Improving lives through education, research and innovation

www.ahpba.org

SUMMER 2016 LETTER FROM PRESIDENT NEWSLETTER 233 internationally world-renowned invited speakers shared their expertise to the members and 2,016 abstracts were submitted, of which 1,112 were presented.

TABLE OF CONTENTS I am excited that the 2017 AHPBA Annual Meeting will be held at Loews, Miami Beach Letter from President from March 29 to April 2, 2017. The chair of the scientific program, Shishir Maithel, Shimul 2016-17 Officers & Committees Shah (co-chair) and members of the program committee are hard at work organizing the 2017 Meeting Save the Date Gazi B. Zibari, MD program and adding exciting new features. Program Committee Update As expected, when meetings are held on odd I am delighted to inform you that the 12th calendar years, we anticipate to have more Chapter Recognition World congress of the IHPBA, which was held international flavor with the participation of on April 20-23, 2016 at Sheraton WTC, Sao the IHPBA Scientific Committee members. Awards & Recognition Paulo, Brazil was a great success. The meeting Additionally, President Elect Rebecca Minter, was a joint Congress of IHPBA, AHPBA with the help of the program chair is organizing Committee Reports and the Brazilian Chapter of AHPBA. Many an outstanding Pre-Congress Symposium titled Controversies and Conundrums in HPB Surgery. Membership congratulations go to Chairs of the Program, Chuck Vollmer, (IHPBA Program Chair), Dr. Javier Lendoire, in his presidential Meetings of Interest Chris Sonnenday (AHPBA Program Chair), the International Scientific Committee and address AHPBA Globalization, informed HPB Carnival Dance the Brazilian Local Organizing Committee as us that we now have 16 AHPBA chapters well as to all program committee members. in South America and Central America. AHPB Foundation Together they did an excellent job developing Of course, most of the credit goes to him a comprehensive scientific program, and and Oscar Imventarza whose hard work IHPBA 2016 Sao Paulo covering different topics that were of great along with the commitment of our past interest to the members such as state of the presidents has paid off. The following Mission Outreach Trips art lectures, dilemmas, controversies and new chapter presidents were honored: Caribbean - Wesley P. Francis, Colombia In Remembrance: Nonie Lowry debates. - Oscar Guevara, Costa Rica - José Pablo On the first day, three interesting activities Garbanzo Corrales, Honduras - Hoover took place simultaneously: a case- Henriquez Cooper, and Nicaragua - Sergio based postgraduate course, a practical Lopez Torres. Clearly, globalization, hands-on training course and the first membership harmonization with IHPBA and Humanitarian Medical Outreach endeavors /AHPBA international state-of-the-art conference on MIS pancreatectomy. Also Luiz Carneiro all go hand in hand, bringing pride to D’Albuquerque and his team organized an the membership of these impressive /AHPBA impressive and attractive social program with achievements. the typical “Carnival Brazilian” flavor at their famous Soccer Stadium. AHPBA continues to have a very robust Humanitarian Medical Outreach Program. Follow us on At the congress, there were 2,099 delegates, AHPBA & IHPBA have teamed up and Facebook and Twitter! with representatives from 82 countries. together successfully initiated a partnership with the World Health Organization You don’t have to belong to Facebook 1 or Twitter to view the AHPBA pages. 2016–2017 OFFICERS & COMMITTEE CHAIRS We would like to introduce the AHPBA 2016–2017 Executive Council and Committee Chairs

OFFICERS COMMITTEE CHAIRS President Clinical Trials Ad Hoc Chair AHPBA Headquarters Gazi B. Zibari, MD Michael D’Angelica, MD 2625 West 51st Terrace John C. McDonald Regional Westwood, KS 66205

Transplant Center Committee on Surgical Innovation Shreveport, LA M. Majella Doyle, MD Telephone: 913-402-7102 Fax: 913-273-1140

President-Elect Conflict of Interest Ad Hoc Chair Email: [email protected] Rebecca Minter, MD Sean Cleary, MD Web: www.ahpba.org UT Southwestern Medical Center Dallas, TX Development & Industry Council Chair William R. Jarnagin, MD Secretary Felipe Jose Fernandez Coimbra, MD Education & Training Chair Program Committee Chair AC Camargo Cancer Center Tara Kent, MD Shishir K. Maithel, MD Sao Paulo, Brazil

HPB Program Directors Chair Publications Committee Chair Treasurer Rohan Jeyarajah, MD Roberto Alejandro Hernandez, MD Charles M. Vollmer, MD

University of Pennsylvania International Relations Chair Research Committee Chair Philadelphia, PA Hosein Shokouh-Amiri, MD John Mansour, MD

Membership Committee Chair Allied Health Subcommittee Chris Anderson, MD Lindsey Manos, PA-C

Professional Development Chair Mike House, MD

Loews Miami Beach Hotel IN Miami Beach, Florida

Providing Value to Patients, Providers and Researchers 2017 ANNUAL MEETING March 29–April 2, 2017

ABSTRACT DEADLINE – September 30, 2016 www.ahpba.org/meeting/call-for-abstracts

2 AMERICAS HEPATO-PANCREATO-BILIARY ASSOCIATION LETTER FROM PRESIDENT continued

(WHO). Through the hard work of our Latin American outreach mission, Quyen Chu, Charles Vollmer, Gazi Zibari, Drs. Oscar Imventarza, Jagannath & the International Relations Committee Susan Orloff, Mallory Williams and Lendoire, WHO is on board with our will select four trainees and AHPBA Mariano Gimenez. Additionally, attorney organization’s pursuits. Their logo will members from , the Caribbean, Trina Chu is providing free legal assistance, give us a significant amount of protection Central and South America to attend the and for that we are indebted to her. and hopefully our medical supplies will AHPBA Annual Meeting in Miami with Revenues generated from sales of this no longer be confiscated by customs of the assistance of $10,000 in grant money. textbook will be ploughed back into our the host country. However, in order to get Also, as in previous years, the Research organization to help us grow, flourish, and WHO’s logo for our mission trips, we are Committee will select three recipients embark on new pursuits. Many of you will required to let them know far in advance. to receive $5,000 grants to travel from be contacted to help contribute chapters We will be organizing our teams at least South America to North America and vice and because this is your textbook, please 9 months ahead of schedule. Our goal is versa. Lastly, we are excited to announce feel free to contact any of the editors with to send a total of eight outreach teams to the continuation of a second $30,000 your ideas and interest. Central America and South America as AHPBA Research Grant. Two $30,000 well as other parts of the world. We need grant recipients are selected by the I would be remiss not to mention our volunteers, and an online registry has been AHPBA Research Committee to provide beloved Association Management created by our parent body IHPBA to help the opportunity for a resident or fellow Director, Nonie Lowry, who passed away with this. For anyone interested, please to spend one year of full time research far too young in early April. Dr. Chapman contact Dr. Shokouh-Amiri hshokouh@ under the mentorship of an AHPBA gave a moving tribute to Nonie at the wkhs.com (AHPBA International Relations member, during the 2017 academic year. World Congress meeting in Sao Paulo. Chair) or Dr. Gimenez matianoegimenez@ For more information on AHPBA award We thank Nonie for her endless energy gmail.com (AHPBA International Relations opportunities, please visit www.ahpba.org. and dedication to the AHPBA. She will Co-Chair), Ms. Jen Hogg (jen@ihpba. be greatly missed by so many. Marjorie org) of IHPBA, or AHPBA Directors – I am also excited to share with you that Malia and Jill Willhite will carry on Nonie’s Association Management Marjorie Malia we have successfully partnered with the legacy, and the AHPBA is in good and and Jill Willhite [email protected]. To American College of Surgeons to send 1-2 capable hands as we go into the future. emphasize the importance of humanitarian of our members to attend the Brandeis outreach work, we are in the process of University Heller Leadership Program As you can see, we have embarked on creating the Humanitarian Award to be in Health Policy and Management. This many exciting endeavors that I hope will given annually to a member who best scholarship will be awarded annually and continue to increase our organization’s personifies this aspect of our mission. we are in the process of creating criteria to value. Our society is strong and we are select members. Please be on the lookout poised to make significant strides in Our Association is committed not for this opportunity. meeting our missions and goals. I hope only to support our chapters with the to work closely with all of you in the humanitarian medical outreach but also To continue to add value to our members, upcoming days as we continue this great with chapter meetings. I am delighted we have embarked on an exciting endeavor journey together. to share that for this calendar year our of publishing a unique clinical textbook association will support a total of ten “Hepato-Pancreato-Biliary And Transplant chapters for their annual meetings (Brazil, Surgery: Practical Management of Caribbean, Colombia, Costa Rica, Mexico, Dilemmas”. The textbook is supported Nicaragua, Panama, Paraguay, Peru & by AHPB Foundation and will be divided Uruguay). We will send two officers or into six sections (Liver, Biliary, Pancreas, council members to all newly formed Transplant, Trauma & Innovation and Gazi B. Zibari, MD AHPBA Chapters. In further support of Technology). The founding editors are President

