Annual Scientific Meeting & Postgraduate Course

AMERICAN COLLEGE OF GASTROENTEROLOGY Annual Scientific Meeting & Postgraduate Course

Preliminary Registration Program

acgmeetings.gi.org OCTOBER 25–30, 2019 | Henry B. Gonzalez Convention Center, San Antonio, TX Join Your GI Colleagues at ACG 2019 ACG 2019 ACG 2019 pre-registration deadline Late-Breaking Friday, October 18th, 2019 REGISTER ONLINE AT: ACGMEETINGS.GI.ORG Abstracts  Cutoff Date for Hotel Reservations at the Group Rate: WEDNESDAY, OCTOBER 2, 2019 TABLE of CONTENTS Message from the ACG President...... 1 General Information Schedule-at-a-Glance...... 2 Registration and Pricing Information...... 4 General Information...... 6 AGAIN THIS YEAR, ACG will consider late-breaking abstracts Housing and Travel Information...... 7 Explore San Antonio and More...... 9 of high quality clinical research results for presentation during the Special Events & Receptions...... 10 Late-Breaking Abstracts Ad ACG Auxiliary Events and Tours...... 11 GI Fellows-in-Training Events...... 12 Annual Scientific Meeting. ACG will consider extending the program Featured Lectures...... 13 Hands-On Endoscopy Workshop Center...... 14 to create a few additional oral presentation slots in response to Educational Programs Needs Assessment, Faculty Disclosure Requirements...... 15 submissions of great merit and clinical interest. Three-Day Clinical Review Overview...... 17 Friday Courses: • GI Pathophysiology Course...... 18 Please do not resubmit abstracts already considered during the regular 2019 abstracts review process. • What’s New in GI Pharmacology Course...... 19 • Roadmap for a Successful Community or Academic GI Practice Course...... 20 • ASGE Postgraduate Course...... 22 Annual Postgraduate Course...... 25 Annual Postgraduate Course Faculty Listing...... 30 Annual Scientific Meeting...... 31 Annual Scientific Meeting Faculty Listing...... 42 Deadline to submit late-breaking abstracts: Poster Presentations Poster Presentation Times...... 44 TUESDAY, SEPTEMBER 3, 2019 Sunday, October 27, Posters P0001 – P0905...... 45 Monday, October 28, Posters P0906 – P1809...... 91 11:59 pm Eastern Time Tuesday, October 29, Posters P1810 – P2713...... 137 Exhibit Hall...... 183

Deadline to submit late-breaking abstracts: TUESDAY, SEPTEMBER 3, 2019 11:59 pm Eastern Time acgmeetings.gi.org/late-breaking-abstracts acgmeetings.gi.org/late-breaking-abstracts worldcongressACG2017.orgSee page 184 for more information. Join Your Colleagues in San Antonio for ACG 2019 The Premier GI Clinical Event of the Year!

Dear Colleagues, It is my great pleasure to invite you to ACG 2019, the American The ACG Annual Scientific Meeting is the ONLY major GI meeting College of Gastroenterology's Annual Scientific Meeting and that is still offered as a member benefit at no extra charge. Postgraduate Course, which is the premier GI clinical event of the ACG members also receive discounted registration rates for the year. This year ACG returns to beautiful San Antonio at the Henry Postgraduate Course and Friday courses. One reason the College B. Gonzalez Convention Center for courses and scientific plenary can continue to offer this as a member benefit is the participation sessions with a focus on the educational needs and priorities of of exhibitors at the meeting. Exhibitor participation in the Exhibit clinical GI practitioners. Internationally known faculty and rising Hall, as well as exhibitor sponsorship and promotion, helps to stars in the fields of gastroenterology and hepatology will deliver offset costs for the meeting. Without their support, the meeting the latest clinical updates on common and not-so-common GI in its current form would not be possible. Exhibitor participation disorders, as well as what is on the horizon that may impact your also gives you the opportunity to learn the latest information practice. Get the answers you seek, exchange ideas with fellow about their products without disrupting your busy work schedule. colleagues, learn the latest clinical updates, and gain insight from I encourage every attendee to visit the Exhibit Hall while at the experts at ACG 2019. ACG 2019, take advantage of all that you can see and learn, and express your appreciation to exhibitors for their participation at The scientific program, course agendas, and symposia have been the meeting. planned for GI physicians and their non-physician colleagues by members of ACG’s Educational Affairs Committee whose The Exhibit Hall Opening Reception will be held on Sunday, experience and insights inform the College’s educational October 27th, immediately following the Postgraduate Course. priorities. The Committee has designed ACG 2019 to cover the This event provides an opportunity for PG Course registrants topics of greatest importance to you. to mix and mingle with colleagues while browsing the Hall and viewing the posters being presented. Those registered for The College seeks to meet the needs of busy GI clinicians the Annual Scientific Meeting are also invited to this evening and offers flexible options to maximize your education while reception. minimizing the time away from practice. You can customize your schedule to attend one day for one or more of the special Friday Once again in 2019, the College will be all-digital with faculty courses, two days for the Postgraduate Course, three days for the presentations for ALL courses available through the ACG meeting Annual Scientific Meeting, or a combination of the three. At ACG app. Charge your phone, tablet, or laptop and bring it with you 2019, you won’t find dozens of concurrent sessions so you won’t to ACG 2019 to view speaker slides during the presentations, and miss any important topics relevant to your practice. take notes within the app.

ACG 2019 delivers many benefits to attendees: I urge you to join me in San Antonio, on October 25th through the 30th. You will return to the office re-energized about your Numerous educational sessions that will provide ways to profession having expanded your knowledge and reconnected enhance patient care and improve efficiency in your practice with colleagues. Registration and housing for ACG 2019 are now Earn CME and MOC credit for all courses open. You can find more information beginning on page 4. Learn

Cutting-edge research presented by colleagues from the more about what to do and see in San Antonio on page 9. U.S. and abroad Sincerely, Networking events to connect with old colleagues and make new contacts

An exhibit hall showcasing the latest advances in technology and therapeutics

ACG’s popular FREE Hands-On Workshop Center returns! Located in the Exhibit Hall, leading experts will demonstrate the Sunanda V. Kane, MD, MSPH, FACG, latest tools and techniques using the most advanced devices and ACG President equipment. Pre-registration for the hands-on sessions will take place on-site in San Antonio. The Hands-On Workshop Center P.S. Follow ACG on Twitter @AmCollegeGastro will be open beginning Sunday, October 27th. See page 14 for and tag social media posts #ACG2019 more information.

For more information on ACG 2019 and to register, visit acgmeetings.gi.org / 1 Schedule at-a-glance

FRIDAY, OCTOBER 25 SUNDAY, OCTOBER 27

Registration Registration 6:00 am – 5:00 pm 7:00 am – 6:30 pm Main Lobby (Street Level) Main Lobby (Street Level)

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

GI Pathophysiology Course Postgraduate Course 7:00 am – 12:30 pm 7:50 am – 5:00 pm Stars at Night Ballroom - B2 Stars at Night Ballroom Optional Learning Luncheons ASGE Endoscopy Course 7:30 am – 4:30 pm 12:20 pm – 1:35 pm (pre-registration required) Stars at Night Ballroom - B4 Room number will be listed on your badge. Roadmap for a Successful Community Trainees' Luncheon 7:30 am – 5:00 pm or Academic GI Practice Course 12:20 pm – 1:35 pm (pre-registration required) Room 301 (Ballroom Level) Room 305 (Ballroom Level) What’s New in GI Pharmacology Course Exhibit Hall Opens 1:45 pm – 5:15 pm 3:00 pm – 7:00 pm Stars at Night Ballroom - B2 Exhibit Halls 3 and 4 (Street Level)

Trainees’ Workshop: Navigating, Networking, and Scientific Poster Sessions 5:00 pm – 8:15 pm Negotiating Your First Job 3:30 pm – 7:00 pm (Authors Present from 5:15 pm - 6:30 pm) Room 302AB (Ballroom Level) Exhibit Halls 3 and 4 (Street Level)

Advanced Practice Provider Reception SCOPY Awards Reception and Workshop 5:15 pm – 6:00 pm 3:30 pm – 5:00 pm Room 224 (Meeting Level) Room 303A (Ballroom Level)

Hands-On Endoscopy Workshop Center 3:30 pm – 7:00 pm Exhibit Halls 3 and 4 (Street Level) SATURDAY, OCTOBER 26 Women and Minorities in GI Reception 5:15 pm – 6:00 pm Registration Room 303C (Ballroom Level) 7:00 am – 5:15 pm Main Lobby (Street Level) International Attendee Reception 5:15 pm – 6:00 pm Continental Breakfast for Postgraduate Room 303B (Ballroom Level) 7:00 am – 7:50 am Course Attendees Stars at Night Ballroom Lobby Exhibitor Theater 5:15 pm – 6:00 pm Exhibit Halls 3 and 4 (Street Level) Postgraduate Course 7:50 am – 5:00 pm Stars at Night Ballroom Scientific Poster Authors Present / 5:15 pm – 6:30 pm Poster Rounds With the Experts David Sun Lecture Exhibit Halls 3 and 4 (Street Level) 10:00 am – 10:30 am Stars at Night Ballroom Exhibit Hall Opening Welcome Reception 5:15 pm – 7:00 pm Optional Learning Luncheons Exhibit Halls 3 and 4 (Street Level) 12:20 pm – 1:35 pm (pre-registration required) Room number will be listed on your badge. Exhibitor Theater 6:15 pm – 7:00 pm Exhibit Halls 3 and 4 (Street Level) Career Opportunities for Women in 12:20 pm – 1:35 pm GI Luncheon Room 305 (Ballroom Level)

GI Jeopardy Competition 5:15 pm – 7:00 pm Room 301 (Ballroom Level)

2 \ 2019 Annual Scientific Meeting & Postgraduate Course MONDAY, OCTOBER 28 TUESDAY, OCTOBER 29

Registration Registration 6:00 am – 5:00 pm 6:00 am – 5:00 pm Main Lobby (Street Level) Main Lobby (Street Level) INFORMATION Optional Breakfast Sessions Optional Breakfast Sessions GENERAL 6:30 am – 7:45 am (pre-registration required) 6:45 am – 8:15 am (pre-registration required) Room number will be listed on your badge. Room number will be listed on your badge.

Hands-On Workshop Center - Trainee-Only Sessions Simultaneous Plenary Session 2 7:45 am – 9:30 am 8:30 am – 10:00 am Exhibit Halls 3 and 4 (Street Level) Stars at Night Ballroom

Presidential Plenary Session 1 Exhibit Hall Open 8:00 am – 9:00 am 10:00 am – 4:30 pm Stars at Night Ballroom Exhibit Halls 3 and 4 (Street Level)

Presidential Address J. Edward Berk Distinguished Lecture 9:00 am – 9:30 am 10:05 am – 10:35 am Stars at Night Ballroom Stars at Night Ballroom - B2

Presidential Plenary Session 2 Hands-On Endoscopy Workshop Center 9:30 am – 10:30 am 10:05 am – 4:30 pm Stars at Night Ballroom Exhibit Halls 3 and 4 (Street Level)

Exhibit Hall Opens Break—Visit the Exhibit Hall and Browse Posters 10:00 am – 4:45 pm 10:35 am – 11:30 am Exhibit Halls 3 and 4 (Street Level) Exhibit Halls 3 and 4 (Street Level) Hands-On Endoscopy Workshop Center 10:15 am – 4:45 pm Exhibitor Theater Exhibit Halls 3 and 4 (Street Level) 10:35 am – 11:30 am Exhibit Halls 3 and 4 (Street Level) Break – Visit the Exhibit Hall and Browse Posters 10:30 am – 11:30 am Simultaneous Symposia Session 3 Exhibit Halls 3 and 4 (Street Level) 11:30 am – 12:45 pm Stars at Night Ballroom Exhibitor Theater 10:30 am – 11:30 am Exhibitor Theater Exhibit Halls 3 and 4 (Street Level) 12:45 pm – 1:20 pm Exhibit Halls 3 and 4 (Street Level) Simultaneous Symposia Session 1 11:30 am – 12:45 pm Stars at Night Ballroom Lunch Break / Browse Posters 12:45 pm – 2:15 pm (Authors Present from 1:00 pm - 2:15 pm) Exhibit Halls 3 and 4 (Street Level) ACG-FDA Public Forum 12:45 pm – 2:15 pm Room 303 (Ballroom Level) Exhibitor Theater 1:40 pm - 2:15 pm Exhibitor Theater Exhibit Halls 3 and 4 (Street Level) 12:45 pm – 1:20 pm Exhibit Halls 3 and 4 (Street Level) Simultaneous Plenary Session 3 2:15 pm – 3:45 pm Lunch Break / Browse Posters Stars at Night Ballroom 12:45 pm – 2:15 pm (Authors Present from 1:00 pm - 2:15 pm) Exhibit Halls 3 and 4 (Street Level) Break – Visit the Exhibit Hall and Browse Posters 3:45 pm – 4:30 pm Exhibit Halls 3 and 4 (Street Level) GIQuIC - Measuring and Improving Quality in Clinical Practice Luncheon Emily Couric Memorial Lecture 1:00 pm – 2:00 pm 4:30 pm – 5:00 pm (pre-registration required) Stars at Night Ballroom - B2 Room number will be listed on your badge. Simultaneous Symposia Session 4 Exhibitor Theater 5:10 pm – 6:25 pm 1:40 pm - 2:15 pm Stars at Night Ballroom Exhibit Halls 3 and 4 (Street Level)

Simultaneous Plenary Session 1 2:15 pm – 3:00 pm Stars at Night Ballroom WEDNESDAY, OCTOBER 30

The American Journal of Gastroenterology Lecture Registration 3:15 pm – 3:45 pm 6:30 am – 12:15 pm Stars at Night Ballroom - B2 Main Lobby (Street Level)

Break – Visit the Exhibit Hall and Browse Posters Optional Breakfast Sessions 3:45 pm – 4:45 pm Exhibit Halls 3 and 4 (Street Level) 6:45 am – 8:15 am (pre-registration required) Room number will be listed on your badge. Exhibitor Theater 3:45 pm – 4:45 pm Simultaneous Plenary Session 4 Exhibit Halls 3 and 4 (Street Level) 8:30 am – 10:15 am Stars at Night Ballroom How to Get Published: ACG Journal David Y. Graham Lecture 4:00 pm – 5:00 pm Editors' Roundtable 10:20 am – 10:50 am Room 303 (Ballroom Level) Stars at Night Ballroom - B2

Simultaneous Symposia Session 2 Simultaneous Symposia Session 5 4:45 pm – 6:00 pm 11:00 am – 12:15 pm Stars at Night Ballroom Stars at Night Ballroom

ACG Annual Business Meeting 6:00 pm - 6:30 pm Stars at Night Ballroom - B2

PRE-REGISTRATION INFORMATION ON-SITE REGISTRATION Registration for ACG 2019 is online only at our secure website, acgmeetings.gi.org. You may register on-site at the Pre-registration will remain open until Friday, October 18. After this date, on-site the Main Lobby section of the registration will be required. For questions regarding registration, contact ACG Meeting Center beginning on Friday, Services at [email protected]. limited space available. recommended.

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

BEST VALUE! Three-Day Clinical Review Three-Day Clinical Review & Postgraduate Course & Annual Scientific Meeting (GI Pathophysiology Course, What's New in GI Annual Scientific Meeting Pharmacology Course, and Postgraduate Course) (GI Pathophysiology Course, What's New in GI Pharmacology Course, Postgraduate Course, and ACG 2019 Annual Scientific Meeting) ACG Member Type Price ACG Member Type Price

ACG Member Type Price Physician $850 Physician $500

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

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

Advanced Practice Provider / Associate $650

ACG MEMBER À LA CARTE OPTIONS

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

GI Pathophysiology Course $225 $200 $200 (Friday, October 25, half-day, morning program)

What’s New in GI Pharmacology Course $225 $200 $200 (Friday, October 25, half-day, afternoon program)

Roadmap for Successful Community or Academic GI Practice Course $275 $75 $200 (Friday, October 25, all day program)

ASGE Endoscopy Course $395 $200 $200 (Friday, October 25, all day program)

Postgraduate Course $500 $0 $320 (Saturday and Sunday, October 26 and 27)

Annual Scientific Meeting $0 $0 $0 (Monday-Wednesday, October 28-30)

4 \ 2019 Annual Scientific Meeting & Postgraduate Course REGISTRATION and PRICING INFORMATION INFORMATION GENERAL

ON-SITE REGISTRATION CANCELLATION ACG 2019 Registration Desk in Written notice of cancellation and requests for refunds must be sent to Henry B. Gonzalez Convention [email protected] by October 2. There will be a $50 administrative fee for October 25. Some sessions have cancellation of paid events. Refunds will be issued after the meeting. After this date, Pre-registration is strongly no refunds will be possible. Registration cancellations are not accepted by telephone.

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

Non-Member Type Price Physician $1050 Physician $1000

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

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

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

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

GI Pathophysiology Course $275 $275 $250 $250 (Friday, October 25, half-day, morning program)

What’s New in GI Pharmacology Course $275 $275 $250 $250 (Friday, October 25, half-day, afternoon program)

Roadmap for Successful Community or Academic Practice Course $325 $325 $250 $250 (Friday, October 25, all day program)

ASGE Endoscopy Course $495 $495 $250 $250 (Friday, October 25, all day program)

Postgraduate Course $620 $620 $280 $550 (Saturday-Sunday, October 26-27)

Annual Scientific Meeting $500 $500 $0 $300 (Monday-Wednesday, October 28-30)

PRE-REGISTRATION NOW OPEN Companies that exhibit include pharmaceutical manufacturers, Pre-registration for ACG 2019 is available online only at the medical instrument suppliers, research companies, technology meeting's secure website, acgmeetings.gi.org. companies, publishers, non-profit organizations, recruiters, and more. Pre-registration will remain open until Friday, October 18. After this date, on-site registration will be required. For questions regarding registration, contact Meeting Services at THE ACG STORE Visit the Store while at the meeting to purchase promotional [email protected] or 301-263-9000. items from ACG.

ON-SITE REGISTRATION You may register on-site at the ACG 2019 Registration Desk ON-SITE CHILD CARE in the Main Lobby (Street Level) of the Henry B. Gonzalez Visit San Antonio recommends the following company for on-site child care services: Convention Center beginning at 6:00 am on Friday, October 25. Some sessions have limited space available. Pre-registration • Northside Sitters Club: northsidesittersclub.com is strongly recommended. Private Nursing Rooms: The Henry B. Gonzalez Convention CANCELLATION Center offers dedicated private rooms for nursing mothers. Written notice of cancellation and requests for refunds must Please stop by the ACG registration desk for details. be sent to [email protected] by Wednesday, October 2. After this date, no refunds will be possible. Registration ABOUT ACG cancellations are not accepted by telephone. There will be The American College of Gastroenterology is a recognized a $50 administrative fee assessed for cancellation of paid leader in educating GI professionals and the general public events. Refunds will be issued after the meeting. about digestive disorders. Our mission is to advance world- class care for patients with gastrointestinal disorders through MEETING MATERIALS excellence, innovation, and advocacy in the areas of scientific Meeting materials, including attendee badges and bags, will be investigation, education, prevention, and treatment. To learn available for pick-up on-site at the ACG 2019 Registration Desk more about ACG, visit our website at gi.org. beginning on Friday, October 25. Attendees who are registered for the Postgraduate Course will also receive a complimentary ABOUT SAN ANTONIO copy of the 2019 Self-Assessment Test (SAT) book. Attendees and their families will find plenty of attractions in and

Your registration includes access to the course presentations around the San Antonio area. Visit www.visitsanantonio.com. via the ACG 2019 Meeting App, which will be available within the ACG Mobile App. An online version of the meeting app will ACCOMMODATIONS also be available. With the app, attendees will have full access Rooms have been booked at six hotels in close proximity to to all available slide presentations for each course for which the Henry B. Gonzalez Convention Center. The Grand Hyatt they have registered. The app also contains a fully searchable San Antonio, located at 600 E. Market Street, will be the schedule of events, list of program faculty, abstracts, maps, official ACG headquarters hotel. Book your room now through exhibit information, and more. (NOTE: No printed the official housing website. See page 7 for more information. course materials or USBs will be available.) AMERICANS WITH DISABILITIES ACT (ADA) Information on how to access the app, from both the Apple and Attendees at the ACG 2019 who need additional reasonable Android app stores, will be e-mailed to all registrants shortly accommodations or have special needs should contact the before the meeting. For additional information about the app, ACG office no later than October 2, 2019 at [email protected]. please visit acgmeetings.gi.org/education/meeting-materials.

EXHIBIT HALL The science and technology of medicine is ever-changing and advancing the practice of gastroenterology. Showcasing these latest advances in technology and therapeutics is the ACG 2019 Exhibit Hall where more than 150 companies will display and demonstrate their products and services.

6 \ 2019 Annual Scientific Meeting & Postgraduate Course Housing and Travel INFORMATION GENERAL ENJOY YOUR STAY IN SAN ANTONIO AT ONE OF THESE HOTELS IN THE ACG 2019 ROOM BLOCK. Rooms have been booked at six hotels in close proximity to the Henry B. Gonzalez Convention Center. The Grand Hyatt San Antonio, located at 600 E. Market Street, will be the official ACG headquarters hotel. Book your room now through the official ACG 2019 Housing Bureau at acg.registration.meetingsites.net. For any questions, please call 888-863-7817.

 Meeting Sites Resource is the official housing bureau for the 2019 ACG Annual Scientific Meeting and Postgraduate Course. We strongly recommend that you book your housing through acg.registration.meetingsites.net. Do not book with any housing bureau that contacts you directly. Meeting Sites Resource will never contact you unsolicited. ACG and Meeting Sites Resource cannot guarantee that other housing companies are legitimate and cannot guarantee your reservation at ACG 2019 if you book outside of the official housing bureau.

HEADQUARTERS HOTEL ADDITIONAL HOTELS - Additional hotels in the ACG 2019 Room Block

2• Hilton Palacio del Rio •5 San Antonio Marriott Riverwalk 200 South Alamo Street 889 East Market Street Group rate: $272 + tax Group rate: $276 + tax

3• Hyatt Regency San Antonio •6 The Westin Riverwalk on the Riverwalk 420 W. Market Street 123 Lasoya Street Group rate: $268 + tax Group rate: $266 + tax

•1 Grand Hyatt San Antonio 600 E. Market Street 4• San Antonio Marriott Rivercenter San Antonio, TX 78205 101 Bowie Street Group rate: $276 + tax Group rate: $276 + tax

 Cutoff Date for Hotel Reservations at the Group Rate: WEDNESDAY, OCTOBER 2, 2019

6 4 5 2 1

United Airlines VISA INFORMATION Book online via www.united.com, and use offer code ZGQJ703931 in the offer code box. If booking through a travel Applying for a Visa professional or United Meetings at 1-800-426-1122, give the For information on applying for a visa to attend ACG following information: Agreement Code – 703931 and 2019 in San Antonio, visit the U.S. Department of Z Code – ZGQJ. State website.

A $25 service fee will apply when booking through United To apply, you will need the following: Meetings Reservations. There is no additional service fee when booking online. valid passport

photo ID Delta Airlines Book online via www.delta.com or by calling 1-800-328-1111 and completed Form DS-160 use Group Code NY2Q9. Please note that a Direct Ticketing (Nonimmigrant Visa Application) Charge will apply for booking by phone. When booking online, payment of required fees select Meeting Event Code and enter NY2Q9 in the box provided on the Search Flight page. We recommend applying for a visa as early as possible. American Book online via www.aa.com or by calling 1-800-433-1790 and use Auth Code A58H9BI. When booking online, use code OFFICIAL ACG 2019 DOCUMENTATION 58H9BI in the promotional code box. This is located on the payment screen after you have selected your desired flights. ACG provides several documents as proof of your intended participation in the conference. Please note Direct Travel that ACG cannot provide further communication You can book airline reservations through ACG’s official travel with the U.S. Embassy or with the U.S. Department provider, Direct Travel, by calling 1-800-455-0983. of State on behalf of any conference registrant.

Avis Rental Car Registration Confirmation: Once you have To book online, visit www.avis.com and use the discount completed your registration for ACG 2019, you will code D200205 in the AWD # code box. You may also make a receive a confirmation e-mail. The e-mail will outline reservation by calling 1-800-331-1600. When booking over the the courses that you have registered for, and show phone, don’t forget to provide the reservations agent with the proof of payment. If you do not receive this e-mail following Avis Worldwide Discount Code D200205. Discounts upon completion of your registration, please contact vary depending on the days of your reservation. [email protected].

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

Hotel Reservation Deadline:  Wednesday, October 2, 2019

8 \ 2019 Annual Scientific Meeting & Postgraduate Course visit the San Antonio Zoo, wander the Witte Museum, explore the grounds at the San Antonio Botanical Garden, or stop by

WHAT TO to learn something new at the DoSeum, a STEM-focused INFORMATION

children's museum. GENERAL

A RIVER WALK RUNS THROUGH IT Connecting the city and offering visitors an easy and peaceful SEE & DO way to explore San Antonio is the River Walk, or Paseo Del Rio. It is the River Walk that will connect ACG 2019 attendees to the IN SAN ANTONIO meeting hotels, convention center, restaurants, and shops. The only sounds you will hear are the slow cruise boats gliding along the river, the footsteps from people strolling by, or the chatter EXPLORE San Antonio's Vibrant from restaurant tables that cozy up to the River Walk. Along the History and Colorful Present! River Walk, you’ll find charming paths, outdoor art, and waterfalls.

In its early days as a Spanish settlement, San Antonio was home to several missions. Built by Spain to expand its power north of Mexico, the missions were also established to convert the native population. Five missions still exist today for visitors to explore — Concepcio, Espada, San Jose, San Juan, and the oldest and most famous, the Alamo. It was at the Alamo where Texans fought for independence from Mexico and it is one of the most photographed building facades in the nation.

Additionally, San Antonio is one of the cities linked by the Old Spanish Trail, a byway of cities of Spanish conquest and settlement. The Old Spanish Trail starts in St. Augustine, Florida, passes through San Antonio, and ends in San Diego, California.

San Antonio’s heritage is also evident in several of its neighborhoods. La Villita Historic Arts Village features art galleries, shops and restaurants enlivened with San Antonio’s Hispanic heritage. Market Square features a number of plazas, with the El Mercado being the largest Mexican market north of the Rio Grande, with more than 32 shops and 80 specialty shops in the Farmers Market Plaza. Market Square is also the site of several Hispanic festivals each year. At the Main Plaza, which dates back to the early 18th century, huge trees, bubbling fountains, and landscaping enhance the heart of the city.

In addition to its Hispanic heritage, in the late 19th century, a number of prominent German merchants settled in the San Antonio neighborhood of King William Historic District. A 25-block area near downtown, the first historic district in the state is boasts numerous examples of Greek revival, Victorian, and Italianate architecture.

LOCALS RECOMMEND Explore the "Museum Reach" section of the River Walk for views of unique public art including an exhibit called “F.I.S.H.” that includes 27 sunfish swimming in the sky under the I-35 overpass There is so much more to see and do in San Antonio. near Camden Street. Visit the San Antonio Museum of Art. Don’t Visit www.visitsanantonio.com for more suggestions. miss the eateries, bars, and shops at Pearl. For family fun,

There are numerous opportunities at ACG 2019 to HEALIO DISRUPTIVE INNOVATORS AWARDS Sunday, October 27 | 7:00 pm – 9:00 pm network with your peers. Here are a few of the events Presidio AB at the Grand Hyatt San Antonio taking place this year. Join us at this exclusive event presented by Healio Gastroenterology and Liver Disease, as we honor Disruptive Innovators in seven different categories. Each of these awardees has changed the face of gastroenterology and pushed the status quo toward the EXHIBIT HALL OPENING betterment of the field. As a true testament to Healio’s peer-tested approach, our Peer Perspective Board and Healio 200 vote on WELCOME RECEPTION the awardees. Previous winners include David Rubin, MD; Miguel Regueiro, MD; Carol Burke, MD; Sunanda Kane, MD; and Austin Sunday, October 27, 5:15 pm – 7:00 pm Chiang, MD.

ACG PRESIDENT'S ADDRESS Immediately following the conclusion of the Monday, October 28 | 9:00 am - 9:30 am Postgraduate Course, join colleagues for the ACG Stars at Night Ballroom 2019 Opening Welcome Reception in the Exhibit ACG President Sunanda V. Kane, MD, MSPH, FACG will Hall. The reception will feature hors d’oeuvres and address attendees to mark the beginning of the ACG 2019 refreshments. This casual social gathering will give all Annual Scientific Meeting. The President uses this opportunity to attendees the opportunity to explore the Hall, meet welcome attendees, highlight accomplishments over the past year, and bid farewell as the mantle of leadership passes on to the with exhibitors, and network and mingle President-Elect. with colleagues. AN FDA-ACG WORKSHOP ON THERAPEUTIC DRUG MONITORING October 28, 2019 | 12:45 pm - 2:15 pm ADVANCED PRACTICE PROVIDER RECEPTION Room 303 (Ballroom Level) Friday, October 25 | 5:15 pm – 6:00 pm Please join representatives from the FDA as well as the ACG to Room 224 (Meeting Level) discuss therapeutic drug monitoring (TDM) in IBD. The panel will All NP/PA ACG 2019 attendees are invited to attend. provide an overview of drug approval process, focusing on the FDA’s use of drug levels in the approval process, and post-approval ACG SCOPY AWARD CEREMONY & WORKSHOP marketing and testing. The panel will also focus on guidance on Sunday, October 27 | 3:30 pm – 5:00 pm developing TDM standards and how to translate these standards Room 303A (Ballroom Level) into practice guidelines. There will be an open Q&A forum as well. Come join members of the ACG Public Relations Committee and HOW TO GET PUBLISHED: ACG JOURNAL celebrate your colleagues who will receive 2019 ACG SCOPY EDITORS' ROUNDTABLE Awards. Be inspired by a dynamic panel presentation on some Monday, October 28 | 4:00 pm - 5:00 pm of the best, most innovative and impactful community education Room 303 (Ballroom Level) programs to raise awareness of colorectal cancer and enjoy a ACG’s journal editors frequently receive questions about how best cocktail reception. SCOPY is ACG’s Service Award for Colorectal to get published, how they assess submissions, and how to best Cancer Outreach, Prevention & Year-Round Excellence. format a manuscript. In this session, the editors reveal answers to INTERNATIONAL ATTENDEE RECEPTION the “Top 10 Questions” they receive about the publication process Sunday, October 27 | 5:15 pm – 6:00 pm and share pearls of wisdom about what works – and what doesn’t Room 303B (Ballroom Level) work – when submitting papers for publication. If you want to start All international attendees are invited to attend and enjoy cocktails or improve your publishing career, then don’t miss this valuable and hors d’oeuvres while meeting colleagues. opportunity to hear directly from the editors who are eager to help! Free and open to all attendees. WOMEN AND MINORITIES IN ACG ANNUAL BUSINESS MEETING GASTROENTEROLOGY RECEPTION Monday, October 28 | 6:00 pm – 6:30 pm Sunday, October 27 | 5:15 pm – 6:00 pm Stars at Night Ballroom - B2 Room 303C (Ballroom Level) All Members and Fellows (FACG) are encouraged to attend the All those interested in the issues facing women and minorities in Annual Business Meeting where College business will be discussed the GI field are invited to attend. and voted on.

10 \ 2019 Annual Scientific Meeting & Postgraduate Course ACG AUXILIARY  AUXILIARY SCHEDULE events and tours AT A GLANCE INFORMATION  SATURDAY, OCTOBER 26 ACG AUXILIARY-SPONSORED TOURS GENERAL Conference Registration Register for the tours: acgaux.gi.org/annualmeeting19.asp Henry B. Gonzalez Convention Center – A DAY IN FREDERICKSBURG Main Lobby | 7:00 am – 5:15 pm Saturday, October 26 | 8:30 am – 4:00 pm Cost: $60, ACG Auxiliary Member | $70, Non-member Auxiliary Registration/Hospitality Suite* Grand Hyatt San Antonio Board your motor coach and depart for a tour to Fredericksburg located in the beautiful Republic Room | 8:00 am - 5:00 pm Texas Hill Country. Your professional guide will relate stories of the German pioneers and all the delightful legends of the customs and traditions of this area. Fredericksburg, Texas is a colorful and cultural blend of architecture, cuisine, art, music and friendly people. For over  SUNDAY, OCTOBER 27 a century local artisans, winemakers, craftsmen, and shop owners have been mixing German heritage with Texan hospitality to create the kind of place you’ll want to return to time and Conference Registration again. Enjoy spending the day shopping and browsing among an endless variety of one of Henry B. Gonzalez Convention Center a kind stores and boutiques. There is something for everyone! Please meet at 8:15 am Main Lobby | 7:00 am – 6:30 pm in the Family Hospitality Suite, located in the Republic Room on the 4th floor at the Grand Auxiliary Registration/Hospitality Suite* Hyatt San Antonio. Grand Hyatt San Antonio RIVER BOAT CRUISE TO THE SAN ANTONIO MUSEUM OF ART Republic Room | 8:00 am - 5:00 pm Sunday, October 27 | 10:00 am – 3:00 pm Cost: $65, ACG Auxiliary Member | $75, Non-member Opening Welcome Reception Henry B. Gonzalez Convention Center Enjoy a relaxing river boat cruise from the Grand Hyatt San Antonio to the San Antonio Exhibit Hall | 5:15 pm – 7:00 pm Museum of Art. Upon arriving at the museum, a knowledgeable docent will guide the group through the museum giving an overview of the exhibits. Special exhibits taking place in October include: Harry Bertoia - Sculptor and Modernist Designer, and Victorian Radicals  MONDAY, OCTOBER 28 - From the Pre-Raphaelites to the Arts & Crafts Movement. There are also thousands of Conference Registration permanent pieces of art covering over 5,000 years of history around the world. The tour Henry B. Gonzalez Convention Center will last approximately 1 hour. After the tour, you will have some free time to enjoy lunch on Main Lobby | 6:00 am – 5:00 pm your own before cruising back to the Hyatt. Please meet at 9:45 am in the Family Hospitality Suite, located in the Republic Room on the 4th floor at the Grand Hyatt San Antonio. Auxiliary Registration/Hospitality Suite* Grand Hyatt San Antonio AUXILIARY LUNCHEON AT LOS BARRIOS—MEMBERS ONLY Republic Room | 8:00 am - 5:00 pm Monday, October 28 | 11:45 am – 3:00 pm Cost: complimentary for ACG Auxiliary Members Auxiliary Member Luncheon** Join Chef Diana Barrios Trevino, co-owner of Los Barrios, for a personalized cooking Los Barrios Restaurant | 11:45 am – 3:00 pm demonstration, a delicious lunch, and a history of the restaurant. Not only has Diana appeared on Good Morning America, but she has also been featured nationally with well-  known chefs, Emeril Lagasse and Bobby Flay. Los Barrios has received numerous awards TUESDAY, OCTOBER 29 and has become a San Antonio tradition. You will be able to not only taste what you see Conference Registration Diana create before you, but also take the recipes home with you. This is an Auxiliary Henry B. Gonzalez Convention Center Members-only lunch. We will be taking a bus to the restaurant, so please meet at 11:30 am Main Lobby | 6:00 am – 5:00 pm in the Family Hospitality Suite, located in the Republic Room on the 4th floor at the Grand Hyatt San Antonio. Auxiliary Registration/Hospitality Suite* Grand Hyatt San Antonio ** Please note that tours and fees are subject to change** Republic Room | 8:00 am - 5:00 pm

Visit the ACG Auxiliary webpage and Facebook page for information on the tours, hospitality suite, luncheon, and auxiliary membership.  WEDNESDAY, OCTOBER 10 Website: gi.org/auxiliary | Facebook: ACG Auxiliary Conference Registration Henry B. Gonzalez Convention Center ACG AUXILIARY OFFICERS 2018-2019 Main Lobby | 6:30 am – 12:15 pm President: Vice-President: Secretary: Treasurer: Renee Remily Celly Morris Una Quigley Leilani Katz * Breakfast will be available Saturday through Tuesday in the Family Hospitality Suite, from Vice Presidents Vice Presidents Vice President Vice President 8:00 am - 10:00 am. (Activities): (Hospitality): (Communications (Membership) Lynn Reynolds Chrissy Johnson & Facebook): Shelley DeVault ** ACG Auxiliary Members-Only Event. Louise Chumley Randy Pike Mimi Chung Register for ACG 2019: acgmeetings.gi.org / 11 GI Fellows-in-Training events

The American College of Gastroenterology is committed to serving the specific needs of GI trainees. ACG 2019 includes elements designed with this aim in mind.

NAVIGATING, NETWORKING, AND NEGOTIATING YOUR TRAINEES LUNCHEON FIRST JOB WORKSHOP Sunday, October 27, 2019 Friday, October 25, 2019 12:20 pm – 1:35 pm | Room 305 (Ballroom Level) 5:00 pm – 8:15 pm | Room 302AB (Ballroom Level) Once again, a special luncheon program exclusively for Fellows- The ACG Women in GI Committee is hosting a program for both in-Training will be offered on Sunday, October 27th during the men and women geared towards senior GI fellows and junior faculty, Postgraduate Course. This year's luncheon will feature a faculty panel addressing the specifics of both the private practice and academic ranging from early to senior career, representing private practice, job search. Discussions will focus on details of private practice versus academics, hybrid practice and 4th year fellowships, who will briefly academics, contract analysis, networking skills, negotiating skills, and share their story and then take questions from attendees. Don't delay, work-life balance. Separate breakouts for small group discussions as this luncheon sells out every year. are planned. Advance registration is required and space is limited. This luncheon is Advance registration is required and space is limited. There is a available to all trainees in gastroenterology and hepatology, and has a $30 fee for this workshop. Dinner will be provided. To register, fee of $40. To register, please visit the ACG 2019 registration page at please visit the ACG 2019 registration page at acgmeetings.gi.org/ acgmeetings.gi.org/meeting-info/registration. meetinginfo/registration. HANDS-ON WORKSHOP CENTER - TRAINEE-ONLY SESSIONS CAREER OPPORTUNITIES FOR WOMEN IN GI LUNCHEON Monday, October 28, 2019 Saturday, October 26, 2019 7:45 am – 9:30 am | Exhibit Halls 3 & 4 12:20 pm – 1:35 pm | Room 305 (Ballroom Level) The always popular FREE Hands-On Workshop Center sessions will The ACG Women in GI Committee is hosting a program geared again be offered in the Exhibit Hall. Expert faculty will demonstrate toward residents, trainees, and junior faculty who are facing difficult techniques and devices and attendees will then have an opportunity decisions regarding the future of their medical careers. Female to practice using the equipment. Each session will feature a wide gastroenterologists from a variety of medical backgrounds will variety of equipment and products. In addition, trainee-only hands- address the issues of being a female subspecialist, balancing career on sessions will be offered. More detailed information regarding and family, and opportunities for women in medicine, and more registration will be coming soon. Trainees are also welcome to specifically, gastroenterology. This is a free program for attendees participate in any hands-on session offered Sunday – Tuesday. at ACG 2019. HOW TO GET PUBLISHED: AN ACG JOURNAL Advance registration is required and space is limited. Register EDITORS ROUNDTABLE online at acgmeetings.gi.org/career-opportunities-for-women- Monday, October 28, 2019 in-gi-luncheon/ 4:00 pm – 5:00 pm | Room 303 (Ballroom Level)

GI JEOPARDY: BUZZ IN FOR YOUR TRAINING PROGRAM ACG’s journal editors frequently receive questions about how best to Saturday, October 26, 2019 get published, how they assess submissions, and how to best format 5:15 pm – 7:00 pm | Room 301 (Ballroom Level) a manuscript. In this session, the editors reveal answers to the “Top 10 Questions” they receive about the publication process and share GI Jeopardy will return in 2019! To become a contestant, you must be pearls of wisdom about what works—and what doesn’t work—when a fellow-in-training, but all are welcome to attend the competitive final submitting papers for publication. If you want to start or improve your round, a spirited GI version of the television classic. publishing career, then don’t miss this valuable opportunity to hear The competition begins in July with a preliminary round open to all GI directly from the editors who are eager to help! Free and open to all training programs. Groups of fellows take an online test on a variety attendees. of GI topics and diseases. The top five scoring programs will then be invited to send two-person teams to compete in front of a live audience at ACG 2019. Travel expenses for the teams will be covered by ACG. Last year’s GI Jeopardy finalists were supported by more than 300 lively audience members giving the event a real game show atmosphere. Light refreshments will be provided. Free and open to all attendees.

12 \ 2019 Annual Scientific Meeting & Postgraduate Course reviewed publications. She played a leadership role in the launch of ColonCancerCheck Featured in Ontario, Canada’s first organized, province-wide colorectal cancer screening program. Dr. Rabeneck currently serves as Chair of the Colorectal Cancer Screening LECTURES Committee of the World Endoscopy Organization (WEO) and is an Associate Editor of Gastroenterology. Dr. Rabeneck was elected Master of the ACG, received the DAVID SUN LECTURE ACG’s Berk/Fise Clinical Achievement Award, UBC’s Medical Alumni Association Wallace Wilson Leadership Award, and the AGA Clinical Practice Section's INFORMATION The IBD Medical Home and Neighborhood: It Takes a Village Research Mentor Award. In 2017, she was elected President of the Canadian Miguel D. Regueiro, MD, FACG GENERAL Academy of Health Sciences (CAHS). Saturday, October 26 | 10:00 am – 10:30 am | Stars at Night Ballroom  The J. Edward Berk Distinguished Lecture is awarded to individuals prominent in Join Dr. Miguel D. Regueiro as he discusses the role of alternative models of care, gastroenterology or a related area. The lecturer is nominated by the ACG President and such as the medical home, for the management of inflammatory bowel disease when the appointment is subject to approval by the ACG Board of Trustees. The lectureship he presents the ACG David Sun Lecture. was established in recognition of the significant contributions made by J. Edward Berk, Dr. Regueiro earned his bachelor's degree at the University of Pennsylvania, his MD, MACG, to clinical gastroenterology during his long and distinguished clinical and medical degree at Drexel University, then completed his internal medicine internship academic career. and residency, and clinical and research fellowship training in gastroenterology at Harvard Medical School's Beth Israel Hospital. Dr. Regueiro was Professor of EMILY COURIC MEMORIAL LECTURE Medicine and Clinical and Translational Science at the University of Pittsburgh School Early Detection of Pancreatic Cancer: Problems, Promise, and Prospects of Medicine as well as the IBD Clinical Medical Director and Associate Chief for Suresh T. Chari, MD, FACG Education and former Director of the Gastroenterology, Hepatology, and Nutrition Fellowship Training Program at the University of Pittsburgh Medical Center. He was Tuesday, October 29 | 4:30 pm – 5:00 pm | Stars at Night Ballroom – B2 also Senior Medical Lead of Specialty Medical Homes at UPMC. He is currently Chair Learn how to define “early” detection, recognize its benefits, and identify early of the Department of Gastroenterology and Hepatology, and Professor of Medicine in detection barriers, when Dr. Suresh T. Chari presents the Emily Couric Memorial Lecture. the Lerner College of Medicine at Cleveland Clinic, Ohio. Dr. Regueiro's main clinical Dr. Chari trained in internal medicine and gastroenterology in India. He then and research interest is inflammatory bowel disease (IBD), with a focus on the natural completed the Alexander von Humboldt Fellowship in Mannheim, Germany. course of this disease and postoperative prevention of Crohn's disease. Recently, he He moved to the United States in 1993, where he completed a residency at the has been involved in developing new models of healthcare, including the first-of-its- University of Arizona and a Fellowship in Gastroenterology at the Mayo Clinic, before kind specialty medical home for IBD. joining the faculty at Mayo Rochester in 1999. He is currently Professor of Medicine,  The David Sun Lecture, held during the Postgraduate Course, was established by Mrs. Sun and Consultant in Gastroenterology and Hepatology, at Mayo Clinic in Rochester, in memory of her husband, Dr. David Sun, an outstanding gastroenterologist and investigator. where he has previously served as Director of the Pancreas Clinic. He is past Each year, a lecturer with a distinguished background in gastroenterology or an allied field is Councilor and President of the American Pancreatic Association and International chosen by the Course Directors of the Postgraduate Course subject to the approval of the ACG Association of Pancreatology. He is the Editor-in-Chief of Pancreatology, the journal Educational Affairs Committee and the ACG Board of Trustees. of the International Association of Pancreatology. Since 2003, NIH has funded his work to study the relationship between diabetes and pancreatic cancer. Currently, THE AMERICAN JOURNAL OF GASTROENTEROLOGY LECTURE he is the PI of Mayo Clinic’s U01 Consortium on the Study of Chronic Pancreatitis, Celiac Disease: Myths and Mysteries Diabetes and Pancreatic Cancer (CPDPC), a co-investigator in Pancreatic Cancer Detection Consortium (U01), and a member of the Steering Committee of the Early Ciarán P. Kelly, MD, FACG Detection Initiative, a collaborative effort among NCI, Pancreatic Cancer Action Monday, October 28 | 3:15 pm – 3:45 pm | Stars at Night Ballroom – B2 Network and CPDPC to launch an early detection protocol for pancreatic cancer. He Learn how to appreciate the diverse clinical presentations of celiac disease, recognize co-leads the Diabetes-Pancreatic Cancer Working Group in the U01. the challenges and limitations of treatment with a gluten-free diet, and the need for  The Emily Couric Memorial Lecture, developed by the ACG, the Virginia Gastroenterological non-dietary adjunctive therapies when Dr. Ciarán P. Kelly presents, “Celiac Disease: Society, and the Old Dominion Society of Gastroenterology Nurses and Associates, is in honor of Myths and Mysteries.” Virginia State Senator Emily Couric, who died of pancreatic cancer in October of 2001. Senator Dr. Kelly is Professor of Medicine at Harvard Medical School and Director of Couric was a strong advocate for health care issues, particularly in her instrumental work to pass Gastroenterology Training at Beth Israel Deaconess Medical Center in Boston, the nation’s first legislation mandating health insurance coverage for colorectal cancer screening. Massachusetts. Dr. Kelly earned his medical degree from Trinity College in Dublin, Ireland where he was a Foundation Scholar and recipient of numerous academic awards. Dr. DAVID Y. GRAHAM LECTURE Kelly has engaged in patient care and research in celiac disease and Clostridium difficile Mentoring Mentors infection (CDI) for more than 20 years. In 2004, he co-founded the Celiac Center at Stephen B. Hanauer, MD, FACG BIDMC, and continues to serve as its Medical Director. In 2013, he co-founded the Celiac Research Program at Harvard Medical School. Dr. Kelly is an internationally recognized Wednesday, October 30 | 10:20 am – 10:50 am | Stars at Night Ballroom – B2 expert in the diagnosis and management of celiac disease and leads research programs Attend Dr. Stephen Hanauer's ACG David Y. Graham Lecture, and gain a better on disease pathogenesis, diagnosis, and new treatment approaches. He has served as understanding of mentoring towards leadership roles in gastroenterology. a committee member of the NIH, Center for Scientific Review, as well as on FDA, CDC Dr. Hanauer served as ACG President from 2014-2015. He completed a medical and NIH committees on celiac disease and C. difficile infection. Dr. Kelly has authored degree, with honors, at the University of Illinois in Chicago. His postdoctoral training more than 250 clinical and basic original research articles, as well as book chapters and included an internship and residency in internal medicine, as well as a fellowship in invited reviews appearing in medical and scientific journals, includingThe American gastroenterology, at the University of Chicago. He served as the Joseph B. Kirsner Chair Journal of Gastroenterology, The Journal of Clinical Investigation, Gastroenterology, The Professor of Medicine and was Chief of the Section of Gastroenterology, Hepatology Lancet and The New England Journal of Medicine. and Nutrition from 2000-2014. Dr. Hanauer is currently the Medical Director of the  The AJG Lecturer was chosen by the co-editors of The American Journal of Gastroenterology Digestive Health Center at Northwestern Feinberg School of Medicine and the Clifford with approval from the ACG Educational Affairs Committee and the ACG Board of Trustees. Joseph Barborka Professor of Medicine. He is Board certified in internal medicine and gastroenterology by the American Board of Internal Medicine and the American Board J. EDWARD BERK DISTIGUISHED LECTURE of Gastroenterology, respectively. He is a member of several professional societies and is a Fellow of the ACG, AGA, and the ACP. In connection with the AGA, he served Post-Colonoscopy Colorectal Cancer: How Are We Doing? as Chair for the Inflammation, Immunology, and Inflammatory Bowel Disease Section Linda Rabeneck, MD, MPH, MACG and the Clinical Practice Section, and subsequently served as Councilor for Clinical Tuesday, October 29 | 10:05 am – 10:35 am | Stars at Night Ballroom – B2 Research on the AGA Governing Board. He is a prior member of the Specialty Board of Learn about best practices, incidences and causes, and review approaches to reduce the American Board of Internal Medicine. He has served as a Member and Chair of the the risk of post-colonoscopy colorectal cancer in clinical practice when Dr. Linda U.S. Food and Drug Administration Advisory Panel for Gastrointestinal Disorders and Rabeneck presents ACG’s J. Edward Berk Distinguished Lecture. is a member and former Chairman of the International Organization for Inflammatory Dr. Linda Rabeneck, a gastroenterologist, clinician scientist, and health care Bowel Disease. Dr. Hanauer has authored more than 450 peer-reviewed journal articles, executive, is Vice President, Prevention and Cancer Control at Cancer Care Ontario. books and book chapters, abstracts, monographs, and editorials. He is former Editor-in- She is a Professor of Medicine at the University of Toronto and Senior Scientist at the Chief of Nature Clinical Practice Gastroenterology & Hepatology and served as Associate Institute for Clinical Evaluative Sciences also in Toronto. Dr. Rabeneck received her MD Editor (IBD) of Clinical Gastroenterology and Hepatology. He is an editorial board from the University of British Columbia (UBC), followed by post-graduate training in member for numerous journals, including The American Journal of Gastroenterology internal medicine and gastroenterology at UBC, and the University of Toronto. She and Inflammatory Bowel Diseases. received a Master’s degree in Public Health from Yale University, where she trained as  The Graham Lecturer is chosen by the ACG President and is subject to approval by the ACG a Robert Wood Johnson Clinical Scholar. Dr. Rabeneck, whose scholarly work focuses Board of Trustees. Established in 2004 in recognition of the many contributions to clinical on the evaluation of health care and health system performance, is best known for gastroenterology made by David Y. Graham, MD, MACG, this named lectureship was made her research on colorectal cancer screening. She has authored more than 240 peer- possible through a donation by Otsuka Pharmaceutical Co., Inc., and Meretek Diagnostics, Inc. Register for ACG 2019: acgmeetings.gi.org / 13 HANDS-ON ENDOSCOPY Workshops

Hands-On Endoscopy Workshop Directors: Shivangi T. Kothari, MD, FACG, and Qiang Cai, MD, PhD, FACG

LEARN FROM THE EXPERTS WHEN YOU ATTEND ONE OF THE MANY HANDS-ON ENDOSCOPY WORKSHOP SESSIONS OFFERED AT ACG 2019! Watch expert faculty demonstrate various endoscopic procedures, and try out the latest products and equipment.

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

SUNDAY, OCTOBER 27, 2019 GI FELLOWS ONLY SESSIONS ENDO TITANS! MONDAY, OCTOBER 28, 2019 More information coming soon! 3:45 pm – 6:45 pm EMR/Polypectomy ERCP Faculty Leader: Uzma D. Siddiqui, MD Faculty Leader: Vivek Kaul, MD, FACG Foreign Body Removal EMR/Polypectomy Faculty Leader: Julia F. Massaad, MD Faculty Leader: Andrew Y. Wang, MD, FACG 4:00 pm – 7:00 pm 7:45 am - Hemostasis 9:30 am Faculty Leader: Michelle A. Anderson, MD, MSc Foreign Body Removal / Stenting MONDAY, OCTOBER 28, 2019 Faculty Leader: Patrick S. Yachimski, MD, MPH ERCP Hemostasis Faculty Leader: Douglas G. Adler, MD, FACG Faculty Leader: V. Raman Muthusamy, MD, FACG 10:15 am – 12:55 pm EMR/Polypectomy Faculty Leader: Shivangi T. Kothari, MD, FACG RESIDENT TRAINING SESSIONS Stenting BACK BY POPULAR DEMAND! Faculty Leader: Dennis J. Yang, MD, FACG 10:30 am – 1:05 pm Hemostasis Faculty Leader: Jason B. Samarasena, MD, FACG • Sunday, October 27, 2019 | 4:00 pm – 5:00 pm Faculty Leader: John C. Fang, MD EUS Faculty Leader: Vanessa M. Shami, MD, FACG • Monday, October 28, 2019 | 10:30 am – 11:30 am 1:55 pm – 4:30 pm ESD with Asian Experts Faculty Leader: Shazia Ali, MD, FACG Faculty Leader: Qiang Cai, MD, PhD, FACG • Monday, October 28, 2019 | 3:45 pm – 4:45 pm Mucosal Ablation Faculty Leader: Eun J. Shin, MD Faculty Leader: Parasad G. Iyer, MD, MS, FACG 2:05 pm – 4:40 pm Hemorrhoid Therapy Faculty Leader: Harshit S. Khara, MD, FACG

TUESDAY, OCTOBER 29, 2019 ERCP Faculty Leader: Jeffrey H. Lee, MD, MPH, FACG 10:05 am – 12:45 pm Enteroscopy Faculty Leader: Seth A. Gross, MD, FACG Mucosal Ablation Faculty Leader: Kenneth K. Wang, MD, FACG 10:20 am – 12:55 pm Capsule Endoscopy Faculty Leader: Christine Y. Hachem, MD, FACG Hemorrhoid Therapy 1:45 pm – 4:20 pm Faculty Leader: Harry E. Sarles, Jr., MD, FACG Foreign Body Removal Faculty Leader: Harish K. Gagneja, MD, FACG 1:55 pm – 4:30 pm Esophageal / Anorectal Manometry Faculty Leader: Abraham R. Khan, MD, FACG

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

14 \ 2019 Annual Scientific Meeting & Postgraduate Course NEEDS ASSESSMENT ACG 2019 Educational Programs

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

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

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

Register for ACG 2019: acgmeetings.gi.org / 15 NEEDS ASSESSMENT ACG 2019 Educational Programs fewer adverse side effects. Also, within the next 1-2 years, therapy will incidence and has been the subject of intense research leading to recent likely be completely all-oral, interferon-free, and perhaps even ribavirin- clinical guidelines. Esophageal dysmotility remains an ongoing challenge, free. There will be a series of new regimens available, with new ones and this field has dramatically changed in the past several years due being introduced at a very rapid pace. Because there will be simple and to the adoption of new diagnostic modalities and an outpouring of effective therapies available, there will likely be more gastroenterologists outcomes data. This has been particularly significant for achalasia, which who are willing to treat HCV. For this reason, ACG must work to educate also has been the subject of recent consensus guidelines within the past gastroenterologists about the current and upcoming treatments. Also, year. Other upper GI conditions including Barrett’s esophagus, dyspepsia, with the expected rapid development and approval of multiple regimens, peptic ulcer disease, and H. pylori also require a clear understanding. ACG must work to have a mechanism in place to allow rapid changes It is important that published evidence-based practice guidelines for and/or addendums to HCV treatment guidelines. these upper GI conditions and many other identified GI disorders be available to the gastroenterologist for their explicit understanding PANCREATICOBILIARY and to enhance their ability to most effectively manage each of their Pancreaticobiliary diseases can also be extremely challenging to manage, patients. With guidelines published on gastroesophageal reflux disease, and can vary greatly in complexity and severity. Gastroenterologists eosinophilic esophagitis, and achalasia within the last year, this has been play an essential role in both the evaluation and the management of an active area and this new information needs to be disseminated to the patients with pancreaticobiliary disorders. Cystic neoplasms of the gastroenterology community. pancreas are more frequently diagnosed and management guidelines have been updated recently as our knowledge base continues to grow. ENDOSCOPY Gastroenterologist offer highly specialized care for such patients, Rapid technological advancements in endoscopy and other diagnostic including advanced interventional endoscopic procedures. As endoscopic and therapeutic areas in gastroenterology creates a need to communicate technology advances, patients are simultaneously becoming more the latest techniques and strategies for managing everything from complex, making it essential that gastroenterologists are up-to-date patients with altered anatomy to identification and removal of large and on these management techniques and strategies. Education on the difficult polyps to developing practice of natural orifice transluminal diagnosis and management of various forms of pancreaticobiliary disease endoscopic surgery. Gastroenterologists in a variety of practice settings including pancreatitis, pancreatic cysts, pancreatic cancer, and biliary need to learn and integrate these new therapies into their practice in disorders is critical to obtaining the best patient outcomes. order to provide state-of-the-art services to their patients.

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

16 \ 2019 Annual Scientific Meeting & Postgraduate Course Three-Day Friday-Sunday Clinical Review October 25 - 27, 2019

Your Comprehensive Clinical Update YOUR REGISTRATION INCLUDES

If you are looking for a comprehensive clinical review and don’t want Two-Day Postgraduate Course to spend too much time away from the office, attend ACG’s Three- What's New in GI Pharmacology Course Day Clinical Review. The Three-Day Clinical Review includes the GI EDUCATIONAL PROGRAMS Pathophysiology Course and the What’s New in GI Pharmacology GI Pathophysiology Course Course on Friday, plus the popular weekend Postgraduate Course. Self-Assessment Test PRINTED BOOK Leading experts in the subspecialties will delve deeper into topics with 300 questions, plus comprehensive, of interest to you and address the common and not-so-common GI annotated answers! disorders you encounter in practice. Access to the slide sets for all presentations with the ACG 2019 meeting app

FRIDAY, OCTOBER 25, 2019 Up to 22.25 hours of CME credit and MOC, plus an additional 35 hours of CME and (Day 1 - Morning) MOC for successful completion of the Self- GI Pathophysiology Course Assessment Test! Gain a better understanding of gastrointestinal disease processes and their impact on clinical presentation of patients when you attend the GI Pathophysiology Course. Experts will review the underlying causes and REGISTRATION MEMBER TYPE FEE clinical implications of commonly encountered diseases seen in practice. Apply concepts to care when you attend the GI Pathophysiology Course. This half-day course will illustrate the mechanisms behind novel diagnostic Physician $850 strategies, help to formulate a plan using appropriate testing methodologies, and offer practical implementation strategies. Resident / Trainee / Candidate $350

Advanced Practice Provider / $650 FRIDAY, OCTOBER 25, 2019 Associate (Day 1 - Afternoon) What’s New in GI Pharmacology Course NON-MEMBER TYPE

Attend the What’s New in GI Pharmacology Course for an intensive review of key GI pharmacology, including comparisons and contrasts between Physician $1050 conventional and emerging pharmacological treatment options.

Exhibitor / Guest / PharmD / PhD $1050 SATURDAY, OCTOBER 26 – SUNDAY, OCTOBER 27, 2019 (Days 2 and 3 - All Day) Resident / Trainee $700 Postgraduate Course NP / PA / Allied Health / $950 Attend “Practicing State-of-the-Art Gastroenterology in 2019” and leave with Practice Manager practical take-away points that you can implement in practice. Learn better ways to integrate the newest tools in diagnosis with the latest therapeutic/ treatment alternatives to achieve optimal outcomes, improve your awareness SAVE UP TO 10% when you bundle and ability to incorporate patient care decision-making issues relating to the two Friday half-day courses with the common and not-so-common GI patient conditions, and enhance your overall Postgraduate Course and register for capacity to frame effective disease management strategies in your practice. $ the THREE-DAY CLINICAL REVIEW

GI PATHOPHYSIOLOGY COURSE Friday, October 25, 2019 | 7:00 am - 12:30 pm | Stars at Night Ballroom - B2 Course Directors: Darwin L. Conwell, MD, MS, FACG, and Ikuo Hirano, MD, FACG

COURSE DESCRIPTION 8:25 am Celiac Disease: Novel Therapeutic Approaches Beyond Gain a better understanding of gastrointestinal disease processes and Gluten Withdrawal Peter H. R. Green, MD, FACG their impact on clinical presentation of patients when you attend the GI Explain the mechanisms behind novel diagnostic strategies and Pathophysiology Course. Experts will review the underlying causes and clinical pharmacologic approaches for patients with celiac disease. implications of commonly encountered diseases seen in practice. 9:05 am Scientific Basis of Novel Immunologic Approaches to IBD The course includes discussion of functional genomics, physiologic testing Anita Afzali, MD, MPH, FACG to manage esophageal disorders, celiac disease, biologic therapies for IBD, Apply concepts regarding the immunologic basis of novel molecular and genetic testing for colon polyps/cancer, therapeutic approaches biologic therapies to the management of IBD. to NAFLD, and managing refractory constipation. Lecture presentations will be followed by interactive question and answer sessions. The discussions will 9:45 am Q & A be clinically based and will offer points on how to better help patients with 10:00 am Break difficult-to-manage disease processes. The course faculty are recognized experts in their fields and pioneers in better understanding of the disease 10:15 am How to Apply Molecular and Genetic Testing to Colon processes in gastroenterology. The course is designed primarily for clinicians Polyps and Cancer Management in GI/hepatology, as well as physician assistants, nurse practitioners, and other Elena M. Stoffel, MD, MPH advanced practice healthcare professionals interested in the clinical application Formulate an approach to the use of molecular and genetic testing in the evaluation and management of colon polyps and cancer. of GI pathophysiology. Register for the course separately or as part of the Three-Day Clinical Review (see page 17) 10:55 am Physiologic Basis of Current and Future Approaches to Non-Alcoholic Fatty Liver Disease Zobair M. Younossi, MD, MPH, FACG ACCREDITATION / CME / MOC Develop a conceptual framework for the appropriate utilization of novel therapeutics for fatty liver diseases. The American College of Gastroenterology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing 11:35 am Mechanistic Underpinnings for the Management of medical education for physicians. Refractory Constipation Darren M. Brenner, MD The American College of Gastroenterology designates this live activity Apply concepts regarding the physiologic basis of for a maximum of 5.25 AMA PRA Category 1 Credits™. Physicians should constipation to inform therapeutic decisions for patients claim only the credit commensurate with the extent of their participation with refractory constipation. in the activity. 12:15 pm Q & A Successful completion of this CME activity, which includes participation in the evaluation component, 12:30 pm GI Pathophysiology Course Adjourns enables the participant to earn up to 5.25 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits FACULTY claimed for the activity. It is the CME activity provider’s responsibility to Anita Afzali, MD, MPH, FACG Ikuo Hirano, MD, FACG submit participant completion information to ACCME for the purpose of Medical Director, Inflammatory Professor of Medicine, Northwestern granting ABIM MOC credit. Bowel Disease Center, The Ohio State University Feinberg School of Medicine, University Wexner Medical Center, Chicago, IL Columbus, OH Elena M. Stoffel, MD, MPH Darren M. Brenner, MD Assistant Professor of Internal COURSE AGENDA Associate Professor of Medicine and Medicine; Director, Cancer Genetics 7:00 am Welcome and Introductions Surgery, Northwestern University Clinic, University of Michigan Medical Darwin L. Conwell, MD, MS, FACG, and Ikuo Hirano, MD, FACG Feinberg School of Medicine, School, Ann Arbor, MI Chicago, IL David C. Whitcomb, MD, PhD, FACG 7:05 am Functional Genomics and Precision Medicine: Darwin L. Conwell, MD, MS, FACG Professor, Medicine/GI, University of What Every Gastroenterologist Should Know Professor of Medicine; Director, Pittsburgh, Pittsburgh, PA David C. Whitcomb, MD, PhD, FACG Division of Gastroenterology, Discuss how to use functional genomics and precision medicine to Zobair M. Younossi, MD, MPH, FACG Hepatology and Nutrition, Ohio State Chairman, Department of Medicine, improve patient care and outcomes in gastrointestinal disorders. University Wexner Medical Center, Inova Fairfax Medical Campus; Columbus, OH 7:45 am Interpretation and Therapeutic Implications of Physiologic Professor of Medicine, Virginia Testing in the Management of Esophageal Disorders Peter H. R. Green, MD, FACG Commonwealth University, Inova Ikuo Hirano, MD, FACG Phyllis and Ivan Seidenberg Professor Campus; Affiliate Professor of of Medicine, Columbia University, New Biomedical Sciences, George Mason Identify the pearls and pitfalls in the use of motility, impedance, York, NY University, Inova Health System, impedance planimetry, and pH testing in the assessment of Washington, DC patients with esophageal disorders.

18 \ 2019 Annual Scientific Meeting & Postgraduate Course FRIDAY COURSES Friday, October 25, 2019 Friday, October 25, 2019

WHAT’S NEW IN GI PHARMACOLOGY COURSE Friday, October 25, 2019 | 1:45 pm - 5:15 pm | Stars at Night Ballroom - B2 Course Directors: Brooks D. Cash, MD, FACG, and William D. Chey, MD, FACG

COURSE DESCRIPTION 3:40 pm Contemporary Approach to SIBO and Bloating Linda Anh B. Nguyen, MD Experts will define and describe the use and management of new Discuss current and emerging diagnostic and treatment options pharmacological therapies as well as provide updates on current for small intestinal bacterial overgrowth and bloating. EDUCATIONAL

pharmacological treatment options for a variety of GI disorders during 4:00 pm Medical Therapies for Crohn's Disease: What to Start With PROGRAMS the What’s New in GI Pharmacology Course. Register for the course and When to Change separately or as part of the Three-Day Clinical Review (see page 17). Millie D. Long, MD, MPH, FACG Describe the evidence for when to employ different medical therapies available for Crohn's disease and review algorithms ACCREDITATION / CME / MOC for altering medical management when necessary. The American College of Gastroenterology is accredited by the 4:20 pm Autoimmune Hepatitis: When to Move Beyond Steroids Accreditation Council for Continuing Medical Education (ACCME) to Steven L. Flamm, MD, FACG Review the diagnostic varieties for AIH and provide provide continuing medical education for physicians. recommendations for appropriate medical approaches for the The American College of Gastroenterology designates this live activity various AIH forms. for a maximum of 3.25 AMA PRA Category 1 Credits™. Physicians should 4:40 pm How and When to Use Neuromodulators for Functional Upper claim only the credit commensurate with the extent of their participation and Lower GI Syndromes in the activity. Brooks D. Cash, MD, FACG Explain the rationale, evidence, and outcomes associated Successful completion of this CME activity, which with neuromodulators for patients with functional dyspepsia, includes participation in the evaluation component, non-cardiac chest pain, and irritable bowel syndrome. enables the participant to earn up to 3.25 MOC points in the American 5:00 pm Q & A Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) 5:15 pm What’s New in GI Pharmacology Course Adjourns program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for FACULTY the purpose of granting ABIM MOC credit. Michael Camilleri, MD, FACG Steven L. Flamm, MD, FACG Professor of Medicine, Pharmacology, Professor of Medicine and Surgery, COURSE AGENDA and Physiology, Mayo Clinic College of Northwestern Feinberg School of Medicine and Science, Rochester, MN Medicine, Chicago, IL 1:45 pm Welcome and Introductions Brooks D. Cash, MD, FACG, and William D. Chey, MD, FACG Brooks D. Cash, MD, FACG Millie D. Long, MD, MPH, FACG Professor of Medicine, University Associate Professor of Medicine, 1:50 pm New Concepts in the Treatment of Eosinophilic Esophagitiss of Texas Health Science Center at University of North Carolina, Center for Evan S. Dellon, MD, MPH, FACG Houston/McGovern Medical School, Gastrointestinal Biology and Disease, Houston, TX Chapel Hill, North Carolina Review recent updates in the epidemiology, nomenclature, diagnostic processes, and management of eosinophilic esophagitis. William D. Chey, MD, FACG Linda Anh B. Nguyen, MD Nostrant Professor of Gastroenterology Clinical Associate Professor; Clinic 2:10 pm Jump-Starting Gastroparesis & Nutrition, University of Michigan; Director, Digestive Health Center; Michael Camilleri, MD, FACG Director, GI Physiology Lab, Michigan Director, Neurogastroenterology & Discuss the diagnosis of gastroparesis in a variety of clinical Medicine, Ann Arbor, MI Motility, Redwood City, CA scenarios, and review current and emerging pharmacologic Evan S. Dellon, MD, MPH, FACG John R. Saltzman, MD, FACG options for the management of gastroparesis symptoms. Professor of Medicine and Associate Professor of Medicine, Harvard Medical Prof of Epidemiology, Center for School, Brigham and Women's 2:30 pm Primary and Salvage Therapies for H. pylori Esophageal Diseases and Swallowing, Hospital, Boston, MA William D. Chey, MD, FACG University of North Carolina at Chapel Describe the recently-updated ACG guidelines for the Hill School of Medicine, Chapel Hill, NC management of H. pylori-related disease and review current therapeutic approaches to H. pylori eradication. 2:50 pm Gastroprotection and the Renaissance of Peptic Ulcer Bleeding: Who Needs It and Who Doesn't Maximize Your Learning and ave! John R. Saltzman, MD, FACG when you register for ACG’s $ Identify the evidence for and against the use of gastrointestinal prophylaxis for peptic ulcer disease in patients with systemic disease Three-Day Clinical Review. associated with increased risk of gastrointestinal complications. SAVE UP TO 10% On All Three Courses 3:10 pm Q & A 3:25 pm Break Register for ACG 2019: acgmeetings.gi.org / 19 FRIDAY COURSES Friday, October 25, 2019

ROADMAP FOR A SUCCESSFUL COMMUNITY OR ACADEMIC GI PRACTICE COURSE: RAMP-UP YOUR PRACTICE, SUPER-CHARGE YOUR STAFF Friday, October 25, 2019 | 7:30 am – 5:00 pm | Room 301 (Ballroom Level) Course Directors: Jay N. Yepuri, MD, MS, FACG, and Harish K. Gagneja, MD, FACG

COURSE DESCRIPTION 8:20 am Social Media in Gastroenterology: The Hashtag is Here to Stay…Avoid Trouble! Join ACG in 2019 for our newly re-imagined Practice Management-style Richard E. Moses, DO, JD, FACG course, "Roadmap for a Successful Community or Academic GI Practice Identify key legal issues surrounding the use of social media in Course - Ramp-Up Your Practice, Super-Charge Your Staff!" Healthcare medical practice. delivery is transforming at an accelerating rate, but opportunities in the 8:40 am Q & A field of gastroenterology remain strong for private practice physicians to claim ownership of their practices and their careers. Managing challenges SESSION 2: Making Your Mark – Taking Your Organization to the Next Level to independence will be even more important during these changing times, Moderator: Harish K. Gagneja, MD, FACG but that alone will not be enough for success. Participants in the 2019 9:00 am Quick Tidbit #1 Roadmap for a Successful Community or Academic GI Practice Course will hear from colleagues about new and innovative ways to improve the 9:05 am Getting Started on Social Media: Everything You Need to operations, enhance productivity, and guarantee success of their practices. Know to Join the Conversation Sophie M. Balzora, MD, FACG Discuss “Social Media: 101,” an introduction for GI practices ACCREDITATION / CME / MOC and providers. The American College of Gastroenterology is accredited by the 9:25 am Marketing and Branding in the Era of Social Media Accreditation Council for Continuing Medical Education (ACCME) to provide Diane Baker continuing medical education for physicians. Describe strategies for using social media to effectively establish your brand and market your organization. The American College of Gastroenterology designates this live activity for a maximum of 8.5 AMA PRA Category 1 Credits™. Physicians should claim only 9:45 am The “Lesser Known” Ancillaries – Still a Good Opportunity? Harry E. Sarles, Jr., MD, FACG the credit commensurate with the extent of their participation in the activity. Examine the clinical and economic rationale for ancillaries such as a Successful completion of this CME activity, which research division, infusion centers, diagnostic services, and data mining. includes participation in the evaluation component, 10:05 am Q & A enables the participant to earn up to 8.5 MOC points in the American Board 10:25 am Break of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits SESSION 3: Leadership, Administration, and Structure claimed for the activity. It is the CME activity provider’s responsibility to Moderator: Jay N. Yepuri, MD, MS, FACG submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. 10:45 am Quick Tidbit 10:50 am Succession Planning for Your Organization Joseph J. Vicari, MD, MBA COURSE AGENDA Provide best practice-based guidance on how your organization 6:30 am Continental Breakfast can best transition its leadership. 7:30 am Welcome and Announcements 11:10 am How Do I Hire Good Staff? Jay N. Yepuri, MD, MS, FACG, and Harish K. Gagneja, MD, FACG Tania Bolla, CMPE Review best practices for recruiting and hiring good staff, SESSION 1: Critical Aspects of Contemporary GI Practice with recommendations on how to handle HR, benefits, and Moderator: Jay N. Yepuri, MD, MS, FACG compensation decisions for your new hires. 11:30 am APM Guidance: “How To” When Negotiating a Bundled 7:40 am Status Update: ABIM, MOC, and Beyond Payment Plan Sunanda V. Kane, MD, MSPH, FACG Ralph D. McKibbin, MD, FACG Discuss the latest requirements and pathways for ABIM Board Provide a framework for developing and negotiating a bundled Certification status and Maintenance of Certification as well payment plan focusing on the traditional lump-sum bundle and alternatives for Board Certification. the shared-savings bundle models. 8:00 am How to Legally Structure an Anesthesiology Provider 11:50 am Q & A Agreement for Your Endoscopy Center Ann M. Bittinger, JD 12:10 pm Break / Pick-up Box Lunches Describe important legal considerations when structuring an anesthesiology provider agreement for your endoscopy center.

20 \ 2019 Annual Scientific Meeting & Postgraduate Course FRIDAY COURSES Friday, October 25, 2019 Friday, October 25, 2019

12:30 pm Luncheon Presentation: FACULTY The Taxonomy of GI Practice in 2019 Stephen T. Amann, MD, FACG Neal R. Patel, MD Moderator: Jay N. Yepuri, MD, MS, FACG Practicing Partner, Digestive Health Specialists, Atlanta Gastroenterology Associates, Panelists: James S. Leavitt, MD, FACG; Neal R. Patel, MD; PA, Tupelo, MS Atlanta, GA Jason Porter, MBA; Michael L. Weinstein, MD; Diane Baker Jason Porter and Louis J. Wilson, MD, FACG Director of Marketing, Austin Managing Director, Deloitte Corporate Discuss current models of GI Practice in the U.S. along with an Gastroenterology, Austin, TX Finance, Charlotte, NC analysis of private equity's entrance into the GI practice space. Sophie M. Balzora, MD, FACG Harry E. Sarles, Jr., MD, FACG Assistant Professor of Medicine, NYU School Founding Partner and Medical Director for Session 4: Strategic Practice Initiatives – How Can We Do Things of Medicine, New York, NY DRI, Digestive Health Associates of Texas,

Better? EDUCATIONAL Ann M. Bittinger, JD DHAT Research Institute, Rockwall, TX

Moderator: Harish K. Gagneja, MD, FACG Attorney and Owner, The Bittinger Law Firm, Corey A. Siegel, MD, MS PROGRAMS Jacksonville, FL Associate Professor of Medicine; Co- 1:10 pm Quick Tidbit Tania E. Bolla, CMPE Director of Inflammatory Bowel Disease Center, Section Chief of Gastroenterology 1:15 pm Getting Your Patient the Medication You Prescribed: CEO/Principal Consultant, TurnKeyMD, Frisco, TX and Hepatology, Dartmouth-Hitchcock Tips and Tricks Medical Center, Lebanon, NH David Choi, PharmD, BCACP David Choi, MD, PharmD, BCACP Sapna V. Thomas, MD, FACG Adapt a methodical approach to obtaining pre-authorizations Clinical Assistant Professor, University of Illinois College of Pharmacy, Chicago, IL Assistant Professor of Medicine, Medical and appealing denials for pharmaceutical therapies. Director- West Region, Digestive Health Harish K. Gagneja, MD, FACG Institute, University Hospitals of Cleveland, 1:35 pm Centers of Excellence in GI Practice – Developing a Team Partner Physician, Austin Gastroenterology, North Ridgeville, OH Austin, TX Based Approach to Care Joseph J. Vicari, MD, MBA Corey A. Siegel, MD, MS David J. Hass, MD, FACG Partner, Rockford Gastroenterology Discuss the center of excellence model in IBD and its Associate Clinical Professor of Medicine, Yale Associates Ltd., University of Illinois College of application to other chronic disease states including GERD University School of Medicine, Hamden, CT Medicine at Rockford, Rockford, IL and chronic liver disease. Sunanda V. Kane, MD, MSPH, FACG Michael L. Weinstein, MD Professor of Medicine, Mayo Clinic, President & CEO, Capital Digestive Care, LLC, 1:55 pm Effective Leadership, Impactful Networking, and the Rochester, MN Bethesda, MD Importance of Being an Original Vivek Kaul, MD, FACG Louis J. Wilson, MD, FACG David J. Hass, MD, FACG Segal-Watson Professor of Medicine, Managing Partner, Wichita Falls Discuss the importance of adaptability as a leader and the University of Rochester Medical Center, Gastroenterology Associates, importance of networking as a means of reciprocal problem Rochester, NY Wichita Falls, TX solving in order to help complex organizations succeed in James S. Leavitt, MD, FACG Jay N. Yepuri, MD, MS, FACG their clinical missions. President/ Chief Clinical Officer, Gastro Health, Partner; Digestive Health Associates of Texas, PL, Miami, FL P.A.; Medical Director, Texas Health Harris 2:15 pm Q & A Ralph D. McKibbin, MD, FACG Methodist HEB Hospital GI Lab, Bedford, TX 2:35 pm Break President & Director of Strategic Planning and Business Development, Blair Gastroenterology Associates, Altoona, PA SESSION 5: Business 101 – The Fundamentals Moderator: Jay N. Yepuri, MD, MS. FACG Richard E. Moses, DO, JD, FACG Physician/Attorney/Educational Consultant, Philadelphia Gastroenterology Consultants, 2:55 pm Quick Tidbit Ltd. & MedLaw Compliance LLC, Philadelphia, PA 3:00 pm Panel Presentations: 10 Things You Need to Know from a Business Standpoint… Moderator: Jay N. Yepuri, MD, MS. FACG Provide a basic framework for physicians in academic REGISTER FOR THE THREE-DAY CLINICAL REVIEW practice (both traditional and clinical track), employed and physicians, and physicians in small, independent practices to AVE UP TO 10% ON ALL THREE COURSES better understand how their business works. $ FRIDAY, OCTOBER 25 • For an Academic Physician Vivek Kaul, MD, FACG GI Pathophysiology What’s New in GI Course Pharmacology Course • For an Employed Physician 7:00 am - 12:30 pm 1:45 pm - 5:15 pm Sapna V. Thomas, MD, FACG • For a Small, Independent Practices SATURDAY & SUNDAY, OCTOBER 26–27 Stephen Amann, MD, FACG Postgraduate Course 7:50 am - 5:00 pm 3:45 pm Panel Discussion and Q & A Your registration also includes: 4:40 pm Course Wrap-Up and Closing Remarks Jay N. Yepuri, MD, MS, FACG, and Harish K. Gagneja, MD, FACG Self-Assessment Test PRINTED BOOK with 300 questions plus comprehensive, annotated answers! 5:00 pm Course Adjourns Up to 21.5 hours of CME and MOC, plus an additional 35 hours of CME and MOC for successful completion of the Self-Assessment Test Access to the slide sets for all presentations with the ACG Mobile app

ASGE ENDOSCOPY COURSE An Endoscopist’s GPS: Navigating Innovations and Evolving Guidelines Friday, October 25, 2019 | 7:30 am – 4:30 pm | Stars at Night Ballroom - B4 Course Directors: Amrita Sethi, MD, FASGE and Tyler Stevens, MD, FASGE, FACG

COURSE DESCRIPTION ACCREDITATION / CME / MOC Join ASGE’s esteemed faculty who will review and highlight a number The American Society for Gastrointestinal Endoscopy (ASGE) of emerging diagnostic and therapeutic endoscopic techniques in the is accredited by the Accreditation Council for Continuing Medical literature and their implications in clinical practice. Key discussions Education (ACCME) to provide continuing medical education for physicians. will begin with Barrett’s surveillance and ablation, reviewing several societal guidelines that include a 2016 guideline from the American ASGE designates this live activity for a maximum of 7.5 AMA College of Gastroenterology (ACG), 2012 and 2018 guidelines PRA Category 1 Credits™. Physicians should claim only credit from the American Society of Gastrointestinal Endoscopy (ASGE) commensurate with the extent of their participation in the activity. and a 2011 guideline and 2016 expert review from the American Successful completion of this CME activity, Gastroenterological Association (AGA). Faculty will then discuss which includes participation in the evaluation ESD versus EMR for polyps with EMR being the most commonly component, enables the participant to earn up to 7.5 MOC points used technique for resection of large distal colorectal adenomas in the American Board of Internal Medicine’s (ABIM) Maintenance yet there are some important limitations. This will be compared to of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It endoscopic submucosal dissection (ESD), which is more technically is the CME activity provider’s responsibility to submit participant difficult, resulting in longer procedural time. However, ESD is completion information to ACCME for the purpose of granting promising due to the high en-bloc resection rates and the very low ABIM MOC credit. recurrence rates. Presentations will highlight long-term recurrence rates, healthcare resource utilization and costs along with perceived quality of life among patients. Additional topics will focus on duodenal cancer, specifically as this is the most common cause of death in Upon completion of this educational activity, physicians familial adenomatous polyposis. This will be followed by a review will be able to: of the revised Atlanta classification system and how this facilitates • Recognize current standards for diagnosing and reporting Barrett’s standardized reporting of clinical and imaging data as well as objective esophagus assessment of treatment, fostering effective communication among • Identify current and new techniques for detecting upper and lower the clinical team. GI neoplasia Discussions will include clinical assessment and management of acute • Describe techniques for management of pancreatic fluid collections pancreatitis and clarification of appropriate terms for peripancreatic arising in acute pancreatitis fluid collections, pancreatic and peripancreatic necrosis and their • Recognize new approaches for treating biliary neoplasia changes over time. And if you are looking for more topics, faculty • Identify new endoscopic therapies for GI bleeding will discuss emerging endoscopic diagnostics and therapeutics for pancreaticobiliary neoplasia. As pancreatobiliary carcinomas require careful correlation of clinical presentation, gross pathology COURSE AGENDA and histopathologic findings are needed to distinguish pancreatic 6:30 am Registration and Continental Breakfast neoplasms from each other and from extrapancreatic tumors. Our program is designed to engage the audience with faculty through 7:30 am Welcome and Introductions audience response along with questions, answers and discussion. Amrita Sethi, MD, FASGE and Tyler Stevens, MD, FASGE, FACG Attendees are encouraged to enjoy lunch with the speakers and engage in conversations about challenging cases and techniques. We SESSION 1: Barrett’s Esophagus (BE): Current Best Practices And A Look At The Future look forward to seeing you in San Antonio! 7:40 am Looks like Barrett’s: Now What? How to Examine, Biopsy, Report, and Survey Tamas A. Gonda, MD

8:00 am Becoming a “Super Sleuth” in BE: New Techniques for Detection Shivangi T. Kothari, MD, FASGE, FACG

22 \ 2019 Annual Scientific Meeting & Postgraduate Course FRIDAY COURSES Friday, October 25, 2019 Friday, October 25, 2019

DEBATE: ESD vs. EMR in Nodular BE and Early Esophageal Cancer DEBATE: Advanced Polyp Resection 8:20 am Snare it Out 3:05 pm A Rational Approach to Elusive Small Bowel Bleeding Nabeel Azeem, MD Shivanga T. Kothari, MD, FASGE, FACG

8:35 am Cut it Out 3:25 pm Evolving Management for Gastric Variceal Bleeding: Dennis J. Yang, MD, FASGE, FACG Getting Out of “Sticky” Situations Victoria Gomez, MD 8:50 am Panel Discussion and Q & A 3:45 pm New Tricks for Bleeders: Updating Your Travel Cart for Every Scenario SESSION 2: Updates In Diagnosis and Management of Gastric And Prashant S. Kedia, MD, FASGE EDUCATIONAL

Duodenal Neoplasia PROGRAMS 4:05 pm Panel Discussion and Q & A 9:05 am Screening for Gastric Mucosal Neoplasia in 2019 Amit Bhatt, MD 4:30 pm ASGE Postgraduate Course Adjourns

9:25 am Endoscopist’s Role in Duodenal Polyposis Uzma D. Siddiqui, MD, FASGE FACULTY Nabeel Azeem, MD Amrita Sethi, MD, FASGE 9:45 am Sub-epithelial Lesions: Endoscopic Options for Diagnosis Assistant Professor of Medicine, Associate Professor of Medicine, and Resection University of Minnesota Medical Center, Director of Pancreaticobiliary Amit Bhatt, MD Division of Gastroenterology and Endoscopy Services, Division of Hepatology, Minneapolis, MN Digestive and Liver Disease, Columbia University Medical Center, New York 10:05 am Panel Discussion and Q & A Amit Bhatt, MD Endoscopy Quality Officer, Department Presbyterian Hospital, New York, NY 10:20 am Break of Gastroenterology, Hepatology & Uzma D. Siddiqui, MD, FASGE Nutrition, Cleveland Clinic, Cleveland, OH Associate Professor of Medicine, Associate Director, Center for SESSION 3: Refining heT Approach to Pancreatic Victoria Gomez, MD Fluid Collections Doctors and Medical Staff, Departments Endoscopic, Research and Therapeutics Gastroenterology and Hepatology, Mayo Director, Endoscopic Ultrasound Clinic, Jacksonville, FL and Advanced Endoscopy Training, 10:40 am It Isn’t a Pseudocyst: How Revised Atlanta Classification University of Chicago, Chicago, IL Tamas A. Gonda, MD Guides Decision Making Tyler Stevens, MD, MS, FASGE, FACG Tyler Stevens, MD, FASGE, FACG Assistant Professor of Medicine, Columbia University Irving Medical Associate Professor of Medicine, Center, New York, NY Department of Gastroenterology, 11:00 am Endoscopic Pathways for PFCs: Do All Roads Lead to LAMS? Hepatology & Nutrition, Director of Amrita Sethi, MD, FASGE Prashant S. Kedia, MD, FASGE the Pancreas Clinic, Cleveland Clinic, Medical Director of Interventional Cleveland, OH 11:20 am I put in a LAMS, Now What? Managing Walled Off Necrosis Endoscopy, Methodist Dallas Medical Beyond Access Center, Digestive Health Associates of Dennis J. Yang, MD, FASGE, FACG Assistant Professor of Medicine, Nabeel Azeem, MD Texas, Dallas, TX Advanced Endoscopy Program Director, Shivangi T. Kothari, MD, FASGE, FACG 11:40 am Panel Discussion and Q & A Division of Gastroenterology, University Assistant Professor, Medicine, Division of Florida, Gainesville, FL of Gastroenterology/Hepatology, 12:00 pm Lunch Associate Director of Endoscopy, Co- Director, Developmental Endoscopy SESSION 4: Emerging Endoscopic Diagnostics and Therapeutics for Lab at University of Rochester (DELUR), Pancreaticobiliary Neoplasia University of Rochester Medical Center & Strong Memorial Hospital, Rochester, NY 1:10 pm When Should I Order EUS? Comparison of Guidelines Victoria Gomez, MD 1:30 pm Advances in Biliary and Pancreatic Diagnostics Tamas A. Gonda, MD, FASGE FOR MORE INFORMATION ABOUT THIS COURSE, 1:50 pm Ablative Techniques for Pancreaticobiliary Lesions Prashant S. Kedia, MD, FASGE CONTACT ASGE 2:10 pm Panel Discussion and Q & A • Toll free: 866-353-ASGE (2743) • Tel: 630-573-0600 SESSION 5: Potpourri • E-mail: [email protected] 2:25 pm Tried and True, EMR is the Way to Go • Web: www.asge.org Uzma D. Siddiqui, MD, FASGE If you need auxiliary aids or services identified in the 2:45 pm Out with EMR, Make Room for ESD Dennis J. Yang, MD, FASGE, FACG Americans with Disabilities Act (e.g., assistive listening devices or Braille materials), please contact ASGE.

Register for ACG 2019: acgmeetings.gi.org / 23 FOLLOW ACG 2019 ON ACG 2019 SOCIAL MEDIA Meeting App Included with your registration is complimentary Add the #ACG2019 hashtag to meeting- access to the course presentations via the ACG 2019 related posts on all social media Meeting app, which will be available within the ACG platforms. Learn how to sign up and get Mobile App. (NOTE: A printed syllabus will not be started on Twitter and other platforms, provided.) The app can be used to view faculty see who’s who in GI on Twitter, and more. presentations on tablets, mobile devices, and laptops, Visit the ACG Blog at ACGblog.org. and offers note-taking and highlighting capabilities. Pre-registrants will receive access to the app prior to FOLLOW THE MEETING WITH the course, to view, download, or print the presentation HASHTAG #ACG2019 slides. See page 6 for more information. Follow #ACG2019 by visiting Twitter. com/#ACG2019 or by searching for “#ACG2019” in the “Explore” tab of the Twitter app on your mobile device.

CONNECT WITH ACG ON THESE SOCIAL MEDIA PLATFORMS: Twitter: twitter.com/AmCollegeGastro

Facebook: facebook.com/AmCollegeGastro

Instagram: instagram.com/amcollegegastro THE ONLINE ITINERARY YouTube: youtube.com/user/ACGastroenterology PLANNER IS OPEN!

LinkedIn: Register today and start building your American College of Gastroenterology personal schedule for ACG 2019.

Use the Planner to prioritize your time by planning your SOCIAL MEDIA on-site activities in advance—browse and bookmark the HIGHLIGHTS EMAIL sessions, view presentations, posters, and events, and Onsite at #ACG2019, keep an eye out for explore the Exhibit Hall layout and exhibitors. a daily email highlighting social media Once registered for the meeting, you will be able to posts using #ACG2019. create your Planner account, which allows you to build, access, and update your itinerary at any time. When the meeting app is available in October, your saved itinerary and bookmarked items will sync to the app on your device, for use at the meeting in San Antonio.

VISIT THE ITINERARY PLANNER: eventscribe.com/2019/ACG

#ACG2019 Note: only registered attendees will be able to create accounts acgmeetings.gi.org and save itineraries that will sync to the meeting app.

24 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTGRADUATE COURSE Saturday & Sunday, October 26-27, 2019

Course Directors: Timothy B. Gardner, MD, MS, FACG, and Renee L. Williams, MD, MHPE, FACG

PROGRAM DESCRIPTION  SATURDAY, OCTOBER 26, 2019 | 7:50 AM - 5:00 PM With the need to remain abreast of the many new and emerging advancements in the 7:00 am REGISTRATION OPENS field of gastroenterology and the patient 7:00 am Continental Breakfast volume increasing as the population ages, the clinical gastroenterologist is more challenged 7:50 am Introduction by Course Directors  Stars at Night Ballroom than ever to deliver the best patient care Timothy B. Gardner, MD, MS, FACG, and Renee L. Williams, MD, MHPE, FACG in each situation they encounter. Research across gastroenterology and hepatology Session 1A: IBD Therapy  Stars at Night Ballroom areas progresses at a rapid pace. Advances Moderator: Millie D. Long, MD, MPH, FACG in technology, diagnostic modalities, and therapeutic options have had a positive 8:00 am Ulcerative Colitis Update 2019 impact on the management of many GI David T. Rubin, MD, FACG Describe the important adverse events that can occur with the use of biologic therapy. diseases. Scientific education, based on critical foundational knowledge and clinical skills, 8:20 am Optimizing Biologic Therapy Millie D. Long, MD, MPH, FACG the communication of practical methods Evaluate the optimal use of biologics in 2019. POSTGRADUATE for treatment, and the ability to integrate 8:40 am The Role of Biosimilars in IBD 2019 the newest tools in diagnosis with the latest Sunanda V. Kane, MD, MSPH, FACG COURSE therapeutic/treatment options, are key Identify the role of biosimilars in the care of today's IBD patients. necessities for the GI clinician to deliver top- 9:00 am Practical Approach to Drug Level Monitoring quality patient care. This course will provide Corey A. Siegel, MD, MS updates on a variety of gastroenterology and Assess the importance of drug level monitoring in the care of IBD patients. hepatology subjects including IBD therapy, 9:20 am Panel Q & A quality in colorectal cancer screening, functional GI disorders, esophageal disorders, 9:40 am Break pancreaticobiliary disease, and liver disease. Expert faculty will deliver scientific 10:00 am The David Sun Lecture: The IBD Medical Home and Neighborhood - It Takes a Village  presentations in a variety of formats. Didactic Stars at Night Ballroom Miguel D. Regueiro, MD, FACG lectures, followed by interactive question Introduced by: Sunanda V. Kane, MD, MSPH, FACG, ACG President and answer sessions, small group learning Explain the role of alternative models of care, such as the medical home, for the luncheons, and a choice of simultaneous management of inflammatory bowel disease.See page 13 for more information. sessions on the latest topics in GI and liver clinical care will be offered. SESSION 1B: Quality in Colorectal Cancer Screening  Stars at Night Ballroom The program is designed primarily for clinicians Moderator: Carol A. Burke, MD, FACG in GI/hepatology, as well as physician assistants, nurse practitioners, and other advanced 10:30 am Genetic Testing for Colorectal Cancer Carol A. Burke, MD, FACG practice providers interested in a scientifically Describe current management guidelines with regard to genetic testing for colorectal cancer. sound approach to the management of GI and 10:50 am Quality Colonoscopy in 2019 liver illnesses. Douglas K. Rex, MD, MACG Demonstrate practical techniques during colonoscopy, which provide the highest quality exam. 11:10 am Approach to Serrated Polyps and Polyposis Syndrome John M. Carethers, MD, FACG Distinguish the unique approach to removing serrated polyps and how it contrasts with Part of the Three-Day Clinical Review. recommendations for adenomatous polyps. REGISTER AND SAVE UP TO 10% 11:30 am Non-Endoscopic CRC Screening Tests in 2019 when you bundle the Postgraduate Course Aasma Shaukat, MD, MPH, FACG with the two half-day Friday courses. Identify the non-endoscopic CRC screening tests that are relevant to the practicing gastroenterologist. 11:50 am Panel Q & A

12:10 pm Break for Learning Luncheons

SATURDAY OPTIONAL LEARNING LUNCHEONS – Choose from 12 2:45 pm Panel Q & A 12:20 pm – 1:35 pm (You must register separately for learning lunches during the registration process.) SYMPOSIUM B: Current Issues in Inflammatory Bowel Disease David Y. Graham Lecture Stars at Night Ballroom - B2 1. Medical Marijuana – Weeding Out the Good From the Bad  Stars at Night Ballroom - B1 Symposium 5A: Monitoring Therapies in IBD: So You Started Treatment, Now What Do You Do? Stars at Night Ballroom - B4 David J. Hass, MD, FACG Moderator: Stephen B. Hanauer, MD, FACG Discuss the indications and evidence for the use of medical cannabis in Symposium 5B: Topics in Cirrhosis and Portal Hypertension Stars at Night Ballroom - B2 1:45 pm Optimizing Initial IBD Therapy treating GI disease. Symposium 5A: Monitoring Therapies in IBD: So You Started Treatment, Now What Do You Do? Stars at Night Ballroom - B4 Stephen B. Hanauer, MD, FACG 2. Post-ERCP Pancreatitis – Can We Trend to Nil? Outline initial IBD therapy regimens to promote optimal Welcome and Introductions Stars at Night Ballroom - B2 Timothy B. Gardner, MD, MS, FACG long-term outcomes. Evaluate the techniques to help prevent post-ERCP pancreatitis. Functional Genomics and Precision Medicine: What Every Gastroenterologist Should Know Stars at Night Ballroom - B2 2:05 pm A Practical Guide to J-Pouches and Their Complications Interpretation and Therapeutic Implications of Physiologic Testing in the Management of Esophageal Disorders Stars at Night Ballroom - B2 3. Effectively Treating Hemorrhoids in an Office-Based Practice Laura E. Raffals, MD, MS, FACG Harry E. Sarles, Jr., MD, FACG Discuss management strategies for complications associated Celiac Disease: Novel Therapeutic Approaches Beyond Gluten Withdrawal Stars at Night Ballroom - B2 Describe the gastroenterologist-directed treatment of hemorrhoids. with ileal pouch-anal anastomosis (IPAA). Scientific Basis of Novel Immunologic Approaches to IBD Stars at Night Ballroom - B2 4. The Difficultatient P With Chronic Diarrhea 2:25 pm Adverse Events From Biologics – What Patients Must Know How to Apply Molecular and Genetic Testing to Colon Polyps and Cancer Management Stars at Night Ballroom - B2 Lawrence R. Schiller, MD, MACG Lisa B. Malter, MD, FACG Physiologic Basis of Current and Future Approaches to Non-Alcoholic Fatty Liver Disease Stars at Night Ballroom - B2 Detail the evaluation and management strategies for treating patients Detail the important adverse events that can occur with the use of with chronic, non-infectious diarrhea. biologic therapy. Mechanistic Underpinnings for the Management of Refractory Constipation Stars at Night Ballroom - B2 5. Update on Fecal Transplant in 2019 2:45 pm Panel Q & A Welcome and Introductions Stars at Night Ballroom - B2 Amy E. Barto, MD New Concepts in the Treatment of Eosinophilic Esophagitis Stars at Night Ballroom - B2 Explain the current status of fecal transplant in the GI patient population. SYMPOSIUM C: Pushing the Boundaries of Endoscopy Jump-Starting Gastroparesis Stars at Night Ballroom - B2 6. Public Policy Update 2019  Stars at Night Ballroom - B4 Primary and Salvage Therapies for H. pylori Stars at Night Ballroom - B2 Jeffry L. Nestler, MD, FACG Moderator: Peter V. Draganov, MD, FACG Outline the current status of reimbursement for endoscopic procedures. Gastroprotection and the Renaissance of Peptic Ulcer Bleeding: Who Needs It and Who Doesn't Stars at Night Ballroom - B2 1:45 pm Is ESD Ready for Prime Time? 7. IBD in Pregnancy Contemporary Approach to SIBO and Bloating Stars at Night Ballroom - B2 Peter V. Draganov, MD, FACG Lisa B. Malter, MD, FACG Describe the current indications and techniques for endoscopic Medical Therapies for Crohn's Disease: What to Start With and When to Change Stars at Night Ballroom - B2 Apply current management strategies for the pregnant patient with IBD. submucosal dissection. Autoimmune Hepatitis: When to Move Beyond Steroids Stars at Night Ballroom - B2 8. Evaluation and Management of the Patient With Refractory Celiac Disease 2:05 pm Expanding the Indications for LAMS How and When to Use Neuromodulators for Functional Upper and Lower GI Syndromes Stars at Night Ballroom - B2 Peter H. R. Green, MD, FACG Laith H. Jamil, MD, FACG Discuss management strategies for patients with refractory celiac disease. Welcome and Introduction Stars at Night Ballroom Explain the current state of indications for lumen-apposing metallic 9. Colonoscopy at Age 45 – What’s the Evidence? stents and the future of this new technology. Session 1A: IBD Therapy Stars at Night Ballroom Joseph C. Anderson, MD, MHCDS, FACG 2:25 pm Closing Perforations for the General Gastroenterologist Symposium C: Pushing the Boundaries of Endoscopy Detail the latest guidelines with regard to early CRC screening. Steven A. Edmundowicz, MD Symposium A: Obesity and the Gastroenterologist 10. Current Concepts in the Management of Steatohepatitis Define a practical approach to closing luminal perforations. Symposium C: Pushing the Boundaries of Endoscopy Arun J. Sanyal, MD 2:45 pm Panel Q & A Summarize current management strategies of steatohepatitis. Symposium B: Current Issues in Inflammatory Bowel Disease 11. ERCP Cannulation: Tips and Techniques Symposium B: Current Issues in Inflammatory Bowel Disease Laith H. Jamil, MD, FACG 3:00 pm Break Symposium A: Obesity and the Gastroenterologist Assess practical techniques to improve successful cannulation rates. SESSION 1C: Functional GI Disorders Symposium C: Pushing the Boundaries of Endoscopy 12. Do Cool Colonoscopy Gadgets Really Increase Your ADR?  Stars at Night Ballroom Symposium B: Current Issues in Inflammatory Bowel Disease Seth A. Gross, MD, FACG Moderator: Mark Pimentel, MD, FACG Interpret the evidence behind new devices to promote improved Symposium C: Pushing the Boundaries of Endoscopy adenoma detection rates. 3:20 pm The Microbiome and Its Role in IBS Symposium A: Obesity and the Gastroenterologist 1:35 pm Break Mark Pimentel, MD, FACG Session 1C: Functional GI Disorders Identify the role of the microbiome in IBS. SIMULTANEOUS SYMPOSIA 3:40 pm Evaluation and Management of Constipation 1:45 pm – 3:00 pm Satish S.C. Rao, MD, PhD, FACG Describe the important clinical evaluation and management SYMPOSIUM A: Obesity and the Gastroenterologist strategies for constipation.  Stars at Night Ballroom - B2 4:00 pm Drug Therapies for Functional Disease Moderator: Richard I. Rothstein, MD, FACG Eamonn M. M. Quigley, MD, MACG 1:45 pm Gastric Balloons: Fact or Fiction? Detail the current evidence-based therapies for functional disease. Violeta B. Popov, MD, PhD, FACG 4:20 pm Panel Q & A Discuss the latest developments and evidence in the use of gastric balloons. 2:05 pm Endoscopic Obesity Therapy: Beyond the Balloon 4:40 pm Take-Home Pearls: What Did We Learn Today? Richard I. Rothstein, MD, FACG Timothy B. Gardner, MD, MS, FACG, and Compare the non-balloon devices available to treat obesity. Renee L. Williams, MD, MHPE, FACG Review important and practical take-home messages from today's talks. 2:25 pm Managing Complications of Bariatric Surgery 5:00 pm Adjourn for the day Allison R. Schulman, MD, MPH Determine how to effectively manage the complications that can occur as a result of bariatric surgery.

26 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTGRADUATE COURSE Saturday & Sunday, October 26-27, 2019

 SUNDAY, OCTOBER 27, 2019 | 7:50 AM - 5:00 PM SUNDAY OPTIONAL LEARNING LUNCHEONS – Choose from 12 12:20 pm – 1:35 pm (You must register separately for learning lunches during the registration process.) 7:00 am REGISTRATION OPENS 13. Tips and Tricks for Improving the Quality of Your Colonoscopy 7:00 am Continental Breakfast Douglas K. Rex, MD, MACG 7:50 am Introduction by Course Directors Describe endoscopic techniques to improve adenoma detection rates in  Stars at Night Ballroom your practice. Timothy B. Gardner, MD, MS, FACG, and 14. How to Set up Your Practice for MACRA and MIPS Reporting Renee L. Williams, MD, MHPE, FACG Irving M. Pike, MD, FACG Discuss the current requirements for MACRA and MIPS reporting. Session 2A: Esophageal Disorders 15. Management of Acute Liver Failure  Stars at Night Ballroom Christina C. Lindenmeyer, MD Moderator: Kenneth K. Wang, MD, FACG Describe medical therapies and indications for transplant in acute liver failure. 8:00 am Management of Dysplasia in Barrett’s Esophagus Kenneth K. Wang, MD, FACG 16. Endoscopic Assessment of Trainees Discuss management strategies for treatment of dysplasia in Renee L. Williams, MD, MHPE, FACG Barrett's esophagus. Compare validated tools to assess endoscopic competence in trainees. 8:20 am Endoscopic and Surgical Management of Achalasia 17. Update on the Management of Gastric Intestinal Metaplasia Nicholas J. Shaheen, MD, MPH, FACG Paul Moayyedi, MB ChB, PhD, MPH, FACG Detail the endoscopic and surgical management of achalasia. Identify guidelines and indications for gastric cancer screening in 8:40 am Eosinophilic Esophagitis patients with intestinal metaplasia. Kathy A. Peterson, MD, MSci 18. Non-FAP Hereditary Colorectal Cancers Classify the most important new developments in the treatment John M. Carethers, MD, FACG POSTGRADUATE and management of EOE. Evaluate criteria and diagnosis of non-FAP hereditary CRC and

9:00 am Non-Achalasia Motility Disorders screening strategies. COURSE Joel E. Richter, MD, MACG 19. The Difficult Foreign Body Assess the diagnosis and management of non-achalasia Neil H. Stollman, MD, FACG motility disorders. Utilize tips and tricks to improve foreign body removal. 9:20 am Panel Q & A 20. Refractory GERD in the Post-Bariatric Patient Kenneth R. DeVault, MD, FACG 9:40 am Break Identify management strategies for refractory GERD in the post-bariatric patient. Session 2B: Hot Topics in Hepatology 21. Embracing Telehealth in Your Clinical Practice  Stars at Night Ballroom Corey A. Siegel, MD, MS Moderator: Mark W. Russo, MD, MPH, FACG Describe how to use telehealth effectively in your practice.

10:00 am Hepatitis C Drug Therapy: Is There Still a Role for 22. Evaluation and Therapy of Chronic Nausea and Vomiting Brian E. Lacy, MD, PhD, FACG Hepatologists? Define evaluation and management strategies for the treatment Paul Y. Kwo, MD, FACG Recognize the current state of hepatitis C therapy and the role of of nausea and vomiting. the hepatologist. 23. Newer Therapies for Management of Varices 10:20 am Medical and Surgical Management of NASH David A. Greenwald, MD, FACG Mark W. Russo, MD, MPH, FACG Detail the newer therapies for the management of variceal bleeding. Assess the current standard of care of patients with NASH. 24. Managing the Post-Liver Transplant Patient 10:40 am Management of Portal Hypertension Paul Y. Kwo, MD, FACG Suthat Liangpunsakul, MD, MPH, FACG Summarize important considerations including medication monitoring in Interpret the critical clinical pearls in the management of portal the post-liver transplant patient. hypertension. 11:00 am Hepatitis B in 2019 1:35 pm Break Norah A. Terrault, MD, MPH, FACG Differentiate the principles of management for hepatitis B SIMULTANEOUS SYMPOSIA patients in 2019. 1:45 pm – 3:00 pm 11:20 am Liver Masses 101 Fasiha Kanwal, MD, MSHS SYMPOSIUM D: All Things GI Bleeding Summarize the approach to management of liver masses.  Stars at Night Ballroom - B1 11:40 am Panel Q & A Moderator: Brennan M. Spiegel, MD, MSHS, FACG 1:45 pm Management of Peri-Procedural Anticoagulation Neena S. Abraham, MD, MSc (Epid), FACG 12:00 pm Break for Learning Luncheons Illustrate the important considerations when determining the management of peri-procedural anticoagulation.

2:05 pm Approach to the Obscure/Occult GI Bleeding Patient 4:20 pm Panel Q & A Brennan M. Spiegel, MD, MSHS, FACG Describe the management strategies for patients with obscure GI bleeding. 4:40 pm Take-Home Pearls: What Did We Learn Today? 2:25 pm Newer Technologies for Non-Variceal Bleeding Timothy B. Gardner, MD, MS, FACG, and Alan N. Barkun, MD, CM, MSc (Clin Epi), FACG Renee L. Williams, MD, MHPE, FACG Compare the newer techniques and therapies to control non- Review important and practical take-home messages from variceal bleeding. today’s talks. 2:45 pm Panel Q & A 5:00 pm Postgraduate Course Adjourns

SYMPOSIUM E: Challenges in the Stomach and Small Bowel  Stars at Night Ballroom - B4 Moderator: Amy S. Oxentenko, MD, FACG ACCREDITATION / CME / MOC 1:45 pm Malabsorption Syndromes and the Small Bowel The American College of Gastroenterology is accredited by the Amy S. Oxentenko, MD, FACG Accreditation Council for Continuing Medical Education (ACCME) Identify and treat relevant small bowel malabsorption syndromes. to provide continuing medical education for physicians. 2:05 pm Management of Gastric Polyps The American College of Gastroenterology designates this live Douglas G. Adler, MD, FACG Summarize the current management and treatment of gastric polyps. activity for a maximum of 15.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the 2:25 pm Non-Celiac Gluten Sensitivity William D. Chey, MD, FACG extent of their participation in the activity. Discuss the entity of non-celiac gluten sensitivity. AMA PRA Category 1 Credits™ are awarded as follows: 13.75 AMA 2:45 pm Panel Q & A PRA Category 1 Credits™ for the Postgraduate Course and 1 AMA PRA Category 1 Credit™ for each Learning Luncheon Session (lunches must be purchased separately). SYMPOSIUM F: All Things Motility  Stars at Night Ballroom - B2 Successful completion of this CME activity, Moderator: Felice Schnoll-Sussman, MD, FACG which includes participation in the evaluation 1:45 pm GERD and Dysmotility: Defining the Relationship component, enables the participant to earn up to 13.75 MOC points Philip O. Katz, MD, MACG in the American Board of Internal Medicine’s (ABIM) Maintenance Illustrate and define the implications of the relationship of Certification (MOC) program. Participants will earn MOC points between GERD and dysmotility. equivalent to the amount of CME credits claimed for the activity. It 2:05 pm New Technologies in the Diagnosis of Motility Disorders is the CME activity provider’s responsibility to submit participant Felice Schnoll-Sussman, MD, FACG completion information to ACCME for the purpose of granting Interpret the latest clinical technologies to help diagnose motility disorders. ABIM MOC credit. 2:25 pm Pharmacologic Therapy for Motility Disorders Brian E. Lacy, MD, PhD, FACG Describe the common medications to treat motility disorders. 2:45 pm Panel Q & A attend the 3:00 pm Break / Visit the Exhibit Hall OPENING WELCOME RECEPTION SESSION 2C: Pancreaticobiliary Disease  Stars at Night Ballroom SUNDAY, OCTOBER 27, 5:15 PM – 7:00 PM Moderator: Grace H. Elta, MD, MACG

3:20 pm Pancreatic Cysts – Making Sense of the Guidelines Immediately following the conclusion Grace H. Elta, MD, MACG Compare the different guidelines for the management of of the Postgraduate Course pancreatic cysts. Join colleagues for the ACG 2019 Opening Welcome 3:40 pm Autoimmune Pancreatitis 2019 Reception in the Exhibit Hall. The reception will feature hors Phil A. Hart, MD Define management strategies for the treatment of d’oeuvres and refreshments. This casual social gathering will autoimmune pancreatitis in 2019. give all attendees the opportunity to explore the Hall, meet 4:00 pm Treating the Pain of Chronic Pancreatitis with exhibitors, visit the poster section, and network and Darwin L. Conwell, MD, MS, FACG mingle with colleagues. Analyze treatment strategies for the pain of chronic pancreatitis.

28 \ 2019 Annual Scientific Meeting & Postgraduate Course THE 2019 ONLINE SELF-ASSESSMENT TEST

Buy Early Access, Study Longer, and SAVE!

SPECIAL PRE-MEETING DISCOUNTED PRICE Member price: $75* | Nonmember: $125*

The 2019 edition of the Online SAT includes: POSTGRADUATE 300 questions COURSE Correct answers, detailed explanations, and a bibliography (with links to PubMed)

The ability to track scores overall Your Postgraduate Course and by category registration includes: PRE-ORDER AND SAVE!

Two-Day Postgraduate Course Purchase the Online SAT when you register.

Printed Self-Assessment Test book with 300 questions, plus comprehensive, annotated answers! Earn 35 CME credits and MOC points for successful completion. The 2019 Online Self-Assessment Test offers a Up to 13.75 hours of CME and MOC. maximum of 35 AMA PRA Category 1 Credits™ and Add Optional Learning Lunches on ABIM MOC points upon successful completion. Saturday and Sunday for up to 2 NOTE: The PRINTED version of the 2019 Self-Assessment Test is included additional hours! in the course registration for Postgraduate Course attendees and will be provided on-site at the meeting. Access to the slide sets for all * Prices in effect only until Friday, October 18th. The discount only applies to those presentations within the Annual who register through the ACG 2019 registration website at acgmeetings.gi.org. Meeting app. After October 18th, the Online Self-Assessment Test can be purchased through the ACG website at full price.

ONLINE ACCESS OPENS SEPTEMBER 18, 2019 SATEST.GI.ORG

Neena S. Abraham, MD, MSc (Epid), FACG Seth A. Gross, MD, FACG Irving M. Pike, MD, FACG Harry E. Sarles, Jr., MD, FACG Professor of Medicine, Mayo Clinic, Associate Professor of Medicine, Senior Vice President and Chief Founding Partner and Medical Director Scottsdale, AZ NYU School of Medicine; Chief of Medical Officer, John Muir Health, for DRI, Digestive Health Associates Douglas G. Adler, MD, FACG Gastroenterology, Tisch Hospital, NYU Walnut Creek, CA of Texas, DHAT Research Institute, Professor of Medicine, University of Langone Medical Center, New York, NY Mark Pimentel, MD, FACG Rockwall, TX Utah School of Medicine; Director of Stephen B. Hanauer, MD, FACG Executive Director, MAST Program, Lawrence R. Schiller, MD, MACG Therapeutic Endoscopy, Huntsman Professor of Medicine, Feinberg School Cedars-Sinai, Los Angeles, CA Clinical Professor, Texas A&M Cancer Institute, Salt Lake City, UT of Medicine, Northwestern University, Violeta B. Popov, MD, PhD, FACG Dallas Campus; Program Director, Joseph C. Anderson, MD, MHCDS, FACG Chicago, IL Assistant Professor of Medicine, NYU Gastroenterology Fellowship, Baylor Associate Professor of Medicine, Phil A. Hart, MD School of Medicine, New York, NY University Medical Center, Dallas, TX Dartmouth College Geisel School of Associate Professor of Medicine, Eamonn M. M. Quigley, MD, MACG Felice Schnoll-Sussman, MD, FACG Medicine, Hanover, NH The Ohio State University Wexner Professor of Medicine, Weill Cornell Professor of Clinical Medicine, Weill Alan N. Barkun, MD, CM, MSc (Clin Epi), FACG Medical Center Medical College; Chief, Division of Cornell Medical College, Weill Cornell Professor of Medicine, Douglas G. David J. Hass, MD, FACG Gastroenterology and Hepatology, Medicine, New York, NY Kinnear Chair in Gastroenterology, Associate Clinical Professor of Houston Methodist Hospital, Allison R. Schulman, MD, MPH McGill University, McGill University Medicine, Yale University School of Houston, TX Assistant Professor, Director of Health Center, Montreal, QC Medicine, Hamden, CT Laura E. Raffals, MD, MS, FACG Bariatric Endoscopy, University of Amy E. Barto, MD Laith H. Jamil, MD, FACG Associate Professor of Medicine, Mayo Michigan, Ann Arbor, MI Director, Fecal Transplant Program, Program Director. Advanced Clinic, Rochester, MN Nicholas J. Shaheen, MD, MPH, FACG Duke University Medical Center, Endoscopy, Cedars-Sinai Medical Satish S. C. Rao, MD, PhD, FACG Professor of Medicine; Chief, Division Durham, NC Center, Los Angeles, CA Professor of Medicine, Digestive of Gastroenterology and Hepatology, Carol A. Burke, MD, FACG Sunanda V. Kane, MD, MSPH, FACG Health Center, Medical College of University of North Carolina, Chapel Director, Center for Colon Polyp Professor of Medicine, Mayo Clinic, Georgia, Augusta, GA Hill, NC and Cancer Prevention; Vice Chair, Rochester, MN Miguel D. Regueiro, MD, FACG Aasma Shaukat, MD, MPH, FACG Department of Gastroenterology Fasiha Kanwal, MD, MSHS Chair, Department of Professor of Medicine, University and Hepatology, Cleveland Clinic Professor of Medicine, Michael E. Gastroenterology, Hepatology, and of Minnesota; GI Section Chief, Foundation, Cleveland, OH DeBakey VA Medical Center, Houston, TX Nutrition; The Pier C. and Renee Minneapolis VAHCS, Minneapolis, MN John M. Carethers, MD, FACG Philip O. Katz, MD, MACG A. Borra Family Endowed Chair in Corey A. Siegel, MD, MS Chair, Department of Internal Medicine; Director, Motility Laboratories, Weill Gastroenterology, Hepatology, and Associate Professor of Medicine; John G. Searle Professor of Medicine, Cornell Medicine, New York, NY Nutrition, Digestive Disease and Co-Director of Inflammatory Bowel University of Michigan, Ann Arbor, MI Surgery Institute; Vice Chair, Digestive Disease Center, Section Chief of Paul Y. Kwo, MD, FACG William D. Chey, MD, FACG Disease and Surgery Institute; Gastroenterology and Hepatology, Professor of Medicine, Stanford Professor of Medicine, Cleveland Dartmouth-Hitchcock Medical Center, Nostrant Professor of Gastroenterology University, Palo Alto, CA & Nutrition, University of Michigan; Clinic, Cleveland, OH Lebanon, NH Director, GI Physiology Lab, Michigan Brian E. Lacy, MD, PhD, FACG Douglas K. Rex, MD, MACG Brennan M. Spiegel, MD, MSHS, FACG Medicine, Ann Arbor, MI Professor of Medicine, Mayo Clinic, Distinguished Professor of Medicine, Professor of Medicine and Public Jacksonville, FL Darwin L. Conwell, MD, MS, FACG Indiana University School of Health, Director of Health Services Professor of Medicine; Director, Division Suthat Liangpunsakul, MD, MPH, FACG Medicine, Indianapolis, IN Research, Cedars-Sinai Health System; of Gastroenterology, Hepatology and Professor of Medicine, Biochemistry Joel E. Richter, MD, MACG Cedars-Sinai Site Director, Clinical and Nutrition, Ohio State University Wexner and Molecular Biology, Indiana Professor of Medicine; Hugh F. Translational Science Institute (CTSI); Medical Center, Columbus, OH University School of Medicine, Culverhouse Chair for Esophageal Assistant Dean, David Geffen School Indianapolis, IN Disorders; Director, Division of of Medicine at UCLA, Cedars-Sinai Kenneth R. DeVault, MD, FACG Medical Center, Los Angeles, CA Professor of Medicine, Mayo Clinic, Christina C. Lindenmeyer, MD Digestive Disease and Nutrition; Jacksonville, FL Assistant Professor of Medicine, Director, Joy McCann Culverhouse Neil H. Stollman, MD, FACG Cleveland Clinic, Cleveland, OH Center for Esophageal and Swallowing Associate Clinical Professor of Peter V. Draganov, MD, FACG Disorders, University of South Florida, Medicine, University of California Professor of Medicine, University of Millie D. Long, MD, MPH, FACG Tampa, FL San Francisco; Chief, Division of Florida, Gainesville, FL Associate Professor of Medicine, Richard I. Rothstein, MD, FACG Gastroenterology, Alta Bates Summit University of North Carolina, Center Medical Center, Oakland, CA Steven A. Edmundowicz, MD for Gastrointestinal Biology and Joseph M. Huber Professor and Chair, Medical Director, Digestive Health Disease, Chapel Hill, NC Department of Medicine, The Geisel Norah A. Terrault, MD, MPH, FACG Center; Professor of Medicine, University School of Medicine at Dartmouth, Professor of Medicine, Keck School of Colorado Hospital; University of Lisa B. Malter, MD, FACG Lebanon, NH of Medicine, University of Southern Colorado School of Medicine, Aurora, CO Associate Professor of Medicine, NYU California, Los Angeles, CA School of Medicine/Bellevue Hospital, David T. Rubin, MD, FACG Grace H. Elta, MD, MACG New York, NY Joseph B. Kirsner Professor Kenneth K. Wang, MD, FACG Professor of Medicine, University of of Medicine; Chief, Section of Kathy and Russ Van Cleve Professor of Michigan, Ann Arbor, MI Paul Moayyedi, MB ChB, PhD, MPH, FACG Gastroenterology, Hepatology and Gastroenterology Research, Mayo Clinic Professor, Department of Medicine; Timothy B. Gardner, MD, MS, FACG Nutrition; Co-Director, Digestive College of Medicine, Rochester, MN Division of Gastroenterology, McMaster Diseases Center, University of Chicago Associate Professor, Geisel School University, Hamilton, Ontario, Canada Renee L. Williams, MD, MHPE, FACG of Medicine at Dartmouth; Director, Medicine, Chicago, IL Associate Professor of Medicine; Pancreatic Disorders, Dartmouth- Jeffry L. Nestler, MD, FACG Mark W. Russo, MD, MPH, FACG Program Director, Gastroenterology and Hitchcock Medical Center, Lebanon, NH President, Connecticut GI, PC, Professor of Medicine, Carolinas Hepatology Fellowship, NYU School of Hartford, CT Peter H. R. Green, MD, FACG Medical Center/Atrium Healthcare, Medicine/Bellevue Hospital Center, Phyllis & Ivan Seidenberg Professor of Amy S. Oxentenko, MD, FACG Charlotte, NC New York, NY Medicine, Columbia University, New Professor of Medicine; Residency Arun J. Sanyal, MD York, NY Program Director and Associate Chair, Z. Reno Vlahcevic Professor of Department of Medicine, Mayo Clinic, Medicine, Virginia Commonwealth David A. Greenwald, MD, FACG Rochester, MN Director of Clinical Gastroenterology University; Executive Director, and Endoscopy, Mount Sinai Hospital, Kathryn A. Peterson, MD, MSci Education Core Center for Clinical New York, NY Associate Professor of Medicine, and Translational Research, Virginia University of Utah, Salt Lake City, UT Commonwealth University, VCUHS, Richmond, VA

30 \ 2019 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 28-30, 2019

The Annual Scientific Meeting is FREE for ACG members!

PROGRAM DESCRIPTION  MONDAY, OCTOBER 28, 2019 | 6:45 AM - 6:30 PM Gain insight from the experts, learn practical take-home points, and network with your 6:00 am – 5:00 pm REGISTRATION OPENS colleagues when you attend the ACG Annual Scientific Meeting. Throughout the Scientific OPTIONAL BREAKFAST SESSIONS – Choose from 6 Meeting, faculty will present the latest in 6:30 am – 7:45 am (You must register and pay separately for breakfast sessions during the registration process.) GI and hepatology, and how to incorporate findings into patient care. Hear about the BREAKFAST A: IBD at the Extremes: From Babies to Boomers latest clinical research during the free papers/ Moderator: Christina Y. Ha, MD, FACG oral presentation plenary sessions. In addition, • Preconception to Pregnancy there will be several featured lectures by Eugenia Shmidt, MD world-renowned experts that delve into Emphasize the importance of pre-, peri-, and postpartum care for women with IBD. deeper discussion on a specific topic. • Transitions of Care Thirteen scientific symposia and over 65 oral Jill K. J. Gaidos, MD, FACG Propose strategies for seamless transition from pediatric to adult GI care. abstract presentations will allow attendees to • hear lecture presentations from experts and to The Older Patient Christina Y. Ha, MD, FACG participate in interactive question and answer Distinguish the additional needs of older patients living with IBD. sessions with the faculty. In addition, 15 optional scientific breakfast sessions will be offered, where BREAKFAST B: Anorectal Disorders Moderator: Lawrence J. Brandt, MD, MACG a smaller setting allows for heightened • I Am Itching to Show and Tell: Benign and Malignant Anorectal Lesions interaction with the speakers and greater Lawrence J. Brandt, MD, MACG audience involvement. Recognize various benign and malignant anorectal pathologies. MEETING Finally, ACG's 7th Annual Endoscopy • Taking on Hemorrhoids: Things to Consider ANNUAL Video Forum will feature the best video Harry E. Sarles, Jr., MD, FACG presentations submitted from colleagues from Identify and describe various options available to treat hemorrhoidal disease. across the U.S. and around the world. • Management of Anorectal POOpouri: Pruritus, Proctalgia, Seepage, and Perianal Dermatitis The Annual Scientific Meeting program Satish S.C. Rao, MD, PhD, FACG is designed primarily for physicians in Describe various treatment options for common perianal symptoms. gastroenterology and hepatology, as well as physician assistants, nurse practitioners, BREAKFAST C: Challenges in ERCP and other advanced practice healthcare Moderator: Prabhleen Chahal, MD, FACG professionals interested in the latest • Evaluation and Management of Hilar Obstruction information on state-of-the-art treatment Prabhleen Chahal, MD, FACG of these illnesses. Outline new paradigms in the management of hilar biliary obstruction. • Approach to the Difficult ERCP Vivek Kaul, MD, FACG Explain how to approach and manage difficult ERCP scenarios. • Quality Indicators in ERCP Patrick S. Yachimski, MD, MPH Identify best practice principles and quality indicators in ERCP practice.

Register for ACG 2019: acgmeetings.gi.org / 31 ANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 28-30, 2019 Monday through Wednesday, October 28-30, 2019

BREAKFAST D: Conundrums in Motility: How the Experts Handle 8:00 am – 9:00 am Presidential Plenary Session 1 Tough Cases (Paper/Abstract Presentations) Moderator: John E. Pandolfino, MD, MSCI, FACG  Stars at Night Ballroom Moderators: Sunanda V. Kane, MD, MSPH, FACG , and • UES Dysfunction/Cricopharyngeal Bar Seth A. Gross, MD, FACG Reza Shaker, MD, FACG Describe the management of upper esophageal sphincter dysfunction/cricopharyngeal bar through the evaluation of cases. 1. Efficacy of Budesonide Oral Suspension for Eosinophilic Esophagitis in Adolescents and Adults: Results From a Phase 3, Randomized, Placebo- • Ineffective Esophageal Motility/Hypomotility Disorders Controlled Trial C. Prakash Gyawali, MD, MRCP, FACG  Category Award (Esophagus) Discuss the management of IEM/hypomotility disorders through the 1 2 3 evaluation of cases. Ikuo Hirano, MD, FACG , Margaret H. Collins, MD , David A. Katzka, MD , Vincent A. Mukkada, MD2, Gary W. Falk, MD, FACG4, James Williams, MD5, • GEJ Outflow Obstruction Nirav K. Desai, MD5, Lan Lan, PhD5, Robin Morey, MPH, BA5, Evan S. Del- John E. Pandolfino, MD, MSCI, FACG lon, MD, MPH6; 1Northwestern University Feinberg School of Medicine, Explain the management of gastroesophageal junction outflow 2 obstruction through the evaluation of cases. Chicago, IL, Cincinnati Children’s Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OH, 3Mayo Clinic, Rochester, BREAKFAST E: Remaining Challenges in the Management of MN, 4Perelman School of Medicine, University of Pennsylvania, Philadelphia, Hepatitis C Infection PA, 5Shire, a Takeda company, Lexington, MA, 6Center for Esophageal Dis- Moderator: Norah A. Terrault, MD, MPH, FACG eases and Swallowing, University of North Carolina, Chapel Hill, NC • Hepatitis C Management: Overview and Update Nancy S. Reau, MD, FACG 2. Avoidant/Restrictive Food Intake Disorder (ARFID) Among Adult Review the current state-of-the-art treatment options for hepatitis C. Gastroenterology Behavioral Health Patients: Comparison of ARFID vs. Non-ARFID Patients • Difficult-to-Treat HCV Patients  Category Award (Functional Bowel Disease) Norah A. Terrault, MD, MPH, FACG Kimberly N. Harer, MD, ScM1, Christina Jagielski, PhD, MPH1, William D. Discuss the treatment options for hepatitis C in patients with Chey, MD, FACG2, Megan Riehl, PsyD1; 1University of Michigan, Ann Arbor, decompensated cirrhosis, recognize treatment options for HCV 2 patients who have failed prior therapies, and identify the unique MI, Michigan Medicine, University of Michigan, Ann Arbor, MI needs of injection drug users with HCV infection. 3. Transitioning From Vedolizumab IV to Vedolizumab SC in Patients With • Management of the Cured HCV Patient Ulcerative Colitis: Results From the VISIBLE Program Joseph K. Lim, MD, FACG Douglas Wolf, MD, FACG1, Silvio Danese, MD, PhD2, Barbara Matthews, MD, Identify the long-term management of the hepatitis C patient who MPH3, Stephen Jones, MD4, Jingjing Chen, PhD5, Krisztina Kisfalvi, MD, PhD5, has been cured of their infection. William J. Sandborn, MD, FACG6; 1Atlanta Gastroenterology Associates, 2 3 BREAKFAST F: Challenges in Small Bowel Bleeding Atlanta, GA, Humanitas University, Milan, Lombardia, Italy, BioDirect, Inc., 4 Moderator: Elizabeth Rajan, MD Silver Spring, MD, Takeda Centre Europe Ltd, London, Burnham, England, 5 • Approach to the Patient With Obscure GI Bleeding United Kingdom, Takeda Development Center Americas, Inc., Cambridge, 6 Elizabeth Rajan, MD MA, University of California San Diego, La Jolla, CA Describe the classification and etiologies of small bowel bleeding 4. Patient Attitudes Towards Pre-Procedure Telehealth Visits Prior to Ad- and explain the approach to initial work-up of patients with small bowel bleeding. vanced Endoscopic Procedures: Results of a Pilot Survey  Fellows-in-Training Award (Interventional Endoscopy Category) • Update and Quality Metrics in Capsule Endoscopy Suraj Suresh, MD1, Stacy Menees, MD, MS1, Sameer D. Saini, MD, MSc2, Jodie A. Barkin, MD Anoop Prabhu, MD1; 1University of Michigan Health System, Ann Arbor, Discuss new updates in video capsule endoscopy technology, 2 and define markers of quality in the preparation, performance, MI, University of Michigan School of Medicine, Ann Arbor, MI and interpretation of video capsule endoscopy with strategies for optimization. 5. Kinetics of Stool Polymerase Chain Reaction in Clostridioides difficile Infec- tion and Its Utility in Predicting Recurrence • Medical and Endoscopic Management of Small Bowel Angioectasias Srishti Saha, MD, MBBS, Ryan Pardi, Robin Patel, MD, Darrell Pardi, MD, MS, and Other Lesions FACG, Sahil Khanna, MBBS, MS; Mayo Clinic, Rochester, MN Kathy P. Bull-Henry, MD, MBA, FACG Recognize the role of small bowel enteroscopy and medical therapies in managing small bowel bleeding due to angioectasias 9:00 am – 9:30 am President's Address and other lesions.  Stars at Night Ballroom Sunanda V. Kane, MD, MSPH, FACG 7:50 am – 6:30 pm Annual Scientific Meeting Introduced by: Mark B. Pochapin, MD, FACG

7:50 am – 8:00 am Opening Remarks Sunanda V. Kane, MD, MSPH, FACG, ACG President

32 \ 2019 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 28-30, 2019 Monday through Wednesday, October 28-30, 2019

9:30 am – 10:30 am Presidential Plenary Session 2 SIMULTANEOUS SYMPOSIA – SESSION 1 – Choose from 3  Stars at Night Ballroom 11:30 am - 12:45 pm Moderators: Mark B. Pochapin, MD, FACG, and Seth A. Gross, MD, FACG SYMPOSIUM 1A: CRC Screening and Surveillance Conundrums  Stars at Night Ballroom - B1 6. Statin Use Reduces the Risk of Hepatocellular Carcinoma: An Updated Moderator: Aasma Shaukat, MD, MPH, FACG Meta-analysis and Systematic Review • At What Age Should I Start Screening and When Should I Stop?  ACG Governors Award for Excellence in Clinical Research Aasma Shaukat, MD, MPH, FACG (Physician, Non-Trainee) Discuss the evidence to support or refute starting colonoscopy screening Muhammad Talal Sarmini, MD1, Mohammad Alomari, MD1, Laith Al Momani, MD2, at age 45 and stopping after age 75. Mohammad Maysara Asfari, MD3, Carlos Romero-Marrero, MD, MSc4; 1Cleveland • Colon Polypectomy, What Should You Use: Forceps to ESD Clinic Foundation, Cleveland, OH, 2East Tennessee State University, Johnson Mark B. Pochapin, MD, FACG City, TN, 3Medical College of Georgia at Augusta University, Augusta, GA, 4Di- Review best practice for colon polyp removal depending on polyp size. gestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH • What Should I Do With a Positive Stool Test After a Negative Colonoscopy? 7. Travelers’ Diarrhea, Single Dose Antibiotics, Acquisition of Multi-Drug Carol A. Burke, MD, FACG Resistance and Associations With Functional Microbiome Characterization: Explain an evidence-based approach to a positive stool test after a recent negative colonoscopy. Is There Any There There?  Category Award (Small Intestine) Ryan C. Johnson, PhD1, Joy D. Van Nostrand, PhD2, Michele Tisdale, MS3, Brett E. Swierczewski, PhD4, Mark P. Simons, PhD, MScPH5, Patrick Connor, FRCP6, SYMPOSIUM 1B: Controversies in Esophageal Disease: Expert Debates  Jamie Fraser, MPH7, Angela R. Melton-Celsa, PhD1, David R. Tribble, MD, Stars at Night Ballroom - B4 Moderator: Christine Y. Hachem, MD, FACG DrPH8, Mark S. Riddle, MD, DrPH, MPH&TM9; 1Uniformed Services University of the Health Sciences, Bethesda, MD, 2Institute for Environmental Genomics, Nor- • Do Endoscopic Anti-Reflux Therapies Have a Role in 2019? Ronnie Fass, MD, FACG, and Seth J. Richter, MD, FACG man, OK, 3Naval Medical Center, Portsmouth, VA, 4Walter Reed Army Institute Compare effectiveness of endoscopic anti-reflux therapies in the 5 of Research, Silver Spring, MD, Naval Medical Research Center, Silver Spring, management of GERD. MD, 6UK Defence Medical Service, Birmingham, England, United Kingdom, 7The • Debating the Management of Achalasia: Is E-POEM Now a Henry M. Jackson Foundation for the Advancement of Military Medicine, 8 First-Line Therapy? Bethesda, MD, Infectious Disease Clinical Research Program at USUHS, Philip O. Katz, MD, MACG, and Marcelo F. Vela, MD, MSCR, FACG Bethesda, MD, 9University of Nevada Reno School of Medicine, Reno, NV Compare effectiveness of POEM, pneumatic dilation, and Heller myotomy in the management of achalasia. 8. Randomized Controlled Trial (RCT) of Over-the-Scope Clip (OTSC) as Initial Endoscopic Treatment of Severe Non-Variceal Upper Gastrointestinal Bleeding (NVUGIB)  Category Award (GI Bleeding) SYMPOSIUM 1C: Improving Your Clinical Practice Dennis M. Jensen, MD, FACG1, Thomas Kovacs, MD2, Kevin Ghassemi, MD2,  Stars at Night Ballroom - B2 Marc Kaneshiro, MD2, Jeffrey Gornbein, DrPH3; 1CURE Digestive Diseases Moderator: Shivangi T. Kothari, MD, FACG Research Center / David Geffen School of Medicine at UCLA and Ronald • Quality Metrics in Your Endoscopic Practice Reagan UCLA Medical Center / West Los Angeles Veterans Administration Colleen M. Schmitt, MD, MHS, FACG MEETING Define quality metrics in the endoscopy unit and gastroenterology clinic ANNUAL Medical Center, Los Angeles, CA, 2CURE Digestive Diseases Research Center and recognize the role of GIQuIC and tools for quality reporting. / David Geffen School of Medicine at UCLA and Ronald Reagan UCLA Medi- cal Center, Los Angeles, CA, 3GIM - DOMSTATS, Los Angeles, CA • Integrating Advanced Practice Providers in Your Clinical Practice Shivangi T. Kothari, MD, FACG, and Mary S. Vetter, ANP 9. Numerous Non-Advanced Adenomas Are Not Associated With Metachro- Explain how APPs can play an important role in your gastroenterology nous Advanced Neoplasia practice and identify techniques for their training.  Fellows-in-Training Award (Colorectal Cancer Prevention Category) • Telemedicine in Gastroenterology: Why and How to Adopt It Carol Rouphael, MD, Rocio Lopez, MS, MPH, John McMichael, BSc, Carol A. Into Your Practice Burke, MD, FACG; Cleveland Clinic Foundation, Cleveland, OH Harry E. Sarles, Jr., MD, FACG Describe how telemedicine adds value to the practice of 10. Double High-Level Disinfection vs. Sterilization for Reprocessing of Duode- gastroenterology, how to integrate telemedicine into your practice, and noscopes Used for ERCP: A Prospective Study discuss liability issues relative to telehealth.  Category Award (Biliary/Pancreas) Mark A. Gromski, MD1, Marnie S. Sieber, MSN, RN2, Stuart Sherman, MD, 1 1 1 FACG , Douglas K. Rex, MD, MACG ; Indiana University School of Medicine, 12:45 pm – 2:15 pm Lunch Break - Visit the Exhibit Hall and Browse 2 Indianapolis, IN, Indiana University Health, Indianapolis, IN Scientific Posters

10:00 am – 4:45 pm Exhibit Hall Open 12:45 pm – 2:15 pm ACG-FDA Public Forum Room 303 (Ballroom Level) 10:15 am – 4:45 pm Hands-On Endoscopy Workshop Center Open 12:45 pm – 1:20 pm Exhibitor Theater 10:30 am – 11:30 am Break – Visit the Exhibit Hall and Browse Scientific Posters 1:00 pm – 2:15 pm Scientific osterP Session - Authors Present and Poster Rounds With the Experts 10:30 am – 11:30 am Exhibitor Theater 1:45 pm – 2:15 pm Exhibitor Theater 10:30 am – 4:15 pm Scientific osterP Session Open

Register for ACG 2019: acgmeetings.gi.org / 33 ANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 28-30, 2019 Monday through Wednesday, October 28-30, 2019

SIMULTANEOUS PLENARY SESSION 1 – Choose from 2 PLENARY SESSION 1B – ENDOSCOPY/PRACTICE MANAGEMENT 2:15 PM – 3:00 PM  Stars at Night Ballroom - B4 Moderators: Shivangi T. Kothari, MD, FACG, and Daniel J. Pambianco, MD, FACG PLENARY SESSION 1A – LIVER  Stars at Night Ballroom - B2 15. Recent Trends in Gastroenterology and Endoscopy Related Medical Pro- Moderators: Joseph Ahn, MD, MS, MBA, FACG, and Nancy S. Reau, MD, FACG fessional Liability Claims in the United States of America  Category Award (General Endoscopy) 11. Positive Results From REGENERATE: A Phase 3 International, Randomized, Mahendran Jayaraj, MD1, Ranjit Makar, MD1, Daisy S. Lankarani, MD1, Divya Placebo-Controlled Study Evaluating Obeticholic Acid Treatment for NASH Parikh2, Gordon Ohning, MD, PhD1; 1University of Nevada Las Vegas School Zobair Younossi, MD, FACG1, Vlad Ratziu2, Rohit Loomba3, Mary Rinella4, of Medicine, Las Vegas, NV, 2MPL Association, Rockville, MD Quentin M. Anstee, PhD, FRCP5, Zachary Goodman, MD, PhD1, Pierre Bedossa, MD, PhD6, Andreas Geier7, Susanne Beckebaum8, Philip New- 16. Single-Use Duodenoscope for Endoscopic Retrograde Cholangiopancrea- tography: Performance Ratings From a Case Series of 60 Patients some9, David Sheridan10, James Trotter11, Whitfield Knapple, MD, FACG12, Eric V. Raman Muthusamy, MD, MAS, FACG1, Marco Bruno, MD, PhD2, Richard Lawitz, MD13, Kris Kowdley, MD14, Aldo Montano-Loza15, Jerome Boursier16, Kozarek, MD, FACG3, Bret Petersen, MD4, Douglas Pleskow, MD5, Divyesh Philippe Mathurin17, Elisabetta Bugianesi18, Giuseppe Mazzella19, Antonio Sejpal, MD, MHCDS6, Adam Slivka, MD, PhD7, Joyce Peetermans, PhD8, Olveira20, Helena Cortez-Pinto21, Isabel Graupera22, David Orr23, Lise Lotte Matthew Rousseau, MS8, Gregory Tirrell, MS8, Andrew Ross, MD9; 1Uni- Gluud24, Jean-Francois Dufour25, David Shapiro, MD26, Jason Campagna27, versity of California Los Angeles, David Geffen School of Medicine, Los Luna Zaru26, Leigh MacConell26, Reshma Shringarpure26, Stephen Harrison, Angeles, CA, 2Erasmus Medical Center, Rotterdam, Zuid-Holland, Nether- MD28, Arun Sanyal, MD29; 1Inova Health System, Falls Church, VA, 2Sorbonne lands, 3Virginia Mason Medical Center, Seattle, WA, 4Mayo Clinic, Roches- Université, Hôpital Pitié – Salpêtrière, Paris, Ile-de-France, France, 3Univer- ter, MN, 5Beth Israel Deaconess Medical Center, Harvard Medical School, sity of California San Diego, San Diego, CA, 4Feinberg School of Medicine, Boston, MA, 6North Shore University Hospital, Manhasset, NY, 7University of Northwestern University, Chicago, IL, 5Institute of Cellular Medicine, New- Pittsburgh Medical Center, Pittsburgh, PA, 8Boston Scientific, Marlborough, castle University, Newcastle upon Tyne, England, United Kingdom, 6Hôpital MA, 9Digestive Diseases Institute, Virginia Mason Clinic, Seattle, WA Beaujon, Clichy, Centre, France, 7University of Wuerzburg, Würzburg, Bay- ern, Germany, 8St. Josef-Krankenhaus Kupferdreh, Essen, Nordrhein-West- 17. Optimal Bacterial Surveillance Protocol for Duodenoscopes and Linear falen, Germany, 9University of Birmingham, Birmingham, England, United Echoendoscopes: A Comparison of Two Approaches Kingdom, 10Derriford Hospital, Plymouth, England, United Kingdom, 11Baylor Jennifer Lui, RN, Christopher C. Chapman, MD, Irving Waxman, MD, Uzma D. Health, Liver Consultants of Texas, Dallas, TX, 12Arkansas Gastroenterology, Siddiqui, MD; Center for Endoscopic Research and Therapeutics, University North Little Rock, AR, 13Texas Liver Institute, University of Texas Health, San of Chicago Medicine, Chicago, IL Antonio, TX, 14Swedish Liver Center, Seattle, WA, 15University of Alberta, 16 18. Are All Endoscopic-Related Musculoskeletal Injuries Created Equal? Edmonton, AB, Canada, Angers University Hospital, Angers, Pays de la Results of a National Gender-Based Survey Loire, France, 17Hospital Claude Huriez CHRU Lille, Lille, Nord-Pas-de-Calais, Swati Pawa, MD, FACG1, Promilla Banerjee, MD, FACG2, Shivangi Kothari, France, 18University of Turin, Turin, Piemonte, Italy, 19University of Bologna, MD3, Sharlene D'Souza, MD4, Sarah L. Martindale, PhD5, Jill Gaidos, MD, Bologna, Emilia-Romagna, Italy, 20Hospital Universitario La Paz, Madrid, FACG6, Amy S. Oxentenko, MD, FACG7, Carol A. Burke, MD, FACG8; 1Wake Madrid, Spain, 21CHULN, Centro Hospitalar Universitário lisboa Norte, Forest University School of Medicine, Winston-Salem, NC, 2Edward Hines Jr. EPE, Lisbon, Lisboa, Portugal, 22Hospital Clinic de Barcelona, Barcelona, VA Hospital, Hines, IL, 3University of Rochester Medical Center, Strong Me- Catalonia, Spain, 23Auckland City Hospital, Auckland, Auckland, New morial Hospital, Rochester, NY, 4Gastroenterology Consultants, PC, Medford, Zealand, 24Copenhagen University Hospital Hvidovre, Hvidovre, Hovedst- OR, 5W.G. (Bill) Hefner VA Medical Center, Salisbury, NC, 6Virginia Common- aden, Denmark, 25University of Bern, Bern, Bern, Switzerland, 26Intercept wealth University, Richmond, VA, 7Mayo Clinic, Rochester, MN, 8Cleveland Pharmaceuticals Inc, San Diego, CA, 27Intercept Pharmaceuticals Inc, New Clinic Foundation, Cleveland, OH York, NY, 28Pinnacle Clinical Research Center, San Antonio, TX, 29Virginia Commonwealth University, Richmond, VA 3:15 pm – 3:45 pm The American Journal of Gastroenterology Lecture 12. B-Type Natriuretic Peptide Predicts 90-Day Mortality and Need for Para- Celiac Disease: Myths and Mysteries centesis in Patients With Cirrhosis and Without Systolic Heart Failure  Stars at Night Ballroom - B2 Pedro Palacios, MD1, Tiago Araujo, MD1, Ishaan Vohra, MD1, Yazan Abu Ciarán P. Kelly, MD, FACG Omar, MD2, Estefania Flores, MD1, V. V. Pavan Kedar Mukthinuthalapati, MD1, Introduced by: Brian E. Lacy, MD, PhD, FACG, and Tejinder Randhawa, DO1, Yuchen Wang, MD2, Sanjay A. Patel, MD1; 1John H. Brennan M. Spiegel, MD, MSHS, FACG Stroger, Jr. Hospital of Cook County, Chicago, IL, 2Cook County Health and Appreciate the diverse clinical presentations of celiac Hospital Systems, Chicago, IL disease, recognize the challenges and limitations of treatment with a gluten-free diet and the need for non- 13. Pregnancy Outcomes After Liver Transplantation dietary adjunctive therapies. See page 13 for  ACG Auxiliary Award (Trainee) more information. Lindsay Sobotka, DO1, Alice Hinton, PhD2, Khalid Mumtaz, MD1, Lanla Con- teh, MD, MPH1;1The Ohio State University Wexner Medical Center, Columbus, 3:45 pm – 4:45 pm Break – Visit the Exhibit Hall and Browse OH, 2The Ohio State University College of Public Health, Columbus, OH Scientific Posters 14. Sex-Specific and Ethnicity-Specific Disparities in Successful Linkage to 3:45 pm – 4:45 pm Exhibitor Theater Care Among Chronic Hepatitis C Virus Infection Patients at an Under-Served Safety Net Hospital 4:00 pm – 5:00 pm How to Get Published: ACG Journal  ACG/Naomi Nakao Gender-Based Research Award Editors' Roundtable Chantal Gomes, DO1, Dina Ginzberg, DO1, Benny Liu, MD1, Taft Bhuket, MD1,  Room 303 (Ballroom Level) Robert Wong, MD, MS, FACG2; 1Alameda Health System, Oakland, CA, 2Al- Brian E. Lacy, MD, PhD, FACG, Brennan M. Spiegel, MD, MSHS, FACG, and David C. Whitcomb, MD, PhD, FACG ameda Health System - Highland Hospital, Oakland, CA See page 10 for more information.

34 \ 2019 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 28-30, 2019 Monday through Wednesday, October 28-30, 2019

SIMULTANEOUS SYMPOSIA – SESSION 2 – Choose from 3 V4. Caught Between a Rock and a Hard Place: EUS-Guided Drainage of a 4:45 pm – 6:00 pm Vascular Configuration Youssef El Douaihy, MD, Sherif Andrawes, MD, Elliot Landau, MD; Staten SYMPOSIUM 2A: Positioning Therapies in IBD: What’s the Initial Island University Hospital, Staten Island, NY Treatment Strategy? V5. Loop Combined Endoscopic Clip and Cyanoacrylate Injection to Treat the  Stars at Night Ballroom - B1 Severe Gastric Varices With Spleno-Renal Shunt Moderator: David T. Rubin, MD, FACG Ai Zhenglin, MD, Li Ping, MD; Beijing Di-Tan Hospital, Capital Medical Univer- • Low-Risk Crohn’s Disease – Do We Need to Do Anything at All? sity, Beijing, Beijing, China Kim L. Isaacs, MD, PhD, FACG Define and identify treatment strategies for low-risk Crohn’s disease. V6. Successful Removal of Anal Condyloma With Endoscopic Submucosal Dis- • High-Risk Ulcerative Colitis – Where Do We Start? section (ESD): A Novel Indication for ESD David T. Rubin, MD, FACG Prianka Gajula, MD1, Mohamed Othman, MD2; 1Houston Methodist Hospital, Discuss medication selection based on patient and disease-related Houston, TX, 2Baylor College of Medicine, Houston, TX factors for high-risk UC. V7. Endoscopic Management of a Recalcitrant Anastomotic Bile Leak After • High-Risk Crohn’s Disease – More Options, More Questions? Pancreaticoduodenectomy Uma Mahadevan, MD, FACG Feng Li, MD1, Kevin El-Hayek, MD1, Prabhleen Chahal, MD, FACG2; 1Cleveland Position the newer mechanisms of action into the treatment algorithm 2 for high-risk Crohn’s disease patients. Clinic Foundation, Cleveland, OH, Cleveland Clinic, Cleveland, OH V8. A Natural Orifice Transluminal Endoscopic Surgical Approach to Cruro- plasty for GERD Management: A Feasibility Study in an Acute Porcine Model SYMPOSIUM 2B: Challenging Functional Complaints Carl Manzo, MD1, Abraham Mathew, MD1, Jennifer Maranki, MD1, Eric Pauli,  Stars at Night Ballroom - B2 MD2, Matthew Moyer, MD, MS1, Jennifer Izer1, Fred Karaisz, BS2; 1Penn State Moderator: Linda Anh B. Nguyen, MD University Milton S. Hershey Medical Center, Hershey, PA, 2Penn State Univer- • POTS and EDS: What Does a Gastroenterologist Need to Know? sity Milton S. Hershey Medical Center and College of Medicine, Hershey, PA Linda Anh B. Nguyen, MD Recognize and discuss the emerging overlap between postural tachycardia syndrome and Ehlers-Danlos syndromes in gastrointestinal disorders. 6:00 pm – 6:30 pm ACG’s Annual Business Meeting  Stars at Night Ballroom - B2 • Neuromodulation for Functional Abdominal Pain All Members and Fellows of ACG are invited. Brooks D. Cash, MD, FACG Discuss the diagnosis and treatment of chronic functional abdominal pain. 6:30 pm Annual Scientific Meeting Adjourns for the Day • Things That Make You Go Green: Cyclic Vomiting, Cannabinoid Hyperemesis, and Chronic Nausea Edith Y. Ho, MD, MS, FACG Differentiate between different functional etiologies of nausea and vomiting.  TUESDAY, OCTOBER 29, 2019 | 6:45 AM - 6:25 PM

6:00 am – 5:00 pm REGISTRATION OPEN SYMPOSIUM 2C: Live From San Antonio! The 7th Annual Endoscopy MEETING Video Forum ANNUAL OPTIONAL BREAKFAST SESSIONS – Choose from 6  Stars at Night Ballroom - B4

Moderators: Seth A. Gross, MD, FACG, and Vivek Kaul, MD, FACG 6:45 am – 8:15 am (You must register and pay separately for breakfast sessions during the Judges: Jodie A. Barkin, MD; Qiang Cai, MD, PhD, FACG; Prabhleen Chahal, MD, registration process.) FACG; David A. Greenwald, MD, FACG; Vanessa M. Shami, MD, FACG; Allison R. Schulman, MD, MPH; and Kevin E. Woods, MD, MPH BREAKFAST G: Personalizing Treatment Strategies for GERD Demonstrate interesting endoscopic findings and techniques encountered in Moderator: Rena H. Yadlapati, MD, MSHS daily clinical practice. • How to Approach the Diagnostic Evaluation of Reflux Symptoms V1. An Interesting Report of Endoscopic Management of a Migrated Gastric Rena H. Yadlapati, MD, MSHS Lap Band Describe how to approach patients with reflux symptoms on or off therapy and discuss options for diagnostic testing and the clinical Daniel J. Waintraub, MD, Kaveh Zivari, MD, Jonathan Weinberger, MD, Rich- significance of reflux subgroups. ard M. Fazio, MD, MS, Zoe Berman, MD, Danny Sherwinter, MD, Maryanne Ruggiero, MD, Dmitriy O. Khodorskiy, MD; Maimonides Medical Center, • 0ptimal Medical Management of Reflux: PPIs and Beyond Kerry B. Dunbar, MD Brooklyn, NY Discuss optimal medical management of reflux, focusing on PPI therapy, V2. Bilateral Metal Stent ERCP Through an Endoscopic Ultrasound-Guided non-PPI therapies, complementary and alternative therapies, and other Gastrojejunal Lumen-Apposing Stent emerging medical approaches. Rintaro Hashimoto, MD, Nabil El Hage Chehade, MD, Jason Samarasena, • Non-Medical Options for Reflux Disease: Now and On the Horizon MD, FACG; University of California Irvine Medical Center, Orange, CA Richard I. Rothstein, MD, FACG Explain non-medical options for reflux including approved and developing V3. Multi-Modality Endotherapy of Esophagopleural Fistula (EPF) Using a endoscopic anti-reflux and surgical therapies, and speculate as to the Novel External Stent Anchoring Mechanism non-medical options in the near future. Rebecca Crain, Hamza Abdulla, MD, Praveen Guturu, MD, Sreeram Parupudi, MD, FACG; University of Texas Medical Branch, Galveston, TX

Register for ACG 2019: acgmeetings.gi.org / 35 ANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 28-30, 2019 Monday through Wednesday, October 28-30, 2019

BREAKFAST H: Advances in Luminal Interventional Endoscopy BREAKFAST L: Endoscopic Resection of Large Polyps Moderator: Peter V. Draganov, MD, FACG (This session will begin with three didactic lectures followed by a hands-on demonstration in the Hands-On Endoscopy Workshop Center in the Exhibit Hall. The hands-on • Z-POEM, E-POEM, and G-POEM workshop portion of the session does not offer CME.) Peter V. Draganov, MD, FACG Compare new endoscopic techniques for management of achalasia, Moderator: Tonya R. Kaltenbach, MD, MS, FACG Zenker’s diverticulum, and gastroparesis. • Tips and Tricks to Perform a High-Quality Large Polyp Resection Tonya R. Kaltenbach, MD, MS, FACG • The Role of Endoscopic Mucosal Resection and Endoscopic Discuss the techniques for endoscopic resection of large colon polyps. Submucosal Dissection in Clinical Practice Andrew Y. Wang, MD, FACG • Prevention and Management of Complications of Large Polyp Resection Describe the role of EMR and ESD in modern endoscopy practice. Laith H. Jamil, MD, FACG Identify methods to prevent and manage complications of large polyp • Bariatric Endoscopy Update resection. Allison R. Schulman, MD, MPH Define new techniques and technologies in bariatric endoscopy. • How to Start an EMR Program in Community Practice Harish K. Gagneja, MD, FACG Describe how to learn and perform EMR in a community practice in a safe, efficient, and effective manner. BREAKFAST I: Case-Based Studies of Common Mistakes in IBD – • Hands-On Demonstration in the Exhibit Hall Recognition and Prevention Harish K. Gagneja, MD, FACG, Laith H. Jamil, MD, FACG, and Moderator: David P. Hudesman, MD Tonya R. Kaltenbach, MD, MS, FACG • Diagnosis in IBD Maria T. Abreu, MD Discuss strategies to clarify the disease extent, location, and severity 8:30 am - 6:25 pm Annual Scientific Meeting of a patient’s IBD. • Monitoring in IBD SIMULTANEOUS PLENARY SESSION 2 – Choose from 2 Stephen B. Hanauer, MD, FACG 8:30 am – 10:00 am Evaluate appropriate testing options to establish the diagnosis of IBD based on updated guidelines. PLENARY SESSION 2A – PANCREATITIS / COLORECTAL CANCER • Treatment in IBD PREVENTION David P. Hudesman, MD  Stars at Night Ballroom - B2 Identify the natural history of non-monitored IBD including surgeries, Moderators: Linda S. Lee, MD, and Aasma Shaukat, MD, MPH, FACG hospitalizations, disease progression, and cancer. 19. Hydrogen Peroxide-Assisted Endoscopic Necrosectomy vs. Standard Endoscopic Necrosectomy for Walled-Off Pancreatic Necrosis: A Multi-Center Retrospective Comparative Study BREAKFAST J: Clinical Consults in Hepatology Ahmed Messallam, MD1, Douglas G. Adler, MD, FACG2, Raj Shah, MD3, Jose Moderator: Stanley M. Cohen, MD, FACG Nieto, DO, FACG4, Robert Moran, MD5, Badih Elmunzer, MD, MSc5, Natalie • Approach to a Patient With Elevated LFTs Cosgrove, MD6, Daniel Mullady, MD7, Harkirat Singh, MD8, Georgios Papa- Stanley M. Cohen, MD, FACG christou, MD, PhD9, Mohamed Othman, MD10, Huma Javaid10, Michael Oliver Define a clinical approach to the patient presenting with abnormal liver tests. M. Mercado, BS10, Steven Tsistrakis, MD11, Nikhil A. Kumta, MD, MS11, Satish • Rational Approach to a Patient With a Liver Lesion Nagula, MD11, Christopher J. DiMaio, MD, FACG11, Madeleine Birch12, Linda Joseph Ahn, MD, MS, FACG Taylor13, Nicolas LaBarre, MD5, Samuel Han, MD14, Thomas G. Hollander, MS, Discuss a clinical approach to the patient presenting with a liver lesion on BSN, RN15, Sarah Cristofaro16, Steven Keilin, MD17, Qiang Cai, MD, PhD, FACG17, imaging studies. Field Willingham, MD, MPH17; 1Emory University, Atlanta, GA, 2University of • Hepatitis B Reactivation in an Immunocompromised Patient Utah School of Medicine, Salt Lake City, UT, 3University of Colorado, Aurora, Mindie H. Nguyen, MD, MAS CO, 4Borland Groover Clinic, Ponte Vedra, FL, 5Medical University of South Evaluate hepatitis B reactivation and its treatment in Carolina, Charleston, SC, 6Washington University, St. Louis, MO, 7Barnes-Jew- immunocompromised patients. ish Hospital at Washington University, St. Louis, MO, 8University of Pittsburgh Medical Center, Pittsburgh, PA, 9UPMC, Pittsburgh, PA, 10Baylor College of Medicine, Houston, TX, 11Icahn School of Medicine at Mount Sinai, New BREAKFAST K: Challenges and Opportunities to Practicing York, NY, 12University of Washington, Seattle, WA, 13University of Utah, Salt Gastroenterology in a Changing Landscape Lake City, UT, 14University of Colorado Anschutz Medical Campus, Denver, Moderator: Carol A. Burke, MD, FACG CO, 15Washington University School of Medicine, Saint Louis, MO, 16Emory • Workplace Efficiency for the Practicing Gastroenterologist University, Atlanta, GA, 17Emory University School of Medicine, Atlanta, GA David J. Hass, MD, FACG Discuss strategies to maximize efficiency in the clinic, hospital, and 20. Comparison of Normal Saline and Plasmalyte in the Management of Acute endoscopy unit while maintaining excellence in quality of care and Pancreatitis identify potential barriers to efficient practice. Umair Iqbal, MD1, Michael Makar, MD1, Ruchit N. Shah, DO2, Andrea Berger1, • There Is so Much Literature, How Do I Keep “Up To Date”? Harshit S. Khara, MD, FACG1; 1Geisinger Medical Center, Danville, PA, 2Geis- Amy S. Oxentenko, MD, FACG inger Health System, Danville, PA Illustrate strategies to efficiently keep up with new literature as lifelong learners and explain techniques to incorporate new research into daily 21. Optimizing Inpatient Management of Acute Pancreatitis: A Single Center clinical practice. Quality Improvement Project  Fellows-in-Training Award (Biliary/Pancreas Category) • Pursuing Work-Life Balance and Preventing Burnout During Your Career 1 1 2 1 Carol A. Burke, MD, FACG Abhinav Koul, MD , Ashley Mills, MD , Sital Singh, MD , Hershan Johl, MD , 1 1 1 1 Define the principles of work-life balance and burnout, and propose techniques Hao Zhang , Jessica La Force, RD , Sooraj Tejaswi, MD, MSPH ; University 2 to recognize, prevent, and address physician burnout at all career stages. of California Davis Medical Center, Sacramento, CA, Adventist Health Lodi Memorial, Sacramento, CA

36 \ 2019 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 28-30, 2019 Monday through Wednesday, October 28-30, 2019

22. Managing Fecal Immunochemical Test (FIT) at Population Health Level in 31. Intrinsic Sex-Specific Differences in Inflammatory and Fibrotic Gene an Urban Safety Net Hospital Expression and Remodeling Contribute to Male Disease Predisposition in  Lawlor Resident Award Eosinophilic Esophagitis Abbinaya Elangovan, MD, Peter J. Greco, MD, Katherine R. Davis, MD, David C.  ACG/Radhika Srinivasan Gender-Based Research Award Kaelber, MD, MPH, PhD, Dalbir S. Sandhu, MD; Case Western Reserve Univer- Quan M. Nhu, MD, PhD1, Loan D. Duong, BS2, Renee M. Rawson, BS2, sity / MetroHealth Medical Center, Cleveland, OH Robert O. Newbury, MD2, Richard C. Kurten, PhD3, Ranjan Dohil, MD2, Seema S. Aceves, MD, PhD2; 1Scripps Clinic, Scripps Research, University 23. Higher Serrated Detection Rate Is Associated With Lower Risk for Post- of California San Diego, La Jolla, CA, 2University of California San Diego, Colonoscopy Colorectal Cancer La Jolla, CA, 3University of Arkansas for Medical Sciences, Little Rock, AR Joseph C. Anderson, MD, MHCDS, FACG1, Lynn F. Butterly, MD2, Christina N. Robinson, MS2, Todd Mackenzie, PhD2; 1White River Junction VA Medical Cen- 32. Volumetric Laser Endomicroscopy Feature Discovery and Diagnostic ter, Hanover, NH, 2Dartmouth-Hitchcock Medical Center, Lebanon, NH Performance Optimization for Barrett’s Esophagus Dysplasia Using Laser- Targeted Biopsies With Histopathologic Correlation 24. Variable Classification of Sessile Serrated Colon Polyps Among Patholo- Cadman Leggett, MD1, Arvind Trindade, MD2, Matthew McKinley, MD3, gists in an Academic Center Kenneth J. Chang, MD, FACG4, Jason Samarasena, MD, FACG5, Satish Alexander P. Abadir, MD, Zain Moosvi, MD, William Karnes, MD; University of Singh, MD6, Hiroshi Mashimo, MD, PhD6, Michael S. Smith, MD, MBA7, California Irvine, Orange, CA Vincent Béchard, MASc8, Michael Vieth, MD9, Robert Odze, MD, FRCPC10, 25. Prevalence of Advanced Polyps at Age 45-49 Is Similar to 50-54 Years Gary J. Tearney, MD, PhD11, Kenneth K. Wang, MD, FACG1; 1Mayo Clinic, Lynn F. Butterly, MD1, Rebecca Siegel, MPH2, Christina N. Robinson, MS1, Jo- Rochester, MN, 2Zucker School of Medicine at Hofstra/Northwell, New seph C. Anderson, MD, MHCDS, FACG3; 1Dartmouth-Hitchcock Medical Center, Hyde Park, NY, 3ProHealth Care Associates, New York, NY, 4University of Lebanon, NH, 2American Cancer Society, Atlanta, GA, 3White River Junction California Irvine, Orange, CA, 5University of California Irvine Medical Cen- VA Medical Center, Hanover, NH ter, Orange, CA, 6VA Boston Healthcare System, Boston, MA, 7Mount Sinai West and Mount Sinai St. Luke's Hospitals, New York, NY, 8Différence, 26. Increased Polyp Detection Using a Novel 360 Degree Integrated View S.E.N.C, Montreal, PQ, Canada, 9Bayreuth Medical Center, Bayreuth, Colonoscope in Colon Models Bayern, Germany, 10Pathology, LLC, Boston, MA, 11Massachusetts General  ACG Governors Award for Excellence in Clinical Research (Fellow-in-Training) Hospital, Boston, MA Nicholas Hoerter, MD1, Seth Gross, MD, FACG2; 1New York University Langone Health, New York, NY, 2Tisch Hospital, New York University Langone Health, 33. Multi-Center Randomized Trial Comparing Standard Forceps Biopsies New York, NY to Wide-Area Transepithelial Sampling Brush for Finding Intestinal Meta- plasia and Dysplasia in the Esophagus and Gastroesophageal Junction 27. Young Adults With Adenomas: How Does Their Risk for Metachronous Steven DeMeester, MD, FACG1, Chris Smith, MD2, Paul Severson, MD3, Blair Advanced Adenomas Compare With Older Adults? Jobe, MD4, Phillip Woodworth, MD5, Christy Dunst, MD6; 1The Oregon Clin-  Category Award (Colorectal Cancer Prevention) ic, Portland, OR, 2Albany Surgical, Albany, GA, 3Cayuna Regional Medical Joseph C. Anderson, MD, MHCDS, FACG1, Lynn F. Butterly, MD2, Christina N. Center, Crosby, MN, 4Allegheny Health Network, Pittsburgh, PA, 5Mercy Robinson, MS2;1White River Junction VA Medical Center, Hanover, NH, 2Dart- Health System, Rogers, AR, 6Oregon Clinic, Portland, OR mouth-Hitchcock Medical Center, Lebanon, NH 34. Cumulative Increase in the Prevalence of Esophageal Cancer in Patients With Gastroesophageal Reflux Disease (GERD) and Multiple Risk Factors PLENARY SESSION 2B – PANCREATIC CANCER / ESOPHAGUS Omar A. Alaber, MD1, Apoorva K. Chandar, MD, MPH2, Gregory S. Cooper,  Stars at Night Ballroom - B4 MD3, Prashanthi N. Thota, MD4, Emad Mansoor, MD3, Amitabh Chak, Moderators: Darwin L. Conwell, MD, MS, FACG, and Christine Y. Hachem, MD, FACG MD2; 1Case Western Reserve University School of Medicine, Cleveland, 2

OH, University Hospitals Case Medical Center, Case Western Reserve MEETING 28. The Prevalence and Epidemiology of Pancreatic Cancer in the USA: ANNUAL University, Cleveland, OH, 3University Hospitals Cleveland Medical Cen- A Population-Based Study ter, Cleveland, OH, 4Digestive Disease Institute, Cleveland Clinic George Khoudari, MD1, Mohannad Abou Saleh, MD1, Firas Baidoun, MD1, Mu- Foundation, Cleveland, OH hammad Talal Sarmini, MD1, Kenneth J. Vega, MD2, Madhusudhan R. Sanaka, MD, FACG3; 1Cleveland Clinic Foundation, Cleveland, OH, 2Medical College of 35. Endoscopic Submucosal Dissection vs. Endoscopic Mucosal Resection Georgia, Augusta, GA, 3Digestive Disease Institute, Cleveland Clinic Founda- for Treatment of Barrett’s Related Superficial Esophageal Neoplasia tion, Cleveland, OH Lady Katherine Mejia Perez, MD1, Omar A. Alaber, MD2, Salmaan Jawaid, 3 4 5 29. A Novel EUS-Guided Intratumoral Delivery of Submicron Particle Paclitaxel MD , Tiffany Chua, MD , Praneeth Kudaravalli, MD , Milad Pourmousavi 6 1 7 (SPP) for the Treatment of Locally Advanced Pancreatic Cancer (LA-PAC): Khoshknab, MD , Neal Mehta, MD , Saowanee Ngamruengphong, MD , A Prospective Safety, Tolerability and Preliminary Efficiency Study John Vargo, MD, MPH1, Sunguk Jang, MD1, John Dumot, DO8, Moamen Simon Lo, MD1, Andrew Hendifar, MD, MPH1, Neil Sharma, MD2, Mohamed Oth- Gabr, MD, MSc5, Hiroyuki Aihara, MD9, Norio Fukami, MD4, Peter V. Dra- man, MD3, Antonio Mendoza-Ladd, MD4, Shelagh Verco, PhD5, James Verco5, ganov, MD, FACG10, Amitabh Chak, MD11, Amit Bhatt, MD12; 1Cleveland Clin- Gere diZerega, MD5;1Cedars-Sinai Medical Center, Los Angeles, CA, 2Parkview ic Foundation, Cleveland, OH, 2Case Western Reserve University School Health, Fort Wayne, IN, 3Baylor College of Medicine, Houston, TX, 4Texas Tech of Medicine, Cleveland, OH, 3University of Florida, Gainesville, FL, 4Mayo University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, Clinic, Scottsdale, AZ, 5University of Kentucky College of Medicine, TX, 5US Biotest, Inc., San Luis Obispo, CA Lexington, KY, 6Johns Hopkins University Hospital, Baltimore, MD, 7Johns 8 30. Efficacy of Endoscopic Ultrasound Radiofrequency Ablation in the Treat- Hopkins Medicine, Baltimore, MD, University Hospitals of Cleveland, 9 10 ment of Pancreatic Tumors: Is It Ready for Prime Time? A Systematic Review Cleveland, OH, Brigham and Women's Hospital, Boston, MA, University and Meta-Analysis of Florida Health, Gainesville, FL, 11University Hospitals Case Medical Cen- Amaninder Dhaliwal, MD1, Banreet Dhindsa, MD2, Jacqueline Choa, MD2, Robin ter, Case Western Reserve University, Cleveland, OH, 12Cleveland Clinic, Jindal, MBBS3, Harlan Sayles, MS1, Harmeet Mashiana, MD1, Sindhura Kolli, MD4, Cleveland, OH 5 1 1 Rajani Rangray, MD , Ishfaq Bhat, MD , Shailender Singh, MD , Douglas G. Adler, 36. Hold for Late Breaking Abstract MD, FACG6; 1University of Nebraska Medical Center, Omaha, NE, 2University of Nevada Las Vegas School of Medicine, Las Vegas, NV, 3State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, 10:00 am – 4:30 pm Exhibit Hall Open NY, 4Brooklyn Hospital Center, Brooklyn, NY, 5Creighton University Medical Center, Omaha, NE, 6University of Utah School of Medicine, Salt Lake City, UT 10:05 am – 4:30 pm Hands-On Endoscopy Workshop Center Register for ACG 2019: acgmeetings.gi.org / 37 ANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 28-30, 2019 Monday through Wednesday, October 28-30, 2019

10:05 am – 10:35 am J. Edward Berk Distinguished Lecture 12:45 pm – 2:15 pm Lunch Break – Visit the Exhibit Hall and Browse Post-Colonoscopy Colorectal Cancer: Scientific Posters How Are We Doing?  Stars at Night Ballroom - B2 12:45 pm – 1:20 pm Exhibitor Theater Linda Rabeneck, MD, MPH, MACG Introduced by: Sunanda V. Kane, MD, MSPH, FACG, 1:00 pm – 2:15 pm Scientific osterP Session - Authors Present and ACG President Poster Rounds With the Experts Discuss the incidence and causes of post-colonoscopy colorectal cancer and review 1:40 pm – 2:15 pm Exhibitor Theater approaches to reducing its risk in clinical practice. See page 13 for more information. SIMULTANEOUS PLENARY SESSION 3 – Choose from 2 10:30 am – 4:00 pm Scientific osterP Session Open 2:15 pm – 3:45 pm

10:35 am – 11:30 am Break – Visit the Exhibit Hall and Browse PLENARY SESSION 3A – IBD / FUNCTIONAL Scientific Posters  Stars at Night Ballroom - B2 Moderators: Brooks D. Cash, MD, FACG, and Millie D. Long, MD, MPH, FACG 10:35 am – 11:30 am Exhibitor Theater 37. Peripartum Exposure to Biologic Therapy Does Not Impact Wound Healing After Cesarean Section in Women With Inflammatory Bowel Disease SIMULTANEOUS SYMPOSIA – SESSION 3 – Choose from 3 Aiya Aboubakr, MD, Alexa Riggs, MPH, Maria Mella, MD, Marla C. Dubinsky, 11:30 am – 12:45 pm MD; Icahn School of Medicine at Mount Sinai, New York, NY

SYMPOSIUM 3A: Optimizing the Quality of Your Colonoscopy 38. Hyperbaric Oxygen Therapy Is Effective in the Treatment of Inflammatory  Stars at Night Ballroom - B1 Disorders of the Ileal Pouch Moderator: Tonya R. Kaltenbach, MD, MS, FACG Hamna Fahad, MD, MBBS1, Bo Shen, MD, FACG1, Gursimran Kochhar, 2 1 2 • Quality Metrics for Colonoscopy MD ; Cleveland Clinic Foundation, Cleveland, OH, Allegheny Health Network, David A. Greenwald, MD, FACG Pittsburgh, PA Define quality metrics that are associated with colorectal cancer screening. 39. Clinical Prediction Model and Decision Support Tool for Ustekinumab in • Techniques and New Technology to Improve ADR Crohn's Disease Tonya R. Kaltenbach, MD, MS, FACG  ACG Auxiliary Award (Member) Discuss techniques and technologies to increase adenoma detection rate. Parambir Dulai, MD1, Leonard Guizzetti, PhD2, Tony Ma3, Vipul Jairath, BSc, 4 1 • Optimizing Prep for Colonoscopy – Altering the Paradigm MBBCh, PhD, MRCP (UK) , Siddharth Singh, MD , Brian G. Feagan, MD, MSc, 2 5 5 Philip S. Schoenfeld, MD, MSEd, MSc (Epi) FACG , Christopher Gasink, MD , Antonio Pires, PhD, MSc , William J. Sand- Identify the new paradigms in colonoscopy prep including a low residual born, MD, FACG1; 1University of California San Diego, La Jolla, CA, 2Robarts diet, split prep, and more. Clinical Trials, London, ON, Canada, 3Janssen Research & Development, LLC, Spring House, PA, 4Robarts Clinical Trials, Western University, London, ON, Canada, 5Janssen Scientific Affairs, LLC, Horsham, PA SYMPOSIUM 3B: Update on Fatty Liver Disease  Stars at Night Ballroom - B2 40. Clinical Effectiveness of First-Line Anti-TNF Therapies and Second-Line Moderator: Manal F. Abdelmalek, MD, MPH, FACG Anti-TNF Therapy Post-Vedolizumab Discontinuation in Patients With Ulcer- • Epidemiology of NAFLD/NASH ative Colitis or Crohn’s Disease Fasiha Kanwal, MD, MSHS Brian Bressler, MD, MS, FRCPC1, Andres Yarur, MD2, Uri Kopylov, MD, FEBGH3, Summarize the epidemiology of NAFLD/NASH and define their Marielle Bassel, BSc4, Neil R. Brett, PhD4, Trevor Lissoos, MBBCh, FACG5, Clau- diagnostic criteria. dia Lopez, MSc5, Athanasios Natsios, MD, PhD6, Sumit Saha, PhD7, Christina 8 9 10 • Non-Invasive Diagnosis and Staging of NAFLD/NASH Kifnidi, MSc , Dirk Demuth, PhD, BSc , Haridarshan Patel, PharmD , Geras- 11 1 Manal F. Abdelmalek, MD, MPH, FACG simos J. Mantzaris, MD, PhD ; University of British Columbia, Vancouver, Compare non-invasive staging techniques for NAFLD/NASH. BC, Canada, 2Medical College of Wisconsin, Milwaukee, WI, 3Sheba Medical Center, Ramat Gan, Tel Aviv, Israel, 4Evidera, Montreal, PQ, Canada, 5Takeda • Current and Upcoming Treatment of NAFLD/NASH Pharmaceuticals U.S.A., Inc., Deerfield, IL, 6Takeda Hellas S.A, Athens, Attiki, Naim Alkhouri, MD Greece, 7Takeda Canada Inc, Oakville, ON, Canada, 8Takeda Hellas S.A., Athens, Appraise the various treatment modalities for NAFLD/NASH. Attiki, Greece, 9Takeda Pharmaceutical International AG, Singapore, Singa- pore, 10Takeda Pharmaceuticals International, Inc., Chicago, IL, 11Evangelismos SYMPOSIUM 3C: Can You Stomach These Topics? Hospital, Athens, Attiki, Greece  Stars at Night Ballroom - B4 41. A Multimodal Intervention Reduces Intravenous Opioid Exposure Among Moderator: Baharak Moshiree, MD, FACG Hospitalized Patients With Inflammatory Bowel Disease • Gastroparesis and Functional Dyspepsia: Same or Different? Rahul S. Dalal, MD1, Sonali Palchaudhuri, MD2, Christopher Snider, MPH3, Baharak Moshiree, MD, FACG Yevgeniy Gitelman, MD4, Mihir Brahmbhatt, MD3, Nikhil Mull, MD4, Shivan Summarize current evidence related to the management of gastroparesis Mehta, MD, MBA, MSHP4, Christopher Klock, MBA5, James Lewis, MD, MSCE4, and functional dyspepsia. Gary R. Lichtenstein, MD, FACG6;1Brigham and Women's Hospital, Boston, • Current Concepts on H. pylori Infection and Gastric Intestinal Metaplasia MA, 2University of Pennsylvania, Philadelphia, PA, 3Penn Medicine Center for Joo Ha Hwang, MD Health Care Innovation, University of Pennsylvania, Philadelphia, PA, 4Hospital Appraise recent guidelines and evidence regarding the management of of the University of Pennsylvania, Philadelphia, PA, 5Penn Medicine Academy, H. pylori infection and gastric intestinal metaplasia. Philadelphia, PA, 6Perelman School of Medicine, University of Pennsylvania, • Why, With Whom, When, and How to Stop Long-Term PPI Use Philadelphia, PA Colin W. Howden, MD, FACG Discuss current evidence surrounding the effects of long-term PPI therapy and translation into clinical practice.

