Editorial

WORLD GASTROENTEROLOGY NEWS

Official e-newsletter of the World Gastroenterology Organisation www.worldgastroenterology.org

VOL. 20, ISSUE 3 SEPTEMBER 2015 Welcome to Australia for Gastro 2015!

In this issue

James Toouli, MD, MBBS, PhD, FRACS Emeritus Professor of Surgery President, World Gastroenterology Organisation (WGO)

Quality in Gastrointestinal Endoscopy in 2015. Providing the Best Care for Welcome to Gastro 2015, to Brisbane, tion Centre. The convention center and Our Patients. and Australia. My colleagues and I are congress hotels are located on the banks Maria Claudia Stefanoli, MD excited about presenting this grand event of the beautiful Brisbane River in the in Australia. I hope to meet as many of cultural and entertainment precinct. you as possible so that I can share with Not only can I promise you a warm you my enthusiasm for this meeting and welcome and plenty of networking op- my country Australia. portunities with leaders in the field, the Gastro 2015: AGW-WGO Interna- congress will also provide five days of tional Congress combines the World academic and practical excellence, show- Gastroenterology Organisation Congress casing a wide selection of quality research with Australian Gastroenterology Week and clinical contributions. The World Gastroenterology Organisation (AGW), the annual scientific meeting The program begins on Monday, 28 Foundation; Some Reflections of the Gastroenterological Society of September with a Post Graduate Day - Eamonn MM Quigley, MD, FRCP, FACP, FACG, Australia (GESA). This meeting marks with five streams of dedicated post gradu- FRCPI the beginning of the new paradigm for ate training, including liver, endoscopy, WGO, i.e. two-yearly World Congresses, IBD, WGO updates (with details about to be held in conjunction with WGO Global Guidelines and Cascades, Train member societies as co-hosts. the Trainers, and Training Centers), and I also welcome other related organiza- neurogastroenterology - and Lifelong tions in the field who will participate in Learning courses presented by AuSPEN this meeting, including: the Australasian and the European Society for Clinical Society of Parenteral and Enteral Nutri- Nutrition and Metabolism (ESPEN), all tion (AuSPEN), Australian Pancreatic of outstanding value. Club (APC), Society of International The second day commences with a Gastroenterological Nurses and Endos- plenary session hosted by myself and Pro- copy Associates (SIGNEA), and Gastro- fessor Don Cameron, President of GESA. enterological Nurses College of Australia It will include the Bushell Lecture by (GENCA). Professor Guadalupe Garcia-Tsao and the The meeting will be exceptional with WGO Distinguished Lecture by Austra- over 40 international experts comple- lia’s own Nobel laureate, Professor Barry menting local faculty, presenting a pro- Marshall. The lectures will be followed by gram with numerous concurrent sessions the “Presidents’ Picks” - cutting edge talks each day in warm springtime weather paired with the highest ranked submit- at the Brisbane Convention & Exhibi- ...continued on page 4. 2 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

Contents

Editorial WGO & WGOF News

Welcome to Australia for Gastro 2015! 1 WGO GIHep Porto Training Center James Toouli, MD, MBBS, PhD, FRACS Inauguration 20 Guilherme Macedo MD, PhD, FASGE, AGAF, FACG, FAASLD Message from the Editors of e-WGN 5 J. Enrique Domínguez-Muñoz, MD WGO Inaugurates New Training Centers in Christina M. Surawicz, MD, MACG Addis Ababa and Lagos 22 Desmond Leddin, MD The World Gastroenterology Organisation Foundation; Some Reflections 6 Inaugural Ceremony of the WGO Lagos Eamonn MM Quigley, MD, FRCP, FACP, FACG, FRCPI Training Center 23 Olufunmilayo Lesi, MD Expert Point of View 8 WGO Exhibits Around the Globe in 2015 25 Quality in Gastrointestinal Endoscopy in 2015. Providing the Best Care for Our Patients 8 WGO Train the Trainers Workshop 2015 Maria Claudia Stefanoli, MD Taipei, Taiwan 26 Marco Arrese, MD WDHD News Rodrigo Zapata, MD

World Digestive Health Day 2015 WGO Train the Trainers Workshop 2015 Heartburn: A Global Perspective 12 Taipei, Taiwan 28 Ari F. Syam, MD, PhD, FACP Hasan Maulahela, MD Chilean Society of Gastroenterology Celebrates World Digestive Health Day 12 Ana Maria Madrid, MD 5th Bosnian-Herzegovinian Congress of Edith Perez de Arce, MD Gastroenterology and Hepatology with International Participation 31 World Digestive Health Day 2015 Milenko Bevanda, MD, PhD in Odisha, India 14 Shivaram Prasad Singh, MBBS, MD, DM Portuguese Digestive Week 2015 33 José Cotter, MD, PhD Summary of our World Digestive Health Day Event “Heartburn: Impact on Health-Related International Gastroenterology Congress Report 34 Quality of Life” 16 Wilson Miriti Kiraitu, MD Brigita Smolovic, PhD 36th Advances in Gastroenterology Course in World Digestive Health Day Event in Santiago, Chile 35 Peshawar, Pakistan 18 Marco Arrese, MD Noor Muhammad, MBBS, FCPS DDF 2015 - Reflections on the UK’s Second World Digestive Health Day 2015 Federated Conference 36 Celebrated in Turkey 19 Cathryn Edwards, MA (Oxon), DPhil, FRCP Serhat Bor, MD Upskilling in Colonoscopy 38 Adam Boutall, MD 3 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

Contents

WGO Global Guidelines

The Latest News in WGO Global Guidelines and Cascades 41 Anton LeMair, MD

Calendar of Events

WGO Calendar of Events 43

VOL. 20, ISSUE 3 e-WGN Editorial Board Editors: J. Enrique Domínguez-Muñoz, Christina Surawicz • Anita Afzali, USA • Mário Dinis-Ribeiro, 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, 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. 4 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

Editorial | Expert Point of View | Gastro 2015: AGW/WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events

ted abstracts chosen by the Scientific with our colleagues in the UAE and In this, my last president’s letter Program Committee on topics that hence our committees shall all meet in for e-WGN, I am pleased to say that I will be of interest to all registrants. Abu Dhabi in November 2016. This hand over to my successor an orga- There are three additional days of change I believe marks a maturity in nization which is confident, finan- updates on the latest information for our organization which moves confi- cially sound and with a large range of practicing clinicians and researchers dently into the future on the back of activities which are making an impact across the full spectrum of topics of a very successful global educational on our profession for the good of our interest to all members of the gastro- program as well as significant sup- colleagues and most importantly our enterology community. With a variety port from our sponsors and member patients. I am very proud and honored of options to choose from, there is societies. to have served as President of WGO. something for everyone, including With the support of our member I wish to take this opportunity to “Liver Global Cure of Hepatitis C: societies Gastro 2015 will mark the thank the executive, governing council Transmission Free by 2023?”; a basic launch of two important and exciting and the various representatives of our science workshop on “Inflammation changes; a new funding structure for member societies for the support and in GI and Liver Disease: Molecular our various educational programs, and wise counsel I have had in the past two mechanism of disease”; a large num- individual memberships in WGO. years. In addition, I acknowledge with ber of free papers; the “WGO: Special The new funding structure includes immense gratitude the professional Regional Expert Series”; and much the launch of annual scholarships for support and advice from our executive more! trainees to attend the WGO training director and her staff. The new paradigm for WGO con- centers. Individual memberships in I look forward to welcoming you gresses also marks a significant change WGO will value-add to the benefits to Brisbane for Gastro 2015: AGW- to the way that WGO committees members receive over and above their WGO International Congress and will work. Starting at Gastro 2015 benefits as a consequence to member- hope you will have a truly wonderful our various committees shall meet at ship in WGO of their gastroenterol- and academically fulfilling time. WGO meetings. Next year we meet ogy society. 5 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

Editorial | Expert Point of View | Gastro 2015: AGW/WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events

Message from the Editors of e-WGN

J. Enrique Domínguez-Muñoz, MD Director of the Department of Gastroenterology and Hepatology University Hospital of Santiago de Compostela Santiago de Compostela, Spain

Christina M. Surawicz, MD, MACG Professor of Medicine Division of Gastroenterology Department of Medicine University of Washington School of Medicine Seattle, Washington, USA

There are 2 very different lead articles in this issue. Dr. Maria Claudia Stefanoli of Montevideo, Uruguay provides a suc- cinct and relevant overview of some of the very important quality indicators in endoscopy, stressing how important these are for the best care for our patients. Anyone who is interested in endoscopy will find this article very useful. The other is a history of the WGO by Dr. Eamonn Quigley, WGO Foundation Chairman, which gives the fascinating story of the evolution of this amazing organization from the early OMGE to the current WGO and new WGO Founda- tion that truly focuses on global needs for gastroenterology. We are sure you will find both articles of great interest! Moreover, in this issue, we have articles about the 2 new Training Centers in Addis Ababa and Lagos and updates from successful meetings around the world including Chile, Montenegro, Portugal and Turkey, (several associated with World Digestive Health Day which highlighted GERD this year) as well as a new colonoscopy upskilling course in South Africa. As always, we hope you enjoy this issue, and feedback is always welcome.

Chris and Enrique 6 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

Editorial | Expert Point of View | Gastro 2015: AGW/WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events

The World Gastroenterology Organisation Foundation; Some Reflections

and appropriately, all congresses are Eamonn MM Quigley, MD, FRCP, FACP, FACG, FRCPI now carefully reviewed to ensure that Outgoing Chair, World Gastroenterology Foundation costs and expenses are appropriate Chief, Gastroenterology and Hepatology and that income and expenditure are David M Underwood Chair of Medicine in Digestive Disorders Houston Methodist Hospital carefully balanced. Secondly, while the Professor of Medicine involvement of multiple societies en- Weill Cornell Medical College sures the highest quality and provides Houston, Texas, USA an exciting level of diversity to the meeting, it also reduces the proceeds that will be forthcoming to any given society. Thirdly, these large congresses are expensive to mount and support from municipalities and governments, Over the past several years the World also in hepatology, coupled with as well as from our traditional allies Gastroenterology Organisation ever growing national congresses and in the pharmaceutical, nutritional, (WGO) has undergone a fundamental successful mono-thematic symposia and device industries, has been more change in its objectives and, conse- made it impossible to justify and challenging to obtain in view of the quently in its modus operandi. Long fund an independent World Con- many other events and activities that gone are the days when the primary gress. Beginning with the Congresses compete for their money. Finally, rely- mission of WGO (or, OMGE as in Vienna in 1998 and Bangkok in ing on a four-yearly event that, given it was then known) was to orga- 2002, WGO moved to a partner- the natural and man-made convul- nize a free-standing, quadrennial ship model with United European sions that our little planet is subject World Congress of Gastroenterol- Gastroenterology (UEG) and Asian to, could be cancelled or draw poor ogy (WCOG). This was no minor Pacific Association of Gastroenterol- attendance, carries inevitable risk. undertaking and involved extensive ogy (APAGE), respectively, thereby, For all of these reasons (and there are planning as well as fundraising related ensuring that there would be no others, I am sure, that I have omitted) to the congress. Needless-to-say, the competing regional meeting in the rel- WGO leadership decided to develop financial fortunes of WGO hinged evant part of the world at that time of the partnership model further and to a very large extent on the success the year. By the time of the WCOGs move to two-yearly meetings held of World Congresses but, thanks to in Montreal in 2005 and London in in direct partnership with a member prudent stewardship and very careful 2009, this partnership model had society. This concept was supported by planning, proceeds from such events developed further and now involved a successful “trial run” with the Turkish did sustain WGO in the intervening close cooperation on all matters Society of Gastroenterology in Antalya years and permitted WGO to present between WGO, the regional society in 2011 and is about to be repeated a variety of educational and training (OPGE, formerly AIGE, and UEG, with our Australian member society events, as well as maintain communi- respectively) and the national society in Brisbane in 2015. It is undoubted cations with member societies. How (the Canadian and British societies, that these meetings will not generate the landscape has changed. Firstly, respectively). This same model was large revenues for WGO, but that is it became increasingly difficult to fit repeated in Shanghai in 2013 and not their primary objective, which is to a free-standing, independent World now involved several Chinese and develop ever closer ties with our mem- Congress into an increasingly crowded Asia-Pacific societies. While these ber societies around the world and to gastroenterology meeting calendar. congresses were most successful in mutually present educational activities The growth in size and quality of Eu- terms of attendance, program quality, of the highest quality and of greatest ropean, Asia-Pacific, Latin-American, and international visibility, a number relevance to that region. and Africa-Middle East congresses, of factors conspired to reduce the So far I have focused on income; not only in gastroenterology, but financial outcome for WGO. Firstly, how about the expenditure side of 7 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