SUMMER 2016 NEWSLETTER | ahpba.org 3 PROGRAM COMMITTEE UPDATE

Education, and Mentorship”. We will focus raise the meeting to a new level! on our next generation of HPB surgeons. We are featuring many new symposiums Their original research will be highlighted, and state-of-the-art lectures this year and we will facilitate interaction and including “Liver Replacement Therapy discourse between our young members Systems – MARS / ELAD”, “Potpourri of and the senior surgeons and leadership the Bile Duct”, “HPB Surgery and the Law”, throughout the meeting. Fellows from “Management of Benign Hepatic Lesions”, around the country will also compete in “Pancreas Adenocarcinoma: Defining the a Fellows Jeopardy game, where each Standard of Care”, “Mucinous Pancreatic team will consist of HPB, Transplant, Cysts: IPMN and MCN”, “Advanced and Surgical Oncology Fellows working Practice Providers and an HPB Practice”, Shishir K. Maithel, MD together. “Mentoring Women to Leadership”, and Program Committee Chair many more! This year’s meeting will We are also making a concerted effort also feature the inaugural “Consensus First, the Program Committee would like to to increase the participation of our Conference Symposium” headed by our thank and acknowledge Chuck Vollmer and transplant surgeon colleagues in the Research Committee that will focus on a Chris Sonnenday for all their hard work and meeting and in our organization. We are single, clinically relevant, question that we congratulate them on a fantastic meeting featuring a symposium on “Updates in face daily in HPB practice. The Presidential in Brazil! This year, the meeting will be Transplantation” and are featuring a lively Invited Lecture will be delivered by Dr. returning to Miami but we are moving debate on living donor liver transplantation John Cameron and the Betty and Henry to the Loews Hotel in the heart of South between Nancy Ascher and Joseph Tector. Pitt Quality Oration will be delivered by Dr. Beach. The Program Committee is working The Annual Blumgart Historical Lecture John Birkmeyer. diligently on finalizing the 2017 Annual will be delivered by Professor Russell Meeting. Plans are well underway and all Strong, as he will share his experience We look forward to seeing everyone at speakers have already been confirmed. performing the world’s first living donor the Loews Hotel in Miami from March This year the theme of the meeting is liver transplant. Greater integration of our 29 – April 2, 2017 to come together in “Securing the Future Through Research, transplant surgeon colleagues into the friendship, collaboration, and our quest to AHPBA annual meeting will undoubtedly improve HPB care! ANNUAL 2017 ANNUALMEETING 2017 MEETINGANNUAL 2017 MEETING

SAVE THE DATE Loews Miami Beach Hotel www.ahpba.org March 29–April 2, 2017 IN Miami Beach, Florida SAVE THE DATE Loews Miami Beach Hotel www.ahpba.org 4 SAVE THE DATE LoewsIN Miami Miami Beach, Beach Florida Hotel March 29–April 2, 2017 www.ahpba.org March 29–April 2, 2017 IN Miami Beach, Florida AHPBA CHAPTER RECOGNITION AHPBA welcomes the newest official chapters into the association:

Inducted at 2016 World Congress

EXISTING CHAPTERS Guatemala Bolivia Mexico Brazil Panama Paraguay Chile Peru Ecuador Uruguay

Colombia Costa Rica Honduras CHAPTER PRESIDENT CHAPTER PRESIDENT CHAPTER PRESIDENT Oscar Guevara José Pablo Garbanzo Corrales Hoover Henriquez Cooper

NEW CHAPTERS Per bylaws, National Chapters may be independent organizations or may be subgroups of other National Surgical Associations. The composition of National Chapters within the AHPBA must consist of a minimum of six members all of whom are members of either the AHPBA or IHPBA and Chapter Presidents must be members of the AHPBA. For additional information regarding forming a new chapter of the AHPBA please contact [email protected].

Nicaragua Caribbean CHAPTER PRESIDENT CHAPTER PRESIDENT Sergio Lopez Torres Wesley P. Francis

Requests for support from AHPBA at Chapter Meetings must be formally submitted 9 months prior to your meeting date. Requests will be reviewed on a first-come, first-served basis. To formally submit a request, please go to the AHPBA website and click on the Request Chapter Support button.

UPCOMING CHAPTER MEETINGS 5th Meeting of the IPBA Chilean Chapter Mexican HPB Chapter Meeting Uruguayan HPB Chapter Meeting September 29 – October 1, 2016 December 7 – 9, 2016 November 29, 2016 Punta Arenas, Chile Cancun, Mexico Punta del Este, Urugay http://www.cirujanosdechile.cl/ http://www.amhpb.org.mx/ Caribbean HPB Chapter Meeting Colombian HPB Chapter Meeting Paraguayan HPB Chapter Meeting January 27, 2017 November 4-5, 2016 September 20 – 21, 2016 Bogota, Colombia SUMMER 2016 NEWSLETTER | ahpba.org 5

AWARDS & RECOGNITION Congratulations to the 2016 Annual Meeting Award Winners!

IHPBA 2016 WORLD CONGRESS 2015 TRAVELING FELLOWSHIP RECIPIENTS MEMBER AWARD Quyen D. Chu, MD BEST VIDEO PRESENTATION Louisiana State University Health Sciences Center Conrad Simpfendorfer, MD Travel Destination: Hospital Italiano, Buenos Aires, Argentina Cleveland Clinic Foundation “Laparoscopic Central Pancreatectomy with Rodrigo Sanchez Claria, MD Pancreaticogastrostomy Reconstruction” Hospital Italiano, Buenos Aires Travel Destination: Washington University School of Medicine

Pablo Cantileno, MD Hospital de Clinicas, Montevida, Uruguay DISTINGUISHED SERVICE AWARD Travel Destination: Florida Hospital Wright Pinson, MD, MBA Vanderbilt University Medical Center The 2016 Traveling Fellowship Application Deadline was July 31, 2016. Next year’s deadline and application instructions will be posted to the AHPBA website soon!

INTERNATIONAL RELATIONS COMMITTEE – TRAVEL FELLOW GRANTS | 2016 Recipients

Edward Castro Santa, MD Mauricio Pasten, MD Costa Rica Bolivia

Jimmy Ronald Ixcayau Jorge Devoto, MD Hernandez, MD Argentina Mexico

2016 RESEARCH AWARD RECIPIENTS The AHPBA and the International Relations Committee are pleased to Derek J. Erstad, MD announce the Travel Awards for the 2017 Annual Meeting. Massachusetts General Hospital

Molecular MR Imaging of Desmoplasia The goal of the fellowships is to assist trainees and AHPBA members After Neoadjuvannt Treatment of from Mexico, the Caribbean, Central and South America to attend the Pancreatic Cancer AHPBA Annual Meeting in Miami on March 29 – April 2, 2017. AHPBA Candidate and Active members (within the first 5 years of their faculty

appointment) are eligible to apply for these awards. Nicholas G. Berger, MD Medical College of Wisconsin Four fellow grants are available and each award is valued at $2,500. Determination of Xanthohumol Inhibits The grant money is to be used to offset the costs of travel and Notch Signaling in Vivo and Increases the accommodation for the Fellow at the Annual Meeting. Survival and Reduces Tumor Progression in HCC Liver Xenograft The IRC Travel Fellow Grants application deadline is Friday, September 30, 2016. The 2017 Research Award Application Deadline is Friday, January 6, 2017. For more information about AHPBA award opportunities, please visit www.ahpba.org!