38 \ 2019 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 28-30, 2019 Monday through Wednesday, October 28-30, 2019

42. Outcomes in Geriatric Patients Admitted for IBD Management: A National Study 51. A Step-Wise Approach to Non-Invasive Diagnosis of Advanced Fibrotic Jeffrey Schwartz, MD1, Brian Li, MD1, Daniel J. Stein, MD, MPH1, Joseph Disease in NAFLD Feuerstein, MD2;1Beth Israel Deaconess Medical Center, Boston, MA, 2Beth Hamna Fahad, MD, MBBS, Brittany Mitchell, MD, Talal Sarmini, MD, Tavankit Israel Deaconess Medical Center, Harvard Medical School, Boston, MA Singh, MD, Arthur J. McCullough, MD; Cleveland Clinic Foundation, Cleve- land, OH 43. Human Milk Oligosaccharides Improve All the Central Symptoms of Ir- ritable Bowel Syndrome: A Multi-Center, Opel Label Trial 52. Resuming Anticoagulation Following Hospitalization for Gastrointestinal  International Award Bleeding Is Associated With Reduced Thromboembolic Events and Improved Olafur S. Palsson, PsyD1, Anne Peery, MD1, Dorthe Seitzberg, PhD2, Ingvild Mortality: Results From a Systematic Review and Meta-Analysis D. Amundsen, MSc2, Bruce McConnell, MSc, MBA2, Magnus Simrén, MD, Natalie Tapaskar, MD1, Alice Pang, MD2, Neil Sengupta3; 1The University of PhD3; 1University of North Carolina, Chapel Hill, NC, 2Glycom A/S, Hoer- Chicago, Chicago, IL, 2New York University Langone, New York, NY, 3Univer- sholm, Hovedstaden, Denmark, 3Sahlgrenska University Hospital, Gothen- sity of Chicago Medical Center, Chicago, IL burg, Vastra Gotaland, Sweden 53. The Efficacy and Safety of Andexanet Alfa in Patients With Acute Gastrointes- 44. Effects of Eluxadoline on a Range of Bowel and Abdominal Symptoms in tinal Bleeding While Taking Factor Xa Inhibitors: An ANNEXA-4 Sub-Analysis Patients With Irritable Bowel Syndrome With Diarrhea who Report Inadequate Deborah Siegal, MD, MSc1, Jan Beyer‑Westendorf, MD2, Patrick Yue, MD3, Symptom Control With Loperamide Sonia Souza, PhD3, Juliet Nakamya, PhD1, Stuart J. Connolly, MD1, Mark Darren M. Brenner, MD1, Gregory S. Sayuk, MD, MPH2, Steven J R Elmes, Crowther, MD1; 1McMaster University, Hamilton, ON, Canada, 2University PhD3, Mazen Saeed, PharmD3, William D. Chey, MD, FACG4; 1Northwestern Hospital Carl Gustav Carus Dresden, Dresden, Sachsen, Germany, 3Portola University Feinberg School of Medicine, Chicago, IL, 2Washington University Pharmaceuticals, Inc., South San Francisco, CA School of Medicine and St. Louis VA Medical Center, St. Louis, MO, 3Allergan plc, Madison, NJ, 4Michigan Medicine, University of Michigan, Ann Arbor, MI 54. Hold for Late Breaking Abstract 45. Efficacy of Biofeedback Therapy for Dyssynergic Constipation Among Elderly Patients 3:45 pm – 4:30 pm Break – Visit Exhibit Hall and Browse  Fellows-in-Training Award (Functional Bowel Disease Category) Scientific Posters Samantha Spilman, MD, MS1, Roopali Gupta, MD1, David Kunkel, MD2; 1Uni- versity of California San Diego, San Diego, CA, 2University of California San 4:30 pm – 5:00 pm Emily Couric Memorial Lecture Diego, La Jolla, CA Early Detection of Pancreatic Cancer: Problems, Promise, and Prospects  Stars at Night Ballroom - B2 PLENARY SESSION 3B – LIVER / GI BLEEDING Suresh T. Chari, MD, FACG  Stars at Night Ballroom - B4 Introduced by: Sunanda V. Kane, MD, MSPH, FACG, Moderators: Ira M. Jacobson, MD, FACG, and Patrick E. Young, MD, FACG ACG President Define “early” detection, recognize its benefits, and 46. Low Incidence of Bleeding Complications in Patients With Cirrhosis identify barriers to early detection. See page 13 for Undergoing Transesophageal Echocardiography: A Systematic Review and more information. Meta-Analysis  Category Award (Liver) 5:00 pm – 5:10 pm Break Mobolaji Odewole, BS, MPH, Ahana Sen, MD, Arjmand R. Mufti, MD, Deepak Agrawal, MD, Anh D. Nguyen, MD, Amit G. Singal, MD, MS, Nicole E. Rich, SIMULTANEOUS SYMPOSIA – SESSION 4 – Choose from 2 MD; University of Texas Southwestern Medical Center, Dallas, TX 5:10 pm – 6:25 pm MEETING ANNUAL 47. Simultaneous Biliary and Liver Parenchymal Evaluation in Post Liver-Trans- SYMPOSIUM 4A: Barrett’s Esophagus: New Developments and Updates plant Population Using Endoscopic Ultrasound-Guided Liver Biopsy and Endo-  Stars at Night Ballroom - B2 scopic Retrograde Cholangiopancreatography in a Single Session Approach Moderator: Vani J.A. Konda, MD, FACG Daniel J. Ellis, MD, George Therapondos, MBChB, Janak N. Shah, MD, Ari • Tools to Enhance Dysplasia Detection in Barrett’s Esophagus Cohen, MD, Gretchen E. Galliano, MD, Ricardo V. Romero, MD, John A. Ev- Vani J.A. Konda, MD, FACG ans, MD, Sunayana Udaya Kumar, MBBS, MPH, Abdul El Chafic, MD; Ochsner Explain the role of newer sampling and imaging technologies to improve Medical Center, New Orleans, LA dysplasia detection in BE. 48. Prevalence Rate of Colorectal Cancer in Various Chronic Liver Disease • New Options for Endoscopic Therapy of Barrett’s Esophagus-Related Groups in the United States Between 2014 and 2019: A Population-Based Study Dysplasia and Neoplasia: Will RFA and EMR Be Replaced? Adrian Lindsey, MD, Patel Jit, MD; University Hospitals Case Medical Center, Neil Gupta, MD Case Western Reserve University, Cleveland, OH Discuss the role of ESD, balloon cryotherapy, hybrid APC (argon plasma coagulation), etc. 49. Hepatocellular Carcinoma and Intrahepatic Cholangiocarcinoma in the • What Happens After Successful Ablation and Complete Remission of U.S.: Exploring Trends Since 2001 Intestinal Metaplasia? Can Surveillance Be Discontinued? Anas Raed, MD1, Jigar Bhagatwala, MBBS1, Amit Hudgi, MD2, Muhammed Prasad G. Iyer, MD, MS, FACG Sherid, MD1, Humberto Sifuentes, MD3, Amol Sharma, MBBS1, Subbaramiah Identify new data on recurrence rates, timelines, and patterns after Sridhar, MD2; 1Augusta University, Augusta, GA, 2Georgia Medical College / complete remission of intestinal metaplasia, and the implications on Augusta University, Augusta, GA, 3Medical College of Georgia at Augusta recommendations for surveillance in the post-ablation state. University, Augusta, GA 50. Factors Leading to Discordance Between Vibration-Controlled Transient Elastography and Liver Biopsy in Patients With Non-Alcoholic Fatty Liver Disease Hamna Fahad, MD, MBBS, Brittany Mitchell, MD, Talal Sarmini, MD, Tavankit Singh, MD, Arthur J. McCullough, MD; Cleveland Clinic Foundation, Cleve- land, OH

Register for ACG 2019: acgmeetings.gi.org / 39 ANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 28-30, 2019 Monday through Wednesday, October 28-30, 2019

SYMPOSIUM 4B: Complicated Cases in Acute and Chronic Pancreatitis • Diagnosing Eosinophilic Esophagitis: Current Guidelines and  Stars at Night Ballroom - B4 Key Developments Moderator: Timothy B. Gardner, MD, MS, FACG Nicholas J. Shaheen, MD, MPH, FACG Panelists: Vanessa M. Shami, MD, FACG; Santhi S. Vege, MD, MACG; and David Evaluate new guidelines for EoE and how they will impact PPI C. Whitcomb, MD, PhD, FACG utilization, and discuss the new technologies and how they will affect Recognize management strategies in patients with severe necrotizing diagnostic algorithms. pancreatitis, idiopathic recurrent acute pancreatitis, and painful chronic • Selecting the Ideal Treatment Option for Your Patient With pancreatitis using a case-based format. Eosinophilic Esophagitis Kristle L. Lynch, MD Discuss the current standard of care for EoE treatment and emerging therapies. 6:25 pm Annual Scientific Meeting Adjourns for the Day

8:30 am - 12:15 pm Annual Scientific Meeting  WEDNESDAY, OCTOBER 30, 2019 6:45 AM - 12:15 PM SIMULTANEOUS PLENARY SESSION 4 – Choose from 2 8:30 am – 10:15 am 6:30 AM - 12:15 PM Registration Open PLENARY SESSION 4A – IBD / STOMACH / SMALL INTESTINE OPTIONAL BREAKFAST SESSIONS – Choose from 3  Stars at Night Ballroom - B2 6:45 am - 8:15 am Moderators: Jessica R. Allegretti, MD, MPH, and Samir A. Shah, MD, FACG (You must register and pay separately for breakfast sessions during the registration process.) 55. A Quality Improvement Initiative to Reduce Insurance-Related Delays in Patient Access to Biologic Therapies for Inflammatory Bowel Disease 1 2 2 BREAKFAST M: Non-Medical Management of IBS and IBD Ellen J. Scherl, MD, FACG , Kristina I. Fajardo, MS , Laura Simone, PhD , Jeff Moderator: Edith Y. Ho, MD, MS, FACG Carter, PhD2, Tamar Sapir, PhD2, Stevie Yang, BA3, Jonathan S. Galati, BS3, 3 3 • Behavioral Therapy in IBS and IBD Fatiha Chabouni, MD , Brian Krichevsky, MBA, MS, BS , Carl V. Crawford, 4 1 Megan E. Riehl, PsyD MD ; New York-Presbyterian / Weill Cornell Medical Center, New York, Discuss behavioral therapy in the management of IBS and IBD. NY, 2PRIME Education, Fort Lauderdale, FL, 3Jill Roberts Center for Inflam- 4 • Dietary Management in IBS and IBD matory Bowel Disease, Weill Cornell Medical College, New York, NY, Weill Edith Y. Ho, MD, MS, FACG, and Gabriela Gardner, RDN-AP, LD, CNSC Cornell Medicine, New York, NY Describe the evidence surrounding different dietary approaches to 56. Effects of Ustekinumab Maintenance Therapy on Endoscopic Improvement managing IBS and IBD. and Histologic Improvement in the UNIFI Phase 3 Study in Ulcerative Colitis • Other CAM: Plants, Needles, Electricity, and More Katherine Li, PhD1, Joshua R. Friedman, PhD1, Colleen Marano, PhD1, Hongyan Linda Anh B. Nguyen, MD Zhang, PhD1, Feifei Yang, PhD1, William J. Sandborn, MD, FACG2, Bruce E. Outline the approach to implementing complementary and alternative Sands, MD, FACG3, Brian G. Feagan, MD, MSc, FACG4, Laurent Peyrin-Biroulet, medicine into clinical practice. MD, PhD5, Gert De Hertogh, MD6;1Janssen Research & Development, LLC, Spring House, PA, 2University of California San Diego, La Jolla, CA, 3Icahn School of Medicine at Mount Sinai, New York, NY, 4Robarts Clinical Trials, BREAKFAST N: Non-IBD Colitides London, ON, Canada, 5Lorraine University, Vandoeuvre-lès-Nancy, Lorraine, Moderator: Lisa L. Strate, MD, MPH, FACG France, 6University Hospitals, Leuven, Vlaams-Brabant, Belgium • Checkpoint Inhibitor Colitis Shilpa Grover, MD 57. Endoscopic Stricturotomy in the Treatment of Anal Stricture in Patients Describe the clinical presentation, diagnosis, and management of With Fecal Diversion checkpoint inhibitor colitis. Nan Lan, Bo Shen, MD, FACG; Cleveland Clinic Foundation, Cleveland, OH • SUDD and SCAD 58. RHB-104, a Fixed-Dose, Oral Antibiotic Combination Against Mycobac- Lisa L. Strate, MD, MPH, FACG terium Avium Paratuberculosis (MAP) Infection, Is Effective in Moderately to Analyze the data in support of symptomatic uncomplicated diverticular Severely Active Crohn’s Disease disease (SUDD) and segmental colitis associated with diverticulosis David Y. Graham, MD, MACG1, Saleh A. Naser, PhD2, Elliot Offman, PhD3, (SCAD) as distinct clinical entities, and review the management options. Nastya Kassir, PharmD, PhD3, Robert Hardi, MD4, Thomas Welton, MD5, • Ischemia and Microscopic Colitis Grazyna Rydzewska, MD, PhD6, Beata Stepien, MD, PhD6, Tomasz Arlu- Neil H. Stollman, MD, FACG kowicz, MD, PhD7, Anna Wos, MD, PhD7, Clara Fehrmann, MS8, Patricia Discuss ischemia and microscopic colitis and how to recognize, diagnose, 9 10 10 and treat them. Anderson, MSc , Aida Bibliowicz, MSc, MBA , Patrick McLean, BS , Reza Fathi, PhD10, M. Scott Harris, MD, MS11, Ira N. Kalfus, MD10; 1Baylor College BREAKFAST O: Eosinophilic Esophagitis: Key Updates and Optimal of Medicine, Houston, TX, 2University of Central Florida College of Medi- Management cine, Orlando, FL, 3Certara, Princeton, NJ, 4Capitol Research, Rockville, Moderator: Nicholas J. Shaheen, MD, MPH, FACG MD, 5Cotton-O'Neil Clinical Research Center, Topeka, KS, 6CSK MSWiA, • Eosinophilic Esophagitis in Children and Adolescents: Warsaw, Mazowieckie, Poland, 7University of Warmia and Mazury, Olsztyn, Implications for the Future Warminsko-Mazurskie, Poland, 8RedHill Biopharma, Ltd., Pointe-Claire, Calies D. Menard-Katcher, MD PQ, Canada, 9RedHill Biopharma, Ltd., Brampton, ON, Canada, 10Red- Describe the epidemiology and clinical presentation of pediatric EoE, Hill Biopharma, Ltd., Tel Aviv, Tel Aviv, Israel, 11Middleburg Consultants, and discuss the transition of patients from pediatric to adult care, and the implications for adult care. Takoma Park, MD

40 \ 2019 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Monday through Wednesday, October 28-30, 2019 Monday through Wednesday, October 28-30, 2019

59. Incidence of Venous Thromboembolic Events in Patients With Ul- 67. Multidisciplinary Quality Improvement Initiative to Reduce Bowel Com- cerative Colitis Treated With Tofacitinib in the Ulcerative Colitis Clinical plications in Post-Operative Orthopedic Patients Development Program  Category Award (Colon) William J. Sandborn, MD, FACG1, Julian Panés, MD, PhD2, Bruce E. Sands, MD, Melissa Latorre, MD, MS1, Michelle Meneses, MS, ANPGNP-BC1, Nancy Ar- FACG3, Walter Reinisch, MD4, Chinyu Su, MD5, Nervin Lawendy, PharmD5, buah, DNP, ANP-BC, ONC1, Abidemi Adenikinju, MD1, Amy Wasterlain, MD2, Nana Koram, PhD, MPH6, Haiyun Fan, MS5, Thomas V. Jones, MD, MPH5, Stephanie Swensen, MD3; 1New York University Langone Health, New York, Irene Modesto, MD, PhD7, Daniel Quirk, MD, MPH, MBA5, Silvio Danese, MD, NY, 2Rothman Orthopaedic Institute, Philadelphia, PA, 3Hospital for Special PhD8; 1University of California San Diego, La Jolla, CA, 2Hospital Clínic de Surgery, New York, NY Barcelona, IDIBAPS, CIBERehd, Barcelona, Catalonia, Spain, 3Icahn School 68. Single Day Low Residue Diet Prior to Colonoscopy Shows Improved of Medicine at Mount Sinai, New York, NY, 4Medical University of Vienna, 5 6 Bowel Preparation Quality and Patient Tolerance Over Clear Liquid Diet: Final Vienna, Wien, Austria, Pfizer Inc, Collegeville, PA, Pfizer Inc, New York, Results From a Randomized, Single-Blinded, Dual Center Study NY, 7Pfizer, Madrid, Madrid, Spain, 8Humanitas University, Milan, Lombardia, Jason Samarasena, MD, FACG1, Nabil El Hage Chehade, MD1, Allen Yu, MD1, Italy Elise Tran1, Daniel Mai1, Daniel Thieu, BSc1, Nimisha K. Parekh, MD, MPH1, 60. Black and White Patients With Inflammatory Bowel Disease Demonstrate William Karnes, MD2, Kenneth J. Chang, MD, FACG2, Mazen Jamal, MD, Similar Biologic Use Patterns With Medicaid Insurance MPH1; 1University of California Irvine Medical Center, Orange, CA, 2University Edward L. Barnes, MD, MPH1, Robert Sandler, MD, MPH1, Michael Kappelman, of California Irvine, Orange, CA MD, MPH1, Millie D. Long, MD, MPH, FACG2; 1University of North Carolina, 2 69. Investigating the Impact of Ambient Lighting on Adenoma Detection Chapel Hill, NC, University of North Carolina, Center for Gastrointestinal Rate and Eye Fatigue During Screening Colonoscopy Biology and Disease, Chapel Hill, NC Ryan T. Hoff, DO, Andrew Mazulis, MD, Meghana Doniparthi, MD, Assad 61. The Impact of In-Hospital Palliative Unit on Percutaneous Gastrostomy Munis, DO, Anne Rivelli, MA, MPH, Asif Lakha, MD, Eli Ehrenpreis, MD; Advo- Practice, Volume, and Outcomes cate Lutheran General Hospital, Park Ridge, IL  Category Award (General Endoscopy) 70. Underwater versus Conventional Endoscopic Mucosal Resection for the Harish Patel, MD1, Jasbir Makker, MD1, Hassan Tariq, MD1, Rafeeq Ahmed, 1 1 1 1 Treatment of Colorectal Laterally Spreading Tumors: Results From an Inter- MD , Kishore Kumar, MD , Chukwunonso U. Chime, MD , Madhavi Ravi, MD , national, Multicenter, Randomized Controlled Trial 1 1 2 Hafsa Abbas, MD , Ahmed Baiomi, MD , Danial Shaikh, MD , Shehriyar Me- Chris Hamerski, MD1, Jason Samarasena, MD, FACG2, David P. Lee, MD, MPH2, 2 1 1 1 hershahi, MD , Bhavna Balar, MD , Sridhar Chilimuri, MD ; BronxCare Health Andrew Y. Wang, MD, FACG3, Daniel Strand, MD3, Arnaldo Amato, MD4, 2 System, Bronx, NY, Bronx Lebanon Hospital Center, Bronx, NY Rabindra Watson, MD1, Andrew Nett, MD1, Jona Calitis1, Kenneth Binmoeller, 62. The Socioeconomic Impact on Presentation and Clinical Course of Celiac MD1; 1California Pacific Medical Center, San Francisco, CA, 2University of Disease California Irvine Medical Center, Orange, CA, 3University of Virginia Diges-  Fellows-in-Training Award (Small Intestine Category) tive Health Center, Charlottesville, VA, 4Congregazione Suore Infermiere Christopher Cao, MD1, Peter Block, MD2, Madeline Russell3, Devayu Parikh3, dell'Addolorata - Ospedale Valduce, Como, Campania, Italy 2 3 1 Justin Robbins, MD , Priyanka Kumar , Allison David, BS , Anthony J. DiMa- 71. A Survey of Peri-Colonoscopy Management of Anti-Diabetic Medications rino, MD2, Stephanie Moleski, MD2; 1Thomas Jefferson University, Philadel-  Fellows-in-Training Award (General Endoscopy Category) phia, PA, 2Thomas Jefferson University Hospital, Philadelphia, PA, 3Thomas Byeori Lee, MD, Deepanshu Jain, MD, Michael Rajala, MD; Albert Einstein Jefferson University School of Medicine, Philadelphia, PA Medical Center, Philadelphia, PA 63. Rifabutin (RHB-105) Based Triple Therapy for Helicobacter pylori (HP) In- 72. Impact of Weight Parameters on Colorectal Cancer Survival: MEETING fection Eradication: Results of Pivotal Phase 3 Multi-Center Study (ERADI- ANNUAL A Systematic Review and Meta-Analysis CATE Hp2)  Fellows-in-Training Award (Obesity Category)  Category Award (Stomach) Vita Jaspan, BA1, Kevin Lin, BA1, Evan Wilder, MD1, Steven Chang, MD2, David Y. Graham, MD, MACG1, Yamil Canaan, MD2, James Maher, MD3, Greg- Violeta Popov, MD, PhD, FACG3; 1New York University School of Medicine, ory Weiner, MD4, Ira N. Kalfus, MD5; 1Baylor College of Medicine, Houston, New York, NY, 2New York University Langone Health, New York, NY, 3VA TX, 2Jesscan Medical Research, Miami, FL, 3Katy Stomach Doctor, Houston, New York Harbor Health System, New York, NY TX, 4GW Research, Chula Vista, CA, 5RedHill Biopharma, Ltd., Tel Aviv, Tel Aviv, Israel 73. Hold for Late Breaking Abstract

64. Hold for Late Breaking Abstract 74. Hold for Late Breaking Abstract

PLENARY SESSION 4B – COLON / OBESITY 10:15 am – 10:20 am Break  Stars at Night Ballroom - B4 Moderators: Jonathan A. Leighton, MD, FACG, and 10:20 am – 10:50 am David Y. Graham Lecture Violeta B. Popov, MD, PhD, FACG Mentoring Mentors 65. Microscopic Colitis and Risk of Colon Adenomas: A Multicenter Retro-  Stars at Night Ballroom - B2 spective Cohort Study Stephen B. Hanauer, MD, FACG Introduced by: Sunanda V. Kane, MD, MSPH, FACG, Amrit K. Kamboj, MD1, Haley Zylberberg, MD2, Conor Lane, MBBCh1, Gretch- ACG President 3 2 1 en Colbenson, MD , Nicole DeCuir, MD , Ryan Lennon , Sahil Khanna, MBBS, Discuss attributes of mentoring towards leadership MS1, Benjamin Lebwohl, MD, MS2, Darrell Pardi, MD, MS, FACG1; 1Mayo Clinic, roles in gastroenterology. See page 13 for more Rochester, MN, 2Columbia University Medical Center, New York, NY, 3Mayo information. School of Graduate Medical Education, Rochester, MN 10:50 am – 11:00 am Break 66. Opioid Use Are Independently Associated With Rectal Hyposensitivity and Dyssynergic Defecation in Chronic Constipation Nayna Lodhia, MD, Laura Horton, MD, Alison Goldin, MD, Walter W. Chan, MD, MPH; Brigham and Women's Hospital, Boston, MA

Register for ACG 2019: acgmeetings.gi.org / 41 ANNUAL SCIENTIFIC SCIENTIFIC MEETING MEETINGANNUAL SCIENTIFIC MEETING ANNUAL SCIENTIFIC MEETING Monday through Wednesday,Monday October through 28-30, 2019 Wednesday, October 28-Faculty30, 2019 Monday through Wednesday, October 28-30, 2019

SIMULTANEOUS SYMPOSIA – SESSION 5 – Choose from 2 FACULTY Suresh T. Chari, MD, FACG Professor of Medicine, Mayo Clinic, 11:00 am – 12:15 pm Manal F. Abdelmalek, MD, MPH, FACG Rochester, MN Professor of Medicine, NAFLD Clinical Darwin L. Conwell, MD, MS, FACG SYMPOSIUM 5A: Monitoring Therapies in IBD: So You Started Treatment, Research Program, Duke University, Durham, NC Professor of Medicine; Director, Now What Do You Do? Division of Gastroenterology,  Bincy P. Abraham, MD, FACG Hepatology and Nutrition, Ohio State Stars at Night Ballroom - B4 Associate Professor of Clinical Moderator: Bincy P. Abraham, MD, FACG University Wexner Medical Center, Medicine, Weill Cornell Medical College Columbus, OH • Treat-to-Target 2019: Is It Really the Target or the Process? Adjunct Associate Professor of Internal Medicine, Texas A&M University, Stanley M. Cohen, MD, FACG Edward V. Loftus, Jr., MD, FACG Medical Director, Hepatology, Identify the right target for the right patient based on patient and College of Medicine Director, Gastroenterology Fellowship Program, University Hospital/Cleveland Medical disease-related risk factors. Houston Methodist Distinguished Center, Cleveland, OH • Therapeutic Drug Monitoring: Is It For Everyone? Professor and Director, Underwood Peter V. Draganov, MD, FACG Bincy P. Abraham, MD, FACG Center - Fondren Inflammatory Bowel Professor of Medicine, University of Formulate strategies for serial disease activity monitoring. Disease Program, Houston Methodist, Florida, Gainesville, FL Houston, TX Kerry B. Dunbar, MD, PhD • Withdrawing Medications: I Feel Great, Now When Can I Stop? Maria T. Abreu, MD Associate Professor of Medicine, David P. Hudesman, MD Director, Crohn's & Colitis Center; Section Chief - VA Gastroenterology, Describe clinical scenarios where de-escalation may be appropriate. Professor of Medicine, Professor of Dallas VA Medical Center, University Microbiology and Immunology; Vice of Texas Southwestern Medical Center, Chair Research Dept. of Medicine, Dallas, TX SYMPOSIUM 5B: Topics in Cirrhosis and Portal Hypertension University of Miami Miller School of  Stars at Night Ballroom - B2 Ronnie Fass, MD, FACG Medicine, Miami, FL Professor of Medicine, Case Western Moderator: Ira M. Jacobson, MD, FACG Joseph Ahn, MD, MS, MBA, FACG Reserve University; Medical Director, • Management of Gastroesophageal Varices Professor, Oregon Health & Science Digestive Health Center; Chair, Division Ira M. Jacobson, MD, FACG University, Portland, OR of Gastroenterology and Hepatology; Discuss the management of gastroesophageal varices including Jessica R. Allegretti, MD, MPH Head, Esophageal and Swallowing prophylactic, active, and post-bleeding therapies. Director, Clinical Trials, Brigham and Center, MetroHealth Medical Center, Women's Hospital, Boston, MA Cleveland, OH • Update on the Management of Ascites and Its Complications Naim Alkhouri, MD Harish K. Gagneja, MD, FACG Arun J. Sanyal, MD Director of the Metabolic Liver Partner Physician, Austin Assess the diagnosis and management of ascites and its complications, Disease Center, Texas Liver Institute, Gastroenterology, Austin, TX including spontaneous bacterial peritonitis and hepatorenal syndrome. San Antonio, TX Jill K.J. Gaidos, MD, FACG • Liver Transplant Update for the Gastroenterologist Jodie A. Barkin, MD Associate Professor of Internal Assistant Professor of Clinical Medicine, Virginia Commonwealth Kimberly A. Brown, MD University School of Medicine; Director, Describe the current allocation system and evolving indications for Medicine, University of Miami Miller School of Medicine, Miami, FL Inflammatory Bowel Disease, Hunter liver transplant. Holmes McGuire VA Medical Center, Lawrence J. Brandt, MD, MACG Richmond, VA Professor of Medicine and Surgery, 12:15 pm Annual Scientific Meeting Adjourns Albert Einstein College of Medicine; Gabriela Gardner, RDN-AP, LD, CNSC Emeritus Chief of Gastroenterology, Clinical Dietitian - Outpatient Montefiore Hospital, Bronx, NY Gastroenterology and Hepatology, Memorial Hermann Hospital and Ertan Kimberly A. Brown, MD Digestive Disease Center, Houston, TX ACCREDITATION / CME / MOC Professor of Medicine, Wayne State University; Chief, Division of Timothy B. Gardner, MD, MS, FACG The American College of Gastroenterology is accredited by the Gastroenterology and Hepatology, Associate Professor, Geisel School of Medicine at Dartmouth; Director, Accreditation Council for Continuing Medical Education (ACCME) to Henry Ford Hospital; Associate Pancreatic Disorders, Dartmouth- provide continuing medical education for physicians. Medical Director, Henry Ford Hospital Transplant Institute, Detroit, MI Hitchcock Medical Center, Lebanon, NH The American College of Gastroenterology designates this live Kathy P. Bull-Henry, MD, MBA, FACG David A. Greenwald, MD, FACG Director of Clinical Gastroenterology activity for a maximum of 20.75 AMA PRA Category 1 Credits™. Medical Director, JHBMC Endoscopy Unit, Johns Hopkins Bayview Hospital, and Endoscopy, Mount Sinai Hospital, Physicians should claim only the credit commensurate with the Baltimore, MD New York, NY extent of their participation in the activity. Carol A. Burke, MD, FACG Seth A. Gross, MD, FACG Director, Center for Colon Polyp Associate Professor of Medicine, AMA PRA Category 1 Credits™ are awarded as follows: 16.5 AMA PRA and Cancer Prevention; Vice Chair, NYU School of Medicine; Chief of Category 1 Credits™ for the Annual Meeting, 1.25 AMA PRA Category Department of Gastroenterology Gastroenterology, Tisch Hospital, NYU Langone Medical Center, New York, NY 1 Credits™ for each Monday Breakfast Session, and 1.5 AMA PRA and Hepatology, Cleveland Clinic Foundation, Cleveland, OH Shilpa Grover, MD, MPH Category 1 Credits™ for each Tuesday and Wednesday Breakfast Director, Onco-Gastroenterology Session (breakfasts must be purchased separately). Qiang Cai, MD, PhD, FACG Professor of Medicine, Director, Program, Brigham and Women's Hospital, Boston, MA Successful completion of this CME activity, Advanced Endoscopy Fellowship, Emory University School of Medicine, Neil Gupta, MD, MPH which includes participation in the evaluation Atlanta, GA Regional Director, Digestive Health component, enables the participant to earn up to 16.5 MOC points Brooks D. Cash, MD, FACG Program, Loyola University Health in the ABIM’s MOC program. Participants will earn MOC points Professor of Medicine, University System, Maywood, IL equivalent to the amount of CME credits claimed for the activity. It of Texas Health Science Center at C. Prakash Gyawali, MD, MRCP, FACG Houston/McGovern Medical School, Professor of Medicine, Washington is the CME activity provider’s responsibility to submit participant Houston, TX University, St. Louis, MO completion information to ACCME for the purpose of granting ABIM Prabhleen Chahal, MD, FACG Christina Y. Ha, MD, FACG MOC credit. Program Director Advanced Associate Professor, Cedars Sinai Endoscopy Fellowship, Cleveland Medical Center, Los Angeles, CA Clinic, Cleveland, OH

42 \ 2019 Annual Scientific Meeting & Postgraduate Course ANNUAL SCIENTIFIC MEETINGANNUAL SCIENTIFIC MEETING ANNUALANNUAL SCIENTIFIC SCIENTIFIC MEETING MEETING Monday through Wednesday, October 28-30, 2019 Monday through Wednesday, October 28-30,Faculty 2019

Christine Y. Hachem, MD, FACG Brian E. Lacy, MD, PhD, FACG Elizabeth Rajan, MD Aasma Shaukat, MD, MPH, FACG Associate Professor of Internal Medicine, Senior Associate Consultant, Mayo Clinic, Professor of Medicine, Consultant Professor of Medicine, University St. Louis University, St. Louis, MO Jacksonville, FL Gastroenterologist and Hepatologist, of Minnesota; GI Section Chief, Stephen B. Hanauer, MD, FACG Linda S. Lee, MD Mayo Clinic and Foundation, Minneapolis VAHCS, Minneapolis, MN Professor of Medicine, Feinberg School Associate Professor of Medicine, Rochester, MN Eugenia Shmidt, MD of Medicine, Northwestern University, Harvard Medical School, Medical Satish S.C. Rao, MD, PhD, FACG Assistant Professor, University of Chicago, IL Director of Endoscopy, Brigham and Professor of Medicine, Digestive Health Minnesota, Minneapolis, MN David J. Hass, MD, FACG Women's Hospital, Boston, MA Center, Medical College of Georgia, Neil H. Stollman, MD, FACG Associate Clinical Professor of Medicine, Jonathan A. Leighton, MD, FACG Augusta, GA Associate Clinical Professor of Yale University School of Medicine, Professor of Medicine, Mayo Clinic, Nancy S. Reau, MD, FACG Medicine, University of California Hamden, CT Scottsdale, AZ Associate Director of Solid Organ San Francisco; Chief, Division of Edith Y. Ho, MD, MS, FACG Joseph K. Lim, MD, FACG Transplantation; Section Chief, Gastroenterology, Associate Professor of Medicine, Case Professor of Medicine; Director, Yale Hepatology, Richard B. Capps Chair of Alta Bates Summit Medical Center, Western Reserve University / Cleveland Viral Hepatitis Program, Yale University Hepatology, Rush University Medical Oakland, CA VAMC / University Hospitals of School of Medicine, New Haven, CT Center, Chicago, IL Lisa L. Strate, MD, MPH, FACG Cleveland, Cleveland, OH Edward V. Loftus, Jr., MD, FACG Seth J. Richter, MD, FACG Professor of Medicine, Section Chief of Colin W. Howden, MD, FACG Professor of Medicine, Division of Associate Professor of Medicine, Gastroenterology Harborview Medical Hyman Professor of Medicine and Gastroenterology and Hepatology, Mayo Program Director GI Fellowship, Albany Center , Harborview Medical Center, Chief, Division of Gastroenwterology, Clinic, Rochester, MN Medical Center, Albany, NY Seattle, WA University of Tennessee Health Science Millie D. Long, MD, MPH, FACG Megan E. Riehl, PsyD Norah A. Terrault, MD, MPH, FACG Center, Memphis, TN Associate Professor of Medicine, Assistant Professor of Medicine; Clinical Professor of Medicine, Keck School David P. Hudesman, MD University of North Carolina, Center Health Psychologist, University of of Medicine, University of Southern Co-Director, Inflammatory Bowel for Gastrointestinal Biology and Michigan, Ann Arbor, MI California, Los Angeles, CA Disease Center, NYU Langone Medical Disease, Chapel Hill, NC Richard I. Rothstein, MD, FACG Santhi S. Vege, MD, MACG Center, New York, NY Kristle L. Lynch, MD Joseph M. Huber Professor and Chair, Director Pancreas Clinic, Prof of Joo Ha Hwang, MD, PhD Assistant Professor of Clinical Medicine, Department of Medicine, The Geisel Medicine, Mayo Clinic Professor of Medicine, Stanford University of Pennsylvania Perelman School of Medicine at Dartmouth, Marcelo F. Vela, MD, MSCR, FACG University School of Medicine, Philadelphia, PA Lebanon, NH Professor of Medicine, Director, Kim L. Isaacs, MD, PhD, FACG Uma Mahadevan, MD, FACG David T. Rubin, MD, FACG Esophageal Disorders, Mayo Clinic, Professor of Medicine, University of Professor of Clinical Medicine, University Joseph B. Kirsner Professor of Medicine; Scottsdale, AZ North Carolina, Chapel Hill, NC of California, San Francisco; Co-Medical Chief, Section of Gastroenterology, Mary S. Vetter, ANP Hepatology and Nutrition; Co-Director, Prasad G. Iyer, MD, MS, FACG Director, UCSF Center for Colitis and Nurse Practitioner, University of Crohn's Disease, San Francisco, CA Digestive Diseases Center, University of Rochester Medical Center, Rochester Professor of Medicine, Mayo Clinic, Chicago Medicine, Chicago, IL Rochester, MN Calies D. Menard-Katcher, MD, MS NY, Rochester, NY Associate Professor of Pediatrics, Arun J. Sanyal, MD Andrew Y. Wang, MD, FACG Ira M. Jacobson, MD, FACG Z. Reno Vlahcevic Professor of Medicine, Director of Hepatology, NYU Langone University of Colorado, Children’s Associate Professor of Medicine, Hospital Colorado, Aurora, CO Virginia Commonwealth University; Director of Interventional Endoscopy, Health, New York, NY Executive Director, Education Core Baharak Moshiree, MD, FACG, MS-c University of Virginia Health System, Laith H. Jamil, MD, FACG Center for Clinical and Translational Charlottesville, VA Program Director. Advanced Endoscopy, Professor of Medicine, UNC Charlotte, Research, Virginia Commonwealth Cedars-Sinai Medical Center, Los Atrium Health, Charlotte, NC University, VCUHS, Richmond, VA David C. Whitcomb, MD, PhD, FACG Angeles, CA Linda Anh B. Nguyen, MD Professor, Medicine/GI, University of Harry E. Sarles, Jr., MD, FACG Pittsburgh, Pittsburgh Tonya R. Kaltenbach, MD, MS, FACG Clinical Associate Professor; Clinic Founding Partner and Medical Director Associate Professor, University of Director, Digestive Health Center; for DRI, Digestive Health Associates Kevin E. Woods, MD, MPH Director, Neurogastroenterology & Chief of Interventional Endoscopy, MEETING

California-San Francisco; San Francisco of Texas, DHAT Research Institute, ANNUAL Veterans Affairs Medical Center, San Motility, Stanford University, Rockwall, TX Gastroenterology & Nutrition, Francisco, CA Redwood City, CA Cancer Treatment Center of America, Colleen M. Schmitt, MD, MHS, FACG Atlanta, GA Sunanda V. Kane, MD, MSPH, FACG Mindie H. Nguyen, MD, MAS President, Galen Medical Group, Professor of Medicine, Mayo Clinic, Professor of Medicine, Stanford School Chattanooga, TN Patrick S. Yachimski, MD, MPH Rochester, MN of Medicine, Palo Alto, CA Associate Professor of Medicine, Philip S. Schoenfeld, MD, MSEd, Director of Pancreatobiliary Fasiha Kanwal, MD, MSHS Amy S. Oxentenko, MD, FACG MSc(Epi), FACG Professor of Medicine; Residency Endoscopy, Vanderbilt University Professor of Medicine, Michael E. Chief, Gastroenterology Section, John D. Medical Center, Brentwood, TN DeBakey VA Medical Center, Program Director and Associate Chair, Dingell VA Medical Center, Ann Arbor, MI Houston, TX Department of Medicine, Mayo Clinic, Rena H. Yadlapati, MD, MSHS Rochester, MN Allison R. Schulman, MD, MPH Assistant Professor, University of Philip O. Katz, MD, MACG Assistant Professor, Director of Bariatric California San Diego, San Diego, CA Professor of Medicine, Weill Cornell Daniel J. Pambianco, MD, FACG Endoscopy, University of Michigan, Ann Medicine, New York, NY Associate, Charlottesville Arbor, MI Patrick E. Young, MD, FACG Gastroenterology Associates; Chair, Professor of Medicine, Uniformed Vivek Kaul, MD, FACG Endoscopy/Motility Lab, Martha Samir A. Shah, MD, FACG Services University of Health Sciences; Segal-Watson Professor of Medicine, Jefferson Hospital, Charlottesville, VA Clinical Associate Professor of Director, Division of Digestive Diseases, University of Rochester Medical Center, Medicine, Alpert Medical School of Uniformed Services University of Rochester, NY John E. Pandolfino, MD, MSCI, FACG Brown University, Providence, RI Professor of Medicine; Chief, Division Health Sciences, Bethesda, MD Ciarán P. Kelly, MD, FACG of Gastroenterology and Hepatology, Nicholas J. Shaheen, MD, MPH, FACG Professor of Medicine, Harvard Medical Northwestern University Feinberg Professor of Medicine; Chief, Division School & Beth Israel Deaconess Medical School of Medicine, Chicago, IL of Gastroenterology and Hepatology, Center, Boston, MA University of North Carolina, Chapel Mark B. Pochapin, MD, FACG Hill, NC Vani J. A. Konda, MD, FACG Director, Division of Gastroenterology Clinical Director, Center for Esophageal and Hepatology, NYU Langone Health, Reza Shaker, MD, FACG Diseases, Baylor University Medical New York, NY Senior Associate Dean, Professor & Center, Dallas, TX Chief Director, Digestive Diseases Violeta B. Popov, MD, PhD, FACG Shivangi T. Kothari, MD, FACG Center, Medical College of Wisconsin, Assistant Professor of Medicine, NYU Milwaukee, WI Associate Professor of Medicine, Center School of Medicine, New York, NY for Advanced Therapeutic Endoscopy, Vanessa M. Shami, MD, FACG University of Rochester Medical Center, Linda Rabeneck, MD, MPH, MACG Professor of Medicine, Director of EUS, Rochester, NY Vice President, Prevention and Cancer University of Virginia, Charlottesville, VA Control, Cancer Care Ontario, Toronto, Ontario, Canada

SUNDAY, OCTOBER 27, 2019  Poster viewing time:  Authors present:  Exhibit Hall hours: 3:30 pm – 7:00 pm 5:15 pm – 6:30 pm 3:00 pm – 7:00 pm

Biliary/Pancreas ...... P0001 – P0104 Colon ...... P0105 – P0210 Colorectal Cancer Prevention ...... P0211 – P0247 Endoscopy Video Forum ...... P0248 – P0253 Esophagus ...... P0254 – P0338 Functional Bowel Disease ...... P0339 – P0355 General Endoscopy ...... P0356 – P0393 GI Bleeding ...... P0394 – P0453 IBD ...... P0454 – P0550 Interventional Endoscopy ...... P0551 – P0601 Liver ...... P0602 – P0762 Obesity ...... P0763 – P0771 Practice Management ...... P0772 – P0788 Small Intestine ...... P0789 – P0846 Stomach ...... P0847 – P0905

MONDAY, OCTOBER 28, 2019  Poster viewing time:  Authors present:  Exhibit Hall hours: 10:30 am – 4:15 pm 1:00 pm – 2:15 pm 10:00 am – 4:45 pm Biliary/Pancreas ...... P0906 – P1009 Colon ...... P1010 – P1115 Colorectal Cancer Prevention ...... P1116 – P1153 Endoscopy Video Forum ...... P1154 – P1160 Esophagus ...... P1161 – P1245 Functional Bowel Disease ...... P1246 – P1262 General Endoscopy ...... P1263 – P1302 GI Bleeding ...... P1303 – P1362 IBD ...... P1363 – P1458 Interventional Endoscopy ...... P1459 – P1511 Liver ...... P1512 – P1672 Obesity ...... P1673 – P1679 Pediatrics ...... P1680 – P1693 Small Intestine ...... P1694 – P1751 Stomach ...... P1752 – P1809

TUESDAY, OCTOBER 29, 2019  Poster viewing time:  Authors present:  Exhibit Hall hours: 10:30 am – 4:00 pm 1:00 pm – 2:15 pm 10:00 am – 4:30 pm Biliary/Pancreas ...... P1810 – P1913 Colon ...... P1914 – P2023 Colorectal Cancer Prevention ...... P2024 – P2062 Endoscopy Video Forum ...... P2063 – P2069 Esophagus ...... P2070 – P2155 Functional Bowel Disease ...... P2156 – P2174 General Endoscopy ...... P2175 – P2215 GI Bleeding ...... P2216 – P2274 IBD ...... P2275 – P2370 Interventional Endoscopy ...... P2371 – P2425 Liver ...... P2426 – P2587 Obesity ...... P2588 – P2594 Small Intestine ...... P2595 – P2655 Stomach ...... P2656 – P2713

44 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM

P0009. Model for Predicting Severity in Acute Pancreatitis SUNDAY, OCTOBER 27, 2019 POSTERS Elizabeth S. John, MD1, Rathan Reddy, MD1, Priyanka Acharya, MPH, SUNDAY MSc2, Prashant Kedia, MD1, Paul Tarnasky, MD, FACG1; 1. Methodist BILIARY / PANCREAS Dallas Medical Center, Dallas, TX; 2. Methodist Health System Clinical Research Institute, Dallas, TX P0001. Role of HMG CoA Reductase Inhibitors and Proton Pump Inhibitors P0010. Cholangiocarcinoma: Incidence, Prevalence and Descriptive in the Prevention of Post ERCP Pancreatitis Analysis in the VA Caribbean Healthcare System in Puerto Rico 1 1 2 Mayssan Muftah, MD , Rushikesh Shah, MD , Sarah Cristofaro , Saurabh Rodolfo Estremera-Marcial, MD, Adriana Marzan-Loyola, MD, 1 3 1 Chawla, MD , Vaishali Patel, MD, MHS , Steven Keilin, MD , Qiang Cai, Jose Martin-Ortiz, MD, FACG, Doris Toro-Lugo, MD; VA Caribbean 1 1 MD, PhD, FACG , Field Willingham, MD, MPH ; 1. Emory University School Healthcare System, San Juan, Puerto Rico of Medicine, Atlanta, GA; 2. Emory University, Atalnta, GA; 3. Emory University Hospital, Atlanta, GA P0011. Characteristics and 30-Day Outcomes of Acute Pancreatitis Admissions According to Etiology: A Nationwide Analysis P0002. Predictors of Hospital Transfer and Associated Risks of Mortality in Ramzi Mulki, MD, Rushikesh Shah, MD, Emad Qayed, MD, MPH; Emory Acute Pancreatitis University School of Medicine, Atlanta, GA Bryan D. Badal, MD, MS1, Andrew Kruger, DO2, Alice Hinton, PhD3, Luis Lara, MD2, George Papachristou, MD4, Darwin Conwell, MD, MS, FACG2, P0012. Outcomes of Acute Necrotizing Pancreatitis and Associated Fluid Somashekar Krishna, MD2; 1. The Ohio State University, Columbus, OH; Collections in Cannabis Users 2. The Ohio State University Wexner Medical Center, Columbus, OH; 3. Miguel Salazar, MD1, James S. Ramey, MD2, Jodie A. Barkin, MD3, Rudolf The Ohio State University College of Public Health, Columbus, OH; 4. Kumapley, MD4, Isaac Paintsil, MBChB, MPH1, Jamie S. Barkin, MD, University of Pittsburgh Medical Center, Pittsburgh, OH MACG3, C. Roberto Simons-Linares, MD, MSc5; 1. John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2. Baylor College of Medicine, P0003. Transmural Pancreatic Necrosectomy: A Systematic Review and Houston, TX; 3. University of Miami Miller School of Medicine, Miami, FL; Meta-Analysis on Different Endoscopic Approaches 4. Cook County Health and Hospital Systems, Chicago, IL; 5. Cleveland 1 2 Waqas Ullah, MD , Mamoon Ur Rashid, MD , Hafez Muhammad Ammar Clinic, Cleveland, OH Abdullah, MD3, FNU Asad Ur Rehman, MD4, Muhammad H. Bashir, MD5, Abu Hurairah, MD2; 1. Abginton Jefferson Health, Abington, PA; 2. Florida P0013. Comparison and Outcomes of Cannabis Users With Acute Hospital, Orlando, FL; 3. University of South Dakota, Vermillion, SD; Pancreatitis According to Severity Using the Revised Atlanta Classification 4. Cleveland Clinic, Weston, FL; 5. SUNY Downstate Medical Center, of Acute Pancreatitis Brooklyn, NY Miguel Salazar, MD1, Jodie A. Barkin, MD2, James S. Ramey, MD3, Rudolf Kumapley, MD4, Isaac Paintsil, MBChB, MPH1, Jamie S. Barkin, MD, P0004. Risk of Pancreatic Cancer in Patients With a Prior History of Acute MACG2, C. Roberto Simons-Linares, MD, MSc5; 1. John H. Stroger, Jr. Pancreatitis: Meta-Analysis of Cohort Studies Hospital of Cook County, Chicago, IL; 2. University of Miami Miller School 1 2 3 Zorisadday Gonzalez, MD , Neel P. Roy, BSc , Rajan Kanth, MD , Praveen K. of Medicine, Miami, FL; 3. Baylor College of Medicine, Houston, TX; 4. 4 Roy, MD ; 1. Texas Tech University Health Sciences Center, Paul L. Foster Cook County Health and Hospital Systems, Chicago, IL; 5. Cleveland School of Medicine, El Paso, TX; 2. Texas Tech University, Albuquerque, Clinic, Cleveland, OH NM; 3. WellSpan York Hospital, York, PA; 4. Presbyterian Hospital, Albuquerque, NM P0014. Drug-Induced Pancreatitis: A Retrospective Cohort Study on Incidence, Etiology, Presentation and Outcomes P0005. Non-Alcoholic Fatty Liver Disease and Risk for Intrahepatic and Miguel Salazar, MD1, Chimezie Mbachi, MD1, Mohamed A. Elkhouly, MD, Extrahepatic Cholangiocarcinoma: Meta-Analysis of Case Control Studies MSc2, Madhu Mathew, MD1, Rudolf Kumapley, MD2, Isaac Paintsil, MBChB, 1 2 3 Neel P. Roy, BSc , Zorisadday Gonzalez, MD , Rajan Kanth, MD , Praveen MPH1, C. Roberto Simons-Linares, MD, MSc3; 1. John H. Stroger, Jr. 4 K. Roy, MD ; 1. Texas Tech University, Albuquerque, NM; 2. Texas Tech Hospital of Cook County, Chicago, IL; 2. Cook County Health and Hospital University Health Sciences Center, Paul L. Foster School of Medicine, El Systems, Chicago, IL; 3. Cleveland Clinic, Cleveland, OH Paso, TX; 3. WellSpan York Hospital, York, PA; 4. Presbyterian Hospital, Albuquerque, NM P0015. Association Between Acute Pancreatitis and Cannabis Use - A U.S. Population-Based Study P0006. Endoscopic Ultrasound for Screening Patients With Increased Risk Saad Saleem, MD1, Eric O. Then, MD2, Ahmad Abu-Heija, MD3, Simcha of Pancreatic Ductal Adenocarcinoma: Miles to Go Before We Sleep Weissman, DO4, Vinaya Gaduputi, MD, FACG2; 1. Mercy Health - St. 1 1 Pedro Moutinho-Ribeiro, MD, MSc , Rui Morais, MD , Pedro Costa- Vincent Medical Center, Sylvania, OH; 2. St. Barnabas Hospital, Bronx, 1 2 3 Moreira, MD , Manuela Baptista, MD , Diogo Dias-da-Silva, MD , Filipe NY; 3. Wayne State University, Detroit Medical Center, Detroit, MI; 4. 1 1 Vilas-Boas, MD , Susana Lopes, MD, PhD , Guilherme Macedo, MD, PhD, Hackensack University - Palisades Medical Center, Teaneck, NJ FACG1; 1. Centro Hospitalar São Joãoo / Porto University / WGO Porto Gastroenterology and Hepatology Training Center, Porto, Portugal; 2. P0016. Serially Molecular Testing of Pancreatic Cyst Fluid Over Time: Centro Hospitalar Sao Joao, Porto, Portugal; 3. USF Serpa Pinto, Porto, Progression and Regression Portugal Nicole A. Toney, MPH, Sara A. Jackson, PhD, Christina M. Narick, MD, Sydney D. Finkelstein, MD; Interpace Diagnostics Corporation, P0007. Endoscopic Ultrasound in the Diagnosis and Staging of Pancreatic Pittsburgh, PA Cancer: A Comparison With Computer Tomography Imaging Pedro Moutinho-Ribeiro, MD, MSc, Pedro Costa-Moreira, MD, Rui Morais, P0017. A Comparison of EUS and MRCP to Diagnose Choledocholithiasis MD, Filipe Vilas-Boas, MD, Susana Lopes, MD, PhD, Guilherme Macedo, Ali Aamar, MD1, Sree Kolli, MD1, Khalil Aloreidi, MD1, Mohamed Barakat, MD, PhD, FACG; Centro Hospitalar São Joãoo / Porto University / WGO MD1, Daryl Ramai, MD, MSc1, Vahe Shahnazarian, MD1, Andrew Ofosu, Porto Gastroenterology and Hepatology Training Center, Porto, Portugal MD2, Madhavi Reddy, MD, FACG1, Eduardo Quintero, MD1; 1. The Brooklyn Hospital Center, Brooklyn, NY; 2. Brooklyn Hospital Center, Brooklyn, NY P0008. Utilization Patterns of Prophylactic Pancreatic Stents for the Prevention of Post-ERCP Pancreatitis: A 2018 National Survey Study Jeffrey J. Easler, MD1, Sailesh Kandula1, Gregory A. Cote, MD, MS2, Stuart Sherman, MD, FACG1, Mark A. Gromski, MD1, James L. Watkins, MD1, Glen Lehman, MD1, Evan L. Fogel, MD1; 1. Indiana University School of Medicine, Indianapolis, IN; 2. Medical University of South Carolina, Charleston, SC Register for ACG 2019: acgmeetings.gi.org / 45 POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM

P0018. Very High Rates of Pancreatic Fluid Collections in Patients With the P0027. Natural History of Pancreatic Fluid Collections in Acute Pancreatitis Triad of Hypertriglyceridemia-Induced Acute Pancreatitis and Diabetes Priyanjali Pulipati, MBBS1, Misbah Unnisa, PharmD2, Nageshwar D. Reddy, Ketoacidosis MBBS, MD, DM2, Rupjyoti Talukdar, MBBS, MD2; 1. Asian Institute of Jaqueline Estevez, PharmD1, Roberto Simons-Linares, MD, MS2, Tyler Gastroenterology, Iowa City, IA; 2. Asian Institute of Gastroenterology, Stevens, MD2, Prabhleen Chahal, MD, FACG1; 1. Cleveland Clinic, Cleveland, Hyderabad, Telangana, India OH; 2. Cleveland Clinic Foundation, Cleveland, OH P0028. Is Weekend Admission Associated With Increased Risk of Post- P0019. Outcomes of Acute Pancreatitis in Liver Transplant Patients. ERCP Pancreatitis? A Nationwide Readmission Database Analysis Abhinav Goyal, MD1, Kshitij Chatterjee, MD2, Janani Rangaswami, MD3, Mohamed Gad, PharmD1, Roberto Simons-Linares, MD, MS2, Anas Shailender Singh, MD4; 1. Albert Einstein Medical Center, Philadelphia, Saad, MD1, Mohannad Abou Saleh, MD1, Prabhleen Chahal, MD, FACG1; PA; 2. Cleveland Clinic, Cleveland, OH; 3. Einstein Medical Center, 1. Cleveland Clinic, Cleveland, OH; 2. Cleveland Clinic Foundation, Philadelphia, PA; 4. University of Nebraska Medical Center, Omaha, NE Cleveland, OH P0029. Integrated Molecular Pathology as a Predictor of Malignant P0020. Assessment of the Impact of Hypertriglyceridemia on Organ Transformation of Pancreatic Cysts: A 6-Year Follow-Up Failure During Acute Pancreatitis: A Different Perspective Lawrence Ku, MD1, Timothy Yoo, MD1, Cameron S. Sikavi, MD2, Jonathan Jaqueline Estevez, PharmD1, Roberto Simons-Linares, MD, MS2, Prabhleen Kung, MD1, Linda A. Hou, MD1, Sofiya Reicher, MD, FACG1, Viktor E. Chahal, MD, FACG1; 1. Cleveland Clinic, Cleveland, OH; 2. Cleveland Clinic Eysselein, MD, FACG1; 1. Harbor UCLA Medical Center, Torrance, CA; 2. Foundation, Cleveland, OH Cook County Health and Hospital Systems, Chicago, IL P0021. Clinical Outcomes of Acute Pancreatitis in Patients With Cirrhosis: P0030. Depot Medroxyprogesterone Acetate in the Management 5-Years Update of the National Readmission Database in the United States of Recurrent Acute Pancreatitis in Patients With Cystic Fibrosis Gene Mohamed Gad, PharmD1, Anas Saad, MD1, Roberto Simons-Linares, MD, Mutations MS2, Prabhleen Chahal, MD, FACG1; 1. Cleveland Clinic, Cleveland, OH; 2. Christopher Haydek, MD1, Gordon Robbins, MD1, Awais Ahmed, MD2, Cleveland Clinic Foundation, Cleveland, OH Steven Freedman, MD, PhD2, Field Willingham, MD, MPH1; 1. Emory University School of Medicine, Atlanta, GA; 2. Beth Israel Deaconess P0022. Cannabis Use Is Associated With Worse Outcomes in Acute Medical Center, Boston, MA Pancreatitis: Analysis of a Large Database Miguel Salazar, MD1, Mohannad Abou Saleh, MD2, Jodie A. Barkin, MD3, P0031. Does Cannabis Consumption Impact Chronic Pancreatitis Related Mohamed A. Elkhouly, MD, MSc4, Emad Mansoor, MD5, Jamie S. Barkin, Complications? MD, MACG3, Roberto Simons-Linares, MD, MS6; 1. John H. Stroger, Jr. Chimezie Mbachi, MD1, Yuchen Wang, MD2, Jodie A. Barkin, MD3, Melchor Hospital of Cook County, Chicago, IL; 2. Cleveland Clinic, Cleveland, V. Demetria, MD2, Jamie S. Barkin, MD, MACG3, Paul T. Kroner, MD, MSc4, OH; 3. University of Miami Miller School of Medicine, Miami, FL; 4. Cook Roberto Simons-Linares, MD, MS5; 1. John H. Stroger, Jr. Hospital of Cook County Health and Hospital Systems, Chicago, IL; 5. University Hospitals County, Chicago, IL; 2. Cook County Health and Hospital Systems, Chicago, Cleveland Medical Center, Cleveland, OH; 6. Cleveland Clinic Foundation, IL; 3. University of Miami Miller School of Medicine, Miami, FL; 4. Mayo Cleveland, OH Clinic, Jacksonville, FL; 5. Cleveland Clinic Foundation, Cleveland, OH P0023. Systematic Review on Viral Hepatitis-Induced Acute Pancreatitis P0032. Impact of Cannabis Use on Chronic Pancreatitis: A 10-Year Analysis Zaid Imam, MBBS1, Roberto Simons-Linares, MD, MS2, Prabhleen Chahal, of the National Inpatient Sample Database MD, FACG3; 1. William Beaumont Hospital, Royal Oak, MI; 2. Cleveland Chimezie Mbachi, MD1, Paul T. Kroner, MD, MSc2, Jodie A. Barkin, MD3, Clinic Foundation, Cleveland, OH; 3. Cleveland Clinic, Cleveland, OH Yuchen Wang, MD4, Melchor V. Demetria, MD4, Jamie S. Barkin, MD, MACG3, Roberto Simons-Linares, MD, MS5; 1. John H. Stroger, Jr. Hospital of Cook P0024. The Relationship Between Acute Pancreatitis and Cannabis Use County, Chicago, IL; 2. Mayo Clinic, Jacksonville, FL; 3. University of Miami Before and After Recreational Legalization in Select States Miller School of Medicine, Miami, FL; 4. Cook County Health and Hospital Laura Nemer, MD1, Alice Hinton, PhD2, Somashekar Krishna, MD1, Darwin Systems, Chicago, IL; 5. Cleveland Clinic Foundation, Cleveland, OH Conwell, MD, MS, FACG1, Luis Lara, MD1; 1. The Ohio State University Wexner Medical Center, Columbus, OH; 2. The Ohio State University, P0033. Predictors of Acute Respiratory Distress Syndrome in Patients Columbus, OH Hospitalized With Acute Pancreatitis Mahesh Gajendran, MD1, Priyadarshini Loganathan, MD1, Laura Collins, P0025. Outcomes of Pancreatic Cancer Surveillance in High Risk MD1, Bharat Prakash, MD1, Chandraprakash Umapathy, MD, MS2, Vineet Individuals Gupta, MD3; 1. Texas Tech University Health Sciences Center, El Paso,  Presidential Poster Award TX; 2. University of California San Francisco - Fresno, Fresno, CA; 3. 1 1 2 Richard Kwon, MD, MS , Henry Dust, MD , Sean McCarthy, MD , Amy University of California San Diego, San Diego, CA Hosmer, MD3, Alexis Carulli, MD, PhD4, James Scheiman, MD5, Erika Koeppe, MS1, Michelle Anderson, MD, MSc1, Elena Stoffel, MD1; 1. University P0034. Outcomes and Safety of ERCP in Nonagenarians Compared to a of Michigan Health System, Ann Arbor, MI; 2. Licking Memorial Health Younger Cohort System, Upper Arlington, OH; 3. The Ohio State University Wexner John T. Walker, DO1, Ruchit Shah, DO1, Sunny Patel, DO1, Harshit S. Khara, Medical Center, Columbus, OH; 4. University of Pittsburgh Medical Center, MD, FACG1, David L. Diehl, MD2, Bradley Confer, DO1; 1. Geisinger Medical Pittsburgh, PA; 5. University of Virginia Health System, Charlottesville, VA Center, Danville, PA; 2. Geisinger Health System, Danville, PA P0026. Needle-Base Confocal Laser Endomicroscopy in the Diagnosis of P0035. Safety of Endoscopic Retrograde Cholangiopancreatography for Pancreas Cyst: A Systematic Review and Meta-Analysis Choledocholithiasis in Patients With Age ≥ 80: A Nationwide Analysis Phonthep Angsuwatcharakon, MD, MSc1, Irina M. Cazacu, MD2, Ben S. Dhruvil K. Radadiya, MD1, Kalpit H. Devani, MD1, Paris Charilaou, MD2, Singh, BA2, Rungsun Rerknimitr, MD3, Pradermchai Kongkam, MD, MSc1, Pranav D. Patel, MD3, Mark Young, MD1, Chakradhar Reddy, MD1; 1. East Manoop S. Bhutani, MD, FACG2; 1. Chulalongkorn University, Bangkok, Tennessee State University, Johnson City, TN; 2. Saint Peter's University Krung Thep, Thailand; 2. University of Texas MD Anderson Cancer Hospital, New Brunswick, NJ; 3. Geisinger Medical Center, Danville, PA Center, Houston, TX; 3. Gastrointestinal Endoscopy Excellence Center, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Pathumwan, Krung Thep, Thailand

46 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0036. Non-Alcoholic Fatty Liver Disease (NAFLD) Is Associated With P0047. Chylous Ascites in the Setting of a Pancreatic Pseudocsyt; A SUNDAY Severe Acute Pancreatitis (SAP) Rare Cause of an Even Rarer Condition Bara El Kurdi, MD1, Mahmoud El Iskandarani, MD1, Sumbal Babar, MBBS1, Samiran Mukherjee, MBBS1, Prateek Harne, MBBS2, Anuj Sharma, MD3, Ibrahim Haddad, MD1, Mohammad Alomari, MD2, Mark Young, MD1; 1. Umair Masood, MD1, Madhuri Badrinath, MBBS1, Divey Manocha, MD1; 1. East Tennessee State University, Johnson City, TN; 2. Cleveland Clinic SUNY Upstate Medical University, Syracuse, NY; 2. State University of Foundation, Cleveland, OH New York Upstate University Hospital, Syracuse, NY; 3. State University of New York Upstate Medical Center, Syracuse, NY P0037. Trends in ERCP Utilization for Sphincter of Oddi Dysfunction: The Real World Impact of EPISOD and Rome IV P0048. A Rare Case of Pleural Effusion Due to a Pancreatico-Pleural Raj Shah, MD, Zachary L. Smith, DO; University Hospitals Case Medical Fistula in the Setting of Pancreas Divisum Center, Case Western Reserve University, Cleveland, OH Samiran Mukherjee, MBBS1, Prateek Harne, MBBS2, Anuj Sharma, MD3, Umair Masood, MD1, Divey Manocha, MD1; 1. SUNY Upstate Medical University, Syracuse, NY; 2. State University of New York Upstate BILIARY / PANCREAS University Hospital, Syracuse, NY; 3. State University of New York Upstate Clinical Vignettes / Case Reports Medical Center, Syracuse, NY P0038. Isolated Brain Metastasis From Pancreatic Cancer in Lynch Syndrome P0049. Endoscopic Management of a Surgical Clip Found Within Kunal Dalal, MD1, Polina Khrizman, MD2, Adib Chaaya, MD1; 1. Cooper the Common Bile Duct Following Remotely Performed Laparoscopic University Hospital, Camden, NJ; 2. MD Anderson Cancer Center at Cholecystectomy Cooper, Camden, NJ Sheila Rastegari, DO1, Curtis Brewer, DO2, Long Hoang, DO2; 1. Methodist Dallas Medical Center, Dallas, TX; 2. Medical City Fort Worth, Fort Worth, TX P0039. Rare Case of Superior Mesenteric Arteriovenous Fistula as Complication of Recurrent Pancreatitis P0050. Mediastinal Pancreatic Pseudocyst With Expansion Into Bilateral Anahat Kaur, MD1, Sheetal Bulchandani, MD1, Lyla Saeed, MD2; 1. University Pleural Spaces of Missouri, Kansas City, MO; 2. University of Missouri Kansas City School Cierra C. Smith, DO, Alexander W. Smith, DO, Jay Anderson, DO; of Medicine, Kansas City, MO OhioHealth Riverside GME, Columbus, OH P0040. Sarcomatoid Carcinoma of the Head of the Pancreas: A Rare Case P0051. Endoscopic Ultrasound an Excellent Tool for Diagnosis of Early Patrick Tempera, MS1, Patrick Tempera, MD2; 1. Rowan University School of Stages of Cholangiocarcinoma Osteopathic Medicine, Stratford, NJ; 2. Trinitas Regional Medical Center, Fray Martin M. Arroyo-Mercado, MD, Jude Noel, MD, Michelle Likhtshteyn, Union, NJ MD, Shivakumar Vignesh, MD; SUNY Downstate Medical Center, Brooklyn, NY P0041. Chronic Peptic Ulcer Disease Resulting in Cholecystoduodenal Fistula P0052. Beta-Sitosterol-Induced Acute Pancreatitis: A Case Report and Neal D. Dharmadhikari, MD1, Breton Roussel, MD1, Daniel Piascik, MHS, Review of the Literature PA-C2, Alyn L. Adrain, MD3; 1. Brown University, Providence, RI; 2. Alyssa Lorenze, MD1, William Hsueh, MD2, John Nasr, MD1; 1. West Virginia Gastroenterology Associates, Inc., Providence, RI; 3. Warren Alpert University Hospital, Ruby Memorial Hospital, Morgantown, WV; 2. West Medical School of Brown University, Providence, RI Virginia University Hospital, Ruby Memorial Hospital, Morgantown, WA P0042. Cystoisospora belli Infection of the Gallbladder: More Common P0053. Recurrent Mantle Cell Lymphoma to the Gall Bladder: Than You May Think A Peculiar PET CT Richard M. Fazio, MD, MS1, Daniel J. Waintraub, MD1, Rabin Rahmani, MD1, Samit K Datta, MD1, Anupama Inaganti, MD1, Jonathan Hilal, MD2, Douglas Cristina H. Hajdu, MD2, James S. Park, MD3; 1. Maimonides Medical Center, Chausow, MD1, Nalini Guda, MD, FACG2; 1. Aurora Health Care, Milwaukee, Brooklyn, NY; 2. New York University Langone Health, New York, NY; 3. WI; 2. GI Associates, St Luke's Medical Center, Milwaukee, WI New York University Langone Medical Center, Brooklyn, NY P0054. The Hidden Gallbladder: An Unusual Case of Bouveret Syndrome P0043. Pancreatic Pseudocyst-Portal Vein Fistula: A Rare Life-Threatening Samit K Datta, MD1, Jonathan Hilal, MD2, Nalini Guda, MD, FACG2; 1. Aurora Complication of Pancreatitis Health Care, Milwaukee, WI; 2. GI Associates, St Luke's Medical Center, Sara I. Ali, MD, Jigar Patel, MD, Scott Larson, MD; University of Texas Milwaukee, WI Health Science Center, Houston, TX P0055. Massive Life-Threatening Hemobilia Managed Successfully at P0044. A Case of Direct Necrosectomy via Sinus Tract Endoscopy in the ERCP: The Importance of Teamwork and Appropriate Interventions in a Retroperitoneum: A Unique Approach to a Difficult Problem Catastrophic Situation! Geoffrey A. Bader, MD, Kimberly Zibert, DO, Charles B. Miller, MD; Brooke Sarah Enslin, PA-C1, Raseen Tariq, MD2, Anil Pisharoty, MD, MBA3, Truptesh Army Medical Center, San Antonio, TX Kothari, MD, MS1, Asad Ullah, MD3, Shivangi Kothari, MD1, Vivek Kaul, MD, FACG1; 1. University of Rochester Medical Center, Strong Memorial P0045. From Pancreatitis to Takotsubo: A Rare Complication of Acute Hospital, Rochester, NY; 2. Rochester General Hospital, Rochester, NY; 3. Pancreatitis University of Rochester Medical Center, Rochester, NY Temidayo Abe, MD1, Taiwo Ajose, MD2, Eric Y. Chang, MD1, Ngum Kikah Atem, MD1, Tolulope Abe, MD3, Muhammad Bilal, MD1, Melvin Simien, MD1; P0056. Unexpected Microorganism in an Unexpected Place 1. Morehouse School of Medicine, Atlanta, GA; 2. Atlanta, GA; 3. Alll Saints Aws Alameri, MD1, Abdulrahman S. Museedi, MD1, Juan Echavarria, MD, University School of Medicaine, Brookhaven, GA MSc2; 1. University of Texas Health Science Center, San Antonio, TX; 2. University of Texas Health, San Antonio, TX P0046. Am I Seeing Double: A Rare Case of an Intrapancreatic Accessory Spleen Mimicking a Pancreatic Endocrine Neoplasm P0057. Arteriobiliary Fistula Repair With Biliary Endoprosthesis: When Frederick Rozenshteyn, MD1, Melissa Hershman, MD2, Ilan Weisberg, MD2, Trans Arterial Embolization Is Not an Option Ankita Nagirimadugu, MD2, Kelsey Collins, MD1, Matthew Tangel, MD2, Maham Hayat, MD1, Hassaan Zia, MD1, Muhammad Hashim Hayat, MBBS2, Jonathan Gromis, MD2; 1. Mount Sinai Beth Israel Medical Center / Icahn Ahmed Bolkhir, MD1; 1. University of Oklahoma Health Sciences Center, School of Medicine at Mount Sinai, New York, NY; 2. Mount Sinai Beth Oklahoma City, OK; 2. University of Health Sciences, Oklahoma City, OK Israel Medical Center, New York, NY

P0058. Atypical Presentation of Intrahepatic Cholestasis of Pregnancy P0069. Liver Abscesses as a Complication of Side-to-Side Fnu Sadarat, MD1, Konstantin Boroda, MD2, Hilary Hertan, MD2; 1. Choledochoduodenostomy Montefiore Medical Center, Bronx, NY; 2. Montefiore Medical Center / Ernesto Robalino Gonzaga, MD1, Khawaja Bashir, MD1, Hammad Bhatti, Albert Einstein College of Medicine, Bronx, NY MD2, Adam S. Bracha, MD2, Vishwas Vanar, MD3; 1. University of Central Florida College of Medicine, Kissimmee, FL; 2. Orlando VA Medical P0059. IgG4 Related Cholangiopathy Masquerading as Cholangiocarcinoma Center, Orlando, FL; 3. University of Central Florida College of Medicine, Sentia Iriana, MS, MD1, Sheeva Parbhu, MD1, Michael Sossenheimer, MD, Orlando, FL PhD2, Jenny Hatch, PA-C1; 1. University of Utah, Salt Lake City, UT; 2. University of Utah School of Medicine, Salt Lake City, UT P0070. Epstein Barr Virus (EBV)-Associated Acute Pancreatitis: Case Report P0060. An Unusual Case of Sarcoidosis Involving the Pancreas Muhammad B. Hammami, MD, Reem Aboushaar, MS, Ahmad Musmar, Shilpa Sannapaneni, MD1, Amit P. Desai, MD2, Mark Feldman, MD3; 1. Texas MD, Mishah Azhar, MD, Stephen M. Miller, MD, FACG, Peter Salomon, MD, Health Presbyterian, Dallas, TX; 2. Texas Digestive Disease Consultants, FACG; Florida Atlantic University, Boca Raton, FL PA, Dallas, TX; 3. Texas Health Resources, Dallas, TX P0071. Elevated CEA and CA 19-9 Producing Carcinoma: Think Beyond the P0061. Intestinal-Type Intracholecystic Papillary Tubular Neoplasm (ICPN) Digestive System! Presenting as Acute Hemorrhagic Cholecystitis Gaurav Bhardwaj, MD1, Tamoor Shahid, MD1, Hilary Hertan, MD2; 1. Jasmeet Gill, MD1, Shilpa Sannapaneni, MD1, Mark Feldman, MD2; 1. Texas Montefiore Medical Center, Bronx, NY; 2. Montefiore Medical Center / Health Presbyterian, Dallas, TX; 2. Texas Health Resources, Dallas, TX Albert Einstein College of Medicine, Bronx, NY P0062. Acute Pancreatitis Causing Multiple Aortic Thrombi and Multi- P0072. Chylous Ascites in the Setting of Metastatic Pancreatic Cancer: A Organ Infarcts Case Report Mohamed M. Faris, MD, Nina Balanchivadze, MD, Robert Sherertz, MD, Caitlin Gribbin, MD1, Tracey Martin, MD1, David Wan, MD2; 1. New York- John Edmison, MD; Grand Strand Medical Center, Myrtle Beach, SC Presbyterian / Weill Cornell Medical Center, New York, NY; 2. Weill Cornell P0063. Female Predominance in Metronidazole-Induced Acute Medical College, New York, NY Pancreatitis: A Case Report and Review of Literature 1 1 2 P0073. Metastatic Cholangiocarcinoma in a Healthy 27-Year-Old Man: A Eileen Chang, DO , Marvin Vaishnani, MD , Ian Chang, DO , Whitney Case Report Jennings, MD, PharmD3; 1. Redmond Regional Medical Center, Rome, GA; Caitlin Gribbin, MD1, Rachel Niec, MD, PhD1, Amit Mehta, MD1, Zaid Tafesh, 2. University of California Irvine Medical Center, Orange, CA; 3. Harbin MD1, David Wan, MD2, Carl V. Crawford, MD3, Amir Soumekh, MD1; 1. New Clinic, Rome, GA York-Presbyterian / Weill Cornell Medical Center, New York, NY; 2. Weill P0064. Often a Favorable Prognostic Factor: Unusually Elevated Alpha- Cornell Medical College, New York, NY; 3. Weill Cornell Medicine, New Fetoprotein (AFP) in a Case of Hepatitis B Virus (HBV) Associated York, NY Intrahepatic Cholangiocarcinoma (ICC) 1 2 2 P0074. Cystic Artery Pseudo-Aneurysm: A Rare Cause of Hemobilia and Ruhin Yuridullah, MD , Elias Estifan, MD , Aarohi Vora , Vinod Kumar, Jaundice MD1, Patrick Michael, MD2, Michael Maroules, MD1; 1. St. Joseph's Regional Rehan Rafiq, MD1, Ariej S. Rafiq2; 1. BJC, St. Louis, MO; 2. Parkway West Medical Center, Paterson, NJ; 2. St. Joseph's University Medical Center, High School, Saint Louis, MO Paterson, NJ P0075. Transverse Colonic Stricture in a Patient With Recurrent P0065. Not Your Standard Food Impaction: An Unusual Presentation of Necrotizing Pancreatitis Ampullary Obstruction Sagah Ahmed, MD, Tenzin Choden, MD, Shervin Shafa, MD; MedStar Neena Malik, MD, MS, Julie Yang, MD; Albert Einstein College of Medicine, Georgetown University Hospital, Washington, DC Bronx, NY P0076. Years of Undiagnosed Recurrent Hypoglycemia in a Child P0066. Biliary Sludge and Acute Pancreatitis Following Treatment of Koosh Desai, MD1, Minesh Mehta, MD2; 1. Medical College of Georgia, Sexually Transmitted Infection Augusta, GA; 2. Geisinger Health System, Danville, PA Hakyong Gloria Kwak1, Laith Al Momani, MD2, Ali Bokhari, MD2, Mohammad Alomari, MD3, Mark Young, MD2; 1. East Tennessee State P0077. Pancreatico-Biliary Stricture by Benign Hepatic Cysts University James H. Quillen College of Medicine, Johnson City, TN; 2. Hyaehwan Kim, MD, MPH1, Gregory Beck, MD2; 1. Wright State University East Tennessee State University, Johnson City, TN; 3. Cleveland Clinic Boonshoft School of Medicine, Wright-Patterson AFB, OH; 2. Wright Foundation, Cleveland, OH State University Boonshoft School of Medicine, Dayton, OH P0067. Duodenobiliary Fistula: A Rare Complication of Peptic Ulcer P0078. Combined Postcholecystectomy Bile Leak and Benign Biliary Disease Stricture - Should a Temporary Placement of Fully Covered Self-Expanding Brian Larson, MD1, Jeffrey S. Bank, MD2, Michael J. Walker, MD3; 1. Metal Stent Be the First Choice? University of Utah, Salt Lake City, UT; 2. University of Utah School of Ahmed Al-Chalabi, MD, MSc1, Abdallah Kobeissy, MD1, Toseef Javaid, MD2, Medicine, Salt Lake City, UT; 3. University of Utah, Farmington, UT Ali Nawras, MD, FACG1; 1. University of Toledo Medical Center, Toledo, OH; 2. University of Toledo, Toledo, OH P0068. Abrupt Onset of Acute Pancreatitis Following the Ingestion of Eluxadoline P0079. Non-Steroidal Anti-Inflammatory Drug-Induced Acute Ernesto Robalino Gonzaga, MD1, Saif Borgan, MD1, Kirolus Sourial, MD2, Pancreatitis: A Case Report Vishwas Vanar, MD2; 1. University of Central Florida College of Medicine, Jonathan M. Reyes, MD, MHA1, Manuel O. Gonzalez, MD2, Bhavin Patel, Kissimmee, FL; 2. University of Central Florida College of Medicine, MD2, Fahad Malik, MD2, Simcha Weissman, DO3; 1. Icahn School of Orlando, FL Medicine at Mount Sinai (Elmhurst Hospital), Staten Island, NY; 2. Richmond University Medical Center, Staten Island, NY; 3. Hackensack University - Palisades Medical Center, Teaneck, NJ

48 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0080. Large Common Bile Duct Stones Creating a Rare Distal P0092. Endoscopic Mucosal Resection of Pancreatic Rest Presenting as SUNDAY Choledochoduodenal Fistula Requiring Unusual Extraction Method a Submucosal Nodule in the Gastric Antrum Brian Dinh, MD, Patrick Chen, DO, Gregory Beck, MD; Wright State Janak Bahirwani, MD1, Rodrigo Duarte-Chavez, MD2, Sagar V. Mehta, University Boonshoft School of Medicine, Dayton, OH MD3, Hussam Tayel, MD2, Hesham Tayel, MD2, Ayaz Matin, MD4; 1. St. Luke's University Health Network, Allentown, PA; 2. St. Luke's P0081. A Unique BRIC Case With Response to Glucocorticoids University Health Network, Bethlehem, PA; 3. St. Luke's University Eric Lorio, MD1, David Valadez, MD1, Naim Alkhouri, MD2, Nicole Loo, MD2; Hospital, Bethlehem, PA; 4. St. Luke's University Health Network, 1. University of Texas Health, San Antonio, TX; 2. Texas Liver Institute, San Fountain Hill, PA Antonio, TX P0093. A Rare Case of Metastatic Adenocarcinoma to the Pancreas P0082. Elevated CA 19-9 Associated With Heavy Black Tea Consumption Secondary to a Primary Lung Malignancy Alice C. Jiang, MD, Edie Y. Chan, MD, Shriram Jakate, MD, FRCPath, Nikunj Shiva Vangimalla, MBBS1, Muhammad U. Mirza, MBBS2, Tandy Agostini, Shah, MD; Rush University Medical Center, Chicago, IL MD1, Mitesh R. Patel, MD2; 1. Medstar Georgetown University / Washington P0083. Cheers to Budd: Pyogenic Liver Abscess Complicated by Acute Hospital Center, Washington, DC; 2. MedStar Washington Hospital Cetner, Budd-Chiari Syndrome Washington, DC Kamesh Gupta, MBBS1, Bandhul Hans, MBBS2, Saumya Rawat, MBBS3, 4 P0094. An Extraordinary Case of Delayed and Isolated Recurrence of Renal Kathryn Jobbins, DO, MS ; 1. University of Massachusetts Medical School Cell Carcinoma in the Pancreas - Baystate Medical Center, Springfield, MA; 2. Walia Hospital, Ludhiana, Quinton D. Palmer, MD, Salman Ali Khan, MD, Abhilash Perisetti, MD, Punjab, India; 3. Memorial West Hospital, Pembroke Pines, FL; 4. Baystate Nazish Khan, MBBS, Kemmian D. Johnson, MD, MPH, Sumant Inamdar, Medical Center, Springfield, MA MD, MPH; University of Arkansas for Medical Sciences, Little Rock, AR P0084. Pancreatic Adenocarcinoma Presenting as Acute Large Bowel P0095. Multi-Drug Resistant Burkholderia Cepacia Infected Pancreatic Obstruction Pseudocyst Michael J. Abadier, DO1, Andrew E. Abadier, BS2, Wahid J. Abadier, MD3; Sarah Rawi, MD1, Sheena Mago, DO2; 1. University of Connecticut 1. Kent Hospital/Brown University, West Warwick, RI; 2. University of Health Center, Hartford, CT; 2. University of Connecticut Health Center, Pikeville College of Osteopathic Medicine, Knoxville, TN; 3. Fort Loudoun Farmington, CT Medical Center, Knoxville, TN P0096. A Rare Case of Biliary Pancreatitis Caused by Ampullary P0085. Sorafenib Induce Acute Pancreatitis: A Seldom Reported Side Effect Somatostatinoma in a 46-Year-Old Female Eric O. Then, MD1, Michell Lopez, MD1, Andrew Ofosu, MD2, Vijay S. Are, Michal Kloska, MD, Reema Vaze, MD, Ricky Buckshaw, DO, Hiral Shah, MD, MD3, Andrea Culliford, MD, FACG1, Vinaya Gaduputi, MD, FACG4; 1. St. FACG; Lehigh Valley Health Network, Allentown, PA Barnabas Hospital, Bronx, NY; 2. Brooklyn Hospital Center, Brooklyn, NY; 3. Stormont Vail Health System, Topeka, KS; 4. SBH Health System, Bronx, P0097. Acute Pancreatitis in a Patient Using Liraglutide for Weight Loss NY Karina Fatakhova, MD1, Ali Rahman, MD2, Ghadah Al-Naqeeb, MD1, Sarmed Al Yassin, MD1, Sura Alqaisi, MD2, Adesh Ramdass, MD2; 1. P0086. Disconnected Pancreatic Duct Syndrome a Rare Complication Northwell Health / Mather Hospital, Port Jefferson, NY; 2. John T. Mather David Truscello, DO, Nishi Pandey, DO, Maulik Shah, DO, Michael Itidiare, Memorial Hospital Medical Center, Port Jefferson, NY DO, BS, Drew J. Chiesa, DO, Justin DeRosa, DO; Rowan University School of Osteopathic Medicine, Stratford, NJ P0098. A Prognosis Worse Than Pancreatic Adenocarcinoma - Metastatic Pancreatic Adenosquamous Carcinoma P0087. Bleeding Pancreaticoduodenal Fistula: An Unusual Case of Melena Gourisree Dharmavaram, BS1, Raj Shah, MD2, Jeffry Katz, MD3; 1. Case Zarir Ahmed, DO1, Ahmad M. Al-Taee, MD2, Christine Boumitri, MD1; 1. St. Western Reserve University School of Medicine, Cleveland, OH; 2. Louis University, St. Louis, MO; 2. Saint Louis University, St. Louis, MO University Hospitals Case Medical Center, Case Western Reserve P0088. Bouveret’s Syndrome: An Overlooked Cause of Duodenal University, Cleveland, OH; 3. University Hospitals Cleveland Medical Obstruction Center, Cleveland, OH Shana Kothari, MD, MS1, Matthew Kobeszko, MD, MS1, Michael Kalinowski, 1 2 P0099. B Cell Lymphoma Masquerading as a Pancreatic Mass With DO, MS , Tarek Almouradi, MD ; 1. University of Illinois - Advocate Christ Pancreatitis Medical Center, Oak Lawn, IL; 2. Advocate Christ Medical Center, Oak Michael Cox, BS1, Peter Darwin, MD2, Asheesh Sood, MD3, Rebecca Ayre, Lawn, IL MA4; 1. Trinity School of medicine, Oklahoma City, OK; 2. University of P0089. More Than Meets the Eye: Pancreatic Panniculitis as Presenting Maryland Medical System, Baltimore, MD; 3. Harford Gastroenterology, Sign of Invasive Pancreatic Adenocarcinoma Bel Air, MD; 4. Hartford Gastroenterology, Bel Air, MD Jordan Gladys-Oryhon, DO, Paige Langhals-Totino, DO, Dhruv Chaudhary, P0100. Lemmel Syndrome in a Centenarian MD, Shyam Thakkar, MD; Allegheny Health Network, Pittsburgh, PA Zeyn Mirza, MD1, Carlos Fernández, MD2, Francisco Tirado, MD1, Jose P0090. The Great Mimicker: Leptospirosis Martin-Ortiz, MD, FACG1; 1. VA Caribbean Healthcare System, San Juan, Sergio M. Alegre-Boschetti, MD1, Natalia Betancourt-Guzmán, MD2, Puerto Rico; 2. Hospital de Veteranos (VA Caribbean Healthcare System), Carlos Fernández, MD1, Henry De Jesús, MD1, Priscilla Magno, MD, MSc1; San Juan, Puerto Rico 1. Hospital de Veteranos (VA Caribbean Healthcare System), San Juan, P0101. Groove Pancreatitis as a Rare Complication of TACE Puerto Rico; 2. University Pediatric Hospital, San Juan, Puerto Rico Zeyn Mirza, MD, Rodolfo Estremera, MD, Jose Martin-Ortiz, MD, FACG; VA P0091. A Genetically Rare Cancer Singled Out Just in Time: Pancreatic Caribbean Healthcare System, San Juan, Puerto Rico Neuroendocrine Tumor P0102. A Rare Congenital Anomaly Unveiled in an Octogenarian Sergio M. Alegre-Boschetti, MD1, Natalia Betancourt-Guzmán, MD2, Zeyn Mirza, MD1, Henry De Jesús, MD2, Rodolfo Estremera, MD1, Carolina Diaz, MD3, Henry De Jesús, MD1, Carlos Fernández, MD1, Priscilla Jose Martin-Ortiz, MD, FACG1, Doris Toro-Lugo, MD1; 1. VA Caribbean Magno, MD, MSc1; 1. Hospital de Veteranos (VA Caribbean Healthcare Healthcare System, San Juan, Puerto Rico; 2. Hospital de Veteranos (VA System), San Juan, Puerto Rico; 2. University Pediatric Hospital, San Juan, Caribbean Healthcare System), San Juan, Puerto Rico Puerto Rico; 3. VA Caribbean Healthcare System, San Juan, Puerto Rico

P0103. Case of an Unusual Complication of a Biliary Stent P0113. Fecal Microbiota Transplantation for Recurrent Clostridioides Abhinav Goyal, MD1, Daniel J. Sher, MD2; 1. Albert Einstein Medical difficile Infection: Efficacy and Predictors of Success Center, Philadelphia, PA; 2. Philadelphia Gastroenterology Consultants, Mohamed Abdallah, MD1, Abdelmohaymin Abdalla, MD1, Noah Wiedel, Philadelphia, PA MD2, Brett Baloun, MD1, Jorge Gilbert, MD1; 1. University of South Dakota Sanford School of Medicine, Sioux Falls, SD; 2. University of Nebraska P0104. Pancreaticopleural Fistula in a Patient With Recurrent Alcoholic Medical Center, Omaha, NE Pancreatitis: Combined Endoscopic and Medical Management Kaio S. Ferreira, MD1, John J. Arsenault, BA1, Jason Pan, MD1, Alexander P0114. Fecal Microbiota Transplantation for Recurrent Clostridioides Harmatz, MD2, Steven F. Moss, MD1; 1. Warren Alpert Medical School difficile Infection in Patients Above 75 Years of Age: A Tertiary Center of Brown University, Providence, RI; 2. Roger Williams Medical Center, Experience Providence, RI Mohamed Abdallah, MD1, Abdelmohaymin Abdalla, MD1, Noah Wiedel, MD2, Brett Baloun, MD1, Jorge Gilbert, MD1; 1. University of South Dakota Sanford School of Medicine, Sioux Falls, SD; 2. University of Nebraska COLON Medical Center, Omaha, NE P0105. Association Between Sessile Serrated Adenoma and Extra-colonic P0115. Usefulness of Magnifying Narrow-Band Imaging Endoscopy for the Malignancies Diagnosis of Sessile Serrated Adenoma/Polyp With Dysplasia/Carcinoma 1 2 3 Jihan Fathallah, MD , Mohammed Al-Jumayli, MD , Donya R. Jahandar, BA ,  Presidential Poster Award 1 4 Reza Hejazi, MD , Chase Young, MS ; 1. Kansas City University of Medicine Takashi Murakami, MD, PhD1, Naoto Sakamoto, MD, PhD2, Hirofumi and Biosciences, Kansas City, KS; 2. Kansas City University of Medicine Fukushima, MD, PhD2, Hiroya Ueyama, MD, PhD1, Tomoyoshi Shibuya, and Biosciences, Kansas CIty, KS; 3. University of Kansas Medical Center, PhD2, Akihito Nagahara, MD, PhD1; 1. Juntendo University School of Kansas City, MO; 4. University of Missouri, Kansas City, MO Medicine, Bunkyo-ku, Tokyo, Japan; 2. Juntendo University School of P0106. The Epidemiology of Colorectal Cancer in Chronic Kidney Disease Medicine, Tokyo, Tokyo, Japan in the U.S.: A Population-Based Study (2014-2019) P0116. Diverticular Paradox: Increasing Odds of Diverticulitis in Mohammad Abureesh, MD1, Motasem Alkhayyat, MD2, Mohannad Abou Diverticular Disease With Younger Age 2 3 Saleh, MD , Liliane Deeb, MD ; 1. Staten Island University Hospital, Staten Temitayo Gboluaje, MD, MBA1, Martha Gwengi, MA2, Titilope Olanipekun, Island, NY; 2. Cleveland Clinic Foundation, Cleveland, OH; 3. Staten Island MD, MPH1, Taiwo Ajose, MD3, Melvin Simien, MD1; 1. Morehouse School of University Hospital, Northwell Health, Staten Island, NY Medicine, Atlanta, GA; 2. Brown University, Silver Spring, MD; 3. Atlanta, GA P0107. Prevalence and Predictors of Adenomas in Young Adults P0117. Multiplex Gastrointestinal Pathogen PCR Testing in HIV/AIDS Undergoing Diagnostic Colonoscopy in a Multicenter Midwest U.S. Cohort Patients: The Relationship Between Enteric Infection and CD4 T-Cell Count 1 1 2 Devashree Dave, MD , Ray Lu, MD , Jagpal S. Klair, MD , Thamer Kassim, Ashley M. Hine, BS1, Benjamin Lebwohl, MD, MS2, Jordan E. Axelrad, 3 3 3 MD , Muhammad Ashfaq, MD , Subhash Chandra, MD , Arvind Murali, MD, MPH3; 1. New York University School of Medicine, New York, NY; 1 MD ; 1. University of Iowa Hospitals & Clinics, Iowa City, IA; 2. Digestive 2. Columbia University Medical Center, New York, NY; 3. New York Diseases Institute, Virginia Mason Clinic, Seattle, WA; 3. Creighton University Langone Health, New York, NY University Medical Center, Omaha, NE P0118. Is Smoking Associated With an Increased Risk of Diverticulitis? P0108. Association Between Colitis and Immune Checkpoint Inhibitor Use: Srikanth Maddika, MD1, Eric O. Then, MD1, Febin John, MD2, Khalil Aloreidi, Analysis of the FDA Adverse Event Reporting System (FAERS) MD2, Vijay Gayam, MD3, Vijay S. Are, MD4, Andrea Culliford, MD, FACG1, Nahel A. Tunio, MD, Gregory S. Cooper, MD; University Hospitals Vinaya Gaduputi, MD, FACG5; 1. St. Barnabas Hospital, Bronx, NY; 2. The Cleveland Medical Center, Cleveland, OH Brooklyn Hospital Center, Brooklyn, NY; 3. Interfaith Medical Center, P0109. Focusing With a New Lens: Analyzing the Quality of Internet Brooklyn, NY; 4. Stormont Vail Health System, Topeka, KS; 5. SBH Health Literature Related to the Gut Microbiome System, Bronx, NY Lindsay Clarke, MD, Scott Baumgartner, PA-C, MPAS, Daniel Szvarca, P0119. Traditional Serrated Adenomas (TSA) and the Company They Keep: MD, Nadeem Tabbara, MD, Jessica Basso, MD, Lillian Dawit, MD, Jenny TSA Presence Predicts Synchronous Advanced Lesions Dave, MD, Marie Borum, MD, EdD, MPH; George Washington University, Erica Duh, MD1, Piotr Sowa, MD1, Mary B. Roberts, MS2, William Karnes, Washington, DC MD3; 1. University of California Irvine Medical Center, Orange, CA; 2. P0110. What's Your Gut Feeling? Evaluating Patient Resources on the Care New England Medical Group / Primary Care & Specialty Services, Impact of the Gut Microbiome on Disease Pawtucket, RI; 3. University of California Irvine, Orange, CA Daniel Szvarca, MD, Scott Baumgartner, PA-C, MPAS, Lindsay Clarke, MD, P0120. Changes in Antibiotic Usage Patterns for Treatment of Colon Nadeem Tabbara, MD, Jessica Basso, MD, Marie Borum, MD, EdD, MPH; Ischemia Since ACG Guideline Recommendations George Washington University, Washington, DC Shaya J. Noorian, MD1, Olga Aroniadis, MD, MSc2, Paul Feuerstadt, MD, 3 2 P0111. Failure of Prescribing Bowel Regimens at Hospital Discharge for FACG , Joann Kwah, MD, FACG ; 1. Albert Einstein College of Medicine, Patients on Opioid Medications Beverly Hills, CA; 2. Montefiore Medical Center, Bronx, NY; 3. Yale New Andrew Moore, MD, Anuja Kapil, MD, Sabrina K. Jones, MD, Salina Lee, Haven Hospital, Hamden, CT MD; Rush University Medical Center, Chicago, IL P0121. Targeting MLH-1 Gene of Colorectal Cancer Cell Line Develop From P0112. Impact of Clostridium difficile Infection in Patients With Ulcerative Patient of Cipto Mangunkusumo National Hospital by CRISPR CAS9 for Colitis and Crohn's Disease: A Comparative Analysis Genome Editing 1 1 Ahmad Khan, MD1, Abdullah Sohail, MD2, Davis B. Berry, DO3, Kamesh Murdani Abdullah, MD , Ari Fahrial Syam, MD, FACG , Marcellus 1 2 1 Gupta, MBBS4, Hemant Goyal, MD5; 1. West virginia University Health SImadibrata, MD, PhD, FACG , Sofy Meilany , Firda Annisa, MD , Dimas 2 1 1 Sciences Center, Charleston, WV; 2. Charleston Area Medical Center, Ramadhan , Dadang Makmun, MD, FACG , Abdul Aziz Rani, MD ; 1. Charleston, WV; 3. Prisma Health, Columbia, SC; 4. University of Universitas Indonesia, Jakarta Pusat, Jakarta Raya, Indonesia; 2. Virology Massachusetts Medical School - Baystate Medical Center, Springfield, MA; and Cancer Pathobiology Research Center, Universitas Indonesia, Jakarta 5. The Wright Center of Graduate Medical Education, Clark Summit, PA Pusat, Jakarta Raya, Indonesia

50 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0122. ATLAS Scores Are Better Than CDSS in Predicting Any ICU P0130. Teaching Hospitals Have Lower Adjusted Rates of Hospital- SUNDAY Requirement and 30-Day Mortality in Patients With C. difficile Infection Onset C. difficile Infection Compared to Non-Teaching Hospitals (CDI) >65 Years Old Rahul S. Dalal, MD1, Gary R. Lichtenstein, MD, FACG2; 1. Brigham and  Presidential Poster Award Women's Hospital, Boston, MA; 2. Perelman School of Medicine, Umer E. Malik, MD1, Karthik Gnanapandithan, MD, MS1, Prabin Sharma, University of Pennsylvania, Philadelphia, PA MD2, Muhammad Sohail Mansoor, MD3, Paul Feuerstadt, MD, FACG4; 1. P0131. Fair Colonoscopy Bowel Preparation Is Not Adequate for Yale New Haven Hospital, New Haven, CT; 2. Yale New Haven Health Effective Colonoscopy Bridgeport Hospital, Bridgeport, CT; 3. Albany Medical Center, Albany, Mohammad Alomari, MD1, Laith Al Momani, MD2, Muhammad Talal NY; 4. Yale New Haven Hospital, Hamden, CT Sarmini, MD1, Shrouq Khazaaleh, MD3, Fredy Nehme, MD4, Vaibhav P0123. Efficacy and Safety of NER1006 versus Standard Bowel Wadhwa, MD5, Prashanthi N. Thota, MD6, Madhusudhan R. Sanaka, MD, Preparations: A Meta-Analysis of Randomized Phase 3 Clinical Trials FACG6; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. East Tennessee Marcello Maida, MD1, Fabio Salvatore Macaluso, MD2, Emanuele Sinagra, State University, Johnson City, TN; 3. King Abdullah University Hospital, MD3, Marco Ventimiglia, MSCI2; 1. S. Elia-Raimondi Hospital, Caltanissetta, Ar Ramtha, Irbid, Jordan; 4. University of Missouri, Kansas City, MO; 5. Sicilia, Italy; 2. Villa Sofia-Cervello Hospital, Palermo, Sicilia, Italy; 3. Cleveland Clinic, Weston, FL; 6. Digestive Disease Institute, Cleveland Fondazione Istituto San Raffaele Giglio, Cefalù, Sicilia, Italy Clinic Foundation, Cleveland, OH P0124. Effectiveness and Tolerability of Very Low-Volume Preparation for P0132. Clinical Features of Radiotherapy-Related Proctocolitis Colonoscopy: A Prospective, Multicenter Observational Study Hamzah Abu-Sbeih, MD1, Tenglong Tang, MD2, Cynthia N. Tran, MD3, Marcello Maida, MD1, Gaetano Morreale, MD1, Emanuele Sinagra, MD2, Yinghong Wang, MD, PhD2; 1. University of Missouri, Kansas City, MO; 2. Sandro Sferrazza, MD3, Michele Manganaro, MD1, Giuseppe Scalisi, MD4, MD Anderson Cancer Center, Houston, TX; 3. Baylor College of Medicine, Dario Schillaci, MD5, Giovanni Vettori, MD3, Giuseppe Conoscenti, MD2, Houston, TX Concetta Di Bartolo, MD4, Serena Garufi, MD1, Clara Maria Virgilio, MD4, P0133. Short-Term Efficacy of the Vaginal Bowel-Control Device in Salvatore Camilleri, MD1; 1. S. Elia-Raimondi Hospital, Caltanissetta, Sicilia, Improving Fecal Incontinence in Women: A Meta-Analysis of Prospective Italy; 2. Fondazione Istituto San Raffaele Giglio, Cefalù, Sicilia, Italy; Studies 3. Santa Chiara Hospital, Trento, Trentino-Alto Adige, Italy; 4. ARNAS Allison Zhang, MD1, Bryan Doherty, MD1, Debra Guss, FNP2, Vincent Notar- Garibaldi, Catania, Sicilia, Italy; 5. Basarocco Hospital, Niscemi, Sicilia, Francesco, MD2; 1. New York-Presbyterian Brooklyn Methodist Hospital, Italy Brooklyn, NY; 2. New York Methodist Hospital, Brooklyn, NY P0125. Safety of NER1006 in the Elderly: A Post-Hoc Analysis of a P0134. Therapeutic Oxygen for Gastrointestinal Atomy (TOGA) Pilot Trial: Prospective, Multicenter Cohort Management of Acute Colonic Pseudo-Obstruction and Ileus With Oxygen Marcello Maida, MD1, Sandro Sferrazza, MD2, Emanuele Sinagra, MD3, Supplementation Gaetano Morreale, MD1, Michele Manganaro, MD1, Giuseppe Scalisi, MD4, Wei Zhang, MD, PhD, Alexandra J. Baumann, DO, Tony Brar, MD, Debdeep Dario Schillaci, MD5, Giovanni Vettori, MD2, Giuseppe Conoscenti, MD3, Banerjee, MD, Walid Khan, MD, Donevan Westerveld, MD, Selina Sutchu, Concetta Di Bartolo, MD4, Serena Garufi, MD1, Clara Maria Virgilio, MD4, MD, Max E. Jacobson, MD, Joseph R. Grajo, MD, Christopher Forsmark, Salvatore Camilleri, MD1; 1. S. Elia-Raimondi Hospital, Caltanissetta, MD, FACG, Brian Weiner, MD; University of Florida College of Medicine, Sicilia, Italy; 2. Santa Chiara Hospital, Trento, Trentino-Alto Adige, Italy; Gainesville, FL 3. Fondazione Istituto San Raffaele Giglio, Cefalù, Sicilia, Italy; 4. ARNAS Garibaldi, Catania, Sicilia, Italy; 5. Basarocco Hospital, Niscemi, Sicilia, P0135. Predictive Factors for Inadequate Inpatient Bowel Preparation Italy Shiva Poola, MD1, Nannaya Jampala, MD1, Dmitry Tumin, PhD2, Eslam Ali, MD1; 1. Brody School of Medicine, Greenville, NC; 2. Vidant Medical Center P0126. Colorectal Mucosal Schwann Cell Hamartomas in a Community / East Carolina University Brody School of Medicine, Greenville, NC Gastroenterology Practice Bitaal Sadiq, BS1, Matthew Nunez, BS1, Shilpa Sannapaneni, MD2, Amanda P0136. Clinical Burden of Recurrent Clostridioides difficile Infection: Hoelscher, PA-C3, Donna J. Lager, MD3, Rajeev Jain, MD3, Chris Fourment, A Real-World Data Analysis MD1, Timothy E. Ritter, MD1; 1. Texas Digestive Disease Consultants, PA, Laura Stong, PhD1, Winnie W. Nelson, PharmD, MS, MBA1, Paul Feuerstadt, Southlake, TX; 2. Texas Health Presbyterian, Dallas, TX; 3. Texas Digestive MD, FACG2, Mena Boules, MD1, Naomi Sacks, PhD3, Alexandria Portelli, Disease Consultants, PA, Dallas, TX MPH3, Bridget Healey, MPH3, Kathleen Lang, PhD4, David N. Dahdal, PhD1; 1. Ferring Pharmaceuticals, Inc., Parsippany, NJ; 2. Yale New Haven P0127. Rate of Antibiotics Prescribed for Patients With Acute Diarrheal Hospital, Hamden, CT; 3. Precision Xtract, Boston, MA; 4. Precision Xtract, Illness and a Positive Stool Test in Immunosuppressed versus Non- New York, NY Immunosuppressed Patients Yonatan Ziv, MD, Tai Hang Ho, MD, Wendy A. Szymczak, PhD, Joann P0137. No Cure, No Comfort: An Urban Center Experience With Palliative Kwah, MD, FACG, Inessa Gendlina, MD, PhD; Montefiore Medical Center, Care for Hospitalized Colon Cancer Patients, 2010-2017 Bronx, NY Daniel S. Jamorabo, MD1, Benjamin D. Renelus, MD2, Pragnan Kancharla, MD3, William M. Briggs, PhD2; 1. New York-Presbyterian Brooklyn P0128. Gastrointestinal Pathogen Distribution for Patients With Methodist Hospital, Jackson Heights, NY; 2. New York-Presbyterian Immunosuppressive States and Acute Diarrheal Illness Brooklyn Methodist Hospital, Brooklyn, NY; 3. New York Methodist Yonatan Ziv, MD, Tai Hang Ho, MD, Wendy A. Szymczak, PhD, Inessa Hospital, Brooklyn, NY Gendlina, MD, PhD, Joann Kwah, MD, FACG; Montefiore Medical Center, Bronx, NY P0138. The Role of Loperamide in Conjunction With Fecal Microbiota Transplantation (FMT) for Recurrent Clostridioides difficile Infection (rCDI) P0129. Abdominal Tuberculosis in the 21st Century in Peru: A Description Vipul Nayi, MD, Lawrence Brandt, MD, MACG, Olga Aroniadis, MD, MSc; of 22 Cases Montefiore Medical Center, Bronx, NY Luis Torres, MD, Juan Carlos Macalupú, Alvaro Bellido, MD, Jose Pinto, MD, Jorge Espinoza-Ríos, MD; Universidad Peruana Cayetano Heredia, Lima, Lima, Peru

COLON P0150. Malignant Perivascular Epithelioid Cell Neoplasm of Colon in Clinical Vignettes / Case Reports Young Male Briette Karanfilian, MD1, Ryan Jackson, MD1, Vicky Bhagat, MD, MPH1, P0139. Cholecystocolic Fistula: An Unusual Cause of Abdominal Pain Ryan Cristelli, DO1, Marina Chekmareva, MD1, Avik Sarkar, MD2; 1. Robert Amira Hamed, MD1, Karissa Lambert, MD1, Ahmed Said Hamed, MD1, Wood Johnson Medical School, Rutgers University, New Brunswick, NJ; 2. Eslam Ali, MD2; 1. Vidant Medical Center / East Carolina University, Robert Wood Johnson University Hospital, New Brunswick, NJ Greenville, NC; 2. Brody School of Medicine, Greenville, NC P0151. A Rare Cause of Infective Ileocolitis: Brucella Abortus P0140. Recurrent Isolated Colon Ischemia Secondary to Kayexlate. Tarek I. Abu-Rajab Tamimi, MD, Wasim Allan, MD, Sahar Almustafa, MD; Kayexelate Helps History to Repeat Itself The University of Jordan, Amman, 'Amman, Jordan Rosemarie Florian, MD, Christian Jackson, MD, FACG; VA Loma Linda P0152. Diverticulitis: The Rare and Unanticipated Complication of Colonoscopy Healthcare System, Loma Linda, CA Zarak H. Khan, MD, Pranay R. Korpole, MD, John O'Brien, MD; St. Mary P0141. Double Trouble: A Rare Case of Colonic Mixed Mercy Hospital, Livonia, MI Adenoneuroendocrine Carcinoma (MANEC) P0153. Are Those Really Xanthomas? Leon D. Averbukh, DO1, Faripour Forouhar, MD2, Haleh Vaziri, MD2; Zarak H. Khan, MD, Pranay R. Korpole, MD, Tejveer Singh, MD, Vijay 1. University of Connecticut Health, Hartford, CT; 2. University of Jarodiya, MD, Tahir Khan, MD, Raveen Rai, MD; St. Mary Mercy Hospital, Connecticut Health, Farmington, CT Livonia, MI P0142. A Case of Syphilitic Proctitis in a Newly Diagnosed Patient With HIV P0154. Left-Sided Chest Pain Following Colonoscopy: Think Outside the Colon! Rohit Agrawal, MD1, Bashar M. Attar, MD, PhD2, Hemant Mutneja, MD1, Zarak H. Khan, MD, Pranay R. Korpole, MD, Vijay Jarodiya, MD, Tejveer Muhammad Majeed, MD1, Tejinder Randhawa, DO1, Yazan Abu Omar, MD2, Singh, MD, Nabil Sultani, MD; St. Mary Mercy Hospital, Livonia, MI Oscar Rivas Chicas, MD1; 1. John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2. Cook County Health and Hospital Systems, Chicago, IL P0155. Hematochezia in a Young Female: An Early Sign of Serrated Polyposis Syndrome P0143. Cocaine-Induced Colonic Ischemia Ali Aamar, MD, Khalil Aloreidi, MD, Evangelos Tsipotis, MD, Madhavi Michael Abdo, MD, Kyler S. Kozacek, Tudor Oroian, MD, Victoria M. Mank, Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY MD, Caleb Hudspath, DO, Pedro Manibusan, DO, MBA; Tripler Army Medical Center, Honolulu, HI P0156. Pylephlebitis: An Unusual Presentation of Metastatic Colon Cancer Kamraan Madhani, MD1, Ali Aamar, MD2; 1. Yale University School of P0144. Colon Cancer Metastatic to the Pancreas Presenting as DKA Medicine, New Haven, CT; 2. The Brooklyn Hospital Center, Brooklyn, NY Allison Bush, MD, MPH1, Ross Humes, MD2, Patrick Young, MD, FACG3; 1. Walter Reed National Military Medical Center, Bethesda, MD; 2. National P0157. Normal Polypoid Tissue After Endoscopic Full Thickness Resection Capital Consortium, Bethesda, MD; 3. Uniformed Services University of Colonic Lesions of the Health Sciences, Walter Reed National Military Medical Center, Ahmad M. Al-Taee, MD, Samer Alkaade, MD; Saint Louis University, St. Bethesda, MD Louis, MO P0145. A Curious Case of Progressive Iron Deficiency Anemia P0158. Hypokalemia-Induced Rhabdomyolysis From Budesonide Therapy Dimpal Bhakta, MD, Melissa Latorre, MD, MS; New York University in Crohn’s Disease: A Case Report and Review of the Pathophysiology Langone Medical Center, New York, NY Pujyitha Mandiga, MD1, Ramy Mansour, DO2, Derek Thigpin, DO1; 1. Genesys Regional Medical Center, Grand Blanc, MI; 2. Ascension Genesys, P0146. An Unusual Histopathology of Colonic Polyps Grand Blanc, MI Ishaan Vohra, MD1, Anas Almoghrabi, MD2, Vatsala Katiyar, MBBS1, Tejinder Randhawa, DO1, Pedro Palacios, MD1, Vikram Kotwal, MD1, Bashar P0159. A Vanishing Cecal Mass M. Attar, MD, PhD2; 1. John H. Stroger, Jr. Hospital of Cook County, Krista M. Newman, MD1, Eugenia Shmidt, MD1, Gregory Vercellotti, MD2; Chicago, IL; 2. Cook County Health and Hospital Systems, Chicago, IL 1. University of Minnesota, Minneapolis, MN; 2. University of Minnesota, Mineapolis, MN P0147. Pseudomembranous Colitis, Bowel Ischemia, and Phentermine: A Case Report P0160. Cowden and MAP Syndrome: The Untold Story of a Screening Narasimha Swamy Gollol Raju, MD1, Sriraksha Jayananda, MD2, Eslam Colonoscopy - Case Report Ali, MD3, Glenn Harvin, MD1; 1. East Carolina University, Greenville, NC; Wilfor Diaz Fernandez, MD1, Kiranmaye Tiriveedhi, MD2; 1. Mercy Hospital, 2. Vidant Medical Center, Greenville, NC; 3. Brody School of Medicine, St. Louis, MO; 2. Mercy Hospital, Saint Louis, MO Greenville, NC P0161. Plasmablastic Lymphoma Presenting as Ileocolic Intussusception P0148. Yellow Jacket in the Colon: An Incidental Finding During Screening Alexandra Selby, MD; Temple University School of Medicine, Philadelphia, PA Colonoscopy Narasimha Swamy Gollol Raju, MD1, Eslam Aboutaleb, MBChB2, P0162. Early Detection of Mantle Cell Lymphoma Recurrence With Muhammad Ali2, Eslam Ali, MD3; 1. East Carolina University, Greenville, Colonoscopy 1 2 2 NC; 2. Vidant Medical Center, Greenville, NC; 3. Brody School of Medicine, Amardeep Singh, MD , Atul Bali, MD , Bikram Bal, MD ; 1. CMG, Powhatan, Greenville, NC VA; 2. CMG, Farmville, VA P0149. Underwater Cap-Assisted Endoscopic Diagnosis and Treatment of P0163. A Rare Case of Successful Endoscopic Decompression of Ileal- Anal Intraepithelial Neoplasia Pouch Volvulus 1 2 3 Mohammed Fahad Ali, MD, Gregory T. Brennan, MD, Nabil El Hage Kimberly Cavaliere, MD , Arvind Trindade, MD , Christain Kuntzen, MD ; Chehade, MD, Jason Samarasena, MD, FACG; University of California 1. Long Island Jewish Medical Center, Queens, NY; 2. Zucker School of Irvine Medical Center, Orange, CA Medicine at Hofstra/Northwell, New Hyde Park, NY; 3. Long Island Jewish Medical Center, Manhasset, NY

52 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0164. Small Cell Carcinoma of the Cecum: A Rare Entity P0177. Colo-Colonic Intussusception: An Unusual Complication of Bowel SUNDAY Jordan Gladys-Oryhon, DO, Shifa Umar, MD, Rita Cole, MBA, BS, Katie Preparation Farah, MD; Allegheny Health Network, Pittsburgh, PA Han N. Le, DO1, Michael E. Kwiatt, MD2, Adib Chaaya, MD1; 1. Cooper University Hospital, Camden, NJ; 2. Cooper University Hospital, Mount P0165. Luminal Colonic Metastases From Primary Urothelial Carcinoma Laurel, NJ Jordan Gladys-Oryhon, DO, Moaz Sial, MD, Shifa Umar, MD, Raktima Goswami, MD; Allegheny Health Network, Pittsburgh, PA P0178. Sporadic Colonic Hamartoma in an Adult Patient: A Rare Finding Gurbir Sehmbey, MD1, Keng-Yu Chuang, MD2; 1. Banner University P0166. Colonic Spirochetosis Causing Ulcerative Proctitis Medical Center, Phoenix, AZ; 2. Maricopa Integrated Health System, Philip A. Durney, MD1, Christopher Henry, MD2; 1. Thomas Jefferson Phoenix, AZ University Hospital, Philadelphia, PA; 2. Thomas Jefferson University, Philadelphia, PA P0179. Large Fecalith Obstructing the Cecum in a Patient With Rectal Bleeding and Iron Deficiency Anemia P0167. Synchronous Esophageal and Colon Adenocarcinoma: A Case Report Arturo Suplee Rivera, MD1, Grigoriy Rapoport, MD2, Juan J. Castano, Jr., Lindsey A. Bierle, DO1, Shravani Reddy, MD1, Varun Kesar, MD2, Vikas MD3, Asif Zamir, MD4; 1. University of Texas Rio Grande Valley, McAllen, Chitnavis, MD2, Douglas J. Grider, MD3; 1. Virginia Tech Carilion, Roanoke, TX; 2. University of Texas Health Rio Grande Valley, Edinburg, TX; 3. VA; 2. Virginia Tech, Roanoke, VA; 3. Carilion Clinic and Virginia Tech University of Texas Rio Grande Valley at Doctors Hospital at Renaissance, Carilion School of Medicine, Roanoke, VA Edinburg, TX; 4. Doctors Hospital at Renaissance, Edinburg, TX P0168. Chalk Eating: A Culturally-Accepted Form of Pica in Georgia? 1 1 2 P0180. Padlock Clip in the Management of Non-Lifting Part of Pearl Princess Uy, MD , Frank Crisona, MD , Subbaramiah Sridhar, MD ; 1. Incompletely Resected Polyp With Central Fibrosis Medical College of Georgia, Augusta, GA; 2. Georgia Medical College / Mohamad Mouchli, MD1, Christopher Walsh, MD1, Mohammad Shakhatreh, Augusta University, Augusta, GA MD1, Paul Yeaton, MD1, Vikas Chitnavis, MD2; 1. Virginia Tech Carilion P0169. Full Thickness Resection Device for the Removal of a Submucosal School of Medicine, Roanoke, VA; 2. Virginia Tech, Roanoke, VA Sigmoid Carcinoid Tumor P0181. A Case of Non-Typhoidal Salmonella (Salmonella Saintpaul) Bacteremia Pratik Patel, MD1, Ethan Phan, MD1, Narasimha Swamy Gollol Raju, MD1, Rajarajeshwari Ramachandran, MD1, Maria Azhar, MD2, Niraj Jani, MD2; Prashant Mudireddy, MD2; 1. East Carolina University, Greenville, NC; 2. 1. Greater Baltimore Medical Center, Towson, MD; 2. Greater Baltimore Brody School of Medicine, Greenville, NC Medical Center, Baltimore, MD P0170. A Rare Case of Necrotizing Colitis in an Adult 1 1 1 2 P0182. Visceral Involvement as the Initial Presentation of Kaposi Sarcoma Syed S. Karim, DO , Rucha Jiyani, MD , Bobby Jacob, MD , Jarin Prasa, MS , Carries a Worse Prognosis Kaleem Rizvon, MBBS, FACG1, Paul Mustacchia, MD1; 1. Nassau University Michael Ashamalla, MD1, Praneet Wander, MD1, Jessica Pizzuti, MD1, Diana Medical Center, East Meadow, NY; 2. Touro University, Middletown, NY Lech, MD1, Arvind Rishi, MD2, Taisia Vitkovski, DO3, Ronald Greenberg, P0171. Rectal Foreign Body: A Novel Minimally Invasive Extraction MD1; 1. Hofstra North Shore-LIJ School of Medicine, Manhasset, NY; 2. Technique With Blakemore Tube Manhasset, NY; 3. Northwell Health, Lake Success, NY Ijlal Akbar Ali, MD, Maham Hayat, MD, Rajesh Kanagala, MD; University of P0183. Signet Ring Cell Carcinoma of the Colon: A Rare Finding and Oklahoma Health Sciences Center, Oklahoma City, OK Clinical Review P0172. Rectal Melanoma Occurring in a Properly CRC Screened Patient Jade Law, MD1, Simi Singh, MD2; 1. University of California Los Angeles Antoni Wojtkowski, MD, Sarbagya Pandit, MD, Zeid Karadsheh, MD, - Olive View Medical Center, Sylmar, CA; 2. University of California Los George Atia, MD, Shyam Chalise, MD; Presence Saint Joseph Hospital, Angeles, Los Angeles, CA Chicago, IL P0184. A Rare Case of an Atypical Mass Involving the Sigmoid Colon P0173. Vedolizumab-Induced Remission of Refractory Microscopic Colitis: Michelle Sayad, MD, Fariha Ramay, MD, Eric Goldberg, MD; University of A Single Institution Case Series Maryland Medical Center, Baltimore, MD  Presidential Poster Award P0185. Segmental Colitis Associated With Diverticulosis (SCAD): A Rare 1 1 2 Courtney Perry, DO , Marijeta Pekez, MD , Praneeth Kudaravalli, MD , Cause of Hydroureteronephrosis 2 2 2 Mahmoud Hashim, MD , Olalekan Akanbi, MD , Pradeep Yarra, MD , Ahmad Najdat Bazarbashi, MD1, Thomas R. McCarty, MD2, Lolwa Al-Obaid, 1 Terrence Barrett, MD ; 1. University of Kentucky, Lexington, KY; 2. MD3, Daria Homenko, MD4; 1. Brigham and Women's Hospital, Somerville, University of Kentucky College of Medicine, Lexington, KY MA; 2. Brigham and Women's Hospital, Boston, MA; 3. Lahey Hospital P0174. Melanoma Immune Checkpoint Inhibitors-Induced Colitis, Stay and Medical Center, Burlington, MA; 4. Brigham and Women's Faulkner Vigilant! Hospital, Boston, MA Suha Abu Khalaf, MD, Abdulmajeed Albarrak, MD, Mohamad Yousef, MD, P0186. The Incidental Raised White Lesion: A Case of Indolent Veysel Tahan, MD, FACG, Jamal A. Ibdah, MD, PhD, FACG; University of Mastocytosis Missouri, Columbia, MO Ahmad Najdat Bazarbashi, MD1, John Saltzman, MD, FACG2; 1. Brigham P0175. "Bi-Morphic” Post-Transplant Lymphoproliferative Disorder and Women's Hospital, Somerville, MA; 2. Brigham and Women's Masquerading as Inflammatory Bowel Disease Hospital, Harvard Medical School, Boston, MA 1 1 2 Saad Mussarat, MD , Buyng S. Yoo, MD , Edward C. Oldfield, IV, MD , P0187. Double Whammy: Checkpoint Inhibitor and CMV-Induced Colitis 1 Parth J. Parekh, MD ; 1. Eastern Virginia Medical School, Norfolk, VA; 2. Graziella Rangel Paniz, MD, Sarah O. Sharkey, MD, James T. Dean, III, DO, University of Virginia, Charlottesville, VA Glenda M. Lopez Portillo, MD; University of New Mexico, Albuquerque, NM P0176. Ursodeoxycholic Acid for the Management of P0188. Colon Polyp as Rare Manifestation of Breast Cancer Metastasis Recurrent Clostridioides difficile Infection Shima Ghavimi, MD, Umair M. Nasir, DO, Dayna Panchal, DO, Catherine 1 2 3 Gabriel Perreault, MD, MS , Jessica Baylor, BS , Arielle Radin, BS , Norman Choi, MD, Ozlem Fidan-Ozbilgin, MD, Siddharth Verma, MD, JD; Rutgers 1 1 Javitt, MD, PhD , Lea Ann Chen, MD ; 1. New York University School of New Jersey Medical School, Newark, NJ Medicine, New York, NY; 2. Geisinger Health System, New York, NY; 3. University of California Los Angeles, Los Angeles, CA

P0189. A Rare Case of Nivolumab-Induced Early Onset Immune-Mediated P0201. Portal Vein Thrombosis After Laparoscopic Sigmoid Colon Colitis With Normal Appearing Mucosa Resection for Recurrent Diverticulitis Sheikh Shahzad, MBBS, Muhammad Sohail Mansoor, MD, Usman Naseer, Shoma Bommena, MD1, Shivang Mehta, MD2; 1. University of Arizona MBBS, Abdul Moiz Khan, MBBS, Asra Batool, MD; Albany Medical Center, College of Medicine, Phoenix, AZ; 2. Banner University, Phoenix, AZ Albany, NY P0202. A Rare Cause of Diarrhea in the U.S.: Schistosomiasis Colitis Case P0190. Case Report: A Rare Case of Community-Acquired Clostridium Report and Literature Review difficile Infection After Colonoscopy Mohamad El Zein, MD, MPH1, Hibah Ismail, MD2, Muhannad Heif, MD1, Binghong Xu, MD1, Bingru Xie, MD2; 1. Center for Asian Health, Saint Abdallah Kobeissy, MD1, Thomas Sodeman, MD1, Ali Nawras, MD, FACG1; Barnabas Medical Center, Florham Park, NJ; 2. New Jersey Digestive 1. University of Toledo Medical Center, Toledo, OH; 2. Wayne State Disease Associates, Metuchen, NJ University School of Medicine, Detroit, MI P0191. Relapsed Angioimmunoblastic T-Cell Lymphoma Presenting as P0203. No Microscope Needed: A Macroscopic Presentation of Collagenous Severe Colitis With Bowel Perforation Colitis Merna Hussien, MD1, Amit Mehta, MD2, Charlie Buffie, 2MD , Zaid Tafesh, Amanda L. Boyd, MD1, Pedro Vargas, MD2, David Leiman, MD, MSHP2, MD2, David Wan, MD3; 1. Johns Hopkins University Hospital, Baltimore, Darin Dufault, MD3; 1. Duke University, Durham, NC; 2. Duke University MD; 2. New York-Presbyterian / Weill Cornell Medical Center, New York, Medical Center, Durham, NC; 3. Duke University School of Medicine, NY; 3. Weill Cornell Medical College, New York, NY Durham, NC P0192. Poisoned by Indian Herbal Medicine: An Inconspicuous Cause for P0204. Malone Antegrade Continence Enema for Treatment of Adult Slow Abdominal Pain Transit Constipation in Ehlers-Danlos Syndrome Sudarshan Srivats1, Danmei Zhang2, Charlie Buffie, 2MD , David Wan, MD3, Francis Wade, MD1, Ahmad M. Al-Taee, MD2, Elie Ghoulam, MD2, Charlene Charles Maltz, PhD2; 1. Weill Cornell Medicine Qatar, Doha, Ad Dawhah, Prather, MD1; 1. Saint Louis University School of Medicine, Saint Louis, MO; Qatar; 2. New York-Presbyterian / Weill Cornell Medical Center, New York, 2. Saint Louis University, St. Louis, MO NY; 3. Weill Cornell Medical College, New York, NY P0205. Portal Vein Thrombosis as an Initial Presentation of Crohn’s P0193. A Rare Case of Intestinal Endometriosis Mimicking Acute Disease Appendicitis and Sigmoid Malignancy in a Five Year Time Span Minh Nguyen, MD, Nicholas J. Helmstetter, MD, Martin Sieloff, MD, Tooba Chuan Long Miao, MD, MPH, MS1, Nadeem Khuri, MD1, Marigny Roberts, Tariq, MD; Western Michigan University School of Medicine, Kalamazoo, MI MD2, Ronald Broadwell, MD1; 1. LewisGale Medical Center, Salem, VA; 2. Lewis Gale Medical Center Pathgroup, Salem, VA P0206. Colonic Webs - A Case Report Abstract Sohrab Singh1, Rosemary Nustas, MD2, Cameron B. Body, MD2, Nikrad P0194. A Rare Case of Lobular Breast Cancer With Metastasis to the Colon Shahnavaz, MD3; 1. Emory University Hospital, Ludhiana, Punjab, India; 2. Kinnari Shah, MD, MBBS, Keng-Yu Chuang, MD, Indu Srinivasan, MD; Emory University School of Medicine, Atlanta, GA; 3. Emory University, Maricopa Integrated Health System, Phoenix, AZ Atlanta, GA P0195. 81 Colonic Polyps - An Incidental Finding and Clinical Dilemma P0207. Case Series of 5 Patients Detected With Gut Fermentation Jose A. Franco Quintanilla, MD1, Alfredo Camero, MD1, Harsh D. Patel, MD2, Syndrome Amy E. Schindler, MD1; 1. University of Texas Health, San Antonio, TX; 2. Fahad Malik, MD, Prasanna Wickremesinghe, MD, Himanga Kalinga, MD, University of Texas Health Science Center, San Antonio, TX Jessie Saverimuttu, MD; Richmond University Medical Center, Staten Island, NY P0196. Positive Fecal Immunochemical Testing in Detection of Mantle Cell Lymphoma With Gastrointestinal Involvement P0208. Energy Therapy - An Alternative Treatment of Anal Fissures Yii Chun Khiew, MD1, Ishita Dhawan, MD2, Mitul B. Modi, MBBS, MD3, Fahad Malik, MD1, Marina Kim, MD2, Jonathan M. Reyes, MD, MHA3, Bhavin Siddharth Bhattacharyya, MD1, Frederick A. Nunes, MD2; 1. University Patel, MD1, Manuel O. Gonzalez, MD1, Simcha Weissman, DO4, Muhammad of Pennsylvania Health System, Philadelphia, PA; 2. Pennsylvania Aziz, MD5, Prasanna Wickremesinghe, MD1; 1. Richmond University Hospital of University of Pennsylvania Health System, Philadelphia, PA; Medical Center, Staten Island, NY; 2. New York Methodist Hospital, 3. Pennsylvania Hospital of University of Pennsylvania Health system, Brooklyn, NY; 3. Icahn School of Medicine at Mount Sinai (Elmhurst Philadelphia, PA Hospital), Staten Island, NY; 4. Hackensack University - Palisades Medical Center, Teaneck, NJ; 5. University of Kansas Medical Center, Kansas CIty, P0197. Epiploic Appendagitis After Rigorous Exercise in a Woman: An KS Easily Misdiagnosed Cause of Acute Abdomen Weidan Zhao, MD, Antonio J. Sanchez, MD; University of Iowa Hospitals & P0209. Unintended Discovery of Enterobius vermicularis During Clinics, Iowa City, IA Colonoscopy: An Uncommon Visualization Tejinder Randhawa, DO1, Bashar M. Attar, MD, PhD2, Hemant Mutneja, MD1, P0198. A Rare Case of Sigmoid Leiomyoma Disguised as a Polyp Rohit Agrawal, MD1, Yazan Abu Omar, MD2, Ishaan Vohra, MD1; 1. John H. Kalpesh Patel, MD, Pavan Patel, MD, Raul Rodriguez, MD, Mark A. Galan, Stroger, Jr. Hospital of Cook County, Chicago, IL; 2. Cook County Health MD, MS, Oleg Shulik, MD; Rutgers New Jersey Medical School, Newark, NJ and Hospital Systems, Chicago, IL P0199. Efficacy of the Traction Device “S-O Clip” Assisted ESD for the P0210. Using Transillumination to Aid Dilation of a Severe Colorectal Colonic Tumor Involving a Diverticulum Anastomotic Stricture Naoto Sakamoto, MD, PhD1, Hirofumi Fukushima, MD, PhD1, Takashi  Presidential Poster Award Murakami, MD, PhD2, Hiroya Ueyama, MD, PhD2, Akihito Nagahara, MD, Umair M. Nasir, DO, Paul Delle Donna, DO, Brandon Rodgers, BS, Qasim PhD2; 1. Juntendo University School of Medicine, Tokyo, Tokyo, Japan; 2. M. Salimi, MD, Sushil Ahlawat, MD; Rutgers New Jersey Medical School, Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan Newark, NJ P0200. Intestinal Tuberculosis Presenting as GI Bleed and Cecal Mass Shoma Bommena, MD, Sarabdeep Mann, MD; University of Arizona College of Medicine, Phoenix, AZ

54 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

COLORECTAL CANCER PREVENTION P0218. Helicobacter pylori Infection Increases the Risk of Colorectal SUNDAY Polyps: A Large Scale Case-Control Study P0211. Detection Rate of Serrated Adenomas in the Screening Colonoscopy Yoshinari Kawahara, MD, Masaaki Kodama, MD, PhD, Kazuhiro Population Mizukami, MD, PhD, Tomoko Saito, MD, PhD, Yuka Hirashita, MD, PhD, Birmaji Ali, MD1, Peter Fahim, MD, MBBCh1, Jenni Steinbrunner, BS, CCRP2, Akira Sonoda, MD, PhD, Kensuke Fukuda, MD, Osamu Matsunari, MD, Robert Kindel, MD3; 1. Good Samaritan Hospital, TriHealth, Cincinnati, PhD, Kazuhisa Okamoto, MD, Ryo Ogawa, MD, Tadayoshi Okimoto, MD, OH; 2. TriHealth Hatton Research Institute, Cincinnati, OH; 3. TriHealth PhD, Kazunari Murakami, MD, PhD; Oita University, Yufu, Oita, Japan Digestive Institute, Cincinnati, OH P0219. Automatic Polyp Detection System: Man versus Machine Towards P0212. Impact and Outcomes of a Weekend Screening Colonoscopy a Collaborative Colonoscopy Program in a Large Health Network in Western Pennsylvania  Presidential Poster Award Shifa Umar, MD, Jordan Gladys-Oryhon, DO, Rita Cole, MBA, BS, Payal Jasna I. Beard, MD1, Arslan Kahloon, MD1, Peter Siersema, MD, PhD2, Thakkar, PharmD, Aslam Syed, MD, Elie Aoun, MD, Heitham Abdul-Baki, Seth Gross, MD, FACG3, Harold Jacob, MD4; 1. University of Tennessee, MD, Michael Babich, MD, Bruce Bradley, DO, Abhijit Kulkarni, MD, Renee Chattanooga, TN; 2. Radboud University, Nijmegen, Gelderland, Flannagan, MD, Raktima Goswami, MD, Sandra El-Hachem, MD, Paul J. Netherlands; 3. Tisch Hospital, New York University Langone Health, New Lebovitz, MD, Manish Dhawan, MD, Jennifer Hadam, MD, Gustavo Gomez, York, NY; 4. Gastroenterology Institute, Hadassah Medical Center, Kiryat MD, Hussam Kandil, MD, Marcia Mitre, MD, Cristina Strahotin, MD, Michael Hadassah, Yerushalayim, Israel L. Mlecko, MD, Irving Gottfried, MD, MPH, Kenneth Glick, MD, Robin Midian, MD, Rachel Toney, MD, Suzanne Morrissey, MD, Akash Gadani, P0220. Analysis of Antiplatelet/anticoagulant Agents Exposure in Patients MD, Preethi Chintamaneni, MD, Ragunath Appasamy, MD, Jose Oliva, MD, With Positive Fecal DNA Test 1 1 2 Michelle Pfister, BSN, Dianna Deweese, GurSimran Kochhar, MD, Susan Anupama Inaganti, MD , Julien Fahed, MD , Gracia Fahed , Nadia Huq, 1 1 Manzi, MD, Brian M. Parker, MD, Shyam Thakkar, MD, Katie Farah, MD; MD , Aboud Affi, MD ; 1. Aurora Health Care, Milwaukee, WI; 2. American Allegheny Health Network, Pittsburgh, PA University of Beirut, Beirut, Beyrouth, Lebanon P0213. A Care Model for Optimization of Colorectal Cancer Screening in P0221. Is Stool DNA Test More Specific for Proximal or Distal Neoplasia? 1 1 2 Western Pennsylvania Anupama Inaganti, MD , Julien Fahed, MD , Gracia Fahed , Nadia Huq, 1 1 Shifa Umar, MD1, Rita Cole, MBA, BS1, Aslam Syed, MD1, Pallavi Shankar, MD , Aboud Affi, MD ; 1. Aurora Health Care, Milwaukee, WI; 2. American MPH2, Carole Neff, RN, MS-MIS, MBA2, Michael Fischer, MS2, Samuel University of Beirut, Beirut, Beyrouth, Lebanon Reynolds, MD1, Gabrielle Snyder, MPH2, Payal Thakkar, PharmD1, Elie Aoun, P0222. Has Endoscopic Screening for Colon and Rectal Cancer Reached an MD1, Tony Farah, MD2, Shyam Thakkar, MD1, Katie Farah, MD1; 1. Allegheny Inflection Point? Health Network, Pittsburgh, PA; 2. Highmark Health, Pittsburgh, PA Charles Meade, MD, Stephanie Hansel, MD, MS; Mayo Clinic, Rochester, MN P0214. Demographic and Historical Risk Factors Associated With P0223. Detection Rates by Anatomic Location in Caucasians, Hispanics, Incomplete, Missed, and Cancelled Colonoscopies and Asians Michael Castillo, MD1, Adalberto Gonzalez, MD2, Ishtiaq Hussain, MD3, Zain Moosvi, MD1, Alexander Abadir, MD1, Mary Kate Roccato, MD1, William Vaibhav Wadhwa, MD2, Alison Schneider, MD, FACG3; 1. Cleveland Clinic Karnes, MD2; 1. University of California Irvine Medical Center, Orange, CA; Foundation, Miami, FL; 2. Cleveland Clinic, Weston, FL; 3. Cleveland Clinic 2. University of California Irvine, Orange, CA Foundation, Weston, FL P0224. Patient and Provider Risk Factors for Sessile Serrated Polyp and P0215. An Interim Analysis of a Patient Navigation Program (PNP) to Adenoma Detection on Screening Colonoscopy Improve Colonoscopy Access After Abnormal FIT Margaret Zhou, MD, Anna Krigel, MD, Benjamin Lebwohl, MD, MS;  Presidential Poster Award Columbia University Medical Center, New York, NY Gregory Idos, MD1, David Herman, MD1, Shida Haghighat, MD, MPH1, Christina Gainey, MD1, Stacy Shen, MD1, Ashwini Mulgaonkar, MD1, Stanley P0225. Geographic Early-Onset Colorectal Cancer Incidence Rate Dea, MD2; 1. LAC+USC Medical Center, Los Angeles, CA; 2. Los Angeles Disparities Within White and African American Populations in the United County Hospital, Los Angeles, CA States Wesal Abualkhair, MD, MS1, Meijiao Zhou, MS, MPH2, Xiao-Cheng Wu, P0216. Exogenous Insulin Therapy Increases the Risk of Advanced MD, MPH2, Jordan J. Karlitz, MD, FACG3; 1. Tulane University School of Colorectal Adenoma Among Patients With Type 2 Diabetes Mellitus Medicine, New Orleans, LA; 2. Louisiana State University Health Sciences Robert Lam, MD1, Sumanth Chennareddy, BSc2, Mihir Brahmbhatt, Center, New Orleans, LA; 3. Southeastern Louisiana Veterans Healthcare MD2, Caroline Glassman, BSc2, Yu-Xiao Yang, MD, MSCE3; 1. Yale New System, Tulane University School of Medicine, New Orleans, LA Haven Hospital, New Haven, CT; 2. University of Pennsylvania Health System, Philadelphia, PA; 3. Perelman School of Medicine, University of P0226. Young Onset Rectal Cancer: A Growing National Concern? 1 2 1 Pennsylvania, Philadelphia, PA Daryl Ramai, MD, MSc , Andrew Ofosu, MD , Khalil Aloredi, MD , Denzil Etienne, MD1, Madhavi Reddy, MD, FACG1; 1. The Brooklyn Hospital Center, P0217. Dietary Calcium and Vitamin D Intake and Colonic Mucosa- Brooklyn, NY; 2. Brooklyn Hospital Center, Brooklyn, NY Associated Microbiome in Healthy Individuals Ellie Chen, MD1, Nadim Ajami, PhD2, Liang Chen, MD1, Donna White, PhD, P0227. Yield of Non-Lynch Gene Mutations During Testing for Lynch MPH1, Rhonda Cole, MD1, Clark Hair, MD1, David Y. Graham, MD, MACG1, Syndrome 1 2 3 Hashem B. El-Serag, MD, MPH3, Joseph Petrosino, PhD1, Li Jiao, MD1; 1. Christian Davis , Jack Harrigan , Mahak Chauhan, MD , Reza Hejazi, 4 4 4 2 Baylor College of Medicine, Houston, TX; 2. MicrobiomeDX, Houston, MD , Daniel Buckles, MD , Mojtaba Olyaee, MD , Kevin Kennedy, MS , 4 5 TX; 3. Baylor College of Medicine and Center for Innovations in Quality, Rashna Madan, MD , Ajay Bansal, MD ; 1. University of Kansas Health Effectiveness and Safety (IQuESt) / Michael E. DeBakey Veterans Affairs System, Fairway, KS; 2. University of Kansas Health System, Kansas City, Medical Center, Houston, TX MO; 3. University of Missouri, Kansas City, MO; 4. University of Kansas Health System, Kansas City, KS; 5. University of Kansas Health System / University of Kansas Cancer Center, Kansas City, KS

P0228. Lowering the PREMM5 Model Threshold to 2.5% Identified the P0236. The Differences in Prevalence, Distribution, and Detection Rates of Majority of Patients With Lynch Syndrome Colonic Polyps Between Genders  Presidential Poster Award Mohammad Alomari, MD1, Laith Al Momani, MD2, Muhammad Talal Christian Davis1, Jack Harrigan2, Mahak Chauhan, MD3, Reza Hejazi, MD4, Sarmini, MD1, Shrouq Khazaaleh, MD3, Fredy Nehme, MD4, Vaibhav Daniel Buckles, MD5, Anwaar Saeed, MD6, Kevin Kennedy, MS2, Rashna Wadhwa, MD5, Prashanthi N. Thota, MD6, Madhusudhan R. Sanaka, MD, Madan, MD5, Ajay Bansal, MD7; 1. University of Kansas Health System, FACG6; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. East Tennessee Fairway, KS; 2. University of Kansas Health System, Kansas City, MO; State University, Johnson City, TN; 3. King Abdullah University Hospital, 3. University of Missouri, Kansas City, MO; 4. Kansas City University of Ar Ramtha, Irbid, Jordan; 4. University of Missouri, Kansas City, MO; 5. Medicine and Biosciences, Kansas City, KS; 5. University of Kansas Health Cleveland Clinic, Weston, FL; 6. Digestive Disease Institute, Cleveland System, Kansas City, KS; 6. University of Kansas, Kansas City, KS; 7. Clinic Foundation, Cleveland, OH University of Kansas Health System / University of Kansas Cancer Center, P0237. Beyond Polyp Detection: Novel Method to Track Individual Polyps Kansas City, KS Using Neural Networks P0229. White Women Are More Frequently Assessed for Hereditary Colon James Requa1, Tyler Dao2, Andrew Ninh2, William Karnes, MD3; 1. Cancer Risks Compared to Minority Women University of California Irvine Medical Center, Orange, CA; 2. Docbot, Lauren Pascual, MPH, BS, Danielle Kirelik, BS, Joseph Cioffi, MD, Marie Irvine, CA; 3. University of California Irvine, Orange, CA Borum, MD, EdD, MPH; George Washington University, Washington, DC P0238. "Google It:" Relationship Between Google Searches on Colon P0230. Screening of Colorectal or Uterine Cancers for Lynch Syndrome Cancer Screening Tests and State-level Screening Rates Should Be Limited to Younger Patients Bryn L. Sutherland, BA1, Kaylee Pribnow2, Jason Browne, MD1, Jennifer Jack Harrigan1, Christian Davis2, Mahak Chauhan, MD3, Rashna Madan, M. Weiss, MD, MS1; 1. University of Wisconsin School of Medicine & Public MD4, Anwaar Saeed, MD5, Ajay Bansal, MD6; 1. University of Kansas Health Health, Madison, WI; 2. University of Wisconsin, Madison, WI System, Kansas City, MO; 2. University of Kansas Health System, Fairway, P0239. Family Comes First: GI Providers May Inconsistently Perform Multi- KS; 3. University of Missouri, Kansas City, MO; 4. University of Kansas Generational Family History When Assessing Colon Cancer Risk Health System, Kansas City, KS; 5. University of Kansas, Kansas City, KS; Joseph Cioffi, MD, Danielle Kirelik, BS, Lauren Pascual, MPH, BS, Marie 6. University of Kansas Health System / University of Kansas Cancer Borum, MD, EdD, MPH; George Washington University, Washington, DC Center, Kansas City, KS P0240. Early-Onset Colorectal Cancer Annual Percent Change Incidence P0231. Open Access Colon Cancer Screening With Optical and Virtual Analysis in 20-29 and 30-39 Year-Olds Utilizing 2000-2016 SEER 18 Data Colonoscopy and Stratified by Histology Stephen Curtis, MD, Adam Tritsch, MD; Walter Reed National Military Eric M. Montminy, MD1, Meijiao Zhou, MS, MPH2, Lauren Maniscalco, MPH2, Medical Center, Bethesda, MD Xiao-Cheng Wu, MD, MPH2, Wesal Abualkhair, MD1, Jordan J. Karlitz, P0232. Exogenous Insulin and Risk of Colorectal Adenomas in Type I MD, FACG3; 1. Tulane University School of Medicine, New Orleans, LA; 2. Diabetes Louisiana State University Health Sciences Center, New Orleans, LA; 3. Christine Shieh, MD, Stephanie Moleski, MD; Thomas Jefferson University, Southeastern Louisiana Veterans Healthcare System, Tulane University Philadelphia, PA School of Medicine, New Orleans, LA P0233. Sessile Serrated Polyp Detection Rate as a Screening Colonoscopy P0241. Colorectal Cancer Annual Percent Change Incidence Analysis in 40- Quality Metric 49 and 50-54 Year-Olds Utilizing 2000-2016 SEER 18 Data and Stratified Mohammad Alomari, MD1, Laith Al Momani, MD2, Bara El Kurdi, MD2, by Histology Shrouq Khazaaleh, MD3, Muhammad Talal Sarmini, MD1, Vaibhav Wadhwa, Eric M. Montminy, MD1, Meijiao Zhou, MPH, MS2, Lauren Maniscalco, MPH2, MD4, Prashanthi N. Thota, MD5, Madhusudhan R. Sanaka, MD, FACG5; Xiao-Cheng Wu, MD, MPH2, Wesal Abualkhair, MD1, Jordan J. Karlitz, 1. Cleveland Clinic Foundation, Cleveland, OH; 2. East Tennessee State MD, FACG3; 1. Tulane University School of Medicine, New Orleans, LA; 2. University, Johnson City, TN; 3. King Abdullah University Hospital, Ar Louisiana State University Health Sciences Center, New Orleans, LA; 3. Ramtha, Irbid, Jordan; 4. Cleveland Clinic, Weston, FL; 5. Digestive Southeastern Louisiana Veterans Healthcare System, Tulane University Disease Institute, Cleveland Clinic Foundation, Cleveland, OH School of Medicine, New Orleans, LA P0234. The Effect of Deep Sedation on Adenoma Detection Rate in P0242. Telehealth-Based Colonoscopy Education May Be a Viable Screening Colonoscopies: A Meta-Analysis and Systematic Review Alternative to In-Person Colonoscopy Education Among Veterans  Presidential Poster Award Thi Khuc, MD1, Christian Jackson, MD, FACG2, Daniel Chao, MD2; 1. Loma Mohammad Alomari, MD1, Laith Al Momani, MD2, Hunter Bratton3, Tyler Linda University Medical Center, Loma Linda, CA; 2. VA Loma Linda Aasen, MD2, Prashanthi N. Thota, MD4, Madhusudhan R. Sanaka, MD, Healthcare System, Loma Linda, CA 4 FACG ; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. East Tennessee P0243. Higher Charlson-Deyo Score May Result in Delay to Colonoscopy in State University, Johnson City, TN; 3. Quillen College of Medicine, Veterans Subsequently Diagnosed With Colorectal Cancer Johnson City, TN; 4. Digestive Disease Institute, Cleveland Clinic Thi Khuc, MD1, Christian Jackson, MD, FACG2; 1. Loma Linda University Foundation, Cleveland, OH Medical Center, Loma Linda, CA; 2. VA Loma Linda Healthcare System, P0235. Male Gastroenterologists Have Better High-Risk Adenoma Loma Linda, CA Detection Rate (HRADR) in Male Patients 1 2 3 P0244. Artificial Intelligence Based Computer Aided Detection System Mohammad Alomari, MD , Laith Al Momani, MD , Hunter Bratton , Bara Reliably Detects Polyps Earlier Than Physicians During Colonoscopy El Kurdi, MD2, Shrouq Khazaaleh, MD4, Vaibhav Wadhwa, MD5, Prashanthi  Presidential Poster Award N. Thota, MD6, Madhusudhan R. Sanaka, MD, FACG6; 1. Cleveland Clinic Susan Y. Quan, MD1, Shai Friedland, MD2, Hamed Pirsiavash, PhD3, Foundation, Cleveland, OH; 2. East Tennessee State University, Johnson Ravindra Kompella, MS4, Vineet Sachdev, MS5; 1. VA Palo Alto Health Care City, TN; 3. Quillen College of Medicine, Johnson City, TN; 4. King System / Stanford, Palo Alto, CA; 2. Stanford University and VA Palo Alto, Abdullah University Hospital, Ar Ramtha, Irbid, Jordan; 5. Cleveland Stanford, CA; 3. University of Maryland, Baltimore, MD; 4. Endovigilant, Clinic, Weston, FL; 6. Digestive Disease Institute, Cleveland Clinic LLC, Hyderabad, Telangana, India; 5. EndoVigilant, LLC, Millersville, MD Foundation, Cleveland, OH

56 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM

P0255. Trends and Per-Patient Expenditures Associated With Proton POSTERS

COLORECTAL CANCER PREVENTION SUNDAY Clinical Vignettes / Case Reports Pump Inhibitor Use Among the Elderly in the United States: A 10-Year Analysis of the Medical Expenditure Panel Survey P0245. Cancer Within the Family Tree: The Risks, Diagnosis, and Treatment Quazim A. Alayo, MD, MSc, MMSc1, Olalekan Akanbi, MD, MPH2, of Juvenile Polyposis Syndrome Onyema Nnanna, MD3, Adeyinka C. Adejumo, MD, MS4, Philip N. Okafor, Kyler Kozacek, DO, Michael Abdo, MD, Caleb Hudspath, DO, Tudor Oroian, MD, MPH5; 1. St. Luke's Hospital, Chesterfield, MO; 2. University of MD, Pedro Manibusan, DO, MBA, Franklin Goldwire, MD; Tripler Army Kentucky College of Medicine, Lexington, KY; 3. Saint Luke's Hospital, Medical Center, Honolulu, HI Ballwin, MO; 4. North Shore Medical Center, Salem, MA; 5. Stanford University School of Medicine, Redwood City, CA P0246. Simultaneous Diagnosis of Colorectal Adenocarcinoma and Non- Hodgkin Lymphoma P0256. Clinical Features of Reflux Esophagitis in a Predominantly Terrie Ginsberg, DO, Leonard Powell, DO, Alan Shienbaum, DO, David Hispanic Population at a Large Safety-Net Hospital Truscello, DO, Maulik Shah, DO; Rowan University School of Osteopathic Shida Haghighat, MD, MPH1, Brian H. Horwich, MD, MS1, Yao Liu, MD, BA1, Medicine, Stratford, NJ Gregory Idos, MD, MS2, Anisa Shaker, MD1; 1. LAC+USC Medical Center, Los Angeles, CA; 2. University of Southern California Norris Comprehensive P0247. Neuroendocrine Tumours of the Anal Canal: A Catastrophic Culprit Cancer Center, Los Angeles, CA Amreet K. Aujla, MD1, Aakash Desai, MBBS, MPH2, Lukas Delasos, DO2, Timothy Hong, MD3; 1. University of Connecticut, Hartford, CT; 2. University P0257. The Critical and Often Disregarded Role of Surgery in Curing of Connecticut, Farmington, CT; 3. Hartford Hospital, Hartford, CT Anemia in Patients With Hiatal Hernia Anne-Sophie Laliberte, MD1, Jack Brandabur, MD2, Peter Baik, DO3, Anee Sophia Jackson, MD2, Adam J. Bograd, MD, BS2, Ralph W. Aye, ENDOSCOPY VIDEO FORUM MD2, Alexander Farivar, MD2, Brian E. Louie, MD, MHA, MPH2; 1. Swedish P0248. Endoscopic Cyanoacrylate Glue in an Actively Bleeding Gastric Tumor Medical Center, Quebec City, PQ, Canada; 2. Swedish Medical Center, Seattle, WA; 3. Cancer Treatment Centers of America, Tulsa, OK Uzoamaka K. Dike, MD, Tejal Mistry, MD, Nirav Thosani, MD, MHA; University of Texas Health Science Center, Houston, TX P0258. Gender and Racial Disparities in Incidence Rates of Esophageal Adenocarcinoma P0249. Achieving Hemostasis in a Gastric Tumor With Color Doppler- 1 2 Endoscopic Ultrasound Guided Cyanoacrylate Glue Vicky Bhagat, MD, MPH , Michel Kahaleh, MD, FACG ; 1. Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ; 2. Uzoamaka K. Dike, MD, Tejal Mistry, MD, Nirav Thosani, MD, MHA; Robert Wood Johnson University Hospital, New Brunswick, NJ University of Texas Health Science Center, Houston, TX P0259. WATS3D vs. Traditional Forceps Biopsy in Screening of Barrett’s P0250. Jejunal Dieulafoy's Lesion Esophagus: A Community Hospital Experience Andrea DeCino, MD1, Jacqueline Rampy, MD1, Mazyar Malakouti, MD1, Sachin Srinivasan, MD1, Yasmine Hussein Agha, MD1, Jeffrey Hyder, MD1, Amy E. Schindler, MD2; 1. University of Texas Health Science Center, San Chelsea Wuthnow, MS41, William Kilgore, MD2, Nathan Tofteland, MD1, Antonio, TX; 2. University of Texas Health, San Antonio, TX William Salyers, MD, MPH1; 1. University of Kansas School of Medicine, P0251. Hybrid APC-Assisted EMR: A New Technique to Prevent Polyp Wichita, KS; 2. Ascension Via Christi Gastroenterology, Wichita, KS Recurrence P0260. Factors Associated With Esophagogastric Junction Outflow John M. Levenick, MD1, Carl Manzo, MD2, Jennifer Maranki, MD2; 1. Obstruction and Spastic Esophageal Motility Disorders Penn State University Milton S. Hershey Medical Center and College of Joshua Foromera, MD, Daniel Jonas, MD, Kristina Ross, MD, Zoe Van Medicine, Hershey, PA; 2. Penn State University Milton S. Hershey Medical De Voorde, BS, Alexander Kaizer, PhD, Paul Menard-Katcher, MD, Rena Center, Hershey, PA Yadlapati, MD; University of Colorado Hospital, Aurora, CO P0252. Paging Dr. MacGyver: A Novel Approach to Redeploying a P0261. Reducing Over-Prescription of Proton Pump Inhibitors at an Dislodged AXIOS Stent During a Pancreatic Necrosectomy Internal Medicine Residency Clinic Rekha Reddy, MD, Derrick Cheung, MD; SUNY Downstate, Brooklyn, NY Amy Scholl, MD1, Ifeanyichukwu Onwe, MD2, Andrew Lee, MD2, Edgar P0253. Endoscopic Fistulectomy of an Obstructive Esophagogastric Chou, MD3; 1. Drexel University College of Medicine, Hahnemann University Mucosal Bridge Hospital, Philadelphia, PA; 2. Hahnemann University Hospital, Philadelphia, Cicily Vachaparambil, MD, Parit Mekaroonkamol, MD, Qiang Cai, MD, PhD, PA; 3. Drexel University College of Medicine, Philadelphia, PA FACG; Emory University School of Medicine, Atlanta, GA P0262. Shorter Esophageal Length Is Associated With Increased Proximal Reflux and Symptom Severity in Patients Presenting With ESOPHAGUS Laryngopharyngeal Reflux (LPR) Symptoms Daniel R. Sikavi, AB1, Jennifer X. Cai, MD, MPH1, Thomas L. Carroll, MD, P0254. Mucosal Ablation and Suturing at the Esophagogastric Junction MPH2, Walter W. Chan, MD, MPH1; 1. Brigham and Women's Hospital, (MASE): A Novel Procedure for the Management of Gastroesophageal Boston, MA; 2. Brigha, Boston, MA Reflux Disease in Altered Anatomy Patients Piotr Sowa, MD1, Kyle Fortinsky, MD1, Mathew Chin, MD1, Jason P0263. The Prevalence and Clinical Significance of Esophageal Motility Samarasena, MD, FACG1, Kenneth J. Chang, MD, FACG2; 1. University of Disorders in Patients Presenting With Laryngopharyngeal Reflux (LPR) California Irvine Medical Center, Orange, CA; 2. University of California Symptoms 1 1 Irvine, Orange, CA Daniel R. Sikavi, AB , Jennifer X. Cai, MD, MPH , Thomas L. Carroll, MD, MPH2, Walter W. Chan, MD, MPH1; 1. Brigham and Women's Hospital, Boston, MA; 2. Brigha, Boston, MA

P0264. Safety and Efficacy of Cryoablation Balloon for the Treatment of P0272. Practice Patterns in Patients Admitted for Denovo Acute Food Barrett’s Associated Neoplasia: A Meta-Analysis Impaction: A Multi-Center Retrospective Study Donevan Westerveld, MD1, Khaai Nguyen, BS2, Debdeep Banerjee, MD1, Kimberly Cavaliere, MD1, Joshua Berkowitz, MD2, Janet L. Melnyk, MD3, Chelsea Jacobs, DO1, Nikhil Kadle, MD1, Peter V. Draganov, MD, FACG3, Kara L. Raphael4, Pratik Chowdhury5, Petros Benias6, Mary Cheung6, Dennis Yang, MD1; 1. University of Florida College of Medicine, Gainesville, Arvind Trindade, MD7, Matthew Whitson6, Joshua Josephs, MD, PhD8; FL; 2. University of Florida, Gainesville, FL; 3. University of Florida Health, 1. Long Island Jewish Medical Center, Queens, NY; 2. Northwell Health Gainesville, FL System, Manhasset, NY; 3. Hofstra North Shore-LIJ School of Medicine, Manhasset, NY; 4. Long Island Jewish Medical Center, New Hyde Park, NY; P0265. Epidemiology of Barrett’s Esophagus in Cirrhosis in the United 5. Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, States: A Population-Based Study Little Neck, NY; 6. Long Island Jewish Medical Center, Zucker School of Vedha Sanghi, MD1, Mohannad Abou Saleh, MD1, Motasem Alkhayyat, Medicine at Hofstra / Northwell, Northwell Health System, New Hyde MD1, Carol Rouphael, MD1, Emad Mansoor, MD2, Prashanthi N. Thota, Park, NY; 7. Zucker School of Medicine at Hofstra/Northwell, New Hyde MD3, Amitabh Chak, MD4; 1. Cleveland Clinic Foundation, Cleveland, Park, NY; 8. Hackensack University Medical Center, Hackensack, NJ OH; 2. University Hospitals Cleveland Medical Center, Cleveland, OH; 3. Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, P0273. A Look at Patient Factors Such as Body Mass Index (BMI), Age, and OH; 4. University Hospitals Case Medical Center, Case Western Reserve Gender in Achalasia University, Cleveland, OH Namisha Thapa, DO, Justine Hum, MD, Fouad Otaki, MD, Sarah Diamond, MD; Oregon Health & Science University, Portland, OR P0266. Comparison of Budesonide and Fluticasone in the Treatment of Patients With Eosinophilic Esophagitis: A Systematic Review and Meta- P0274. Persistent GERD Symptoms Despite PPI Treatment - Prevalence and Analysis Patient Characteristics: Results From a Cross-Sectional Patient Survey Laith Numan, MD1, Shadi Hamdeh, MD2, Mohamad Kalot, MD2, Muhammad Douglas C A Taylor1, Yan Chen1, Jennifer Hanlon1, Robert Morlock, Omar Jajeh3, Ahmad G. Tarakji, MD2, Mojtaba Olyaee, MD4; 1. University of PhD2, Amy Morlock3, Colin W. Howden, MD, FACG4; 1. Ironwood Missouri, Kansas City, MO; 2. University of Kansas Medical Center, Kansas Pharmaceuticals, Inc., Cambridge, MA; 2. YourCare Choice, Ann Arbor, City, KS; 3. The Ohio State University, Columbus, OH; 4. University of MA; 3. Acumen Health Research Institute, Ann Arbor, MI; 4. University of Kansas Health System, Kansas City, KS Tennessee Health Science Center, Memphis, TN P0267. Impact of Selective Criteria for Esophageal Acid Exposure in P0275. Histologic Response to Steroids in Eosinophilic Esophagitis Is Patient on PPI Therapy Dependent on Dose and Delivery Compound Abid T. Javed, MD, Mohamed Khalaf, MD, Puja S. Elias, MD, Donald Castell, Daniel A. Schupack, MD, Kimberly Johnson, MD, Joseph A. Akambase, MD, MACG; Medical University of South Carolina, Charleston, SC MBChB, Debra Geno, CCRP, Crystal Lavey, CCRC, Karthik Ravi, MD, David A. Katzka, MD, Jeffrey A. Alexander, MD; Mayo Clinic, Rochester, MN P0268. Can Subjective GERD Questionnaires Predict Abnormal Findings in pH Impedance Testing? P0276. Resting Upper Esophageal Sphincter Pressure Is Elevated in Proton Abid T. Javed, MD, Mohamed Khalaf, MD, Kevin Batte, MD, Puja S. Elias, Pump Inhibitor-Refractory Chronic Cough Patients and May Be a Marker for MD, Donald Castell, MD, MACG; Medical University of South Carolina, Laryngeal Hypersensitivity Charleston, SC John Bloch, MD, MPH1, Salih Samo, MD1, Anand Jain, MD2; 1. Emory University School of Medicine, Atlanta, GA; 2. Emory University, Atlanta, P0269. Evaluation of Additional Spatial and Temporal Information GA Increases the Overall Accuracy of an Objective Risk Prediction Assay in Patients With Non-Dysplastic Barrett’s Esophagus P0277. Safety and Efficacy of Peroral Endoscopic Myotomy (POEM) in Nicola Frei, MD1, Kadere Konté, MD1, Emily Bossart, PhD2, Yi Zhang, Patients ≥65 Years at a Single Academic Tertiary Care Center PhD2, Rebecca Critchley-Thorne, PhD2, Roos Pouw, MD, PhD1, Jacques Jagpal S. Klair, MD1, Yazan Hasan, MBBS2, Maen Masadeh, MD3, Henning Bergman, MD, PhD1; 1. Academisch Medisch Centrum, Universiteit van Gerke, MD4, Arvind Murali, MD4, Kalpaj Parekh, MD4, John Keech, MD4, Amsterdam, Amsterdam, Noord-Holland, Netherlands; 2. Cernostics, Inc., Peter Nau, MD4, Rami El Abiad, MD4; 1. Digestive Diseases Institute, Pittsburgh, PA Virginia Mason Clinic, Seattle, WA; 2. University of Iowa Hospitals & Clinics, North Liberty, IA; 3. University of California San Francisco Medical P0270. An Automated, Quantitative Multiplex Immunofluorescence Assay Center, San Francisco, CA; 4. University of Iowa Hospitals & Clinics, Iowa Accurately Risk Stratifies Barrett’s Esophagus Patients With a Community- City, IA Based Diagnosis of Low-Grade Dysplasia at a Rate Comparable to Expert Pathologists P0278. High Resolution Manometry Findings in Patients With Absent Nicola Frei, MD1, Kadere Konté, MD1, Emily Bossart, PhD2, Yi Zhang, Contractility PhD2, Rebecca Critchley-Thorne, PhD2, Roos Pouw, MD, PhD1, Jacques Xiaowen Fan, MD1, Il J. Paik, MD2, Xiaocen Zhang, MD1, Gassan Kassim, Bergman, MD, PhD1; 1. Academisch Medisch Centrum, Universiteit van MD1, Melissa Hershman, MD3, Elijah Verheyen, MD1, Jean Abed, MD1, Amsterdam, Amsterdam, Noord-Holland, Netherlands; 2. Cernostics, Inc., Michael S. Smith, MD, MBA4; 1. Mount Sinai St. Luke's and Mount Sinai Pittsburgh, PA Roosevelt, New York, NY; 2. University of Miami Health System, Miami, FL; 3. Mount Sinai Beth Israel Medical Center, New York, NY; 4. Mount Sinai P0271. Routine EGD Has Minimal Impact on Refractory GERD Management West and Mount Sinai St. Luke's Hospitals, New York, NY Ye Eun Kwak, MD1, Madeleine Coleman, MD2, Mayra Sanchez, MD3, Amir Masoud, MD4; 1. The University of Chicago Medicine, Chicago, IL; 2. Yale P0279. Measuring Differences in GEJ Compliance Using Functional Luminal New Haven Hospital, New Haven, CT; 3. Yale University, New Haven, CT; Impedence Planimetry (FLIP) in a Large Series of Patients Undergoing 4. Yale University School of Medicine, New Haven, CT POEM Alexander Abadir, MD1, Zain Moosvi, MD1, Vicky Cao1, Jason Samarasena, MD, FACG1, Kenneth J. Chang, MD, FACG2; 1. University of California Irvine Medical Center, Orange, CA; 2. University of California Irvine, Orange, CA

58 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0280. Esophageal Mucosal Impedance Measurement During Endoscopy: P0289. How Useful Is Prolonged 96 Hr versus 48 Hr Wireless pH SUNDAY A New Approach to Diagnosis and Confirmation of Complete Remission Monitoring in PPI Refractory GERD? of Intestinal Metaplasia Following Radiofrequency Ablation in Barrett’s Supannee Rassameehiran, MD1, Eula Geralyn Tetangco, MD, MPH2, Jai Esophagus Eun Lee2, Amol Sharma, MD3, Satish Rao, MD, FACG4; 1. Medical College Felice Schnoll-Sussman, MD, FACG, Philip Katz, MD, MACG; Weill Cornell of Georgia at Augusta University, Augusta, GA; 2. Medical College of Medical College, New York, NY Georgia, Augusta, GA; 3. Augusta University, Augusta, GA; 4. Augusta University Medical Center, Augusta, GA P0281. High-Resolution Esophageal Manometry in the Inpatient Setting: Is There a Role? 1 1 1 Catiele Antunes, MD , Elinor Zhou, MD , Jad P. Abi Mansour, MD , Daniella ESOPHAGUS Assis, MD1, Olaya Brewer Gutierrez, MD2, Christopher Fain, DO1, Ellen Stein, Clinical Vignettes / Case Reports MD1, Joshua Sloan, DO1; 1. Johns Hopkins University School of Medicine, Baltimore, MD; 2. Johns Hopkins University Hospital, Baltimore, MD P0290. Low Back Pain: An Unusual Initial Presentation of Esophageal P0282. High Accuracy and Effectiveness With Deep Neural Networks Adenocarcinoma and Artificial Intelligence in Detection of Early Esophageal Neoplasia in Fadi Hawa, MD1, Alsadiq Al Hillan, MD2, Kadhim Al-Banaa, MD3, Naresh Barrett's Esophagus T. Gunaratnam, MD4, Ali Yazdani, MD4; 1. St. Joseph Mercy Hospital-  Presidential Poster Award Ann Arbor, Ann Arbor, MI; 2. Jersey Shore University Medical Center / Rintaro Hashimoto, MD1, Nabil El Hage Chehade, MD1, Kenneth J. Chang, Hackensack Meridian Health, Neptune City, NJ; 3. Beaumont Hospital MD, FACG2, Tyler Dao1, Andrew Ninh1, James Requa1, William Karnes, Dearborn, Dearborn, MI; 4. St. Joseph Mercy Hospital-Ann Arbor / Huron MD2, Jason Samarasena, MD, FACG1; 1. University of California Irvine Gastroenterology Associates, Ypsilanti, MI Medical Center, Orange, CA; 2. University of California Irvine, Orange, CA P0291. An Aggressive Case of Recurrent Esophageal Stricture in a Patient P0283. Functional Lumen Imagin Probe Topography (FLIP) as a Screening With Acute Esophageal Necrosis Tool for Esophageal Dysmotility: Comparison to High-Resolution Daisy S. Lankarani, MD1, Ranjit Makar, MD1, Hamza Aziz, MD1, Muthena Manometry (HRM) in Patient’s Whit Esophageal Symptoms Maklad, MD1, Joseph M. Fayad, MD, FACG2; 1. University of Nevada Luis R. Valdovinos-Garcia, MD, MSc, Jennifer L. Horsley-Silva, MD, Michael Las Vegas School of Medicine, Las Vegas, NV; 2. VA Southern Nevada D. Crowell, PhD, Marcelo F. Vela, MD, FACG; Mayo Clinic, Scottsdale, AZ Healthcare System, Las Vegas, NV P0284. Delayed Esophago-Gastric Junction Relaxation in Patients With P0292. Acute Esophageal Necrosis: A Rare Complication of Long-Standing Jackhammer Esophagus Suggest That the Hypercontractile Peristalsis May Alcohol Abuse With Severe Hypoperfusion Be a Compensatory Mechanism Alexis Serrano, DO, Reshma Shah, DO, Kimberly Brizell, DO, Marc Kudelko, Luis R. Valdovinos-Garcia, MD, MSc1, Jennifer L. Horsley-Silva, MD1, DO, Christopher D. Halleman, DO; Largo Medical Center, Largo, FL 1 2 Michael D. Crowell, PhD , Miguel A. Valdovinos-Diaz, MD , Marcelo F. Vela, P0293. Hematemesis: A Turn of the Screw 1 MD, FACG ; 1. Mayo Clinic, Scottsdale, AZ; 2. INCMNSZ, Mexico, Distrito Sameer Prakash, DO1, Asadullah Mirza, MD2, Nethuja Salagundla, MD3, Federal, Mexico Kaylee Shepherd, MD1; 1. Texas Tech University Health Sciences Center, P0285. Nationwide Estimate of Emergency Department Visits in the U.S. Amarillo, TX; 2. University of South Alabama, Mobile, AL; 3. Louisiana Related to Caustic Ingestion State University Health Sciences Center, Lafayette, LA 1 2 3 4 Yiting Li, MD , Lan Xu, PhD , Haifeng Cai, MD , James Langworthy, MD , P0294. A Case of Heterotopic Pancreas Discovered in the Distal Esophagus 4 Frank Friedenberg, MD, MS ; 1. Saint Francis Hospital and Medical Center, Dema Shamoon, MD, Vanessa Sostre, MD, Varun Patel, MD, Ariy Volfson, Trenton, NJ; 2. University of South Florida, Tampa, FL; 3. Second Affilated MD; St. Joseph's University Medical Center, Paterson, NJ Hospital of Wenzhou, Wenzhou, Zhejiang, China; 4. Temple University School of Medicine, Philadelphia, PA P0295. Esophageal Food Impaction: Novel Use of Water Flushes and Esophageal Overtube as a Safety Indicator and Facilitator to Push Food P0286. Endoscopic Intrapyloric Botulinum Toxin Injection With Pyloric Bolus Into the Stomach Balloon Dilation for Delayed Gastric Emptying After Distal Esophagectomy Paul Shao, MD, MS1, Jasleen Grewal, MD1, Felix Leung, MD, FACG2; 1. David for Esophageal Cancer: A 10-Year Experience Geffen School of Medicine, University of California Los Angeles, Los 1 1 Manoop S. Bhutani, MD, FACG , Shamim Ejaz, BS , Irina M. Cazacu, Angeles, CA; 2. Sepulveda Ambulatory Care Center, VAGLAHS, David 1 1 2 MD , Ben S. Singh, BA , Mehnaz A. Shafi, MD, FACG , John Stroehlein, MD, Geffen School of Medicine at UCLA, North Hills, CA FACG1, Reza Mehran, MD, MSc1, Garrett Walsh, MD1, Ara A. Vaporciyan, MD1, Stephen Swisher, MD1, Wayne Hofstetter, MD1; 1. University of Texas P0296. Achalasia With Megaesophagus Presenting as Septic Shock MD Anderson Cancer Center, Houston, TX; 2. MD Anderson Cancer Sakolwan Suchartlikitwong, MD, Roshan Shroff, MD, Alay M. Tikue, MD, Center, Houston, TX Thammasak Mingbunjerdsuk, MD, Passisd Laoveeravat, MD, Mohamed Attaya, MD, Sameer Islam, MD, Ebtesam Islam, MD, PhD; Texas Tech P0287. Are Proton Pump Inhibitors Associated With an Increased Risk in University Health Sciences Center, Lubbock, TX Developing Ischemic Heart Disease in Non-Cardiac Chest Pain Patients? Yeseong Kim, MD, Ronnie Fass, MD, FACG; Case Western Reserve P0297. Sorafenib-Induced Severe Candida Esophagitis University / MetroHealth Medical Center, Cleveland, OH Omar Tageldin, MD, Muhammad Sohail Mansoor, MD, Nour Parsa, MD; Albany Medical Center, Albany, NY P0288. Opioids Interfere With Deglutitive Inhibition Assessed by Response to Multiple Rapid Swallows During High Resolution Esophageal P0298. Case of Secondary Achalasia Presenting Several Years After Nissen Manometry Fundoplication With Improvement After Endoscopic Dilatation - "Rare but Diana L. Snyder, MD1, Luis R. Valdovinos-Garcia, MD, MSc1, Jennifer Not Forgotten" L. Horsley-Silva, MD1, Michael D. Crowell, PhD1, Miguel A. Valdovinos- Gaurav Bhardwaj, MD1, Waqas Nawaz, MD1, Harish Guddati, MD1, Hilary Diaz, MD2, Marcelo F. Vela, MD, FACG1; 1. Mayo Clinic, Scottsdale, AZ; 2. Hertan, MD2; 1. Montefiore Medical Center, Bronx, NY; 2. Montefiore INCMNSZ, Mexico, Distrito Federal, Mexico Medical Center / Albert Einstein College of Medicine, Bronx, NY