Editorial | Expert Point of View | Gastro 2015: AGW/WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events

the WGO ledger? As WGO’s focus obvious need! As Bernard Levin, who by WGO and member societies in moved away from World Congresses so astutely and wisely led the Founda- every corner of the globe visible on it moved very deliberately to educa- tion in its early years and shepherded it the website attest to the real and tion and training. These efforts became from infancy well into its adolescence, tangible impact of every WDHD. By enshrined in WGO’s well established was to discover, this was far from a virtue of the appeal of its themes and and flag-ship programs, Train the simple task. Many obstacles littered the their related messages to the public, Trainers (TTT), Training Centers path between WGO and its deserved to health care professionals and the (TCs), Global Guidelines (including rewards: competition with other re- media in every form, WDHD also the unique cascades approach) and gional and global charities and NGOs provides an opportunity for collabora- Publications. The history and success who had an established track record, tion with industry, be it pharmaceuti- of these programs, shepherded for so a relative lack of appreciation of the cal, device, instrument, or nutritional. many years by our current President, global GI health issues that afflict so Importantly, a strict code of conduct James Toouli, have been detailed many throughout the world and seem governs all interactions with industry extensively in these pages in the recent less attractive to potential sponsors (try to ensure that WGOF or WGO can past; suffice it to say that each of these organizing an event for “diarrhea”), as always maintain a position free from programs has enjoyed great success well as major upheavals in the device bias and ever mindful of the high- and won many accolades as well as and pharmaceutical industries (merg- est ethical standards. For all of these universal recognition as having real and ers and acquisitions, more emphasis reasons, WDHD has become the cor- lasting impact on digestive health and on national and regional, rather than nerstone around which the Founda- on the care of digestive diseases around global support, drugs coming off tion exerts its fundraising efforts. It is the world. What’s the problem? These patent, for example). Furthermore, not and never should be our exclusive programs are expensive to run and re- while some of our programs, such as fundraising event; WGO and WGOF sult in considerable annual expenditure guidelines, can be seen to have a direct leadership continue to find, from for WGO. Some years ago, Douglas impact on health care, other critical multiple and diverse sources, support LaBrecque, our then WGO Treasurer, programs, such as TTT and TCs will for individual programs and events, made it abundantly clear that a strategy achieve their goals over the medium- to an effort that must continue. based on diminishing income from long-term and may be more difficult In this short piece I have endeav- quadrennial World Congresses and to “sell” in media business cycles that ored to summarize the events that ever expanding expenditure on our seem to grow ever shorter. led to the birth of WGOF as well burgeoning year-round programs could Within WGO we learned by trial as outline the challenges that this only lead to one outcome: insolvency! and error (and expensively) that our relatively new offshoot of WGO has After much thought and considerable greatest weapon in our fight to attract encountered. I am pleased to report consultation, WGO decided that a support lay in one of our very own that, as my term moves to its close, concerted effort needed to be made programs and one that was initiated as WGOF has begun to achieve what it to develop a fundraising strategy that far back as 2005 by our then Secretary was established to do: generate funds ensured regular income to sustain (and General and later President, Henry to support WGO’s programs. This has develop) our programs that was not Cohen: World Digestive Health Day been no easy task and would not have overly dependent on the outcome of (WDHD). A wonderful summary of been achieved without the stalwart an occasional mega-congress. Thus the all 10 WDHDs can be found on our efforts of the officers and members of establishment of the World Gastro- website. Suffice it to say that WDHD the WGOF board, the support and enterology Organisation Foundation embodies all that WGO strives to encouragement of the WGO Govern- (WGOF), which had one simple achieve: a focus on a major global ing Council, and the help and advice charge: to raise funds to support the issues in digestive health around the of so many friends around the world. valuable work of WGO. world, collaboration (and not com- To all, whether individuals, societies, At first sight, raising funds to sup- petition) with our member societies, or corporations who have supported port the work of an organization that and the presentation of messages and us and continue to do so, may I ex- provides such benefits to its members information of interest to the general press my profound thanks from all in and has been especially focused on public and health care professionals WGO and WGOF. the less-well served areas of the world alike. The pages of media pieces and would seem to be a simple task: com- excerpts, photo galleries, and glow- Thank you all! pelling message, successful programs, ing write-ups from events presented Expert Point of View

8 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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Quality in Gastrointestinal Endoscopy in 2015. Providing the Best Care for Our Patients

enterologists schedule patients for Maria Claudia Stefanoli, MD endoscopy, most studies have shown Gastroenterology and Digestive Endoscopy Service that the procedures are done for ap- Hospital Maciel propriate indications.2, 3, 4 Montevideo, Uruguay Two other quality improvement goals are to allow for feedback to referring physicians with regard to appropriateness of indication, and how information about the procedure will be provided to patients before the 1. Introduction There are 3 categories of quality endoscopy. Over the last four decades, GI en- indicators: doscopy has become of paramount 1) Structural measures (they assess 2b. Informed Consent importance to diagnose, treat, and availability and maintenance of Informed consent should be obtained prevent diseases of the digestive tract. endoscopy equipment in an en- and documented in every procedure, These procedures are invasive and doscopy unit) except in rare emergency cases or with have the potential to cause harm to 2) Process measures (they assess non-competent patients.5, 6 the patient, so every time an endosco- performance during the delivery of The consent should be obtained py is indicated, the benefits obtained care) personally by the endoscopist and from it must outweigh the risks of 3) Outcome measures (they assess should specifically address and docu- the procedure. Because the quality of results of endoscopies in a period ment the most common complica- endoscopy can vary we must be sure of time) tions (bleeding, perforation, missed we are providing the highest possible This review will focus on item diagnosis, and sedation-related standard of care. 2 above, the process measures of complications), facilitating a full How can we measure quality? endoscopy. These quality indicators discussion with the patient. 7 This The quality of health care can be can also be divided into three time is especially important if there is a measured by comparing the perfor- periods: preprocedure, intraprocedure, subsequent medico-legal case. 8 mance of an individual or a group and postprocedure. Preprocedure, is When sedation is provided by an of individuals, with an ideal or the period of time before sedation anesthetist, there should be a sepa- benchmark. Each parameter used is started or the introduction of the rate consent form, which should be for comparison is named a quality endoscope. During this period there obtained by that specialist. indicator. For example a high quality are common issues for all endoscopic endoscopy is an examination in which procedures, which include: correct 2c. Pre Procedure Patient the procedure is indicated, the correct indication, informed consent, risk Evaluation diagnoses are made or excluded, the assessment, sedation plan, manage- Pre-procedure history and physical therapy provided is appropriate, and ment of prophylactic antibiotics and examination should be done and 1,19 9, 10 all the risks have been minimized. of anti-thrombotic drugs. documented. The history should focus on indications, as well as condi- 18 2. Quality indicators 2a. Indications for the Procedure tions that may affect the performance As the demand for quality control in The indication, included in a pub- and safety of the procedure. This endoscopic procedures has grown all lished standard list of appropriate includes sedation-related issues (ab- over the world, the creation of effective indications, must be documented normalities of major organ systems, quality control guidelines has become (priority indicator). A quality im- previous adverse events with sedation a need. Moreover it is necessary to provement goal is to minimize the or anesthesia, medication allergies, translate these guidelines into practical number of endoscopies done without current medications, potential medi- recommendations that can be imple- appropriate indications. For open cation interactions, smoking, alcohol mented in the endoscopy units. access endoscopy, where non gastro- or substance use or abuse). It should 9 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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document the last oral intake. 2e. Quality of the Procedure It includes providing instructions to The endoscopist or the anesthetist, Before administration of sedation the patient, documentation of the will perform and document a risk or insertion of the endoscope, the procedure, recognition and documen- assessment for sedation related adverse endoscopy team pauses to verify that tation of adverse events, pathology events, using the American Society of the correct patient will be undergoing follow-up, communication with refer- Anesthesiologists (ASA) score or the the correct procedure, and this should ring physicians, and assessing patient Mallampati Score (assesses the upper be recorded. A quality endoscopy satisfaction. airway)11,12. This information will procedure is one performed by an The procedure report should be be useful for decision making with endoscopist who has met objective accurate and succinct.16 Standardiza- regard to proceeding or deferring the measures for competency. Achieving tion of the language and structure of endoscopy as well as modifying the the desired objectives and minimizing endoscopic reports may improve com- procedure sedation plan. The intended adverse events define the quality of an munication between physicians. Elec- level of sedation must be specified (no endoscopic procedure. The American tronic medical records and comput- sedation, minimal, moderate, deep Society for Gastrointestinal Endosco- erized endoscopic report generating sedation, or general anesthesia) and py (ASGE) has published training and systems may be of great help. Quality it should be documented. The ASA credentialing guidelines that establish assessment and “pay for performance” recommends that, because sedation is basic principles of competency; these programs that depend on the collec- a continuum, the endoscopist or anes- should be applied to the credential- tion of reliable, reproducible data ben- thetist should be able to rescue patients ing process wherever GI endoscopy is efit from such standardization. whose level of sedation becomes deeper performed. than initially intended.13 Several important themes in this 3a. Adverse events regard deserve emphasis: 1) objec- Adverse events must be documented, 2d. Antibiotics and Antithrombotic tive measures of performance and and should be classified according to Medications not simply the number of procedures their timing, level of certainty of attri- Prophylactic antibiotics for preven- performed in training should be used bution to the endoscopic procedure, tion of bacterial endocarditis are to define competency, 2) measures and degree of consequent disturbance not indicated in the vast majority of of competence using well established to the patient. endoscopic procedures, only being benchmarks should be universal and To standardize data collection and administered for selected settings for not vary by specialty, 3) competency reporting, an ASGE Task Force has which they are indicated (priority in one procedure should not neces- proposed definitions and classification 17 indicator). sarily imply competency in another, of endoscopy-related adverse events. Antithrombotic medication used by 4) competency in an endoscopic An adverse event is one that prevents the patient should be recorded, and procedure should require that the completion of the planned procedure the plan for the management of the endoscopist should be able to perform or results in admission to the hospital, specific medication should be docu- minimum therapeutic maneuvers prolongation of existing hospital stay, mented and communicated to the specific to that procedure (e.g. pol- another procedure, or subsequent patient and health care team (priority ypectomy in colonoscopy and stent medical consultation. Based on timing indicator). This will vary with the placement for distal biliary obstruc- they can be subdivided as preproce- patients underlying conditions, the tion in ERCP).14, 15 dure, intraprocedure, postprocedure procedure being performed, the risk The intraprocedure period extends (up to 14 days), or late (any time after of events and the medication(s) being from the administration of sedation or 14 days). A level of certainty of at- used. Patients who are at high risk for insertion of the endoscope when no tribution to the endoscopic procedure thromboembolic events may require sedation is given, until the endoscope as definite, probable, possible or bridge therapy, or the endoscopy may is removed. It includes all the techni- unlikely should be recorded. Severity need to be deferred. Such decisions cal aspects of the procedure, including of adverse events should be graded by may need consultation with a cardi- completion of the examination and the degree of consequent disturbance ologist or other physicians caring for therapeutic maneuvers. to the patient and any changes in the the patient. After endoscopic therapy, plan of care as mild, moderate, severe, the timing of resumption has to be 3. Post Procedure or fatal. individualized, depending on the type The post-procedure period extends of endoscopic procedure and the risk from the time the endoscope is of thromboembolism. removed to subsequent follow-up. 10 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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3b. Post procedure follow up access upper gastrointestinal 12. Charles RJ, Chak A, Cooper GS, One important point is that the re- endoscopic procedures: results and et al. Use of open access in GI sults of the endoscopic procedure and experience of a single centre. Can J endoscopy at an academic medical follow-up recommendations, must Gastroenterol 2011; 25:83-8. center. Gastrointest Endosc 1999; be communicated to the referring 5. Williams EJ, Hamlyn A, Logan 50: 480-5. provider or primary care physician. RF, et al: Consenting patients for 13. American Society of Anesthesiolo- This communication should be docu- endoscopic retrograde cholangio- gists. Continuum of depth of seda- mented. It is the responsibility of the pancreatography: results of a tion: definition of general anesthe- endoscopist to provide results, recom- survey of 182 UK endoscopists sia and levels of sedation/analgesia. mendations regarding therapy, further and 2059 of their patients. Eur Available at: http://www.asahq. diagnostic testing and follow-up; the J Gastroenterol Hepatol 21:1351- org/For-Members/Standards- lack of communication may result in 1357, 2009. Guidelinesand-Statements.aspx. patient mis-management. The infor- 6. Masci E, Rossi M, Minoli G, Accessed August 26, 2014. mation related to histological reports, et al: Patient satisfaction after 14. Wexner SD, Litwin D, Cohen J, should be properly defined. endoscopic retrograde cholangio- et al. Principles of privileging and pancreatography for biliary stones: credentialing for endoscopy and 4. Conclusion a prospective multicenter study in colonoscopy. Gastrointest Endosc In conclusion, having a guideline Lombardy. J Gastroenterol Hepatol 2002; 55:145-8. does not result in improved health 24:1510-1515, 2009. 15. Standards of practice commit- outcomes per se; in order to improve 7. Standards of Practice Committee; tee; Dominitz JA, Ikenberry SO, quality it is essential to implement Zuckerman MJ, Shen B, Harrison Anderson MA, et al. Renewal of guidance and measure performance. ME 3 rd, et al. Informed consent and proctoring for endoscopic Performing regular quality audits for GI endoscopy. Gastrointest privileges. Gastrointest Endosc allows identification of potential Endosc 2007;66:213-8. 2008; 67:10-6. under-performance, which provides 8. Cotton PB. Analysis of 59 ERCP 16. Lieberman D, Nadel M, Smith an opportunity for discussion and lawsuits mainly about indications. RA, et al. Standardized colonosco- support for the endoscopist. These Gastrointest Endosc 2006; 63:378; py reporting and data system: re- will all, result in better outcomes for 82, quiz 464. port of the Quality Assurance Task our patients. 9. Waring JP, Baron TH, Hirota WK, Group of the National Colorectal A quality control program should et al. Guidelines for conscious Cancer Roundtable. Gastrointest be implemented in gastrointestinal sedation and monitoring during Endosc 2007; 65:757-66. endoscopy units. gastrointestinal endoscopy. Gastro- 17. ASGE Standards of Practice Com- References intest Endosc 2003; 58:317-22. mittee; Anderson MA, Fisher L, 10. American Society of Anesthesi- Jain R, et al. Complications of 1. Faigel DO, Pike IM, Baron TH, et ologists Task Force on Sedation ERCP. Gastrointest Endosc 2012; al. Quality indicators for gastroin- and Analgesia by Non-Anesthe- 75: 467-73. testinal endoscopic procedures: an siologists. Practice guidelines for 18. Quality indicators for GI Endo- introduction. Am J Gastroenterol sedation and analgesia by non- scopic Procedures. Am J Gas- 2006;101: 866-72. anesthesiologists. Anesthesiology troenterol 2015; 110: 60-113; p 2. Mahajan RJ, Marshall JB. Preva- 2002; 96:1004-17. 60 Quality Indicators for EGD, p lence of open-access gastrointes- 11. American Society of Anesthesiolo- 72 Quality Indicators for Colonos- tinal endoscopy in the United gists Committee. Practice guide- copy, p 91 Quality Indicators for States. Gastrointest Endosc 1997; lines for preoperative fasting and ERCP, 102 Quality Indicators for 46:21-6. the use of pharmacologic agents EUS. 3. Mahajan RJ, Barthel JS, Marshall to reduce the risk of pulmonary 19. ASGE, D. Bjorkman GIE Supple- JB. Appropriateness of referals for aspiration: application to healthy ment Vol 64 N°6 2006 Quality open-access endoscopy. How do patients undergoing elective pro- indicators for gastrointestinal physicians in different medical cedures: an updated report by the endoscopic procedures: an intro- specialties do? Arch Intern Med American Society of Anesthesiolo- duction Douglas O. Faigel, MD, 1996; 156:2065-9. gists Committee on Standards and ASGE Co-Chair, Irving M. Pike, 4. Keren D, Rainis T, Stermer E, Practice Parameters. Anesthesiology MD, ACG Co-Chair, Todd H. et al. A nine-year audit of open- 2011;114:495-511.14). 11 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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Baron, MD, Amitabh Chak, MD, Jonathan Cohen, MD, Stephen E. Deal, MD, Brenda Hoffman, MD, Brian C. Jacobson, MD, MPH, Klaus Mergener, MD, PhD, Bret T. Petersen, MD, John L. Petrini, MD, Douglas K. Rex, MD, Mi- chael A. Safdi, MD. ASGE/ACG Taskforce on Quality in Endos- copy. WDHD News