6 AMERICAS HEPATO-PANCREATO-BILIARY ASSOCIATION PROFESSIONAL EDUCATION DEVELOPMENT & TRAINING COMMITTEE UPDATE COMMITTEE UPDATE

The Professional The AHPBA Education and Development Committee Training Committee (ETC) continues its mission of is responsible for handling providing the highest matters relating to education quality of continued medical and training of residents, education (CME) for its fellows, and policy regarding members at the Annual postgraduate HPB training. Meeting of the Americas. By The Committee oversees streamlining the scientific the fellowship certificate abstract submission process application process. This with the educational content year, we incorporated our Michael G. House, MD Tara Kent, MD of the plenary and parallel newly revised certificate Chair Chair sessions, our committee will requirements for the be able to offer over 12 hours 2016 graduates. These of CME credit with self-assessment opportunity for new requirements can be reviewed on the AHPBA the 2017 Meeting of the AHPBA. In an effort to provide website. Over the last year, the committee has initiated the AHPBA membership with additional educational an effort to more clearly define the roles a fellow plays opportunities in HPB diseases throughout the year, our in operative cases, with respect to the certificate committee is now organizing a monthly launch of a web- requirements for primary surgeon role vs. first based challenging case scenario with expert discussion assistant. Additionally, the committee is responsible for and an updated focused review of the pertinent literature. organizing the Case of the Month moderated discussions which take place on the myHPB website and which Younger members of our organization continue to participation is required for certificate attainment. express interest in identifying recognized experts in HPB Recognized experts in the field lead the fellows through surgery who are willing to provide advice and guidance a blog style discussion of HPB relevant topics. While the for surgeons during the early phases of a professional input is limited to the moderators and fellows, the quality career. Another major initiative of the Professional of these discussions has been outstanding and may serve Development Committee is the ongoing overhaul of the as an educational tool for any HPB interested surgeon. mentorship content of the AHPBA website. Established Also available online via contributions of AHPBA members mentors will be organized into focused areas of clinical and with editing oversight by the Committee are a series specialization and scientific investigation. of HPB Educational Modules published on the myHPB website. These modules are peer-reviewed, with outlined learning objectives, and references focusing on primary literature sources. This year, we are excited to welcome our South American AHPBA colleagues to the committee, as we hope to expand discussions of collaborative efforts and idea sharing with respect to trainee education.

SUMMER 2016 NEWSLETTER | ahpba.org 7 MEMBERSHIP COMMITTEE UPDATE

Congratulations and Welcome MEMBERSHIP to our Newest Members COMMITTEE UPDATE As of March 2016 2015–2016 NEW MEMBERS

NEW ACTIVE MEMBERS Matthew Porembka, MD - Dallas, TX USA Viney Mathavan, MD - Carmel, IN USA Ravi Maharaj, MD - Champ Fleur, Trinidad & Tobago Ngoc Thai, MD - Pittsburgh, PA USA Sajid Khan, MD - New Haven, CT USA Pouya Dastouri, MD - Washington, DC USA Jin He, MD - Baltimore, MD USA Vijaya Gottumukkala, MD - Houston, TX USA Christopher Anderson, MD Sean Dineen, MD - Lexington, KY USA Chair Danielle Ladie, MD - Harrisburg, PA USA Murwarid Assifi, MD - Grand Rapids, MI USA Jonathon Redwine, MD - San Jose, CA USA In the last several years, the membership committee Steven Brower, MD - Englewood, NJ USA has strived to increase membership throughout the Kirpal Singh, MD - , IN USA Americas. Through these efforts, membership grew Sheng Ping Li, MD - Guangzhou China significantly with an impressive 20% increase in Latin Clara Tan-Tam, MD - Cooperstown, NY USA Ali Cheaito, MD - Los Angeles, CA USA American members. Many thanks are due to the Patrick Wagner, MD - Winchester, VA USA outgoing membership committee chair, Dr. Felipe JF Rajeev Sharma, MD - Buffalo, NY USA Coimbra, for leading these efforts. Moving forward, the Christophe Nguyen, MD - Spartanburg, SC USA membership committee will continue to focus on efforts Michelle Fillion, MD - Wilmington, NC USA to not only grow membership throughout the Americas, Mathew Augustine, MD - Dallas, TX USA but to also help support those members. An example J. Phillip Boudreaux, MD - Kenner, LA USA is supporting a new feature on the association website: Timothy Shaver, MD - Fairfax, VA USA “Find Your HPB Surgeon in the Americas”, allowing Francisco Igor Macedo, MD - Southfield, MI USA patients and physicians an easier way to locate an HPB

surgical specialist near them. Another is that beginning NEW ALLIED HEALTH MEMBERS in 2017, dues harmonization between AHPBA and IHPBA Jessica Leiberg CNP - Sioux Falls, SD USA begins, and will open up new opportunities for AHPBA Vicki Morton RN - Charlotte, NC USA members giving them access to IHPBA programs and Jenilette Velasco PA-C - Houston, TX USA initiatives. The committee will focus on ways to better Dorothy Robinson ANP - New York, NY USA align our common interests with other associations Jessica DiNapoli PA-C - Howell, NJ USA (SAGES, SSO, SSAT, ASTS, etc). We hope that this will Alicia Chin ARNP - Riverview, FL USA

open up more opportunities for our members. Overall, we will explore ways to better meet the needs of our NEW CANDIDATE MEMBERS membership moving forward focused on both growth Rachel Beard, MD - Boston, MA USA and retention. Xavier Ketugen, MD - Bethesda, MD USA Jorge Eduardo Devoto, MD - Buenos Aires Argentina Kimberly Bertens, MD - Seattle, WA USA Muhammad Butt, MD - Dallas, TX USA Nicolas Goldaracena, MD - Toronto Ontario Canada Jean-Michel Aubin, MD - Calgary Alberta Canada Imran Siddiqui, MD - Charlotte, NC USA Andrea Jester, MD - Indianapolis, IN USA Pragatheeshwar Thirunavukarasu, MD - Houston, TX USA David Al-Adra, MD - Toronto Ontario Canada Gareth Eeson, MD - Toronto Ontario Canada Sean Ronnekleiv-Kelly, MD - Baltimore, MD USA Susannah Cheek, MD - Pittsburgh, PA USA

8 AMERICAS HEPATO-PANCREATO-BILIARY ASSOCIATION MEMBERSHIP COMMITTEE UPDATE

Join today!

The AHPBA is a great place for HPB enthusiasts to meet, learn and collaborate!

Americas Hepato-Pancreato- Biliary Association 2625 W. 51 st Terrace Westwood, KS 66205

Telephone: 913-402-7102 Fax: 913-273-1140 /AHPBA /AHPBA Email: [email protected] SUMMER 2016 NEWSLETTER | ahpba.orgWeb: www.ahpba.org 9 MEMBERSHIP COMMITTEE UPDATE

