WORLD GASTROENTEROLOGY NEWS Climate Change And

Expert Point of View

2020 Marks the 25th Anniversary of e-WGN!

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

VOL. 25, ISSUE 1 MAY 2020 Climate Change and Gastrointestinal Health. In this issue Time to Educate and Advocate

Desmond Leddin, MB, MSc, FRCPI, FRCPC Adjunct Professor Internal Medicine (Gastroenterology), Dalhousie University Chair, WGO Clinical Research Committee Canada Gastroenterology Practice in COVID-19 Epidemic Lu Xia, MD, PhD Finlay Macrae, MD, MBBS, FRACP, MWGO Kaichun Wu, MD Professor of Medicine, University of Melbourne Chair, WGO Training Centers Committee Australia

The world empathizes with the Australian people and grieves the loss of human life, Tribute to Professor Meinhard Classen, flora, fauna and habitat. We are connected to our Australian colleagues not only by our WGO President, 1998-2002 shared distress but by the air which we breathe, as evidenced by the National Aeronauti- * 12 August 1936; † 6 October 2019 cal and Space Administration satellites, which show smoke from the fires circumnavi- gating the globe.1 Bushfires are a normal feature of the Australian climate. However, the severity of the fires and their extent so early in the season is outside the norm. Extreme climate events,2 sustained high temperatures, and dry conditions are a feature of global warming. It is not unreasonable to posit a link between rising global temperature and the fires devas- tating parts of south eastern Australia. One of the events of 2019 was the emergence of a global movement, inspired in part by the Swedish teen Greta Thunberg, demanding action on the climate crisis. It was 1896 when another Swede, Svante Arrhenius, published a landmark paper3 in which he theorized that increasing CO2 concentrations in the atmosphere, as a result of industrial output, would lead to a rise in atmospheric temperature. CO2 is one of the greenhouse gases (GHG). Its molecular structure allows it to capture solar energy which would have been reflected back from the earth into space. As energy is absorbed by CO2 it leads to an increase in atmospheric temperature. Since the start of the industrial revolution humans have put 900 billion tons of CO2 into the atmosphere.2 Most of the CO2 originates from our preferred energy source, fossil fuels. The oceans have absorbed some of this, but much has remained in the air. At the start of the industrial revolution the concentration of CO2 in the atmosphere was about 280 ppmv (parts per million by volume). It has risen every year since 1958, when continu-

Continued on page 4 2 WORLD GASTROENTEROLOGY NEWS MAY 2020

Contents

VOL. 25, ISSUE 1 Expert Point of View Editors Climate Change and Gastrointestinal Health. Anita Afzali, MD, MPH, FACG Time to Educate and Advocate 1 Abercrombie and Fitch Endowed Chair in Desmond Leddin, MB, MSc, FRCPI, FRCPC Inflammatory Bowel Disease Finlay Macrae, MD, MBBS, FRACP, MWGO Wexner Medical Center The Ohio State University Columbus, Ohio, USA Gastroenterology Practice in COVID-19 Epidemic 7 Lu Xia, MD, PhD Kaichun Wu, MD

Mário Reis Álvares-da-Silva, MD, PhD Editorial Professor of Hepatology Hospital de Clinicas de Porto Alegre Universidade Federal do Rio Grande do Sul Message from the Editors 11 Porto Alegre, Brazil Mário Reis Álvares-da-Silva, MD, PhD Anita Afzali, MD, MPH, FACG

Gastro 2020 e-WGN Editorial Board • Dan Dumitrascu, Romania Gastro 2020 Prague: Registration and abstract • Sara Elfadil, Sudan submission is open! 12 • Ernst Fredericks, South Africa • Waseem Hamoudi, Jordan • Nassir Alhaboob Arabi Mohammad, Sudan WDHD News • VG Naidoo, South Africa • Alejandro Piscoya, Peru WDHD 2020: Message from the Co-Chairs 13 • Naoya Sakamoto, Japan Eamonn MM Quigley, MD • Murat Saruç, Turkey Uday C. Ghoshal, MD • Michael Schultz, New Zealand • Walid Sweidan, Palestine • Lu Xia, China 2020 WDHD: Gut Microbiome: A Global Perspective 14 Managing Editor James Melberg, WGO Program Manager Art Production World Digestive Health Day 2019 in Odisha, India 16 Jennifer Gubbin Shivaram Prasad Singh, MBBS, MD, DM, FSGEI, FACG, AGAF, FRCP [Edin] FRCPS [Glasgow] Editorial Office Reshu Khandelwal, MD WGO Executive Secretariat 555 East Wells Street, Suite 1100 Milwaukee, WI 53202 USA [email protected]

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Contents

WGO & WGOF News 38th Annual General Meeting / Scientific Meeting of The Hong Kong Society of Gastroenterology 36 A Celebration of the World Congress of Gastroenterology in Istanbul! 19 “No Stomach for Cancer” Awareness in India 37 Carolina Olano, MD M. S. Revathy, MD Sedat Boyacioglu, MD 2019 World Hepatitis Day Celebrated in Richard Kozarek, MD, MWGO is the Cities Across Nigeria 38 2019 WGO Henry L. Bockus Medal Recipient 22 Olusegun Isaac Alatise, FWACS

Michael Fried, MD, MWGO is the Single Topic Conference of the Philippine Society of 2019 WGO Georges Brohée Medal Recipient 23 Gastroenterology 39

WGO Announces Recipients of the The International Association of Pancreatology Masters of the WGO (MWGO) Award 24 Congress 2019 (IAP) & ASSA SAGES 2019 Congress -- Delegates perspective 40 Women in GI Symposium 26 Gasim Ibrahim Gasim, MD Christina Surawicz, MD Wamda Abuelhassan, MD

A Recognition of New Knowledge, Revival of New Ideas UEG Week Barcelona 2019 42 and Acquaintances with Impressive People 27 Talant Salamakunov, MD UEG Week 2020 44

World Congress of Gastroenterology WGO Global Guidelines – A View from South Africa 29 Ahmed Almradi WGO Guidelines and Cascades News 45

WCOG Testimonial from Turkey 30 Calendar of Events Halima Shukurzade Calendar of Events 46 WGO Welcomes Two New Member Societies! 31

Tribute to Professor Meinhard Classen, WGO President, 1998-2002 32

Continued from first page ous measurements were first made, and is currently over 410 ppmv, a concentration which has not been seen in the last 800,000 years.4 In 1988, in response to increasing concerns about global warming, the United Nations and the World Me- teorological Association formed the Intergovernmental Panel on Climate Change (IPCC). The IPCC does not perform independent research but gathers the evidence as it emerges, impact of climate change varies not Climate change has many aspects brings scientists together, and issues only by geography but by population. one of which is that it is a major reports which inform decision makers. It is complex but the report spells out health issue. Gastrointestinal health In 2005 the UK government anticipated changes by region. is vulnerable to climate change in a convened a meeting which agreed that Why is climate change referred number of ways. Given that develop- holding warming to 2˚C was a reason- to as a climate crisis? The IPCC ing world countries will be severely able target. Below 2˚C it was felt that projections have limitations. Some affected by climate change and that there would be winners and losers but parts of the world have limited data their health systems already struggle above 2˚C we all lose. There is now points, the timeline over which some with demand, we can predict that the strong evidence that global mean tem- measurements are available is short. challenges will be most pronounced perature has risen by about 1˚C com- The projections are, therefore, given there. pared to the preindustrial age and that with varying degrees of certainty. The Nutrition and malnutrition are this rise in temperature is related to projections have been criticized for core issues in gastroenterology. Food rising levels of CO2 and other gases in being too optimistic thereby fueling security will be affected by rising tem- the atmosphere5. The extreme events complacency and postponing mean- peratures and changing precipitation. in Australia are occurring at half the ingful action. In addition, there are The effects will vary by geographic temperature rise which was felt to be tipping points in ecological systems location and crop type. Some areas, an acceptable target. This does not which may trigger catastrophic feed- such as those in high latitudes, may 6 bode well for the consequences of the back loops. The Canadian Arctic, experience increased crop yields but next 1˚C rise. for example, is warming at twice the overall as temperature rises, yields will Our response to this rising tem- global average. Biological material fall. The IPCC report concluded that perature has been tepid. We are not currently sequestered in permafrost is “increasing global temperature poses decreasing CO2 output but increasing being released as CO2 and the even large risks to food security globally it, year over year. Consequently we are more powerful GHG, methane. This and regionally, especially in low lati- 7 on track to go beyond a global mean leads to a rise in temperature and even tude areas” . More than 815 million rise of 1.5˚C by the end of the decade, more GHG release. Permafrost emis- people were undernourished in 2016. or sooner. sions, even with low temperature rises, Many millions more will be at risk of The IPCC has reported on the could be as much as 100 billion tons. starvation or malnutrition as tempera- effects which will be seen at a rise of There are many other systems whose tures rise. 1.5˚C and 2.0˚C. Physicians should collapse may trigger catastrophic Access to adequate amounts of make themselves familiar with this cascades including the Arctic, Ant- clean water is essential to human since there are major health implica- arctic and Greenland ice sheets, the health. Contaminated water is a tions which will affect every nation. Amazon rainforest, and the Atlantic potent source of infection, contribut- The report is comprehensive and Gulf stream circulation. Humani- ing to diarrheal illness with resultant dense, but the executive summary ties ability to determine the future of morbidity and mortality, especially in is easily read. The world is not a ho- our climate may be taken out of our children in developing countries. The mogenous place in terms of current hands very quickly and without much effects of chemical contamination are climate, socioeconomic status, infra- more warning than we have already less well known but are important. structure and ability to adapt. The been given. We do not know, for example, the ef- 5 WORLD GASTROENTEROLOGY NEWS MAY 2020

fects which run off of chemicals used, with limited tolerance for extreme The oceans cover over 70% of the or released, in the Australian fires will events. Evidence continues to grow earth’s surface and have thus far lim- have on water supplies. The IPCC but there is concern that the frequen- ited the rise in atmospheric tempera- estimates that 80% of the world’s cy of heavy rainfall events will increase ture and CO2 levels. The oceans are population already suffers from seri- in many areas.11 Reports of outbreaks now at the warmest ever recorded in ous threats to its water security.8 The of gastrointestinal illness associated human history.14 Warm water expands IPCC also estimates that over the next with high effluvial events are appear- and this combined with increased ice decades that changes in population ing from both developed and develop- cap runoff has led to a rise in ocean (growth, density, migration to cities) ing countries.12 level. Changing water temperature will have a greater effect than climate Infrastructure is critical to the contributes to ecosystem loss, migra- change but that climate change will delivery of gastrointestinal care in tion of fish with resultant loss of exacerbate this. Based on some stud- many countries. Gastroenterology aquatic food sources and bleaching ies an additional 8% of the global procedures require buildings, electric- of reefs. Changing water level will population will experience a severe ity, and clean water. Severe storms can physically threaten low lying islands reduction in water resources at 1.7˚C destroy infrastructure and cause health such as those of the South Pacific, lead degrees of warming.9 care disruption. Hurricane Katrina to a loss of coastal arable land, and In 2014 the IPCC issued its fifth impacted one of the wealthiest coun- contamination of groundwater. assessment report (AR5) and con- tries in the world with virtual collapse As temperature rise alters habitats, cluded that there was low confidence, of care in a major urban center. Sur- there will be changes in the distribu- due to limited evidence, that an- prisingly the evidence linking global tion of some GI diseases. For example, thropogenic (human driven) climate warming to the frequency of tropical the Baltic Sea is an increasingly fertile change has affected the frequency and cyclones (hurricanes and typhoons) ground for the emergence of cholera.15 magnitude of floods10. That report is not convincing.13 With regard to The Vibrio organism thrives in warm also concluded that drought frequen- storm intensity however, most studies water of reduced salinity. Warming cy has changed over the last decades. report an increase in the occurrence temperatures in the Baltic combined It is projected that drought, especially of very severe storms in particular with increased freshwater runoff in the Mediterranean basin and West for the North Atlantic, North Indian are combining to produce favorable Africa will increase. and South Indian ocean basins. These conditions. When precipitation occurs, it is intense storms are hugely destructive Solutions to the crisis are possible generally preferable that it occurs and can cripple health care systems, but complex. They involve reducing spaced out over time rather than in bringing the practice of diagnostic GHG emissions, removing GHG torrential downpours. Water treat- and therapeutic gastroenterology to from the atmosphere and mitigating ment and sewage systems are designed a halt. the damage which is already under way. How can we persuade the developed world to reduce its emissions? How can developing world nations, which have not proportionately contributed to the crisis, be asked to restrict growth in the face of their citi- zens ongoing poverty and deprivation? Developing world countries can, quite rightly, point out that they are not re- sponsible for the current load of GHG and they may not accept restrictions on growth. Developed nations may not be willing to accept a reduction in their standard of living. As physicians our input on these issues will be limited, but important. We can do what we do well - educate and advocate. We can change our own 6 WORLD GASTROENTEROLOGY NEWS MAY 2020

