicago, IL Zhongshan Hospital, Shanghai, People’s Arkansas for the Medical Sciences, Republic of China Little Rock, AR

SUNDAY, OCTOBER 7, 2018  Poster viewing time:  Authors present:  Exhibit Hall hours: 3:30 pm – 7:00 pm 5:15 pm – 6:30 pm 3:00 pm – 7:00 pm

Biliary/Pancreas ...... P0001 – P0106 Colon ...... P0107 – P0208 Colorectal Cancer Prevention ...... P0209 – P0242 Endoscopy Video Forum ...... P0243 – P0250 Esophagus ...... P0251 – P0326 Functional Bowel Disease ...... P0327 – P0348 General Endoscopy ...... P0349 – P0388 GI Bleeding ...... P0389 – P0438 IBD ...... P0439 – P0514 Interventional Endoscopy ...... P0515 – P0560 Liver ...... P0561 – P0718 Obesity ...... P0719 – P0726 Pediatrics ...... P0727 – P0743 Practice Management ...... P0744 – P0775 Small Intestine ...... P0776 – P0824 Stomach ...... P0825 – P0881

MONDAY, OCTOBER 8, 2018  Poster viewing time:  Authors present:  Exhibit Hall hours: 10:30 am – 4:15 pm 1:00 pm – 2:15 pm 10:00 am – 4:45 pm Biliary/Pancreas ...... P0882 – P0988 Colon ...... P0989 – P1091 Colorectal Cancer Prevention ...... P1092 – P1126 Endoscopy Video Forum ...... P1127 – P1135 Esophagus ...... P1136 – P1214 Functional Bowel Disease ...... P1215 – P1238 General Endoscopy ...... P1239 – P1278 GI Bleeding ...... P1279 – P1329 IBD ...... P1330 – P1407 Interventional Endoscopy ...... P1408 – P1453 Liver ...... P1454 – P1608 Obesity ...... P1609 – P1618 Practice Management ...... P1619 – P1652 Small Intestine ...... P1653 – P1703 Stomach ...... P1704 – P1761

TUESDAY, OCTOBER 9, 2018  Poster viewing time:  Authors present:  Exhibit Hall hours: 10:30 am – 4:00 pm 1:00 pm – 2:15 pm 10:00 am – 4:30 pm Biliary/Pancreas ...... P1762 – P1869 Colon ...... P1870 – P1972 Colorectal Cancer Prevention ...... P1973 – P2007 Endoscopy Video Forum ...... P2008 – P2015 Esophagus ...... P2016 – P2092 Functional Bowel Disease ...... P2093 – P2116 General Endoscopy ...... P2117 – P2156 GI Bleeding ...... P2157 – P2207 IBD ...... P2208 – P2284 Interventional Endoscopy ...... P2285 – P2331 Liver ...... P2332 – P2491 Obesity ...... P2490 – P2498 Practice Management ...... P2499 – P2532 Small Intestine ...... P2533 – P2584 Stomach ...... P2585 – P2641

44 \ 20182018 AnnualAnnual ScientificScientific MeetingMeeting && PostgraduatePostgraduate CourseCourse POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS SUNDAY, OCTOBER 7, 2018 P0008. Is Hepatoiminodiacetic Acid Scan a Better Imaging Modality SUNDAY Than Abdominal Ultrasound for Diagnosing Gallbladder Disease? Layth Al-Jashaami, MD1, Richard Gerkin, MD, MS2, Rakesh Nanda, MD, 3 1 BILIARY / PANCREAS FACP, FACG ; University of Arizona, Banner University Medical Center, Phoenix, AZ; 2University of Arizona College of Medicine, Phoenix, AZ; P0001. Endoscopic Ultrasound Drainage Is Associated With Reduced 3Carl T. Hayden VA Medical Center, Phoenix, AZ Hospital Stay in Patients Hospitalized With Pancreatic Pseudocyst P0009. Endoscopic Ultrasound-Guided Ablation of Pancreatic Cystic 1 2 1 Manish Shrestha, MD , Bhupesh Pokhrel, MD , Hemanth Gavini, MD, MPH ; Neoplasms: A Systematic Review and Meta-Aanalysis 1 2 University of Arizona College of Medicine, Tucson, AZ; Banner University  Presidential Poster Award Medical Center, Tucson, AZ Emmanuel Ugbarugba, MD, MPA, Phil Hart, MD, Zobeida Cruz- P0002. Fully-Covered Self-Expandable Metal Stents May Increase the Monserrate, PhD, Darwin Conwell, MD, MS, Somashekar G. Krishna, MD, Risk of Cholecystitis in Patients With Intact Gallbladders Compared to MPH; The Ohio State University Wexner Medical Center, Columbus, OH Uncovered Self-Expandable Metal Stents When Placed for Malignant P0010. Does Pain Control Impact Acute Pancreatitis (AP) Hospital Biliary Obstruction Experience? 1 2 1 Kaushal Majmudar, DO , Faris Murad, MD, FACG ; NorthShore University Emmanuel Ugbarugba, MD, MPA1, Chirag R. Patel, DO1, Jonathan Race, 2 HealthSystem, Glenview, IL; NorthShore University HealthSystem, BS2, Somashekar G. Krishna, MD, MPH1, Luis F. Lara, MD1, Groce Royce, Evanston, IL MD1, McCarthy Sean, MD1, Zarine Shah, MBBS1, Andrei Manilchuk, MD1, P0003. Impact of HIV and Acute Pancreatitis: Insights From National Hosmer Amy, MD1, Mary Dillhoff, MD1, Sebastian Strobel, MD1, Phil Inpatient Database Hart, MD1, Darwin Conwell, MD, MS1; 1The Ohio State University Wexner 2 Abhishek Bhurwal, MBBS, MD1, Hemant Raj Mutneja, MBBS, MD2, Ishani Medical Center, Columbus, OH; College of Public Heath, The Ohio State Shah, MD3, Khwaja F. Haq, MD4, Shantanu Solanki, MD, MPH5, Aruj University, Columbus, OH 6 7 8 Choudhry, MD , Pavan Brahmbhatt , Michael Bartel, MD , Bhaumik P0011. Same Admission Cholecystectomy Reduces 30-Day Readmissions, 9 1 Brahmbhatt, MBBS, MD ; Rutgers Robert Wood Johnson University Mortality and Healthcare Resource Utilization Among Patients With Acute 2 Hospital, New Brunswick, NJ; John H. Stroger, Jr. Hospital of Cook Gallstone Pancreatitis: Results From a Nationwide Longitudinal Analysis 3 County, Chicago, IL; St. Joseph’s Hospital and Medical Center, Phoenix, Mohammad Bilal, MD1, Russell Roark, MD1, Aun Shah, MD, MRCP2, Praveen 4 5 AZ; Henry Ford Hospital, Detroit, MI; New York Medical College at Guturu, MD, FACG1, Sreeram Parupudi, MD, FACP, FACG1, Marwan S. 6 Westchester Medical Center, Valhalla, NY; Temple University Hospital, Abougergi, MD3; 1University of Texas Medical Branch, Galveston, TX; 7 8 Philadelphia, PA; NHL Municipal Medical College, Gujarat, India; Fox 2MetroHealth Medical Center, Cleveland, OH; 3South Carolina University 9 Chase Medical Center, Philadelphia, PA; Mayo Clinic, Jacksonville, FL School of Medicine, Simpsonville, SC P0004. Hypercalcemia and Acute Pancreatitis: Results of a P0012. Retrospective Analysis of the Use and Yield of Radiologic Studies Nationwide Study in IPMN Surveillance 1 2 Abhishek Bhurwal, MBBS, MD , Hemant Raj Mutneja, MBBS, MD , Sandra Cicily Vachaparambil, MD1, Neil Kapil, MD1, Vladimir Lamm, MD1, Jennifer 3 4 5 Suarez, MD , Khwaja F. Haq, MD , Shantanu Solanki, MD, MPH , Raja Xu, MD1, Chunsu Jiang, MD1, Steve Keilin, MD2, Field Willingham, MD, 5 6 Chandra Chakinala, MD , Michael Bartel, MD , Bhaumik Brahmbhatt, MPH1, Qiang Cai, MD, PhD2; 1Emory University School of Medicine, Atlanta, 7 1 MBBS, MD ; Rutgers Robert Wood Johnson University Hospital, New GA; 2Emory University, Atlanta, GA Brunswick, NJ; 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 3Saint Barnabas Medical Center, Livingston, NJ; 4Henry Ford Hospital, P0013. Clinical Impact of Pancreatic Cancer Screening for High-Risk Detroit, MI; 5New York Medical College at Westchester Medical Center, Individuals Including BRCA2 Mutation Heterozygotes and Bayesian Valhalla, NY; 6Fox Chase Medical Center, Philadelphia, PA; 7Mayo Clinic, Analysis via PancPro Jacksonville, FL Nirav Thosani, MD1, Kathryn Mraz, MS2, Julie Rowe, MD2, Anneliese Gonzalez, MD2, Putao Cen, MD2, Erik F. Rahimi, MD1; 1University of Texas P0005. Is There an Impact of Cannabis Consumption on Acute Pancreatitis Health Science Center at Houston / McGovern Medical School, Houston, in the United States? TX; 2University of Texas Health Science Center at Houston, Houston, TX C. Roberto Simons-Linares, MD1, Jodie A. Barkin, MD2, Jacqueline Estevez, MD3, Suha Abushamma, MD4, Amit Bhatt, MD5, Sunguk Jang, MD4, P0014. Evaluating Adherence to Guideline-Based Care in Diagnosis Madhusudhan R. Sanaka, MD6, John J. Vargo, MD5, Tyler Stevens, MD4, and Management of Acute Pancreatitis at an Academic Medical Center - Jamie S. Barkin, MD, MACG2, Prabhleen Chahal, MD, FACG5; 1Digestive A Quality Improvement Project Disease Institute/Cleveland Clinic, Cleveland, OH; 2University of Miami Kevin Kline, MD1, Mohammad Bilal, MD2, Felippe Marcondes, MD2, Ronald Leonard M. Miller School of Medicine, Miami, FL; 3Cleveland Clinic, Samuel, MD2, Sagar Joshi, MS2, Ronan Allencherril, MS2, Wayne Fischer, Cleveland, OH; 4Cleveland Clinic Foundation, Cleveland, OH; 5Digestive PhD2, Whitney Jenson, MD2, Praveen Guturu, MD, FACG2, Lindsay Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 6Cleveland Sonstein, MD2, Sreeram Parupudi, MD, FACP, FACG2, Kelly Olino, MD2; Clinic Digestive Disease Institute, Cleveland, OH 1University of Texas Medical Branch, Webster, TX; 2University of Texas Medical Branch, Galveston, TX P0006. Presence of Pancreatic Specialty Centers Is Associated With Increased Treatment of Exocrine Pancreatic Insufficiency in Chronic P0015. Association of Cannabis Use with Pancreatitis Pancreatitis Adeyinka Adejumo, MD, MS1, Olalekan Akanbi, MD, MPH2, Terence Bukong, Jodie A. Barkin, MD1, Jason C. Tsai, MD, MS2, Matthew Alsante, BS3, Daniel PhD3; 1North Shore Medical Center, Lowell, MA; 2University of Kentucky A. Sussman, MD, MSPH1, Jamie S. Barkin, MD, MACG1; 1University of Miami College of Medicine, Lexington, KY; 3INRS-Institut Armand-Frappier, Leonard M. Miller School of Medicine, Miami, FL; 2North Chicago, IL; Institut National de la Recherche Scientifique, Laval, PQ, Canada 3National Pancreas Foundation, Bethesda, MD P0007. The Use of Classification Systems in the Diagnosis of Chronic Pancreatitis Deepika Satish, MD, Deepak Agrawal, MD; University of Texas Southwestern Medical Center, Dallas, TX

P0016. Endoscopic Ultrasound Tissue Acquisition for Genomic Analysis of P0025. Hospital Teaching Status on Mortality, Length of Stay, and Cost Pancreatic Cancer Using Liquid Next-Generation Sequencing Amongst Patients With Primary Biliary Cholangitis Nadim Mahmud, MD, MS, MPH1, Sherif Elhanafi, MD1, Michael L. Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Taruna Bhatia, Kochman, MD2, Gregory Ginsberg, MD3, Norge Vergara, MD1, Kashyap MD, Jeevan Vinod, MD; CarePoint Health Bayonne Medical Center, Panganamamula, MD4, Immanuel Ho, MD5, Nuzhat Ahmad, MD1, Michael Bayonne, NJ Rajala, MD, PhD1, Vinay Chandrasekhara, MD6; 1Hospital of the University of Pennsylvania, Philadelphia, PA; 2Center for Endoscopic Innovation, P0026. What Are the Outcomes of Acute Pancreatitis in Patients with Liver Research, and Training, University of Pennsylvania Health System, Cirrhosis in the United States? C. Roberto Simons-Linares, MD1, Suha Abushamma, MD2, Jacqueline Philadelphia, PA; 3Universit, Philadelphia, PA; 4Penn Presbyterian Medical Estevez, MD3, Carlos Romero-Marrero, MD3, Amit Bhatt, MD4, Sunguk Center, Philadelphia, PA; 5Pennsylvania Hospital, Philadelphia, PA; 6Mayo Jang, MD2, Madhusudhan R. Sanaka, MD5, John J. Vargo, MD4, Tyler Clinic Rochester, Rochester, MN Stevens, MD2, William Carey, MD3, Prabhleen Chahal, MD, FACG4; P0017. Groove Pancreatitis: Management and Outcome of Patients at a 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2Cleveland Tertiary Care Center Clinic Foundation, Cleveland, OH; 3Cleveland Clinic, Cleveland, OH; Matthew T. Bender, MD, Bryan Sauer, MD, MSc, Vanessa M. Shami, MD; 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; University of Virginia, Charlottesville, VA 5Cleveland Clinic Digestive Disease Institute, Cleveland, OH P0018. Impact of Postoperative Skeletal Muscle Change on Survival After P0027. Clinical Outcomes of Acute Pancreatitis in Patients with Liver Resection of Periampullary Cancer Cirrhosis - A Single-Center Experience Ju Hyun Lee, MD1, Seung Bae Yoon, PhD2, In Seok Lee, PhD3, Tae Ho Suha Abushamma, MD1, C. Roberto Simons-Linares, MD2, Amit Bhatt, MD3, Hong, PhD2, Moon Hyung Choi, PhD2, Myung Ah Lee, PhD2, Eun Sun Carlos Romero-Marrero, MD4, Tyler Stevens, MD1, Robert O’Shea, MD4, Jung, PhD2, Myung-Gyu Choi, PhD3; 1Catholic University of Korea, St. Prabhleen Chahal, MD, FACG3; 1Cleveland Clinic Foundation, Cleveland, Mary’s Hospital, Seoul, Seoul-t’ukpyolsi, Republic of Korea; 2Seoul St. OH; 2Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; Mary’s Hospital, The Catholic University of Korea, Seoul, Seoul-t’ukpyolsi, 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; Republic of Korea; 3The Catholic University of Korea, Seoul, Seoul- 4Cleveland Clinic, Cleveland, OH t’ukpyolsi, Republic of Korea P0028. What Are the Long-Term Complications of Percutaneous P0019. High Rate of Actionable Variants Identifed by Multigene Testing for Cholecystostomy Tube (PCT) Placement After Discharge From the Pancreas Cancer Patients in a High Risk Clinic Hospital? Gina Wideroff, MD1, Daniel A. Sussman, MD, MSPH1, Peter J. Hosein, Olapeju Olasokan, MD1, Suha Abushamma, MD2, C. Roberto Simons- MBBS2, Rachel Silva-Smith, MSc2, Talia Donenberg, MS1; 1University of Linares, MD3, Ram Gurajala, MD1, Amit Bhatt, MD4, Amanjit Gill, MD1, Miami Leonard M. Miller School of Medicine, Miami, FL; 2University of John J. Vargo, MD4, Gareth Morris-Stiff, MD, PhD1, Prabhleen Chahal, MD, Miami, Miami, FL FACG4; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic, Cleveland, P0020. Fluid Resuscitation and Inflammatory Response in Acute OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Pancreatitis: Does the Type of Fluid Really Matter? Cleveland, OH Vanessa Sostre, MD1, Dema Shamoon, MD1, Youssef Botros, MD1, Hardikkumar Shah, MD, MPH2, Luis C. Ortiz, MD1, Allarice Linaac, MD1, P0029. What Are the Outcomes of Alcoholic Acute Pancreatitis in Patients Stephen Biggiani, MD1, Walid Baddoura, MD1; 1St. Joseph’s University With Concomitant Alcoholic Hepatitis? Medical Center, Paterson, NJ; 2New York Medical College at St. Michael’s Suha Abushamma, MD1, C. Roberto Simons-Linares, MD2, Amit Bhatt, MD3, Medical Center, Newark, NJ Tyler Stevens, MD1, Robert O’Shea, MD4, Prabhleen Chahal, MD, FACG3; 1Cleveland Clinic Foundation, Cleveland, OH; 2Digestive Disease Institute/ P0021. EUS-Guided Pancreatic Cyst Sampling With a Novel Trans-Needle Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Biopsy Forceps: Initial Experience in a Pilot Study Clinic Foundation, Cleveland, OH; 4Cleveland Clinic, Cleveland, OH Amit Raina, MD1, Sergey Kantsevoy, MD2; 1Mercy Medical Center, Ellicott City, MD; 2Mercy Medical Center, Owings Mills, MD P0030. What Are the Outcomes of Percutaneous Cholecystostomy Tube (PCT) in Pancreatobiliary Cancer (PBCA) Patients With Acute Cholecystitis P0022. Adverse Events Associated with ERCP in a Predominantly Black (AC)? Urban Population Suha Abushamma, MD1, Olapeju Olasokan, MD2, C. Roberto Simons- Nathaniel H. Kwak, MD1, Daniel Yeoun, DO, MPH1, Ghassan Mubarak, MD1, Linares, MD3, Amanjit Gill, MD2, Ram Gurajala, MD2, Amit Bhatt, MD4, Fray Martin Arroyo-Mercado, MD1, Kyle Michelson, BA1, Renata Lerer, BS2, John J. Vargo, MD4, Gareth Morris-Stiff, MD, PhD2, Prabhleen Chahal, Mohammed M. Islam, BS1, Dimitre Stefanov, PhD1, Derrick Cheung, MD3, MD, FACG4; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Shivakumar Vignesh, MD1; 1SUNY Downstate Medical Center, Brooklyn, Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic, NY; 2SUNY Downstate College of Medicine, Brooklyn, NY; 3NYC HHC/ Cleveland, OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Kings County Hospital, Brooklyn, NY Cleveland, OH P0023. Evaluation of a Novel Management Classification Scheme for P0031. What Are the Outcomes of Acute Pancreatitis (AP) in Patients Walled-Off Pancreatic Necrosis Taking Immunosuppression? Jason D. Jones, MD, Clancy J. Clark, MD, Rishi Pawa, MBBS; Wake Forest C. Roberto Simons-Linares, MD1, Suha Abushamma, MD2, Amit Bhatt, School of Medicine, Winston-Salem, NC MD3, Tyler Stevens, MD2, Michael Bartel, MD4, Prabhleen Chahal, MD, P0024. Primary Biliary Cholangitis: A Nationwide Analysis of Temporal FACG3; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; Trends and Outcomes 2Cleveland Clinic Foundation, Cleveland, OH; 3Digestive Disease Institute/ Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Taruna Bhatia, Cleveland Clinic Foundation, Cleveland, OH; 4Fox Chase Medical Center, MD, Jeevan Vinod, MD; CarePoint Health Bayonne Medical Center, Philadelphia, PA Bayonne, NJ

46 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0032. Secretory Unit of Islet Transplant Objects (SUITO) Index and P0042. Primary Gallbladder Carcinosarcoma: A Rare Biliary Malignancy SUNDAY Homeostasis Model Assessment (HOMA) Beta Score Are Ineffective at Meghana Doniparthi, MD, Hina Omar, MD, Ali Haider, MD, Kenneth Predicting Outcomes in Patients Undergoing Total Pancreatectomy and O’Riordan, MD; Advocate Lutheran General Hospital, Park Ridge, IL Islet Autotransplantation Luis F. Lara, MD1, Shumei Meng, MBBS, PhD1, Jill Buss, BA2, Amer Rajab, P0043. A Rare Cause of Obstructive Jaundice: A Case Report Febin John, MD1, Amit Mori, MD1, Isaac Moshenyat, MD, FACG2; 1The MD, PhD1, Phil Hart, MD1, Darwin Conwell, MD, MS1, Sylvester Black, MD1, Brooklyn Hospital Center, Brooklyn, NY; 2NYU Brooklyn, Brooklyn, NY Ken Washburn, MD1; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2The Ohio State University, Columbus, OH P0044. A Curious Case of Autoimmune Pancreatitis with IgG4 Related P0033. Is There a Difference Between Severe and Very Severe Sclerosing Cholangitis Hector Gonzalez, MD1, Jamie L. Skrove, DO2, Dominic M. Colella, DO3, Hypertriglyceridemia (HTG) in Patients With the Triad of HTG Acute 2 4 5 1 Pancreatitis (HTG) and Diabetes Ketoacidosis (DKA)? Leena Chacko, DO , Seth Rosen, MD , Javier Sobrado, MD ; Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Jacqueline Estevez, MD1, C. Roberto Simons-Linares, MD2, Amit Bhatt, Raton, FL; 2Larkin Community Hospital, Miami, FL; 3Nova Southeastern MD3, Tyler Stevens, MD4, Prabhleen Chahal, MD, FACG3; 1Cleveland Clinic, University, Larkin Hospital, South Miami, FL; 4Gastro Health, Miami, FL; Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic, Cleveland, 5Larkin Community Hospital, South Miami, FL OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Cleveland Clinic Foundation, Cleveland, OH P0045. The Wrath of Pancreatic Enzymes: A Rare Case of Hematuria P0034. Is Plasmapheresis Beneficial in Patients With the Triad of Jaclyn Rivington, MD, David Soma, MD, Jeffery Becker, MD; MetroHealth Hypertriglyceridemia-Induced Acute Pancreatitis (HTG) and Diabetes Medical Center, Case Western Reserve University, Cleveland, OH Ketoacidosis (DKA)? P0046. Pancreatogastric Fistula: A Rare Complication of Pancreatitis Jacqueline Estevez, MD1, C. Roberto Simons-Linares, MD2, Amit Bhatt, Ryan Jordan, DO, Gerald Mank, MD, Nathaniel Krogel, DO; Carolinas MD3, Tyler Stevens, MD4, Prabhleen Chahal, MD, FACG3; 1Cleveland Clinic, HealthCare System Blue Ridge, Morganton, NC Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, P0047. Intraductal Papillary Neoplasm of the Bile Duct Progressing to OH; 4Cleveland Clinic Foundation, Cleveland, OH Hepatic Mucinous Adenocarcinoma Sameer Prakash, DO1, Anu Salwan, MD1, Jason Schmidt, MD2, Edward Trevino, MD3, Juan Garrido, MD1, Daniel Beggs, MD4; 1Texas Tech University BILIARY / PANCREAS Health Sciences Center, Amarillo, TX; 2Methodist Dallas Medical Center, Dallas, TX; 3Amarillo Veterans Affairs Health Care System, Amarillo, TX; Clinical Vignettes / Case Reports 4BSA Amarillo Diagnostic Clinic, Inc., Amarillo, TX P0035. Primary Pancreatic Lymphoma Presenting as Acute Pancreatitis P0048. A Rare Case of Cyclophosphamide Induced Acute Pancreatitis in a 1 1 2 Abby R. Sapp, DO , Mohammad Arfeen, DO , Hazem Tabbaa, DO , Shakil Patient with Lupus Nephritis 1 1 1 Karim, DO , Alex Yarbrough, DO ; Franciscan Alliance, Olympia Fields, IL; Charudatta Wankhade, MD1, Zara Manuelyan, MD2, Pranay Srivastava, 2 Franciscan Alliance, Lemont, IL MD2, Jiten Desai, MD3, Bobby Jacob, MD2, Shruti Patel, MD2; 1NUMC, P0036. Acute Pancreatitis as an Initial Sole Presentation of Pancreatic East Meadow, NY; 2Nassau University Medical Center, East Meadow, NY; Cancer 3Nassau University Medical Center, Hicksville, NY Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer P0049. Recurrent Episodes of Acute Pancreatitis Secondary to Bochdalek Hospital, Sayre, PA Hernia P0037. Metastatic Pancreatic Cancer Masquerading as Bilateral Psoas Omar Abughanimeh, MD1, Laith Numan, MD1, Ayman Qasrawi, MD1, Yousaf Abscesses Zafar, MD1, Ahmad Al-Shyoukh, MD1, Mouhanna K. Abu Ghanimeh, MD2; Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer 1University of Missouri, Kansas City, MO; 2Henry Ford Hospital, Detroit, MI Hospital, Sayre, PA P0050. 84-Year-Old Male With Obstructive Jaundice Due to IGG-4 Related P0038. Hypertensive Emergency Leading to Diagnosis of Metastatic Sclerosing Cholangitis Pancreatic Cancer Sophia A. Shetler1, Nathan S. Ramrakhiani2, Charles Lombard, MD3, Kristin Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer Razzeca, MD4; 1Saratoga High School, Saratoga, CA; 2Palo Alto High Hospital, Sayre, PA School, Palo Alto, CA; 3El Camino Hospital, Mountain View, CA; 4Palo Alto Medical Foundation, Mountain View, CA P0039. Pancreas in Trouble… Plasmapheresis to the Rescue Hyeon Mu Jang, MD, Manbeer S. Sarao, MD, Thomas J. Watson, MD, P0051. A Rare Case of an Extramedullary Plasmacytoma Michael van Scoy, MD, Vinod Nookala, MD; University of Pittsburgh Rinad Tabbalat, MD 1, Kavya Kelagere Mayigegowda, MD1, Aditya Medical Center Pinnacle, Harrisburg, PA Kalakonda, MD2, David Desilets, MD, PhD1; 1University of Massachusetts Medical School - Baystate Medical Center, Springfield, MA;2 University of P0040. Abdominal Pain, Hypotension With Rectal Bleeding: A Unique Massachusetts, Baystate Medical Center, Springfield, MA Presentation of Emphysematous Cholecystitis From Squamous Cell Carcinoma of Gallbladder (GB) P0052. A Rare Case of Isoniazid Induced Pancreatitis Christopher Andrade, MD, Harish Guddati, MD, Hilary Hertan, MD, FACG; Mohammad A. Yousef, MD, Ebubekir S. Daglilar, MD, Farnaz Shariati, MD, Montefiore Medical Center, Bronx, NY Kevin P. Cowley, MD, Nyan L. Latt, MD; Ochsner Clinic Foundation, New Orleans, LA P0041. Solid Peusdopapillary Neoplasm (SPEN): A Rare Pancreatic Tumor With Good Prognosis P0053. Potentiating Effects of Sorafenib and Tacrolimus Causing Acute Christopher Andrade, MD, Harish Guddati, MD, Waqas Nawaz, MD, Hilary Pancreatitis Secondary to Grade IV Hypertriglyceridemia: Case Report Hertan, MD, FACG; Montefiore Medical Center, Bronx, NY Kevin Brown, MD1, Carlos Vergara, BS2, Janelle Cuervo, DO, MS3, Marcelo Fernandes, MD1, Salih N. Grevious, MD1; 1University of Miami Jackson Memorial Hospital, Miami, FL; 2Poltificia Universidad Javeriana Cali, Miami, FL; 3University of Miami, Miami, FL

P0054. Hepatic Abscess: A Rare Complication of Sump Syndrome P0065. Clonorchiasis Manifesting as Obstructive Jaundice: An Endoscopic Gregory Beck, MD1, Hyaehwan Kim, MD2, Drew Triplett, DO1; 1Wright State Diagnosis of Biliary Parasitosis Caused by the Chinese Liver Fluke University Boonshoft School of Medicine, Dayton, OH; 2Wright Patterson Seina Farshadsefat, DO1, Yu Chen, DO2, Belinda Grace Gopito, BS, MSc, Air Force Base, OH/USAF, Wright Patterson AFB, OH DO3, Jon Mackey, DO3, Bashar Hmoud, MD3; 1St. John Providence Health System, Sterling Heights, MI; 2St. John Providence Health System, P0055. A Case of a Malignant Neuroendocrine Tumor with a Coincidental Macomb-Oakland, Oak Park, MI; 3St. John Providence Health System, Mimicker of Malignancy Macomb-Oakland, Warren, MI Emily Tommolino, MD, Bradley Warren, DO; Providence Hospital, Southfield, MI P0066. A Unique Case of Hepatolithiasis in the Setting of Situs Inversus Managed Non-Operatively with ERCP P0056. Intraductal Papillary Mucinous Neoplasm of the Duct of Santorini Michelle Tong, MD1, Sang-Hoon Kim, MD2; 1New York Presbyterian Queens, in the Absence of Pancreatic Divisum Flushing, NY; 2New York-Presbyterian Queens, Flushing, NY Yasmin G. Hernandez-Barco, MD1, Juan Carlos Bucobo, MD2; 1Massachusetts General Hospital, Boston, MA; 2Stony Brook University P0067. Adefovir-Induced Pancreatitis: A Rare but Serious Side Effect Hospital, Stony Brook, NY Ranjit Makar, MD1, Yousif Elmofti, MD2, Faizan Sheraz, MD3, Trevor Houston, MD3, Shahid Wahid, MD1; 1University of Nevada Las Vegas School P0057. Migrated Biliary Stent Causing Perforation of Sigmoid Colon of Medicine, Las Vegas, NV; 2University of Las Vegas School of Medicine, Kavitha Juvvala, MBBS1, Ali Marhaba, MD1, Leslie Bank, MD, FACG2; Las Vegas, NV; 3University of Nevada Las Vegas, Las Vegas, NV 1Binghamton Gastroenterology Associates, Binghamton, NY; 2Upstate Medical University, Binghamton, NY P0068. TB or Not TB: A Rare Case of Biliary Obstruction From Peripancreatic Tuberculosis P0058. Post-Pancreatitis Gastrointestinal Bleed: A Key Association for a Sumair Ahmad, MD, MPH, Joshua Aron, MD, Nnaemeka Anyadike, MD, Difficult Diagnosis Aaron Walfish, MD, Umer Syed, MD, Soohwan Chun, MD, Uday Shankar, Amreet K. Aujla, MD1, Karthik Gonuguntla, MBBS1, Daniela G. Vinsard, MD1, MD; Icahn School of Medicine, Elmhurst, NY Alexander Perelman, DO, MS2, Houman Rezaizadeh, MD3; 1University of Connecticut Health, Farmington, CT; 2University of Connecticut Health P0069. How Did the Fatty Pancreas Reverse to Normal? Center, Farmington, CT; 3University of Connecticut, Farmington, CT Mary Barbara, MD, Laura Rosenkranz, MD; University of Texas Health San Antonio, San Antonio, TX P0059. Iatrogenic Necrotizing Gallstone Pancreatitis Complicated by Cholangitis: Post-Cholecystectomy Clip as a Nidus for Common Bile Duct P0070. A Rare Case of Pancreatitis Due to Trans-Hiatal Herniation of the Stone Formation Pancreas Within a Type IV Hiatal Hernia Mohd Amer Alsamman, MD1, Jason Ferreira, MD2; 1Alpert Medical School Patrick Chen, DO1, David Do, MD1, Steve Mudroch, MD1, Rajan Prakash, of Brown University, Providence, RI; 2The Warren Alpert Medical School of MD1, Padmini Krishnamurthy, MD2; 1Wright State University, Dayton, OH; Brown University, Providence, RI 2Wright State University Boonshoft School of Medicine, Dayton, OH P0060. Acute Pancreatitis Secondary to Severe Hypertriglyceridemia: P0071. A Rare Diagnosis of an Overlap Syndrome of Primary Biliary Where Do We Stand with Intensive Insulin Therapy? Cholangitis and Primary Sclerosing Cholangitis Ahmed Munir, MBBS1, Sadat Iqbal, MD2, Faisal Inayat, MBBS3, Qulsoom Lisa Beyers, MD, Michelle L. Hughes, MD, Jonathan Huang, DO; University Hussain, MBBS4, Zarak H. Khan, MBBS5, Fahad Zafar, MBBS6, Hanan T. of Rochester Medical Center, Rochester, NY Lodhi, MBBS7, Abu Hurairah, MD8; 1Services Institute of Medical Sciences, Lahore, Islamabad, Pakistan; 2SUNY Downstate Medical Center, Brooklyn, P0072. A Rare Case of Acute Cholangitis in a Young Male with Tropical NY; 3Allama Iqbal Medical College, Lahore, Punjab, Pakistan; 4Shifa Chronic Pancreatitis-Induced Pancreatic Adenocarcinoma with Metastasis College of Medicine, Islamabad, Brooklyn, NY; 5Shifa College of Medicine, to the Liver Kelsey E. Collins, MD, Ari Young, MD, Michael Herman, MD, Gil Ascunce, Islamabad, Islamabad, Pakistan; 6King Edward Medical University, Lahore, MD; Mount Sinai Beth Israel, New York, NY Islamabad, Pakistan; 7University of Nebraska Medical Center, Omaha, NE; 8SUNY Downstate, Brooklyn, NY P0073. Double Duct Sign and Elevated CA 19-9 - Clinical Correlation Is Always Needed P0061. Occult BRAF-Positive Metastatic Melanoma of the Pancreas With 1 2 1 1 Primary Diagnosis by EUS-FNB: A Case Report Lauren Pioppo, MD , Dovid Moradi, MD , Haroon Shahid, MD ; Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; 2Rutgers Soorya Aggarwal, DO, Travis Magdaleno, DO, Hiral Shah, MD, FACG, Robert Wood Johnson Medical School, Hillside, NJ Shashin Shah, MD; Lehigh Valley Health Network, Allentown, PA P0062. Spontaneous Closure of a Large Transmural Gastric Defect After P0074. A Unique Case of Metastatic Merkel Cell Carcinoma Without a Removal of a Migrated AXIOS Stent Dermatologic Primary Isabelle Chu, BS1, Adam Russak, MD2, Jose Luis Aranez, MD1, John Miller, Ali Alshati, MD1, Indu Srinivasan, MD1, Keng-Yu Chuang, MD2; 1Maricopa MD1, Christopher Steevens, MD1; 1University of Rochester Medical Center, Integrated Health System, Phoenix, AZ; 2Maricopa Integrated Health Rochester, NY; 2University of Rochester School of Medicine, New York, NY System/St. Josephs Hospital and Medical Center, Phoenix, AZ P0063. Looking Across the Diaphragm: Pancreaticopleural Fistula as a P0075. A Case of Post-cholecystectomy Biloma Causing Gastric Outlet Rare Cause of Shortness of Breath Obstruction Kanza Soomro, DO1, Linoj Panicker, DO1, Faiz Javed, DO2, Jamie L. Fiorela Calderon Sandoval, MD, Robert J. Matlock, MD; Hennepin County Skrove, DO2, Dominic M. Colella, DO3, Juan Sarol, MD2, Javier Sobrado, Medical Center, Minneapolis, MN MD2; 1Larkin Community Hospital, South Miami, FL; 2Larkin Community P0064. Internal Migration of Lumen-Apposing, Fully Covered Self- Hospital, Miami, FL; 3Nova Southeastern University, Larkin Hospital, South Expanding Metal Stent Used for Walled off Pancreatic Necrosis: An Miami, FL Approach for Retrieval Muhammad Haris, MD1, Christopher Moreau, BSBME1, Jonathan Foster, DO1, Laura Rosenkranz, MD1, Hari Sayana, MD2; 1University of Texas Health San Antonio, San Antonio, TX; 2University of Texas Health Science Center at San Antonio, San Antonio, TX

48 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0076. Novel Technique Using EUS Guided Submucosal Injection to P0087. A Vanishing Heterogeneous Mass Arising From the Antrum: SUNDAY Aid Minor Papilla Identification in a Patient With Pancreas Divisum and Ectopic Pancreatitis Masquerading as Malignancy Pancreaticolithiasis Rani Berry, MD, Wendy Ho, MD; University of California Los Angeles, Ross F. Pinson, MD1, Wassem Y. Juakiem, MD2, Ryan Cho, MD1, John P. Ronald Reagan Medical Center, Los Angeles, CA Magulick, MD1, Charles B. Miller, MD1, Craig M. Womeldorph, DO1; 1San Antonio Uniformed Services Health Education Consortium, Fort Sam P0088. Peripheral T-Cell Lymphoma Presenting as a Pancreatic Mass: Houston, TX; 2Keesler Medical Center, Keesler AFB, MS Case Report and Review of Literature Mahak Chauhan, MD1, Vivek Kaul, MD, FACG2; 1University of Missouri, P0077. Pancreatic Amyloidoma Kansas City, MO; 2University of Rochester, Rochester, NY Ahmed Messallam, MD1, Vaidehi Avadhani, MD1, Sunil Dacha, MBBS2; 1Emory University, Atlanta, GA; 2Emory University School of Medicine, P0089. Fatty Pancreas as a Reversible Cause of Exocrine Pancreatic Atlanta, GA Insufficiency: A Case Series Dustin Kiker, MD1, Alexander Pieper2, Chris Fourment, MD3, Timothy E. P0078. A Rare Case of High-Grade Metastatic Cystic Pancreatic Ritter, MD3; 1Texas Digestive Disease Consultants, Cedar Park, TX; 2Texas Neuroendocrine Tumor Digestive Disease Consultants, Southlake, TX; 3Texas Digestive Disease Inuk Zandvakili, MD, PhD, Shounak Majumder, MD; Mayo Clinic, Rochester, Consultants, PA, Southlake, TX MN P0090. Pancreatic Pleomorphic Carcinoma Presenting as Recurrent Acute P0079. Endoscopic Dual-Modality Drainage of a Post-Operative Pancreatic Pancreatitis and Walled-Off Pancreatic Necrosis Diagnosed by Direct Fluid Collection Endoscopic Necrosectomy With Biopsy Jason D. Jones, MD, Jessica Hollingsworth, MD, Nyree Thorne, MD, Girish Elijah Mun, MD, Samuel Dunn, MD; University of Washington, Seattle, WA Mishra, MD, Rishi Pawa, MBBS; Wake Forest School of Medicine, Winston- Salem, NC P0091. Pancreatic Mass: Not What You Would Expect Junghyun Lim, BA1, Abhijeet Waghray, MD2, Sukeerti Kesar, MD2, Mark P0080. Cholangitis Requiring Common Bile Duct (CBD) Resection Due to a J. Sterling, MD2, Aaron M. Dickstein, MD2; 1Tufts University School of Migrated and Buried Metal Biliary Stent Medicine, Boston, MA; 2Tufts Medical Center, Boston, MA Harish Guddati, MD, Nikita Fernandes, MD, Hilary Hertan, MD, FACG; Montefiore Medical Center, Bronx, NY P0092. A Rare Case of Obstructive Jaundice After Endoscopic Sphincterotomy P0081. A Patient with Chronic Lymphocytic Leukemia with a Metastasis to Jamie L. Skrove, DO1, Hector Gonzalez, MD2, Saras Sharma, DO3, Javier Pancreas: A Rare Case Report Sobrado, MD4; 1Larkin Community Hospital, Miami, FL; 2Florida Atlantic Rajesh Essrani, MD1, Matthew J. Sullivan, DO2, Hiral Shah, MD, FACG2; University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 1Lehigh Valley Health Network, Danville, PA; 2Lehigh Valley Health 3Larkin Community Hospital, South Miami, FL; 4Gastromed, Miami, FL Network, Allentown, PA P0093. A Case of Ectopic Pancreas Presenting as Small Bowel Obstruction P0082. Acute Necrotizing Pancreatitis: Concurrent Fungal and Bacterial Vishal Kaila, MD1, Vijaya Kaila, MD2, Mohamed Othman, MD3; 1Texas Health Infection Presbyterian, Dallas, TX; 2Memorial Hermann, Houston, TX; 3Baylor Sowminya Arikapudi, MD, Laith Al momani, MD, Muazzam Ali, MD, College of Medicine, Houston, TX Manisha Nukavarapu, MD, Jack Goldstein, MD; East Tennessee State University, Johnson City, TN P0094. An Unusual Case of Marijuana-Induced Acute Pancreatitis Soney Basnyat, MD1, Milan Patel, MD1, Hira Irfan, MD2, Raveen Rai, MD1; 1St. P0083. A Case Demonstrating Utility of Pembrolizumab in Metastatic Mary Mercy Hospital, Livonia, MI; 2St. Mary Mercy Hosiptal, Livonia, MI Cholangiocarcinoma With Micro Satellite Instability Nihar Shah, MBBS1, Amreet K. Aujla, MD2, Aakash Desai, MBBS, MPH1, P0095. Endoscopic Ultrasound-Guided Fine Needle Biopsy of Timothy Hong, MD1; 1University of Connecticut Health Center, Farmington, Retroperitoneal Lymphadenopathy: A Case of Chronic Lymphocytic CT; 2University of Connecticut Health, Farmington, CT Leukemia Jinendra Satiya, MD1, Ingrid Schwartz, MD2, Sandy Liu, MD3, Rtika P0084. Escitalopram Induced Pancreatitis: An Unusual Culprit Abraham, MD4, Mohit Girotra, MD, FACP4; 1University of Miami Leonard Zaid Imam, MBBS1, Abdulrahman Abonofal, MBBS2, Majd Khasawneh, M. Miller School of Medicine / Palm Beach Regional GME Consortium, MD3, Fadi Odish, MD1, Ismail Hader, MD4; 1William Beaumont Hospital, Atlantis, FL; 2University of Miami Leonard M. Miller School of Medicine / Royal Oak, MI; 2Jordan University of Science and Technology, Royal Jackson Memorial Hospital, Miami, FL; 3University of Miami, Ellicott City, Oak, MI; 3William Beaumont Hospital, Clawson, MI; 4William Beaumont MD; 4University of Miami Leonard M. Miller School of Medicine, Miami, FL Hospital, West Bloomfield, MI P0096. A Rare Case of a Double Primary of the Pancreas and the P0085. Undifferentiated Carcinoma with Osteoclast-Like Giant Cells of Esophagus Diagnosed on Endoscopic Ultrasound Pancreas: A Case Report Jinendra Satiya, MD1, Ingrid Schwartz, MD2, Sandy Liu, MD3, Rtika Rupesh Manam, MD1, Dhishna Chaudhary, MD1, Kevan Manraj, MD1, Lianne Abraham, MD4, Mohit Girotra, MD, FACP4; 1University of Miami Leonard K. Cavell, MD 2; 1Florida Atlantic University, Charles E. Schmidt College of M. Miller School of Medicine / Palm Beach Regional GME Consortium, Medicine, Boca Raton, FL; 2Florida Atlantic University, Boynton Beach, FL Atlantis, FL; 2University of Miami Leonard M. Miller School of Medicine / Jackson Memorial Hospital, Miami, FL; 3University of Miami, Ellicott City, P0086. Hemobilia in the Setting of Recurrent Gastric Carcinoma MD; 4University of Miami Leonard M. Miller School of Medicine, Miami, FL Rani Berry, MD1, Tara Vartanian, MD2, James Han, MD3, James H. Tabibian, MD, PhD4; 1University of California Los Angeles, Ronald Reagan Medical P0097. Ciliated Foregut Cyst of Pancreas: A Rare Clinical Entity Diagnosed Center, Los Angeles, CA; 2Western University of Health Sciences, College Using EUS-Guided Through-the-Needle Cyst Wall Biopsy of Osteopathic Medicine of the Pacific, Pomona, CA;3 University of Navin Paul, MD, Kenneth Youens, MD; Sanford Medical Center, Fargo, ND California Irvine Medical Center, Anaheim, CA; 4University of California Los Angeles, Sylmar, CA P0098. Isolated Tubulovillous Adenoma of the Bile Duct Milan Patel, MD1, Pritesh Mutha, MD, MPH1, Tilak Shah, MD, MHS2; 1VCU Medical Center/ McGuire VA Medical Center, Richmond, VA; 2Hunter Holmes McGuire VAMC/Virginia Commonwealth University, Richmond, VA

P0099. Grey Turner’s Sign: A Myth Still Needs to Be Clarified P0109. Anti-Protozoal Enema Treatment for Blastocystis hominis and Kyawzaw Lin, MD, Aung Naing Lin, MD, Andrew Ofosu, MD, MPH, Dientamoeba fragilis: Does Volume Matter? Emmanuel Ofori, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Antoinette Le Busque, BN, MN, MN-NP, Anoja W. Gunaratne, BAMS, MSc, Center, Brooklyn, NY PhD, Manvendra Saxena, BSc, MSc, MBA, PhD, Denise Pilarinos, BN, Priya Maistry, BSc, Harriet Kingston-Smith, BMLs, Annabel Clancy, BND, PhD, P0100. A Silent Solid Intraductal Adenocarcinoma of Pancreas: Thomas J. Borody, MD, PhD, DSc; Centre for Digestive Diseases, Five A Silent Killer Dock, New South Wales, Australia Kyawzaw Lin, MD, Andrew Ofosu, MD, MPH, Febin John, MD, Yingxian Liu, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY P0110. Role of Concomitant Immunosuppression in the Efficacy and Safety of Ustekinumab: Post-Hoc Analyses of UNITI P0101. Unusual Presentation of Pancreatic Cancer: A Case Report and Stephen Hanauer, MD1, Bernie Sattin, PhD2, Douglas Jacobstein, MD3, Review of Literature Long-Long Gao, PhD4, Christopher Gasink, MD4, Paul Rutgeerts, MD, Saif Bella, MD1, Atif Saleem, MD2, Mark Shumeyko, MD3; 1Wilson Hospital, PhD5, Subrata Ghosh, MD6; 1Northwestern University Feinberg School Johnson City, NY; 2Wilson Hospital, Binghamton, NY; 3United Health of Medicine, Chicago, IL; 2Janssen Inc, Toronto, ON, Canada; 3Janssen Services Hospitals, Johnson City, NY Research & Development, LLC, Spring House, PA; 4Janssen Scientific P0102. Pseudocirrhosis Secondary to Metastatic Breast Cancer Diagnosed Affairs, LLC, Horsham, PA;5 University Hospital Gasthuisberg, Leuven, by EUS-Guided Liver Biopsy Vlaams-Brabant, Belgium; 6University of Birmingham, Birmingham, Benjamin Eidenschink, MD1, Hong Qi Peng, MD2, Navin Paul, MD2; England, United Kingdom 1 2 University of North Dakota School of Medicine, Fargo, ND; Sanford P0111. Does Everyone Need Early Colonoscopy? Select Group of Patients Medical Center, Fargo, ND Might Benefit From Early Screening for Colorectal Cancer - An Update P0103. IgG4 Autoimmune Pancreatitis: A G-Force Worth Fighting Mohammad Bilal, MD1, Yamam I. Al-Saadi, MD2, Thanh-Truc Le, MD1, Gilad Shapira, DO, Manoj Kumar, MD, MPH, Caitlin Marshall, MD, Nicholas Shailendra Singh, MD3, Praveen Guturu, MD, FACG1; 1University of Texas Ludvik, MD, C. Alex Wiles, BA, Alan Schumann, BS, Divya Nadella, MD, Medical Branch, Galveston, TX; 2University Of Texas Medical Branch Leonel Maldonado, MD, Kelly Roveda, MD, Meir Mizrahi, MD; University of Galveston, Galveston, TX; 3West Virginia University, Charleston Area South Alabama, Mobile, AL Medical Center, Charleston, WV P0104. Persistent Bacteremia, Hepatic Abscesses, and Infective P0112. Efficacy of Naldemedine for the Treatment of Opioid-Induced Endocarditis Complicating a Case of Acute Cholangitis Constipation: A Meta-Analysis Laith Al momani, MD1, Hossam Alslaim, MD2, Maria Zayko, MD1, Tyler Mohammad Esmadi, MD1, Dina Ahmad, MD2, Alexander Hewlett, DO3; Aasen, DO1, Jason McKinney, DO1, Mark Young, MD1; 1East Tennessee State 1Methodist Health System, Omaha, NE; 2Creighton University, Omaha, NE; University, Johnson City, TN; 2Augusta University, Augusta, GA 3University of Nebraska Medical Center, Omaha, NE P0105. Pancreatic Head Mass: A Textbook Case P0113. Relationship and Outcomes of Ischemic Bowel Disease and Krishen Patel, MD, Jeffrey Kooper, MD; University of South Florida, Clostridium difficile Tampa, FL Adeyinka Adejumo, MD, MS1, Olalekan Akanbi, MD, MPH2, Itegbemie Obaitan, MD3, Olufunso M. Agbalajobi, MD, MPH4, Olumuyiwa Akinbolaji. P0106. A Case Report of Primary Neuroendocrine Carcinoma of Biliary Ogundipe, MBBS,MS (in training)5; 1North Shore Medical Center, Lowell, Duct With Hepatic Metastases Combined With Clonorchis Sinensis MA; 2University of Kentucky College of Medicine, Lexington, KY; Infection 3University of Minnesota, Minneapolis, MN; 4University of Pittsburgh 1 2 1 Kang Nam Bae, MD , Jae Hyuck Chang, MD, PhD ; The Catholic University Medical Center, Pittsburgh, PA; 5Applied clinical research program/ of Korea College of Medicine, Seoul, Seoul-t’ukpyolsi, Republic of Korea; Stcloudstate university, Plymouth, MN 2Catholic University, Bucheon St. Mary’s Hospital, Bucheon, Kyonggi-do, Republic of Korea P0114. Automated Text Message Navigation to Improve Preparation Quality and Show Rate for Colonoscopy Nadim Mahmud, MD, MS, MPH1, Sahil Doshi1, Mary Coniglio, MBA1, Michelle COLON Clermont, MD1, Donna Bernard, MSN2, Catherine Reitz, MPH3, Vandana Khungar, MD, MSc1, David A. Asch, MD, MBA3, Shivan J. Mehta, MD, P0107. Use of Lyophilised Microbiota Capsules for Fecal Microbiota MBA, MSHP3; 1Hospital of the University of Pennsylvania, Philadelphia, Transplantation in Patients With Clostridium difficile Infection PA; 2Penn Presbyterian Medical Center, Philadelphia, PA; 3University of Annabel Clancy, BND, PhD, Anoja W. Gunaratne, BAMS, MSc, PhD, Priya Pennsylvania, Philadelphia, PA Maistry, BSc, Harriet Kingston-Smith, BMLs, Manvendra Saxena, BSc, MSc, MBA, PhD, Thomas J. Borody, MD, PhD, DSc; Centre for Digestive P0115. Colonic Stent Placement for Malignancy-Related Large Bowel Diseases, Five Dock, New South Wales, Australia Obstruction: Characteristics of Subsequent Surgical Intervention Michelle Tong, MD1, Samson Ferm, MD2, Constantine Fisher, MD1, Akil P0108. Screening Colonoscopy Polyp, Adenoma and Sessile Serrated Hassam, MD1, Sang-Hoon Kim, MD2, Moshe Rubin, MD2; 1New York Adenoma Detection Rate Differences in Hispanics and Whites in Age- Presbyterian Queens, Flushing, NY; 2New York-Presbyterian Queens, Matched Cohorts Flushing, NY Mohammed F. Ali, MD1, Jasleen Grewal, MD2, William Karnes, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of P0116. Features of Microscopic Colitis in Cancer Patients Receiving Immune California Los Angeles Medical Center, Los Angeles, CA Checkpoint Inhibitors Kati Choi, MD1, Hamzah Abu-Sbeih, MD2, Rashmi Samdani, MD2, Gottumukkala Raju, MD2, David Richards, MD2, John Stroehlein, MD2, Yinghong Wang, MD2; 1Baylor College of Medicine, Houston, TX; 2University of Texas MD Anderson Cancer Center, Houston, TX

50 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0117. Long Term Efficacy and Safety Profile of Fecal Transplants for P0125. Clostridium difficile Outcomes in HIV-Seropositive Patients SUNDAY Treatment of Recurrent C. difficile Infection Sarah C. Noble, MD1, Olga C. Aroniadis, MD, MS2, Fatimah Rimawi, Bryce Perler, MD1, Brendan Chen, MD1, Jessica R. Allegretti, MD, MPH2, MD1, Uriel Felsen, MD, MPH3, David B. Hanna, PhD4, Paul Feuerstadt, Monika Fischer, MD, FACG3, Edward Krajicek, MD3, Jenna Marcus2, Lotem MD, FACG5, Lawrence J. Brandt, MD, MACG 2, Martin Packer, RN2; 1New Nativ, BS4, Emmalee L. Phelps, BS3, Colleen R. Kelly, MD1; 1Warren Alpert York Presbyterian/Columbia, New York, NY; 2Albert Einstein College of Medical School of Brown University, Providence, RI; 2Brigham & Women’s Medicine/Montefiore Medical Center, Bronx, NY;3 Montefiore Medical Hospital, Boston, MA; 3Indiana University, Indianapolis, IN; 4Brigham & Center, Bronx, NY; 4Albert Einstein College of Medicine, Bronx, NY; Women’s Hospital, Chestnut Hill, MA 5Yale University School of Medicine / Gastroenterology Center of Connecticut, Westport, CT P0118. Serum Levels of Zonulin and Risk of Colorectal Tumor: A Pilot Case Control Study P0126. Cryptogenic Infections That May Present as Colon Cancer - Shawn Gurwara, MD, Liang Chen, MD, MS, Sarah Plew, BS, Themis A Systematic Review of 42 Cases Kourkoumpetis, MD, Daniel Rosen, MD, Donna White, PhD, MPH, David Parth Desai, DO1, Palashkumar Jaiswal, MBBS2, Bashar M. Attar, MD, Y. Graham, MD, MACG, Hashem El-Serag, MD, MPH, Li Jiao, MD, MS, PhD; PhD1, Pradeep Parajuli, MD1, Aswathi Chandran, MD1, Radhika Jaiswal, Baylor College of Medicine, Houston, TX MD3, Sanjay Patel, MD1, Manthan Jayswal, MS4, Yuchen Wang, MD1, Naser Yamani, MD1, Gurpartap Sidhu, MD1; 1Cook County Health and Hospitals P0119. Epidemiology of Non-Malignant Gastrointestinal Disorders System, Chicago, IL; 2John H. Stroger, Jr. Hospital of Cook County, in Individuals With Cystic Fibrosis in the U.S. From 2013 to 2018: Chicago, IL; 3Forest Hills Hospital, Rego Park, NY; 4B.J. Medical College, A Population-Based National Study Ahmedabad, Gujarat, India Michael Glover, BS1, Emad Mansoor, MD2, Gregory Cooper, MD3, Linda Cummings, MD3; 1Case Western Reserve University, Cleveland, OH; 2Case P0127. Clinical Presentation and Outcome of Diverticulitis in HIV Patients Western Reserve University/University Hospitals Cleveland Medical Rafeeq Ahmed, Danial Shaikh, Shehriyar Mehershahi, Vamsi Amanchi, Center, Cleveland, OH; 3University Hospitals Cleveland Medical Center, Siddarth Hanumanthu, MS, Aiyi Zhang, MS, Bhavna Balar; BronxCare Cleveland, OH Hospital Center, Bronx, NY P0120. Comparing the Real-World Effectiveness of Competing P0128. Independent Factors Affecting Varying Adenoma Detection Rate Colonoscopy Bowel Preparations on Bowel Cleansing and Adenoma Between Gastroenterologists Detection: Results of a Large Prospective Trial Lindsey Merritt, DO1, Eric Berthiaume, MD1, Alisa Merolli, MD2; 1Kent Shiven Chaudhry, MD1, Phillip Gu, MD2, Daniel Lew, MD1, Jeffery Ko, MD1, Hospital, University of New England College of Osteopathic Medicine, Ebrahim Mirakhor, MD1, Aarshi Vipani, MD1, Sun Jung Oh, MD1, Varun Warwick, RI; 2Warren Alpert Medical School of Brown University, Pattisapu, MD1, Kevin Hsu, MD1, Tia Bullen, RN, BSN, CPAN1, Brennan M. Providence, RI R. Spiegel, MD, MSHS1, Christopher Almario, MD, MSHPM1; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2UT Southwestern, Los Angeles, CA P0129. Colonoscopy Findings in Patients with Development of Esophageal Carcinoma P0121. Adding Visual Cues to Improve the Yield of Screening Colonoscopy - Lilia Stefaniwsky, MD, MBA1, Sajiv Sethi, MD1, Meghana Vellanki, MD1, Taking Advantage of the Hawthorne and Novelty Effects Prasad Kulkarni, MD 2; 1University of South Florida, Tampa, FL; 2University Tagore Sunkara, MD1, Christopher Brana, MD2, Eric O. Then, MD2, of South Florida, James A. Haley VA, Tampa, FL Sriharsha Dadana, MD2, Sabrina Brana, MD2, Tina Wexler, MD2, Prashanth Rawla, MD3, Andrew Ofosu, MD, MPH4, Nithan Narendra, MD2, Andrea P0130. Impact of Clostridium difficile Colitis on Hospitalizations With End Culliford, MD2, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Stage Renal Disease (ESRD) Raja Chandra Chakinala, MD1, Shantanu Solanki, MD, MPH1, Khwaja F. Haq, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY;2 SBH Health MD2, Christopher Nabors, MD, PhD1, Muhammad Ali Khan, MD3, Zubair System, Bronx, NY; 3Memorial Hospital of Martinsville and Henry County, Khan, MD, CMQ4, Nauman Siddiqui, MD5, Abhishek Bhurwal, MBBS, MD6, Martinsville, VA; 4The Brooklyn Hospital Center, Brooklyn, NY Mohammad Arsalan Siddiqui, MD2, Muhammad Talha Farooqui, MD7, P0122. History of Vaginal Delivery Is an Independent Risk Factor for Anam S. Burney, MD8, Saba Iqbal, MD9, Khwaja S. Haq, MBBS10, Azam Diverticular Disease H. Burney, MD8, Savneek S. Chugh, MD11; 1New York Medical College at Laura Horton, MD1, Alison Goldin, MD, MPH1, Walter W. Chan, MD, Westchester Medical Center, Valhalla, NY; 2Henry Ford Hospital, Detroit, MPH2; 1Brigham & Women’s Hospital, Boston, MA; 2Brigham & Women’s MI; 3University of Tennessee Health Science Center, Memphis, TN; Hospital/Harvard Medical School, Boston, MA 4University of Toledo Medical Center, Toledo, OH; 5Tufts Medical Center, Boston, MA; 6Rutgers Robert Wood Johnson University Hospital, New P0123. Fidaxomicin versus Vancomycin for the Treatment of First Episode Brunswick, NJ; 7Memorial Hermann Hospital, Pearland, TX; 8Kingsbrook of Clostridium difficile Infection: A Meta-Analysis and Systematic Review Jewish Medical Center, Brooklyn, NY; 9Sahara Medical Associates, Jersey Laith Al momani, MD1, Omar Abughanimeh, MD2, Boonphiphop City, NJ; 10Kingsbrook Jewish Medical Center, Woodbury, NY; 11New York Boonpherg, MD1, Joseph Gabriel, MD1, Mark Young, MD1; 1East Tennessee Medical College at Westchester Medical Center, Hawthorne, NY State University, Johnson City, TN; 2University of Missouri School of Medicine, Kansas City, MO P0131. Use of Curcumin in Achieving Clinical and Endoscopic Remission in Ulcerative Colitis: A Systematic Review and Meta-Analysis P0124. The Association Between Smoking and Microscopic Colitis: Umair Iqbal, MD1, Hafsa Anwar, MBBS2, Munib Aftab, MD1; 1Bassett Medical A Meta-Analysis Center, Cooperstown, NY; 2Dow University of Health and Sciences, Laith Al momani, MD, Harika Balagoni, MD, Sowminya Arikapudi, MD, Cooperstown, NY Boonphiphop Boonpheng, MD, Tyler Aasen, DO, Mark Young, MD; East Tennessee State University, Johnson City, TN P0132. Evaluation of Fecal Microbiota Transplantation versus Vancomycin Taper With Kefir Supplementation as Treatment of Multiply Recurrent Clostridium difficile Infection: Recurrence and Reinfection Thomas Dieringer, MD1, Abhishek Shenoy, MD1, Thomas Hunold, BSPH2, Cirle Warren, MD3, R. Ann Hays, MD3; 1University of Virginia Health System, Charlottesville, VA; 2University of Virginia, Charlottesvile, VA; 3University of Virginia, Charlottesville, VA

P0133. Do Medications and Diseases Associated with Colon Ischemia (CI) COLON Vary by Age Group? Clinical Vignettes / Case Reports Michael Silverman, MD1, Olga C. Aroniadis, MD, MS2, Paul Feuerstadt, MD, FACG3, Marc Fenster, MD4, Tsipora M. Huisman, MD4, Muhammad S. P0141. Kayexalate Induced Colonic Ulceration: A Case Report and Clinical Mansoor, MD5, Abdul Qadir Bhutta, MD6, Lawrence J. Brandt, MD, MACG Review 2; 1Cleveland Clinic Foundation, Cleveland, OH; 2Albert Einstein College of Tristan Fun, BA, Karthik Garapati, MD, Chirag Patel, MD, Juan Echavarria, Medicine/Montefiore Medical Center, Bronx, NY;3 Yale University School MD, Brian Klazynski, MD; University of Texas Health San Antonio, San of Medicine / Gastroenterology Center of Connecticut, Westport, CT; Antonio, TX 4Icahn School of Medicine at Mount Sinai, New York, NY; 5Albany Medical Center, Albany, NY; 6Yale New Haven Hospital, New Haven, CT P0142. Pneumatosis Coli Complicating Clostridium difficile Pseudomembranous Colitis P0134. Examining 30-Day Readmission Rate and Associated Factors in Marcelle Meseeha, MD, Maximos Attia, MD, Tsujung Yang, MD; Guthrie Patients Hospitalized for Diverticulitis Using Nationwide Readmission Clinic/Robert Packer Hospital, Sayre, PA Database Shashank Sarvepalli, MD, MS, Sushil Garg, MD; Cleveland Clinic, P0143. Streptococcus bovis Bactremia and Colon Cancer: A Well Cleveland, OH Established but Frequently Forgotten Association Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer P0135. Medications Associated Polyp Reduction in Patients With Left- Hospital, Sayre, PA Sided Diverticulosis Shashank Sarvepalli, MD, MS1, Ari Garber, MD1, Michael Rothberg, MD, P0144. An Unusual Polyp in the Colon MPH1, John McMichael, PhD1, Gareth Morris-Stiff, MD, PhD1, John J. Vargo, Randhir Jesudoss, MD; University of Iowa Hospitals & Clinics, Iowa City, IA MD2, Maged Rizk, MD1, Carol A. Burke, MD, FACG2; 1Cleveland Clinic, P0145. A Case of Colitis Cystica Profunda 2 Cleveland, OH; Digestive Disease Institute/Cleveland Clinic Foundation, Mohammed F. Ali, MD1, Michael Lugo, BS1, David P. Lee, MD, MPH2, Jason Cleveland, OH Samarasena, MD1; 1University of California Irvine Medical Center, Orange, 2 P0136. Beta-Blocking Colorectal Cancer CA; University of California Irvine, Orange, CA Tejal Mistry, MD1, Van Morris, MD2; 1University of Texas Health Science P0146. Pseudomembranous Gastritis of Unknown Etiology 2 Center at Houston, Houston, TX; University of Texas MD Anderson Mayuri Kulkarni, BSc, MD1, Rovin Saxena, MD2, Sahla Hammad, MD2, Cancer Center, Houston, TX Monica Nicola, MD, FACP2, Mihaela Batke, MD2; 1St. Joseph Mercy Oakland 2 P0137. Procalcitonin in Uncomplicated Diverticulitis (ProUD) Hospital, Livonia, MI; St. Joseph Mercy Oakland Hospital, Pontiac, MI Firas Ido, MD1, Lina Masso, MD2, Vesna Tegeltija, MD, MBA3, Zain Kulairi, P0147. Poopy Pancolitis From Idelalisib Cessation 4 1 2 MBChB ; Wayne State University, Rochester Hills, MI; Wayne State Mayuri Kulkarni, BSc, MD1, Rovin Saxena, MD2, Sahla Hammad, MD2, 3 University, Farmington Hills, MI; Wayne State University, Rochester, MI; Mihaela Batke, MD2; 1St. Joseph Mercy Oakland Hospital, Livonia, MI; 2St. 4 Wayne State University, West Bloomfield, MI Joseph Mercy Oakland Hospital, Pontiac, MI P0138. Prevalence and Impact of Clostridium difficile Infection (CDI) P0148. Lyophilised Full Spectrum Microbiota Capsules for Treatment of in Pregnancy Severe Clostridium difficile Infection in 2 Patients in ICU: A Case Study 1 2 3 Prabin Sharma, MD , Rodrigo Aguilar, MD , Mark Nader, MD , John George, Priya Maistry, BSc1, Tae Jun Kim, BSc, BMed2, Dean Yeh, BMed, FRACS2, 1 4 5 MD , Shreesh Shrestha, MD , Tejas V. Joshi, MD , Paul Feuerstadt, MD, Anoja W. Gunaratne, BAMS, MSc, PhD1, Annabel Clancy, BND, PhD1, 6 1 2 FACG ; Yale University Bridgeport Hospital, Bridgeport, CT; Marshall Manvendra Saxena, BSc, MSc, MBA, PhD1, Thomas J. Borody, MD, PhD, 3 University, Huntington, WV; Kidney Care Consultants, Memphis, TN; DSc1; 1Centre for Digestive Diseases, Five Dock, New South Wales, 4 5 University of Tennessee, Memphis, TN; LSU Health New Orleans School Australia; 2Liverpool Hospital, Liverpool, New South Wales, Australia of Medicine, New Orleans, LA; 6Yale University School of Medicine / Gastroenterology Center of Connecticut, Westport, CT P0149. An Unusual High Grade Anorectal Neuroendocrine Carcinoma Arslan Talat, MD1, Mehreen Elahee, MD2, Ankit Amin, MD2, Shivani Kwatra, P0139. Clinical Experience With a Double Balloon Interventional MD2, Paul Watanakunakorn, MD2; 1Western Reserve Health Education/ Endoscopic Platform to Facilitate Colonic Endoscopic Submucosal NEOEMD, Youngstown, OH; 2Western Reserve Health Education/ Dissection, Endoscopic Mucosal Resection and Endoscopic Suturing: First NEOMED, Youngstown, OH 137 Procedures  Presidential Poster Award P0150. Intussusception of the Appendix Associated With Endometriosis Sergey Kantsevoy, MD1, Avesh Joseph. Thuluvath, MD2, Amit Raina, Vincent M. Pronesti, DO1, Hebin Song, MD2, Marcia Mitre, MD1; 1Allegheny MD3; 1Mercy Medical Center, Owings Mills, MD; 2Johns Hopkins Health Network, Pittsburgh, PA; 2Allegheny General Hospital, Allegheny University School of Medicine, Baltimore, MD; 3Mercy Medical Center, Health Network, Pittsburgh, PA Ellicott City, MD P0151. Insight into Fecal Microbiota Transplant in an Immunocompromised P0140. Endoscopic Submucosal Dissection for Removal of Large Colorectal Patient Lesions: Initial Experience With a New Therapeutic Platform Vincent M. Pronesti, DO, Gurneet Bedi, MD, Heitham Abdul-Baki, MD; Sergey Kantsevoy, MD1, Avesh Joseph. Thuluvath, MD2, Amit Raina, Allegheny Health Network, Pittsburgh, PA MD3; 1Mercy Medical Center, Owings Mills, MD; 2Johns Hopkins 3 P0152. Primary Gastrointestinal Mantle Cell Lymphoma Involving Colon University School of Medicine, Baltimore, MD; Mercy Medical Center, and Gallbladder: A Case Report Ellicott City, MD Sameer Prakash, DO1, Shayan Siddiqui, MD1, Chandralekha Ashangari, MD1, Juan Garrido, MD1, Amit Trehan, MD2; 1Texas Tech University Health Sciences Center, Amarillo, TX; 2Amarillo Endoscopy Clinic, Amarillo, TX

52 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0153. An Unexpected Finding of Renal Cell Carcinoma Metastatic to the P0166. Rituximab-Associated Colitis: An Unusual Case Report SUNDAY Colon in a Complex Patient with Hematochezia Abhimanyu Aggarwal, MBBS, MD1, Emily Levoy, MD2, Michael Adam Russak, MD1, Isabelle Chu, BS2, Jose Luis Aranez, MD2, John Desimone, MD2, Kanishka Bhattacharya, MD2; 1Berkshire Medical Miller, MD2, Christopher Steevens, MD2; 1University of Rochester School Center, Pittsfield, MA;2 University of Massachusetts Medical School, of Medicine, New York, NY; 2University of Rochester Medical Center, Worcester, MA Rochester, NY P0167. Cavernous Hemangioma of the Colon: A Rare Cause of Rectal P0154. Mucinous Adenocarcinoma of the Appendix: A Deep-Seated Tumor Bleeding Carmine Catalano, MD, Daryl Ramai, MD, MScBR, Madhavi Reddy, MD, Shanti G. Rao, MD1, Saamia Faruqui, MD2, Aimee Homra, MD2, Vanessa FACG, Leon Kurtz, MD; The Brooklyn Hospital Center, Brooklyn, NY Mendez, MD2, Henry Hefler, MD3; 1Tulane University School of Medicine, New Orleans, LA; 2Tulane University, New Orleans, LA; 3SLVHCS D, New P0155. Midgut Volvulus as Presentation of Intestinal Malrotation in an Orleans, LA Elderly Patient Patricia Guzman Rojas, MD1, Reetika Sachdeva, MD1, Vladimir Neychev, P0168. SMAD4 Mutation and Combined Juvenile Polyposis Syndrome/ MD, PhD2, Prakash Pandalai, MD, FACS3; 1University of Central Florida, Hereditary Hemorrhagic Telangiectasia Kissimmee, FL; 2University of Central Florida College of Medicine, Jack Scolaro, MS 1, Deena Kapadia, MD2, Houssam Kharrat, MD3, Vani Orlando, FL; 3Orlando VAMC, Orlando, FL Thirumala, BS4, Seshadri Thirumala, MD5; 1Texas Tech University Health Sciences Center, School of Medicine, Lubbock, TX; 2Texas Tech University P0156. Delusional Parasitosis: A Deadly Disease Health Sciences Center, Lubbock, TX; 3Covenant Medical Center, Lubbock, Rinad Tabbalat, MD 1, Nicolas Cal, DO2, David Desilets, MD, PhD1; TX; 4University of Texas at Austin, Austin, TX; 5Ameripath, Lubbock, TX 1University of Massachusetts Medical School - Baystate Medical Center, Springfield, MA;2 Baystate Medical Center, Broad Brook, CT P0169. A Rare Case of Primary Isolated Kaposi’s Sarcoma of the Rectum in an HIV Patient P0157. Wound Infection Causing Monomicrobial Clostridium difficile Brian Frank, MD1, Liege Diaz, MD2, Jean Donet, MD3; 1Jackson Memorial Bacteremia Hospital, Miami, FL; 2University of Miami Jackson Memorial Hospital, Dina Hussam, MD1, Nathan A. Merriman, MD2, Alfred E. Bacon, III, Miami, FL; 3Johns Hopkins Hospital, Bethesda, MD MD 1; 1Christiana Health Care System, Newark, DE; 2Gastroenterology Associates of Delaware, Newark, DE P0170. A Rare Case of Metastatic Colon Cancer Involving the Right Atrium Presenting as Superior Vena Cava Syndrome P0158. A Rare Complication of an Ingested Foreign Body: Back Pain Harsh N. Patel, MD1, Nikesh Kapadia, MD1, Patrick Malafronte, MD2; Irene Mbih, MD1, Amir Rezk, MD2, John Boger, MD3; 1Geisinger Medical 1University of South Florida, Tampa, FL; 2Tampa General Hospital, center, Danville, PA; 2Geisinger Medical Center, Danville, PA; 3Geisinger Tampa, FL Health System, Dallas, PA P0171. NSAID-Induced Colitis Masquerading as Fistulizing Crohn’s Disease P0159. Sequential Fecal Microbiota Transplantation for the Treatment Marika Bergenstock, DO, Jessica McKee, DO, Amitpal S. Johal, MD; of Fulminant Clostridium difficile Infection in a Bone Marrow Transplant Geisinger Medical Center, Danville, PA Patient with Critically Low Neutrophil Count Edward Krajicek, MD, Monika Fischer, MD, FACG; Indiana University, P0172. An Unusual Case of Post Colonoscopy Colitis - A Pathological Indianapolis, IN Surprise Madhu Mathew, MD1, Mohamed A. Elkhouly, MD1, Chimezie U. Mbachi, P0160. Beyond the Borders of the Gastric Lumen: A Rare Case of Colonic MBBS2, Parth Desai, DO1, Alan Urbina, MD2, Satya Mishra, MD1, Bashar M. MALT Lymphoma Attar, MD, PhD1; 1Cook County Health and Hospitals System, Chicago, IL; Isabella Bergagnini, DO, Natasha Adlakha, MD, Amit Bhanvadia, MD, 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL David Robbins, MD, MSC; Lenox Hill Hospital, New York, NY P0173. A Case of Secondary Amyloidosis in a Patient with Well-Controlled P0161. The Elusive Erosion: Mesh Migration into the Colon Polymyalgia Rheumatica Samit K. Datta, MD1, Michael Schmalz, MD, FACG2; 1Aurora Sinai Medical Samuel Owen, MD1, Elizabeth Coss, MD2, Brian Klazynski, MD2; 1Brooke Center, Milwaukee, WI; 2Medical College of Wisconsin, Milwaukee, WI Army Medical Center, San Antonio, TX; 2University of Texas Health San P0162. The Bug Blockade: CMV-Induced Terminal Ileum Stricture Antonio, San Antonio, TX Samit K. Datta, MD, Samantha Huzzar-Tembei, DO, Anupama Inaganti, P0174. A Rare Case of Bevacizumab and Radiation-Induced Ischemic MD, Aboud Affi, MD; Aurora Sinai Medical Center, Milwaukee, WI Bowel Injury P0163. The PTEN Mutation in Cowden Syndrome: A Case Report Kelsey E. Collins, MD1, Michael Herman, MD1, Craig R. Gluckman, MD2, Ilan Chad Spencer, MD, Charles Elson, MD, Sooryanarayana Varambally, PhD, Weisberg, MD, MSc1; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Shajan Peter, MD; University of Alabama at Birmingham, Birmingham, AL Beth Israel Hospital, New York, NY P0164. An Unusual Cause of Bowel Obstruction P0175. A Rare Case of Red Man Syndrome with Oral Vancomycin Paul Paradiso, DO1, Dipesh Banker, MD2, Vishvinder Sharma, MD3, Brian Fray Martin Arroyo-Mercado, MD1, Onix Cantres Fonseca, MD2, Isabel Carlson, MD2, Phillip Oberg, DO1; 1Valley Hospital Medical Center, Las Maria McFarlane, MD1; 1SUNY Downstate Medical Center, Brooklyn, NY; Vegas, NV; 2Digestive Associates, Las Vegas, NV; 3Digestive Associates/ 2Veterans Affairs Caribbean Health System, San Juan, Puerto Rico Valley Hospital Medical Center, Las Vegas, NV P0176. The Incidental Discovery of Strongyloidiasis Colitis P0165. Quiet Before the Storm: Indolent Chronic Diverticulitis Mimicking Elizabeth Gold, DO, Travis Magdaleno, DO, Cheryl Bloomfield, MD; Lehigh Carcinoma Valley Health Network, Allentown, PA Shanti G. Rao, MD1, Saamia Faruqui, MD2, Eliza Lewine, BS1, Robin 2 2 2 1 P0177. Distal Intestinal Obstructive Syndrome (DIOS): A Gastrointestinal Staudinger, MD , Martin Moehlen, MD , Gregory Gaspard, MD ; Tulane Complication of Cystic Fibrosis in Adults University School of Medicine, New Orleans, LA; 2Tulane University, New Marianna G. Mavilia, DO1, Samuel Pope, MD2; 1University of Connecticut Orleans, LA Health Center, Farmington, CT; 2Hartford Hospital, Hartford, CT

P0178. Prostate Cancer Disguised as a Rectal Tumor P0190. Collision Tumor: A Unique Combination of Tubulovillous Adenoma Mohammad Nawaz, MD1, Ching-Ho Huang, MD1, James L. Araujo, MD2; and Goblet Cell Carcinoid of Colon 1SUNY Downstate Medical Center, Brooklyn, NY; 2Veterans Affairs Harbor Bhupinder Romana, MD, Ravinder Mankoo, MD, Veysel Tahan, MD, FACP, Healthcare System, Brooklyn, NY FACG, FESBGH, Sami Samiullah, MD, Hammoud Ghassan, MD, MPH; University of Missouri, Columbia, MO P0179. Idiopathic Colonic Varices Incidentally Found on Colonoscopy: A Case Report P0191. An Unexpected Passage: A Complex Enterovesicular Fistula Case Basem Oraby1, Amir Soumekh, MD2; 1Weill Cornell Medicine, New York, Report NY; 2New York Presbyterian Hospital, New York, NY Leon D. Averbukh, DO1, Faripour A. Forouhar, MD2, Ethan Bortniker, MD2; 1University of Connecticut Health Center, Hartford, CT; 2University of P0180. A Rare Case of Clostridium difficile-Causing Empyema Connecticut Health, Farmington, CT Abdalla Mohamed, MD1, Vanessa Sostre, MD1, Prem Patel, MD2, Hiren Patel, MD1, Walid Baddoura, MD1; 1St. Joseph’s University Medical Center, P0192. Large Desmoid Tumor Presenting With Abdominal Pain Paterson, NJ; 2St. Joseph’s University Medical Center, Edison, NJ Vishal Kaila, MD1, Andrew Assaf, MD1, Mark Feldman, MD2, Rahul Gill, MD1; 1Texas Health Presbyterian, Dallas, TX; 2Texas Health Resources, Dallas, TX P0181. Gastric Heterotopia in the Rectum: Don’t Let Looks Deceive You Fernando J. Bonilla, MD, Carlos Fernandez-Cruz, MD, Rodolfo Estremera- P0193. Checkpoint Colitis: A New Emerging Autoimmune Phenomena Marcial, MD, Javier A. Cerra-Franco, MD, Jose Martin-Ortiz, MD; VA Angel Benjamin Morales Santiago, MD, Javier A. Cerra-Franco, MD, Jaime Caribbean Healthcare System, San Juan, Puerto Rico Martinez-Souss, MD, Rodolfo Estremera-Marcial, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico P0182. Schistosomiasis: An Infrequently Recognized Cause of Rectal Bleed in the Western World P0194. Recurrence of Lynch Syndrome-Associated Colon Cancer in the Damon Fu, MD1, Rohit Agrawal, MBBS2, Neethi Paranji, MD3, Kotwal Lung Five Years After Resection Vikram2, Muhammad Majeed, MBBS2, Yuchen Wang, MD1, Yazan Abu Aliaksandr Gringlaz, MD, Yevgeniy Mikityanskiy, DO, Pratap Gadangi, MD, Omar, MD1, Muhammad A. Baig, MD2, Abdul Mohammed, MD2, Bashar M. FACS, FASCRS, FRCS; Coney Island Hospital, Brooklyn, NY Attar, MD, PhD1; 1Cook County Health and Hospitals System, Chicago, IL; 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 3John H Stroger P0195. Diverticulosis with Fistulous Disease: A New Approach to Hospital of Cook County, Chicago, IL Treatment of an Old Condition Ellie Chen, MD, Parsha Forouzan, MD, Tiffany Mao, MD, Stephen P0183. Is Colon Cancer a Consequence of Schistosomiasis: A Case Report Greenberg, MD; Baylor College of Medicine, Houston, TX Anas Almoghrabi, MD1, Rohit Agrawal, MBBS1, Muhammad Majeed, MBBS, MD1, Satya Mishra, MD2, Bashar M. Attar, MD, PhD2, Yazan Abu Omar, MD2, P0196. Secukinumab-Induced Unmasking of Crohn Colitis: A Case Report Navin Paul, MD, Kari Hektner, DNP, FNP-C, Zhanyong Bing, MD; Sanford John Erikson Yap, MD2, Muhammad A. Baig, MD1, Anthonia Ijeli, MD2; Medical Center, Fargo, ND 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Cook County Health and Hospitals System, Chicago, IL P0197. Bezlotoxumab in an Academic Urban Clinical Practice: A Case Series of 18 Months of Use P0184. Wolf in the Sheep’s Clothing: Intestinal Angioedema Type III 1 2 Mimicking Infectious Colitis Brendan M. Collins, DO , Bruce Yacyshyn, MD, FACG , Anthony Gentene, PharmD, BCPS3; 1University of Cincinnati Medical Center/University of Asif Mehmood, MD 1, Waqas Ullah, MD2, Hafez Mohammad Abdullah, MD3; Cincinnati College of Medicine, Cincinnati, OH; 2University of Cincinnati, 1Abington Memorial Hospital, Horsham, PA; 2Abington Memorial Hospital, Cincinnati, OH; 3University of Cincinnati Medical Center, Cincinnati, OH Abington, PA; 3University of South Dakota, Sioux Falls, SD P0185. A Rare Case of Chilaiditi’s Sign Associated with Cervical P0198. Metastatic Solitary Cecal Mass From Lobular Breast Carcinoma Neuropathy Seven Years After Diagnosis Laith Al momani, MD, Sowminya Arikapudi, MD, Muazzam Ali, MD, Alison Jennifer Rodriguez, MD1, Shivali Berera, MD2, Daniel A. Sussman, Smith, MD, Puneet Goenka, MD, Dhara Chaudhari, MD; East Tennessee MD, MSPH2; 1University of Pittsburgh Medical Center, Pittsburgh, PA; State University, Johnson City, TN 2University of Miami Leonard M. Miller School of Medicine, Miami, FL P0186. Post-Transplant Cecal Kaposi’s Sarcoma P0199. A Rare Case of Perforating Metastatic Medullary Carcinoma of Kenneth W. Hung, MD, Rajani Sharma, MD, Elizabeth S. Stone, MD, Ivonne Colon Darlene M. Wilhelm, APRN-CNP1, Vinaya Gaduputi, MD2, Hafeezuddin Ramirez, MD, Reuben Garcia-Carrasquillo, MD; Columbia University Ahmed, MD1, Syed Uzair Hamdani, MD1; 1Mercy Health/St. Vincent Medical Medical Center, New York, NY Center, Toledo, OH; 2SBH Health System, Bronx, NY P0187. Appendiceal Intussusception Due to Cystic Fibrosis Isaac E. Perry, DO1, Spiro S. Mavromates, MD2, Steven Carpenter, MD, P0200. Spontaneous Resolution of Langerhans Cell Histiocytosis in the GI FACG3; 1Mercer University School of Medicine, Memorial Health University Tract Originally Masquerading as an Ulcer Pratima Dibba, MD, MBA1, Meera Rana, MD2, Mariam Fayek, MD1, Cherie Medical Center, Savannah, GA; 2Memorial Health University Medical Paquette, MD1, Nnenna Okpara, MD1, Christy Dibble, DO1, Autumn Hines, Center, Savannah, GA; 3Memorial University Medical Center, Savannah, GA DO1; 1Brown University/Women & Infants Hospital, Providence, RI; 2Wake P0188. Rare Metastatic Spread of Gastric Signet Ring Cell Carcinoma to the Forest Baptist Medical Center, Winston-Salem, NC Rectum NguyenVy Tran, DO; Wellington Regional Medical Center, Wellington, FL P0201. Chronic Diarrhea in HIV Patient - An Uncommon Villain Rodolfo Estremera-Marcial, MD1, Loscar Santiago-Rivera, MD2, Jossette P0189. Not Captured on Camera: A Case of Appendiceal Cancer and Ascites Axtmayer, MD1, Antonio Soto-Ramos, MD1, Glenda Gonzalez-Claudio, MD1, Navroop Nagra, MD1, Omar Shahbaz, MD, MS2; 1Peace Health Hospital Carlos Fernandez-Cruz, MD1, Javier A. Cerra-Franco, MD 1; 1VA Caribbean Center, Vancouver, WA; 2Circle City Gastroenterology, Corona, CA Healthcare System, San Juan, Puerto Rico; 2VA CAribbean Healthcare System, San Juan, Puerto Rico

54 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0202. ‘Rogue Stent’: Migrated Esophageal Stent to Sigmoid Colon P0212. Is Adenoma Detection Rate Still the Quality Indicator for SUNDAY Stalin Subramanian, MD1, Aaron Thomas, DO2, Chirag Patel, MD3, Mazyar Screening Colonoscopy in Younger Patients? Malakouti, MD3, Jason Rocha, MD3, Randy Wright, MD3; 1San Antonio Yamam I. Al-Saadi, MD1, Mohammad Bilal, MD2, Thanh-Truc Le, MD2, Uniformed Services Health Education Consortium, San Antonio, TX; Shailendra Singh, MD3, Sreeram Parupudi, MD, FACP, FACG2, Praveen 2University of Texas Health Science Center at San Antonio, San Antonio, Guturu, MD, FACG2; 1University Of Texas Medical Branch Galveston, TX; 3University of Texas Health San Antonio, San Antonio, TX Galveston, TX; 2University of Texas Medical Branch, Galveston, TX; 3West Virginia University, Charleston Area Medical Center, P0203. Ileocolonic Intussusception Secondary to Burkitt’s Lymphoma: An Charleston, WV Uncommon Initial Presentation of HIV Clement Wu, MBBS, MRCP, Ravishankar Asokkumar, MBBS, MRCP; P0213. Association of Hypothyroidism and Poor Bowel Prep Quality in Singapore General Hospital, Singapore, Singapore Initial Screening Colonoscopies Jordan Burlen, MD, Shifat Ahmed, MD, Hadi Atassi, MD, Yixi Tu, MD, P0204. Pneumatosis Intestinalis: Cost Paid for Rheumatoid Arthritis Vincent Nguyen, MD, Dhruv Chaudhary, MD, Nanlong Liu, MD, Stephen Treatment Furmanek, MD, Connor English, MD, Kristine Krueger, MD, Dipendra Pratyusha Tirumanisetty, MBBS1, Michael DiSalle, MD2, Ziad Alkhoury, MD1; Parajuli, MD, Craig McClain, MD; University of Louisville, Louisville, KY 1Unity Hospital, Greece, NY; 2Unity Hospital, Rochester, NY P0214. Association of Prescription Medications and Poor Bowel Prep P0205. Non-Surgical Management of an Embedded Sharp Paper Clip in the Quality in Initial Screening Colonoscopies Sigmoid Colon Causing Perforation and Abscess: A Case Report Jordan Burlen, MD, Hadi Atassi, MD, Yixi Tu, MD, Vincent Nguyen, MD, Narasimha Swamy Gollol Raju, MD1, Hamza Khalid, MD2, Mudireddy Dhruv Chaudhary, MD, Shifat Ahmed, MD, Nanlong Liu, MD, Stephen Prashant, MD1; 1Vidant Medical Center, Greenville, NC; 2Vidant Medical Furmanek, MD, Connor English, MD, Kristine Krueger, MD, Dipendra Center / East Carolina University, Greenville, NC Parajuli, MD, Craig McClain, MD; University of Louisville, Louisville, KY P0206. Prostate Metastasis Presenting as Primary Colon Cancer 1 2 P0215. ADR of ‘Average Risk’ Males Aged 45-50 and >50 Screening Carmen Lopez, MD , Vanessa Mendez, MD , Yukihiro Nakanishi, MD, Population Are Equivalent PhD3, John P. Affronti, MS, MD3; 1Tulane Internal Medicine, New Orleans, Jasleen Grewal, MD1, Mohammed F. Ali, MD2, Anish H. Patel, MD2, William LA; 2Tulane University, New Orleans, LA; 3Tulane University School of Karnes, MD2; 1University of California Los Angeles Medical Center, Los Medicine, New Orleans, LA Angeles, CA; 2University of California Irvine Medical Center, Orange, CA P0207. A Rare Case of Sigmoid Adenocarcinoma Presenting with P0216. Can Knowledge of CRC Screening Recommendations and Coloenteric, Colosubcutaneous, and Colovesicular Fistulas Technologies Be Improved Through Continuing Medical Education? Zachary Neubert, DO, Jan-Michael Van Gent, DO, R. Daniel Lawson, MD; Jovana Lubarda, PhD1, John Maeglin, MBA2, Roderick Smith, MSc2, Naval Medical Center San Diego, San Diego, CA Douglas K. Rex, MD, MACG3; 1Medscape, Toronto, ON, Canada; 2Medscape, P0208. Xanthogranulomatous Pyelonephritis Causing a Renocolic Fistula New York, NY; 3Indiana University, Indianapolis, IN Presenting as Symptomatic Anemia 1 1 P0217. Results of an Electronic Patient Survey to Determine Up-to-Date Mohammad Tahboub, MD , Omar Abughanimeh, MD , Laith Numan, Colorectal Cancer Screening Status and Identify High-Risk Individuals MD1, Ahmad Al-Shyoukh, MD1, Mouhanna K. Abu Ghanimeh, MD2, Khalil Thomas McGarrity, MD, Christopher T. Soriano, MD, Brian McAllister, MD, M. Abuamr, MD1; 1University of Missouri, Kansas City, MO; 2Henry Ford Jennifer Cooper, MD, Junjia Zhu, MD, Laurie Peiffer, BS, Greg Caputo, MD; Hospital, Detroit, MI Penn State Health Milton S. Hershey Medical Center, Hershey, PA P0218. Adenoma Detection Rate Found to Be Independent of Time of Day COLORECTAL CANCER PREVENTION in Single Site Sample Utilizing Individual Endoscopists Erika A. Tsuchiyose1, Anupam Aditi, MD2, Kazumi Tsuchiyose, MS3, Mark M. P0209. Correlation Between Polyp and Adenoma Detection Rate in Trainee Tsuchiyose, MD4; 1Woodside High School, Woodside, CA; 2InSite Digestive Endoscopists Health, Daly City, CA; 3College of San Mateo, Woodside, CA; 4InSite Aditya Sreenivasan, MD1, Sandy Ng, MD 2, Jillian M. Pecoriello, BS3, Peter Digestive Health, Woodside, CA S. Liang, MD, MPH4; 1New York University School of Medicine, New York, NY; 2New York University, New York, NY; 3NYU School of Medicine, New P0219. Colorectal Cancer Prevention and Screening in 45-Year-Old African- York, NY; 4NYU Langone Health/VA New York Harbor Health Care System, American Patients in an Internal Medicine Resident Clinic: A Retrospective New York, NY Cohort Analysis Isaac E. Perry, DO1, Hassan Yousaf, MD2; 1Mercer University School of P0210. Expression of NLRP3 Inflammasome in Colorectal Cancer and Its Medicine, Memorial Health University Medical Center, Savannah, GA; Relationship With Tumor Characteristics and Prognosis 2Memorial Health University Medical Center, Savannah, GA Ying Lin, MD, PhD1, Jun-kai Chen, MD1, Zhen-xian Lew, MD2; 1Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P0220. Barriers and Facilitators of Colorectal Cancer Screening Among a People’s Republic of China; 2Sun Yat-sen University, Guangzhou, Hispanic Community in Michigan 1 2 3 Guangdong, People’s Republic of China Juan Gonzalez, MD , Joann Samalik, MD , Elizabeth Ramirez, BS , Tryphene Saint-Phard, MD1, Parul Sud, MD, FACP1, Orimisan Adekolujo, P0211. Histopathology and Colonic Distribution of Adenomas in South MD, MBA, FACP1; 1McLaren Flint/Michigan State University, Flint, MI; Asians at a Tertiary Academic Center 2University of Michigan, Flint, MI; 3Michigan State University, Flint, MI Stephanie Yan, MD 1, Sooraj Tejaswi, MD, MSPH2; 1University of California Davis, Sacramento, CA; 2University of California Davis Medical Center, P0221. Debunking the Fecal Occult Blood Test: Part Two Sacramento, CA Daniel E. Hogan, Jr., DO, Varun Kesar, MD, Rebecca Mazurkiewicz, MD, David Robbins, MD, MSC; Lenox Hill Hospital, New York, NY

P0222. Dairy Intake and Mucosa-Associated Gut Microbiome in Healthy P0230. Body Mass Index (BMI) and Race Affect Adenoma Formation: A Individuals Large Single Center Cohort of Patients Undergoing Screening Colonoscopy  Presidential Poster Award Laura Pestana, MD1, Sooraj Tejaswi, MD, MSPH2, Megan Humphrey, MD1, Ellie Chen, MD, Nadim Ajami, PhD, Liang Chen, MD, MS, Sarah Plew, BS, Machelle Wilson, PhD1, Souvik Sarkar, MD, PhD2; 1University of California Donna White, PhD, MPH, Zhensheng Wang, MPH, PhD, Hashem El-Serag, Davis, Sacramento, CA; 2University of California Davis Medical Center, MD, MPH, Joseph Petrosino, PhD, Li Jiao, MD, MS, PhD; Baylor College of Sacramento, CA Medicine, Houston, TX P0231. Optimal Withdrawal Time Associated With Average Risk, Screening P0223. Comparison of Colorectal Cancer (CRC) Screening Rates Obtained Colonoscopies by Electronic Medical Record (EMR) Query versus Patient-Directed Survey Shashank Sarvepalli, MD, MS1, Ari Garber, MD1, Michael Rothberg, MD, in Primary Care Practice MPH1, Gareth Morris-Stiff, MD, PhD1, John McMichael, PhD1, John J. Vargo, Brian McAllister, MD1, Thomas McGarrity, MD1, Christopher T. Soriano, MD2, Maged Rizk, MD1, Carol A. Burke, MD, FACG2; 1Cleveland Clinic, MD1, Jennifer Cooper, MD1, Vonn Walter, PhD2, Justin Loloi, BS3, Laurie Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic Foundation, Peiffer, BS1, Victoria Martell, BS4, Greg Caputo, MD1, Michael Warren, MD4; Cleveland, OH 1Penn State Health Milton S. Hershey Medical Center, Hershey, PA; 2Penn State College of Medicine, Hershey, PA; 3Penn State Hershey College of P0232. Electronic Medical Record Adaptable, Automated Risk- Medicine, Hershey, PA; 4Penn State Health Community Medical Group, Stratification Tool to Identify Patients at Risk of Non-Adherence to Lancaster, PA Colonoscopy Referrals Shashank Sarvepalli, MD, MS1, Gautam Mankaney, MD1, Ari Garber, P0224. Experience and Compliance With Split Dose Bowel Preparation in a MD1, Michael Rothberg, MD, MPH1, Gareth Morris-Stiff, MD, PhD1, John Veteran Population Undergoing Outpatient Colonoscopy McMichael, PhD1, John J. Vargo, MD2, Maged Rizk, MD1, Carol A. Burke, Stephanie Judd, MD1, Suhag Patel, MD2, Anand Ravi, MD3, Philip S. MD, FACG2; 1Cleveland Clinic, Cleveland, OH; 2Digestive Disease Institute/ Schoenfeld, MD, MSEd, MSc 4, Fadi Antaki, MD5; 1John D. Dingell VA Cleveland Clinic Foundation, Cleveland, OH Medical Center/Wayne State University School of Medicine, Detroit, MI; 2Virginia Commonwealth University, Richmond, VA; 3Detroit Medical P0233. Endoscopists With Lower Polyp Detection Rate Are Likely to Center, Detroit, MI; 4University of Michigan School of Medicine, Ann Perform One-And-Done Colonoscopy: Analysis From a Large Multicenter Arbor, MI; 5John D. Dingell VA Medical Center & Wayne State University, Consortium of Endoscopy Practices in the United States Kalpit Devani, MD1, Paris Charilaou, MD2, Dhruvil Radadiya, MBBS1, Detroit, MI Srinivas Gaddam, MD3, Mark Young, MD1, Chakradhar M. Reddy, MD, P0225. Exposure to Oral Bisphosphonates and Risk of FACP4; 1East Tennessee State University, Johnson City, TN; 2St. Peter’s Gastrointestinal Cancer University Hospital, New Brunswick, NJ; 3Cedars-Sinai Medical Center, Daein Choi, MD, Seulggie Choi, MD, Jooyoung Chang, MD, Sang Min Park, Los Angeles, CA; 4East Tennessee State University, Quillen College of MD, PhD, MPH; Seoul National University College of Medicine, Seoul, Medicine, Johnson City, TN Seoul-t’ukpyolsi, Republic of Korea P0234. Young-Onset Colorectal Cancer Related Hospitalizations: It’s Time P0226. Combined Cap-Assisted Total Water with Chromoendoscopy to Pay Attention (CATWCE) Further Enhanced Detection of Proximal Colon Adenomas and Hemant Goyal, MD, FACP1, Rupak Desai, MBBS2, Upenkumar Patel, MBBS, Clinically Significant Serrated Lesions - A Retrospective Analysis MPH3, Wardah Siddiq, MBBS4, Rajiv Chhabra, MD, MRCP (UK), FACG5; Joseph Leung, MD, FRCP, FACP, MACG1, Andrey Melnik, BSc1, Andrew 1Mercer University School of Medicine, Macon, GA; 2Atlanta VA Medical W. Yen, MD, MAS, FACG1, Hui Jia, MD2, Felix Leung, MD3; 1Sacramento Center, Decatur, GA; 3Nassau University Medical Center, East Meadow, NY; VA Medical Center, VANCHCS, Mather, CA; 2Sepulveda Ambulatory 4Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Care Center, VAGLAHS and David Geffen School of Medicine at UCLA, MA; 5St. Luke’s Hospital, Kansas CIty, MO Northridge, CA; 3Sepulveda Ambulatory Care Center, VAGLAHS, David Geffen School of Medicine at UCLA, North Hills, CA P0235. Assessing the Impact of Metformin Use on Colonic Polyp Behavior Ching-Ho Huang, MD1, Gabriel Karkenny, MD2, Carlos Buitrago, MD3, P0227. Knowledge, Attitudes, and Practices of Residents and Fellows James L. Araujo, MD4; 1SUNY Downstate Medical Center, Brooklyn, NY; Regarding Colorectal Cancer Screening in the USA 2Long Island Jewish Medical Center, Brooklyn, NY; 3University of Southern Yousaf Hadi, MD1, Rahul Raiker2, Gorman Reynolds, MD3; 1West Virginia California Medical Center, Brooklyn, NY; 4Veterans Affairs Harbor University Hospital, Morgantown, WV; 2West Virginia University, Healthcare System, Brooklyn, NY Morgantown, WV; 3West Virginia University Hospital, Ruby Memorial Hospital, Morgantown, WV P0236. Impact of Patient and Physician Characteristics Associated With Adenoma Detection Rate: A Single Institution Study P0228. Impact of the Affordable Care Act on Colorectal Cancer Staging in Tausif Siddiqui, MD1, Jonathan E. Barsa, MD2, Brad Dworkin, MD, FACG1, Patients at a Safety Net Healthcare System in Phoenix, Arizona Edward Lebovics, MD3, Beth Schorr-Lesnick, MD, FACG4; 1New York Victor Arce, MD1, Cris Jacob R. Molina, MD2, Tarek I. Eid, MD3, Derek Medical College, Valhalla, NY; 2Westchester Medical Center, Valhalla, NY; Murray4, Paul Kang, MS, MPH5, Keng-Yu Chuang, MD6; 1University of 3Westchester Medical Center at New York Medical College, Valhalla, NY; Colorado, Aurora, CO; 2Banner University Medical Center, Phoenix, CA; 4New York Medical College at Westchester Medical Center, Valhalla, NY 3University of California Irvine, Orange, CA; 4Maricopa Integrated Health System, Phoenix, AZ; 5University of Arizona College of Medicine, Phoenix, P0237. A Randomized Controlled Trial of Financial Incentives to Increase AZ; 6Maricopa Integrated Health System/St. Josephs Hospital and Colorectal Cancer Screening  Presidential Poster Award Medical Center, Phoenix, AZ Shivan J. Mehta, MD, MBA, MSHP, Rebecca S. Pepe, MPH, Nicole B. P0229. Retroflexion in the Right Colon in Screening Colonoscopy: A Gabler, PhD, MPH, MHA , Mounika Kanneganti, BA, Catherine Reitz, MPH, Retrospective Analysis Chelsea Saia, MPH, Joseph Teel, MD, David A. Asch, MD, MBA, Kevin G. Nimy John, MD1, Curuchi Anand, MD2; 1St. Vincent Hospital/University Volpp, MD, PhD, Chyke A. Doubeni, MD, MPH; University of Pennsylvania, of Massachusetts Medial School, Worcester, MA; 2University of Philadelphia, PA Massachusetts Medical School, Worcester, MA

56 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0238. Older Adult Perspectives Toward Surveillance Colonoscopy: P0248. Large Gastrointestinal Stromal Tumor Removed With EFTR SUNDAY A Qualitative Study Involving the Novel Use of the OverStitch Device as a Pulley System Kathy Cazares, MS31, Sharon O’Connor, MBA, MS2, Audrey H. Calderwood, Jose Nieto, DO, FACG1, Ameya Deshmukh2, Raul Torres, MD3; 1Borland MD, MS, FACG3; 1Dartmouth Hitchcock Medical Center, Geisel School Groover Clinic, Ponte Vedra, FL; 2Midwestern University, Erie, PA; of Medicine, Lebanon, NH; 2Center for Program Design & Evaluation, 3Borland Groover Clinic, Jacksonville, FL Dartmouth College, Lebanon, NH; 3Geisel School of Medicine and Dartmouth Institute of Health Policy and Clinical Practice, Dartmouth- P0249. Boerhaave Syndrome Treated with Endoscopic Suturing Alan Chen, MD, Raymond Kim, MD; University of Maryland Medical Hitchcock Medical Center, Lebanon, NH Center, Baltimore, MD P0250. Successful Endoscopic Management of a Malignant Gastro- COLORECTAL CANCER PREVENTION Retroperitoneal Fistula Clinical Vignettes / Case Reports Ali Alshati, MD1, Mankanwal S. Sachdev, MD2, Alan Tan, MD3, Diego Muilenburg, MD4, Toufic Kachaamy, MD4; 1Maricopa Integrated Health P0239. Hamartomas and Carcinoma: A Family Presenting with System, Phoenix, AZ; 2Arizona Centers for Digestive Health, Gilbert, AZ; Cowden Syndrome 3Cancer Treatment Centers of America, Phoenix, AZ; 4Cancer Treatment Ali Wazir, MBBS1, Haider Rahman, MD1, Mayank Lahoti, DO2, Seth J. Centers of America, Goodyear, AZ Richter, MD1; 1Albany Medical Center, Albany, NY; 2Gastroenterology Consultants of South Jersey, Lumberton, NJ P0240. Longstanding IBS vs Metastatic Mucinous Adenocarcinoma: A ESOPHAGUS Diagnostic Dilemma P0251. Radiofrequency Ablation Outcomes in Barrett’s Esophagus Patients Sameer Prakash, DO, Chandralekha Ashangari, MD, Shayan Siddiqui, With Obstructive Sleep Apnea With Severe Obesity MD, Kaylee Shepherd, MD; Texas Tech University Health Sciences Center, Megan Murphy, MD, Rebecca Loh, MD, Colin Huntley, MD, Anthony Amarillo, TX Infantolino, MD, Christina Tofani, MD; Thomas Jefferson University P0241. Peutz-Jeghers Phenotype Caused by an Unknown Variant APC Gene Hospital, Philadelphia, PA Sathvika Gaddam, MD, Tyler Aasen, MD, Ali Bokhari, MD, Vindhya P0252. Esophagogastroduodenoscopy and Esophageal Involvement in Sriramoju, MD, Lawrence Schmidt, MD; East Tennessee State University, Patients With Pemphigus Vulgaris Johnson City, TN Katharine Ozeki, MD1, Thomas A. Zikos, MD1, John Clarke, MD1, Irene Sonu, P0242. A Masquerading Mass: An Appendiceal Fecalith Posing as a MD2; 1Stanford University, Stanford, CA; 2Stanford University School of Submucosal Lesion Medicine, Stanford, CA Shruthi Narasimha, MD, Rupal Patel, MD, Reynaldo Geerken, MD; P0253. Patient Reported Outcomes After Pneumatic Dilation for Achalasia University of South Florida, Tampa, FL Abid Javed, MD, Kevin Batte, MD, Mohamed Khalaf, MD, Pooja Elias, MD, MPH, Donald O. Castell, MD, MACG; Medical University of South Carolina, ENDOSCOPY VIDEO FORUM Charleston, SC P0254. Eosinophillic Esophagitis: Insights From National Readmission P0243. Endoscopic Removal of Eroding Silastic Gastric Bands - Database A Case Series Abhishek Bhurwal, MBBS, MD1, Hemant Raj Mutneja, MBBS, MD2, Ishani Ramzi Mulki, MD, Edward Lin, DO, MBA, Saurabh Chawla, MD, FACG; Shah, MD3, Pavan Brahmbhatt4, Raja Chandra Chakinala, MD5, Khwaja Emory University School of Medicine, Atlanta, GA F. Haq, MD6, Shantanu Solanki, MD, MPH5, Michael Bartel, MD7, Aruj 8 9 10 P0244. Needle Knife Therapy for Anal and Colonic Strictures and Choudhry, MD , David Rahni, MD , Bhaumik Brahmbhatt, MBBS, MD ; 1 Diverticular Fecalith Removal in a Patient With Crohn’s Disease Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 2 3 Amandeep Singh, MD 1, Long Vu, MD2, Bo Shen, MD3; 1Digestive Disease John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; St. Joseph’s 4 Institute/Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; Hospital and Medical Center, Phoenix, AZ; NHL Municipal Medical 5 3Cleveland Clinic Digestive Disease Institute, Cleveland, OH College, Gujarat, India; New York Medical College at Westchester Medical Center, Valhalla, NY; 6Henry Ford Hospital, Detroit, MI; 7Fox Chase Medical P0245. Lumen-Apposing Metal Stent for the Treatment of Colonic Primary Center, Philadelphia, PA; 8Temple University Hospital, Philadelphia, Crohn’s Disease Stricture PA; 9Saint Barnabas Medical Center, Livingston, NJ; 10Mayo Clinic, Jose Melendez-Rosado, MD1, Freeha Khan, MD2, Bo Shen, MD3; 1Cleveland Jacksonville, FL Clinic Florida, Weston, FL; 2Cleveland Clinic, Cleveland, OH; 3Cleveland Clinic Digestive Disease Institute, Cleveland, OH P0255. Examining Symptom Severity, Compensatory Maneuvers, and Healthcare Seeking Among Adults With Dysphagia in the U.S.: Results P0246. Confocal Endomicroscopy of Solid Pseudopapillary Tumor of From a Population-Based Survey of 5,000 Americans the Pancreas  Presidential Poster Award Anjuli Luthra, MD, Antoinette Pusateri, MD, Martha Yearsley, MD, Carl Christopher Adkins, MD1, Will Takakura, MD1, Brennan M. R. Spiegel, MD, Schmidt, MD, Somashekar Krishna, MD, MPH; The Ohio State University MSHS1, Mei Lu, MS2, Montserrat Vera-Llonch, MD, MPH2, James Williams, Wexner Medical Center, Columbus, OH MD3, Christopher V. Almario, MD1; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2Shire, Cambridge, MA; 3Shire, Lexington, MA P0247. The Spectrum of Confocal Endomicroscopy Findings in Cystic Neuroendocrine Tumors of the Pancreas P0256. Esophageal Dilation Demonstrates That the Majority of Esophageal Anjuli Luthra, MD, Christina Arnold, MD, Andrei Manilchuk, MD, Strictures Are Located in the Distal Esophagus in Adults With Eosinophilic Somashekar Krishna, MD, MPH; The Ohio State University Wexner Esophagitis Medical Center, Columbus, OH Ryan Wang, BA1, Angelika Zalewski, BS1, Dyanna Gregory, MS2, Ikuo Hirano, MD1; 1Northwestern University Feinberg School of Medicine, Chicago, IL; 2Northwestern University, Evanston, IL

P0257. Prevalence of Esophageal Motility Disorders in an Open Access P0265. The Epidemiology of Esophageal Adenocarcinoma in the United Hybrid “Academic – Community Setting” Patient Population States Mustafa Alani, MD 1, Layth Al-Jashaami, MD2, Michael Mills, MD, MPH,  Presidential Poster Award FACG1, Sushovan Guha, MD, PhD3, Shiva K. Ratuapli, MD4; 1Banner Thuy-Van P. Hang, MD1, Zachary Spiritos, MD, MPH1, Anthony Gamboa, University Medical Center, Phoenix, AZ; 2University of Arizona, Banner MD2, Zhengjia Chen, PhD1, Seth Force, MD1, Steve Keilin, MD1, Nabil Saba, University Medical Center, Phoenix, AZ; 3University of Arizona College of MD3, Bassel El-Rayes, MD3, Qiang Cai, MD, PhD1, Field Willingham, MD, Medicine, Phoenix, AZ; 4University of Arizona College of Medicine, Banner MPH4; 1Emory University, Atlanta, GA; 2Vanderbilt University School of University Medical Center, Phoenix, AZ Medicine, Nashville, TN; 3Emory University, Winship Cancer Institute, Atlanta, GA; 4Emory University School of Medicine, Atlanta, GA P0258. Opioid Use Does Not Impact Treatment Response Among Achalasia and Esophagogastric Junction Outflow Obstruction (EGJOO) Patients: A P0266. Increased Prevalence of Autonomic Dysfunction in Patients With Retrospective Cohort Study From a High Volume Tertiary Referral Center Eosinophilic Gastrointestinal Disorders John Jacobs, MD, Wojciech Blonski, MD, PhD, Ambuj Kumar, MD, Joel E. Kevin Huang, MD1, Evan S. Dellon, MD, MPH2; 1Boston Medical Center, Richter, MD, MACG; University of South Florida, Tampa, FL Boston, MA; 2University of North Carolina School of Medicine, Chapel Hill, NC P0259. Elevated Average Maximum Intrabolus Pressure on High Resolution Manometry Is Associated with Esophageal Dysmotility and Delayed P0267. Does Multifocal Dysplasia in Barrett’s Esophagus Increase the Risk Esophageal Emptying on Timed Barium Esophagrams of Progression to Esophageal Adenocarcinoma?  Presidential Poster Award  Presidential Poster Award Joseph Smith, Steven Clayton, MD, FACP; University of South Carolina Frederick B. Peng, MD1, Andrew C. Elden, MD2, Brianna Shinn, MD2, School of Medicine, Greenville, SC Joseph Spataro, MD2, David M. Kastenberg, MD3, Christina Tofani, MD2, Anthony Infantolino, MD2; 1Baylor College of Medicine, Houston, P0260. The Development and Validation of an Endoscopic Grading System TX; 2Thomas Jefferson University Hospital, Philadelphia, PA;3 Thomas for Hiatal Hernia: The Houston Hiatal Criteria Jefferson University, Philadelphia, PA Nirav Thosani, MD1, Julie Guider, MD2, Julie Holihan, MD2, Prithvi Patil, MS2, Ali Raza, MD2, Harsimran Brar, MBBS2, Seung Chung, MD2, R. Tomas P0268. The Epidemiology of Esophageal Candidiasis in the United States Davee, MD2, Todd Wilson, MD2, Reena V. Chokshi, MD3, Brooks D. Cash, From 2012 to 2017: Results From the Explorys Database MD, FACG2, Erik Wilson, MD2; 1University of Texas Health Science Center Yvonne Okereke, MD1, Emad Mansoor, MD2, Gregory Cooper, MD1; at Houston / McGovern Medical School, Houston, TX; 2University of Texas 1University Hospitals Cleveland Medical Center, Cleveland, OH; 2Case Health Science Center at Houston, Houston, TX; 3UT Health - McGovern Western Reserve University/University Hospitals Cleveland Medical Medical School, Houston, TX Center, Cleveland, OH P0261. Oral Administration of Zinc to Barrett’s Esophagus Patients Induces P0269. In-Hospital Resource Utilization and Treatment Outcomes Among a Cancer Chemopreventive Molecular Profile in Barrett’s Tissue Patients With Esophageal Cancer: A Nationwide Analysis Mary C. Valenzano, BS1, Elizabeth Rybakovsky, BS1, Erin McDonnell, BS2, Prabhjot S. Bedi, MD1, Manoj P. Rai, MD2, Samanjit K. Kandola, MD2, Elizabeth Richardson, DO2, Silpa Yalamanchili, MD2, Scott McShane, DO2, Heather Laird-Fick, MD2, Moamen M. Gabr, MD3, Mark Mujer, MD4, Arun Mathew, MD2, Will Huntington, DO2, Ryan Urbas, DO2, Marc Zitin, Marwan S. Abougergi, MD5; 1University of Pittsburgh Medical Center MD2, Gary Newman, MD2, Patricia Wong, MD2, James Thornton, MD2, East, Pittsburgh, PA; 2Michigan State University, East Lansing, MI; 3Beth Giancarlo Mercogliano, MD2, Louise Fong, PhD3, James M. Mullin, PhD1; Israel Deaconess Medical Center/Harvard Medical School, Boston, MA; 1Lankenau Institute for Medical Research, Wynnewood, PA; 2Lankenau 4Michigan State University, Lansing, MI; 5South Carolina University School Medical Center, Wynnewood, PA; 3Thomas Jefferson University Medical of Medicine, Simpsonville, SC School, Philadelphia, PA P0270. The Utility of Advanced Imaging in Esophagogastric Junction P0262. Characteristics and Pharmacological Treatment Patterns of Outflow Obstruction Patients with Eosinophilic Esophagitis (EoE) in the United States: A Sara Cerrone, MD1, Praneet Wander, MBBS1, Priyanka L. Singh, MD2, Retrospective Claims Study Yehuda Julian Spector, MD, MPH3, Bani Roland, MD, FACG3, Mary Mei Lu, MS1, Montserrat Vera-Llonch, MD, MPH1, James Williams, MD2; Cheung, MD4, Matthew Whitson, MD, MSEd5; 1Hofstra-Northwell Health 1Shire, Cambridge, MA; 2Shire, Lexington, MA Gastroenterology Fellowship Program, New Hyde Park, NY; 2Hofstra- Northwell Internal Medicine Residency Training Program, New Hyde Park, P0263. Air Force, Army, Navy Concentration, Symptom-Based Elimination NY; 3Northwell Health, Lenox Hill Hospital, New York, NY; 4Northwell (A-FANCSE) Diet for Eosinophilic Esophagitis Physician Partners, New Hyde Park, NY; 5Northwell Health Physician Michael Sherman, MD, MS1, Daryl Fick, MD2, Charis Ross, RD2, Susan Partners, Manhasset, NY Driscoll-Bannister, RN2, Angela Bachmann, MD2, R. Daniel Lawson, MD2, Joseph Cheatham, MD, FACG3; 1Malcolm Grow Medical Clinics and P0271. A Single Tertiary Care Center Experience of Treating Barrett’s Surgical Center, Joint Base Andrews, MD; 2Naval Medical Center San Esophagus Refractory to Radiofrequency Ablation with Cryotherapy Diego, San Diego, CA; 3Navy Medical Center San Diego, San Diego, CA Archish Kataria, MD, Christopher Moreau, BSBME, Muhammad Haris, MD, Jonathan Foster, DO, Sandeep Patel, DO, Laura Rosenkranz, MD; P0264. Dysphagia Is a Common Consequence of Bariatric Surgery University of Texas Health San Antonio, San Antonio, TX Alex T. Miller, MD, Karthik Ravi, MD, David A. Katzka, MD, Debra M. Geno, CCRP; Mayo Clinic, Rochester, MN P0272. Hygiene Hypothesis and the Risk of Eosinophilic Esophagitis - A Nationwide Study Ali Abbas, MD, Joel E. Richter, MD, MACG; University of South Florida, Tampa, FL

58 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0273. Surveillance of Non-Surgical Patients With Complete Clinical P0283. Return of Peristalsis After Heller Myotomy: A Rare Case SUNDAY Response of Esophageal Cancer Following Neoadjuvant Therapy Laura Ross, MD1, Hamza Khalid, MD2, Nannaya Jampala, MD3; 1East Daniel Baik, MD1, Aruj Choudhry, MD1, Abhishek Bhurwal, MBBS, MD2, Carolina University/Vidant Medical Center, Greenville, NC; 2Vidant Stephen Heller, MD3, Jeffrey Tokar, MD4, Michael Bartel, MD5; 1Temple Medical Center / East Carolina University, Greenville, NC; 3Vidant University Hospital, Philadelphia, PA; 2Rutgers Robert Wood Johnson Medical Center, Greenville, NC University Hospital, New Brunswick, NJ; 3Temple University Hospital, Philadephia, PA; 4Fox Chase Cancer Center, Temple University, P0284. Spindle Cell Squamous Carcinoma of the Esophagus: A Rare Philadelphia, PA; 5Fox Chase Medical Center, Philadelphia, PA Malignancy With Biphasic Morphology Brian T. Moy, DO1, Alexander Potashinsky, MD2, Frank Bauer, MD 3; P0274. Use of a Minimally Invasive Cell Sampling Device (Cytosponge) 1University of Connecticut Health, Manchester, CT; 2University of in the Diagnosis of Esophageal Pathology: A Systematic Review and Connecticut Health Center, Hartford, CT; 3St. Francis Care Medical Pooled Analysis Group, P.C., Hartford, CT Umair Iqbal, MD1, Osama Siddique, MD2, Anais Ovalle, MD2, Hafsa Anwar, MBBS3, Steven Moss, MD2; 1Bassett Medical Center, Cooperstown, NY; P0285. A Fat Bird – A Rare Cause of Dyspnea Ali Kadhim, MD, Khalid Hajjir, MD, Kuehl Sapna, MD; St. Agnes Hospital, 2Alpert Medical School of Brown University, Providence, RI; 3Dow Baltimore, MD University of Health and Sciences, Cooperstown, NY P0275. Efficacy and Safety of ‘No Clean’ Radiofrequency Ablation of P0286. A Rare Case of Primary Herpes Esophagitis in an Barrett’s Esophagus Immunocompetent Young Adult Jennifer Onwochei, MD, MPH, MS, Qing He, MD; Newark Beth Israel Mark Malamood, MD, Rebecca Loh, MD, Christina Tofani, MD, Anthony Medical Center, Newark, NJ Infantolino, MD; Thomas Jefferson University Hospital, Philadelphia, PA P0276. Association Between Proton Pump Inhibitor Use and Fracture P0287. Essential Is Not Always Visible to the Eyes, Volumetric Laser Incidence: An Updated Systematic Review and Meta-Analysis Endoscopy Revealing Adenocarcinoma Beneath Squamous Mucosa on a Yousef Nassar, MD, Seth J. Richter, MD; Albany Medical Center, Background of Barrett’s Esophagus Dhineshreddy Gurala, MD1, Nassani Najib, MD, MSc2, Danial Daneshvar, Albany, NY MD1, Sherif Andrawes, MD2; 1Staten Island University Hospital, Staten P0277. Documenting the Journey of Patients with Eosinophilic Esophagitis Island, NY; 2Staten Isand University Hospital, Staten Island, NY and Its Impact on Their Caregivers Robin M. Pokrzywinski, PhD1, Gale Harding, MA1, Anne Brooks, BSc1, Lora P0288. Acute Esophageal Necrosis After Polytrauma Blake Jacobs, MD, George Salem, MD, Donald Kastens, MD; University of Todorova, MPH, MBA2, James Williams, MD3; 1Evidera, Bethesda, MD; Oklahoma College of Medicine, Oklahoma City, OK 2Shire, Zug, Switzerland; 3Shire, Lexington, MA P0278. A Comparison of Open Standard Esophageal Stent and Anti-reflux P0289. Mucous Membrane Pemphigoid: A Rare Cause of Dysphagia Stent with Valve: A Meta-Analysis of Randomized Controlled Trials Charles Rives, MD, Sirish Sanaka, MD, Narasimha Swamy Gollol Raju, MD, Nannaya Jampala, MD, Hamza Khalid, MD; Vidant Medical Center, Sudha Pandit, MD1, Hrishikesh Samant, MD2, James Morris, MD, FACG1, Greenville, NC Moheb Boktor, MD1; 1LSU Health, Shreveport, LA; 2LSU Health Shreveport and Willis Knighton Health System, Shreveport, LA P0290. Home-Made Tooth Whitener: An Unusual Cause of Dysphagia P0279. Association of Helicobacter pylori Infection and Esophageal Charles Rives, MD, Hamza Khalid, MD; Vidant Medical Center, Adenocarcinoma: A Meta-Analysis Greenville, NC Ahmed I. Edhi, MD1, Tusar Desai, MD1, Joel Howard Rubenstein, MD, MSc2; P0291. A Case of Unusual Presentation of Zollinger Ellison Syndrome 1William Beaumont Hospital, Royal Oak, MI; 2University of Michigan, Ann Mahesh Cheryala, MD1, Brandon Cope, MS2, Andrew Kelts, DO3, Martha Arbor, MI Ghosh, MD2, Alfonso Zangardi, MD2; 1The Wright Center for Graduate Medical Education, Scranton, PA; 2VA Medical Center, Wilkes-Barre, PA; P0280. Despite Histologic Remission in Eosinophilic Esophagitis, 3 Esophageal Distensibility Does Not Have Short-Term Changes Arnot Ogden Medical Center, Elmira, NY Kristle Lynch, MD1, Alain Benitez, MD2, Jonathan Gross2, Cynthia Li2, P0292. Esophagectomy for Management of End-Stage Achalasia With Maureen DeMarshall, BSN, RN3, Craig R. Gluckman, MD4, Gary Falk, Mega-Esophagus: A Case Report MD, MS3, Amanda Muir, MD, MTR2; 1The Hospital of the University of Ryan O’Keefe, MD1, Induruwa Pathirana, MD2; 1Dwight D. Eisenhower Army Pennsylvania, Philadelphia, PA; 2The Children’s Hospital of Philadelphia, Medical Center, Fort Gordon, GA; 2Dwight. D. Eisenhower Army Medical Philadelphia, PA; 3Hospital of the University of Pennsylvania, Philadelphia, Center, Fort Gordon, GA PA; 4Mount Sinai Beth Israel Hospital, New York, NY P0293. A Rare Case of Invasive Esophageal Actinomyces in a Patient with P0281. Mucosal Loss Is the Critical Mechanism of Esophageal Stricture Malabsorption After Mucosal Resection: A Pilot Experiment in a Porcine Model Armani Patel, MD1, Senuri Layer, MD2, Vania Leung, MD1, Khin Su Mon, Bingrong Liu, PhD, MD; The First Affiliated Hospital of Zhengzhou MBBS1, Aimee Schad, MD1; 1University of Illinois at Chicago, Chicago, IL; University, Zhengzhou, Henan, People’s Republic of China 2University of Illinois at Chicago, Lisle, IL P0294. A Case of Severe Esophagitis in a Patient with Gout ESOPHAGUS Michelle Rosario, MD1, Nikesh Kapadia, MD1, Jon Finan, MD2, Sajiv Sethi, MD1, Patrick G. Brady, MD, FACG1; 1University of South Florida, Tampa, FL; Clinical Vignettes / Case Reports 2Tampa General Hospital, Tampa, FL P0282. When Esophagus Met Bronchus: Not a Love Story P0295. What Lies Beneath: Abscess or Fistula? Courtney Cockerell, DO, MBA, Ravinder Mankoo, MD, Francis Dailey, MD, Michelle Rosario, MD, Erika Abel, MD; University of South Florida, Sami Samiullah, MD, Hammoud Ghassan, MD, MPH, Veysel Tahan, MD, Tampa, FL FACP, FACG, FESBGH; University of Missouri, Columbia, MO

P0296. HSV Esophagitis Masquerading as Candidiasis: Is Age to Blame? P0310. Rare Presentation of Esophageal Duplication Cyst in Adult Peter Dellatore, MD, Frank Senatore, MD; Rutgers Robert Wood Johnson Muhammad Majeed, MBBS, MD1, Rohit Agrawal, MBBS1, Anas Almoghrabi, Medical School, New Brunswick, NJ MD1, Bashar M. Attar, MD, PhD2, Muhammad A. Baig, MD1, Yazan Abu Omar, MD2, Saqib Shami, MD1; 1John H. Stroger, Jr. Hospital of Cook P0297. Aberrant Right Subclavian Artery: A Rare Cause of Dysphagia County, Chicago, IL; 2Cook County Health and Hospitals System, Corey Saraceni, MD1, Wynn-C Kwan, MD1, Tejas V. Joshi, MD2, Melissa A. Chicago, IL Spera, MD1, Stephen W. Landreneau, MD3; 1LSU Health Sciences Center, New Orleans, LA; 2LSU Health New Orleans School of Medicine, New P0311. Ingestion of Tetramethylethylenediamine in a Suicide Attempt Orleans, LA; 3Louisiana State University Health Sciences Center, New Avinash V. Sharma, MD, MPH, Aniruddh Som, MBBS, Rajus Chopra, MD; Orleans, LA MedStar Washington Hospital Center, Washington, DC P0298. Complete Esophageal Obstruction Following Routine Esophageal P0312. Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic Variceal Ligation Finding and Clinical Review Bilal Aslam, MD, Elizabeth Holt, MD, Alla Grigorian, MD, PhD, Houssam Jade Law, MD, Muhammad Haris, MD, Karthik Garapati, MD, Juan Mardini, MD, MBA, MS; University of Kentucky, Lexington, KY Echavarria, MD; University of Texas Health San Antonio, San Antonio, TX P0299. A Case of Systemic Sclerosis Mimicking Achalasia P0313. Fade to Black: Acute Esophageal Necrosis in a Vasculopathic Man Scott Liu, MD, Roy Wong, MD, MACG, Brett W. Sadowski, MD, Edward Following Traumatic Hip Fracture E. Bridges, II, MD, Ruben D. Acosta, MD, Lavern Belle, MD; Walter Reed Patrick Bagley, DO, Brett W. Sadowski, MD, Robert Wauters, MD, Philip National Military Medical Center, Bethesda, MD Lindholm, MD, Patrick E. Young, MD, FACG; Walter Reed National Military Medical Center, Bethesda, MD P0300. Traumatic Nasogastric Tube Placement Causing Acute Upper GI Bleeding in a Black Esophagus: A Warning to Gastroenterologists and P0314. A Tale of Twisted Tentacles:Calamari Food Impaction with Upper Clinicians Gastrointestinal Bleeding Joshua M. Steinberg, MD, Jessica Rosenberg, MD, Shervin Shafa, MD; Keerthana Kasi, BS1, Tanuj Chokshi, BS, DO2, Arul Ruthwik Duggimpudi3, MedStar Georgetown University Hospital, Washington, DC Neal Vasireddi4, Nikhil Vasireddi5, Adhvik Kanagala6, Srinivas S. Vasireddi, MD, FACP7, Nidah S. Khakoo, BS, MD8, Navya Sharma3, Niranjana Kasi, P0301. Management of a Complicated Case of Sandifer Syndrome BS9; 1International American University College of Medicine, Morganville, Shilpa D. Kailas, MD, Rupal Patel, MD, Joel E. Richter, MD, MACG; NJ; 2Rowan University School of Osteopathic Medicine, Morganville, University of South Florida, Tampa, FL NJ; 3Advanced Digestive Center, Inc., Metuchen, NJ; 4Cornell University, P0302. Esophageal Pancreatic Heterotopia and Dysphagia in the Absence Cranbury, NJ; 5Case Western Reserve University, Cleveland, OH; of a Mass 6Advanced Digestive Center, Inc., Edison, NJ; 7Bayshore Medical Center/ Summar T. Salim, DO, Lucy Joo, DO, Brian Blair, DO; Rowan University Advanced Digestive Center, Inc., Metuchen, NJ; 8Jackson Memorial School of Osteopathic Medicine, Stratford, NJ Hospital/University of Miami, Morganville, NJ; 9St. George’s University School of Medicine, Morganville, NJ P0303. Actinomyces-Induced Esophageal Stricture in an Immunocompetent Host P0315. Esophageal Adenocarcinoma in Barrett’s Esophagus With Low- Muntasir Jahangir, MD, Daniel S. Jamorabo, MD, Benjamin Renelus, MD; Grade Dysplasia: A Case of an Invisible Lesion NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY Monique DeLisser, MD1, Benjamin Hassid, MD2, Howard Chang, MD2, Mitchell Liverant, MD2; 1Kaiser Permanente Oakland Internal Medicine P0304. An Unusual Complication of Complete Esophageal Obstruction Residency Program, Oakland, CA; 2Kaiser Permanente Oakland Medical Following Endoscopic Variceal Banding Center, Oakland, CA Harsh N. Patel, MD, Wojciech Blonski, MD, PhD, Patrick G. Brady, MD, FACG; University of South Florida, Tampa, FL P0316. Primary Esophageal Diffuse Large B-Cell Lymphoma With Barrett’s Esophagus: A Case Report and Literature Review P0305. A Rare Cause of Mediastinitis From Colonic Interposition for Bhupinder Romana, MD, Sirish Rao, MD, Jasmine Hundal, MD, Vanessa Esophageal Atresia Kuwajima-Smith, MD; University of Missouri, Columbia, MO Michelle Tong, MD1, Tina Pakala, MD1, Michael Siu, MD1, Sang-Hoon Kim, MD2, Ari Bunim, MD2; 1New York Presbyterian Queens, Flushing, NY; 2New P0317. Esophageal Parakeratosis: Not All White Plaques Are Candida York-Presbyterian Queens, Flushing, NY Bhupinder Romana, MD, Jasmine Hundal, MD, Mohamad Yousef, MD, Vanessa Kuwajima-Smith, MD, Matthew Bechtold, MD, FACG, Veysel P0306. A Rare Case of Acute Esophageal Necrosis Tahan, MD, FACP, FACG, FESBGH; University of Missouri, Columbia, MO Patrick Chen, DO1, Thomas Murphy, MD1, Gregory Beck, MD2; 1Wright State University, Dayton, OH; 2Wright State University Boonshoft School of P0318. Simple or Complex? A Not so Straightforward Manifestation of Medicine, Dayton, OH Herpes Simplex Virus Shaina M. Lynch, DO, Catherine Hagen, MD, Patrick Sanvanson, MD; P0307. Acute Esophageal Necrosis (AEN) Medical College of Wisconsin, Milwaukee, WI Chandralekha Ashangari, MD, Taylor Lindgren, MS3, George Parker, MS3, Shayan Siddiqui, MD, Sameer Prakash, DO, Juan Garrido, MD; Texas Tech P0319. Extruding Cervical Screw: A Rare Cause of Dysphagia University Health Sciences Center, Amarillo, TX Nathan S. Ramrakhiani1, George Triadafilopoulos, MD, FACG2; 1Palo Alto High School, Palo Alto, CA; 2Stanford University School of Medicine, P0308. A Case Tough to Swallow: Esophageal Intramural Stanford, CA Pseudodiverticulosis Osman Ali, MD1, Hazel Asumu, MD1, Raymond E. Kim, MD2; 1University of P0320. A Case of Kaposi’s Sarcoma of the Esophagus Presenting with Maryland Medical Center Midtown Campus, Baltimore, MD; 2University of Odynophagia Maryland, Baltimore, MD Anthony Cancio, MD1, Crystale Cruz, DO2; 1Walter Reed National Military Medical Center, Bethesda, MD; 2Fort Belvoir Community Hospital, Fort P0309. Utility of Multiple Rapid Swallow Maneuver With High-Resolution Belvoir, VA Manometry in the Diagnosis of Hypercontractile Esophagus Micheal Tadros, MD, MPH; Albany Medical College, Albany, NY

60 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0321. Acute Esophageal Necrosis: The Black Hole of Endoscopy P0331. Treatment Patterns, Over-the-Counter (OTC) Use, and Outcomes SUNDAY Jamie L. Skrove, DO1, Kanza Soomro, DO2, Linoj Panicker, DO2, Amandeep Among Patients With Irritable Bowel Syndrome With Constipation or Kaur, DO2, Javier Sobrado, MD3; 1Larkin Community Hospital, Miami, FL; Chronic Idiopathic Constipation: Results from the CONTOR Study 2Larkin Community Hospital, South Miami, FL; 3Gastromed, Miami, FL Douglas C.A. Taylor, MBA1, Jessica L. Abel, MPH2, Carolyn Martin, MSW3, Alyssa Goolsby Hunter, MA3, Breanna Essoi, MPH3, Stephanie P0322. An Unusual Case of the Diffuse Villous Tumor Arising in Barrett’s Korrer, MPH3, David S. Reasner, PhD1, William D. Chey, MD, FACG4; Esophagus Presenting with Aspiration Pneumonia 1Ironwood Pharmaceuticals, Inc., Cambridge, MA; 2Allergan plc, Vishal Kaila, MD1, Nirav Thosani, MD2; 1Texas Health Presbyterian, Dallas, Madison, NJ; 3Optum, Eden Prairie, MN; 4University of Michigan, Ann TX; 2University of Texas Health Science Center at Houston / McGovern Arbor, MI Medical School, Houston, TX P0332. Impact of Linaclotide on Patient-Reported Constipation P0323. Esophageal Perforation Complicated by Carotid Pseudoaneurysm Symptoms and Quality of Life: Results From the CONTOR Study Francis Hartge, IV, MD, Anthony Cancio, MD, Adam Tritsch, MD; Walter Douglas C.A. Taylor, MBA1, Jessica L. Abel, MPH2, William D. Chey, MD, Reed National Military Medical Center, Bethesda, MD FACG3, Alyssa Goolsby Hunter, MA4, Breanna Essoi, MPH4, Stephanie P0324. Granulomatous Esophagitis: Crohn’s Disease in Rare Form Korrer, MPH4, David S. Reasner, PhD1, Carolyn Martin, MSW4; 1Ironwood Patrick Snyder, MD1, Themistocles Dassopoulos, MD1, Arthur Bredeweg, Pharmaceuticals, Inc., Cambridge, MA; 2Allergan plc, Madison, NJ; MD1, James M. Mitchell, MD1, Rhonda F. Souza, MD2, Stuart J. Spechler, 3University of Michigan, Ann Arbor, MI; 4Optum, Eden Prairie, MN MD2, Vani Konda, MD2; 1Baylor University Medical Center, Dallas, TX; 2 P0333. The Rao Protocol for Anal Incontinence Improves Key Patient Baylor University Medical Center and Center for Esophageal Research, Reported Outcomes as Well as Objective Endurance on High Resolution Dallas, TX Anorectal Manometry P0325. Esophageal Actinomyces in Immunocompetent Patient: That’s Holly Greenwald, MD, David Kunkel, MD; University of California San Unusual! Diego, La Jolla, CA Saif Bella, MD1, Atif Saleem, MD2, Mark Shumeyko, MD3; 1Wilson Hospital, 2 3 P0334. Characteristics of Patients Who ‘Fail’ Biofeedback Therapy for Anal Johnson City, NY; Wilson Hospital, Binghamton, NY; United Health Incontinence: Discordance Between Patient Reported Outcomes, Stool Services Hospitals, Johnson City, NY Diary Findings, and Objective Manometric Parameters P0326. Oropharyngeal Dysphagia With Pyriform Sinus Dilatation Holly Greenwald, MD, Kevin Cohenmehr, BS, David Kunkel, MD; University Mimicking Zenker’s Diverticulum of California San Diego, La Jolla, CA Parth Desai, DO1, Mohamed A. Elkhouly, MD1, Madhu Mathew, MD1, 2 1 1 P0335. Evaluation of the Safety and Tolerability of Plecanatide in CIC and Palashkumar Jaiswal, MBBS , Michael Alebich, DO ; Cook County Health IBS-C Patients Aged 65 and Older and Hospitals System, Chicago, IL; 2John H. Stroger, Jr. Hospital of Cook Stacy B. Menees, MD, MS1, William D. Chey, MD, FACG1, Robert Crozier, County, Chicago, IL PhD2; 1University of Michigan, Ann Arbor, MI; 2Synergy Pharmaceuticals Inc., New York, NY FUNCTIONAL BOWEL DISEASE P0336. Significance of Chronic Abdominal Wall Pain, Association With Fibromyalgia and Response to Treatment With Trigger Point Injections: A P0327. The Role of Obesity in Fecal Incontinence Retrospective Study Donny Kakati, MD1, Adanech W. Kidanie, MD1, Ziduo Zheng, MS2, Eugene Avanija Buddam, MD1, Arun Kanmanthareddy, MD2, Manjari Devidi, MBBS, Huang, PhD2, Jennifer Christie, MD2; 1Emory University School of MS3, Sunil Dacha, MBBS3; 1Creighton University, Omaha, NE; 2University Medicine, Atlanta, GA; 2Emory University, Atlanta, GA of Texas at Houston, Houston, TX; 3Emory University School of Medicine, P0328. Does the Solid Meal Utilized in a Standard Scintigraphic Gastric Atlanta, GA Emptying Test Induce Symptoms That Correlate With the Degree of P0337. Characterization of Abdominal Pain Response to Rifaximin in Delayed Gastric Emptying in Patients With Gastroparesis? Patients with Irritable Bowel Syndrome with Diarrhea (IBS-D), by Baseline  Presidential Poster Award Pain Severity Roxann A. Lerma, BS, Christopher Dodoo, MS, Alok Dwivedi, PhD,  Presidential Poster Award Kenneth Dominguez, Jesus Diaz, MD, Richard McCallum, MD; Texas Tech Anthony Lembo, MD1, Zeev Heimanson, PharmD2, Brooks D. Cash, MD, University Health Sciences Center, El Paso, TX FACG3; 1Harvard Medical School, Boston, MA; 2Salix Pharmaceuticals, 3 P0329. Characteristics of Gastroparetic Patients Needing Hospital Bridgewater, NJ; University of Texas Health Science Center at Houston, Admission and 30-Day Readmission Houston, TX Dariush Shahsavari, MD1, Asad Jehangir, MD2, Daniel Rubin, MD, MSc, P0338. An Open Label Long-Term Safety Trial (T3MPO-3) of Tenapanor in FACE1, Rajiv Bhuta, MD1, Henry P. Parkman, MD3; 1Temple University Patients With Irritable Bowel Syndrome With Constipation (IBS-C) School of Medicine, Philadelphia, PA; 2Reading Hospital - Tower Health, Presidential Poster Award Reading, PA; 3Temple University Hospital, Philadelphia, PA Anthony Lembo, MD1, William D. Chey, MD, FACG2, David P. Rosenbaum, PhD3; 1Harvard Medical School, Boston, MA; 2University of Michigan, Ann P0330. Opioid-Induced Constipation: An Assessment of Clinical Practice 3 Patterns and Barriers Arbor, MI; Ardelyx, Inc., Fremont, CA Jovana Lubarda, PhD1, Piyali Chatterjee2, Katherine Galluzzi, DO3; 1Medscape, Toronto, ON, Canada; 2Medscape, New York, NY; 3Philadelphia College of Osteopathic Medicine, Philadelphia, PA