2015–2016 NEW MEMBERS CONTINUED

Mahmoud Tabbal, MD - Halifax Nova Scotia Cristian Tarazona Leon, MD - Colombia Radhakrishnan Ganesh MBBS - Montreal Quebec Canada Giovanni Bonilla, MD - Colombia Dominic Sanford, MD - St. Louis, MO USA Renzo Nunez Pacheco, MD - Peru Ignacio Merlo, MD - San Isidro Argentina Freddy Coayla, MD - Peru Suman Bhushan Koganti, MD - New York, NY USA Roberto Antonio Jerez Caballero, MD - Honduras Chetan Patel, MD - Atlantis, FL USA Bessy Mejia Elvir, MD - Honduras David Caba Molina, MD - Chicago, IL USA Oscar Guevara, MD - Bogota Colombia Russell Kirks, MD - Charlotte, NC USA Norma Minera, MD - Honduras Nicholas Berger, MD - Milwaukee, WI USA Luis Alberto Ortiz Colindres, MD - Honduras Patrick Worth, MD - Portland, OR USA Lenard Rodriguez, MD - Honduras Alfonso Bandin, MD - Mexico Carlos Diaz, MD - Honduras David Barzallo, MD - Mexico City Mexico Ronal Alberto Aldana Amores, MD - Guatemala Eric Stanelle, MD - Louisville KY, USA Mauricio Ramos, MD Porto - Alegre Brazil Nikolaos Chatzizacharias, MD - Cambridge UK John Abad, MD - Ecuador Nathan Zilbert, MD - Toronto ON Canada Roberto Acevedo, MD - San Isidro Argentina Robert Simon, MD - Royal Oak, MI USA Dave Harnanan, MD - St. Augustine Trinidad Mohammad Raheel Jajja, MD - , GA USA Leo-Paul Powell, MD - Kingston Jamaica Agustin Vintimilla Moscoso, MD Javier Ormazabal, MD - Santiago Chile Cuenca Ecuador Shivraj Bahadursingh, MD - Trinidad and Tobago Johannes Lauscher, MD Henry Rodriguez Galviz, MD - Colombia Toronto ON Canada Helmut Segovia Lohse, MD - Fernando de la Mora Paraguay Rodolfo Arguello, MD - Managua Nicaragua Carlos Zavaleta, MD - San Salvador El Salvador NEW LATIN AMERICAN MEMBERS Angelica Lucchese, MD - Brazil Jose Pablo Garbanzo Corrales, MD - Costa Rica Oscar Felipe Hernandez Arauz, MD - Nicaragua Alvaro Sanchez-Siles, MD - Costa Rica Ignacio Torrejon, MD - Vina del Mar Chile Maria Amalia Matamoros Ramirez, MD - Costa Rica Julio Cesar Castillo Blandino, MD - Nicaragua Edward Castro Santa, MD - Costa Rica Christian Moreira, MD - Costa Rica Milenko Slako, MD - Chile Juan Manuel Gamez, MD - Mexico Raphael Raphe, MD - Brazil Guillermo Aldana, MD - Bogota DC Colombia Enrique Lobo Hernandez, MD - Costa Rica Emanuel Gois, Jr., MD - Londrina - PR Brazil Eduardo Alfaro, MD - Costa Rica Pablo Sisco, MD - Buenos Aires Argentina Mauricio Pasten, MD - Bolivia Andres Troncoso, MD - Chile Camilo Tarazona, MD - Colombia Raul Oleas Chavez, MD - Quito Ecuador Mauro Carretta, MD - Caracas Jose Menna, MD - Buenos Aires Argentina Roberto Lustosa, MD - Recife Brazil Juan Carlos Marcos, MD - Peru Veronica Garay, MD - Argentina Hubert James Mendoza Rojas, MD - Lima Peru Luis Manuel Barrera Lozano, MD - Medellin Colombia Luis Navarro, MD - Alvaro Obregon Mexico Luis Nunez Romero, MD - Neiva Colombia Victor Visag-Castillo, MD - Mexico Dario Fernando Perdomo Tejada, MD - Colombia Mauricio Almau, MD - Chile Hector Pulido, MD - Colombia Rafael Acosta Fernandez, MD - San Lorenzo Paraguay Mauricio Vanegas Ballesteros, MD - Floridablanca Colombia Jorge Bonnin, MD - Asuncion Paraguay Diego Davila, MD - Medellin Colombia Felipe Catan, MD - Santiago Chile

WATCH CURRENT MEMBERSHIP *that’s growth of US GROW! Active 1,159 Allied Health 50 almost 100 new Please encourage Candidate 184 members colleagues to join Senior 76 AHPBA online now at in the past year! www.ahpba.org TOTAL 1,473

10 AMERICAS HEPATO-PANCREATO-BILIARY ASSOCIATION MEMBERSHIP COMMITTEE UPDATE HPB Carnival Dance

The HPB Carnival, held at the April 2016 Wednesday, April 20th | 7pm – 9:30pm Annual Meeting in Sao Paulo was a huge success, with over $30,000 raised in donations for the AHPB Foundation!

1ST PLACE Scott & Andrea Helton

2ND PLACE Carlos Chan & Holly Gamble

3RD PLACE Geraldo & Virginia Almeida

Dancing Liver-ettes Team raised the most money! Sponsored by William Jarnagin

SUMMER 2016 NEWSLETTER | ahpba.org 11 foundation Advancing Research, Education, Training and Philanthropic Endeavors of the AHPBA AMERICAS HEPATO-PANCREATO-BILIARY FOUNDATION Advancing Research, Education, Training & Philanthropic Endeavors

OF THE The AHPBF was created to support the vision, principals and objectives of the Americas Hepato-Pancreato-Biliary Association (AHPBA). Our focus is to foster and advance the research, education and training activities of the AHPBA and, thereby, enhance the quality of hepato-pancreato-biliary surgery and patient care. The AHPBA Foundation was founded exclusively for charitable, research, educational, and training purposes in the field of HPB surgery. The work and awards of the Foundation are supported through gifts from individual members, corporations, other foundations, patients in honor of family members or friends, and from the AHPBA and its membership.

DONATE TODAY! Endeavors supported by the Foundation include: ahpba.org/foundationwww.ahpba.org/ahpba-foundation • International Collaboration through Regional Travel Grants • Research Support for Promising HPB Investigators • Global Surgical and Medical Humanitarian Outreach Missions AHPB FOUNDATION • Annual named lectures at the AHPBA Congress BOARD OF DIRECTORS

President The Americas Hepato-Pancreato-Biliary Foundation (AHPBF) is a not-for- Bruce D. Schirmer, MD profit organization. Donations are tax deductible as charitable contributions. University of Virginia - HSC The AHPBF accepts gifts of cash, appreciated securities and gifts by bequest. Tax ID# 27-4355142. Vice-President C. Wright Pinson, MD Vanderbilt University Medical Center

Secretary DONATE TODAY! Henry A. Pitt, MD Temple University Health System Goal: $1 Million Treasurer Reid Adams, MD University of Virginia - HSC $784.8K AMERICAS HEPATO-PANCREATO-BILIARY Directors at Large FOUNDATION Use this link when Felipe Coimbra, MD ahpba.org/ahpba-foundation you shop online Paul Greig, MD and Amazon will Oscar C. Imventarza, MD Susan L. Orloff, MD donate to AHPBF! Jean-Nicolas Vauthey, MD

Ex-Officio Members Gazi Zibari, MD Help us reach Rebecca Minter, MD Charles Vollmer, MD our initial goal William Jarnagin, MD of $1 million

12 AMERICAS HEPATO-PANCREATO-BILIARY ASSOCIATION AHPBF DONOR WALL The Gift Levels are cumulative since 2010 and current through April 2016

DIAMOND Sean Mulvihill Cristina Ferrone Gustavo Raul Bianco $10,000 AND UP David Nagorney Mary Fischer Kevin G. Billingsley AHPBA Susan Orloff Jamee Gramley Dan Blazer Anonymous Mark Reeves William Hawkins Bonnie Bradley Roche Pharmaceutical Charles Burke Rosen Susan Hoover Eduardo Briceno Henry Pitt Leyo Ruo Oscar Imventarza Danielle Brown Richard Schulick Paul Karanicolas Melanie-Antoinetta Brown PLATINUM Roderich Schwarz Kourosh Kojouri Blaire Burman $5,000 TO $9,999 Steven Strasberg Susan Logan Cecilia Bustos Reid Adams Jean-Nicolas Vauthey Michael Lowry Sergio Bustos William C. Chapman Charles Vollmer Nonie Lowry Carlos Candia Fibrogen Anthony MacLean Pablo Cantileno William Scott Helton SILVER Peter Muscarella Pablo Capitanich Tara Sotsky Kent $501 TO $999 Thomas Oko Kenneth Cardona Michael Patterson Thomas A. Aloia Martin Palavecino Darren Richard Carpizo C. Wright Pinson Shefali Agrawal Timothy Pawlik Sandra Carr Bruce D. Schirmer Thomas Aloia Juan Pekolj Eduardo Jose Cassone Gazi B. Zibari Chad Ball Johanna Powell Alvaro Castillo Todd Bauer Sandhyaa Radhakrishnan Mark S. Cattral GOLD Clifford Cho Bernie Rizza Carlos Chan $1,000 TO $4,999 Bryan Clary Flavio Rocha Qasim Latif Chaudhry Farzad Alemi Sebastian De La Fuente Kristin Ryan Herbert Chen Adnan Alseidi Alessandro Diniz Juan Sanabria Yun Shin Chun Chandrakanth Are Douglas Evans Keith Seto Thomas E. Clancy Edmund Burke Lou Glatz Shimul Shah Jesse Clanton Mark Callery Paul Hansen Syed Shah Natalie Groce Coburn Charles Cha Alan Hemming Ponnandai Somasundar Ben Contrella John Christein Peter & Maureen Herbert Stephen Stein Jackeline Corzo Sean Cleary John & Judy Hormuth Elizabeth Teufel Wilson Luiz Costa Felipe Coimbra D. Rohan Jeyarajah Julia Teufel Mary Cranny Carlos Corvera David Kooby Brendan Visser Laura Creces Michael D’Angelica Andrew Lowy Kevin Watkins Kristopher Croome Elijah Dixon Morrow & Golden, PLLC Sam Yoon Moises Cukier Ken Dixon Attila Nakeeb Herbert Zeh Geraldo de Almeida Cunha Filho M.B. Majella Doyle Anna Names Steven Clark Cunningham O. James Garden Brian Nelson CONTRIBUTORS Raul Cutait Paul Greig Purvi Parikh UP TO $250 Sameer Damle Ellen Hagopian David Powell Gabriel Aballay Soteras Xabier Ander De Aretxabala Param Hariharan Kaye Reid Lombardo Marwan Abouljoud Hernan A. De La Fuente Paula Heaverlo Christopher Sonnenday Claudia Maria Anderson Yoshio Deguchi Michael House Sharon Weber Christopher D. Anderson Don Dixon David Iannitti Rebekah White Pedro Angiolini Cheri Downing IHPBA Gerard V. Aranha Kristen Dudley Michael Jacobs BRONZE Victoria Ardiles Fernando Duek William Jarnagin $251 TO $500 Kaivon Arfaa Alicia Edwards Shiva Jayaraman Peter Allen John Arnold Virginia Eshelman Daniel Kleiner Subhashini Ayloo Horacio J. Asbun N. Joseph Espat Javier Lendoire Jeffrey Barkun Marcelo Barra Corey Eymard Keith Lillemoe David Bentrem Pablo Barros Schelotto Alejandro Faerberg Robert Martin Efrain Cambronero Ernest E. Beecherl Nathan Fernandez Rebecca Minter Katherine Chuang Nicholas Berger Thaine Filkins Michele Molinari Steven Chung Kimberly Bertens Laura Fitzgerald