behavior 16, and urge our peer organi- 5. Allen, M.R., O.P. Dube, W. 7. Ove Hoegh-Guldberg et al. IPCC. zations to form climate action groups. Solecki, F. Aragón-Durand, W. Global warming of 1˚5. Cross We as WGO can educate ourselves Cramer, S. Humphreys, M. Kai- Chapter Box 6. Food security. and others, we can speak as advocates numa, J. Kala, N. Mahowald, Y. Page 238 for our populations and lobby our Mulugetta, R. Perez, M. Wairiu, 8. Ibid. 3.4.2.1. page 213 political leaders to move from alarm and K. Zickfeld, 2018: Framing 9. Ibid. 3.4.2.1. page 213. to action. We can contribute to the and Context. In: Global Warming 10. Ibid. 3.4.2.2. page 214 research gaps in the area of health and of 1.5°C. An IPCC Special Report 11. Ibid. 3.3.3.1 page191 climate. on the impacts of global warming 12. Chhetri et al. Projected local rain It is late in this crisis, but it may not of 1.5°C above pre-industrial levels events due to climate change and yet be too late. Silence on this issue and related global greenhouse gas the impacts on waterborne diseases from the Gastroenterology commu- emission pathways, in the context in Vancouver, British Columbia, nity is no longer a reasonable stance. of strengthening the global response Canada. Environmental Health to the threat of climate change, (2019) 18:116 References sustainable development, and efforts 13. IPCC. Global warming of 1.5˚C. 1. NASA. www.nasa.gov/feature/god- to eradicate poverty [Masson-Del- Ibid. 3.3.6. page 203 dard/2020 motte, V., P. Zhai, H.-O. Pörtner, 14. Cheng, L., Abraham, J., Zhu, J. et 2. Costello A et al. The Lancet Com- D. Roberts, J. Skea, P.R. Shukla, al. Record-Setting Ocean Warmth missions. Volume 373, Issue 9676, A. Pirani, W. Moufouma-Okia, Continued in 2019. Adv. Atmos. P1693-1733, May 16, 2009. Lan- C. Péan, R. Pidcock, S. Connors, Sci. 37, 137–142.2020 cet and University College London J.B.R. Matthews, Y. Chen, X. 15. Craig Baker-Austin et al. Emerg- Institute for Global Health Com- Zhou, M.I. Gomis, E. Lonnoy, ing Vibrio risk at high latitudes in mission. T. Maycock, M. Tignor, and T. response to ocean warming. Na- 3. On the Influence of Carbonic Waterfield (eds.)]. In Press. ture Climate Change. Published Acid in the Air upon the Tem- 6. Timothy M. Lenton, Johan online 22 July 2012. perature of the Ground. Svante Rockstrom, Owen Gaffney, Stefan 16. Williams JA, Kao JY, Omary Arrhenius. Philosophical Magazine Rahmstorf, Katherine Richardson, MB. Gastroenterology. 2020 and Journal of Science Series 5, Will Steffen & Hans Joachim Jan;158(1):14-17. How Can In- Volume 41, April 1896, pages Schellnhuber. Climate tipping dividuals and the GI Community 237-276 points — too risky to bet against. Reduce Climate Change? 4. Scripps Institute. https://scripps. Nature. Vol 575. 28 November ucsd.edu/programs/keelingcurve/ 2019. 592-595 7 WORLD GASTROENTEROLOGY NEWS MAY 2020

Gastroenterology Practice in COVID-19 Epidemic

der HNO-Heilkunde. Ein besonderes Lu Xia, MD, PhD Augenmerk gilt den Auswirkungen Department of Gastroenterology auf die HNO-Untersuchung und auf Shanghai Jiahui International Hospital HNO-ärztliche Operationen. Shanghai, China [email protected] the role of anosmia and hyposmia as a potential COVID-19 related symptom is presented. About 40% of anosmia cases occur after the Kaichun Wu, MD infection, according to a statement Department of Gastroenterology published online on March 21 by Xijing Hospital, Fourth Military Medical University Xi’an, China ENT UK6,7. As the SARS-CoV-2 [email protected] can be isolated in feces by culture and rRT-PCR8,9, attention should be paid to feces contaminated environment that may lead to contact or aerosol transmission The pandemic of coronavirus disease Clinical Practice in and the protection from the fecal 2019 (COVID-19), caused by severe Gastroenterology in COVID 19 contamination should be provided acute respiratory syndrome coronavi- Epidemic to medical staff treating the suspected COVID patients with GI rus 2 (SARS-CoV-2), first reported in Patients with COVID-19 may 10 China in mid-December 2019, now complain of digestive symptoms such problems . affects the whole world. As of March as poor appetite, nausea, vomiting, During the epidemic in China, 23, 2020, more than 332,930 labora- diarrhea, abnormal liver enzymes, or patients admitted to emergency, tory confirmed cases globally and exacerbation of symptoms or disease general, and digestive specialist clinics more than 14,510 deaths in over 100 activity for pre-existing digestive are obligated to check for suspected countries had been reported1. Global diseases such as inflammatory bowel COVID-19 by reporting exposure research work on COVID-19 ranges disease (IBD)3-5. Loss of smell follow- history, taking body temperature, from finding out where the virus came ing a viral infection is the second most doing NP swab for PCR and chest from, the modes of transmission, common cause of smell loss, probably CT to control cross-infection. Medi- quick diagnosis and the treatment. accounting for about 12% of all cases, cal staff should have corresponding COVID-19 is mainly manifested ENT surgeons across the globe have knowledge, improve the triage and as pneumonia and can also cause shared reports that they have seen consultation process, and pay atten- digestive symptoms and damage to patients reporting anosmia suggesting tion to the screening of potential digestive organs2. The main clinical Die Übersichtarbeit fasst die aktuel- COVID-19 patients. Physicians issues related to the digestive system len Erkenntnisse der Auswirkung der should implement the first diagnosis include whether there is a fecal-oral COVID-19 Pandemie für die Arbeit responsibility system to achieve early transmission route, management of der HNO-Ärztin und des HNO-Arz- diagnosis, early isolation, and stan- gastrointestinal (GI) symptoms related tes zusammen. Die aktuell diskutierte dardized management. Any patients to COVID-19, and adverse reactions Rolle einer Anosmie oder Hyposmie coming to hospital with fever will of the therapeutic drugs, nutrition als COVID-19 assoziiertes Symptom be screened by isolated fever clinic. support in COVID-19 treatment and wird dargestellt. Wir diskutieren das Suspected and confirmed cases, the infection control of digestive en- klinische Management aller HNO- no matter if they have GI diseases, doscopy during COVID-19 epidemic. Fälle, aber insbesondere von COV- should be isolated and treated at ID-19 erkrankten Patienten aus Sicht designated hospitals with effective 8 WORLD GASTROENTEROLOGY NEWS MAY 2020

isolation, protection and preven- dehydrogenase. Although published symptoms, nutritional assessment tion conditions in place. A suspect literature and data from various cen- can be performed. If the patient has case should be treated in isolation ters differ, GI symptoms and mani- gastrointestinal lesions and cannot in a single room. Confirmed cases festations are a clinical component of tolerate enteral nutrition, parenteral can be treated in the same room. COVID-195,11. nutrition can be added to maintain Take Wuhan, the hardest-hit city The pathogenesis of COVID-19 a normal energy supply. Once the in central China’s Hubei Province related damages is unknown to the risks affecting enteral nutrition are as example, there are 14 tempo- digestive system. Limited autopsy and removed, enteral nutrition should be rary hospitals transformed from puncture pathology report damage in restored as soon as possible, and oral the city’s venues, were the key to the esophagus, stomach, intestine, and eating should be encouraged11. prevent the spread of the virus. liver12. In addition to hypoxia caused For those who cannot orally intake They housed over 13,000 beds by pneumonia, inflammation of the (such as receiving mechanical ventila- exclusively for patients with mild systemic system, and adverse drug tion), the nasogastric tube for enteral symptoms and provided timely reactions, direct viral binding and en- nutrition is necessary. If the patient treatment. Wuhan’s best tertiary 48 tering to human cells through angio- is at high risk of aspiration or cannot hospitals were designated to treat tensin converting enzymeⅡ(ACE2) tolerate nasogastric tube feeding, a critical patients. There is a consensus may induce the damage. ACE2 nasojejunal tube can be placed for published by the Chinese Society of is expressed in respiratory organs, feeding. If parenteral nutrition is used Gastroenterology under the Chinese esophagus, small intestine and the before the patient’s enteral nutrition Medical Association for gastroenter- colon as well13. Whether SARS-CoV-2 is implemented, the initial treatment ologists in China guiding some major directly affects target organs of the of enteral nutrition should be based issues in digestive system related to digestive tract through ACE2 and on low energy, small doses, multiple COVID-198. causes corresponding symptoms needs feedings, and gradually transition to To reduce the clinical visits, most further study. full energy to reduce gastrointestinal of the health providers in China COVID-19 related diarrhea reactions or intolerance. opened the online consultation for the COVID-19 related diarrhea most patients who need professional advice often occurred 1 to 8 days after the Liver injury and the follow up consultation of onset, with a median time of 3.3 days. The incidence of liver injury in CO- chronic disease management nation- Some patients had diarrhea as the first VID-19 can reach 39.1% to 43.4%. wide. The online consultations are free symptom, and the diarrhea lasted for Lab tests on admission day showed to patients to encourage the patients 1-14 days with 34.3% of diarrhea 39.1% of patients had slight increase accept new model of clinical service. appearing watery. There were 6.9% of in alanine aminotransferase (ALT), patients who showed abnormal stool aspartate transaminase (AST), or Main clinical manifestations of test, and 5.2% were positive for white bilirubin. In addition, the propor- COVID-19 in digestive system blood cells in the stool microscopi- tion of patients with abnormal liver The impact of COVID-19 on cally2,4,5. When COVID-19-related function was significantly higher in digestive system results in a variety diarrhea is diagnosed or suspected, it critical cases than that of non-critical 14,15 of symptoms and changes, more should always be distinguished from ones (67.4% vs. 34.1%) . The common in middle-aged and elderly drug-induced diarrhea and other liver damage of COVID-19 may be people. The most common clinical comorbidities as many of the antiviral due to transient hepatocyte dam- manifestations are fever (88.7%) and agents such as arbidol, chloroquine age of this coronavirus. Whether or cough (67.8%). The digestive system phosphate, lopinavir and ridcivir not SARS-CoV-2 impairs the liver manifestations include loss of appetite even including traditional Chinese and bile duct cells expressing ACE2 (39.9% to 50.2%), diarrhea (2.0% medicine may cause adverse reactions is not clear. Antiviral therapy drugs to 49.5%), nausea (1.0% to 29.4%), like diarrhea. been tried to treat COVID-19 such vomiting (3.6% to 15.9%), abdomi- as lopinavir, ritonavir, ribavirin, or nal pain (2.2% to 6.0%) and gastro- Nutrition support in the COVID-19 traditional Chinese medicine may intestinal bleeding (4.0%) which may treatment cause drug-induced liver injury. So do occur in severe cases. On admission, About 80% of patients with CO- the antipyretic and analgesics used for 39.1% of patients had liver enzyme VID-19 are mild without eating antipyretics, combined with antibiot- abnormalities of varying degrees, problem. For patients with severe ics used for bacterial infections such as and 39.9% showed elevated lactate COVID-19 with gastrointestinal quinolone, cephalosporins. Other rea- 9 WORLD GASTROENTEROLOGY NEWS MAY 2020