P0299. A Rare Case of Muscular Dystrophy in an Adult Diagnosed by P0310. A Case of Sunitinib-Induced Necrotizing Esophagitis Suspicion on High Resolution Esophageal Manometry Carlos E. Bertran-Rodriguez, MD, Shruti Mony, MD, Samuel Slone, MD, Mackenzie Jarvis, PA-C, DMSc1, Eric Thompson, MD2, Baha Moshiree, Yadis Arroyo, MD, Andrea Pagan, MD, Roshanak Rabbanifard, MD; MD, MSc3; 1. Atrium Health, Charlotte, NC; 2. Carolina Digestive Health University of South Florida Morsani College of Medicine, Tampa, FL Associates, Charlotte, NC; 3. University of North Carolina, Charlotte, NC P0311. Black Esophagus: A Case of Acute Esophageal Necrosis P0300. Symptomatic Concomitant Sarcina Associated Erosive Esophagitis Amreet K. Aujla, MD1, Ismail Elkhattib, MBBCh2, Pradeep Siddappa, and Refractory Helicobacter pylori Gastritis MBBS2, Perry Pratt, MD2, Roopjeet Bath, MD2, Martin Hoffman, DO3; 1. Matthew Chan, DO1, Deepanshu Jain, MD1, Corrado Minimo, MD1, Alison University of Connecticut, Hartford, CT; 2. University of Connecticut, Platt, DO2; 1. Albert Einstein Medical Center, Philadelphia, PA; 2. Einstein Farmington, CT; 3. Saint Francis Hospital and Medical Center, Hartford, CT Medical Center, Philadelphia, PA P0312. Dysphagia Lusoria Associated With Imperforate Anus P0301. An Esophageal Mass Masquerading as Asthma Exacerbation: An Karl Andersen, DO1, Ryan T. Hoff, DO1, Dean N. Silas, MD2; 1. Advocate Unfortunate Outcome Lutheran General Hospital, Park Ridge, IL; 2. Advocate Lutheran General Matthew Chan, DO, Akash Patel, DO, Jacqueline Bowers, MD; Albert Hospital, Niles, IL Einstein Medical Center, Philadelphia, PA P0313. Esophageal Granular Cell Tumour: An Unusual Polypoid Lesion P0302. Detection of Sub-Surface High-Grade Dysplasia Following Praneeth Bandaru, MD, MBBS, Febin John, MD, Evangelos Tsipotis, MD, Radiofrequency Ablation (RFA) of Barrett’s Esophagus Denzil Etienne, MD; The Brooklyn Hospital Center, Brooklyn, NY Makda Bsrat, MD1, Gassan Kassim, MD1, Melissa Hershman, MD2, Amy Tan, MD3, Jason Rubinov, MD3, Roshanak Alialy, MD3, Michael S. Smith, MD, P0314. Acquired Broncho-Esophageal Fistula After 10 Years of Esophageal MBA4; 1. Mount Sinai St. Luke's and Mount Sinai Roosevelt, New York, NY; Stent Placement Mohamed A. Elkhouly, MD, MSc1, Bashar M. Attar, MD, PhD1, Ahmed A. 2. Mount Sinai Beth Israel Medical Center, New York, NY; 3. Icahn School Elkafrawy, MD2, Zohaib Haque, DO3, Miguel Salazar, MD1, Ishaan Vohra, of Medicine, New York, NY; 4. Mount Sinai West and Mount Sinai St. MD3; 1. Cook County Health and Hospital Systems, Chicago, IL; 2. Luke's Hospitals, New York, NY University of Missouri Kansas City School of Medicine, Kansas City, MO; 3. P0303. Dark Side of the Esophagus John H. Stroger, Jr. Hospital of Cook County, Chicago, IL Alan Makedon, BA1, Youssef Botros, MD2, Ariy Volfson, MD2; 1. SUNY Upstate Medical University, Syracuse, NY; 2. St. Joseph's University P0315. A Case of Latin American Female Diagnosed With Esophageal Medical Center, Paterson, NJ Adenocarcinoma on Brush Cytology Biopsies Monica Multani, DO1, Emmanuel McDonald, DO2, Fernanda Ponce, BS3, P0304. A Case of a Primary Large Cell Neuroendocrine Carcinoma of the Radhika Sharma, BS4, Javier Sobrado, MD5; 1. Larkin Community Hospital, Esophagus Disguised as a Food Impaction Miami, FL; 2. Larkin Community Hospital - Palm Springs, Miami, FL; 3.  Presidential Poster Award St. George's University School of Medicine, Miami, FL; 4. Larkin Hospital, Harsh D. Patel, MD1, Jared Beck, DO2, Archish Kataria, MD1, Juan Miami, FL; 5. Larkin Community Hospital, South Miami, FL Echavarria, MD, MSc3; 1. University of Texas Health Science Center, San P0316. A Tough Pill to Swallow: A Rare and Unusual Case of Recurrent Antonio, TX; 2. Brooke Army Medical Center, Fort Sam Houston, TX; 3. Esophageal Candidiasis University of Texas Health, San Antonio, TX Emmanuel McDonald, DO1, Marisol Trejoss2, David Choi, DO2, Linoj P0305. Esophageal Stent Causing Osteomyelitis: An Emerging Complication Panicker, DO2, Odayls Frontela, MD1, Javier Sobrado, MD2; 1. Larkin Bryan Stone, DO1, Tarek Odah, MD2, Shervin Shafa, MD1; 1. MedStar Community Hospital - Palm Springs, Miami, FL; 2. Larkin Community Georgetown University Hospital, Washington, DC; 2. MetroWest Medical Hospital, Miami, FL Center, Framingham, MA P0317. Importance of DIETARY Modification in Successful Management of P0306. Esophageal Squamous Cell Carcinoma-Associated Dancing Eye Eosinophilic Gastroenteritis Syndrome in an Adult: Negative Paraneoplastic Antibodies Screen and Pujitha Kudaravalli, MD1, Sheikh A. Saleem, MBChB1, Bishnu Sapkota, Rapid Response to Intravenous Immunoglobulin and Methylprednisolone MD2; 1. Upstate Medical University, Syracuse, NY; 2. Syracuse VA Medical Muhammad B. Hammami, MD, Reem Aboushaar, MS, Mishah Azhar, MD, Center, Syracuse, NY Ahmad Musmar, MD, Stephen M. Miller, MD, FACG, Peter Salomon, MD, P0318. A Spastic Spiral: Paraneoplastic Pseudoachalasia in an Elderly Male FACG; Florida Atlantic University, Boca Raton, FL With Multiple Malignancies P0307. "Dissec-ting" the Etiology Raj Dalsania, MD1, Lisa S. Cassani, MD1, Shreya M. Raja, MD2; 1. Emory Patricia Guzman Rojas, MD1, Irene Riestra, MD2, Ernesto Robalino University School of Medicine, Atlanta, GA; 2. Emory University School of Gonzaga, MD2, Vinay Katukuri, MD3, Jignesh Parikh, MD3, Wojtek Blonski, Medicine, Decatur, GA MD3; 1. University of Central Florida College of Medicine, Orlando, FL; P0319. An Unusual Case of Ventilatory Compromise and Mega-Esophagus 2. University of Central Florida College of Medicine, Kissimmee, FL; 3. Jonathan Pinto, MD, MPH, Ammar Asif, MD, Kafi Thomas, MD, Joan Orlando VA Medical Center, Orlando, FL Culpepper-Morgan, MD, FACG; Harlem Hospital Center, New York, NY P0308. Acute Esophageal Necrosis in Patient With Decompensated Cirrhosis P0320. Esophageal Actinomycosis in a Patient With Long-Standing Shannon L. Tosounian, DO, Ronald Miick, MD, James Walter, MD; Albert Esophageal Stent Einstein Medical Center, Philadelphia, PA Vikas Kumar, MD1, Steven Lam, BS2, Duane Deivert, DO3, Joshua Obuch, P0309. Esophageal Adenocarcinoma Arising From <1cm of Intestinal MD, MSc3, Cletus Baidoo, MD4, Harshit S. Khara, MD, FACG1, Yakub Metaplasia at the Gastroesophageal Junction: Is <1cm Actually Low Risk? Khan, MD3; 1. Geisinger Medical Center, Danville, PA; 2. Geisinger Amisha Ahuja, MD, Andrew C. Elden, MD, Christina Tofani, MD, Commonwealth School of Medicine, Scranton, PA; 3. Geisinger Health Anthony Infantolino, MD, FACG; Thomas Jefferson University Hospital, System, Wilkes-Barre, PA; 4. Geisinger Health System, Scranton, PA Philadelphia, PA

60 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0321. Leukemic Infiltration Leading to Esophagitis: A Rare Initial P0331. Large Cell Neuroendocrine Carcinoma of the Esophagus Arising SUNDAY Presentation of AML From Barrett’s Esophagus: A Rare Phenomenon Jae Chung, DO, Seth Richter, MD, Ali Wazir, MBBS, Haider Rahman, MD, Maulik Shah, DO1, David Truscello, DO1, Kailash Lal, DO, MBA1, John Usman Naseer, MBBS, Michael Fitzpatrick, MD, Mustafa Erdem Arslan, Kolnik, DO2; 1. Rowan University School of Osteopathic Medicine, MD; Albany Medical Center, Albany, NY Stratford, NJ; 2. Allied Gastrointestinal Associates, P.A., Voorhees, NJ P0322. Atypical Presentation of Herpes Simplex Virus Esophagitis in an P0332. A Rare Case of Colorectal Cancer of the Neoesophagus Immunocompetent Patient Maulik Shah, DO1, David Truscello, DO1, Justin DeRosa, DO1, Nabil Pooja R. Patel, BS1, Antonios Wehbeh, MD1, Robert E. Emerson, MD2, Hala Al-Annouf, MD2, Robert Shmuts, DO3; 1. Rowan University School of Fatima, MD3, Hak Nam Kim, MD4; 1. Indiana University School of Medicine, Osteopathic Medicine, Stratford, NJ; 2. Our Lady of Lourdes Medical Indianapolis, IN; 2. Indiana University Health, Indianapolis, IN; 3. Indiana Center, Willingboro, NJ; 3. Lourdes Medical Associates, Willingboro, NJ University Medical Center, Indianapolis, IN; 4. Indiana University Hospital, Indianapolis, IN P0333. From Red to Black: A Deadly Case of Acute Esophageal Necrosis Maulik Shah, DO1, Justin DeRosa, DO1, Herman Suga, DO1, Punitha P0323. Wonder Neutralization: Esophageal Stents in Caustic Injury Shivaprasad, DO2; 1. Rowan University School of Osteopathic Medicine, Daniela Leon-Jarrin, MD1, Manoj Kumar, MD1, Yazan Fahmawi, MD1, Meir Stratford, NJ; 2. LMA Gastroenterology Associates, Cherry Hill, NJ Mizrahi, MD2; 1. University of South Alabama, Mobile, AL; 2. University of South Alabama College of Medicine, Spanish Fort, AL P0334. Not an Ordinary Ulcer: A Case of an Aorto-Esophageal Fistula Shiva Poola, MD, Nannaya Jampala, MD, Maliha Naseer, MD, Eslam Ali, P0324. An “Off the Wall” Case of Sloughing Esophagitis MD; Brody School of Medicine, Greenville, NC Alyson M. Johnson, MD, Nicholas J. Koutlas, MD, Cynthia D. Guy, MD, Joanne A. Wilson, MD; Duke University, Durham, NC P0335. A Rare Case in a Rarer Place: A Severe Esophageal Stricture in a Patient With Both Bullous and Mucous Membrane Pemphigoid P0325. A Rare Case of Coexisting Achalasia and Pseudoachalasia Kelsey Collins, MD1, Ariela Hazan2, Hayato Mitaka, MD1, Erica Grabscheid, Rawan Dayah, MD1, August Clark, MD2, Gabriel Reep, MD2, Ikenna MD, FHM1; 1. Mount Sinai Beth Israel Medical Center / Icahn School of Okereke, MD2, Suimin Qiu, MD, PhD2, Karen Nahmood, MD, PhD2; 1. The Medicine at Mount Sinai, New York, NY; 2. Icahn School of Medicine at University of Texas Medical Branch, Galveston, TX; 2. University of Texas Mount Sinai, New York, NY Medical Branch, Galveston, TX P0336. A Surprising Case of Boerhaave's Syndrome Successfully Treated P0326. Mega Esophageal Diverticulum Complicated by Post-Operative With a Single Hemostatic Clip Esophageal Stricture Kelsey Collins, MD1, Michael Herman, MD2, Andrew Blank, MD3; 1. Mount Eric O. Then, MD1, Khalil Aloreidi, MD2, Vijay Gayam, MD3, Julian Paniagua- Sinai Beth Israel Medical Center / Icahn School of Medicine at Mount Morales, MD1, Andrea Culliford, MD, FACG1, Vinaya Gaduputi, MD, FACG4; Sinai, New York, NY; 2. Mount Sinai Beth Israel, Mount Sinai St. Luke's, 1. St. Barnabas Hospital, Bronx, NY; 2. The Brooklyn Hospital Center, Mount Sinai West, New York, NY; 3. Mount Sinai St. Luke's and Mount Brooklyn, NY; 3. Interfaith Medical Center, Brooklyn, NY; 4. SBH Health Sinai Roosevelt, New York, NY System, Bronx, NY P0337. Rare Case of Esophagitis Dissecans Superficialis Mimicking P0327. Successful Endoscopic Repair of Boerhaave’s Syndrome: Changing Eosinophilic Esophagitis Treated With PPI the Narrative Khola Qamar, MD1, Abhinav Tiwari, MD2; 1. Dartmouth-Hitchcock Medical Eric O. Then, MD1, Michell Lopez, MD1, Andrew Ofosu, MD2, Vijay Gayam, Center, Bennington, VT; 2. William Beaumont Hospital, Royal Oak, MI MD3, Vijay S. Are, MD4, Vinaya Gaduputi, MD, FACG5; 1. St. Barnabas Hospital, Bronx, NY; 2. Brooklyn Hospital Center, Brooklyn, NY; 3. P0338. Blood Bezoar: A Rare Complication of Achalasia Esteban Rodriguez Martino, MD1, Jose Martin-Ortiz, MD, FACG1, Doris Interfaith Medical Center, Brooklyn, NY; 4. Stormont Vail Health System, Toro-Lugo, MD1, Carlos Fernández, MD2; 1. VA Caribbean Healthcare Topeka, KS; 5. SBH Health System, Bronx, NY System, San Juan, Puerto Rico; 2. Hospital de Veteranos (VA Caribbean P0328. Refractory Candida Esophagitis in an Immunocompetent Patient: Healthcare System), San Juan, Puerto Rico A Rare Presentation Eric O. Then, MD1, Kimberly Hernandez, BS2, Andrew Ofosu, MD3, Michell Lopez, MD1, Andrea Culliford, MD, FACG1, Vinaya Gaduputi, MD, FACG4; 1. FUNCTIONAL BOWEL DISEASE St. Barnabas Hospital, Bronx, NY; 2. CUNY School of Medicine, New York, NY; 3. Brooklyn Hospital Center, Brooklyn, NY; 4. SBH Health System, P0339. Nutritional Deficiencies in Irritable Bowel Syndrome: A North Bronx, NY American Population-Based Study Isabel A. Hujoel, MD; Mayo Clinic, Rochester, MN P0329. Mediastinal Syndrome: A Rare Etiology of Dysphagia Eric O. Then, MD1, Umair Shafiq Chishti, MD1, Andrew Ofosu, MD2, Vijay P0340. Investigating the Tissue Distribution of [14C]-Prucalopride S. Are, MD3, Srikanth Maddika, MD1, Vinaya Gaduputi, MD, FACG4; 1. St. Following a Single Oral Dose in Rats Barnabas Hospital, Bronx, NY; 2. Brooklyn Hospital Center, Brooklyn, NY; 3. Zhen Lou, PhD, Devin Welty, PhD; Shire, a Takeda company, Lexington, MA Stormont Vail Health System, Topeka, KS; 4. SBH Health System, Bronx, NY P0341. Impact of Plecanatide on Symptoms and Quality of Life for Patients P0330. Syphilitic Lichenoid Esophagitis: A Rare Finding With Chronic Idiopathic Constipation: Analysis of PAC-SYM and PAC-QOL  Presidential Poster Award From Two Phase III Clinical Trials Shruti Khurana, MD, Shaheer Siddiqui, MD, Scott Larson, MD; University  Presidential Poster Award of Texas Health Science Center, Houston, TX Darren M. Brenner, MD1, Howard Franklin, MD, MBA2, Gregory S. Sayuk, MD, MPH3; 1. Northwestern University Feinberg School of Medicine, Chicago, IL; 2. Salix Pharmaceuticals, Bridgewater, NJ; 3. Washington University School of Medicine and St. Louis VA Medical Center, St. Louis, MO

P0342. The Prevalence and Burden of Rome IV Functional Colorectal P0352. Phenotype and Antibiotic Response in Patients With Elevated Disorders in Ulcerative Colitis Baseline Hydrogen Breath Test Results: A Large Scale Database Analysis Gaurav B. Nigam, MBBS, DNB, MRCP1, Jimmy K. Limdi, FRCP, FACG2, Krutika Lakhoo, MD1, Greg Lenz1, Eugenia Lin, BS1, Bianca Chang, MD2, Shaheen Hamdy, PhD, FRCP3, Dipesh H. Vasant, PhD, MRCP4; 1. Pennine Mark Pimental, MD, FACG1, Nipaporn Pichetshote, MD1, Ali Rezaie, MD, Acute Hospital NHS Trust, Manchestre, England, United Kingdom; 2. MSc1; 1. Cedars-Sinai Medical Center, Los Angeles, CA; 2. University of Northern Care Alliance, Bury, England, United Kingdom; 3. Salford Chicago Medical Center, Chicago, IL Royal Hospital, University of Manchester, Manchester, England, United Kingdom; 4. Manchester University NHS Foundation Trust, Manchester, England, United Kingdom FUNCTIONAL BOWEL DISEASE P0343. Activated Duodenal Eosinophils Are Associated With Early Satiety- Clinical Vignettes / Case Reports Predominant Functional Dyspepsia: Results From a U.S. Veteran Cohort P0353. Mammalian Meat Allergy Masquerading as IBS-D 1 1 1 Jordan Sparkman, MD , Alexander Damron, MD , Linda K. Green, MD , Andrew Bensinger, DO1, Patrick Green, MD2; 1. Wake Forest Baptist Health, 1 1 Daniel Rosen, MD , David Y. Graham, MD, MACG , Hashem B. El-Serag, Winston-Salem, NC; 2. Wake Forest University School of Medicine, 2 1 MD, MPH , Maria Jarbrink-Sehgal, MD, PhD ; 1. Baylor College of Medicine, Winston-Salem, NC Houston, TX; 2. Baylor College of Medicine and Center for Innovations in Quality, Effectiveness and Safety (IQuESt) / Michael E. DeBakey Veterans P0354. Buspirone for the Management of Functional Dyspepsia With Rapid Affairs Medical Center, Houston, TX Gastric Emptying (RGE) Mark Radetic, MD, Scott Gabbard, MD; Cleveland Clinic Foundation, P0344. The Fragility Index of the Randomized Trials for Irritable Bowel Cleveland, OH Syndrome With Constipation Will Takakura, MD, Ali Rezaie, MD; Cedars-Sinai Medical Center, Los P0355. Chronic Diarrhea Complicated by Hyponatremia as a First Clue to Angeles, CA Establish the Diagnosis of Pellagra Lesley Wu, MD, Jenny Placido Disla, MD, Violetta Laskova, MD; MSHS, P0345. Pelvic Floor Dysfunction Is Associated With Reduced Urinary Flow New York, NY Rate in Younger Men Bradley White, MD, Brian Linder, MD, Christopher Klingele, MD, Lawrence Szarka, MD, David O. Prichard, MBMCh, PhD; Mayo Clinic, Rochester, MN GENERAL ENDOSCOPY P0346. Abdominal Herniation and Gastrointestinal Symptoms in Patients With Loey Dietz Syndrome and Vascular Ehlers Danlos Syndrome P0356. Optimizing Inpatient Colonoscopy Preparation: A QI Project Xiao Jing Wang, MD1, Mary Babameto1, Dusica Babovic-Vuksanovic, MD2,  Presidential Poster Award 1 2 2 Michael Camilleri, MD, FACG2; 1. Mayo Clinic, Rochester, MN; 2. Mayo Clinic Haitam M. Buaisha, MBBCh , Sirish Rao, MD , Jahnavi Koppala, MBBS , 2 2 2 College of Medicine and Science, Rochester, MN Meghana Vellanki, MD , Abdullah Abdussalam, MD , Jose Machain, MD , Rajani Rangray, MD2; 1. Creighton University School of Medicine, Omaha, P0347. Assessing the Relation Between Irritable Bowel Syndrome and NE; 2. Creighton University Medical Center, Omaha, NE Nonalcoholic Liver Disease Muhammad Talal Sarmini, MD1, Mohammad Maysara Asfari, MD2, P0357. Differences in Quality of Life Between Patients With Functional Mohammad Alomari, MD1, Yasser Al-Khadra, MD1, George Khoudari, MD1, Dyspepsia After Endoscopy With Empiric Treatment and Placebo 1 2 2 Srinivasan Dasarathy, MD1, Arthur J. McCullough, MD1; 1. Cleveland Clinic Sumardjo Mardjo , Putut Bayupurnama , Neneng Ratnasari ; 1. Pandan Foundation, Cleveland, OH; 2. Medical College of Georgia at Augusta Arang Hospital Boyolali Indonesia, Boyolali, Jawa Tengah, Indonesia; University, Augusta, GA 2. Gadjah Mada University / Dr. Sardjito General Hospital, Yogyakarta, Yogyakarta, Indonesia P0348. Length of Time Spent in the Outpatient Setting With Patients With Irritable Bowel Syndrome: Analysis of the National Ambulatory Medical P0358. Pre-Endoscopic Risk Stratification Scores Associated With Care Survey Intubation for Emergent Endoscopy for Severe Gastrointestinal David Mossad, MD1, Matthew Ellis, BS2, Sangeeta Agrawal, MD, FACG3; Hemorrhage 1 1 2 1. Wright State University, Dayton, OH; 2. Wright State University Nikki Duong, MD , Stephanie Woo, MD , Rebecca Xi, BS , Olivia d'Aliberti, 3 1 Boonshoft School of Medicine, Dayton, OH; 3. Dayton VA Medical Center, BS , Joseph Jennings, MD ; 1. MedStar Georgetown University Hospital, Dayton, OH Washington, DC; 2. Georgetown University School of Medicine, North Potomac, MD; 3. Georgetown University, Washington, DC P0349. High Resolution Transrectal Ultrasound Findings Predict Manometric Responders to Biofeedback Therapy for Anal Incontinence P0359. Developing and Validating a Prediction Model to Identify Patients Holly Greenwald, MD1, Ali Zifan, PhD2, Lori Tuttle, PhD3, David Kunkel, at High Risk for Failing Standard Sedation for Routine GI Endoscopy MD2; 1. University of California San Diego, San Diego, CA; 2. University  ACG Governors Award for Excellence in Clinical Research (Physician, of California San Diego, La Jolla, CA; 3. San Diego State University, San Non-Trainee) Diego, CA  Presidential Poster Award Megan A. Adams, MD, JD, MSc1, Sameer D. Saini, MD, MSc1, Yuqing Gao, P0350. Motility Abnormalities Identified by Wireless Motility Capsule in MS2, Wyndy Wiitala, PhD2, Joel Rubenstein, MD, MSCI3; 1. University of Postural Orthostatic Tachycardia Syndrome Michigan School of Medicine, Ann Arbor, MI; 2. VA Ann Arbor Center for  Presidential Poster Award Clinical Management Research, Ann Arbor, MI; 3. University of Michigan Thomas A. Zikos, MD, Wendy Zhou, DO, John O. Clarke, MD, Linda A. Medical Center, Ann Arbor, MI Nguyen, MD, Leila Neshatian, MD, MSc; Stanford Hospital, Redwood City, CA P0360. Is the Future of Gastroenterology Being Prepared to Prevent Work P0351. Prevalence and Predictors of Symptom Complexes Commonly Seen Related Injuries and Allow for a Long Healthy Career: Question Answered in Acute Hepatic Porphyria in the General Population Cassandra Craig, MD1, S. Craig Owen, MD2, Priyanka Acharya, MPH, MSc3, Krutika Lakhoo, MD1, Christopher Almario, MD, MSHPM1, John J. Ko, Prashant Kedia, MD1; 1. Methodist Dallas Medical Center, Dallas, TX; 2. San PharmD, MBA2, Alex Wei, PharmD2, Stephen Meninger, PharmD2, Brennan Antonio Military Medical Center, San Antonio, TX; 3. Methodist Health Spiegel, MD, MSHS, FACG1; 1. Cedars-Sinai Medical Center, Los Angeles, System Clinical Research Institute, Dallas, TX CA; 2. Alnylam Pharmaceuticals, Cambridge, MA

62 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM

P0361. Is Sore Throat an Under-Reported and Under-Estimated Quality P0371. Effect of Pronase on Visibility Scores During Upper Endoscopy - POSTERS Indicator of Endoscopic Procedures? Results From a Large Prospective Systematic Review and Meta-Analysis SUNDAY Cohort Mahendran Jayaraj, MD1, Banreet Dhindsa, MD1, Babu P. Mohan, MD2, Katherine Kim, MD, Srinivas Gaddam, MD, John Verula, RN, Ellis Lai, MD, Gordon Ohning, MD, PhD1; 1. University of Nevada Las Vegas School of Ashley Dollentas, RN, Bee Hill, RN, Sarah Francis, MA, Shara Chess, APRN, Medicine, Las Vegas, NV; 2. University of Arizona / Banner University MSN, FNP, Simon Lo, MD; Cedars-Sinai Medical Center, Los Angeles, CA Medical Center, Tucson, AZ P0362. Nurse-Administered Propofol Continuous Infusion Sedation P0372. Patient Experience With NER1006 as a Bowel Preparation for (NAPCIS) for Colonoscopy in Difficult to Sedate Patients Colonoscopy: A Prospective, Multicenter U.S. Survey Hyun Seok Lee, MD, Richard Kozarek, MD, FACG, Andrew Ross, MD, Brooks D. Cash, MD, FACG1, Mary Beth Moncrief, PhD2; 1. University Otto S. Lin, MD, MSc; Digestive Diseases Institute, Virginia Mason Clinic, of Texas Health Science Center, Houston, TX; 2. Synchrony Medical Seattle, WA Communications, West Chester, PA P0363. Impact of Water Exchange, Cap and Endocuff on Adenoma P0373. Peppermint Oil Decreases Colonic Spasm Without Significantly Detection Rate: An Indirect Comparison With Air Insufflation as the Affecting Cecal Intubation Time and Adenoma Detection Rate: A Common Comparator Systematic Review and Meta-Analysis Paul Shao, MD, MS1, Aileen Bui, MD1, Hui Jia, MD2, Felix Leung, MD, FACG3; Fredy Nehme, MD1, Laith Al Momani, MD2, Mohammad Alomari, MD3, 1. David Geffen School of Medicine, University of California Los Angeles, Yousaf Zafar, MD1; 1. University of Missouri, Kansas City, MO; 2. East Los Angeles, CA; 2. VA Greater Los Angeles Healthcare System, North Tennessee State University, Johnson City, TN; 3. Cleveland Clinic Hills, CA; 3. Sepulveda Ambulatory Care Center, VAGLAHS, David Geffen Foundation, Cleveland, OH School of Medicine at UCLA, North Hills, CA P0364. The Efficacy and Safety of Device-Assisted Enteroscopy and Push GENERAL ENDOSCOPY Enteroscopy in Cirrhosis Patients Clinical Vignettes / Case Reports Altaib Al Yassin, MD, DO, MS1, Yasir Alazzawi, MD, MPH1, Lidia Sapho, 2 2 2 MD , Joan Kheder, MD , David Cave, MD ; 1. University of Massachusetts P0374. Immediate Air-Tight Seal With a Padlock Clip Defect Closure Medical School, Worcester, MA; 2. University of Massachusetts Medical System for Iatrogenic Colonic Perforation Center, Worcester, MA Ryan O'Keefe, MD, Induruwa Pathirana, MD; Dwight D. Eisenhower Army P0365. TissueCypher™ Barrett’s Esophagus Assay for Risk Stratification Medical Center, Fort Gordon, GA of Barrett’s Esophagus Patients With “Low Grade Crypt Dysplasia” on P0375. Not the Average Pseudopolyp WATS3D® Brush Induruwa Pathirana, MD, Ryan O'Keefe, MD; Dwight D. Eisenhower Army 1 2 1 Kamal Amer, MD , Rami Amer, BS, MS , Christina Tofani, MD , Anthony Medical Center, Fort Gordon, GA Infantolino, MD, FACG1; 1. Thomas Jefferson University Hospital, Philadelphia, PA; 2. Drexel University College of Medicine, Clifton, NJ P0376. Corneal Injury After Routine Gastrointestinal (GI) Endoscopy With Moderate Sedation P0366. A Patient-Centered Multidisciplinary Approach to Improve Robert Dixon, BA, Douglas G. Adler, MD, FACG, Stephanie Timm, BS, John Inpatient Bowel Preparation for Colonoscopy C. Fang, MD; University of Utah School of Medicine, Salt Lake City, UT Vinayak Shenoy, DO, Connie Park, MD, Richa Bhardwaj, MBBS, Elena Ivanina, DO, MPH; Lenox Hill Hospital, New York, NY P0377. Paperclip or Inferior Vena Cava Filter Probe? The Case of an Unusual Foreign Body P0367. The Effect of Sedation Modality on Outcomes in Emergent  Presidential Poster Award Endoscopic Intervention Soumojit Ghosh, MD1, Elie Ghoulam, MD1, Danisa M. Clarrett, MD2, Kamran Ming Han Cha, MD1, Roshan Razik, MD, MPH1, Saher Khalid, MD2, Rashi Qureshi, MD1; 1. Saint Louis University, St. Louis, MO; 2. Saint Louis Sandooja, MBBS3, Huda J. Khanzada, BS3; 1. Cleveland Clinic / Akron University School of Medicine, Saint Louis, MO General, Akron, OH; 2. Cleveland Clinic / Akron General, Cuyahoga Falls, OH; 3. Akron General Medical Center, Akron, OH P0378. Use of NBT Gastrostomy Tubes as Replacement Jejunal Feeding Tubes P0368. Electrolyte Shifts of NER1006 Bowel Preparation for Colonoscopy Ryan Moore, BS1, J. Robert Evans, MD2; 1. Baylor College of Medicine, in the Elderly Are Transient and Well-Tolerated Houston, TX; 2. University of California Riverside School of Medicine, Michael S. Epstein, MD, FACG1, Sarah Lorenzen, PhD2, Howard Franklin, Redlands, CA MD, MBA2, Brooks D. Cash, MD, FACG3; 1. Investigative Clinical Research, Annapolis, MD; 2. Salix Pharmaceuticals, Bridgewater, NJ; 3. University of P0379. Duodenal Gangliocytic Paraganglioma in Patient With Rectal Texas Health Science Center, Houston, TX Adenocarcinoma Jaimy Villavicencio, MD1, Michael Disiena, MD2, Ismail Elkhattib, MBBCh2, P0369. Patients Undergoing Outpatient Upper Endoscopy and John Birk, MD, FACG2; 1. University of Connecticut School of Medicine, Colonoscopy on the Same Day (Double Procedures) Are at Increased Risk Farmington, CT; 2. University of Connecticut, Farmington, CT for Adverse Respiratory Outcomes Steven Saltzman, MD1, Michael Weinstein, MD2, M Aamir Ali, MD2; 1. P0380. Novel Endoscopic Repair of a Percutaneous Endoscopic Capital Anesthesia Partners, Chevy Chase, MD; 2. Capital Digestive Care, Gastrostomy Tube Malpositioned Through the Transverse Colon Chevy Chase, MD John P. Campbell, MD, Daniel Klein, DO, Vipin Gupta, MD; Broward Health Medical Center, Fort Lauderdale, FL P0370. Reduction of Inpatient Non-Emergent GI Procedure Utilization Naemat Sandhu, MBBS1, Krysta John-Keating, MD1, Alison Platt, DO1, P0381. The Mouth Is More Than Just an Entry Path to the Esophagus: Christine Wambold1, Eric Barash2, Victor J. Navarro, MD, MHCM3; 1. A Rare Site of Breast Cancer Metastasis Einstein Medical Center, Philadelphia, PA; 2. Wake Forest University Neena Malik, MD, MS1, Lawrence Brandt, MD, MACG2, Ali Kazerouni Timsar, School of Medicine, Winston-Salem, NC; 3. Thomas Jefferson University MD2; 1. Albert Einstein College of Medicine, Bronx, NY; 2. Montefiore School of Medicine, Philadelphia, PA Medical Center, Bronx, NY

P0382. Gastric Outlet Obstruction as a Complication of Replaced GI BLEEDING Gastrostomy Tube Trent Walradt1, Tracey Martin, MD2, AnnMarie Kieber-Emmons, MD2, David P0394. The Safety and Efficacy of Proton-Pump Inhibitors (PPI) Usage Wan, MD1; 1. Weill Cornell Medical College, New York, NY; 2. New York- in Critical Care Patients for Stress Ulcer Prophylaxis: A Meta-Analysis of Presbyterian / Weill Cornell Medical Center, New York, NY Randomized Controlled Trials Yousef Abdel-Aziz, MD1, Tamer Ahmed, MD2, Anas Renno, MD2, P0383. Gastric Perforation During PEG Tube Placement in ALS Patient With Mohammed Awad, MD2, Ragheb Assaly, MD2, Mohammad Ismail, MD1, Severe Malnutrition Colin W. Howden, MD, FACG1, Ali Nawras, MD, FACG2; 1. University of 1 2 Kapil Gupta, MD , Akiva Marcus, MD, PhD ; 1. University of Miami / JFK Tennessee Health Science Center, Memphis, TN; 2. University of Toledo Medical Center Palm Beach Regional GME Consortium, Atlantis, FL; 2. Medical Center, Toledo, OH University of Miami / JFK Medical Center, West Palm Beach, FL P0395. Factors Associated With In-Hospital Mortality in Acute Variceal P0384. “I Am Choking”: An Unusual Late Complication of a Gunshot Injury Bleeding Deepika Kulkarni, MD, Prasad Kulkarni, MD; University of South Florida Maryam Alimirah, MD, Omar Sadiq, MD, Deepak Venkat, MD; Henry Ford Morsani College of Medicine, Tampa, FL Hospital, Detroit, MI P0385. A Case of Mistaken Identities: Impact of Kayexalate on the Colon 1 2 2 P0396. CRP and BUN as Risk Factor for Complications in Patients With Ankita Nagirimadugu, MD , Melissa Hershman, MD , Gil Ascunce, MD ; 1. Upper Gastrointestinal Bleeding Mount Sinai Beth Israel Medical Center, New York, NY; 2. Mount Sinai Beth I. Ketut Mariadi, MD, Karismayusa Sudjana, MD, I Dewa Nyoman Wibawa, Israel Hospital, New York, NY MD, PhD; Udayana University, Denpasar, Bali, Indonesia P0386. Novel Use of Overtube for Rectal Foreign Body to “Clean” Out the P0397. Rebleeding After Hemoclip versus Argon Plasma Coagulation Colon: Extraction of Large Tide-To-Go Pen 1 1 2 Use for Bleeding Gastrointestinal Angiodysplasias in Patients Receiving Paul Shao, MD, MS , Jasleen Grewal, MD , Ryan Perumpail, MD , Felix Antithrombotics: A Retrospective Multi-Center Study Leung, MD, FACG3; 1. David Geffen School of Medicine, University of  Presidential Poster Award California Los Angeles, Los Angeles, CA; 2. University of California Los Bahaaeldeen Ismail, MD1, Mhd Suhaib Alayoubi, MD2, Moaz Abdelwadoud, Angeles, David Geffen School of Medicine, Los Angeles, CA; 3. Sepulveda MD, DrPH, MPH3, Fernando Castro, MD4; 1. University of Kentucky Ambulatory Care Center, VAGLAHS, David Geffen School of Medicine at College of Medicine, Lexington, KY; 2. McLaren Flint Hospital, Flint, MI; 3. UCLA, North Hills, CA University of Maryland School of Pharmacy, Baltimore, MD; 4. Digestive P0387. A Case of Black Esophagus Disease Institute, Cleveland Clinic Foundation, Weston, FL Ibrahim Haddad, MD1, Bara El Kurdi, MD1, Sumbal Babar, MBBS1, Mahmoud 1 1 2 P0398. Apelin Association With Hepatic Fibrosis and Esophageal Varices in El Iskandarani, MD , Laith Al Momani, MD , Mohammad Alomari, MD , Chronic HCV Patients Mark Young, MD1; 1. East Tennessee State University, Johnson City, TN; 2.  Presidential Poster Award Cleveland Clinic Foundation, Cleveland, OH Lamyaa Soliman, MSc1, Rania Zayed, MD1, Dalia Omran, MD1, Fadwa Said, P0388. Chest Tube Protrusion Into the Gastric Cavity Resulting in Biliary MD1, Samar Darweesh1, Doaa Ghaith, MD1, Rasha Eletreby, MD1, Mahmoud Drainage Barakat1, Mahmoud Bendary2, Doaa Zaky3, Eman Amer4, Iman Elmahgoub, Ibrahim Haddad, MD1, Bara El Kurdi, MD1, Tyler Aasen, DO1, Mahmoud El MD1; 1. Cairo University, Cairo, Al Qahirah, Egypt; 2. Port Said University, Iskandarani, MD1, Sumbal Babar, MBBS1, Mohammad Alomari, MD2, Laith Al Bur Sa'id, Bur Sa'id, Egypt; 3. Ain Shams University, Cairo, Al Qahirah, Momani, MD1, Puneet Goenka, MBBS1; 1. East Tennessee State University, Egypt; 4. Ahram Canadian University, Al Jizah, Egypt Johnson City, TN; 2. Cleveland Clinic Foundation, Cleveland, OH P0399. Risks of Recurrent Bleeding in Patients Hospitalized With P0389. Rare Case of Endoscopic Erosive Ulcerations in Celiac Disease Gastrointestinal Bleeding While on Warfarin vs Direct Oral Anticoagulants Aida Rezaie, MD1, Shifat Ahmed, MD2, Aaron Goldberg, MD2; 1. University  Presidential Poster Award of Arizona, Phoenix, AZ; 2. University of Arizona College of Medicine, Natalie Tapaskar, MD1, Sandra A. Ham, MS1, Neil Sengupta2; 1. The Phoenix, AZ University of Chicago, Chicago, IL; 2. University of Chicago Medical Center, Chicago, IL P0390. Mycobacterium Avium Complex Colitis in a Patient With AIDS Aida Rezaie, MD, Faruq Pradhan, MD, Darrell Wadas, MD; University of P0400. Investigation of Gastrointestinal Bleeding Among Left Ventricular Arizona College of Medicine, Phoenix, AZ Assist Device Recipients  Presidential Poster Award P0391. Colonic Perforation and Pneumothorax: Rare Complications of Michael Kalinowski, DO, MS1, Shana Kothari, MD, MS1, Matthew Kobeszko, Upper GI Endoscopy MD, MS1, Greta Josephson, DO1, William Cotts, MD2, Sunil Pauwaa, MD2, Maulik Shah, DO1, David Truscello, DO1, Michael Itidiare, DO, BS1, Richard Antone Tatooles, MD2, Imad Elkhatib, MD1, Rogelio Silva, MD1; 1. University Walters, DO2; 1. Rowan University School of Osteopathic Medicine, of Illinois - Advocate Christ Medical Center, Oak Lawn, IL; 2. Advocate Stratford, NJ; 2. Jefferson Health NJ, Stratford, NJ Christ Medical Center, Oak Lawn, IL P0392. Atypical Polyp Within a Diverticula: A Hidden Cancer Copycat P0401. The Safety and Efficacy of Thalidomide for the Treatment of Helen M. Shen, MD1, Brian T. Lee, MD2, Gregory Idos, MD, MS3; 1. LAC+USC Gastrointestinal Bleeding Refractory to Endoscopic Intervention: A Meta- Medical Center, Los Angeles, CA; 2. Keck School of Medicine, University Analysis of Southern California, Los Angeles, CA; 3. University of Southern Sarthak Soin, MBBS1, Faisal Ali, MD1, Nasir Saleem, MD2, Sarbagya Pandit, California Norris Comprehensive Cancer Center, Los Angeles, CA MD1; 1. Presence Saint Joseph Hospital, Chicago, IL; 2. University of P0393. Acute Pancreatitis Due to Clipping of the Ampulla With Over-The- Tennessee Health Science Center, Memphis, TN Scope Clip as a Complication of Bleeding Duodenal Ulcer Treatment P0402. Skipping the Drip: Intravenous Bolus Proton Pump Inhibitor Gurbir Sehmbey, MD1, Indu Srinivasan, MD2, Keng-Yu Chuang, MD2; 1. Therapy Produces Similar Outcomes to Continuous Infusions With Less Banner University Medical Center, Phoenix, AZ; 2. Maricopa Integrated Healthcare Resource Utilization Health System, Phoenix, AZ Yousaf Hadi, MD, Raja Samir Khan, MD, Noor Chima, MD, Justin T. Kupec, MD, FACG; West Virginia University Hospital, Ruby Memorial Hospital, Morgantown, WV

64 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM

P0403. Diagnostic Value of FIT in Upper Gastrointestinal Malignancy GI BLEEDING POSTERS 1 2 2 SUNDAY Altaib Al Yassin, MD, DO, MS , Lidia Sapho, MD , Joan Kheder, MD , Clinical Vignettes / Case Reports Yasir Alazzawi, MD, MPH1; 1. University of Massachusetts Medical School, Worcester, MA; 2. University of Massachusetts Medical Center, P0412. Gastrointestinal Stromal Tumor: Cause of Massive Lower Worcester, MA Gastrointestinal Bleed in Young Patient Mamoon Ur Rashid, MD1, Muzammil Muhammad Khan, MD2, Waqas P0404. Gastrointestinal Bleeding in Veterans on Oral Anticoagulants Ullah, MD3, Hammad Zafar, MD1, Ishtiaq Hussain, MD4, Badar Hasan, Melinda Wayde, MD1, We'am Hussain, MD1, Erin B. Loesch, RPH, PharmD, MD4, FNU Asad Ur Rehman, MD5, Abu Hurairah, MD1; 1. Florida Hospital, BCPS, DPLA2, Ronald Markert, PhD1, Sangeeta Agrawal, MBBS1; 1. Wright Orlando, FL; 2. Khyber Medical College, Peshawar, North-West State University Boonshoft School of Medicine, Dayton, OH; 2. Dayton VA Frontier, Pakistan; 3. Abginton Jefferson Health, Abington, PA; 4. Medical Center, Dayton, OH Cleveland Clinic Foundation, Weston, FL; 5. Cleveland Clinic, P0405. Trend Analysis of Lower Gastrointestinal Bleeding 2002-2017: A Weston, FL Population-Based Study P0413. Fatal Gastrointestinal Hemorrhage Secondary to Rare Vishnu Charan Suresh Kumar, MD1, Abbinaya Elangovan, MD2, Nisheet Aortoesophageal Fistula in a Patient With Esophageal Adenocarcinoma Waghray, MD2; 1. State University of New York Upstate Medical University, Atul Ratra, MD1, Christopher Flannery, MD2; 1. Eisenhower Health, Palm Syracuse, NY; 2. Case Western Reserve University / MetroHealth Medical Desert, CA; 2. Eisenhower Health, Rancho Mirage, CA Center, Cleveland, OH P0414. A Case of Recurrent Pneumatosis Intestinalis and Portal Venous Gas P0406. Comparison of Endoscopic Placement versus Oral Ingestion Siobhan Fennell, BA1, Jeffrey Novak, MD2, Zachary Marwil, MD2; 1. of Small Bowel Video Capsule for Evaluation of Inpatients With Small Endoscopy Center of Long Island - Northwell Health, Garden City, NY; 2. Intestinal Bleeding Endoscopy Center of Long Island - Northwell Health, Wantagh, NY Brendan Chen, MD1, Kanhai Farrakhan, MD1, Jain Sukrit, BA2, Paul Akerman, MD1, Abbas Rupawala, MD2; 1. Rhode Island Hospital, P0415. Hemobilia Due to Cystic Artery Pseudoaneurysm: A Rare Cause of Providence, RI; 2. Warren Alpert Medical School of Brown University, Hematemesis in a Pediatric Patient With Obstructive Jaundice Providence, RI Nishaben Patel, MD, Nathan Minkoff, MD, Gracielle Bahia, DO; University of Rochester Medical Center, Strong Memorial Hospital, Rochester, NY P0407. Impact of Computed Tomography Angiography-First Approach on Length of Stay and Time to Definitive Therapy in Patients Presenting for P0416. Superior Mesenteric Arteriovenous Fistula Mimicking Hepatic Lower GI Bleed Cirrhosis With Spontaneous Bacterial Peritonitis Chiazotam Ekekezie, MD1, Eric Vecchio, MD2, Erick Argueta, MD1, Lanre Ibrahim Haddad, MD1, Bara El Kurdi, MD1, Sumbal Babar, MBBS1, Jimoh, MD3, Valerie Carter, MD1, Steven E. Reinert, MS4, Joao Filipe G. Mohammad Alomari, MD2, Mahmoud El Iskandarani, MD1, Mark Young, Monteiro, PhD5, David Grand, MD1, Harlan Rich, MD1; 1. Warren Alpert MD1; 1. East Tennessee State University, Johnson City, TN; 2. Cleveland Medical School of Brown University, Providence, RI; 2. Rhode Island Clinic Foundation, Cleveland, OH Hospital and Warren Alpert Medical School of Brown University, Providence, RI; 3. Charlotte Gastroenterology and Hepatology, Charlotte, P0417. A Case of Ovarian Varices Bleeding Presenting as an Obscure GI NC; 4. Lifespan, Barrington, RI; 5. Lifespan, Providence, RI Bleed and Abdominal Pain Adil Khan, MBBS, Ritvika Panghal, MD, Raza Naeem, MD; Indiana P0408. Weekend Admissions Do Not Affect Management of Lower GI University Health Ball Memorial Hospital, Muncie, IN Bleeding Brian Li, MD1, Jeffrey Schwartz, MD1, Megan Lipcsey, MD1, Daniel J. Stein, P0418. The Use of a New Hemostatic Powder in Refractory Pseudocyst MD, MPH1, Joseph Feuerstein, MD2; 1. Beth Israel Deaconess Medical Wall Bleeding Center, Boston, MA; 2. Beth Israel Deaconess Medical Center, Harvard Nathaly Cortez, MD, Manuel Berzosa, MD, Mahmoud Mahfouz, MD; Mount Medical School, Boston, MA Sinai Medical Center, Miami Beach, FL P0409. The Glasgow-Blatchford Score: Pitfalls and Cost of Generalization P0419. Bleeding Varices in a Non-Cirrhotic 1 2 2 Alberto Contreras, MD, Alejandro Robles, MD, Antonio Mendoza-Ladd, Arash Zarrin, DO , Vivek Choksi, MD , Kairavee Dave, MD , Steven R. 2 MD; Texas Tech University Health Sciences Center, Paul L. Foster School Kaplan, MD, FACG ; 1. Aventura Hospital and Medical Center, Miami, FL; 2. of Medicine, El Paso, TX Aventura Hospital and Medical Center, Aventura, FL P0410. Efficacy of Self Expanding Metal Stent (SEMS) in Refractory P0420. Bleeding Beyond the Line: Anorectal Melanoma as a Cause of Bleeding Esophageal Varices, Is There a Mortality Benefit? An Indirect- Lower Gastrointestinal Bleeding Comparison Meta-Analysis to Trans-Jugular Intra-Hepatic Porto-Systemic Huy Phan, MD, James H. Tabibian, MD, PhD, Hongying Tan, MD; Olive Shunt (TIPS) View - UCLA Medical Center, Sylmar, CA Babu P. Mohan, MD1, Saurabh Chandan, MD2, Shahab R. Khan, MBBS1, P0421. GIST Kidding: Primary Gastric Synovial Sarcoma Presenting as Rajesh Kotagiri, MD3, Babatunde Olaiya, MD, MPH, MPP4, Andrew Ofosu, Hematemesis 5 6 MD , Douglas G. Adler, MD, FACG ; 1. University of Arizona / Banner Steven Bialick, DO, MS1, Stephen Schwartz, DO1, Yii Chun Khiew, MD1, University Medical Center, Tucson, AZ; 2. University of Nebraska Medical Anna Budina, MD, PhD2, Lee Hartner, MD3; 1. University of Pennsylvania Center, Omaha, NE; 3. Banner University Medical Center, Tucson, AZ; 4. Health System, Philadelphia, PA; 2. Hospital of the University of Marshfield Clinic, Marshfield, WI; 5. Brooklyn Hospital Center, Brooklyn, Pennsylvania, Philadelphia, PA; 3. Abramson Cancer Center, University of NY; 6. University of Utah School of Medicine, Salt Lake City, UT Pennsylania, Philadelphia, PA P0411. Bidirectional Endoscopy in Asymptomatic-Iron Deficiency Anemia P0422. Gastrointestinal Bleeding in a Patient With Latent Tuberculosis and (A-IDA) Remote T-Cell Lymphoma 1 2 1 Michael Schopis, MD , Arcelia Guerson Gil, MD , Yonatan Ziv, MD , Rie Seu, Gabriel Castillo, MD, Dimpal Bhakta, MD, Kimon Argyropoulos, MD, 3 1 1 3 MS , Nai Chien Yeat, MD , Samuel Muench, MD , Mimi Kim, PhD , Olga Farnoush M. Moen, MD, Renee L. Williams, MD; New York University 1 1 Aroniadis, MD, MSc , Lawrence Brandt, MD, MACG ; 1. Montefiore Medical Langone Medical Center, New York, NY Center, Bronx, NY; 2. Jacobi Medical Center, Bronx, NY; 3. Albert Einstein College of Medicine, Bronx, NY

P0423. A Puzzling Case of Rising Salicylate Levels P0435. A Malignant Case of Gastrointestinal Bleed Karissa Lambert, MD1, Amira Hamed, MD2, Ahmed Said Hamed, MD2, Samia Asif, MD, Lyla Saeed, MD; University of Missouri Kansas City School Eslam Ali, MD3; 1. Vidant Medical Center, Greenville, NC; 2. Vidant Medical of Medicine, Kansas City, MO Center / East Carolina University, Greenville, NC; 3. Brody School of Medicine, Greenville, NC P0436. Acute Lower Gastrointestinal Bleeding Due to Multiple Colonic Polypoid Angiodysplasias in a Patient With Sickle Cell Disease P0424. A Rare Case of Hematemesis Due to a Large Gastric Pyloric Gland Noah Mahpour, MD, Abhishek Bhurwal, MD, Anish V. Patel, MD; Robert Adenoma Wood Johnson Medical School, Rutgers University, New Brunswick, NJ Iman J. Boston, MD, Patrick Chen, DO, R. Christopher Wille, MD; Wright State University Boonshoft School of Medicine, Dayton, OH P0437. Meckel’s Diverticulum in an Adult Presenting as Acute Gastrointestinal Bleeding P0425. Spots and Dots on the Skin and Stomach: Gastrointestinal Quinton D. Palmer, MD, Yadav Pandey, MD, Akshay Goel, MD, Ujjwal Vasculitis Kumar, MD, Benjamin Tharian, MD, Kemmian D. Johnson, MD, MPH, Shilpa Viswanath, DO1, Tarek Almouradi, MD2; 1. Advocate Christ Hospital, Urooba Nadeem, MD, Vibhor Wadhwa, MD, Xiaofei Wang, MD, Kevin Burr Ridge, IL; 2. Advocate Christ Medical Center, Oak Lawn, IL Corley; University of Arkansas for Medical Sciences, Little Rock, AR P0426. Ventriculoperitoneal Shunt Migration Into the Stomach: Case P0438. A Rare Source of Gastrointestinal Bleeding Discovered With Report and Review of Literature Capsule Endoscopy Yala K. Reddy, MD, Shilpa Lingala, MD, Nazneen Ahmed, MD; University of Michael Harris, DO, Noah Settergren, DO, Jimmy Giang, DO, Paula Tennessee Health Science Center, Memphis, TN Dionisio, MD; Parkview Medical Center, Pueblo, CO P0427. The Use of Hemostat Spray in Refractory Rectal Cancer Bleeding P0439. Gastrointestinal Plasmacytomas Steve Serrao, MD, MPH, PhD, Medora Rodrigues, MD, MPH, Erick Yazan Hasan, MBBS1, Henning Gerke, MD2, Ibrahim Abukhiran, MBBS2; 1. Imbertson, MD; Loma Linda University Medical Center, Loma Linda, CA University of Iowa Hospitals & Clinics, North Liberty, IA; 2. University of Iowa Hospitals & Clinics, Iowa City, IA P0428. The Answer Is on Your Skin: A Case of GI Bleeding Secondary to Kaposi Sarcoma P0440. BRTO for Treatment of Persistent Gastric Variceal Bleed in a Pranav Penninti, DO1, Nael Haddad, MD1, Mazyar Malakouti, MD1, Alfredo Patient With HCC Camero, MD2, Randy P. Wright, MD1; 1. University of Texas Health Science Jaimy Villavicencio, MD1, Daniela Guerrero, MD1, Ismail Elkhattib, MBBCh2; Center, San Antonio, TX; 2. University of Texas Health, San Antonio, TX 1. University of Connecticut School of Medicine, Farmington, CT; 2. University of Connecticut, Farmington, CT P0429. A Case of a Hidden Varix: Massive Duodenal Variceal Hemorrhage Requiring Emergent TIPS P0441. Isolated Gastric Varices as the Sole Manifestation of Renal Cell Pranav Penninti, DO1, David Valadez, MD2, Lisandro Gonzalez, MD1, Carcinoma Michael Walters, MD1, Souleymane Y. Diallo, DO, MBA1, John Walker, MD1, Emmanuel Okenye, DO1, Cory Fielding, MD1, Kamal Singh, MD2; 1. Juan Echavarria, MD, MSc2, Charles Brady, MD1; 1. University of Texas University of Kentucky, Bowling Green, KY; 2. The Medical Center in Health Science Center, San Antonio, TX; 2. University of Texas Health, San Bowling Green, Bowling Green, KY Antonio, TX P0442. Recurrent Lower Gastrointestinal Bleeding Secondary to P0430. Atrioesophegeal Fistula, a Rare but Devastating Cause of Upper Hermansky-Pudlak Syndrome Gastrointentinal Bleeding Ajay Tambe, MBBS1, Anuj Sharma, MD2, Divey Manocha, MD3; 1. SUNY Timothy Ball, MD1, Vishal Kaila, MD2, Jay Franklin, MD1, Manish Assar, Upstate Medical Center, Syracuse, NY; 2. State University of New MD1, Beth Frost, DO3, Jeffrey Barnard, MD4, Rajeev Jain, MD5; 1. Baylor York Upstate Medical Center, Syracuse, NY; 3. SUNY Upstate Medical University Medical Center, Dallas, TX; 2. Texas Health Presbyterian, Dallas, University, Syracuse, NY TX; 3. Maricopa Integrated Health System, Phoenix, AZ; 4. University of Texas Southwestern Medical Center, Dallas, TX; 5. Texas Digestive Disease P0443. Unintentional Bread Bag Clip Ingestion Leading to High Risk Consultants, PA, Dallas, TX Duodenal Ulcer Dan McEntire, MD, Jeffrey S. Bank, MD; University of Utah School of P0431. An Unusual Cause of Post-Polypectomy Bleeding Medicine, Salt Lake City, UT Vishal Kaila, MD1, Amit P. Desai, MD2; 1. Texas Health Presbyterian, Dallas, TX; 2. Texas Digestive Disease Consultants, PA, Dallas, TX P0444. Dominant Claw Control: Role of OTSC Clip as Salvage Hemostasis Therapy P0432. Levamisole Contaminated Cocaine Presenting as Gastrointestinal Gilad Shapira, MD1, Manoj Kumar, MD2, Yazan Fahmawi, MD2, Meir Mizrahi, Ulcerations and Bleed MD3; 1. University of South Alabama College of Medicine, Mobile, AL; 2. Mary-Jane O. Williams, MD, Napatkamon Ayutyanont, PhD, Hossein A. University of South Alabama, Mobile, AL; 3. University of South Alabama Akhondi, MD; Sunrise Health GME Consortium, MountainView Hospital, College of Medicine, Spanish Fort, AL University of Nevada Reno, Las Vegas, NV P0445. Modern Coils and Glue: An Evolving EUS Application in the P0433. A Deadly Diagnosis: Aortic Stent Causing Aorto-Esophageal Fistula Management of Gastric Varices Shilpa D. Kailas, MD1, Prasad Kulkarni, MD2; 1. University of South Florida, Jessica Houston, DO1, Manoj Kumar, MD2, Yazan Fahmawi, MD2, Michael Tampa, FL; 2. University of South Florida Morsani College of Medicine, Barker, MD2, Meir Mizrahi, MD3; 1. University of South Alabama College Tampa, FL of Medicine, Mobile, AL; 2. University of South Alabama, Mobile, AL; 3. University of South Alabama College of Medicine, Spanish Fort, AL P0434. A Case of Diffuse Antral and Pyloric Ulcers Abdullah S. Shaikh, MD1, Michelle Baliss, DO2, Ahmed Chatila, MD3, P0446. An Unexpectedly Large Vascular Anomaly Causing Chronic Obscure Hamza Abdulla, MD2, Sreeram Parupudi, MD, FACG3; 1. University of Texas GI Hemorrhage: A Case Report Medical Branch, Houston, TX; 2. The University of Texas Medical Branch, Jade Edwards, MD1, Sabrina Prabakaran, MD1, Negar Niknam, MD2, Patrick Galveston, TX; 3. University of Texas Medical Branch, Galveston, TX Brady, MD1; 1. University of South Florida Morsani College of Medicine, Tampa, FL; 2. University of South Florida, Tampa, FL

66 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0447. Not All Diverticular Bleeds Are Colonic: A Rare Case of Zenker's P0457. Multiplex Polymerase Chain Reaction-Based Stool Testing SUNDAY Diverticulum Bleeding and Endoscopic Treatment Results in Less Endoscopy in Outpatients With Inflammatory Bowel George Henry, MD, Allawy Allawy, MBBCh, Scott Matherly, MD, Ravi Disease Compared to Conventional Stool Testing Vachhani, MD; VCU Health Systems, Richmond, VA Soonwook Hong, MD1, Ashley M. Hine, BS1, Michael Main, MD1, David P. Hudesman, MD2, Shannon Chang, MD2, Jordan E. Axelrad, MD, MPH2; P0448. Safety of Capsule Endoscopy During Pregnancy 1. New York University School of Medicine, New York, NY; 2. New York Mohammad A. Siddiqui, MD1, Khwaja F. Haq, MD2, Jason Schairer, MD2; 1. University Langone Health, New York, NY Henry Ford Hospital, Detroit, MI; 2. Henry Ford Health System, Detroit, MI P0458. The Effects of HIV Status on Complications and Outcomes in P0449. Blue Rubber Bleb Nevus Syndrome: A Diagnostic and Therapeutic Patients With Inflammatory Bowel Disease: An Analysis Using the Conundrum in Patients With Gastrointestinal Involvement Causing Chronic Nationwide Inpatient Sample Database Anemia Amjad Shaikh, BA, Preet Patel, BA, James Huynh, BA, Pavan Patel, MD, Mamoon Ur Rashid, MD1, Faisal Inayat, MD2, Waseem Amjad, MD3, Sushil Ahlawat, MD; Rutgers New Jersey Medical School, Newark, NJ Muzammil Muhammad Khan, MD4, Waqas Ullah, MD5, Hammad Zafar, MD1, Ahmed Munir, MD6, Ishtiaq Hussain, MD7, Abu Hurairah, MD1; 1. Florida P0459. Bridges to Excellence (BTE) Quality Indicators in Inflammatory Hospital, Orlando, FL; 2. Allama Iqbal Medical College, Lahore, Punjab, Bowel Disease (IBD) in Gastroenterology Fellows’ Clinic at the University Pakistan; 3. Mercy Medical Center, Baltimore, MD; 4. Khyber Medical of Oklahoma Health Sciences Center: A Quality Improvement Project College, Peshawar, North-West Frontier, Pakistan; 5. Abginton Jefferson George Salem, MD, Ijlal Ali, MD, Alyssa Grossen, MD, Hussein Bitar, MD, Health, Abington, PA; 6. Services Institute of Medical Sciences, Lahore, Donald J. Kastens, MD, FACG; University of Oklahoma Health Sciences Punjab, Pakistan; 7. Cleveland Clinic Foundation, Weston, FL Center, Oklahoma City, OK P0450. Hyperplastic Polyp: A Rare Case of Recurrent Iron Deficiency P0460. Ustekinumab Intravenous Reinduction Therapy Is Effective at Anemia Recapturing Response in Patients With Crohn’s Disease Mamoon Ur Rashid, MD1, Deepika Sarvepalli, MD1, Waqas Ullah, Joshua Hudson, MD, MS, Edward L. Barnes, MD, MPH, Hans Herfarth, MD, MD2, Hammad Zafar, MD1, Ishtiaq Hussain, MD3, Badar Hasan, MD3, FNU PhD; University of North Carolina, Chapel Hill, NC Asad Ur Rehman, MD4, Abu Hurairah, MD1; 1. Florida Hospital, Orlando, FL; 2. Abginton Jefferson Health, Abington, PA; 3. Cleveland Clinic P0461. Crohn’s Disease Mortality and Ambient Air Pollution in New York City  Foundation, Weston, FL; 4. Cleveland Clinic, Weston, FL Presidential Poster Award Alexandra Feathers, MPH, MPA1, Gina Lovasi, PhD, MPH2, Kade Beem, BA3, P0451. An Ulcerated Lipoma as the Cause of Obscure Gastrointestinal Zoya Grigoryan, MS, BA4, Samit K Datta, MD5, David Faleck, MD6, Thomas Bleeding Socci, PhD1, Arun Swaminath, MD1; 1. Lenox Hill Hospital, New York, NY; Melissa Vitolo, MD, Robert Coben, MD; Thomas Jefferson University 2. Drexel University - Dornslife School of Public Health, Philadelphia, PA; Hospital, Philadelphia, PA 3. SWCA Environmental Consultants, Broomfield, CO; 4. Cooper Medical School of Rowan University, Cherry Hill, NJ; 5. Aurora Health Care, P0452. Never Assume, Always Ask: Beyond Infectious and Inflammatory Milwaukee, WI; 6. Memorial Sloan-Kettering Cancer Center, New York, NY Proctocolitis Sailaja Pisipati, MD, FRCS1, Wut Yi Phoo, MD1, Ting Hui Hsieh, MD2, Tom P0462. Improving Inflammatory Bowel Disease Care: A Quality Fang, MD2, Kirk Bronander, MD1; 1. University of Nevada Reno School of Improvement Project for Venous Thromboembolism Prophylaxis Medicine, Reno, NV; 2. Renown Regional Medical Center, Reno, NV Pranav Penninti, DO, Chirag Patel, MD, Elizabeth Coss, MD; University of Texas Health Science Center, San Antonio, TX P0453. CHF - Chronic Hernial Failure Presenting as Congestive Heart Failure P0463. Tumor Necrosis Factor Antagonists Are Superior to Ustekinumab Sailaja Pisipati, MD, FRCS1, Mohamed Taha, MD1, Tomas Hinojosa, MD2, and Vedolizumab for the Prevention of Postoperative Recurrence in Adult Omar Canaday, MD1; 1. University of Nevada Reno School of Medicine, Crohn’s Disease Reno, NV; 2. VA Sierra Nevada Health Care System, Reno, NV Takahiro Nakamura, MD1, Michael Main, MD1, Shannon Chang, MD1, Benjamin Click, MD2, David Hudesman, MD1, Jordan Axelrad, MD, MPH3; 1. New York University Langone Medical Center, New York, NY; 2. Cleveland IBD Clinic Foundation, Cleveland, OH; 3. New York University School of Medicine, New York, NY P0454. Molecular Response to Ustekinumab in Moderate-to-Severe Ulcerative Colitis by Serum Protein and Colon Transcriptomic Analysis: P0464. Ustekinumab Dose Escalation Is Effective in Treatment of Crohn's Results From the UNIFI Phase 3 Maintenance Study Disease Katherine Li, PhD, Feifei Yang, PhD, Karen Hayden, PhD, David Strawn, Erica Cohen, MD, Christina Ha, MD, Gaurav Syal, MD; Cedars-Sinai Medical PhD, Eric Wadman, PhD, Sunita Bhagat, PhD, Colleen Marano, PhD, Center, Los Angeles, CA Joshua R. Friedman, PhD; Janssen Research & Development, LLC, Spring P0465. Ulceration of the Pre-Pouch Ileum in Patients With Ulcerative House, PA Colitis Following Proctocolectomy With Ileal Pouch-Anal Anastomosis: P0455. Risk of New or Recurrent Cancer in Patients With Inflammatory An Analysis of Pouchoscopies From 272 Patients Bowel Disease and Previous Cancer Exposed to Vedolizumab or Jacob E. Ollech, MD1, Shintaro Akyiama, MD, PhD1, Victoria Rai, BS1, Ustekinumab Russell D. Cohen, MD1, Roger D. Hurst, MD1, Neil H. Hyman, MD1, Sushila R. Alice Pang, MD, David P. Hudesman, MD, Shannon Chang, MD, Jordan E. Dalal, MD1, David T. Rubin, MD, FACG2; 1. University of Chicago Medicine, Axelrad, MD, MPH; New York University Langone Health, New York, NY Inflammatory Bowel Disease Center, Chicago, IL; 2. Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL P0456. Outpatients With Inflammatory Bowel Disease Are More Likely to Have Viral and Multiple Enteric Infections Identified on Multiplex PCR Pathogen Panel Testing Soonwook Hong, MD1, Michael Main, MD1, Ashley M. Hine, BS1, David P. Hudesman, MD2, Shannon Chang, MD2, Jordan E. Axelrad, MD, MPH2; 1. New York University School of Medicine, New York, NY; 2. New York University Langone Health, New York, NY

P0466. Epidemiology of Major Depressive Disorder, Anxiety Disorder, and P0477. Increased Prevalence of Sinusitis Among Patients With Bipolar Disorder in Ulcerative Colitis in the United States Between 2014 Inflammatory Bowel Disease and 2019: A Population-Based National Study Victoria Rai, BS1, David T. Rubin, MD, FACG2; 1. University of Chicago  Presidential Poster Award Medicine, Inflammatory Bowel Disease Center, Chicago, IL; 2. Inflammatory Vijit Chouhan, MD1, Emad Mansoor, MD1, Mohannad Abou Saleh, MD2, Bowel Disease Center, University of Chicago Medicine, Chicago, IL Jeffry Katz, MD1, Miguel Regueiro, MD, FACG2, Gregory S. Cooper, MD1; P0478. Development of a Novel Web-Based Yoga, Breathing, and 1. University Hospitals Cleveland Medical Center, Cleveland, OH; 2. Meditation Site for Patients With Inflammatory Bowel Disease Cleveland Clinic Foundation, Cleveland, OH Victoria Rai, BS1, Biana G. Lanson, MD2, David T. Rubin, MD, FACG3; 1. P0467. Epidemiology of Major Depressive Disorder, Anxiety Disorder, and University of Chicago Medicine, Inflammatory Bowel Disease Center, Bipolar Disorder in Crohn’s Disease in the United States Between 2014 and Chicago, IL; 2. Stamford Hospital, Stamford, CT; 3. Inflammatory Bowel 2019: A Population-Based National Study Disease Center, University of Chicago Medicine, Chicago, IL Vijit Chouhan, MD1, Emad Mansoor, MD1, Mohannad Abou Saleh, MD2, P0479. An Update on the Analysis of Non-Melanoma Skin Cancer in the Jeffry Katz, MD1, Miguel Regueiro, MD, FACG2, Gregory S. Cooper, MD1; Tofacitinib Ulcerative Colitis Program 1. University Hospitals Cleveland Medical Center, Cleveland, OH; 2. Bruce E. Sands, MD, FACG1, Millie D. Long, MD, MPH, FACG2, Leonard Cleveland Clinic Foundation, Cleveland, OH Baidoo, MD, FACG3, Walter Reinisch, MD4, Julian Panés, MD, PhD5, Arif P0468. Prevalence of IBD Among Asian Subgroups in a Northern California Soonasra, PharmD6, Ronald D. Pedersen, MS6, Nervin Lawendy, PharmD6, Managed Care Organization Gary Chan, PharmD6; 1. Icahn School of Medicine at Mount Sinai, New Jonathan Nguyen, MD1, Julia Wei, MPH2, Nirmala Ramalingam, MPP1, York, NY; 2. University of North Carolina, Center for Gastrointestinal Benjamin Hassid, MD1; 1. Kaiser Permanente Medical Center, Oakland, CA; Biology and Disease, Chapel Hill, NC; 3. Northwestern University Feinberg 2. Kaiser Permanete, Oakland, CA School of Medicine, Chicago, IL; 4. Medical University of Vienna, Vienna, Wien, Austria; 5. Hospital Clínic de Barcelona, IDIBAPS, CIBERehd, P0469. Isolated Lymphoid Aggregates Identified in Non-Inflammatory Barcelona, Catalonia, Spain; 6. Pfizer Inc, Collegeville, PA Bowel Disease (IBD) Patients Are Associated With an Increased Incidence of IBD Development P0480. Defining Meaningful Attributes for the Treatment of IBD From Aurada Cholapranee, MD, Keith Sultan, MD, Charles J. Pohanka, IV, BA; Patients’ Perspective Northwell Health System, Manhasset, NY Edouard Louis, MD1, Juan Ramos, MD2, Jesus Cuervo, MD2, Uri Kopylov, MD, FEBGH3, Manuel Barreiro de Acosta, MD4, Sara McCartney, MD5, P0470. Inflammatory Bowel Disease Patients With Type 2 Diabetes and Greg Rosenfeld, MD6, Dominik Bettenworth, MD7, Ailsa Hart, MD8, Kerri Obesity Have a Higher Annual Burden and Costs of Hospitalizations: A Call Novak, MD9, Xavier Donnet, MD10, David Easton, MD11, Roberto Saldana, for Action MD12, Katja Protze, MS13, Eyal Tzur, MD14, Gabriela Alperovich Lehrer, MD15, 1 2 1 Madalina Butnariu, MD , Kyle Porter, MAS , Syed Husain, MD , Anita Afzali, Francesc Casellas, MD16; 1. CHU de Liège et Université de Liège, Liège, 1 MD, MPH, FACG ; 1. The Ohio State University Wexner Medical Center, Liege, Belgium; 2. Axentiva Solutions, Santa Cruz de Tenerife, Canarias, Columbus, OH; 2. The Ohio State University, Columbus, OH Spain; 3. Sheba Medical Center, Ramat Gan, Tel Aviv, Israel; 4. Complejo P0471. Onset of Response With Infliximab vs. Vedolizumab in the Universitario de Santiago de Compostela, Santiago de Compostela, Treatment of Bio-Naïve Inflammatory Bowel Disease Galicia, Spain; 5. University College London Hospitals, London, England, Chris Fourment, MD1, Timothy E. Ritter, MD1, Samantha A. Kuten, United Kingdom; 6. University of British Columbia, Vancouver, BC, PharmD2, Thomas C. Hardin, PharmD, MS2, Lucinda J. Van Anglen, Canada; 7. University Hospital Munster, Munster, Rheinland-Pfalz, PharmD2; 1. Texas Digestive Disease Consultants, PA, Southlake, TX; 2. Germany; 8. London North West Healthcare, London, England, United Healix Infusion Therapy, Sugar Land, TX Kingdom; 9. The University of Calgary, Calgary, AB, Canada; 10. Association Crohn-RCUH, Brussels Hoofdstedelijk Gewest, Belgium; 11. P0472. Relapse Rate From Deep Remission After Withdrawal of Anti-TNFa Canada Crohn's and Colitis, Toronto, ON, Canada; 12. Confederation of in Inflammatory Bowel Disease: A Meta-Analysis Spanish Associations of Patients with Crohn's Disease and Ulcerative Alakh Gulati, MD1, Omeed Alipour, MD1, Ling Shao, MD, PhD1, Bing Zhang, Colitis (ACCU), Madrid, Madrid, Spain; 13. Dresden, Sachsen, Germany; MD, MAS2; 1. University of Southern California, Los Angeles, CA; 2. 14. Crohn’s and Colitis foundation of Israel, Tel Aviv, Tel Aviv, Israel; 15. University of California San Francisco, San Francisco, CA AbbVie, Inc., North Chicago, IL; 16. Crohn-Colitis Care Unit (UACC), P0473. Hospital Teaching Status on Healthcare Expenditure Amongst Hospital Universitari Vall d’Hebrón, Barcelona, Catalonia, Spain Patients Admitted for Inflammatory Bowel Disease in the U.S. P0481. The Peripartum Risk of Deep Vein Thrombosis and Pulmonary Kalpesh Patel, MD, Pavan Patel, MD, Grace H. Yang, MD, Siddharth Verma, Embolism in Women With Inflammatory Bowel Disease: A Population- MD, JD; Rutgers New Jersey Medical School, Newark, NJ Based Cohort Analysis P0474. Outcomes Following Therapeutic Drug Monitoring of Vedolizumab Akriti Saxena, MD, Rahul S. Dalal, MD, Shivali Berera, MD, Gary R. Elliot J. Graziano, MD1, Katherine Gheysens, MD2, Raymond K. Cross, MD, Lichtenstein, MD, FACG; University of Pennsylvania, Philadelphia, PA MS3, James Campbell, MD1, Byron Vaughn, MD1; 1. University of Minnesota, P0482. Faster Sedation Times for Inflammatory Bowel Disease (IBD) Minneapolis, MN; 2. University of Maryland, Baltimore, MD; 3. University Patients Undergoing Elective Endoscopic Procedures Can Be Safely Achieved of Maryland Medical Center, Baltimore, MD With a Higher Propofol Induction Dosage Compared to Non-IBD Patients P0475. Comparison of Morbidity and Mortality in Ulcerative Colitis Patient Daniel S. Zhang, MD, Roman Stana, MD, Bincy Abraham, MD, FACG; Admissions With Cytomegalovirus and Clostridium difficile Infections Houston Methodist Hospital, Houston, TX Frank Senatore, MD, Abhishek Bhurwal, MD, Darren Seril, MD, PhD; Robert P0483. Measuring Serum Vedolizumab and Antibodies to Vedolizumab: Wood Johnson Medical School, Rutgers University, New Brunswick, NJ Comparison of Four Commercially Available Clinical Laboratory Assays to P0476. Immune Checkpoint Inhibitor Related Colitis (ICI-Colitis) in Patients the Assay Used in Vedolizumab Development 1 1 2 With Preexisting Inflammatory Bowel Disease or Microscopic Colitis Lili Yang, MS , Iwona Dobler, PhD , Christian Agboton, MD , Teresa 3 1 Joseph Sleiman, MD, Ravi Shah, MD, Wei Wei, MSc, Pauline Funchain, MD, Osborn, PharmD , Glennda Smithson, PhD ; 1. Takeda Pharmaceuticals Jessica Philpott, MD, Roberto Simons-Linares, MD, MS; Cleveland Clinic International, Inc., Cambridge, MA; 2. Takeda Pharmaceuticals Foundation, Cleveland, OH International, Inc., Zurich, Zurich, Switzerland; 3. Takeda Pharmaceuticals International, Inc., Chicago, IL

68 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0484. Infliximab Trough Level or Combination Immunomodulator P0492. Crohn’s Disease and Risk of Surgery Based on Disease Location SUNDAY Therapy: Which Correlates Best With Mucosal Healing in IBD? and Phenotype Badr Al-Bawardy, MD1, Sarah Jenkins, MS2, Melissa Snyder, PhD2, Edward Chase K. Young, BA1, Donya R. Jahandar, BA1, Shadi Hamdeh, MD2, V. Loftus, Jr., MD, FACG2, Maria Willrich, PhD2; 1. Yale University School of Mohamad Kalot, MD2, Maha Makki, BS, MA2, Mojtaba Olyaee, MD3; 1. Medicine, New Haven, CT; 2. Mayo Clinic, Rochester, MN University of Kansas Medical Center, Kansas City, MO; 2. University of Kansas Medical Center, Kansas City, KS; 3. University of Kansas Health P0485. Outcomes of Infliximab Treated IBD Patients Undergoing System, Kansas City, KS Simultaneous Therapeutic Drug Monitoring With Two Different Assays Badr Al-Bawardy, MD1, Sarah Jenkins, MS2, Melissa Snyder, PhD2, Edward P0493. Red Cell Distribution Width as a Differentiating Marker for V. Loftus, Jr., MD, FACG2, Maria Willrich, PhD2; 1. Yale University School of Patients With Inflammatory Bowel Disease Medicine, New Haven, CT; 2. Mayo Clinic, Rochester, MN Seyedehsan Navabi, MD, Venkata Subhash Gorrepati, MD, Esther Yoo, MD, Zachary Pattison, MD, Andrew Groff, BS, Nabeel Akhtar, MD, August P0486. Efficacy of Upadacitinib as an Induction Therapy in Severe and Stuart, MS, Andrew Tinsley, MD, Emmanuelle D. Williams, MD, Matthew Refractory Ulcerative Colitis: Sub-Group Analysis of the Phase 2b Study Coates, MD, Kofi Clarke, MD; Penn State University Milton S. Hershey U-ACHIEVE Medical Center and College of Medicine, Hershey, PA  Presidential Poster Award Geert R. D'Haens, MD1, James O. Lindsay, MD2, Edward V. Loftus, Jr., MD, P0494. Neither Obesity nor Hepatic Steatosis Are Associated With FACG3, Wen Zhou, MD4, Fabio Cataldi, MD4, Wangang Xie, PhD4, David an Increased Prevalent or Incident Colonic Dysplasia in Patients With Pugatch, MD4, Remo Panaccione, MD, FRCP5; 1. Academic Medical Center, Inflammatory Bowel Disease and Concomitant Primary Sclerosing Amsterdam, Noord-Holland, Netherlands; 2. Barts and the London School Cholangitis of Medicine and Dentistry, Queen Mary University of London, London, Michael Senter-Zapata, MD1, Scott McHenry, MD2, Hayley Motowski, MD1, England, United Kingdom; 3. Mayo Clinic, Rochester, MN; 4. AbbVie, Inc., Matthew A. Ciorba, MD1, Parakkal Deepak, MBBS, MS2; 1. Washington North Chicago, IL; 5. University of Calgary, Calgary, AB, Canada University School of Medicine, St. Louis, MO; 2. Washington University, St. Louis, MO P0487. Epidemiology and Impact of Pneumocystis jirovecii Pneumonia in Hospitalized Patients With Inflammatory Bowel Disease P0495. Epidemiology of Older-Onset Inflammatory Bowel Disease in the Sardar M. Shah-Khan, MD, Musa Shah-Khan, MD, Justin T. Kupec, MD, United States Between 2014 and 2019: A Population-Based National Study FACG; West Virginia University Hospital, Ruby Memorial Hospital, Emad Mansoor, MD1, Mohannad Abou Saleh, MD2, Muhammad Talal Morgantown, WV Sarmini, MD2, Vijit Chouhan, MD1, Miguel Regueiro, MD, FACG2, Jeffry Katz, MD1, Gregory S. Cooper, MD1; 1. University Hospitals Cleveland Medical P0488. Intestinal Resection and Clostridioides difficile Infection in Center, Cleveland, OH; 2. Cleveland Clinic Foundation, Cleveland, OH Inflammatory Bowel Disease Patients: A Single Center Retrospective Cohort Study P0496. Probability of Vedolizumab Response as Defined by Clinical Merwise Baray, BS1, Zachary Dickson, MD1, Thomas Hunold, BSPH2, Brian Decision Support Tool Is Associated With Lower Risk of Serious Infection in Behm, MD1, R. Ann Hays, MD1; 1. University of Virginia Health System, Patients With Inflammatory Bowel Disease Charlottesville, VA; 2. University of Virginia, Charlottesville, VA Parambir Dulai, MD1, Ding Feng, PhD2, Karen Lasch, MD2; 1. University of California San Diego, La Jolla, CA; 2. Takeda Pharmaceuticals U.S.A., Inc., P0489. Baseline Characteristics of a Retrospective Cohort of Patients With Deerfield, IL Inflammatory Bowel Disease Initiating Vedolizumab Therapy: Data From a Patient-Focused Application (HealthPROMISE) P0497. Early Improvement After Intravenous Ustekinumab Induction in Benjamin L. Cohen, MD1, Helena Chang, MS1, Jason Rogers, BA1, Shashank Patients With Ulcerative Colitis: Results From the UNIFI Induction Trial Garg, MS1, Debra Lawrence, PhD2, Farah Fasihuddin, MPH1, Trevor Lissoos, Bruce E. Sands, MD, FACG1, Maria T. Abreu, MD2, Colleen Marano, PhD3, MBBCh, FACG2, Ashish Atreja, MD, MPH1; 1. Icahn School of Medicine Thomas Baker, MD4, Christopher O’Brien, MD, PhD3, Hongyan Zhang, at Mount Sinai, New York, NY; 2. Takeda Pharmaceuticals U.S.A., Inc., PhD3, Jewel Johanns, PhD3, David Rowbotham, MRCP, FRACP5, Rupert Deerfield, IL W L Leong, MBBS, FRACP, MD6, Silvio Danese, MD, PhD7; 1. Icahn School of Medicine at Mount Sinai, New York, NY; 2. University of Miami Miller P0490. Investigating the Pathogenesis of Ulcerative Colitis Through Meta- School of Medicine, Miami, FL; 3. Janssen Research & Development, LLC, Analysis of Gene Expression Omnibus Data Spring House, PA; 4. Janssen Research & Development, LLC, Horsham, 1 2 Kamal Khorfan, MD , Jihad Aljabban, AB, MMSc , Merve Gurakar, MD, PA; 5. Auckland City Hospital, Grafton, Auckland, New Zealand; 6. 3 4 5 6 MPH , Hajra Khan, MD , Nabeal Aljabban, BS , Mohamad Mukhtar, BS , Concord and Macquarie University Hospitals, Sydney, New South Wales, 7 Dexter Hadley, MD, PhD ; 1. Henry Ford Health System, Detroit, MI; 2. The Australia; 7. Humanitas University, Milan, Lombardia, Italy Ohio State University College of Medicine, Columbus, OH; 3. The Johns Hopkins Hospital, Baltimore, MD; 4. Detroit Medical Center, Detroit, MI; 5. P0498. Ustekinumab Maintained Clinically Meaningful Improvement in Penn State College of Medicine, Hershey, PA; 6. Michigan State University, Health-Related Quality of Life in Patients With Moderate to Severe Crohn’s College of Human Medicine, East Lansing, MI; 7. University of California Disease: Results From the IM-UNITI Long-Term Extension San Francisco, San Francisco, CA Bruce E. Sands, MD, FACG1, Chenglong Han, MD, PhD2, Christopher Gasink, MD3, Zou Bin, PhD4, Targan Stephen, MD5, William J. Sandborn, P0491. Audit of Introducing Fecal Bile Acid Diagnostic Test in Evaluation MD, FACG6, Brian G. Feagan, MD, MSc, FACG7; 1. Icahn School of Medicine of Diarrhea in Patients With Inflammatory Bowel Disease in a Tertiary at Mount Sinai, New York, NY; 2. Janssen Global Services, LLC, Malvern, Care Center PA; 3. Janssen Scientific Affairs, LLC, Horsham, PA; 4. Janssen Research & 1 1 2 Victor Chedid, MD , Priya Vijayvargiya, MD , Leslie Donato, PhD , Gerardo Development, LLC, Spring House, PA; 5. Cedars-Sinai Medical Center, Los 3 1 2 Calderon, MD , Laura E. Raffals, MD, FACG , Michael Camilleri, MD, FACG ; Angeles, CA; 6. University of California San Diego, La Jolla, CA; 7. Robarts 1. Mayo Clinic, Rochester, MN; 2. Mayo Clinic College of Medicine and Clinical Trials, London, ON, Canada Science, Rochester, MN; 3. Indiana University Hospital, Rochester, MN

P0499. Risk Factors for and Frequency of CT Scans in Inflammatory Bowel P0508. Mild Endoscopic Activity Is Associated With an Increased Risk of Disease Patients Seen in the Emergency Department Relapse in Patients With Ulcerative Colitis Kerri Glassner, DO1, Lindsay Euers, MD1, Prianka Gajula, MD1, Michelle Harris Feldman, BS1, Lauren A. George, MD1, Ameer Abutaleb, MD1, Ashley Jones-Pauley, DO1, Chika F. Ezeana, MD, MS1, Mamta Puppala, MS1, M. Hine, BS2, Samantha Zullow, MD2, Jordan E. Axelrad, MD, MPH3, David Lin Wang, PhD1, Stephen T. Wong, PhD1, Ayah Oglat, MD2, Stephanie P. Hudesman, MD3, Raymond K. Cross, MD, MS4; 1. University of Maryland Nickerson, FNP1, Bincy Abraham, MD, FACG1; 1. Houston Methodist School of Medicine, Baltimore, MD; 2. New York University School of Hospital, Houston, TX; 2. Baylor College of Medicine, Houston, TX Medicine, New York, NY; 3. New York University Langone Health, New York, NY; 4. University of Maryland Medical Center, Baltimore, MD P0500. Low Levels of Ustekinumab Despite Dose Escalation Is a Risk Factor for Surgery P0509. Item-Level Improvements in Inflammatory Bowel Disease Kerri Glassner, DO, Caroline Perry, BS, Amanda Wilhite, PA-C, Bincy Questionnaire Scores in Patients With Ulcerative Colitis Treated With Abraham, MD, FACG; Houston Methodist Hospital, Houston, TX Tofacitinib Induction Therapy Marla C. Dubinsky, MD1, Marco DiBonaventura, PhD2, Haiyun Fan, MS3, P0501. Risk Factors for and Frequency of Steroid Utilization in Andrew G. Bushmakin, MS3, Joseph C. Cappelleri, PhD, MPH4, Eric Maller, Inflammatory Bowel Disease Patients Seen in the Emergency Department MD3, Andrew J. Thorpe, PhD3, Leonardo Salese, MD3, Julian Panés, MD, PhD5; Kerri Glassner, DO1, Michelle Jones-Pauley, DO1, Prianka Gajula, MD1, 1. Icahn School of Medicine at Mount Sinai, New York, NY; 2. Pfizer Inc, New Lindsay Euers, MD1, Chika F. Ezeana, MD, MS1, Mamta Puppala, MS1, York, NY; 3. Pfizer Inc, Collegeville, PA; 4. Pfizer Inc, Groton, CT; 5. Hospital Lin Wang, PhD1, Stephen T. Wong, PhD1, Ayah Oglat, MD2, Stephanie Clínic de Barcelona, IDIBAPS, CIBERehd, Barcelona, Catalonia, Spain Nickerson, FNP1, Bincy Abraham, MD, FACG1; 1. Houston Methodist Hospital, Houston, TX; 2. Baylor College of Medicine, Houston, TX P0510. Knowledge, Perception, and Use of Cannabis Therapy in Patients With Inflammatory Bowel Disease P0502. Female Gender Associated With Decreased Inpatient Jorge Cruz-Cruz, MD, MSc1, Luis Muñiz, BS2, Frances Negron, BS3, Luis Complications in Patients With Ulcerative Colitis Ramos, BA4, Kimberly Hernández Oquendo, BS3, Natalie I. Emanuelli, Paul T. Kroner, MD, MSc1, Alex M. Kesler, MD1, Juan E. Corral, MD1, BS5, Fabiola Garau, BS6, Esther Torres, MD, MACG3; 1. University of Puerto Guillermo Riley, MD2, Frank Lukens, MD1; 1. Mayo Clinic, Jacksonville, FL; 2. Rico School of Medicine, Bayamon, Puerto Rico; 2. University of Puerto Cheng Kung University, Tainan, Tainan, Taiwan Rico School of Medicine, Yauco, Puerto Rico; 3. University of Puerto Rico P0503. Time to Flexible Sigmoidoscopy or Colonoscopy in Patients School of Medicine, San Juan, Puerto Rico; 4. University of Puerto Rico Admitted With Ulcerative Colitis Has Decreased in the Past 5 Years School of Medicine, Cidra, Puerto Rico; 5. University of Puerto Rico, San Paul T. Kroner, MD, MSc, Michael Picco, MD, PhD, John R. Cangemi, MD, Juan, Puerto Rico; 6. University of Puerto Rico, Guaynabo, Puerto Rico Francis A. Farraye, MD, MSc; Mayo Clinic, Jacksonville, FL P0511. Fatigue Is Inversely Associated With Endoscopic but Not Histologic P0504. FUT2 Genotype Is Not Associated With Disease Phenotype or Remission in IBD Patients Outcomes in Patients With Crohn’s Disease  Presidential Poster Award Wenfei Wang, MD1, Shruti Melinamani, MD1, Chervonsky Alexander, PhD1, Komal Lakhani, MD, Laura Durbin, Manasi Agrawal, MD, Richa Bhardwaj, Rene Bermea, MD1, Atsushi Sakuraba, MD2, Sushila R. Dalal, MD2, Russell MBBS, Arun Swaminath, MD; Lenox Hill Hospital, New York, NY D. Cohen, MD2, Christopher Weber, MD, PhD1, David T. Rubin, MD, FACG3, P0512. Tofacitinib, an Oral Janus Kinase Inhibitor, in the Treatment of Joel Pekow, MD2; 1. University of Chicago Medical Center, Chicago, IL; Ulcerative Colitis: An Interim Analysis of an Open-Label, Long-Term 2. University of Chicago Medicine, Inflammatory Bowel Disease Center, Extension Study With up to 5.5 Years of Treatment Chicago, IL; 3. Inflammatory Bowel Disease Center, University of Chicago Gary R. Lichtenstein, MD, FACG1, Edward V. Loftus, Jr., MD, FACG2, Arif Medicine, Chicago, IL Soonasra, PharmD3, Nervin Lawendy, PharmD3, Gary Chan, PharmD3, P0505. Safety of Ustekinumab in Inflammatory Bowel Diseases: Integrated Haiying Zhang, PhD3, Wenjin Wang, PhD3, Andrew J. Thorpe, PhD3, Safety Analysis of Results From Phase 2 and 3 Studies in Crohn’s Disease Stuart Bloom, MD, FRCP4; 1. Perelman School of Medicine, University and Ulcerative Colitis of Pennsylvania, Philadelphia, PA; 2. Mayo Clinic, Rochester, MN; 3. William J. Sandborn, MD, FACG1, Subrata Ghosh, MD2, Christopher D. Pfizer Inc, Collegeville, PA; 4. University College London Hospitals NHS O’Brien, MD, PhD3, Elyssa Ott, MPH4, Colleen Marano, PhD3, Yiying Zhou, Foundation Trust, London, England, United Kingdom PhD3, Sheri Volger, MS3, Ilia Tikhonov3, Christopher Gasink, MD5, Silvio P0513. Tofacitinib for the Treatment of Ulcerative Colitis: An Update on the Danese, MD, PhD6, Bruce E. Sands, MD, FACG7; 1. University of California Analysis of Malignancy Rates From the UC Clinical Program San Diego, La Jolla, CA; 2. Institute of Translational Medicine and NIHR Gary R. Lichtenstein, MD, FACG1, Matthew A. Ciorba, MD2, Gerhard Biomedical Research Center, Birmingham, England, United Kingdom; Rogler, MD, PhD3, Daniel Quirk, MD, MPH, MBA4, Andrew J. Thorpe, 3. Janssen Research & Development, LLC, Spring House, PA; 4. Janssen PhD4, Ronald D. Pedersen, MS4, Nervin Lawendy, PharmD4, Gary Chan, Pharmaceuticals, LLC, Horsham, PA; 5. Janssen Scientific Affairs, LLC, PharmD4, Julian Panés, MD, PhD5; 1. Perelman School of Medicine, Horsham, PA; 6. Humanitas University, Milan, Lombardia, Italy; 7. Icahn University of Pennsylvania, Philadelphia, PA; 2. Washington University School of Medicine at Mount Sinai, New York, NY School of Medicine, St. Louis, MO; 3. University of Zürich, Zurich, Zurich, P0506. Epidemiology and Clinical Outcomes of Microscopic Colitis: Switzerland; 4. Pfizer Inc, Collegeville, PA; 5. Hospital Clínic de Barcelona, Preliminary Results From the Loyola University Microscopic Colitis Registry IDIBAPS, CIBERehd, Barcelona, Catalonia, Spain (LUMiCoR) P0514. Impact of Baseline Corticosteroid Therapy on Tofacitinib Induction Poornima Oruganti, MD, MPH, Rehmat Ullah Awan, MD, Matthew Efficacy and Infection Risk in Patients With Ulcerative Colitis: Data From Sugimoto, MD, Xianzhong Ding, MD, PhD, Michael Wesolowski, MPH, Global Clinical Trials Ayokunle T. Abegunde, MD, MSc; Loyola University Medical Center,  Presidential Poster Award Maywood, IL Gary R. Lichtenstein, MD, FACG1, Benjamin L. Cohen, MD2, Leonardo P0507. Role of C-Reactive Protein as a Marker for Disease Course in Obese Salese, MD3, Arif Soonasra, PharmD3, Irene Modesto, MD, PhD4, Wenjin Patients With Inflammatory Bowel Disease Wang, PhD3, Deborah A. Woodworth, MS, MBA3, Gary Chan, PharmD3, Chengcheng Ye, MD1, Ixavier Higgins, PhD2, Heba Iskandar, MD, MSCI1; 1. Daniel Quirk, MD, MPH, MBA3, Chinyu Su, MD3, Laurent Peyrin-Biroulet, Emory University School of Medicine, Atlanta, GA; 2. Emory University, MD, PhD5; 1. Perelman School of Medicine, University of Pennsylvania, Atlanta, GA Philadelphia, PA; 2. Icahn School of Medicine at Mount Sinai, New York, NY; 3. Pfizer Inc, Collegeville, PA; 4. Pfizer, Madrid, Madrid, Spain; 5. Lorraine University, Vandoeuvre-lès-Nancy, Lorraine, France 70 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM

P0515. Platelet to Albumin Ratio: An Early Predictor of Colectomy in Acute P0523. Corticosteroid Sparing Effects of Ustekinumab Therapy in UC POSTERS Ulcerative Colitis Patients: Results From the UNIFI Program SUNDAY Raghavendra Paknikar, MD1, Sujaata Dwadasi, MD2, Donald Goens, MD2, Silvio Danese, MD, PhD1, Bruce E. Sands, MD, FACG2, Laurent Peyrin- Maryam Zafer, MD3, Dejan Micic, MD1; 1. University of Chicago, Chicago, Biroulet, MD, PhD3, Colleen Marano, PhD4, Christopher O’Brien, MD, IL; 2. University of Chicago Medical Center, Chicago, IL; 3. University of PhD4, Hongyan Zhang, PhD4, Alessandra Oortwijn, PhD5, David Chicago Hospitals, Chicago, IL Rowbotham, MRCP, FRACP6, Rupert W L Leong, MBBS, FRACP, MD7, Ramesh P. Arasaradnam, PhD8, Gert Van Assche, MD9, William J. P0516. History of Clostridium difficile Infection Predicts Late Colectomy in Sandborn, MD, FACG10, Remo Panaccione, MD, FRCP11; 1. Humanitas Patients With Acute Ulcerative Colitis University, Milan, Lombardia, Italy; 2. Icahn School of Medicine at Raghavendra Paknikar, MD1, Sujaata Dwadasi, MD2, Donald Goens, MD2, Mount Sinai, New York, NY; 3. Lorraine University, Vandoeuvre- Maryam Zafer, MD3, Joel Pekow, MD4, Dejan Micic, MD1; 1. University of lès-Nancy, Lorraine, France; 4. Janssen Research & Development, Chicago, Chicago, IL; 2. University of Chicago Medical Center, Chicago, IL; LLC, Spring House, PA; 5. Janssen Biologics BV, Leiden, Zuid-Holland, 3. University of Chicago Hospitals, Chicago, IL; 4. University of Chicago Netherlands; 6. Auckland City Hospital, Grafton, Auckland, New Medicine, Inflammatory Bowel Disease Center, Chicago, IL Zealand; 7. Concord and Macquarie University Hospitals, Sydney, New P0517. Optimizing the Definition of Clinical Response Using the Modified South Wales, Australia; 8. Warwick Medical School, University Hospital Mayo Score: An Analysis of a Phase 2 Study With Mirikizumab in Patients Coventry, Warwickshire, England, United Kingdom; 9. University of With Ulcerative Colitis Leuven, Leuven, Brabant Wallon, Belgium; 10. University of California San Vipul Jairath, BSc, MBChB, PhD, MRCP1, William J. Sandborn, MD, FACG2, Diego, La Jolla, CA; 11. University of Calgary, Calgary, AB, Canada Yan Dong, PhD3, April Naegeli, DrPH, MPH3, Jay Tuttle, PhD3, Michael 3 3 4 P0524. Early Clinical Response and Remission With Vedolizumab versus Durante, PhD , Vipin Arora, PhD , Geert R. D'Haens, MD ; 1. Western Adalimumab in Ulcerative Colitis: Results From VARSITY University, London Health Sciences Centre, London, ON, Canada; 2.  Presidential Poster Award University of California San Diego, La Jolla, CA; 3. Eli Lilly and Company, Silvio Danese, MD, PhD1, Edward V. Loftus, Jr., MD, FACG2, Jean-Frédéric Indianapolis, IN; 4. Amsterdam University Medical Centers, Amsterdam, Colombel, MD3, Laurent Peyrin-Biroulet, MD, PhD4, Brihad Abhyankar, Noord-Holland, Netherlands FRCS, MBA5, Jingjing Chen, PhD6, Raquel Rogers, MD, MSc6, Richard A. P0518. Relationship Between Partial Mayo Score and Patient-Reported Lirio, MD6, Jeffrey D. Bornstein, MD6, Stefan Schreiber, MD, PhD7, Bruce Outcomes for Ulcerative Colitis Patients in the United States E. Sands, MD, FACG8; 1. Humanitas University, Milan, Lombardia, Italy; 2. Zhijie Ding, PhD, MS1, Camilo Obando, MD, MBA1, James Izanec, MD1, Mayo Clinic, Rochester, MN; 3. Icahn School of Medicine at Mount Sinai Mirko Sikirica, PharmD2, James Lucas3, Jessalyn Kemp3, Erik Muser, Hospital, New York, NY; 4. Lorraine University, Vandoeuvre-lès-Nancy, PharmD, MPH1; 1. Janssen Scientific Affairs, LLC, Horsham, PA; 2. Janssen Lorraine, France; 5. Takeda, London, UK, Dublin, Dublin, Ireland; 6. Takeda Research & Development, LLC, Horsham, PA; 3. Adelphi Real World, Development Center Americas, Inc., Cambridge, MA; 7. Institute for Bollington, England, United Kingdom Clinical Molecular Biology, University Hospital Schleswig-Holstein, Kiel, Schleswig-Holstein, Germany; 8. Icahn School of Medicine at Mount Sinai, P0519. Comorbidity Burden Among Patients With Ulcerative Colitis in the New York, NY United States Dominic Pilon, MSc1, Camilo Obando, MD, MBA2, Zhijie Ding, PhD, MS2, P0525. The Vedolizumab Pregnancy Exposure Registry: An OTIS Pregnancy Jennifer Voelker, PharmD2, Erik Muser, PharmD, MPH2, Ameur M. Manceur, Study Update PhD1, Frederic Kinkead, MA1, Marie-Hélène Lafeuille, MA1, Patrick Lefebvre,  Presidential Poster Award MA1; 1. Analysis Group, Inc., Montreal, PQ, Canada; 2. Janssen Scientific Christina Chambers, PhD, MPH1, Jane Adams, PhD2, Diana Johnson, Affairs, LLC, Horsham, PA MS1, Ronghui Xu, PhD1, Yunjun Luo, MS1, Kenneth Lyons-Jones, MD1; 1. University of California San Diego, La Jolla, CA; 2. University of P0520. Predictors of Ectopic Pregnancy Among Women With Inflammatory Massachusetts, Boston, MA Bowel Disease: A Population-Based Cohort Analysis Shivali Berera, MD, Akriti P. Saxena, MD, Rahul S. Dalal, MD, Gary R. Lichtenstein, MD, FACG; University of Pennsylvania, Philadelphia, PA IBD P0521. A Randomized, Multicenter, Double-Blind, Placebo-Controlled Clinical Vignettes / Case Reports Study of a Targeted Release Oral Cyclosporine Formulation in the Treatment of Mild to Moderate Ulcerative Colitis: Influence of P0526. Successful Treatment of Ulcerative Colitis and Seronegative Immunosuppressants at Baseline Inflammatory Spondyloarthritis Using Concomitant Vedolizumab and Stuart Bloom, BA, MBBS, MRCP (UK), DM1, Tariq Iqbal, DM2, Chuka Tofacitinib: A Case Report 1 2 2 Nwokolo, MD3, Vipul Jairath, BSc, MBBCh, PhD, MRCP (UK)4, Jesse Hall, Joy A. Lee, MD , Pooja R. Magavi, MD , Gauree G. Konijeti, MD, MPH ; 1. MD5, Bruce Dzyngel, BSc (Hons)5, Peter Gardzinski, MSc5; 1. University Scripps Health, La Jolla, CA; 2. Scripps Clinic / Green Hospital, La Jolla, CA College London Hospitals, London, England, United Kingdom; 2. Queen P0527. A Therapeutic Misadventure With Helminth Therapy for IBD Elizabeth Hospital Birmingham, Birmingham, England, United Kingdom; Lee Meluban, BSc, Mitchell K. Spinnell, MD; The Gastroenterology Group 3. University Hospital Coventry & Warwickshire, Coventry, England, of Northern New Jersey, Englewood Cliffs, NJ United Kingdom; 4. Robarts Clinical Trials, Western University, London, ON, Canada; 5. Sublimity Therapeutics, Inc, Solana Beach, CA P0528. A Case of Optic Neuritis in Setting of Starting Infliximab-dyyb in Ulcerative Colitis Patient P0522. Increased Risk of Colectomy in Hospitalized Patients With Aws Alameri, MD1, Adam Hughston, MD1, Eric Lorio, MD2, Allan L. Parker, Inflammatory Bowel Disease and Cytomegalovirus Infection DO1; 1. University of Texas Health Science Center, San Antonio, TX; 2. Daniel Castaneda, MD, Jose Melendez-Rosado, MD, Badar Hasan, MD, University of Texas Health, San Antonio, TX Roger Charles, MD, FACG; Cleveland Clinic, Weston, FL P0529. Metastatic Breast Cancer: Another Crohn’s Mimic? Natalie M. Penn, MD, Diana Agostini-Vulaj, DO, Aaron R. Huber, DO, Andrew L. Dunn, MD, Kamila Skalski, MD, Danielle E. Marino, MD; University of Rochester Medical Center, Strong Memorial Hospital, Rochester, NY

P0530. Linear IgA Bullous Dermatosis Is an Unusual Skin Extra-Intestinal P0542. Refractory Fulminant Ulcerative Colitis With Manifestation in IBD Concurrent Clostridioides difficile Colitis Challenging Modern Guideline- Kathy N. Williams, MD, MS1, Angelica Nocerino, MD2, Shelly Rivas, MD2, Directed Medical Therapy to Failure Elena Ivanina, DO, MPH2, Arun Swaminath, MD2; 1. Lenox Hill Hospital / Marcel Ghanim, MD1, Toseef Javaid, MD2, Sami Ghazaleh, MD1, Christian Northwell Health, New York, NY; 2. Lenox Hill Hospital, New York, NY Nehme, MD1, Ali Nawras, MD, FACG1; 1. University of Toledo Medical Center, Toledo, OH; 2. University of Toledo, Toledo, OH P0531. Peristomal B-Cell Lymphoma in a Patient With Complicated Ulcerative Colitis P0543. A Case of Disseminated TB in a Patient With Colonic Crohn’s Nazar Hafiz, MD1, Naomi Ghildiyal, MD1, Anusha Jogimahanti, MD2, Shazia Disease on Anti-TNF Therapy Rashid, MD1, Smita Maruvada, MD1, Paul Jordan, MD, FACG1, Kenneth J. Grace Hopp, DO, MBA1, Harsh D. Patel, MD1, Karthik Garapati, MD2, Randy Manas, MD2, James D. Morris, MD, FACG2, Mardeli Saire Mendoza, MD3, P. Wright, MD1; 1. University of Texas Health Science Center, San Antonio, Catherine Chaudoir, MD3, Thomas Palmer, MD3, Tejinder Singh, MD3; 1. TX; 2. University of Texas Health, San Antonio, TX Louisiana State University Health Sciences Center, Shreveport, LA; 2. Louisiana State University Health, Shreveport, LA; 3. Overton Brooks VA P0544. A Case of Hepatosplenic T-cell Lymphoma in a Patient on Medical Center, Shreveport, LA Vedolizumab for Crohn’s Disease Monika Fischer, MD, Megan J. Walker, MD; Indiana University School of P0532. Insidious Onset of Crohn's Disease During Pregnancy Medicine, Indianapolis, IN Sabrina Prabakaran, MD, Krishen Patel, MD; University of South Florida Morsani College of Medicine, Tampa, FL P0545. Sclerosing Mesenteritis Treated Successfully With Ustekinumab; An Off-Label Use of Infliximab and Ustekinumab P0533. A Rare Manifestation of a Not so Rare Disease Ben Byriel, DO, Megan J. Walker, MD, Monika Fischer, MD; Indiana  Presidential Poster Award University School of Medicine, Indianapolis, IN Jamie Elchert, MD1, Dina Ahmad, MD1, Preetika Sinh, MD2; 1. Case Western P0546. Treatment of Checkpoint-inhibitor Induced Colitis Leading to Reserve University / University Hospitals, Cleveland, OH; 2. University Worsening of Melanoma Hospitals, Case Western Reserve University, Cleveland, OH Syed Bilal Pasha, MD, Veysel Tahan, MD, FACG, Jaffar Hilli, MD, Ghouri P0534. Do UC a Flare in the Bronchus Yezaz, MD; University of Missouri, Columbia, MO Nanfu Deng, MD, Jessica Bernica, MD, Maya Balakrishnan, MD, MPH; P0547. New Onset Colitis and Venous Thromboembolism in a Postpartum Baylor College of Medicine, Houston, TX Adolescent P0535. NUDT 15 C415T Variant as a Cause of Azathioprine-Induced Anita Rao, MD, Joseph Runde, DO, Tiffany Patton, MD; University of Pancytopenia With Severe Sepsis Chicago Medical Center, Chicago, IL Prasanta Debnath, II, MD, Shubham Jain, MD, Sujit Nair, MD, Suhas P0548. A Stellar Case of Stelara in the Treatment of Lymphocytic Colitis Udgirkar, MD, DM, Pravin Rathi, MD, DM; Topiwala National Medical Shaadi Abughazaleh, MD, Kerri Glassner, DO, Amanda Wilhite, PA-C, College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India Bincy Abraham, MD, FACG; Houston Methodist Hospital, Houston, TX P0536. Tofacitinib Improves Refractory Crohn’s Disease-Associated P0549. Favorable Outcomes Among IBD Patients Undergoing Bariatric Arthritis Surgery: A Case Series Benjamin Gordon, MD, Randy Longman, MD, PhD, Ellen J. Scherl, MD, Dylan Stanfield, MD1, Andrew Spiel, MD1, Sumona Saha, MD, MPH2; 1. FACG; New York-Presbyterian / Weill Cornell Medical Center, New York, University of Wisconsin Hospital and Clinics, Madison, WI; 2. University of NY Wisconsin School of Medicine & Public Health, Madison, WI P0537. Crohn's Disease and Rare Renal Extra-Intestinal Manifestations: P0550. A Rare Case of IgA Vasculitis Secondary to Infliximab Use in Two Case Reports Crohn’s Disease Andrew Simmelink, MD1, Linsey Spence, MD1, John Hanson, MD2; 1. Atrium Shiva Vangimalla, MBBS1, Muhammad U. Mirza, MBBS2, Tenzin Choden, Health / Carolinas Medical Center, Charlotte, NC; 2. Atrium Digestive MD3, Nidhi Malhotra, MD4; 1. Medstar Georgetown University / Health, Charlotte, NC Washington Hospital Center, Washington, DC; 2. MedStar Washington P0538. Mesalamine-Induced Myocarditis in a Patient With Newly Hospital Cetner, Washington, DC; 3. MedStar Georgetown University Diagnosed IBD Hospital, Washington, DC; 4. MedStar Washington Hospital Center, Michelle A. Ricci, MDCM1, Ian Epstein, MD, FRCPC2; 1. Dalhousie University, Washington, DC Saint John, NB, Canada; 2. Dalhousie University, Halifax, NS, Canada P0539. Crohn’s Colitis Creeping Into a Colonic Conduit INTERVENTIONAL ENDOSCOPY Kavya Reddy, MD1, Ahmad M. Al-Taee, MD2, Preston Lee3, Katie Schroeder, MD1; 1. Saint Louis University School of Medicine, Saint Louis, MO; 2. Saint P0551. Safety and Efficacy of the Novel Endorotor® Mucosal Resection Louis University, St. Louis, MO; 3. Saint Louis University, Saint Louis, MO System: First Multicenter USA Experience 1 2 3 P0540. A Case Report of Rectal Mesalamine-Induced Myopericarditis Kamran Ayub, MD , David L. Diehl, MD , Anthony Infantolino, MD, FACG , 4 5 6 Suzannah Luft, MD1, Corey A. Siegel, MD, MS2; 1. Dartmouth-Hitchcock Sarah Enslin, PA-C , Krystle Bittner, MPH , Raseen Tariq, MD , Nayab 7 8 4 Medical Center, Norwich, VT; 2. Dartmouth-Hitchcock Medical Center, Ashan, MD , Rida Aslam, DO , Vivek Kaul, MD, FACG ; 1. Silver Cross Hanover, NH Medical Center, Oak Brook, IL; 2. Geisinger Health System, Danville, PA; 3. Thomas Jefferson University Hospital, Philadelphia, PA; 4. University P0541. CMV Colitis Superimposed on Ischemic Colitis in an of Rochester Medical Center, Strong Memorial Hospital, Rochester, NY; Immunocompetent Individual 5. University of Rochester Medical Center, Rochester, NY; 6. Rochester Balarama K. Surapaneni, MD1, Vivek Choksi, MD1, Sufian Sorathia, MD1, General Hospital, Rochester, NY; 7. Silver Cross Medical Center, New Nehal Patel, MD1, Prashanth R. Yella, MD1, Shivani Priyadarshni, MD1, Lenox, IL; 8. Franciscan St. James Hospital, Olympia Fields, IL Franklin Kasmin, MD2; 1. Aventura Hospital and Medical Center, Aventura, FL; 2. Mount Sinai Beth Israel, Mount Sinai St. Luke's, Mount Sinai West, New York, NY

72 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0552. Efficacy and Safety of Transoral Incisionless Fundoplication (TIF) P0560. Efficacy and Safety of Endoscopic Ultrasound (EUS) Guided SUNDAY in Refractory Gastroesophageal Reflux Disease: A Systematic Review and Gastroenterostomy (GE): A Systematic Review and Meta-Analysis Meta-Analysis Rajesh Krishnamoorthi, MD1, Mahendran Jayaraj, MD2, Naveen Prasad Naveen Prasad Gopalakrishnan Ravikumar, MD1, Shilpa Sannapaneni, Gopalakrishnan Ravikumar, MD3, Dhruv Singh, MBBS4, Joanna Law, MD2, Amita Arora, MBBS3, Madhusudhan R. Sanaka, MD, FACG4; 1. State MD1, Michael Larsen, MD5, Andrew Ross, MD1, Richard Kozarek, MD, University of New York at Buffalo, School of Medicine and Biomedical FACG5, Shyan Irani, MD1; 1. Digestive Diseases Institute, Virginia Mason Sciences, Buffalo, NY; 2. Texas Health Presbyterian, Dallas, TX; 3. Gian Clinic, Seattle, WA; 2. University of Nevada Las Vegas School of Sagar Medical College and Hospital, Mohali, Punjab, India; 4. Digestive Medicine, Las Vegas, NV; 3. State University of New York at Buffalo, Disease Institute, Cleveland Clinic Foundation, Cleveland, OH School of Medicine and Biomedical Sciences, Buffalo, NY; 4. Mayo Clinic, Rochester, MN; 5. Virginia Mason Medical Center, Seattle, WA P0553. Coils and Dermabond: A Large County Hospital Experience With Gastric Varices P0561. A Nationwide Landscape of Cardiopulmonary Complications Jason Glass, MD1, Jorge Suarez, MD1, Anna Tavakkoli, MD1, Deepak Following Endoscopic Retrograde Cholangiopancreatography (ERCP) Agrawal, MD, MBA2; 1. University of Texas Southwestern, Dallas, TX; 2. Harsh K. Patel, MBBS1, Rupak Desai, MBBS2, Shreyans Doshi, MD3, University of Texas Austin Dell School of Medicine, Dallas, TX Ankit Vyas, MBBS4, Manan Vyas5, Hemant Goyal, MD6; 1. Ochsner Clinic Foundation, New Orleans, LA; 2. Atlanta VA Medical Center, Decatur, P0554. A Comparison of ERCP Outcomes Between High Volume and Low GA; 3. University of Central Florida College of Medicine HCA GME Volume Centers Consortium, Gainesville, FL; 4. Inova Heart and Vascular Institute, Falls Dania Hudhud, MD1, Lolwa Al-Obaid, MD2, Tariq Enezate, MD1; 1. University Church, VA; 5. St. Martinus Faculty of Medicine, Pontiac, MI; 6. The Wright of Missouri, Columbia, MO; 2. Lahey Hospital and Medical Center, Center of Graduate Medical Education, Clark Summit, PA Burlington, MA P0562. Impact of Prior Myocardial Infarction or Revascularization P0555. The Efficacy and Safety of Endoscopic Submucosal Dissection for on Outcomes of Adult Patients Undergoing Endoscopic Retrograde Early Gastric Cancer in Patients With Cirrhosis: A Systematic Review and Cholangiopancreatography (ERCP): An 8-year Nationwide Inpatient Meta-Analysis Outlook Passisd Laoveeravat, MD1, Abhilash Perisetti, MD2, Wasawat Vutthikraivit, Harsh K. Patel, MBBS1, Rupak Desai, MBBS2, Shreyans Doshi, MD3, MD1, Mauricio Garcia-Saenz-de-Sicilia, MD2, Shashank Garg, MD2, Ragesh Neet Lakhani, MBBS4, Jay Chudasama, MBBS5, Sandeep Singh, MBBS6, Thandassery, MD2, Sumant Inamdar, MD, MPH2, Nicha Wongjarupong, Ankit Vyas, MBBS7, Manan Vyas8, Yash Varma, MBBS9, Hemant Goyal, MD3, Benjamin Tharian, MD2; 1. Texas Tech University Health Sciences MD10; 1. Ochsner Clinic Foundation, New Orleans, LA; 2. Atlanta VA Center, Lubbock, TX; 2. University of Arkansas for Medical Sciences, Little Medical Center, Decatur, GA; 3. University of Central Florida College Rock, AR; 3. University of Minnesota, Minneapolis, MN of Medicine HCA GME Consortium, Gainesville, FL; 4. Medical College P0556. Impact of Patient Screening Process on Diagnostic and Therapeutic Baroda, SSG Hospital, Vadodara, Gujarat, India; 5. BJ Medical College, Yield of Double Balloon Enteroscopy Pune, Maharashtra, India; 6. Academic Medical Center, University of Xiao Jing Wang, MD, Mengfei Liu, MD, Bradley Anderson, MD, Subhankar Amsterdam, Amsterdam, Noord-Holland, Netherlands; 7. Inova Heart and Chakraborty, MBBS, PhD, Sushil Garg, MBBS, Sunanda Kane, MD, MSPH, Vascular Institute, Falls Church, VA; 8. St. Martinus Faculty of Medicine, FACG, William Sanchez, MD; Mayo Clinic, Rochester, MN Pontiac, MI; 9. Guthrie Robert Packer Hospital, Sayre, PA; 10. The Wright Center of Graduate Medical Education, Clark Summit, PA P0557. Clip It and Forget It? A Natural History of 358 Over-the-Scope Clips Xiao Jing Wang, MD1, Daniel Gonzalez Izundegui, MD1, Sneha Singh, P0563. Prophylactic Antibiotic Administration in EUS-Guided Aspiration of MBBS1, Gerardo Calderon, MD2, Oscar Garcia Valencia, MD3, Andrew C. Pancreatic Cystic Lesions: A Systematic Review and Meta-Analysis Storm, MD4; 1. Mayo Clinic, Rochester, MN; 2. Indiana University Hospital, Ahmed A. Elkafrawy, MD1, Fredy Nehme, MD2, Mohamed A. Elkhouly, MD, Rochester, MN; 3. University of Miami, Rochester, MN; 4. Mayo Clinic MSc3, Yousaf Zafar, MD2; 1. University of Missouri Kansas City School of College of Medicine and Science, Rochester, MN Medicine, Kansas City, MO; 2. University of Missouri, Kansas City, MO; 3. Cook County Health and Hospital Systems, Chicago, IL P0558. Gastric Findings During Endoscopic Ultrasound (EUS)-Guided Liver Biopsy P0564. Post- ERCP Pancreatitis in Solid Organ Transplant Recipients Rishabh Gulati, MD1, Sergio A. Sánchez-Luna, MD2, Swathi Paleti, MD3,  Presidential Poster Award Tarun Rustagi, MD3; 1. University of New Mexico Hospital, Albuquerque, Abbinaya Elangovan, MD1, Dalbir S. Sandhu, MD1, Gursimran S. Kochhar, NM; 2. The University of New Mexico School of Medicine, Albuquerque, MD, CNSC2; 1. Case Western Reserve University / MetroHealth Medical NM; 3. University of New Mexico, Albuquerque, NM Center, Cleveland, OH; 2. Allegheny Health Network, Pittsburgh, PA P0559. Sensitivity of Endoscopic Modalities for Diagnosis of Malignant P0565. EUS-Guided Through-The-Needle Microforceps Biopsy versus EUS- Biliary Strictures: Experiences From Referral Hospitals in Eastern and FNA in the Evaluation of Pancreas Cysts: A Meta-Analysis Western Countries Sandeep A. Ponniah, MD1, Donevan Westerveld, MD1, Peter V. Draganov, Phonthep Angsuwatcharakon, MD, MSc1, Osman Ahmed, MD2, Jeerawat MD, FACG2, Dennis Yang, MD1; 1. University of Florida College of Medicine, Maytapa, MD, MSc1, William Ross, MD2, Brian Weston, MD2, Wiriyaporn Gainesville, FL; 2. University of Florida Health, Gainesville, FL Ridtitid, MD, MSc1, Pradermchai Kongkam, MD, MSc1, Rungsun P0566. Is There a "July Effect" for Endoscopic Variceal Band Ligation in Rerknimitr, MD3, John Stroehlein, MD, FACG2, Jeffrey H. Lee, MD, MPH2; 1. Teaching Hospitals? Chulalongkorn University, Bangkok, Krung Thep, Thailand; 2. University Brandon Rodgers, BS, Pavan Patel, MD, Sushil Ahlawat, MD; Rutgers New of Texas MD Anderson Cancer Center, Houston, TX; 3. Gastrointestinal Jersey Medical School, Newark, NJ Endoscopy Excellence Center, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Pathumwan, Krung Thep, Thailand

P0567. EUS-Guided Gastroenterostomy (GE) versus Surgical P0575. Anal Squamous Cell Carcinoma Presenting as a Rectal Mass Gastroenterostomy for Patients With Malignant Gastric Outlet Obstruction: Thomas Kalinoski, MD1, Simi Singh, MD2; 1. Olive View - UCLA Medical A Systematic Review and Meta-Analysis Center, Sylmar, CA; 2. University of California Los Angeles, Los Angeles, CA Mahendran Jayaraj, MD1, Dhruv P. Singh, MBBS2, Naveen Prasad Gopalakrishnan Ravikumar, MD3, Sai Narala, MD4, Rajesh Krishnamoorthi, P0576. A Challenging Case of Recurrent Rectal Adenoma Despite Multiple MD5; 1. University of Nevada Las Vegas School of Medicine, Las Vegas, Endoscopic Mucosal Resections (EMRs) and Trans-Anal Endoscopic NV; 2. Mayo Clinic, Rochester, MN; 3. State University of New York at Microsurgeries (TEMS) Tausif A. Syed, MD1, Sarah Enslin, PA-C2, Pratyusha Tirumanisetty, MD1, Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY; 4. Fergal Fleming, MD3, Vivek Kaul, MD, FACG2; 1. Unity Hospital, Rochester, University of Nevada School of Medicine, Reno, NV; 5. Digestive Diseases NY; 2. University of Rochester Medical Center, Strong Memorial Hospital, Institute, Virginia Mason Clinic, Seattle, WA Rochester, NY; 3. University of Rochester Medical Center, Rochester, NY P0568. EUS-Guided Gallbladder Drainage versus Endoscopic Trans- Papillary Gallbladder Drainage for High Risk Surgical Patients With Acute P0577. Acute Post-Operative Drainage With a Lumen-Apposing Metal Cholecystitis: A Systematic Review and Meta-Analysis Stent (LAMS) Nicholas M. McDonald, MD1, Andrew C. Storm, MD2; 1. Mayo Clinic, Mahendran Jayaraj, MD1, Vivek Sandeep, MD2, Dhruv Singh, MBBS3, Rochester, MN; 2. Mayo Clinic College of Medicine and Science, Joanna Law, MD4, Michael Larsen, MD5, Andrew Ross, MD4, Richard Rochester, MN Kozarek, MD, FACG5, Shyan Irani, MD4, Rajesh Krishnamoorthi, MD4; 1. University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 2. P0578. A Rare Case of Primary Adrenal Leiomyosarcoma Diagnosed via University of Kansas Medical Center, Kansas City, KS; 3. Mayo Clinic, EUS-Guided Fine-Needle Biopsy Rochester, MN; 4. Digestive Diseases Institute, Virginia Mason Clinic, Prianka Gajula, MD1, Sunil Dacha, MD2; 1. Houston Methodist Hospital, Seattle, WA; 5. Virginia Mason Medical Center, Seattle, WA Houston, TX; 2. Houston Methodist Hospital / Underwood Center for P0569. Endoscopic Intervention of Pancreatic Acute Necrotic Collections: Digestive Disorders, Houston, TX A Retrospective Review P0579. A Combined Antegrade/retrograde Dilation Procedure With Nicholas Oblizajek, MD1, Sevda Agayeva, MD2, Naoki Takahashi, MD3, Gastroenterology and Interventional Radiology: A Case Report Mark D. Topazian, MD4; 1. Mayo School of Graduate Medical Education, Rahul B. Chaudhari, MD, MRCP, Sarah Attalla, MD, Stephen Schwartz, DO; Rochester, MN; 2. Baku Medical Plaza, Rochester, MN; 3. Mayo Clinic University of Pennsylvania Health System, Philadelphia, PA College of Medicine and Science, Rochester, MN; 4. Mayo Clinic, Rochester, MN P0580. Novel Use of EndoRotor® Device to Clear Large Obscuring Clot in Patient With Upper Gastrointestinal Bleed P0570. Outcomes of ERCP in Patients With Acute Myocardial Infarction: John Gubatan, MD, Paul Kwo, MD, Joo Ha Hwang, MD, PhD; Stanford A National Study University Medical Center, Stanford, CA Pavan Patel, MD, Sushil Ahlawat, MD, Kalpesh Patel, MD; Rutgers New Jersey Medical School, Newark, NJ P0581. The Vanishing Gastrojejunostomy: A Case Report Ethan Phan, MD, Pratik Patel, MD, Narasimha Swamy Gollol Raju, MD, P0571. Underwater Endoscopic Mucosal Resection May Only Be Superior Prashant Mudireddy, MD; East Carolina University, Greenville, NC to Conventional Endoscopic Mucosal Resection for the Treatment of Colorectal Polyps 4 CM or Larger P0582. Piling Gold in the Prostate Scott R. Douglas, MD1, Leland Stratton, MD2, Ross C. Buerlein, MD1, James  ACG Case Reports Journal Award (Member) Patrie, MS2, Vanessa M. Shami, MD, FACG3, Bryan Sauer, MD, MSc (Clin  Presidential Poster Award Res)1, Cynthia Yoshida, MD2, Andrew Copland, MD3, James Scheiman, Abrahim Hanjar, MD1, Manoj Kumar, MD2, Yazan Fahmawi, MD2, Meir MD, FACG1, Dushant Uppal, MD1, Daniel Strand, MD1, Andrew Y. Wang, Mizrahi, MD3; 1. University of South Alabama College of Medicine, Mobile, MD, FACG1; 1. University of Virginia, Charlottesville, VA; 2. University AL; 2. University of South Alabama, Mobile, AL; 3. University of South of Virginia Health System, Charlottesville, VA; 3. University of Virginia Alabama College of Medicine, Spanish Fort, AL Digestive Health Center, Charlottesville, VA P0583. Overcoming the Challenge of Full Thickness Resection of Gastric Lesions Using Colonic Full Thickness Resection Device (FTRD): Novel Technique INTERVENTIONAL ENDOSCOPY Yazan Fahmawi, MD1, Manoj Kumar, MD1, Meir Mizrahi, MD2; 1. University Clinical Vignettes / Case Reports of South Alabama, Mobile, AL; 2. University of South Alabama College of Medicine, Spanish Fort, AL P0572. Pharyngo-esophageal Perforation During Endoscopic Ultrasound: Case Report and Literature Review P0584. Endoscopic Ultrasound-Guided Splenic Mass Biopsy. an Accessible Raseen Tariq, MD1, Sarah Enslin, PA-C2, Vivek Kaul, MD, FACG2; 1. Technique for Differential Diagnosis of Lymphoma Rochester General Hospital, Rochester, NY; 2. University of Rochester Daniela Leon-Jarrin, MD1, Yazan Fahmawi, MD1, Manoj Kumar, MD1, Meir Medical Center, Strong Memorial Hospital, Rochester, NY Mizrahi, MD2; 1. University of South Alabama, Mobile, AL; 2. University of South Alabama College of Medicine, Spanish Fort, AL P0573. Novel Use of a Bare Metal Self Expanding Stent for Biliary Drainage Following Hepatic Cystectomy P0585. Splenic Abscess Management With a Lumen Apposing Metal Stent: Jeremy Anderson, DO1, David Truscello, DO1, David St. Michel, DO1, Eli Case Report Sebastian, MD2; 1. Rowan University School of Osteopathic Medicine,  Presidential Poster Award Stratford, NJ; 2. Lourdes Medical Associates, Camden, NJ Jose Nieto, DO, FACG1, Anthony Nguyen, DO2, Enad Dawood, MD3; 1. P0574. Salvage Therapy for Recurrent Gastrojejunal Anastomotic Stricture Borland Groover Clinic, Ponte Vedra, FL; 2. Virginia College of Ostopathic Using a Lumen-Apposing Metal Stent Medicine, Las Vegas, NV; 3. Weill Cornell Medical College, Cornell University, New York, NY  Presidential Poster Award Edward C. Oldfield, IV, MD1, Parth J. Parekh, MD2; 1. University of Virginia, Charlottesville, VA; 2. Eastern Virginia Medical School, Norfolk, VA

74 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0586. Successful Treatment of Large Cavity Esophageal Disruptions With P0597. Endoscopic Closure of Post-Operative Duodenal-Enteric Fistula SUNDAY Transluminal Washout and Endoscopic Vacuum Therapy Following Repair of Abdominal Gunshot Wounds Leonard Walsh, MD1, Carl Manzo, MD1, Justin Loloi, BS2, Abraham Mathew, David H. Kruchko, DO1, Natasha Shah, MD2, Ryan T. Hoff, DO2, Asif MD1, Jennifer Maranki, MD1, John M. Levenick, MD1, Charles Dye, MD1, Lakha, MD2; 1. Advocate Lutheran General Hospital, Chicago, IL; 2. Matthew Taylor, MD1, Matthew Moyer, MD, MS1; 1. Penn State University Advocate Lutheran General Hospital, Park Ridge, IL Milton S. Hershey Medical Center, Hershey, PA; 2. Penn State Hershey College of Medicine, Hershey, PA P0598. Management of Recurrent Sigmoid Volvulus Using Dual Endoscopic Modalities of Sigmoidopexy and Percutaneous Colostomy P0587. Lumen-Apposing Metal Stent for Benign Gastric Outlet Placement Obstruction! Michael Kantrowitz, DO, MS, Matthew Grunwald, MD, Yuriy Tsirlin, Mira Alsheikh, MD1, Khalil Kamar, MBBCh1, Fady Haddad, MD2, Sherif MD, Harry Adler, MD, Rebecca Rhee, MD, Dmitriy O. Khodorskiy, MD; Andrawes, MD1; 1. Staten Island University Hospital, Staten Island, NY; 2. Maimonides Medical Center, Brooklyn, NY Northwell Health Staten Island University Hospital, Staten Island, NY P0599. “Knock Out” Pancreas: An Unusual Case of Isolated Pancreatic P0588. Future of Endoscopy: Hybrid Argon Plasma Coagulation for Duct Laceration in a Mixed Martial Arts Fighter Treatment of Intestinal Metaplasia of the Stomach Ranjit Makar, MD, Muthena Maklad, MD, Hamza Aziz, MD, Daisy S. Elias Estifan, MD, Abdalla Mohamed, MD, Yana Cavanagh, MD, Matthew Lankarani, MD, Mohamad I. Mubder, MD, Shahid Wahid, MD, Gordon Grossman, MD; St. Joseph's University Medical Center, Paterson, NJ Ohning, MD, PhD, Bipin Saud, MD; University of Nevada Las Vegas School of Medicine, Las Vegas, NV P0589. Endoscopic Mucosal Resection of a Proximal Esophageal Pyogenic Granuloma P0600. Endoscopic Management Cases for Small Bowel Obstruction Elias Estifan, MD, Varun Patel, MD, Matthew Grossman, MD; St. Joseph's Shinya Urakawa, MD, Yohei Kono, MD, Kota Momose, MD, Talal Alzghari, University Medical Center, Paterson, NJ MD, Jeffrey Milsom, MD; Weill Cornell Medical College, New York, NY P0590. Perivesicular Abscess Drainage With Axios Stent P0601. A Unique Complication of Gastrostomy Tubes Abdalla Mohamed, MD, Yana Cavanagh, MD, Elias Estifan, MD, Matthew Luqman Baloch, MD; New Hanover Regional Medical Center, Wilmington, NC Grossman, MD; St. Joseph's University Medical Center, Paterson, NJ P0591. Hybrid Argon Plasma Coagulation Therapy for Early Esophageal LIVER Squamous Cell Carcinoma Elias Estifan, MD, Yana Cavanagh, MD, Matthew Grossman, MD; St. P0602. Lusutrombopag for Treatment of Thrombocytopenia in Patients Joseph's University Medical Center, Paterson, NJ With Chronic Liver Disease Who Are Undergoing Planned Invasive P0592. Drainage of a Mediastinal Abscess After Esophagectomy Using a Procedures: Pooled Safety Analysis of Bleeding-Related Adverse Events 1 2 Lumen-Apposing Metal Stent Edoardo G. Giannini, MD, PhD, FACG , Takeshi Kano, MS , Toshimitsu 3 4 5 Yousef Elfanagely, MD1, Haroon Shahid, MD2, Michel Kahaleh, MD, FACG2, Ochiai, PhD , Roy Bentley, PhD, MSc , Pomy Shrestha, MD ; 1. Avik Sarkar, MD2, Amy Tyberg, MD2; 1. Warren Alpert Medical School of Dipartimento di Medicina Interna e Specialità Mediche, Universita Degli Brown University, Providence, RI; 2. Robert Wood Johnson University Studi Di Genova, Genova, Liguria, Italy; 2. Shionogi & Co., Ltd., Osaka, Hospital, New Brunswick, NJ Osaka, Japan; 3. Biostatistics Center, Shionogi & Co., Ltd., Osaka, Osaka, Japan; 4. US Global Market Access, Shionogi Inc., Florham Park, NJ; 5. P0593. A Rare Case of Dysphagia From a Cricopharyngeal Septal Cyst Shionogi Inc., Florham Park, NJ Within a Zenker’s Diverticulum Treated With EUS-FNA and Endoscopic Incisional Therapy P0603. Trends of Hospital Admissions and Healthcare Burden From Nizar Al-Salameh, DO1, Ammara Khalid, MD2, Puneet Basi, MD, FACG3, Patients Admitted With Hepatic Encephalopathy 1 2 2 Harshit S. Khara, MD, FACG2; 1. Geisinger Health System, Danville, PA; 2. Mohammad A. Siddiqui, MD , AImun Shabbir , Nawal Shabbir , Khwaja F. 3 3 Geisinger Medical Center, Danville, PA; 3. University of Pittsburgh Medical Haq, MD , Syed-Mohammed Jafri, MD ; 1. Henry Ford Hospital, Detroit, MI; Center Susquehanna, Williamsport, PA 2. Karachi Medical and Dental College, Karachi, Sindh, Pakistan; 3. Henry Ford Health System, Detroit, MI P0594. The Migrating and Perforating Biliary Stent Rosa Bui, MD1, Muhammad Adnan Sohail, MD2, Christopher Ashley, MD2; P0604. National Trends in the Epidemiology of Drug Use in Patients With 1. Albany Medical Center, Albany, NY; 2. Stratton Veteran Affairs Medical Hepatitis B and C Infections 1 2 3 Center, Albany, NY Mohammad Alomari, MD , Ismail Hader, MD , Laith Al Momani, MD , Leen Nusairat, MD1, Bara El Kurdi, MD3, Shrouq Khazaaleh, MD4, Mark Young, P0595. The Game Changing Utility of EUS-FNA for Pancreatic Evaluation: MD3, Carlos Romero-Marrero, MD, MSc5; 1. Cleveland Clinic Foundation, Not All Pancreas Masses on CT Are Pancreas Tumors! Cleveland, OH; 2. Beaumont Health, Royal Oak, MI; 3. East Tennessee Steven Park, MD, Anjanet Perez-Colon, MD, Caitlin Foor-Pessin, MD, State University, Johnson City, TN; 4. King Abdullah University Hospital, Truptesh Kothari, MD, MS, Patrick J. Fultz, MD, Eva Galka, MD, Vivek Kaul, Ar Ramtha, Irbid, Jordan; 5. Digestive Disease Institute, Cleveland Clinic MD, FACG, Shivangi Kothari, MD; University of Rochester Medical Center, Foundation, Cleveland, OH Strong Memorial Hospital, Rochester, NY P0605. Effects of Probiotics on Intestinal Failure-Associated Liver Disease P0596. Percutaneous Endoscopic Jejunostomy Tube Placement for in Adult Patients Receiving Prolonged Parenteral Support: A Tertiary Care Treatment of Severe Hyperemesis Gravidarum in Pregnancy: Case Report Center Experience and Review Mohammad Alomari, MD1, Laith Al Momani, MD2, Muhammad Talal David H. Kruchko, DO1, Natasha Shah, MD2, Charles Broy, MD2, Dean Sarmini, MD1, Bara El Kurdi, MD2, Shrouq Khazaaleh, MD3, Fredy Nehme, N. Silas, MD3; 1. Advocate Lutheran General Hospital, Chicago, IL; 2. MD4, Mark Young, MD2, Carlos Romero-Marrero, MD, MSc5; 1. Cleveland Advocate Lutheran General Hospital, Park Ridge, IL; 3. Advocate Lutheran Clinic Foundation, Cleveland, OH; 2. East Tennessee State University, General Hospital, Niles, IL Johnson City, TN; 3. King Abdullah University Hospital, Ar Ramtha, Irbid, Jordan; 4. University of Missouri, Kansas City, MO; 5. Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH

P0606. Immune Checkpoint Inhibitors-Related Gastrointestinal Toxicity Is P0615. Revised Lille Score for Predicting 90 Days Mortality in Severe Associated With Better Overall Survival and Treatment Response in Cancer Alcoholic Hepatitis Patients Muhammad Majeed, MD1, Rohit Agrawal, MD1, Bashar M. Attar, MD, Mohammad Alomari, MD1, Suleiman Al Ashi, MD1, Laith Al Momani, MD2, PhD2, Yuchen Wang, MD2, Ishaan Vohra, MD1, Zohaib Haque, DO1, Seema Fredy Nehme, MD3, Muhammad Talal Sarmini, MD1, Mark Young, MD2, Gandhi, MD3; 1. John H. Stroger, Jr. Hospital of Cook County, Chicago, Pauline Funchain, MD1, Carlos Romero-Marrero, MD, MSc4; 1. Cleveland IL; 2. Cook County Health and Hospital Systems, Chicago, IL; 3. Rush Clinic Foundation, Cleveland, OH; 2. East Tennessee State University, University Medical Center, Chicago, IL Johnson City, TN; 3. University of Missouri, Kansas City, MO; 4. Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH P0616. Striatal GABA Levels in Liver Cirrhosis Patients: Preliminary Results Gasper Zupan, MD1, Sebastian Stefanovic, MD2, Marjanca Turk Jerovsek, P0607. Outcomes of Glecaprevir-Pibrentasvir Treatment for Chronic MD2, Borut Stabuc, MD, PhD2, Georg Oeltzschner, PhD3, Stefan Ropele, Hepatitis C of Any Genotype (1-6, Mixed) in Patients With Compensated PhD4, Andrej Vovk, PhD1, Dusan Suput, MD, PhD1; 1. University of Cirrhosis: Real World Results From a Safety Net Hospital Ljubljana, Ljubljana, Ljubljana, Slovenia; 2. University Medical Center, Gurbir Sehmbey, MD1, Gerard Quigley, FNP2, Tessa Bowie, PA-C2, Sharad Ljubljana, Ljubljana, Slovenia; 3. Johns Hopkins University School of Bellapravalu, MD2, Abdul Nadir, MD2, Keng-Yu Chuang, MD2; 1. Banner Medicine, Baltimore, MD; 4. Medical University of Graz, Graz, Steiermark, University Medical Center, Phoenix, AZ; 2. Maricopa Integrated Health Austria System, Phoenix, AZ P0617. The Efficacy and Safety of Endoscopic Ultrasound-Guided Liver P0608. Sustained Decline of Noninvasive Fibrosis Index Values in Patients Biopsy versus Percutaneous Liver Biopsy in Patients With Chronic Liver With Chronic Hepatitis C (CHC) With Sustained Virologic Response (SVR) Disease: A Retrospective Single Center Study After Receiving Direct-Acting Antiviral Agents (DAAs) Ahmad H. Ali, MBBS1, Sarjukumar Punchal, PharmD2, Yujun Gan, MD1, Vijay Prabhakar, MD1, Glen Lutchman, MD2, Aijaz Ahmed, MD2, Mindie Dong Chen, MD, PhD1, Deepthi S. Rao, MD1, Alhareth Al-Juboori, MD1, H. Nguyen, MD, MAS3, Tami Daugherty, MD2, Paul Kwo, MD3; 1. Stanford Sami Samiullah, MD1, Amin O. Mahdi, MD1, Veysel Tahan, MD, FACG1, Jamal University, Stanford, CA; 2. Stanford University, Palo Alto, CA; 3. Stanford A. Ibdah, MD, PhD, FACG1, Ghassan M. Hammoud, MD1; 1. University of University Medical Center, Stanford, CA Missouri, Columbia, MO; 2. University of Pennsylvania, Philadelphia, PA P0609. Evaluation of Reasons for Admission in Patients With P0618. Treatment Failure With Daclatasvir Plus Sofosbuvir With or Without Decompensated Cirrhosis and Their Burden on Health Care Costs and Ribavirin in Treatment Naïve Patients With Chronic Hepatitis C Without Mortality Over the Years: Nationwide Analysis Cirrhosis Kalpesh Patel, MD, Savan Kabaria, MD, Pavan Patel, MD, Oleg Shulik, Muhammad Afzal, MBBS, FCPS, MD1, Shahida Husain Tarar, MBBS, FCPS1, MD, Nikolaos T. Pyrsopoulos, MD, PhD, MBA, FRCP; Rutgers New Jersey Syed Muhammad Ali Shah, MBBS2, Zamir Butt, MBBS, FCPS1, Muhammad Medical School, Newark, NJ Ajmal, MBBS, FCPS2, Irfan Younis, MBBS, MD1, Syed Usama Talat, MBBS, MD2, Hina Akhtar, MBBS, FCPS3, Javeria Ali, MBBS, FCPS2; 1. Nawaz Sharif P0610. Epidemiology and Outcomes of Bacterial Infections in Patients Medical College, UoG Gujrat, Gujrat, Punjab, Pakistan; 2. Aziz Bhatti With Cirrhosis: A Single Centre Experience Shaheed Teaching Hospital Gujrat, Gujrat, Punjab, Pakistan; 3. Aziz Chitta Ranjan Khatua, MBBS, MD1, Saroj Kanta Sahu, MBBS, MD1, Rakesh Bhattti Shaheed Teaching Hospital Gujrat, Gujrat, Punjab, Pakistan Kumar Barik, MBBS, MD1, Subhasis Pradhan, MBBS, MD1, Gautam Nath, MBBS, MD1, Dinesh Meher, MBBS, MD1, Shivaram Prasad Singh, MBBS, MD, P0619. Patient Flow Across Physician Specialties Over the Course of the DM, FACG2; 1. SCB Medical College, Cuttack, Orissa, India; 2. SCB, Cuttack, Hepatitis C Care Cascade: A Real World Analysis From the United States Orissa, India Sanika Rege, MS1, Yuri Sanchez Gonzalez, PhD2, Steven Marx, PharmD2, Nancy Reau, MD, FACG3; 1. University of Houston, College P0611. Kasr Alainy Fibrosis Index (KAFI) - A Novel Score Based on Micro of Pharmacy, Houston, TX; 2. AbbVie, Inc., North Chicago, IL; 3. Rush RNAs for Diagnosis of Significant Fibrosis: A Biopsy Controlled Study University Medical Center, Chicago, IL Hanan Abdel-Haleem, MD1, Dalia Omran, MD1, Abdel Rahman Zekri, MD1, Ola Ahmed, MD1, Mostafa Abdel Moniem, MD2, Ahmed El Ray, MD2; 1. P0620. Safety of Statins in Decompensated Cirrhosis in Patients Listed for Cairo University, Cairo, Al Qahirah, Egypt; 2. TBRI, Cairo, Al Jizah, Egypt Liver Transplantation Kevin N. Singh, MD1, Lady Katherine Mejia Perez, MD2, Amandeep Singh, P0612. Awareness and Utilization of the Baveno VI Criteria to Predict MD2, William Carey, MD2; 1. Cleveland Clinic Foundation, Garden City, NY; Gastroesophageal Varices in Compensated Cirrhotic Patients 2. Cleveland Clinic Foundation, Cleveland, OH Samip Shah, MD1, Chun Kit Hung, MD1, David Bernstein, MD2, Tai-Ping Lee, MD3; 1. Northwell Health System, Manhasset, NY; 2. Zucker School P0621. Minimal Hepatic Encephalopathy and Driving of Medicine at Hofstra/Northwell, Manhasset, NY; 3. Hofstra / Northwell Sankalp Dwivedi, MD1, Harika Balagoni, MD1, Alan Putrus, MD1, Elliot School of Medicine, Sandra Atlas Bass Center for Liver Diseases, Tapper, MD2, Marc Piper, MD, MSc3; 1. Ascension Providence Hospital / Manhasset, NY Michigan State University - College of Human Medicine, Southfield, MI; 2. University of Michigan Health System, Ann Arbor, MI; 3. Michigan State P0613. Long Term Data on Effect of Mobilized Peripheral Blood Autologous University, College of Human Medicine, Southfield, MI CD34+ Cell Infusion in Patients With Non- Viral Decompensated Cirrhosis Mithun Sharma, MD1, Sasikala Mitnala, PhD2, Padaki N. Rao, MD, DM1, P0622. Sex Differences in the Utilization of Bariatric Operation for NAFLD Pavan Kumar, PhD2, Shasidhar Jaggaiahgari, PhD2, Rajesh Gupta, MD, DM1, Kamesh Gupta, MBBS1, Ahmad Khan, MD2, Hemant Goyal, MD3; 1. Pramod Da, MD, DM1, Annand Kulkarni, MD, DM1, Nitin Jagtap, MD, DNB1, University of Massachusetts Medical School - Baystate Medical Center, Jagdeesh Rampal Singh, MD1, Duvurr N. Reddy, MD, DM, FACG1; 1. Asian Springfield, MA; 2. West virginia University Health Sciences Center, Institute of Gastroenterology PVT LTD, Hyderabad, Telangana, India; 2. Charleston, WV; 3. The Wright Center of Graduate Medical Education, Asian Healthcare Foundation, Hyderabad, Telangana, India Clark Summit, PA P0614. Cirrhosis Patients Admitted With Ascites Have Longer Length of Stay and Higher 30-Day Readmission Rate Joao M. Serigado Soares Da Costa, MD, Rikera Taylor, Andrew Scheinberg, MD, Angeli Patel, MD, Patricia D. Jones, MD, MSCR; University of Miami Miller School of Medicine, Miami, FL

76 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0623. Lead (Pb) Exposure and Risk of Non-Alcoholic Fatty Liver Disease P0632. Predictors of Response to Direct Acting Anti-Viral Therapy in SUNDAY and Advanced Fibrosis: An Association Modified by Race/Ethnicity and Patients With Decompensated Hepatitis C Cirrhosis Gender in NHANES 2011-2016 Prasanta Debnath, II, MD, Sanjay Chandnani, MD, DM, Pravin Rathi, MD, Debashis Reja, MD1, Aayush Visaria, BA2, Augustine Tawadros, MD1, Lauren DM, Sujit Nair, MD, Suhas Udgirkar, MD, DM; Topiwala National Medical Pioppo, MD1, Abhishek Bhurwal, MD1, Vinod K. Rustgi, MD, MBA3; 1. Robert College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India Wood Johnson Medical School, Rutgers University, New Brunswick, NJ; 2. Rutgers New Jersey Medical School, Newark, NJ; 3. Rutgers Robert Wood P0633. Prolonged Survival With Radioembolization Using Theraspheres Johnson School of Medicine, New Brunswick, NJ in Unresectable HCC Parvez Mantry, MD1, Mallory Thompson1, Prachi Khanna1, Priyanka P0624. Perfluorooctanoate Exposure and Risk of Non-Alcoholic Fatty Liver Acharya, MPH, MSc2, Islam Shahin, MD1; 1. Methodist Dallas Medical Disease and Advanced Fibrosis in U.S. Adults: A Population-Based Study Center, Dallas, TX; 2. Methodist Health System Clinical Research Debashis Reja, MD1, Aayush Visaria, BA2, Lauren Pioppo, MD1, Augustine Institute, Dallas, TX Tawadros, MD1, Abhishek Bhurwal, MD1, Vinod K. Rustgi, MD, MBA3; 1. Robert Wood Johnson Medical School, Rutgers University, New P0634. MicroRNAs and Biomarkers Clinic as Survival Predictor in Brunswick, NJ; 2. Rutgers New Jersey Medical School, Newark, NJ; 3. Hepatocellular Carcinoma Neneng Ratnasari1, Dede Renovaldi, MSc2, Juwita Raditya Ningsih, Rutgers Robert Wood Johnson School of Medicine, New Brunswick, NJ MSc2, Puji Lestari, MSc2, Nanda Qoriansas, MSc2, Didik Setyo Heriyanto, P0625. Thrombolytic Therapy for Acute Non-Malignant Portal Vein MD, PhD2, Fahmi Indrarti, MD1, Chatarina Triwikatmani, MD1, Putut Thrombosis: A Systematic Review and Meta-Analysis Bayupurnama1, Sofia Mubarika Haryana, MD, PhD3; 1. Gadjah Mada Bryan Doherty, MD1, William Palmer, MD2, Allison Zhang, MD1, William University / Dr. Sardjito General Hospital, Yogyakarta, Yogyakarta, M. Briggs, PhD1, Lisa A. Marks, MLS, AHIP3, Smruti R. Mohanty, MD, MS4; Indonesia; 2. Universitas Gadjah Mada, Yogyakarta, Yogyakarta, 1. New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY; 2. Indonesia; 3. Gadjah Mada, Yogyakarta, Yogyakarta, Indonesia Mayo Clinic, Jacksonville, FL; 3. Mayo Clinic, Scottsdale, AZ; 4. New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY P0635. Renal Resistive Index at the Level of Renal Arcuate Artery as a Predictor of Natriuresis in Cirrhotic Patients P0626. Eradication of Hepatitis C by Increasing Identification Rates of the Muhammad Manzoor Ul Haque, MBBS, FCPS, Nasir Mehmood, MBBS, Hepatitis C Virus (HCV) in Baby Boomers Using the Health Maintenance Tab Salman Ahsam, MBBS, Muhammad Farid, Raja Taha Yaseen, MBBS, Nasir Yousaf Zafar, MD1, Ahmed A. Elkafrawy, MD2, Suguni Loku Galappaththy, Hassan Luck, MBBS, FCPS (Med), FCPS (Gastro), Rani Tulsi, MBBS, Shoaib MD1, Shahryar Khan, MD2, Raj Shah, MD3; 1. University of Missouri, Kansas Ahmed Khan, MBBS, Zain Majid, MBBS; Sindh Institute of Urology and City, MO; 2. University of Missouri Kansas City School of Medicine, Kansas Transplantation, Karachi, Sindh, Pakistan City, MO; 3. University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH P0636. Spleen Stiffness Using Elastography as Predictor of Esophageal Varices in Cirrhotic Patients P0627. Predicting Transplant Free Survival in Patients With Hepatocellular  Presidential Poster Award Carcinoma Undergoing Locoregional Therapy Rani Tulsi, MBBS, Muhammad Manzoor Ul Haque, MBBS, FCPS, Ragesh Thandassery, MD1, Charles A. Lavender, MD2, Katie Rude, MD1, Muhammad Farid, Farina Hanif, MBBS, FCPS (Gastro), Asha Devi, MBBS, Lyle Burdine, MD1, Michael Beheshti, MD1; 1. Central Arkansas Veterans Nasir Hassan Luck, MBBS, FCPS (Med), FCPS (Gastro), Rinkal Tulsi, MBBS, Health Care System, Little Rock, AR; 2. University of Arkansas for Medical Nasir Mehmood, MBBS, Muhammad Danish, MBBS; Sindh Institute of Sciences, Little Rock, AR Urology and Transplantation, Karachi, Sindh, Pakistan P0628. Utility of Gram Stain in the Diagnosis and Management of P0637. Development of Hepatocellular Carcinoma After Treatment of Spontaneous Bacterial Peritonitis: Promoting High Value Care Hepatitis C at a Diverse, Urban Center Hamna Fahad, MD, MBBS, Catherine Frakes Vozzo, DO, Tavankit Krishna Modi, MD, Jonathan Mansour, PharmD, Syed-Mohammed Jafri, Singh, MD, Arthur J. McCullough, MD; Cleveland Clinic Foundation, MD; Henry Ford Health System, Detroit, MI Cleveland, OH P0638. A Three-Decade Analysis of Oral and Oropharyngeal Malignancy P0629. One, Three, and Five Years Post Transplant Outcomes in Diabetic Following Liver Transplantation Patients After Liver Transplant for NASH Cirrhosis: A Single Centre Study Sarah M. Al Nimri1, Juan E. Corral, MD2, Lana Al Nimri, MD3, Karn Hamna Fahad, MD, MBBS, Amandeep Singh, MD, Nan Lan, MD, Kevin Wijarnpreecha, MD2, Arpan Patel, MD4, Omar Y. Mousa, MD5; 1. Jordan Singh, MD, Jamile Wakim-Fleming, MD; Cleveland Clinic Foundation, University of Science and Technology, Amman, Irbid, Jordan; 2. Mayo Cleveland, OH Clinic, Jacksonville, FL; 3. Jordan University of Science and Technology, Irbid, Irbid, Jordan; 4. University of Rochester Medical Center / Wilmot P0630. Transjugular Intrahepatic Portosystemic Shunt Placement Is Cancer Center, Rochester, NY; 5. Mayo Clinic, Rochester, MN Equally Safe in Obese Patients Hamna Fahad, MD, MBBS1, Jamak Esfeh Modaresi, MD2, Talal Sarmini, P0639. Non-Invasive Predictors of Moderate-Large Esophageal Varices in MD1; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. Digestive Disease Compensated Cirrhotic Patients Institute, Cleveland Clinic Foundation, Cleveland, OH Irsan Hasan, MD, PhD1, Andri S. Sulaiman, MD, PhD1, Chyntia O. Jasirwan, MD, PhD1, Imelda M. Loho, MD2, Steven Zulkifly, MD1, Jordan Sardjan, MD1, P0631. Fibroscan™, FIB-4, and NAFLD Fibrosis Score as Point of Care Non- Anugrah D. Handayu1; 1. Universitas Indonesia, Dr. Cipto Mangunkusumo Invasive Tests for Management of Non-Alcoholic Fatty Liver Disease and National General Hospital, Central Jakarta, Jakarta Raya, Indonesia; 2. Other Chronic Liver Diseases Dharmais Hospital, Indonesian National Cancer Center, West Jakarta, Zobair Younossi, MD, FACG1, Maria Stepanova, PhD2, Sean Felix, BS3, Tom Jakarta Raya, Indonesia Jeffers, BS3, Elena Younossi, BS3, Hossain Allawi, BS3, Rebecca Cable, BS3, Brian Lam, PA-C3, Andrei Racila, BS3, Issah Younossi, BS2, Linda Henry, P0640. Racial Difference in the Clinical Features of Non-Alcoholic Fatty PhD2, Jane Ranagan, BS4, Fatema Nader, MS2; 1. Inova Health System, Liver Disease Falls Church, VA; 2. Center for Outcomes Research in Liver Disease, He Qiu, MD, MBA1, Michelle Shi, MD1, May Kyaw, BS1, Gwyneth Sultan1, Tai- Washington, DC; 3. Inova Fairfax Hospital, Falls Church, VA; 4. Chronic Ping Lee, MD2; 1. Hofstra / Northwell School of Medicine, Manhasset, NY; Liver Disease Foundation, Clark, NJ 2. Hofstra / Northwell School of Medicine, Sandra Atlas Bass Center for Liver Diseases, Manhasset, NY

P0641. The Risk of Depression in Patients With Nonalcoholic Fatty Liver P0650. Lost to Follow-Up: Patients Diagnosed With Hepatitis C Virus Disease During Pregnancy May Not Seek Postpartum Treatment Muhammad Talal Sarmini, MD1, Hamna Fahad, MD, MBBS1, Mohammad Sara Goff, MD, Zachary Daitch, MD, Jessica Briscoe, MD, James Maysara Asfari, MD2, Mohammad Alomari, MD1, Yasser Al-Khadra, MD1, Langworthy, MD, Padma Chamarthy, MD, Rahul Kataria, MD, Perry Orthey, Amandeep Singh, MD1, Srinivasan Dasarathy, MD1, Arthur J. McCullough, BS, Jonathan Gotfried, MD; Temple University School of Medicine, MD1; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. Medical College of Philadelphia, PA Georgia at Augusta University, Augusta, GA P0651. Disease Characteristics of Acute Hepatic Porphyria Patients: P0642. The Epidemiology and Trend Analysis of Hepatocellular Carcinoma ENVISION, a Phase 3 Global, Multicenter, Randomized, Double-Blind, 2002-2014: A Population-Based Study Placebo-Controlled Trial Muhammad Talal Sarmini, MD1, Mohammad Maysara Asfari, MD2, Karl Anderson, MD1, Manisha Balwani, MD2, Eliane Sardh, MD, PhD3, Mohammad Alomari, MD1, Carlos Romero-Marrero, MD, MSc3; 1. Cleveland Laurent Gouya, MD, PhD4, David Rees, MD5, Penelope Stein, MB, PhD5, Clinic Foundation, Cleveland, OH; 2. Medical College of Georgia at Ulrich Stolzel, MD6, Paula Aguilera, MD, PhD7, D. Montgomery Bissell, Augusta University, Augusta, GA; 3. Digestive Disease Institute, Cleveland MD8, Herbert Bonkovsky, MD9, Sioban Keel, MD10, Charles Parker, MD11, Clinic Foundation, Cleveland, OH John Phillips, PhD11, Samuel Silver, MD, PhD12, Jerzy Windyga, MD, PhD13, Delia D'Avola, MD, PhD14, Gayle Ross, MD15, Peter Stewart, MD16, P0643. Severe Thrombocytopenia Predicts Lower Survival Rate and Higher Bruce Ritchie, MD17, Jeeyoung Oh, MD, PhD18, Pauline Harper, MD, PhD3, Transplant Rate in Patients With Liver Cirrhosis Jiaan-Der Wang, MD, PhD19, Janneke Langendonk, MD, PhD20, Aneta  Presidential Poster Award Ivanova, MD, PhD21, Yutaka Horie, MD22, Elisabeth Minder, MD23, Daphne Andrew Moore, MD, Donald Jensen, MD, Nancy Reau, MD, FACG, Andy Vassiliou, MD24, Ilja Kubisch, MD6, Encarna Guillen-Navarro, MD, PhD25, Wu, BA; Rush University Medical Center, Chicago, IL David Coman, MBBS, MPhil26, Bruce Wang, MD8, Hung-Chou Kuo, MD27, P0644. Clinicians Fail to Screen for HDV in Patients With HBV Despite Sushama Scalera, MD28, Craig Penz, MA29, Zoe Hua, PhD29, Amy Simon, Guideline Recommendations MD29, John J. Ko, PharmD, MBA29, Paolo Ventura, MD30; 1. University Andrew Moore, MD, Justin Mitchell, MD, Nancy Reau, MD, FACG; Rush of Texas Medical Branch, Galveston, TX; 2. Mt. Sinai Icahn School of University Medical Center, Chicago, IL Medicine, New York, NY; 3. Porphyria Centre Sweden, Centre for Inherited Metabolic Diseases, Karolinska Institutet, Karolinska University Hospital, P0645. The Association of Obstructive Sleep Apnea and Nonalcoholic Stockholm, Stockholms Lan, Sweden; 4. Centre Français des Porphyries, Steatohepatitis: A Nationwide Inpatient Sample Analysis Paris, Centre, France; 5. King’s College Hospital, London, England, Anas Renno, MD1, Yousef Abdel-Aziz, MD2, Yaseen Alastal, MD, MPH, United Kingdom; 6. Klinikum Chemnitz, Chemnitz, Sachsen, Germany; 7. CMQ1, Sadik Khuder, MPH, PhD1, Syed Hasan, DO1, Ragheb Assaly, MD1, Ali Hospital Clinic de Barcelona, Barcelona, Catalonia, Spain; 8. University Nawras, MD, FACG1; 1. University of Toledo Medical Center, Toledo, OH; 2. of California San Francisco, San Francisco, CA; 9. Wake Forest University University of Tennessee Health Science Center, Memphis, TN Baptist Medical Center, Winston-Salem, NC; 10. University of Washington, P0646. BALAD and BALAD-2 Predict Survival of Hepatocellular Carcinoma Seattle, WA; 11. University of Utah, Salt Lake City, UT; 12. University Patients: A North American Cohort Study of Michigan Medical Center, Ann Arbor, MI; 13. Instytut Hematologii i Nicha Wongjarupong, MD1, Gabriela Negron2, Keun Soo Ahn, MD, PhD3, Transfuzjologii, Warsaw, Podlaskie, Poland; 14. Clinica Universidad de Ju Dong Yang, MD4, Nasra H. Giama, DNP, RN, PHN5, Kristin Mara5, Navarra, Madrid, Navarra, Spain; 15. Melbourne Health - Royal Melbourne William S. Harmsen, BS5, Terry Therneau5, Lewis R. Roberts, MBChB, Hospital, Melbourne, Victoria, Australia; 16. Royal Prince Alfred Hospital, PhD5; 1. University of Minnesota, Minneapolis, MN; 2. University of Puerto Sydney, New South Wales, Australia; 17. University of Alberta Hospital, Rico School of Medicine, San Juan, Puerto Rico; 3. Keimyung University Edmonton, AB, Canada; 18. Konkuk University Hospital, Konkuk University Dongsan Medical Center, Seoul, Seoul-t'ukpyolsi, Republic of Korea; 4. Medical Center, Seoul, Seoul-t'ukpyolsi, Republic of Korea; 19. Center University of California San Francisco, San Francisco, CA; 5. Mayo Clinic, for Rare Disease and Hemophilia, Taichung Veterans General Hospital, Rochester, MN Taichung, Taichung, Taiwan; 20. Erasmus Medical Center, University Medical Center Rotterdam, Rotterdam, Zuid-Holland, Netherlands; 21. P0647. Venous Thromboembolism Prophylaxis in Hospitalized Patients St. Ivan Rilski University Hospital, Sofia, Sofiya, Bulgaria; 22. Tottori With Chronic Liver Disease and the Bleeding and Thrombosis Risk: A University School of Medicine, Tottori, Tottori, Japan; 23. Stadtspital Systematic Review and Meta-Analysis Triemli, Zurich, Zurich, Switzerland; 24. Karolinska Institutet, Karolinska Nicha Wongjarupong, MD1, Passisd Laoveeravat, MD2, Prowpanga University Hospital, Stockholm, Stockholms Lan, Sweden; 25. Hospital Udompap, MD1, Kornpong Vantanasiri, MD3, Caitlin Bakker1; 1. University Clínico Universitario Virgen de la Arrixaca, University of Murcia, IMIB- of Minnesota, Minneapolis, MN; 2. Texas Tech University Lubbock, Arrixaca, Murcia; CIBERER-ISCIII, Madrid, Murcia, Spain; 26. The Wesley Lubbock, TX; 3. University of Minneasota, Minneapolis, MN Hospital, Queensland, Queensland, Australia; 27. Chang Gung Memorial Hospital at Linkou Medical Center, Taoyuan, Taoyuan, Taiwan; 28. P0648. Trends of Portal Vein Thrombosis Comorbidities Among Alnylam Pharrmaceuticals, Cambridge, MA; 29. Alnylam Pharmaceuticals, Decompensated Cirrhosis in a Nationwide Inpatient Cohort Cambridge, MA; 30. Università degli Studi di Modena e Reggio Emilia, Xiaowen Fan, MD1, Melissa Hershman, MD2, Ilan Weisberg, MD2; 1. Mount Modena, Emilia-Romagna, Italy Sinai St. Luke's and Mount Sinai Roosevelt, New York, NY; 2. Mount Sinai Beth Israel Medical Center, New York, NY P0652. Nadir Mean Arterial Blood Pressure During the First Day of Admission to the Intensive Care Unit (ICU) Is Associated With ICU Mortality P0649. The Performance of the NAFLD Fibrosis Score in Hispanics With Jennifer L. Peng, MD, Sarah M. Russell, MD, Hani Shamseddeen, PhD, Type 2 Diabetes and Biopsy-Proven NAFLD Carla D. Kettler, PhD, Caitriona A. Buckley, MD, Marwan S. Ghabril, MD, Mary Barbara, MD1, Giuseppe Annunziata, MD1, Mazen Noureddin, MD2, Eric S. Orman, MD, Archita P. Desai, MD, Eduardo V. Gomez, MD, Lauren D. Naim Alkhouri, MD3; 1. University of Texas Health Science Center, San Nephew, MD, Naga P. Chalasani, MD, FACG, Kavish R. Patidar, MD; Indiana Antonio, TX; 2. Cedars-Sinai Medical Center, Los Angeles, CA; 3. Texas University School of Medicine, Indianapolis, IN Liver Institute, San Antonio, TX

78 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0653. Can You Treat Me Now? An Evaluation of Patient-Centered P0664. Nodular Regenerative Hyperplasia in a Patient With Sickle Cell SUNDAY Resources Discussing Fatty Liver Treatment Options Disease Lillian Dawit, MD, Nadeem Tabbara, MD, Lindsay Clarke, MD, Daniel Simranjit Bedi, DO, Shannon L. Tosounian, DO, Ronald Miick, MD, Szvarca, MD, Scott Baumgartner, PA-C, MPAS, Jessica Basso, MD, Jenny Jennifer Au, MD; Albert Einstein Medical Center, Philadelphia, PA Dave, MD, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC P0665. Blinatumomab-Induced Hepatic Sinusoidal Obstruction Syndrome P0654. De-Livering an Assessment of Internet Information for Patients on Aya Tabbalat1, Trent Walradt1, Amit Mehta, MD2, David Wan, MD1; 1. Non-Alcoholic Fatty Liver Disease Weill Cornell Medical College, New York, NY; 2. New York-Presbyterian Nadeem Tabbara, MD, Lindsay Clarke, MD, Scott Baumgartner, PA-C, / Weill Cornell Medical Center, New York, NY MPAS, Daniel Szvarca, MD, Jessica Basso, MD, Lillian Dawit, MD, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC P0666. Autoinflammation in an Immunocompromised Lymphoma Patient With Sepsis P0655. Older Adults With Hepatocellular Carcinoma Are More Likely Than Fabian B T Kraus1, Amit Mehta, MD2, David Wan, MD3; 1. New York Younger Adults to Receive Curative Treatment but Have Worse Overall Presbyterian Hospital - Weill Cornell Medical College, Munich, Bayern, Survival Germany; 2. New York-Presbyterian / Weill Cornell Medical Center, New Nicole E. Rich, MD, Caitlin C. Murphy, PhD, MPH, Adam C. Yopp, MD, Jorge York, NY; 3. Weill Cornell Medical College, New York, NY A. Marrero, MD, Amit G. Singal, MD, MS; University of Texas Southwestern Medical Center, Dallas, TX P0667. Abdominal Arterial Aneurysms in a Patient With Budd-Chiari Syndrome P0656. Significant Differences in Liver Transplant (LT) Waitlist Mortality, Sudarshan Srivats1, Rachel Niec, MD, PhD2, David Wan, MD3; 1. Weill Receiving LT, and Post-LT Survival Among Adults With Primary Sclerosing Cornell Medicine Qatar, Doha, Ad Dawhah, Qatar; 2. New York- Cholangitis, Primary Biliary Cholangitis, and Autoimmune Hepatitis in the U.S. Presbyterian / Weill Cornell Medical Center, New York, NY; 3. Weill Cornell Asnakech Bayable, MD1, Benny Liu, MD1, Taft Bhuket, MD1, Robert Wong, Medical College, New York, NY MD, MS, FACG2; 1. Alameda Health System, Oakland, CA; 2. Alameda Health System - Highland Hospital, Oakland, CA P0668. Resolution of Hepatocellular Carcinoma in a Patient With Chronic Hepatitis B Treated With Entecavir Therapy P0657. Clostridioides difficile Infection in Liver Transplant Recipients Jaspreet Suri, MD1, Pir Ahmad Shah, MD, MBBS2, Saad Choudhry, Elizabeth Brindise, DO, Matthew Kobeszko, MD, Aneesh Kuruvilla, DO, MD1, Imad A. Nasser, MD1, Daryl T. Lau, MD, MSc, MPH2; 1. Beth Israel Imad Elkhatib, MD, Rogelio Silva, MD; University of Illinois - Advocate Deaconess Medical Center, Boston, MA; 2. Beth Israel Deaconess Medical Christ Medical Center, Oak Lawn, IL Center, Harvard Medical School, Boston, MA P0658. Outcomes of Patients With Nonalcoholic Steatohepatitis With P0669. The Ghost of TB: Danger of an Indolent Infection in the Setting of Cirrhosis and Low Model for End Stage Liver Disease Score Alcoholic Hepatitis Behnam Laderian, MD, Arvind R. Murali, MD, Antonio J. Sanchez, MD; Ismail Elkhattib, MBBCh1, Jaimy Villavicencio, MD2, Deep Phachu, University of Iowa Hospitals & Clinics, Iowa City, IA MD1, Michael Disiena, MD1, Eva Sotil, MD3; 1. University of Connecticut, Farmington, CT; 2. University of Connecticut School of Medicine, P0659. Does Hospital Teaching Status Influence Risk Factors and Incidence Farmington, CT; 3. Hartford Hospital, Hartford, CT Rate for 30-day Readmission for Hepatic Encephalopathy? Neal Mehta, MD, MPH, MBA, MS1, Ron T. Varghese, MBBS1, Roy Kamoga, P0670. Hemophagocytic Lymphohistiocytosis Disguised as Acute Liver Injury MD1, Khaled Khasawneh, MD1, Benjamin Tharian, MD2, Shashank Garg, Badar Hasan, MD1, Yunjoo Yim2, Daniel Castaneda, MD1, Mamoon Ur MD2, Matthew G. Deneke, MD2, Sumant Inamdar, MD, MPH2; 1. White Rashid, MD3, Kawtar Al Khalloufi, MD4; 1. Cleveland Clinic, Weston, FL; River Health System, Batesville, AR; 2. University of Arkansas for Medical 2. Ross University School of Medicine, Miramar, FL; 3. Adventhealth Sciences, Little Rock, AR Orlando, Orlando, FL; 4. Cleveland Clinic Foundation, Weston, FL P0671. Graft-versus-Host Disease: A Rare but Lethal Complication After LIVER Liver Transplantation Badar Hasan, MD1, Yunjoo Yim2, Daniel Castaneda, MD1, Mamoon Ur Clinical Vignettes / Case Reports Rashid, MD3, Kawtar Al Khalloufi, MD4; 1. Cleveland Clinic, Weston, FL; P0660. Liver Mass in Cirrhotic Patients: Is It Always Hepatocellular 2. Ross University School of Medicine, Miramar, FL; 3. Adventhealth Carcinoma (HCC)? Orlando, Orlando, FL; 4. Cleveland Clinic Foundation, Weston, FL Maham Hayat, MD1, Hassaan Zia, MD1, Muhammad Hashim Hayat, MBBS2, P0672. Acetaminophen-Induced Liver Toxicity in a Patient With Javid Fazili, MD1; 1. University of Oklahoma Health Sciences Center, Undetectable Acetaminophen Levels Oklahoma City, OK; 2. University of Health Sciences, Oklahoma City, OK Akhil Penmetcha, MD1, Nirvani Goolsarran, MD1, Yunseok Namn, MD2; P0661. Rare Presentation of a Mast Cell Neoplasm as Liver Fibrosis 1. Stony Brook University Hospital, Stony Brook, NY; 2. Stony Brook Maham Hayat, MD1, Thomas J. Corredine, DO1, Ayesha Hassan, MD2, Medicine, Stony Brook, NY Rajesh Kanagala, MD1; 1. University of Oklahoma Health Sciences Center, P0673. An Interesting Case of Intrahepatic Porto-Hepatic Shunt as a Cause Oklahoma City, OK; 2. University of Oklahoma Health Sciences Center, of Unexplained Encephalopathy Oklahoma, OK Arsalan Alvi, MD1, Sonali Gupta, MD1, Pradeep Goyal, MD2, Jose Pichardo, 2 2 P0662. Non-Hepatic Hyperammonemia Associated With Acute Bowel MD , Edward Mensah, MD ; 1. Saint Vincent's Medical Center, Bridgeport, Perforation CT; 2. Saint Vincent's Medical center, Bridgeport, CT Janet L. Melnyk, MD, Kimberly R. Cavaliere, MD, Nitzan C. Roth, MD, PhD; P0674. Toxic Epidermal Necrolysis and Drug-Induced Liver Injury Hofstra North Shore-LIJ School of Medicine, Manhasset, NY Secondary to Oseltamivir 1 2 P0663. Bupivacaine-Induced Liver Injury: A Diagnostic Dilemma Abdullah S. Shaikh, MD , Jenine Zaibaq-Krill, MD , Shehzad N. Merwat, 2 2 Tausif A. Syed, MD, Sameer Patel, MD, Richard Alweis, MD; Unity Hospital, MD , Sheharyar Merwat, MD ; 1. University of Texas Medical Branch, Rochester, NY Houston, TX; 2. University of Texas Medical Branch, Galveston, TX