SUMMER 2016 NEWSLETTER | ahpba.org 13 AHPBF DONOR WALL The Gift Levels are cumulative since 2010 and current through April 2016

Carlos Florez-Zorrilla Steven Hops Miguel-Angel Mercado Jonathan Silverstein Honor Tuna Fontanilla Karen D. Horvath William C. Meyers Amber Simpson Katherine Rose Franklin Michal Hubka Alex Michaels David Sindram Eleanor Froney Nicolas P. Jarufe Cassis Ernesto P. Molmenti Matthew Sirotzki Christos A. Galanopoulos Pablo Jaureguiberry Michael Morris Pablo Sisco Steven Gallinger Janice Kang Carol-Anne Moulton Craig Slingluff T. Clark Gamblin David Kashatus Jamie Nelson Dixon Travis J. Smith Veronica Garay Jill M. Kawulok Pippa H. Newell Philip Smith Jose Pablo Garbanzo Corrales Denise D. Kenny Timothy Newhook Andy Smith Omar Ghanem T. Peter Kingham Theresa Northern Erick Soto Judy Ghavamian Ron Klausner Juan Jose Nuñez Ju Austin L. Spitzer Sharon Stone Gibson Gustavo Kohan Ricardo Luis Oddi Atsushi Sugioka Luis Pablo Gil Heather Koski Sheryl O’Donnell Anne Sutton Octavio Gil Jaime Arthur Pirola Kruger Kim Olthoff Richard S. Swanson Peter S. Gill Paul Eduardo Lada Marshall J. Orloff Tammy Szafer Jacob Gillen Rohan Lall Tolutope Oyasiji Laura Teufel Janell Gilman Bernard Langer Spyridon Pagkratis Orlando JM Torres Mariano Eduardo Gimenez Harish Lavu Toni Paine Victor Hugo Torres-Cueva Alejandro Gimenez Villarego Jane Leal Jagannath Palepu Rodrigo Torres-Quevedo Diane Goins Ryan Leal Hernan Parodi Krista Turner Gabriel Gondolesi Faye Lee Daniel Patmont Mark Valadez Daniel Green Joseph Robert Lee Ines Pavon Christine E Van Cott Ryan Groeschl Jeffrey E. Lee Elsa Pichardo Danielle Vermette Jorge Pablo Grondona Johana Leiva Espinoza David Pitt Mario Vilatoba Bas Groot Koerkamp Donald Patrick Lesslie Susan Pitt Bob Vogelzang Janie Grumley Kenneth Leung Amani Politano Go Wakabayashi Carlos Guarneri Nick Lewandowski Frank Pomerance Brian Wamhoff Enilde E Guerra Samuel Ramos Linaje Nicolas Pope Matthew J. Weiss Juan Francisco Guerra Peter P. Lopez Chris Powell Jill Willhite Jean Guerrier Sergio Manuel Lopez Torrez Carlos Quarin Zequan Yang Oscar Guevara Jason Lowry Claudemiro Quireze Hyea Min Yoon Riad Haddad Ruben Rodrigo Lozano-salazar Kurt Raese George Younan Hunter Hair Catherine Ludwick Gabriel Alberto Raffin Kito Young Gonzalez David Ryan Hall Randine Lund Samuel Ramos Linaje Victor Zaydfudim Julie Hallet Chahdi Beltrame Magali Lin Riccio Charles Ziegler Shyamal Harne Taimur Mahmood Heather Roderick Brian Zorn Ruth Haynes David Maizland Bradley Rodgers Randall S. Zuckerman Katie Heaverlo Ajay V. Maker Grant V. Rodkey Nicholas J. Zyromski Fernando Heiberger Marjie Malia Daltro Rosa Svetlana Helms Rodrigo Maroni Veiga J. Bart Rose Andrea Helton Jorge Arturo Martinez Mayank Roy Barbara Helton Mariano Massa Luis Ruso Brenda Helton Sarah Matson Mitchell Sagers Garth Herbert Skye C. Mayo George I Salti Tara Herbert Oscar M. Mazza Castor Samaniego Paulo Herman Vivian McAlister Maria Liz Sanchez Joshua Hernandez Allison McCarty Rodrigo Sanchez Claria Roberto Alejandro Hernandez Lucas Mccormack Barry Savage Pamela Joy Hodul Shaun P. Mckenzie Courtney Scaife Bradley Hofer Bob & June Meadows Paul Sendldorfer Defei Hong Graciela Mendoza Alejandro Serrablo Andrea Hookfin Olivia Mendoza Margo C. Shoup

14 AMERICAS HEPATO-PANCREATO-BILIARY ASSOCIATION Congratulations to the graduated fellows who received AHPBA’s certificate of training in HPB surgery on Saturday, April 23, 2016 during the AHPBA Annual Business Meeting in Sheraton Sao Paulo, Brazil!

Amélie Tremblay St-Germain, MD, FRCSC Ramanathan M. Seshadri, MD Anthony Stafford, MD Aswhin Kamath, MD Jessica Cioffi, MD Jacob Dowden, MD Steven Agle, MD Vikas Dudeja, MBBS Kelly Collins, MD Monica Dua, MD Kristopher Patrick Croome, MD, MS Amir Fathi, MD Susanne Warner, MD Mohammad Khreiss, MD Melanie Elizabeth Tsang, MD, MSc, FRCSC Nicholas Spinelli, MD Melanie-Antonietta Brown, MD Alexsander Bressan, MD Hishaam Nabil Ismael, MD Mathias Worni, MD, MHS Jerome Laurence, MBChB, FRACS, FRCSC, PhD Mohd Raashid Sheikh, MD Jesse Clanton, MD Subhashini Ayloo, MD, MPH SUMMER 2016 NEWSLETTER | ahpba.org 15 16 AMERICAS HEPATO-PANCREATO-BILIARY ASSOCIATION SUMMER 2016 NEWSLETTER | ahpba.org 17 THE JOINT CLINICAL SESSIONS – IHPBA AND SLHPBA December 11 – 13 2015 | College of Surgeons Auditorium, Colombo, Sri Lanka