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World Digestive Health Day 2015 Heartburn: A Global Perspective

WDHD 2015 events have so far been walkathons, national meetings, press celebrated in over 20 countries, with conferences, television and radio many events still scheduled to take interviews, creating a country’s own place this year! WGO thanks each WDHD Day, publications and member society, organization, health- much more. For questions regarding care professional and participant for WDHD or to officially submit your helping spread the word about the event for placement on the calendar, ries. Have you held a 2015 WDHD management of heartburn. please email info@worldgastroenterol- event that you would like to share There is still time to plan your 2015 ogy.org. Please also visit the WDHD on the website or in e-WGN? Please event around Heartburn: A Global 2015 website to request a copy of the submit your event here! Perspective! While the official date of 2015 WDHD logo for use in promot- With events continuing to take WDHD is May 29th, many events ing this year’s WDHD campaign. place through the end of 2015, we take place throughout the year. Past For a full list of events taking place are pleased to feature the follow- events include public campaigns, in celebration of WDHD 2015, visit ing WDHD 2015 events that have courses and lectures on treatments http://www.worldgastroenterology. recently taken place! of the current theme, marathons, org/wgo-foundation/wdhd/wdhd- 2015/wdhd-2015-events-success-sto-

Chilean Society of Gastroenterology Celebrates World Digestive Health Day

The Chilean Society of Gastroenterol- Ana Maria Madrid, MD ogy, in conjunction with the Hospital Professor of the University of Chile (HCUCH), Head, Laboratory of Motility and Functional Digestive Disorders participated in the celebration of Gastroenterology Service of the Hospital of the University of Chile Independencia, Región Metropolitana, Chile World Digestive Health Day on 29 May 2015. The central theme this year was “Heartburn and Gastro- esophageal Reflux.” The event was Edith Perez de Arce, MD chaired by Dr. Marco Arrese, MD, Internist, Hospital of the University of Chile President of the Chilean Society Independencia, Región Metropolitana, Chile of Gastroenterology, and Dr. Jorge Hasbún, MD, Director General of HCUCH. The organization of the event was led by Dr. Ana Maria Madrid, MD, 13 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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Dr. Edith Perez de Arce giving her lecture.

The event was covered by print media (newspaper El Mercurio and Las Ultimas Noticias), radio (Radio Bio-Bio, Radio Universidad de Chile), and television. Welcome to the celebration of World Digestive Health Day: Heartburn, A Global Perspective. We believe that this global effort was successful, widespread and a real contributor to the health of Chilean a gastroenterologist specializing in 2. A “HEALTH FOOD” tent people. motility and functional digestive activity run by nutritionists from diseases and member of the Chilean our center, that gave concrete Society of Gastroenterology, who has examples and educated the public been involved in the organization of about healthy eating and general World Digestive Health Day held in measures aimed at preventing previous years in our country. symptoms of reflux. An additional Prior to the day of the celebration leaflet will be delivered to attend- week, oral and written information ees with these recommendations. was sent about the event. Outreach 3. A survey of reflux symptoms: activities were conducted in an edu- surveys were sent to all those who cational marquee for that purpose at attended the educational tent on the entrance of the hospital grounds. heartburn and gastroesophageal Activities began at 08:30 and lasted reflux. These surveys consisted of until 16:00 and comprised of: evaluating the presence and severity 1. Educational lectures: two cycles of symptoms as well as use of drugs of four educational lectures to the and comorbidities of respondents. community (people attending the This survey aimed to characterize Drs. Fernando Orellana, Marta Mac-Vicar, Ana Maria Madrid, Caroll Beltran, Edith Perez de hospital and high school students this population subgroup. During Arce, Andrea Aranda, and Juan Carlos Orosco. in the district of Independence) this stage the participants could were given. Interactive lectures, directly consult gastroenterologists of 10 minutes each, included to clarify their doubts on the issue the following topics: “Heartburn and ask whether relevant studies are and Gastroesophageal Reflux required for their symptoms if they Generalities,” “Complications of exist. Overall, of the approximately Gastroesophageal Reflux,” “Reflux 300 people who attended this Treatment,” and “Heartburn in event, 180 completed the health Children.” The talks were given survey. Results of the data will be by residents in gastroenterology at presented at the 2015 Chilean

the Hospital of the University of Congress of Gastroenterology. Meson healthy meal with Miss Monica Lepe Chile, supervised by Dr. Madrid. (nutritionist). 14 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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CME program, the interested physi- World Digestive Health Day 2015 cians would assemble at the telemedi- cine centers and there would be an in Odisha, India initial didactic lecture on heartburn. This would be followed by an open question-answer session when the Shivaram Prasad Singh, MBBS, MD, DM physicians from the distant districts Head, Department of Gastroenterology would ask questions which would be SCB Medical College answered by the faculty. This program Cuttack was highly appreciated. Odisha, India World Digestive Health Day [WDHD] Ceremony 2015: The event was jointly organized by Kalinga Gastroenterology Foundation, THE WORLD DIGESTIVE suffering from heartburn. Profes- the Department of Gastroenterology, HEALTH DAY [WDHD] 2015 WAS sor Singh also provided educational SCB Medical College, and the Odisha OBSERVED IN 3 PHASES: leaflets on “Heartburn” in English State Chapter of the Indian Society and Odia. The role of the media in of Gastroenterology (ISG). The event Press Conference on World spreading awareness about various was inaugurated by veteran urologist Digestive Health Day (WDHD) 2015 health issues was also discussed. The Professor Satyanarayan Panda with A press conference was organized Kalinga Gastroenterology Foundation the lighting of the auspicious inaugu- on the eve of WDHD 2015 at the has been the frontrunner in organiz- ral lamp. The program was attended Hotel Grand Residency. This was ing WDHD meetings every year. by about 100 postgraduate students, attended by leading representatives The press was also enlightened about family physicians, internists, and of the print and electronic media. how through telemedicine, physicians gastroenterologists. This was organized to create aware- across the state were educated about ness about the role of World Gastro- epidemiology, diagnosis, and man- enterology Organisation (WGO) in agement of gastroesophageal reflux improving gastrointestinal health. disease (GERD). Professor SP Singh spoke to the representatives on various aspects of Telemedicine Programs on GERD “Heartburn & GERD.” He spoke and Heartburn: about the burden this common Physicians across the state were educat- problem imposed on the population ed about different aspects of heartburn and the health care system. He also and GERD, including epidemiology, spoke on the differential diagnosis and diagnosis, and management, through 11 weekly telemedicine programs. Phy- management approach for patients Telemedicine Centre – Prof. SP Singh, Dr. sicians attended the programs at the Rajesh Sainani, Prof. BN Mohanty, and other telemedicine centers in the 30 District members of WDHD team. Headquarters Hospitals. This program was carried out over a period of three months and covered 30 districts of Odisha state, including the remote districts of Kalahandi, Koraput, and Malkangiri, and the three State Medi- cal colleges of Odisha. The one-hour programs were con- ducted every Friday between 12 Noon and 1 PM and during each session Prof. SN Panda about to release Odia Leaflets the program covered three district WDHD 2015 - Inauguration Ceremony. on GERD. headquarters hospitals. During the 15 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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At the outset Professor Singh Foundation and the Department of spoke about the history of the World Gastroenterology have successfully Gastroenterology Organisation organized this day year after year since (WGO) and how it was born over 2007. half a century ago on this day (i.e., 29 The CME program began with the May). Professor Singh also spoke at introductory talk by Dr. Sanjib Kar, length on the mission of WGO and who spoke on the epidemiology of how every year WDHD is observed GERD in India. He spoke elaborately all over the globe. He then read out on the rising incidence of GERD due the message of Professor David Arm- to changing lifestyles and eating habits. IMA House - Lighting of Inaugural Lamp by strong, Chair of WDHD 2015 from The chief speaker for the occasion Prof. SP Singh. Hamilton, Canada. was Dr. Rajesh Sainani, senior gas- Professor Singh informed the troenterologist at Jaslok Hospitals in delegates that WGO wishes to raise Mumbai. He gave a lucid overview of awareness of heartburn and provide the problems in diagnosing and man- a broad overview on this common agement of GERD. He also provided symptom by providing physicians an insight into the recent advances in and, hence their patients and the lay diagnosis of GERD. His lecture was public, with an understanding of the followed by a 30 minute question latest basic and clinical research in and answer session and ending with a the pathogenesis, investigation, and dinner. treatment of esophageal symptoms. Dr. Rajesh Sainani Speaking on GERD Man- He also expressed happiness at the agement. fact that Kalinga Gastroenterology 16 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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Summary of our World Digestive Health Day Event “Heartburn: Impact on Health-Related Quality of Life”

Brigita Smolovic, PhD Gastroenterohepatologist Associate Professor, Faculty of Medicine, Podgorica, University of Montenegro Clinical Center of Montenegro Podgorica, Montenegro

The Gastroenterohepatology Associa- importance of improving the quality tion of Montenegro celebrated World of life of these patients. Digestive Health Day (WDHD) 2015 The event was attended by doctors on 10 June. The theme was “Heart- and pharmacists. They actively partici- burn: Impact on Health-Related pated in the discussion. They commit- Dr. Velimir Milosević, PhD, presenting on “The Quality of Life.” ted to continuing work on the educa- impact of GERD on patients’ quality of life.” The symposium was held in Podgori- tion of doctors in their community ca, the capital of Montenegro. In the on the importance of improving the now considered the diagnostic criteria opening message, Associate Professor quality of life of their patients with for this disease, whether it is with or Brigita Smolović (Faculty of Medicine GERD. Pharmacists will seek to treat without regurgitation. in Podgorica) informed the audience patients with heartburn according to Atypical symptoms, such as cough about the importance of WDHD and guidelines for treatment of GERD in and asthma, hoarseness, non-cardiac its goals. The Gastroenterohepatology pharmacy. chest pain, dental erosions can be Association of Montenegro wanted The conference was attended by present. Very often, patients who have to convey the importance of gastro- representatives of the medical journal symptoms of heartburn seek to cure esophageal reflux disease (GERD), “MEDICAL.” A report from the meet- it alone or in consultation with the and reviewed the significance of diag- ing with pictures was published in the pharmacist, so several years lapse until nosis and treatment of GERD. One July issue of the journal. the patient consults a doctor for help. of the main goals of the meeting was The materials related to the guidelines The symptoms of heartburn associ- to increase public awareness about the about in the treatment of patients ated with diet and lifestyle include with GERD in pharmacy and recom- symptoms when lying down after a mendations for a healthy dietary meal and symptoms at night. Patients regimen for these patients were dis- who suffer from heartburn have a poor tributed to all participants. “Self-care quality of life (physically, emotionally, algorithm for heartburn” adapted for and psychologically). Studies have the conditions in our country from shown that patients with GERD have the WGO Guideline “Coping with reduced work activity, job productivity, Common GI Symptoms in the Com- lower quality of sleep, and a general munity” was also distributed to all decline in physical and mental health. participants. However, the diagnosis must be A lecture was given by Dr. Velimir careful because there are patients who Milosević, PhD (Faculty of Medicine have heartburn without GERD, and in Podgorica), on “The impact of vice versa. This means that a patient GERD on patients’ quality of life.” who has heartburn, does not necessar- The main area of interest was heart- ily have GERD but might have other Associated Professor Brigita Smolović, PhD, burn, the major symptom of gastro- presents the opening words at the WDHD functional disorders as well as erosive symposium. esophageal reflux disease, which is esophagitis, achalasia, or many other 17 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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conditions such as cardiac insufficiency The control of acid secretion is the and lung problems. most effective way to achieve relief Studies show that 60% -70% of from heartburn and other symptoms as patients with symptoms of heartburn well as to regulate body weight, avoid have a non-erosive disease, while about tight clothing, avoid foods that cause 40% have esophagitis. History is thus reflux, kick alcohol and caffeine, stop very important. Including whether the smoking, and to sleep on an elevated patient had heartburn in the last seven headboard. The goal of therapy is to days, whether they used some drugs for provide relief from heartburn, enabling these symptoms, and whether they had the longer remission, treatment of hoarse and a chronic cough, difficulty complications and healing of esopha- swallowing, or significant weight loss. gitis, since it will thus improve the quality of life of patients. 18 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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World Digestive Health Day Event in Peshawar, Pakistan

Noor Muhammad, MBBS, FCPS Assistant Professor, Physician, and Gastroenterologist Peshawar Medical Collage and Bilal Medical Trust Peshawar, Pakistan

Professor Jehan Zaib delivering the message of WGO.