sons for hepatic impairment may exist The Chinese IBD Committee, ic treatment of biliary pancreatitis. during COVID-19 such as dyspnea branch of the Chinese Society of The endoscopic center of the epi- resulted in chronic hypoxia. Most of Gastroenterology has published a demic area is conditionally arranged the COVID-19-related liver injuries consensus about the management of according to the clean area, buffer are in mild degree (not more than patients with IBD during the epi- zone, and polluted area, and the staff two times above the normal value), demic of COVID-19 in early Febru- flow should be separated from the and only need close watch without ary, with recommendations including patient flow. Prior to any procedure, intervention. the susceptibility of IBD patients COVID-19 screening is performed There is only one case reported a to SARS-CoV-2 infection, manage- first, including body temperature, patient with hepatocellular carcinoma ment strategy for patients with active blood routine, lung CT, nasopharyn- (HCC) who underwent liver trans- IBD and in remission, safety of the geal swab nucleic acid test, SARS- plantation and experienced CO- medication and endoscopy, deal with CoV-2 specific antibody test, etc. If VID-19 infection during the periop- IBD patients infected with SARS- the initial screening is negative, the erative period16,. While recipients of CoV-2 or attacked by COVID-19. medical staff should wear surgical liver transplants need to be under the Some academic organizations such as masks or medical protective masks, treatment of immune suppressants, ECCO and CCF also published the disposable hats, gowns and shoe cov- which makes the patients higher sus- related recommendations19,20. For IBD ers, goggles and / or protective face ceptibility to SARS-CoV-2 infection. patients on steroids, immunosuppres- shields, and rubber gloves according Moreover, the mortality of liver-trans- sants and/or biologics, it is strongly to the secondary protection stan- planted recipient with COVID may recommended that unnecessary travel dards. If COVID-19 is diagnosed or be significantly higher than that of the and mass gatherings should be avoid- suspected, patients should be arranged general population (no data supported ed. Physicians or nurses should also for diagnosis and treatment in an yet). consider the access of health care for isolated endoscopic operating room, if IBD patients during the special epi- possible, in a negative pressure proce- IBD in COVID-19 epidemic demic prevention period and provide dure room. Medical staff should add a All population is generally susceptible adequate patient education through comprehensive respiratory protective to SARS-CoV-2. There is no data re- different platforms such as telephone, device (if no, 360° mask is required ported the incidence of SARS-CoV-2 online consultation, social media with to protect the head and neck), double infection in IBD patients but patients either the knowledge of IBD or the rubber gloves, etc. Patients who are with inflammatory bowel disease prevention of COVID-19. unable to be screened for COVID-19 (IBD), in particular those on immune due to emergency are treated as sus- suppressive agents or biologics might Digestive endoscopy service in pected cases. After the diagnosis and be immune-compromised, should fol- COVID-19 Epidemic treatment, the inspection equipment low all relevant guidelines to minimize Digestive endoscopy will directly and operating room are disinfected ac- exposure to COVID-19. There are 40 contact with the mucosal secretion cording to standards. cases of COVID-19 in IBD patients or luminal discharge, and will irritate For the patients with indications for reported globally according to the up- the throat, which can cause choking, endoscopic diagnosis, other options dated data in SECURE-IBD Registry coughing, gagging and vomiting. include capsule endoscopes or dispos- on March 23, 2020 including two High-pressure will induce the aerosol able endoscopes which do not need to deaths. Overall outcome so far appear formation and spraying to the envi- be cleaned and disinfected. similar to general epidemiology of ronment. Some procedures requiring COVID-19 is a new infectious dis- 17 COVID . During the active phase of general anesthesia or even tracheal in- ease, and its global understanding is 21 IBD, patients may show symptoms tubation will be in even higher risk . continuously deepening and evolving. such as fever and diarrhea, and may In the COVID-19 epidemic area, it According to a survey of 2,209 GI also overlap with the symptoms of is recommended to suspend elective physicians nationwide in China, the SARS-CoV-2 infection. Therefore, it procedures. Emergency endoscopic rate of awareness or correct knowledge is particularly important for patients procedures should be retained. Indica- of COVID-19 induced damage in the with IBD to be well informed with tions for emergency endoscope in- digestive system is about 31% -35%, knowledge of COVID-19 and self- clude diagnosis and treatment of acute suggesting insufficiency of the relevant management during the epidemic gastrointestinal bleeding, removal of knowledge and dynamic progress of besides the basic precautions for foreign bodies in the digestive tract, COVID-19 in physicians22. 18 protection . obstructive cholangitis, and endoscop- There are currently no proven 10 WORLD GASTROENTEROLOGY NEWS MAY 2020

therapies or vaccines for COVID-19, 6. Lüers JC, Klußmann JP, Guntinas- 15. Zhang C, Shi L, Wang FS. Liver but dozens of potential options are Lichius O. The Covid-19 pandemic injury in COVID-19: management under clinical trial and more than 30 and otolaryngology: What it comes and challenges. Lancet Gastroenter- vaccines have been developed and are down to? Laryngorhinootologie. ol Hepatol 2020; published online in the pre-clinical trial stage and two 2020 Mar 26. doi: 10.1055/a- March 4. https://doi.org/10·1016/ in clinical trial. The intense commu- 1095-2344. [Epub ahead of print] S2468–1253(20)30057–1. nication and information sharing has 7. Advice for patients with new- 16. Qin J, Wang H, Qin X,et al. led to research actions faster than ever onset anosmia during COVID-19 Perioperative Presentation of CO- before during the outbreak. As the pandemic. ENT UK at The Royal VID-19 Disease in a Liver Trans- epidemic spreads around the globe, College of Surgeons of England. plant Recipient. Hepatology. 2020 only the international cooperation, in- Mar 27, 2020 Mar 27. doi: 10.1002/hep.31257. vesting in health, and engaging com- 8. Zhu N, Zhang D, Wang W, et al. [Epub ahead of print] munities are keys to effectively tackle A novel coronavirus from patients 17. Updates and data from Secure-IBD the pandemic to fight COVID-19. with pneumonia in China, 2019. N Registry. Mar 24, 2020. https:// We are grateful to President Naima Engl J Med, 2020,382(8):727-733. covidibd.org/updates-and-data/ Amrani of the World Gastroenterol- 9. Holshue ML, DeBolt C, Lindquist 18. IBD committee of Chinese ogy Organisation for writing the letter S, et al. First Case of 2019 Novel Society of Gastroenterology. in February to encourage the Chinese Coronavirus in the United States. Managing IBD patients during Society of Gastroenterology work- N Engl J Med. 2020; 382(10):929- the outbreak of COVID-19. ing on the frontline of combating 936 Chin J Dig, 2020, 40(00) : COVID-19. 10. Mao R, Liang J, Shen J,et al. E001-E001. DOI: 10.3760/ Implications of COVID-19 cma.j.issn.0253-1432.2020.0001 Reference for patients with pre-existing 19. Crohn’s Colitis Foundation. 1. General information about CO- digestive diseases. Lancet Gas- What IBD patients should know VID 19: Coronavirus disease 2019 troenterol Hepatol 2020, S2468- about the 2019 novel coronavi- (COVID-19) Situation Report 1253(20)30076-5. doi: 10.1016/ rus (COVID-19). https://www. - 63, WHO https://www.who.int/ S2468-1253(20)30076-5. [Epub crohnscolitisfoundation.org/what- emergencies/diseases/novel-corona- ahead of print] ibd-patients-should-know-about- virus-2019/situation-reports/ 11. Consensus of Diagnosis and Treat- 2019-novel-coronavirus-covid-19 2. Wang D, Hu B, Hu C, et al. ment of digestive disorders related (accessed March 3, 2020). Clinical Characteristics of 138 to COVID-19. Natl Med J Chin, 20 ECCO. 1st and 2nd Interview Hospitalized Patients With 2019 2020; 40: E001. Published Online COVID-19 ECCO Taskforce, Novel Coronavirus-Infected Pneu- 12. Zhe X, Lei S, Yi JW, et al. Patho- published March 13 and March 20, monia in Wuhan, China. JAMA, logical findings of COVID-19 2020 online. 2020,[Epub ahead of print] associated with acute respiratory 21. Repici A, Maselli R, Colombo M, 3. Holshue ML, DeBolt C, Lindquist distress syndrome. Lancet Respir et al. Coronavirus (COVID-19) S, et al. First Case of 2019 Novel Med. 2020[2020-02-18]. pii: outbreak: what the department of Coronavirus in the United States. S2213-2600(20)30076-X. doi: endoscopy should know. Gastro- N Engl J Med, 2020,382(10):929- 10.1016/S2213-2600(20)30076-X. intest Endosc. 2020 Mar 13. pii: 936 [Epub ahead of print] S0016-5107(20)30245-5. doi: 4. Guan WJ, Ni ZY, Hu Y, et al. Clin- 13. Chen HY, Xuan BQ, Yan YQ, et al. 10.1016/j.gie.2020.03.019. [Epub ical Characteristics of Coronavirus Profiling ACE2 expression in colon ahead of print] Disease 2019 in China. N Engl tissue of healthy adults and colorec- 22. Liu H, Wang B, Liu KJ, et al. J Med, 2020, published online. tal cancer patients by single-cell A survey study on gastroen- DOI:10·1056/NEJMoa2002032 transcriptome analysis. medRxiv terologists’ knowledge about 5. Chen N, Zhou M, Dong X, et al. 2020[2020-02-15]. COVID-19. Chin J Dig, 2020, Epidemiological and clinical char- 14. Wang SH, Han P, Xiao F, et al. 40(3):DOI:10.3760/cma.j.is acteristics of 99 cases of 2019 novel Manifestations of liver injury in sn.0254-1432.2020.03.0007 coronavirus pneumonia in Wuhan, 333 hospitalized patients with China: a descriptive study. Lancet, coronavirus disease 2019. Chin J 020,395(10223):507-513. Dig, 2020, 40(3): DOI:10.3760/ cma.j.issn. 0254-1432.2020.03.000 Editorial

11 WORLD GASTROENTEROLOGY NEWS MAY 2020

Message from the Editors

Mário Reis Álvares-da-Silva, MD, PhD Professor of Hepatology Hospital de Clinicas de Porto Alegre Universidade Federal do Rio Grande do Sul Porto Alegre, Brazil

Anita Afzali, MD, MPH, FACG Abercrombie and Fitch Endowed Chair in Inflammatory Bowel Disease Wexner Medical Center; The Ohio State University Columbus, Ohio, USA

Here you have another excellent and unmissable review on COVID-19 Nigeria and present international del- e-WGN issue, thanks to our many and its consequences both on the egates’ perspectives on GI 2019 South wonderful contributors worldwide, gastrointestinal system and liver African congresses. ready for your reading in quarantine and on the management of GI/liver Last, but not least, e-WGN presents times. The two main articles talk diseases. This article, written by Profs. the 2020 World Digestive Health about present-day and worrisome Lu Xia, from Shanghai, and Kaichun Day. Gut microbiome is the very spe- problems: global warming and, of Wu, from Xi’an, was published online cial theme this year. Professors Eam- course, the current and frightening earlier on the WGO website and has mon Quigley, from USA, and Uday COVID-19 pandemic. Professors already reached thousands of hits. Goshal, from India, are the co-chairs Desmond Leddin, from Canada, and Additionally, e-WGN presents his of this important world campaign. Finlay Macrae, from Australia, have tribute to the Professor Meinhard We hope you enjoy reading this issue. done a beautiful review on climate Classen, former WGO president, Keep well and safe. change around the world and invite who passed away last October. Also, Anita and Mario. us to think about climate and health, e-WGN highlights some initiatives and, from China, comes an extensive from India, Philippines, Hong Kong, Gastro 2020

12 WORLD GASTROENTEROLOGY NEWS MAY 2020

Gastro 2020 Prague: Registration and abstract submission is open!

World Gastroenterology Organisa- WGO Joint Steering Committee As you know, Prague is a city with tion (WGO) is pleased to co-host Naima Amrani, President a unique potential to host such top its biyearly international conference, Cihan Yurdaydin, Past President international events. Gastro 2020, with the Czech Soci- Guilherme Macedo, President-elect Gastro 2020 is to be held in a ety of Gastroenterology (CSG), in brand-new spacious and multi-func- Prague, Czech Republic. CSG Steering Committee tional congress venue. Prague is easily Gastro 2020, is to be held 3-5 De- Julius Spicak, CSG Board Representa- accessible to visitors coming both cember, 2020. More information is tive from nearby and distant destinations, available on the Gastro 2020 website: Ondrej Urban, CSG President it prides itself a well-organized and https://www.gastro2020prague.org. Milan Lukas, CSG Past President efficient city transport system and This event is also co-organized Joint Scientific Program a sufficient number of hotels of all jointly by the Czech Society of Hepa- Committee categories. Last but not least, Prague tology, Czech Society of Gastrointes- has the reputation of a most attractive, Carolina Olano, Uruguay tinal Oncology, and Czech Society of friendly and safe city for tourists from Joost Drenth, The Netherlands Surgery. all over the world. Gerhard Rogler, Switzerland WGO and the CSG are pleased to We look forward to welcoming you David Sanders, UK present the Joint Steering Committee to Prague for an exciting and interac- Tomas Hucl, Czech Republic and Joint Scientific Program Com- tive meeting. Radan Bruha, Czech Republic mittee: Ilja Tacheci, Czech Republic Geoffrey Metz, Australia WDHD News