P0339. Naldemedine Is Effective in the Treatment of Opioid-Induced GENERAL ENDOSCOPY Constipation in Chronic Non-Cancer Pain in Subjects With or Without Inadequate Response to Laxatives P0349. Adenoma Detection Rates in Patients in the 40-49 Year Age Group Jan Tack, MD, PhD1, Martin E. Hale, MD2, Eric Krauter, PhD3, Tadaaki Across Different Ethnicities Yamada, MS3, Takaaki Yokota, MSc4, James E. Wild, MD5; 1Translational  Presidential Poster Award Research Center for Gastrointestinal Disorders (TARGID), University of Thanh-Truc Le, MD1, Mohammad Bilal, MD1, Yamam I. Al-Saadi, MD2, Leuven, Leuven, Brussels Hoofdstedelijk Gewest, Belgium; 2Gold Coast Shailendra Singh, MD3, Praveen Guturu, MD, FACG1; 1University of Texas Research, LLC, Plantation, FL; 3Shionogi Inc., Florham Park, NJ; 4Shionogi Medical Branch, Galveston, TX; 2University Of Texas Medical Branch & Co., Ltd, Kita-ku, Osaka, Japan; 5Upstate Clinical Research Associates, Galveston, Galveston, TX; 3West Virginia University, Charleston Area Williamsville, NY Medical Center, Charleston, WV P0340. Beliefs and Practices of Canadian and U.S. Physicians Regarding P0350. Esophagogastroduodenoscopy With Every Endoscopic Ultrasound the Use of Probiotics for Gastrointestinal Illnesses Study - Is It Necessary? A Single Center Experience Premysl Bercik, MD1, Brian Craig, MD2, Eytan Wine, MD, PhD3, Brian Mouhanna K. Abu Ghanimeh, MD, Ahmed Abdulhamid, MD, Sara Stanley, Yan, MD4, William D. Chey, MD, FACG5; 1McMaster University, Hamilton, MD, Jinyu Zhang, MD, Ahmed Elbanna, MD, Fitsum Kumssa, MD, Tobias ON, Canada; 2Saint John Regional Hospital, Saint John, NB, Canada; Zuchelli, MD; Henry Ford Hospital, Detroit, MI 3University of Alberta, Edmonton, AB, Canada; 4Western University, P0351. Hiatal Width: A Novel Measure of Hiatal Hernia London, ON, Canada; 5University of Michigan, Ann Arbor, MI J. Robert Evans, MD, FACG1, Ryan Moore2, David Chacon, BS3; 1University P0341. Assessment of Gastric Sensitivity and Symptom Patterns in Patients of California Riverside, Redlands, CA; 2Brigham Young University, With Functional Dyspepsia With or Without Bile Gastropathy Redlands, CA; 3San Bernardino, CA Amol Sharma, MD1, Anam Herekar, MD2, Jigar Bhagatwala, MD, MPH2, P0352. A Canadian Outpatient Experience of Intrajejunal Levodopa/ Satish S.C. Rao, MD, PhD1; 1Augusta University Medical Center, Augusta, Carbidopa Intestinal Gel GA; 2Augusta University, Augusta, GA Sarah S. Al Ghamdi, MD1, Amir Rumman, MD2, Louis Liu, MD, BEng, MEng, P0342. Facilitating Diagnosis of Dyssynergic Defecation in Children With PhD, FRCP(C)2; 1University of Toronto, Toronto, NU, Canada; 2University of Acquired Outlet Dysfunction Constipation Toronto, Toronto, ON, Canada Rossella Turco, MD, Jennifer Webster, DO, Alain Benitez, MD, Keri Dowds, P0353. Efficacy of Mucosal Incision-Assisted Biopsy for the Diagnosis of RN, Kristin Fiorino, MD, Ritu Verma, MD, John Boyle, MD; The Children’s Upper Gastrointestinal Subepithelial Tumors: A Systematic Review and Hospital of Philadelphia, Philadelphia, PA Meta-Analysis P0343. Majority of Patients With Irritable Bowel Syndrome Do Not Have Amaninder Dhaliwal, MD1, Aravdeep S. Jhand, MBBS2, Harmeet S. Comorbid Borderline Personality Disorder Mashiana, MD3, Rajani Rangray, MD4, Harlan Sayles, MS1, Ishfaq Bhat, MD5, Janice Cho, MD1, Brian Palmer, MD, MPH2, Jean Fox, MD1; 1Mayo Clinic, Shailender Singh, MD6, Douglas G. Adler, MD7; 1University of Nebraska Rochester, MN; 2Mayo Clinic, Minneapolis, MN Medical Center, Omaha, NE; 2Creighton University School of Medicine, Omaha, NE; 3University of Nevada Las Vegas School of Medicine, Las P0344. Efficacy and Safety of Eluxadoline in IBS-D Patients Who Report Vegas, NV; 4Creighton University, Omaha, NE; 5Beth Israel Deaconess Inadequate Symptom Control With Prior Loperamide Use: A Phase 4, Medical Center, Boston, MA; 6Nebraska Medical Center, Omaha, NE; Multicenter, Multinational, Randomized, Placebo-controlled, Double- 7University of Utah School of Medicine, Salt Lake City, UT blinded Study (RELIEF)  Presidential Poster Award P0354. Factors Associated With Adequate Bowel Preparation for Darren Brenner, MD1, Catherine Gutman, PhD2, Esther Jo3; 1Feinberg Outpatient Colonoscopies at a High-Volume Community Hospital School of Medicine, Northwestern Memorial Hospital, Chicago, IL; Daniel S. Jamorabo, MD, Benjamin Renelus, MD, Simran Gill, MD, Gurpreet 2Allergan plc, Madison, NJ; 3Allergan plc, Irvine, CA Singh, MD, Abhishek Sadhu, MD, Daniel Golpanian, MD, Ofem Ajah, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY FUNCTIONAL BOWEL DISEASE P0355. Fighting Lengthy Cecal Intubation Times With Proning Brooke Corning, MD, Jessica Davis, MD, Cynthia Yoshida, MD, Amy Doran, Clinical Vignettes / Case Reports MD, Jeanetta W. Frye, MD, Andrew P. Copland, MD; University of Virginia, P0345. Splenic Artery Thrombosis as the Sole Presentation of Charlottesville, VA Polycythemia Vera P0356. The Impact of the Affordable Care Act on Colonoscopy Cancellation Rates Marcelle Meseeha, MD, Maximos Attia, MD, Tsujung Yang, MD; Guthrie Thomas Borecky, BS, Michael Borecky, BS, Lauren Chang, BA, Alexander Clinic/Robert Packer Hospital, Sayre, PA Chang, BS, Aslam Godil, MD, Andrew Chang, MD, Roy Foliente, MD, Kevin P0346. Rare Presentation of Severe Gastroparesis After Atrial Hill, DO, Benjamin Brichler, MD; Sierra Nevada Gastroenterology Medical Fibrillation Ablation Associates, Inc., Grass Valley, CA Tania LeGrand, BS1, Samir Shah2, Nimesh Khatri, MD1; 1MedStar Shah P0357. Foreign Body Impaction: A Decade Review Medical Group, Hollywood, MD; 2MedStar Shah Medical Group, Jean Abed, MD1, Elijah Verheyen, MD1, Bharat Monga, MD1, John C. Mechanicsville, MD Rowland, MS2, Michael S. Smith, MD, MBA3, Il Paik, MD1; 1Mount Sinai St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New P0347. A Need to Raise Awareness for Cyclic Vomiting Syndrome: An 2 3 Underdiagnosed Clinical Entity York, NY; Icahn School of Medicine at Mount Sinai, New York, NY; Mount Loba Alam, MD 1, Abhishek Bhurwal, MBBS, MD2, John Franzese, MD1; Sinai West & Mount Sinai St. Luke’s Hospitals, New York, NY 1Overlook Medical Center, Summit, NJ; 2Rutgers Robert Wood Johnson P0358. Diagnostic Yield of Endoscopy in Patients with Chronic University Hospital, New Brunswick, NJ Anemia Without Classic Iron Deficiency: A Retrospective Study in the P0348. A Rare Cause of Severe Gastroparesis - Ehler Danlos Syndrome U.S. Veterans Population Lakshmi Asritha Gollapudi, MD1, Brad Dworkin, MD, FACG, FACN2; 1New Brian Dinh, MD, Christopher Chan, DO, Ronald J. Markert, PhD, Padmini York Medical College at Westchester Medical Center, Valhalla, NY; Krishnamurthy, MD; Wright State University Boonshoft School of 2Westchester Medical Center, Valhalla, NY Medicine, Dayton, OH

62 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM

P0359. Safety and Efficacy of Dedicated Cold versus Standard Snares P0370. A Surprising Life-Changing Screening Colonoscopy POSTERS Jane Roberts, MD, PhD1, Joseph Anderson, MD, MHCDS2, Heiko Pohl, MD, Sailaja Pisipati, MD, FRCS, Ting-Hui Hsieh, MD; University of Nevada SUNDAY MPH 1; 1Dartmouth-Hitchcock Medical Center, Lebanon, NH; 2Geisel School Reno School of Medicine, Reno, NV of Medicine at Dartmouth, Hanover, NH P0371. Feeds Through the Liver - Can This Happen? P0360. The Endoscopy Unit: An Opportunity for Obstructive Sleep Omar Abughanimeh, MD1, Mahmoud Isseh, MD2, Laith Numan, MD1, Apnea Screening Mouhanna K. Abu Ghanimeh, MD2; 1University of Missouri, Kansas City, Kiranmayee Kandragunta, MBBS, Jose Melendez-Rosado, MD, Katia MO; 2Henry Ford Hospital, Detroit, MI Rodriguez, MD, Jeff Jacobs, MD, Fernando Castro, MD, FACG; Cleveland Clinic Florida, Weston, FL P0372. A Case of Large Asymptomatic Pharyngeal Vascular Malformation P0361. Comparison of Peroral Endoscopic Myotomy with Right Shoulder Vanessa Sostre, MD, Luis C. Ortiz, MD, Hiren Patel, MD, Manrique Elevated Supine Position versus Left Lateral Position for Achalasia Guerrero, DO, Ariy Volfson, MD; St. Joseph’s University Medical Center, Nanjun Wang, MD, Ningli Chai, MD, PhD, Enqiang Linghu, MD, PhD; Paterson, NJ Chinese PLA General Hospital, Beijing, People’s Republic of China P0373. Rare Complications of Percutaneous Endoscopic Gastrostomy P0362. Correlation of Routine Gastrointestinal Imaging Findings to Tube Placement Endoscopy in the Community Setting - A Retrospective Analysis Vanessa Sostre, MD, Luis C. Ortiz, MD, Yana Cavanagh, MD, Joseph Shami, Colin Woodard, DO1, Eric Berthiaume, MD2; 1Kent Hospital, Warwick, MD; St. Joseph’s University Medical Center, Paterson, NJ RI; 2Kent Hospital, University of New England College of Osteopathic Medicine, Warwick, RI P0374. A Case of Henoch-Schönlein Purpura on Endoscopy Aniqa Kohen, MD1, Jad Bou-Abdallah, MD2, Theodore Pettle, MD1, Jan P0363. Impact of Fellow Involvement and Fellowship Training Year on Novak, MD1; 1University at Buffalo Jacobs School of Medicine, Buffalo, NY; Adenoma Detection Rate: A Single Tertiary Institution Study 2Western NY VA Medical Center, Buffalo, NY Tausif Siddiqui, MD1, Jonathan E. Barsa, MD2, Brad Dworkin, MD, FACG1, Edward Lebovics, MD3, Beth Schorr-Lesnick, MD, FACG4; 1New York P0375. Endoscopic Extraction of a Migrated Coil From the Duodenum 9 Medical College, Valhalla, NY; 2Westchester Medical Center, Valhalla, NY; Years After Superior Mesenteric Artery (SMA) Aneurysm Embolization Suha Abushamma, MD1, Monica Ray, MD2; 1Cleveland Clinic Foundation, 3Westchester Medical Center at New York Medical College, Valhalla, NY; Cleveland, OH; 2Cleveland Clinic, Cleveland, OH 4New York Medical College at Westchester Medical Center, Valhalla, NY P0364. Adverse Events of Endoscopic Ultrasound Guided Fine Needle P0376. Suspected Acetaminophen Overdose Causing Acute Esophageal Necrosis Aspiration (EUS-FNA) of Lower Gastrointestinal Tract: 10 Year, Single- 1 1 1 Center Experience Yousaf Zafar, MD , Ghazal Khan, MD , Marjan Nazer, MD , Eslam Dosokey, MD1, Omar Abughanimeh, MD1, Laith Numan, MD1, Sean Doran, DO1, Adriana A. Luzuriaga Chavez, MD, Irina M. Cazacu, MD, Brian R. Weston, Khalil M. Abuamr, MD2; 1University of Missouri, Kansas City, MO; 2Truman MD, William Ross, MD, Jeffrey H. Lee, MD, Manoop S. Bhutani, MD; MD Medical Center, Kansas City, KS Anderson Cancer Center, Houston, TX P0377. Endoscopic Removal of Gastric Perforating Fish Bone P0365. Considerations on Serum Electrolytes After a Sulfate-Based Samer Azab, MD1, Kaveh Hajifathalian, MD, MPH2, Shirley Cohen- Bowel Prep Mekelburg, MD, MS3, Amy Tyberg, MD4, David Wan, MD2; 1Alexandria Russell W. Pelham, PhD, Matthew L. Walker, PhD, Mark vB. Cleveland, University Faculty of Medicine, Alexandria, Al Iskandariyah, Egypt; 2New PhD; Braintree (a part of Sebela Pharmaceuticals), Braintree, MA York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY; 3University of Michigan, Ann Arbor, MI; 4Rutgers Robert Wood Johnson P0366. Identifying Behaviors and Characteristics of High Quality Medical School, New Brunswick, NJ Endoscopy Educators: Do We Practice What We Preach? Reid Hopkins, MD1, Lindsay Demers, MS, PhD2, Christopher Huang, MD2, P0378. Polyethylene Glycol Electrolyte Solution: Safety Considerations in Sharmeel K. Wasan, MD1; 1Boston Medical Center, Boston, MA; 2Boston Atopic Patients University School of Medicine, Boston, MA Fernando J. Bonilla, MD, Walisbeth Class, MD, Arelis Cordero, MD, Doris Toro, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico GENERAL ENDOSCOPY P0379. Abdominal Pain After Colonoscopy Abhijeet Waghray, MD1, Caroline Jouhourian, MD2; 1Tufts Medical Center, Clinical Vignettes / Case Reports Boston, MA; 2Steward St. Elizabeth’s Medical Center, Boston, MA P0367. An Upper Endoscopy Autoimmune “Hat Trick”: Esophagitis P0380. Metastatic Prostate Cancer Presenting as Solitary Hepatic Flexure Dissecans Superficialis, Autoimmune Gastritis, and Celiac Disease Colon Polyp 1 1 2 Christopher S. Choo, MD , Jafary Farfara, BS , Kevin Song, MD , Brian J. Gregory Wagner, DO1, Konstantin Peysin, DO1, Chunghun Chang, MD, 3 4 4 1 Hanson, MD , Hector Mesa, MD , Emilie Hudalla, PharmD ; University of FACP1, Vera Platsky, MD2, Eleonora Akker, DO1, Michael Bernstein, 2 Minnesota Medical School, Minneapolis, MN; University of Minnesota, MD1; 1Coney Island Hospital, Brooklyn, NY; 2Coney Island Hospital, 3 Minneapolis, MN; Minneapolis VA and University of Minnesota, Brooklyn, NY Minneapolis, MN; 4Minneapolis Veterans Affairs Medical Center, Minneapolis, MN P0381. Large Retroperitoneal GIST in a Patient With Neurofibromatosis Diagnosed With EUS P0368. Coil Migration After Embolization of the Gastroduodenal Artery Laith Al momani, MD, Maria Zayko, MD, Alison Smith, MD, Puneet Goenka, 1 2 1 1 Steven Tsistrakis, MD , Simi Singh, MD , Jahnavi Naik, MD ; Mount Sinai MD, Mark Young, MD; East Tennessee State University, Johnson City, TN Beth Israel, New York, NY; 2University of California Los Angeles, Santa Monica, CA P0382. Rare Case of Intestinal Lipomatosis Presenting With Hemorrhage Darlene M. Wilhelm, APRN-CNP1, Syed Uzair Hamdani, MD1, Vinaya P0369. Gastric Xanthelasma: Innocent Bystander? Gaduputi, MD2; 1Mercy Health/St. Vincent Medical Center, Toledo, OH; 1 2 3 Mona Domadia, MD , Adib Chaaya, MD , Joshua DeSipio, MD , William 2SBH Health System, Bronx, NY Rafferty, MD1; 1Cooper University Hospital, Camden, NJ; 2Cooper University Healthcare, Mt. Laurel, NJ; 3Cooper University Hospital, Mt. Laurel, NJ

P0383. Mirror, Mirror With the Scope!! P0393. A Single Center Study on Guideline Adherence to H. pylori Testing Stalin Subramanian, MD1, Chirag Patel, MD2, Aaron Thomas, DO2, Juan Alexander Jenkins, DO1, Stefanie Gallagher, BS, MBE2, David Hanna, DO, Echavarria, MD2; 1San Antonio Uniformed Services Health Education MSc 3, David Truscello, DO4, Justin DeRosa, DO5, Steven Lichtenstein, Consortium, San Antonio, TX; 2University of Texas Health San Antonio, DO6; 1Walter Reed National Military Medical Center, Bethesda, MD; San Antonio, TX 2Philadelphia College of Osteopathic Medicine, Cherry Hill, NJ; 3Geisinger Health System, Glen Allen, VA; 4Rowan SOM Jefferson Health, Stratford, P0384. Hiding in Plain Sight: A Large Ampullary Adenoma Only Seen on NJ; 5Rowan-SOM Jefferson Health, Stratford, NJ;6 Mercy Health System Side-View Evaluation and Philadelphia College of Osteopathic Medicine, Darby, PA Vincent Chao Chang, MD1, Zain Moosvi, MD1, Zachary Lu, BSc1, David P. Lee, MD, MPH2, Jason Samarasena, MD1; 1University of California Irvine P0394. Erythromycin and Upper Gastrointestinal Bleeding: Medical Center, Orange, CA; 2University of California Irvine, Orange, CA A Meta-Analysis for 2018 Bhupinder Romana, MD1, Vanessa Kuwajima-Smith, MD1, Michelle Matteson- P0385. Unexpected Capsule Endoscopy Findings: A Case of How an Initial Kome, APN, PhD1, Douglas Nguyen, MD2, Srinivas Puli, MD3, Matthew Evaluation for Polyposis Syndrome Led to the Discovery of Multiple Bechtold, MD, FACG1; 1University of Missouri, Columbia, MO; 2University of Foreign Bodies California Irvine Medical Center, Anaheim, CA; 3University of Illinois, Peoria, IL Benjamin Pottebaum, DO1, Lirio Polintan, MD, FACG2, Charles Ruzkowski, MD, FACG2, Matthew Lute, DO2, Jimmy Giang, DO2, Neha V. Kaiser, DO2; P0395. A Retrospective Review Assessing the Efficacy of PPIs in Preventing 1Parkview Medical Center, Pueblo, IA; 2Parkview Medical Center, Pueblo, CO Gastrointestinal Bleeding in Patients on DAPT: A Single Center Experience Laith Al momani, MD1, Lindsey C. Shipley, MD2, Sukhdeep Bhogal, MD1, P0386. Getting to the Point: Sharp Object Retrieval via Push Endoscopy in Zia Rahman, MD1, Tyler Morgan, MA1, Jennifer Phemister, MD1, Chakradhar the Setting of a Contained Duodenal Perforation Reddy, MD1; 1East Tennessee State University, Johnson City, TN; Frederick S. Rozenshteyn, MD1, Melissa Hershman, MD2, Praneet Korrapati, 2University of Alabama at Birmingham, Birmingham, AL MD1, Seth Cohen, MD1; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel, St. Luke’s and West, New York, NY P0396. Evaluation and Management of Gastrointestinal Bleeding After Left Ventricular Assist Device Placement: A National Multi-Center Survey P0387. EUS Guidance in Diagnosing a Rare Case of Lung Adenocarcinoma  Presidential Poster Award Metastatic to Pancreas Caren Taylor, MD1, Vivek Kaul, MD, FACG2, Krystle Bittner, MPH1, Truptesh Devashree Dave, MD1, Maen Masadeh, MD2, Rami El Abiad, MD1; 1University Kothari, MD1, Shivangi Kothari, MD1; 1University of Rochester Medical of Iowa Hospitals & Clinics, Iowa City, IA; 2University of Iowa, San Center, Rochester, NY; 2University of Rochester, Rochester, NY Francisco, CA P0397. Impact of Night and Weekend Upper Endoscopy on Outcomes in P0388. Learning Points From a Case of Opiate Body Packing Intensive Care Unit Patients With Upper Gastrointestinal Bleeding Melissa Hershman, MD1, Elijah Verheyen, MD2, Frank Andrew Nelson, MD3; Nina Gupta, MD1, Eric Swei, MD2, Thomas R. Wagner, MD3, K. Gautham 1Mount Sinai Beth Israel, St. Luke’s and West, New York, NY; 2Mount Sinai Reddy, MD1, Andrew Aronsohn, MD1, Neil Sengupta, MD1, Vijaya Rao, MD1; St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New 1University of Chicago Medical Center, Chicago, IL; 2University of Chicago York, NY; 3Mount Sinai St. Luke’s Hospital, New York, NY Hospitals, Chicago, IL; 3University of Chicago, Chicago, IL P0398. Gastrointestinal Hemorrhage Associated BacteremiaExtracorporeal GI BLEEDING Membrane Oxygenation (ECMO): Temporal Trends and Outcomes Raja Chandra Chakinala, MD1, Shantanu Solanki, MD, MPH1, Khwaja F. P0389. Management of Acute Gastrointestinal Bleed in Jehovah’s Haq, MD2, Muhammad Ali Khan, MD3, Uvesh Mansuri, MD4, Muhammad Witnesses: A Tertiary Care Bloodless Medicine Center Experience Talha Farooqui, MD5, Abhishek Bhurwal, MBBS, MD6, Srikanth Yandrapalli, Pamela Kim, MD1, Shifa Umar, MD1, Erin Suydam, MD2, Anastasios MD1, George P. Jolly, MBBS1, Zubair Khan, MD, CMQ7, Mohammad Arsalan Kapetanos, MD2; 1Allegheny Health Network, Pittsburgh, PA; 2Allegheny Siddiqui, MD2, Khwaja S. Haq, MBBS8, Nauman Siddiqui, MD9, Shilpkumar General Hospital, PIttsburgh, PA Arora, MBBS, MPH10, Anam S. Burney, MD11, Azam H. Burney, MD11, Christopher Nabors, MD, PhD1; 1New York Medical College at Westchester P0390. Non-Variceal Upper Gastrointestinal Hemorrhage Is a Rare 2 3 Complication After Percutaneous Coronary Intervention for Myocardial Medical Center, Valhalla, NY; Henry Ford Hospital, Detroit, MI; University of Tennessee Health Science Center, Memphis, TN; 4MedStar Health Infarction, but Has a Detrimental Effect on Mortality: A National Analysis 5 Over 11 Months Internal Medicine, Baltimore, MD; Memorial Hermann Hospital, Pearland, TX; 6Rutgers Robert Wood Johnson University Hospital, New Brunswick, Mohammad Bilal, MD1, Ronald Samuel, MD1, Maryam Murtaza, MD2, Mazen NJ; 7University of Toledo Medical Center, Toledo, OH; 8Kingsbrook Jewish K. Khalil, MD3, Sreeram Parupudi, MD, FACP, FACG1, Marwan S. Abougergi, Medical Center, Woodbury, NY; 9Tufts Medical Center, Boston, MA; 10Guthrie MD4; 1University of Texas Medical Branch, Galveston, TX; 2None, Clinics, Philadelphia, PA; 11Kingsbrook Jewish Medical Center, Brooklyn, NY Philadelphia, PA; 3Columbia Heart Clinic, Columbia, SC; 4South Carolina University School of Medicine, Simpsonville, SC P0399. Gastrointestinal Hemorrhage in Patients with End-Stage Renal Disease (ESRD): Insights From the Healthcare Utilization Project P0391. AIM65 Score Predicts Adverse Outcomes for Both Non-Variceal and 1 2 1 Variceal GI Bleeding in an Inner City Underserved Population Raja Chandra Chakinala, MD , Khwaja F. Haq, MD , Shantanu Solanki, MD, MPH , Muhammad Ali Khan, MD3, Muhammad Talha Farooqui, MD4, Mohammad Fiorela Calderon Sandoval, MD1, Mauricio Torrealba, MD2, Gabriel Alonso1, Arsalan Siddiqui, MD2, Zubair Khan, MD, CMQ5, Nauman Siddiqui, MD6, Holly Rodin, PhD3, Hernando Gonzalez, MD1; 1Hennepin County Medical Abhishek Bhurwal, MBBS, MD7, Rehan Farooqi, MD8, Khwaja S. Haq, MBBS9, Center, Minneapolis, MN; 2University of Minnesota, Minneapolis, MN; Anam S. Burney, MD10, Azam H. Burney, MD10, Christopher Nabors, MD, PhD1, 3Hennepin Healthcare, Minneapolis, MN Savneek S. Chugh, MD11; 1New York Medical College at Westchester Medical P0392. Prophylactic Clipping to Prevent Post-Polypectomy Bleeding: Is It Center, Valhalla, NY; 2Henry Ford Hospital, Detroit, MI; 3University of Tennessee Worth It? Health Science Center, Memphis, TN; 4Memorial Hermann Hospital, Pearland, Vivian Lee, MD, MSc1, Marc J. Landsman, MD2, Jason Abdallah, MD1, TX; 5University of Toledo Medical Center, Toledo, OH; 6Tufts Medical Center, Aparna Roy, MD1, Dalbir S. Sandhu, MD1; 1Case Western Reserve Boston, MA; 7Rutgers Robert Wood Johnson University Hospital, New University/MetroHealth Medical Center, Cleveland, OH; 2MetroHealth Brunswick, NJ; 8MedStar Union Memorial Hospital, Baltimore, MD; 9Kingsbrook Hospital, Cleveland, OH Jewish Medical Center, Woodbury, NY; 10Kingsbrook Jewish Medical Center, Brooklyn, NY; 11New York Medical College at Westchester Medical Center, Hawthorne, NY 64 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM

P0400. EUS-Guided Coil Embolization with Absorbable Hemostatic Gelatin P0412. Cholecystocolonic Fistulous Catastrophe! POSTERS Sponge vs. Cyanoacrylate Injection for Treatment of Gastric Varices: Kaivan Salehpour, MD1, Ramin Bagheri, MD1, Shifat Ahmed, MD2; SUNDAY Comparison of Clinical Outcomes and Health Care Utilization 1University of Arizona College of Medicine, Phoenix, AZ; 2University of  Presidential Poster Award Arizona, Phoenix, Phoenix, AZ Thomas J. Wang, MD1, Ahmad Bazarbashi, MD2, Christopher C. Thompson, MD3, Marvin Ryou, MD3; 1Massachusetts General Hospital, Boston, MA; P0413. An Unusual Cause of Obscure Gastrointestinal Bleeding 2Brigham & Women’s Hospital, Boston, MA; 3Brigham & Women’s Unmasked by Video Capsule Endoscopy Sailaja Pisipati, MD, FRCS, Ting-Hui Hsieh, MD; University of Nevada Hospital/Harvard Medical School, Boston, MA Reno School of Medicine, Reno, NV P0414. Recurrent Ulcer Bleed in a Patient With Henoch-Schonlein GI BLEEDING Purpura (HSP) and Cytomegalovirus (CMV) Infection Clinical Vignettes / Case Reports Jonathan Kuang, MRCP, Jacqueline Yang, MRCP; Tan Tock Seng Hospital, Singapore, Singapore P0401. A Rare Cause of Hematochezia Necessitating Surgical Resection: Massive Colonic Angiodysplasia P0415. Upper Gastrointestinal Bleeding in a Patient With Concomitant Francis Dailey, MD, Erica Turse, DO, MPH, Maliha Naseer, MD, Veysel Bullous Pemphigoid and Acquired Factor 8 Deficiency Tahan, MD, FACP, FACG, FESBGH; University of Missouri, Columbia, MO Jonathan Kuang, MRCP, Wei Da Chew, MRCP; Tan Tock Seng Hospital, Singapore, Singapore P0402. An Unexpected Source: An Unusual Source of Bleeding in a Post- Liver Transplant Patient With Hereditary Hemorrhagic Telangiectasia (HHT) P0416. Superior Vena Cava Obstruction - A Rare Cause of Recurrent Lolwa Alobaid, MD, Ahmed Abdelfattah, MD, Saad Javed, MD, Anita Esophageal Variceal Bleeding: Case Report Krishnarao, MD, MPH, Shams Iqbal, MD, Fredric Gordon, MD; Lahey Agazi Gebreselassie, MD, MSc1, Ahmad Awan, MD1, Hamid Yaqoob, MD1, Hospital and Medical Center, Burlington, MA Angesom Kibreab, MD1, Victor Scott, MD1, Hassan Ashktorab, PhD2, Charles Howell, MD2, Farshad Aduli, MD1, Adeyinka Laiyemo, MD, MPH2; P0403. Massive Splenomegaly as Initial Presentation of Diffuse Large 1Howard University Hospital, Washington, DC; 2Howard University, B-Cell Lymphoma Washington, DC Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA P0417. Arteriogastric Fistula: A Rare Complication of Peptic Ulcer Disease Muhammad Haris, MD1, Jade Law, MD2, Souleymane Diallo, DO2, Allan P0404. Endovascular Stenting of a Malignant Portal Vein Thrombus Parker, DO2, Kent W. Rohweder, MD2; 1University of Texas Health San Causing a Gastric Variceal Bleed Antonio, San Antonio, TX; 2University of Texas Health Science Center at Brian T. Moy, DO1, Erik R. Bee, MD2; 1University of Connecticut Health, San Antonio, San Antonio, TX Manchester, CT; 2Radiology Associates of Hartford, P.C., Hartford, CT P0418. A Fatal Case of Cytomegalovirus Duodenitis Exacerbated by P0405. Portal Hypertensive Esophagopathy: A Real Entity? Aggressive Immunosuppression to Treat Presumed IgA Vasculitis Caitlin Marshall, MD1, Gilad Shapira, DO1, Manoj Kumar, MD, MPH1, C. Alex Michael Rosman, MD, Saikiran M. Kilaru, MD, Renee Williams, MD; New Wiles, BA1, Divya Nadella, MD1, Nicholas Ludvik, MD1, Phillip Henderson, York University School of Medicine, New York, NY MD1, Tawfik Khoury, MD2, Meir Mizrahi, MD1; 1University of South Alabama, Mobile, AL; 2Hadassah Medical Center, Jerusalem, Yerushalayim, Israel P0419. Hematochezia and Submucosa Hematomas Along the Gastrointestinal Tract From AL Amyloidosis P0406. Over the Scope Clip to Control Major Bleeding of Gastric Patrick Chen, DO, Melinda Wayde, MD, Salma Akram, MD; Wright State Adenocarcinoma University, Dayton, OH Safa Maharsi, BS , Hamza Abdulla, MD, Timothy Krill, MD, Harshwardhan Thaker, MD, PhD, Sreeram Parupudi, MD, FACP, FACG, Marc Shabot, MD, P0420. Atherosclerotic Disease Leading to Dieulafoy Lesion MACP, FACG; University of Texas Medical Branch, Galveston, TX Tudor Gradinariu, DO1, Harry Nguyen, DO2, Karthik Mohan, DO2; 1Palmetto General Hospital, Miami Lakes, FL; 2Palmetto General Hospital, P0407. Recurrent Gastrointestinal Bleed After Interventional Hialeah, FL Emblotherapy Monjur Ahmed, MD, FACG, Cecilia Kelly, MD, Curtis Alloy, DO, Brian Karp, P0421. Iliac Artery Pseudoaneurysm: A Rare Cause of Obscure Overt MD; Thomas Jefferson University, Philadelphia, PA Gastrointestinal Bleeding Tatiana Teslova, MD, Sameer Siddique, MD; Albert Einstein Medical P0408. A Case of Upper GI Bleed in an Adult with VACTERL Center, Philadelphia, PA Naren S. Nallapeta, MBBS, Jose R. Estrada, MD, Naveen Prasad Gopalakrishnan Ravikumar, MD; University at Buffalo, Buffalo, NY P0422. Small Bowel Varices: Beyond Our Reach? Tina Pakala, MD1, Frank Senatore, MD2, Moshe Rubin, MD3; 1New York P0409. Dieulafoy Lesion of the Rectum Presbyterian Queens, Flushing, NY; 2Rutgers University, Robert Wood Ki Eum, DO, Kenneth Bogenberger, MD, Scott Nguyen, MD, Caleb B. Johnson Medical Center, New Brunswick, NJ; 3New York-Presbyterian Hudspath, DO, Franklin Goldwire, MD, Jessica Bunin, MD; Tripler Army Queens, Flushing, NY Medical Center, Honolulu, HI P0423. A Rare Case of Primary Jejujnal Lymphangiectasia Presenting as P0410. A Rare Presentation of Upper Gastrointestinal Bleeding Secondary Gastrointestinal Bleeding Managed with Intraoperative Enteroscopy and to an Aortoesophageal Fistula Following Esophageal Stent Placement Resection Mohammad A. Yousef, MD, Ebubekir S. Daglilar, MD, Kevin P. Cowley, Sruthi Kapliyil Subramanian, MD, Bhavtosh K. Dedania, MD, Vishnu MD, Farnaz Shariati, MD, Abdul Mukhtadir Khan, MD; Ochsner Clinic Mohan, MD, Hani A Zamil, MD; University of Texas Health Science Center Foundation, New Orleans, LA at Houston / McGovern Medical School, Houston, TX P0411. The Detection and Management of a Pancreaticoduodenal Aneurysm Resulting in a GI Bleed Peter Dellatore, MD, Kristina Katz, MD, Haroon Shahid, MD; Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ

P0424. A Case of a Bleeding Meckel’s Masquerading as an Arterio-venous P0434. Complete Esophageal Occlusion Following Variceal Band Ligation: Malformation A Rare Complication and Novel Solution Philip Chuang, MD1, Yi-Chia Wu, BS, MD2, Il Paik, MD3, Arkadiy Kheyfits, Brendan M. Collins, DO1, Loren P. Brook, MD, MS2, David N. Fitch, MD2, DO4, Amita Kamath, MD, MPH5; 1Mount Sinai Beth Israel, St. Luke’s and Sampath Poreddy, MD2, Richard P. Rood, MD, FACG, FACP2; 1University of West, New York, NY; 2Mount Sinai Beth Israel, New York, NY; 3Mount Sinai Cincinnati Medical Center/University of Cincinnati College of Medicine, St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New Cincinnati, OH; 2University of Cincinnati College of Medicine, Cincinnati, OH York, NY; 4Mount Sinai St. Luke’s and West, New York, NY; 5Mount Sinai Health System, New York, NY P0435. Use of Minnesota Tube to Tamponade Rectal Hemorrhage Todd Looney, MD1, Zachary Junga, MD1, Nicole Harrison, MD2, Jaime P0425. Subcapsular Hematoma: An Unusual Complication of ERCP Stull, MD2, Adam Tritsch, MD2; 1Walter Reed National Military Medical Sally Ziatabar, DO, Andrew A. Nguyen, DO, Jusuf Zlatanic, MD; Lenox Hill Center, Silver Spring, MD; 2Walter Reed National Military Medical Center, Hospital, New York, NY Bethesda, MD P0426. Sometimes, What’s on the Outside Matters: A Rare Case of a P0436. Hereditary Hemochromatosis and Dieulafoy’s Lesion - A Plausible Bleeding Para-Esophageal Varix With Resultant Hemothorax Association Aaron Thomas, DO1, Chirag Patel, MD2, Jacqueline Rampy, MD1, Souleymane Ali Bokhari, MD1, Laith Al momani, MD1, Sathvika Gaddam, MD1, Jojo Diallo, DO1, Amy Schindler, MD2, Stalin Subramanian, MD3; 1University of Yorke, MD1, Vinendra Gupta, MD2; 1East Tennessee State University, Texas Health Science Center at San Antonio, San Antonio, TX; 2University Johnson City, TN; 2VA Mountain Home, Johnson City, TN of Texas Health San Antonio, San Antonio, TX; 3San Antonio Uniformed Services Health Education Consortium, San Antonio, TX P0437. Hemosuccus Pancreaticus Caused by Splenic Artery Pseudoaneurysm: A Rare Cause of Gastrointestinal Bleeding P0427. Management of Refractory Bleeding From Peristomal Varices Laith Al momani, MD1, Lindsey C. Shipley, MD2, Jennifer Phemister, MD1, Secondary to Oxaliplatin-Associated Portal Hypertension Jason McKinney, DO1, Mark Young, MD1; 1East Tennessee State University, Hao Chi Zhang, MD1, John Stroehlein, MD2; 1University of Texas Health Johnson City, TN; 2University of Alabama at Birmingham, Birmingham, AL Science Center at Houston, Houston, TX; 2University of Texas MD Anderson Cancer Center, Houston, TX P0438. Duodenal Varices: A Rare yet Potentially Fatal Cause of Gastrointestinal Bleeding P0428. Hepatocelluar Carcinoma Invading the Gallbladder - A Rare Cause Laith Al momani, MD, Tyler Aasen, DO, Mark Young, MD; East Tennessee of Hemobilia State University, Johnson City, TN Nihar Shah, MBBS1, Amreet K. Aujla, MD2, Nha T. Duong, DO1, Marisa Terino, MD1; 1University of Connecticut Health Center, Farmington, CT; 2University of Connecticut Health, Farmington, CT IBD P0429. A Coil Calamity P0439. Clostridium difficile-Associated Outcomes Among Hospitalized Amruta Panwala, MBBS1, Nihar Shah, MBBS2, Alexander Perelman, DO, Inflammatory Bowel Disease Patients in the United States: 2006-2014 2 1 1 MS , Roopjeet K. Bath, MBBS ; University of Connecticut, Farmington, CT; Manish Shrestha, MD, Sasha Taleban, MD; University of Arizona College of 2 University of Connecticut Health Center, Farmington, CT Medicine, Tucson, AZ P0430. Trident Technique of Hemo-Clipping to Successfully Control P0440. Cardiovascular Disease in Hospitalized Patients with Inflammatory Bleeding Dieulafoy Lesions: A Case Series Bowel Disease 1 2 3 Keerthana Kasi, BS , Navya Sharma , Tanuj Chokshi, BS, DO , Nikhil Kaushal Majmudar, DO1, Luis Diaz Quintero, MD2, Juan Pablo Salazar 4 5 2 Vasireddi , Nidah S. Khakoo, BS, MD , Arul Ruthwik Duggimpudi , Divya Adum, MD2, Iva Golemi, MD2, Christian Torres, MD3, Harry Fuentes Bayne, 2 2 6 Sudireddi, MBBS , Neal Vasireddi , Srinivas S. Vasireddi, MD, FACP , MD, MS4, Alfonso Tafur, MD2; 1NorthShore University HealthSystem, 7 1 Niranjana Kasi, BS ; International American University College of Glenview, IL; 2NorthShore University HealthSystem, Evanston, IL; 3John 2 Medicine, Morganville, NJ; Advanced Digestive Center, Inc., Metuchen, H. Stroger, Jr. Hospital of Cook County, Evanston, IL; 4John H. Stroger, Jr. 3 NJ; Rowan University School of Osteopathic Medicine, Morganville, NJ; Hospital of Cook County, Chicago, IL 4Case Western Reserve University, Cleveland, OH; 5Jackson Memorial Hospital/University of Miami, Morganville, NJ; 6Bayshore Medical Center/ P0441. Inflammatory Bowel Disease and the Emergency Department: Risk Advanced Digestive Center, Inc., Metuchen, NJ; 7St. George’s University Factors for Repeated Visits and Role of CT Imaging School of Medicine, Morganville, NJ Lauren George, MD1, Jennifer Cahill, MD1, Fauzia Ullah1, Brendan Martin, PhD2, Nikiya Asamoah, MD1, Kathleen Idstein, PA-C1, Mukund Venu, MD1, P0431. Life Threatening Gastrointestinal Bleeding From Stomal Varices Amar Naik, MD1; 1Loyola University Medical Center, Maywood, IL; 2Loyola Managed by Transjugular Intrahepatic Portosystemic Shunt and Amplatzer University Chicago, Maywood, IL Plug Embolization David Wilhoite, BS, Tyler Aasen, DO, Lawrence Schmidt, MD; East P0442. Racial and Geographic Variation in Colectomy Rates: Insights From Tennessee State University, Quillen College of Medicine, Johnson City, TN National Inpatient Database Abhishek Bhurwal, MBBS, MD1, Hemant Raj Mutneja, MBBS, MD2, Ishani P0432. All That Bleeds! Visceral Artery Pseudo Aneurysm as a Rare Cause Shah, MD3, Parth Brahmbhatt, MBBS4, Raja Chandra Chakinala, MD5, of Recurrent Fresh Gastrointestinal Bleeding Khwaja F. Haq, MD6, Shantanu Solanki, MD, MPH5, David Rahni, MD7, Maria Bajwa, MD, Thomas Genese, MD, FACP, Adam Cloud, MD, RPVI; Michael Bartel, MD8, Bhaumik Brahmbhatt, MBBS, MD9; 1Rutgers Robert United Health Services Hospitals, Binghamton, NY Wood Johnson University Hospital, New Brunswick, NJ; 2John H. Stroger, 3 P0433. Acquired Deficiency of Von Willebrand Factor (wWF) Associated Jr. Hospital of Cook County, Chicago, IL; St. Joseph’s Hospital and 4 with Intestinal Angiodysplasia Medical Center, Phoenix, AZ; Rush University Medical Center, Chicago, 5 Mohamed A. Elkhouly, MD1, Nisar Asmi, MD1, Afsana Asharaf, MD1, IL; New York Medical College at Westchester Medical Center, Valhalla, 6 7 Ahmed A. Elkhouly, MD2, Alaa Hijazi, MD3, Xavier Andrade Gonzalez, NY; Henry Ford Hospital, Detroit, MI; Saint Barnabas Medical Center, 8 9 MD1, Alan Urbina, MD4, Bashar M. Attar, MD, PhD1; 1Cook County Health Livingston, NJ; Fox Chase Medical Center, Philadelphia, PA; Mayo Clinic, and Hospitals System, Chicago, IL; 2Cairo University Hospitals, Cairo, Al Jacksonville, FL Qalyubiyah, Egypt; 3Cairo University Hospitals, Cairo, Al Qahirah, Egypt; 4John H. Stroger, Jr. Hospital of Cook County, Chicago, IL

66 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0443. Clinical Outcomes of Endoscopy-Associated Perforation (EAP) in P0447. Impact of Cholecystectomy on Clinical Course of IBD: Increased SUNDAY Patients With Inflammatory Bowel Disease (IBD) Diarrhea, Healthcare Charges, Narcotic Use and Decreased Quality of Amandeep Singh, MD 1, Mustanser Badar, MD2, Rocio Lopez, MS3, Jessica Life Independent of Inflammation Status Philpott, MD2, Bo Shen, MD4; 1Digestive Disease Institute/Cleveland Maham Lodhi, MD1, Claudia Ramos del Aguila de Rivers, MD2, Marc Clinic, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Lerner Research Schwartz, MD3, Dmitriy Babichenko, MSIS4, Gong Tang, PhD2, Tanvi Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Cleveland Clinic Nagpal, MS3, Michael Dunn, MD, FACP3, David Binion, MD, FACG2; Digestive Disease Institute, Cleveland, OH 1Rush University Medical Center, Chicago, IL; 2University of Pittsburgh, Pittsburgh, PA; 3University of Pittsburgh Medical Center, Pittsburgh, P0444. Shifts in Vedolizumab Utilization Across the United States Are PA; 4University of Pittsburgh School of Computing and Information, Associated With Improved Outcomes Pittsburgh, PA Jenna Koliani-Pace, MD1, Siddharth Singh, MD2, Robert Hirten, MD3, Satimai Aniwan, MD4, Gursimran Kochhar, MD5, Shannon Chang, MD6, P0448. Development of a Novel Longitudinal Observational Cohort Dana J. Lukin, MD, PhD7, Youran Gao, MD8, Matthew Bohm, DO9, Arun of Adult and Pediatric Patients with Inflammatory Bowel Disease: Swaminath, MD10, Varun Kesar, MD11, Nitin Gupta, MD12, Eugenia Shmidt, TARGET-IBD MD13, Joseph Meserve, MD2, Adam Winters, MD3, Shreya Chablaney, Millie D. Long, MD, MPH1, David T. Rubin, MD2, Marla C. Dubinsky, MD3, MD3, David Faleck, MD3, Brigid S. Boland, MD2, Preeti Shashi, MD14, John Hanson, MD4, Michael Weiss, MD5, Edward L. Barnes, MD, MPH6, Aaron Weiss, MD15, David Hudesman, MD16, Sashidhar Varma, MD9, Sumona Saha, MD, MPH7, Charles Moser, BS8, Robert Sandefur, BA8, Monika Fischer, MD, FACG9, Keith Sultan, MD17, Bo Shen, MD18, Sunanda Bruce E. Sands, MD, MS3; 1University of North Carolina, Center for Kane, MD19, Edward V. Loftus, Jr., MD4, Bruce E. Sands, MD, MS3, Jean- Gastrointestinal Biology and Disease, Chapel Hill, NC; 2Inflammatory Frederic Colombel, MD3, William J. Sandborn, MD, FACG2, Karen Lasch, Bowel Disease Center, University of Chicago Medicine, Chicago, IL; MD20, Michelle Luo, PhD20, Jiao Yang, PhD21, Corey Siegel, MD, MS1, 3Icahn School of Medicine at Mount Sinai, New York, NY; 4Atrium Health, Parambir S. Dulai, MD2; 1Dartmouth-Hitchcock Medical Center, Lebanon, Charlotte, NC; 5Gastro Florida, Clearwater, FL; 6University of North NH; 2University of California San Diego, La Jolla, CA; 3Icahn School of Carolina at Chapel Hill, Chapel Hill, NC; 7University of Wisconsin School of Medicine at Mount Sinai, New York, NY; 4Mayo Clinic, Rochester, MN; Medicine & Public Health, Madison, WI; 8TARGET PharmaSolutions, Inc., 5Mayo Clinic, Jacksonville, FL; 6NYU Langone Health, New York, NY; Chapel Hill, NC 7Montefiore Medical Center, Bronx, NY;8 North Shore University Hospital, Manhasset, NY; 9Indiana University, Indianapolis, IN; 10Hofstra NorthShore- P0449. Analysis of Non-Melanoma Skin Cancer in the Ulcerative Colitis LIJ School of Medicine, New York, NY; 11Lenox Hill Hospital, New York, Program for Tofacitinib Bruce E. Sands, MD, MS1, Millie D. Long, MD, MPH2, Leonard Baidoo, MD3, NY; 12University of Minnesota, Minneapolis, MN; 13University of Mississippi, Walter Reinisch, MD4, Julian Panés, MD, PhD5, Chudy I. Nduaka, DVM, Jackson, MS; 14Cleveland Clinic Foundation, Cleveland, OH; 15Montefiore PhD6, Arif Soonasra, PharmD6, Ronald D. Pedersen, MS6, Nervin Lawendy, Medical Center, New York, NY; 16NYU, New York, NY; 17Northwell Health, PharmD6, Gary Chan, PharmD6, Gary S. Friedman, MD6, Chinyu Su, MD6; Hofstra School of Medicine, Manhasset, NY; 18Cleveland Clinic Digestive 1Icahn School of Medicine at Mount Sinai, New York, NY; 2University of Disease Institute, Cleveland, OH; 19Mayo Clinic Rochester, Rochester, North Carolina, Center for Gastrointestinal Biology and Disease, Chapel MN; 20Takeda Pharmaceuticals, U.S.A., Inc., Deerfield, IL;21 Takeda Hill, NC; 3Northwestern University Feinberg School of Medicine, Chicago, Pharmaceuticals U.S.A., Inc., Deerfield, IL IL; 4Medical University of Vienna, Vienna, Wien, Austria; 5Hospital Clínic P0445. Assessment of Biologic Treatment Outcomes in Inflammatory de Barcelona, IDIBAPS, CIBERehd, Barcelona, Catalonia, Spain; 6Pfizer Bowel Disease Patients with ‘Early Disease’: Results of a Systematic Inc., Collegeville, PA Literature Review Parambir S. Dulai, MD1, Vipul Jairath, PhD2, Donna Wright3, Alan Calleja3, P0450. Under Utilization of Iron Supplementation in Inflammatory Bowel Dirk Demuth, PhD4, Sarah Campbell-Hill, PhD5, Laurent Peyrin-Biroulet, Disease (IBD) Patients With Iron Deficiency Anemia (IDA): An Experience MD, PhD6; 1University of California San Diego, La Jolla, CA; 2Western at a Tertiary Referral IBD Center Meet Parikh, DO, Khine Shan, MD, Dhruvan Patel, MD, Neilanjan Nandi, University, London, ON, Canada; 3IQVIA, London, England, United MD; Drexel University College of Medicine, Philadelphia, PA Kingdom; 4Takeda International – UK Branch, London, England, United Kingdom; 5Takeda International - UK Branch, London, England, United P0451. Long-Term Safety in the Open-Label Period of a Phase 2a Study of Kingdom; 6University Hospital of Nancy, University of Lorraine, Nancy, Brazikumab, an Antibody Against Interleukin-23 Lorraine, France Bruce E. Sands, MD, MS1, Robert A. Gasser, Jr., MD2, Carl Gommoll, MS3, Silvio Danese, MD, PhD4; 1Icahn School of Medicine at Mount Sinai, New P0446. The Impact of Trophic Effects of Multi Strain Probiotic Preparation 2 3 on Paracellular Permeability York, NY; MedImmune, Gaithersburg, MD; Allergan plc, Madison, NJ; 4Humanitas University, Milan, Lombardia, Italy Valentina Petito, PhD1, Lucrezia Laterza, MD2, Cristina Graziani, PhD1, Alma Boninsegna, BSc3, Donatella Lucchetti, PhD4, Loris Lopetuso, MD, PhD5, P0452. DVT Prophylaxis in Patients with Inflammatory Bowel Disease: Alessandro Sgambato, MD, PhD3, Franco Scaldaferri, MD, PhD1, Antonio Single-Center Retrospective Analysis of Care Appropriateness Gasbarrini, MD, PhD1; 1Fondazione Policlinico Gemelli IRCSS, Catholic Olga Vitorsky, DO1, Andrew Canakis, DO2, Matthew Delmonico, DO1, University of Sacred Heart of Rome, Rome, Lazio, Italy; 2Fondazione William Huntington, DO1, Scott McShane, DO1, Patricia Wong, MD1, Policlinico Universitario Gemelli IRCSS, Catholic University of Sacred Ryan Urbas, DO1; 1Lankenau Medical Center, Wynnewood, PA; 2Boston Heart of Rome, Rome, Lazio, Italy; 3Catholic University of Sacred Heart University Medical Center, Boston, MA of Rome, Rome, Lazio, Italy; 4Università Cattolica del Sacro Cuore, Roma, Lazio, Italy; 5Fondazione Policlinico Universitario Gemelli Universita P0453. ‘An Ounce of Prevention Is Worth a Pound of Cure’: Using Cattolica del Sacro Cuore, Rome, Lazio, Italy an Objective Structured Clinical Examination to Assess Delivery of Preventative Care in IBD Irving Levine, MD1, Sondra Zabar, MD2, Elizabeth Weinshel, MD3, Colleen Gillespie, PhD2, Lisa Malter, MD2; 1NYU School of Medicine, Manhattan, NY; 2NYU School of Medicine, New York, NY; 3New York University School of Medicine, New York, NY

P0454. Demographics and Outcomes of Patients Cared for in an Integrated P0463. Baseline Ulcerative Colitis Endoscopic Index of Severity and Academic Inflammatory Bowel Disease Center Endoscopic Mayo Score Perform Similarly Predicting Response to Medical Irving Levine, MD1, Valerie Gausman, MD2, Brian P. Bosworth, MD, FACG3, Therapy in Patients with Ulcerative Colitis Feza Remzi, MD2, Shannon Chang, MD2, David Hudesman, MD4; 1NYU Hasan Bader, MD, Lawrence Seymour, John Grady, Daniel Stein, MD, School of Medicine, Manhattan, NY; 2NYU Langone Health, New York, NY; Andres Yarur, MD; Medical College of Wisconsin, Milwaukee, WI 3NYU Langone Tisch Hospital, New York, NY; 4NYU, New York, NY P0464. Presenting Symptoms in Inflammatory Bowel Disease: Analysis of P0455. Equivalent Cell Mediated Immunity to Varicella Zoster Virus in a Community-Based Inception Cohort Young Patients With Inflammatory Bowel Disease Compared to Healthy Bryce Perler, MD1, Ryan Ungaro, MD2, Grayson Baird, PhD3, Meaghan Controls for Whom the Herpes Zoster Vaccine Is Recommended Mallette4, Renee Bright, MS4, Samir Shah, MD5, Jason Shapiro, MD1, Bruce Freddy Caldera, DO1, Sumona Saha, MD, MPH1, Jason Browne, BS1, Kate E. Sands, MD, MS2; 1Warren Alpert Medical School of Brown University, Berlin2, Sue McCrone, BS2, Mary Hayney, PharmD, MPH2; 1University of Providence, RI; 2Icahn School of Medicine at Mount Sinai, New York, NY; Wisconsin School of Medicine & Public Health, Madison, WI; 2University of 3Brown University/Rhode Island Hospital, Providence, RI; 4Rhode Island Wisconsin School of Pharmacy, Madison, WI Hospital, Providence, RI; 5The Warren Alpert Medical School of Brown University, Providence, RI P0456. Bowel Wall Thickening on Emergency Room CT Scans - Is It Always IBD? P0465. Efficacy and Safety of Ustekinumab for Crohn’s Disease: Results Syed Adnan Mohiuddin, MD, Saad Al Kaabi, MD, Prem Chandra, MBBS, From IM-UNITI Long-Term Extension Through 3 Years PhD, Joseph Angilivelil, MD; Hamad Medical Corporation, Doha, Ad  Presidential Poster Award Dawhah, Qatar William J. Sandborn, MD, FACG1, Paul Rutgeerts, MD, PhD2, Douglas Jacobstein, MD3, Christopher Gasink, MD4, Reese Patel, PharmD4, Bin Zou, P0457. Demographic and Mortality Trends in Hospital Admissions for PhD3, Jewel Johanns, PhD3, Bruce E. Sands, MD, MS5, Stephen Hanauer, Inflammatory Bowel Disease-Related Colorectal Cancer MD6, Stephan Targan, MD7, Subrata Ghosh, MD8, Willem de Villiers, MD9, Reza Hashemipour, MD1, Neel Patel, MD2, Sushil Ahlawat, MD3; 1Rutgers Jean-Frederic Colombel, MD5, Brian Feagan, MD10; 1University of California New Jersey Medical School, Jersey City, NJ; 2Rutgers New Jersey Medical San Diego, La Jolla, CA; 2University Hospital Gasthuisberg, Leuven, School, Newark, NJ; 3Rutgers University, New Jersey Medical School, Vlaams-Brabant, Belgium; 3Janssen Research & Development, LLC, Spring Newark, NJ House, PA; 4Janssen Scientific Affairs, LLC, Horsham, PA;5 Icahn School P0458. A Novel Multidimensional IBD Complexity Score Associates with of Medicine at Mount Sinai, New York, NY; 6Northwestern University Quality of Life and Predicts Unplanned Care Feinberg School of Medicine, Chicago, IL; 7Cedars-Sinai Medical Center, Benjamin Click, MD, MSc1, Miguel Regueiro, MD2, William Shrank, MD3, Los Angeles, CA; 8University of Birmingham, Birmingham, England, Sandra McAnallen, RN, MS3, Marion McGowan, PhD3, Roger Kathol, United Kingdom; 9University of Stellenbosch, Stellenbosch, Western MD4, Eva Szigethy, MD, PhD5; 1University of Pittsburgh Medical Center, Cape, South Africa; 10Robarts Research Institute, London, ON, Canada 2 3 Pittsburgh, PA; Cleveland Clinic, Cleveland, OH; University of Pittsburgh P0466. Long-Term Safety of the Anti-Mucosal Addressin Cell Adhesion Medical Center Health Plan, Pittsburgh, PA; 4Cartesian Solutions, 5 Molecule-1 (MAdCAM-1) Antibody SHP647 in Ulcerative Colitis: An Open- Minneapolis, MN; University of Pittsburgh, Pittsburgh, PA Label Extension Study (TURANDOT II) P0459. Ethnic and Demographic Differences in Colectomy Rates and Walter Reinisch, MD1, William J. Sandborn, MD, FACG2, Silvio Danese, MD, Timing for Ulcerative Colitis: 2007-2014 PhD3, Xavier Hébuterne, MD4, Bruce Salzberg, MD5, Maria Kłopocka, MD, Daniel D. Bodek, DO1, Alana Persaud, MD2, Brian Blair, DO3, Sushil PhD6, Dino Tarabar, MD, PhD7, Tomáš Vaňásek, MD, MPH8, Miloš Greguš, Ahlawat, MD2; 1Rowan-SOM/Jefferson Health NJ, Stratford, NJ;2 Rutgers MD9, Paul Hellstern, MD10, Joo Sung Kim, PhD, MD, MS11, Miles Sparrow, University, New Jersey Medical School, Newark, NJ; 3Rowan-SOM/ MD, PhD, MBBS12, Kenneth J. Gorelick, MD13, Martina Goetsch, MD14, Caleb Jefferson Health NJ, Cherry Hill, NJ Bliss, PhD15, Fabio Cataldi, MD15, Séverine Vermeire, MD, PhD16; 1Medical University of Vienna, Vienna, Wien, Austria; 2University of California P0460. Half of IBD Patients Without Anemia Have Iron Deficiency Leading San Diego, La Jolla, CA; 3Humanitas University, Milan, Lombardia, Italy; to Similar Rates of Fatigue as Iron Deficiency Anemia 4University of Nice Sophia Antipolis, Hospital l’Archet, Nice, Provence- 1 1 Avesh Thuluvath, MD , Divya Rayapati, BA , Berkeley Limketkai, MD, Alpes-Cote d’Azur, France; 5Atlanta Gastroenterology Specialists PC, 2 1 1 PhD , Alyssa Parian, MD ; Johns Hopkins University School of Medicine, Atlanta, GA; 6Nicolaus Copernicus University, Collegium Medicum, 2 Baltimore, MD; Stanford University School of Medicine, Palo Alto, CA Bydgoszcz, Kujawsko-Pomorskie, Poland; 7Clinic of Gastroenterology P0461. Real World Experience in Therapeutic Drug Monitoring and Hepatology, Military Medical Academy, Belgrade, Kosovo, Serbia; 8 in Inflammatory Bowel Disease: Lack of Anti-Drug Antibodies to Charles University Hospital, Hradec Králové, Kralovehradecky kraj, 9 10 Vedolizumab and Ustekinumab Compared to Anti-TNF Agents in IBD Czech Republic; Gastroenterology Center, Nitra, Slovakia; Nature Coast 11 Kerri L. Glassner, DO, Ayah Oglat, MD, Bincy Abraham, MD, MS; Houston Clinical Research, Inverness, FL; Seoul National University College of 12 Methodist Hospital, Houston, TX Medicine, Seoul, Seoul-t’ukpyolsi, Republic of Korea; Alfred Hospital, Melbourne, Victoria, Australia; 13Zymo Consulting Group, Newtown P0462. Safety of Consecutive Vedolizumab and Iron Infusions: Square, PA; 14Shire, Zug, Switzerland; 15Shire, Lexington, MA; 16University A Retrospective Cohort Study Hospitals Leuven, Leuven, Vlaams-Brabant, Belgium Stephanie L. Gold, MD1, Yecheskel Schneider, MD2, Shirley Cohen- Mekelburg, MD, MS3, Ellen Scherl, MD, FACP, FACG, NYSGEF4, Adam Steinlauf, MD5; 1New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY; 2University of Pennsylvania, Philadelphia, PA; 3University of Michigan, Ann Arbor, MI; 4Weill Cornell Medical College of Cornell University, New York, NY; 5Mount Sinai School of Medicine, New York, NY

68 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0467. Long-Term Safety, Efficacy and Pharmacokinetics of the Anti- P0474. A Clinical and Radiographic Model to Guide Medical versus SUNDAY Mucosal Addressin Cell Adhesion Molecule-1 (MAdCAM-1) Monoclonal Surgical Management for Acute Small Bowel Obstruction in Crohn’s Antibody SHP647 in Crohn’s Disease: The OPERA II Study Disease Geert R. D’Haens, MD, PhD1, Walter Reinisch, MD2, Scott D. Lee, MD3, Sarina Lowe, MD1, Justin Ream, MD2, David Hudesman, MD2, Lisa Dino Tarabar, MD, PhD4, Edouard Louis, MD, PhD5, Maria Kłopocka, MD, Malter, MD3, Brian P. Bosworth, MD, FACG4, Alec Megibow, MD, MPH5, PhD6, Jochen Klaus, MD, PhD7, Stefan Schreiber, MD8, Dong Il Park, MD, Yuhe Xia, MS6, Hua Zhong, PhD6, Shannon Chang, MD6; 1University of PhD9, Xavier Hébuterne, MD10, Fabio Cataldi, MD11, Steven W. Martin, California Los Angeles, Los Angeles, CA; 2NYU, New York, NY; 3NYU PhD12, Satyaprakash Nayak, PhD12, Anindita Banerjee, PhD12, Kenneth School of Medicine, New York, NY; 4NYU Langone Tisch Hospital, New J. Gorelick, MD13, William J. Sandborn, MD, FACG14; 1Academic Medical York, NY; 5NYU-Langone Health, New York, NY; 6NYU Langone Health, Center, Amsterdam, Noord-Holland, Netherlands; 2Medical University New York, NY of Vienna, Vienna, Wien, Austria; 3University of Washington, Seattle, WA; 4Clinic of Gastroenterology and Hepatology, Military Medical P0475. Healthcare Resource Utilization in Inflammatory Bowel Disease Academy, Belgrade, Kosovo, Serbia; 5University Hospital of Liège, Liège, Patients: A 2-Year Analysis Harry E. Sarles, Jr., MD, FACG1, Lucinda J. Van Anglen, PharmD2, Thomas Liege, Belgium; 6Nicolaus Copernicus University, Collegium Medicum, C. Hardin, PharmD2, Schroeder P. Claudia, PharmD, PhD2; 1DHAT Research Bydgoszcz, Kujawsko-Pomorskie, Poland; 7University Hospital Ulm, Institute, Richardson, TX; 2Healix Infusion Therapy, Sugar Land, TX Ulm, Baden-Wurttemberg, Germany; 8University Hospital Schleswig- Holstein, Christian-Albrechts-University of Kiel, Kiel, Schleswig-Holstein, P0476. Patients Without Private or Commercial Insurance Are Less Likely Germany; 9Kangbuk Samsung Hospital, Sungkyunkwan University, to Be Worked up for Inflammatory Bowel Disease or Celiac Disease When Seoul, Seoul-t’ukpyolsi, Republic of Korea; 10University of Nice Sophia They Present With Iron Deficiency Anemia and Diarrhea Antipolis, Hospital l’Archet, Nice, Provence-Alpes-Cote d’Azur, France; Adjoa Anyane-Yeboa, MD1, Betty Li, MD2, George Gulotta, MS1, Olivia V. 11Shire, Lexington, MA; 12Pfizer, Cambridge, MA;13 Zymo Consulting Group, Yvellez, BA1, David T. Rubin, MD1; 1Inflammatory Bowel Disease Center, Newtown Square, PA; 14University of California San Diego, La Jolla, CA University of Chicago Medicine, Chicago, IL; 2The University of Chicago P0468. Variation in IBD Prevalence by Race/Ethnicity Within an Integrated Medicine, Chicago, IL Healthcare Delivery System P0477. The Incidence of Inflammatory Bowel Disease in Chicago Over an Monique DeLisser, MD1, Julia Wei, MPH2, Nirmala Ramalingam, MPP3, 18-Year Period Fernando Velayos, MD4, Benjamin Hassid, MD5; 1Kaiser Permanente Adjoa Anyane-Yeboa, MD1, Donald Goens, MD2, Olivia V. Yvellez, BA1, Oakland Internal Medicine Residency Program, Oakland, CA; 2Kaiser George Gulotta, MS1, David T. Rubin, MD1; 1Inflammatory Bowel Disease Permanente, Oakland, CA; 3Kaiser Permanente Oakland, Oakland, CA; Center, University of Chicago Medicine, Chicago, IL; 2University of 4Kaiser Permanente San Francisco Medical Center, San Francisco, CA; Chicago Medical Center, Chicago, IL 5Kaiser Permanente Oakland Medical Center, Oakland, CA P0478. Ustekinumab Dose Intensification Can Be Effective in Crohn’s P0469. Fecal Calprotectin Levels Predict Histological Healing in Disease Patients Not Responding to Induction Ulcerative Colitis Ari Young, MD1, Steven Tsistrakis, MD1, Jason Rubinov, MD1, Elizabeth Sylvester Luu, DO1, Sonali Sarkar, PhD1, Ryan Ungaro, MD2, Anish A. Patel, Kohan, ARNP2, Robert Hirten, MD3, Ryan Ungaro, MD3, Benjamin Cohen, DO1; 1Brooke Army Medical Center, San Antonio, TX; 2Icahn School of MD3, Judy Cho, MD3, Bruce E. Sands, MD, MS3, Jean-Frederic Colombel, Medicine at Mount Sinai, New York, NY MD3, Ioannis Oikonomou, MD4; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Hospital, New York, NY; 3Icahn School of Medicine at Mount P0470. The Use of an EMR Patient Portal (MYCHART-EPIC) in Patients 4 With Inflammatory Bowel Disease: Preliminary Results of a Randomized Sinai, New York, NY; Rush University Medical Center, Chicago, IL Clinical Trial P0479. Ustekinumab Improves Productivity and Reduces Work Limitation Jason Reich, MD1, Jill E. Harrington, MD1, Divya Shankar, MD1, Eric Jones, of Patients With Moderate to Severe Crohn’s Disease: Results From Three BS2, Janice Weinberg, ScD3, Ansu Norohna, MD1, Sharmeel K. Wasan, MD1, Phase 3 Clinical Trials Francis A. Farraye, MD, MSc1; 1Boston Medical Center, Boston, MA; 2Boston Bruce E. Sands, MD, MS1, Chenglong Han, MD, PhD2, Dominik Naessens, University, Boston, MA; 3Boston University School of Public Health, PhD3, Christopher Gasink, MD4, Douglas Jacobstein, MD3, Long-Long Gao, Boston, MA PhD4, Brian Feagan, MD5; 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Janssen Research & Development, LLC, Malvern, PA; 3Janssen P0471. Unambiguous Real-Time Endoscopic Scoring of Ulcerative Colitis 4 Using a Convolutional Neural Network Research & Development, LLC, Spring House, PA; Janssen Scientific Affairs, LLC, Horsham, PA;5 Robarts Research Institute, London, ON, Alexander P. Abadir, MD1, James Requa2, Andrew Ninh2, William Karnes, Canada MD3, Mark Mattar, MD4; 1University of California Irvine, Orange, CA; 2Docbot, Irvine, CA; 3University of California Irvine Medical Center, P0480. Adherence to Preventative Health Care Measures in Inflammatory Orange, CA; 4MedStar Georgetown University Hospital, Washington, DC Bowel Disease Patients Is Low Lynsey M. Maciolek, BS1, Kevin Kline, MD2, Mohammad Bilal, MD1, Wayne P0472. Incidence Rates of Infection and Malignancy of Patients Treated 1 1 1 With Vedolizumab for Inflammatory Bowel Disease in Clinical Practice Fischer, PhD , Sreeram Parupudi, MD, FACP, FACG , Gurinder Luthra, DO ; 1University of Texas Medical Branch, Galveston, TX; 2University of Texas Steven Lin, MD, MPH, Lindsey Sattler, MD, Gila Hoffman, MD, Joseph Medical Branch, Webster, TX Feuerstein, MD; BIDMC/Harvard Medical School, Boston, MA P0473. Elderly versus Non-elderly Patients with Inflammatory Bowel Disease on Biologic Therapy: Characteristics and Outcomes Steven Lin, MD, MPH, Zachary Devore, MD, Christina Wang, MD, Jeremy R. Glissen Brown, MD, Ghideon Ezaz, MD, Kenneth Falchuk, MD, Joseph Feuerstein, MD; BIDMC/Harvard Medical School, Boston, MA

P0481. Characterization of Creatine Kinase Levels in the Tofacitinib P0488. Selective Inhibition of Tyrosine Kinase 2 (TYK2) with BMS-986165 Ulcerative Colitis Development Program Is Efficacious in IL-23–Mediated Diseases: Evidence from Preclinical IBD Remo Panaccione, MD, FRCP1, John D. Isaacs, MBBS, PhD, FRCP2, Lea Models and From a Psoriasis Study Ann Chen, MD3, Wenjin Wang, PhD4, Amy Marren, MD4, Kenneth Kwok, James R. Burke, PhD1, Lihong Cheng, MS1, Joann Strnad, MS1, Yifan Zhang, MS5, Lisy Wang, MD6, Gary Chan, PharmD4, Chinyu Su, MD4; 1University of MS1, Elizabeth M. Heimrich, BS1, Kathleen M. Gillooly, MS1, Jenny Xie, PhD1, Calgary, Calgary, AB, Canada; 2Institute of Cellular Medicine, Newcastle Adriana Zupa-Fernandez, BS1, Kim Papp, MD, PhD2, Kenneth Gordon, University and The NIHR Newcastle Biomedical Research Centre, MD3, Ihab G. Girgis, PhD1, Sudeep Kundu, PhD1, Subhashis Banerjee, Newcastle upon Tyne, England, United Kingdom; 3New York University MD1; 1Bristol-Myers Squibb, Princeton, NJ; 2K Papp Clinical Research and School of Medicine, New York, NY; 4Pfizer Inc., Collegeville, PA;5 Pfizer Probity Medical Research, Waterloo, ON, Canada; 3Medical College of Inc., New York, NY; 6Pfizer Inc., Groton, CT Wisconsin, Milwaukee, WI P0482. The Association Between Disease Activity and Patient-Reported P0489. Factors Predicting Remission and Disease Progression of Outcomes in Patients With Moderate-to-Severe Ulcerative Colitis in the Pyoderma Gangrenosum Lesions in Patients With Inflammatory United States Bowel Disease Marco DiBonaventura, PhD1, Danielle Bargo, MSc1, James Lucas, BS2, Malav P. Parikh, MD1, Komal Thind, MD2, Maulik Dhandha, MD3, Niyati M. Daniel Bluff, BS2, Ben Hoskin, BSc2, Leonardo Salese, MD3, Joseph C. Gupta, MD4, George Khoudari, MD4, Rocio Lopez, MS5, Gursimran Kochhar, Cappelleri, PhD, MPH4; 1Pfizer Inc., New York, NY;2 Adelphi Real World, MD6, Bo Shen, MD7; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic, Macclesfield, England, United Kingdom;3 Pfizer Inc., Collegeville, PA; Akron General, Akron, OH; 3Maine Dartmouth Family Medicine Residency, 4Pfizer Inc., Groton, CT Augusta, ME; 4Cleveland Clinic Foundation, Cleveland, OH; 5Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 6Mayo P0483. Dose Escalation and Treatment Patterns of Advanced Therapies Clinic, Jacksonville, FL; 7Cleveland Clinic Digestive Disease Institute, Used to Treat Ulcerative Colitis: A Retrospective Database Analysis in the Cleveland, OH United States Timothy W. Smith, PhD1, Marco DiBonaventura, PhD1, David Gruben, P0490. Simplification of Validated Patient-Reported Outcome Instruments PhD2, Danielle Bargo, MSc1, Leonardo Salese, MD3, Daniel Quirk, MD, MPH, in Inflammatory Bowel Disease MBA3; 1Pfizer Inc., New York, NY;2 Pfizer Inc., Groton, CT;3 Pfizer Inc., Michael J. Andersen Jr, MSc1, Olivia V. Yvellez, BA2, Katia El Jurdi, MD2, Collegeville, PA Donald Lei, MSc1, Talia A. Pearl, BA2, Nada Zmeter, MD2, David T. Rubin, MD2; 1Pritzker School of Medicine, University of Chicago Medicine, P0484. Treatment Patterns Among Patients With Moderate-to-Severe Chicago, IL; 2Inflammatory Bowel Disease Center, University of Chicago Ulcerative Colitis in the United States Medicine, Chicago, IL Marco DiBonaventura, PhD1, Danielle Bargo, MSc1, James Lucas, BS2, Daniel Bluff, BS2, Ben Hoskin, BSc2, Leonardo Salese, MD3, Joseph C. P0491. Protein-Calorie Malnutrition Reduces the Durability of Biologic Cappelleri, PhD, MPH4, Daniel Quirk, MD, MPH, MBA3; 1Pfizer Inc., New Therapy in Inflammatory Bowel Disease York, NY; 2Adelphi Real World, Macclesfield, England, United Kingdom; Sarah Lechner, MD1, Steven Hendler, MD1, Kian Keyashian, MD1, David 3Pfizer Inc., Collegeville, PA;4 Pfizer Inc., Groton, CT Limsui, MD1, Kefu Li, MD2, Andrea Wolf, RD3, Berkeley Limketkai, MD, PhD4; 1Stanford University School of Medicine, Stanford, CA; 2Santa Clara P0485. Real World Effectiveness of Advanced Therapies Among Patients Valley Medical Center, San Jose, CA; 3Stanford Health Care, Stanford, CA; With Moderate-to-Severe Ulcerative Colitis in the United States 4Stanford University School of Medicine, Palo Alto, CA Timothy W. Smith, PhD1, Marco DiBonaventura, PhD1, David Gruben, PhD2, Danielle Bargo, MSc1, Leonardo Salese, MD3, Daniel Quirk, MD, MPH, P0492. Exploratory Examination of Real-World Treatment Patterns of MBA3; 1Pfizer Inc., New York, NY;2 Pfizer Inc., Groton, CT;3 Pfizer Inc., Mesalamine Products in Patients With Ulcerative Colitis Collegeville, PA Misti Paudel, PhD1, Junliang Tong, PhD1, Steven Hass, PhD2, Arpita Nag, PhD, MBA, MS3, Rachel Halpern, PhD1; 1OptumInsight Life Sciences, Inc., P0486. Capsule Delivery of Fecal Microbiota Transplant Is Well Tolerated Eden Prairie, MN; 2H. E. Outcomes, Los Angeles, CA; 3Shire, Lexington, MA in Ulcerative Colitis Patients Adam Tabbaa, MD1, Martin Zydek, BS2, Vivian Deng, BS2, Ann Lazar, PhD, P0493. Economics of Vaccinating Patients in a Hospital-Based MS2, Jonathan P. Terdiman, MD, FACG2, Najwa El-Nachef, MD2; 1University Gastroenterology Practice of California San Francisco, San Fransisco, CA; 2University of California  Presidential Poster Award San Francisco, San Francisco, CA Manisha Apte, MD, Jason Reich, MD, Toni Zahorian, PharmD, Bhavesh Shah, RPh, BCOP, Francis A. Farraye, MD, MSc; Boston Medical Center, P0487. Baseline Albumin Level Is Not a Significant Predictor of Tofacitinib Boston, MA Efficacy in Patients with Ulcerative Colitis: Results of Multivariate Exposure-Response Analysis 1 2 Gary R. Lichtenstein, MD , Andrew Tinsley, MD, MSc , Xavier Roblin, IBD MD, PhD3, Tadakazu Hisamatsu, MD, PhD4, Camille Vong, PhD5, Shinichi Clinical Vignettes / Case Reports Tsuchiwata, MS6, Konstantinos Tsilkos, MD7, Haiying Zhang, PhD7, Arnab 8 7 9 1 Mukherjee, PhD , Chinyu Su, MD , David T. Rubin, MD ; Hospital of the P0494. An Unusual Side Effect of Interferon Therapy 2 University of Pennsylvania, Philadelphia, PA; Penn State College of Francis Dailey, MD, Erica Turse, DO, MPH, Maliha Naseer, MD, Veysel 3 Medicine, Hershey, PA; University Hospital of Saint-Etienne, Saint-Priest- Tahan, MD, FACP, FACG, FESBGH; University of Missouri, Columbia, MO en-Jarez, Rhone-Alpes, France; 4Kyorin University School of Medicine, Mitaka-shi, Tokyo, Japan; 5Pfizer Inc., Cambridge, MA;6 Pfizer Japan Inc., P0495. Sustained Resolution of Multifocal Low Grade Dysplasia in Shibuya, Tokyo, Japan; 7Pfizer Inc., Collegeville, PA;8 Pfizer Inc., Groton, Ulcerative Colitis: A Rare Progression CT; 9Inflammatory Bowel Disease Center, University of Chicago Medicine, Andrew Canakis, DO1, Peter Dellatore, MD 2, Matthew Josephson, MD2, Chicago, IL Mark Lazarev, MD3, Steven Brant, MD2; 1Boston University Medical Center, Boston, MA; 2Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; 3The Johns Hopkins Hospital, Baltimore, MD

70 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0496. IBD-Associated Malignancies: An Unusual Case of Concurrent P0508. Time Does Not Heal All Wounds SUNDAY Colon Adenocarcinoma and Small Cell Neuroendocrine Tumor Maham Hayat, MD, Hussein Bitar, MD, Salman Nusrat, MD; University of Judith Staub, MD1, David Bjorkman, MD, MSPH, MSci(Epi)2; 1University of Oklahoma Health Sciences Center, Oklahoma City, OK Utah, Salt Lake City, UT; 2University of Utah School of Medicine, Salt Lake City, UT P0509. Endoscopic Sinusotomy Using Needle Knife Technique for Treatment of H Pouch Sinus P0497. A Rare Coexistence of Crohn’s Disease and Sarcoidosis George Khoudari, MD1, Amandeep Singh, MD 2, Bo Shen, MD3; 1Hospital Hector Gonzalez, MD1, Leyla Maric, MD2, Andrew Ukleja, MD3; 1Florida Medicine Institute, Cleveland Clinic Foundation, Lakewood, OH; Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, 2Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 3Cleveland FL; 2Cleveland Clinic Florida, Weston, FL; 3Beth Israel Deaconess Medical Clinic Digestive Disease Institute, Cleveland, OH Center, Milton, MA P0510. To Treat or Not to Treat? Dilemma of CMV Ileitis and P0498. A Case of IBD, or Is It Really?! Biologic Therapy Naren S. Nallapeta, MBBS, Jose R. Estrada, MD, Robin Jindal, MBBS; Kendra T. Stilwell, DO1, Maria T. Kurtz, DO1, Anish A. Patel, DO2, James University at Buffalo, Buffalo, NY M. Francis, DO2, David T. Lynch, MD2; 1San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX; 2Brooke Army P0499. Real Life Experience With the Use of Ustekinumab for the Medical Center, San Antonio, TX Treatment of Inflammatory Conditions of the Ileal Pouch Steven Tsistrakis, MD1, Jason Rubinov, MD1, Ari Young, MD1, Ryan Ungaro, P0511. A Case of Pyoderma Gangrenosum as Skin Manifestation of SAPHO MD2, Benjamin Cohen, MD3, Elizabeth Kohan, ARNP2, Bruce E. Sands, Syndrome in an IBD Patient MD, MS3, Jean Fred Colombel, MD2, Ioannis Oikonomou, MD4; 1Mount Mitchell Kang, DO1, Seyedehsan Navabi, MD2, Allison J. Baragona, MD3, Sinai Beth Israel, New York, NY; 2Mount Sinai Hospital, New York, NY; Carl Manzo, MD2, Andrew Tinsley, MD, MSc4, Emmanuelle D. Williams, 3Icahn School of Medicine at Mount Sinai, New York, NY; 4Rush University MD4, Deborah Bethards, MD5; 1Penn State University - Milton S. Hershey Medical Center, Chicago, IL Medical Center, Hummelstown, PA; 2Penn State University - Milton S. Hershey Medical Center, Hershey, PA; 3Penn State Health Milton S. P0500. Ustekinumab-Associated Thrombocytopenia in a Patient With Hershey Medical Center, Hummelstown, PA; 4Penn State College of Refractory Crohn’s Disease Medicine, Hershey, PA; 5Penn State University, Hershey, PA Irving Levine, MD1, Vineet Rolston, MD2, Marianna Papademetriou, MD3, Lisa Malter, MD2; 1NYU School of Medicine, Manhattan, NY; 2NYU School P0512. Septic Panniculitis Due to Fistulizing Crohn’s Disease Masquerading of Medicine, New York, NY; 3Georgetown University/ Washington DC as Pyoderma Gangrenosum Veterans Administration, Washington, DC Sushma Chinni, DO 1, Shana Kothari, MD, MS2, Charles Berkelhammer, MD, FACG 3; 1University of Illinois at Chicago - Advocate Christ Medical Center, P0501. Granulomatosis with Polyangiitis Presenting Primarily With Oak lawn, IL; 2University of Illinois at Chicago - Advocate Christ Medical Gastrointestinal Bleeding Center, Oak Lawn, IL; 3Advocate Christ Medical Center, Oak Lawn, IL Shadi Ghadermarzi, MD, Shadman Memarian, MD, Folashade Jose, MD; Vidant Medical Center, Greenville, NC P0513. Active Tuberculosis Complicates the Diagnosis and Treatment of Fibrostenosing Crohn’s Disease P0502. Mesalamine-Induced Myopericarditis Brendan M. Collins, DO1, Sanjeev Singh, MD1, Richard P. Rood, MD, FACG, Marika Bergenstock, DO, Jessica McKee, DO, John Walker, DO; Geisinger FACP2; 1University of Cincinnati Medical Center/University of Cincinnati Medical Center, Danville, PA College of Medicine, Cincinnati, OH; 2University of Cincinnati College of P0503. Hypersensitivity to IV Ustekinumab but Tolerance to Subcutaneous Medicine, Cincinnati, OH Ustekinumab in a Patient With Crohn’s Disease P0514. Mandated Payor Switching With Infliximab (IFX) Biosimilars Noa Krugliak Cleveland, MD, Alexandra Masching, APN, FNP, David T. Harry E. Sarles, Jr., MD, FACG1, Lucinda J. Van Anglen, PharmD2, Thomas Rubin, MD; Inflammatory Bowel Disease Center, University of Chicago C. Hardin, PharmD2; 1DHAT Research Institute, Richardson, TX; 2Healix Medicine, Chicago, IL Infusion Therapy, Sugar Land, TX P0504. Rare, but Serious Extra-intestinal Complication of Inflammatory Bowel Disease Steven Russo, DO, Arslan Kahloon, MD, Michael Davis, MD; University of INTERVENTIONAL ENDOSCOPY Tennessee College of Medicine, Chattanooga, TN P0515. Efficacy of G-POEM or POP in Refractory Gastroparesis: P0505. Use of Oral Low-dose Cyclophosphamide Therapy in Patients With A Systematic Review Refractory Extensive Crohn’s Disease Naveen Prasad Gopalakrishnan Ravikumar, MD1, Kevin El-Hayek, MD2, Roni Weisshof, MD1, Inessa Normatov, MD2, Betty Li, MD3, David T. Rubin, Jeffrey Ponsky, MD2, Michael Cline, DO3, Prasanthi N. Thota, MD4, MD1; 1Inflammatory Bowel Disease Center, University of Chicago Medicine, Madhusudhan R. Sanaka, MD4; 1University at Buffalo, Buffalo, NY; Chicago, IL; 2University of Chicago, Comer Children’s Hospital, Chicago, 2Cleveland Clinic Foundation, Cleveland, OH; 3Cleveland Clinic, Cleveland, IL; 3The University of Chicago Medicine, Chicago, IL OH; 4Cleveland Clinic Digestive Disease Institute, Cleveland, OH P0506. Novel Use of Cyclosporine Induction Therapy as a Bridge to P0516. Clinical Impact of Digital Cholangioscopy in Management of Tofacitinib in Severe Ulcerative Colitis Indeterminate Biliary Strictures and Complex Biliary Stones: A Single- Roni Weisshof, MD1, Eric Swei, MD2, Jacob E. Ollech, MD1, M. Anthony Center Study Sofia, MD1, David T. Rubin, MD1; 1Inflammatory Bowel Disease Center, Stephanie Yan, MD 1, Sooraj Tejaswi, MD, MSPH2; 1University of California University of Chicago Medicine, Chicago, IL; 2University of Chicago Davis, Sacramento, CA; 2University of California Davis Medical Center, Hospitals, Chicago, IL Sacramento, CA P0507. The Use of Vedolizumab in Patients With Concomitant Cirrhosis and Crohn’s Disease NIkhil Kapila, MD1, Gianina Flocco, MD2, Bo Shen, MD3, Jamak M. Esfeh, MD2; 1Cleveland Clinic Florida, Weston, FL; 2Cleveland Clinic Foundation, Cleveland, OH; 3Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P0517. A Multi-Center Retrospective Study of 420 EUS-Guided Fine P0526. Does Biliary Stricture Brushing During Endoscopic Retrograde Needle Core Liver Biopsy with a Modified 1-Pass 1-Actuation Wet Suction Cholangio-Pancreatography Lead to Increased Risk of Post-ERCP Technique Comparing Two Types of EUS Core Needles Pancreatitis? If So, Is It Worth It? Jose Nieto, DO, FACG1, Ameya Deshmukh2, Michael Herman, DO3, Ali Daria S. Yunina, MD1, Kevin Tin, MD1, Nana Gegechkori, MD1, Fidelis Okoli, Lankarani, MD3, David Holloman, MD4, Raul Torres, MD3, Eli Penn, MD3; MD2, Dikshya Sharma, MBBS1, Roshan Srikanthan, MD1, Shawn Mathew, 1Borland Groover Clinic, Ponte Vedra, FL; 2Midwestern University, Erie, BS3, Prasun Shah, MD1, Kadirawel Iswara, MD1, Ira E. Mayer, MD, FACG1, PA; 3Borland Groover Clinic, Jacksonville, FL; 4Baptist Medical Center, Rabin Rahmani, MD, FACG1; 1Maimonides Medical Center, Brooklyn, NY; Jacksonville, FL 2Maimonides Medical Center, Brooklyn, New York, Brooklyn, NY; 3New York Institute of Technology College of Osteopathic Medicine, Brooklyn, NY P0518. When High Viscosity of Pancreatic Cysts and Fluid Collections Precludes Effective EUS-Guided Fine Needle Aspiration: A Side-by-Side, P0527. Safety of ERCP and EUS Procedures in Cirrhotic Patients Bench Top Comparison of Negative Pressure Devices Timothy S. Yoo, MD1, Raisa Epistola, MD2, Jordan Epistola, BA, BS3, Michael Leonard Walsh, MD1, Lindsay Mitchell2, Ansh Johri, MS3, Matthew Moyer, W. Fleischman, MD1, Sofiya Reicher, MD2, Viktor Eysselein, MD2, Linda A. MD1, Nicholas Matone, BSEE, EIT4, Mary Frecker, PhD2; 1Penn State Health Hou, MD2; 1Harbor-UCLA Medical Center, Torrance, CA; 2Harbor-UCLA Milton S. Hershey Medical Center, Hershey, PA; 2Pennsylvania State Medical Center, Torrance, CA; 3University of Maryland, College Park, MD University, University Park, PA; 3Penn State College of Medicine, Hershey, PA; 4Burns & McDonnell, Farmington, CT P0528. Predictors of In-Hospital Mortality After Percutaneous Endoscopic Jejunostomy (PEJ): A Nationwide Analysis P0519. Musculoskeletal Pain Symptoms and Injuries Among Endoscopists Upenkumar Patel, MBBS, MPH1, Rupak Desai, MBBS2, Dipen Zalavadia, Who Perform ERCP MBBS3, Shreyans Doshi, MD4, Sudeep Ruparelia, MD5, Hardikkumar Shah, MD,  Presidential Poster Award MPH6, Hemant Goyal, MD, FACP7; 1Nassau University Medical Center, East Earl Campbell, III, MD, Thiruvengadam Muniraj, MD, PhD, Aslanian Harry, Meadow, NY; 2Atlanta VA Medical Center, Decatur, GA; 3The Wright Center MD, Loren Laine, MD, Priya Jamidar, MD; Yale University School of for Graduate Medical Education, Scranton, PA; 4UCF COM/HCA Consortium, Medicine, New Haven, CT Gainesville, FL; 5Wright Center for Graduate Medical Education, Scranton, PA; 6New York Medical College at St. Michael’s Medical Center, Newark, NJ; P0520. Endoscopic Ultrasound-Guided Celiac Plexus Block and Celiac 7Mercer University School of Medicine, Macon, GA Neurolysis: A Systematic Review of Efficacy, Safety, and Protocols Alastair Dorreen, MD1, Zhao Wu Meng, MD2, Avijit Chatterjee, MD, MSc2; P0529. Endoscopic Retrograde Cholangiopancreatography-Related 1University of Ottawa, Montreal, PQ, Canada; 2University of Ottawa, Complications From the Nationwide Inpatient Sample: An Analysis of Ottawa, ON, Canada Racial Distribution, Length of Stay, and Mortality Shreyans Doshi, MD1, Diego Lim, MD2, Mohammad Bilal, MD3, Rupak P0521. Diagnostic Yield of Deep Biopsy via Endoscopic Submucosal Desai, MBBS4, Upenkumar Patel, MBBS, MPH5, Amir Fathi, MD6, Helen Dissection for the Diagnosis of Upper Gastrointestinal Subepithelial Wong, MD7, Shreyas Saligram, MD8, Madhav Desai, MD9; 1UCF COM /HCA Tumors: A Systematic Review and Meta-Analysis Consortium, Gainesville, FL; 2University of Kansas Medical Center, Kansas Amaninder Dhaliwal, MD1, Aravdeep S. Jhand, MBBS2, Harmeet S. City, KS; 3University of Texas Medical Branch, Galveston, TX; 4Atlanta VA Mashiana, MD3, Rajani Rangray, MD4, Harlan Sayles, MS1, Ishfaq Bhat, MD5, Medical Center, Decatur, GA; 5Nassau University Medical Center, East Shailender Singh, MD6, Douglas G. Adler, MD7; 1University of Nebraska Meadow, NY; 6University of California San Francisco, San Francisco, CA; Medical Center, Omaha, NE; 2Creighton University School of Medicine, 7VA Central California Health Care System, Fresno, CA; 8University of Omaha, NE; 3University of Nevada Las Vegas School of Medicine, Las California San Francisco, Fresno, CA; 9KUMC, Overland Park, KS Vegas, NV; 4Creighton University, Omaha, NE; 5Beth Israel Deaconess Medical Center, Boston, MA; 6Nebraska Medical Center, Omaha, NE; P0530. Treatment of Small Bowel Angiodysplasia Using a Novel 7University of Utah School of Medicine, Salt Lake City, UT Radiofrequency Ablation Device Luis F. Lara, MD1, Zain Moosvi, MD2, Peter P. Stanich, MD1, Daniel Mai, BSc2, P0522. Endoscopic Retrograde Cholangiopancreatography (ERCP) Michael Lugo, BS2, David P. Lee, MD, MPH3, Jason Samarasena, MD2; 1The in Critically Ill Patients Is Safe and Effectively Performed in the Ohio State University Wexner Medical Center, Columbus, OH; 2University Endoscopy Suite of California Irvine Medical Center, Orange, CA; 3University of California Domenico Farina, MD, Srinadh Komanduri, MD, MS, Abdul Aadam, MD, Irvine, Orange, CA Rajesh Keswani, MD, MS; Feinberg School of Medicine, Northwestern University, Chicago, IL P0531. Practice Patterns in the Management of Recurrent Acute Pancreatitis P0523. Digital Pancreatoscopy Guided Electrohydraulic Lithotripsy for Jonathan Reichstein, MD1, Vaishali Patel, MD, MHS2, Parit Mekaroonkamol, Pancreatic Duct Stones - A Multicenter Experience MD3, Sunil Dacha, MBBS3, Steve Keilin, MD4, Qiang Cai, MD, PhD4, Field Itegbemie Obaitan, MD1, Fareha Iqbal, MBBS2, Guru Trikudanathan, MD1, Willingham, MD, MPH3; 1Duke University, Durham, NC; 2Emory University Mustafa A. Arain, MD2, Martin Freeman, MD1; 1University of Minnesota, Hospital, Atlanta, GA; 3Emory University School of Medicine, Atlanta, GA; Minneapolis, MN; 2University of California San Francisco, San Francisco, CA 4Emory University, Atlanta, GA P0524. Use of Fully Covered Biliary Stents in Management of Extra-Biliary P0532. Racial Disparities in Rates of Therapeutic Intervention During Gastrointestinal Disorders Hospitalizations for Acute Cholangitis: A National Survey Mahak Chauhan, MD1, Zaheer H. Rizvi, MD2, Meyer Alyssa, BS2, Chandra Neel Patel, MD1, Reza Hashemipour, MD2, Sushil Ahlawat, MD3; 1Rutgers New Raghav, MD2, Kavel Visrodia, MD2, Aniket Dhariwal, BS2, Sukhman Shergill, Jersey Medical School, Newark, NJ; 2Rutgers New Jersey Medical School, MBBS3, Navtej S. Buttar, MD2; 1University of Missouri, Kansas City, MO; Jersey City, NJ; 3Rutgers University, New Jersey Medical School, Newark, NJ 2Mayo Clinic, Rochester, MN; 3All India Institutes of Medical Sciences, New Delhi, Delhi, India P0533. Gastric Access Temporary for Endoscopy (GATE): An Algorithmic Approach Towards LAMS-Assisted Temporary Reversal of Gastric Bypass P0525. Effect of ERCP Nurse Experience on Procedure Duration Anatomy to Perform Foregut Procedures Bahaa Bseiso, MD1, Mahmoud Mosli, MBBCh, FRCPC, MSc2, Turki AlAmeel,  Presidential Poster Award MBBS, FRCPC1; 1King Fahad Specialist Hospital, Dammam, Ash Sharqiyah, Thomas J. Wang, MD1, Christopher C. Thompson, MD2, Marvin Ryou, Saudi Arabia; 2King Abdulaziz University, Jeddah, Makkah, Saudi Arabia MD2; 1Massachusetts General Hospital, Boston, MA; 2Brigham & Women’s Hospital/Harvard Medical School, Boston, MA

72 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0534. Length of Stay, Readmissions, and Time to Return of Adequate Oral P0542. Endoscopic Closure of Persistent Anastomotic Leaks Using the SUNDAY Nutrition After Introduction of Lumen Opposing Metal Wallstents for the US Endoscopy Padlock® Over-the-Scope Clip Treatment of Symptomatic Pancreatic Fluid Collections Zhibo An, MD, PhD1, Abdul Haseeb Shehzad, MD2, Amit Gajera, MD2; Charles Dye, MD1, Sarah Z. Maher, MD2, Venkata Gorrepati, MD3, Brandy 1The Christ Hospital, Mason, OH; 2The Christ Hospital, Cincinnati, OH Headlee, PA1, Setareh Sharzehi, MD4, Jonathan T. Blandford5, Rachael Wentzel1, Sarah Haring1, Brian McAllister, MD2, Eileen Gagliardi, RN, P0543. Application of ERCP and Spyglass Technique in Diagnosis of CGRN5, Melissa Kelly, BSN, RN, CGRN2, Jennifer Maranki, MD2, Abraham Pediatric Botryoid Rhabdomyosarcoma of the Biliary Duct Zahava C. Farkas, DO1, Shalom Z. Frager, MD2, Kevin Shayani, BS3, Mathew1, Thomas McGarrity, MD2, Matthew Moyer, MD2, John M. Levenick, Michelle Bravo, MD1, Larisa Debelenko, MD1, Edward Lebovics, MD2; 1Penn State College of Medicine/Penn State Health Hershey Medical MD1, Gregory Veillette, MD2; 1Westchester Medical Center at New Center, Hershey, PA; 2Penn State Health Milton S. Hershey Medical Center, York Medical College, Valhalla, NY; 2New York Medical College at Hershey, PA; 3Penn State University - Milton S. Hershey Medical Center, Westchester Medical Center, Valhalla, NY; 3New York Medical College, Hershey, PA; 4Hershey Medical Center, Hershey, PA; 5Penn State Health, Valhalla, NY Hershey, PA P0535. Transoral Incisionless Fundoplication: Effectiveness in Improving P0544. Endoscopic Ultrasound-Guided Drainage of a Walled-Off Typical and Atypical Symptoms of Gastroesophageal Reflux Disease Pancreatic Necrosis via Cystoesophagostomy Incompletely Controlled With Medical Therapy Rashmi Advani, MD, Michael Schopis, MD, Amar Manvar, MD, Sam Serouya, MD, Sammy Ho, MD, FACG; Albert Einstein College of Medicine/ Nihit Shah, MD1, Sagar Javia, MD2, Bindiya Shah, MD1, Ravikumar Patel, Montefiore Medical Center, Bronx, NY MD1, Amit Sohagia, MD3; 1Easton Hospital, Easton, PA; 2American University of Antigua College of Medicine, Easton, PA; 3Twin Rivers P0545. A Novel Use of Over-the-Scope Clip for Management of Duodenal- Gastroenterology Center/Easton Hospital, Easton, PA Renal Enteric Fistula P0536. A Clinical Study of Continuous Peritoneal Lavage in the Treatment Bilal Aslam, MD, Wesam Frandah, MD, Houssam Mardini, MD, MBA, MS; of Endoscopic Iatrogenic Peritoneal Contamination and Infection University of Kentucky, Lexington, KY Bingrong Liu, PhD, MD; The First Affiliated Hospital of Zhengzhou P0546. Hereditary Spherocytosis Complicated by Choledocholithiasis: University, Zhengzhou, Henan, People’s Republic of China Compounded Hyperbilirubinemia P0537. Efficacy and Safety of Hybrid ESD for the Rectal Neuroendocrine Samit K. Datta, MD, Anupama Inaganti, MD, Aboud Affi, MD; Aurora Sinai Tumors: A Retrospective Study Medical Center, Milwaukee, WI  Presidential Poster Award P0547. Massive Upper Gastrointestinal Bleeding Due to Buried Bumper Xiangyao Wang, MD1, Ningli Chai, MD, PhD1, Enqiang Linghu, MD, PhD1, Syndrome Treated by Over-the-Scope Clip Placement Huikai Li, MD1, Yaqi Zhai, MD1, Xiuxue Feng, MD1, Chen Du, MS1, Wengang Mouhanna K. Abu Ghanimeh, MD, Mahmoud Isseh, MD, Allyce Caines, MD, Zhang, MS1, Jiale Zou, MS1, Longsong Li, MS1, Jingyuan Xiang2; 1Chinese Tobias Zuchelli, MD, Adarsh Varma, MD; Henry Ford Hospital, Detroit, MI PLA General Hospital, Beijing, People’s Republic of China; 2MS, Beijing, People’s Republic of China P0548. Successful Endoscopic Reduction of an Ileocolonic Intussusception in an Adult With Peutz-Jeghers Syndrome P0538. Submucosal Tunneling Endoscopic Resection for Upper Mohd Amer Alsamman, MD1, Jason Ferreira, MD2, Paul Akerman, MD, Gastrointestinal Submucosal Tumors Originating From the Muscularis FACG3; 1Alpert Medical School of Brown University, Providence, RI; 2The Propria Layer Warren Alpert Medical School of Brown University, Providence, RI; Chen Du, MS, Ningli Chai, MD, PhD, Enqiang Linghu, MD, PhD, Zhenjuan 3Warren Alpert Medical School of Brown University, Providence, RI Li, MD, Longsong Li, MS, Jiale Zou, MS, Lei Jiang, MD, Yaqi Zhai, MD, Zhongsheng Lu, MD, Jiangyun Meng, MS, Ping Tang, MS; Chinese PLA P0549. Hydrogen Peroxide-Assisted Endoscopic Necrosectomy General Hospital, Beijing, People’s Republic of China Vanessa Sostre, MD, Yana Cavanagh, MD, Dema Shamoon, MD, Matthew Grossman, MD; St. Joseph’s University Medical Center, Paterson, NJ P0550. Endoscopic Vacuum Therapy for the Treatment of Upper INTERVENTIONAL ENDOSCOPY Gastrointestinal Transmural Defects Clinical Vignettes / Case Reports Rui Morais, MD, Eduardo Rodrigues-Pinto, MD, Rodrigo Liberal, PhD, Rui Gaspar, MD, Cristina Fernandes, MD, Filipe Vilas-Boas, MD, Pedro Pereira, P0539. Use of Endoscopic Mucosal Resection Techniques and Submucosal MD, Guilherme Macedo, MD, PhD, FACG; Centro Hospitalar São João, Lifting to Successfully Remove Foreign Bodies Porto, Portugal Abby R. Sapp, DO1, Hazem Tabbaa, DO2; 1Franciscan Alliance, Olympia Fields, IL; 2Franciscan Alliance, Lemont, IL P0551. Paraesophageal Bronchogenic Cyst Ahmed Messallam, MD1, Sunil Dacha, MBBS2, Vaidehi Avadhani, MD1; P0540. Treatment of Biliary Stent Complications in a Patient With Roux- 1Emory University, Atlanta, GA; 2Emory University School of Medicine, En-Y Gastric Bypass Using Endoscopic Ultrasound-Directed Transgastric Atlanta, GA ERCP (EDGE): A Case Report Naveen Prasad Gopalakrishnan Ravikumar, MD, Danish Shahab, MD, P0552. Successful Salvages of Partially Covered Esophageal Metal Stent Rajvinder Sidhu, MD, Robin Jindal, MBBS, Ramon Rivera, MD; University Using Repeated Sessions of Argon Plasma Coagulation at Buffalo, Buffalo, NY Richy Chen, MD1, Marina Kim, DO2, Zeid Karadsheh, MD2, Mukul Arya, MD2; 1NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY; P0541. Incidental Finding of Nutcracker Syndrome of the Left Renal Vein 2NewYork-Presbyterian, Brooklyn, NY Identified on Upper Endoscopic Ultrasound Divyesh R. Nemakayala, MD1, Julie Guider, MD2, Erik F. Rahimi, MD3, Nirav P0553. Endoscopic Resection of a Gastric Metastasis From Renal Cell Thosani, MD3, Anil Pillai, MD4; 1Michigan State University, Lansing, MI; 2UT Carcinoma Health Science Center at Houston/McGovern Medical School, Houston, Edwin Golikov, DO, Shil Patel, DO, Michael Abadier, DO, Devarajan TX; 3University of Texas Health Science Center at Houston / McGovern Iyengar, MD, Kovil Ramasamy, MD, John Dedousis, MD; CarePoint Health Medical School, Houston, TX; 4University of Texas Health Science Center Bayonne Medical Center, Bayonne, NJ at Houston, Houston, TX

P0554. Role of Hybrid Argon-Plasma Coagulation (Hybrid APC) in the P0564. Factors Associated With Deep Vein Thrombosis in Type 2 Diabetics Management of Barrett’s Esophagus: A Case Series Report With Biopsy-Proven Non-Alcoholic Fatty Liver Disease Abdul Aleem, MD, Kyle Kreitman, DO, Shashin Shah, MD, FACP, Hiral Shah, Amandeep Singh, MD 1, Falgun Gosai, MD2, George Khoudari, MD3, Long MD, FACG; Lehigh Valley Health Network, Allentown, PA Vu, MD4, Rocio Lopez, MS5, Naim Alkhouri, MD6; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2Fairview Hospital, Cleveland P0555. Cholangioscopy-Assisted Guidewire Placement in a Malignant Clinic, Cleveland, OH; 3Cleveland Clinic Foundation, Cleveland, OH; Biliary Stricture 4Cleveland Clinic, Cleveland, OH; 5Lerner Research Institute/Cleveland Grace E. Kim, MD1, David Y. Lo, MD, FACG2; 1University of Maryland, Clinic Foundation, Cleveland, OH; 6Texas Liver Institute, San Antonio, TX Baltimore, MD; 2Ohio Gastroenterology Group, Inc., The Ohio State University College of Medicine, Columbus, OH P0565. Trends of Awareness of Non-Alcoholic Fatty Liver Disease, Alcoholic Liver Disease and Both Fatty Liver Diseases (BAFLD) Using P0556. Successful Retrieval of Fragmented Intrahepatic Biliary Stent Using National Health and Nutrition Examination Survey Cholangioscopy Amandeep Singh, MD 1, Atul Kumar, MD2, Shailender Singh, MD3, Grace E. Kim, MD1, Alexander H. Kim, DO2, Peter Darwin, MD3; 1University Amaninder Jeet Singh Dhaliwal, MD4, Rocio Lopez, MS5, Mazen of Maryland, Baltimore, MD; 2University of Maryland School of Medicine, Noureddin, MD6, Naim Alkhouri, MD7; 1Digestive Disease Institute/ Ellicott City, MD; 3University of Maryland School of Medicine, Baltimore, MD Cleveland Clinic, Cleveland, OH; 2Stony Brook, New York, NY; 3Nebraska P0557. Bouveret Syndrome Masquerading as a Gastric Mass - Unmasked Medical Center, Omaha, NE; 4University of Nebraska Medical Center, with Endoscopic Luminal Laser Lithotripsy Omaha, NE; 5Lerner Research Institute/Cleveland Clinic Foundation, Swetha Parvataneni, MD1, Kabeer Khurana2, David L. Diehl, MD1, Harshit S. Cleveland, OH; 6Digestive Disease Center, Cedars-Sinai, Los Angeles, CA; Khara, MD, FACG1, Ansh Khurana2; 1Geisinger Medical Center, Danville, PA; 7Texas Liver Institute, San Antonio, TX 2 LAHS, Lewisburg, PA P0566. Increased Prevalence of Obesity and Metabolic Syndrome in P0558. Grab Both Ends and Pull: Stenting the Unstentable Bile Duct Injury Patients With Alcoholic Fatty Liver Disease Using EUS Rendezvous Amandeep Singh, MD 1, Annalisa Vigni, MD2, Adam Tabbaa, MD3, Andrea Alexander P. Abadir, MD1, Farid Jalali, MD1, Jason Samarasena, MD2, Scott, MD2, Mahsa Mansouri, MD2, Toluwalase Okubote, MD2, Michael John Lee, MD1; 1University of California Irvine, Orange, CA; 2University of Scott, MD2, Rocio Lopez, MS4, Eric Lawitz, MD2, Naim Alkhouri, MD2; California Irvine Medical Center, Orange, CA 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2Texas Liver Institute, San Antonio, TX; 3University of California San Francisco, San P0559. From Above and Below: Double-Balloon Enteroscopy in a Small Fransisco, CA; 4Lerner Research Institute/Cleveland Clinic Foundation, Intestine Gastrointestinal Stromal Tumor With Excessive Bleeding Cleveland, OH Zunirah Ahmed, MD1, Allan Seibert, MD1, Tasnia Matin, MD2, Ali M. Ahmed, MD3, Kondal Rao Kyanam Kabir Baig, MD4, Shajan Peter, MD3; 1UAB P0567. Simplifying Care: A Real World HCV Treatment Model for Patients Montgomery, Montgomery, AL; 2UAB Birmingham VA Medical Center, with HIV Co-Infection in the DAA Era Birmingham, AL; 3University of Alabama at Birmingham, Birmingham, AL; Pamela Kim, MD, Shifa Umar, MD, ChiuBin Hsiao, MD, FIDSA, AAHIVS; 4UAB, Birmingham, AL Allegheny Health Network, Pittsburgh, PA P0560. Successful Closure of Upper GI Leaks by Endoscopic P0568. Impact of Hospital Volume on Mortality in Patients With Liver Cirrhosis Vacuum Therapy Undergoing Coronary Artery Bypass Graft Surgery: A National Analysis Timothy S. Yoo, MD1, Adnan Ameer, MD2, Linda A. Hou, MD2, Sofiya Ravi Pavurala, MD1, Kyle Porter, MAS2, Emmanuel Ugbarugba, MD, MPA1, Reicher, MD2, Kathryn T. Chen, MD1, Viktor Eysselein, MD2; 1Harbor-UCLA Hisham Hussan, MD1, Somashekar G. Krishna, MD, MPH1, Khalid Mumtaz, Medical Center, Torrance, CA; 2Harbor-UCLA Medical Center, Torrance, CA MD, MSc1; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2Center for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, OH LIVER P0569. Analysis of AST to Platelet Ratio Index (APRI) for Determining P0561. Incidence and Survival Trends of Hepatocellular Carcinoma in Eligibility for 8 Weeks of Glecaprevir/Pibrentasvir Tarik Asselah, MD, PhD1, Sabela Lens, MD, PhD2, Neddie Zadeikis, MD, Non-Cirrhotics With Ishak Fibrosis Score of 0-4 Between 2005-2014: 3 4 5 A SEER Analysis MBA , Magdy Elkhashab, MD, MSc, FRCPC , Robert J. Fontana, MD , Zhenyi Xue, PhD3, Ana Gabriela Pires dos Santos, MD3, Federico Mensa, Nicolas Patel, MD1, Peter S. Liang, MD, MPH2, Michael Poles, MD, PhD3, MD3, Robert S. Brown, Jr., MD, MPH6; 1Hopital Beaujon & INSERM UMR Ira M. Jacobson, MD3; 1NYU Langone Health, North Brunswick, NJ; 2NYU 1149, Clichy, Centre, France; 2Liver Unit Hospital Clínic, IDIBAPS and Langone Health/VA New York Harbor Health Care System, New York, NY; CIBERehd, Barcelona, Catalonia, Spain; 3AbbVie Inc., North Chicago, IL; 3NYU Langone Health, New York, NY 4Toronto Liver Centre, Toronto, ON, Canada; 5University of Michigan, Ann P0562. Incidence and Survival Trends for Hepatocellular Carcinoma in Arbor, MI; 6Weill Cornell Medical College, New York, NY Patients With Ishak Fibrosis Scores of 5-6, 2005-2014: A SEER Analysis Nicolas Patel, MD1, Peter S. Liang, MD, MPH2, Michael Poles, MD, PhD3, P0570. Trend and Outcomes of Budd Chiari Syndrome Hospitalizations in Ira M. Jacobson, MD3; 1NYU Langone Health, North Brunswick, NJ; 2NYU the United States Emmanuel Ugbarugba, MD, MPA1, Ravi Pavurala, MD1, Alice Hinton, Langone Health/VA New York Harbor Health Care System, New York, NY; PhD2, Khalid Mumtaz, MD, MSc1; 1The Ohio State University Wexner 3NYU Langone Health, New York, NY Medical Center, Columbus, OH; 2College of Public Health, The Ohio State P0563. Establishment of Highly Intrahepatic Metastatic Cell Line of HCC by University, Columbus, OH In vivo Selection and Investigation of Mechanism by Integrated Microarray Analysis P0571. The Incidence, Risk Factors and Impact of 30-Day Readmission Yuichiro Okumura, MD, Takehiro Noda, MD, PhD, Hidetoshi Eguchi, MD, Among Patients With Variceal Gastrointestinal Hemorrhage on Mortality, PhD, Yoshifumi Iwagami, MD, PhD, Hirofumi Akita, MD, PhD, Tadafumi Morbidity and Healthcare Resource Utilization: A Nationwide Analysis Obada Tayyem, MD1, Mohammad Bilal, MD1, Marwan S. Abougergi, MD2, Asaoka, MD, PhD, Kunihito Gotoh, MD, PhD, Shogo Kobayashi, MD, Sreeram Parupudi, MD, FACP, FACG1, Don C. Rockey, MD3; 1University of PhD, Yuichiro Doki, MD, PhD, Masaki Mori, MD, PhD; Graduate School of Texas Medical Branch, Galveston, TX; 2South Carolina University School Medicine, Osaka University, Suita, Osaka, Japan of Medicine, Simpsonville, SC; 3Medical University of South Carolina, Charleston, SC 74 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0572. Among Cirrhosis-Related Hospitalizations in the United States, P0583. Prevalence of Non-Alcoholic Steatohepatitis (NASH) in SUNDAY the Highest Rates of In-Hospital Mortality Were Observed in Men, Older Individuals With Crohn’s Disease: A Population-Based National Study Patients, and Patients with Alcoholic Liver Disease Jamie A. Elchert, MD1, Emad Mansoor, MD2, Preetika Sinh, MD1, Seth Sanah Ladhani, MD1, Benny Liu, MD1, Michele Tana, MD2, Taft Bhuket, Sclair, MD1, Stanley Cohen, MD1, Jeffry Katz, MD1, Gregory Cooper, MD1; MD1, Robert Wong, MD3; 1Highland Hospital, Oakland, CA; 2University of 1University Hospitals Cleveland Medical Center, Cleveland, OH; 2Case California San Francisco, San Francisco, CA; 3Alameda Health System - Western Reserve University/University Hospitals Cleveland Medical Highland Hospital, Oakland, CA Center, Cleveland, OH P0573. Sofosbuvir-Based Direct Acting Antiviral Therapy of Recurrent HCV P0584. Prevalence of Non-Alcoholic Steatohepatitis (NASH) in Infection Following Liver Transplant Individuals With Ulcerative Colitis: A Population-Based National Study Courtney Walker, DO 1, Jenny Hatch, PA-C1, Nathan McBride, PA-C1, Tuan Jamie A. Elchert, MD1, Emad Mansoor, MD2, Preetika Sinh, MD1, Seth Pham, MD2, Ray Thomason, MD2, Terry Box, MD2, Juan F. Gallegos-Orozco, Sclair, MD1, Stanley Cohen, MD1, Jeffry Katz, MD1, Gregory Cooper, MD1; MD2; 1University of Utah School of Medicine, Salt Lake City, UT; 2University 1University Hospitals Cleveland Medical Center, Cleveland, OH; 2Case of Utah, Salt Lake City, UT Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH P0574. Clinical Manifestations, Treatment, and Prognosis of Wilson’s Disease - Outcomes From a Tertiary Hospital in Singapore P0585. Can Online Case-Based Challenges Improve Diagnosis and Jonathan Kuang, MRCP1, Wei Lyn Yang, MRCP1, Kalaiyarasi Kaliyaperumal, Management of Hepatic Encephalopathy? MRCP2; 1Tan Tock Seng Hospital, Singapore, Singapore; 2Tan Tock Seng Jovana Lubarda, PhD1, Susan Smith, PhD2, Piyali Chatterjee2; 1Medscape, Hospital, Singpaore, Singapore Toronto, ON, Canada; 2Medscape, New York, NY P0575. Comparison of Knowledge to Screen for Hepatitis C Virus Infection P0586. Implications of Patent Foramen Ovale in Patients Undergoing Liver versus Colorectal Cancer Screening Among Primary Care Physicians Transplantation Agazi Gebreselassie, MD, MSc1, Carensa Cezar, BS, MS2, Angesom Kibreab, Gianina Flocco, MD1, Hector J. Crespo, MD2, Cristian Milla Matute, MD2, MD1; 1Howard University Hospital, Washington, DC; 2Howard University Christina Lindenmeyer, MD1, Roberto J. Cubeddu, MD2; 1Cleveland Clinic School of Medicine, Washington, DC Foundation, Cleveland, OH; 2Cleveland Clinic Florida, Weston, FL P0576. Impact of Sustained Viral Remission in Patients With Chronic P0587. Cirrhotic Patients With Prior i>Clostridium difficile Infection (CDI) Hepatitis C Infection on Surrogate Markers of Hepatic Fibrosis and Recent Hospitalization Are at High-Risk for Recurrent CDI (rCDI) Thomas J. Konturek, MD1, Hirsh D. Trivedi, MD2, Ioannis Koulouridis, MD1, Despite Frequent Use of Rifaximin Bertrand Jaber, MD1, Claudia Nader, MD3; 1St. Elizabeth’s Medical Center, Adelina Hung, MD1, Prabin Sharma, MD2, Muhammad S. Mansoor, Boston, MA; 2Beth Israel Deaconess Medical Center, Boston, MA; 3Saint MD3, Paul Feuerstadt, MD, FACG4; 1Yale University School of Medicine, Elizabeth’s Medical Center, Brighton, MA New Haven, CT; 2Yale New Haven Health, Bridgeport, CT; 3Albany Medical Center, Albany, NY; 4Yale University School of Medicine / P0577. NAC for Liver Attack!: Use of N-acetylcysteine for Prevention Gastroenterology Center of Connecticut, Westport, CT and Treatment of Isoniazid-Induced Liver Injury During Treatment of Mycobacterial Infections P0588. Temporal Trends and Impact of Cirrhosis on Outcomes of Patients Tamneet Singh, MD1, Heidi Torres, MD1, Ruth Serrano, MD1, Jason Bowling, With PUB From the Nationwide Inpatient Sample From 2002-2014 MD1, Gregory Anstead, MD, PhD2, Heta Javeri, MD, MPH1; 1University of Tsujung Yang, MD1, Subash Ghimire, MD1, Hardikkumar Shah, MD, MPH2, Texas Health San Antonio, San Antonio, TX; 2South Texas Veterans Health Harshil Shah, MD1, Jasmine Garcha, MBBS3, Aakashi Shah, MBBS3, Care System, San Antonio, TX Ashish Sadolikar, MBBS4, Prakashkumar Maiyani, MD5, Rehan Farooqi, MD6, Achint Patel, MD3, Vinshi Khan, MD7; 1Guthrie Clinic/Robert Packer P0578. Gender Differences in Acute Liver Failure in Patients Waitlisted for Hospital, Sayre, PA; 2New York Medical College at St. Michael’s Medical Liver Transplantation in the United States Center, Newark, NJ; 3Mount Sinai Hospital, New York, NY; 4DY Patil Zahra Zia, MD1, Marwan Ghabril, MD2, Eric Orman, MD1, Naga Chalasani, Medical College, Kolhapur, Maharashtra, India; 5Gold Coast University MD2, Lauren Nephew, MD, MSCE1; 1Indiana University, Indianapolis, IN; Hospital, Southport, Queensland, Australia; 6MedStar Union Memorial 2Indiana University School of Medicine, Indianapolis, IN Hospital, Baltimore, MD; 7Baylor College of Medicine, Houston, TX P0579. Mortality and Morbidity of Orthopedic Procedures in Hospitalized P0589. Economic Factors Impacting Length of Stay, Mortality, and Cost of Patients With Liver Cirrhosis Care of Cirrhosis in the United States Saad Saleem, MD, Wissam Bleibel, MD, FACG; Mercy St. Vincent Medical  Presidential Poster Award Center, Sylvania, OH Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Taruna Bhatia, MD, P0580. Thromboembolism in Hospitalized Cirrhotic Patients Jeevan Vinod, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ Saad Saleem, MD, Wissam Bleibel, MD, FACG; Mercy St. Vincent Medical P0590. Nationwide Healthcare Utilization in Wilson’s Disease Center, Sylvania, OH Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Jeevan Vinod, MD, P0581. Mortality and Morbidity Associated With Cellulitis in Hospitalized Taruna Bhatia, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ Cirrhotic Patients P0591. Hospital Teaching Status on Outcomes Amongst Patients With Saad Saleem, MD, Wissam Bleibel, MD, FACG; Mercy St. Vincent Medical Drug-Induced Liver Injury Center, Sylvania, OH Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Taruna Bhatia, MD, P0582. The Influence of Gender on the Morbidity and Mortality of Jeevan Vinod, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ Hospitalized Patients With Cirrhosis P0592. Portal Vein Thrombosis: A Nationwide Analysis of Temporal Trends, Saad Saleem, MD, Wissam Bleibel, MD, FACG; Mercy St. Vincent Medical Cost of Care, and Outcomes Center, Sylvania, OH Edwin Golikov, DO, Shil Patel, DO, Michael Abadier, DO, Suhail Salem, MD, Jeevan Vinod, MD, Taruna Bhatia, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ

P0593. Socioeconomic Impact on Mortality and Outcomes in Patients With P0603. Prevalence of Celiac Disease in Cirrhosis: A Population- Acute Liver Failure Based Study Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Taruna Bhatia, MD, Lindsay Meurer, MD1, Emad Mansoor, MD1, Gregory Cooper, MD2; 1Case Jeevan Vinod, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH; 2University Hospitals Cleveland Medical Center, P0594. What Are the Outcomes of Percutaneous Cholecystostomy Tube Cleveland, OH (PCT) in Cirrhosis Patients Deemed High-Risk Surgical Candidates With Acute Cholecystitis (AC)? P0604. Epithelial-Mesenchymal Cell Transition (EMT) Stimulation Is Suha Abushamma, MD1, Olapeju Olasokan, MD2, C. Roberto Simons- Associated With Hepatic Fibrosis in Non-Alcoholic Steatohepatitis (NASH): Linares, MD3, Ram Gurajala, MD2, Amanjit Gill, MD2, Amit Bhatt, MD4, John Pathway Analysis of MicroRNA and Phosphoproteomics Data J. Vargo, MD4, Gareth Morris-Stiff, MD, PhD2, Prabhleen Chahal, MD, FACG4; Azza Karrar, PhD1, Anatoly Ulyanov, PhD1, Maria Stepanova, PhD2, 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Cleveland, Daisong Tan, MD1, Kira Tokarz, MSc1, Thomas Jeffers, MSc1, Sean Felix, OH; 3Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 4Digestive BA1, Goodman Zachary, MD, PhD1, Zobair Younossi, MD, MPH1; 1Inova Disease Institute/Cleveland Clinic Foundation, Cleveland, OH Fairfax Hospital, Falls Church, VA; 2Center for Outcomes Research in Liver Disease, Washington, DC P0595. Aspirin and Statin Use in Preventing Cholangiocarcinoma (CCA) in Patients with Primary Sclerosing Cholangitis (PSC) P0605. Body Mass Index Does Not Impact the Efficacy of Avatrombopag Suha Abushamma, MD, Jamak M. Esfeh, MD; Cleveland Clinic Foundation, in Increasing Platelet Counts and Reducing Platelet Transfusions or Rescue Cleveland, OH Procedures for Bleeding in Cirrhotic Patients with Thrombocytopenia  Presidential Poster Award P0596. Improving Hepatitis C Screening Rates in a Resident Clinic: Stuart Gordon, MD1, Lee F. Allen, MD2, Kavita Aggarwal, PharmD2, Michael A Quality Improvement Project Vredenburg, PhD2, Wei Tian, PhD2, Naim Alkhouri, MD3; 1Henry Ford Rajesh Essrani, MD1, Eric Nellis, MD2, Hiral Shah, MD, FACG2; 1Lehigh Valley Hospital, Detroit, MI; 2Dova Pharmaceuticals, Durham, NC; 3Texas Liver Health Network, Danville, PA; 2Lehigh Valley Health Network, Allentown, PA Institute, San Antonio, TX P0597. Unreliable Elastography Scores - Shear-Wave vs Transient: Are P0606. Characterization of Baseline Thrombopoietin Levels in Patients Their Differences? With Chronic Liver Disease: Results From 2 Pooled Clinical Studies in Allan P. Weston, MD, Jennifer Rickman, BA; Digestive Health Center of Patients With Thrombocytopenia and Liver Disease the Four States, LLC, Galena, KS Stephen Caldwell, MD1, Naim Alkhouri, MD2, Lee F. Allen, MD3, Kavita Aggarwal, PharmD3, Michael Vredenburg, PhD3, Wei Tian, PhD3, Neeral P0598. Office Based Shear Wave Elastography. Much More Than Just a Shah, MD1; 1University of Virginia, Charlottesville, VA; 2Texas Liver Fibrosis Score Institute, San Antonio, TX; 3Dova Pharmaceuticals, Durham, NC Allan P. Weston, MD, Jennifer Rickman, BA; Digestive Health Center of the Four States, LLC, Galena, KS P0607. Management and Outcomes of Hepatorenal Syndrome at Urban Academic Medical Center: A Cross Sectional Study P0599. Does Tenofovir Alafenamide (TAF) Impact Renal and Muhammad Bashir, MBBS, Sadat Iqbal, MD, Ghassan Mubarak, MD, Hepatic Function in Patients With Hepatitis B Virus (HBV)? Michelle Likhtshteyn, MD, Elliot Bigajer, DO, Bridget Gallagher, MD, A Community-Based Study Abu Hurairah, MBBS, Dimitre Stefanov, PhD, Regina Miller, MD, Samy 1 2 2 Scott Berger, BA , Cynthia Koboo, BS , Hasan Dawood, MD , Maria Welsh, McFarlane, MD, Richard Ferstenberg, MD; SUNY Downstate Medical 2 2 2 RN , Scott Zela, RN, FNP , Chukwuma Egwim, MD , Victor Ankoma-Sey, Center, Brooklyn, NY MD2; 1Baylor College of Medicine, Houston, TX; 2Liver Associates of Texas, Houston, TX P0608. Use of Computer Generated Alerts in the Detection and Treatment of HCV in the Underserved Baby Boomer Population of New York P0600. Prognostic Value of Albumin–Bilirubin Grade (ALBI) in Zara Manuelyan, MD, Rabab Hajar, MD, Bobby Jacob, MD, Paul Mustacchia, Patients Underwent Transarterial Chemoembolization for Unresectable MD, MBA; Nassau University Medical Center, East Meadow, NY Hepatocellular Carcinoma Muhammad Ali Khalid, MBBS, FCPS (Gastro)1, Inamullah Khan, MBBS1, P0609. Influence of Donor and Recipient Gender Mismatch on the Shoaib Ahmed Khan, MBBS1, Zain Majid, MBBS1, Farina Hanif, MBBS, FCPS Outcomes of Living Donor Liver Transplantation in a Sector of Egyptian (Gastro)1, Jawaid Iqbal, MBBS, FCPS (Gastro) 2, Syed Mudassir Laeeq, Population: A Single Center Study MBBS, FCPS (Gastro)1, Nasir Luck, MBBS, FCPS (Med), FCPS (Gastro)1; Mohamed A. Elkhouly, MD1, Sherif Mogawer, PhD2, Shaimaa Elkholy, 1Sindh Institute of Urology and Transplantation, Karachi, Sindh, Pakistan; MD2, Riem El-Missery, MD2, Nahla Mohamed, MD2; 1Cook County Health 2Asian Institute of Medical Science, Hyderabad, Telangana, India and Hospitals System, Chicago, IL; 2Cairo University Hospitals, Cairo, Al Qahirah, Egypt P0601. Eradication of Hepatitis C in Renal Transplant Recipients With Sofosbuvir Based Direct Acting Antiviral Agents in Resources P0610. Intra-Ductal Papillary Mucinous Neoplasms in Primary Sclerosing Sparse Country Cholangitis: Frequency, Risk Factors and Outcome Farina Hanif, MBBS, FCPS (Gastro)1, Rajesh Mandhwani, MBBS, FCPS1, Babak Torabi Sagvand, MD1, Katelyn Edwards, MD1, Bo Shen, MD2; Ghulamullah Lail, MBBS, FCPS (Gastro)1, Syed Mudassir Laeeq, MBBS, 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic Digestive FCPS (Gastro)1, Nasir Luck, MBBS, FCPS (Med), FCPS (Gastro)1, Tahir Disease Institute, Cleveland, OH Aziz, MD2; 1Sindh Institute of Urology and Transplantation, Karachi, Sindh, 2 P0611. Recurrent Primary Sclerosing Cholangitis in Transplanted Liver: Pakistan; SIUT, Karachi, Sindh, Pakistan A Longitudinal Cohort P0602. Virological Response and Safety of Sofosbuvir-Based Direct Babak Torabi Sagvand, MD, Arthur McCullough, MD; Cleveland Clinic Antiviral Agents in Chronic Hepatitis C Infection in Hemodialysis Patients Foundation, Cleveland, OH Farina Hanif, MBBS, FCPS (Gastro)1, Rajesh Mandhwani, MBBS, FCPS1, 1 P0612. Correlation of MELD and CTP Scores With Readmission Rate Among Ghulamullah Lail, MBBS, FCPS (Gastro) , Nasir Luck, MBBS, FCPS (Med), HBV and HCV Patients FCPS (Gastro)1, Syed Mudassir Laeeq, MBBS, FCPS (Gastro)1, Tahir Aziz, Kyawzaw Lin, MD, Denzil Etienne, MD, Savitha Nagaraj, MD, Sandar Linn, MD2; 1Sindh Institute of Urology and Transplantation, Karachi, Sindh, MD, Aung Naing Lin, MD, Madhavi Reddy, MD; The Brooklyn Hospital Pakistan; 2SIUT, Karachi, Sindh, Pakistan Center, Brooklyn, NY

76 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0613. HCV Co-Infection in Patients With HBV Infection in Urban Minority P0623. Insights into Acute Kidney Injury in the Setting of Liver Cirrhosis SUNDAY Population in a U.S. Major City - A Closer Look Danial Daneshvar, MD1, Jobin Philipose, MBBS1, Fady G. Haddad, MD2, Kyawzaw Lin, MD, Denzil Etienne, MD, Savitha Nagaraj, MD, Sandar Linn, Mira Alsheikh, MD3, Sara Atallah, MD1, Saqib Abbasi, MD1, Elie El- MD, Aung Naing Lin, MD, Myo Htet Zaw, MD, Madhavi Reddy, MD; The Charabaty, MD2, Suzanne El-Sayegh, MD1, Liliane Deeb, MD3; 1Staten Brooklyn Hospital Center, Brooklyn, NY Island University Hospital, Staten Island, NY; 2Staten Island University Hospital, Northwell Health, Staten Island, NY; 3Northwell Health Staten P0614. Autoimmune Hepatitis (AIH) in Patients with Human Island University Hospital, Staten Island, NY Immunodeficiency Virus Infection (HIV) - A Systematic Review of the Published Literature Mohamad Mubder, MD1, Mahendran Jayaraj, MD1, Chad L. Cross, PhD2, LIVER Gordon V. Ohning, MD, PhD3, Mohamed Azab, MD4; 1University of Nevada Clinical Vignettes / Case Reports Las Vegas, Las Vegas, NV; 2University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 3University of Nevada Las Vegas School of P0624. Severe Acute Hepatitis With Adult Onset Still’s Disease Medicine, Las Vegas, NV; 4Loma Linda University School of Medicine, Ali Khan, MD, MPH, Bedoor Alabbas, MBBS, Marie Borum, MD, EdD, MPH; Loma Linda, CA George Washington University, Washington, DC P0615. Increased Brain Natriuretic Peptide and Pro Brain Natriuretic P0625. Legionella and the Liver: Severe Hepatic Injury With Legionella- Peptide Levels Correlate With the Severity of Liver Cirrhosis: A Meta- Associated Rhabdomyolysis Analysis Ali Khan, MD, MPH, Marie Borum, MD, EdD, MPH; George Washington Laith Al momani, MD, Bara El Kurdi, MD, Boonphiphop Boonpherg, MD, University, Washington, DC Alison Smith, MD, Mark Young, MD; East Tennessee State University, P0626. Drug-Induced Liver Injury Mimicking Autoimmune Hepatitis After Johnson City, TN Treatment With TNF-alpha Inhibitor P0616. Barriers to Initiating Directly Acting Antiviral (DAA) Therapy in Summer Lepley, DO, Jared Pembrook, MD, Kevin McGinn, MD, Carmen Hepatitis C Virus (HCV) and HIV Co-Infected Patients at One of the Largest Vesbianu, MD; University of Oklahoma College of Medicine, Tulsa, OK Safety Net HIV Care Centers in the United States P0627. Unusual Cause of Acute Drug-Induced Hepatitis Shahla Bari, MD1, Taiwo A. Ajose, MD1, Austin Chan, MD1, Saurabh Marcelle Meseeha, MD1, Michael J. Georgetson, MD, FACG2, Maximos Attia, MD1; Chawla, MD, FACG2; 1Morehouse School of Medicine, Atlanta, GA; 2Emory 1Guthrie Clinic/Robert Packer Hospital, Sayre, PA; 2Guthrie Clinic, Sayre, PA University School of Medicine, Atlanta, GA P0628. Epstein-Barr Virus: A Rare Cause of Splenic Infarct and P0617. Impact of Directly Acting Antivirals (DAAs) Treatment on Rates of Transaminitis Hepatocellular Carcinoma (HCC) in Hepatitis C Virus (HCV) and HIV Co- Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer infected Patients Hospital, Sayre, PA Shahla Bari, MD1, Austin Chan, MD1, Titilope Olanipekun, MD, MPH1, Saurabh Chawla, MD, FACG2; 1Morehouse School of Medicine, Atlanta, GA; P0629. A Forgotten Cause of Acute Abdominal Pain 2Emory University School of Medicine, Atlanta, GA Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA P0618. Evaluation of Hepatitis B Virus (HBV) Reactivation in Hepatitis C Virus (HCV) and HIV-Infected Patients (Triple Infected), Being Treated P0630. A Fatal Case of Severe Lactic Acidosis and Acute Liver Failure in a With Directly Active Antiviral (DAAs) Therapy Patient with Primary Hepatic Lymphoma Shahla Bari, MD1, Austin Chan, MD1, Saurabh Chawla, MD, FACG2; Magdalena Espinoza, MD1, Paul MunaAguon, MD2, Nayan Patel, DO, MPH1, 1Morehouse School of Medicine, Atlanta, GA; 2Emory University School of Wendi Zhou, MD1, David Hsiehchen, MD3; 1Banner University Medical Medicine, Atlanta, GA Center, Phoenix, AZ; 2University of Arizona College of Medicine, Phoenix, AZ; 3University of Texas Southwestern Medical Center, Dallas, TX P0619. Liver Stiffness Assessed by Transient Elastography Overestimates Fibrosis Compared to Histology of Liver Specimens Obtained by P0631. A Rare Case of Xiao Chai Hu Tang Induced Acute Liver Failure Endoscopic Ultrasound Guided Liver Biopsy (EUS-LB) Samuel Wopperer, MS1, Kamal Baig, MD2, Joseph Jennings, MD2, Kashif Tufail, MD, Pranav Patel, MD, Sandeep Khurana, MD, Andrea L. Alexander Lalos, MD3; 1MedStar Georgetown University Hospital, Grand Berger, MAS, Amitpal S. Johal, MD, Bradley Confer, DO, David L. Diehl, Island, NY; 2Georgetown University Hospital, Washington, DC; 3MedStar MD, Harshit S. Khara, MD, FACG; Geisinger Medical Center, Danville, PA Georgetown University Hospital, Washington, DC P0620. The Integration of Resident Physicians in the Outpatient P0632. Thrombocytopenia From Cirrhosis or Cirrhosis With Management of Chronic Hepatitis C: Bridging the Gap With Primary Care Thrombocytopenia? The Answer Is in the Bone Marrow Kamraan Madhani, MD; Yale University School of Medicine, Waterbury, CT Christopher Andrade, MD, Harish Guddati, MD, Hilary Hertan, MD, FACG; Montefiore Medical Center, Bronx, NY P0621. Screening High Risk Patients for the Presence of NAFLD Using Vibration Controlled Transient Elastography P0633. Hepatitis B Surface Antigenemia and Elevated Transaminases Due Kamraan Madhani, MD; Yale University School of Medicine, Waterbury, CT to Hepatitis B Vaccination in Hemodialysis Patient Muhammad S. Mansoor, MD, Nour Parsa, MD, Asra Batool, MD, FACG; P0622. Prevalence of Non-Alcoholic Fatty Liver Disease (NAFLD) and Albany Medical Center, Albany, NY Non-Alcoholic Steatohepatitis (NASH) in High-Risk Undiagnosed Adults in South Florida P0634. A Challenging Case of Triple Hepatitis Virus Infection: An Accurate Dhishna Chaudhary, MD1, Simran Sidhu, MBBS1, Rupesh Manam, MD1, Diagnostic Test for Hepatitis D Virus Is Urgently Needed Kevan Manraj, MD1, Melaine Lanza, MD1, Michael A. DeDonno, PhD2, Saad A. Choudhry, MD, MBBS1, Karen J. Campoverde Reyes, MD2, Rizwan Seth J. Baum, MD, FACC, FACPM, FAHA, FNLA, FASPC1; 1Florida Atlantic Ishtiaq, MBBS, MD, BSc3, Aysha Aslam, MD4, Jeffrey S. Glenn, MD,PhD5, University, Charles E. Schmidt College of Medicine, Boca Raton, FL; Daryl T.Y. Lau, MD, MS, MPH2; 1Beth Israel Deaconess Medical Center, 2Florida Atlantic University, Boca Raton, FL Boston, MA; 2Harvard Medical School, Boston, MA; 3Mercy St. Vincent Medical Center, Perrysburg, OH; 4Louis A. Weiss Memorial Hospital, Chicago, IL; 5Stanford University, Palo Alto, CA