Dr. Noor Muhammad before the lecture.

The Pakistan Society of Gastroenterol- exercise, and the avoidance of smok- ogy and GI Endoscopy (PSG) Khyber ing, alcohol, and certain drugs, Dr. Puktoon Khawa (KPK) chapter held Muhammad stressed that heartburn a symposium in honor of World is too easy to prevent if we follow the Digestive Health Day on 29 May at following golden principles: Mercy Teaching Hospital in Pesha- 1. When to eat?

war on heartburn. It was attended by 2. What to eat? Dr. Noor Muhammad during his lecture. many doctors, medical students, and 3. How much to eat? paramedical personnel. 4. Eat to live or live to eat? The program began with a recita- Dr. Muhammad stressed that the tion of a few verses from the Quran answers are simple: by Dr. Bakht Biland. Professor Jehan 1. Eat when you have the desire to eat Zaib then read a message from the 2. Make your meal simple and nutri- WDHD Chair, Prof. David Arm- tional strong, which was followed by a 3. Stop when you still have the desire comprehensive lecture on heartburn to eat by Dr. Noor Muhammad. The main 4. Eat to be energetic and perform emphasis was on the prevention of your duty well heartburn. Apart from the general principles of weight reduction, regular Dr. Bakht Biland says the closing word. 19 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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World Digestive Health Day 2015 Celebrated in Turkey

Serhat Bor, MD Professor in Gastroenterology Ege University School of Medicine, Sect Gastroenterology Bornova Izmir, Turkey

From left to right: Altay Celebi, Ismail Hakki Kalkan, Taylan Kav, Serhat Bor, Ulku Dagli, Ibrahim Hatemi, and Zeynel Mungan.

29 May was World Digestive Health Gastroesophageal reflux disease Turkish Society of Gastroenterology’s Day (WDHD). The World Gastro- (GERD) exhibits different features in Neurogastroenterology and Motility enterology Organization’s declaration Turkey than in Western countries. For Study Group has been working on a of the 2015 theme as “Heartburn” example, only 1% of GERD patients Reflux Consensus Report for nearly was celebrated in Turkey with special have Barrett’s esophagus, the main two years. Seventeen academics and events. symptom is acid regurgitation rather research fellows dedicated an intensive On this day various acitvities were than heartburn,and the prevalance of effort during this time. Research results performed globally and in Turkey; after Helicobacter pylori is up to 75% in the were discussed with 56 invited gastro- two years of work, the “Turkish GERD population; these are all differences enterology specialists and then voted in Consensus Report” was launched on compared to western literature. Thus order to make it Turkey’s decision. this special day to increase awareness there was a strong need for a consensus Numerous representatives of promi- about the disease. report about the diagnosis and treat- nent news agencies in Turkey par- ment methods of reflux in Turkey. The ticipated in the press conference. The Turkish GERD Consensus Report was very popular among TV, newspaper, journals, and internet media outlets, both written and visual and was cov- ered in more than 50 places. The physicians panel following the press conference hosted 60 gastroenter- ology specialists and internal medicine specialists, with nearly 100 gastroen- terology specialists watching the event live on the internet. During the panel, details and results of the study were described and questions answered.

News agencies at the Turkish Society of Gastroenterology’s press conference. WGO & WGOF News

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WGO GIHep Porto Training Center Inauguration

Guilherme Macedo MD, PhD, FASGE, AGAF, FACG, FAASLD Head of Gastroenterology and Hepatology Department Associate Professor of Gastroenterology Centro Hospitalar S.João and Faculty of Medicine Porto, Portugal

The Porto WGO Gastroenterology time span events, we aim to create and Hepatology (GIHep) Training a learning environment mostly Center’s mission was shaped to the adapted to the trainees needs. The core objectives of WGO Training immediate goal is to expose train- Centers: to provide education and ees to the current and up to date training in the delivery of digestive knowledge in the broad field of health and disease care. Accordingly, gastroenterology and hepatology,

the foremost duties of this center are: always bearing in mind the strict Professors Macedo and Toouli with the Memo- 1. To promote the highest standards appliance of ethical principles and randum of Understanding at The Training in training in gastroenterology focus on their local and regional Center inauguration. and hepatology in their different health care needs. disciplines (e.g. diagnostic and 3. To foster interaction between re- interventional endoscopy, inflam- gional, national, and international The Aula Magna of the Faculty of matory bowel disease, pancreatic experts in these areas, promoting Medicine, the noblest lecture theatre disorders, and digestive oncology). individual and inter-institutional at the University of Porto, hosted the 2. To develop a broad and versatile networking. Opening Ceremony of the Porto GI- curriculum which should consist 4. To reach out worldwide to Portu- Hep Training Center on 9 June 2015. of an adaptable program of pro- guese speaking countries (such as Sixty guests attended the official viding different levels of expertise. Angola, Mozambique, Cape Verde, launch. The opening ceremony had Anchored in a well-designed, na- S Tome, Guinea, and East Timor) three major moments: speeches from tionally certified core curriculum, and be able to provide different honored guests, a presentation by the offering different cognitive mod- levels of training (from basics to center director, and a guided tour. ules and formal training opportu- advanced procedures) to these The day started with speeches from nities, with several possibilities of countries. the Dean of the Faculty of Medicine, Professor Amelia Ferreira; the direc- tor of Centro Hospitalar S.João, Dr. Margarida Tavares; President of the Portuguese Society of Gastroenterol- ogy, Dr. Leopoldo Matos; and the most wanted and welcomed speech from WGO President, Professor James Toouli. The director of the Porto GIHep Training Center, Dr. Guilherme Macedo, then made a presentation Faculty and attendees in a get together at Wonderful Porto sunset over the new Training the newly inaugurated GIHep Porto Training Center. about the values, mission, and charac- Center. teristics of the center and specifically 21 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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• In October we will run the Stand Alone Meeting on Hepatitis C 2015 for 100 participants, where the unique experience with exclusive all-oral therapies will be discussed. • The Simulator Endoscopy Course is expected to begin in late Octo- ber. • In November, a course for family practitioners called “Meet-the- Expert Forum in Esophageal Diseases” will provide input and WGO President Professor Toouli, with Training Center Director Professor Guilherme Macedo, the important insights in this area for President of Portuguese Society of Gastroenterology, the Dean of the Faculty of Medicine, and the the busy practitioner. Clinical Director of Hospital S.João at the Opening Ceremony. • To end the year, in December the Pancreatobiliary Summit will addressing the strategies for all who that this ceremony was held in this gather 50 participants for live work in the Center, how the team has particular week, as in the following demonstrations and discussions. been developing and expects to thrive. four days the Portuguese Digestive So, Porto GIHep Training Center This session was followed by a second Disease Week was held in Porto at the will have, as a most important domain period, the formal opening of the Customs House Convention Center, of activity, the integration of core Training Center, revealing the plaque a wonderful venue where Professor broad gastroenterology knowledge, at the main entrance of the Gastroen- Toouli lectured on behalf of WGO in providing clinical and endoscopic terology and Hepatology Department. a much acclaimed session. expertise (for different grades and Finally, we went on a guided tour An intensive program, designed in stages), fostering interpersonal skills, of an exhibition that the department our center, has already been outlined promoting professionalism and the has promoted and displayed within for the next several months: development of non-technical skills, the hospital for the last six months, • The first course was the Clini- cornerstones for balanced growth and called “The Universe of Gastroenterol- cal Hepatology Preceptorship, a safer endeavors. We wish to welcome ogy.” In the exhibition all the major two day live course (7-8 July) on all those interested in mastering such achievements of modern endoscopy, hepatology and related technical different topics as IBD, hepatology, hepatology, and digestive oncology procedures, included 20 partici- or digestive endoscopy. For sure, the are highlighted, not only for public pants (trainees and young gastro- trainee, the newborn specialist or the awareness, but also for the profession- enterologists). recertified expert will find the precise als working in the hospital to realize • Continuing will be the Visiting moment to get together with us and what the new horizons in these areas Professor Program, which began help the WGO GIHep Porto Training are. Special emphasis was of course with Professor Shuji Shimizu Center flourish. made on the role of our department (Japan) for the establishment of in bringing these realities and expecta- telemedicine networking with the tions into our hospital and university. Training Center. The launching of the center awak- • In September we will hold the ened the media curiosity as Professor Hepatology Masterclass, a full Toouli made some comments and day lively discussion of 12 clinical statements for two national TV chan- cases with thorough pathological nels. Interest was increased by the fact discussion for 20 participants. 22 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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WGO Inaugurates New Training Centers in Addis Ababa and Lagos

Desmond Leddin, MD Chair, WGO Training Centers Committee Victoria General Hospital Halifax, Canada

In April 2015 two new WGO Train- municate with, and inaugurate, both ing Centers were opened in Africa. centers simultaneously. These centers are a welcome addition We were very fortunate to have re- to the existing African network of ceived support from Karl Storz Endos- centers in Morocco, Egypt, Sudan, copy. A generous donation of exper- and South Africa. tise and equipment has contributed The center in Addis Ababa, Ethiopia very significantly to the development was developed in partnership with the of these centers. The equipment in the University of Toronto, the Ethiopian Addis and Lagos centers is, as Dr. Liu Society of Gastroenterology, and the ruefully remarked, better than some University of Ethiopia. It is located of his equipment in Toronto. The gen- at the Tikur Anbessa (Black Lion) erosity of Storz, who have also partly Hospital in Addis. Dr. Shewaye Abate equipped the center in Khartoum, has Bane is the director. The University changed GI training in sub-Saharan of Toronto group, of which Dr. Louis Africa in a major way. Formerly there Liu is the leader for the GI program, were no centers between the Mediter- has been working with the University ranean and South Africa. There are in Addis Ababa for many years, not now four and the prospects for future Abebe Bekele (Black Lion Hospital CEO), Ara just in GI but also across the medicine centers are good. Sarkissian (Storz), James Toouli (WGO presi- dent), Nagi Checri (Storz), Des Leddin (WGO faculty. A residency-training program Training Center Director). has been developed which has recently graduated its first GI specialists. The center in Lagos, Nigeria is a partnership between the Nigerian Society of Gastroenterology and La- gos University. Located in the Lagos University Teaching Hospital, Dr. Funmilayo Lesi is the director and has led the initiative. The WGO President, Dr. James To- ouli, performed the formal inaugura- tion of both centers. Although only physically present in Addis Ababa, a video link to Lagos (established by the Coordinator of WGO’s E-Learn- Louis Liu (University of Toronto), James Toouli (WGO President), Des Leddin (WGO Training Cen- ing Network, Dr. Shuji Shimizu in ter Director), Abate Shewaye (University of Ethiopia), Ara Sakissian (Storz), Nagi Checri (Storz), Abdelmounem Abdo (Training Center director Khartoum) and Tiruwork Fikadu (Inaugurate GI Japan) allowed Dr. Toouli to com- graduate, current Ethiopian Association of Gastroenterology Vice President). 23 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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Inaugural Ceremony of the WGO Lagos Training Center

Olufunmilayo Lesi, MD WGO Lagos Training Center Director Society for Gastroenterology and Hepatology in Nigeria (SOGHIN) WGO Lagos Training Center - plaque pre- sented by WGO.