13 WORLD GASTROENTEROLOGY NEWS MAY 2020

WDHD 2020: Message from the Co-Chairs GUT MICROBIOME: A GLOBAL PERSPECTIVE

Dear Colleagues, Our gut microbiome contains tens of trillions of microorganisms and over 1,000 known species of bacteria,1 all of which have many important functions within the human body. Not surprisingly, there has been considerable interest and even more speculation on the role that gut microorganisms might play in health and disease and we, as gastroenterologists are often called upon to interpret, on behalf of our patients, the latest findings from basic and clinical research. To help us to sift through and assess this vast, complex, at times confusing and ever-increasing body of literature and provide some guidance to the practicing clinician and his/her patient, the World Gastroenterology Organization selected the Gut Mi- crobiome as the focus of the 2020 World Digestive Health Day campaign. By increasing awareness worldwide of the role that the gut microbiome may have in diagnosis, and how it can be modulated to treat disease and allay symptoms, we can affect overall human health, in particular, among low- and middle- income countries. The WGO global network of WGO member societies, partners, and sponsors is ideally positioned to work with WGO to raise the level of awareness. WGO will seek to raise awareness of the function of the gut microbiome through its annual public advocacy and awareness campaign, World Digestive Health Day. WDHD is celebrated each year on 29th May with associated events, activities, and initiatives continuing throughout and beyond the campaign year. WDHD will provide all those who care for individuals afflicted by gastrointestinal disorders, as well as the lay public with an understanding of the latest basic and clinical research in the gut microbiome and what it means for their well-being. This campaign will endeavor to inform physicians, pharmacists, allied health professionals, healthcare payors, and the public of the importance of the gut microbiome to overall health. Most especially, we want to ensure that we present information about the gut microbiome in a way that makes it clear what the benefits are and, in doing so, to counter misinformation about the gut microbiome. WGO’s task is supported by a Steering Committee with a global perspective. The Steering Committee provides expertise on the gut microbiome, guides the course of the campaign, and develops educational and training materials. In collaboration with WGO Member Societies, WGO Training Centers and Regional Affiliate Associations, the Steering Committee develops this global initiative and provides the resources to sustain the effort throughout the year. Through a multi-faceted campaign, WGO will provide simple messages for the general public in order to assist them in understanding how the gut microbiome affects the health of, not only the digestive systems, but the entire body. Sec- ondly, WGO will develop information for healthcare professionals with an emphasis on those in low-resource, developing regions of the world. Multiple informational pieces are planned and will be distributed worldwide, for patients and healthcare professionals alike. Through the WDHD 2020 campaign, WGO looks forward to providing a better understanding of the gut microbiome. Your participation, through educating the public, encouraging participation in informational programs and promoting healthy lifestyle, is crucial for the success of this campaign. Sincerely,

Eamonn MM Quigley, MD Uday C. Ghoshal, MD Co-Chair, WDHD 2020 Co-Chair, WDHD 2020 United States India

1: “Gut Microbiota Info.” Gut Microbiota for Health, European Society for Neurogastroenterology & Motility, www. gutmicrobiotaforhealth.com/en/about-gut-microbiota-info/. 14 WORLD GASTROENTEROLOGY NEWS MAY 2020

2020 WDHD: Gut Microbiome: A Global Perspective

The World Digestive Health Day Meet the WDHD 2020 Steering (WDHD) theme in 2020 is the Gut Committee Microbiome: A Global Perspective The World Digestive Health Day led by Co-Chairs Eamonn MM Quig- 2020 campaign is led by the following ley, MD, FRCP, FACP (United States) individuals representing a global view and Uday C. Ghoshal, MD, DNB, and expertise on the Gut Microbi- DM, FACG (India), and the WDHD ome. They will guide the course of the 2020 Steering Committee. WGO campaign, leading the development of Jasmohan S. Bajaj, MD calls on its member societies, regional tools and resources. Virginia Commonwealth University affiliates, and partner organizations United States to organize events to raise awareness Co-Chair World Digestive Health Premysl Bercik, MD around the 2020 theme. Watch the Day 2020 McMaster University WDHD website at www.worldgas- Eamonn MM Quigley, MD, FRCP, Canada troenterology.org/wgo-foundation/ FACP wdhd and WGO publications as more The Methodist Hospital Catherine Buckley, MD information, tools, and resources United States APC Microbiome Institute Ireland become available. Co-Chair World Digestive Health Aims of WDHD 2020 Day 2020 Paúl Cárdenas, MD, PhD Universidad San Francisco de Quito, • Raise awareness of the role of gut Uday C. Ghoshal, MD, DNB, DM, Institute of Microbiology microbiome in health and disease. FACG Ecuador • Provide gastroenterologists, hepa- Sanjay Gandhi Postgraduate Institute tologists, their patients, and the of Medical Sciences Henry Cohen, MD, PhD lay public with an understanding India University of the Republic Uruguay Uruguay of important findings from the Members latest basic and clinical research of Chair, WGO Foundation and Francisco Guarner, MD the gut microbiome. President-Elect, WGO University Hospital Vall D’Hebron • Develop educational and training Guilherme Macedo, MD, PhD Spain materials on the key facts about Centro Hospitalar Sao Joao the gut microbiome, in doing so, Kok Ann Gwee, MBBS, MMed Portugal dispel myths and misinformation Stomach, Liver and Bowel Clinic about the gut microbiome. Vice Chair, WGO Foundation Singapore • Stimulate international collabora- Richard Hunt, FRCP, FRCPEd, Saeed Hamid, MD, MBBS, FRCP tions that foster improved educa- FRCPC Aga Khan University Hospital tion, research, and training on the McMaster University Health Science Pakistan Centre role of the gut microbiome. Gerald Holtmann, MD • Update health care practitioners United Kingdom The University of Queensland and the public on the role of the Julio Bai, MD Australia gut microbiome in diagnosis and University Del Salvador Dina Kao, MD how it can be modulated to treat Argentina disease and/or allay symptoms University of Alberta Canada 15 WORLD GASTROENTEROLOGY NEWS MAY 2020

Tarkan Karakan, MD Plan Your Own WDHD Event Join WDHD on Social Media Gazi University Start planning your event today. Past Join the conversation in sup- Turkey events include public campaigns, port of WDHD 2020, tag WGO Leonid Lazebnik, MD, PhD courses and lectures on treatments on Facebook, Twitter, LinkedIn Moscow University of Medicine and of the current theme, walkathons, and Instagram. Be sure to include Dentistry national meetings, press conferences, #WDHD2020 and #GutMicrobi- Russia radio and television interviews, devel- ome in your post. Stephen J.D. O’Keefe, MBBS, MD, oping a country’s own WDHD Day, MSc, MRCS publications, and much more! Like @WorldGastroOrg on Facebook The African Microbiome Institute, To officially submit your event for Stellenbosch University inclusion on the WGO Meetings and South Africa Events calendar, please visit www. Follow @WorldGastroOrg on worldgastroenterology.org/forms/ Twitter Edith N. Okeke, BMBcH submit-event.php and complete the Joe University Teaching Hospital online form. Follow WGO/WGO Founda- Nigeria Email info@worldgastroenterology. tion on LinkedIn www.linkedin.com/ Mary Ellen Sanders, MD org with any WDHD related ques- company/world-gastroenterology- International Scientific Association for tions. organisation-wgo-wgo-foundation Probiotics and Prebiotics United States https://www.instagram.com/ Fergus Shanahan, MD worldgastroorg/ University College Cork Ireland Ala Sharara, MD, FACG, AGAF, FRCP American University of Beirut Medi- cal Center Lebanon Miguel A. Valdovinos, MD National Autonomous University of Mexico Mexico Justin Wu, MD The Chinese University of Hong Kong Hong Kong 16 WORLD GASTROENTEROLOGY NEWS MAY 2020

World Digestive Health Day 2019 in Odisha, India

Shivaram Prasad Singh, MBBS, MD, DM, FSGEI, FACG, AGAF, FRCP [Edin] FRCPS [Glasgow] Kalinga Gastroenterology Foundation Odisha, India

Reshu Khandelwal, MD Dr. L. Sarangi opens the event Department of Gastroenterology, S.C.B. Medical College Odisha, India 2019 campaign WGO looks forward to providing a better understanding and recognition of the Early Diagno- sis and Treatment of GI Cancer “ and that this would help reduce cancer related deaths worldwide. The Kalinga Gastroenterology Foun- medical students from across the state The ceremony was inaugurated dation (KGF), Cuttack, the Depart- of Odisha. by the chief guest, Prof. Lalatendu ment of Gastroenterology, SCB Professor Shivaram Prasad Singh, Sarangi, Director, Acharya Harihar Medical College, Cuttack and the Chairman, KGF and past president Regional Cancer Centre [AHRCC], Odisha State Chapter of ISG jointly of Indian Society of Gastroenterology Cuttack in keeping with the Indian organised the event to celebrate World (ISG) gave the introductory lecture tradition, with the lighting of the Digestive Health Day 2019 on 29th in which he alluded to the history of auspicious lamp (“Deep Prajvalan”). May for the thirteenth straight time WGO and how the birthday of WGO Prof Sarangi, who is an eminent in Odisha, India. Its theme was in was aptly being celebrated as the oncologist of the state, welcomed the conformity with the World Gastro- World Digestive Health Day on this delegates and congratulated KGF for enterology Organisation and The date. He also spoke on how KGF was organising the event and various other WGO Foundation campaign focusing in the forefront of observing WDHD public awareness campaigns consis- on “the Early Diagnosis and Treat- in Odisha and India every year since tently. He further stressed on how ment of GI Cancers”. It was held at 2007. Prof. Singh also read out the creating awareness in general public Pramod Convention and Club Resort message from Drs. Kentaro Sugano, about the key risk factors, screening, in Cuttack, India and was attended by Joseph Sung and Richard Hunt, the early diagnosis and treatment of GI about 200 physicians, gastroenterolo- co-chairs of WDHD 2019 which Cancers can significantly reduce the gists, oncologists and post-graduate stated that “through the WDHD disease burden in the society. A symposium entitled “Prevention

Dr. Preetam Nath speaks on prevention of Faculty and dignitaries at the WDHD event Address by Prof. Niranjan Rout pancreatic cancer 17 WORLD GASTROENTEROLOGY NEWS MAY 2020

Lighting of the auspicious lamp Prof. Niranjan Rout speaks on community Participants at WDHD in Cuttack, India cytology of GI Cancers” was the key highlight “Prevention of Gastric cancer“ and cancer in high risk individuals. This of the evening. It was moderated by discussed the clinical manifestations, was followed by Q&A session and Prof SK Acharya, Pro-Chancellor, screening modalities and preventive panel discussion involving the mod- KITTS University, Bhubaneswar. The strategies vis-à-vis Gastric Cancer. erator Prof. SK Acharya, the speakers introductory lecture of the sympo- Professor Manas Kumar Panighrahi, and delegates. The panellists stressed sium was delivered by Prof Niranjan of Department of Gastroenterology, on the need for careful evaluation and Rout, Dean, Acharya Harihar Re- AIIMS, Bhubaneswar gave an exhaus- screening for malignancies in not only gional Cancer Centre, Cuttack. Prof. tive presentation on “Prevention of the patients visiting OPDs for various Rout elaborated on how “Community Colon Cancer”. He lucidly explained illnesses but also in their family mem- Cytology has emerged as a tool for the significance of “Prevention” by bers and community at large. rapid cancer diagnosis”. He further giving the example Cyclone “Fani” Following the symposium, a bro- narrated his experience regarding that had hit coastal Odisha, and how chure in local language Odia on “Pre- AHRCC initiated Community Cytol- the preparedness and quick action by vention of Gastrointestinal and Liver ogy programs in remote resource con- the Odisha government had averted Cancer” was released with the purpose strained regions of Odisha; he felt this mass casualties. of creating awareness on the subject in not only took cytological services to After this, Dr. Preetam Nath of the general population. The program the doorstep but also created aware- the Department of Gastroenterol- ended with an expression of thanks ness about cancer prevention and to ogy, KIMS, Bhubaneswar spoke on offered by Dr. Sushant Kumar Sethi, a large extent mitigated the stigma “Prevention of Pancreatic Cancer”. senior consultant gastroenterologist at involving cancer in the community. He discussed about the various dietary Apollo Hospitals in Bhubaneswar. Following this, Prof Manoj Kumar and lifestyle modifications that could Sahu, Professor and Head, Depart- help prevent the dreaded disease. ment of Gastroenterology, SUM In addition, he also discussed the Hospital, Bhubaneswar, spoke on importance of screening for pancreatic 18 WORLD GASTROENTEROLOGY NEWS MAY 2020

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19 WORLD GASTROENTEROLOGY NEWS MAY 2020

A Celebration of the World Congress of Gastroenterology in Istanbul!

Carolina Olano, MD WCOG 2019 Scientific Program Committee Co-Chair

Sedat Boyacioglu, MD WCOG 2019 Scientific Program Committee Co-Chair Makki Fayadh points out his home nation of Iraq as well as all of the 95 countries represented at the WCOG!

