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WORLD GASTROENTEROLOGY NEWS Editorial Message from The Editorial WORLD GASTROENTEROLOGY NEWS Official e-newsletter of the World Gastroenterology Organisation www.worldgastroenterology.org VOL. 20, ISSUE 1 APRIL 2015 Message from the Editors of e-WGN In this issue J. Enrique Domínguez-Muñoz, MD Director of the Department of Gastroenterology and Hepatology University Hospital of Santiago de Compostela Santiago de Compostela, Spain Migratory Movements and the Risk of Inflammatory Bowel Disease Manuel Barreiro-de Acosta, MD, PhD Christina M. Surawicz, MD, MACG J. Enrique Domínguez-Muñoz, MD Professor of Medicine Division of Gastroenterology Department of Medicine University of Washington School of Medicine Seattle, USA Ever since the first descriptions of inflam- industrialized countries did not have a matory bowel disease (IBD) many years higher rate of IBD. They also found that The Impact of Racial and Ethnic Differences in ago [ulcerative colitis (UC) was first the risk of UC was higher than CD. These Inflammatory Bowel Disease Phenotype in the described in 1859 by Sir Samuel Wilks fascinating observations are comple- United States and Crohn’s disease (CD) in 1932 by mented by Dr. Afzali’s excellent review of Anita Afzali, MD, MPH Crohn, Ginzburg, and Oppenheimer]; changes in IBD relating to ethnicity and these diseases have continued to mystify racial differences in the USA. While rates us. The pathophysiology is complex and of IBD are still highest in Caucasians, not completely defined but does appear rates are increasing in Hispanics, African to include genetics and environmental Americans, and Asians, with some differ- factors. Originally seen predominantly in ences in disease location and severity. Caucasian people in developed countries, Taken together these papers support a we are now seeing more cases in people of causal relationship for the development other races and ethnicities and in develop- of IBD with genetic factors as well as for ing countries as well. In this issue of the environmental and other factors related Easier to Digest James Toouli, MD, MBBS, PhD, FRACS newsletter we have two excellent articles to socioeconomic status and an indus- that address the changing epidemiology trialized society. They provide clues to of IBD. In the article by Dr. Barreiro- pathogenesis, and are relevant to clinicians de Acosta and one of us (J. Enrique caring for these patients. Domínguez-Muñoz), a population of 242 There are other highlights in this issue. patients with IBD in northwestern Spain Dr. David Armstrong outlines the im- was studied. People who migrated from portance of World Digestive Health Day Spain to more industrialized countries in (WDHD) this year focusing on “Heart- Western Europe had a higher rate of IBD burn: A Global Perspective.” While the and those who migrated to similar or less official date of WDHD is May th29 many 2 WORLD GASTROENTEROLOGY NEWS APRIL 2015 Contents Editorial WGO Khartoum Training Center Inauguration Day 16 Abdelmounem Eltayeib Abdo, MD Eamonn Quigley, MD Message from the Editors of e-WGN 1 J. Enrique Domínguez-Muñoz, MD Christina M. Surawicz, MD, MACG A Participant’s View of the New WGO Training Center in Khartoum 18 Suzan Alhakeem, MD Expert Point of View XIX Gastroenterology and Digestive Endoscopy Course 19 Migratory Movements and the Risk of Inflammatory Bowel Disease 4 Luis Carlos Sabbagh, MD Manuel Barreiro-de Acosta, MD, PhD J. Enrique Domínguez-Muñoz, MD WGO Membership Update 21 The Impact of Racial and Ethnic Differences in Iranian Congress of Gastroenterology and Inflammatory Bowel Disease Phenotype in the United Hepatology 2014 23 States 6 Shahin Merat, MD Anita Afzali, MD, MPH New Zealand Society of Gastroenterology Gastro 2015: AGW/WGO Annual Scientific Meeting 2014 24 Michael Schultz, MD, PhD Gastro 2015 – Taking World Congresses to a New Level 8 16th Egyptian Workshop of Therapeutic GI Endoscopy and 7th Hepatology and Gastroenterology WDHD News Post Graduate Course 27 Ibrahim Mostafa, MD, PhD, FACG, Master of the WGO, FRCP Heartburn: A Global Perspective 10 (Glasg) David Armstrong, MA, MB BChir WGO Global Guidelines Upcoming WDHD Events & Celebrations 12 WGO Global Guidelines & Cascades – 2015 Status and WGO & WGOF News Outlook 30 Anton LeMair, MD Easier to Digest 13 James Toouli, MD, MBBS, PhD, FRACS Calendar of Events WGO Calendar of Events 33 VOL. 20, ISSUE 1 e-WGN Editorial Board Editors: J. Enrique Domínguez-Muñoz, Christina Surawicz • Anita Afzali, USA • Mário Dinis-Ribeiro, Portugal Managing editors: Marissa Lopez and Elisabeth Vink • Minhu Chen, China • Michael Schultz, New Zealand Art Production: Jennifer Gubbin • Amy E. Foxx-Orenstein, USA • Ala Sharara, Lebanon Editorial Office:WGO Executive Secretariat, 555 East Wells • Abdel Meguid Kassem, Egypt • Catherine Wendy Spearman, South Street, Suite 1100, Milwaukee, WI 53202 USA • René Lambert, France Africa Email: [email protected] • Björn Lindkvist, Sweden • Maria Claudia Stefanoli, Uruguay • Chun-Jen Liu, Taiwan • Miguel A. Valdovinos, Mexico • Alejandro Piscoya, Peru • Haleh Vaziri, USA • Christoffel Johannes van Rensburg, • Marcelo F. Vela, USA South Africa ©2015 World Gastroenterology Organisation. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form without the prior permission of the copyright owner. 3 WORLD GASTROENTEROLOGY NEWS APRIL 2015 Editorial | Expert Point of View | Gastro 2015: AGW/WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events continued from first page. events take place throughout the year. of the now bi-annual WGO meeting There are summaries of successful to be held in Brisbane Australia from meetings in New Zealand, Iran, and September 28 to October 2, 2015. Egypt. Finally check out the preview We hope you enjoy this issue. Brisbane, Queensland, Australia 28 September - 2 October 2015 The World Gastroenterology Organisation and the Gastroenterological Society of Australia invite you to the premier GI meeting for 2015. www.gastro2015.com Email: [email protected] | Ph: +61 3 9001 0279 | www.gastro2015.com Expert Point of View 4 WORLD GASTROENTEROLOGY NEWS APRIL 2015 Editorial | Expert Point of View | Gastro 2015: AGW/WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events Migratory Movements and the Risk of Inflammatory Bowel Disease first generation immigrants3 . Figures Manuel Barreiro-de Acosta, MD, PhD for second generation South-Asian Department of Gastroenterology and Hepatology immigrants were similar to those of University Hospital of Santiago de Compostela the UK Caucasian population, thus Santiago de Compostela, Spain supporting the significant role of en- vironmental factors in the etiopatho- genesis of IBD. Similar data have J. Enrique Domínguez-Muñoz, MD been reported on Hispanic migrants to the USA (Miami, Florida) 4. In that Department of Gastroenterology and Hepatology University Hospital of Santiago de Compostela study, the age of IBD diagnosis in the Santiago de Compostela, Spain second generation Hispanics, who were born in USA, was lower than in those people who were born in their original Hispanic country. A pediatric population is prob- ably the most appropriate group for All around the world, the incidence ening socioeconomical differences evaluating all of these epidemiological and prevalence of inflammatory bowel among countries, significant increases changes. In a Canadian study, authors disease (IBD) have been changing over in the number and frequency of long- observed that the diagnosis of IBD in the last several decades. While there distance travels, and increased ease of second generation South Asian chil- has typically been a North-South gra- moving from one country to another dren was higher than in the Caucasian dient in the distribution of IBD with have helped to increase the migration population, confirming the results 5 the incidence of IBD being higher in of people around the globe. In addi- previously shown . the more developed North countries, tion, migratory movements can now In our population of the North- the prevalence of these diseases has be more easily measured and evalu- West of Spain, we evaluated the influ- markedly increased in South countries ated. Since human migration tend ence of migratory movements in IBD over the last years which changes the to follow the rule of moving from diagnosis in a prospective case-control 6 North South gradient developing to developed countries, study . This was especially interesting The etiology of Crohn’s disease and thus from countries with a low since people from North-West Spain (CD) and ulcerative colitis (UC) is prevalence of IBD to those with a who migrated decades ago after the largely unknown, but environmental high prevalence of IBD, the question Spanish civil war (1936-1939), mainly factors are widely accepted to play a arises of how migratory movements to Western European and Latin Amer- relevant etiopathogenic role. In fact, do modify the risk of IBD. ican countries, moved recently back to industrialization and high socioeco- The first data about the impact of their original towns. We hypothesized nomic status are well known risk migration on IBD came from Brit- that people who migrated to more factors for IBD. A recent case-control ish studies of migrants from Asia to industrialized countries than Spain study with a significant number of Europe. In a study of Bangladeshi would have a higher risk of develop- IBD patients showed that air pol- immigrants who settled in East ing IBD than those migrating to less lution exposure
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