P0675. Silent Propafenone-Induced Liver Injury: Case Report P0687. Peripheral Eosinophilia; An Unusual Presentation of Autoimmune Ahmad Musmar, MD1, Muhammad B. Hammami, MD1, Mishah Azhar, MD1, Hepatitis Reem Aboushaar, MS1, Saleh Alzaraq, MD2, Stephen M. Miller, MD, FACG1, Olalekan Akanbi, MD, MPH, Hirotaka Kato, MD, Nishant Tripathi, MD, Tushi Peter Salomon, MD, FACG1; 1. Florida Atlantic University, Boca Raton, FL; Singh, MD, Kishore Karri, MD, Kshitij Thakur, MD; University of Kentucky 2. Artisans of Medicine NYC, Brooklyn, NY College of Medicine, Lexington, KY P0676. Recurrent Hepatocellular Carcinoma From Needle Tract Seeding 13 P0688. Benign Intermittent Intestinal Alkaline Phosphatase Elevation Years Post-Transplant Muhammad Sohail Mansoor, MD1, Omar Tageldin, MD1, Nour Parsa, MD1, Quinton D. Palmer, MD, Abhilash Perisetti, MD, Brannon Broadfoot, MD, Wafic Itani, MD2, Cassidy Alexandre, MD1, Peter F. Ells, MD1; 1. Albany Kemmian D. Johnson, MD, MPH, Mauricio Garcia-Saenz-de-Sicilia, MD; Medical Center, Albany, NY; 2. Stratton Veteran Affairs Medical Center, University of Arkansas for Medical Sciences, Little Rock, AR Albany, NY P0677. Chronic Active Epstein-Barr Virus Presenting Primarily With P0689. Spontaneous Fungal Peritonitis - A Rare Complication of Ascites Abnormal Liver Enzymes Secondary to Right Heart Failure: A Case Report Quinton D. Palmer, MD, Abhilash Perisetti, MD, Mauricio Garcia-Saenz-de- Salaah Siddiqui, DO, Arshad Muhammad Iqbal, MD, Dharti Patel, MD, Sicilia, MD, Felicia D. Allard, MD, Eric U. Yee, MD; University of Arkansas Ateeq Mubarik, MD, Aamani Jupalli, MD, Fahad Zafar, MD, Salman for Medical Sciences, Little Rock, AR Muddassir, MD; Oak Hill Hospital, Brooksville, FL P0678. Incidental Finding of Hepatocellular Neoplasms in Non-Cirrhotic P0690. Peribiliary Cysts Mimicking Primary Sclerosing Cholangitis and Patients: A Case Series Cholangiocarcinoma Christina Ling, MD, Sameen Khalid, MD, David Martin, MD, Joshua Hanson, Shiva Kumar, MD, MHA; Digestive Disease Institute, Cleveland Clinic, Abu MD, Daniel Castresana, MD; University of New Mexico, Albuquerque, NM Dhabi, Abu Dhabi, United Arab Emirates P0679. A Case of Rare Escape Mutation Type G130N and Conundrum of P0691. Emergent Living Donor Liver Transplantation for Fulminant Hepatic Heptitis B Serology Failure Secondary to Wilson’s Disease Saraswathi Lakkasani, MD, MBBS, Rajasingam M. Jayasingam, MBBS, MD, Shiva Kumar, MD, MHA; Digestive Disease Institute, Cleveland Clinic, Abu Shaker Barham, MD, Arthur M. Siegel, MD, Joseph Depasqule, MD, FACG; Dhabi, Abu Dhabi, United Arab Emirates Saint Michael's Medical Center, Newark, NJ P0692. Sorafenib-Induced Nephrotic Syndrome in Recurrent Post- P0680. Primary Combined Hepatocellular Carcinoma-cholangiocarcinoma: Transplant Hepatocellular Carcinoma A Case Report for Under-Diagnosed Primary Liver Cancer Shiva Kumar, MD, MHA; Digestive Disease Institute, Cleveland Clinic, Abu Saif Affas, MD, Sindhu Malapati, MD, Momal Chand, MD, Tarik Hadid, MD, Dhabi, Abu Dhabi, United Arab Emirates MPH, MS; St. John Hospital and Medical Center, Grosse Pointe Woods, MI P0693. Nivolumab-Induced Severe Allograft Rejection in Recurrent Post- P0681. Zieve’s Syndrome: Case Report, Review of the Literature and Transplant Hepatocellular Carcinoma Electronic Patient Database Shiva Kumar, MD, MHA; Digestive Disease Institute, Cleveland Clinic, Abu Patrick Twohig, MD, MPH1, Aakash Desai, MD2, Sonia Sandhu, MD3, Dalbir Dhabi, Abu Dhabi, United Arab Emirates S. Sandhu, MD4; 1. MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH; 2. MetroHealth Hospital, Case Western Reserve P0694. Metastatic Melanoma: A Rare Case of Liver Involvement Georgiana Marusca1, Ranya Selim, MD2; 1. Wayne State University School University, Cleveland, OH; 3. Cleveland Clinic Foundation / Akron General, of Medicine, Detroit, MI; 2. Henry Ford Hospital, Detroit, MI Akron, OH; 4. Case Western Reserve University / MetroHealth Medical Center, Cleveland, OH P0695. Double Trouble: Coxsackie A and B Induced Hepatitis in an Adult 1 2 1 P0682. A Rare Complication of Post-TIPS Related Acute Cholecystitis Stanley Yakubov, MD , Simcha Weissman, DO , Jonathan Panitch, MD , Yuriy Tsirlin, MD1, Rabin Rahmani, MD1, Ira Mayer, MD1; 1. Maimonides Maria Chiejina, MD1, Hrishikesh Samant, MD1, James D. Morris, MD, FACG2; Medical Center, Brooklyn, NY; 2. Hackensack University - Palisades 1. Louisiana State University Health Sciences Center, Shreveport, LA; 2. Medical Center, Teaneck, NJ Louisiana State University Health, Shreveport, LA P0683. Hydrazine Sulfate: A Case Report of Drug-Induced Acute P0696. An Unusual Case of Direct Acting Antiviral Potentiating Hepatorenal Toxicity Angioedema Karissa Lambert, MD1, Ahmed Said Hamed, MD2, Hamza Khalid, MD3; 1. Rachael L. Weigle, DO, Charles K. Carver, DO, Gerald Mank, MD, Teresa Vidant Medical Center, Greenville, NC; 2. Vidant Medical Center / Campanile, MD, Tonya Burnette, PharmD; Carolinas Healthcare System, East Carolina University, Greenville, NC; 3. Vidant Medical Center, Morganton, NC Greenvile, NC P0684. Hot Spot Sign on Tc-99m DISIDA Nuclear Hepatobiliary Scan Asif A. Fakhri, MD1, Sabah Iqbal, MBBS2; 1. Maryland Department of P0697. Rotavirus, a Gastroenteritis Associated With Acute Transaminitis Health, Cambridge, MD; 2. A.J. Institute of Medical Sciences and Research in Adult Sandeep Anthony Ponniah, MD1, Maher Homsi, MD2; 1. University of Center, Chicago, IL Florida College of Medicine, Gainesville, FL; 2. University of Florida, P0685. Herpes Simplex Virus - 1 Related Acute Fulminant Liver Failure Gainesville, FL Successfully Treated With Medical Therapy Archish Kataria, MD, Kermit V. Speeg, MD, Lisandro Gonzalez, MD; P0698. Hepatocellular Carcinoma With Vascular Invasion and Cardiac University of Texas Health Science Center, San Antonio, TX Metastasis: A Case of Veno-Occlusive Disease Causing Progressive Liver and Renal Failure P0686. A Rare Report of Pantoprazole-Induced Acute Hepatocellular and Neethi R. Dasu, DO, BS1, Yaser Khalid, DO, BS2, Richard Walters, Cholestatic Hepatitis DO3, Kailash Lal, DO2, Nishant Parikh, DO2; 1. Rowan School of Archish Kataria, MD, Hopethe Hubbard, MD, Robert Page, PA-C; Osteopathic Medicine, Voorhees Township, NJ; 2. Rowan University University of Texas Health Science Center, San Antonio, TX School of Osteopathic Medicine, Stratford, NJ; 3. Jefferson Health Gastroenterology, Cherry Hill, NJ

80 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0699. Isolated Polycystic Liver Disease: Case of Long-Term Progression P0710. From Lungs to Liver: Acute Budd-Chiari Syndrome Secondary to SUNDAY of Hepatic Cyst Small Cell Lung Carcinoma Sara I. Ali, MD1, Hao Chi Zhang, MD1, Sushovan Guha, MD, PhD2; 1. Scott Weismiller, MS1, Vincent Ganapini, DO1, Kovil Ramasamy, MD2; University of Texas Health Science Center, Houston, TX; 2. University of 1. Rowan University School of Osteopathic Medicine, Bayonne, NJ; 2. Arizona College of Medicine, Phoenix, AZ Rowan University School of Osteopathic Medicine, Stratford, NJ P0700. I'm Starving: A Rare Case of Liver Autophagocytosis Secondary to P0711. Is There a Role for TAVR in Cirrhotics With Severe Aortic Anorexia Nervosa Stenosis? A Case Report Frederick Rozenshteyn, MD1, Neelesh Rastogi, MD2, Kelsey Collins, MD1, Jeffrey Hyder, MD, Sachin Srinivasan, MD, Nathan Tofteland, MD, Ankita Nagirimadugu, MD2, Gil Ascunce, MD2; 1. Mount Sinai Beth Israel William Salyers, MD, MPH, Zaher Fanari, MD; University of Kansas Medical Center / Icahn School of Medicine at Mount Sinai, New York, NY; School of Medicine, Wichita, KS 2. Mount Sinai Beth Israel Medical Center, New York, NY P0712. A Rare Case of Valproate-Induced Encephalopathy Requiring P0701. Abdominal Pain Born From Migrating IUD to the Liver Hemofiltration Faris Pacha, DO1, Francis Matsuzak, DO1, Jamie L. Skrove, DO1, Linoj Thin Myat, MD1, Min Win, MD2; 1. VA Central California Health Care System, Paniker, DO1, Javier Sobrado, MD2, Zaid Rana, DO1; 1. Larkin Community Fresno, CA; 2. University of California San Francisco - Fresno, Fresno, CA Hospital, Miami, FL; 2. GastroMed, Miami, FL P0713. Acute on Chronic Hepatic Failure From Primary Amyloidosis (AL): A P0702. Getting to the Root of the Matter: A Case of Valerian Root-Induced Fatal Complication Hepatitis and Pancreatitis Mamoon Ur Rashid, MD1, Muzammil Muhammad Khan, MD2, Waqas Ullah, Isabella Bergagnini, DO1, David Kadosh, MD2, Andrew Nguyen, DO1, MD3, Hammad Zafar, MD1, Ishtiaq Hussain, MD4, Badar Hasan, MD4, FNU Arun Swaminath, MD1; 1. Lenox Hill Hospital, New York, NY; 2. Lenox Hill Asad Ur Rehman, MD5, Abu Hurairah, MD1; 1. Florida Hospital, Orlando, FL; Hospital / Northwell Health, New York, NY 2. Khyber Medical College, Peshawar, North-West Frontier, Pakistan; 3. Abginton Jefferson Health, Abington, PA; 4. Cleveland Clinic Foundation, P0703. Thoracic Neuroendocrine Tumor With Hepatic Metastases: An Ideal Weston, FL; 5. Cleveland Clinic, Weston, FL Case for Radioembolization Sindhura Kolli, MD1, Ali Aamar, MD2, Denzil Etienne, MD2; 1. Brooklyn Hospital P0714. A Unique Case of Concurrent Langerhans Cell Histiocytosis and Center, Brooklyn, NY; 2. The Brooklyn Hospital Center, Brooklyn, NY Autoimmune Hepatitis Complicated by a Lower Gastrointestinal Bleed Ahmed Ahmed, DO, Umair M. Nasir, DO, Paul Delle Donna, DO, Mark A. P0704. Rifampin-Induced Decompensation of Cirrhosis: A Tuberculosis Galan, MD, MS, Jie-Gen Jiang, MD, Vivek A. Lingiah, MD; Rutgers New Dilemma Jersey Medical School, Newark, NJ Sindhura Kolli, MD1, Ali Aamar, MD2, Denzil Etienne, MD2; 1. Brooklyn Hospital Center, Brooklyn, NY; 2. The Brooklyn Hospital Center, Brooklyn, NY P0715. Hepatic Dysfunction as a Result of Multiple Myeloma Cesar Taborda, MD, MSc, Amanda Barrett, MD, Shiyong Li, MD, PhD, Ravi P0705. Transfusion Associated Babesiosis: An Uncommon Cause of Acute Vora, MD; Emory University School of Medicine, Atlanta, GA Liver Failure Daniel R. Brandt, MD1, Manjula Balasubramanian, MD2, Victor J. Navarro, P0716. Cascara Sagrada: A Dangerous Herbal Stool Softener: A Case MD, MHCM3, Richard Kalman, MD4; 1. Cooper University Hospital, Mt. Report and Literature Review Laurel Township, NJ; 2. Einstein Medical Center, Philadelphia, PA; 3. Estefania Flores, MD1, Chimezie Mbachi, MD2, Tejinder Randhawa, DO2, Thomas Jefferson University School of Medicine, Philadelphia, PA; 4. Ishaan Vohra, MD2, Rohit Agrawal, MD2, Benjamin Mba, MBBS2; 1. Cook Albert Einstein Healthcare Network, Philadelphia, PA County Health and Hospital Systems, Chicago, IL; 2. John H. Stroger, Jr. Hospital of Cook County, Chicago, IL P0706. Primary Malignant Mesothelioma of Liver: A Rare Liver Tumor Subash Ghimire, MD, Tsujung Yang, MD, Harshil Shah, MD, Ukorn Srivatana, P0717. Severely Jaundiced Body Builder: A Case of Acute Cholestatic MD, Ashit Sarker, MD; Guthrie Robert Packer Hospital, Sayre, PA Syndrome With Anabolic Androgenic Steroid Use Estefania Flores, MD1, Damon Fu, MD2, Bashar M. Attar, MD, PhD1, Pedro P0707. Rectus Sheath Hematoma Post Abdominal Paracentesis: A Rare Palacios, MD3, Ishaan Vohra, MD3, Melchor V. Demetria, MD1; 1. Cook Complication County Health and Hospital Systems, Chicago, IL; 2. Cook County Hospital, Passisd Laoveeravat, MD, Alay M. Tikue, MD, Subhanudh Thavaraputta, Chicago, IL; 3. John H. Stroger, Jr. Hospital of Cook County, Chicago, IL MD, Sakolwan Suchartlikitwong, MD, Thammasak Mingbunjerdsuk, MD, Thanita Thongtan, MD, Kenneth Nugent, MD; Texas Tech University Health P0718. Management of a Massive Liver Hemangioma: Does Size Matter? Sciences Center, Lubbock, TX Richard M. Fazio, MD, MS1, Daniel J. Waintraub, MD1, Rabin Rahmani, MD1, Cristina H. Hajdu, MD2, James S. Park, MD3; 1. Maimonides Medical Center, P0708. An Unusual Case of Elevated AFP in a Patient With Chronic Hepatitis B Brooklyn, NY; 2. New York University Langone Health, New York, NY; 3. Pir Ahmad Shah, MD, MBBS1, Allison Onken, MD2, Karen J. Campoverde New York University Langone Medical Center, Brooklyn, NY Reyes, MD1, Muhammad Haisum Maqsood, MD, MBBS2, Rizwan Ishtiaq, MD3, Adrianna Herskovits, MD, PhD2, Daryl T. Lau, MD, MSc, MPH1; 1. Beth P0719. GIST or MPNST or Both? An Enigmatic Mass Israel Deaconess Medical Center, Harvard Medical School, Boston, MA; 2. Yasmine Hussein Agha, MD, Sachin Srinivasan, MD, Jeffrey Hyder, Beth Israel Deaconess Medical Center, Boston, MA; 3. Mercy Health - St. MD, William Salyers, MD, MPH, Nathan Tofteland, MD, Ali Ahmad, MD; Vincent Medical Center, Toledo, OH University of Kansas School of Medicine, Wichita, KS P0709. An Atypical Case of Recurrent Intrahepatic Cholestasis of Pregnancy P0720. Too Much TAE: A Case of Tumor Lysis Syndrome After Repeat Pir Ahmad Shah, MD, MBBS1, Karen J. Campoverde Reyes, MD1, Aysha Transarterial Embolization of Hepatocellular Carcinoma Aslam, MD2, Jaspreet Suri, MD3, Lily Wu, MD3, Lucy Chie, MD, MPH4, George Henry, MD; VCU Health Systems, Richmond, VA Daryl T. Lau, MD, MSc, MPH1; 1. Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA; 2. Louis A. Weiss Memorial Hospital, P0721. A Case of Dasatinib-Induced Liver Injury Carlos E. Bertran-Rodriguez, MD, Sajiv Sethi, MD, Andrea Pagan, MD, Chicago, IL; 3. Beth Israel Deaconess Medical Center, Boston, MA; 4. Beth Yadis Arroyo, MD, Nyingi Kemmer, MD; University of South Florida Israel Deaconess Medical Center, South Cove Community Health Center, Morsani College of Medicine, Tampa, FL Harvard Medical School, Boston, MA

P0722. Hyperammonemia Secondary to an Acquired Urea Cycle Disorder in P0733. Anoxic Brain Injury From Hepatic Encephalopathy in Acute on a Patient With Metastatic Hepatocellular Carcinoma Chronic Liver Failure: A Case Report Ahana Sen, MD, Markey McNutt, MD, Amit G. Singal, MD, MS, William M. Muaz Aijazi, MD, Ahmed Noor, MD; University of Pittsburgh Medical Lee, MD, Nicole E. Rich, MD; University of Texas Southwestern Medical Center Mercy, Pittsburgh, PA Center, Dallas, TX P0734. Malignant Hepatic Epitheliod Hemangioendothelioma in a Patient P0723. Umbilical Hernia Rupture Complicated by Enterocutaneous Fistula With a Prior Liver Transplant in 63-Year-old Female With Decompensated NASH Cirrhosis Parker L. Ellison, Jr., MD, Ira Willner, MD; Medical University of South Michal Kloska, MD, Matthew J. Sullivan, DO, Adam Peyton, DO, Waqas Carolina, Charleston, SC Adeel, MD; Lehigh Valley Health Network, Allentown, PA P0735. Multiple Liver Abscesses Caused by Streptococcus P0724. Simultaneous Coronary Artery Bypass Grafting and Orthotopic Intermedius Bacteremia in the Setting of a Routine Dental Cleaning Liver Transplantation Angy Hanna, MD, Fadi Odish, MD, Zaid Imam, MBBS, Bhavinkumar Dalal, Vennis Lourdusamy, MD1, Christopher Albers, MD1, Nyingi Kemmer, MD1, MD; William Beaumont Hospital, Royal Oak, MI Rashid Syed, MD1, Miguel Malespin, MD2, Kiran Dhanireddy, MD3, Amy Lu, MD3, Marian Porubsky, MD3, John Dunning, MD1, Saurabh Agrawal, MD1; P0736. Rapidly Progressive Hepatitis C After Liver Transplantation Treated 1. University of South Florida Morsani College of Medicine, Tampa, FL; With Glecaprevir/Pibrentasvir Hamza Abdulla, MD, Shehzad N. Merwat, MD, Heather Stevenson, MD, 2. University of South Florida Morsani College of Medicine and Tampa Rupak Kulkarni, MD; University of Texas Medical Branch, Galveston, TX General Medical Group, Tampa, FL; 3. Tampa General Medical Group, Tampa, FL P0737. DRESS Causing a Subacute Fulminant Hepatitis Secondary to P0725. Drug-Induced Autoimmune Hepatitis From Valerian Root Tea Sulfasalazine Jenine Zaibaq-Krill, MD, Michael Sydor, DO, Sheharyar Merwat, MD, Vennis Lourdusamy, MD1, Christopher Albers, MD1, Miguel Malespin, Shehzad N. Merwat, MD, Gurinder Luthra, DO; University of Texas Medical MD2, Nyingi Kemmer, MD1, Saurabh Agrawal, MD1, Rashid Syed, MD1; 1. Branch, Galveston, TX University of South Florida Morsani College of Medicine, Tampa, FL; 2. University of South Florida Morsani College of Medicine and Tampa P0738. Propafenone-Induced Hepatocellular and Cholestatic Injury General Medical Group, Tampa, FL Cynthia Rivas, MD1, Juan J. Castano, Jr., MD1, Leonardo Pozo, MD1, Rex 1 2 3 P0726. Rituximab for the Treatment of Refractory Autoimmune Hepatitis Huang, MD , Grigoriy Rapoport, MD , Asif Zamir, MD ; 1. University of Texas Rio Grande Valley at Doctors Hospital at Renaissance, Edinburg, Vennis Lourdusamy, MD1, Nyingi Kemmer, MD1, Christopher Albers, TX; 2. University of Texas Health Rio Grande Valley, Edinburg, TX; 3. MD1, Rashid Syed, MD1, Miguel Malespin, MD2, Saurabh Agrawal, MD1; Doctors Hospital at Renaissance, Edinburg, TX 1. University of South Florida Morsani College of Medicine, Tampa, FL; 2. University of South Florida Morsani College of Medicine and Tampa P0739. Symptomatic Isolated Polycystic Liver Disease Causing Respiratory General Medical Group, Tampa, FL Compromise 1 1 1 P0727. An Unprovoked Crisis: Hemophagocytic Lymphohistiocytosis Cynthia Rivas, MD , Juan J. Castano, Jr., MD , Leonardo Pozo, MD , Grigoriy Rapoport, MD2, Asif Zamir, MD3; 1. University of Texas Rio Grande Fawzi Zghyer1, Charlie Buffie, 1MD , David Wan, MD2; 1. New York- Valley at Doctors Hospital at Renaissance, Edinburg, TX; 2. University Presbyterian / Weill Cornell Medical Center, New York, NY; 2. Weill Cornell of Texas Health Rio Grande Valley, Edinburg, TX; 3. Doctors Hospital at Medical College, New York, NY Renaissance, Edinburg, TX P0728. The Path to Encephalopathy: A Case of Spontaneous Portosystemic Shunt Embolization P0740. Hepatocellular Carcinoma With Rare Duodenal Metastases Kyley Leroy, DO1, Amanda Long, DO1, Marc Zitin, MD2; 1. Lankenau Medical Alexander Jenkins, DO1, Michael M. Skaret, MD2, John J. Hussell, DO3, Center, Wynnewood, PA; 2. Main Line Gastroenterology Associates, Ryan Kwok, MD1; 1. Walter Reed National Military Medical Center, Wynnewood, PA Bethesda, MD; 2. Naval Medical Center, San Diego, CA; 3. Walter Reed National Military Medical Center, Washington, DC P0741. Herpes Simplex Virus Hepatitis in Immunocompetent Hosts - A Case P0729. A Case of Portomesenteric Venous Thrombosis After Laparoscopic Series Demonstrating the Importance of Early Recognition and Empiric Sleeve Gastrectomy Antiviral Therapy Scott R. Douglas, MD, Jennifer Miller, MD, Zachary Henry, MD, MS; Rajarajeshwari Ramachandran, MD1, Niraj Jani, MD2; 1. Greater Baltimore University of Virginia, Charlottesville, VA Medical Center, Towson, MD; 2. Greater Baltimore Medical Center, Baltimore, MD P0742. Coagulopathy and Jaundice in Alagille Syndrome, Not All That P0730. A Case of Cryptococcal Hepatitis in HIV Patient With a Negative Glitters Is Gold Serum Cryptococcal Antigen Barakat Aburajab Altamimi, MD, James Vancura, DO, Antonio J. Sanchez, MD; University of Iowa Hospitals & Clinics, Iowa City, IA Elias Estifan, MD, Ian Laxina, MD, Ahmad Hlayhel, MD, Sami Adib, MD, Walid Baddoura, MD; St. Joseph's University Medical Center, Paterson, NJ P0743. HSV Hepatitis in an Immune-Competent Patient Pilin D. Francis, DO, MS1, Shannon L. Tosounian, DO2, Richard Kalman, P0731. A Rare Case of Very Late Liver Metastasis in Resected 1 Neuroendocrine Tumor MD ; 1. Albert Einstein Healthcare Network, Philadelphia, PA; 2. Albert Einstein Medical Center, Philadelphia, PA Tanureet Kochar, MD1, Parminder Dhingra, MD2, Mohamad Sankari, MD1; 1. Charleston Area Medical Center, Charleston, WV; 2. Saint Mercy Vincent P0744. Cholestatic Hepatitis as a Paraneoplastic Syndrome of Endometrial Hospital, Toledo, OH Carcinoma P0732. Splenic Infarction in Alcoholic Hepatitis Francis Wade, MD, Florence-Damilola Odufalu, MD, Charlene Prather, MD, Elizabeth Marsicano, MD; Saint Louis University School of Medicine, Saint Muaz Aijazi, MD, Brendan Gill, MD, Arjun Kalaria, MD, Ashish Ahuja, MD; Louis, MO University of Pittsburgh Medical Center Mercy, Pittsburgh, PA

82 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0745. HELLP My Liver Hematoma P0758. Chronic Lymphocytic Leukemia of the Liver: A Rare Cause of SUNDAY Abubaker O. Abdalla, MD1, Mohamed Abdallah, MD2, Sai B. Narala, MD1, Elevated Liver Function Tests Nageshwara Gullapalli, MD, MPH1; 1. University of Nevada School of Ricky Buckshaw, DO1, Anam Malik, MD1, Michal Kloska, MD1, Reema Medicine, Reno, NV; 2. University of South Dakota Sanford School of Vaze, MD1, She-Yan Wong, MD2; 1. Lehigh Valley Health Network, Medicine, Sioux Falls, SD Allentown, PA; 2. Eastern Pennsylvania Gastroenterology and Liver Specialists, Allentown, PA P0746. Diabetic Hepatosclerosis Presenting as Severe Pruritis Amanda Long, DO, Silpa Yalamanchili, MD, Kimberly Heightchew, MD, P0759. Hepatic Adenoma Misdiagnosed as Biliary Colic Patricia Wong, MD; Lankenau Medical Center, Wynnewood, PA Mitchell Pitlick, MD, Christopher Stephenson; Mayo Clinic, Rochester, MN P0747. Clostridioides difficile-Associated Hemolytic Uremic Syndrome P0760. A Case of Hepatitis B Reactivation Resulting in Fulminant After Orthotopic Liver Transplantation Hepatic Failure Ahmed Chatila, MD1, Shehzad N. Merwat, MD1, Mohammad Bilal, MD2, Marilia Campos, MD, Andrew Henn, MD, Ahmad Malli, MD; Hennepin Sheharyar Merwat, MD1, Rupak Kulkarni, MD1, Muhammad Mujtaba, MD1; County Medical Center, Minneapolis, MN 1. University of Texas Medical Branch, Galveston, TX; 2. The University of Texas Medical Branch, Galveston, TX P0761. A Rare Case of Atraumatic Intercostal and Intrathoracic Liver Herniation Related to Influenza A P0748. A Unique Presentation of Severe Cholestatic Autoimmune Hepatitis Prateek S. Harne, MBBS, Samiran Mukherjee, MBBS, Zachary Shepherd, With an Associated Biliary Stricture MD; SUNY Upstate Medical University, Syracuse, NY Evan Reinhart, DO, Jessica Garner, DO, Mark A. Jeffries, DO, James Sing, Jr., DO, FACG; Baylor Scott & White Health, Temple, TX P0762. Glycogen Hepatopathy: An Unusual Cause of Liver Enzymes Elevation in Diabetic Patients P0749. Drug-Induced Autoimmune Hepatitis Secondary to Infliximab Fnu Sourabh, MD, Anubhav Jain, MD, Ankita Aggarwal, MD, Sarwan Evan Reinhart, DO, Juan Diocares, MD, Priscilla R. Powell, DO, Mark A. Kumar, MD, Neeharika Ralh, MD; Wayne State University School of Jeffries, DO; Baylor Scott & White Health, Temple, TX Medicine, Rochester, MI P0750. A Case Report of Glycogen Hepatopathy: A Reversible, yet Relapsing Cause of Hepatitis in Type 1 Diabetics OBESITY Mishah Azhar, MD1, Muhammad B. Hammami, MD1, Ahmad Musmar, MD1, Matthew Bromer, DO2; 1. Florida Atlantic University, Boca Raton, FL; 2. P0763. Geriatric Bariatrics: Do Post-Operative Patients Remain at Risk for GastroHealth, Boynton Beach, FL Micronutrient Deficiencies? 1 2 3 P0751. An Unusual Complication of Acute Viral Hepatitis A: Hemolytic Anand Nath, MD , Timothy R. Shope, MD , Timothy Koch, MD ; 1. Anemia MedStar Georgetown University Hospital, Washington, DC; 2. MedStar Sai Krishna Korada, MD, Lindsay Sobotka, DO, Michael Wellner, MD, Washington Hospital Center, Washington, DC; 3. MedStar Medical Group, Anthony Michaels, MD; The Ohio State University Wexner Medical Center, Washington, DC Columbus, OH P0764. Utility of Non-Invasive Screening Tools for Assessing Liver Fibrosis P0752. The Unusual Wolf in Sheep's Clothing in Individuals With Medically Complicated Obesity 1 2 Zarak H. Khan, MD, Pranay R. Korpole, MD, Anton Zavoyskikh, MD, Anand Nath, MD , Ivanesa Pardo Lameda, MD , Timothy R. Shope, 2 3 Jonathan R. Paul, MD, Roy Misirliyan, MD, Zahra'a Salah, MD, Ryan Wolok, MD , Timothy Koch, MD ; 1. MedStar Georgetown University Hospital, MD; St. Mary Mercy Hospital, Livonia, MI Washington, DC; 2. MedStar Washington Hospital Center, Washington, DC; 3. MedStar Medical Group, Washington, DC P0753. Shunt Hunting: A Case of Long-Standing Encephalopathy Secondary to Anatomic Porto-Systemic Shunt P0765. Identifying Predictors of Weight Loss for Patients Enrolled in an Brian Lin, DO, Dhruvan Patel, MD, Santiago Munoz, MD; Drexel University Intensive Medical Weight Management Program 1 1 1 College of Medicine, Hahnemann University Hospital, Philadelphia, PA Vimal Bodiwala, MD , Catherine Gardiner, MD , Sonia Pothraj, BA , Timothy Marshall, PhD, MS, ACSM/ACS-CET2, Shannon Clifford, PT, PhD, MPT2, P0754. Hepatic Rupture Due to Subcapsular Liver Hematoma in HELLP Mark Schwartz, MD3, Rameck Hunt, MD3; 1. Robert Wood Johnson Medical Syndrome School, Rutgers University, New Brunswick, NJ; 2. Kean University, Union, Alexander Webb, MD1, Sajiv Sethi, MD1, Miguel Malespin, MD2; 1. University NJ; 3. Penn Medicine Princeton Medical Center, Princeton, NJ of South Florida Morsani College of Medicine, Tampa, FL; 2. University of South Florida Morsani College of Medicine and Tampa General Medical P0766. Body Fatness over the Life Course and the Risk of High-Risk Group, Tampa, FL Serrated Polyps and Advanced Conventional Adenomas  Category Award (Obesity) P0755. Tyrosine Kinase Inhibitor-Induced Hepatotoxicity: A Case Series  Presidential Poster Award Shruti Khurana, MD, Andrew Herman, MD, Bhavtosh Dedania, MBBS, Chun-Han Lo, MD, MPH1, Xiaosheng He, MD2, Dong Hang, PhD3, Mamoun Younes, MD, Victor Machicao, MD; University of Texas Health Kana Wu, MD, PhD1, Shuji Onigo, MD, PhD, MS4, Andrew Chan, MD, MPH5, Science Center, Houston, TX Edward Giovannucci, MD, ScD1, Mingyang Song, MD, ScD1; 1. Harvard T.H. P0756. Novel Use of N-Acetylcysteine in the Management of Chan School of Public Health, Boston, MA; 2. The First Affiliated Hospital Immunotherapy-Induced Acute Liver Injury of Sun Yat-sen University, Guangzhou, Guangdong, China; 3. Harvard T.H. Tarang Patel, MD, Dania Hudhud, MD, Tushar Tarun, MD, Armin Krvavac, Chan School of Public Health, Nanjing, Jiangsu, China; 4. Dana Farber MD; University of Missouri, Columbia, MO Cancer Institute, Boston, MA; 5. Massachusetts General Hospital, Boston, MA P0757. Resolution of Acute Cellular Rejection Using Irradiating Packed Red Blood Cells for Exchange Transfusion in a Patient With Sickle Cell Disease and a History of Orthotopic Liver Transplantation Vipul Nayi, MD, Alvin Htut, MD; Montefiore Medical Center, Bronx, NY

P0767. Preoperative Endoscopic Findings in Veterans Undergoing Bariatric P0774. Discordance Between Self-Reported COI and CMS Open Payment Surgery: Prevalence and Predictors of Barrett's Esophagus Database Among Gastroenterology Guideline Authors Katharine Ozeki, MD, MS1, Sally Tran, BS2, Ramsey Cheung, MD3, Dan  Presidential Poster Award Eisenberg, MD4; 1. Stanford University Medical Center, Stanford, CA; 2. Raj Shah, MD1, Laith Numan, MD2, Apoorva K. Chandar, MD, MPH1, Stanford University School of Medicine, Stanford, CA; 3. VA Palo Alto Chiara Maruggi, MD1, Motib Alabdulwahhab, MD1, Mahak Chauhan, MD2, Health Care System, Palo Alto, CA; 4. VA Palo Alto Health Care System, Perica Davitkov, MD3, Yngve Falck-Ytter, MD3; 1. University Hospitals Stanford, CA Case Medical Center, Case Western Reserve University, Cleveland, OH; 2. University of Missouri, Kansas City, MO; 3. Case Western Reserve P0768. Hepatic Blood Flow and Oxygen Delivery in Metabolic Syndrome University School of Medicine, Cleveland, OH  Presidential Poster Award Ali Zakaria, MD1, Michael Wider, PhD2, James Selis, MD1, Michael Williams, P0775. Temporal Trends of Discordant Recommendations in MD1, Michael Marshall, MD1; 1. Providence - Providence Park Hospital, Gastroenterology Guidelines Over the Last 5 Years Southfield, MI; 2. Wayne State University School of Medicine, Detroit, MI  Presidential Poster Award Laith Numan, MD1, Raj Shah, MD2, Mahak Chauhan, MD1, Apoorva K. Chandar, MD, MPH2, Chiara Maruggi, MD2, Motib Alabdulwahhab, MD2, OBESITY Perica Davitkov, MD3, Yngve Falck-Ytter, MD3, Shahnaz Sultan, MD, MHSc4; Clinical Vignettes / Case Reports 1. University of Missouri, Kansas City, MO; 2. University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH; 3. P0769. A Rare Late Complication After Roux-en-Y Gastric Bypass: Case Western Reserve University School of Medicine, Cleveland, OH; 4. Recurrent Hepatic Abscesses University of Minnesota, Minneapolis, MN Zarir Ahmed, DO1, Florence-Damilola Odufalu, MD2, Mustafa Nazzal, MD1, Charlene Prather, MD2; 1. St. Louis University, St. Louis, MO; 2. Saint Louis P0776. Trends in Matching in GI Fellowship: Data From NRMP University School of Medicine, Saint Louis, MO Varun Kesar, MD1, Komal Lakhani, MD2, Savannah Taylor, MS3, Rajan Kanth, MD4, Mohammad Mouchli, MD4, Vivek Kesar, MD5; 1. Virginia P0770. Endoscopic Management With an Over-the-Scope Gastric Clip of a Tech, Roanoke, VA; 2. Northwell Health, New York, NY; 3. Carilion Clinic, Staple-Line Leak Following Sleeve Gastrectomy Roanoke, VA; 4. Virginia Tech Carilion School of Medicine, Roanoke, VA; Augustine Tawadros, MD1, Kevin Skole, MD2, Wai Y. Chau, MD3; 1. Robert 5. Yale University, New Haven, CT Wood Johnson Medical School, Rutgers University, New Brunswick, NJ; 2. University Medical Center of Princeton at Plainsboro, Plainsboro P0777. Given the Offer of GI EConsultation, PCPs Decline: A Prospective Township, NJ; 3. University Medical Center of Princeton at Plainsboro, Study Plainsboro, NJ  Fellows-in-Training Award (Practice Management Category)  P0771. The Biggest Loser: A Case of Dramatic Weight Loss Achieved With Presidential Poster Award Danielle Moore, MD1, R. Ann Hays, MD1, Kimberly Dowdell2; 1. University an Intragastric Balloon of Virginia Digestive Health Center, Charlottesville, VA; 2. University of Kirtan Chauhan, BS1, Violeta Popov, MD, PhD, FACG2; 1. New York Virginia Medical Center, Charlottesville, VA University School of Medicine, New York, NY; 2. VA New York Harbor Health System, New York, NY P0778. Increasing Gastroenterology Related Scholarly Output in Internal Medicine Residents Using a Novel Individualized Curriculum  Presidential Poster Award PRACTICE MANAGEMENT Mohammad Bilal, MD1, Yasmin G. Hernandez-Barco, MD2, Sreeram Parupudi, MD, FACG3, Lindsay Sonstein, MD3, Don Powell, MD3, Era Buck, P0772. Financial Relationships of Gastroenterology Guideline Authors: PhD3, Karen Szauter, MD3; 1. The University of Texas Medical Branch, Analysis of Sunshine Act CMS Open Payments Database Galveston, TX; 2. Massachusetts General Hospital, Boston, MA; 3.  Presidential Poster Award University of Texas Medical Branch, Galveston, TX Raj Shah, MD1, Laith Numan, MD2, Apoorva K. Chandar, MD, MPH1, Chiara Maruggi, MD1, Motib Alabdulwahhab, MD1, Mahak Chauhan, MD2, P0779. Tweeting the Meeting: Analysis of Twitter Use During the Digestive Perica Davitkov, MD3, Yngve Falck-Ytter, MD3; 1. University Hospitals Disease Week DDW 2019 Case Medical Center, Case Western Reserve University, Cleveland, OH; Muaataz Azawi, MD1, Kavitha Vijayasekar, MD2, Maher Homsi, MD3, Manar 2. University of Missouri, Kansas City, MO; 3. Case Western Reserve Alwan4, Umer Syed, MD2, Aaron Walfish, MD2; 1. Elmhurst Hospital Center, University School of Medicine, Cleveland, OH Astoria, NY; 2. Elmhurst Hospital Center, Elmhurst, NY; 3. University of Florida, Gainesville, FL; 4. Damascus University, Damascus, Dimashq, P0773. Conflict of Interest in Gastroenterology Guidelines: A Lack of Syria Transparency  Presidential Poster Award P0780. Female Authors Contributed to Less Than 20 Percent of the Raj Shah, MD1, Laith Numan, MD2, Apoorva K. Chandar, MD, MPH1, Chiara 100 Most Cited Articles in Gastroenterology and Hepatology - Will This Maruggi, MD1, Motib Alabdulwahhab, MD1, Mahak Chauhan, MD2, Perica Change? Davitkov, MD3, Yngve Falck-Ytter, MD3, Shahnaz Sultan, MD, MHSc4; Yousaf Zafar, MD1, Samar Nasir2, Ahmed A. Elkafrawy, MD3, Lyla Saeed, 1. University Hospitals Case Medical Center, Case Western Reserve MD3, Waqas Ullah, MD4; 1. University of Missouri, Kansas City, MO; 2. Saba University, Cleveland, OH; 2. University of Missouri, Kansas City, MO; 3. School of Medicine, Kansas City, MO; 3. University of Missouri Kansas Case Western Reserve University School of Medicine, Cleveland, OH; 4. City School of Medicine, Kansas City, MO; 4. Abginton Jefferson Health, University of Minnesota, Minneapolis, MN Abington, PA

84 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0781. Learning Styles and Burnout in Gastroenterology: Should Continuing P0790. Low Diagnostic Yield of Dudodenal Biopsy of Celiac Disease in SUNDAY Medical Education Be Changed to Accommodate all Learning Styles? Patients With Iron Deficiency Anemia and Malabsorption Symptoms  Presidential Poster Award Alvin Guyun Kwon, MD1, Heesoo Yoo, MD2, Myungwoo Nam, MD3, Adam C. Bledsoe, MD, Christopher Stephenson, Saswati Mahapatra, MS, Nghia Nguyen, MD3, Maria Barsky, MD3, Denise Kalmaz, MD3; 1. Catholic Cathy Schleck, BS, Jay Mandrekar, PhD, C. Scott Collins, MD, William University of Korea Seoul St. Mary's Hospital, San Diego, CA; 2. Sanchez, MD, Karthik Ravi, MD, Christopher Wittich, MD, PharmD, Laura Seoul Daehyo Rehabilitation Hospital, San Diego, CA; 3. University of E. Raffals, MD, FACG; Mayo Clinic, Rochester, MN California San Diego, San Diego, CA P0782. Choosing Wisely: The Evidence Behind Gastroenterology P0791. Patients Taking Proton Pump Inhibitors Are More Likely Recommendations to Respond to Endoscopic Dilation of Benign Duodenal Stenosis, Kshitij Thakur, MD1, Marijeta Pekez, MD2; 1. University of Kentucky College Regardless of the Etiology of Medicine, Lexington, KY; 2. University of Kentucky, Lexington, KY Vibhu Chittajallu, MD1, Roberto Simons-Linares, MD, MS1, Amit Bhatt, MD2, Tyler Stevens, MD1, John Vargo, MD, MPH1, Prabhleen Chahal, MD, P0783. Physician Wellness Among Gastroenterologists: A Comparison of FACG2; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. Cleveland Clinic, Gastroenterologists and Primary Care Providers Cleveland, OH Eesha Nachnani1, Jagdish Nachnani, MD, MBA2; 1. University School of Nashville, Nashville, TN; 2. Sumner Regional Medical Center, Nashville, TN P0792. Cases of Angiotensin Receptor Blocker (ARB) Related Sprue-Like Enteropathy (SE): A Review of the Food and Drug Administration Adverse P0784. Breaking the Academic Ceiling: Gender Disparities and Bias in Event Reporting System (FAERS) Authorship in Leading Gastroenterological Journals  Presidential Poster Award  Presidential Poster Award Ahmed Khattab, MD1, Sarah Burroughs, DO1, Dana Villines, MA2, Eli 1 2 1 2 Amy Ou, MD , Elissa Lin, MD , Tanya Pavri, MD , Renee L. Williams, MD , Ehrenpreis, MD1; 1. Advocate Lutheran General Hospital, Park Ridge, IL; 2. 3 4 Christopher Thompson, MD, MSc, FACG , Violeta Popov, MD, PhD, FACG ; Advocate Illinois Masonic Medical Center, Chicago, IL 1. New York University School of Medicine, New York, NY; 2. New York University Langone Medical Center, New York, NY; 3. Brigham and P0793. Ileal Carcinoid Tumors Detected During Screening versus Women's Hospital, Boston, MA; 4. VA New York Harbor Health System, Diagnostic Colonoscopy: Comparison of Tumor Characteristics New York, NY Raj I. Narayani, MD, FACG, Kaden R. Narayani; Gastrointestinal Associates, PC, Knoxville, TN P0785. Improving the Accuracy of Health Maintenance Reminders in the Electronic Medical Record to Promote Adherence to Colonoscopy P0794. A Sex-Based Comparison of Initial Presentation and Disease Surveillance Guidelines Severity of Celiac Disease Louis Kishfy, MD, Jennifer Dimino, MD, Lawrence Borges, MD, MPH; Mount Christopher Cao, MD1, Peter Block, MD1, Madeline Russell2, Devayu Parikh2, Auburn Hospital, Cambridge, MA Justin Robbins, MD1, Priyanka Kumar2, Allison David, BS3, Anthony J. DiMarino, MD1, Stephanie Moleski, MD1; 1. Thomas Jefferson University P0786. Female Authorship of Major Gastroenterology Society Guidelines Hospital, Philadelphia, PA; 2. Thomas Jefferson University School of and Technical Reviews Medicine, Philadelphia, PA; 3. Thomas Jefferson University, Philadelphia, PA  Presidential Poster Award Daniel W. Bushyhead, MD, Lisa L. Strate, MD, MPH; University of P0795. Multi-Drug Immunosuppression Post-Solid Organ Transplantation Washington School of Medicine, Seattle, WA Is Associated With Increased Enteric Infection on Multiplex Gastrointestinal Pathogen PCR Testing P0787. Internal Medicine Residents’ Perspective on Gastroenterology Ashley M. Hine, BS1, Andrew Joelson, MD2, Benjamin Lebwohl, MD, MS2, Rotation: An Insight From a Survey Jordan E. Axelrad, MD, MPH3; 1. New York University School of Medicine, Temitayo Gboluaje, MD, MBA, Pramod Pantangi, MD; Morehouse School New York, NY; 2. Columbia University Medical Center, New York, NY; 3. of Medicine, Atlanta, GA New York University Langone Health, New York, NY P0788. Time Spent on Ambulatory Electronic Health Records Outside of P0796. Accuracy of Glucose Breath Testing for Small Intestine Bacterial Scheduled Work Hours by Gastroenterology Physicians Overgrowth (SIBO) Using Endoscopy Aspirate Cultures as a Reference  ACG Governors Award for Excellence in Clinical Research (Physician, Standard: A Meta-Analysis Non-Trainee) Mitchell L. Jones, MD, PhD1, Emil Chuang, MD1, Chris Wahl, MD, MBA1,  Presidential Poster Award Shaoying N. Lee, PhD1, Colleen Kelly, PhD2, Jack Styli, BSc1; 1. Progenity Nathan S. Ramrakhiani1, Katerina Shetler2; 1. Brown University, Palo Alto, Inc., San Diego, CA; 2. Kelly Statistical Consulting, Carlsbad, CA CA; 2. Palo Alto Medical Foundation, Mountain View, CA P0797. Characterization of the Bacterial Makeup and Quantitative Distribution in Patients With Suspected Small Intestine Bacterial SMALL INTESTINE Overgrowth (SIBO): A Meta-Analysis Mitchell L. Jones, MD, PhD1, Shaoying N. Lee, PhD1, Nick Allan, MSc2, P0789. National Burden of Gastrointestinal Tuberculosis: Insights From the Sharat Singh, PhD1, Chris Wahl, MD, MBA1, Emil Chuang, MD1, Colleen Nationwide Inpatient Sample Kelly, PhD3, Jack Styli, BSc1; 1. Progenity Inc., San Diego, CA; 2. Starfish Ishani Shah, MD1, Abhishek Bhurwal, MD2, Harsh Mehta, MD3, Kambiz Medical, Victoria, BC, Canada; 3. Kelly Statistical Consulting, Carlsbad, CA Kadkhodayan, MD1; 1. St. Joseph's Hospital and Medical Center, Creighton P0798. Novel Capillary Catheter System Is Superior to Conventional Small University School of Medicine, Phoenix, AZ; 2. Robert Wood Johnson Bowel Aspiration Catheter: An Important Development for Small Bowel Medical School, Rutgers University, New Brunswick, NJ; 3. Saint Barnabas Microbiome Assessment Hospital, Livingston, NJ Rashin Sedighi, PhD1, Mark Pimental, MD, FACG2, Ruchi Mathur, MD1, Srinivas Gaddam, MD2, Gonzalo Parodi, BSc1, Simon Lo, MD2, Kapil Gupta, MD, MBA2, Laith H. Jamil, MD, FACG2, Ali Rezaie, MD2; 1. Medically Associated Science and Technology (MAST), Cedars-Sinai, Los Angeles, CA; 2. Cedars-Sinai Medical Center, Los Angeles, CA

SMALL INTESTINE P0810. An Unusual Cause of Abdominal Pain From Salmonella Clinical Vignettes / Case Reports enteritidis (SE): Guess Where the Bug Was? Gabriel Melki, MD, Linda Laham, BSc, Gres Karim, BSc, Fnu Komal, P0799. A Rare Case of Mucosa-Associated Lymphoid Tissue (MALT) MD, Shaker Barham, MD, Ruhin Yuridullah, MD, Aarohi Vora, Yasmeen Lymphoma Involving Duodenum Sultana, MD, Walid Baddoura, MD; St. Joseph's University Medical Center, Sravanthi Sonti, MD, Sumana Nagireddy, MD, Laxmi Parsa, MD, Christina Paterson, NJ Birsan, MD; University of Tennessee College of Medicine, Chattanooga, TN P0811. A Bloody Mess: A Rare Cause of Ascites From a Different Field of P0800. Burkitt’s Lymphoma of the Duodenum Medicine Mohamed A. Elkhouly, MD, MSc1, Bashar M. Attar, MD, PhD1, Ahmed A. Andrew Simmelink, MD, Linsey Spence, MD, Jubilee Brown, MD, Rebecca Elkafrawy, MD2, Miguel Salazar, MD1, Ishaan Vohra, MD3, Hemant Mutneja, E. Kasper, MD, MPH, Martin Scobey, MD; Atrium Health / Carolinas MD3, Oscar Rivas Chicas, MD3; 1. Cook County Health and Hospital Medical Center, Charlotte, NC Systems, Chicago, IL; 2. University of Missouri Kansas City School of P0812. Lynch Syndrome With Lung Adenocarcinoma and Their Response to Medicine, Kansas City, MO; 3. John H. Stroger, Jr. Hospital of Cook Nivolumab County, Chicago, IL Ajay Tambe, MBBS1, Sam Benjamin, MD2, Madhuri Badrinath, MBBS2; 1. P0801. Jejunal Carcinoid in a Patient With Primary Biliary Cholangitis SUNY Upstate Medical Center, Syracuse, NY; 2. SUNY Upstate Medical Presenting as Small Bowel Obstruction University, Syracuse, NY Khushboo Singh, MBBS, MS1, Sruthi K. Subramanian, MD1, Fiyinfoluwa P0813. Primary Mesenteric Lieomyosarcoma: A Rare Case Report Abraham, MD2, Bihong Zhao, MD, PhD2, Victor Machicao, MD1; 1. University Saif Affas, MD1, Jose Zamorasifuentes, DO2, Juliann Mendes, DO2, of Texas Health Science Center, Houston, TX; 2. University of Texas Mohammed Barawi, MD, FACG2; 1. St. John Hospital and Medical Center, Medical Branch, Houston, TX Grosse Pointe Woods, MI; 2. Ascension St. John Hospital, Grosse Pointe P0802. An Unusual Case of a Colo-enteric Fistula Woods, MI Mary Kathryn Roccato, MD, Nabil El Hage Chehade, MD, Jason P0814. Clinical Pearls in Current Diagnosis and Management of Salmonella Samarasena, MD, FACG, Piotr Sowa, MD, John Lee, MD; University of paratyphi Infection California Irvine Medical Center, Orange, CA Melissa Hershman, MD1, Varinder Kambo, MD2; 1. Mount Sinai Beth Israel P0803. A Rare Location for a Rare Gastrointestinal Tumor With a Classical Medical Center, New York, NY; 2. Northwell Health Lenox Hill, New York, Presentation of Abdominal Pain, and Gastrointestinal Bleeding NY Alex M. Kesler, MD, Winston Tan, MD, Emmanuel Gabriel, MD, PhD, P0815. Localized AL-Type Intestinal Amyloidosis Presenting as Refractory Andrew Bowman, MD, PhD, Paul T. Kröner, MD, MSc; Mayo Clinic, Iron Deficiency Anemia and Right Lower Quadrant Abdominal Pain Jacksonville, FL Gassan Kassim, MD1, Makda Bsrat, MD1, Neelesh Rastogi, MD2, Srilakshmi P0804. Rare Case of Numerous Duodenal Neuroendocrine Tumors Atluri, MD1, Michael S. Smith, MD, MBA3; 1. Mount Sinai St. Luke's and Encompassing Entire Proximal Duodenum Mount Sinai Roosevelt, New York, NY; 2. Mount Sinai Beth Israel Medical Katherine Kendrick, MD1, Volkan Adsay, MD2, Juan Sarmiento, MD3, Center, New York, NY; 3. Mount Sinai West and Mount Sinai St. Luke's Shahriar Sedghi, MD4; 1. Medical College of Georgia / Mercer University, Hospitals, New York, NY Macon, GA; 2. Koç University Hospitals, Topkapi, Istanbul, Turkey; 3. P0816. Celiac Disease Presenting With Duodenal Ulcerations and Small Emory University Hospital, Atlanta, GA; 4. Gastroenterology Associates Bowel Intussusception of Central Georgia, Macon, GA Ronald Samuel, MD1, Asmeen Bhatt, MD, PhD2, Mohammad Bilal, MD3, P0805. A Case of IgA Vasculitis Diagnosed With Small Bowel Biopsy Gurinder Luthra, DO1; 1. University of Texas Medical Branch, Galveston, John Samies, DO, Vikas Kumar, MD, Shaobo Zhu, MD, Harshit S. Khara, TX; 2. University of Texas Health Science Center, Houston, TX; 3. The MD, FACG, Bradley Confer, DO; Geisinger Medical Center, Danville, PA University of Texas Medical Branch, Galveston, TX P0806. A Rare Cause of Intestinal Pseudo-Obstruction: Gastrointestinal P0817. Case of an Incidental Small Bowel Adenocarcinoma Upon Surgical Amyloid Evacuation of a Retained Video Capsule Endoscopy in a Patient With Tanureet Kochar, MD1, Parminder Dhingra, MD2, Hamza Shah, DO1; 1. Crohn's Disease Charleston Area Medical Center, Charleston, WV; 2. Saint Mercy Vincent Nabeel Moon, MD; University of Florida, Gainesville, FL Hospital, Toledo, OH P0818. Severe Protein-Losing Enteropathy and CMV Duodenitis in an P0807. Posterior Perforation Arising From a Duodenal Diverticulum Immunocompetent Male David Leung, MD, MS, Kishore Gaddipati, MD, FACG; Scripps Mercy Quan M. Nhu, MD, PhD1, Faizi Hai, MD2, Gauree G. Konijeti, MD, MPH3; Hospital, San Diego, CA 1. Scripps Clinic, Scripps Research, University of California San Diego, La Jolla, CA; 2. Scripps Clinic - Scripps Green Hospital, La Jolla, CA; 3. P0808. Extensive Small Bowel Ischemia With Heavy Alcohol Consumption Scripps Clinic / Green Hospital, La Jolla, CA David Leung, MD, MS, Kishore Gaddipati, MD, FACG; Scripps Mercy Hospital, San Diego, CA P0819. Case of a Young Man With Small Bowel Obstruction After Trauma Michael Lysek, Jr., MD, MPH1, Jason R. Stibbe, MD, MS2, Daniel Raines, P0809. A Case of Cytomegalovirus Causing Duodeno-Colonic Fistula in MD, FACG2; 1. University of South Alabama, Mobile, AL; 2. Louisiana State Immune Competent Patient University Health Sciences Center, New Orleans, LA Rahul Myadam, MD1, Yousaf Zafar, MD1, Laith H. Jamil, MD, FACG2; 1. University of Missouri Kansas City School of Medicine, Kansas City, MO; 2. P0820. An Exceptionally Rare Cause of Abdominal Pain: Protein C Cedars-Sinai Medical Center, Los Angeles, CA Deficiency-Induced Mesenteric Panniculitis Mohammad Alomari, MD1, Ismail Hader, MD2, Laith Al Momani, MD3, Bara El Kurdi, MD3, Mark Young, MD3; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. Beaumont Health, Royal Oak, MI; 3. East Tennessee State University, Johnson City, TN

86 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0821. Cryptosporidial Colonization of a Peptic Ulcer in a Healthy Patient - P0833. A Rare Discovery of Duodenal Noncaseating Granulomas SUNDAY Random Occurrence or a Risk Factor? Krysta Contino, MD1, Alexandra Weiss, MD1, Neena Mohan, MD1, Miriam Shivantha Amarnath, MD, BSc, MRSB, Cheikh Talal El Imad, MD, Ebare Enriquez, MD2, Cynthia Griech-McCleery, MD1, Samuel Giordano, MD1; Kingsley, MD, Hueizhi Wu, MD, Stephen Mulrooney, MD; Staten Island 1. Cooper Digestive Health Institute, Mount Laurel, NJ; 2. Cooper University Hospital, Northwell Health, Staten Island, NY University Hospital, Camden, NJ P0822. Emerging Use of Hemospray in Lower Gastrointestinal Bleeding: P0834. A Hefty Hematoma: A Rare Case of Pancreaticobiliary Primary Mucosal Melanoma of the Jejunum Obstruction After Gastrectomy With Roux-en-Y Mira Alsheikh, MD1, Cheikh Talal El Imad, MD2, Sherif Andrawes, MD1, Diana Lech, MD1, Praneet Wander, MD1, Michael Ashamalla, MD1, Jessica Simcha Weissman, DO3, Liliane Deeb, MD2, Khalil Kamar, MBBCh1; 1. Staten Pizzuti, MD1, Mary Cheung2; 1. Hofstra North Shore-LIJ School of Island University Hospital, Staten Island, NY; 2. Staten Island University Medicine, Manhasset, NY; 2. Long Island Jewish Medical Center, Zucker Hospital, Northwell Health, Staten Island, NY; 3. Hackensack University - School of Medicine at Hofstra / Northwell, Northwell Health System, New Palisades Medical Center, Teaneck, NJ Hyde Park, NY P0823. Duodenal Traditional Serrated Adenoma (TSA) Presenting as Small P0835. Immune Check Point Inhibitor Enteritis: A Case of Severe Bowel Intussusception Duodenitis From Nivolumab Therapy Siri A. Urquhart, MD, Kevin P. Quinn, MD, Glenn L. Alexander, MD; Mayo Erin Keyes, MD1, Muhammad B. Hammami, MD2, Kendall R. Beck, MD1; 1. Clinic, Rochester, MN University of California San Francisco, San Francisco, CA; 2. University of California San Francisco, Center for Colitis and Crohn’s Disease, San P0824. Black Speckled Duodenal Mucosa Francisco, CA Sheikh A. Saleem, MD, David Heisig, MD; SUNY Upstate University Hospital, Syracuse, NY P0836. Duodenal Candidiasis Presenting as Mass-Like Lesion: A Rare Presentation P0825. If Any Doubt, Rule It Out: Having a High Clinical Suspicion for Anas Alakkam, DO, Umair Masood, MD, Savio John, MD; SUNY Upstate Paraduodenal Hernia Medical University, Syracuse, NY Jason J. John, BS1, Elizabeth S. John, MD2, Paul Tarnasky, MD, FACG2; 1. Virginia Commonwealth University School of Medicine, Richmond, VA; 2. P0837. Duodenal Duplication Cyst - A Rare Congenital Anomaly Methodist Dallas Medical Center, Dallas, TX Eric O. Then, MD1, Carlos Flores, MD1, Andrew Ofosu, MD2, Vijay S. Are, MD3, Andrea Culliford, MD, FACG1, Vinaya Gaduputi, MD, FACG4; 1. St. Barnabas P0826. Rare Case of Duodenal Melanosis in a 72-Year-Old Male Hospital, Bronx, NY; 2. Brooklyn Hospital Center, Brooklyn, NY; 3. Stormont Navpreet Rana, DO, MSc1, Umair Minhas, MD2, Thomas Mahl, MD2; 1. State Vail Health System, Topeka, KS; 4. SBH Health System, Bronx, NY University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY; 2. State University of New York at Buffalo, Buffalo, NY P0838. Mesenteric Panniculitis in a Young Adult: Case Report and Literature Review P0827. Atraumatic Paraduodenal Hematoma in a Patient Presenting With Eric O. Then, MD1, Oleandro Cercio, MD1, Andrew Ofosu, MD2, Vijay S. Are, Gastric Outlet Obstruction MD3, Andrea Culliford, MD, FACG1, Vinaya Gaduputi, MD, FACG4; 1. St. Shilpa Sannapaneni, MD1, Andrew Assaf, MD1, Mark Feldman, MD2; 1. Texas Barnabas Hospital, Bronx, NY; 2. Brooklyn Hospital Center, Brooklyn, NY; 3. Health Presbyterian, Dallas, TX; 2. Texas Health Resources, Dallas, TX Stormont Vail Health System, Topeka, KS; 4. SBH Health System, Bronx, NY P0828. Jejunal Perforation: A Very Rare Presentation of Jejunal P0839. Adenosquamous Carcinoma of the Ileum: A Rare Entity Found Adenocarcinoma Incidentally Jasmeet Gill, MD1, Shilpa Sannapaneni, MD1, Mark Feldman, MD2; 1. Texas Sara Yacyshyn, MD, Patrick Chen, DO, Padmini Krishnamurthy, MD; Wright Health Presbyterian, Dallas, TX; 2. Texas Health Resources, Dallas, TX State University Boonshoft School of Medicine, Dayton, OH P0829. Unique Thoracic Cause of Atypical Adult Small Bowel P0840. Small Bowel Carcinoid Causing Chronic Anemia Intussusception Chandni Kaushik, MD, August Clark, MD, Shehzad N. Merwat, MD; Neej J. Patel, MD, Allon Kahn, MD, Thomas Lidner, MD, Jewel Samadder, University of Texas Medical Branch, Galveston, TX MD; Mayo Clinic, Scottsdale, AZ P0841. Not All That Ulcerates Is Crohn’s: A Malignant Mimic of Small Bowel P0830. Henoch-Schönlein Purpura Mimicking Crohn’s Disease in a Crohn’s Disease 65-Year-Old Male Danielle Witt, MD1, Jerry G. Spenney, MD1, Shajan Peter, MD1, Adam L. Edwin J. Lee, MD1, Sohyun Kang, BS2, John W. Miller, Jr., MD1, Danielle E. Edwards, MD, MSc2; 1. University of Alabama at Birmingham, Birmingham, Marino, MD1; 1. University of Rochester Medical Center, Strong Memorial AL; 2. University of Alabama at Birmingham School of Medicine, Hospital, Rochester, NY; 2. University of Rochester Medical Center, Birmingham, AL Rochester, NY P0842. Duodenal Perforation From an Inferior Vena Cava Filter as a Rare P0831. A Case of Auto-Brewery Syndrome: Probably an Under-Diagnosed Cause of Persistent Abdominal Pain Medical Condition Walid Khan, MD1, Wei Zhang, MD, PhD2, Brian Weiner, MD, MS2, Virginia  ACG Case Reports Journal Award (Trainee) Clark, MD, MS2; 1. University of Florida College of Medicine, Gainesville,  Presidential Poster Award FL; 2. University of Florida, Gainesville, FL Fahad Malik, MD, Prasanna Wickremesinghe, MD; Richmond University Medical Center, Staten Island, NY P0843. When Considering a Broad Differential to Diarrhea and Joint Pain: Don’t Forget About Whipple’s Disease P0832. A Rare Case of Ileocecal Intussusception in a Young Adult Justin A. Miller, MD1, William C. Chastant, MD2, Bryan D. DiBuono, MD3, 1 1 1 Sanja Patino, MD , Sharmin Akhter, MD , Anneka Hutton, MD , Todd D. Gretchen E. Galliano, MD4, Daniel Raines, MD, FACG5; 1. Louisiana State 2 Eisner, MD ; 1. Florida Atlantic University, Charles E. Schmidt College of University School of Medicine, New Orleans, LA; 2. Tulane University Medicine, Boca Raton, FL; 2. Digestive CARE, Boca Raton, FL School of Medicine, New Orleans, LA; 3. Ochsner Medical Center - Northshore, Slidell, LA; 4. Ochsner Medical Center, New Orleans, LA; 5. Louisiana State University Health Sciences Center, New Orleans, LA

P0844. Rare Malignant Peritoneum Mesothelioma Masquerading With P0853. Differences of Gastric Cancer Characteristics Between With and Respiratory Manifestation Without Helicobacter pylori Eradication Ravish Patel, MD, Pratikkumar Vekaria, MD, Devin Vaishnani, MD, Johnnie Masaaki Kodama, MD, PhD, Tadayoshi Okimoto, MD, PhD, Kazuhiro Mao, MD, Chandrika Raiyani, MD, Marvin Vaishnani, MD, Tejas Raiyani, MD; Mizukami, MD, PhD, Ryo Ogawa, MD, Kazuhisa Okamoto, MD, Osamu Redmond Regional Medical Center, Rome, GA Matsunari, MD, PhD, Kensuke Fukuda, MD, Kazunari Murakami, MD, PhD; Oita University, Yufu, Oita, Japan P0845. Clostridioides difficile Enteritis Refractory to Multiple Fecal Microbiota Transplantions P0854. Contemporary Prevalence and Predictors of Helicobacter Bashar Sharma, MD1, Marsha Antoine, MD1, Mili Shah, MD1, Muhammad pylori Infection in a U.S. Population Hasan, MD2, Sekou Rawlins, MD1; 1. State University of New York Upstate Frederick B. Peng, MD1, Theresa H. Nguyen, MD1, Ikenna Emelogu, Medical University, Syracuse, NY; 2. St. Joseph Hospital, Syracuse, NY MD1, Niharika Mallepally, MD, MPH1, Yan Liu, MS2, Aaron P. Thrift, PhD3, Hashem B. El-Serag, MD, MPH4, Mimi C. Tan, MD, MPH1; 1. Baylor College P0846. Essential Thrombocythemia and AVM-Related Gastrointestinal of Medicine, Houston, TX; 2. Baylor College of Medicine and Center for Bleeding: A Rare Paradoxical Phenomenon Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. Baruh Mulat, MD1, Waqas Nawaz, MD1, Hilary Hertan, MD2; 1. Montefiore DeBakey Veterans Affairs Medical Center, Houston, TX; 3. Baylor College Medical Center, Bronx, NY; 2. Montefiore Medical Center / Albert Einstein of Medicine and Dan L. Duncan Comprehensive Cancer Center, Houston, College of Medicine, Bronx, NY TX; 4. Baylor College of Medicine and Center for Innovations in Quality, Effectiveness and Safety (IQuESt) / Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX STOMACH P0855. Effect of Secretin on Gastric Accommodation, Emptying, and P0847. Clinical and Pathologic Risk Factors for Lymph Node Metastases in Symptoms in Functional Dyspepsia and Health: A Randomized, Controlled, Gastric Neuroendocrine Tumors Cross-Over Trial Jonathan Ragheb, MD1, Firas Bahdi, MD1, Neal Mehta, MD1, Robert Butler,  Presidential Poster Award MS, MPH1, Prabhleen Chahal, MD, FACG2, Tyler Stevens, MD1, Michael Justin Brandler, MD1, Laurence J. Miller, MD2, Xiao Jing Wang, MD1, Priya Cruise, MD, PhD1, Toms Augustin, MD2, Michael McNamara, MD1, R. Vijayvargiya, MD1, Kayla Arndt1, Irene Busciglio, BA1, Duane Burton, MHA1, Matthew Walsh, MD1, Amit Bhatt, MD2; 1. Cleveland Clinic Foundation, William S. Harmsen, BS1, Andres Acosta, MD, PhD3, Michael Camilleri, Cleveland, OH; 2. Cleveland Clinic, Cleveland, OH MD, FACG3; 1. Mayo Clinic, Rochester, MN; 2. Mayo Clinic College of P0848. Long Term Outcomes Following Surgical Resection of Gastric Medicine, Scottsdale, AZ; 3. Mayo Clinic College of Medicine and Science, Neuroendocrine Tumors Rochester, MN Jonathan Ragheb, MD1, Firas Bahdi, MD1, Neal Mehta, MD1, Robert Butler, 1 2 1 P0856. Implementation of Stress Ulcer Prophylaxis Appropriate Use MS, MPH , Prabhleen Chahal, MD, FACG , Tyler Stevens, MD , Michael Criteria in a Community Hospital Cruise, MD, PhD1, Toms Augustin, MD2, Michael McNamara, MD1, R. Michael Beattie, DO, Barbara Pawlaczyk, MD, Tara Anderson, BS, Matthew Walsh, MD1, Amit Bhatt, MD2; 1. Cleveland Clinic Foundation, Samantha Tauscher, BS; Ascension Genesys, Grand Blanc, MI Cleveland, OH; 2. Cleveland Clinic, Cleveland, OH P0857. Socio-Demographic Disparities in Gastric Cancer: A Population- P0849. Low Viscosity Soluble Dietary Fibre for Gastroparesis Sufferers Based Study Harsha Suresh, BSc (Hons), Jerry Zhou, PhD, Vincent Ho, MBBS; Western Navpreet Rana, DO, MSc1, Rohit Gosain, MD2, Riccardo Lemini, MD3, Sydney University, Campbelltown, New South Wales, Australia Adrienne Groman, PhD2, Sarbajit Mukherjee, MD2; 1. State University P0850. Could Pyloroplasty Combined With Gastric Electrical of New York at Buffalo, School of Medicine and Biomedical Sciences, Neurostimulation Be the Optimal Treatment for Drug Refractory Buffalo, NY; 2. Roswell Park Cancer Institute, Buffalo, NY; 3. Mayo Clinic, Gastroparesis Based on Pyloric Pathology, Clinical and Gastric Emptying Rochester, MN Results? P0858. H. pylori Breath Testing in an Academic Medical Center: Utilization  Fellows-in-Training Award (Stomach Category) and Treatment Outcomes  Presidential Poster Award Ian Monk, BS, Sindhuri Benjaram, MD, Neha Sahni, MD, Paul Naylor, PhD, 1 1 1 Aaron Shanker, MD , Osvaldo Padilla, MD , Mohammad Bashashati, MD , Elizabeth May, MD, PhD, Murray N. Ehrinpreis, MD, FACG; Wayne State 2 1 2 Karina Espino, BS, MS , Natalia Vega, BS , Richard McCallum, MD , Irene University School of Medicine, Detroit, MI Sarosiek, MD1; 1. Texas Tech University Health Sciences Center, El Paso, TX; 2. Texas Tech University Health Sciences Center, Paul L. Foster School P0859. Barriers in Completion of H. pylori Eradication Testing in of Medicine, El Paso, TX Predominantly Underserved Hispanic Resident Clinic: A Quality Improvement Project P0851. The Prevalence of Carcinoid Tumors of the Stomach in the USA: Ankita Nagirimadugu, MD1, Frederick Rozenshteyn, MD2, Ari Young1; 1. A Population-Based Study Mount Sinai Beth Israel Medical Center, New York, NY; 2. Mount Sinai Beth 1 1 Mohannad Abou Saleh, MD , Muhammad Talal Sarmini, MD , Carol Israel Medical Center / Icahn School of Medicine at Mount Sinai, New 1 2 3 Rouphael, MD , Emad Mansoor, MD , Amitabh Chak, MD , John Vargo, York, NY MD, MPH1, Amit Bhatt, MD4; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. University Hospitals Cleveland Medical Center, Cleveland, OH; P0860. Quadruple Therapy Is Superior to Triple Therapy in the Treatment 3. University Hospitals Case Medical Center, Case Western Reserve of Clarithromycin Exposed Helicobacter pylori University, Cleveland, OH; 4. Cleveland Clinic, Cleveland, OH Daryl Ramai, MD, MSc1, Ali Aamar, MD1, Robyn Goldstein2, Marissa Solow2, Ogenetaga Madedor2, Evangelos Tsipotis, MD1, Madhavi Reddy, MD, P0852. Gastric Emptying Scans: Adherence to National Guidelines FACG1; 1. The Brooklyn Hospital Center, Brooklyn, NY; 2. St. George's 1 1 2 Journey Wise , Maria Vazquez-Roque, MD , Michael D. Crowell, PhD , Brian University School of Medicine, Brooklyn, NY E. Lacy, MD, PhD, FACG1; 1. Mayo Clinic, Jacksonville, FL; 2. Mayo Clinic, Scottsdale, AZ

88 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS SUNDAY, OCTOBER 27, 3:30 PM – 7:00 PM POSTERS

P0861. Helicobacter pylori Infection in Cancer Patients: MD Anderson P0870. Acute Hemorrhagic Gastritis During Treatment With PD-1 SUNDAY Cancer Center Experience Inhibitor Nivolumab for Stage IV Endometrial Cancer Mazen Alasadi, MD, FACG, Mazen Alasadi, MD, FACG; MD Anderson Michelle Chong, MD1, Simi Singh, MD2; 1. Ronald Reagan UCLA Medical Cancer Center, Houston, TX Center, Los Angeles, CA; 2. University of California Los Angeles, Los Angeles, CA P0862. Predictors of Current Gastric Atrophic Mucosal Grade in Patients Who Underwent Successful Eradication Therapy for Helicobacter P0871. Laying a Gastric Wall Abscess to Rest pylori Infection William Haberstroh, DO1, Joshua M. Steinberg, MD1, Stanley Benjamin, Fumio Omata, MD, MPH, PhD, Kohei Matoba, MD, Yasuhisa Kumakura, MD, MD1, Caren Palese, MD2; 1. MedStar Georgetown University Hospital, Akemi Ohmuro, MD, Fumie Rai, MD, Misako Takashima, MD, Akira Kato, Washington, DC; 2. Georgetown University Hospital, Washington, DC MD, Katsunori Masuda, MD; St. Luke's International University, Chuo-Ku, Tokyo, Japan P0872. A Rare Case of Bleeding Isolated Gastric Varices in the Setting of Non-Cirrhotic Portal Hypertension P0863. Gastroparesis Dietary Recommendations in Patients With Hector H. Gonzalez, MD1, Levonti Ohanisian1, Michael Bank1, Simran Sidhu, Gastroparesis-Like Symptoms Are Only Effective in Normal Colon Transit MBBS2; 1. Florida Atlantic University, Charles E. Schmidt College of Medicine, Documented by Wireless Motility Capsule Methodology Boca Raton, FL; 2. Florida Atlantic University, Boca Raton, FL  Presidential Poster Award P0873. An Extranodal Presentation of Peripheral T-Cell Lymphoma, Not Baha Moshiree, MD, MSc1, William Hasler, MD2, Allen Lee, MD2, Henry Otherwise Specified as Primary Gastric Lymphoma, With Coexistence of Parkman, MD, FACG3, Richard McCallum, MD4, Satish Rao, MD, FACG5, HTLV-1 Linda A. Nguyen, MD6, Irene Sarosiek, MD7, Michael Schulman, DO8, Praneeth Bandaru, MD, MBBS1, Mohamed Barakat, MD2, Febin John, MD1, John M. Wo, MD9, Braden Kuo, MD, MSc10; 1. University of North Carolina, Ali Aamar, MD1, Eduardo Quintero, MD1; 1. The Brooklyn Hospital Center, Charlotte, NC; 2. University of Michigan School of Medicine, Ann Arbor, Brooklyn, NY; 2. Brooklyn Hospital Center, Brooklyn, NY MI; 3. Temple University School of Medicine, Philadelphia, PA; 4. Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, P0874. A Rare Case of Primary Signet Ring Cell Bladder Adenocarcinoma El Paso, TX; 5. Augusta University Medical Center, Augusta, GA; 6. With Metastases to the Stomach Stanford Hospital, Redwood City, CA; 7. Texas Tech University Health Bryce Yohannan, MD1, Maham Hayat, MD1, Muhammad Z. Hanafi, MD1, Sciences Center, El Paso, TX; 8. Florida Center for Gastroenterology, Aqsa Moten, MBBS2, Muhammad Hashim Hayat, MBBS3, Javid Fazili, MD1; Largo, FL; 9. University of Indianapolis, Indianapolis, IN; 10. Massachusetts 1. University of Oklahoma Health Sciences Center, Oklahoma City, OK; 2. General Hospital, Boston, MA Ziauddin Medical University, Oklahoma City, OK; 3. University of Health Sciences, Oklahoma City, OK STOMACH P0875. To the Heart of the Matter: A Case of Left Ventricular Assist Device Erosion at the Texas Heart Institute Clinical Vignettes / Case Reports Sabina Pathan, MD, Jordan Sparkman, MD, Manreet Kaur, MD; Baylor P0864. Can't You GIST Move Over? College of Medicine, Houston, TX Michelle Likhtshteyn, MD1, Fray Martin M. Arroyo-Mercado, MD1, Sadat P0876. An Unusual Presentation of Invasive Gastric Adenocarcinoma Iqbal, MD1, Evan Botti, MD1, John Diks, MD1, Ava Anklesaria, MD, FACG2; 1. Charudatta Wankhade, MD, Marykate Kratzer, MD, Bobby Jacob, MD, SUNY Downstate Medical Center, Brooklyn, NY; 2. Kings County Hospital Sandra Gomez Paz, MD, Jiten Desai, MD, Davinder Singh, MD, Nausheer Center, Brooklyn, NY Khan, MD; Nassau University Medical Center, East Meadow, NY P0865. Pleural Effusion From an Unexpected Source! P0877. IgG4 Related Disease Presented as Diffuse Gastric Wall Thickening Mira Alsheikh, MD1, Khalil Kamar, MBBCh1, Haddad Fady, MD2, Liliane Resembling Gastric Cancer Deeb, MD2; 1. Staten Island University Hospital, Staten Island, NY; 2. Hussein Al Jobori, MD1, Juan Castano, MD2, Karrar Al Gburi, MD3, Keith Staten Island University Hospital, Northwell Health, Staten Island, NY Garrison3, Ingrid Chacon, MD4, Henry R. Herrera, Jr., MD4; 1. University of P0866. Mucosa-Associated Lymphoid Tissue Lymphoma: Crossing the Texas Rio Grande Valley, McAllen, TX; 2. University of Texas Rio Grande Borders! Valley at Doctors Hospital at Renaissance, Edinburg, TX; 3. University Samyak Dhruv1, Haddad Fady, MD2, Rosca Oana1, Sherif Andrawes, MD1; of Texas Rio Grande Valley, Edinburg, TX; 4. Doctors Hospital at 1. Staten Island University Hospital, Staten Island, NY; 2. Staten Island Renaissance, Edinburg, TX University Hospital, Northwell Health, Staten Island, NY P0878. Emphysematous Gastritis: A Rare Consequence of Small Bowel P0867. A Highly Lethal Case of Gastric Pneumatosis Obstruction Monica Multani, DO1, Micaella Kantor, MD2, Tse Anyu, DO3, Javier Sobrado, Nathan Landesman, DO1, Kruti Patel, DO1, Ryan Kahl, DO2, Michelle D. MD3; 1. Larkin Community Hospital, Miami, FL; 2. Kendall Regional Price, DO3; 1. Ascension Genesys Regional Medical Center, Grand Blanc, Hospital, Kendall, FL; 3. Larkin Community Hospital, South Miami, FL MI; 2. Ascension Providence - Providence Park Hospital, Troy, MI; 3. Genesys Regional Medical Center, Grand Blanc, MI P0868. Sparing the Knife: A Case of Emphysematous Gastritis Managed Conservatively P0879. The Evolution and Cure of Multifocal Gastric Cancer Tejinder Randhawa, DO1, Bashar M. Attar, MD, PhD2, Yazan Abu Omar, Meron Debesai, MD, Yevgeniy Mikityanskiy, DO, Michael Bernstein, MD; MD2, Ishaan Vohra, MD1, Estefania Flores, MD1, Rohit Agrawal, MD1; 1. Coney Island Hospital, Brooklyn, NY John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2. Cook County P0880. Gastric Metastasis From Renal Cell Carcinoma: A Case Report Health and Hospital Systems, Chicago, IL Umair M. Nasir, DO1, Ahmed Ahmed, DO1, Dayna Panchal, DO1, Brandon P0869. Gastric Amyloidosis - A Rare Cause of Gastropathy and GI Bleeding Rodgers, BS1, Kalpesh Patel, MD1, Christopher Lenza, DO2; 1. Rutgers New Nicholas Gregory, Sumyra Kachru, MD; Palmetto Health USC Jersey Medical School, Newark, NJ; 2. East Orange VA Hospital, Newark, NJ Gastroenterology and Hepatology, Columbia, SC

P0881. Gastric Sarcoidosis P0894. Gastrointestinal Stromal Tumor Mimicking a Small Lymphocytic Usman Naseer, MBBS, Muhammad Sohail Mansoor, MD, Ali Wazir, MBBS, Lymphoma Mustafa Erdem Arslan, MD, Jae Chung, DO, Peter F. Ells, MD, Michael Victor Garcia-Rodriguez, MD1, Emmanuel Coronel, MD2; 1. University of Fitzpatrick, MD; Albany Medical Center, Albany, NY Texas Health Science Center, Houston, TX; 2. University of Texas MD Anderson Cancer Center, Houston, TX P0882. Gastric Volvulus: A Forgotten Cause of Hematemesis Julian Remouns, MS, DO1, Cassidy Alexandre, MD2, Muhammad Sohail P0895. Spontaneous Vasogenic Gastric Necrosis Mansoor, MD2, Nour Parsa, MD2, Harith Baharith, MD2; 1. Albany Medical Tyler Putnam, MD, Erica Turse, DO, MPH, Kambiz Kadkhodayan, MD; St. Center, Latham, NY; 2. Albany Medical Center, Albany, NY Joseph's Hospital and Medical Center, Phoenix, AZ P0883. Collagenous Gastritis: A Rare Entity P0896. An Uncommon Cause of Vomiting and Abdominal Pain in Fariba Yazdanpanah, MD1, Pierre Hindy, MD2, Rabin Rahmani, MD3, Kevin Pregnancy Tin, MD3; 1. Gastroentrology Associates of Brooklyn, Brooklyn, NY; 2. Usman Barlass, MD, Allison Rzepczynski, MD, Shezray Naqshband, MBBS, Gastroenterology Associates of Brooklyn, Brooklyn, NY; 3. Maimonides Salina Lee, MD; Rush University Medical Center, Chicago, IL Medical Center, Brooklyn, NY P0897. A Rare Case of Hypersalivation as the Presenting Symptom of P0884. A Rare Case of Organoaxial Volvulus of the Stomach Zollinger-Ellison Syndrome Michell Lopez, MD1, Eric O. Then, MD1, Andrew Ofosu, MD2, Vijay S. Are, Kimberly Kucharski, BA, MS1, Steven Clayton, MD2; 1. Wake Forest Baptist MD3, Andrea Culliford, MD, FACG1, Vinaya Gaduputi, MD, FACG4; 1. St. Health, Winston-Salem, NC; 2. Wake Forest University Baptist Medicine, Barnabas Hospital, Bronx, NY; 2. Brooklyn Hospital Center, Brooklyn, NY; 3. Winston-Salem, NC Stormont Vail Health System, Topeka, KS; 4. SBH Health System, Bronx, NY P0898. Not Your Usual Gastritis: A Case Report of Pembrolizumab-Induced P0885. Blame It on the Migrating Stent: A Case Report Lymphocytic Gastritis Ethan Phan, MD, Pratik Patel, MD, Narasimha Swamy Gollol Raju, MD, Talal Alkayali, MBBS, Ahmed I. Salem, MD, Juan Ricardo, MD, Bahaa Amer, Prashant Mudireddy, MD; East Carolina University, Greenville, NC MD, Cynthia L. Harris, MD; Florida State University / Sarasota Memorial Hospital, Sarasota, FL P0886. Gastric Volvulus: A Difficult Situation of Diagnosis and Management P0899. Tumor Lysis Syndrome in a Patient With Gastric Adenocarcinoma Andreea Luiza Palamaru, MD, Elena Toader, MD, PhD; Institute of Prasanth Lingamaneni, MD1, Parth M. Desai, DO1, Madhu Mathew, MD1, Gastroenterology and Hepatology, “St. Spiridon” Emergency County Krishna Rekha Moturi, MD2, Shweta Gupta, MD2; 1. John H. Stroger, Jr. Hospital, Iasi, Iasi, Romania Hospital of Cook County, Chicago, IL; 2. Cook County Health and Hospital Systems, Chicago, IL P0887. Omental Infarct: A Rare Cause of Acute Abdomen Tejveer Singh, MD, Vijay Jarodiya, MD, Zarak H. Khan, MD, Preeti Misra, P0900. Gastric Metastasis From a Primary Ovarian Cancer MD, John Iljas, DO, RVT; St. Mary Mercy Hospital, Livonia, MI Komal G. Nathani1, Asif Zamir, MD, FACG2; 1. University of Texas Medical Branch, Spring, TX; 2. University of Texas Rio Grande Valley, Mission, TX P0888. Quadruple Therapy: A Cure for Gastric High Grade B-Cell Lymphoma? Kegan Jessamy, MBBS, Nuri Ozden, MD, Marsha Antoine, MD, Vikrant P0901. Urosepsis Is Difficult to Stomach! Tambe, MBBS; State University of New York Upstate Medical University, Vijay Jarodiya, MD, Chirag Kher, MD, Tejveer Singh, MD, Zarak Khan, MD; Syracuse, NY St. Mary Mercy Hospital, Livonia, MI P0889. Dunbar Syndrome: A Rare Cause of Abdominal Pain P0902. Incidental Finding of Gastric Adenocarcinoma on Random Gastric Farhan Ali, DO, Cassandra Steimle, DO, Dayakar Reddy, MD, Andrew Biopsy: A Call for Methodical Examination of the Gastric Mucosa Kelts, DO, Jennifer Jeng, DO, Michael Kochik, DO, Edwin Golikov, DO, Eric Eula Geralyn Tetangco, MD, MPH1, Michael Coles, MD1, Leonard Little, MD2, Raborn, DO; Arnot Ogden Medical Center, Elmira, NY Moonkyung Schubert, MD, PhD2; 1. Medical College of Georgia, Augusta, GA; 2. Charlie Norwood VA Medical Center, Augusta, GA P0890. Gastric Emphysema: A Complication of Intractable Vomiting Andrew Kelts, DO, Cassandra Steimle, DO, Jennifer Jeng, DO, Michael P0903. Ischemic Duodenal Ulcer: A Rare Complication of Embolization of Kochik, DO, Edwin Golikov, DO, Farhan Ali, DO, Eric Raborn, DO; Arnot the Gastroduodenal Artery in Yttrium-90 Radioembolization Therapy Ogden Medical Center, Elmira, NY Han N. Le, DO, Adib Chaaya, MD; Cooper University Hospital, Camden, NJ P0891. Median Arcuate Ligament Syndrome: The Ambiguous Cause of P0904. Gastric Mucosa-Associated Lymphoid Tissue Lymophoma Treated Abdominal Pain by Endoscopic Mucosal Resection Rasiq Zackria, DO, Andrew W. Hwang, MD, Justin Sagami, DO; University Seong-Taeg Kim, MD1, Soo Young Na, MD2; 1. Jeju National University of California Riverside School of Medicine, Riverside, CA School of Medicine, Jeju, Cheju-do, Republic of Korea; 2. Jeju National University School of Medicine, Jeju-si, Cheju-do, Republic of Korea P0892. Pedunculated Polyp at the Pyloric Channel Causing Intermittent Gastric Outlet Obstruction P0905. An Atypical Case of Lymphocytic Gastritis Aida Rezaie, MD, Shifat Ahmed, MD, Saba Mann, MD, Hussein Abidali, DO; Amulya Penmetsa, MD1, Stephanie Santa, NP2, Danielle E. Marino, MD3; University of Arizona College of Medicine, Phoenix, AZ 1. SUNY Upstate Medical University, Syracuse, NY; 2. University of Rochester Medical Center, Rochester, NY; 3. University of Rochester P0893. Dysphagia – a Rare Presentation of Multiple Myeloma Medical Center, Strong Memorial Hospital, Rochester, NY Sami Ghazaleh, MD, Christian Nehme, MD, Yasmin Khader, MD, Marcel Ghanim, MD, Tarik Alhmoud, MD; University of Toledo Medical Center, Toledo, OH

90 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

MONDAY, OCTOBER 28, 2019 P0914. Impact of Insurance Status and Race on Outcomes of Choledocholithiasis With Acute Cholangitis: A Nationwide Analysis Sachit Sharma, MD1, Zubair Khan, MD2, Abhushan Poudyal, MD3, Ashu Acharya, MD4, Alok Uprety, MD3, Subash Ghimire, MD5; 1. University of BILIARY / PANCREAS Toledo Medical Center, Toledo, OH; 2. University of Texas Health Science P0906. The Role of the Biliary and Gut Microbiome in the Progression of Center, Houston, TX; 3. John H. Stroger, Jr. Hospital of Cook County, Cholangiocarcinoma and Primary Sclerosing Cholangitis Chicago, IL; 4. University of Toledo, Toledo, OH; 5. Guthrie Robert Packer Miyabe Katsuyuki, MD, PhD1, Vinay Chandrasekhara, MD1, Nicha Hospital, Sayre, PA Wongjarupong, MD2, Jun Chen, PhD1, Stephen Johnson, MS1, Nicholas P0915. Disparities in the Diagnosis and Treatment of Bile Duct Chia, PhD1, Andrea A. Gossard, FNP1, Marina Walther-Antonio, PhD1, Cancer Among People With Disability: A National Cohort Study in Sharad Oli, MD3, Nasra H. Giama, DNP, RN, PHN1, Hamdi A. Ali, MD1, Lavu the Republic of Korea 1 1 4 1 Sravanthi, MBBS , Fatima Hassan, MBBS , Hawa Ali , Janet Z. Yao , Sean Seongmin Kim, MD1, Hyeonwoo Kwon, MD1, Jun Su Lee, MD2, Jongwook C. Harrington1, Felicity T. Enders, PhD1, Sumera H. Rizvi, MD1, Gregory 2 2 1

Choi , Byungha Cho , Seon Mee Park, MD ; 1. Chungbuk National POSTERS 1 1 1 MONDAY J. Gores, MD , Mark D. Topazian, MD , Purna C. Kashyap, MBBS , Lewis University Hospital, Cheongju-si, Ch'ungch'ong-bukto, Republic 1 R. Roberts, MBChB, PhD ; 1. Mayo Clinic, Rochester, MN; 2. University of of Korea; 2. Chungbuk National University Hospital, Cheongju, Minnesota, Minneapolis, MN; 3. Maimonides Medical Center, Brooklyn, NY; Ch'ungch'ong-bukto, Republic of Korea 4. University of Minnesota, Rochester, MN P0916. Choice of Sedation in Endoscopic Retrograde P0907. Comparison of Endoscopic Ultrasound Fine-Needle Aspiration and Cholangiopancreatography: Is Monitored Anesthesia Care Safer Fine-Needle Biopsy for Solid Pancreatic Masses Than General Anesthesia? Systematic Review and Meta-Analysis 1 1 1 Fitsum Woldesellassie, MD , Rios Cristian, MD , Surosree Ganguli, MD , Amaninder Dhaliwal, MD1, Banreet Dhindsa, MD2, Jinendra Satiya, 2 2 2 Chandler Thomas , Stephen Furmanek , Stephen McClave, MD , Endashaw MD3, Harmeet Mashiana, MD1, Neil Bhogal, MD1, Rajani Rangray, MD4, 2 Omer, MD ; 1. University of Louisville School of Medicine, Louisville, KY; 2. Andrew Ofosu, MD5, Harlan Sayles, MS1, Ishfaq Bhat, MD1, Shailender University of Louisville, Louisville, KY Singh, MD1, Douglas G. Adler, MD, FACG6; 1. University of Nebraska P0908. Acute Pancreatitis Management Discrepancies Between Different Medical Center, Omaha, NE; 2. University of Nevada Las Vegas School Services in a Single Hospital Setting Affecting Patient Outcomes of Medicine, Las Vegas, NV; 3. New York Medical College - Metropolitan Nabeeha Mohy-ud-din, MD, Ivana Deyl, MD, Shifa Umar, MD, Heitham Hospital, West Palm Beach, FL; 4. Creighton University Medical Center, Abdul Baki, MD, Suzanne Morrissey, MD; Allegheny Health Network, Omaha, NE; 5. Brooklyn Hospital Center, Brooklyn, NY; 6. University of Pittsburgh, PA Utah School of Medicine, Salt Lake City, UT P0909. An Overused Lab Test? Evaluating Repeat Lipase in the P0917. Is There Association Between Pancreatic Divisum and Other Management of Acute Pancreatitis and its Impact on Patient Outcomes Pancreatic Conditions Including Acute Pancreatitis, Chronic Pancreatitis,  Presidential Poster Award and Pancreatic Tumors? Yasir Al-Aboodi, MD, MPH1, Yasir Alazzawi, MD, MPH2, Ahmed Al-Chalabi, Samit K Datta, MD1, Anupama Inaganti, MD1, Michael T. Nguyen, BA2, MD, MSc3, Ali Nawras, MD, FACG1; 1. University of Toledo Medical Center, Maharaj Singh, PhD3, Aboud Affi, 1MD ; 1. Aurora Health Care, Milwaukee, Toledo, OH; 2. University of Massachusetts Medical School, Worcester, WI; 2. University of Wisconsin School of Medicine & Public Health, MA; 3. University of Toledo, Toledo, OH Madison, WI; 3. Aurora Research Institute, Milwaukee, WI P0910. National Trends in Liver and Pancreatic Malignancy in the U.S.: P0918. Risk of Venous Thromboembolism in Acute Necrotizing Increasing Interventions yet Mortality Persists Pancreatitis: A Population-Based National Study  Tamta Chkhikvadze, MD1, James McNary, MD2, Nino Gigauri, MD3, Zizhen Presidential Poster Award 1 2 1 Feng, MD, PhD4, Junxin Shi, MD, PhD5, Ye Eun Kwak, MD6; 1. New York Dina Ahmad, MD , Richard C. Wong, MD , Zachary L. Smith, DO ; 1. University Langone Health, New York University School of Medicine, University Hospitals Case Medical Center, Case Western Reserve Brooklyn, NY; 2. New York University Langone Health, New York University, Cleveland, OH; 2. University Hospitals Cleveland Medical University School of Medicine, New York, NY; 3. Saint Francis Hospital Center, Case Western Reserve University, Cleveland, OH and Medical Center, Hartford, CT; 4. Oregon Health Sciences University, P0919. Prevalence, Trend, and Predictors of Opioid Abuse Among Patients Portland, OR; 5. The Research Institute at Nationwide Children’s Hospital, With Chronic Pancreatitis Columbus, OH; 6. The University of Chicago Medicine, Chicago, IL Olalekan Akanbi, MD, MPH1, Adeyinka C. Adejumo, MD, MS2, Quazim 3 1 1 P0911. Prognostic Factors in Outcomes of Endoscopic Therapy for Biliary A. Alayo, MD, MSc, MMSc , Nishant Tripathi, MD , Pradeep Yarra, MD , 1 Leak Repair Praneeth Kudaravalli, MD ; 1. University of Kentucky College of Medicine, Cicily Vachaparambil, MD, Saurabh Chawla, MD, Parit Mekaroonkamol, Lexington, KY; 2. North Shore Medical Center, Salem, MA; 3. St. Luke's MD; Emory University School of Medicine, Atlanta, GA Hospital, Chesterfield, MO P0912. Eosinophilic Pancreatitis as a Benign Mimicker of Pancreatic P0920. Pancreas Enzyme Replacement Dosing Before and After Total Neoplasm: A Systematic Review Pancreatectomy and Islet Autotransplantation Gabriela Kuftinec, MD, MPH1, Jodie A. Barkin, MD2, Zsuzasanna Nemeth, Luis Lara, MD, Jill Buss, Monica Schaefer, RD, Sylvester Black, MD, PhD, MLIS, CCRC3, Jamie S. Barkin, MD, MACG2; 1. University of Miami, Jackson Amer Rajab, MD, PhD, Kristin Kuntz, PhD, Phil Hart, MD, Darwin Conwell, Memorial Hospital, Miami, FL; 2. University of Miami Miller School of MD, MS, FACG, Kenneth Washburn, MD; The Ohio State University Wexner Medicine, Miami, FL; 3. University of Miami Libraies, Miami, FL Medical Center, Columbus, OH P0913. Decline in Total Serum Bilirubin Level Is Sensitive but Not Specific P0921. The Utility of Inflammatory Markers to Predict Adverse Outcome in Marker for Spontaneous Common Bile Duct Stones Passage Acute Pancreatitis: A Retrospective Study in a Tertiary Care Academic Center 1 1 1 Ashirf Al-Ghanoudi, MD, MPH, Wesam Frandah, MD, Houssam Mardini, Mohamad I. Mubder, MD , Banreet Dhindsa, MD , Danny Nguyen, DO , 1 2 1 MD, MBA, MPH, FACG; University of Kentucky College of Medicine, Syed Saghir, MD , Chad Cross, PhD , Ranjit Makar, MD , Gordon Ohning, 1 Lexington, KY MD, PhD ; 1. University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 2. University of Nevada School of Medicine, Las Vegas, NV

P0922. Spontaneous Resolution of Biliary Obstruction in Patients With P0930. NanoPac-2017-01 Mid-Study Report: Safety, Tolerability, and Acute Gallstone Pancreatitis and Acute Cholangitis: A Retrospective Study Preliminary Efficacy of Intracystic Submicron Particle Paclitaxel (SPP) for in a Single Medical Center the Treatment of Mucinous Cysts Mohamad I. Mubder, MD1, Annie Hong, MD1, Banreet Dhindsa, MD1, Syed  Presidential Poster Award Saghir, MD1, Ranjit Makar, MD1, Chad Cross, PhD2, Gordon Ohning, MD, Mohamed Othman, MD1, Abdalaziz Tabash, MD1, Shelagh Verco, PhD2, PhD1; 1. University of Nevada Las Vegas School of Medicine, Las Vegas, James Verco2, Alison Wendt, MS2, Gere diZerega, MD2; 1. Baylor College of NV; 2. University of Nevada School of Medicine, Las Vegas, NV Medicine, Houston, TX; 2. US Biotest, Inc., San Luis Obispo, CA P0923. Surveillance of High-Risk Individuals for Pancreatic Cancer With P0931. A 20-Year Outcomes’ Study of Patients With Immunoglobulin G4- EUS and MRI: A Meta-Analysis Related Sclerosing Cholangitis: The Mayo Clinic Experience Nina Kogekar, MD, Kelly E. Diaz, MD, Alan D. Weinberg, MS, Aimee Lucas, Ahmad H. Ali, MBBS1, Yan Bi, MD, PhD2, Jorge Machicado, MD3, Sushil MD, MS; Icahn School of Medicine at Mount Sinai, New York, NY Garg, MBBS4, Elizabeth J. Carey, MD5, Keith D. Lindor, MD6, James H. Tabibian, MD, PhD7, Suresh T. Chari, MD, FACG4; 1. University of Missouri, P0924. Incidence of Choledocholithiasis and Its Impact on Outcomes Columbia, MO; 2. Mayo Clinic, Jacksonville, FL; 3. Mayo Clinic, Eau Claire, in Patients Hospitalized With Acute Cholecystitis: A Nationwide 5-Year WI; 4. Mayo Clinic, Rochester, MN; 5. Mayo Clinic, Phoenix, AZ; 6. Arizona Analysis State University, Phoenix, AZ; 7. Olive View - UCLA Medical Center, Rushikesh Shah, MD1, Hardikkumar Shah, MD, MPH2, Ramzi Mulki, MD1, Sylmar, CA Emad Qayed, MD, MPH1; 1. Emory University School of Medicine, Atlanta, GA; 2. Saint Michael's Medical Center, Newark, NJ P0932. The Safety of Endoscopic Retrograde Cholangiopancreatography in Renal Transplant Patients P0925. Acute Pancreatitis Outcomes May Not Be Worse in Post-Transplant Mohammad Alomari, MD1, Muhammad Talal Sarmini, MD1, Mohammad Patients Maysara Asfari, MD2, Laith Al Momani, MD3, Fredy Nehme, MD4, Tyler Vaibhav Wadhwa, MD1, Adalberto Gonzalez, MD1, Kapil Gupta, MD2, Daniel Aasen, MD3, Mark Young, MD3; 1. Cleveland Clinic Foundation, Cleveland, Castaneda, MD1, Sushil Garg, MD3, Mohammad Bilal, MD4, Luis Lara, MD5; OH; 2. Augusta University, Augusta, GA; 3. East Tennessee State 1. Cleveland Clinic, Weston, FL; 2. University of Miami / JFK Medical University, Johnson City, TN; 4. University of Missouri, Kansas City, MO Center Palm Beach Regional GME Consortium, Atlantis, FL; 3. Mayo Clinic, Rochester, MN; 4. The University of Texas Medical Branch, Galveston, TX; P0933. Vitamin D and Red Blood Cell Distribution Width: The Search for 5. The Ohio State University Wexner Medical Center, Columbus, OH Predictive Markers in Primary Biliary Cholangitis Patients Receiving UDCA Continues P0926. Comparing Radiation Time in Radiology Technologist-Controlled Mohammad Alomari, MD1, Laith Al Momani, MD2, Tyler Aasen, MD2, Fredy versus Endoscopist-Controlled Fluoroscopy During Endoscopic Retrograde Nehme, MD3, Mark Young, MD2, Carlos Romero-Marrero, MD, MSc4; 1. Cholangiopancreatography Cleveland Clinic Foundation, Cleveland, OH; 2. East Tennessee State Carine Bou-Abboud Matta, MD1, Daniel B. Karb, MD1, Dina Ahmad, MD2, University, Johnson City, TN; 3. University of Missouri, Kansas City, MO; 4. Amitabh Chak, MD3, Brooke Glessing, MD1, Ashley Faulx, MD3, John Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH Dumot, DO1, Gerard Isenberg, MD, MBA4, Richard C. Wong, MD4, Zachary L. Smith, DO3; 1. University Hospitals of Cleveland, Cleveland, OH; 2. P0934. Measuring Clinical Response to Lactated Ringer's vs. Normal Saline Case Western Reserve University / University Hospitals, Cleveland, in Acute Pancreatitis: A Retrospective Study at a Community Hospital OH; 3. University Hospitals Case Medical Center, Case Western Reserve Michael Beattie, DO, Nathan Kopek, DO; Ascension Genesys, University, Cleveland, OH; 4. University Hospitals Cleveland Medical Grand Blanc, MI Center, Case Western Reserve University, Cleveland, OH P0935. Pain Modulatory Phenotypes Differentiate Chronic Pancreatitis P0927. Predictors of Increased Hospital Length of Stay Among Elderly Patients With Distinct Clinical Pain Profiles Individuals With Acute Pancreatitis Mahya Faghih, MD1, Anna E. Philipps, MD2, Isabelle M. Larsen, MS3, Mehak Bassi, MBBS, Sonmoon Mohapatra, MD, Paris Charilaou, MD, Asbjørn Drewes, MD, PhD3, Vikesh Singh, MD4, Dhiraj Yadav, MD, MPH2, Harikrishna Bandla, MBBS, Capecomorin Pitchumoni, MRCP, FACG; Saint Søren Olesen, MD, PhD3; 1. Johns Hopkins University School of Medicine, Peter's University Hospital, New Brunswick, NJ Baltimore, MD; 2. University of Pittsburgh Medical Center, Pittsburgh, PA; 3. Aalborg University Hospital, Aalborg, Nordjylland, Denmark; 4. Johns P0928. Appraisal of Follow-up Protocols and Outcomes of High Risk Hopkins University, Baltimore, MD Pancreatic Cancer Surveillance Programs: A Systematic Review and Meta- Analysis P0936. Calcifications and Moderate to Marked Ductal Changes Are Only Ankit Chhoda, MBBS1, Eric Mukherjee, MD, PhD1, Kapil Wattamwar, MD2, Seen in Patients With Imaging Documented Acute Recurrent Pancreatitis Fay Kastrinos, MD, MPH3, James J. Farrell, MD4; 1. Yale Waterbury IM Mahya Faghih, MD1, Niloofar Yahyapourjalaly, MD1, Tina Boortalary, Program, Waterbury, CT; 2. Montefiore Medical Center / Albert Einstein MD1, Chris Fan, MD1, Martin Makary, MD2, Anthony Kalloo, MD, FACG1, College of Medicine, Bronx, NY; 3. Columbia University Irving Medical Elham Afghani, MD, MPH1, Mouen Khashab, MD2, Vikesh Singh, MD3; 1. Center, New York, NY; 4. Yale New Haven Hospital, New Haven, CT Johns Hopkins University School of Medicine, Baltimore, MD; 2. Johns Hopkins University Hospital, Baltimore, MD; 3. Johns Hopkins University, P0929. Pancreatic Pseudocysts in Patients With Acute and Chronic Baltimore, MD Pancreatitis, Trends and Clinical Outcomes of Hospitalization: Insights From a National Inpatient Database P0937. Hepatorenal Syndrome Carries the Highest Risk of In-Hospital Shruti Mony, MD1, Carlos E. Bertran-Rodriguez, MD1, Ishani Shah, MD2; 1. Mortality Among Hospitalized Patients With Primary Biliary Cholangitis University of South Florida Morsani College of Medicine, Tampa, FL; 2. Artin Galoosian, MD, MA1, Grishma Hirode, MAS2, Robert Wong, MD, MS, St. Joseph's Hospital and Medical Center, Creighton University School of FACG3; 1. California Pacific Medical Center, San Francisco, CA; 2. Alameda Medicine, Phoenix, AZ Health System, Oakland, CA; 3. Alameda Health System - Highland Hospital, Oakland, CA

92 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P0938. Post-ERCP Pancreatitis Rates and NSAID Use in a Community BILIARY / PANCREAS Hospital Clinical Vignettes / Case Reports Jeffrey Hyder, MD, Sachin Srinivasan, MD, Yasmine Hussein Agha, MD, Chelsea Wuthnow, MS4, William Salyers, MD, MPH, Nathan Tofteland, MD; P0943. The Elephant in the Room: A Rare Cause of Gastric Outlet University of Kansas School of Medicine, Wichita, KS Obstruction Mukunthan Murthi, MD1, Rangan Murali, MD2; 1. Government Mohan P0939. What Is the Impact of a Delayed Presentation on Outpatients With Kumaramangalam Medical College, Salem, Tamil Nadu, India; 2. Mercy Post-ERCP Pancreatitis? An Analysis of Clinical Predictors and Outcomes Hospital, Joplin, MO Benjamin L. Bick, MD1, Evan L. Fogel, MD1, Suzette Schmidt, RN, BSN1, Badih Elmunzer, MD, MSc2, Yan Tong, PhD1, Mark A. Gromski, MD1, Stuart P0944. Out of Gas: A Rare Case of Spontaneous Hepatic Portal Venous Gas Sherman, MD, FACG1, Glen Lehman, MD1, James L. Watkins, MD1, Gregory Emmanuel McDonald, DO1, Faris Pacha, DO2, Jamie L. Skrove, DO2, Zaid A. Cote, MD, MS2, Paul Tarnasky, MD, FACG3, Richard Kwon, MD4, Nalini Rana, DO2, Carey Roberts3, William Billari3, Maray Rocher-Gomez, MD1, Guda, MD, FACG5, Douglas Pleskow, MD6, Jeffrey J. Easler, MD1; 1. Indiana Javier Sobrado, MD2; 1. Larkin Community Hospital - Palm Springs, Miami, FL; 2. Larkin Community Hospital, Miami, FL; 3. LECOM, Miami, FL University School of Medicine, Indianapolis, IN; 2. Medical University POSTERS MONDAY of South Carolina, Charleston, SC; 3. Methodist Dallas Medical Center, P0945. A Choledochodoudenal Fistula Without Gallstones: A Case Report Dallas, TX; 4. University of Michigan Health System, Ann Arbor, MI; 5. Reema Patel, BS1, Mohamed Modar Abidian, MD2, Ripple Mehta, MD3, GI Associates, St Luke's Medical Center, Milwaukee, WI; 6. Beth Israel Mitesh R. Patel, MD2; 1. MedStar Health Research Institute, Washington, Deaconess Medical Center, Harvard Medical School, Boston, MA DC; 2. MedStar Washington Hospital Cetner, Washington, DC; 3. P0940. A Multi-Center Comparison of Proceduralist versus MedStar Georgetown University Hospital, Washington, DC Radiology Technician-Driven Fluoroscopy in Endoscopic Retrograde P0946. A Known Complication With a Delayed Presentation: A Rare Cholangiopancreatography: Best When You Do It Yourself! Case of Biloma Formation Post-Cholecystectomy Michelle Hughes, MD1, Harshit S. Khara, MD, FACG2, Nirav Thosani, MD3, Isabella Bergagnini, DO1, Cassidy Alexandre, MD2, Francis Okeke, MD1, Nicholas Bartell, MD1, Krystle Bittner, MPH1, Asad Ullah, MD1, Vikas Kumar, Jusuf Zlatanic, MD1; 1. Lenox Hill Hospital, New York, NY; 2. Albany MD2, Ammara Khalid, MD2, David L. Diehl, MD4, Bradley Confer, DO2, Medical Center, Albany, NY Prithvi Patil, MD3, Alexandra Johnson, RN1, Truptesh Kothari, MD, MS5, Vivek Kaul, MD, FACG5, Shivangi Kothari, MD5; 1. University of Rochester P0947. Hemosuccus Pancreaticus Secondary to Hepatic Artery Medical Center, Rochester, NY; 2. Geisinger Medical Center, Danville, PA; Pseudoaneurysm Presenting as Acute Gastrointestinal Bleed 3. University of Texas, Houston, TX; 4. Geisinger Health System, Danville, Kyle Fischer, MD, Melissa Jordan, MD, Wesam Frandah, MD; University of PA; 5. University of Rochester Medical Center, Strong Memorial Hospital, Kentucky College of Medicine, Lexington, KY Rochester, NY P0948. Recurrent Pancreatitis Associated With Pancreas Divisum and Rare P0941. Long-Term Follow-Up of Patients With Pancreatic Cystic Lesions Solid Pseudopapillary Neoplasm of the Pancreas Who Had No Significant Changes in the First 5 Years of Diagnosis Atul Ratra, MD, Geoffrey Block, MD; Eisenhower Health, Rancho Mirage, CA Brian S. Lee, MD1, Karen Chang, DO2, Andrew K. Nguyen, MD, MBA1, Timnit F. Tekeste, MD, MPH3, Agathon Girgis, MD4, Mopelola Adeyemo, MD, MPH1, P0949. Isolated Thrombosis of the Superior Mesenteric Vein Rajesh Essrani, MD1, Shehriyar Mehershahi, MD2, Rajesh Essrani, MD2, Shri Maryam S. Hanna, MD1, Karl Kwok, MD5, Andrew Q. Giap, MD6, Charles Jai Kirshan Ravi, MD3, Asif Mehmood, MD1; 1. Geisinger Medical Center, Chaya, MD7, Gordon C. Hunt, MD8, Kevin Kao, MD9, Rajeev Attam, MD10, Danville, PA; 2. Bronx Lebanon Hospital Center, Bronx, NY; 3. Guthrie Albert Ko, MD7, Janis F. Yao, MS11, Jose R. Pio, MD, MPH11, Stephanie Tovar, Robert Packer Hospital, Sayre, PA MS12, Brian S. Lim, MD, MS, FACG1; 1. University of California Riverside School of Medicine, Riverside, CA; 2. University of California Riverside P0950. Over the Counter Drug Causing Acute Pancreatitis School of Medicine, Moreno Valley, CA; 3. University of California Rajesh Essrani, MD1, Shehriyar Mehershahi, MD2, Rajesh Essrani, MD2, Riverside School of Medicine, Corona, CA; 4. Kaiser Permanente Swetha Parvataneni, MD3, Ajeet Kumar Lohana, MBBS4, Asif Mehmood, Medical Center, Walnut Creek, CA; 5. Kaiser Permanente Los Angeles MD1; 1. Geisinger Medical Center, Danville, PA; 2. Bronx Lebanon Hospital Medical Center, Los Angeles, CA; 6. Kaiser Permanente, Anaheim, CA; Center, Bronx, NY; 3. Geisinger Health System, Lewistown, PA; 4. Aga 7. Kaiser Permanente, Riverside, CA; 8. Kaiser Permanente, San Diego, Khan University, Karachi, Sindh, Pakistan CA; 9. Kaiser Permanente, Downey, CA; 10. SCPMG Kaiser Permanente, Downey, CA; 11. Kaiser Permanente, Pasadena, CA; 12. Southern California P0951. Gallstone Ileus Leading to Small Bowel Perforation: Case Report Permanente Medical Group, Santa Fe Springs, CA Nicholas Baldwin, MD, Mohamed Shoreibah, MD, Hampton Collins, MD; University of Alabama at Birmingham, Birmingham, AL P0942. Machine Learning Based Predictive Models Are More Accurate Than TNM Staging in Predicting Survival in Patients With Pancreatic Cancer P0952. Intrauterine Pregnancy Complicated by a Distal Common Bile Duct  Presidential Poster Award Mass: An Unlikely Diagnosis of Extrahepatic Cholangiocarcinoma With Amit Das1, Saowanee Ngamruengphong, MD2; 1. Brophy College Intrahepatic Metastasis 1 2 1 Preparatory, Phoenix, AZ; 2. Johns Hopkins Medicine, Baltimore, MD Kelsey Collins, MD , Ray Dong, MD , Frederick Rozenshteyn, MD , Edward Lung, MD3; 1. Mount Sinai Beth Israel Medical Center / Icahn School of Medicine at Mount Sinai, New York, NY; 2. Mount Sinai Beth Israel Medical Center, New York, NY; 3. Mount Sinai St. Luke's and Mount Sinai Roosevelt, New York, NY P0953. Choledochocele: An Unlikely Culprit of Acute Relapsing Pancreatitis Kelsey Collins, MD1, Philip Chuang, MD2, Frederick Rozenshteyn, MD1, Joseph Constantino, MD1, Franklin Kasmin, MD3, Evin McCabe, MD3; 1. Mount Sinai Beth Israel Medical Center / Icahn School of Medicine at Mount Sinai, New York, NY; 2. Mount Sinai Beth Israel, Mount Sinai St. Luke's, Mount Sinai West, New York, NY; 3. Mount Sinai Beth Israel Medical Center, New York, NY

P0954. Recurrent Abdominal Pain in the Elderly: An Interesting Case of P0965. Not so Incidental: A Case of Incidentally Found Isolated Metastatic SBO and Brittle Diabetes Due to Undiagnosed Annular Pancreas Melanoma of the Pancreas Kelsey Collins, MD1, Joseph Constantino, MD1, Philip Chuang, MD2, Ray Kayla Estepp, DO1, Ross Meidinger, MD2, Hong Qi Peng, MD2; 1. University Dong, MD3, Violetta Laskova, MD4, Evin McCabe, MD3; 1. Mount Sinai Beth of North Dakota, Fargo, ND; 2. Sanford Medical Center, Fargo, ND Israel Medical Center / Icahn School of Medicine at Mount Sinai, New York, NY; 2. Mount Sinai Beth Israel, Mount Sinai St. Luke's, Mount Sinai P0966. A Rare Presentation of Lactobacillus Paracasei Endocarditis With West, New York, NY; 3. Mount Sinai Beth Israel Medical Center, New York, Involvement of Aortic Prosthetic Valve in a Patient With Septic Shock Due NY; 4. MSHS, New York, NY to Acute Cholecystitis Iana Gueorguieva, MD, Jorgena Kosti, DO, Mahesha Makandura, MD, Rana P0955. Choledochal Cyst in an Adult Female Ismail, PhD, MSc; Detroit Medical Center, Detroit, MI David Thurber, DO1, David Mossad, MD2, Padmini Krishnamurthy, MD3; 1. Wright State University Boonshoft School of Medicine, Wright-Patterson P0967. A Rare Case of Lemmel Syndrome Anila Kumar, DO, Lakshmi Asritha Gollapudi, MD, Edward Lebovics, MD, AFB, OH; 2. Wright State University, Dayton, OH; 3. Wright State Dimitrios Georgostathis, MD; Westchester Medical Center at New York University Boonshoft School of Medicine, Dayton, OH Medical College, Valhalla, NY P0956. Diarrhea, Heartburn, and Recurrent Pancreatitis: An Interesting Presentation of Zollinger-Ellison Syndrome P0968. Sump Syndrome With Massive Choledocholithiasis Requiring Daniel Penrice, MD, Laurens Janssens, MD, Thorvardur Halfdanarson, MD; Electrohydraulic Lithotripsy Rodrigo Duarte-Chavez, MD1, Ayaz Matin, MD2, Ana Martinez-Tapia, MD1, Mayo Clinic, Rochester, MN Hussam Tayel, MD1, Hesham Tayel, MD1, Janak Bahirwani, MD1, Berhanu P0957. Not so Small Biliary Obstruction: A Case of Small Cell Carcinoma of Geme, MD1; 1. St. Luke's University Health Network, Bethlehem, PA; 2. St. the Ampulla of Vater Luke's University Health Network, Fountain Hill, PA Paul Gomez, MD, Alan Naim, MD, Kelly Zucker, DO, Camron Kiafar, DO, Adam Gomez, MD; University of Arizona College of Medicine, Phoenix, AZ P0969. Pancreatic Pseudocyst Leading to Gastric Outlet Obstruction: A Hard Diagnosis to Swallow P0958. Malakoplakia Mimicking Pancreatic Cancer Sam Falde, MD1, Amrit K. Kamboj, MD2, Virginia Dines, MD2; 1. Mayo  Presidential Poster Award School of Graduate Medical Education, Rochester, MN; 2. Mayo Clinic, Sentia Iriana, MS, MD1, Rebecca Voaklander, MD2, Lauren Hubbard1, Rochester, MN Douglas Rogers, MD1, Michael Sossenheimer, MD, PhD2; 1. University of P0970. CA 19-9: Elevation in Mycobacterium Avium-Intracellulare Utah, Salt Lake City, UT; 2. University of Utah School of Medicine, Salt Infections Lake City, UT Erica Turse, DO, MPH1, Keng-Yu Chuang, MD2; 1. St. Joseph's Hospital and P0959. Unchewed Food: The Enemy of Lumen‑Apposing Metal Stent Medical Center, Creighton University School of Medicine, Phoenix, AZ; 2. Placement in EUS‑Gallbladder Drainage Maricopa Integrated Health System, Phoenix, AZ Sentia Iriana, MS, MD1, Tyler McVay, MD2, Douglas G. Adler, MD, FACG1, P0971. From the Outside Looking in: Psoriasiform Dermatitis Presenting as Michael Sossenheimer, MD, PhD2; 1. University of Utah, Salt Lake City, UT; a Paraneoplastic Syndrome for Pancreatic Adenocarcinoma 2. University of Utah School of Medicine, Salt Lake City, UT Shruthi Narasimha, MD1, Awa Drame, MD, MPH2, Jalak Shah, MD1; 1. P0960. A Rare Case of a Non-Functioning Pancreatic Neuroendocrine Tumor University of South Florida, Tampa, FL; 2. University of South Florida Neethi R. Dasu, DO, BS1, Yaser Khalid, DO, BS2, Richard Gordon, DO3; Morsani College of Medicine, Tampa, FL 1. Rowan School of Osteopathic Medicine, Voorhees Township, NJ; 2. P0972. The Ketamine Connection: Ulcerative Cystitis and Biliary Dilatation Rowan University School of Osteopathic Medicine, Stratford, NJ; 3. in the Setting of Chronic Ketamine Abuse Comprehensive Cancer and Hematology Specialists, Voorhees, NJ Davood Tarzi, MD, Jyoti Pradhananga, MD; Health Corporation of P0961. Persistent Diarrhea in a Patient With a Pancreatic Tail Mass: America, Aventura, FL VIPoma Diagnosed With Endoscopic Ultrasound-Guided Fine-Needle P0973. A Rare Presentation of Cholecystogastric Fistula With Associated Biopsy Mirizzi Syndrome Leading to the Diagnosis of Gallbladder Cancer Ruchit N. Shah, DO1, Sara West, DO1, Bin Zhang, MD, PhD2, Bradley Confer, Marissa Bournique, DO, Tania Lopez, DO, Marc Kudelko, DO, Miriam DO2; 1. Geisinger Health System, Danville, PA; 2. Geisinger Medical Center, Thomas, MD; Largo Medical Center, Largo, FL Danville, PA P0974. Small Pancreatic Cyst Progressed to Metastatic Pancreatic P0962. A Rare Case of Duodenal Windsock Diverticulum; Simultaneous Neuroendocrine Tumor in Three Months Biliary, and Small Bowel Obstruction Fangyuan Jin-Dominguez, MD, Dina Ahmad, MD, Ashley Faulx, MD, Muhammad H. Bashir, MD1, Lilly Gonzalez, MD1, Yaniuska Lescaille, MD1, Amitabh Chak, MD; University Hospitals Case Medical Center, Case Bridget Gallagher, MD1, Derrick Cheung, MD2; 1. SUNY Downstate Medical Western Reserve University, Cleveland, OH Center, Brooklyn, NY; 2. State University of New York Downstate Medical Center, Brooklyn, NY P0975. The Peculiar Presentation of Extramedullary Plasmacytomas as Acute Pancreatitis P0963. Gastro-Colic Fistula: A Delayed Complication of Whipple's Yi Jiang, MD, Thomas A. Di Vitantonio, MD, Laura Rotundo, MD, Matthew Procedure for Tropical Pancreatitis Kutner, MD, Mark A. Galan, MD, MS, Neena Mirani, MD, Sushil Ahlawat, Omar Tageldin, MD1, Wafic Itani, MD2, Muhammad Sohail Mansoor, MD1, MD; Rutgers New Jersey Medical School, Newark, NJ Nour Parsa, MD1; 1. Albany Medical Center, Albany, NY; 2. Stratton Veteran Affairs Medical Center, Albany, NY P0976. Doxycycline-Induced Acute Pancreatitis: A Likely Source Rarely Seen Paul Hoffman, DO, Wilco Civil, DO; Regional Medical Center Bayonet P0964. Variable Effect on the Sphincter of Oddi From Narcotics Point, Hudson, FL Jesus M. Salas Noain, MD1, Sindusha Gudipally, MD2, Shengnan Zheng, MD2, Arun Minupuri, MD3, Rafael Amaral, MD2, Oleg Kinachtchouk, MD2; 1. P0977. Beware of When a Pancreatic Cyst Is Not a Cyst: Endoscopic Mercy Catholic Medical Center, Drexel Hill, PA; 2. Mercy Catholic Medical Ultrasound Guided FNB of Neuroendocrine Tumor in the Pancreas Center, Darby, PA; 3. Mercy Health System, Yeadon, PA Neil Sharma, MD1, Sharwani Kota, BS2, Jay Krishnakurup, MD1; 1. Parkview Medical Center, Fort Wayne, IN; 2. The College of New Jersey, Ewing, NJ

94 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P0978. It's Not Always PSC: An Intriguing Case of IgG-4 Sclerosing Cholangitis P0990. Primary Antiphospholipid Syndrome, Acute Necrotizing Sara Ali, MD1, Nour Hammad, MD2, Christopher M. Hakim, MD3, Ziyad Pancreatitis, and IgA Nephropathy in a Young Male: Single Pathogenesis or Iskendarian, MD4; 1. St. John Providence Hospital, Royal Oak, MI; 2. St. Rare Association? John Providence Hospital, Livonia, MI; 3. Providence Hospital Medical Ram Chandra Prasad, MBBS, Pradeepta Patro, MD, DM, Srikanta Kumar Center, Southfield, MI; 4. St. John Providence Hospital, Southfield, MI Sahoo, MD, DM, Jimmy Narayan, MD, DM, Ayaskanta Singh, MD, DM; Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Orissa, India P0979. Accessory Spleen: An Unusual Pancreatic Mass Posing a Diagnostic Dilemma P0991. A Rare Feat: Successful ERCP Treatment of Mirrizi’s Syndrome After Peter Dellatore, MD1, Mark Schwartz, MD2, Lanjing Zhang, MD, FACG2, Failed Surgery Kevin Skole, MD3, Kristina Katz, MD2, Monica Saumoy, MD, MS4; 1. Robert Malan Shiralkar, MD, Rebecca Voaklander, MD, Courtney Walker, DO, Tyler Wood Johnson Medical School, Rutgers University, New Brunswick, McVay, MD, Michael Sossenheimer, MD, PhD; University of Utah School NJ; 2. University Medical Center of Princeton at Plainsboro, Plainsboro, of Medicine, Salt Lake City, UT NJ; 3. University Medical Center of Princeton at Plainsboro, Plainsboro P0992. Hilar Inflammation Mimicking a Klatskin Tumor

Township, NJ; 4. University of Pennsylvania, Philadelphia, PA POSTERS Malan Shiralkar, MD, Patrick McKenzie, MD, Keisa Lynch, DNP, Ryan MONDAY P0980. A Case of IgG4-related Sclerosing Cholangitis Initially Mistaken for O'Hara, MD, Ziga Cizman, MD, MPH, Michael Sossenheimer, MD, PhD; Cholangiocarcinoma University of Utah School of Medicine, Salt Lake City, UT Rohit Agrawal, MD1, Bashar M. Attar, MD, PhD2, Muhammad Majeed, MD1, Tejinder Randhawa, DO1, Ishaan Vohra, MD1, Seema Gandhi, MD3; 1. John P0993. Not Feeling so Groovy: A Case of Groove Pancreatitis Bernie Lamb, MD, Ishfaq Bhat, MD; University of Nebraska Medical H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2. Cook County Center, Omaha, NE Health and Hospital Systems, Chicago, IL; 3. Rush University Medical Center, Chicago, IL P0994. An Extremely Rare Presentation: Primary Neuroendocrine Tumor P0981. Pseudocirrhosis in Subacute/Chronic Budd-Chiari Syndrome With 1 1 JAK 2 Mutation Rodolfo Estremera-Marcial, MD , Adriana Marzan-Loyola, MD , Javier Cerra-Franco, MD1, Carolina Diaz, MD1, Priscilla Magno, MD, MSc2; 1. VA Seetha L. Lakshmanan, MD, Nabil Toubia, MD; Roger Williams Medical Caribbean Healthcare System, San Juan, Puerto Rico; 2. Hospital de Center, Providence, RI Veteranos (VA Caribbean Healthcare System), San Juan, Puerto Rico P0982. A Case of Hypertriglyceridemia Acute Pancreatitis Requiring Plasmapheresis Treatment P0995. Iatrogenic Lingual Hematoma Resulted in Impending Airway Pranav Penninti, DO, Grace Hopp, DO, MBA; University of Texas Health Compromise Rawaa Alnabulsi, MBBS1, Dina Ahmad, MD1, Richard C. Wong, MD2, Zachary Science Center, San Antonio, TX L. Smith, DO1; 1. University Hospitals Case Medical Center, Case Western P0983. A Case of Pancreatic Pseudoaneurysm Reserve University, Cleveland, OH; 2. University Hospitals Cleveland Dhineshreddy Gurala, MBBS, Pretty Sara Idiculla, MBBS, Abhishek Medical Center, Case Western Reserve University, Cleveland, OH Polavarapu, MD, Magda Daoud, MD, Vivek Gumaste, MD, MRCP, SM; Staten Island University Hospital, Northwell Health, Staten Island, NY P0996. A Rare Case of Purtscher’s Retinopathy in the Setting of Acute Alcoholic Pancreatitis P0984. Cholecystohepatic Fistula With Liver Abscess From Gallbladder Tejas V. Joshi, MD, Mathoula Bilalis, Ryley McPeters, MD, Tyler Thorne, MD, Perforation in a Patient With Ascending Cholangitis Stephen Landreneau, MD, John Amoss, MD; Louisiana State University Ray Lu, MD, Justin W. Smock, MD; University of Iowa Hospitals & Clinics, Health Sciences Center, New Orleans, LA Iowa City, IA P0997. A Rare Case of Biliary Obstruction in Autosomal Dominant P0985. Facilitating Direct Cholangioscopy and Lithotripsy in a Roux-en-Y Polycystic Kidney Disease Bypass With a Stuck Dilation Balloon Steve Serrao, MD, MPH, PhD, Medora Rodrigues, MD, MPH, Ryan Strilaeff, MD, Alexander Abadir, MD1, Piotr Sowa, MD1, Jason Samarasena, MD, FACG1, Kendrick Che, DO; Loma Linda University Medical Center, Loma Linda, CA John Lee, MD2; 1. University of California Irvine Medical Center, Orange, CA; 2. University of California Irvine, Orange, CA P0998. Pancreatic Cancer: Leading to Failure of Rivaroxaban as an Anticoagulant P0986. A Rare Case of Obstructive Jaundice and Acute Pancreatitis Pratikkumar Vekaria, MD, Chandrika Raiyani, MD, Daniel Robitshek, MD, Aliana Bofill, MD1, Esteban Rodriguez2, Jose Martin-Ortiz, MD, FACG1; 1. Tejas Raiyani, MD; Redmond Regional Medical Center, Rome, GA VA Caribbean Healthcare System, San Juan, Puerto Rico; 2. VA Caribbean Healthcare, Guaynabo, Puerto Rico P0999. Osteoclast-Like Giant Cell Carcinoma of the Pancreas: Case Series Angeline Pallante, MD, Stephanie Hansel, MD, MS; Mayo Clinic, Rochester, MN P0987. A Rare Case of Heterozygous Hemochromatosis Presenting as Recurrent Pancreatitis P1000. Pseudoaneurysm of the Cystic Artery: An Unusual Case of Mohammad Alomari, MD1, Ankit Patel2, Laith Al Momani, MD3, Bara El Hemobilia in a Teenage Patient Sohyun Kang, BS1, John W. Miller, Jr., MD2, Edwin J. Lee, MD2, Michelle Kurdi, MD3, Shrouq Khazaaleh, MD4, Mark Young, MD3; 1. Cleveland Clinic L. Hughes, MD2, Jose L. Aranez, MD2, Asad Ullah, MD1; 1. University of Foundation, Cleveland, OH; 2. Quillen College of Medicine, Johnson City, Rochester Medical Center, Rochester, NY; 2. University of Rochester TN; 3. East Tennessee State University, Johnson City, TN; 4. King Abdullah Medical Center, Strong Memorial Hospital, Rochester, NY University Hospital, Ar Ramtha, Irbid, Jordan P0988. Metastatic Pancreatic Adenocarcinoma Presenting as a Colonic P1001. Gastric Necrosis Associated With Necrotizing Pancreatitis Obstruction Ramzi Mulki, MD, Rushikesh Shah, MD, Emad Qayed, MD, MPH; Emory University School of Medicine, Atlanta, GA Connor King, Fredy Nehme, MD, Ossama Tawfik, MD; University of Missouri Kansas City School of Medicine, Kansas City, MO P1002. Diagnostic Dilemma: Evaluation of an Exophytic Paragastric Mass Ishita Dalal, MD, MBA1, Iman Andalib, MD1, Ryan Cristelli, DO1, Nicola P0989. A Rare Case of Neuroendocrine Tumor Originating in Liver 1 2 1 Diagnosed by ERCP Using a Spyglass Direct Visualization System Barnard, MD , Haroon Shahid, MD , Anish V. Patel, MD ; 1. Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ; 2. Dong Joo Seo, MD, Sarav Daid, MD, Yashvin Onkarappa Mangala, MD, Robert Wood Johnson University Hospital, New Brunswick, NJ Amer Malik, MD; Roger Williams Medical Center, Providence, RI

P1003. Immune Checkpoint Inhibitor-Induced Acute Pancreatitis and Colitis P1013. High Incidence of Early Onset Colon Cancer in Ethiopia: Clinical and Andrea Pagan, MD1, Jeffrey Gill, MD1, Yadis Arroyo, MD2, Carlos E. Bertran- Therapeutic Evaluation With Genetic Mutational Analyses Rodriguez, MD2; 1. University of South Florida, Tampa, FL; 2. University of  Presidential Poster Award South Florida Morsani College of Medicine, Tampa, FL Abdulsemed Mohammed, MD1, Amir Sultan, MD1, Grace Braimoh, MD2, Jose D. Debes, MD3; 1. Addis Ababa University, Adis Ababa, Adis Abeba, P1004. Delayed Presentation of a Traumatic Complete Pancreatic Duct Ethiopia; 2. Hennepin Healthcare, Minneapolis, MN; 3. University of Disruption Successfully Treated With Endoscopic Cystogastrostomy and Minnesota, Minneapolis, MN Long-Term Plastic Stenting Christina Awad, MD1, Ryan Cho, MD2, Charles Miller, MD1; 1. Brooke Army P1014. Innovative Practice Strategies for Preventing Clostridioides Medical Center, San Antonio, TX; 2. San Antonio Uniformed Services difficile (CDI) in a Community-Based Hospital Health Education Consortium, San Antonio, TX Doreen McSharry, RDH, MA, CIC, CHSP, Jeffrey M. Raskin, MD, Aaron A. Stein, MD, Rose Lee, PharmD, Vinay Yalamanchi, DO, Frank Lopez, DO, P1005. Bile Reinfusion in Obstructive Jaundice Joel Chandy, DO; Palisades Medical Center, North Bergen, NJ Shruti Khurana, MD, Scott Larson, MD; University of Texas Health Science Center, Houston, TX P1015. Effect of Bowel Preparation Volume Size in Inpatient Colonoscopy. Results of a Prospective, Randomized, Comparative Pilot Study P1006. A Case of Candidal Infection of Large Biloma After CT-Guided Liver Patricia V. Hernandez, MD1, Jennifer L. Horsley-Silva, MD1, Diana L. Snyder, Biopsy MD1, Noemi Baffy, MD, MPH2, Mary Atia, MD3, Laura Koepke, APRN1, Sree Kolli, MD, Kathleen Long, BS, Vahe Shahnazarian, MD, MPH, Madhavi Matthew Buras1, Elisabeth Lim1, Kevin Ruff, MD1, Sarah Umar, MD1, Sameer Reddy, MD, FACG, Krishna C. Gurram, MD; The Brooklyn Hospital Center, Islam, MD4, Francisco C. Ramirez, MD1; 1. Mayo Clinic, Scottsdale, AZ; 2. Brooklyn, NY Tufts University, Maine Medical Center, South Portland, ME; 3. Mayo Clinic, P1007. Making It Work With the Tools at Hand: Use of a Biliary Stent to Phoenix, AZ; 4. Texas Tech University Health Sciences Center, Lubbock, TX Repair a Pancreatic Leak P1016. Is Prophylactic Clipping Necessary After the Resection of Large Nicholas Ludvik, MD1, Manoj Kumar, MD2, Yazan Fahmawi, MD2, Meir (≥1cm) Colorectal Lesions? If So, at What Cost? Mizrahi, MD3; 1. University of South Alabama College of Medicine, Mobile, Babu P. Mohan, MD1, Ravishankar Asokkumar, MRCP2, Jessica X. Yu, AL; 2. University of South Alabama, Mobile, AL; 3. University of South MD, MS3, Tonya Kaltenbach, MD, MS, FACG4, Roy Soetikno, MD, MS5; Alabama College of Medicine, Spanish Fort, AL 1. University of Arizona / Banner University Medical Center, Tucson, P1008. Expanding the Horizons of Endoscopy: Cholangioscopy and AZ; 2. Singapore General Hospital, Singapore, Singapore; 3. University Radiofrequency Ablation via Percutaneous Transhepatic Biliary Drainage of Michigan, Ann Arbor, MI; 4. University of California San Francisco, Gabriel Bolanos, MD1, Manoj Kumar, MD2, Yazan Fahmawi, MD2, Meir Veterans Affairs San Francisco Healthcare System, San Francisco, CA; 5. Mizrahi, MD3; 1. University of South Alabama College of Medicine, Mobile, Advanced GI Endoscopy, Los Altos, CA AL; 2. University of South Alabama, Mobile, AL; 3. University of South P1017. PDGF-BB and Receptor Augment Epithelial-Mesenchymal Transition Alabama College of Medicine, Spanish Fort, AL in Colorectal Cancers P1009. Fire in the Hole! Role of Radiofrequency Ablation for Biliary Stent Byungha Cho1, Seung-Myoung Son1, Ki Bae Kim1, Eun Jeoung Lee1, Sang- Occlusion: Prolonging the Stent Patency Jeon Lee1, Seon Mee Park, MD2, Jongwook Choi1, Hyeonwoo Kwon, MD2, Nicholas Ludvik, MD1, Manoj Kumar, MD2, Yazan Fahmawi, MD2, Meir Seongmin Kim, MD2, Jun Su Lee, MD1; 1. Chungbuk National University Mizrahi, MD3; 1. University of South Alabama College of Medicine, Mobile, Hospital, Cheongju, Ch'ungch'ong-bukto, Republic of Korea; 2. Chungbuk AL; 2. University of South Alabama, Mobile, AL; 3. University of South National University Hospital, Cheongju-si, Ch'ungch'ong-bukto, Republic Alabama College of Medicine, Spanish Fort, AL of Korea P1018. Fecal Microbiota Transplant in Graft-versus-Host Disease of the Intestines: A Comprehensive Pooled Analysis COLON Yousaf Hadi, MD, Ali Khan, MD, Syeda Fatima Naqvi, MD, Rida Ul Jannat, P1010. Endoscopic Full-Thickness Resection of Gastrointestinal Lesions MD, Maimoona Khan, MD, Justin T. Kupec, MD, FACG; West Virginia With the Over-The-Scope Device: A Single Center Experience University Hospital, Ruby Memorial Hospital, Morgantown, WV Yazan Fahmawi, MD1, Manoj Kumar, MD1, Baret Bercier, MD2, Rufaat P1019. Genetic Counseling Follow-Up Rates After Positive Lynch Syndrome Mando, MD3, Meir Mizrahi, MD4; 1. University of South Alabama, Mobile, Universal Tumor Screening: A Quality Assessment AL; 2. University of South Alabama College of Medicine, Mobile, AL; Ayush N. Shah, DO1, Anuhya Gampa, MD1, Jamie Tjaden, MD2, Omar 3. University of South Alabama College of Medicine, Mando, AL; 4. Khan, MD3, Allison DePersia, MD1; 1. NorthShore University HealthSystem, University of South Alabama College of Medicine, Spanish Fort, AL Evanston, IL; 2. North Shore University Health System, Evanston, IL; 3. P1011. Optimizing Clinical Assessment and Diagnostic Evaluation in North Shore Medical Center, Evanston, IL Patients With Chronic Constipation Based on Systematic Analysis of 97 P1020. The Efficacy of Uceris in the Treatment of Microscopic and Allergic Articles in the Literature Colitides Justin Brandler, MD1, Michael Camilleri, MD, FACG2; 1. Mayo Clinic, Rochester, Allison Rzepczynski, MD, Jeremy Van, DO, Maham Lodhi, MD, Ali MN; 2. Mayo Clinic College of Medicine and Science, Rochester, MN Keshavarzian, MD, FRCP, MACG, Louis Fogg, PhD; Rush University Medical P1012. Development of a New Bowel Preparation Prediction Model Based on Center, Chicago, IL Patient’s Questionnaire: To Proceed or Not to Proceed With Colonoscopy? A P1021. Role of Toxin A/B and GDH Negativity Differentiating Colonization Study From Veterans Affairs Hospital to Stratify High Risk Population versus Active Infection in Presence of Positive PCR Results Amaninder Dhaliwal, MD1, Avanija Buddam, MD2, Saurabh Chandan, Diana Curras-Martin, MD, Albino Copca-Alvarez, MD, Michael P. Carson, MD1, Ishfaq Bhat, MD1, Shailender Singh, MD1, Harlan Sayles, MS1, Derrick MD, Albert Rojtman, MD, Edward Liu, MD; Jersey Shore University Medical Antoniak, MD3, Alexander Hewlett, DO1, Fedja A. Rochling, MD, MBBCh1; Center, Neptune, NJ 1. University of Nebraska Medical Center, Omaha, NE; 2. Creighton University Medical Center, Omaha, NE; 3. VA Nebraska-Western Iowa Health System, Omaha, NE

96 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1022. Multiplex Polymerase Chain Reaction Stool Testing Detects P1031. Long Noncoding RNAs (lncRNAs) Are Different in Polyps of Obese Pathogens Not Frequently Detected on Concurrent Stool Culture With Ova and Lean Suggesting Different Pathophysiology and Parasite Exam Sajiv Sethi, MD1, Jade Edwards, MD2, Anmol Warman3, Carla Duffoo, DO2, Michael Main, MD1, Soonwook Hong, MD1, Ashley M. Hine, BS1, Ken Niketa Patel, PhD2, Gitanjali Vidyarthi, MD2; 1. University of South Florida Cadwell, PhD1, Jordan E. Axelrad, MD, MPH2; 1. New York University Morsani College of Medicine, Tampa, FL; 2. James A. Haley Veterans' School of Medicine, New York, NY; 2. New York University Langone Hospital, Tampa, FL; 3. Duke University, Durham, NC Health, New York, NY P1032. A Comparison of the Mucosal Defects and Healing by Hot Snare P1023. Retrospective Study Correlating Bowel Wall Thickening to Polypectomy (HSP) vs. Cold Snare Polypectomy (CSP) for Endoscopic Colonoscopy Findings Removal of Colorectal Polyps Mira Alsheikh, MD1, Danial Daneshvar, MD1, Dhineshreddy Gurala, MBBS2, Hirofumi Fukushima, MD, PhD1, Naoto Sakamoto, MD, PhD1, Takashi Sam Ngu, BSc, MD1, Youssef El Douaihy, MD1, Stephen Mulrooney, MD2; Murakami, MD, PhD2, Hiroya Ueyama, MD, PhD2, Kenshi Matsumoto, 1. Staten Island University Hospital, Staten Island, NY; 2. Staten Island MD, PhD2, Tomoyoshi Shibuya, PhD1, Akihito Nagahara, MD, PhD2;

University Hospital, Northwell Health, Staten Island, NY 1. Juntendo University School of Medicine, Tokyo, Tokyo, Japan; 2. POSTERS MONDAY Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan P1024. The Effectiveness of Right vs. Left-lateral Starting Position in Unsedated Colonoscopy With Modified-Water Immersion Method P1033. Epidemiology of Diverticulitis and Prevalence of First-Ever Colonoscopy Colorectal Cancer Post-Diverticulitis in Adults in the United States Putut Bayupurnama, MD1, Neneng Ratnasari1, Fahmi Indrarti, MD1, Between 2014 and 2019: A Population-Based National Study Catharina Triwikatmani, MD1, Sutanto Maduseno, MD1, Siti Nurdjanah, MD1,  Presidential Poster Award Felix Leung, MD, FACG2; 1. Gadjah Mada University / Dr. Sardjito General Fangyuan Jin-Dominguez, MD1, Emad Mansoor, MD2, Mohannad Hospital, Yogyakarta, Yogyakarta, Indonesia; 2. Sepulveda Ambulatory Abou Saleh, MD3, Gerard Isenberg, MD, MBA4, Richard C. Wong, Care Center, VAGLAHS, David Geffen School of Medicine at UCLA, North MD4, Gregory S. Cooper, MD2; 1. University Hospitals Case Medical Hills, CA Center, Case Western Reserve University, Cleveland, OH; 2. University Hospitals Cleveland Medical Center, Cleveland, OH; 3. Cleveland Clinic P1025. Clinical Usefulness of SMOC1 as a Diagnostic Marker for Colorectal Foundation, Cleveland, OH; 4. University Hospitals Cleveland Medical Serrated Lesions and Colorectal Precancerous Lesions Center, Case Western Reserve University, Cleveland, OH Hironori Aoki, MD, PhD1, Eiichiro Yamamoto, MD, PhD2, Akira Takasawa, MD, PhD2, Hiro-o Yamano, MD, PhD2, Taku Harada, MD, PhD1, Tamotsu P1034. Cost-Effective Analysis of Prophylactic Oral Vancomycin Use to Sugai, MD, PhD3, Hiromu Suzuki, MD, PhD2; 1. Sapporo Medical University Prevent Recurrent Clostridium difficile Infections in Hospitalized Patients / Teine-Keijinkai Hospital, Sapporo, Hokkaido, Japan; 2. Sapporo Medical Yunseok Namn, MD1, Akhil Penmetcha, MD2, Deepak Desai, MD2; 1. Stony University, Sapporo, Hokkaido, Japan; 3. Iwate Medical University, Brook Medicine, Stony Brook, NY; 2. Stony Brook University Hospital, Morioka, Iwate, Japan Stony Brook, NY P1026. Increased Mortality in Patients With Acute Diverticulitis and History P1035. Evaluating Dynamics of Bile Acid Metabolism to Predict Recurrence of Inflammatory Bowel Disease of Clostridioides difficile Infection Daniel Castaneda, MD, Badar Hasan, MD, Jose Melendez-Rosado, MD,  Presidential Poster Award Roger Charles, MD, FACG; Cleveland Clinic, Weston, FL Jessica R. Allegretti, MD, MPH1, Benjamin Mullish, MBBS2, Lotem Nativ, BA1, Jenna Marcus, BA1, Julian Marchesi, PhD3, Julie A.K. McDonald, P1027. The Presence of Clostridioides difficile Strains in the Gut by Next 3 3 4 Generation Shotgun Sequencing: Innocent Bystander or Villain? PhD , Alexandros Pechlivanis, PhD , Kevin Kennedy, MS , Georg Gerber, MD, PhD, MPH1, Lynn Bry, MD, PhD1; 1. Brigham and Women's Hospital, Andreas Papoutsis, PhD1, Jordana Campbell, BSc2, Sabine Hazan- Boston, MA; 2. Imperial College of London, London, Northern Ireland, Steinberg, MD3; 1. Progenabiome, Ventura, CA; 2. Biocite, Gladesville, New United Kingdom; 3. Imperial College of London, London, England, United South Wales, Australia; 3. Ventura Clinical Trials, Ventura, CA Kingdom; 4. Beth Israel Deaconess Hospital, Boston, MA P1028. Short and Long-Term Outcomes of Patients With Severe P1036. Anaerobic versus Aerobically Prepared Fecal Microbiota Complicated Clostridioides (Clostridium) difficile Infection Treated With Transplantation Capsules: A Pilot Comparative Cohort Analysis Using a Fecal Microbiota Transplant Novel Sequencing Approach Sa Ra Park, MD1, Patty Wang, MD2, R. Ann Hays, MD3; 1. University of Gina M. Mendolia, BA1, Haixin S. Bi, BS2, Zain Kassam, MD, MPH3, Nathaniel Virginia, Charlottesville, VA; 2. Wake Forest School of Medicine, Winston- Chu, PhD2, Mark Smith, PhD3, Eric Alm, PhD2, Jessica R. Allegretti, MD, Salem, NC; 3. University of Virginia Health System, Charlottesville, VA MPH4; 1. OpenBiome, Somerville, MA; 2. Massachusetts Institute of P1029. Cost-Effectiveness Analysis of Starting a Fecal Microbiota Technology, Cambridge, MA; 3. FInch Therapeutics, Somerville, MA; 4. Transplantation (FMT) Unit for the Treatment of Recurrent C. Brigham and Women's Hospital, Boston, MA difficile Infection Compared With Antibiotic Therapy P1037. Poor Bowel Prep Leads to Low Yield for Inpatient Colonoscopies Seth Shaffer, MD1, David T. Rubin, MD, FACG2, Laura Targownik, MD, MS3, and Significantly Increases Overall Healthcare Cost: It Is High Time to Harminder Singh, MD, MPH3, Julia Witt, PhD3, Dina Kao, MD4, Christine Reevaluate Bowel Prep Options Lee, MD5, Charles Bernstein, MD3; 1. University of Chicago Medicine, Srinivas Ramireddy, MD, Krish Manisundaram, Prithvi Patil, MS, Ricardo Inflammatory Bowel Disease Center, Chicago, IL; 2. Inflammatory Bowel Badillo, MD, Tomas Davee, MD, Nirav Thosani, MD, MHA; University of Disease Center, University of Chicago Medicine, Chicago, IL; 3. University Texas Health Science Center, Houston, TX of Manitoba, Winnipeg, MB, Canada; 4. University of Alberta, Edmonton, AB, Canada; 5. University of British Columbia, Victoria, BC, Canada P1038. Egg Breakfast Diet vs. Clear Liquid Diet Before Colonoscopy 1 2 P1030. Association of Helicobacter pylori (HP) Infection With Advanced Rosina Poudel, MD , Nathaniel Winstead, MD, MSPH, FACG ; 1. Chabert Adenomas of the Colon Medical Center, Houma, LA; 2. Leonard Chabert Medical Center, Houma, LA Konstantin Peysin, DO1, Samiran Roy Chaudhury, MD1, Mohammad K. Choudhry, MD2, Meron Debesai, MD1, Masoud Haghi, MD1, Baron Ekeledo, MD1, Jamila Holloway, MD1, Michael Bernstein, MD1; 1. Coney Island Hospital, Brooklyn, NY; 2. NYCHHC-Coney Island Hospital, Brooklyn, NY

P1039. Colon Ischemia Is Associated With a Low Rate of Subsequent C. P1050. Failed Fecal Microbiota Transplantation for Fulminant C. difficile-Associated Diarrhea difficile Colitis With Toxic Megacolon Kevin Zheng, MD1, Karthik Gnanapandithan, MD, MS2, Paul Feuerstadt, Michael Q. Dong1, Brian Wentworth, MD2, R. Ann Hays, MD2; 1. University MD, FACG3, Lawrence Brandt, MD, MACG1, Olga Aroniadis, MD, MSc1; 1. of Virginia School of Medicine, Charlottesville, VA; 2. University of Virginia Montefiore Medical Center, Bronx, NY; 2. Yale New Haven Hospital, New Health System, Charlottesville, VA Haven, CT; 3. Yale New Haven Hospital, Hamden, CT P1051. Colorectal Metastasis of Ovarian Cancer: A Case Report P1040. Anti-Depressant Use Does Not Predict Development of Microscopic Tarika Chowdhary, MD1, Karim Tazi, MD2, Tarek Bishara, MD3, Tim McFall, Colitis: A Retrospective Case-Controlled Study MD4; 1. West Virginia University Hospital, Ruby Memorial Hospital, Abhishek Shenoy, MD1, Walker D. Redd, MD2, Thomas Hunold, BSPH3, R. Morgantown, WV; 2. McLeod Oncology and Hematology, Florence, SC; 3. Ann Hays, MD4; 1. University of Virginia Health System, Charlottesville, VA; Pee Dee Pathology Associates Inc, Florence, SC; 4. Carolina Radiology, 2. Brigham and Women's Hospital, Boston, MA; 3. University of Virginia, Florence, SC Charlottesville, VA; 4. University of Virginia Digestive Health Center, Charlottesville, VA P1052. Cytomegalovirus as the Forme Fruste of Colorectal Cancer in a Young Female P1041. Decreasing Hospital Clostridium difficile Infections: Impact of an Michelle Thomas, MD, Jonathan Pinto, MD, MPH, Zimri Tan, MD, Joan Educational Module Culpepper-Morgan, MD, FACG; Harlem Hospital Center, New York, NY Vijay Jarodiya, MD, Tejveer Singh, MD, Zarak H. Khan, MD; St. Mary Mercy Hospital, Livonia, MI P1053. Concomitant Clostridium difficile and Immunotherapy-Induced Colitis: A Case Report P1042. The Latest Trend and Disparities in Clostridium difficile Colitis Tahnee Sidhu, MD, MPH1, Mohammad Almeqdadi, MD1, Sandeep Krishnan, Related Hospitalizations in the United States MD, PhD2; 1. St. Elizabeth's Medical Center, Tufts University School of Tamta Chkhikvadze, MD1, Nino Gigauri, MD2, Lasha Gogokhia, MD3, Junxin Medicine, Boston, MA; 2. St. Elizabeth's Medical Center, Tufts University Shi, MD, PhD4, Ye Eun Kwak, MD5; 1. New York University Langone Health, School of Medicine, Brighton, MA New York University School of Medicine, Brooklyn, NY; 2. Saint Francis Hospital and Medical Center, Hartford, CT; 3. Weill Cornell Medicine, P1054. A Rare Case of Rectosigmoid Mucosal Schwann Cell Hamartoma Syed Hassan Abbas, MD1, Tamoor Shahid, MD2, Hilary Hertan, MD3; 1. Jill Roberts Institute for Research in Inflammatory Bowel Disease, New Montefiore Medical Center, Wakefield Campus, Bronx, NY; 2. Montefiore York, NY; 4. The Research Institute at Nationwide Children’s Hospital, Medical Center, Bronx, NY; 3. Montefiore Medical Center / Albert Einstein Columbus, OH; 5. The University of Chicago Medicine, Chicago, IL College of Medicine, Bronx, NY P1043. Decreased Levels of High-Molecular-Weight Adiponectin Is Associated With Colorectal Neoplasia in Japan P1055. An Uncommon Case of Small Bowel and Pan-Colonic Varices Vick S. DiCarlo, II, MD1, Sujan Ravi, MD2, Mohamed Shoreibah, MD2, Patrick Nagamu Inoue, MD, Rieko Bessho, MD, Toshifumi Yoshida, MD, Kazuhiro Kamath, MD3; 1. University of Alabama at Birmingham School of Medicine, Kashiwagi, MD, Hiroshi Hirose, MD, Yoshinori Sugino, MD, Yasushi Iwao, Birmingham, AL; 2. University of Alabama at Birmingham, Birmingham, MD; Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan AL; 3. Mayo Clinic, Rochester, MN P1056. Colonic Gallstone Obstruction in the Setting of Cholecystocolonic COLON Fistula Clinical Vignettes / Case Reports Meghana Doniparthi, MD, Natasha Shah, MD, Jeffrey Brasky, DO; Advocate Lutheran General Hospital, Park Ridge, IL P1044. Atypical Presentation of Colon Cancer: Colon-Vaginal Fistula Jesus M. Salas Noain, MD1, Sindusha Gudipally, MD2, Shengnan Zheng, P1057. An Unusual Presentation of Ischemic Colitis MD3, Rafael Amaral, MD2; 1. Mercy Catholic Medical Center, Drexel Hill, PA; Nathan Davis, DO, Yogesh Govil, MD; Albert Einstein Medical Center, 2. Mercy Catholic Medical Center, Darby, PA; 3. Mercy Catholic Medical Philadelphia, PA Center, Upper Darby, PA P1058. Drug-Induced Colitis as a Side Effect of Calcitonin Gene-Related P1045. Abdominal Tuberculoma in a Cirrhotic Patient With Disseminated Peptide (CGRP) Antagonist for Migraines Tuberculosis Daniel J. Hansen, MD, Catherine Linzay, MD, Hemangi Kale, MD; Baylor Aida Rezaie, MD, Shifat Ahmed, MD, Saba Mann, MD, Richard University Medical Center, Dallas, TX Shaughnessy, MD; University of Arizona College of Medicine, Phoenix, AZ P1059. Colorectal Cancer: An Uncommon Cause for Restrictive Lung Disease P1046. Ulcerative Colitis With Concomitant Serrated Polyposis Syndrome Joseph Mizrahi, MD1, Yunseok Namn, MD1, Jonathan M. Buscaglia, MD2; Zachary Smith, MD, Ghouri Yezaz, MD, Jamal A. Ibdah, MD, PhD, FACG, 1. Stony Brook Medicine, Stony Brook, NY; 2. Stony Brook University Veysel Tahan, MD, FACG; University of Missouri, Columbia, MO Medicine, Stony Brook, NY P1047. No Drama: Cap-Assisted Endoscopic Mucosal Resection of an P1060. Colorectal Lymphoma: A Wolf in Sheep's Clothing Incidental Colonic Traumatic Neuroma Jason J. John, BS1, Elizabeth S. John, MD2, Jeffrey Linder, MD2; 1. Virginia Elias Estifan, MD, Varun Patel, MD, Matthew Grossman, MD; St. Joseph's Commonwealth University School of Medicine, Richmond, VA; 2. University Medical Center, Paterson, NJ Methodist Dallas Medical Center, Dallas, TX P1048. An Interesting Presentation of Solitary Rectal Ulcer Syndrome P1061. No Ordinary Colon Polyp: Schistosomiasis Mimicking a Rectal Mass  Presidential Poster Award Daniel J. Waintraub, MD, Richard M. Fazio, MD, MS, Jonathan Weinberger, Chandana Lanka, BS, Natasha McMillan, MD, Mohd Elmugtaba Ibrahim, MD, Roshan Srikanthan, MD, Jiangling Tu, MD, Rabin Rahmani, MD, MD, Walid Ali, MD, Getachew Mekasha, MD, PhD, Farshad Aduli, MD; Kadirawelp Iswara, MD; Maimonides Medical Center, Brooklyn, NY Howard University Hospital, Washington, DC P1049. Colo Low Flow: A Case of Exercise-Induced Colon Ischemia P1062. Melanoma Coli: A Rare Case of Diffuse Metastatic Melanoma to the Maurice Marcuard, MD1, Edward C. Oldfield, IV, MD2, Bakri Kulla, MD1, Ian Colon Presenting as Diarrhea Chen, MD1; 1. Eastern Virginia Medical School, Norfolk, VA; 2. University of Daniel S. Zhang, MD, Steven Shen, MD, Neha Mathur, MD; Houston Virginia, Charlottesville, VA Methodist Hospital, Houston, TX

98 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1063. Klippel-Trenaunay-Weber: Rare Congenital Syndrome Causing P1076. Not Your Average Colon Cancer: Diffuse Large B-Cell Lymphoma in Persistent Rectal Bleeding a Terminal Ileum Mass and Colon Polyp Archish Kataria, MD, Harsh D. Patel, MD, Randy P. Wright, MD; University Benjamin Gordon, MD, David Wan, MD; New York-Presbyterian / Weill of Texas Health Science Center, San Antonio, TX Cornell Medical Center, New York, NY P1064. Drug-Induced Colitis With Nintedanib Therapy P1077. Diffuse Primary Gastrointestinal Mantle Cell Lymphoma: A Rare Amulya Penmetsa, MD1, Stephanie Santa, NP2, Sohaib Abu-Farsakh, MD2, Cause of Hematochezia Michael Drage, MD, PhD2, Mark Ettel, MD3, Arthur DeCross, MD2, Danielle Tamneet Singh, MD1, Pankaj Aggarwal, MD1, Chris Moreau, BSc2, Cristian E. Marino, MD3; 1. SUNY Upstate Medical University, Syracuse, NY; 2. Dominguez, MD1, Adam Hughston, MD1, Hari Sayana, MD1; 1. University University of Rochester Medical Center, Rochester, NY; 3. University of of Texas Health Science Center, San Antonio, TX; 2. Universty of Texas Rochester Medical Center, Strong Memorial Hospital, Rochester, NY Health at San Antonio (UTHSCSA), Selma, TX P1065. Idiopathic Myointimal Hyperplasia of Mesenteric Veins: A Rare P1078. Chronic Peri-Oral Dermatitis as the First Manifestations of Cause of Treatment Refractory Colitis Crohn's Disease POSTERS Poornima Oruganti, MD, MPH, Rehmat Ullah Awan, MD, Matthew Mahmoud Isseh, MD1, Mouhanna Abu Ghanimeh, MD2, Sandra Naffouj, MONDAY Sugimoto, MD, Kai Rou Tey, MD, Laura Nunez-Herrero, MD, Xianzhong MD1, Nicholas Horton, MD1, Nazih Isseh, MD3, Nirmal Kaur, MD1; 1. Henry Ding, MD, PhD, Yihong Ma, MD, PhD, Ayokunle T. Abegunde, MD, MSc; Ford Health System, Detroit, MI; 2. Henry Ford Hospital, Detroit, MI; 3. Loyola University Medical Center, Maywood, IL University of Tennessee Health Science Center, Memphis, TN P1066. Pseudomonas Aeruginosa: A Rare Cause of Community-Acquired P1079. Sessile Serrated Polyposis Syndrome (SPS) and Sessile Antibiotic-Associated Diarrhea in an Immunocompetent Adult Serrated Polyps (SSPs): Features, Variations in Detection Rate, and the Ryan T. Hoff, DO, Ami Patel, DO, MBA, Alan Shapiro, MD; Advocate Associated Risk of Both Synchronous and Metachronous Neoplasia Lutheran General Hospital, Park Ridge, IL Tarek H. Alansari, MD1, Ahmed Alansari, MD1, Gulam Khan, MD2; 1. New York Medical College - Metropolitan Hospital, New York, NY; 2. New P1067. Double Intussusception Deception York University - Woodhull Medical Center, New York, NY Kanwardeep Singh, MBBS, Joseph G. Gabriel, MD, Nimrat Bains, MD, Mark F. Young, MD; East Tennessee State University, Johnson City, TN P1080. Appendiceal Colic Intussusception Due to Mucocele of Appendix: Is Appendectomy Alone Sufficient? P1068. Intermittent Hematochezia Due to Colonic Endometriosis Saumil Patel, MD, MBBS1, Sudeshna Ghosh, MD, MBBS2, Rucha Jiyani, MD, Thomas J. Tielleman, MD, Megan B. Wachsmann, MD, Suntrea Hammer, MBBS3, Yashant Aswani, MD, MBBS4; 1. Shri M P Shah Government Medical MD, Tasneem F. Ahmed, DO; University of Texas Southwestern Medical College, Ahmedabad, Gujarat, India; 2. University of Texas Southwestern Center, Dallas, TX Medical Center, Dallas, TX; 3. Nassau University Medical Center, East P1069. Overflow Diarrhea in the Setting of Urinary Retention Meadow, NY; 4. The University of Texas, San Antonio, TX Jeremy Van, DO, Rana Abraham, MS, MD; Rush University Medical Center, P1081. Rare Intestinal Spirochetosis Masquerading as a Colonic Polyp Chicago, IL Faris Pacha, DO1, Jamie L. Skrove, DO1, Joseph Salhab, DO1, Victor M. P1070. The Vasculitic Mimic: Polyarteritis Nodosa Initially Presenting With Pina, MD2; 1. Larkin Community Hospital, Miami, FL; 2. Center of Digestive Colonic Involvement Medicine of South Florida, Miami, FL 1 2 Eric Lorio, MD , John A. Vizuete, MD, MPH ; 1. University of Texas Health, P1082. Lower Intestinal Bleeding Caused by a Left Ventricular Assist San Antonio, TX; 2. University of Texas Health Science Center, San Device (LVAD) Driveline Antonio, TX  Presidential Poster Award P1071. A Tale of Two Ganglioneuromas Thomas J. Kaminsky, MD1, Luke Gessel, MD2; 1. University of Utah, Salt Carmen Lopez, MD1, Robin Staudinger, MD2, Dianne Kovacic, MD3, Felicia Lake City, UT; 2. University of Utah, Bountiful, UT Humphrey, MD4; 1. Tulane Internal Medicine, New Orleans, LA; 2. Tulane P1083. Hyper Progressive Disease (HPD) in a Colon Cancer Patient on Gastroenterology, New Orleans, LA; 3. Southeast Louisiana Veterans Pembrolizumab Health Care Systems, New Orleans, LA; 4. Tulane Gastroenterology, New Saraswathi Lakkasani, MD, MBBS, Sudarsan Kollimuttathuillam, MD, Orlean, LA Theodore Dacosta, MD, Gunwant Guron, MD, Hamid S. Shaaban, MD, P1072. A Phantom of the Large Bowel! Kinjal Patel, MD; Saint Michael's Medical Center, Newark, NJ Shivantha Amarnath, MD, BSc, MRSB, Haddad Fady, MD, Liliane Deeb, P1084. Goblet Cell Carcinoid: An Unusual Presentation of Acute Abdominal MD; Staten Island University Hospital, Northwell Health, Staten Island, NY Pain P1073. An Unusual Cause of Hematochezia: Anorectal Inflammatory Komal Lakhani, MD1, Isabella Bergagnini, DO1, Dan Hogan, DO1, Varun Myoglandular Polyp Kesar, MD2, Arun Swaminath, MD1; 1. Lenox Hill Hospital, New York, NY; 2. Frederick B. Peng, MD, Mimi C. Tan, MD, MPH; Baylor College of Medicine, Carilion Clinic, Roanoke, VA Houston, TX P1085. Pylephlebitis and Intestinal Necrosis: An Unexpected Outcome of a P1074. Intestinal Spirochetosis: A Call to Unravel the "Spiral" of Common Infection Undetermined Significance Suleman Ilyas, MD1, Manuel O. Gonzalez, MD2; 1. Drexel University College Anthony T. Cancio, MD1, Crystale J. Cruz, DO2; 1. Walter Reed National of Medicine, Hahnemann University Hospital, Staten Island, NY; 2. Military Medical Center, Bethesda, MD; 2. Fort Belvoir Community Richmond University Medical Center, Staten Island, NY Hospital, Fort Belvoir, VA P1086. A Case of Gastrointestinal Amyloid Causing Colocolic P1075. IBD Mimicker: Vascular Ehlers-Danlos Presenting as Spontaneous Intussusception in an Adult Bowel Perforation Monika Laszkowska, MD, Reuben Garcia-Carrasquillo, MD; New York Yuri Hanada, MD, Sunanda Kane, MD, MSPH, FACG; Mayo Clinic, Presbyterian - Columbia University Medical Center, New York, NY Rochester, MN

P1087. Don’t Skip the Retroflexion: A Case of Disseminated Anorectal P1100. Sequential Fecal Microbiota Transplantation for Severe Acute Mucosal Melanoma Refractory Clostridium difficile Colitis: A Life-Saving Treatment Approach Vibhu Chittajallu, MD1, Roberto Simons-Linares, MD, MS1, Olaronke Sindhu Kilakkathi, MD, Rushikesh Shah, MD, Francis Edward LeVert, II, Oshilaja, MD1, Prabhleen Chahal, MD, FACG2; 1. Cleveland Clinic MD; Emory University School of Medicine, Atlanta, GA Foundation, Cleveland, OH; 2. Cleveland Clinic, Cleveland, OH P1101. A Case of Complicated Diverticulitis Masquerading as Crohn’s P1088. Duodenocolic Fistula Presenting as Feculent Emesis: An Disease: A Diagnostic Dilemma Unfortunate Case of Aggressive Colon Adenocarcinoma in a Young Patient Gaurav Bhardwaj, MD1, Waqas Nawaz, MD1, Hilary Hertan, MD2; 1. Ranjit Makar, MD, Muthena Maklad, MD, Hamza Aziz, MD, Daisy S. Montefiore Medical Center, Bronx, NY; 2. Montefiore Medical Center / Lankarani, MD, Bipin Saud, MD, Mahendran Jayaraj, MD, Shahid Wahid, Albert Einstein College of Medicine, Bronx, NY MD, Gordon Ohning, MD, PhD; University of Nevada Las Vegas School of Medicine, Las Vegas, NV P1102. Atypical Presentation of Calcified Fecalith Dhanush Hoskere, DO1, Kovil Ramasamy, MD2, John Dedousis, MD3; P1089. A Less Recognized Cause of Checkpoint Inhibitor-Induced Diarrhea 1. Bayonne Medical Center-CarePoint Health, Bayonne, NJ; 2. Rowan Saad Javed, MD, Lolwa Al-Obaid, MD, Kristen Farwell, MD; Lahey Hospital University School of Osteopathic Medicine, Stratford, NJ; 3. CarePoint and Medical Center, Burlington, MA Health, Bayonne, NJ P1090. A Case of CMV Colitis Seen in DRESS P1103. A Rare Case of Follicular Lymphoma of Sigmoid Colon Anam Malik, MD, Reema Vaze, MD, Ricky Buckshaw, DO, Eric Nellis, MD, Nabeeha Mohy-ud-din, MD, Shifa Umar, MD, Abhijit Kulkarni, MD, Suzanne Hiral Shah, MD; Lehigh Valley Health Network, Allentown, PA Morrissey, MD; Allegheny Health Network, Pittsburgh, PA P1091. Strongyloides stercoralis AutoInfection P1104. Chronic Constipation With Massive Acquired Megacolon in a Gabriel Melki, MD, Fnu Komal, MD, Linda Laham, BSc, Gres Karim, BSc, 19-Year-Old Man Ruhin Yuridullah, MD, Aarohi Vora, Wioletta Zoldak, BSN, Shaker Barham, Alexander P. Abadir, MD, Christopher Rombaoa, MD, Sunhee Park, MD; MD, Youssef Botros, MD, Elias Estifan, MD, Bassam Hajjar, MD, Patrick University of California Irvine, Orange, CA Michael, MD; St. Joseph's University Medical Center, Paterson, NJ P1105. A Classic Presentation of Cowden Syndrome P1092. Ixekizumab-Induced Gastritis and Colitis in an Elderly Female With David Hanna, DO, MSc, Claire Pedroso, MD, Christopher Pluskota, DO, Plaque Psoriasis Jessica McKee, DO; Geisinger, Danville, PA Zaid Imam, MBBS, Soumil Patwardhan, MD, Zhenhong Qu, MD, PhD, Gehad Ghaith, MD; William Beaumont Hospital, Royal Oak, MI P1106. Ogilvie Syndrome Associated With Chronic Baclofen Use Nabeel Akhtar, MD1, Alex Kim, BA1, Benny Bhaskar, MD2, Matthew Coates, P1093. An Unusual Finding of Non-Hodgkin’s Lymphoma in the MD1; 1. Penn State University Milton S. Hershey Medical Center and College Gastrointestinal Tract of Medicine, Hershey, PA; 2. Lebanon VA Medical Center, Lebanon, PA Mounika Gangireddy, MD1, Isha Shrimanker, MD1, Siddharth Goel, MD1, Jagan Vanjarapu, MD2, Mohan Charan, MD3, Vinod Nookala, MD1; 1. P1107. A Case of Suspected Adalimumab-Induced Apoptotic Colonopathy Patricia Guzman Rojas, MD1, Ernesto Robalino Gonzaga, MD1, Jeannette University of Pittsburgh Medical Center Pinnacle, Harrisburg, PA; Vergeli-Rojas, MD1, Jignesh Parikh, MD2; 1. University of Central Florida 2. Hackensack Meridian Health Ocean Medical Center, Brick, NJ; 3. College of Medicine, Orlando, FL; 2. Orlando VA Medical Center, Orlando, FL University of Pittsburgh Medical Center Pinnacle, Camp Hill, PA P1094. Colouterine Fistula: A Rare Crohn's Complication P1108. Unusual Presentation of Adenocarcinoma Ex Goblet Cell Carcinoid Patricia Guzman Rojas, MD1, Ernesto Robalino Gonzaga, MD1, Richard Suneha Sundaram, MD, Luis Rauseo Lopez, MD, Narasimha Swamy Gollol Henriquez, MD1, Jignesh Parikh, MD2; 1. University of Central Florida College Raju, MD, Glenn Harvin, MD; East Carolina University, Greenville, NC of Medicine, Orlando, FL; 2. Orlando VA Medical Center, Orlando, FL P1095. Use of Intravenous Immunoglobulin as a Treatment Adjunct for Refractory Clostridioides difficile Infection P1109. Another Case of Duloxetine-Induced Lymphocytic Colitis Marie D. Prato, MD, Sarav Daid, MD, Nabil Toubia, MD; Roger Williams Michael Quinn, DO, Dilip Ghanekar, MD, Lakshminarasimhan Venu, MD, Medical Center, Providence, RI Gurjeet Kang, DO, Christopher L. Orpiano, DO, Joseph Staffetti, MD; Regional Medical Center Bayonet Point, Hudson, FL P1110. Melanosis Coli Aids Endoscopic Differentiation of Polyp Histology in P1096. Right Side Ischemic Colitis or Colon Cancer: Case Reports Cowden Syndrome Filsan Farah, MD1, Rachel Pearlman, LGC1, Christina Arnold, MD2, Peter Saif Bella, MD1, Md S. Alom, MD2, Leslie Bank, MD1; 1. United Health P. Stanich, MD1; 1. The Ohio State University Wexner Medical Center, Services Wilson Hospital, Johnson City, NY; 2. United Health Services, Columbus, OH; 2. The Ohio State University, Columbus, OH Johnson City, NY P1097. A Rare Follicular Lymphoma of the Colon P1111. Treatment of Severe Clostridioides difficile Infection With David Truscello, DO1, Maulik Shah, DO1, John Kolnik, DO2; 1. Rowan Intravenous Immunoglobulin Connie Park, MD, Alexander Chun, MD; Lenox Hill Hospital, New York, NY University School of Osteopathic Medicine, Stratford, NJ; 2. Allied Gastrointestinal Associates, P.A., Voorhees, NJ P1112. Skeletal Muscle (SM) Metastasis: A Rare Initial Presentation of P1098. Rare Finding of Incidental Ascending Colon Ganglioneuroma in the Metastatic Colon Cancer Setting of Hematochezia Cheng-Hung Tai, MD, Connie Park, MD, Richa Bhardwaj, MBBS, Ryan Des Jean, MD, Manju Harshan, MD, Nazish Ilyas, MD, Arun Swaminath, MD; Christian Nehme, MD, Sami Ghazaleh, MD, Marcel Ghanim, MD, Yasmin Lenox Hill Hospital, New York, NY Khader, MD, Syed Hasan, DO, Ali Nawras, MD, FACG; University of Toledo Medical Center, Toledo, OH P1113. A Rare Case of Nivolumab-Induced Colitis P1099. Endometrioid Adenocarcinoma Presenting With Hematochezia and Gurjeet Kang, DO, Lakshminarasimhan Venu, MD, Michael Quinn, DO, an Extraluminal Rectal Mass Christopher L. Orpiano, DO, Joseph Staffetti, MD, Dilip Ghanekar, MD; Regional Medical Center Bayonet Point, Hudson, FL Benjamin D. Fiore, MD, Thomas E. Mellor, DO, Daryl B. Fick, MD, Ryan K. Fawley, MD; Naval Medical Center, San Diego, CA