Tözün, the World Gastroenterology Organisation (WGO) along with the Turkish Society of Gastroenterology More than 2,000 gastroenterolo- (TSG) are honored to have co-hosted gists, hepatologists and other health this outstanding Congress. We also care professionals from 95 countries extend our thanks for the hard work around the world convened at the and dedication of our fellow members Istanbul Congress Center in Istanbul, of the Joint Scientific Program Com- Turkey for the World Congress of mittee: Professors Jonathan Leighton, Gastroenterology from 21 – 24 Sep- Alexander Ford, Hale Akpinar and tember 2019. The Congress reviewed Murat Törüner. the latest scientific advances in gastro- This global gathering represented intestinal and hepatological research, the first time the World Congress of treatment of digestive diseases and Gastroenterology has been held in clinical practice management. Istanbul, a location that spans two On behalf of the WCOG 2019 continents. Joint Steering Committee: Co-Chairs, 2019 was an outstanding year for Professors Cihan Yurdaydin and registration and abstract submissions Serhat Bor, and its members, Pro- with over 1,000 posters and oral fessors Naima Amrani, Guilherme presentations. The abstracts submitted Welcome to the World Congress of Gastroen- Macedo, Necati Örmeci, and Nurdan by delegates represented all corners terology!

Opening Ceremony: “Fire of Anatolia” dancers WCOG leadership addresses the media who tell the story of Turkey including ancient mythology 20 WORLD GASTROENTEROLOGY NEWS MAY 2020

abstract submission, geographic and gender balance, educational need, and a personal statement. We are pleased to feature testimonials from three trainees from WGO Training Centers. These appear in this issue starting on page 27. WGO General Assembly Additionally various WGO and TSG related meetings also took place, including many committee and interest group meetings and the WGO General Assembly — to which all WGO Mem- Cihan Yurdaydin, 2017-2019 WGO President, WGO booth at the WCOG delivers the Presidential Address ber Societies were invited. WGO was pleased to welcome societies from the of the world — Africa/Middle East: following countries: Albania, Austra- 525; Americas: 69; Asia Pacific: 248; lia, Bolivia, Bosnia and Herzegovina, and Europe: 174. The poster sessions Brazil, China, Costa Rica, Croatia, and oral presentations provided an Dominican Republic, India, Iran, Jor- opportunity for delegates to showcase dan, Korea, Morocco, New Zealand, their scientific research and discuss Nigeria, Peru, Romania, Russia, Serbia, their posters, garner insight from the WGO General Assembly Taiwan and Uruguay. experts, and make new contacts with Many important actions took place other attendees in a low-key, relaxed tive technologies for the prevention, during the General Assembly, in- environment. diagnosis and treatment of digestive cluding the handover of the WGO The Congress was also comprised diseases and serious GI-related health Presidency from Cihan Yurdaydin, of 178 high-level scientific programs; issues. 2017-2019 WGO President, to three post-graduate courses; 32 sym- Given a large international pres- Naima Amrani, 2019-2021 WGO posia, 11 sunrise sessions, and a video ence, especially from Eastern Europe, President; ratification of the World endoscopy session. The WCOG 2019 Central Asia and Turkey itself, many Congress of Gastroenterology 2023 to Scientific Program Committee, along sessions offered simultaneous Russian take place in Seoul, Korea; the presen- with the Postgraduate Course direc- and Turkish interpretation — a first tation of the 2019-2021 Nominations tors, brought together internationally for a World Congress of Gastroenter- for WGO Committees and Interest recognized experts and rising stars in ology. Groups; and the announcement of the the field. The program delivered the WGO and TSG conducted various 2019 Masters of the WGO (MWGO) latest clinical updates in gastroenterol- exciting activities throughout the award recipients (See page 24 for ogy and hepatology, plus discussion Congress. The exhibit hall featured an overview of the Master of the WGO of what is on the horizon that may poster presentations, theater presenta- (MWGO) award). be impactful. Among the highlights tions, and hands-on sessions, offering of this year’s scientific presentations a remarkable experience for all attend- were significant findings and innova- ees. WGO’s exhibit booth showcased the many programs and activities of WGO, built around the four pillars of WGO’s mission: Advocate, Train, Inform and Educate. WGO was able to offer a limited number of travel grants to scholars to attend the World Congress. The many qualified applications were prioritized Journal of Clinical Gastroenterology (JCG) Hot Topics in Gastroenterology opened the taking into account factors such as Lectureship: Xavier Calvet, Alejandro Piscoya, Scientific Program Carol Burke and Ronnie Fass 21 WORLD GASTROENTEROLOGY NEWS MAY 2020

Cihan Yurdaydin, 2017-2019 WGO President, addresses the WGO General Assembly

Train the Trainers Alumni Premiere Journal of Clinical featured talks around career oppor- Gastroenterology (JCG) tunities for women, mentorship and Lectureship tools for establishing an academic and Chaired by Professor Ronnie Fass, Ed- successful career. –see article on page itor-in-Chief of the JCG and Professor 26. Alejandro Piscoya, Chair of the WGO Trainees from the WGO Ankara Training Center Train the Trainers Alumni with Sedat Boyacioglu and Cihan Yurdaydin Publications Committee, the World Congress for the first time featured Luncheon Awards a JCG Lectureship. This included pre- Since 2001, WGO has sponsored 27 The WCOG 2019 meeting also sentations by Professor Carol Burke – Train the Trainers workshops, which recognized various individuals with “Sessile Serrated Polyps - Cancer Risk consist of over 1,000 alumni from a distinguished background in the and Appropriate Surveillance” and more than 90 countries, including gastroenterology and/or allied fields. Professor Xavier Calvet – “1st, 2nd both participants and faculty. We were We would like to honor the following and 3rd Line Treatment for H. Pylori pleased to host once again an alumni recipients who received prestigious Infection in 2019.” luncheon on 22 September for these awards during the meeting: The session was well attended and participants to reunite, connect and, Professor Michael Fried, recipient each lecture was well received by the for others, meet for the first time. of the 2019 WGO Georges Brohée audience. At the end of the session The basis and success of the TTT Medal and Lecture on “Evidence there was a very vibrant discussion workshops is that they are designed Based Medicine: How Good is the and many questions were asked. Over- to be collaborative. This was truly Evidence?” (please see page 23 for all, the first annual JCG lectureship reflected in the enthusiastic interac- this article) was a great success and it is expected tion among the many alumni and Professor Richard Kozarek, to become an important feature of faculty who attended this luncheon. recipient of the 2019 WGO Henry future WGO meetings. It confirmed that TTT is one of the L. Bockus Medal and Lecture on most esteemed and popular programs “The Evolution of Therapeutic Women in GI session that WGO offers. Endoscopy: Where Have We Been? WGO was pleased to convene this Upcoming Congress and Where Are We Going?” (please see session for the first time at our World Conferences page 22 for this article) Congress, which was chaired by 2019 Masters of the World Gastro- Professors Naima Amrani, Maryam Al We hope all attendees had the opportunity to connect with your enterology Organisation (MWGO): Khatry and Hale Akpınar. The Wom- colleagues from around the world and T.S. Chandrasekar (India) en in GI session was well-received and we cordially invite you to attend the Henry Cohen (Uruguay) upcoming Gastro 2020, which will Daiming Fan (China) be held from 3-5 December 2020 in Makki H. Fayadh (Iraq) Prague, Czech Republic, and the next Peter Ferenci (Austria) World Congress of Gastroenterol- Eamonn Quigley (USA) ogy 2021, 12-15 December 2021 in James Toouli (Australia) Dubai, UAE! (for more information please see the Poster sessions MWGO article on page 24) 22 WORLD GASTROENTEROLOGY NEWS MAY 2020

Richard Kozarek, MD, MWGO is the 2019 WGO Henry L. Bockus Medal Recipient

Endoscopy), he received its highest tion (WGO) Governing Council, has honor, the Rudolph Schindler Award made a distinguished contribution to in 2005. He is also a past-president the clinical practice, science and/or of both the World Gastroenterology teaching of gastroenterology. Organisation (2009-2011) and the So- Dr. Henry L. Bockus (1894-1982) ciety for Gastrointestinal Intervention. was a leading American gastroenterol- Dr. Kozarek attended his first ogist from Philadelphia, Pennsylvania World Congress of Gastroenterology with a well-deserved reputation due in Stockholm in 1982. He acknowl- to the authorship of an outstanding edges past WGO presidents with Gastroenterology treatise and the whom he has had the honor to work organization of specialty postgraduate with to include Meinhard Classen, courses at the University of Pennsylva- Guido Tytgat, Eamonn Quigley, nia, which were attended by numer- Henry Cohen, Jim Toouli, David ous physicians from North and South Richard Kozarek, MD, MWGO Bjorkman, Cihan Yurdayin, and new- America as well as from Europe. received the WGO Henry L. Bockus est president, Naima Amrani. He was elected President of the first Medal and presented his lecture on He and his wife of 46 years, Linda World Congress of Gastroenterol- the topic, “The Evolution of Thera- have two daughters and two grand- ogy, held in Washington, DC, USA peutic Endoscopy: Where Have We daughters; the latter can do no wrong. on 29 May 1958. On the last day Been? Where Are We Going?” This of the Congress a provisional WGO session took place during the World About the WGO Governing Council was elected, and Congress of Gastroenterology 2019 in Henry L. Bockus Dr. Bockus became the first president Istanbul, Turkey. Medal and Lecture of what is now the World Gastroen- Dr. Kozarek has been a member A medal, known as terology Organisation. His vision to of the Section of Gastroenterology at the Henry L. Bockus enhance standards of education and Virginia Mason Medical Center since Medal, is awarded at training in gastroenterology lives on 1983, serving as Chief of GI for 15 each World Congress today. years and currently as the Executive to a gastroenter- Director of the Digestive Disease In- ologist who, in the opinion of the stitute for the past 13 years, as well as World Gastroenterology Organisa- Clinical Professor of Medicine at the University of Washington since 1990. In a career spanning 40+ years, Dr. Kozarek has contributed almost 600 scientific papers, invited reviews, edito- rials, and book chapters, and 12 books to the medical literature on topics ranging from therapeutic endoscopy, inflammatory bowel diseases, pancreatic disorders, and practice economics. A past president of the ASGE Prof. Kozarek delivers the Bockus Lecture Prof. Kozarek receiving the Bockus medal (American Society of Gastrointestinal from Prof. Cihan Yurdaydin 23 WORLD GASTROENTEROLOGY NEWS MAY 2020

Michael Fried, MD, MWGO is the 2019 WGO Georges Brohée Medal Recipient

becoming director of the Division of Gastroenterology and Hepatology until 2017, when he became Professor Emeritus. Since then, Prof. Fried is directing the International Office of the Zurich University Hospital and working as a Consultant at the City Hospital Triemli in Zurich. Prof. Fried was President of the Swiss Society of Gastroenterology and Hepatology. He served as a Member Prof. Michael Fried delivering his talk, of the Executive Committee for the “Evidence Based Medicine: How Good is the Evidence?” to a full room World Gastroenterology Organisa- tion (WGO) and was Chair of the Michael Fried, MD, MWGO received Georges Brohée, the founder of the WGO Guidelines and Publications the WGO Georges Brohée Medal and first International Association of Gas- Committee. He was President of the presented his lecture on the topic, troenterology. The Brohée Lecturer Association of the Division Directors “Evidence Based Medicine: How is chosen by the WGO Governing at the University Hospital. Further- Good is the Evidence?” This session Council from either the host country more, Prof. Fried supports science and took place during the World Congress or the respective region. A Medal is research by acting as president and of Gastroenterology 2019 in Istanbul, presented to the nominated lecturer board member of numerous scien- Turkey. during the World Congress in which tific foundations and societies. He Prof. Fried studied medicine at the the lecture is presented. has received several distinctions and Universities of Berlin and Munich, The World Gastroenterology awards, including the Honour Award Germany. He trained as a Gastroen- Organisation (WGO) originated and the National Prize of the Swiss terologist in the University Hospital largely due to the initiative of Dr. Association of Gastroenterology, the Basel, Switzerland. Prof. Fried then Georges Brohée (1887-1957), a Ludwig-Demling-Award and the Prix worked as a Research Fellow at the Belgian Surgeon and Radiologist who Giuliani. He is Fellow of the Ameri- UCLA School of Medicine, Los promoted modern Gastroenterology, can Gastroenterological Association Angeles and continued his research in particular by founding the Belgian and the American College of Gastro- focusing on the neurohormonal Society of Gastroenterology in 1928 enterology. In 2015, Prof. Fried re- regulation of the upper gastrointes- and by organizing the first Interna- ceived the Master Award of the World tinal tract at the University of Basel, tional Congress of Gastroenterology Gastroenterology Organisation. funded by the Swiss National Science in Brussels in 1935. His continuing Foundation. He was appointed About the WGO efforts culminated in the constitution Associate Professor at the University Georges Brohée of the “Organisation Mondiale de Basel in 1989. In the same year, Prof. Medal and Lecture Gastro-entérologie” (OMGE) on 29 Fried became Senior Resident at the A Brohée Lecture May 1958 in Washington, DC, USA University Lausanne. In 1994, he was is delivered during where the first World Congress of appointed Full Professor and Director each World Congress Gastroenterology was held. of the Division of Gastroenterology of Gastroenterology at the University Hospital Zurich, to commemorate 24 WORLD GASTROENTEROLOGY NEWS MAY 2020