It was thus with great pride that the the center. Well over one hundred and Lagos Center was inaugurated as fifty people attended the ceremony. the 17th WGO training center (the Professor James Toouli (who to- first in West Africa) on Saturday, 18 gether with Des Leddin were connect- April 2015. This center is a collabora- ed via a live online platform (many tion of the WGO with the Society thanks to TEMDEC, Japan) affirmed Cutting the tapes. for Gastroenterology and Hepatol- that the goal of WGO in establish- ogy in Nigeria (SOGHIN), and the ing this training centers to promote Lagos University Teaching Hospital the highest standards of training in of South Africa, was present and ex- (LUTH). gastroenterology and endoscopy in the pressed delight at the occasion and his The inaugural ceremony took place region. Also representing WGO, Prof. commitment to education of fellows, at the Lagos University Teaching Damon Bizos, (Chair, WGO Train gastroenterologists and hepatologists Hospital, one of the oldest tertiary the Trainers) expressed his satisfac- in Africa. hospitals in Nigeria sub-serving a tion at the occasion. The Chairman As part of the inauguration activi- population of over 15 million people of the hospital management board, ties, Professor Patrick Okolo (John in Lagos, Nigeria. The hospital Chief Dr. Olatokunbo-Awolowo unveiled Hopkins Hospital, USA) delivered Medical Director, Professor Chris the special “WGO Lagos Training an exciting lecture on “Evolution and Bode, described the occasion as a center” plaque provided by the WGO current role of GI Endoscopy in clini- “landmark achievement.” He was secretariat. cal care”. In addition, an endoscopy- confident that the training center will Dr. ‘Funmi Lesi, the Lagos Training training workshop with hands-on “attract trainers and trainees from Center Director, highlighted the role training was conducted for trainees in within and outside Nigeria to create of the center in supporting sustain- medical and surgical gastroenterology and establish a vibrant endoscopy able manpower development in GI with international expert facilitators center of international repute.” In and enhancing the quality of digestive We acknowledge the management his welcome address, he noted that health care service rendered in Nigeria of LUTH for their outstanding sup- the first gastroenterological endo- and the sub-region. She particularly port and the Karl Storz (Germany) scopic procedures in West Africa were acknowledged the partnership of who have provided the state-of-the art performed within the walls of this the Gastroenterology Foundation endoscopic equipment to support and institution various decades ago. The of South Africa and their support in maintain three modern endoscopy establishment of the Training center providing international facilitators, or- suites in the Lagos training center. in Lagos is indeed appropriate. ganizing a complementary Training of It is often said that the journey of Professor Musa Borodo (SOGHIN trainers program and sponsoring the a thousand miles begins with one Chairman), prominent gastroenter- international postgraduate course for step. Thus the opening of the center ologist and hepatologists from all Nigerian trainees in association with was the first step. We look forward parts of the country, academic, com- the Lagos Training Center. Dr. Chris to a fruitful and long lasting col- munity and political leaders were in Kassianides, Founder and Chairman laboration with WGO as we raise the attendance to applaud the opening of of the Gastroenterology Foundation standards of training and practice of 24 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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practice of gastroenterology in Nigeria Funmi Lesi and the entire member- and the rest of the West African sub ship of SOGHIN on the formal open- region through uplifting the diagnos- ing of the Lagos Endoscopy Training tic and therapeutic expertise of gastro- Centre. The inauguration of this cen- enterologists in addressing the barrage ter, at this time, is taking place along- of gastrointestinal problems in this side 2 others in Africa and signifies a environment that haunt the practitio- most welcome renewed interest of the ner in this challenging specialty World Gastroenterology Organisa- While appealing to resident doctors tion in assisting the development of WGO representative, Professor Bizos, with SOGHIN and LUTH representatives. in specialty training and qualified Gastroenterology in our region. gastroenterologists to avail themselves AMAGE, the major affiliate of of the training opportunities to be WGO in our region, is committed to GI endoscopy in Nigeria and indeed provided by this center under the assisting with the development of the West Africa. guidance of its training committee, newly inaugurated centers and shall I would like to call on government, represent their interests in all relevant GOODWILL Message from the postgraduate medical collages of fora as required. The newly inaugu- Society for Gastroenterology and Nigeria and West Africa as well as all rated AMAGE Governing Board is Hepatology in Nigeria. (SOGHIN). relevant pharmaceutical and medical putting together a program of collabo- On this historic occasion of the Inau- equipment companies to support the ration and training to stimulate the guration of the WGO Lagos train- training activities of this center that further development of the National ing center, a collaboration between is full of promise so as to achieve its Gastroenterological Societies in our World Gastroenterology Organisation full potential, I wish all of us happy region and there is no doubt that (WGO), Lagos University teaching Inauguration! the instrumentality of these WGO hospital (LUTH) and Society for -Prof Musa M Borodo, President, Training Centers will be key in the Gastroenterology and Hepatology SOGHIN actualization of these plans. (SOGHIN), I am particularly glad, On behalf of the AMAGE Govern- on behalf of SOGHIN, to extend our GOODWILL Message from Africa ing Board, I wish you a most success- appreciations to the collaborating par- – Middle East Association of ful Inauguration and every success in ties for showing foresight in establish- Gastroenterology (AMAGE) the establishment of a virile Training ing the center, which is the first of its It is with a great pleasure and a sense Centre. Long live WGO, long live kind in the west African sub region. of history that I congratulate the AMAGE, and long live the Lagos It is envisaged that through the col- President of the Society of Gastroen- WGO Training Center. laboration of all parties concerned, the terology and Hepatology in Nigeria -Prof. Olusegun Ojo. President, center, through the regular training (SOGHIN), Professor Mohammed Africa Middle East Association of Gas- opportunities it would provide, would Musa Borodo, the Director of the troenterology (AMAGE) play a pivotal role in enhancing the WGO Lagos Training Center, Dr,

Group Pictures at WGO LTC inauguration ceremony suite. 25 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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WGO Exhibits Around the Globe in 2015

Each year the World Gastroenterology Organisation (WGO) exhibits at major GI meetings around the world. This year WGO will have exhibit booths at: Digestive Disease Week (DDW) 2015 in Washington, DC, USA; Gastro 2015: AGW- WGO International Congress in Brisbane, Australia; the American College of Gastroenterology (ACG) 2015 Annual Meeting in Honolulu, Hawaii, USA; and the United European Gastroenterology (UEG) Week in Barcelona, Spain. Stop by the WGO booth to learn about the WGO and its Foundation, becoming a member society and the benefits of membership, the Train the Trainers program, WGO’s 23 Training Centers around the world, the Training Center Partner Program, information on WGO Global Guidelines & Cascades, the Outreach Program, and the World Digestive Health Day (WDHD) campaign. Are you a WGO Member Society looking to pay your membership dues in person? Visit the WGO booth during Gastro 2015, ACG, or UEG Week to do so. Where and When to Find WGO

Gastro 2015 exhibit hours are: Monday, 28 September 2015 from 09:00 – 20:00 Tuesday, 29 September 2015 from 09:00 – 17:30 Wednesday, 30 September 2015 from 09:00 – 17:30 Thursday, 1 October 2015 from 09:00 – 17:30 Friday, 2 October 2015 from 09:00 – 10:30 Visit the WGO Pod, located outside Exhibition Hall 1!

ACG exhibit hours are: Sunday, 18 October 2015 from 14:00 – 17:00 Monday, 19 October 2015 from 09:30 – 16:00 Tuesday, 20 October 2015 from 0900 – 16:00 Visit WGO at Booth #836!

UEG exhibit hours are: Monday, 26 October 2015 from 09:00 – 17:00 Tuesday, 27 October 2015 from 09:00 – 17:00 Wednesday, 28 October 2015 from 09:00 – 14:00 Visit WGO at Booth #1 in Association Row, located in Hall 8.0!

We look forward to seeing you soon! 26 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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WGO Train the Trainers Workshop 2015 Taipei, Taiwan

Marco Arrese, MD President Chilean Society of Gastroenterology The Taiwan group of Trainers and Trainees Santiago, Chile with Drs. Damon Bizos (TTT Chair, WGO), James Toouli (President WGO), Jaw-Town Lin (President GI Society Taiwan), and Cheng-Tang Chiu (Organizing committee of TTT 2015). Rodrigo Zapata, MD Past President Chilean Society of Gastroenterology (USA), Eamonn Quigley (USA), Santiago, Chile Wei‑Kuo (Michael) Chang (Taiwan), Keng‑Liang (Kenny) Wu (Taiwan), Ming-Jen (Frank) Chen (Taiwan), Ming-Yao (Su) Su (Taiwan), Seng‑Kee (Paul) Chuah (Taiwan), and Ching‑Liang (Tony) Lu (Taiwan). Social activities included a visit to the National Palace Museum in Taipei A new edition of the exceptional the 17-module workshop focused on (which houses the world’s largest Train the Trainers (TTT) April 13- improving the abilities and education- collection of Chinese art treasures), a 16, 2015 WGO course was held in al skills of educators in the fields of cultural evening dinner with par- Taipei, Taiwan at the Chang Gung gastroenterology and hepatology. This ticipation of the trainees of many Health and Culture Village. The activity brought together renowned countries, and a farewell dinner. organizing committee of the World faculty members of the WGO The first Train the Trainers work- Gastroenterology Organisation (trainers) and participants (trainees) shop was held on the island of Crete, (WGO) and the local Gastroentero- from different countries and settings Greece in April 2001. Since then, logical Society of Taiwan (GEST) around the world, in an enabling en- more than 900 trainees have partici- prepared an excellent setting for this vironment to improve their potential pated in some of these courses, and nice workshop. for teaching. This was an interactive in many instances they have recre- This TTT 2015 was an interesting workshop, with lectures, small group ated their experience in their own and intensive four-day course with discussion, and hands-on sessions, giving the opportunity to everybody for an open discussion on many topics related to education, evidence-based medicine, critical appraisal, publica- tions, trial design, credentialing, pro- fessionalism and interpersonal skills and teamwork. The size of the activity is limited to around 50 participants, who are nominated by their member GI societies. The faculty for this 2015 course From left to right: Drs. Damon Bizos (TTT The winning group of the games, during TTT Chair, WGO), James Toouli (President WGO), included: James Toouli (Australia), (Sweetsop group) with Dr. Bizos and Quigley. Rodrigo Zapata (Chile), Marco Arrese (Chile), Damon Bizos (South Africa), Jaw-Town Lin (President GI Society Taiwan), David Bjorkman (USA), Kelly Cheng-Tang Chiu (Organizing committee of TTT 2015). Burak (Canada), Amy Oxentenko 27 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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Drs. Arrese and Zapata from Chile, present- From left to right: Drs. Rodrigo Zapata (Chile), After the final exam. Sweetsop trainee team, ing a power point during the cultural evening Alex Chu (Taiwan), Marco Arrese (Chile), and getting their certificate of participation with Dinner. Vivek Kaul (USA). the trainers: Drs. Amy Oxentenko, James Toouli, David Bjorkman, Eamonn Quigley, and Kelly Burak. countries. TTT was first developed home countries. It also has given us to and organized by the former WGO the possibility to exchange ideas and Education and Training Committee establish new bonds with other clini- and under the guidance of Professor cians, and now friends, from different James Toouli, the current president countries providing us with a unique of WGO. Over time, this unique cultural experience. and innovative workshop has proven “Thanks to the WGO and GEST for to be a highly successful method this great opportunity to learn of disseminating teaching skills to new and useful skills in education, gastroenterologists who hold training in a friendly setting and make Dr. Damon Bizos (South Africa) with trainees positions (Pre and Postgraduate) in new friends in Gastroenterology.” from Taiwan, Chile, and Pakistan. their countries. Our personal experience in this More pictures of the event are avail- TTT was wonderful. We were able able online at: http://www.gest.org. to gain experience and new skills, tw/TTT2015/. which we will implement back in our 28 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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WGO Train the Trainers Workshop 2015 Taipei, Taiwan

Ari F. Syam, MD, PhD, FACP Division of Gastroenterology, Department of Internal Medicine Universitas Indonesia Jakarta, Indonesia

Hasan Maulahela, MD Division of Gastroenterology, Department of Internal Medicine Universitas Indonesia Jakarta, Indonesia

In April 2015 we joined the WGO The Group Discussion Train the Trainers (TTT) program Group discussion is one of the most in Taipei, Taiwan. It was one of the effective ways of learning in adult most unforgettable experiences for education. It involves the trainer and us as gastroenterology trainers in the learner. During TTT, as partici- Indonesia. This program allowed us pants we experienced for ourselves to learn more about our teaching the group discussion process. During methods in gastroenterology, which breakout sessions, we were assigned to we do routinely in our practice. Also, small groups (which are comprised of The authors at the top spinning team building this program allowed us to learn other diverse nationalities) and were given activity. perspectives from different countries. specific tasks about each topic in a set period of time. We all came from dif- ferent backgrounds, but surprisingly each group came up with a good re- sult for the presentation. This process allowed us to experience the nature of group development from form- ing, storming, norming, performing, adjourning to mourning. Evidence Based Medicine and Critical Appraisal Currently there are an abundant number of publications in the field of gastroenterology. As trainers and clini- cians we need to sort which study will benefit our patients. Evidence Based Medicine is the approach that we must take. In TTT we were trained The authors at the National Palace Museum. to make a critical appraisal of a study and also to design a good clinical 29 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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study. This provided a practical and comprehensive method for Evidence Based Medicine and Critical Ap- praisal. Presentation and Communication skills As a teacher or trainer we often do presentations or lectures to give core materials to our students, but some- times we don’t really use the right presentation methods to achieve our goal. In this TTT the faculty dem- onstrated the most effective way for presentation. It is important for us as teachers because lecturing has a low The authors with local participants and faculty at WGO TTT in Taipei. Pictured left to right is retention rate in students, especially if Cheng-Hsin Chu (Taiwan), Ari F. Syam (Indonesia), Hasan Maulahela (Indonesia), Ching-Liang the presentation method is not good. (Tony) Lu (Taiwan), and Keng-Liang (Kenny) Wu (Taiwan). Teaching Procedural Skill As endoscopists we may do our New Methods for Teaching Overall the WGO Train the Train- procedures well and correctly, but to (e-Learning) ers program was very useful for us teach others to perform as we do is In recent years we have witnessed an gastroenterology teachers. With the another task. In the Teaching Proce- increasing number of new modalities extraordinary hospitality from the dural Skills workshop we learned the for our teaching, such as podcasts. Gastroenterological Society of Taiwan correct methods to teach the trainee. In this new topic the faculty dem- (GEST) as a host for this event, we This opportunity opened our horizons onstrated to us how to make a good feel very fortunate to have been able to the idea that verbalization of the podcast and other e-learning tools to participate in this event and we will procedure steps is important both for that will benefit both the teacher and spread the ideas in this workshops to the teacher and trainee. the student. our fellow gastroenterologists in our country.