100 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1114. Kayexalate-Induced Colitis: A Rare Cause of Acute Abdomen! P1123. Patients With Non-Colorectal Cancers May Be at Elevated Risk of Tamoor Shahid, MD1, Syed Hassan Abbas, MD2, Hilary Hertan, MD3; 1. Colorectal Neoplasia Montefiore Medical Center, Bronx, NY; 2. Montefiore Medical Center, Hamzah Abu-Sbeih, MD1, Faisal Ali, MD2, Phillip Lum3, Wei Qiao, PhD3, Wakefield Campus, Bronx, NY; 3. Montefiore Medical Center / Albert Mehnaz A. Shafi, MD, FACG3, Robert Bresalier, MD3, Ernest Hawk, MD3, Einstein College of Medicine, Bronx, NY Gottumukkala Raju, MD3, Yinghong Wang, MD, PhD3; 1. University of Missouri, Kansas City, MO; 2. Presence Saint Joseph Hospital, Chicago, IL; P1115. Adult Colocolic Intussusception: A Case Series 3. MD Anderson Cancer Center, Houston, TX Tamoor Shahid, MD1, Hilary Hertan, MD2; 1. Montefiore Medical Center, Bronx, NY; 2. Montefiore Medical Center / Albert Einstein College of P1124. Elimination of Language Barriers as a Strategy to Decrease Medicine, Bronx, NY Colorectal Cancer Screening Disparities in Underserved Hispanics: Is This Enough? Patricia Ajayi-Fox, MD1, Gianina Flocco, MD1, Carlos Romero-Marrero, COLORECTAL CANCER PREVENTION MD, MSc2; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. Digestive

Disease Institute, Cleveland Clinic Foundation, Cleveland, OH POSTERS P1116. Multi-Target DNA Aberrations in Sporadic Colorectal Cancer Tissues MONDAY Do Not Differ Between Younger and Older Patients P1125. Risk Factors for Colorectal Cancer in Patients Under 50: Paul Limburg, MD1, Douglas W. Mahoney, MS2, David Ahlquist, MD2, Hatim A Retrospective Study T. Allawi, MBA, PhD3, Scott Johnson, PhD4, Michael W. Kaiser, PhD5, Sandra Matthew Gellatly, BA, Seth Crockett, MD, MPH; University of North Statz, MS1, Rondell Graham, MBBS2, Patrick Foote, BS2, Karen Doering, Carolina School of Medicine, Chapel Hill, NC 2 2 1 2 MBA , Kelli N. Burger, BS , Graham Lidgard, PhD , John Kisiel, MD ; 1. Exact P1126. Too Few or Too Many Endoclips to Close Polypectomy Defect Sciences, Madison, WI; 2. Mayo Clinic, Rochester, MN; 3. Exact Sciences After Endoscopic Mucosal Resection? Development Company, Madison, WI; 4. Exact Sciences Corporation, Mohamad Mouchli, MD1, Christopher Walsh, MD1, Shravani Reddy, MD2, Madison, WI; 5. Exact Sciences Laboratories, LLC, Madison, WI Adil Mir, MD3, Varun Kesar, MD4, Mohammad Shakhatreh, MD1, Vikas P1117. Can We Predict Low Quality Colonoscopy? Establishing Open Access Chitnavis, MD4, Paul Yeaton, MD1; 1. Virginia Tech Carilion School of Colonoscopy at a Fellow-Run Gastroenterology Clinic Medicine, Roanoke, VA; 2. Virginia Tech Carilion, Roanoke, VA; 3. Carilion Matthew J. Sullivan, DO1, Abdul Aleem, MD1, Rajesh Essrani, MD2, Patrick Clinic and Virginia Tech Carilion School of Medicine, Roanoke, VA; 4. Hickey, DO3, Eric Nellis, MD1, Robert Andrews, MD1, Hiral N. Shah, MD4, Virginia Tech, Roanoke, VA 4 Shashin Shah, MD ; 1. Lehigh Valley Health Network, Allentown, PA; 2. P1127. Factors That Underpin the Increase in Right Colon Adenoma Geisinger Medical Center, Danville, PA; 3. LVHN, Macungie, PA; 4. Eastern Detection Rate: A Pooled Analysis of Three Reports Comparing Water Pennsylvania Gastroenterology and Liver Specialists, Allentown, PA Exchange, Water Immersion, and Air Insufflation Colonoscopy P1118. Annual Ultrasound Screening Value in Patients With Familial Felix Leung, MD, FACG1, Malcolm Koo, PhD2, Hui Jia, MD3, Sergio Cadoni, Adenomatous Polyposis MD4, Yu-Hsi Hsieh, MD5, Chi-Tan Hu, MD6, Joseph Leung, MD, MACG7; 1. Justin Yu, BS, Adithya Balasubramanian, BA, Suneal Agarwal, MD, Sepulveda Ambulatory Care Center, VAGLAHS, David Geffen School of Kathleen Gallagher, MD; Baylor College of Medicine, Houston, TX Medicine at UCLA, North Hills, CA; 2. Graduate Institution of Long-term Care, Tzu Chi University of Science and Technology, Hualien City, Hualien, P1119. Low Rates of Colonoscopic Surveillance Among Patients With High Taiwan; 3. VA Greater Los Angeles Healthcare System, North Hills, CA; Risk Adenomas 4. St. Barbara Hospital, Iglesias (CI), Sardegna, Italy; 5. Dalin Tzu Chi Folasade May, MD, PhD1, Edgar Corona, MPH2, Liu Yang, MD, MPH1, B. Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Chiayi, Taiwan; 6. Sean Nguyen, MD2, Christina Lin, MD2, Marcela Zhou Huang1, Paul Shao, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien MD, MS2, Didi Mwengela, MD2, Michelle Didero, BS2, Ishan Asokan, MD, City, Hualien, Taiwan; 7. Sacramento VAMC, Veterans Affairs Northern MSc2, Alex Bui, PhD1, William Hsu, PhD1, Cleo Maehara, MD1, Bita Naini, California Healthcare System, Mather, CA MD2, Yuna Kang, MD2, Roshan Bastani, PhD3; 1. University of California Los Angeles, Los Angeles, CA; 2. David Geffen School of Medicine, University P1128. Adherence to Recommending 10-Year Intervals After Normal of California Los Angeles, Los Angeles, CA; 3. UCLA Center for Cancer Screening Colonoscopy in Average-Risk Individuals: A Snapshot of 2017 Prevention and Control Research, Fielding School of Public Health and for Phase 1 of the Michigan CRC Screening Quality Improvement Project 1 2 Jonsson Comprehensive Cancer Center, Los Angeles, CA Philip Schoenfeld, MD, FACG , Pradeep R. Kathi, MD , Khalid George, MD3, Sachin Goyal, MD2, Hyungjin M. Kim, ScD4, Emily Tommolino, MD3, P1120. Evaluating Cancer Outcomes of Outpatient Colonoscopies in Elderly Marc Piper, MD, MSc5; 1. John D. Dingell VA Medical Center, Detroit, MI; Patients Older Than 85 Years of Age 2. Wayne State University School of Medicine, Detroit, MI; 3. Ascension  Presidential Poster Award Providence - Providence Park Hospital / Michigan State University, Joy A. Lee, MD1, Xia Bi, MD1, Connie Y. Huang, MD2, Walter Coyle, MD1; 1. Southfield, MI; 4. University of Michigan, Ann Arbor, MI; 5. Michigan State Scripps Health, La Jolla, CA; 2. Scripps Clinic, La Jolla, CA University, College of Human Medicine, Southfield, MI P1121. Helicobacter pylori Infection History Is Not a Risk Factor for P1129. Colonoscopy Outcome Similarities and Differences Between GI Metachronous Advanced Adenoma: 8 Years’ Follow-Up Study Providers and Non-GI Providers in Patients Who Undergo Colonoscopy Fumio Omata, MD, MPH, PhD, Kohei Matoba, MD, Akemi Ohmuro, Following a Positive Stool DNA Test MD, Fumie Rai, MD, Misako Takashima, MD, Akira Kato, MD, Yasuhisa Nadia Huq, MD1, Gracia Fahed2, Anupama Inaganti, MD3, Aboud Affi, Kumakura, MD, Katsunori Masuda, MD; St. Luke's International University, MD3, Julien Fahed, MD3; 1. Aurora Sinai Medical Center, Greenfield, WI; Chuo-Ku, Tokyo, Japan 2. American University of Beirut, Beirut, Beyrouth, Lebanon; 3. Aurora Health Care, Milwaukee, WI P1122. Rate of Colorectal Neoplasia in Patients With Hodgkin Lymphoma Hamzah Abu-Sbeih, MD1, Faisal Ali, MD2, Emmanuel Coronel, MD3, Hun P1130. The Effect of Smoking on Multitarget Stool DNA Testing Ju Lee, MD4, Mala Pande, PhD4, Robert Bresalier, MD4, Gottumukkala Nadia Huq, MD1, Gracia Fahed2, Anupama Inaganti, MD3, Aboud Affi, Raju, MD4, Yinghong Wang, MD, PhD4; 1. University of Missouri, Kansas MD3, Julien Fahed, MD4; 1. Aurora Sinai Medical Center, Greenfield, WI; 2. City, MO; 2. Presence Saint Joseph Hospital, Chicago, IL; 3. University of American University of Beirut, Beirut, Beyrouth, Lebanon; 3. Aurora Health Texas MD Anderson Cancer Center, Houston, TX; 4. MD Anderson Cancer Care, Milwaukee, WI; 4. Aurora Sinai Medical Center, Milwaukee, WI Center, Houston, TX

P1131. Multitarget Stool DNA Testing Is for Everyone: Positive Findings in P1140. Increasing Colon Cancer Screening Rates at Myers Park Internal Different Racial Groups Medicine Clinic Nadia Huq, MD1, Gracia Fahed2, Anupama Inaganti, MD3, Aboud Affi, Jessica Sang, MD, MPH1, Andrew Simmelink, MD2, Travis Denmeade, MD3, Julien Fahed, MD4; 1. Aurora Sinai Medical Center, Greenfield, WI; 2. MD1, Emily Ost, MD1; 1. Carolinas Medical Center, Charlotte, NC; 2. Atrium American University of Beirut, Beirut, Beyrouth, Lebanon; 3. Aurora Health Health / Carolinas Medical Center, Charlotte, NC Care, Milwaukee, WI; 4. Aurora Sinai Medical Center, Milwaukee, WI P1141. Positive Predictive Value of Multitarget Stool DNA Testing for P1132. What Differences Are There Between Early and Delayed Colorectal Cancer Screening Colonoscopy Following a Positive Stool DNA Test? Maryam Alimirah, MD1, Sandra Naffouj, MD2, Firas Askar, BS1, Omar Sadiq, Nadia Huq, MD1, Gracia Fahed2, Anupama Inaganti, MD3, Aboud Affi, MD1, Raxitkumar Jinjuvadia, MD1, Yousuf Siddiqui, MD1; 1. Henry Ford MD3, Julien Fahed, MD4; 1. Aurora Sinai Medical Center, Greenfield, WI; 2. Hospital, Detroit, MI; 2. Henry Ford Health System, Detroit, MI American University of Beirut, Beirut, Beyrouth, Lebanon; 3. Aurora Health Care, Milwaukee, WI; 4. Aurora Sinai Medical Center, Milwaukee, WI P1142. Obesity Is Risk Factor for Colorectal Cancer Recurrence: A Systematic Review and Meta-Analysis P1133. Exploring Interventions to Improve the Efficacy of Fecal Kevin Lin1, Vita Jaspan, BA1, Evan Wilder, MD1, Steven Chang, MD2, Violeta Immunochemical Testing in an Ambulatory Care Clinic for the Popov, MD, PhD, FACG3; 1. New York University School of Medicine, New Underserved Population York, NY; 2. New York University Langone Health, New York, NY; 3. VA Edward C. Oldfield, IV, MD1, Maurice Marcuard, MD2, David Mendel2, Sami New York Harbor Health System, New York, NY G. Tahhan, MD2, David A. Johnson, MD, MACG2; 1. University of Virginia, Charlottesville, VA; 2. Eastern Virginia Medical School, Norfolk, VA P1143. Predictors of Colonoscopy Use Among Chinese Americans: An Analysis of the New York City Community Health Survey (2003-2016) P1134. Characteristics Associated With Young Colorectal Cancer in the Kevin Lin1, Yuhe Xia, MS2, Neha Nagpal, MD3, Matthew Glenn, MS1, Sandy United States Ng, MD3, Peter S. Liang, MD, MPH2; 1. New York University School of  Presidential Poster Award Medicine, New York, NY; 2. New York University Langone Health, New Sajjadh MJ Ali, MBBS1, Marc F. Catalano, MD, FACG2; 1. Stanley Medical York, NY; 3. New York University Langone Medical Center, New York, NY College, Chennai, Tamil Nadu, India; 2. McGovern Medical School, P1144. Improving Colorectal Cancer (CRC) Screening by Offering University of Texas, Houston, TX Less Invasive Testing When Patients Refuse Colonoscopy: A Quality P1135. Fast Track Screening Colonoscopy Program in Colorectal Cancer Improvement (QI) Project Prevention Gabriel Melki, MD, Moutaz Ghrewati, MD, Hadir Mohamed, MD, Ashima Ephraim S. Casper, MD1, Sita Chokhavatia, MD, MACG2, Haleh Pazwash, Kapoor, MD, Abdalla Mohamed, MD, Farhan Ayoub, MD, Alexander Wu, MD2, Sobeida Santana-Joseph, MSN, RN1, Leslie Ringelstein, MS, RN, APN, MD, Shaker Barham, MD, Linda Laham, BSc, Gres Karim, BSc, Maggie FNP2, Kathleen McKenna, MSN, RN2, Mitchell Rubinoff, MD3; 1. The Valley Hanna, MD, Chandra Chandran, MD, Walid Baddoura, MD; St. Joseph's Hospital, Paramus, NJ; 2. The Valley Hospital, Ridgewood, NJ; 3. The University Medical Center, Paterson, NJ Valley Health System, Ridgewood, NJ P1145. Increasing Appropriate Referrals to Genetic Counseling at the Time P1136. Receptive Anal Sex in Women and Risk of Colorectal Cancer of Endoscopy (2009-2014): A Retrospective Analysis of NHANES Colin Feuille, MD, Patrick Avila, MD, Myung S. Ko, MD, Dena Goldberg, MS, Chethan Ramprasad, MD1, Vincent J. Major, MS2, Yian Zhang, MS3, Hannah Vivek A. Rudrapatna, MD, PhD, Aparajita Singh, MD, MPH; University of LaBove, MD4, Shida Haghighat, MD, MPH5, Ofer Fass, MD3, Mariam El- California San Francisco, San Francisco, CA Ashmawy, MD, PhD3; 1. New York University, New York, NY; 2. New York P1146. Early-Onset Colorectal Cancer Trends and Survival University Langone Health, New York, NY; 3. New York University Langone Sarah J. Wood, MD, Leigh-Ann J. Webb, MD, MBA, Elan Freedy, MBA; Medical Center, New York, NY; 4. University of Miami, Jackson Memorial University of Virginia, Charlottesville, VA Hospital, Miami, FL; 5. LAC+USC Medical Center, Los Angeles, CA P1147. Increasing Incidence of Polyps Greater Than 9 Mm in Young Adults P1137. A False Positive MT-DNA Stool Test - What Is Next? Undergoing Colonoscopy: A Prospective Multi-Center Study Mohamad I. Mubder, MD1, Harmeet Mashiana, MD2, Amaninder Dhaliwal, Benjamin Yip, MD, Jennifer Holub, MPH, David Lieberman, MD, FACG; MD2, Chad Cross, PhD3, Banreet Dhindsa, MD1, Saurabh Chandan, MD2, Oregon Health & Science University, Portland, OR Mahendran Jayaraj, MD1, Gordon Ohning, MD, PhD1; 1. University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 2. University of P1148. Clinical Significance of Pseudopolyps for Patients With Nebraska Medical Center, Omaha, NE; 3. University of Nevada School of Inflammatory Bowel Disease Medicine, Las Vegas, NV Ayanna E. Lewis, MD1, Julien Kirchgesner, MD, PhD2, Xavier Dray, MD3, Magali Svrcek, MD3, Laurent Beaugerie, MD4; 1. University of Miami Health P1138. Colonoscopy Use Among Dominicans: An Analysis of the New York System, Miami, FL; 2. APHP Saint-Antoine Hospital, Paris, Ile-de-France, City Community Health Survey (2003-2016) France; 3. APHP Saint Antoine Hospital, Paris, Ile-de-France, France; 4. Matthew Glenn, MS1, Yuhe Xia, MS2, Sandy Ng, MD3, Kevin Lin, BA1, Neha APHP, Saint Antoine Hospital, Paris, Ile-de-France, France Nagpal, MD1, Peter S. Liang, MD, MPH2; 1. New York University School of Medicine, New York, NY; 2. New York University Langone Health, New P1149. Multicenter Success Increasing Colorectal Cancer Screening at York, NY; 3. New York University Langone Medical Center, New York, NY Federally Qualified Healthcare Centers (FQHCs) Koosh Desai, MD, Kenneth J. Vega, MD; Medical College of Georgia, P1139. Antibiotic Use and Risk of Colorectal Neoplasia: A Systematic Augusta, GA Review and Meta-Analysis Chino Aneke-Nash, MD, PhD1, Garrett Yoon1, MengMeng Du, MD2, Peter S. Liang, MD, MPH3; 1. New York University Langone Medical Center, New York, NY; 2. Memorial Sloan-Kettering Cancer Center, New York, NY; 3. New York University Langone Health, New York, NY

102 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

COLORECTAL CANCER PREVENTION ESOPHAGUS Clinical Vignettes / Case Reports P1161. Baseline Characterization of Patients With Eosinophilic Esophagitis P1150. Appearances Are Glimpse of the Unseen (EoE) Using the EoE Histology Scoring System and Correlations With Sawina Bhandari, MD, Sara Iqbal, MD, Pegah Hosseini-Carroll, MD; Endoscopic and Symptom Outcomes: Analyses From a Randomized, University of Mississippi Medical Center, Jackson, MS Placebo-Controlled Trial Margaret H. Collins, MD1, Evan S. Dellon, MD, MPH2, Ikuo Hirano, MD, P1151. Multitarget Stool DNA Test (Cologuard™): A Double-Edged Sword FACG3, David A. Katzka, MD4, James Williams, MD5, Lan Lan, PhD5, 1 2 2 Baruh Mulat, MD , Konstantin Boroda, MD , Hilary Hertan, MD ; 1. Nirav K. Desai, MD5; 1. Cincinnati Children’s Hospital Medical Center and Montefiore Medical Center, Bronx, NY; 2. Montefiore Medical Center / University of Cincinnati College of Medicine, Cincinnati, OH; 2. Center for Albert Einstein College of Medicine, Bronx, NY Esophageal Diseases and Swallowing, University of North Carolina, P1152. Primary Anal Melanoma Chapel Hill, NC; 3. Northwestern University Feinberg School of Ahmed Elfiky, MD, Michael Krzyzak, MD, Indraneil Mukherjee, MD, Nathaniel Medicine, Chicago, IL; 4. Mayo Clinic, Rochester, MN; 5. Shire, a Takeda POSTERS Holmes, MD; Staten Island University Hospital, Staten Island, NY company, Lexington, MA MONDAY P1153. A Rare Case of Rectal Adenocarcinoma With Isolated, Asynchronous P1162. 7 Patterns of Esophageal Motility Disorders Detected by Metastasis to the Temporal Bone Multiple Rapid Swallows 1 2 Prianka Gajula, MD1, Ali Mahmood, MD2; 1. Houston Methodist Hospital, Victoria Tran, BS , Leon D. Averbukh, DO , Micheal Tadros, MD, 3 Houston, TX; 2. Colon & Rectal Surgery, Sugar Land, TX MPH, FACG ; 1. Albany Medical Center, Albany, NY; 2. University of Connecticut Health, Hartford, CT; 3. Albany Medical College, Albany, NY ENDOSCOPY VIDEO FORUM P1163. Esophageal Food Impaction - A Retrospective Chart Review P1154. Laparoscopic-Assisted Endoscopic Submucosal Dissection of Early Dhineshreddy Gurala, MBBS1, Jobin Philipose, MD2, Abhishek Gastric Adenocarcinoma Polavarapu, MD1, Vivek Gumaste, MD, MRCP, SM1; 1. Staten Island Praneeth Kudaravalli, MD, Kurt Schaberg, MD, Michael Cavnar, MD, University Hospital, Northwell Health, Staten Island, NY; 2. Staten Island Moamen Gabr, MD, MSc; University of Kentucky College of Medicine, University Hospital, Staten Island, NY Lexington, KY P1164. Determining the Necessity for Separate Histologic Evaluations of P1155. Argon Plasma Coagulation-Based Removal of Partially-Covered Proximal and Distal Biopsies in Adult Eosinophilic Esophagitis Esophageal Self-Expanding Metal Stent for Anastomotic Leaks Despite Aaron Yazdian, BS1, Yash Choksi, MD2, Jade Willey, BS2, Dhyanesh Patel, Extended Embedment - Challenging Current Standards of Care MD2, Christopher Slaughter, DrPH2, Tina Higginbotham, MPA2, Michael 2 Fahad Malik, MD1, Marina Kim, MD2, Mukul Arya, MD3; 1. Richmond Vaezi, MD, PhD ; 1. Meharry Medical College, Nashville, TN; 2. Vanderbilt University Medical Center, Staten Island, NY; 2. New York Methodist University Medical Center, Nashville, TN Hospital, Brooklyn, NY; 3. New York Presbyterian Brooklyn Methodist P1165. Endoscopic Submucosal Dissection for Resection of T1b N0 Hospital, Brooklyn, NY Esophageal Cancer: Retrospective Multicenter Study P1156. Colonoscopic Resection of Appendiceal Endometriosis Lady Katherine Mejia Perez, MD1, Omar Alaber, MD2, Salmaan Jawaid, 3 4 5 1 Bashar Sharma, MD1, Enad Dawood, MD2, Jose Nieto, DO, FACG3; 1. State MD , Tiffany Chua, MD , Praneeth Kudaravalli, MD , Neal Mehta, MD , John 1 1 6 University of New York Upstate Medical University, Syracuse, NY; 2. Weill Vargo, MD, MPH , Sunguk Jang, MD , John Dumot, DO , Moamen Gabr, 5 7 4 Cornell Medical College, Cornell University, New York, NY; 3. Borland MD, MSc , Hiroyuki Aihara, MD , Norio Fukami, MD , Peter V. Draganov, 8 9 10 Groover Clinic, Ponte Vedra, FL MD, FACG , Amitabh Chak, MD , Amit Bhatt, MD ; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. University Hospitals, Cleveland, OH; 3. P1157. Managing Bouveret Syndrome in the Setting of Complex Foregut University of Florida, Gainesville, FL; 4. Mayo Clinic, Scottsdale, AZ; 5. Anatomy: Impossible Is Nothing! University of Kentucky College of Medicine, Lexington, KY; 6. University Michelle L. Hughes, MD1, Janice Cheong, MD2, Sarah Enslin, PA-C1, Vivek Hospitals of Cleveland, Cleveland, OH; 7. Brigham and Women's Hospital, Kaul, MD, FACG1, Truptesh Kothari, MD, MS2, Shivangi Kothari, MD1; Boston, MA; 8. University of Florida Health, Gainesville, FL; 9. University 1. University of Rochester Medical Center, Strong Memorial Hospital, Hospitals Case Medical Center, Case Western Reserve University, Rochester, NY; 2. University of Rochester Medical Center, Rochester, NY Cleveland, OH; 10. Cleveland Clinic, Cleveland, OH P1158. Management of Non-Malignant Enterocutaneous Fistula Using Fully P1166. Durability of Transoral Fundoplication (TIF 2): 154 Patients Covered Stent Followed Up to 9 Years Ali Alshati, MD1, Diego Muilenburg, MD2, Yashika Young, RN2, Simcha Reginald Bell, MD, Katherine Freeman, MSN, FNP, Rachel Heidrick, RN; Weissman, DO3, Toufic Kachaamy, MD2; 1. Creighton University School Institute of Esophageal and Reflux Surgery, Englewood, CO of Medicine, Phoenix, AZ; 2. Cancer Treatment Centers of America, Goodyear, AZ; 3. Hackensack University - Palisades Medical Center, P1167. Identification of Varicella Zoster by Novel Salivary and Esophageal Teaneck, NJ Muscle Tissue Assay in Patients With Achalasia: A Two Center Prospective Study P1159. Lumen-Apposing Metal Stent Assisted ERCP in Stenosis Associated Rishi Naik, MD, MSCI1, Anne Gershon, MD2, Tina Higginbotham, MPA1, With Silastic Ring in Vertical Banded Gastroplasty Michael Gershon, MD3, Jason Chen, BS2, Elizabeth Flores, MS4, Mike Prianka Gajula, MD1, Sunil Dacha, MD2; 1. Houston Methodist Hospital, Holzman, MD, MPH1, Michael Vaezi, MD, PhD, MS(Epi)1; 1. Vanderbilt Houston, TX; 2. Houston Methodist Hospital / Underwood Center for University Medical Center, Nashville, TN; 2. Columbia University, New Digestive Disorders, Houston, TX York, NY; 3. Columbia, NY; 4. Columbia University College of Physicians P1160. Retrieval of Impacted Extraction Balloon: A Rare Complication of and Surgeons, New York, NY ERCP for Choledocholithiasis Saad Emhmed Ali, MD, Wesam Frandah, MD, Houssam Mardini, MD, MBA, MPH, FACG, Moamen Gabr, MD, MSc; University of Kentucky College of Medicine, Lexington, KY

P1168. Safety and Efficacy of Multiband Mucosectomy in Early Barrett's P1175. Lymphocytic and Eosinophilic Esophagitis: A Comparative Study Neoplasia: A Systematic Review and Meta-Analysis Meera Avila, MD1, Shruti Khurana, MD1, Manju Ambelil, MD2, Yi Tong, Banreet Dhindsa, MD1, Mohamad I. Mubder, MD1, Amaninder Dhaliwal, DO1, Fiyinfoluwa Abraham, MD3, Atilla Ertan, MD, MACG4, Nirav Thosani, MD2, Harmeet Mashiana, MD2, Jacqueline Choa, MD1, Harlan Sayles, MS2, MD, MHA4, Andrew DuPont, MD1, Brooks D. Cash, MD, FACG1, Mamoun Gordon Ohning, MD, PhD1, Shailender Singh, MD2, Ishfaq Bhat, MD2, Younes, MD4; 1. The University of Texas Health Science Center at Houston, Douglas G. Adler, MD, FACG3; 1. University of Nevada Las Vegas School McGovern Medical School, Houston, TX; 2. Icahn School of Medicine of Medicine, Las Vegas, NV; 2. University of Nebraska Medical Center, at Mount Sinai, New York, NY; 3. University of Texas Medical Branch, Omaha, NE; 3. University of Utah School of Medicine, Salt Lake City, UT Houston, TX; 4. University of Texas Health Science Center, Houston, TX P1169. Clinical Overlap Between Lymphocytic Esophagitis and Reflux P1176. Healthcare Resource Utilization in the 12 Months After Diagnosis in Esophagitis With Increased Lymphocytic Infiltration Patients With Eosinophilic Esophagitis Compared With a Matched Cohort Malcolm Irani, MD, Michelle Jones-Pauley, DO, Vineet Gudsoorkar, MD, Bridgett Goodwin, MS1, Mei Lu, MS, MD1, Montserrat Vera-Llonch, MD, Daniel Duhon, MD, Alberto Barroso, MD; Houston Methodist Hospital, MPH, MSc1, James Williams, MD2; 1. Shire, a Takeda company, Cambridge, Houston, TX MA; 2. Shire, a Takeda company, Lexington, MA P1170. EGJ Outflow Obstruction in Setting of Opiate Use Is Associated With P1177. WATS Brushings Are More Sensitive for Detecting Intestinal Esophageal Spasticity and Hypercontractility Metaplasia in Barrett’s Esophagus Than Concurrent Forceps Biopsies: Daniel Jonas, MD, Joshua Foromera, MD, Kristina Ross, MD, Paul Menard- Results From a National Registry Katcher, MD, Alexander Kaizer, PhD, Rena Yadlapati, MD; University of Cary Cotton, MD, MPH1, David Chaletsky, MD, MPH2, Brian Moloney, MD3, Colorado Hospital, Aurora, CO Zubair Malik, MD4, Arvind Trindade, MD5, Stuart Gordon, MD6, Patrick Yachimski, MD7, Abraham Khan, MD, FACG8, Felice Schnoll-Sussman, P1171. Shared Decision Making in Eosinophilic Esophagitis Is Associated MD, FACG9, Shervin Shafa, MD10, Michael S. Smith, MD, MBA11, Nicholas With Treatment Satisfaction but Is Inadequately Practiced J. Shaheen, MD, MPH, FACG1; 1. University of North Carolina, Chapel Hill,  Presidential Poster Award NC; 2. Connecticut GI, PC, Hartford, CT; 3. GI Associates, Milwaukee, WI; 1 1 Joy W. Chang, MD, MS , Joel Rubenstein, MD, MSCI , Jessica Mellinger, 4. Temple University, Philadelphia, PA; 5. Zucker School of Medicine at 2 3 4 5 MD, MSc , Ellyn R. Kodroff , Mary Jo Strobel , Melissa M. Scott, BSN , Hofstra/Northwell, New Hyde Park, NY; 6. Dartmouth-Hitchcock Medical 6 7 8 Denise Mack , Wendy Book, MD , Kathleen L. Sable, MBA , Scholeigh Center, Lebanon, NH; 7. Vanderbilt University Medical Center, Nashville, 9 10 11 (Shay) M. Kyle , Ally Paliana , Evan S. Dellon, MD, MPH ; 1. University TN; 8. New York University, New York, NY; 9. Weill Cornell Medical of Michigan Medical Center, Ann Arbor, MI; 2. University of Michigan, College, New York, NY; 10. Georgetown University, Washington, DC; 11. Ann Arbor, MI; 3. Campaign Urging Research for Eosinophilic Diseases, Mount Sinai West and Mount Sinai St. Luke's Hospitals, New York, NY Buffalo Grove, IL; 4. American Partnership for Eosinophilic Disorders, Atlanta, GA; 5. Eosinophilic Family Coalition, Cincinnati, OH; 6. American P1178. Risk Factors of Readmission to Hospital for Eosinophilic Esophagitis Partnership for Eosinophilic Disorders, Trussville, AL; 7. Emory University in United States: A National Readmission Database Analysis School of Medicine, Atlanta, GA; 8. American Partnership for Eosinophilic Ransome Eke, MD, PhD1, Andrey Leonov, MD2; 1. University of Alabama, Disorders, Duluth, GA; 9. Campaign Urging Research for Eosinophilic Tuscaloosa, AL; 2. DuPage Medical Group, Joliet, IL Diseases, Davison, MI; 10. CURED Foundation, Wyoming, MI; 11. Center P1179. Barrett’s Esophagus and Obstructive Sleep Apnea: Is There a Link? for Esophageal Diseases and Swallowing, University of North Carolina, Dhruvil K. Radadiya, MD1, Kalpit H. Devani, MD1, Paris Charilaou, MD2, Chapel Hill, NC Pranav D. Patel, MD3, Mark Young, MD1, Chakradhar Reddy, MD1; 1. East P1172. Elucidation of Patient Motivators and Barriers to Pursuing Tennessee State University, Johnson City, TN; 2. Saint Peter's University Treatments for Eosinophilic Esophagitis Hospital, New Brunswick, NJ; 3. Geisinger Medical Center, Danville, PA Joy W. Chang, MD, MS1, Joel Rubenstein, MD, MSCI1, Jessica Mellinger, P1180. Association of Eosinophilic Esophagitis With Allergic-Immunologic MD, MSc2, Mary Jo Strobel3, Ellyn R. Kodroff4, Melissa M. Scott, BSN5, Conditions: A Population-Based National Study Denise Mack6, Wendy Book, MD7, Kathleen L. Sable, MBA8, Scholeigh Omar A. Alaber, MD1, Apoorva K. Chandar, MD, MPH2, Basma Dahash, (Shay) M. Kyle9, Ally Paliana10, Evan S. Dellon, MD, MPH11; 1. University of MD1, Thomas J. Sferra, MD2, Amitabh Chak, MD2; 1. Case Western Reserve Michigan Medical Center, Ann Arbor, MI; 2. University of Michigan, Ann University School of Medicine, Cleveland, OH; 2. University Hospitals Case Arbor, MI; 3. American Partnership for Eosinophilic Disorders, Atlanta, Medical Center, Case Western Reserve University, Cleveland, OH GA; 4. Campaign Urging Research for Eosinophilic Diseases, Buffalo Grove, IL; 5. Eosinophilic Family Coalition, Cincinnati, OH; 6. American P1181. Effervescent Granules for the Treatment of Esophageal Food Bolus Partnership for Eosinophilic Disorders, Trussville, AL; 7. Emory University Obstruction School of Medicine, Atlanta, GA; 8. American Partnership for Eosinophilic Vincent DeRosa, MD, Judy Corliss, MSN, RN, Jeanne Li, MA, Cathy Cleek, Disorders, Duluth, GA; 9. Campaign Urging Research for Eosinophilic BSN, RN, Catelynn Kenner, MPH; Santa Barbara Cottage Hospital, Santa Diseases, Davison, MI; 10. CURED Foundation, Wyoming, MI; 11. Center Barbara, CA for Esophageal Diseases and Swallowing, University of North Carolina, Chapel Hill, NC P1182. Assessment of Procedural Performance and Compliance With Standardized Interpretation of High Resolution Esophageal Manometry P1173. Functional Outcomes of Gastric Conduit Post-Esophagectomy Studies Post-Quality Improvement Initiative at a Large Community Hospital Justin Lewis, MD, Benjamin Yip, MD, Kyla Siemens, BS, Charlie Borzy, BS, Shadi Saboori, MD, MPH1, Brittany Seminara, MD1, Mackenzie Jarvis, PA-C, Sarah Diamond, MD, James Dolan, MD, Fouad Otaki, MD; Oregon Health & DMSc2, Dawn Vickers, RN1, Teneshia Sinclair-Moore, MSN, RN1, Barbara Science University, Portland, OR Clark, MSN, RN3, Baha Moshiree, MD, MSc4; 1. Carolinas Medical Center, Charlotte, NC; 2. Atrium Health, Charlotte, NC; 3. Carolinas Medical Center P1174. Improving the Reconciliation and Management of Proton Pump - Mercy, Charlotte, NC; 4. University of North Carolina, Charlotte, NC Inhibitors: A Quality Improvement Project Adalberto Gonzalez, MD1, Michael Castillo, MD2, Hans Koop, MD1, P1183. The Association Between Cigarette Smoking and Gastroesophageal Jacqueline Cortizo, MD1, Jodi Chin, MD1, Zaimat Beiro, MD1, Kristen Hagar, Reflux Disease in Japan: Analysis of Symptoms and Endoscopic Findings MD1; 1. Cleveland Clinic, Weston, FL; 2. Cleveland Clinic Foundation, Sozaburo Ihara, MD, PhD, Kosuke Sakitani, MD, PhD, Hiroaki Fujiwara, MD, Miami, FL PhD; The Institute for Adult Diseases, Asahi Life Foundation, Chuo-ku, Tokyo, Japan

104 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1184. External Validation of the Progression in Barrett’s Score in a P1193. POEM Training and Skills Evaluation Tool: A Pilot Study Prospective Multicenter BE Cohort Alexander Schlachterman, MD1, Bader Alajlan, MD2, Jorge Don C. Codipilly, MD1, Kevin Kennedy2, Matthew Plevak1, Ross Dierkhising1, Machicadorivero, MD2, Joshua Turkeltaub, MD2, Mihir S. Wagh, MD, FACG3; Ramona Lansing1, Michele Johnson1, Sravanthi Parasa, MD3, Prateek 1. Thomas Jefferson University Hospital, Philadelphia, PA; 2. University of Sharma, MD, FACG4, Prasad Iyer, MD, FACG1; 1. Mayo Clinic, Rochester, MN; Colorado, Denver, CO; 3. University of Colorado, Aurora, CO 2. University of Kansas Medical Center, Kansas City, KS; 3. Swedish Medical Center, Seattle, WA; 4. Kansas City VA Medical Center, Kansas City, MO P1194. Is the Use of Proton Pump Inhibitors Associated With Increased Risk of Ischemic Stroke: A Systematic Review and Meta-Analysis P1185. Esophageal Body Dysfunction in Patients With Esophagogastric Sobia N. Laique, MD1, Haris Riaz, MD2, William Carey, MD2, Abhishek Junction Outflow Obstruction: A Potential Flaw in the Chicago Classification Deshpande, MD2; 1. Mayo Clinic, Scottsdale, AZ; 2. Cleveland Clinic Kenneth DeVault, MD, FACG1, Ramsah Cheah, PhD2, Supphamat Foundation, Cleveland, OH Chirnaksorn, PhD2, Dawn Francis, MPH, MD1, Ernest Bouras, MD1, Maria Vazquez-Roque, MD1, Brian E. Lacy, MD, PhD, FACG1, Lesley Houghton, P1195. Prevalence of Gastroparesis in Achalasia: A U.S. Population- 2 Based Study

PhD ; 1. Mayo Clinic, Jacksonville, FL; 2. Leeds University, Leeds, England, POSTERS Pooja Lal, MD1, Mohannad Abou Saleh, MD1, Emad Mansoor, MD2, MONDAY United Kingdom Gregory S. Cooper, MD2; 1. Cleveland Clinic Foundation, Cleveland, OH; P1186. Lack of Peristaltic Reserve as Detected by Multiple Rapid Swallows 2. University Hospitals Cleveland Medical Center, Cleveland, OH on HRM Predicts Development of Dysphagia Following Magnetic Sphincter Augmentation for GERD P1196. Admission Trends for Food Impaction and Foreign Body Rebeca Dominguez-Profeta, MD, Santiago Horgan, MD, Joslin Cheverie, Associated With Eosinophilic Esophagitis Frank Senatore, MD, Abhishek Bhurwal, MD, Steven Brant, MD; Robert MD, Robert Cubas, MD, David C. Kunkel, MD; University of California San Wood Johnson Medical School, Rutgers University, New Brunswick, NJ Diego, La Jolla, CA P1187. A Review of Timelines and Reporters of Adverse Events From Proton Pump Inhibitors (PPIs) That Are Conveyed to the United States Food and ESOPHAGUS Drug Administration Adverse Event Reporting System (FAERS) Clinical Vignettes / Case Reports David H. Kruchko, DO1, Ami Patel, DO, MBA2, Eli Ehrenpreis, MD2, Dana Villines, MA3; 1. Advocate Lutheran General Hospital, Chicago, IL; 2. P1197. Hematoma Involving the Inter-Arytenoid Fold: A Rare Mimic of Advocate Lutheran General Hospital, Park Ridge, IL; 3. Advocate Illinois Esophageal Foreign Body Impaction Masonic Medical Center, Chicago, IL Navin Paul, MD; Kaiser Permanente Fresno Medical Center, Fresno, CA P1188. The Costly Case of Proton Pump Inhibitors: A Single Center Experience P1198. Bevacizumab-Induced Esophageal Perforation: A Case Report 1 2 2 Vishnu Charan Suresh Kumar, MD1, Venkata Suresh Patthipati, MD, MS2, Mohamed Modar Abidian, MD , Anand Nath, MD , Shervin Shafa, MD ; Abbinaya Elangovan, MD3, Lawrence Goldstein, MD2; 1. State University of 1. MedStar Washington Hospital Cetner, Washington, DC; 2. MedStar New York Upstate Medical University, Syracuse, NY; 2. Western Reserve Georgetown University Hospital, Washington, DC Health Education, Northeast Ohio Medical University, Youngstown, P1199. A Rare Complication of a Common Finding: A Case of Iron OH; 3. Case Western Reserve University / MetroHealth Medical Center, Deficiency Anemia Secondary to an Ulcerated Inlet Patch Cleveland, OH Stephen Curtis, MD, Adam Tritsch, MD; Walter Reed National Military P1189. Assessing the Prevalence of Gastroesophageal Reflux in Medical Center, Bethesda, MD Gastroparesis: Putting the G Back in GERD P1200. Boerhaave's Syndrome Was Treated With Over-the-Scope Clip Andrew Bensinger, DO1, Steven Clayton, MD2; 1. Wake Forest Baptist OTSC Closure (Bear Claw Closure): A Rare Case Report Health, Winston-Salem, NC; 2. Wake Forest University Baptist Medicine, Muaataz Azawi, MD1, Soohwan Chun, MD2, Raghav Bansal, MD3; 1. Winston-Salem, NC Elmhurst Hospital Center, Astoria, NY; 2. Elmhurst Hospital Center, P1190. Improving Proton Pump Inhibitor Prescribing Practices in an Elmhurst, NY; 3. Icahn School of Medicine at Mount Sinai - Elmhurst, Academic Safety Net Primary Care Clinic: Quality Improvement Project Elmhurst, NY Naren S. Nallapeta, MBBS, Smita Y. Bakhai, MD; State University of New P1201. An “Eggstra-Ordinary” Cause of Esophageal Food Impaction: York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY Esophageal Eggshell Food Impaction 1 1 1 P1191. Positive Association Between CDX2 and MUC2 Intestinal Factors and Denesh Ratnasingam, MD , Laith Numan, MD , Yousaf Zafar, MD , Ahmed 2 1 2 Dysplasia in Barrett’s Esophagus Utilizing WATS3D Tissue Sampling and A. Elkafrawy, MD , Hani El-Halawany, MD , Wendell K. Clarkston, MD ; 1. Analysis University of Missouri, Kansas City, MO; 2. University of Missouri Kansas  Presidential Poster Award City School of Medicine, Kansas City, MO Robert Odze, MD, FRCPC1, John Goldblum, MD2, Prateek Sharma, MD, P1202. Plummer-Vinson Syndrome: A Time for a Redefinition and New FACG3, Charles J. Lightdale, MD, MACG4, Michael S. Smith, MD, MBA5, Perspective Nicholas J. Shaheen, MD, MPH, FACG6; 1. Pathology, LLC, Boston, MA; 2. Vismay Badhiwala, MD1, John D. Herlihy, IV, MD1, Richard McCallum, MD2, Cleveland Clinic Foundation, Cleveland, OH; 3. Kansas City VA Medical Cecilio M. Hernandez, BS1; 1. Texas Tech University Health Sciences Center, Center, Kansas City, MO; 4. Columbia University, New York, NY; 5. Mount El Paso, TX; 2. Texas Tech University Health Sciences Center, Paul L. Sinai West and Mount Sinai St. Luke's Hospitals, New York, NY; 6. Foster School of Medicine, El Paso, TX University of North Carolina, Chapel Hill, NC P1203. A Case of Xylophagia P1192. Blown out Myotomy (BOM), a Complication Following Laparoscopic Joseph C. Yarze, MD, John J. Garber, MD, Jessica E. Shay, MD; Heller Myotomy and Per-Oral Endoscopic Myotomy Massachusetts General Hospital, Boston, MA  Presidential Poster Award Amanda J. Krause, MD1, Joseph R. Triggs, MD, PhD1, Dustin A. Carlson, P1204. Evolution of Esophageal Lichen Planus to Esophageal Leukoplakia MD, MSCI1, Ryan A. Campagana, MD1, Anand Jain, MD2, Peter J. Kahrilas, Joseph C. Yarze, MD; Massachusetts General Hospital, Boston, MA MD, FACG1, Eric Hungness, MD1, John E. Pandolfino, MD, MSCI, FACG1; 1. Northwestern University Feinberg School of Medicine, Chicago, IL; 2. Emory University, Atlanta, GA Register for ACG 2019: acgmeetings.gi.org / 105 POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1205. Melanoma Metastatic to the Esophagus P1217. Esophageal Candidiasis as an Unusual Cause of Upper Esophageal Joseph C. Yarze, MD; Massachusetts General Hospital, Boston, MA Stricture Cory Higley, DO, MPH1, Shandiz Shahbazi, MD1, Tenzin Choden, MD1, Nidhi P1206. H-type Tracheoesophageal Fistula - A Rare Cause of Cough and Malhotra, MD2; 1. MedStar Georgetown University Hospital, Washington, Dysphagia in Adults DC; 2. MedStar Washington Hospital Center, Washington, DC Rebecca Voaklander, MD, Jeffrey S. Bank, MD, Michael Sossenheimer, MD, PhD, Aidin Iravani, MD; University of Utah School of Medicine, Salt Lake P1218. The Utility of Congo Red Staining in Grossly and Histopathologically City, UT Silent Gastrointestinal Amyloidosis Netanel F. Zilberstein, MD, Sanmeet Singh, MD, Ashley T. Zilberstein, P1207. Dysphagia in Extra-Pyramidal Syndrome: A Reversible and MD, Robert Carroll, MD; University of Illinois Hospital & Health Sciences Uncommon Presentation System, Chicago, IL Haozhe Sun, MD1, Hafsa Abbas, MD2, Abhilasha Jyala, MD1, Kanthi Rekha Badipatla, MD1, Suresh Kumar Nayudu, MD1; 1. Bronx Lebanon Hospital P1219. Eosinophilic Esophagitis Presenting With Esophageal Wall Center, Bronx, NY; 2. BronxCare Health System, Bronx, NY Dissection  Presidential Poster Award P1208. A Tough to Swallow Diagnosis: Dysphagia as a Manifestation of Joshua D. McCarron, MD, Robert D. Lawson, MD; Naval Medical Center, Esophageal Pemphigus San Diego, CA Grace H. Yang, MD, Tehilla Apfel, MD, Stephen Peters, MD, Anja Jones, MD, Oleg Shulik, MD; Rutgers New Jersey Medical School, Newark, NJ P1220. Novel Use of Low Dose Amitriptyline in the Prevention of Deglutition Syncope: A Case Report P1209. Heterotopic Pancreatic, Sebaceous, and Gastric Tissue: Report of Ravi Shah, MD, Kenneth A. Mayuga, MD, Scott Gabbard, MD; Cleveland Case and Review of the Literature Clinic Foundation, Cleveland, OH Maggie Cheung, MD1, Yousef Elfanagely, MD1, Kevin Skole, MD2; 1. Robert Wood Johnson Medical School, Rutgers University, New Brunswick, P1221. Esophageal Obstruction From a "Cough Pill:" Case Report NJ; 2. University Medical Center of Princeton at Plainsboro, Plainsboro Emaree Cobb, BS1, Agazi Gebreselassie, MD2; 1. Howard University Township, NJ College of Medicine, Lawrenceville, GA; 2. Howard University Hospital, Washington, DC P1210. A Rare Case of an Alpha-Fetoprotein-Producing Esophageal Adenocarcinoma P1222. Achalasia Presenting as a Complicated Lung Abscess Neethi R. Dasu, DO, BS1, Yaser Khalid, DO, BS2, Richard Gordon, DO3, Kavitha Vijayasekar, MD, Umer Syed, MD, Moiz Ahmed, MD, Aaron Michael Itidiare, DO, BS2, Richard Walters, DO4; 1. Rowan School of Walfish, MD; Icahn School of Medicine at Mount Sinai - Elmhurst, Osteopathic Medicine, Voorhees Township, NJ; 2. Rowan University Elmhurst, NY School of Osteopathic Medicine, Stratford, NJ; 3. Comprehensive Cancer and Hematology Specialists, Voorhees, NJ; 4. Jefferson Health P1223. Tracheoesophageal Fistula Managed With Double Stenting of Gastroenterology, Cherry Hill, NJ Bronchus and Esophagus Samuel Abdehou, MD, Jonathan Massey, MD, Sania Jiwani, MD, Vinh P1211. Chronic Opioid Use and EGJ Outflow Obstruction: An Important Nguyen, MD, Paul Jordan, MD; Louisiana State University Health Sciences Culprit to Address Before Expensive Management Center, Shreveport, LA Victoria Tran, BS1, Leon D. Averbukh, DO2, Micheal Tadros, MD, MPH, FACG1; 1. Albany Medical College, Albany, NY; 2. University of Connecticut P1224. Bleach Gargling - An Effective yet Destructive Method to Beat a Health, Hartford, CT Drug Test: A Bizarre Case of Caustic Esophageal Injury Issam Turk, MD1, Ali Zakaria, MD2, Marc Piper, MD, MSc3, Alula Tesfay, MD4; P1212. It’s Not Always Reflux: The Role of High-Resolution Manometry in 1. St. John Providence Hospital, Dearborn, MI; 2. Providence - Providence Management of Patients With Sleeve Gastrectomy Park Hospital, Southfield, MI; 3. Michigan State University, College Victoria Tran, BS1, Michael Kuna, BS1, Leon D. Averbukh, DO2, Tejinder Paul of Human Medicine, Southfield, MI; 4. St. John Providence Hospital, Singh, MD3, Micheal Tadros, MD, MPH, FACG1; 1. Albany Medical College, Southfield, MI Albany, NY; 2. University of Connecticut Health, Hartford, CT; 3. Albany Medical Center, Albany, NY P1225. Esophageal Perforation From Blakemore Tube Use Resulting in Mediastinitis: Important Clinical Pearls to Reduce Mortality P1213. Delayed Esophageal Clearance Plays an Important Role in Reflux Naba Saeed, MD1, Zarak H. Khan, MD2, Mohammad Muzaffar, MD3, Mihajlo Symptomology in Scleroderma Patient Gjeorgjievski, MD4, Sahla Hammad, MD5, Humza Khan, MD6, Syed Tasleem, Leon D. Averbukh, DO1, Victoria Tran, BS2, Micheal Tadros, MD, MPH, MD7; 1. University of Michigan Health System, Ann Arbor, MI; 2. St. Mary FACG2; 1. University of Connecticut Health, Hartford, CT; 2. Albany Mercy Hospital, Livonia, MI; 3. Beaumont Health, Wayne, MI; 4. Beaumont Medical College, Albany, NY Health, Royal Oak, MI; 5. St. Joseph Mercy Oakland Hospital, Pontiac, MI; 6. St. Joseph Medical Center, Ypsilanti, MI; 7. Baylor College of Medicine, P1214. Can We Avoid Esophagectomy in T1b Esophageal Adenocarcinoma? Houston, TX Tarek Odah, MD1, Shervin Shafa, MD2; 1. MetroWest Medical Center, Framingham, MA; 2. Georgetown University, Washington, DC P1226. Too Stubborn to Contract: A Case of End Stage Achalasia Presenting as a Sigmoid Esophagus P1215. Esophageal Synovial Sarcoma Diagnosed Using EUS-Guided Fine- Syed Abbas, MD1, Waqas Nawaz, MD1, Harish Guddati, MD1, Hilary Hertan, Needle Biopsy MD2; 1. Montefiore Medical Center, Bronx, NY; 2. Montefiore Medical Victor Garcia-Rodriguez, MD1, Emmanuel Coronel, MD2; 1. University of Center / Albert Einstein College of Medicine, Bronx, NY Texas Health Science Center, Houston, TX; 2. University of Texas MD Anderson Cancer Center, Houston, TX P1227. An Unexpected Cause of Iron Deficiency Anemia Rodolfo Estremera-Marcial, MD, Adriana Marzan-Loyola, MD, Jose Martin- P1216. Esophagitis Dissecans Superficialis Secondary to Ingestion of Hair Dye Ortiz, MD, FACG; VA Caribbean Healthcare System, San Juan, Puerto Rico Michell Lopez, MD1, Eric O. Then, MD1, Andrew Ofosu, MD2, Srikanth Maddika, MD1, Andrea Culliford, MD, FACG1, Vinaya Gaduputi, MD, FACG3; 1. St. Barnabas Hospital, Bronx, NY; 2. Brooklyn Hospital Center, Brooklyn, NY; 3. SBH Health System, Bronx, NY

106 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1228. Combined Esophageal Achalasia and Cricopharyngeal Achalasia in P1240. An Unusual True Esophageal Epiphrenic Diverticulum in the Setting a Patient With Type 1 Myotonic Dystrophy of Heterotopic Gastric Mucosal Patches: A Case Report Sami Ghazaleh, MD, Christian Nehme, MD, Yasmin Khader, MD, Marcel Tahnee Sidhu, MD, MPH1, Amr Dokmak, MD1, Sandeep Krishnan, MD, PhD2; Ghanim, MD, Syed Hasan, DO, Ali Nawras, MD, FACG; University of Toledo 1. St. Elizabeth's Medical Center, Tufts University School of Medicine, Medical Center, Toledo, OH Boston, MA; 2. St. Elizabeth's Medical Center, Tufts University School of Medicine, Brighton, MA P1229. Esophageal Squamous Cell Carcinoma Masquerading as Neuropathic Pain P1241. A Rare Case of Pyogenic Granuloma in the Gastrointestinal Tract Anshika Khare, MD1, Amit Bhatt, MD2, Michael Cruise, MD, PhD1, Gautam Carlo Basilio, MD, MPH1, Nabil Baddour, DO2, John Affronti, MD2; 1. Tulane Mankaney, MD1; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. University, New Orleans, LA; 2. Tulane University Health Sciences Center, Cleveland Clinic, Cleveland, OH New Orleans, LA P1230. Cytomegalovirus-Induced Ulcerative Esophagitis Presenting as P1242. Esophageal Adenocarcinoma in a Patient With Inclusion Body Near Food Bolus Impaction in an Immunocompromised Patient Myositis POSTERS Karelys Burgos Irizarry, MD1, Ramzi Mulki, MD2, Cesar Taborda, MD, MSc2, Benjamin M. Hornung, MD, Priya Kathpalia, MD; University of California MONDAY Kavya Sebastian, MD2; 1. University of Puerto Rico, San Juan, Puerto Rico; San Francisco, San Francisco, CA 2. Emory University School of Medicine, Atlanta, GA P1243. Jugular Venous Pulsations With Neoplastic Implications: A Case P1231. The Association of Sloughing Esophagitis With Eosinophilic of Unilateral External Jugular Venous Pulsations in the Setting of a Esophagitis: A Case Report and Review of the Literature Mediastinal Mass Jenna MacGregor, BSc, MSc, Magdalene Maung, MBBS, Heidi Sapp, MD, Sofya Malashanka, BS1, William Quinones, MD2, Joshua Obuch, MD, FRCPC, Ian Epstein, MD, FRCPC; Dalhousie University, Halifax, NS, Canada MSc2; 1. Geisinger Health System, Scranton, PA; 2. Geisinger Health System, Wilkes-Barre, PA P1232. Esophageal Granular Cell Tumor Treated With Cap-Assisted Endoscopic Mucosal Resection P1244. Chronic Cough Leads to Unexpected Diagnosis: Sarcomatoid Elias Estifan, MD, Abdalla Mohamed, MD, Yana Cavanagh, MD, Matthew Squamous Cell Carcinoma of the Proximal Esophagus Grossman, MD; St. Joseph's University Medical Center, Paterson, NJ Natasha Shah, MD1, Biana Modilevsky2, Baseer Qazi, MD3, Kenneth D. Chi, MD3; 1. Advocate Lutheran General Hospital, Park Ridge, IL; 2. Midwestern P1233. Hematemesis in Valley Fever: A Case of Black Esophagus University Chicago, College of Osteopathic Medicine, Downers Grove, IL; Nimrah Bader, MD; University of Oklahoma Health Sciences Center, 3. Lutheran General Hospital, Park Ridge, IL Oklahoma City, OK P1245. Intramural Esophageal Dissection: A Rare Cause of Hematemesis P1234. Major Esophageal Bleeding Secondary to Mechanical Injury From Layth Al-Jashaami, MD1, Aida Rezaie, MD2, Hussein Abidali, DO3, Yasmin Esophageal Deviation During Pulmonary Vein Isolation Alishahi, MD, FACG4; 1. University of Arizona College of Medicine, Gassan Kassim, MD1, Makda Bsrat, MD1, Melissa Hershman, MD2, Rifat Phoenix, AZ; 2. University of Arizona, Phoenix, AZ; 3. University of Mamun, MD2, Ray Dong, MD2, Michael S. Smith, MD, MBA3; 1. Mount Sinai Arizona, Scottsdale, AZ; 4. Phoenix VA Health Care System, Phoenix, AZ St. Luke's and Mount Sinai Roosevelt, New York, NY; 2. Mount Sinai Beth Israel Medical Center, New York, NY; 3. Mount Sinai West and Mount Sinai St. Luke's Hospitals, New York, NY FUNCTIONAL BOWEL DISEASE P1235. Esophageal Stricture in Pregnancy Secondary to Stevens-Johnson P1246. Whole Genome Sequencing Analysis of Gastroparesis Syndrome  ACG Governors Award for Excellence in Clinical Research Caleb B. Hudspath, DO1, Tudor Oroian, DO2, Pedro Manibusan, DO, MBA2; (Fellow-in-Training) 1. Walter Reed National Military Medical Center, Honolulu, HI; 2. Tripler  Presidential Poster Award Army Medical Center, Honolulu, HI Sandra P. Smieszek, PhD, Jesse L. Carlin, PhD, Gunther Birznieks, MS, P1236. Colchicine Toxicity Presenting as Esophagitis Mihael H. Polymeropoulos, MD; Vanda Pharmaceuticals, Washington, DC Cassandra Steimle, DO1, Andrew Kelts, DO1, Jennifer Jeng, DO1, Michael Kochik, DO1, Edwin Golikov, DO1, Farhan Ali, DO1, Eric Raborn, DO1, Firouzi P1247. Evaluation of Somatic Pain Distribution Using Body Maps for Masoud2; 1. Arnot Ogden Medical Center, Elmira, NY; 2. Wilkes-Barre VA Patients With Chronic Abdominal Pain Syndromes Vasiliki I. Aivaliotis, MD1, Jennifer M. Hah, MD1, Luke Pirrotta, BS2, Linda Medical Center, Wilkes-Barre, PA A. Nguyen, MD1; 1. Stanford Hospital, Redwood City, CA; 2. Stanford P1237. Pseudotumor Esophagus: Acute Dysphagia Secondary to Mallory- University School of Medicine, Palo Alto, CA Weiss Tear Associated Blood Clots Patrick Snyder, MD1, Vivian Ebrahim, MD2, Hemangi Kale, MD3; 1. P1248. Social Media Use in Irritable Bowel Syndrome Patient Education: University of Texas Health, San Antonio, TX; 2. Hunt Regional Medical A Content Analysis of YouTube Videos Xin Zheng, DO, MS1, Xiaowen Fan, MD2, Andrew P. Wright, MD1, John Kim, Center, Greenville, TX; 3. Baylor University Medical Center, Dallas, TX MD1, Yan Zhao, MD1; 1. Loma Linda University Medical Center, Loma Linda, P1238. Black Esophagus or Acute Esophageal Necrosis: A Case Series and CA; 2. Mount Sinai St. Luke's and Mount Sinai West, New York, NY Single-Institution Experience Sara Ghoneim, MD1, Shaman Dalal, MD2, Aun Shah, MD1, Marc Landsman, P1249. Use of Central Neuromodulators by Gastroenterologists in the MD1, Annette Kyprianou, MD1; 1. MetroHealth Medical Center, Case Treatment of IBS: A Pilot Survey Benjamin Nulsen, MD1, Douglas Drossman, MD, MACG2, Elizabeth Western Reserve University, Cleveland, OH; 2. Case Western Reserve Videlock, MD1, Lin Chang, MD3; 1. David Geffen School of Medicine, University / MetroHealth Medical Center, Cleveland, OH University of California Los Angeles, Los Angeles, CA; 2. Drossman P1239. Esophageal Nikolsky’s Sign: A Rare Finding in a Patient With Center for the Education and Practice of Integrated Care, LLC, Durham, Bullous Pemphigoid NC; 3. University of California Los Angeles, Los Angeles, CA Sara Ghoneim, MD, Aun Shah, MD, Amy Calderon, DO, PharmD; MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH

P1250. National Trends and Outcomes of Irritable Bowel Syndrome P1259. MD-7246, a Delayed-Release Formulation of Linaclotide Targeting Presenting to Emergency Departments: Results From the Nationwide Visceral Pain Associated With IBS-D, Does Not Impact Bowel Frequency or Emergency Department Sample (NEDS) Database Stool Consistency in Healthy Volunteers: Results From Phase I Trial Tooba Tariq, MD1, Martin Sieloff, MD1, Furqan Irfan, PhD2; 1. Western Braden Kuo, MD, MSc1, Wilmin Bartolini, PhD2, Kenneth Tripp, MS3, Michigan University School of Medicine, Kalamazoo, MI; 2. Michigan State Ramesh Boinpally, PhD4, Niels Borgstein, MD2; 1. Massachusetts General University, College of Osteopathic Medicine, East Lansing, MI Hospital, Boston, MA; 2. Ironwood Pharmaceuticals, Inc., Cambridge, MA; 3. Formerly of Ironwood Pharmaceuticals, Inc., Cambridge, MA; 4. P1251. Opioid and Neuromodulator Prescription Patterns Among U.S. Allergan plc, Madison, NJ Gastroenterologists Wendi G. LeBrett, MD, Frank W. Chen, MD, Liu Yang, MD, MPH, Lin Chang, MD; University of California Los Angeles, Los Angeles, CA FUNCTIONAL BOWEL DISEASE P1252. High-Resolution Electrogastrogram Identifies Disturbed Gastric Clinical Vignettes / Case Reports Slow Waves and Dysautonomia in Subjects With Dumping Syndrome P1260. Chronic Periumbilical Abdominal Pain: Abdominal Migraine in an Adult Alisha Kabadi, MD1, Todd P. Coleman, PhD2, Holly S. Greenwald, MD1, Frederick B. Peng, MD, Manreet Kaur, MD; Baylor College of Medicine, David C. Kunkel, MD2; 1. University of California San Diego, San Diego, CA; Houston, TX 2. University of California San Diego, La Jolla, CA P1253. Wireless Motility Capsule Testing Results in New Diagnostic P1261. Intestinal Tuberculosis in an Immunocompetent Patient Information in 38% of Patients With Suspected GI Dysmotility: Reema Vaze, MD, Ricky Buckshaw, DO, Anam Malik, MD, Michal Kloska, A 6-Year Review MD, Abdul Aleem, MD, Frederic Stelzer, MD; Lehigh Valley Health Network, Allentown, PA Quratulain Irshad, MD1, Hamzah Abu-Sbeih, MD2, John Stroehlein, MD, FACG3, Mehnaz A. Shafi, MD, FACG1; 1. MD Anderson Cancer Center, P1262. The Ever-Mysterious Cyclical Vomiting Syndrome (CVS) and Houston, TX; 2. University of Missouri, Kansas City, MO; 3. University of Abdominal Migraine: Recognition and Successful Management Strategies Texas MD Anderson Cancer Center, Houston, TX Illustrated by a Case Report Ruhin Yuridullah, MD1, Camacho Yudi, MD2, Youssef Botros, MD2, Ashima P1254. The Combination of a Tricyclic Antidepressant and Diaphragmatic 1 2 2 Breathing Is an Effective Treatment for Rumination Syndrome Kapoor, MD , Gabriel Melki, MD , Walid Baddoura, MD ; 1. St. Joseph's Regional Medical Center, Paterson, NJ; 2. St. Joseph's University Medical  Presidential Poster Award Center, Paterson, NJ Alejandro Robles, MD, Yehudi A. Romero, MD, Eric Tatro, MD, Hugo Quezada, BS, Richard McCallum, MD; Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX GENERAL ENDOSCOPY P1255. Epidemiology and Healthcare Resource Utilization Associated With Adults Hospitalized With Short Bowel Syndrome P1263. Adenoma Detection Rate Is Higher in a.m. Colonoscopies Only When Mohamed Tausif Siddiqui, MD1, Amandeep Singh, MD2, Mohammad Bilal, Performed in Full-Day Blocks: A Systematic Review and Meta-Analysis MD3, Donald F. Kirby, MD2; 1. New York Medical College, Valhalla, NY; 2. Fredy Nehme, MD1, Laith Al Momani, MD2, Yousaf Zafar, MD1, Mohammad Cleveland Clinic Foundation, Cleveland, OH; 3. The University of Texas Alomari, MD3, Ahmed A. Elkafrawy, MD4, Connor King4; 1. University of Medical Branch, Galveston, TX Missouri, Kansas City, MO; 2. East Tennessee State University, Johnson City, TN; 3. Cleveland Clinic Foundation, Cleveland, OH; 4. University of P1256. The Fragility of Randomized Placebo-Controlled Trials for Irritable Missouri Kansas City School of Medicine, Kansas City, MO Bowel Syndrome Management Mary-Jane O. Williams, MD1, Brittany Dennis, MBBS2, Vanessa Dlamini3, P1264. A Simple Step for Better Prep: The Impact of Nurse Driven Obioma Nwaiwu, MD, PhD4, Linda A. Nguyen, MD5, Philip N. Okafor, Telephone Education on Colonoscopy Bowel Prep MD, MPH6; 1. Sunrise Health GME Consortium, MountainView Hospital, Sarabdeep Mann, MD1, Shifat Ahmed, MD1, Layth Al-Jashaami, MD1, University of Nevada Reno, Las Vegas, NV; 2. McMaster University, Yasmin Alishahi, MD, FACG2; 1. University of Arizona College of Medicine, Hamilton, ON, Canada; 3. Meharry Medical College, Nashville, TN; 4. Phoenix, AZ; 2. Phoenix VA Health Care System, Phoenix, AZ University of Arkansas for Medical Sciences, Arkansas, AR; 5. Stanford P1265. The Association of Cecal Withdrawal Time With Adenoma Detection Hospital, Redwood City, CA; 6. Stanford University School of Medicine, Rate (ADR) and Sessile Serrated Adenoma/Polyp Detection Rate (SDR) in Redwood City, CA Average Risk Screening Colonoscopies P1257. A Prospective Study of Gender and Quality of Life in Patients With  Presidential Poster Award Irritable Bowel Syndrome Seemeen Hassan, MD, MS1, Zaheer Ahmed, MD2, Rajiv Chhabra, MD, Mustafa Haroon, MD1, Andrew Canakis, DO2, Howard Cabral, PhD, MPH3, MRCP (UK), FACG3, Mouhanna Abu Ghanimeh, MD4, Esmat Sadeddin, Horst C. Weber, MD, FACG4; 1. Boston Medical Center, Boston, MA; 2. MD5, Osama Yousef, MD6; 1. University of Missouri Kansas City School of Boston University Medical Center, Boston, MA; 3. Boston University Medicine, Kansas City, MO; 2. University of Missouri, Kansas City, MO; School of Public Health, Boston, MA; 4. Boston University School of 3. University of Missouri Kansas City School of Medicine / Saint Luke's Medicine, Boston, MA Hospital of Kansas City, Kansas City, MO; 4. Henry Ford Hospital, Detroit, MI; 5. Truman Medical Center, University of Missouri Kansas City School P1258. Baseline and Longitudinal Microbial Changes Predict Response of Medicine, Kansas City, MO; 6. Cleveland Clinic, Abu Dhabi, Abu Dhabi, to Rifaximin And/or Diet Low in Fermentable Oligosaccharides, United Arab Emirates Disaccharides, Monosaccharides, and Polyols in Irritable Bowel Syndrome  Presidential Poster Award Allen Lee, MD1, Krishna Rao, MD, MS2, Emily Haller, RD1, Lauren Van Dam, RD1, Jason Baker, PhD1, Lydia Watts, BS1, Shanti Eswaran, MD2, William D. Chey, MD, FACG3, Chung Owyang, MD2, Vincent Young, MD, PhD1, William Hasler, MD1; 1. University of Michigan School of Medicine, Ann Arbor, MI; 2. University of Michigan, Ann Arbor, MI; 3. Michigan Medicine, University of Michigan, Ann Arbor, MI

108 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1266. Gastroenterologists versus Gastroenterologists With Fellows versus P1274. Increasing Endoscopy Unit Efficiency: It’s Time to Take Control Surgeons: A Comparison of the Detection Rates of Adenoma and Sessile Jordan Gladys-Oryhon, DO, Shifa Umar, MD, Rita Cole, MBA, BS, Payal Serrated Adenoma/Polyp Thakkar, PharmD, Aslam Syed, MD, Robin Midian, MD, Suzanne Morrissey, Seemeen Hassan, MD, MS1, Zaheer Ahmed, MD2, Rajiv Chhabra, MD, MRCP MD, Marcia Mitre, MD, Shyam Thakkar, MD, Katie Farah, MD; Allegheny (UK), FACG3, Esmat Sadeddin, MD4, Osama Yousef, MD5; 1. University of Health Network, Pittsburgh, PA Missouri Kansas City School of Medicine, Kansas City, MO; 2. University of Missouri, Kansas City, MO; 3. University of Missouri Kansas City School P1275. Five Minute Intervention for Improved Inpatient Bowel Preparation of Medicine / Saint Luke's Hospital of Kansas City, Kansas City, MO; 4. Quality at a Large, Urban Safety Net Hospital  Truman Medical Center, University of Missouri Kansas City School of Presidential Poster Award 1 1 Medicine, Kansas City, MO; 5. Cleveland Clinic, Abu Dhabi, Abu Dhabi, Nicole S. Evans, MD, MS , Shida Haghighat, MD, MPH , Chethan 2 1 United Arab Emirates Ramprasad, MD , Eric Hsieh, MD ; 1. LAC+USC Medical Center, Los Angeles, CA; 2. New York University, New York, NY P1267. Ergonomic and Procedural Metrics Associated With Musculoskeletal P1276. Efficacy and Safety of Non-Elevated Piecemeal Polypectomy POSTERS

Pain Among Endoscopists MONDAY Using Hot Snare  Presidential Poster Award Sahil Sharma, BSc1, Akhil Sharma, BSc2, Vladislav Khokhotva, MD1; 1. Alexander Miller, MD, Michelle Herberts, MD, Stephanie Hansel, MD, MS, Western University, Windsor, ON, Canada; 2. Michigan State University, Joseph Murray, MD, John League, III, MMIS, Hinson Chadrick, RN, Carol College of Osteopathic Medicine, Windsor, ON, Canada Van Dyke, CCRP; Mayo Clinic, Rochester, MN P1268. Endoscopic Evaluation of Radiological Distal Esophageal Thickening P1277. Discordance in Colorectal Polyp Size Determination Between Galen Leung, MD1, Joseph Mizrahi, MD2, Samuel Quintero, MD2, Daniel Colonoscopy and Pathology Reporting Edgar Corona, MPH1, Roshan Bastani, PhD2, Liu Yang, MD, MPH3, Paul Sosa, MD1, Deborah Parkinson, RN3, Deepak Desai, MD3, Edward Cheng, Shao, MD, MS1, Didi Mwengela, MD1, Michelle Didero, BS1, Ishan Asokan, MD3; 1. Stony Brook University Hospital, Stony Brook, NY; 2. Stony Brook MD, MSc1, Alex Bui, PhD3, William Hsu, PhD3, Folasade May, MD, PhD3; 1. Medicine, Stony Brook, NY; 3. Northport Veterans Affairs Medical Center, David Geffen School of Medicine, University of California Los Angeles, Northport, NY Los Angeles, CA; 2. UCLA Center for Cancer Prevention and Control P1269. Gastroenterologist Sentiment Toward Artificial Intelligence (AI) in Research, Fielding School of Public Health and Jonsson Comprehensive Endoscopic Practice: A Nationwide Survey Cancer Center, Los Angeles, CA; 3. University of California Los Angeles, Vaibhav Wadhwa, MD1, Muthuraman Alagappan, MD2, Adalberto Los Angeles, CA Gonzalez, MD1, Madhuri Chandnani, MD2, Tyler M. Berzin, MD, MS3; 1. Cleveland Clinic, Weston, FL; 2. Beth Israel Deaconess Medical Center, P1278. Comparing Advanced Adenoma Detection Rate of Water Exchange, Boston, MA; 3. Beth Israel Deaconess Medical Center, Harvard Medical Cap, and Endocuff Colonoscopy: Pooled Data of Randomized Controlled School, Boston, MA Trials With Air Insufflation as the Common Comparator Paul Shao, MD, MS1, Aileen Bui, MD1, Hui Jia, MD2, Felix Leung, MD, FACG3; P1270. Analysis of Variation in Pre-Procedural Fasting Duration for 1. David Geffen School of Medicine, University of California Los Angeles, Common Inpatient Gastrointestinal Procedures Los Angeles, CA; 2. VA Greater Los Angeles Healthcare System, North Vorada Sakulsaengprapha, BS, Michael Daniel, MD, Jiarui Cai, MS, Diego Hills, CA; 3. Sepulveda Ambulatory Care Center, VAGLAHS, David Geffen Martinez, PhD, Simon C. Mathews, MD; Johns Hopkins University School School of Medicine at UCLA, North Hills, CA of Medicine, Baltimore, MD P1279. Exploring the Role of Gastrointestinal Motility and Non-Acid Reflux P1271. Use of an Abdominal Compression Device in Colonoscopy in Lung Transplant Prognosis and Risk of Acute Rejection Significantly Decreases Cecal Intubation Time as Compared to Harrison Daniel, MD, Kushboo Gala, MBBS, Jordan Burlen, MD, Abigail Conventional Colonoscopy: A Systematic Review and Meta-Analysis Stocker, MD, Doug Lorenz, MD, Allan Ramirez, MD, Thomas Abell, MD; Nour Hamade, MD1, Venkat Nutalapati, MD2, Jean M. Chalhoub, University of Louisville, Louisville, KY MD3, Viveksandeep Thoguluva Chandrasekar, MD1, Chandra Dasari, MD4, Kevin Kennedy, MS5, Divyanshoo Kohli, MD4, Prateek Sharma, MD, FACG4; P1280. Exploring Methods to Reduce Colonoscopy Cancellations Akber Sheikh, BS, Andrew Chang, MD, Aslam Godil, MD, Roy Foliente, MD, 1. Kansas City University of Medicine and Biosciences, Kansas City, KS; 2. Kevin Hill, DO, Benjamin Brichler, MD; Sierra Nevada Gastroenterology University of Kansas Medical Center, Kansas City, KS; 3. Baystate Medical Medical Associates, Inc., Grass Valley, CA Center, Springfield, MA; 4. Kansas City VA Medical Center, Kansas City, MO; 5. University of Kansas Health System, Kansas City, MO P1281. Continuous Intravenous Fluid versus On-Demand Fluid Therapy During Elective Endoscopy P1272. Converting Inpatient Consults to Directly Scheduled Outpatient 1 1 1 2 Procedures Omar Jilani, MD , Pamela Kim, MD , Annika Dhawan , Emily Brignone , Kelly Shields, PhD2, Manish Dhawan, MD3; 1. Allegheny General Hospital, Tamara Brodsky, MD, MBA1, Moshe Rubin, MD2, John Karaptis, PC-C, Pittsburgh, PA; 2. Highmark Health, Pittsburgh, PA; 3. Allegheny Health MBA3, Syed Hussain, MD3, Sang Kim, MD3; 1. New York Hospital Queens, Network, Pittsburgh, PA New York, NY; 2. New York-Presbyterian / Weill Cornell Medical Center, New York, NY; 3. New York Hospital Queens, Flushing, NY P1282. Disaccharidase Dilemma in Adults: Utility of Routine Assays in Diagnostic Upper Endoscopies P1273. Inpatient Status Is Associated With Incomplete Capsule Endoscopy 1 2 3 Examinations: A Systematic Review and Meta-Analysis Neal Vasireddi , Nikhil Vasireddi , Nidah S. Khakoo, MD , Keerthana Kasi, BS4, Arul Ruthwik Duggimpudi5, Haig Minassian, MD6, Srinivas S. Mahmoud El Iskandarani, MD1, Bara El Kurdi, MD1, Tyler Aasen, DO1, Vasireddi, MD5; 1. Cornell University, Ithaca, NY; 2. Case Western Reserve Mohammad Alomari, MD2, Sumbal Babar, MBBS1, Ibrahim Haddad, MD1, University, Cranbury, NJ; 3. University of Miami, Jackson Memorial Laith Al Momani, MD1, Mark Young, MD1; 1. East Tennessee State University, Hospital, Miami, FL; 4. International American University College of Johnson City, TN; 2. Cleveland Clinic Foundation, Cleveland, OH Medicine, Morganville, NJ; 5. Advanced Digestive Center, Inc., Metuchen, NJ; 6. Holmdel, NJ

GENERAL ENDOSCOPY P1295. Colonoscopy as a Cause of Appendicitis 1 1 2 Clinical Vignettes / Case Reports Kwabena Adu-Gyamfi, MD , Olaitan Adeniji, MD , Sandeep Patri, MD ; 1. HSHS St. Mary's Hospital Medical Center, Green Bay, WI; 2. HSHS St. P1283. A Rare Case of Giardia Duodenalis on Duodenal Biopsy in a Patient Vincent Hospital, Green Bay, WI With Chronic Abdominal Pain Andrew Moore, MD, Salina Lee, MD, Shriram Jakate, MD, FRCPath; Rush P1296. Endoscopic Closure of Gastrocolic Fistula Using Hemostatic Clips: University Medical Center, Chicago, IL A Novel Approach Shahrzad Anita Akhavan, BSc1, Rachana Oak, DO2, Neera Sinha, MD2, P1284. An Unfortunate Turn of Events: A Rare Case of Splenic Hematoma Christopher Chum, DO2, John Trillo, MD2; 1. St. George's University School Following Colonoscopy for Post-Polypectomy Bleeding of Medicine, Brooklyn, NY; 2. Coney Island Hospital, Brooklyn, NY Parikshit Duriseti, MBBS, Maad Alhudairy, MD, Manish Tandon, MD; St. Elizabeth's Medical Center, Tufts University School of Medicine, Brighton, MA P1297. An Attack of Disseminated MAC Katherine Boland, MD1, Ted Tollivoro, MD1, Yukihiro Nakanishi, MD2, P1285. Migration of Over-the-Scope Clip (OTSC) Resulting in Intestinal Gregory Gaspard, MD2; 1. Tulane University School of Medicine, New Obstruction Orleans, LA; 2. Tulane University, New Orleans, LA Sameen Khalid, MD1, Jinendra Satiya, MD2, Aamer Abbass, MD1, Gulshan Parasher, MD1, Daniel Castresana, MD1; 1. University of New Mexico, P1298. Esophageal Intramural Pseudodiverticulosis and Concomitant Albuquerque, NM; 2. New York Medical College - Metropolitan Hospital, Esophageal Candidiasis 1 1 West Palm Beach, FL Patricia D. Morissette, MD , Paul Kirkpatrick, MD , Eula Geralyn Tetangco, MD, MPH1, Moonkyung Schubert, MD, PhD2; 1. Medical College of Georgia, P1286. Gastric Xanthoma: A Rare Endoscopic Finding Augusta, GA; 2. Charlie Norwood VA Medical Center, Augusta, GA Prateek S. Harne, MBBS1, Samiran Mukherjee, MBBS1, Anuj Sharma, MD2, Divey Manocha, MD1; 1. SUNY Upstate Medical University, Syracuse, NY; 2. P1299. Stomach Where the Sun Don’t Shine: A Rare Case of Gastric State University of New York Upstate Medical Center, Syracuse, NY Adenocarcinoma Metastasizing to the Colon Trevor Houston, DO1, Diego Lim, MD, MPH2, Nevene Andraws, MD3, P1287. Failure of Withdrawal Through the Abdominal Wall - A New Prashanth Vennalaganti, MD3; 1. University of Nevada Las Vegas School of Percutaneous Gastrostomy Tube Placement Complication: A Case Series Medicine, Las Vegas, NV; 2. University of Kansas Medical Center, Kansas Juan Salcedo, MD1, Michelle Pearlman, MD2, Jamie S. Barkin, MD, MACG3; 1. City, KS; 3. Kansas City VA Medical Center, Kansas City, MO University of Miami, Jackson Memorial Hospital, Miami, FL; 2. University of Miami, Miami, FL; 3. University of Miami Miller School of Medicine, Miami, FL P1300. Non-Surgical Endoscopic Management of a Sealed Nail Perforation in the Gastric Antrum P1288. Incidental Finding of an Inverted Appendix in an Asymptomatic Andy Tien, MD, MS, Elizabeth Dong, MD, Marianne Fahmy, MD; Kaiser Patient With No Surgical History Permanente Los Angeles Medical Center, Los Angeles, CA Nicole S. Evans, MD, MS, Michael Quezada, MD, Andrew Ippoliti, MD, Anisa Shaker, MD; LAC+USC Medical Center, Los Angeles, CA P1301. Gastrointestinal Post-Transplant Lymphoproliferative Disorder (PTLD) With Rapidly Forming Characteristic Lesions After Heart P1289. Diagnosing Sarcoidosis From the Gastrointestinal Tract Transplantation: A Case Report Syed S. Karim, DO1, Davinder Singh, MD1, Jarin Prasa, MS2, Kaleem Rizvon, Mohamed Azab, MD, Evan Mosier, MD, Terence D. Lewis, MD, Andrew P. MBBS, FACG1, Paul Mustacchia, MD1; 1. Nassau University Medical Center, Wright, MD; Loma Linda University Medical Center, Loma Linda, CA East Meadow, NY; 2. Touro University, Middletown, NY P1302. "The First Burn Is the Deepest:" A Cautionary Tale in Superficial P1290. A Surprising Biopsy Result: Primary GI Amyloidosis APC Therapy for Radiation Proctopathy Elizabeth Brindise, DO1, Praveena Tathineni, DO1, Subramanian David Pineles, MD, Ashley Vareedayah, MD, David Poppers, MD, PhD; New Venkataraman, MD2; 1. University of Illinois - Advocate Christ Medical York University Langone Medical Center, New York, NY Center, Oak Lawn, IL; 2. Advocate Christ Hospital, Oak Lawn, IL P1291. Migration of Embolization Coil in a Crohn’s Patient With NSAID- Induced Peptic Ulcer Disease GI BLEEDING Pujyitha Mandiga, MD1, Kruti Patel, DO1, Justin Miller, DO2; 1. Genesys P1303. Physicians Fail to Utilize Iron Supplementation After Discharge in Regional Medical Center, Grand Blanc, MI; 2. Genesys Regional Medical Gastrointestinal Intestinal Bleeding Center, Grand blanc, MI Marina Baskharoun, MD, Sara Goff, MD, Frank Friedenberg, MD, MS; P1292. Cat Scratch Stomach: A Rare Endoscopic Finding Temple University School of Medicine, Philadelphia, PA Connie Park, MD, David Dicaprio, DO, Arun Swaminath, MD; Lenox Hill P1304. Assessing Adherence to ACG Guidelines on Restarting Low-Dose Hospital, New York, NY Aspirin After Upper Gastrointestinal Bleed Secondary to Ulcers 1 1 2 1 P1293. Endoscopic Management of Tubulovillous Adenoma Within a Yi-Chia Wu, MD , Urian Kim, MD , Philip Chuang, MD , Steven Rogers, MD ; Diverticulum: Report of a Case and Review of Literature 1. Mount Sinai Beth Israel Hospital, New York, NY; 2. Mount Sinai Beth Israel, Mount Sinai St. Luke's, Mount Sinai West, New York, NY  Presidential Poster Award Fadi Hawa, MD1, Joseph A. Tworek, MD2, Andrew T. Catanzaro, MD, FACG3, P1305. Impact of Anti Coagulation and Anti Platelet Treatment on 30-Days Naresh T. Gunaratnam, MD3; 1. St. Joseph Mercy Hospital-Ann Arbor, Ann Readmission Rate of Patients With Gastrointestinal Bleeding in Tertiary Arbor, MI; 2. St. Joseph Mercy Hospital-Ann Arbor, Ypsilanti, MI; 3. St. Care Setting of Northern Pennsylvania Joseph Mercy Hospital-Ann Arbor / Huron Gastroenterology Associates, Shri Jai Kirshan Ravi, MD1, Tsujung Yang, MD1, Priyanika Ravi, MBBS2, Ypsilanti, MI Satish Kumar Ahuja, MBBS3, Kailash Makhejani, MBBS4, Keerat Rai Ahuja, MD5, Rajesh Essrani, MD6; 1. Guthrie Robert Packer Hospital, Sayre, PA; P1294. Don’t Stop at the Colon! A Rare Case of Strongyloides 2. Chandka Medical College, Horseheads, NY; 3. Jinnah Postgraduate Hyperinfection Diagnosed on Esophagogastroduodenoscopy Medical Centre, Karachi, Sindh, Pakistan; 4. University of Toronto, Shaman Dalal, MD1, Niyati Sheth, DO2, Alok Jain, MD2; 1. Case Western Toronto, ON, Canada; 5. Medicine Institute, Cleveland Clinic Foundation, Reserve University / MetroHealth Medical Center, Cleveland, OH; 2. Mercy Cleveland, OH; 6. Geisinger Health System, Allentown, PA Health System, Lorain, OH

110 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1306. Gastrointestinal Bleeding in Patients With Co-Morbid End-Stage P1316. Finding the Ideal BUN to Creatinine Ratio in an Upper GI Bleed Renal Disease Sneha Patel, MD, Jellyana Peraza, MD, Aliaskar Hasani, MD, Sanjana Elizabeth Brindise, DO, Matthew Kobeszko, MD, Aneesh Kuruvilla, DO, Luther, MD, Rishika Chugh, MD, Aaron Tokayer, MD, FACG; Montefiore Imad Elkhatib, MD, Rogelio Silva, MD; University of Illinois - Advocate Medical Center, Bronx, NY Christ Medical Center, Oak Lawn, IL P1317. Impact of a Pharmacist-Managed Protocol Limiting Continuous P1307. Angiography versus Colonoscopy in Diverticular Hemorrhage Infusion of Proton Pump Inhibitor Use in Patients With an Upper Megan Lipcsey, MD1, Matthew Moore, MD1, Daniel J. Stein, MD, MPH1, Joseph Gastrointestinal Bleed Feuerstein, MD2; 1. Beth Israel Deaconess Medical Center, Boston, MA; 2. Schwaner Lauren, PharmD1, Drew Thomas, PharmD1, Vishal Kaila, MD2, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA Andrew Faust, PharmD1, Mark Feldman, MD1; 1. Texas Health Resources, Dallas, TX; 2. Texas Health Presbyterian, Dallas, TX P1308. Incidence of Non-Variceal Upper Gastrointestinal Bleeding Worsens Outcomes With Acute Coronary Syndrome: Result of a National Cohort P1318. Comparison of Clinical Outcomes in Traditional Gastrointestinal Lauren Pioppo, MD, Abhishek Bhurwal, MD, Debashis Reja, MD, Augustine Hemorrhage Work-Up versus Direct Utilization by Push Enteroscopy in POSTERS Tawadros, MD, Anish V. Patel, MD; Robert Wood Johnson Medical School, Patients With a Left Ventricular Assist Device MONDAY Rutgers University, New Brunswick, NJ Mouhanna Abu Ghanimeh, MD1, Seemeen Hassan, MD, MS2, Areej Mazhar, MD1, Sandra Naffouj, MD1, Mahmoud Isseh, MD1, Khalil Abuamr, P1309. Outcomes of Long-Term Follow-Up in Patients With Iron Deficiency MD2, Anas Kutait, MD1, Mark Bkumenkehl, MD1; 1. Henry Ford Health Anemia and Initial Negative Upper Endoscopy, Colonoscopy, and Video System, Detroit, MI; 2. University of Missouri Kansas City School of Capsule Endoscopy Medicine, Kansas City, MO Michelle Likhtshteyn, MD1, Fray Martin M. Arroyo-Mercado, MD1, Jude Noel, MD1, Tanuj Chokshi, DO1, Nikita Gupta, DO1, Yasemin Aytaman, MD1, P1319. Bidirectional Endoscopy in Premenopausal Women With Aleksandr Khudyakov, MD1, Renata Lerer, MD1, Jennifer Grossman, MS1, Asymptomatic-Iron Deficiency Anemia (A-IDA) Sabrina Tabone, MS1, David M. Frank, MD2, Manuel Martinez, MD, FACG2; 1. Michael Schopis, MD1, Arcelia Guerson Gil, MD1, Yonatan Ziv, MD1, SUNY Downstate Medical Center, Brooklyn, NY; 2. Brooklyn VA NY Harbor Rie Seu, MS2, Nai Chien Yeat, MD1, Samuel Muench, MD1, Singh Nair, Healthcare System, Brooklyn, NY MD, PhD1, Olga Aroniadis, MD, MSc1, Lawrence Brandt, MD, MACG1; 1. Montefiore Medical Center, Bronx, NY; 2. Albert Einstein College of P1310. Independent Risk Factors for Severity and Mortality in Lower Medicine, Bronx, NY Gastrointestinal Bleeding and Proposal of New Prognosis Score Alvaro Bellido, MD1, Jorge Espinoza-Ríos, MD1, Jose Pinto, MD1, Eduar P1320. GI Bleeding, Risk Factors and Predictors of Endoscopic Evaluation Bravo2, Paul Gomez3, Martin Tagle3; 1. Universidad Peruana Cayetano and Severe Complicated Course Heredia, Lima, Lima, Peru; 2. Universidad Cayetano Heredia, Lima, LA; 3. Saif Bella, MD1, Judie Hoilat2, Md S. Alom, MD3, Atif Saleem, MD1, Amine Universidad Peruana Cayetano Heredia, Lima, LA Hila, MD1; 1. United Health Services Wilson Hospital, Johnson City, NY; 2. College of Medicine, Alfaisal University, Vestal, NY; 3. United Health P1311. Aggressive Approach Save Life in People Admitted for Both Upper Services, Johnson City, NY GI Bleeding and Acute Coronary Syndrome Yasir Al-Aboodi, MD, MPH1, Ahmed Al-Chalabi, MD, MSc2, Abdallah 1 1 1 Kobeissy, MD , Thomas Sodeman, MD , Ali Nawras, MD, FACG ; 1. GI BLEEDING University of Toledo Medical Center, Toledo, OH; 2. University of Toledo, Clinical Vignettes / Case Reports Toledo, OH P1312. Underutilization of Digital Rectal Exam in the Evaluation of Patients P1321. An Unusual Ca(u)se of Upper Gastrointestinal Bleeding With Gastrointestinal Bleed in the Ambulatory Setting: Analysis of the Sailaja Pisipati, MD, FRCS1, Abubaker Abdalla, MD1, Clark A. Harrison, MD2; National Ambulatory Medical Care Survey 1. University of Nevada Reno School of Medicine, Reno, NV; 2. Renown David Mossad, MD1, Benita Wu, BS2, Sangeeta Agrawal, MD, FACG3; Regional Medical Center, Reno, NV 1. Wright State University, Dayton, OH; 2. Wright State University P1322. A Case of Gastrointestinal Hemorrhage Due to Sevelamer-Induced Boonshoft School of Medicine, Dayton, OH; 3. Dayton VA Medical Center, Colonic Ulceration Dayton, OH  Presidential Poster Award P1313. Prevalence of Acid Suppressive Prophylaxis in Hospitalized Patients Janice Cheong, MD, Tanya Sahay, MD; University of Rochester Medical for Peptic Ulcer Disease and Complications: Retrospective Study Center, Rochester, NY Osama Kaddourah, MD1, Ahmed A. Elkafrawy, MD1, Anas Noman, MD1, 2 P1323. Life-Threatening Gastrointestinal Bleeding Secondary to Kaposi’s Khalil Abuamr, MD ; 1. University of Missouri Kansas City School of Sarcoma of the Duodenum Medicine, Kansas City, MO; 2. University of Missouri Kansas City School of Hanan Ibrahim, MD1, Mouhanna Abu Ghanimeh, MD2, Zaid Al Saheli, MD1; Medicine, Overland Park, KS 1. Detroit, MI; 2. Henry Ford Hospital, Detroit, MI P1314. The Unseen Bleed: Does the Degree of Anemia Mirror Hiatal P1324. Everolimus-Associated Gastric Antral Vascular Ectasia in a Patient Hernia Size? With Advanced Breast Carcinoma  Presidential Poster Award Elizabeth B. Richardson, DO, Vida Chen, MD, Adam B. Kaufman, MD; 1 2 3 Eric Lorio, MD , Nicole Wisnewski , John A. Vizuete, MD, MPH ; 1. Lankenau Medical Center, Wynnewood, PA University of Texas Health, San Antonio, TX; 2. University of Notre Dame, San Antonio, TX; 3. University of Texas Health Science Center, San P1325. Rectal Amyloidosis: An Unusual Cause of Rectal Bleeding Antonio, TX Vida Chen, MD, Gary Newman, MD; Lankenau Medical Center, Wynnewood, PA P1315. The Comparative Effectiveness of Endoscopy versus Angiography in Patients With Recurrent Non-Variceal Upper Gastrointestinal Bleeding P1326. Non-Cirrhotic Hepatocellular Carcinoma Presenting as Bleeding Vedha Sanghi, MD, Ari Garber, MD, Rocio Lopez, MS, MPH, Maged Rectal Varices Rizk, MD, John Vargo, MD, MPH, Sunguk Jang, MD; Cleveland Clinic Jared S. Magee, DO, MPH1, Jonathan P. Francis, MD2; 1. Madigan Army Foundation, Cleveland, OH Medical Center, Rockville, MD; 2. Madigan Army Medical Center, Joint Base Lewis-McChord, WA

P1327. Case of a Rare Coagulation Disorder: A Cause of Recurrent Upper P1339. It's a Bloody Tumor: A Case of Rare Neuroendocrine Tumor GI Bleeding Presenting as Rectal Bleeding Renugadevi Swaminathan, MD, MPH, Sudha Pandit, MD, Kenneth J. Emmanuel McDonald, DO1, Marisol Trejoss2, David Choi, DO2, Odayls Manas, MD, James D. Morris, MD, FACG; Louisiana State University Health, Frontela, MD1, Felix Gonzalez, MD2; 1. Larkin Community Hospital - Palm Shreveport, LA Springs, Miami, FL; 2. Larkin Community Hospital, Miami, FL P1328. A Case of Gastric Amyloidosis Manifested as Gastrointestinal Bleeding P1340. A Rare Cause of Small Bowel Bleeding From a Duodenal Varix Kamesh Gupta, MBBS, Jalaluddin Umar, MD, Jean Chalhoub, MD, Vikram Mohammed Fahad Ali, MD1, Gregory T. Brennan, MD1, Jason Samarasena, Budhraja, MD; University of Massachusetts Medical School - Baystate MD, FACG1, John Lee, MD2; 1. University of California Irvine Medical Center, Medical Center, Springfield, MA Orange, CA; 2. University of California Irvine, Orange, CA P1329. Jejunal Submucosal Hemangioma as a Cause of Massive P1341. Picking up the Pieces: Surgical and Medical Management of Gastrointestinal Bleeding: A Case Report Retained Shattered Glass in the Rectum Laith Numan, MD1, Ahmed A. Elkafrawy, MD2, Andrew Tomaw, DO2, Elliot Klein, MPH, BA1, Moshe Bressler, BS1, Shmuel Nadler, BS, MPH2, Donald R Campbell, MD1; 1. University of Missouri, Kansas City, MO; 2. Konstantin Peysin, DO3, Seth Lapin, DO3; 1. NYITCOM, Brooklyn, NY; 2. University of Missouri Kansas City School of Medicine, Kansas City, MO Jefferson Medical College, Philadelphia, PA; 3. Coney Island Hospital, Brooklyn, NY P1330. Unexplained Massive Recurrent Upper GI Bleeding: A Case of Missed Connection P1342. GI Bleed Secondary to Gangliocytic Paraganglioma Treated With Khola Qamar, MD1, Abhinav Tiwari, MD2; 1. Dartmouth-Hitchcock Medical Radiation Monotherapy Center, Bennington, VT; 2. William Beaumont Hospital, Royal Oak, MI Jeremy Van, DO, Marcus Juan Esteban, MD, Ioannis Oikonomou, MD; Rush University Medical Center, Chicago, IL P1331. Where Did the Problem Stem From? An Unusual Case of Hematemesis and Hematuria P1343. A Case of Downhill Esophageal Varices Secondary to Metastatic Meera Bhardwaj, MD1, Simon Hong, MD1, Daniel Berkowitz, MD2; 1. Disease From Renal Cell Carcinoma and Resultant Superior Vena Cava Montefiore Medical Center, Bronx, NY; 2. Jacobi Medical Center, Bronx, NY Syndrome Jeremy Van, DO, Shubha Singh, MD; Rush University Medical Center, P1332. Splenic Artery Pseudoaneurysm Presenting as GI Bleed: Chicago, IL A Diagnostic Conundrum Fathima Z. Zahir1, Amit Mehta, MD1, David Wan, MD2; 1. New York- P1344. A Case of Jejunal Diverticulum Causing Life-Threatening Hemorrhage Presbyterian / Weill Cornell Medical Center, New York, NY; 2. Weill Cornell Juan De La Ossa, DO1, Talar Kachechian, DO1, Linoj Panicker, DO2, Javier Medical College, New York, NY Sobrado, MD2, Karthik Mohan, DO1; 1. Nova Southeastern University, Palmetto Hospital, Hialeah, FL; 2. Larkin Community Hospital, P1333. Spontaneous Page Kidney as a Cause of Gastric Variceal Bleed South Miami, FL Martha Catalina Morales Alvarez, MD1, Jeffrey Lio, MD1, Philip Chuang, MD2, Arkadiy Kheyfits, MD3, Amreen Dinani, MD, FRCPC4; 1. Icahn School P1345. The Plight of the Peptic Ulcer: Seconds From Exsanguination of Medicine at Mount Sinai Beth Israel, New York, NY; 2. Mount Sinai Beth Welathanthrige Savindu Pasan Botheju1, Nicola Schieferdecker2, Amit Israel, Mount Sinai St. Luke's, Mount Sinai West, New York, NY; 3. Icahn Mehta, MD3, Saurabh Mukewar, MD, MBBS4, David Wan, MD4; 1. Weill School of Medicine at Mount Sinai St. Lukes and West, New York, NY; 4. Cornell Medicine Qatar, Cornell University, Qatar Foundation, Doha, Ichan School of Medicine at Mount Sinai, New York, NY Ar Rayyan, Qatar; 2. Ludwig Maximilians University, Munich, Bayern, Germany; 3. New York-Presbyterian / Weill Cornell Medical Center, New P1334. Strongyloides Infection Presenting as a Massive GI Bleeding York, NY; 4. Weill Cornell Medical College, New York, NY Without Eosinophilia Samuel Lagos, MS1, Amit Mehta, MD2, David Wan, MD2; 1. San Fernando P1346. Hemospray® as Bridging Therapy in Acute Esophageal Bleeding School of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Secondary to Varices and Post-Banding Ulcers Lima, Peru; 2. New York-Presbyterian / Weill Cornell Medical Center,  Presidential Poster Award New York, NY Zain A. Sobani, MD1, Behtash Saeidi, MD, MPH2, Sergio A. Sánchez-Luna, MD1, Swathi Paleti, MD1, Gulshan Parasher, MD1; 1. University of New P1335. Proton Pump Inhibitors Causing Severe Chronic GI Blood Loss Mexico, Albuquerque, NM; 2. Maimonides Medical Center, Brooklyn, NY Resulting in Severe Iron Deficiency Anemia We'am Hussain, MD, Mustafa Musleh, MD; Wright State University P1347. Helicobacter pylori-Negative MALT Lymphoma Presenting as Boonshoft School of Medicine, Dayton, OH Massive Recurrent Gastrointestinal Hemorrhage Prateek Harne, MBBS, Samiran Mukherjee, MBBS, Dhruv Lowe, MBBS, P1336. Management of Duodenal NET With Significantly Low Hemoglobin Divey Manocha, MD; SUNY Upstate Medical University, Syracuse, NY Level on a Jehovah’s Witness Patient Syed S. Karim, DO1, Bobby Jacob, MD1, Gary Tackling, MD1, Jarin Prasa, P1348. A Case of Spontaneous Hemoperitoneum in a Patient With MS2, Kaleem Rizvon, MBBS, FACG1, Paul Mustacchia, MD1; 1. Nassau Decompensated Alcoholic Cirrhosis University Medical Center, East Meadow, NY; 2. Touro University, Kathy N. Williams, MD, MS1, David Kadosh, MD1, Richa Bhardwaj, MBBS2, Middletown, NY Elena Ivanina, DO, MPH2; 1. Lenox Hill Hospital / Northwell Health, New York, NY; 2. Lenox Hill Hospital, New York, NY P1337. Seeing Isn’t Always Believing! Recurrent Hematemesis Due to Factitious Disorder P1349. An Unusual Case of Massive Duodenal Diverticulum Bleeding: Krutika Lakhoo, MD, Pedram Enayati, MD; Cedars-Sinai Medical Center, A Challenging Treatment Approach Los Angeles, CA Abdelkader Chaar, MD, Aryan Shiari, MD, José Zamora-Sifuentes, DO, Katherine Bill, MD, Mohammed Barawi, MD; Ascension St. John Hospital, P1338. Not Your Typical GI Bleeding: Gastrointestinal Involvement in Detroit, MI Systemic Amyloidosis Danmei Zhang1, Charlie Buffie, 1MD , Tracey Martin, MD1, David Wan, MD2; P1350. A Rare Cause of Massive Upper Gastrointestinal Bleeding 1. New York-Presbyterian / Weill Cornell Medical Center, New York, NY; 2. Bhavesh A. Gajjar, MD, MPH, Tyler Aasen, DO, Puneet Goenka, MD; Weill Cornell Medical College, New York, NY East Tennessee State University, Johnson City, TN

112 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1351. Rectal Dieulafoy's Lesion: Hemorrhagic Shock Due to a Rare Cause P1362. Jejunal GIST: An Unusual Cause of Acute Massive Gastrointestinal of Acute Lower GI Bleeding Bleeding Sagar V. Mehta, MD1, Hussam Tayel, MD2, Rodrigo Duarte-Chavez, MD2, Yingheng Liu, MD, PhD1, Suraj Shah, DO1, Ilan Weisberg, MD2; 1. Mount Ana Martinez-Tapia, MD2, Berhanu Geme, MD2; 1. St. Luke's University Sinai St. Luke's and Mount Sinai Roosevelt, New York, NY; 2. Mount Sinai Hospital, Bethlehem, PA; 2. St. Luke's University Health Network, Beth Israel Medical Center, New York, NY Bethlehem, PA P1352. A Rare Case of Renal Call Carcinoma With Metastasis to the Rectum IBD and Gastric Body Michelle Bernshteyn, MD, Divey Manocha, MD, Umair Masood, MD, P1363. The Experience of and Access to Rapid Infliximab Infusions at Alexandria Smith-Hannah, MD; SUNY Upstate Medical University, an Academic Tertiary Medical Center Syracuse, NY Antoinette Pusateri, MD1, Nisha Patel, BA2, Ashley Hatcher, CCRC1, Joy 1 1 P1353. The Successful Treatment of a Gastroduodenal Artery Rupture Lehman, PharmD , Anita Afzali, MD, MPH, FACG ; 1. The Ohio State POSTERS With Extravasation Into the Duodenal Lumen University Wexner Medical Center, Columbus, OH; 2. The Ohio State MONDAY Awa Drame, MD, MPH; University of South Florida Morsani College of University College of Medicine, Columbus, OH Medicine, Tampa, FL P1364. Utilization Analysis of a Treat to Target Approach for P1354. The Link Between Aortic Stenosis and Recurrent Gastrointestinal Inflammatory Bowel Disease: A Multi-Center Health Care System Review 1 1 1 Bleeding: Heyde’s Syndrome Joshua Berkowitz, MD , Noah Becher, DO , Samip Shah, MD , Arun 2 1 Loba Alam, MD1, Abhishek Bhurwal, MD2; 1. Integrative Medicine, Atlantic Swaminath, MD , Keith Sultan, MD ; 1. Northwell Health System, Health System, Summit, NJ; 2. Robert Wood Johnson Medical School, Manhasset, NY; 2. Lenox Hill Hospital, New York, NY Rutgers University, New Brunswick, NJ P1365. Does Undetectable Absolute Eosinophil Count at P1355. Hematochezia? Think Histoplasmosis Initial Clostridioides difficile Infection Predict Future Disease in Cory Higley, DO, MPH, Nuval Cherian, MD, Joshua Steinberg, MD, Joseph Inflammatory Bowel Disease Patients? 1 1 2 J. Jennings, MD, James Lewis, MD, FACG; MedStar Georgetown University Zachary Dickson, MD , Merwise Baray, BS , Thomas Hunold, BSPH , R. 3 Hospital, Washington, DC Ann Hays, MD ; 1. University of Virginia Health System, Charlottesville, VA; 2. University of Virginia, Charlottesville, VA; 3. University of Virginia P1356. Diagnosis and Management of Porto-Porto Varices in a Patient Digestive Health Center, Charlottesville, VA With Prior Orthotopic Liver Transplant Alyssa Drosdak, MD1, Eddie Hill, BA2, Mayada Ismail, MD1, Mohammed P1366. Risk Factors for Recurrence vs. Reinfection of Clostridioides Al-Natour, MD1, Anthony Post, MD1; 1. University Hospitals of Cleveland, difficile Infection in Inflammatory Bowel Disease: Single Center Cleveland, OH; 2. Case Western Reserve University School of Medicine, Retrospective Study 1 2 1 Cleveland, OH Zachary Dickson, MD , Thomas Hunold, BSPH , Merwise Baray, BS , R. Ann Hays, MD3; 1. University of Virginia Health System, Charlottesville, P1357. Spontaneous Intramural Intestinal Hematoma: An Increasing VA; 2. University of Virginia, Charlottesville, VA; 3. University of Virginia Phenomenon? Digestive Health Center, Charlottesville, VA Rosemarie Florian, MD, Christian Jackson, MD, FACG; VA Loma Linda Healthcare System, Loma Linda, CA P1367. Racial Differences in the Experience of Inflammatory Bowel Disease Brian McGrath, MD1, Ziduo Zheng, MS2, Eugene Huang, PhD2, Heba P1358. Small Bowel Variceal Bleeding Successfully Treated With Iskandar, MD, MSCI1; 1. Emory University School of Medicine, Atlanta, GA; Percutaneous Coil Embolization 2. Emory University Rollins School of Public Health, Atlanta, GA Anam Malik, MD, Reema Vaze, MD, Ricky Buckshaw, DO, Michal Kloska, MD, Eric Nellis, MD, She Yan Wong, MD; Lehigh Valley Health Network, P1368. Evolution in Hospitalization and Outcomes of Patients With Allentown, PA Inflammatory Bowel Disease: Nationwide Study From 1998-2014 Dhruvil K. Radadiya, MD1, Kalpit H. Devani, MD1, Paris Charilaou, MD2, Mark P1359. Rectal Syphilis Presenting as Painless Hematochezia Young, MD1, Chakradhar Reddy, MD1; 1. East Tennessee State University, Patrick R. Ching, MD, MPH1, Jonah N. Rubin, MD, MA2, William S. Johnson City, TN; 2. Saint Peter's University Hospital, New Brunswick, NJ Twaddell, MD2, Raymond E. Kim, MD2; 1. University of Maryland Medical Center, Baltimore, MD; 2. University of Maryland School of Medicine, P1369. Does Zinc Deficiency in IBD Predispose Patients to Repeat C. Baltimore, MD difficile Infection? Thomas Hunold, BSPH1, Zachary Dickson, MD2, Merwise Baray, BS3, R. P1360. Isolated Duodenal Melanoma: A Rare Cause of Gastrointestinal Ann Hays, MD2; 1. University of Virginia, Charlottesville, VA; 2. University Bleed of Virginia Health System, Charlottesville, VA; 3. University of Virginia Muhammad Shafiq, MD1, Waqas Ullah, MD2, Mamoon Ur Rashid, MD3, School of Medicine, Charlottesville, VA Yousaf Zafar, MD4, Asif Mehmood, MD5; 1. University of Kansas Medical Center, Kansas City, KS; 2. Abginton Jefferson Health, Abington, PA; 3. P1370. Acute Vascular Insufficiency of the Intestines in Crohn's Disease: Adventhealth Orlando, Orlando, FL; 4. University of Missouri, Kansas City, Insights From the Healthcare Utilization Project 1 1 2 MO; 5. Geisinger Medical Center, Danville, PA Khwaja F. Haq, MD , Randeep Kaur, MD , Shantanu Solanki, MD , Raja Chandra Chakinala, MD3, Umair Iqbal, MD4, Abhishek Bhurwal, MD5, P1361. Hemostatic Spray for Secondary Hemostasis Following Endoscopic Zubair Khan, MD6, Harshil Shah, MD2, Khwaja S. Haq, MD7, Azam Burney, Variceal Band Ligation MD7, Muhammad Ali Khan, MD8, Kajali Mishra, MD1, Neil Patel, MD,  Presidential Poster Award MPH9, Faiza Bhatti, MD1; 1. Henry Ford Health System, Detroit, MI; 2. Jason R. Stibbe, MD, MS1, Christie Blanton, MD2, John B. Rhodes, MD1, Guthrie Robert Packer Hospital, Sayre, PA; 3. New York Medical College Catherine T. Hudson, MD, MPH1, Daniel Raines, MD, FACG1; 1. Louisiana Westchester Medical Center, Valhalla, NY; 4. Geisinger Medical Center, State University Health Sciences Center, New Orleans, LA; 2. Louisiana Danville, PA; 5. Robert Wood Johnson Medical School, Rutgers University, State University, New Orleans, LA New Brunswick, NJ; 6. University of Toledo Medical Center, Toledo, OH; 7. Kingsbrook Jewish Medical Center, Woodbury, NY; 8. University of Alabama at Birmingham, Birmingham, AL; 9. The Wright Center, Scranton, PA Register for ACG 2019: acgmeetings.gi.org / 113 POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1371. Tofacitinib for the Treatment of Ulcerative Colitis: Analysis of P1379. Colonic Biopsy Pyroptosis Predicts Clinical Response to Infection Rates in the Tofacitinib Ulcerative Colitis Clinical Program Vedolizumab in Crohn's Disease Kevin L. Winthrop, MD, MPH1, Edward V. Loftus, Jr., MD, FACG2, Daniel C. Charles A. Lavender, MD1, Mark T. Osterman, MD, MSCE2, Ilyssa O. Gordon, Baumgart, MD, PhD, MBA, FRCP (Lon)3, Leonardo Salese, MD4, Andrew MD, PhD3, Elisabeth M. Davis, PhD1, Matthew A. Ciorba, MD4, Sarah C. J. Thorpe, PhD4, Nervin Lawendy, PharmD4, Gary Chan, PharmD4, Ronald Glover, DO5, Bincy Abraham, MD, FACG6, Eric U. Yee, MD1, Felicia D. Allard, D. Pedersen, MS4, Walter Reinisch, MD5; 1. Oregon Health & Science MD1, Grace Young, BSc1, Bo Shen, MD, FACG3, Freeha Khan, MD3, Brian University, Portland, OR; 2. Mayo Clinic, Rochester, MN; 3. University of Claggett, PhD7, Xueyan Guo, MD1, Thaddeus S. Stappenbeck, MD, PhD8, Alberta, Edmonton, AB, Canada; 4. Pfizer Inc, Collegeville, PA; 5. Medical Julia J. Liu, MD, MSc1; 1. University of Arkansas for Medical Sciences, Little University of Vienna, Vienna, Wien, Austria Rock, AR; 2. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; 3. Cleveland Clinic Foundation, Cleveland, OH; 4. P1372. Clinical Epidemiology of Inflammatory Bowel Disease in Los Washington University School of Medicine, St. Louis, MO; 5. University of Angeles County: A Study of a Predominantly Latino Population Florida, Gainesville, FL; 6. Houston Methodist Hospital, Houston, TX; 7. Alex Zhornitskiy, MD1, Brian M. Fung, MD2, James H. Tabibian, MD, PhD1; 1. Brigham and Women's Hospital, Boston, MA; 8. Washington University, Olive View - UCLA Medical Center, Sylmar, CA; 2. University of California Saint Lous, MO Los Angeles - Olive View, Sylmar, CA P1380. Crohn’s Disease Patients Who Do Not Qualify for Clinical Trials P1373. Second-Line Biologic Therapy After Vedolizumab 1 1 Have Similar Clinical and Endoscopic Response Rates to Ustekinumab to Timothy E. Ritter, MD , Chris Fourment, MD , Samantha A. Kuten, Those Who Qualify for Clinical Trials PharmD2, Thomas C. Hardin, PharmD, MS2, Lucinda J. Van Anglen, Erica R. Cohen, MD, Gaurav Syal, MD, Christina Ha, MD; Cedars-Sinai PharmD2; 1. Texas Digestive Disease Consultants, PA, Southlake, TX; 2. Medical Center, Los Angeles, CA Healix Infusion Therapy, Sugar Land, TX P1381. Vedolizumab: Peri-Operative Infection Rates in Patients With IBD P1374. The Impact of Anemia on Venous Thromboembolism and Short Term Ripple Mehta, MD1, Mohamed Modar Abidian, MD2, Mohammed Bayasi, Outcomes Among Hospitalized Patients With Inflammatory Bowel Disease MD3, Mark C. Mattar, MD, FACG1; 1. MedStar Georgetown University Francis Wade, MD1, Kahee Mohammed, MD1, Katie S. Schroeder, MD2; 1. Hospital, Washington, DC; 2. MedStar Washington Hospital Cetner, Saint Louis University School of Medicine, Saint Louis, MO; 2. Saint Louis Washington, DC; 3. Georgetown University Hospital, Washington, DC University Hospital, Saint Louis, MO P1382. Economic Burden of Biologic Treatment in Patients With P1375. Safety, Pharmacokinetics, and Pharmacodynamics of the Novel Inflammatory Bowel Disease in the U.S. Oral Peptide Therapeutic PN-10943 (alpha4beta7 Integrin Antagonist) in Rebecca Bornheimer, BA1, Steve Hass, PhD2, Arpita Nag, PhD, MBA, MS3, Normal Healthy Volunteers Gerry Oster, PhD1; 1. Policy Analysis Inc., Brookline, MA; 2. H. E. Outcomes, Suneel K. Gupta, PhD1, Xiaoli Cheng, PhD2, Bittoo Kanwar, MD2, Larry Los Angeles, CA; 3. Shire, a Takeda company, Lexington, MA Matheakis, PhD2, Ashok Bhandari, PhD2, David Liu, PhD2, Rich Shames, MD2; 1. Protagonist Theapeutics, Newark, CA; 2. Protagonist Therapeutics, P1383. Current Treatment Patterns Among Patients With IBD in the U.S. Newark, CA Initiating Biologic Therapy Rebecca Bornheimer, BA1, Steve Hass, PhD2, Arpita Nag, PhD, MBA, MS3, P1376. De novo Inflammatory Bowel Disease After Secukinumab Use: Gerry Oster, PhD1; 1. Policy Analysis Inc., Brookline, MA; 2. H. E. Outcomes, A Population Based Analysis Los Angeles, CA; 3. Shire, a Takeda company, Lexington, MA Nabeeha Mohy-ud-din, MD1, Neil Carleton, MD, PhD1, Sandra El-Hachem, MD1, Heitham Abdul Baki, MD1, Aslam Syed, MD1, Parambir Dulai, MD2, P1384. Development and Validation of an Administrative Codes Algorithm Gursimran Kochhar, MD1; 1. Allegheny Health Network, Pittsburgh, PA; 2. to Identify Abdominal Surgery and Bowel Obstruction in Patients With University of California San Diego, La Jolla, CA Inflammatory Bowel Disease Cassandra Gandle, MD1, Frank Scott, MD, MSCE2, Akbar Waljee, MD, P1377. Laboratory Parameters Related to Monitoring in Patients With MSc3, Jason Hou, MD, MS1; 1. Baylor College of Medicine, Houston, TX; 2. Ulcerative Colitis Treated With Tofacitinib for up to 3 Years in the OCTAVE University of Colorado, Aurora, CO; 3. University of Michigan, Ann Arbor, MI Open-Label, Long-Term Extension Study Gil Y. Melmed, MD, MS, FACG1, Shannon Chang, MD2, Nicole Kulisek, P1385. Prevalence of Anorectal Fistula’s in Crohn’s Disease: A National, MD3, Haiyun Fan, MS3, Nervin Lawendy, PharmD3, Eric Maller, MD3, Arif Population-Based Study Soonasra, PharmD3, Peter M. Irving, MD, MA, FRCP4; 1. Cedars-Sinai Mohammed Z. Sheriff, MD1, Nahel A. Tunio, MD1, Emad Mansoor, MD1, Medical Center, Los Angeles, CA; 2. New York University Langone Health, Maneesh Dave, MD, MPH2; 1. University Hospitals Cleveland Medical New York, NY; 3. Pfizer Inc, Collegeville, PA; 4. Guy’s and St Thomas’ Center, Cleveland, OH; 2. University of California Davis, Davis, CA Hospital, London, England, United Kingdom P1386. Low Serum Levels of IgG4 Antibodies May Function as a Biomarker P1378. Leukocyte Ratios in Adults 20-70 Years Old With Inflammatory of Severity in Inflammatory Bowel Disease Bowel Disease in the United States Population: NHANES 2009-2010 Filippos Koutroumpakis, MD1, Anna E. Philipps, MD1, Dhiraj Yadav, MD, Chidozie Ndulue, MBBS1, Chiagoziem Obiajunwa, MD, MPH2, Jideofor MPH1, Claudia Ramos Rivers, MD2, Marc Schwartz, MD1, Siobhan Proksell, Ndulue, MD, MSPH3; 1. Nnamdi Azikiwe University Teaching Hospital, MD1, Elyse Johnston, MD1, Jeffrey Dueker, MD1, Jana G. Hashash, MD1, Nnewi, Anambra, Nigeria; 2. Providence St. Peter Hospital, Olympia, WA; Arthur Barrie, MD, PhD1, Janet Harrison, MD1, Hassieb Din, MD1, Dmitriy 3. University of Nebraska Medical Center, Omaha, NE Babichenko, PhD2, Gong Tang, PhD2, David Binion, MD1; 1. University of Pittsburgh Medical Center, Pittsburgh, PA; 2. University of Pittsburgh, Pittsburgh, PA P1387. Quality Improvement in IBD Care: The Influence of a QI Specific Conference for Fellows Olayinka Afolabi, MD1, Alexis Faber2, Raya Kutaimy, MD2, Paul Naylor, PhD2, Murray N. Ehrinpreis, MD, FACG2; 1. Wayne State University, Detroit Medical Center, Detroit, MI; 2. Wayne State University School of Medicine, Detroit, MI

114 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1388. The Socioeconomic Impact of Living With Ulcerative Colitis: P1394. Medication Use and Comorbidities Among Elderly as Compared to A Burden of Illness Study Younger Patients With Inflammatory Bowel Disease in the TARGET-IBD Jimmy K. Limdi, FRCP, FACG1, Alison Rose2, Declan Noone, MSC, MEng2, Cohort Luisa Avedano3, Bu Hayee, BSc, MBBS, PhD, FRCP4, Andreas Sturm,  Presidential Poster Award MD5, Laurent Peyrin-Biroulet, MD, PhD6, Alan Finnegan, PhD, RN, FRCN, Edward L. Barnes, MD, MPH1, John Hanson, MD2, Miguel Regueiro, MD, FAAN7, Seb Tucknott8, Johan Burisch, MD, PhD9, Alan J. Lobo, MBBS, FACG3, Sumona Saha, MD, MPH4, Bruce E. Sands, MD, FACG5, David T. MD, MRCP10, Helen Terry11, Gionata Fiorino, MD, PhD12, Jonathan Evans, Rubin, MD, FACG6, Marla C. Dubinsky, MD5, Corey A. Siegel, MD, MS7, BSc2; 1. Northern Care Alliance, Bury, England, United Kingdom; 2. HCD Derek R. Gazis, MS8, Julia M. Crawford, MD8, Millie D. Long, MD, MPH, Economics, Daresbury, England, United Kingdom; 3. EFCCA, Brussels, FACG9; 1. University of North Carolina, Chapel Hill, NC; 2. Atrium Digestive Brussels Hoofdstedelijk Gewest, Belgium; 4. King's College Hospital, Health, Charlotte, NC; 3. Cleveland Clinic Foundation, Cleveland, OH; 4. London, England, United Kingdom; 5. DRK Kliniken, Berlin, Berlin, University of Wisconsin School of Medicine & Public Health, Madison, Germany; 6. Lorraine University, Vandoeuvre-lès-Nancy, Lorraine, France; WI; 5. Icahn School of Medicine at Mount Sinai, New York, NY; 6. 7. University of Chester, Chester, England, United Kingdom; 8. IBDrelief, Inflammatory Bowel Disease Center, University of Chicago Medicine, POSTERS Brighton, England, United Kingdom; 9. North Zealand Hospital, Hillerød, Chicago, IL; 7. Dartmouth-Hitchcock Medical Center, Hanover, NH; 8. MONDAY Hovedstaden, Denmark; 10. Sheffield Teaching Hospitals NHS Foundation TARGET PharmaSolutions, Durham, NC; 9. University of North Carolina, Trust, Sheffield, England, United Kingdom; 11. Crohn's & Colitis UK, Center for Gastrointestinal Biology and Disease, Chapel Hill, NC Hatfield, England, United Kingdom; 12. Istituto Clinico Humanitas, Milan, Lombardia, Italy P1395. Incidence and Risk Factors of Constipation in Inflammatory Bowel Disease Patients During Remission P1389. The Impact of Ulcerative Colitis on Quality of Life and Productivity Mumtaz Tabbaa, MD1, Matthew Tunzi, DO2; 1. Natividad Medical Center, Across Europe: A Burden of Illness Study Carmel, CA; 2. Touro University, Salinas, CA Jimmy K. Limdi, FRCP, FACG1, Alison Rose2, Declan Noone, MSC, MEng2, Alan J. Lobo, MBBS, MD, MRCP3, Helen Terry4, Bu Hayee, BSc, MBBS, P1396. Safety, Tolerability, and Pharmacokinetics of PTG-200, an Oral PhD, FRCP5, Johan Burisch, MD, PhD6, Laurent Peyrin-Biroulet, MD, PhD7, GI-Restricted Peptide Antagonist of IL-23 Receptor, in Normal Healthy Gionata Fiorino, MD, PhD8, Luisa Avedano9, Seb Tucknott10, Andreas Sturm, Volunteers MD11, Alan Finnegan, PhD, RN, FRCN, FAAN12, Jonathan Evans, BSc2; 1. Xiaoli Cheng, PhD, Tien-Yi Lee, PhD, Grace Ledet, BSc, Genet Zemade, Northern Care Alliance, Bury, England, United Kingdom; 2. HCD Economics, MSc, James Tovera, BSc, Robert Campbell, MSc, Nobert Purro, PhD, Daresbury, England, United Kingdom; 3. Sheffield Teaching Hospitals Thamil Annamalai, MBA, MSc, Mohammad Masjedizadeh, PhD, David Liu, NHS Foundation Trust, Sheffield, England, United Kingdom; 4. Crohn's & PhD, Roya Nawabi, BSc, Bittoo Kanwar, MD; Protagonist Therapeutics, Colitis UK, Hatfield, England, United Kingdom; 5. King's College Hospital, Newark, CA London, England, United Kingdom; 6. North Zealand Hospital, Hillerød, P1397. Should Gastroenterologists Screen Immunosuppressed IBD Patients Hovedstaden, Denmark; 7. Lorraine University, Vandoeuvre-lès-Nancy, for HIV? Lorraine, France; 8. Istituto Clinico Humanitas, Milan, Lombardia, Italy; 9. Katrina Naik, MD1, Marie Borum, MD, EdD, MPH2, Ali Khan, MD, MPH1, EFCCA, Brussels, Brussels Hoofdstedelijk Gewest, Belgium; 10. IBDrelief, Tina Boortalary, MD2, Esosa Imasuen, MD2; 1. George Washington Brighton, England, United Kingdom; 11. DRK Kliniken, Berlin, Berlin, University Hospital, Washington, DC; 2. George Washington University, Germany; 12. University of Chester, Chester, England, United Kingdom Washington, DC P1390. Developing Precision Medicine in IBD: Peripheral Blood P1398. Public Cervix Announcement: Provider Gender May Influence Eosinophilia Identifies Individuals With Worse Outcomes Following Cervical Cancer Screening in IBD Women Initiation of Anti-TNF Biologic Agents Danielle Kirelik, BS, Lauren Pascual, MPH, BS, Lillian Dawit, MD, Marie Weston Bettner, MD1, Andrew Althouse, PhD2, Claudia Ramos Rivers, MD2, Borum, MD, EdD, MPH; George Washington University, Washington, DC Marc Schwartz, MD1, Siobhan Proksell, MD1, Elyse Johnston, MD1, Arthur Barrie, MD, PhD1, Jana Al Hashash, MD1, Janet Harrison, MD1, Dmitriy P1399. Keep IBD Flu Free: Annual Influenza Vaccination Is Inconsistently Babichenko, PhD2, Gong Tang, PhD2, Ioannis Koutroubakis, MD, PhD1, Administered to Inflammatory Bowel Disease Patients David Binion, MD1; 1. University of Pittsburgh Medical Center, Pittsburgh, Lillian Dawit, MD, Danielle Kirelik, BS, Lauren Pascual, MPH, BS, Marie PA; 2. University of Pittsburgh, Pittsburgh, PA Borum, MD, EdD, MPH; George Washington University, Washington, DC P1391. Adalimumab Concentrations Following Dose Escalation in P1400. Histology and Endoscopy Discordance in Inflammatory Bowel Inflammatory Bowel Disease Disease Varies by Phenotype and Location of Disease Jake Jasurda, DO1, Robert McCabe, MD2, Byron Vaughn, MD1; 1. University of Joao M. Serigado Soares Da Costa, MD, Maria A. Quintero, MD, MPH, Minnesota, Minneapolis, MN; 2. MNGI Digestive Health, Minneapolis, MN Tulay Koru-Sengul, PhD, MHS, Julio Poveda, MD, Oriana Damas, MD, Amar Deshpande, MD, David Kerman, MD, Maria T. Abreu, MD; University of P1392. Pilot Study of Gut Dysbiosis and Bile Acid Dysmetabolism in Active Miami Miller School of Medicine, Miami, FL Ulcerative Colitis Jill Gaidos, MD, FACG1, Jason D. Kang, BS1, Genta Kakiyama, PhD1, William P1401. Novel Risk Factors and Outcomes in Inflammatory Bowel Disease M. Pandak, Jr., MD2, Phillip B. Hylemon, PhD1; 1. Virginia Commonwealth Patients With Clostridium difficile Infection University, Richmond, VA; 2. McGuire Veterans Affairs Medical Center, Elida Voth, MD1, Dipesh Solanky, MD2, Edward V. Loftus, Jr., MD, FACG1, Richmond, VA Darrell Pardi, MD, MS, FACG1, Sahil Khanna, MBBS, MS1; 1. Mayo Clinic, Rochester, MN; 2. University of California San Diego, San Diego, CA P1393. Ustekinumab Improved Work Productivity in Patients With Moderate to Severe Ulcerative Colitis: Results From the Phase 3 UNIFI Induction and Maintenance Studies Chenglong Han, MD, PhD1, Dominik Naessens, PhD2, Hongyan Zhang, PhD3, Jewel Johanns, PhD3, Colleen Marano, PhD3, Bruce E. Sands, MD, FACG4; 1. Janssen Global Services, LLC, Malvern, PA; 2. Janssen Pharmaceutica, NV, Beerse, Antwerpen, Belgium; 3. Janssen Research & Development, LLC, Spring House, PA; 4. Icahn School of Medicine at Mount Sinai, New York, NY

P1402. Histologic Improvement With Vedolizumab vs. Adalimumab in P1409. Long-Term Efficacy and Safety of Etrasimod for Ulcerative Colitis: Ulcerative Colitis: Results From VARSITY Results From the Open-Label Extension of the OASIS Study Laurent Peyrin-Biroulet, MD, PhD1, Jean-Frédéric Colombel, MD2, Edward Michael Chiorean, MD1, Séverine Vermeire, MD, PhD2, Julian Panés, MD3, V. Loftus, Jr., MD, FACG3, Silvio Danese, MD, PhD4, Brihad Abhyankar, Laurent Peyrin-Biroulet, MD, PhD4, Jinkun Zhang, PhD5, Bruce E. Sands, FRCS, MBA5, Jingjing Chen, PhD6, Raquel Rogers, MD, MSc6, Richard A. MD, FACG6, Krisztina Lazin, MD, MSc7, Chris H. Cabell, MD, MHS5, Snehal Lirio, MD6, Jeffrey D. Bornstein, MD6, Bruce E. Sands, MD, FACG7, Stefan U. Naik, PhD5, Preston Klassen, MD5, William J. Sandborn, MD, FACG8; Schreiber, MD, PhD8; 1. Lorraine University, Vandoeuvre-lès-Nancy, 1. Virginia Mason Medical Center, Seattle, WA; 2. University Hospitals, Lorraine, France; 2. Icahn School of Medicine at Mount Sinai Hospital, Leuven, Vlaams-Brabant, Belgium; 3. Hospital Clinic de Barcelona, New York, NY; 3. Mayo Clinic, Rochester, MN; 4. Humanitas University, IDIBAPS, CIBERehd, Barcelona, Catalonia, Spain; 4. Lorraine University, Milan, Lombardia, Italy; 5. Takeda, London, UK, Dublin, Dublin, Ireland; Vandoeuvre-lès-Nancy, Lorraine, France; 5. Arena Pharmaceuticals, San 6. Takeda Development Center Americas, Inc., Cambridge, MA; 7. Diego, CA; 6. Icahn School of Medicine at Mount Sinai, New York, NY; 7. Icahn School of Medicine at Mount Sinai, New York, NY; 8. Institute for Arena Pharmaceuticals, Zug, Zug, Switzerland; 8. University of California Clinical Molecular Biology, University Hospital Schleswig-Holstein, Kiel, San Diego, La Jolla, CA Schleswig-Holstein, Germany P1410. Low Skeletal Muscle Index Is an Independent Risk Factor for P1403. The Hidden Burden of Faecal Incontinence in Active and Quiescent Inflammatory Bowel Disease Surgical Complications Ulcerative Colitis: An Underestimated Problem? Matthew Berger, MD1, Dejan Micic, MD1, Atsushi Sakuraba, MD2; 1.  Fellows-in-Training Award (IBD Category) University of Chicago, Chicago, IL; 2. University of Chicago Medicine,  Presidential Poster Award Inflammatory Bowel Disease Center, Chicago, IL Gaurav B. Nigam, MBBS, DNB, MRCP1, Jimmy K. Limdi, FRCP, FACG2, 3 4 P1411. Predictors and Trends in Hospitalized Patients With Inflammatory Shaheen Hamdy, PhD, FRCP , Dipesh H. Vasant, PhD, MRCP ; 1. Pennine Bowel Disease and Colorectal Cancer That Develop Venous Acute Hospital NHS Trust, Manchestre, England, United Kingdom; 2. Thromboembolism: A Retrospective Review Northern Care Alliance, Bury, England, United Kingdom; 3. Salford Pedro Palacios, MD1, Bashar M. Attar, MD, PhD2, Chimezie Mbachi, MD1, Royal Hospital, University of Manchester, Manchester, England, United Ezekiel Chukwujindu, MD3, Isaac Paintsil, MBChB, MPH1, Chineme Nwaichi, Kingdom; 4. Manchester University NHS Foundation Trust, Manchester, MD1, Ishaan Vohra, MD1, Muhammad Majeed, MD1, Yuchen Wang, MD2, England, United Kingdom Seema Gandhi, MD4; 1. John H. Stroger, Jr. Hospital of Cook County, P1404. A UK National Survey of Therapeutic Drug Monitoring With Anti- Chicago, IL; 2. Cook County Health and Hospital Systems, Chicago, IL; 3. TNF Medications in IBD University of Nigeria, Nsukka, Enugu, Nigeria; 4. Rush University Medical Shadab Nayeemuddin, MBChB, MRCP (UK), MRCP Center, Chicago, IL 1 2 (Gastroenterology) , Gaurav B. Nigam, MBBS, DNB, MRCP , Evangelos P1412. Inflammatory Bowel Disease Patients Prior to Starting on Anti-TNF Kontopantelis, PhD3, Bu Hayee, PhD, FRCP4, Jimmy K. Limdi, FRCP, 5 Are Over 5 Times More Likely to Be Screened for Hepatitis B Infection FACG ; 1. NHS, Manchester, England, United Kingdom; 2. Pennine Acute Compared to Those Starting High Dose Corticosteroids Hospital NHS Trust, Manchestre, England, United Kingdom; 3. University Edith Y. Ho, MD, FACG1, Vanessa Marshall, PhD2, Yasser Alsamman, MD3, of Manchester, Manchester, England, United Kingdom; 4. King's College Grace Chung, MSCS, RHIA, VHA-CM4, Christopher Burant, PhD1, Maneesh Hospital NHS Foundation Trust, London, England, United Kingdom; 5. Dave, MD, MPH5, Yngve Falck-Ytter, MD1; 1. Case Western Reserve Northern Care Alliance, Bury, England, United Kingdom University / Cleveland VA Medical Center, Cleveland, OH; 2. Louis Stokes P1405. Disease Location Is Associated With Non-Alcoholic Fatty Liver Cleveland VA Medical Center, Cleveland, OH; 3. University of Texas Disease in Patients With Crohn’s Disease Southwestern Medical Center, Dallas, TX; 4. Cleveland VA Medical Center, Gabrielle Ritaccio, MD1, Ameer Abutaleb, MD1, Lauren A. George, MD1, Cleveland, OH; 5. University of California Davis, Davis, CA Samuel Salas, MS1, Raymond K. Cross, MD, MS2, Sasan Sakiani, MD1, Kirti 1 1 P1413. Association Between Hepatocellular Carcinoma and Inflammatory Shetty, MD , Uni Wong, MD ; 1. University of Maryland School of Medicine, Bowel Disease: 5-Year Nationwide Analysis in the Unites States Baltimore, MD; 2. University of Maryland Medical Center, Baltimore, MD Hardikkumar Shah, MD, MPH1, Youssef Botros, MD2, Walid Baddoura, MD2; P1406. Increased Risk of Preeclampsia in Women With Inflammatory 1. Saint Michael's Medical Center, Newark, NJ; 2. St. Joseph's University Bowel Disease on Anti-TNF Therapy Medical Center, Paterson, NJ Andrea Kattah, MD, Brenda Becker, CCRC, Sunanda Kane, MD, MSPH, P1414. Association Between Vitamin D Deficiency and Inflammatory Bowel FACG; Mayo Clinic, Rochester, MN Disease (IBD) P1407. Comorbidities and Opioid Use Among Patients With Crohn's Firas Baidoun, MD, Muhammad Talal Sarmini, MD, Yasser Alkhadra, MD, Disease George Khoudari, MD, Bo Shen, MD, FACG; Cleveland Clinic Foundation, Dominic Pilon, MSc1, Camilo Obando, MD, MBA2, Zhijie Ding, PhD, MS2, Cleveland, OH 2 2 Jennifer Voelker, PharmD , Erik Muser, PharmD, MPH , Ameur M. Manceur, P1415. Relationship Between Protocol Specified Corticosteroid Tapering PhD1, Frederic Kinkead, MA1, Marie-Hélène Lafeuille, MA1, Patrick Lefebvre, 1 Regimens and Achieving Outcome Measures in Patients With Moderate- MA ; 1. Analysis Group, Inc., Montreal, PQ, Canada; 2. Janssen Scientific Severe Ulcerative Colitis and Crohn’s Disease Affairs, LLC, Horsham, PA John George, MD1, Siddharth Singh, MD2, Parambir Dulai, MD2, P1408. Relationship Between Crohn’s Disease Activity Index and Patient- Christopher Ma, MD3, Tran Nguyen, MS4, Brian G. Feagan, MD, MSc, Reported Outcomes for Crohn’s Disease Patients in the United States FACG5, William J. Sandborn, MD, FACG2, Vipul Jairath, BSc, MBChB, PhD, Camilo Obando, MD, MBA1, Zhijie Ding, PhD, MS1, James Izanec, MD1, MRCP6; 1. Yale New Haven Health Bridgeport Hospital, Bridgeport, CT; 2. Mirko Sikirica, PharmD2, James Lucas3, Jessalyn Kemp3, Erik Muser, University of California San Diego, La Jolla, CA; 3. University of Calgary, PharmD, MPH1; 1. Janssen Scientific Affairs, LLC, Horsham, PA; 2. Janssen Calgary, AB, Canada; 4. Robarts Research Institute, London, ON, Canada; Research & Development, LLC, Horsham, PA; 3. Adelphi Real World, 5. Robarts Clinical Trials, London, ON, Canada; 6. Western University, Bollington, England, United Kingdom London Health Sciences Centre, London, ON, Canada

116 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1416. No Increase in Odds for Infection or Malignancy When Treating to P1421. Accelerated Infliximab Infusion Protocol for Inflammatory Bowel Disease Severity in Elderly IBD Patients Disease: A Safety and Cost-Effectiveness Study in an Asian Tertiary Center Omar Nadhem, MD, Joseph Spataro, MD, Jill Gaidos, MD, FACG; Virginia Chong Teik Lim, MD1, Wan Chee Ong2, Hang Hock Shim, MBBS2, Elaine Chan2, Commonwealth University, Richmond, VA Teong Guan Lim2, Kia Lan Loy2, Webber Chan2; 1. Changi General Hospital, Singapore, Singapore; 2. Singapore General Hospital, Singapore, Singapore P1417. Long-Term Mucosal Healing, Clinical Response and Clinical Remission in Patients With Ulcerative Colitis Treated With the Anti- P1422. Effect of Ustekinumab Dose Escalation on Recapturing Clinical MAdCAM-1 Antibody Ontamalimab: Results From the Open-Label Response in Patients With Crohn's Disease Extension Study TURANDOT II Mark Bundschuh, MD1, Gregory McDonough, MD1, Priyanka Kumar, BS2, Silvio Danese, MD, PhD1, William J. Sandborn, MD, FACG2, Walter Patricia Kozuch, MD1, Raina Shivashankar, MD1; 1. Thomas Jefferson Reinisch, MD3, Xavier Hébuterne, MD4, Maria Kłopocka, MD, PhD5, Dino University Hospital, Philadelphia, PA; 2. Thomas Jefferson University Tarabar, MD, PhD6, Tomáš Vaňásek, MD, PhD7, Miloš Greguš, MD8, Paul School of Medicine, Philadelphia, PA A. Hellstern, MD9, Joo Sung Kim, PhD, MD, MS10, Miles Sparrow, MD, PhD, MBBS11, Kenneth J. Gorelick, MD12, Martina Goetsch, MD13, Caleb P1423. Association Between Serum Albumin Levels and the Rate of

14 15 14 Active Crohn’s Disease in Patients Seen at a Tertiary Care IBD Center POSTERS Bliss, PhD , Charu Gupta, MS , Fabio Cataldi, MD , Séverine Vermeire, MONDAY Patrick Harris, MD1, Tasnia Matin, MD2, Nan Zhang, MS3, Malik Talha, MD, PhD16; 1. Humanitas University, Milan, Lombardia, Italy; 2. University MD3; 1. University of Alabama at Birmingham, Birmingham, AL; 2. of California San Diego, La Jolla, CA; 3. Medical University of Vienna, Medical University of South Carolina, Charleston, SC; 3. Mayo Clinic, Vienna, Wien, Austria; 4. Université de Nice-Sophia-Antipolis, Nice, Scottsdale, AZ Provence-Alpes-Cote d'Azur, France; 5. Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Kujawsko-Pomorskie, Poland; 6. Military P1424. Dietary Practices and Beliefs of British South Asian Medical Academy, Belgrade, Vojvodina, Serbia; 7. Charles University Patients With Inflammatory Bowel Disease: A Prospective Study Hospital, Hradec Králové, Kralovehradecky kraj, Czech Republic; 8. From the United Kingdom Gastroenterology Center, Nitra, Nitra, Slovakia; 9. Nature Coast Clinical Benjamin J. Crooks, MA, MBBS, MRCP1, John McLaughlin, BSc, MBChB, Research, Inverness, FL; 10. Seoul National University College of Medicine, PhD, FRCP2, Jimmy K. Limdi, FRCP, FACG1; 1. Northern Care Alliance, Seoul, Seoul-t'ukpyolsi, Republic of Korea; 11. Alfred Hospital, Melbourne, Bury, England, United Kingdom; 2. Salford Royal NHS Foundation Trust, Victoria, Australia; 12. Zymo Consulting Group, Newtown Square, PA; Manchester, England, United Kingdom 13. Shire, a Takeda company, Zug, Zug, Switzerland; 14. Shire, a Takeda company, Lexington, MA; 15. Cytel Inc., Cambridge, MA; 16. University P1425. Dietary Practices and Beliefs of Patients With Older Hospitals, Leuven, Vlaams-Brabant, Belgium Onset Inflammatory Bowel Disease: A Prospective Study From the United Kingdom P1418. The Natural Course of Inflammatory Bowel Disease After Benjamin J. Crooks, MA, MBBS, MRCP1, John McLaughlin, BSc, MBChB, Bariatric Surgery PhD, FRCP2, Jimmy K. Limdi, FRCP, FACG1; 1. Northern Care Alliance, Amandeep Singh, MD, Ali Aminian, MD, Lan Nan, MD, Bo Shen, MD, Bury, England, United Kingdom; 2. Salford Royal NHS Foundation Trust, FACG, Philip Schauer, MD, Miguel Regueiro, MD, FACG; Cleveland Clinic Manchester, England, United Kingdom Foundation, Cleveland, OH P1426. Dietary Practices and Beliefs of Patients With Inactive Ulcerative P1419. Use of Formal Pharmacokinetic Analysis to Optimize Therapy in Colitis: A Prospective Study From the United Kingdom Patients With Secondary Loss of Response to Infliximab Benjamin J. Crooks, MA, MBBS, MRCP1, John McLaughlin, BSc, MBChB, Ahmed Khattab, MD, Eli Ehrenpreis, MD; Advocate Lutheran General PhD, FRCP2, Jimmy K. Limdi, FRCP, FACG1; 1. Northern Care Alliance, Hospital, Park Ridge, IL Bury, England, United Kingdom; 2. Salford Royal NHS Foundation Trust, P1420. Immune Checkpoint Inhibitor Therapy in Patients With Preexisting Manchester, England, United Kingdom Inflammatory Bowel Disease P1427. Pathological Findings of Resected Inflow Limbs in Patients With Hamzah Abu-Sbeih, MD1, David Faleck, MD2, Biagio Ricciuti, MD3, Robin Pouches for Ulcerative Colitis Mendelsohn, MD2, Abdul Rafeh Naqash, MD4, Justine Cohen, DO5, Maclean Michael Plietz, MD, Peter Rubin, MD, Alexandros Polydorides, MD, PhD, Sellers, MD5, Aanika Balaji, MD6, Guy Ben-Betzalel, MD7, Ibraheim Hajir, Alex Mui, BS, Maia Kayal, MD, Yansheng Hao, MD, Joel Bauer, MD; Icahn MBChB8, Jiajia Zhang, MD, MPH9, Mark Awad, MD, PhD10, Giulia Leonardi, School of Medicine at Mount Sinai, New York, NY MD10, Douglas Johnson, MD11, David Pinato, MD, PhD12, Dwight Owen, MD13, Sarah Weiss, MD14, Giuseppe Lamberti, MD15, Mark Lythgoe, MBBS, P1428. Nonalcoholic Fatty Liver Disease in a South Asian Crohn’s Disease MPharm12, Lisa Manuzzi, MD15, Christina Arnold, MD13, Jarushka Naidoo, Population: External Validation of the St. Louis Steatosis Index 1 1 2 MD9, Gal Merkel, MD7, Nick Powell, MBChB, PhD8, Sai-Ching Yeung, MD16, Ankita Tirath, MD , Scott McHenry, MD , Girish Ganesh, MBBS , Matthew 3 4 2 Elad Sharon, MD, MPH17, Michael Dougan, MD, PhD5, Yinghong Wang, A. Ciorba, MD , Mithun Sharma, MD , Rupa Banerjee, MBBS , Parakkal 1 MD, PhD16; 1. University of Missouri, Kansas City, MO; 2. Memorial Sloan- Deepak, MBBS, MS ; 1. Washington University, St. Louis, MO; 2. Asian Kettering Cancer Center, New York, NY; 3. Dana Farber Cancer Institute, Institute of Gastroenterology, Hyderabad, Telangana, India; 3. Washington Boston, MA; 4. East Carolina University, Greenville, NC; 5. Massachusetts University School of Medicine, St. Louis, MO; 4. Asian Institute of General Hospital, Boston, MA; 6. Johns Hopkins University, Baltimore, MD; Gastroenterology PVT LTD, Hyderabad, Telangana, India 7. Sheba Medical Center, Ramat Gan, HaDarom, Israel; 8. King's College P1429. A Population-Based Analysis of Obesity, Metabolic Syndrome, and London, London, England, United Kingdom; 9. Johns Hopkins University Cardiovascular Outcomes Among Patients With Inflammatory Bowel Disease Hospital, Baltimore, MD; 10. University of Perugia, Perugia, Puglia, Italy; in the National Health and Nutrition Examination Survey 2009-2010 11. Vanderbilt University Medical Center, Nashville, TN; 12. Imperial College Ankita Tirath, MD1, Scott McHenry, MD1, Lee Rhea, PhD2, Amber Salter, London, London, England, United Kingdom; 13. The Ohio State University, PhD2, Parakkal Deepak, MBBS, MS1; 1. Washington University, St. Louis, Columbus, OH; 14. Yale University, New Haven, CT; 15. Bologna University, MO; 2. Washington University School of Medicine, St. Louis, MO Bologna, Umbria, Italy; 16. MD Anderson Cancer Center, Houston, TX; 17. National Cancer Institute, Bethesda, MD P1430. Real World Application of the "Prometheus IBD Sgi Diagnostic" as a Baseline Test at a Tertiary Care IBD Referral Center Michael Lysek, Jr., MD, MPH1, Nan Zhang, MS2, Malik Talha, MD2; 1. University of South Alabama, Mobile, AL; 2. Mayo Clinic, Scottsdale, AZ

P1431. Efficacy of Vedolizumab in Older IBD Patients Based on Prior P1442. A Rare Case of S. Constellatus Bacteremia Secondary to a Perianal Biologic Exposure Abscess in an Individual With Crohn's Disease Devin B. Patel, MD, Erica Cohen, MD, Christina Ha, MD; Cedars-Sinai Lauren T. Gallagher, BS1, Rawan Dayah, MD2, Sidra Qureshi, MD1; 1. Medical Center, Los Angeles, CA University of Texas Medical Branch, Galveston, TX; 2. The University of Texas Medical Branch, Galveston, TX P1432. Addiction Medicine Consultation Reduces Narcotic Use and ER Visits and Increases Smoking Cessation in IBD Patients: A Cross-Sectional Study P1443. Small Bowel and Colonic Ulcerations in a 19-Year-Old Male With Praneeth Kudaravalli, MD1, Lamprinos Michailidis, MD2, Michael Kindred, Disseminated Adenovirus: An Atypical Presentation of Inflammatory MD2, Olalekan Akanbi, MD1, Nishant Tripathi, MD1, Pradeep Yarra, MD1, Bowel Disease? Courtney Perry, DO2, Selina Mullins, PharmD2, Ahmed Abdelsatar Brendan Chen, MD1, Mena Bakhit, MD1, Sean Fine, MD, MS2; 1. Rhode Island Abomhya, MD2, Terrence Barrett, MD2; 1. University of Kentucky College of Hospital, Providence, RI; 2. Brown Medicine, Riverside, RI Medicine, Lexington, KY; 2. University of Kentucky, Lexington, KY P1444. Tandem Therapy Using Cyclosporine and Tofacitinib for the P1433. The Natural History and Treatment Outcomes of Concomitant Treatment of Severe Ulcerative Colitis Eosinophilic Esophagitis (EoE) and Inflammatory Bowel Disease (IBD)  Presidential Poster Award Siri A. Urquhart, MD, Kevin P. Quinn, MD, Karthik Ravi, MD, Edward V. Noa Krugliak Cleveland, MD1, Alexandra Masching, APN1, David T. Rubin, Loftus, Jr., MD, FACG; Mayo Clinic, Rochester, MN MD, FACG2; 1. University of Chicago Medicine, Inflammatory Bowel Disease Center, Chicago, IL; 2. Inflammatory Bowel Disease Center, P1434. The Association Between Inflammatory Bowel Disease and Lactose University of Chicago Medicine, Chicago, IL Intolerance Mohammad Maysara Asfari, MD1, Muhammad Talal Sarmini, MD2, P1445. Nasal Crohn’s: Rare but Real Possibility! Katherine Kendrick, MD3, Subbaramiah Sridhar, MD4, Humberto Sifuentes,  Presidential Poster Award MD5; 1. Augusta University, Augusta, GA; 2. Cleveland Clinic Foundation, Pratikkumar Vekaria, MD, Johnnie Mao, MD, Ravish Patel, MD, Devin Cleveland, OH; 3. Medical College of Georgia / Mercer University, Macon, Vaishnani, MD, Tejas Raiyani, MD; Redmond Regional Medical Center, GA; 4. Georgia Medical College / Augusta University, Augusta, GA; 5. Rome, GA Medical College of Georgia at Augusta University, Augusta, GA P1446. A Rare Case of Migratory Urticaria Causing Dysphagia During an Acute Flare of Ulcerative Colitis IBD Jamil O. Alexis, MD, He Qiu, MD, MBA, Janice G. Shen, MD, Keith Sultan, MD; Northwell Health System, Manhasset, NY Clinical Vignettes / Case Reports P1447. Can Dosing Intervals of Adalimumab Be Increased in Crohn’s Disease? P1435. Much Ado About Nothing: Isolated Raised ALP in IBD Patients Due Lindsay Euers, MD, Kerri Glassner, DO, Amanda Wilhite, PA-C, Bincy to Macrocomplex Abraham, MD, FACG; Houston Methodist Hospital, Houston, TX Kamesh Gupta, MBBS, Rohit Singhania, MBBS, MS, FACG, Shahid Rizwan, MBBS, Spencer C. Knox, MD; University of Massachusetts Medical School P1448. Coexistence of Lymphocytic Colitis in a Patient With Ulcerative Colitis - Baystate Medical Center, Springfield, MA Omar Sadiq, MD, Maryam Alimirah, MD, Chakravarthy Kanduru, MD; Henry Ford Hospital, Detroit, MI P1436. Beckwith-Wiedemann Syndrome and the Association With Crohn's Disease P1449. The Curious Case of the Belly Button: Penetrating Crohn’s Disease Caleb B. Hudspath, DO1, Kyler Kozacek, DO2, Pedro Manibusan, DO, MBA2; Presenting as Umbilical Drainage 1. Walter Reed National Military Medical Center, Honolulu, HI; 2. Tripler Christina M. Steinhauser, DO1, Manish Singla, MD2; 1. Walter Reed National Army Medical Center, Honolulu, HI Military Medical Center, Bethesda, MD; 2. Walter Reed National Military Medical Center, Washington, DC P1437. Acute Febrile Neutrophilic Dermatosis (Sweet Syndrome) Afeefa Shahnawaz, MD1, Sheikh A. Saleem, MD2, Bishnu Sapkota, MD3; P1450. Idiopathic Thrombocytopenic Purpura: An Uncommon Extra- 1. Crouse Hospital, Syracuse, NY; 2. SUNY Upstate University Hospital, intestinal Manifestation of Crohn's Disease Syracuse, NY; 3. VA Syracuse Hospital, Syracuse, NY Raisa Epistola, MD1, Tiffanie Do, MD1, Linda A. Hou, MD2, Wayne Fleischman, MD2; 1. Harbor-UCLA Medical Center, Torrance, CA; 2. Harbor P1438. Colocolonic Intussusception in a Patient With Ulcerative Colitis UCLA Medical Center, Torrance, CA Zinal M. Patel, MD, Mohammad F. Ali, MD, Kanak Das, MD, David Friedel, MD, Mona Maghsoodi-Deerwester, MD, Mala Gupta, MD, Stavros P1451. A Rare Cause of Dyspnea in a Patient With Inflammatory Stavropoulos, MD; New York University Winthrop Hospital, Mineola, NY Bowel Disease Jeffrey Sobecki, DO, BS1, Kruti Patel, DO2, Mark Minaudo, DO3; 1. Doctors P1439. Sweet's Syndrome as the Initial Presentation of Crohn's Disease Hospital - OhioHealth, Columbu, OH; 2. Ascension Genesys Regional 1 2 Courtenay Ryan-Fisher, MBBCh , Osama Siddique, MBBS , John Birk, Medical Center, Grand Blanc, MI; 3. Genesys Regional Medical Center, 2 MD, FACG ; 1. University of Connecticut Health, West Hartford, CT; 2. Grand Blanc, MI University of Connecticut, Farmington, CT P1452. Mesalamine-Induced Myocarditis P1440. Rare Case of Ulcerative Colitis With Autoimmune Hemolytic Anemia Tyler Putnam, MD, Erica Turse, DO, MPH, Kambiz Kadkhodayan, MD; St. 1 2 2 Suganya Manoharan, MD , Khalil Aloreidi, MD , Srilaxmi Gujjula, MD , Joseph's Hospital and Medical Center, Phoenix, AZ Akshaykumar Vachhani, MD1, Madhavi Reddy, MD, FACG2, Denzil Etienne, MD2; 1. Brooklyn Hospital Center, Brooklyn, NY; 2. The Brooklyn Hospital P1453. An Atypical Case of Oral Crohn’s Disease Center, Brooklyn, NY Danielle E. Marino, MD, Elizabeth Pope-Collins, MD; University of Rochester Medical Center, Strong Memorial Hospital, Rochester, NY P1441. The Efficacy of Self-Administered Home Fecal Transplant in Inducing and Maintaining Remission in Crohn's Pan-Colitis With Perianal Fistulae P1454. Suspected Crohn’s in Acute Salmonella Enterocolitis: A Journey of Anas Almoghrabi, MD1, Chimezie Mbachi, MD2, Estefania Flores, MD2, Differentiating Two Common Terminal Ileitis Etiologies Melchor V. Demetria, MD1, Bashar M. Attar, MD, PhD1; 1. Cook County Alex Kim, BA, Nicholas Noverati, BS, Andrew Feldman, BS, Nabeel Akhtar, Health and Hospital Systems, Chicago, IL; 2. John H. Stroger, Jr. Hospital MD, Nicholas Duca, MD; Penn State University Milton S. Hershey Medical of Cook County, Chicago, IL Center and College of Medicine, Hershey, PA

118 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1455. The Importance of Careful Appendiceal Inspection During P1464. A Retrospective Study of the Influencing Factors on Fluoroscopy Surveillance Colonoscopy in IBD Patients: A Case of Appendiceal Mucocele Time (FT) and Patient Radiation Dose (DAP) During ERCP in a Setting of 12 in an Ulcerative Colitis Patient Large Tertiary Academic Hospitals Jamie Horrigan, BA1, Karissa Leong, BA1, Jessica Calderone, BA1, Prithvi Patil, MS, Sruthi K. Subramanian, MD, Srinivas Ramireddy, Mahmoud Aldyab, MD1, Brian Valerian, MD1, Micheal Tadros, MD, MPH, MD, Ricardo Badillo, MD, Tomas Davee, MD, Nirav Thosani, MD, MHA; FACG1, Charles Casale, MD2; 1. Albany Medical College, Albany, NY; 2. University of Texas Health Science Center, Houston, TX Albany Medical Center, Albany, NY P1465. Endoscopic Ultrasound-Guided Sampling of Solid Pancreatic P1456. Severe CMV Proctitis as the Initial Presentation of Ulcerative Proctitis Lesions: A Comparative Analysis of 25 vs. 22 Gauge Core Biopsy Needles Mohammad Arfeen, DO, Brandon Scott, DO, Alex Yarbrough, DO; Daanish Siddique, MD1, Karen Trevino, MD1, Mahmoud A. Rahal, MD2, Franciscan Health - Olympia Fields, Olympia Fields, IL Howard Wu, MD1, Mohammad Al-Haddad, MD, FACG2; 1. Indiana University, Indianapolis, IN; 2. Indiana University School of Medicine, P1457. A Rare Case of Postoperative Recurrence of Crohn’s Disease Indianapolis, IN Associated With Abdominal Actinomyces and Bacteremia POSTERS Tushar Khanna, MD1, Ole Vielemeyer, MD1, Moshe Rubin, MD, FACG2, Ellen P1466. Ulcer Formation in Patients With GAVE and Gastric AVMs After MONDAY J. Scherl, MD, FACG2; 1. Weill Cornell Medicine, New York, NY; 2. New Endoscopic Ablation York-Presbyterian / Weill Cornell Medical Center, New York, NY Leland Stratton, MD1, Zachary Henry, MD, MS2, Javelle Wynter, MD2, Bethany Reutemann, MD2, Neeral Shah, MD3; 1. University of P1458. Psoriasis Induced by Infliximab Treatment in a Young Patient With Virginia Health System, Charlottesville, VA; 2. University of Virginia Crohn’s Disease Digestive Health Center, Charlottesville, VA; 3. University of Virginia, Rizwan Shahid, MD, Rohit Singhania, MBBS, MS, FACG, Kamesh Gupta, Charlottesville, VA MD, Spencer C. Knox, MD; University of Massachusetts Medical School - Baystate Medical Center, Springfield, MA P1467. Comparison of Endosonographic Pancreatic Abnormalities Between Diabetics and High Risk Individuals for PDAC Ingrid Schwartz, MD1, Preksha Vankawala, MD2, Jinendra Satiya, MD3; INTERVENTIONAL ENDOSCOPY 1. University of Miami Miller School of Medicine, Miami, FL; 2. University of Miami, Miami, FL; 3. New York Medical College - Metropolitan Hospital, P1459. Clinical Efficacy of Endoscopic Vacuum-Assisted Closure West Palm Beach, FL Therapy (EVAC) in Gastroesophageal Defects: A Systematic Review and Comparative Meta-Analysis With Endoscopic Stent Therapy (EST) P1468. Endoscopic Ultrasound on Diabetic Patients for Unexplained Saurabh Chandan, MD1, Babu P. Mohan, MD2, Shahab R. Khan, Abdominal Pain: High Prevalence of Parenchymal Abnormalities MBBS2, Sarah Malik, MD1, Neil Bhogal, MD1, Ojasvini Choudhry Chandan, Ingrid Schwartz, MD1, Jinendra Satiya, MD2, Harjit Singh, BSc3, Rtika MD1, Douglas G. Adler, MD, FACG3; 1. University of Nebraska Medical Abraham, MD3, Mohit Girotra, MD3; 1. University of Miami, Miami, FL; 2. Center, Omaha, NE; 2. University of Arizona / Banner University Medical New York Medical College - Metropolitan Hospital, West Palm Beach, FL; Center, Tucson, AZ; 3. University of Utah School of Medicine, Salt Lake 3. University of Miami Miller School of Medicine, Miami, FL City, UT P1469. Aggressive Hydration With Lactated Ringer for Prevention of Post- P1460. Percutaneous Gastrojejunostomy Tubing Utilization and Safety ERCP Pancreatitis: A Systematic Review and Meta-Analysis With Levodopa-Carbidopa Intestinal Gel in Advanced Parkinson’s Disease  Presidential Poster Award Patients: Interim Results of the Long-Term DUOGLOBE "Real-World" Swathi Paleti, MD1, Shilpa Junna, MD2, Venkat Nutalapati, MD3, Sravan Observational Study Jeepalyam, MD3, Tarun Rustagi, MD4; 1. University of New Mexico, Peter V. Draganov, MD, FACG1, Charles M. Wilcox, MD, MSPH2, Michelle Albuquerque, NM; 2. University of Arizona College of Medicine, Tucscon, Lee, PharmD3, Weining Z. Robieson, PhD3, Pavnit Kukreja, PharmD3, AZ; 3. University of Kansas Medical Center, Kansas City, KS; 4. University Lars Bergmann, MD3, Shajan Peter, MD2, Kenneth E. Symington, MD4; 1. of New Mexico Hospital, Albuquerque, NM University of Florida Health, Gainesville, FL; 2. University of Alabama at Birmingham, Birmingham, AL; 3. AbbVie, Inc., North Chicago, IL; 4. Inland P1470. Antireflux Valve Metal Stent vs. Conventional Self Expandable Imaging Associates, Spokane, WA Metal Stent in Distal Malignant Biliary Obstruction: A Systemic Review and Meta-Analysis P1461. Enhancing Radiation Safety During Fluoroscopy Procedures in Anas Renno, MD1, Yousef Abdel-Aziz, MD2, Tamer Ahmed, MD1, Yaseen Endoscopy Units Alastal, MD, MPH, CMQ1, Javaid Toseef, MD1, Yasir Al-Aboodi, MD, MPH1, Ritodhi Chatterjee, BA1, Jinna Chu, BS1, Vilu Varghese, BSN2, Jason Smith, Ali Nawras, MD, FACG1; 1. University of Toledo Medical Center, Toledo, OH; BSN2, Richard Robbins, MD1, Rhonda Cole, MD1, Eugenia Velez, MD2, 2. University of Tennessee Health Science Center, Memphis, TN Maria Jarbrink-Sehgal, MD, PhD1, Clark Hair, MD1, Gyanprakash Avinash Ketwaroo, MD, MSc1; 1. Baylor College of Medicine, Houston, TX; 2. P1471. POEM Perceptions: A Survey of Gastroenterologists and the Michael E. DeBakey VA Medical Center, Houston, TX Treatment of Achalasia in the Philadelphia Region Rebecca Loh, MD, Alexander Schlachterman, MD; Thomas Jefferson P1462. The Impact of Multidisciplinary Evaluation Before and After University Hospital, Philadelphia, PA Endoscopic Sleeve Gastroplasty on Weight Loss and Quality of Life Ivo Boškoski, MD, PhD, Vincenzo Bove, MD, Lucrezia Laterza, MD, Camilla P1472. Efficacy and Safety of Endoscopic Full-Thickness Resection Device Gallo, MS, Rosario Landi, MD, Pietro Familiari, MD, PhD, Andrea Tringali, (FTRD) for Gastrointestinal Lesions Full-Thickness Resection: A Meta- MD, PhD, Vincenzo Perri, MD, Fabia Attili, MD, Guido Costamagna, MD, Analysis Study 1 1 2 FACG; Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Yazan Fahmawi, MD , Manoj Kumar, MD , Gilad Shapira, MD , Nicholas 2 3 Rome, Lazio, Italy Ludvik, MD , Meir Mizrahi, MD ; 1. University of South Alabama, Mobile, AL; 2. University of South Alabama College of Medicine, Mobile, AL; 3. P1463. Efficacy and Safety of Per-Oral Cholangioscopy With Lithotripsy for University of South Alabama College of Medicine, Spanish Fort, AL Difficult Biliary Stones: A Cumulative Systematic Review and Meta-Analysis Thomas R. McCarty, MD1, Rishabh Gulati, MD2, Tarun Rustagi, MD2; 1. Brigham and Women's Hospital, Boston, MA; 2. University of New Mexico Hospital, Albuquerque, NM

P1473. Luminal-Apposing Stents for Benign Intraluminal Strictures: P1478. To Cut or Not to Cut – Clinical Efficacy of Endoscopic Are We There? U.S. Multicenter Study Sphincterotomy in Recurrent Acute Pancreatitis From Functional Biliary Meir Mizrahi, MD1, Manoj Kumar, MD2, Benjamin Tharian, MD3, Salman Sphincter of Oddi Disorder: A Systematic Review and Meta-Analysis Ali Khan, MD3, Sumant Inamdar, MD, MPH3, Neil Sharma, MD4, Dushant Saurabh Chandan, MD1, Babu P. Mohan, MD2, Harmeet Mashiana, MD1, Uppal, MD5, Vanessa M. Shami, MD, FACG6, Mahmood Syed Kashif, MD7, Banreet Dhindsa, MD3, Annie Braseth, MD1, Harlan Sayles, MS1, Lokesh Jha, Moamen Gabr, MD, MSc8, Douglas Pleskow, MD9, Tyler M. Berzin, MD, MS9, MD1, Shailender Singh, MD1, Douglas G. Adler, MD, FACG4; 1. University of Douglas G. Adler, MD, FACG10; 1. University of South Alabama College Nebraska Medical Center, Omaha, NE; 2. University of Arizona / Banner of Medicine, Spanish Fort, AL; 2. University of South Alabama, Mobile, University Medical Center, Tucson, AZ; 3. University of Nevada Las Vegas AL; 3. University of Arkansas for Medical Sciences, Little Rock, AR; 4. School of Medicine, Las Vegas, NV; 4. University of Utah School of Parkview Health, Fort Wayne, IN; 5. Mobile, AL; 6. University of Virginia Medicine, Salt Lake City, UT Digestive Health Center, Charlottesville, VA; 7. New York, NY; 8. University of Kentucky College of Medicine, Lexington, KY; 9. Beth Israel Deaconess P1479. Endoscopic Pancreatic Necrosectomy Technique: Know Your "How" Medical Center, Harvard Medical School, Boston, MA; 10. University of to Justify Your "Why" Alejandro Robles, MD1, Onyedika Umeanaeto, MD1, Alberto Contreras, Utah School of Medicine, Salt Lake City, UT MD1, Darwin Conwell, MD, MS, FACG2, Antonio Mendoza-Ladd, MD1; 1. P1474. Dual Modality Therapy for Endoscopic Management of Texas Tech University Health Sciences Center, Paul L. Foster School Esophageal Defects of Medicine, El Paso, TX; 2. The Ohio State University Wexner Medical Andrew Han, MD1, Feenalie Patel, MD1, Adil Ghafoor, MD2, Daanish Center, Columbus, OH Siddique, MD1, Benjamin L. Bick, MD3, Mohammad Al-Haddad, MD, FACG3; 1. Indiana University, Indianapolis, IN; 2. St. Vincent's Hospital, P1480. Diagnostic Value of Semi-Quantitative Endoscopic Ultrasound Indianapolis, IN; 3. Indiana University School of Medicine, Indianapolis, IN Elastography in the Evaluation of Mediastinal and Abdominal Lymph Nodes  Category Award (Interventional Endoscopy) P1475. Clinical Efficacy of Gastric Per-Oral Endoscopic Myotomy in the  Presidential Poster Award Treatment of Refractory Gastroparesis and Predictors of Successful Irina M. Cazacu, MD1, Ben S. Singh, BA1, Graciela Nogueras Gonzalez, Outcomes: A Systematic Review and Meta-Analysis BS1, Adriana A. Luzuriaga Chavez, MD1, Adrian Saftoiu, MD2, Manoop S.  Presidential Poster Award Bhutani, MD, FACG1; 1. University of Texas MD Anderson Cancer Center, Saurabh Chandan, MD1, Babu P. Mohan, MD2, Lokesh K. Jha, MD1, Houston, TX; 2. University of Medicine and Pharmacy Craiova, Houston, TX Shahab R. Khan, MBBS2, Rajesh Kotagiri, MD3, Lena Kassab, MD, MBA4, Naveen Ravikumar, MD5, Neil Bhogal, MD1, Ojasvini Choudhry Chandan, P1481. Endoscopic Mucosal Resection versus Endoscopic Submucosal MD1, Ishfaq Bhat, MD1, Alexander Hewlett, DO1, Suresh Ponnada, MD, Dissection in the Treatment of Superficial Gastric Cancers - A Meta- MPH6, Ravishankar Asokkumar, MRCP7, Douglas G. Adler, MD, FACG8; Analysis Update 1 2 1. University of Nebraska Medical Center, Omaha, NE; 2. University of Ajai Rajabalan, MD , Vishnu Charan Suresh Kumar, MD , Venkata Suresh 3 4 Arizona / Banner University Medical Center, Tucson, AZ; 3. Banner Patthipati, MD, MS , Vishnu Mani, MD ; 1. Emory University School of University Medical Center, Tucson, AZ; 4. Mayo Clinic, Rochester, MN; Medicine, Atlanta, GA; 2. State University of New York Upstate Medical 5. University of Buffalo, Buffalo, NY; 6. Carilion Clinic, Roanoke, VA; 7. University, Syracuse, NY; 3. Western Reserve Health Education, Northeast Singapore General Hospital, Singapore, Singapore; 8. University of Utah Ohio Medical University, Youngstown, OH; 4. Harlem Hospital Center, New School of Medicine, Salt Lake City, UT York, NY P1476. EUS-Guided Treatment of Gastric Varices: A Systematic Review and P1482. Comparison of Safety and Efficacy Between Endoscopic Mucosal Meta-Analysis With Indirect Comparison to Endoscopic Therapy Resection and Endoscopic Submucosal Dissection in the Treatment of Babu P. Mohan, MD1, Saurabh Chandan, MD2, Shahab R. Khan, MBBS1, Superficial Esophageal Cancers - A Meta-Analysis Update 1 2 Sushanth Dosala, MBBS3, Sushruth Trakroo, MD4, Suresh Ponnada, MD, Ajai Rajabalan, MD , Vishnu Charan Suresh Kumar, MD , Venkata Suresh 3 4 MPH5, Ravishankar Asokkumar, MRCP6, Douglas G. Adler, MD, FACG7; 1. Patthipati, MD, MS , Vishnu Mani, MD ; 1. Emory University School of University of Arizona / Banner University Medical Center, Tucson, AZ; 2. Medicine, Atlanta, GA; 2. State University of New York Upstate Medical University of Nebraska Medical Center, Omaha, NE; 3. Banner University University, Syracuse, NY; 3. Western Reserve Health Education, Northeast Medical Center, Tucson, AZ; 4. St. Vincent Charity Medical Center, Ohio Medical University, Youngstown, OH; 4. Harlem Hospital Center, New Cleveland, OH; 5. Carilion Clinic, Roanoke, VA; 6. Singapore General York, NY Hospital, Singapore, Singapore; 7. University of Utah School of Medicine, Salt Lake City, UT INTERVENTIONAL ENDOSCOPY P1477. Endoscopic Ultrasound vs. Endoscopic Trans-Papillary vs. Clinical Vignettes / Case Reports Percutaneous Gallbladder Drainage in High-Risk Acute Cholecystitis Patients: A Systematic Review and Indirect Comparative Meta-Analysis P1483. Gastric Hyperplastic Polyps Are Resistant to Treatment by Babu P. Mohan, MD1, Shahab R. Khan, MBBS1, Sushrut Trakroo, MD2, Endoscopic Submucosal Dissection 1 2 3 Saurabh Chandan, MD3, Suresh Ponnada, MD, MPH4, Mahendran Jayaraj, Justin Roy, MD , Justin Loloi, BS , Matthew Moyer, MD, MS , Abraham 3 MD5, Ravishankar Asokkumar, MRCP6, Douglas G. Adler, MD, FACG7; Mathew, MD ; 1. Penn State University Milton S. Hershey Medical Center 1. University of Arizona / Banner University Medical Center, Tucson, and College of Medicine, Hershey, PA; 2. Penn State Hershey College of AZ; 2. Saint Vincent Hospital, Cleveland, OH; 3. University of Nebraska Medicine, Hershey, PA; 3. Penn State University Milton S. Hershey Medical Medical Center, Omaha, NE; 4. Carilion Clinic, Roanoke, VA; 5. University Center, Hershey, PA of Nevada Las Vegas School of Medicine, Las Vegas, NV; 6. Singapore P1484. Use of Sypbite Forceps to Successfully Remove a Proximally General Hospital, Singapore, Singapore; 7. University of Utah School of Migrated Biliary Stent: An Effective Alternative Medicine, Salt Lake City, UT Maliha Naseer, MD, Prashant Mudireddy, MD; Brody School of Medicine, Greenville, NC P1485. Combined Novel Endoscopic Techniques in Esophageal Carcinoma Management Osman Ali, MD1, Imran Khan, BS1, Raymond E. Kim, MD2; 1. University of Maryland Medical Center, Baltimore, MD; 2. University of Maryland School of Medicine, Baltimore, MD 120 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1486. Adenomatous Polyp of the Biliojejunal Anastomosis and Bile Duct P1497. Successful Endoscopic Retrograde Cholangiopancreatography in a in a Familial Adenomatous Polyposis (FAP) Patient: A Multidisciplinary Patient With Situs Inversus and Choledocholithiasis Approach to a Clinical Dilemma Ian Holmes, MD, James W. Ostroff, MD; University of California San Ravi Shah, MD1, Neal Mehta, MD1, Feng Li, MD1, Sunguk Jang, MD1, Ji Yoon Francisco, San Francisco, CA Yoon, BMBCh1, Gautam Mankaney, MD1, Matthew F. Kalady, MD1, James M. Church, MBChB1, Carol A. Burke, MD, FACG1, R. Matthew Walsh, MD1, Amit P1498. Endoscopic Management of Isolated Gastric Varices: Hematemesis Bhatt, MD2; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. Cleveland in Pancreatitis-Induced Splenic Vein Thrombosis Frederick B. Peng, MD, Eugene Kligman, MD, Johanna L. Chan, MD; Baylor Clinic, Cleveland, OH College of Medicine, Houston, TX P1487. A Mediastinal Abscess Due to Actinomcyes Odontolyticus Diagnosed by Endoscopic Ultrasound-Guided FNA P1499. Transpapillary Drainage of Persistent Pseudocyst Causing Nasir Halim, MD1, Thimmaiah Theethira, MD2, Marina Roytman, MD2, Shreyas Dysphagia Grace E. Kim, MD1, David Lo, MD, FACG2; 1. University of Maryland Saligram, MD, MRCP2; 1. University of California San Francisco - Fresno, Medical Center, Baltimore, MD; 2. Ohio Gastroenterology Group, Inc., Freno, CA; 2. University of California San Francisco - Fresno, Fresno, CA POSTERS Columbus, OH MONDAY P1488. Successful Stenting of the Common Bile Duct Through an Ectopic Ampulla of Vater in the Pylorus P1500. A Rare Case of Pancreatic Lymphoepithelial Cyst Grace E. Kim, MD, Fariha Ramay, MD, Stephanie Richards, MD, Peter  Presidential Poster Award Darwin, MD; University of Maryland Medical Center, Baltimore, MD Nathan L. Markel, MD, Vu N. Nguyen, MD, FACG; Baylor Scott & White Health, Round Rock, TX P1501. Cryotherapy for Management of Transfusion-Dependent Gastrointestinal Hemorrhage Secondary to Gastric Antral P1489. Successful Endoscopic Closure of a Pyeloduodenal Fistula Using the Vascular Ectasia Over-the-Scope Clip System Yuri Hanada, MD, Kenneth K. Wang, MD, FACG; Mayo Clinic, Rochester, MN  Presidential Poster Award Erica Duh, MD1, Meredith Clary, MD2, Jason Samarasena, MD, FACG1, Ralph P1502. Successful Endoscopic Mucosal Resection for Duodenal Clayman, MD3, Kenneth J. Chang, MD, FACG2; 1. University of California Neuroendocrine Tumor: To Net a NET Irvine Medical Center, Orange, CA; 2. University of California Irvine, Neal D. Dharmadhikari, MD1, Tian Gao, MD2, Osman Yilmaz, MD3, Samir A. Orange, CA; 3. University of California Irvine, Irvine, CA Shah, MD, FACG2; 1. Brown University, Providence, RI; 2. Warren Alpert Medical School of Brown University, Providence, RI; 3. Rhode Island P1490. Size Matters: A Case of Recurrent Proximal Esophageal Stenosis Hospital, Cambridge, MA Treated With a Biliary Self Expanding Metal Stent (SEMS) Sahityan Viswanathan, MD1, Timothy Dobin, DO2, Long Hoang, DO1; 1. P1503. Percutaneous Transhepatic Single-Operator Cholangioscopy With Medical City Fort Worth, Fort Worth, TX; 2. University of North Texas Electrohydraulic Lithotripsy in the Management of Intrahepatic Stones in a Health Science Center, Fort Worth, TX Post-Orthotopic Liver Transplant Patient With Ischemic Cholangiopathy  P1491. A Novel Technique Using Hemostatic Spray and Endoscopic Stent- Presidential Poster Award Peter Stadmeyer, MD1, Prasad Dalvie, MD2, Jeffrey Hubers, MD2, Deepak in-stent for Palliation of Hemorrhaging Esophageal Cancer Gopal, MD, FRCP(C), FACG2; 1. University of Wisconsin Hospital and Ammara Khalid, MD1, Nizar Al-Salameh, DO2, Christopher Pluskota, DO3, Clinics, Madison, WI; 2. University of Wisconsin School of Medicine & Harshit S. Khara, MD, FACG1; 1. Geisinger Medical Center, Danville, PA; 2. Public Health, Madison, WI Geisinger Health System, Danville, PA; 3. Geisinger, Danville, PA P1504. Endoscopic Ultrasound-Guided Fine-Needle Biopsy (FNB) of a P1492. Migrated Biliary Stent: When Everything Fails Liver Lesion Demonstrating Metastatic Esophageal Adenocarcinoma Eric Vecchio, MD, Manida Wungjiranirun, MD, Shannon Simmons, MD, Peter Stadmeyer, MD1, Ahmed Akhter, MD2, Byron Barksdale, MD2, Kristina Fadlallah Habr, MD; Rhode Island Hospital and Warren Alpert Medical Matkowskyj, MD2, Deepak Gopal, MD, FRCP(C), FACG2; 1. University of School of Brown University, Providence, RI Wisconsin Hospital and Clinics, Madison, WI; 2. University of Wisconsin P1493. In Situ Plastic Biliary Stents Causing Intestinal Perforation: School of Medicine & Public Health, Madison, WI A Case Series P1505. Delayed Symptomatic Pneumoperitoneum After Peroral Endoscopic Namisha Thapa, DO, Michael Loudin, MD, Kaveh Sharzehi, MD, MS, Silvio Myotomy (POEM) De Melo, MD, FACG, Brintha Enestvedt, MD; Oregon Health & Science Brian McGrath, MD, Huimin Chen, MD, PhD, Liang Xia, MD, Xiangbo Chen, University, Portland, OR MD, Mohamed Magdy Abdelfatah, MD, Steven Keilin, MD, Qiang Cai, MD, P1494. A Minimally Invasive Approach to Resection of a Duodenal PhD, FACG; Emory University School of Medicine, Atlanta, GA Neuroendocrine Tumor Using the Full-Thickness Resection Device P1506. Endoscopic Closure of a Duodeno-Pleural Fistula Secondary to Leonard Walsh, MD1, Andrew Groff, BS2, Matthew Moyer, MD, MS1; 1. Transarterial Chemoembolization Penn State University Milton S. Hershey Medical Center, Hershey, PA; 2. Peter S. Natov, BSc1, Sukeerti Kesar, MD2, Robert F. Yacavone, MD3; 1. Tufts Penn State University Milton S. Hershey Medical Center and College of Medical Center and Tufts University School of Medicine, Boston, MA; Medicine, Hershey, PA 2. Tufts Medical Center, Boston, MA; 3. Tufts University Medical Center, P1495. Innovative Use of Linear EUS Boston, MA Jonathan Weinberger, MD, Matthew Grunwald, MD, Daniel J. Waintraub, P1507. Type II Choledochal Cyst With Obstructive Jaundice and Chronic MD, Maryanne Ruggiero, MD, Rebecca Rhee, MD, Ira Mayer, MD, Dmitriy O. Pancreatitis: A Case Report Khodorskiy, MD; Maimonides Medical Center, Brooklyn, NY Naren S. Nallapeta, MBBS1, Sohaib Jamil, MD1, Ramon Rivera, MD2; 1. State P1496. A Novel Case of Plasma Cell Leukemia Diagnosed by Endoscopic University of New York at Buffalo, School of Medicine and Biomedical Ultrasound With Fine-Needle Biopsy Sciences, Buffalo, NY; 2. University at Buffalo, Buffalo, NY Mairin Joseph-Talreja, MD1, Donelle Cummings, MD2, Christopher Chum, DO3, Derrick Cheung, MD1; 1. State University of New York Downstate Medical Center, Brooklyn, NY; 2. State University of New York Downstate Medical Center, New York, NY; 3. Coney Island Hospital, Brooklyn, NY