WGO Announces Recipients of the Masters of the WGO (MWGO) Award

to recognize these contributions and by this recognition provide incentive, encouragement, and guidance for others to significantly contribute to their fields. The Masters of the WGO Award is a capstone career award and is given in conjunction with each World Congress of Gastroenterology. Recipients of the 2019 Masters of the WGO Award were recognized with an engraved plaque at the WGO General Assembly during the World Congress of Gastroenterology 2019 on Monday, 23 September 2019 in Istanbul, Turkey. Recipients may now use the title of “Master of the WGO” and the letters “MWGO” in conjunction with their name. Please join WGO in congratulating the 2019 recipients of this prestigious award! T.S. Chandrasekar, MWGO (India) Henry Cohen, MWGO (Uruguay) Daiming Fan, MWGO (China) Makki H. Fayadh, MWGO (Iraq) Peter Ferenci, MWGO (Austria) Eamonn Quigley, MWGO (USA) James Toouli, MWGO (Australia) Past recipients of the MWGO Award include Julio Bai, MWGO (Argentina) Luiz de Paula Castro, MWGO (Brazil) Suliman Fedail, MWGO (Sudan) Established in 2009, the Master of the outstanding dedication to the mission Michael Fried, MWGO (Switzerland) WGO (MWGO) Award is the highest of the WGO and achieved distinction Jean Paul Galmiche, MWGO honor the World Gastroenterology in such areas as scholarly research, (France) Organisation (WGO) can bestow teaching, and service to WGO and Joseph Geenen, MWGO (USA) on a member and is granted only to the community at large. Khean-Lee Goh, MWGO (Malaysia) those individuals who have provided The MWGO Award was created Richard Hunt, MWGO (UK) 25 WORLD GASTROENTEROLOGY NEWS MAY 2020

Richard Kozarek, MWGO (USA) Günter Krejs, MWGO (Austria) Bernard Levin, MWGO (USA) Juan Malagelada, MWGO (Spain) Finlay Macrae, MWGO (Australia) Solly Marks, MWGO (South Africa) Ibrahim Mostafa, MWGO (Egypt) D Nageshwar Reddy, MWGO (India) Melvin Schapiro, MWGO (USA) Isidor Segal, MWGO (South Africa) Zeyad Sharaiha, MWGO (Jordan) Prof. T.S. Chandrasekar, MWGO is presented Prof. Henry Cohen, MWGO is presented with Shuji Shimizu, MWGO (Japan) with the MWGO award by Prof. David Bjork- the MWGO award by Prof. Naima Amrani man Joseph Sung, MWGO (China) Rakesh Tandon, MWGO (India) Sandie Thomson, MWGO (South Africa) Guido Tytgat, MWGO (The Nether- lands) Guido Villa-Gomez, MWGO (Bo- livia) Shu-Dong Xiao, MWGO (China)

Prof. Daiming Fan, MWGO is presented with Prof. Makki Fayadh, MWGO is presented with the MWGO award by Prof. Guilherme Macedo the MWGO award by Prof. Naima Amrani

Prof. Peter Ferenci, MWGO is presented with Prof. Eamonn Quigley, MWGO is presented the MWGO award by Prof. Cihan Yurdaydin with the MWGO award by Prof. Cihan Yurday- din

Prof. James Toouli, MWGO is presented with 2019-2021 Executive Committee posed with the MWGO award by Prof. David Bjorkman the 2019 MWGO recipients 26 WORLD GASTROENTEROLOGY NEWS MAY 2020

Women in GI Symposium

States and only 14-15 becoming Christina Surawicz, MD department chairs in academic University of Washington School of Medicine medicine in the United States. Seattle, WA USA 2. Women are underrepresented in GI, probably around the world. There are relatively more in hepatology and the fewest are in therapeutic endoscopy. 3. In many studies, women are paid less than men for the same work. 4. Why are there fewer women than men in leadership in medicine? There is both a glass ceiling (this refers to an invisible barrier that prevents women from reaching higher levels) and a leaky pipeline (this refers to women leaving at all different stages in their careers. Factors contributing to the glass ceiling include institutional culture (which may not be as sup- portive of women), lack of support for work life integration, and bias, both conscious and unconscious. Delegates and speakers posed for a photo after the Women in GI session. The leaky pipeline is due in part to lack of mentoring and lack of leadership training for women The positive energy in the room was launch for those initiatives. 5. Identifying these issues provides palpable at the first ever Women in GI Topics included: clear path for improvement, which session at the World Congress of Gas- • Career Opportunities for Women will improve workforce both troenterology in Istanbul in September in GI women and men. Reasons for this 2019. • Role of Women Mentors and How are multiple but include lack of The speakers were Guadalupe Garcia to Establish an Academic Career in mentoring and role models, lack Tsao and Christina Surawicz from the GI of support for work life integration United States, Carolina Ciacci from • Do Women in GI Have the Same including quality on side daycare Italy and Nurdan Tozun from Turkey, Opportunities in the East and for those with small children, with moderators Naima Amrani from West? opportunities for part time work Morocco, who is the first woman • Tips and Tricks for a Successful for both men and women, and president of the WGO, Maryam Al Career in GI: Pearls from an Expert unconscious bias. Khatry of the UAE and Hale Akpinar There were several important points: also of Turkey. 1. Women are underrepresented in Prof. Amrani has stated that one leadership roles in academic medi- of her main objectives while serving cine. Women lag in promotion as WGO President is to engage more in academic medical centers with women in WGO activities around the only a small percentage reaching world. This symposium served as a full professor levels in the United 27 WORLD GASTROENTEROLOGY NEWS MAY 2020

A Recognition of New Knowledge, Revival of New Ideas and Acquaintances with Impressive People

observed courses in US diagnostics. Talant Salamakunov, MD The fourth and final day of the Kyrgyzstan topic of therapy and monitoring of IBD, PPI therapy for GERD, Infection GI tract was of interest to many. Drs. Klaus Monkemuller, Mark Topazian and Neena Abraham showed interesting clinical cases about bleeding of the upper gastrointestinal tract. Istanbul is the meeting point of the paths, their scientific work, clinical And of course it was interesting to world. Yes, it was in the noisy and trials and their level of clinical experi- observe the work of Drs. Nageshwar fabulously beautiful city of Istanbul ence. I watched the presentations Reddy, Elias Makhoul, and Ibrahim that the World Congress of Gastro- with interest, motivating myself to Mostafa about difficult situations in enterology was held from 21 -24 new ideas. There was also the oppor- ERCP. September 2019. It was a good opportunity to meet new acquaintances and The world does not stand still and tunity to see Istanbul and replenish friends. As a beginner and a young in medicine, too, in order to achieve your knowledge. specialist, it was very interesting and good results you must move together The weather in the city was won- informative. I think the knowledge with the world, and if you are still a derful. Doctors from around the gained will show me the way in my doctor, you will have to move together world gathered in Istanbul. Some work practice. with medicine. had fatigue due to long flights. Many On the first day of the congress, were joyful, which was evident by the the following sessions can be noted: Why do we need medical smiles on their faces, including mine. Everything about the esophagus and conferences? There was the opportunity to learn stomach. Another session that drew Science in the modern world is new knowledge and get acquainted my attention was about the intestinal developing very rapidly. Discoveries with the new work of the professors, flora, which, in my opinion, has not occur in all spheres of human life, where they presented on new interna- yet been fully studied. And of course, including medicine. Currently, there tional studies across five large plenary the pharmacological part of the pre- are many problems around the world rooms. sentations was interesting. in the field of maintaining health and There were such expressions “At Day Two: Diagnosis, screening and treating diseases. And while it is still conferences, the most interesting treatment of one of the global prob- not possible to overcome some of reports are read simultaneously in lems of malignant GI tract disease at- them, others are resolving every day different working groups.” Watching tracted more attention. I also listened faster and more efficiently. New treat- the presentation program, I realized with interest to Dr. Jaw-Town Lin’s ments are being created, drugs and so that the above phrase is very true. presentation on H. pylori eradication on. And, of course, if all the medical But everyone will take what interests and work on the complication of companies and the best minds in the them. The topics were all large-scale post-bariatric surgery. industry work together, the result and interesting. Day Three: It was even more will be much better. For this, medical I am Dr. Talant Salamakunov, a interesting because the program had scientific conferences are held. trainee at the WGO Ankara Training sessions about EMR, ESD. Drs. Vibor I want to note three main reasons Center and through a travel grant Arantes, Adolfo Para Blanco, Yutako for the conference: supported by WGO, I was able to Saito and Fatih Aslan made a brilliant 1. To share your scientific discoveries attend the World Congress. The large presentation about their work. Good and thoughts with other bright scale of the WCOG had a positive im- presentations were held on topics minds in the industry. pact. Carefully observing the presen- about the disease of the esophagus, 2. To state to young specialists who tations, one could think about further liver and pancreas. Many doctors have are interested in the industry their 28 WORLD GASTROENTEROLOGY NEWS MAY 2020

thoughts and points of view on on a specific topic. Young researchers tions can solve problems in this area certain medical issues. are sometimes authors of innovative much faster. After all, joint work is 3. To advertise their discoveries, ideas and theories that deserve much always more effective than indepen- new drugs, ideas and techniques attention. And the best place where dent. If you want to move together that are necessary in the medical young minds can share their thoughts with medicine, learn new works and industry. with the world’s greatest scientists and determine the path to your work - a This raises the question of competi- specialists is a scientific and practical scientific-medical conference is what tion, of course. But, as one wise man medical conference. Moreover, a cer- you need. said, it is better to keep a competitor tificate of participation in this event It was a great honor for me to close. In addition, the world of medi- will greatly help with further training participate in the WCOG. And also cine is so huge that there is enough and employment. to be part of this team and to interact room for everyone. There are still a In addition, participation in such with the best of the best -- it was an huge number of unresolved issues. conferences is very inspiring and amazing experience. I want to express Such events are an ideal place to find broadens the horizons of the gen- my gratitude to WGO, the TSG, common solutions if the conference eration, which in the future plans to WGO Ankara Training Center, the participants have new ideas. Any sci- connect its fate with the profession of organizers and all my colleagues for entific or practical medical conference a doctor. the productive days. is another step forward in the world Any medical international con- of medicine. Frequent participants in ference is a Klondike of ideas and the conferences are young specialists thoughts, theories and developments. who have carried out a particular sci- With joint participation in such entific work or wish to make a report events, medical geniuses and institu- 29 WORLD GASTROENTEROLOGY NEWS MAY 2020

World Congress of Gastroenterology – A View from South Africa

Ahmed Almradi Gastroenterology Fellow Groote Schuur Hospital Cape Town, South Africa

On a sunny Saturday morning in conditions including the management excellent presentation on ERCP in pa- Istanbul, I made my way to the Istan- of clinical problems one sees every day tients with surgically altered anatomy. bul Congress Center. The congress in practice. Overall, this was an excellent meeting, was organized by World Gastroen- A parallel session, postgraduate which was a welcomed revision for me terology Organisation (WGO) and course, “The Bugs Among Us: Micro- just before my certificate exams. Turkish Society of Gastroenterology biota in Health and Disease,” was held Finally, I would like to thank the (TSG). The Istanbul Congress Cen- in Troy Hall; in addition there were TSG and WGO for the travel grant, ter is an international event destina- endoscopy video sessions taking place and the South African Gastroentero- tion, boasting world-class techno- in Aspendos Hall. Each session was logical Society (SAGES) for giving me logical infrastructure and is located concluded by a refreshing tea break, this opportunity to attend and extend near Taksim Square where shops and which was very good as it gave every- my knowledge. It was both a personal restaurants are open 24/7. one enough time to relax and build and academic growth experience. The first day of the Congress start- up energy before next session, but it ed with postgraduate course - “Hot was also a good time to meet col- Topics in Gastroenterology” in the leagues from different WGO Training form of lectures provided by world- Centers. On the last day, there were renowned presenters. These sessions interesting talks in IBD, EUS and provided comprehensive reviews of functional GIT disorders. After lunch, gastroenterology and hepatology Prof. Ibrahim Mostafa delivered an 30 WORLD GASTROENTEROLOGY NEWS MAY 2020

WCOG Testimonial from Turkey

Halima Shukurzade Turkey

I was excited to attend the World presidents of World Gastroenterology Another issue that attracted my at- Congress of Gastroenterology in Organisation and Ankara Training tention was the project of female gas- Istanbul, Turkey from 21-24 Septem- Center. troenterologists. I think we must show ber, as this is an important period in I attended all of the WCOG meet- the world how women are successful my education. I am studying at the ings in the five different halls with and indispensable individuals in such Ankara Bashkent University Hospi- great enthusiasm and made many a challenging career like gastroenterol- tal affiliated with the WGO Ankara notes to myself about the results of ogy. I would like to thank the propo- Training Center with the support of the research of professors from around nents of this endeavor at WGO. the World Gastroenterology Organisa- the world. The sessions on IBD I think that the information I have tion. treatment and follow-up as well as gained from such meetings in future First of all, I would like to thank advanced endoscopic procedures were professional studies will guide me WGO for providing me with this of particular interest to me. and I am grateful to WGO for their opportunity. This was the first I also applaud that WGO is work- contribution to my education. World Congress of Gastroenterology ing not only for developed countries experience in my career and I would but also for developing countries in very much like to attend upcoming the management and treatment of meetings. During this WCOG, I was diseases that cause global problems. very happy with the special attention 31 WORLD GASTROENTEROLOGY NEWS MAY 2020

WGO Welcomes Two New Member Societies!