P0635. Metoclopramide-Induced Acute Liver Injury P0646. Yttrium 90 Radioembolization-Induced Cirrhosis Palashkumar Jaiswal, MBBS1, Parth Desai, DO2, Bashar M. Attar, MD, PhD2, Faizi Hai, MD1, Catherine Frenette, MD, FAST2, Mark Johnson, MD3; Radhika Jaiswal, MD3, Yuchen Wang, MD2, Anthonia Ijeli, MD2, Madhu 1Scripps Clinic, La Jolla, CA; 2Scripps Center for Organ Transplantation, La Mathew, MD2, Manthan Jayswal, MS4, Naser Yamani, MD2, Gijo Vettiankal, Jolla, CA; 3Scripps Health, Chula Vista, CA MD2; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Cook County Health and Hospitals System, Chicago, IL; 3Forest Hills Hospital, P0647. Hepatic Artery Thrombosis - A Rare Complication of Microwave Rego Park, NY; 4B.J. Medical College, Ahmedabad, Gujarat, India Ablation in Hepatocellular Carcinoma Amreet K. Aujla, MD1, Nihar Shah, MBBS2, Toishi Sharma, MBBS2, P0636. Balloon Angioplasty as a Novel Therapy for Infective Endotipsitis Colin Swales, MD3; 1University of Connecticut Health, Farmington, CT; Bacteremia: A Case Report 2University of Connecticut Health Center, Farmington, CT; 3Connecticut Blake Jacobs, MD, George Salem, MD, Ralph Guild, III, MD; University of GI, P.C., Hartford, CT Oklahoma College of Medicine, Oklahoma City, OK P0648. Longstanding Non-Cirrhotic Portal Hypertension May Lead to P0637. Successful Liver Transplantation for Kava-Associated Liver Failure: Decreased Synthetic Function: A Case Report Report of 2 Cases Kevin Kline, MD1, Muhannad Al Hanayneh, MD2, Mohammad Bilal, MD2, Cassandra L. Craig, MD1, Maisha Barnes, MD2, Jeffrey Weinstein, MD2, Heather Stevenson, MD2; 1University of Texas Medical Branch, Webster, Alejandro Mejia, MD2; 1Methodist Dallas, Dallas, TX; 2Methodist Dallas TX; 2University of Texas Medical Branch, Galveston, TX Medical Center, Dallas, TX P0649. An Intriguing Case of Portal Hypertension: Concurrent Hepatic P0638. Reactivation of Resolved HBV Infection: A Potential Fatal Vein and Inferior Vena Cava Stenoses Complication of Direct Acting Antiviral Therapy Jared Huber, MD1, Joseph Ahn, MD2, Kenneth J. Kolbeck, MD, PhD3; Mohamad B. Taha, MD, Osama Hadid, MD, Akshay Sharma, MD, Maher 1Oregon Health and Sciences University, Portland, OR; 2Oregon Health Tama, MD, Omar Al-Subee, MD; Wayne State University / Detroit Medical and Science University, Portland, OR; 3Dotter Interventional Institute, Center, Detroit, MI OHSU, Portland, OR P0639. Polycythemia Vera Presenting as Acute Liver Failure P0650. A Rare Infectious Complication After Orthotopic Liver Transplant: Omar Abughanimeh, MD1, Laith Numan, MD1, Laith Al momani, MD2, Donor Transmitted Toxoplasmosis Mohammad Tahboub, MD1, Ayman Qasrawi, MD1, Mouhanna K. Abu Jared Huber, MD1, Willscott Naugler, MD1, Erin Maynard, MD, FACS2, Michael Ghanimeh, MD3; 1University of Missouri, Kansas City, MO; 2East Tennessee F. Chang, MD, MSc3, C. Kristian Enestvedt, MD, FACS2, Joseph Ahn, MD2; State University, Johnson City, TN; 3Henry Ford Hospital, Detroit, MI 1Oregon Health and Sciences University, Portland, OR; 2Oregon Health and Science University, Portland, OR; 3Portland VAMC, Portland, OR P0640. A Case of Leptospirosis in Chicago, Co-diagnosed with Chronic Lymphocytic Leukemia P0651. A Rare Case of Primary Biliary Cholangitis (PBC) and Hereditary Antoni Wojtkowski, MD1, Sarbagya Pandit, MD1, Nasir Saleem, MD2, Hemorrhagic Telangiectasia (HHT) Co-Existing in an Asian Male Patient George Atia, MD1, Arvind Balavenkataraman, MD1, Shyam Chalise, MD1; Jonathan Kuang, MRCP1, Kalaiyarasi Kaliyaperumal, MRCP2; 1Tan Tock 1Presence Saint Joseph Hospital, Chicago, IL; 2Presence Saint Joseph Seng Hospital, Singapore, Singapore; 2Tan Tock Seng Hospital, Singpaore, Hospital, Memphis, TN Singapore P0641. Hyperbilirubinemia Due to Extrinsic Biliary Compression From P0652. Concurrent Hepatitis B Reactivation and Acute Cellular Rejection in Direct Intrahepatic Portocaval Shunt Performed for Portal Hypertensive Patient Post-Liver Transplantation Bleeding NIkhil Kapila, MD1, Kapil Gupta, MD2, Bobby Zervos, DO1, Pablo Bejarano, Saikiran M. Kilaru, MD1, Maureen Whitsett, MD, MEd2, David M. Feldman, MD1, Kawtar Al Khalloufi, MD1; 1Cleveland Clinic Florida, Weston, FL; MD2, Ryan M. Hickey, MD1, Carmen M. Stanca, MD1; 1New York University 2University of Miami/JFK Medical Center Palm Beach Regional GME School of Medicine, New York, NY; 2NYU Langone Health, New York, NY Consortium, Fort Lauderdale, FL P0642. Potential Complications of Hyperbilirubinemia on Therapy With P0653. Bortezomib for Management of Acute Antibody Mediated Rejection Glecaprevir and Pibrentasvir for Therapy of Hepatitis C in Complex Real Post-Liver Transplantation World Patients NIkhil Kapila, MD1, Kapil Gupta, MD2, Kawtar Al Khalloufi, MD1, Bobby Jinyu Zhang, MD, Randeep Kaur, MD, Mahmoud Isseh, MD, Mouhanna K. Zervos, DO1; 1Cleveland Clinic Florida, Weston, FL; 2University of Miami/ Abu Ghanimeh, MD, Syed-Mohammed Jafri, MD; Henry Ford Hospital, JFK Medical Center Palm Beach Regional GME Consortium, Fort Detroit, MI Lauderdale, FL P0643. Hepatocellular Carcinoma Presenting as Right-Sided Heart Failure P0654. Oh the Places It Will Go: A Rare Case of HCC Metastasis to the Ofer Fass, MD1, Nathan Jia, BS2, Jason Ng, MD1, Clayton Li, MD3, Neha Esophagus Sathe, MD1; 1New York University Langone Medical Center, New York, Shanti G. Rao, MD1, Saamia Faruqui, MS, MD2, Vanessa Mendez, MD2, NY; 2New York University School of Medicine, New York, NY; 3New York Cacey Peters, MD2, Patrick Selakovich, MD 1, Christie Blanton, MD2, Fredric University School of Medicine, Little Neck, NY Regenstein, MD 2; 1Tulane University School of Medicine, New Orleans, LA; 2Tulane University, New Orleans, LA P0644. Spontaneous Hepatic Hemorrhage in the Setting of Hepatic Amyloidosis: An Unusual Presentation P0655. A Case of Primary Hepatic Amyloidosis Masquerading as Quinton Palmer, MD, Mohammad Al-Shoha, MD, Vibhor Wadhwa, MD, Obstructive Jaundice Mauricio Garcia Saenz de Sicilia, MD, Matthew Deneke, MD; University of S. Vikas Kumar, MD, Fahad Zubair, MD, Robert E. Smith, MD; Geisinger Arkansas for Medical Sciences, Little Rock, AR Health System, Danville, PA P0645. Mycobacterium tuberculosis and Acute Hepatitis B Coinfection: P0656. Imaging-Negative Hepatocellular Carcinoma Presents as an Challenges in Treatment Intrabiliary Mass: A Case Report Corey Saraceni, MD1, Tejas V. Joshi, MD2, Melissa A. Spera, MD1, John Ali Alshati, MD1, Sharad Bellapravalu, MD1, Indu Srinivasan, MD1, Abdul Hutchings, MD1; 1LSU Health Sciences Center, New Orleans, LA; 2LSU Nadir, MD2, Keng-Yu Chuang, MD3; 1Maricopa Integrated Health System, Health New Orleans School of Medicine, New Orleans, LA Phoenix, AZ; 2Maricopa Medical Center, Gilbert, AZ; 3Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ

78 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0657. NONI: A Health Benefit or Hazard? P0669. Pazopanib-Induced Cholestatic Hepatitis SUNDAY Myra Nasir, MBBS1, Sheena Mago, DO2, Raffi Karagozian, 3MD , Daniela Marianna G. Mavilia, DO; University of Connecticut, East Hampton, CT G. Vinsard, MD1; 1University of Connecticut Health, Farmington, CT; 2University of Connecticut, Farmington, CT; 3University of Connecticut, P0670. Amanita Phalloides Induced Hepatitis: Watch Out for Renal Hartford, CT Failure? Tina Pakala, MD1, Michael Siu, MD2, Ari Bunim, MD1, Moshe Rubin, MD3; P0658. Curious Case of Liver Lesions 1New York Presbyterian Queens, Flushing, NY; 2New York Presbyterian Marjan Nazer, MD1, Fahad Mir, MD1, Yousaf Zafar, MD1, Leen Al-Sayyed, Queens, New York, NY; 3New York-Presbyterian Queens, Flushing, NY MD2; 1University of Missouri, Kansas City, MO; 2St. Luke’s Liver and Transplant Specialists, Kansas City, MO P0671. Rare Post-Infectious Autoimmune Hepatitis-Induced Liver Failure: A Consequence of HAV Infection P0659. Disseminated Adenovirus Infection in an Adult Orthotopic Liver Sruthi Kapliyil Subramanian, MD1, Jigar M. Patel, MD1, Moises I. Nevah, Transplant Recipient MD2, Vishnu Mohan, MD1; 1University of Texas Health Science Center at Jagpal S. Klair, MD, Kiran Gajurel, MD, Sumant Arora, MD, Arvind Murali, Houston / McGovern Medical School, Houston, TX; 2University of Texas MD, Huy Tran, MD, PhD, FHRS, Antonio Sanchez, MD; University of Iowa Health Science Center at Houston, Houston, TX Hospitals & Clinics, Iowa City, IA P0672. Oral Contraception Woes: Idiosyncratic Drug Induced Liver Injury P0660. Mystery Ascites: Ascites Secondary to Spontaneous Bladder Abdul Aleem, MD, She-Yan Wong, MD; Lehigh Valley Health Network, Perforation Allentown, PA Cyrus Edelson, MD1, Guy S. Dooley, DO 1, Madhavi Rudraraju, MD2; 1Brooke Army Medical Center, San Antonio, TX; 2Methodist Specialty and P0673. Hepatocellular Carcinoma Masquerading as Paraneoplastic Transplant Hospital, San Antonio, TX Myasthenia Gravis Kati Choi, MD, Anita L. Sabichi, MD, Maheshwari Ramineni, MD; Baylor P0661. Early Non-alcoholic Fatty Liver Disease in Laurence-Moon-Biedl College of Medicine, Houston, TX Syndrome Lauren Pioppo, MD, Kristina Katz, MD, Vinod Rustgi, MD, MPH; Rutgers P0674. Problem in the Liver? Look to the Lungs! Nicolas Cal, DO1, Hassan Tuyyab, MD2, Anthony Cretara, MD2, Zain Robert Wood Johnson Medical School, New Brunswick, NJ Hassan3; 1Baystate Medical Center, Broad Brook, CT; 2Baystate Medical P0662. Severe Cholestatic Jaundice: A Rare Adverse Reaction of Center, Springfield, MA;3 Baystate Medical Center, Springfield, CT Methimazole Lauren Pioppo, MD1, Jack Xu, MD1, Preston Keiffer, BS1, Eric Pagan, P0675. Shingles All the Way Ben Nunley, MD, Neha Hingorani, MD, Sudha Kodali, MD, MPH; UAB MD1, Jonathan Stoll, MD1, Matthew Danish, MD1, Christine Fanning, MD2, Hospital, Birmingham, AL Matthew Sandel, MD2; 1Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; 2Penn Medicine Princeton Health, Plainsboro, NJ P0676. Not so Cryptogenic Anymore Ben Nunley, MD1, Neha Hingorani, MD1, Chirag Patel, MD1, Mohamed P0663. Severe Liver Injury Associated With Adult Onset Still’s Disease 2 1 2 Successfully Treated With Anakinra Shoreibah, MD ; UAB Hospital, Birmingham, AL; UAB, Birmingham, AL Niloofar Yahyapourjalaly, MD1, Alan Chen, MD2, Samuel A. Schueler, MD3, P0677. Unusual Case of Elevated Alkaline Phosphatase From Chronic William Hutson, MD2; 1MedStar Health, Baltimore, MD; 2University of Myelomonocytic Leukemia: A Case Report Maryland Medical Center, Baltimore, MD; 3University of Maryland Medical Parminderjit Singh, MD1, Kalpit Devani, MD2, Mark Young, MD2, Puneet Center / National Institutes of Health, Baltimore, MD Goenka, MD2; 1HVMC, Kingsport, TN; 2East Tennessee State University, P0664. Hepatic Sarcoidosis Suspected for Liver Cirrhosis - A Case Report Johnson City, TN of Diagnosing Subclinical Disease P0678. Hepatic Amyloidosis Presenting as Painless Jaundice Marcel T. Ghanim, MD1, Abhinav Tiwari, MD1, Ali Nawras, MD2; 1The Michael Zimmerman, MD, Diana Dy, RN; Digestive Disease Specialists, Las University of Toledo, Toledo, OH; 2University of Toledo Medical Center, Vegas, NV Toledo, OH P0679. Development of Cirrhosis and Portal Hypertension in Fontan- P0665. Fusobacterium necrophorum: An Extremely Rare Cause of Associated Liver Disease Concurrent Hepatic Abscess and Infectious Myositis Hao Chi Zhang, MD, Poyee Tung, MD, Victor I. Machicao, MD; University of Erik Holzwanger, MD1, Irma Hashmi, DO2, Sandeep Jubbal, MD3; Texas Health Science Center at Houston, Houston, TX 1University of Massachusetts Medical School, Worcester, MA; 2University of Massachusetts Medical Center, Worcester, MA; 3Hospital Medicine, P0680. Multiple Hepatocellular Regenerative Nodules in a Patient With UMass Memorial Medical Center, Worcester, MA History of Budd-Chiari With Transjugular Intrahepatic Portosystemic Shunt Placement P0666. A Patient with a History of Chronic Lymphocytic Leukemia Presents Sarah Repking, APN1, Jaimin Amin, MD2, Bulent Arselan, MD3, Edie Chan, with Rash and Elevated Liver Biochemistries MD3, Nikunj Shah, MD1, Shriram Jakate, MD3; 1Rush University, Chicago, Inuk Zandvakili, MD, PhD, Randall Pearson, MD, FACG; Mayo Clinic, IL; 2Rush Medical College, Chicago, IL; 3Rush University Medical Center, Rochester, MN Chicago, IL P0667. A Rare Presentation of Non-Cirrhotic Portal Vein Thrombosis P0681. Identification and Surveillance of Multiple Hepatic Adenomas in Edwin Golikov, DO, Shil Patel, DO, Michael Abadier, DO, Choudhry Glycogen Storage Disease Type Ia Hammad, MD, Kovil Ramasamy, MD, John Dedousis, MD; CarePoint Health Hao Chi Zhang, MD, Preethi Reddy, MD; University of Texas Health Bayonne Medical Center, Bayonne, NJ Science Center at Houston, Houston, TX P0668. Pembrolizumab-Induced Autoimmune Hepatitis P0682. Perforated Hemocholecyst: An Unintended Consequence of Marianna G. Mavilia, DO1, Ayushi Chauhan, MBBS2; 1University of Endoscopic Variceal Ligation Connecticut Health Center, Farmington, CT; 2University of Connecticut, Brett W. Sadowski, MD, Mary Gasser, MD, Ryan Kwok, MD, FACP; Walter Farmington, CT Reed National Military Medical Center, Bethesda, MD

P0683. L-carnitine for L-asparaginase Induced Hepatotoxicity P0695. Hepatic Infarction - A Rare Complication of HELLP Syndrome Sumant Arora, MD, Jagpal S. Klair, MD, Andrew Bellizzi, MD, Tomohiro Vicky H. Bhagat, MD, MPH1, Kenneth Chen, MD2; 1Rutgers Robert Wood Tanaka, MD, PhD; University of Iowa Hospitals & Clinics, Iowa City, IA Johnson Medical School, Piscataway, NJ; 2Warren Alpert Medical School at Brown University, Providence, RI P0684. Spirochetes in the Liver: An Unusual Presentation of a Common Infection Layth Al-Jashaami, MD1, Natasha Narang, DO2, Nayan Patel, DO, MPH3; P0696. Rhabdomyolysis Masquerading as Acute Liver Failure: A Case Report 1University of Arizona, Banner University Medical Center, Phoenix, AZ; Daniel E. Hogan, Jr., DO, Varun Kesar, MD, Alexander Chun, MD; Lenox Hill 2Banner University Medical Center, University of Arizona College of Hospital, New York, NY Medicine, Phoenix, AZ; 3Banner University Medical Center, Phoenix, AZ P0697. Prolonged Anhepatic State After Rescue Hepatectomy of a P0685. Ganciclovir-Resistant CMV Colitis in a Donor-Seronegative/ Transplanted Liver Recipient-Seronegative Liver Transplant Patient Kelly Zucker, DO, Paul Gomez, MD, Paul Muna Aguon, MD, Thomas Krunal Patel, MD1, Greg Wellman, MD2, Hrishikesh Samant, MD3, Samuel Ardiles, MD; University of Arizona College of Medicine, Phoenix, AZ Igbinedion, MD1; 1LSU HSC, Shreveport, LA; 2Delta Pathology Group, Shreveport, LA; 3LSU Health Shreveport and Willis Knighton Health P0698. A Case of Alcoholic Hepatitis Induced Hemolytic Anemia Disguised System, Shreveport, LA as a Drug Induced Hemolytic Anemia Andrew Tomaw, DO, MBA1, Yousaf Zafar, MD2, Muhammad Shafiq, MD3; P0686. A Rare Twist of the Forgotten Disease: A Case of Fusobacterium 1University of Missouri, Gladstone, MO; 2University of Missouri, Kansas necrophorum Sepsis with Porto-mesenteric Thrombosis City, MO; 3University of Missouri Kansas City, Kansas City, MO Zaid Imam, MBBS1, Majd Khasawneh, MD2, Ismail Hader, MD3; 1William Beaumont Hospital, Royal Oak, MI; 2William Beaumont Hospital, Clawson, P0699. Clostridium perfringens Bacteremia-Associated Hemolysis Andrew Tomaw, DO, MBA1, Julie Nahar, MD2, Yousaf Zafar, MD2, Gagan MI; 3William Beaumont Hospital, West Bloomfield, MI Mathur, MD3; 1University of Missouri, Gladstone, MO; 2University of P0687. Mesalamine: Good for IBD but Bad for the Liver? A Case of DILI Missouri, Kansas City, MO; 3St. Luke’s Hospital, Kansas City, MO Caused by Mesalamine Nihar Shah, MBBS, Aakash Desai, MBBS, MPH, Alexander Potashinsky, P0700. Escherichia coli Bacteremia Following Liver Biopsy: A Case Report MD, Colin Swales, MD; University of Connecticut Health Center, of Hemobilia Related Cholangitis From Transjugular Liver Biopsy Preeti Gupta, MD, MPH1, Nhu An Nguyen, DO2, Joseph Jennings, MD1, Farmington, CT Alexander Lalos, MD1; 1Georgetown University Hospital, Washington, DC; P0688. Rivaroxaban-Induced Liver Injury: A Rare Event or the Tip of 2Walter Reed National Military Medical Center, Bethesda, MD an Iceberg? Nihar Shah, MBBS1, Amruta Panwala, MBBS1, Alexander Perelman, DO, P0701. A Visitor From the East Mohamed A. Elkhouly, MD1, Vikram Kotwal, MD1, Ahmed A. Elkhouly, MS1, Toishi Sharma, MBBS1, Colin Swales, MD2; 1University of Connecticut MD2, Alaa Hijazi, MD3, Hemant Mutneja, MD1, Nisar Asmi, MD1, Chimezie Health Center, Farmington, CT; 2Connecticut GI, P.C., Hartford, CT Mbachi, MD1, Jayakumar Sreenivasan, MD1, Bashar M. Attar, MD, PhD1; P0689. Successful N-Acetylcysteine Treatment of Trimethoprim/ 1Cook County Health and Hospitals System, Chicago, IL; 2Cairo University Sulfamethoxazole-Induced Acute Liver Injury Hospitals, Cairo, Al Qalyubiyah, Egypt; 3Cairo University Hospitals, Cairo, Courtenay Ryan-Fisher, MBBCh, Sarah Rawi, MD, Rishabh Sachdev, MD, Al Qahirah, Egypt Daniela G. Vinsard, MD; University of Connecticut Health, Farmington, CT P0702. An Unusual Cause of Hyperammonemic Encephalopathy P0690. Thymoma-Induced Autoimmune Hepatitis: A Rare Paraneoplastic Zunirah Ahmed, MD1, Sumant Arora, MD2, Allan Seibert, MD1, Rashi Syndrome Khanna, MD2; 1UAB Montgomery, Montgomery, AL; 2University of Iowa Kendra T. Stilwell, DO1, Douglas F. Taylor, DO1, Angelo H. Paredes, MD2; Hospitals & Clinics, Iowa City, IA 1San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX; 2Brooke Army Medical Center, San Antonio, TX P0703. Yttrium-90 Radioembolization for Unresectable Chemorefractory Breast Cancer Liver Metastases: A Case Report P0691. 6-Mercaptopurine-Induced Non-Cirrhotic Portal Hypertension Jinendra Satiya, MD1, Kapil Gupta, MD2, Aviv Katz, DO3; 1University of With Rapid Progression to Liver Cirrhosis in the Absence of Pre-Existing Miami Leonard M. Miller School of Medicine / Palm Beach Regional GME Liver Disease Consortium, Atlantis, FL; 2University of Miami/JFK Medical Center Palm Maria Chiejina, MD1, Hrishikesh Samant, MD2, John Bienvenu, MD1, Greg Beach Regional GME Consortium, Fort Lauderdale, FL; 3Digestive Disease Wellman, MD3; 1LSU Health Sciences Center, Shreveport, LA; 2LSU Health Center of the Palm Beaches, Atlantis, FL Shreveport and Willis Knighton Health System, Shreveport, LA; 3Delta Pathology Group, Shreveport, LA P0704. Long-Term Azathioprine Use and the Development of Non- Cirrhotic Portal Hypertension P0692. Young Male With Cryptogenic Hepatitis-Associated Richard A. Manfready, MD, AM1, Jack Husney, MD1, Shmuel Golfeyz, MD2, Aplastic Anemia Swan Thung, MD3, Ilan Weisberg, MD, MSc1; 1Mount Sinai Beth Israel, Navroop Nagra, MD1, Arul Thomas2; 1Peace Health Hospital Center, New York, NY; 2Mount Sinai Beth Israel, Brooklyn, NY; 3The Mount Sinai Vancouver, WA; 2MedStar Georgetown Transplant Institute, Washington, DC Hospital, New York, NY P0693. A Case Report of Rifampin Alone Drug Induced Liver Injury (DILI) P0705. Kratom: A Rare Cause of Hepatotoxicity Ashina D. Singh, MD1, Scott A. Manski, MD2, Nathalie H. Urrunaga, MD, Ashraf Abushahin, MD, Craig Harris, MD; Cleveland Clinic Foundation/ MS3; 1Henry Ford Hospital, Detroit, MI; 2University of Maryland Medical Fairview Hospital, Cleveland, OH Center, Baltimore, MD; 3University of Maryland School of Medicine, Baltimore, MD P0706. Extrapulmonary Hepatic Histoplasmosis Presenting as Chronic Liver Disease: A Case Report P0694. Infected Hepatocellular Carcinoma With Salmonella Dublin Ashley Wood, DO, Suha Abushamma, MD, Jamak M. Esfeh, MD; Cleveland Moamen Al Zoubi, MD1, Muhammad Alsayid, MD, MPH1, Sakeina Clinic Foundation, Cleveland, OH R. Howard-Wilson, DO2, Steven Hatch, MD, MSc1; 1University of Massachusetts Memorial Medical Center, Worcester, MA; 2University of P0707. Don’t Make a Rash Diagnosis: A Curious Case of Syphilitic Hepatitis Massachusetts Memorial Hospital, Worcester, MA in a Young Healthy Female Joshua M. Steinberg, MD, Jessica Rosenberg, MD, Arul Thomas, MD; MedStar Georgetown University Hospital, Washington, DC 80 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0708. Nivolumab and Ipilimumab Immunotherapy-Induced Colitis and OBESITY SUNDAY Hepatitis Eric Ballecer, MD1, Alexander Sy, MD2, Jennifer Miller, MD2, Sheena Mago3, 0719. Is There Disparity in Index-Admission Cholecystectomy for Tova Sofer, MD4, Peter Malet, MD2; 1NYU Winthrop Hospital, Mineola, NY; Mild Acute Biliary Pancreatitis in Patients With Morbid Obesity: 2NYU-Winthrop, Mineola, NY; 3New York Institute of Technology College A National Survey of Osteopathic Medicine, Mineola, NY; 4Southern California Permanente Emmanuel Ugbarugba, MD, MPA1, Charles Lawrence, MD1, Kyle Medical Group, Los Angeles, CA Porter, MAS2, Ravi Pavurala, MD1, Hisham Hussan, MD1, Phil Hart, MD1, Darwin Conwell, MD, MS1, Somashekar G. Krishna, MD, MPH1; 1The P0709. Acute Liver Failure: A Rare Primary Sequela of Exertional Heat Ohio State University Wexner Medical Center, Columbus, OH; 2Center Stroke for Biostatistics, The Ohio State University Wexner Medical Center, Lindsay Clarke, MS, Daniel Szvarca, BS, Danielle Davison, MD, Bedoor Columbus, OH Alabbas, MBBS, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC P0720. Outcomes of a Transoral Outlet Reduction Endoscopy Procedure for Weight Regain Due to Dilated Anastomosis Aperture P0710. The Importance of a Recent Liver Biopsy Prior to Cardiac Transplant in Roux-en-Y Patients Evaluation Truptesh Kothari, MD1, Vivek Kaul, MD, FACG2, Krystle Bittner, MPH1, Adalberto Gonzalez, MD, Vaibhav Wadhwa, MD, Fayssa Salomon, MD, Pablo Victoria Howard, PA-C1, Shivangi Kothari, MD1; 1University of Rochester Bejarano, MD, Bobby Zervos, DO; Cleveland Clinic Florida, Weston, FL Medical Center, Rochester, NY; 2University of Rochester, Rochester, NY P0711. Extraordinary Hyperbilirubinemia in a Patient With Multiple P0721. Institutional Review of Utilization of Vibration-Controlled Transient Myeloma Elastography (FibroScan) in Evaluation of Non Alcoholic Fatty Liver Adalberto Gonzalez, MD1, Michael Castillo, MD1, Isaac Goldszer, MS2, 1 1 1 1 Disease Chelsea Garcia, MD , Jeevna Kaur, MD , Chakra Chaulagain, MD ; Cleveland Donya Imanirad, MD1, Nadia Bozanich, MD 1, Gitanjali Vidyarthi, MD2; 2 Clinic Florida, Weston, FL; Florida Atlantic University, Boca Raton, FL 1University of South Florida College of Medicine, Tampa, FL; 2James A. P0712. Real World Experience With Obeticholic Acid for Primary Biliary Haley Veterans’ Hospital, Tampa, FL Cholangitis: A Case Series P0722. Prevalence of Metabolic Syndrome and Type 2 Diabetes in Veterans Eric Nellis, MD1, Adam Peyton, DO2, She-Yan Wong, MD1; 1Lehigh Valley 2 With Nonalcoholic Fatty Liver Disease Health Network, Allentown, PA; Eastern Pennsylvania Gastroenterology Nadia Bozanich, MD 1, Donya Imanirad, MD1, Anmol Warman, BS1, Gitanjali and Liver Associates, Allentown, PA Vidyarthi, MD2, Ambuj Kumar, MD3; 1University of South Florida College P0713. Hemophagocytic Lymphohistiocytosis Masquerading as Alcoholic of Medicine, Tampa, FL; 2James A. Haley Veterans’ Hospital, Tampa, FL; Hepatitis 3University of South Florida, Tampa, FL 1 1 Sawsan Abulaimoun, MD , Thamer Kassim, MD , Abdullah Abdussalam, P0723. Ten-Year Analysis of Nonalcoholic Fatty Liver Disease-Related MD, MBA1, Peter Lampe, BS1, Savio Reddymasu, MBBS1, Bryan Teruya, MD1, 2 1 2 Hospitalizations Nagendra Natarajan, MD ; Creighton University, Omaha, NE; Nebraska Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Taruna Bhatia, MD, Cancer Specialists, Omaha, NE Jeevan Vinod, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ P0714. A Case of Severe, Nilotinib-induced Liver Injury P0724. Rising Trends in Gastrointestinal, Liver, and Pancreatic Diseases Yuliya Belopolsky, MD1, David Grinblatt, MD2, Nora Joseph, MD2, 2 1 Admissions Among Young Adults With Obesity in the United States Claus Fimmel, MD ; University of Chicago at NorthShore, Chicago, IL; Hisham Hussan, MD1, Kishan Patel, MD1, Darrell M. Gray, II, MD, MPH1, Peter 2 University of Chicago at NorthShore, Evanston, IL P. Stanich, MD1, Khalid Mumtaz, MD, MSc1, Alice Hinton, MS2, Somashekar P0715. Prolonged Jaundice Secondary to Amiodarone Use: A Case Report G. Krishna, MD, MPH1; 1The Ohio State University Wexner Medical Center, Laith Al momani, MD, Maria Zayko, MD, Alison Smith, MD, Tyler Aasen, Columbus, OH; 2The Ohio State University, Columbus, OH DO, Jason McKinney, DO, Mark Young, MD; East Tennessee State University, Johnson City, TN OBESITY P0716. Hyperammonemic Encephalopathy: A Rare Presentation of Valproic Clinical Vignettes / Case Reports Acid Toxicity in the Absence of Liver Impairment Iana Gueorguieva, MD, Dale Stern, MD, Camelia Arsene, MD, Malitha P0725. When a Lap Band Goes Rogue S. Hettiarachchi, MD; Detroit Medical Center/Wayne State University, Florence-Damilola Odufalu, MD1, William Joseph Goldkamp, MD2; 1St. Detroit, MI Louis University School of Medicine, St. Louis, MO; 2St. Louis University, St. Louis, MO P0717. Spontaneous Pylephlebitis of the Portal Vein Mimicking Acute Ascending Cholangitis: A Rare Case P0726. Prolonged Hypercupremia After Vertical Sleeve Gastrectomy Parth Desai, DO1, Radhika Jaiswal, MD2, Bashar M. Attar, MD, PhD1, Successfully Treated With an Excess of Oral Zinc Palashkumar Jaiswal, MBBS3, Manthan Jayswal, MS4, Naser Yamani, MD1; Timothy R. Koch, MD1, Elizabeth A. Zubowicz, MD2, John Gross, Jr., MD3; 1Cook County Health and Hospitals System, Chicago, IL; 2Forest Hills 1Georgetown University School of Medicine, Washington, DC; 2MedStar- Hospital, Rego Park, NY; 3John H. Stroger, Jr. Hospital of Cook County, Washington Hospital Center, Washington, DC; 3Mayo Clinic, Rochester, MN Chicago, IL; 4B.J. Medical College, Ahmedabad, Gujarat, India P0718. Cholestasis as a Diagnostic Challenge Thrupthi Komandur, MBBS1, Julie Guider, MD1, Nirav Thosani, MD2; 1University of Texas Health Science Center at Houston, Houston, TX; 2University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX

PEDIATRICS P0736. Real World Use of Oral Corticosteroids ≥30 mg/Day Among Adolescents With Newly Diagnosed Crohn’s Disease P0727. Breath Analysis in Children with Ketogenic Glycogen Storage Theresa Hunter, PhD, MPH, MS, April Naegeli, DrPH, MPH, Krista Diseases Schroeder, PhD, Xiang Zhang, PhD, Amy Larkin, BS, Wendy Komocsar, BS,  Presidential Poster Award MT(ASCP) SI, Diana Stefani-Hunyady, MD, MBA; Eli Lilly and Company, Mohammad Nasser Kabbany, MD1, Praveen Kumar Conjeevaram Indianapolis, IN Selvakumar, MD1, Neal Mehta, MD1, Xiaozhen Han, MS1, Xiaozhen Wang, PhD1, David Grove, PhD2, Adriano Tonelli, MD1, Raed Dweik, MD1, Laurie P0737. Gastrointestinal Bleeding Is Common in Children With Familial Tsilianidis, MD1, Kadakkal Radhakrishnan, MD1, Naim Alkhouri, MD3; Dysautonomia: A Case-Control Study (1980-2017)  1Cleveland Clinic Foundation, Cleveland, OH; 2Learner Research Institute, Presidential Poster Award 1 1 1 Cleveland Clinic Foundation, Cleveland, OH; 3Texas Liver Institute, San Chethan Ramprasad, MD , Christy Spalink, ARNP , Isabel Vanegas, PhD , 1 1 Antonio, TX Lucy Norcliffe-Kaufmann, PhD , Jose Alberto Palma, MD, PhD , Joseph Levy, MD1, Horacio Kaufmann, MD1, Lea Ann Chen, MD2; 1New York University, P0728. Pediatric Inflammatory Bowel Disease (P-IBD) in India: Is It Really New York, NY; 2New York University School of Medicine, New York, NY Uncommon? Ujjal Poddar, MBBS, MD, DM, Surender Kumar Yachha, MBBS, MD, DM, Anshu Srivastava, MBBS, MD, DM; Sanjay Gandhi Postgraduate Institute PEDIATRICS of Medical Sciences, Lucknow, Uttar Pradesh, India Clinical Vignettes / Case Reports P0729. Safety and Feasibility of Pediatric Gastrointestinal Procedures at P0738. Pinworms: The Missing Link Between Vitamin B12 Deficiency and an Ambulatory Endoscopy Center Tissue Eosinophilia 1 2 2 Sejal Mahajan1, Nithin Gupta2, Rahul Sao, MD3, Sachin Kunde, MD, MPH4, David Wilhoite, BS , Alexandria Boley, DO , Patrick Costello, MD , Anjali 2 1 Neeraj Sachdeva, MD5; 1University of North Carolina, Cary, NC; 2North Malkani, MBBS ; East Tennessee State University, Quillen College of 2 Carolina State University, Cary, NC; 3University of Connecticut School Medicine, Johnson City, TN; East Tennessee State University, Johnson of Medicine, Farmington, CT; 4Wake Pediatric GI, Raleigh, NC; 5Wake City, TN Endoscopy Center, Raleigh, NC P0739. Johanson-Blizzard Syndrome: Report of One Case P0730. Sensitivity of Serologic Markers in Celiac Disease in Children 2 Narmer F. Galeano, MD, Rivera-Penera Maria Teresa, MD, Nishith Years Old or Younger Bhattacharyya, MD, Roberto Nachajon, MD, Punita Gupta, MD; St. Muhammad Rehan Khan, MBBS, Ahmed Barazi, MBBCh, Mhd Louai Joseph’s Medical Center, Paterson, NJ Manini, MD, Imad Absah, MD; Mayo Clinic, Rochester, MN P0740. Benign Colonic Schwann Cell Hamartoma in a Pediatric Patient P0731. The Utility of Lactulose/Rhamnose Permeability Test in Celiac with PTEN Hamartoma Tumor Syndrome (PHTS) Disease and High Risk Children Naser Tolaymat, MD, Adam Paul, DO; Children Hospital’s at Lehigh Valley Muhammad Rehan Khan, MBBS, Joseph Larson, Roy Dyer, Ravinder Health Network, Allentown, PA Singh, PhD, William Faubion, MD, Imad Absah, MD; Mayo Clinic, P0741. Application of Whole Exome Sequencing in Diagnosis of Pediatric Rochester, MN Acute Liver Failure of Unknown Etiology P0732. Shortcomings in Long-Term Management: A Retrospective Analysis Heli Bhatt, MBBS, MPH, Girish S. Rao, MD; Riley Hospital for Children, of Follow-Up of Children Diagnosed With Celiac Disease Indiana University School of Medicine, Indianapolis, IN Bradley Blansky, MS1, Zackary Hintze, BS2, Eaman Alhassan, MD1, Alan P0742. Retention of the Patency Capsule: A Complication That Deserves Leichtner, MD, MSPHEd1, Dascha Weir, MD2, Jocelyn Silvester, MD, PhD2; Attention 1 2 Celiac Disease Center, Boston Children’s Hospital, Boston, MA; Celiac George Obeng, BS, MS, Asha Sigei, MD, Patrick Costello, MD, Anjali Disease Program, Boston Children’s Hospital, Boston, MA Malkani, MBBS; East Tennessee State University, Johnson City, TN P0733. Influences From Europe: The Rise of "Organic" Baby Formula Use in P0743. Apposing the Average Age: Lumen-Apposing Metal Stent NYC Private Practices Placement in a 3-Year-Old 1 2 3 Nan Du, MD , Jamila K. Williams, MD , Veronika Shabanova, PhD , Dina Stephen Beasley, MD, Meir Mizrahi, MD, Manoj Kumar, MD, MPH, Gilad 4 5 1 1 Dimaggio, MD , Ine Leus, MD, MPH , Anthony Porto, MD, MPH ; Yale New Shapira, DO; University of South Alabama, Mobile, AL Haven Hospital, New Haven, CT; 2NYU Langone Health, New York, NY; 3Yale University, New Haven, CT; 4New York University Langone Health, Brooklyn, NY; 5New York University Langone Health, New York, NY PRACTICE MANAGEMENT P0734. The Risk of Autoimmune Endocrine Disorders in Treated Celiac P0744. Implementation of Clostridium difficile Algorithm for Reduction of Disease Patients in Olmsted County, Rochester, MN Inappropriate Testing in a Community Hospital  Presidential Poster Award Marcelle Meseeha, MD1, Darla Fink, BS2, Natasha Kohanzadeh, BA3, Muhammad Rehan Khan, MBBS, Shilpa Nellikkal, MBBS, Ahmed Barazi, Stephen Mazurkivich, BS2, Chloe M. Swanger, BS4; 1Guthrie Clinic/ MBBCh, Joseph Larson, Joseph Murray, MD, Imad Absah, MD; Mayo Clinic, Robert Packer Hospital, Sayre, PA; 2Geisinger Commonwealth School Rochester, MN of Medicine, Sayre, PA; 3Geisinger Commonwealth School of medicine, P0735. Hepatitis A and B Seroimmunity in Vaccinated Children With Sayre, PA; 4Geisinger Commonwealth School of Medicine, Altoona, PA Cirrhosis P0745. Prevention of Hospital-Acquired Clostridium difficile Infection  Presidential Poster Award Using UVC Light Units for Terminal Decontamination of Patient Rooms Heli Bhatt, MBBS, MPH1, Thomas Fox, MD2, William Bennett, Jr., MD, MS1, Emil Putrus, MD1, Alan Putrus, MD2, Jenni Steinbrunner, BS 3, Carolyn Girish S. Rao, MD1; 1Riley Hospital for Children, Indiana University School Fiutem3, Stephen Blatt, MD4; 1Good Samaritan Hospital/TriHealth, of Medicine, Indianapolis, IN; 2Ryan White Center for Pediatric Infectious Cincinnati, OH; 2Ascension Providence Hospital/MSU College of Human Disease, Riley Children’s Hospital, Indiana University School of Medicine, Medicine, Southfield, MI;3 TriHealth, Cincinnati, OH; 4TriHealth Infectious Indianapolis, IN Diseases, Cincinnati, OH

82 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0746. U.S. Hospital Transfer Patterns for Patients With Acute Pancreatitis P0756. Use and Abuse of Fecal Occult Blood Tests: A Community SUNDAY Shibani Pokras, MPH, George Mu, PhD, MS; GSK, Collegeville, PA Hospital Experience  Fellows-in-Training Award (Practice Management Category) P0747. Outcomes of Percutaneous Endoscopic Gastrostomy (PEG)  Presidential Poster Award Placement in the Endoscopy Lab versus the Operating Room Sarthak Soin, MD1, Nasir Saleem, MD1, Olalekan Akanbi, MD, MPH2, Pamela Kim, MD1, Aslam Syed, MD1, Ricardo Mitre, MD2, Katie Farah, MD1, Yunha Kim, MD1, Sarbagya Pandit, MD1, Igor Wroblewski, MD1; Marcia Mitre, MD1; 1Allegheny Health Network, Pittsburgh, PA; 2Allegheny 1Presence Saint Joseph Hospital, Chicago, IL; 2University of Kentucky General Hospital, Pittsburgh, PA College of Medicine, Lexington, KY P0748. Augmenting the Guidelines: Screening Patients for CRE Carriage P0757. Evaluating Appropriate Use of Antibiotics in Acute Pancreatitis - Prior to Endoscopic Retrograde Cholangiopancreatography (ERCP) as Need for Antibiotic Stewardship Surveillance and Risk Mitigation Strategy Kevin Kline, MD, Felippe Marcondes, MD, Mohammad Bilal, MD, Sagar Pari Shah, MD 1, Brett Van Leer-Greenberg, MD1, Tracy McMillen, BS1, Joshi, MS, Ronan Allencherril, MS, Wayne Fischer, PhD, Praveen Guturu, Jennifer Hsieh, MD1, Janet Eagan, MPH, CIC1, Mark Schattner, MD1, Robin MD, FACG, Kelly Olino, MD, Sreeram Parupudi, MD, FACP, FACG; University Mendelsohn, MD1, Robert Kurtz, MD1, Hans Gerdes, MD1, Esther Babady, of Texas Medical Branch, Galveston, TX MD2, Mini Kamboj, MD1; 1Memorial Sloan Kettering Cancer Center, New York, NY; 2Microbiology Service, Clinical Laboratories, Memorial Sloan P0758. Artificial Intelligence Can Accurately Detect Tools Used Kettering Cancer Center, New York, NY During Colonoscopy: Another Step Forward Toward Autonomous Report Writing P0749. A Low Residue Diet with a Split Dose Bowel Prep Is Effective in Presidential Poster Award Improving Bowel Prep Adequacy in a Veteran’s Affairs Endoscopy Unit Jason Samarasena, MD1, Allen R. Yu, BS1, Ericson John Torralba, BSc1, Shani Woolard, MD1, Adanech W. Kidanie, MD1, Bradley Mathers, MD1, Daniel Mai, BSc1, David P. Lee, MD, MPH2, Zain Moosvi, MD1, Vincent Shanthi Srinivasan, MD2, Meena Prasad, MD3, Robert H. Lyles, PhD3; Chao Chang, MD1, Tyler Dao3, James Requa4, Andrew Ninh4, William 1Emory University School of Medicine, Atlanta, GA; 2Emory University and Karnes, MD1; 1University of California Irvine Medical Center, Orange, Atlanta VAMC, Atlanta, GA; 3Emory University, Atlanta, GA CA; 2University of California Irvine, Orange, CA; 3Docbot, Orange, CA; P0750. Factors Associated With Outpatient Colonoscopy 4Docbot, Irvine, CA Appointment Non-Adherence at a Safety-Net Healthcare System: P0759. Burnout and Well-being in GI Fellows A Retrospective Review Kegan Jessamy, MBBS, Sekou Rawlins, MD; SUNY Upstate Medical Tarek I. Eid, MD1, Cris Jacob R. Molina, MD2, Victor Arce, MD3, Derek University, Syracuse, NY Murray4, Paul Kang, MS, MPH5, Keng-Yu Chuang, MD6; 1University of California Irvine, Orange, CA; 2Banner University Medical Center, Phoenix, P0760. Variability in Antibiotic Regimens for Cholangitis in a Tertiary CA; 3University of Colorado, Aurora, CO; 4Maricopa Integrated Health Care Center System, Phoenix, AZ; 5University of Arizona College of Medicine, Phoenix, Bushra Wazed, MD1, Galen Leung, MD1, Erin Taub, MPH1, Adam Solis- AZ; 6Maricopa Integrated Health System/St. Josephs Hospital and Cohen, MD1, Juan Carlos Bucobo, MD1, Jonathan Buscaglia, MD1, Medical Center, Phoenix, AZ Demetrios Tzimas, MD2; 1Stony Brook University Hospital, Stony Brook, NY; 2NYU Langone Health/Bellevue Hospital Center, New York, NY P0751. Inpatient Endoscopy Biopsy Follow-Up: A Quality Improvement Study Stephanie Yan, MD 1, Sooraj Tejaswi, MD, MSPH2; 1University of California P0761. Patient Perceptions of Interprofessional Teamwork in a Streamlined Davis, Sacramento, CA; 2University of California Davis Medical Center, Liver Transplant Evaluation Sacramento, CA Dina L. Halegoua-De Marzio, MD1, Steven Herrine, MD1, Jonathan M. Fenkel, MD2, Lauren Collins, MD1, Shoshana Sicks, EdM1, Abigail P0752. Standardizing the Removal of Large Colon Polyps: An Evidence- Sherburne1, Elizabeth Speakman, EdD, RN1, April Smith, MPH1; 1Thomas Based Approach Jefferson University, Philadelphia, PA;2 Thomas Jefferson University Ryan Jacobs, BA, Srikar Mapakshi, MD, Clark Hair, MD, Nisreen Husain, Hospital, Philadelphia, PA MD, Maria Jarbrink-Sehgal, MD, PhD, Yamini Natarajan, MD, Ruben Hernaez, MD, MPH, PhD, Fasiha Kanwal, MD, MSHS, Rhonda Cole, MD, P0762. Stewardship for Appropriate Management of Proton Pump Maria Velez, MD, Gyanprakash Ketwaroo, MD, MSc; Baylor College of Inhibitors (PPI) Usage in GI Fellows’ Continuity Clinics Medicine, Houston, TX  Presidential Poster Award Nicholas Crews, MD1, Megan Walker, MD2, Mustapha El-Halabi, MD1, P0753. Proton Pump Inhibitor (PPI) Prescribing Practices in an Academic Nabil F. Fayad, MD, FACG2; 1Indiana University, Indianapolis, IN; 2Indiana Outpatient GI Fellowship Clinic University School of Medicine, Indianapolis, IN Bradford Chong, MD1, Ahilan Arulanandan, MD1, Saif Azam, BA2, Stefan Nguyen, MD1, Christianne Lane, PhD2, Michael Kline, MD1; 1LAC+USC P0763. Optimizing Endoscopy Scheduling Medical Center, Los Angeles, CA; 2Keck School of Medicine of USC, Los Tamara Brodsky, MD, Moshe Rubin, MD; New York-Presbyterian Queens, Angeles, CA Flushing, NY P0754. Mind the Gap: Improving Transitions of Care After Inpatient P0764. The Incidence of Precancerous Polyps and Post-Polypectomy Endoscopy at an Academic Medical Center Bleeding During Screening Colonoscopy in Patients With a Left Ventricular Cicily Vachaparambil, MD1, Angela Ward, MSN, FNP-BC, DNP2, Maria Assist Device Klimenko, MD2, Heba Iskandar, MD, MSCI1; 1Emory University School of Rohit Dhingra, MD, Sharanya Mohanty, MD, Yazan Daaboul, MD, Joseph Medicine, Atlanta, GA; 2Emory University, Atlanta, GA Dailey, MD, Christopher Firely, MD, Michael Winter, MD, Amirah Khan, MD, Aaron M. Dickstein, MD, Amanda Vest, MD, Michael Kiernan, MD; Tufts P0755. Role of Race in Loss of Response to Infusion Biologics in Patients Medical Center, Boston, MA With Inflammatory Bowel Disease Cicily Vachaparambil, MD, Catherine Bartnik, MD, MPH, Tanvi Dhere, MD, Heba Iskandar, MD, MSCI; Emory University School of Medicine, Atlanta, GA

P0765. Can Clinical Decision Support Software Tools Increase Accuracy in P0775. A Rare Case of a Colonic Polypoid Arteriovenous Malformation Decision Making Among Resident Physicians? Causing Symptomatic Anemia Gayatri Vengayil, MD, Edward Hoefler, MD, Samira Khan, MD, Jasprit Jason B. Kramer, MD, Allison Rzepczynski, MD, Shriram Jakate, MD, Lin Takher, MD, FACP; Mountain View Hospital/Sunrise GME Consortium/ Cheng, MD, Ajaypal Singh, MD; Rush University Medical Center, Chicago, IL HCA, Las Vegas, NV P0766. Impact of Electronic Medical Record Intervention on OP-29 and SMALL INTESTINE OP-30 Scores at St. Luke’s University Health Network Noel Martins, MD1, Christopher McCarthy2, Jessica Sallit1, Andrew P0776. Cigarette Smoking and Risk of Celiac Disease: A Systematic Review Ivankovitz1, Kathy Nunemacher1, Adam Gurgick1, Tracy Huhn1; 1St. Luke’s and Meta-Analysis 2 University Health Network, Bethlehem, PA; Lewis Katz School of Karn Wijarnpreecha, MD1, Susan Lou, MD2, Panadeekarn Panjawatanan, Medicine at Temple University, Philadelphia, PA MD3, Wisit Cheungpasitporn, MD4, Surakit Pungpapong, MD1, Frank J. 1 5 1 P0767. Hepatitis C Screening Among Baby Boomers in a Community Lukens, MD , Patompong Ungprasert, MD, MS ; Mayo Clinic Florida, 2 3 Hospital: A Quality Improvement Project Jacksonville, FL; University of Minnesota, Minneapolis, MN; Chiang Mai 4 Tsujung Yang, MD, Harshil Shah, MD, Subash Ghimire, MD, Marcelle University, Chiang Mai, Thailand; University of Mississippi Medical Center, 5 Meseeha, MD, John Pamula, MD, FACP, CPHQ; Guthrie Clinic/Robert Jackson, MS; Mahidol University, Bangkok, Krung Thep, Thailand Packer Hospital, Sayre, PA P0777. Association Between Juxtapapillary Duodenal Diverticula and Risk P0768. Zolpidem Use Is a Potential Risk Factor for Clostridium difficile of Choledocholithiasis: A Systematic Review and Meta-Analysis Colitis in Hospitalized Patients: A Large Case Control Study Karn Wijarnpreecha, MD1, Panadeekarn Panjawatanan, MD2, Wuttiporn Steve Hu, MD1, Fares Qeadan, PhD2, Tarik Alhmoud, MD3; 1University of Manatsathit, MD3, Wisit Cheungpasitporn, MD4, Surakit Pungpapong, California San Francisco Fresno, Fresno, CA; 2University of New Mexico MD1, Frank J. Lukens, MD1, Patompong Ungprasert, MD, MS5; 1Mayo Clinic Hospital, Albuquerque, NM; 3Promedica Physician Group, Sylvania, OH Florida, Jacksonville, FL; 2Chiang Mai University, Chiang Mai, Thailand; 3University of Nebraska Medical Center, Omaha, NE; 4University of P0769. Taking an Old Standard to New Places: Split-Dose Preps Improve Mississippi Medical Center, Jackson, MS; 5Mahidol University, Bangkok, Bowel Cleanse in the Inpatient Setting Krung Thep, Thailand Seper Dezfoli, MD1, Sameer K. Berry, MD, MBA2, Brennan M. R. Spiegel, MD, MSHS3, Christopher V. Almario, MD3; 1University of California Los P0778. The Safety and Utility of Double Balloon Enteroscopy in the Angeles, Los Angeles, CA; 2Cedars-Sinai, Los Angeles, CA; 3Cedars-Sinai Evaluation and Treatment of Gastrointestinal Bleeding in Patients With Medical Center, Los Angeles, CA Left Ventricular Assist Devices: A Retrospective Review Badar Hasan, MD1, Charles W. McMahon, MD1, Rajiv Chhabra, MD, MRCP P0770. A Case of Torn Loyalty? Industry Rewards and Payments to (UK), FACG2; 1University of Missouri, Kansas City, MO; 2St. Luke’s Hospital, Gastroenterologists Kansas CIty, MO Salman Nusrat, MD1, Taseen A. Syed, MD2, Sanober Nusrat, MD1, Sixia Chen, PhD3, Wei-Jen Chen, PhD Student1, Klaus Bielefeldt, MD, PhD4; P0779. Recent Probiotic Use Is Independently Associated With Methane- 1University of Oklahoma Health Sciences Center, Oklahoma City, OK; Positive Breath Test for Small Intestinal Bacterial Overgrowth 2The University of Oklahoma Health Sciences Center, Oklahoma City, OK; Emilie Mitten, MD, Alison Goldin, MD, MPH, Jasmine Hanifi, MD, Walter W. 3University of Oklahoma Health Sciences Center, Edmond, OK; 4Veterans Chan, MD, MPH; Brigham & Women’s Hospital/Harvard Medical School, Affairs Medical Center, Salt Lake City, UT Boston, MA P0780. Measuring Small Bowel Transit Time in Obesity by Video Capsule Endoscopy PRACTICE MANAGEMENT Andrew J. Hsu, MD, Li Wang, MD, David Cave, MD, MPH; University of Clinical Vignettes / Case Reports Massachusetts Memorial Medical Center, Worcester, MA P0771. The GIST of It P0781. CT Diagnosis of Terminal Ileitis with Clinical, Endoscopic, and Michelle Likhtshteyn, MD1, Sadat Iqbal, MD1, Nikita Gupta, MD1, Abu Histologic Correlation - More Than Just IBD Hurairah, MD2, Richard Ferstenberg, MD1; 1SUNY Downstate Medical Bilal A. Asif, MD, Brianna Shinn, MD, Joseph A. Spataro, MD, Charles Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, NY Kistler, MD, PharmD, Monjur Ahmed, MD, FRCP, FACG, FACP; Thomas P0772. Post-Endoscopic Fungemia With Candida lipolytica Jefferson University Hospital, Philadelphia, PA Abhimanyu Aggarwal, MBBS, MD, Sylvia Alarcon, MD, Mary Classe P0782. The Sensitivity of Cross-Sectional Imaging for Identifying Kilayko, MD; Berkshire Medical Center, Pittsfield, MA Periampullary Diverticula P0773. Frey-Baillarger Syndrome in a Middle Aged Man: A Rare Austin Lee Chiang, MD, MPH, Jetmir Vojnika, Alexander Schlachterman, Case Report MD, David E. Loren, MD, Thomas Kowalski, MD; Thomas Jefferson University Hospital, Philadelphia, PA Stacey E. Thomas, MD, MBA1, Sherry Reyes, MD2, Zaheer A. Qureshi, MBBS, MD3, Sri Lekha Bodepudi, MBBS4, Sharmi Biswas, MBBS5, Jose K. P0783. Impact of Oral-Cecal Transit Time on the Interpretation of Breath Thomas, MBBS6, Alec Hovagim, MD7; 1Mayo Clinic, Scottsdale, AZ; 2N/A, Tests After RYGB: A Personalized Approach to the Diagnosis of SIBO Lynbrook, NY; 3University of Health Sciences, Rego Park, NY; 4Dr. P.S.I. Pichamol Jirapinyo, MD, MPH1, Tracy T. Makuvire, MD2, William Y. Dong3, of Medical Sciences and Research Foundation, Jacksonville, FL; 5MAG Walter W. Chan, MD, MPH1, Christopher C. Thompson, MD, MSc1; 1Brigham Osmani Medical College, Sylehet, Bangladesh, Edmonton, AB, Canada; & Women’s Hospital/Harvard Medical School, Boston, MA; 2Harvard 6J.J.M. Medical College, Davangere, Karnataka- India, Scottsdale, AZ; Medical School, Boston, MA; 3Stony Brook University, Stony Brook, NY 7Mayo Clinic, Phoenix, AZ P0784. Diagnostic Yields of Pillcam® SB3 versus Pillcam® SB2 Capsules in a P0774. Anchoring Bias: A Presumptive Diagnosis of Gastrointestinal Lupus United States Veteran Population Taiwo A. Ajose, MD, Titilope Olanipekun, MD, MPH, Suaka Kagbo-Kue, MD, Tyler Aasen, DO1, David Wilhoite, BS1, Aynur Rahman, MD2, Mark Young, Micheal Flood, MD, Claudia Toukam-Fotzeu, MD, MPH; Morehouse School MD2, James Swenson, MD3; 1East Tennessee State University, Quillen of Medicine, Atlanta, GA College of Medicine, Johnson City, TN; 2East Tennessee State University, Johnson City, TN; 3Mountain Home VA Medical Center, Johnson City, TN 84 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0785. Differences in Diagnostic Yield of Video Capsule Endoscopy Based P0797. A Rare Cause of Upper GI Bleed Caused by Duodenal Lipoma SUNDAY on Definition of Obscure GI Bleeding Amreet K. Aujla, MD1, Nha T. Duong, DO2, Nihar Shah, MBBS2, Nikita A. Narayani, Raj I. Narayani, MD; Gastrointestinal Associates, PC, Alexander Potashinsky, MD2, Raffi Karagozian, 3MD ; 1University of Knoxville, TN Connecticut Health, Farmington, CT; 2University of Connecticut Health Center, Farmington, CT; 3Yale University School of Medicine, Hartford, CT SMALL INTESTINE P0798. Less Copper Than a Modern Penny: A Case of Insidious Copper Clinical Vignettes / Case Reports Deficiency and Short Bowel Syndrome P0786. Jejunal Lymphangiectasia and Phlebectasia in a 70-Year-Old Male: Matthew T. Bender, MD, Jeanetta W. Frye, MD, Carol Parrish, MS, RD, A Case Report Andrew P. Copland, MD; University of Virginia, Charlottesville, VA Naveen Prasad Gopalakrishnan Ravikumar, MD1, Jose R. Estrada, MD1, Jad P0799. Lupus Enteritis Bou-Abdallah, MD2; 1University at Buffalo, Buffalo, NY;2 Western NY VA Christopher Oglesby, DO, Brent Rhodes, MD, Daniel Raines, MD, FACG; Medical Center, Buffalo, NY LSU Health Sciences Center, New Orleans, LA P0787. Strongyloides Enteritis and Hyperinfection in an P0800. Is Your Diagnosis of Celiac Disease Correct? A Case of Tropical Immunosuppressed Host Sprue Highlighting Common Errors Sneha Patel, MD; Montefiore Medical Center, New York, NY Marika Bergenstock, DO, Jessica McKee, DO, Amitpal S. Johal, MD; P0788. Radiographic Diagnosis of Diphyllobothriasis: Hiding in Plain Sight Geisinger Medical Center, Danville, PA Abid Javed, MD, Ira Wilner, MD; Medical University of South Carolina, P0801. GIST Another Duodenal Ulcer? Charleston, SC Patrick S. Harris, MD1, John Romano, MD1, Kirk B. Russ, MD1, Mohamed 2 2 1 P0789. A Rare Side Effect of Capecitabine: Pneumatosis Intestinalis with Shoreibah, MD , Kondal Rao Kyanam Kabir Baig, MD ; University of 2 Pneumoperitoneum Alabama at Birmingham, Birmingham, AL; UAB, Birmingham, AL Taimoor Khan, MD1, Mujtaba Mohamed, MD2, Alsadiq Al hillan, MD3, Diana P0802. Cutaneous Metastasis of Primary Small Intestinal Neuroendocrine Curras, MD3, Marcus S. Flores, PharmD, BCPS1, Michael Carson, MD4; Tumor 1Jersey Shore University Medical Center/Hackensack Meridian Health, Rohit Dhingra, MD1, Wasif M. Saif, MD1, Julie Y. Tse, MD2; 1Tufts Medical Neptune City, NJ; 2Jersey Shore University Medical Center/Hackensack Center, Boston, MA; 2Tufts University School of Medicine, Boston, MA Meridian School of Medicine at Seton-Hall, Neptune, NJ; 3Jersey Shore University Medical Center/Hackensack Meridian Health, Neptune, NJ; P0803. Fecal Microbiota Transplantation (FMT) for Treatment of 4Jersey Shore University Medical Center/Hackensack Meridian Health, Clostridium difficile Enteritis (CDE) Following Total Colectomy for Familial Ocean, NJ Adenomatous Polyposis (FAP) Syndrome Darrell F. Barker, MD, Carlos E. Angueira, MD, Amilcar L. Morales-Cardona, P0790. A Rare Case of Medullary Carcinoma of the Ileum MD; San Antonio Military Medical Center, Fort Sam Houston, TX Hector Gonzalez, MD1, Simran Sidhu, MBBS1, Todd Eisner, MD2; 1Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, P0804. ACE Inhibitor-induced Angioedema of the Intestine: A Decade of FL; 2Boca Raton Regional Hospital, Boca Raton, FL Suffering Marcel T. Ghanim, MD, Steven Gu, MD, Basmah Khalil, MD, Momen P0791. Unusual Case of Acquired Gastroduodenal Fistula Due to Banifadel, MD, Anand B. Mutgi, MD, MSc, FACP; The University of Toledo, Methotrexate Toledo, OH Ryan Jordan, DO, Nathaniel Krogel, DO; Carolinas HealthCare System Blue Ridge, Morganton, NC P0805. Gut Failure and Delirium - A Rare but Reversible Diagnosis Mridula Nadamuni, MD1, Harris Naina, MD2, Kyle Blackburn, MD1, Purva P0792. Acute Appendicitis and Small Bowel Obstruction Secondary to Gopal, MS, MD1, Steven Vernino, MD, PhD1, Samar Harris, MD3; 1University Metastatic Breast Cancer of Texas Southwestern Medical Center, Dallas, TX; 2The Center of Cancer Omar Abughanimeh, MD1, Laith Numan, MD1, Mohammad Tahboub, MD1, and Blood Disorders, Fort Worth, TX; 3University of Texas Southwestern, Timothy Pluard, MD2; 1University of Missouri, Kansas City, MO; 2St. Luke’s Dallas, TX Hospital, Kansas City, MO P0806. Management of Duodenal Varix With Coiling P0793. Terminal Ileum MALToma in an H. pylori Negative Patient Abdalla Mohamed, MD1, Amol Shah, MD2, Varun Patel, MD3, Neal Carlin, Antoni Wojtkowski, MD, Sarbagya Pandit, MD, George Atia, MD, Shyam MD1, Walid Baddoura, MD1; 1St. Joseph’s University Medical Center, Chalise, MD; Presence Saint Joseph Hospital, Chicago, IL Paterson, NJ; 2St. Joseph’s University Medical Center, Livingston, NJ; 3 P0794. Mesenteric Venous Thrombosis Presenting as Subacute Diarrhea: NYMC - St. Joseph’s University Medical Center, Newark, NJ A Rare but Tragic Case P0807. Rare Case of Gangliocytic Paraganglioma Matthew J. DeMaria, DO, Jogarao Vedula, MD, Haseeb Ahmed, MD, James Kalpit Devani, MD1, Parminderjit Singh, MD2, Puneet Goenka, MD1, Mark H. Grendell, MD; NYU Winthrop Hospital, Mineola, NY Young, MD1; 1East Tennessee State University, Johnson City, TN; 2HVMC, P0795. Unmasking Jejunal Carcinoma With Dual Antiplatelet Therapy Kingsport, TN Hussam Tayel, MD1, Ana Martinez-Tapia, MD2, Hesham Tayel, MD2, Rodrigo P0808. The Abdominal Cocoon: A Case of Encapsulating Peritoneal Duarte-Chavez, MD3, Ronak Modi, MD3, Kimberly J. Chaput, DO2; 1St. Sclerosis in Liver Transplant Luke’s University Health Network, Bethlehem, PA; 2St. Luke’s University Abdalla Mohamed, MD1, Varun Patel, MD2, Walid Baddoura, MD1; 1St. Hospital Health Network, Bethlehem, PA; 3St. Luke’s University Hospital Joseph’s University Medical Center, Paterson, NJ; 2NYMC - St. Joseph’s Health Network, Fountain Hill, PA University Medical Center, Newark, NJ P0796. The Bouncing Bezoar Pressure Ulcer: Trapped in a Suture After P0809. Acquired Angioedema as Unusual Cause of Recurrent Pancreatectomy Abdominal Pain Samit K. Datta, MD1, Michael Schmalz, MD, FACG2; 1Aurora Sinai Medical Sumant Arora, MD, Barakat Aburajab Altamimi, MD, Avraham Levin, MD, Center, Milwaukee, WI; 2Medical College of Wisconsin, Milwaukee, WI MSc; University of Iowa Hospitals & Clinics, Iowa City, IA

P0810. A Rare Cause of Post-Menopausal Vaginal Bleeding: A Case of an P0823. Extensive Gastric Metaplasia Presenting as a Duodenal Mass Extra-Gastrointestinal Stromal Tumor (EGIST) Brian McAllister, MD1, Matthew Moyer, MD1, Dipti Karamchandani, MD2; Stephanie L. Gold, MD1, Ryan Notti, MD, PhD1, David Wan, MD2; 1New York 1Penn State Health Milton S. Hershey Medical Center, Hershey, PA; 2Penn Presbyterian Hospital, Weill Cornell Medical College, New York, NY; 2New State Health/Milton S. Hershey Medical Center, Hershey, PA York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY P0824. A Unique Case of Renal Carcinoma in a Patient Requiring P0811. Aortoenteric Fistulas: A Proposed Stepwise Diagnostic Approach in Teduglutide Therapy for Short Bowel Syndrome an Otherwise Ambiguous Clinical Situation Hafsa Abdulla, MD1, Syed-Mohammed Jafri, MD2; 1Henry Ford Health Bryce Perler, MD1, Samuel M. Miller, MD2, Malorie Simons, MD2, Gabrielle System, Detroit, MI; 2Henry Ford Hospital, Detroit, MI Mock, MD2, Sehrish Jamot, MD2, Abbas Rupawala, MD2; 1Warren Alpert Medical School of Brown University, Providence, RI; 2Brown University/ Rhode Island Hospital, Providence, RI STOMACH P0812. T-ALL Presenting With Acute Mesenteric Ischemia P0825. Changes of the Gastric Mucosal Glycosylation in H. pylori Infection Brandon Hood, Kadie Nausha, BSc, Hamza Abdulla, MD, Sreeram Parupudi, and Before/After H. pylori Eradication Using Lectin Microarray Analysis MD, FACP, FACG; University of Texas Medical Branch, Galveston, TX Tadayoshi Okimoto, MD, PhD, Ryo Ogawa, MD, Sotaro Ozaka, MD, P0813. Capsule Retention Caused by Jejunal Adenocarcinoma Osamu Matsunari, MD, PhD, Kensuke Fukuda, MD, Kazuhisa Okamoto, Brandon Hood1, Hamza Abdulla, MD1, Timothy Krill, MD2, Sreeram MD, Kazuhiro Mizukami, MD, PhD, Masaaki Kodama, MD, PhD, Kazunari Parupudi, MD, FACP, FACG1, Sheharyar Merwat, MD1, Laila Rashidi, MD1; Murakami, MD, PhD; Oita University, Yufu, Oita, Japan 1University of Texas Medical Branch, Galveston, TX; 2University of Texas P0826. Idiopathic Dumping Syndrome in Patients Presenting with Chronic Medical Branch, Sugar Land, TX Unexplained Nausea P0814. Acute Gastroenteritis Revealing Helicobacter Bacteremia: Patty T. Wang, MD, Kenneth L. Koch, MD; Wake Forest School of How Common Is This? Medicine, Winston-Salem, NC Mahak Chauhan, MD, Julie Nahar, MD, Yousaf Zafar, MD, Hani El-Halawany, P0827. A New Player in Gastric Cancer with Rising Incidence in Young MD; University of Missouri, Kansas City, MO Caucasian Women - A Cause for Worry P0815. A Rare Case of Symptomatic Gastric Heterotopia Causing Jejunal  ACG/Naomi Nakao Gender-Based Research Award Intussusception  Presidential Poster Award 1 1 2 Nasir Akhtar, DO1, Jessica McKee, DO2, David Talabiska, DO2; 1Geisinger Anas Raed, MD , Jigar Bhagatwala, MD, MPH , Muhammed Sherid, MD , 3 1 Medical Center, Selinsgrove, PA; 2Geisinger Medical Center, Danville, PA Amol Sharma, MD , Humberto Sifuentes, MD , Subbaramiah Sridhar, MBBS, MPH, FACG, MRCP1; 1Augusta University, Augusta, GA; 2Mercy P0816. Incidental Jejunal Anisakiasis in a Patient Presenting With Small Rockford Hospital, Rockford, IL; 3Augusta University Medical Center, Bowel Obstruction Augusta, GA Vishal Kaila, MD, David Rosenstein, MD; Texas Health Presbyterian, Dallas, TX P0828. The Incidence of Non-Variceal Upper Gastrointestinal Hemorrhage P0817. Bouveret Syndrome: An Unusual Case of Gastric Outlet Obstruction After Percutaneous Coronary Intervention Among Patients Without Acute Zunirah Ahmed, MD1, Bhavana Bhagya Rao, MD2, Michael Cline, DO2; 1UAB Myocardial Infarction Is Low: A National Analysis over 11 Months Montgomery, Montgomery, AL; 2Cleveland Clinic, Cleveland, OH Mohammad Bilal, MD1, Fawad Virk, MD1, Hussain Ibrahim, MD1, Shifa Umar, MD2, Monica Chowdhry, MD3, Marwan S. Abougergi, MD4, Praveen Guturu, P0818. An Unusual Case of Small Bowel Lymphangioma MD, FACG1; 1University of Texas Medical Branch, Galveston, TX; 2Allegheny Carlos Fernandez-Cruz, MD, Francisco Echevarria, MD, Ekie Vazquez, MD, Health Network, Pittsburgh, PA; 3West Virginia University, Charleston, Doris Toro, MD, Javier A. Cerra-Franco, MD; VA Caribbean Healthcare WV; 4South Carolina University School of Medicine, Simpsonville, SC System, San Juan, Puerto Rico P0829. Efficacy of Promotility Agents in Improving Gastric Emptying and P0819. Case of Cystic Fibrosis with Distal Intestinal Obstruction Syndrome Upper Gastrointestinal Symptoms: A Systematic Review and Meta-Analysis Mimicking Acute Appendicitis Priya Vijayvargiya, MD, Victor Chedid, MD, Patricia Erwin, MLS, M. Hassan Sushant Nanavati, MD, Hiren Patel, MD, Gabriel Melki, MD, Vinod Kumar, Murad, MD, Michael Camilleri, MD; Mayo Clinic, Rochester, MN MD, Patrick Michael, MD, Matthew Grossman, MD; St. Joseph’s University Medical Center, Paterson, NJ P0830. Evaluation of a New Latex Agglutination Immunoturbidimetry Kit, H. pylori-Latex ”SEIKEN”, for the Detection of Anti-H. pylori Antibody in P0820. A Hamartomatous Duodenal Polyp Caused by Intestinal the Blood Schistosomiasis: A Unique Case Masaaki Kodama, MD, PhD, Tadayoshi Okimoto, MD, PhD, Kazuhiro Adalberto Gonzalez, MD1, Sandra Rodriguez, MD2, Basil Shahin3, Vaibhav Mizukami, MD, PhD, Ryo Ogawa, MD, Kazuhisa Okamoto, MD, Kensuke Wadhwa, MD1, Pablo Bejarano, MD1, Roger Charles, MD1; 1Cleveland Clinic Fukuda, MD, Osamu Matsunari, MD, PhD, Kazunari Murakami, MD, PhD; Florida, Weston, FL; 2Cleveland Clinic Florida, Miami, FL; 3Ross University Oita University, Yufu, Oita, Japan School of Medicine, Portsmouth, Saint John, Dominica P0831. Influence of CYP2C19 Polymorphism on the Gut Microbiome in P0821. Gastrointestinal Amyloidosis Presenting as Hyponatremia Helicobacter pylori-Negative Healthy Individuals Receiving Vonoprazan Rachel Engelberg, MD1, Rachel Niec, MD, PhD1, David Wan, MD2; and Lansoprazole 1NewYork-Presbyterian Weill Cornell Medical Center, New York, NY; 2New Taketo Otsuka, MD1, Mitsushige Sugimoto, MD, PhD1, Ryo Inoue, MD, PhD2, York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY Masashi Ohno, MD, PhD3, Hiromitsu Ban, MD, PhD4, Atsushi Nishida, MD, P0822. Small Cell Lung Cancer With Life-Threatening Small Bowel PhD3, Osamu Inatomi, MD, PhD5, Yuji Naito, MD, PhD6, Akira Andoh, MD, Metastasis: A Case Report PhD5; 1Shiga University of Medical Science Hospital, Otsu-shi, Shiga, Aynur Rahman, MD1, Tyler Aasen, DO1, Dhara Chaudhari, MD1, Maria Japan; 2Kyoto Prefectural University, Laboratory of Animal Science, Zayko, MD2, Moka Nagaishwarya, MD2; 1East Tennessee State University, Kyoto, Japan; 3Shiga University of Medical Science, Otsu, Shiga, Japan; Quillen College of Medicine, Johnson City, TN; 2East Tennessee State 4Kusatsu General Hospital, Kusatsu, Shiga, Japan; 5Shiga University of University, Johnson City, TN Medical Science, Otsu-shi, Shiga, Japan; 6Kyoto Prefectural University of Medicine, Kyoto, Japan

86 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM POSTERS

P0832. Smooth Muscle Enzyme Levels and Response to Pyloric Botulinum P0841. Molecular Detection of Clarithromycin Resistance: Is It SUNDAY Injection in Patients With Gastroparesis Predictive of Treatment Success? Steven Stanek, MD1, Zachary Wilmer Reichenbach, MD, PhD1, Zubair Malik, Asantewaa Ture, BA1, Constantine Melitas, MD2, Michael Northcutt, MD2, Henry P. Parkman, MD1, Ron Schey, MD3; 1Temple University Hospital, MD3, Mohammad Qasim Khan, MD4, Amir C. Patel, MD5, Zachary L. Philadelphia, PA; 2Lewis Katz School of Medicine at Temple University, Smith, DO6, Obaid R. Ansari, BS3, Edessa David, BS7, Colleen Leonard, Philadelphia, PA; 3Lewis Katz School of Medicine at Temple University MPH3, Boris Jancan, CCRP3, Adam Vanderloo, BA3, MaryAnn Regner, Hospital, Philadelphia, PA MS3, Kathy A. Mangold, PhD3, Dena R. Shibib, DO8, Karen Kaul, MD, PhD3, Jay L. Goldstein, MD, FACG3; 1Rush University Medical College, P0833. Eradication Therapy for Helicobacter pylori Improves Nutrition Chicago, IL; 2Michigan State University College of Human Medicine/ Status Depended on Severity of Gastric Mucosal Atrophy and Plasma Providence-Providence Park Hospitals, Southfield, MI;3 NorthShore Ghrelin Level in Japanese Hemodialysis Patients University HealthSystem, Evanston, IL; 4University of Chicago, Mitsushige Sugimoto, MD, PhD1, Taketo Otsuka, MD1, Masaki Murata, MD2, NorthShore University Health System, Evanston, IL; 5Medical College of Hitomi Ichikawa, MD3, Shu Sahara, MD3, Akira Andoh, MD, PhD2; 1Shiga Wisconsin, Milwaukee, WI; 6Case Western Reserve University School of University of Medical Science Hospital, Otsu-shi, Shiga, Japan; 2Shiga Medicine, Cleveland, OH; 7Columbia University Mailman School of Public University of Medical Science, Otsu-shi, Shiga, Japan; 3First Department Health, New York, NY; 8The University of Oklahoma Health Sciences of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Center / Oklahoma City VA Health Care System, Oklahoma City, OK Shizuoka, Japan P0834. Clinical Predictors of Rapid Gastric Emptying in Patients Presenting with Dyspeptic Symptoms STOMACH Juan Gomez Cifuentes, MD, Mark Radetic, MD, Scott Gabbard, MD; Clinical Vignettes / Case Reports Cleveland Clinic, Cleveland, OH P0842. Syncope and Near Syncope: Broadening Our Differential P0835. Insurance Carrier and Local Healthcare Delivery Practices Are Alexander Pop, MD, Mary Ziccardi, MD, Maria Bandres, MD, Sohaib Independent Predictors of Mortality Among Hospitalized Patients With Basharat, MD; Albert Einstein Medical Center, Philadelphia, PA Gastric Cancer P0843. Delayed Gastric Outlet Obstruction From Ingestion of Coins Samanjit K. Kandola, MD1, Manoj P. Rai, MD1, Prabhjot S. Bedi, MD2, Febin John, MD1, Eric O. Then, MD2, Carmine Catalano, MD1, Prashanth Ikponmwosa Enofe, MD3, Divyesh R. Nemakayala, MD3, Heather Laird- Rawla, MD3, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Fick, MD1, Marwan S. Abougergi, MD4; 1Michigan State University, East Brooklyn, NY; 2SBH Health System, Bronx, NY; 3Memorial Hospital of Lansing, MI; 2University of Pittsburgh Medical Center East, Pittsburgh, PA; Martinsville and Henry County, Martinsville, VA 3Michigan State University, Lansing, MI; 4South Carolina University School of Medicine, Simpsonville, SC P0844. Ipilimumab and Nivolumab Induced Gastritis 1 2 P0836. A Disease-Focused Quality Improvement Process Is an Effective Palashkumar Jaiswal, MBBS , John Erikson Yap, MD , Bashar M. Attar, MD, PhD2, Satya Mishra, MD1; 1John H. Stroger, Jr. Hospital of Cook County, Tool for Improvement of Inter-Observer Reproducibility in HER2 2 Immunohistochemistry Scoring for Biopsies from Gastric and Esophageal Chicago, IL; Cook County Health and Hospitals System, Chicago, IL Adenocarcinomas P0845. Inflammatory Fibroid Polyp With Coexisting Cirrhosis Removed Ahmed Bedeir, MD1, Sahar Samaha, MD1, Amy Bedeir2, Anuradha With Endoscopic Submucosal Dissection Singhal, MD1, James Gulizia, MD, PhD1, Richard Lash, MD, FACG1; 1Inform Waseem Amjad, MD1, Faisal Inayat, MBBS2, Waqas Ullah, MD3, Fahad Diagnostics, Irving, TX; 2Arizona State University, Irving, TX Zafar, MBBS4, Ahmed Munir, MBBS5, Hanan T. Lodhi, MBBS6, Qulsoom 7 8 1 P0837. Prevalence and Demographic Associations of Delayed Gastric Hussain, MBBS , Zarak H. Khan, MBBS ; Northwell Health Long Island Jewish Forest Hills Hospital, Forest Hills, NY; 2Allama Iqbal Medical Emptying Scintigraphy While on Prescribed Opioid Medications: Is the 72- 3 hour Opioid Withholding Time Adequate? College, Lahore, Punjab, Pakistan; Abington Memorial Hospital, Abington, PA; 4King Edward Medical University, Lahore, Islamabad, Kimberly Harer, MD1, Jason Baker, PhD1, Lydia Watts, BS1, Louise Amat1, Pakistan; 5Services Institute of Medical Sciences, Lahore, Islamabad, Allen Lee, MD1, William Hasler, MD2; 1University of Michigan, Ann Arbor, Pakistan; 6University of Nebraska Medical Center, Omaha, NE; 7Shifa MI; 2University of Michigan Health System, Ann Arbor, MI College of Medicine, Islamabad, Brooklyn, NY; 8Shifa College of Medicine, P0838. Prevalence of Symptoms and Endoscopic Findings in Patients With Islamabad, Islamabad, Pakistan Rapid Gastric Emptying P0846. Signet Ring Cell Carcinoma of the Stomach Presenting With Mark Radetic, MD, Juan Gomez Cifuentes, MD, Scott Gabbard, MD; Painless Obstructive Jaundice: Do We Need to Think out of the Box? Cleveland Clinic, Cleveland, OH Faisal Inayat, MBBS1, Waseem Amjad, MD2, Qulsoom Hussain, MBBS3, P0839. The Global Incidence of Peptic Ulcer Disease at the Turn of the Fahad Zafar, MBBS4, Ali T. Khan, MBBS5, Hanan T. Lodhi, MBBS6, Ahmed 21st Century: A Study of the Organization for Economic Co-Operation and Munir, MBBS7, Waqas Ullah, MD8; 1Allama Iqbal Medical College, Lahore, Development (OECD) Punjab, Pakistan; 2Northwell Health Long Island Jewish Forest Hills Hassan Azhari, BS, MD1, James King, BA1, Fox Underwood, BSc, MSc1, Hospital, Forest Hills, NY; 3Shifa College of Medicine, Islamabad, Brooklyn, Stephanie Coward, BSc, MSc1, Shailja Shah, BS, MD2, Grace Ho, BS3, NY; 4King Edward Medical University, Lahore, Islamabad, Pakistan; 5Icahn Connie Chan, BS3, Siew Ng, MBBS, PhD3, Gilaad Kaplan, BSc, MS, MD1; School of Medicine at Mount Sinai, New York, NY; 6University of Nebraska 1University of Calgary, Calgary, AB, Canada; 2Vanderbilt University, Medical Center, Omaha, NE; 7Services Institute of Medical Sciences, Nashville, TN; 3Chinese University of Hong Kong, Hong Kong, Hong Kong Lahore, Islamabad, Pakistan; 8Abington Memorial Hospital, Abington, PA P0840. The Global Incidence of Peptic Ulcer Disease and Its Complications P0847. A Case of Type I Gastric Neuroendocrine Tumor Found on at the Turn of the 21st Century: A Systematic Review Endoscopic Polypectomy Hassan Azhari, BS, MD1, Fox Underwood, BSc, MSc1, James King, BA1, Hector Gonzalez, MD1, George Yazji, MD2, Mary Acosta1, Matthew Q. Stephanie Coward, BSc, MSc1, Shailja Shah, BS, MD2, Connie Chan, BS3, Bromer, DO3; 1Florida Atlantic University, Charles E. Schmidt College Grace Ho, BS3, Siew Ng, MBBS, PhD3, Gilaad Kaplan, BSc, MS, MD1; of Medicine, Boca Raton, FL; 2St. George’s University, Jacksonville, FL; 1University of Calgary, Calgary, AB, Canada; 2Vanderbilt University, 3South Florida Gastroenterology Associates, Boynton Beach, FL Nashville, TN; 3Chinese University of Hong Kong, Hong Kong, Hong Kong

P0848. Rare Case of Olmesartan-Induced Collagenous Gastritis P0860. Retroperitoneal Teratoma and Ganglioneuroma: A Rare Tumor in a Samir Shah1, Brian Plasil, MD2, Nimesh Khatri, MD2; 1MedStar Shah Medical Woman With Gastric Outlet Obstruction Group, Mechanicsville, MD; 2MedStar Shah Medical Group, Hollywood, MD Tatiana Teslova, MD, Sameer Siddique, MD; Albert Einstein Medical Center, Philadelphia, PA P0849. Abdominal Pain in Celiac Disease Unmasking Enteropathy-Type T-Cell Lymphoma P0861. Liver in the Stomach! A Rare Case of Perforated Gastric Ulcer Vincent M. Pronesti, DO1, Pamela Kim, MD1, Kanika Goel, MD2, Marcia Sealed off by the Liver Mitre, MD1; 1Allegheny Health Network, Pittsburgh, PA; 2Allegheny General Mohammad K. Choudhry, MD, Yevgeniy Mikityanskiy, DO, Christopher Hospital, Allegheny Health Network, Pittsburgh, PA Chum, DO, Michael Bernstein, MD; Coney Island Hospital, Brooklyn, NY P0850. Total vs Partial Gastrectomy in Gastric Cancer: A Comparison of P0862. An Unexpected Cause of Dyspepsia and Ascites Quality of Life and Clinical Outcomes in 2 Patients Isaac Jaben, MS, MD, Akshay Shetty, MD; Medical University of South Sameer Prakash, DO1, Shayan Siddiqui, MD1, Chandralekha Ashangari, Carolina, Charleston, SC MD1, Edward Trevino, MD2, Juan Garrido, MD1, Shujath Khan, MD2; 1Texas Tech University Health Sciences Center, Amarillo, TX; 2Amarillo Veterans P0863. Chronic Urticaria Associated with Helicobacter pylori Rajesh Essrani, MD1, Matthew J. Sullivan, DO2, Hiral Shah, MD, FACG2; Affairs Health Care System, Amarillo, TX 1Lehigh Valley Health Network, Danville, PA; 2Lehigh Valley Health P0851. I Have Never Seen a Gastrointestinal Disease Presenting With Heart Network, Allentown, PA Failure Symptoms, Have You? Omar Abughanimeh, MD1, Laith Numan, MD1, Laith Al momani, MD2, P0864. The Tip of the Iceberg: A Case of Treated Penile Melanoma With Yousaf Zafar, MD1, Mouhanna K. Abu Ghanimeh, MD3; 1University of Gastric Recurrence Abdalla Mohamed, MD1, Varun Patel, MD2, Hadir Mohamed, MD3, Ashima Missouri, Kansas City, MO; 2East Tennessee State University, Johnson City, Kapoor, MD4, Jewook Ha, MD, MPH1, Walid Baddoura, MD1; 1St. Joseph’s TN; 3Henry Ford Hospital, Detroit, MI University Medical Center, Paterson, NJ; 2NYMC - St. Joseph’s University P0852. Extensive Mucor-Associated Necrosis in a Patient Post-Cardiac Medical Center, Newark, NJ; 3St. Joseph’s Regional Medical Center, Franklin Transplant Lakes, NJ; 4Saint Joseph’s University Medical Center, Bloomfield, NJ Adam S. Faye, MD, Anne Onishi, MD, Katherine Fischkoff, MD, Charles Marboe, MD, Ivonne Ramirez, MD, Richard Rosenberg, MD; Columbia P0865. What Is the Role of Upper Endoscopy in Patients With Gastric University Medical Center, New York, NY Pneumatosis? Abdalla Mohamed, MD1, Yana Cavanagh, MD2, Siva Prasad Maruboyina, P0853. A Rare Case of Disseminated, Helicobacter pylori Negative, Gastric MD3, Walid Baddoura, MD1; 1St. Joseph’s University Medical Center, MALT Lymphoma Paterson, NJ; 2St. Joseph’s University Medical Center, Paterson, NJ; Kantor Micaella, MD1, Monica L. Multani, DO2, Nimal Patel, DO2, Javier 3NYMC-Saint Michael’s Medical Center, Newark, NJ Sobrado, MD2, Christina Marin, MD3; 1Kendall Regional Hospital, Kendall, FL; 2Larkin Community Hospital, Miami, FL; 3Kendall Regional Hospital, P0866. Signet Ring Cell Carcinoma Masquerading as Severe Peptic Miami, FL Ulcer Disease Dustin Kilpatrick, DO1, Gerald Mank, MD1, Matthew Mishoe, DO2, Allison P0854. An Unusual Presentation of HCV-Associated Gastric MALT Jones, DO3; 1Carolinas HealthCare System Blue Ridge, Morganton, NC; Lymphoma 2CHS Blue Ridge, Morganton, NC; 3CHS Blue Ridge Internal Medicine, Samuel Burton, MD, Sandeep Tummala, MD, Charlene Prather, MD; St. Morganton, NC Louis University, St. Louis, MO P0867. Emphysematous Gastritis After Endoscopy: A Case Report P0855. Strongyloides Infection Masquerading as Gastric Malignancy Rohit Agrawal, MBBS1, Neethi Paranji, MD2, Efesomwan Aisien1, Oscar A. Nisha Koya, DO1, Yevgeniy Mikityanskiy, DO1, Vera Platsky, MD2, Chunghun Rivas Chicas, MD3, Bashar M. Attar, MD, PhD3, Muhammad Majeed, MBBS, Chang, MD1, John W. Trillo, MD3; 1Coney Island Hospital, Brooklyn, NY; MD1, Anthonia Ijeli, MD3; 1John H. Stroger, Jr. Hospital of Cook County, 2Coney Island Hospital, Brooklyn, NY; 3Coney island Hospital, Brooklyn, NY Chicago, IL; 2John H Stroger Hospital of Cook County, Chicago, IL; 3Cook County Health and Hospitals System, Chicago, IL P0856. Orbital Swelling as the Presenting Symptom of Gastric Adenocarcinoma P0868. The Enemy Strikes Back…. Gist a Thought Provoking Case Andrew Herman, MD1, Jigar M. Patel, MD1, Reena V. Chokshi, MD2; Shalaka Akolkar, DO, Constantine Melitas, MD, Jalpa Patel, MD, Marc 1University of Texas Health Science Center at Houston / McGovern Piper, MD, MSc; Providence-Providence Park Hospital, Southfield, MI Medical School, Houston, TX; 2UT Health - McGovern Medical School, Houston, TX P0869. Concomitant Gastric Metastases From Renal Cell Carcinoma Presenting as a Solitary Polyp: A Case Report P0857. The Crystal Ulcer: Sevelamer-Induced Gastric Mucosal Injury Mahak Chauhan, MD, Samuel Schowengerdt, MD, Osama Yousef, MD, Samit K. Datta, MD1, Miguel Lalama, MD2, Nalini M. Guda, MD, FACG3; Stuart Chen, MD, PhD; University of Missouri, Kansas City, MO 1Aurora Sinai Medical Center, Milwaukee, WI; 2GI Associates, Milwaukee, WI; 3University of Wisconsin, Milwaukee, WI P0870. Secondary Gastrointestinal Melanoma of Unclear Origin Leon D. Averbukh, DO1, Marianna G. Mavilia, DO2, Woo Cheal Cho, MD3; P0858. Stroke Associated With Gastric Cancer 1University of Connecticut Health Center, Hartford, CT; 2University of Nurlan Aliyev, Stephen J. Kwak, MD, Rachel Aliyev, Umair Iqbal, MD; Connecticut Health Center, Farmington, CT; 3Hartford Hospital, Hartford, CT Bassett Medical Center, Cooperstown, NY P0871. Gastritis Cystica Polyposa: A Rare Case of Abdominal Pain and Satiety P0859. A Case of a Non-Cancerous, Ulcerated Gastric Mass: Gastric Nathan S. Ramrakhiani1, Sophia A. Shetler2, Charles Lombard, MD3, Amyloidosis Causing Coffee Ground Emesis George Triadafilopoulos, MD, FACG4; 1Palo Alto High School, Palo Alto, Thuy-Van P. Hang, MD1, Kavitha Nair, MD1, Drew Davis, MD2, Nikrad CA; 2Saratoga High School, Saratoga, CA; 3El Camino Hospital, Mountain Shahnavaz, MD1; 1Emory University, Atlanta, GA; 2Emory University School View, CA; 4Stanford University School of Medicine, Stanford, CA of Medicine, Atlanta, GA

88 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P0872. Choroidal Melanoma Metastases to the Stomach and Duodenum MONDAY, OCTOBER 8, 2018 Vishal Kaila, MD1, Donna J. Lager, MD2, Rajeev Jain, MD, FACP3; 1Texas Health Presbyterian, Dallas, TX; 2ProPath, Dallas, TX; 3Texas Digestive Disease Consultants, Dallas, TX BILIARY / PANCREAS P0873. Dose-Dependent Response to Octreotide in Ménétrier’s Disease Babak Torabi Sagvand, MD1, Afrin Kamal, MD2, Pooja Lal, MD1, John J. P0882. Accuracy of Brush Cytology in Pancreatic Duct Strictures: Vargo, MD3; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland A Systematic Review and Meta-Analysis Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Itegbemie Obaitan, MD, Umar Hayat, MD, Guru Trikudanathan, MD; Foundation, Cleveland, OH University of Minnesota, Minneapolis, MN P0874. Advanced Biventricular Heart Failure Leading to the Formation of a P0883. To Assess Resident’s Knowledge and Give Recommendations Gastric Bezoar: The Implications of Heart Failure on the Gastrointestinal Tract Regarding Early Management of Acute Pancreatitis in a Community- Daria S. Yunina, MD1, Dikshya Sharma, MBBS1, Richard M. Fazio, MD2, Based Hospital

1 2 3 1 POSTERS Hossam Amin, MD1, Yuriy Tsirlin, MD, FACG1, Rabin Rahmani, MD, Asif Mehmood, MD , Waqas Ullah, MD , Daniel Ringold, MD ; Abington MONDAY 2 FACG1, Vijay Shetty, MD3; 1Maimonides Medical Center, Brooklyn, NY; Memorial Hospital, Horsham, PA; Abington Memorial Hospital, 3 2Maimonides Medical Center, Broooklyn, NY; 3SUNY Downstate School of Abington, PA; Abington Jefferson Health, Abington, PA Medicine, Brooklyn, NY P0884. Partially Covered versus Uncovered Self-Expandable Metal P0875. A Rare Case of High-Grade Dysplasia in Sporadic Fundic Gland Polyps Stents in the Palliative Treatment of Malignant Distal Biliary Obstruction Eric Ballecer, MD1, Ramya Muddasani, DO2, Jacqueline Forman, MD1, Kyo-Sang Yoo, MD, PhD, Jae Gon Lee, MD, Chang Soo Eun, MD, PhD, Rakesh Shah, MD1, Bebu Ram, MD1, Barbara Arendash, MD2, James H. Ho Soon Choi, MD, PhD; Hanyang University Guri Hospital, Guri, Grendell, MD1; 1NYU Winthrop Hospital, Mineola, NY; 2NYU Winthrop Kyonggi-do, Republic of Korea University Hospital, Mineola, NY P0885. Survival Trends for Resectable Pancreatic Cancer Using a P0876. As the Stomach Turns: A Case of Chronic Gastric Volvulus Multidisciplinary Conference Zachary Junga, MD1, Jonathan Francis, MD2, Patrick E. Young, MD, FACG2; Aslam Syed, MD, Mrinal Garg, MD, Ghita Moussaide, MD, Annika Dhawan, 1Walter Reed National Military Medical Center, Silver Spring, MD; 2Walter Shyam Thakkar, MD; Allegheny Health Network, Pittsburgh, PA Reed National Military Medical Center, Bethesda, MD P0886. Small Intestinal Bacterial Overgrowth in Chronic Pancreatitis: A P0877. Back Pain Masquerading as Metastatic Gastric Signet Ring Cell Systematic Review and Meta-Analysis Adenocarcinoma Bara El Kurdi, MD, Laith Al momani, MD, Mahmoud El Iskandarani, MD, Bobby M. Jacob, MD1, Beenish Faheem, MD2, Charudatta Wankhade, MD2, Mark Young, MD; East Tennessee State University, Johnson City, TN 2 1 2 Pranay Srivastava, MD , Shino Prasandhan, MD , Ian Cohen, MD , Nausheer P0887. Endocrinopathy in Pancreatic Cancer Is Characterized by Reduced 1 1 A. Khan, MD ; Nassau University Medical Center, East Meadow, NY; Islet Size and Density with Preserved Endocrine Composition as Compared 2 NUMC, East Meadow, NY to Type 2 Diabetes P0878. Gastric Kaposi Sarcoma Discovered in a Immunocompromised  Presidential Poster Award Renal Transplant Patient Sajan Jiv Singh Nagpal, MD, Harika Kandlakunta, MBBS, Ayush Sharma, Faizan Khan, MD1, Jason Puckett, MD2; 1Michigan State University - Mercy MBBS, Shilpa Sannapaneni, MD, Pruthvi Velamala, MD, Shounak Health Grand Rapids, Grand Rapids, MI; 2Grand River Gastroenterology, Majumder, MD, Aleksey Matveyenko, PhD, Suresh T. Chari, MD; Mayo Grand Rapids, MI Clinic, Rochester, MN P0879. Cardiac Tamponade as a Complication of Hiatal Hernia P0888. Solid Pseudopapillary Tumor of the Pancreas: A Large Population- Ashwini Arvind, MBBS, BA1, Rachel Niec, MD, PhD2, Kaveh Hajifathalian, Based Study Using the SEER Database 1 2 MD, MPH3, David Wan, MD3; 1Imperial College of London, London, Sajan Jiv Singh Nagpal, MD , Dhruvika Mukhija, MD , Harika Kandlakunta, 1 1 1 1 England, United Kingdom; 2NewYork-Presbyterian Weill Cornell Medical MBBS , Ayush Sharma, MBBS , Shounak Majumder, MD ; Mayo Clinic, 2 Center, New York, NY; 3New York-Presbyterian Hospital/Weill Cornell Rochester, MN; Cleveland Clinic, Cleveland, OH Medical College, New York, NY P0889. Drug-Induced Acute Pancreatitis - An Update P0880. Advanced Gastric Adenocarcinoma During Pregnancy: A Treatment Mohamed A. Elkhouly, MD1, Miguel Salazar, MD1, C. Roberto Simons- and Nutritional Conundrum Linares, MD2; 1Cook County Health and Hospitals System, Chicago, IL; 2 Pratima Dibba, MD, MBA1, Meera Rana, MD2, Christy Dibble, DO1, Mariam Digestive Disease Institute/Cleveland Clinic, Cleveland, OH 1 1 1 1 Fayek, MD , Autumn Hines, DO , Nnenna Okpara, MD ; Brown University/ P0890. Comorbidity Burden in Active Pancreatic Cyst 2 Women & Infants Hospital, Providence, RI; Wake Forest Baptist Medical Surveillance Population Center, Winston-Salem, NC Ankit Chhoda, MBBS1, Muhammad Nadeem Yousaf, MD2, Kamraan P0881. A Gastric Ulcer Perforation Presenting as ST Elevation Myocardial Madhani, MD3, Aslanian Harry, MD4, Priya Jamidar, MD4, Thiruvengadam Infarction Muniraj, MD, PhD4, Ronald R. Salem, MBChB5, Alejandro L. Suarez, MD5, 5 1 Lynda Hoang, DO, MPH1, Mordecai Solomon, DO1, Brian Carlson, MD2; James J. Farrell, MBChB ; Yale Waterbury Internal Medicine Program, 2 3 1Valley Hospital Medical Center, Las Vegas, NV; 2Digestive Associates, Waterbury, CT; MedStar Union Memorial Hospital, Baltimore, MD; Yale 4 Las Vegas, NV University School of Medicine, Waterbury, CT; Yale University School of Medicine, New Haven, CT; 5Yale New Haven Hospital, New Haven, CT

P0891. Clinical Predictors of High Healthcare Utilization Among Patients P0900. Nationwide Trends of Post ERCP Pancreatitis: Analysis of More With Acute Cholangitis: Analysis From the National Readmission Database Than Half a Million ERCP Procedures Shashank Sarvepalli, MD1, Malav P. Parikh, MD2, Niyati M. Gupta, MD1, Ali Abbas, MD1, Sajiv Sethi, MD1, Gitanjali Vidyarthi, MD2, Pushpak Taunk, Komal Thind, MD3, George Khoudari, MD1, Rocio Lopez, MS4, Prasanthi MD1; 1University of South Florida, Tampa, FL; 2James A. Haley Veterans’ N. Thota, MD5, Arthur McCullough, MD1, Madhusudhan R. Sanaka, MD5; Hospital, Tampa, FL 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Cleveland Clinic, Akron General, Akron, OH; 4Lerner Research P0901. Clinical Outcomes and Predictors of Severity of Post-ERCP Institute/Cleveland Clinic Foundation, Cleveland, OH; 5Cleveland Clinic Pancreatitis - A Nationwide Analysis Ali Abbas, MD1, Sajiv Sethi, MD1, Gitanjali Vidyarthi, MD2, Pushpak Taunk, Digestive Disease Institute, Cleveland, OH MD1; 1University of South Florida, Tampa, FL; 2James A. Haley Veterans’ P0892. Clinical Implications and Cost Effectiveness of Index Admission Hospital, Tampa, FL Cholecystectomy in Acute Biliary Pancreatitis;: A Study in a Inner City Minority Populations P0902. The Diagnostic and Prognostic Value of Hyponatremia in Tagore Sunkara, MD1, Christopher Brana, MD2, Prashanth Rawla, MD3, Acute Pancreatitis Yazan Abu Omar, MD1, Neethi Paranji, MD2, Anthonia Ijeli, MD1, Rohit Andrew Ofosu, MD, MPH4, Eric O. Then, MD2, Sriharsha Dadana, MD2, Tina Agrawal, MBBS3, V. V. Pavan Kedar Mukthinuthalapati, MBBS 3, Saqib Wexler, MD2, Sabrina Brana, MD2, Andrea Culliford, MD2, Vinaya Gaduputi, Shami, MD4, Muhammad Majeed, MBBS, MD3, Yuchen Wang, MD3, Melchor MD2; 1The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Demetria, MD3; 1Cook County Health and Hospitals System, Chicago, IL; Hospital, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3Memorial 2John H Stroger Hospital of Cook County, Chicago, IL; 3John H. Stroger, Hospital of Martinsville and Henry County, Martinsville, VA; 4The Brooklyn Jr. Hospital of Cook County, Chicago, IL; 4John H. Stroger, Jr. Hospital of Hospital Center, Brooklyn, NY Cook County, Chicago, IL P0893. A Population-Based Cohort Study of National Trends in Hospital Admissions for Alcohol and Non-Alcohol-Related Acute Pancreatitis Over P0903. When to Consider an Increase in Cyst Size in Patients With an 8-Year Span Pancreatic Cystic Neoplasms? Sonmoon Mohapatra, MD1, Ayush Sharma, MBBS2, Saurabh Mukewar, MD3, Monica Saumoy, MD, MS1, Russell Rosenblatt, MD2, Shawn Shah, MD2, Suresh T. Chari, MD2; 1St. Peter’s University Hospital, New Brunswick, NJ; Aleksey Novikov, MD3, Kaveh Hajifathalian, MD4, David L. Carr-Locke, MD, 2Mayo Clinic, Rochester, MN; 3Weill Cornell Medical Center, New York, NY FACG5, Reem Z. Sharaiha, MD, MSc6; 1New York Presbyterian Hospital, New York, NY; 2NewYork-Presbyterian Weill Cornell Medical Center, P0904. Endoscopic Ultrasound as a Useful Tool for Benign Common Bile New York, NY; 3NewYork-Presbyterian Weill Cornell Medical Center, Duct Dilation in Chronic Opiate Users Philadelphia, PA; 4New York Presbyterian, New York, NY; 5Weill Cornell Faizan Khan, MD1, J. Bradley Morrow, MD2, Umair Azimi, MD1, Juri Medical College & New York Presbyterian Hospital, New York, NY; 6New Bassuner, MD1; 1Michigan State University - Mercy Health Grand Rapids, York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY Grand Rapids, MI; 2Grand River Gastroenterology, Grand Rapids, MI P0894. Expedited Inpatient Work-Up for Suspected Non-Metastatic P0905. Predictive Value of Acute Pancreatitis Diagnosis Code in Diabetic Pancreatic Cancer Is Associated With Greater Resource Utilization but Patients Is Similar to Non-Diabetic Patients Questionable Clinical Benefit Jacob S. Lipkin, MD, Georgios Papachristou, MD, PhD, Melissa Saul, Robert Schenck, MD, Ajay Singhvi, MD, Rajesh Keswani, MD, MS; Feinberg MS, Dhiraj Yadav, MD, MPH; University of Pittsburgh Medical Center, School of Medicine, Northwestern University, Chicago, IL Pittsburgh, PA P0895. The Surveillance Patterns of Incidentally Detected Pancreatic Cysts P0906. Early Aggressive Fluid Resuscitation in Acute Pancreatitis: Room Vary Widely and Infrequently Adhere to Guidelines for Debate? Robert Schenck, MD, Frank Miller, MD, Rajesh Keswani, MD, MS; Feinberg Zain A. Sobani, MD1, Kevin Tin, MD2, Behtash Saeidi, MD, MPH3, Daria School of Medicine, Northwestern University, Chicago, IL S. Yunina, MD2, Nitin Sabharwal, MBBS2, Kaveh Zivari, MD2, Mary Rojas, 2 2 2 2 P0896. Admission Lymphocyte to Monocyte Ratio Is Predictive of MD , Melvyn L. Hecht, MD , Eitan Dickman, MD , Joel Horovitz, MD , Ira E. Mayer, MD, FACG2, Prasun Shah, MD2, Negar Niknam, MD2, Michael Persistent Organ Failure, Pancreatic Necrosis, Longer Intensive Care and 2 2 2 In-Hospital Mortality in an Asian-Chinese Population of Acute Pancreatitis G. Kantrowitz, DO , Jonathan Weinberger, MD , Richard M. Fazio, MD , Daniel J. Waintraub, MD2, Rabin Rahmani, MD, FACG2, Scott Tenner, MD,  Presidential Poster Award MPH, JD4; 1University of New Mexico, Albuquerque, NM; 2Maimonides Yushun Zhang, PhD; Union Hospital, Wuhan, Hubei, People’s Republic Medical Center, Brooklyn, NY; 3Maimonides Meidcal Center, Brooklyn, NY; of China 4State University of New York, Brooklyn, NY P0897. Analgesia and Discharge Decisions in Acute Pancreatitis: Does Pain Lead to Readmission? P0907. Rising Incidence of Solid Organ Tumors Metastasizing to Sameer K. Berry, MD, MBA1, Daniel Lew, MD2, Catherine Bresee, MS1, the Pancreas Mahmoud Mahfouz, MD1, Paul Sojo, DO2, Asaad Trabolsi, MD1, Manuel Stephen J. Pandol, MD2; 1Cedars-Sinai, Los Angeles, CA; 2Cedars-Sinai Berzosa, MD1; 1Mount Sinai Medical Center, Miami Beach, FL; 2Mount Sinai Medical Center, Los Angeles, CA Medical Center, Davie, FL P0898. Training Level (July Effect) and the Risk of Post-ERCP Pancreatitis: A Nationwide Analysis of More Than Half a Million ERCP Procedures P0908. Trends and Risk Factors for 30-Day Readmissions in Patients With Ali Abbas, MD1, Sajiv Sethi, MD1, Gitanjali Vidyarthi, MD2, Pushpak Taunk, Acute Cholangitis: Analysis From the National Readmission Database  Presidential Poster Award MD1; 1University of South Florida, Tampa, FL; 2James A. Haley Veterans’ Malav P. Parikh, MD1, Shashank Sarvepalli, MD2, Niyati M. Gupta, MD2, Hospital, Tampa, FL Rocio Lopez, MS3, Amit Bhatt, MD4, Prabhleen Chahal, MD, FACG4, Sunguk P0899. Predictors of Post ERCP Pancreatitis: Analysis of More Than Half a Jang, MD2, Tyler Stevens, MD2, John J. Vargo, MD4, Prasanthi N. Thota, Million ERCPs Performed Nationwide Over the Last 15 Years MD5, Arthur McCullough, MD2, Madhusudhan R. Sanaka, MD5; 1Cleveland Ali Abbas, MD1, Sajiv Sethi, MD1, Gitanjali Vidyarthi, MD2, Pushpak Taunk, Clinic, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH; MD1; 1University of South Florida, Tampa, FL; 2James A. Haley Veterans’ 3Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; Hospital, Tampa, FL 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 5Cleveland Clinic Digestive Disease Institute, Cleveland, OH

90 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P0909. Early Aggressive Hydration Is Associated with Less Narcotic Use in P0918. Hepatic Artery Pseudoaneurysm Following Percutaneous Mild Acute Pancreatitis Transhepatic Cholangiography: An Extremely Rare Complication Shreyans Doshi, MD1, Hong Liang, PhD2, Hale Toklu, PhD3, Sue-Wei Luu, Pratyusha Tirumanisetty, MBBS, Mahesh Krishnamurthy, MD; Unity MD2, Charles A. Sninsky, MD4; 1UCF COM /HCA Consortium, Gainesville, Hospital, Greece, NY FL; 2UCF COM/HCA Consortium, Gainesville, FL; 3UCF COM/HCA GME Consortium, Gainesville, FL; 4DIgestive Disease Associates, Gainesville, FL P0919. When the Sound Surmounts the Magnet: Pancreatic Cancer Imaging Harishankar Gopakumar, MD, Jayakrishnan Krishnakurup, MD, Christina P0910. Association of Early Aggressive Hydration with Reduced All Cause Zelt, MSN, Neil Sharma, MD; Parkview Health, Fort Wayne, IN Readmission in Patients with Mild Acute Pancreatitis Shreyans Doshi, MD1, Hong Liang, PhD2, Hale Toklu, PhD2, Sue-Wei Luu, P0920. Management of Refractory Biliary Leak Using Spyglass MD2, Charles A. Sninsky, MD3; 1UCF COM /HCA Consortium, Gainesville, Cholangioscopy for Better Localization and Grading of Bile Duct Injury Ibrahim Abubakar, MD1, Moustafa Massoud, MD2, Suril Patel, MD1, FL; 2UCF COM/HCA Consortium, Gainesville, FL; 3DIgestive Disease George Philips, MD1; 1University of Tennessee College of Medicine, Associates, Gainesville, FL Chattanooga, TN; 2UT, Birmingham, AL POSTERS P0911. EUS-Guided Cyst Wall Biopsy Is Highly Effective in Definitive MONDAY Diagnosis of Pancreatic Cysts P0921. Autoimmune Hepatitis/Primary Sclerosing Cholangitis/ Valery Hrad, MD1, Ross Meidinger, MD2, Hong Qi Peng, MD3, Kenneth Ulcerative Colitis Overlap Syndrome in a Young Male Yiu-Ting Chiu, MD; LSU Health, Shreveport, LA Youens, MD3, Paul Lappinga, MD4, Navin Paul, MD3; 1University of North Dakota School of Medicine, Fargo, ND; 2Sanford Medical Center and P0922. Large Peri-Renal Fluid Collection Involving Gerota’s Fascia After University of North Dakota, Fargo, ND; 3Sanford Medical Center, Fargo, Acute Pancreatitis ND; 4Sanford Medical Center, Bemidji, MN Ahmad Nakshabandi, MD1, Rohan Mandaliya, MD2, James Lewis, MD, 3 3 1 P0912. Quality of Life Measures in Pancreas Divisum FACP, FACG , Mitesh Patel, MD ; Mercy Hospital and Medical Center, Chicago, IL; 2Georgetown University Hospital, Washington, DC; Jonathan Reichstein, MD1, Kara Raphael, MD2, Vaishali Patel, MD, MHS3, 3MedStar Georgetown University Hospital, Washington, DC Parit Mekaroonkamol, MD4, Steve Keilin, MD5, Qiang Cai, MD, PhD5, Field Willingham, MD, MPH4; 1Duke University, Durham, NC; 2Zucker School of P0923. Hyperplasia of Distal Common Bile Duct Epithelium Manifesting as Medicine at Hofstra/Northwell, New Hyde Park, NY; 3Emory University Benign Biliary Stricture Hospital, Atlanta, GA; 4Emory University School of Medicine, Atlanta, GA; Jaesin Lee, MD, Jae Hyuck Chang, MD, PhD; Catholic University, Bucheon 5Emory University, Atlanta, GA St. Mary’s Hospital, Bucheon, Kyonggi-do, Republic of Korea P0913. Cystic Fibrosis Variants and Pancreatitis P0924. A Familial Cause of a Familiar Disease: Two Concurrent Cases of Gordon Robbins, MD1, Christopher M. Haydek, MD2, Seth Walker, MD1, Hypertriglyceride Pancreatitis in a Sibling Pair Field Willingham, MD, MPH1; 1Emory University School of Medicine, Koosh Desai, MD, Parth Jamindar, MD, William Davis, MD; Augusta Atlanta, GA; 2Emory University, Atlanta, GA University, Augusta, GA P0914. Outcomes of Precut Sphincterotomy Techniques in Cases of P0925. Mixed Adeno-Neuroendocrine Carcinoma of the Gastroenteropancreatic Difficult Biliary Access Tract: A Case Report and a Pertinent Review of the Literature Jared Rejeski, MD1, Cambridge Hines, MD1, Kristina Barsten, MD1, Jason Jojo Yorke, MD, Moka Nagaishwarya, MD, Kalpit Devani, MD; East D. Jones, MD1, Jason Conway, MD1, Girish Mishra, MD1, Jerry Evans, MD2, Tennessee State University, Johnson City, TN Rishi Pawa, MBBS1; 1Wake Forest School of Medicine, Winston-Salem, NC; 2Ochsner Health System, Kenner, LA P0926. Cushing’s Syndrome Secondary to Pancreatic Carcinoid Tumor Maham Hayat, MD1, Usman Bhatti, MD2, Muhammad Hashim Hayat, P0915. Decision Tree Analysis of Pancreatic Cyst Fluid Data for the MBBS3, Madiha Bhatti, MBBS4; 1University of Oklahoma Health Sciences Detection of Mucinous Cysts Center, Oklahoma City, OK; 2OUHSC, Oklahoma City, OK; 3Services Bijun S. Kannadath, MBBS, MS1, Putao Cen, MD2, Julie Rowe, MD2, Curtis Institute of Medical Sciences, Lahore, Punjab, Pakistan; 4Sheikh Zayed Wray, MD2, John Bynon, MD2, Erik F. Rahimi, MD2, R. Tomas Davee, MD2, Medical College, Lahore, Punjab, Pakistan Nirav Thosani, MD3; 1University of Arizona College of Medicine, Phoenix, AZ; 2University of Texas Health Science Center at Houston, Houston, P0927. Pancreatic Solid Pseudopapillary Tumor Presenting With Elevated TX; 3University of Texas Health Science Center at Houston / McGovern DHEA and Testosterone 1 2 2 Medical School, Houston, TX Elias G. Estifan, MD , Yana Cavanagh, MD , Matthew Grossman, MD , Ashima Kapoor, MD2; 1St. Jospeh’s University Medical Center, Paterson, NJ; 2St. Joseph’s University Medical Center, Paterson, NJ BILIARY / PANCREAS P0928. Monolobar Caroli’s Disease Treated With Left Lobectomy Clinical Vignettes / Case Reports Eric M. Montminy, MD1, Shanti G. Rao, MD1, Nabil D. Baddour, MD1, Christopher Hoddnette, MD1, James Caridi, MD2, Luis A. Balart, MD, P0916. Pancreatic Insulinoma in a Child: Report of a Rare Case 2 1 2 Zaheer A. Qureshi, MBBS, MD1, Sherry Reyes, MD2, Sri Lekha Bodepudi, MACG ; Tulane University School of Medicine, New Orleans, LA; Tulane MBBS3, Stacey E. Thomas, MD, MBA4, Sharmi Biswas, MBBS5, Faryal Altaf, University Medical Center, New Orleans, LA MBBS6; 1University of Health Sciences, Rego Park, NY; 2N/A, Lynbrook, P0929. When Focal Pancreatitis Bounces From the Head to the Tail NY; 3Dr. P.S.I. of Medical Sciences and Research Foundation, Jacksonville, Andres Rabell-Bernal, MD, Rodolfo Estremera-Marcial, MD, Hendrick FL; 4Mayo Clinic, Scottsdale, AZ; 5MAG Osmani Medical College, Sylehet, Pagan-Torres, MD, Carlos Fernandez-Cruz, MD, Javier A. Cerra-Franco, Bangladesh, Edmonton, AB, Canada; 6Multan Institute of Kidney Diseases, MD, Doris Toro, MD, Jaime Martinez-Souss, MD, Jose Martin-Ortiz, MD, Lahore, Punjab, Pakistan Eduardo Acosta-Pumarejo, MD; VA Caribbean Healthcare System, San P0917. Pancreatoscopy in Undiagnosed Pancreatic Disease Juan, Puerto Rico Travis Magdaleno, DO, Shashin Shah, MD, Hiral Shah, MD, FACG; Lehigh P0930. Low Bone Mineral Density Presenting as Bone Pain Due to Gilbert’s Valley Health Network, Allentown, PA Syndrome Mary Lan, MD, MPH, Jefferson Roberts, MD, Pedro Manibusan, DO, MBA; Tripler Army Medical Center, Honolulu, HI

P0931. Bouncing Off the Balloon: A New Trick for Selective Cystic Duct P0943. Acute Recurrent Pancreatitis in Association with Cannulation Gallbladder Agenesis Rishabh Gulati, MD1, Sergio A. Sánchez-Luna, MD1, Swathi Paleti, MD1, Sean Winkle, BS1, Monica L. Multani, DO2, Amir Riaz, MS43, Jamie L. Tarun Rustagi, MD2; 1The University of New Mexico School of Medicine, Skrove, DO2, Linoj Panicker, DO4, Faiz Javed, DO2, Juan Sarol, MD4, Javier Albuquerque, NM; 2University of New Mexico School of Medicine, Sobrado, MD2; 1St. George’s University, Miami, FL; 2Larkin Community Albuquerque, NM Hospital, Miami, FL; 3St. George’s University School of Medicine, Miami, FL; 4Larkin Community Hospital, South Miami, FL P0932. Clip Migration Causing Duodenal Thickening After Cholecystectomy: A Potential Deadly Complication of a Common P0944. A Rare Case of Cholestasis Procedure Ryan Yarnall, MD1, Peter Madden, MD1, Carmen Vesbianu, MD1, Dragos Diego Hidalgo, MD, Alison Smith, MD, Dhara Chaudhari, MD, Mark Young, Vesbianu, MD2; 1University of Oklahoma College of Medicine, Tulsa, OK; MD; East Tennessee State University, Johnson City, TN 2Saint John Medical Center, Tulsa, OK P0933. Drug-Induced Acute Pancreatitis in a Patient With Normal Renal P0945. Acute Pancreatitis in Pancreas Divisum From an Impacted Stone in Function: Metformin the Minor Papilla Diego Hidalgo, MD, Alison Smith, MD, Mark Young, MD; East Tennessee Rehan Farooqi, MD1, Faris El-Khider, MD, MS2, Prabhleen Chahal, MD, State University, Johnson City, TN FACG3, Carol A. Burke, MD, FACG3; 1MedStar Union Memorial Hospital, Baltimore, MD; 2Cleveland Clinic, Cleveland, OH; 3Digestive Disease P0934. Post-Cholecystectomy Clip Migration-Induced Acute Pancreatitis: Institute/Cleveland Clinic Foundation, Cleveland, OH A New Case and Review of the Literature Ami Panara, MD1, Jodie A. Barkin, MD2, Jamie S. Barkin, MD, MACG2; P0946. Acute Pancreatitis with Severe Mediastinal Fluid Accumulation via 1University of Miami, Miami, FL; 2University of Miami Leonard M. Miller Retrocrural Space: An Indication for Single Dose Radiation Therapy? School of Medicine, Miami, FL Nicholas Daane, DO, Brad Solomon, DO; Advocate Lutheran General Hospital, Park Ridge, IL P0935. A Case of CMV Cholangiopathy in an HIV Patient on Antiretroviral Therapy P0947. Atypical Presentation of a Lethal Disease Cris Jacob R. Molina, MD1, Tarek I. Eid, MD2, Victor Arce, MD3, Gerard Rodolfo Estremera-Marcial, MD, Adriana Marzan, MD, Jose Martin-Ortiz, MD, Quigley, DNP, FNP-C4, Tessa Bowie, PA-C4, Keng-Yu Chuang, MD5; 1Banner Doris Toro, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico University Medical Center, Phoenix, CA; 2University of California Irvine, Orange, CA; 3University of Colorado, Aurora, CO; 4Maricopa Medical P0948. Surgical Clip Migration Leading to Obstructive Choledocholithiasis Noah Settergren, DO, Jimmy Giang, DO, Matthew Lute, DO, Atul Vahil, Center, Phoenix, AZ; 5Maricopa Integrated Health System/St. Josephs MD, FACG; Parkview Medical Center, Pueblo, CO Hospital and Medical Center, Phoenix, AZ P0936. A Rare Cause of Acute Pancreatitis P0949. Painless Jaundice: A Rare Presentation of Uterine Leiomyosarcoma Fnu Versha, MD1, Roy Young, MD2, Adewale Ajumobi, MD, MBA2; With Pancreatic Metastasis Mohammad Ali, MD1, Kristen Sticco, DO1, Rakesh Shah, MD2, Jeffrey 1Eisenhower Health, Beaumont, CA; 2Eisenhower Health, Rancho Mirage, CA Schneider, MD1, John Allendorf, MD1, Jessica Widmer, DO1; 1New York P0937. Nivolumab in Cholangiocarcinoma: A Case Report University Winthrop Hospital, Mineola, NY; 2NYU Winthrop Hospital, Kevin Tin, MD, MBA1, Ping Gu, MD2, Rabin Rahmani, MD, FACG1, James Mineola, NY Park, MD3; 1Maimonides Medical Center, Brooklyn, NY; 2New York University Langone Medical Center, New York, NY; 3New York University P0950. Liraglutide Associated Acute Pancreatitis: A Case Report and Medical Center, New York, NY Review of the Literature Muhammad Ghabra, MD1, Mohamad Alkhouli, MD2; 1Sanjay Bharti, MD, P0938. A Migrated Percutaneous Endoscopic Gastrostomy Tube Inducing PLLC, Morgantown, WV; 2West Virginia University School of Medicine, Gastric Outlet Obstruction and Acute Pancreatitis Morgantown, WV Brian Dinh, MD, Patrick Chen, DO, Gregory Beck, MD; Wright State University Boonshoft School of Medicine, Dayton, OH P0951. Pancreatic Teratoma: A Challenging Diagnosis of Pancreatic Cyst Konika Sharma, MD1, Mahyar Afrooz, MD2, Satish K. Boddhula, MD2, P0939. Endoscopic Management of Ansa Pancreatica in a Patient With Pascale Raymond, MD2; 1Basset Medical Center, Cooperstown, NY; Recurrent Pancreatitis 2Bassett Medical Center, Cooperstown, NY Chiemeziem Eke, MD1, Derek Lin, MD2, Mohamed Othman, MD1; 1Baylor College of Medicine, Houston, TX; 2Bayor College of Medicine, Houston, TX P0952. Ruptured Cystic Artery Pseudoaneurysm as a Cause of Cholestasis Jonathan Gapp, MD1, Turna Mukherjee, MD1, John Gross, MD1, Gopi P0940. Surveillance of Gastric Gastrointestinal Stromal Tumor (GIST): Sirineni, MD1, Adil Abdalla, MD2; 1Creighton University, Omaha, NE; 2MD, Suspected Gall Bladder Mass? Omaha, NE Mamoon Ur Rashid, MD1, Muhammad Hasan, MD1, Umair Majeed, MD2; 1Florida Hospital, Orlando, FL; 2FLH South, Orlando, FL P0953. Vanishing Bile Duct Syndrome Ahmed Hamed, MD1, Amira Hamed, MD1, Nouran Hamed, MD2, Omar P0941. Cystic Neoplasm of Pancreas: A Case of Chronic Abdominal Pain Taha1; 1East Carolina University, Greenville, NC; 2American University of Mamoon Ur Rashid, MD1, Muhammad Hasan, MD1, Waqas Ullah, MD2; Beirut, Greenville, NC 1Florida Hospital, Orlando, FL; 2Abington Memorial Hospital, Abington, PA P0954. A Curious Case of Massive Splenomegaly: Overlap of Autoimmune P0942. Bouveret Syndrome Managed Endoscopically Using Through the Hepatitis and Primary Biliary Cholangitis Scope (TTS) Balloon Retrieval Technique Ahmed Hamed, MD, Amira Hamed, MD, Karissa Lambert, MD, Melissa Pragnesh Patel, MD1, Ashish Saharia, MD2, Alberto Barroso, MD, FACP, Moey, Eslam Ali, MD; East Carolina University, Greenville, NC FACG3; 1Underwood Center for Digestive Disorders, Houston Methodist Hospital, Weill Cornell Medical College, Pearland, TX; 2Sherrie and Alan P0955. Lamotrigine Induced DRESS Syndrome With Multi-Organ Conover Center for Liver Disease & Transplantation at Houston Methodist Involvement Including the Pancreas Ahmed Hamed, MD, Amira Hamed, MD, Karissa Lambert, MD; East J.C. Walter Transplant Center, Houston, TX; 3Houston Methodist Hospital, Carolina University, Greenville, NC Weill Cornell Medical College, Houston, TX

92 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P0956. A Giant Gallbladder P0969. An Unusual Presentation of Primary Gallbladder Carcinoma Ahmed Hamed, MD, Amira Hamed, MD, Eslam Abo-talb, Eslam Ali, MD; Qian Zhou, MD, Alexander Schafir, MD; Providence Saint Vincent Medical East Carolina University, Greenville, NC Center, Portland, OR P0957. Oriental Cholangiohepatitis: Hong Kong Disease in the P0970. A Pain in the Gut: Hypertriglyceridemia Induced Pancreatitis United States Christine Chen, DO, Nitzy N. Munoz Casablanca, MD; Mount Sinai Beth Ahmed Hamed, MD, Amira Hamed, MD, Nizar Talaat; East Carolina Israel, New York, NY University, Greenville, NC P0971. A Rare Case of Non-Umbilical Cutaneous Metastasis as a First P0958. Unusual Presentation of IgG4-Related Disease Presentation of a Very Aggressive Pancreatic Cancer – A Case Report and Somaya Albhaisi, MBBCh, Adam Godsey, MD; Virginia Commonwealth Review of Literature University, Richmond, VA Preethi Ramachandran, MD, MRCP, FRCP, Gardith Joseph, MD; Brookdale University Hospital and Medical Center, Brooklyn, NY P0959. Much More Than an Abnormal CT; Physical Exam Isn’t Dead 1 1 2 POSTERS Kelsey L. Able, DO, MSc , Maham Hayat, MD , Javid Fazili, MD, FACP ; P0972. Metastatic Breast Cancer Presenting as Painless Jaundice MONDAY 1University of Oklahoma Health Sciences Center, Oklahoma City, OK; Daniel Wilen, DO1, Donald McMahon, DO2, Brian Blair, DO3, Joanne 2Oklahoma University Health Sciences Center, Edmond, OK Kaiser-Smith, DO1, Darshan Roy, MD1; 1Rowan University School of Osteopathic Medicine, Stratford, NJ; 2Kennedy Health Alliance, P0960. Malignant Transformation of Type I Biliary Cyst into Papillary Turnersville, NJ; 3Kennedy Health Alliance, Cherry Hill, NJ Type Neoplasm Tejas V. Joshi, MD1, Melissa A. Spera, MD2, Seema Walvekar, MD2, Stephen P0973. Finding a Signet Ring in the Biliary System W. Landreneau, MD3; 1LSU Health New Orleans School of Medicine, New Nikita Gupta, MD1, Michelle Likhtshteyn, MD1, Jason Green, DO1, Sadat Orleans, LA; 2LSU Health Sciences Center, New Orleans, LA; 3Louisiana Iqbal, MD1, Abu Hurairah, MD2, Richard Ferstenberg, MD1; 1SUNY State University Health Sciences Center, New Orleans, LA Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, NY P0961. Vanishing Bile Duct Syndrome in a Patient With Uterine Cancer and P0974. Spontaneous Rupture of a Pancreatic Pseudocyst: A Fatal Paraneoplastic Systemic Sclerosis: A Complex Clinical Challenge Complication Daniel Sedhom, MD, Amanda Herrmann, MD, Melroy D’Souza, MD, Billie Prateek Mathur, MD1, Nicole Toscano, MD2, Mark Gestring, MD2, Vivek Kaul, Fyfe-Kirsschner, MD, Francisco Zaldana, DO, Naomi Schlesinger, MD, MD, FACG2; 1Rochester General Hospital, Rochester, NY; 2University of Vinod Rustgi, MD, MPH; Rutgers Robert Wood Johnson Medical School, Rochester, Rochester, NY New Brunswick, NJ P0975. Acting Fast: A Case of Spontaneous Calculus Migration in a Patient P0962. A Case of Isolated Direct Hyperbilirubinemia Associated with High with Bouveret’s Syndrome Dose Cytarabine Isaiah P. Schuster, MD1, Victoria Shklar, MD, MS2, Harold Paredes, MD3, Maggie Cheung, MD1, Vicky Bhagat, MD1, Swati Pawa, MD2; 1Robert Wood Lionel D’Souza, MD1; 1Stony Brook University Medical Center, Stony Brook, Johnson Medical School, New Brunswick, NJ; 2Robert Wood Johnson NY; 2Stony Brook University Medical Center, Port Jefferson, NY;3 Stony University Hospital, New Brunswick, NJ Brook Medicine, Stony Brook, NY P0963. Burkitt’s Lymphoma Presenting as Acute Cholecystitis and P0976. Pseudopapillary Tumor: Still a Possibility in Old Age Vaginal Bleeding Waseem Amjad, MD1, Anish Khalil, MBBS2, Hanan T. Lodhi, MBBS3, Majd Kanaa, MD, Yazan Alkawaleet, MD, Jennifer Phemister, MD, Qulsoom Hussain, MBBS4, Faisal Inayat, MBBS5, Ghulam Ilyas, MD6, Chakradhar Reddy, MD, Mark Young, MD; East Tennessee State University, Ahmed Munir, MBBS7, Waqas Ullah, MD8, Fahad Zafar, MBBS9; 1Northwell Johnson City, TN Health Long Island Jewish Forest Hills Hospital, Forest Hills, NY; 2Shifa College of Medicine, Islamabad, Islamabad, Pakistan; 3University of P0964. Spontaneous Hemorrhagic Rupture of Pancreatic Pseudocyst Nebraska Medical Center, Omaha, NE; 4Shifa College of Medicine, Majd Kanaa, MD, Muhammad Khalid, MD, Chakradhar Reddy, MD, Mark Islamabad, Brooklyn, NY; 5Allama Iqbal Medical College, Lahore, Punjab, Young, MD; East Tennessee State University, Johnson City, TN Pakistan; 6SUNY Downstate Medical Center, Brooklyn, NY; 7Services P0965. Massive Gastric Variceal Hemorrhage Due to Splenic Vein Institute of Medical Sciences, Lahore, Islamabad, Pakistan; 8Abington Thrombosis: A Rare Initial Presentation of Asymptomatic Metastatic Memorial Hospital, Abington, PA; 9King Edward Medical University, Pancreatic Adenocarcinoma Lahore, Islamabad, Pakistan Kelley Nguyen, BS, Daniel Zhang, MD, Mark Sultenfuss, MD, David Victor P0977. Biliary Metal Stent Placement During Single-Balloon Enteroscopy- III, MD; Houston Methodist Hospital, Houston, TX Assisted Endoscopic Retrograde Cholangiopancreatography: A Novel Stent P0966. When Cholangioscopy-Guided Electrohydraulic Lithotripsy May Delivery System to Address Surgically Altered Anatomy Solve the Problem Steve Hu, MD1, Tarun Rustagi, MD2; 1University of California San Francisco Spiro S. Mavromates, MD1, Rufaat Mando, MD2, Meir Mizrahi, MD2, Manoj Fresno, Fresno, CA; 2University of New Mexico School of Medicine, Kumar, MD, MPH2; 1Memorial Health University Medical Center, Savannah, Albuquerque, NM 2 GA; University of South Alabama, Mobile, AL P0978. An Endoscopic Fix: Common Bile Duct Stent Migration Resulting P0967. A Pseudo to Pseudo Connection: Pseudoaneurysm Draining Into in a Traumatic Duodenal Perforation Causing Biliary Peritonitis in a Liver the Pseudocyst Transplant Patient Waqas Ullah, MD1, Mamoon Ur Rashid, MD2, Hafez Mohammad Abdullah, Ahmed Khattab, MD, Hina Omar, MD, Kenneth Chi, MD; Advocate MD3; 1Abington Memorial Hospital, Abington, PA; 2Florida Hospital, Lutheran General Hospital, Park Ridge, IL 3 Orlando, FL; University of South Dakota, Sioux Falls, SD P0979. Afferent Limb Obstruction: Diagnosis and Management P0968. Metastatic Seeding of Cholangiocarcinoma From Biliary Drain Mathew Finniss, MD1, Laith Al Momani, MD1, Nina Amilineni, MD1, Christian Matthew Bauer, MD1, Amie Harvey, MD1, Catherine Frenette, MD, FAST2; Rosero, MD1, Jennifer Phemister, MD1, James Swenson, MD2, Thad Snyder, 1Naval Medical Center San Diego, San Diego, CA; 2Scripps Center for MD2; 1East Tennessee State University, Johnson City, TN; 2Mountain Home Organ Transplantation, La Jolla, CA VA Medical Center, Johnson City, TN

P0980. Sarcomatoid Carcinoma of the Pancreas: An Unusual Cause of COLON Abdominal Pain Shima Ghavimi, MD1, Neel Patel, MD1, Zhiwei Yin, MD1, Sushil Ahlawat, P0989. Mesothelin Expression Pattern Has a Significant Prognostic Value MD2; 1Rutgers New Jersey Medical School, Newark, NJ; 2Rutgers in Stage II/III Colorectal Cancer University, New Jersey Medical School, Newark, NJ Takehiro Shiraishi, MD, Eiji Shinto, MD, PhD, Satsuki Mochizuki, PhD, Yoshiki Kajiwara, MD, PhD, Koichi Okamoto, MD, PhD, Takahiro Einama, P0981. Recurrent Primitive Neuroectodermal Tumor (PNET) of MD, PhD, Hideki Ueno, MD, PhD; National Defense Medical College, the Pancreas Tokorozawa, Saitama, Japan Mathew Finniss, MD1, Allison Locke, MD1, Lawrence Schmidt, MD2; 1East Tennessee State University, Johnson City, TN; 2Mountain Home VA P0990. Clostridium difficile Infection in Patients With Hematologic Medical Center, Johnson City, TN Malignancy and Neutropenic Fever: A Clinical Overview Daniel Sedhom, MD, Mohamed Elsaid, MPH, Ramy Sedhom, MD; Rutgers P0982. The Light at the End of the Tunnel Robert Wood Johnson Medical School, New Brunswick, NJ Rufaat Mando, MD, Manoj Kumar, MD, MPH, Shoeb Chaudry, MD, Osama Abdul-Rahim, MD, Meir Mizrahi, MD; University of South Alabama, P0991. Nationwide Trends in Young Onset Colorectal Cancer-Related Mobile, AL Hospitalizations: An Alarming Gender Disparity Rupak Desai, MBBS1, Upenkumar Patel, MBBS, MPH2, Wardah Siddiq, P0983. A Rare Case of Pancreatic Cystic Lymphangioma Diagnosed with MBBS3, Sandeep Singh, MBBS4, Nihar Shah, MD, FACP5, Hemant Goyal, Endoscopic Ultrasound-Guided Fine Needle Aspiration MD, FACP6; 1Atlanta VA Medical Center, Decatur, GA; 2Nassau University 1 2 3 Mustafa Alani, MD , Indu Srinivasan, MD , Gerard Quigley, DNP, FNP-C , Medical Center, East Meadow, NY; 3Beth Israel Deaconess Medical Center/ 3 2 4 1 Tessa Bowie, PA-C , Abdul Nadir, MD , Keng-Yu Chuang, MD ; Banner Harvard Medical School, Boston, MA; 4AMC, Amsterdam, Noord-Holland, 2 University Medical Center, Phoenix, AZ; Maricopa Integrated Health Netherlands; 5Marshall University, Huntington, WV; 6Mercer University 3 4 System, Phoenix, AZ; Maricopa Medical Center, Phoenix, AZ; Maricopa School of Medicine, Macon, GA Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ P0992. ‘Seasonal Effect’ on Incidence and In-Hospital Mortality of Acute Bowel Ischemia: A Study of National Inpatient Database 2005-2014 in the P0984. Hemorrhagic Pancreatic Pseudocyst 1 1 1 United States Sadat Iqbal, MD , Muhammad Bashir, MD , Michelle Likhtshteyn, MD , Abu Tausif Siddiqui, MD1, Dhruv Mehta, MD2, Khwaja F. Haq, MD3, Virendra 2 3 1 Hurairah, MD , Ayesha Zahiruddin, MD ; SUNY Downstate Medical Center, Tewari, MD4; 1New York Medical College, Valhalla, NY; 2New York Medical 2 3 Brooklyn, NY; SUNY Downstate, Brooklyn, NY; Brooklyn Campus of the College at Westchester Medical Center, Valhalla, NY; 3Henry Ford VA New York Harbor Healthcare System, Brooklyn, NY Hospital, Detroit, MI; 4Westchester Medical Center at Westchester Medical P0985. Air in the Gastric Wall Along with Hepatic Portal Venous Air - Center, Valhalla, NY When Not to Panic! P0993. Life Expectancy Among Adults Undergoing Elective Colonoscopy: Sadat Iqbal, MD1, Abu Hurairah, MD2, Ava Anklesaria, MBBS3; 1SUNY 2 A Survey of Older Adults Downstate Medical Center, Brooklyn, NY; SUNY Downstate, Brooklyn, Kathy Cazares, MS31, Sharon O’Connor, MBA, MS2, Audrey H. Calderwood, 3 NY; NYC HHC/Kings County Hospital, Brooklyn, NY MD, MS, FACG3; 1Dartmouth Hitchcock Medical Center, Geisel School P0986. Hemosuccus Pancreaticus: Side-Viewing Endoscopic Diagnosis of of Medicine, Lebanon, NH; 2Center for Program Design & Evaluation, a Rare but Fatal Cause of Gastrointestinal Hemorrhage Dartmouth College, Lebanon, NH; 3Geisel School of Medicine and Faisal Inayat, MBBS1, Sadat Iqbal, MD2, Zarak H. Khan, MBBS3, Qulsoom Dartmouth Institute of Health Policy and Clinical Practice, Dartmouth- Hussain, MBBS4, Hanan T. Lodhi, MBBS5, Fahad Zafar, MBBS6, Ahmed Hitchcock Medical Center, Lebanon, NH 7 8 9 1 Munir, MBBS , Abu Hurairah, MD , Cynthia Quianoo, MD ; Allama Iqbal P0994. Examining Individuals’ Decision Making Surrounding Bowel Preps Medical College, Lahore, Punjab, Pakistan; 2SUNY Downstate Medical 3 for Colonoscopy: Insights From a Conjoint Analysis Survey Center, Brooklyn, NY; Shifa College of Medicine, Islamabad, Islamabad, Vartan C. Tashjian, MD, Sophia Haass, Ellen Lhee, Brennan M. R. Spiegel, 4 5 Pakistan; Shifa College of Medicine, Islamabad, Brooklyn, NY; University MD, MSHS, Christopher V. Almario, MD; Cedars-Sinai Medical Center, Los 6 of Nebraska Medical Center, Omaha, NE; King Edward Medical University, Angeles, CA Lahore, Islamabad, Pakistan; 7Services Institute of Medical Sciences, Lahore, Islamabad, Pakistan; 8SUNY Downstate, Brooklyn, NY; 9Brookdale P0995. Opioid Use in Clostridium difficile Infection Is Associated With University Hospital, Brooklyn, NY Worse Outcomes Monica Chowdhry, MD1, Shailendra Singh, MD2, Suzanne Kemper, MPH3, P0987. Large Infected Lymphoepithelial Cyst of Pancreas: A Rare Entity Mustafa Bhaty, MD1, Ashley Huggett, DO3, Andrea Stark, DO1, Ahmad Khan, Diagnosed by Cyst Wall Biopsies Using Lumen Apposing Metal Stent MD4, Brittain McJunkin, MD3, Kristen Helmick, MD1; 1West Virginia University, 1 2 1 Monica Chowdhry, MD , Hamza Shah, MD , Jesse Clanton, MD , Shailendra Charleston, WV; 2West Virginia University, Charleston Area Medical Center, 3 1 2 Singh, MD ; West Virginia University, Charleston, WV; Charleston Area Charleston, WV; 3West Virginia University, Charleston Division, Charleston, 3 Medical Center, Charleston, WV; West Virginia University, Charleston WV; 4Charleston Area Medical Center, Charleston, WV Area Medical Center, Charleston, WV P0996. Outcomes of Polyps Resected Using Underwater Endoscopic P0988. A Rare Case of Perimpullary Duodenal Diverticulitis Diagnosed by Mucosal Resection (UEMR): Carilion Clinic Experience ERCP Causing Obstructive Jaundice (Lemmel’s Syndrome) Mohamad A. Mouchli, MD1, Robert Summey, MD2, Christopher Walsh, MD3, Ahmed Elkafrawy, MD, Samuel Schowengerdt, MD, Sreeni Jonnalagadda, Shravani Reddy, MD4, Adil Mir, MD1, Rajan Kanth, MD1, Vikas Chitnavis, MD; University of Missouri, Kansas City, MO MD5, Paul Yeaton, MD2, Mohammad Shakhatreh, MD, MPH2; 1Carilion Clinic, Virginia Tech University, Roanoke, VA; 2Virginia Tech Carilion School of Medicine, Roanoke, VA; 3Carilion Roanoke Memorial Hospital, Roanoke, VA; 4Carilion Clinic, Virginia Tech School of Medicine, Roanoke, VA; 5Carilion Clinic, Roanoke, VA