P1508. Endoscopic Stricturotomy via Argon Plasma Coagulation With P1517. Risk Factors for Recurrent Primary Sclerosing Cholangitis (rPSC) Balloon Dilation for Refractory Colonic Stricture Secondary to Crohn’s After Orthotopic Liver Transplant Disease Michael Schoech, MD, Kenneth Sherman, MD, PhD; University of  Presidential Poster Award Cincinnati College of Medicine, Cincinnati, OH Saad Emhmed Ali, MD, Nishant Tripathi, MD, Robert-Marlo Bautista, P1518. Comparable Response of Intradermal Hepatitis B Vaccination in MD, MS, Moamen Gabr, MD, MSc, Houssam Mardini, MD, MBA, MPH, Dialysis and General Population Non Repsonder to Intra-Muscular Route FACG, Wesam Frandah, MD; University of Kentucky College of Medicine, Farina Hanif, MBBS, FCPS (Gastro), Nasir Mehmood, MBBS, Syed Mudassir Lexington, KY Laeeq, MBBS, FCPS (Gastro), Nasir Hassan Luck, MBBS, FCPS (Med), P1509. Endoscopic Management of Gastric Outlet Obstruction Due to a FCPS (Gastro), Shoaib Ahmed Khan, MBBS, Sandeep Kumar, MBBS; Sindh Large Gallstone ("Bouveret's Syndrome") Institute of Urology and Transplantation, Karachi, Sindh, Pakistan Saad Emhmed Ali, MD, Karim Benrajab, MD, Nishant Tripathi, MD, P1519. Impact of Treatment With Direct Anti Viral Agents on Health Related Moamen Gabr, MD, MSc, Houssam Mardini, MD, MBA, MPH, FACG, Wesam Quality of Life Using Chronic Liver Disease Questionnaire in Chronic Frandah, MD; University of Kentucky College of Medicine, Lexington, KY Hepatitis C Patients P1510. EUS-Guided Transrectal Drainage and Stent Placement for Large Shoaib Ahmed Khan, MBBS, Farina Hanif, MBBS, FCPS (Gastro), Syed Presacral Abscess Secondary to Acute Appendicitis Mudassir Laeeq, MBBS, FCPS (Gastro), Nasir Hassan Luck, MBBS, FCPS Saad Emhmed Ali, MD, Adnan Elghezewi, MD, MPH, Moamen Gabr, MD, (Med), FCPS (Gastro), Zain Majid, MBBS, Nasir Mehmood, MBBS, Sandeep MSc, Houssam Mardini, MD, MBA, MPH, FACG, Wesam Frandah, MD; Kumar, MBBS; Sindh Institute of Urology and Transplantation, Karachi, University of Kentucky College of Medicine, Lexington, KY Sindh, Pakistan P1511. Importance of Chest and Abdominal Imaging Before Placing P1520. The Effect of Steatosis on the Clinical Course of Autoimmune Hepatitis a PEG Tube Ashley Davis, MD1, David Assis, MD1, Romulo Celli, MD1, Ananta Gurung, Samiran Roy Chaudhury, MD, Rachana Oak, DO, Kavita Kumar, MD, MD2, Jain Dhanpat, MD1; 1. Yale University School of Medicine, New Haven, Michael Bernstein, MD; Coney Island Hospital, Brooklyn, NY CT; 2. University of British Columbia, New Westminster, BC, Canada P1521. The Majority of Patients With Primary Biliary Cholangitits Do Not Achieve the Ideal Treatment Response in a Real World Clinical Practice LIVER Oladuni D. Cummings-John, MD1, Stephenie Geistweidt1, Michael Ritchie, MD2, Candice Angueira1, Toluwalase C. Okubote, MD1, Johanna M. Ascher P1512. Worse Functional Status at Time of Liver Transplant Waitlist Bartlett, MD3, Jean Filo, BS4, Mary Barbara, MD3, Eric Lawitz, MD5, Ibrahim Registration Is Associated With Significantly Greater Prevalence of Hepatic Hanouneh, MD2, Naim Alkhouri, MD1; 1. Texas Liver Institute, San Antonio, Encephalopathy, Ascites, and Spontaneous Bacterial Peritonitis TX; 2. Abbott Northwestern Hospital, Minneapolis, MN; 3. University of Patrick McCabe, MD1, Grishma Hirode, MAS2, Benny Liu, MD2, Taft Bhuket, Texas Health Science Center, San Antonio, TX; 4. University of Delaware, MD2, Robert Wong, MD, MS, FACG3; 1. California Pacific Medical Center, Wilmington, DE; 5. Texas Liver Institute, University of Texas Health, San San Francisco, CA; 2. Alameda Health System, Oakland, CA; 3. Alameda Antonio, TX Health System - Highland Hospital, Oakland, CA P1522. Fibroscan Is a Feasible and Useful Point-Of-Care Tool to Assess P1513. Non-Alcoholic Fatty Liver Disease Is an Increasing Reason for Nonalcoholic Fatty Liver Disease Severity in Children Texas Liver Institute, Referral to Gastroenterology University of Texas (UT) Health San Antonio, San Antonio, TX Pankaj Aggarwal, MD1, Aaron Thomas, DO1, Christine Andrews, BS2, Leon Oladuni D. Cummings-John, MD1, Stephenie Geistweidt1, Toluwalase C. Kundrotas, MD2, Shail Govani, MD, MSc2; 1. University of Texas Health Okubote, MD1, Johanna M. Ascher Bartlett, MD2, Jean Filo, BS3, Amanda Science Center, San Antonio, TX; 2. South Texas Veterans Health Care Betancourt, PA-C1, Naim Alkhouri, MD1, Eric Lawitz, MD4, Candice System, San Antonio, TX Angueira1; 1. Texas Liver Institute, San Antonio, TX; 2. University of P1514. Sex-Specific and Ethnicity-Specific Disparities in Receipt of Texas Health Science Center, San Antonio, TX; 3. University of Delaware, Hepatocellular Carcinoma (HCC) Treatment Among a Cohort of Patients Wilmington, DE; 4. Texas Liver Institute, University of Texas Health, San Who Developed HCC Recurrence Antonio, TX Julia A. Zhang, MD1, Grishma Hirode, MAS2, Robert Wong, MD, MS, FACG3; P1523. Lusutrombopag Is a Safe Treatment Option for Thrombocytopenia 1. California Pacific Medical Center, San Francisco, CA; 2. Alameda Health in Patients With Chronic Liver Disease Undergoing a Scheduled Invasive System, Oakland, CA; 3. Alameda Health System - Highland Hospital, Procedure: Pooled Safety Analysis From 3 Studies Oakland, CA Robert S. Brown, Jr., MD, MPH, FACG1, Namiki Izumi, MD, PhD2, Takeshi Kano, MS3, Toshimitsu Ochiai, PhD4, Masayuki Kurosaki, MD2, Francesco P1515. Diarrhea Is Common Both Early and Late After Liver Transplantation 5 6 and Rates of C. diff. Remain Elevated Violi, MD , Pomy Shrestha, MD ; 1. Weill Cornell Medical College, New York, NY; 2. Musashino Red Cross Hospital, Tokyo, Tokyo, Japan; 3. Christopher Young, MD1, Samarth Patel, MD1, Mohammad B. Siddiqui, Shionogi & Co., Ltd., Osaka, Osaka, Japan; 4. Biostatistics Center, DO2, Emily Zhang, BA3, Anchalia Chandrakumaran, MD1, Masoud Faridnia, Shionogi & Co., Ltd., Osaka, Osaka, Japan; 5. Sapienza Universita di MD1, Jose Roman Hernandez, MD1, Mohammad S. Siddiqui, MD1, George Roma, Rome, Lazio, Italy; 6. Shionogi Inc., Florham Park, NJ B. Smallfield, MD1; 1. Virginia Commonwealth University Medical Center, Richmond, VA; 2. Virginia Commonwealth University Medical Center, P1524. HEP C: Helping Everyone Provide a Cure Glen Allen, VA; 3. Virginia Commonwealth University School of Medicine, Sean M. Burke, MD, Indira Bhavsar, MD, Kimberly Dowdell, MD, Curtis Richmond, VA Argo, MD; University of Virginia Health System, Charlottesville, VA P1516. The Use of a "Pop Up" Identification System Can Lead to the P1525. Patients With Cirrhosis Have Worse Outcomes When Hospitalized Identification and a High Percentage of Treatment of Patients With Chronic With Influenza Hepatitis C  Presidential Poster Award Ned Snyder, MD, Curtis Curry, BA, Leon Jerrels, RN, MBA; Kelsey-Seybold Lindsay Sobotka, DO1, Alice Hinton, PhD2, Khalid Mumtaz, MD1, Lanla Clinic, Houston, TX Conteh, MD, MPH1; 1. The Ohio State University Wexner Medical Center, Columbus, OH; 2. The Ohio State University College of Public Health, Columbus, OH 122 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1526. Performance of Lab-Based Scoring Tests for the Assessment of P1534. Health Outcomes in Patients With Hepatic Encephalopathy Treated Hepatic Fibrosis Compared to the Liver Biopsy Among Patients With Non- in Community Practice Using a Specialized Pharmacy Team Alcoholic Fatty Liver Disease Richard Guerrero, MD1, Jae Kim, MD2, Ruben Ramirez, MD1, Robert Alexander Miller, MD1, Na Li, MD, PhD1, Alice Hinton, PhD2, Khalid Mumtaz, Mitchell, MD2, Timothy Van Frank, MD2, Kimberley Christensen, RPh3, Kim MD1; 1. The Ohio State University Wexner Medical Center, Columbus, OH; Hinojosa, FNP-C3, Carmen Landaverde, MD4, Nicole Loo, MD3, Fabian 2. The Ohio State University, Columbus, OH Rodas, MD5, Jennifer Wells, MD4, Naim Alkhouri, MD5, Eric Lawitz, MD6, Lisa D. Pedicone, PhD7, Fred Poordad, MD3; 1. Health Outcomes Centers, P1527. The Effect of Metabolic Syndrome Components on Liver Stiffness El Paso, TX; 2. Health Outcomes Centers, Corpus Christi, TX; 3. Health Measurement Values After HCV Eradication Outcomes Centers, San Antonio, TX; 4. Health Outcomes Centers, Austin, Imad Asaad, MD1, Mohamed Eisa, MD1, Tae Hoon Lee, MD2, Osama TX; 5. Texas Liver Institute, San Antonio, TX; 6. Texas Liver Institute, Hamid, MD1, Annumeet A. Sandhu, DO1, Amy Calderon, DO, PharmD1; 1. University of Texas Health, San Antonio, TX; 7. R&R Strategies, Inc., MetroHealth Medical Center, Cleveland, OH; 2. Icahn School of Medicine Bedminster, NJ at Mount Sinai, New York, NY POSTERS

P1535. Treatment of Chronic HBV in African American Patients With and MONDAY P1528. Regional Disparities and Trends of Liver Cancer in the USA: Without Co-Infection With HIV Shedding Lights on Potential Preventable Lethal Disease Usman Rahim, MD1, Sindhuri Benjaram, MD2, Wadah Ameen, MD3, Murray Anas Raed, MD1, Jigar Bhagatwala, MBBS1, Muhammed Sherid, MD1, N. Ehrinpreis, MD, FACG2, Milton Mutchnick, MD2, Paul Naylor, PhD2; 1. Supannee Rassameehiran, MD2, Humberto Sifuentes, MD2, Amol Sharma, Wayne State University, Detroit, MI; 2. Wayne State University School of MBBS1, Subbaramiah Sridhar, MD3; 1. Augusta University, Augusta, GA; Medicine, Detroit, MI; 3. Wayne State University, Melvindale, MI 2. Medical College of Georgia at Augusta University, Augusta, GA; 3. Georgia Medical College / Augusta University, Augusta, GA P1536. The Utility of the Baveno VI Criteria in a Safety Net Hospital Jaclyn Jacobs, MD, Osama Hamid, MD, Amy Calderon, DO, PharmD; P1529. Regional Variations and Trends in the Gallbladder Cancer in the USA MetroHealth Medical Center, Cleveland, OH Anas Raed, MD1, Jigar Bhagatwala, MBBS1, Muhammed Sherid, MD1, Humberto Sifuentes, MD2, Subbaramiah Sridhar, MD3, Amol Sharma, P1537. Screening for Steatosis and Fibrosis in a General Population With MBBS1; 1. Augusta University, Augusta, GA; 2. Medical College of Georgia Fatty Liver Using Transient Elastography (Fibroscan) at Augusta University, Augusta, GA; 3. Georgia Medical College / Augusta Peter W. Wong, MD, FACG, Narayan Dharel, MD, Corinne C. Wong; University, Augusta, GA Gastroenterology Associates of Fredericksburg, Fredericksburg, VA P1530. Early Treatment of Recurrent Hepatitis C Post-Liver Transplant P1538. Social and Medical Determinants of NASH versus NAFLD Using Liver Abirami Thiyagarajan, MD1, John Romano, MD1, Yuqi Guo, MSW2, Omar Histology: A Single Center Experience Massoud, MD, PhD1, Mohamed Shoreibah, MD3, DeAnn Jones, PharmD1; 1. Sheila Rastegari, DO1, Elizabeth S. John, MD1, Selena Valle2, Priyanka University of Alabama at Birmingham School of Medicine, Birmingham, Acharya, MPH, MSc3, Parvez Mantry, MD1; 1. Methodist Dallas Medical AL; 2. University of Alabama, Tuscaloosa, AL; 3. University of Alabama at Center, Dallas, TX; 2. The Liver Institute at Methodist Dallas Medical Birmingham, Birmingham, AL Center, Dallas, TX; 3. Methodist Health System Clinical Research Institute, Dallas, TX P1531. A Retrospective Analysis of Hepatitis-B Reactivation in Hepatitis-C Patients Treated With Direct-Acting Antivirals Therapy P1539. Impact of Initiation of a Screening Program for Hepatitis C Muhammad Tahir, MD1, Naveen Prasad Gopalakrishnan Ravikumar, MD2, Surveillance in Psychiatry Unit Wijewardena Chathura, MD1, Anthony Martinez, MD1; 1. Jacobs School of Varun Kesar, MD1, Marrieth Rubio, MD2, Anita Kablinger, MD2; 1. Virginia Tech, Medicine and Biomedical Sciences, Buffalo, NY; 2. State University of New Roanoke, VA; 2. Virginia Tech Carilion School of Medicine, Roanoke, VA York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY P1540. Quality Metrics Adherence Assessment for Patients With Chronic P1532. Frequency of Diagnosed Acute Intermittent Porphyria in a National Hepatitis B Virus Seen in Gastroenterology Clinics Health Care Database Raya Kutaimy, MBChB1, Sindhuri Benjaram, MD2, Paul Naylor, PhD1, Samuel Silver, MD, PhD1, Angelika L. Erwin, MD, PhD2, Stephen Meninger, Elizabeth May, MD, PhD2, Milton Mutchnick, MD2, Murray N. Ehrinpreis, MD, PharmD3, John J. Ko, PharmD, MBA3, Joseph Tkacz, MS4, Virginia Noxon, FACG2; 1. Wayne State University, Detroit, MI; 2. Wayne State University PhD4, Christian Conradt, PhD3; 1. University of Michigan Medical Center, School of Medicine, Detroit, MI Ann Arbor, MI; 2. Genomic Medicine Institute, Cleveland Clinic, Cleveland, OH; 3. Alnylam Pharmaceuticals, Cambridge, MA; 4. IBM Watson Health, P1541. Efficacy and Safety of Saroglitazar in Nonalcoholic Fatty Liver Cambridge, MA Disease Patients at 1 Year: An Investigator Initiated Study Sunil K. Dadhich, MD, DM, FACG; S N Medical College, Jodhpur, Rajasthan, P1533. High SVR Rates in HCV-Infected Patients With Multiple Co-Morbid India Medical Conditions Treated With HCV DAAs in Community Practice Using a Specialized Pharmacy Team P1542. Hepatitis C Virus Screening Practices by Medical Residents in a Bryan Hanysak, MD1, Jena Mann, FNP1, Ruben Ramirez, MD2, Jae Kim, MD3, Federally-Qualified Health Center Mohamed Zakarya, MD1, Alix Pose, MD, MPH2, Tizita Fekredengel, RPh2, Richard Guerrero, MD2, Timothy Van Frank, MD3, Robert Mitchell, MD3, Forugh Homayounrooz, MD1; 1. Stamford Hospital / Columbia University Kim Hinojosa, FNP-C4, Kimberley Christensen, RPh4, Carmen Landaverde, Vagelos College of Physicians and Surgeons, Stamford, CT; 2. Optimus MD5, Nicole Loo, MD4, Naim Alkhouri, MD6, Jennifer Wells, MD5, Fabian Health Care, Stamford, CT Rodas, MD6, Eric Lawitz, MD7, Lisa D. Pedicone, PhD8, Fred Poordad, MD4; 1. Health Outcomes Centers, Waco, TX; 2. Health Outcomes Centers, P1543. Liver Transplant Referral Patterns for Severe Alcoholic Hepatitis El Paso, TX; 3. Health Outcomes Centers, Corpus Christi, TX; 4. Health With Recent Alcohol Use Outcomes Centers, San Antonio, TX; 5. Health Outcomes Centers, Austin, Angela Hsu, MD, Tenzin Choden, MD, Christine Hsu, MD; MedStar TX; 6. Texas Liver Institute, San Antonio, TX; 7. Texas Liver Institute, Georgetown University Hospital, Washington, DC University of Texas Health, San Antonio, TX; 8. R&R Strategies, Inc., Bedminster, NJ

P1544. Safety and Efficacy of Sofosbuvir Plus Ribavirin and Sofosbuvir P1553. Quantifying Risk Factors and Comparing Clinical Parameters for Plus Daclatasvir With or Without Ribavirin Combinations in Children and Cirrhotic and Non-Cirrhotic Hepatocellular Carcinoma (HCC) in Non- Adolescents With Chronic Hepatitis C Alcoholic Steatohepatitis (NASH) Adil Hassan, Ubedullah Bughio, Rehmatullah Bhatti, Mashooque Ali,  Presidential Poster Award Laraib Jamali, Muhammad Sadik; Asian Institute of Medical Sciences, Aakash Desai, MD1, Patrick Twohig, MD, MPH1, Sonia Sandhu, MD2, Dalbir Hyderabad, Sindh, Pakistan S. Sandhu, MD3; 1. MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH; 2. Cleveland Clinic Foundation / Akron General, P1545. Outcomes of Non-Alcoholic Steatohepatitis in African American Akron, OH; 3. Case Western Reserve University / MetroHealth Medical Patients With Human Immunodeficiency Virus (HIV) Center, Cleveland, OH Taiwo A. Ajose, MD1, Suaka Kagbokue, MD1, Temidayo Abe, MD1, Afolarin Ajose, MBBS2, Seth Richter, MD3; 1. Morehouse School of Medicine, P1554. Changes in Liver Fibrosis Scores in Patients With New Onset Type 2 Atlanta, GA; 2. Babcock University College of Medicine, Atlanta, GA; 3. Diabetes on Triple Therapy With Exenatide / Pioglitazone / Metformin vs. Albany Medical Center, Albany, NY Conventional Therapy: Year Two Results Olga Lavrynenko, MD1, Muhammad Abdul-Ghani, MD1, Mariam Alatrach, P1546. Hepatic Steatosis as an Indicator of Chronic Hepatitis B Virus MD1, Ralph DeFronzo, MD1, Naim Alkhouri, MD2; 1. University of Texas Infection Severity Health Science Center, San Antonio, TX; 2. Texas Liver Institute, San Huei-Wen Lim, MD1, He Qiu, MD, MBA1, Samreen Khuwaja, MD1, Audrey Antonio, TX Liu, MS1, Tai-Ping Lee, MD2; 1. Hofstra North Shore-LIJ School of Medicine, Manhasset, NY; 2. Hofstra / Northwell School of Medicine, Sandra Atlas P1555. Epidemiology of Hepatitis E Virus (HEV)-Related Hospitalizations Bass Center for Liver Diseases, Manhasset, NY in the United States Ikponmwosa Enofe, MD, MPH, Nazia Khan, MD, MS; Michigan State P1547. Quality Improvement Initiative to Improve Receipt of Timely University, East Lansing, MI Surveillance Endoscopy After Variceal Bleeding Andrew M. Moon, MD, MPH1, Hannah P. Kim, MD2, A. Sidney Barritt, MD, P1556. The Palliative Performance Scale Among Patients Evaluated for MSCR2, Jama Darling, MD2, Shifali Arora, MD3; 1. University of North Liver Transplantation Carolina, Durham, NC; 2. University of North Carolina, Chapel Hill, NC; Katherine Duffey, MD1, Avani Amin, MD2, Ritu Nahar, MD2, Katie Shen, 3. Center for Esophageal Diseases and Swallowing, University of North BS3, Mital Shah, MD2, Shady Guirguis, MD4, Dina Halegoua-DeMarzio, Carolina, Cary, NC MD2; 1. Thomas Jefferson University Hospital, Philadelphia, PA; 2. Thomas Jefferson University, Philadelphia, PA; 3. Sidney Kimmel Medical College P1548. Implementation of a Chronic Hepatitis Panel to Improve Viral of Thomas Jefferson University, Philadelphia, PA; 4. Advent Health Hepatitis Screening in Chronic Liver Disease Orlando, Orlando, FL Chandraprakash Umapathy, MD, MS1, Jonathan Pham, DO, MPH1, Linda Stokes, PhD2, Marina Roytman, MD1; 1. University of California San P1557. Evaluation of Outcomes Following Elective Transjugular Francisco - Fresno, Fresno, CA; 2. Community Regional Medical Center, Intrahepatic Portosytemic Shunt (TIPS) Placement in Cirrhotic Patients Fresno, CA Ryan Burkholder, MD1, Syed Musa Raza, MD1, James D. Morris, MD, FACG2, Hrishikesh Samant, MD1; 1. Louisiana State University, Shreveport, LA; 2. P1549. Direct-Acting Antivirals for the Treatment of Hepatitis C Genotypes Louisiana State University Health, Shreveport, LA 1 to 5 in Sub-Saharan Africa Amir Sultan, MD1, Grace Braimoh, MD2, Abate Bane, MD3, Jose D. Debes, P1558. Association Between Vitamin D Deficiency and Nonalcoholic Fatty MD4; 1. Addis Ababa University, Adis Ababa, Adis Abeba, Ethiopia; 2. Liver Disease (NAFLD) Hennepin Healthcare, Minneapolis, MN; 3. Addis Ababa University, Addis Firas Baidoun, MD, Muhammad Talal Sarmini, MD, Yasser Alkhadra, Ababa, Adis Abeba, Ethiopia; 4. University of Minnesota, Minneapolis, MN MD, George Khoudari, MD, Arthur J. McCullough, MD; Cleveland Clinic Foundation, Cleveland, OH P1550. Effect of Dose Modification of Ribavirin on SVR 12 in Difficult to Treat Patients on Sofosbuvir, Daclatasvir Based DAA Therapy for Chronic HCV P1559. Delayed Paracentesis Is Common for Patients With Spontaneous Arif Nawaz, MD1, Haseeb Iqbal, MBBS2, Zohaib Khan, MBBS2, Saherish Bacterial Peritonitis: A Multicenter Retrospective Experience Riaz, MBBS2, Asad Chowdhry, MBBS3, Bushra Ali, MBBS2, Shahmeer Backer Abdu, MD1, Shalaka Akolkar, DO1, Christopher Picking, MD2, Nawaz, BS4, Hafsa Chaudhry, BS4; 1. CHI Health Good Samaritan, Kearney, Judith Boura, MS3, Marc Piper, MD, MSc2; 1. St. John Providence Hospital, NE; 2. Fatima Memorial Hospital, Lahore, Punjab, Pakistan; 3. Chaudhry Southfield, MI; 2. Michigan State University, College of Human Medicine, Hospital, Gujranwala, Punjab, Pakistan; 4. Chaudhry Hospital, Lahore, Southfield, MI; 3. St. John Macomb - Oakland Hospital, Warren, MI Punjab, Pakistan P1560. Hepatocellular Carcinoma (HCC) Diagnosis, Treatment and P1551. The Prevalence of Liver Fibrosis in Hispanic Adolescents With Outcome in a Primarily African American Population Nonalcoholic Fatty Liver Disease Is High and Independent of the Presence Jenny Jan, BS, Sindhuri Benjaram, MD, Brian Rutledge, MD, Raya Kutaimy, of Prediabetes and Diabetes MD, Philip Philip, MD, Murray N. Ehrinpreis, MD, FACG, Milton Mutchnick, Sanjeet Sandhu, DO; University of Texas Health Science Center, San MD, Paul Naylor, PhD; Wayne State University School of Medicine, Detroit, MI Antonio, TX P1561. Prognostic Value of NIACE Score in Patients With Hepatocellular P1552. BMI Is an Independent Predictor for the Occurrence of HCC Carcinoma Undergoing Transarterial Radioembolization Following DAA Therapy in HCV Related Cirrhosis Jeffrey M. Lynch, MD1, Ragesh Thandassery, MD2, Michael V. Beheshti, Shreesh Shrestha, MD1, Yogesh Dhungana, MS2, Bilal Ali, MD1, Sanjaya MD2; 1. University of Arkansas for Medical Sciences, Little Rock, AR; 2. Kumar Satapathy, MD3; 1. The University of Tennessee Health Science Central Arkansas Veterans Health Care System, Little Rock, AR Center, Memphis, TN; 2. St. Jude Children's Research Hospital, Memphis, TN; 3. Northshore University Hospital / Northwell Health, New York, NY

124 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1562. Results of a Hepatitis C Outreach Initiative and Identification of LIVER Barriers to Treatment Clinical Vignettes / Case Reports  Presidential Poster Award Alexandra Pogosky, MD1, Manida Wungjiranirun, MD1, Janine Molino, P1570. HBSAg Seroclearance and Seroconversion Among Male Filipino PhD2, Marlene Callahan, PharmD3, Christina Furtado, MSN, CGRN3, Americans With Chronic Hepatitis B Yetunde Shittu, MSN3, Kittichai Promrat, MD4; 1. Warren Alpert Medical Noel R. Fajardo, MD; Las Vegas Gastroenterology, Las Vegas, NV School of Brown University, Providence, RI; 2. Lifespan, Providence, RI; 3. Providence Veterans Hospital, Providence, RI; 4. Brown University, P1571. Hydroxychloroquine-Induced Acute Liver Injury 1 2 2 Providence, RI Bahar Cheema, MD , Drew Triplett, DO , Padmini Krishnamurthy, MD ; 1. Dayton, OH; 2. Wright State University Boonshoft School of Medicine, P1563. Incorporation of Obesity Management into the Care of Patients Dayton, OH With Nonalcoholic Steatohepatitis: The Yale Fatty Liver Disease Model M. Salah Mankash, MD1, Maureen Kelly, PA-C2, Jessica Dean, RD2, Andrew P1572. Liver Abscess Complicated by Invasive Klebsiella Syndrome 1 1 1 Resulting in Endophthalmitis POSTERS

J. Duffy, MD , Wajahat Z. Mehal, MD, PhD , Albert Do, MD, MPH ; 1. Yale MONDAY 1 1 2 University School of Medicine, New Haven, CT; 2. Yale New Haven Usman Naseer, MBBS , Ali Wazir, MBBS , Shannon Murawski, MD , Hau 2 1 Hospital, New Haven, CT C. Chieng, DO , Boris Medarov, MD ; 1. Albany Medical Center, Albany, NY; 2. Albany Medical College, Albany, NY P1564. National Demographic and Economic Trends of Primary Malignant P1573. A Rare Cause of Pyogenic Liver Abscess Liver Neoplasms in the United States From 2000-2015 1 2 1 Yii Chun Khiew, MD1, Stephen Tsoukas, MD2; 1. University of Pennsylvania Ishaan Vohra, MD , Bashar M. Attar, MD, PhD , Vatsala Katiyar, MBBS , 1 1 2 Health System, Philadelphia, PA; 2. Pennsylvania Hospital of University of Tejinder Randhawa, DO , Pedro Palacios, MD , Miguel Salazar, MD , 1 1 1 Pennsylvania Health System, Philadelphia, PA Zohaib Haque, DO , Chineme Nwaichi, MD , Madhu Mathew, MD , Muhammad Majeed, MD1, Parth M. Desai, DO1, Mohamed A. Elkhouly, P1565. Real World Effectiveness and Safety of Glecaprevir/Pibrentasvir in MD, MSc2, Estefania Flores, MD1, Prasanth Lingamaneni, MD1, Satya Adults With Chronic Hepatitis C Virus Infection: A Meta-Analysis Mishra, MD1; 1. John H. Stroger, Jr. Hospital of Cook County, Chicago, Markus Cornberg, MD1, Francesco Negro, MD2, Pietro Lampertico, MD3, IL; 2. Cook County Health and Hospital Systems, Chicago, IL Juan Turnes, MD4, Michael P. Curry, MD5, Ashley Brown, MD6, Heiner Wedemeyer, MD7, Jose A. Carrion, MD8, Nicole Wick, MD9, Andreas P1574. Vasculitic Mononeuritis Multiplex Mimicking Bilateral Carpal Tunnel Pangerl, MD10, Lois Larsen, PhD10, Yao Yu, PhD10, Marcello Persico, MD11; Syndrome: A Diagnostic Challenge 1 1 1 1. Hannover Medical School, Hannover, Sachsen-Anhalt, Germany; 2. Ishaan Vohra, MD , Tejinder Randhawa, DO , Vatsala Katiyar, MBBS , Parth 1 1 1 University Hospital, Geneva, Geneve, Switzerland; 3. Fondazione IRCCS M. Desai, DO , Prasanth Lingamaneni, MD , Pedro Palacios, MD , Estefania 1 1 1 Ca’ Granda, Ospedale Maggiore Policlinico, University of Milan, Milan, Flores, MD , Zohaib Haque, DO , Chineme Nwaichi, MD , Muhammad 1 2 2 Lombardia, Italy; 4. C.H.U. Pontevedra & IIS Galicia Sur, Pontevedra, Majeed, MD , Mohamed A. Elkhouly, MD, MSc , Bashar M. Attar, MD, PhD ; Galicia, Spain; 5. Beth Israel Deaconess Medical Center, Boston, MA; 1. John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2. Cook 6. Imperial College Healthcare NHS Trust, London, England, United County Health and Hospital Systems, Chicago, IL Kingdom; 7. University Clinic, Essen, Nordrhein-Westfalen, Germany; P1575. A Mysterious Case of Non-Cirrhotic Recurrent Severe 8. Hospital del Mar Medical Research Institute, Universitat Autonoma Hyperammonemia - What Urea-lly Need to Know de Barcelona, Barcelona, Catalonia, Spain; 9. Trio Health, La Jolla, CA; Venkata Satish Pendela, MD, MBBS, Anisleidys Munoz, MD, Gaby Razzouk, 10. AbbVie, Inc., North Chicago, IL; 11. University of Salerno, Salerno, MD; Rochester General Hospital, Rochester, NY Campania, Italy P1576. Syphilis Hepatitis Presenting as a Mimic of Primary Biliary Cholangitis P1566. Effects of HCV Eradication on Glycemic Control in Type 2 Diabetics Cody Kern, MD1, Caroline M. Blake, BS1, Andrew R. Hoellein, MD, MSEd2; 1. Tejas V. Joshi, MD, Eric Roessler, Anushka Das, John Cefalu, MD, Daniel University of Kentucky, Lexington, KY; 2. University of Kentucky College Raines, MD, FACG; Louisiana State University Health Sciences Center, of Medicine, Lexington, KY New Orleans, LA P1577. Using Serum Transaminase Ratios to Recognize Herpes Simplex P1567. The Use of Albumin in Cirrhotics: Data From a Tertiary Care Center Hepatitis Kajali Mishra, MD1, Taha Ashraf, MD1, Deepak Venkat, MD2; 1. Henry Ford Cody Kern, MD1, Kurt Schaberg, MD2, Kristy Deep, MD3; 1. University of Health System, Detroit, MI; 2. Henry Ford Hospital, Detroit, MI Kentucky, Lexington, KY; 2. University of California Davis, Sacramento, P1568. Gender Differences in Characteristics of Hospitalized Patients With CA; 3. University of Kentucky College of Medicine, Lexington, KY Cirrhosis: A Prospective Multicenter Inpatient Cohort Study P1578. Graft-versus-Host-Disease Following Liver Transplant Jessica B. Rubin, MD, MPH1, Yanin Srisengfa1, Somaya Albhaisi, MD2, Leland Stratton, MD1, Brian Wentworth, MD1, Nicolas M. Intagliata, MD2; 1. Chathur Acharya, MD2, Gayatri Nangia3, Tahira Shaikh, MBBS4, Leroy R. University of Virginia Health System, Charlottesville, VA; 2. University of Thacker, II, PhD2, Rajender Reddy, MD3, Puneeta Tandon, MD4, Jasmohan Virginia, Charlottesville, VA S. Bajaj, MD, FACG2, Jennifer C. Lai, MD, MBA1; 1. University of California San Francisco, San Francisco, CA; 2. Virginia Commonwealth University, P1579. Pyogenic Liver Abscess in the Setting of Recent Polypectomy 1 1 Richmond, VA; 3. University of Pennsylvania, Philadelphia, PA; 4. Mathew J. Thomas, DO , Dustin Kilpatrick, DO , Suneel Mohammed, 2 2 University of Alberta, Edmonton, AB, Canada MD , Nathaniel Krogel, DO ; 1. Carolinas Healthcare System Blue Ridge, Morganton, NC; 2. Carolinas Healthcare System BlueRidge, Morganton, NC P1569. Improvement in Reliability of Acoustic Radiation Force Impulse Elastography Studies Using Feedback and Benchmarking: A Single Center P1580. Early Detection and IR Intervention in a Case of Fulminant Budd- Experience Chiari Syndrome 1 1 1 Asad Ur Rahman, MD1, Effa Zahid, MBBS2, Elliot Wasser, MD1; 1. Cleveland Aida Rezaie, MD , Shifat Ahmed, MD , Layth Al-Jashaami, MD , Nayan 2 Clinic, Weston, FL; 2. Services Institute of Medical Sciences, Weston, FL Patel, DO ; 1. University of Arizona College of Medicine, Phoenix, AZ; 2. Banner University Medical Center, Phoenix, AZ

P1581. Gangrenous Cholecystitis and Revelation of Gallbladder Metastasis P1592. Not Just a Cyst: Rare Presentation of LUQ Pain From Primary Breast Cancer Richard Henriquez, MD1, Isin Y. Comba, MD2, Sundeep Kumar, MD2, Khawaja Arun Minupuri, MD1, Sindusha Gudipally, MD2, Jayamohan Nair, MD3, Bashir, MD2, Maria Wallis-Crespo, MD3, Omar Qazi, MD3, Lakhinder Bhatia, Omar Walli, MD4, Simple Modi, MD2, Jesus M. Salas Noain, MD5; 1. Mercy MD3; 1. University of Central Florida College of Medicine, Orlando, FL; 2. Health System, Yeadon, PA; 2. Mercy Catholic Medical Center, Darby, PA; University of Central Florida College of Medicine, Kissimmee, FL; 3. Osceola 3. Mercy Catholic Medical Center, Yeadon, PA; 4. Mercy Catholic Medical Regional Medical Center, Kissimmee, FL Center, Belleville, NJ; 5. Mercy Catholic Medical Center, Drexel Hill, PA P1593. Ectopic Liver: A Silent Killer P1582. Accidentally Discovered Cystic Echinococcosis of the Liver  Presidential Poster Award Mohamed A. Elkhouly, MD, MSc1, Bashar M. Attar, MD, PhD1, Ahmed A. Manisha Jakkidi, MD1, Cynthia Edirisuriya, MD1, Adam Elfant, MD, FACG2, Elkafrawy, MD2, Ishaan Vohra, MD3, Miguel Salazar, MD1, Hemant Mutneja, Thomas Holdbrook, MD3, Adib Chaaya, MD3; 1. Cooper University Hospital, MD3, Satya Mishra, MD3; 1. Cook County Health and Hospital Systems, Mount Laurel, NJ; 2. Cooper Digestive Health Institute, Mount Laurel, NJ; Chicago, IL; 2. University of Missouri Kansas City School of Medicine, Kansas 3. Cooper University Hospital, Camden, NJ City, MO; 3. John H. Stroger, Jr. Hospital of Cook County, Chicago, IL P1594. Recurrent Hepatic Sarcoidosis in Post-Liver Transplant P1583. A Rare Case of Cytomegalovirus Hepatitis Complicated by Anusha Jogimahanti, MD1, Kesler Bourgoyne, MD1, Anusha Jogimahanti, Secondary Syphilis Hepatitis in an Immunocompetent Patient MD1, Hrishikesh Samant, MD2, James D. Morris, MD, FACG1; 1. Louisiana He Qiu, MD, MBA1, Huei-Wen Lim, MD1, Tai-Ping Lee, MD2; 1. Hofstra / State University Health, Shreveport, LA; 2. Louisiana State University Northwell School of Medicine, Manhasset, NY; 2. Hofstra / Northwell Health Sciences Center, Shreveport, LA School of Medicine, Sandra Atlas Bass Center for Liver Diseases, Manhasset, NY P1595. Acute Leukemia Developing in a Patient With Advanced Hepatocellular Carcinoma P1584. A Case of Cryptogenic Liver Abscess in a Young Uncontrolled Preethi Ramachandran, MD, MRCP, FRCP, Burak Erdinc, MD, Rewais Diabetic Morcus, MD, Vladimir Gotlieb, MD; Brookdale University Hospital, New Sharmeen Mahmood, DO1, Randeep Kaur, MD2, Alaa Abu Sayf, MD1; 1. York, NY Henry Ford Hospital, Detroit, MI; 2. Henry Ford Health System, Detroit, MI P1596. Post-Infantile Giant Cell Hepatitis Leading to Severe Acute Liver P1585. A Case Report of Herpes Simplex Virus Hepatitis Presenting as Injury in Chronic Lymphocytic Leukemia (CLL): Progression of CLL vs. Drug Fever of Unknown Origin Induced Liver Injury (DILI) Christina Dimaria, DO, RD, Prapaipan Putthapiban, MD, William Jimenez Naba Saeed, MD1, Govind Warrier, MD, MPH2, Alisa Likhitsup, MD3, Marte, MD, Karanjit Sandhu, MD; Albert Einstein Medical Center, Ammar Hassan, MD4, Eun-Young K. Choi, MD5, Hari Conjeevaram, MD1; Philadelphia, PA 1. University of Michigan Health System, Ann Arbor, MI; 2. University of Michigan Medical Center, Ann Arbor, MI; 3. University of Missouri P1586. Treatment of Hepatitis C in an Immunosuppressed Patient With Kansas City and Saint Luke's Hospital of Kansas City, Kansas City, MO; Malignancy 4. University of Michigan Health System, Grand Rapids, MI; 5. Michigan Elliot Coburn, MD1, Mary Drinane, MBBCh2; 1. Dartmouth-Hitchcock Medicine, Ann Arbor, MI Medical Center, Lebanon, NH; 2. Dartmouth-Hitchcock Medical Center, Hanover, NH P1597. Large Hepatic Arteriovenous Fistula Leading to Non-Cirrhotic Portal Hypertension and Associated Complications P1587. Liraglutide-Induced Liver Injury With Superimposed Acute Thanh-Truc Le, MD, Kara J. Jencks, BSA, BA, Sreeram Parupudi, MD, Pancreatitis FACG; University of Texas Medical Branch, Galveston, TX Eric O. Then, MD1, Srikanth Maddika, MD1, Vijay Gayam, MD2, Andrew Ofosu, MD3, Andrea Culliford, MD, FACG1, Vinaya Gaduputi, MD, FACG4; 1. P1598. Acute Iron Toxicity in an Adult: Intentional or Accidental? St. Barnabas Hospital, Bronx, NY; 2. Interfaith Medical Center, Brooklyn, Aakash Desai, MD1, Patrick Twohig, MD, MPH2, Dalbir S. Sandhu, MD3; 1. NY; 3. Brooklyn Hospital Center, Brooklyn, NY; 4. SBH Health System, MetroHealth Hospital, Case Western Reserve University, Cleveland, OH; 2. Bronx, NY MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH; 3. Case Western Reserve University / MetroHealth Medical Center, P1588. Bone Metastasis as Index Presentation of Hepatocellular Carcinoma Cleveland, OH Eric O. Then, MD1, Andrew Ofosu, MD2, Vijay Gayam, MD3, Srikanth Maddika, MD1, Ali Chaudhri, MD1, Vinaya Gaduputi, MD, FACG4; 1. St. Barnabas P1599. Dapagliflozin, Diabetes, Liver Disease: With New Medications Come Hospital, Bronx, NY; 2. Brooklyn Hospital Center, Brooklyn, NY; 3. Interfaith New Responsibilities Medical Center, Brooklyn, NY; 4. SBH Health System, Bronx, NY Jason J. John, BS1, Elizabeth S. John, MD2, Mangesh Pagadala, MD2; 1. Virginia Commonwealth University School of Medicine, Richmond, VA; 2. P1589. Right Upper Quadrant Pain in a Young Woman Isn’t Always Biliary Methodist Dallas Medical Center, Dallas, TX in Origin: A Case of Fitz-Hugh–Curtis Syndrome (FHCS) Gassan Kassim, MD1, Yingheng Liu, MD, PhD1, Michael S. Smith, MD, MBA2; P1600. Bladder Varices Causing Hematuria and a New Diagnosis of 1. Mount Sinai St. Luke's and Mount Sinai Roosevelt, New York, NY; 2. Cirrhosis Mount Sinai West and Mount Sinai St. Luke's Hospitals, New York, NY Cristina Calogero, MD1, Dina Halegoua-DeMarzio, MD2, Jonathan Fenkel, MD1; 1. Thomas Jefferson University Hospital, Philadelphia, PA; 2. Thomas P1590. Severe Cholestatic Hepatitis: An Atypical Presentation of Epstein- Jefferson University, Philadelphia, PA Barr Virus Infection Antonio J. Sanchez, MD, Kyle Brown, MD, Xiaoping He, MD; University of P1601. Multiple Uncommon Complications After TACE Iowa Hospitals & Clinics, Iowa City, IA Aliana Bofill1, Zeyn Mirza, MD2, Loscar Santiago, MD3; 1. VA Caribbean Healthcare, Guaynabo, Puerto Rico; 2. VA Caribbean Healthcare System, P1591. Primary Squamous Cell Carcinoma of the Liver: A Rarity San Juan, Puerto Rico; 3. VA Caribbean Healthcare System, Guaynabo, Sheena Mago, DO1, Sarah Rawi, MD1, Bharat Ramlal, MD2; 1. University Puerto Rico of Connecticut Health Center, Farmington, CT; 2. Hartford Hospital, Hartford, CT

126 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1602. Secondary Sclerosing Cholangitis and Nodular Regenerative P1614. Flood Syndrome, a Rare Complication of Cirrhosis Hyperplasia Caused by Hereditary Spherocytosis Arcelia Guerson Gil, MD, Bradley Rockwell, MD, Benjamin Galen, MD; Maulik Shah, DO1, Summar Salim, DO1, Ashraf Malek, MD2; 1. Rowan Montefiore Medical Center, Bronx, NY University School of Osteopathic Medicine, Stratford, NJ; 2. Lourdes Medical Associates, Cherry Hill, NJ P1615. An Unlikely Presentation of Diffuse Large B-Cell Lymphoma Manifesting as Hepatic Failure P1603. Drug-Induced Liver Injury From Prolonged Kava Kava and Kratom Use Nishi Pandey, DO1, David Truscello, DO1, Sharan Parikh, DO1, Hisham Maulik Shah, DO1, Hasan Ali, DO2, Hisham Elgenaidi, MD3; 1. Rowan El Genaidi, MD2; 1. Rowan University School of Osteopathic Medicine, University School of Osteopathic Medicine, Stratford, NJ; 2. Rutgers Stratford, NJ; 2. Lourdes Medical Associates, Hammonton, NJ New Jersey Medical School, Newark, NJ; 3. Lourdes Medical Associates, Cherry Hill, NJ P1616. NAC of All Trades: Use of N-acetylcysteine in Cocaine-Induced Acute Liver Failure P1604. Hemobilia-Associated Acute Cholecystitis Post-Percutaneous Liver  Presidential Poster Award Biopsy: A Unexpected Sequelae of a Known Complication Katherine Bill, MD1, Abdelkader Chaar, MD2, Mohammed Barawi, MD2; 1. POSTERS Tina Pakala, MD, Jason Cohen, MD, Ari Bunim, MD, Syed Hussain, MD; St. John Hospital and Medical Center, Detroit, MI; 2. Ascension St. John MONDAY New York Hospital Queens, New York, NY Hospital, Detroit, MI P1605. Almost Fatal: An Unusual Case of Focal Nodular Hyperplasia in P1617. Herbal Teas: More Harmful Than Helpful? Cirrhotic Liver Mimicking Cholangiocarcinoma Anuhya Gampa, MD, Ayush N. Shah, DO, Dhiren Shah, MD; NorthShore Preethi Ramachandran, MD, MRCP, FRCP, Fatai Oluyadi, MD, Lakshmi University HealthSystem, Evanston, IL Boypati, MD, Ruchi Yadav, MBBS, Boris Avezbakiyev, MD; Brookdale University Hospital, New York, NY P1618. Tuberculosis: Another Great Masquerader of the GI Tract Anuhya Gampa, MD, Ayush N. Shah, DO, Dhiren Shah, MD; NorthShore P1606. An Interesting Case of Drug-Induced Liver Injury Related to Khat University HealthSystem, Evanston, IL Daniel J. Waintraub, MD1, Kaveh Zivari, MD1, Richard M. Fazio, MD, MS1, Jonathan Weinberger, MD1, Rabin Rahmani, MD1, Yuriy Tsirlin, MD1, James P1619. Massive Hematochezia Due to Bleeding Cecal Varices in a S. Park, MD2; 1. Maimonides Medical Center, Brooklyn, NY; 2. New York 35-Year-Old University Langone Medical Center, Brooklyn, NY Silpa Yalamanchili, MD, Amanda Long, DO, George Mikhail, MD, Malini Mathur, MD; Lankenau Medical Center, Wynnewood, PA P1607. Periodontal Flora Isolated From Pyogenic Liver Abscess in a Retired Dentist With Hepatic Metastasis of Colon Carcinoma P1620. Rare on Rare: A Simultaneous Presentation of SLE and PBC Tanuj Chokshi, DO, Evan Botti, MD, Fray Arroyo-Mercado, MD, Michelle Abid T. Javed, MD, David Koch, MD; Medical University of South Carolina, Likhtshteyn, MD, Naseem Hossain, DO, Chi Doan Huynh, MD, Daniela Charleston, SC Tello, MD, Isabel M. McFarlane, MD; SUNY Downstate Medical Center, P1621. Severe Allopurinol-Induced Liver Injury Brooklyn, NY Paul Guzik, DO, Christopher Kim, MD, Kavitha Kumbum, MD; University of P1608. Trimethoprim-Sulfamethoxazole Induced DRESS Requiring Liver Texas Dell Medical School, Austin, TX Transplant P1622. Drug-Induced Liver Injury (DILI) Does Not Always Follow Sara Iqbal, MD1, Stephen Chow, MD2, Thomas Amankonah, MD2; 1. the Textbook University of Mississippi Medical Center, Flowood, MS; 2. University of Teminioluwa A. Ajayi, MD, MPH1, Ejemenare A. Dawodu, MBBS2, Won J. Mississippi Medical Center, Jackson, MS Huh, MD, PhD1, Andrew E. Scanga, MD1, Manhal Izzy, MBChB1; 1. Vanderbilt P1609. A Case of TACE: A Rare Complication of Transarterial University Medical Center, Nashville, TN; 2. University of Benin Teaching Chemoembolization Hospital, Benin City, Edo, Nigeria Eric Lorio, MD1, Aws Alameri, MD2, Patricia Wathen, MD1; 1. University P1623. Zieve's Syndrome: A Case of an Unusually Profound Hemolysis of Texas Health, San Antonio, TX; 2. University of Texas Health Science in the Setting of Alcoholic Liver Disease Center, San Antonio, TX Farhan Ali, DO, Cassandra Steimle, DO, Andrew Kelts, DO, Jennifer Jeng, P1610. Do You Wish to Have a Liver Transplant? A Case of Testosterone DO, Pallavi Kamjula, MD, Dayakar Reddy, MD, Wesley Livingston, DO, Booster-Induced Toxic Hepatitis Zhezheng Li, DO, Michael Kochik, DO, Edwin Golikov, DO, Eric Raborn, Nehal Patel, MD, Vivek Choksi, MD, John Rivas, MD, Prashanth Reddy DO; Arnot Ogden Medical Center, Elmira, NY Yella, MD, Shivani Priyadarshni, MD, Balarama K. Surapaneni, MD, Rulz T. P1624. Acute Liver Failure in the Setting of HSV-Induced Hemophagocytic Cantave, MD; Aventura Hospital and Medical Center, Aventura, FL Lymphohistiocytosis P1611. Primary Neuroendocrine Tumor of the Porta Hepatis in a Patient Kamal Amer, MD, Peter Block, MD, Jennifer Hong, MD, Christina Tofani, With Crohn’s Disease MD; Thomas Jefferson University Hospital, Philadelphia, PA Lance N. Blau, MD, Rohan B. Parikh, MD, Muhammad U. Khalid, MD, James P1625. Progression of Post-Islet Cell Transplantation Hepatic Steatosis to F. Shina, MD; Western Reserve Health Education, Northeast Ohio Medical Cirrhosis: A Rare Complication of a Common Finding University, Warren, OH Sally Condon, MD1, Laura Smart, MD2, Craig McClain, MD1; 1. University of P1612. Acute Liver Failure: Drug-Induced Liver Injury and a Perfect Louisville, Louisville, KY; 2. University of Louisville Hospital, Louisville, KY Thyroid Storm P1626. A Rare Presentation of Acute Hepatitis in the Setting of Patrick Harris, MD, Mohamed Shoreibah, MD; University of Alabama at Wilson’s Disease Birmingham, Birmingham, AL Nizar Al-Salameh, DO1, Sara West, DO1, John T. Walker, DO2, Robert 1 P1613. A Rare Case of Biktarvy-Induced HBV Flare Smith, MD ; 1. Geisinger Health System, Danville, PA; 2. Geisinger Medical Srilaxmi Gujjula, MD, Mohamed Barakat, MD, Jaideep Misra, MD, Khalil Center, Danville, PA Aloreidi, MD, Leonard Berkowitz, MD, Madhavi Reddy, MD, FACG; The P1627. A Case of BRAF V600E Intrahepatic Cholangiocarcinoma Brooklyn Hospital Center, Brooklyn, NY Zarir Ahmed, DO, Elizabeth Doane, MD, Nirav Antao, DO, Anuj Chhaparia, MD; St. Louis University, St. Louis, MO

P1628. Symptomatic Hepatic Sarcoidosis in a Hispanic Patient With P1640. Unusual Presentation of Spontaneous Bacterial Empyema in Severely Elevated Liver Biochemical Tests Cirrhosis Michael Harris, DO, Benjamin Pottebaum, DO, Noah Settergren, DO, Neha Agrawal, MD, Hammad Liaquat, MD, Natalie Mansour, MD, Mina Charles Ruzkowski, MD; Parkview Medical Center, Pueblo, CO Shaker, MD, MSc; Temple University School of Medicine, Philadelphia, PA P1629. Case Studies: Hepatitis B Surface Antigen Positive or DNA P1641. Diffuse Large B-Cell Lymphoma Presenting With Typical Features of Detectable After Vaccination? HCC on Liver Imaging: A Diagnostic Conundrum Binghong Xu, MD, Mindy S. Houng, MD, Su Wang, MD, MPH; Center for Hammad Liaquat, MD, Sara Goff, MD, Nirag Jhala, MD, Amirali Kiyani, MD; Asian Health, Saint Barnabas Medical Center, Florham Park, NJ Temple University School of Medicine, Philadelphia, PA P1630. A Rare Case of Severe Primary Polycystic Liver Disease P1642. A Rare Case of Klebsiella Pneumoniae Liver Abscess With Souleymane Y. Diallo, DO, MBA1, Brenda M. Briones, MD2, Adrianne K. Subsequent Invasive Disease Thompson, MD3, Leon Kundrotas, MD3; 1. University of Texas Health Science Daniel McCarty, DO, Janyll Castineira, DO, Ergen Muso, DO, Steven Beljic, Center, San Antonio, TX; 2. University of Texas Health, San Antonio, TX; 3. DO; Largo Medical Center, Largo, FL South Texas Veterans Health Care System, San Antonio, TX P1643. Hepatic Actinomycosis Masquerading as Gastrointestinal P1631. Acute Liver Failure Caused by Hemophagocytic Lymphohistiocytosis Malignancy Secondary to Aggressive Natural Killer Cell Leukemia and Epstein-Barr Jennifer Kang, BA, MD1, Frances Tian, BS, MD1, Augustin Joseph, BS, Virus Reactivation MD1, Sarah Russell, BS2, Olamide Jarrett, MD, MPH1, Christine Chan, MD1; Suha Abu Khalaf, MD, Mohamad Yousef, MD, Abdulmajeed Albarrak, MD, 1. University of Illinois, Chicago, IL; 2. University of Illinois College of Vanessa Kuwajima, MD, Jamal A. Ibdah, MD, PhD, FACG, Veysel Tahan, Medicine, Chicago, IL MD, FACG; University of Missouri, Columbia, MO P1644. Biopsy Confirmed Infiltrating Breast Cancer in the Liver Not P1632. A Rare Case of Primary Glomus Tumor of Liver Captured by MRI Abdomen Sravanthi Sonti, MD, Aparna Shreenath, MD, Laxmi Parsa, MD, Keith Bohman, Sarah Stewart, DO1, Shravani Reddy, MD2, Varun Kesar, MD3, Farhad MD; University of Tennessee College of Medicine, Chattanooga, TN Sahebjam, MD1, Douglas J. Grider, MD4; 1. Carilion Clinic, Roanoke, VA; 2. Virginia Tech Carilion, Roanoke, VA; 3. Virginia Tech, Roanoke, VA; 4. P1633. A Rare Case of Segmental Arterial Mediolysis in a Patient With Carilion Clinic and Virginia Tech Carilion School of Medicine, Roanoke, VA Alpha-1 Antitrypsin Deficiency and Alcoholic Cirrhosis Maryam Alimirah, MD, Ranya Selim, MD, Deepak Venkat, MD; Henry Ford P1645. Liver Cirrhosis of Unknown Etiology With Iron Overload in a Patient Hospital, Detroit, MI Heterozygous for Hereditary Hemochromatosis and Alpha-1 Antitrypsin Pinang Shastri, DO, Sami Ghazaleh, MD, Yasmin Khader, MD, Zeinab P1634. Intrahepatic Cholangiocarcinoma Presenting as Liver Abscess: Moussa, MD, Christian Nehme, MD, Mohammed Awad, MD, Ali Nawras, A Rare Presentation of Common Cancer in Thailand MD, FACG; University of Toledo Medical Center, Toledo, OH Yingluk Sritunyarat, MD1, Roongruedee Chaiteerakij, MD2, Nareumon Wisedopas, MD2; 1. Chulalongkorn University, Uthumpornpisai, Sisaket, P1646. Abnormal Aminotransferases, Think Beyond the Liver Thailand; 2. Chulalongkorn University, Pathumwan, Krung Thep, Thailand Sami Ghazaleh, MD, Yasmin Khader, MD, Marcel Ghanim, MD, Pinang Shastri, DO, Tarik Alhmoud, MD; University of Toledo Medical Center, P1635. Acute Liver Failure After Foraging for Wild Mushrooms: Toledo, OH A Family Affair? Gianina Flocco, MD1, Barbara Mastroianni, RN, MSN, CCTC1, Christina P1647. Successful Hepatitis C Virus Antibody-Positive Donor Liver C. Lindenmeyer, MD2; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. Transplantation in Acute Sickle Cell Intrahepatic Cholestasis: A Case Cleveland Clinic, Cleveland, OH Report Motasem Alkhayyat, MD1, Mohannad Abou Saleh, MD1, Vedha Sanghi, MD1, P1636. Non-Cirrhotic Portal Hypertension Presenting With Variceal Tavankit Singh, MD1, Carol Rouphael, MD1, Roberto Simons-Linares, MD, Bleeding in a Patient With Breast Cancer on Capecitabine MS1, Christina C. Lindenmeyer, MD2, Carlos Romero-Marrero, MD, MSc3, Suzannah Luft, MD1, Audrey H. Calderwood, MD, MS2; 1. Dartmouth- William Carey, MD1; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. Hitchcock Medical Center, Norwich, VT; 2. Dartmouth-Hitchcock Medical Cleveland Clinic, Cleveland, OH; 3. Digestive Disease Institute, Cleveland Center, Lebanon, NH Clinic Foundation, Cleveland, OH P1637. Atypical Infectious Mononucleosis From EBV in a Splenectomized P1648. Amiodarone-Induced Acute Liver Injury Sickle Cell Disease Patient Rajesh Essrani, MD1, Shehriyar Mehershahi, MD2, Rajesh Essrani, MD2, Priyamvada Pillai1, Amit Mehta, MD2, David Wan, MD3; 1. Weill Cornell Sajeer Bhura, MD3, Asif Mehmood, MD1; 1. Geisinger Medical Center, Medicine Qatar, New York, NY; 2. New York-Presbyterian / Weill Cornell Danville, PA; 2. Bronx Lebanon Hospital Center, Bronx, NY; 3. State Medical Center, New York, NY; 3. Weill Cornell Medical College, New York, NY University of New York at Buffalo, School of Medicine and Biomedical P1638. Failure of Occam’s Razor: A Rare Trifecta of Causes for Elevated Sciences, Buffalo, NY Liver Enzymes 1 2 P1649. Unusual Cause of Encephalopathy in an Immediate Post Yii Chun Khiew, MD , Ethan Weinberg, MS, MD ; 1. University of Transplant Patient Pennsylvania Health System, Philadelphia, PA; 2. Hospital of the Kyle Humphrey, MD, Phillip Henderson, DO; University of South Alabama University of Pennsylvania, Philadelphia, PA Health Systems, Mobile, AL P1639. Rare Microbiologic Etiologies of Spontaneous Bacterial Peritonitis P1650. Multifocal Hepatocellular Carcinoma Masquerading as Cirrhosis Nishant Tripathi, MD1, Niki Koirala, PharmD2, Praneeth Kudaravalli, MD1, Kyle Humphrey, MD, Phillip Henderson, DO; University of South Alabama Olalekan Akanbi, MD1, Saad Emhmed Ali, MD1, Pradeep Yarra, MD1, Health Systems, Mobile, AL Hirotaka Kato, MD1, Kshitij Thakur, MD1, Kishore Karri, MD1, Tushi Singh, MD1; 1. University of Kentucky College of Medicine, Lexington, KY; 2. P1651. Shock Liver: A Complication of Gastroduodenal Artery Embolization University of Kentucky, Lexington, KY Faiza Husain, MD, Ahmad Dwairy, BS, John Che, MD, Mohamad El Zein, MD, MPH, Ali Nawras, MD, FACG, Tanvi Goyal, BS, Abdallah Kobeissy, MD; University of Toledo Medical Center, Toledo, OH

128 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1652. Desmoplastic Tumor: Rare and Advanced Presentation P1663. Are Herbal and Dietary Supplements Really Safe? Aleksandr Khudyakov, MD, Fray Arroyo-Mercado, MD, Vikram Sumbly, Siddharth Goel, MD1, Chandi Garg, MD1, Dipanjan Debnath, MD2, Isha MS, Rafsan Ahmed, MS, Donghai Wang, MD, PhD, Charles Shao, MD, PhD, Shrimanker, MD1, Vinod Nookala, MD1, John McLaughlin, MD1; 1. University David Frank, MD; SUNY Downstate Medical Center, Brooklyn, NY of Pittsburgh Medical Center Pinnacle, Harrisburg, PA; 2. Hackensack Meridian Health Ocean Medical Center, Brick, NJ P1653. Peliosis Hepatis Progressing to Acute Liver Failure Rachel Engelberg, MD1, Amit Mehta, MD2, David Wan, MD3; 1. New York P1664. West Nile Encephalitis in a Post-Liver Transplant Patient Presbyterian - Weill Cornell Medical Center, New York, NY; 2. New York- Grace H. Yang, MD1, Tehilla Apfel, MD1, Mehul Shah, DO1, Steven Krawitz, Presbyterian / Weill Cornell Medical Center, New York, NY; 3. Weill Cornell MD2; 1. Rutgers New Jersey Medical School, Newark, NJ; 2. East Orange Medical College, New York, NY VA Hospital, East Orange, NJ P1654. Nivolumab-Induced Hepatitis: A Rare Side Effect of Programmed P1665. An Unusual Case of Spontaneous Reactivation of Hepatitis B in Cell Death-1 (PD-1) Inhibitor Adult T-Cell Lymphoma/Leukemia Gurjeet Kang, DO, Dilip Ghanekar, MD, Christopher L. Orpiano, DO, Cassidy Alexandre, MD, Asra Batool, MD; Albany Medical Center, POSTERS Michael Quinn, DO, Joseph Staffetti, MD, Lakshminarasimhan Venu, MD; Albany, NY MONDAY Regional Medical Center Bayonet Point, Hudson, FL P1666. A Case of Hepatitis B Reactivation P1655. Trenbolone-Induced Liver Injury Sadam H. Haddadin, MD1, Beatriz Martinez, MD1, Natarajan Ravendhran, Gurjeet Kang, DO, Lakshminarasimhan Venu, MD, Christopher L. Orpiano, MD2; 1. Saint Agnes Hospital, Baltimore, MD; 2. Digestive Disease DO, Michael Quinn, DO, Joseph Staffetti, MD, Dilip Ghanekar, MD; Association, Catonsville, MD Regional Medical Center Bayonet Point, Hudson, FL P1667. A Rare Case of IPEX Syndrome With Hepatic Complications P1656. When Breast Cancer Comes Back With Vengeance: Death Within Bareeqah Ahmad, DO1, Umair Masood, MD2, Anuj Sharma, MD3, Savio Three Weeks Secondary to Acute Liver Failure John, MD2; 1. Samaritan Medical Center, Watertown, NY; 2. SUNY Raquel N. Rozner, MD1, David Wan, MD2; 1. New York Presbyterian / Weill Upstate Medical University, Syracuse, NY; 3. State University of New Cornell Medicine, New York, NY; 2. Weill Cornell Medical College, New York Upstate Medical Center, Syracuse, NY York, NY P1668. Adefovir-Induced Fanconi Syndrome: Missed Diagnosis and P1657. Not so Safe for All: A Case of Statin-Induced Autoimmune Hepatitis Misdiagnosis and Primary Biliary Cholangitis Overlap Kaitlyn Weeber, MD1, Joseph Kluesner, MD1, Charles Whang, MD1, Lavanya Thuy-Van Hang, MD, Cesar Taborda, MD, MSc, Amanda Barrett, MD, Yue Viswanathan, MD, MS2; 1. United States Air Force, Travis AFB, CA; 2. Xue, MD, PhD, Ravi Vora, MD; Emory University School of Medicine, United States Air Force, Benicia, CA Atlanta, GA P1669. Hepatic Double Trouble - A Case of Combined Hepatocellular P1658. A Unique Case of Liver Disease in Pregnancy Carcinoma and Cholangiocarcinoma Prachi Rana, MD, Hyosun Han, MD; University of Southern California, Los Pramod Ponna, MD, Rovin Saxena, MD, Mayuri Kulkarni, MD, Benjamin Angeles, CA Diaczok, MD, Geetha Krishnamoorthy, MD; St. Joseph Mercy Oakland, Pontiac, MI P1659. Development of Hepatic Infarct After Successful Transjugular Intrahepatic Portosystemic Shunt (TIPS) Placement P1670. Even When All Hell Breaks Loose...We Have a Plan! Meher S. Mavuram, MD1, Vincent Herlevic, MD1, Hrishikesh Samant, MD2, Praneet Wander, MD1, Michael Ashamalla, MD2, Jessica Pizzuti, MD2, James D. Morris, MD, FACG3, Sudha Pandit, MD3, Kenneth J. Manas, MD3, Diana Lech, MD2, Sanjaya K. Satapathy, MBBS, MD, DM, MS (Epi)3; 1. Paul Jordan, MD, FACG1; 1. Louisiana State University Health Sciences North Shore-LIJ Health System, New York, NY; 2. Hofstra North Shore-LIJ Center, Shreveport, LA; 2. Louisiana State University, Shreveport, LA; 3. School of Medicine, Manhasset, NY; 3. Northshore University Hospital / Louisiana State University Health, Shreveport, LA Northwell Health, Manhasset, NY P1660. Treating Acute Hepatitis C Virus Infections: Is It Cost Effective? P1671. Cinnamon-Induced Acute Hepatitis Jahnavi Koppala, MBBS1, Haitam M. Buaisha, MBBCh1, Rajani Rangray, Fadi Odish, MD, Dillon Karmo, MD, Zaid Imam, MBBS, Angy Hanna, MD, MD2, Sandeep Mukherjee, MD3; 1. Creighton University School of Medicine, Andrew Aneese, MD; William Beaumont Hospital, Royal Oak, MI Omaha, NE; 2. Creighton University Medical Center, Omaha, NE; 3. Creighton University, Omaha, NE P1672. Clinical Challenges of Diagnosis and Management: A Case of Malignant Insulinoma With Hepatic Metastasis P1661. Idiopathic Granulomatous Hepatitis: A Case of Episodic Fever of Adil Khan, MBBS, Zheyu Lu, MBBS, Ritvika Panghal, MD, Raza Naeem, Unknown Origin MD; Indiana University Health Ball Memorial Hospital, Muncie, IN Chimaobi M. Anugwom, MD, Julie Thompson, MD; University of Minnesota Medical School, Minneapolis, MN P1662. Successful Reversal of Sickle Cell Intrahepatic Cholestasis Associated Acute Liver Failure With Combined pRBC and Plasma Exchange Transfusion: A Case Report Suguni Loku Galappaththy, MD1, Osama Kaddourah, MD2, Monisha Dandekar, MD3, Alisa Likhitsup, MD4; 1. University of Missouri, Kansas City, MO; 2. University of Missouri Kansas City School of Medicine, Kansas City, MO; 3. Saint Luke’s Hospital Kansas City, Lenexa, KS; 4. Saint Luke's Liver and Transplant Specialists, University of Missouri Kansas City, Kansas City, MO

OBESITY P1673. Effect of Sleeve Gastrectomy on Ghrelin, GLP-1, PYY, and GIP Gut PEDIATRICS Hormones: A Systematic Review and Meta-Analysis P1680. Regional Variation in the Intestinal Microbiome of Pediatric  Presidential Poster Award Patients With Crohn’s Disease Thomas R. McCarty, MD, Pichamol Jirapinyo, MD, MPH, Christopher C. Rajesh Shah, MD, MS, Kristi Hoffman, PhD, Richard Kellermayer, MD, PhD; Thompson, MD, MHES; Brigham and Women's Hospital, Boston, MA Baylor College of Medicine, Houston, TX P1674. Increased Risk of Sessile Serrated Adenomas on Initial Screening P1681. Prevalence of Eosinophilic Esophagitis Among Patients With Cystic Colonoscopy in Post-Bariatric Surgery Patients Fibrosis: A Web-Based Survey  Presidential Poster Award Nizar Kherallah, MD, Anshu Maheshwari, MD, Jeffery Benson, MD, Ian Ali Y. Fakhreddine, MD1, Joy A. Lee, MD2, Nealansh Gupta, DO3, Pooja R. Kang, MD, Sandeep Gupta, MD; University of Illinois College of Medicine, Magavi, MD1, Mark Takata, MD1, Gauree G. Konijeti, MD, MPH1; 1. Scripps Peoria, IL Clinic / Green Hospital, La Jolla, CA; 2. Scripps Health, La Jolla, CA; 3. Kansas City University of Medicine and Biosciences, Kansas City, KS P1682. A Prospective Study on PPI Response in Children With Eosinophilic Esophagitis P1675. Bariatric Surgery Is Associated With a Recent Temporal Increase  Presidential Poster Award in Colorectal Cancer Resections, Most Pronounced in Adults <50 Years of Paroma Bose, MD1, Eric Albright, MD2, Muhammad T. Idrees, MD2, Cindy Age: A 2006-2013 National Analysis L. Sawyers, CCRC1, Anthony Perkins, MS2, Sandeep Gupta, MD, FACG3, Hisham Hussan, MD1, Arsheya Patel, MD1, Kyle Porter, MAS2, David Emily Hon, MD2; 1. Riley Hospital for Children / Indiana University School Lieberman, MD, FACG3, Dennis Ahnen, MD4; 1. The Ohio State University of Medicine, Indianapolis, IN; 2. Indiana University School of Medicine, Wexner Medical Center, Columbus, OH; 2. The Ohio State University, Indianapolis, IN; 3. University of Illinois, Zionsville, IN Columbus, OH; 3. Oregon Health & Science University, Portland, OR; 4. University of Colorado, Denver, CO P1683. Are There Predictors of Eosinophilic Esophagitis in Children Undergoing Initial Endoscopy for Esophageal Dysfunction? P1676. A Multifaceted Weight Loss Program for Management of Paroma Bose, MD1, Eric Albright, MD2, Muhammad T. Idrees, MD2, Cindy Obesity Related Gastrointestinal Disorders in a Community Based L. Sawyers, CCRC1, Anthony Perkins, MS2, Sandeep Gupta, MD, FACG3, Gastroenterology Practice Emily Hon, MD2; 1. Riley Hospital for Children / Indiana University School  Presidential Poster Award of Medicine, Indianapolis, IN; 2. Indiana University School of Medicine, Fadi Hawa, MD1, Mark Gladshteyn, BS2, Mitchelle Zolotarevsky, BS2, Indianapolis, IN; 3. University of Illinois, Zionsville, IN Stephen H. Berger, MD3, Paul M. Corsello, MD3, Michael R. Fine, MD3, Stevany L. Peters, MD3, John W. Walsh, MD3, Mark J. Velarde, PA- P1684. The Use of Liver Biopsy to Determine the Severity of Nonalcoholic C3, Jill E. Duda, PA-C3, Naresh T. Gunaratnam, MD3; 1. St. Joseph Fatty Liver Disease in Children Across the United States 1 2 Mercy Hospital-Ann Arbor, Ann Arbor, MI; 2. Huron Gastroenterology Johanna M. Ascher Bartlett, MD , Helena Luz Gutierrez Sanchez, MD , 3 1 Associates, Ypsilanti, MI; 3. St. Joseph Mercy Hospital-Ann Arbor / Huron Mohammad Nasser Kabbany, MD , Naveen Mittal, MD , Jay Shah, DO, 1 4 Gastroenterology Associates, Ypsilanti, MI MPH , Naim Alkhouri, MD ; 1. University of Texas Health Science Center, San Antonio, TX; 2. Mayo Clinic, Rochester, MN; 3. Cleveland Clinic P1677. Establishment and Validation of a New Protocol and Normative Foundation, Cleveland, OH; 4. Texas Liver Institute, San Antonio, TX Values for the Evaluation of Gastric Emptying and Gastric Accommodation in Bariatric Surgery Patients P1685. Long-Term Efficacy of Vedolizumab in Pediatric Inflammatory Xiao Jing Wang, MD1, Eric J. Vargas, MD1, Margaret Breen-Lyles1, Sara Bowel Disease Linker Nord1, Duane Burton, MHA1, Michael Camilleri, MD, FACG2; 1. Mayo  Presidential Poster Award 1 2 Clinic, Rochester, MN; 2. Mayo Clinic College of Medicine and Science, Harry E. Sarles, Jr., MD, FACG , Annette E. Whitney, MD , Samantha A. 3 3 Rochester, MN Kuten, PharmD , Lucinda J. Van Anglen, PharmD ; 1. DHAT Research Institute, Garland, TX; 2. Digestive Health Associates of Texas, Plano, TX; P1678. Bariatric Surgery Is Associated With Post-Operative Constipation 3. Healix Infusion Therapy, Sugar Land, TX Elissa Lin, MD1, Jesse Persily, BA2, David Arbit, BA2, Sharnendra Sidhu, BA2, Violeta Popov, MD, PhD, FACG3, John Saunders, MD1, Manish Parikh, P1686. Radiation Exposure in Pediatric Population During Endoscopic MD1, Christine Ren-Fielding, MD1; 1. New York University Langone Medical Retrograde Cholangiopancreaticography (ERCP) Center, New York, NY; 2. New York University School of Medicine, New Srinivas Ramireddy, MD, Sruthi K. Subramanian, MD, Prithvi Patil, York, NY; 3. VA New York Harbor Health System, New York, NY MS, Tomas Davee, MD, Ricardo Badillo, MD, Nirav Thosani, MD, MHA; University of Texas Health Science Center, Houston, TX P1679. Bariatric Surgery Type Impacts the Risk for Gastrointestinal, Liver, and Pancreatic Diseases Admissions Within 1 Year From Surgery P1687. Endoscopic Signs Moderately Correlate With Histologic Changes in Arsheya Patel, MD1, Barham Abu Dayyeh, MD, MPH2, Gokulakrishnan Children With Eosinophilic Esophagitis 1 1 1 Balasubramanian, MD1, Alice Hinton, PhD3, Somashekar Krishna, MD1, Girish Hiremath, MD, MPH , Regina N. Tyree, RN , Hernan Correa, MD , Sari 1 2 Hisham Hussan, MD1; 1. The Ohio State University Wexner Medical Acra, MD, MPH , Evan S. Dellon, MD, MPH ; 1. Vanderbilt University Medical Center, Columbus, OH; 2. Mayo Clinic, Rochester, MN; 3. The Ohio State Center, Nashville, TN; 2. Center for Esophageal Diseases and Swallowing, University, Columbus, OH University of North Carolina, Chapel Hill, NC P1688. Safety, Feasibility, and Cost-Effectiveness of Pediatric Gastrointestinal Procedures at an Outpatient Endoscopy Center Sachin Kunde, MD, MPH1, Sana Chopra2, Monica Arora, BS3, Megan Hutzenbuhler2, Angelie Saini2, Neeraj K. Sachdeva, MD2; 1. Wake Pediatric Gastroenterology, Raleigh, NC; 2. Wake Endoscopy Center, Raleigh, NC; 3. Wake Endoscopy Center, Philadelphia, PA

130 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1689. Linaclotide Safety and Efficacy in Children Aged 6 to 17 Years With P1697. Durability of Rifaximin in the Treatment of Small Intestine Functional Constipation Bacterial Overgrowth  Presidential Poster Award Nicholas Martinez, MD1, Charles W. Randall, MD2, John A. Vizuete, MD, Carlo Di Lorenzo, MD1, Samuel Nurko, MD2, Jeffrey S. Hyams, MD3, Taryn MPH3; 1. Gastroenterology Clinic of San Antonio, San Antonio, TX; 2. Weissman, MD4, Niels Borgstein, MD5, Madhuja Mallick, PhD4, Anna Gastroenterology Research of San Antonio, San Antonio, TX; 3. University Muslin, MBA4, Miguel Saps, MD6, Michael Simon, MD, PhD7; 1. Nationwide of Texas Health Science Center, San Antonio, TX Children's Hospital, Columbus, OH; 2. Boston Children’s Hospital, Boston, P1698. Predictors of Hospital Readmission Among Patients With Obscure MA; 3. Connecticut Children's Medical Center, Hartford, CT; 4. Allergan Gastrointestinal Bleeding Following Inpatient Capsule Endoscopy plc, Madison, NJ; 5. Ironwood Pharmaceuticals, Inc., Cambridge, MA; 6. Irving Levine, MD1, Soonwook Hong, MD1, Dimpal Bhakta, MD2, Matthew University of Miami, Miami, FL; 7. University of Kentucky, Lexington, KY B. McNeill, MD3, Seth Gross, MD, FACG4, Melissa Latorre, MD, MS2; 1. New York University School of Medicine, New York, NY; 2. New York University Langone Medical Center, New York, NY; 3. New York PEDIATRICS University Langone Health, New York, NY; 4. Tisch Hospital, New York POSTERS Clinical Vignettes / Case Reports University Langone Health, New York, NY MONDAY P1690. Rise of the Aminotransferases: A Liver's Call for Help! 1 2 3 P1699. Clostridioides difficile Infection in Patients With Celiac Disease Namita Banerjee, MD , Isha Shrimanker, MD , Pratiksha Singh, MD , P Paul T. Kroner, MD, MSc1, Alex M. Kesler, MD1, Xavier A. Jimenez, MD2, 1 1 Biswal, MD , G Malini, MD ; 1. Jawaharlal Nehru Hospital and Research Roberto Simons-Linares, MD, MS3, Massimo Raimondo, MD1; 1. Mayo Center, Bhilai, Chhattisgarh, India; 2. University of Pittsburgh Medical Clinic, Jacksonville, FL; 2. University of Pennsylvania, Philadelphia, PA; Center Pinnacle, Harrisburg, PA; 3. Hackensack Meridian Health Ocean 3. Cleveland Clinic Foundation, Cleveland, OH Medical Center, Brick, NJ P1700. Recurrence of Sporadic Non-Ampullary Duodenal Adenomas: P1691. Use of Ustekinumab in Pediatric Crohn’s Disease: A Report of A Single Center Retrospective Case Review Three Cases Brian Phillips, DO, MBA1, David Lo, MD, FACG2, John Elliott, PhD1; 1 2 Harry E. Sarles, Jr., MD, FACG , Annette E. Whitney, MD , Lucinda J. Van 1. OhioHealth Riverside Methodist Hospital, Columbus, OH; 2. Ohio 3 3 Anglen, PharmD , Samantha A. Kuten, PharmD , Thomas C. Hardin, Gastroenterology Group, Inc., Columbus, OH PharmD, MS3; 1. DHAT Research Institute, Garland, TX; 2. Digestive Health Associates of Texas, Plano, TX; 3. Healix Infusion Therapy, Sugar Land, TX P1701. The Effects of Probiotics on Parenteral Nutrition-Related Complications: A Prescriber’s Dilemma P1692. Isn’t Herpes Esophagitis Enough? Mohammad Alomari, MD1, Laith Al Momani, MD2, Muhammad Talal 1 2 1 Sarah Nichols, DO , Patrick N. Costello, MD , Anjali Malkani, MD ; 1. East Sarmini, MD1, Shrouq Khazaaleh, MD3, Shaden Almomani, MD4, Tyler Tennessee State University, Johnson City, TN; 2. Ballad Health, Johnson Aasen, MD2, Mark Young, MD2; 1. Cleveland Clinic Foundation, Cleveland, City, TN OH; 2. East Tennessee State University, Johnson City, TN; 3. King P1693. Transitory Hemophagocytic Lymphohistiocytosis (HLH) / Abdullah University Hospital, Ar Ramtha, Irbid, Jordan; 4. Jordanian Macrophage Activation Syndrome (MAS) in a Child With Very Early Onset Royal Medical Services, Irbid, Irbid, Jordan (VEO) of Ulcerative Colitis (UC) Complicated With Primary Sclerosing P1702. Assessing Celiac Disease Biopsy Patterns at Indiana University: Cholangitis (PSC) A Retrospective Review Narmer F. Galeano, MD, Maria T. Rivera-Penera, MD, Mary A. Bonilla, Claire L. Jansson-Knodell, MD, William R. Kessler, MD, FACG; Indiana MD, Jill S. Menell, MD, Mark Kosinski, MD, PhD, Punita Gupta, MD, Jaya University, Indianapolis, IN Srinivasan-Mehta, MD; St. Joseph's Children's Hospital, Paterson, NJ P1703. Does Nonalcoholic Fatty Liver Disease Increase the Risk for Acute Ischemic Bowel Disease? SMALL INTESTINE Muhammad Talal Sarmini, MD1, Mohammad Maysara Asfari, MD2, George Khoudari, MD1, Yasser Al-Khadra, MD1, Mohammad Alomari, MD1, P1694. Prevalence of Celiac Disease-Compatible Human Leukocyte Antigen Srinivasan Dasarathy, MD1, Arthur J. McCullough, MD1; 1. Cleveland Clinic Haplotypes Across Ethnicities and Regions in the United States Foundation, Cleveland, OH; 2. Medical College of Georgia at Augusta  Presidential Poster Award University, Augusta, GA Molly R. Kelly-Goss, PhD1, Benjamin Lebwohl, MD, MS2, Jianan Zhan, PhD3, Hoang Nhan, PhD3, Bertram Koelsch, PhD3, Esther Kim, PharmD3, Joanna Mountain, PhD3, Peter H R Green, MD2; 1. Columbia University College of SMALL INTESTINE Physicians and Surgeons, New York, NY; 2. Columbia University Medical Clinical Vignettes / Case Reports Center, New York, NY; 3. 23andMe, Mountain View, CA P1704. A Rare Manifestation of a Bleeding Tubulovillous Duodenal Polyp P1695. Small Intestinal Bacterial Overgrowth (SIBO) Is Common in Patients Presenting as an Upper Gastrointestinal Hemorrhage With Ehlers-Danlos Syndrome (EDS) Neethi R. Dasu, DO, BS1, Yaser Khalid, DO, BS2, Michael Itidiare, DO, Tingting Xiong, MD, PhD, Jason Baker, PhD, William D. Chey, MD, FACG, BS2, Richard Walters, DO3, Herman Suga, DO2; 1. Rowan School of Borko Nojkov, MD; Michigan Medicine, University of Michigan, Ann Arbor, MI Osteopathic Medicine, Voorhees Township, NJ; 2. Rowan University School of Osteopathic Medicine, Stratford, NJ; 3. Jefferson Health P1696. Surgery Type Predicts Post-Operative Jejunal Polyp Detection Gastroenterology, Cherry Hill, NJ in Patients With Familial Adenomatous Polyposis After Surgical Duodenectomy P1705. A Unique Case Presentation of Small Bowel Intussusception  Presidential Poster Award Archana Kulkarni, MD, Ragunath Appasamy, MD; Allegheny Health Ji Yoon Yoon, BMBCh1, Neal Mehta, MD1, Carol A. Burke, MD, FACG1, Toms Network, Pittsburgh, PA Augustin, MD2, Margaret O'Malley, BS1, Lisa LaGuardia, RN1, Michael Cruise, MD, PhD1, Gautam Mankaney, MD1, James M. Church, MBChB1, Amit P1706. Eosinophilic Gastroenterocolitis: A Diagnostic Conundrum and a Bhatt, MD2, Matthew F. Kalady, MD1, R. Matthew Walsh, MD1; 1. Cleveland Rare Cause of Small Bowel Strictures Clinic Foundation, Cleveland, OH; 2. Cleveland Clinic, Cleveland, OH Anam Omer, MD, Hugo L. Pinillios, MD, FACG; Carl T. Hayden VA Medical Center, Phoenix, AZ

P1707. Capecitabine-Induced Ileitis: A Case Report P1719. Diagnosis of Meckel’s Diverticulum With Double Balloon Enteroscopy Omar Tageldin, MD1, Neeharika Kalakota, MD1, Catherine Bartholomew, Denny Kim, MD1, Steven Chang, MD1, Seth Gross, MD, FACG2, Melissa MD2; 1. Albany Medical Center, Albany, NY; 2. Albany Medical College, Latorre, MD, MS3, Violeta Popov, MD, PhD, FACG4; 1. New York University Albany, NY Langone Health, New York, NY; 2. Tisch Hospital, New York University Langone Health, New York, NY; 3. New York University Langone Medical P1708. Unicentric Castleman Disease as a Cause of Ileal Perforation: Center, New York, NY; 4. VA New York Harbor Health System, New York, NY A Case Report Wafic Itani, MD1, Ali Wazir, MBBS2, Omar Tageldin, MD2, Raina A. Patel, P1720. Omental Infarction as a Cause of Acute Abdominal Pain MD1, Neu Kristoffer, MD1; 1. Stratton Veteran Affairs Medical Center, Abdullah Muftah, BS1, Mayssan Muftah, MD2, Anne Tomolo, MD2; 1. Albany, NY; 2. Albany Medical Center, Albany, NY University of South Florida Morsani College of Medicine, Tampa, FL; 2. Emory University School of Medicine, Atlanta, GA P1709. Metastatic Renal Cell Carcinoma to the Small Bowel: A Rare Cause of Gastrointestinal Hemorrhage P1721. Running Into a Stone Wall: A Rare Case of Gastric Outlet Obstruction Ricky Buckshaw, DO, Anam Malik, MD, Reema Vaze, MD, Michal Kloska, Ruchit N. Shah, DO1, Sara West, DO1, Muhammad A. Shafqet, MD2, MD, Robert Andrews, MD, Hiral Shah, MD, FACG; Lehigh Valley Health Luiz Foernges, MD2, David L. Diehl, MD1, Harshit S. Khara, MD, FACG2; Network, Allentown, PA 1. Geisinger Health System, Danville, PA; 2. Geisinger Medical Center, Danville, PA P1710. Appendicitis – Think Sarcoidosis? Appendicular Sarcoidosis Presenting as Acute Appendicitis P1722. Distant Uveal Melanoma Presenting as Jejuno-Jejunal Venkata Satish Pendela, MD, MBBS, Anisleidys Munoz, MD, Youssef Soliman, Intussusception After 11 Years! MD, Megan Soliman, MD; Rochester General Hospital, Rochester, NY Sarbagya Pandit, MD, Antoni Wojtkowski, MD, Pratikshya Thapa, MD, Shyam Chalise, MD; Presence Saint Joseph Hospital, Chicago, IL P1711. 15 Years Out, a Small Bowel Transplant That Defeated the Odds Ummi Khan, MD, Isaac Soliman, MD, Swami Nathan, MD, FACG; P1723. Renal Cell Carcinoma Presenting as Paraneoplastic Syndrome Hackensack Meridian Health Mountainside Medical Center, Glenridge, NJ Involving the Gastrointestinal Tract Barrett Attarha, DO1, Satish Maharaj, MD1, Ciel Harris, MD1, Ron Schey, P1712. A Rare Case of Extra-Gastrointestinal Stromal Tumor MD1, Ammar Nassri, MD1, Elisa Sottile, MD2, Lauren Stemboroski, DO2; 1. Rucha Jiyani, MD1, Kiran Hirpara, MD2, Jiten Desai, MD1; 1. Nassau University of Florida College of Medicine, Jacksonville, FL; 2. University of University Medical Center, East Meadow, NY; 2. Baroda Medical College, Florida Jacksonville College of Medicine, Jacksonville, FL Surat, Gujarat, India P1724. Never Too Old for Meckel’s: A Unique Presentation of an Uncommon P1713. Terminal Ileitis: A Rare Gastrointestinal Complication of Source of Gastrointestinal Bleeding in Adults 5-Fluorouracil Therapy Pankaj Aggarwal, MD1, Harsh D. Patel, MD1, Alfredo Camero, MD2, Randy Saad Hashmi, MD1, Ryan T. Hoff, DO2, Kenneth Chi, MD2; 1. Advocate P. Wright, MD1; 1. University of Texas Health Science Center, San Antonio, Lutheran General Hospital, Skokie, IL; 2. Advocate Lutheran General TX; 2. University of Texas Health, San Antonio, TX Hospital, Park Ridge, IL P1725. You May Spread but Can’t Hide! A Rare Case of Metastatic Renal Cell P1714. Dysdiadochokinesia, Ataxia, and Anemia: A Sign of Intraluminal Carcinoma to the Small Bowel After Nephrectomy Malignant Mesothelioma in the Small Bowel? Pankaj Aggarwal, MD1, Tamneet Singh, MD1, Souleymane Y. Diallo, DO1, Raquel N. Rozner, MD1, Shawn L. Shah, MD2, Carl V. Crawford, MD2; 1. New Jacqueline Rampy, MD1, Adrianne K. Thompson, MD2, William Perry, MD2, York Presbyterian / Weill Cornell Medicine, New York, NY; 2. Weill Cornell Shail Govani, MD, MSc2; 1. University of Texas Health Science Center, San Medicine, New York, NY Antonio, TX; 2. South Texas Veterans Health Care System, San Antonio, TX P1715. Meckel’s Diverticulum: A Diverticulum Like No Other 1 2 3 P1726. Disseminated Salmonella Species-Induced Septic Shock: Mira Alsheikh, MD , Fady Haddad, MD , Stephen Mulrooney, MD ; 1. Staten A Case Report Island University Hospital, Staten Island, NY; 2. Northwell Health Staten Annapoorna Singh, MD, Yousaf Zafar, MD, Anthony Makovec, MD; Island University Hospital, Staten Island, NY; 3. Staten Island University University of Missouri, Kansas City, MO Hospital, Northwell Health, Staten Island, NY P1727. Autoimmune Enteropathy: A Rare Cause of Chronic Diarrhea P1716. Calcium Disorders in Celiac Disease Erica Park, MD; Rush University Medical Center, Chicago, IL Usman Naseer, MBBS1, Ali Wazir, MBBS1, Raina A. Patel, MD2, Haider Rahman, MD1, Jae Chung, DO1, Mackenzie LaPorte, MBA, BS3, Elise P1728. Endoscopic Management of Ingested Wooden Splinter Impacted in Malecki, MD, PhD3; 1. Albany Medical Center, Albany, NY; 2. Stratton the Duodenum: A Case Report Veteran Affairs Medical Center, Albany, NY; 3. Albany Medical College, We'am Hussain, MD, Drew Triplett, DO, Mustafa Musleh, MD; Wright State Albany, NY University Boonshoft School of Medicine, Dayton, OH P1717. Nothing but NET: A Case of Neuroendocrine Tumor in the P1729. When Is It More Than Hiccups? Understanding the Diagnosis and Duodenal Bulb Treatment of Superior Mesenteric Artery Syndrome Michelle Baliss, DO1, Mohammad Bilal, MD1, Sheharyar Merwat, MD2; 1. The George U. Mbolu, Jr., MD, Rajiv Mallipudi, MD, Rekha Miryala, MD, Swami University of Texas Medical Branch, Galveston, TX; 2. University of Texas Nathan, MD; Hackensack Meridian Health Mountainside Medical Center, Medical Branch, Galveston, TX Montclair, NJ P1718. Acute Lymphoblastic Leukemia Presenting With P1730. The Importance of Endoscopy in Diagnosis of Lupus Enteritis Mesenteric Ischemia Amol Koldhekar, MD, Cesar Taborda, MD, MSc, Amanda Barrett, MD, Michelle Baliss, DO1, Timothy Krill, MD1, Hamza Abdulla, MD1, Sreeram Heba Iskandar, MD, MSCI, Yue Xue, MD, PhD; Emory University School of Parupudi, MD, FACG2; 1. The University of Texas Medical Branch, Medicine, Atlanta, GA Galveston, TX; 2. University of Texas Medical Branch, Galveston, TX

132 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1731. An Unusual Case of Small Bowel Intussusception P1743. Primary Immunodeficiency Manifesting as Chronic Diarrhea Talal El Imad, MD1, Yinglin Gao, DO2, Vivek Gumaste, MD, MRCP, SM3; 1. Shreyas Kalantri, MD1, Isha Shrimanker, MD2, Sujit Nair, MD1, Pravin Rathi, Staten Island University Hospital, Staten Island, NY; 2. Touro University, MD1; 1. Topiwala National Medical College and BYL Nair Charitable New York, NY; 3. Staten Island University Hospital, Northwell Health, Hospital, Mumbai, Maharashtra, India; 2. University of Pittsburgh Medical Staten Island, NY Center Pinnacle, Harrisburg, PA P1732. Metastatic Urothelial Carcinoma to the Duodenum: An Unusual P1744. Small Intestinal Helminths on a Capsule Endoscopy Capture Cause of Duodenal Stenosis Evangelos Tsipotis, MD1, Sindhura Kolli, MD2, Ali Aamar, MD1, Madhavi Matthew Kobeszko, MD1, Mahmud Samra, MD1, Brian Blumenstein, MD2, Reddy, MD1; 1. The Brooklyn Hospital Center, Brooklyn, NY; 2. Brooklyn Imad Elkhatib, MD1; 1. University of Illinois - Advocate Christ Medical Hospital Center, Brooklyn, NY Center, Oak Lawn, IL; 2. Advocate Christ Hospital, Oak Lawn, IL P1745. Teduglutide Therapy for a Patient With Chronic Intestinal Failure P1733. Diagnosis of Terminal Ileum Carcinoid Tumor Despite Prior Following Multi-Visceral Transplantation Screening Colonoscopies - Making the Case for Routine Terminal Ileoscopy Randeep Kaur, MD1, Yakir Muszkat, MD2, Shunji Nagai, MD2, Syed- POSTERS During Colon Cancer Surveillance: A Case Report Mohammed Jafri, MD1; 1. Henry Ford Health System, Detroit, MI; 2. MONDAY Amaan Shafi, MD, Daisy S. Lankarani, MD, Banreet Dhindsa, MD, Gordon Henry Ford Hospital, Detroit, MI Ohning, MD, PhD; University of Nevada Las Vegas School of Medicine, Las Vegas, NV P1746. Use of Dotatate Scan to Establish Diagnosis of a Neuroendocrine Tumor P1734. An Unusual Case of an Asymptomatic Intramural Duodenal Abscess John Cooper, MD1, Brett Sadowski, MD2, Adam Tritsch, MD1; 1. Walter Eric E. Prado, Medora Rodrigues, MD, MPH, Steve Serrao, MD, MPH, PhD, Reed National Military Medical Center, Bethesda, MD; 2. Walter Reed Erick Imbertson, MD; Loma Linda University Medical Center, Loma Linda, CA National Military Medical Center, Silver Spring, MD P1735. Jejunal Lymphocytic Enteritis: An Unusual Location for a P1747. Metastatic Melanoma Mimicking Enteritis Rare Condition Maryam Alimirah, MD1, Faiza Bhatti, MD2; 1. Henry Ford Hospital, Peter Dellatore, MD1, Kevin Skole, MD2; 1. Robert Wood Johnson Medical Detroit, MI; 2. Henry Ford Health System, Detroit, MI School, Rutgers University, New Brunswick, NJ; 2. University Medical Center of Princeton at Plainsboro, Plainsboro Township, NJ P1748. An Unlikely New Home for Metastatic Melanoma Christopher Tan, DO, Teresa Yanchak, MD, Jonathan Ramirez, MD; Baylor P1736. Retained Video Capsule Due to Stricturing Crohn’s Disease Scott & White Health, Temple, TX Safely Diagnosed With Use of Magnetic Resonance Imaging (MRI) in a Pregnant Patient P1749. Gastrointestinal Stromal Tumor Causing Obscure Gastrointestinal Daniel R. Brandt, MD1, Thomas A. Judge, MD2, Adib Chaaya, MD3; 1. Cooper Bleeding: An Uncommon Way of Diagnosing an Uncommon Disease Karolina N. Dziadkowiec, MD, Jinendra Satiya, MD, Aviv Katz, DO; University Hospital, Mt. Laurel Township, NJ; 2. Cooper Medical School of University of Miami / JFK Medical Center Palm Beach, Atlantis, FL Rowan University, Mt. Laurel, NJ; 3. Cooper University Hospital, Camden, NJ P1737. A Typical Presentation of a Rare Disease: Clostridium P1750. A Rare Case of Undifferentiated Malignant Epithelioid Neoplasm difficile Enteritis After Total Abdominal Colectomy Sameer Prakash, DO, Ghassan Sindi, MD, Abdelrazig Suliman, MD; Texas Tech University Health Sciences Center, Amarillo, TX Mark Bundschuh, MD, Stephanie Moleski, MD; Thomas Jefferson University Hospital, Philadelphia, PA P1751. Astrovirus Enteritis in an Immunocompetent Adult in the Setting of Chronic Proliferative Synovitis P1738. Small Intestine Angioedema Due to Angiotensin Converting Enzyme 1 2 3 Inhibitors: A Great Mimicker Priyamvada Pillai , Kaveh Hajifathalian, MD, MPH , David Wan, MD ; 1. Weill Cornell Medicine Qatar, New York, NY; 2. New York-Presbyterian Pearl Princess Uy, MD, John Erikson Yap, MD; Medical College of Georgia, Hospital, New York, NY; 3. Weill Cornell Medical College, New York, NY Augusta, GA P1739. Strongyloidiasis Presenting as Gastric Outlet Obstruction Fariba Yazdanpanah, MD1, Sirush Abraamyan, MD1, Kevin Tin, MD2, Rabin STOMACH Rahmani, MD2, Pierre Hindy, MD3; 1. Gastroentrology Associates of Brooklyn, Brooklyn, NY; 2. Maimonides Medical Center, Brooklyn, NY; 3. P1752. The Relationship Between Gastric Food Residue and the Rate of Gastroenterology Associates of Brooklyn, Brooklyn, NY Gastric Emptying Danse Bi, MD1, Michael Camilleri, MD, FACG2, David O. Prichard, MBMCh, P1740. Clostridioides difficile: Is Jejunum a New Reservoir? PhD1, John League, III, MMIS1; 1. Mayo Clinic, Rochester, MN; 2. Mayo Clinic Samir Jha, MD, Harshith Thyagaturu, MD, Nurlan Aliyev, MD, Charles College of Medicine and Science, Rochester, MN Hyman, MD; Bassett Medical Center, Cooperstown, NY P1753. Usefulness of Blood Flow Rate of Subepithelial Microvessels in P1741. Celiac Disease: No Longer a Diagnosis of Exclusivity Gastric Mucosa Using Magnifying Endoscopy in the Stomach 1 1 2 Brian Kim, DO , Kimberly J. Chaput, DO , Bryan Wey , Hussam Tayel, Hiroya Ueyama, MD, PhD1, Kenshi Matsumoto, MD, PhD1, Takashi 1 MD ; 1. St. Luke's University Health Network, Bethlehem, PA; 2. Temple Murakami, MD, PhD1, Takashi Yao, MD, PhD2, Akihito Nagahara, MD, PhD1; University School of Medicine, Philadelphia, PA 1. Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan; 2. P1742. Distal Intestinal Obstruction Syndrome Resulting in Gastric Juntendo University, School of Medicine, Bunkyo-ku, Tokyo, Japan Perforation in a Patient With Cystic Fibrosis P1754. Clinical Epidemiology of Gastric Signet Ring Cell Carcinoma in a Muyi Li, MD1, Bakhtiar Syed, MD1, Corey O'Brien, MD2; 1. Yale New Haven Safety Net County Setting Hospital, New Haven, CT; 2. Ronald Reagan UCLA Medical Center, Los Brian M. Fung, MD1, Mital Patel, MD1, Neha Patel, MD1, Arleen F. Brown, Angeles, CA MD, PhD2, Nora L. Ostrzega, MD2, Jeffrey M. Miller, MD2, James H. Tabibian, MD, PhD2; 1. University of California Los Angeles - Olive View, Sylmar, CA; 2. Olive View - UCLA Medical Center, Sylmar, CA

P1755. Trends in Incidence, Survival, and Mortality of Gastric Cancer in P1764. Helicobacter pylori Eradication and Its Association With the United States: A Surveillance, Epidemiology, and End Results (SEER) Metachronous Gastric Cancer Recurrence and Pre-Neoplastic Lesions: Database Study 1975-2016 A Systematic Review and Meta-Analysis Samia Asif, MD1, Lyla Saeed, MD1, Yousaf Zafar, MD2; 1. University of Muhammad Y. Khan, MD1, Aysha Aslam, MD2, Albana B. Mihali, MD3, Missouri Kansas City School of Medicine, Kansas City, MO; 2. University of Muhammad Shabbir Rawala, MD4, Ahmed Dirweesh, MD5, Salman Khan, Missouri, Kansas City, MO MD6, Ali Siddiqui, MD7; 1. Unity Point Health, Trinity Medical Center, Rock Island, IL; 2. Louis A. Weiss Memorial Hospital, Chicago, IL; 3. Capital P1756. Co-Prescription of Ondansetron With Other QT-Prolonging Drugs: Health Medical Center, Yardley, PA; 4. Rapides Regional Medical Center, Data From a Large Community-Based Hospital System Alexandria, LA; 5. University of Minnesota, Minneapolis, MN; 6. University Elsa Varghese, MD1, Eli Ehrenpreis, MD2, Jamie Ehrenpreis, MD3; 1. Level of Arkansas for Medical Sciences, Little Rock, AR; 7. Minneapolis VA Ex, Chicago, IL; 2. Advocate Lutheran General Hospital, Park Ridge, IL; 3. Medical Center, Minneapolis, MN Loyola University Medical Center, Maywood, IL P1765. Racial and Ethnic Differences in Mortality in Gastric Cancer and P1757. 7 Years' Retrospective Study of Helicobacter pylori Therapy Esophageal Adenocarcinoma in the United States Prescription Patterns in an Urban Academic Medical Center in the Monika Laszkowska, MD1, Angela Tramontano, MPH2, Judith Kim, MD3, M. United States Constanza Camargo, PhD4, Alfred Neugut, MD, PhD5, Julian Abrams, MD, Christina Lin, BS, BA1, Salina Lee, MD2; 1. Rush Medical College, Chicago, MPH3, Chin Hur, MD, MPH3; 1. New York Presbyterian - Columbia University IL; 2. Rush University Medical Center, Chicago, IL Medical Center, New York, NY; 2. Institute for Technology Assessment P1758. Exploring the Possibility of Gastroesophageal Reflux Disease as a Massachusetts General Hospital, Boston, MA; 3. New York Presbyterian Screening Factor for Helicobacter pylori in Patients From Endemic Regions Columbia University Medical Center, New York, NY; 4. National Cancer Ahmed Ahmed, DO, Laura Rotundo, MD, Alejandro Silva, MD, Mirela Institute, Rockville, MD; 5. Columbia University Irving Cancer Center, New Feurdean, MD, Suzanne Atkin, MD; Rutgers New Jersey Medical School, York, NY Newark, NJ P1766. Factors Associated With Treatment Failure in Biopsy P1759. Gastric Adenocarcinoma Incidence and Incidence-Based Mortality: Proven Helicobacter pylori Infection in the Rio Grande Valley: A Population-Based Study of 62,863 Cases From the Surveillance, A Retrospective Review of 3 Years Data Epidemiology and End Results (SEER) Program Over Last Four Decades Juan J. Castano, Jr., MD1, Grigoriy Rapoport, MD2, Arturo Suplee Rivera, Ahmed Afifi, 1MD , Ahmed Elmehrath2, Mahmoud Hashim, MD3, Moaz MD3, Amrit Sraow, MD4, Keith Garrison5, Juan C. Lopez-Alvarenga, MD, Abdelwadoud, MD, DrPH, MPH4, Bahaaeldeen Ismail, MD3; 1. Ain Shams PhD5, Ingrid Chacon, MD6; 1. University of Texas Rio Grande Valley at University, Cairo, Al Qahirah, Egypt; 2. Cairo University, Cairo, Al Qahirah, Doctors Hospital at Renaissance, Edinburg, TX; 2. University of Texas Egypt; 3. University of Kentucky College of Medicine, Lexington, KY; 4. Health Rio Grande Valley, Edinburg, TX; 3. University of Texas Rio University of Maryland School of Pharmacy, Baltimore, MD Grande Valley, McAllen, TX; 4. University of Texas at Doctors Hospital at Renaissance, Edinburg, TX; 5. University of Texas Rio Grande Valley, P1760. Under-Utilization of Proton Pump Inhibitors in the Prevention of Edinburg, TX; 6. Doctors Hospital at Renaissance, Edinburg, TX NSAID-Related Peptic Ulcer Disease in the Elderly Ahmad M. Al-Taee, MD1, Elie Ghoulam, MD1, Preston Lee2, Robert Sbertoli, P1767. Disaggregation of Gastric Cancer Risk Between Asian PharmD1, Christine Hachem, MD, FACG1; 1. Saint Louis University, St. Louis, American Subgroups MO; 2. Saint Louis University, Saint Louis, MO Robert Huang, MD, MS1, Joo Ha Hwang, MD, PhD2, Latha Palaniappan, MD, MS1; 1. Stanford University, Stanford, CA; 2. Stanford University Medical P1761. Home Initiated Parenteral Nutrition Is a Safe and Cost-Effective Center, Stanford, CA Approach to Nutrition Support Jamie Haselhorst, RD, CNSC1, Rebecca L. Brown, RD, CNSC2, Casey P1768. Variability in Gastric Cancer Survival by Disaggregated Asian Cooper, PharmD, CNSC3, Shannon Slate, PharmD, CNSC4, Debbie American Subgroups Stevenson, RD, CNSC2, Diana Ogden, RD5; 1. Amerita Specialty Infusion Robert Huang, MD, MS1, Latha Palaniappan, MD, MS1, Joo Ha Hwang, MD, Services, San Antonio, TX; 2. Amerita Specialty Infusion Services, PhD2; 1. Stanford University, Stanford, CA; 2. Stanford University Medical Centennial, CO; 3. Amerita Specialty Infusion Services, Amarillo, TX; 4. Center, Stanford, CA Amerita Specialty Infusion Services, Nashville, TN; 5. Amerita Specialty Infusion, Prescott, AZ STOMACH P1762. Cardiac Safety and Clinical Efficacy of High Dose Domperidone for Clinical Vignettes / Case Reports Long-Term Treatment of Gastroparesis Kevin Woods, BS1, Irene Sarosiek, MD2, Karina Espino, BS, MS1, Marisol P1769. Metastatic Gastric Cancer to the Colon: A Rare Entity Ramirez, BA1, Tariq Siddiqui, MD1, Richard McCallum, MD1; 1. Texas Tech Eric O. Then, MD1, Xheni Deda, MD1, Andrew Ofosu, MD2, Vijay Gayam, University Health Sciences Center, Paul L. Foster School of Medicine, El MD3, Guanghong Liao, MD, PhD1, Vinaya Gaduputi, MD, FACG4; 1. St. Paso, TX; 2. Texas Tech University Health Sciences Center, El Paso, TX Barnabas Hospital, Bronx, NY; 2. Brooklyn Hospital Center, Brooklyn, P1763. Resident Education in the Placement and Confirmation of NY; 3. Interfaith Medical Center, Brooklyn, NY; 4. SBH Health System, Feeding Tubes Bronx, NY Poornima Oruganti, MD, MPH1, Ahmad Nakshabandi, MD2, Lena Palmer, P1770. Asymptomatic Bochdalek Hernia in an Adult Male: A Rare Entity MD3; 1. Loyola University Medical Center, Maywood, IL; 2. Mercy Hospital Eric O. Then, MD1, Adonis Castillo, MD2, Andrew Ofosu, MD3, Vijay Gayam, and Medical Center, Chicago, IL; 3. Southeast Louisiana Veterans Health MD4, Andrea Culliford, MD, FACG1, Vinaya Gaduputi, MD, FACG5; 1. St. Care Systems, New Orleans, LA Barnabas Hospital, Bronx, NY; 2. Saint Barnabas Hospital, Bronx, NY; 3. Brooklyn Hospital Center, Brooklyn, NY; 4. Interfaith Medical Center, Brooklyn, NY; 5. SBH Health System, Bronx, NY

134 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS MONDAY, OCTOBER 28, 10:30 AM – 4:15 PM

P1771. A Rare Cause of Hematemesis: Metastatic Prostate Cancer to P1782. Thinking With the Gut: An Unfortunate Case of Metastatic the Stomach Gastric Cancer Eric O. Then, MD1, Michell Lopez, MD1, Andrew Ofosu, MD2, Ali Chaudhri, Zeba Hussaini, MD1, Kamal Amer, MD1, Bilal Asif, MD2, Christina Tofani, MD1, Andrea Culliford, MD, FACG1, Vinaya Gaduputi, MD, FACG3; 1. St. MD1; 1. Thomas Jefferson University Hospital, Philadelphia, PA; 2. Thomas Barnabas Hospital, Bronx, NY; 2. Brooklyn Hospital Center, Brooklyn, NY; Jefferson University, Philadelphia, PA 3. SBH Health System, Bronx, NY P1783. Abdominal Aortic Aneurysm: An Uncommon Cause of Gastric P1772. Pyloric Crohn's Disease: A Rare Presentation of Gastric Outlet Outlet Obstruction Obstruction Rachel A. Taylor, MD; Tulane University School of Medicine, Eric O. Then, MD1, Vijay S. Are, MD2, Andrew Ofosu, MD3, Ali Chaudhri, New Orleans, LA MD1, Andrea Culliford, MD, FACG1, Vinaya Gaduputi, MD, FACG4; 1. St. Barnabas Hospital, Bronx, NY; 2. Stormont Vail Health System, Topeka, P1784. Systemic Fungemia Following Gastric Ulcer Perforation in a KS; 3. Brooklyn Hospital Center, Brooklyn, NY; 4. SBH Health System, Patient With Hepatocellular Carcinoma: A Case Report and Review of Literature

Bronx, NY POSTERS Farhan Qayyum, DO1, Md S. Alom, MD2, Nazif Chowdhury, MD3, MONDAY P1773. Ulcerated Gastric Leiomyoma: A Rare Cause of Gastric Outlet Lesile Bank, MD1; 1. United Health Services Wilson Medical Center, Obstruction Binghamton, NY; 2. United Health Services, Johnson City, NY; 3. United Eric O. Then, MD1, Xheni Deda, MD1, Andrew Ofosu, MD2, Srikanth Health Services Wilson Hospital, Johnson City, NY Maddika, MD1, Ali Chaudhri, MD1, Vinaya Gaduputi, MD, FACG3; 1. St. Barnabas Hospital, Bronx, NY; 2. Brooklyn Hospital Center, Brooklyn, NY; P1785. Electrode Perforation Into Stomach Complicating Gastric 3. SBH Health System, Bronx, NY Electrical Stimulation Matthew Kobeszko, MD1, Bryce Bardezbanian, MD2, Charles P1774. Famotidine-Induced Hypomagnesemia Leading to Hypocalcemia Berkelhammer, MD, FACG3; 1. University of Illinois - Advocate Christ Rajesh Essrani, MD1, Asif Mehmood, MD1, Shri Jai Kirshan Ravi, MD2; 1. Medical Center, Oak Lawn, IL; 2. Advocate Christ Hospital, Oak Lawn, Geisinger Medical Center, Danville, PA; 2. Guthrie Robert Packer Hospital, IL; 3. Advocate Christ Medical Center, Oak Lawn, IL Sayre, PA P1786. Dilemma of Hypercalcemia and Persistent Peptic Ulcer Disease: P1775. A Hiatal Hernia Causing Atrial Fibrillation Through Direct Case Report and Literature Review Mechanical Irritation Saif Bella, MD1, Hatem Najar2, Mark Shumeyko, MD1; 1. United Health Kirolus Sourial, MD1, Zaid Yaqoob, MD1, Anthony Chahin, MD1, Saif Borgan, Services Wilson Hospital, Johnson City, NY; 2. Faculty of Medicine of MD2, Ernesto Robalino Gonzaga, MD2, Aamir Javaid, MD1; 1. University of Tunis, Vestal, NY Central Florida College of Medicine, Orlando, FL; 2. University of Central Florida College of Medicine, Kissimmee, FL P1787. A Fatal Case of Disseminated Gastric Mucormycosis With Emphysematous Gastritis P1776. A Rare Case of Gastric Glomus Tumor Laura Rotundo, MD; Rutgers New Jersey Medical School, Newark, NJ Subash Ghimire, MD, Tsujung Yang, MD, Harshil Shah, MD, Ashit Sarker, MD, Ukorn Srivatana, MD; Guthrie Robert Packer Hospital, Sayre, PA P1788. An Unexpected Cause of a Gastric Ulcer Patricia Guzman Rojas, MD1, Ernesto Robalino Gonzaga, MD1, Jelena P1777. Gastric Mucormycosis and Pneumatosis in a Patient With APECED Catania, MD1, Mario Moquete, MD2; 1. University of Central Florida College Jesse M. Platt, MD, Jacqueline N. Chu, MD, Joseph C. Yarze, MD; of Medicine, Orlando, FL; 2. Private Practice, Orlando, FL Massachusetts General Hospital, Boston, MA P1789. An Unusual Location of a Mucosal Schwann Cell Hamartoma P1778. Gastric Pneumatosis in the Setting of Underlying Gastric Ulcer: Patricia Guzman Rojas, MD1, Ernesto Robalino Gonzaga, MD1, Kathlyn An Uncommon Case Report Presentation Camargo Macias, MD1, Jignesh Parikh, MD2; 1. University of Central Carlos Figueredo, MD, Konstantin Boroda, MD, Hilary Hertan, MD; Florida College of Medicine, Orlando, FL; 2. Orlando VA Medical Center, Montefiore Medical Center / Albert Einstein College of Medicine, Orlando, FL Bronx, NY P1790. Unexpected Cause of Globus Pharyngeous: Gastric Leiomyosarcoma P1779. A Rare Cause of Chronic Diarrhea: Gastrocolic Fistula Ernesto Robalino Gonzaga, MD1, Irene Riestra Guiance, MD2, Jignesh Aniruddh Som, MD1, Syed Mahmood, MD1, Anand Nath, MD2, Mitesh R. Parikh, MD3, Vishwas Vanar, MD4; 1. University of Central Florida College Patel, MD1; 1. MedStar Washington Hospital Cetner, Washington, DC; 2. of Medicine, Kissimmee, FL; 2. University of Florida College of Medicine, MedStar Georgetown University Hospital, Washington, DC Kissimmee, FL; 3. Orlando VA Medical Center, Orlando, FL; 4. University of Central Florida College of Medicine, Orlando, FL P1780. Iron Pill-Induced Gastropathy in Elderly Patients: A Case Series Report P1791. Duodenal Pressure Ulcer Secondary to Migratory PEG Tube Isin Y. Comba, MD1, Richard Henriquez, MD2, Sundeep Kumar, MD1, Maria Ankita Nagirimadugu, MD, Ray Dong, MD, Ilan Weisberg, MD; Mount Sinai Wallis-Crespo, MD3, Ruthvik Srinivasamurthy, MD1, Lakhinder Bhatia, MD3, Beth Israel Medical Center, New York, NY Joshua Shultz, MD3; 1. University of Central Florida College of Medicine, Kissimmee, FL; 2. University of Central Florida College of Medicine, P1792. Signet Ring Cell Carcinoma: A Rare Case Report Masquerading as Orlando, FL; 3. Osceola Regional Medical Center, Kissimmee, FL Digital Infarction Sindusha Gudipally, MD1, Vinodhini Gowda, DO1, Arun Minupuri, MD2, P1781. Back Pain Can Be Hard to Digest Simple Modi, MD1, Jesus M. Salas Noain, MD3, Rajesh Thirumaran, MD1, Avery Mendelson, MD, Ziyad Iskenderian, MD; Ascension Providence Jayamohan Nair, MD1; 1. Mercy Catholic Medical Center, Darby, PA; 2. Hospital / Michigan State University - College of Human Medicine, Mercy Catholic Medical Center, Yeadon, PA; 3. Mercy Catholic Medical Southfield, MI Center, Drexel Hill, PA

P1793. Gastroduodenal Intussusception: An Interesting Presentation of a P1804. A Scary Case of Gastroenteritis Gastrointestinal Stromal Tumor in a Bahamian Male Kairavee Dave, MD, Vivek Choksi, MD, Rulz T. Cantave, MD, Sufian J. Spencer Deleveaux, MBBS, Gemma Rolle, MD; Princess Margaret Hospital, Sorathia, Steven R. Kaplan, MD, FACG; Aventura Hospital and Medical Nassau, New Providence, Bahamas, The Center, Aventura, FL P1794. Immunotherapy-Mediated Hemorrhagic Gastritis After Ipilimumab P1805. Intramural Gastric Abscess: A Rare Condition Diagnosed and and Nivolumab Therapy Managed With Endoscopic Ultrasound Athidi G. Earasi, MD1, Esteban J. Figueroa, MD2, Pooja Mehra, MD3, Fadi Odish, MD, Soumil Patwardhan, MD, Maryconi Jacob, MD; William Merwise Baray, BS4, Michael P. Crawford, MD3, Richard D. Hall, MD2, Brian Beaumont Hospital, Royal Oak, MI Behm, MD3; 1. University of Virginia Health System, Charlottesville, VA; 2. University of Virginia, Charlottesvile, VA; 3. University of Virginia, P1806. Medical Management of Gastric Mucormycosis in an Charlottesville, VA; 4. University of Virginia School of Medicine, Immunocompetent Patient Daisy S. Lankarani, MD, Ranjit Makar, MD, Hamza Aziz, MD, Muthena Charlottesville, VA Maklad, MD, Mahendran Jayaraj, MD, Gordon Ohning, MD, PhD; University P1795. Phlegmonous Gastritis of Nevada Las Vegas School of Medicine, Las Vegas, NV Lisandro Gonzalez, MD, Andrea DeCino, MD, Harsh D. Patel, MD, Randy P. Wright, MD, Allan L. Parker, DO; University of Texas Health Science P1807. A Rare Case of Esophageal Squamous Cell Carcinoma With Center, San Antonio, TX Intramural Gastric Metastasis Gassan Kassim, MD1, Yingheng Liu, MD, PhD1, Michael S. Smith, MD, MBA2; P1796. A Rare Case of Gastric Sarcoidosis 1. Mount Sinai St. Luke's and Mount Sinai Roosevelt, New York, NY; 2. Sameer Prakash, DO1, Nooraldin Merza, MD1, Daniel Beggs, MD2; 1. Mount Sinai West and Mount Sinai St. Luke's Hospitals, New York, NY Texas Tech University Health Sciences Center, Amarillo, TX; 2. Amarillo Diagnostic Clinic, Amarillo, TX P1808. The Apple Green GI Tract: A Rare Case of Gastrointestinal Amyloidosis P1797. An Over-the-Scope Clip Rescue of a Perforation During a Michael Ashamalla, MD1, Praneet Wander, MD1, Jessica Pizzuti, MD1, Diana Conversion Form ESD to EMR of a Symptomatic Large Bleeding Lech, MD1, Arvind Rishi, MD2, Taisia Vitkovski, DO3, Ronald Greenberg, Duodenal Lipoma MD1; 1. Hofstra North Shore-LIJ School of Medicine, Manhasset, NY; 2. Youssef El Douaihy, MD, Mira Alsheikh, MD, Sherif Andrawes, MD; Staten Manhasset, NY; 3. Northwell Health, Lake Success, NY Island University Hospital, Staten Island, NY P1809. Looks Like a GI Bleed, Think Like a Gastroenterologist: A Case of P1798. A Rare Cause of Dyspepsia: Gastric Sarcoidosis Recurrent Bleeding in a Patient With Billroth II Operation Khushboo Gala, MBBS, Robert T. Luckett, MD, Nihar Shah, MD; University Steven Chang, MD, Denny Kim, MD, John K. Saunders, MD, Violeta Popov, of Louisville, Louisville, KY MD, PhD, FACG; New York University Langone Health, New York, NY P1799. A Rare Case of Multifocal Gastrointestinal Stromal Tumor Chandni Kaushik, MD1, Mohammad Bilal, MD2, Sreeram Parupudi, MD, FACG1; 1. University of Texas Medical Branch, Galveston, TX; 2. The University of Texas Medical Branch, Galveston, TX P1800. IgG₄-Related Disease: A Gastric Mass With an IgG4 Surprise Dylan Lopez, BS1, Cristina Cepeda, BS1, Cleo Desmedt, BS2, Christian P. Lalonde, BA2, Rogerio Montes, BS1, Juan J. Menjivar, MD3, Oscar Mendez, MD4, Diego Mendez4; 1. University of Texas Rio Grande Valley School of Medicine, Harlingen, TX; 2. University of Texas Rio Grande Valley School of Medicine, Edinburg, TX; 3. Doctors Hospital at Renaissance, McAllen, TX; 4. University of Texas Rio Grande Valley, Edinburg, TX P1801. Emphysematous Gastritis: A Real Indication for Emergent Surgical Intervention? Sana Riaz, MBBS1, Pujitha Kudaravalli, MD2, Sheikh A. Saleem, MD1, Bishnu Sapkota, MD1; 1. SUNY Upstate Medical University, Syracuse, NY; 2. Upstate Medical University, Syracuse, NY P1802. A Unique Presentation of Scurvy in the Modern Era  Presidential Poster Award Anita Bhagavathula, MS, MBA, DO1, Joanna Linsteadt, MD2; 1. Corpus Christi Medical Center, Corpus Christi, TX; 2. Abdominal Specialists - South Texas, Corpus Christi, TX P1803. Tumor Seeding at Gastrostomy Site Secondary to Percutaneous Endoscopic Gastrostomy Placement in Esophageal Squamous Cell Carcinoma Maham Hayat, MD1, Muhammad Z. Hanafi, MD1, Bryce Yohannan, MD1, Aqsa Moten, MBBS2, Muhammad Hashim Hayat, MBBS3, Alyssa Grossen, MD1, Rajesh Kanagala, MD1; 1. University of Oklahoma Health Sciences Center, Oklahoma City, OK; 2. Ziauddin Medical University, Oklahoma City, OK; 3. University of Health Sciences, Oklahoma City, OK

136 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

TUESDAY, OCTOBER 29, 2019 P1818. Factors Associated With Increased Opioid Use in a Retrospective Cohort of 14,140 Acute Pancreatitis Patients Patrick Twohig, MD, MPH1, Dalbir S. Sandhu, MD2; 1. MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH; 2. Case Western BILIARY / PANCREAS Reserve University / MetroHealth Medical Center, Cleveland, OH P1810. A Comparison of Machine Learning and Logistic Regression P1819. Colon Involvement in Necrotizing Pancreatitis - Incidence, Performance for the Prediction of In-Hospital Mortality Among Acute Predictors and Outcomes From a Single Tertiary Care Center Biliary Pancreatitis Patients Ahmed Dirweesh, MD, Christopher Choo, MD, Stuart Amateau, MD, Anjuli K. Luthra, MD1, Kyle Porter, MAS2, Alice Hinton, PhD2, Somashekar PhD, Nabeel Azeem, MD, Shawn Mallery, MD, Martin Freeman, MD, Guru G. Krishna, MD, MPH1; 1. The Ohio State University Wexner Medical Center, Trikudanathan, MD; University of Minnesota, Minneapolis, MN Columbus, OH; 2. The Ohio State University, Columbus, OH P1820. Management of Pancreaticopleural Fistula in Necrotizing P1811. The Pancreatitis Activity Scoring System Predicts Post- Pancreatitis: A Single Tertiary Care Center Experience Intervention Outcomes and Early Readmission in Patients With Infected Ahmed Dirweesh, MD, Christopher Choo, MD, Stuart Amateau, MD, Pancreatic Necrosis PhD, Nabeel Azeem, MD, Shawn Mallery, MD, Martin Freeman, MD, Guru Nikhil Thiruvengadam, MD, Janille Miranda, BA, Maen Masadeh, MD, Trikudanathan, MD; University of Minnesota, Minneapolis, MN Mustafa Arain, MD; University of California San Francisco Medical Center, San Francisco, CA P1821. Variations of Diagnosis and Management of Immune Checkpoint Inhibitor Pancreatic Injury (ICIPI) and Immune Checkpoint Inhibitor P1812. The Role of the GNAS Oncogene in the Immune Microenvironment Pancreatitis: A Single Institution Experience of Intraductal Papillary Mucinous Neoplasm Ravi Shah, MD, Joseph Sleiman, MD, Roberto Simons-Linares, MD, MS, Yasmin G. Hernandez-Barco, MD, Christina Ferrer, PhD, Kenneth Ngo, Muhammad Faisal, MD, Jung-Min Song, CNS, Jessica Philpott, MD, Pauline BS, Erik Schiferle, BA, Krushna Patra, PhD, C. Fernandez-Del Castillo, Funchain, MD; Cleveland Clinic Foundation, Cleveland, OH MD, Mari Mino-Kenudson, MD, Raul Mostoslavsky, MD, PhD, Shadmehr Demehri, MD, PhD, Nabeel Bardeesy, PhD; Massachusetts General P1822. Necrotizing Pancreatitis Does Not Increase Odds of Mortality: Insights From a National Cohort Hospital, Boston, MA 1 1 TUESDAY Abhishek Bhurwal, MD , Lauren Pioppo, MD , Augustine Tawadros, POSTERS P1813. Trends in the Use of TPN Among Patients Admitted With MD1, Debashis Reja, MD1, Iman Andalib, MD1, Avik Sarkar, MD2, Haroon Acute Pancreatitis Shahid, MD2, Amy Tyberg, MD1, Michel Kahaleh, MD, FACG2; 1. Robert Daniel Pievsky, DO, RD, Savan Kabaria, MD, Oleg Shulik, MD; Rutgers New Wood Johnson Medical School, Rutgers University, New Brunswick, Jersey Medical School, Newark, NJ NJ; 2. Robert Wood Johnson University Hospital, New Brunswick, NJ P1814. Acalculous Cholecystitis: Changing Trends From 2004 to 2014 P1823. Prevalence of Intrapapillary Mucinous Neoplasm in Patients With Gaurav Kakked, MD1, Michael Herman, MD1, Alana Persaud, MD2, Michael Chronic Kidney Disease S. Smith, MD3, Edward Lung, MD3; 1. Mount Sinai Beth Israel, Mount Neil Kapil, MD, Vladimir Lamm, MD, Ramzi Mulki, MD, Rushikesh Shah, Sinai St. Luke's, Mount Sinai West, New York, NY; 2. Rutgers New Jersey MD, Qiang Cai, MD, PhD, FACG, Field Willingham, MD, MPH, Steven Medical School, Newark, NJ; 3. Mount Sinai St. Luke's and Mount Sinai Keilin, MD; Emory University School of Medicine, Atlanta, GA Roosevelt, New York, NY P1824. Impact of the National Opioid Epidemic on Chronic Pancreatitis P1815. Comparison of EUS-Guided Fine-Needle Aspiration Alone versus Related Admissions Combined Fine-Needle Aspiration and Fine-Needle Biopsy in the Ahmed Chatila, MD1, Mohammad Bilal, MD1, Mohamed Tausif Siddiqui, Diagnostic Evaluation of Solid Pancreatic Lesions MD2, Muhannad Al-Hanayneh, MD1, Aun R. Shah, MD, MRCP3, Madhav Vaibhav Wadhwa, MD1, Adalberto Gonzalez, MD1, Harjinder Singh, MD1, Desai, MD4, Vaibhav Wadhwa, MD4, Sreeram Parupudi, MD, FACG1, Brenna Ishtiaq Ahmed, MBBS2, Tolga Erim, DO1, Madhusudhan R. Sanaka, MD, W. Casey, MD5, Kumar Krishnan, MD5, Yasmin G. Hernandez-Barco, MD5; FACG3; 1. Cleveland Clinic, Weston, FL; 2. Khyber Teaching Hospital, 1. University of Texas Medical Branch, Galveston, TX; 2. New York Medical Peshawar, North-West Frontier, Pakistan; 3. Digestive Disease Institute, College, Valhalla, NY; 3. Case Western Reserve University / MetroHealth Cleveland Clinic Foundation, Cleveland, OH Medical Center, Cleveland, OH; 4. Cleveland Clinic, Weston, FL; 5. Massachusetts General Hospital, Boston, MA P1816. Racial and Gender Disparities Among Obese Patients With Pancreatic Cancer: A Trend Analysis From 2004-2018 in the United States P1825. Performance Comparison Between Endoscopic Ultrasound/ Patrick Twohig, MD, MPH1, Muhammad Butt, MD, MS2, Timothy Gardner, endoscopic Retrograde Cholangiopancreatography and Intraoperative MD, MS, FACG3, Sonia Sandhu, MD4, Dalbir S. Sandhu, MD5; 1. MetroHealth Cholangiography for Detecting Choledocholithiasis Medical Center, Case Western Reserve University, Cleveland, OH; 2. Neil Vyas, MD1, Ali Alshati, MD2, Dimas Kosa, MD3, Pir Shehzad, MD3, MetroHealth Hospital, Case Western Reserve University, Cleveland, OH; Bikash Bhattarai, PhD3, Sharad Bellapravalu, MD4, Abdul Nadir, MD4, 3. Dartmouth-Hitchcock Medical Center, Lebanon, NH; 4. Cleveland Indu Srinivasan, MD4, Keng-Yu Chuang, MD4; 1. St. Joseph's Hospital and Clinic Foundation / Akron General, Akron, OH; 5. Case Western Reserve Medical Center, Creighton University School of Medicine, Phoenix, AZ; University / MetroHealth Medical Center, Cleveland, OH 2. Creighton University School of Medicine, Phoenix, AZ; 3. Maricopa Inegrated Health System, Phoenix, AZ; 4. Maricopa Integrated Health P1817. Opioid Dependence Among Chronic Pancreatitis Patients: A Trend System, Phoenix, AZ Analysis of 15 Years Patrick Twohig, MD, MPH1, Muhammad Butt, MD, MS2, Timothy Gardner, MD, MS, FACG3, Dalbir S. Sandhu, MD4; 1. MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH; 2. MetroHealth Hospital, Case Western Reserve University, Cleveland, OH; 3. Dartmouth-Hitchcock Medical Center, Lebanon, NH; 4. Case Western Reserve University / MetroHealth Medical Center, Cleveland, OH

P1826. Combination Rectal Indomethacin and Topical Epinephrine Is P1835. The Prevalence of Endoscopic Retrograde Not Superior to Rectal Indomethacin in the Prevention of Post-ERCP Cholangiopancreatography-Related Complications in Patients With Liver Pancreatitis - A Meta-Analysis Transplant: A Meta-Analysis and Systematic Review Passisd Laoveeravat, MD1, Abhilash Perisetti, MD2, Wasawat Vutthikraivit, Laith Al Momani, MD1, Mohammad Alomari, MD2, Fredy Nehme, MD3, MD1, Nicha Wongjarupong, MD3, Mauricio Garcia-Saenz-de-Sicilia, MD2, Shaden Almomani, MD4, Tyler Aasen, MD1, Mark Young, MD1; 1. East Sumant Inamdar, MD, MPH2, Shashank Garg, MD2, Ragesh Thandassery, Tennessee State University, Johnson City, TN; 2. Cleveland Clinic MD2, Benjamin Tharian, MD2; 1. Texas Tech University Health Sciences Foundation, Cleveland, OH; 3. University of Missouri, Kansas City, MO; 4. Center, Lubbock, TX; 2. University of Arkansas for Medical Sciences, Little Jordanian Royal Medical Services, Irbid, Irbid, Jordan Rock, AR; 3. University of Minnesota, Minneapolis, MN P1836. Hypertriglyceridemia-Induced Pancreatitis Results in Favorable P1827. Cholangitis in Patients With Pancreatic Adenocarcinoma Does Not Outcomes Despite Greater Predicted Severity on Admission Impact Resection Rates in Patients Who Are Undergoing Neoadjuvant Jeffrey Yeh, MD, MPH, MS1, Alice A. Lee, MD1, Christopher Ko, MD2, Chemotherapy Michael Quezada, MD1, Ara Sahakian, MD3, Helen Lee, APN4, James L. Eli P. Darnell, MD, Thomas J. Wang, MD, Melissa A. Lumish, MD, Yasmin Buxbaum, MD3; 1. LAC+USC Medical Center, Los Angeles, CA; 2. LAC+USC, G. Hernandez-Barco, MD, Maximillian Weniger, MD, C. Fernandez-Del Los Angeles, CA; 3. Keck School of Medicine, University of Southern Castillo, MD, Brenna W. Casey, MD, Kumar Krishnan, MD; Massachusetts California, Los Angeles, CA; 4. Keck School of Medicine, University of General Hospital, Boston, MA Southern California, Temple City, CA P1828. Outcomes of Acute Pancreatic in Patients With and Without History P1837. Persistent Hemoconcentration After Initial Resuscitation Is of Cholecystectomy Associated With Increased Need for Opiates in the ED in Patients Amandeep Singh, MD, Muhammad Talal Sarmini, MD, Mohammad Presenting With Acute Pancreatitis Alomari, MD, Madhusudhan R. Sanaka, MD; Cleveland Clinic Foundation, Allison L. Yang, MD, MPH, David X. Jin, MD, MPH, Peter A. Banks, MD, Julia Cleveland, OH McNabb-Baltar, MD, MPH; Brigham and Women's Hospital, Boston, MA P1829. The Effect of Disability on the Diagnosis and Treatment of P1838. Outcomes in Patients With Acute Pancreatitis and HIV Using the Pancreatic Cancer in the Republic of Korea: A National Cohort Study Nationwide Inpatient Sample Database Jongwook Choi1, Byungha Cho1, Jun Su Lee, MD1, Hyeonwoo Kwon, MD2, Preet Patel, BA, Amjad Shaikh, BA, Pavan Patel, MD, Sushil Ahlawat, MD; Seongmin Kim, MD2, Seon Mee Park, MD2; 1. Chungbuk National University Rutgers New Jersey Medical School, Newark, NJ Hospital, Cheongju, Ch'ungch'ong-bukto, Republic of Korea; 2. Chungbuk National University Hospital, Cheongju-si, Ch'ungch'ong-bukto, Republic P1839. Clinical Utility of EUS-Guided Needle-Based Confocal of Korea Endomicroscopy of Pancreatic Cystic Lesions for Surgical Decision Making Somashekar Krishna, MD1, Phil Hart, MD1, Anjuli K. Luthra, MD1, Kyle P1830. Application of Liquid-Impregnated Surfaces on Gastrointestinal Porter, MAS2, George Papachristou, MD3, Luis Lara, MD1, Darwin Conwell, Devices to Reduce Device-Associated Complications MD, MS, FACG1; 1. The Ohio State University Wexner Medical Center, Zheng Zhang, PhD1, Raymond Seekell, PhD1, Sarah Jaffe1, J. David Smith1, Columbus, OH; 2. The Ohio State University, Columbus, OH; 3. University Kripa Varanasi, PhD2, Lyndon Hernandez, MD, MPH3; 1. LiquiGlide Inc, of Pittsburgh Medical Center, Pittsburgh, OH Cambridge, MA; 2. Massachusetts Institute of Technology, Cambridge, MA; 3. Medical College of Wisconsin, Wauwatosa, WI P1840. A Contemporary Analysis of Obese Patient Characteristics and Outcomes With Pancreatitis P1831. Pancreatic Adenocarcinoma Following Liver Transplantation: Fahad Chaudhary, MD, Ridwaan Albeiruti, MD, William Hutson, MD; West UNOS Data Analysis Virginia University School of Medicine, Morgantown, WV Juan E. Corral, MD1, Sheetal Patel, MD1, Paul T. Kröner, MD, MSc1, Karn Wijarnpreecha, MD1, Arpan Patel, MD2, Sarah M. Al Nimri3, Yan Bi, MD, P1841. Are Antibiotics Necessary for EUS-FNA of Pancreatic Cysts: PhD1, Omar Y. Mousa, MD4; 1. Mayo Clinic, Jacksonville, FL; 2. University A Retrospective Study Madhuri Badrinath, MBBS1, Gowthami Kanagalingam, MBBS1, Natalya of Rochester Medical Center / Wilmot Cancer Center, Rochester, NY; 3. Iorio, MD1, Bishnu Sapkota, MD2; 1. SUNY Upstate Medical Center, Jordan University of Science and Technology, Amman, Irbid, Jordan; 4. Syracuse, NY; 2. VA Syracuse Hospital, Syracuse, NY Mayo Clinic, Rochester, MN P1832. AGT Score as a Predictor of Common Bile Duct Stone Using P1842. Opportunistic Screening of Bone Mineral Density With CT Scans in Chronic Pancreatitis Endoscopic Ultrasound (EUS) in Patients With Intermediate Probability 1 1 1 Criteria According to ASGE Guidelines Hanisha Manickavasagan, MD , Zarine Shah, MBBS , Phil Hart, MD , Luis Lara, MD1, Alice Hinton, PhD1, Andrew Lu, MD1, Dhiraj Yadav, MD, MPH2, Raja Taha Yaseen, MBBS, Muhammad Manzoor Ul Haque, MBBS, Darwin Conwell, MD, MS, FACG1; 1. The Ohio State University Wexner FCPS, Adeel U. Urrehman, MRCP; Sindh Institute of Urology and Medical Center, Columbus, OH; 2. University of Pittsburgh Medical Center, Transplantation, Karachi, Sindh, Pakistan Pittsburgh, PA P1833. Are Race or Sex Associated With Mortality, Interventions, or P1843. Bone Health in Chronic Pancreatitis: A Pilot Study Palliative Care Use in Pancreatic Cancer Patients? An Urban Center 1 1 1 Experience, 2010-2017 Hanisha Manickavasagan, MD , Zarine Shah, MBBS , Phil Hart, MD , Luis Lara, MD1, Alice Hinton, PhD2, Andrew Lu, MD1, Dhiraj Yadav, MD, MPH3, Daniel S. Jamorabo, MD1, Benjamin D. Renelus, MD2, Hashroop Gurm, Darwin Conwell, MD, MS, FACG1; 1. The Ohio State University Wexner MD2, Siddharth Bhesania, MD2, William M. Briggs, PhD2; 1. New York- Medical Center, Columbus, OH; 2. The Ohio State University, Columbus, Presbyterian Brooklyn Methodist Hospital, Jackson Heights, NY; 2. New OH; 3. University of Pittsburgh Medical Center, Pittsburgh, PA York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY P1834. Trends, Predictors, and Outcomes of Septic Shock in Patients With Pancreatitis Ridwaan Albeiruti, MD, Fahad Chaudhary, MD, William Hutson, MD; West Virginia University School of Medicine, Morgantown, WV

138 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P1844. The Impact of Laparoscopic Cholecystectomy on 30-Day P1854. Calcified Gastroduodenal Artery Aneurysm Presenting as a Readmission Rate for Acute Cholangitis Patients: A Single Center Study Pancreatic Mass Muhammad Alsayid, MD, MPH1, Mohanad Awadalla, MD2, Betty Albo, Mehak M. Laharwal, MBBS1, Abhishek Bhurwal, MD2, Maya Safarova, MD, MD1, Arslan Talat, MD3, Wahid Wassef, MD1; 1. University of Massachusetts PhD3, David Rahni, MD4; 1. Saint Barnabas Medical Center, Livingston, Memorial Medical Center, Worcester, MA; 2. University of Massachusetts NJ; 2. Robert Wood Johnson Medical School, Rutgers University, New Medical Center, Worcester, MA; 3. University of Massachusetts Memorial Brunswick, NJ; 3. Saint Barnabas Medical Center, West Orange, NJ; 4. Medical Center, Hamden, CT Saint Barnabas/RWJ, West Orange, NJ P1845. Gender and Racial Disparities in the Annual Percent Change of P1855. An Uncommon Cause of Hematochezia - A Case Report Incidence and Mortality Rates of Pancreatic Cancer Rizwan Ishtiaq, MD1, Darlene M. Wilhelm, APN2, Vinaya Gaduputi, MD, Vicky Bhagat, MD, MPH1, Michel Kahaleh, MD, FACG2; 1. Robert Wood FACG3, Uzair Hamdani, MD4; 1. St. Vincent Charity Medical Center, Johnson Medical School, Rutgers University, New Brunswick, NJ; 2. Perrysburg, OH; 2. Mercy Health - St. Vincent Medical Center, Toledo, OH; Robert Wood Johnson University Hospital, New Brunswick, NJ 3. St. Barnabas Hospital, Bronx, NY; 4. Northwest Ohio Gastroenterology Associates, Toledo, OH P1846. Effects of Gallstones or Cholecystectomy on Gastrointestinal Cancer Risk and Prognosis: A Population-Based Cohort Study P1856. Nivolumab-Induced Hemorrhagic Pancreatitis Hyeonwoo Kwon, MD1, Seongmin Kim, MD1, Jun Su Lee, MD2, Byungha Wesley Rogers, MD1, Amit Mehta, MD1, Saurabh Mukewar, MD, MBBS2, Cho2, Jongwook Choi2, Seon Mee Park, MD1; 1. Chungbuk National Rachel Niec, MD, PhD1, Danny Issa, MD1, David Wan, MD2; 1. New York- University Hospital, Cheongju-si, Ch'ungch'ong-bukto, Republic of Korea; Presbyterian / Weill Cornell Medical Center, New York, NY; 2. Weill Cornell 2. Chungbuk National University Hospital, Cheongju, Ch'ungch'ong- Medical College, New York, NY bukto, Republic of Korea P1857. Viral Acalculous Cholecystitis: A Rare Extrahepatic Manifestation of Hepatitis A 1 2 2 BILIARY / PANCREAS Yadis M. Arroyo, MD , Shruti Mony, MD , Saurabh Agrawal, MD , Carlos E. Bertran-Rodriguez, MD2, Andrea Pagan, MD1; 1. University of South Clinical Vignettes / Case Reports Florida, Tampa, FL; 2. University of South Florida Morsani College of P1847. Narrow Tunnel, Zero Visibility: Role of Lumen-Apposing Metal Stent Medicine, Tampa, FL TUESDAY POSTERS in the Treatment of Short Luminal Stricture Prior to Endoscopic Retrograde P1858. Intrahepatic Bile Duct Adenoma: A Diagnostic Dilemma Cholangiopancreatography Procedure Ji Seok Park, MD, Sravanthi Ayyagari, MD, Mikhail Tismenetsky, MD, Gilad Shapira, MD1, Manoj Kumar, MD2, Yazan Fahmawi, MD2, Meir Mizrahi, Steven Brower, MD, Minaxi Jhawer, MD; Englewood Hospital and MD3; 1. University of South Alabama College of Medicine, Mobile, AL; 2. Medical Center, Englewood, NJ University of South Alabama, Mobile, AL; 3. University of South Alabama College of Medicine, Spanish Fort, AL P1859. A Stone in the Wall: Extraction of an Embedded Choledocholithiasis in the Proximal CBD by Cholangioscopy P1848. Late Recurrence of Metastatic Pancreatic Angiomyolipoma in Mira Alsheikh, MD1, Youssef El Douaihy, MD1, Sherif Andrawes, MD1, Tuberous Sclerosis Following Bilateral Nephrectomy and Transplant Fady Haddad, MD2, Khalil Kamar, MBBCh1; 1. Staten Island University Ayusa Sinha, MD1, Kashif Tufail, MD1, Amitpal S. Johal, MD2, Harshit S. Hospital, Staten Island, NY; 2. Northwell Health Staten Island Khara, MD, FACG1; 1. Geisinger Medical Center, Danville, PA; 2. Geisinger University Hospital, Staten Island, NY Health System, Danville, PA P1860. DLBCL Mimicking a Cholangiocarcinoma: Earlier Diagnosis, P1849. Dose Increment-Associated Liraglutide-Induced Acute Pancreatitis Better Outcome? Nizar Al-Salameh, DO1, Ruchit N. Shah, DO1, Harshit S. Khara, MD, FACG2; Arjun Khadilkar, MD, Candice Mateja, DO, Sarah Thomas, MD; University 1. Geisinger Health System, Danville, PA; 2. Geisinger Medical Center, of South Florida, Tampa, FL Danville, PA P1861. Thrombotic Thrombocytopenic Purpura as an Unusual Complication P1850. Unusual Presentation of an Intraductal Papillary Neoplasm of the of Alcoholic Pancreatitis Bile Duct (IPNB) Masquerading as Mirizzi Syndrome Correctly Diagnosed Nicholas Ridout, MD1, Puja Rai, MD2; 1. Tufts Medical Center, Boston, MA; With SpyGlass Cholangioscopy 2. Tufts University Medical Center, Boston, MA Mohammad Fayyaz, MD1, Roderich Schwarz, MD, PhD2; 1. Buffalo Medical Group, Williamsville, NY; 2. Roswell Park Cancer Institute, Buffalo, NY P1862. The Pancreatic and Pancytopenic Predicament Bilawal Ahmed, MD1, Omar Chaudhary, MD2, Shil Shah, BSc3, Mazhar P1851. Impacted Fully Covered Self-Expanding Metal Biliary Stent Within an Mustafa4, Niket Sonpal, MD5, Byron Okwesili, MD6; 1. Unity Health System, Uncovered Metal Stent by Exuberant Granulation Tissue Growth Successfully Searcy, AR; 2. Beth Israel Deaconess Medical Center, Boston, MA; 3. Removed After Treatment With Argon Plasma Coagulation (APC) American University of Antigua, Hamilton, ON, Canada; 4. American Mohammad Fayyaz, MD; Buffalo Medical Group, Williamsville, NY University of Antigua, Brooklyn, NY; 5. Brookdale Hospital Medical Center, P1852. Too Much of a Good Thing: HIV and Immune Reconstitution in a Brooklyn, NY; 6. Saint Michael's Medical Center, Newark, NJ Patient With IGG4-Related Pancreatitis P1863. Metastatic Merkel Cell Carcinoma With Isolated Pancreatic David M. Berger, MD1, Galina Glazman-Kuczaj, MD2, Julie Kanevsky, MD1; Metastases 1. Montefiore Medical Center - Moses/Weiler Campus, Bronx, NY; 2. Prasanth Lingamaneni, MD1, Ishaan Vohra, MD1, Shristi Upadhyay, MD2, Montefiore Medical Center, Bronx, NY Muhammad Zain Farooq, MD2, Shweta Gupta, MD2; 1. John H. Stroger, Jr. P1853. Transjugular Liver Biopsy Causing Hemobilia and the Rarely Hospital of Cook County, Chicago, IL; 2. Cook County Health and Hospital Reported Hemocholecystitis Systems, Chicago, IL Narasimha Swamy Gollol Raju, MD1, Sriraksha Jayananda, MD2, Kara P1864. Portal Vein Compression in Light of Chronic Pancreatitis Regan, MD2, Mark Rosenblatt, MD3, Hamza Khalid, MD4; 1. East Carolina Dhanush Hoskere, DO1, Kovil Ramasamy, MD2, John Dedousis, MD3, University, Greenville, NC; 2. Vidant Medical Center, Greenville, NC; 3. Antonios Tsompanidis, DO3; 1. Bayonne Medical Center-CarePoint Health, University of California Health, Longmount, CO; 4. Vidant Medical Center, Bayonne, NJ; 2. Rowan University School of Osteopathic Medicine, Greenvile, NC Stratford, NJ; 3. CarePoint Health, Bayonne, NJ

P1865. Sclerotic Bone Metastasis From Cholangiocarcinoma: A Case Report P1876. A Rare Presentation of Diffuse Large B-Cell Lymphoma as a Hardikkumar Shah, MD, MPH1, Shaker Barham, MD2, Etan Spira, MD1; 1. Pancreatic Mass Saint Michael's Medical Center, Newark, NJ; 2. St. Joseph's University Cole Seifers, DO, Benjamin Pottebaum, DO, Karolina Siniakowicz, DO, Medical Center, Paterson, NJ Charles Ruzkowski, MD; Parkview Medical Center, Pueblo, CO P1866. Bevacizumab-Linked Acute Pancreatitis: A Case Report P1877. Rare Presentation of Large Pancreatic Mass With Chylous Ascites SARA Albagoush, MBBCh1, Shannon McGuire, MD2, Haitam M. Buaisha, Madhuri Badrinath, MBBS1, Rachana Mandru, MBBS1, Sheikh A. Saleem, MBBCh1, Sandeep Mukherjee, MD2; 1. Creighton University School of MBChB2, David Heisig, MD1; 1. SUNY Upstate Medical Center, Syracuse, Medicine, Omaha, NE; 2. Creighton University, Omaha, NE NY; 2. Upstate Medical University, Syracuse, NY P1867. “Windsock” Duodenal Diverticulum Resulted in Recurrent P1878. Gastric Outlet Obstruction Caused by Infiltrative Pancreatic Cancer Pancreatitis and Gastric Outlet Obstruction Mimicking Benign Peptic Ulcer Disease Yingheng Liu, MD, PhD, Jean Saleh, MD; Mount Sinai St. Luke's and Mount Gaurav Bhardwaj, MD1, Waqas Nawaz, MD1, Hilary Hertan, MD2; 1. Sinai Roosevelt, New York, NY Montefiore Medical Center, Bronx, NY; 2. Montefiore Medical Center / Albert Einstein College of Medicine, Bronx, NY P1868. Foreign Body Erosion into the Biliary Tree - How to Avoid a Hepaticojejunostomy P1879. A Troublesome Remnant Meghana Ghattu, BA1, Vineet Rolston, MD2, Ann Y. Lee, MD3, Tammy Bryk, Rasiq Zackria, DO; University of California Riverside School of Medicine, MD3, Sammy Ho, MD4, Demetrios Tzimas, MD1; 1. New York University Riverside, CA School of Medicine, New York, NY; 2. New York University Langone Medical Center, New York, NY; 3. New York University, New York, NY; 4. P1880. Extramedullary Plasmacytoma of the Pancreas Cameron Fazeli, DO1, Grace Hopp, DO, MBA1, Laura Rosenkranz, MD2, Montefiore Medical Center, Bronx, NY Mishel S. Malik3; 1. University of Texas Health Science Center, San Antonio, P1869. A Tail of Acute Diarrhea TX; 2. University of Texas Health, San Antonio, TX; 3. Christus Santa Rosa Abdalla Mohamed, MD, Rachel Abboud, MD, Elias Estifan, MD, Yana Medical Center, San Antonio, TX Cavanagh, MD, Sami Adib, MD, Shaker Barham, MD, Youssef Botros, MD, Matthew Grossman, MD, Walid Baddoura, MD, Derick Christian, MD; St. P1881. No Stone Left Unturned: Use of a Novel Device for Pancreatic Calculi Joseph's University Medical Center, Paterson, NJ Extraction David Schwarzbaum, MD1, Sang Kim, MD2; 1. NYPQ, Flushing, NY; 2. New P1870. Casting a Wide Net to Find a Rare NET: A Case of Gallbladder Large York Hospital Queens, Flushing, NY Cell Neuroendocrine Carcinoma Jade Law, MD1, Alex Zhornitskiy, MD1, James H. Tabibian, MD, PhD2, Armine P1882. Pancreaticocolonic Fistula: A Rare Cause of Recurrent Infective Baltayan, MD1; 1. University of California Los Angeles - Olive View Medical Endocarditis Salih Samo, MD, MSci1, Karen Giles, MD, MS1, Ramzi Mulki, MD1, Cesar Center, Sylmar, CA; 2. Olive View - UCLA Medical Center, Sylmar, CA Taborda, MD, MSc1, Lisa S. Cassani, MD1, Stephan U. Goebel, MD1, Shreya P1871. A Rare Case of Extrahepatic Cholestasis Secondary to Acquired M. Raja, MD2; 1. Emory University School of Medicine, Atlanta, GA; 2. Immunodeficiency Syndrome (AIDS) - Related Kaposi Sarcoma Emory University School of Medicine, Decatur, GA Estefania Flores, MD1, Madhu Mathew, MD2, Diana M. Oramas, MD3, Chimezie Mbachi, MD2, Parth M. Desai, DO2, Danilo Noboa, MD4, Vanessa P1883. Pancreatogenic Diabetes (Type 3C) Presenting With Diabetic Sarda, MD5; 1. Cook County Health and Hospital Systems, Chicago, IL; 2. Ketoacidosis Gabriel Melki, MD, Linda Laham, BSc, Gres Karim, BSc, Fnu Komal, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 3. University of MD, Shaker Barham, MD, Maggie Hanna, MD, Ruhin Yuridullah, MD, Illinois, Chicago, IL; 4. Universidad Internacional Del Ecuador, Chicago, IL; Aarohi Vora, Matthew Grossman, MD, Walid Baddoura, MD; St. Joseph's 5. Cook County Hospital, Chicago, IL University Medical Center, Paterson, NJ P1872. A Rare Cause of Acute Pancreatitis in a Transgender Female Lindsey C. Shipley, MD, David T. Steele, MD, Charles M. Wilcox, MD, MSPH, P1884. Primary B-Cell Pancreatic Lymphoma Presenting as Acute Chad M. Burski, MD; University of Alabama at Birmingham, Birmingham, AL Pancreatitis Alay M. Tikue, MD, Sakolwan Suchartlikitwong, MD, Rita Medrano, MD, P1873. A Rare Case of Post-ERCP Panniculitis Meily Arevalo, MD, Mohamed Zitun, MD, Nuvneet Khandewal, MD, Kyaw Lindsey C. Shipley, MD, Timothy A. McGraw, MD, Charles A. Parrish, Thein, MD, Sriman Swarup, MD, Kenneth Nugent, MD, Nicholas D'Cunha, MD, Devin S. Harrison, FNP, Rachel E. Mitchell, FNP, Charles M. Wilcox, MD; Texas Tech University Health Sciences Center, Lubbock, TX MD, MSPH, Ali M. Ahmed, MD; University of Alabama at Birmingham, Birmingham, AL P1885. Follicular Cholangitis Presenting as Cholangiocarcinoma in a Patient With Serologic Evidence of Autoimmune Disease P1874. Twelve-Year-Old Male With Esophageal Dysphagia: David Kleesattel, MD, Kamran Safdar, MD, Shimul Shah, MD, Jiang Wang, A Diagnostic Dilemma! MD, Khurram Bari, MD; University of Cincinnati, Cincinnati, OH Lindsey C. Shipley, MD, Saurabh Talathi, MD, John T. Wilson, BS, Ali M. Ahmed, MD, Neelesh Tipnis, MD; University of Alabama at Birmingham, P1886. A Stent Long-Forgotten: Obstructive Jaundice and Acute Birmingham, AL Cholangitis due to Migrated Biliary Stent Bobby Jacob, MD1, Kanak Das, MD2, Charudatta Wankhade, MD1, Stavros P1875. Prognosis and Management of Rare Pancreatic Tumors: A Case Stavropoulos, MD2, Kaleem Rizvon, MBBS, FACG1; 1. Nassau University Series to Highlight the Importance of Accurate Pathologic Diagnosis in Medical Center, East Meadow, NY; 2. New York University Winthrop Pancreatic Malignancy Hospital, Mineola, NY Sarah Enslin, PA-C1, Luis De Las Casas, MD2, Vivek Kaul, MD, FACG1; 1. University of Rochester Medical Center, Strong Memorial Hospital, P1887. Type 1 Choledochal Cyst With Anomalous Pancreaticobiliary Rochester, NY; 2. University of Rochester Medical Center, Rochester, NY Malunion Diagnosed on Cholangioscopy Mohammed Fahad Ali, MD1, Nabil El Hage Chehade, MD1, Piotr Sowa, MD1, Meredith Clary, MD2, Jason Samarasena, MD, FACG1; 1. University of California Irvine Medical Center, Orange, CA; 2. University of California Irvine, Orange, CA

140 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P1888. Minimally Invasive Treatment for Severe Acute Pancreatitis With P1899. A Starry Sky Liver: Klebsiella Pneumoniae Septic Shock Caused by Colonic Stenosis Infected Multiple Biliary Hamartomas Dong Cen1, Bo Shen, PhD2, Yanting Wang, MD3, Zhe Wan2, Xiujun Cai, MD2; Zachary Neubert, DO, MS1, Nader Mirhosseni, MD2, Robert D. Lawson, 1. Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, MD1; 1. Naval Medical Center, San Diego, CA; 2. Sharp Rees Stealy Medical Hangzhou, Zhejiang, China (People's Republic); 2. Sir Run Run Shaw Group, San Diego, CA Hospital, Zhejiang University, Hangzhou, Zhejiang, China (People's Republic); 3. John H. Stroger, Jr. Hospital of Cook County, Chicago, IL P1900. A Rare Presentation of Sarcoidosis Diagnosed as Pancreatic Sarcoidosis P1889. Biliary Obstruction Due to Extrahepatic Biliary Mucinous Cystic Kushal Shukla, MD, David Rahni, MD, FACG; Saint Barnabas Medical Neoplasm: An Uncommon Case Center, Livingston, NJ Sara J. Hawksworth, DO1, Christopher Pluskota, DO2, Bradley Confer, DO3, Iman Sarami, MD3, Jinhong Li, MD, PhD3; 1. Danville, PA; 2. Geisinger, P1901. An Uncommon Cause of Biliary Obstruction in a Patient With Budd- Danville, PA; 3. Geisinger Medical Center, Danville, PA Chiari Syndrome  Presidential Poster Award P1890. Choledocholithiasis in Primary Hepatic Lymphoma (PHL): Sheena Mago, DO, Marianna Mavilia, DO; University of Connecticut Health An Additional Hurdle to PHL Diagnosis? Center, Farmington, CT Kishore Kumar, MD1, Rajesh Kumar Essrani, MD1, Haozhe Sun, MD2, Chukwunonso U. Chime, MD1, Hassan Tariq, MD1, Harish Patel, MD1, Suresh P1902. Beyond Pseudocysts: When Acute Pancreatitis Involves the Colon Nayudu, MD2; 1. BronxCare Health System, Bronx, NY; 2. Bronx Lebanon Irma Hashmi, DO, Julia Shor, MD, Mohamed Mahmoud, MD, Anupam Hospital Center, Bronx, NY Singh, MD; University of Massachusetts Medical Center, Worcester, MA P1891. Spontaneous Perforation of an Acalculous Hydropic Gallbladder in a P1903. Acute Pancreatitis Induced by a Migrated Percutaneous Endoscopic Diabetic Patient With Neuropathy: An Under-Diagnosed Entity Gastrostomy Tube: A Case Report 1 2 2 Shivantha Amarnath, MD, BSc, MRSB, Abhishek Polavarapu, MD, Vivek Fadi Hawa, MD , Anas Marii, MD , Ola Al-Sous, MD ; 1. St. Joseph Mercy Gumaste, MD, MRCP, SM; Staten Island University Hospital, Northwell Hospital-Ann Arbor, Ann Arbor, MI; 2. St. Joseph Mercy Hospital-Ann Health, Staten Island, NY Arbor, Ypsilanti, MI P1904. Hypercalcemia as the First Presentation of an Underlying Rare TUESDAY P1892. A Bad Connection: Chronic Pancreatitis Leading to a POSTERS Pancreticopleural Fistula Variant of Adenosquamous Cholangiocarcinoma 1 2 Ross Humes, MD1, Brett Sadowski, MD2, John McCarthy, MD1, Patrick Preethi Ramachandran, MD, MRCP, FRCP , Amandeep Kaur, MD , Ruchi 1 2 Young, MD, FACG3; 1. Walter Reed National Military Medical Center, Yadav, MBBS , Gardith Joseph, MD ; 1. Brookdale University Hospital, Bethesda, MD; 2. Walter Reed National Military Medical Center, Silver New York, NY; 2. Brookdale Univeristy Hospital and Medical Center, Spring, MD; 3. Uniformed Services University of the Health Sciences, New York, NY Walter Reed National Military Medical Center, Bethesda, MD P1905. Spontaneous Asymptomatic Intraperitoneal Rupture of a P1893. Pancreatic Acinar Cell Carcinoma With Lipase Hypersecretion Pancreatic Pseudocyst Prior to Attempted Endoscopic Drainage 1 2 3 Syndrome Brett Sadowski, MD , Adam Tritsch, MD , Patrick Young, MD, FACG ; Marcellus Edwards, MS1, Rotimi Ayoola, MD2, Muhammad Masood Hassan, 1. Walter Reed National Military Medical Center, Silver Spring, MD; MD1, Tammey Naab, MD1, Adeyinka Laiyemo, MD1; 1. Howard University 2. Walter Reed National Military Medical Center, Bethesda, MD; 3. Hospital, Washington, DC; 2. Howard University Hospital, Arlington, VA Uniformed Services University of the Health Sciences, Walter Reed National Military Medical Center, Bethesda, MD P1894. A Case of Cocaine-Induced Pancreatitis Frances Tian, MD1, Jessica Stzepka, BS2, Olga Garcia-Bedoya, MD1, Cemal P1906. Spontaneous Isolated Celiac Artery Dissection: A Rare Cause for Yazici, MD1; 1. University of Illinois, Chicago, IL; 2. University of Illinois Acute Pancreatitis 1 1 1 College of Medicine, Chicago, IL Maggie Cheung, MD , Dean Marella, MD , Kalyani Dhar, BA, MS , Manish S. Patel, MD2; 1. Robert Wood Johnson Medical School, Rutgers University, P1895. A Rare Case of Multiple Myeloma Presenting as Pancreatic New Brunswick, NJ; 2. Rutgers Robert Wood Johnson School of Medicine, Plasmacytoma Causing Obstructive Jaundice New Brunswick, NJ Ted George Achufusi, MD; State University of New York Upstate University Hospital, Syracuse, NY P1907. A Rare Tumor in the Common Bile Duct: A Case Report of Plexiform Neurofibroma in the Common Bile Duct P1896. Pancreaticoenteric Fistula: A Very Unique Complication of Talal Alkayali, MBBS1, Ahmed I. Salem, MD1, Juan Ricardo, MD1, Bahaa Acute Pancreatitis Amer, MD1, Justin George, MD1, Kinan Rahal, MD2; 1. Florida State Roberto J. Rodriguez Ramos, MD1, Reinaldo Ramirez Amill, MD2; 1. VA University / Sarasota Memorial Hospital, Sarasota, FL; 2. Intercoastal Caribbean Healthcare System, San Juan, Puerto Rico; 2. University of Medical Group, Sarasota, FL Puerto Rico School of Medicine, San Juan, Puerto Rico P1908. A Rare but Fatal Case of N-methyl-D-aspartate Receptor Antibody P1897. Extreme Elevation of Pancreatic Enzymes in Severe Acute Encephalitis Associated With a Pancreatic Neuroendocrine Tumor Renal Failure Hong Gi Shim, MD, Raymond Lee, MD, Robert F. Yacavone, MD; Tufts Merjona Saliaj, MD, Elton Llukani, MD, Mariam Saeed, MD, Moses Bachan, University Medical Center, Boston, MA MD; James J. Peters VA Medical Center, Bronx, NY P1909. Acute Pancreatitis in a Patient With Left-Sided Diverticulitis P1898. Overlap Syndrome of Primary Sclerosing Cholangitis and Primary Minhaz Ahmad, MD, Saif Bella, MD, Atif Saleem, MD; United Health Biliary Cholangitis: A Case Report Services Wilson Hospital, Johnson City, NY Shivani Shah, MD1, Uyen To, MD2, Marina Silveira, MD3; 1. Yale Internal Medicine, New Haven, CT; 2. Yale University, New Haven, CT; 3. Yale University School of Medicine, New Haven, CT

P1910. The “Runaway” Gallstone: Cholecystoduodenal Fistula P1918. Incorporating Sacral Nerve Evaluation for Fecal Incontinence Into a Presenting as Gallstone Ileus Gastroenterology Practice: Initial Experience and Outcomes Hannah Ramrakhiani1, Nicole Simpson, MD2, Seth Strichartz, MD2, Katerina Christian D. Stone, MD, MPH1, Mary-Jane O. Williams, MD2; 1. Shetler, MD2, George Triadafilopoulos, MD, FACG3; 1. Palo Alto High Comprehensive Digestive Institute of Nevada, Las Vegas, NV; 2. Sunrise School, Palo Alto, CA; 2. Palo Alto Medical Foundation, Mountain View, Health GME Consortium, MountainView Hospital, University of Nevada CA; 3. Stanford University School of Medicine, Mountain View, CO Reno, Las Vegas, NV P1911. Acute Ischemic Pancreatitis Secondary to Superior Mesenteric P1919. Clinical and Molecular Characteristics of Early-Onset Colorectal Artery Stenosis: A Common Diagnosis Due to an Uncommon Etiology Cancer Across Various Ethnicities Maria Bajwa, MD1, Saif Bella, MD2, Leslie Bank, MD, FACG2; 1. United Health Rawan Dayah, MD1, Mohammad Bilal, MD1, Nattpron Tun, BS2, Tewfeek Services, Endicott, NY; 2. United Health Services, Johnson City, NY Abu-Shami, BS2, Adam Booth, MD1, Shailendra Singh, MD3, Sreeram Parupudi, MD, FACG2, Praveen Guturu, MD2; 1. The University of Texas P1912. A Caroli Look-Alike Medical Branch, Galveston, TX; 2. University of Texas Medical Branch, Frances Rodriguez-Berrios, Loscar Santiago, MD, Eduardo Acosta, Galveston, TX; 3. West virginia University Health Sciences Center, Walisbeth Class-Vazquez; VA Caribbean Healthcare System, San Juan, Charleston, WV Puerto Rico P1920. Diagnostic Yield of Colonoscopy in Young Adults With Lower P1913. Unusual Complication Following Screening Colonoscopy Gastrointestinal Symptoms in Multicenter Midwest Cohort Ahmed Dirweesh, MD, Nabiha Shamsi, MD, Martin Freeman, MD, Guru Ray Lu, MD1, Devashree Dave, MD1, Jagpal S. Klair, MD2, Thamer Kassim, Trikudanathan, MD; University of Minnesota, Minneapolis, MN MD3, Muhammad Ashfaq, MD3, Subhash Chandra, MD3, Arvind Murali, MD1; 1. University of Iowa Hospitals & Clinics, Iowa City, IA; 2. Digestive Diseases Institute, Virginia Mason Clinic, Seattle, WA; 3. Creighton COLON University Medical Center, Omaha, NE P1914. Cadazolid vs. Vancomycin for Treatment of Clostridioides P1921. Efficacy of Fecal Microbiota Transplantation for Acute Graft versus difficile Infection: Systematic Review With Meta-Analysis Host Disease in the Gut: A Systematic Review and Meta-Analysis Muhammad Aziz, MD1, Simcha Weissman, DO2, Rawish Fatima, MD3, Ali Raseen Tariq, MD1, Fateeha Furqan, MD1, Darrell Pardi, MD, MS, FACG2, Alshati, MD4, Fahad Malik, MD5, Sabih Rajani, MD6, Albert Eid, MD7, Ali Sahil Khanna, MBBS, MS2; 1. Rochester General Hospital, Rochester, NY; 2. Nawras, MD, FACG3; 1. University of Kansas Medical Center, Kansas CIty, Mayo Clinic, Rochester, MN KS; 2. Hackensack University - Palisades Medical Center, Teaneck, NJ; 3. University of Toledo Medical Center, Toledo, OH; 4. Creighton University P1922. Colorectal Cancer Incidence and Demographic Trends in Patients School of Medicine, Phoenix, AZ; 5. Richmond University Medical Center, Less Than 50 Years Old in a Large Integrated Healthcare System Staten Island, NY; 6. Dow University of Health Sciences, Karachi, Sindh,  Presidential Poster Award Pakistan; 7. University of Kansas Medical Center, Kansas City, KS Angeline Luong, MD, Marianne Fahmy, MD, Bechien U. Wu, MD; Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA P1915. Adequacy Rates of Magnesium Citrate Bowel Preparation in a Large Retrospective Cohort P1923. Outcomes of Colon Self-Expandable Metal Stents Placed for Mohd Amer Alsamman, MD1, Stephanie Leung, MD2, Abdelmoniem Malignant and Benign Obstruction at a Tertiary Care Academic Center Moustafa, MD1, Grayson Baird, PhD1, Samir A. Shah, MD, FACG1; 1. Warren Andrew Johannes, DO1, Mark Benson, MD1, Ahmed Akhter, MD1, Eric Alpert Medical School of Brown University, Providence, RI; 2. University Nelsen, MD2, Patrick Pfau, MD1, Anurag Soni, MD1, Mark Reichelderfer, MD1, of Kentucky, Lexington, KY Deepak Gopal, MD, FRCP(C), FACG1; 1. University of Wisconsin School of Medicine & Public Health, Madison, WI; 2. Gastroenterology Billings Clinic, P1916. Caffeine Consumption and the Colonic Mucosa-Associated Gut Billings, MT Microbiota  Fellows-in-Training Award (Colon Category) P1924. Impact of Antibiotic Therapy on the Development and Response to  Presidential Poster Award Treatment of Immune Checkpoint Inhibitor-Mediated Diarrhea and Colitis 1 2 Shawn Gurwara, MD1, Annie Dai1, Nadim Ajami, PhD2, Hashem B. El-Serag, Hamzah Abu-Sbeih, MD , Lauren Nicholas Herrera, MD , Mehmet Altan, 3 3 3 MD, MPH3, David Y. Graham, MD, MACG1, Li Jiao, MD1; 1. Baylor College of MD , Anne-Maria Chaftari, MD , Pablo Okhuysen, MD , Robert Jenq, 3 3 Medicine, Houston, TX; 2. MicrobiomeDX, Houston, TX; 3. Baylor College MD , Yinghong Wang, MD, PhD ; 1. University of Missouri, Kansas City, of Medicine and Center for Innovations in Quality, Effectiveness and MO; 2. Baylor College of Medicine, Houston, TX; 3. MD Anderson Cancer Safety (IQuESt) / Michael E. DeBakey Veterans Affairs Medical Center, Center, Houston, TX Houston, TX P1925. Benefit of the Polyp Size-Based Resect and Discard Strategy for P1917. Annual Hospitalization and Mortality Trends Among Patients With Polyp Smaller Than 10 Mm in Screening Colonoscopy 1 2 Sickle Cell Disease and Clostridioides difficile Infection Kunvadee Vanduangden, MD , Yingluk Sritunyarat, MD , Natanong 3 4 3 Prabin Sharma, MD1, Melanie Hundt, MD2, Rodrigo Aguilar, MD3, Mark Kongtab , Satimai Aniwan, MD , Rungsun Rerknimitr, MD ; 1. King Nader, MD4, Siddhartha Yadav, MD5, Ruth Rawlings, MD1, Paul Feuerstadt, Chulalongkorn Memorial Hospital, Pathumwan, Krung Thep, Thailand; MD, FACG6; 1. Yale New Haven Health Bridgeport Hospital, Bridgeport, 2. Chulalongkorn University, Uthumpornpisai, Sisaket, Thailand; 3. CT; 2. Yale New Haven Hospital, New Haven, CT; 3. Marshall University Gastrointestinal Endoscopy Excellence Center, Chulalongkorn University Joan C. Edwards School of Medicine, Huntingto, WV; 4. Kidney Care and King Chulalongkorn Memorial Hospital, Pathumwan, Krung Thep, Consultants, Memphis, TN; 5. Mayo Clinic, Rochester, MN; 6. Yale New Thailand; 4. Gastrointestinal Endoscopy Excellence Center, Chulalongkorn Haven Hospital, Hamden, CT University and King Chulalongkorn Memorial Hospital, Bangkok, Krung Thep, Thailand