The international faculty The Sri Lankan Chapter – Official Inauguration

The joint clinical sessions of the IHPBA to support this activity by providing Visit to an HPB Unit and Sri Lanka Hepato-Pancreato-Biliary equipment which was needed to improve Three international speakers (Prof Ajith Association (SLHPBA), under the global the facilities. Siriwardana, Ms Anya Adair and Mr outreach program of the IHPBA was held Jegatheeswaran) were able to visit the from the 11th to 13th December 2015 in Sri Lankan Chapter Colombo South Teaching Hospital to get Colombo. This was the first such program During the sessions, the SLHPBA was a firsthand experience of the facilities to be held in Sri Lanka, initiated by the officially recognized as an affiliated available in Sri Lanka. IHPBA, under the auspices of Prof P national chapter of the IHPBA. The Jagannath, President of IHPBA. SLHPBA which was formed in 2011 consists of 50 members (surgeons, Needs of the SLPHBA The resource persons included Prof P gastroenterologists, pathologists and The needs of the SLHPBA were highlighted Jagannath, Prof Shailesh Shrikande and radiologists). However, the minimum to the international speakers. There are Prof Chetan Kantharia from India, Prof number of members with IHPBA no dedicated HPB surgical units in the Ajith Siriwardena, Ms. Anya Adair and Mr. membership to become a National Chapter country. A few surgeons (mostly those S Jegatheeswaran from the UK and Dr. was only fulfilled recently. We sincerely attached to University Surgical Units) who Rohan Jeyarajah from the USA, and Prof believe that this affiliation would benefit have had some training in HPB surgery, Mohan de Silva from Sri Lanka. the surgical fraternity with an interest in practice complex HPB surgery. The audits HPB to further their skills and knowledge. of the recognized units were presented The 3 day program covered many topics Prof Jagannath offered two complimentary at the meeting. Although the variety of of importance to surgeons with an interest registrations for the IHPBA 2016 to cases was adequate, the numbers of each in HPB from Sri Lanka. Twenty consultants SLHPBA members. unit are relatively small (50 to 75 complex from all parts of the country and 54 cases per year) compared to centres of surgical trainees registered and attended Course Evaluation excellence overseas. the sessions. The clinical sessions was an intensive program with interactive lecture Training of HPB Surgeons Laparoscopic Skills Training Center discussions. Many doubts were clarified The Sri Lankan postgraduate training in The faculty was able to visit the and the participants expressed their Surgery is supervised and conducted by laparoscopic skills lab of the College of gratitude and satisfaction in the “course the Post graduate Institute of Medicine Sri Lanka, which was located at the same evaluation” which was completed (PGIM), of the University of Colombo. venue as the sessions and some were able by all. The participation of so many The PGIM recently introduced “General to observe the training program which is internationally acclaimed speakers was Surgery with a special interest in HPB” conducted regularly for surgical trainees highly appreciated by all. Many had as a specialty training programme. This in Sri Lanka. The overseas faculty pledged requested this program to be a regular program is for those after the MD in event in the future.

18 AMERICAS HEPATO-PANCREATO-BILIARY ASSOCIATION THE JOINT CLINICAL SESSIONS – IHPBA AND SLHPBA

Sessions in progress Prof Ajith Siriwardana – at the podium Prof Jagannath – addressing the audience

Surgery (the exit exam in Sri Lanka). The Capacity Building and Research Future of HPB Surgery trainees complete one year of general The surgeons who practice HPB surgery The future of HPB surgery in Sri Lanka surgery in the capacity of a senior registrar in Sri Lanka too would benefit by visits to seems bright, with GI surgeons too, and train in a “recognized unit” for another centres of excellence for short periods. planning to include HPB surgery in year in Sri Lanka, before proceeding to a This too we hope could be worked out with the training program. There is a great centre overseas for further training – for the help of the IHPBA. Another area which enthusiasm among the junior surgeons to one year. With the limited number of cases we could benefit is by getting involved in take up HPB surgery. If proper supervised (and hence exposure) in Sri Lankan units in research projects. Since the numbers are training could be provided to these one year, we depend a lot on the exposure small in the centres in Sri Lanka we could interested and capable individuals, the gained in overseas centers. However, up to join with projects conducted elsewhere. care of patients with HPB diseases would now the trainees who have completed the definitely improve. local training have not been able to secure Database of HPB Cases a suitable training post overseas in a HPB The SLHPBA had initiated an online surgical unit overseas. This has been the database 3 years ago which did not major setback for HPB surgical training catch on. Only one HPB unit maintains a and hence the growth of the specialty in comprehensive database. We intend to the country. Many speakers offered to help work on this and provide our membership by training Sri Lankan surgical trainees in with a proforma either online or as hard their units. It would be necessary to work copies – in order to improve on the out the logistics for this endeavor. The maintenance of data across all HPB units Sri Lankan government offers a stipend/ scholarship for one year which is sufficient for living expenses in the west. Therefore it is not mandatory for the trainees to be offered a paid job, but only exposure and preferably hands-on training.

SUMMER 2016 NEWSLETTER | ahpba.org 19 THE JOINT CLINICAL SESSIONS – IHPBA AND SLHPBA

FRIDAY DECEMBER 11, 2015 10:00 – 10:30 a.m. 4:15 – 4:45 p.m. Chairpersons: Professor P. Jagannath and Benign Biliary Stricture—Endoscopy vs: Net Pancreas Aloka Pathirana Surgery Professor P. Jagannath Miss Anya Adair 12:30 – 1:00 p.m. 4:45 – 5:15 p.m. Welcome and Outline 10:30 – 11:00 a.m. Current Status of Surgical Treatment Professors P. Jagannath and Mohan De Silva Management of Complex Biliary Injuries of Pancreatic Cancer Dr. Chetan Kantharia Professor Shailesh Shrikhande 1:00 – 1:30 p.m. How to Train in Laparoscopic 11:00 – 11:30 a.m. Cholecystectomy Tea Break SUNDAY, DECEMBER 13, 2015 Mr. S. Jegatheeswaran Chairpersons: Dr Anya Adair/ Dr S 11:30 a.m. – 12:00 p.m. Sivaganesh 1:30 – 2:00 p.m. Gallbladder Cancer—Treatment Strategy Current Indications for Laparoscopic Liver Professor P. Jagannath 8:00 – 8:30 a.m. Surgery—The Consensus Acute Necrotizing Pancreatitis—Changed Professor Ajith Siriwardena 12:00 – 12:30 p.m. Paradigm Cbd Stones—Is Surgery Redundant Professor Ajith Siriwardena 2:00 – 2:30 p.m. Dr. Chetan Kantharia Lap Distal Pancreatectomy—The Modern 8:30 – 9:00 a.m. Standard of Care 12:30 – 1:00 p.m. Chronic Pancreatitis—Surgical Dr. R. Jeyarajah Techinques of Hepaticojejunostomy— Management When and How? Towards Zero Leak Rate! Dr. Chetan Kantharia 2:30 – 3:00 p.m. Dr. R. Jeyarajah Laparoscopic Mobilisation of Right 9:00 – 9:30 a.m. Liver and Laparoscopic Left Lateral 1:00 – 1:30 p.m. Cystic Tumours of Pancreas—Approach Sectionectomy HCC—Evaluation And Surgical Treatment And Management Professor Ajith Siriwardena Miss Anya Adair Professor Shailesh Shrikhande

3:00 – 3:15 p.m. 1:30 – 2:30 p.m. 9:30 – 10:00 a.m. Tea Break Lunch And Video Session Laparoscopic Pancreatic Surgery— Video Presentations Standard of Care or Treatment in 3:15– 3:45 p.m. Liver Resections—Technical Aspects and Evaluation! Lap Whipple—With or Without Robot Intraoperative Tools Professor Shailesh Shrikhande Dr. R. Jeyarajah Mr. S. Jegatheeswaran and Professor Ajith Siriwardena 10:00 – 10:30 a.m. 7:00 – 10:00 p.m. Whipples Tea Break Faculty Dinner Mr. R. Jeyarajah Nugagama - Cinnamon Grand Hilar Cholangiocarcinoma Resection 10:30 – 11:00 a.m. Miss Anya Adair Extended Resections in Pancreatic Cancer—Role And Value SATURDAY, DECEMBER 12, 2015 2:30 – 3:00 p.m. Dr. R. Jeyarajah Chairpersons: Professor Ajith Siriwardena Challenges in the Management of Hilar and Dr. Thejana Wijeratne Cholangiocarcinoma 11:00 – 11:30 a.m. Miss Anya Adair Setting Up a Liver Transplant Unit— 8:30 – 8:45 a.m. Edinburgh Experience The Ihpba’s Global Mission 3:00 – 3:30 p.m. Miss Anya Adair Professor P. Jagannath Extending the Boundaries of Liver Resections—Newer Approaches and 11:30 a.m. – 12:30 p.m. 8:45 – 9:00 a.m. Concepts Lunch Break And Video Session Hpb Training in Sri Lanka—Past, Present, Professor Ajith Siriwardena Frey’s Procedure and the Future Dr. Chetan Kantharia Prof Aloka Pathirana 3:30 – 3:45 p.m. Laparoscopic Distal Pancreatectomy Tea Break Dr. R. Jeyarajah 9:00 – 9:30 a.m. SMA First Technique Safe Laparoscopic Cholecystectomy Chairpersons: Dr. Rohan Jeyarajah and Dr. Professor Shailesh Shrikhande Professor Mohan De Silva Rohan Siriwardena