94 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P0997. Treatment of Recurrent Clostridium difficile Infection With Fecal P1005. Differential Prognostic Significance of Tumor Budding Status Microbiota Transplantation in a Community Ambulatory Surgical Center Evaluated by Hematoxylin and Eosin Staining and Immunohistochemical Jay Anderson, DO1, David Y. Lo, MD, FACG2, Victor Jochem, MD3, Kim Staining in Stage II Colorectal Cancer Jordan, MD4, John Elliott, PhD1; 1OhioHealth, Riverside Methodist Hospital, Eiji Shinto, MD, PhD, Yoshiki Kajiwara, MD, Satsuki Mochizuki, PhD, Columbus, OH; 2Ohio Gastroenterology Group, Inc., The Ohio State Koichi Okamoto, MD, Masato Yamadera, MD, Takehiro Shiraishi, MD, University College of Medicine, Columbus, OH; 3Ohio Gastroenterology Hironori Tsujimoto, MD, Suefumi Aosasa, MD, Takahiro Einama, MD, Junji Group, Inc., Columbus, OH; 4OhioHealth, Columbus, OH Yamamoto, MD, Kazuo Hase, MD, Hideki Ueno, MD; National Defense Medical College, Tokorozawa, Saitama, Japan P0998. Laparoscopic Surgery for Colovesical Fistula Due to Sigmoid Colon Diverticulitis P1006. Underwater Insertion Improves Polyp Detection in Young Adults Kenji Tomizawa, MD, Shuichiro Matoba, MD, PhD, Takatsugu Fujii, MD, Undergoing Colonoscopy Naoto Okazaki, MD, Kosuke Hiramatsu, MD, Yutaka Hanaoka, MD, Shigeo Anish H. Patel, MD1, Jasleen Grewal, MD2, Rasha Ahmed, DO1, William Toda, MD, Hiroya Kuroyanagi, MD, PhD; Toranomon Hospital, Minatoku, Karnes, MD1; 1University of California Irvine Medical Center, Orange, CA; 2

Tokyo, Japan University of California Los Angeles Medical Center, Los Angeles, CA POSTERS MONDAY P0999. Differential Longitudinal Symptom and Quality of Life (QOL) P1007. Post-Infectious Irritable Bowel Syndrome Persists After Fecal Outcomes on Selected Medications in Patients With Suspected Microbiota Transplant for C. difficile Infection Gastroparesis With Delayed versus Normal Colon Transit on Wireless Olufemi Kassim, Becky Smith, MD1, Jennifer Grant, MD2, Donna Motility Capsule Testing Schora, BS2, Naomi Adams, BA2, Edessa David, BS2, Eugene Yen, MD, Baharak Moshiree, MD, FACG1, William Hasler, MD2, Allen Lee, MD3, Braden MBA, FACG3; 1Duke University, Durham, NC; 2NorthShore University Kuo, MD4, Linda Nguyen, MD5, Richard McCallum, MD6, Irene Sarosiek, HealthSystem, Evanston, IL; 3NorthShore University Health System, MD6, Henry P. Parkman, MD7, John Wo, MD8, Michael Schulman, MD9, Evanston, IL Satish S.C. Rao, MD, PhD10; 1Carolinas HealthCare System, Charlotte, NC; 2University of Michigan Health System, Ann Arbor, MI; 3University of P1008. The Overuse of Empiric Antibiotic Treatment for Enterocolitis Michigan, Ann Arbor, MI; 4Massachusetts General Hospital, Boston, MA; Diagnosed by Abdominal CT (OVERACCT) Merjona Saliaj, MD1, Mark Aloysius, MD, PhD2, Mariam Saad, MD2, Muneer 5Stanford University, Palo Alto, MI; 6Texas Tech University Health Sciences Khan, MD2, Julie Singh, MD2, Luna Acharya, MD2, Susanne Burger, MD3; Center, El Paso, TX; 7Temple University Hospital, Philadelphia, PA; 1James J. Peters VA Medical Center, Flushing, NY; 2James J. Peters VA 8Indiana University, Indianapolis, IN; 9Florida Digestive Health Associates, Medical Center, Bronx, NY; 3North Central Bronx Hospital, Bronx, NY Largo, FL; 10Augusta University Medical Center, Augusta, GA P1000. Colonic Diverticular Disease in Autosomal Dominant Polycystic P1009. Relationship Between Remote History of Cholecystectomy and Risk Kidney Disease: Is There Really an Association? for Incident Clostridium difficile Infection Ying Wang, MD1, Jianhua Li, MD1, Philip Zachariah, MD, MSc1, Julian Rodrigo Duarte-Chavez, MD1, Marcela E. Perez-Acosta, MD2, Cara Abrams, MD, MS2, Daniel E. Freedberg, MD, MS1; 1Columbia University Ruggeri, DO, FACP3, Kimberly J. Chaput, DO4, Ana Martinez-Tapia, MD4, Medical Center, New York, NY; 2Columbia University, New York, NY Noel B. Martins, MD3, Ayaz Matin, MD4, Berhanu M. Geme, MD5; 1St. Luke’s University Hospital Health Network, Fountain Hill, PA; 2Osceola P1010. Vaginal Delivery Is Independently Associated With Internal Regional Medical Center, Kissimmee, FL; 3St. Luke’s University Health Hemorrhoids Network, Bethlehem, PA; 4St. Luke’s University Hospital Health Network, Alison Goldin, MD, MPH1, Laura Horton, MD1, Namisha Thapa, MD2, Walter Bethlehem, PA; 5St. Luke’s University Hospital Health Network, Center W. Chan, MD, MPH3; 1Brigham & Women’s Hospital, Boston, MA; 2OHSU Valley, PA Hospital, Portland, OR; 3Brigham & Women’s Hospital/Harvard Medical P1001. Location of Intussusception in Adults Predicts Malignant Etiology School, Boston, MA Dhruv Patel, MD1, Amir Taefi, MD2, Machelle Wilson, PhD1, Sooraj Tejaswi, P1011. Psychiatric Comorbidity and Recent Narcotics Use Are MD, MSPH2; 1University of California Davis, Sacramento, CA; 2University of Independently Associated With Dyssynergic Defecation in Patients With California Davis Medical Center, Sacramento, CA Chronic Constipation 1 2 1 P1002. Risk Factors, Presentation, Diagnosis and Management Factors Alison Goldin, MD, MPH , Namisha Thapa, MD , Laura Horton, MD , Walter W. Chan, MD, MPH3; 1Brigham & Women’s Hospital, Boston, MA; 2OHSU Associated With Surgery and Death in Ischemic Colitis Patients: A 3 Retrospective Cohort Study Hospital, Portland, OR; Brigham & Women’s Hospital/Harvard Medical School, Boston, MA Ahmad Alfedaghi, MBChB, Baha Alazzoni, MD, Khurram J. Khan, MD, BSc, MSc(Epi); McMaster University, Hamilton, ON, Canada P1012. Technical and Clinical Outcomes of Colonic Stent Placement in Patients With Proximal Malignant Large Bowel Obstruction P1003. Gut Microbial Composition in Human Colons Associated With Polyp 1 2 2 Development Samson Ferm, MD , Constantine Fisher, MD , Michelle Tong, MD , Moshe Rubin, MD1, Syed Hussain, MD1, Sang-Hoon Kim, MD1; 1New York- Rachel Sarnoff, BA1, Lauren Seo, BA1, Catherine Uy, MD1, Tracey Martin, Presbyterian Queens, Flushing, NY; 2New York Presbyterian Queens, MD1, Renee Williams, MD2, Martin Blaser, MD1, Giulio Quarta, MD1; 1NYU Flushing, NY School of Medicine, New York, NY; 2New York University School of Medicine, New York, NY P1013. Sickle Cell Disease Is Associated With Higher Mortality Among P1004. The Effect of Gender and Race on the Prevalence of Adenomas and Patients Hospitalized With Ischemic Bowel Disease Olalekan Akanbi, MD, MPH1, Adeyinka Adejumo, MD, MS2; 1University Proximal Serrated Polyps Found on Screening Colonoscopy in Disparate 2 Populations of Kentucky College of Medicine, Lexington, KY; North Shore Medical Center, Lowell, MA Rohan Mandaliya, MD1, Muhammad Mirza, MBBS2, Khushali Jhaveri, MBBS2, Aniruddh Som, MBBS2, Vagishwari Murugesan, MD2, Shiva Shankar Vangimalla, MBBS2, Allyson Raymond, MD1, Michele Barnhill, MD1, Kamal Baig, MD1, Lubaba Hasan2, Won Cho, MD2; 1Georgetown University Hospital, Washington, DC; 2MedStar Washington Hospital Center, Washington, DC

P1014. Pharmacological Profile of Naldemedine, a Peripheral Acting COLON μ-Opioid Receptor Antagonist : Comparison With Naloxone and Naloxegol Clinical Vignettes / Case Reports Toshiyuki Kanemasa, PhD1, Katsumi Koike1, Kenji Takase, PhD2, Tohko Arai, BS3, Atsushi Nakamura, PhD1, Yasuhide Morioka, PhD1, Minoru Hasegawa, P1024. Lynch Syndrome: An Unorthodox Presentation Taiwo A. Ajose, MD, Suaka Kagbo-Kue, MD, Temitayo Gboluaje, MD, PhD1; 1Drug Discovery & Disease Research Laboratory, Shionogi & Co., Micheal Flood, MD; Morehouse School of Medicine, Atlanta, GA Ltd., Toyonaka-shi, Osaka, Japan; 2Product Marketing Department, Shionogi & Co., Ltd., Osaka-shi, Osaka, Japan; 3Research Laboratory for P1025. Lumen Obstructive Primary B-Cell Lymphoma of the Colon: A Rare Development, Shionogi & Co., Ltd., Toyonaka-shi, Osaka, Japan Masquerader of Colorectal Carcinoma Ingrid Schwartz, MD1, Jinendra Satiya, MD2, Mohit Girotra, MD, FACP3; P1015. SMAD4 Mutation and the Combined Juvenile Polyposis and Hereditary 1 Hemorrhage Telangiectasia Syndrome: A Single Center Experience University of Miami Leonard M. Miller School of Medicine / Jackson Memorial Hospital, Miami, FL; 2University of Miami, Miami, FL; 3University Guilherme Piovezani Ramos, MD, Nicholas McDonald, MD, Seth Sweetser, of Miami Leonard M. Miller School of Medicine, Miami, FL MD; Mayo Clinic, Rochester, MN P1016. Gender Disparities in Short-Term and Long-Term Colon Cancer P1026. A Rare Case of EBV-Associated Diffuse Large B-Cell Lymphoma Specific Survival Involving Colon as the Primary Site in a Patient with a History of Treated Venu Gopala Reddy Gangireddy, MD, Swathi Talla, MD; United Hospital Colorectal Cancer Saraswathi Lakkasani, MD1, Hamid Shaaban, MD1, Gunwant Guron, MD1, Center, Bridgeport, WV Andre Fedida, MD1, Varun Modi, MD1, Theodore Dacosta, MD2; 1Saint P1017. Gender Disparities in the Incidence of Colorectal Cancer in the Era of Michael’s Medical Center, Newark, NJ; 2St. Michael’s Medical Center, Screening Colonoscopy Newark, NJ Venu Gopala Reddy Gangireddy, MD, Swathi Talla, MD; United Hospital Center, Bridgeport, WV P1027. A Nerve-Racking Colonoscopy: The Case of a Mucosal Benign Epithelioid Nerve Sheath Tumor P1018. Community and Healthcare-Acquired Clostridium difficile Infections Fahad Khemani, MD, Jaimin Amin, MD, Shriram Jakate, MD; Rush in a Texas Community Hospital – Retrospective Descriptive Analysis University Medical Center, Chicago, IL Yvette Achuo-Egbe, MD, MPH, MS, Shane Skarda, MD, Hameed Akilo, PhamD; UT Health East Texas/ Christus Good Shepherd Health System, Longview, TX P1028. Proctitis: What’s the Bottom Line? Keith Freeman, DO1, Taryn Silverstein, DO 2, Jennifer Spiegel, MD 2; P1019. Older Age and Higher Lung Allocation Score May Predict Recurrent 1Wellington Regional Medical Center, Wellington, FL; 2Medical Specialists Clostridium difficile Infection in the Post-Lung Transplant Population of the Palm Beaches, Wellington, FL Jessica L. Sterling, MD1, Rachel Frank, MD1, Aruj Choudhry, MD1, Zubair Malik, MD2, Patrick Mulhall, MD2, Adam C. Ehrlich, MD, MPH2; 1Temple P1029. Lupus Mesenteric Vasculitis Varun Kesar, MBBS1, Komal Lakhani, MD2, Andrew A. Nguyen, DO2, Uday University Hospital, Philadelphia, PA; 2Lewis Katz School of Medicine at Shergill, MBBS2, Berman Nicola, MD3, Arun Swaminath, MD4; 1Virginia Temple University, Philadelphia, PA Tech Carilion School of Medicine, Roanoke, VA; 2Lenox Hill Hospital, New P1020. Epidemiology of Clostridium difficile Infection in the Lung York, NY; 3Lenox Hill Hospital/Northwell Health, New York, NY; 4Hofstra Transplant Population at a High Volume Transplant Center NorthShore-LIJ School of Medicine, New York, NY Jessica L. Sterling, MD1, Rachel Frank, MD1, Aruj Choudhry, MD1, Zubair Malik, MD2, Patrick Mulhall, MD2, Adam C. Ehrlich, MD, MPH2; 1Temple P1030. Ischemic Colitis in the Presence of Supratherapeutic INR: A Case Report Sahla Hammad, MD1, Mayuri Kulkarni, BSc, MD2, Rovin Saxena, MD1, University Hospital, Philadelphia, PA; 2Lewis Katz School of Medicine at Mihaela Batke, MD1; 1St. Joseph Mercy Oakland Hospital, Pontiac, MI; 2St. Temple University, Philadelphia, PA Joseph Mercy Oakland Hospital, Livonia, MI P1021. Understanding the Scope of Do-It-Yourself (DIY) Fecal Microbiota Transplant (FMT) P1031. Infectious Discitis Secondary to Streptococcus gallolyticus as the Chiazotam Ekekezie, MD1, Shannon Simmons, MD1, Bryce Perler, MD1, Initial Presentation of a Polypoid Colonic Mass Aliana Bofill, MD1, Mirza Zeyn, MD1, Walisbeth Class-Vazquez, MD 1, Loscar Tamela Burhke2, Catherine Duff3, Beth Hott, BA4, Christian John Lillis, BA5, Santiago-Rivera, MD2, Doris Toro, MD 1; 1VA Caribbean Healthcare System, Colleen R. Kelly, MD1; 1Warren Alpert Medical School of Brown University, San Juan, Puerto Rico; 2VA CAribbean Healthcare System, San Juan, Providence, RI; 2The Power of Poop, Phoenix, AZ; 3The Fecal Transplant Puerto Rico Foundation, Louisville, KY; 4Lifespan/Women’s Medicine Collaborative, Providence, RI; 5Peggy Lillis Foundation, Brooklyn, NY P1032. Not Just Another Adenomatous Polyp: A Case of Colonic Leiomyoma P1022. Using a Multimedia System for Informed Consent for Inpatient Neel Patel, MD, Qasim Salimi, MD, Hecca Cox, MD, Stephen Peters, MD, Endoscopy Improves Patient Knowledge and Satisfaction but Increases Weizheng Wang, MD; Rutgers New Jersey Medical School, Newark, NJ Patient Anxiety Before the Procedure: A Randomized Controlled Trial P1033. Isolated Colonic Ganglioneuromas: A Rare Entity, Under-Reported Fahad F. Mir, MD, MSc1, Jamie Varghese2, Irum Shakeel, MD3, Sreenivasa S. or a New Phenomenon? Jonnalagadda, MD4, John Helzberg, MD3; 1University of Missouri, Mission, Gaurav Chand, DO, Dustin Kilpatrick, DO, Suneel Mohammed, MD; KS; 2University of Missouri, Kansas City, MO; 3St. Luke’s Hospital, Kansas Carolinas HealthCare System Blue Ridge, Morganton, NC City, MO; 4St. Luke’s Health System, Kansas City, MO P1034. Perforation During Underwater Endoscopic Mucosal Resection of a P1023. Longer Retroflexion Duration Significantly Improves Adenoma Large Sessile Polyp With Successful Endoscopic Management Detection Rate in the Right Colon: A Multicenter Prospective Pragmatic Ericson John Torralba, BSc1, Daniel Mai, BSc1, David P. Lee, MD, MPH2, Clinical Trial Jason Samarasena, MD1; 1University of California Irvine Medical Center, Fahad F. Mir, MD, MSc1, Hasan Badar, MD2, Muhammad Shafiq, MD2, Jamie Orange, CA; 2University of California Irvine, Orange, CA Varghese2, Wendell Clarkston, MD3, Donald Campbell, MD4, Rajiv Chhabra, MD4, Fadi Hamid, MD4, Susana Escalante-Glorsky, MD4, James Kim, MD4, P1035. Incidental Finding of a Colonic Gastrointestinal Stromal Tumor John Helzberg, MD4, Laura Alba, MD4, Sakher Albadarin, MD4, Hiliary (GIST) in Screening Colonoscopy: A Case Report and Review of Literature 1 2 2 1 Bownik, MD4, Sreenivasa S. Jonnalagadda, MD3; 1University of Missouri, Anupama Inaganti, MD , Samit K. Datta, MD , Aboud Affi, MD ; Aurora 2 Mission, KS; 2University of Missouri, Kansas City, MO; 3St. Luke’s Health Sinai Medical Center, Brookfield, WI; Aurora Sinai Medical Center, System, Kansas City, MO; 4St. Luke’s Hospital, Kansas City, MO Milwaukee, WI

96 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1036. Refractory Microscopic Colitis and Vedolizumab: Another Option P1048. Mycophenolate-Induced Colitis Before Colectomy? Rehan Farooqi, MD1, Afrin Kamal, MD2, Komal Thind, MD3, Carol A. Burke, Joseph Jennings, MD1, Aline Charabaty, MD2; 1Georgetown University MD, FACG4; 1MedStar Union Memorial Hospital, Baltimore, MD; 2Cleveland Hospital, Washington, DC; 2MedStar Georgetown University Hospital, Clinic, Cleveland, OH; 3Cleveland Clinic, Akron General, Akron, OH; Washington, DC 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH P1037. Rectal Polyp Secondary to Schistosoma mansoni in a Patient From P1049. Chronic Inflammatory Demyelination Polyneuropathy (CIDP) East Africa Associated with Colorectal Cancer Jared Lander, DO, Elizabeth Richardson, DO, Ashley Manganiello, MD, Adnan Malik, MD1, Dana Pan, MD2, Sooraj Tejaswi, MD, MSPH3; 1University Scott Fink, MD, MPH, FACP; Lankenau Medical Center, Wynnewood, PA of California Davis Medical Center, Marietta, GA; 2University of California Davis, Sacramento, CA; 3University of California Davis Medical Center, P1038. Treatment Resistant Grade III Capecitabine-Induced Diarrhea Sacramento, CA Highlighting the Therapeutic Efficacy of Oral Budesonide John Shumar, DO, Zachary Junga, MD, Lawrence Goldkind, MD; Walter P1050. Post-Colonoscopy Appendicitis: A Rare but Concerning Entity POSTERS Reed National Military Medical Center, Bethesda, MD Mohammad Ali, MD1, Jigar Patel, MD2, Douglas Katz, MD2, David MONDAY Friedel, MD3; 1New York University Winthrop Hospital, Mineola, NY; P1039. It Is Not Always Colitis: A Confusing Case of Colonic Lymphoma 2NYU-Winthrop, Mineola, NY; 3NYU Winthrop Hospital, Mineola, NY Yasir Al-Azzawi, MD, MPH1, Rohit Singhania, MD2, David Desilets, MD, PhD3; 1Baystate Health Center, Allston, MA; 2Baystate Health Center, P1051. Colonic Stricture Secondary to Recurrent Ischemic Colitis: Springfield, MA;3 University of Massachusetts Medical School - Baystate A Case Report Medical Center, Springfield, MA Faisal Mehmood, MD1, Yash Shah, MD1, Mihir Dave, MBBS2; 1Icahn School of Medicine at Mount Sinai, James J. Peters VA Medical Center, P1040. An 8-Mm Polyp Is Worth a 1,000 Words: Metastatic Lung Cancer New York, NY; 2Icahn School of Medicine at Mount Sinai, New York, NY Within a Tubular Adenoma Kevin Song, MD1, Brian J. Hanson, MD2; 1University of Minnesota, P1052. Primary Diffuse Large B-Cell Lymphoma of the Descending Minneapolis, MN; 2Minneapolis VA and University of Minnesota, Colon: A Rare Presentation Minneapolis, MN Bashar Sharma, MD1, Marsha Antoine, MD2, Mili Shah, MD2, Vikrant Tambe, MD2, Housam Hegazy, MD2; 1Upstate Medical University, Syracuse, NY; P1041. Starving Colon: A Rare Cause of Colitis in a Patient With a Diversion 2SUNY Upstate, Syracuse, NY Ileostomy Brian Dinh, MD1, Ankush Sharma, MD2, Mustafa Musleh, MD1; 1Wright State P1053. Looks Can Be Deceiving: An Atypical Presentation of Mantle University Boonshoft School of Medicine, Dayton, OH; 2Wright State Cell Lymphoma University, Beavercreek, OH Niharika Mallepally, MD, MPH1, Rollin George, MD1, Homayon Sidiq, MD2; 1Baylor College of Medicine, Houston, TX; 2Kelsey Seybold Clinic, Houston, TX P1042. Intestinal Tuberculosis Mimicking Crohn’s Disease and Malignancy Philip Durney, MD, Aaron Martin, MD, Lily Ackermann, MD, Steven P1054. A Rare Case of Hematochezia: Rectal Melanoma Greenfield, MD, Wei Jiang, MD; Thomas Jefferson University Hospital, Niharika Mallepally, MD, MPH, Robert Sealock, MD; Baylor College of Philadelphia, PA Medicine, Houston, TX P1043. An Unusual Case of a Cecal Mass P1055. Insidious Colonic Histoplasmosis in an Immunocompetent Patient: Jane Roberts, MD, PhD1, Audrey H. Calderwood, MD, MS, FACG2; A Case Report 1Dartmouth-Hitchcock Medical Center, Lebanon, NH; 2Geisel School of Sachin Srinivasan, MD1, John Millard, PharmD2, Christopher Fox, MD3, Medicine and Dartmouth Institute of Health Policy and Clinical Practice, Nathan Tofteland, MD1, Maha Assi, MD4; 1Kansas University School of Dartmouth-Hitchcock Medical Center, Lebanon, NH Medicine, Wichita, KS; 2Robert J. Dole Veteran Affairs Medical Center, Wichita, KS; 3Robert J. Dole Veterans Affairs Medical Center, Wichita, KS; P1044. Graft-Versus-Host Disease: Not Only in Allogeneic Hematopoietic 4Infectious Disease Consultants of Wichita, Wichita, KS Cell Transplant Artemio Santiago, MD, MPH, Irene VIllamil, MD, Alexandra Deya, MD, P1056. A Rare Case of Cytomegalovirus Colitis in an Immunocompetent Noridza Rivera, MD, Javier Sanchez, MD, Maria Marcos, MD; University of Patient Mimicking Clostridium difficile Colitis Puerto Rico, San Juan, Puerto Rico Ahmed Hamed, MD1, Karissa Lambert, MD1, Amira Hamed1, Deepak Donthi, MD, MPH2, Ahmed Abubaker1; 1East Carolina University, Greenville, P1045. Chronic Lymphocytic Leukemia Manifesting as Colon Polyps NC; 2East Carolina University/Vidant Health Center, Greenville, NC Michael Green, MD1, Khalil M. Abuamr, MD2; 1University of Missouri, Kansas City, MO; 2Truman Medical Center, Kansas City, KS P1057. Adult Hirschsprung Disease (HD): An Uncommon Cause of Chronic Refractory Constipation in Adults P1046. The Breast in the End: Metastatic Lobular Breast Cancer Found in Tehseen Haider, MD, Harish Guddati, MD, Waqas Nawaz, MD, Hilary the Rectum Hertan, MD, FACG; Montefiore Medical Center, Bronx, NY Mohammed Nayeem, MD1, My-Tang Dang, DO, PhD2, Husain Saleh, MD3, Ahmad Abu-Rashed, MD3; 1Detroit Medical Center / Wayne State P1058. A Pain in the Colon: Rheumatoid Arthritis as an Unusual Cause of University - Sinai Grace Hospital, Detroit, MI; 2Authority Health, Sterling Colonic Ischemia Heights, MI; 3Detroit Medical Center/Sinai Grace Hospital, Detroit, MI Alexander L. Nguyen, MD, John Erikson Yap, MD, Vikram Kotwal, MD, Bashar M. Attar, MD, PhD; Cook County Health and Hospitals System, P1047. A Rare Case of Unresolving Chronic Intestinal Pseudo-Obstuction Chicago, IL (CIP) requiring Surgical Intervention Mohammed Nayeem, MD1, My-Tang Dang, DO, PhD2, Bashar Mohamad, P1059. Co-Infection of CMV and Cryptosporidium in a Patient With AIDS MD3, Polk Zakia, DO4, Nida Firdous, MD5, Ahmad Abu-Rashed, MD5, Tejas V. Joshi, MD1, Corey Saraceni, MD1, Derek Childers, MS2, Sai Shruti Camelia Arsene, MD, PhD, MHS5; 1Detroit Medical Center / Wayne State Veerisetty, MD3, John Hutchings, MD3; 1LSU Health New Orleans School University - Sinai Grace Hospital, Detroit, MI; 2Authority Health, Sterling of Medicine, New Orleans, LA; 2UMHS-St. Kitts, New Orleans, LA; 3LSU Heights, MI; 3Detroit Medical Center/Wayne State University, Detroit, Health Sciences Center, New Orleans, LA MI; 4Health Authority, Detroit, MI; 5Detroit Medical Center/Sinai Grace Hospital, Detroit, MI

P1060. A Rare Case of Blue Rubber Bleb Nevus Syndrome P1073. Fulminant C. difficile Colitis in a Young Healthy Patient Andrew Kelts, DO1, Cassandra Steimle, DO1, Gary Valvano, DO1, Sadid Yonatan Ziv, MD, Kimberly R. Cavaliere, MD, Michelle R. Ewart, MD; Askarian, DO1, Masoud Firouzi, MD2, Michael Kochik, DO1, Mahesh Montefiore Medical Center, Bronx, NY Cheryala, MD3; 1Arnot Ogden Medical Center, Elmira, NY; 2Wilkes-Barre VA Medical Center, Wilkes-Barre, PA; 3The Wright Center for Graduate P1074. Endoscopic Full Thickness Resection of Rectal Schwannoma: The Medical Education, Scranton, PA Best to the Last Hafiz Khan, MD1, Magda Daoud, MD2, Sherif Andrawes, MD1; 1Staten Island P1061. A Colorectal Myxoid Nodule: Is It a BUMP or a Myxoma? University Hospital, Staten Island, NY; 2Staten Isand University Hospital, Sanket Patel, DO1, Adib Chaaya, MD2, Satyajeet Roy, MD3, Thomas Staten Island, NY Holdbrook, MD1, Cynthia McCleery, MD2; 1Cooper University Healthcare, Camden, NJ; 2Cooper University Healthcare, Mt. Laurel, NJ; 3Cooper P1075. Gastrocolonic Fistula: A Rare Complication of Disseminated University Healthcare, Cherry Hill, NJ Mucormycosis in a Previously Immunocompetent Adult Lauren S. Cole, MD1, Shifat Ahmed, MD2, Michael Fallon, MD3; 1University P1062. Common Complaints Masking a Rare Disease: Abdominal Pain and of Arizona College of Medicine, Scottsdale, AZ; 2University of Arizona, Diarrhea as the Presenting Signs of Lupus Enteritis Phoenix, Phoenix, AZ; 3University of Arizona College of Medicine, Shmuel Golfeyz, MD1, Michael Ma, MD2, Franklin E. Kasmin, MD2; 1Mount Phoenix, AZ Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel Hospital, New York, NY P1076. An Adenoma with a Twist: Colonic Intussusception Prateek Mathur, MD1, Paridhi Malik, MD2, Erik Olson, DO1; 1Rochester P1063. Diagnosis and Management of Chronic Intestinal Pseudo- General Hospital, Rochester, NY; 2Rochester General Hospital, Obstruction Secondary to Visceral Myopathy: A Case Presentation Henrietta, NY Isaiah P. Schuster, MD1, Marissa A. Wolfe, BA2, Jela Bandovic, MD 1, Demetrios Tzimas, MD3; 1Stony Brook University Medical Center, Stony P1077. Quetiapine-Associated Ischemic Colitis Kevin Singh, MD1, Raffat Batool, MD2, Soren Gandhi, MD2; 1New York Brook, NY; 2Stony Brook University School of Medicine, Stony Brook, NY; University School of Medicine, Woodhull Medical and Mental Health 3NYU School of Medicine, New York, NY Center, Lakewood, OH; 2New York University School of Medicine, P1064. Praziquantel for a Polyp? Woodhull Medical and Mental Health Center, Brooklyn, NY Matthew Bauer, MD, Amie Harvey, MD, Edward Stickle, MD, Angela M. Bachmann, MD, FCAP; Naval Medical Center San Diego, San Diego, CA P1078. A Rare Care of Subcutaneous Emphysema After Colonoscopy with No Identifiable Mucosal Defect P1065. A Case of Intestinal Behcet’s: More Than a Gut Feeling Anjali Mone, MD, Jack Goldstein, MD; Cooper University Hospital, Christine Chen, DO, Steven Tsistrakis, MD, Ilan Weisberg, MD, MSc; Mount Camden, NJ Sinai Beth Israel, New York, NY P1079. Post-Colonoscopy Rapidly Progressive Colorectal Cancer P1066. A Case of Chronic Diarrhea Caused by Monomorphic Epitheliotropic Pranay Srivastava, MD1, Bobby Jacob, MD1, Miral Subhani, MD1, Qi Tao, MD, Intestinal T-Cell Lymphoma PhD1, Kaleem Rizvon, MBBS, FACG2; 1Nassau University Medical Center, Qian Zhou, MD1, Rodger Sleven, MD2; 1Providence Saint Vincent Medical East Meadow, NY; 2NUMC, East Meadow, NY Center, Portland, OR; 2The Oregon Clinic Gastroenterology-West, Portland, OR P1080. Severe Colitis Secondary to IgA Vasculitis in Elderly Kaveh Zivari, MD, Michael G. Kantrowitz, DO, Negar Niknam, MD, Ira E. P1067. A Peculiar Case of Inferior Mesenteric Vein Thrombus Mayer, MD, FACG, Rabin Rahmani, MD, FACG; Maimonides Medical Center, Christine Chen, DO, Anup Shah, MD, Ilan Weisberg, MD, MSc; Mount Sinai Brooklyn, NY Beth Israel, New York, NY P1081. A Rare Case of Extensive Colonic Vascular Malformation Leading to P1068. Epiploic Appendagitis Masquerading as Acute Diverticulitis Chronic Disabling Gastrointestinal Bleeding Christine Chen, DO, Ilan Weisberg, MD, MSc; Mount Sinai Beth Israel, New Kaveh Zivari, MD, Negar Niknam, MD, Daniel J. Waintraub, MD, Ira E. York, NY Mayer, MD, FACG, Rabin Rahmani, MD, FACG; Maimonides Medical Center, Brooklyn, NY P1069. A Rare Case of Primary Ovarian Squamous Cell Cancer Metastatic to Colon P1082. Severe Steroid-Refractory Gastrointestinal Graft-Versus- Andrew Ofosu, MD, MPH1, Sowmya Josyula, MD2, Sriharsha Dadana, MD2, Host Disease in a Recipient of Autologous Hematopoietic Stem Cell Prashanth Rawla, MD3, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, Transplantation MD5; 1The Brooklyn Hospital Center, Brooklyn, NY; 2Saint Barnabas Ahmed Khattab, MD1, Hina Omar, MD1, Baseer Qazi, MD1, Leonard Klein, Hospital, Bronx, NY; 3Memorial Hospital of Martinsville and Henry County, MD1, David Loeffler, 2DO ; 1Advocate Lutheran General Hospital, Park Martinsville, VA; 4St. Barnbas Hospital, Bronx, NY; 5SBH Health System, Ridge, IL; 2University of Illinois at Chicago, Park Ridge, IL Bronx, NY P1083. Cloacal Carcinoma - A Rare Feature in Anal Tumors P1070. Fishing in the Colon Krunal Patel, MD1, Sudha Pandit, MD2, Moheb Boktor, MD2; 1LSU HSC, Ahmed Chatila, MD, Lauren August Clark, MD, Yezaz Ghouri, MD, Gurinder Shreveport, LA; 2LSU Health, Shreveport, LA Luthra, DO; University of Texas Medical Branch, Galveston, TX P1084. A Rare Case of Mixed Adenoneuroendocrine Carcinoma of Colon P1071. Arteriovenous Malformation Within Duodenal Diverticulum Mustafa Alani, MD 1, Sharad Bellapravalu, MD2, Indu Srinivasan, MD2, Ahmed Chatila, MD, Eric Gou, MD, Hamza Abdulla, MD, Sheharyar Merwat, Keng-Yu Chuang, MD3; 1Banner University Medical Center, Phoenix, AZ; MD; University of Texas Medical Branch, Galveston, TX 2Maricopa Integrated Health System, Phoenix, AZ; 3Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ P1072. Capecitabine-Associated Ileocolitis Diagnosed on Colonoscopy Alexander Dao, MD1, Ahmad Nakshabandi, MD2, Rohan Mandaliya, MD1, P1085. Focal Ischemic Colitis Mimicking Colon Cancer Sandeep Nadella, MD3, Mark Mattar, MD, FACG3, Aline Charabaty, MD3; Nhu An Nguyen, DO, Nena Wendzel, DO, MS, Rodney Boyum, MD, PhD, 1Georgetown University Hospital, Washington, DC; 2Mercy Hospital and Michael McNally, MD, Roy Wong, MD, MACG; Walter Reed National Medical Center/University of Illinois, Chicago, IL; 3MedStar Georgetown Military Medical Center, Bethesda, MD University Hospital, Washington, DC

98 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1086. Rare Presentation of Neuroendocrine Carcinoma and P1096. Incidence Rates of Colorectal Cancer in South Asians, Other Asian Adenocarcinoma Occurring Independently in Same Segment of Colon Groups, and Non-Hispanic Whites in California Jesse J. Xie, MD, Salman Khan, MD, Eric Yee, MD, Nazish Khan, MBBS, Julia Runalia Bahar, MD1, Cyllene R. Morris, DVM, PhD2, Sooraj Tejaswi, MD, J. Liu, MD; University of Arkansas for Medical Sciences, Little Rock, AR MSPH1; 1University of California Davis Medical Center, Sacramento, CA; 2California Cancer Reporting and Epidemiologic Surveillance (CalCARES) P1087. A Rare Case of Pembrolizumab-Induced Collagenous Colitis Program, Sacramento, CA Jesse J. Xie, MD, Salman Khan, MD, Matthew R. Lindberg, MD, Nazish Khan, MBBS, Julia J. Liu, MD; University of Arkansas for Medical Sciences, P1097. Body Mass Index Does Not Impact the Parameters of Screening Little Rock, AR Colonoscopy Courtney Bundrick, MD, Benjamin Tharian, MD, Sumant Inamdar, MD, P1088. The Carbon Pillow Tattoo: Improving EMR Efficiency, Costs and Shashank Garg, MD; University of Arkansas for Medical Sciences, Little Follow-Up Surveillance Rock, AR Reed B. Hogan, MD1, Reed B. Hogan, MD2; 1GI Associates, Jackson, MS; 2GI Associates, Flowood, MS P1098. Is Family History Relevant When Considering Screening POSTERS Colonoscopy in Male Octogenarians and Nonagenarians? MONDAY P1089. Are Laxatives Enough to Manage Chronic Constipation? David R. Miller, BS1, Micheal Tadros, MD, MPH1, Mikram Jafri2, Gurjiwan Mohamad A. Mouchli, MD1, Douglas Grider, MD, FCAP, FASDP2, Marrieth Virk, MD1; 1Albany Medical College, Albany, NY; 2Veterans Affairs Rubio, MD1; 1Carilion Clinic, Virginia Tech University, Roanoke, VA; Medical Center, albany, NY 2Carilion Clinic, Virginia Tech School of Medicine, Roanoke, VA P1099. Assessing Resident Awareness: A Quality Improvement Project P1090. Fistulizing Crohn’s Disease Complicated by a Giant Abdominopelvic on Indications and Recommendations for Fecal Occult Blood Testing Sterile Seroma Sachin Kirtane, MD1, Deepanshu Jain, MD2, Benjamin Tharian, MD3, Gaurav Bhardwaj, MD, Harish Guddati, MD, Hilary Hertan, MD, FACG; Rafael Amaral, MD1, Samar Harris, MD4, Sameer Siddique, MD2; 1Mercy Montefiore Medical Center, Bronx, NY Catholic Medical Center, Philadelphia, PA; 2Albert Einstein Medical P1091. Intestinal Spirochetosis: Incidental Finding or Clinically Significant? Center, Philadelphia, PA; 3University of Arkansas for Medical Sciences, Dan McEntire, MD1, Sheeva K. Parbhu, MD1, David Bjorkman, MD, MSPH, Little Rock, AR; 4University of Texas Southwestern, Dallas, TX 2 1 2 MSci(Epi) ; University of Utah, Salt Lake City, UT; University of Utah P1100. Validation Study of U.S. Guideline of Surveillance Colonoscopy for School of Medicine, Salt Lake City, UT Colorectal Cancer Using Asian Population Fumio Omata, MD, MPH, PhD1, Naoki Ishii, MD, PhD2, Yasuhisa Kumakura, MD1, Katsuyuki Fukuda, MD1, Yoshiyuki Fujita, MD1, Katsunori Masuda, COLORECTAL CANCER PREVENTION MD1; 1St. Luke’s International University, Chuo-Ku, Tokyo, Japan; 2Tokyo P1092. Accuracy of the Quantitative Fecal Immunochemical Test (FIT) Shinagawa Hospital, Shinagawa-Ku, Tokyo, Japan for Colorectal Cancer and Advanced Adenoma Detection: An Updated P1101. Is 6 Minutes of Withdrawal Time Still Enough? A Re-examination of Systematic Review and Meta-Analysis Withdrawal Time in Colonoscopy at a Contemporary Academic Setting  Presidential Poster Award James Han, MD1, Rani Berry, MD2, Daniel Kim, MD3, Mohammed Ali, MD3, Emma Levine, BA1, Kevin Selby, MD, MAS2, Cecilia Doan, MPH3, Anton Gies4, William Karnes, MD3; 1University of California Irvine Medical Center, Hermann Brenner, MD, MPH5, Jeffrey Lee, MD6, Douglas Corley, MD, PhD6; Anaheim, CA; 2University of California Los Angeles, Ronald Reagan 1University of California San Francisco, San Francisco, CA; 2University of Medical Center, Los Angeles, CA; 3University of California Irvine Medical Lausanne, Lausanne, Vaud, Switzerland; 3Kaiser Permanente Division of Center, Orange, CA Research, Oakland, CA; 4Division of Preventive Oncology, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT), P1102. Referral for Colonoscopy in Patients With Streptococcus bovis Heidelberg, Heidelberg, Baden-Wurttemberg, Germany; 5German Cancer Bacteremia and the Association With Colorectal Cancer and Adenomatous Research Center, Heidelberg, Baden-Wurttemberg, Germany; 6Kaiser Polyps: A Quality Assurance Study Permanente Northern California, San Francisco, CA Kristyne Onizuka, MD, Derek H.W. Little, MD, Khurram J. Khan, MD, BSc, MSc(Epi); McMaster University, Hamilton, ON, Canada P1093. Real World Utilization of a Mobile Application-Based Bowel Preparation on Quality Indicators in Colonoscopy P1103. Adenoma Detection Rate in Index Screening Colonoscopy in Michelle L. Hughes, MD1, Whitney S. Kukol, MD1, Krystle Bittner, MPH1, Predominantly Immigrant Urban Black Population: A Retrospective Study Brandon Sprung, MD2; 1University of Rochester Medical Center, Rochester, Karthik Ragunathan, MD, Helen Lyo, MD, Michael Mann, MD, Shivakumar NY; 2University of Rochester, Rochester, NY Vignesh, MD; SUNY Downstate Medical Center, Brooklyn, NY P1094. Breaking Down Barriers: Using Virtual Reality to Enhance Patient P1104. Alterations in Adenoma Characteristics Over Time: More Patients with >2 Education and Improve Colorectal Cancer Screening Small Adenomas and Not Associated With Metachronous Advanced Adenoma Nathaniel Ernstoff, MD1, Janelle Cuervo, DO, MS1, Flavia Carneiro, PhD2,  Fellows-in-Training Award (Colorectal Cancer Prevention Category) Ignacia Dalmacio, ARNP3, Amar Deshpande, MD, FACG1, Daniel A.  Presidential Poster Award 1 2 1 Sussman, MD, MSPH4, Jamie S. Barkin, MD, MACG4, Paul A. Feldman, MD, Carol Rouphael, MD , Rocio Lopez, MS , John McMichael , Carol A. Burke, 3 1 2 MSc4; 1University of Miami, Miami, FL; 2Miami VA, Miami, FL; 3Veterans MD, FACG ; Cleveland Clinic, Cleveland, OH; Lerner Research Institute/ 3 Affairs Medical Center, Miami, FL;4 University of Miami Leonard M. Miller Cleveland Clinic Foundation, Cleveland, OH; Digestive Disease Institute/ School of Medicine, Miami, FL Cleveland Clinic Foundation, Cleveland, OH P1095. Influence of Aerodigestive Tract Radiation on Multi-Target Stool P1105. Lack of Reliability of Self Reports of Patients With Advanced Colon Polyps DNA Screening for Colorectal Cancer Ben G. Fiedler1, Lawrence M. Fiedler, MD2, Michael A. DeDonno, PhD3, 2 2 Derek Ebner, MD1, Jason D. Eckmann, MD1, Kelli Burger1, Doug Mahoney1, Kosisochukwu Anago, MD , Leonie de la Cruz, BA , George R. Luck, MD, 2 2 1 Thomas Whitaker, PhD1, David A. Ahlquist, MD2, Ivy A. Petersen, MD1, FAAHPM , Charles H. Hennekens, MD, DrPH ; Cornell University College 2 John Kisiel, MD2; 1Mayo Clinic Rochester, Rochester, MN; 2Mayo Clinic, of Arts and Sciences, Boca Raton, FL; Florida Atlantic University, 3 Rochester, MN Charles E. Schmidt College of Medicine, Boca Raton, FL; Florida Atlantic University, Boca Raton, FL

P1106. Early Incidence of Malignant and Pre-Malignant Colorectal Lesions: P1117. Endoscopic Control of Polyp Burden and Expansion of Surveillance Evaluation of 310 Cases Intervals in Serrated Polyposis Syndrome Ana Santos, MD, Armando Peixoto, MD, Ana Santos, MD, Pedro Costa- Margaret E. MacPhail, MS1, Scott B. Thygesen1, Douglas K. Rex, MD, Moreira, MD, Rosa Ramalho, MS, Eduardo Rodrigues-Pinto, MD, Margarida MACG2; 1Indiana University School of Medicine, Indianapolis, IN; 2Indiana Marques, MS, Guilherme Macedo, MD, PhD, FACG; Centro Hospitalar São University, Indianapolis, IN João, Porto, Portugal P1118. Epidemiology of First-Ever Colorectal Cancer in Individuals with HIV P1107. Urine Metabolomic Biomarker Panel for Colorectal Cancer in the United States Between 2012 and 2017: A Population-Based Study  Presidential Poster Award Vijit Chouhan, MD1, Emad Mansoor, MD2, Mohannad Abou Saleh, MD1, Lu Deng, PhD1, Kathleen P. Ismond, PhD2, Zhengjun Liu, MS2, Jiamin Zheng, Gregory Cooper, MD1; 1University Hospitals Cleveland Medical Center, MS2, David Chang, PhD1, Peter T. Kingham, MD, FACS3, Olusegun Issac Cleveland, OH; 2Case Western Reserve University/University Hospitals Alatise, MD4, David S. Wishart, PhD2, Haili Wang, MD2, Richard N. Fedorak, Cleveland Medical Center, Cleveland, OH MD2; 1Metabolomic Technologies Inc., Edmonton, AB, Canada; 2University of Alberta, Edmonton, AB, Canada; 3Memorial Sloan Kettering Cancer Center, P1119. The Impact of a Health Care Delivery-Based Colorectal Cancer New York, NY; 4Obafemi Awolowo University, Ile-Ife, Osun, Nigeria Screening Educational Session on the Perceptions and Knowledge Base of First Year Medical Students P1108. Comparative Effectiveness and Cost-Effectiveness Analysis of a Roselande Marcellon, BS, MPH1, William Calawerts, BS1, Joseph Roberts, Urine Test versus Alternative Colorectal Cancer Screening Strategies BS1, Elena Insley, BS1, Christopher Mayer, BS, MS1, Heather Dacus, DO, Scott Barichello, MD1, Thanh Nguyen, MD2, Lu Deng, PhD3, Kathleen MPH2, Paul Sorum, MD1, Manjunath Kallanna, MD3, Rebecca Stetzer, P. Ismond, PhD1, Dustin E. Loomes, MD1, Erin Kirwin, MA4, Haili Wang, MD4, Hyacinth Mason, PhD, MPH1, Michael Waxman, MD, MPH1, Micheal MD1, David Chang, PhD3, Larry Svenson, PhD4, Richard N. Fedorak, Tadros, MD, MPH1; 1Albany Medical College, Albany, NY; 2New York State MD1; 1University of Alberta, Edmonton, AB, Canada; 2Institute of Health Department of Health, Menands, NY; 3Whitney Young Health Center, Economics, Edmonton, AB, Canada; 3Metabolomic Technologies Inc., Albany, NY; 4Albany Medical College/Albany VA Medical Center, Albany, Edmonton, AB, Canada; 4Government of Alberta, Edmonton, AB, Canada NY P1109. Prevalence of Advanced Histology in Small and Diminutive P1120. Impact of Cleansing Quality Using the Boston Bowel Preparation Colon Polyps Scale on Polyp and Adenoma Detection Rates: A Post Hoc Analysis of Three Mary Strader, MD, Jennifer Copare, DO, Ayesha Munir, MBBS, Matthew Phase 3 Randomized Trials Rosenblum, BA, Seth J. Richter, MD; Albany Medical Center, Albany, NY Cesare Hassan, MD1, Raf Bisschops, MD, PhD2, Howard Franklin, MD3, Bharat Amlani, BPharm4, Michael S. Epstein, MD5; 1Nuovo Regina P1110. Incidence and Determinants of Post Colonoscopy Colorectal Margherita, Rome, Lazio, Italy; 2KU Leuven, University Hospitals Leuven, Carcinoma: A Large Single Centre Retrospective Study in United Kingdom Leuven, Brabant Wallon, Belgium; 3Salix Pharmaceuticals, Bridgewater, Anirudh Pramod Bhandare, MBBS, MD, Yaa Danso, MBBS, MRCP, Gaurav NJ; 4Norgine Ltd., Harefield, England, United Kingdom;5 Digestive Bhasker Nigam, MBBS, DNB, Salahudin Khalid, MBBS, FRCP; Pennine Disorders Associates, Annapolis, MD Acute Hospitals Trust, Manchester, England, United Kingdom P1121. Association Between Trust in Source of Health Information and P1111. Should All Diabetic Patients Receive Extended Bowel Preps? A Novel Being Screened for Colorectal Cancer Among U.S. Adults Attempt at a Predictive Score Kolapo Idowu, MD1, Lydia Suryakumar, MD1, Temitayo Ogundipe, MD1, Jose R. Estrada, MD1, Thomas C. Mahl, MD1, Erika Mruczek, RN2, Jad Bou- Idongesit Attang, MD1, Oladunni Filani, MD1, Clinton Burnside, MD1, Carla Abdallah, MD3; 1University at Buffalo, Buffalo, NY;2 Buffalo VA Medical Williams, PhD2, Mark Johnson, MD1, Krishnan Narasimhan, MD2, Adeyinka Center, Buffalo, NY;3 Western NY VA Medical Center, Buffalo, NY Laiyemo, MD, MPH2; 1Howard University Hospital, Washington, DC; P1112. FIT-Positive Patients Have Higher Rates of Colorectal Cancer and 2Howard University, Washington, DC Advanced Neoplasia Compared to Screening Colonoscopy Patients P1122. Can a Convolutional Neural Network Solve the Polyp Size Dilemma? Ankush Sharma, MD1, Brian Dinh, MD2, Padmini Krishnamurthy, MD2,  Category Award (Colorectal Cancer Prevention) Ronald J. Markert, PhD2, Sangeeta Agrawal, MD, FACG2; 1Wright State  Presidential Poster Award University, Beavercreek, OH; 2Wright State University Boonshoft School James Requa1, Tyler Dao2, Andrew Ninh1, William Karnes, MD3; 1Docbot, of Medicine, Dayton, OH Irvine, CA; 2Docbot, Orange, CA; 3University of California Irvine Medical P1113. Colorectal Neoplasia in Lynch Syndrome Patients Center, Orange, CA Henry Dust, MD, Elena Stoffel, MD, Erika Koeppe, MS, Shannen Bolde, MPH; University of Michigan, Ann Arbor, MI COLORECTAL CANCER PREVENTION P1114. Hyperplastic Polyps on Colonoscopy - Not so Benign After All Clinical Vignettes / Case Reports Marc Monachese, MD1, Gautam Mankaney, MD2, Carol Rouphael, MD2, Rocio Lopez, MS3, Carol A. Burke, MD, FACG4, John McMichael2; 1Cleveland P1123. Breast Cancer as a Cause of Intestinal Obstruction? A Case Report Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; Diego Hidalgo, MD, Manisha Nukavarapu, MD, Alison Smith, MD, Dhara 3Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; Chaudhari, MD, Mark Young, MD; East Tennessee State University, 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH Johnson City, TN P1115. A Survey of ADR Knowledge and Practices Among U.S. P1124. Incidental Metastatic Breast Cancer of the Ascending Colon on Gastroenterologists Screening Colonoscopy Michael Peng, BS1, Douglas K. Rex, MD, MACG2; 1Indiana University School George Shenouda, DO1, Leonid Shamban, DO2, Justin Miller, DO, FACOI2; of Medicine, Indianapolis, IN; 2Indiana University, Indianapolis, IN 1Northeast Regional Medical Center, Kirksville, MO; 2Genesys Regional Medical Center, Grand Blanc, MI P1116. Increased Prevalence of Colorectal Adenomas in Patients With Non- Alcoholic Fatty Liver Disease: A Cross-Sectional Study John W. Blackett, MD, Elizabeth Verna, MD, Benjamin Lebwohl, MD, MS; Columbia University Medical Center, New York, NY

100 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1125. First Documented Case of Interval Colorectal Cancer With ESOPHAGUS Metastatic Spread to the Lungs Faris Pacha, DO1, Jamie L. Skrove, DO1, Joseph Salhab, DO1, Dominic M. P1136. Electronic Medical Record Adaptable Tool to Stratify Risk of Colella, DO2, Andres M. Perez Pecora, MD3, Amir Riaz, MS44, Sarah R. Readmission for Esophageal Stenosis After Endoscopic Dilation 1 1 2 Cheyney, MS4, MPH 4, Javier Sobrado, MD5; 1Larkin Community Hospital, Shashank Sarvepalli, MD, MS , Malav P. Parikh, MD , Swara Sarvepalli , 3 3 1 Miami, FL; 2Nova Southeastern University, Larkin Hospital, South Miami, Prasanthi N. Thota, MD , Madhusudhan R. Sanaka, MD ; Cleveland Clinic, 2 3 FL; 3Gastromed, Homestead, FL; 4St. George’s University School of Cleveland, OH; University of Michigan, Ann Arbor, MI; Cleveland Clinic Medicine, Miami, FL; 5Gastromed, Miami, FL Digestive Disease Institute, Cleveland, OH P1126. Metastatic Breast Cancer Diagnosed Through Screening P1137. High Utilizers of Inpatient Services in Patients With Esophageal Colonoscopy Stenosis 1 1 2 Jayal Education, DO1, Shakil Karim, DO2; 1Franciscan Health Olympia Shashank Sarvepalli, MD, MS , Malav P. Parikh, MD , Swara Sarvepalli , 3 3 1 Fields, Streamwood, IL; 2Franciscan Health Olympia Fields, Olympia Prasanthi N. Thota, MD , Madhusudhan R. Sanaka, MD ; Cleveland Clinic, Cleveland, OH; 2University of Michigan, Ann Arbor, MI;

Fields, IL POSTERS 3Cleveland Clinic Digestive Disease Institute, Cleveland, OH MONDAY P1138. Autologous Free Skin Transplantation to Prevent Esophageal ENDOSCOPY VIDEO FORUM Stricture After Complete Circular Endoscopic Submucosal Dissection for P1127. Double-Balloon Assisted Ileo-Cecal Valve Hybrid EMR Case Series Superficial Esophageal Neoplasms  Presidential Poster Award Ningli Chai, MD, PhD, Jiale Zou, MS, Enqiang Linghu, MD, PhD, Sam Sharma, MBBCh, Kota Momose, MD, Yohei Kono, MD, Talal Al- Longsong Li, MS, Xiangyao Wang, MD, Jingyuan Xiang, MS, Wengang Zaghari, MD, Parul Shukla, MD, Jeffrey Milsom, MD; Weill Cornell Zhang, MS, Zhenjuan Li, MD; Chinese PLA General Hospital, Beijing, Medicine, New York, NY People’s Republic of China P1128. Next Generation Therapeutic Endoscopic Polypectomy Platform: P1139. Randomized Controlled Trial: The Clinical Efficacy and Safety of First in vivo Experience Transoral Endoscopy Cardia Coarctation With Ligation versus Proton Pump Sam Sharma, MBBCh, Yohei Kono, MD, Kota Momose, MD, Jeffrey Milsom, Inhibitors for the Treatment of Gastroesophageal Reflux Disease 1 1 2 MD; Weill Cornell Medicine, New York, NY Enqiang Linghu, MD, PhD , Ningli Chai, MD, PhD , Shengzhen Liu, MD , Yaqi Zhai, MD1, Xiuxue Feng, MD1, Zhenjuan Li, MD1, Longsong Li, MS1, P1129. Complex Sigmoid EMR with Double-Balloon Assistance: Jiale Zou, MS1, Xiaobin Zhang, MD1, Xiaoxiao Wang, MD1; 1Chinese PLA A Case Series General Hospital, Beijing, People’s Republic of China; 2Chinese PLA Sam Sharma, MBBCh, Kota Momose, MD, Yohei Kono, MD, Talal Al- General Hospital, Pittsburgh, PA Zaghari, MD, Carl McDougall, MD, Parul Shukla, MD, Jeffrey Milsom, MD; Weill Cornell Medicine, New York, NY P1140. Predictors of Postoperative Stricture After Endoscopic Submucosal Dissection for Large Superficial Esophageal Squamous Cell Neoplasms P1130. Bouveret Syndrome: A Tough Nut to Crack Zhenjuan Li, MD, Ningli Chai, MD, PhD, Longsong Li, MS, Jiale Zou, MS, Ijlal Akbar Ali, MD1, Sultan Mahmood, MD1, William M. Tierney, MD2; Chen Du, MS, Zhongsheng Lu, MD, Enqiang Linghu, MD, PhD; Chinese 1Oklahoma University Health Sciences Center, Oklahoma City, OK; PLA General Hospital, Beijing, People’s Republic of China 2University of Oklahoma Health Sciences Center, Oklahoma City, OK P1141. Endoscopic Features and Risk Stratification of Patients With P1131. Successful Endoscopic Management of Bouveret’s Syndrome Using Barrett’s Esophagus LASER Lithotripsy Sajiv Sethi, MD1, Lilia Stefaniwsky, MD 1, Meghana Vellanki, MD1, Prasad  Presidential Poster Award Kulkarni, MD 2; 1University of South Florida, Tampa, FL; 2University of Dupinder Singh, MD, Guru Trikudanathan, MD; University of Minnesota, South Florida, James A. Haley VA, Tampa, FL Minneapolis, MN P1142. Post-Prandial Acid Pocket as a Cause of GERD, Nausea and Vomiting P1132. EUS-Guided Hepaticogastrostomy with Lumen-Apposing Metal Post Sleeve Gastrectomy Stent (LAMS) for Management of Pyogenic Liver Abscess Khushbir Bath, MD, Jadesola Fapohunda, MD, MPH, Joan Culpepper-  Presidential Poster Award Morgan, MD; Harlem Hospital Center, New York, NY Amar Manvar, MD1, Sammy Ho, MD, FACG2; 1Montefiore Medical Center, New York, NY; 2Albert Einstein College of Medicine/Montefiore Medical P1143. Socioeconomic Disparity Is a Major Factor in Adherence to Center, Bronx, NY Endoscopic Surveillance for Non-Dysplastic Barrett’s Esophagus Mahmoud Isseh, MD, Laurel Mueller, DO, Hussna Abunafeesa, MBBS, P1133. Embedded Lumen Apposing Metal Stent Removal Using Argon Dania Shakaroun, MD, Mouhanna K. Abu Ghanimeh, MD, Christopher Plasma Coagulation Fernandez, MD, Keith Mullins, MD, Joseph Miller, MD, Syed-Mohammed Shelini Sooklal, MD1, Anand Kumar, MD, MPH2; 1Drexel University College Jafri, MD, Adrienne Lenhart, MD; Henry Ford Hospital, Detroit, MI of Medicine, Philadelphia, PA; 2Drexel University, Philadelphia, PA P1144. The Incidence of Variceal Bleeding Is Impacted by the Season: P1134. A Simple and Novel Single-Step Method for Simultaneous Removal A Review of the National Inpatient Sample (NIS) Database, 2005-2014 and Closure of a Distally Migrated Biliary Stent Causing Lateral Wall Tausif Siddiqui, MD1, Mohammad Bilal, MD2, Jonathan E. Barsa, MD3, Duodenal Perforation Benjamin Barbash, MD3, Christopher Nabors, MD, PhD4, Virendra Tewari, Andrew Hornick, MD1, Zachary L. Smith, DO2; 1University Hospitals/Case MD5, David C. Wolf, MD, FACG4; 1New York Medical College, Valhalla, NY; Western Reserve School of Medicine, Cleveland, OH; 2Case Western 2University of Texas Medical Branch, Galveston, TX; 3Westchester Medical Reserve University School of Medicine, Cleveland, OH Center, Valhalla, NY; 4New York Medical College at Westchester Medical 5 P1135. Exploration of the Common Bile Duct and Cystic Duct Stump Using Center, Valhalla, NY; Westchester Medical Center at Westchester Medical an Esophagoscope With the Ampulla Hidden in a Diverticulum - Tricks of Center, Valhalla, NY the Trade Rayburn Rego, MD; VA Medical Center, Little Rock, AR

P1145. Barrett’s Esophagus Screening and Treatment: A Survey to Assess P1155. Impact of Metformin Use on Esophageal Cancer Recurrence and Knowledge Gaps in Internal Medicine Residents Survival: A Systematic Review and Meta-Analysis Brianna Shinn, MD1, Charles Kistler, MD, PharmD1, Apeksha Shah, MD2, Evan Wilder, BA1, Jillian Poles2, Brooke Yang3, Violeta Popov, MD, PhD1; Andrew C. Elden, MD2, Christopher H. Henry, MD1, Christina Tofani, 1New York University School of Medicine, New York, NY; 2VA NY Harbor MD1, Anthony Infantolino, MD1; 1Thomas Jefferson University Hospital, Health Care System, Millwood, NY; 3VA NY Harbor Health Care System, Philadelphia, PA; 2Thomas Jefferson University Hospitals, Philadelphia, PA New York, NY P1146. Assessing the Safety of Esophageal Stents in the Management of P1156. Probe-Based Confocal Laser Endomicroscopy Predicts Non-Erosive Patients with Benign and Malignant Esophageal Diseases Reflux Disease During Routine Upper Endoscopy in Humans Vivek Kesar, MD1, Talal Seoud, MD2, Christa McPhee, MD1, Anna Pritesh Mutha, MD, MPH1, Tilak Shah, MD, MHS2, Alvin Zfass, MD, MACG2, Andrzejczyk, MD1, Erin Taub, MPH1, Varun Kesar, MD3, Lionel D’Souza, MD1, Shijian Chu, PhD3, Patricia Cooper, MS4, Mankanchan Gill, DNP5, Le Demetrios Tzimas, MD4, Jonathan Buscaglia, MD1, Juan Carlos Bucobo, Kang, PhD6, George Smallfield, MD, MSc6, Mitchell Schubert, MD2; 1VCU MD1; 1Stony Brook University Hospital, Stony Brook, NY; 2Stony Brook Medical Center/ McGuire VA Medical Center, Richmond, VA; 2Hunter University Hospital, Lake Grove, NY; 3Lenox Hill Hospital, Stony Brook, Holmes McGuire VAMC/Virginia Commonwealth University, Richmond, NY; 4Stony Brook University Hospital, New York, NY VA; 3John Tyler Community College, Richmond, VA; 4McGuire Veterans Administration Medical Center, Richmond, VA; 5Hunter Holmes McGuire P1147. Utility of Screening EGD in High Risk Patients Undergoing VAMC, Richmond, VA; 6Virginia Commonwealth University, Richmond, VA Transesophageal Echocardiography Nurit S. Katz, MD1, Hamza Aziz, MD2, Uzoamaka Kimberly Dike, MD1, P1157. Efficacy, Tolerance, and Safety of Hybrid Argon Plasma Coagulation Moises I. Nevah, MD1; 1University of Texas Health Science Center at for the Treatment of Barrett’s Esophagus: A U.S. Pilot Study Houston, Houston, TX; 2University of Texas at Houston, Houston, TX James Han, MD1, Toshitaka Shimizu, MD2, Allen Yu, BSc1, Kyle Fortinsky, MD2, David P. Lee, MD, MPH2, Kenneth Chang, MD2, Jason Samarasena, P1148. Natural Language Processing of EGD Procedure Notes More MD1; 1University of California Irvine Medical Center, Orange, CA; Accurately Identifies GERD Indications Than ICD Administrative Codes 2University of California Irvine, Orange, CA Sheeva K. Parbhu, MD1, Garrett Cole, MS1, Michael Sossenheimer, MD, FACG2, Andrew Gawron, MD, PhD1; 1University of Utah, Salt Lake City, UT; P1158. Hospitalized Patients With Crohn’s Disease Are More Likely to Have 2University of Utah School of Medicine, Salt Lake City, UT Eosinophilic Esophagitis Xiaowen Fan, MD1, Melissa Hershman, MD2, Xiaocen Zhang, MD3, Ali T. P1149. Recurrence Rate of Barrett’s Esophagus After Cryoablation Khan, MBBS4, Gaurav Kakked, MD5, Michael S. Smith, MD, MBA6; 1Mount Behnam Moein Jahromi, MD, Franklin Tsai, MD, Walter Coyle, MD; Scripps Sinai St Luke’s and Mount Sinai West, New York, NY; 2Mount Sinai Beth Clinic/Scripps Green Hospital, San Diego, CA Israel, St. Luke’s and West, New York, NY; 3Mount Sinai St. Luke’s West P1150. Characteristics of Esophageal Pulsatile Pressure Zones (EPPZ) on Hospital Center, New York, NY; 4Icahn School of Medicine at Mount Sinai, HREMI in Patients Undergoing Pre-Lung Transplantation Evaluation New York, NY; 5Icahn School of Medicine, New York, NY; 6Mount Sinai Samanta Zitomer, DO1, Rajiv Bhuta, MD2, Zubair Malik, MD3, Ron Schey, West & Mount Sinai St. Luke’s Hospitals, New York, NY MD4, Henry P. Parkman, MD5; 1Temple University Hospital, Huntingdon 2 3 P1159. Inpatients Requiring Dilation for Esophageal Strictures Have High Valley, PA; Temple University School of Medicine, Philadelphia, PA; Lewis Rates of Readmission Regardless of Etiology Katz School of Medicine at Temple University, Philadelphia, PA; 4Lewis Xiaowen Fan, MD1, Jean Abed, MD2, Xiaocen Zhang, MD3, Ali T. Khan, Katz School of Medicine at Temple University Hospital, Philadelphia, PA; MBBS4, Michael S. Smith, MD, MBA5; 1Mount Sinai St Luke’s and Mount 5Temple University Hospital, Philadelphia, PA Sinai West, New York, NY; 2Mount Sinai St. Luke’s - West Hospital, Icahn P1151. A New Strategy for Preventing Esophageal Stricture After Complete School of Medicine at Mount Sinai, New York, NY; 3Mount Sinai St. Luke’s Circular ESD by Using a New Balloon West Hospital Center, New York, NY; 4Icahn School of Medicine at Mount Longsong Li, MS, Enqiang Linghu, MD, PhD, Ningli Chai, MD, PhD, Jiale Sinai, New York, NY; 5Mount Sinai West & Mount Sinai St. Luke’s Hospitals, Zou, MS, Xiangyao Wang, MD, Jingyuan Xiang, MS, Zhenjuan Li, MD; New York, NY Chinese PLA General Hospital, Beijing, People’s Republic of China P1160. Prolonged Wireless pH Monitoring Increases Diagnostic Yield of P1152. Clinical Impact of Increasing the Threshold for Distal Esophageal Abnormal Acid Reflux Acid Exposure Time (AET) Reena V. Chokshi, MD1, Seung Chung, MD2, Harsimran Brar, MBBS2, Prithvi Ali Raza, MD1, Harsimran Brar, MBBS1, Seung Chung, MD1, Julie Guider, Patil, MS2, Julie Guider, MD2, Julie Holihan, MD2, Bijun S. Kannadath, MD1, Riddhi Chaudhari, MBBS1, Prithvi Patil, MS1, Nirav Thosani, MD2, Erik MBBS, MS3, R. Tomas Davee, MD2, Ali Raza, MD2, Todd Wilson, MD2, Erik Wilson, MD1, R. Tomas Davee, MD1, Reena V. Chokshi, MD3, Brooks D. Cash, Wilson, MD2, Nirav Thosani, MD4, Brooks D. Cash, MD, FACG2; 1UT Health MD, FACG1, Todd Wilson, MD1; 1University of Texas Health Science Center - McGovern Medical School, Houston, TX; 2University of Texas Health at Houston, Houston, TX; 2University of Texas Health Science Center at Science Center at Houston, Houston, TX; 3University of Arizona College Houston / McGovern Medical School, Houston, TX; 3UT Health - McGovern of Medicine, Phoenix, AZ; 4University of Texas Health Science Center at Medical School, Houston, TX Houston / McGovern Medical School, Houston, TX P1153. Higher Daily Pollen Counts Correlate With an Increased Rate of P1161. Predictors of Mortality Among Hospitalized Patients With Esophageal Food Bolus Impactions Esophageal Cancer Charles W. McMahon, MD1, Yousaf Zafar, MD1, Conner Clarkston2, Veronica Ikponmwosa Enofe, MD1, Prabhjot S. Bedi, MD2, Manoj P. Rai, MD3, Divyesh Gaspasrovich, RN3, Wendell Clarkston, MD3; 1University of Missouri, R. Nemakayala, MD1, Samanjit K. Kandola, MD3, Xiao Ling, MD3, Vikas Kansas City, MO; 2University of Kansas Medical Center, Kansas City, KS; K. Singh, MD2, Heather Laird-Fick, MD3, Marwan S. Abougergi, MD4; 3St. Luke’s Health System, Kansas City, MO 1Michigan State University, Lansing, MI; 2University of Pittsburgh Medical Center East, Pittsburgh, PA; 3Michigan State University, East Lansing, MI; P1154. Obesity Associated With Higher Risk of Barrett’s Esophagus but 4South Carolina University School of Medicine, Simpsonville, SC Indolent Disease Progression: A Nationwide Analysis Paul T. Kroner, MD, MSc1, Karl Mareth, MD2, Alex M. Kesler, MD1, Herbert Wolfsen, MD1; 1Mayo Clinic Florida, Jacksonville, FL; 2Mayo Clinic, Jacksonville, FL

102 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1162. Comparing Current Practice Patterns and Practice Guidelines P1170. Esophageal Perforation Associated With Barotrauma for the Diagnosis and Management of Eosinophilic Esophagitis in the Nirmal Onteddu, MD1, Mihira Ginnavaram, MBBS2, Ashutosh Gupta, MD1; United States 1Texas Tech University Health Sciences at Permian Basin, Odessa, TX; Swathi Eluri, MD, MSCR, Michael Massaro, MD, Anne Peery, MD, MSCR, 2Bhaskar Medical College, Hyderabad, Telangana, India Nicholas J. Shaheen, MD, MPH, Evan S. Dellon, MD, MPH; University of North Carolina School of Medicine, Chapel Hill, NC P1171. A Rare Case of Odynophagia as a Result of Radiation and Candida Esophagitis P1163. Intralesional Triamcinolone Injection as Adjunct Therapy in Pilar Palmrich1, Rachel Niec, MD, PhD2, David Wan, MD3, Charles Maltz, Eosinophilic Esophagitis Patients With Stricturing Disease MD, PhD4; 1Medical University of Vienna, Vienna, Wien, Austria; 2NewYork- Manaswita Tappata, BS1, Swathi Eluri, MD, MSCR1, Kevin Z. Huang, MD2, Presbyterian Weill Cornell Medical Center, New York, NY; 3New York- Nathaniel Koutlas, BS1, Benjamin Robey, MD1, Claire Fan, MD1, Nicholas Presbyterian Hospital/Weill Cornell Medical College, New York, NY; J. Shaheen, MD, MPH1, Evan S. Dellon, MD, MPH1; 1University of North 4Weill Cornell Medical College, New York, NY Carolina School of Medicine, Chapel Hill, NC; 2University of North Carolina P1172. A Case Report of Granular Cell Tumor of the Esophagus

School of Medicine, Chapel Hil, NC POSTERS Asaad Trabolsi, MD1, Mahmoud Mahfouz, MD1, Paul Sojo, DO2, Manuel MONDAY P1164. A Western Experience in the Use of a Novel CryoBalloon Focal Berzosa, MD1; 1Mount Sinai Medical Center, Miami Beach, FL; 2Mount Ablation System for the Management of Barrett’s Neoplasia Sinai Medical Center, Davie, FL Tarek Sawas, MD, MPH, Kavel Visrodia, MD, Liam Zakko, MD, Cadman Leggett, MD, Kenneth K. Wang, MD; Mayo Clinic, Rochester, MN P1173. Novel Treatment for Achalasia in a First Trimester Pregnant Patient P1165. Eosinophilic Esophagitis (EoE) - Successful Treatment With PPI Zachary Neubert, DO, Edward Stickle, MD; Naval Medical Center San Therapy in a Single-Center - Education and Engagement Are Key Diego, San Diego, CA Jonathan E. Hilal, MD, Joel E. Richter, MD, MACG; University of South Florida, Tampa, FL P1174. A Hard Pill to Swallow: Esophageal Intramural Pseudodiverticulosis P1166. The Epidemiology of Barrett’s Esophagus in the United States Brett Rossow, MD, Veysel Tahan, MD, FACP, FACG, FESBGH, Matthew Between 2012 and 2017: A Population-Based Study Bechtold, MD, FACG, Sami Samiullah, MD, Jack Bragg, DO, MACOI; Vijit Chouhan, MD1, Mohannad Abou Saleh, MD1, Emad Mansoor, MD2, University of Missouri, Columbia, MO Gregory Cooper, MD1; 1University Hospitals Cleveland Medical Center, Cleveland, OH; 2Case Western Reserve University/University Hospitals P1175. Downhill Esophageal Varices: A Therapeutic Dilemma Raja Chandra Chakinala, MD1, Anila Kumar, DO1, Jonathan E. Barsa, MD2, Cleveland Medical Center, Cleveland, OH Dhruv Mehta, MD1, Khwaja F. Haq, MD3, Shantanu Solanki, MD, MPH1, P1167. Efficacy and Safety of Cryotherapy in Treatment of Barrett’s Virendra Tewari, MD4; 1New York Medical College at Westchester Medical Esophagus: A Systematic Review and Meta-Analysis Center, Valhalla, NY; 2Westchester Medical Center, Valhalla, NY; 3Henry Rajesh Krishnamoorthi, MD1, Babu P. Mohan, MD2, Mahendran Jayaraj, Ford Hospital, Detroit, MI; 4Westchester Medical Center at Westchester MD3, Joanna K. Law, MD1, Michael Larsen, MD1, Shayan Irani, MD1, Andrew Medical Center, Valhalla, NY Ross, MD1; 1Virginia Mason Medical Center, Seattle, WA; 2University of Alabama at Birmingham, Birmingham, AL; 3University of Nevada Las P1176. An Uncommon Cause of Dysphagia Lara Aboud Syriani, BS, Liat Gutin, MD, Najwa El-Nachef, MD; University Vegas, Las Vegas, NV of California San Francisco, San Francisco, CA P1168. Upper Esophageal Sphincter (UES) Abnormalities Are a Frequent Finding on High Resolution Manometry (HREM) and Associated With P1177. Rare Complications of Portal Hypertension in a Patient With Esophageal Motility Disorders (EMD) Underlying Focal Nodular Hyperplasia Reema S. Siddiqui, BA1, Syed-Mohammed Jafri, MD2; 1St. George’s Yehuda Julian Spector, MD, MPH1, Zain Iqbal Memon, DO2, Monica Passi, University School of Medicine, Bloomfield Hills, MI;2 Henry Ford Hospital, MD3, Andrew A. Nguyen, DO4, Caitlin Olson, MD5, Sara Cerrone, MD6, Detroit, MI Priyanka L. Singh, MD7, Tristan M. Tham, MD4, Anil Vegesna, MD, MPH8, Patrick Okolo, MD2, Matthew Whitson, MD, MSEd9, Lary S. Miller, MD10, P1178. A Rare Case of Neuroendocrine Cell Tumor of the Esophagus Bani Roland, MD, FACG1; 1Northwell Health, Lenox Hill Hospital, New York, Justin DeRosa, DO1, Hasan Ali1, Donald McMahon, DO2, Lucy Joo, DO1; NY; 2Northwell Health Lenox Hill Hospital, New York, NY; 3University of 1Rowan University School of Osteopathic Medicine, Stratford, NJ; Maryland Medical Center, Baltimore, MD; 4Lenox Hill Hospital, New York, 2Kennedy Health Alliance, Stratford, NJ NY; 5New York Head & Neck Institute, New York, NY; 6Hofstra-Northwell Health Gastroenterology Fellowship Program, New Hyde Park, NY; P1179. VLE for Identification of Subsquamous T1a Esophageal 7Hofstra-Northwell Internal Medicine Residency Training Program, New Adenocarcinoma 1 2 Hyde Park, NY; 8The Feinstein Institute for Medical Research, Northwell Jared Lander, DO , Apeksha Shah, MD , Anthony Infantolino, MD, FACG, 3 3 1 Health, New York, NY; 9Northwell Health Physician Partners, Manhasset, FACP , Christina Tofani, MD ; Lankenau Medical Center, Wynnewood, 2 3 NY; 10Northwell Health, New York, NY PA; Thomas Jefferson University Hospitals, Philadelphia, PA; Thomas Jefferson University Hospital, Philadelphia, PA P1180. An Atypical Presentation of an Esophageal Squamous Cell ESOPHAGUS Carcinoma With Pancreatic and Bone Metastases Clinical Vignettes / Case Reports Yousef Nassar, MD, Eric Yoon, MD, Juan Tejada, MD, Muhammad Mansoor, P1169. A Strange Connection: Spontaneous Esophageal-Pleural Fistula MD, Kavita Umrau, MD, Sven Hida, MD; Albany Medical Center, Albany, NY Parth Desai, DO1, Afsana Asharaf, MD1, Yanting Wang, MD1, Madhu P1181. A Novel Indication of Per Oral Esophageal Myotomy in the Mathew, MD1, Palashkumar Jaiswal, MBBS2, Hemant Mutneja, MD1, Michael Management of a Lower Esophageal Diverticulum Alebich, DO1; 1Cook County Health and Hospitals System, Chicago, IL; Yousef Nassar, MD, Muhammad Mansoor, MD, Juan Tejada, MD, Sven Hida, 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL MD; Albany Medical Center, Albany, NY

P1182. Black Esophagus and Necrotic Duodenum Masquerading as New P1195. Plummer Vinson Syndrome in a Young African American Female: A Onset GERD Rare Entity Daryl Fick, MD1, Shireen Ghorbani, MD2; 1Naval Medical Center San Diego, Shanker D. Kundumadam, MD 1, Maher Tama, MD1, Sandra Naffouj, MD2, San Diego, CA; 2Sharp Rees-Stealy Medical Group, San Diego, CA Pradeep Kathi, MD1, Murray N. Ehrinpreis, MD3; 1Wayne State University, Detroit, MI; 2Henry Ford Hospital, Detroit, MI; 3Detroit Medical Center/ P1183. Esophageal Arteriovenous Malformation as a Cause of Significant Wayne State University, Detroit, MI Gastrointestinal Bleeding - Rare, but Potentially Easy to Treat Pradeep Kathi, MD1, Maher Tama, MD1, Shanker D. Kundumadam, MD 1, P1196. An Atypical Case of Dysphagia: Left Atrial Enlargement Sandra Naffouj, MD2, Murray N. Ehrinpreis, MD3; 1Wayne State University, Sanchita Singal-Parulkar, MD1, Sehrish Jamot, MD1, Zilla Hussain, MD2; 1Brown Detroit, MI; 2Henry Ford Hospital, Detroit, MI; 3Detroit Medical Center/ University, Providence, RI; 2Lifespan Physicians Group, Providence, RI Wayne State University, Detroit, MI P1197. Rare Presentation of Esophageal Adenocarcinoma P1184. The Ectopic Inlet Patch: A Commonly Benign Pathology With a Majd Kanaa, MD, Muhammad Khalid, MD, Yazan Alkawaleet, MD, Jennifer Remarkably Rare Manifestation of Invasive Squamous Cell Carcinoma Phemister, MD, Chakradhar Reddy, MD, Mark Young, MD; East Tennessee Monica L. Multani, DO1, Harry Nguyen, DO2, Joseph Dulaney, DO2, State University, Johnson City, TN Amandeep Kaur, DO3, Javier Sobrado, MD1; 1Larkin Community Hospital, Miami, FL; 2Palmetto General Hospital, Hialeah, FL; 3Larkin Community P1198. A Rare Presentation of Pseudoachalasia: Burkitt’s Lymphoma Andrew Ofosu, MD, MPH1, Eric O. Then, MD2, Tagore Sunkara, MD3, Andrea Hospital, South Miami, FL Culliford, MD, FACG4, Vinaya Gaduputi, MD2, Sriharsha Dadana, MD5; 1The P1185. Boerhaave Syndrome - A Case Report Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, Abdussalam Shredi, MD, Saif El Naser H. M. El Nawaa, MD, Hawa Edriss, NY; 3The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai MD, Kenneth Nugent, MD; Texas Tech University Health Sciences Center, Hospital, Brooklyn, NY; 4St. Barnbas Hospital, Bronx, NY; 5Saint Barnabas Lubbock, TX hospital, Bronx, NY P1186. Lugol Iodine Solution Reveals a Well Camouflaged Esophageal P1199. Glycopyrolate-Induced Esophageal Dysmotility Leading to Food Squamous Cell Carcinoma Impaction Steven Pappas, MD1, Paul St. Romain, MD1, Mahfuzul Haque, MBBS2; Kaveh Zivari, MD1, Negar Niknam, MD1, Richard M. Fazio, MD2, Rabin 1Duke University Health System, Durham, NC; 2Duke University Hospital, Rahmani, MD, FACG1, Ira E. Mayer, MD, FACG1, Elliot Fuhrer, MD1; Durham, NC 1Maimonides Medical Center, Brooklyn, NY; 2Maimonides Medical Center, Broooklyn, NY P1187. A Rare Case of Esophagitis Associated with Mycoplasma-Induced Rash and Mucositis in a 16-Year-Old Male P1200. Paraesophageal Hernia With Gastric Herniation Complicated by Katrina Loh, MD, Elena Puscasiu, MD, Seema Khan, MD; Children’s Tracheal and Bronchial Compression National Medical Center, Washington, DC Pranay Srivastava, MD, Paresh Sojitra, MD, Miral Subhani, MD, Davinder Singh, MD, Paul Mustacchia, MD, MBA; Nassau University Medical Center, P1188. Food Impaction as Recurrent Feature of Epidermolysis Bullosa East Meadow, NY Hashroop Gurm, MD, Benjamin Renelus, MD, Daniel S. Jamorabo, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY P1201. Eiosinophilic Esophagitis with Mastocytosis Aasiya Haroon, MD1, Ali Marhaba, MD2; 1Wilson Hospital, Johnson City, NY; P1189. An Eye on Necrosis 2United Health Services Hospitals, Johnson City, NY Abdul Kouanda, MD, Kendall Beck, MD; University of California San Francisco, San Francisco, CA P1202. Utilization of the Bi-Directional Endoscopic Rendezvous Method in the Treatment of Radiation-Induced Complete Esophageal Strictures P1190. A Case of Palmoplantar Hyperkeratosis and Strong Family History Krunal Patel, MD1, Patrick Harriss, MD2, Paul Weinberger, MD2, Kenneth of Esophageal Cancer: Tylosis or Not? Manas, MD3; 1LSU HSC, Shreveport, LA; 2Louisiana State University, Paul MunaAguon, MD1, Hussein Abidali, DO2, Stacie Vela, MD3, Rakesh Shreveport, LA; 3LSU Health, Shreveport, LA Nanda, MD, FACP, FACG3; 1University of Arizona College of Medicine, Phoenix, AZ; 2Banner University Medical Center, Phoenix, AZ; 3Carl T. P1203. Presentation of Herpes Simplex Esophagitis in an Hayden VA Medical Center, Phoenix, AZ Immunocompetent Host We’am Hussain, MD, Drew Triplett, DO, Sangeeta Agrawal, MD, FACG; P1191. A Case of Simultaneous Small Cell Neuroendocrine Carcinoma of the Wright State University Boonshoft School of Medicine, Dayton, OH Esophagus and Barrett’s Adenocarcinoma Paul MunaAguon, MD1, Christina Bentley, MD1, Shifat Ahmed, MD2, Michael P1204. The Anti-α4β7 Integrin Therapeutic Antibody for Inflammatory Fallon, MD3; 1University of Arizona College of Medicine, Phoenix, AZ; Bowel Disease, Vedolizumab, Ameliorates Eosinophilic Esophagitis: A 2University of Arizona, Phoenix, Phoenix, AZ; 3Banner University Medical Novel Clinical Observation Center, Phoenix, AZ Quan M. Nhu, MD, PhD1, Hellen Chiao, MD2, Fouad J. Moawad, MD2, Fei Bao, MD3, Gauree G. Konijeti, MD, MPH2; 1Scripps Clinic, San Diego, CA; P1192. Primary Herpes Simplex Virus-1 Infection Manifesting as Severe 2Scripps Clinic, La Jolla, CA; 3Scripps Clinic/Scripps Green Hospital, La Esophagitis in an Adult Immunocompetent Host With Eosinophilic Jolla, CA Esophagitis John G. McCarthy, MD, Evan Ewers, MD, Ruben D. Acosta, MD; Walter P1205. Hard to Swallow: Epidermoid Metaplasia of the Esophagus Reed National Military Medical Center, Bethesda, MD Alexander M. Sarkisian, MS, MD1, Vanessa Mendez, MD2, Zachary Eagle, BS1, Sean H. Lee, BA3, Yukihiro Nakanishi, MD, PhD1, John P. Affronti, MS, P1193. A “Freak of Nature”… Revealed! MD1; 1Tulane University School of Medicine, New Orleans, LA; 2Tulane Mira Alsheikh, MD, Fady G. Haddad, MD, Liliane Deeb, MD; Northwell University, New Orleans, LA; 3MR, New Orleans, LA Health Staten Island University Hospital, Staten Island, NY P1206. Broncho-Esophageal Fistula: A Rare Complication of Mediastinal P1194. Esophageal Bronchogenic Cyst Carcinomas Diagnosed by Esophagogram Ahmed Hamed, MD, Sirish Sanaka, MD, Amira Hamed, MD, Gaurav Khullar, Samreen Khuwaja, MD, Steven Guttmann, MD; Hofstra Northwell School Prashant Mudireddy; East Carolina University, Greenville, NC of Medicine/Long Island Jewish Forest Hills Hospital, New York, NY

104 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1207. Esophageal Dissection Progressing to Esophageal Perforation: Case P1218. Acute Management of Cyclic Vomiting Syndrome Patients in the Report and Literature Review Emergency Department Setting Yang Xuan, DO1, Danlu Wang, DO2, Tushar Gohel, MD3; 1Midwestern Joy Liu, MD1, Kimberly Young1, Casey Silvernale, BA2, Veer Sawhney1, University, College of Osteopathic Medicine, Mesa, AZ; 2Midwestern Andrew Ludwig1, David Cangemi, MD2, Anthony Lembo, MD3, Braden Kuo, University, College of Osteopathic Medicine, Gilbert, AZ; 3Midwestern MD2; 1Beth Israel Deaconess Medical Center, Boston, MA; 2Massachusetts University, College of Osteopathic Medicine, Scottsdale, AZ General Hospital, Boston, MA; 3Harvard Medical School, Boston, MA P1208. Renal Cell Carcinoma Presenting With Dysphagia: A Case Report P1219. Correlation Between GAD Antibody Levels and Severity of Zion Lamm, MD, Kevin Humphreys, MD, Andrew Dries, MD, Kevin Lamm, Gastrointestinal Motility Dysfunction as Determined by Wireless Motility MD; Carolinas Medical Center, Charlotte, NC Capsule Testing Anne Harwood, DO1, Shashank Sarvepalli, MD, MS2, Cynthia Funk, P1209. A Tough DISH to Swallow RN1, Michael Cline, DO2; 1Cleveland Clinic Foundation, Cleveland, OH; Siew Yi Ching, MBBS1, Benjamin Cherng Hann Yip, MBBS2, Kenny Ching 2Cleveland Clinic, Cleveland, OH Pan Sze, MBBS2, Constantinos P. Anastassiades, MBBS2; 1Tan Tock Seng POSTERS Hospital, Singapore, Singapore; 2Khoo Teck Puat Hospital, Singapore, P1220. Factors Associated With Improvement of Symptom Index in MONDAY Singapore Patients With Gastroparesis After Per-Oral Pyloromyotomy Shashank Sarvepalli, MD, MS1, Malav P. Parikh, MD1, John Rodriguez, P1210. A Dangerous Case of Fistulization at the Piriform Sinus MD2, Kevin El-Hayek, MD2, Michael Cline, DO1; 1Cleveland Clinic, Shruti Mony, MD1, Brett Hughes, MD2, Neil Vyas, MD3, Farhoud Khosravi, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH DO4; 1St. Joseph’s Hospital and Medical Center, Phoenix, AZ; 2Creighton University School of Medicine (Phoenix-St. Joseph’s), Phoenix, AZ; 3St. P1221. Effects of Linaclotide on Cortico-Anorectal (Efferent) Brain-Gut Joseph’s Hospital and Medical Center, Phonix, AZ; 4Arizona Centers for Axis in IBS-C Patients Digestive Health, Phoenix, AZ Satish S.C. Rao, MD, PhD, Yun Yan, MD, Amol Sharma, MD, Xuelian Xiang, MD, Rachel Parr, MS, Patricia Hall, MS; Augusta University P1211. Successful Treatment of a Severe Case of Corkscrew Esophagus With Medical Center, Augusta, GA Sildenafil David R. Miller, BS, Siddharth Bhargava, BS, Micheal Tadros, MD, MPH; P1222. Acid Suppression Therapy Does Not Affect the Efficacy of Albany Medical College, Albany, NY Plecanatide: A Patient-Level Pooled Analysis of Two Large Randomized Controlled Trials P1212. A Case of Acute Esophageal Necrosis in a Patient With Multiple Baharak Moshiree, MD, FACG1, Leslie Magnus, MD2, Ali Rezaie, MD3; Sclerosis 1Carolinas HealthCare System, Charlotte, NC; 2Synergy Pharmaceuticals Amulya Reddy, DO1, Frank Lopez, DO1, Nick Frazier, DO1, Thomas Birris, Inc., New York, NY; 3Cedars-Sinai Medical Center, Los Angeles, CA MD2; 1Lakeland Health, St. Joseph, MI; 2Great Lakes Gastroenterology, St. Joseph, MI P1223. Use of a Multiple-Analyte Test in Assessing Patients With Diarrhea Baharak Moshiree, MD, FACG1, Brooks D. Cash, MD, FACG2, Richard P1213. A Rare Case of Cocaine-Induced “Black Esophagus” Saad, MD, MS, FACG3, Paul Feuerstadt, MD, FACG4, Robert Barnett, MD5, Manasa Reddy, MD, Krishna Patel, DO, Gerald Wade, MD, Stephen Osmon, Jatinder Pruthi, MD6, Scott D. Levenson, MD7, Richard A. Krause, MD8, MD; St. Louis University, St. Louis, MO Mark R. Fleisher, MD9, Rajalakshmi Iyer, MD10, Fred Princen, PhD11, Mark P1214. Squamous Cell Carcinoma Arising From Dynamically Monitored Renshaw, PhD11, Hongyu Chen, PhD11, Judson McFarland, BS11, Larry Esophageal Lichen Planus Mimms, PhD11, Annelie Everts-van der Wind, PhD11, Philip Ginsburg, Karl Mareth, MD1, Maoyin Pang, MD, PhD2, Murli Krishna, MD1, Dawn MD11, Kurtis Bray, PhD11, Anthony Lembo, MD12; 1Carolinas HealthCare Francis, MD1; 1Mayo Clinic, Jacksonville, FL; 2Georgetown University System, Charlotte, NC; 2University of Texas Health Science Center at Hospital, Washington, DC Houston, Houston, TX; 3University of Michigan, Ann Arbor, MI; 4Yale University School of Medicine / Gastroenterology Center of Connecticut, Westport, CT; 5Granite Peaks Gastroenterology, Sandy, UT; 6High Desert FUNCTIONAL BOWEL DISEASE Gastroenterology, Lancaster, CA; 7Digestive Care Medical Center, San Carlos, CA; 8Digestive Care & Management, Chattanooga, TN; 9Borland P1215. Specific Neuroanatomical Abnormalities Identified in Cyclical Groover Clinic, Jacksonville, FL; 10Iowa Digestive Disease Center, Clive, Vomiting Syndrome Based on Brain MRI Analysis IA; 11Prometheus Laboratories, San Diego, CA; 12Harvard Medical School, 1 1 2 Richard McCallum, MD , Hugo Sandoval, PhD , Marisol Ramirez, BA , Jake Boston, MA B. Wilson, MS3, Roshni A. Mandania, BS3, Osagie Usen, MS-IV4, Carola Mullins1, Silvina Tonarelli, MD2, Jose Gavito-Higuera, MD5, Radosveta P1224. Use of Cannabinoids in Patients With Symptoms of Gastroparesis Wells, MD2, Irene Sarosiek, MD1, Tyler Davis, PhD6; 1Texas Tech University Asad Jehangir, MD1, Henry P. Parkman, MD2; 1Reading Hospital - Tower Health Sciences Center, El Paso, TX; 2Texas Tech Health Sciences Center, Health, Reading, PA; 2Temple University Hospital, Philadelphia, PA El Paso, TX; 3Texas Tech University Health Sciences Center, Paul L. Foster 4 P1225. The Frequency of Gastrointestinal Symptom Complaints and School of Medicine, El Paso, TX; TTUHSC Paul L. Foster School of Functional Gastrointestinal Disorders in Patients Presenting for Eating Medicine, El Paso, TX; 5Texas Tech Health Sciences Center, EL Paso, TX; 6 Disorder Treatment Texas Tech University, Lubbock, TX Helen B. Murray, BA1, Jennifer J. Thomas, PhD2, Braden Kuo, MD3, Kamryn P1216. The Humanistic Burden of Chronic Idiopathic Constipation in the T. Eddy, PhD2, Kyle D. Staller, MD2; 1Drexel University, Philadelphia, PA; USA: A Systematic Review 2Massachusetts General Hospital/Harvard Medical School, Boston, MA; Bimpe Olayinka-Amao, PharmD, MPH1, Susan Martin, MSPH2, Molly Purser, 3Massachusetts General Hospital, Boston, MA PhD1, Deirdre Mladsi, BA1, Arpita Nag, PhD, MBA, MS3; 1RTI-HS, Research 2 3 P1226. Phenotype and Antibiotic Response in Patients With Flat Line Triangle Park, NC; RTI-HS, Ann Arbor, MI; Shire, Lexington, MA Breath Test Results: A Large Scale Database Analysis P1217. Emergency Department Visits and Inpatient Admissions - Trends in Krutika Lakhoo, MD1, Xiaochen Liu, MSc1, Greg Lentz2, Eugenia Lin, BS1, IBS Over a Decade Bianca W. Chang, MD3, Mark Pimentel, MD1, Nipaporn Pichetshote, MD1, Maham Hayat, MD1, Ijlal Akbar Ali, MD2, Salman Nusrat, MD1; 1University Ali Rezaie, MD, MSc1; 1Cedars-Sinai Medical Center, Los Angeles, CA; of Oklahoma Health Sciences Center, Oklahoma City, OK; 2Oklahoma 2CSHS, Los Angeles, CA; 3University of Chicago, Chicago, IL University Health Sciences Center, Oklahoma City, OK Register for ACG 2018: acgmeetings.gi.org / 105 POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1227. Mucosal Mast Cells Are Increased in the Small Intestine of Patients P1236. Rumination, Eosinophilic Esophagitis and a Parasitic Infestation: With Irritable Bowel Syndrome: A Systematic Review and Meta-Analysis A Diagnostic Conundrum David Perez Ingles, MD1, Abhizith Deoker, MD1, Alejandro Robles, MD1, Adam Harris1, Harris Naina, MD2, Samar Harris, MD3; 1Highland Park Middle Jerzy Sarosiek, MD, PhD2, Richard McCallum, MD2, Irene Sarosiek, MD2, School, Dallas, TX; 2The Center of Cancer and Blood Disorders, Fort Max Schmulson, MD3, Mohammad Bashashati, MD4; 1Texas Tech Health Worth, TX; 3University of Texas Southwestern, Dallas, TX Sciences Center, El Paso, TX; 2Texas Tech University Health Sciences Center, El Paso, TX; 3Universidad Nacional Autónoma de México, Mexico P1237. Co-Infection of Blastocystis and Endolimax Nana and Their City, Distrito Federal, Mexico; 4Texas Tech University Health Sciences Association with Functional Disorders and Bowel Inflammation Zara Manuelyan, MD1, Nfn Ranjeeta, MD1, Rabab Hajar, MD1, Kaleem Center, El Paso, TX Rizvon, MBBS, FACG2; 1Nassau University Medical Center, East Meadow, P1228. The Long Non-Coding RNA AFDN-AS1 Is Expressed in Colonic NY; 2NUMC, East Meadow, NY Epithelial Cells Elizabeth Videlock, MD, Swapna Makurhar-Joshi, PhD, Dimitrios Iliopoulos, P1238. Premature Ticagrelor Discontinuation Secondary to Severe PhD, MBA, Charalabos Pothoulakis, MD, Emeran Mayer, MD, PhD, Lin Diarrhea: A Case Report Laith Al momani, MD, Jason Ross, MD, Jason McKinney, DO, Mark Young, Chang, MD; University of California Los Angeles, Los Angeles, CA MD; East Tennessee State University, Johnson City, TN P1229. Polypharmacy in Patients Referred to a Tertiary Gastroenterology Practice Abimbola Chris-Olaiya, MD, MPH1, William C. Palmer, MD2, Fernando GENERAL ENDOSCOPY Stancampiano, MD3, Michael Heckman, MS2, Emily Vargas, MPH2, Alexander N. Maillis2, Ethan McLeod2, Naveed Nikpour2, Taylor Ryan2, P1239. Re-PEGing: An Endoscopic Approach to Inadvertent Early PEG Tube Ernest Bouras, MD2; 1Grand Strand Medical Center, Myrtle Beach, SC; Withdrawal 2Mayo Clinic, Jacksonville, FL; 3Mayo Clinic Florida, Jacksonville, FL Youssef Soliman, MD, MSc, Alexander Kurchin, MD, Surinder Devgun, MD; Rochester General Hospital, Rochester, NY P1230. Evaluating Unmet Needs of Those With Chronic Constipation by Examining Their Healthcare Seeking Behavior and Satisfaction With P1240. Hot versus Cold Snare Polypectomy Technique: Trends From the Medications: Results From a Survey of Over 5,000 Americans New Hampshire Colonoscopy Registry  Fellows-in-Training Award (Functional Bowel Disease Category) Shannon Morales, MD, MBA1, Joseph Anderson, MD, MHCDS2, Christina  Presidential Poster Award Robinson, MS1, Lynn Butterly, MD3; 1Dartmouth-Hitchcock Medical Center, Sun Jung Oh, MD1, Devin Patel, MD1, Garth Fuller, MS1, William Spalding, Lebanon, NH; 2Geisel School of Medicine at Dartmouth, Hanover, NH; MS2, Arpita Nag, PhD, MBA, MS2, Brennan M. R. Spiegel, MD, MSHS1, 3Geisel School of Medicine at Dartmouth, Lebanon, NH Christopher V. Almario, MD1; 1Cedars-Sinai Medical Center, Los Angeles, P1241. Can Telehealth Technology Be an Important Factor in Providing CA; 2Shire, Lexington, MA High Quality Colonoscopy? A Proof of Concept Study P1231. Rifaximin for Improving Abdominal Pain and Bloating Symptoms Thi Khuc, MD1, Christian Jackson, MD2, Daniel Chao, MD2, Ralph Clark, in Patients With Irritable Bowel Syndrome With Diarrhea (IBS-D) Using MD2; 1Loma Linda University Medical Center, Loma Linda, CA; 2VA Loma Modified Definitions of Pain Response Linda Healthcare System, Loma Linda, CA Brian E. Lacy, MD, PhD1, Zeev Heimanson, PharmD2, Mark Pimentel, MD3; P1242. Glucagon Use During Endoscopy to Assist Push Technique in Food 1Mayo Clinic, Jacksonville, FL; 2Salix Pharmaceuticals, Bridgewater, NJ; Impactions 3Cedars-Sinai Medical Center, Los Angeles, CA Elizabeth Decker, DO1, Alisa Merolli, DO2, Eric Berthiaume, MD3; P1232. 24-Month Post Marketing Safety Surveillance Data of a Novel 1University of New England College of Osteopathic Medicine, Warwick, Peppermint Oil Formulation for IBS Designed for Site Specific Targeting RI; 2University of New England College of Osteopathic Medicine, Warren (PO-SST), Confirms Favorable Safety Profile, Including Heartburn and Alpert Medical School of Brown University, Warwick, RI; 3Kent Hospital, Anal Burning University of New England College of Osteopathic Medicine, Warwick, RI Michael S. Epstein, MD1, Patrick Corsino, PhD2, Syed M. Shah, PhD2; P1243. Individualized Feedback on Colonoscopy Skills Improves 1Digestive Disorders Associates, Annapolis, MD; 2IM HealthScience, Boca Colonoscopy Quality in Providers With Lower Adenoma Detection Rates Raton, FL  Presidential Poster Award P1233. Irritable Bowel Syndrome, Fecal Incontinence and Quality of Life: It Anna Duloy, MD1, Mariah Wood, BA1, Mark Benson, MD2, Andrew Gawron, Depends on How You Think About It MD, PhD3, Charles J. Kahi, MD, MSCI4, Tonya Kaltenbach, MD, MS5, Rena Melissa Hunt, PhD, Connie Wong, BA, Syed Aajmain, BA, Ife Dawodu, BA; Yadlapati, MD, MHS6, Rajesh Keswani, MD, MS7; 1Northwestern University, University of Pennsylvania, Philadelphia, PA Chicago, IL; 2University of Wisconsin, Madison, WI; 3University of Utah, Salt Lake City, UT; 4Indiana University, Indianapolis, IN; 5University of California San Francisco, San Francisco, CA; 6University of Colorado, FUNCTIONAL BOWEL DISEASE Aurora, CO; 7Feinberg School of Medicine, Northwestern University, Clinical Vignettes / Case Reports Chicago, IL P1234. A Case of Systemic Mastocytosis with Predominately P1244. Sex, Smoking and Ethnicity: Does It Influence Bowel Preparation? Gastrointestinal Manifestations Jonathan Panitch, MD, Kevin Tin, MD, Varun Gonuguntla, MD, Rabin Harsh N. Patel, MD, Stephanie N. Hudey, MS, MD, Amber N. Pepper, MD; Rahmani, MD, FACG; Maimonides Medical Center, Brooklyn, NY University of South Florida, Tampa, FL P1235. Auto-Brewery Syndrome in a Diabetic Man  ACG Case Reports Journal Award  Presidential Poster Award Zalmi Rahmany, BS, Natalia Lattanzio, BS, Vikaran Kadaba, BS; Richmond University Medical Center, Staten Island, NY

106 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1245. The Role of Gender, Ethnicity and Practice Setting on P1254. Efficacy of Over-the-Scope Clip (OTSC) for the Management Esophagoduodenoscopy Completion: Evidence From the National of Perforations, Leaks, and Fistulas: A Systematic Review and Pooled Endoscopic Database Analysis of Published Literature Abimbola Chris-Olaiya, MD, MPH1, Babatunde Olaiya, MD, MPH2, Jessica Viveksandeep Thoguluva Chandrasekar, MBBS1, Madhav Desai, MD2, Cvinar, MD1, Bryan Doherty, MD3, Vinod Nambudiri, MD, MBA1, Victor Muhammad Aziz, MBBS3, Venkata subhash Gorrepati, MD, MPH4, Collier, MD1, William C. Palmer, MD4, Walter W. Chan, MD, MPH5; 1Grand Ramprasad Jegadeesan, MD3, Shreyas Saligram, MD5, Alessandro Repici, Strand Medical Center, Myrtle Beach, SC; 2Marshfield Clinic, Marshfield, MD6, Cesare Hassan, MD7, Prateek Sharma, MD8; 1University of Kansas WI; 3NewYork Presbyterian Brooklyn Methodist Hospital, Old Brookville, Medical Center, Overland Park, KS; 2KUMC, Overland Park, KS; 3University NY; 4Mayo Clinic, Jacksonville, FL; 5Brigham & Women’s Hospital/Harvard of Kansas Medical Center, Kansas City, KS; 4Penn State University - Milton Medical School, Boston, MA S. Hershey Medical Center, Hershey, PA; 5University of California San Francisco, Fresno, CA; 6Humanitas Medical University, Milan, P1246. Readmission of Adult Patients With Intentional Foreign Body Lombardia, Italy; 7Nuovo Regina Margherita, Rome, Lazio, Italy; Ingestion: A Retrospective Analysis 8University of Kansas School of Medicine, Kansas City, KS 1 1

Fahad Chaudhary, MD , Sardar Momin Shah-Khan, MD , Hiren Vallabh, POSTERS MONDAY MD1, Ikenna Anaka, MD1, Justin Kupec, MD2; 1West Virginia University P1255. Early Endoscopy Is Associated with Better Clinical Outcomes in School of Medicine, Morgantown, WV; 2West Virginia University Hospital, Ischemic Bowel Disease Morgantown, WV Olalekan Akanbi, MD, MPH1, Adeyinka Adejumo, MD, MS2; 1University of Kentucky College of Medicine, Lexington, KY; 2North Shore Medical P1247. Analysis of the Patient Information Quality and Readability on Center, Lowell, MA Esophagogastroduodenoscopy (EGD) on the Internet Priyanka Priyanka, MD1, Yousaf Hadi, MD1, Gorman Reynolds, MD2; 1West 2 Virginia University Hospital, Morgantown, WV; West Virginia University GENERAL ENDOSCOPY Hospital, Ruby Memorial Hospital, Morgantown, WV Clinical Vignettes / Case Reports P1248. Clinical Impact of Endoscopic Ultrasound in the Evaluation of P1256. Splenic Laceration After Diagnostic EGD Subepithelial Lesions of the Lower Gastrointestinal Tract: 10-Year, Single- 1 2 3 Center Experience Shana Kothari, MD, MS , Sybila Martinez, MD , Tarek Almouradi, MD ; 1University of Illinois at Chicago - Advocate Christ Medical Center, Oak Irina M. Cazacu, MD, Adriana A. Luzuriaga Chavez, MD, Brian R. Weston, Lawn, IL; 2University of Illinois at Chicago - Advocate Christ Medical MD, William Ross, MD, Jeffrey H. Lee, MD, Manoop S. Bhutani, MD; MD Center, Chicago, IL; 3Advocate Christ Medical Center, Oak Lawn, IL Anderson Cancer Center, Houston, TX P1249. Safety of 1 L Polyethylene Glycol-Based Bowel Preparation, P1257. Gastrointestinal Manifestation Preceding Cutaneous Lesions in NER1006, for Colon Cleansing Before Colonoscopy: A Pooled Analysis of Adult Henoch-Schonlein Purpura Three Phase 3 Randomized Controlled Trials Ramiro De La Guerra, MD, Anita Chandra, MD, Bonnie Patek, DO, Michael Popeck, DO, Abhijit Kulkarni, MD; Allegheny Health Network, Pittsburgh, PA Neal Osborn, MD1, Howard Franklin, MD2, Prateek Sharma, MD3; 1Atlanta Gastroenterology Associates, Douglasville, GA; 2Salix P1258. Recovery Room Neck Pain: An Unusual Presentation of Colonic Pharmaceuticals, Bridgewater, NJ; 3University of Kansas School of Perforation Medicine, Kansas City, KS Artemio Santiago, MD, MPH, Roberto Mera, MD; University of Puerto Rico, P1250. Information Experiences, Needs, and Preferences of Colonoscopy San Juan, Puerto Rico Patients: A Pre-Colonoscopy Survey P1259. Mantle Cell Lymphoma of the Gastrointestinal Tract Detected by Eugene Lee, MD, Leigh Anne Shafer, PhD, John Walker, PhD, Celeste Endoscopy Waldman, RN, BN, Valerie Michaud, MA, Chengyue Yang, MD, Charles Annie S. Hong, MD1, Mohamad Mubder, MD2, Altaf Dawood, MD3, Ranjit Bernstein, MD, Jason Park, MD, MEd, Kristy Wittmeier, MSc, PhD, Gayle Makar, MD3, Wen Yuan Yu, DO1, Shahid Wahid, MD3; 1University of Las Restall, PhD, Harminder Singh, MD, MPH; University of Manitoba, Vegas School of Medicine, Las Vegas, NV; 2University of Nevada Las Winnipeg, MB, Canada Vegas, Las Vegas, NV; 3University of Nevada Las Vegas School of P1251. Is It Necessary to Sedate the Pain Associated With Colonoscopies? Medicine, Las Vegas, NV Daniel M. Kim, MD1, Zain Moosvi, MD2, William Karnes, MD2; 1University P1260. A Rare Case of Enterococcus Faecalis Endocarditis Following of California Irvine, Orange, CA; 2University of California Irvine Medical Colonoscopy Requiring Mitral Valve Replacement in a Patient with No Center, Orange, CA Valvular Abnormalities Shanker D. Kundumadam, MD 1, Ziad Kanaan, MD, PhD2, Murray N. P1252. No Difference in Pain Based on Insufflation Technique Used During 3 1 2 Colonoscopy Ehrinpreis, MD ; Wayne State University, Detroit, MI; Wayne State University / Detroit Medical Center, Troy, MI; 3Detroit Medical Center/ Daniel M. Kim, MD1, Michelle Park, MD2, William Karnes, MD2; 1University Wayne State University, Detroit, MI of California Irvine, Orange, CA; 2University of California Irvine Medical Center, Orange, CA P1261. Metastatic Adenocarcinoma of Lung Diagnosed on Screening Colonoscopy: A Rare Occurrence P1253. Observations of Dynamic Blood Electrolyte Concentrations After 1 2 1 Administration of Colonic Cleansing Lavages Kartikeya Tripathi, MD , Thomas Dunzendorfer, MD ; St. Vincent Hospital, Worcester, MA; 2Berkshire Gastroenterology, Pittsfield, MA Matthew Walker, PhD, Russell Pelham, PhD, Mark vB. Cleveland, PhD; Braintree (a part of Sebela Pharmaceuticals), Braintree, MA P1262. Braids in the Belly: A Case Report of Retrieving Gastric Bezoar Through Endoscopy Nazar Hafiz, MD1, Sudha Pandit, MD2, Sam Abdehou, MD3, James Morris, MD, FACG2, Kashif Khan, MD3, Moheb Boktor, MD2, Samuel Igbinedion, MD4; 1Louisiana State University Health Sciences Center, Shreveport, LA; 2LSU Health, Shreveport, LA; 3LSU Health Sciences Center, Shreveport, LA; 4LSU HSC, Shreveport, LA

P1263. Bridge to Nowhere P1275. Total Colo-Rectal Anastomotic Closure Corrected by Placement of Gurbir Sehmbey, MD1, Layth Al-Jashaami, MD2, Rakesh Nanda, MD, FACP, an Axios Stent via an Endoscopic Double Illumination Technique FACG3; 1Banner University Medical Center, Phoenix, AZ; 2University of Olumide Ajayeoba, MD, Joan Culpepper-Morgan, MD, Jeff C. Anucha, MD, Arizona, Banner University Medical Center, Phoenix, AZ; 3Carl T. Hayden Evin McCabe, MD, Raja Sabbagh, MD; Harlem Hospital Center, New York, NY VA Medical Center, Phoenix, AZ P1276. Cholecystocolonic Fistula with Impacted Gallstone Presented P1264. A Case Report of Double Pylorus: An Unusual Complication of as Proctitis Peptic Ulcer Disease Mordecai Solomon, DO1, Thinh Tang, DO1, Dipesh Banker, MD2, Vishvinder Andrew Ofosu, MD, MPH1, Christopher Brana, MD2, Andrea Culliford, MD2, Sharma, MD3; 1Valley Hospital Medical Center, Las Vegas, NV; 2Digestive Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Associates, Las Vegas, NV; 3Digestive Associates/Valley Hospital Medical Health System, Bronx, NY Center, Las Vegas, NV P1265. To Do or Not to Do: Role of Endoscopy in Arrested Colonic P1277. None Shall Pass: Migrated Surgical Mesh Causing Gastric Outlet Foreign Body Obstruction With Endoscopic Extraction Andrew Ofosu, MD, MPH1, Christopher Brana, MD2, Andrea Culliford, MD2, Matthew J. Sullivan, DO, Shashin Shah, MD, FACP, Paola Blanco, MD; Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Lehigh Valley Health Network, Allentown, PA Health System, Bronx, NY P1278. Rare Case of Stomal Seeding From an Esophageal Squamous Cell P1266. Evidence of Early Thermal Mucosal Damage After Battery Ingestion, Carcinoma in Remission Urging for Change in Current Endoscopic Retrieval Guideline George Jeung, DO1, Leslie H. Massey, DO1, Brien R. Miller, DO1, Vishvinder Andrew Ofosu, MD, MPH1, Christopher Brana, MD2, Tagore Sunkara, MD3, Sharma, MD2; 1Valley Hospital Medical Center, Las Vegas, NV; 2Digestive Andrea Culliford, MD2, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Associates/Valley Hospital Medical Center, Las Vegas, NV Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY GI BLEEDING P1267. A Case Report Identifying the Clinical Significance of Spontaneous Gastrojejunal Fistulization Related to Roux-en-Y Bypass P1279. Early Transjugular Intrahepatic Portosystemic Shunt Creation Andrew Ofosu, MD, MPH1, Christopher Brana, MD2, Tagore Sunkara, MD3, Compared to Endoscopy With Pharmacotherapy in the Management of Andrea Culliford, MD2, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Variceal Rebleeding in Cirrhotic Patients: A Comprehensive Systematic Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3The Brooklyn Review and Meta-Analysis Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY  Presidential Poster Award Yousef Nassar, MD, Seth J. Richter, MD; Albany Medical Center, Albany, NY P1268. Foreign Body Extraction Extravaganza! Approach to 25 Foreign Bodies, One Patient P1280. Comparing the Efficacy and Safety of Anti-Coagulation in Patients Sean Harrell, MD1, Jigar Bhagatwala, MD, MPH1, Amol Sharma, MD2; With Atrial Fibrillation and Liver Cirrhosis 1Augusta University, Augusta, GA; 2Augusta University Medical Center, Yousef Nassar, MD, Seth J. Richter, MD; Albany Medical Center, Albany, NY Augusta, GA P1281. Comparison of Risk Scoring Systems for Non-Variceal Upper P1269. GOO Due to Gastric Stimulator Electrode Migration: Add This to Gastrointestinal Bleeding (GIB): Do They Perform as Expected? Your DDx of Gastroparesis Exacerbation  Presidential Poster Award Eula Geralyn P. Tetangco, MD, MPH1, Sean Harrell, MD2, Rami Abboud, Catherine Frakes, MD1, C. Roberto Simons-Linares, MD2, Faris El-Khider, MD2, Satish S.C. Rao, MD, PhD1, L. Renee Hilton, MD1, Amol Sharma, MD1; MD, MS1, John J. Vargo, MD3; 1Cleveland Clinic, Cleveland, OH; 2Digestive 1Augusta University Medical Center, Augusta, GA; 2Augusta University, Disease Institute/Cleveland Clinic, Cleveland, OH; 3Digestive Disease Augusta, GA Institute/Cleveland Clinic Foundation, Cleveland, OH P1270. Rare Case of Gastric Xanthelasmas P1282. Weekend versus Weekday Admission and Outcomes for Yousef Elfanagely1, Kevin Skole, MD2; 1Rutgers Robert Wood Johnson Hospitalizations Due to Hemorrhagic Peptic Ulcer Disease: An Insight From Medical School, Wayne, NJ; 2University Medical Center of Princeton, National Data Plainsboro, NJ Harshil Shah, MD1, Hardikkumar Shah, MD, MPH2, Tsujung Yang, MD1, Aakashi Shah, MBBS3, Subash Ghimire, MD1, Prakashkumar Maiyani, MD4, P1271. Deliberate Ingestion of Metallic Objects: Wait, Watch, and They Pushpa Khanal, MBBS3, Rehan Farooqi, MD5, Ashish Sadolikar, MBBS6, Shall Pass Jasmine Garcha, MBBS3, Vinshi Khan, MD7, Achint Patel, MD3; 1Guthrie Shilpa Lingala, MD, Matthew Barnes, MD, Colin W. Howden, MD, FACG; Clinic/Robert Packer Hospital, Sayre, PA; 2New York Medical College at St. University of Tennessee Health Science Center, Memphis, TN Michael’s Medical Center, Newark, NJ; 3Mount Sinai Hospital, New York, P1272. Over-the-Scope Clip Defect Closure Following Endoscopic Mucosal NY; 4Gold Coast University Hospital, Southport, Queensland, Australia; Resection Throughout the Gastrointestinal Tract: A Case Series 5MedStar Union Memorial Hospital, Baltimore, MD; 6DY Patil Medical Kyle Kreitman, DO, Patrick Hickey, DO, Shashin Shah, MD, Hiral Shah, MD, College, Kolhapur, Maharashtra, India; 7Baylor College of Medicine, FACG; Lehigh Valley Health Network, Allentown, PA Houston, TX P1273. A Case of Duodenoureteral Fistula Formation P1283. Utility of CT Angiography (CTA) in Diagnosis and Treatment of Claire Schnell, MD1, Timothy Schnell, MD1, Avigeet Gupta, BS2, Kim Basu, Acute Lower GI Bleeding (LGIB) MD3; 1Palmetto Health Richland/ University of South Carolina, Irmo, SC; Ameer Zai Rasheed, MD, Ankur Mogla, Gaurav Parhar, MD, Madeeha 2University of South Carolina, Columbia, SC; 3William Jennings Bryan Shahzadi, MD, Urmee Saha, MD, Louis Gerolemou, DO, Viswanath Dorn VA Medical Center, Columbia, SC Vasudevan, MD; The Brooklyn Hospital Center, Brooklyn, NY P1274. An Uncommon Presentation of Abdominal Pain Leslie H. Massey, DO1, Snehal Desai, MD2, Aric Tucker, DO1; 1Valley Hospital Medical Center, Las Vegas, NV; 2Digestive Associates, Las Vegas, NV

108 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1284. Predictors of Unplanned Thirty-day Readmission Among Patient GI BLEEDING with Acute Lower Gastrointestinal Bleeding Clinical Vignettes / Case Reports Kalpit Devani, MD1, Hardik Sonani, MBBS2, Dhruvil Radadiya, MBBS1, Paris Charilaou, MD3, Bhaumik Brahmbhatt, MBBS, MD4, Pranav Patel, P1292. Late Gastrointestinal Bleeding in Short Limb Gastric Bypass: MD5, Parag Brahmbhatt, MD, FACP6, Parminderjit Singh, MD7, Mark Is Endoscopy Under-Rated? Young, MD1, Chakradhar M. Reddy, MD, FACP8; 1East Tennessee State Darlene M. Wilhelm, APRN-CNP1, Vinaya Gaduputi, MD2; 1Mercy Health/St. University, Johnson City, TN; 2University of Mississippi, Jackson, AL; Vincent Medical Center, Toledo, OH; 2SBH Health System, Bronx, NY 3St. Peter’s University Hospital, New Brunswick, NJ; 4Mayo Clinic, Jacksonville, FL; 5University of Alabama at Birmingham, Montgomery, AL; P1293. A Rare Case of Upper Gastrointestinal Bleed: Gastric Metastasis of 6Eagle Gastroenterology, Greensboro, NC; 7HVMC, Kingsport, TN; 8East Pancreatic Neuroendocrine Tumor Tennessee State University, Quillen College of Medicine, Johnson City, TN Sonmoon Mohapatra, MD, Devendra Enjamuri, MD, Sugirdhana Velpari, MD, Andrew Korman, MD, Arkady Broder, MD; St. Peter’s University P1285. Gastrointestinal Bleeding During Hospitalization for Transcatheter Hospital, New Brunswick, NJ POSTERS

Aortic Valve Replacement MONDAY Ted Spiewak, DO1, Armen Eskandari, MD2, Heejung Bang, PhD2, Sooraj P1294. Recurrent Gastrointestinal Hemorrhage From a Pair of Colonic Tejaswi, MD, MSPH1; 1University of California Davis Medical Center, Dieulafoy Lesions 1 2 3 Sacramento, CA; 2University of California Davis, Sacramento, CA Lindsey C. Shipley, MD , Tyler Aasen, DO , Allison Locke, MD , Chakradhar M. Reddy, MD, FACP2; 1University of Alabama at P1286. Comparative Evaluation of Endoscopic Variceal Band Ligation and Birmingham, Birmingham, AL; 2East Tennessee State University, Carvedilol for Prevention of First Variceal Bleed in High Risk Cirrhotics Quillen College of Medicine, Johnson City, TN; 3East Tennessee State  Category Award (GI Bleeding) University, Johnson City, TN  Presidential Poster Award Gadadhar Panda1, Suresh Kumar1, Siddharth Srivastava2, Premashis Kar, P1295. Idiopathic Acquired Factor VIII Inhibitor Presenting as Life MBBS, MD, DM, 1; 1Maulana Azad Medical College, New Delhi, Delhi, India; Threatening GI Bleed From an Apparent Gastric Mass 2GB Pant Hospital, New Delhi, Delhi, India Alexandra Weiss, MD, Anjali Mone, MD, Henry Ho, MD; Cooper University Hospital, Camden, NJ P1287. Endoscopic Techniques and Clinical Outcomes in Non-Variceal Upper Gastrointestinal Bleeding at a General Hospital in Singapore P1296. Getting the GIST of Small Bowel Bleeding 1 2 Siew Yi Ching, MBBS1, Benjamin Cherng Hann Yip, MBBS2, Kenny Kathryn Driggers, BS , Nicole Harrison, MD , Henri Renom de la Baume, 3 1 Ching Pan Sze, MBBS2, Sayeed Sajjad Hossain, MBBS2, Jiexun Wang, MD ; Uniformed Services University of the Health Sciences, Bethesda, 2 3 PhD3, Constantinos P. Anastassiades, MBBS2; 1Tan Tock Seng Hospital, MD; Walter Reed National Military Medical Center, Bethesda, MD; Fort Singapore, Singapore; 2Khoo Teck Puat Hospital, Singapore, Singapore; Belvoir Community Hospital, Fort Belvoir, VA 3Clinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore P1297. Multimodal Approach for Refractory GAVE: A Case Report 1 1 2 P1288. The Role of Endoscopic Thrombin Therapy in the Management of Ketisha De Roche, MD , Muhammad Bashir, MD , Manuel Martinez, MD ; 1 2 Gastric Variceal Bleeding: A Systematic Review and a Meta-Analysis SUNY Downstate Medical Center, Brooklyn, NY; Brooklyn Campus of the  Presidential Poster Award VA New York Harbor Healthcare System, Brooklyn, NY Muhammad Tahir, MD1, Amanpal Singh, MD, MS, FACG2, Naveen Prasad P1298. Chronic Nasal Sinusitis Revealing Disseminated Kaposi’s Sarcoma 1 1 1 Gopalakrishnan Ravikumar, MD , Lorin Miller , Kehua Zhou, MD , Kashif Tahmina Jahir, MD1, Ekaterina Casmartino Bondarenko, MD1, Faiza Malik, 1 1 2 Samad, MD ; University at Buffalo, Buffalo, NY; Mercy Medical Group, MD1, Matthew Nguyen, MD2, Sm Hossain, MBBS3, Sophia Jagroop, MD1; Sacramento, CA 1Jamaica Hospital Medical Center, Richmond Hill, NY; 2Jamaica Hospital 3 P1289. Assessing the Appropriateness of Stress Ulcer Prophylaxis in Medical Center, Briarwood, NY; Brookdale Hospital Medical Center, Critically Ill ICU Patients at CAMC Brooklyn, NY Tanureet Kochar, MD, Prasannalaxmi Palabindela, MD, Chirag Patel, MD, P1299. Extraordinarily Complicated Case of Scurvy - Complicated by Sarwan Shaikh, MD, Dany Tager, MD, Suzanne Kemper, MD, Hesham Gastrointestinal Hemorrhage, Anemia, Splenic Infarction, and Acute Mohamed, MD, Brittain McJunkin, MD; Charleston Area Medical Center, Pulmonary Hemorrhage Charleston, WV Andrew C. Lee, MD, Priyanka Bhatia, MD, Anand A. Dutta, MD; Wellspan P1290. Frequency of Gastrointestinal Bleeding and Its Impact on In- Health - York Hospital, York, PA Hospital Mortality Among Patients With Solid Organ Transplantation P1300. When It Is Not Just NSAID-Related Gastrointestinal Bleed: Unusual Chaitanya Allamneni, MD1, Allen Haas, MA2, Yong-Fang Kuo, PhD2, Presentation of Advanced Gastrointestinal Stromal Tumor 1 1 1 Ashwani Singal, MD, MS , Shajan Peter, MD ; University of Alabama at Andrew C. Lee, MD1, Lauren Eversmeyer, MD2, Aparajita Singh, MD, MPH3; 2 Birmingham, Birmingham, AL; University of Texas Medical Branch, 1Wellspan Health - York Hospital, York, PA; 2University of California, San Galveston, TX Francisco, San Francisco, CA; 3University of California San Francisco, San P1291. Trend in Mortality in Variceal and Non-Variceal Gastrointestinal Francisco, CA Bleeds Over 15 Years: A National Level Study P1301. Gastric Ulcer and Perforation Due to Mucormycosis in an  Presidential Poster Award Immunocompetent Patient Vagishwari Murugesan, MBBS, Jennifer Tran, MD; MedStar Washington Rameez Malik, MD1, Keng-Yu Chuang, MD2, Sharad Bellapravalu, MD1, Hospital Center/Georgetown University, Washington, DC Indu Srinivasan, MD1; 1Maricopa Integrated Health System, Phoenix, AZ; 2Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ P1302. Plop, Plop, Fizz, Fizz: Is It Really a Relief? Satish K. Boddhula, MD1, Sowmya Boddhula1, Konika Sharma, MD2, Peter Francisco1, Edward Bischof1; 1Bassett Medical Center, Cooperstown, NY; 2Basset Medical Center, Cooperstown, NY

P1303. Metallic Sliver Stool? Thomas’s Sign or Something Else? P1316. An Usual Cause of Massive Upper Gastrointestinal Bleeding: Koosh Desai, MD; Augusta University, Augusta, GA Pancreatic Pseudoaneurysm Rupture Ahmed Hamed, MD, Karissa Lambert, MD, Amira Hamed, MD, Eric P1304. Dieula-Foiled: Diagnosis and Management of Obscure Gochanour, MD, Eslam Ali, MD; East Carolina University, Greenville, NC Gastrointestinal Bleeding Secondary to a Duodenal Dieulafoy Frederick S. Rozenshteyn, MD1, Melissa Hershman, MD2, Steven Rogers, P1317. Diagnosis of a Bleeding Meckel’s in an Adult with a Negative MD1; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel, St. Meckel’s Scan Luke’s and West, New York, NY Tejas V. Joshi, MD1, Justin Miller, MD2, Daniel Raines, MD, FACG2; 1LSU Health New Orleans School of Medicine, New Orleans, LA; 2LSU Health P1305. Use of Transexamic Acid for the Treatment of Transfusion Sciences Center, New Orleans, LA Dependent Gastrointestinal Bleeding Vlad Stanila, MD, Shea Wickland, MD, Julian Nicholas, MD, PhD, MRCP; US P1318. Unusual Presentation of Ectopic Variceal Bleeding in Patient With Navy, Oceanside, CA Roux-en-Y Gastric Bypass Amar Dodda, MD1, Bixuan Lin, MD2, Murad Aburajab, MD1; 1Medical College P1306. A Case of Gastrointestinal Kaposi’s Sarcoma of Wisconsin, Brookfield, WI;2 Medical College of Wisconsin, Milwaukee, WI Gabriella Raffa, MD, Leah Katta, MD, Morgan Sendzischew, MD, Liege Diaz, MD, Emory Manten, MD; University of Miami Jackson Memorial P1319. GIST - An Unusual Cause of Upper GI Bleeding Hospital, Miami, FL Justin DeRosa, DO, Lucy Joo, DO, Drew Chiesa, DO, Darshan Roy, MD; Rowan University School of Osteopathic Medicine, Stratford, NJ P1307. It’s Not Always the Diverticula: A Rare Case of Obscure Overt Lower Gastrointestinal Bleed Resulting From a Fistulous Tract Between Rectum P1320. Gastrointestinal Bleeding Due to a Testicular Germ Cell Tumor With and Seminal Vesicle Secondary to Metastatic Prostate Adenocarcinoma Duodenal Involvement Evanee Frank, DO, Ramiro De La Guerra, MD, Benjamin Wardrop, DO, Mahmoud Isseh, MD1, Mouhanna K. Abu Ghanimeh, MD1, Omar Bonnie Patek, DO; Allegheny Health Network, Pittsburgh, PA Abughanimeh, MD2, Allyce Caines, MD1, Mazen El-atrache, MD1; 1Henry Ford Hospital, Detroit, MI; 2University of Missouri, Kansas City, MO P1308. Gastro-Splenic Fistula Formation in Gastric Tuberculosis Presenting With Massive Hematemesis P1321. Klippel-Trenaunay Syndrome: A Rare Cause of Hematochezia Kristoffer Ted Angala, MD, Rommel Palaganas, MD; Baguio General Andrew Ofosu, MD, MPH1, Eric O. Then, MD2, Tagore Sunkara, MD3, Andrea Hospital and Medical Center, Baguio City, Benguet, Philippines Culliford, MD, FACG4, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3The Brooklyn P1309. Massive Gastric Bleed Post Splenic Embolization Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, Anila Kumar, DO1, Raja Chandra Chakinala, MD1, Shalom Z. Frager, MD1, NY; 4St. Barnbas Hospital, Bronx, NY Sam McCabe, MD1, Khwaja F. Haq, MD2, Shantanu Solanki, MD, MPH1, Roxana Bodin, MD1; 1New York Medical College at Westchester Medical P1322. A Rare Case of Massive Gastrointestinal Bleeding From a Rectal Center, Valhalla, NY; 2Henry Ford Hospital, Detroit, MI Dieulafoy Lesion Andrew Ofosu, MD, MPH1, Eric O. Then, MD2, Prashanth Rawla, MD3, P1310. Successful Treatment of Hereditary Hemorrhagic Telangiectasia Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD2; 1The Brooklyn With Octreotide Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3Memorial Beena Umar1, Kimberly Houghton, MD2, Jason Schairer, MD3; 1Henry Ford Hospital of Martinsville and Henry County, Martinsville, VA; 4St. Barnbas Hospital, Detroit, MI; 2Henry Ford Health System, Farmington Hills, MI; Hospital, Bronx, NY 3Henry Ford Health Systems, Detroit, MI P1323. An Unusual Cause of Obscure Gastrointestinal Bleed: Ileal P1311. Improved Visualization With Cap Fitted Colonoscopy in Lower Inflammatory Polyp GI Bleeding Nathan Davis, DO, Yogesh Govil, MD; Albert Einstein Medical Center, Ross J. Humes, MD1, Zachary Junga, MD2, Adam Tritsch, MD1; 1Walter Reed Philadelphia, PA National Military Medical Center, Bethesda, MD; 2Walter Reed National Military Medical Center, Silver Spring, MD P1324. Hemosuccus Pancreaticus in a Patient With Pancreatic Neuroendocrine Tumor P1312. Esophageal Stenting for Refractory Esophageal Variceal Bleeding S. Bradley Hicks, MD, George Saffouri, MD, Randall Pearson, MD, FACG; Ronald Samuel, MD, Lauren August Clark, MD, Marc Shabot, MD, MACP, Mayo Clinic, Rochester, MN FACG, Sreeram Parupudi, MD, FACP, FACG; University of Texas Medical Branch, Galveston, TX P1325. A Fatal Case of Occult Aortoenteric Fistula Kimesh Chetty, MBBS, BSc, Erik Vantomme, MD, Mike O’Byrne, MD, P1313. Upper Esophageal Laceration After Transesophageal FRCPC; University of Saskatchewan, Regina, SK, Canada Echocardiography Ronald Samuel, MD1, Obada Tayyem, MD1, Timothy Krill, MD2, Hamza P1326. Duodenal Variceal Bleeding: A Rare Complication of Portal Abdulla, MD1, Sreeram Parupudi, MD, FACP, FACG1, Shehzad Merwat, MD1; Hypertension 1University of Texas Medical Branch, Galveston, TX; 2University of Texas Obada Tayyem, MD1, Timothy Krill, MD2, Hamza Abdulla, MD1, Sheharyar Medical Branch, Sugar Land, TX Merwat, MD1, Sreeram Parupudi, MD, FACP, FACG1; 1University of Texas Medical Branch, Galveston, TX; 2University of Texas Medical Branch, Sugar P1314. Severe Mallory Weiss Tear Following Heller Myotomy Land, TX Ronald Samuel, MD, Hamza Abdulla, MD, Sreeram Parupudi, MD, FACP, FACG; University of Texas Medical Branch, Galveston, TX P1327. Carotid Blowout Syndrome: A Rare Case of Bleeding Which Can Be Initially Missed in Patients P1315. A Rare Etiology of Upper Gastrointestinal Bleeding: Dieulafoy of the Shima Ghavimi, MD1, Alana Persaud, MD2, Neel Patel, MD1, Zamir Brelvi, Distal Esophagus MD, PhD1; 1Rutgers New Jersey Medical School, Newark, NJ; 2Rutgers Nha T. Duong, DO1, Alexander Potashinsky, MD1, Raffi Karagozian, 2MD ; University, New Jersey Medical School, Newark, NJ 1University of Connecticut Health Center, Farmington, CT; 2Yale University School of Medicine, Hartford, CT

110 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1328. Dieulafoy’s Lesion of Ano-Rectum: An Unusual Etiology of Lower P1336. Fibrosis Scores in Inflammatory Bowel Disease Patients With a Gastrointestinal Bleeding History of Ileostomy or Ileal Pouch Surgery With Exposure to Methotrexate Jobin Philipose, MD1, Fady G. Haddad, MD2, Liliane Deeb, MD3; 1Staten and Thiopurines Island University Hospital, Northwell Health, New York, NY; 2Staten Island Winnie Szeto, MD1, Laura Chiu, MD2, Robert Wilechansky, MD2, Rahul University Hospital, Northwell Health, Staten Island, NY; 3Staten Island Bhale2, Li Pei-Hsuan2, Janice Weinberg, ScD3, Michelle Long, MD2, David University Hospital, Staten Island, NY Nunes, MD2, Francis A. Farraye, MD, MSc2; 1St. Elizabeth’s Medical Center, Brighton, MA; 2Boston Medical Center, Boston, MA; 3Boston University P1329. Bleeding Meckel’s Diverticulum: An Alternative Diagnostic School of Public Health, Boston, MA Approach Jay Anderson, DO1, David Y. Lo, MD, FACG2, Scott Arlin, MD3, Robert P1337. Bariatric Surgery Is a Safe and Effective Option for IBD Patients: Toscano, MD4; 1OhioHealth, Riverside Methodist Hospital, Columbus, OH; A Case Series and Review of the Literature 2Ohio Gastroenterology Group, Inc., The Ohio State University College of Joshua Hudson, MD, MS1, Edward L. Barnes, MD, MPH2, Hans Herfarth, Medicine, Columbus, OH; 3Ohio Gastroenterology Group, Inc., Columbus, MD, PhD1, Kim L. Isaacs, MD, PhD3, Animesh Jain, MD1; 1University of 4 2