On 23 September 2019, during the A brief description of each of the Egyptian Association for General Assembly, two Member two WGO Member Societies is shared Research and Training in Societies were officially ratified as new below: Hepatogastroenterology (EARTH) members of World Gastroenterology Organisation (WGO). We are hon- Azerbaijan Gastroenterologists ored to welcome them into the WGO and Hepatologists Society family and are pleased that these societies further extend our worldwide reach as they represent nations in Africa and the Middle East. EARTH was inaugurated in 2017 As members of WGO, these societ- with mission to advance and dis- ies are now able to participate in vari- seminate the science and practice of The Azerbaijan Gastroenterologists hepatology, and gastroenterology and ous activities around the globe, such and Hepatologists Society was found- as World Congresses of Gastroenter- to promote liver health and quality ed in the capital city of Baku in 2006. of patient care through focusing on ology, Train the Trainers workshops, The society’s leadership includes Dr. and access to WGO Training Centers. training of the Egyptian physicians Gulnara Aghayeva, President; Dr. working in this field and enhancing They also enjoy many other benefits, Raksana Calilova, Secretary; and Dr. including access to WGO Global the research work. Sevda Aghayeva, Secretariat. EARTH aims to be the leading Guidelines & Cascades, listing on the The Society is active in the organiz- WGO website, and global promotion organization of Egyptian scientists ing of conferences, symposia, semi- and health care professionals commit- of programs and events. If your soci- nars, and gastroenterology days. In ety is not yet a member we hope that ted to preventing and curing liver and 2019 they hosted the Asian Pacific gastrointestinal diseases. you will consider applying. Details Association for the Study of the Liver can be found on the WGO website The Society’s President is Dr. Single Topic Conference 2019 on Mohamed El Kassas, its Secretary at: http://www.worldgastroenterology. Hepatitis Delta. org/membership/prospective-mem- is Dr. Mohamed Alboraie and Dr. ber-societies. Mahmoud Baioumy is EARTH’s Secretariat. 32 WORLD GASTROENTEROLOGY NEWS MAY 2020

Tribute to Professor Meinhard Classen, WGO President, 1998-2002

* 12 August 1936; † 6 October 2019

WGO joins shape gastroenterology for years to ter of Rabat-Morocco (WGO-RTC), with so many come. which is dedicated to all French- organizations, Below we share with you some speaking gastroenterologists mainly colleagues and special memories from current and from Africa who were excluded from friends who knew past WGO leadership. We invite you training and education for many Prof. Meinhard to also share with us any testimonials reasons. This helped to minimize Classen and you would like to have listed on this their isolation. Thanks to him and to shares below webpage, which will remain indefi- the support of the Gastroenterology testimonials nitely. Foundation of Munich, the WGO- of a man who was an instrumental RTC has been well equipped. Since and irreplaceable asset to the field of Prof. Meinhard Classen, I am the opening, Meinhard, together with gastroenterology. A true pioneer and already missing you but the Guido Tytgat, to whom I wish good mentor of the specialty worldwide, memories will be present forever health and long life, used to partici- Prof. Classen led a long and distin- The passing away of Meinhard Clas- pate as faculty at each Annual Course guished career, having received many sen left me overwhelmed with sadness. at the Rabat Training Center. honors and awards as well as serving The field of gastroenterology has lost Meinhard, the inspiring and enrich- as president of several scientific and a great man; an outstanding scientist ing man involved me in the Inter- medical societies, organizations and and physician, a talented gastroenter- national Digestive Cancer Alliance committees. ologist, a visionary leader, a loyal and (IDCA). This created a new level of A decorated role model to many wise President. education and training in oncology colleagues around the world, Prof. Our partnership was born many at the WGO-RTC. This step was the Classen was committed to the educa- years ago. It was rapidly transformed ultimate expression of confidence and tion and training of young gastro- on strong friendship. Meinhard was friendship. enterologists, serving as a speaker at the driving force behind introducing The world of Gastroenterology is many courses and meetings regularly. me to the World Gastroenterology mourning the loss of Prof. Meinhard Prof. Classen was truly a humani- Organisation (WGO); getting me Classen, whose generosity, especially tarian, devoting his time and expertise involved as a founding member of the to Africans to whom he gave so much to several initiatives in the developing creation of AMAGE (African Middle training, education, and all kinds of world. Eastern Association of Gastroenterol- support, will be remembered for all At WGO, we were privileged to ogy) one of the 4 Regional Affiliate time. also know him as President from Associations to WGO; and encourag- Rest in peace my dearest friend and 1998-2002 and Secretary General, ing me to become an elected mem- be sure that I (we) will never forget from 1990-1998. Prof. Classen also ber of the executive committee of you. served as the founder and co-chair- ASNEMGE (Association des Sociétés – Professor Naima Lahbabi-Am- man in the establishment and devel- Nationales et Méditerranéennes de rani, WGO President (2019-2021) opment of the International Digestive Gastroentérologie) which has since Cancer Alliance (IDCA), where he become UEG. In Memory of Professor Meinhard served from 2002-2008. Meinhard, the visionary man, Classen Prof. Classen was 83 years old when founded the WGO Training Centers. The passing away of Meinhard Clas- he passed and leaves behind a legacy It was a wonderful idea which con- sen, one of my dearest international whose achievements will continue to tributed to the success of the WGO friends, left me bereaved and over- mission. He created the Training Cen- whelmed with sadness, submerged in 33 WORLD GASTROENTEROLOGY NEWS MAY 2020

a flood of memories, spanning almost munications Committees, it became the template for training centers in all my professional life and beyond. much more substantive thanks to an Central and South America, North Through my regular contacts and vis- invitation from Meinhard, then Secre- Africa, Asia and Oceania. its since the early seventies to Erlan- tary General, and his life-long friend As OMGE/WGO grew and pros- gen, at that time the European Mecca Joseph Geenen, then treasurer, to con- pered, Meinhard was always open to of endoscopy, a lifelong comradeship sider joining the executive as Secretary new ideas and supported many novel and partnership was born, crystalized General when Meinhard assumed the initiatives, including other now well- in numerous contacts and activities Presidency at the World Congress of established programs such as Train and a quite conspicuous parallelism Gastroenterology in 1998. the Trainers and Guidelines. Later of our academic careers. To illustrate, Over the next 4 years my educa- he focused on gastrointestinal cancer just a few of the numerous examples: tion in the politics and processes of and campaigned to ensure a central Meinhard did and thought me the international gastroenterology took role for the gastroenterologist in first sphincterotomy in the Nether- place under the guidance of Meinhard gastrointestinal cancer through IDCA, lands with a home-made sphinctero- and Joe. I quickly came to recognize worked tirelessly to launch of a mas- tome very soon after his landmark the status that Meinhard deservedly sive and much needed study on the paper was published. He introduced enjoyed around the world as a pio- impact of Helicobacter pylori eradica- me into German gastroenterology and neering endoscopist, academic gastro- tion in gastric cancer prevention in endoscopy with numerous presenta- enterologist and supreme statesman. China and raised money to support a tions at the Wiesbaden meetings. His ability to negotiate while holding cancer center in Tanzania. Together we published the famous firm to the goals of the organization Meinhard Classen was a modern atlases on endoscopy, were active with and in an atmosphere of transparency giant of gastroenterology who left his the journal endoscopy and created an and fairness was pivotal to the devel- indelible mark on so many aspects of international educational gastro-sur- opment of a sound financial footing our profession and in every corner of gical platform to foster closer interac- for OMGE which was a fledgling, the globe. WGO will be forever in his tion between the two disciplines. financially fragile organization when debt. Meinhard was the driving force to he took the helm. – Professor Eamonn Quigley, introduce me in World Gastroenterol- He modernized OMGE and, in so WGO President (2005-2009) ogy. Getting me involved in the cre- doing, ensured that it became a major Meinhard was a giant in therapeu- ation of a training center in Soweto, player in international medicine. tic endoscopy, helping us make the South Africa and Rabat, Morocco was Ever the stately gentleman he steered leap from using ERCP as a diagnos- inspiring and enriching. Getting me his ship through the many troubled tic tool to one that revolutionized involved in the International Diges- waters that it encountered with his the treatment of pancreaticobiliary tive Cancer Alliance (IDCA), baptized unique combination of diplomacy, disease. His trainees to include Fritz at the Vatican, created a new level of charm and integrity. Hagenmeuller, Thomas Rosch, and educational involvement in oncol- Meinhard Classen had a passion for Horst Neuhaus, to name only a few, ogy. Passing on his WGO presidency the underserved and single-handedly themselves became the trainers of a to me was the ultimate expression of initiated a program that has now whole generation of gastroenterolo- mutual trust, confidence, loyalty and blossomed into a global success for gists and therapeutic endoscopists. A friendship. WGO – the Training Centers. Work- Past President of WGO, Meinhard’s The memories of a highly talented, ing with his friend, Isidore Segal, he academic and philanthropic contribu- eager, wise, loyal, compassionate, established the WGO Training Center tions were myriad. He will be missed, charming gentleman-like gastroenter- in Chris Hani Baragwanath Hospital [but potentially referenced forever]. ology-prince will never fade. in Soweto, South Africa. Meinhard’s – Professor Richard Kozarek, – Guido NJ Tytgat, Professor idea was revolutionary – provide WGO President (2009-2011) Emeritus, WGO President (2002- training in gastroenterology for those 2005) from unserved areas close to home in In May 2001, Eamonn Quigley a center of excellence. Its impact soon generously invited me to be part of Meinhard Classen, An became evident with the graduation the OMGE´s executive (now WGO). Appreciation of a cadre of young gastroenterologists In January 2002 I attended my first While my involvement in WGO (or to provide care to their countrymen meeting in Frankfurt, under the OMGE as it was then known) began in Sub-Saharan Africa. This became presidency of Prof. Meinhard Classen. with roles in the Research and Com- I will never forget my first encounter 34 WORLD GASTROENTEROLOGY NEWS MAY 2020