9:30 – 10:00 a.m. 3:45 – 4:15 p.m. Acute Biliary Injuries—Management Liver Resections—Technical Aspects and Algorithm Intraoperative Tools Professor Ajith Siriwardena Dr. R. Jeyarajah

20 AMERICAS HEPATO-PANCREATO-BILIARY ASSOCIATION PUBLICATIONS COMMITTEE UPDATE

Roberto Alejandro Hernandez, MD

The Publications Committee is off to a strong start. We have a well-balanced committee representing several countries of the Americas. Our main focus remains continuing case of the month, creating a state-of-the- art webpage and expanding social media. We will also HPB JOURNAL be exploring the possibility of creating Case Based Webinars. ONLINE ACCESS To access the HPB journal online, please visit the Social Media Highlights Include: AHPBA website and select HPB Journal Login. • Our Facebook page has seen 1,669 “likes” From here, enter your email and password. AHPBA as of July 2016 membership dues must be paid in full for the current • After just 3 years on Twitter there are almost year in order to access the online journal. 900 tweets with 691 people following @AHPBA If you need assistance with your password, please contact the AHPBA at [email protected].

The AHPBA YouTube Don’t forget Take the Channel contains to comment AHPBA Flash Poll educational videos, on the AHPBA on our Homepage and our content is Case of the Month growing!

Follow us on Facebook and Twitter! You don’t have to belong to Facebook or Twitter to view the AHPBA pages. /AHPBA /AHPBA /AHPBA

SUMMER 2016 NEWSLETTER | ahpba.org 21 MISSION OUTREACH TRIPS

The following upcoming Outreach Trips are being coordinated. If you are interested in participating, please send a note to [email protected]. Final team composition is at the discretion of the team leaders.

Nigeria Nicaragua Nigeria Peru El Salvador October 3-7, 2016 December 2016 February 2017 June 2017 TBD Dr. Kingham Dr. Orloff Dr. Kingham Dr. Giminez Dr. Giminez

Honduras Nicaragua Bolivia Costa Rica Sri Lanka Oct 30 – Nov 5, 2016 End of January 2017 March 5-12, 2017 September 2017 TBD 2017 Dr. Chu Dr. Zibari Dr. Giminez Dr. Jarnagin Dr. Jeyarajah Dr. Vauthey Honduras Dr. Cleary Kurdistan Brazil Bolivia November 12-20, 2016 May 5 – 13, 2017 TBD TBD 2017 Dr. Amiri Dr. Zibari Dr. Coimbra Dr. Lendoire Dr. Chu Dr. Imventarza Dr. Zibari Exact dates are still being determined for a number of trips.

REPORT ON THE BOLIVIA 2015 OUTREACH MISSION Submitted by Dr. Giminez

1. Meeting with the Governor of the State of Pando and the Mayor of Cobija to gain support for the mission and start talks aiming at securing continuing training activities for medical staff (surgeons, anaesthesiologists, Intensive Care doctors; and nurses) after the Mission.

2. Visits to two hospitals to discuss clinical cases and patient management with staff and residents.

3. HPB surgeries at both hospitals, assisted by local doctors and using the materials that we had taken with us while making full use of the local infrastructure.

4. Interviews with local television channels in order to inform the population of the purpose of the Mission, the reach of both Societies and OMS´ support.

5. Lectures and case presentations at the Amazon State University (two whole days). The audience was made of advanced medical students, residents and staff from the City A delegation from AHPBA and IHPBA travelled to Cobija, Pando of Cobija and surrounding towns in Bolivia and Brazil (Cobija in a remote area in the North of Bolivia during June 2015. The is on the Bolivian-Brazilian border in Amazonia). members of the delegation were O. Imventarza, E. Dixon, J. Lendoire, O. Gil, R. Oddi, S. Oks (anaesthesiologist), Angela Plante Moreover, we made the best of our stopovers in Santa Cruz de la (nurse) and M. Gimenez. This outreach mission was organized Sierra. With the help of the local Surgery Society, its President and with the cooperation of the President of the Bolivian Chapter of the local organizer, Dr. Cristobal Duran, we gave lectures in Santa the AHPBA, Dr. Renan Antelo. Due to low frequency of flights to Cruz and discussed clinical cases, on which we later performed Cobija, the mission had to spend a night in Santa Cruz de la Sierra operations with the help of local doctors. We also run panels to on the way there and again on the return journey. update attendants on latest HPB pathology.

Once in Cobija the following activities were carried out with During those few days our team observed incredible enthusiasm the help of Dr. Antelo and the local organizer, Dr. Erik Burgos shown by students, doctors and nurses, and their amazing desire (President of the Surgical Society in Pando): to improve and develop professionally, which is sure to continue and intensify long after the completion of the Mission.

22 AMERICAS HEPATO-PANCREATO-BILIARY ASSOCIATION REPORT ON THE KURDISTAN 2016 OUTREACH MISSION Submitted by Dr. Annamalai

In February 2016, a team of 14 physicians, not to mention that advanced emergency physicians are now fully trained in BLS, lead by Dr. Gazi Zibari, traveled from medicine training and nursing care were ALS, ATLS, and PALS. Also, the trauma and North America to Kurdistan, Iraq for the performed. Over the last 7 years, the the neurosurgical team performed many 7th International Joint Symposium. This surgical advancements have progressed, complex surgeries as well. venture was supported by the International and now Kurdish surgeons independently and Americas Hepato-Pancreati-Biliary perform annually over 150 living related Our next step is to support the academic Associations, Operation Hope & World & unrelated kidney transplants and efforts of the Kurdish surgeons by helping Surgical Foundation. Also, our team have matured from no laparoscopic or them develop clinical research teams and was supported by Kurdish Regional hepatobiliary experience to over 1,000 more advanced surgical training such Government and particularly by the Prime of such cases done yearly. During our as laparoscopic fellowship and tele- Minister Mr. Nichervan Barzani’s Health last journey, surgical capacity building fellowship. Foundation and Province of Duhok Director included gastric sleeves, kasai procedure, of health system and by their Governor. radical neck dissections, hepatic The success of our surgical efforts has The pivotal concept of this team’s efforts trisegmentectomies, and laparoscopic been founded on strong collaboration, since the inception and dated back to 1992 adrenal and pancreatectomies. Similarly, trust and mutual education between the has evolved around “capacity building.” emergency medicine has progressed from visiting and host teams. Our hope and aim limited “front line” care to developing fully is that these advances continue to progress Over a one-week period of time, 55 major trained on-field paramedics to stabilize over the long term. and complex operations were performed, patients en route to hospitals where

Kurdish and visiting medical team at the Kurdish governors’ home 36 year old female with left lobe left trisegmentectomy hepatocellular carcinoma

left neck sarcoma 4 weeks after radical neck mass resection Operating team

SUMMER 2016 NEWSLETTER | ahpba.org 23 AHBPA MEDICAL OUTREACH, NICARAGUA – DECEMBER 2015 Submitted by Dr. Orloff