OH; Riverside Surgical Associates, Columbus, OH North Carolina, Chapel Hill, NC; University of North Carolina at Chapel POSTERS MONDAY Hill, Chapel Hill, NC; 3University of North Carolina, Chapel HIll, NC IBD P1338. The Impact of Disease Specific Knowledge on Anxiety, Depression, and Quality of Life in Patients With Inflammatory Bowel Disease P1330. Infliximab Drug Trough Levels Do Not Correlate With Infectious Aya Hamadeh, MSc1, Mohamad Chahrour, BS1, Habib El-Khoury, BS1, Complication Risk in Patients With Crohn’s Disease Jad M. Kfouri, BS1, Mohammad N. Hosni, MD1, Joanna Khalifeh, BS1, 1 1 1 Helen Lee, MD1, Yecheskel Schneider, MD, MS2, Gary R. Lichtenstein, MD3; Serena Saade, BS , Nadim Kattouf, BS , Ala I. Sharara, MD , Kassem 1 1 1 1Hospital of the University of Medicine, Philadelphia, PA; 2University Barada, MD , Fady Daniel, MD , Assaad Soweid, MD , Yasser Shaib, 1 2 3 1 of Pennsylvania, Philadelphia, PA; 3Hospital of the University of MD , David Binion, MD, FACG , Jana G. Hashash, MD, MSc ; American Pennsylvania, Philadelphia, PA University of Beirut Medical Center, Beirut, Beyrouth, Lebanon; 2University of Pittsburgh, Pittsburgh, PA; 3University of Pittsburgh School P1331. Effect of CMV on Outcomes Among Hospitalized Patients With of Medicine, Pittsburgh, PA Crohn’s Disease Gaurav Kistangari, MD, MPH1, Rocio Lopez, MS2, Bo Shen, MD3; 1University P1339. The Majority of Patients With Inflammatory Bowel Disease Are at Buffalo Jacobs School of Medicine, Buffalo, NY;2 Lerner Research Interested in Drug Discontinuation Despite Risks Institute/Cleveland Clinic Foundation, Cleveland, OH; 3Cleveland Clinic Nicole Harrison, MD, John G. McCarthy, MD, Ross J. Humes, MD, Manish Digestive Disease Institute, Cleveland, OH Singla, MD; Walter Reed National Military Medical Center, Bethesda, MD P1332. Histologic Chronic Gastritis Is Not Associated With De novo Crohn’s P1340. Lack of Discrepancy in Inflammatory Bowel Disease Hospitalization Disease After Ileal Pouch-Anal Anastomosis Outcomes Among Patients of Different Race or Ethnicity Will Takakura, MD1, James Mirocha, MS2, Gayane Ovsepyan, MPH2, Karen Rahul S. Dalal, MD, Gary R. Lichtenstein, MD; Hospital of the University of Zaghiyan, MD2, Gaurav Syal, MD1, Phillip Fleshner, MD2; 1Cedars-Sinai Pennsylvania, Philadelphia, PA 2 Medical Center, Los Angeles, CA; Cedars-Sinai, Los Angeles, CA P1341. A Validated User-Friendly Predictive Tool to Identify Colectomy P1333. What Is the Most Cost-Effective Position of Vedolizumab in Risk in Patients with Mild, Moderate, and Severe Ulcerative Colitis Treatment Algorithms of Ulcerative Colitis From a Population Management Rahul S. Dalal, MD1, Mark T. Osterman, MD, MSCE2, Anna Buchner, MD1, Amy Perspective? Praestgaard, MS3, Gary R. Lichtenstein, MD1; 1Hospital of the University 2 Frank I. Scott, MD, MSCE1, Michelle Luo, PhD2, Yash Shah3, Karen Lasch, of Pennsylvania, Philadelphia, PA; Penn Presbyterian Medical Center, 3 MD2, James D. Lewis, MD, MSCE4; 1University of Colorado Anschutz Philadelphia, PA; Center for Clinical Epidemiology and Biostatistics, Medical Campus; Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 2 University of Pennsylvania, Denver, CO; Takeda Pharmaceuticals, P1342. Weekend Discharges Are Not Associated with Increased 3 U.S.A., Inc., Deerfield, IL; University of Pennsylvania School of Arts Readmission Rates for Ulcerative Colitis Hospitalizations 4 and Sciences, Philadelphia, PA; Center for Clinical Epidemiology and Rahul S. Dalal, MD, Gary R. Lichtenstein, MD; Hospital of the University of Biostatistics, University of Pennsylvania, Perelman School of Medicine, Pennsylvania, Philadelphia, PA Philadelphia, PA P1343. A Comparison of Hospitalization Outcomes for Inflammatory Bowel P1334. Inflammatory Bowel Disease and Risk of Osteoporotic Fractures: A Disease in Academic vs. Non-academic Medical Centers Meta-Analysis Rahul S. Dalal, MD, Ravy Vajravelu, MD, James D. Lewis, MD, Gary R. Diego Hidalgo, MD, Boonphiphop Boonpheng, MD, Jennifer Phemister, Lichtenstein, MD; Hospital of the University of Pennsylvania, Philadelphia, PA MD, Mark Young, MD; East Tennessee State University, Johnson City, TN P1344. Treatment and Efficacy Assessment in African American With P1335. Patient Education on Inflammatory Bowel Disease (IBD) Guided by Inflammatory Bowel Disease Assessments of Patient and Provider Team Perceptions Wissam Kiwan, MD1, Shanker D. Kundumadam, MD 2, Pradeep Kathi, MD2, 1 Elisabeth R. Evans, MSN, FNP-BC , Ellen Scherl, MD, FACP, FACG, Zaid Kaloti, MD2, Raya Kutaimy, MD2, Mohammed Nayeem, MD3, Ahmad 2 3 4 NYSGEF , Laurie Powers Yopp, RN , Alison Kerekes, PA-C , Moriane Abu-Heija, MD2, Wadah Ameen, MD 2, Vijay Jarodiya, MD4, Anubhav Jain, 5 6 Joseph, MSN, MPH, ARNP , Laura C. Simone, PhD , Laurence Greene, MD5, Eugene Verkhovsky, MD6, Paul Naylor, PhD7, Omar Al-Subee, MD, 6 6 1 PhD , Tamar Sapir, PhD ; University of California San Diego IBD Center, FACG2, Kartikkumar Jinjuvadia, MD, MPH8; 1Wayne State University / 2 San Diego, CA; Weill Cornell Medical College of Cornell University, New Detroit Medical Center, Detroit, MI; 2Wayne State University, Detroit, MI; 3 York, NY; University of North Carolina Inflammatory Bowel Disease 3Detroit Medical Center / Wayne State University - Sinai Grace Hospital, 4 5 Center, Chapel Hill, NC; Duke University, Durham, NC; University of Detroit, MI; 4St. Mary Mercy Hospital, Livonia, MI; 5Wayne State University, Miami Leonard M. Miller School of Medicine, Crohn’s and Colitis Center, Rochester, MI; 6Wayne State University, Tucson, AZ; 7Wayne State 6 Miami, FL; PRIME Education, Fort Lauderdale, FL University School of Medicine, Hazel Park, MI; 8Wayne State University, Troy, MI

P1345. Higher Propofol Dosing Rates Needed for Colonoscopy in P1356. Vedolizumab Outcomes in Real-world Bio-naive Ulcerative Colitis Inflammatory Bowel Disease Patients Compared to Non-Inflammatory and Crohn’s Disease Patients (EVOLVE) in North America Bowel Disease Patients Andres Yarur, MD1, Marielle Bassel, BA2, Dara Stein, MSc3, Hankyul Daniel Zhang, MD, Roman Stana, MD, Bincy Abraham, MD, MS; Houston Kim, MSPH4, Gabriela Radulescu, MD5, Claudia Lopez, DVM, MSc6, Methodist Hospital, Houston, TX Trevor Lissoos, MD, FACG7, Dirk Demuth, PhD8, Brian Bressler, MD, MS, FRCPC9; 1Froedtert & Medical College of Wisconsin, Milwaukee, WI; P1346. Overuse of Tuberculosis Screening Practices in Patients With 2Evidera, Montreal, PQ, Canada; 3Evidera, London, England, United Inflammatory Bowel Disease on Biologic Therapy Kingdom; 4Evidera, Waltham, MA; 5Takeda Canada, Inc., Oakville, ON, Eric Vecchio, MD, Eric Mao, MD, Sean Fine, MD; Brown University, Canada; 6Takeda Pharmaceuticals U.S.A., Inc., Deerfield, IL;7 Takeda Providence, RI Pharmaceuticals U.S.A., Inc., Elgin, IL; 8Takeda International – UK Branch, P1347. Real World Treatment Persistence With Vedolizumab in London, England, United Kingdom; 9Evidera, Vancouver, BC, Canada Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis 1 2 3 P1357. Home-Based Infusions for Inflammatory Bowel Disease From the Dirk Demuth, PhD , Haridarshan Patel, PharmD , Shashi Adsul, MD, MBA ; Provider and Patient Perspective 1Takeda International – UK Branch, London, England, United Kingdom; Gregory J. Eustace, BSc, MD1, Christopher V. Almario, MD1, Brennan M. R. 2Takeda International, Deerfield, IL;3 Takeda Pharmaceuticals International Spiegel, MD, MSHS1, S. Alandra Weaver, MPH2, Corey Siegel, MD, MS3, Gil AG, Zurich, Switzerland Melmed, MD1; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2Crohn’s & P1348. Phenotypic Manifestations of Inflammatory Bowel Disease in Colitis Foundation, New York, NY; 3Dartmouth-Hitchcock Medical Center, Indian-Americans Compared to Caucasian-Americans: A Single Center Lebanon, NH Retrospective Study P1358. Cervical Cancer Screening in Inflammatory Bowel Disease Patients: Sanket Patel, DO1, James Dechiara2, Si Yu2, John Gaughan, MS, PhD, MBA1, 3 4 4 1 Practice and Perceptions of Responsibility Among Gastroenterologists and Satyajeet Roy, MD , Thomas Judge, MD , Yize Wang, MD, PhD ; Cooper Internists University Healthcare, Camden, NJ; 2Cooper Medical School of Rowan Krishna Patel, DO, Florence-Damilola Odufalu, MD, Muhammad Bader University, Camden, NJ; 3Cooper University Healthcare, Cherry Hill, NJ; Hammami, MD, Katie S. Schroeder, MD; St. Louis University School of 4Cooper University Healthcare, Mt. Laurel, NJ Medicine, St. Louis, MO P1349. Need for Escalation to Systemic Prednisone Therapy After Initiation of P1359. Pregnancy Associated With Lower Occurrence of Inflammatory Budesonide MMX® in a Real-World Cohort of Patients With Ulcerative Colitis Bowel Disease Sydney Greenberg, MD1, Hans Herfarth, MD, PhD1, Edward L. Barnes, MD, Karl Mareth, MD1, Paul T. Kroner, MD, MSc2, Alex M. Kesler, MD2, Juan MPH2; 1University of North Carolina, Chapel Hill, NC; 2University of North Corral, MD2, Monia E. Werlang, MD2, Peter Abader, MD2, John Cangemi, Carolina at Chapel Hill, Chapel Hill, NC MD2; 1Mayo Clinic, Jacksonville, FL; 2Mayo Clinic Florida, Jacksonville, FL P1350. Routine Immunization Screening Prior to Initiation of Biologic and P1360. TELEmedicine for Patients With Inflammatory Bowel Disease Immunosuppressive Therapy: A Healthcare Initiative Survey (TELE-IBD): A Qualitative Assessment Christine Chen, DO1, Michael Ma, MD2, Jack Husney, MD1, Ilan Weisberg, Erin Roth, PhD1, Sarah Chard, PhD1, J. Kevin Eckert, PhD2, Ray Cross, MD, MSc1; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel Jr., MD, MS3; 1UMBC/Center for Aging Studies, Baltimore, MD; 2UMBC/ Hospital, New York, NY Sociology, Anthropology, & Health Administration and Policy, Baltimore, P1351. Prevalence of Inflammatory Bowel Disease in the U.S. MD; 3University of Maryland School of Medicine, Baltimore, MD Adult Population: Recent Estimates from Large Population-Based P1361. Perceptions on Shared Management and Primary Care National Databases Competencies in Inflammatory Bowel Disease (IBD) Care Informed Yizhou Ye, PhD, MS, Sudhakar Manne, MS, Dimitri Bennett, MD, MPH, Through a Gastroenterologist-Led Mentorship Model FACE, FISPE; Takeda, Cambridge, MA Ray Cross, Jr., MD, MS1, Tasneem Ahmed, DO2, Richard Chasen, MD, FACG P1352. Pediatric Inflammatory Bowel Disease in the U.S.: Population- 3, Adam Cheifetz, MD4, Peter D. R. Higgins, MD, PhD, MSc5, Jonathan Based Prevalence Estimates From Large National Databases A. Leighton, MD, FACG6, Ellen Scherl, MD, FACP, FACG, NYSGEF7, Arun Yizhou Ye, PhD, MS, Sudhakar Manne, MS, Dimitri Bennett, MD, MPH, Swaminath, MD8, Laura C. Simone, PhD9, Laurence Greene, PhD9, Tamar FACE, FISPE; Takeda, Cambridge, MA Sapir, PhD9; 1University of Maryland School of Medicine, Baltimore, MD; 2University of Texas Southwestern Medical Center, Dallas, TX; 3Capital P1353. The Use of Dual Energy Computed Tomography in Evaluating Digestive Care, Laurel, MD; 4Beth Israel Deaconess Medical Center, Crohn’s Disease Activity Boston, MA; 5University of Michigan, Ann Arbor, MI; 6Mayo Clinic Arizona, 1 1 2 Sean Michael Duenas, MD , Bari Dane, MD , David Hudesman, MD , Scottsdale, AZ; 7Weill Cornell Medical College of Cornell University, New 1 1 1 Grigoriy Gurvits, MD , Melissa Rosen, MD , Rebekah Gross, MD , Sophie York, NY; 8Hofstra NorthShore-LIJ School of Medicine, New York, NY; 1 3 1 1 Balzora, MD , Alec Megibow, MD, MPH , Shannon Chang, MD ; NYU 9PRIME Education, Fort Lauderdale, FL Langone Health, New York, NY; 2NYU, New York, NY; 3NYU-Langone Health, New York, NY P1362. Efficacy of Thiopurines in Achieving Steroid-Free Remission in a Nationwide Cohort of Ulcerative Colitis Patients P1354. Assessing the Risk of Osteoporosis in Patients with Inflammatory Nabeel H. Khan, MD, Chinmay P. Trivedi, MBBS; Corporal Michael J. Bowel Disease Crescenz Philadelphia VA Medical Center, Philadelphia, PA Muhammad Talal Sarmini, MD, Mohammad Maysara Asfari, MD, Yasser Al- Khadra, MD, Srinivasan Dasarathy, MD, Arthur McCullough, MD; Cleveland P1363. Prevalence and Severity of Anemia in a Nationwide Cohort of IBD Clinic Foundation, Cleveland, OH and Non-IBD Patients Nabeel H. Khan, MD, Chinmay P. Trivedi, MBBS; Corporal Michael J. P1355. State of the Gastroenterology Physician Workforce With Regard to Crescenz Philadelphia VA Medical Center, Philadelphia, PA Inflammatory Bowel Disease Eula Geralyn P. Tetangco, MD, MPH1, Jai Eun Lee, MD2, Supannee Rassameehiran, MD2, Jigar Bhagatwala, MD, MPH2, Hafiz Muhammad Sharjeel Arshad, MD2, Humberto Sifuentes, MD2; 1Augusta University Medical Center, Augusta, GA; 2Augusta University, Augusta, GA

112 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1364. Ustekinumab Reinduction for Loss of Response or Interruption P1374. Incidental Diagnosis of Inflammatory Bowel Disease From the of Treatment English Bowel Cancer Screening Programme: Follow-Up of the First Lauren Evers, MD1, Audrey L. Bennett, MD1, Ailish Garrett, NP1, Caroline Reported Cohort Duley, NP1, Kim Annis, PA1, Julianne Wagnon, JD, NSN, FNP-BC2, Robin Anirudh Pramod Bhandare, MBBS, MD 1, Gaurav Bhasker Nigam, MBBS, Dalal, MD1, Elizabeth Scoville, MD, MSCI1, Dawn B. Beaulieu, MD1, David DNB1, Rhys Owain Butcher, MB ChB, MD2, Jimmy K. Limdi, MD, FACG, Schwartz, MD1, Sara N. Horst, MD, MPH1; 1Vanderbilt University Medical FRCP, FRCPE3; 1Pennine Acute Hospitals Trust, Manchester, England, Center, Nashville, TN; 2Vanderbilt IBD Center, Nashville, TN United Kingdom; 2Blackpool Victoria Hospital, Blackpool, England, United Kingdom; 3Pennine Acute Hospitals Trust, Bury, England, United Kingdom P1365. Association of Higher Infliximab Drug Levels with Response Rates of Perianal Crohn’s Disease P1375. Dermatological Reactions Associated With Anti-TNF Therapy in Nauroz Syed, MD, MHS1, Sara Brown, MD2, Rajiv Perinbasekar, MD1, Alicia Inflammatory Bowel Disease: A Single-Centre, 13-Year Experience Wentz, MS3, Ray Cross, Jr., MD, MS3; 1University of Maryland Medical Anirudh Pramod Bhandare, MBBS, MD 1, Rizwan Diyar, MBBS, MRCP2, Center, Baltimore, MD; 2University of Maryland, Nashville, TN; 3University Jo Taylor, BSC1, Jimmy K. Limdi, MD, FACG, FRCP, FRCPE3; 1Pennine 2 of Maryland School of Medicine, Baltimore, MD Acute Hospitals Trust, Manchester, England, United Kingdom; North POSTERS MONDAY West Deanery, Manchester, England, United Kingdom; 3Pennine Acute P1366. Intensified Infliximab Induction Dosing in Acute Severe Hospitals Trust, Bury, England, United Kingdom Ulcerative Colitis Nauroz Syed, MD, MHS1, Kaci E. Christian, MD2, Sean Kelly, PharmD3, Alicia P1376. Unique Differences in Breath Test Gas Patterns in Inflammatory Wentz, MS2, Ray Cross, Jr., MD, MS2; 1University of Maryland Medical Center, Bowel Disease (IBD) Compared to Non-IBD Patients: A Large-Scale Baltimore, MD; 2University of Maryland School of Medicine, Baltimore, MD; Database Linkage Analysis 3University of Maryland School of Pharmacy, Baltimore, MD Phillip Gu, MD1, Devin Patel, MD2, Krutika Lakhoo, MD2, Jeffrey Ko, MD2, Xiaochen Liu, MSc2, Shrey Mathur, BS2, Bianca W. Chang, MD3, Dana P1367. Small Bowel Cancer Complicating Inflammatory Bowel Disease: Pan, MD4, Greg Lentz5, Matthew Sonesen2, Renier Estiandan2, Eugenia A Tertiary Referral Center Experience Lin, BS2, Mark Pimentel, MD2, Ali Rezaie, MD, MSc2; 1University of Texas Sumedha Chablani, MD1, Carlita Shen, MD1, David Binion, MD, FACG2, Southwestern, Dallas, TX; 2Cedars-Sinai Medical Center, Los Angeles, Claudia Ramos del Aguila de Rivers, MD2; 1University of Pittsburgh CA; 3University of Chicago, Chicago, IL; 4University of California Davis, Medical Center, Pittsburgh, PA; 2University of Pittsburgh, Pittsburgh, PA Sacramento, CA; 5CSHS, Los Angeles, CA P1368. Histoplasmosis in Inflammatory Bowel Disease Patients on Tumor P1377. Probiotics Treatment in Ulcerative Colitis: A Systematic Review and Necrosis Factor-α Medications Meta-Analysis of Randomized Clinical Trial Claire Jansson-Knodell, MD, Courtney Moors, MD, Edward V. Loftus, Jr., Muhammed Khaled Elfaituri1, Mina Fransawy Alkomos, MD2, Tran Thai Huu MD, Randall Walker, MD, Mark Enzler, MD, Abinash Virk, MD; Mayo Clinic, Loc3, Nguyen Thi Linh Hue, MD4, Abdulmoate Alhadi Alshareef5, Ammar Rochester, MN Kalo6, Nada Gaballa7, Mai Nhu Y8, Saed Enabi9, Tarek Ahmed10, Thai Le P1369. The Impact of Delay in Clostridium difficile Testing on Outcomes in Ba Nghia11, Bisher Sawaf, MD12, Sherihan E. Galal13, Nguyen Tien Huy, MD, Hospitalized IBD Patients With Gastrointestinal Symptoms PhD14; 1Tripoli University, Tripoli, Tripoli, Libya; 2Ain shams University Adam Tepler, MD, Manasi Agrawal, MD, Simon Hong, MD, Brad Tricomi, hospitals, Cairo, Al Qahirah, Egypt; 3Vietnam National University, Ho Chi MS, Dana J. Lukin, MD, PhD, FACG; Montefiore Medical Center, Bronx, NY Minh City, Ho Chi Minh, Vietnam; 4Vo Truong Toan University, Ha Giang, Vietnam; 5Zawia Medical College, University of Zawia, Azzawiya, Az P1370. Osteoarticular Manifestations in Inflammatory Bowel Disease: The Zawiyah, Libya; 6Mansoura University, Mansoura, Ad Daqahliyah, Egypt; Experience of a Tertiary Center 7Al-Azhar University, Cairo, Al Qahirah, Egypt; 8Vo Truong Toan University, Ana Santos, MD, Susana Lopes, MD, PhD, Rui Gaspar, MD, Patricia Hau Giang, Vietnam; 9Suliaman Al-Rajhi Colleges, Al Bukayriyah, Al Andrade, MD, Amadeu Corte-Real, MS, Guilherme Macedo, MD, PhD, Bahah, Saudi Arabia; 10Alexandria Faculty of Medicine, Alexandria, Al FACG; Centro Hospitalar São João, Porto, Portugal Iskandariyah, Egypt; 11Faculty of Medicine, Vo Truong Toan University, Hau 12 P1371. Presentation and Outcomes Among Hospitalized Inflammatory Giang, Vietnam; Syrian Private University, Damascus, Dimashq, Syria; 13 Bowel Disease Patients With Concurrent Pneumatosis Intestinalis Misr University for Science and Technology, 6th of October City, Al 14 Youran Gao, MD1, Michael Ashamallah, MD2, Meka Uffenheimer3, Gregory Jizah, Egypt; Nagasaki University, Nagasaki, Japan Grimaldi, MD3, Keith Sultan, MD3; 1Northwell Health, Hofstra School P1378. Failure of Vedolizumab as First-Line Biologic Does Not Decrease of Medicine, Rego Park, NY; 2Zucker School of Medicine at Hofstra/ Response Rates of Second-Line Therapy 3 Northwell, Manhasset, NY; Northwell Health, Hofstra School of Medicine, Timothy E. Ritter, MD1, Chris Fourment, MD1, Tracy C. Okoro, PharmD2, Manhasset, NY Thomas C. Hardin, PharmD2, Lucinda J. Van Anglen, PharmD2; 1Texas 2 P1372. Enteral Nutrition Associated with Decreased Risk of Postoperative Digestive Disease Consultants, PA, Southlake, TX; Healix Infusion Recurrence of Crohn’s Disease Therapy, Sugar Land, TX Anish H. Patel, MD1, Felix Lui, MD1, Douglas Nguyen, MD2; 1University of P1379. Can We Develop Precision Medicine for Biologic Selection in California Irvine Medical Center, Orange, CA; 2University of California IBD Based on Routinely Available Clinical Information? Using Big Data Irvine Medical Center, Anaheim, CA Analytics to Identify Predictors of Anti-TNF Response 1 2 P1373. Efficacy and Tolerability of a Biosimilar Infliximab Switch - A Large Scott Friedberg, MD , Claudia Ramos del Aguila de Rivers, MD , weston 1 3 Single-Centre Experience From the U.K. Bettner, MD , Marc Schwartz, Dmitriy Babichenko, MSIS , Gong Tang, 2 1 4 Anirudh Pramod Bhandare, MBBS, MD 1, Gaurav Bhasker Nigam, MBBS, PhD , Michael Dunn, MD, FACP , Tanvi Nagpal, MS , Ioannis Koutroubakis, 4 5 6 7 DNB1, Shadab Nayeemudin, MBBS, MRCP1, Jimmy K. Limdi, MD, FACG, MD , Michelle Luo, PhD , Brian Talon, PharmD , David Zepeda, MD , David 2 1 FRCP, FRCPE2; 1Pennine Acute Hospitals Trust, Manchester, England, Binion, MD, FACG ; University of Pittsburgh Medical Center, Pittsburgh, 2 3 United Kingdom; 2Pennine Acute Hospitals Trust, Bury, England, PA; University of Pittsburgh, Pittsburgh, PA; University of Pittsburgh 4 United Kingdom School of Computing and Information, Pittsburgh, PA; Pittsburgh, PA; 5Takeda Pharmaceuticals, U.S.A., Inc., Deerfield, IL;6 Takeda Pharmaceuticals, Deerfield, IL;7 Takeda, Deerfield, IL

P1380. Association of Novel Inflammatory Markers TREM1 & TREM2 with P1387. A Rare and Unusual Case of Healing Pyoderma Gangrenosum in Vitamin D Levels in Inflammatory Bowel Disease Uncontrolled Crohns’ Disease Mounika Mounika, MBBS, D. K. Agrawal, MS, PhD, Robert Kizer, MD; David Choi, DO1, John Choi, BS2, Andrea Miller-Lari, DO3, Linoj Panicker, Creighton University, Omaha, NE DO3, Jamie Skrove, DO1, Javier Sobrado, MD1; 1Larkin Community Hospital, Miami, FL; 2Kentucky College of Osteopathic Medicine, Bowling Green, P1381. Full, Partial, or Modified: Understanding Relationships Between KY; 3Larkin Community Hospital, South Miami, FL Permutations of the Mayo Score in Real-World Ulcerative Colitis Patients April Naegeli, DrPH, MPH1, Xiang Zhang, PhD1, Theresa Hunter, PhD, MPH, P1388. Elevated Lipase in Newly Diagnosed IBD: Reluctance or Impetus MS1, Ben Hoskin, BSc2, Chloe Middleton, BS2, James Hetherington, BS2, for Treatment? Diana Stefani-Hunyady, MD, MBA1, James Canavan, MD, PhD1; 1Eli Lilly and Frank Senatore, MD1, Hadie Razjouyan, MD2; 1Rutgers Robert Wood Company, Indianapolis, IN; 2Adelphi Real World, Macclesfield, England, Johnson Medical School, New Brunswick, NJ; 2Rutgers Robert Wood United Kingdom Johnson Medical School, Franklin Park, NJ P1382. The Prevalence of Opportunistic Infections in Crohn’s Disease and P1389. Pointing Fingers at Multiple Culprits: A Case of Atypical Pyoderma Ulcerative Colitis Varies by Gender Gangrenosum of the Finger Mohammed Z. Sheriff, MD1, Emad Mansoor, MD2, Mohannad Abou Saleh, Ahmad Nakshabandi, MD1, James Topilow, BSc2, Sandeep Nadella, MD3, MD1, Maneesh Dave, MD, MPH1; 1University Hospitals Cleveland Medical Rohan Mandaliya, MD4, Mark Mattar, MD, FACG3; 1Mercy Hospital and Center, Cleveland, OH; 2Case Western Reserve University/University Medical Center/University of Illinois, Chicago, IL; 2Georgetown University, Hospitals Cleveland Medical Center, Cleveland, OH Washington, DC; 3MedStar Georgetown University Hospital, Washington, DC; 4Georgetown University Hospital, Washington, DC P1383. Coping with Crohn’s and Colitis: Cognitive Behavioral Therapy Self- Help Book Improves Health Related Quality of Life for Inflammatory Bowel P1390. Cardiac Toxicity Due to High-Dose Loperamide Therapy Disease Patients Jared Rejeski, MD, Neel Patel, MD, Richard Bloomfeld, MD; Wake Forest  Presidential Poster Award School of Medicine, Winston-Salem, NC Melissa Hunt, PhD1, Paddy Loftus1, Mary Keenan, MA1, Michael Accardo, MA1, Mark T. Osterman, MD, MSCE2; 1University of Pennsylvania, P1391. Adalimumab Associated Pancytopenia and Reversible Philadelphia, PA; 2Penn Presbyterian Medical Center, Philadelphia, PA Lymphadenopathy Rohit Jain, MBBS1, Ravi Patel, DO1, Kirk Jones, PharmD2, Zain Ayaz, MD3, P1384. Utilizing Therapeutic Drug Monitoring of Biological Therapy in Jonathan Walburn, MD2, Julie Caler, PharmD3; 1Hershey Medical Center, Inflammatory Bowel Disease Hershey, PA; 2Western Maryland Health System, Cumberland, MD; Konstantinos Papamichail, MD, PhD1, Adam Cheifetz, MD1, Gil Melmed, 3Western Maryland Health System, Cumberland, PA MD2, Peter Irving, MA, MD, FRCP3, Niels Vande Casteele, PharmD, PhD4, Patricia Kozuch, MD5, Laura Raffals, MD, MS6, Leonard Baidoo, MD7, Brian P1392. Case of Invasive Metastatic Breast Cancer Mimicking Bressler, MD, MS8, Shane Devlin, MD, FRCPC9, Jennifer Jones, MD, MSc10, Crohn’s Disease Jonah Rubin, MD, MA, Kaci E. Christian, MD, Uni Wong, MD, Ray Cross, Gilaad Kaplan, BSc, MS, MD9, Miles Sparrow, MD, PhD, MBBS11, Fernando Jr., MD, MS, Andrea Bafford, MD, Seema Patil, MD; University of Maryland Velayos, MD12, Thomas Ullman, MD, FACG13, Corey Siegel, MD, MS14; 1Beth School of Medicine, Baltimore, MD Israel Deaconess Medical Center, Boston, MA; 2Cedars-Sinai Medical Center, Los Angeles, CA; 3Guy’s and St. Thomas’ NHS Foundation Trust, P1393. Ileal Adenocarcinoma with Liver Metastasis in Patient with Crohn’s London, England, United Kingdom; 4University of California San Diego, Disease: A Case with Prolonged Survival San Diego, CA; 5Jefferson University, Philadelphia, PA;6 Mayo Clinic, Jiten P. Kothadia, MD1, Deepa H. Nagaraju, MD1, Seymour Katz, MD, Rochester, MN; 7Northwestern University Feinberg School of Medicine, MACG2, Howard Bruckner, MD3, Steven H. Itzkowitz, MD4, Myron Schwartz, Chicago, IL; 8University of British Columbia, Vancouver, BC, Canada; MD4; 1Integris Baptist Medical Center, Oklahoma City, OK; 2NYU Langone 9University of Calgary, Calgary, AB, Canada; 10Dalhousie University, Medical Center, Great Neck, NY; 3Bruckner Oncology, Bronx, NY; 4Icahn Halifax, NS, Canada; 11Alfred Hospital, Melbourne, Victoria, Australia; School of Medicine at Mount Sinai, New York, NY 12Kaiser Permanente-San Francisco, San Franscisco, CA; 13Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY; P1394. A Novel Use of Open-Capsule Budesonide for Microscopic Colitis 1 2 2 14Dartmouth-Hitchcock Medical Center, Lebanon, NH Kristen Selema, DO , Leyla Maric, MD , Alison Schneider, MD , Pablo Bejarano, MD2; 1Cleveland Clinic Florida, Fort Lauderdale, FL; 2Cleveland P1385. National Inpatient Mortality Trends of Adult Patients With Clinic Florida, Weston, FL Inflammatory Bowel Disease From 1993 to 2014 Jie Yu, MD1, Bashar M. Attar, MD, PhD2, Vikram Kotwal, MD2, John Erikson P1395. Endoscopic Remission of Ulceratie Pancolitis Induced by Qing-Dai Yap, MD1; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Cook After Biologic Therapy Failure 1 1 2 County Health and Hospitals System, Chicago, IL Joseph Jennings, MD , Anita Sivaraman, MD , Mark Mattar, MD, FACG ; 1Georgetown University Hospital, Washington, DC; 2MedStar Georgetown University Hospital, Washington, DC IBD P1396. A Case Report of a Rare Complication With a Confusing Clinical Vignettes / Case Reports Presentation - Colonic Lymphoma Mimics Ulcerative Colitis Flare Yasir Al-Azzawi, MD, MPH1, Rohit Singhania, MD2, David Desilets, MD, P1386. Orbital Myositis as a Presenting Symptom of Exacerbation of PhD3; 1Baystate Health Center, Allston, MA; 2Baystate Health Center, Crohn’s Disease Springfield, MA;3 University of Massachusetts Medical School - Baystate 1 2 1 Ghassan Sayegh, DO, MBA , Brandon Schneider, DO, MPH ; Orange Medical Center, Springfield, MA Regional Medical Center, Congers, NY; 2Orange Regional Medical Center, Middletown, NY P1397. A Head-Scratcher: Humira Causing Enthesitis of the Skull in a Patient with Crohn’s? Vivian Lee, BS, Nadeem Tabbara, BA, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC

114 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1398. Tumor Protein 63-related Disorders and Its Association With INTERVENTIONAL ENDOSCOPY Crohn’s Disease Clinical Vignettes / Case Reports Caleb B. Hudspath, DO, John Ellis, MD, Peter Eum, DO, Pedro Manibusan, DO, MBA; Tripler Army Medical Center, Honolulu, HI P1408. A Prospective Study on the Feasibility of a Novel Endoscopic Papillectomy to Prevent Postoperative Bleeding P1399. Particularly Peculiar: Pulmonary Necrobiotic Nodules in the Crohn’s Lei Jiang, MD, Enqiang Linghu, MD, PhD, Ningli Chai, MD, PhD, Chen Du, Patient MS; Chinese PLA General Hospital, Beijing, People’s Republic of China Irma Hashmi, DO, Boskey Patel, DO , Krunal Patel, MD, John Zawacki, MD; University of Massachusetts Medical Center, Worcester, MA P1409. Comparative Study on the Perioperative Invasiveness of Endoscopic Submucosal Dissection for Gastric Cancer Between Elderly and P1400. IBD in Camouflage or Are There Similarities?: A Case of Cronkhite- Non-Elderly Patients Canada Syndrome Daisuke Chinda, MD, PhD, Tadashi Shimoyama, MD, PhD, Tetsu Arai, 1 1 2 Yilien Alonso, MD , Kevin P. Cowley, MD , Mona Bansal, MD , Matthew C. MD, Kuniaki Miyazawa, MD, PhD, Shiro Hayamizu, MD, PhD, Tetsuya 3 1 1 Rice, MD , Shamita Shah, MD ; Ochsner Clinic Foundation, New Orleans, Tatsuta, MD, PhD, Hidezumi Kikuchi, MD, PhD, Manabu Sawaya, MD, POSTERS 2 3 MONDAY LA; Ochsner Health System, New Orleans, LA; Ochsner Medical Center, PhD, Tatsuya Mikami, MD, PhD, Shinsaku Fukuda, MD, PhD; Hirosaki New Orleans, LA University Graduate School of Medicine, Hirosaki-shi, Aomori, Japan P1401. A Rare Case of Crohn’s Disease Presenting with a Massive GI P1410. An Exclusive Fine Needle Biopsy Approach to Sampling Solid Bleeding in a Patient with Hemophilia A Lesions Under EUS Guidance: A Case-Controlled Study Ahmed Hamed, MD, Karissa Lambert, MD, Amira Hamed, Sabeen Abid,  Presidential Poster Award MD; East Carolina University, Greenville, NC Lindsey Temnykh, MD1, Mahmoud Rahal, MD1, Zahra Zia, MD2, Harsh 3 1 1 P1402. Vancomycin in Treatment of Immune Mediated Pouchitis Patel, MD , Mohammad Al-Haddad, MD, MSc ; Indiana University 2 Komal Thind, MD1, Bo Shen, MD2, Rehan Farooqi, MD3; 1Cleveland Clinic, School of Medicine, Indianapolis, IN; Indiana University, Indianapolis, 3 Akron General, Akron, OH; 2Cleveland Clinic Digestive Disease Institute, IN; Indiana University School of Medicine, Carpentersville, IL Cleveland, OH; 3MedStar Union Memorial Hospital, Baltimore, MD P1411. Clinical Outcomes and Efficacy of a New Endoscopic Ultrasound P1403. A Case of Small Bowel Adenocarcinoma in a Patient with Quiescent Program in a Community Hospital 1 1 2 3 Crohn’s Disease Raiya Sarwar, MD , Aya Deif, MD , Andy Guo , Andres Garza, MD , Marla 4 1 1 Breton Roussel, MD1, Shannon Simmons, MD1, Laura Massa, ARNP1, Jesse Perez, MD , Wael Youssef, MD, FACG ; Carle Foundation Hospital, Urbana, 2 Hart, DO1, Natalia Belova, MD2, Sarah Hyder, MD2, Thomas DeNucci, IL; University of Illinois College of Medicine at Rockford, Rockford, IL; 3 4 MD1; 1Warren Alpert Medical School of Brown University, Providence, RI; George Washington University, Washington, DC; UIUC, Urbana, IL 2Brown University/Rhode Island Hospital, Providence, RI P1412. Impact of Biliary Stent Choice on Proton Beam Radiotherapy P1404. Hemophagocytic Lymphohistiocytosis in a Patient With Dose Distribution Crohn’s Disease Xiao Jing Wang, MD, Erik Tryggestad, PhD, Nicholas Remmes, PhD, Breton Roussel, MD, Valerie Carter, MD, Chiazotam Ekekezie, MD, Erick Christopher Hallemeier, MD, Chris Beltran, PhD, Jon Kruse, PhD, Michael Argueta, MD, Colleen R. Kelly, MD, Matthew D. Jankowich, MD; Warren Haddock, MD, Aurelie Garant, MD, Ferga Gleeson, MD, Elizabeth Rajan, Alpert Medical School of Brown University, Providence, RI MD, Michael Levy, MD, Barham K. Abu Dayyeh, MD, MPH, John Martin, MD, Vinay Chandrasekhara, MD, Bret Petersen, MD, Mark Topazian, MD, P1405. Crohn’s Disease Masquerading Ileal Signet Ring Cell Carcinoma: Andrew C. Storm, MD; Mayo Clinic Rochester, Rochester, MN Case Report Muhammad B. Hammami, MD1, Maaz Sohail, MD2, Edward Horvath, P1413. Efficacy and Complications of Self-Expendable Metal Stents (SEMS) MD1; 1Florida Atlantic University, Boynton Beach, FL; 2Florida Atlantic for Malignant Colonic and Extra-Colonic Strictures 1 2 1 University, Boca Raton, FL Xiao Jing Wang, MD , Victor Chedid, MD , Andrew C. Storm, MD , Amindra Arora, MBBS, Chir1; 1Mayo Clinic Rochester, Rochester, MN; 2Mayo Clinic, P1406. The Great Imitator: Secondary Syphilis Mimicking Primary Rochester, MN Sclerosing Cholangitis and Inflammatory Bowel Disease Marielys Figueroa Sierra, MD, MS, Thomas Shuman, MD, Nicholas Young, P1414. Outcomes of 4 French Pancreatic Stent Placement in Difficult MD, Kenneth Singhel, MD, Stephanie Taylor, MD; Carolinas Medical Center, Biliary Cannulation 1 1 Charlotte, NC Shishira Bharadwaj, MD , Aymeric Becq, MD , Jeremy R. Glissen Brown, MD2, Baran Bulent, MD1, Jonah Cohen, MD1, Moamen M. Gabr, MD, MSc1, P1407. A Case of Severe De novo Ulcerative Colitis Following Ixekizumab Tyler M. Berzin, MD, MS1, Mandeep S. Sawhney, MD, MS, MBBS1, Douglas K. Therapy Pleskow, MD, FACG1; 1Beth Israel Deaconess Medical Center, Boston, MA; Jobin Philipose, MD1, Moiz Ahmed, MD2, Stephen Mulrooney, MD3, Vivek V. 2BIDMC/Harvard Medical School, Boston, MA Gumaste, MD1; 1Staten Island University Hospital, Northwell Health, New York, NY; 2Icahn School of Medicine at Mount Sinai, Elmhurst Hospital P1415. Efficacy and Safety of Endoscopic Ultrasound-Guided Liver Biopsy - Center, New York, NY; 3Staten Island University Hospital, Northwell A Systematic Review and Meta-Analysis 1 2 3 Health., New York, NY Babu P. Mohan, MD , Mahendran Jayaraj, MD , Tarun Rustagi, MD , Rajesh Krishnamoorthi, MD4; 1University of Alabama at Birmingham, Birmingham, AL; 2University of Nevada Las Vegas, Las Vegas, NV; 3University of New Mexico, Albuquerque, NM; 4Virginia Mason Medical Center, Seattle, WA P1416. Hospital Teaching Status and the Effect on Endoscopic Retrograde Cholangiopancreatography Mortality and Complications in the United States Laura Rotundo, MD, Faiz Afridi, MD, Mirela Feurdean, MD, Sushil Ahlawat, MD; Rutgers University, New Jersey Medical School, Newark, NJ

P1417. Outcomes of Endoscopic Ultrasound-Guided Biliary Drainage: P1427. Endoscopic Ultrasound-Guided Gallbladder Drainage Is Potentially A Systematic Review and Meta-Analysis a Safer and Efficacious Treatment of Choice in High-Risk Patients, as Abdellah Hedjoudje; Besancon University Hospital, Besançon, Franche- Opposed to Percutaneous Transhepatic Gallbladder Drainage Comte, France Neil Vyas, MD1, Sofi Aijaz, MD2, Nantha Surkunalingam, DO2, Shruti Mony, MD3, Toufic Kachaamy, MD4, Nisha M. Singh, MD3, Ananya Das, MD2, P1418. Comparison of Efficacy and Safety of Endoscopic Mucosal Resection Farhoud Khosravi, DO5, Mankanwal S. Sachdev, MD2; 1St. Joseph’s Hospital versus Endoscopic Submucosal Dissection in Treating Barrett’s Esophagus and Medical Center, Phonix, AZ; 2Arizona Centers for Digestive Health, Lesions Gilbert, AZ; 3St. Joseph’s Hospital and Medical Center, Phoenix, AZ; Vignesh Vudatha, BS1, Kishan Padalia, BS1, Evgeny Idrisov, MD2, 4Cancer Treatment Centers of America, Goodyear, AZ; 5Arizona Centers Muhammad Hasan, MD2; 1University of Central Florida College of for Digestive Health, Phoenix, AZ Medicine, Orlando, FL; 2Florida Hospital, Orlando, FL P1428. Fine Needle Biopsy Is Superior to Fine Needle Aspiration in P1419. The Utility of Endosonographic Evaluation of the Liver Despite a Endoscopic Ultrasound Guided Sampling of Suspected Gastrointestinal Normal Pre-Procedural Imaging Study for Patients Undergoing EUS for Stromal Tumors: A Large Multi-Center Study Pancreatic Masses Arvind Trindade, MD1, Petros Benias, MD2, Mohammed Alshelleh, MD2, Yousef Abdel-Aziz1, Tariq Hammad, MD2, Thaer Abdelfattah, MD1, Yaseen Ahmad Bazarbashi, MD3, Benjamin Tharian, MD4, Sumant Inamdar, MD4, Alastal, MPH1, Ali Nawras, MD1; 1University of Toledo Medical Center, Neil Sharma, MD5, Christina Zelt, MSN6, Praneet Korrapati, MD7, Mohamed Toledo, OH; 2Baylor College of Medicine, Houston, TX Barakat, MD7, Marvin Ryou, MD8; 1Long Island Jewish Medical Center, P1420. Long-Term Maintenance of Weight Loss Following Removal of Zucker School of Medicine at Hofstra/Northwell, Northwell Health Intragastric Balloon (IGB) System, Edgewater, NJ; 2Long Island Jewish Medical Center, Zucker Sylvia Pytraczyk, MD1, Lawrence B. Cohen, MD, MSc, FRCP(C), FACG2; School of Medicine at Hofstra/Northwell, Northwell Health System, New 1Sunnybrook Health Sciences Centre, Toronto, ON, Canada; 2University of Hyde Park, NY; 3Brigham & Women’s Hospital, Boston, MA; 4University Toronto, Toronto, ON, Canada of Arkansas for Medical Sciences, Little Rock, AR; 5Parkview Health System, Parkview, IN; 6Parkview Health, Fort Wayne, IN; 7Icahn School of P1421. Endoscopic Ultrasound (EUS)-Guided Therapy of Gastric Varices: A Medicine at Mount Sinai, Mount Sinai Beth Israel, New York, NY; 8Brigham Systematic Review and Pooled Analysis & Women’s Hospital/Harvard Medical School, Boston, MA Chandraprakash Umapathy, MD, MS1, Madhav Desai, MD2, Umesha Naragalu Boregowda, MD3, Mahesh Gajendran, MD, MPH4, Helen Wong, P1429. Efficacy and Safety of Endoscopic Ultrasound (EUS)-Guided MD5, Marina Roytman, MD1, Shreyas Saligram, MD6; 1University of Choledochoduodenostomy (CDD): A Systematic Review and Meta-Analysis California San Francisco Fresno, Fresno, CA; 2KUMC, Overland Park, Rajesh Krishnamoorthi, MD1, Babu P. Mohan, MD2, Mahendran Jayaraj, KS; 3CRMC, Fresno, CA; 4Texas Tech University Health Sciences Center, MD3, Joanna K. Law, MD1, Michael Larsen, MD1, Andrew Ross, MD1, Richard El Paso, TX; 5VA Central California Health Care System, Fresno, CA; Kozarek, MD1, Shayan Irani, MD1; 1Virginia Mason Medical Center, Seattle, 6University of California San Francisco, Fresno, CA WA; 2University of Alabama at Birmingham, Birmingham, AL; 3University of Nevada Las Vegas, Las Vegas, NV P1422. A Single Academic Center Evaluation of Tacrolimus and Post-ERCP Pancreatitis Nicholas G. Brown, MD, Harika Gorti, MD, Khuram Bari, MD, Shimul A. P1430. Diagnostic Yield of a Conventional Endoscopic Ultrasound-Fine Shah, MD, Sampath Poreddy, MD; University of Cincinnati College of Needle Aspiration (EUS-FNA) and Two Endoscopic Ultrasound-Fine Needle Medicine, Cincinnati, OH Biopsy (EUS-FNB) Needles: A Single-Center, Retrospective Study Fareha Iqbal, MD1, Anupam Aditi, MD2, Brian L. Huang, MD1, Ardene P1423. Same Day ERCP and Cholecystectomy for Choledocholithiasis: A Ballonado, NP1, Muhammad Hassan, MD3, Mustafa A. Arain, MD1; Single Community Center Experience 1University of California San Francisco, San Francisco, CA; 2InSite Krupa Shah, DO1, Sidharth Bhandari, DO1, Edward Jurkovic, DO1, Joseph Digestive Health, Daly City, CA; 3Stanford University, Palo Alto, CA Hanks2, Ashish Shah, MD1; 1Midwestern University, Riverside Medical 2 Center, Kankakee, IL; Riverside Medical Center, Kankakee, IL INTERVENTIONAL ENDOSCOPY P1424. Factors Associated With Loss of Clinical Response to Gastric Per- Clinical Vignettes / Case Reports Oral Endoscopic Pyloromyotomy (GPOEM) for Refractory Gastroparesis Neil Kapil, MD1, Cicily Vachaparambil, MD2, Parit Mekaroonkamol, MD1, P1431. Biliary Stent Migration Causing Duodenal Perforation: Vaishali Patel, MD, MHS2, Baiwen Li, MD2, Hui Lou, MD2, Shanshan Shen, An Uncommon Complication of a Common Procedure Mohamad Mubder, MD1, Altaf Dawood, MD2, Ranjit Makar, MD2, Annie MD2, Huimin Chen, MD2, Steve Keilin, MD3, Field Willingham, MD, MPH1, S. Hong, MD3, Shahid Wahid, MD2; 1University of Nevada Las Vegas, Las Qiang Cai, MD, PhD3; 1Emory University School of Medicine, Atlanta, GA; Vegas, NV; 2University of Nevada Las Vegas School of Medicine, Las 2Emory University Hospital, Atlanta, GA; 3Emory University, Atlanta, GA Vegas, NV; 3University of Las Vegas School of Medicine, Las Vegas, NV P1425. Impact of Double Balloon Enteroscopy (DBE) on Resource Utilization for Evaluation of Obscure Gastrointestinal Bleeding P1432. An Esophageal Perforation Due to an Infected Duplication Cyst - Zunirah Ahmed, MD1, Krishna Venkatta, MD1, Tasnia Matin, MD2, Kondal Avoiding Surgery Is Still Possible! Mouhanna K. Abu Ghanimeh, MD1, Hafsa Abdulla, MD2, Mahmoud Isseh, Rao Kyanam Kabir Baig, MD3, C. Mel Wilcox, MD4, Shajan Peter, MD4; 1UAB MD1, Laith Numan, MD3, Tobias Zuchelli, MD1; 1Henry Ford Hospital, Montgomery, Montgomery, AL; 2UAB Birmingham VA Medical Center, Detroit, MI; 2Henry Ford Health System, Detroit, MI; 3University of Birmingham, AL; 3UAB, Birmingham, AL; 4University of Alabama at Missouri, Kansas City, MO Birmingham, Birmingham, AL P1426. Role of Double Balloon Enteroscopy in Post-Bariatric Surgery P1433. Malignant Esophago-Pericardial Fistula Complicated by Purulent Patients Pericarditis and Tamponade Treated With an Esophageal Stent With High Tasnia Matin, MD1, Ben Nunley, MD2, Zunirah Ahmed, MD3, Shajan Radial Force and Secured With Endoscopic Sutures Richard Bower, MD, R. Daniel Lawson, MD; Naval Medical Center San Peter, MD4; 1UAB Birmingham VA Medical Center, Birmingham, AL; Diego, San Diego, CA 2UAB Hospital, Birmingham, AL; 3UAB Montgomery, Montgomery, AL; 4University of Alabama at Birmingham, Birmingham, AL

116 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1434. A Case of Endoscopic Mucosal Resection of Gastric Metastasis From P1445. Endoscopic Repair of a Transesophageal Echocardiography- Renal Cell Carcinoma Without Recurrence Induced Distal Esophageal Perforation Nima Y. Raminfar, DO1, Katherine Fung, DO2, Devarajan Iyengar, MD2, Kovil Li Pang, MD1, Zaid H. Tafesh, MD2, Amin Khalifeh-Soltani, MD, MPH2, Ramasamy, MD2; 1CarePoint Health Bayonne Medical Center, Brooklyn, Kristina Fernandez, MD3, Monica Saumoy, MD, MS4, Reem Z. Sharaiha, NY; 2CarePoint Health Bayonne Medical Center, Bayonne, NJ MD, MSc2, David Wan, MD2; 1Tongji Hospital/ Tongji University School of Medicine, Shanghai, People’s Republic of China; 2New York-Presbyterian P1435. Extrahepatic Pancreatobiliary Obstruction Causing Recurrent Hospital/Weill Cornell Medical College, New York, NY; 3New York Symptoms - Just Another Diverticulum? Presbyterian Hospital, Weill Cornell Medical College, New York, NY; 4New Mihajlo Gjeorgjievski, MD, Ahmed I. Edhi, MD, Alan Cutler, MD, Mitchell S. York Presbyterian Hospital, New York, NY Cappell, MD, PhD; William Beaumont Hospital, Royal Oak, MI P1446. Endoscopic Ultrasound Isolates Type B Aortic Dissection P1436. Long-Term Safety and Durability of EUS-Guided Gastrojejunostomy Kruthika Bachali, BA, Daryl Ramai, MD, MScBR, Vahe Shahnazarian, With Lumen-Apposing Metal Stent MD, MPH, Denzil Etienne, MD, Madhavi Reddy, MD, FACG, Krishna C. Zain Moosvi, MD1, Michelle Park, MD1, David P. Lee, MD, MPH2, Jason Gurram, MD; The Brooklyn Hospital Center, Brooklyn, NY Samarasena, MD1; 1University of California Irvine Medical Center, Orange, POSTERS MONDAY CA; 2University of California Irvine, Orange, CA P1447. A Unique Diagnosis of Metastatic Prostate Adenocarcinoma Benjamin Schmidt, MD1, Promila Banerjee, MD, FACP, FACG2, Jack Leya, P1437. Non-Malignant Gastric Outlet Obstruction: Therapy With MD3, Shaun Boyes, MD1; 1Loyola University Medical Center, Maywood, Endoscopic Ultrasound Guided Gastrojejunonostomy IL; 2Hines VA Hospital, Hines, IL; 3Hines VA Hospital, Maywood, IL Andrew C. Lee, MD1, Brian L. Huang, MD2, Mustafa A. Arain, MD2; 1Wellspan Health - York Hospital, York, PA; 2University of California San P1448. Simultaneous Endoscopic Transmural Drainage of Three Infected Francisco, San Francisco, CA Cystic Walled-Off Pancreatic Fluid Collections Tehseen Haider, MD1, Harish Guddati, MD1, Sammy Ho, MD, FACG2; P1438. Novel Technique for Challenging Lesion: Full Thickness Resection of 1Montefiore Medical Center, Bronx, NY;2 Albert Einstein College of a Suspected Polyp at Ileo-Anal Anastomosis Site Medicine/Montefiore Medical Center, Bronx, NY Danial Daneshvar, MD1, Hafiz Khan, MD1, Jobin Philipose, MD2, Sherif Andrawes, MD1; 1Staten Island University Hospital, Staten Island, NY; P1449. Phew, It Finally Came Out!! Successful Endoscopic Retrieval of a 2Staten Island University Hospital, Northwell Health, New York, NY Buried Lumen-Apposing Metal Stent After Drainage of a Large Pancreatic Fluid Collection P1439. Recurrent Pancreatic Pseudocyst: Manage the Cyst but Don’t Sajiv Sethi, MD1, Prasad Kulkarni, MD 2; 1University of South Florida, Forget the Duct Tampa, FL; 2University of South Florida, James A. Haley VA, Tampa, FL Ingrid Schwartz, MD1, Priscila Santiago, MD1, Mohit Girotra, MD, FACP2; 1University of Miami Leonard M. Miller School of Medicine / Jackson P1450. High-Drade Small Bowel Obstruction Caused by a Migrated Lumen- Memorial Hospital, Miami, FL; 2University of Miami Leonard M. Miller Apposing Metal Stent (LAMS) School of Medicine, Miami, FL Swathi Paleti, MD1, Sergio A. Sánchez-Luna, MD1, Rishabh Gulati, MD1, David Alexanian, MD2, Tarun Rustagi, MD2; 1The University of New Mexico P1440. Upper Gastrointestinal Bleeding From Cholecystogastrostomy School of Medicine, Albuquerque, NM; 2University of New Mexico School Lumen-Apposing Metal Stent (LAMS) of Medicine, Albuquerque, NM Sergio A. Sánchez-Luna, MD1, Rishabh Gulati, MD1, Swathi Paleti, MD1, Gulshan Parasher, MD1, Tarun Rustagi, MD2; 1The University of New Mexico P1451. Emergent Placement of an Over-the-Scope Clip in a Patient School of Medicine, Albuquerque, NM; 2University of New Mexico School With Hemorrhagic Shock Due to H. pylori-Associated Forest Class Ia of Medicine, Albuquerque, NM Gastric Ulcer Eric Vecchio, MD, Sehrish Jamot, MD, Sean Fine, MD; Brown University, P1441. Peri Ampullary Complications and How to Fix Them Providence, RI Heba Ashraf, MD; Thomas Jefferson University Hospital, Philadelphia, PA P1452. Stent and Forget: A Biliary Tree 15 Years Later P1442. Blastomycosis Diagnosed by EUS-FNA: An Unsual Modality of Jonathan Buscaglia, MD1, Juan Carlos Bucobo, MD1, Eduardo Quintero, Diagnosis MD1, Demetrios Tzimas, MD2, Isaiah P. Schuster, MD3; 1Stony Brook Anupama Inaganti, MD1, Samit K. Datta, MD2, Brian Moloney, MD3; 1Aurora University Hospital, Stony Brook, NY; 2NYU School of Medicine, New York, Sinai Medical Center, Brookfield, WI;2 Aurora Sinai Medical Center, NY; 3Stony Brook University Medical Center, Stony Brook, NY Milwaukee, WI; 3GI Associates, Milwaukee, WI P1453. Early Onset Cholelithiasis and Macrocytic Anemia: A Fragile P1443. When the Good Becomes the Bad: A Case of Lactobacillus Combination rhamnosus Septicemia Unrelated to Probiotic Use Kevin Lamm, MD, Andrew Dries, MD; Carolinas Medical Center, Charlotte, NC Mohammed Nayeem, MD1, Nida Firdous, MD2, My-Tang Dang, DO, PhD3, Wasif Hafeez, MD2, Camelia Arsene, MD, PhD, MHS2; 1Detroit Medical Center / Wayne State University - Sinai Grace Hospital, Detroit, MI; LIVER 2 3 Detroit Medical Center/Sinai Grace Hospital, Detroit, MI; Authority P1454. TIPS Outcomes According to Race and Ethnicity Health, Sterling Heights, MI James H. Helzberg, BS, Alice Parish, MSPH, Donna Niedzwiecki, PhD, P1444. Endoscopic Transcecal Appendectomy: A Novel Option for the Charles Y. Kim, MD, Julius M. Wilder, MD, PhD, Andrew J. Muir, MD; Duke Treatment of Appendiceal Polyps University School of Medicine, Durham, NC Bingrong Liu, PhD, MD; The First Affiliated Hospital of Zhengzhou P1455. Trends in Cancer Prevalence Among Liver, Heart and Lung University, Zhengzhou, Henan, People’s Republic of China Transplant Recipients in the United States, 2005 to 2014  Presidential Poster Award Chimezie U. Mbachi, MBBS1, Setri Fugar, MD2, Madhu Mathew, MD3, Anthonia Ijeli, MD3, Benjamin Mba, MD, MRCP (UK), FHM, FACP1, Ayokunle T. Abegunde, MBBS, MSc4; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Rush University Medical Center, Chicago, IL; 3Cook County Health and Hospitals System, Chicago, IL; 4Loyola University Chicago Stritch School of Medicine, Maywood, IL

P1456. Healthcare Utilization and Inpatient Burden of Hepatorenal P1465. Obesity and Its Correlation With Severe Alcoholic Hepatitis Syndrome Associated With Acute and Subacute Hepatic Failure Yasir Al-azzawi, MD, MPH1, Jennifer Coukos, MD2, Alexander Martin, MD1, Raja Chandra Chakinala, MD1, Khwaja F. Haq, MD2, Shantanu Solanki, MD, Betty Albo, MD3, Sakeina R. Howard-Wilson, DO4, Muhammad Alsayid, MPH1, Priyanka Chugh, MD1, Dhruv Mehta, MD1, Muhammad Ali Khan, MD3, MD, MPH1, Aimee Kroll-Desrosiers, MSc1, Deepika Devuni, MD5, Bruce Zubair Khan, MD, CMQ4, Nauman Siddiqui, MD5, Abhishek Bhurwal, MBBS, Barton, PhD1, Gyongyi Szabo, MD, PhD3; 1University of Massachusetts MD6, Khwaja S. Haq, MBBS7, Anam S. Burney, MD8, Azam H. Burney, MD8, Memorial Medical Center, Worcester, MA; 2University of Massachusetts David C. Wolf, MD, FACG1; 1New York Medical College at Westchester Medical Center, Worcester, MA; 3University of Massachussetts, Worcester, Medical Center, Valhalla, NY; 2Henry Ford Hospital, Detroit, MI; 3University MA; 4University of Massachusetts Memorial Hospital, Worcester, MA; of Tennessee Health Science Center, Memphis, TN; 4University of 5University of Massachusetts Medical School, Worcester, MA Toledo Medical Center, Toledo, OH; 5Tufts Medical Center, Boston, MA; 6Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; P1466. Bovine Immunoglobulin Orally with Modified Doses of Rifaximin 7Kingsbrook Jewish Medical Center, Woodbury, NY; 8Kingsbrook Jewish for Advanced Cirrhotics in Overt Hepatic Encephalopathy: A Randomized Medical Center, Brooklyn, NY Placebo Control Prospective Clinical Pilot Trial. (BRAIN Trial) Patrick Basu, MD, MRCP, FACG1, Nimy John, MD2, Mark Aloysius, MD, PhD3; P1457. Perioperative Transjugular Intrahepatic Portosystemic Shunt (TIPS) 1Weill Cornell Medicine, Flushing, NY; 2St. Vincent Hospital/University Placement in Cirrhotics Undergoing Abdominal Surgery: A Case Series of Massachusetts Medial School, Worcester, MA; 3James J. Peters VA Chaitanya Allameni, MD1, Ahmed Abdel-Aal, MD1, Moustafa Massoud, MD2, Medical Center, Bronx, NY Mohamed Shoreibah, MD1; 1UAB, Birmingham, AL; 2UT, Birmingham, AL P1467. Prevalence of Acute Hepatitis E Infection in Community: A Cross- P1458. Chronic Liver Disease and the Risk of Osteoporotic Fractures: A Sectional Cohort Study in New York Meta-Analysis Patrick Basu, MD, MRCP, FACG1, Nimy John, MD2, Mark Aloysius, MD, PhD3; Diego Hidalgo, MD, Boonphiphop Boonpheng, MD, Jennifer Phemister, 1Weill Cornell Medicine, Flushing, NY; 2St. Vincent Hospital/University MD, Mark Young, MD; East Tennessee State University, Johnson City, TN of Massachusetts Medial School, Worcester, MA; 3James J. Peters VA Medical Center, Bronx, NY P1459. The Patient Odyssey to Confirmed Acute Hepatic Porphyria Diagnosis: Clinical Characteristics and Healthcare Utilization of Patients P1468. Isolated Immunoglobulin G IgG 4 Related Clinical Entity in Preceding Diagnosis of Acute Hepatic Porphyria Extraluminal Overt Celiac Disease: An Observational Clinical Pilot Study Sean R. Rudnick, MD1, Hélio Pedro, MD2, Madeline Merkel, PharmD3, Patrick Basu, MD, MRCP, FACG1, Nimy John, MD2, Mark Aloysius, MD, PhD3; John J. Ko, PharmD, MS3, Amy Simon, MD3, Barbara H. Johnson, MBA4, 1Weill Cornell Medicine, Flushing, NY; 2St. Vincent Hospital/University Ashley L. Cole, MPH5, Virginia Noxon, PhD5, Sonalee Agarwal, BPharm, of Massachusetts Medial School, Worcester, MA; 3James J. Peters VA PhD3; 1Wake Forest School of Medicine, Winston-Salem, NC; 2Hackensack Medical Center, Bronx, NY University Medical Center, Hackensack, NJ; 3Alnylam Pharmaceuticals, Cambridge, MA; 4IBM Watson Health, Cambridge, MA; 5IBM Watson P1469. Role and Effect of Plecanatide vs Lactulose Affects in Compensated Health, Durham, NC Cirrhosis With Constipation Efficacy: A Randomized Open Level Prospective Clinical Pilot Study - REPLACE Trial P1460. Real World Analysis of Symptoms, Diagnostic Patterns, and Patrick Basu, MD, MRCP, FACG1, Nimy John, MD2, Mark Aloysius, MD, PhD3; Provider Perspective on Acute Hepatic Porphyrias 1Weill Cornell Medicine, Flushing, NY; 2St. Vincent Hospital/University John J. Ko, PharmD, MS1, Sarah Murray1, Madeline Merkel, PharmD1, Chitra of Massachusetts Medial School, Worcester, MA; 3James J. Peters VA Karki, MPH2, Katherine Krautwurst, MA3, Renata Mustafina, BBA2, Sonalee Medical Center, Bronx, NY Agarwal, BPharm, PhD1; 1Alnylam Pharmaceuticals, Cambridge, MA; 2Ipsos LLC, New York, NY; 3Ipsos LLC, Parsippany, NJ P1470. Ophthalmic Complications of Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Observational Clinical Study P1461. Fenofibrate in Primary Biliary Cholangitis Patients With Inadequate Patrick Basu, MD, MRCP, FACG1, Nimy John, MD2, Mark Aloysius, MD, PhD3; Response to Ursodeoxycholic Acid (UDCA) 1Weill Cornell Medicine, Flushing, NY; 2St. Vincent Hospital/University Inessa Khaykis, MD, Alex Sherman, MD, Hillel Tobias, MD, PhD; Concorde of Massachusetts Medial School, Worcester, MA; 3James J. Peters VA Medical Group, New York, NY Medical Center, Bronx, NY P1462. Role of Liver Biopsy in the Era of Clinical Prediction DILI Scores: P1471. Inherited Nonalcoholic Fatty Liver Disease and/or Dyslipidemia Due Experience of a Tertiary Hospital to Monoallelic ABHD5 Mutations Pedro Costa-Moreira, MD, Rui Gaspar, MD, Pedro Pereira, MD, Patricia  Presidential Poster Award Andrade, MD, Rosa Coelho, MD, Hélder Cardoso, MD, Susana Lopes, MD, Leila Youssefian, MSc1, Hassan Youssefian, PhD1, Amir Hossein Saeidian, PhD, Joanne Lopes, MD, Fátima Carneiro, MD, PhD, Guilherme Macedo, MSc1, Sara Pajouhanfar, MD1, Soheila Sotoudeh, MD2, Roberto Colombo, MD, MD, PhD, FACG; Centro Hospitalar São João, Porto, Portugal PhD3, Jouni Uitto, MD, PhD1; 1Thomas Jefferson University, Philadelphia, PA; 2Tehran University of Medical Sciences, Tehran, Tehran, Iran; 3Catholic P1463. Efficacy, Safety, and Tolerability of Direct Antiviral Agents in University of the Sacred Heart, Milan, Emilia-Romagna, Italy Hepatitis C Virus-Infected Patients While on Immunosuppressives Praneet Wander, MD1, Michael Ashamallah, MD2, Tai-Ping Lee, MD2; 1North P1472. Screening Efficiency for Hepatitis C in an Internal Medicine Practice Shore Long Island Jewish Hospital, New York, NY; 2Zucker School of of an Urban Medical Center (With a High Percent of African Americans) Medicine at Hofstra/Northwell, Manhasset, NY Pradeep Kathi, MD1, Maher Tama, MD1, Ahmad Abu-Heija, MD1, Paul Naylor, PhD2, Murray Ehrinpreis, MD3, Milton G. Mutchnick, MD3; 1Wayne P1464. Sarcopenia Is Increased in Females and Associated With Severity of State University, Detroit, MI; 2Wayne State University School of Medicine, Alcoholic Hepatitis and Increased Hospital Stay Hazel Park, MI; 3Wayne State University School of Medicine, Detroit, MI Yasir AL-Azzawi, MD, MPH1, Jennifer Coukos, MD2, Alexander Martin, MD1, Betty Albo, MD3, Sakeina R. Howard-Wilson, DO4, Aimee Kroll-Desrosiers, P1473. Response to Hepatitis B Vaccination in Patients With Chronic MSc1, David Radcliffe, MD4, Rayn Tai, MD1, George Watts, MD1, Gyongyi Hepatitis C Virus Infection Szabo, MD, PhD3; 1University of Massachusetts Memorial Medical Center, Ashraf Ashhab, MD1, Holly Rodin, PhD2, Jane A. Hall, BS1, Jesse Worcester, MA; 2University of Massachusetts Medical Center, Worcester, Powell, PA-C2, Jose D. Debes, MD3; 1Hennepin County Medical Center, MA; 3University of Massachussetts, Worcester, MA; 4University of Minneapolis, MN; 2Hennepin Healthcare, Minneapolis, MN; 3University of Massachusetts Memorial Hospital, Worcester, MA Minnesota, Minneapolis, MN

118 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1474. Early Paracentesis-Induced Thrombocytopenia (EPIT): P1484. Co-Morbidities as a Predictor for Progression of Non-Alcoholic A Retrospective Study With Novel Insights Regarding Splenic Fatty Liver Disease Hemodynamics Daniel Sedhom, MD, Kristina Katz, MD, Hadie Razjouyan, MD, Vinod Nihit Shah, MD1, Bindiya Shah, MD1, Ravikumar Patel, MD1, Lindsley Van Rustgi, MD, MPH; Rutgers Robert Wood Johnson Medical School, New der Veer, MD1, Richard Snyder, DO2, David Livert, PhD3; 1Easton Hospital, Brunswick, NJ Easton, PA; 2St. Luke’s University Health Network, Easton, PA; 3Penn State Lehigh Valley/Easton Hospital, Easton, PA P1485. Female Gender, Aspartate Aminotransferase, and Triglycerides as Independent Predictors of Histological Progression of Non-alcoholic Fatty P1475. Locoregional Therapy for Hepatocellular Carcinoma Is Safe in Liver Disease Patients With Advanced Age Daniel Sedhom, MD, Hadie Razjouyan, MD, Kristina Katz, MD, Vinod Joshua Matrachisia, DO1, Trevor Downing, MD2, Brian Kouri, MD3, Sean Rustgi, MD, MPH; Rutgers Robert Wood Johnson Medical School, New R. Rudnick, MD4; 1Wake Forest Baptist Medical Center, Winston-Salem, Brunswick, NJ NC; 2Wake Forest University Baptist Medical Center, Winston-Salem, NC; 3 4 P1486. The Hepatic Steatosis Index Is Not Accurate in Predicting the

Wake Forest Baptist Health, Winston-Salem, NC; Wake Forest School of POSTERS MONDAY Medicine, Winston-Salem, NC Presence of Fatty Liver Disease in Patients With Hepatitis C Who Achieve Sustained Virologic Response P1476. Correlation of Quantitative Hepatitis B Surface Antigen (qHBsAg) Toluwalase Okubote, MD1, Micaela Wong, MD2, Amandeep Singh, MD 3, with Hepatitis B Virus (HBV) DNA Levels as an Indicator of Viral Clearance Edward Mena, MD2, Naim Alkhouri, MD1, Mazen Noureddin, MD4; 1Texas Mary Lape Nixon, BA, MS1, Ron M. Kagan, PhD2, Dale A. Schwab, PhD3, Liver Institute, San Antonio, TX; 2California Liver Research Institute, Rick Pesano, MD, PhD2, Russell Baumann, BS2, Hollis Batterman, MD2; Pasedena, CA; 3Digestive Disease Institute/Cleveland Clinic, Cleveland, 1Quest Diagnostics Infectious Disease, Inc., San Juan Capistrano, CA; OH; 4Digestive Disease Center, Cedars-Sinai, Los Angeles, CA 2Quest Diagnostics, San Juan Capistrano, CA; 3Quest Diagnostics Infectious Disease, San Juan Capistrano, CA P1487. Evaluating and Improving Adherence to Guideline-Based Care in Diagnosis and Management of Cirrhosis - A Quality Improvement P1477. Trends in Incidence and Clinical Outcomes for Fibrolamellar Project Hepatocellular Carcinoma Ahmed Chatila, MD, Mohammad Bilal, MD, Ali Casey Kassem, Lauren Daryl Ramai, MD, MScBR, Andrew Ofosu, MD, MPH, Emmanuel Ofori, MD, Lagrimas, Lola Carrete, MD, Leah Low, MD, Olugbenga Ojo, MD, Shehzad Krishna C. Gurram, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Merwat, MD, Lindsay Sonstein, MD, Steven Cohn, MD, PhD, FACG; Center, Brooklyn, NY University of Texas Medical Branch, Galveston, TX P1478. Hepatitis A and B Vaccination Rates Among Patients With Chronic P1488. Platelet Count to Spleen Diameter Ratio: A Non-Invasive Parameter Liver Disease: A Phase 1 Quality Assessment Report to Predict Portal Hypertensive Gastropathy Daryl Ramai, MD, MScBR, Elizabeth Swezey, BA, Taylor Spence, BA, Kevin Singh, MD1, Gulam Khan, MD2, Soren Gandhi, MD2; 1New York Febin John, MD, Carmine Catalano, MD, Madhavi Reddy, MD, FACG; The University School of Medicine, Woodhull Medical and Mental Health Brooklyn Hospital Center, Brooklyn, NY Center, Lakewood, OH; 2New York University School of Medicine, Woodhull Medical and Mental Health Center, Brooklyn, NY P1479. Hepatocellular Carcinoma Screening in Patients Co-Infected With Human Immunodeficiency Virus and Hepatitis B: A Phase 1 Quality P1489. Effectiveness of Bezafibrate and Ursodeoxycholic Acid in Assessment Report Patients With Primary Biliary Cholangitis: An Updated Meta-Analysis of Daryl Ramai, MD, MScBR, Taylor Spence, BA, Elizabeth Swezey, BA, Randomized Controlled Trials Febin John, MD, Carmine Catalano, MD, Madhavi Reddy, MD, FACG; The Muhammad Majeed, MBBS, MD1, Rohit Agrawal, MBBS1, Saqib Shami, Brooklyn Hospital Center, Brooklyn, NY MD2, Seema Gandhi, MD2, Bashar M. Attar, MD, PhD3, Muhammad A. Baig, MD1, Yuchen Wang, MD3, Yazan Abu Omar, MD3, Hassan Muhammad, P1480. Combined Hepatocellular Cholangiocarcinoma (CHC): A Rising MD1; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2John H. Concern in the United States? Stroger, Jr. Hospital of Cook County, Chicago, IL; 3Cook County Health  Presidential Poster Award and Hospitals System, Chicago, IL Daryl Ramai, MD, MScBR, Emmanuel Ofori, MD, Andrew Ofosu, MD, MPH, Denzil Etienne, MD, Krishna C. Gurram, MD, Madhavi Reddy, MD, FACG; P1490. Hepatitis C Screening - An Outcomes-Based Analysis The Brooklyn Hospital Center, Brooklyn, NY Shilpa Junna, MD1, Rita Wadeea, MD1, Todd Golden, MS 2, Mohamed Torabi, PhD 1, Meenakshi Dagar, MD 1; 1University of Arizona, Tucson, AZ; P1481. Implementation of Quality Improvement Measures Improve 2University of Arizona College of Medicine, Tucson, AZ Hepatocellular Carcinoma Surveillance Among Individuals With Cirrhosis Anish V. Patel, MD1, Michael Ashamallah, MD2, Pooja M. Jotwani, MBBS1, Monique Demabildo, RN (GC, MN)2, David E. Bernstein, MD2, Tai-Ping Lee, MD2; 1Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY; 2Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY P1482. Is Health Illiteracy Related to Severity of Non-Alcoholic Fatty Liver Disease? Miral Subhani, MD1, Deepthi Kagolanu, MD1, Bobby Jacob, MD1, Kaleem Rizvon, MBBS, FACG2; 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Meadow, NY P1483. Trends, Characteristics, and Outcomes of Hospitalized Patients With Hepatic Encephalopathy in the United States: An Update Ahmad M. Al-Taee, MD1, Gebran Khneizer, MD2, Kahee A. Mohammed, MD, MPH1; 1St. Louis University, St. Louis, MO; 2Indiana University School of Medicine, Indianapolis, IN

P1491. Mood Altering Medications Do Not Increase Post-TIPS Hepatic P1500. To Biopsy or Not to Biopsy: A Retrospective Study on the Clinical Encephalopathy in a Large Multi-Center Cohort Diagnostic Utility of Liver Biopsy Shilpa Junna, MD1, Bhupesh Pokhrel, MD1, Justin Boike, MD 2, Jin Ge, MD 3, Anuhya Gampa, MD, Jaimin Amin, MD, Shriram Jakate, MD, Nikunj Shah, Margarita N. German, MD 4, Nathaniel Jest, DO 5, Giuseppe Joseph Morelli, MD; Rush University Medical Center, Chicago, IL MD 5, Erin K. Spengler, MD4, Adnan Said, MD 4, Alexander Lee, MD4, Alexander Hristov, MD4, Kanti Pallav Kolli, MD3, Jennifer Cindy Lai, MD3, P1501. Novel Approach Leveraging Social Media Indicates Complementary Thomas Couri, MD6, Sonali Paul, MD, MS6, Catherine Frenette, MD, FAST7, and Alternative Medicine Use Highly Prevalent and Is Sometimes Nathaniel Christian-Miller, MD8, Marcela Laurito, MD, PhD 9, Elizabeth Associated with Serious Adverse Events in Patients With Autoimmune Verna, MD 10, Usman Rahim, MD 11, Aparna Goel, MD12, Arighno Das, BA 13, Hepatitis Sai Chalasani1, Vahin Vuppalanchi2, Luke Tilmans, MD3, Kayla Petersen3, Stewart Pine, BA14, Dyanna Gregory, MS2, Lisa B. VanWagner, MD, MSc2, Regina Weber3, Naga Chalasani, MD3, Craig Lammert, MD3; 1Brebeuf Jesuit Archita Desai, MD1; 1University of Arizona, Tucson, AZ; 2Northwestern High School, Indianapolis, IN; 2Park Tudor High School, Indianapolis, IN; University, Evanston, IL; 3University of California San Francisco, San 3Indiana University School of Medicine, Indianapolis, IN Francisco, CA; 4University of Wisconsin, Madison, WI; 5University of Florida, Gainesville, FL; 6University of Chicago Medical Center, Chicago, P1502. Factors Leading to Earlier Recognition of Hepatocellular Carcinoma IL; 7Scripps Center for Organ Transplantation, La Jolla, CA; 8Scripps Clinic, of Under-Served Population at an Urban, Midwest, Safety-Net Hospital San Diego, CA; 9Columbia University, New York, NY; 10Columbia University Jacob Skeans, MD1, Tae Hoon Lee, MD2, Marc J. Landsman, MD3, Vikram Medical Center, New York, NY; 11Wayne State University / Detroit Medical Rangan, MD4, Hicham Khallafi, MD3; 1MetroHealth Hospital, Lakewood, OH; Center, Detroit, MI; 12Stanford University School of Medicine, Palo 2Mount Sinai Hospital, New York, NY; 3MetroHealth Hospital, Cleveland, Alto, CA; 13Northwestern University School of Medicine, Evanston, IL; OH; 4Israel Deaconess Medical Center, Boston, MA 14Northwestern University Feinberg School of Medicine, Evanston, IL P1503. Provider Attitudes Towards the Use of Hepatitis C Virus Positive P1492. The Effectiveness of Inpatient Reflex Hepatitis C PCR Testing in Organs in Kidney Transplantation Tertiary Medical Centers Thomas Couri, MD1, Joshua Katz, MD1, Kate Stoeckle1, Aishwarya Chun Kit Hung, MD, Monique Demabildo, RN (GC, MN), David E. Nugooru1, Heidi Yeh, MD2, Raymond Chung, MD2, Sonali Paul, MD, MS1; Bernstein, MD, Tai-Ping Lee, MD; Zucker School of Medicine at Hofstra/ 1University of Chicago Medical Center, Chicago, IL; 2Massachusetts Northwell, Manhasset, NY General Hospital, Boston, MA P1493. Vitamin D3 and Thymosin β 4 Level as a Biomarker of Prognosis in P1504. Racial Disparities in Fatty Liver Disease Clinical Trial Enrollment: A Acute on Chronic Liver Failure Systematic Review Gireesh Kumar Dhaked, MBBS, MD, Premashis Kar, MBBS, MD, DM, ; Parita Patel, MD, Charles Muller, MD, Sonali Paul, MD; University of Maulana Azad Medical College, New Delhi, Delhi, India Chicago, Chicago, IL P1494. Profile of Patients With Extrahepatic Portal Vein Obstruction in a P1505. Where Is the Gap? Comparing the Spread of Liver and Intrahepatic Tertiary Care Centre of Eastern India Bile Duct Cancer With Gastroenterology Work Force in America Prasanta Kumar Parida, MBBS, MD, DM1, Girish Kumar Pati, MBBS, MD, Aneesh Kuruvilla, DO , Elizabeth Brindise, DO; Advocate Christ Medical DM2, Debakanta Mishra, MBBS, MD1, Rakesh Kumar Barik, MBBS, MD1; Center, Oak Lawn, IL 1SCB Medical College, Cuttack, Orissa, India; 2IMS & SUM Hospital, P1506. Hepatic Steatosis Is Highly Prevalent but Is Not Correlated With Bhubaneswar, Orissa, India Advanced Fibrosis in Autoimmune Hepatitis: Results Obtained at the P1495. Do Physical Exam and Ultrasound Liver Size Findings Correlate? Autoimmune Hepatitis Association National Meeting Teaching the Abdominal Examination Through Reflective Practice Sai Chalasani1, Vahin Vuppalanchi2, Regina Weber3, Naga Chalasani, Justin Loloi, BS1, Ankit Patel, MD2, Thomas Riley, III, MD2; 1Penn State MD3, Craig Lammert, MD3; 1Brebeuf Jesuit High School, Indianapolis, IN; Hershey College of Medicine, Hershey, PA; 2Penn State Health Milton S. 2Park Tudor High School, Indianapolis, IN; 3Indiana University School of Hershey Medical Center, Hershey, PA Medicine, Indianapolis, IN P1496. The Association Between Diabetes Mellitus and Mortality Following P1507. A Systematic Review of the Non-Alcoholic Fatty Liver Disease Spontaneous Bacterial Peritonitis in Cirrhotic Inpatients (NAFLD) Treatment Strategies Alex Huh, MD, Pierre Blais, MD, Leela Nayak, MD, Greg Sayuk, MD, MPH, Muhammad Tahir, MD, Anthony Martinez, MD, Naveen Prasad Jill Elwing, MD; Veterans Administration, St. Louis, MO Gopalakrishnan Ravikumar, MD, Kehua Zhou, MD; University at Buffalo, Buffalo, NY P1497. Short Term Mortality in Young Patients (<40 y/o) With Alcoholic Liver Cirrhosis After First Hospitalization: Carilion Clinic Experience P1508. Liver Function Test in Hyperemesis Gravidarum Patients Mohamad A. Mouchli, MD1, Robert Summey, MD2, Adil Mir, MD1, Christopher Tanureet Kochar, MD1, Prerna Sharma, MD2, Suzanne Kemper, MD1, Walsh, MD3, Shravani Reddy, MD4, Marrieth Rubio, MD1; 1Carilion Clinic, Molly John, MD2; 1Charleston Area Medical Center, Charleston, WV; Virginia Tech University, Roanoke, VA; 2Virginia Tech Carilion School of 2Charleston, WV Medicine, Roanoke, VA; 3Carilion Roanoke Memorial Hospital, Roanoke, VA; P1509. The Risk of Gastrointestinal Bleeding Is Higher in Patients With 4Carilion Clinic, Virginia Tech School of Medicine, Roanoke, VA Underlying Cirrhosis on Dual Antiplatelet Therapy P1498. Alcoholic Liver Disease Correlates with Lower Palliative Linsey Spence, DO , Mark Russo, MD, Jennifer Benbow, PhD , Leybelis Performance Score Padilla, MD, William Anderson, PhD, Laura Schrum, PhD ; Carolinas Mital Shah, MD, Drew Kotler, MD, John Liantonio, MD, Dina L. Halegoua- Medical Center, Charlotte, NC DeMarzio, MD; Thomas Jefferson University Hospital, Philadelphia, PA P1510. Hepatitis C Educational Outreach Recruitment Among Arizona P1499. Beyond the HCV Treatment Cascade: Investigating Adherence with Liver Nephrologists: Physician and Staff Response Cancer Screening in HCV Patients with Advanced Liver Fibrosis or Cirrhosis Lindsey M. Schader, BA, BS, Shahid Habib, MD; Liver Institute PLLC, Christopher Folgueras1, Whitney Nichols2, Alexander Geboy2, Sameer Desale2, Tucson, AZ Stephen Fernandez2, Peter T. Basch3, Dawn Fishbein, MD4; 1Georgetown University School of Medicine, Washington, DC; 2MedStar Health Research Institute, Washington, DC; 3MedStar Institute for Innovation, Washington, DC; 4MedStar Washington Hospital Center, Washington, DC 120 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1511. African Americans and Asians Have Significantly Higher In-Hospital P1520. A Rare Case of Endotipsitis with Multiorgan Involvement Mortality Compared to Non-Hispanic Whites Among Adults Hospitalized Carmen Lopez, MD1, Nancy Worley, BS2, Nabil Baddour, DO3, with Alcoholic Liver Disease: An Analysis of 2008-2014 Nationwide Alexandra Silverton, MD1; 1Tulane Internal Medicine, New Orleans, Inpatient Sample LA; 2Tulane University School of Medicine, New Orleans, LA; 3Tulane Farah Shirazi, MD, MS1, Benny Liu, MD2, Taft Bhuket, MD2, Robert Wong, Gastroenterology, New Orleans, LA MD3; 1California Pacific Medical Center, San Francisco, CA;2 Highland Hospital, Oakland, CA; 3Alameda Health System - Highland Hospital, P1521. Pazopanib-Induced Liver Injury: A Near TKO From a TKI Mohammad S. Ansari, MD, Arvind R. Murali, MD; University of Iowa Oakland, CA Hospitals & Clinics, Iowa City, IA P1512. Young, Female, and Medicaid Populations With Acute Alcoholic Hepatitis Are at Increased Risk of Readmission P1522. Isolated Hyperbilirubinemia: A Rarely Reported Adverse Effect Xiaowen Fan, MD1, Jean Abed, MD2, Xiaocen Zhang, MD3, Ali T. Khan, of Cytarabine Chemotherapy Narasimha Swamy Gollol Raju, MD1, Sriraksha Jayananda, MD2, Hamza MBBS4, Xiaoquan Huang, MD5, Ilan Weisberg, MD, MSc6; 1Mount Sinai St Khalid, MD3; 1Vidant Medical Center, Greenville, NC; 2Vidant Medical Luke’s and Mount Sinai West, New York, NY; 2Mount Sinai St. Luke’s - POSTERS Center, Winterville, NC; 3Vidant Medical Center / East Carolina MONDAY West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; University, Greenville, NC 3Mount Sinai St. Luke’s West Hospital Center, New York, NY; 4Icahn School of Medicine at Mount Sinai, New York, NY; 5Zhongshan Hospital, Fudan P1523. Hepatocellular Carcinoma Presenting as Hemobilia: A Case University, Shanghai, Shanghai, People’s Republic of China; 6Mount Sinai Report Beth Israel, New York, NY Narasimha Swamy Gollol Raju, MD1, Sriraksha Jayananda, MD2, Prashant Mudireddy, MD1; 1Vidant Medical Center, Greenville, NC; P1513. Racial Disparity in Non-Alcoholic Fatty Liver Disease: Prevalence, 2 Comorbidities, and Mortality in Adult Inpatient Population Vidant Medical Center, Winterville, NC Xiaowen Fan, MD1, Melissa Hershman, MD2, Xiaoquan Huang, MD3, Xin P1524. Treatment Dilemma: A Case of Hepatitis C Virus Autoimmune Zheng, DO, MS4, Ilan Weisberg, MD, MSc5; 1Mount Sinai St Luke’s and Hepatitis (HCV-AIH) Overlap Syndrome Mount Sinai West, New York, NY; 2Mount Sinai Beth Israel, St. Luke’s and Christopher Kim, MD, Jadranko Corak, MD; Dell Medical School at the West, New York, NY; 3Zhongshan Hospital, Fudan University, Shanghai, University of Texas at Austin, Austin, TX Shanghai, People’s Republic of China; 4Loma Linda University Medical Center, Loma Linda, CA; 5Mount Sinai Beth Israel, New York, NY P1525. A Surprise Case of Hyperbilirubinemia and Transaminitis Gaurav Kakked, MD1, Ruchit Shah, MD1, Jack Husney, MD2, Melissa P1514. Timeline of Linkage to Care in Hepatitis C: From Screening to Hershman, MD3, Andrew Blank, MD1, Michael S. Smith, MD, MBA4; 1Icahn Treatment in the Outpatient Setting at a Tertiary Care Center School of Medicine, New York, NY; 2Mount Sinai Beth Israel, New York, Obada M. Tabbaa, MD1, Tenzin Choden, MD2, Katherine Hahn, MD2, NY; 3Mount Sinai Beth Israel, St. Luke’s and West, New York, NY; 4Mount Mohamed Modar Abidian, MD1, James H. Lewis, MD, FACP, FACG3; Sinai West & Mount Sinai St. Luke’s Hospitals, New York, NY 1MedStar Washington Hospital Center, Washington, DC; 2Georgetown University School of Medicine, MedStar Georgetown University P1526. Abnormal Liver Enzymes Due to H. pylori Infection Hospital, Washington, DC; 3Georgetown University School of Medicine, Ahmed Abdulhamid, MD, Deepak Venkat, MD; Henry Ford Hospital, Georgetown University Hospital, Washington, DC Detroit, MI P1515. Assessment of Sarcopenia in Patients with Chronic Liver Disease P1527. Non-Hodgkin B-Cell Lymphoma in Hepatitis C Virus Infection Ujwal Gajula, MBBS, DNB; Apollo Hospitals, Chennai, Tamil Nadu, India Ahmed Abdulhamid, MD, Syed-Mohammed Jafri, MD, Stuart Gordon, MD; Henry Ford Hospital, Detroit, MI P1516. Hepatitis C Treatment Outcomes Using Direct Acting Antiviral Agents Among HCV Mono-Infected and HIV-HCV Infected Veterans P1528. Do You Have a History of Recreational Drug Use? 1 2 Ioannis Papayannis, MD1, George Psevdos, MD2, Rahul Mahapatra, MD3, Joseph M. Mossad, BS , Stephen J. Kwak, MD , Karthikeyan Viswanathan, 3 3 1 Edward Cheng, MD2; 1Stony Brook University Hospital, Port Jefferson, NY; DO , Maria Jose Jimenez Cerna, MD ; Albany Medical College, Albany, 2 3 2Northport Veterans Affairs Medical Center, Northport, NY;3 Stony Brook NY; Bassett Medical Center, Cooperstown, NY; Bassett Healthcare University Hospital, Stony Brook, NY Network, Cooperstown, NY P1529. Duodenal Perforation with Transplant Hepatic Artery Pseudo- LIVER Aneurysm: A Rare Case of Massive Gastrointestinal Bleeding 1 2 1 Clinical Vignettes / Case Reports RajaKoteswar Dhanekula, MD , Kaitlyn Votta , Adam M. Frank, MD , Ashesh P. Shah, MD1, David A. Sass, MD3; 1Thomas Jefferson University P1517. Persistent Hepatitis a IgM Antibody: A Clue in the Diagnosis of Hospital, Philadelphia, PA; 2Sidney Kimmel Medical College, Philadelphia, Autoimmune Hepatitis PA; 3Thomas Jefferson University, Philadelphia, PA Thrupthi Komandur, MBBS, Hao Chi Zhang, MD, Moises I. Nevah, MD, P1530. Primary Small Cell Neuroendocrine Tumor of the Liver: Preethi M. Reddy, MD, Victor I. Machicao, MD; University of Texas Health A Rare Entity Science Center at Houston, Houston, TX Colin Leffert, DO1, Areej Mazhar, DO2; 1Henry Ford Macomb Hospital, P1518. Save by the DILI Clinton Township, MI; 2Henry Ford Hospital, Detroit, MI Rodolfo Estremera-Marcial, MD, Ivonne Figueroa-Rivera, MD, Javier A. P1531. Pembrolizumab-Associated Hepatitis and Hemophagocytic Cerra-Franco, MD, Carlos Fernandez-Cruz, MD, Loscar Santiago-Rivera, Lymphohistiocytosis Syndrome MD; VA Caribbean Healthcare System, San Juan, Puerto Rico Asad Ali, MD, Nancy Gupta, MD, Woodlyne Roquiz, DO, Mohammad S. P1519. Subcapsular Hepatic Abscess in an Iatrogenic Hepatic Hematoma Ansari, MD, Arvind R. Murali, MD; University of Iowa Hospitals & Clinics, Post-Percutaneous Biliary Drainage Iowa City, IA Pratyusha Tirumanisetty, MBBS, Aditya Rander, MBBS, Mahesh Krishnamurthy, MD; Unity Hospital, Greece, NY

P1532. Liver Abscesses and Primary Sclerosing Cholangitis in Ulcerative P1544. Recurrent Hepatic Encephalopathy Due to Spontaneous Colitis: An Unusual Occurrence Mesocaval Shunt Hima Veeramachaneni, MD1, Gordon Robbins, MD1, Salih Samo, MD1, Elijah Verheyen, MD1, Jean Abed, MD1, Manu Singh, MD2, Ashwin S. Rushikesh Shah, MD1, Sonali Sakaria, MD2; 1Emory University School of Sawant, MBBS, MD3, Michael S. Smith, MD, MBA4; 1Mount Sinai St. Luke’s Medicine, Atlanta, GA; 2Emory University, Atlanta, GA - West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; 2Icahn School of Medicine at Mount Sinai, New York, NY; 3Mount P1533. Vibrio vulnificus: A Preventable Cause of Septicemia in Patients Sinai West, New York, NY; 4Mount Sinai West & Mount Sinai St. Luke’s With Liver Disease Hospitals, New York, NY Fadi Odish, MD1, Zaid Imam, MBBS1, Majd Khasawneh, MD2, Dillon Karmo, MD1, Andrew Aneese, MD1; 1William Beaumont Hospital, Royal Oak, MI; P1545. Carnitine Palmitoyltransferase 1A Deficiency: A Rare Cause of 2William Beaumont Hospital, Clawson, MI Chronic Liver Disease with Rare Presentation Fnu Versha, MD1, Viktor Eysselein, MD2, Sofiya Reicher, MD2; 1Eisenhower P1534. Hepatitis E-Induced Acute Liver Failure Health, Beaumont, CA; 2Harbor-UCLA Medical Center, Torrance, CA Chimezie U. Mbachi, MBBS1, Jaiswal Palashkumar, MD1, John Erikson Yap, MD2, Oscar A. Rivas Chicas, MD2; 1John H. Stroger, Jr. Hospital of Cook P1546. A Rare Case of T-Cell Lymphoma Found in the Liver County, Chicago, IL; 2Cook County Health and Hospitals System, Chicago, IL Neethi R. Dasu, BS, DO1, Lucy Joo, DO1, Kailash Lal, DO2, Donald McMahon, DO3; 1Rowan University School of Osteopathic Medicine, P1535. Hepatoduodenal Fistula Successfully Treated With Enteral Stratford, NJ; 2Rowan University School of Osteopathic Medicine, Metallic Stent: A Rare Complication Following Trans-catheter Arterial Turnersville, NJ; 3Kennedy Health Alliance, Turnersville, NJ Chemoembolization for Hepatocellular Carcinoma Supachaya Sriphoosanaphan, MD, Rungsun Rerknimitr, MD; King P1547. Acalculous Cholecystitis in Acute Hepatitis B Infection – A Chulalongkorn Memorial Hospital, Bangkok, Krung Thep, Thailand Forgotten Complication Nitin Sabharwal, MBBS1, Zain A. Sobani, MD2, Maryam Baqir, MD1, Michael P1536. Deranged Liver Function Tests: A Red Herring for Acute G. Kantrowitz, DO1, Rabin Rahmani, MD, FACG1, Edward Chapnick, MD1; Lymphoblastic Leukemia 1Maimonides Medical Center, Brooklyn, NY; 2University of New Mexico, Maham Hayat, MD, Hassaan Zia, MD, Rajesh Kanagala, MD; University of Albuquerque, NM Oklahoma Health Sciences Center, Oklahoma City, OK P1548. The Cons of Probiotics: Lactobacillus Bacteremia and Liver Abscess P1537. Disseminated Histoplasmosis Presenting as Granulomatous in a Patient Using Probiotic Supplements Hepatitis in a Patient with Psoriatic Arthritis Mark Hanscom, MD; University of Illinois at Chicago, Chicago, IL Maham Hayat, MD, Hassaan Zia, MD, Rajesh Kanagala, MD; University of Oklahoma Health Sciences Center, Oklahoma City, OK P1549. A Case of Systemic Mastocytosis Presenting Initially with Weight Loss and Elevated Alkaline Phosphatase P1538. Memantine-Induced DILI Noel B. Martins, MD1, Matthew Murray2, James Nguyen2; 1St. Luke’s Sarah Ordway, MD, Zachary Junga, MD, Dawn Torres, MD; Walter Reed University Health Network, Bethlehem, PA; 2Lewis Katz School of National Military Medical Center, Bethesda, MD Medicine at Temple University, Philadelphia, PA P1539. Clopidogrel-Induced Hepatotoxicity: A Case Report P1550. Incidentally Found Back Mass in a Liver Transplant Patient Reveals Devashree Dave, MD, Arvind R. Murali, MD; University of Iowa Hospitals & Possible Muir-Torre Syndrome Clinics, Iowa City, IA Joseph Jennings, MD1, Preeti Gupta, MD, MPH1, Kamal Baig, MD1, Nhu P1540. Elevated Liver Enzymes: An Atypical Presentation of Otherwise An Nguyen, DO2, Coleman Smith, MD1; 1Georgetown University Hospital, Asymptomatic Multiple Myeloma Washington, DC; 2Walter Reed National Military Medical Center, Cristian D. Rios, MD1, Nihar Shah, MD1, Saad Shaheen, MD2, Dipendra Bethesda, MD 1 1 2 Parajuli, MD ; University of Louisville, Louisville, KY; Robley Rex VA P1551. Severe Cerebral Edema in a Patient With Hepatitis B-Induced Acute Medical Center, Louisville, KY Liver Failure and Concurrent Acute Pancreatitis P1541. Rapidly Developing Acute Hepatotoxicity With Intravenous Nadeen Hussain, BS, Nikki Duong, MD, Victor Ciofoaia, MD, Amol Amiodarone Infusion: A Case Report Rangnekar, MD; MedStar Georgetown University Hospital, Washington, DC Kristen Selema, DO1, Vaibhav Wadhwa, MD2, Bobby Zervos, DO2, Pablo 2 1 2 P1552. A Case of Idiopathic Non-Cirrhotic Portal Hypertension in a Patient Bejarano, MD ; Cleveland Clinic Florida, Fort Lauderdale, FL; Cleveland With a Left Ventricular Assist Device (LVAD) Clinic Florida, Weston, FL Shana Kothari, MD, MS1, Michael Kalinowski, DO, MS1, Natasha Shah, MD1, P1542. Hepatic Porphyria: An Acute Interesting Presentation Hareth Raddawi, MD2; 1University of Illinois at Chicago - Advocate Christ Diego Hidalgo, MD, Manisha Nukavarapu, MD, David Ginn, MD; East Medical Center, Chicago, IL; 2Advocate Christ Medical Center, Chicago, IL Tennessee State University, Johnson City, TN P1553. First Reported Case of Pimozide-Related Liver Injury P1543. The Acute Blood Loss Anemia Mystery Ramiro De La Guerra, MD, Shifa Umar, MD, Moaz Sial, MD, Michael Babich, Elijah Verheyen, MD1, Michael Herman, MD2, Jean Abed, MD1, Marcin MD; Allegheny Health Network, Pittsburgh, PA 3 4 5 1 Kolber, MD , Linda Du, DO , Frank Andrew Nelson, MD ; Mount Sinai P1554. Clarity on Clear Cell Hepatocellular Carcinoma: A Rare Occurrence St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, in an Individual with Chronic Hepatitis C Without Cirrhosis New York, NY; 2Mount Sinai Beth Israel, New York, NY; 3Icahn School of Vivian Lee, BS, Nadeem Tabbara, BA, Marie Borum, MD, EdD, MPH; Medicine at Mount Sinai, New York, NY; 4Mount Sinai West Hospital, Icahn George Washington University, Washington, DC School of Medicine at Mount Sinai, New York, NY; 5Mount Sinai St. Luke’s Hospital, New York, NY P1555. The Deficiency Dilemma Neha V. Kaiser, DO, Charles Ruzkowski, MD, Paul McCarthy, MD; Parkview Medical Center, Pueblo, CO P1556. Clarithromycin-Induced Acute Liver Failure (ALF) Ahmed I. Edhi, MD, Siefeldin Hakim, MD, Christienne Shams, MD, Mitual Amin, MD, Mitchell S. Cappell, MD, PhD; William Beaumont Hospital, Royal Oak, MI 122 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1557. A Very Rare Complication of Hepatitis a Infection: Acute Myocarditis P1568. Drug-Induced Autoimmune Hepatitis in a Patient Treated With Ahmed I. Edhi, MD, Olivia Allen, MD, Adam Hafeez, MD, Alexandra Minocycline: A Rare Adverse Effect Halalau, MD; William Beaumont Hospital, Royal Oak, MI Jamil M. Shah, MD1, Abul B. Shahidullah, MD2, Yingxian Liu, MD3; 1Rutgers New Jersey Medical School, Newark, NJ; 2Henry J. Carter Specialty P1558. Oxaliplatin-Induced Sinusoidal Injury: A Rare Complication of a Hospital and Nursing Facility, New York, NY; 3The Brooklyn Hospital Common Adjuvant Therapy Center, Brooklyn, NY Caleb B. Hudspath, DO, Joseph Roswarski, MD, Pedro Manibusan, DO, MBA; Tripler Army Medical Center, Honolulu, HI P1569. Recurrence of Hepatocellular Carcinoma at the Porta-Hepatis Following Liver Transplantation: It Can Happen! P1559. A Rare Manifestation of Autoimmune Hepatitis Type 1 with Ronald Samuel, MD, Mohammad Bilal, MD, Michael T. Nguyen, MD, Hereditary Hemochromatosis Ranjana Nawgiri, MD, Sreeram Parupudi, MD, FACP, FACG, Praveen Monica L. Multani, DO1, Prathusha Maduri, DO1, Jason Keller, BS2, Jamie Guturu, MD, FACG; University of Texas Medical Branch, Galveston, TX L. Skrove, DO1, Leena Chacko, DO1, Javier Sobrado, MD1, Juan Sarol, MD3; 1Larkin Community Hospital, Miami, FL; 2St. George’s University, Miami, P1570. L-Carnitine as Treatment for Valproic Acid Induced Acute Liver POSTERS FL; 3Larkin Community Hospital, South Miami, FL Failure MONDAY Mohammed Al-juboori, MD, Saurabh Chitnis, MD, Yudelquis Comas, P1560. Never Fear, TAVR Is Here: Patient With Decompensated Cirrhosis MD, Chaitali Panchal, MD, Shushan Veranyan, MD, Aulio Bustos, MD, and Severe Aortic Stenosis Soowhan Lah, MD, Nora Bergasa, MD; Metropolitan Hospital, Irma Hashmi, DO1, Nimy John, MD2, Graham F. Barnard, MD, PhD3, Deepika New York, NY Devuni, MD3; 1University of Massachusetts Medical Center, Worcester, MA; 2St. Vincent Hospital/University of Massachusetts Medial School, Worcester, P1571. Urea Cycle Disorder Hyperornithinemia-Hyperammonemia- MA; 3University of Massachusetts Medical School, Worcester, MA Homocitrullinuria (HHH) Syndrome in an Adult Unmasked by Physical Exertion and Protein Supplements P1561. Angiosarcoma: A Rare Cause of Acute Liver Failure Ly-Elaine Pham, MD1, Kashif Khan, MD1, Neeraj Singh, MD1, John Samuel A. Schueler, MD1, Daniel G. Hwang, MD2, William Twaddell, MD3, Bienvenu, MD1, Moheb Boktor, MD2, Kenneth Manas, MD2, Anil Minocha, Nathalie H. Urrunaga, MD, MS3; 1University of Maryland Medical Center MD1, Tejinder Singh, MD1, Adam Mosallati, MD3, Brian Monaco, MD3, Ryan / National Institutes of Health, Baltimore, MD; 2University of Maryland Palmer, MD1, Mardeli Mendoza, MD1, Jonathan Steven Alexander, PhD1, Medical Center, Baltimore, MD; 3University of Maryland School of James Morris, MD, FACG2, Jordan Paul, MD1, Hrishikesh Samant, MD4; 1LSU Medicine, Baltimore, MD Health Sciences Center, Shreveport, LA; 2LSU Health, Shreveport, LA; P1562. A Case of Passenger Lymphocyte Syndrome in a Minor ABO- 3WK North, Shreveport, LA; 4LSU Health Shreveport and Willis Knighton Incompatible Liver Transplantation Health System, Shreveport, LA Paul MunaAguon, MD1, Shifat Ahmed, MD2, Brenda Shinar, MD3, Mark 3 1 P1572. Primary Hepatic Mixed Acinar-Neuroendocrine Tumor: A Rare Case Wong, MD ; University of Arizona College of Medicine, Phoenix, AZ; of a Liver Mass 2University of Arizona, Phoenix, Phoenix, AZ; 3Banner University Medical Sachin Srinivasan, MD1, William Salyers, MD1, Imad Nassif, MD2; 1Kansas Center, Phoenix, AZ University School of Medicine, Wichita, KS; 2Wichita Endoscopy Center, P1563. Metastatic Hepatocellular Carcinoma Presenting as Extensive Bone Wichita, KS Metastasis 1 2 3 P1573. Starvation-Induced Hepatopathy in a Patient With Severe Anorexia Annie S. Hong, MD , Mohamad Mubder, MD , Ranjit Makar, MD , Jenny Nervosa: A Case Report M. Hong, MS3, Shahid Wahid, MD3; 1University of Las Vegas School of Somaya Albhaisi, MBBCh; Virginia Commonwealth University, Medicine, Las Vegas, NV; 2University of Nevada Las Vegas, Las Vegas, NV; Richmond, VA 3University of Nevada Las Vegas School of Medicine, Las Vegas, NV P1574. An Uncommon Cause of Ascites : A Combination of Budd Chiari P1564. A Rare Case of Autoimmune Hepatitis in an Immunocompromised Syndrome and Secondary Bacterial Peritonitis in a Postpartum Patient Patient Shanker D. Kundumadam, MD 1, Lubna I. Fatiwala, MD2, Catherine Annie S. Hong, MD1, Jeff Caseja, MD1, Carina Chang, MS2, Jenny M. Hong, Czesnowski, MD1, Manmeet Singh, MD1; 1Wayne State University, Detroit, MS3, Awad Javaid, MD1, Badrunnisa Hanif, MD1; 1University of Las Vegas MI; 2Detroit Medical Center, Detroit, MI School of Medicine, Las Vegas, NV; 2University of Nevada Reno School of Medicine, Reno, NV; 3University of Nevada Las Vegas School of Medicine, P1575. Relapse of Multiple Myeloma Presenting as Extramedullary Disease Las Vegas, NV in Multiple Organs Somaya Albhaisi, MBBCh; Virginia Commonwealth University, P1565. Early Experience with Salvage Direct-Acting Antiviral (DAA) Richmond, VA Therapy in Liver Transplant Recipients Bo Hyung Yoon, MD, Dina L. Halegoua-DeMarzio, MD, Jonathan M. Fenkel, P1576. Liver Cirrhosis Due to an Isolated Inferior Vena Cava Stenosis MD; Thomas Jefferson University Hospital, Philadelphia, PA Causing Outflow Obstruction and Treated by Endovascular Intervention Mouhanna K. Abu Ghanimeh, MD1, Ahmed Elbanna, MD1, Hafsa Abdulla, P1566. Hepatic Adenomatosis Complicated by Comorbid Steroid MD2, Reena Salgia, MD1; 1Henry Ford Hospital, Detroit, MI; 2Henry Ford Dependent Ulcerative Colitis Health System, Detroit, MI Jungmin Lee, MD, Heitham Abdul-Baki, MD; Allegheny Health Network, Pittsburgh, PA P1577. Lysosomal Acid Lipase Deficiency: An Uncommon Masquerader Benjamin Schmidt, MD, Steven Scaglione, MD, Xianzhong Ding, MD; P1567. Losing My Mind Over Mavyret: An Unexpected Drug Reaction Loyola University Medical Center, Maywood, IL Sylvia Oppong-Antwi, CRNP, BSN, Iryna S. Hepburn, MD, FACG, FACP; WellSpan Health, Lebanon, PA P1578. Cold Blooded: Cryoglobulinemia Immune to Hepatitis C Treatment Firas Ido, MD1, Malek Numier, MD2, Cara Ruggeri, DO, FACP2; 1Wayne State University, Rochester Hills, MI; 2St. Luke’s University Health Network, Bethlehem, PA

P1579. Cirrhosis a Long Term Consequence of Congenital Tricuspid Atresia P1591. Overlap Syndrome: A Serological and Histological Dilemma After Fontan Procedure Andrew Ofosu, MD, MPH1, Ankit Dwivedi, MD2, Sriharsha Dadana, MD2, Shoma Bommena, MD1, Ishani Joshi, MS2, Shivang Mehta, MD1; 1Banner Vinaya Gaduputi, MD3; 1The Brooklyn Hospital Center, Brooklyn, NY; 2Saint University Medical Center, Phoenix, AZ; 2Midwestern University, Phoenix, AZ Barnabas Hospital, Bronx, NY; 3SBH Health System, Bronx, NY P1580. Locoregional Therapy With Transarterial Chemoembolization P1592. An Unusual Presentation of an Adult with Diffuse Abdominal Pain (TACE) for Stage 1A Intrahepatic Cholangiocarcinoma (ICC) Before Surgical Related to Congenital Diaphragmatic Hepatic Eventration Resection: A Case Report Andrew Ofosu, MD, MPH1, Sriharsha Dadana, MD2, Christopher Brana, Tehseen Haider, MD, Harish Guddati, MD, Hilary Hertan, MD, FACG; MD2, Tagore Sunkara, MD3, Vinaya Gaduputi, MD2, Andrea Culliford, MD2; Montefiore Medical Center, Bronx, NY 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai P1581. Lobectomy Reveals Co-infection of Streptococcus Anginosus and Hospital, Brooklyn, NY Extrapulmonary Tuberculosis Tejas V. Joshi, MD1, Corey Saraceni, MD1, Huy A. Le, MS42, Derek Childers, MS3, P1593. Severe Anemia Leading to Acute Ischemic Hepatitis: A Rare Sequela Justin Miller, MD4, John Hutchings, MD4; 1LSU Health New Orleans School of Andrew Ofosu, MD, MPH1, Christopher Brana, MD2, Prashanth Rawla, MD3, Medicine, New Orleans, LA; 2UMHS-St. Kitts, New York, NY; 3UMHS-St. Kitts, Andrea Culliford, MD2, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital New Orleans, LA; 4LSU Health Sciences Center, New Orleans, LA Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3Memorial Hospital of Martinsville and Henry County, Martinsville, VA P1582. The Great Mimicker Strikes Again: Isolated Hepatic Sarcoidosis Tejas V. Joshi, MD1, Corey Saraceni, MD1, Huy Le, MS42, Derek Childers, P1594. Diffuse Large B-cell Lymphoma - A Rare Cause of Acute Liver MS3, Abhitabh Patil, MD4; 1LSU Health New Orleans School of Medicine, Failure New Orleans, LA; 2UMHS-St. Kitts, New York, NY; 3UMHS-St. Kitts, New Andrew Ofosu, MD, MPH1, Eric O. Then, MD2, Prashanth Rawla, MD3, Orleans, LA; 4Saint Anthony Hospital, St. Petersburg, FL Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3Memorial P1583. A Rare Case of Ascites Hospital of Martinsville and Henry County, Martinsville, VA; 4St. Barnbas Alexander M. Sarkisian, MS, MD1, Tejas V. Joshi, MD2, Melissa A. Spera, Hospital, Bronx, NY MD3, Kara M. De Felice, MD3; 1Tulane University School of Medicine, New Orleans, LA; 2LSU Health New Orleans School of Medicine, New Orleans, P1595. A Rare Case of Partial Diaphragmatic Eventration with Hepatic LA; 3LSU Health Sciences Center, New Orleans, LA Herniation Andrew Ofosu, MD, MPH1, Sriharsha Dadana, MD2, Tagore Sunkara, MD3, P1584. An Uncommon Culprit of Acute Hepatitis Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD5; 1The Brooklyn Janyll I. Castineira, DO1, Angela S. Park, DO1, Ergen Muso, DO1, Marc A. Hospital Center, Brooklyn, NY; 2Saint Barnabas Hospital, Bronx, NY; 3The Kudelko, DO2; 1Largo Medical Center, Largo, FL; 2Largo Medical Center, Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Pinellas Park, FL Brooklyn, NY; 4St. Barnbas Hospital, Bronx, NY; 5SBH Health System, P1585. Asymptomatic Transaminitis: A Case of Hepatic Sarcoidosis Bronx, NY 1 1 2 Sanchita Singal-Parulkar, MD , Sehrish Jamot, MD , Kittichai Promrat, MD , P1596. A Case of Elevated Autoimmune Serologies in Alcoholic Hepatitis Zilla Hussain, MD3; 1Brown University, Providence, RI; 2Brown University/ Ahmed Chatila, MD, Steven Klimczak, MD, Leah Low, MD; University of Lifespan, Providence, RI; 3Lifespan Physicians Group, Providence, RI Texas Medical Branch, Galveston, TX P1586. A Rare Case of Hepatic Sarcoidosis Leading to the Development of P1597. Ewing Sarcoma/Primitive Neuroectodermal Tumor of the Liver: A Hemophagocytic Lymphohistiocytosis (HLH) Late Presentation With an Extremely Rare “Large Cell” Variant Anjali Mone, MD1, Alexandra Weiss, MD1, Cynthia McCleery, MD2; 1Cooper Sameet Shah, DO, Ammar Hassan, DO, John Sotiriadis, MD, PhD; University Hospital, Camden, NJ; 2Cooper University Healthcare, Mt. Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ Laurel, NJ P1598. Detection of Macro-Aspartate Aminotransferase in a Young Patient P1587. Budd-Chiari Syndrome: Is That a Clot? Nathan Davis, DO, Yogesh Govil, MD; Albert Einstein Medical Center, Amna Khan, MD1, Erik Holzwanger, MD2, Muhammad Alsayid, MD, MPH1; Philadelphia, PA 1University of Massachusetts Memorial Medical Center, Worcester, MA; 2University of Massachusetts Medical School, Worcester, MA P1599. Fulminant Hepatic Failure Due to Kratom Toxicity Anamay Sharma, MD, Stanley Cohen, MD; University Hospitals Cleveland P1588. A Case of Hepatic Sarcoidosis Mimicking Cholangiocarcinoma Medical Center, Cleveland, OH Christine Chen, DO1, Michael Ma, MD2, Ahmed Zaman, MD1, Songyang Yuan, MD, PhD3, Ilan Weisberg, MD, MSc1; 1Mount Sinai Beth Israel, New P1600. A Unique Case of Concurrent Syphilitic Hepatitis and Gastroparesis York, NY; 2Mount Sinai Beth Israel Hospital, New York, NY; 3Mount Sinai, Brianna Shinn, MD, Charles Kistler, MD, PharmD, RajaKoteswar Dhanekula, New York, NY MD, Jesse Civan, MD; Thomas Jefferson University Hospital, Philadelphia, PA P1589. Acute Liver Rejection After Exposure to Nivolumab in Treatment of P1601. Hepatic Metastasis Presenting as Merkel Cell Carcinoma of Unknown Metastatic Hepatocellular Carcinoma Primary Ching-Ho Huang, MD1, Elliot Bigajer, DO1, Andrea Leaf, MD2, Ayesha Shravani Reddy, MD1, Meeta R. Desai, MD2, Joshua Eikenberg, MD, MPH2, Zahiruddin, MD3, Ayse Aytaman, MD3; 1SUNY Downstate Medical Vikas Chitnavis, MD2, Douglas Grider, MD, FCAP, FASDP1; 1Carilion Clinic, Center, Brooklyn, NY; 2VA NY Harbor Health Care System, Brooklyn, Virginia Tech School of Medicine, Roanoke, VA; 2Carilion Clinic, Roanoke, VA NY; 3Brooklyn Campus of the VA New York Harbor Healthcare System, Brooklyn, NY P1602. Septic Shock in Steroid Resistant PD-1 Inhibitor Associated Autoimmune Hepatitis: When Should We Stop the Steroids? P1590. Upper Gastrointestinal Bleeding From Ischemic Gastropathy After Emily Harding-Theobald, MD, Bharat Maraj, MD; University of California TACE Therapy San Francisco, San Francisco, CA Anita Krishnarao, MD, MPH, Nicole Hanley-Williams, MD; Lahey Hospital and Medical Center, Burlington, MA

124 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1603. Early Mortality After Local-Regional Therapy: As Use Expands, Do P1613. Air-Filled versus Water-Filled Intragastric Balloon: A Comparative We Need Improved Selection Criteria? Retrospective Study Emily Harding-Theobald, MD, Bharat Maraj, MD; University of California Mohamed Abdelbadie, MD1, Mostafa Hashem, MD1, Magdy Fawzy, MD2, San Francisco, San Francisco, CA Ragheed Lababidi, MD1, Siba Abbsi, MD1, Mohamed Nabil, MD1, Ahmed Fathy, MD2, Abdelrahman Almahdy, MD1, Iyad Subei, MD2; 1Dr Erfan and P1604. Spontaneous Intrahepatic Porto-Systemic Shunt Thrombosis as a Bagedo General Hospital, Jeddah, Makkah, Saudi Arabia; 2Dr. Erfan and Rare Cause of Pulmonary Embolism in a Cirrhotic Patient Bagedo General Hospital, Jeddah, Makkah, Saudi Arabia Abimbola Adenote, MD1, Dhuha Alhankawi, MD2, David M. Feldman, MD3; 1Harlem Medical Center, Harlem, NY; 2New York University Medical Center, P1614. Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy New York, NY; 3NYU Langone Health, New York, NY Alter Gut Microbiome in Bariatric Patients Claire M. Shin, BS1, Heekoung Youn, RN, CCRC, MA2, Henry Lee, MD2, P1605. Bupivacaine-Induced Liver Injury: A Rare Case of Acute Hepatitis Christine Ren-Fielding, MD2, George Fielding, MD2, Bradley Schwack, Samuel Slone, MD, James Wilson, MD, Erika Abel, MD; University of South MD2, Ilseung Cho, MD2; 1University of South Carolina School of Florida, Tampa, FL 2

Medicine, Greenville, SC; New York University School of Medicine, POSTERS MONDAY P1606. Unusual Cause of Liver Injury in a Young Healthy Patient New York, NY 1 2 3 Mustafa Alani, MD , Hamsa Sahib, MD , Mohemmedd Khalid Abbas, MD ; P1615. Healthcare Resource Utilization in Obese Patients With High 1Banner University Medical Center, Phoenix, AZ; 2Banner Estrella Medical MELD (≥ 35) Undergoing Liver Transplantation Center, Glendale, AZ; 3Banner Estrella Medical Center, Phoenix, AZ Presidential Poster Award P1607. SCIC (Sickle Cell Intrahepatic Cholestasis) Patient with Acute Mubeen Khan Mohammed Abdul, MD1, Bilal Ali, MD2, Stephen Soufleris, Liver Failure MD1, Pradeep S. B. Podila, PhD3, Satheesh Nair, MD1; 1University of Sadat Iqbal, MD1, Abu Hurairah, MD2, Savanna Thor, DO, MPH1; 1SUNY Tennessee Health Sciences Center, Memphis, TN; 2University of Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, NY Tennessee Health Science Center, Memphis, TN; 3Methodist Le Bonheur Healthcare, Memphis, TN P1608. Dots on the Skin, Dots on the Liver Sadat Iqbal, MD1, Michelle Likhtshteyn, MD1, Nikita Gupta, MD1, Jason OBESITY Green, DO1, Abu Hurairah, MD2, Richard Ferstenberg, MD1; 1SUNY Clinical Vignettes / Case Reports Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, NY P1616. Intradialytic Parenteral Nutrition: A Method of Copper Replacement Nirmal Onteddu, MD1, Gaurav Rajashekar, MD1, Swetha Jangangari, MD2, OBESITY Anand Reddy, MD3; 1Texas Tech University Health Sciences at Permian Basin, Odessa, TX; 2Midland Community Healthcare Services Coleman Clinic, P1609. Obesity and Inflammatory Bowel Disease: Outcomes of Patients Odessa, TX; 3Texas Tech University Health Sciences Center, Odessa, TX in a Pro-inflammatory State on Biologic Therapy for Crohn’s Disease and Ulcerative Colitis P1617. Mallory Weiss Tear an Early Complication of ReShape Integrated Steven Lin, MD, MPH, Christina Wang, MD, Zachary Devore, MD, Jeremy Gastric Balloon Placement R. Glissen Brown, MD, Christopher Danford, MD, Joseph Feuerstein, MD; Abdussalam Shredi, MD; Texas Tech University Health Sciences Center, BIDMC/Harvard Medical School, Boston, MA Lubbock, TX P1610. Biliary Disease Has Increased in Patients With Bariatric Surgery P1618. Endoscopic Gastric Mucosal Ablation (EGMA) for Weight Loss: Over the Past Decade: A Nationwide Analysis The First Human Case Report  Presidential Poster Award Bingrong Liu, PhD, MD; The First Affiliated Hospital of Zhengzhou Andrew Thompson1, Violeta Popov, MD, PhD2; 1New York University University, Zhengzhou, Henan, People’s Republic of China School of Medicine, New York, NY; 2New York University, New York, NY P1611. Visual Processing Impairments Detected by Oculometric Assessment PRACTICE MANAGEMENT Provide Evidence of Obesity-Related Neurological Dysfunction Aaron Yeoh, MD1, Katherine Wong, MD1, Dorion Liston, PhD2, Stephanos P1619. Adherence to Helicobacter pylori Testing After Hospitalization for Papademetriou, PhD2, Philip N. Okafor, MD, MPH1; 1Stanford University Bleeding Peptic Ulcer Disease School of Medicine, Stanford, CA; 2NeuroFit, Inc., Mountain View, CA Kenneth W. Hung, MD, Rita M. Abdelmessih, MD, MS, Adam S. Faye, MD, Adam R. Pont, MD, PhD, Benjamin Lebwohl, MD, MS, Daniel E. Freedberg, P1612. Endoscopic Management of Post Roux-En-Y Dumping Syndrome MD, MS; Columbia University Medical Center, New York, NY With TransOral Outlet Reduction (TORe)  Presidential Poster Award P1620. Is Sex Associated With Differences in Academic Productivity Eric J. Vargas, MD1, Fateh Bazerbachi, MD1, Andrew C. Storm, MD2, Among Gastroenterologists at U.S. Training Programs?  Barham K. Abu Dayyeh, MD, MPH2; 1Mayo Clinic, Rochester, MN; 2Mayo ACG Auxiliary Award (Trainee)  Clinic Rochester, Rochester, MN Presidential Poster Award Daniel S. Jamorabo, MD, Benjamin Renelus, MD, Richy Chen, MD, Hashroop Gurm, MD, Muntasir Jahangir, MD, Smruti Mohanty, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY P1621. Scoping for Productivity: An Analysis of Academic Metrics Among Gastroenterologists at U.S. Training Programs Daniel S. Jamorabo, MD, Benjamin Renelus, MD, Hashroop Gurm, MD, Richy Chen, MD, Muntasir Jahangir, MD, Smruti R. Mohanty, MD; NewYork- Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY

P1622. Improving the Quality of Care for Patients Newly Diagnosed With P1632. Implementation of Modified CDI Algorithm to Improve Diagnosis of Hepatitis C Virus: Starting With the Initial Patient Encounter Clostridium difficile Infection at Hahnemann University Hospital Kevin Harris, MD, Adam Kichler, DO, MS, MEd, Richard Cartabuke, MD, Shefali Shah, MD1, Maliha Shah, DO1, Chelsea Weldie, MS2, Jeffrey Kim, Faris El-Khider, MD, MS, Ruthvik Padival, MD, Tavankit Singh, MD, David MD1, Andrew Quinn, MD1, Bahar Adeli, MD1, James Rossi, MD1, Brian Lin, Sires, MHA, Carlos Romero-Marrero, MD; Cleveland Clinic, Cleveland, OH MD1, Kyle Krevolin2, Neal Goldstein2, Seth Welles2, Naglaa Mohammad3, Michael Pride3, Kevin D’mello, MD1, Neilanjan Nandi, MD2, Michele P1623. Enhancing Communication Between Gastroenterology Fellows and Kutzler, PhD2; 1Hahnemann University Hospital, Philadelphia, PA; 2Drexel Medicine Residents: A Quality Initiative University College of Medicine, Philadelphia, PA; 3Pfizer, Philadelphia, PA Vanessa Kuwajima-Smith, MD1, Bhupinder Romana, MD1, Michelle Matteson-Kome, APN, PhD1, Douglas Nguyen, MD2, Srinivas Puli, MD3, P1633. i>Helicobacter pylori Treatment Failure in a Community Matthew Bechtold, MD, FACG1; 1University of Missouri, Columbia, MO; Hospital Setting 2University of California Irvine Medical Center, Anaheim, CA; 3University Bobby M. Jacob, MD1, Pranay Srivastava, MD1, Charudatta Wankhade, of Illinois, Peoria, IL MD2, Abhishek Challa, MD1, Joshua Fogel, PhD1, Lu Fan, MD, PhD1, Albin Abraham, MD1, Kaleem Rizvon, MBBS, FACG2; 1Nassau University Medical P1624. The Effect of Demand and Supply Imbalance on Access to Center, East Meadow, NY; 2NUMC, East Meadow, NY Gastroenterology Specialty Care Nathan S. Ramrakhiani1, Katerina Shetler, MD2, Edward S. Huang, MD2; P1634. Improving Colorectal Cancer Rates in Primary Care 1Palo Alto High School, Palo Alto, CA; 2Palo Alto Medical Foundation, Gordon T. Robbins, MD1, Erica Heiman, MD, MS2, Caitlin R. Anderson, MD, Mountain View, CA MPH1, Jada Bussey-Jones, MD, FACP1, Darby Ford, MPH, CHES3, Nurcan Ilksoy, MD, FACP, FHM2, Maha Lund, DHSc, PA-C, DFAAPA2, Tapasya Raavi, P1625. Access to Gastroenterology Care: A Comparison Between MD4, Stacie Schmidt, MD2, Chengcheng Ye, MD1, Amit Narayan, MD1, Physicians and Advanced Practice Clinicians Michael A. Yu, MD1, Babusai Rapaka, MD2, Tiffanie Pollard, MSN, FNP-C5, Nathan S. Ramrakhiani1, Katerina Shetler, MD2, Edward S. Huang, MD2; Raj M. Dalsania, MD6; 1Emory University School of Medicine, Atlanta, 1Palo Alto High School, Palo Alto, CA; 2Palo Alto Medical Foundation, GA; 2Emory University, Atlanta, GA; 3Grady Health System, Atlanta, GA; Mountain View, CA 4Emory Rollins School of Public Health, Atlanta, GA; 5Grady Hospital, P1626. Improving Safety Net Gastroenterology Outpatient Clinic Atlanta, GA; 6Emory Healthcare, Atlanta, GA Productivity by Template Modification P1635. Does Use of Medical Scribes Affect Time Efficiency in a GI Donald Kirkpatrick, MD, MHCM; Denver Health, Denver, CO Ambulatory Clinic Setting? P1627. Association of Antibiotic and Proton Pump Inhibitor Usage in  Presidential Poster Award Patients with Hospital Acquired Clostridium difficile Infection: A Single Mahyar Afrooz, MD1, Affan Quadri, MD2, Umair Iqbal, MD1, Konika Sharma, Center Experience MD2; 1Bassett Medical Center, Cooperstown, NY; 2Basset Medical Center, Eric Ballecer, MD1, Mohammad Ali, MD2, Zinal Patel, MD3, Mark Shen, Cooperstown, NY PharmD3, Shahidul Islam, MPH3, Raluca Vrabie, MD3, James H. Grendell, 1 1 2 P1636. Assessing Competency of Abdominal X-ray Interpretation in MD ; NYU Winthrop Hospital, Mineola, NY; New York University Winthrop Internal Medicine Residents Hospital, Mineola, NY; 3NYU-Winthrop, Mineola, NY Varun Kesar, MBBS1, Kenneth Schaefle, MD2, Arber Kodra, MD3, Vivek P1628. Limiting the Inappropriate Use of Acid Suppression Therapy for Kesar, MD4, Stephen Machnicki, MD3; 1Virginia Tech Carilion School of Stress Ulcer Prophylaxis in Hospitalized Patients at Cleveland Clinic Medicine, Roanoke, VA; 2Montefiore Health System, New York, NY;3 Lenox Florida: A Quality Improvement Project Hill Hospital, New York, NY; 4Stony Brook University Hospital, Stony Adalberto Gonzalez, MD1, Emily Jonczak, MD2, Samantha Gillenwater, MD1, Brook, NY Edward Rojas, MD1, Jeevna Kaur, MD1, Frederick Ross, MD1; 1Cleveland 2 P1637. Another Day in Para-dise: An Institutionalized Approach to Creating Clinic Florida, Weston, FL; University of Miami, Miami, FL an Outpatient Paracentesis Clinic P1629. Our Center Experience in Improving Colonic Preparation for Parth Worah, DO1, Bryce C. Bushe, MD2, Shamyal Khan, DO3, George Screening Colonoscopy: Quality Improvement Project Martinez, MD4, Arshad Ghauri, MD, MPH4; 1Scott and White Internal Leyla Maric, MD, Sandra Rodriguez, MD, Adalberto Gonzalez, MD, Medicine Residency, Temple, MS; 2Scott & White Memorial Hospital, Eduardo Perez, MD, Fernando Castro, MD, FACG; Cleveland Clinic Florida, Temple, TX; 3Baylor Scott and White Health, Temple, TX; 4Central Texas Weston, FL Veterans Health Care System, Temple, TX P1630. Implementing Procedure Team in IM Residency: Exposing Residents P1638. The Effect of Marijuana and Opiate Use on Prevalence of to Paracentesis Without Increasing Patient Risk Gastrointestinal Symptoms: A Population-Based Analysis of Internet Saif Bella, MD1, Nazif Chowdhury, MD1, Mohammed Alom, MD1, Aasiya Search Trends Haroon, MD1, Raheel Chaudry, MD2, Mark Shumeyko, MD3, Amine Hila, Allison Yang, MD, Walter W. Chan, MD, MPH; Brigham & Women’s MD3; 1Wilson Hospital, Johnson City, NY; 2Ross University School of Hospital/Harvard Medical School, Boston, MA Medicine, Johnson City, NY; 3United Health Services Hospitals, Johnson City, NY P1631. Conducting an Effective Quality and Patient Outcomes (QPO) Conference: A Tertiary Care Center Experience Abdul Haseeb, MD, MPH1, Sheeva K. Parbhu, MD1, John Fang, MD1, Tracie Soper, RN1, Michael Sossenheimer, MD, FACG2; 1University of Utah, Salt Lake City, UT; 2University of Utah School of Medicine, Salt Lake City, UT

126 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1639. Managing Inpatient Constipation: A Docusate Initiative P1649. Unusual Recurrence of Mantle Cell Lymphoma to the Colon Without Elijah Verheyen, MD1, Sridevi Rajeeve, MD1, Setareh Alipourfetrati, MD1, Lymph Node Involvement Jayanthi Sethunarayanan, MD1, Andrew Kaplan, PharmD, BCPS, BCGP2, Kartikeya Tripathi, MD1, Thomas Dunzendorfer, MD2; 1St. Vincent Hospital, Amy Tan, MD1, Mangalore S. Shenoy, MBBS3, Michael S. Smith, MD, MBA4, Worcester, MA; 2Berkshire Gastroenterology, Pittsfield, MA Edward Lung, MD, MPH1, Grace Farris, MD2; 1Mount Sinai St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; 2Mount P1650. Propofol-Induced Seizure Darius Rutazaana, MD, Leelavathi Kasturi, MD, FACG; Icahn School of Sinai West, New York, NY; 3Icahn School of Medicine, New York, NY; Medicine at Mount Sinai, Queens Hospital Center Campus, Jamaica, NY 4Mount Sinai West & Mount Sinai St. Luke’s Hospitals, New York, NY P1640. Problem-Based Learning Increases Comfort and Knowledge of P1651. Gastric Cancer in a Patient With Multiple Colon Adenomas Without Non-Alcoholic Fatty Liver Disease Among Residents Germline Mutation: Time to Add Upper Endoscopy to the Guidelines? Andrew Kruger, DO, Rachel Pearlman, LGC, Christina Arnold, MD, Peter Brett Styskel, MD1, Yamini Natarajan, MD2; 1MD, Houston, TX; 2Baylor P. Stanich, MD; The Ohio State University Wexner Medical Center, College of Medicine, Houston, TX Columbus, OH POSTERS P1641. Inflammatory Bowel Disease Care: Development and Testing an MONDAY Infusion Center Questionnaire for Continuous Quality Improvement P1652. Trigger Point Injections for the Relief of Post-Operative Elizabeth Y. Liu, BA, Laure Kouyoudjian, MD, PA-C, Ramonna Thomas, RN, Abdominal Scar Pain Ioannis Papayannis, MD1, Farah Monzur, MD2, Juan Carlos Bucobo, MD2; Louis Y. Korman, MD; Capital Digestive Care, Chevy Chase, MD 1Stony Brook University Hospital, Port Jefferson, NY;2 Stony Brook P1642. Analyzing the Use of Fecal Immunochemical Testing (FIT) in Acute University Hospital, Stony Brook, NY Patient Care in a Safety-Net Hospital System Nathaniel Spezia-Lindner, BA1, Jane R. Montealegre, PhD1, Maria Daheri, RN2, Milena Gould Suarez, MD1; 1Baylor College of Medicine, Houston, TX; SMALL INTESTINE 2Harris Health, Houston, TX P1653. Opioid Use Is Associated With Incomplete Capsule Endoscopy P1643. Gastric Acid Suppression May Lead to an Increased Risk of Examinations: A Meta-Analysis and Systematic Review Vancomycin-Resistant Enterococcus Colonization Laith Al momani, MD, Boonphiphop Boonpherg, MD, Tyler Aasen, DO,  Presidential Poster Award Chakradhar Reddy, MD, Mark Young, MD; East Tennessee State University, 1 2 1 Sun-Hye Ko, MD, PhD , Myong Ki Baeg, MD, PhD ; Haeundae Paik Johnson City, TN Hospital, College of Medicine, Inje University, Busan, Pusan-jikhalsi, Republic of Korea; 2International St. Mary’s Hospital, Catholic Kwandong P1654. Teduglutide Efficacy and Safety for Short Bowel Syndrome in a Real University, Incheon, Inch’on-jikhalsi, Republic of Korea World Patient Population Hafsa Abdulla, MD1, Mouhanna K. Abu Ghanimeh, MD2, Yakir Muszkat, P1644. Stop Blaming the Weatherman! Impact of Weather on Endoscopy MD1, Syed-Mohammed Jafri, MD2; 1Henry Ford Health System, Detroit, MI; No-Show Rates at a Midwest Safety Net Hospital 2Henry Ford Hospital, Detroit, MI Aakash Desai, MD1, Patrick Twohig, MD, MPH1, Abhijeet Waghray, MD2, Sripriya Gonakoti, MD3, Jacob M. Skeans, MD4, Nisheet Waghray, MD1, P1655. Chronic Gut Failure: Management Strategy and Long-Term Outcome Dalbir S. Sandhu, MD5; 1MetroHealth Medical Center, Case Western Kareem Abu-Elmagd, MD, PhD1, Sherif Armanyous, MD1, Neha Parekh, Reserve University, Cleveland, OH; 2Tufts Medical Center, Boston, MA; RN2, David McMichael, BA1, Masato Fujiki, MD, PhD1, Koji Hashimoto, MD, 3Aultman Hospital/Canton Medical Education Foundation, Canton, OH; PhD1, Ajai Khanna, MD, PhD, MBA, FACS, FRCS3, Abdullah Shatnawei, MD1, 4Case Western Reserve University/MetroHealth Medical Center, Cleveland, Guilherme Costa, MD, PhD4; 1Cleveland Clinic, Cleveland, OH; 2Cleveland OH; 5Case Western University Hospital/MetroHealth Medical Center, Clinc, Cleveland, OH; 3Children’s Hospital of Pittsburgh of UPMC, Cleveland, OH Pittsburgh, PA; 4Cleveland Clinic Foundation, Cleveland, OH P1645. Similar Morbidity and Mortality for ERCPs Performed Over the P1656. Diagnostic Performance of a New Test to Measure Lactose Weekend versus Postponing to Next Available Weekday Maldigestion and Intolerance in a Group of Patients With Symptoms After Andrew Aneese, MD, MS1, Seifeldin Hakim, MD1, Edhi Ahmed, MD2, Michael Lactose Consumption: A Pilot Study Cannon, MD2, Mitchell S. Cappell, MD, PhD1; 1William Beaumont Hospital, Sophia E. Martinez, MSc1, Maricarmen Coss-Adame, BS2, Sergio G. Royal Oak, MI; 2Beaumont Health, Royal Oak, MI Muñoz-Martínez, MD3, Fagundo Coss-Adame, MD2, Carolina Coss-Adame, PharmD2, Enrique Coss-Adame, MD2, Luis F. Coss-Adame, MD2; 1Instituto P1646. Using the Plan-Do-Study-Act Method to Improve Bone Mineral Nacional de Ciencias Medicas y Nutricion ‘Salvador Zubirán’, México, Density Screening in Patients With Inflammatory Bowel Disease Distrito Federal, Mexico; 2Instituto Nacional de Ciencias Medicas y Sardar M. Shah-Khan, MD, Jeremy D. Cumberledge, MD, Kelley M. Nutricion ‘Salvador Zubirán’, Mexico, Distrito Federal, Mexico; 3National Gannon, MD, Gorman Reynolds, MD; West Virginia University Hospital, Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Ruby Memorial Hospital, Morgantown, WV Distrito Federal, Mexico P1657. Risk of Urinary Stones in Patients With Celiac Disease: A Meta-Analysis PRACTICE MANAGEMENT Diego Hidalgo, MD, Boonphiphop Boonpheng, MD, David Ginn, MD; East Clinical Vignettes / Case Reports Tennessee State University, Johnson City, TN P1658. Celiac Disease and Risk of Atrial Fibrillation: A Meta-Analysis P1647. Acne Treatment Gone Erratic: A Rare Case of Minocycline-induced Diego Hidalgo, MD, Boonphiphop Boonpherg, MD, David Ginn, MD; East Eosinophilic Cholecystitis, Myopericarditis, and CNS Vasculitis Tennessee State University, Johnson City, TN Nihit Shah, MD1, Bindiya Shah, MD1, Koroush Khalighi, MD2, Ramendra Debnath, MD1; 1Easton Hospital, Easton, PA; 2Easton Cardiovascular P1659. The Gist of GIST From 2001 to 2015 in U.S.: Smaller Lesions Associates/Easton Hospital, Easton, PA Detected More in Everyone, Everywhere in GI Tract Jigar Bhagatwala, MD, MPH1, Anas Raed, MD1, Muhammed Sherid, MD2, P1648. Peritoneal Tuberculosis: A Challenging Diagnosis Subbaramiah Sridhar, MBBS, MPH, FACG, MRCP1, Humberto Sifuentes, MD1, Bashar Sharma, MD1, Marsha Antoine, MD2, Mili Shah, MD2, Vikrant Tambe, Amol Sharma, MD3; 1Augusta University, Augusta, GA; 2Mercy Rockford MD2, Housam Hegazy, MD2; 1Upstate Medical University, Syracuse, NY; Hospital, Rockford, IL; 3Augusta University Medical Center, Augusta, GA 2SUNY Upstate, Syracuse, NY