142 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P1926. Oral Vancomycin Prophylaxis for the Primary and Secondary P1935. Efficacy and Safety of Upadacitinib as an Induction Therapy for Prevention of Clostridium difficile Infection: A Systematic Review and Patients With Moderately-to-Severely Active Ulcerative Colitis: Combined Meta-Analysis Results From 382 Subjects in the Phase 2b Study U-ACHIEVE Bara El Kurdi, MD1, Mahmoud El Iskandarani, MD1, Sumbal Babar, MBBS1,  Presidential Poster Award Ibrahim Haddad, MD1, Mohammad Alomari, MD2, Laith Al Momani, MD1, Peter Higgins, MD1, Xavier Hébuterne, MD2, Jesse Siffledeen, 3MD , Wen Mark Young, MD1; 1. East Tennessee State University, Johnson City, TN; 2. Zhou, MD4, Fabio Cataldi, MD4, Wangang Xie, PhD4, Ana Lacerda, MD4, Cleveland Clinic Foundation, Cleveland, OH Silvio Danese, MD, PhD5; 1. University of Michigan, Ann Arbor, MI; 2. Université de Nice-Sophia-Antipolis, Nice, Provence-Alpes-Cote d'Azur, P1927. Fecal Microbiota Transplantation With Oral Capsules for Clostridium France; 3. University of Alberta, Edmonton, AB, Canada; 4. AbbVie, Inc., difficile Infection: Inconsistencies Among Reporting and Impact on North Chicago, IL; 5. Istituto Clinico Humanitas, Milan, Lombardia, Italy Remission Rates Divya M. Chalikonda, MD1, Charles Kistler, MD, PharmD2, Abhishek P1936. Determinants of Hospital Admission in Patients With Community- Bhurwal, MD3; 1. Thomas Jefferson University Hospital, Bethlehem, PA; 2. Acquired Clostridium difficile Infection (CA-CDI) Thomas Jefferson University Hospital, Philadelphia, PA; 3. Robert Wood Farah Deshmukh, MD, Victor Levy, MD, FACG, Nancy Merrell, MD; Bassett Johnson Medical School, Rutgers University, New Brunswick, NJ Medical Center, Cooperstown, NY P1928. Neostigmine to Treat Colonic Pseudo-Obstruction in Cancer Patients P1937. Post Colonoscopy Diverticulitis: How Common Is It? Meera Avila, MD, Sara Ali, MD, Keshav Kukreja, MD, Osman Ahmed, MD, Hardikkumar Shah, MD, MPH1, Youssef Botros, MD2, Siddharth Bhesania, Jeffrey H. Lee, MD, MPH; University of Texas MD Anderson Cancer Center, MD3, Walid Baddoura, MD2; 1. Saint Michael's Medical Center, Newark, NJ; Houston, TX 2. St. Joseph's University Medical Center, Paterson, NJ; 3. New York- Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY P1929. Improving the Diagnostic Stewardship of Clostridioides difficile Infection in a Health System P1938. Regional Variation in Treatment Outcomes in Clostridium Ahmed A. Elkafrawy, MD1, Andrew Tomaw, DO1, Laith Numan, MD1, Lyla difficile Colitis: A Nationwide Analysis Saeed, MD1, Osama Kaddourah, MD1, Nicholas T. Bennett, PharmD, BCPS2, Davis B. Berry, DO1, Marwan S. Abougergi, MD2; 1. Prisma Health, Sarah Boyd, MD2; 1. University of Missouri Kansas City School of Medicine, Columbia, SC; 2. Catalyst Medical Consulting, Simpsonville, SC Kansas City, MO; 2. Saint Luke's Health System, Kansas City, MO TUESDAY P1939. Impact of Hospital Size and Teaching Status on Patients With POSTERS P1930. Clostridioides (Clostridium) difficile PCR Amplification Cycle Clostridium difficile Colitis Treatment Outcomes Threshold: More Than Just a Number? Davis B. Berry, DO1, Marwan S. Abougergi, MD2, Ahmad Khan, MD3, William Tung, MD1, Thomas Hunold, BSPH2, Melinda D. Poulter, MT(ASCP), Kamesh Gupta, MBBS4; 1. Prisma Health, Columbia, SC; 2. Catalyst PhD, D(ABMM)2, Cirle Warren, MD2, Martin Wu, PhD2, R. Ann Hays, MD1; 1. Medical Consulting, Simpsonville, SC; 3. West virginia University Health University of Virginia Health System, Charlottesville, VA; 2. University of Sciences Center, Charleston, WV; 4. University of Massachusetts Virginia, Charlottesville, VA Medical School - Baystate Medical Center, Springfield, MA P1931. Increased Synchronous Neoplasms Among Patients With Small and P1940. Gender Differences of Acute Diverticulitis Hospitalizations in the Diminutive Proximal Hyperplastic Polyps United States Piotr Sowa, MD1, Erica Duh, MD1, William Karnes, MD2; 1. University of Alana Persaud, MD, Dayna Panchal, DO; Rutgers New Jersey Medical California Irvine Medical Center, Orange, CA; 2. University of California School, Newark, NJ Irvine, Orange, CA P1941. Risk of Bone Density Loss in Microscopic Colitis P1932. Retrospective Analysis of Liquid Nitrogen Cryospray Ablation Ian Greenberg, MD1, Eugene Yen, MD2; 1. University of Chicago, in the Colon NorthShore University Health System, Evanston, IL; 2. NorthShore Raman Battish, MD1, Kym Kisiel, BSN, RN1, Toufic Kachaamy, MD2, Pankaj University HealthSystem, Evanston, IL Vashi, MD3; 1. Cancer Treatment Centers of America, Philadelphia, PA; 2. Cancer Treatment Centers of America, Goodyear, AZ; 3. Cancer P1942. Biofeedback Therapy for Dyssynergic Defecation Is Effective Treatment Centers of America, Zion, IL Among Patients With Opioid Exacerbated Constipation Samantha Spilman, MD, MS1, David Kunkel, MD2; 1. University of P1933. Outcomes of Fecal Microbiota Transplants in High Risk California San Diego, San Diego, CA; 2. University of California Elderly Populations San Diego, La Jolla, CA Yuying Luo, MD1, Emily Tixier, BA1, Ari Grinspan, MD2; 1. Icahn School of Medicine at Mount Sinai, New York, NY; 2. Mount Sinai Hospital, New P1943. Does ‘Prior Appendectomy’ Affect the Outcomes of Clostridium York, NY difficile Infection in Hospitalized Patients? A Retrospective Review and Analysis P1934. 12-Month Post Marketing Safety Surveillance Data of Chewable Danial Shaikh, MD1, Harish Patel, MD2, Shehriyar Mehershahi, MD1, Usman Inulin Fiber Pirzada, MD1, Ahmed Alemam, MD1, Haozhe Sun, MD1, Iqra Nawaz, MD1, Brian E. Lacy, MD, PhD, FACG1, Michael S. Epstein, MD, FACG2, Patrick Kamrun Naher, MD1, M. Rizwanul Islam1, Siddarth Hanumanthu, MS1, Corsino, PhD3; 1. Mayo Clinic, Jacksonville, FL; 2. Investigative Clinical Suresh Nayudu, MD1; 1. Bronx Lebanon Hospital Center, Bronx, NY; 2. Research, Annapolis, MD; 3. IM HealthScience, Boca Raton, FL BronxCare Health System, Bronx, NY P1944. Is Completing Advance Endoscopy Fellowship Necessary to Perform Adequate Endoscopic Mucosal Resection to Remove Large Colon Polyps? Mohamad Mouchli, MD1, Shravani Reddy, MD2, Christopher Walsh, MD1, Adil Mir, MD3, Varun Kesar, MD4, Mohammad Shakhatreh, MD1, Vikas Chitnavis, MD4, Paul Yeaton, MD1; 1. Virginia Tech Carilion School of Medicine, Roanoke, VA; 2. Virginia Tech Carilion, Roanoke, VA; 3. Carilion Clinic and Virginia Tech Carilion School of Medicine, Roanoke, VA; 4. Virginia Tech, Roanoke, VA

P1945. Barriers to Endoscopic Mucosal Resection of Large Colorectal COLON Lesions: Results of a Nationwide Survey Clinical Vignettes / Case Reports Ian Holmes, MD1, Jessica X. Yu, MD, MS2, Morgan M. Millar, MA, PhD3, Carmel Malvar, BA1, Tiffany Nguyen-Vu, BA4, Andrew J. Gawron, MD, P1952. An Unexpected Cause of Colonic Ulcers in a Young Chinese Male PhD, MS5, Richard Kwon, MD2, Soetikno Roy, MD, MS6, Tonya Kaltenbach, Resulting in a Total Colectomy - Intestinal Behcet’s Disease MD, MS, FACG7; 1. University of California San Francisco, San Francisco, Jonathan Kuang, MBBS, BScMed (Hons), MRCP, Huiyu Lin, MRCP; Tang CA; 2. University of Michigan, Ann Arbor, MI; 3. University of Utah, Salt Tock Seng Hospital, Singapore, Singapore Lake City, UT; 4. San Francisco VA Medical Center, San Francisco, CA; 5. Salt Lake City, UT; 6. Advanced GI Endoscopy and San Francisco VA, Los P1953. Late-Onset Post-Transplant Lymphoproliferative Disorder Altos, CA; 7. University of California San Francisco, Veterans Affairs San Presenting as Diffuse Large B-Cell Lymphoma in the Ascending and Francisco Healthcare System, San Francisco, CA Transverse Colon Louis J. Levine, BS1, Andrew Groff, BS1, Yuri Gordin, MD2, Carl Manzo, MD3, P1946. Impact of Propofol Sedation on Colonoscopy Quality Metrics: Ryan Munyon, MD3, Karen Krok, MD3; 1. Penn State University Milton S. A Population-Based Cohort Study Hershey Medical Center and College of Medicine, Hershey, PA; 2. Penn Sheikh H. Rahman, MBBS, MSc1, Michael Sey, MD, MPH2, Nitin Khanna, State Health Rehabilitation Hospital, Hummelstown, PA; 3. Penn State MD2, Mayur Brahmania, MD, FRCPC, MPH2, Cassandra McDonald, BSc2, University Milton S. Hershey Medical Center, Hershey, PA Marc-André Blier, BScH, BMBS3, Zaid Hindi, MD, BSc2, Brian Yan, MD, BSc, FRCPC4, Debarati Chakraborty, BSc, MD5; 1. University of Western Ontario, P1954. Cronkhite Canada Syndrome: A Rare Cause of Dysgeusia and London, ON, Canada; 2. Western University, London, ON, Canada; 3. Protein Losing Enteropathy Schulich School of Medicine, London, ON, Canada; 4. London Health Silpa Yalamanchili, MD, Kyley Leroy, DO, Kimberly Heightchew, MD, Gary Sciences Centre, London, ON, Canada; 5. London Helath Sciences Centre, Newman, MD; Lankenau Medical Center, Wynnewood, PA London, ON, Canada P1955. Follicular Lymphoma Presenting as a Colon Polyp P1947. A Retrospective Evaluation of Compliance to Clostridium Bhavesh A. Gajjar, MD, MPH, Tyler Aasen, DO, Puneet Goenka, MD; East difficile Treatment Guidelines Tennessee State University, Johnson City, TN Rida Aslam, DO1, Hazem Tabbaa, DO2, Alex Yarbrough, DO3; 1. Franciscan P1956. Cecal Granular Cell Tumour: An Uncommon Site of an St. James Hospital, Olympia Fields, IL; 2. Midwestern State University, Uncommon Tumour Olympia Fields, IL; 3. Franciscan Health - Olympia Fields, Olympia Fields, IL Praneeth Bandaru, MD, MBBS1, Andrew Ofosu, MD2, Febin John, MD1, 1 P1948. Variability in Colonic Eosinophilia in 277 Consecutive Patients Madhavi Reddy, MD, FACG ; 1. The Brooklyn Hospital Center, Brooklyn, NY; David Saulino, DO1, Aswathi Chandran, MD1, Manju Ambelil, MD2, Jeffrey 2. Brooklyn Hospital Center, Brooklyn, NY Conyers, MD1, Suhair Al Salihi, MD3, Atilla Ertan, MD, MACG4, Andrew P1957. Mantle Cell Lymphoma Presenting as Intussuscepting Colon Mass DuPont, MD1, Brooks D. Cash, MD, FACG1, Mamoun Younes, MD4; 1. Brandon Smith, MD1, Kyle Reilly, MD, MPH1, Elena Baker, MD1, Amy H. The University of Texas Health Science Center at Houston, McGovern Deeken, MD2, Adrian Dan, MD1; 1. Summa Akron City Hospital, Akron, OH; Medical School, Houston, TX; 2. Icahn School of Medicine at Mount Sinai, 2. Summit Pathology Associates, Akron, OH New York, NY; 3. The University of Texas MD Anderson Cancer Center, Houston, TX; 4. University of Texas Health Science Center, Houston, TX P1958. Abdominal Pain in a Patient With Marfan Syndrome Wafic Itani, MD1, Omar Tageldin, MD2, Muhammad Sohail Mansoor, MD2, P1949. Assessing Varying Techniques of Colonic Endoscopic Mucosal Nour Parsa, MD2, Cassidy Alexandre, MD2; 1. Stratton Veteran Affairs Resection and Subsequent Residual Adenoma at 6-Month Follow-Up Medical Center, Albany, NY; 2. Albany Medical Center, Albany, NY Andrew Groff, BS, Courtney Lester, BS, John M. Levenick, MD; Penn State University Milton S. Hershey Medical Center and College of Medicine, P1959. Multidisciplinary Approach for Prolonged Survival of Patients Hershey, PA With MMIHS Naren S. Nallapeta, MBBS1, Aniqa A. Kohen, MD2, Maryam Saleemi, MD3, P1950. Dosing Strategy for Itacitinib, a Selective JAK1 Inhibitor, for the Erin Conway-Habes, MD2; 1. State University of New York at Buffalo, School Treatment of Ulcerative Colitis of Medicine and Biomedical Sciences, Buffalo, NY; 2. University at Buffalo April Barbour, PhD, Yan Zhang, PhD, Naresh Punwani, PhD, Sharon School of Medicine, Buffalo, NY; 3. University at Buffalo, Buffalo, NY Diamond, BS, Xuejun Chen, PhD, Swamy Yeleswaram, PhD; Incyte Corporation, Wilmington, DE P1960. Typhoid Fever: GI Bleed From an Ancient Disease Stephen Curtis, MD1, Patrick Young, MD, FACG2; 1. Walter Reed National P1951. Low Prevalence of Gastric and Duodenal Neoplasia in Patients With Military Medical Center, Bethesda, MD; 2. Uniformed Services University Colon Polyposis of Unknown Etiology of the Health Sciences, Walter Reed National Military Medical Center, Filsan Farah, MD1, Andrew Kruger, DO1, Rachel Pearlman, LGC1, Heather Bethesda, MD Hampel, LGC2, Alice Hinton, PhD3, Peter P. Stanich, MD1; 1. The Ohio State University Wexner Medical Center, Columbus, OH; 2. The Ohio State P1961. A Very Unusual Case of Colonic Adenocarcinoma Originating From University Comprehensive Cancer Center, Columbus, OH; 3. The Ohio an Enterocutaneous Fistula State University, Columbus, OH Andrew Moore, MD, Salina Lee, MD, Shriram Jakate, MD, FRCPath; Rush University Medical Center, Chicago, IL P1962. The Hidden Parasite Frances Rodriguez-Berrios, Ivonne Figueroa, Jose Martin-Ortiz, MD, FACG, Katia Rosado; VA Caribbean Healthcare System, San Juan, Puerto Rico P1963. Double Trouble: A Rare Case of Recurrent Ischemic Colitis Due to Pseudoephedrine Alexandre Shehata, MD, Rajiv Mallipudi, MD, Qamar Khan, MD, Michael Itidiare, DO, Lance Alquran, MD, Sirawar Matin, BS, Swami Nathan, MD; Hackensack Meridian Health Mountainside Medical Center, Montclair, NJ

144 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P1964. Spontaneous Perforation of a Sigmoid Gastrointestinal Stromal Tumor P1976. Extramedullary Plasmacytoma of the Colon Sam Ngu, BSc, MD1, Fady Haddad, MD2, Ebare Kingsley, MD3, Fanyi Kong, Folabomi Ajanaku, MD1, Getachew Mekasha, MD1, Victor Scott, MD2; MD1, Hueizhi Wu, MD3, Liliane Deeb, MD3; 1. Staten Island University 1. Howard University Hospital, Washington, DC; 2. Howard University, Hospital, Staten Island, NY; 2. Northwell Health Staten Island University Washington, DC Hospital, Staten Island, NY; 3. Staten Island University Hospital, Northwell Health, Staten Island, NY P1977. A Rare Case of Small Cell Carcinoma of the Rectum Kara J. Jencks, BSA, BA, Thanh-Truc Le, MD, Marc Shabot, MD, FACG; P1965. Don't Let Your Past Determine Your Destiny University of Texas Medical Branch, Galveston, TX Sailaja Pisipati, MBBS, MRCS, FRCS1, Chistie Elliott, MD2, Matthew Crapko, MD2, Ting Hui Hsieh, MD2; 1. University of Nevada School of Medicine, P1978. Extra Nerves in the Gut: A Case of an Incidental Ganglioneuroma Reno, NV; 2. Renown Regional Medical Center, Reno, NV in the Colon Kara J. Jencks, BSA, BA1, Mohammad Bilal, MD2, Gurinder Luthra, DO1; 1. P1966. Not All Polyps Are Created Equal: Schwann Cell Hamartoma University of Texas Medical Branch, Galveston, TX; 2. The University of Incidentally Found on Screening Colonoscopy Texas Medical Branch, Galveston, TX Eula Geralyn Tetangco, MD, MPH1, Supannee Rassameehiran, MD2, John Erikson Yap, MD1; 1. Medical College of Georgia, Augusta, GA; 2. Medical P1979. Metal Stent Insertion for Malignant Obstruction of a Colostomy Antonios Wehbeh, MD1, Mahmoud A. Rahal, MD1, Hala Fatima, MD2; College of Georgia at Augusta University, Augusta, GA 1. Indiana University School of Medicine, Indianapolis, IN; 2. Indiana P1967. Olmesartan Enteropathy and Pancolitis University Medical Center, Indianapolis, IN Aya Tabbalat1, Diana Curras-Martin, MD2, Meredith E. Pittman, MD3, Charles Maltz, MD, PhD1; 1. Weill Cornell Medical College, New York, NY; P1980. Colonic Schwannoma Identified in Asymptomatic 2. Jersey Shore University Medical Center, Neptune, NJ; 3. Weill Cornell Middle-Aged Female Kevin Yeroushalmi, MD, Rabab Hajar, MD, Kaleem Rizvon, MBBS, FACG; Medicine, New York, NY Nassau University Medical Center, East Meadow, NY P1968. A Case of Extreme Fatty Expulsion Per Rectum Luqman Baloch, MD1, Spencer Carney, MD2; 1. New Hanover Regional P1981. Primary Adenoid Cystic Carcinoma Presenting as Distant Medical Center, Wilmington, NC; 2. Wilmington Gastroenterology, Metastasis to Ascending Colon Kelsey Collins, MD1, Ray Dong, MD2, Frederick Rozenshteyn, MD1, Wilmington, NC TUESDAY Jahnavi Naik, MD2; 1. Mount Sinai Beth Israel Medical Center / Icahn POSTERS P1969. Asymptomatic Intestinal Spirochetosis With Colonic Ulcerations School of Medicine at Mount Sinai, New York, NY; 2. Mount Sinai Beth Anna M. Catinis, BA1, Catherine T. Hudson, MD, MPH2, Jason R. Stibbe, Israel Medical Center, New York, NY MD, MS2, Daniel Raines, MD, FACG2; 1. Louisiana State University School of Medicine, River Ridge, LA; 2. Louisiana State University Health Sciences P1982. Segmental Colitis Associated With Diverticulosis: An Emerging Center, New Orleans, LA Entity Among the Non-Specific Colitis Rodolfo Estremera-Marcial, MD, Adriana Marzan-Loyola, MD, Jose P1970. Rare Case of Abdominal Wall Metastasis Secondary to Colon Cancer Martin-Ortiz, MD, FACG, Jaime Martinez-Souss, MD, Javier Cerra- Madhuri Badrinath, MBBS1, Ajay Tambe, MBBS1, Umair Masood, MD2, Divey Franco, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico Manocha, MD2; 1. SUNY Upstate Medical Center, Syracuse, NY; 2. SUNY Upstate Medical University, Syracuse, NY P1983. Cecal Metastasis From Renal Cell Carcinoma Five Years After Nephrectomy: A Case Report and Review of the Literature P1971. Unusual Baby Bump: Hidden Pregnancy in the Setting of Chronic Erica Graff, MD, Ami Panara, MD, Kaylan R. Bhamidimarri, MD, MPH; Opioid-Induced Pseudo-Obstruction University of Miami, Jackson Memorial Hospital, Miami, FL Tony Brar, MD, Chelsea Jacobs, DO, Michael Riverso, DO, Yaseen Perbtani, DO, Dennis Yang, MD; University of Florida College of Medicine, P1984. A Rare Case of Large Cell Neuroendocrine Carcinoma of the Colon Yiu-Ting T. Chiu, MD, Sherif Michael, MD, Kelli Morgan, MD, Navid Gainesville, FL Mokhtari, MD, Mindie Kavanaugh, MD, James D. Morris, MD, FACG, P1972. Colon Ischemia as Initial Presentation of Amyloidosis: A Rare and Kenneth J. Manas, MD; Louisiana State University Health, Shreveport, LA Challenging Diagnosis Moheb Boktor, MD, FACG1, Neeyma Saraiya, MD1, Samantha A. Moore, P1985. Rectal Duplication in a Middle-Aged Adult Presenting With MD, PhD1, Jyoti Balani, MD1, Jonathan Alexander, PhD2, Ezra Burstein, MD, Constipation and Abdominal Mass After Hysterectomy Jarongkorn Sirimongkolkasem, MD1, Kasaya Tantiphlachiva, MD2, Anapat PhD1; 1. University of Texas Southwestern Medical Center, Dallas, TX; 2. Sanpavat, MD2, Tanisa Patcharatrakul, MD3, Sutep Gonlachanvit, MD3; 1. Louisiana State University Health Sciences Center, Shreveport, LA King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, P1973. TB or Not to Be: What’s Truly Going On? Krung Thep, Thailand; 2. Chulalongkorn University, Bangkok, Krung Thep, Meron Debesai, MD1, Rachana Oak, DO1, Yevgeniy Mikityanskiy, DO1, John Thailand; 3. Chulalongkorn University and King Chulalongkorn Memorial Trillo, MD1, Jessen Thomas2; 1. Coney Island Hospital, Brooklyn, NY; 2. New Hospital, Thai Red Cross Society, Bangkok, Krung Thep, Thailand York Institute of Technology College of Osteopathic Medicine, Brooklyn, NY P1986. A Rare Case of Myxedema Ascites and Ischemic Colitis P1974. Not All Intra-Peritoneal Free Air Is Created Equal. Pneumatosis Sana Riaz, MBBS1, Sriharsha Gowtham, MD1, Chilsia Shafi, MBBS2, Umair Cystoides Intestinalis Causing Massive Pneumoperitoneum After a Masood, MD1, Pujitha Kudaravalli, MD3, Anuj Sharma, MD4, Kanish Mirchia, Colonoscopy, a Benign Finding MD1, Nuri Ozden, MD1; 1. SUNY Upstate Medical University, Syracuse, Jonh J. Pineda Bonilla, MD1, Ion Volosenco, MD2, Tahir Raza, MD2, Justin NY; 2. K.S Hegde Medical Academy, Naperville, IL; 3. Upstate Medical Lindsey, DO2; 1. LewisGale Medical Center, Salem, VA; 2. LewisGale University, Syracuse, NY; 4. State University of New York Upstate Medical Medical Center / HCA, Salem, VA Center, Syracuse, NY P1975. Pneumatosis Intestinalis Associated With Clostridium P1987. Rectal Endometriosis: An Atypical Presentation difficile Colitis in Crohn’s Disease Ericson J. Torralba, BSc, Duminda B. Suraweera, MD, Sunhee Park, MD; Ann A. Abraham, MD; University of Maryland, Baltimore, MD University of California Irvine, Orange, CA

P1988. Extensive Colonic Ischemia Due to Sumatriptan: An Unusual P2000. A Case of Proctocolitis Secondary to the Use of Coffee Enema Adverse Effect Anna Lee, BS1, Sohaip Kabashneh, MD2, Usman Rahim, MD2, Mir Khan, Mohammed Mazumder, MD1, Candy Thorpe, CPNP2, Frances Horenstein, MD2, Mohammad Anees, MD3, Diane Levine, MD2; 1. Wayne State MD2, Jubaida Mazumder, MBBS1; 1. Licking Memorial Hospital, New University School of Medicine, Detroit, MI; 2. Wayne State University Albany, OH; 2. Licking Memorial Hospital, Newark, OH School of Medicine, Detroit Medical Center, Detroit, MI; 3. Detroit Medical Center, Detroit, MI P1989. Extracolonic Neoplasm From Colonic Polyps: A Case of Metastatic Prostate Cancer Diagnosed From a Colonic Polyp P2001. Primary Colorectal Diffuse Large B-Cell Lymphoma: A Rare Zohaib Haque, DO1, Anas Almoghrabi, MD2, Bashar M. Attar, MD, PhD2, Presentation of a Rare Colonic Neoplasm Mohamed A. Elkhouly, MD, MSc2, Chineme Nwaichi, MD1, Ishaan Vohra, Thomas Mellor, DO, MS, Ryan Fawley, MD; Naval Medical Center, San MD1, Muhammad Majeed, MD1; 1. John H. Stroger, Jr. Hospital of Cook Diego, CA County, Chicago, IL; 2. Cook County Health and Hospital Systems, Chicago, IL P2002. To Flex or Not to Flex? A Case of Immune Checkpoint Inhibitor- Induced Colitis P1990. Adenomas Masquerading as Filiform Polyps Carlie Cerne, DO, Sarah Ordway, MD, Anita Bhushan, MD; Walter Reed Rebecca Voaklander, MD1, Donald G. Seibert, MD, FACG2; 1. University of National Military Medical Center, Bethesda, MD Utah School of Medicine, Salt Lake City, UT; 2. University of Utah School of Medicine, Park City, UT P2003. A Rare Case of Primary Colonic Lymphoma With Paraneoplastic Hypercalcemia P1991. Diverticulitis Complicated by Fusobacterium Nucleatum Brain Thomas Augustine, MBBS, MD, Abhilash Perisetti, MD, Salman Ali Khan, Abscesses MD, Shashank Garg, MD, Sumant Inamdar, MD, MPH, Benjamin Tharian, Bashar Sharma, MD1, Mili Shah, MD1, Marsha Antoine, MD1, Enad Dawod, MD; University of Arkansas for Medical Sciences, Little Rock, AR MD1, Divey Manocha, MD2; 1. State University of New York Upstate Medical University, Syracuse, NY; 2. SUNY Upstate Medical University, Syracuse, NY P2004. Bone Metastasis in Appendicular Skeleton: Rare Occurrence in Colorectal Cancer P1992. Bacterial Enteritis as a Red Herring in Workup for Fever of Pratikkumar Vekaria, MD, Chandrika Raiyani, MD, Ravish Patel, MD, Devin Unknown Origin Vaishnani, MD, Tejas Raiyani, MD; Redmond Regional Medical Center, Nabeel Wahid, MD1, Charlie Buffie, 1MD , David Wan, MD2; 1. New York- Rome, GA Presbyterian / Weill Cornell Medical Center, New York, NY; 2. Weill Cornell Medical College, New York, NY P2005. A Case of Rectal Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma Presenting as Telangiectasia: A Case Report P1993. Post-Colonoscopy Diverticulitis: A Rare Complication Amaan Shafi, MD, Hamza Aziz, MD, Muthena Maklad, MD, Gordon Ohning, Neena Mohan, MD1, Jack Goldstein, MD, FACG2; 1. Camden, NJ; 2. Cooper MD, PhD; University of Nevada Las Vegas School of Medicine, Las Vegas, NV University Hospital, Willingboro, NJ P2006. Colon, Urothelial and Sebaceous Malignancy All in One: A Rare P1994. Chronic Diarrhea Due to Pancolitis Caused by Trichuris trichiura Presentation of Muir-Torre Syndrome Sheila Adiwinata, MD1, Randy Adiwinata, MD2, Willy brodus Uwan, MD3, Shilpa D. Kailas, MD1, Shruti Mony, MD2, Carla Duffoo, DO3; 1. University of Budiman Gunawan, MD4; 1. Universitas Atma Jaya, Jakarta, Jakarta Raya, South Florida, Tampa, FL; 2. University of South Florida Morsani College Indonesia; 2. Abdi Waluyo Hospital, Jakarta, Jakarta Raya, Indonesia; of Medicine, Tampa, FL; 3. James A. Haley Veterans' Hospital, Tampa, FL 3. Santo Antonius Hospital, Pontianak, Kalimantan Barat, Indonesia; 4. Kharitas Bhakti Hospital, Pontianak, Kalimantan Barat, Indonesia P2007. Missing Intrauterine Device Rediscovered in a Sigmoid Colon Polyp Nearly a Decade After Insertion P1995. Case Report: Diffuse Large B-Cell Lymphoma Presenting as Multiple Matthew Kobeszko, MD1, Aneesh Kuruvilla, DO1, Melanie Gordon, Lymphomatous Polyposis MD2, Firas Aubeid, MD2, Tarek Almouradi, MD2; 1. University of Illinois Dijo Joseph, MD1, Andres F. Carrion, MD2, Nathaniel Ernstoff, MD3; 1. - Advocate Christ Medical Center, Oak Lawn, IL; 2. Advocate Christ University of Miami, Jackson Memorial Hospital, Miami, FL; 2. University Hospital, Oak Lawn, IL of Miami, Miami, FL; 3. University of Miami Hospital, Miami, FL P2008. Large Cell Neuroendocrine Carcinoma of the Colon P1996. Ganglioneuroma Found on Routine Screening Colonoscopy Mathew J. Thomas, DO1, Gaurav Chand, DO1, Suneel Mohammed, MD2; Rachel Engelberg, MD1, David Wan, MD2; 1. New York Presbyterian - Weill 1. Carolinas Healthcare System Blue Ridge, Morganton, NC; 2. Carolinas Cornell Medical Center, New York, NY; 2. Weill Cornell Medical College, Healthcare System BlueRidge, Morganton, NC New York, NY P2009. An Unusual Colon Lesion: Colon Metastasis From Primary Lung P1997. Pelvic Congestion Syndrome: An Unusual Manifestation of Sigmoid Adenocarcinoma Pneumatosis Cystoides Intestinalis Charles Meade, MD, Stephanie Hansel, MD, MS; Mayo Clinic, Rochester, MN We'am Hussain, MD, Salma Akram, MD; Wright State University Boonshoft School of Medicine, Dayton, OH P2010. Removal of a 6CM Appendiceal Orifice Polyp With Snare Cautery Polypectomy P1998. Colonic Malakoplakia: An Exquisitely Rare Cause of Lower Juan Castano, MD1, Grigoriy Rapoport, MD2, Arturo Suplee Rivera, MD3, GI Bleeding Muhammed Nathani, MD, FACG4, Asif Zamir, MD5; 1. University of Texas Kegan Jessamy, MBBS, Sekou Rawlins, MD, Yesha Sheth, MD, Shengle Rio Grande Valley at Doctors Hospital at Renaissance, Edinburg, TX; 2. Zhang, MD; State University of New York Upstate Medical University, University of Texas Health Rio Grande Valley, Edinburg, TX; 3. University Syracuse, NY of Texas Rio Grande Valley, McAllen, TX; 4. Kelsey-Seybold Clinic, Houston, TX; 5. Doctors Hospital at Renaissance, Edinburg, TX P1999. Isolated Metastatic Colorectal Cancer Involving the Kidney and Adrenal Gland: A Rare Aditi Saha, MBBS1, Biplab Saha, MD2, Davita Mabourakh, MD1, Mehak Laharwal, MBBS1, Nikki Bajaj, MD1, Sunil Sapru, MD, FRCP (Edin)1; 1. Saint Barnabas Medical Center, Livingston, NJ; 2. Albany Medical Center, Albany, NY

146 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2011. Gastrointestinal Whipple’s Disease Complicated With P2022. An Unusual Case of Ileocolonic Intussusception Masquerading as Meningoencephalitis, Ataxia, and Bilateral Uveitis a Colon Mass Juan Castano, MD1, Grigoriy Rapoport, MD2, Cynthia Rivas, MD1, Arturo Ammara Khalid, MD1, Nizar Al-Salameh, DO2, Marika Bergenstock, DO1, Suplee Rivera, MD3, Asif Zamir, MD4; 1. University of Texas Rio Grande Valley Harshit S. Khara, MD, FACG1; 1. Geisinger Medical Center, Danville, PA; 2. at Doctors Hospital at Renaissance, Edinburg, TX; 2. University of Texas Geisinger Health System, Danville, PA Health Rio Grande Valley, Edinburg, TX; 3. University of Texas Rio Grande Valley, McAllen, TX; 4. Doctors Hospital at Renaissance, Edinburg, TX P2023. A Rare Cause of Cyclical Rectal Bleeding: Sigmoid Endometriosis Lakshmipriya Subbaraj, BS, Aparajita Singh, MD, MPH; University of P2012. Acute Drop in Hemoglobin Requiring Transfusion an Odd California San Francisco, San Francisco, CA Presentation of Metastatic Breast Cancer to the Colon in Form of Colon Polyps P2023A. An Unusual Presentation of Abdominal Tuberculosis Muhammad Majeed, MD1, Rohit Agrawal, MD1, Bashar M. Attar, MD, PhD2, Elizabeth Harris, MD, Moheb Boktor, MD, FACG, Ezra Burstein, MD, PhD, Gurpartap Sidhu, MD1, Pedro Palacios, MD1, Ishaan Vohra, MD1, Seema Suntrea Hammer, MD; University of Texas Southwestern Medical Center, Gandhi, MD3; 1. John H. Stroger, Jr. Hospital of Cook County, Chicago, Dallas, TX IL; 2. Cook County Health and Hospital Systems, Chicago, IL; 3. Rush P2013. Colonic Metastatic Disease Masquerading as Immune Checkpoint University Medical Center, Chicago, IL Inhibitor-Mediated Colitis Elizabeth Hastie, MD, Joshua Rubin, MD; University of California San Diego, San Diego, CA COLORECTAL CANCER PREVENTION P2014. Double Scope Colorectal ESD Using a Gel-Based TAMIS P2024. Transgelin Regulates Colon Cancer Cell Invasion by Access Platform Interacting With PARP1 and Activating Rho Signaling Pathway:  Presidential Poster Award A Bioinformatics Analysis Jason Samarasena, MD, FACG, Rintaro Hashimoto, MD, Nabil El Hage Ying Lin, MD, PhD, Zhen-Xian Lew, MD; Sun Yat-sen Memorial Hospital, Chehade, MD, Piotr Sowa, MD, David Lee, MD, Elyse Leevan, MD; Sun Yat-sen University, Guangzhou, Guangdong, China University of California Irvine Medical Center, Orange, CA P2025. Impact of Hereditary Cancer Screening in Diverse Practice TUESDAY P2015. Malakoplakia of the Rectum Masquerading as a Tumor: Settings on Gastroenterolgy Volume POSTERS A Case Report Mary Crecelius, MSN, WHNP, APNG-BC1, Deborah Raney, MSN, APRN, Simran Mashiana, MD, Manju Ambelil, MD, Varsha Nair, MBBS, Huaibin FNP-BC2, Joseph Sharlow, MD, FACS2; 1. Ste. Genevieve County Mabel Ko, MD, Noam Harpaz, MD, PhD; Icahn School of Medicine at Mount Memorial Hospital, Bloomsdale, MO; 2. Ste. Genevieve County Sinai, New York, NY Memorial Hospital, Ste. Genevieve, MO P2016. Colo-Colic Intussusception Secondary to a Large Submucosal P2026. Changing Characteristics and Survival in Early Onset Colorectal Colonic Lipoma Cancer in an Asian American County Population From 1990 to 2016 1 1 2 Cameron Fazeli, DO , Harsh D. Patel, MD , Alfredo Camero, MD , Lisandro Barnabas Yik, MD, Andrew Ho, MD; Santa Clara Valley Medical Center, 1 2 2 Gonzalez, MD , Haisar Dao Campi, MD , Laura Rosenkranz, MD ; 1. San Jose, CA University of Texas Health Science Center, San Antonio, TX; 2. University of Texas Health, San Antonio, TX P2027. Effectiveness of Retroflexion Maneuver During Colonoscopy for Detecting Polyps P2017. Colonic Obstruction Leading to a Diagnosis of Polyarteritis Nodosa Judah Kupferman1, Yonatan Ziv, MD1, Shimon Herzog1, Alexander Weiss, 1 2 1 Brian Larson, MD , Malan Shiralkar, MD , Ann Flynn, MD ; 1. University of MD, DO2, Aaron Tokayer, MD, FACG1; 1. Montefiore Medical Center, Bronx, Utah, Salt Lake City, UT; 2. University of Utah School of Medicine, Salt NY; 2. Advanced Endoscopy Center, Bronx, NY Lake City, UT P2028. Colorectal Neoplasm in Patients With Cryptogenic Pyogenic Liver P2018. Do Not Risk Your Colon: Beware of Hydrogen Peroxide Enema Abscess, Do They Need Routine Screening Colonoscopy: A Systematic Rupinder Mann, MD1, Abhishek Gulati, MD2, Karandeep Bumrah, MD3; 1. Review and Meta-Analysis Saint Agnes Medical Center, Fresno, CA; 2. Digestive Disease Consultants, Babu P. Mohan, MD1, Veeraraghavan Meyyur Aravamudan, MRCP2, Shahab Fresno, CA; 3. University of Pittsburgh, Monroeville, PA R. Khan, MBBS1, Saurabh Chandan, MD3, Suresh Ponnada, MD, MPH4, 5 6 P2019. A Herald Bleed: A Case Report of an Aortoenteric Fistula Causing an Ravishankar Asokkumar, MRCP , Udayakumar Navaneethan, MD , Douglas 7 Acute Lower Gastrointestinal Bleed G. Adler, MD, FACG ; 1. University of Arizona / Banner University Medical Sundus Bhatti, MD, Endashaw Omer, MD; University of Louisville, Center, Tucson, AZ; 2. National University Hospital, Singapore, Singapore; Louisville, KY 3. University of Nebraska Medical Center, Omaha, NE; 4. Carilion Clinic, Roanoke, VA; 5. Singapore General Hospital, Singapore, Singapore; 6. P2020. A Baffling Case of Gastrocolitis Center for Interventional Endoscopy, Florida Hospital, Orlando, FL; 7. Pranav Penninti, DO1, Megan Lewis, DO1, Souleymane Y. Diallo, DO, MBA1, University of Utah School of Medicine, Salt Lake City, UT Mazyar Malakouti, MD1, Juan Echavarria, MD, MSc2, Charles Brady, MD1; 1. University of Texas Health Science Center, San Antonio, TX; 2. University P2029. Patients With Very Early Onset Colorectal Cancer Have Increased of Texas Health, San Antonio, TX Microsatellite Instability Rawan Dayah, MD1, Mohammad Bilal, MD1, Nattpron Tun, BS2, Tewfeek P2021. A Rare Case of Colonic Malakoplakia in an Immunocompetent Man Abu-Shami, BS2, Adam Booth, MD1, Shailendra Singh, MD3, Sreeram With Prior Chronic Hepatitis C Virus Infection Parupudi, MD, FACG2, Praveen Guturu, MD2; 1. The University of Texas Quinton D. Palmer, MD, Brannon Broadfoot, MD, Abhilash Perisetti, MD, Medical Branch, Galveston, TX; 2. University of Texas Medical Branch, Kemmian D. Johnson, MD, MPH, Mauricio Garcia-Saenz-de-Sicilia, MD; Galveston, TX; 3. West virginia University Health Sciences Center, University of Arkansas for Medical Sciences, Little Rock, AR Charleston, WV

P2030. 1 L NER1006 Improves High-Quality Colon Cleansing and Mean P2039. Artificial Intelligence-Aided Colonoscopy - A Retrospective Polyp Detection versus Oral Sulfate Solution and 2 L Polyethylene Glycol Analysis of Effect on Procedure Time Plus Ascorbate Mary Kathryn Roccato, MD1, Tyler Dao1, Rani Berry, MD2, William Karnes, Michael S. Epstein, MD, FACG1, Juha Halonen, PhD2, Bharat Amlani, MD3, Efren Rael, MD4; 1. University of California Irvine Medical Center, PharmD2, Cesare Hassan, MD, PhD3; 1. Investigative Clinical Research, Orange, CA; 2. Ronald Reagan UCLA Medical Center, Los Angeles, CA; Annapolis, MD; 2. Norgine, Ltd., Harefield, England, United Kingdom; 3. 3. University of California Irvine, Orange, CA; 4. University of California Ospedale Nuovo Regina Margherita, Roma, Lazio, Italy Irvine, Anaheim, CA P2031. In Patients With an Overall Cleansing Success the 1L Polyethylene P2040. Age-Dependent Tolerability and Adenoma Detection With a Glycol NER1006 Achieves More High-Quality Cleansed Segments per Ready-to-Drink Low-Volume Bowel Preparation: Subgroup Analysis From Patient Than Three Standard Bowel Preparations a Randomized, Assessor-Blinded, Multicenter Study Michael S. Epstein, MD, FACG1, Juha Halonen, PhD2, Bharat Amlani, Gerald Bertiger, MD1, Lawrence Hookey, MD2, Kenneth L. Johnson, II, MD3, PharmD2, Cesare Hassan, MD, PhD3; 1. Investigative Clinical Research, Masakazu Ando, PhD4, Laura Stong, PhD4, Nadeem Khan, MD4, David Annapolis, MD; 2. Norgine, Ltd., Harefield, England, United Kingdom; 3. N. Dahdal, PhD4; 1. Hillmont GI, Flourtown, PA; 2. Queen's University, Ospedale Nuovo Regina Margherita, Roma, Lazio, Italy Kingston, ON, Canada; 3. Vidant Medical Group, Kinston, NC; 4. Ferring Pharmaceuticals, Inc., Parsippany, NJ P2032. Can Adenoma Detection Rates Predict a Benchmark for Serrated Polyp and Advanced Adenoma Detection Rates in a Diverse Urban P2041. Anesthesia Assistance in Screening Colonoscopy and Adenoma Population? Detection Rate Among Trainees Shaman Dalal, MD1, Aun Shah, MD1, Patrick Twohig, MD, MPH2, Aakash Anna Krigel, MD, Anish Patel, MD, Jeremy Kaplan, MD, Xiao-Fei Kong, MD, Desai, MD3, Dalbir S. Sandhu, MD1; 1. Case Western Reserve University PhD, Reuben Garcia-Carasquillo, MD, Benjamin Lebwohl, MD, MS, Suneeta / MetroHealth Medical Center, Cleveland, OH; 2. MetroHealth Medical Krishnareddy, MD, MS; Columbia University Medical Center, New York, NY Center, Case Western Reserve University, Cleveland, OH; 3. MetroHealth P2042. Novel Multi-Target Stool DNA Marker Panel Yields Highly Accurate Hospital, Case Western Reserve University, Cleveland, OH Detection of Colorectal Cancer and Premalignant Neoplasia P2033. Colonoscopic Withdrawal Patterns in a Tertiary Academic MIchael Domanico, PhD1, John Kisiel, MD2, Zubin Gagrat1, Bridget Bourne1, Medical Center Hatim T. Allawi, MBA, PhD3, William Taylor, MS2, Christine Leduc4, David Kim, MD1, Dimitris Stavrakis, MD1, Haiyan Cui, PhD2, Denise Michael B. Matter, MS3, Douglas W. Mahoney, MS2, David Ahlquist, MD2, Roe, DrPH3, Bhaskar Banerjee, MD1; 1. University of Arizona College of Graham Lidgard, PhD1, Paul Limburg, MD1, Scott Johnson, PhD5; 1. Exact Medicine, Tucson, AZ; 2. University of Arizona Cancer Center, Tucson, Sciences, Madison, WI; 2. Mayo Clinic, Rochester, MN; 3. Exact Sciences AZ; 3. University of Arizona Mel and Enid Zuckerman College of Public Development Company, Madison, WI; 4. Exact Sciences Development Health, Tucson, AZ Company, LLC, Madison, WI; 5. Exact Sciences Corporation, Madison, WI P2034. Increased Interval Between Screening and Surveillance P2043. Implementation of Patient Navigators Reveals Barriers to Colonoscopy Is Associated With Decreased Withdrawal Time and Increases Uptake of Colonoscopy After Positive Fecal Immunochemical Dimitris Stavrakis, MD1, David Kim, MD1, Haiyan Cui, PhD2, Denise Tests Roe, DrPH3, Bhaskar Banerjee, MD1; 1. University of Arizona College of Vivy Tran, MD1, Edgar Corona, MPH2, Liu Yang, MD, MPH1, Jennifer Medicine, Tucson, AZ; 2. University of Arizona Cancer Center, Tucson, Boceck1, Antonio Lopez1, Anna Dermenchyan1, Lily Roh1, Sarah Meshkat1, AZ; 3. University of Arizona Mel and Enid Zuckerman College of Public Daniel Gomez1, Maria Han, MD1, Daniel Croymans, MD1, Marcela Zhou Health, Tucson, AZ Huang1, Folasade May, MD, PhD1; 1. University of California Los Angeles, Los Angeles, CA; 2. David Geffen School of Medicine, University of P2035. “Go Before You Go”: Interim Analysis of a Quality Improvement California Los Angeles, Los Angeles, CA Project to Improve Colorectal Cancer Screening in a Safety Net Primary Care Clinic P2044. What to Do When Fecal Immunochemical Test (FIT) Is Positive Shida Haghighat, MD, MPH1, Helen M. Shen, MD1, Jeffrey Yeh, MD, MPH, Following Normal Colonoscopy? Comparison of Adenoma Detection Rate MS1, Marsha R. Cheng, MD2, Gregory Idos, MD, MS3, Barbara Rubino, (ADR) of Standard FIT-Colonoscopy and Relook Colonoscopy MD1, Joanne Suh, MD1; 1. LAC+USC Medical Center, Los Angeles, CA; 2. Mike Wei, MD1, Allison T. Dao2, Angelica Le, BS3, Trina Nguyen4, Brendan Olive View - UCLA Medical Center, Sylmar, CA; 3. University of Southern Tran5, Lindsey L. Trinh6, Huy A. Nguyen, MD7, Khanh Nguyen, MD7, Brian California Norris Comprehensive Cancer Center, Los Angeles, CA S. Levitt, MD7, Eugenie Shieh, MD7, Treta Goyal, MD7, Ramsey Cheung, MD8, Mindie H. Nguyen, MD, MAS1, Huy Trinh, MD7; 1. Stanford University P2036. Barriers to Colorectal Cancer Screening With FIT in a Safety-Net Medical Center, Stanford, CA; 2. San Jose Gastroenterology, Sunnyvale, Primary Care Clinic CA; 3. Silicon Valley Research Institute, Menlo Park, CA; 4. Silicon Valley 1 1 Shida Haghighat, MD, MPH , Jeffrey Yeh, MD, MPH, MS , Helen M. Shen, Research Institute, San Jose, CA; 5. SJGI, San Jose, CA; 6. Fremont, CA; 1 2 1 1 MD , Marsha R. Cheng, MD , Barbara Rubino, MD , Joanne Suh, MD , 7. San Jose Gastroenterology, San Jose, CA; 8. VA Palo Alto Health Care 3 Gregory Idos, MD, MS ; 1. LAC+USC Medical Center, Los Angeles, CA; 2. System, Palo Alto, CA Olive View - UCLA Medical Center, Sylmar, CA; 3. University of Southern California Norris Comprehensive Cancer Center, Los Angeles, CA P2045. Community Clinic Report Card on Utilization of Screening Colonoscopies: How Well Are We Doing? P2037. Social Determinants of Health on the Choice of Colorectal Cancer Rucha M. Shah, MD1, Priyanka Acharya, MPH, MSc2, Jimmy Shah, MHA1, Screening Among Louisiana Adults Jeffrey Linder, MD1, Armond Schwartz, MD1, Prashant Kedia, MD1, Paul Renugadevi Swaminathan, MD, MPH, James D. Morris, MD, FACG; Tarnasky, MD, FACG1; 1. Methodist Dallas Medical Center, Dallas, TX; 2. Louisiana State University Health, Shreveport, LA Methodist Health System Clinical Research Institute, Dallas, TX P2038. Factors Associated With Up-to-Date Colonoscopy Use Among Puerto Ricans in New York City, 2003-2016 Sandy Ng, MD1, Yuhe Xia, MS2, Matthew Glenn, MS3, Kevin Lin, BA3, Neha Nagpal, MD1, Peter S. Liang, MD, MPH2; 1. New York University Langone Medical Center, New York, NY; 2. New York University Langone Health, New York, NY; 3. New York University School of Medicine, New York, NY

148 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2046. Quality Assessment of Appropriate Follow-Up for Positive Fecal P2055. Factors Associated With Colonoscopy No-Show Among African Immunochemical Tests at a Large Federal Healthcare Facility Americans in an Urban Safety-Net Hospital Brett Sadowski, MD1, Ross Humes, MD2, Adam Tritsch, MD3, Jeffrey T. Suaka Kagbo-Kue, MD1, Iloabueke Chineke, MD1, Taiwo Ajose, MD2, Keerthi Laczek, MD3, Manish Singla, MD4; 1. Walter Reed National Military Medical Padooru1, Florence Iloh1, Kristopher Boone1, Chinonyelum Nwagbara1, Center, Silver Spring, MD; 2. National Capital Consortium, Bethesda, MD; Alexander Uji3, Chantal Navalah1, Melvin Simien, MD1; 1. Morehouse School 3. Walter Reed National Military Medical Center, Bethesda, MD; 4. Walter of Medicine, Atlanta, GA; 2. Atlanta, GA; 3. University of Port Harcourt, Reed National Military Medical Center, Washington, DC Nigeria, Atlanta, GA P2047. Increased Risk of Colorectal Cancer in Individuals With P2056. Angiotensin Converting Enzyme Inhibitor Drug Use and Risk of Hypothyroidism and Hyperthyroidism: Results From a Population-Based Finding Pre-Cancerous Colonic Polyps on Initial Colonoscopies National Study Amal Shine, MD, Dhruv Chaudhaury, MD, Nanlong Liu, MD, Connor  Presidential Poster Award Glick, MD, Stephen Furmanek, Dipendra Parajuli, MD, Craig McClain, MD; Emad Mansoor, MD1, Vijit Chouhan, MD1, Mohannad Abou Saleh, MD2, University of Louisville, Louisville, KY Zaahid M. Sheriff, MD3, Gregory S. Cooper, MD1; 1. University Hospitals P2057. High Total Cholesterol Level Increases Risk of Finding Pre- Cleveland Medical Center, Cleveland, OH; 2. Cleveland Clinic Foundation, Cancerous Colonic Polyps on Initial Colonoscopies Cleveland, OH; 3. University Hospitals of Cleveland, Cleveland, OH Amal Shine, MD, Dhruv Chaudhaury, MD, Nanlong Liu, MD, Connor P2048. Predictors of Colonoscopy Use Among Asian Indians in New York Glick, MD, Stephen Furmanek, Kristine Krueger, MD, Craig McClain, MD; City, 2003-2016 University of Louisville, Louisville, KY Neha Nagpal, MD1, Yuhe Xia, MS2, Kevin Lin, BA3, Matthew Glenn, MS3, P2058. Association of Fellow Training Year and Sedative Use During Sandy Ng, MD1, Peter S. Liang, MD, MPH2; 1. New York University Langone Screening Colonoscopy Medical Center, New York, NY; 2. New York University Langone Health, Amal Shine, MD, Hadi Atassi, MD, Nanlong Liu, MD, Chandler Thomas, New York, NY; 3. New York University School of Medicine, New York, NY Stephen Furmanek, David Liu, BS, Craig McClain, MD; University of P2049. Effect of Behavioral Interventions on the Uptake of Screening Louisville, Louisville, KY Colonoscopy: A Systematic Review and Meta-Analysis Stephanie Yakoubovitch, BS1, Sanya Anand, MS1, Jillian M. Pecoriello, BA2, 2 1 TUESDAY Timothy A. Zaki, MD Candidate , Peter S. Liang, MD, MPH ; 1. New York COLORECTAL CANCER PREVENTION POSTERS University Langone Health, New York, NY; 2. New York University School Clinical Vignettes / Case Reports of Medicine, New York, NY P2059. EFTR as a Means for Complete Resection for Adenomas P2050. Identifying the Link Between Adenoma and Serrated Polyp Pradeep Yarra, MD1, Praneeth Kudaravalli, MD2, Moamen Gabr, MD, Detection Rates and the Effect of Withdrawal Time on Both During MSc2; 1. University of Kentucky, Lexington, KY; 2. University of Screening Colonoscopies Kentucky College of Medicine, Lexington, KY Rani Berry, MD1, Rasha Ahmed, DO2, James Han, MD2, William Karnes, MD3; 1. Ronald Reagan UCLA Medical Center, Los Angeles, CA; 2. P2060. Few Bumps in the Road Led to Surgical Prophylaxis: University of California Irvine Medical Center, Orange, CA; 3. University of Cowden’s Syndrome California Irvine, Orange, CA Wilfor Diaz Fernandez, MD1, Paul E. Buse, MD2; 1. Mercy Hospital, St. Louis, MO; 2. Mercy Hospital, Saint Louis, MO P2051. ANNIE Text Messaging Protocol to Improve Outpatient Colonoscopy Bowel Preparation Among Veterans P2061. When Crime Does Pay: How a Stolen Colon Went Viral and Raised Susan Lou, MD, CHQ1, Shahnaz Sultan, MD, MHSc1, Aasma Shaukat, MD, Global Screening Awareness MPH, FACG2; 1. University of Minnesota, Minneapolis, MN; 2. Minneapolis  Presidential Poster Award VA Medical Center, Minneapolis, MN Erin Peterson, Sarah DeBord; Colon Cancer Coalition, Edina, MN P2052. Increased Frequency of Colonoscopy Complications in P2062. Polyposis With a Mutation in the CHEK2 Tumor Suppressor Gene Patients With Positive Multitarget Stool DNA Testing for Colorectal Ian Greenberg, MD1, Omar Khan, MD2, Allison DePersia, MD3; 1. University Cancer Screening of Chicago, NorthShore University Health System, Evanston, IL; 2. Omar Sadiq, MD1, Maryam Alimirah, MD1, Sandra Naffouj, MD2, Firas Askar, North Shore Medical Center, Evanston, IL; 3. NorthShore University BS1, Yousuf Siddiqui, MD1, Raxitkumar Jinjuvadia, MD1; 1. Henry Ford HealthSystem, Evanston, IL Hospital, Detroit, MI; 2. Henry Ford Health System, Detroit, MI P2053. Bowel Preparation for Patients With History of Inadequate ENDOSCOPY VIDEO FORUM Cleansing With 4L PEG-3350 (Golytely) Split-Prep: The 6 Liter PEG-3350 (Golytely®) Split-Prep P2063. Jejunal Lymphangioma: An Unusual Etiology for Iron Maher Tama, MD1, Pradeep R. Kathi, MD2, Anand K. Ravi, MD3, Madiha Deficiency Anemia Salim, MD4, Kirthi Lilley, MD5, Fadi Antaki, MD5, Philip Schoenfeld, MD, Nicole Shah-Ghassemzadeh, MS, DO1, Christian Jackson, MD, FACG2; FACG5; 1. Wayne State University, Detroit Medical Center, Detroit, MI; 2. 1. Loma Linda University Health, Loma Linda, CA; 2. VA Loma Linda John D. Dingell VA Medical Center, Wayne State University, Detroit, MI; 3. Healthcare System, Loma Linda, CA Wayne State University, Detroit, MI; 4. Wayne State University School of Medicine, Detroit, MI; 5. John D. Dingell VA Medical Center, Detroit, MI P2064. Endoscopic Ultrasonography With Fine-Needle Aspiration in the Diagnosis of Metastatic Rectal Adenocarcinoma in Left Atrium P2054. High Rates of Young-Onset Colorectal Cancer Incidence and Gopala K. Koneru, MD1, Ishani Shah, MD2, Vamsi Kantamaneni, MD3, Mortality in an Urban Tertiary Referral Center: A Case for Earlier Screening Joshua R. Peck, MD4; 1. The Christ Hospital Health Network, Cincinnati, Colonoscopy OH; 2. St. Joseph's Hospital and Medical Center, Creighton University George Henry, MD1, George B. Smallfield, MD2, Sasha Mangray, MBBS, School of Medicine, Phoenix, AZ; 3. SUNY Downstate Medical Center, MD3; 1. VCU Health Systems, Richmond, VA; 2. Virginia Commonwealth Brooklyn, NY; 4. Ohio Gastroenterology and Liver Institute, Cincinnati, OH University Medical Center, Richmond, VA; 3. Virginia Commonwealth University Health System, Richmond, VA

P2065. Removal of a Retained Biliary Stent in a Liver Transplant Patient P2074. Post Procedural Pain Assessment in Patients Undergoing Balloon Secondary to Biliary Cast Syndrome Using Digital Cholangioscopy and Cryotherapy Compared to Radiofrequency Ablation (RFA) for Barrett’s Electrohydraulic Lithotripsy Esophagus: A Prospective Multi-Center Study Gopala K. Koneru, MD1, Ishani Shah, MD2, Vamsi Kantamaneni, MD3, Harshit S. Khara, MD, FACG1, Arvind Trindade2, Puja S. Elias, MD3, George Hemanth Gavini, MD, MPH4, Joshua R. Peck, MD5; 1. The Christ Hospital B. Smallfield, MD4, David L. Diehl, MD5; 1. Geisinger Medical Center, Health Network, Cincinnati, OH; 2. St. Joseph's Hospital and Medical Danville, PA; 2. Long Island Jewish Medical Center, New Hyde Park, Center, Creighton University School of Medicine, Phoenix, AZ; 3. SUNY NY; 3. Medical University of South Carolina, Charleston, SC; 4. Virginia Downstate Medical Center, Brooklyn, NY; 4. University of Arizona Commonwealth University Medical Center, Richmond, VA; 5. Geisinger Medical Center, Tucson, AZ; 5. Ohio Gastroenterology and Liver Institute, Health System, Danville, PA Cincinnati, OH P2075. Incidence, Admission Rates, and Economic Burden of Adult P2066. Is It Technically Feasible to Use Duodenoscopy in Endoscopic Emergency Visits for Esophageal Cancer: Data From the National Submucosal Dissection for the Recurrent Laterally Spreading Ampullary Emergency Department Sample, 2006 to 2014 Adenomas? Dhruv P. Singh, MBBS, Harika Kandlakunta, MBBS, Sushil Garg, MBBS; Wen Li, MD, PhD, Zikai Wang, MD, Fang Liu, PhD, Xiangdong Wang, Mayo Clinic, Rochester, MN BA, Jiangyun Meng, BA, Jun Wang, MD; Chinese PLA General Hospital, Beijing, Beijing, China P2076. Response to Multiple Rapid Swallows Shows Impairment of Inhibitory Pathways in Patients With Distal Esophageal Spasm P2067. The Safety and Efficacy of Endoloop Ligation (“Loop-and-Let-Go”) Patricia V. Hernandez, MD1, Luis R. Valdovinos-Garcia, MD, MSc1, Jennifer of a Very Large Jejunal Lipoma L. Horsley-Silva, MD1, Miguel A. Valdovinos-Diaz, MD2, Michael D. Crowell, Mitchell L. Ramsey, MD, Somashekar Krishna, MD; The Ohio State PhD1, Marcelo F. Vela, MD, FACG1; 1. Mayo Clinic, Scottsdale, AZ; 2. University Wexner Medical Center, Columbus, OH INCMNSZ, Mexico, Distrito Federal, Mexico P2068. Endoscopic Placement of Sengstaken-Blakemore Tube P2077. Trends and Correlation Between Eckardt Scores and Timed Barium Rayburn Rego, MD; VA Medical Center, Little Rock, AR Esophagram Parameters After Per-Oral Endoscopic Myotomy in Achalasia  Presidential Poster Award P2069. Stent Gone Rogue: Endoscopic Removal of a 3 Year-Old Embeded Madhusudhan R. Sanaka, MD, FACG1, Malav P. Parikh, MD2, Andrew Tang, Cystgastrostomy Stent MD3, Pravallika Chadalavada, MD3, George Khoudari, MD3, Niyati M. Gupta, Vibhu Chittajallu, MD1, Roberto Simons-Linares, MD, MS1, R. Matthew MD3, Prashanthi N. Thota, MD1, Scott Gabbard, MD3, Sudish Murthy, MD, Walsh, MD1, Prabhleen Chahal, MD, FACG2; 1. Cleveland Clinic Foundation, PhD3, Siva Raja, MD, PhD3; 1. Digestive Disease Institute, Cleveland Clinic Cleveland, OH; 2. Cleveland Clinic, Cleveland, OH Foundation, Cleveland, OH; 2. SUNY Downstate Medical Center, Brooklyn, NY; 3. Cleveland Clinic Foundation, Cleveland, OH ESOPHAGUS P2078. Peroral Endoscopic Myotomy Is a Safe and Effective Treatment Modality for Achalasia After Prior Failed Botulinum Toxin Treatment P2070. Esophageal Food Bolus Impactions: Predictors of Persistent Madhusudhan R. Sanaka, MD, FACG1, Malav P. Parikh, MD2, Andrew Tang, Impaction at Endoscopy and Strategies for Disimpaction MD3, Pravallika Chadalavada, MD3, George Khoudari, MD3, Niyati M. Gupta, Erin Keyes, MD, Abdul Kouanda, MD, Priya Kathpalia, MD; University of MD3, Prashanthi N. Thota, MD1, Scott Gabbard, MD3, Monica Ray, MD3, California San Francisco, San Francisco, CA Neha Wadhwa, MD3, Sudish Murthy, MD, PhD3, Siva Raja, MD, PhD3; 1. P2071. High Clinical Impact of Wide Area Transepithelial Sampling (WATS) Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH; Positive - Forceps Biopsy Negative Diagnoses of Barrett Esophagus and 2. SUNY Downstate Medical Center, Brooklyn, NY; 3. Cleveland Clinic Associated Dysplasia: A Retrospective Cohort Study of 423 Patients Foundation, Cleveland, OH Vivek Kaul, MD, FACG1, Seth Gross, MD, FACG2, F. Scott Corbett, MD3, P2079. Peroral Endoscopic Myotomy Is a Safe and Effective Treatment Anthony Infantolino, MD, FACG4, Christina Tofani, MD4; 1. University of Modality for Geriatric Patients With Achalasia Rochester Medical Center, Strong Memorial Hospital, Rochester, NY; 2. Madhusudhan R. Sanaka, MD, FACG1, Malav P. Parikh, MD2, Andrew Tang, New York University Langone Health, New York, NY; 3. Florida Digestive MD3, Pravallika Chadalavada, MD3, George Khoudari, MD3, Niyati M. Gupta, Health Specialists, Sarasota, FL; 4. Thomas Jefferson University Hospital, MD3, Prashanthi N. Thota, MD1, Scott Gabbard, MD3, Sudish Murthy, MD, Philadelphia, PA PhD3, Siva Raja, MD, PhD3; 1. Digestive Disease Institute, Cleveland Clinic P2072. Esophageal Food Bolus Impactions Are More Likely to Occur During Foundation, Cleveland, OH; 2. SUNY Downstate Medical Center, Brooklyn, the Weekends NY; 3. Cleveland Clinic Foundation, Cleveland, OH Paul T. Kroner, MD, MSc1, Alex M. Kesler, MD1, Mohammad Bilal, MD2, P2080. Seasonal Variations in Eosinophilic Esophagitis Related Roberto Simons-Linares, MD, MS3, Klaus E. Mönkemüller, MD, PhD4; 1. Hospitalizations: A Multiyear Analysis From the Largest Inpatient United Mayo Clinic, Jacksonville, FL; 2. The University of Texas Medical Branch, States Database Galveston, TX; 3. Cleveland Clinic Foundation, Cleveland, OH; 4. Helios Kamesh Gupta, MBBS1, Ahamd Khan, MD2, Abdullah Sohail, MBBS3, Frankenwaldklinikum, Kronach, Bayern, Germany Pardeep Bansal, MD, FACG4, Hemant Goyal, MD5; 1. University of P2073. Late Stage Diagnosis of Esophageal Adenocarcinoma in Veterans: Massachusetts Medical School - Baystate Medical Center, Springfield, MA; Could Screening Be Made More Effective? 2. West Virginia University, Charleston, WV; 3. Charleston Area Medical Anamay Sharma, MD1, Andrew Blum, MD2, Amitabh Chak, MD3, Ashley Center, Charleston, WV; 4. The Wright Center of Graduate Medical Faulx, MD2; 1. University Hospitals Case Medical Center, Cleveland, OH; 2. Education, Scranton, PA; 5. The Wright Center of Graduate Medical Case Western Reserve University, Cleveland, OH; 3. University Hospitals Education, Clark Summit, PA Case Medical Center, Case Western Reserve University, Cleveland, OH

150 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2081. Risk of Air Leak and Mucosal Injury in Esophageal POEM After P2090. Wide Area Transepithelial Sampling (WATS) Augments Prior Myotomy Detection of Barrett’s Esophagus and Associated Dysplasia in Patients Salih Samo, MD, MSci1, Anand Jain, MD2, Falak Hamo, MD Candidate3, With a Hiatal Hernia Mohamed Magdy Abdelfatah, MD1, Liang Xia, PhD4, Huimin Chen, MD, Michael S. Smith, MD, MBA1, Robert Odze, MD, FRCPC2; 1. Mount Sinai PhD5, Vaishali Patel, MD, MHS5, Parit Mekaroonkamol, MD1, Steven Keilin, West and Mount Sinai St. Luke's Hospitals, New York, NY; 2. Pathology, MD1, Qiang Cai, MD, PhD, FACG1; 1. Emory University School of Medicine, LLC, Boston, MA Atlanta, GA; 2. Emory University, Atlanta, GA; 3. Al Andalus University for Medical Sciences, Tartus, Tartus, Syria; 4. Academic Medical Center, P2091. Cost-Effectiveness of Adjunctive Wide Area Transepithelial Decatur, GA; 5. Emory University Hospital, Atlanta, GA Sampling With Computer-Assisted Analysis in Screening for Barrett’s Esophagus P2082. Long-Term Outcomes of POEM in Achalasia With a Minimum Mendel E. Singer, PhD, MPH1, Seth Gross, MD, FACG2, Vivek Kaul, MD, Follow-Up of 3, 4, and 5 Years: A Meta-Analysis FACG3, Michael S. Smith, MD, MBA4; 1. Case School of Medicine, Cleveland, Mohamed Barakat, MD1, Khalil Aloreidi, MD1, Ali Aamar, MD1, Evangelos OH; 2. Tisch Hospital, New York University Langone Health, New York, Tsipotis, MD1, Eduardo Quintero, MD1, Mohamed Magdy Abdelfatah, MD2; NY; 3. University of Rochester Medical Center, Strong Memorial Hospital, 1. The Brooklyn Hospital Center, Brooklyn, NY; 2. Emory University School Rochester, NY; 4. Mount Sinai West and Mount Sinai St. Luke's Hospitals, of Medicine, Atlanta, GA New York, NY P2083. Combination of Dysphagia and Exophytic Esophageal Carcinoma P2092. Esophageal Motility Disorders and GERD in Patients With Strongly Correlates With Advanced Disease Based on EUS: A Possible Pulmonary Nontuberculous Mycobacterial Infection: A Growing Clinical Shortcut? Medical Problem Andrew Simmelink, MD, Jason Lewis, MD; Atrium Health / Carolinas Ofer Fass, MD1, Abraham Khan, MD2, David Kamelhar, MD1, Doreen Medical Center, Charlotte, NC Addrizzo-Harris, MD2, Leopoldo Segal, MD2, Rita Knotts, MD, MS2; 1. New York University Langone Medical Center, New York, NY; 2. New York P2084. Strength of Peristalsis and Its Association With Bolus Clearance in University Langone Health, New York, NY Esophageal Motility Disorders Layth Al-Jashaami, MD1, Mustafa Alani, MD2, Bijun Sai Kannadath, MBBS, P2093. Lower Basal Esophagogastric Junction Pressures Associated MS1, Shifat Ahmed, MD1, Sarabdeep Mann, MD1, Sushovan Guha, MD, PhD1, With Regurgitation Severity TUESDAY Michael Mills, MD2, Shiva Ratuapli, MD2; 1. University of Arizona College of Mona Lalehzari, MD1, Subhajyoti Chaudhuri, MSc1, Marina Gaeta, BS1, POSTERS Medicine, Phoenix, AZ; 2. University of Arizona, Phoenix, AZ Mytien Nguyen, BS1, Roman Ryabtsev, MD1, Amir Masoud, MD2, Mayra Sanchez, MD1; 1. Yale University, New Haven, CT; 2. Yale University P2085. Adjunctive Yield of Wide-Area Trans-Epithelial Sampling With School of Medicine, New Haven, CT Computer-Assisted Three-Dimensional Analysis in Detection of Dysplasia After Advanced Imaging and Random Biopsies in Barrett’s Esophagus P2094. What Really Happens to Our Veterans With Achalasia?  Presidential Poster Award Raza Hasan, MD1, Promila Banerjee, MD2, Stephen Sontag, MD2, Kara L. Raphael1, Molly Stewart2, Divyesh Sejpal1, Mary Cheung2, Matthew Thomas Schnell, MD2, Jack Leya, MD2; 1. Loyola University Medical Whitson2, Dennis Han2, Petros Benias2, Calvin Lee3, Larry Miller2, Arvind Center, Maywood, IL; 2. Hines VA Hospital, Hines, IL Trindade1; 1. Long Island Jewish Medical Center, New Hyde Park, NY; 2. P2095. Characterizing Esophageal Dysmotility in Patients With Post- Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra Fundoplication Dysphagia / Northwell, Northwell Health System, New Hyde Park, NY; 3. Long Island Allison Wang, MD1, Steven Clayton, MD2; 1. University of Southern Jewish Medical Center, Edgewater, NY California, Los Angeles, CA; 2. Wake Forest University Baptist Medicine, P2086. Unmet Need for Additional Resources to Support Successful Winston-Salem, NC Transition of Care From Pediatric to Adult Providers for the Management of P2096. Usefulness of Linked Color Imaging in Reflux Esophagitis Eosinophilic Gastrointestinal Diseases Tsutomu Takeda, MD, PhD1, Daisuke Asaoka, MD, PhD1, Akihito Nagahara, Gary W. Falk, MD, FACG1, Lauren Gehman, PhD2, Mary Jo Strobel3; 1. MD, PhD2; 1. Juntendo University School of Medicine, Bunkyo, Tokyo, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Japan; 2. Juntendo University School of Medicine, Bunkyo-ku, Tokyo, PA; 2. Allakos, Inc, Redwood City, CA; 3. American Partnership for Japan Eosinophilic Disorders, Atlanta, GA P2097. Esophageal Granular Cell Tumors: A Retrospective Institutional P2087. A Comparative Study of Proton Pump Inhibitor’s Prescription Analysis According to Clinical Practice Guidelines Between a Private Clinic and a 1 1 2 Public Hospital in Lima, Peru Tilak R. Baba, MD, MPH , Stephanie Woo, MD , Shervin Shafa, MD , Pawan Rastogi, MD1; 1. MedStar Georgetown University Hospital, Washington, Camila Granda, Mariana Martel, Ray Ticse, MD, Jose Pinto, MD, Jorge DC; 2. Georgetown University, Washington, DC Espinoza-Ríos, MD; Universidad Peruana Cayetano Heredia, Lima, Lima, Peru P2098. Impact of Endoscopic Surveillance on Detection of Dysplasia Progression in Patients With Barrett’s Esophagus Who Have Undergone P2088. Do GI Patients Care About Adverse Effects of Proton Pump Complete Eradication of Intestinal Metaplasia Inhibitors? Phoebe S. Um, BA1, Megan Q. Chan, MD2, Jon P. Walker, MD, MS2, Kyle A. Ami Patel, DO, MBA, Assad Munis, DO, Natasha Shah, MD, Mohsen Khan, Perry, MD2; 1. The Ohio State University Medical School, Columbus, OH; 2. DO, Eli Ehrenpreis, MD; Advocate Lutheran General Hospital, Park Ridge, IL The Ohio State University Wexner Medical Center, Columbus, OH P2089. Clinical Characteristics of Secondary Achalasia Associated With a P2099. Predictor Factors for Dilation Treatment in Stricture Due to Malignancy: A 20-Year Review From a Cancer Hospital Eosinophilic Esophagitis Mehnaz A. Shafi, MD, FACG1, Raza Bokhari, MBA1, Phillip Lum2, John Michael Ansstas, MD1, Daniel Lew, MD1, Dayna Early, MD, FACG2; 1. Cedars- Stroehlein, MD, FACG1; 1. University of Texas MD Anderson Cancer Center, Sinai Medical Center, Los Angeles, CA; 2. Barnes-Jewish Hospital at Houston, TX; 2. MD Anderson Cancer Center, Houston, TX Washington University, St. Louis, MO

P2100. Implementation and Analysis of an Online Esophageal Motility ESOPHAGUS Curriculum for Gastroenterology Fellows Clinical Vignettes / Case Reports Cary Kraft, MD1, Myung S. Ko, MD1, Justin Sewell, MD, MPH2, Priya Kathpalia, MD1; 1. University of California San Francisco, San Francisco, P2108. An Endoscopic Vacuum-Assisted Closure Technique Modified CA; 2. Zuckerberg San Francisco General, San Francisco, CA Through the Overtubes for Patients With Esophageal Anastomotic Leaks  P2101. The Effect of Rebamipide in Patients With Gastroesophageal Presidential Poster Award Hyeonwoo Kwon, MD1, Seongmin Kim, MD1, Jun Su Lee, MD2, Byungha Reflux Disease, Including Non-Erosive Reflux Disease: A Multi-Center, 2 2 2 2 2 Randomized, Single-Blind, Placebo-Controlled Study (RENERD Study) Cho , Jongwook Choi , Ki Bae Kim , Si-Wook Kim , Dohun Kim , Hyoung Woo Kim2, Joung-Ho Han2, Soon Man Yoon2, Sei Jin Youn2, Hee Bok Chae2,  Fellows-in-Training Award (Esophagus Category) Seon Mee Park, MD1; 1. Chungbuk National University Hospital, Cheongju-si,  Presidential Poster Award Ch'ungch'ong-bukto, Republic of Korea; 2. Chungbuk National University Jun Su Lee, MD1, Hyeonwoo Kwon, MD2, Seongmin Kim1, Byungha Cho1, Hospital, Cheongju, Ch'ungch'ong-bukto, Republic of Korea Jongwook Choi1, Soon Man Yoon1, Hyoung Woo Kim1, Ki Bae Kim1; 1. Chungbuk National University Hospital, Cheongju, Ch'ungch'ong-bukto, P2109. A Rare Cause of Dysphagia-Mucosal Leishmaniasis Republic of Korea; 2. Chungbuk National University Hospital, Cheongju-si, Kwabena Adu-Gyamfi, MD1, Scott Hunt, MD2, Edward Morales, MD3, Ch'ungch'ong-bukto, Republic of Korea Olaitan Adeniji, MD1; 1. HSHS St. Mary's Hospital Medical Center, Green Bay, WI; 2. Prevea Health, Green Bay, WI; 3. Prevea Health, Green Bay, WY P2102. High Rates of Loss to Follow-Up After Esophageal Food Impaction in Suspected Eosinophilic Esophagitis: Time to Standardize Care P2110. Tubular Adenoma With High Grade Dysplasia in the Esophagus: Sarah Donohue, Luke Hillman, Luis Lomeli, Eric Gaumnitz; University of It Can Happen! Wisconsin Hospital and Clinics, Madison, WI Rebecca Crain, MS1, Jenine Zaibaq, MD1, Mohammad Bilal, MD2, Jing He, MD1, Suimin Qiu, MD, PhD1, Sreeram Parupudi, MD, FACG1, Gurinder P2103. Obstructive Sleep Apnea Is Associated With an Increased Risk of Luthra, DO1; 1. University of Texas Medical Branch, Galveston, TX; 2. The Barrett’s Esophagus University of Texas Medical Branch, Galveston, TX Yousaf Hadi, MD1, Syeda Fatima Naqvi, MD1, Adnan Aman Khan, MD2, Justin T. Kupec, MD, FACG1; 1. West Virginia University Hospital, Ruby P2111. A Rare Case of Acute Esophageal Necrosis Memorial Hospital, Morgantown, WV; 2. West Virginia University, Tejas V. Joshi, MD1, Reed Gioe1, Jason R. Stibbe, MD, MS1, Jerry Evans2, Morgantown, WV Daniel Raines, MD, FACG1; 1. Louisiana State University Health Sciences Center, New Orleans, LA; 2. Ochsner, New Orleans, LA P2104. A Retrospective Review of Effervescent Granules and Glucagon for the Management of Esophageal Food Impactions in a Community Hospital P2112. A Hard Truth to Swallow Michael Beattie, DO1, Ramy Mansour, DO1, Mark Minaudo, DO2; 1. Joshua Steele, DO1, Thomas Birris, MD2; 1. Spectrum Health Lakeland, Ascension Genesys, Grand Blanc, MI; 2. Genesys Regional Medical Center, Saint Joseph, MI; 2. Great Lakes Gastroenterology, Saint Joseph, MI Grand Blanc, MI P2113. Pseudoachalasia Following Nissen Fundoplication: A Progression P2105. The Prevalence and Epidemiology of Achalasia in the USA: Documented With High Resolution Manometry A Population-Based Study Joshua W. Harbaugh, DO1, Steven Clayton, MD2; 1. Wake Forest Baptist George Khoudari, MD1, Mohannad Abou Saleh, MD1, Muhammad Talal Medical Center, Winston-Salem, NC; 2. Wake Forest University Baptist Sarmini, MD1, Malav P. Parikh, MD2, Kenneth J. Vega, MD3, Madhusudhan Medicine, Winston-Salem, NC R. Sanaka, MD, FACG4; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. SUNY Downstate Medical Center, Brooklyn, NY; 3. Medical College of P2114. An Unusual Presentation of Mallory-Weiss Syndrome (MWS) Faris Pacha, DO1, Jamie L. Skrove, DO1, Karthik Mohan, DO2, Javier Georgia, Augusta, GA; 4. Digestive Disease Institute, Cleveland Clinic Sobrado, MD1, Zaid Rana, DO1; 1. Larkin Community Hospital, Miami, FL; 2. Foundation, Cleveland, OH Advanced Gastroenterology of South Florida, Miami, FL P2106. The Burden of Chronic Gastrointestinal Diseases Among the Uninsured: A Free Clinic Study P2115. AFP Value of 2400 With No HCC; Metastatic Esophageal Cancer Ethan Song, BA1, Alexandra Aponte2, Justin Swanson, MPH, CPH3, Artish With Neuroendocrine Differentiation With Rare Increase of AFP Faris Pacha, DO1, Jamie L. Skrove, DO1, Javier Sobrado, MD2, Zaid Rana, Patel, BS1, Nirav Shah, BA1, Daniel Segarra, MS1, Madeline MacDonald, MS1, DO1; 1. Larkin Community Hospital, Miami, FL; 2. Gastromed, Miami, FL Abu-Sayeef Mirza, MD, MPH, CPH1; 1. University of South Florida Health Morsani College of Medicine, Tampa, FL; 2. University of South Florida, P2116. When the Cure Is the Cause: Checkpoint Inhibitor-Induced Tampa, FL; 3. University of South Florida College College of Public Lymphocytic Esophagitis Health, Tampa, FL Jessica Pizzuti, MD1, Praneet Wander, MD2, Diana Lech, MD1, Michael 1 3 4 P2107. A Pharmacokinetic Bridging Study to Compare the Bioavailability Ashamalla, MD , Arvind Rishi, MD , Calvin Lee ; 1. Hofstra North Shore-LIJ of Budesonide Between Budesonide Oral Suspension and ENTOCORT EC in School of Medicine, Manhasset, NY; 2. North Shore-LIJ Health System, Healthy Subjects New York, NY; 3. Manhasset, NY; 4. Long Island Jewish Medical Center, Edgewater, NY Ivy Song, PhD1, Richard Finkelman, PhD1, Lan Lan, PhD2; 1. Takeda Development Center Americas, Inc., Lexington, MA; 2. Shire, a Takeda P2117. Esophageal Melanocytosis: An Uncommon Finding company, Lexington, MA Milan Patel, MD, MBA1, Irene Shyu, MD2, Mark Mochel, MD2, George B. Smallfield, MD2; 1. Virginia Commonwealth Center Health Center, Richmond, VA; 2. Virginia Commonwealth University Medical Center, Richmond, VA P2118. Dysphagia: A Rare Case of Neuroendocrine Carcinoma of the Esophagus Himesh B. Zaver, MD1, Kalpit H. Devani, MD2, Jason McKinney, DO2; 1. Mayo School of Graduate Medical Education, Jacksonville, FL; 2. East Tennessee State University, Johnson City, TN

152 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2119. Gurvits Syndrome: A Rare Cause of Upper Gastrointestinal Bleed P2132. Esophageal Neuroendocrine Tumor: A Rare Case of High-Grade Sara I. Ali, MD, Saad Tariq, MD, Jigar Patel, MD, Sujith Cherian, MD, Scott Carcinoma of the Esophagus Larson, MD; University of Texas Health Science Center, Houston, TX Nour Parsa, MD1, Muhammad Sohail Mansoor, MD1, Omar Tageldin, MD1, Sara Zelman, MD2, Asra Batool, MD1; 1. Albany Medical Center, Albany, NY; P2120. Esophageal Cancer-Associated Myositis 2. Albany Medical College, Albany, NY Aliana Bofill, MD1, Roberto J. Rodriguez Ramos, MD1, Frances Rodriguez- Berrios1, Loscar Santiago, MD2; 1. VA Caribbean Healthcare System, San Juan, P2133. Esophagitis in Immunocompromised Patient From Strongyloides Puerto Rico; 2. VA Caribbean Healthcare System, Guaynabo, Puerto Rico Reactivation Kaveh Zivari, MD, Daria Yunina, MD, Matthew Grunwald, MD, Omar Azar, P2121. Acute Esophageal Necrosis (Black Esophagus): A Rare Cause of MD, Kevin Tin, MD, Rabin Rahmani, MD; Maimonides Medical Center, Gastrointestinal Bleeding in Patients With Sepsis Brooklyn, NY Pearl Princess Uy, MD, Michael Coles, MD, John Erikson Yap, MD, Kenneth J. Vega, MD; Medical College of Georgia, Augusta, GA P2134. Acute Esophageal Necrosis Secondary to Intrathoracic Gastric Volvulus Without Deadly Outcome P2122. Upper Esophageal Stenosis Secondary to Multiple Foreign Body Nazif Chowdhury, MD1, Md S. Alom, MD2, Atif Saleem, MD1; 1. United Ingestions Health Services Wilson Hospital, Johnson City, NY; 2. United Health Asif Hitawala, MD1, Mohammad Alomari, MD1, Laith Al Momani, MD2, Bara Services, Johnson City, NY El Kurdi, MD2, Madhusudhan R. Sanaka, MD, FACG3; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. East Tennessee State University, Johnson P2135. Esophageal Stricture Due to Esophageal Lichen Planus and Its City, TN; 3. Digestive Disease Institute, Cleveland Clinic Foundation, Successful Management Using Local Corticosteroid Injection Cleveland, OH Kara J. Jencks, BSA, BA, Hamza Abdulla, MD, Suimin Qiu, MD, PhD; University of Texas Medical Branch, Galveston, TX P2123. A Killer in the Dark: The Black Esophagus Fathima Z. Zahir1, Charlie Buffie, 1MD , David Wan, MD2, Andrea Betesh, P2136. 74-Year-Old Man With Esophageal Adenocarcinoma and Right MD1; 1. New York-Presbyterian / Weill Cornell Medical Center, New York, Sided Weakness: Is Brain Involved? NY; 2. Weill Cornell Medical College, New York, NY Abelardo Escriba Omar, MD1, Mohammad Bashashati, MD1, Jorge Moreno, MD1, Abhizith Deoker, MD2, Javier Corral, MD1; 1. Texas Tech P2124. Esophageal Actinomycetoma Masquerading as Cancer in an TUESDAY University Health Sciences Center, El Paso, TX; 2. Texas Tech University POSTERS Immunocompetent Patient Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX Sher Nazir Baig, MD, Sadia Rehman, MD, Mina Daniel, MD, Vrushak Deshpande, MD, George Abdelsayed, MD, Manuel O. Gonzalez, MD; P2137. Concurrent Barret’s Esophagus and Esophageal Varix With Richmond University Medical Center, Staten Island, NY Resolution After Banding Arturo Suplee Rivera, MD1, Grigoriy Rapoport, MD2, Juan J. Castano, Jr., P2125. Acute Esophageal Necrosis Masquerading as Acute Coronary MD3, Asif Zamir, MD4, Muhammed Nathani, MD, FACG5; 1. University of Syndrome in an Uncontrolled Diabetic Texas Rio Grande Valley, McAllen, TX; 2. University of Texas Health Rio Ruhin Yuridullah, MD1, Varun Patel, MD2, Gabriel Melki, MD2, Janardhan Grande Valley, Edinburg, TX; 3. University of Texas Rio Grande Valley Bollu, MD1; 1. St. Joseph's Regional Medical Center, Paterson, NJ; 2. St. at Doctors Hospital at Renaissance, Edinburg, TX; 4. Doctors Hospital Joseph's University Medical Center, Paterson, NJ at Renaissance, Edinburg, TX; 5. Kelsey-Seybold Clinic, Houston, TX P2126. Achalasia in the Setting of Esophageal Varices Achalasia in the P2138. CryoDilation: A Novel Treatment for Benign Esophageal Strictures Setting of Achalasia in the Setting of Esophageal Varices Using Liquid Nitrogen Spray Cryotherapy Jason DuBroff, MD, MPH1, Jeffrey S. Bank, MD1, John C. Fang, MD1, Andrew  Presidential Poster Award J. Gawron, MD, PhD, MS2, Kathryn R. Byrne, MD3; 1. University of Utah Mary Kathryn Roccato, MD, Erica Duh, MD, Daniel Mai, Nabil El Hage School of Medicine, Salt Lake City, UT; 2. Salt Lake City, UT; 3. University Chehade, MD, Rintaro Hashimoto, MD, Jason Samarasena, MD, FACG; of Utah, Salt Lake City, UT University of California Irvine Medical Center, Orange, CA P2127. Blastic Mantle Cell Lymphoma of the Gastroesophageal Junction: P2139. A Case of Poorly Differentiated Neuroendocrine Neoplasm of the A Unique Presentation Esophagus  Presidential Poster Award Khushboo Gala, MBBS, Syed Hassan, MD, Dipendra Parajuli, MD; Ahmed Ahmed, DO1, Sima Vossough, MD2; 1. Rutgers New Jersey Medical University of Louisville, Louisville, KY School, Newark, NJ; 2. East Orange VA Hospital, East Orange, NJ P2140. Granular Cell Tumor as a Rare Cause of Dysphagia P2128. Acute Hematemesis From Kayexalate-Induced Esophageal Ulcer Andrew Moore, MD, Salina Lee, MD, Shriram Jakate, MD, FRCPath; Rush Kishore Kumar, MD, Rajesh Kumar Essrani, MD, Hassan Tariq, MD, University Medical Center, Chicago, IL Chukwunonso U. Chime, MD, Anil Dev, MD; BronxCare Health System, Bronx, NY P2141. Pericardioesophageal Fistula Formation Following Ventricular Tachycardia Ablation: Case Presentation With Discussion of Incidence P2129. The Black Esophagus in the Renal Transplant Patient and Treatment Michael Yu, MD, MS1, Ramzi Mulki, MD2, Julia Massaad, MD1; 1. Emory Christienne Shams, MD, Soumil Patwardhan, MD, Gregory Kulesza, MD; University School of Medicine, Atlanta, GA; 2. Emory University, Atlanta, GA Beaumont Health, Royal Oak, MI P2130. Dysphagia Lusoria: When Surgery Is the Bitter Pill to Swallow 1 2 P2142. Adenocarcinoma Arising From a Cervical Esophageal Inlet Patch: Monia Elisa Werlang, MD , Graziella Rangel Paniz, MD , Bhaumik The Malignant Potential of a Small Lesion Brahmbhatt, MBBS, MD1; 1. Mayo Clinic, Jacksonville, FL; 2. University of  Presidential Poster Award New Mexico, Albuquerque, NM Karolina N. Dziadkowiec, MD1, Eric Szu, MD2, Eduardo Delaflor-Weiss, MD3, P2131. Post-Fundoplication Esophageal Bezoar Resolved With Endoscopic Jose Proenza, MD3; 1. University of Miami / JFK Medical Center Palm Beach, Instillation and Oral Ingestion of Cola Atlantis, FL; 2. University of Miami / JFK Medical Center Palm Beach, West Kunjali Padhya, MD, Ankit Dhamija, MD, Christopher Carlson, MD, Palm Beach, FL; 3. VA West Palm Beach, West Palm Beach, FL Alexander Farivar, MD; Swedish Medical Center, Seattle, WA

P2143. Utilization of EndoFLIP to Diagnose Achalasia in a Patient With P2155. Rapidly Progressive Dysphagia as Presenting Symptom of Chronic Dysphagia Previously Attributed to Dysphagia Lusoria Gastrointestinal Amyloidosis Melanie A. Hundt, MD1, Prabin Sharma, MD2, Jonathan Pourmorady, MD1, Cassandra Gandle, MD, Valentine Millien, MD, PhD, Syed Tasleem, MD, M. Amir Masoud, MD1; 1. Yale University School of Medicine, New Haven, CT; Suzanne Bloomquist, MD, Eunice Choi, MD, Ruben Hernaez, MD, MPH, 2. Bridgeport Hospital, Yale University School of Medicine, Bridgeport, CT PhD, Rhonda A. Cole, MD, Gyanprakash Avinash Ketwaroo, MD, MSc; Baylor College of Medicine, Houston, TX P2144. Is Achalasia Part of Pure Autonomic Failure? Radha Kishan Adusumilli, MD1, Manishkumar Patel, MD2, Victoria 2 2 Gonzalez, MD , Zain I. Kulairi, MD ; 1. Wayne State University School FUNCTIONAL BOWEL DISEASE of Medicine, Rochester Hills, MI; 2. Wayne State University School of Medicine, Rochester, MI P2156. Objective Evidence of Gastrointestinal Disorders in Patients With P2145. Closure of a Large Gastroesophageal Anastomosis Leak With 22q11.2 Deletion Syndrome Endoscopic Suturing After the Failure of Stent Therapy  Presidential Poster Award 1 2 3 Ahmad Khan, MD1, Monica Chowdhry, MD2, Abdullah Sohail, MD3, Rebecca Kotcher, BA , Daniel Chait, MSEd , Jason Heckert, MD , T. Blaine 4 5 4 Shailendra Singh, MD1; 1. West virginia University Health Sciences Center, Crowley, BS , Nitin K. Ahuja, MD, MS , Maria R. Mascarenhas, MBBS , 6 3 Charleston, WV; 2. Charleston, WV; 3. Charleston Area Medical Center, Donna McDonald-McGinn, MS, LCGC , James Reynolds, MD ; 1. Perelman Charleston, WV School of Medicine, University of Pennsylvania, Philadelphia, PA; 2. Perelman School of Medicine, University of Pennsylvania, Brooklyn, NY; 3. P2146. The Bougie Cap: A Novel Device for Treatment of Esophageal Hospital of the University of Pennsylvania, Philadelphia, PA; 4. Children's Strictures Hospital of Philadelphia, Philadelphia, PA; 5. University of Pennsylvania, Hannah Ramrakhiani1, George Triadafilopoulos, MD, FACG2; 1. Palo Alto Philadelphia, PA; 6. Clinical Genetics, Philadelphia, PA High School, Palo Alto, CA; 2. Stanford University School of Medicine, Mountain View, CO P2157. Plecanatide for Patients With Chronic Idiopathic Constipation and Irritable Bowel Syndrome-Constipation: Analysis of Abdominal Bloating P2147. Potassium-Binding Resin Induced Esophageal Pseudo-Tumor From Four Randomized Phase 3 Clinical Trials Luis O. Chavez, MD1, Marco A. Bustamante, MD2, Osvaldo Padilla, MD2, Howard Franklin, MD, MBA1, Gregory S. Sayuk, MD, MPH2; 1. Salix Jose Gavito-Higuera, MD2, Marc J. Zuckerman, MD, FACG2; 1. Texas Tech Pharmaceuticals, Bridgewater, NJ; 2. Washington University School of University Health Sciences Center, Paul L. Foster School of Medicine, El Medicine and St. Louis VA Medical Center, St. Louis, MO Paso, TX; 2. Texas Tech University Health Sciences Center, El Paso, TX P2158. Assessing the Impact of a National Small-Group CME Activity on P2148. Esophageal Leukoplakia Management of Patients With IBS 1 1 1 Patricia V. Hernandez, MD , Diana L. Snyder, MD , Allon Kahn, MD ,  Presidential Poster Award 2 2 Kenneth K. Wang, MD, FACG , David A. Katzka, MD , Jennifer L. Horsley- Gregory D. Salinas, PhD1, Thomas Saenz2, Brooks D. Cash, MD, FACG3; 1. 1 Silva, MD ; 1. Mayo Clinic, Scottsdale, AZ; 2. Mayo Clinic, Rochester, MN CE Outcomes, LLC, Birmingham, AL; 2. Focus Medical Communications, P2149. From the Lap to the Lung: The Esophagus Is the Answer Parsippany, NJ; 3. University of Texas Health Science Center, Houston, TX Erica Chung, MD, Rashmi Advani, MD, Sarah Baron, MD; Montefiore P2159. Prevalence of Cannabinoid Use in Patients With Gastrointestinal Medical Center, Bronx, NY Symptoms P2150. Salivary Gland Choristoma: A Rare Finding at Gastroesophageal Daniel W. Bushyhead, MD, Gorav Kalra, MD, Lisa L. Strate, MD, MPH; Junction University of Washington School of Medicine, Seattle, WA Isin Y. Comba, MD1, Richard Henriquez, MD2, Sundeep Kumar, MD1, Hilda P2160. Translumbosacral Anorectal Magnetic Stimulation (TAMS): Novel Merino-Chavez, MD1, Maria Wallis-Crespo, MD3, Christopher Cooper, Anorectal Neurophysiology Test, Normative Values, and Effects of Gender 3 3 MD , Lakhinder Bhatia, MD ; 1. University of Central Florida College of  Presidential Poster Award Medicine, Kissimmee, FL; 2. University of Central Florida College of Yun Yan, PhD1, Xuelian Xiang, MD1, Amol Sharma, MD2, Anam Herekar, Medicine, Orlando, FL; 3. Osceola Regional Medical Center, Kissimmee, FL MD2, Rachael Parr, MA1, Satish Rao, MD, FACG1; 1. Augusta University P2151. An Unusual Case of Persistent Globus Due to Granular Cell Tumor of Medical Center, Augusta, GA; 2. Augusta University, Augusta, GA the Distal Esophagus P2161. Small Intestinal Bacterial Overgrowth (SIBO) in Functional 1 1 1 Ranjit Makar, MD , Muthena Maklad, MD , Hamza Aziz, MD , Daisy S. Dyspepsia (FD): Does Dyspeptic Symptom Pattern Make a Difference? 1 2 Lankarani, MD , Joseph M. Fayad, MD, FACG ; 1. University of Nevada Borko Nojkov, MD1, Jason Baker, PhD2, Lydia Watts, BS2, Allen Lee, MD2, Las Vegas School of Medicine, Las Vegas, NV; 2. VA Southern Nevada William D. Chey, MD, FACG1, Richard Saad, MD2; 1. Michigan Medicine, Healthcare System, Las Vegas, NV University of Michigan, Ann Arbor, MI; 2. University of Michigan School of P2152. Retroperitoneal Fibrosis: A Presenting Symptom of Esophageal Medicine, Ann Arbor, MI Adenocarcinoma P2162. Golden-Finger: Digital Rectal Exam Predicts Dyssynergic Zehra Dhanani, MD, Nima Madanchi, MD, Sunita Dia, MD, Ronald Distajo, Defecation but Not Type of Dyssynergy Pattern on ARM MD; Georgetown University Hospital and Washington Hospital Center, Giselle Mahoro, MD1, David Jarava, MD2, Nisa Desai, MD3, Brooke Washington, DC Corning, MD2, Andrew Copland, MD4, Jeanetta Frye, MD4; 1. University P2153. A Rare Case of Large Cell Neuroendocrine Carcinoma of the of Virginia Medical Center, Charlottesville, VA; 2. University of Virginia, Esophagus Charlottesville, VA; 3. University of Virginia Health System, Charlottesville, Reed Gioe1, Scott Gioe, MD2; 1. Louisiana State University School of VA; 4. University of Virginia Digestive Health Center, Charlottesville, VA Medicine, New Orleans, LA; 2. Gastroenterology Center P.A., Gulfport, MS P2163. 24-Month Post-Marketing Safety Surveillance Data of Caraway P2154. A Case of Idiopathic Esophageal Ulceration as Initial Presentation Oil and L-menthol With Site Specific Targeting (COLM-SST): A Novel of Acquired Immune Deficiency Syndrome Formulation for FD 1 2 Hassieb Din, MD, Kenneth Fasanella, MD; University of Pittsburgh Medical Brian E. Lacy, MD, PhD, FACG , Michael S. Epstein, MD, FACG , Syed Shah, 3 3 Center, Pittsburgh, PA PhD , Patrick Corsino, PhD ; 1. Mayo Clinic, Jacksonville, FL; 2. Investigative Clinical Research, Annapolis, MD; 3. IM HealthScience, Boca Raton, FL

154 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2164. Impact of Colonoscopy Timing on Rifaximin in Patients With P2173. Conservative Management of Pneumatosis Cystoides Intestinalis Irritable Bowel Syndrome With Diarrhea (IBS-D) With Pneumoperitoneum in a Scleroderma-Related Illness Brian E. Lacy, MD, PhD, FACG1, Anthony Lembo, MD2, Mark Pimental, Chineme Nwaichi, MD1, Oyintayo Ajiboye, MD1, Tejinder Randhawa, DO1, MD, FACG3, Zeev Heimanson, PharmD4, Brooks D. Cash, MD, FACG5; 1. Ofelya Gevorgyan, MD2, Bashar M. Attar, MD, PhD3; 1. John H. Stroger, Jr. Mayo Clinic, Jacksonville, FL; 2. Beth Israel Deaconess Medical Center, Hospital of Cook County, Chicago, IL; 2. Rush University Medical Center, Boston, MA; 3. Cedars-Sinai Medical Center, Los Angeles, CA; 4. Salix Chicago, IL; 3. Cook County Health and Hospital Systems, Chicago, IL Pharmaceuticals, Bridgewater, NJ; 5. University of Texas Health Science Center, Houston, TX P2174. An Unusual Mimicker of Irritable Bowel Disease Nicholas Hodgeman, DO1, Christian L. Horn, MD2, Angelo Paredes, MD2; P2165. The Functional Gastrointestinal Disorders Population-Based 1. San Antonio Uniformed Services Health Education Consortium, San Prevalence and Relationship to Dietary Factors in Latino Populations in the Antonio, TX; 2. Brooke Army Medical Center, San Antonio, TX Resource Limited Setting of Rural Central America Dalton A. Norwood, Jr., MD1, Lucia Dominguez, MD2, Andrea A. Paredes2, Eleazar E. Montalvan, MD2, Michael K. Dougherty, MD, MSCR3, Ricardo GENERAL ENDOSCOPY L. Dominguez, MD2, Douglas Morgan, MD, MPH4; 1. Hospital Regional de Occidente, Santa Rosa de Copan, Copan, Honduras; 2. Hospital de P2175. A Pilot Study on the Recovery Rate in Patients Who Receive Occidente, Santa Rosa de Copan, Copan, Honduras; 3. University of North Propofol Sedation During Upper Endoscopy (EGD) Carolina School of Medicine, Chapel Hill, NC; 4. University of Alabama at Selvi Thirumurthi, MD, Katherine B. Hagan, MD, Jens Tan, MD, Juan Cata, Birmingham, Birmingham, AL MD, Mike Hernandez; MD Anderson Cancer Center, Houston, TX P2166. Relationship of Patient Factors to High Resolution Anorectal P2176. Standardized Post-Endoscopy Report Card Improves Inpatient Manometry Findings in Chronic Constipation Post-Endoscopy Knowledge Translation Samuel Tanner, BA1, Herit Vachhani, MD1, Asad Jehangir, MD1, Zubair Stephen Taylor, Bsc, MD, FRCPC, Amir Rumman, MD, FRCPC, Ann Ma, MD, Malik, MD2, Henry Parkman, MD, FACG1; 1. Temple University School of FRCPC, James Saperia, MD, FRCPC, Michael Bernstein, MD, FRCPC, Medicine, Philadelphia, PA; 2. Temple University, Philadelphia, PA Jeff Mosko, MD, FRCPC, Sarah Al Ghamdi, MD, FRCPC; University of Toronto, Toronto, ON, Canada P2167. Burden of IBS-Diarrhea Symptoms Tracked With Daily Journals TUESDAY for 12 Weeks in a Randomized, Double-Blind, Placebo-Controlled P2177. Accuracy of Endoscopists in Predicting Colorectal Polyps POSTERS Study of Lactobacillus AcidophilusCL1285, L. Casei LBC80R and L. Peter Fahim, MD, MBBCh1, Birmaji Ali, MD1, Robert Kindel, MD2, Jenni Rhamnosus CLR2 Steinbrunner, BS, CCRP3; 1. Good Samaritan Hospital, TriHealth, Noam Ship, PhD, Cynthia Mallais, BSc, Serge Carrière, MD; Bio-K Plus Cincinnati, OH; 2. TriHealth Digestive Institute, Cincinnati, OH; 3. International, Inc., Laval, PQ, Canada TriHealth Hatton Research Institute, Cincinnati, OH P2168. Ginger, Paullinia Cupana, Muira Puama, and L-citrulline (COMP-4) P2178. Patients’ Descriptions of Their Last Bowel Movement Before as a Novel Natural Treatment for Severe Constipation Colonoscopy, Converted to a Standardized Score, Shows Strong Catherine Gisi, MD, Sofiya Reicher, MD, FACG, Linda A. Hou, MD, Wayne Correlation With Their Boston Bowel Preparation Scale (BBPS) Score Fleischman, MD, Viktor E. Eysselein, MD, FACG; Harbor UCLA Medical Olgun Akman, MD, Nilesh Chande, MD, James Gregor, MD; London Center, Torrance, CA Health Sciences Centre, London, ON, Canada P2169. High Risk of Ionizing Radiation Exposure Among Patients With P2179. Bowel Preparation Quality Improvement Using Multimedia and Irritable Bowel in the United States Visual Aids in Hospitalized Patients Yousaf Hadi, MD1, Adnan Aman Khan, MD2, Salman Khan, MD2, Syeda Thinh Tang, DO, Hamza Gohar, DO, Svetlana Villano, DO, Vishvinder Fatima Naqvi, MD1, Justin T. Kupec, MD, FACG1; 1. West Virginia University Sharma, MD, Priyanka Attri, DO, Brian Carlson, MD; Valley Hospital Hospital, Ruby Memorial Hospital, Morgantown, WV; 2. West Virginia Medical Center, Las Vegas, NV University, Morgantown, WV P2180. Appropriateness and Safety of Direct Access Endoscopy (DAE) in P2170. Prevalence of Naturopath and Herbalist Consultation in Patients Hospitalized Patients With Gastrointestinal Symptoms Felicia Ratnaraj, MD1, Aymen Almuhaidb, MD2, Dayna Early, MD, FACG3, Daniel W. Bushyhead, MD, Gorav Kalra, MD, Lisa L. Strate, MD, MPH; Mark Thoelke, MD1; 1. Washington University School of Medicine, Saint University of Washington School of Medicine, Seattle, WA Louis, MO; 2. Washington University School of Medicine, Saint louis, MO; 3. Barnes-Jewish Hospital at Washington University, St. Louis, MO P2181. Triage Surveys Are a Safe and Efficient Method to Streamline FUNCTIONAL BOWEL DISEASE Utilization of Direct Access Endoscopy Clinical Vignettes/Case Reports Angela Hsu, MD, Erin Haber, MD, Stephanie Woo, MD, Nicole Lulevitch, MS, Annie Kruger, MD, PhD, Thomas Loughney, MD, Tina Jiang, Carmen P2171. Acute Gastroparesis Syndrome After Percutaneous Atrial Moore, CRNP; MedStar Georgetown University Hospital, Washington, DC Fibrillation Ablation Marcia Leung, MD1, Dana Pan, MD2, Cecilia Terrado, MD2; 1. University P2182. High Rate of Discordant Pain Levels Reported by Patients and of California Davis Medical Center, Sacramento, CA; 2. University of Physicians During Gastrointestinal Endoscopy California Davis, Sacramento, CA Benjamin Yip, MD1, Justin Lewis, MD1, Tyler Crain, MS1, Nancy Ho, MD2; 1. Oregon Health & Science University, Portland, OR; 2. Portland Veterans P2172. Impaired Gastric Accommodation: A Key Player in Functional Administration Medical Center, Portland, OR Dyspepsia Carlos Figueredo, MD, Konstantin Boroda, MD, Hilary Hertan, MD; Montefiore Medical Center / Albert Einstein College of Medicine, Bronx, NY

P2183. Prevalence, Risk Factors, and Global Impact of Musculoskeletal P2189. Improving Endoscopy Staff Professional Satisfaction and Injuries Among Endoscopists in Portugal Employment Retention Through Clinical Educational Didactic Rui Morais, MD1, Filipe Vilas-Boas, MD1, Pedro Lopes, MD2, Carolina William Palmer, MD1, Abimbola Chris-Olaiya, MD, MPH2, David Hodge, MD1, Simões, MD3, Eduardo Dantas, MD4, Inês Cunha, MD5, Joana Roseira, Elizabeth Lesser, BSc1, David Cangemi, MD1, Michele Lewis, MD1; 1. Mayo MD6, João Cortez-Pinto, MD7, João Silva, MD8, Jorge Lage, MD9, Mafalda Clinic, Jacksonville, FL; 2. Grand Strand Medical Center, Myrtle Beach, SC Caine, MD10, Manuel Rocha, MD3, Margarida Flor de Lima, MD11, Maria Pia Santos, MD12, Mónica Garrido, MD13, Paula Sousa, MD14, Pedro Marcos, P2190. Diagnostic Accuracy of Narrow Band Imaging on Endoscopy in MD15, Richard Azevedo, MD16, Rui Castro, MD17, Tiago Cúrdia Gonçalves, Detection of Duodenal Villous Atrophy Using Histopathology as a Gold MD18, Tiago Leal, MD19, Vítor Magno-Ferreira, MD20, Rosa Ramalho, Standard in Patients Presenting With Chronic Diarrhea Sanjay Kirshan Kumar, MBBS, FCPS (Gastro), Sunder Sham, MBBS, MD, MD2, Eduardo Rodrigues-Pinto, MD2, Guilherme Macedo, MD, PhD, Ghulamullah Lail, MBBS, FCPS (Gastro), Rajesh Mandhwani, MBBS, FCPS FACG1; 1. Centro Hospitalar São Joãoo / Porto University / WGO Porto (Gastro), Farina Hanif, MBBS, FCPS (Gastro), Nasir Hassan Luck, MBBS, Gastroenterology and Hepatology Training Center, Porto, Portugal; 2. FCPS (Med), FCPS (Gastro), Khadim Hussain Samejo, MBBS, Muhammad Centro Hospitalar São João, Porto, Portugal; 3. Centro Hospitalar Lisboa Manzoor Ul Haque, MBBS, FCPS, Asha Devi, MBBS; Sindh Institute of Central, Lisboa, Lisboa, Portugal; 4. Centro Hospitalar, Setúbal, Setubal, Urology and Transplantation, Karachi, Sindh, Pakistan Portugal; 5. Centro Hospitalar e Universitário de Coimbra, Coimbra, Coimbra, Portugal; 6. Centro Hospitalar Universitário Algarve, Faro, Faro, P2191. Multi-Lingual Video Consent for Upper Endoscopy and Colonoscopy Portugal; 7. IPO Lisboa, Lisboa, Lisboa, Portugal; 8. Centro Hospitalar Zoe Lawrence, MD1, Gabriel Castillo, MD1, Janice Jang, MD1, Demetrios Vila Nova de Gaia/Espinho, Gaia, Porto, Portugal; 9. Centro Hospitalar Tzimas, MD2, Andrew Dikman, MD3, Renee Williams, MD, MHPE, FACG2; de Trás-os-Montes e Alto Douro, Vila Real, Vila Real, Portugal; 10. IPO 1. New York University Langone Health, New York, NY; 2. New York Coimbra, Coimbra, Coimbra, Portugal; 11. Hospital do Divino Espírito University School of Medicine, New York, NY; 3. New York University Santo de Ponta Delgada, Ponta Delgada, Azores, Portugal; 12. Hospital Langone Medical Center, New York, NY Beatriz Ângelo, Lisboa, Lisboa, Portugal; 13. Centro Hospitalar, Porto, Portugal; 14. Centro Hospitalar Tondela, Viseu, Viseu, Portugal; 15. Centro P2192. Safety of Esophagogastroduodenoscopy in Patients With Active Hospitalar, Leiria, Leiria, Portugal; 16. Centro Hospitalar, Castelo Branco, Cocaine Use: A Pilot Study 1 2 2 2 Castelo Branco, Portugal; 17. IPO Porto, Porto, Portugal; 18. Hospital Alexander Nguyen, MD , Parth M. Desai, DO , John Yap, MD , Jie Yu, MD , 2 1 Senhora da Oliveira / Life and Health Sciences Research Institute, School Vikram Kotwal, MD , Bashar M. Attar, MD, PhD ; 1. Cook County Health of Medicine, University of Minho, Guimarães, Braga, Portugal; 19. Hospital and Hospital Systems, Chicago, IL; 2. John H. Stroger, Jr. Hospital of Cook de Braga, Braga, Braga, Portugal; 20. Hospital Central do Funchal, County, Chicago, IL Funchal, Madeira, Portugal P2193. Role of Prophylactic Endoscopic Clipping for Prevention of Delayed P2184. Prophylactic Antibiotics for PEG Tube Placement: An Updated Post-Polypectomy Bleeding: Meta-Analysis of Randomized Controlled Trials Meta-Analysis of Randomized Controlled Trials  Presidential Poster Award Amrendra Mandal, MD1, Varun Kesar, MD2, Zorisadday Gonzalez, MD3, Zorisadday Gonzalez, MD1, Neel P. Roy, BSc2, Rajan Kanth, MD3, Praveen K. Neel P. Roy, BSc4, Rajan Kanth, MD5, Praveen K. Roy, MD6; 1. Interfaith Roy, MD4; 1. Texas Tech University Health Sciences Center, Paul L. Foster Medical Center, Brooklyn, NY; 2. Carilion Clinic, Roanoke, VA; 3. Texas School of Medicine, El Paso, TX; 2. Texas Tech University, Albuquerque, Tech University Health Sciences Center, Paul L. Foster School of Medicine, NM; 3. WellSpan York Hospital, York, PA; 4. Presbyterian Hospital, El Paso, TX; 4. Texas Tech University, Albuquerque, NM; 5. WellSpan York Albuquerque, NM Hospital, York, PA; 6. Presbyterian Hospital, Albuquerque, NM P2194. No-show Endoscopy Appointments: An Analysis of Patient P2185. Improving Bowel Preparation Quality for Inpatient Colonoscopies Characteristics at a Tertiary Hospital Nayana George, MD, Hafsa Bareen Syeda, MD, Akshay Goel, MD, Abhilash Gandhi Mandark, MD, MSc, Cassandra Townsend, MD, Majed Almaghrabi, Perisetti, MD, Salman Ali Khan, MD, Ragesh Thandassery, MD, Shashank MD, Ammar Alotaibi, MD, Nitin Khanna, MD, Brian Yan, MD, Mayur Garg, MD, Sumant Inamdar, MD, MPH, Benjamin Tharian, MD; University of Brahmania, MD, FRCPC, MPH; Western University, London, ON, Canada Arkansas for Medical Sciences, Little Rock, AR P2186. What's Taking so Long? Optimizing Efficiency in the Endoscopy Unit P2195. Comparing Electronic Consults versus Outpatient Referrals to Albert Do, MD, MPH, Mubarak Sayyar, MD, Jared Macklin, MD, Mindy Lee, Gastroenterology: Impact on Timespan to and Completion Rates of MD, Jonathan Pourmorady, MD, Amir Masoud, MD; Yale University School Recommended Procedures of Medicine, New Haven, CT Christopher Lindholm, MD1, Resham Ramkissoon, MD1, Emily Cohen, MD2, Joseph Anderson, MD2; 1. Dartmouth-Hitchcock Medical Center, Lebanon, P2187. Polyp Detection and Histology by Colon Cleansing Quality With a NH; 2. White River Junction VA Medical Center, White River Junction, VT Ready-to-Drink Low Volume Bowel Preparation: Subgroup Analysis From a Randomized, Assessor-Blinded, Multicenter Study Gerald Bertiger, MD1, Lawrence Hookey, MD2, Kenneth L. Johnson, II, GENERAL ENDOSCOPY 3 4 4 MD , Masakazu Ando, PhD , Laura Stong, PhD , Christelle Chacar, MD, Clinical Vignettes/Case Reports MPH4, David N. Dahdal, PhD4; 1. Hillmont GI, Flourtown, PA; 2. Queen's University, Kingston, ON, Canada; 3. Vidant Medical Group, Kinston, NC; P2196. Jejunal Migration of Double Pigtail Stent Successfully Removed 4. Ferring Pharmaceuticals, Inc., Parsippany, NJ by Enteroscopy P2188. Music During Colonoscopy: A Meta-Analysis of Randomized Tsujung Yang, MD, Subash Ghimire, MD, Mariam Avetisova, MD, Harshil Controlled Trials Shah, MD, Matthew J. Lincoln, DO, Shri Jai Kirshan Ravi, MD; Guthrie Robert Packer Hospital, Sayre, PA Ryan Heath, MD1, Nasim Parsa, MD1, Michelle Matteson-Kome, PhD, APN1, Sami Samiullah, MD1, Douglas Nguyen, MD2, Srinivas Puli, MD3, Matthew P2197. Endoscopic Closure of GastroColoCutaneous Fistula: A Rare Bechtold, MD, FACG1; 1. University of Missouri, Columbia, MO; 2. University Complication of Percutaneous Endoscopic Gastrostomy Tube Placement of California Irvine, Irvine, CA; 3. University of Illinois, Peoria, IL  Presidential Poster Award Hassaan Zia, MD, Maham Hayat, MD, Ralph Guild, MD; University of Oklahoma Health Sciences Center, Oklahoma City, OK

156 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2198. Successful Endoscopic Removal of a Long Lost Toothbrush: P2211. Acquired Double Pylorus: The Road Less Traveled 15 Years Later! Hiba Ali, MD, Syed Tasleem, MD, Sanjay Prasad, BSc, Maria Jarbrink- Nida Khalid, MD1, Truptesh Kothari, MD, MS2, Vivek Kaul, MD, FACG2, Sehgal, MD, PhD; Baylor College of Medicine, Houston, TX Shivangi Kothari, MD2; 1. University of Rochester Medical Center, Rochester, NY; 2. University of Rochester Medical Center, Strong P2212. Chronic Non-Healing Gastric Ulcer Caused by Eosinophilic Memorial Hospital, Rochester, NY Gastroenteritis Marianna Mavilia, DO1, Alexander Perelman, DO1, Rahul Sao, MD1, Rishabh P2199. Bronchial Aspiration of Capsule Endoscopy: A Rare but Potentially Sachdev, MD1, Matthew Curran, MD2, Lisa Rossi, MD1; 1. University of Fatal Complication Connecticut Health Center, Farmington, CT; 2. St. Francis Hospital and Darius Rutazaana, MD, Arif Nawaz, MD; CHI Health Good Samaritan, Medical Center, Hartford, CT Kearney, NE P2213. A Unique Presentation of Asymptomatic Mantle Cell Lymphoma at P2200. Crushing the Star: Esophageal Foreign Body Extraction Using Screening Colonoscopy: Beware of a Lumpy-bumpy Mucosa Dormia Basket Sa Ra Park, MD1, R. Ann Hays, MD2, Esteban J. Figueroa, MD3; 1. University Sindhu Kilakkathi, MD, Rushikesh Shah, MD, Ramzi Mulki, MD, Emad of Virginia, Charlottesville, VA; 2. University of Virginia Health System, Qayed, MD, MPH; Emory University School of Medicine, Atlanta, GA Charlottesville, VA; 3. University of Virginia, Charlottesvile, VA P2201. PEG Tube Induced Choledo-Duodenal Fistula: When to Expect the P2214. A Rare Complication of Interventional Radiology-Guided Arterial Unexpected Embolization of Gastroduodenal Artery in the Setting of an Acute GI Bleed Manisha Jakkidi, MD1, Cynthia Edirisuriya, MD1, Adam Elfant, MD, FACG2, - Migrated Coils in the Duodenum Robert Cooper, DO1, Adib Chaaya, MD3; 1. Cooper University Hospital, Pujitha Kudaravalli, MD1, Sheikh A. Saleem, MBChB1, Muhammad Osman Mount Laurel, NJ; 2. Cooper Digestive Health Institute, Mount Laurel, NJ; Arif, MD2; 1. Upstate Medical University, Syracuse, NY; 2. SUNY Upstate 3. Cooper University Hospital, Camden, NJ University Hospital, Syracuse, NY P2202. Small Bowel Tumor: The Answer to Unexplained Overt P2215. Delayed Post-Polypectomy Bleeding Case Report, Using Cold Gastrointestinal Bleeding Snare Technique Ramiro De La Guerra, MD, Abhijit Kulkarni, MD, Arshjyot Narula, MD; Raya Kutaimy, MBChB1, Anand K. Ravi, MD1, Murray N. Ehrinpreis, MD, 2 TUESDAY Allegheny Health Network, Pittsburgh, PA FACG ; 1. Wayne State University, Detroit, MI; 2. Wayne State University POSTERS School of Medicine, Detroit, MI P2203. Esophageal Squamous Papilloma: A Rare Epithelial Tumor of Undetermined Significance 1 2 1 Sahar Takkouche, MD , Anneka Hutton, MD , Mohamed Barakat, MD , GI BLEEDING Eduardo Quintero, MD1, Madhavi Reddy, MD, FACG1; 1. The Brooklyn Hospital Center, Brooklyn, NY; 2. Florida Atlantic University, Charles E. P2216. Risk Factors and Outcomes in Critically Ill Patients Presenting Schmidt College of Medicine, Boca Raton, FL With Gastrointestinal Bleeding Complicated by Myocardial Ischemia P2204. Multiple Facets of CMV-Related Gastrointestinal Disease: Mohamed Zakarya, MD, James Krinsley, MD; Stamford Hospital / Columbia From Top to Bottom University Vagelos College of Physicians and Surgeons, Stamford, CT Melissa Magrath, MD, Kirtan Chauhan, BS, Alejandro Vargas, MD, P2217. Outcomes of Patients With Small Bowel Angiodysplasia Treated With Demetrios Tzimas, MD, Gerald Villanueva, MD, Lisa Malter, MD, FACG; New a Small Bowel Radiofrequency Ablation Catheter: A Multicenter Case Series York University School of Medicine, New York, NY Luis Lara, MD1, Rogelio Silva, MD2, Shyam Thakkar, MD3, Peter P. Stanich, 1 4 P2205. Appendiceal Neuroendocrine Tumor in an Inverted Appendix MD , Jason Samarasena, MD, FACG ; 1. The Ohio State University Wexner Discovered on Screening Colonoscopy Medical Center, Columbus, OH; 2. University of Illinois - Advocate Christ Abdallah Abdallah, MD1, Ahmed Karim, MD2, Imad Alnakshabendi, MD3, Medical Center, Oak Lawn, IL; 3. Allegheny Health Network, Pittsburgh, Ibrahim Alnakhabendi, MS2; 1. Magnolia Regnional Health Center, Corinth, PA; 4. University of California Irvine Medical Center, Orange, CA MS; 2. New Tampa GI, Tampa, FL; 3. New Tampa GI, Brandon, FL P2218. The Use of Antibiotics Prophylaxis in Cirrhotic Patients Presenting P2206. Double Pylorus: Case Report of Atypical Presentation With Gastrointestinal Portal Hypertensive Bleeding in a Community Christopher L. Orpiano, DO, Gurjeet Kang, DO, Michael Quinn, DO, Teaching Hospital 1 1 1 Lakshminarasimhan Venu, MD, Joseph Staffetti, MD; Regional Medical Sarmed Al Yassin, MD , Karina Fatakhova, MD , Ghadah Al-Naqeeb, MD , 2 1 1 Center Bayonet Point, Hudson, FL Emily Glazer, MD , Gregory Haggerty, PhD , Michael Tofano, MD , Sarah Eckardt, MS1; 1. Northwell Health / Mather Hospital, Port Jefferson, NY; 2. P2207. Methemoglobinemia: A Life-Threatening Complication of Topical Northwell Health / Mather Hospital - LIDDC, East Setauket, NY Pharyngeal Anesthetics Sana Riaz, MBBS1, Pujitha Kudaravalli, MD2, Sheikh A. Saleem, MD1, David P2219. Efficacy of Hemospray in Non-Variceal Upper Gastrointestinal Heisig, MD1; 1. SUNY Upstate Medical University, Syracuse, NY; 2. Upstate Bleeds: A Systematic Review and Meta-Analysis 1 2 3 Medical University, Syracuse, NY Muhammad Aziz, MD , Simcha Weissman, DO , Tej I. Mehta, BS , Shafae Hassan, MD4, Zubair Khan, MD5, Rawish Fatima, MD4, Ali Alshati, MD6, P2208. Iatrogenic Severe Rupture of the Spleen Following Colonoscopy Fahad Malik, MD7, Yuriy Tsirlin, MD8, Ammar Hassan, DO9, Michael Sciarra, Ikponmwosa Enofe, MD, MPH1, Jacob Burch, DO2, Julie Yam, DO1; 1. DO10, Ali Nawras, MD, FACG4, Amit Rastogi, MD11; 1. University of Kansas Michigan State University, East Lansing, MI; 2. Sparrow hospital, Lansing, MI Medical Center, Kansas CIty, KS; 2. Hackensack University - Palisades Medical Center, Teaneck, NJ; 3. University of South Dakota Sanford P2209. A Case of Severe Pseudomelanosis Duodeni School of Medicine, Sioux Falls, SD; 4. University of Toledo Medical Kaveh Zivari, MD, Stanley Yakubov, MD, Kadirawelp Iswara, MD, Rabin Center, Toledo, OH; 5. University of Texas Health Science Center, Houston, Rahmani, MD; Maimonides Medical Center, Brooklyn, NY TX; 6. Creighton University School of Medicine, Phoenix, AZ; 7. Richmond P2210. Listeriosis in an Immunocompetent Patient After Diagnostic University Medical Center, Staten Island, NY; 8. Maimonides Medical Colonoscopy Center, Brooklyn, NY; 9. Hackensack University Medical Center, Lodi, NJ; Burch Jacob, DO1, Samanjit Kandola, MD2, Ikponmwosa Enofe, MD, MPH2; 10. Hackensack University - Palisades Medical Center, North Bergen, NJ; 1. Sparrow Hospital, Swartz Creek, MI; 2. Sparrow Hospital, Lansing, MI 11. University of Kansas, Kansas City, KS

P2220. Enterography May Not Provide Additional Diagnostic Yield After P2230. Inpatient Capsule Endoscopy Does Not Lead to Increased Hospital Small Bowel Capsule Endoscopy in Patients With Obscure GI Bleeding Interventions in Stable Small Bowel Bleeding Maria Barsky, MD1, Alvin Guyun Kwon, MD2, Heesoo Yoo, MD3, Nghia Henry Jen, MD, Leona Al Sayah, MS, Daniel Sosa, MD, Erin Taub, Farah Nguyen, MD1, Denise Kalmaz, MD1; 1. University of California San Diego, Monzur, MD; Stony Brook University Hospital, Stony Brook, NY San Diego, CA; 2. Catholic University of Korea Seoul St. Mary's Hospital, San Diego, CA; 3. Seoul Daehyo Rehabilitation Hospital, San Diego, CA P2231. Cyanocrylate for Active Gastric Variceal Bleeding: Clinical Evolution Martin I. Wah-Suárez, MD, José C. Cessa-Zanatta, MD, José A. González- P2221. Utility of FIT Testing in an Inpatient Setting González, MD, Héctor J. Maldonado-Garza, MD, PhD; Hospital Universitario Maria Barsky, MD1, Amie Nguyen, MD1, Nicholas Leverone, MD2, Susan "Dr. José Eleuterio González" UANL, Monterrey, Nuevo Leon, Mexico Seav, MD1, Mathew Losli, MD1, Dipesh Solanky, MD1, Gregory Saymann, MD1; 1. University of California San Diego, San Diego, CA; 2. University of P2232. Hemospray Efficacy in Achieving Immediate Hemostasis in San Diego, San Diego, CA Monotherapy versus Salvage Therapy: A Meta-Analysis Tarek Odah, MD1, Hassan Ghoz, MD2; 1. MetroWest Medical Center, P2222. Economic Burden of Bleeding Gastrointestinal Angioectasias Framingham, MA; 2. Mayo Clinic, Jacksonville, FL William Baumgartner, MD1, Jason R. Stibbe, MD, MS1, Daniel Raines, MD, FACG1, Wei Jiang2; 1. Louisiana State University Health Sciences Center, P2233. The Role of CHA2DS2-VASc Score vs. Anticoagulation for Predicting New Orleans, LA; 2. Medtronic, Boston, MA Morbidity and Mortality for Ischemic Bowel Disease Secondary to Atrial Fibrillation P2223. Impact of Hospital Teaching Status on the Outcomes of GI Bleeding Neethi R. Dasu, DO, BS1, Yaser Khalid, DO, BS2, Donald McMahon, DO, BS2, Hospitalizations in the U.S.: Insights From the National Database Troy Randle, DO, BS2; 1. Rowan School of Osteopathic Medicine, Voorhees Ahmed A. Elkafrawy, MD1, Hasan F. Othman, MD2, Yousaf Zafar, MD3, Township, NJ; 2. Rowan University School of Osteopathic Medicine, Badar Hasan, MD4, Fredy Nehme, MD3, Laith Numan, MD1; 1. University of Stratford, NJ Missouri Kansas City School of Medicine, Kansas City, MO; 2. Cleveland Clinic, Lansing, MI; 3. University of Missouri, Kansas City, MO; 4. Cleveland Clinic Foundation, Weston, FL GI BLEEDING Clinical Vignettes/Case Reports P2224. Clinical Outcomes and Endoscopist's Perception of the Use of Hemospray for Gastrointestinal Bleeding: Outcomes From a U.S. Academic P2234. A Case of Gastric Intramural Hematoma Mimicking a Gastric Mass Tertiary Care Medical Center Edwin J. Lee, MD, Shivangi Kothari, MD, Truptesh Kothari, MD, MS, Vivek 1 2 Michael Weaver, MD , Richard P. Rood, MD, FACG , Daniel Mullady, Kaul, MD, FACG; University of Rochester Medical Center, Strong Memorial 1 1 MD , Dayna Early, MD, FACG ; 1. Barnes-Jewish Hospital at Washington Hospital, Rochester, NY University, St. Louis, MO; 2. Washington University School of Medicine / Barnes Jewish Hospital, Saint Louis, MO P2235. Mastocytosis Complicated by Upper and Lower GI Bleeding Alia Khamis, MD1, David Richards, MD2, Ellie Chen, MD3; 1. University of P2225. Characteristics of Patients With Obscure Gastrointestinal Bleeding Jordan School of Medicine, Zarqa, Az Zarqa', Jordan; 2. MD Anderson in an Urban Academic Center Cancer Center, Houston, TX; 3. Baylor College of Medicine, Houston, TX Tricia A. Hengehold, MD1, Lezhi Li, MS2, Bruce Yacyshyn, MD, FACG, FRCPC3; 1. University of Cincinnati College of Medicine, Cincinnati, OH; 2. P2236. Oh My Lipoma: An Unexpected Cause of a Gastrointestinal University of Cincinnati, Center for Health Informatics, Cincinnati, OH; 3. Hemorrhage University of Cincinnati, Cincinnti, OH Shanti Rao, MD1, Carlo Basilio, MD, MPH1, Nabil Baddour, DO2, Yukihiro Nakanishi, MD1, Gregory Gaspard, MD1; 1. Tulane University, New Orleans, P2226. HAS-BLED Scores Underestimate Gastrointestinal Bleeding Risk LA; 2. Tulane University Health Sciences Center, New Orleans, LA Among Those With H. pylori Adam Faye, MD1, Kenneth Hung, MD1, Kimberly Cheng, MD1, Neal Parikh, P2237. Extragastric Dieulafoy’s Lesion: A Rare and Often Missed Cause of MD1, Rita Knotts, MD, MS2, Daniel Freedberg, MD, MS1, Benjamin Lebwohl, Upper Gastrointestinal Bleeding MD, MS1; 1. Columbia University Medical Center, New York, NY; 2. New Zachary Sherrill, DO, Gaurav Chand, DO, Gerald Mank, MD; Carolinas York University Langone Health, New York, NY Healthcare System, Morganton, NC P2227. Carvedilol vs. Endoscopic Variceal Ligation in Primary Prevention of P2238. Gastric Kaposi's Sarcoma in a Patient With Aplastic Anemia First Variceal Hemorrhage Episode: A Systematic Review and Meta-Analysis Monjur Ahmed, MD, Richard Denicola, MD; Thomas Jefferson University Sakolwan Suchartlikitwong, MD, Wasawat Vutthikraivit, MD, Thammasak Hospital, Philadelphia, PA Mingbunjerdsuk, MD, Mohamed Zitun, MD, Alay M. Tikue, MD, Kenneth P2239. Dieulafoy’s Lesion and Granulomatosis With Polyangitis Nugent, MD; Texas Tech University Health Sciences Center, Lubbock, TX Deena Kapadia, MD, Anita Bhagavathula, MS, MBA, DO; Corpus Christi P2228. Proton Pump Inhibitors or Histamine-2 Receptor Antagonist Co- Medical Center, Corpus Christi, TX Therapy Decrease the Risk of Upper Gastrointestinal Bleeding in Patients P2240. Epigastric Artery Aneurysm Bleeding Post-Percutaneous on Direct Oral Anticoagulation: A Systematic Review and Meta-Analysis Endoscopic Gastrostomy Sakolwan Suchartlikitwong, MD, Wasawat Vutthikraivit, MD, Thammasak Syed Musa Raza, MD1, Yiu-Ting Chiu, MD2, Hrishikesh Samant, MD1; 1. Mingbunjerdsuk, MD, Mohamed Zitun, MD, Passisd Laoveeravat, MD, Louisiana State University, Shreveport, LA; 2. Louisiana State University Roshan Shroff, MD, Cinthya Carrasco, MD, Kenneth Nugent, MD; Texas Health Sciences Center, Shreveport, LA Tech University Health Sciences Center, Lubbock, TX P2241. Post Transplant Lymphoproliferative Disorder: A Rare Cause of P2229. Point-of-Care Ultrasound Improves Aspiration Risk Assessment for Gastrointestinal Blood Loss Anemia Anesthesia in Upper GI Bleeding: A Prospective Study Sriraksha Jayananda, MD1, Narasimha Swamy Gollol Raju, MD1, Mahvish  Fellows-in-Training Award (GI Bleeing Category) Muzaffar, MD2; 1. Vidant Medical Center, Greenville, NC; 2. East Carolina  Presidential Poster Award University, Greenville, NC Henry Jen, MD1, Tazeen Beg, MD1, Sahar Ahmad, MD1, Jonathan M. Buscaglia, MD2, Juan Carlos Bucobo, MD1; 1. Stony Brook University Hospital, Stony Brook, NY; 2. Stony Brook University Medicine, Stony Brook, NY

158 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2242. Fundic Gland Polyps - Not Always an Innocent Bystander P2253. Lower Gastrointestinal Bleeding Due to Sevelamer-Induced Colitis Evan Mosier, MD1, Erick Imbertson, MD2; 1. Loma Linda University Medical Joseph H. Zeidan, MD1, Andrew Simmelink, MD1, Shadab Saboori, MD1, Center, Loma Linda, CA; 2. VA Loma Linda Healthcare System, Loma William Ahrens, MD1, Baha Moshiree, MD, MSc2; 1. Atrium Health / Linda, CA Carolinas Medical Center, Charlotte, NC; 2. University of North Carolina, Charlotte, NC P2243. Bleeding Intestinal Lymphangiectasia Diagnosed and Treated by Using Double Balloon Enteroscopy in a 41-Year-Old Female: Case Report P2254. Well Differentiated Neuroendocrine Tumor Arising From the Gastric and Review of Literature Cardia Presenting With Hematemesis Naveen Prasad Gopalakrishnan Ravikumar, MD, Danish Shahab, MD, Jose Aponte-Pieras, MD, ScB; University of Massachusetts Memorial Andrew Bain, MD; State University of New York at Buffalo, School of Medical Center, Uxbridge, MA Medicine and Biomedical Sciences, Buffalo, NY P2255. Ischemic Duodenal Ulceration After Thoracic Endovascular Aortic P2244. Gastrointestinal Hemorrhage Due to Large B-Cell Lymphoma Repair (TEVAR) Treated With Hemospray Lindsey A. Bierle, DO, Sol Moon, BA, Jon M. Sweet, MD; Carilion Clinic, Gurbir Sehmbey, MD1, Dimas Kosa, MD2, Indu Srinivasan, MD2, Keng- Roanoke, VA Yu Chuang, MD2; 1. Banner University Medical Center, Phoenix, AZ; 2. Maricopa Integrated Health System, Phoenix, AZ P2256. Beyond Skin Deep: Serious Gastrointestinal Complications Associated With Oral Chemotherapy for a Case of Basal Cell Carcinoma P2245. Jejunal Varices: A Diagnostic and Therapeutic Nightmare! Nikhil Vasireddi1, Nidah S. Khakoo, MD2, Keerthana Kasi, BS3, Arul Ruthwik Dayyan M. Adoor, MD1, Charlie Buffie, 2MD ; 1. University Hospitals Case Duggimpudi4, Neal Vasireddi5, Peter Doss, MD6, David Wirtshafter, MD7, Medical Center, Case Western Reserve University, Cleveland, OH; 2. New Haig Minassian, MD8, Srinivas S. Vasireddi, MD4; 1. Case Western Reserve York-Presbyterian / Weill Cornell Medical Center, New York, NY University, Cranbury, NJ; 2. University of Miami, Jackson Memorial Hospital, Miami, FL; 3. International American University College of P2246. Metastatic Merkel Cell Carcinoma Presenting With Upper GI Medicine, Morganville, NJ; 4. Advanced Digestive Center, Inc., Metuchen, Bleeding and Obstructive Jaundice NJ; 5. Cornell University, Ithaca, NY; 6. Bayshore Community Hospital, Ahmed A. Elkafrawy, MD1, Laith Numan, MD1, Yousaf Zafar, MD2, Mohamed Holmdel, NJ; 7. Bayshore Medical Center, Holmdel, NJ; 8. Holmdel, NJ A. Elkhouly, MD, MSc3, Waled Bahaj, MD1, Cynthia Liu1, Fadi Hamid, MD4; TUESDAY 1. University of Missouri Kansas City School of Medicine, Kansas City, MO; P2257. A Unique Presentation of GI Bleeding as First Presentation of AML POSTERS 2. University of Missouri, Kansas City, MO; 3. Cook County Health and Erik Raborn, DO, MPH, Andrew Kelts, DO, Cassandra Stiemle, DO, Hospital Systems, Chicago, IL; 4. Saint Luke's Hospital, Kansas City, MO Farhan Ali, DO, Gary Valvano, DO, Jennifer Jeng, DO, Bruno Mazza, MD; Arnot Ogden Medical Center, Elmira, NY P2247. Thoracic Aortic Erosion Into the Esophagus With Aortoesophageal Fistula P2258. Novel Approach for Management of Stomal Variceal Bleed  Presidential Poster Award Kristin Olson, DO1, Dustin Uhlenhopp, DO2, Tagore Sunkara, MD2, Edward C. Oldfield, IV, MD1, Ipsa Arora, MD2, Alexander Levitov, MD2, Vinaya Gaduputi, MD, FACG3, Bharanidhar Chadrasekaran, MD2; Parth J. Parekh, MD2; 1. University of Virginia, Charlottesville, VA; 2. 1. MercyOne Des Moines Medical Center, West Des Moines, IA; 2. Eastern Virginia Medical School, Norfolk, VA MercyOne Des Moines Medical Center, Des Moines, IA; 3. SBH Health System, Bronx, NY P2248. Over-the-Scope Clip as Salvage Therapy for Refractory Non- Variceal Upper Gastrointestinal Hemorrhage After Failed Conventional P2259. Rare Obscure Cause of Upper Gastrointestinal Bleeding: Bleeding Management: A Case Series Duodenal Lymphangiectasia Shivantha Amarnath, MD, BSc, MRSB1, Jobin Philipose, MD2, Jeffrey Sufian Sorathia, MD, Rulz T. Cantave, MD, Vivek Choksi, MD, Kairavee Abergel, MD1, Hafiz Khan, MD2; 1. Staten Island University Hospital, Dave, MD, Steven R. Kaplan, MD, FACG; Aventura Hospital and Medical Northwell Health, Staten Island, NY; 2. Staten Island University Hospital, Center, Aventura, FL Staten Island, NY P2260. Successful Hemostasis in Acute Gastric Variceal Hemorrhage With P2249. Dieulafoy Lesion on the Other Side of the Tract Hemospray (Hemostatic Powder) Sarosh Khan, MD, Jonathan Pinto, MD, MPH, Alvaro Genao, MD, Joan Hamza Gohar, DO1, Harper Massey, DO2, Brian Carlson, MD1, Vishvinder Culpepper-Morgan, MD, FACG; Harlem Hospital Center, New York, NY Sharma, MD1, Ranadev Mukherjee, MD1; 1. Valley Hospital Medical Center, Las Vegas, NV; 2. Valley Hospital Medical center, Las Vegas, NV P2250. Hemorrhagic Shock Secondary to Ruptured Splenic Artery Pseudoaneurysm: A Rare Fatal Condition P2261. Upper GI Bleeding With Black Esophagus: Case Report of Acute Matthew Kobeszko, MD, Halley Sullivan, DO, Imad Elkhatib, MD; University Esophageal Necrosis of Illinois - Advocate Christ Medical Center, Oak Lawn, IL Muhammad B. Hammami, MD, Reem Aboushaar, MS, Ahmad Musmar, MD, Mishah Azhar, MD, Stephen M. Miller, MD, FACG, Peter Salomon, MD, P2251. An Uncommon Etiology for Gastrointestinal Bleed in Elderly: Blue FACG; Florida Atlantic University, Boca Raton, FL Rubber Bleb Nevus Syndrome Raja Chandra Chakinala, MD, Anila Kumar, DO, Lanxin Li, MD, Sarah P2262. Here’s the GIST: Expand Your Differential of an Acute Upper GI Bleed Olivier, MD, Virendra Tewari, MD; New York Medical College Westchester Isabella Bergagnini, DO, Andrew Nguyen, DO, David Robbins, MD; Lenox Medical Center, Valhalla, NY Hill Hospital, New York, NY P2252. Occam’s Diverticula: Multiple Causes of Significant Lower GI P2263. Perforated IVC Filter Leading to Duodenocaval Fistula and Massive Bleeding in a Young Man Gastrointestinal Bleeding Charleston Powell, MD1, Phillip C. Lindholm, MD2; 1. Madigan Army Medical Maham Hayat, MD1, Muhammad Z. Hanafi, MD1, Bryce Yohannan, MD1, Center, Renton, WA; 2. Madigan Army Medical Center, Tacoma, WA Muhammad Hashim Hayat, MBBS2, Aqsa Moten, MBBS3, Alyssa Grossen, MD1, Ahmed Bolkhir, MD1; 1. University of Oklahoma Health Sciences Center, Oklahoma City, OK; 2. University of Health Sciences, Oklahoma City, OK; 3. Ziauddin Medical University, Oklahoma City, OK

P2264. A Unique Case of Appendiceal Orifice Bleeding IBD David Valadez, MD1, Alfredo Camero, MD1, Sarah Hackman, MD1, Pranav Penninti, DO2, Juan Echavarria, MD, MSc1; 1. University of Texas Health, P2275. Does Inflammatory Bowel Disease Predispose Patients to an San Antonio, TX; 2. University of Texas Health Science Center, San Increased Risk of Heparin-Induced Thrombocytopenia? Antonio, TX Muaz Aijazi, MD1, Ashish Ahuja, MD1, George W. Williams, MD2; 1. University of Pittsburgh Medical Center Mercy, Pittsburgh, PA; 2. P2265. Metastatic Neuroendocrine Tumor of Unknown Primary Presenting University of Texas Health Science Center, Houston, TX as Acute Gastrointestinal Bleed With Hemorrhagic Shock Ravinder Mankoo, MD, Lybia Malik, Mustafa Habib, Zachary Smith, MD, P2276. Morbidity and Mortality of Influenza Virus in Inflammatory Vanessa Kuwajima, MD, Jamal A. Ibdah, MD, PhD, FACG, Veysel Tahan, Bowel Disease MD, FACG; University of Missouri, Columbia, MO Srikanth Maddika, MD1, Eric O. Then, MD1, Khalil Aloreidi, MD2, Febin John, MD2, Vijay S. Are, MD3, Vijay Gayam, MD4, Andrea Culliford, MD, FACG1, P2266. Push Enteroscopy in the Diagnosis of a Gastrointestinal Bleed Vinaya Gaduputi, MD, FACG5; 1. St. Barnabas Hospital, Bronx, NY; 2. The Caused by Diffuse Large B-Cell Lymphoma Brooklyn Hospital Center, Brooklyn, NY; 3. Stormont Vail Health System, Mukarram Amine, DO, Amit Srivastava, MD; Loyola MacNeal Hospital, Topeka, KS; 4. Interfaith Medical Center, Brooklyn, NY; 5. SBH Health Berwyn, IL System, Bronx, NY P2267. Gastrointestinal Bleeding: A Rare Manifestation of Renal Cell P2277. Gastroenterologist-Led Management of Iron Deficiency Anemia Carcinoma - A Tertiary Care Experience Pavlos Kaimakliotis, MD, Sarang Thaker, MD, MS, Jennifer Kang, MD, Robin Dalal, MD, Christopher Coe, MD, Matthew Meyers, MD, Ailish BA, Ajit Ramadugu, MD, Ruben Khan, MD, Russell D. Brown, MD, FACG; Garrett, APN, Caroline Duley, APN, Julianne Wagnon, APN, JD, Kim Annis, University of Illinois, Chicago, IL PA-C, Elizabeth Scoville, MD, MSCI, Dawn B. Beaulieu, MD, David A. P2268. Upper GI Bleed in a Young Male: A Rare Presentation of Schwartz, MD, FACG, Sara Horst, MD, MPH; Vanderbilt University Medical Eosinophilic Gastroenteritis Center, Nashville, TN Shivani Priyadarshni, MD, Balarama K. Surapaneni, MD, Kairavee Dave, P2278. Persisting Malnutrition After Medical Therapy in Children With MD, Nehal Patel, MD, Prashanth Reddy Yella, MD, Rulz T. Cantave, MD, Crohn’s Disease Is Associated With Increased Rates of Surgery and Steven R. Kaplan, MD, FACG; Aventura Hospital and Medical Center, Complicated Disease Behavior Aventura, FL Shahzad Ahmed, MD1, Heba Iskandar, MD, MSCI1, Zijun Liu, MS1, Kajari P2269. Small Cell Carcinoma of Rectum: A Rare Cause of Hematochezia Mondal, PhD1, James Markowitz, MD2, Jeffrey Hyams, MD3, Lee Denson, Joanna Wieckowska, DO1, Kruti Patel, DO2, Mark Minaudo, DO1; 1. MD4, Thomas Walters, MD5, Marla C. Dubinsky, MD6, Subra Kugathasan, Ascension Genesys Hospital, Grand Blanc, MI; 2. Ascension Genesys MD1; 1. Emory University School of Medicine, Atlanta, GA; 2. Cohen Regional Medical Center, Grand Blanc, MI Children’s Medical Center / Northwell Health, Lake Success, NY; 3. Connecticut Children's Medical Center, Hartford, CT; 4. Cincinnati P2270. A Rare Cause of Obscure Gastrointestinal Bleeding Children’s Hospital Medical Center, Cincinnati, OH; 5. Hospital for Sick 1 2 2 Aniruddh Som, MD , Anand Nath, MD , Zone-En Lee, MD ; 1. MedStar Children, Toronto, ON, Canada; 6. Icahn School of Medicine at Mount Washington Hospital Cetner, Washington, DC; 2. MedStar Georgetown Sinai, New York, NY University Hospital, Washington, DC P2279. Admission Risk Factors as Predictors of In-Hospital Colectomy in P2271. Intestinal Spirochetosis: An Unexpected Cause of Massive Acute Severe Ulcerative Colitis Gastrointestinal Bleed Sujaata Dwadasi, MD1, Donald Goens, MD1, Raghavendra Paknikar, Muhammad Bilal, MD, Anam Umar, MD, Eric Y. Chang, MD, Temidayo Abe, MD2, Maryam Zafer, MD3, David T. Rubin, MD, FACG4, Dejan Micic, MD2; MD, Melvin Simien, MD; Morehouse School of Medicine, Atlanta, GA 1. University of Chicago Medical Center, Chicago, IL; 2. University of P2272. Jejunal Lymphangioma: A Rare Cause of Gastrointestinal Bleeding Chicago, Chicago, IL; 3. University of Chicago Hospitals, Chicago, IL; 4. Rahul B. Chaudhari, MD, MRCP, Manoj A. Shirodkar, MD, FACG, Abu Inflammatory Bowel Disease Center, University of Chicago Medicine, Ala Syed Rifat Mannan, MD; University of Pennsylvania Health System, Chicago, IL Philadelphia, PA P2280. Real World Safety of Vedolizumab and Anti-TNF Therapies in P2273. Invasive "Intracholecystic Papillary-Tubular Neoplasm" (ICPN) Biologic-Naïve Ulcerative Colitis and Crohn’s Disease Patients: Results Presenting as Hemobilia in a Jehovah's Witness Patient From the EVOLVE Study Divya G. Iyer, BS1, Pradeep K. Siddappa, MD2, Amreet K. Aujla, MD2,  Presidential Poster Award 1 2 Michael A. Selden, MD3; 1. University of Connecticut School of Medicine, Andres Yarur, MD , Gerassimos J. Mantzaris, MD, PhD , Uri Kopylov, MD, 3 4 4 Farmington, CT; 2. University of Connecticut, Hartford, CT; 3. Connecticut FEBGH , Marielle Bassel, BSc , Neil R. Brett, PhD , Trevor Lissoos, MBBCh, 5 5 6 GI, PC, Hartford, CT FACG , Claudia Lopez, MSc , Athanasios Natsios, MD, PhD , Christina Kifnidi, MSc7, Sumit Saha, PhD8, Dirk Demuth, PhD, BSc9, Haridarshan P2274. Where Can the Lesion Be? A Pelvic GIST With Both a Normal Upper Patel, PharmD10, Brian Bressler, MD, MS, FRCPC11; 1. Medical College of and Lower Endoscopy Wisconsin, Milwaukee, WI; 2. Evangelismos Hospital, Athens, Attiki, Fray Martin M. Arroyo-Mercado, MD, Michelle Likhtshteyn, MD, Mohamed Greece; 3. Sheba Medical Center, Ramat Gan, Tel Aviv, Israel; 4. Evidera, Alshal, MBBCh, Safak Reka, MD; SUNY Downstate Medical Center, Montreal, PQ, Canada; 5. Takeda Pharmaceuticals U.S.A., Inc., Deerfield, Brooklyn, NY IL; 6. Takeda Hellas S.A, Athens, Attiki, Greece; 7. Takeda Hellas S.A., Athens, Attiki, Greece; 8. Takeda Canada Inc, Oakville, ON, Canada; 9. Takeda Pharmaceutical International AG, Singapore, Singapore; 10. Takeda Pharmaceuticals International, Inc., Chicago, IL; 11. University of British Columbia, Vancouver, BC, Canada

160 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2281. Effect of Disease Location on Endoscopic and Radiographic P2289. Predictors of Colectomy in Patients Admitted With Inflammatory Outcomes in Patients With Moderate to Severe Crohn’s Disease Initiated Bowel Disease: A Population-Based Study on Vedolizumab George Khoudari, MD, Amandeep Singh, MD, Yasser Alkhadra, MD, Firas Amir Kashani, MD, MPH1, Baldeep S. Pabla, MD2, Andre Eaddy, MD, PhD2, Baidoun, MD, Muhammad Talal Sarmini, MD, Donald F. Kirby, MD, Bo Shen, Elizabeth Scoville, MD, MSCI2, Robin Dalal, MD2, Dawn B. Beaulieu, MD2, MD, FACG, Miguel Regueiro, MD, FACG; Cleveland Clinic Foundation, David A. Schwartz, MD, FACG2, Sara Horst, MD, MPH2; 1. Vanderbilt Cleveland, OH University Medical Center, San Jose, CA; 2. Vanderbilt University Medical Center, Nashville, TN P2290. Improving Chromoendoscopy Utilization in Dysplasia Surveillance of Patients With Inflammatory Bowel Disease P2282. High Thiopurine Methyltransferase Activity Does Not Affect Katherine Fan, MD1, Yesenia Greeff, MD2, Alexander Browne, MD3, Harlan Concentration of Azathioprine Metabolite 6-Thioguanine Nucleotide in Rich, MD1; 1. Brown University, Providence, RI; 2. Baystate Medical Center, Inflammatory Bowel Disease Springfield, MA; 3. Shore Gastroenterology Associates, Oakhurst, NJ David Jonason, Tyson Sievers, MD, James M. Abraham, MD, Byron Vaughn, MD; University of Minnesota, Minneapolis, MN P2291. Long-Term Safety and Efficacy of Risankizumab Treatment in Patients With Crohn’s Disease: 3-year Interim Results From the Ongoing P2283. Predictors of Delayed Response to Tofacitinib: Results of the Phase 2 Open-Label Extension Study OCTAVE Open Study for Delayed Responders Marc Ferrante, MD1, Brian G. Feagan, MD, MSc, FACG2, Julian Panés, MD, Miguel Regueiro, MD, FACG1, Jami A. Kinnucan, MD2, Ryan Ungaro, MD3, PhD3, Filip Baert, MD4, Edouard Louis, MD5, Olivier Dewit, MD6, Arthur Daniel Quirk, MD, MPH, MBA4, Chinyu Su, MD4, Nervin Lawendy, PharmD4, Kaser, MD7, Weijiang Duan, MD, PhD8, Dawn Gustafson8, Xiaomei Liao, Haiyun Fan, MS4, Deborah A. Woodworth, MS, MBA4, Markus F. Neurath, PharmD8, Kori Wallace, PharmD8, Jasmina Kalabic, MD8, Geert R. D'Haens, PhD5; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. Michigan Medicine, MD9; 1. University Hospitals, Leuven, Oost-Vlaanderen, Belgium; 2. Ann Arbor, MI; 3. Icahn School of Medicine at Mount Sinai, New York, University of Western Ontario, London, ON, Canada; 3. Hospital Clínic NY; 4. Pfizer Inc, Collegeville, PA; 5. University of Erlangen-Nürnberg, de Barcelona, IDIBAPS, CIBERehd, Barcelona, Catalonia, Spain; 4. AZ University Hospital, Erlangen, Bayern, Germany Delta Roeselare-Menen, Belgium, West-Vlaanderen, Belgium; 5. CHU de Liège et Université de Liège, Liège, Liege, Belgium; 6. Cliniques P2284. Hospital Length of Stay and Mortality in Patients With Universitaires Saint-Luc, Brussels, Brussels Hoofdstedelijk Gewest, Inflammatory Bowel Disease and Atrial Fibrillation Belgium; 7. University of Cambridge, Cambridge, England, United TUESDAY Dayna Panchal, DO, Umar Sharif Khawaja, MBBS, Yasaman POSTERS Kingdom; 8. AbbVie, Inc., North Chicago, IL; 9. Academic Medical Motlaghazadeh, MD, MPH, Umair M. Nasir, DO, Catherine Choi, MD; Center, Amsterdam, Noord-Holland, Netherlands Rutgers New Jersey Medical School, Newark, NJ P2292. Superior Outcomes in Crohn’s but Not UC Admissions to P2285. Indirect Treatment Comparison of the 1-year Efficacy for Academic Hospitals Ustekinumab versus Other Advanced Therapies in Moderate to Severe Megan Lipcsey, MD1, Rahul Maheshwari, MD1, Daniel J. Stein, MD, MPH1, Ulcerative Colitis Joseph Feuerstein, MD2; 1. Beth Israel Deaconess Medical Center, Margaux Welty, PhD1, Laura Mesana, PhD1, Amie Padhiar, PhD1, Dominik Boston, MA; 2. Beth Israel Deaconess Medical Center, Harvard Medical Naessens, PhD2, Joris Diels, PhD2, Suzy Van Sanden, PhD2, Maud School, Boston, MA Pacou, PhD1; 1. Amaris, London, England, United Kingdom; 2. Janssen Pharmaceutica, NV, Beerse, Antwerpen, Belgium P2293. Clinical Course of Patients With Concomitant Eosinophilic Esophagitis and Inflammatory Bowel Disease P2286. Phenotypic Characteristics of Crohn’s Disease in Latin Americans David Leung, MD, MS1, Quan M. Nhu, MD, PhD2, Gauree G. Konijeti, MD, versus U.S. Hispanics: A Systematic Review With Meta-Analysis MPH3; 1. Scripps Mercy Hospital, San Diego, CA; 2. Scripps Clinic, Scripps  Presidential Poster Award Research, University of California San Diego, La Jolla, CA; 3. Scripps 1 2 Alberto Contreras, MD , Jinendra Satiya, MD , Marc J. Zuckerman, MD, Clinic / Green Hospital, La Jolla, CA FACG3, Luis Alvarado, MS3, Alok Dwivedi, PhD3, Danny Avalos, MD3; 1. Texas Tech University Health Sciences Center, Paul L. Foster School P2294. Making Time for Health Maintenance: A Busy Clinic's Quality of Medicine, El Paso, TX; 2. New York Medical College - Metropolitan Improvement Study of the Inflammatory Bowel Disease Population Hospital, West Palm Beach, FL; 3. Texas Tech University Health Sciences Jasna I. Beard, MD, Suril Patel, MD, Arslan Kahloon, MD; University of Center, El Paso, TX Tennessee, Chattanooga, TN P2287. Risk Factors for 90-Day Readmission Among Hospitalized Patients P2295. Disparities in Objective Sleep Quality as Assessed by Wrist With Ulcerative Colitis Actigraphy in Minority Patients With Inflammatory Bowel Disease Donald Goens, MD1, Sujaata Dwadasi, MD1, Raghavendra Paknikar, Taha Qazi, MD1, Alexander J. Smith, BS2, Megan Alexander, BSc2, Eric MD2, Maryam Zafer, MD3, David T. Rubin, MD, FACG4, Dejan Micic, MD2; Jones, BSc3, Janice Weinberg, ScD3, David Hammer, MD4, Ting Wu, MD5, 1. University of Chicago Medical Center, Chicago, IL; 2. University of Ansu Noronha5, Francis A. Farraye, MD, MSc6; 1. Boston University Medical Chicago, Chicago, IL; 3. University of Chicago Hospitals, Chicago, IL; 4. Center, Brookline, MA; 2. Boston University School of Medicine, Boston, Inflammatory Bowel Disease Center, University of Chicago Medicine, MA; 3. Boston University School of Public Health, Boston, MA; 4. Boston Chicago, IL University Medical Center, Boston, MA; 5. Boston Medical Center, Boston, MA; 6. Mayo Clinic, Jacksonville, FL P2288. The Majority of Patients With Inflammatory Bowel Disease Are Interested in Drug Discontinuation Despite Risks P2296. Ustekinumab for Concomitant Crohn’s Disease and Psoriasis Nicole Harrison, MD1, John McCarthy, MD2, Manish Singla, MD3; 1. Walter Saif U. Rehman, MD1, Umer Farooq, MD2, Muhammad K. Amin, MD3, Reed National Military Medical Center, Silver Spring, MD; 2. Walter Reed Zahoor Ahmed, MBBS4, Khush Bakhat, MBBS1, Asma Riaz, MBBS5, Amlish National Military Medical Center, Bethesda, MD; 3. Walter Reed National B. Gondal, MD6; 1. Mayo Hospital, Lahore, Punjab, Pakistan; 2. Loyola Military Medical Center, Washington, DC Medicine/MacNeal Hospital, Chicago, IL; 3. Texas Tech University Health Sciences Center, Amarillo, TX; 4. Post Graduate Medical Institute, Lahore, Punjab, Pakistan; 5. Multan Medical and Dental College, Multan, Punjab, Pakistan; 6. Guthrie Robert Packer Hospital, Sayre, PA

P2297. Change in Medical Expenses Per Capita for Inflammatory Bowel P2304. Comparing Efficacy and Adverse Effects of Biological Agents in Disease in Korea Over the Last Five Years South Asian Inflammatory Bowel Disease Patients Living in the United Sung Hoon Jung, MD, PhD1, Sang-Bum Kang, MD, PhD2, Dae Bum Kim, States to Caucasian American Patients MD, PhD3; 1. The Catholic University of Korea, Seoul, Seoul-t'ukpyolsi, Vimal Bodiwala, MD1, Timothy Marhsall, PhD, MS, ACSM/ACS-CET2, Republic of Korea; 2. The Catholic University of Korea, Taejon, Taejon- Darren Seril, MD, PhD1; 1. Robert Wood Johnson Medical School, Rutgers jikhalsi, Republic of Korea; 3. The Catholic University of Korea, Suwon, University, New Brunswick, NJ; 2. Kean University, New Brunswick, NJ Kyonggi-do, Republic of Korea P2305. What Can Prealbumin/Albumin Ratio Tell You About Etiology of P2298. Incidence and Indicators of Suboptimal Response to Tumor Hypoalbuminemia? Necrosis Factor Antagonist Therapy in Inflammatory Bowel Disease in Bixuan Lin, MD1, Katherine Sherman, MS2, William Berger, MD1; 1. Medical Newly Industrialized Countries: Results From the EXPLORE Study College of Wisconsin, Milwaukee, WI; 2. ZVAMC, Milwaukee, WI Othman Al Harbi1, Alessandro Armuzzi2, Webber Chan3, Enrique Ponce de Leon4, Jiaming Qian5, Marina Shapina6, Murat Toruner7, Chia-Hung P2306. Presence of Obstructive Symptoms and Absence of Perianal Tu8, Byong Duk Ye9, Morgane Guennec10, Cecilia Sison11, Dirk Demuth, Crohn’s Disease Is Predictive of Surgery After Endoscopic Balloon Dilation  PhD, BSc12, Olga Fadeeva, PhD12, Rana Qasim Khan12, Jesús Yamamoto- Presidential Poster Award 1 1 2 Furusho13; 1. King Khalid University Hospital, King Saud University, Riyadh, Barathi Sivasailam, MD , Scott Manski, MD , Alicia Wentz, MA , Raymond 1 Ar Riyad, Saudi Arabia; 2. Presidio Columbus, Fondazione Policlinico A. K. Cross, MD, MS ; 1. University of Maryland Medical Center, Baltimore, Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Lazio, Italy; 3. MD; 2. University of Maryland Medical Center, Research Triangle Park, NC Singapore General Hospital, Singapore, Singapore; 4. Fundación Cardio P2307. Assessing the Effectiveness of an Educational Series on Prior Infantil, Instituto de Cardiología, Bogota, Cundinamarca, Colombia; Authorization of IBD Treatments 5. Peking Union Medical College Hospital, Beijing, Beijing, China; 6. Whitney E. Faler, MPA1, Jan S. Perez1, Shari Tordoff, BS2, Tara Gross, BA1, Inflammatory and Functional Bowel Diseases Research Unit, Federal State Gregory D. Salinas, PhD3; 1. CME Outfitters, LLC, Bethesda, MD; 2. CME Budgetary Institution “State Scientific Center of Coloproctology n.a. A.N. Outfitters, LLC, Powell, OH; 3. CE Outcomes, LLC, Birmingham, AL Rizhikh” of the Ministry of Public Health of Russian Federation, Moscow, Moskva, Russia; 7. Ankara University School of Medicine, Sihhiye, Ankara, P2308. Fecal Calprotectin Levels, C-Reactive Protein Levels, and Partial Turkey; 8. National Taiwan University Hospital, Taipei, Taipei, Taiwan; Mayo Score as Early Predictors of Clinical and Endoscopic Outcomes in 9. University of Ulsan College of Medicine, Asan Medical Center, Seoul, Patients With Ulcerative Colitis Treated With Tofacitinib in a Phase 2 Study Seoul-t'ukpyolsi, Republic of Korea; 10. IQVIA, Saint-Ouen, Ile-de-France, Marla C. Dubinsky, MD1, David P. Hudesman, MD2, Nicole Kulisek, MD3, France; 11. IQVIA, Makati City, National Capital Region, Philippines; 12. Leonardo Salese, MD3, Jerome Paulissen, MS4, Chinyu Su, MD3, Fernando Takeda Pharmaceutical International AG, Singapore, Singapore; 13. National Magro, MD, PhD5; 1. Icahn School of Medicine at Mount Sinai, New York, Institute of Medical Sciences and Nutrition, Mexico City, Hidalgo, Mexico NY; 2. New York University Langone Health, New York, NY; 3. Pfizer Inc, Collegeville, PA; 4. Syneos Health, Morrisville, NC; 5. University of Porto P2299. Characteristics of Microscopic Colitis (MC) in a Diverse Urban and Centro Hospitalar São João, Porto, Portugal Healthcare Setting Simon Hong, MD, Sneha Patel, MD, Nicole Panarelli, MD, Lawrence Brandt, P2309. Biologic Use in Pediatric Patients Newly Diagnosed With Ulcerative MD, MACG; Montefiore Medical Center, Bronx, NY Colitis in the United States, 2010-2013 and 2014-2016 Geert R. D'Haens, MD1, April Naegeli, DrPH, MPH2, Malika Mahoui, PhD2, P2300. Prevalence of Depression in African American Patients With a Stuart Morton, PhD2, Yan Dong, PhD2, Theresa Hunter, PhD, MPH, MS2; 1. Diagnosis of Inflammatory Bowel Disease: Findings From a Large Safety Academic Medical Center, Amsterdam, Noord-Holland, Netherlands; 2. Eli Net Outpatient Center Lilly and Company, Indianapolis, IN Taiwo A. Ajose, MD1, Temidayo Abe, MD1, Suaka Kagbokue, MD1, Temitayo Gboluaje, MD, MBA1, Afolarin Ajose, MBBS2, Michael Flood, MD1, Seth Richter, P2310. Ulcerative Colitis Experiences Among a Pediatric Population: MD3; 1. Morehouse School of Medicine, Atlanta, GA; 2. Babcock University A Qualitative Study Reviewing the Agreement of Symptoms Discussed by College of Medicine, Atlanta, GA; 3. Albany Medical Center, Albany, NY Children and Their Parents Jason Randall, PhD, MSc1, Aiste Guobyte, MSc2, Laure Delbecque, P2301. The Prevalence and Clinical Associations of Sacroiliitis in Crohn’s PhD3, Louise Newton, PhD1, Tara Symonds, PhD1, Theresa Hunter, PhD, Disease Using a Standardized Magnetic Resonance Scoring System MPH, MS4; 1. Clinical Outcomes Solutions, Folkestone, England, United Irving Levine, MD1, Fardina Malik, MD, MSCI2, Gabriel Castillo, MD2, Brian Kingdom; 2. Clinical Outcomes Solutions, Chicago, IL; 3. Eli Lilly and D. Jaros, MD3, Erin Alaia, MD3, Justin Ream, MD, MA2, Jose U. Scher, Company, Brussels, Brussels Hoofdstedelijk Gewest, Belgium; 4. Eli Lilly MD1, David P. Hudesman, MD3, Jordan E. Axelrad, MD, MPH3; 1. New York and Company, Indianapolis, IN University School of Medicine, New York, NY; 2. New York University Langone Medical Center, New York, NY; 3. New York University Langone P2311. Biologic Use in Pediatric Patients Newly Diagnosed With Crohn’s Health, New York, NY Disease in the United States, 2010-2013 and 2014-2016 Geert R. D'Haens, MD1, April Naegeli, DrPH, MPH2, Malika Mahoui, PhD2, P2302. Identification of Biomarkers and Mechanistic Insight for Stuart Morton, PhD2, Yan Dong, PhD2, Theresa Hunter, PhD, MPH, MS2; 1. Upadacitinib in Crohn’s Disease: Serum Inflammatory Mediator Analysis Academic Medical Center, Amsterdam, Noord-Holland, Netherlands; 2. Eli From the Phase 2b CELEST Study Lilly and Company, Indianapolis, IN Vermeire Séverine, MD1, Heath Guay, PhD2, Bram Verstockt, MD3, Feng Hong, PhD2, Wan-Ju Lee, PhD2, Fabio Cataldi, MD2, Ana Lacerda, MD2, Silvio P2312. Efficacy and Safety of Tofacitinib in Moderate-Severe Ulcerative Danese, MD, PhD4; 1. University Hospital Leuven, Leuven, Oost-Vlaanderen, Colitis: A Systematic Review and Meta-Analysis Belgium; 2. AbbVie, Inc., North Chicago, IL; 3. KU Leuven, Leuven, Oost- Banreet Dhindsa, MD1, Amaninder Dhaliwal, MD2, Harmeet Mashiana, Vlaanderen, Belgium; 4. Istituto Clinico Humanitas, Milan, Lombardia, Italy MD2, Jacqueline Choa, MD1, Harlan Sayles, MS2, Gordon Ohning, MD, PhD1, Alexander Hewlett, DO2, Renee Young, MD2, Derrick Eichele, MD2; P2303. Assessing the Level of Unmet Need Amongst Ulcerative Colitis 1. University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 2. Patients in the United States and Europe University of Nebraska Medical Center, Omaha, NE Jim Kershaw, PhD1, James Lucas2, Dominik Naessens, PhD3; 1. Adelphi Group, Macclesfield, England, United Kingdom; 2. Adelphi Real World, Bollington, England, United Kingdom; 3. Janssen Pharmaceutica, NV, Beerse, Antwerpen, Belgium