30 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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THE INTERNATIONAL COALITION OF HEPATOLOGY EDUCATION PROVIDERS (IC-HEP) IS PLEASED TO PRESENT AN AUDIOCAST SERIES FOCUSED ON THE MANAGEMENT OF HEPATITIS C IN LATIN AMERICA. PRESENTED BY LEADING EXPERTS IN THE FIELD, THESE AUDIOCASTS PROVIDE EDUCATION TAILORED TO THE LATIN AMERICAN AUDIENCE. THE MANAGEMENT OF HEPATITIS C IN LATIN AMERICA Expert presentations delivered by:

JAVIER BRAHM, MD | ESTADO ACTUAL DEL MANEJO DE LA HEPATITIS C EN CHILE Presented in Spanish

HUGO CHEINQUER, MD | ESTADO ATUAL DO MANEJO DO HCV NO BRASIL Presented in Portuguese

MARCELO SILVA, MD | ESTADO ACTUAL DE LA HEPATITIS C EN LA ARGENTINA Presented in Spanish This initiative aims to connect physicians involved in the management and treatment of hepatitis C with the experts delivering the education. If you have any questions regarding the content of the presentations, or the management and treatment of HCV in your region, please send a request to [email protected] and you will be connected directly with one of the above experts.*

Visit www.IC-HEP.com to view these presentations and other hepatitis C related educational offerings.

Endorsed by: This activity is supported by educational grants from AbbVie, -Myers Squibb, and Gilead Sciences.

*NOTE: Initial email communications will be delivered to the general IC-HEP mailbox; they will be forwarded directly to each expert in order to establish contact. Please do not include any patient information until you receive a response directly from the selected expert.

THROUGH AN EDUCATIONAL COLLABORATION WITH THE WGO, THE INTERNATIONAL COALITION OF HEPATOLOGY EDUCATION PROVIDERS (IC-HEP) IS PLEASED TO PRESENT:

HCC: A Global Crisis Silent and Widely Ignored Webcast Presented by: DOUGLAS R. LABRECQUE, MD Hepatitis C Webcast Presented by: PROFESSOR AAMIR GHAFOOR KHAN MSc(G) DGM RCP&S(G) FRCP(Lond) FRCP(G)FRCP(Ed) FRCPI(Ire) FEBG(Eu) FRSM(UK)FACP(USA) FACG(USA) AGAF(USA)

Visit www.IC-HEP.com to view these presentations and other hepatitis C related educational offerings.

Endorsed by:

This activity is supported by educational grants from AbbVie, Bristol-Myers Squibb, and Gilead Sciences. 31 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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5th Bosnian-Herzegovinian Congress of Gastroenterology and Hepatology with International Participation - A Meeting Summary

of GASTROBiH 2015. Croat Mem- Milenko Bevanda, MD, PhD ber of the Presidency of Bosnia and Professor of Internal Medicine Herzegovina, Professor Dragan Covic, GASTROBiH2015 Congress president accepted high patronage of the con- Dean of Mostar University Medical School Head of Clinical Department of Gastroenterology at University Clinical gress. All major media outlets in the Hospital Mostar country had their journalists at the Mostar, Bosnia and Herzegovina venue and reported on the congress. More than 400 physicians, nurses/ technicians, and medical students The Gastroenterology and Hepa- the problems and dilemmas that we from 12 countries attended GAS- tology Association of Bosnia and face in everyday work. TROBiH 2015. Herzegovina is surely one of the most From 11-14 June 2015 we orga- We are extremely proud of all the active medical societies in the country. nized the 5th Bosnian-Herzegovinian eminent experts from the region Our congresses, conferences, schools, Congress of Gastroenterology and that accepted invitations; world symposia, and meetings are well Hepatology with International Par- famous names such as Franco Bazzoli known for their high professional and ticipation (GASTROBiH 2015) in (Italy), Moon Jae Chung (Republic scientific level. the beautiful and the charming city of of Korea), Leonid Lazebnik (Russia), We always try to bring latest knowl- Mostar. John O’Grady (), Istvan Racz edge in the fields of gastroenterology This was most important and big- (Hungary), Boris Vucelic (Croatia), and hepatology. In addition to the gest medical event that Mostar has and WGO Secretary General, Cihan topics from everyday clinical prac- ever hosted and we are very pleased Yurdaydin (Turkey), presented excel- tice, we devote attention to basic and that even people who are not involved lent lectures. translational research. Also, we discuss in medicine recognized the relevance In total 64 lectures were held, in- cluding a postgraduate course and the annual meeting of gastroenterology nurses and technicians. The congress began with a postgraduate course in inflamma- tory bowel disease. About 80 young doctors from throughout the whole region enthusiastically listened to 10 top-quality lectures. We especially want to thank Professor Vucelic who was the course director. The next three days of the congress were filled with great topics. The second day was dedicated to gastro- intestinal tract diseases, hepatology, and pancreatology. The third day of the congress, attendants could hear many interesting things in the field of inflammatory bowel diseases, viral Opening ceremony. hepatitis, and gastrointestinal oncol- 32 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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ogy and surgery, while the last day of the congress was left for free paper sessions and oral and poster presenta- tions on research abstracts. Our Scientific Committee accepted 24 abstracts and on the last day the best oral presentation and poster were selected. Vladimir Avramoski from the University Clinic of Gastroenterology in Skopje, Macedonia won the best Gastric cancer: Who is at risk? Inspired lec- It’s always interesting at IBD sessions: How ture by Professor Franco Bazzoli (Italy). long to treat patients in remission- clini- oral presentation award for his lecture cal challenge by Professor Ivan Jovanovic “Gave syndrome in patient with (Serbia). autoimmune liver cirrhosis-rare, but relevant possibility”. Zarko Ardalic from the Department of Gastroenter- ology and Hepatology at the Univer- sity Hospital Split in Split, Croatia with his poster “Treatment of morbid obesity with intragastric ” won the award for the best poster. We hope that all participants took home the most beautiful memories from Mostar. Our organizing committee is already preparing for new challenges and we wish to welcome you to our Annual Gastroenterology and Hepa- tology Meeting in Mostar in June 2016.

33 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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Portuguese Digestive Week 2015

José Cotter, MD, PhD President of the Portuguese Digestive Week 2015 President of the Portuguese Society of Gastroenterology Guimarães, Portugal

The Portuguese Digestive Week 2015 endoscopy training,” “Celiac disease Speech of Prof. José Cotter in the Portuguese Digestive Week 2015. was held in Oporto, Portugal from today,” “New diagnostic modalities in 10 to 13 June 2015 sponsored by the ultrasonography,” and “”Irritable bowel Sociedade Portuguesa de Gastroen- syndrome: a customized treatment?”. terologia (SPG), Sociedade Portugue- These topics enabled heated discus- sa de Endoscopia Digestiva (SPED), sion that enriched us scientifically and Associação Portuguesa para o Estudo allowed us to apply this information do Fígado (APEF), and Sociedade daily in our workplaces. Portuguesa de Gastroenterologia The first day of work was dedicated Hepatologia e Nutrição Pediátrica to the Post-Graduate course titled “In- (SPGP). flammatory Bowel Disease in Endosco- Close to 700 participants and 541 py.” It included four sessions, covering Prof. James Toouli’s presentation at the Por- tuguese Digestive Week 2015. submitted abstracts showed the high topics such as diagnostic procedures, interest in the congress. This achieved therapeutic approaches to IBD, and all the goals that the Organizing Com- endoscopic scoring systems. mittee had set for the meeting. We were honored by the presence of We had amongst us the presence WGO President, Prof. James Toouli, of renowned international special- who took the advantage of his visit ists who brought their opinions on to Portugal to inaugurate the WGO several controversial topics such as - GIHep Training Center in Porto. “What future to anticipate for diges- Professor Toouli spoke to participants tive endoscopy?,” “Auto-immune liver on the WGO’s vision and mission in disease and its challenges,” “Digestive digestive health. Prof. James Toouli and Prof. Guilherme Macedo in the audience at Portuguese Diges- tive Week 2015.

The Portuguese Society of Gastroenterology Governing Council elected (2015-2017). 34 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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International Gastroenterology Congress Report

Wilson Miriti Kiraitu, MD Chairman Scientific Congress Gastroenterology Society of Kenya Nairobi, Kenya Prof. Mark Topazian of Mayo Clinic, USA, prepares to demonstrate ERCP/EUS.

On behalf of the Gastroenterol- stration by leading experts. Basic to ogy Society of Kenya (GSK), I am advanced therapeutic endoscopy were pleased to report to WGO that we covered. Delegates were taken through held a hugely successful International variceal ligation, histoacyl injection, Gastroenterology Congress in Kenya. stricture dilation, biliary sphincter- It was a first in many ways: first of its otomy, and plastic and metal stents kind in Kenya, Eastern Africa, and placements. EUS was demonstrated to Prof. Thomas Carr of USA prepares to demon- indeed sub-Saharan Africa. senior level delegates. strate therapeutic endoscopy, stent insertion. The theme of the Congress was Evening satellite symposia saw Improving Care Standards in Gas- lively debates on the current treat- troenterology in the Eastern Africa ment of gastroesophageal reflux Region. Over one hundred delegates, disease (GERD), peptic ulcer disease drawn from Kenya, Tanzania, Ethio- (PUD), and dyspepsia. The last day pia, Uganda, Malawi, and Somali, was dedicated to the liver symposia. attended the three day Congress. The management of liver disease was The Congress brought together top comprehensively discussed in a multi- scholars, practicing gastroenterologists, displinary forum. and surgeons to discuss the current We sincerely thank the WGO, management of common, but difficult WEO, Kenyatta National Hospi- gastroenterological diseases. Among tal, University of Nairobi, and our Dr. Lee from Korea and Dr. Haytham from the international speakers were Profes- industry partners for their support in Egypt demonstrate histoacryl variceal injec- tion. sor Mark Topazian, Co-Chair of the enabling this congress to take place. WGO Endoscopy Interest Group, and Dr. Prasad Iyer from Mayo Clinic in Rochester, Minnesota, USA. Dr. Iyer discussed in detail the current treat- ment of esophageal cancer, including EMR and stenting. Esophageal cancer is the commonest cancer of males in Kenya. Professor Topazian gave state- of-the-art presentations on pancreatic cancers and obstructive jaundice. Professor Thomas Carr, also from the USA, presented an overview of diag- nostic and therapeutic endoscopy. The delegates were delighted with the two day live endoscopy demon- Faculty and delegates discuss a case. 35 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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36th Advances in Gastroenterology Course in Santiago, Chile

Marco Arrese, MD President Chilean Society of Gastroenterology Santiago, Chile

The Chilean Society of Gastroenterol- Frank Tacke, MD, PhD (University From Left to right: Francisco Ramirez, MD (Mayo Clinic), Andrés Cárdenas, MD (Univer- ogy successfully carried out its annual of Aachen, Germany), and Andres sity of Barcelona), Maria Ester Bufadel, MD postgraduate course held in San- Cardenas, MD, PhD (University of (President, Chilean GI Endoscopy Association), tiago, Chile on 8-10 July 2015. This Barcelona, Barcelona, Spain) who also Arnoldo Riquelme, MD (Vice-President, Chil- ean Society of Gastroenterology) and Roque activity was the 36th version of the spoke at the course of GI emergen- Saénz, MD (International Affairs, Chilean regular “Advances in Gastroenterol- cies. Highlights of DDW 2015 were Society of Gastroenterology). ogy” course that this year changed its provided by Francisco Ramirez, MD format by combining two highlights (Mayo Clinic, Scottsdale, USA) and of the most relevant gastroenterology Andres Gelrud, MD (University of and hepatology meetings held in the Illinois, Chicago, USA). All of them first half of the year, flanking a the- also spoke at the course on GI emer- matic course on GI emergencies. gencies. Thus, the most relevant content of The participation of European fac- the Digestive Diseases Week (DDW) ulty was possible due to the generous 2015 and the European Association support of international professional for the Study of the Liver (EASL) societies, such as the Latin American 2015 Liver Congress were reviewed Association for the Study of the Liver for the Chilean gastroenterology com- and EASL. Also, Drs. Ramirez and munity by a team of distinguished na- Gelrud contributed to the meeting tional and international faculty. This success as members of American Gas- new “three-in-one” format was an troenterological Association. attractive and interesting formula for With over 420 registered and excel- the audience judging by the excellent lent presentations of invited speak- evaluation of the activity. Major ad- ers, this conference was a relevant vances in liver diseases were reviewed educational activity for Chilean first by Markus Peck-Radosavljevic, gastroenterologists and also for physi- MD, (Medical University of Vienna, cians of other specialties that attended Markus Peck-Radosavljevic, MD, Secretary Austria) Secretary General of EASL, attracted by the course’s contents. General of the European Association for the Study of the Liver, addressing the audience during the course. 36 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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DDF 2015 - Reflections on the UK’s Second Federated Conference