P1660. Reading Between the Lines: Assessing the Quality, Readability and P1671. The Importance of Biopsy: A Primary Gastrointestinal Tract Reliability of Online Information Regarding Non-Celiac Gluten Sensitivity Lymphoma Diagnosis Vivian Lee, BS, Nadeem Tabbara, BA, Lindsay Clarke, MS, Daniel Szvarca, Himesh B. Zaver, BS1, Lindsey C. Shipley, MD2, Laith Al momani, MD3, BS, Rahma Aldhaheri, MBBS, Marie Borum, MD, EdD, MPH; George Maria Zayko, DO4, Jennifer Phemister, MD4, Jason D. McKinney, MD4; Washington University, Washington, DC 1James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN; 2University of Alabama at Birmingham, Birmingham, P1661. The Role of Zinc, Inflammation and Duodenal Mucosal Integrity in AL; 3East Tennessee State University, Johnson City, TN; 4Quillen College Cholesterol Gallstone Diseases of Medicine, Johnson City, TN Eleodoro Riveras, PhD, Lorena Azocar, Tomas Custodio Moyano, MS, Marcia Ocares, Hector Molina, Juan Carlos Roa, MD, Jose Rafael Valbuena, MD, P1672. Intussusception After Pancreaticoduodenectomy Rodrigo Antonio Gutierrez, PhD, Juan Francisco Miquel, MD; Pontificia Kishan Patel, MD, Anjuli Luthra, MD, Fasika Aberra, MD, Luis F. Lara, MD, Universidad Católica de Chile, Santiago, Region Metropolitana, Chile Darrell M. Gray, II, MD, MPH; The Ohio State University Wexner Medical Center, Columbus, OH P1662. Frequency of Anemia at Diagnosis of New and Non-Responsive Celiac Disease: A Comparison With the U.S. National Population P1673. Meckel’s Diverticulum in the Elderly Population: A Case Report Giovanni A. Roldan, MD, Mariana Urquiaga, MD, Eaman Alhassan, MD, Diego Hidalgo, MD, Laith Al momani, MD, Gregory Champney, MD; East Rafael Mendo, MD, Javier Villafuerte Galvez, MD, Daniel A. Leffler, MD, Tennessee State University, Johnson City, TN Ciaran P. Kelly, MD; BIDMC/Harvard University, Boston, MA P1674. Seeing Isn’t Believing: Utilization of Advanced Imaging to Guide P1663. Pan-Disaccharidase Deficiency: Symptom Patterns and Association Diagnosis of Abdominal Pain Post RYGB With Small Intestinal Bacterial Overgrowth Elijah Verheyen, MD1, Melissa Hershman, MD2, Jungwhan J. Choi, MD3,  Presidential Poster Award David Frager, MD, FACR4, Frank Andrew Nelson, MD5; 1Mount Sinai St. Satish S.C. Rao, MD, PhD, Lavanya Viswanathan, MD, MS, FACP, Amol Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New Sharma, MD; Augusta University Medical Center, Augusta, GA York, NY; 2Mount Sinai Beth Israel, St. Luke’s and West, New York, NY; 3Mount Sinai West Hospital, New York, NY; 4Mount Sinai Medical Center, New York, NY; 5Mount Sinai St. Luke’s Hospital, New York, NY SMALL INTESTINE P1675. A Rare and Aggressive Lymphoma; Burkitt Lymphoma in the Clinical Vignettes / Case Reports Terminal Ileum P1664. Primary Effusion Lymphoma: Small Bowel Recurrence Following Evanee Frank, DO, Ramiro De La Guerra, MD, Benjamin Wardrop, DO, Atif Stem Cell Transplant Raja, MD, Muhammad Salman Faisal, MD, Marcia Mitre, MD; Allegheny Sabrina Prabakaran, MD1, Sarah Mushtaq, MD1, Sayeef Mirza, MD2, Rawan Health Network, Pittsburgh, PA Faramand, MD3, Lubomir Sokol, MD, PhD3, Adharsh Ravindran, MD2; P1676. Small Bowel Diverticulosis: Does Location Matter? 1University of South Florida, Tampa, FL; 2USF, Tampa, FL; 3Moffitt Cancer Gaurav Parhar, MD, Daryl Ramai, MD, MScBR, Carmine Catalano, MD, Center, Tampa, FL Sandar Linn, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital P1665. Encapsulating Peritoneal Sclerosis Complicated by Encapsulating Center, Brooklyn, NY Mesenteric Hematoma: The Threshold for Diagnostic Certainty P1677. Intestinal Parasite as Cause of Abdominal Pain and Diarrhea in a Andrew C. Lee, MD1, Jessica B. Rubin, MD, MPH2, Emily Chan, MD, PhD2, Patient With Normal Labs and Stool Studies Jonathan P. Terdiman, MD, FACG2, Priya Kathpalia, MD2; 1Wellspan Health Sean Doran, DO, Khalil M. Abuamr, MD; University of Missouri, Kansas City, MO - York Hospital, York, PA; 2University of California San Francisco, San Francisco, CA P1678. Acalculous Cholecystitis Presenting as Small Bowel Obstruction Daryl Ramai, MD, MScBR, Gaurav Parhar, MD, Carmine Catalano, MD, P1666. A Rare Case of Duodenal Penetration and Ulceration From an Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY Inferior Vena Cava Filter Lilia Stefaniwsky, MD, MBA, Sajiv Sethi, MD, Soojong Chae, MD; University P1679. Mantle Cell Lymphoma Mimicking a Benign Duodenitis of South Florida, Tampa, FL Patricia Guzman Rojas, MD1, Nancy Torres Luna, MD1, Jignesh Parikh, MD2, Fady Baddoura, MD3, Juan Oharriz, MD2; 1University of Central Florida, P1667. Recurrent and Treatment Refractory C. difficile Colitis: A Harbinger Kissimmee, FL; 2Orlando VA Medical Center, Orlando, FL; 3Orlando VAMC, of Lymphocytic Colitis? Orlando, FL Areej Mazhar, DO, Ravish Parekh, MD, Jeffrey C. Tang, MD; Henry Ford Hospital, Detroit, MI P1680. Mitochondrial Neurogastrointestinal Encephalopathy (MNGIE): Lessons From a Rare Cause of Weight Loss P1668. GERD Resulting in Superior Mesenteric Artery Syndrome: An David Goldenberg, MD, Serguei Bannykh, MD, PhD, Brennan M. R. Spiegel, Unfortunate Outcome MD, MSHS, Nipaporn Pichetshote, MD, Shirley Paski, MD, Ali Rezaie, MD, Tamer Abd El Moaein, MBChB1, Stephanie Carpentier, FRCPC2; 1Memorial MSc; Cedars-Sinai Medical Center, Los Angeles, CA University, St. John’s, NF, Canada; 2Eastern Health, St. John’s, NF, Canada P1681. A Rare Case of Jejunal Diverticulitis P1669. Metastatic Urothelial Carcinoma to the Duodenum: A Rare Cause of Ronald Samuel, MD, Hamza Abdulla, MD, Marc Shabot, MD, MACP, FACG; Small Bowel Obstruction University of Texas Medical Branch, Galveston, TX Fadi Odish, MD1, Ahmed I. Edhi, MD1, Zaid Imam, MBBS1, Majd Khasawneh, MD2, Mitual Amin, MD1, Mitchell S. Cappell, MD, PhD1; 1William Beaumont P1682. Monomorphic Epitheliotropic Intestinal T-Cell Lymphoma: A Rare Hospital, Royal Oak, MI; 2William Beaumont Hospital, Clawson, MI Cause of Chronic Diarrhea Ronald Samuel, MD, Obada Tayyem, MD, Timothy S. Krill, MD, Hamza Abdulla, P1670. Endoscopic versus Surgical Intervention for Jejunal Bezoar Formation MD, Vikram Jala, MD; University of Texas Medical Branch, Galveston, TX Dana Berg, MD1, Raja Chandra Chakinala, MD2, Gregory Veillette, MD2, Beth Schorr-Lesnick, MD, FACG2; 1New York Medical College at P1683. Creation of High Output Enterocutaneous Fistula From Westchester Medical Center, New York, NY; 2New York Medical College at Self-Mutilation Westchester Medical Center, Valhalla, NY Ronald Samuel, MD, Lauren August Clark, MD, Sheharyar Merwat, MD; University of Texas Medical Branch, Galveston, TX

128 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1684. Incidental Finding of Primary Duodenal Adenocarcinoma P1694. Pseudomelanosis Duodeni: A Rare Endoscopic Finding Resembling a Submucosal Tumor Successfully Diagnosed and Treated With Shilpa Junna, MD, Elly Varma, MBBS, Michael Dahip, MD, Richa Jain, MD; EUS FNA and EUS Guided Fiducial Placement and SBRT University of Arizona, Tucson, AZ Konika Sharma, MD1, Adam Russak, MD2, Isabelle Chu, BS3, Jose Luis Aranez, MD3, Shivangi Kothari, MD3, Brandon Sprung, MD4; 1Basset P1695. A Rare Case of an Aggressive Duodenal Neuroendocrine Tumor (NET) Shilpa Junna, MD1, Todd Golden, MS 2, David Kim, MD1, Bhaskar Banerjee, Medical Center, Cooperstown, NY; 2University of Rochester School MD1; 1University of Arizona, Tucson, AZ; 2University of Arizona College of of Medicine, New York, NY; 3University of Rochester Medical Center, Medicine, Tucson, AZ Rochester, NY; 4University of Rochester, Rochester, NY P1685. Olmesartan-Induced Enteropathy P1696. Jejunojejunal Intussusception Secondary to Feeding Ahmed Hamed, MD, Amira Hamed, MD, Nizar Talaat; East Carolina Gastrojejunostomy: A Rare Complication Marsha Antoine, MD1, Bashar Sharma, MD2, Brian Changlai, MD1; 1SUNY University, Greenville, NC Upstate, Syracuse, NY; 2Upstate Medical University, Syracuse, NY P1686. Volvulus of Ileal J Pouch - Rare But Yet Not Forgotten: A Rare POSTERS Complication of Ileal Pouch Anal Anastomosis (IPAA) Leading to Small P1697. Endosonography in Guiding Local Resection and Ampullary MONDAY Bowel Obstruction Preservation of a High-Risk Peri-Ampullary GIST - A Novel Approach Andrew Spiel, MD, Ravi Patel, MD, Rebecca Minter, MD, Amir A. Tehseen Haider, MD1, Sana Tariq, MD1, Waqas Nawaz, MD2, Hilary Hertan, Rahnemai-Azar, MD, Antonio Bosch, MD, Deepak Gopal, MD, FACG; MD, FACG1; 1Montefiore Medical Center, Bronx, NY;2 Montefiore Medical University of Wisconsin Hospitals and Clinics, Madison, WI Center, Yonkers, NY P1687. ACE in the Hole: Angiotensin-Converting Enzyme Inhibitor-Induced P1698. Small Bowel Obstruction From Ventral Hernia Mesh Eroding into Angioedema as a Cause of Recurrent Abdominal Pain the Bowel and Turning into a Bezoar Kaveh Zivari, MD1, Negar Niknam, MD1, Shawn Banash, MD2, Ira E. Alexander L. Nguyen, MD, John Erikson Yap, MD, Oscar A. Rivas Chicas, Mayer, MD, FACG1, Rabin Rahmani, MD, FACG1; 1Maimonides Medical MD, Bashar M. Attar, MD, PhD; Cook County Health and Hospitals System, Center, Brooklyn, NY; 2Maimonides Medical Center, New York, NY Chicago, IL P1688. Lupus Enteritis as the Only Manifestation of Active Systemic Lupus P1699. An Unusual Case of Hemorrhagic Enteritis Erythematosus Ahmed Khattab, MD, Ali Haider, MD, Hina Omar, MD, Dean Silas, MD, Jason Macklis, MD, Ivaylo Mitsiev, MD; Advocate Lutheran General Adalberto Gonzalez, MD, Fayssa Salomon, MD, Vaibhav Wadhwa, MD, Hospital, Park Ridge, IL Jeevna Kaur, MD, Fernando Castro, MD, FACG; Cleveland Clinic Florida, Weston, FL P1700. Primary Small Bowel Diffuse Large B-Cell Lymphoma: Excellent Endoscopic Appearance P1689. The Follicular Lymphoma of Ileum With Atypical Endoscopic 1 2 3 Features: A Case Report of a Rare Presentation of a Rare Disease Hanan T. Lodhi, MBBS , Sadat Iqbal, MD , Qulsoom Hussain, MBBS , Zarak H. Khan, MBBS4, Faisal Inayat, MBBS5, Ahmed Munir, MBBS6, Fahad Zafar, Pongtorn Hanboonkunupakarn, MD1, Piyapan Prueksapanich, MD1, MBBS7, Abu Hurairah, MD8, Safak Reka, MD2; 1University of Nebraska Thamathorn Assanasen, MD2; 1Faculty of Medicine, Chulalongkorn Medical Center, Omaha, NE; 2SUNY Downstate Medical Center, Brooklyn, University and King Chulalongkorn Memorial Hospital, Thai Red Cross NY; 3Shifa College of Medicine, Islamabad, Brooklyn, NY; 4Shifa College of Society, Bangkok, Krung Thep, Thailand; 2Chulalongkorn University and Medicine, Islamabad, Islamabad, Pakistan; 5Allama Iqbal Medical College, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Lahore, Punjab, Pakistan; 6Services Institute of Medical Sciences, Lahore, Krung Thep, Thailand Islamabad, Pakistan; 7King Edward Medical University, Lahore, Islamabad, P1690. Isolated Superior Mesenteric Artery Dissection: An Unusual Pakistan; 8SUNY Downstate, Brooklyn, NY Presentation Quashed by an Unusual Approach Waqas Ullah, MD1, Hafez Mohammad Abdullah, MD2, Waseem Amjad, P1701. Clostridium difficile Enteritis and Bowel Ischemia After Recent Total MD3, Abu Hurairah, MD4; 1Abington Memorial Hospital, Abington, PA; Abdominal Colectomy: A Fatal Case of Extra-Colonic Pseudomembranous 2University of South Dakota, Sioux Falls, SD; 3Northwell Health Long Disease Kellen Hipp, DO1, Carmen Demarco, MD2; 1St. John Providence-Providence Island Jewish Forest Hills Hospital, Forest Hills, NY; 4SUNY Downstate, Park Hospital, Royal Oak, MI; 2Newland Medical Associates, Southfield, MI Brooklyn, NY P1691. Melanosis? Think Again: A Case of Pseudomelanosis duodeni and P1702. Metastatic Small Bowel Melanoma Presenting as Gastrointestinal Jejunal Hemangiomas Blood Loss: A Case Report Vick S. DiCarlo, II, MD1, Rachel Mitchell, CRNP2, Kondal Rao Kyanam Shmuel Golfeyz, MD1, Michael Ma, MD2, Craig R. Gluckman, MD2, Franklin Kabir Baig, MD3, Ali M. Ahmed, MD2, Shajan Peter, MD2; 1UAB, Hoover, E. Kasmin, MD2; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth AL; 2University of Alabama at Birmingham, Birmingham, AL; 3UAB, Israel Hospital, New York, NY Birmingham, AL P1692. Primary Gastrointestinal De Novo CD5+ CD23+ Diffuse Large B-Cell Lymphoma (DLBCL): A Different Treatment Approach P1703. A Sneaky Case of Pneumoperitoneum Carlos Fernandez, MD, Hendrick Pagan-Torres, MD, Jose Martin-Ortiz, MD, Preethi Ramachandran, MD, MRCP, FRCP, Rewais Morcus, MD, Hesham Doris Toro, MD, Rodolfo Estremera-Marcial, MD; VA Caribbean Healthcare Taha, MD, MRCP; Brookdale University Hospital and Medical Center, System, San Juan, Puerto Rico Brooklyn, NY P1693. O.J. in the Small Bowel Nikita Gupta, MD1, Mahbod Pourriahi, BS2, Jason Green, DO1, Mayhar Pourriahi, MD1, Sadat Iqbal, MD1, Christopher D. South, MD3; 1SUNY Downstate Medical Center, Brooklyn, NY; 2University of Toledo, Toledo, OH; 3Ohio Gastroenterology & Liver Institute, Cincinnati, OH

STOMACH P1711. Comparing Concomitant Therapy Eradication Rates of Helicobacter pylori Between Immigrant Chinese and General American Populations in an P1704. Comparing Longitudinal Overall and Individual Symptom Outcomes Urban Setting on Neuromodulator versus Prokinetic Drugs in Patients With Symptoms Christina Lin, BS, BA1, Marcus Juan L. Esteban, MD2, Xiang Liu, MD1, Justin Suspicious for Gastroparesis but With Non-Delayed Gastric Emptying Huang3, Salina Lee, MD2; 1Rush Medical College, Chicago, IL; 2Rush University William Hasler, MD1, Baharak Moshiree, MD, FACG2, Richard McCallum, Medical Center, Chicago, IL; 3Midwest Asian Health Association, Chicago, IL MD3, Satish S.C. Rao, MD, PhD4, Linda Nguyen, MD5, Richard Krause, MD6, Michael Schulman, MD7, Allen Lee, MD1, John Wo, MD8, Henry Parkman, P1712. i>Helicobacter pylori Eradication Therapy Improves Chronic MD9, Irene Sarosiek, MD3, Braden Kuo, MD10; 1University of Michigan Health Defecatory Dysfunction 1 2 2 System, Ann Arbor, MI; 2Carolinas HealthCare System, Charlotte, NC; 3Texas Masaki Murata, MD , Mitsushige Sugimoto, MD, PhD , Taketo Otsuka, MD , 1 2 Tech University Health Sciences Center, El Paso, TX; 4Augusta University Osamu Inatomi, MD, PhD , Shigeki Bamba, MD, PhD , Akira Andoh, MD, 1 1 2 Medical Center, Augusta, GA; 5Stanford University, Palo Alto, MI; 6Clin PhD ; Shiga University of Medical Science, Otsu-shi, Shiga, Japan; Shiga Search, LLC, Chattanooga, TN; 7Florida Digestive Health Associates, Largo, University of Medical Science Hospital, Otsu-shi, Shiga, Japan FL; 8Indiana University, Indianapolis, IN; 9Temple University, Philadelphia, P1713. Outcomes and Characteristics of Patients With Gastric Intestinal PA; 10Massachusetts General Hospital, Boston, MA Metaplasia  P1705. Predictors of Blood Transfusion in Hospitalized Gastric Antral Presidential Poster Award Vascular Ectasia (GAVE) Patients Judy Trieu, MD, MPH, Viridiana Estrada, Hayley Rogers, Adam Booth, MD, Upenkumar Patel, MBBS, MPH1, Rupak Desai, MBBS2, Dipen Zalavadia, Mohammad Bilal, MD, Praveen Guturu, MD, FACG; University of Texas MBBS3, Dhruval Patel, MBBS4, Bhavya Vemuri, MBBS5, Sudeep Ruparelia, Medical Branch, Galveston, TX MD6, Shreyans Doshi, MD7, Hemant Goyal, MD, FACP8; 1Nassau University P1714. 20 Years of H. pylori in Puerto Rico Medical Center, East Meadow, NY; 2Atlanta VA Medical Center, Decatur, Dennis M. De León Morilla, MD1, Juan Serallés, MD2, Willie Vázquez, MD, GA; 3The Wright Center for Graduate Medical Education, Scranton, PA; FACG3; 1NewYork-Presbyterian/Columbia University Medical Center, New 4AMC MET Medical College, L.G. Hospital Campus, Ahmedabad, Gujarat, York, NY; 2Mount Sinai Hospital Miami Beach, Miami, FL; 3Ponce Health India; 5Beth Israel Deaconess Medical Center/Harvard Medical School, Sciences University, Ponce, Puerto Rico Boston, MA; 6Wright Center for Graduate Medical Education, Scranton, PA; 7UCF COM/HCA Consortium, Gainesville, FL; 8Mercer University P1715. Identifying Phenotypes Based on Patterns of Gastric Emptying Disturbances School of Medicine, Macon, GA  Presidential Poster Award Anjani Muthyala, MBBS, Michael K. O’Connor, PhD, Adil E. Bharucha, P1706. Cannabinoids Dramatically Improve Symptoms of Refractory MBBS, MD; Mayo Clinic, Rochester, MN Gastroparesis Benjamin Barbash, MD1, Lavneet Chawla, MD1, Brad Dworkin, MD, FACG, P1716. Intragastric Pressure During Food Intake: The Explanatory Study in FACN1, Tausif Siddiqui, MD2, Raja Chandra Chakinala, MD3; 1Westchester Japanese Population Using High Resolution Manometry 1 2 2 Medical Center, Valhalla, NY; 2New York Medical College, Valhalla, NY; Kentaro Izumi, MD , Yuji Shimada, MD , Mariko Hojo, MD , Akihito 1 1 3New York Medical College at Westchester Medical Center, Valhalla, NY Nagahara, MD, PhD ; Juntendo University School of Medicine, Bunkyo-Ku, Tokyo, Japan; 2Juntedo University, Tokyo, Japan P1707. Cannabinoids Lead to Significant Improvement in Gastroparesis- Related Abdominal Pain P1717. Validity of E-plate and LZ Test for Serological Identification of Benjamin Barbash, MD1, Lavneet Chawla, MD1, Tausif Siddiqui, MD2, Brad Patients With H. pylori Infection in Mass Survey 1 1 1 Dworkin, MD, FACG, FACN1; 1Westchester Medical Center, Valhalla, NY; Tetsu Arai, MD , Tadashi Shimoyama, MD, PhD , Daisuke Chinda, MD, PhD , 2 1 2New York Medical College, Valhalla, NY Kiyonori Yamai, MD, PhD , Satoru Nakagawa, MD, PhD , Daisuke Chiba, MD1, Shigeyuki Nakaji, MD, PhD1, Shinsaku Fukuda, MD, PhD1; 1Hirosaki P1708. Algorithm to Help Predict Antibiotic Resistance of <="" i=""> University Graduate School of Medicine, Hirosaki-shi, Aomori, Japan; Anjali Mone, MD1, Robert Cooper, DO1, Thomas Judge, MD2, Joshua 2Hirosaki University Graduate School of Medicine, Odate Municipal DeSipio, MD3, John Gaughan, MS, PhD, MBA4, Zoya Grigoryan, MD5, Hospital, Odate, Akita, Japan Imad Awan, BS5, Hansol Chung, BS5, Harpreet Singh, BS5, Sanket Patel, DO4, Phadtare Sangita, PhD6; 1Cooper University Hospital, Camden, P1718. Marginal Ulcers Are Less Responsive to Proton Pump Inhibitors NJ; 2Cooper University Healthcare, Mt. Laurel, NJ; 3Cooper University Compared to Gastric Ulcers: A Case-Control Study Hospital, Mt. Laurel, NJ; 4Cooper University Healthcare, Camden, NJ; Zhuo Z. Geng, MD, Itegbemie Obaitan, MD, Aasma Shaukat, MD; 5Rowan University Cooper Medical School, Camden, NJ; 6Cooper Medical University of Minnesota, Minneapolis, MN School of Rowan University, Camden, NJ P1719. The Microbiota of Gastric Premalignant Lesions: 16S Sequencing P1709. Overall Safety and Tolerability of Relamorelin in Adults With Data in a Central American Population Diabetic Gastroparesis: Analysis of Phase 2a and Phase 2b Trial Data Michael Dougherty, MD, MSCR1, Andrea Azcarate-Peril, PhD2, Samuel 3 3 3 Michael Camilleri, MD1, Anthony Lembo, MD2, Richard McCallum, MD3, Vilchez, PhD , Carla Rivera, MD , Javier Pastora, MD , Douglas Morgan, 4 1 Stavros Tourkodimitris, PhD4, Lara Kemps, MPT4, Matthew B. Miller, PhD, MD, MPH ; University of North Carolina School of Medicine, Durham, 2 RAC4, Kirk Bertelsen, PhD4, Alexandru Iacob, MD4; 1Mayo Clinic, Rochester, NC; University of North Carolina School of Medicine, Chapel Hill, 3 MN; 2Harvard Medical School, Boston, MA; 3Texas Tech University Health NC; National Autonomous University of Nicaragua, Leon, Nicaragua; 4 Sciences Center, El Paso, TX; 4Allergan plc, Madison, NJ Vanderbilt University Medical Center, Nashville, TN P1710. Defining the Fundic Emptying and Antral Motility Characteristics in P1720. The American Neurogastroenterology and Motility Society Dumping Syndrome Patients Utilizing New Scintigraphic Methodology Gastroparesis Cardinal Symptom Index-Daily Diary (ANMS GCSI-DD): Richard McCallum, MD1, Michael Mullarkey, MS2, Carola Mullins1, Karen Vaz, Psychometric Evaluation in Patients With Idiopathic or Diabetic Gastroparesis MS2, Hugo Sandoval, PhD1, Jesus Diaz, MD1, Kenneth Dominguez1, Anna  Category Award (Stomach) Leykekhman3, Irene Sarosiek, MD1, Marvin Friedman, PhD3; 1Texas Tech  Presidential Poster Award 1 1 1 University Health Sciences Center, El Paso, TX; 2Paul L. Foster School of Dennis A. Revicki, PhD , Rebecca Speck, PhD , Sara Gleeson, MPH , Jorge 2 3 4 Medicine, El Paso, TX; 3Mount Sinai St. Luke’s Hospital, New York, NY Puelles, PharmD, MSc, MBA , Braden Kuo, MD , Michael Camilleri, MD , Henry P. Parkman, MD5; 1Evidera, Bethesda, MD; 2Takeda Pharmaceuticals, London, England, United Kingdom; 3Massachusetts General Hospital, Boston, MA; 4Mayo Clinic, Rochester, MN; 5Temple University Hospital, Philadelphia, PA 130 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P1721. (Zygluten) Digestive Enzyme Supplement Therapy for Diabetic P1731. Gastric Mucosa-Associated Lymphoid Tissue Lymophoma Presenting Gastroparesis With Gastric Bezoar as a Large Subepithelial Tumor Amrit Narula, MD, FACG, FACP, FACN1, Megan Amey, PA-c1, Jennifer Seong Taeg Kim, MD, Mi Seon Kim, MD, Soo-Young Na, MD; Jeju National Kramer, RN2, Sarah Marconis, CRNP1; 1Integrated Medical Group, Pottsville, University Hospital, Jeju, Cheju-do, Republic of Korea PA; 2Schulykill Endoscopy Center, Pottsville, PA P1732. A Rare Case of Gastric Ischemia Mohamad Hemu, MD, Jason B. Kramer, MD, Shriram Jakate, MD, Salina STOMACH Lee, MD; Rush University Medical Center, Chicago, IL Clinical Vignettes / Case Reports P1733. A Rare Case of Diffuse Gastritis Cystic Polyposa Jason B. Kramer, MD, Vishal Desai, MD, Shriram Jakate, MD, Agne Paner, P1722. A Rare Case of Antemortem Metastatic Gastric and Small Intestine MD, Ajaypal Singh, MD; Rush University Medical Center, Chicago, IL Melanoma Natalie Mitchell, MD1, Zachary Junga, MD2, Jonathan Francis, MD1, Adam P1734. Mesenteroaxial Gastric Volvulus Due to Hernia Bochdalek in 1 1 1 Adult Patient

Tritsch, MD , Jeffrey Laczek, MD ; Walter Reed National Military Medical POSTERS MONDAY Center, Bethesda, MD; 2Walter Reed National Military Medical Center, Randy Adiwinata, MD1, Richard Antonius, MD1, Fredy Kastilani, MD1, Silver Spring, MD Paulus Simadibrata, MD2, Marcellus Simadibrata, MD, PhD, FACG3; 1Abdi Waluyo Hospital, Jakarta, Jakarta Raya, Indonesia; 2Abdi Waluyo P1723. Gastric Emphysema - A Rare Complication of a Massive Upper Hospital, Jakarta Pusat, Jakarta Raya, Indonesia; 3Faculty of Medicine, Gastrointestinal Bleed Unversitas Indonesia, Jakarta, Jakarta Raya, Indonesia Emmanuel McDonald, DO, MBS1, Matthew Soberano, DO2, Jamie L. Skrove, DO1, Joseph Salhab, DO1, Javier Sobrado, MD1; 1Larkin Community P1735. Bezoar Formation in a Patient with Anorexia Nervosa Hospital, Miami, FL; 2Larkin Community Hospital, South Miami, FL Hashroop Gurm, MD, Benjamin Renelus, MD, Daniel S. Jamorabo, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY P1724. Symptomatic Lanthanum Deposition in the Gastrointestinal Tract Mihajlo Gjeorgjievski, MD, Mihaela Batke, MD, Mitual Amin, MD, Mitchell S. P1736. Eosinophilic Ascites: An Unusual Rare Presentation of Cappell, MD, PhD; William Beaumont Hospital, Royal Oak, MI Eosinophilic Gastroenteritis Alexa Choy, BS1, Darrel Gachette, BS1, Sehrish Jamot, MD2, Liz Edmund, P1725. Submucosal Neuromuscular and Vascular Hamartoma of the MD1, Zilla Hussain, MD3; 1Warren Alpert Medical School of Brown Stomach: A Rare Cause of Abdominal Pain and Intermittent Partial Gastric University, Providence, RI; 2Brown University, Providence, RI; 3Lifespan Outlet Obstruction Physicians Group, Providence, RI Ingrid Schwartz, MD1, Jinendra Satiya, MD2, Sandy Liu, MD3, Vikas Dudeja, MD4, Mohit Girotra, MD, FACP5; 1University of Miami Leonard M. Miller P1737. Post-Fundoplication Late Dumping Syndrome in an Adult Diagnosed School of Medicine / Jackson Memorial Hospital, Miami, FL; 2University by Provocative Modified Oral Glucose Tolerance Test of Miami, Miami, FL; 3University of Miami, Ellicott City, MD; 4University Claire M. Shin, BS, Steven Clayton, MD, FACP; University of South Carolina of Miami Jackson Memorial Hospital, Miami, FL; 5University of Miami School of Medicine, Greenville, SC Leonard M. Miller School of Medicine, Miami, FL P1738. Gastric Neuroendocrine Tumor Presenting as Large Gastric P1726. Chronic Gastric Volvulus - A Rare Cause of Nausea and Epigastric Pain Ulceration and Melena Varun Kesar, MBBS1, Komal Lakhani, MD2, Amit Bhanvadia, MD2, Vivek Ronald Samuel, MD, Obada Tayyem, MD, Timothy Krill, MD, Hamza Kesar, MD3, Arun Swaminath, MD4; 1Virginia Tech Carilion School of Abdulla, MD, Safa Maharsi, BS , Kelly Olino, MD, Praveen Guturu, MD, Medicine, Roanoke, VA; 2Lenox Hill Hospital, New York, NY; 3Stony Brook FACG, Sreeram Parupudi, MD, FACP, FACG; University of Texas Medical University Hospital, Stony Brook, NY; 4Hofstra NorthShore-LIJ School of Branch, Galveston, TX Medicine, New York, NY P1739. Emphysematous Gastritis P1727. Metastatic Gastric Melanoma Masquerading as Bleeding Ulcer: Christian Trujillo, MD1, Palashkumar Jaiswal, MBBS1, Manthan Jayswal, MS2; A Challenging Case of Rarity 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2B.J. Medical Himesh B. Zaver, BS1, Harika Balagoni, MD2, Allison Locke, MD3, College, Ahmedabad, Gujarat, India 4 4 1 Chakradhar M. Reddy, MD, FACP , Mark F. Young, MD ; James H. Quillen P1740. Acquired Double Pylorus (ADP): A Rare Complication of Peptic College of Medicine, East Tennessee State University, Johnson City, TN; Ulcer Disease 2 3 East Tennessee State University, Johnson City, TN; Quillen College of Richa Bhardwaj, MBBS, MS, Raffi Karagozian, MD; University of 4 Medicine, Johnson City, TN; East Tennessee State University, Quillen Connecticut, Hartford, CT College of Medicine, Johnson City, TN P1741. Recurrent Gastrointestinal Stromal Tumor With Limited Disease P1728. Pyloric Gland Adenoma: Uncommon or Unrecognized? Spread: Role of Surgical Resection 1 2 1 1 Inessa Khaykis, MD , Leon Pachter, MD , Charles Friedlander, MD ; Concorde Waseem Amjad, MD1, Waqas Ullah, MD2, Ali T. Khan, MBBS3, Qulsoom 2 Medical Group, New York, NY; NYU Langone Health, New York, NY Hussain, MBBS4, Ahmed Munir, MBBS5, Hanan T. Lodhi, MBBS6, Zarak P1729. Gastric Adenocarcinoma on the Background of Gastric Sarcoidosis H. Khan, MBBS7, Ghulam Ilyas, MD8, Fahad Zafar, MBBS9; 1Northwell Mohamed Modar Abidian, MD1, Leen Al Saleh, MD2, Muhamad Alhaj Health Long Island Jewish Forest Hills Hospital, Forest Hills, NY; Moustafa, MD1; 1MedStar Washington Hospital Center, Washington, DC; 2Abington Memorial Hospital, Abington, PA; 3Icahn School of Medicine 2MedStar Washington Hospital Center, Arlington, VA at Mount Sinai, New York, NY; 4Shifa College of Medicine, Islamabad, Brooklyn, NY; 5Services Institute of Medical Sciences, Lahore, Islamabad, P1730. Radiation Gastritis Associated With Yttrium-90 Microsphere Pakistan; 6University of Nebraska Medical Center, Omaha, NE; 7Shifa Radioembolization College of Medicine, Islamabad, Islamabad, Pakistan; 8SUNY Downstate Shana Kothari, MD, MS1, Yanxia Li, MD, PhD2, Tarek Almouradi, MD2, Medical Center, Brooklyn, NY; 9King Edward Medical University, Lahore, Charles Berkelhammer, MD, FACG 2; 1University of Illinois at Chicago - Islamabad, Pakistan Advocate Christ Medical Center, Oak Lawn, IL; 2Advocate Christ Medical Center, Oak Lawn, IL

P1742. A Rare Case of Plasmablastic Lymphoma with Gastric Involvement P1753. A Rare Case of Placental Metastasis in Gastric Cancer Kevin J. Yeroushalmi, MD1, Rabab Hajar, MD1, Kaleem Rizvon, MBBS, Krunal Patel, MD1, Nazar Hafiz, MD2, John Bienvenu, MD3, Greg Wellman, FACG2; 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East MD4, James Morris, MD, FACG5; 1LSU HSC, Shreveport, LA; 2Louisiana Meadow, NY State University Health Sciences Center, Shreveport, LA; 3LSU Health Sciences Center, Shreveport, LA; 4Delta Pathology Group, Shreveport, LA; P1743. Widespread Diffuse Large B-Cell Lymphoma Presenting With 5LSU Health, Shreveport, LA Dyspepsia: How Accurate Are the Standard Endoscopic Biopsies? Mouhanna K. Abu Ghanimeh, MD1, Omar Abughanimeh, MD2, Mahmoud P1754. Rapidly Developing Mixed Acinar-Neuroendocrine Carcinoma of the Isseh, MD1, Jinyu Zhang, MD1, Mazen El-atrache, MD1; 1Henry Ford Hospital, Stomach Detroit, MI; 2University of Missouri, Kansas City, MO Sadat Iqbal, MD1, Lilly Gonzalez, MD1, Michelle Likhtshteyn, MD1, Mohammad Nawaz, MD1, Abu Hurairah, MD2, James L. Araujo, MD3; 1SUNY P1744. Metastatic Gastric Cancer Presenting as Periorbital Edema Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, Nathaniel Peyton, MD, Jeffrey Juneau, MD, Stephen W. Landreneau, MD, NY; 3Veterans Affairs Harbor Healthcare System, Brooklyn, NY Elizabeth Rinker, MD; Louisiana State University Health Sciences Center, New Orleans, LA P1755. Below the Surface: A Rare Case of an Inflammatory Fibroid Polyp in the Stomach P1745. A Case of Primary Gastric Lymphoma in Immunocompomised Patient Sadat Iqbal, MD1, Nathaniel H. Kwak, MD1, Abu Hurairah, MD2, Ryan Andrew Ofosu, MD, MPH1, Sriharsha Dadana, MD2, Sowmya Josyula, MD2, Beyer, MD1, Ghulam Ilyas, MD1, Kameela Tigaris, MD3, Derrick Cheung, Prashanth Rawla, MD3, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD3; 1SUNY Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, MD5; 1The Brooklyn Hospital Center, Brooklyn, NY; 2Saint Barnabas Brooklyn, NY; 3NYC HHC/Kings County Hospital, Brooklyn, NY Hospital, Bronx, NY; 3Memorial Hospital of Martinsville and Henry County, Martinsville, VA; 4St. Barnbas Hospital, Bronx, NY; 5SBH Health System, P1756. Gastric Carcinoid Tumor: A Rare Cause of Iron Deficiency Anemia Bronx, NY Alicia Bowles, BS1, Lindsey C. Shipley, MD2, Laith Al momani, MD1, Allison Locke, MD1, James Swenson, MD3, Mark Young, MD1; 1East Tennessee State P1746. A Rare Case of Gastric Neuroendocrine Tumor in a Patient with University, Johnson City, TN; 2University of Alabama at Birmingham, History of Familial Adenomatous Polyposis - Is There an Association? Birmingham, AL; 3Mountain Home VA Medical Center, Johnson City, TN Andrew Ofosu, MD, MPH1, Christopher Brana, MD2, Tagore Sunkara, MD3, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD2; 1The Brooklyn P1757. Acuphagia Presenting with Vomiting, Abdominal Pain, and Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3The Weight Loss Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Mohamad A. Mouchli, MD1, Seth Sweetser, MD2; 1Mayo Clinic-Rochester, Brooklyn, NY; 4St. Barnbas Hospital, Bronx, NY Carilion Clinic-Roanoke, Roanoke, VA; 2Mayo Clinic, Rochester, MN P1747. Signet Ring Cell Carcinoma of the Stomach Presenting With Gastric P1758. Fish Bone Perforation Causing Cholecystoantral Fistula: A Case Outlet Obstruction Report Andrew Ofosu, MD, MPH1, Sriharsha Dadana, MD2, Tagore Sunkara, MD3, Gaurav Bhardwaj, MD, Harish Guddati, MD, Nejat Kiyici, MD; Montefiore Sowmya Josyula, MD2, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, Medical Center, Bronx, NY MD5; 1The Brooklyn Hospital Center, Brooklyn, NY; 2Saint Barnabas Hospital, Bronx, NY; 3The Brooklyn Hospital Center, Clinical Affiliate of P1759. Metastatic Gastric Adenocarcinoma Mimicking Pulmonary The Mount Sinai Hospital, Brooklyn, NY; 4St. Barnbas Hospital, Bronx, NY; Tuberculosis Pratik Patel, MD, Suneha Sundaram, MD, Ethan Phan, MD, William Leland, 5SBH Health System, Bronx, NY MD, Purushothaman Muthukanagaraj, MD; East Carolina University/Vidant P1748. The Itch for GIST Medical Center, Greenville, NC Folabomi Ajanaku, MD, Babak Shokrani, MD, Farshad Aduli, MD, Victor Scott, MD, Adeyinka Laiyemo, MD, Angesom Kibreab, MD; Howard P1760. An Early Presentation of the Buried Bumper Syndrome Leen Al Saleh, MD1, Mohamed Modar Abidian, MD2, Muhamad Alhaj University Hospital, Washington, DC Moustafa, MD2; 1MedStar Washington Hospital Center, Arlington, VA; P1749. A Lethal Case of Emphysematous Gastritis From Sarcina Ventriculi 2MedStar Washington Hospital Center, Washington, DC Kevin Singh, MD1, Gulam Khan, MD2; 1New York University School of Medicine, Woodhull Medical and Mental Health Center, Lakewood, OH; P1761. Gastric Granular Cell Tumor: A Case Report and Review of the 2New York University School of Medicine, Woodhull Medical and Mental Literature Pawel Szurnicki, MD1, Ahmed Alansari, MD2, Tarek Alansari, MD2, Gulam Health Center, Brooklyn, NY Khan, MD3; 1Woodhull Hospital, Brooklyn, NY; 2New York Medical College/ P1750. Severe CMV Gastritis Associated With Pembrolizumab Therapy Metropolitan Hospital Center/Woodhull Hospital, Brooklyn, NY; 3New Anamay Sharma, MD1, Ashley Faulx, MD2, Andrew Blum, MD3; 1University York University School of Medicine, Woodhull Medical and Mental Health Hospitals Cleveland Medical Center, Cleveland, OH; 2University Hospitals Center, Brooklyn, NY Cleveland Medical Center, Louis Stokes Cleveland VA Medical Center, Cleveland, OH; 3Case Western Reserve University School of Medicine, Louis Stokes Cleveland VA Medical Center, Cleveland, OH P1751. Spinal Metastases: An Initial Presenting Sign of Signet Ring Cell Adenocarcinoma Shilpa Junna, MD1, Todd Golden, MS 2, David Kim, MD1, Bhaskar Banerjee, MD1; 1University of Arizona, Tucson, AZ; 2University of Arizona College of Medicine, Tucson, AZ P1752. Management of Percutaneous Endoscopic Gastrostomy Through Colon and Gastrocolocutaneous Fistula Kaveh Zivari, MD, Negar Niknam, MD, Seth Lapin, DO, Rabin Rahmani, MD, FACG; Maimonides Medical Center, Brooklyn, NY

132 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P1769. Microbial Spectrum in Infected Pancreatic Necrosis: An Analysis TUESDAY, OCTOBER 9, 2018 From Endoscopic Ultrasound Guided Drainage Pradeep Kathi, MD1, Jahangeer Basha, MD, DM2, Sundeep Lakhtakia, MD, DM2, Nageshwar Reddy, MD, DM, DSc, FAMS, FRCP, FACG, MWGO2; 1Wayne State University, Detroit, MI; 2Asian Institute of Gastroenterology, BILIARY / PANCREAS Hyderabad, Telangana, India P1762. Obstructive Sleep Apnea a Risk Factor Pancreatitis Outcomes? P1770. Temporal Profile of Common Biochemical Laboratory Studies in Praneeth Kudaravalli, MD1, Shashank Vemala, MD1, Abubaker O. Abdalla, Pancreatic Cancer: A Population-Based Study MBBS2, Nageshwara Gullapalli, MD, MPH1, Chia-Yang Hsu, MD3; 1University Harika Kandlakunta, MBBS, Sri Harsha Patlolla, MBBS, Ayush Sharma, of Nevada Reno School of Medicine, Reno, NV; 2University of Nevada, MBBS, Suresh T. Chari, MD; Mayo Clinic, Rochester, MN Reno, NV; 3UNR, Reno, NV P1771. Total Pancreatectomy and Islet Autotransplantation for Treatment P1763. Increased Mortality in Late Decompression of Acute Cholangitis in of Chronic Pancreatitis Even in Patients With Prior Whipple Procedure Malignant Biliary Obstruction Amer Rajab, MD, PhD1, Jill Buss, BA2, Luis F. Lara, MD1, Phil Hart, MD1, Kishan Patel, MD1, Kyle Porter, MAS2, Luis F. Lara, MD1, Groce Royce, MD1, Darwin Conwell, MD, MS1, Shumei Meng, MBBS, PhD1, Sylvester Black, MD1, Hosmer Amy, MD1, Sebastian Strobel, MD1, Somashekar G. Krishna, MD, Ken Washburn, MD1; 1The Ohio State University Wexner Medical Center, MPH1; 1The Ohio State University Wexner Medical Center, Columbus, Columbus, OH; 2The Ohio State University, Columbus, OH OH; 2Center for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, OH P1772. Flexible Endoscopic Trans-Rectal Gallbladder Preserving Cholecystolithotomy: The First Reported Clinical Series P1764. Clinical Utility of the Fukuoka 2017 Consensus and 2015 American Bingrong Liu, PhD, MD1, Dan Liu, MD1, Lixia Zhao, MD1, Bing Du, MD2, Jitao Gastroenterological Association Guidelines in the Management of Song, MD2, Xinhong Wang, MD2, Qianqian Huang, MD2; 1The First Affiliated Intraductal Papillary Mucinous Neoplasms (IPMNs) Hospital of Zhengzhou University, Zhengzhou, Henan, People’s Republic Emmanuel Coronel, MD1, Gandhi Lanke, MD2, Manoop S. Bhutani, MD1, of China; 2The Second Affiliated Hospital of Harbin Medical University, Brian R. Weston, MD1, William Ross, MD1, Matthew Harold Katz, MD1, Harbin, Heilongjiang, People’s Republic of China Michael Kim, MD1, Graciela Nogueras Gonzalez, MPH1, Jeffrey H. Lee, MD1; 1 2 TUESDAY MD Anderson Cancer Center, Houston, TX; PRMC, Lubbock, TX P1773. Demographics, Tumor Characteristics, Treatment, and POSTERS Clinical Outcomes of Patients with Ampullary Cancer: A Surveillance, P1765. Aggressive Hydration with Lactated Ringer’s Solution for Epidemiology, and End Results (SEER) Cohort Study Prevention of Post-ERCP Pancreatitis: A Meta-Analysis  Presidential Poster Award Yousaf Hadi, MD1, Justin Kupec, MD1, Rahul Raiker2; 1West Virginia Daryl Ramai, MD, MScBR1, Andrew Ofosu, MD, MPH1, Emmanuel Ofori, University Hospital, Morgantown, WV; 2West Virginia University, MD1, Febin John, MD1, Douglas G. Adler, MD2, Krishna C. Gurram, MD1, Morgantown, WV Madhavi Reddy, MD, FACG1; 1The Brooklyn Hospital Center, Brooklyn, 2 P1766. CT Scan Imaging in Diagnosing Acute Uncomplicated Pancreatitis: NY; University of Utah School of Medicine, Salt Lake City, UT Usefulness versus Cost P1774. Statins Reduce the Development of Complications in Patients Shana Kothari, MD, MS1, Michael Kalinowski, DO, MS2, Matthew Kobeszko, With Asymptomatic Gallstone Disease: A Propensity Matched Analysis MD, MS1, Tarek Almouradi, MD3; 1University of Illinois at Chicago - Shashank Sarvepalli, MD, MS1, Ari Garber, MD1, Michael Rothberg, MD, Advocate Christ Medical Center, Oak Lawn, IL; 2University of Illinois at MPH1, Maged Rizk, MD1, John McMichael, PhD1, Carol A. Burke, MD, FACG2, Chicago - Advocate Christ Medical Center, Chicago, IL; 3Advocate Christ John J. Vargo, MD2, Gareth Morris-Stiff, MD, PhD1; 1Cleveland Clinic, Medical Center, Oak Lawn, IL Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic Foundation, P1767. Exosomal Glypican-1 and Pancreatic Adenocarcinoma: Prime Time Cleveland, OH for Early Diagnosis? P1775. Trends in 30-Day Readmission Rate in Patients With Acute Pedro Moutinho-Ribeiro, MD, MSc1, Ana Santos, MD1, Ines Batista, MSc2, Cholecystitis and Factors Associated With Readmissions Barbara Adem, MSc2, Soraia Silva, MSc2, Rui Morais, MD1, Rosa Coelho, Shashank Sarvepalli, MD, MS1, Sushil Kumar Garg, MBBS2; 1Cleveland MD1, Susana Lopes, MD, PhD1, Filipe Vilas-Boas, MD1, Manuela Baptista, Clinic, Cleveland, OH; 2Mayo Clinic, Rochester, MN MD1, Helena Barroca, MD1, Jose Machado, PhD2, Fátima Carneiro, MD, PhD1, Sonia Melo, PhD2, Guilherme Macedo, MD, PhD, FACG1; 1Centro P1776. A Prospective Study on Contrast-Enhanced Endoscopic Ultrasound Hospitalar São João, Porto, Portugal; 2Instituto de Investigação e for Differential Diagnosis of Pancreatic Cystic Neoplasms Inovação em Saúde - i3S and IPATIMUP, Porto, Portugal Lisen Zhong, MD, Ningli Chai, MD, PhD, Enqiang Linghu, MD, PhD, Huikai Li, MD, Lihua Sun, MS, Jing Yang, MS, Ping Tang, MS; Chinese PLA General P1768. ERCP Improves Mortality in Acute Biliary Pancreatitis Without Hospital, Beijing, People’s Republic of China Cholangitis Aleksey Novikov, MD1, Jennifer Fieber, MD2, Monica Saumoy, MD, MS3, P1777. EUS-Guided Lauromacrogol Ablation for the Treatment of Russell Rosenblatt, MD4, Shirley Cohen-Mekelburg, MD, MS5, Shawn Pancreatic Cystic Neoplasms: Long-Term Follow-Up of at Least 12 Months 1 1 1 L. Shah, MD6, Carl Crawford, Jr., MD7, Reem Z. Sharaiha, MD, MSc8; Chen Du, MS , Ningli Chai, MD, PhD , Enqiang Linghu, MD, PhD , Huikai Li, 1 2 2 1 1 1NewYork-Presbyterian Weill Cornell Medical Center, Philadelphia, PA; MD , Yufa Sun, MD , Wei Xu, MD , Lisen Zhong, MD , Wengang Zhang, MS , 1 1 1 2University of Pennsylvania, Philadelphia, PA; 3New York Presbyterian Xu Guo, MD , Xiuxue Feng, MD ; Chinese PLA General Hospital, Beijing, 2 Hospital, New York, NY; 4NewYork-Presbyterian Weill Cornell Medical People’s Republic of China; Central Guard Bureau, Beijing, People’s Center, New York, NY; 5University of Michigan, Ann Arbor, MI; 6New York Republic of China 7 Presbyterian/Weill Cornell Medical Center, New York, NY; Weill Cornell P1778. Predicting Acute Pancreatitis Length of Stay: ‘Hotspotting High- 8 Medicine, New York, NY; New York-Presbyterian Hospital/Weill Cornell cost Admissions Medical College, New York, NY Emily Bowns, MS, MPH1, Alice Hinton, PhD2, Luis F. Lara, MD1, Phil Hart, MD1, Darwin Conwell, MD, MS1; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2The Ohio State University, Columbus, OH

P1779. Safety and Efficacy of ERCP in Patients With Periampullary P1787. Endoscopic Necrosectomy versus Surgical Necrosectomy in the Diverticulum at a General Hospital in Singapore Treatment of Infected Pancreatic Necrosis: A Systematic Review and Jing Liang Ho, MD1, Benjamin Cherng Hann Yip, MBBS2, Kenny Ching Meta-Analysis Pan Sze, MBBS2, Aruni Seneviratna, MBBS, MPH3, Constantinos P.  Presidential Poster Award Anastassiades, MBBS2; 1Tan Tock Seng Hospital, Singapore, Singapore; Jobin Philipose, MD1, Moiz Ahmed, MD2, Jean M. Chalhoub, MD3, Vivek V. 2Khoo Teck Puat Hospital, Singapore, Singapore; 3Clinical Research Unit, Gumaste, MD1; 1Staten Island University Hospital, Northwell Health, New Clinical Research & Innovation Office, Tan Tock Seng Hospital, Singapore, York, NY; 2Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Singapore Center, New York, NY; 3Staten Island University Hospital, New York, NY P1780. Temporal Profile of Soft Tissue Changes in Pancreatic Cancer P1788. The Outcome of Acute Pancreatitis in Patients With During the Pre-Diagnostic Phase Cannabinoid Abuse  Fellows-in-Training Award (Biliary/Pancreas Category) Muhammad Talal Sarmini, MD, Mohammad Maysara Asfari, MD, Yasser Al-  Presidential Poster Award Khadra, MD, Srinivasan Dasarathy, MD, Arthur McCullough, MD; Cleveland Sri Harsha Patlolla, MBBS, Harika Kandlakunta, MBBS, Ayush Sharma, Clinic Foundation, Cleveland, OH MBBS, Sajan Jiv Singh Nagpal, MBBS, Suresh T. Chari, MD; Mayo Clinic, Rochester, MN P1789. The Association Between Cannabinoid Abuse and Acute Pancreatitis P1781. Outcomes of Acute Pancreatitis Treatment in the Cannabis Users: A Muhammad Talal Sarmini, MD, Mohammad Maysara Asfari, MD, Yasser Al- Nationwide Propensity Matched Analysis Khadra, MD, Srinivasan Dasarathy, MD, Arthur McCullough, MD; Cleveland Hemant Goyal, MD, FACP1, Rupak Desai, MBBS2, Upenkumar Patel, MBBS, Clinic Foundation, Cleveland, OH MPH3, Abhilash Perisetti, MD, FACP4, Rajiv Chhabra, MD, MRCP (UK), FACG5; 1Mercer University School of Medicine, Macon, GA; 2Atlanta VA P1790. Utility of Routinely Sending Pancreaticobiliary Stents for Cytology Shawn Shah, MD1, Kaveh Hajifathalian, MD2, Tushar Khanna, BS, MD1, Medical Center, Decatur, GA; 3Nassau University Medical Center, East Gaurav Ghosh, MD1, Monica Saumoy, MD, MS3, Salem Karadsheh, MD4, Meadow, NY; 4University of Arkansas for Medical Sciences, Little Rock, David L. Carr-Locke, MD, FACG5, Reem Z. Sharaiha, MD, MSc6; 1NewYork- AR; 5St. Luke’s Hospital, Kansas CIty, MO Presbyterian Weill Cornell Medical Center, New York, NY; 2New York P1782. Enteral Nutrition by Percutaneous Endoscopic Gastrojejunostomy Presbyterian, New York, NY; 3New York Presbyterian Hospital, New York, Tube (PEG-J) Tube in Pancreatitis: A Retrospective Study NY; 4University of Jordan Faculty of Medicine, Amman, Jordan; 5Weill Rajan Kanth, MD1, Adil S. Mir, MD1, Christopher Walsh, MD2, Jash Bansal, MD, Cornell Medical College & New York Presbyterian Hospital, New York, MPH1, Mohamad A. Mouchli, MD1, Amrendra Mandal, MD3, Paul Yeaton, MD4, NY; 6New York-Presbyterian Hospital/Weill Cornell Medical College, New Mohammad Shakhatreh, MD, MPH4; 1Carilion Clinic, Roanoke, VA; 2Carilion York, NY Roanoke Memorial Hospital, Roanoke, VA; 3Interfaith Medical Center, Brooklyn, NY; 4Virginia Tech Carilion School of Medicine, Roanoke, VA P1791. Complications of Inpatient Endoscopic Retrograde Cholangiopancreatography in Pancreatic Cancer versus Biliary Obstruction P1783. Long-Term Outcome of Mucinous Pancreatic Cystic Lesions in Laura Rotundo, MD1, Faiz Afridi, MD1, Thayer Nasereddin, MD1, Neel Patel, Cancer Survivors or Patients With Extra-Pancreatic Malignancy MD2, Mirela Feurdean, MD1, Sushil Ahlawat, MD1; 1Rutgers University, New Emmanuel Coronel, MD1, Hamzah Abu-Sbeih, MD2, Graciela Nogueras Jersey Medical School, Newark, NJ; 2Rutgers New Jersey Medical School, Gonzalez, MPH1, Ayush Sutaria, MD3, Michael Kim, MD1, Phillip Lum, PhD3, Newark, NJ Brian R. Weston, MD1, Matthew Harold Katz, MD1, Jeffrey E. Lee, MD3, Jeffrey H. Lee, MD1, Manoop S. Bhutani, MD1; 1MD Anderson Cancer Center, P1792. Methodological Quality Assessment of Meta-Analyses and Houston, TX; 2University of Texas MD Anderson Cancer Center, Houston, Systematic Reviews of Rectal Indomethacin in the Prophylaxis of Post- TX; 3University of Texas, MD Anderson Cancer Center, Houston, TX ERCP Pancreatitis Using AMSTAR 2 Ali Raza, MD1, Santosh Kale, MBBS1, Baran Bulent, MD2, Thrupthi P1784. Demographics, Tumor Characteristics, Treatment, and Survival Komandur, MBBS1, Bijun S. Kannadath, MBBS, MS3, Prithvi Patil, MS1, Associated With Signet Ring Cell Carcinoma of the Gallbladder (SRCCG): A R. Tomas Davee, MD1, Nirav Thosani, MD4; 1University of Texas Health Population-Based Retrospective Cohort Study Science Center at Houston, Houston, TX; 2Beth Israel Deaconess Medical Andrew Ofosu, MD, MPH1, Daryl Ramai, MD, MScBR1, Emmanuel Ofori, Center, Boston, MA; 3University of Arizona College of Medicine, Phoenix, MD1, Denzil Etienne, MD1, Krishna C. Gurram, MD1, Douglas G. Adler, MD2, AZ; 4University of Texas Health Science Center at Houston / McGovern Madhavi Reddy, MD, FACG1; 1The Brooklyn Hospital Center, Brooklyn, NY; Medical School, Houston, TX 2University of Utah School of Medicine, Salt Lake City, UT P1793. A Mid-Term Follow-Up Analysis of Mixed Type Intraductal Papillary P1785. Endoscopic Ultrasound-Guided Fine Needle Aspiration of Mucinous Neoplasms Undergoing Non-Surgical Management Pancreatic Metastases: A Retrospective Study Atsushi Kubo, MD; Takamatsu Red Cross Hospital, Takamatsu, Kagawa, Japan Kevin Lamm, MD, Jason Lewis, MD, Andrew Dries, MD, Tarun Narang, MD, Jamie Campbell, DO; Carolinas Medical Center, Charlotte, NC P1794. Hypertriglyceridemia-Associated Drug-induced Acute Pancreatitis Mohamed A. Elkhouly, MD1, Miguel Salazar, MD1, C. Roberto Simons- P1786. Economic Impact of Pancreatic Enzyme Replacement Therapy Linares, MD2; 1Cook County Health and Hospitals System, Chicago, IL; (PERT) in Pancreatic Cancer Patients Who May Have Exocrine Pancreatic 2Digestive Disease Institute/Cleveland Clinic, Cleveland, OH Insufficiency (EPI) Following Pancreatic Surgery  Presidential Poster Award P1795. Difference in Clinical Behavior of the Pancreatic Adenocarcinomas Nikhil Khandelwal, PhD1, Diala Harb, PharmD, PhD1, Shivaji Manthena, versus Pancreatic Neuroendocrine Tumors (PNETs) - A Systematic Review PhD1, Patrick Reilly, MA1, Jamie Vora, PharmD, MBA2, Gareth Morris-Stiff, and Meta-Analysis Muhammad Tahir, MD1, Prakash Viswanathan, MD, FACG2, Naveen Prasad MD3; 1AbbVie Inc., Mettawa, IL; 2AbbVie Inc., North Chicago, IL; 3Digestive Gopalakrishnan Ravikumar, MD1, Lorin Miller1; 1University at Buffalo, Disease Institute/Cleveland Clinic, Cleveland, OH Buffalo, NY;2 North Memorial Medical Center, Maple Grove Hospital, Robbinsdale, MN

134 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P1796. Role of Periprocedural Antibiotics in Patients Undergoing ERCP for P1806. In Rare Form: A Case of Squamous Cell Pancreatic Cancer Biliary Stent Removal Diagnosed by EUS-Guided Core Biopsies (FNB) John Walker, DO1, Ruchit N. Shah, DO2, Sunny Patel, DO1, Harshit S. Khara, Saamia Faruqui, MS, MD1, Eliza Lewine, BS2, Shanti G. Rao, MD2, Virendra MD, FACG1, David L. Diehl, MD1, Bradley Confer, DO1; 1Geisinger Medical Joshi, MD, FACG3; 1Tulane University, New Orleans, LA; 2Tulane University Center, Danville, PA; 2Geisinger Health Systen, Danville, PA School of Medicine, New Orleans, LA; 3University Medical Center, New Orleans, LA BILIARY / PANCREAS P1807. Diagnostic and Therapeutic Benefits of Direct Visualization of the Biliary Tree Clinical Vignettes / Case Reports David R. Miller, BS1, Nidah S. Khakoo, BS, MD2, Siddharth Bhargava, BS1, 1 1 1 P1797. Intraductal Papillary Mucinous Neoplasm Complicated by Michael Schuster, MD , James Litynski, MD , Micheal Tadros, MD, MPH ; 1 2 Pancreatoduodenal Fistula Decreased Frequency of Recurrent Acute Albany Medical College, Albany, NY; Jackson Memorial Hospital/ Pancreatitis University of Miami, Morganville, NJ Gebran Khneizer, MD1, Kavya M. Reddy, MD2, Muhammad Bader P1808. An Unusual Case of Gallbladder Cancer in a Young Male Hammami, MD2, Samer AlKaade, MD2; 1Indiana University School of Sandra Gomez-Paz, MD1, Shruti Patel, MD1, Kaleem Rizvon, MBBS, FACG2; Medicine, Indianapolis, IN; 2St. Louis University School of Medicine, St. 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Louis, MO Meadow, NY P1798. Additive Benefit of Confocal Laser Endomicroscopy and Micro- P1809. Biliary Lesion? Might Want to Consider an IPMN Forceps Needle Biopsy in the Evaluation of a Mucinous Cystic Neoplasm Chuma Obineme, MD1, Taimur Office, 1MD , Ross Deppe, MD2, Parit Vick S. DiCarlo, II, MD1, Joseph Drwiega, MD2, Isam Eltoum, MD2, Rachel Mekaroonkamol, MD1, Jessica Tracht, MD3; 1Emory University School of Mitchell, CRNP2, Devin Harrison, CRNP2, Shajan Peter, MD2, Kondal Rao Medicine, Atlanta, GA; 2Emory University, Atlanta, GA; 3University of Kyanam Kabir Baig, MD3, C. Mel Wilcox, MD2, Ali M. Ahmed, MD2; 1UAB, Alabama at Birmingham, Birmingham, AL Hoover, AL; 2University of Alabama at Birmingham, Birmingham, AL; 3UAB, Birmingham, AL P1810. Endoscopic Management of Giant Pancreatic Pseudocyst at High Risk for Bleeding P1799. Cannabis as an Overlooked Cause of Acute Pancreatitis: A Case 1 2 TUESDAY Muhammad Alsayid, MD, MPH , Syed K. Mahmood, MD, MPH , POSTERS Report and Literature Review Jaroslav Zivny, MD3; 1University of Massachusetts Memorial Medical Pawel Szurnicki, MD1, Ahmed Alansari, MD2, Tarek Alansari, MD2, Gulam Center, Worcester, MA; 2University of Massachusetts, Worcester, MA; Khan, MD3; 1Woodhull Hospital, Brooklyn, NY; 2New York Medical College/ 3University of Massachusetts Medical Center, Worcester, MA Metropolitan Hospital Center/Woodhull Hospital, Brooklyn, NY; 3New York University School of Medicine, Woodhull Medical and Mental Health P1811. Tamoxifen-Induced Hypertriglyceridemia-Induced Pancreatitis: A Center, Brooklyn, NY Rare Side Effect Tanureet Kochar, MD1, Parminder Dhingra, MD2, Arupreet Kochar, MD3, P1800. Afferent Loop Syndrome Masquerading as Recurrent Acute Mohamad Sankari, MD1; 1Charleston Area Medical Center, Charleston, Pancreatitis WV; 2St. Vincent Mercy Health, Toledo, OH; 3Geisinger Medical Center, Nannaya Jampala, MD, Shiva Poola, MD, Sirish Sanaka, MD, Mudireddy Danville, PA Prashant, MD; Vidant Medical Center, Greenville, NC P1812. Adenocarcinoma Synchronous with Neuroendocrine Tumor in P1801. An Interesting Patient with IgG4-Associated Simultaneous Ampulla of Vater: A Rare Presentation Autoimmune Hepatitis and Autoimmune Pancreatitis Tanureet Kochar, MD, Hamza Shah, MD; Charleston Area Medical Center, Shruti Patel, MD1, Jiten Desai, MD2, Zalak Desai, MD2, Charudatta Charleston, WV Wankhade, MD3, Qi Tao, MD, PhD1, Kaleem Rizvon, MBBS, FACG3; 1Nassau University Medical Center, East Meadow, NY; 2Nassau University Medical P1813. A Rare, yet Aggressive, Intra-Abdominal Malignancy: Ewing Center, Hicksville, NY; 3NUMC, East Meadow, NY Sarcoma of the Pancreas Sharanjit Khaira, MD1, Sukhmanpreet Singh, MD1, Angadbir Parmar, MBBS1, P1802. Azathioprine-Induced Cholestatic Liver Injury with Mild Ductopenia Asma Taj, MD2; 1Central Michigan University, Saginaw, MI; 2St. Mary’s of Mengdan Xie, MS1, Kaveh Hajifathalian, MD1, Catherine Lucero, MD1, Clifton Michigan Medical Center, Hematology/Oncology, Saginaw, MI G. Fulmer, MD, PhD1, Rhonda K. Yantiss, MD2; 1New York Presbyterian, New York, NY; 2Weill Cornell Medicine, New York, NY P1814. Bronchobiliary Fistula - A Rare Case of a Patient Presenting With Biliptysis P1803. Disseminated Blastomycosis with Gastrointestinal Involvement of Grigoriy Rapoport, MD1, Juan Castano, MD1, Muhammed Gulzar Nathani, the Pancreas MD, FACP, FACG2, Asif Zamir, MD3; 1University of Texas Rio Grande Valley Nayna Riyat, MD1, Thomas Wells, DO, MBA1, Christopher Jackson, MD1, School of Medicine, Edinburg, TX; 2Kelsey-Seybold Clinic, Spring, TX; Neena Thomas-Gosain, MD2, Vickie Baselski, MD1, Ilya Stone, MD2, 3Renaissance Gastroenterology / UTRGV, Edinburg, TX Bradford Waters, MD3, Claudio Tombazzi, MD3; 1University of Tennessee, Memphis, TN; 2Memphis VA Medical Center, Memphis, TN; 3University of P1815. Mirizzi’s Syndrome in a Patient With Decompensated Cirrhosis Tennessee and Memphis VA Medical Center, Memphis, TN Alexander Troum, DO1, Rouenne Seeley, DO2, Joanne Kaiser-Smith, DO2; 1Rowan University Cooper Medical School, Stratford, NJ; 2Rowan P1804. Pancreatic Panniculitis: A Harbinger of Systemic Inflammatory University School of Osteopathic Medicine, Stratford, NJ Response Syndrome From Spontaneous Rupture of Massive Pancreatic Pseudocyst P1816. Pancreatico-Pleural Fistula Presenting as Recurrent Bilateral Pleural Anam Qureshi, MD, Asad Jehangir, MD, Anthony A. Donato, MD, MHPE; Effusion: A Rare Complication of Chronic Pancreatitis Reading Hospital - Tower Health, Reading, PA Ranjit Makar, MD1, Muthena Maklad, MD2, Mohamad Mubder, MD3, Joseph M. Fayad, MD, FACG4, Bipin Saud, MD2; 1University of Nevada Las Vegas P1805. Unusual Discovery During ERCP: Bile Duct Adenoma School of Medicine, Las Vegas, NV; 2University of Las Vegas School of Karen Gordon, FNP, CRNP, Faye Smith Chakmakova, MD, Iryna S. Medicine, Las Vegas, NV; 3University of Nevada Las Vegas, Las Vegas, NV; Hepburn, MD, FACG, FACP; WellSpan Health, Lebanon, PA 4VA Southern Nevada Healthcare System, Las Vegas, NV

P1817. Pancreatic Adenocarcinoma Disguised as Diabetic Ketoacidosis: A P1828. Lightening up the Tunnel of Darkness: Endoscopic Radio Frequency Case Review Ablation of Malignant Biliary Stricture: A Novel Technique Tamoor Shahid, MBBS1, Shahzad Shahid, MBBS2; 1Geisinger Health Manoj Kumar, MD, MPH1, Gilad Shapira, DO1, Caitlin Marshall, MD1, C. Alex System, Danville, PA; 2Mayo Hospital, Lahore, Punjab, Pakistan Wiles, BA1, Nicholas Ludvik, MD1, Tawfik Khoury, MD2, Alan Schumann, BS1, Reynaldo Rodriguez, DO1, Meir Mizrahi, MD1; 1University of South Alabama, P1818. Use of an Esophageal Stent as a Novel Treatment for Toilsome Mobile, AL; 2Hadassah Medical Center, Jerusalem, Yerushalayim, Israel Choledocholithiasis Areeba S. Awan, MBBS1, Simran Sidhu, MBBS2, Jasmine Martin, MD1, P1829. An Effortless Collision Sport in the Bile Duct - A Novel Stent Theodore Doukides, MD3; 1Florida Atlantic University, Boca Raton, FL; Delivery System for Malignant Biliary Hilar Obstruction 2Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Manoj Kumar, MD, MPH1, Nicholas Ludvik, MD1, Gilad Shapira, DO1, Caitlin Raton, FL; 3Boca Raton Regional and Delray Medical Center, Boca Raton, FL Marshall, MD1, C. Alex Wiles, BA1, Alan Schumann, BS1, Tawfik Khoury, MD2, Divya Nadella, MD1, Meir Mizrahi, MD1; 1University of South Alabama, P1819. Squamous Cell Carcinoma of the Anus: An Unlikely Suspect for a Mobile, AL; 2Hadassah Medical Center, Jerusalem, Yerushalayim, Israel Pancreatic Mass Thomas Mellor, DO1, Patrick Bagley, DO2, Aaron Tallant, MD2, Scott Liu, P1830. Endoscopic Management of Biliary Stent Occlusion With Bipolar MD2, Jeffrey Laczek, MD2; 1Naval Medical Center San Diego, San Diego, Electrocautery CA; 2Walter Reed National Military Medical Center, Bethesda, MD Jake Jacob, BA, Gyanprakash Ketwaroo, MD, Maria Jarbrink-Sehgal, MD, PhD, Rhonda Cole, MD, Clark Hair, MD; Baylor College of Medicine, P1820. Isolated Pancreatic Metastasis From Colorectal Cancer Houston, TX Faiza Malik, MD1, Matthew Nguyen, MD2, Tahmina Jahir, MD1, Sm Hossain, MBBS3, Sophia Jagroop, MD1; 1Jamaica Hospital Medical Center, Richmond P1831. Non-Hodgkin’s Lymphoma Masquerading as Cholangiocarcinoma: A Hill, NY; 2Jamaica Hospital Medical Center, Briarwood, NY; 3Brookdale Differential Diagnosis for Malignant Obstructive Jaundice Hospital Medical Center, Brooklyn, NY Rebecca Loh, MD, Andrew C. Elden, MD, David E. Loren, MD; Thomas Jefferson University Hospital, Philadelphia, PA P1821. Splenic Artery Pseudoaneurysm: A Common Presentation With a Rare Etiology P1832. Fenofibrate: A Non-Lithogenic Means of Recurrent Drug-Induced Ashley Manganiello, MD1, Bashar Kako, MD1, Lauren Mechanic, MD1, Jared Pancreatitis Lander, DO2; 1Lankenau Medical Center, Philadelphia, PA; 2Lankenau Thamer Kassim, MD, Joy-Marie Hermes, MD, Abdullah Abdussalam, MD, Medical Center, Wynnewood, PA MBA, Ahmed Aly, MD, Avanija Buddam, MD, Subhash Chandra, MBBS; Creighton University, Omaha, NE P1822. Pancreatic Head Mass: A Rare Manifestation of Granulomatosis With Polyangiitis P1833. Unusual Presentation of Solid Pseudopapillary Tumor of the Michael Castillo, MD1, Adalberto Gonzalez, MD2, Eduardo Perez, MD2, Pancreas With Pyelonephritis and Weight Loss Jeevna Kaur, MD2, Asad Ur Rahman, MD2, Pablo Bejarano, MD2, Vaibhav Michael Kalinowski, DO, MS, Shana Kothari, MD, MS, Matthew Kobeszko, Wadhwa, MD2, Annie Gupta, MD3, Anazilta Edward, BS4, Kevin Perry, MD2, MD, MS, Rogelio Silva, MD; University of Illinois at Chicago - Advocate Alison Schneider, MD2, Ronnie Pimentel, MD2; 1Cleveland Clinic Florida, Christ Medical Center, Oak Lawn, IL Miami, FL; 2Cleveland Clinic Florida, Weston, FL; 3Cleveland Clinic Florida, Fort Lauderdale, FL; 4Ross University School of Medicine, Weston, FL P1834. Pancreatic Pseudocyst: Up to Where It Can Go? Alan Schumann, BS1, Manoj Kumar, MD, MPH1, Divya Nadella, MD1, Gilad P1823. A Rare Cause of Biliary Obstruction: Intrabiliary Rupture of a Shapira, DO1, Caitlin Marshall, MD1, C. Alex Wiles, BA1, Nicholas Ludvik, Hepatic Hydatid Cyst MD1, Tawfik Khoury, MD2, Meir Mizrahi, MD1; 1University of South Alabama, Jacqueline Forman, MD, Ismail Jimada, MD, Daniel Shapiro, MD, David Mobile, AL; 2Hadassah Medical Center, Jerusalem, Yerushalayim, Israel Friedel, MD, Natalie Klein, MD, Burke Cunha, MD, Megan Winner, MD; NYU Winthrop Hospital, Mineola, NY P1835. A Rare Cause of Hemobilia After Cholecystostomy Ishani Shah, MD1, Shruti Mony, MD1, Abhishek Bhurwal, MBBS, MD2, Neil P1824. Transgastric Endoscopic Cystogastrostomy in a Patient With Gastric Vyas, MD3, Farhoud Khosravi, DO4; 1St. Joseph’s Hospital and Medical Sleeve Anatomy Center, Phoenix, AZ; 2Rutgers Robert Wood Johnson University Hospital, Frances Onyimba, MD, Wilson Kwong, MD; University of California San New Brunswick, NJ; 3St. Joseph’s Hospital and Medical Center, Phonix, Diego, San Diego, CA AZ; 4Arizona Centers for Digestive Health, Phoenix, AZ P1825. A Rare Diagnosis Made by Wire-Guide Assisted Endobiliary Forceps P1836. First Report of Pancreatic Metastasis From Small Cell Carcinoma of Parth J. Parekh, MD1, Mohammad H. Shakhatreh, MD, MPH1, Douglas the Urinary Bladder Grider, MD, FCAP, FASDP2, Paul Yeaton, MD1; 1Carilion Clinic, Roanoke, VA; Sravani Kamatam, MD, MPH1, Bhavana Bhagya Rao, MD2; 1St. Vincent 2Carilion Clinic, Virginia Tech School of Medicine, Roanoke, VA Charity Medical Center, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH P1826. Getting Into the Groove: An Unusual Case of Paraduodenal Groove P1837. Achieving Hemostasis in a Rare Case of Hemomobilia Pancreatitis Alma Guerrero Bready, MD1, Sehrish Jamot, MD2, Fadlallah Habr, MD3; Ashley Rossi, MD, Yesenia Greeff, MD, Natalia Belova, MD, Shaolei Lu, 1Alpert Medical School at Brown University, Providence, RI; 2Brown MD, Colleen Kelly, MD, Kevin Charpentier, MD, Sarah Hyder, MD; Brown University, Providence, RI; 3Lifespan Physician Group, Providence, RI University/Rhode Island Hospital, Providence, RI P1838. Pancreaticopleural Fistula: To Treat or Not to Treat P1827. Acetaminophen-Induced Pancreatitis: A Rare Complication of Betty Albo, MD1, Matthew Fasullo, DO2, Jojo Yeboa, MD2, Wahid Acetaminophen Hepatotoxicity Wassef, MD, MPH, FACG3; 1University of Massachussetts, Worcester, MA; Nihaal P. Karnik, MD, Andrew J. Quinn, MD, Lauren Hunter, MD, Naitik 2University of Massachusetts, Worcester, MA; 3University of Massachusetts Patel, MD; Hahnemann University Hospital/Drexel University College of Memorial Medical Center, Worcester, MA Medicine, Philadelphia, PA

136 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P1839. Transhiatal Herniation of the Pancreas as a Cause of Acute P1850. A Case of Autoimmune Pancreatitis and IgG4-related Sclerosing Pancreatitis Cholangitis Sarmed Al Yassin, MD1, Harold Paredes, MD2, Jonathan Buscaglia, MD3, Amna Mehdi, DO1, Geethan Sivanathan, MD1, Suhail Salem, MD1, Jeevan Emily Glazer, MD4, Dennis Chang, DO5, McEvoy Robert Patrick, MD6; Vinod, MD2, Taruna Bhatia, MD2, Noreen Shahla, MD1; 1CarePoint Health, 1Stony Brook University Program/Mather Hospital, Port Jefferson Station, Bayonne, NJ; 2CarePoint Health Bayonne Medical Center, Bayonne, NJ NY; 2Stony Brook Medicine, Stony Brook, NY; 3Stony Brook University Hospital, Stony Brook, NY; 4Long Island Digestive Disease Consultants, P1851. A Common Disease with an Uncommon Complication: A splenic Setauket, NY; 5Stony Brook University Program/Mather Hospital, Port Artery Pseudoaneurysm and the Acute Management Marisa Terino, MD, Marianna G. Mavilia, DO, Nha T. Duong, DO, Nihar Jefferson, NY;6 Stony Brook University Radiology Residency Program, Shah, MBBS, Chioma Ihunnah, MD; University of Connecticut Health Port Jefferson Station, NY Center, Farmington, CT P1840. Pancreatic Retroperitoneal Fibrosis Masquerading as a Pancreatic Mass: A Diagnostic Quandary P1852. A Rare Case of Severe Acute Pancreatitis in an Adult Caused by Christopher King, DO1, Matthew Rendo, MD1, Ryan Cho, MD2, Charles B. Type 1 Choledochal Cyst (CC) Romaisa Wadood, MD, Harish Guddati, MD, Hilary Hertan, MD, FACG; Miller, MD2, Devin Broadwater, MD1, Brendan Graham, MD1, Christopher Montefiore Medical Center, Bronx, NY Lisanti, MD1; 1San Antonio Uniformed Services Health Education Consortium, San Antonio, TX; 2San Antonio Uniformed Services Health P1853. Allopurinol Associated Drug Rash with Eosinophila and Systemic Education Consortium, Fort Sam Houston, TX Symptoms (DRESS)-Induced Fulminant Liver Failure P1841. A Sausage-Shaped Pancreas That Isn’t Autoimmune Pancreatitis Kenneth D. Allen, DO, Jeffrey Yu, MD, Lanla F. Conteh, MD, MPH, John Christman, MD; The Ohio State University Wexner Medical Center, Ali Osman, MD, Abdullah Abdussalam, MD, MBA, Savio Reddymasu, MD, Columbus, OH Subhash Chandra, MBBS, Clay Jarrell, MD, Nicholas Dietz, MD; Creighton University, Omaha, NE P1854. Needle-Based Confocal Laser Endomicroscopy Examination of P1842. Use of Axios Stent to Relieve Short Malignancy Stricture Autoimmune Pancreatitis With Cystic Lesions Yunlu Feng, MD, Aiming Yang, MD, Xi Wu, MD, Tao Guo, MD, Shengyu Zain Iqbal Memon, DO, David Dicaprio, DO, Patrick Okolo, MD; Northwell Zhang, MD; Peking Union Medical College Hospital, Beijing, People’s Health Lenox Hill Hospital, New York, NY TUESDAY Republic of China POSTERS P1843. Curious Case of a Middle Common Bile Duct (CBD) Stricture Found on Endoscopic Retrograde Cholangiopancreatography P1855. Diffuse Caroli’s Disease: A Rare Form of Intrahepatic Bile Duct Zain Iqbal Memon, DO, David Dicaprio, DO, Patrick Okolo, MD; Northwell Dilatation Presenting with Acute Cholangitis Juan F. Ricardo, MD, Ahmed I. Salem, MD, Talal Alkayali, MD, Health Lenox Hill Hospital, New York, NY Wilhelmine Wiese-Rometsch, MD, Stephen Kucera, MD; Florida State P1844. Unusual Presentation of Sarcoidosis: Biliary Sarcoidosis Mimicking University/Sarasota Memorial Hospital, Sarasota, FL Cholangiocarcinoma Raya Kutaimy, MBChB1, Bashar Mohamad, MD2, Kartikkumar Jinjuvadia, P1856. Acute Epstein-Barr Virus-Induced Acute Pancreatitis and MD, MPH3; 1Wayne State University, Detroit, MI; 2Detroit Medical Center/ Cholestatic Hepatitis Colleen Caprio, MD, Vikram Patel, MD, Hector Gonzalez, MD; Florida Wayne State University, Detroit, MI; 3Wayne State University, Troy, MI Atlantic University, Charles E. Schmidt College of Medicine, Boca P1845. A Rare Case of B-Cell Lymphoma Presenting as a Large Solid Raton, FL Pancreatic Mass: A Case Report Mohamed Azab, MD, Amaan Shafi, MD, Shahid Wahid, MD; University of P1857. Mucinous Cystic Neoplasm in a Patient With Polycystic Kidney Nevada Las Vegas School of Medicine, Las Vegas, NV Disease Yamam I. Al-Saadi, MD1, Lauren August Clark, MD2, Sreeram Parupudi, MD, P1846. Recurrent Pancreatitis in a Patient With Abnormal FACP, FACG2; 1University Of Texas Medical Branch Galveston, Galveston, Pancreaticobiliary Junction: Case Report TX; 2University of Texas Medical Branch, Galveston, TX Gurjiwan S. Virk, MD1, Nour Parsa, MD2, Sven Hida, MD2; 1Albany Medical Center and VA Medical Center, Albany, NY; 2Albany Medical Center, P1858. Recurrent Acute Pancreatitis With Energy Drinks Consumption: Albany, NY Rare but Definite Association Ahmad Al-Tamimi, MD, Thamer Kassim, MD, Subhash Chandra, MBBS; P1847. Functional Bowel Obstruction From a Pancreatic Giant Cell Tumor: Creighton University, Omaha, NE A Case Report Adam Van Huis, MD, Paul Co, MD, Marmy Shah, MD; Loyola University P1859. The Magic of Covered Self Expanding Metallic Stents: A Novel Medical Center, Maywood, IL Therapeutic Approach for Bile Leaks Ghulam Mustafa Aftab, MD, MBBS, Hasan Zahid, MD, MBBS, Muhammad P1848. Giardia lamblia Found on Endoscopic Ultrasound-Guided Fine Riaz, MD, Mujtaba Butt, MD; Orange Park Medical Center, Orange Park, FL Needle Aspiration in a Patient Bacteremiaa Pancreatic Mass Ahmed Al-Chalabi, MD, Neha Varshney, MD, Ali Nawras, MD; University of P1860. A Unique Case of a Hepatobiliary Plasmacytoma Causing Toledo Medical Center, Toledo, OH Obstructive Jaundice in a Patient with Multiple Myeloma John Dally, MD; The Wright Center for Graduate Medical Education, P1849. Alcohol-Induced Severe Pancreatitis Complicated by Atypical Scranton, PA Hemolytic Uremic Syndrome: Response to Eculizumab Matthew Kobeszko, MD, MS, Michael Kalinowski, DO, MS, Shana Kothari, P1861. Case Report of a Unique but Likely Not Uncommon Etiology of a MD, MS; University of Illinois at Chicago - Advocate Christ Medical Center, Markedly Elevated Serum Carbohydrate Antigen 19-9 (CA 19-9) Jared Sninsky, MD1, Charles A. Sninsky, MD2, Troy Hampton, MD3, Oak Lawn, IL Christopher Cassisi, MD4; 1Washington University School of Medicine, St. Louis, MO; 2DIgestive Disease Associates, Gainesville, FL; 3Pathology Associates of North Florida, Gainesville, FL; 4Urologic Surgeons, Gainesville, FL

P1862. A Rare Case of Zollinger-Ellison Syndrome and Pancreatic P1872. PillCam Colon™ (PC) Live Training Course Is Effective at Increasing Adenocarcinoma in a Patient with Multiple Endocrine Neoplasia Type 1 Comfort Levels With Understanding Usage and Reading Studies Pedro Rosa-Cortes, MD1, Carlos Micames-Caceres, MD, FACG2, Carlos David J. Hass, MD, FACG1, Paul Feuerstadt, MD, FACG2, Ira Schmelkin, MD, Laboy-Olivieri, MD3; 1VA Caribbean Healthcare System, San Juan, FACG3; 1Yale University School of Medicine / Gastroenterology Center Puerto Rico; 2Hospital Bella Vista, Mayaguez, Puerto Rico; 3Hospital of Connecticut, Hamden, CT; 2Yale University School of Medicine / Metropolitano Dr. Susoni, Arecibo, Puerto Rico Gastroenterology Center of Connecticut, Westport, CT; 3Baystate Medical Center, Springfield, MA P1863. Pancreatolithiasis: An Unusual Cause of Obstructive Jaundice Harmeet S. Mashiana, MD1, Matthew J. Sullivan, DO2, Hiral Shah, MD, P1873. Polyp Detection Trends: Data from New Hampshire Colonoscopy FACG2; 1University of Nevada Las Vegas School of Medicine, Las Vegas, Registry 2004-2015 NV; 2Lehigh Valley Health Network, Allentown, PA Joseph Anderson, MD, MHCDS1, Christina Robinson, MS2, Lynn Butterly, MD3; 1Geisel School of Medicine at Dartmouth, Hanover, NH; 2Dartmouth- P1864. Eosinophilic Cholangiopathy Mimicking Cholangiocarcinoma: Hitchcock Medical Center, Lebanon, NH; 3Geisel School of Medicine at Case Report Dartmouth, Lebanon, NH Maaz Sohail, MD1, Muhammad B. Hammami, MD2, Cornelia Charles, MD2; 1Florida Atlantic University, Boca Raton, FL; 2Florida Atlantic University, P1874. Is There an Association of the Andes Traditional Coca Leaf Chewing Boynton Beach, FL and Sigmoid Volvulus? A Study of 441 Patients in Bolivia C. Roberto Simons-Linares, MD1, Ricardo Morgenstern, MD2, Abel Acosta- P1865. The CT "Sandwich Sign": Not Your Everyday Pancreatic Cancer Canedo, MD3, Jaime Saravia-Burgos, MD3; 1Digestive Disease Institute/ Brett Hughes, MD1, Shruti Mony, MD2, Keng-Yu Chuang, MD3; 1Creighton Cleveland Clinic, Cleveland, OH; 2Drexel University, Philadelphia, PA; University School of Medicine (Phoenix-St. Joseph’s), Phoenix, AZ; 2St. 3Instituto de Gastroenterología Boliviano Japonés, Facultad de Medicina, Joseph’s Hospital and Medical Center, Phoenix, AZ; 3Maricopa Integrated Universidad Mayor de San Simon, Cochabamba, Bolivia Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ P1875. RBX7455 – a Non-Frozen, Lyophilized, Oral Microbiota Reduces P1866. Primary Anaplastic Large Cell Lymphoma of the Pancreas: A Unique Clostridium difficile Infection Recurrence and Restores Patients’ Pancreatic Neoplasm Microbiomes Brett Hughes, MD1, Shruti Mony, MD2, Keng-Yu Chuang, MD3; 1Creighton  Presidential Poster Award University School of Medicine (Phoenix-St. Joseph’s), Phoenix, AZ; 2St. Sahil Khanna, MD, MS1, Darrell Pardi, MD, MS1, Dale Gerding, MD2, Ken Joseph’s Hospital and Medical Center, Phoenix, AZ; 3Maricopa Integrated Blount, PhD3, Courtney Jones, BS3, Bill Shannon, PhD, MBA4, Elena Deych, Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ MS4; 1Mayo Clinic, Rochester, MN; 2Edward Hines Jr. VA Hospital, Hines, IL; P1867. Percutaneous Transhepatic Cholangioscopy With Electrohydraulic 3Rebiotix, Inc., Roseville, MN; 4BioRankings, LLC, St. Louis, MN Lithotripsy in a Patient With Choledocholithiasis in a Metal Biliary Stent P1876. The Incidence of Colonic Neoplasia in Patients With Microscopic Jeffrey Hubers, MD, Ravi Patel, MD, Prasad Dalvie, MD, Bryant Megna, MD, Colitis and Chronic Diarrhea: A Retrospective Case Control Study Deepak Gopal, MD, FACG; University of Wisconsin Hospitals and Clinics, Amrit Kamboj, MD, Conor Lane, MD, Sahil Khanna, MD, MS, Darrell Pardi, Madison, WI MD, MS; Mayo Clinic, Rochester, MN P1868. Synchronous Presentation of Three Distinct Pancreaticobiliary P1877. Perception of Quality of Life Among People Experiencing or Tumors: Pancreatic Ductal Adenocarcinoma, Cholangiocarcinoma, and a Having Experienced a Clostridium difficile Infection in the United States: Pancreatic Neuroendocrine Tumor Qualitative Review of Respondents Verbatim Joon Kyung Kim, BS1, Benjamin Powers, MD2, Sean Dineen, MD2, Jason  Category Award (Colon) Fleming, MD2; 1University of South Florida Morsani College of Medicine,  Presidential Poster Award Tampa, FL; 2Moffitt Cancer Center, Tampa, FL Lise Lurienne, PharmD, MSc1, Pierre-Alain Bandinelli2, Thibaut Galvain, P1869. Acute Uremia and Aspirin: A Recipe for Disaster Leading to Post- PharmD, MSc1, Charles-Alexis Coursel3, Philippe Boutier1, Caterina Oneto, Sphincterotomy Hemorrhage MD4, Paul Feuerstadt, MD, FACG5; 1Da Volterra, Paris, Ile-de-France, Richard M. Fazio, MD, MS, Negar Niknam, MD, Daniel J. Waintraub, MD, France; 2Da Volterra SAS, Paris, Ile-de-France, France; 3Da Volterra, Issy- Ira E. Mayer, MD, FACG, Rabin Rahmani, MD, FACG; Maimonides Medical Les-Moulineaux, Ile-de-France, France; 4Concorde Medical Group, New Center, Brooklyn, NY York, NY; 5Yale University School of Medicine / Gastroenterology Center of Connecticut, Westport, CT P1878. Outcomes and Mortality in Post-Operative C. difficile Infection: A COLON Single Center Study Rashmi Advani, MD1, Micheal Schopis, MD1, Ruth Eisenberg, MS2, Natasha P1870. National Demographic and Economic Trends of Acute Diverticulitis 3 1 2 in the United States From 2000-2015 Chhabra, MD , Bradley Bauer, MD , Wenzhu Mowrey, PhD , Singh Nair, MD, PhD3, Olga C. Aroniadis, MD, MS3, Lawrence J. Brandt, MD, MACG 3; Stephen Tsoukas, MD1, Yii Chun Khiew, MD1, Teodora-Cristiana Dumitra, 1Albert EInstein College of Medicine/Montefiore Medical Center, Bronx, MD2, Manoj A. Shirodkar, MD3; 1Pennsylvania Hospital of University of NY; 2Albert Einstein College of Medicine, Bronx, NY; 3Albert Einstein Pennsylvania Health System, Philadelphia, PA; 2McGill University Health College of Medicine/Montefiore Medical Center, Bronx, NY Centre, Montreal, PQ, Canada; 3University of Pennsylvania, Philadelphia, PA P1871. The Effect of Obesity on Cecal Intubation P1879. Timing of Events in Recurrent Clostridium difficile Infection Charles Meade, MD, George Saffouri, MD, Sahil Khanna, MD, MS, Herb Arnab Mitra, MD1, Jared Huber, MD2, David Lieberman, MD1; 1Oregon Heien, Darrell Pardi, MD, MS; Mayo Clinic, Rochester, MN Health and Science University, Portland, OR; 2Oregon Health and Sciences University, Portland, OR P1880. Improved Regularity With a Chewable Inulin Fiber Tablet (CIFT): Results From a Patient Reported Outcomes (PRO) Study Brian E. Lacy, MD, PhD1, Michael S. Epstein, MD2, Syed M. Shah, PhD3, Patrick Corsino, PhD3; 1Mayo Clinic, Jacksonville, FL; 2Digestive Disorders Associates, Annapolis, MD; 3IM HealthScience, Boca Raton, FL

138 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P1881. A Comprehensive Cost Analysis Using Medicare Data Supports P1892. Results From a Proof of Concept Study Evaluating DCL-101, a Novel Consideration of Less Invasive Resection Techniques for Benign Colon Pill Colon Prep, Compared to 4L PEG-ELS in Adult Outpatients Undergoing Lesions Routine Colonoscopy Emre Gorgun, MD1, Michael J. Cangelosi, MA, MPH2, Sofia Faucher, BA2, Dale Bachwich, MD1, Vera O. Kowal, MD1, Michael L. Kochman, MD2, Stacey L. Amorosi, MA2; 1Cleveland Clinic Foundation, Cleveland, OH; James D. Lewis, MD3; 1Dark Canyon Laboratories, LLC, Rapid City, SD; 2Boston Scientific, Marlborough, MA 2Center for Endoscopic Innovation, Research, and Training, University of Pennsylvania Health System, Philadelphia, PA; 3Hospital of the University P1882. National Landscape of Unplanned 30-Day Readmission Rates for of Pennsylvania, Philadelphia, PA Acute Non-Hemorrhagic Diverticulitis: Insight From National Readmission Database P1893. Young versus Older-Onset Colorectal Cancer in a Safety Net Dhruv Mehta, MD1, Aparna Saha, MD, MPH2, Lavneet Chawla, MD3, Tausif Hospital Siddiqui, MD4, Dishita Pandya, MD2, Priti Poojary, MD, MPH2, Virendra Pooja Dharwadkar, MD, Garrett Greenan, MD, Amit Singal, MD, MS, Caitlin Tewari, MD5, Edward Lebovics, MD6; 1New York Medical College at Murphy, PhD, MPH; University of Texas Southwestern Medical Center, Westchester Medical Center, Valhalla, NY; 2Icahn School of Medicine at Dallas, TX Mount Sinai, New York, NY; 3Westchester Medical Center, Valhalla, NY; 4New York Medical College, Valhalla, NY; 5Westchester Medical Center at P1894. Efficacy of Fecal Microbiota Transplantation for Clostridium difficile Westchester Medical Center, Valhalla, NY; 6Westchester Medical Center at Infection in Immunocompromised Patients: A Systematic Review and New York Medical College, Valhalla, NY Meta-Analysis Raseen Tariq, MBBS1, Srishti Saha, MBBS, MD1, Abdul Wahab, MD2, P1883. Use of Proton Pump Inhibitors Is Not an Independent Risk Factor Fateeha Furqan, MD3, Erik Olson, DO3, Darrell Pardi, MD, MS1, Sahil for Microscopic Colitis: A Large Retrospective Case Controlled Study Khanna, MD, MS1; 1Mayo Clinic, Rochester, MN; 2Unity Hospital/ Rochester Abhishek Shenoy, MD1, Thomas Hunold, BSPH1, Walker Redd, MD2, R. Regional Health System, Rochester, NY; 3Rochester General Hospital, Ann Hays, MD3; 1University of Virginia, Charlottesville, VA; 2Brigham & Rochester, NY Women’s Hospital, Boston, MA; 3University of Virignia, Charlottesville, VA P1895. Outcomes of Clostridium difficile Infection in Patients With P1884. The Importance of Endoscopic and Histological Evaluation in the Obesity: A Nationwide Analysis Management of Immune Checkpoint Inhibitor-Induced Colitis Raseen Tariq, MBBS1, Abdullah Abdullah, MD, MSC2, Abdul Wahab, TUESDAY Hamzah Abu-Sbeih, MD1, Faisal S. Ali, MD2, Wenyi Luo, MD1, Gottumukkala MD3, Mohammed Aradaib, MD, MReS4, Srishti Saha, MBBS, MD1, POSTERS Raju, MD1, Yinghong Wang, MD1; 1University of Texas MD Anderson Cancer Maryrose Laguio-Vila, MD5, Darrell Pardi, MD, MS1, Sahil Khanna, MD, Center, Houston, TX; 2Presence Saint Joseph Hospital, Chicago, IL MS1; 1Mayo Clinic, Rochester, MN; 2Unity Hospital, Rochester, NY; 3Unity Hospital/ Rochester Regional Health System, Rochester, NY; 4Beacon P1885. Taming the Beast: The Safety and Efficacy of Fecal Microbiota Hospital, Dublin, Ireland; 5Rochester General Hospital, Rochester, NY Transplantation in Severe and Complicated Clostridium difficile Infection Hamzah Abu-Sbeih, MD1, Faisal S. Ali, MD2, Rachel Hicklen, MS1, Yinghong P1896. Endoscopy Room Turnaround Efficiency: Risk-Benefit Analysis of Wang, MD1; 1University of Texas MD Anderson Cancer Center, Houston, Water Exchange (WE) versus GAS (air or Carbon Dioxide) Colonoscopy TX; 2Presence Saint Joseph Hospital, Chicago, IL - A Systematic Review Sergio Cadoni, MD1, Cesare Hassan, MD2, Leonardo Frazzoni, MD3, P1886. Fecal Microbiota Transplantation for Clostridium difficile Infection Sauid Ishaq, MBBS, FRCP4, Malcolm Koo, PhD5, Felix Leung, MD6; 1ATS in Immunocompromised Patients - Safe or Risky? Sardegna, ASSL Carbonia, CTO Hospital, Iglesias, Sardegna, Italy; 2Nuovo Hamzah Abu-Sbeih, MD1, Faisal S. Ali, MD2, Rachel Hicklen, MS1, Yinghong Regina Margherita, Rome, Lazio, Italy; 3S. Orsola-Malpighi Hospital, Wang, MD1; 1University of Texas MD Anderson Cancer Center, Houston, University of Bologna, Bologna, Emilia-Romagna, Italy; 4Birmingham TX; 2Presence Saint Joseph Hospital, Chicago, IL City University, Dudley, England, United Kingdom; 5Tzu Chi University P1887. Megacolon in Clostridium difficile Infection of Science and Technology, Hualien City, Hualien, Taiwan (Republic of Akeem O. Adebogun, MD, MPH1, Tanya Thomas, MD1, Musa Abdullahi, MD1, China); 6Sepulveda Ambulatory Care Center, VAGLAHS, David Geffen Mustafa Mustafa, MD1, Adeyinka Laiyemo, MD, MPH2; 1Howard University School of Medicine at UCLA, North Hills, CA 2 Hospital, Washington, DC; Howard University, Washington, DC P1897. Colorectal Advanced Neoplasia Are Associated with Aging, Current P1888. Smoking and the Risk of Microscopic Colitis: A Meta-Analysis Smoking, and Metabolic Factors in Japan: Analyses of Comprehensive Kittika Poonsombudlert, MD, Veeravich Jaruvongvanich, MD; University of Health Checkup Data Hawaii, Honolulu, HI Nagamu Inoue, MD, Toshifumi Yoshida, MD, Kazuhiro Kashiwagi, MD, Yoshinori Sugino, MD, Yasushi Iwao, MD; Center for Preventive Medicine, P1889. Prostate Examination at Time of Colonoscopy: A Survey of Patients, Keio Unversity School of Medicine, Shinjuku-ku, Tokyo, Japan General Practitioners (GPs), and Endoscopists Ahsan Syed, MD1, Mark Borgaonkar, MD, FRCPC2; 1University of Calgary, P1898. Mucosal Schwann Cell Hamartoma: a Two Year, Community GI Calgary, AB, Canada; 2Memorial University, St. John’s, NF, Canada Practice Experience Fred Rosenberg, MD, Thomas Mientus, MD; Illinois Gastroenterology P1890. Fecal Microbiota Transplant via Retention Enema in Severe Group, Libertyville, IL Clostridium difficile Infection Olanrewaju Jimoh, MD1, Darrel Gachette, BS2, Mena Bakhit, MD2, Colleen P1899. Surveillance Colonoscopy After Colorectal Cancer Resection: Are R. Kelly, MD2; 1Carolina Digestive Health Associates, Charlotte, NC; We Doing It Right? 2Warren Alpert Medical School of Brown University, Providence, RI Nabeeha Mohy-ud-din, MD, Aslam Syed, MD, Shifa Umar, MD, Shyam Thakkar, MD, Dulabh Monga, MD; Allegheny Health Network, Pittsburgh, PA P1891. Optimizing the Preparation Regimen Prior to Colonoscopy Procedure With the Pure-Vu® System P1900. Fecal Microbiota Transplantation for Eradication of Multi-Drug- Gerald Bertiger, MD; Hillmont GI PC, Flourtown, PA Resistant Infections: A Systematic Review and Meta-Analysis Srishti Saha, MBBS, MD, Raseen Tariq, MBBS, Pritish K. Tosh, MD, Darrell Pardi, MD, MS, Sahil Khanna, MD, MS; Mayo Clinic, Rochester, MN

P1901. The Effect of Clostridium difficile Infection on Pregnancy and P1913. An Unusual Case of Primary Colonic Cecal Lymphoma Neonatal Outcomes: An Observational Study Joshua Sifuentes, MD, MPH1, Richard Young, MD1, Dimitris Stavrakis, MD1, Srishti Saha, MBBS, MD, Ryan Pardi, BS, Darrell Pardi, MD, MS, Sahil Thomas Hanzlik, MD2; 1University of Arizona, Tucson, AZ; 2Unversity of Khanna, MD, MS; Mayo Clinic, Rochester, MN Arizona, Tucson, AZ P1902. Beyond Pain Relief: Is Narcotic Analgesia Safe During Clostridium P1914. Fecal Incontinence Resulting From Rectosigmoid Foreign Body difficile Infection? Jaime de la Fuente, MD, Bradley Anderson, MD, Seth Sweetser, MD; Mayo Hassan Al moussawi, MD1, Mira El sheikh, MD1, Qasim Iqbal, MD1, Khalil Clinic, Rochester, MN Kamar, MD1, Youssef Shammaa, MD1, Talal El imad, MD1, Jean M. Chalhoub, MD2, Liliane Deeb, MD1; 1Staten Island University Hospital, Staten Island, P1915. Why Can’t He Go? An Unusual Case of Constipation Brian S. Lee, MD1, Charles Chaya, MD2, Brian Lim, MD, MCR, FACG3, NY; 2Staten Island University Hospital, New York, NY Mark T. Taira, MD4, Anh Phan, MD4; 1University of California Riverside, P1903. Gut-Skin Connection: Role of Intestinal Biome in Rosacea Riverside, CA; 2Kaiser Permanente Riverside, Riverside, CA; 3University of Iryna Buianova, MD1, Galyna Girnyk, MD, PhD1, Nataliia Senyshyn, MD1, California Riverside, School of Medicine, Irvine, CA; 4Southern California Iryna S. Hepburn, MD, FACG, FACP2; 1Ivano-Frankivsk State Medical Permanente Medical Group, Riverside, CA University, Ivano-Frankivsk, Ivano-Frankivs’ka Oblast’, Ukraine; 2WellSpan Health, Lebanon, PA P1916. An Atypical Cause of an Already Rare Condition - Isolated Rectal Ischemic Proctitis Roberto Trasolini, MD, MSc1, Tarun Misra, MD2, Edwin J. Cheng, MD2; 1 2 COLON University of British Columbia, Victoria, BC, Canada; University of Calgary, Calgary, AB, Canada Clinical Vignettes / Case Reports P1917. Primary Diffuse Large B-Cell Lymphoma of Rectosigmoid Colon in a P1904. A Patient Near Death - And Common Variable Immune Deficiency Patient With Ulcerative Colitis (UC) With No Immunomodulator Use to Blame Baruh Mulat, MD1, Harish Guddati, MD1, Konstantin Boroda, MD2, Nejat Dan McEntire, MD1, Sheeva K. Parbhu, MD1, Michael Sossenheimer, MD, Kiyici, MD1; 1Montefiore Medical Center, Bronx, NY;2 Montefiore Medical FACG2; 1University of Utah, Salt Lake City, UT; 2University of Utah School Center Wakefield Campus, Bronx, NY of Medicine, Salt Lake City, UT P1918. Uncommon Case of Primary Squamous Cell Carcinoma of P1905. Peritonitis Due to Perforated Uterine Actinomycosis the Rectum Youssef Soliman, MD, MSc, Stephen Rauh, MD; Rochester General Chloe Lee, DO, Dorsa Samsami, DO, Brad Solomon, DO, Baseer Qazi, MD, Hospital, Rochester, NY Jeffrey Jacobs, MD; Advocate Lutheran General Hospital, Park Ridge, IL P1906. A Double Agent in the Cecum P1919. A Rare Presentation of a Rectal Sessile Serrated Adenoma Hendrick Pagan-Torres, MD, Walisbeth Class-Vazquez, MD, Javier A. Kristina Fernandez, MD1, David Wan, MD2; 1New York Presbyterian Cerra-Franco, MD, Loscar Santiago-Rivera, MD; VA Caribbean Healthcare Hospital, Weill Cornell Medical College, New York, NY; 2New York- System, San Juan, Puerto Rico Presbyterian Hospital/Weill Cornell Medical College, New York, NY P1907. A Case of Splenic Hematoma Presenting as Left Shoulder Pain Due P1920. Colonic Metastasis in a Patient With Mammary Carcinoma to Recent Colonoscopy Dhruv Patel, MD, Laura Pestana, MD, Amar Al-Juburi, MD; University of Mohammed Shafi, MD, Omar A. Shafi, Noah Shafi; Digestive Disease California Davis, Sacramento, CA Specialists, Henderson, NV P1921. A Rare Case of Primary Anaplastic Large Cell Lymphoma of the P1908. An Interesting Presentation of Gastrointestinal Amyloidosis in a Colon, Anaplastic Lymphoma Kinase Negative Patient on Chronic Hemodialysis Ranjit Makar, MD1, Muthena Maklad, MD2, Joseph M. Fayad, MD, FACG3; Daniel J. Waintraub, MD1, Daria S. Yunina, MD1, Richard M. Fazio, MD2, 1University of Nevada Las Vegas School of Medicine, Las Vegas, NV; Omar Azar, MD1, Ira E. Mayer, MD, FACG1, Rabin Rahmani, MD, FACG1; 2University of Las Vegas School of Medicine, Las Vegas, NV; 3VA Southern 1Maimonides Medical Center, Brooklyn, NY; 2Maimonides Medical Center, Nevada Healthcare System, Las Vegas, NV Broooklyn, NY P1922. Severe Human Intestinal Spirochetosis: An Unusual Cause of Diffuse P1909. Insult to Injury: A Multifactorial Etiology of Ischemic Colitis Colonic Ulcerations in a Patient Living With HIV Neeraj Mangla, MD, MS, Marvin Singh, MD, Adam Gomez, MD; Scripps Judith Aniekwena, MBBS, Taiwo A. Ajose, MD, Valery Effoe, MD, MS, Memorial Hospital Encinitas, San Diego, CA Melvin Simien, MD; Morehouse School of Medicine, Atlanta, GA P1910. Clostridium difficile Colitis Causing Takotsubo Cardiomyopathy P1923. Fecal Microbiota Transplantation: A Salvage Treatment for Severe Megan Murphy, MD1, Samik Shah, MD2, Drew Kotler, MD1, Christina Tofani, Clostridium difficile Infection in a Critically Ill Patient With Multiple MD1; 1Thomas Jefferson University Hospital, Philadelphia, PA;2 Thomas Comorbidities Jefferson University Hospital, Philadlephia, PA Ankush Kalra, MD1, Robert Lee, MD2; 1University of California Irvine 2 P1911. NSAID-Induced Colitis and Colonic Stricture Medical Center, Anaheim, CA; University of California, Irvine, Orange, CA Courtney Bundrick, MD, Radhika Ayyagari, MD, Benjamin Tharian, MD; P1924. Duodeno-Colonic Fistula Associated With an Intestinal Large University of Arkansas for Medical Sciences, Little Rock, AR B-Cell Lymphoma P1912. Double Trouble: Intestinal Spirochetosis in an HIV-Positive Patient Zhaodong Li, MD, Zachary Smith, DO, Wissam Dahoud, MD, Sharon Stein, Saamia Faruqui, MS, MD1, Lindsay A. Matthews, MD2, Cacey Peters, MD, Gregory Cooper, MD; University Hospitals Cleveland Medical Center, MD1, Porter Glover, MD3, John P. Affronti, MS, MD3; 1Tulane University, Cleveland, OH New Orleans, LA; 2University of Wisconsin Madison School of Medicine, P1925. Streptococcus gallolyticus Endocarditis: Association With a Case of Madison, WI; 3Tulane University School of Medicine, New Orleans, LA Mistaken Identity Harvey Rosenberg, MD, Lawrence J. Brandt, MD, MACG ; Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY

140 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P1926. Case Report of Simultaneous Presentation of Adenocarcinoma P1939. BHD: Colon Cancer and Its Association With a Rare of the Stomach and Colon in the Absence of Family History and Genetic Syndrome Lynch Syndrome Daniela Abrams, BS1, Akash Goel, MD2, Daniel A. Sussman, MD, MSPH1, Sivani B. Reddy, BBA, MS1, Connar G. Franklin2, Rekha Khurana, MD3; Talia Donenberg, MS, CGC3; 1University of Miami Leonard M. Miller School 1University of Alabama at Birmingham School of Medicine, Tuscaloosa, of Medicine, Miami, FL; 2Jackson Memorial Hospital, Miami, FL; 3University AL; 2GastroCarePC & The University of Alabama, Tuscaloosa, AL; of Miami, Miami, FL 3GastroCare PC, Tuscaloosa, AL P1940. An Unusual Case of Diarrhea: Lymphocytic Colitis in a P1927. Artificial Urinary Sphincter Reservoir Related Complication 21-Year-Old Female Masquerading as Colonic Mass Thomas R. Wagner, MD1, Lindsay Yassan, MD1, Joel Pekow, MD2; Sarbjit S. Masson, MD, Harika Balagoni, MD, Rupal Shah, MD; East 1University of Chicago, Chicago, IL; 2Inflammatory Bowel Disease Center, Tennessee State University, Johnson City, TN University of Chicago Medicine, Chicago, IL P1928. Asymptomatic Gastric Heterotopia in the Rectum? A Rare Finding P1941. A Sheep in Wolf’s Clothing: Gastrointestinal Lipoma Causing with Unclear Malignant Risk Intussusception, Masquerading as a Possible Cecal Malignancy Mohammed Inam U. Khan, Khurram J. Khan, MD, BSc, MSc(Epi), Robert Matthew Custodio, BS1, Rekha Reddy, MD1, Iman Andalib, MD1, Richard Spaziani, MD, BSc; McMaster University, Hamilton, ON, Canada Ferstenberg, MD2, Ava Anklesaria, MBBS3; 1SUNY Downstate College of Medicine, Brooklyn, NY; 2SUNY Downstate Medical Center, Brooklyn, NY; P1929. Paclitaxel-Induced Bowel Perforation: A Rare Cause of Acute 3NYC HHC/Kings County Hospital, Brooklyn, NY Abdomen on Oncology Floor Ahmed Baiomi, MD, Hafsa Abbas, MD, Suresh Kumar Nayudu, MD, Amit P1942. An Uncanny Cause of Proctitis: A Case of Lymphogranuloma Bhandari, MD; BronxCare Health System, Bronx, NY Venereum Alex Zhornitskiy, MD1, James H. Tabibian, MD, PhD2, Kirollos Zaki, DO3; P1930. Ipilimumab and Nivolumab Induced Steroid-Refractory Colitis 1Olive View - UCLA Medical Center, Clovis, CA; 2University of California Los Treated With Infliximab Angeles, Sylmar, CA; 3Olive View - UCLA Medical Center, Sylmar, CA Ammar Nassri, MD, Mario Cisneros, MD, Valery Muenyi, MD, Andre Fialho, MD, Andrea Fialho, MD, Wesley Taylor, MD, Ahmad Alkhasawneh, MD, P1943. Polypectomy for Colonic Arteriovenous Malformation 1 2 TUESDAY Bruno Ribeiro, MD, James Scolapio, MD, Miguel Malespin, MD, Silvio De Taher Jamali, BSc , Yezaz A. Ghouri, MD , Sreeram Parupudi, MD, FACP, POSTERS Melo, MD; University of Florida Jacksonville, Jacksonville, FL FACG1; 1University of Texas Medical Branch, Galveston, TX; 2UTMB, Galveston, TX P1931. The Great Masquerader: Syphilis Presenting as Rectal Ulcer in the Setting of Neurosyphilis P1944. Colonic Marginal Zone B-Cell Lymphoma (MALT Lymphoma) in a Shelby J. Madden, MD1, Angelo H. Paredes, MD2, Ryan Cho, MD1; 1San Patient Negative for H. pylori: Case Report Antonio Uniformed Services Health Education Consortium, Fort Sam Gurjiwan S. Virk, MD1, Jennifer Copare, DO2, Sven Hida, MD2, Seth J. Houston, TX; 2Brooke Army Medical Center, San Antonio, TX Richter, MD2; 1Albany Medical Center and VA Medical Center, Albany, NY; 2Albany Medical Center, Albany, NY P1932. A Case of the Missing Ring Douglas Taylor, DO1, Brian Benson, MD2, Jonathan Schwake, MD2, Amy P1945. Unique Endoscopic Therapy of Colonic Obstruction Caused by N. Stratton, DO2; 1San Antonio Military Medical Center, Schertz, TX; 2San a Fecaloma Antonio Military Medical Center, Fort Sam Houston, TX Shayan Moraveji, BS1, Ali D. Siddiqui, MD2; 1UC, Philadelphia, PA; 2Dr., Philadelphia, PA P1933. Colonic Ischemia: A Rare Occurrence Following Vaginal Delivery Brian Kim, DO1, Kimberly J. Chaput, DO2, Hesham Tayel, MD2; 1St. Luke’s P1946. Mycophenolate Mofetil-Related Colitis: Endoscopic and University Health Network, Allentown, PA; 2St. Luke’s University Hospital Histologic Findings Health Network, Bethlehem, PA Melissa Jackson, MD, Mary Strader, MD; Albany Medical Center, Albany, NY P1934. Primary Anorectal Melanoma P1947. A Nonagenarian’s Struggle with Recurrent Clostridium difficile and Nazneen Hussain, MD, Mardeli Mendoza, MD; LSU Health Sciences Center, the Discovery of a Cure Shreveport, LA Zachary Dickson, MD, MS, R. Ann Hays, MD; University of Virginia, Charlottesville, VA P1935. A Case of Abdominal Pain Unmasking Undiagnosed Colonic Sarcoidosis Christopher Cao, MD1, Stephanie Moleski, MD2, Juan Palazzo, MD2; P1948. An Ancient Fecalith: A Case Report 1Thomas Jefferson University Hospital, Philadelphia, PA;2 Thomas Mark James Radlinski, MD, Jeanetta W. Frye, MD, Sook Hoang, MD, Jefferson University Hospitals, Philadelphia, PA Javelle Wynter, MD, Brooke Corning, MD; University of Virginia, Charlottesville, VA P1936. A Tumor with Two Faces Patricia Guzman Rojas, MD1, Hilda Merino, MD1, Jignesh Parikh, MD2, Simi P1949. Surprise Findings on Screening Colonoscopy George, MD2; 1University of Central Florida, Kissimmee, FL; 2Orlando VA David J. Park, MD, MSc1, Promila Banerjee, MD, FACP, FACG2, Saeedeh Medical Center, Orlando, FL Masoom, MD3, Stephen James Sontag, MD, FACP, FACG4, Marmy Shah, MD5, Thomas Schnell, MD6, Jack Leya, MD3; 1Loyola University Medical P1937. Immunotherapy-Induced Colitis with Perforation Treated with Center, Maywood, IL; 2Hines VA Hospital, Hines, IL; 3Hines VA Hospital, Infliximab Postoperatively Maywood, IL; 4Hines VA Hospital, Hines, GA; 5Edward Hines Jr. VA Lukas Delasos, DO1, Aakash Desai, MBBS, MPH2; 1University of Hospital, Hines, IL; 6DVA, Hines, IL Connecticut Health Center, West Hartford, CT; 2University of Connecticut Health Center, Farmington, CT P1950. Endoscopic Removal of a Giant Colonic Lipoma-Causing Intussusception P1938. A Rare Case of Granular Cell Tumor of the Colon Steven Beckoff, MD, MA1, Michael Siu, MD2, Albert Shalomov, MD1, Sang- Nisar Amin, MD, Charles Reisdorf, ANPC, Diane Hall, MD, PhD, Richa Hoon Kim, MD1, Moshe Rubin, MD1; 1New York-Presbyterian Queens, Handa, MD, Vivek Kak, MD, Vishal Gupta, MD, PhD; Henry Ford Allegiance Flushing, NY; 2New York Presbyterian Queens, Flushing, NY Health, Jackson, MI

P1951. Idiopathic Colonic Varices in a Young Patient P1963. A Retrospective Case Series of Granulomatosis with Polyangiitis Amin Khalifeh-Soltani, MD, MPH1, Li Pang, MD2, Kaveh Hajifathalian, Complicated by Bowel Perforation After High Dose Steroid Therapy MD, MPH1, Zaid H. Tafesh, MD1, David Wan, MD1; 1New York-Presbyterian John Dally, MD, Chien-Wen Yang, MD, Mladen Jecmenica, MD; The Wright Hospital/Weill Cornell Medical College, New York, NY; 2Tongji Hospital/ Center for Graduate Medical Education, Scranton, PA Tongji University School of Medicine, Shanghai, People’s Republic of China P1964. Ileocecal Valve Agenesis: A Rare Anatomical Variant Ahmed Naeem, BSc1, Daryl Ramai, MD, MScBR2, Vahe Shahnazarian, P1952. Plecanatide for Constipation Associated With Parkinson’s Disease: MD, MPH2, Krishna C. Gurram, MD2; 1Saint George’s University School of A Case Series Medicine, Brooklyn, NY; 2The Brooklyn Hospital Center, Brooklyn, NY Anusha Shirwaikar Thomas, MD1, Eamonn M.M. Quigley, MD, MACG2, William Ondo, MD3; 1Houston Methodist Hospital, Houston, TX; 2Houston P1965. Unique Presentation of Isolated Intestinal Angioedema Without Methodist Gastroenterology Associates, Houston, TX; 3Methodist ACE-I Involvement Ammar Hassan, DO, John C. Heffernan, DO, Sameet Shah, DO, John Neurological Institute, Weill Cornell Medical School, Houston, TX Sotiriadis, MD, PhD; Hackensack Meridian Health Palisades Medical P1953. Isolated Asymptomatic Metastatic Melanoma to the Colon: Center, North Bergen, NJ A Case Report Passisd Laoveeravat, MD1, Nicha Wongjarupong, MD2, Sakolwan P1966. Lenalidomide Induced Hemorrhagic Colitis in Multiple Myeloma Sarah Gorgis, MD, Dorian Jones, MD, Kajali Mishra, MD, Yousuf Siddiqui, Suchartlikitwong, MD1, Thammasak Mingbunjerdsuk, MD1, Wasawat MD; Henry Ford Hospital, Detroit, MI Vutthikraivit, MD1, Saif El Naser H. M. El Nawaa, MD1, Lisa A. Smith, MSHS, DO1, Mitchell Wachtel, MD1, Sameer Islam, MD1; 1Texas Tech P1967. Management of Clostridium difficile Infection Following Fecal University Health Sciences Center, Lubbock, TX; 2University of Minnesota, Microbiota Transplant in the Immunocompromised Patient: A Case Series Minneapolis, MN Nour Parsa, MD, Haadi Hakimi, MD, Muhammad S. Mansoor, MD, Catherine P1954. Colonic Granular Cell Tumor - A Rare Finding in Clinical Practice - Bartholomew, MD; Albany Medical Center, Albany, NY Case Report P1968. Intestinal Spirochetosis Pejman Solaimani, MD, Laura Denham, MD, Yan Zhao, MD; Loma Linda Fadi Francis, MD1, Agnes Liman, MD1, Jana G. Hashash, MD, MSc2; University, Loma Linda, CA 1Pittsburgh VA Healthcare System/ University of Pittsburgh School of 2 P1955. Age Is Just a Number When It Comes to Diverticulitis Medicine, Pittsburgh, PA; University of Pittsburgh School of Medicine, Pittsburgh, PA Colleen Caprio, MD, Vikram Patel, MD, Simran Sidhu, MBBS; Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL P1969. Toxic Megacolon From an Unheard Tropical Parasite P1956. An Unusual Cause of Abdominal Pain: A Telescopic View Esteban I. Rodriguez-Martino, MD, Mariela Navarro-Torres, MD, Jose Martin- Ortiz, MD, Jose Gutierrez-Nuñez, MD, Rodolfo Estremera-Marcial, MD, Rohit Nathan, DO, Ronald Leonard, MD, PhD; Einstein Medical Center, Carlos Fernandez-Cruz, MD, Javier A. Cerra-Franco, MD, Ivonne Figueroa- Philadelphia, PA Rivera, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico P1957. A Rare Cause of Colonic Obstruction: Metastatic Breast Cancer to the Rectum P1970. A Fatal Case of Gastrointestinal Chronic Graft-versus-Host Disease Corey R. O’Brien, MD, Christopher Morton, MD; Yale New Haven Hospital, Myung Ko, MD, Christopher Bowman, MD, Aparajita Singh, MD, MPH; New Haven, CT University of California San Francisco, San Francisco, CA P1958. A Rare Case of Sevelamer-Induced Colitis P1971. Neuroendocrine Carcinoma of the Ileocecal Valve: The “Zebra” of Rohit Gupta, DO1, Elie Jean, MD1, Jose Ruiz, MD1, Soren Gandhi, MD2; 1NYC Lower Gastrointestinal Bleeding Richard M. Fazio, MD, MS, Daniel J. Waintraub, MD, Rabin Rahmani, MD, Health + Hospitals - Woodhull Medical and Mental Health Center, New FACG, Yuriy Tsirlin, MD, FACG; Maimonides Medical Center, Brooklyn, NY York, NY; 2New York University School of Medicine, Woodhull Medical and Mental Health Center, Brooklyn, NY P1972. A Case of Pneumatosis Cystoides Intestinalis in a Patient with COPD P1959. Anti-Epileptic Medication Induced Eosinophilic Colitis Anam Malik, MD, Tarick Sheikh, MD, Matthew J. Sullivan, DO, Michael Yamam I. Al-Saadi, MD1, Mohammad Bilal, MD2, Praveen Guturu, MD, Engels, MD; Lehigh Valley Health Network, Allentown, PA FACG2; 1University Of Texas Medical Branch Galveston, Galveston, TX; 2University of Texas Medical Branch, Galveston, TX COLORECTAL CANCER PREVENTION P1960. Colonic Myeloid Sarcoma - A Rare Presentation of Relapsed Acute Myeloid Leukemia P1973. Are Socioeconomic Factors or Medical Comorbidities Associated Parkpoom Phatharacharukul, MD1, Nabil F. Fayad, MD, FACG2, Natalia with Adenoma Detection Rate? An Examination of Outpatient Rush, MD2, Robert Siwiec, MD1; 1Indiana University, Indianapolis, IN; Colonoscopies at a High Volume Community Hospital 2Indiana University School of Medicine, Indianapolis, IN Benjamin D. Renelus, MD, Daniel S. Jamorabo, MD, Simran Gill, MD, Gurpreet Singh, MD, Abhishek Sadhu, MD, Daniel Golpanian, MD, P1961. Multi Segmental Asymptomatic Duplication of Colon: A Case Report Ofem Ajah, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, 1 1 2 Neda Valizadeh, MD , Harish Guddati, MD , Konstantin Boroda, MD , Hilary Brooklyn, NY Hertan, MD, FACG1; 1Montefiore Medical Center, Bronx, NY;2 Montefiore Medical Center Wakefield Campus, Bronx, NY P1974. Up-to-Date Colonoscopy Use in Asian and Hispanic Subgroups in New York City, 2003-2016 P1962. The Ball-in-Socket Lesion: A Case Report of an Incidentally Found  Presidential Poster Award Large Mobile Lipoma Originating From the Ileocecal Valve Peter S. Liang, MD, MPH1, Yuhe Xia, MS2; 1NYU Langone Health/VA New 1 2 1 Ahmad Najdat Bazarbashi, MD , Benjamin Smith, MD ; Brigham & York Harbor Health Care System, New York, NY; 2NYU Langone Health, 2 Women’s Hospital, Boston, MA; Brigham & Women’s Faulkner Hospital, New York, NY Boston, MA

142 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P1975. Colonoscopy Education Delivered via the Patient Portal Does Not P1981. Multi-Target Stool DNA Has a High Positive Predictive Value as an Improve Adherence to Scheduled First-Time Screening Colonoscopy Interval Test After Colonoscopy Rajesh N. Keswani, MD, MS1, Dyanna Gregory, MS2, Mariah Wood, BA3, Jason D. Eckmann, MD1, Derek Ebner, MD1, Jamie Bering, MD2, Allon Kahn, Nancy Dolan, MD3, Ryan Chmiel4, Michael Manka, MBA4, Kenzie Cameron, MD3, Eduardo A. Rodriguez, MD3, Mary Devens, CCRP1, Kari Lowrie1, Karen PhD3; 1Feinberg School of Medicine, Northwestern University, Chicago, A. Doering1, Sara Then1, Kelli Burger1, Doug Mahoney1, David A. Ahlquist, IL; 2Northwestern University, Evanston, IL; 3Northwestern University, MD4, David Prichard, MBBCh, PhD1, Michael Wallace, MD5, Suryakanth R. Chicago, IL; 4Northwestern Medicine, Chicago, IL Gurudu, MD, FACG6, John Kisiel, MD4; 1Mayo Clinic Rochester, Rochester, MN; 2Mayo Clinic Scottsdale, Scottsdale, AZ; 3Mayo Clinic, Scottsdale, AZ; P1976. Smoking and High Body Mass Index: Risk Factors for Advanced 4Mayo Clinic, Rochester, MN; 5Mayo Clinic Florida, Jacksonville, FL; 6Mayo Interval Polyps Clinic Arizona, Scottsdale, AZ Aliya Khan, BS1, Divya Bhatt, BA, MA, MD2, Paul Gomez, MD2, Lauren S. Cole, MD1, Richard Gerkin, MD, MS2, Michele Young, MD3; 1University of P1982. Use of Standardized Educational Video to Overcome Patient Fears Arizona College of Medicine, Scottsdale, AZ; 2University of Arizona College and to Improve Colonoscopy Preparation Quality of Medicine, Phoenix, AZ; 3Phoenix VA Medical Center, Phoenix, AZ Ryan Kenneth Fawley, MD1, Joanne So, MD1, Susan Driscoll-Bannister, RN1, David You, MD2, Brent Lacey, MD3; 1Naval Medical Center San Diego, San P1977. Colonoscopy Videos on YouTube: Are They a Good Source of Patient Diego, CA; 2Captain James A. Lovell Federal Health Care Center, Chicago, Education? IL; 3Naval Hospital Camp Lejeune, Camp Lejeune, NC  Presidential Poster Award Dhruvil Radadiya, MBBS1, Kalpit Devani, MD1, Jorge Emilio Lira-Vera, MD2, P1983. Colorectal Cancer Knowledge, Risk Perception, and Screening Katia Lizarraga-Torres, MD 3, Shayan Sinha Mahapatra, MD 4, Ricardo Inclination Among Previously Unscreened Adults Murguia-Fuentes, MD5, Sebastian Niezen, MD6, Kaushik Mohan, MBA7, Timothy Yen, MD1, Edgar Asiimwe, BS, MSc1, Feifei Qin, MPH1, Vandana Chakradhar M. Reddy, MD, FACP8, Alexei Gonzalez-Estrada, MD9; 1East Sundaram, MPH1, Tina Storage, MD2, Uri Ladabaum, MD, MS1; 1Stanford Tennessee State University, Johnson City, TN; 2Universidad Autónoma del University School of Medicine, Stanford, CA; 2University of California Los Estado de Hidalgo, Ciudad de México, Distrito Federal, Mexico; 3Special Angeles, Los Angeles, CA consultant, Panama, Chiriqui, Panama; 4Cleveland Clinic, Cleveland, OH; 5Universidad Nacional Automoma de Mexico, Mexico City, Distrito P1984. Tailoring Surveillance Colonoscopy in Patients With Advanced Federal, Mexico; 6Anahuac University, Mexico City, Distrito Federal, Adenomas TUESDAY Thomas F. Imperiale, MD1, Laura J. Myers, PhD2, Timothy D. Imler, MD, POSTERS Mexico; 7University of Tennessee, Knoxville, TN; 8East Tennessee State MS1, Eric A. Sherer, PhD3, Jason Larson, BA2, Charles J. Kahi, MD, MSCI4; University, Quillen College of Medicine, Johnson City, TN; 9Mayo Clinic 1Indiana University School of Medicine, Indianapolis, IN; 2Roudebush Florida, Jacksonville, FL VA Medical Center, Indianapolis, IN; 3Louisiana State University, P1978. Risk of Metachronous Advanced Adenomas and Large Serrated Ruston, LA; 4Indiana University, Indianapolis, IN Polyps for Index Right Sided “Hyperplastic Polyps” Diagnosed Before 2003 Is Unchanged After Pathologic Reassessment: A Retrospective P1985. Patient Factors Are More Important Than Physician Factors in Longitudinal Study Predicting Likelihood of Adenoma Detection Nicole G. Jawitz, MD1, David A. Leiman, MD, MSHP2, Li Lin, MS2, Richard  Presidential Poster Award Wood, MD2, Ziad F. Gellad, MD, MPH2; 1Duke University, Durham, NC; Joseph Anderson, MD1, Catherine Hagen, MD2, Mikhail Lisovsky, MD3, Lynn 2Duke University School of Medicine, Durham, NC Butterly, MD4, Amitabh Srivastava, MD5; 1Dartmouth College, Hanover, NH; 2Medical College of Wisconsin, Milwaukee, WI; 3Dartmouth-Hitchcock P1986. National Survey of Pre-Lung Transplant Colon Cancer Screening Medical Center, Lebanon, NH; 4Geisel School of Medicine at Dartmouth, Practices in High-Volume Centers Across the United States Lebanon, NH; 5Brigham & Women’s Hospital, Boston, MA Jonathan Gotfried, MD1, Sara Aijaz, MS1, Zubair Malik, MD2, Ron Schey, MD1, Adam C. Ehrlich, MD, MPH2, Frank Friedenberg, MD1; 1Lewis Katz P1979. Multi-Target Stool DNA Testing: High Positive Predictive Value 2 Among Average Risk Patients New to Colorectal Cancer Screening School of Medicine at Temple University Hospital, Philadelphia, PA; Lewis Katz School of Medicine at Temple University, Philadelphia, PA Jason D. Eckmann, MD1, Derek Ebner, MD1, Jamie Bering, MD2, Allon Kahn, MD3, Eduardo A. Rodriguez, MD3, Mary Devens, CCRP1, Kari Lowrie1, Karen P1987. Reversal From Propofol Anesthesia to Midazolam/Fentanyl A. Doering1, Sara Then1, Kelli Burger1, Doug Mahoney1, David A. Ahlquist, Sedation Using Water Exchange Insertion Colonoscopy MD4, David Prichard, MBBCh, PhD1, Michael Wallace, MD5, Suryakanth R. Piet C. de Groen, MD1, Gregory J. Miller, MD2; 1University of Minnesota, Gurudu, MD, FACG6, John Kisiel, MD4; 1Mayo Clinic Rochester, Rochester, Minneapolis, MN; 2Vibrant Health Family Clinics, River Falls, WI MN; 2Mayo Clinic Scottsdale, Scottsdale, AZ; 3Mayo Clinic, Scottsdale, AZ; 4Mayo Clinic, Rochester, MN; 5Mayo Clinic Florida, Jacksonville, FL; 6Mayo P1988. Assessment of Risk Stratification and Genetic Testing of Patients Clinic Arizona, Scottsdale, AZ Referred for Polyposis to a High-Risk Colorectal Cancer Prevention Program P1980. Multi-Target Stool DNA Testing in Patients at Increased Risk for Kiranmayi Bulusu, MD1, Mercy Laurino, MS, PhD1, Teri Brentnall, MD1, Robin Colorectal Neoplasia Shows Similar Positive Predictive Value to Average Bennett, MS1, Neelendu Dey, MD2, William Grady, MD2, Stacey Cohen, Risk Patients MD1; 1Seattle Cancer Care Alliance, Seattle, WA; 2Fred Hutchinson Cancer Jason D. Eckmann, MD1, Derek Ebner, MD1, Jamie Bering, MD2, Allon Kahn, Research Center, Seattle, WA MD3, Eduardo A. Rodriguez, MD3, Mary Devens, CCRP1, Kari Lowrie1, Karen A. Doering1, Sara Then1, Kelli Burger1, Doug Mahoney1, David A. Ahlquist, P1989. Risks and Benefits of Colonoscopy in the Very Elderly Population, MD4, David Prichard, MBBCh, PhD1, Michael Wallace, MD5, Suryakanth R. 90 Years of Age and Above Gurudu, MD, FACG6, John Kisiel, MD4; 1Mayo Clinic Rochester, Rochester, Akber Sheikh, BS, Faraaz Godil, Andrew Chang, MD, Kevin Hill, DO, Roy MN; 2Mayo Clinic Scottsdale, Scottsdale, AZ; 3Mayo Clinic, Scottsdale, AZ; Foliente, MD, Benjamin Brichler, MD, Aslam Godil, MD; Sierra Nevada 4Mayo Clinic, Rochester, MN; 5Mayo Clinic Florida, Jacksonville, FL; 6Mayo Gastroenterology Medical Associates, Inc., Grass Valley, CA Clinic Arizona, Scottsdale, AZ

P1990. Variation over Time and Factors Associated With Detection Rates of P1999. Reasons for Low Value Referral to Screening Colonoscopy in a Sessile Serrated Adenoma/polyps Across the U.S.: Results From a National Large Academic Health System Sample Using GIQUIC Registry Courtney Reynolds, MD, PhD, Folasade P. May, MD, PhD, Reinalyn Cates, Aasma Shaukat, MD, MPH1, Jennifer Holub, MPH2, Colleen Schmitt, MD3; BS, Anna Betlachin, MD, Vishnu Nair, BS, Carmen Carrillo, MA, MHS, John 1University of Minnesota, Minneapolis, MN; 2GIQUiC, Baltimore, MD; Mafi, MD, MPH; University of California Los Angeles, Los Angeles, CA 3Chattanooga GI, Chattanooga, TN P2000. Evaluation of Anti-Carcinogenic Genes in the Colon of Ulcerative P1991. Colorectal Cancer Prevalence and Adherence to Colon Cancer Colitis Patients After Long-Term Mesalamine (5-ASA) Therapy Screening in Asian Patients: A Single-Center, Cross-Sectional Study Manisha Bajpai, PhD1, Darren Seril, MD, PhD1, James Gurp, MD1, Xin Geng, Katerina Shetler, MD1, Barry Eisenberg, MD1, Santosh Gummidipundi2, Nathan MD1, Janet Alvarez, BS1, Steve Gorin, BS1, Carlos Minacapelli, MD1, Koushik S. Ramrakhiani3, Edward E. Yu, MD1, Edward Huang, MD1, Sandra Wilson, Das, MD2, Elizabeth Poplin, MD1, Jerry Cheng, PhD1, Peter Amenta, PhD2; 1Palo Alto Medical Foundation, Mountain View, CA; 2PAMF Research MD, PhD3, Kiron Das, MD, PhD1; 1Rutgers University, New Brunswick, Institute, Mountain View, CA; 3Palo Alto High School, Palo Alto, CA NJ; 2Washington University School of Medicine, St. Louis, MO; 3Joslin Diabetes Center, Boston, MA P1992. Colorectal Cancer Prevalence and Adherence to Colon Cancer Screening in African American, Hawaiians/Pacific Islanders, and American P2001. Colorectal Cancer on the U.S.-Mexico Border: An Epidemiological Indian Patients - Single-Center Cross-Sectional Study Study in an Indigent Hispanic Population Katerina Shetler, MD1, Barry Eisenberg, MD1, Santosh Gummidipundi2, Alejandro Robles, MD1, Mohammad Bashashati, MD2, David Perez Ingles, Shetler Shetler3, Sanjay Ramrakhiani, MD1, Edward E. Yu, MD1, Edward MD1, Alejandro Del Cerro Rondon, MD1, Meghan McAlice, DO1, Munaza Huang, MD1, Sandra Wilson, PhD2; 1Palo Alto Medical Foundation, Gohar, MD1, Priyadarshini Loganathan, MD3, Joshua Hahn1, Sumit Gaur, Mountain View, CA; 2PAMF Research Institute, Mountain View, CA; MD1, Abhizith Deoker, MD1; 1Texas Tech Health Sciences Center, El Paso, 3Saratoga High School, Saratoga, CA TX; 2Texas Tech University Health Sciences Center, El Paso, TX; 3Texas Tech University Health Sciences Center, El Paso, TX P1993. Temporal Trends and Risk Factors for Post-Colonoscopy Colorectal Cancer P2002. Trends in Colorectal Cancer Screening and Diagnosis Through  Presidential Poster Award Colonoscopy at the University of Wisconsin-Madison From 2013-2016 Eugenia Uche-Anya, MD, MPH, Nicole DeCuir, MD, Benjamin Lebwohl, MD, Jeffrey Hubers, MD1, Amnon Sonnenberg, MD, MSc2, Deepak Gopal, MD, MS; Columbia University Medical Center, New York, NY FACG1, Jennifer Weiss, MD, MS1, Thomas Holobyn, MD1, Anurag Soni, MD1; 1University of Wisconsin Hospitals and Clinics, Madison, WI; 2Oregon P1994. Physician Attitudes Regarding Post-Colonoscopy Colorectal Health and Science University, Portland, OR Cancers (PCCRCs) Eugenia Uche-Anya, MD, MPH, Richard Rosenberg, MD, Benjamin P2003. Low-Residue Diet Bowel Preparation in a Veteran Population: Lebwohl, MD, MS; Columbia University Medical Center, New York, NY Satisfaction, Compliance, and Risk Factors for Inadequate Bowel Preparation P1995. Improving Compliance of Colorectal Cancer Screening Through Chethan Ramprasad, MD 1, Sandy Ng, MD 1, Peter S. Liang, MD, MPH2; Housestaff Education in an Urban Community Hospital: A Quality 1New York University, New York, NY; 2NYU Langone Health/VA New York Improvement Study Harbor Health Care System, New York, NY Vahe Shahnazarian, MD, MPH, Santosh Sharma, MD, Jamil Shah, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY P1996. Trainees’ Influence on Adenoma Detection and Follow-Up COLORECTAL CANCER PREVENTION Recommendations at Screening and Surveillance Colonoscopies Clinical Vignettes / Case Reports Joan Kheder, MD1, Alexander J. Eckardt, MD2, Yasir Al-azzawi, MD3, Anjali Basil, MD4, Taryn Silverstein, DO 5, Krunal Patel, MD1, Mohammad P2004. The Li Fraumeni Dilemma: Early Onset Colorectal Cancer due to Mahmood, MD1, Daniel Ellis, MD1, Yoel Carrasquillo Vega, MD1, William TP53 Mutation Gillespie, MD1, John Levey, MD1; 1University of Massachusetts Medical Kavya Kelagere Mayigegowda, MD1, Rinad Tabbalat, MD1, Aditya School, Worcester, MA; 2DKD Helios Klinik Wiesbaden, Wiesbaden, Kalakonda, MD2, David Desilets, MD, PhD1; 1University of Massachusetts Hessen, Germany; 3University of Massachusetts Memorial Medical Center, Medical School - Baystate Medical Center, Springfield, MA;2 University of Worcester, MA; 4Gastroenterology Associates of SE Massachusetts, Massachusetts, Baystate Medical Center, Springfield, MA Brockton, MA; 5Medical Specialists of the Palm Beaches, Wellington, FL P2005. Improving Compliance With CMS Colonoscopy Core Measures: A P1997. Early Stage Colorectal Cancer Detection Using Artificial Intelligence Quality Improvement Intervention and Whole-Genome Sequencing of Cell-Free DNA in a Retrospective Vahe Shahnazarian, MD, MPH, Santosh Sharma, MD, Arpi Patel, MD, Daryl Cohort of 1,040 Patients Ramai, MD, MScBR, Krishna C. Gurram, MD, Madhavi Reddy, MD, FACG; Katherine Niehous, PhD, Nathan Wan, MS, Brandon White, Ajay Kannan, The Brooklyn Hospital Center, Brooklyn, NY BA, Erik Gafni, BS, Tzu-Yu Liu, PhD, Imran Haque, PhD, Girish Putcha, MD, PhD; Freenome, South San Francisco, CA P2006. Langerhans Cell Histiocytosis Diagnosed During Routine Screening Colonoscopy P1998. Let Them Eat! A Low Residue Diet Is an Effective Alternative to Christian L. Horn, MD1, Amilcar L. Morales-Cardona, MD2; 1Brooke Army Clear Liquids for Screening Colonoscopy Preparation in the Community Medical Center, San Antonio, TX; 2San Antonio Military Medical Center, Gastroenterology Setting Fort Sam Houston, TX Muddasir Ayaz, MD1, Theodore James, MD1, Hailey J. James, MHA2, Christopher McGowan, MD, MSCR3, Millie D. Long, MD, MPH4; 1University P2007. Stercoral Rectal Ulceration or a Missed Diagnosis of Rectal of North Carolina, Chapel Hill, NC; 2Gillings School of Global Public Carcinoma: Primary Signet Ring Cell Carcinoma of the Rectum Presenting Health, Chapel Hill, NC; 3Cary Gastroenterology, Cary, NC; 4University of as Fecal Incontinence in an Elderly Female Tooba Tariq, MD1, Furqan B. Irfan, MBBS2; 1WMU School of Medicine, North Carolina, Center for Gastrointestinal Biology and Disease, Chapel Portage, MI; 2Michigan State University, College of Osteopathic Medicine, Hill, NC Portage, MI