The supply and demand of medical care is Since 2011 the AHPBA has held one where they did 2 major hepatobiliary cases an ongoing problem. Physician shortages or more yearly outreach programs in with Dr. Sergio Lopez, the pioneer in HPB have been the topic of policy and program Nicaragua to assist in performing surgery surgery in Nicaragua. Equally important, creations since the 1950s. In 2006 the in complex hepato-pancreato-biliary the consolidation of the Nicaragua Chapter U.S. Government Accountability Office cases, to deliver lectures on various topical of the AHPBA was signed and agreed upon noted in their February report “Health areas in the field, as well as the delivery in a meeting with local surgeons in the Professions Education Programs – Action of surgical supplies and technology. In areas of General Surgery, HPB Surgery, Still needed to Measure Impact”. To meet these venues renowned international Surgical Oncology, and Gynecology, in this demand, new medical schools and speakers have traveled to Nicaragua to addition to an Interventional Radiologist specialty programs have been created provide information and oral presentations and Daniel Ortega’s Attorney. The Bill in the past 3 years. As a result, in their on topics such as the multidisciplinary for the introduction to the Nicaraguan Physician Supply and Demand: Projections treatment of hepatocellular carcinoma, Congress was signed and submitted to to 2020 the U.S. Department of Health cholangiocarcinoma and bile duct cancer in create the foundation of a liver transplant and Human Services concluded that “if the addition to updates on pancreatic cancer. program. current healthcare utilization and delivery In December 2016 and January 2017 patterns continue, the overall supply of In 2015, a HPB and Transplant Surgery outreach trips are planned by Drs. Orloff physicians should be sufficient to meet Workshop was held in Managua, and Castillo and Drs. Zibari and Vauthey, the expected demand through the next Nicaragua where Dr. Gazi Zibari and Dr. respectively, to invigorate and reinforce 10 years.” Central America is not free of Nicolas Vauthey, gave lectures in the efforts toward a countrywide HPB and liver this problem. In Nicaragua, according management of primary liver tumors, and kidney transplant programs, as well to data from the Ministry of Health, the including liver transplantation. Dr. Susan as assisting with hepato-pancreato-biliary public health system has 128 sub-specialty L. Orloff and Dr. Alvaro E. Castillo (native cases to include the supply of necessary physicians. For a population of nearly 6.5 of Nicaragua and General & HPB Surgeon instruments, equipment and technology. million where cancer is among the top 5 trained in the USA) visited Managua, causes of death, the demand is more than Nicaragua in December of the same year the supply.

Managua, Nicaragua, creation of Nicaragua, Drs. Orloff and Castillo (left) with Drs. Lopez and Hernandez Photo at Managua, Nicaragua, 2015; AHPBA chapter. Drs. Lopez, Castillo, Herandez, (right) in Managua, Nicaragua, December 2015. 5th Annual HPB Symposia. Orloff, President Daniel Ortega’s Attorney and Nicaraguan Physicians and Surgeons.

Dr. Zibari enjoying dinner at the Playa Hermosa, Rivas, Dr. Zibari and a previous San Juan del Sur Beach, Rivas, Drs. Orloff and Castillo enjoying volvanic Laguna de Apoyo. Nicaragua. patient in Managua, Nicaragua. some of the waves in Playa Nicaragua Maderas, Rivas, Nicaragua

24 AMERICAS HEPATO-PANCREATO-BILIARY ASSOCIATION REPORT ON THE HONDURAS 2015 OUTREACH MISSION Submitted by Dr. Amiri

On behalf of AHPBA, Dr. Hosein Shokouh Amiri joined the World Surgical Foundation team in an outreach trip to Honduras in November 2015. Collectively they performed more than 200 general surgery cases from Imperforate Anus, thyroidectomy, cholecystectomy, liver resection, hysterectomy, colectomy, ureteral implant, and many reconstructive plastic surgery cases. The team was very well prepared having 3 anesthesiologists, ICU nurses, and even 2 philanthropists to further the mission and make this and other outreach activities more possible.

The next outreach trip has been scheduled for Nov. 12 - 19 2016. Hospital Regional Atlantida, La Ceiba, Honduras

(Left to right) Dr. Jeffrey Swail, Plastic Surgeon, Boulder CO; Dr. Hosein Sister Martin Haubrich Sister is on the World Surgical Foundation board and Shokouh-Amiri, Transplant Surgeon, Shreveport LA; local physician; Dr. participates in all of WSF surgical missions. Domingo Alvear, Pediatric Surgeon, Lemoyne, PA.

Dr. Alvear, Chief Anesthesiologist with her portable anesthesia machine in action SUMMER 2016 NEWSLETTER | ahpba.org 25 AHPBA Fondly Remembers Nonie Lowry AHPBA Director - Association Management

With great sadness we learned that Nonie Lowry recently passed away after a heroic battle with breast cancer. Dr. William Chapman gave a moving tribute to Nonie’s life during the World Congress in Sao Paulo, Brazil.

For everyone who knew her, you know that heaven is about to become a lot more organized! Nora “Nonie” Christine Lowry

June 7, 1967 – April 9, 2016 LP, etc strongly and proudly continues Nonie’s legacy and the important work of the AHPBA, led by Marjorie Malia and Jill Willhite.

“We are extremely saddened to hear the news that Nonie, our beloved executive director has departed from our world. We will keep her and the family in our prayers and May God let her rest in peace up in heaven. She will be missed by all.” Dr. Gazi Zibari, Current AHPBA President “We are shocked by the sad demise of Nonie. She was “She was an incredibly nice person and a tremendous such a lively and active person and always willing to help. colleague. She helped our Society so much. It will be an Her contribution to AHPBA and IHPBA are enormous. I immeasurable loss for all of us and for the AHPBA. We will vividly recollect her assurance, in Miami, that she and her miss her a lot!” team would ensure the success of the world congress. On Javier Lendoire, AHPBA 2014-2015 President behalf of IHPBA we express our sincere condolences to her extended family of “Nonie was known as a wonderful and selfless leader of an LP, AHPBA and IHPBA. I request Javier to plan outstanding organization, who was tragically taken in the an appropriate tribute to this extraordinary prime of her life. We were so fortunate to have known her.” lady who was so courageous till the last. Dr. William Chapman, AHPBA 2013-2014 President A little tribute true and tender, “Nonie was like a member of our own family, Just to show that we remember. such a terrible loss for us all.” Time may pass and fade away Dr. William Jarnagin, AHPBA 2012-2013 President But memories of you will always stay.

May her Soul rest in peace.” “We are deeply saddened by this news. Please extend our Dr. P. Jagannath, IHPBA Past President sympathy to her family and friends.” Dr. Nicolas Vauthey, AHPBA 2011-2012 President

“We are very stunned and saddened by this awful news. We will have Nonie in our prayers.” Bruce Schirmer, AHPBA Past President 26 AMERICAS HEPATO-PANCREATO-BILIARY ASSOCIATION IN MEMORIAM

Please report the passing of other AHPBA members to [email protected]

ASTS 17th Annual State of the Art Winter Symposium “Organ Donation 2.0: Turning Ideas into Action”

January 26-29, 2017 AHPBA Headquarters Loews Miami Beach Hotel - Miami, FL 2625 West 51st Terrace

Westwood, KS 66205 Email: [email protected]

Website: ASTS.org/winter-symposium Telephone: 913-402-7102 As more patients suffer due to the shortage of life-saving donor organs each year, the Fax: 913-273-1140 American Society of Transplant Surgeons (ASTS) is focusing its Winter Symposium Email: [email protected] on innovative science and effective public policy to combat this crisis. Join us in Miami Web: www.ahpba.org in January 2017 to learn what is being done to save lives through expanding organ transplantation—and how you can help.

Thanks to the 2015–2016 AHPBA Council MISSION STATEMENT To promote understanding of the causes and treatment of disorders of the liver, pancreas, and biliary tree.

To encourage interchange of clinical and scientific knowledge among surgeons, hepatologists, gastroenterologists and members of related disciplines. The Americas Hepato-Pancreato-Biliary Association (AHPBA), an incorporated, nonprofit organization, was created with a vision of devoting itself to relieving the To foster friendship among clinicians human suffering caused by HPB disorders throughout the world, by improving education, and scientists in the hepatic, pancreatic training, innovation, research and patient care. and biliary disciplines.

The AHPBA serves as the American Chapter of the International Hepato-Pancreato- To strive towards the highest ethical Biliary Association (IHPBA). The IHPBA was formally inaugurated at its first General standards. Assembly on May 31, 1994 in Boston, Massachusetts. The AHPBA was inaugurated later that same year in Chicago, Illinois. Since then the AHPBA has grown from a handful of To foster education and career surgeons interested in HPB surgery to a membership of nearly a thousand. development. 27