162 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2313. Effect of Obesity on Venous Thromboembolism-Related P2318. The Impact of Trainee Physician Experience on Costs and Treatment Morbidity Among Hospitalized Patients With Inflammatory Bowel Disease: Outcomes Among Patients Hospitalized With Ulcerative Colitis A Nationwide Population Study Sumyra Kachru, MD1, Marwan S. Abougergi, MD2; 1. Palmetto Health USC  Presidential Poster Award Gastroenterology and Hepatology, Columbia, SC; 2. Catalyst Medical Ishani Shah, MD1, Abhishek Bhurwal, MD2, Harsh Mehta, MD3, Ananya Das, Consulting, Simpsonville, SC MD4; 1. St. Joseph's Hospital and Medical Center, Creighton University P2319. Early Symptom Improvement With Risankizumab Treatment in School of Medicine, Phoenix, AZ; 2. Robert Wood Johnson Medical School, Patients With Moderately to Severely Active Crohn’s Disease: Analysis Rutgers University, New Brunswick, NJ; 3. Saint Barnabas Hospital, From a Phase 2 Study Livingston, NJ; 4. Arizona Center for Digestive Health, Phoenix, AZ  Presidential Poster Award P2314. Appropriateness of Treatment Options in Mild to Moderate Brian G. Feagan, MD, MSc, FACG1, William J. Sandborn, MD, FACG2, Ulcerative Colitis: A RAND Appropriateness Panel Geert R. D'Haens, MD3, Julian Panés, MD, PhD4, Arthur Kaser, MD5, Peter M. Irving, MD, MA, FRCP1, Gil Y. Melmed, MD, MS, FACG2, Amy L. Marc Ferrante, MD6, Edouard Louis, MD7, Olivier Dewit, MD8, Ursula Lightner, MD3, Paulo Kotze, MD, MSc, PhD4, Thomas Ullman, MD5, Laura Seidler, MD9, Kyung-Jo Kim, MD10, Kristina Kligys, PharmD11, Kori E. Raffals, MD, FACG6, Leonard Baidoo, MD, FACG7, Brian Bressler, MD, Wallace, PharmD11, Xiaomei Liao, PharmD11, Wan-Ju Lee, PhD11, Markus F. MS, FRCPC8, Adam Cheifetz, MD9, Shane Devlin, MD, FRCPC10, Jennifer Neurath, PhD12; 1. University of Western Ontario, London, ON, Canada; Jones, MD, FRCPC11, Patricia Kozuch, MD12, Miles Sparrow, MD, PhD, 2. University of California San Diego, La Jolla, CA; 3. Academic Medical MBBS13, Fernando Velayos, MD14, Corey A. Siegel, MD, MS15; 1. Guy’s and Center, Amsterdam, Noord-Holland, Netherlands; 4. Hospital Clínic de St Thomas’ Hospital, London, England, United Kingdom; 2. Cedars- Barcelona, IDIBAPS, CIBERehd, Barcelona, Catalonia, Spain; 5. University Sinai Medical Center, Los Angeles, CA; 3. Cleveland Clinic, Cleveland, of Cambridge, Cambridge, England, United Kingdom; 6. University OH; 4. Catholic University of Parana, Curitiba, Parana, Brazil; 5. Albert Hospitals, Leuven, Oost-Vlaanderen, Belgium; 7. CHU de Liège et Einstein College of Medicine, New York, NY; 6. Mayo Clinic, Rochester, Université de Liège, Liège, Liege, Belgium; 8. Cliniques Universitaires MN; 7. Northwestern University Feinberg School of Medicine, Chicago, Saint-Luc, Brussels, Brussels Hoofdstedelijk Gewest, Belgium; 9. IL; 8. University of British Columbia, Vancouver, BC, Canada; 9. Beth Hannover Medical School, Hannover, Nordrhein-Westfalen, Germany; Israel Deaconess Medical Center, Boston, MA; 10. Calgary Division of 10. Asan Medical Center, Seoul, Hong Kong; 11. AbbVie, Inc., North Gastroenterology and Hepatology, Calgary, AB, Canada; 11. Dalhousie Chicago, IL; 12. University of Erlangen-Nürnberg, University Hospital, TUESDAY University, Halifax, NS, Canada; 12. Thomas Jefferson University Hospital, Erlangen, Bayern, Germany POSTERS Philadelphia, PA; 13. Alfred Hospital, Melbourne, Victoria, Australia; 14. University of California San Francisco, San Fransisco, CA; 15. Dartmouth- P2320. Can Ustekinemab Relieve the Symptoms of IBD-Associated Hitchcock Medical Center, Hanover, NH Arthropathy? John A. Vizuete, MD, MPH1, Charles W. Randall, MD2, Nicholas Martinez, P2315. Can CD74 Predict Treatment Response to Anti-TNF Agents in MD3; 1. University of Texas Health Science Center, San Antonio, TX; Inflammatory Bowel Disease? 2. Gastroenterology Research of San Antonio, San Antonio, TX; 3. Laura Farr, BS1, Richard Bucala, MD, PhD2, Shannon Moonah, MD, ScM1; 1. Gastroenterology Clinic of San Antonio, San Antonio, TX University of Virginia, Charlottesville, VA; 2. Yale University, New Haven, CT P2321. Tofacitinib Efficacy in Patients With Moderate to Severe P2316. Serum Biomarkers Are Associated With Endoscopic and Clinical Ulcerative Colitis: Subgroup Analyses of OCTAVE Induction 1 & 2 and Outcomes in Crohn’s Disease Patients Receiving Vedolizumab Therapy OCTAVE Sustain by 5-Aminosalicylates Use Ariela Holmer, MD1, Robert Battat, MD1, Parambir Dulai, MD2, Niels Vande Stephen B. Hanauer, MD1, David T. Rubin, MD, FACG2, Paolo Gionchetti, Casteele, PharmD, PhD1, Jennifer Neill1, Helen N. Le1, Ara Miralles, NP1, MD3, Chinyu Su, MD4, Deborah A. Woodworth, MS, MBA4, Daniel Quirk, Anjali Jain, PhD3, Kelly Hester3, Siddharth Singh, MD2, Jesus Rivera- MD, MPH, MBA4, Leonardo Salese, MD4, Wenjin Wang, PhD4, Amy Nieves, MD1, William J. Sandborn, MD, FACG2, Brigid Boland, MD1, Marren, MD4, Nervin Lawendy, PharmD4, Remo Panaccione, MD, FRCP5; Nghia Nguyen, MD1; 1. University of California San Diego, San Diego, 1. Feinberg School of Medicine, Northwestern University, Chicago, IL; CA; 2. University of California San Diego, La Jolla, CA; 3. Prometheus 2. Inflammatory Bowel Disease Center, University of Chicago Medicine, Laboratories, Inc., San Diego, CA Chicago, IL; 3. University of Bologna, Bologna, Emilia-Romagna, Italy; 4. Pfizer Inc, Collegeville, PA; 5. University of Calgary, Calgary, AB, Canada P2317. Pharmacokinetics and Exposure-Response Relationships of Ustekinumab in Patients With Ulcerative Colitis: Results From the UNIFI P2322. Short Chain Fatty Acid Profiles Are Altered by Fecal Microbiota Induction and Maintenance Studies Transplantation for the Treatment of Inflammatory Bowel Disease and  Presidential Poster Award Recurrent Clostridioides difficile Infection Omoniyi J. Adedokun, PharmD, MSc1, Zhenhua Xu, PhD1, Colleen Marano,  Category Award (IBD) PhD1, Christopher O’Brien, MD, PhD1, Philippe Szapary, MD1, Hongyan  Presidential Poster Award Zhang, PhD1, Jewel Johanns, PhD1, Rupert W L Leong, MBBS, FRACP, MD2, Jessica R. Allegretti, MD, MPH1, Benjamin Mullish, MBBS2, Jonathan Tadakazu Hisamatsu, MD3, Gert Van Assche, MD4, Silvio Danese, MD, PhD5, Hurtado, BA1, Madeline Carrellas, BA1, Jenna Marcus, BA1, Emmalee Maria T. Abreu, MD6, Bruce E. Sands, MD, FACG7, William J. Sandborn, Phelps3, William Pettee, BA4, Julian Marchesi, PhD5, Julie A.K. McDonald, MD, FACG8; 1. Janssen Research & Development, LLC, Spring House, PhD5, Grace Barker, PhD5, Jesus Miguens Blanco, PhD5, Isabel Garcia PA; 2. Concord and Macquarie University Hospitals, Sydney, New South Perez, PhD5, Colleen R. Kelly, MD, FACG6, Ari Grinspan, MD7, Monika Wales, Australia; 3. Kyorin University, Tokyo, Tokyo, Japan; 4. University Fischer, MD8; 1. Brigham and Women's Hospital, Boston, MA; 2. Imperial of Leuven, Leuven, Brabant Wallon, Belgium; 5. Humanitas Research College of London, London, Northern Ireland, United Kingdom; 3. Indiana Hospital, Milan, Marche, Italy; 6. University of Miami Miller School of University, Indianapolis, IN; 4. OpenBiome, Cambridge, MA; 5. Imperial Medicine, Miami, FL; 7. Icahn School of Medicine at Mount Sinai, New College of London, London, England, United Kingdom; 6. Warren York, NY; 8. University of California San Diego, La Jolla, CA Alpert Medical School of Brown University, Providence, RI; 7. Mount Sinai Hospital, New York, NY; 8. Indiana University School of Medicine, Indianapolis, IN

P2323. Quality Assessment of Clinical Practice Guidelines (CPGs) for the P2330. Patient and Physician Assessment of Disease Burden in Patients Diagnosis and Treatment of Inflammatory Bowel Disease With Early UC: 2-Year Data From ICONIC Diego Hidalgo, MD1, Camila Montesinos-Guevara, MPH2, Camila Escobar, Subrata Ghosh, MD1, Tom Sensky, MD2, Francesc Casellas, MD3, Kristina MPH3, Andrés Viteri, MSc2, Juan Franco4, Daniel Simancas-Racines2, Kligys, PharmD4, Joel Petersson, MD4, Laurent Peyrin-Biroulet, MD5; Jessica Hidalgo, MD5; 1. East Tennessee State University, Johnson City, 1. Institute of Translational Medicine, College of Medical and Dental TN; 2. Centro de Investigación de Salud Pública y Epidemiología Clínica Sciences, University of Birmingham, Birmingham, England, United (CISPEC), Quito, Pichincha, Ecuador; 3. Instituto Universitario Hospital Kingdom; 2. Imperial College London, London, England, United Kingdom; Italiano de Buenos Aires, Buenos Aires, Buenos Aires, Argentina; 4. 3. Crohn-Colitis Care Unit (UACC), Hospital Universitari Vall d’Hebrón, Cochrane Argentina, Buenos Aires, Buenos Aires, Argentina; 5. Quito, Barcelona, Catalonia, Spain; 4. AbbVie, Inc., North Chicago, IL; 5. Pichincha, Ecuador University of Lorraine, Nancy, Lorraine, France P2324. Response and Healthcare Resource Utilization in Inflammatory P2331. Real World Use of Tacrolimus in Combination With Biologicals Is Bowel Disease Patients Treated With Either Infliximab or Vedolizumab Beneficial in the Treatment of IBD Harry E. Sarles, Jr., MD, FACG1, Thomas C. Hardin, PharmD, MS2, Samantha Shane Burstiner, BS1, David Schwimmer, MD2, Lybil Mendoza Alvarez, MD2, A. Kuten, PharmD2, Lucinda J. Van Anglen, PharmD2; 1. DHAT Research Kubra Tuna, MD2, Pegah Hosseini-Carroll, MD3, Sarah C. Glover, DO2; 1. Institute, Garland, TX; 2. Healix Infusion Therapy, Sugar Land, TX University of Mississippi, Jackson, MS; 2. University of Florida, Gainesville, FL; 3. University of Mississippi Medical Center, Jackson, MS P2325. Patient Characteristics and Outcomes Associated With Cannabis Abuse or Dependence Among Hospitalized Patients With IBD: A U.S. Time- P2332. Real World Experience of Ustekinumab for Induction Trend Analysis and Population-Based Cohort Study and Maintenance of Remission in Crohn’s Disease: A U.K. Single Rahul S. Dalal, MD1, Gary R. Lichtenstein, MD, FACG2; 1. Brigham and Center Experience Women's Hospital, Boston, MA; 2. Perelman School of Medicine, Anirudh P. Bhandare, MD1, Benjamin J. Crooks, MA, MBBS, MRCP2, J University of Pennsylvania, Philadelphia, PA Taylor, BSC2, Jimmy K. Limdi, FRCP, FACG2; 1. Northern Care Alliance, Manchester, England, United Kingdom; 2. Northern Care Alliance, Bury, P2326. The Impact of Inpatient Intravenous Opioids on Future Outpatient England, United Kingdom Opioid Exposure Among Hospitalized Patients With Inflammatory Bowel Disease P2333. Comparison of Patient Preferences Between Stool Tests and Rahul S. Dalal, MD1, Sonali Palchaudhuri, MD2, Christopher Snider, MPH3, Colonoscopy for Assessment of Disease Activity in Inflammatory James Lewis, MD, MSCE4, Shivan Mehta, MD, MBA, MSHP4, Gary R. Bowel Diseases Lichtenstein, MD, FACG5; 1. Brigham and Women's Hospital, Boston, MA; Maria Barsky, MD1, Joseph Meserve, MD1, Angelina Collins, NP1, Siddharth 2. University of Pennsylvania, Philadelphia, PA; 3. Penn Medicine Center Singh, MD2, Brigid Boland, MD1, William J. Sandborn, MD, FACG2, Parambir for Health Care Innovation, University of Pennsylvania, Philadelphia, Dulai, MD2; 1. University of California San Diego, San Diego, CA; 2. PA; 4. Hospital of the University of Pennsylvania, Philadelphia, PA; 5. University of California San Diego, La Jolla, CA Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA P2334. Risk of Reoccurrence of Perianal Fistulas in Patients With Crohn’s P2327. Impact of Response and Inflammatory Burden at Start of Disease in the United States: A Retrospective Claims Database Study Maintenance Therapy on Clinical Efficacy of Ustekinumab Dosing Regimen Haridarshan Patel, PharmD1, Dominick Latremouille-Viau, MSc2, Didier in UC: Week 44 Results From UNIFI Serre, MSc2, Trevor Lissoos, MBBCh, FACG3, Kyle D. Null, PharmD, PhD4, Remo Panaccione, MD, FRCP1, Laurent Peyrin-Biroulet, MD, PhD2, Silvio Glynn Owen, PhD5, Sarah Campbell-Hill, MA, MSc, DPhil6; 1. Takeda Danese, MD, PhD3, Colleen Marano, PhD4, Christopher D. O’Brien, MD, Pharmaceuticals International, Inc., Chicago, IL; 2. Analysis Group, PhD4, Philippe Szapary, MD4, Hongyan Zhang, PhD4, Jewel Johanns, PhD4, Inc., Montreal, PQ, Canada; 3. Takeda Pharmaceuticals U.S.A., Inc., Rupert W L Leong, MBBS, FRACP, MD5, Ramesh P. Arasaradnam, PhD6, Indianapolis, IN; 4. Takeda Pharmaceuticals U.S.A., Inc., Deerfield, IL; 5. David Rowbotham, MRCP, FRACP7, Maria T. Abreu, MD8, Bruce E. Sands, Takeda Pharmaceuticals International, Inc., Wooburn Green, England, MD, FACG9; 1. University of Calgary, Calgary, AB, Canada; 2. Lorraine United Kingdom; 6. Takeda Pharmaceuticals International, Inc., London, University, Vandoeuvre-lès-Nancy, Lorraine, France; 3. Humanitas England, United Kingdom University, Milan, Lombardia, Italy; 4. Janssen Research & Development, LLC, Spring House, PA; 5. Concord and Macquarie University Hospitals, P2335. Long-Term Consequences of Surgery in Patients With Ulcerative Sydney, New South Wales, Australia; 6. Warwick Medical School, Colitis: A Study Using German Claims Data Marco Ghiani, PhD1, Dominik Naessens, PhD2, Peter Takacs, PhD3, David University Hospital Coventry, Warwickshire, England, United Kingdom; 7. Myers, PhD4, Ulf Maywald, PhD5, Bernd Bokemeyer, MD6, Thomas Wilke, Auckland City Hospital, Grafton, Auckland, New Zealand; 8. University of PhD7; 1. IPAM e.V, Wismar, Mecklenburg-Vorpommern, Germany; 2. Miami Miller School of Medicine, Miami, FL; 9. Icahn School of Medicine at Janssen Pharmaceutica, NV, Beerse, Antwerpen, Belgium; 3. Janssen- Mount Sinai, New York, NY Cilag Hungary, Budapest, Budapest, Hungary; 4. Janssen Pharmaceutica, P2328. Crohn’s Strictures Open With Anti-Mycobacterial Antibiotic Stockholm, Sodermanlands Lan, Sweden; 5. AOK PLUS, Dresden, Therapy (AMAT): A Retrospective Review Sachsen, Germany; 6. Gastroenterologische Gemeinschaftspraxis, Minden, Gaurav Agrawal, MBBS, MRCP, Rhys Collyer, Annabel Clancy, BND, PhD, Nordrhein-Westfalen, Germany; 7. Ingress-Health HWM GmbH, Wismar, APD, Anoja W. Gunaratne, PhD, MSc, BAMS, Stephan Lampe, BSc, BCom, Mecklenburg-Vorpommern, Germany Thomas Borody, MD, PhD, DSc, FRACP; Centre for Digestive Diseases, Five Dock, New South Wales, Australia P2336. Targeted Intracecal anti-α4β7 Integrin Antibody Results in Reduce Accumulation of α4β7 Memory T-cells in Gut Tissue in DSS- P2329. Improvement of Osteoporosis Screening Among IBD Patients at GI induced Colitis Mice Fellows’ Clinics Mitchell L. Jones, MD, PhD1, Shaoying N. Lee, PhD1, Sharat Singh, PhD1, Antonios Wehbeh, MD, Parkpoom Phatharacharukul, MD, Nabil F. Fayad, Allison Luo, MD1, William J. Sandborn, MD, FACG2, Emil Chuang, MD1, MD, FACG; Indiana University School of Medicine, Indianapolis, IN Chris Wahl, MD, MBA1; 1. Progenity Inc., San Diego, CA; 2. University of California San Diego, La Jolla, CA

164 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2337. Changing Preclinical Medical Student Perspective on IBD Through a P2344. The Impact of Inflammatory Bowel Disease on Admissions Novel Patient-Centered Education Panel With Clostridium difficile Infection: A Nationwide Database Study Jamie Horrigan, BA1, Karissa Leong, BA1, Jessica Calderone, BA1, Linda Abubaker O. Abdalla, MD1, Mohamed Abdallah, MD2, Sai B. Narala, MD1, Winston2, Xinjun Zhu, MD1, Micheal Tadros, MD, MPH, FACG1; 1. Albany Rajkumar Doshi, MD, MPH1, Nageshwara Gullapalli, MD, MPH1; 1. University Medical College, Albany, NY; 2. Crohn's & Colitis Foundation, Guilderland, NY of Nevada School of Medicine, Reno, NV; 2. University of South Dakota Sanford School of Medicine, Sioux Falls, SD P2338. Use of Day Care and Infectious Complications in Children Born to Mothers With Inflammatory Bowel Disease: A Nested Prospective Cohort in P2345. A Novel Quality Improvement Initiative to Reduce Inpatient Opioid the PIANO Registry Analgesic Use in Inflammatory Bowel Disease: The “IBD Pain Ladder” Millie D. Long, MD, MPH, FACG1, Corey A. Siegel, MD, MS2, Bincy Abraham, Pavlos Kaimakliotis, MD, Ajit Ramadugu, MD, Jennifer Kang, MD, BA, MD, FACG3, Michael Chiorean, MD4, Uma Mahadevan, MD, FACG5; 1. Itishree Trivedi, MD, MS; University of Illinois, Chicago, IL University of North Carolina, Center for Gastrointestinal Biology and Disease, Chapel Hill, NC; 2. Dartmouth-Hitchcock Medical Center, P2346. Mind the Gap: A Comparison of the Randomized Clinical Trial Hanover, NH; 3. Houston Methodist Hospital, Houston, TX; 4. Virginia Efficacy and Real World Effectiveness of Tofacitinib for the Treatment of Mason Medical Center, Seattle, WA; 5. University of California San Inflammatory Bowel Disease Francisco, San Francisco, CA Vivek A. Rudrapatna, MD, PhD, Atul J. Butte, MD, PhD; University of California San Francisco, San Francisco, CA P2339. Comparison of Injection Site Pain With Citrate Free and Original Formulation Adalimumab in Pediatric IBD Patients Ashish S. Patel, MD1, Phuong Luu, PA-C2; 1. University of Texas IBD Southwestern Health Science Center, Dallas, TX; 2. Children’s Medical Clinical Vignettes/Case Reports Center Dallas, Dallas, TX P2347. EBV Colitis With Fulminate Ulcerative Colitis: A Clinical Dilemma P2340. Validating the Accuracy of Linked Color Imaging (LCI) in Assessing Adrian Lindsey, MD1, Dina Ahmad, MD1, Michael Kurin, MD1, Preetika Mucosal Healing in Ulcerative Colitis Patients Using the Geboes Score Sinh, MD2, Michelle Lisgaris, MD1, Benigno Rodriguez, MD1, David 1 1 1 Hassan Ghoz, MD , Michael Picco, MD, PhD , Peter Abader, MD , Murli Nguyen, MD1, Ronald Charles, MD1, Rosemary Farag, DM1; 1. University 1 1 Krishna, MD , Bhaumik Brahmbhatt, MBBS, MD , Kazuhiko Uchiyama, MD, Hospitals Case Medical Center, Case Western Reserve University, TUESDAY 2 2 2 POSTERS PhD , Yuji Naito, MD, PhD , Tomohisa Takagi, MD, PhD , Michael Wallace, Cleveland, OH; 2. University Hospitals, Case Western Reserve 1 MD ; 1. Mayo Clinic, Jacksonville, FL; 2. Kyoto University Graduate School University, Cleveland, OH of Medicine, Kyoto, Kyoto, Japan P2348. Orofacial Granulomatosis: The Proof Is in the (Cinnamon) P2341. Evaluation of Paired and Separated Endoscopic Reads at Baseline Pudding and Week 14 in the Exploratory BERGAMOT Induction Cohort Benjamin J. Crooks, MA, MBBS, MRCP, Jimmy K. Limdi, FRCP, FACG; 1 2 Daniel S. Mishkin, MD, CM, FRCP(C) , Stefan Schreiber, MD, PhD , Marco Northern Care Alliance, Bury, England, United Kingdom Daperno, MD3, Young S. Oh, MD, MS4, Fez Hussain, MBChB, MRCP5, Azra Hassanali, PhD4, Stuart Lacey6, Regan Li7, Walter Reinisch, MD8; 1. Atrius P2349. A Rare Case of Primary Colonic Lymphoma Mimicking Metastatic Health, Boston, MA; 2. Institute for Clinical Molecular Biology, University Adenocarcinoma in a Patient With Ulcerative Colitis Hospital Schleswig-Holstein, Kiel, Schleswig-Holstein, Germany; 3. AO Meher S. Mavuram, MD1, Smita Maruvada, MD1, Shazia Rashid, MD1, Ordine Mauriziano di Torino, Turin, Piemonte, Italy; 4. Genentech, Inc., Nazar Hafiz, MD1, Catherine Chaudoir, MD2, Mardeli Saire mendoza, MD2, South San Francisco, CA; 5. IQVIA, Rockville, MD; 6. Roche Products Hrishikesh Samant, MD3, James D. Morris, MD, FACG4; 1. Louisiana State Limited, Welwyn Garden City, England, United Kingdom; 7. Roche University Health Sciences Center, Shreveport, LA; 2. Overton Brooks VA Products Limited, Mississauga, ON, Canada; 8. Medical University of Medical Center, Shreveport, LA; 3. Louisiana State University, Shreveport, Vienna, Vienna, Wien, Austria LA; 4. Louisiana State University Health, Shreveport, LA P2342. Oral Mesalamine Use in Crohn's Disease After Implementation P2350. Uncharted Territory: Biologic Therapies for Elderly Patients With of the American College of Gastroenterology Guidelines: A TARGET-IBD Refractory Ulcerative Colitis Cohort Study Carlos Figueredo, MD, Konstantin Boroda, MD, Hilary Hertan, MD; Nitin Gupta, MD1, Bruce E. Sands, MD, FACG2, Miguel Regueiro, MD, Montefiore Medical Center / Albert Einstein College of Medicine, Bronx, NY FACG3, Marla C. Dubinsky, MD2, David T. Rubin, MD, FACG4, John P2351. Segmental Colitis Associated With Diverticulosis Progressing to Hanson, MD5, Faten Aberra, MD, MSCE6, Michael Weiss, MD7, Stephanie Ulcerative Colitis: An Under-Reported Occurrence Watkins, PhD8, Derek R. Gazis, MS8, Millie D. Long, MD, MPH, FACG9; 1. Anam Omer, MD, Hugo L. Pinillios, MD, FACG; Carl T. Hayden VA Medical Atlanta Gastroenterology, Atlanta, GA; 2. Icahn School of Medicine at Center, Phoenix, AZ Mount Sinai, New York, NY; 3. Cleveland Clinic Foundation, Cleveland, OH; 4. Inflammatory Bowel Disease Center, University of Chicago P2352. Hemolytic Uremic Syndrome in a Young Female, Later Diagnosed Medicine, Chicago, IL; 5. Atrium Digestive Health, Charlotte, NC; 6. Penn With Crohn's Disease Medicine, Philadelphia, PA; 7. Gastro Florida, Tampa, FL; 8. TARGET Rabin Neupane, MBBS, Akshay Kohli, MBBS; MedStar Washington PharmaSolutions, Durham, NC; 9. University of North Carolina, Center for Hospital Cetner, Washington, DC Gastrointestinal Biology and Disease, Chapel Hill, NC P2353. Leukocytoclastic Vasculitis Related to Ustekinumab in a Crohn’s P2343. Reversal of Anti-Drug Antibodies Against Tumor Necrosis Factor Disease Patient Inhibitors With Addition of Immunomodulators: A Systematic Review and Pedro Costa-Moreira, MD1, Susana Lopes, MD, PhD1, Ana Luísa Santos, Meta-Analysis MD2, Ana Filipa Pedrosa, MD2, Patrícia Andrade, MD2, Raquel Portugal, Banreet Dhindsa, MD1, Harmeet Mashiana, MD2, Amaninder Dhaliwal, MD2, MD2, Guilherme Macedo, MD, PhD, FACG1; 1. Centro Hospitalar São Joãoo Amaan Shafi, MD1, Harlan Sayles, MS2, Gordon Ohning, MD, PhD1, Renee / Porto University / WGO Porto Gastroenterology and Hepatology Young, MD2, Alexander Hewlett, DO2, Derrick Eichele, MD2; 1. University Training Center, Porto, Portugal; 2. Centro Hospitalar e Universitário São of Nevada Las Vegas School of Medicine, Las Vegas, NV; 2. University of João, Porto, Portugal Nebraska Medical Center, Omaha, NE

P2354. A Double Whammy: A Case of Anterior Uveitis and Optic Neuritis in P2365. CD4 Levels and Viral Load During Ulcerative Colitis Flares in Patient With Crohn’s Disease on TNF Inhibitor Therapy Patients With HIV: A Case Series William D. Kang, BS1, Cristian Dominguez, MD2, Hari Sayana, MD2; 1. Fray Martin M. Arroyo-Mercado, MD, Michelle Likhtshteyn, MD, Chi University of Texas Health - Long School of Medicine, San Antonio, TX; 2. Doan Huynh, MD, Tanuj Chokshi, DO, Gurasees S. Chawla, MD, Evan B. University of Texas Health Science Center, San Antonio, TX Grossman, MD, Miguel Ramirez, MD, Hector Ojeda Martinez, MD; SUNY Downstate Medical Center, Brooklyn, NY P2355. Management of Severe Ulcerative Colitis in a Patient With Familial Dysautonomia P2366. Metastatic Crohn’s Disease: A Case of a Rare IBD-Related Entity at Ashley M. Hine, BS1, Chethan Ramprasad, MD2, Erin Barnes, NP2, Horacio Initial Presentation Kaufmann, MD2, Shannon Chang, MD3, Lisa Malter, MD, FACG1; 1. New  Presidential Poster Award York University School of Medicine, New York, NY; 2. New York University Christopher Kim, MD, Paul Guzik, DO, Kavitha Kumbum, DO; University of Langone Medical Center, New York, NY; 3. New York University Langone Texas Dell Medical School, Austin, TX Health, New York, NY P2367. A Case of IgA Vasculitis in Crohn’s Disease and P2356. E. coli Sepsis Following FMT in an IgA Deficient IBD Subject Recurrent Clostridioides difficile Infection  Presidential Poster Award Elida Voth, MD, Emily Olson, MD, Laura E. Raffals, MD, FACG; Mayo Clinic, Sarah C. Glover, DO1, Shane Burstiner, BS2, Demarre Jones, MD3, Arian Rochester, MN Teymoorian, MD2, Yehia Naga, MD2, Jared Silver, MD, PhD4, Kumar Pallav, 5 P2368. Antibiotic Dependent Pouchitis Successfully Managed With MD ; 1. University of Florida, Gainesville, FL; 2. University of Mississippi, Vedolizumab in a Patient With a Prior History of Renal Malignancy Jackson, MS; 3. GI Associates & Endoscopy Center, Flowood, MS; 4. Kanhai Farrakhan, MD1, Sean Fine, MD, MS2; 1. Rhode Island Hospital, Brigham and Women's Hospital, Boston, MA; 5. University of Mississippi Providence, RI; 2. Brown Medicine, Riverside, RI Medical Center, Jackson, MS P2369. Delayed Onset of Inflammatory Bowel Disease During Treatment P2357. Linear IgA Bullous Dermatosis, Ulcerative Colitis, and Autoimmune With Secukinumab Hepatitis: A Unique Triad Naren S. Nallapeta, MBBS1, John D. Picano, MD2, Jad Bou-Abdallah, Shana Kothari, MD, MS1, Charles Berkelhammer, MD, FACG2; 1. University MD2; 1. State University of New York at Buffalo, School of Medicine and of Illinois - Advocate Christ Medical Center, Oak Lawn, IL; 2. Advocate Biomedical Sciences, Buffalo, NY; 2. University at Buffalo, Buffalo, NY Christ Medical Center, Oak Lawn, IL P2370. Biofeedback Therapy With the Rao Protocol for Dyssynergic P2358. Non-Necrotizing Granulomas of the GI Tract and Abdominal Lymph Defecation Is Effective Among Patients With Inflammatory Bowel Disease Nodes. Crohn’s Disease, Sarcoidosis or Both? Samantha Spilman, MD, MS1, Parambir Dulai, MD2, David Kunkel, MD2; Scott R. Douglas, MD1, Nitisha Lotun, MS1, Danielle Moore, MD2, Amy 1. University of California San Diego, San Diego, CA; 2. University of Doran, MD2, R. Ann Hays, MD3; 1. University of Virginia, Charlottesville, VA; California San Diego, La Jolla, CA 2. University of Virginia Digestive Health Center, Charlottesville, VA; 3. University of Virginia Health System, Charlottesville, VA P2359. Crohn’s Disease With Rare Extra-Intestinal Manifestation and INTERVENTIONAL ENDOSCOPY Unusual Great Outcome!! Alsadiq Al Hillan, MD1, Fadi Hawa, MD2, Mujtaba Mohamed, MD3, Penny P2371. Endoscopic Mucosal Resection versus Endoscopic Turtel, MD4; 1. Jersey Shore University Medical Center / Hackensack Submucosal Dissection for Treatment of Superficial Colorectal Neoplasms - Meridian Health, Neptune City, NJ; 2. St. Joseph Mercy Hospital-Ann A Meta-Analysis Update 1 2 Arbor, Ann Arbor, MI; 3. Jersey Shore University Medical Center / Ajai Rajabalan, MD , Venkata Suresh Patthipati, MD, MS , Vishnu Charan 3 4 Hackensack Meridian Health, Neptune, NJ; 4. Hackensack Meridian Suresh Kumar, MD , Vishnu Mani, MD ; 1. Emory University School of Health, Oceantownship, NJ Medicine, Atlanta, GA; 2. Western Reserve Health Education, Northeast Ohio Medical University, Youngstown, OH; 3. State University of New York P2360. Resolution of Infliximab-Induced Palmar Pustular Psoriasis (PPP) Upstate Medical University, Syracuse, NY; 4. Harlem Hospital Center, New After Switching to Biosimilar Infliximab-DYYB York, NY Hafsa Abdulla, MD, Jason Schairer, MD, Allyce N. Caines, MD; Henry Ford Health System, Detroit, MI P2372. Comparison of Diagnostic Yield of Cytology versus Histology on Samples Obtained During Endoscopic Ultrasound-Guided Fine-Needle P2361. Treatment of Ulcerative Colitis Pan-Enteritis Following Colectomy Biopsy (EUS-FNB) With Cyclosporine Liza Plafsky, MD, BA1, Liege Diaz, MD1, Jinendra Satiya, MD2, Mohit Parita Patel, MD1, Joel Pekow, MD2, Sushila R. Dalal, MD2; 1. University of Girotra, MD3; 1. University of Miami, Jackson Memorial Hospital, Miami, Chicago, Chicago, IL; 2. University of Chicago Medicine, Inflammatory FL; 2. University of Miami / JFK Medical Center, West Palm Beach, FL; 3. Bowel Disease Center, Chicago, IL University of Miami Miller School of Medicine, Miami, FL P2362. Below the Belt: Unsual Site of Aortitis in Crohn's Remission P2373. Predictors of Failed Index Endoscopic Retrograde Kajali Mishra, MD, Sandra Naffouj, MD, Nirmal Kaur, MD; Henry Ford Cholangiopancreatography Health System, Detroit, MI Ayesha Kamal, MD1, Peiqi Wang, MD2, Venkata S. Akshintala, MD1, Mouen Khashab, MD1, Martin Makary, MD1, Vikesh Singh, MD3; 1. Johns Hopkins P2363. Granulomatous Lung Disease in a Patient With IBD: What Is It? University Hospital, Baltimore, MD; 2. Johns Hopkins Medical Institutions, Ian C. Padial Doble, MD1, Esther Torres, MD, MACG2; 1. University of Puerto Baltimore, MD; 3. Johns Hopkins University, Baltimore, MD Rico Medical Science Campus, San Juan, Puerto Rico; 2. University of Puerto Rico School of Medicine, San Juan, Puerto Rico P2374. Dissection-Enabled Scaffold-Assisted Resection (DeSCAR): A Novel Technique for Resection of Residual or Non-Lifting GI Neoplasia of the P2364. A Case of Crohn’s Disease Complicated With Liver Abscess, Colon, Expanded Experience and Follow-Up Enterohepatic and Enterocutaneous Fistulas Edward Villa, MD1, Matthew Stier, MD2, Kianoush Donboli, MD1, Christopher Susanne Ajao, MD, Saraswathi Lakkasani, MD, MBBS, Etan Spira, MD, Sami C. Chapman, MD1, Uzma D. Siddiqui, MD1, Irving Waxman, MD1; 1. Center for Adib, MD; Saint Michael's Medical Center, Newark, NJ Endoscopic Research and Therapeutics, University of Chicago Medicine, Chicago, IL; 2. University of Chicago Medical Center, Chicago, IL

166 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2375. A Comparison of Endoscopic Submucosal Resection (EMR) vs. P2384. How Successful Is Endoscopic Retrograde Endoscopic Submucosal Dissection (ESD) on Histologic Margins and Cholangiopancreatography in Patients With Biliary Obstruction Post- Pathologic Evaluation for Endoscopically Managed Early Esophageal Pancreaticoduodenectomy? Adenocarcinoma Osman Ahmed, MD, Phonthep Angsuwatcharakon, MD, Abraham Yu, MD, Neal Mehta, MD1, Scott Robertson, MD1, Andrew Young, MD1, Firas Bahdi, Seifeldin Hakim, MD, Emmanuel Coronel, MD, Robert Wolff, MD, Matthew MD1, Feng Li, MD1, Michael Cruise, MD, PhD1, John Vargo, MD, MPH1, Katz, MD, Brian Weston, MD, William Ross, MD, Jeffrey H. Lee, MD, MPH; Sunguk Jang, MD1, Sudish Murthy, MD, PhD1, Amit Bhatt, MD2; 1. Cleveland University of Texas MD Anderson Cancer Center, Houston, TX Clinic Foundation, Cleveland, OH; 2. Cleveland Clinic, Cleveland, OH P2385. Incremental Value of Endoscopic Ultrasound in Detecting P2376. Endoscopic Fistulotomy vs. Redo Surgery for the Treatment of Pancreatic Lesions in Patients With MEN1 Pouch-to-Pouch Fistula in Patients With Inflammatory Bowel Disease Osman Ahmed, MD, Irina Cazacu, MD, Brian Weston, MD, William Ross, Nan Lan, MD, Bo Shen, MD, FACG; Cleveland Clinic Foundation, MD, Jeffrey Lee, MD, Manoop S. Bhutani, MD, FACG; University of Texas Cleveland, OH MD Anderson Cancer Center, Houston, TX P2377. EUS-Directed Transgastric ERCP (EDGE) versus Laparoscopy- P2386. POEM Is a Safe and Effective Treatment for Achalasia: A Large Assisted ERCP (LAERCP) for Roux-en-Y Gastric Bypass (RYGB): A Single Single Center Experience Center Experience Zain Moosvi, MD1, Alexander Abadir, MD1, Vicky Cao1, Jason Samarasena,  Presidential Poster Award MD, FACG1, Kenneth J. Chang, MD, FACG2; 1. University of California Irvine Swetha Parvataneni, MD1, Vikas Kumar, MD2, Bradley Confer, DO2, David L. Medical Center, Orange, CA; 2. University of California Irvine, Orange, CA Diehl, MD3, Harshit S. Khara, MD, FACG2; 1. Geisinger Health System, State P2387. Traction-Assisted Endoscopic Submucosal Dissection Reduces College, PA; 2. Geisinger Medical Center, Danville, PA; 3. Geisinger Health Procedure Time and Risk of Adverse Events: A Meta-Analysis System, Danville, PA Chawin Lopimpisuth, MD1, Malorie Simons, MD2, Klaorat Prasongdee, MD3, P2378. Endoscopic Ultrasound-Guided Gastroenterostomy vs. Saowanee Ngamruengphong, MD2; 1. Johns Hopkins Medicine, Mueang, Enteral Stenting for Treatment of Gastric Outlet Obstruction: Chon Buri, Thailand; 2. Johns Hopkins Medicine, Baltimore, MD; 3. A Retrospective Review Chulalongkorn University Hospital, Mueang, Nonthaburi, Thailand Umair Iqbal, MD1, Andrea Berger1, Bradley Confer, DO1, David L. Diehl, TUESDAY P2388. Efficacy and Safety of Endoscopic Full Thickness Resection POSTERS MD2, Harshit S. Khara, MD, FACG1; 1. Geisinger Medical Center, Danville, (EFTR) of Colorectal Neoplasms Using the Full Thickness Resection PA; 2. Geisinger Health System, Danville, PA Device (FTRD): A Systematic Review and Pooled Analysis P2379. Outcomes of Endoscopic Ultrasound Directed Trans-Gastric ERCP Chandra S. Dasari, MD1, Venkat Nutalapati, MD2, Abhiram Duvvuri, (EDGE): A Single Center Experience MD3, Viveksandeep Thoguluva Chandrasekar, MD3, Afeerah Malik3, Aditya Gutta, MD1, Harsh K. Patel, MBBS2, James L. Watkins, MD1, Stuart Divyanshoo Kohli, MD3, Prateek Sharma, MD, FACG4; 1. Kansas City VA Sherman, MD, FACG1, John DeWitt, MD1, Glen Lehman, MD1, Evan L. Medical Center, Kansas City, KS; 2. University of Kansas Medical Center, Fogel, MD1, Jeffrey J. Easler, MD1, Mark A. Gromski, MD1, Benjamin L. Bick, Kansas City, KS; 3. Kansas City VA Medical Center, Overland Park, KS; MD1, Mohammad Al-Haddad, MD, FACG1; 1. Indiana University School of 4. Kansas City VA Medical Center, Kansas City, MO Medicine, Indianapolis, IN; 2. Ochsner Clinic Foundation, New Orleans, LA P2389. A Prospective Evaluation of a Novel Ultra-Slim Echoendoscope P2380. Efficacy and Safety of EUS-Guided Gastroenterostomy for Gastric for EUS-Guided FNA, FNB and Celiac Plexus Neurolysis Outlet Obstruction: A Systematic Review and Meta-Analysis J. Alvin Green, III, MPH, Mohamad A. Eloubeidi, MD, MHS, FACG; Anniston Ali T. Khan, MBBS1, Xiaocen Zhang, MD1, Michael Herman, MD2, Edward Digestive Health, Anniston, AL Lung, MD1; 1. Mount Sinai St. Luke's and Mount Sinai Roosevelt, New York, P2390. Same Day Discharge After Peroral Endoscopic Myotomy versus NY; 2. Mount Sinai Beth Israel, Mount Sinai St. Luke's, Mount Sinai West, Overnight Observation New York, NY Kara DiJoseph, DO1, Carl Manzo, MD2, Abraham Mathew, MD2; 1. Penn P2381. Efficacy and Safety of Endoscopic Ultrasound-Directed Transgastric State Hershey Medical Center, Hershey, PA; 2. Penn State University ERCP in Gastric Bypass Patients: A Systematic Review and Meta-Analysis Milton S. Hershey Medical Center, Hershey, PA Ali T. Khan, MBBS1, Xiaocen Zhang, MD1, Michael Herman, MD2, Edward P2391. Surveillance of Duodenal Carcinoids and the Importance of Tumor Lung, MD1; 1. Mount Sinai St. Luke's and Mount Sinai Roosevelt, New York, Margins: A Single Center Retrospective Study at the Moffit Cancer Center NY; 2. Mount Sinai Beth Israel, Mount Sinai St. Luke's, Mount Sinai West, Shruti Mony, MD1, Jason Klapman, MD2; 1. University of South Florida New York, NY Morsani College of Medicine, Tampa, FL; 2. University of South Florida P2382. Hemospray Experience in Indonesia: The Application of Hemospray Morsani College of Medicine, Tamp, FL During Emergency Endoscopy: Single Tertiary Center Hospital P2392. Efficacy and Outcomes of Endoscopic Gastrointestinal Fistula Muhammad Begawan Bestari, MD, PhD, FACG1, Dolvy Girawan, MD1, Jefry Closure: A Single Center Study Tahari, MD2, Siti Aminah Abdurachman, MD, PhD1; 1. Santo Borromeus Irene Mbih, MD1, Marika Bergenstock, DO2, Minesh Mehta, MD2, Andrea Hospital and Hasan Sadikin General Hospital, Bandung, Jawa Barat, Berger2, Bradley Confer, DO2, David L. Diehl, MD1, Harshit S. Khara, MD, Indonesia; 2. Santo Borromeus Hospital, Bandung, Jawa Barat, Indonesia FACG2; 1. Geisinger Health System, Danville, PA; 2. Geisinger Medical P2383. Endoscopic Ultrasound-Guided Fiducial Placement for Stereotactic Center, Danville, PA Body Radiation Therapy in Patients With Pancreatic Adenocarcinoma P2393. Females Are Associated With an Increased Excess Weight Loss Irina M. Cazacu, MD1, Ben S. Singh, BA1, Rachael Martin, PhD1, Jordan Reduction in Obese Patients Following Intragastric Balloon Placement Slagowski, PhD2, Sam Beddar, PhD1, Eugene Koay, MD, PhD1, Cullen Ricardo Marrero-Torres, MD1, Federico Gregory-Gonzalez, MD2, Carlos Taniguchi, MD, PhD1, Joseph Herman, MD, MSc3, Manoop S. Bhutani, MD, Micames-Caceres, MD3; 1. San Juan, Puerto Rico; 2. Guaynabo, Puerto FACG1; 1. University of Texas MD Anderson Cancer Center, Houston, TX; Rico; 3. Mayagyez, Puerto Rico 2. MD Anderson Cancer Center, Houston, TX; 3. University of Texas MD Anderson Cancer Center, Houton, TX

P2394. Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid P2404. Why Is This Hemoperitoneum Orange? A Late Diagnosed Isolated Collections Using AXIOS Electrocautery Enhanced Delivery System a Rupture of the Gallbladder Secondary to Blunt Abdominal Trauma Retrospective Experience at a Large Quaternary Care Center Tarek H. Alansari, MD1, Ahmed Alansari, MD1, Ashley Vareedayah, MD2, Michal Kloska, MD, Valery Hrad, MD, Soorya Aggarwal, DO, Shashin Demetrios Tzimas, MD3, Jennifer Harley, MD1; 1. New York Medical College Shah, MD, Zachary Zator, MD, Hiral Shah, MD, FACG; Lehigh Valley Health - Metropolitan Hospital, New York, NY; 2. New York University School Network, Allentown, PA of Medicine - Bellevue Hospital Center, New York, NY; 3. New York University School of Medicine, New York, NY P2395. Salvage Hybrid APC After Failed Radiofrequency Ablation and Cryotherapy for Barrett’s Esophagus P2405. Gallbladder Irrigation via Cholecystostomy Tube as a Novel Jose Nieto, DO, FACG1, Daniel Casas, DO2; 1. Borland Groover Clinic, Ponte Technique for Improving EUS-Guidance During Placement of Lumen- Vedra, FL; 2. Virginia College of Osteopathic Medicine, Tampa, FL Apposing Metal Stent (LAMS) for Cholecystoduodenostomy Donelle Cummings, MD1, Nathan Kwak, MD2, Mairin Joseph-Talreja, MD2, P2396. Endoscopic Submucosal Dissection as a Salvage Therapy After Evan B. Grossman, MD3, Derrick Cheung, MD2; 1. State University of New Failed Endoscopic Mucosal Resection for Colorectal Lesions: A Single York Downstate Medical Center, New York, NY; 2. State University of Center Experience New York Downstate Medical Center, Brooklyn, NY; 3. SUNY Downstate Rushikesh Shah, MD, Mohamed Magdy Abdelfatah, MD, Parit Medical Center, Brooklyn, NY Mekaroonkamol, MD, Michael Yu, MD, MS, Yue Xue, MD, PhD, Steven Keilin, MD, Field Willingham, MD, MPH, Qiang Cai, MD, PhD, FACG; Emory P2406. Endoscopic Challenges in a Patient With Ansa Pancreatica and University School of Medicine, Atlanta, GA Recurrent Pancreatitis Jacob Aaron, MD, Dina Ahmad, MD, Zachary L. Smith, DO; University Hospitals Case Medical Center, Case Western Reserve University, INTERVENTIONAL ENDOSCOPY Cleveland, OH Clinical Vignettes/Case Reports P2407. Endoscopic Management of Efferent Loop Syndrome Using Axios P2397. Successful Endoscopic Drainage of Intraperitoneal Hematoma Lumen-Apposing Metal Stent Using Lumen Opposing Fully Covered Metal Stent and Intracavitatory Kaveh Zivari, MD, Daniel J. Waintraub, MD, Richard M. Fazio, MD, MS, Thrombolytics Jonathan Weinberger, MD, Leonid Chernobelsky, MD, Isaac Moshenyat, Sarah Olivier, MD, Lakshmi Asritha Gollapudi, MD, Virendra Tewari, MD; MD, Dmitriy O. Khodorskiy, MD; Maimonides Medical Center, Brooklyn, NY New York Medical College Westchester Medical Center, Valhalla, NY P2408. The First Case of Endoscopic Ultrasound Guided Liver Biopsy P2398. Endoscopic Retrograde Cholangiopancreatography Leading to Followed by Endoscopic Sleeve Gastroplasty in the Same Session 1 2 2 Necrotizing Fasciitis: A Case Report Debashis Reja, MD , Haroon Shahid, MD , Amy Tyberg, MD , Michel 2 2 Umair M. Nasir, DO, Dayna Panchal, DO, Catherine Choi, MD, Ahmed Kahaleh, MD, FACG , Avik Sarkar, MD ; 1. Robert Wood Johnson Medical Ahmed, DO, Brandon Rodgers, BS, Matthew Kutner, MD; Rutgers New School, Rutgers University, New Brunswick, NJ; 2. Robert Wood Johnson Jersey Medical School, Newark, NJ University Hospital, New Brunswick, NJ P2399. Endoscopic Salvage Repair: Complicated Gastric Sleeve Leak P2409. 69-Year-Old Male After Gastric Bypass With Choledocholithiasis Harrison Fleming, DO, Michael Brazeau, DO, Ryan Cho, MD, John Treated With EDGE Procedure Complicated by LAMS Dislocation Magulick, MD; San Antonio Uniformed Services Health Education Michal Kloska, MD, Reema Vaze, MD, Ricky Buckshaw, DO, Hiral Shah, MD, Consortium, San Antonio, TX FACG; Lehigh Valley Health Network, Allentown, PA P2400. An Old Friend in a New Neighborhood: The Presentation and P2410. An Uncharacteristic Diagnosis of Small Cell, High-Grade Management of Intraductal Hepatocellular Carcinoma Neuroendocrine Carcinoma of the Esophagus 1 1 2 Jasna I. Beard, MD, George Philips, MD; University of Tennessee Health Maddie Kubliun, MD , Minh Tran, MD , Deepak Agrawal, MD, MBA ; 1. Science Center, Chattanooga, TN University of Texas Southwestern Medical Center, Dallas, TX; 2. University of Texas Austin Dell School of Medicine, Dallas, TX P2401. Endoscopy-Directed Overtube-Assisted Vacuum Therapy of a Colo- Rectal Anastomotic Leak P2411. Successful EUS-Guided Gastrojejunostomy in Altered Anatomy After Seth Dukes, MD1, Ross Pinson, MD2, Jack Hawkins, MD2, Ryan Cho, MD3; 1. Failed Surgical Management 1 1 1 Brooke Army Medical Center, San Antonio, TX; 2. Brooke Army Medical Sarabdeep Mann, MD , Shifat Ahmed, MD , Layth Al-Jashaami, MD , 2 Center, Fort Sam Houston, TX; 3. San Antonio Uniformed Services Health Teodor Pitea, MD ; 1. University of Arizona College of Medicine, Phoenix, Education Consortium, San Antonio, TX AZ; 2. Banner University Medical Center, Phoenix, AZ P2402. What You See Is Not What You Get: EUS Underestimation of Gastric P2412. Off-label Use of Lumen-Apposing Metal Stent for Gastro-Jejunal Cardia Mass Size and Shape Anastomotic Stricture Following Roux-en-y Gastric Bypass 1 1 1 Katherine Bill, MD1, Abdelkader Chaar, MD2, Mohammed Barawi, MD2; 1. Peter Dellatore, MD , Augustine Tawadros, MD , Debashis Reja, MD , 2 2 2 St. John Hospital and Medical Center, Detroit, MI; 2. Ascension St. John Avik Sarkar, MD , Amy Tyberg, MD , Michel Kahaleh, MD, FACG , Haroon 2 Hospital, Detroit, MI Shahid, MD ; 1. Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ; 2. Robert Wood Johnson University Hospital, New P2403. Placement of Palliative Stent With Guidance of a Percutaneous Brunswick, NJ Transhepatic Stent Shiva Poola, MD, Nannaya Jampala, MD, Prashant Mudireddy, MD; Brody P2413. Lavaging the Esophagus of Food Obstruction School of Medicine, Greenville, NC Connie Park, MD, Vinayak Shenoy, DO, Angelica Nocerino, MD, Elena Ivanina, DO, MPH; Lenox Hill Hospital, New York, NY P2414. A Unique Case Demonstrating the Endoscopic Management of a Duodenal Stump Fistula Sarah Davis, MD1, S. Craig Owen, MD1, John Magulick, MD2; 1. San Antonio Military Medical Center, San Antonio, TX; 2. San Antonio Uniformed Services Health Education Consortium, San Antonio, TX

168 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2415. EUS-Directed Transgastric ERCP (EDGE) for Removal of Cystic Duct LIVER Coils: A Novel Application of an Emerging Technique Vikas Kumar, MD1, Swetha Parvataneni, MD2, Harshit S. Khara, MD, FACG1, P2426. Clostridioides difficile Infection in Liver Cirrhosis: A Multiyear Joshua Obuch, MD, MSc3, Duane Deivert, DO3, Yakub Khan, MD3; 1. Nationwide Analysis Geisinger Medical Center, Danville, PA; 2. Geisinger Health System, State  Fellows-in-Training Award (Liver Category) College, PA; 3. Geisinger Health System, Wilkes-Barre, PA  Presidential Poster Award Khalil Aloreidi, MD1, Mohamed Barakat, MD1, Daryl Ramai, MD, MSc1, P2416. Endoscopic Drainage of a Perirectal Abscess Into the Rectal Lumen Chencheng Xie, MD2, Ali Aamar, MD1, Madhavi Reddy, MD, FACG1; 1. The With a Lumen-Apposing Metal Stent Avoiding Percutaneous Drainage and Brooklyn Hospital Center, Brooklyn, NY; 2. University of South Dakota / the Presence of a Trans-Gluteal Catheter Thomas Jefferson University, Sioux Falls, SD Jonh J. Pineda Bonilla, MD; LewisGale Medical Center, Salem, VA P2427. Influenza in Cirrhosis Patients: A Multi-Year Nationwide Analysis P2417. Role of Endoscopy in Bouveret Syndrome Khalil Aloreidi, MD1, Srikanth Maddika, MD2, Eric O. Then, MD2, Andrea Sheikh A. Saleem, MD, Muhammad Osman Arif, MD; SUNY Upstate Culliford, MD, FACG2, Vinaya Gaduputi, MD, FACG2; 1. The Brooklyn University Hospital, Syracuse, NY Hospital Center, Brooklyn, NY; 2. St. Barnabas Hospital, Bronx, NY P2418. Prevention of Excessive Gas Accumulation With a Biliary Dilation P2428. Thirty-Day Readmissions in Patients Admitted With Hepatic Balloon During Endoscopic Cryotherapy Encephalopathy Between 2010-2015: A Study From the Nationwide Alexander Abadir, MD1, Meredith Clary, MD2, Jason Samarasena, MD, Readmission Database FACG1, Kenneth J. Chang, MD, FACG2; 1. University of California Irvine Ahmed A. Elkafrawy, MD1, Osama Kaddourah, MD1, Kevin F. Kennedy, Medical Center, Orange, CA; 2. University of California Irvine, Orange, CA MS2, Alisa Likhitsup, MD3; 1. University of Missouri Kansas City School of P2419. Expanding Therapeutic Options for Ileocecal Valve and Rectal Medicine, Kansas City, MO; 2. Mid America Heart Institute, Kansas City, Strictures With Lumen-Apposing Fully Covered Metal Stents MO; 3. Saint Luke's Liver and Transplant Specialists, University of Missouri Cicily Vachaparambil, MD, Mohamed Magdy Abdelfatah, MD, Saurabh Kansas City, Kansas City, MO Chawla, MD, Field Willingham, MD, MPH, Parit Mekaroonkamol, MD; P2429. Effectiveness of a Nurse-Led Fibroscan Service Towards Emory University School of Medicine, Atlanta, GA Enhanced Care in Liver Disease TUESDAY P2420. A Case of Successful Endoscopic Management of Anirudh P. Bhandare, MD1, Lynne Kendrick, BSc2, Diane Coulter, POSTERS Choledocholithiasis Complicated by Post-Transplant Biliary Stricture BSc2, Muhammad Iftikhar I. Nadeem, MRCP, FRCP2; 1. Northern Care Lakshmi Asritha Gollapudi, MD1, Anila Kumar, DO2, Roxana Bodin1, Alliance, Salford, England, United Kingdom; 2. Northern Care Alliance, Dimitrios Georgostathis, MD1, Edward Lebovics, MD1; 1. Westchester Manchester, England, United Kingdom Medical Center at New York Medical College, Valhalla, NY; 2. New York P2430. Use of Obeticholic Acid in Patients With Primary Biliary Medical College Westchester Medical Center, Valhalla, NY Cholangitis: A Systematic Review and Meta-Analysis P2421. Successful EUS-Guided Treatment of Duodenal Varices With Coil Chimaobi Anugwom, MD1, Ahmed Dirweesh, MD2, Dupinder Singh, Embolization MD1, Cynthia Levy, MD3, Shahnaz Sultan, MD, MHSc2; 1. University Nathaly Cortez, MD1, Mahmoud Mahfouz, MD1, Manuel Berzosa, MD1, of Minnesota Medical School, Minneapolis, MN; 2. University of Ahmad Basil Nasir, MD2; 1. Mount Sinai Medical Center, Miami Beach, FL; Minnesota, Minneapolis, MN; 3. University of Miami Miller School of 2. University of Aleppo, Miami, FL Medicine, Miami, FL P2422. Not an Ordinary Cause of a Biliary Stricture: The Case of a Surgical P2431. Ethnic Minorities With Primary Biliary Cholangitis in the U.S. Are Clip Migration After Open Cholecystectomy More Likely to Be Hospitalized at Higher Safety-Net Burden Hospitals Shiva Poola, MD, Nannaya Jampala, MD, Prashant Mudireddy, MD; Brody Artin Galoosian, MD, MA1, Grishma Hirode, MAS2, Robert Wong, MD, MS, School of Medicine, Greenville, NC FACG3; 1. California Pacific Medical Center, San Francisco, CA; 2. Alameda Health System, Oakland, CA; 3. Alameda Health System - Highland P2423. Endoscopic Ultrasound-Guided Transrectal Drainage of a Tubo- Hospital, Oakland, CA Ovarian Abscess via a Lumen-Apposing Metal Stent  Presidential Poster Award P2432. Overutilization of CT Scan of the Brain in the Diagnosis of Hepatic Ruchit N. Shah, DO, Sara West, DO, Kaitlyn M. Sweeney, MS, MD, Minesh Encephalopathy: Choosing Wisely Mehta, MD, David L. Diehl, MD; Geisinger Health System, Danville, PA Ahmad Khan, MD1, Abdullah Sohail, MD2, Allison Cipriani3, Bryce A. McDaniel, DO1, Junaid Farooq, MD2, Monica Chowdhry, MD1, Shailendra P2424. Ischemic Cholangiopathy Complicating an Orthotopic Liver Singh, MD1; 1. West virginia University Health Sciences Center, Charleston, Transplantation in Donation After Circulatory Death WV; 2. Charleston Area Medical Center, Charleston, WV; 3. West Virginia Steve Serrao, MD, MPH, PhD, Ryan Strilaeff, MD, Kendrick Che, DO, University, Charleston, WV Medora Rodrigues, MD, MPH, Shishira Bharadwaj, MD; Loma Linda University Medical Center, Loma Linda, CA P2433. Hip Fractures in Celiac Disease Patients: A Nationwide Analysis Ahmad Khan, MD1, Kamesh Gupta, MBBS2, Abdullah Sohail, MD3, Hemant P2425. Innovative Endoscopic Management of a Bariatric Surgery Goyal, MD4; 1. West virginia University Health Sciences Center, Charleston, Complication WV; 2. University of Massachusetts Medical School - Baystate Medical  Presidential Poster Award Center, Springfield, MA; 3. Charleston Area Medical Center, Charleston, WV; 1 1 2 Michael Herman, MD , Gaurav Kakked, MD , Kelsey Collins, MD , Evin 4. The Wright Center of Graduate Medical Education, Clark Summit, PA McCabe, MD3, Franklin Kasmin, MD1; 1. Mount Sinai Beth Israel, Mount Sinai St. Luke's, Mount Sinai West, New York, NY; 2. Mount Sinai Beth P2434. Awareness and Barriers to Hepatitis C Screening for Baby Boomers Israel Medical Center / Icahn School of Medicine at Mount Sinai, New in Internal Medicine Training: A Nationwide Survey York, NY; 3. Mount Sinai Beth Israel Medical Center, New York, NY Ahmad Khan, MD1, Allison Cipriani2, Jin A. Kim3, Shailendra Singh, MD1; 1. West virginia University Health Sciences Center, Charleston, WV; 2. West Virginia University, Charleston, WV; 3. West Virginia University School of Medicine, Columbia, MD

P2435. Rates and Predictors for Readmission in Decompensated Cirrhosis P2445. N-Acetylcysteine: A Novel Agent for Patients With Ischemic at a Large Rural Tertiary Care Hospital Hepatopathy Ahmad Khan, MD1, Abdullah Sohail, MD2, Allison Cipriani3, Bryce A. Shana Kothari, MD, MS, Michael Kalinowski, DO, MS, Elizabeth Brindise, McDaniel, DO1, Junaid Farooq, MD2, Monica Chowdhry, MD1, Suzanne DO, Matthew Kobeszko, MD, MS, Rogelio Silva, MD; University of Illinois - Kemper, MPH2, Shailendra Singh, MD1; 1. West virginia University Health Advocate Christ Medical Center, Oak Lawn, IL Sciences Center, Charleston, WV; 2. Charleston Area Medical Center, Charleston, WV; 3. West Virginia University, Charleston, WV P2446. Health-Related Quality of Life Decreases With Disease Progression From Chronic Liver Disease to Cirrhosis and Hepatocellular Carcinoma P2436. Integration of Cirrhosis Best Practices Into Electronic Medical Juan Salcedo, MD1, Terilyn Viray, MPH2, Lynn Feun, MD2, Gennaro Selvaggi, Record Associated With Reduction in 30-Day Mortality MD3, Paul M. Martin, MD2, Patricia D. Jones, MD, MSCR2; 1. University of  Presidential Poster Award Miami, Jackson Memorial Hospital, Miami, FL; 2. University of Miami Miller Zachary Sherman, MD1, Nabeel Wahid, MD1, Amin K. Soltani, MD1, Michael School of Medicine, Miami, FL; 3. University of Miami Miller School of Wagner, MD2, Arun Jesudian, MD3; 1. New York-Presbyterian / Weill Medicine / Miami Transplant Institute, Miami, FL Cornell Medical Center, New York, NY; 2. Weill Cornell Medicine, New P2447. Does Viremia in Patients With Hepatitis C Antibody Positivity Alter York, NY; 3. Weill Cornell Medical College, New York, NY Mortality in People Who Inject Drugs With Infective Endocarditis? P2437. Barriers to Liver Procurement as Perceived by Resident Physicians Chloe K. Tom, BS, Alexander J. Kovalic, MD, Glen Huang, DO, James E. Across 10 UNOS Regions Peacock, MD, Chaudry N. Majeed, MBBS, Kyle A. Davis, PharmD; Wake Amisha Ahuja, MD1, Chaitra Banala, BS2, Dina Halegoua-DeMarzio, MD3; Forest University School of Medicine, Winston-Salem, NC 1. Thomas Jefferson University Hospital, Philadelphia, PA; 2. Sidney P2448. The Use of the Molecular Adsorbent Recirculating System (MARS) Kimmel Medical College, Philadelphia, PA; 3. Thomas Jefferson University, in Treatment of Cholestatic Drug Induced Liver Injury Philadelphia, PA Babusai Rapaka, MD1, Ravi Vora, MD1, Mary Flynn, MD2, Ram Subramanian, P2438. Primary Care and Specialty Physician Perspectives on Non- MD2; 1. Emory University School of Medicine, Atlanta, GA; 2. Emory Alcoholic Fatty Liver Disease (NAFLD) Screening, Diagnosis, and Referral University Hospital, Atlanta, GA Naba Saeed, MD1, Monica Tincopa, MD, MSc1, Asadullah Mahmood, P2449. Venous Thromboembolism Trends and Impact in Patients With MBBS2, Heba Habbal, MD3, David Sengstock, MD, MSCR3, Lisa Glass, MD1; Cirrhosis: Analysis of the National Inpatient Sample Database 2003-2014 1. University of Michigan Health System, Ann Arbor, MI; 2. Beaumont Ian Greenberg, MD1, Luis Diaz Quintero, MD2, Alfonso Tafur, MD3; 1. Oakwood Hospital, Dearborn, MI; 3. Beaumont Health, Dearborn, MI University of Chicago, NorthShore University Health System, Evanston, IL; P2439. Prevalence of Cirrhotic Cardiomyopathy and Its Correlation With 2. University of Chicago, NorthShore Campus, Evanston, IL; 3. NorthShore Serum Pro-BNP Levels, HRS, SBP, and Mortality University HealthSystem, Evanston, IL Neha Kapoor, Vimal Mehta, Suresh Kumar, Premashis Kar; Maulana Azad P2450. Women and Ethnic Minorities With Alcoholic Hepatitis in the Medical College, New Delhi, Delhi, India United States Are More Likely to Be Hospitalized in High Safety Net P2440. Liver Cancer in Ethiopia: Presentation, Prognosis, and Therapy Burden Hospitals Amir Sultan, MD1, Marilia Campos, MD2, Zerihun Wondifraw, MS3, Grace Sanah Ladhani, MD1, Grishma Hirode, MAS1, Ashwani Singal, MD2, Robert Braimoh, MD4, Abate Bane, MD3, Jose D. Debes, MD5; 1. Addis Ababa Wong, MD, MS, FACG3; 1. Alameda Health System, Oakland, CA; 2. University, Adis Ababa, Adis Abeba, Ethiopia; 2. Hennepin County University of South Dakota Sanford School of Medicine, Sioux Falls, SD; 3. Medical Center, Minneapolis, MN; 3. Addis Ababa University, Addis Alameda Health System - Highland Hospital, Oakland, CA Ababa, Adis Abeba, Ethiopia; 4. Hennepin Healthcare, Minneapolis, MN; 5. P2451. Achievement of SVR With Ledipasvir/Sofosbuvir in Patients With University of Minnesota, Minneapolis, MN Hepatitis C and Moderate Chronic Kidney Disease May Lead to Improved P2441. Impact of GLP-1 Agonist Use on Non-Alcoholic Fatty Liver Disease Glomerular Filtration Rate Among Patients at a Large, Tertiary Care Center Chuma G. Obineme, MD, Lesley S. Miller, MD; Emory University School of  Presidential Poster Award Medicine, Atlanta, GA Soorya Aggarwal, DO1, Matthew J. Sullivan, DO1, Michal Kloska, MD1, P2452. Hypophosphatemia in Patients With Alcoholic Hepatitis Angela Magdaleno, DO1, Gretchen Perilli, MD1, She-Yan Wong, MD2; 1. Ryan S. Chiang, BS1, Ahmad Farooq, MBBS2, Alice Parish, MSPH3, Donna Lehigh Valley Health Network, Allentown, PA; 2. Eastern Pennsylvania Niedzwiecki, PhD3, Matthew R. Kappus, MD2, Yuval Patel, MD2, Rodger Gastroenterology and Liver Specialists, Allentown, PA A. Liddle, MD2, Andrew J. Muir, MD, MHS2; 1. Duke University School of P2442. Advanced HCC Management in Clinical Practice Evolves Beyond Medicine, Durham, NC; 2. Duke University Medical Center, Durham, NC; 3. BCLC Guideline Duke University, Durham, NC Ahmed Al-Omary, MBChB1, Robert Cheng, FRACP, PhD2; 1. Western P2453. Diagnostic Accuracy of Outpatient Clinical Scoring Systems for Sydney Local Health District, Sydney, New South Wales, Australia; 2. Transarterial Chemoembolization (TACE) in Hepatocellular Carcinoma Westmead Hospital, Sydney, New South Wales, Australia (HCC): A Systematic Review P2443. Bilirubin and QT Interval Prolongation (From the Third National Frederick B. Peng, MD1, Nanfu Deng, MD1, Niharika Mallepally, MD, MPH1, Health and Nutrition Examination Survey) Hyunseok Kim, MD, MPH1, Hashem B. El-Serag, MD, MPH2, Ruben Hernaez, Chaudry N. Majeed, MBBS1, Muhammad Imtiaz Ahmad, MBBS, MS1, MD, MPH, PhD1; 1. Baylor College of Medicine, Houston, TX; 2. Baylor Muhammad Ali Anees, MBBS2, Elsayed Z. Soliman, MD, MSc, MS3; 1. Wake College of Medicine and Center for Innovations in Quality, Effectiveness Forest University School of Medicine, Winston-Salem, NC; 2. Allam Iqbal and Safety (IQuESt) / Michael E. DeBakey Veterans Affairs Medical Medical College, Winston-Salem, NC; 3. Wake Forest Baptist Health, Center, Houston, TX Winston-Salem, NC P2454. Time-Trend Analysis of Correlation of Liver Cirrhosis and Its P2444. Direct-Acting Antiviral Therapy Against Hepatitis C in Patients Complications, Using NIS Database With Liver Cancer: Is It Safe? Muhammad Hashim Hayat, MBBS1, Ijlal Akbar Ali, MD2, Salman Nusrat, MItchell Kang, DO1, Jeah Jung, PhD, MPH2, Yamini Kalidindi3, Thomas MD2; 1. University of Health Sciences, Oklahoma City, OK; 2. University of Riley, MD1; 1. Penn State University, Hershey, PA; 2. Penn State University, Oklahoma Health Sciences Center, Oklahoma City, OK University Park, PA; 3. Pennsylvania State University, State College, PA

170 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2455. Referral Trends Show Low Linkage-to-Care of NAFLD Patients at a P2464. Study of Outcomes of Nephrectomy in Cirrhotic Patients: Tertiary Care Academic Center in Northern California A National Analysis From a Large Database Marcia Leung, MD, Cindy Piao, MA, MD, Darren M. Frank, BS, Alexander Srikanth Vedachalam, DO1, Kyle Porter, MAS2, Na Li, MD, PhD1, Sean Kuo, MD, Souvik Sarkar, MD, PhD; University of California Davis Medical Kelly, MD1, Lanla Conteh, MD, MPH1, James Hanje, MD1, Anthony Michaels, Center, Sacramento, CA MD1, Sylvester Black, MD, PhD1, Khalid Mumtaz, MD1; 1. The Ohio State University Wexner Medical Center, Columbus, OH; 2. The Ohio State P2456. Longitudinal Follow-Up of Malnutrition in U.S. Veterans With University, Columbus, OH Decompensated Cirrhosis Jade Edwards, MD1, Shreya Narayanan, MD2, Lynn D. Hiller, MS, RD1, P2465. Direct Oral Anticoagulants May Be Used in the Treatment of Portal Tristan Smith, MD1, Ambuj Kumar, MD, MPH3, Philip Foulis, MD1, Gitanjali Vein Thrombosis in Patients With Cirrhosis: A Systematic Review and Vidyarthi, MD1; 1. James A. Haley Veterans' Hospital, Tampa, FL; 2. Comparative Meta-Analysis University of South Florida Morsani College of Medicine, Tampa, FL; 3. Babu P. Mohan, MD1, Shahab R. Khan, MBBS1, Veeraraghavan Meyyur University of South Florida Health, Tampa, FL Aravamudan, MRCP2, Sushrut Trakroo, MD3, Rajat Garg, MD4, Suresh Ponnada, MD, MPH5, Ravishankar Asokkumar, MRCP6, Douglas G. Adler, P2457. A Study of the Characteristics of Hepatic Blood Flow Ex Vivo Using MD, FACG7; 1. University of Arizona / Banner University Medical Center, a Cardio-Emulation Arterial Pump Perfusion System Tucson, AZ; 2. National University Hospital, Singapore, Singapore; 3. Gerond V. Lake-Bakaar, MD, PhD1, Charles Aardema, BS2, David C. Cronin, Saint Vincent Hospital, Cleveland, OH; 4. Cleveland Clinic Foundation, MD, PhD1, John Robertson, DVM, PhD3; 1. Transplant Center, Denver, CO; 2. Cleveland, OH; 5. Carilion Clinic, Roanoke, VA; 6. Singapore General Smart Perfusion, Christiansburg, VA; 3. Smart Perfusion, Blacksburg, VA Hospital, Singapore, Singapore; 7. University of Utah School of Medicine, P2458. Presence of Acute Kidney Injury (AKI) at Admission in Severe Salt Lake City, UT Alcoholic Hepatitis (SAH) Patients Predicts Mortality: A Single Centre P2466. Can Non-invasive Markers of Liver Histology for Non-Alcoholic Experience Fatty Liver Disease (NAFLD) Help Predict Cardiovascular Risk by Shivaram Prasad Singh, MBBS, MD, DM, FACG1, Chitta Ranjan Khatua, Application of the Framingham Scoring System? MBBS, MD2, Rakesh Kumar Barik, MBBS, MD2, Saroj Kanta Sahu, MBBS, Fahad Malik, MD1, Marina Kim, MD2, Alec Heldon, MD2, Reema Vaze, MD2, Subhasis Pradhan, MBBS, MD2, Dinesh Meher, MBBS, MD2, Gautam MD2, Daniel Golpanian, MD2, Smruti R. Mohanty, MD, MS3; 1. Richmond Nath, MBBS, MD2; 1. SCB, Cuttack, Orissa, India; 2. SCB Medical College, University Medical Center, Staten Island, NY; 2. New York Methodist TUESDAY Cuttack, Orissa, India POSTERS Hospital, Brooklyn, NY; 3. New York Presbyterian Brooklyn Methodist P2459. The Prevalence of Chronic Opioid and Benzodiazepine Use in Hospital, Brooklyn, NY Patients With Liver Cirrhosis: A Meta-Analysis and Systematic Review P2467. Low Rates of Hepatitis A Virus, Hepatitis B Virus, and Hepatitis C Laith Al Momani, MD1, Mohammad Alomari, MD2, Muhammad Talal Virus Screening Among Adults With Nonalcoholic Fatty Liver Disease at Sarmini, MD2, Fredy Nehme, MD3, Mark Young, MD1, Carlos Romero- an Ethnically Diverse Safety Net Health System Marrero, MD, MSc4; 1. East Tennessee State University, Johnson City, Brian Mendoza, MD1, Kabiru Ohikere, MD1, Benny Liu, MD1, Taft Bhuket, TN; 2. Cleveland Clinic Foundation, Cleveland, OH; 3. University of MD1, Robert Wong, MD, MS, FACG2; 1. Alameda Health System, Missouri, Kansas City, MO; 4. Digestive Disease Institute, Cleveland Clinic Oakland, CA; 2. Alameda Health System - Highland Hospital, Oakland, Foundation, Cleveland, OH CA P2460. Are There Demographic Variations Between Obese and Non-Obese P2468. Tenofovir Disoproxil Fumarate (TDF) to Prevent Hepatitis B (Lean) Patients With Non-alcoholic Steatohepatitis? Transmission in Mothers With High Viral Load in a Real World U.S. Cohort Mohamed S. Ismail, MD, MSc1, Javier Sanchez, RN2, Manal Hassan, MD, Vijay Gayam, MD1, Dan Wang, BS2, Bryan Chen, BS3, Calvin Q. Pan, MD4; 1. MPH, PhD3, Khalid Abdullah, MD2, Prasun Jalal, MD1, Chukwuma Egwim, Interfaith Medical Center, Brooklyn, NY; 2. New Discovery LLC, Flushing, MD4, Victor Ankomasey, MD4; 1. Baylor College of Medicine, Houston, NY; 3. University of California, Flushing, NY; 4. New York University TX; 2. Liver Associates of Texas, Houston, TX; 3. University of Texas MD Langone Medical Center, New York, NY Anderson Cancer Center, Houston, TX; 4. Liver Associates of Texas, and Sherri & Alan Conover Center for Liver Disease & Transplantation, P2469. Impact of Splanchnic Vasoconstrictors on Sodium Level in Inpatient Houston Methodist Hospital, Houston, TX Cirrhotics With Hyponatremia: A Retrospective Cohort Study Bahaaeldeen Ismail, MD1, Baker Alkhairi, MD2, Karim Benrajab, MD3, P2461. Rapid Fire Hepatology: A Pilot Study of a Near-Peer, Speed- Saad Emhmed Ali, MD3, Fernando Castro, MD4; 1. University of Kentucky, Teaching Hepatology Curriculum on a Dedicated Inpatient Liver Service Lexington, KY; 2. Blake Medical Center, Bradenton, FL; 3. University Alexander Goldowsky, MD, Eric Ardolino, MD, Vilas Patwardhan, MD; Beth of Kentucky College of Medicine, Lexington, KY; 4. Digestive Disease Israel Deaconess Medical Center, Boston, MA Institute, Cleveland Clinic Foundation, Weston, FL P2462. Epidemiology and Diagnostic Evaluation of Patients With Liver P2470. Novel Therapy for Hepatocellular Carcinoma: Immunotherapy Abscesses at an Academic Hospital in Washington, DC Patricia D. Jones, MD, MSCR, Kristin Gmunder, BS, Jeremy McLaughlin, Joseph H. Cioffi, 1MD , Marc Siegel, MD2; 1. The George Washington BS, Paul M. Martin, MD, Cristina Herrera, ARNP, Lynn Feun, MD; University University Hospital, Washington, DC; 2. The George Washington Medical of Miami Miller School of Medicine, Miami, FL Faculty Associates, Washington, DC P2471. Alkaline Phosphatase Levels Are Negatively Correlated With P2463. Outcomes of Cholecystostomy With and Without Follow-Up the Severity of Hepatic Steatosis in Patients With Primary Sclerosing Cholecystectomy in Patients With Cirrhosis Cholangitis Srikanth Vedachalam, DO1, Kyle Porter, MAS2, Na Li, MD, PhD1, Sean Hayley Motowski, MD1, Michael Senter-Zapata, MD1, Matthew A. Ciorba, Kelly, MD1, Lanla Conteh, MD, MPH1, James Hanje, MD1, Anthony Michaels, MD1, Parakkal Deepak, MBBS, MS2, Scott McHenry, MD2; 1. Washington MD1, Sylvester Black, MD, PhD1, Khalid Mumtaz, MD1; 1. The Ohio State University School of Medicine, St. Louis, MO; 2. Washington University, St. University Wexner Medical Center, Columbus, OH; 2. The Ohio State Louis, MO University, Columbus, OH

P2472. Ethnic and Geographic Variations for NAFLD-Related Hospitalizations P2483. Assessment of Risk Factors for Mortality With TIPS Placement: Augustine Tawadros, MD1, Abhishek Bhurwal, MD1, Vinod K. Rustgi, MD, Age or Frailty MBA2, Lauren Pioppo, MD1, Debashis Reja, MD1; 1. Robert Wood Johnson Khalid Mahmoud, MD1, Ahmed Kamel Abdel Aal, MD, PhD1, Sarah Osman, Medical School, Rutgers University, New Brunswick, NJ; 2. Rutgers Robert MD, MS, PhD1, Moustafa Massoud, MD2, Sejong Bae, PhD1, Mohamed Wood Johnson School of Medicine, New Brunswick, NJ Shoreibah, MD1; 1. University of Alabama at Birmingham, Birmingham, AL; 2. University of Tennessee College of Medicine, Chattanooga, TN P2473. The Use of Four-Factor Prothrombin Complex Concentrate versus Fresh Frozen Plasma in Patients With Cirrhosis Julie Mandel, PharmD, Samrah Ahmad, PharmD, Susan Lee, PharmD, LIVER David Bernstein, MD; Zucker School of Medicine at Hofstra/Northwell, Clinical Vignettes/Case Reports Manhasset, NY P2474. Clinical Significance of Isolated Gastric Varices in Liver Cirrhosis P2484. Carbamazepine-Induced Immuno-Allergic Hepatitis! Patients: Re-Visited the Unsolved Problem Danial Daneshvar, MD1, Fady Haddad, MD2, Jeffrey Abergel, MD1; 1. Staten Cosmas Rinaldi A. Lesmana, MD, PhD, FACG1, Kemal F. Kalista, MD1, Island University Hospital, Staten Island, NY; 2. Northwell Health Staten Sharon Sandra, MD1, Mutiara Lirendra, MD1, Gita Aprilicia1, Irsan Hasan, Island University Hospital, Staten Island, NY 1 2 MD, PhD, FINASIM , Andri S. Sulaiman, MD, PhD , Juferdy Kurniawan, MD, P2485. A Rare Complication of Gastric Bypass in the Setting of Chronic 1 2 PhD, FINASIM , Chyntia O. Jasirwan, MD, PhD , Saut H. Nababan, MD, Liver Disease 1 1 PhD , Rino Gani, MD, PhD, FINASIM ; 1. Dr. Cipto Mangunkusumo National Randeep Kaur, MD, Sandra Naffouj, MD, Syed-Mohammed Jafri, MD; General Hospital, Universitas Indonesia, Jakarta, Jakarta Raya, Indonesia; Henry Ford Health System, Detroit, MI 2. Universitas Indonesia, Dr. Cipto Mangunkusumo National General Hospital, Central Jakarta, Jakarta Raya, Indonesia P2486. Unusual Cause of Ascites in Liver Cirrhosis: Peritoneal Tuberculosis Rupinder Mann, MD1, Abhishek Gulati, MD2; 1. Saint Agnes Medical Center, P2475. Hepatitis C Virus Infection in Young Adults - A Re-Emerging Problem Fresno, CA; 2. Digestive Disease Consultants, Fresno, CA Savitha V. Nagaraj, MD, Kyawzaw Lin, Denzil Etienne, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY P2487. Acute Liver Injury in a Patient Treated With Rosuvastatin: A Rare Adverse Effect P2476. Epidemiological Study of Liver Cancer Incidence in the U.S.-Mexico Jamil M. Shah, MD, Vivek A. Lingiah, MD, Nikolaos T. Pyrsopoulos, MD, Border Region PhD, MBA, FRCP, Mark A. Galan, MD, MS; Rutgers New Jersey Medical Alejandro Robles, MD, Alberto Contreras, MD, Luis O. Chavez, MD, School, Newark, NJ Abhizith Deoker, MD; Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX P2488. A Unique Case of Acute Liver Injury Due to Severe Epstein-Barr Virus Infection P2477. The Effect of Metabolic Syndrome on Acetaminophen-Induced Jamil M. Shah, MD, Vivek A. Lingiah, MD, Nikolaos T. Pyrsopoulos, MD, Acute Liver Injury/Failure - Morbidity and Mortality: A Single Liver PhD, MBA, FRCP, Mark A. Galan, MD, MS; Rutgers New Jersey Medical Transplant Center Experience School, Newark, NJ Mouhanna Abu Ghanimeh, MD, Lydia Baltarowich, MD, Joseph Miller, MD, Adarsh Varma, MD, Kimberly Brown, MD; Henry Ford Health System, P2489. Another Downside for Depression: A Case of SNRI-Induced Detroit, MI Liver Injury Tarek Odah, MD1, Lishi Sun, MD1, Thomas Treadwell, MD2; 1. MetroWest P2478. Spontaneous Bacterial Peritonitis: We Are Still Behind Medical Center, Framingham, MA; 2. Boston University School of 1 2 2 Laith Numan, MD , Andrew Tomaw, DO , Ahmed A. Elkafrawy, MD , Osama Medicine, Framingham, MA Kaddourah, MD2, Lyla Saeed, MD2, Yousaf Zafar, MD1, Leen Al-Sayyed, MD1; 1. University of Missouri, Kansas City, MO; 2. University of Missouri P2490. One Time Hepatitis a Virus Vaccination Might Not Be Enough in Kansas City School of Medicine, Kansas City, MO Cirrhotic Patients Ernesto Robalino Gonzaga, MD1, Patricia Guzman Rojas, MD2, Kathlyn P2479. The Role of Perioperative Transjugular Intrahepatic Portosystemic Camargo, MD2, Wojciech Blonski, MD3, Minh Ho, DO2; 1. University of Shunt in Cirrhotic Patients Undergoing Extrahepatic Surgery Central Florida College of Medicine, Kissimmee, FL; 2. University of 1 2 3 Michael Castillo, MD , Nikhil Kapila, MD , Jamile Wakim-Fleming, MD ; 1. Central Florida College of Medicine, Orlando, FL; 3. Orlando VA Medical Cleveland Clinic Foundation, Miami, FL; 2. Cleveland Clinic Foundation, Center, Orlando, FL Weston, FL; 3. Cleveland Clinic Foundation, Cleveland, OH P2491. Seeing Is Believing: Conjunctival Suffusion in a Jaundiced Patient P2480. Same Day, Walk-In Ultrasound Appointments Improve Diagnosed With Leptospirosis Hepatocellular Carcinoma Screening Rates in Patients With Cirrhosis at a Anas Almoghrabi, MD, Alexander Nguyen, MD, Amit Patel, MD, Bashar M. Veterans Affairs Center Attar, MD, PhD; Cook County Health and Hospital Systems, Chicago, IL Christopher Ward, MD1, Chung Sang Tse, MD1, Yetunde Shittu, MSN2, Kittichai Promrat, MD1; 1. Warren Alpert Medical School of Brown P2492. A Case of Fever, Rash, and Abdominal Pain in an University, Providence, RI; 2. Providence Veterans Hospital, Providence, RI Immunocompromised Host Gretchen Colbenson, MD1, Amrit K. Kamboj, MD2, Virginia Dines, MD2; P2481. Transplantation of Human Adipose Tissue Derived-SVF Enhance 1. Mayo School of Graduate Medical Education, Rochester, MN; 2. Mayo Liver Function in Fibrotic Liver Through High Hepatogenic and Anti- Clinic, Rochester, MN Fibrotic Capabilities Ja Sung Choi, MD, PhD1, Sung-Whan Kim, PhD2; 1. Catholic Kwandong P2493. PEG-Asparaginase (PEG-ASP) Induced Liver Injury: Case Report University, Incheon, Inch'on-jikhalsi, Republic of Korea; 2. Incheon, and Systematic Review of the Literature Inch'on-jikhalsi, Republic of Korea Madalyn Rasor1, Kais Zakharia, MD1, Arvind Murali, MD2, Alan Gunderson, MD1; 1. University of Iowa, Iowa City, IA; 2. University of Iowa Hospitals & P2482. Assessment of Utility of Prognostic Models for Predicting Short- Clinics, Iowa City, IA Term Mortality of Patients With Acute-on-Chronic Liver Failure Li Peng Margaret Teng, MBBS, MRCP, Wah Wah Phyo, MBBS, Guan Huei Lee, MBBS, MRCP, PhD; National University Hospital, Singapore, Singapore

172 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2494. Abdominal Wall Hematoma Due to Dissection of the Deep P2507. Legionella Pneumonia Masquerading as Acute Hepatitis and Circumflex Iliac Artery: A Rare Complication of Ultrasound Guided Rhabdomyolysis Paracentesis Sindusha Gudipally, MD1, Harsh Bhatt, MD1, Jesus M. Salas Noain, MD2, Shivantha Amarnath, MD, BSc, MRSB, Magda Daoud, MD, Stephen Simple Modi, MD1; 1. Mercy Catholic Medical Center, Darby, PA; 2. Mercy Mulrooney, MD; Staten Island University Hospital, Northwell Health, Catholic Medical Center, Drexel Hill, PA Staten Island, NY P2508. Incidental Diagnosis of Merkel Cell Carcinoma in a Liver Transplant P2495. Fatal Outcome Associated With Herbal Supplements Patient Admitted for Diverticulitis Minhaz Ahmad, MD, Nazif Chowdhury, MD, Atif Saleem, MD; United Jeffrey Prochot, DO, Karl Andersen, DO, Ryan T. Hoff, DO; Advocate Health Services Wilson Hospital, Johnson City, NY Lutheran General Hospital, Park Ridge, IL P2496. A Rare Cause of Portal Vein Thrombosis P2509. Sub-Acute Liver Failure as the Initial Manifestation of Metastatic Danekka Loganathan, MD, Gunjan Shah, MD; St. Mary Mercy Hospital, Small Cell Lung Cancer Livonia, MI Amit K. Agarwal, MD1, Joseph Yoo, MD1, Dina Halegoua-DeMarzio, MD2; 1. Thomas Jefferson University Hospital, Philadelphia, PA; 2. Thomas P2497. A Case of Acute Liver Injury Caused by an Herbal Supplement Jefferson University, Philadelphia, PA Containing Saw Palmetto: "Good for the Prostate but Not for the Liver" Romaisa Wadood, MD1, Waqas Nawaz, MD1, Hilary Hertan, MD2; 1. P2510. Cholestatic Jaundice: A Rare Presentation of Coxiella burnetiid Montefiore Medical Center, Bronx, NY; 2. Montefiore Medical Center / Jenine Zaibaq-Krill, MD1, Frederick H. Weber, Jr., MD2; 1. University Albert Einstein College of Medicine, Bronx, NY of Texas Medical Branch, Galveston, TX; 2. University of Alabama at Birmingham, Birmingham, AL P2498. Post-Transplant Lymphoproliferative Disorder Kimberly Cavaliere, MD1, Anita Ganti, MD2, Sanjaya K. Satapathy, MBBS, P2511. An Uncommon Case of Hepatic Abscess From Fish Bone Ingestion: A MD, DM, MS (Epi)3; 1. Long Island Jewish Medical Center, Queens, NY; 2. Case Report With Successful Conservative Management North Shore-LIJ Health System, Manhasset, NY; 3. Northshore University Smita Maruvada, MD, Anusha Vuppala, MD, Nazar Hafiz, MD, Sheryl Hospital / Northwell Health, Manhasset, NY Sabillo, MD; Louisiana State University Health Sciences Center, Shreveport, LA P2499. A Case of Budd-Chiari in the Setting of Paroxysmal Nocturnal TUESDAY Hemoglobinuria P2512. Lysosomal Acid Lipase Deficiency: A Missed Diagnosis Spanning POSTERS Kasey Parker, MD; University of Kentucky, Lexington, KY All Ages Jean Filo, BS1, Johanna M. Ascher Bartlett, MD2, Naveen Mittal, MD2, P2500. Hepato to the Metal: The Irony of Wilson Disease Fabian Rodas, MD3, Christy Rosas, PA-C3, Naim Alkhouri, MD3; 1. Kevin Pak, MD1, Sarah Ordway, MD2, Dawn Torres, MD3, Maria Sjogren, University of Delaware, Wilmington, DE; 2. University of Texas Health MD, MPH, FACG2; 1. Walter Reed National Military Medical Center, North Science Center, San Antonio, TX; 3. Texas Liver Institute, San Antonio, Bethesda, MD; 2. Walter Reed National Military Medical Center, Bethesda, TX MD; 3. Walter Reed National Military Medical Center, Bethesa, MD P2513. Solitary Fibrous Liver Tumor Diagnosed With EUS-Guided Fine- P2501. A Rare Case of Alloimmune Hepatitis Induced After Direct-Acting Needle Biopsy: Case Review Antiviral Treatment in a Liver Transplant Patient Jose Nieto, DO, FACG1, Denisse Marriott, MD2, Martha Arévalo, MD2; Catherine Choi, MD1, Youssef Botros, MD2, Jamil M. Shah, MD1, Anja Jones, 1. Borland Groover Clinic, Ponte Vedra, FL; 2. Borland Groover Clinic, MD1, Umair M. Nasir, DO1, Dayna Panchal, DO1, Nikolaos T. Pyrsopoulos, Jacksonville, FL MD, PhD, MBA, FRCP1; 1. Rutgers New Jersey Medical School, Newark, NJ; 2. St. Joseph's University Medical Center, Paterson, NJ P2514. An Unusual Cause of Jaundice: A Rare Diagnosis of Crigler-Najjar Type 2 P2502. Cholestatic Liver Injury Caused by Kratom Ingestion Krishen Patel, MD, Sabrina Prabakaran, MD, Nikesh Kapadia, MD; Vincent Pronesti, DO, Moaz Sial, MD, Aditya Talwar, MD, Elie Aoun, MD; University of South Florida Morsani College of Medicine, Tampa, FL Allegheny Health Network, Pittsburgh, PA P2515. Cystic Fibrosis Liver Disease: A Curious Case of Atypical Cystic P2503. A Case of Hepatitis B Virus-Related Membranous Nephropathy in Fibrosis Diagnosed in Adulthood an Adult With Low Hepatitis B Viral Load Patrick B. Harriss, MD1, Anusha Jogimahanti, MD2, Vincent Herlevic, MD1, Chin Kimg Tan, MBBS, Hui Boon Tay, MD, Rajneesh Kumar, MD; Singapore Hrishikesh Samant, MD3, James D. Morris, MD, FACG2, Paul Jordan, MD, General Hospital / Singhealth, Singapore, Singapore FACG1; 1. Louisiana State University Health Sciences Center, Shreveport, P2504. Direct Intrahepatic Portocaval Shunt (DIPS) as a Therapeutic LA; 2. Louisiana State University Health, Shreveport, LA; 3. Louisiana Option in Acute Variceal Hemorrhage State University, Shreveport, LA Alok Tripathi, MD, Sidhartha Tavri, MBBS, Stanley Martin Cohen, MD, P2516. Acute Hepatitis C in an Elderly Woman With No Risk Factors: FACG; University Hospitals Case Medical Center, Case Western Reserve A Rare Presentation University, Cleveland, OH Gaurav Bhardwaj, MD1, Konstantin Boroda, MD2, Hilary Hertan, MD2; 1. P2505. Acute Severe Cholestatic Hepatitis Secondary to Emerge Weight Montefiore Medical Center, Bronx, NY; 2. Montefiore Medical Center / Loss Supplement Albert Einstein College of Medicine, Bronx, NY 1 2 Sandeep Mukherjee, MD , Meghana Vellanki, MD ; 1. Creighton University, P2517. Hepatotoxicity by Methoxsalen: The Innocuous Culprit Omaha, NE; 2. Creighton University School of Medicine, Omaha, NE Amreet K. Aujla, MD1, Guneetinder S. Gill, MBBS2, Nihar Shah, MBBS3, P2506. Placental Site Trophoblastic Tumor - Unusual Cause of Nodular Perry Pratt, MD3, Martin Hoffman, DO4; 1. University of Connecticut, Regenerative Hyperplasia and Portal Hypertension: Case Report Hartford, CT; 2. Dayanand Medical College and Hospital, Hartford, CT; 3. Agazi Gebreselassie, MD1, Jacqueline Laurine, MD2; 1. Howard University University of Connecticut, Farmington, CT; 4. Saint Francis Hospital and Hospital, Washington, DC; 2. Johns Hopkins Sibley Memorial Hospital, Medical Center, Hartford, CT Washington, DC

P2518. Garcinia Cambogia, Weight Loss at What Price? P2531. Nivolumab-Induced Immune Cholestatic Hepatitis in a Liver Angela Park, DO1, Janyll Castineira, DO1, Marissa Bournique, DO1, Heather Transplant Recipient Babcock, DO1, Rebecca T. Miller, DO2, Miriam Thomas, MD1; 1. Largo Chimaobi Anugwom, MD1, Nicha Wongjarupong, MD2, Thomas M. Medical Center, Largo, FL; 2. Envision Healthcare, Largo, FL Leventhal, MD1; 1. University of Minnesota Medical School, Minneapolis, MN; 2. University of Minnesota, Minneapolis, MN P2519. Dealing With DILI: When the Diagnosis Is Not Always Clear Cut Irma Hashmi, DO, Andrew Hsu, MD, Julia Shor, MD, Deepika Devuni, MD; P2532. Fibrosing Cholestatic Hepatitis Following Transplantation of a University of Massachusetts Medical Center, Worcester, MA Hepatits C Virus Positive Donor Liver Ahmed Abdulhamid, MD1, Syed-Mohammed Jafri, MD2; 1. Henry Ford P2520. Beyond Weight Loss: Bariatric Surgery as Treatment for NAFLD in Hospital, Detroit, MI; 2. Henry Ford Health System, Detroit, MI the Post-Transplant Patient Irma Hashmi, DO, David Anjelly, MD, Isabel Zacharias, MD; University of P2533. Khat-Induced Hepatotoxicity Massachusetts Medical Center, Worcester, MA Kishore Kumar, MD1, Peter Bhandari, MD2, Rajesh Kumar Essrani, MD1, Chukwunonso U. Chime, MD1, Rafeeq Ahmed, MD3, Hassan Tariq, MD1, P2521. All Liver, No Lungs: An Unusual Presentation of Sarcoidosis Harish Patel, MD1; 1. BronxCare Health System, Bronx, NY; 2. American Hashroop Gurm, MD1, Daniel S. Jamorabo, MD2, Benjamin D. Renelus, MD1, University of Carribean, Bronx, NY; 3. Bronx, NY Smruti R. Mohanty, MD, MS3; 1. New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY; 2. New York-Presbyterian Brooklyn Methodist P2534. Autoimmune Hepatitis-Induced Hepatic Lobar Atrophy Hospital, Jackson Heights, NY; 3. New York Presbyterian Brooklyn Jeff C. Anucha, MD, Jonathan Pinto, MD, MPH, Joan Culpepper-Morgan, Methodist Hospital, Brooklyn, NY MD, FACG; Harlem Hospital Center, New York, NY P2522. Idiopathic Non-Cirrhotic Portal Hypertension: A Teaching Case P2535. Is Shorter Course of Gleceprevir and Pibrentasvir (MAVYRET) for Hashroop Gurm, MD1, Daniel S. Jamorabo, MD2, Benjamin D. Renelus, MD1, Hepatitis C Treatment Possible? A Case Series Debra Guss, FNP3, Smruti R. Mohanty, MD, MS4; 1. New York-Presbyterian Robin Jindal, MBBS1, Rajvinder Sidhu, MD1, Anthony Martinez, MD2; Brooklyn Methodist Hospital, Brooklyn, NY; 2. New York-Presbyterian 1. State University of New York at Buffalo, School of Medicine and Brooklyn Methodist Hospital, Jackson Heights, NY; 3. New York Methodist Biomedical Sciences, Buffalo, NY; 2. Jacobs School of Medicine and Hospital, Brooklyn, NY; 4. New York Presbyterian Brooklyn Methodist Biomedical Sciences, Buffalo, NY Hospital, Brooklyn, NY P2536. A Father-Son Pair With APOB and PNPLA3 Double Heterozygosity P2523. A Case of Daptomycin Causing Drug-Induced Liver Injury Resulting in Advanced Nonalcoholic Fatty Liver Disease Hashroop Gurm, MD1, Ezana Bekele, MD2, Yevgeniy Arefiev, MD2, Smruti R.  Presidential Poster Award Mohanty, MD, MS2; 1. New York-Presbyterian Brooklyn Methodist Hospital, Claire L. Jansson-Knodell, MD1, Samer Gawrieh, MD2, Adam D. McIntyre, Brooklyn, NY; 2. New York Presbyterian Brooklyn Methodist Hospital, BSc3, Robert A. Hegele, MD4, Naga P. Chalasani, MD, FACG2; 1. Indiana Brooklyn, NY University, Indianapolis, IN; 2. Indiana University School of Medicine, Indianapolis, IN; 3. Robarts Research Institute, London, ON, Canada; 4. P2524. Late Hepatic Artery Thrombosis Causing Bowel Ischemia University of Western Ontario, London, ON, Canada Daniel Garrido, MD1, Dina Halegoua-DeMarzio, MD2; 1. Thomas Jefferson University Hospital, Philadelphia, PA; 2. Thomas Jefferson University, P2537. Atraumatic Chylous Ascites in a Cirrhotic Patient Philadelphia, PA Syed S. Karim, DO, Hay Me Me, MBBS, Aung M. Hein, MBBS, Charudatta Wankhade, MD, Damian Fernandez, MD, Kaleem Rizvon, MBBS, FACG, P2525. The Great Mimicker Syphilis and a Case of Hepatitis Paul Mustacchia, MD; Nassau University Medical Center, East Meadow, NY Daya Raman, MD; Santa Barbara Cottage Hospital, Santa Barbara, CA P2538. Rapid Development of Bleeding Esophageal Varices After P2526. Gastroenterology, a Guiding Light in Hemophagocytic Placement of Continuous Flow Left Ventricular Assist Device Lymphohistiocytosis Kaushal Majmudar, DO1, Michael Northcutt, MD2, Robert Gordon, MD2, Sahityan Viswanathan, MD1, Jeffrey Capati, DO2, Long Hoang, DO3; 1. Claus Fimmel, MD2; 1. University of Chicago, NorthShore University Health Medical City Fort Worth, Fort Worth, TX; 2. University of Texas Health System, Glenview, IL; 2. University of Chicago, NorthShore University Science Center, Fort Worth, TX; 3. University of North Texas Health Health System, Evanston, IL Science Center, Fort Worth, TX P2539. Infliximab Drug-Induced Autoimmune Hepatitis in Patient With P2527. Living Donation: A Liver Saved or a Liver Compromised Crohn’s Ileocolitis Larisa Garkusha, MD, Tai Hang Ho, MD, Harmit Kalia, DO; Montefiore Briette Karanfilian, MD1, Noah Mahpour, MD1, Debashis Reja, MD1, Avik Medical Center, Bronx, NY Sarkar, MD2; 1. Robert Wood Johnson Medical School, Rutgers University, P2528. Intrahepatic Portosystemic Venous Shunt: A Clinically Significant New Brunswick, NJ; 2. Robert Wood Johnson University Hospital, New Rare Anomaly Brunswick, NJ Savitha V. Nagaraj, MD, Febin John, MD, Denzil Etienne, MD; The Brooklyn P2540. A Case of Acute Icteric Hepatitis Caused by Epstein Barr Virus in an Hospital Center, Brooklyn, NY Immunocompetent Adult P2529. Inferior Vena Cava Syndrome in Hepatocellular Carcinoma With Martin Sieloff, MD, Tooba Tariq, MD, Minh Nguyen, MD; Western Michigan Tumor Extension Into the Right Atrium University School of Medicine, Kalamazoo, MI Matthew Kobeszko, MD1, Sheena Anand, MD1, Charles Berkelhammer, P2541. A-DRESS-ing the Big Picture: Liver Injury as Evidence of DRESS MD, FACG2; 1. University of Illinois - Advocate Christ Medical Center, Oak Syndrome Lawn, IL; 2. Advocate Christ Medical Center, Oak Lawn, IL Jin A. Moon, BA1, Melinda Wayde, MD2, Mustafa Musleh, MD2; 1. Wright P2530. Hepatocellular Carcinoma After Fontan Surgery State University Boonshoft School of Medicine, Beavercreek, OH; 2. Gowthami Kanagalingam, MD1, Anish Desai, MD2; 1. Upstate Medical Wright State University Boonshoft School of Medicine, Dayton, OH University, Liverpool, NY; 2. Upstate Medical University, Syracuse, NY

174 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2542. Surprisingly Uncommon Trigger of Massive Ascites P2554. Approach to a Foreign Body (Fish Bone) Resulting in a Liver Karim Benrajab, MD1, Saad Emhmed Ali, MD1, Wesam Frandah, MD1, Abscess With Antibiotic-Evading Filamentation of Bacterial Organisms Zakaria Almuwaqqat, MD2, Bahaaeldeen Ismail, MD1; 1. University of Resembling Fungal Hyphae Kentucky College of Medicine, Lexington, KY; 2. Emory University  Presidential Poster Award Hospital, Atlanta, GA Raul F. Membreno, BS1, Miren M. Pena, BS1, Kevin T. Chorath, BS1, William D. Kang, BS1, Fernando Membreno, MD, MSc2; 1. University of Texas Health P2543. Recognizing Macrobid as a Potential Cause for Major Liver Injury - Long School of Medicine, San Antonio, TX; 2. Methodist Specialty and Faizan Khan, MD1, Michael Davis, DO2, Nasir Khan, MD2; 1. Michigan State Transplant Hospital, San Antonio, TX University, College of Human Medicine, Grand Rapids, MI; 2. Michigan State University, Grand Rapids, MI P2555. Autoimmune Hepatitis Triggered by Hepatitis A: An Interesting Case and Review of Pathophysiology P2544. Humeral Fracture as the Only Presenting Symptom of a Metastatic Khushboo Gala, MBBS, Thomas Bierman, MD, Robert T. Luckett, MD, Intra-Hepatic Cholangiocarcinoma: A Rare Cancer With Rare Presentation Ashutosh Barve, MBBS; University of Louisville, Louisville, KY Asif Mehmood, MD1, Waqas Ullah, MD2, Umair Iqbal, MD1, Pranav Patel, MD1, Rajesh Essrani, MD1; 1. Geisinger Medical Center, Danville, PA; 2. P2556. Nivolumab-Induced Hepatitis and Vesiculopustular Skin Rash in a Abginton Jefferson Health, Abington, PA Patient With Metastatic Melanoma Abdul Moiz Khan, MBBS1, Usman Naseer, MBBS1, Sheikh Raza Shahzad, P2545. Extracapsular Hepatocellular Adenoma: A Diagnostic Dilemma MBBS1, Ali Wazir, MBBS1, Haider Rahman, MD1, Syed Mehdi, MD2; 1. Albany Isin Y. Comba, MD1, Richard Henriquez, MD2, Sundeep Kumar, MD1, Medical Center, Albany, NY; 2. VA Medical Center, Albany, NY Ruthvik Srinivasamurthy, MD1, Maria Wallis-Crespo, MD3, Olga Karasik, MD1, Lakhinder Bhatia, MD3; 1. University of Central Florida College of P2557. Severe Transaminitis in Intrahepatic Cholestasis of Pregnancy: Medicine, Kissimmee, FL; 2. University of Central Florida College of An Atypical Presentation Medicine, Orlando, FL; 3. Osceola Regional Medical Center, Kissimmee, FL Tejinder Randhawa, DO1, Anas Almoghrabi, MD2, Rohit Agrawal, MD1, Yazan Abu Omar, MD2, Ishaan Vohra, MD1; 1. John H. Stroger, Jr. P2546. Mysterious Ascites Hospital of Cook County, Chicago, IL; 2. Cook County Health and Carlos Fernandez, MD1, Carolina Diaz, MD1, Aliana Bofill, MD1, Henry De Hospital Systems, Chicago, IL Jesús, MD2, William Caceres, MD1, Jose Martin-Ortiz, MD, FACG1, Loscar 1 TUESDAY Santiago, MD ; 1. VA Caribbean Healthcare System, San Juan, Puerto Rico; P2558. Scrotal Gallstones: A Not-So-Silent Gallbladder Perforation POSTERS 2. Hospital de Veteranos (VA Caribbean Healthcare System), San Juan, With Streptococcus sanguinis Peritonitis Puerto Rico Abhishek Shenoy, MD1, Leland Stratton, MD1, Ross C. Buerlein, MD2, Zachary Henry, MD, MS2; 1. University of Virginia Health System, P2547. UnDRESSing Elevated Liver Enzymes Charlottesville, VA; 2. University of Virginia Digestive Health Center, Christopher M. Hakim, MD, Constantine Melitas, MD, Kha Ngo, MD; Charlottesville, VA Providence Hospital Medical Center, Southfield, MI P2559. Amoxicillin-Induced Eosinophilia in Portal Tracts - A Rare Case P2548. Right Ventricular Mass in a Patient With Newly Diagnosed Cirrhosis of Idiosyncratic Acute Cholestatic Hepatitis Muyi Li, MD1, Corey O'Brien, MD2, Bakhtiar Syed, MD1; 1. Yale New Haven Gaurav Bhardwaj, MD, Tehseen Haider, MD, Ali Kazerouni Timsar, MD, Hospital, New Haven, CT; 2. Ronald Reagan UCLA Medical Center, Los Clara Tow, MD; Montefiore Medical Center, Bronx, NY Angeles, CA P2560. Intravenous Acetaminophen Associated With Hepatotoxicity in an P2549. The Mystery of the “Vanishing” Bile Ducts Orthotopic Liver Transplant Patient Apurva Shah, MD, Galen Leung, MD, Edward Sun, MD, Daniel Mockler, MD; Thi Khuc, MD1, Khaled Selim, MD2; 1. Loma Linda University Medical Stony Brook University Hospital, Stony Brook, NY Center, Loma Linda, CA; 2. Loma Linda University Transplant Institute, P2550. Identification of Large Liver Mass of Unknown Origin Loma Linda, CA 1 2 3 Eric Gochanour, MD , Joseph Rank, MD , Kris Kowdley, MD ; 1. Liver Care P2561. An Unusual Case of a Primary Mass in the Porta Hepatis Network and Organ Care Research, Swedish Medical Center, Seattle, WA; Simran Sidhu, MBBS1, Hector Gonzalez, MD1, Mishah Azhar, MD1, Stephen 2. CellNetix Pathology, Seattle, WA; 3. Swedish Liver Center, Seattle, WA Steinberg, MD2; 1. Florida Atlantic University, Boca Raton, FL; 2. Boca P2551. Polycystic Liver Disease Causing Inferior Vena Cava Compression Raton Regional Hospital, Boca Raton, FL and Venous Thromboembolism P2562. Pick the Cause: Streptococcus Intermedius and Mitus/Oralis Hepatic Mary Strader, MD, Seth Richter, MD, Narayan Sunil, MD; Albany Medical Abscess Due to Occult Gastrointestinal Perforation Center, Albany, NY Trent D. Martin, MD, Patricia L. Raymond, MD, FACG; Gastroenterology P2552. Fibrinogen-Positive Ground Glass Hepatocytes in a Patient With Consultants, a division of GLST pllc, Virginia Beach, VA Ulcerative Colitis P2563. Primary Biliary Cholangitis With Autoimmune Hepatitis Overlap in Steven T. Koprowski, MD, Yumi Ando, MD, Janice Jou, MD; Oregon Health Twin Males: A Unique Case of Related Autoimmune Diseases & Science University, Portland, OR Antonio J. Sanchez, MD, Weidan Zhao, MD; University of Iowa Hospitals & P2553. Strongyloidiasis Presenting as Isolated Hepatic Mass in an Clinics, Iowa City, IA Immunocompetent Host: A Case Report 1 2 P2564. Severe Dengue Fever With Impending Liver Failure in Thalassemic Natalie Z. Wong, MD , Matthew J. Stotts, MD, MSc , Irini Daskalaki, Patient With Pregnancy: A Diagnostic Challenge MD3, Evan S. Siegelman, MD1, Kenneth D. Rothstein, MD4; 1. Hospital of Pakkapon Rattanachaisit, MD, Piyawat Komolmit, MD, PhD; Chulalongkorn the University of Pennsylvania, Philadelphia, PA; 2. Perelman School University and King Chulalongkorn Memorial Hospital, Pathum Wan, of Medicine, University of Pennsylvania, Philadelphia, PA; 3. Prineton Krung Thep, Thailand University Health Services, Princeton, NJ; 4. University of Pennsylvania, Philadelphia, PA

P2565. A Rare Case of Isolated Symptomatic Hepatic Sarcoidosis P2577. A Rare Case of Sofosbuvir / Velpatasvir / Voxilaprevir Failure in Shazia Rashid, MD1, Maria Khan, MD1, Meher S. Mavuram, MD1, Bassem a Patient With Hepatitis C Virus Infection and Previously Undiagnosed Arab, MD1, Nazar Hafiz, MD1, Hrishikesh Samant, MD2, James D. Morris, Hepatocellular Carcinoma MD, FACG3; 1. Louisiana State University Health Sciences Center, Tandy Agostini, MD1, Shiva Vangimalla, MBBS1, Alexander Lalos, Shreveport, LA; 2. Louisiana State University, Shreveport, LA; 3. Louisiana MD2; 1. Medstar Georgetown University / Washington Hospital State University Health, Shreveport, LA Center, Washington, DC; 2. MedStar Georgetown University Hospital, Washington, DC P2566. A Rare Initial Presentation of HCC Arturo Suplee Rivera, MD1, Gopal Katkoria, MD1, Juan J. Castano, Jr., MD2, P2578. Rare Hepatic Adenomatosis Diagnosed by Endoscopic Ultrasound- Grigoriy Rapoport, MD3, Asif Zamir, MD4; 1. University of Texas Rio Grande Guided Fine-Needle Biopsy Valley, McAllen, TX; 2. University of Texas Rio Grande Valley at Doctors Avantika Banerjee, BS, MS1, William C. Green, BS2, Matthew P. Soape, MD2; Hospital at Renaissance, Edinburg, TX; 3. University of Texas Health Rio Grande 1. Texas Tech University Health Sciences Center, Dallas, TX; 2. Texas Tech Valley, Edinburg, TX; 4. Doctors Hospital at Renaissance, Edinburg, TX University Health Sciences Center, Lubbock, TX P2567. The Alternative Outcome of Drug Induced Liver Injury P2579. Cholestasis in a Patient With HNF-1B Mutation Nimrah Bader, MD1, George Tardibono, MD2; 1. University of Oklahoma Michael Conner, MD, Nabil Baddour, DO, Fredric Regenstein, MD, FACG; Health Sciences Center, Oklahoma City, OK; 2. University of Oklahoma Tulane University Health Sciences Center, New Orleans, LA Health Sciences Center, Oklahoma city, OK P2580. Successful Budesonide Monotherapy for Autoimmune Hepatitis/ P2568. Everolimus-Induced Transaminitis in the Setting of Stage IV Hepatic Sarcoidosis Overlap Syndrome in a Patient With Drug Reaction Carcinoid Tumor With Liver Metastasis With Eosinophilia and Systemic Symptoms (DRESS) From Azathioprine Christian Nehme, MD, Sami Ghazaleh, MD, Marcel Ghanim, MD, Zeid Sara Goff, MD, Hammad Liaquat, MD, Nirag Jhala, MD, Amirali Kiyani, MD; Nesheiwat, MD, Mohammed Awad, MD, Yasmin Khader, MD, Ali Nawras, Temple University School of Medicine, Philadelphia, PA MD, FACG; University of Toledo Medical Center, Toledo, OH P2581. Pregnancy as a Confounding Factor in Autoimmune Hepatitis P2569. Large Perisplenic Hematoma and Spontaneous Hemoperitoneum as Ian C. Padial Doble, MD1, Jorge Cruz-Cruz, MD, MSc2, Ivan Antunez, the Initial Presentation of Undiagnosed Burkitt’s Lymphoma MD3, Rafael Pastrana, MD4; 1. University of Puerto Rico Medical Science Fariha Ilyas, MD1, Prabhat Shrestha, MD2, Christan Lopez, MD2, Ahmed Campus, San Juan, Puerto Rico; 2. University of Puerto Rico School of H. Qavi, MD3, Geevarghese John, MD2; 1. Zucker School of Medicine at Medicine, Bayamon, Puerto Rico; 3. University of Puerto Rico, Guaynabo, Hofstra/Northwell, Flushing, NY; 2. Zucker School of Medicine at Hofstra/ DC; 4. Auxilio Mutuo Liver Transplant Center, San Juan, Puerto Rico Northwell, Forest Hills, NY; 3. Albert Einstein College of Medicine / Montefiore Medical Center, Flushing, NY P2582. A Fatal Case of Gemcitabine-Induced Acute Liver Failure Anneka Hutton, MD1, Sahar Takkouche, MD2, Sanja Patino, MD1, Carlos P2570. Rare Case of Concomitant Acute Hepatic Failure and Renal Failure Miniet Cespedes, MD3; 1. Florida Atlantic University, Charles E. Schmidt Induced by Intravenous Amiodarone College of Medicine, Boca Raton, FL; 2. The Brooklyn Hospital Center, Mujtaba Mohamed, MD1, Alsadiq Al-Hillan, MD2, Mohammad Hossain, MD3; Brooklyn, NY; 3. Bethesda Hospital East, Boynton Beach, FL 1. Jersey Shore University Medical Center / Hackensack Meridian Health, Neptune, NJ; 2. Jersey Shore University Medical Center, Ocean City, NJ; 3. P2583. Amoebic Liver Abscess With Synchronous Proctitis - Presenting Jersey Shore University Medical Center, Neptune, NJ With Massive Lower Gastrointestinal Bleeding: A Case Report of a Rare Presentation of Amebiasis P2571. Spontaneous Fungal Peritonitis Secondary to Candida glabrata in a Nutbordee Nalinthassanai, MD1, Roongruedee Chaiteerakij, MD, Patient With Cardiac Cirrhosis PhD2, Anapat Sanpavat, MD3; 1. Chulalongkorn University and King Tsujung Yang, MD, Vrushali Pachpande, MD, Subash Ghimire, MD, Harshil Chulalongkorn Memorial Hospital, Surin, Surin, Thailand; 2. King Shah, MD, James Walsh, MD; Guthrie Robert Packer Hospital, Sayre, PA Chulalongkorn Memorial Hospital, Bangkok, Krung Thep, Thailand; 3. Chulalongkorn University and King Chulalongkorn Memorial Hospital, P2572. Management of Recurrent Ectopic Variceal Bleeding in Ileal Conduit Bangkok, Krung Thep, Thailand With TIPS Vibhu Chittajallu, MD1, Carlos Romero-Marrero, MD, MSc2; 1. Cleveland P2584. A Case of Graves Disease Presenting With Severe Hepatic Dysfunction Clinic Foundation, Cleveland, OH; 2. Digestive Disease Institute, Cleveland Zaid Imam, MBBS, Fadi Odish, MD, Angy Hanna, MD, Mamon Tahhan, MD; Clinic Foundation, Cleveland, OH William Beaumont Hospital, Royal Oak, MI P2573. Hydatid Cyst Masquerading as Appendicitis P2585. Role of EUS in Prostate Cancer Recurrence Anila Kumar, DO1, Lakshmi Asritha Gollapudi, MD1, Kyu-In Lee, MD2, Neil Sharma, MD, Harishankar Gopakumar, MD, Jay Krishnakurup, MD; Rebecca Newman, MD1; 1. Westchester Medical Center at New York Parkview Medical Center, Fort Wayne, IN Medical College, Valhalla, NY; 2. Westchester Medical Center at New York Medical College, Bronx, NY P2586. Bacteremia With Liver Abscess and Endophthalmitis: A Rare Case of Invasive Klebsiella Pneumoniae Syndrome P2574. ECMO: A Bridge to Liver Transplant Omar Tageldin, MD, Nour Parsa, MD, Jennifer Copare, DO, Muhammad Anila Kumar, DO, Lakshmi Asritha Gollapudi, MD, Seigo Nishida, MD, Roxana Sohail Mansoor, MD, Cassidy Alexandre, MD, Seth Richter, MD; Albany Bodin; Westchester Medical Center at New York Medical College, Valhalla, NY Medical Center, Albany, NY P2575. Idiopathic Eosinophilic Syndrome With Hepatic Involvement P2587. Acute Cholestatic Hepatitis E Infection: Immune Dissociation With Ahmad Ali, MBBS, Francis Dailey, MD, Ghassan M. Hammoud, MD, Intra-Hepatic Replication Alhareth Al-Juboori, MD, Deepthi S. Rao, MD, Veysel Tahan, MD, FACG, Jose D. Debes, MD1, Michael Doukas, MD2, Robert de Man, MD, PhD2, Togla Tuncer, MD; University of Missouri, Columbia, MO Andre Boonstra, PhD2; 1. University of Minnesota, Minneapolis, MN; 2. Erasmus Medical Center, Rotterdam, Zuid-Holland, Netherlands P2576. Pyogenic Liver Abscess Due to Klebsiella ozaenae: An Unlikely Culprit Parth M. Desai, DO, Elena Gonzalez, MD, Ishaan Vohra, MD, Madhu Mathew, MD, Prasanth Lingamaneni, MD, Chimezie Mbachi, MD; John H. Stroger, Jr. Hospital of Cook County, Chicago, IL

176 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

OBESITY P2596. The Safety, Efficacy, and Outcomes for the Endoscopic Resection of Large Non-Ampullary Duodenal Polyps in Familial Adenomatous P2588. What Causes Marginal Ulceration Following Gastric Bypass? Polyposis (FAP) Rodrigo Duarte-Chavez, MD1, Noel B. Martins, MD1, Kimberly J. Chaput,  Presidential Poster Award DO1, Sagar V. Mehta, MD2, Maher El Chaar, MD3; 1. St. Luke's University Neal Mehta, MD1, Ravi Shah, MD1, Ji Yoon Yoon, BMBCh1, Margaret Health Network, Bethlehem, PA; 2. St. Luke's University Hospital, O'Malley, BS1, Lisa LaGuardia, RN1, Gautam Mankaney, MD1, Michael Bethlehem, PA; 3. St. Luke's University Health Network, Allentown, PA Cruise, MD, PhD1, Matthew F. Kalady, MD1, James M. Church, MBChB1, R. Matthew Walsh, MD1, Carol A. Burke, MD, FACG1, Amit Bhatt, MD2; P2589. Weight to Height Ratio Is a Better Predictor of Non-Alcoholic Fatty 1. Cleveland Clinic Foundation, Cleveland, OH; 2. Cleveland Clinic, Liver Disease in Both Genders in South Asian Population Cleveland, OH Sandeep Kumar, MBBS, Farina Hanif, MBBS, FCPS (Gastro), Zain Majid, MBBS, Nasir Hassan Luck, MBBS, FCPS (Med), FCPS (Gastro), Shoaib P2597. Biopsy of the Papilla in Patients With Familial Adenomatous Ahmed Khan, MBBS, Syed Mudassir Laeeq, MBBS, FCPS (Gastro), Nasir Polyposis (FAP): Risks, Benefits, and Changes in Management Mehmood, MBBS; Sindh Institute of Urology and Transplantation, Karachi,  Presidential Poster Award Sindh, Pakistan Neal Mehta, MD1, Ravi Shah, MD1, Ji Yoon Yoon, BMBCh1, Margaret O'Malley, BS1, Lisa LaGuardia, RN1, Gautam Mankaney, MD1, Amit Bhatt, P2590. C. difficile Infection (CDI) in Bariatric Patients: A Case Series and 2 1 Brief Review MD , Carol A. Burke, MD, FACG ; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. Cleveland Clinic, Cleveland, OH Michael Schopis, MD, Rashmi Advani, MD, Sneha Patel, MD, Lawrence Brandt, MD, MACG; Montefiore Medical Center, Bronx, NY P2598. Small Intestinal Bacterial Overgrowth Is Common in Mast Cell P2591. Intragastric Balloon on Blood Pressure Reduction in Activation Syndrome Leonard B. Weinstock, MD, FACG1, Jill Brook, MA2, Zahid Kaleem, MD3, a Gastroenterology Practice in Eastern Northern Carolina: 4 5 A Retrospective Review Lawrence Afrin, MD , Gerhart Molderings, MD ; 1. Washington University School of Medicine, St. Louis, MO; 2. Biostatistics, Truckee, CA; 3. Gbeminiyi O. Samuel, MD, MSPH1, Karissa Lambert, MD2, Oghale O. Specialists in Gastroenterology, Saint Louis, MO; 4. Armonk Integrative Asagbra, MD2, Eric Ibegbu, MD, FACG3; 1. East Carolina University, Medicine, Mt. Kisco, NY; 5. Institute of Human Genetics, University Greenville, NC; 2. Vidant Medical Center, Greenville, NC; 3. East Carolina TUESDAY Hospital Bonn, Bonn, Rheinland-Pfalz, Germany POSTERS University, Kinston, NC P2592. High Prevalence of Non-Alcoholic Steatohepatitis in Veterans With P2599. Clinical Manifestations of Strongyloides Infection on Hispanic Non Alcoholic Fatty Liver Disease Undergoing Sleeve Gastrectomy Patients at the Veterans Affairs Caribbean Healthcare System Javier A. Cerra-Franco, MD, Pedro Rosa-Cortes, MD, Rodolfo Atoosa Rabiee, MD1, Alexis Pavle, MD2, Edina Paal, MD1, Fredrick Brody, Estremera, MD, Antonio Soto-Ramos, MD, Sonia Saavedra, MD, PhD, MD, MBA1, Marianna Papademetriou, MD1; 1. Washington DC VA Medical Doris Toro-Lugo, MD; VA Caribbean Healthcare System, San Juan, Center, Washington, DC; 2. George Washington University Hospital, Puerto Rico Washington, DC P2593. Endoscopic Sleeve Gastroplasty versus Laparoscopic Sleeve P2600. Three and Five-Year Outcomes for Teduglutide in Gastrectomy: A Meta-Analysis Intestinal Failure  Chelsea Jacobs, DO1, Debdeep Banerjee, MD1, Donevan Westerveld, MD1, Presidential Poster Award 1 1 1 Alexander L. Ayzengart, MD, MPH, FACS1, Peter V. Draganov, MD, FACG2, Frances Puello, MD , Elizabeth Wall, RD , Jean Herlitz, RN , Scott Lozano, 1 1 1 Dennis Yang, MD1; 1. University of Florida College of Medicine, Gainesville, PharmD , Valerie Reynolds, RD , Annie Widlicka, RD , Edwin K. McDonald, 2 1 2 FL; 2. University of Florida Health, Gainesville, FL MD , Carol Semrad, MD, FACG , Dejan Micic, MD ; 1. University of Chicago Medical Center, Chicago, IL; 2. University of Chicago, Chicago, IL P2594. 12-Month Outcomes of Endoscopic Sleeve Gastroplasty: A Systematic Review and Meta-Analysis P2601. Prevalence of Celiac Disease in Patients Presenting With Short Babu P. Mohan, MD1, Ravishankar Asokkumar, MRCP2, Shahab R. Khan, Stature: A Systematic Review and Meta-Analysis 1 2 MBBS1, Rajesh Kotagiri, MD3, Gurusaravanan Kutti Sridharan, MD3, Achintya D. Singh, MBBS, MD , Prashant Singh, MBBS, MD , Naba 1 3 4 Saurabh Chandan, MD4, Naveen Ravikumar, MD5, Suresh Ponnada, MD, Farooqui, MBBS , Tor Strand, PhD , Vineet Ahuja, MBBS, MD, DM , 1 MPH6, Mahendran Jayaraj, MD7, Douglas G. Adler, MD, FACG8; 1. University Govind Makharia, MBBS, MD, DM ; 1. All India Institute of Medical of Arizona / Banner University Medical Center, Tucson, AZ; 2. Singapore Sciences, New Delhi, Delhi, India; 2. Beth Israel Deaconess Medical General Hospital, Singapore, Singapore; 3. Banner University Medical Center, Harvard Medical School, Boston, MA; 3. Innlandet Hospital Trust, Center, Tucson, AZ; 4. University of Nebraska Medical Center, Omaha, Lillehammer, Oppland, Norway; 4. All India Institute of Medical Sciences, NE; 5. University of Buffalo, Buffalo, NY; 6. Carilion Clinic, Roanoke, VA; Delhi, Delhi, India 7. University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 8. P2602. Temporal Trends of Acute Myocardial Infarction-Related University of Utah School of Medicine, Salt Lake City, UT Hospitalizations in Celiac Disease Patients Kamesh Gupta, MBBS1, Ahmad Khan, MD2, Manish Gupta, MBBS3, Davis Barry, MD4, Abdullah Sohail, MBBS5, Hemant Goyal, MD6; 1. University of SMALL INTESTINE Massachusetts Medical School - Baystate Medical Center, Springfield, MA; 2. West virginia University Health Sciences Center, Charleston, WV; P2595. Use of Artificial Intelligence for Identification of Celiac and 3. Danbury Hospital, Danbury, CT; 4. Prisma Health, Columbia, SC; 5. Vascular Lesions on Capsule Endoscopy Charleston Area Medical Center, Charleston, WV; 6. The Wright Center of  Presidential Poster Award Graduate Medical Education, Clark Summit, PA Sajiv Sethi, MD1, Arush Singh, MD, MBA1, Hunter H. Morera, BS2, Jade Edwards, MD3, Dmitry Goldgof, PhD2, Gitanjali Vidyarthi, MD3; 1. University P2603. Post-Operative Ileus in the Post-Kidney Transplant Setting of South Florida Morsani College of Medicine, Tampa, FL; 2. University of Monia Elisa Werlang, MD, Alex M. Kesler, MD, Paul T. Kroner, MD, MSc; South Florida, Tampa, FL; 3. James A. Haley Veterans' Hospital, Tampa, FL Mayo Clinic, Jacksonville, FL

SMALL INTESTINE P2616. Small Bowel Adenocarcinoma With Right Atrial Metastasis: A Case Clinical Vignettes/Case Reports Combining Two Rare Entities Patty Wang, MD1, Richard B. Weinberg, MD2; 1. Wake Forest School P2604. Treating Gas With Gas: A Case of Benign Extensive of Medicine, Winston-Salem, NC; 2. Wake Forest University School of Pneumatosis Intestinalis Medicine, Winston-Salem, NC Chimaobi Anugwom, MD1, Dupinder Singh, MD1, Michael Levitt, MD2; 1. P2617. Incidental Isolated Small Intestinal Melanoma in a Patient With University of Minnesota Medical School, Minneapolis, MN; 2. Minneapolis Newly Diagnosed Celiac Disease VA Health Care System, Minneapolis, MN Surachai Amornsawadwattana, MD, Elizabeth Huebner, MD; Washington P2605. Seronegative Adult Autoimmune Enteropathy University School of Medicine, St. Louis, MO Michelle D. Lundholm, MD1, Kaitlin Wanta, DO1, Xianzhong Ding, MD, PhD1, P2618. A Benign Tumor With a Malignant Course Lena Palmer, MD2, Ayokunle T. Abegunde, MD, MSc1; 1. Loyola University Rasiq Zackria, DO, Andrew W. Hwang, MD; University of California Medical Center, Maywood, IL; 2. Southeast Louisiana Veterans Health Riverside School of Medicine, Riverside, CA Care Systems, New Orleans, LA P2619. Late Presentation of Caroli’s Syndrome: A Rare Cause of P2606. Duodenal Leiomyosarcoma - A Rare Cause of Gastric Cholangiocarcinoma Outlet Obstruction Ammar Hassan, DO1, Simcha Weissman, DO2, Mark Pinkhasov, DO, Fidelis Okoli, MBBS, Michael Kantrowitz, DO, MS, Ismail Zahir, MD, Yuriy PharmD3, Michael Sciarra, DO4; 1. Hackensack University Medical Center, Tsirlin, MD; Maimonides Medical Center, Brooklyn, NY Lodi, NJ; 2. Hackensack University - Palisades Medical Center, Teaneck, P2607. The Immigrant With Chronic Abdominal Pain: A Diagnosis NJ; 3. Hackensack University Medical Center, Hollis, NY; 4. Hackensack of Ascaris lumbricoides University - Palisades Medical Center, North Bergen, NJ Irma Hashmi, DO, Julia Shor, MD; University of Massachusetts Medical P2620. Angiotensin Converting Enzyme Inhibitor-Induced Isolated Center, Worcester, MA Angioedema of Small Bowel P2608. Persistently Elevated Intestinal Alkaline Phosphatase in an Radha Kishan Adusumilli, MD1, Manishkumar Patel, MD2, Gloria Hong, Individual With AB Blood Group: A Rare Presentation MD2, Zain I. Kulairi, MD2; 1. Wayne State University School of Medicine, Nikhitha Mantri, MD, Jeirym Miranda, MD, Abhilasha Jyala, MD, Kanthi Rochester Hills, MI; 2. Wayne State University School of Medicine, Rekha Badipatla, MD, Suresh Kumar Nayudu, MD; Bronx Lebanon Rochester, MI Hospital Center, Bronx, NY P2621. Balloon Dilation via Colonoscopy to Treat Small Bowel Obstruction P2609. Salmonella typhi Gastroenteritis as a Rare Cause of Small as a Complication of Surgical Resection of Carcinoid Tumor Bowel Obstruction Pratik Patel, MD1, Ethan Phan, MD1, Nannaya Jampala, MD2, Prashant Sunny Sandhu, MD, Dhuha Alhankawi, MD, Devang Prajapati, MD; Mudireddy, MD2; 1. East Carolina University, Greenville, NC; 2. Brody University of California San Francisco - Frenso, Fresno, CA School of Medicine, Greenville, NC P2610. Gastrointestinal and Hepatic Amyloidosis: An Unusual Cause for P2622. A Challenging Case of Ileo-cecal Intussusception in Pregnancy Abdominal Pain and Elevated Liver Enzymes Aun R. Shah, MD, MRCP, Marc Landsman, MD, Dalbir Sandhu, MD; Case Puja Rai, MD, Rohit Dhingra, MD, Mark Sterling, MD; Tufts University Western Reserve University / MetroHealth Medical Center, Cleveland, OH Medical Center, Boston, MA P2623. Small Bowel Lymphoma Presenting With Perforation: P2611. A Case of Metastatic Renal Cell Carcinoma to the Jejunum A Case Report Presenting as Iron Deficiency Anemia Syed S. Karim, DO1, Davinder Singh, MD1, Ruchi Bhatt, MD1, Jarin Prasa, Mary Kathryn Roccato, MD, Alyssa Choi, MD, Erica Duh, MD, Jason MS2, Kaleem Rizvon, MBBS, FACG1, Paul Mustacchia, MD1, Venkatesh S. Samarasena, MD, FACG, Nimisha K. Parekh, MD, MPH; University of Esackimuthu, MD1; 1. Nassau University Medical Center, East Meadow, NY; California Irvine Medical Center, Orange, CA 2. Touro University, Middletown, NY P2612. Isolated Duodenal Variceal Bleeding Secondary to Metastatic P2624. Gastrointestinal Hereditary Angioedema Causing Recurrent, Carcinoid Tumor Obstructing the Superior Mesenteric Vein Self-Resolving Abdominal Pain Nicole S. Evans, MD, MS1, Michael Quezada, MD1, Ara Sahakian, MD2, Kamesh Gupta, MBBS, Kavya K. Mayigegowda, MBBS, Tuyyab Hassan, Caroline Hwang, MD2; 1. LAC+USC Medical Center, Los Angeles, CA; 2. Keck MBBS; University of Massachusetts Medical School - Baystate Medical School of Medicine, University of Southern California, Los Angeles, CA Center, Springfield, MA P2613. A Classic Case of Peutz-Jeghers Syndrome Presenting as P2625. Brunner's Gland Hyperplasia: A Massive Duodenal Lesion Recurrent Intussusception Sundus Bhatti, MD, Endashaw Omer, MD; University of Louisville, Vinayak Shenoy, DO1, Connie Park, MD1, Andrew Nguyen, DO1, Patrick Louisville, KY Okolo, MD2; 1. Lenox Hill Hospital, New York, NY; 2. Hofstra North Shore- P2626. An Unusual Cause of Persistent Abdominal Pain and Hematochezia LIJ School of Medicine, Manhasset, NY an Adult Male; Small Bowel Meckel’s Diverticulum Causing Intussusception P2614. Intussusception After Classic Pancreaticoduodenectomy With a Neal D. Dharmadhikari, MD1, Sean Fine, MD, MS2; 1. Brown University, Roux-en-Y Pancreatico-hepaticojejunostomy Providence, RI; 2. Brown Medicine, Riverside, RI Cassidy Alexandre, MD, Tony El Jabbour, MD, Nour Parsa, MD, Muhammad P2627. Intestinal Pseudo-Obstruction Associated With Seropositive Sohail Mansoor, MD, Bora Gumustop, MD; Albany Medical Center, Albany, NY Myasthenia Gravis, Thymoma, and Positive CV-2 Antibodies P2615. A Curious Case of Gastric Outlet Obstruction! Adalberto Gonzalez, MD1, Michael Castillo, MD1, Rajaganesh Rajagopalan, Mannat K. Saini, MD, MSc1, Shivantha Amarnath, MD, BSc, MRSB2, Moiz MD1, Daniel Castaneda, MD1, Fernando Castro, MD2; 1. Cleveland Clinic, Ahmed, MD1, Umer Syed, MD1, Uday Shankar, MD1, Raghav Bansal, MD1; Weston, FL; 2. Digestive Disease Institute, Cleveland Clinic Foundation, 1. Icahn School of Medicine at Mount Sinai - Elmhurst, Elmhurst, NY; 2. Weston, FL Staten Island University Hospital, Northwell Health, Staten Island, NY

178 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2628. A Curious Case of Abdominal Pain P2640. Secrets of the Ampulla: A Rare Neuroendocrine Tumor Sharmili Balarajah, BSc (Hons), MBChB (Hons), MRCP1, Tracey Martin, MD2, Aliana Bofill, MD1, Zeyn Mirza, MD2, Rodolfo Estremera, MD2, Jose David Wan, MD3; 1. St. Mary's Hospital, Paddington, London, England, Martin2; 1. VA Caribbean Healthcare System, San Juan, Puerto Rico; 2. VA United Kingdom; 2. New York-Presbyterian / Weill Cornell Medical Center, Hospital, San Juan, Puerto Rico New York, NY; 3. Weill Cornell Medical College, New York, NY P2641. Primary Malignant Peripheral Nerve Sheath Tumor of Small Bowel and P2629. Intractable Celiac Disease in IgA Deficiency Colon Presenting With Metastases to Bone, Lung, Liver, Spleen, and Brain Lisandro Gonzalez, MD, Megan Lewis, DO, Archish Kataria, MD, Lyan Saraswathi Lakkasani, MD, MBBS, Hamid S. Shaaban, MD, Gunwant Gondin, MD, Allan L. Parker, DO; University of Texas Health Science Guron, MD, Andre Fedida, MD, FACG; Saint Michael's Medical Center, Center, San Antonio, TX Newark, NJ P2630. Duodenal Crohn’s Disease Presenting as Gastric Outlet Obstruction P2642. Solitary Peutz-Jeghers Polyp Presenting as Iron Deficiency Anemia Requiring Partial Gastrectomy Daniel P. Hamilton, DO1, J. Andrew Brown, MD2, Ryan J. Beyer, MD2; Juan Castano, MD1, Grigoriy Rapoport, MD2, Hussein Al Jobori, MD3, 1. Lake Cumberland Regional Hospital, Somerset, KY; 2. University of Subrahmanyam Behara, MD4; 1. University of Texas Rio Grande Valley Kentucky College of Medicine, Lexington, KY at Doctors Hospital at Renaissance, Edinburg, TX; 2. University of Texas Health Rio Grande Valley, Edinburg, TX; 3. University of Texas Rio Grande P2643. Metastatic Squamous Cell Carcinoma to the Small Bowel Valley, McAllen, TX; 4. Doctors Hospital at Renaissance, Edinburg, TX Masquerading as Crohn’s Disease: A Diagnostic Dilemma Shruti Mony, MD1, Krishen Patel, MD1, Pushpak Taunk, MD2; 1. University P2631. Diffuse Large B-Cell Lymphoma Presenting as Partial Small Bowel of South Florida Morsani College of Medicine, Tampa, FL; 2. University of Obstruction and a Fistula South Florida, Tampa, FL Bhavesh A. Gajjar, MD, MPH, Joseph Gabriel, MD, Ahmed Minhas, MD, Lawrence Schmidt, MD; East Tennessee State University, Johnson City, TN P2644. A Unique Case of Polyarteritis Nodosa Involving the Gastrointestinal Tract P2632. A Rare Presentation of Duodenal Adenocarcinoma Concealed by Marika Bergenstock, DO, Kashif Tufail, MD, Umar Tariq, MD, Bradley Membranous Nephropathy Confer, DO; Geisinger Medical Center, Danville, PA Jwan A. Naser, MD1, Sarah M. Al Nimri2, Omar Y. Mousa, MD3; 1. Jordan P2645. A Rare Case of Gastrointestinal and Hepatic Extra-Pulmonary TUESDAY University of Science and Technology, Irbid, Irbid, Jordan; 2. Jordan POSTERS University of Science and Technology, Amman, Irbid, Jordan; 3. Mayo Involvement of Sarcoidosis Mimicking Crohn’s Disease 1 1 2 Clinic, Rochester, MN Chiara Maruggi, MD , Dina Ahmad, MD , Behtash G. Nezami, MD , Seth Sclair, MD1, Linda Cummings, MD1, Preetika Sinh, MD3; 1. University P2633. ACE Inhibitor-Induced Visceral Angioedema - A Rare Phenomenon Hospitals Case Medical Center, Case Western Reserve University, Gurbir Sehmbey, MD1, Sarabdeep Mann, MD2, Anil Seetharam, MD3; 1. Cleveland, OH; 2. University Hospitals Cleveland Medical Center, Case Banner University Medical Center, Phoenix, AZ; 2. University of Arizona Western Reserve University, Cleveland, OH; 3. University Hospitals, College of Medicine, Phoenix, AZ; 3. Transplant Center and Advanced Case Western Reserve University, Cleveland, OH Liver Disease at Banner Good Samaritan Medical Center, Phoenix, AZ P2646. Novel Use of Radiofrequency Ablation in the Treatment of AVMs P2634. Small Bowel Bleeding Due to Solitary Metastatic Ovarian Clear Cell of Small Bowel Mucosa Carcinoma: A Case Report and Review of the Literature Michael Lysek, Jr., MD, MPH1, Manoj Kumar, MD1, Yazan Fahmawi, Tara Keihanian, MD, MPH, Nathalie A. Pena Polanco, MD, Scott Jordan, MD1, Meir Mizrahi, MD2; 1. University of South Alabama, Mobile, AL; 2. MD, Joseph M. Pearson, MD, Jodie A. Barkin, MD; University of Miami University of South Alabama College of Medicine, Spanish Fort, AL Miller School of Medicine, Miami, FL P2647. Henoch-Schonlein Purpura Duodenitis P2635. Ischemic Colitis Secondary to Sumatriptan Overuse Along Vishal Kaila, MD1, Nivedita Sudhekar, MD1, Mark Feldman, MD2; 1. Texas With Estrogen Health Presbyterian, Dallas, TX; 2. Texas Health Resources, Dallas, TX Harshith S. Thyagaturu, MBBS, Samir Jha, MD, Dennis Demeria, MD; Bassett Medical Center, Cooperstown, NY P2648. A Rare Occurrence: Anal Squamous Cell Carcinoma With Metastasis to Duodenum Causing Duodenal Stricture and Gastric Outlet Obstruction P2636. A Case of Potentially Three Recurrences of Gallstone Ileus Ruhin Yuridullah, MD1, Parminder Kaur, MD1, Elias Estifan, MD2, Jessimar Michael Loudin, MD, Steven T. Koprowski, MD; Oregon Health & Science Sanchez, MD1, Ashima Kapoor, MD1, Monisha Singhal, MD1; 1. St. Joseph's University, Portland, OR Regional Medical Center, Paterson, NJ; 2. St. Joseph's University Medical Center, Paterson, NJ P2637. A Case of Amebiasis in a Patient With Familial Hypertriglyceridemia Complicated by Recurrent Pancreatitis P2649. Duodenal Perforation Caused by Inferior Vena Cava Migration Jessica Sang, MD, MPH1, Jason Lewis, MD2; 1. Carolinas Medical Center, Sarav Daid, MD, Dong Joo Seo, MD, Yashvin Onkarappa Mangala, MD, Charlotte, NC; 2. Atrium Health / Carolinas Medical Center, Charlotte, NC Nabil Toubia, MD; Roger Williams Medical Center, Providence, RI P2638. A Case of Primary Intestinal Lymphangiectasia in an African P2650. A Rare Case of Poorly Differentiated Lung Carcinoma With American Adult Male With Intermittent Abdominal Pain and Diarrhea Duodenal Metastasis Abdallah Abdallah, MD1, Ahmed Karim, MD2, Imad Alnakshabendi, MD3, Ahmed Ahmed, DO1, Paul Delle Donna, DO1, Umair M. Nasir, DO1, Vanessa Ibrahim Alnakhabendi, MS2; 1. Magnolia Regnional Health Center, Corinth, Swantic, MS, BS1, Shahida Ahmed, MD2, Christopher Lenza, DO3; 1. MS; 2. New Tampa GI, Tampa, FL; 3. New Tampa GI, Brandon, FL Rutgers New Jersey Medical School, Newark, NJ; 2. East Orange VA Hospital, Newark, NJ; 3. East Orange VA Hospital, East Orange, NJ P2639. Severe Celiac Disease Presenting With Intussusception Without Lead-Point in an Adult Male P2651. A Unique Presentation of Concurrent Duodenal and Peritoneal Sandra Gomez Paz, MD, Rucha Jiyani, MD, Bobby Jacob, MD, Kaleem Metastasis From Head and Neck Cancer Rizvon, MBBS, FACG, Paul Mustacchia, MD; Nassau University Medical Ahmed Ahmed, DO1, Umair M. Nasir, DO1, Paul Delle Donna, DO1, Shahida Center, East Meadow, NY Ahmed, MD2, Christopher Lenza, DO3; 1. Rutgers New Jersey Medical School, Newark, NJ; 2. East Orange VA Hospital, Newark, NJ; 3. East Orange VA Hospital, East Orange, NJ

P2652. A Rare Presentation of Duodenal Carcinoid Tumor Complicated by P2662. Are You Full? An Analysis of Online Patient Resources for Gastroparesis Hemorrhagic Shock Katrina Naik, MD1, Joseph Cioffi, 1MD , Praphopphat Adhatamsoontra, MD1, Yaseen Baseer, DO; Bayonne Medical Center, Bayonne, NJ Jenny Dave, MD1, Ali Khan, MD, MPH2, Marie Borum, MD, EdD, MPH1; 1. George Washington University, Washington, DC; 2. George Washington P2653. You're Breaking My Heart: Carcinoid Heart Disease University Hospital, Washington, DC Mary Biglin, MD, Garth Swanson, MD, MS; Rush University Medical Center, Chicago, IL P2663. Targeting Inappropriate Stress Ulcer Prophylaxis: A Multidisciplinary Approach P2654. Choledochoduodenal Fistula as the First Sign of Metastatic Asadullah Mahmood, MBBS1, Naba Saeed, MD1, Roheila Seyedtabaei, Ovarian Cancer MD2, Ali Bani Saad, MD2, Farzane Saeidifard, MD3, Azra Niaz, MD2, Sean Muhammad U. Mirza, MBBS1, Deeksha Misra, MBBS1, Shiva S. Vangimalla, McConachie, PharmD2, Rajiv John, MD2; 1. Beaumont Oakwood Hospital, MBBS1, Muhammad Waleed, MBBS2, Kashif Mukhtar, MBBS2; 1. Medstar Dearborn, MI; 2. Beaumont Hospital Dearborn, Dearborn, MI; 3. Beaumont Washington Hospital Center, Washington, DC; 2. Aga Khan University, Hospital Dearborn, Dearborn, MN Karachi, Sindh, Pakistan P2664. The Association Between Gastroparesis and Slow Transit P2655. Disseminated Renal Cell Carcinoma Presented as Obscure Constipation as Seen by Wireless Motility Capsule (WMC) Gastrointestinal Bleeding Mark Radetic, MD1, Afrin Kamal, MD2, Carol Rouphael, MD1, Michael Cline, Diana Curras-Martin, MD1, Amit Mehta, MD2, David Wan, MD3; 1. Jersey DO1; 1. Cleveland Clinic Foundation, Cleveland, OH; 2. Stanford University, Shore University Medical Center, Neptune, NJ; 2. New York-Presbyterian Stanford, CA / Weill Cornell Medical Center, New York, NY; 3. Weill Cornell Medical College, New York, NY P2665. Symptomatic Patients Suspected of Eosinophilic Gastritis and/or Enteritis Have Elevated Mucosal Mast Cell Counts Without Eosinophilia: A New Diagnostic Entity? STOMACH  Presidential Poster Award 1 2 P2656. Risk Factors for Advanced Gastric Intestinal Metaplasia in a Multi- Joseph A. Murray, MD, FACG , Evan S. Dellon, MD, MPH , Kathryn A. 3 4 5 Ethnic United States Cohort Peterson, MD, MSc , Gary W. Falk, MD, FACG , Mirna Chehade, MD, MPH , 6 7 Robert Huang, MD, MS1, Sungho Park, BA1, Tanvi Chitre, BA1, Jeanne Shen, Robert M. Genta, MD , Nirmala Gonsalves, MD , Marc E. Rothenberg, MD, 8 9 10 1 MD1, Teri Longacre, MD1, Joo Ha Hwang, MD, PhD2; 1. Stanford University, PhD , Paneez Khoury, MD, MHSc , John Leung, MD , Adam C. Bledsoe, MD , 11 11 11 Stanford, CA; 2. Stanford University Medical Center, Stanford, CA Camilla Shaw, RN , Henrik S. Rasmussen, MD, PhD , Bhupinder Singh, MD , Alan T. Chang11, Bradford A. Youngblood, PhD11, Amol Kamboj, MD11, Ikuo P2657. Hospitals With Low-Medium Safety-Net Burden Incur the Highest Hirano, MD, FACG12; 1. Mayo Clinic, Rochester, MN; 2. Center for Esophageal Costs for Hospitalizations of U.S. Adults With Gastric Cancer Diseases and Swallowing, University of North Carolina, Chapel Hill, NC; Gavin Park, MD1, Grishma Hirode, MAS2, Robert Wong, MD, MS, FACG3; 1. 3. University of Utah, Salt Lake City, UT; 4. Perelman School of Medicine, California Pacific Medical Center, San Francisco, CA; 2. Alameda Health University of Pennsylvania, Philadelphia, PA; 5. Icahn School of Medicine System, Oakland, CA; 3. Alameda Health System - Highland Hospital, at Mount Sinai, New York, NY; 6. Baylor College of Medicine, Dallas, TX; Oakland, CA 7. Northwestern University, Chicago, IL; 8. Cincinnati Children's Hospital Medical Center, Cincinnati, OH; 9. NIH/NIAID, Bethesda, MD; 10. Tufts P2658. Efficacy and Safety of Nitazoxanide-Based Regimen for the University Medical Center, Boston, MA; 11. Allakos, Inc., Redwood City, CA; Eradication of Helicobacter pylori Infection: A Systematic Review and 12. Northwestern University Feinberg School of Medicine, Chicago, IL Meta-Analysis Umair Iqbal, MD1, Harshit S. Khara, MD, FACG1, Muhammad Ali Khan, P2666. The Morphological Changes of Fundic Gland Polyps After MD2, Khwaja F. Haq, MD3, Yirui Hu, PhD1, Hafiz U. Siddiqui, MBBS4, Marika PPI Therapy Bergenstock, DO1, Colin W. Howden, MD, FACG5, Mathew Shellenberger, Masahide Fukuda, MD1, Hirohito Ishigaki, MD, PhD2, Mitsushige Sugimoto, DO1; 1. Geisinger Medical Center, Danville, PA; 2. University of Alabama at MD, PhD2, Kazuhiro Mizukami, MD, PhD1, Tetsuya Ueo, MD, PhD3, Hisanori Birmingham, Birmingham, AL; 3. Henry Ford Health System, Detroit, MI; Abe, MD, PhD4, Akira Andoh, MD, PhD2, Ryoji Kushima, MD, PhD2, 4. Cleveland Clinic Foundation, Cleveland, OH; 5. University of Tennessee Kazunari Murakami, MD, PhD1; 1. Oita University, Yufu, Oita, Japan; 2. Health Science Center, Memphis, TN Shiga University of Medical Science, Otsu, Shiga, Japan; 3. Oita Red Cross Hospital, Chiyomachi, Oita, Japan; 4. Arita Gastro-Intestinal Hospital, P2659. Tradipitant Complete Responder Analysis in Gastroparesis Patients Maki, Oita, Japan  Presidential Poster Award Jesse L. Carlin, PhD, Verna R. Lieberman, Arya Dahal, Madison S. Keefe, P2667. Patients With Eosinophilic Gastritis and/or Eosinophilic Changfu Xiao, PhD, Gunther Birznieks, MS, Mihael H. Polymeropoulos, Gastroenteritis Endure a Lengthy Path to Diagnosis and Experience MD; Vanda Pharmaceuticals, Washington, DC Persistent Symptoms After Diagnosis Mirna Chehade, MD, MPH1, Lauren Gehman, PhD2, Henrik S. Rasmussen, P2660. Clinical Safety of RHB-105: A Novel Rifabutin Based Triple Therapy MD, PhD3; 1. Icahn School of Medicine at Mount Sinai, New York, NY; 2. for the Treatment of Helicobacter pylori Infection Allakos, Inc, Redwood City, CA; 3. Allakos, Inc., Redwood City, CA Ira N. Kalfus, MD1, Jeff Bullock, MD2, June Almenoff, MD3, Patricia Anderson, MSc4, David Y. Graham, MD, MACG5; 1. RedHill Biopharma, Ltd., Tel Aviv, P2668. Development of a Patient Reported Outcome (PRO) Questionnaire Tel Aviv, Israel; 2. San Antonio Gastroenterology Associates, San Antonio, to Assess the Symptoms of Eosinophilic Gastritis and Gastroenteritis (EG/ TX; 3. RedHill Biopharma, Inc., Raleigh, NC; 4. RedHill Biopharma, Ltd., EGE-SQ©) Brampton, ON, Canada; 5. Baylor College of Medicine, Houston, TX Ikuo Hirano, MD, FACG1, Evan S. Dellon, MD, MPH2, Joseph Murray, MD3, Kathryn A. Peterson, MD, MSc4, Benjamin Banderas, MA5, J. Michael Woolley, P2661. Increased Mucosal Innate Immune Activation in Hereditary Alpha PhD6, Sarah Ollis, MPH7, Catherine Foley, MPH, MA7, Emily Love, BA7, Trytpasemia Subjects Is Predictive of Clinical Response to Tofacitanib Therapy Alan Shields, PhD7, Camilla Shaw, RN8, Henrik S. Rasmussen, MD, PhD8; 1.  Presidential Poster Award Northwestern University Feinberg School of Medicine, Chicago, IL; 2. Center Sarah C. Glover, DO1, Elizabeth Davis, PhD2, James Shirley, BS1, Liza for Esophageal Diseases and Swallowing, University of North Carolina, Konnikova, MD, PhD3; 1. University of Florida, Gainesville, FL; 2. University Chapel Hill, NC; 3. Mayo Clinic, Rochester, MN; 4. University of Utah, Salt Lake of Arkansas for Medical Sciences, Little Rock, AR; 3. University of City, UT; 5. Adelphi Values, Hermosa Beach, CA; 6. Allakos, Inc, Redwood Pittsburgh, Pittsburgh, PA City, CA; 7. Adelphi Values, Boston, MA; 8. Allakos, Inc., Redwood City, CA

180 \ 2019 Annual Scientific Meeting & Postgraduate Course POSTER PRESENTATIONS TUESDAY, OCTOBER 29, 10:30 AM – 4:00 PM

P2669. Late Onset Rapid Gastric Emptying: A New Entity to Explain Post- P2679. Metastatic Gastric Neuroendocrine Tumors in Non-Surveillanced Prandial Symptoms Familial Adenomatous Polyposis  Presidential Poster Award Patrick B. Harriss, MD1, Shazia Rashid, MD1, Meher S. Mavuram, MD1, Jesus Diaz, MD1, Christopher Dodoo, MS1, Alok Dwivedi, PhD1, Richard Kenneth J. Manas, MD2, Hrishikesh Samant, MD3, James D. Morris, MD, McCallum, MD2; 1. Texas Tech University Health Sciences Center, El Paso, FACG2, Paul Jordan, MD, FACG1; 1. Louisiana State University Health TX; 2. Texas Tech University Health Sciences Center, Paul L. Foster School Sciences Center, Shreveport, LA; 2. Louisiana State University Health, of Medicine, El Paso, TX Shreveport, LA; 3. Louisiana State University, Shreveport, LA P2670. National and Regional U.S. Antibiotic Resistance to Helicobacter P2680. Gastric Amyloid: The Patient Who Could Not Eat at AL pylori Identified From a Phase 3 Clinical Trial of Treatment Naïve Patients Laurens Janssens, MD, Sunanda Kane, MD, MSPH, FACG; Mayo Clinic, in the United States Rochester, MN  Presidential Poster Award P2681. Lymphocytic Gastritis With Hypoproteinemia Treated Kristina G. Hulten, PhD1, David Y. Graham, MD, MACG1, Aida Bibliowicz, With Helicobacter pylori Eradication MSc, MBA2, Ira N. Kalfus, MD2; 1. Baylor College of Medicine, Houston, TX; Mukunthan Murthi, MD1, Rangan Murali, MD2; 1. Government Mohan 2. RedHill Biopharma, Ltd., Tel Aviv, Tel Aviv, Israel Kumaramangalam Medical College, Salem, Tamil Nadu, India; 2. Mercy P2671. Gastric Intestinal Metaplasia Is a Common Finding Among Veterans Hospital, Joplin, MO Undergoing Endoscopy in South Texas P2682. Eosinophilic Gastritis Responding to Proton Pump Inhibitor Muhammad Haris, MD1, Alfredo Camero, Jr., MD2, David Valadez, MD2, Mukunthan Murthi, MD1, Karthik Chamarti, MD2, Rangan Murali, MD3; 1. Cameron Fazeli, DO1, Farah Ladak, MD1, Juan Echavarria, MD, MSc2, Government Mohan Kumaramangalam Medical College, Salem, Tamil Christine L. Andrews3, Elizabeth Coss, MD3, Shail Govani, MD, MSc3; 1. Nadu, India; 2. Madurai Medical College, Chennai, Tamil Nadu, India; 3. University of Texas Health Science Center, San Antonio, TX; 2. University Mercy Hospital, Joplin, MO of Texas Health, San Antonio, TX; 3. South Texas Veterans Health Care System, San Antonio, TX P2683. A Case of Collagenous Gastritis: A Rare Entity Nathaly Cortez, MD, Mahmoud Mahfouz, MD, Manuel Berzosa, MD, P2672. Predictors of Stage III/IV Gastric Cancer in the United States Michael Bloom, MD; Mount Sinai Medical Center, Miami Beach, FL Sajjadh MJ Ali, MBBS1, Marc F. Catalano, MD, FACG2; 1. Stanley Medical TUESDAY College, Chennai, Tamil Nadu, India; 2. McGovern Medical School, P2684. Adenocarcinoma Presented as Massive Gastric Distention POSTERS University of Texas, Houston, TX Ali Zakaria, MD1, Faizan Khan, MD2, Shehbaz Ahmed, MD1, Issam Turk, MD3, Jay Levinson, MD4; 1. Providence - Providence Park Hospital, Southfield, MI; 2. Michigan State University, College of Human STOMACH Medicine, Grand Rapids, MI; 3. St. John Providence Hospital, Dearborn, Clinical Vignettes/Case Reports MI; 4. Providence Hospital Medical Center, Southfield, MI P2685. Median Arcuate Ligament Syndrome: A Rare but Overlooked P2673. Acute Neck Pain Masquerading as Acute Gastric Volvulus Cause of Post-Prandial Abdominal Pain Syed Mohsin Saghir, MD, Amaan Shafi, MD, Michael Elias, MD, Matthew Hussam Tayel, MD1, Hesham Tayel, MD1, Sagar V. Mehta, MD2, Rodrigo Pellnitz, MD, Jahan Z. Riaz, MD, Gordon Ohning, MD, PhD; University of Duarte-Chavez, MD1, Brian Kim, DO1, Janak Bahirwani, MD3, Ana Nevada Las Vegas School of Medicine, Las Vegas, NV Martinez-Tapia, MD1, Ronak Modi, MD1, Kimberly J. Chaput, DO1, Noel B. P2674. Endoscopic Folie à Deux: Atypical Manifestations of Gastric Martins, MD1, Berhanu Geme, MD1, Ayaz Matin, MD4; 1. St. Luke's University Amyloid in Concurrent Cases Health Network, Bethlehem, PA; 2. St. Luke's University Hospital, Sanah Ladhani, MD1, Patrick McCabe, MD, MEd2, Andrew Szmit, MD3, Taft Bethlehem, PA; 3. St. Luke's Hospital, Bethlehem, PA; 4. St. Luke's Bhuket, MD1, Benny Liu, MD1, Robert Wong, MD, MS, FACG3; 1. Alameda University Health Network, Fountain Hill, PA Health System, Oakland, CA; 2. California Pacific Medical Center, San P2686. A Case of Intermittent Organo-axial Gastric Volvulus Francisco, CA; 3. Alameda Health System - Highland Hospital, Oakland, CA Dhineshreddy Gurala, MBBS, Haddad Fady, MD, Liliane Deeb, MD; Staten P2675. Nivolumab-Induced Hemorrhagic Gastroduodenitis Island University Hospital, Northwell Health, Staten Island, NY Shannon L. Tosounian, DO, Abhinav Goyal, MD, Richard DePalma, DO; P2687. An Unusual Presentation of Gastric Kaposi's Sarcoma Albert Einstein Medical Center, Philadelphia, PA Shahrzad Anita Akhavan, BSc1, Nisha Koya, DO2, Rachana Oak, DO2, P2676. Got the GIST: Multidisciplinary Management of an Acute Bleeding Christopher Chum, DO2, John Trillo, MD2; 1. St. George's University School Gastrointestinal Stromal Tumor of Medicine, Brooklyn, NY; 2. Coney Island Hospital, Brooklyn, NY Michelle Baliss, DO1, August Clark, MD2, Rawan Dayah, MD1, Praveen P2688. A Rare Case of Diffuse Gastric Metastases Secondary to Breast Cancer Guturu, MD2; 1. The University of Texas Medical Branch, Galveston, TX; 2. Sravanthi Sonti, MD, Sumana Nagireddy, MD, Laxmi Parsa, MD, University of Texas Medical Branch, Galveston, TX Christina Birsan, MD; University of Tennessee College of Medicine, P2677. A Gaping Hole in the Stomach - A Rare PEG Tube Complication Chattanooga, TN Nikita Gupta, DO1, Michelle Likhtshteyn, MD1, Pragnan Kancharla, MBBS2, P2689. An Atypical Case of Metastatic Lung Cancer Presenting as Sadat Iqbal, MD1, Firas Al-Ani, MD1, Evan Grossman, MD3; 1. SUNY Abdominal Pain and Anemia Downstate Medical Center, Brooklyn, NY; 2. New York Methodist Hospital, Emmanuel McDonald, DO1, Monica Pinglo, DO1, Linoj Panicker, DO2, Brooklyn, NY; 3. Kings County Hospital Medical Center, Brooklyn, NY Odayls Frontela, MD1, Mark Avila, MD2, Javier Sobrado, MD2; 1. Larkin P2678. Metastatic Melanoma of the Stomach Community Hospital - Palm Springs, Miami, FL; 2. Larkin Community David Leung, MD, MS1, Michelle Miles, DO, MS1, Sajiv Chandradas, MD2; 1. Hospital, Miami, FL Scripps Mercy Hospital, San Diego, CA; 2. San Diego Gastroenterology P2690. Acute Gastric Volvulus - A Rare Complication of a Medical Associates, San Diego, CA Paraesophageal Hernia Abisola G. Baruwa Etti, MBBS; University of Connecticut Health Center, Farmington, CT

P2691. Helicobacter pylori Infection: An Important Consideration in P2703. A Case of a 20-Year-Old Female With Hereditary Diffuse Gastric Patients With Suspected Cannabinoid Hyperemesis Syndrome Cancer Syndrome With Synchronous Diffuse Gastric Cancer and a Giant Kevin Kline, MD1, Mohammad Bilal, MD2, Sreeram Parupudi, MD, FACG1; 1. Uterine Tumor University of Texas Medical Branch, Galveston, TX; 2. The University of Laura Rosenkranz, MD1, Mio Kitano, MD, MS1, Grace Hopp, DO, MBA2; 1. Texas Medical Branch, Galveston, TX University of Texas Health, San Antonio, TX; 2. University of Texas Health Science Center, San Antonio, TX P2692. Large Gastric Gastrointestinal Stromal Tumor With Spontaneous Rupture of Necrotic Fluid Collection P2704. Plexiform Angiomyxoid Myofibroblastic Tumor of the Gastric Eric J. Marple, DO, John Magulick, MD, Ryan Cho, MD; San Antonio Cardia: An Uncommon Tumor With an Even Less Common Location Uniformed Services Health Education Consortium, San Antonio, TX Ramsey Gardner, MD1, Seth Dukes, MD1, Albert Dustin, MD1, Jeptha Johnson, MD1, Sharon Weeks, MD1, Jeffrey T. Laczek, MD2; 1. Brooke Army P2693. A Unique Case of Bezoar and Incidental Situs Ambiguus Medical Center, San Antonio, TX; 2. Walter Reed National Military Medical Sailaja Pisipati, MD, FRCS1, Blake Jones, MD2, Alison Freeman, MD2; 1. Center, Bethesda, MD University of Nevada Reno School of Medicine, Reno, NV; 2. University of Colorado School of Medicine, Aurora, CO P2705. Disguised as IBD: A Rare Presentation of Diffuse Large B Cell Lymphoma in a Young Male P2694. Acute Gastric Dilatation: A Cause for Concern Mary Biglin, MD, Ioannis Oikonomou, MD; Rush University Medical Center, Danial Shaikh, MD1, Shehriyar Mehershahi, MD1, Abhilasha Jyala, MD1, Chicago, IL Chandni Sinha, MD1, Sridhar Chilimuri, MD2; 1. Bronx Lebanon Hospital Center, Bronx, NY; 2. BronxCare Health System, Bronx, NY P2706. The Extreme of Morning Sickness: A Case of Gastric Adenocarcinoma in Pregnancy P2695. Choleperitoneum Due to Gastric Perforation Masquerading as Anisleidys Munoz, MD, Venkata Satish Pendela, MD, MBBS, Youssef Acute Pancreatitis in a Roux-En-Y Gastric Bypass Patient Soliman, MD, Megan Soliman, MD; Rochester General Hospital, Priyadarshini Dixit, MD1, Pramod Ponna, MD2, Benjamin Diaczok, MD2; Rochester, NY 1. St. Joseph Mercy Oakland Hospital, Pontiac, MI; 2. St. Joseph Mercy Oakland, Pontiac, MI P2707. Steroid Responsive Gastric Dysmotility - Seronegative Autoimmune Autonomic Neuropathy P2696. Gastric Small Cell Cancer: An Extremely Rare and Lethal Type of Samar Harris, MD1, Garrett Greenan, MD2, Harris Naina, MD3, Adam Harris4, Stomach Cancer Justin Philip, PA-C2, Lauren Phillips, MD2; 1. Baylor Scott & White Health, Ali Aamar, MD, Mohamed Barakat, MD, Khalil Aloreidi, MD, Evangelos Dallas, TX; 2. University of Texas Southwestern Medical Center, Dallas, TX; Tsipotis, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, 3. Texas Oncology, Dallas, TX; 4. Highland Park Middle School, Dallas, TX Brooklyn, NY P2708. Vanek's Tumor: A Rare Presentation of Abdominal Pain and Reflux P2697. Gastritis After Combination Ipilimumab and Nivolumab: A Rare Disease Adverse Event After Immunotherapy Andrew Mertz, MD, Zachary Junga, MD, Mark Damiano, MD; Walter Reed Noah Mahpour, MD1, Vicky Bhagat, MD, MPH1, Avik Sarkar, MD2; 1. Robert National Military Medical Center, Bethesda, MD Wood Johnson Medical School, Rutgers University, New Brunswick, NJ; 2. Robert Wood Johnson University Hospital, New Brunswick, NJ P2709. Abdominal Pain in a Patient With Anorexia Nervosa Kailash Lal, DO, MBA1, Isabella Slaby2, Drew Chiesa, DO3; 1. Rowan P2698. Intragastric Balloon Hyperinflation: A Rare Cause of a Palpable University School of Osteopathic Medicine, Stratford, NJ; 2. Rowan Abdominal Mass School of Osteopathic Medicine, Turnersville, NJ; 3. Jefferson Health, Ahmad Najdat Bazarbashi, MD1, Benjamin N. Smith, MD2, Christopher C. Turnersville, NJ Thompson, MD, MHES3; 1. Brigham and Women's Hospital, Somerville, MA; 2. Brigham and Women's Faulkner Hospital, Boston, MA; 3. Brigham P2710. Gastric Amyloidosis With Arteriovenous Malformation: A Rare and Women's Hospital, Boston, MA Etiology of Upper GI Bleeding Srilaxmi Gujjula, MD1, Mohamed Barakat, MD1, Khalil Aloreidi, MD1, Philip P2699. Not for Human Consumption: Caustic Ingestion Causing Delayed Xiao, MD1, Nicholas Boire, ScM2, Madhavi Reddy, MD, FACG1, Krishna Gastric Outlet Obstruction C. Gurram, MD1; 1. The Brooklyn Hospital Center, Brooklyn, NY; 2. St. Joy I. Wang, MD, Patrick Chen, DO, Sangeeta Agrawal, MBBS; Wright George’s University, Brooklyn, NY State University Boonshoft School of Medicine, Dayton, OH P2711. Double Pylorus in a Patient With Alcoholic Cirrhosis and P2700. Nutritional Deficiencies in a Patient With Roux-en-Y Gastric Intractable Vomiting Bypass Surgery Farah Deshmukh, MD, Peter Francisco, MD, Nancy Merrell, MD; Bassett Abdul Al-Douri, MD1, Jessica Chambers, MD1, Jaison John, MD2; 1. Medical Center, Cooperstown, NY University of Texas, Austin, TX; 2. University of Texas Dell Medical School, Austin, TX P2712. Abdominal Pain Unveils a Gastric Psammoma Fascinoma  Presidential Poster Award P2701. A Cytomegalovirus Masquerade Patrick Harris, MD1, Jennifer Winters, FNP1, Sameer Al Diffalha, MD2, Souleymane Y. Diallo, DO, MBA1, Muhammad Haris, MD1, Karthik Garapati, Frederick H. Weber, Jr., MD1; 1. University of Alabama at Birmingham, MD2, Allan L. Parker, DO1, Charles Brady, MD1; 1. University of Texas Health Birmingham, AL; 2. University of Alabama at Birmingham School of Science Center, San Antonio, TX; 2. University of Texas Health, San Medicine, Birmingham, AL Antonio, TX P2713. Autoimmune Hemolytic Anemia and a Gastric Mass in a Patient P2702. A Case Report of Co-Existing Helicobacter pylori and Clostridium With Acute Epstein-Barr Virus difficile Infections: The Need for Treatment Guidelines  Presidential Poster Award Fatimah O. Bello, MD, MPH1, Arturo Suplee Rivera, MD2, Henry R. Herrera, Cesar J. Rosa, DO, Daniel Foster, MD, Joshua Fenderson, MD, Misty Jr., MD3; 1. University of Texas Rio Grande Valley, Edinburg, TX; 2. Thompson, MD, Paul Gonzales, MD; Brooke Army Medical Center, San University of Texas Rio Grande Valley, McAllen, TX; 3. Doctors Hospital at Antonio, TX Renaissance, Edinburg, TX

182 \ 2019 Annual Scientific Meeting & Postgraduate Course ACG 2019 EXHIBIT HALL

The science and technology of medicine is ever-changing and advancing the practice of gastroenterology. Showcasing these latest advances in technology and therapeutics is the ACG 2019 Exhibit Hall where more than 150 companies will display and demonstrate their products and services. With the variety of exhibitors expected to participate, there are EXHIBIT HALL HOURS certain to be displays of interest for all attendees. Companies that exhibit include pharmaceutical manufacturers, medical Sunday, October 27 ...... 3:00 pm – 7:00 pm instrument suppliers, research companies, technology  Opening Welcome Reception . . . . . 5:15 pm – 7:00 pm companies, publishers, non-profit organizations, recruiters, and many others. Monday, October 28 ...... 10:00 am – 4:45 pm Immediately following the conclusion of the Postgraduate Course on Sunday, October 27, join colleagues for the ACG Tuesday, October 29 ...... 10:00 am – 4:30 pm 2019 Opening Welcome Reception in the Exhibit Hall from 5:15 pm – 7:00 pm. The reception will feature hors d'oeuvres and refreshments. This casual social gathering will give all attendees the opportunity to explore the Hall, meet with exhibitors, and network and mingle with fellow professionals.

ACG 2019 EXHIBITORS INCLUDE

• AbbVie (Creon) • Diagnostic Solutions Lab • Happy Colon Foods LLC • Physicians Endoscopy • AbbVie (Humira) • DIEM Labs LLC • Hayes Healthcare • Practical Gastroenterology • AbbVie (Mavyret) • Digestive Care, Inc. • Hobbs Medical, Inc. • PracticeLink • Adler Micromed, Inc. • Diversatek Healthcare • IFFGD • Prometheus Laboratories Inc. • Alfasigma • eClinicalWorks • IM HealthScience • ProVation Medical • Allergan • EndoGastric Solutions • Inform Diagnostics • QDX Pathology Services • Alnylam Pharmaceuticals • EndoMune - Medical Care • Intercept • QOL Medical, LLC • Altus Infusion Innovations, Inc. • Interpace Diagnostics • Quintron Instrument Company • American Association for the • EndoSoft • Janssen Biotech, Inc. • Redfield orporationC Study of Liver Diseases • EndoTherapeutics, Inc. • LabCorp • RedHill Biopharma • American College of • Epigenomics • Mayo Clinic • ResiCal, Inc. Gastroenterology • epocrates • MD-Reports/ Infinite Software • Restech - Mederi-RF • American • ERBE USA, Inc. Solutions, Inc. • Salix Neurogastroenterology & • Ethicon - LINX Reflux • Medtronic Motility Society • Saneso Inc. Management System • Merit Medical Endotek • AnX Robotics • Sanford Health • Exact Sciences • Micro-Tech Endoscopy • Aurora Diagnostics • Sanguine Biosciences • ExeGi Pharma • Millennium Physician Group • Boston Scientific • Shionogi Inc. • Ferring Pharmaceuticals • Modernizing Medicine • Braintree - A Part of Sebela • SLACK Incorporated/Healio • FUJIFILM Medical Systems Gastroenterology/gMed Pharmaceuticals • STERIS / US Endoscopy U.S.A., Inc. - Endoscopy • Mother to Baby pregnancy • Cairn Diagnostics • Sutter Medical Group Division studies conducted by The • CDx Diagnostics • Gastro Health Organization of Teratology • Takeda Pharmaceuticals U.S.A., Inc. • ChiRhoClin, Inc. • Gastroenterology & Endoscopy Information Specialists • Clear Passage Therapies, LLC News • Motus GI • Teleflex • Colon Cancer Alliance • Gastroenterology & Hepatology • MPLT Heathcare • The Standard Co., Ltd. • Compulink Healthcare • Genesis Laboratory • Nextservices, Inc. • UCB, Inc. Solutions Management • Officite • Wolters Kluwer - ProVation Medical, Inc. • ConMed • GI & Hepatology News • Olympus America Inc. • World Gastroenterology • Cook Medical • GI Pathology, PLLC • Ovesco Endoscopy USA, Inc. Organisation (WGO) • CorePath Laboratories • Gilead Sciences, Inc. • Peacehealth • coVita • GIQuIC • Pentax Medical • CRH Medical • Gluten Detective by Glutenostics • Pfizer

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

Please do not resubmit abstracts already considered during the regular 2019 abstracts review process.

Deadline to submit late-breaking abstracts:

TUESDAY, SEPTEMBER 3, 2019 11:59 pm Eastern Time

acgmeetings.gi.org/late-breaking-abstracts

184 \ 2019 Annual Scientific Meeting & Postgraduate Course Join Your ACG MOBILE: ACCESS KEY RESOURCES GI Colleagues at ACG 2019 at the point of care ACG 2019 pre-registration deadline Friday, October 18th, 2019 REGISTER ONLINE AT: ACGMEETINGS.GI.ORG

 Cutoff Date for Hotel Reservations at the Group Rate: WEDNESDAY, OCTOBER 2, 2019 TABLE of CONTENTS Message from the ACG President...... 1 General Information Schedule-at-a-Glance...... 2 Registration and Pricing Information...... 4 General Information...... 6 Housing and Travel Information...... 7 Explore San Antonio and More...... 9 Special Events & Receptions...... 10 ACG Auxiliary Events and Tours...... 11 GI Fellows-in-Training Events...... 12 Featured Lectures...... 13 Hands-On Endoscopy Workshop Center...... 14 Educational Programs Needs Assessment, Faculty Disclosure Requirements...... 15 Three-Day Clinical Review Overview...... 17 Friday Courses: • GI Pathophysiology Course...... 18 • What’s New in GI Pharmacology Course...... 19 NEW DECISION SUPPORT TOOLS • Roadmap for a Successful Community or for ACG CLINICAL GUIDELINES Academic GI Practice Course...... 20 • ASGE Postgraduate Course...... 22 Developed in partnership with EvidenceCare Annual Postgraduate Course...... 25 Annual Postgraduate Course Faculty Listing...... 30 Acute Diarrheal Infections Gastroesophageal Reflux Disease (GERD) Annual Scientific Meeting...... 31 Mark S. Riddle, MD, DrPH, FACG Philip O. Katz, MD, MACG Annual Scientific Meeting Faculty Listing...... 42 Poster Presentations Anorectal Disorders Helicobacter pylori (H. pylori) Infection Poster Presentation Times...... 44 William E. Whitehead, PhD, MACG William D. Chey, MD, FACG Sunday, October 27, Posters P0001 – P0905...... 45 Monday, October 28, Posters P0906 – P1809...... 91 C. difficile (Pseudomembranous Colitis) Lower GI Bleeding Tuesday, October 29, Posters P1810 – P2713...... 137 Christina M. Surawicz, MD, MACG Lisa L. Strate, MD, MPH, FACG Exhibit Hall...... 183 Dyspepsia Small Bowel Bleeding Paul Moayyedi, MB, ChB, PhD, MPH, FACG Jonathan A. Leighton, MD, FACG Deadline to submit late-breaking abstracts: TUESDAY, SEPTEMBER 3, 2019 11:59 pm Eastern Time DOWNLOAD THE ACG MOBILE APP acgmeetings.gi.org/late-breaking-abstracts Download the app via Google Play or Apple App Store. worldcongressACG2017.orgSee page 184 for more information. AMERICAN COLLEGE OF GASTROENTEROLOGY Annual Scientific Meeting & Postgraduate Course

Preliminary Registration Program

acgmeetings.gi.org OCTOBER 25–30, 2019 | Henry B. Gonzalez Convention Center, San Antonio, TX