Cathryn Edwards, MA (Oxon), DPhil, FRCP DDF Programme Committee Chair Torquay, UK

The first Digestive Disorders Federa- On the ground at the event however, tion (DDF) conference in the United the prevailing view seemed to be that Kingdom took place in 2012. For federated meetings are worth pursu- 2015 the federation welcomed the ing and that they deliver excellent Association of Coloproctology for integrated multidisciplinary program Great Britain and Ireland (ACPGBI) content for all members of the partner to the fold so in total we had five organizations, in an era when time to Podium Panel. member societies from across the attend clinical meetings in the UK is United Kingdom. The other member at a premium. societies are the Association of Upper Certainly, we kicked off the meet- correspondent Fergus Walsh, TV Gastrointestinal Surgeons (AUGIS), ing with a very well attended post- doctor Chris Steele and Ben Goldacre British Association of Parenteral graduate education day on GI cancer who authored Bad Science (a great and Enteral Nutrition (BAPEN), (>1,400 delegates) which was orga- read if you’ve not already read it). A British Association for the Study of nized by the trainee sections of the re- successful patient symposium hosted the Liver (BASL), and the British spective societies. That day concluded by CORE and the Bowel Disease Society of Gastroenterology (BSG). with a great session on the role of the Research Foundation also took place, Formal feedback on the second DDF media, doctors, and pharmaceutical focusing on bowel cancer screening conference held at the Excel, London companies in explaining health and and non-cancer priority questions for 22nd- 25th June is yet to be analyzed. disease. The speakers included BBC research, amongst other topics. Tuesday saw one of the highlights of the conference. The DDF plenary was opened with a key note address from Sir Bruce Keogh, NHS Eng- land’s Medical Director, who gave us his insights in to the future of the NHS and encouraged us to embrace technology and innovation. Thought- provoking and inspiring lectures were given on the 100,000 genome project by Professor Mark Caulfield; lessons from the theatre of war by Brigadier Professor Tim Hodgetts; and shaping the nationwide scientific agenda by Professor Mark Walport. The plenary was very well attended and received by those present and left everyone DDF plenary speakers. feeling inspired. 37 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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Then it was down to the nitty gritty for #DDF2015 and #ibdintheuk). of the conference with multiple paral- Looking to future meetings, the lel symposia on all aspects of gastroin- principle of holding a federated testinal and liver disease taking place. congress every three years needs to be There were almost 1,200 abstracts for evaluated by the members of all DDF delegates to feast their eyes on. The partner societies. Clearly, commit- posters were not separated by society ment to another meeting in 2018 so poster presenters found themselves now would allow us to build on the rubbing shoulders with members collaborative atmosphere of this year from other societies. Delegates took and refine and hone the program advantage of the chance to interact to reflect both the integrated nature with the authors during the lunch of the conference and the needs of hour and networked with like-minded individual partner societies. The desire colleagues. From Tuesday through to continue to work together in a col- Thursday at DDF 2015 there were laborative manner on educational and lunchtime poster judging rounds scientific content must come from the conducted by AUGIS, ACPGBI, grass roots memberships, not as a top BAPEN, BASL and BSG committee down strategy. members. Each and every poster was I enjoyed the process of chairing Shot of ExCel. judged so authors got the chance to the scientific program committee showcase their research and obtained enormously and thank all those in- feedback from experts in their field. volved in contributing to DDF2015. There were also posters of distinction, exhibition posters and video present- ers had tablets to show their videos to interested delegates. The Program Committee arranged integrated sessions between societ- ies on each day of the conference and delegates all came away with a better appreciation of what it is Audience shot. like for our colleagues when we call upon their services or ask for their advice. If judgement is to be made on attendance, then a busy confer- ence through to the last day suggests success. DDF 2015 was also our first attempt at a paperless conference augmented by the use of social media to increase delegate interaction (using a ‘Twitter Faculty’ to promote discus- sion and dissemination of session Poster area. content. For those interested search 38 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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with a Train the Trainers in Colonos- Upskilling in Colonoscopy copy. The course was very intense and hugely enriching for the local faculty, leaving us with a degree of confidence that we may be able to deliver an adequate up-skilling course on the Adam Boutall Monday. Over the weekend the in- Colorectal Surgeon ternational faculty had to endure two Groote Schuur Hospital, University of Cape Town “braais”, a super rugby game, a trip to South Africa Robben Island and of course a guided walk up Table Mountain. Monday dawned with a number of fresh faces as we prepared to deliver our inaugural colonoscopy up-skilling course under the watchful eye of the international faculty. Our delegates included Maseelan Naidoo and VG Naidoofrom Durban along with surgical and medical GI Fellows from Groote Schuur and Tygerberg Hospi- tal respectively. The up–skilling course outline en- tails an hour and a half of small group teaching sessions followed by hands on colonoscopy training. While a delegate performs colonoscopy under guidance by a faculty member in the endoscopy room, a digital visual and audio link to the seminar room allows Adam Boutall and Dion Levin. the rest of the delegates an opportuni- ty to observe and learn from the expe- Colonoscopy up-skilling has been Trainers course for a South African rience. A member of faculty stationed identified as an area that needs to be faculty. The South African faculty in the seminar room guides discussion developed in South Africa. Following would in turn present and run a 1 day and questions, allowing for real time a Train the Trainers in Wolverhamp- up-skilling course for a selected group learning to take place without disrupt- ton in June 2014 we felt that the of local delegates, under the super- ing the colonoscopy. The up-skilling time was right to attempt to develop vision of the UK faculty. With the course lasts one day allowing each del- capacity to run an up-skilling course help of the WGO and the BSG, Drs. egate to perform 2 colonoscopies and in South Africa. Surgical Innovations Brian McKaig, John Silcock and Mark observe another 10. After overcom- was approached to help fund a course Feeney agreed to be our expert UK ing the initial discomfort of having which would enable us to run similar faculty along with Sister Liz Hicks 6 delegates and members of faculty up-skilling courses in South Africa. who provided nursing leadership. observing and critiquing the delegate From the outset Surgical Innovations The South African faculty consisted performing a colonoscopy, it soon embraced the project and very gener- of Dion Levin, Adam Boutall, Claire becomes apparent that all delegates ously, in partnership with Olympus Warden, None Ramonate, Adam Mo- have similar gaps in knowledge. This UK, offered to sponsor the costs of hammed, Damon Bizos and Brendan facilitates a significant opportunity for the course. Bebbington, with Sandie Thomson accelerated learning. The concept was that expert UK making it all come together. Wednes- Although not part of the one day faculty would come to South Africa to day to Friday of the course involved up-skilling course per se, the Tuesday present and run a 3 day back to back the South African faculty undertaking of the overall course was dedicated to colonoscopy up-skilling and Train the an up-skilling course in conjunction all aspects of advanced polypectomy. 39 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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This final day included further super- vised colonoscopy followed by group discussion. The course was a huge success and a wonderful learning experience for all the participants. The broader objective however is to hold colo- noscopy upskilling courses in certain centers around the country, to impart knowledge, and improve the skills of colleagues performing colonoscopy. Plans are afoot to run another course in Cape Town and one in Johannes- burg before the end of the year. Thanks once again to Surgical Faculty and participants. Innovations and Olympus UK for sponsorship and Sandie Thomson for his tireless behind the scenes work. Reprinted with permission from the South African Gastroenterology Society. This article originally appeared in the August issue of the SA Gastroenterology Review.

40 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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WGO’s IBS Educational Offering is Now Available in Multiple Languages!

The French, German, Italian, and Spanish versions of WGO’s IBS educational program are ready for viewing!

Irritable Bowel Syndrome (IBS): What is it, what causes it and can I do anything about it? A Web-Based Educational Program for the General Public

This webcast, which was developed from the World Digestive Health Day 2012 Campaign “From Heartburn to Constipation - Common GI Symptoms in the Community: Impact and Interpretation”, will target those common symptoms most associated with irritable bowel syndrome (IBS) and will focus, in particular, on an approach to educate the general public on issues related to this condition. It is led by Professors Eamonn Quigley, USA, WGO Foundation Chair, Richard Hunt, UK, WGO Foundation Vice Chair, Pali Hungin, UK, and Anton Emmanuel, UK.

The webcast is available as a full program, as well as individual segments, so that you may choose which topics you would like to view. Segment 1 focuses on “What is IBS?” and “How to communicate symptoms to help the doctor make the right diagnosis.” Here the focus is on the various symptoms that may be experienced by the IBS sufferer and the various definitions of IBS used in clinical practice and in research are reviewed. Strategies that facilitate the best interaction between the sufferer and their doctor are discussed. In Segment 2 you will learn about “Progress in IBS” and “Could it be something else?” The various factors that might contribute to the development of symptoms are reviewed and the panel addresses what is often a major concern for the sufferer and their doctor: the fear of missing other diagnoses. Segment 3 will look at “What can I do to deal with my symptoms?” and “How about diet and dietary supplements?” The role of diet in IBS is a “hot” topic at present and the various ways that constituents of the diet might relate to symptoms are evaluated. And finally in Segment 4 “Managing IBS” and “Living with IBS” is discussed. Here there is good news for IBS sufferers both in terms of new, effective treatments and ongoing research for new approaches to managing IBS.

We hope that you will share this information with your colleagues, patients, followers on social media, and anyone else who might benefit from this important information. We thank you for your support of this program!

Click Here to Begin

Viewing the Webcast!

This webcast was created thanks to an unrestricted educational grant from WGO Global Guidelines

41 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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The Latest News in WGO Global Guidelines and Cascades

Anton LeMair, MD WGO Guidelines Project Amsterdam, The Netherlands

UPDATED & RELEASED WGO Guidelines Now Available on is thus the perception that there is an GUIDELINES IN 2015! the JCG Website! impediment to the normal passage WGO is pleased to provide a recap of The Journal of Clinical Gastroenterol- of swallowed material. To download the guidelines projects that have taken ogy (JCG), WGO’s official Journal, this guideline, click here! place so far in 2015! has so far published one of WGO’s The following guidelines were up- recently updated Guidelines, with a Gastro 2015 AGW-WGO dated this past year: second to soon be sent for publica- International Congress · Dysphagia, with updated transla- tion! Three guidelines, GERD, Esophageal tions in Spanish and Portuguese Dysphagia, now with Cascades and Varices, and Endoscope Disinfection, · Esophageal Varices, with updated available here, refers either to the will be presented during Gastro 2015 translations in Spanish, Portu- difficulty someone may have with the AGW-WGO International Congress. guese, Mandarin, and French initial phases of a swallow (usually de- Stay tuned for a special report in an · Hepatitis C, with updated transla- scribed as “oropharyngeal dysphagia”) upcoming issue of e-WGN! tions in Spanish, Portuguese, or to the sensation that foods and or Watch for future e-Alerts and issues of Mandarin, and French liquids are somehow being obstructed e-WGN as updates of new Guidelines · Hepatitis B, updated translations in their passage from the mouth to become available! coming soon the stomach (usually described as “esophageal dysphagia”). Dysphagia Later this year… A new Guideline – GERD – is in the final stages of review and will soon be ready for publication! This guideline is under the direction of Professors Richard Hunt (UK/Canada), David Armstrong (Canada), and Peter Kate- laris (Australia). We look forward to sharing this guideline with you soon! Under the guidance of Profes- sor Charles Bernstein (Canada), the Inflammatory Bowel Disease (IBD) guideline was recently updated and will be delivered for publication shortly! Additionally, guidelines on Irritable Bowel Syndrome and Celiac Disease are currently underway. 42 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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Global Guidelines & Cascades Homepage in Russian and Mandarin Don’t forget to view the Global Guidelines and Cascades homepage in Russian and Mandarin on the new WGO website! You may view the Russian page by visiting http://www. worldgastroenterology.org/guidelines/ global-guidelines/view-the-guidelines- in-russian or the Mandarin page here: http://www.worldgastroenterology. org/guidelines/global-guidelines/view- the-guidelines-in-mandarin Calendar of Events

43 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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WGO Calendar of Events