144 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

ENDOSCOPY VIDEO FORUM P2019. Clinical Response Is Associated with Improvement in Health- Related Quality of Life in Patients with Persistent GERD Symptoms P2008. Sweet Potato Esophagus Hancheng Jiang, MS, James Shao, MS, Oluwafunke Ojo, MPH, Jennifer T. Andrew Mertz, MD1, Zachary Junga, MD2, Sarah Ordway, MD1, Adam Hanlon, MPH, Elizabeth P. Shea, PhD, Douglas C.A. Taylor, MBA; Ironwood Tritsch, MD1; 1Walter Reed National Military Medical Center, Bethesda, MD; Pharmaceuticals, Inc., Cambridge, MA 2Walter Reed National Military Medical Center, Silver Spring, MD P2020. Esophageal Biopsies for All? The Diagnostic Yield of Esophageal P2009. Through the Scope Removal and Resheath of a Lumen Apposing Biopsies in Patients Referred for EGD to Investigate Dysphagia in Excluding Metal Stent as Salvage Technique After Misdeployment During EUS-Guided Significant Esophageal Eosinophilia When No Other Cause Is Apparent Choledochoduodenostomy Thomas Garvey, MBBCh, BAO, MRCP, Chirag Oza, MBBS, BSc, FRCP;  Presidential Poster Award Broomfield Hospital, NHS, Chelmsford, England, United Kingdom Andres Sanchez-Yague, MD, PhD, FACG, Cristina Lopez-Muñoz, RN, Robin Rivera Irigoin, MD, Andres Sanchez Cantos, MD; Hospital Costa del Sol, P2021. Gender and Race Disparities in Prevalence and In-Hospital Marbella, Andalucia, Spain Mortality of Esophageal Cancer Elizabeth Brindise, DO1, Imad Elkhatib, MD2, Aneesh Kuruvilla, DO1, Rogelio P2010. A Novel Clip Facilitated Tissue Traction Technique in ESD: “The Silva, MD1; 1University of Illinois at Chicago - Advocate Christ Medical Cleveland Method” Center, Oak Lawn, IL; 2Advocate Christ Medical Center, Oak Lawn, IL  Presidential Poster Award Ipek Sapci, MD1, Conor Delaney, MD, PhD2, Emre Gorgun, MD2; 1Cleveland P2022. Early Dysplasia After Initial Diagnosis of Barrett’s Esophagus: Clinic, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH When Should We Initiate Surveillance? Eugene Kligman, MD1, Mustafa Abdulsada, MBBS1, Sarah Cheney1, Ruifei P2011. A Rare Dieulafoy Lesion in the Periampullary Duodenum Wang1, Ngoc Duong, PA-C2, Havis Nguyen, PA-C2, Maria Jarbrink-Seghal, Sindhura Kolli, MD, Amit Mori, MD, Krishna C. Gurram, MD; The Brooklyn MD1, Clark Hair, MD1, Maria Velez, MD1, Gyanprakash Ketwaroo, MD1; Hospital Center, Brooklyn, NY 1Baylor College of Medicine, Houston, TX; 2Michael E. DeBakey VA Medical Center, Houston, TX P2012. Wire-Guided Stricturotomy for Sealed Ileal Pouch  Presidential Poster Award P2023. Intrabolus Pressure Predicts Delayed Esophageal Emptying in Freeha Khan, MD1, Bo Shen, MD2; 1Cleveland Clinic, Cleveland, OH; TUESDAY EGJ Outflow Obstruction POSTERS 2Cleveland Clinic Digestive Disease Institute, Cleveland, OH Matthew Hoscheit, MD1, Scott Gabbard, MD2; 1The Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH P2013. Utilization of a Lumen-Apposing Metal Stent in Palliating Malignant Gastric Outlet Obstruction P2024. Association Between Aberrant p53 Expression and Risk of Abdelkader Chaar, MD, Rajat Garg, MD, Mohammed Barawi, MD; St. John Neoplastic Progression in Barrett’s Esophagus Hospital and Medical Center, Detroit, MI Cassandra Sanossian, MD1, Antonio R. Cheesman, MD1, Christopher J. DiMaio, MD1, Nikhil Kumta, MD, MS2, Alexandros Polydorides, MD, PhD3, P2014. EUS-Guided Biliary Drainage as an Alternative to ERCP in Patients Satish Nagula, MD1; 1Icahn School of Medicine at Mount Sinai, New With Biliary Obstruction York, NY; 2Mount Sinai Hospital, New York, NY; 3Mount Sinai Medical Neha Hingorani, MD1, Chaitanya Allamneni, MD2, C. Mel Wilcox, MD2, Ali Center, New York, NY M. Ahmed, MD2, Shajan Peter, MD2, Kondal Rao Kyanam Kabir Baig, MD3; 1UAB Hospital, Birmingham, AL; 2University of Alabama at Birmingham, P2025. Gastric Emptying Is Not Associated With Esophageal Motility Birmingham, AL; 3UAB, Birmingham, AL Pattern or Patient Outcomes After Lung Transplantation Nancy Yang, MD1, Shai Posner, MD1, Alice Parish, MSPH2, Rahul Shimpi, P2015. EUS-Guided Coil and Glue Embolization of Jejunal Varices MD2, Richard Wood, MD2, Thomas Finn, MD, MBA1, Deborah Fisher, MD,  Presidential Poster Award MHS2, Matthew Hartwig, MD, MHS2, Jacob Klapper, MD2, John Reynolds, Jaehoon Cho, MD1, Stuart T. Schroff, MD2, James Buxbaum, MD2, Ara MD2, Donna Niedzwiecki, PhD2, David A. Leiman, MD, MSHP2; 1Duke B. Sahakian, MD2; 1University of Southern California, Los Angeles, CA; University, Durham, NC; 2Duke University School of Medicine, Durham, NC 2University of Southern California School of Medicine, Los Angeles, CA P2026. Effects of a Gastric-Retentive Extended-Release Bile Acid Sequestrant on Esophageal Erosions in Patients With Persistent GERD: ESOPHAGUS Exploratory Analysis From a Phase 2B Study of IW-3718 Peter Kahrilas, MD1, James Shao, MS2, Yan Chen, PhD2, Elizabeth P. Shea, P2016. Ineffective Esophageal Motility (IEM) Is a Manometric Disorder PhD2, Mark G. Currie, PhD2, Robert Mittleman, MD, MS2; 1Northwestern Poorly Recognised by Barium Radiography University Feinberg School of Medicine, Chicago, IL; 2Ironwood Mohamed H. Khalaf, MS, MD1, Mustafa Abdul-Hussein, MS, MD2, Stephen Pharmaceuticals, Inc., Cambridge, MA I. Schabel, MD1, Hanan Nouh, MD, PhD3, Pooja Elias, MD, MPH1, Donald O. Castell, MD, MACG1; 1Medical University of South Carolina, Charleston, SC; P2027. Are Current Guidelines Appropriate for Hispanic Barrett’s 2MUSC, Charleston, SC; 3Alexandria Faculty of Medicine, Alexandria, Al Esophagus Patients? Results of a Nationwide Analysis 1 1 2 Iskandariyah, Egypt Paul T. Kroner, MD, MSc , Alex M. Kesler, MD , Karl Mareth, MD , Brian Ting, MD3, Juan Corral, MD1, Herbert Wolfsen, MD1; 1Mayo Clinic Florida, P2017. Length Normalisation for Pharyngeal and Distal Contractile Jacksonville, FL; 2Mayo Clinic, Jacksonville, FL; 3Johns Hopkins Hospital, Integrals: Is It Necessary? Baltimore, MD Mohamed H. Khalaf, MS, MD, Florence A. Othieno, MD, Lindsey Shehee, MD, Ashli O’Rourke, MD; Medical University of South Carolina, Charleston, SC P2028. An Evaluation of the Quality of Esophageal Biopsies in Patients with Eosinophilic Esophagitis P2018. Ineffective Esophageal Motility (IEM): Not a Subset of a Diffuse Adam Van Huis, MD1, Paul Co, MD1, Mukund Venu, MD1, William H. Adams, Gastrointestinal Dysmotility PhD2, Rizwan Mahmood, BS1, Neil Gupta, MD, MPH3, Nikhil Shastri, MD1, Mohamed H. Khalaf, MS, MD1, Kate Freeman, RN, MSN, ANPC, FNP2, Aylin Xianzhong Ding, MD1; 1Loyola University Medical Center, Maywood, IL; Tansel, MD, MPH1, Reginald Bell, MD2, Hanan Nouh, MD, PhD3, Donald O. 2Loyola University Chicago, Maywood, IL; 3Loyola University Health Castell, MD, MACG1; 1Medical University of South Carolina, Charleston, SC; System, Chicago, IL 2Institute of Esophageal and Reflux Surgery, Englewood, CO;3 Alexandria Faculty of Medicine, Alexandria, Al Iskandariyah, Egypt Register for ACG 2018: acgmeetings.gi.org / 145 POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2029. Does EUS Add Information to FDG-PET/CT and EGD in the Initial P2038. Peroral Endoscopic Myotomy (POEM) Is an Effective Treatment Management of Esophageal Cancer? A Prospective Single-Center Study Option in Achalasia Patients With Normal Lower Esophageal Sphincter- Mark Radlinski, MD, Patrick Northup, MD, MPH, Brian Sauer, MD, Integrated Relaxation Pressure (LES-IRP) MPH, Terri Rodee, RN, Vanessa M. Shami, MD; University of Virginia, Madhusudhan R. Sanaka, MD1, Malav P. Parikh, MD2, Prasanthi N. Thota, Charlottesville, VA MD1, Niyati M. Gupta, MD3, Shashank Sarvepalli, MD3, Scott Gabbard, MD2, Rocio Lopez, MS4, Sudish Murthy, MD, PhD2, Siva Raja, MD, PhD2; P2030. The Epidemiology of Barrett’s Esophagus and Malignant 1Cleveland Clinic Digestive Disease Institute, Cleveland, OH; 2Cleveland Esophageal Neoplasms in Obesity: An Explorative Population-Based Study Clinic, Cleveland, OH; 3Cleveland Clinic Foundation, Cleveland, OH; Mohannad Abou Saleh, MD1, Kamal Khorfan, MD2, Mohammed Z. 4Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH Sheriff, MD3, Emad Mansoor, MD4, Amitabh Chak, MD3; 1Cleveland Clinic Foundation, Cleveland, OH; 2Henry Ford Health System, Detroit, MI; P2039. Severity of Obesity Does Not Impact the Outcomes of Peroral 3University Hospitals Cleveland Medical Center, Cleveland, OH; 4Case Endoscopic Myotomy (POEM) in Achalasia Western Reserve University/University Hospitals Cleveland Medical Madhusudhan R. Sanaka, MD1, Malav P. Parikh, MD2, Prasanthi N. Thota, Center, Cleveland, OH MD1, Niyati M. Gupta, MD3, Scott Gabbard, MD2, Rocio Lopez, MS4, Sudish Murthy, MD, PhD2, Siva Raja, MD, PhD2; 1Cleveland Clinic Digestive Disease P2031. Obesity Is Associated With an Increased Time to Repeat Dilation in Institute, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Cleveland Adult Patients With Eosinophilic Esophagitis Clinic Foundation, Cleveland, OH; 4Lerner Research Institute/Cleveland Dorothea Letner, BSc1, Abigail Belasen, BSc2, Sadra Azizi-Ghannad, MD1, Clinic Foundation, Cleveland, OH Paul J. Feustel, PhD1, Micheal Tadros, MD, MPH1; 1Albany Medical College, Albany, NY; 2Albany Medical Center, Albany, NY P2040. Peroral Endoscopic Myotomy (POEM) Is an Effective Treatment Modality for All Subtypes of Achalasia P2032. Bethanechol Does Not Improve Dysphagia in Patients With Madhusudhan R. Sanaka, MD1, Malav P. Parikh, MD2, Subanandhini Ineffective Esophageal Motility and Defective Bolus Transit Subramaniam, MD3, Prasanthi N. Thota, MD1, Niyati M. Gupta, MD3, Rocio Ala Abdel Jalil, MD1, Janice Freeman, RN2, Donald O. Castell, MD, MACG3; Lopez, MS4, Scott Gabbard, MD2, Sudish Murthy, MD, PhD2, Siva Raja, 1Center for Interventional Endoscopy, Florida Hospital, Columbia, MO; 2MUSC, MD, PhD2; 1Cleveland Clinic Digestive Disease Institute, Cleveland, OH; Charleston, SC; 3Medical University of South Carolina, Charleston, SC 2Cleveland Clinic, Cleveland, OH; 3Cleveland Clinic Foundation, Cleveland, P2033. High-Resolution Manometry Diagnosis of Ineffective Esophageal OH; 4Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH Motility Is Associated With Higher Reflux Burden P2041. Prognostic Significance of Positive Deep Margins on Endoscopic Chanakyaram Reddy, MD, Jason Baker, PhD, Joyee Lau, MPH, Joan Chen, Resection Specimens of Esophageal Adenocarcinoma: A Cohort Study MD, MSCI; University of Michigan, Ann Arbor, MI  Presidential Poster Award P2034. A Subgroup of Patients with Esophagogastric Junction Outflow Nicholas McDonald, MD1, Adharsh Ravindran, MBBS2, Michele Johnson1, Obstruction Demonstrate Higher Reflux Burden Ramona Lansing1, Cadman Leggett, MD1, Kenneth K. Wang, MD1, Prasad G. Chanakyaram Reddy, MD, Jason Baker, PhD, Lydia Watts, BS, Joan Chen, Iyer, MD1; 1Mayo Clinic, Rochester, MN; 2University of Buffalo, Buffalo, NY MD, MSCI; University of Michigan, Ann Arbor, MI P2042. Identifying Gaps in the Treatment Pathway for GERD P2035. Esophagogastric Junction Outflow Obstruction: Features, Etiology, Courtney Reynolds, MD, PhD1, Elizabeth Aby, MD1, Meghan Nechrebecki, and Outcome in a Single-Center Experience - Time for Standardization? MSPH1, Nasim Afsarmanesh, MD, MBA2, Cody Dashiell-Earp, MD1, Raman Anusha Shirwaikar Thomas, MD1, Minjeong C. Kwon, MD1, Alejandro Muthusamy, MD1; 1University of California Los Angeles, Los Angeles, CA; Granillo, MD1, Eamonn M.M. Quigley, MD, MACG2, Gulchin A. Ergun, 2University of California Irvine, Orange, CA 1 1 2 MD ; Houston Methodist Hospital, Houston, TX; Houston Methodist P2043. A Quality Improvement Project: High Resolution Impedance Gastroenterology Associates, Houston, TX Manometry (HRIM) Distilled Water (DW) Challenge: Quantifies Esophageal P2036. To Test or Not to Test? A Role for Comprehensive Food and Wall Impedance and Clearance in Patients with Abnormal Bolus Transit Aeroallergen Testing in Adults With Eosinophilic Esophagitis  Presidential Poster Award Annie Braseth, MD, Jill Poole, MD, Fang Qiu, MS, Samantha Simet, PhD, Matthew Gideon, Stacey Zavala, MD; Einstein Healthcare Network, Alexander Hewlett, DO; University of Nebraska Medical Center, Omaha, NE Philadelphia, PA P2037. Predictors of Non-Adherence to the Seattle Biopsy Protocol for P2044. An Analysis of Objective pH Testing in Post-POEM Achalasia Barrett’s Esophagus Patients Undergoing Surveillance Endoscopy: A Patients Study From the GI Quality Improvement Consortium (GIQuIC) Quality Matthew Woo, MD1, Mandip Rai, BSc, MD2, Stephanie Canning, MBBCh3, Benchmarking Registry Amar Chakraborty, BHSc, MD4, Robert Bechara, MD5; 1Queen’s University,  Presidential Poster Award Kingston, ON, Canada; 2Queen’s University, Kingston, ON, Canada; Sachin Wani, MD1, J. Lucas Williams, MPH2, Sri Komanduri, MD3, Raman 3University of Ottawa, Ottawa, ON, Canada; 4Queen’s University, Muthusamy, MD4, Nicholas J. Shaheen, MD, MPH5; 1University of Colorado Mississauga, ON, Canada; 5Queen’s University, Kingston Health Sciences Anschutz Medical Campus, Aurora, CO; 2GI Quality Improvement Centre, Kingston, ON, Canada Consortium, Bethesda, MD; 3Feinberg School of Medicine, Northwestern 4 P2045. The Association Between Electronic Cigarette Smoking and University, Chicago, IL; University of California Los Angeles, Los Angeles, Gastroesophageal Reflux Disease: A Population-Based Study CA; 5University of North Carolina School of Medicine, Chapel Hill, NC Ahmad Fariz Malvi Zamzam Zein, MD1, Catur Setiya Sulistiyana, MD1, Murdani Abdullah, MD, PhD, FACG2; 1Faculty of Medicine, Swadaya Gunung Jati University, Cirebon, Jawa Barat, Indonesia; 2Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia, Jakarta, Jakarta Raya, Indonesia

146 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2046. Variations in the Clinical Course of Patients With Herpes Simplex P2056. Pulsatile Esophagus: An Endoscopic Clue to a Rare Etiology of Virus Esophagitis Based on Immunocompetence and Presence Underlying Dysphagia Esophageal Disease Thomas Mellor, DO1, Jonathan Francis, MD2, Manish Singla, MD2; 1Naval Patrick Hoversten, MD, Tsung-Teh Wu, MD, PhD, David A. Katzka, MD; Medical Center San Diego, San Diego, CA; 2Walter Reed National Military Mayo Clinic, Rochester, MN Medical Center, Bethesda, MD P2047. Endoscopic Submucosal Dissection for the Treatment of Early P2057. A Rare Case of Acute Esophageal Necrosis Due to Gastric Outlet Esophageal Adenocarcinoma in the U.S.: Similar Outcomes to the Asian Obstruction From a Malignant Duodenal Ulcer Experience Rajarajeshwari Ramachandran, MD1, Michael Asike, MD2; 1Greater Mohamed Othman, MD1, Abdelaziz Tabash, MD1, Yahya Ahmed, MD1, Baltimore Medical Center, Baltimore, MD; 2Greater Baltimore Medical Sadhna Dhingra, MD1, Sherif Andrawes, MD2; 1Baylor College of Medicine, Center, Towson, MD Houston, TX; 2Staten Island University Hospital, Staten Island, NY P2058. Mucous Membrane Pemphigoid With Refractory Dysphagia Patricia Garcia, MD, Sarah Mattessich, BS, Rahul Sao, MD, Houman ESOPHAGUS Rezaizadeh, MD, Jun Lu, MD; University of Connecticut, Farmington, CT Clinical Vignettes/Case Reports P2059. Pseudoachalasia Due to Infiltrative Malignancy Not Identified on Cross-Sectional Imaging P2048. Acute Esophageal Necrosis (AEN): A Potentially Fatal Outcome of Patrick Avila, MD1, Amandeep Shergill, MD1, Kenneth McQuaid, MD1, Lygia Cocaine Abuse Stewart, MD1, Rabindra Watson, MD2, Priya Kathpalia, MD1; 1University Hafez Mohammad Abdullah, MD1, Waqas Ullah, MD2, Mamoon Ur Rashid, of California San Francisco, San Francisco, CA; 2San Francisco VA, San MD3, Abu Hurairah, MD4; 1University of South Dakota, Sioux Falls, SD; Francisco, CA 2Abington Memorial Hospital, Abington, PA; 3Florida Hospital, Orlando, FL; 4SUNY Downstate, Brooklyn, NY P2060. Unusual Presentation of Boerhaave’s Syndrome: Self-Limiting Spontaneous Perforation of the Mid-Esophagus P2049. Herpes Simplex Esophagitis in Immunocompetent Patients: Khrystyna Babenko1, Iryna S. Hepburn, MD, FACG, FACP2; 1Temple A Rare Entity University, Lititz, PA; 2WellSpan Health, Lebanon, PA Hafez Mohammad Abdullah, MD1, Waqas Ullah, MD2, Waseem Amjad, TUESDAY POSTERS MD3, Faisal Inayat, MBBS4; 1University of South Dakota, Sioux Falls, SD; P2061. Change Can Be Difficult to Swallow: Progression of 2Abington Memorial Hospital, Abington, PA; 3Northwell Health Long Esophagogastric Junction Outflow Obstruction to Overt Achalasia Island Jewish Forest Hills Hospital, Forest Hills, NY; 4Allama Iqbal Medical Ashish C. Ahuja, MD; University of Pittsburgh Medical Center Mercy, College, Lahore, Punjab, Pakistan Pittsburgh, PA P2050. A Case of Downhill Esophageal Varices in a Patient With Superior P2062. Esophageal Varices: It’s Not Always an Uphill Battle Vena Cava Obstruction Elizabeth Hubbard, MD, Karen Ma, MD, Rana Abraham, MD; Rush Lavneet Chawla, MD, Suman Pal, MD, Naga Kanaparthy, MD; Westchester University Medical Center, Chicago, IL Medical Center, Valhalla, NY P2063. A Case of an Inlet Patch Causing Laryngopharyngeal Reflux P2051. Esophageal Lichen Planus: A Rare Condition and a Unique Ashley Rossi, MD1, Amanda Pressman, MD2, Fadlallah Habr, MD3; Treatment Approach 1Brown University/Rhode Island Hospital, Providence, RI; 2Lifespan/Brown Kaio S. Ferreira, MD1, Mena Bakhit, MD2, Ga Hi Nam, MD1, Zilla Hussain, MD3; University, Providence, RI; 3Lifespan Physician Group, Providence, RI 1 2 Brown University, Providence, RI; Warren Alpert Medical School of Brown P2064. A Hole in the Soul: A Rare Complication Post TEVAR 3 University, Providence, RI; Lifespan Physicians Group, Providence, RI Barakat Aburajab Altamimi, MD, Fadi Niyazi, MD, Rami El Abiad, MD; P2052. An Interesting Case of a Rare Cause of Dysphagia and a Novel University of Iowa Hospitals & Clinics, Iowa City, IA Approach to Treatment P2065. Esophageal Ulcers in Primary Biliary Cholangitis: A Rare Cause of 1 2 1 Brittany Seminara, MD , Andrew Dries, MD ; Atrium Health, Charlotte, NC; Hematemesis in the Setting of Portal Hypertension and Esophageal Varices 2 Carolinas Medical Center, Charlotte, NC Sindhura Kolli, MD1, Amit Mori, MD1, Isaac Moshenyat, MD2; 1The Brooklyn P2053. Esophageal Ulceration Following Mitomycin C Application for Hospital Center, Brooklyn, NY; 2NYU Langone Hospital-Brooklyn, Benign Refractory Stricture Brooklyn, NY 1 1 Rintaro Hashimoto, MD, PhD , Daniel Mai, BSc , Ericson John Torralba, P2066. Immune-Related Esophagitis and Duodenitis Secondary to 1 1 2 1 BSc , Allen R. Yu, BS , David P. Lee, MD, MPH , Jason Samarasena, MD ; Nivolumab-Ipilimumab Combination Therapy 1 2 University of California Irvine Medical Center, Orange, CA; University of Susan Wang, MD, Shannon Morales, MD, MBA, Bing Ren, MD, PhD, Mary California Irvine, Orange, CA Drinane, MD; Dartmouth-Hitchcock Medical Center, Lebanon, NH P2054. Acute Esophageal Necrosis in a Patient with Hepatitis C and P2067. Coughing up a Polyp: A Rare Cause of Dysphagia! Hepatocellular Carcinoma Jennifer Coukos, MD1, Joan Kheder, MD2, Alec Vaezi, MD, PhD1, Jaroslav 1 2 2 1 Ridwaan Albeiruti, MD , Hiren Vallabh, MD , Justin Kupec, MD ; West Zivny, MD1; 1University of Massachusetts Medical Center, Worcester, MA; 2 Virginia University School of Medicine, Morgantown, WV; West Virginia 2University of Massachusetts Medical School, Worcester, MA University Hospital, Morgantown, WV P2068. Treatment of Barrett’s With Balloon Cryotherapy Is Feasible and P2055. Idiopathic Ulcerative Esophagitis in a Patient With HIV Safe in Patients With Prior Magnetic Sphincter Augmentation Device 1 2 3 Kruti Patel, DO , Ryan Kahl, DO , Jeffrey Sobecki, DO , Robert Palma, (MSAD) 4 5 1 DO , Sumit Kapoor, MD ; Genesys Regional Medical Center/Ascension/ Jessica L. Sterling, MD1, Abbas Abbas, MD1, Michael S. Smith, MD, MBA2, 2 MSU, Grand Blanc, MI; Providence-Providence Park Hospital, Southfield, Zubair Malik, MD3; 1Temple University Hospital, Philadelphia, PA; 2Mount 3 4 MI; Doctors Hospital/OhioHealth, Columbus, OH; Doctors Hospital/ Sinai West & Mount Sinai St. Luke’s Hospitals, New York, NY; 3Lewis Katz 5 OhioHealth/OUHCOM, Columbus, OH; Doctors Hospital/Ohiohealth, School of Medicine at Temple University, Philadelphia, PA Columbus, OH

P2069. Multiple Esophageal Polyps: Unusual Endoscopic Finding of P2081. Esophageal Epidermoid Metaplasia - A Management Dilemma Eosinophilic Esophagitis - Case Report Dalal Alhaqqan, MBBS1, Daniel A. Sussman, MD, MSPH2, Mohit Girotra, Ahmed M. Badi, MBBCh, MD1, Khalil H. Sultan, MBBCh, MD2; 1Hamad MD, FACP2; 1University of Miami Jackson Memorial Hospital, Miami, FL; Medical Corporation, Doha, Al Khawr, Qatar; 2Hamad Medical 2University of Miami Leonard M. Miller School of Medicine, Miami, FL Corporation, Doha, Ad Dawhah, Qatar P2082. A Rare Case of Esophageal Eosinophilia Secondary to Bullous P2070. A Case Report on Dysphagia and Edema in an Elderly Patient: Pemphigoid Warning Signs for Severe Dermatomyositis Myung Ko, MD, John Cannatella, MD, Jonathan P. Terdiman, MD, FACG, Priya Christina DiMaria, DO, RD1, Heather C. Fackelman, DO2, Rachel Masia, Kathpalia, MD; University of California San Francisco, San Francisco, CA DO3, Terrie Ginsberg, DO4, David J. Libon, PhD5; 1Einstein Medical Center, P2083. Lymphocytic Esophagitis Masquerading as Gastroesophageal Philadelphia, PA; 2Nemours A.I. duPont Hospital for Children, Wilmington, Reflux Disease-Induced Peptic Strictures DE; 3Rowan University School of Osteopathic Medicine, Manalapan, NJ; Hesham Tayel, MD1, Brian Kim, DO2, Ana Martinez-Tapia, MD1, Hussam 4Rowan University School of Osteopathic Medicine, Stratford, NJ; 5Rowan Tayel, MD3, Rodrigo Duarte-Chavez, MD4, Ayaz Matin, MD1; 1St. Luke’s University, School of Osteopathic Medicine, New Jersey Institute for University Hospital Health Network, Bethlehem, PA; 2St. Luke’s University Successful Aging, Stratford, NJ Health Network, Allentown, PA; 3St. Luke’s University Health Network, P2071. Dark and Deadly Down the Throat: Case Report of Acute Bethlehem, PA; 4St. Luke’s University Hospital Health Network, Fountain Esophageal Necrosis Hill, PA Sushant Nanavati, MD, Vinod Kumar, MD, Gabriel Melki, MD, Abdalla P2084. Isolated Dysphagia: An Unusual Presentation of a Lateral Mohamed, MD, Hesham Yasin, MD, Youssef Botros, MD, Patrick Michael, Medullary Lesion MD; St. Joseph’s University Medical Center, Paterson, NJ Layth Alzubaidy, BS, MS, Muhannad Al Hanayneh, MD, Timothy Krill, MD, P2072. Dysphagia: Got to Take It to Heart Sreeram Parupudi, MD, FACP, FACG; University of Texas Medical Branch, Bianca Islam, PhD, Jigar Bhagatwala, MD, MPH, Jai Eun Lee, MD, Galveston, TX Subbaramiah Sridhar, MBBS, MPH, FACG, MRCP, Humberto Sifuentes, MD; P2085. Esophageal Plaques in a 67-Year-Old Female Augusta University, Augusta, GA Seyed Farzad Marashi nia, MD, Wei Cui, MD, Reza Hejazi, MD; Kansas P2073. When Esophageal Interventions Have Unintended Consequences University Medical Center, Kansas City, KS Nicholas Oblizajek, MD1, Marcella Tschautscher, MD1, Stephanie L. Hansel, P2086. A Rare Case of Esophageal Intramural Pseudodiverticulosis with MD, MS2; 1Mayo School of Graduate Medical Education, Rochester, MN; Concomitant Eosinophilic Esophagitis 2Mayo Clinic, Rochester, MN Vahe Shahnazarian, MD, MPH, Amit Mori, MD, Madhavi Reddy, MD, FACG; P2074. Eosinophilic Esophagitis Complicated by a Distal Esophageal The Brooklyn Hospital Center, Brooklyn, NY Stricture in a 15-Month-Old Infant P2087. Giant Esophageal Ulcer in a Patient with Acquired Hong Jennifer, MD, MPH, Samra Blanchard, MD, Anupama Kewalramani, Immunodeficiency Syndrome MD, Elaine Leonard Puppa, RN, MEd, MSN, DHA, CCRP, Nidhi Rawal, MD, Awwadah Asalah, Seyed Farzad Marashi nia, MD, Maura F. O’Neil, MD, MPH; University of Maryland Medical Center, Baltimore, MD Reza Hejazi, MD; Kansas University Medical Center, Kansas City, KS P2075. Esophageal Squamous Cell Carcinoma in the Setting of Chronic Mucocutaneous Candidiasis P2088. Warthin-Like Tumor of the Esophagus Ana Martinez-Tapia, MD1, Rodrigo Duarte-Chavez, MD2, Ayaz Matin, MD1, Alan Erdmann, MD, Martin Scobey, MD, FACG, Thomas Roberts, MD; Firas Ido, MD3, Santo Longo, MD4, Atef Labeeb, MD4; 1St. Luke’s University Carolinas Medical Center, Charlotte, NC Hospital Health Network, Bethlehem, PA; 2St. Luke’s University Hospital P2076. Successful Cryoablation Eradication of an Esophageal Health Network, Fountain Hill, PA; 3Wayne State University, Rochester Gastrointestinal Stromal Tumor Hills, MI; 4St. Luke’s University Hospital, Bethlehem, PA Daniel Mai, BSc1, Ericson John Torralba, BSc1, Michelle Park, MD1, Allen P2089. Achalasia as a Complication of Roux-en-Y Gastric Bypass Yu, BSc1, David P. Lee, MD, MPH2, Rintaro Hashimoto, MD, PhD1, Jason Dema Shamoon, MD, Sushant Nanavati, MD, Vinod Kumar, MD, Vanessa Samarasena, MD1; 1University of California Irvine Medical Center, Orange, Sostre, MD, Hiren Patel, MD, Matthew Grossman, MD; St. Joseph’s CA; 2University of California Irvine, Orange, CA University Medical Center, Paterson, NJ P2077. Dysphagia: The Primary Indicator of Esophageal Compression by a Pericardial Effusion P2090. Black Esophagus: Rare and Deadly Nabeeha Mohy-ud-din, MD, Omar Jilani, MD, Gurneet Bedi, MD, Vikaran Kadaba, BS1, Natalia Lattanzio, BS1, Zalmi Rahmany, BS1, John Michael Babich, MD, Manish Dhawan, MD; Allegheny Health Network, Geha, BS1, Niket Sonpal, MD2; 1Richmond University Medical Center, Staten Pittsburgh, PA Island, NY; 2Brookdale University Hospital Medical Center, Hauppauge, NY P2078. An Unusual Location for Arteriovenous Malformations P2091. Esophageal Necrosis in an Uncontrolled Diabetic Requiring Serial Dilations Alfredo Camero, Jr., MD, Christopher Moreau, BSBME, Sandeep Patel, DO; Neal Mehta, MD, MPH, MBA, MS1, Raleigh A. Jeffrey2, Philip Pack, III, DO1, University of Texas Health San Antonio, San Antonio, TX Luis Quiel, MD3; 1White River Health System, Batesville, AR; 2Lyon College, P2079. Acute Esophageal Necrosis Following Kidney Transplantation Batesville, AR; 3White River Medical Center, Batesville, AR Alex M. Kesler, MD, Paul T. Kröner, MD, MSc, Hani M. Wadei, MD; Mayo P2092. The Hard Burn - Phosphodiesterase 5 Inhibitors (PDE5 Inhibitors): Clinic Florida, Jacksonville, FL A Possible Cause/ Exacerbator of Gastro Esophageal Reflux Disease P2080. Acute Esophageal Necrosis: A Case Report Adeniyi A. Ajenifuja, MBBS1, Pooja Mysore, MS2, Niket Sonpal, MD3; Saif El Naser H. M. El Nawaa, MD, Passisd Laoveeravat, MD, Rita Medrano, 1Brookdale University Hospital Medical Center, Brooklyn, NY; 2Brookdale MD, Sakolwan Suchartlikitwong, MD, Wasawat Vutthikraivit, MD, University Hospital Medical Center, South Setauket, NY; 3Brookdale Abdussalam Shredi, MD, Kenneth Iwuji, MD; Texas Tech University Health University Hospital Medical Center, Hauppauge, NY Sciences Center, Lubbock, TX

148 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

FUNCTIONAL BOWEL DISEASE P2101. Gastrointestinal Symptoms and Dietary Practices Among the United States (U.S.) Population: A National Survey P2093. Risk Factors Associated With Development of Post-Infection Rachel Nicole Pauls, MD1, Joshua Max, MD2; 1TriHealth, Inc., Cincinnati, OH; Irritable Bowel Syndrome Following Acute Gastroenteritis in a Large Urban 2TriHealth Digestive Institute, Cincinnati, OH Healthcare Center Samuel C. Muench, MD1, Olga C. Aroniadis, MD, MS2; 1Montefiore Medical P2102. Validation of a Post-Infectious Irritable Bowel Syndrome Risk Score Center, Bronx, NY; 2Albert Einstein College of Medicine/Montefiore in an Indian Population 1 Medical Center, Bronx, NY Shivaram Prasad Singh, MBBS, MD, DM, FSGEI, FACG, FRCP [Edin] , Debakanta Mishra, MBBS, MD1, Prasanta Kumar Parida, MBBS, MD, DM1, P2094. Anti-Cytolethal Distending Toxin B Antibody (Anti-CdtB) Chitta Ranjan Khatua, MBBS, MD1, Subhendu Panigrahi, MBBS, MD1, Differentiates Functional Dyspepsia From Healthy Controls Preetam Nath, MBBS, MD, DM2, Kaibalya Ranjan Dash, MBBS, MD1, Sambit Nicholas J. Talley, MBBS, MDm, PhD, MACG1, Gerald Holtmann, MD, Kumar Behera, MBBS, MD1, Suryakant Parida, MBBS, MD1; 1SCB Medical PhD, MBA2, Marjorie M. Walker, MBBS3, Michael Jones, PhD4, Natasha College, Cuttack, Orissa, India; 2Kalinga Institute of Medical Science, A. Koloski, PhD5, Simon Keely, PhD6; 1The University of Newcastle, Bhubaneswar, Orissa, India New Lambton, New South Wales, Australia; 2University of Queensland, Brisbane, Queensland, Australia; 3University of Newcastle, Newcastle, P2103. Prevalence of Irritable Bowel Syndrome Symptoms After Fecal New South Wales, Australia; 4Macquarie University, North Ryde, New Microbiota Transplant for C. difficile 1 1 2 South Wales, Australia; 5University of Newcastle, Woolloongabba, Brendan Chen, MD , Bryce Perler, MD , Jessica R. Allegretti, MD, MPH , 3 4 1 1 Queensland, Australia; 6University of Newcastle, New Lambton Heights, Lotem Nativ, BS , Anthony D. Scotina, PhD , Colleen R. Kelly, MD ; Warren 2 New South Wales, Australia Alpert Medical School of Brown University, Providence, RI; Brigham & Women’s Hospital, Boston, MA; 3Brigham & Women’s Hospital, Chestnut P2095. Zonulin as a Biomarker to Identify the Irritable Bowel Syndrome Hill, MA; 4Simmons College, Swampscott, MA (IBS), Functional Dyspepsia (FD), and Non-Celiac Wheat Sensitivity (NCWS) P2104. Efficacy of Tegaserod in IBS-C: Original RCTs and Reanalysis in Nicholas J. Talley, MBBS, MDm, PhD, MACG1, Gerald Holtmann, MD, Patients with Severe Symptoms 1 2 2 PhD, MBA2, Marjorie M. Walker, MBBS3, Michael Jones, PhD4, Natasha Lawrence Goldkind, MD , Rachael Gerlach, PhD , Heng Zou, MS , Colin 3 1 A. Koloski, PhD5, Simon Keely, PhD6; 1The University of Newcastle, W. Howden, MD, FACG ; Walter Reed National Military Medical Center, 2 3 TUESDAY New Lambton, New South Wales, Australia; 2University of Queensland, Bethesda, MD; US WorldMeds, LLC, Louisville, KY; University of POSTERS Brisbane, Queensland, Australia; 3University of Newcastle, Newcastle, Tennessee Health Science Center, Memphis, TN New South Wales, Australia; 4Macquarie University, North Ryde, New P2105. Lactulose Breath Testing Predicts Response to Rifaximin for South Wales, Australia; 5University of Newcastle, Woolloongabba, Cardinal Irritable Bowel Syndrome With Diarrhea (IBS-D) Queensland, Australia; 6University of Newcastle, New Lambton Heights, Ali Rezaie, MD1, Zeev Heimanson, PharmD2, Robert J. Israel, MD2, New South Wales, Australia Richard McCallum, MD3, Mark Pimentel, MD1; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2Salix Pharmaceuticals, Bridgewater, NJ; P2096. Relationship Between Constipation and Physical Activity: Results 3 From the National Health and Nutrition Examination Survey (NHANES) Texas Tech University Health Sciences Center, El Paso, TX Amporn Atsawarungruangkit, MD1, Zilla Hussain, MD2; 1MetroWest Medical P2106. Ehlers-Danlos Syndrome Type III (EDS) and Visceroptosis: Center, Framingham, MA; 2Lifespan Physicians Group, Providence, RI Getting to the Bottom of This Diagnosis P2097. Patient Reported Outcomes in Women With IBS Using Opioids for Ali Rezaie, MD, MSc, Yaniv Raphael, MD, Richard Sukov, MD, Xiaochen Liu, Chronic Non-Cancer Pain MSc; Cedars-Sinai Medical Center, Los Angeles, CA  ACG/Radhika Srinivasan Gender-Based Research Award P2107. Emergency Department Burden of Abdominal Pain in the United  Presidential Poster Award States From 2006-2014 Alma Jusufagic, MPH1, Eldin Dzubur, PhD2, Brennan M. R. Spiegel, MD, Sushil Kumar Garg, MBBS1, Shashank Sarvepalli, MD, MS2, Harika Kandlakunta, MSHS1; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2University of MBBS1; 1Mayo Clinic, Rochester, MN; 2Cleveland Clinic, Cleveland, OH Southern California, Los Angeles, CA P2108. Activated Duodenal Eosinophilia Is Associated with Dysbiosis in P2098. The Prevalence of Irritable Bowel Syndrome Among Board Functional Dyspepsia Patients Certified Medical Doctors: A Cross Sectional Study Jordan Sparkman, MD, Alexander Damron, MD, Linda Green, MD, Daniel Eman AlSulais, MD1, Turki AlAmeel, MBBS, FRCPC2, Lee S. Roth, BSc, MD, Rosen, MD, Hashem El-Serag, MD, MPH, David Y. Graham, MD, MACG, MSc3; 1King Fahad Specialist Hospital, Qatif, Ash Sharqiyah, Saudi Arabia; Maria Jarbrink-Sehgal, MD, PhD; Baylor College of Medicine, Houston, TX 2King Fahad Specialist Hospital, Dammam, Ash Sharqiyah, Saudi Arabia; 3William Osler Health System, Toronto, ON, Canada P2109. Fecal Microbiome Patterns in IBS, IBD, and Celiac Disease versus Healthy Controls P2099. Tegaserod Cardiovascular Safety Analysis: Importance of a Courtney Reynolds, MD, PhD1, Zachary Stokes, BS1, Miriam Dvorsky, BS1, Methodologic Approach to Drug Safety Analysis Lihong Chen, MD, PhD2, Daniel Hommes, MD, PhD1; 1University of California Rachael Gerlach, PhD1, Lawrence Goldkind, MD2, Joanna Ng, MPH1, Philip Los Angeles, Los Angeles, CA; 2Genova Diagnostics, Asheville, NC Sager, MD3; 1US WorldMeds, LLC, Louisville, KY; 2Walter Reed National Military Medical Center, Bethesda, MD; 3Stanford University School of P2110. Gastric Slow Wave Spatial Abnormalities Are Present and Associated Medicine, Stanford, CA with Cannabinoid Hyperemesis Syndrome Among Daily Cannabis Users Armen A. Gharibans, PhD, Todd Coleman, PhD, David Kunkel, MD; P2100. A Novel Galacto-Oligosaccharide (RP-G28) Promotes Beneficial University of California San Diego, La Jolla, CA Adaptations to the Human Gut Microbiome in Patients With Lactose Intolerance William D. Chey, MD, FACG1, Todd R. Klaenhammer, PhD2, William J. P2111. Frequency and Burden of Gastrointestinal Symptoms in Patients Sandborn, MD, FACG3, Dennis A. Savaiano, PhD4, Andrew J. Ritter5, Andrea With Familial Dysautonomia 1 1 M. Azcarate-Peril, PhD6; 1University of Michigan, Ann Arbor, MI; 2NC State Chethan Ramprasad, MD , Christy Spalink, ARNP , Lucy Norcliffe- 1 1 1 University, Raleigh, NC; 3University of California San Diego, La Jolla, CA; Kaufmann, PhD , Jose Alberto Palma, MD, PhD , Joseph Levy, MD , 1 1 1 4Purdue University, West Lafayette, IN; 5Ritter Pharmaceuticals, Inc., Los Isabel Vanegas, PhD , Abraham Khan, MD , Scott Smukalla, MD , Horacio 1 2 1 Angeles, CA; 6University of North Carolina at Chapel Hill, Chapel Hill, NC Kaufmann, MD , Lea Ann Chen, MD ; New York University, New York, NY; 2New York University School of Medicine, New York, NY

FUNCTIONAL BOWEL DISEASE P2121. Gastroenterologists Underestimate Endoscopic Risk in Patients Clinical Vignettes/Case Reports Undergoing Routine Procedures Richard Young, MD1, Joshua Sifuentes, MD, MPH1, Sasha Taleban, MD2; P2112. Recurrent Pancreatitis Due to Celiac Disease 1University of Arizona, Tucson, AZ; 2University of Arizona College of Sahla Hammad, MD1, Mayuri Kulkarni, BSc, MD2, Rovin Saxena, MD1, Medicine, Tucson, AZ Mihaela Batke, MD1; 1St. Joseph Mercy Oakland Hospital, Pontiac, MI; 2St. P2122. Comparison of Procedural Sequence in Same-Day Bidirectional Joseph Mercy Oakland Hospital, Livonia, MI Endoscopy: Which Procedure Should We Do First? Analysis of a Large P2113. Median Arcuate Ligament Syndrome: A Missed Diagnosis in Patients Database With Chronic Abdominal Pain C. Roberto Simons-Linares, MD1, Jacqueline Estevez, MD2, Faris El- Josh Nichols, MS, Sarah Al-Obaidi, MD, Ihsan Al-Bayati, MS, Irene Khider, MD, MS2, John J. Vargo, MD3, Prabhleen Chahal, MD, FACG3, Sarosiek, MD, Brian Davis, MD, Melhem Ghalib, MD, Richard McCallum, Jean-Paul Achkar, MD, FACG2; 1Digestive Disease Institute/Cleveland MD; Texas Tech University Health Sciences Center, El Paso, TX Clinic, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH P2114. Redness From Fire: Fevers, Abdominal Pain, and Rash Anthony Choi, MD, David Wan, MD; New York-Presbyterian Hospital/Weill P2123. Factors Associated With Adequate Bowel Preparation in Inpatient Cornell Medical College, New York, NY Colonoscopies: A Retrospective Analysis From a High-Volume Community Center P2115. Gluten-Free Diet Induced Nephrotic Syndrome in a Patient with Benjamin Renelus, MD, Daniel S. Jamorabo, MD, Niel Dave, MD, Ofem Ajah, Newly Diagnosed Celiac Disease MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY Shawn Banash, MD1, Kevin Tin, MD, MBA2, Rabin Rahmani, MD, FACG2; 1Maimonides Medical Center, New York, NY; 2Maimonides Medical Center, P2124. Probe-Based Confocal Endomicroscopy May Improve the Diagnosis Brooklyn, NY of Clinical Complete Response After Neoadjuvant Chemoradiotherapy for Locally Advanced Rectal Neoplasia P2116. An Anatomical Explanation for a Chronic Gastrointestinal Complaint Adriana Safatle-Ribeiro, MD, PhD, FACG, Carlos Marques, MD, PhD, Clelma 1 2 2 Avi Davis , Fiorella Melendez, MD , Eluar Mendez, MD , Kelissa Shillingford, Pires, MD, Elisa Baba, MD, Luciana Meirelles, MD, Sheila Faraj, MD, Lívia 2 2 1 MD , Damian Casadesus, MD ; Ross University School of Medicine, Miami, Arraes, MD, Diogo Araújo, MS, Carla Gusmon, MD, Fábio Kawaguti, MD, 2 FL; Jackson Health System, Miami, FL PhD, Luciano Lenz, MD, PhD, Marcelo Simas, MD, Bruno Martins, MD, PhD, Caio Nahas, MD, PhD, Sergio Nahas, MD, PhD, Ulysses Ribeiro Jr, MD, PhD, FACG, Fauze Maluf Filho, MD, PhD; Sao Paulo State Cancer Institute, GENERAL ENDOSCOPY University of Sao Paulo (ICESP-HCFMUSP), Sao Paulo, Brazil P2117. High Burden of GI Disease and Unmet Need in Rwanda: Findings P2125. Factors Leading to Trainee Entrustment in EGD and Colonoscopy: From Rwanda Endoscopy Week A Prospective Multicenter Study Evaluating Endoscopy Competence in the Cristina Rutherford, MD1, Eric Rutaganda, MD, MPH2, Nzayisenga Mayele Era of the Next Accreditation System (NAS) Julienne, NMJ3, Barnabe Habimana, MD4, Felicien Shikama, MD5, Oswald  Presidential Poster Award Habyarimana, MD6, Marcellin Musabende, MD7, Jean Pierre Sibomana, Samuel Han, MD1, Joshua Obuch, MD, MSc2, Rajesh Keswani, MD, MS3, MD8, Alphonse Ndayambaje, MD9, Menelas Nkeshimana, MBBS, MMED10, Matt Hall, PhD4, Violette Simon, BA1, Eze Ezekwe, BA1, Swati Patel, MD1, Andy Robinson, MD11, Dirk Van Leeuwen, MD, PhD12, Frederick Makrauer, Bryan Brimhall, MD1, Eva Aagaard, MD5, Paul Menard-Katcher, MD1, Asyia MD13, Stuart Gordon, MD1, Steve Bensen, MD1; 1Dartmouth-Hitchcock Ahmad, MD6, Saad Alghamdi, MD5, Michael Brown, MD7, Charles Broy, Medical Center, Lebanon, NH; 2Kigali University Teaching Hospital/CHUK, MD8, Priyanka Chugh, MD9, Anand S. Shah, MD10, David Cooley, MD11, Jack Kigali, Rwanda; 3Centre Universitaire de Kigali, Kigali, Rwanda; 4Rwanda A. Di Palma, MD, MACG12, Anna Duloy, MD1, Dayna Early, MD, FACG5, Eric Military Hospital, Kigali, Rwanda; 5Ministry of Health, Kigali, Rwanda; Gaumnitz, MD13, Kevin Ghassemi, MD14, Edward Lebovics, MD15, Robert 6Gisenyi Hospital, Gisenyi, Nord, Rwanda; 7University of Rwanda, Kigali, Lee, MD16, Tisha N. Lunsford, MD, FACG17, Julia Massaad, MD18, Mohit Rwanda; 8University Teaching Hospital of Butare, Huye/South, Sud, Mittal, MD19, Kirsten Morigeau, MD20, Stanley J. Pietrak, III, MD, MS21, Rwanda; 9Ruhango Provincial Hospital/Ministry Of Health-Rwanda, Kigali, Michael Piper, MD, FACG22, Alan Shapiro, MD23, William P. Sonnier, MD12, Rwanda; 10Centre Hospitalier Universitaire de Kigali, Kigali, Rwanda; Shivakumar Vignesh, MD10, Shani Woolard, MD18, Sachin Wani, MD24; 11Mt. Ascutney Hospital, Windsor, VT; 12Geisel School of Medicine at 1University of Colorado, Aurora, CO; 2Geisinger Hospital - Wyoming Dartmouth, Colchester, VT; 13Brigham & Women’s Hospital, Boston, MA Valley, Wilkes-Barre, PA; 3Feinberg School of Medicine, Northwestern University, Chicago, IL; 4Cincinnati Children’s Hospital Medical Center, P2118. Hemorrhoid Injection Ablation Therapy Using 1% Tetradecly Sulfate Cincinnati, OH; 5Washington University, St. Louis, MO; 6Drexel University  Presidential Poster Award College of Medicine, Philadelphia, PA; 7Rush University Medical Center, Jose Rodriguez, MD; Texas Gastroenterology Institute, McAllen, TX Chicago, IL; 8Advocate Health Care, Oak Lawn, IL; 9New York Medical P2119. History of Bariatric Surgery Is an Independent Risk Factor for College at Westchester Medical Center, Valhalla, NY; 10SUNY Downstate Inadequate Colonoscopy Preparation Medical Center, Brooklyn, NY; 11St. John Providence, Southfield, MI;  Presidential Poster Award 12University of South Alabama, Mobile, AL; 13University of Wisconsin, Matthew Peller, MD1, Rajesh Keswani, MD, MS2, Dejan Micic, MD3; 1McGaw Madison, WI; 14University of California Los Angeles, Los Angeles, CA; Medical Center of Northwestern University, Chicago, IL; 2Feinberg School 15New York Medical College, Valhalla, NY; 16University of California, Irvine, of Medicine, Northwestern University, Chicago, IL; 3University of Chicago, Orange, CA; 17University of Texas Health San Antonio, San Antonio, Chicago, IL TX; 18Emory University School of Medicine, Atlanta, GA; 19University of California Irvine, Irvine, CA; 20University of Texas Health Science Center P2120. Simethicone Pre-Treatment With Polyethylene Glycol and Bisacodyl at San Antonio, San Antonio, TX; 21Georgetown University Medical Center, Combination Preparation in an Effort to Improve Bowel Wall Visualization Washington, DC; 22Providence-Providence Park Hospital, Farmington Hills, 1 1 1 Mohit Rishi, MD , Jaskarin Kaur, MD , Chia-Yang Hsu, MD , Eric Osgard, MI; 23Advocate Lutheran General Hospital, Park Ridge, IL; 24University of 2 1 MD, FACG ; University of Nevada Reno School of Medicine, Reno, NV; Colorado Anschutz Medical Campus, Aurora, CO 2Gastroenterology Consultants, Reno, NV

150 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2126. A Prospective Multicenter Study Evaluating Endoscopy Competence P2132. Comparison of Insertion Methods of Water Exchange, Water Among Gastroenterology Trainees in the Era of the Next Accreditation Immersion, and Air Insufflation on Right Colon Flat Polyp Detection Rate - System (NAS) - The EnCompAS Study Pooled Data Analysis of Three Reports Samuel Han, MD1, Joshua Obuch, MD, MSc2, Rajesh Keswani, MD, MS3, Hui Jia, MD1, Malcolm Koo, PhD2, Sergio Cadoni, MD3, Yu-Hsi Hsieh, MD4, Matt Hall, PhD4, Violette Simon, BA1, Eze Ezekwe, BA1, Swati Patel, MD1, Chi-Tan Hu, MD5, Felix Leung, MD6; 1Sepulveda Ambulatory Care Center, Bryan Brimhall, MD1, Eva Aagaard, MD5, Paul Menard-Katcher, MD1, Asyia VAGLAHS and David Geffen School of Medicine at UCLA, Northridge, Ahmad, MD6, Saad Alghamdi, MD5, Michael Brown, MD7, Charles Broy, CA; 2Tzu Chi University of Science and Technology, Hualien City, Hualien, MD8, Priyanka Chugh, MD9, Anand S. Shah, MD10, David Cooley, MD11, Taiwan (Republic of China); 3ATS Sardegna, ASSL Carbonia, CTO Hospital, Jack A. Di Palma, MD, MACG12, Anna Duloy, MD1, Dayna Early, MD5, Eric Iglesias, Sardegna, Italy; 4Dalin Tzu Chi Hospital, Buddhist Tzu Chi Gaumnitz, MD13, Kevin Ghassemi, MD14, Edward Lebovics, MD15, Robert Medical Foundation, Dalin, Chiayi, Taiwan (Republic of China); 5Hualien Lee, MD16, Tisha N. Lunsford, MD, FACG17, Julia Massaad, MD18, Mohit Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien City, Mittal, MD19, Kirsten Morigeau, MD20, Stanley J. Pietrak, III, MD, MS21, Hualien, Taiwan (Republic of China); 6Sepulveda Ambulatory Care Center, Michael Piper, MD, FACG22, Alan Shapiro, MD23, William P. Sonnier, MD12, VAGLAHS, David Geffen School of Medicine at UCLA, North Hills, CA Shivakumar Vignesh, MD10, Shani Woolard, MD18, Sachin Wani, MD24; 1University of Colorado, Aurora, CO; 2Geisinger Hospital - Wyoming P2133. Rating of Bowel Prep Is Highly Variable Among Physicians: Is Valley, Wilkes-Barre, PA; 3Feinberg School of Medicine, Northwestern Beauty in the Eye of the Beholder? 1 2 1 University, Chicago, IL; 4Cincinnati Children’s Hospital Medical Center, Susan Lou, MD , Allison J. Z. Levy, MD , Michael Kuskowski, PhD , Aasma 1 3 4 Cincinnati, OH; 5Washington University, St. Louis, MO; 6Drexel University Shaukat, MD , Shahnaz Sultan, MD, MHSc , Ashish Malhotra, MD, MS ; 1 2 College of Medicine, Philadelphia, PA; 7Rush University Medical Center, University of Minnesota, Minneapolis, MN; Abbott Northwestern, 3 Chicago, IL; 8Advocate Health Care, Oak Lawn, IL; 9New York Medical Minneapolis, MN; University of Minnesota, Minneapolis Veterans Affairs 4 College at Westchester Medical Center, Valhalla, NY; 10SUNY Downstate HCS, Minneapolis, MN; Minneapolis VA, St. Paul, MN Medical Center, Brooklyn, NY; 11St. John Providence, Southfield, MI; 12University of South Alabama, Mobile, AL; 13University of Wisconsin, Madison, WI; 14University of California Los Angeles, Los Angeles, CA; GENERAL ENDOSCOPY 15New York Medical College, Valhalla, NY; 16University of California, Irvine, Clinical Vignettes/Case Reports Orange, CA; 17University of Texas Health San Antonio, San Antonio, TUESDAY P2134. Villous Duodenal Polyp With Foveolar Gastric Metaplasia in POSTERS TX; 18Emory University School of Medicine, Atlanta, GA; 19University of a Patient With Recently Resected Papillary Clear Cell Carcinoma: California Irvine, Irvine, CA; 20University of Texas Health Science Center A Case Report at San Antonio, San Antonio, TX; 21Georgetown University Medical Center, Muhammad F. Mubarak, MD, Arnab Ray, MD; Ochsner Clinic Washington, DC; 22Providence-Providence Park Hospital, Farmington Hills, Foundation, New Orleans, LA MI; 23Advocate Lutheran General Hospital, Park Ridge, IL; 24University of Colorado Anschutz Medical Campus, Aurora, CO P2135. Gastric Volvulus Caused by Gastric Tube Migration Yousaf Zafar, MD1, Charles W. McMahon, MD1, Omar Abughanimeh, P2127. Effect of Timing of Endoscopy on Patient Outcomes MD1, Laith Numan, MD1, Mohammad Tahboub, MD1, Lyla Saeed, MD2, Ujas Patel, BS, Jessica Giordano, BS, Benjamin Tharian, MD; University of Khalil M. Abuamr, MD3; 1University of Missouri, Kansas City, MO; 2UMKC, Arkansas for Medical Sciences, Little Rock, AR Kansas City, MO; 3Truman Medical Center, Kansas City, KS P2128. Upper Endoscopies Performed in Emergency Department (ED): P2136. Obstructing Gallstone at a Colo-Colonic Anastomosis Successfully An Analysis Treated With Endoscopic Electrohydraulic Lithotripsy Ujas Patel, BS, Jessica Giordano, BS, Benjamin Tharian, MD; University of David Kleesattel, MD1, David N. Fitch, MD2, Sampath Poreddy, MD2; Arkansas for Medical Sciences, Little Rock, AR 1University of Cincinnati Medical Center, Cincinnati, OH; 2University of P2129. Does Resident Education Improve Barrett’s Esophagus Screening Cincinnati College of Medicine, Cincinnati, OH Rates? P2137. Amyloidosis: A Rare, but Unifying Diagnosis Brian Peterson, BS, Steven Clayton, MD, FACP; University of South Pranav Penninti, DO1, Tamneet Singh, MD1, Souleymane Diallo, DO2, Leon Carolina School of Medicine, Greenville, SC Kundrotas, MD3; 1University of Texas Health San Antonio, San Antonio, TX; P2130. Code Status Reversal for Do-Not-Resuscitate (DNR) Patients Prior 2University of Texas Health Science Center at San Antonio, San Antonio, to Endoscopy: Current Practices of Medical and Surgical Residents TX; 3South Texas VA Medical Center, San Antonio, TX Lauren Feld, MD, Vijaya Rao, MD; University of Chicago Medical Center, P2138. A Case of Disseminated Strongyloides Infection in an Chicago, IL Immunosuppressed Patient Presenting With Ileus P2131. Impact of Preparatory Counseling on Esophagogastroduodenoscopy Anna Krigel, MD, Marilyn Nedumcheril, MD, Daniela Jodorkovsky, MD; New (EGD) Performance and Patient Comfort: A Randomized, Double-Blind Trial York Presbyterian - Columbia University Medical Center, New York, NY Arunkumar Muthusamy, MD1, Fadi Antaki, MD2, Stephanie Judd, MD3, P2139. Endoscopic Disimpaction in a Constipated Patient with Ashley Miller, NP3, Emmanuel Akintoye, MD, MPH1, Mohammad Anees, Amyotrophic Lateral Sclerosis MD4, Philip S. Schoenfeld, MD, MSEd, MSc 5, Kirthi Lilley, MD2; 1Wayne Andrew Yin, BA1, Rachel Niec, MD, PhD1, Kaveh Hajifathalian, MD, MPH2, State University School of Medicine, Detroit, MI; 2John D. Dingell VA David Wan, MD2; 1NewYork-Presbyterian Weill Cornell Medical Center, Medical Center & Wayne State University, Detroit, MI; 3John D. Dingell VA New York, NY; 2New York-Presbyterian Hospital/Weill Cornell Medical Medical Center, Detroit, MI; 4John D. Dingell VA Medical Center, Dearborn, College, New York, NY MI; 5University of Michigan School of Medicine, Ann Arbor, MI P2140. Proximal Gastrointestinal Ulcerations: A Potential Complication of Atezolizumab Therapy? Eric Swei, MD1, Austin Lin, MD1, Bianca W. Chang, MD2, Marc Bissonnette, MD2, Lindsay Alpert, MD2, Anthony Serritella, MD1; 1University of Chicago Hospitals, Chicago, IL; 2University of Chicago, Chicago, IL

P2141. An Unusual Rectal Foreign Body P2152. Recurrence of Primary Epididymal Leiomyosarcoma to Colon and Michael Itidiare, DO1, Brian Blair, DO2, Rajiv Mallipudi, MD3; 1Jefferson Stomach Health/Rowan School of Medicine, Voorhees, NJ; 2Rowan University Juan F. Ricardo, MD1, Raynieri Fernandez, MD2, Fernando Contreras, MD, School of Osteopathic Medicine, Stratford, NJ; 3Hackensack Meridian FACP, FACG3, Carlos Esteva, MD, FCAP4, Santiago Collado-Chastel, MD5, Health Mountainside Medical Center, Glen Ridge, NJ Magnolia Fernandez, MD6; 1Florida State University/Sarasota Memorial Hospital, Sarasota, FL; 2Advocate Illinois Masonic Medical Center, P2142. A Case of Colonic Mucosubmucosal Elongated Polyp in Sigmoid Chicago, IL; 3Universidad Nacional Pedro Henriquez Ureña, Dominican Colon on Surveillance Colonoscopy Republic, Santo Domingo, Distrito Nacional, Dominican Republic; Xiaowen Fan, MD1, Melissa Hershman, MD2, Gabriel Levi, MD3, Ilan 4Esteva Patologia Diagnostica, Dominican Republic, Santo Domingo, Weisberg, MD, MSc3; 1Mount Sinai St Luke’s and Mount Sinai West, New Distrito Nacional, Dominican Republic; 5Institute of Biomedical Studies, York, NY; 2Mount Sinai Beth Israel, St. Luke’s and West, New York, NY; Dominican Republic, Santo Domingo, Distrito Nacional, Dominican 3Mount Sinai Beth Israel, New York, NY Republic; 6Centro de Gastroenterologia Avanzada, Santo Domingo, P2143. Foreign Body Removal From the Colon: A Successful Approach Distrito Nacional, Dominican Republic 1 2 2 Herit Vachhani, MD , Andrea Fialho, MD , Andre Fialho, MD , Asim Shuja, P2153. A Rare Case of Emphysematous Gastritis - Sarcina Ventriculi MD2, Miguel Malespin, MD2, Silvio De Melo, MD2; 1University of Florida, Saranya Rajasekar, MD, Nirmal Onteddu, MD, Ashutosh Gupta, MD; Texas Philadelphia, PA; 2University of Florida Jacksonville, Jacksonville, FL Tech University Health Sciences at Permian Basin, Odessa, TX P2144. Intestinal Kaposi´s Sarcoma in a Patient With Cirrhosis 1 2 P2154. A Rare Case of Bouveret’s Syndrome Presenting with Hematemesis María Alejandra Pérez Ardila, MD , Julián Alberto Naranjo Millán, MD , and Spontaneous Resolution of Obstruction Henry Augusto Millán, MD2, Fredy Andrés Luna Vela, MD2, Jacqueline Benjamin Hart, MD, PhD, MPH1, Muhannad Heif, MD2; 1University of Mugnier, MD2, Carolina Salinas, MD2, Gustavo Díaz, MD2; 1Fundacion Toledo College of Medicine, Toledo, OH; 2Promedica Physicians Digestive Cardioinfantil, Bogotá, Cundinamarca, Colombia; 2Fundacion Healthcare, Toledo, OH Cardioinfantil, Bogotá, Distrito Capital de Bogota, Colombia P2155. Gastrointestinal Toxoplasmosis in a Renal Transplant Patient P2145. Ingestion of Crystalline Potassium Permanganate Chunsu Jiang, MD, Ross Deppe, MD, Shahzad Ahmed, MD, Jennifer Mena Bakhit, MD1, Kaio S. Ferreira, MD2, Zilla Hussain, MD3; 1Warren Alpert Christie, MD; Emory University, Atlanta, GA Medical School of Brown University, Providence, RI; 2Brown University, Providence, RI; 3Lifespan Physicians Group, Providence, RI P2156. An Unusual Case of Appendiceal Intussusception Sara Ancello, DO, Sudhakar Reddy, MD, Raul Lopez, MD, Tushar Gohel, P2146. Intentional Foreign Body Ingestion in Adults: A Novel Case of MD; Mountain Vista Medical Center / Midwestern University, Mesa, AZ Ingestion of a 13.6 cm Metallic Shank by a Prisoner for Secondary Gain That had to Be Surgically Removed 1 2 3 Syed H. Abbas, MD , Waqas Nawaz, MD , Hilary Hertan, MD, FACG ; GI BLEEDING 1Montefiore Medical Center Wakefield Campus, Bronx, NY;2 Montefiore Medical Center, Yonkers, NY; 3Montefiore Medical Center, Bronx, NY P2157. Rates of Gastrointestinal Bleeding in Cirrhotics Treated With P2147. Endoscopic Diagnosis of Amyloidosis Warfarin 1 2 3 Daniel Hwang, MD1, Alexander H. Kim, DO2, Kristen Stashek, MD1, Rashid Tiffany Lee, MD , Jaehyun Kim, MD , Rick A. Weideman, PharmD , Linda 4 1 2 Hanif, MD3, Peter Darwin, MD1; 1University of Maryland School of Medicine, Feagins, MD ; University of Texas Southwestern, Dallas, TX; University 3 Baltimore, MD; 2University of Maryland School of Medicine, Ellicott City, of Texas Southwestern Medical Center, Dallas, TX; VA North Texas Health 4 MD; 3Meritus Medical Center, Hagerstown, MD Care System, Dallas, TX; University of Texas Southwestern and VA North Texas Healthcare System, Dallas, TX P2148. Repeat Colonoscopy Revealing CMV Ileitis in an ALL Patient With GVHD P2158. A National Survey of the Prevalence and Demographics of Marcus Juan L. Esteban, MD, Shriram Jakate, MD, Salina Lee, MD; Rush Gastrointestinal Bleeding in Cirrhotic Patients 1 2 2 University Medical Center, Chicago, IL Evan Orosz, DO , Pavan Patel, MD , Nikolaos Pyrsopoulos, MD, MBA, PhD ; 1Rutgers New Jersey Medical School, Jersey City, NJ; 2Rutgers New Jersey P2149. Seeing Spots: Eosinophilic Abscess as an Endoscopic Marker of Medical School, Newark, NJ Giardiasis Melissa Hershman, MD1, Samuel Wahl, MD2, Arun Swaminath, MD3; 1Mount P2159. Effect of Co-Morbid Cirrhosis on In-Hospital Mortality in Female Sinai Beth Israel, St. Luke’s and West, New York, NY; 2Lenox Hill Hospital, Patients With Gastrointestinal Bleeding 1 2 1 New York, NY; 3Hofstra NorthShore-LIJ School of Medicine, New York, NY Elizabeth Brindise, DO , Imad Elkhatib, MD , Aneesh Kuruvilla, DO , Rogelio Silva, MD1; 1University of Illinois at Chicago - Advocate Christ Medical P2150. Lumen-Apposing Metal Stent in the Treatment of Benign Pyloric Center, Oak Lawn, IL; 2Advocate Christ Medical Center, Oak Lawn, IL Stenosis Michael Brazeau, DO1, John Gancayco, MD2; 1San Antonio Military Medical P2160. Epidemiology of Lower GI Bleed in the United States - An Update Center, Fort Sam Houston, TX; 2Brooke Army Medical Center, San From the National Inpatient Survey 2005-2014 1 2 3 Antonio, TX Paris Charilaou, MD , Kalpit Devani, MD , Devendra Enjamuri, MD , Dhruvil Radadiya, MBBS2, Chakradhar M. Reddy, MD, FACP4, Mark Young, MD2; P2151. Mycophenolate Mofetil-Induced Non-Healing Gastric and Duodenal 1St. Peter’s University Hospital, New Brunswick, NJ; 2East Tennessee State Ulcers University, Johnson City, TN; 3Rutgers University, Saint Peters University Vincent Chao Chang, MD1, Daniel Mai, BSc1, Michelle Park, MD1, David P. Hospital, New Brunswick, NJ; 4East Tennessee State University, Quillen Lee, MD, MPH2, Jason Samarasena, MD1; 1University of California Irvine College of Medicine, Johnson City, TN Medical Center, Orange, CA; 2University of California Irvine, Orange, CA

152 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2161. A Pro-Angiogenic Shift in the Angiopoietin Axis Is Associated with P2170. Gastrointestinal Bleeding With Rare Etiology: A Case Report of Gastrointestinal Bleeding After Continuous Flow Left Ventricular Assist Primary Aorto-Enteric Fistula Device Implantation Elizabeth Tran, DO1, Justin Reed, DO1, Aaron Fieker, DO2, Audrey Adam L. Edwards, MD, MSc, C. Mel Wilcox, MD, Salpy V. Pamboukian, MD, Corbett, MD1; 1Oklahoma University, Tulsa, OK; 2OU Internal Medicine/ MSPH, Peter Mannon, MD, Shajan Peter, MD; University of Alabama at Gastroenterology/ Warren Clinic Gastroenterology, Tulsa, OK Birmingham, Birmingham, AL P2171. First Reported Case of Hemodynamically Unstable Gastrointestinal P2162. Teaching an Old Drug New Tricks: Ketamine for Endoscopic Hemorrhage Due to Isolated Jejunal Ulcerated Mass Because of Sedation in Critically Ill Patients Cytomegalovirus in an Immunocompetent Patient Jerome Edelson, MD1, Cyrus Edelson, MD1, Kevin Chung, MD1, Don C. Birtukan Cinnor, MD, MPH1, Kristina Ross, MD2; 1Minnesota Gastroenterology, Rockey, MD2, Matthew Robles, DO1, Stalin Subramanian, MD1, John P.A., Plymouth, MN; 2University of Colorado, Denver, CO Gancayco, MD1; 1Brooke Army Medical Center, San Antonio, TX; 2Medical University of South Carolina, Charleston, SC P2172. An Unusual Case of Massive Upper Gastrointestinal Bleeding Related to Salmonella Typhi Infection P2163. Gastrointestinal Bleeding in Patients With Mechanical Ventilation: Daniel J. Waintraub, MD1, Richard M. Fazio, MD2, Yuriy Tsirlin, MD, FACG1, Insights From the Healthcare Utilization Project Rabin Rahmani, MD, FACG1; 1Maimonides Medical Center, Brooklyn, NY; Zubair Khan, MD, CMQ1, Nauman Siddiqui, MD2, Khaled Srour, MD1, Zakaria 2Maimonides Medical Center, Broooklyn, NY Alyousif, BS1, Yaseen Alastal, MPH1, Muhammad Ali Khan, MD3, Ali Nawras, MD1; 1University of Toledo Medical Center, Toledo, OH; 2Tufts Medical P2173. Gastrointestinal Bleeding From Metastatic Non-Cutaneous Center, Boston, MA; 3University of Tennessee Health Science Center, Melanoma Identified in the Ileum Nikhil R. Thiruvengadam, MD1, Melike Pekmezci, MD1, Tonya Kaltenbach, Memphis, TN MD, MS2; 1University of California San Francisco Medical Center, San P2164. Clinical Outcomes in Patients with Gastric Adenocarcinoma Francisco, CA; 2University of California San Francisco, San Francisco, CA Presenting with Upper Gastrointestinal Bleeding Initially Jae Young Kim, MD1, Yeon Ji Kim, MD2, Dae Bum Kim, MD2, Woo Chul P2174. Dueling with Fire: A Case Series of Dieulafoy’s Lesions Saamia Faruqui, MS, MD1, Eliza Lewine, BS2, Shanti G. Rao, MD2, Chris Chung, MD2, Sung Hoon Jung, MD2; 1St. Vincent Hospital, Su-won, Hodnette, MD2, Patrick Selakovich, MD 2, Gregory Gaspard, MD1; 1Tulane Kyonggi-do, Republic of Korea; 2St. Vincent Hospital, Su-Won, Kyonggi- 2 TUESDAY University, New Orleans, LA; Tulane University School of Medicine, POSTERS do, Republic of Korea New Orleans, LA P2165. Radiofrequency Ablation (RFA) for the Treatment of Refractory Gastric Antral Vascular Ectasia: A Systematic Review and Meta-Analysis P2175. Approach to Bleeding Downhill Varices: A Multidisciplinary Hamza Salim1, Thrupthi Komandur, MBBS1, Usman Shah1, Mohammed Approach Chengcheng Ye, MD, Rushikesh Shah, MD, Mohammed Naseemuddin, Turab, MBBS1, Prithvi Patil, MS1, Nirav Thosani, MD2; 1University of Texas MD, Parit Mekaroonkamol, MD; Emory University School of Medicine, Health Science Center at Houston, Houston, TX; 2University of Texas Health Atlanta, GA Science Center at Houston / McGovern Medical School, Houston, TX P2166. Diagnostic Utility of Blood in the Gastric Tube in Hospitalized P2176. Metastatic Neuroendocrine Tumor of the Pancreas Presenting Patients With Gastric Variceal Hemorrhage Yousaf Zafar, MD1, Sean Doran, DO1, John Helzberg, MD2; 1University of Fahad F. Mir, MD, MSc1, Yousaf Zafar, MD2, Laith Numan, MD2, Eslam Missouri, Kansas City, MO; 2St. Luke’s Hospital, Kansas City, MO Dosokey, MD3, Laith Derbas, MD2, Sreenivasa S. Jonnalagadda, MD4; 1University of Missouri, Mission, KS; 2University of Missouri, Kansas City, P2177. A Case of Gastrointestinal Amyloidosis Presenting Initially MO; 3University of Missouri, Overland Park, KS; 4St. Luke’s Health System, as Melena Kansas City, MO Lavneet Chawla, MD1, Dana Berg, MD2, Beth Schorr-Lesnick, MD, FACG3; 1Westchester Medical Center, Valhalla, NY; 2New York Medical College at P2167. Proximal Small Bowel Angiodysplasia (AD) Is More Strongly 3 Associated With Melena Than Is Hematochezia Westchester Medical Center, New York, NY; New York Medical College at Westchester Medical Center, Valhalla, NY Sanjana Luther, MD1, Simon Hong, MD2, Lawrence J. Brandt, MD, MACG 3, Joann Kwah, MD2; 1Montefiore Medical Center, New York, NY;2 Montefiore P2178. Small Bowel Hemorrhage Due to Ectopic Varices Between the Medical Center, Bronx, NY; 3Albert Einstein College of Medicine/ Inferior Mesenteric Vein and the Left Gonadal Vein Montefiore Medical Center, Bronx, NY James Han, MD1, Zachary Lu, BSc1, David P. Lee, MD, MPH2, Jason Samarasena, MD1; 1University of California Irvine Medical Center, Orange, P2168. Role of Pre-LVAD Endoscopic Screening and Assessment of Risk 2 Factors Associated With Post-LVAD Implantation Gastrointestinal Bleeding CA; University of California Irvine, Orange, CA Vivek Kesar, MD1, Jessica Harris, MD1, Akhil Penmetcha, MD1, Michael P2179. Colonic Intramural Hematoma: A Rare Cause of Lower Croglio, MD1, Erin Taub, MPH1, Varun Kesar, MD2, Hal Skopicki, MD, PhD1, Gastrointestinal Bleeding Allison McLarty, MD1, Juan Carlos Bucobo, MD1; 1Stony Brook University Kavita Radhakrishnan, MD, Jessica B. Rubin, MD, MPH, Tonya Kaltenbach, Hospital, Stony Brook, NY; 2Lenox Hill Hospital, New York, NY MD, MS; University of California San Francisco, San Francisco, CA P2180. A Rare Case of Bleeding Duodenal Arteriovenous Malformations in GI BLEEDING Association with Amyloid Enteropathy Clinical Vignettes/Case Reports Parijat Mathur, MD, Mohammed Imran Khan, MD, Diane Hall, MD, PhD, Charles Reisdorf, ANPC, Vivek Kak, MD, Vishal Gupta, MD, PhD; Henry P2169. Successful Coil Embolization of an Isolated Duodenal Varix: Ford Allegiance Health, Jackson, MI A Case Report P2181. An Unusual Cause of Upper GI Bleeding: Eroded Molina Band Luis C. Ortiz, MD, Vanessa Sostre, MD, Manrique Guerrero, DO, Paul Nirmal Onteddu, MD1, Venkata Siva Krishna Kumar Pulivarthi, MBBS2, Hanna, DO, Namrata Paul, MD, Oren Bernheim, MD; St. Joseph’s Ashutosh Gupta, MD1; 1Texas Tech University Health Sciences at Permian University Medical Center, Paterson, NJ Basin, Odessa, TX; 2Mayo Clinic Arizona, Phoenix, AZ

P2182. Bleeding Complications Associated With Colonic Polypoid P2196. Hemorrhagic Shock Due to Diffuse Colitis Associated With Severe Arteriovenous Malformations Vitamin C Deficiency Dorsa Samsami, DO, Chloe Lee, DO, Alyssa Kaleta, DO, Mohsen Khan, DO, Kenneth D. Allen, DO, Alexander Wallner, MD, Lucy Rosenbaum, MD, Scott Siglin, MD; Advocate Lutheran General Hospital, Park Ridge, IL Peter P. Stanich, MD, John Christman, MD; The Ohio State University Wexner Medical Center, Columbus, OH P2183. Testicular Choriocarcinoma (TC) With Gastric Metastasis Presenting as Melena P2197. Small Intestinal Hemorrhage as a Rare Presentation of Metastatic Omar Alsalman, MD1, Shashank Trivedi, MD1, Marwah Alchalabi, MBChB2, Testicular Choriocarcinoma Shobhana Chaudhari, MD1; 1Metropolitan Hospital, New York Medical Pir Shehzad, MD1, Sharad Bellapravalu, MD1, Indu Srinivasan, MD1, Keng- College, New York, NY; 2Metropolitan, Forest hills, NY Yu Chuang, MD2; 1Maricopa Integrated Health System, Phoenix, AZ; 2Maricopa Integrated Health System/St. Josephs Hospital and Medical P2184. Uncommon Cause of Upper Gastrointestinal Bleeding in a Patient Center, Phoenix, AZ With Portal Hypertension Omar Alsalman, MD1, Marwah Alchalabi, MBChB2, Shobhana Chaudhari, P2198. Bleeding Isolated Jejunal Varix Without Portal Hypertension MD1; 1Metropolitan Hospital, New York Medical College, New York, NY; David Alexanian, MD, Tarun Rustagi, MD; University of New Mexico School 2Metropolitan, Forest hills, NY of Medicine, Albuquerque, NM P2185. Case Study - An Unusual Case of Bleeding P2199. Gastric Metastasis: An Unexpected Finding in a Patient With Ian Turner, MBBS (Hons) , Priya Acharya, MBBS (Hons) ; Western Sydney Severe Anemia University, Campbelltown, New South Wales, Australia Kristin Olson, DO1, Jacob West, DO2, Jorge Zapatier, MD3; 1Mercy Medical Center, West Des Moines, IA; 2Mercy Medical Center, Des Moines, IA; P2186. Under Pressure: Obscure Bleeding due to Small Bowel Varices 3Mercy Gastroenterology, Des Moines, IA Nicole Harrison, MD1, Sarah Davis, MD2, Lawrence Goldkind, MD1; 1Walter Reed National Military Medical Center, Bethesda, MD; 2United States Air P2200. Isolated Enteric Varix in the Proximal Ileum: An Unusual Force, San Antonio, TX Presentation of Suspected Small Bowel Bleeding Preeya Goyal, MD, Nicole Shah-Ghassemzadeh, DO, Khaled Selim, MD; P2187. Colonic Varices: An Under-Recognized but Potentially Deadly Loma Linda University, Loma Linda, CA Complication of Cirrhosis Sohni Reddy, MD1, Paridhi Malik, MD2, Michael Gurell, MD1; 1Rochester P2201. Endoscopic Ultrasound-Guided Treatment of Gastric Varices With General Hospital, Rochester, NY; 2Rochester General Hospital, Henrietta, NY Coil Embolization and Absorbable Hemostatic Gelatin Sponge Ahmad Najdat Bazarbashi, MD1, Thomas J. Wang, MD2, Phillip S. Ge, MD3, P2188. Acquired Von Willebrand Disease as a Cause of Obscure Christopher C. Thompson, MD3, Marvin Ryou, MD3; 1Brigham & Women’s Gastrointestinal Bleeding Hospital, Boston, MA; 2Massachusetts General Hospital, Boston, MA; Parita Patel, MD, Valerie G. Press, MD, MPH; University of Chicago, 3Brigham & Women’s Hospital/Harvard Medical School, Boston, MA Chicago, IL P2202. Terminal Ileum Diverticular Bleed: A Rare Cause of Gastrointestinal P2189. Jejunal Dieulafoy: A Rare Case of Gastrointestinal Hemorrhage Bleeding Neera Sinha, MD, Yevgeniy Mikityanskiy, DO, Stephen Mularz, DO, John Ahmad Najdat Bazarbashi, MD1, Jordan Sack, MD1, Odise Cenaj, MD1, Trillo, MD; Coney Island Hospital, Brooklyn, NY Jennifer Nayor, MD2, Rachel W. Winter, MD, MPH3, Punyanganie S. de P2190. A Rare Cause of Bleeding After Roux-en-Y Gastric Bypass Silva, MD, MPH1, John R. Saltzman, MD, FACG1; 1Brigham & Women’s Alexander Pan, MD1, Sakshi Sahni, MD1, Ruben Khan, MD2, Brian Boulay, Hospital, Boston, MA; 2Brigham & Women’s Hospital, Brookline, MA; MD, MPH3; 1University of Illinois Hospital & Health Sciences System, 3Brigham & Women’s Hospital/Harvard Medical School, Boston, MA 2 3 Chicago, IL; University of Illinois at Chicago, Chicago, IL; University of P2203. A Rare Cause of Anemia and Abdominal Pain in an HIV-Positive Illinois Hospital, Chicago, IL Patient P2191. Gastrointestinal (GI) Hemorrhage Secondary to Stromal Tumor Manoela Mota, MD1, Dennis Yang, MD2, Jinping Lai, MD1, Calvin Koh, (GIST) in Excluded Stomach MD1, Joydeep Chakraborty, MD1; 1University of Florida, Gainesville, FL; Osama Kaddourah, MD, Osama Yousef, MD, Tarek Tamimi, MD; University 2University of Florida College of Medicine, Gainesville, FL of Missouri, Kansas City, MO P2204. Brisk Upper Gastrointestinal Bleeding From Isolated Proximal P2192. An Unexpected Outcome After Coil Embolization for Recurrent Esophageal Varices Upper Gastrointestinal Bleed Xin Zheng, DO, MS, Chuong Tran, MD, Andrew Wright, MD; Loma Linda Neil Rangwani, MD1, Jonathan T. Hlivko, MS, MD2; 1Summa - Akron City University Medical Center, Loma Linda, CA 2 Hospital, Akron, OH; Alliance Community Hospital, Alliance, OH P2205. A Case of Duodenal Traditional Serrated Adenoma Manifested as P2193. When Occam’s Razor Dulls: Meckel’s Diverticulum Complicated by a Gastrointestinal Bleeding Carcinoid Tumor in an Octogenarian Jinah Ryu, MD1, Seungwoo Lee, PhD1, Sangbum Kang, MD1, SungJin Moon, Edward E. Bridges, MD, Patrick E. Young, MD, FACG; Walter Reed National MD1, Dongsu Lee, MD1, Junguee Lee, MD2; 1Daejeon St. Mary’s Hospital, Military Medical Center, Bethesda, MD Daejeon, Taejon-jikhalsi, Republic of Korea; 2Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Taejon- P2194. Rare Case of Upper Gastrointestinal Bleeding jikhalsi, Republic of Korea Aaron Reiprich, DO, John Sotiriadis, MD, PhD; Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ P2206. Pernicious Anemia: Early Detection of the Historical “Great Pretender" P2195. A Rare Cause of Gastrointestinal Bleeding in a Patient with Huy A. Le, MS41, Tejas V. Joshi, MD2, Corey Saraceni, MD2, Lee Engel, MD, Acquired Immune Deficiency Syndrome PhD3; 1UMHS-St. Kitts, New York, NY; 2LSU Health New Orleans School of 1 1 1 Nikhil Gupta, MD , Varun Takyar, MD , Terrence Lee, MD , James Buxbaum, Medicine, New Orleans, LA; 3LSU Health Sciences Center, New Orleans, LA MD2; 1LAC+USC Medical Center, Los Angeles, CA; 2University of Southern California School of Medicine, Los Angeles, CA

154 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2207. Fatal Strongyloides stercoralis Hyperinfection in a Patient With P2216. Secular Trends in the Perceptions of Risks and Benefits of Gastrointestinal Bleeding and Asthma: A Case to Screen for Asymptomatic Adalimumab Within an Online Community of Patients With Crohn’s Disease Carriers Amneet K. Hans, MD1, Mark Gerich, MD1, Blair Fennimore, MD1, Frank I. Atchayaa Gunasekharan1, Daniel Greenwald, MD2, Caroline Loeser, MD, Scott, MD, MSCE2; 1University of Colorado Anschutz Medical Campus, FACG3; 1Saba University School of Medicine, Ottawa, ON, Canada; 2Yale Denver, CO; 2University of Colorado Anschutz Medical Campus; Center New Haven Health System, Bridgeport Hospital, Bridgeport, CT; 3Yale for Clinical Epidemiology and Biostatistics, University of Pennsylvania, University School of Medicine, Bridgeport, CT Denver, CO P2217. In-Hospital Outcomes of Gastrointestinal Bleeding in Patients With IBD Co-Morbid Inflammatory Bowel Disease Elizabeth Brindise, DO1, Imad Elkhatib, MD2, Aneesh Kuruvilla, DO1, Rogelio P2208. Paper Standard Gamble Is a Useful Utility and Patient Reported Silva, MD1; 1University of Illinois at Chicago - Advocate Christ Medical Outcome Measure in Crohn’s Disease Center, Oak Lawn, IL; 2Advocate Christ Medical Center, Oak Lawn, IL 1 2 1 Jean-Paul Achkar, MD, FACG , Keyonna Smith, MSHS , Xinge Ji, MS , P2218. Characteristics of Anemia in Inflammatory Bowel Disease (IBD) 1 1 1 Janine Bauman, BSN , David Sugano, DrPH , Alex Milinovich, BA , Michael Patients and Their Impact on Disease Activity and Health Care Utilization 1 1 1 Kattan, PhD , Jacob A. Kurowski, MD ; Cleveland Clinic, Cleveland, OH; at a Tertiary Referral IBD Center 2 Cleveland Clinic Foundation, Cleveland, OH Dhruvan Patel, MD, Meet Parikh, DO, Khine Shan, MD, Neilanjan Nandi, P2209. Novel Inflammatory-Nutritional Biomarkers as Predictors of MD; Drexel University College of Medicine, Philadelphia, PA Histological Activity in Crohn’s Disease P2219. Soluble MAdCAM-1: A Potential Predictor of Clinical Outcome in 1 1 1 Ammar Nassri, MD , Andre Fialho, MD , Andrea Fialho, MD , Mayssan Inflammatory Bowel Disease (IBD) 2 1 1 Muftah, MD , Bruno Ribeiro, MD , James Scolapio, MD , Miguel Malespin, Tara Menon, MD1, Maya Devi Srivastava, MD, PhD2; 1University at Buffalo 1 1 1 MD , Silvio De Melo, MD ; University of Florida Jacksonville, Jacksonville, Jacobs School of Medicine, Buffalo, NY;2 SUNY at Buffalo, Williamsville, NY FL; 2Emory University, Atlanta, GA P2220. Venous Thromboembolism (VTE) Prophylaxis in Inflammatory P2210. Pouch Wall Thickness and Floppy Pouch Complex Bowel Disease (IBD) Flare-Ups 1 1 1 2 1 Freeha Khan, MD , Grace Sze , Nan Lan, MD , Bo Shen, MD ; Cleveland 1 1 1 TUESDAY Osama Kaddourah, MD , Laith Numan, MD , Sravan Jeepalyam, MD , POSTERS 2 Clinic, Cleveland, OH; Cleveland Clinic Digestive Disease Institute, Omar Abughanimeh, MD1, Mouhanna K. Abu Ghanimeh, MD2, Khalil Cleveland, OH M. Abuamr, MD1; 1University of Missouri, Kansas City, MO; 2Henry Ford P2211. Comparison of Disease Burden of IBD (CD and UC) Patients in the Hospital, Detroit, MI U.S. Treated With Biologics/Biosimilars in Remission and Not in Remission P2221. Polypharmacy May Represent an Independent Risk Factor of 1 2 1 Holly Triggs, BSc , Yao Lu, MSc ; Ipsos Mori, London, England, United Disease Flare in Patients With Ulcerative Colitis 2 Kingdom; Ipsos Mori, New York, NY  Presidential Poster Award P2212. Treatment With Cyclosporine After Infliximab Failure in Hospitalized Jingzhou Wang, MD, Anne G Tuskey, MD, Brian W. Behm, MD; Patients With Acute Severe Ulcerative Colitis Is Effective and Safe University of Virginia, Charlottesville, VA Jacob E. Ollech, MD, Roni Weisshof, MD, Katia El Jurdi, MD, Olivia V. P2222. Real World Experience of Vedolizumab in Pediatric Yvellez, BA, Russell D. Cohen, MD, Atsushi Sakuraba, MD, PhD, Sushila Inflammatory Bowel Disease R. Dalal, MD, Joel Pekow, MD, David T. Rubin, MD; Inflammatory Bowel Annette Whitney, MD1, Harry E. Sarles, Jr., MD, FACG2, Schroeder P. Claudia, Disease Center, University of Chicago Medicine, Chicago, IL PharmD, PhD3, Tracy C. Okoro, PharmD3, Lucinda J. Van Anglen, PharmD3; P2213. Increased Risk of Endoscopic Disease Progression With Rutgeerts’ 1Digestive Health Associates of Texas, Dallas, TX; 2DHAT Research Institute, i2a and i2b Recurrence: Implications for Disease Prevention Richardson, TX; 3Healix Infusion Therapy, Sugar Land, TX 1 2 1 Jacob E. Ollech, MD , Maya Aharoni Golan, MD , Roni Weisshof, MD , P2223. Population Pharmacokinetics and Pharmacodynamics of SHP647, 3 4 5 Inessa Normatov, MD , Abby R. Sapp, DO , Aditya Kalakonda, MD , Sushila a Fully Human Monoclonal Antibody Against Mucosal Addressin Cell 1 1 1 R. Dalal, MD , Atsushi Sakuraba, MD, PhD , Russell D. Cohen, MD , David Adhesion Molecule-1 (anti-MAdCAM-1), in Patients With Ulcerative Colitis 1 1 1 T. Rubin, MD , Joel Pekow, MD ; Inflammatory Bowel Disease Center, or Crohn’s Disease 2 University of Chicago Medicine, Chicago, IL; Rabin Medical Center, Yi Wang, PhD1, J.F. Marier, MSc, PhD2, Jean Lavigne, MSc2, Nastya Kassir, 3 Petach Tikva, HaMerkaz, Israel; University of Chicago, Comer Children’s PharmD, PhD2, Patrick Martin, MD3; 1Shire, Cambridge, MA; 2Certara 4 5 Hospital, Chicago, IL; Franciscan Alliance, Olympia Fields, IL; University Strategic Consulting, Montreal, PQ, Canada; 3Shire, Lexington, MA of Massachusetts, Baystate Medical Center, Springfield, MA P2224. Red Cell Distribution Width Can Differentiate Inflammatory Bowel P2214. Anti-TNF Use Prior to Bowel Resection Is Not Associated with 30- Disease Sub-Types Day Post-Operative Complications Seyedehsan Navabi, MD1, Nabeel M. Akhtar, MD2, Zachary L. Pattison, DO, 1 2 1 Sean Pirkle , Srikanth Reddy, BA , Lewis L. Shi, MD , Michael J. Lee, MPH1, Venkata subhash Gorrepati, MD, MPH1, Stuart August, MS1, Andrew 1 3 1 MD , Sushila R. Dalal, MD ; The University of Chicago, Chicago, IL; Tinsley, MD, MSc3, Emmanuelle D. Williams, MD3, Matthew D. Coates, MD, 2 3 Northwestern University, Chicago, IL; Inflammatory Bowel Disease PhD3, Kofi Clarke, MD, FRCP3; 1Penn State University - Milton S. Hershey Center, University of Chicago Medicine, Chicago, IL Medical Center, Hershey, PA; 2Penn State Health Milton S. Hershey Medical P2215. Maintenance of Remission With Tofacitinib in Patients With Center, Hershey, PA; 3Penn State College of Medicine, Hershey, PA Ulcerative Colitis: Subpopulation Analysis From an Open-Label, Long-Term Extension Study Jean-Frederic Colombel, MD1, Walter Reinisch, MD2, Mark T. Osterman, MD, MSCE3, Andrew J. Thorpe, PhD4, Chudy I. Nduaka, DVM, PhD4, Haiying Zhang, PhD4, Nervin Lawendy, PharmD4, Gary S. Friedman, MD4, Chinyu Su, MD4; 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Medical University of Vienna, Vienna, Wien, Austria; 3Penn Presbyterian Medical Center, Philadelphia, PA; 4Pfizer Inc., Collegeville, PA

P2225. Despite Shorter Length of Hospital Stays, Hospitalization Charges P2232. Hispanic Ethnicity Associated With Lower Prevalence of in Crohn’s Disease Patients of Asian and Hispanic Ethnicity Are Higher Inflammatory Bowel Disease Than Non-Hispanic Whites: An Analysis of the 2007-2013 Nationwide Paul T. Kroner, MD, MSc1, Alex M. Kesler, MD1, Karl Mareth, MD2, Brian Ting, Inpatient Sample MD3, John Cangemi, MD1; 1Mayo Clinic Florida, Jacksonville, FL; 2Mayo Mona Rezapour, MD, MHS1, Artin Galoosian, MD, MA1, Benny Liu, MD2, Taft Clinic, Jacksonville, FL; 3Johns Hopkins Hospital, Baltimore, MD Bhuket, MD2, Robert Wong, MD3; 1California Pacific Medical Center, San Francisco, CA; 2Highland Hospital, Oakland, CA; 3Alameda Health System P2233. Emergency Department Visits for Inflammatory Bowel Disease - Highland Hospital, Oakland, CA Patients Are Increasing at a Steady Rate Yecheskel Schneider, MD, MS1, Helen Lee, MD2, Gary R. Lichtenstein, MD3; P2226. The Greatest Proportional Increase in Hospitalizations Among U.S. 1University of Pennsylvania, Philadelphia, PA; 2Hospital of the University Adults With Ulcerative Colitis was Observed in Hispanic Patients, and Those of Medicine, Philadelphia, PA; 3Hospital of the University of Pennsylvania, With Medicaid Insurance: An Analysis of the Nationwide Inpatient Sample Philadelphia, PA Mona Rezapour, MD, MHS1, Artin Galoosian, MD, MA1, Benny Liu, MD2, Taft Bhuket, MD2, Robert Wong, MD3; 1California Pacific Medical Center, San P2234. An Analysis of Latest Data on Sequential Use of Biologic Therapies Francisco, CA; 2Highland Hospital, Oakland, CA; 3Alameda Health System in Patients with Inflammatory Bowel Disorder: A Systematic Literature - Highland Hospital, Oakland, CA Review Tariq Ahmad, MRCP, DPhil, MBChB1, Nicholas A. Kennedy, MBBS, MA, P2227. Relevant Factors and Significant Endoscopic Findings for Detecting FRACP2, Edouard Louis, MD, PhD3, Kristina Kligys, PhD4, Tricia Finney- UC-Associated Neoplasms Using Pancolonic NBI Surveillance Colonoscopy: Hayward, PhD5, Tim Raine, MA, MB BChir, PhD, MRCP6; 1University of A Sub-Analysis of Navigator Study Devon, Exeter, Devon, England, United Kingdom; 2Royal Devon and Kenji Watanabe, MD, PhD, FACG1, Reo Kawano, PhD2, Masakazu Nishishita, Exeter NHS Foundation Trust and University of Exeter, Exeter, Devon, MD, PhD3, Fumio Shimamoto, MD, PhD4, Takumi Fukuchi, MD, PhD5, England, United Kingdom; 3University Hospital of Liège, Liège, Liege, Motohiro Esaki, MD, PhD6, Shiro Oka, MD, PhD2, Shigehiko Fujii, MD, PhD7, Belgium; 4AbbVie Inc., North Chicago, IL; 5AbbVie Ltd., Maidenhead, Fumihito Hirai, MD, PhD8, Kazuki Kakimoto, MD, PhD9, Takuyta Inoue, MD, Berkshire, England, United Kingdom; 6Cambridge University Hospitals PhD9, Ryoichi Nozaki, MD, PhD10, Hiroshi Kashida, MD, PhD11, Ken Takeuchi, NHS Foundation Trust, Cambridge, England, United Kingdom MD, PhD12, Naoki Ohmiya, MD, PhD13, Masayuki Saruta, MD, PhD14, Shoichi Saito, MD, PhD15, Shinji Tanaka, MD, PhD, FACG2, Yoichi Ajioka, MD, P2235. Real World Mucosal Healing With Vedolizumab in Crohn’s Disease: PhD16, Hisao Tajiri, MD, PhD14; 1Hyogo College of Medicine, Osaka, Japan; A Systematic Review and Meta-Analysis Silvio Danese, MD, PhD1, Dirk Demuth, PhD2, Parnia Geransar, PhD3, Sarah 2Hiroshima University, Hiroshima, Japan; 3Nishishita GI Hospital, Osaka, Campbell-Hill, PhD4, Peter Irving, MA, MD, FRCP5; 1Humanitas University, Japan; 4Prefectural University of Hiroshima, Hiroshima, Japan; 5Osakafu Milan, Lombardia, Italy; 2Takeda International – UK Branch, London, Saiseikai Nakatsu Hospital, Osaka, Japan; 6Saga University, Saga, Japan; England, United Kingdom; 3Takeda Pharmaceuticals International AG, 7Kyoto Katsura Hospital, Kyoto, Japan; 8Fukuoka University Chikushi Zurich, Switzerland; 4Takeda International - UK Branch, London, England, Hospital, Chikushi, Fukuoka, Japan; 9Osaka Medical College, Osaka, United Kingdom; 5Guy’s and St. Thomas’ NHS Foundation Trust, London, Japan; 10Takano Hospital, Kumamoto, Kumamoto, Japan; 11Kinki University, England, United Kingdom Osakasayama, Osaka, Japan; 12Toho University Sakura Medical Center, Sakura, Chiba, Japan; 13Fujita Health University, Toyoake, Aichi, Japan; P2236. Correlation of Fecal Lactoferrin with Endoscopic Scores: 14The Jikei University School of Medicine, Tokyo, Japan; 15The Cancer Impact of Disease Location and Timing of Testing in Inflammatory Institute Hospital of JFCR, Tokyo, Japan; 16Niigata University, Niigata, Bowel Disease Patients Niigata, Japan Marrieth Rubio, MD1, Kofi Amo-Mensah, MD2, Vu Nguyen, MD2, James Boone, MSc3, Dario Sorrentino, MD2; 1Carilion Clinic, Virginia Tech P2228. IBD-Associated With Increased Risk of C. difficile Reinfection After 2 Treatment with Vancomycin or FMT: A Small Retrospective Cohort Study University, Roanoke, VA; Virginia Tech Carilion School of Medicine, Roanoke, VA; 3TechLab, Inc., Blacksburg, VA Thomas Hunold, BSPH1, Thomas Dieringer, MD2, Abhishek Shenoy, MD2, R. Ann Hays, MD1; 1University of Virginia, Charlottesville, VA; 2University of P2237. Efficacy of Tofacitinib and Biologics as Induction and Maintenance Virginia Health System, Charlottesville, VA Therapy for Moderately-to-Severely Active Ulcerative Colitis: A Systematic P2229. Characterization of the Clinical and Phenotypic Features of South Review and Network Meta-Analysis  Presidential Poster Award Asian Patients with Inflammatory Bowel Disease at an IBD Referral Center 1 2 in the United States David T. Rubin, MD , Ajibade Ashaye, MD, MBA, MPH, MSc , Younan Zhang, MBiochem3, Kyle Fahrbach, PhD2, Andreas Freitag, MD, MSc3, Vimal Bodiwala, MD1, Timothy F. Marshall, PhD2, Darren Seril, MD, PhD1; Cem Kayhan, MD4, Christoph Lohan, MSc5, Joseph C. Cappelleri, PhD, 1Robert Wood Johnson Medical School, New Brunswick, NJ; 2Kean MPH6, Marco DiBonaventura, PhD7; 1Inflammatory Bowel Disease Center, University, North Brunswick, NJ University of Chicago Medicine, Chicago, IL; 2Evidera, Inc., Waltham, MA; P2230. SNP Analysis as a Potential Predictor of Disease Progression Within 3Evidera, Inc., London, England, United Kingdom; 4Pfizer Inc., Collegeville, the UCLA IBD Biobank PA; 5Pfizer Inc., Walton Oaks, England, United Kingdom;6 Pfizer Inc., Melissa Corson, MD1, Nimah Jamaluddin, MD2, Jenny Sauk, MD1, Jonathan Groton, CT; 7Pfizer Inc., New York, NY Jacobs, MD, PhD3, Carl Rankin, PhD1, David Padua, MD, PhD3; 1University of California Los Angeles, Los Angeles, CA; 2University of California Los P2238. Fecal Calprotectin Correlates With Histological Disease Activity in Angeles Gastroenterology, Los Angeles, CA; 3University of California Los Ulcerative Colitis: A Post-Hoc Analysis of the MOMENTUM Trial Toer W. Stevens, MD1, Krisztina Gecse, MD, PhD1, Karen Barrett, MSc2, Angeles / VA Greater Los Angeles, Los Angeles, CA Jerrold R. Turner, MD, PhD3, Gert de Hertogh, MD, PhD4, David T. Rubin, P2231. Use of Recombinant Zoster Vaccine (RZV-Shingrix) in Patients With MD5, Geert R. D’Haens, MD, PhD6; 1Amsterdam University Medical Centers, Inflammatory Bowel Disease Amsterdam, Noord-Holland, Netherlands; 2Shire, Basingstoke, England, Jason Reich, MD, Li Pei-Hsuan, BA, Toni Zahorian, PharmD, Ansu United Kingdom; 3Brigham & Women’s Hospital/Harvard Medical School, Noronha, MD, Sharmeel K. Wasan, MD, Francis A. Farraye, MD, MSc; Boston, MA; 4KU Leuven, Leuven, Brabant Wallon, Belgium; 5Inflammatory Boston Medical Center, Boston, MA Bowel Disease Center, University of Chicago Medicine, Chicago, IL; 6Academic Medical Center, Amsterdam, Noord-Holland, Netherlands

156 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2239. Tofacitinib 15 Milligrams Twice Daily for Patients With Moderate to P2248. African American Ethnicity Associated with Decreased Odds of Severe Ulcerative Colitis: Results From 8-Week Induction Studies OCTAVE Inflammatory Bowel Disease: Results of a Nationwide Analysis Induction 1 & 2 Alex M. Kesler, MD1, Karl Mareth, MD2, Juan Corral, MD1, Monia E. Werlang, David T. Rubin, MD1, Satoshi Motoya, MD, PhD2, Stefan Schreiber, MD3, MD1, Brian Ting, MD3, Peter Abader, MD1, Paul T. Kroner, MD, MSc1; 1Mayo Daniel Quirk, MD, MPH, MBA4, Chudy I. Nduaka, DVM, PhD4, Nervin Clinic Florida, Jacksonville, FL; 2Mayo Clinic, Jacksonville, FL; 3Johns Lawendy, PharmD4, Deborah A. Woodworth, MS, MBA4, Wenjin Wang, Hopkins Hospital, Baltimore, MD PhD4, Chinyu Su, MD4, Peter D. R. Higgins, MD, PhD, MSc5; 1Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, P2249. Immunogenicity of the Influenza Vaccine in IBD Patients Treated IL; 2Sapporo Kosei Hospital, Sapporo, Hokkaido, Japan; 3University with Vedolizumab Jill E. Harrington, MD1, Rachael E. Hamilton, BA2, Sharmeel K. Wasan, Hospital Schleswig-Holstein, Christian-Albrechts-University of Kiel, Kiel, MD1, Francis A. Farraye, MD, MSc1, Lisa Ganley-Leal, PhD2; 1Boston Medical Schleswig-Holstein, Germany; 4Pfizer Inc., Collegeville, PA;5 University of Center, Boston, MA; 2Leaf Therapeutics, Boston, MA Michigan, Ann Arbor, MI P2240. Sexual Function and Contraception Use in Women With P2250. The Impact of Substance Abuse on Outcomes in Inflammatory Inflammatory Bowel Disease Bowel Disease Alicia Philippou, BS1, Anand Kumar, MD2, Brad Tricomi, MS2, Dana J. Lukin, Nichola R. Haddad, BA1, Pratima Dibba, MD2, Benjamin A. Bouvier, BSc2, MD, PhD2; 1Albert Einstein College of Medicine, Bronx, NY; 2Montefiore Christy Dibble, DO3; 1Warren Alpert Medical School of Brown University, Medical Center, Bronx, NY Providence, RI; 2Women & Infants Hospital, Providence, RI; 3Brown University/Women & Infants Hospital, Providence, RI P2251. Fearing the Unknown - The Fate of Inflammatory Bowel Disease After Fecal Microbiota Transplantation for Clostridium difficile Infection P2241. The Utility of Fecal Calprotectin in an Acute Flare of Inflammatory 1 2 2 Bowel Disease Faisal S. Ali, MD , Hamzah Abu-Sbeih, MD , Rachel Hicklen, MS , Yinghong Wang, MD2; 1Presence Saint Joseph Hospital, Chicago, IL; 2University of Jonathan Wilen, MD1, Shria Kumar, MD2, Simon Lichtiger, MD1; 1NewYork- Texas MD Anderson Cancer Center, Houston, TX Presbyterian - Columbia, New York, NY; 2University of Pennsylvania, Philadelphia, PA P2252. Sleep and Fatigue Scores Differ Between Cytokine Genotypes in Young People With Crohn’s Disease P2242. Impact of Inflammatory Bowel Disease Subtypes and Other 1 2 TUESDAY Eva Szigethy, MD, PhD , Mitchell Knisely, PhD, RN , Katheryn McAuliff, POSTERS Risk Factors on Incidence Rate of Nonalcoholic Fatty Liver Disease: A 3 3 1 Systematic Review and Meta-Analysis BA , Meredith Strassburger, MA , David Binion, MD, FACG , Claudia Ramos del Aguila de Rivers, MD1, Miguel Regueiro, MD4, Yvette Conley, Sakolwan Suchartlikitwong, MD, Passisd Laoveeravat, MD, Thammasak PhD1; 1University of Pittsburgh, Pittsburgh, PA; 2Duke University School Mingbunjerdsuk, MD, Pakpoom Tantrachoti, MD, Saif El Naser H. M. El of Nursing, Durham, NC; 3University of Pittsburgh Medical Center, Nawaa, MD, Wasawat Vutthikraivit, MD; Texas Tech University Health Pittsburgh, PA; 4Cleveland Clinic, Cleveland, OH Sciences Center, Lubbock, TX P2253. Improvement in Physician’s Global Assessment Within 2 Weeks P2243. Real World Use of Oral Corticosteroids ≥30 mg/Day Among Adolescents With Newly Diagnosed Ulcerative Colitis in Patients With Ulcerative Colitis Treated With Tofacitinib Michael Chiorean, MD1, David T. Rubin, MD2, Mark Löwenberg, MD, Theresa Hunter, PhD, MPH, MS, April Naegeli, DrPH, MPH, Krista PhD3, Javier P. Gisbert, MD, PhD4, Konstantinos Tsilkos, MD5, Daniel Schroeder, PhD, Xiang Zhang, PhD, Amy Larkin, BS, Wendy Komocsar, BS, Quirk, MD, MPH, MBA5, Leonardo Salese, MD5, Haiying Zhang, PhD5, MT(ASCP) SI, Diana Stefani-Hunyady, MD, MBA; Eli Lilly and Company, Deborah A. Woodworth, MS, MBA5, Chinyu Su, MD5; 1Virginia Mason Indianapolis, IN Medical Center, Seattle, WA; 2Inflammatory Bowel Disease Center, P2244. Time to Loss of Efficacy Following Tofacitinib Interruption in University of Chicago Medicine, Chicago, IL; 3Academic Medical Center, Patients With Ulcerative Colitis: Results From OCTAVE Sustain Amsterdam, Noord-Holland, Netherlands; 4La Princesa University Marla C. Dubinsky, MD1, Kofi Clarke, MD, FRCP2, Jochen Klaus, MD, Hospital, IIS-IP and CIBEREHD, Madrid, Spain; 5Pfizer Inc., Collegeville, PA PhD3, Yoram Bouhnik, MD, PhD4, Arif Soonasra, PharmD5, Andrew J. Thorpe, PhD5, Haiying Zhang, PhD5, Gary S. Friedman, MD5, Deborah P2254. Data From Outer Space: The Association of Ultraviolet Light and A. Woodworth, MS, MBA5, Nervin Lawendy, PharmD5, Chinyu Su, MD5; Crohn’s Disease Faris El-Khider, MD, MS1, Suha Abushamma, MD2, C. Roberto Simons- 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Penn State Linares, MD3, Madhusudhan R. Sanaka, MD4, Jean-Paul Achkar, MD, College of Medicine, Hershey, PA; 3University Hospital Ulm, Ulm, Baden- FACG1; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Foundation, Wurttemberg, Germany; 4Gastroentérologie, MICI et Assistance Nutritive, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic, Cleveland, Hôpital Beaujon, Clichy, Ile-de-France, France; 5Pfizer Inc., Collegeville, PA OH; 4Cleveland Clinic Digestive Disease Institute, Cleveland, OH P2245. Sustained Steroid Free Remission at One Year in Corticosteroid Dependent Ulcerative Colitis Patients on Vedolizumab P2255. Nutritional Adequacy of Popular Defined Diets for Inflammatory Apoorva Bollu, MD, Mallory Chavannes, MD, Robert Enns, MD, FRCP, Greg Bowel Disease Nicolaus Nazarenkov1, Lori Beeken, RD2, Kristina Seeger, MD2, Ashwin Rosenfeld, MD, FRCPC, Brian Bressler, MD, MS, FRCPC, Yvette Leung, MD, Ananthakrishnan, MD, MPH3, Hamed Khalili, MD, MPH3, James D. Lewis, PhD, FRCPC; University of British Columbia, Vancouver, BC, Canada MD4, Gauree G. Konijeti, MD, MPH2; 1University of California Davis, Davis, P2246. The Association of Vitamin D and Endoscopic Disease Severity in CA; 2Scripps Clinic, La Jolla, CA; 3Massachusetts General Hospital, Boston, Patients With Inflammatory Bowel Disease (IBD) MA; 4Hospital of the University of Pennsylvania, Philadelphia, PA Anusha Shirwaikar Thomas, MD, Ayah Oglat, MD, Alejandro Granillo, MD, Antonio Duran, MD, Bincy Abraham, MD, MS; Houston Methodist Hospital, P2256. Golimumab Trough Levels Predict Mucosal Healing and Success of Houston, TX Dose Optimization: A Prospective Observational Study Sebastian Stefanovic, MD1, Iris Detrez2, Griet Compernolle2, Els Brouwers2, P2247. Safety of Immune Checkpoint Inhibitors for Cancer Therapy in IBD Nejc Sever, MD1, Borut Stabuc, MD, PhD1, Ivo Ferkolj, MD, PhD1, Natasa Patients Smrekar, MD1, Tina Kurent, MD1, Gregor Novak, MD, PhD1, Matic Kozelj, MD1, Ernesto M. Llano, MD1, David T. Rubin, MD1, Jason Luke, MD2; Marc Ferrante, MD, PhD3, Ann Gils, PhD2, David Drobne, MD, PhD1; 1University 1Inflammatory Bowel Disease Center, University of Chicago Medicine, Medical Centre Ljubljana, Ljubljana, Slovenia; 2KU Leuven, Leuven, Brabant Chicago, IL; 2University of Chicago, Chicago, IL Wallon, Belgium; 3UZ Leuven, Leuven, Brabant Wallon, Belgium

P2257. Results From the Vedolizumab Pregnancy Exposure Registry: An P2266. Is It Crohn’s or Lymphoma: Which Is the Chicken and Which Is the Egg? OTIS Pregnancy Study Rodrigo Duarte-Chavez, MD1, Ana Martinez-Tapia, MD2, Berhanu M. Geme, Christina D. Chambers, PhD, MPH1, Jane Adams, PhD2, Ronghui Xu, MD3, Ronak Modi, MD1, Noel B. Martins, MD4, Kimberly J. Chaput, DO2, PhD1, Diana Johnson, MS1, Yunjun Luo, MS1, Kenneth Lyons Jones, Ayaz Matin, MD2; 1St. Luke’s University Hospital Health Network, Fountain MD1; 1University of California San Diego, La Jolla, CA; 2University of Hill, PA; 2St. Luke’s University Hospital Health Network, Bethlehem, PA; Massachusetts, Boston, MA 3St. Luke’s University Hospital Health Network, Center Valley, PA; 4St. Luke’s University Health Network, Bethlehem, PA P2258. Analysis of Serum Vedolizumab Concentrations in Over 800 Patient Samples: Distribution of Drug and Anti-Drug Ab Levels and Serial P2267. Life Threatening Guillain-Barre Syndrome Attributed to Infliximab Measurement Trends After Ten Years of Therapy: A Case Report Kelly Y. Chun, PhD, Jane Chun, MD; Esoterix, LabCorp, Calabasas, CA Neethu Nair, MD1, Venkata Vedantam, MD1, Joseph Maguire, DO1, Tyler Aasen, DO2, James Swenson, MD3; 1East Tennessee State University, P2259. Therapeutic Drug Monitoring of Biologics in Patients With Johnson City, TN; 2East Tennessee State University, Quillen College of Inflammatory Bowel Disease: A Real World Experience Medicine, Johnson City, TN; 3Mountain Home VA Medical Center, Johnson Chris Fourment, MD1, Timothy E. Ritter, MD1, Schroeder P. Claudia, City, TN PharmD, PhD2, Tracy C. Okoro, PharmD2, Lucinda J. Van Anglen, PharmD2; 1Texas Digestive Disease Consultants, PA, Southlake, TX; 2Healix Infusion P2268. Gastric Outlet Obstruction as a Manifestation of Recurrent Crohn’s Therapy, Sugar Land, TX Disease Muhammad Alsayid, MD, MPH1, Anas Alshawa, MD2, Tareq Al Saadi, MD3; P2260. The Influence of Inflammatory Bowel Disease on the Outcome of 1University of Massachusetts Memorial Medical Center, Worcester, MA; Patients With Acute Stroke 2University of Texas, MD Anderson Cancer Center, Houston, TX; 3Faculty Yecheskel Schneider, MD1, Helen Lee, MD2, Gary R. Lichtenstein, MD1; of Medicine, University of Damascus, Burbank, IL 1Hospital of the University of Pennsylvania, Philadelphia, PA; 2Hospital of the University of Medicine, Philadelphia, PA P2269. A Case of Intestinal Tuberculosis Masquerading as Crohn’s Disease in a Patient Treated With Infliximab P2261. Prevalence and Epidemiology of First Ever Occurrence of Ulcerative James Han, MD, Zachary Lu, BSc, Fady A. Youssef, MD, Jason Samarasena, Colitis at Least 1 Month After Diagnosis of Celiac Disease in the United MD; University of California Irvine Medical Center, Orange, CA States: A Population-Based Study Between 2013 and 2018 Emad Mansoor, MD1, Daniel Karb, MD1, Mohannad Abou Saleh, MD2, Preetika P2270. Pericardial Effusion Due to Infliximab Therapy for Ulcerative Colitis Sinh, MD2, Jeffry Katz, MD2, Gregory Cooper, MD2; 1Case Western Reserve Muhammad Mirza, MBBS1, Maira Mirza, MD2, Vagishwari Murugesan, MD1, University/University Hospitals Cleveland Medical Center, Cleveland, OH; Arrel Olano, MD1; 1MedStar Washington Hospital Center, Washington, DC; 2University Hospitals Cleveland Medical Center, Cleveland, OH 2Cambridge Health Alliance/Harvard Medical School, Boston, MA P2262. Prevalence and Epidemiology of First Ever Occurrence of Crohn’s P2271. Hepatic Hazards in Inflammatory Bowel Disease Disease at Least 1 Month After Diagnosis of Celiac Disease in the United Gabrielle Mock, MD1, Bryce Perler, MD2; 1Brown University, Providence, RI; States: A Population-Based Study Between 2013 and 2018 2Warren Alpert Medical School of Brown University, Providence, RI Emad Mansoor, MD1, Daniel Karb, MD1, Mohannad Abou Saleh, MD2, Preetika Sinh, MD2, Jeffry Katz, MD2, Gregory Cooper, MD2; 1Case Western Reserve P2272. A Single Center Case Series on the Use of Ustekinumab for Crohn’s University/University Hospitals Cleveland Medical Center, Cleveland, OH; Disease in Patients with Active Malignancy Nicholas G. Brown, MD, Richard P. Rood, MD, FACG, FACP; University of 2University Hospitals Cleveland Medical Center, Cleveland, OH Cincinnati College of Medicine, Cincinnati, OH P2263. A Study of the Risk Factors for Hospital Admissions in IBD and the Differences Between Crohn’s Disease and Ulcerative Colitis Admissions in a P2273. Chronic Diarrhea After Infectious Enteritis: Not the Diagnosis You Large Tertiary Care Center Are Thinking of Bara Hasanain, MD1, Neeraj Sardana, MD2; 1St. Agnes Hospital, Baltimore, Qin Rao, MD1, Matthew Berger, MD2, Jessica Harris, MD3, Lorenzo Ottaviano, MD; 2St. Agnes Hospital, Catonsville, MD MD3, Erin Taub, MPH3, Ramona Rajapakse, MD3, Farah Monzur, MD3; 1Stony Brook University Hospital, Port Jefferson, NY;2 Stony Brook University, Dix P2274. IBD-Associated Arthritis Misdiagnosed as Juvenile Idiopathic Hills, NY; 3Stony Brook University Hospital, Stony Brook, NY Arthritis: A Case Report and Literature Review Sharmi Biswas, MBBS1, Zaheer A. Qureshi, MBBS, MD2, Sherry Reyes, MD3, Sri Lekha Bodepudi, MBBS4, Stacey E. Thomas, MD, MBA5; 1MAG Osmani IBD Medical College, Sylehet, Bangladesh, Edmonton, AB, Canada; 2University Clinical Vignettes/Case Reports of Health Sciences, Rego Park, NY; 3N/A, Lynbrook, NY; 4Dr. P.S.I. of Medical Sciences and Research Foundation, Jacksonville, FL; 5Mayo Clinic, P2264. A Perf-ect Diagnosis: Ileocolonic Crohn Disease Presenting as Scottsdale, AZ Acute Appendicitis Matthew J. Sullivan, DO, Michael Engels, MD; Lehigh Valley Health P2275. Catastrophic Phlegmasia Cerulea Dolens in Inflammatory Bowel Network, Allentown, PA Disease Brian McGrath, MD, Salih Samo, MD, Bradley Mathers, MD, Drew Davis, P2265. Nuisance Neighbors: Gut-Lung Cross Talk in a Case of Crohn’s Disease MD, Tanvi Dhere, MD; Emory University School of Medicine, Atlanta, GA Guleid Hussein, MD, Manbeer S. Sarao, MD, Vinod Nookala, MD, John P. McLaughlin, MD; University of Pittsburgh Medical Center Pinnacle, P2276. Duloxetine as a Primary Cause of Microscopic Colitis: A Case Report Harrisburg, PA Noah Becher, BA1, Zachary Marwil, MD2; 1Touro College of Osteopathic Medicine, New York, NY; 2Endoscopy Center of Long Island, Northwell Health, Garden City, NY

158 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2277. Bowel-Associated Dermatosis-Arthritis Syndrome (BADAS) as P2286. A Prospective Assessment of Inter-Observer Agreement Among Initial Presentation of Crohn’s Disease Endosonographers in the Classification and Diagnosis of Pancreatic Cysts Jose R. Ruiz, MD, MPH1, Jennie Johnson, MD2, Gabriel A. Gonzales, MD3, Harsh Patel, MD1, Michael Wallace, MD2, Douglas Faigel, MD3, William Steven Moss, MD1; 1Brown University, Providence, RI; 2Brown University/ Brugge, MD4, Suchi Patel, BBA, MBA, DTP5, Sundeep Lakhtakia, MD, Lifespan, Providence, RI; 3Alpert Medical School of Brown University, DM6, Zhao-Shen Li, MD7, Amrita Sethi, MD, MSc8, Douglas K. Pleskow, Providence, RI MD, FACG9, Cuong C. Nguyen, MD10, Rahul Pannala, MD, MPH10, John M. DeWitt, MD11, Massimo Raimondo, MD, FACG12, Timothy Woodward, P2278. A Challenging Case of Crohns Colitis with Severe Colonic Strictures MD2, Mohan Ramchandani, MD6, Zhendong Jin, MD7, Can Xu, MD7, Failing Multiple Therapy Mohammad Al-Haddad, MD, MSc13; 1Indiana University School of Medicine, Ali Osman, MD, Thamer Kassim, MD, Abdullah Abdussalam, MD, MBA, Carpentersville, IL; 2Mayo Clinic Florida, Jacksonville, FL; 3Mayo Clinic Robert Kizer, MD; Creighton University, Omaha, NE Arizona, Scottsdale, AZ; 4Massachusetts General Hospital, Boston, MA; P2279. A Rapid Response of Pyoderma Gangrenosa to Adalimumab 5Anand Institute of Management, Sardar Patel University, Anand, Gujarat, David N. Fitch, MD1, Ashley Trotter, MD2, Richard P. Rood, MD, FACG3; India; 6Asian Institute of Gastroenterology, Hyderabad, Telangana, India; 1University of Cincinnati College of Medicine, Cincinnati, OH; 2Trihealth 7Changhai Hospital, Shanghai, People’s Republic of China; 8Columbia Hospitals, Cincinnati, OH; 3University of Cincinnati College of Medicine, University Medical Center, New York, NY; 9Beth Israel Deaconess Medical Cinicnnati, OH Center, Boston, MA; 10Mayo Clinic, Scottsdale, AZ; 11Indiana University Health Medical Center, Indianapolis, IN; 12Mayo Clinic, Jacksonville, FL; P2280. Persistent Iliopsoas Abscess Due to Fistulizing Crohn’s Disease: 13Indiana University School of Medicine, Indianapolis, IN Can Biologic Agents Play a Role? Ruchit N. Shah, DO1, Erin Forster, MD, MPH2; 1Geisinger Health Systen, P2287. Trends in Post-ERCP Gastrointestinal Hemorrhage, Perforation and Danville, PA; 2Medical University of South Carolina, Charleston, SC Mortality From 2000 to 2012: A Nationwide Study Faiz Afridi, MD, Laura Rotundo, MD, Mirela Feurdean, MD, Sushil Ahlawat, P2281. Thrombotic Cutaneous Gangrene: A Rare Dermatologic and MD; Rutgers University, New Jersey Medical School, Newark, NJ Hematologic Extraintestinal Manifestation of Ulcerative Colitis Michael A. Yu, MD1, Shahzad Ahmed, MD2, Ross Deppe, MD2, Jason M. P2288. Endoscopic Submucosal Dissection for Colorectal Lesions: A Brown, MD1, Tanvi Dhere, MD1, Jennifer Christie, MD2; 1Emory University Single-Center Experience 2 Rushikesh Shah, MD1, Parit Mekaroonkamol, MD1, Yue Xue2, Steve Keilin, TUESDAY School of Medicine, Atlanta, GA; Emory University, Atlanta, GA POSTERS MD2, Field Willingham, MD, MPH1, Qiang Cai, MD, PhD2; 1Emory University P2282. A Case of Evan’s Syndrome Triggered by Vedolizumab School of Medicine, Atlanta, GA; 2Emory University, Atlanta, GA Henry Jen, MD1, Lionel D’Souza, MD2, Bradley Morganstern, MD2; 1Stony Brook University Hospital, Sands Point, NY; 2Stony Brook University P2289. Trends in the Use of Endoscopic Retrograde Hospital, Stony Brook, NY Cholangiopancreatography for the Management of Acute Pancreatitis in the United States P2283. Severe Flare of Mild Ileocolonic Crohn’s Disease Associated With Zubair Khan, MD, CMQ1, Nauman Siddiqui, MD2, Mohamad Moussa, Fecal Microbiota Transplantation Requiring Diverting Ileostomy MD, RDMS1, Muhammad Ali Khan, MD3, Thomas Sodeman, MD, FACP, 1 2 2 2 Vivy Tran, MD , Jennifer Phan, MD , Ben Nulsen, MD , Lizhou Huang, MD , FACG1, Ali Nawras, MD1; 1University of Toledo Medical Center, Toledo, 2 2 3 Marc Kaneshiro, MD , Guy Weiss, MD , Wendy Ho, MD , Jonathan Sack, OH; 2Tufts Medical Center, Boston, MA; 3University of Tennessee Health 2 4 2 2 1 MD , Christina Ha, MD , Dan Uslan, MD , Jenny Sauk, MD ; David Geffen Science Center, Memphis, TN School of Medicine at UCLA, Los Angeles, CA; 2University of California Los Angeles, Los Angeles, CA; 3University of California Los Angeles, P2290. Post-Procedural Gain in Body Mass Index Is Associated With the Ronald Reagan Medical Center, Los Angeles, CA; 4Cedars-Sinai, Los Risk of Pouch Anastomotic Sinus Recurrences Angeles, CA Nan Lan, MD1, Longjuan Zhang, MD1, Bo Shen, MD2; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Digestive Disease Institute, Cleveland, OH P2284. Recurrent Collagenous Colitis in a Patient With Crohn’s Colitis on Infliximab P2291. Outcomes of a Single-Step Endoscopic Ultrasonography-Guided Connie Y. Huang, MD, Emma Z. Du, MD, Gauree G. Konijeti, MD, MPH; Drainage of Pancreatic Fluid Collections Using a Novel Electrocautery- Scripps Clinic, La Jolla, CA Enhanced Lumen-Apposing, Self-Expanding Metal Stent With and Without Fluoroscopy Babatunde Olaiya, MD, MPH1, Parit Mekaroonkamol, MD2, Baiwen Li, MD3, INTERVENTIONAL ENDOSCOPY Huimin Chen, MD3, Steve Keilin, MD4, Field Willingham, MD, MPH2, Qiang Cai, MD, PhD4; 1Marshfield Clinic, Marshfield, WI;2 Emory University School P2285. 22G vs. 19G Needles for EUS-Guided Transgastric Liver Biopsies for of Medicine, Atlanta, GA; 3Emory University Hospital, Atlanta, GA; 4Emory Parenchymal Disease: a Comparative Analysis University, Atlanta, GA Harsh Patel, MD1, Natalia Rush, MD2, John M. DeWitt, MD3, Romil Saxena, MD4, Suchi Patel, BBA, MBA, DTP5, Wadad S. Mneimneh, MD6, P2292. Efficacy of Endoscopic Gastroplasty for Weight Loss: A Systematic Ariel Quickery, MS2, Mahmoud Rahal, MD2, Lindsey Temnykh, MD2, Review and Meta-Analysis 1 1 2 Mohammad Al-Haddad, MD, MSc2; 1Indiana University School of Medicine, Benjamin Renelus, MD , William Briggs, PhD , Kevin Woods, MD, MPH ; 1 Carpentersville, IL; 2Indiana University School of Medicine, Indianapolis, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY; 2 IN; 3Indiana University Health Medical Center, Indianapolis, IN; 4Indiana Cancer Treatment Centers of America, Atlanta, GA University, Indianapolis, IN; 5Anand Institute of Management, Sardar P2293. Endoscopic Submucosal Dissection for Colorectal Lesions: Patel University, Anand, Gujarat, India; 6University of South Alabama, Experience in an American Quaternary Referral Unit Mobile, AL Gabriela Rodriguez Ruiz, MD1, Uzma D. Siddiqui, MD2, Christopher G. Chapman, MD2, Kianoush Donboli, MD2, Irving Waxman, MD2; 1Hospital Central Norte, Petroleos Mexicanos, Mexico City, Distrito Federal, Mexico; 2Center for Endoscopic Research and Therapeutics (CERT), The University of Chicago Medicine, Chicago, IL

P2294. Dissection-Enabled Scaffold-Assisted Resection (DeSCAR) in GI P2302. Late Complications of Whipple’s Resection: Endoscopic Neoplasia of the Colon: Experience From 2015-2018 Recognition and Treatment Gabriela Rodriguez Ruiz, MD1, Matthew W. Stier, MD2, Uzma D. Siddiqui, Duncan Flynn, BA1, Edward Belkin, MD2, Douglas A. Howell, MD, FACG2, MD2, Christopher G. Chapman, MD2, Kianoush Donboli, MD2, Irving Daniil Rolshud, MD3, Andreas Stefan, MD, FACG2; 1Tufts University Waxman, MD2; 1Hospital Central Norte, Petroleos Mexicanos, Mexico School of Medicine / Maine Medical Center Advanced Interventional City, Distrito Federal, Mexico; 2Center for Endoscopic Research and Endoscopy, Portland, ME; 2Maine Medical Center, Portland, ME; 3Portland Therapeutics (CERT), The University of Chicago Medicine, Chicago, IL Gastroenterology, Portland, ME P2295. Case Series of EUS Guided Biliary Drainage as a Newly Adopted P2303. The Efficacy of Endocuff-Assisted Colonoscopy in Adenoma Technique for Biliary Obstruction in a Tertiary Care Center Detection: A Meta-Analysis of Randomized Controlled Trials Neha Hingorani, MD1, Chaitanya Allamneni, MD2, Ben Nunley, MD1, Ali M. Veeravich Jaruvongvanich, MD, Kittika Poonsombudlert, MD; University of Ahmed, MD2, Shajan Peter, MD2, C. Mel Wilcox, MD2, Kondal Rao Kyanam Hawaii, Honolulu, HI Kabir Baig, MD3; 1UAB Hospital, Birmingham, AL; 2University of Alabama at Birmingham, Birmingham, AL; 3UAB, Birmingham, AL P2304. Safety of Endoscopic Per-Oral Pyloromyotomy (POP) as an Outpatient Procedure P2296. Update: Outcome of ERC in High Grade Traumatic Liver Injury Joshua Landreneau, MD, MSc1, Andrew Strong, MD1, Jeffrey Ponsky, Catherine Tridico Hudson, MD, MPH1, Stephen W. Landreneau, MD2; 1LSU MD1, Michael Cline, DO1, Matthew Kroh, MD2, John Rodriguez, MD1, Kevin School of Medicine, New Orleans, LA; 2Louisiana State University Health El-Hayek, MD1; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Sciences Center, New Orleans, LA Clinic, Abu Dhabi, Abu Dhabi, United Arab Emirates P2297. Efficacy of Endoscopic Ultrasonography-Guided Gastroenterostomy P2305. A Novel Technique for Endoscopic Ultrasound-guided (EUS-GE) in Gastric Outlet Obstruction (GOO): A Systematic Review and Pancreaticogastrostomy: Duct Access Without Cautery Using Angioplasty Meta-Analysis Balloon Amaninder Jeet Singh Dhaliwal, MD1, Ian Cormier, MBBS1, Aravdeep S. Umar Hayat, MD, Martin Freeman, MD, Guru Trikudanathan, MD, Stuart Jhand, MBBS2, Rajani Rangray, MD3, Elizabeth Lyden, MS1, Ishfaq Bhat, MD4, Amateau, MD, PhD, James Mallery, MD; University of Minnesota, Mohit Girotra, MD, FACP5, Shailender Singh, MD6; 1University of Nebraska Minneapolis, MN Medical Center, Omaha, NE; 2Creighton University School of Medicine, Omaha, NE; 3Creighton University, Omaha, NE; 4Beth Israel Deaconess P2306. Local Recurrence Rate of Rectal Carcinoid Tumors After Endoscopic Medical Center, Boston, MA; 5University of Miami Leonard M. Miller School Mucosal Resection With Transrectal Ultrasound Chunsu Jiang, MD1, Baiwen Li, MD1, Hui Lou, MD1, Steve Keilin, MD1, Field of Medicine, Miami, FL; 6Nebraska Medical Center, Omaha, NE Willingham, MD, MPH2, Qiang Cai, MD, PhD1; 1Emory University, Atlanta, P2298. The Learning Curve for EUS-Guided Hepaticoenterostomy: Results GA; 2Emory University School of Medicine, Atlanta, GA of a Large Single Center U.S. Retrospective Analysis Theodore James, MD1, Mohamed Abdelfatah, MD2, Todd H. Baron, MD1; P2307. Long-Term Outcomes of Endoscopic Treatment of External 1University of North Carolina, Chapel Hill, NC; 2East Carolina University, Pancreatic Fistulas Without Concomitant Pancreatic Fluid Collections Nadav Sahar, MD, Michael Gluck, MD, Richard Kozarek, MD, Michael Greenville, NC Larsen, MD, Andrew Ross, MD, Shayan Irani, MD; Virginia Mason Medical P2299. Safety of Radiation versus Non-Radiation Endoscopic Retrograde Center, Seattle, WA Cholangiopancreatography (ERCP) in Pregnancy: A Systematic Review and Meta-Analysis P2308. Post ERCP Pancreatitis Is Not Increased in Patients Presenting With Mohamed Azab, MD1, Mahendran Jayaraj, MD2, Annie S. Hong, MD3, Gallstone Pancreatitis Jaehoon Cho, MD1, Han Zhang, MD1, Andrew Lin, BS2, Melissa Ling, BS2, Hyeyoung Yeom, MD4, Mohamad Mubder, MD2, Amaan Shafi, MD5, Chung Yao Yu, MD1, Ara B. Sahakian, MD2, Helen Lee, NP-C2, James Pejman Solaimani, MD6, Syed M. Saghir, MD7, Ji Won Yoo, MD7, Michael Buxbaum, MD2; 1University of Southern California, Los Angeles, CA; L. Volk, MD6; 1Loma Linda University School of Medicine, Loma Linda, 2University of Southern California School of Medicine, Los Angeles, CA CA; 2University of Nevada Las Vegas, Las Vegas, NV; 3University of Las Vegas School of Medicine, Las Vegas, NV; 4University of Nevada Las Vegas School of Community Health Sciences, Las Vegas, NV; 5University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 6Loma Linda INTERVENTIONAL ENDOSCOPY University, Loma Linda, CA; 7School of Medicine, Las Vegas, NV Clinical Vignettes/Case Reports P2300. Endoscopic Submucosal Dissection Skill Acquisition Using a Unique P2309. Nasogastric Tube Suction Impairs Apposition of Full Covered 3-D Printed Tissue Training Model Esophageal Metal Stent Yohei Kono, MD1, Kota Momose, MD1, Talal Al-Zaghari, MD1, Krishna Aruj Choudhry, MD1, Daniel Baik, MD1, Michael Bartel, MD2; 1Temple C. Gurram, MD2, Takahiro Hiratsuka, MD1, Andrew Harvey, BS1, Russell University Hospital, Philadelphia, PA; 2Fox Chase Medical Center, Corwin1, Jeffrey Milsom, MD1, Sam Sharma, MBBCh1; 1Weill Cornell Philadelphia, PA Medicine, New York, NY; 2The Brooklyn Hospital Center, Brooklyn, NY P2310. Trans-Colonic Forward Viewing Curvilinear Array Echoendoscope- P2301. The Clinical Usefulness of Endoscopic Full Thickness Resection- Guided Fine Needle Aspiration of an Infra-Renal Mass Assisted Laparoscopic Surgery for Duodenal Neuroendocrine Tumor Sunny Patel, DO, Kashif Tufail, MD, Amitpal S. Johal, MD, David L. Diehl, Jae Yeong Cho, MD, Dae Young Cheung, PhD, Jun Ki Moon, MD, Kiwook MD, Harshit S. Khara, MD, FACG; Geisinger Medical Center, Danville, PA Kwon, MD, Dong Jin Kim, PhD, Jin Il Kim, PhD, Soo-Heon Park, PhD, Wook P2311. Intra-Abdominal Lymph Node Tuberculosis: EUS-FNB Is a Valuable Kim, MD; The Catholic University of Korea College of Medicine, Seoul, Tool in Prompt Diagnosis Seoul-t’ukpyolsi, Republic of Korea Sandra Suarez, MD1, Abhishek Bhurwal, MBBS, MD2, David Rahni, MD1; 1Saint Barnabas Medical Center, Livingston, NJ; 2Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ

160 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2312. Endoscopic Management of Afferent Loop Syndrome: Case of Recurrent P2322. Mirror Image Technique in Choledocholithiasis: ERCP in Situs Gastric Cancer Leading to Pancreatitis and Gastric Outlet Obstruction Inversus With a Forward Viewing Endoscope Negar Niknam, MD, Kaveh Zivari, MD, Yuriy Tsirlin, MD, FACG, Michael Ma, MD1, Shmuel Golfeyz, MD2, Seth Cohen, MD2; 1Mount Sinai Beth Kadirawelpillai Iswara, MD, Ira E. Mayer, MD, FACG, Rabin Rahmani, MD, Israel Hospital, New York, NY; 2Mount Sinai Beth Israel, New York, NY FACG; Maimonides Medical Center, Brooklyn, NY P2323. Endoscopic Lap-Band Removal at a Community Hospital: P2313. Retrograde NaviAid Enteroscopy-Assisted Resection of Distal Ileal Experience and Lessons Learned Hamartomatous Polyps Matthew Josephson, MD1, Kevin Skole, MD2, Wai Yip Chau, MD2; 1Rutgers Ayusa Sinha, MD1, Ansh Khurana2, Amitpal S. Johal, MD1, Harshit S. Khara, Robert Wood Johnson Medical School, New Brunswick, NJ; 2Penn MD, FACG1; 1Geisinger Medical Center, Danville, PA; 2LAHS, Lewisburg, PA Medicine Princeton Health, Plainsboro, NJ P2314. Endoscopic Papillectomy for Major and Minor Papillary Adenoma in P2324. Secondary Multiple Choledocholithiasis in Obstructive Jaundice Familial Adenomatous Polyposis Patient Due to Choledochoduodenal-Fistula Stricture Moiz Ahmed, MD1, Jobin Philipose, MD2, Andrew Hunton, PA-C3, Sherif Muhammad Begawan Bestari, MD, MHS, PhD1, Eka Surya Nugraha, MD2, Andrawes, MD4; 1Icahn School of Medicine at Mount Sinai, Elmhurst Siti Aminah Abdurachman, MD, PhD2; 1University of Padjadjaran, Hasan Hospital Center, New York, NY; 2Staten Island University Hospital, Sadikin General Hospital, Bandung, Jawa Barat, Indonesia; 2University Northwell Health, New York, NY; 3Staten Island University Hospital, New of Padjajdaran, Hasan Sadikin General Hospital, Bandung, Jawa Barat, York, NY; 4Staten Island University Hospital, Staten Island, NY Indonesia P2315. Adequacy of Endoscopic Ultrasound-Guided Liver Fine Needle P2325. Transoral Incisionless Fundoplication in a Patient With Dysphagia Biopsies Using a 20-Gauge Needle From Peptic Stricture Brian Phillips, DO1, David Y. Lo, MD, FACG2, Kevin Forsthoefel, MD3, Olga Zain Iqbal Memon, DO, David Dicaprio, DO, Patrick Okolo, MD; Northwell Speck, MD3, Brian Turner, MD4; 1OhioHealth, Riverside Methodist Hospital, Health Lenox Hill Hospital, New York, NY Columbus, OH; 2Ohio Gastroenterology Group, Inc., The Ohio State University College of Medicine, Columbus, OH; 3OhioHealth, Columbus, P2326. An Unusual Delayed Complication of Urogynecologic Surgical OH; 4Ohio Gastroenterology Group, Inc., Columbus, OH Mesh Placement: Perirectal Abscess 10 Years After Initial Placement Treated by Endoscopic Removal and Transrectal Drain Placement TUESDAY P2316. Pneumoretroperitoneum, Pneumomediastinum, and Subcutaneous  ACG Case Reports Journal Award POSTERS Emphysema Due to Retroperitoneal Penetration After Endoscopic Mucosal  Presidential Poster Award Resection of the Ascending Colon Where Only Right Cervical Pain Was the David L. Diehl, MD, Sara West, DO, Kristen L. Halm, MD; Geisinger Initial Symptom Medical Center, Danville, PA Kentaro Yazawa, PhD, Yoshiaki Kanemoto, MD, Yuki Azuma, MD, Tomohiro Kurokawa, PhD, Giichiro Tsurita, PhD, Masaru Shinozaki, PhD; IMSUT P2327. Our First Two Cases of Endoscopic Ultrasound (EUS)-Guided Hospital, The Institute of Medical Science, The University of Tokyo, Placement of Lumen-Apposing Metal Stent to Manage Acute Minato-ku, Tokyo, Japan Cholecystitis: Lessons Learned Sarah Buckley, MD, Robert Lawson, MD; Navy Medical Center San P2317. EUS-Guided Micro-Forceps Biopsy for the Diagnosis of Lymphoma Diego, San Diego, CA Amar Manvar, MD1, Aditi Desai, MBBS2, Sam Serouya, MD1, Sammy Ho, MD, FACG3; 1Montefiore Medical Center, New York, NY;2 Montefiore Medical P2328. A Case of in Situ Plastic Biliary Stent Causing Duodenal Center, Bronx, NY; 3Albert Einstein College of Medicine/Montefiore Perforation Medical Center, Bronx, NY Namisha Thapa, DO, Michael Loudin, MD, Brintha Enestvedt, MD, MBA; Oregon Health and Science University, Portland, OR P2318. Lumen Apposing Metal Stents ( LAMS) in the Treatment of Post Surgical Fluid Collections: A Case Series of 3 Patients P2329. Love It or GIST It: Looking Beyond the GIST Priyanka Priyanka, MD, William Hseuh, MD, John Nasr, MD; West Virginia Marina Kim, DO, Zeid Karadsheh, MD, Mukul Arya, MD, Kenneth Hennrick, University Hospital, Morgantown, WV MD, Vadim Nakhamiyayev, MD; New York Presbyterian - Brooklyn Methodist Hospital, Brooklyn, NY P2319. IPMN Never Fails to Surprise: A Rare Case of Colloid Carcinoma of Pancreas P2330. Turning Tight Corners: Utilization of Pediatric Bronchoscope in Manoj Kumar, MD, MPH1, Gilad Shapira, DO1, Caitlin Marshall, MD1, C. Alex Intraoperative Pancreatoscopy for Parenchyma-Sparing Pancreatectomy Wiles, BA1, Nicholas Ludvik, MD1, Tawfik Khoury, MD2, Meir Mizrahi, MD1; of Pancreatic Cystic Neoplasm 1University of South Alabama, Mobile, AL; 2Hadassah Medical Center, Marina Kim, DO, Zeid Karadsheh, MD, Mukul Arya, MD; New York Jerusalem, Yerushalayim, Israel Presbyterian - Brooklyn Methodist Hospital, Brooklyn, NY P2320. Introducing ERCP in a Low Income Country: A Case Series From P2331. Uncovered Duodenal Stent Removal: Should It Be Attempted? Rwanda Endoscopy Week Dalbir S. Sandhu, MD, Aakash Desai, MD, Roy Ferguson, MD; MetroHealth Cristina Rutherford, MD1, Eric Rutaganda, MD, MPH2, Vincent Medical Center, Case Western Reserve University, Cleveland, OH Dusabejambo, MD, MMED2, Marcellin Musabende, MD3, Steve Bensen, MD1, Stuart Gordon, MD1; 1Dartmouth-Hitchcock Medical Center, Lebanon, NH; 2Kigali University Teaching Hospital/CHUK, Kigali, Rwanda; 3University of LIVER Rwanda, Kigali, Rwanda P2332. Weight Loss Through Bariatric Surgery Is Associated With Lower P2321. Primary Jejunal MALT Lymphoma Diagnosed Using Double Balloon Rates of Hepatic Decompensation Enteroscopy Cambridge Hines, MD, Sean R. Rudnick, MD; Wake Forest School of Navdeep Chehl, MD1, Sergey Kantsevoy, MD2, Amit Raina, MD, CNSC3; Medicine, Winston-Salem, NC 1University of Maryland School of Medicine, Baltimore, MD; 2Mercy 3 P2333. Direct-Acting Antivirals Are Associated With Increased Risk of De Medical Center, Owings Mills, MD; Mercy Medical Center, Baltimore, MD novo Hepatocellular Carcinoma in HCV Cirrhotic Patients - Real World Data Ghias un Nabi Tayyab, MBBS, MRCP, Shafqat Rasool, MBBS, Muhammad Bilal Nasir, MBBS; Post Graduate Medical Institute, Ameer Ud Din Medical College, Lahore, Punjab, Pakistan

P2334. Early Liver Transplantation for Severe Alcoholic Hepatitis: P2344. Lower Cure Rates of Hepatitis C Treatment in Elderly Patients A Systematic Review With Meta-Analysis (aged 70 Years and Above) With Cirrhosis: Single Center Comparative Varun Kohli, MD, Tarvinder Gilotra, MD, Harika Balagoni, MD, Dhara Analysis Chaudhari, MD; East Tennessee State University, Johnson City, TN Kamran Qureshi, MD1, Jennifer Andres, PharmD2; 1Temple University Hospital, Philadelphia, PA; 2Temple University School of Pharmacy, P2335. Endoscopic Ultrasonography (EUS)-Guided Liver Biopsy for the Philadelphia, PA Diagnosis of Liver Parenchymal Diseases: A Systematic Review and Meta- Analysis P2345. Decreased Risk of Hepatocellular Carcinoma Recurrence With Baran Bulent, MD1, Santosh Kale, MBBS2, Prithvi Patil, MS2, Bijun S. Direct-Acting Antivirals for Hepatitis C: A Meta-Analysis Kannadath, MBBS, MS3, Nirav Thosani, MD4; 1Beth Israel Deaconess Felix Lui, MD1, Samiya Hussain, MD2, Anish Patel, MD1, Matthew Bechtold, Medical Center, Boston, MA; 2University of Texas Health Science Center MD, FACG3, Douglas Nguyen, MD2; 1University of California Irvine Medical at Houston, Houston, TX; 3University of Arizona College of Medicine, Center, Orange, CA; 2University of California Irvine Medical Center, Phoenix, AZ; 4University of Texas Health Science Center at Houston / Anaheim, CA; 3University of Missouri, Columbia, MO McGovern Medical School, Houston, TX P2346. Ultrasonographic (US) Two Dimensional (2D) Measurement of P2336. Systematic Review: Interferon-Free Direct-Acting Antiviral Therapy Spleen Is Superior to Traditional Length Measurement in Diagnosing for Hepatitis C Virus Genotype 6 Clinical Cirrhosis Panita Mettikanont, MD1, Chalermrat Bunchorntavakul, MD2; 1Thammasat Felix Lui, MD1, Patrick Ma1, Mohammad Helmy, MD1, Ke-Qin Hu, MD2; University, Bangkok, Krung Thep, Thailand; 2Rajavithi Hospital, Bangkok, 1University of California Irvine Medical Center, Orange, CA; 2University of Krung Thep, Thailand California Irvine School of Medicine, Orange, CA P2337. Prison Break: Curing HCV Infection in the Prison Setting P2347. Long-Term Incidence of Cirrhosis in Patients Following the Fontan Rui Gaspar, MD1, Rodrigo Liberal, PhD1, Jorge Esteves, MD2, Rui Morgado, Procedure: A Systematic Review and Meta-Analysis MD3, Guilherme Macedo, MD, PhD, FACG1; 1Centro Hospitalar São Aravdeep S. Jhand, MBBS1, Amaninder Dhaliwal, MD2, Shailender Singh, João, Porto, Portugal; 2Estabelecimento de Custóias, Porto, Portugal; MD3, Fedja A. Rochling, MD3; 1Creighton University School of Medicine, 3Estabelecimento de Custoias, Porto, Portugal Omaha, NE; 2University of Nebraska Medical Center, Omaha, NE; 3Nebraska Medical Center, Omaha, NE P2338. Adherence to Screening, Primary Prophylaxis, and Surveillance for Esophageal Varices in a U.S Veterans’ Population P2348. Impact of Timing of Paracentesis on Readmission Rates in Patients Ankush Sharma, MD1, Kyle Ball, DO2, Ronald J. Markert, PhD3, Padmini With Spontaneous Bacterial Peritonitis: Analysis of National Readmission Krishnamurthy, MD3; 1Wright State University, Beavercreek, OH; 2Wright Database State University Boonshoft School of Medicine, Kettering, OH; 3Wright Aravdeep S. Jhand, MBBS1, Amaninder Dhaliwal, MD2, Abhishek Thandra, State University Boonshoft School of Medicine, Dayton, OH MBBS1, Ryan Walters, PhD1, Rajani Rangray, MD3, Shailender Singh, MD4, Renuga Vivekanandan, MD1; 1Creighton University School of Medicine, P2339. Hospitalizations and Complications of Spontaneous Bacterial Omaha, NE; 2University of Nebraska Medical Center, Omaha, NE; Peritonitis in the U.S. Population 3Creighton University, Omaha, NE; 4Nebraska Medical Center, Omaha, NE Alana Persaud, MD1, Yasaman Motlaghzadeh, MD, MPH 2; 1Rutgers University, New Jersey Medical School, Newark, NJ; 2Rutgers New Jersey P2349. Acute on Chronic Liver Failure in Patients With Nonalcoholic Fatty Medical School, Newark, NJ Liver Disease: Trends in Mortality and Hospitalization Burden Over Time Maureen Whitsett, MD, MEd1, Violeta Popov, MD, PhD2, Giulio Quarta, MD, P2340. The Efficacy and Safety of Obeticholic Acid (OCA) in Primary PhD1, Ira M. Jacobson, MD1; 1NYU Langone Health, New York, NY; 2New Biliary Cholangitis (PBC) York University, New York, NY Ahmed Al-Khazraji, MBChB, MD1, Shyam Patel, MD1, Faruq Pradhan, MBBCh2, Fredric Gordon, MD2, Nezam Afdhal, MD1, Alan Bonder, MD1; P2350. Racial Factors Influence Appropriate Albumin Infusion After 1Beth Israel Deaconess Medical Center, Boston, MA; 2Lahey Hospital and Undergoing Large Volume Paracentesis: Retrospective Study From Medical Center, Burlington, MA Multiple Community-Based Hospitals Jolian Kathawa, DO1, Ryan Kahl, DO2, Jalpa Patel, MD2, Alan Putrus, MD2, P2341. Utility of Tumor Markers and Imaging for Post-Transplant Detection Judith Boura, MS1, Marc Piper, MD, MSc2; 1Ascension Macomb-Oakland of Recurrent Hepatocellular Carcinoma Hospital, Warren, MI; 2Providence-Providence Park Hospital, Southfield, MI Mohammad Arsalan Siddiqui, MD1, Kajali Mishra, MD1, Amanda Farris2, Reena Salgia, MD1; 1Henry Ford Hospital, Detroit, MI; 2Wayne State P2351. HIV Infection Does Not Affect Hepatic Steatosis or Fibrosis University School of Medicine, Detroit, MI Neva Castro, MD1, Paula Debroy, MD2, Leonidas Palaiodimos, MD, MSc1, Priyanka Mathias, MD1, Isaac Laniado, Jr., MD1, Dimpi Desai, MD3, Luis P2342. Predicting Post-Liver Transplant Recurrence of Hepatocellular Alejandro De Leon Castro, MD4, Donald P. Kotler, MD1; 1Jacobi Medical Carcinoma: Validating Individual Patient-Level Risk Center, Bronx, NY; 2University of Texas, Houston, TX; 3University of Mohammad Arsalan Siddiqui, MD1, Kajali Mishra, MD1, Amanda Farris2, Pennsylvania, Philadelphia, PA; 4Baylor College of Medicine, Houston, TX Reena Salgia, MD1; 1Henry Ford Hospital, Detroit, MI; 2Wayne State University School of Medicine, Detroit, MI P2352. Improvement in Quality of Life in HCV Cirrhosis After Successful Eradication of Hepatitis C Virus With Sofosbuvir Based Antiviral Treatment P2343. Efficacy and Safety of Indwelling Pleural Catheters in Management Umer Tariq, MBBS1, Arif Nawaz, MD, FACP, FACG2, Abdul Hafeez, MBBS1, of Hepatic Hydrothorax: A Systematic Review of Literature Asad Choudhry, FRCP3, Mohammed Sohaib, MBBS4, Mohammed Sikander Muhammad A. Baig, MD1, Muhammad Majeed, MBBS, MD1, Bashar M. Saleem, MBBS4, Shahmeer Nawaz1, Zohaib Khan, MBBS1, Bushra Ali, Attar, MD, PhD2, Zubair Khan, MD, CMQ3, Seema Gandhi, MD2, Melchor FCPS1, Raja Ikram Ul Haq, MBBS1, Hafsa Chaudhry5, Altaf Alam, FRCP1; Demetria, MD1; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 1Fatima Memorial Hospital, Lahore, Punjab, Pakistan; 2Fatima Memorial 2Cook County Health and Hospitals System, Chicago, IL; 3University of Hospital, Kearney, NE; 3Chaudhry Hospital, Gujranwala, Punjab, Pakistan; Toledo Medical Center, Toledo, OH 4Fatima Memorial Hospital, Gujranwala, Punjab, Pakistan; 5Chaudhry Hospital, Lahore, Punjab, Pakistan

162 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2353. Low ALT Levels Do Not Predict Mortality After Liver Transplantation P2363. Transient Elastography (Fibroscan) Compared to FIB-4, APRI, and Abby Lochmann-Bailkey, MD, Steven Gay, MD, Roman Jandarov, PhD, AST/ALT Ratio for Assessment of Significant Liver Fibrosis in Patients With Kamran Safdar, MD; University of Cincinnati, Cincinnati, OH Chronic Hepatitis C Dhuha Alhankawi, MD1, Kim HunJung, MD2, Santosh Sharma, MD3, James P2354. Improving Resident Paracentesis Certification Rates by Using an Park, MD1; 1New York University Medical Center, New York, NY; 2New York Innovative Resident Driven Procedure Service University, New York, NY; 3New York University Medical Center, Brooklyn, NY Matthew Berger, MD1, Vadim Divilov, MD2, Harold Paredes, MD3, Vivek Kesar, MD2, Edward Sun, MD, MBA4; 1Stony Brook University, Dix Hills, P2364. FIB-4, APRI, and AST/ALT Ratio in Comparison to Transient NY; 2Stony Brook University Hospital, Stony Brook, NY; 3Stony Brook Elastography (TE, Fibroscan) in the Assessment of Significant Liver Medicine, Stony Brook, NY; 4Stony Brook Medicine, East Setauket, NY Fibrosis in Patients With Chronic Hepatitis B (CHB) Dhuha Alhankawi, MD1, Santosh Sharma, MD2, Kim HunJung, MD3, Jacob P2355. Sarcopenia Is Not a Predictor of Survival or Dose Limiting Toxicity Ahlin, MD3, Jonathan Weinberger, MD4, Negar Niknam, MD5, James Park, in Patients Treated With Sorafenib for HCC MD1; 1New York University Medical Center, New York, NY; 2New York Mohamed A. Abdallah, MBBS1, Sally Bampoh, MD2, Naoki Takahashi, MD2, University Medical Center, Brooklyn, NY; 3New York University, New York, Michael Moynagh, MD2, Mohamed Hassan, MBBS2, Nicha Wongjarupong, NY; 4Maimonides Medical Center, Brooklyn, NY; 5Maimonides Medical MD3, Lewis Roberts, MBBCh, PhD2; 1University of South Dakota Sanford Center, New York, NY School of Medicine, Sioux Falls, SD; 2Mayo Clinic, Rochester, MN; 3University of Minnesota, Minneapolis, MN P2365. Burden of Hepatocellular Carcinoma in California’s Central Valley Leyla Farshidpour, BS, Padmavathi Mali, MD, Amir Fathi, MD, Marina P2356. Study Design and Impact on Publication Roytman, MD; University of California San Francisco Fresno, Fresno, CA Raj Shah, MD1, Jamie Varghese2, Felicia Ratnaraj, MD3, Mahathi Indaram, MD1, Joseph Feuerstein, MD4; 1University of Missouri, Kansas City, MO; P2366. Serum Urea at Admission Is a Predictor of Mortality in Patients 2St. Luke’s Hospital, Kansas City, MO; 3Washington University School With Acute on Chronic Liver Failure of Medicine / Barnes-Jewish Hospital, St. Louis, MO; 4BIDMC/Harvard Shivaram Prasad Singh, MBBS, MD, DM, FSGEI, FACG, FRCP [Edin]1, Chitta Medical School, Boston, MA Ranjan Khatua, MBBS, MD1, Bhaskar Thakur, BSc, MD2, Debakanta Mishra, MBBS, MD1, Subhendu Panigrahi, MBBS, MD1, Saroj Kanta P2357. Burden of Mental Illness in Hospitalized Patients of Liver Cirrhosis: Sahu, MBBS, MD1, Rakesh Kumar Barik, MBBS, MD1, Subhasis Pradhan, TUESDAY A Nationwide Analysis From the National Inpatient Sample MBBS, MD1, Sambit Kumar Behera, MBBS, MD1, Prasanta Kumar Parida, POSTERS Umar Darr, MD1, Zubair Khan, MD, CMQ2, Muhammad A. Baig, MD3, MBBS, MD, DM1; 1SCB Medical College, Cuttack, Orissa, India; 2KIMS, KIT Muhammad Ali Khan, MD4, Raja Chandra Chakinala, MD5, Shantanu University, Bhubaneswar, Orissa, India Solanki, MD, MPH5, Khwaja F. Haq, MD6, Thomas Sodeman, MD, FACP, FACG2, Ali Nawras, MD2; 1Baylor College of Medicine, Houston, TX; P2367. Prevalence of Risk Factors for and Presence of Non-Alcoholic 2University of Toledo Medical Center, Toledo, OH; 3John H. Stroger, Jr. Fatty Liver Disease in Patients Receiving Upper Endoscopic Ultrasound Hospital of Cook County, Chicago, IL; 4University of Tennessee Health Alyson M. Johnson, MD1, Naomi Chou, MD2, Rachel Feder, MD1, Joshua Science Center, Memphis, TN; 5New York Medical College at Westchester P. Lee, MD3, Manal Abdelmalek, MD, MPH1, Rebecca A. Burbridge, MD1; Medical Center, Valhalla, NY; 6Henry Ford Hospital, Detroit, MI 1Duke University, Durham, NC; 2Beth Israel Deaconess Medical Center, Boston, MA; 3Duke University Medical Center, Durham, NC P2358. Physician Awareness of Hepatocellular Carcinoma Surveillance in Patients With Chronic Liver Disease P2368. Low Hepatitis B Virus Vaccination Rates Among High-Risk and Emmanuel Ofori, MD1, Daryl Ramai, MD1, Andrew Ofosu, MD, MPH1, Immigrant Populations: A Safety Net Community-Based Hospital Experience Denzil Etienne, MD1, Kyawzaw Lin, MD1, Monica Dhawan, MD2, Madhavi Grishma Hirode, MAS1, Benny Liu, MD2, Taft Bhuket, MD2, Robert Wong, Reddy, MD1; 1The Brooklyn Hospital Center, Brooklyn, NY; 2Wayne State MD1; 1Alameda Health System - Highland Hospital, Oakland, CA; 2Highland University, Auburn Hills, MI Hospital, Oakland, CA P2359. Modest Concordance Between Vibration Controlled Transient P2369. Predictors of In-Hospital Mortality in Patients With Acute on Elastography and Non-Invasive Serum Markers of Fibrosis in Staging of Chronic Liver Failure Chronic Hepatitis C Virus (HCV) Infection Neha Hingorani, MD1, Chad Spencer, MD2, Page Axley, MD2, Ashwani Paul Gomez, MD1, Kelly Zucker, DO1, Jean Chang, BS2, Michael Rowley, Singal, MD, MS2; 1UAB Hospital, Birmingham, AL; 2University of Alabama MD1, Anil Seetharam, MD1; 1University of Arizona College of Medicine, at Birmingham, Birmingham, AL Phoenix, AZ; 2University of Washington School of Medicine, Phoenix, AZ P2370. Multiple Organ Failure From Heart, Lungs and Liver in Females With P2360. Long Term Mortality in Young Patients (<40 y/o) With Alcoholic Acute on Chronic Liver Failure Have Very High In-Hospital Mortality Liver Cirrhosis After First Hospitalization: Carilion Clinic Experience Neha Hingorani, MD1, Chad Spencer, MD2, Page Axley, MD2, Ashwani Robert Summey, MD1, Mohamad A. Mouchli, MD2, Shravani Reddy, MD3, Singal, MD, MS2; 1UAB Hospital, Birmingham, AL; 2University of Alabama Adil Mir, MD2, Christopher Walsh, MD4, Marrieth Rubio, MD2; 1Virginia Tech at Birmingham, Birmingham, AL Carilion School of Medicine, Roanoke, VA; 2Carilion Clinic, Virginia Tech University, Roanoke, VA; 3Carilion Clinic, Virginia Tech School of Medicine, P2371. Intensive Care Need and Its Predictors Among Patients Admitted Roanoke, VA; 4Carilion Roanoke Memorial Hospital, Roanoke, VA With Acute on Chronic Liver Failure: A Retrospective Study From a Single Tertiary Care Center P2361. Correlation Resistin Serum with IL6 Serum Level in Liver Cirrhosis Patients Chad Spencer, MD1, Neha Hingorani, MD2, Page Axley, MD1, Ashwani I Ketut Mariadi, MD, Hendra Koncoro, MD; Faculty of Medicine Udayana Singal, MD, MS1; 1University of Alabama at Birmingham, Birmingham, AL; University, Denpasar, Bali, Indonesia 2UAB Hospital, Birmingham, AL P2362. Transient Elastography (Fibroscan) Compared to FIB-4, APRI, and P2372. Impact of Nonalcoholic Fatty Liver Disease on the Subclinical AST/ALT Ratio for Assessment of Liver Significant Fibrosis in Patients With Coronary Atherosclerosis in Patients With Low Cardiovascular Risk Factor: Nonalcoholic Fatty Liver Disease A Systematic Review and Meta-Analysis Dhuha Alhankawi, MD1, Kim HunJung, MD2, Santosh Sharma, MD3, Jonathan Sakolwan Suchartlikitwong, MD, Passisd Laoveeravat, MD, Thammasak Weinberger, MD4, James Park, MD1; 1New York University Medical Center, Mingbunjerdsuk, MD, Saif El Naser H. M. El Nawaa, MD, Nimesh Adhikari, MD, New York, NY; 2New York University, New York, NY; 3New York University Cinthya Carrasco, MD, Meily Arevalo Acosta, MD, Wasawat Vutthikraivit, MD; Medical Center, Brooklyn, NY; 4Maimonides Medical Center, Brooklyn, NY Texas Tech University Health Sciences Center, Lubbock, TX

P2373. The Impact of Hepatitis C Anti Viral Therapy Initiative on Overall P2381. Prevalence of Comorbidities in Patients With Cirrhosis Admitted Health Maintenance to U.S. Safety Net Hospitals and Their Impact on Clinical Phenotype of Firas Al-Ani, MD1, Amita Kalra, MD2, Daniel Yeoun, DO, MPH1, Renata Admission Lerer1, Margarita Pashukyants, FNP3, Samy McFarlane, MD1, Ayesha V. V. Pavan Kedar Mukthinuthalapati, MBBS1, Moinuddin Syed, MBBS2, Zahiruddin, MD3, Ayse Aytaman, MD3; 1SUNY Downstate Medical Center, Miguel Salazar, MD3, Samuel Akinyeye, MD4, Zachary Fricker, MD5, Marwan Brooklyn, NY; 2Stanford, Palo Alto, CA; 3Brooklyn Campus of the VA New Ghabril, MD6, Michelle T. Long, MD7, Maya Balakrishnan, MD, MPH4, Naga York Harbor Healthcare System, Brooklyn, NY Chalasani, MD6, Bashar M. Attar, MD, PhD3; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2CCHHS, Chicago, IL; 3Cook County Health and P2374. Chronic Hepatitis C Treatment Response with Direct-Acting Hospitals System, Chicago, IL; 4Baylor College of Medicine, Houston, TX; Antivirals in Patients With Substance Abuse and Opioid Agonist Therapy - 5Boston University, Boston, MA; 6Indiana University School of Medicine, A Community Hospital Based Study Indianapolis, IN; 7Boston University School of Medicine, Boston, MA  Presidential Poster Award Vijay Gayam, MD1, Benjamin Tiongson1, Amrendra Mandal, MD1, Mazin P2382. Impact of Omega-3 Fatty Acids on the Serum Lipidomic Profile of Khalid, MD1, Pavani Garlapati, MD1, Arshpal Gill1, Mowyad Khalid, MD2, Patients With NAFLD Mohammad Mansour, MD1, Smruti Mohanty, MD3; 1Interfaith Medical Yan Qin, PhD, Christoph Garbotz, Derek Tobin, PhD; BASF, Lysaker, Center, Brooklyn, NY; 2Wayne State University / Detroit Medical Center, Akershus, Norway Detroit, MI; 3NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY P2383. Acute Toxic Hepatitis Induced by Herbal Medicine in Assam: A Pilot Study P2375. Implications of Opioid and Benzodiazepine Use Prior to Liver Bhabadev Goswami, MBBS, MD, PhD1, Preeti Sharma, MBBS, MD1, Snigdha Transplantation Saikia, MSc, PhD2, Prajjalendra Barooah, MTech3, Mallika Bhattacharyya, Jayakrishna Chintanaboina, MD, Nabeel M. Akhtar, MD, Thomas Riley, III, MBBS, MD, PhD1, Subhash Medhi, MSc, PhD3; 1Gauhati Medical College MD; Penn State Health Milton S. Hershey Medical Center, Hershey, PA Hospital, Guwahati, Assam, India; 2Gauhati University, Guwahati, Assam, India; 3Gauhati University, Institute of Science and Technology, Guwahati, P2376. Patient Reported Outcomes of Physical and Psychological Suffering Assam, India in Patients With Autoimmune Hepatitis Vahin Vuppalanchi1, Sai Chalasani2, Saeed Mohammad, MD3, Naga P2384. Tenofovir Alafenamide (TAF) Improves the Glomerular Filtration Chalasani, MD4, Craig Lammert, MD4; 1Park Tudor High School, Rate (GFR) of Patients With Hepatitis B Virus (HBV) With Borderline Indianapolis, IN; 2Brebeuf Jesuit High School, Indianapolis, IN; Chronic Kidney Disease Stage 1 (CKD-1): A Case-Control Study 3Northwestern University Feinberg School of Medicine, Chicago, IL; Christine Paul, MD1, Caroline Ankoma-Sey2, Scott Berger, BA3, Khalid 4Indiana University School of Medicine, Indianapolis, IN Abdullah, MD1, Audrey Rose, PharmD4, Chukwuma Egwim, MD1, Victor Ankoma-Sey, MD1; 1Liver Associates of Texas, Houston, TX; 2University P2377. Predictors of In-Hospital Mortality and of 30-Day Readmissions in of Texas at Austin, Austin, TX; 3Baylor College of Medicine, Houston, TX; Hepatic Encephalopathy (From the Nationwide Readmissions Database) 4Smith Ranch Pharmacy, Pearland, TX Mihir Dave, MBBS1, Yash Shah, MD2, Kamaldeep Singh, MD2, Faisal Mehmood, MD2; 1Icahn School of Medicine at Mount Sinai, New York, NY; P2385. Cost Benefit and Break-Even Analysis of Screening for Non-Alcoholic 2Icahn School of Medicine at Mount Sinai, James J. Peters VA Medical Fatty Liver Disease Utilizing FibroScan as Compared to Usual Care Center, New York, NY Woodie Zachry, III, PhD, David Halajko, MD, Vincent Hayes, MBA, MHA, Guy Neff, MD, MBA; Quantym Therapeutic Data, Bradenton, FL P2378. Outcomes Associated With Percutaneous Coronary Intervention in Patients With NASH Cirrhosis: Analysis of the National Inpatient Sample P2386. Use of Endoscopy Encounters to Increase Hepatitis C Virus (HCV) 2004-2014 Screening and Linkage to Treatment Ysabel Ilagan-Ying, BS1, Yeunjung Kim, MD, MPH2, Albert Do, MD, MPH3; Kirthi Lilley, MD1, Sachin Goyal, MD2, Fadi Antaki, MD1; 1John D. Dingell VA 1Yale University School of Medicine, New Haven, CT; 2Yale University, New Medical Center & Wayne State University, Detroit, MI; 2John D. Dingell Haven, CT; 3Yale University, Hamden, CT VA Medical Center, Wayne State University, and Detroit Medical Center, Detroit, MI P2379. Time to Viral Suppression Does Not Impact SVR in Patients Treated With Glecaprevir/Pibrentasvir for 8 Weeks P2387. Pre-Intervention Treatment, Screening, and Vaccination Rates in Christoph Sarrazin, MD1, Tram Tran, MD2, Douglas E. Dylla, PhD3, Jordan Hepatitis B-Infected Patients at an Urban Academic Center J. Feld, MD, MPH4, Sanjeev Arora, MD5, David Victor III, MD6, Yiran Hu, Renata Lerer, BS1, Margarita Pashukyants, FNP2, Ayse Aytaman, MD2, PhD3, Stanley Wang, MD, PhD7, Federico Mensa, MD3, David Wyles, MD8; Ayesha Zahiruddin, MD2; 1SUNY Downstate College of Medicine, Brooklyn, 1JW Goethe University Hospital and St. Josefs-Hospital Wiesbaden, NY; 2Brooklyn Campus of the VA New York Harbor Healthcare System, Frankfurt, Hessen, Germany; 2Cedars-Sinai Medical Center, Los Angeles, Brooklyn, NY CA; 3AbbVie Inc., North Chicago, IL; 4Toronto Centre for Liver Disease, University of Toronto, Toronto, ON, Canada; 5University of New Mexico P2388. Excellent Outcomes of Deceased Donor Liver Transplantation Using School of Medicine, Albuquerque, NM; 6Houston Methodist Hospital, Grafts From Older Donors: A U.S. Single-Center Experience Ebubekir S. Daglilar, MD, David Bruce, Humberto Bohorquez, Mohammad Houston, TX; 7AbbVie Inc., Redwood City, CA; 8Denver Health Medical A. Yousef, MD, Ian Carmody, Ari Cohen, MD, John Seal, George Center, Denver, CO Therapondos, MD, MPH, Nigel Girgrah, George Loss, Nyan L. Latt, MD; P2380. Efficacy and Safety of Endoscopic Ultrasound-Guided Liver Ochsner Clinic Foundation, New Orleans, LA Biopsies in Parenchymal Liver Diseases: A Systematic Review and Meta- Analysis P2389. Association of Proton Pump Inhibitors With Spontaneous Bacterial Anup Shah, MD1, Isabel C. Guerrido Martinez, MD2, Nelson Valentin, MD1, Peritonitis in Patients With Cirrhosis: An Adjusted Meta-Analysis of Shmuel Golfeyz, MD1, Kelsey E. Collins, MD1, Melissa Hershman, MD3, Ilan Observational Studies Raseen Tariq, MBBS1, Fateeha Furqan, MD2, Abdul Wahab, MD3, Srishti Weisberg, MD, MSc1; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Saha, MBBS, MD1, Stephen Silver, MD2, Sahil Khanna, MD, MS1; 1Mayo Beth Israel, Brooklyn, NY; 3Mount Sinai Beth Israel, St. Luke’s and West, Clinic, Rochester, MN; 2Rochester General Hospital, Rochester, NY; 3Unity New York, NY Hospital/ Rochester Regional Health System, Rochester, NY

164 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2390. Does Switching to Tenofovir Alafenamide (TAF) Avoid Organ P2398. Fulminant Liver Failure Due to Acute Hepatitis E Infection in an Toxicity Associated with Other Anti-Hepatitis B Virus (HBV) Medications in Immunocompetent Male: A Case Report Chronic HBV+ Patients? Sachit Sharma, MD1, Ashu Acharya, MBBS2, Alok Uprety, MD3, Abhushan Emmanuel Baidoo, MD1, Scott Berger, BA2, Caroline Ankoma-Sey3, Sara Poudyal, MD1, Sadikshya Sharma, MBBS4; 1John H. Stroger, Jr. Hospital of Bahanshal, MD1, Arab Al-Bayati, MD1, Hermann Ortiz, CCRC1, Chukwuma Cook County, Chicago, IL; 2Kathmandu Medical College, Chicago, IL; 3John Egwim, MD1; 1Liver Associates of Texas, Houston, TX; 2Baylor College of H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 4College of Medical Medicine, Houston, TX; 3University of Texas at Austin, Austin, TX Sciences, Bharatpur, Chicago, IL P2391. Bile Acid Profiles are Not Altered by Fecal Microbiota P2399. A Case of Flood Syndrome: To Operate or Not to Operate? Transplantation for the Treatment of Primary Sclerosing Cholangitis Sanmeet Singh, MD1, Wasseem Skef, MD1, Sarang Thaker, MD, MS2,  Category Award (Liver) Christine Chan, MD3; 1University of Illinois at Chicago, Chicago, IL;  Presidential Poster Award 2University of Illinois Chicago, Mount Prospect, IL; 3UIC, Chicago, IL Jessica R. Allegretti, MD, MPH1, Benjamin Mullish, MD2, Zain Kassam, MD, MPH3, Madeline Carrellas, BA1, Julian Marchesi, MD, PhD2, Mark P2400. Clostridium difficile: A Rare Cause of Hepatic Abscess Smith, PhD4, Ylaine Geradin, PhD4, Sonia Timberlake, PhD4, Daniel Pratt, Sanmeet Singh, MD, Armani Patel, MD, Kumkum Sarkar S. Patel, MD, MPH, MD5, Joshua Korzenik, MD6; 1Brigham & Women’s Hospital, Boston, MA; Wadih Chacra, MD; University of Illinois at Chicago, Chicago, IL 2Imperial College of London, London, England, United Kingdom; 3Finch P2401. Case Report: Hepatosplaenic T Cell Lymphoma in Patient with Therapeutics, Somerville, MA; 4FInch Therapeutics, Somerville, MA; Crohn’s Disease on Monotherapy of Azathioprine 5Massachusetts General Hospital, Boston, MA; 6Brigham & Women’s John Guirguis, MBBCh, MRCP1, Wajeeha Butt, MD1, Kanwarpreet Tandon, Hospital, Boston, MA MBBS1, Nemer Dabage, MD, FACP2; 1Blake Medical Center, Bradenton, FL; 2 P2392. Among U.S. Adults Undergoing Liver Transplantation, African Blake Medical Center, HCA West Florida, USF Affiliation, Bradenton, FL Americans and Hispanics Have Significantly Worse Functional Status at P2402. Drowning on Land Time of Liver Transplant Hendrick Pagan-Torres, MD, Andres Rabell-Bernal, MD, Carlos Patrick McCabe, MD, MEd1, Benny Liu, MD2, Taft Bhuket, MD2, Robert Fernandez-Cruz, MD, Angel Morales Santiago, MD, Jose Martin-Ortiz, Wong, MD3; 1California Pacific Medical Center/Sutter, San Francisco, CA; MD; VA Caribbean Healthcare System, San Juan, Puerto Rico 2Highland Hospital, Oakland, CA; 3Alameda Health System - Highland TUESDAY POSTERS Hospital, Oakland, CA P2403. Severe Acute Hepatitis Improved With Cyclosporine in DRESS Syndrome P2393. Liver Stiffness Improvement Is Associated With Amelioration Elizabeth Tran, DO, Justin Reed, DO, Audrey Corbett, MD; Oklahoma of Indirect Parameters of Portal Hypertension One Year After University, Tulsa, OK Sustained Virological Response to Direct Acting Antivirals in Chronic Hepatitis C Patients P2404. A Case of Recurrent Diverticulitis Complicated by Liver Edoardo G. Giannini, MD, PhD, FACG, Mattia Crespi, MD, Mariagiulia Abscesses 1 2 1 Demarzo, MD, Giorgia Bodini, MD, PhD, Manuele Furnari, MD, Elisa Simran Sidhu, MBBS , Harmanpreet Kaur, MD , Hector Gonzalez, MD , 3 2 4 Marabotto, MD, PhD, Patrizia Zentilin, MD, PhD, Vincenzo Savarino, Amelia Wong, MS4 , Mohammad Salim, MD , Sammer M. Elwasila, MD , 5 1 MD; University of Genoa, Ospedale Policlinico San Martino-IRCCS per Lianne K. Cavell, MD ; Florida Atlantic University, Charles E. Schmidt 2 l’Oncologia, Genoa, Liguria, Italy College of Medicine, Boca Raton, FL; Florida Atlantic University, Boca Raton, FL; 3Florida Atlanta University College of Medicine, Boca Raton, P2394. Three-Dimensional (3D)-Printed Liver Model Improves FL; 4FAU Internal Medicine Residency, Boca Raton, FL; 5Florida Atlantic Identification of Hepatic Sub-Segments in Learners University, Delray Beach, FL Victor Chedid, MD, Amika A. Kamath, John M. Knudsen, MD, Katrin R. Frimannsdottir, MA, PhD, Kathleen J. Yost, PhD, Jennifer R. Geske, MS, P2405. A Rare Cause of Elevated Liver Tests in a Pregnant Patient 1 2 1 Patrick S. Kamath, MD, Jane M. Matsumoto, MD; Mayo Clinic, Rochester, MN Souleymane Diallo, DO , Nael Haddad, MD , Kirsten Morigeau, MD , Cristian Dominguez, MD2, Chukwuemeka Ezeoke, MD2, Charles Brady, P2395. Investigation of Muscle Cramps in Patients With Cirrhosis Using MD2; 1University of Texas Health Science Center at San Antonio, San Electrical Stimulation Cramp Threshold Frequency Antonio, TX; 2University of Texas Health San Antonio, San Antonio, TX Rishi Bolla, Cynthia Bodkin, MD, Marwan Ghabril, MD, Naga Chalasani, MD, Raj Vuppalanchi, MBBS; Indiana University School of Medicine, P2406. Rare Case of Syphilitic Hepatitis 1 2 2 1 Indianapolis, IN Simran Sidhu, MBBS , Neeharika Kalakota, MD , Juan Tejada, MD ; Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 2Albany Medical Center, Albany, NY LIVER P2407. Liver Mass: When in Doubt Think Carcinoid or Islet Cell Carcinoma Clinical Vignettes/Case Reports Simran Sidhu, MBBS1, Areeba S. Awan, MBBS2, Jasmine Martin, MD3, Kevan Manraj, MD1, Dhishna Chaudhary, MD1, Leonalba Martinez, MD4, P2396. Atypical Presentation of HBV-Induced Hepatocellular Carcinoma in Hector Gonzalez, MD1, Lloyd Berkowitz, MD5; 1Florida Atlantic University, a 26-Year-Old Black American Male Charles E. Schmidt College of Medicine, Boca Raton, FL; 2Florida Jesse J. Xie, MD, Salman Khan, MD, Hannah E. Goyne, MD, Nazish Khan, Atlantic University, Boca Raton, FL; 3Boca Raton Regional Hospital, Boca MBBS, Mary K. Rude, MD; University of Arkansas for Medical Sciences, Raton, FL; 4Florida Atlantic University, Boynton Beach, FL; 5Center for Little Rock, AR Hematology-Oncology, Boca Raton, FL P2397. Unexplained Reactive Leukocytosis Associated to the Use of DAA P2408. Diffuse Portomesenteric Thrombosis and Non-Cirrhotic Portal for the Treatment of Chronic HCV Hypertension Secondary to Antiphospholipid Syndrome: A Case Report Carlos Fernandez, MD, Walisbeth Class, MD, Adriana Marzan, MD, Rodolfo Gregory A. Aird1, Shruti Mony, MD2, Ryan Scott, MD2, Olga Kalinkin, MD2, Estremera-Marcial, MD, Doris Toro, MD; VA Caribbean Healthcare System, Justin A. Reynolds, MD2; 1Creighton University, Omaha, NE; 2St. Joseph’s San Juan, Puerto Rico Hospital and Medical Center, Phoenix, AZ

P2409. Hepatic Hydrothorax Complicated by Spontaneous Bacterial P2422. Late Distant Liver Metastasis From Mucoepidermoid Carcinoma of Empyema: An Under-Recognized Clinical Entity the Parotid Gland David W. Dornblaser, MD, MS, Benjamin Verplanke, MD, Sonja Olsen, MD; Kara Raphael, MD1, Tai-Ping Lee, MD2; 1Zucker School of Medicine at New York University School of Medicine, New York, NY Hofstra/Northwell, New Hyde Park, NY; 2Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY P2410. Parvovirus-Induced Adult Onset Stills Disease Presenting With Elevated Liver Transaminases P2423. Chlamydia: A Rare Cause of Ascites Samer Al-Humadi1, Dennis Kumral, MD2, Velimir A. Luketic, MD, MA, Chuma Obineme, MD1, Samir Parekh, MD2, Brittne Halford, MD, MPH3, FACG, FACP1; 1Virginia Commonwealth University, Richmond, VA; 2Virginia David Liu, MD1, Mariah Piazza, BS1; 1Emory University School of Medicine, Commonwealth University, Glen Allen, VA Atlanta, GA; 2Emory University, Atlanta, GA; 3Emory University Hospital Midtown, Atlanta, GA P2411. Acute Hepatomegaly: A Rare Manifestation of Richter Transformation Following Elective Splenectomy for Splenic Marginal Zone P2424. Metastatic Hepatocellular Carcinoma Secreting Intact PTH: A Case Lymphoma Report Harry Nguyen, DO, Gustavo A. Cadavid, MD, Antonio Martinez, MD, Lindsey Shantzer, MD1, Stephanie Garbarino, MD1, Steve S. Choi, MD2; Vanitha Vasudevan, MD; Palmetto General Hospital, Hialeah, FL 1Duke University Health System, Durham, NC; 2Durham Veterans Affairs Medical Center, Durham, NC P2412. A Case of Hepatic Adenoma With Imaging Suggestive of Fibrolamellar Hepatocellular Carcinoma P2425. Hepatocellular Carcinoma in Patient With Non-Alcoholic Fatty Liver Salem Karadsheh, MD1, Kaveh Hajifathalian, MD, MPH2, David Wan, MD2; Without Cirrhosis 1University of Jordan Faculty of Medicine, Amman, Jordan; 2New York- Grigoriy Rapoport, MD1, Juan Castano, MD1, Hussein Al Jobori, MD1, Presbyterian Hospital/Weill Cornell Medical College, New York, NY Muhammed Gulzar Nathani, MD, FACP, FACG2, Rashmee Patil, MD3, Asif Zamir, MD4; 1University of Texas Rio Grande Valley School of Medicine, P2413. Diagnosing the Etiology of Portal Hypertension by Colonoscopy Edinburg, TX; 2Kelsey-Seybold Clinic, Spring, TX; 3Transplant Institute Runalia Bahar, MD, Tao Wang, MD, PhD, Souvik Sarkar, MD, PhD; and Liver Specialty Center/ DHR Health, McAllen, TX; 4Renaissance University of California Davis Medical Center, Sacramento, CA Gastroenterology / UTRGV, Edinburg, TX P2414. Perplexing Hyperferritinemia in Fulminant Hepatic Failure From P2426. Hepatic Endometrioma: A Rare Case of an Intraparenchymal Herpes Simplex Virus Type 1 Endometriosis of the Liver Samuel Dunn, MD, Elijah Mun, MD, Supaksh Gupta, MD; University of Bhavish Manwani, MD, Mazen Shobassy, MD, Clark Hair, MD; Baylor Washington, Seattle, WA College of Medicine, Houston, TX P2415. Prolonged Latency Period of Danazol-Induced Liver Injury in a P2427. Downhill Esophageal Varices Secondary to Porto-Pulmonary Patient With Hereditary Angioedema Hypertension: Case Report and Review of Literature Isaac Huml, MD, Patrick Kohlitz, MD; SUNY Upstate Medical University, Ranjit Makar, MD1, Muthena Maklad, MD2, Gordon V. Ohning, MD, PhD3; Syracuse, NY 1University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 2 3 P2416. Dietary Supplement Garcinia Cambogia Causing Liver Injury University of Las Vegas School of Medicine, Las Vegas, NV; University of Krishna Patel, DO, Mechu Narayanan, MD, Brent Tetri, MD, FACG; St. Louis Nevada Las Vegas School of Medicine, Las Vegas, NV University School of Medicine, St. Louis, MO P2428. Portal Vein Thrombosis (PVT) Following Laparoscopic Sleeve P2417. Acute Severe Hepatitis and Hepatic Necrosis Caused by Babesiosis Gastrectomy Successfully Treated by Trans-Hepatic Catheter-Directed Andrew Dargan, MD1, Jesse Civan, MD2, Bryan Hess, MD1, David A. Sass, Tissue Plasminogen Activator (tPA) 1 1 2 3 MD1; 1Thomas Jefferson University, Philadelphia, PA;2 Thomas Jefferson Ahmad Kattan, MD , Yousef Abdel-Aziz , Nizar Hariri , Sahira Kazanjian , 1 3 1 University Hospital, Philadelphia, PA Ali Nawras, MD , Allen Kaufman ; University of Toledo Medical Center, Toledo, OH; 2Jobst Vascular Institute, Toledo, OH; 3Promedica Toledo P2418. Giant Hepatic Hemangioma: An Incidental Finding Causing Hospital, Toledo, OH Pulmonary Embolism Sachin Kirtane, MD, Venkata Sunkesula, MD, PhD, Blanca Iriarte Oporto, P2429. Rapidly Progressive Portal Vein Thrombosis Causing Hepatic MD, Tanya Glushko, MD, Rafael Amaral, MD; Mercy Catholic Medical Ischemia 1 2 3 Center, Philadelphia, PA Jessica Paige Harris, MD , Usama Siddique, MD , Rekha Sivadas, MD ; 1Stony Brook University Hospital, Cortlandt Manor, NY; 2Stony Brook P2419. Portal Vein Thrombosis in a Post-Liver Transplant Patient University, Stony Brook, NY; 3Stony Brook University Hospital, Holtsville, NY Presenting With Subtle Ultrasound Abnormalities and Treated Percutaneously P2430. Complicated Case of Acute Fatty Liver of Pregnancy Without Thomas Couri, MD, Carla Harmath, MD, Talia Baker, MD, Anjana Pillai, MD; Deadly Outcome: Case Report 1 2 3 University of Chicago Medical Center, Chicago, IL Md Saiful Alom, MD , Mohammad Sadaghiani, MD, MPH , Saif Bella, MD , Nazif Chowdhury, MD3; 1UHS Wilson Medical Center, Johnson City, NY; P2420. Workup for Elevated Liver Function Tests Unmasks Life- 2UHS, Baltimore, MD; 3Wilson Hospital, Johnson City, NY Threatening Disseminated Histoplasmosis Infection Neethu Nair, MD1, Joseph Maguire, DO1, Laith Al Momani, MD1, Tyler P2431. Acute Hepatitis B versus Autoimmune Hepatitis: A Clinical Aasen, DO1, James Swenson, MD2; 1East Tennessee State University, Conundrum Johnson City, TN; 2Mountain Home VA Medical Center, Johnson City, TN Babusai Rapaka, MD, Rushikesh Shah, MD, Amit Narayan, MD, Sonali Sakaria, MD; Emory University, Atlanta, GA P2421. Hepatitis C: Culprit for Cholangiocarcinoma Anita Kumar, MD, Vivian Lee, BS, Nadeem Tabbara, BA, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC

166 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2432. A Case of Pancreatic Abscess Causing Portal Vein Stenosis Leading P2444. Myasthenia Gravis as a Presenting Feature in a Patient With to Portal Hypertension Hepatocellular Carcinoma: A Case Report Sarang Thaker, MD, MS1, Sanmeet Singh, MD2, Christine Chan, MD3; Piyapoom Pakvisal1, Piyapan Prueksapanich, MD, MSc2, Nopavut 1University of Illinois Chicago, Mount Prospect, IL; 2University of Illinois at Geratikornsupuk, MD3, Piyawat Komolmit, MD, PhD4; 1Faculty of Chicago, Chicago, IL; 3UIC, Chicago, IL Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Krung Thep, Thailand; 2King P2433. Acalculous Cholecystitis as a Presentation of Acute Hepatitis A Chulalongkorn Memorial Hospital, Bangkok, Krung Thep, Thailand; Patricia Garcia, MD1, Sobia Faisal, MD1, Henry Anyimadu, MD, FACP, 3Queen Sa, Chonburi, Chon Buri, Thailand; 4Division of Gastroenterology, FIDSA, AAHIVS2; 1University of Connecticut, Farmington, CT; 2University Faculty of Medicine, Bangkok, Krung Thep, Thailand of Connecticut, New Britian, CT P2445. Relapsing Hepatitis A: An Asymptomatic Recurrence of Elevated P2434. A Diagnostic Puzzle: New Liver Dysfunction with Severe Liver Chemistries Thrombocytopenia Michael Ma, MD1, Shmuel Golfeyz, MD2, Christine Chen, DO2, Jahnavi Naik, Maher Elharake, MD, Sarah Mushtaq, MD, Sabrina Prabakaran, MD; MD2; 1Mount Sinai Beth Israel Hospital, New York, NY; 2Mount Sinai Beth University of South Florida, Tampa, FL Israel, New York, NY P2435. Segmental Atrophy: A Rare Pseudotumor of the Liver P2446. Bactrim-Induced Liver Injury: It Can Happen! Tanya Thomas, MD1, Carensa Cezar, BS, MS2, Adeyinka Laiyemo, MD, Hannah Parks1, Priyanka Ghosh, MD2, Shifa Umar, MD2, Marisa Evans, MD2, MPH3; 1Howard University Hospital, Washington, DC; 2Howard University Abhijit Kulkarni, MD2; 1Temple University School of Medicine, Pittsburgh, School of Medicine, Washington, DC; 3Howard University, Washington, DC PA; 2Allegheny Health Network, Pittsburgh, PA P2436. The Drunken Kidney: The Utility of Renal Replacement Therapy in P2447. Advanced De novo Hepatocellular Carcinoma (HCC) in a Non- Hepatic Encephalopathy Cirrhotic Hepatitis C Patient 15 Years After Sustained Virologic Response Ashish C. Ahuja, MD, Neena Chandrasekaran, MD; University of Pittsburgh (SVR) Medical Center Mercy, Pittsburgh, PA Andrew Antony, MD1, Tai-Ping Lee, MD2; 1Northwell Health, Manhasset, P2437. Innumerable Liver Lesions With a More Benign Outcome: A Case NY; 2Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY Report TUESDAY 1 2 2 P2448. Disseminated Zoster Following Use of Ledipasvir-Sofosbuvir POSTERS Elie S. Kazzi, MD, MPH , Gil Ben-Yakov, MD , David E. Kleiner, MD, PhD , and Intra-Articular Steroid Injection Theo Heller, MD2; 1MedStar Health System, Baltimore, MD; 2National Pooja M. Padigala, MD, Obiora Egbuche, MD, MPH, Temitayo Gboluaje, Institutes of Health, Bethesda, MD MD, Emory Gray, MD, Poorvi Chordia, MD, Austin Chan, MD; Morehouse P2438. Idiopathic Intrahepatic Cholestasis Associated With Monoclonal School of Medicine, Atlanta, GA Gammopathy of Undetermined Significance P2449. Wilson Disease: Acute Liver Failure in a 72-Year-Old Patient Tongluk Teerasarntipan, MD, Roongruedee Chaiteerakij, MD; Christopher Cao, MD1, Timothy Colangelo, MD1, RajaKoteswar Chulalongkorn University, Bangkok, Krung Thep, Thailand Dhanekula, MD1, Daniel Brandt, MD2, Indira Laothamatas1, Manish P2439. Caught Smoking Khat! A Case of Drug-Induced Autoimmune Thapar, MD1, Steven Herrine, MD3, Jesse Civan, MD1; 1Thomas Jefferson Hepatitis University Hospital, Philadelphia, PA; 2Thomas Jefferson University Megan Soliman, MD, MSc1, Youssef Soliman, MD, MSc1, Mark Levstik, Hospital, Camden, NJ; 3Thomas Jefferson University, Philadelphia, PA 2 1 2 MBBCh ; Rochester General Hospital, Rochester, NY; University of P2450. An Exceedingly Rare Case of Embryonal Rhabdomyosarcoma of the Rochester Medical Center, Rochester, NY Liver in an Adult P2440. Long Live the Liver! Accidental Prophylaxis With N-acetylcysteine Betty Albo, MD1, Gustavo Churrango, MD2, Erik Holzwanger, MD3, Deepika in Intentional Acetaminophen Overdose Devuni, MD3; 1University of Massachussetts, Worcester, MA; 2University Megan Soliman, MD, MSc, Youssef Soliman, MD, MSc, Michael Gurell, MD; of Massachusetts, Worcester, MA; 3University of Massachusetts Medical Rochester General Hospital, Rochester, NY School, Worcester, MA P2441. HEaV-y Supplement Use: Or Is It? P2451. The Ultimate Tipping Point: A Case of Cerebral Edema and Brain Allison Bush, MD, MPH, Kevin Pak, MD, Tyler Church, DO, Brett W. Death as a Complication of TIPS in a Cirrhotic Patient Sadowski, MD, Dawn Torres, MD; Walter Reed National Military Medical Marcus Juan L. Esteban, MD, Nathan Mesfin, MD, Jaimin Amin, MD, Justin Center, Bethesda, MD Mitchell, DO; Rush University Medical Center, Chicago, IL P2442. An Unusual Cause of Neonatal Cholestasis P2452. Nonalcoholic Fatty Liver Disease After Pancreaticoduodenectomy Ryan Burkholder, MD1, Maribel Martinez, MD1, Adrian Chapa-Rodriguez, Spiro Mavromates, MD, Isaac Perry, MD, William Hannah, MD, Steven MD 2; 1Louisiana State University Health Sciences Center, Shreveport, LA; Carpenter, MD; Memorial Health University Medical Center, Savannah, GA 2 Louisiana State University Health Science Center, Shreveport, LA P2453. An Unexpected Cause of Coagulopathy P2443. Glycogenic Hepatopathy in Type I Diabetic Patient Alexis Bayudan, MD, Ruchi Bhatia, MD, Jaquelyn Fleckenstein, MD; Usman Sagheer, MD1, Rehan Farooqi, MD1, Lawrence Mills, Jr., MD, FACG2; Washington University School of Medicine / Barnes-Jewish Hospital, St. 1MedStar Union Memorial Hospital, Baltimore, MD; 2MedStar Good Louis, MO Samaritan Hospital, Baltimore, MD P2454. Novel Side Effect of a Novel Medication Khola Qamar, MD1, Abhinav Tiwari, MD2, Ali Nawras, MD3; 1UTMC, Perrysburg, OH; 2UTMC, Toledo, OH; 3University of Toledo Medical Center, Toledo, OH

P2455. A Case of Hepatocellular Carcinoma (HCC) Immunotherapy P2467. TACE-Associated Hepatic Encephalopathy in the Absence of Inducing Liver Transplant Rejection Decompensated Liver Disease Paul Gomez, MD1, Alan Naim, MD1, Kelly Zucker, DO1, Mark Wong, Bharat Maraj, MD, Emily Harding-Theobald, MD; University of California MD2; 1University of Arizona College of Medicine, Phoenix, AZ; 2Banner San Francisco, San Francisco, CA University Medical Center, Phoenix, AZ P2468. A Rare Case of Undifferentiated High-Grade Sarcoma P2456. A Case of a Liver Lesion with Capsular Retraction Suspicious for Masquerading as Thrombus Resulting in Acute Budd-Chiari Syndrome Malignancy: Not Always the Worst Case Scenario Rajiv Mallipudi, MD1, Rikhil Kochhar, MD1, Christopher DiGiorgio, MD1, Naemat Sandhu, MD, Manjula Balasubramanian, MD, Peter Wang, MD, Radi Swami Nathan, MD1, Michael Itidiare, DO2; 1Hackensack Meridian Health Zaki, MD, Richard Kalman, MD; Einstein Medical Center, Philadelphia, PA Mountainside Medical Center, Glen Ridge, NJ; 2Jefferson Health/Rowan School of Medicine, Voorhees, NJ P2457. Hepatic Inflammatory Pseudotumor Associated With Multi-Organ Thromboembolism and Pyogenic Liver Abscess With Streptococcus P2469. A Case of Sweet Pleural Effusion in Cirrhosis intermedius Bacteremia Priyanka Ghosh, MD, Shifa Umar, MD, Tariq Cheema, MD; Allegheny Ali Osman, MD, Gopi Sirineni, MD, Savio Reddymasu, MD, Subhash Health Network, Pittsburgh, PA Chandra, MBBS; Creighton University, Omaha, NE P2470. A Case of Hepatic Angiosarcoma Presenting as Hemorrhagic P2458. Graft-Versus-Host Disease in a Post-Liver Transplant Patient Ascites Arnab Mitra, MD, Atif Zaman, MD, MPH, Janice Jou, MD, MHS, Dekey Natalya Iorio, MD, Bashar Sharma, MD, Savio John, MD, FACG; Upstate Lhewa, MD, Joseph Ahn, MD; Oregon Health and Science University, Medical University, Syracuse, NY Portland, OR P2471. Hepatobiliary Cystadenoma: Not Too Benign to Be Ignored: A P2459. Fever and Transaminitis: A Case of Carbamazepine Hypersensitivity Benign Hepatic Cyst That Is Often Misdiagnosed as Hydatid Cyst Reaction Associated With Human Herpes Virus 6 Reactivation Waqas Nawaz, MD1, Syed H. Abbas, MD2, Hilary Hertan, MD, FACG3; Amrit Kamboj, MD, Marie Hu, MD, Patrick Hoversten, MD, Ibironke 1Montefiore Medical Center, Yonkers, NY;2 Montefiore Medical Center Oduyebo, MD, Shounak Majumder, MD; Mayo Clinic, Rochester, MN Wakefield Campus, Bronx, NY;3 Montefiore Medical Center, Bronx, NY P2460. A Rare Case of Spontaneous Liver Rupture (SLR) in a Patient on P2472. Double Trouble: Chronic Hepatitis C and Hepatocellular Carcinoma Warfarin Therapy Anusha Shirwaikar Thomas, MD, Robert McFadden, MD; Houston Santosh Sharma, MD1, Dhuha Alhankawi, MD2, David M. Feldman, MD3, Methodist Hospital, Houston, TX Viviana Figuerora Diaz, MD2; 1New York University Medical Center, Brooklyn, NY; 2New York University Medical Center, New York, NY; 3NYU P2473. Enlarging Ectopic Thyroid in the Porta Hepatis Bubu A. Banini, MD, PhD, Scott C. Matherly, MD, Hannah M. Lee, MD; Langone Health, New York, NY Virginia Commonwealth University, Richmond, VA P2461. Proton Pump Inhibitor-Induced Liver Injury Dhuha Alhankawi, MD1, Santosh Sharma, MD2, Katherine Sun, MD3, Neil P2474. Unusual Presentation of a Rare Hepatic Tumor Erica P. Turse, DO, MPH1, Francis E. Dailey, MD1, Veysel Tahan, MD, FACP, Theise, MD3, James Park, MD1; 1New York University Medical Center, New FACG, FESBGH1, John C. Turse, MD2; 1University of Missouri, Columbia, York, NY; 2New York University Medical Center, Brooklyn, NY; 3NYU, New MO; 2Medical Associates of Brevard, Melbourne, FL York, NY P2462. Incidental Hepatic Splenosis in a Male with Microhematuria P2475. Cerebral Lipiodol Embolization After Trans-Arterial Amirah Khan, MD, Kathleen Viveiros, MD; Tufts Medical Center, Boston, MA Chemoembolization for Hepatocellular Carcinoma Anand Nath, MD1, Rashid Syed, MD2, Saurabh Agrawal, MD2, Christopher P2463. Strongyloides Infection in Immunocompetent Patient With New Albers, MD2, Nyingi Kemmer, MD2; 1MedStar Georgetown University Onset Cirrhosis Hospital, Washington, DC; 2Tampa General Medical Group, Tampa, FL Jordan Roussel, MD1, Kelli Morgan, MD1, Moheb Boktor, MD2; 1LSU Health Sciences Center, Shreveport, LA; 2LSU Health, Shreveport, LA P2476. Portal Venous Gas in a Methamphetamine User: An Unfortunate Outcome After Sodium Polystyrene Sulfonate Administration P2464. Cefprozil as a Cause of Drug-Induced Liver Injury Leading to Kristin Olson, DO1, Cydney Wolf, DO2, Daniela Frankova, MD, PhD2; 1Mercy Acute-on-Chronic Liver Failure Medical Center, West Des Moines, IA; 2Mercy Medical Center, Des Moines, IA Majd Khasawneh, MD1, Zaid Imam, MBBS2, Fadi Odish, MD2, Mohamad Rasm Al Sibae, MD2; 1William Beaumont Hospital, Clawson, MI; 2William P2477. Candidal Liver Abscess and Fungemia with Concomitant Beaumont Hospital, Royal Oak, MI Cholecystitis and Pancreatitis in an Immunocompetent Non-Diabetic Patient P2465. Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Ethan Phan, MD, MPH1, Pratik Patel, MD1, Suneha Sundaram, MD1, Nelly Caused by Portosystemic Shunting and Epistaxis in a Patient With Bellamy2, James Powell, MD1; 1East Carolina University/Vidant Medical Hereditary Hemorrhagic Telangiectasia Center, Greenville, NC; 2Brody School of Medicine, Greenville, NC Ruchit N. Shah, DO1, Michael Makar, BA2, Nasir Akhtar, DO3, Erin Forster, MD, MPH4; 1Geisinger Health Systen, Danville, PA; 2Geisinger Medical P2478. A Case of Gastroesophageal Varices with Unique Anatomy Zarir Ahmed, DO, Dan Bujanda, MD, Alex Befeler, MD; St. Louis University, Center, Highland Mills, NY; 3Geisinger Medical Center, Selinsgrove, PA; St. Louis, MO 4Medical University of South Carolina, Charleston, SC P2466. B-Cell Lymphoblastic Leukemia/Lymphoma Presenting as Focal P2479. Lactulose Induced Pneumatosis and Pneumoperitoneum: A Case Hepatic Masses Report Kazi I. Ullah, BS1, Henry Jen, MD2, Tyson Collazo, MD3; 1Stony Brook Sakolwan Suchartlikitwong, MD, Passisd Laoveeravat, MD, Thammasak Medicine, Bronx, NY; 2Stony Brook University Hospital, Sands Point, NY; Mingbunjerdsuk, MD, Wasawat Vutthikraivit, MD, Amr Ismail, MD, Saif 3Stony Brook University Medical Center, Hicksville, NY El Naser H. M. El Nawaa, MD, Hamed Al-tamimi, MD, FACG; Texas Tech University Health Sciences Center, Lubbock, TX

168 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2480. A Case of Large Cell Neuroendocrine Carcinoma Presenting as P2492. Obesity Is Associated With a Higher Rate of Intensive Care Acute Hepatitis Unit Monitoring in Patients With Peptic Ulcer Disease: Results From a Victoria Jackson, MD, Marlyn Mayo, MD; University of Texas Southwestern, Nationwide Analysis Dallas, TX Ali T. Khan, MBBS1, Muhammad Faateh, MBBS2, Xiaowen Fan, MD3, Waseem Amjad, MD4, Vijay Dalapathi, MD5, Edward Lung, MD, MPH6; P2481. A Case of Pseudocirrhosis From Metastatic Breast Cancer 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Johns Hopkins Zaynab Marzuk1, David Wan, MD2, Shawn L. Shah, MD3; 1Royal College of Medical Institution, Baltimore, MD; 3Mount Sinai St Luke’s and Mount Surgeons in Ireland, Medical University of Bahrain, Ottawa, ON, Canada; Sinai West, New York, NY; 4Northwell Health Long Island Jewish Forest 2New York-Presbyterian Hospital/Weill Cornell Medical College, New York, Hills Hospital, Forest Hills, NY; 5University of Rochester Medical Center, NY; 3New York Presbyterian/Weill Cornell Medical Center, New York, NY Rochester, NY; 6Mount Sinai St. Luke’s - West Hospital, Icahn School of P2482. Chronic Portal Vein Thrombosis in a Non-Cirrhotic Patient Medicine at Mount Sinai, New York, NY Ricardo Marrero-Torres, MD; VA Caribbean Healthcare System, San Juan, P2493. Performance of Double Balloon Enteroscopy in the Overweight and Puerto Rico Obese Patients P2483. GVHD After Orthotopic Liver Transplant: Successful Treatment With Abhik Bhattacharya, MD1, Alfred Nelson, MD1, Matthew Hoscheit, MD2, High Dose Steroids and Anti Thymocyte Globulin (ATG) Rocio Lopez, MS3, John J. Vargo, MD4, Vaibhav Wadhwa, MD5, Roger Asad Ur Rahman, MD1, Effa Zahid, MBBS2, Kawtar Al Khalloufi, MD1; Charles, MD5, Luis F. Lara, MD6, Sunguk Jang, MD1; 1Cleveland Clinic 1Cleveland Clinic Florida, Weston, FL; 2Services Institute of Medical Foundation, Cleveland, OH; 2The Cleveland Clinic Foundation, Cleveland, Sciences, Lahore, Punjab, Pakistan OH; 3Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, P2484. Chylous Ascites and Pleural Effusion Treated with Intravenous OH; 5Cleveland Clinic Florida, Weston, FL; 6The Ohio State University Octreotide Wexner Medical Center, Columbus, OH Subash Ghimire, MD, Harshil Shah, MD, Tsujung Yang, MD, James Walsh, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA P2494. Evaluating the Efficacy of an Intensive Medical Weight Management Program P2485. Case Report of Primary Hepatic Actinomycosis: A Rare Cause of Vimal Bodiwala, MD1, Catherine Gardiner, BA1, Sonia Pothraj, BA1, Mark Hepatic Lesions Schwartz, MD2, Rameck Hunt, MD2; 1Robert Wood Johnson Medical TUESDAY POSTERS Veronica Beyley-Pagan, MD; University of Puerto Rico, Medical Science School, New Brunswick, NJ; 2Penn Medicine Princeton Medical Center, Campus, Guaynabo, Puerto Rico New Brunswick, NJ P2486. A Rare Case of VZV-Induced Hepatitis P2495. Characterization of Changes in Clinical and Metabolic Adeniyi A. Ajenifuja, MBBS1, Niket Sonpal, MD2, Pooja Mysore, MS3; Parameters for Patients in an Intensive Medical Weight Management 1Brookdale University Hospital Medical Center, Brooklyn, NY; 2Brookdale Program 3 University Hospital Medical Center, Hauppauge, NY; Brookdale University Vimal Bodiwala, MD1, Catherine Gardiner, BA1, Sonia Pothraj, BA1, Mark Hospital Medical Center, South Setauket, NY Schwartz, MD2, Rameck Hunt, MD2; 1Robert Wood Johnson Medical 2 P2487. Acute Hepatitis B Viral Infection in a Patient with Common Variable School, New Brunswick, NJ; Penn Medicine Princeton Medical Center, Immunodeficiency: A Case Report New Brunswick, NJ P. Bennett Milner, MD1, Jennifer Wang, MD2; 1University of Virginia, P2496. The Adequacy of Treatment of Hypovitaminosis D in Individuals Charlottesville, VA; 2University of Chicago, Charlottesville, VA With Medically-Complicated Obesity (MCO) 1 2 2 P2488. IGF-Mediated Hypoglycemia as the First Manifestation of Huge Anand Nath, MD , Timothy Shope, MD , John S. Brebbia, MD , Timothy R. 3 1 Hepatocellular Carcinoma (HCC) in a Chronic Hepatitis B Infected Patient Koch, MD ; MedStar Georgetown University Hospital, Washington, DC; 2 3 Kasenee Tiankanon, MD, Preut Assawaworrarit, MD, Roongruedee MedStar Washington Hospital Center, Washington, DC; Georgetown Chaiteerakij, MD; Chulalongkorn University, Bangkok, Krung Thep, University School of Medicine, Washington, DC Thailand

P2489. Severe Transaminitis and Iron Deposition Induced by Malnutrition OBESITY Wilson Lee, MD1, Raymond E. Kim, MD2; 1MedStar Harbor Hospital, Clinical Vignettes/Case Reports Baltimore, MD; 2University of Maryland, Baltimore, MD P2497. Paralysis Due to Thiamine and Copper Deficiencies Following Sleeve Gastrectomy Complicated by Oral Intolerance With Recurrent OBESITY Pancreatitis Catherine Tridico Hudson, MD, MPH1, Vaniolky Losada, MD2, Emily Alker, P2490. #Trending: Intermittent Fasting Is a Global Discussion on Twitter RD3, Michael Cook, MD4; 1LSU School of Medicine, New Orleans, LA; 2LSU Nadeem Tabbara, BA, Vivian Lee, BS, Daniel Szvarca, BS, Lindsay Clarke, School of Medicine, River Ridge, LA; 3UMCNO Bariatrics and Nutrition, MS, Rahma Aldhaheri, MBBS, Marie Borum, MD, EdD, MPH; George Mandeville, LA; 4Louisiana State University, New Orleans, LA Washington University, Washington, DC P2498. Diagnostic Dilemma: Perforated Gastric Ulcer in the Excluded P2491. Obesity Has Significant Impact on Mortality in Patients With Acute Stomach After Roux-en-Y Gastric Bypass Alcoholic Hepatitis Megan Frank, MPAS, PA-C, David Deysher, DO, Iryna S. Hepburn, MD,  Fellows-in-Training Award (Obesity Category) FACG, FACP; WellSpan Health, Lebanon, PA  Presidential Poster Award Tausif Siddiqui, MD1, Judy Trieu, MD, MPH2, Mohammad Bilal, MD2, Dhruv Mehta, MD3, Lakshmi Asritha Gollapudi, MD3, Christopher Nabors, MD, PhD3, David C. Wolf, MD, FACG3; 1New York Medical College, Valhalla, NY; 2University of Texas Medical Branch, Galveston, TX; 3New York Medical College at Westchester Medical Center, Valhalla, NY

PRACTICE MANAGEMENT P2508. Text Messaging Reminders Improve Colonoscopy Show Rates in a County Endoscopy Unit P2499. Quality Assessment of Gastroenterology and Primary Care Sunina Nathoo, MD, Loan Ho, NP, Maria Jibaja-Weiss, MEd, EdD, Jane R. Physician Compliance With Healthcare Maintenance Metrics for Montealegre, PhD, Milena Gould Suarez, MD, Karina Canadas, MD, Richa Inflammatory Bowel Disease Shukla, MD; Baylor College of Medicine, Houston, TX Chioma Ihunnah, MD, MPH1, Marianna G. Mavilia, DO2, Haleh Vaziri, MD3, John Birk, MD, FACG4; 1University of Connecticut Health Center/ P2509. Characterization of Foreign Body Ingestions Based on a National Connecticut G.I., Farmington, CT; 2University of Connecticut Health Survey of Consumer Products in the U.S. 1 2 3 Center, Farmington, CT; 3University of Connecticut, Avon, CT; 4University Antony Hsieh, MD , David Hsiehchen, MD , Sabrina Layne, BA , Gregory 4 5 1 of Connecticut Health Center, West Hartford, CT Ginsberg, MD , Thormika Keo, MD, PhD ; University of Pennsylvania, Philadelphia, PA; 2University of Texas Southwestern Medical Center, P2500. Prevalence of Comorbidities and the Associated Costs in Dallas, TX; 3Perelman School of Medicine at the University of Hospitalized Patients With Acute Pancreatitis: A Nationwide Analysis Pennsylvania, Philadelphia, PA; 4Universit, Philadelphia, PA; 5Philadelphia Felippe Marcondes, MD, Rahul Shah, BS, Jaqueline Contrera Avila, BS, VA Medical Center, Philadelphia, PA Mohammad Bilal, MD, Sapna Kaul, PhD; University of Texas Medical Branch, Galveston, TX P2510. Shortcomings in Colon Cancer Screening in an Inner City Cohort Sadat Iqbal, MD1, Zarak H. Khan, MBBS2, Waqas Ullah, MD3, Qulsoom P2501. A Novel Approach to Identify Patients Who May Be Non-Compliant Hussain, MBBS4, Abu Hurairah, MD5, Cynthia Quianoo, MD6; 1SUNY with Scheduled Outpatient Screening Colonoscopy Downstate Medical Center, Brooklyn, NY; 2Shifa College of Medicine, Adeyinka Laiyemo, MD, MPH1, John Kwagyan, PhD1, Carla Williams, PhD1, Islamabad, Islamabad, Pakistan; 3Abington Memorial Hospital, Abington, Jessica Rogers, BS1, Angesom Kibreab, MD2, Victor Scott, MD2, Momodu PA; 4Shifa College of Medicine, Islamabad, Brooklyn, NY; 5SUNY Jack, MD1, Hassan Brim, PhD1, Hassan Ashktorab, PhD1, Farshad Aduli, Downstate, Brooklyn, NY; 6Brookdale University Hospital, Brooklyn, NY MD2, Charles Howell, MD1, Duane Smoot, MD3, Elizabeth Platz, DSc, MPH4; 1Howard University, Washington, DC; 2Howard University Hospital, P2511. Prevalence and Evaluation of Gastro-Esophageal Reflux Disease Washington, DC; 3Meharry Medical Center, Nashville, TN; 4Johns Hopkins (GERD) in Internal Medicine Resident Clinic University, Baltimore, MD Archana Kulkarni, MD, Hamza Arif, MD, Abhijit Kulkarni, MD; Allegheny Health Network, Pittsburgh, PA P2502. Superfluous Amylase/lipase Testing at University-Affiliated Teaching Hospital: Retrospective Review P2512. Racial Disparities in Cirrhosis-Related Healthcare Outcomes Among  Presidential Poster Award Hospitalized Patients Muhammad B. Hammami, MD1, Milad Khoury, MD2, Henry Haire, MD Amir Taefi, MD, Ted Spiewak, DO, Shruti Patel, MD, Chin-Shang Li, PhD, 2; 1Florida Atlantic University, Boynton Beach, FL; 2Florida Atlantic Eric Chak, MD, MPH; University of California Davis Medical Center, University, Boca Raton, FL Sacramento, CA P2503. Comparing Colonoscopy Quality Between Gastroenterologists and P2513. Retrospective Analysis Assessing Adequate IV Fluid Hydration Transplant Hepatologists: A Single Tertiary Care Center Study in the Emergency Department in Patients With a Diagnosis of Acute Tausif Siddiqui, MD1, Jonathan E. Barsa, MD2, Brad Dworkin, MD, FACG1, Pancreatitis 1 2 3 Edward Lebovics, MD3, Beth Schorr-Lesnick, MD, FACG4; 1New York Vijeta Pamudurthy, DO , Edward Jurkovic, DO , Sudipta Roy, PhD , Ryan 2 1 1 Medical College, Valhalla, NY; 2Westchester Medical Center, Valhalla, NY; Adams, PharmD , Nikhil Bhargava, DO ; Midwestern University, Riverside 2 3Westchester Medical Center at New York Medical College, Valhalla, NY; Medical Center, Bourbonnais, IL; Midwestern University, Riverside 3 4New York Medical College at Westchester Medical Center, Valhalla, NY Medical Center, Kankakee, IL; University of St. Francis, Bourbonnais, IL P2504. Perceptions and Practices of Primary Care Physicians Regarding P2514. Like Clockwork: Efficiency Metrics in an Interventional Proton Pump Inhibitors Endoscopy Suite 1 2 2 Behdod Poushanchi, MD1, Yousaf Hadi, MD2, George Roy, MD1, Hiren Saamia Faruqui, MS, MD , Cris Molina, BS , April Wendt, RN , Virendra 3 4 1 Vallabh, MD1, Swapna Gayam, MD1; 1West Virginia University School Joshi, MD, FACG , Timothy A. Hilbun ; Tulane University, New Orleans, 2 3 of Medicine, Morgantown, WV; 2West Virginia University Hospital, LA; Ochsner Health System, New Orleans, LA; University Medical Center, 4 Morgantown, WV New Orleans, LA; Ochsner Health System, new orleans, LA P2505. The Opportunity Cost of Inpatient GI Procedures in an Academic P2515. Back to the Basics: Improving HCV Testing Rates in Resident Clinics 1 2 3 Teaching Hospital in Philadelphia Saamia Faruqui, MS, MD , Lindsay A. Matthews, MD , Tony Marsh, MD ; 1 2 Krysta Johns-Keating, MD, MPH1, Alexander Pop, MD2, Alison Platt, DO, Tulane University, New Orleans, LA; University of Wisconsin Madison 3 MBA1, Victor Navarro, MD1; 1Einstein Medical Center, Philadelphia, PA; School of Medicine, Madison, WI; Tulane University School of Medicine, 2Albert Einstein Medical Center, Philadelphia, PA New Orleans, LA P2506. Risk of Fall Injury in Patients Taking Proton Pump Inhibitors: P2516. Text Messages Can Improve Hepatitis C Screening in Primary A Meta-Analysis Care Settings 1 2 1 Kamolyut Lapumnuaypol, MD1, Charat Thongprayoon, MD2, Karn Disha Kumar, BS, BA , Daniel Murphy, MD, MBA , Monisha Arya, MD, MPH ; 1 2 Wijarnpreecha, MD3, Sujani Yadlapati, MD4, Andrew Tiu, MD4, Wisit Baylor College of Medicine, Houston, TX; Baylor College of Medicine and Cheungpasitporn, MD5; 1Albert Einstein Medical Center, Philadelphia, Michael E. DeBakey VA Medical Center, Houston, TX PA; 2Mayo Clinic, Rochester, MN; 3Mayo Clinic Florida, Jacksonville, FL; P2517. Increasing Identification of Hepatitis C Viral (HCV) Infection in Baby 4Einstein Medical Center, Philadelphia, PA; 5University of Mississippi Boomers Using the Health Maintenance Tab Medical Center, Jackson, MS Yousaf Zafar, MD, Ahmed Elkafrawy, MD, Timothy Chow, MD, Kristin P2507. Screening Colonoscopy: How Much Does It Cost? Gillenwater, MD, Raj Shah, MD; University of Missouri, Kansas City, MO Marijeta Pekez, MD, Kshitij Thakur, MD, FACP; University of Kentucky, Lexington, KY

170 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2518. Successful Implementation of a Therapeutic Drug Monitoring PRACTICE MANAGEMENT Program and Its Impact on Patient Management and Outcomes Clinical Vignettes/Case Reports Elliot J. Graziano, MD, James P. Campbell, MD, Andrew Reinink, MD, Byron Vaughn, MD; University of Minnesota, Minneapolis, MN P2528. A Rare Case of High-Grade B-cell Lymphoma Involving the Colon and Small Bowel P2519. i>Helicobacter pylori Eradication Rates Higher With Clarithromycin Linoj Panicker, DO1, Matthew Soberano, DO1, Faiz Javed, DO1, Sweekriti Treatment Despite Increased Resistance Adhikari, DO1, Juan Sarol, MD1, Adrieene Moul, MD2, Carlos Dominguez, Rizwan Mahmood, BS1, Nathan Schomaker, MD1, Andrew Choi, BA2, MD1, Javier Sobrado, MD1; 1Larkin Community Hospital, South Miami, FL; Mukund Venu, MD1; 1Loyola University Medical Center, Maywood, IL; 2Aurora Diagnostics, Miami Lakes, FL 2Loyola University Stritch School of Medicine, Maywood, IL P2529. Rare Occurrence of Isolated Celiac Trunk Dissection: A Case Report P2520. Trends in Female Authorship of High Impact Publications in Yousaf Zafar, MD, Shahryar Khan, MD, Zara Wadood, MD, Laith Nu’man, Gastroenterology Journals, 1997-2017 MD, Omar Abughanimeh, MD; University of Missouri, Kansas City, MO Shweta Bhatia, BS, Swathi Eluri, MD, MSCR, Erin Kim, BS, Hannah Angle, BS, Evan S. Dellon, MD, MPH, Nicholas J. Shaheen, MD, MPH; University of P2530. Epigastric Paresthesia: Can It Be This Serious? North Carolina School of Medicine, Chapel Hill, NC Laith Numan, MD1, Omar Abughanimeh, MD1, Mohammad Tahboub, MD1, Yousaf Zafar, MD1, Nedaa Husainat, MD1, Mouhanna K. Abu Ghanimeh, P2521. High Impact Research in Digestive Diseases Is Becoming More MD2; 1University of Missouri, Kansas City, MO; 2Henry Ford Hospital, Multi-National and Is Performed by Larger Teams: A Trend Analysis of Detroit, MI Publications From 1997-2017 Shweta Bhatia, BS, Swathi Eluri, MD, MSCR, Erin Kim, BS, Hannah Angle, P2531. Loperamide Abuse in a Soldier BS, Evan S. Dellon, MD, MPH, Nicholas J. Shaheen, MD, MPH; University of Cesar Rosa, DO1, Michael Brazeau, DO1, Andrew Clark, MD2; 1San Antonio North Carolina School of Medicine, Chapel Hill, NC Military Medical Center, Fort Sam Houston, TX; 2Travis Air Force Base, Travis Air Force Base, CA P2522. Audit of Gastroenterology Consultations in a High-Volume Lung Transplantation Program in the United States P2532. Excelling at MIPS Reporting and Quality Improvement Ishani Shah, MD1, Shruti Mony, MD1, Neil Vyas, MD2, Abhishek Bhurwal, Amanda Taylor; Gastroenterology Associates of Pensacola, Pensacola, FL 3 4 1 TUESDAY

MBBS, MD , Ananya Das, MD ; St. Joseph’s Hospital and Medical Center, POSTERS Phoenix, AZ; 2St. Joseph’s Hospital and Medical Center, Phonix, AZ; 3Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; SMALL INTESTINE 4Arizona Centers for Digestive Health, Gilbert, AZ P2533. Isolated Superior Mesenteric Artery Dissection: A Systematic P2523. Smartphone App Based Tool to Counteract Over-Prescription of Review of Different Treatment Modalities Proton Pump Inhibitors Upon Discharge From Academic Medicine Services: Waqas Ullah, MD1, Hafez Mohammad Abdullah, MD2, Abu Hurairah, A Quality Improvement Project MD3, Asif Mehmood, MD 4; 1Abington Memorial Hospital, Abington, 1 2 1 Zubair Khan, MD, CMQ , Umar Darr, MD , Zakaria Alyousif, BS , Muhammad PA; 2University of South Dakota, Sioux Falls, SD; 3SUNY Downstate, 3 4 A. Baig, MD , Muhammad Ali Khan, MD , Thomas Sodeman, MD, FACP, Brooklyn, NY; 4Abington Memorial Hospital, Horsham, PA FACG1, Ali Nawras, MD1; 1University of Toledo Medical Center, Toledo, OH; 2Baylor College of Medicine, Houston, TX; 3John H. Stroger, Jr. Hospital of P2534. Active Smoking Is Associated with Positive Video Capsule Cook County, Chicago, IL; 4University of Tennessee Health Science Center, Endoscopy for Iron Deficiency Anemia Memphis, TN Jihan Fathallah, MD1, Shadi Hamdeh, MD1, Alexander Levy, MD2, Khaldoun Haj Mahmoud, MD1, Hong Gi Shim, MD2, Scott Grisolano, MD3, Dejan Micic, P2524. Successful Transition to an Infliximab Biosimilar at an MD4; 1Kansas University Medical Center, Kansas City, KS; 2Tufts Medical Academic Hospital Center, Boston, MA; 3University of Kansas School of Medicine, Kansas Toni Zahorian, PharmD, Francis A. Farraye, MD, MSc, Jason Reich, MD, City, KS; 4University of Chicago, Chicago, IL Ansu Noronha, MD, Sharmeel K. Wasan, MD, Bhavesh Shah, RPh, BCOP; Boston Medical Center, Boston, MA P2535. Performance of Single Balloon Enteroscopy in the Overweight and Obese Patients P2525. Implementing Methods to Capture ERCP Intraprocedural Quality Alfred Nelson, MD1, Abhik Bhattacharya, MD1, Matthew Hoscheit, MD2, Indicators in a Health Care System Rocio Lopez, MS3, John J. Vargo, MD4, Madhusudhan R. Sanaka, MD5, Amit 1 1 1 Abdul Hamid El Chafic, MD , Luke McCrone, MD , Ricardo Romero, MD , Bhatt, MD4, Sunguk Jang, MD1; 1Cleveland Clinic Foundation, Cleveland, 2 1 1 Jerry Evans, MD , Janak Shah, MD ; Ochsner Clinic Foundation, New OH; 2The Cleveland Clinic Foundation, Cleveland, OH; 3Lerner Research 2 Orleans, LA; Ochsner Health System, Kenner, LA Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Digestive Disease P2526. Current Practices of Proton-Pump Inhibitor Prescribing in a Large Institute/Cleveland Clinic Foundation, Cleveland, OH; 5Cleveland Clinic Resident-Run Ambulatory Setting: Targets for Intervention Digestive Disease Institute, Cleveland, OH Jeremy Louissaint, MD, Jared Sninsky, MD, Thomas Ciesielski, MD; P2536. Effect of Gluten-Free Diet on Lipid Profile in the Celiac and Non- Washington University School of Medicine, St. Louis, MO Celiac Adult Population - A Cross-Sectional Study P2527. Race Differences in IBD: A Study of Quality of Life, Work Karthik Gnanapandithan, MD; Yale New Haven Hospital and Yale School Productivity, and Endoscopic Severity of Medicine, New Haven, CT Chunsu Jiang, MD1, David Alfa, MBBS, MPH1, Doree Gardner, MS1, Tanvi Dhere, MD2, Heba Iskandar, MD, MPH2; 1Emory University, Atlanta, GA; 2Emory University School of Medicine, Atlanta, GA

P2537. CD117+ Exosomes and Mast Cells From Hereditary Alpha SMALL INTESTINE Tryptasemia Patients Reveal Unique Phosphorylation, Lipidomics, and Clinical Vignettes/Case Reports Proteomics Profiles  Category Award (Small Intestine) P2545. An Unusual Cause for Recurrent Pneumatosis Intestinalis and  Presidential Poster Award Asymptomatic PneumoperitoneumPanagiotis Abdel A. Alli, PhD1, Liza Konnikova, MD, PhD2, Kubra Tuna, MD1, Nancy H. Panagiotakis, MD, Andrew Barta, PA-C; MN Gastroenterology, Denslow, PhD1, Mohammad-Zaman Nouri, PhD1, Jin Koh, MD, PhD1, Jian Minneapolis, MN Li, MD, PhD1, Ying Tang, BS1, J. Forrest Shirley, MS1, Lisa K. Ryan, PhD3, Jonathan J. Lyons, MD4, Joshua D. Milner, MD4, Scott B. Snapper, MD, P2546. The Virgin Small Bowel Obstruction 1 1 1 PhD5, Sarah C. Glover, DO6; 1University of Florida College of Medicine, Natalia Lattanzio, BS , Vikaran Kadaba, BS , Zalmi Rahmany, BS , Niket 2 1 Gainesville, FL; 2University of Pittsburgh/UPMC Children’s Hospital, Sonpal, MD ; Richmond University Medical Center, Staten Island, NY; 2 Pittsburgh, PA; 3Department of Medicine, Gainesville, FL; 4NIAID/NIH, Brookdale University Hospital Medical Center, Hauppauge, NY Bethesda, MD; 5Harvard Medical School/Boston Children’s Hospital, P2547. Decade After Resection: A Case Report of Recurrent Malignant Boston, MA; 6University of Florida, Gainesville, FL Melanoma in Multiple Organs of the GI Tract 1 1 2 P2538. Comparative Quantitative Analysis Between a Dyspeptic versus Siva Prasad Maruboyina, MD , Shaker Barham, MD , Varun Patel, MD , Joseph DePasquale, MD1, Judith Faria-Briceno, MD1; 1NYMC-Saint Irritable Bowel Syndrome Groups in Relation to a Positive Hydrogen Breath 2 Test - Small Intestinal Bacterial Overgrowth Michael’s Medical Center, Newark, NJ; NYMC - St. Joseph’s University Jason Baker, PhD, Borko Nojkov, MD, Richard Saad, MD, MS, FACG; Medical Center, Newark, NJ University of Michigan, Ann Arbor, MI P2548. Non-Metastatic Jejunal Neuroendocrine Tumor Presenting With Carcinoid Syndrome P2539. A Prospective Evaluation of Isolated Terminal Ileal Lesions in 1 2 3 Symptomatic Patients: Natural History and Brian Phillips, DO , John Castor, MD , David Arrese, MD , David Y. Lo, MD, FACG4, Kim Jordan, MD3; 1OhioHealth, Riverside Methodist Hospital, Clinical Significance Columbus, OH; 2Ohio Gastroenterology Group, Inc., Columbus, OH;  Presidential Poster Award 3 4 Ashutosh Mohapatra, MD1, Sonmoon Mohapatra, MD2; 1AMRI Hospital, OhioHealth, Columbus, OH; Ohio Gastroenterology Group, Inc., The Bhubaneswar, Orissa, India; 2St. Peter’s University Hospital, New Ohio State University College of Medicine, Columbus, OH Brunswick, NJ P2549. A Rare Case of Primary Gastrointestinal Follicular Lymphoma P2540. Novel Anti-Siglec-8 Antibody Reduces Eosinophil and Mast Cell Presenting as Dyspepsia Faris Pacha, DO1, Joseph Salhab, DO1, Jamie L. Skrove, DO1, Dominic Infiltration in a Mouse Model of Eosinophilic Gastroenteritis 2 3 3 Bradford Youngblood, PhD, Emily Brock, MS, John Leung, BS, Christopher M. Colella, DO , Sarah R. Cheyney, MS4, MPH , Amir Riaz, MS4 , 4 1 2 Bebbington, PhD, Nenad Tomasevic, PhD; Allakos, Inc., San Carlos, CA Javier Sobrado, MD ; Larkin Community Hospital, Miami, FL; Nova Southeastern University, Larkin Hospital, South Miami, FL; 3St. George’s P2541. Highly Sensitive and Specific Identification of Anatomical University School of Medicine, Miami, FL; 4Larkin Community Hospital, Landmarks and Mucosal Abnormalities in Video Capsule Endoscopy With South Miami, FL Convolutional Neural Networks  Presidential Poster Award P2550. A Celiac-Like Disease Phenotype After Checkpoint Inhibitor Felix Lui, MD1, Yash Rusconi-Rodrigues, BA2, Andrew Ninh3, James Exposure: Another of Example of Immune Dysregulation After Requa3, William Karnes, MD1; 1University of California Irvine Medical Immunotherapy? 1 2 3 1 Center, Orange, CA; 2University of California Irvine School of Medicine, Joud Arnouk, MD , Don Mathew, MD , Vikrant Rachakonda, MD ; UPMC 2 Irvine, CA; 3Docbot, Irvine, CA McKeesport Hospital, McKeesport, PA; UPMC McKeesport, Monroeville, PA; 3University of Pittsburgh Medical Center, Pittsburgh, PA P2542. Regional and Ethnic Variations and Predictors of Mortality Among P2551. Mantle Cell Lymphoma of the Duodenum and Colon Patients With Acute Mesenteric Ischemia: A Population-Based Study 1 1 2 1 Ishani Shah, MD1, Abhishek Bhurwal, MBBS, MD2, Shruti Mony, MD1, Neil Nayna Riyat, MD , Kirthi Reddy, MD , Nazneen Ahmed, MD ; University 2 Vyas, MD3, Ananya Das, MD4; 1St. Joseph’s Hospital and Medical Center, of Tennessee, Memphis, TN; University of Tennessee and Memphis VA Phoenix, AZ; 2Rutgers Robert Wood Johnson University Hospital, New Medical Center, Memphis, TN Brunswick, NJ; 3St. Joseph’s Hospital and Medical Center, Phonix, AZ; P2552. Now You See Me, Now You Don’t: A Case of Rapidly Evolvin 4Arizona Centers for Digestive Health, Gilbert, AZ Lupus Enteritis P2543. Utility of CT Imaging Prior to Single Balloon Enteroscopy Anuhya Gampa, MD, Jaimin Amin, MD; Rush University Medical Center, Matthew Hoscheit, MD1, Abhik Bhattacharya, MD2, Alfred Nelson, MD2, Chicago, IL Rocio Lopez, MS3, John J. Vargo, MD4, Madhusudhan R. Sanaka, MD5, P2553. Don’t Judge a Polyp by Its Cover: A Case of an Inflammatory Amit Bhatt, MD4, Sunguk Jang, MD2; 1The Cleveland Clinic Foundation, Fibroid Polyp in the Duodenum Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH; 3Lerner Saamia Faruqui, MS, MD1, Lindsay A. Matthews, MD2, Cacey Peters, MD1, Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Digestive Porter Glover, MD3, Vanessa Mendez, MD1, John P. Affronti, MS, MD3; Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 5Cleveland 1Tulane University, New Orleans, LA; 2University of Wisconsin Madison Clinic Digestive Disease Institute, Cleveland, OH School of Medicine, Madison, WI; 3Tulane University School of Medicine, P2544. Gastrointestinal Amyloidosis Does Not Impact Rejection Burden New Orleans, LA After Orthoptic Heart Transplant: A Retrospective Study P2554. A Unique Presentation of Cutaneous T-cell Lymphoma Involving Anusha Shirwaikar Thomas, MD1, Ayah Oglat, MD1, Raquel Araujo- the Gastrointestinal Tract Gutierrez, MD1, Duc T. Nguyen, MD, PhD2, Edward A. Graviss, PhD, MPH2, Amulya Reddy, DO1, Frank Lopez, DO1, Thomas Birris, MD2; 1Lakeland Barry Trachtenberg, MD3, David Victor III, MD1; 1Houston Methodist Health, St. Joseph, MI; 2Great Lakes Gastroenterology, St. Joseph, MI Hospital, Houston, TX; 2Houston Methodist Research Institute, Houston, TX; 3J.C. Walter Transplant Center, Houston Methodist Hospital, Houston, TX

172 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2555. An Unusual Etiology of Iron Deficiency Anemia Diagnosed on P2567. A Case of Celiac Crisis in an Elderly Male Duodenal Biopsy Kavya Kelagere Mayigegowda, MD1, Megan Emmich, DO1, Aditya Lavneet Chawla, MD1, Anila Kumar, DO2, George P. Jolly, MD1, Virendra Kalakonda, MD2, David Desilets, MD, PhD1; 1University of Massachusetts Tewari, MD3; 1Westchester Medical Center, Valhalla, NY; 2New York Medical Medical School - Baystate Medical Center, Springfield, MA;2 University of College at Westchester Medical Center, Valhalla, NY; 3Westchester Massachusetts, Baystate Medical Center, Springfield, MA Medical Center at Westchester Medical Center, Valhalla, NY P2568. Cryptosporidium: A Potentially Fatal Cause of Diarrhea in a Heart P2556. Extraintestinal Manifestation of Celiac Disease: Gluten Ataxia Transplant Recipient Danse Bi, MD, Elizabeth Coon, MD; Mayo Clinic, Rochester, MN Anne Borja, MD1, Andrew E. Lee, MD1, Ben Bluen, MD1, Shelley Hankins, MD1, Dong Heun Lee, MD2; 1Drexel University College of Medicine/Hahnemann P2557. Isolated Gastrointestinal Angioedema Due to an Angiotensin University Hospital, Philadelphia, PA; 2Drexel University, Philadelphia, PA Receptor Blocker: A Novel Case Krutika Lakhoo, MD, Pedram Enayati, MD; Cedars-Sinai Medical Center, P2569. Immunoglobulin a Vasculitis in a Middle-Aged Male Los Angeles, CA Matthew Chadwick, DO1, Leonid Shamban, DO1, John Macksood, DO2; 1Genesys Regional Medical Center, Grand Blanc, MI; 2Flint P2558. Gastrointestinal Bleeding From a Rare Duodenal Lesion in a Gastroenterology Associates, Grand Blanc, MI Young Woman Kristina Fernandez, MD1, Monica Saumoy, MD, MS2, Amy Tyberg, MD3, P2570. Aberrant Right Hepatic Artery Leading to Duodenal Obstruction David L. Carr-Locke, MD, FACG4; 1New York Presbyterian Hospital, Weill Vinay Yalamanchi, DO, Aaron Reiprich, DO, Michael Sciarra, DO; Cornell Medical College, New York, NY; 2New York Presbyterian Hospital, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ New York, NY; 3Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; 4Weill Cornell Medical College & New York Presbyterian P2571. A Rare Cause of Acute Abdomen: Spontaneous Isolated Superior Hospital, New York, NY Mesenteric Artery Dissection Rikhil Kochhar, MD, Rajiv Mallipudi, MD, Swami Nathan, MD; Hackensack P2559. A Rare Case of Primary Gastrointestinal Follicular Lymphoma Meridian Health Mountainside Medical Center, Glen Ridge, NJ Detected After Thorough Evaluation of the Duodenum Amr Dokmak, MD, Amr Radwan, MD, Douglas Schneider, MD, Caroline P2572. A Case of Everted Appendix With Benign Appendicial Nodule Masquerading as Appendiceal Mucocele: A Case Report TUESDAY Jouhourian, MD; Steward St. Elizabeth’s Medical Center, Boston, MA POSTERS Amaan Shafi, MD, Mohamed Azab, MD; University of Nevada Las Vegas P2560. An Unexpected Case of Carcinoid Crisis: The Missing Piece of School of Medicine, Las Vegas, NV the Puzzle Blanca E. Iriarte, MD1, Sachin Kirtane, MD1, Martina Risech, DO2, Cristina P2573. Duodenal Hyperplastic Polyp Masquerading as a Bleeding Tumor Yang Liu, MD, Craig M. Womeldorph, DO, Ryan Cho, MD; San Antonio Olivas, MD3, Rafael Amaral, MD1, Nicholas Ghionni, DO1; 1Mercy Catholic Uniformed Services Health Education Consortium, San Antonio, TX Medical Center, Philadelphia, PA; 2Drexel University College of Medicine, Philadelphia, PA; 3Mercy Catholic Medical Center, Darby, PA P2574. When Gastroenteritis Is too Mainstream: Eosinophilic Gastroenteritis P2561. Celiac Disease in a Patient with Ulcerative Colitis and Primary Vinod Nagabhairu, MD, Manbeer S. Sarao, MD, Aswani Nagabhairu, MD, Sclerosing Cholangitis Vinod Nookala, MD; University of Pittsburgh Medical Center Pinnacle, Harrisburg, PA Hazem Tabbaa, DO1, Rida Rafiqui, DO2, Abby R. Sapp, DO3, Alex Yarbrough, DO3; 1Franciscan Alliance, Lemont, IL; 2Franciscan Health St. James Olympia P2575. A Deadly Diagnostic Dilemma of Celiac Disease Fields, Morton Grove, IL; 3Franciscan Alliance, Olympia Fields, IL Vikram Patel, MD, Colleen Caprio, MD, Simran Sidhu, MBBS; Florida Atlantic P2562. An Unusual Case of GI Metastasis From Adenocarcinoma of University, Charles E. Schmidt College of Medicine, Boca Raton, FL the Lung P2576. Idiopathic Intestinal Angioedema: A Diagnostic Dilemma Juan Menjivar, MD1, Azif Zamir, MD2, Rex Huang, MD2, Andrew Dentino, Laith Numan, MD1, Omar Abughanimeh, MD1, Mohammad Tahboub, MD1, MD2, Bilal Nazif, DO2, Daniel Varela, MD2; 1UTRGV, McAllen, TX; 2UTRGV, Yousaf Zafar, MD1, Nedaa Husainat, MD1, Mouhanna K. Abu Ghanimeh, MD2; Edinburg, TX 1University of Missouri, Kansas City, MO; 2Henry Ford Hospital, Detroit, MI P2563. Celiac Strikes Back: Recurrent Celiac Disease After Intestinal P2577. A Case of Superior Mesenteric Artery Syndrome Associated with Transplantation Acute Pancreatitis Long Vu, MD1, Alomari Mohammad, MD1, Shrouq Khazaaleh, MD2, May Amna Mehdi, DO1, Nima Raminfar, DO1, Suhail Salem, MD1, Jeevan Olayan, MD1, Abdullah Shatnawei, MD1, Kareem Abu-Elmagd, MD, PhD1; Vinod, MD2, Taruna Bhatia, MD2, Shil Patel, DO1, Jonelle George, DO1, 1Cleveland Clinic, Cleveland, OH; 2King Abdullah University Hospital, Marc Sheinman, DO1; 1CarePoint Health, Bayonne, NJ; 2CarePoint Health Ramtha, Irbid, Jordan Bayonne Medical Center, Bayonne, NJ P2564. From Eosinophilic Gastroenteritis to Chronic Eosinophilic P2578. Serendipitous Abdominal Discomfort: A Rare Case of Sporadic Non- Leukemia: A Case of Hypereosinophilia Ampullary Duodenal Carcinoma in a 31-Year-Old Male Billy-Joe Liane, MD1, Maria T. Kurtz, DO1, John Gancayco, MD2; 1San Hasan Zahid, MD, MBBS, Ghulam Mustafa Aftab, MD, MBBS, Ramla Abbas, Antonio Uniformed Services Health Education Consortium, Fort Sam MD, MBBS, Mujtaba Butt, MD; Orange Park Medical Center, Orange Park, FL Houston, TX; 2Brooke Army Medical Center, San Antonio, TX P2579. Multi-focal Intussusception With Concurrent Appendicitis in an Adult P2565. Acute Abdomen with Ileus: A Heralding Presentation of Female Neuroleptic Malignant Syndrome Christienne Shams, MD1, Soumail Patwardhan, MBBS2, Atulkumar Patel, MD2; Kishore Kumar, MD, Chukwunonso Chime, MD, Ahmed Alemam, MD, 1William Beaumont Hospital, Royal Oak, MI; 2Beaumont Health, Royal Oak, MI Manjeet Dhallu, MD; BronxCare Health System, Bronx, NY P2580. Intussussception and Ileal Ulceration: A Case of Recurrent Near- P2566. Rare Case of Primary Small Intestinal Malignant Melanoma Tetraploid Diffuse Large B-Cell Lymphoma of the Small Intestine Presenting With Intussusception and Bowel Obstruction Steven N. Mathews, MD1, Rachel Niec, MD, PhD1, John Allan, MD1, Carl Abhinav Tiwari, MD1, Khola Qamar, MD2; 1UTMC, Toledo, OH; 2UTMC, Crawford, Jr., MD2; 1NewYork-Presbyterian Weill Cornell Medical Center, Perrysburg, OH New York, NY; 2Weill Cornell Medicine, New York, NY

P2581. Late Presenting Celiac Disease and Atypical T-Cell P2591. Siglec-8, a Novel Selective Target for Eosinophilic Gastrointestinal Lymphoproliferative Disorder Diseases (EGIDs) Found on Eosinophils and Mast Cells in Human Tissue Erick Argueta, MD, Chiazotam Ekekezie, MD, Breton Roussel, MD, Valerie Bradford Youngblood, PhD1, Emily Brock, MS1, John Leung, BS1, Carter, MD, Mark LeGolvan, DO, Lijuan Wang, MD, Colleen R. Kelly, MD; Christopher Bebbington, PhD1, Nenad Tomasevic, PhD1, Henrik S. Warren Alpert Medical School of Brown University, Providence, RI Rasmussen, MD, PhD1, Kathryn Peterson, MD2; 1Allakos, Inc., San Carlos, CA; 2University of Utah, Salt Lake City, UT P2582. Isolated Intestinal Ganglioneruoma Mimicking Small Bowel Crohn’s Disease P2592. History of Eating Disorder in Patients With Gastroparesis Madhuri Badrinath, MBBS, Dhruv Lowe, MD, Divey Manocha, MD, Nisha Symptoms: More Severe Postprandial Fullness and Delayed Ramani, MBBS; SUNY Upstate Medical University, Syracuse, NY Gastric Emptying Helen B. Murray, BA1, Asad Jehangir, MD2, Henry P. Parkman, MD3; 1Drexel P2583. The Crystal Method: GI Manifestations of Cryocrystalglobulinemia University, Philadelphia, PA; 2Reading Hospital - Tower Health, Reading, Patrick McCabe, MD, MEd, Nikhil Agarwal, MD, Ryan Johnson, MD, Parul PA; 3Temple University Hospital, Philadelphia, PA Patel, MD; California Pacific Medical Center/Sutter, San Francisco, CA P2593. Effect of Long-Term Proton Pump Inhibitor Use on Iron Absorption: P2584. Whipple’s Disease Presenting as Severe Cachexia and Failure A Systematic Review to Thrive Priyanka Priyanka, MD1, Sarah Sofka, MD, FACP1, Gorman Reynolds, MD2; Corey R. O’Brien, MD, Thomas McCarty, MD, Daria Madeeva, MD, Camila 1West Virginia University Hospital, Morgantown, WV; 2West Virginia Odio, MD, Samir Gautam, MD, Mark Siegel, MD; Yale New Haven Hospital, University Hospital, Ruby Memorial Hospital, Morgantown, WV New Haven, CT P2594. Effect of Helicobacter pylori Eradication on Low-Density Lipoprotein Cholesterol in Patients With Type 2 Diabetes STOMACH Omar Alsalman, MD1, Ahmed Shady, MD2, Priyanka Yerragorla, MD2, Mohammed Al-juboori, MD2, Hala Boktor, MD2, Aulio Bustos, MD2, P2585. Clinichopathological and Endoscopic Features of Helicobacter Marwah Alchalabi, MBChB3, Jennifer Harley, MD 4, Nora Bergasa, MD2; pylori-Negative Early Gastric Cancer 1Metropolitan Hospital, New York Medical College, New York, NY; Hiroya Ueyama, MD, PhD, Kohei Matsumoto, MD, PhD, Kenshi Matsumoto, 2Metropolitan Hospital, New York, NY; 3Metropolitan, Forest hills, NY; MD, PhD, Atsushi Ikeda, MD, Noboru Yatagai, MD, Yoichi Akazawa, MD, 4NYC Health + Hospitals - Metropolitan Hospital Center, New York, NY PhD, Hiroyuki Komori, MD, Kentaro Izumi, MD, Kumiko Ueda, MD, PhD, Mariko Hojo, MD, PhD, Takashi Yao, MD, PhD, Akihito Nagahara, MD, PhD; P2595. H. pyloriEradication Trends in the Last 8 Years in an Urban Medical Juntendo University School of Medicine, Bunkyo-Ku, Tokyo, Japan Center in the U.S. Marcus Juan L. Esteban, MD1, Christina Lin, BS, BA2, Prachi Chakradeo, P2586. Reflux Symptoms in Patients With Gastroparesis: Prevalence, Severity, MS1, Xiang Liu, MD2, Mohamad Hemu, MD1, Shriram Jakate, MD1, Salina and Correlation With Gastroparesis Symptoms and Gastric Retention Lee, MD1; 1Rush University Medical Center, Chicago, IL; 2Rush Medical  Presidential Poster Award College, Chicago, IL Asad Jehangir, MD1, Henry P. Parkman, MD2; 1Reading Hospital - Tower Health, Reading, PA; 2Temple University Hospital, Philadelphia, PA P2596. Prevalence and Risk Factors for Helicobacter pylori Among Patients Undergoing Outpatient Endoscopy in South Texas P2587. Efficacy and Safety of Trans-Oral Incisionless Fundoplication Alfredo Camero, Jr., MD1, Muhammad Haris, MD1, David Valadez, MD1, Performed by Gastroenterologists Pranav Penninti, DO1, Nael Haddad, MD1, Codey Pham, BS1, Mazyar Ali Raza, MD1, Marc Catalano, MD1, Erik F. Rahimi, MD1, Hani A Zamil, MD2, Malakouti, MD1, Chirag Patel, MD1, Yiqing Yang, BS2, Juan Echavarria, MD1, Bijun S. Kannadath, MBBS, MS3, Julie Guider, MD1, Reena V. Chokshi, MD4, Shail Govani, MD1; 1University of Texas Health San Antonio, San Antonio, Brooks D. Cash, MD, FACG1, Todd Wilson, MD1, Erik Wilson, MD1, Nirav TX; 2University Hospital San Antonio, San Antonio, TX Thosani, MD2; 1University of Texas Health Science Center at Houston, Houston, TX; 2University of Texas Health Science Center at Houston / P2597. The Constellation of Upper Gastrointestinal Symptoms and McGovern Medical School, Houston, TX; 3University of Arizona College of Associated Endoscopic and Histologic Features in Patients Receiving Medicine, Phoenix, AZ; 4UT Health - McGovern Medical School, Houston, TX Immune Checkpoint Inhibitors Tenglong Tang, MD, Hamzah Abu-Sbeih, MD, Wenyi Luo, MD, Rashmi P2588. Rethinking the Test-and-Treat Strategy: Dyspepsia Is Not Samdani, MD, Wei Qiao, MD, Robert Bresalier, MD, David Richards, MD, Associated With H. pylori Infection in a Northern California Population Yinghong Wang, MD; University of Texas MD Anderson Cancer Center, Justin Yu, MD, Artin Galoosian, MD, Jesse Liu, MD; California Pacific Houston, TX Medical Center, San Francisco, CA P2598. Vonoprazan versus Proton Pump Inhibitors for Gastric Endoscopic P2589. High Efficacy of Vonoprazan-Based First-Line and Second- Submucosal Dissection-Induced Ulcers: A Systematic Review and Line Eradication Therapy for i>Helicobacter pylori Infection Has Been Meta-Analysis Maintained Since 2015 in Japan Kittika Poonsombudlert, MD, Veeravich Jaruvongvanich, MD; University of Kiyonori Yamai, MD, PhD1, Tadashi Shimoyama, MD, PhD2, Daisuke Hawaii, Honolulu, HI Chinda, MD, PhD2, Hitoshi Ogasawara, MD, PhD3, Shinsaku Fukuda, MD, PhD2; 1Hirosaki University Graduate School of Medicine, Odate Municipal P2599. Characterization of Upper Gastrointestinal Symptoms, Gastric Hospital, Odate, Akita, Japan; 2Hirosaki University Graduate School of Motor Functions, and Triopathy in Patients with Diabetes Mellitus at a Medicine, Hirosaki-shi, Aomori, Japan; 3Odate Municipal Hospital, Odate, Referral Center 1 1 1 Akita, Japan Victor Chedid, MD , Justin Brandler, MD , Priya Vijayvargiya, MD , Seon- Young Park, MD2, Lawrence A. Szarka, MD1, Michael Camilleri, MD1; 1Mayo P2590. Efficacy of Levofloxacin-Based Triple Therapy Regimen Compared Clinic, Rochester, MN; 2Chonnam National University Hospital, Gwangju, to Bismuth Sub Citrate Quadruple Therapy in Eradication of H. pylori Seoul-t’ukpyolsi, Republic of Korea Infection in Patients With Intellectual Disabilities and Developmental Delay (IDDD) Rehan Rais, MD, Farhan Hassan, Naureen Ali, MD, Tariq Hassan, MD; Netherton Office, St. Louis, MO

174 \ 2018 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

P2600. Abnormalities of Gastric Slow Wave Propagation on Cutaneous P2611. Fasciola Hepatica Infection Mimicking a Gastric Tumor High Resolution Electrogastrogram Are Associated with More Severe Lesly Calixto-Aguilar, MD1, George Vasquez-Rios, MD2, Jheferson Clinical Symptoms Contreras-Grande, MD1, Wilder Ramos-Castillo, MD1, Edson Guzman- Armen A. Gharibans, PhD, Todd Coleman, PhD, Hayat Mousa, MD, David Calderon, MD1, Luis Marcos, MD3; 1Hospital Nacional Edgardo Rebagliati Kunkel, MD; University of California San Diego, La Jolla, CA Martins, Lima, Peru; 2St. Louis University Hospital, Lima, Peru; 3Global Health Institute, Lima, Peru P2601. High-Density Multichannel Electrode Array Improves the Accuracy of Cutaneous Electrogastrography Across Subjects With P2612. Fungal Peptic Ulcer Disease in an Immunocompetent Patient Wide-Ranging BMI Ridwaan Albeiruti, MD1, Hiren Vallabh, MD2, Justin Kupec, MD2; 1West Armen A. Gharibans, PhD, Todd Coleman, PhD, Hayat Mousa, MD, David Virginia University School of Medicine, Morgantown, WV; 2West Virginia Kunkel, MD; University of California San Diego, La Jolla, CA University Hospital, Morgantown, WV P2613. Gastric Leiomyoma Causing GOO in a Roux-en-Y Gastric Bypass Patient Shino Prasandhan, MD1, Bobby Jacob, MD1, Kaleem Rizvon, MBBS, FACG2; STOMACH 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Meadow, NY Clinical Vignettes/Case Reports P2614. An Unexpected Cause of Superior Vena Cava Syndrome P2602. A Rare Case of Severe Ischemic Gastropathy Causing Upper GI Bleed Frances Rodriguez-Berrios, MD, Angel Morales Santiago, MD, Carlos Jonathan Pinto, MD, Joan Culpepper-Morgan, MD, Jeff C. Anucha, MD, Fernandez-Cruz, MD, Jaime Martinez-Souss, MD; VA Caribbean Alvaro Genao, MD, Neil Resnick, MD; Harlem Hospital Center, New York, NY Healthcare System, San Juan, Puerto Rico P2603. Gastrointestinal Occurrence of a Glomus Tumor P2615. A Case of Emphysematous Gastritis - Rare Disease With High Mortality 1 2 3 1 Nisha M. Singh, MD , Farhoud Khosravi, DO , Tanvir Khosla, MD ; St. Rajarajeshwari Ramachandran, MD, Diana Whitehead, MD, Ji Rhee, MD; 2 Joseph’s Hospital and Medical Center, Phoenix, AZ; Arizona Centers for Greater Baltimore Medical Center, Baltimore, MD Digestive Health, Gilbert, AZ; 3Martin Luther King Jr. Community Hospital, Los Angeles, CA P2616. A Rare Symptomatic Congenital Hernia in an Octogenarian Ami P. Patel, DO, MBA, Dorsa Samsami, DO, Chloe Lee, DO, Asif Lakha, P2604. Metastatic Gastric Adenocarcinoma Diagnosed Following MD; Advocate Lutheran General Hospital, Park Ridge, IL TUESDAY Spontaneous Bacterial Peritonitis: A Rare Complication of Malignant Ascites POSTERS David W. Dornblaser, MD, MS1, Christian Torres, MD1, Giulio Quarta, MD2, P2617. Gastrointestinal Kaposi Sarcoma: An Underdiagnosed Entity Denise McCulloch, MD, MPH1; 1New York University School of Medicine, Barakat Aburajab Altamimi, MD, Rahman Nakshabendi, MD, Woodlyne New York, NY; 2NYU School of Medicine, New York, NY Roquiz, DO, Mohamad Mokadem, MD; University of Iowa Hospitals & Clinics, Iowa City, IA P2605. More Than Polyps: A Rare Case of Gastric Plasmacytoma Sandra Gomez-Paz, MD1, Rabab Hajar, MD1, Kaleem Rizvon, MBBS, P2618. Hidden Dangers and Updated Labels on Gastric Balloons FACG2; 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Sindhura Kolli, MD, Andrew Ofosu, MD, MPH, Krishna C. Gurram, MD; Meadow, NY The Brooklyn Hospital Center, Brooklyn, NY P2606. Organoaxial Gastric Volvulus Complicated by Gastric Outlet P2619. Plexiform Fibromyxoma: Curable by Endoscopic Mucosal Resection Obstruction Dayah Rawan, MD, Guo Eric, MD, Bhatt Asmeen, MD, PhD, Mohammad Bilal, Kara Raphael, MD1, Matthew Whitson, MD, MSEd2; 1Zucker School of MD, Sheharyar Merwat, MD, Praveen Guturu, MD, FACG, Sreeram Parupudi, MD, Medicine at Hofstra/Northwell, New Hyde Park, NY; 2Northwell Health FACP, FACG; University of Texas Medical Branch, Galveston, TX Physician Partners, Manhasset, NY P2620. The Gut Offending the Brain: An Unusual Presentation of P2607. The Pepcid Pustulosis Problem: An Unusual Side Effect Pernicious Anemia Mimicking Catatonic Schizophrenia Akhil Sureen, BA1, Adelynn Vadrar, BS2, Firas Siddique, BA2, Patrick Temitayo Gboluaje, MD, Titilope Olanipekun, MD, MPH, Taiwo A. Ajose, DeSanto, BA2; 1American University of Antigua, Tustin, CA; 2American MD, Micheal Flood, MD; Morehouse School of Medicine, Atlanta, GA University of Antigua, Brooklyn, NY P2621. A Rare Diagnosis with a Rare Etiology: A Case of Retching-Induced P2608. Gastric Outlet Obstruction as the Initial Presentation of Locally Gastric Emphysema Advanced Urothelial Carcinoma Zubair Khan, MD, CMQ1, Toseef Javaid, MD1, Benjamin Hart, MD, PhD, Karl Andersen, DO, Assad Munis, DO, Ryan Hoff, DO, Alan Shapiro, MD; MPH2, Ali Nawras, MD1; 1University of Toledo Medical Center, Toledo, OH; Advocate Lutheran General Hospital, Park Ridge, IL 2University of Toledo College of Medicine, Toledo, OH P2609. A Rare Case of Delayed Gastric Ulcerations Several Months After P2622. Mixed Germ Cell Tumor With Metastasis to Liver and Stomach: A Y-90 Radioembolization for Hepatic Carcinoid Tumor Case of Multi-Gastrointestinal Organ Involvement Jeffrey Prochot, DO1, Brad Solomon, DO1, Scott Siglin, MD1, Suzanne Iwaz, Mimi Van, DO1, Tushar Gohel, MD2; 1Midwestern University, Gilbert, AZ; MD2, Jacob Bitran, MD1; 1Advocate Lutheran General Hospital, Park Ridge, 2Midwestern University, College of Osteopathic Medicine, Scottsdale, AZ 2 IL; University of Illinois at Chicago, Chicago, IL P2623. Emphysematous Gastritis: A Case of Survival with Non-Operative P2610. Percutaneous Transesophageal Gastrostomy (PTEG) as an Medical Management Alternative When PEG Is Contraindicated Mimi Van, DO1, Sudhakar Reddy, MD2; 1Midwestern University, Gilbert, AZ; Konstantin Boroda, MD1, Nirmal Guragain, MD1, Hilary Hertan, MD, FACG2; 2Mountain Vista Medical Center / Midwestern University, Mesa, AZ 1 2 Montefiore Medical Center Wakefield Campus, Bronx, NY; Montefiore P2624. It’s Not Recurrence? Medical Center, Bronx, NY Robert Summey, MD1, Mohamad A. Mouchli, MD2, Douglas Grider, MD, FCAP, FASDP3; 1Virginia Tech Carilion School of Medicine, Roanoke, VA; 2Carilion Clinic, Roanoke, VA; 3Carilion Clinic, Virginia Tech School of Medicine, Roanoke, VA

P2625. Acute Neurological Syndrome Mimicking Stroke in a Post-Gastric P2636. The Utility of Transabdominal Ultrasound in Percutaneous Sleeve Surgery Patient Endoscopic Gastrostomy Tube Placement: A Novel Approach Taimoor Khan, MD1, Alsadiq Al hillan, MD2, Diana Curras, MD3, Ravneet S. Henry Jen, MD1, Eduardo Quintero, MD2, Michael Clores, DO2, Juan Carlos Bajwa, MD4, Mujtaba Mohamed, MD4, Mohammad A. Hossain, MD4, Arif Bucobo, MD2; 1Stony Brook University Hospital, Sands Point, NY; 2Stony Asif, MD5; 1Jersey Shore University Medical Center/Hackensack Meridian Brook University Hospital, Stony Brook, NY Health, Neptune City, NJ; 2Jersey Shore University Medical Center/ Hackensack Meridian Health, Neptune, NJ; 3Jersey Shore University P2637. Aerosplenomegaly: Case of Gastrosplenic FIstula and Splenic

Medical Center/Hackensack Meridian School of Medicine at Seton-Hall, Abscess in Lymphoma Ashima Kapoor, MD1, Sushant Nanavati, MD1, Vinod Kumar, MD1, Shoaib Neptune City, NJ; 4Jersey Shore University Medical Center/Hackensack Azam, MD2, Fnu Komal, MD1, Monisha Singhal, MD1; 1St. Joseph’s Meridian School of Medicine at Seton-Hall, Neptune, NJ; 5Jersey Shore University Medical Center, Paterson, NJ; 2St. Joseph’s University Medical University Medical Center/Hackensack Meridian School of Medicine at Center, Woodland Park, NJ Seton-Hall, Neptune city, NJ P2626. Gastric Wall Emphysema: A Benign Finding After Intractable P2638. Gastric Glomus Tumor: A Rare Incidental Finding Retching - Two Case Reports Rahma Aldhaheri, MBBS, Steven Zeddun, MD, Sana Tabbara, MD, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC Ahmed Al-Chalabi, MD1, Benjamin Hart, MD, PhD, MPH2, Thomas Sodamen, MD1, Ali Nawras, MD1; 1University of Toledo Medical Center, P2639. This Looks Malignant but Is It Really Cancer? A Case of Toledo, OH; 2University of Toledo College of Medicine, Toledo, OH Symptomatic Systemic Amyloidosis Presenting as Granulomatous P2627. Gastric Sarcoidosis: A Rare Manifestation of the Disease Gastroduodenitis Asad Ur Rahman, MD1, Muhammad Talha Khan, MD2, Effa Zahid, MBBS3, Suneha Sundaram, MD1, Myra Chai, MD2, Narasimha Swamy Gollol Raju, Roger Charles, MD1; 1Cleveland Clinic Florida, Weston, FL; 2Carle MD3, Glenn Harvin, MD4; 1East Carolina University/Vidant Medical Center, Foundation Hospital, Champaign, IL; 3Services Institute of Medical Greenville, NC; 2VMC/ ECU Brody School of Medicine, Greenville, NC; 3Vidant Sciences, Lahore, Punjab, Pakistan Medical Center, Greenville, NC; 4East Carolina University, Greenville, NC P2628. Diospyrobezoar Formation in Patient With Sleeve Gastrectomy P2640. Use of Helicobacter pylori Antibiotic Resistance Testing on Paraffin

Jared Magee, DO, MPH, Ioannis Papadopoulos, MD; Madigan Army Embedded Gastric Biopsy Tissue Jonathan Williams, DO1, Thomas Mientus, MD2, Yogesh Patel, DO2; Medical Center, Joint Base Lewis-McChord, WA 1Gastroenterology Consultants of the North Shore, Kenilworth, IL; 2Illinois P2629. Do You Eat Healthy? You May Need a Diet Coke! A Case Report of Gastroenterology Group, Libertyville, IL Successful Non-Surgical Phytobezoar Treatment

Rohit Gupta, DO1, Ahmed Shady, MD2, Raffat Batool, MD3, Jennifer Harley, P2641. Prophylactic Gastrectomy in Hereditary Diffuse Gastric Cancer Hussein Al Jobori, MD1, Grigoriy Rapoport, MD1, Juan Castano, MD1, MD 2; 1NYC Health + Hospitals - Woodhull Medical and Mental Health Muhammed Gulzar Nathani, MD, FACP, FACG2, Asif Zamir, MD3; Center, New York, NY; 2NYC Health + Hospitals - Metropolitan Hospital 1University of Texas Rio Grande Valley School of Medicine, Edinburg, Center, New York, NY; 3New York University School of Medicine, Woodhull TX; 2Kelsey-Seybold Clinic, Spring, TX; 3Renaissance Gastroenterology / Medical and Mental Health Center, Brooklyn, NY UTRGV, Edinburg, TX P2630. Identifying the GAPPS in Hereditary Gastric Polyposis Syndromes Alyssa Anderson, MD1, Linnea Swanson, BA2, Regina Plummer, DO1, James Abraham, MD1; 1University of Minnesota, Minneapolis, MN; 2University of Minnesota Medical School, Minneapolis, MN P2631. Gastric Adenocarcinoma Presenting With Dysphagia and Heart Block Yamam I. Al-Saadi, MD1, Mohammad Bilal, MD2, Praveen Guturu, MD, FACG2; 1University Of Texas Medical Branch Galveston, Galveston, TX; 2University of Texas Medical Branch, Galveston, TX P2632. Metastatic Gastric Signet Cell Carcinoma to Colon Masquerading as Diverticulitis Vandan Panchal, MD, MPH, Charles Reisdorf, ANPC, Diane Hall, MD, PhD, Samir Parikh, MD, MBA, Vivek Kak, MD, Vishal Gupta, MD, PhD; Henry Ford Allegiance Health, Jackson, MI P2633. Pyloric Gland Adenomas: Histologically Distinct yet Phenotypically Diverse Neoplasms of the GI Tract Tai Hang Ho, MD, Lawrence J. Brandt, MD, MACG ; Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY P2634. Use of Helicobacter pylori Antibiotic Resistance Testing on Paraffin Embedded Gastric Biopsy Tissue Nelson Garcia, MD, James Leavitt, MD, Curtis L. McCarty, III, MD; Gastro Health, LLC, Miami, FL P2635. A Rare Case of Primary Gastric MALToma with Hepatocytes Found in the Stomach! Ahmed Shady, MD1, Nicole Gomez, MD1, Silvia Fernandez, MD1, Jennifer Harley, MD 2, Melissa Kang, MD3; 1Metropolitan Hospital Center, New York, NY; 2NYC Health + Hospitals - Metropolitan Hospital Center, New York, NY; 3Metropoltan Hospital Center, New York, NY

176 \ 2018 Annual Scientific Meeting & Postgraduate Course ACG 2018 EXHIBIT HALL

The science and technology of medicine is ever-changing and advancing the practice of gastroenterology. Showcasing these latest advances in technology and therapeutics is the ACG 2018 Exhibit Hall where more than 140 companies will display and demonstrate their products and services. With the variety of exhibitors expected to participate, there are EXHIBIT HALL HOURS certain to be displays of interest for all attendees. Companies who exhibit include pharmaceutical manufacturers, medical Sunday, October 7 ...... 3:00 pm – 7:00 pm instrument suppliers, research companies, technology  Opening Welcome Reception . . . . . 5:15 pm – 7:00 pm companies, publishers, non-profit organizations, recruiters, and many others. Monday, October 8 ...... 10:00 am – 4:45 pm Immediately following the conclusion of the Postgraduate Course on Sunday, October 7, join colleagues for the ACG Tuesday, October 9 ...... 10:00 am – 4:30 pm 2018 Opening Welcome Reception in the Exhibit Hall from 5:15 pm – 7:00 pm. The reception will feature hors d'oeuvres and refreshments. This light-hearted social gathering will give all attendees the opportunity to explore the Hall, meet with exhibitors, and network and mingle with fellow professionals.

ACG 2018 EXHIBITORS INCLUDE

AbbVie Commonwealth Diagnostics Healio Gastroenterology and Nextservices Adler Micromed, Inc. International, Inc. SLACK Inc. Officite ADVANCED PATHOLOGY Compulink Healthcare Solutions Healix Infusion Therapy Olympus America Inc. SOLUTIONS Conmed Endoscopic Technologies Health Monitor Network Ovesco Endoscopy USA Aerodiagnostics Cook Medical IM HealthScience® LLC Peacehealth Akcea Therapeutics CRH Medical Indiana University Kelley School Penn State Health Akcea Therapeutics - Medical CSA Medical, Inc. of Business, Business of Medicine PENTAX Medical Alfasigma USA, Inc. Daiichi Sankyo, Inc Physician MBA Pfizer Allergan DIEM Labs LLC Inform Diagnostics Physicians Endoscopy, LLC Alnylam Pharmaceuticals, Inc. Digestive Care, Inc. Intercept Practical Gastroenterology American Association for the Study Diversatek Healthcare IFFGD PracticeLink of Liver Diseases Dova Pharmaceuticals, Inc. Interpace Diagnostics ProMedica American Board of Internal DRG Laboratory Jackson & Coker Prometheus Laboratories Inc. Medicine DWD Medical, Inc. Janssen Biotech, Inc. QDX Pathology Services American College of Echosens North America, Inc. Kawean Delta Health Care District QOL Medical, LLC Gastroenterology EndoGastric Solutions LabCorp Quintron Instrument Company American Molecular Laboratories Endosim LABORIE Redfield Corporation American Neurogastroenterology & EndoSoft LocumTenens.com Redhill BioPharma Motility Society Endo-Therapeutics, Inc. Lumeudi LLC ResiCal, Inc. Amgen Epigenomics Masimo Salix Pharmaceuticals Applied Medical Technology, Inc. ERBE USA, Inc. Mayo Clinic Saneso Inc. AMT Exact Sciences Mayo Medical Laboratories Satius Pharmaceuticals Aries Pharmaceuticals Ferring Pharmaceuticals Inc. MD-Reports/ Infinite Software Shionogi Inc. Banner Health FUJIFILM Medical Systems USA, Inc. Solutions, Inc. Shire Bassett Healthcare Network Endoscopy Division Medrobotics Corporation Smart Medical Systems Ltd. Bayer HealthCare LLC Functional Formularies Medspira, LLC Staff Care, Inc. BioFire Diagnostics Gastro Health, LLC Medtronic Stratis Medical, Inc. BioGaia Gastroenterology & Endoscopy Merck Biosimilars Summa Health System BioGastrex LLC News Merit Medical Endotek Synergy Pharmaceuticals Boston Scientific Gastroenterology & Hepatology Metabolomic Technologies Inc. Takeda Pharmaceuticals U.S.A., Inc. Braintree Laboratories, Inc. GI & Hepatology News Metro Medical (A Cardinal Health Teleflex Cairn Diagnostics GI Pathology Specialty Solutions Company) Torax Medical Calmoseptine Inc. Gilead Sciences Metropolitan Healthcare Billing, LLC UCB, Inc. CapsoVision, Inc. Glutenostics Micro-Tech Endoscopy US Endoscopy CDx Diagnostics gMed, a Modernizing Medicine Mother to Baby Pregnancy Studies Wolters Kluwer ChiRhoClin, Inc. Company MOTUS GI World Gastroenterology Colorectal Cancer Alliance Gundersen Health System Napo Pharmaceuticals, Inc. Organisation (WGO) ColoWrap, LLC Hayes Healthcare Naturlax

AGAIN THIS YEAR, for the ACG Annual Scientific Meeting, ACG will consider late-breaking abstracts of high quality clinical research results. ACG will consider extending the program to create a few additional oral presentation slots in response to submissions of great merit and clinical interest.

Please do not resubmit abstracts already considered during the regular 2018 abstracts review process.

Deadline to submit late-breaking abstracts:

THURSDAY, AUGUST 21, 2018 11:59 pm Eastern Time

acgmeetings.gi.org/late-breaking-abstracts

178 \ 2018 Annual Scientific Meeting & Postgraduate Course ACG MOBILE: ACCESS KEY RESOURCES at the point of care

NEW DECISION SUPPORT TOOLS for ACG CLINICAL GUIDELINES Developed in partnership with EvidenceCare

 Acute Diarrheal Infections  Gastroesophageal Re ux Disease (GERD) Mark S. Riddle, MD, DrPH, FACG Philip O. Katz, MD, MACG

 Anorectal Disorders  Helicobacter pylori (H. pylori) Infection William E. Whitehead, PhD, MACG William D. Chey, MD, FACG

 C. dif cile (Pseudomembranous Colitis)  Lower GI Bleeding Christina M. Surawicz, MD, MACG Lisa L. Strate, MD, MPH, FACG

 Dyspepsia  Small Bowel Bleeding Paul Moayyedi, MB, ChB, PhD, MPH, FACG Jonathan A. Leighton, MD, FACG

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