WGO-RELATED MEETINGS Gastro 2017 ACG-WGO World Argentine Congress of AND TRAIN THE TRAINERS Congress of Gastroenterology Gastroenterology and Digestive WORKSHOPS When: October 13-18, 2017 Endoscopy 2015 Location: Orlando, Florida, USA When: September 17-19, 2015 Gastro 2015 AGW-WGO Organizers: American College of Location: Convention Center, Shera- International Congress Gastroenterology and World Gastro- ton Hotel, Tucumán, Argentina When: September 28 - October 2, enterology Organisation Address: Centro de Convenciones, 2015 E-mail: info@worldgastroenterology. Sheraton Hotel, Tucumán, Av. Soldati Location: Brisbane Convention org 440, San Miguel de Tucumán, 4000 & Exhibition Centre, Brisbane, Tucumán, Argentina Queensland, Australia CALENDAR OF EVENTS Organizers: Federación Argentina de Organizers: Gastroenterological Soci- Gastroenterología (FAGE), Socie- ety of Australia and World Gastroen- SEPTEMBER 2015 dad Argentina de Gastroenterología terology Organisation (SAGE), and Federación Argentina de Colombian Congress of Digestive Website: www.gastro2015.com Asociaciones de Endoscopía Digestiva Diseases (FAAED) When: WGO Train the Trainers Workshop September 3-5, 2015 Phone: 54-381-4303832 Location: When: April 4-7, 2016 Hotel Dann Carlton, Bar- Fax: 54-381-4303832 Location: Antalya, Turkey ranquilla, Atlantico, Colombia E-mail: gastro2015@marcelasantoro. Organizers: Organizers: Turkish Society of Gas- Asociación Colombiana com / [email protected] troenterology and World Gastroenter- De Gastroenterologia and Asociación Website: www.gastro2015.com.ar ology Organisation Colombiana de Asociaciones del E-mail: info@worldgastroenterology. Aparato Digestivo (ACADI) XXV Central American and org Phone: (57-1) 6168315 (57-1) Caribbean Congress of Website: http://www.worldgastroen- 5300422 Gastroenterology and Digestive terology.org/train-the-trainers-future- E-mail: [email protected] Endoscopy and the XXIV Congress workshops.html Dominican Gastroenterology 15th Congress of When: September 17-20, 2015 Gastroenterology China (CGC) Gastro 2016 EGHS-WGO Location: Punta Cana, Dominican When: International Congress September 4-6, 2015 Republic Location: When: November 17-19, 2016 Meijiang Convention and Organizers: Sociedad Dominicana Location: Abu Dhabi, United Arab Exhibition Center, Tianjing, China De Gastroenterología and Asociación Organizer: Emirates Chinese Society of Gastro- Centroamericana y del Caribe de Gas- Organizers: Emirates Gastroenterol- enterology (CSG) troenterología Endoscopia Digestiva Phone: ogy & Hepatology Society and World +8610-8929 2552-821 Phone: 1-809 687-1515 Fax: Gastroenterology Organisation +8610-8515 8132 E-mail: [email protected] E-mail: E-mail: info@worldgastroenterology. [email protected] Website: www.sodogastro.com org Website: http://www.csge.org 44 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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OCTOBER 2015 XXI Russian Gastroenterological 21st National Annual Meeting on Week Gastroenterology 7th Congress of the Croatian When: October 12-14, 2015 When: November 12-14, 2015 Society of Gastroenterology with Location: Russian Presidential Acad- Location: Nghe An Province, Viet- International Participation emy of National Economy and Public nam When: 1-4 October 2015 Administration (RANEPA), Moscow, Address: Phuong Dong Hotel, No 2 Address: Hotel “4 Opatijska cvijeta,” Russia Truong Thi Street, Vinh City, Nghe Opatija, 51410, Croatia Address: Prospect Vernadskogo, 82, An Province, Vietnam Organizer: Croatian Society of Gas- Moscow, Russian Federation 119571 Organizer: Vietnam Gastroenterology troenterology Organizer: Russian Gastroenterologi- Association Website: www.hgd.hr ; www.mileni- cal Association Phone: 0917.405.121, Mr. Tran Dinh jhoteli.hr/ Phone: +7 (926) 213-25-52 Tr i E-mail: E-mail: Annual Meeting SGG – SGVC – alexander.trukhmanov@ [email protected] SASL 2015 gmail.com Website: http://www.gastro.ru 56th Annual Conference of Indian When: October 1-2, 2015 Society of Gastroenterology Location: Interlaken Congress Center, ACG 2015: Annual Scientific When: November 19-22, 2015 Switzerland Meeting & Postgraduate Course Address: Brilliant Convention Centre, Organizers: Swiss Society of Gas- When: October 16-21, 2015 Indore, Madhya Pradesh, 452014, troenterology (SGG), Swiss Society Location: Hawaii Convention Center, India of Visceral Surgery (SGVC), Swiss Honolulu, HI, USA Organizer: Indian Society of Gastro- Association for the Study of the Liver Address: 1801 Kalakaua Avenue, enterology (SASL), and Swiss Society of Endos- Honolulu, HI 96815, USA Phone: +91-7312362491 copy Nurses and Associates (SSNA) Organizer: American College of Gas- Fax: +91-7312470068 Website: www.sgg-sgvc-congress.ch troenterology (ACG) E-mail: [email protected] Phone: Website: 3rd Serbian Gastroenterology +1 301 263 9000 www.isgcon2015.org Fax: Congress with International +1 301 263 9025 E-mail: XIV Brazilian Week of Digestive Participation [email protected] Website: www.acgmeetings.gi.org When: November 21-25, 2015 When: October 8-10, 2015 Location: Curitiba, Paraná, Brazil Location: Belgrade, Serbia United European Gastroenterology Organizers: Federação Brasileira De Address: Hotel Crowne Plaza Bel- Week (UEGW) Gastroenterologia, Sociedade Brasilei- grade, Vladimira Popovića St No.10, When: October 24-28, 2015 ra de Endoscopia Digestiva (SOBED), 11070 Novi Beograd, Serbia Location: Fira de Barcelona, Barce- and Colégio Brasileiro de Cirurgia Organizer: Association of Serbian lona, Spain Digestiva (CBCD) Gastroenterologists (ASG) Organizer: United European Gastro- Website: www.sbad2015.com.br Phone: +381 63 247770 enterology (UEG) Fax: +381 11 3615587 E-mail: [email protected] Iranian Congress of E-mail: [email protected] Website: www.ueg.eu/week Gastroenterology and Hepatology Website: www.ugs.rs When: November 24-27, 2015 NOVEMBER 2015 Location: West Saheli Avenue, Con- JDDW 2015 - Japan Digestive gress Complex of Shiraz University, Disease Week 2015 33rd Czech and Slovak Congress Shiraz, Iran When: October 8-11, 2015 of Gastroenterology Organizers: Iranian Association of Location: Grand Prince Hotel New When: November 12-14, 2015 Gastroenterology and Hepatology Takanawa, Tokyo, Japan Location: Prague, Czech Republic (IAGH), Fars Branch of IAGH, Gas- Organizer: Organization of JDDW Organizer: Czech Society of Gastro- troenterohepatology Research Center Website: http://www.jddw.jp/ enterology (GEHRC) jddw2015/en/index.html Website: http://www.gastropra- E-mail: [email protected] ha2015.cz/ 45 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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NZSG Annual Scientific Meeting 8th Hepatology and FEBRUARY 2016 2015 Gastroenterology Post Graduate When: November 25-27, 2015 Course 23rd Annual Convention and Location: Energy Events Centre, When: December 10-11, 2015 Scientific Seminar Rotorua, New Zealand Location: Conrad Hotel, Cairo, Egypt When: February 5-7, 2016 Address: 99 The Terrace, 6012 Wel- Course Director: Prof. Ibrahim Location: Pan Pacific Sonargaon lington, New Zealand Mostafa Hotel Organizer: New Zealand Society of Phone: +20 12 22113466 Address: 107 Kazi Narul Islam Gastroenterology Fax: +20 2 23953822 Avenue Phone: 04 4608126 E-mail: ibrahimmostafa@egyptgastro- Dhaka 1225 Bangladesh, Bangladesh E-mail: [email protected] hep.com Organizer: Bangladesh Gastroenterol- Website: www.gastro2015.co.nz Website: http://www.egyptgastrohep. ogy Society com/post-graduate-course/ Telephone: +88029128008 XLII Chilean Congress of Email: gastroenterologysociety_bd@ Gastroenterology SMMAD National Congress yahoo.com When: November 25-27, 2015 When: December 10-12, 2015 Website: http://bgs-bd.org/ Address: Centro de Convenciones Location: Hotel Palm Plaza, Mar- Enjoy del Mar, Viña del Mar, Chile rakech, Morocco 5th SSG International Conference Organizer: Sociedad Chilena de Gas- Organizer: Société Marocaine des When: February 6-8, 2016 troenterología (SCHGE) Maladies de l’Appareil Digestif Address: Ibnsina Specialized Hospital, Phone: +56 2 2342 5004 E-mail: smmad.secretariat@gmail. Alamarat st17, Khartoum 12217, Fax: +56 2 2342 5005 com Sudan E-mail: [email protected] Website: http://smmad-ma.com/ Organizer: Sudanese Society of Gas- Website: www.sociedadgastro.cl troenterology (SSG) JANUARY 2016 Phone: 00249-183-461796 DECEMBER 2015 E-mail: [email protected] 14th SGA Annual Meeting & 3rd Website: http://www.ssgsudan.org APDW 2015 SASLT Meeting When: December 3-6, 2015 When: January 20-21, 2016 Canadian Digestive Diseases Location: Taipei International Con- Location: Al Faisaliah Hotel, King Week (CDDW 2016) vention Center Fahd Road, Riyadh, Saudi Arabia When: February 26-29, 2016 Address: No. 1, Section 5, Xinyi Rd, Organizers: Saudi Gastroenterology Location: Fairmont Queen Elizabeth Taipei, Taiwan Association (SGA) and Saudi Associa- Hotel Organizer: The Gastroenterological tion for the Study of Liver diseases Address: 900 Rene Levesque Blvd., Society of Taiwan and Transplantation Montreal, QC H3B 4A5, Canada Website: http://www.apdw2015.org/ Phone: +966 564 412 595 Organizer: Canadian Association of E-mail: [email protected] Gastroenterology VII Latvian Gastroenterology Website: http://www.saudigastro.net Phone: 905-829-2504 Congress with International E-mail: [email protected] Participation Website: http://www.cag-acg.org/ When: December 5, 2015 cddw Address: Riga Congress Center, 5 Kr. Valdemara str., Riga, Latvia Organizers: Latvian Association of Gastroenterologists and Gastroenter- ology Support Society Phone: + 371 29 527 746 Fax: + 371 67 303 160 E-mail: [email protected] Website: www.lgk7.com 46 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015

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APRIL 2016 SEPTEMBER 2016 OCTOBER 2017

WGO Train the Trainers Workshop Pan American Digestive Disease JDDW 2017 - Japan Digestive When: April 4-7, 2016 Week Disease Week 2017 Location: Antalya, Turkey When: September 10-13, 2016 When: October 12-15, 2017 Organizers: Turkish Society of Gas- Location: Convention Center of Location: Fukuoka, Japan troenterology and World Gastroenter- Cartagena de Indias, Colombia Organizer: Organization of JDDW ology Organisation Organizer: Pan-American Gastroen- Website: http://www.jddw.jp/english/ E-mail: info@worldgastroenterology. terology Organization (OPGE) index.html org Phone: +57 1 6168315 Website: http://www.worldgastroen- Fax: +57 1 6162376 NOVEMBER 2018 E-mail: terology.org/train-the-trainers-future- [email protected] JDDW 2018 - Japan Digestive Website: workshops.html http://www.opge.org Disease Week 2018 The 5th International Forum OCTOBER 2016 When: November 1- 4, 2018 When: April 22-23, 2016 Location: Japan Location: Keio Plaza Hotel Tokyo ACG 2016 Annual Scientific Organizer: Organization of JDDW Address: 2-2-1 Nishi-Shinjuku, Shin- Meeting & Postgraduate Course Website: http://www.jddw.jp/english/ juku-Ku, Tokyo, 160-8330, Japan When: October 14-19, 2016 index.html Organizer: The Japanese Society of Location: Venetian Resort, Las Vegas, Gastroenterology NV, USA Phone: +81-3-3508-1214 Organizer: American College of Gas- Fax: +81-3-3508-1302 troenterology (ACG) E-mail: [email protected] Website: http://www.gi.org/ JUNE 2016 NOVEMBER 2016

58th Annual Meeting of HSG Asian Pacific Digestive Week When: June 4-7, 2016 (APDW) 2016 Location: Hotel Azúr Siófok When: November 2-5, 2016 Address: Erkel F.u.2/c Location: Kobe Convention Center, Siófok 8600 HungaryOrganizer(s): Kobe, Japan Hungarian Society of Gastroenterol- Organizer: Organization of JDDW ogy (HSG) Website: www.apdw2016.org Telephone: +36 1 2015 1224 JDDW 2016 - Japan Digestive Fax: +36 1 476 0634 Disease Week 2016 Email: [email protected] When: November 3-6, 2016 Website: http://www.gastroenter.hu Location: Kobe Convention Center, Kobe, Japan Organizer: Organization of JDDW Website: http://www.jddw.jp/english/ index.html

WGO MEMBER SOCIETIES SUBMIT YOUR EVENT Are you a WGO Member Society wanting to share your event with WGO readers? Visit http://www.worldgastroen- terology.org/forms/submit-event.php to submit your event for publication in WGO’s website conference calendar as well as the quarterly e-WGN calendar of events! We’ve ticked all the boxes... work play Diverse scientific program Koala sanctuary Leading international speakers Inner city beach Unique workshops Theatre, galleries, live music Relaxed, friendly environment Eat street markets and fine dining

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Brisbane, Queensland, Australia | 28 September - 2 October 2015