with him. I guess I was more scared Herein a brief comment re developing a successful leadership and than nervous. One month later, I had Professor Classen, a giant who financial growth of WGO, as well as, to officially become Deputy Secretary will be missed the foundation of the International General of the organization at the When I was elected as Treasurer of Digestive Cancer Alliance, which fo- World Congress in Bangkok. The the OMGE in 2004, I was called to cused on digestive cancer. Dr. Classen first evening Prof. Classen invited Munich to meet with the Manage- was a brilliant man. He was gentle, my wife and me to a dinner, also at- ment Group to set up our interac- kind, patient, a gifted educator, and tended by Bridget Barbieri. This was tions in managing WGO’s finances. mentor. His talents reached many the dialogue: “Henry, you will not be While there I was told that I was to global physicians, ensuring that they the Deputy Secretary General.” What be hosted for dinner by the former would be able to administer care to happened? (I then thought that I had president, Professor Meinhard Clas- patients requiring diagnosis and care. done something wrong, even before sen, whom I had not previously met The medical world has lost a gifted starting!). “You will be the Secretary but knew by reputation. The restau- physician and man. I am truly grateful General”. I was so surprised that I rant and meal were wonderful. The for his mentorship, and I will miss his told him I had to think it over. Now conversation started like a detailed smile, wit, kindness, and his friend- he was the one surprised: How is that? interview for a major academic posi- ship. We have all been blessed to have There are many people trying to get tion. After an hour or so of “grilling”, known Meinhard. this position! Early the next morning, Professor Classen smiled and told me – Joseph E. Geenen, M.D., WGO Eamonn called me and explained the that I had “passed”. I displayed the Treasurer (1990 - 2005) reason for such a change. Of course, I right attitude, understood the goals On behalf of myself, pioneering in accepted and the rest is a well-known of WGO and he was certain I would colonoscopy and its teaching, but story. carry out my duties beautifully. The also on behalf of my contemporaries After that I had the chance to work rest of the dinner was quite pleasant in the UK National Health Service, with him and learn from him for and he and I communicated frequent- I would like to record Meinhard’s years. I could tell many stories, most ly during my tenure and thereafter. unfailing generosity of spirit and of them showing that Meinhard was a He was a dedicated, brilliant clinician practical assistance to us and others great and generous person that behind and became a good friend. He will be less fortunate and skilled than himself. his seriousness, there was a very sensi- greatly missed. When at Erlangen with his mentor tive man. – Professor Douglas LaBrecque, Ludwig Demling, he hosted crowds of – Professor Henry Cohen, WGO WGO Treasurer (2005-2008) us to show how GI Endoscopy could President (2011-2013) Tribute to Meinhard Classen, M.D., be organized and performed, then It is with sadness that I learned the Professor, a Dear Friend carrying over the same welcoming at- passing of Meinhard Classen; a giant I am deeply saddened by the loss of titudes and activities to his model unit in the Gastroenterology world. Others my dearest friend, Meinhard Clas- in Munich. He was always charming will comment on his major impact on sen. Our friendship started in the and approachable, a true example to hepatobiliary pancreatic investigation late 1960s, when Professor Demling, us all - and at the highest level, which and management for which I give due of Germany, visited Dr. Konrad is rare. – Professor Christopher Williams recognition. With regard to WGO Soergel, Chief of GI at the Medical (London, UK) and my personal involvement he was College of Wisconsin. Dr. Demling the President who invited me to join brought along his brightest trainee, Dear Colleagues, the organization and join in fulfill- Dr Meinhard Classen, and we became I met Professor Meinhard Clas- ing the vision to change WGO to a very good friends. We participated to- sen in 1978 with Dr. Geenen in mainly education focused organiza- gether in several endoscopy meetings Milwaukee, at a time when only a tion. I am delighted to say that this vi- in Europe, which was followed by an handful of us were doing ERCPs and sion has been fulfilled and generations endoscopy course in Milwaukee in the Sphincterotomies in the USA. Dr. of future gastroenterologists shall be early 70s. He then spent several weeks Classen invited me to his University the beneficiaries. Vale Meinhard. For with me teaching me the skills and in Frankfurt, to further my interest in ever your admirer. disciplines needed to perform ERCP this field. I stayed with him for several – Professor Jim Toouli, WGO and endoscopic sphincterotomy. His weeks and during that time he was President (2013-2015) generous time and patience launched a cordial and humorous mentor. He my medical career. We collaborated in encouraged me to join the European 35 WORLD GASTROENTEROLOGY NEWS MAY 2020

GI societies, the World Congress of I was heartbroken to hear the very sad me to participate on the WGO Board Gastroenterology and to become an news of my friend and colleague. I of Directors as a member. Due to international ambassador to teach became aware of Meinhard’s pioneer- my institutional activities and work others in the world the field of gastro- ing achievements in the biliary area commitments, I had to decline the enterology. I have continued to take long before I met him and then I later invitation. I thanked him for his kind his legacy of teaching the teacher and became closely involved with him invitation, a decline, which I now the student to advance physicians in personally. His personal and profes- regret. Although, it was impossible my homeland, India and the United sional attributes became immediately for me to accept at the time, I keep States. apparent to me. I quickly got to know this very nice gesture and attention, A funny memory I have with Dr. him as an outstanding physician, a to which the honorable teacher Prof. Classen - In Frankfurt, he showed me skilled endoscopist, a superb clinical Meinhard Classen had distinguished a 100 year old sigmoidoscopy chair investigator, a dynamic educator and me. and then proceeded to put me in the a world class leader. And with all these For 33 years, I was a teacher of chair and flip me upside down. I had wonderful qualities came charm and multiple generations of doctors in no idea about the chair’s capabili- a kind and generous human being. I endoscopic training at the Oncology ties nor of Dr. Classen’s silly sense of had the great privilege and delight to Hospital of the National Medical humor. have worked with Meinhard in the Center and the wisdom and advice A few years later, he met my wife WGO and IDCA and in countless of Prof. Classen and many other and nurse and asked that he be other professional activities. And more teachers, were our professional and photographed with them, as they are importantly to be counted among his academic guides. For this reason, “more beautiful than me”. I am truly friends. I join in the feelings of the World grateful for his work and leadership. I, like so many others, will miss Gastroenterology Organisation, for He will be missed dearly by me and him greatly. My thoughts are with his the sensitive and irreparable loss of the gastroenterology communities family. our colleague. throughout the world. I send my – Dr. Sidney Winawer (New York, –Dr. Héctor Bermúdez Ruiz thoughts and prayers to his family and USA) (Mexico) loved ones. Dear Colleagues, – Dr. Mysore R Nagaraja (Los Ange- It is my honor to be able to address les, California) you and speak before the gastroen- I honor the memory of Prof. Classen, terology community, to pay tribute as he always made time for the “small to the memory of Prof. Meinhard man”. In the late 1970’s, ERCP was in Classen. I had the opportunity on the pioneering stages in both Erlangen multiple occasions to hear him give and Amsterdam. Prof. Classen self- his lectures at the World Congresses lessly gave personal time to Dr. Syb- of Gastroenterology, which I have at- rand van der Spuy and myself, at the tended since the 1990s. The year that Provincial Hospital in Port Elizabeth, I took the Presidency of the Mexican South Africa. He even taught us how Association of Gastrointestinal En- to make our own sphincterotomies. doscopy, I also attended the Ameri- Dr. Sybrand van der Spuy then per- can Gastroenterological Association formed the first interventional ERCP (AGA) Congress in San Francisco, in the Eastern Cape Province. Prof. CA, USA, where I had the pleasure Classen became an icon to many who of greeting Prof. Classen. From 1991 vanished from his illustrious world to 1993, I was Vice President of the and we later became the adopted Inter-American Society of Digestive orphans of Prof. Guido Tytgat. Long Endoscopy, with an area of influence may the dedicated structures of WGO in my country, Central America and continue to thrive and serve. the Caribbean. Four years later, a – Dr. James Garisch (Port Elizabeth, document that filled me with joy and South Africa) satisfaction came to my house. It was a letter from Prof. Classen, inviting 36 WORLD GASTROENTEROLOGY NEWS MAY 2020

38th Annual General Meeting / Scientific Meeting of The Hong Kong Society of Gastroenterology

Panel discussion during the Scientific Meeting

Prof. Peek delivers his lecture on Helicobacter pylori and gastric cancer

On 7 March 2019 The Hong Kong who are renowned scholars in the Society of Gastroenterology held its specialty. annual Scientific Meeting at Cordis Prof. Peek delivered a lecture on The Hong Kong Society of Gastroenterology presents Prof. Peek with an honorary fellow- Hong Kong at Langham Place in “Helicobacter pylori and gastric cancer: ship Kowloon. The meeting was very A case of tragic triangulations” which successful, being well-attended by was informative and well received. 185 healthcare professionals. Special It was followed by “A case of dilated term of 2019-2021. A Certificate of thanks must be given to our Organiz- small bowel” presented by Dr. Aston Appreciation was presented to each ing Chairperson, Dr. Wai-Fan Luk. T.C. Tam. The panel discussion was of the twelve sponsors in appreciation The Society bestowed an honorary led by Drs. Kelvin K.C. Ng, Chi-Wai of their support and contributions fellowship upon our distinguished Lau and Wai-Kay Seto. towards the meeting. Most partici- guest, Professor Richard M. Peek, Jr., The Annual General Meeting then pants then stayed for the dinner and Director of Division of Gastroenterol- followed and was attended by 73 continued exchanging their views. ogy at Vanderbilt University Medical fellows and members. The Society’s Reprinted with permission of The Center in Nashville, Tennessee, USA, annual report and financial statements Hong Kong Society of Gastroenterology who serves as well as the Editor-in- for the year of 2018 were presented Chief of Gastroenterology. He is among during this session. Seven fellows the 22 honorary fellows of our Society were elected to the Council for the 37 WORLD GASTROENTEROLOGY NEWS MAY 2020

“No Stomach for Cancer” Awareness in India

M. S. Revathy, MD Department of Medical Gastroenterology and Hepatology Stanley Medical College and Hospital Chennai, India

The World Health Organization stomach awarness by using it in the (WHO) celebrated November 2019 posters, placards, and attire for the as stomach cancer awareness month. participating staff. Awareness rally The theme’s purpose is to create mass The event started with an awareness awareness for this dreadful disease rally by hospital staff including the which has now become third most Dean, Hospital Outpatient Depart- enterlogy. It emphasized the fact that common cause of cancer death. This ment (HOD), other faculty from the negligence of symptoms can lead to was accomplished by organizing Department of Medical Gastroen- delay in diagnosis and further com- events in form of health talks, rallies, terology, plus students and nursing plications. The documentary has been the distribution of purple-colored staff. The rally started from the main made available on YouTube for mass periwinkle awareness products (T- adminstrative block. Passing through education at this link: https://youtu. shirts, ribbons, hats) and the use of the emergency services, OPD blocks be/LvFYChKrPBI. social media. and part of public place, it finally We at the Department of Medical concluded at the medical college Gastroenterology at Stanley Medical auditorium. College in Chennai, India also partici- This was followed by an awareness pated in this WHO initiative. Cancer talk by HOD, Dept. of Medical Gas- of stomach has increasing prevalence troenterlogy and Hepatology, given to in our society. Early diagnosis and general public and hospital healthcare prompt initiation of therapy reduces staff. The talk was given in the local mortality. language to ensure maximum out-

Keeping this spirit in mind we reach to general public. Medical professionals participating in the organized this program at our insti- The highlight of the event was a events tute. We incorporated the purple documentary made under guidance color theme and the logo for cancer of HOD, Dept. of Medical Gastro-

Awareness talk in local language The color purple was adopted for theme, posters, placards and attire 38 WORLD GASTROENTEROLOGY NEWS MAY 2020

2019 World Hepatitis Day Celebrated in Cities Across Nigeria

Olusegun Isaac Alatise, FWACS Secretary General Society for Gastroenterology and Hepatology in Nigeria (SOGHIN)

Audience at World Hepatitis Day event School awareness programs

World Hepatitis Day 2019 was cel- 4. Awareness campaign and hospital ebrated across the nation of Nigeria. education; Live interviews on radio and television The event kicked off on Friday 26th 5. Talks with translations in the lan- July and continued almost on a daily guages Igbo, Yoruba and Pidgin; basis through August and September. 6. Radio and television programs. The events were very robust and lively Throughout the country, from Nnewi, as the momentum and their impact Damaturu, Keffi, Ido-Ekiti, Oghara, have become stronger as the years roll National Hosp Asokoro, Ado Ekiti, on. There is no doubt at all that the Sagamu, PH, Enugu, Lagos, Ibadan, awareness is improving progressively, Uyo, Abeokuta, Warri, Ikeja, Ifako- judging from the participation by Ijaiye, Benin, Kano, Gombe (Kaltungo communities completely outside of the LG), Ibadan, Ile-Ife, Jos and many major capital cities. This year’s theme other cities, the voice of SOGHIN Events focused on school children was “Invest in Eliminating Hepatitis; members as they mark this day was Find the Missing Millions.” In the the clarion call for governments to forefront of organization for the events, take action by various steps aimed at the Society for Gastroenterology and investing in eliminating Hepatitis and Hepatology in Nigeria (SOGHIN), finding the missing millions. through local coordinators, State Major appreciation must be given Chapters and individual members, was to SOGHIN’s corporate members able to achieve the following: and companies like Phillips, Mega 1. Free screenings; Life, Healthline Pharmaceutical 2. HBV and HCV vaccinations; Company for their wonderful support 3. Lectures on viral hepatitis, health for the activities. walk and talk; Events were held nationwide 39 WORLD GASTROENTEROLOGY NEWS MAY 2020

Single Topic Conference of the Philippine Society of Gastroenterology

The first Single Topic Conference (STC) of the Philippine Society of Gastroenterology (PSG) for 2019 was held on July 20 at the Crowne Plaza Hotel in Manila. Entitled “Food for the Gut: A Guide for the Gastroen- terologists”, the conference was held to answer the growing need of the GI Community on the importance of delivering good nutrition in the holis- Food for the Gut STC tic treatment of patients. It was attended by 154 enthusiastic doctors, all of whom were looking for more knowledge in medical clinical nutrition. Despite the rains and thunderstorms from the previous days, the conference hall was filled to its capacity. All topics were well received by the attendees. The symposia lectures were also well appreciated by the participants. Presentation by PSG President Leticia Ibanez- Participants at the STC PSG thanked Fresenius Kabi and Guzman Mylan Philippines for the generous support extended to the STC. With the dedication and hard work of the Organizing Committee, composed of the new Diplomates and Fellows of the Society, the entire conference went out smoothly. Meals and snacks were provided and a raffle draw was held at the end of the conference.

Organizing committee 40 WORLD GASTROENTEROLOGY NEWS MAY 2020

The International Association of Pancreatology Congress 2019 (IAP) & ASSA SAGES 2019 Congress -- Delegates perspective

Gasim Ibrahim Gasim, MD Fellow in Training Chris Hani Baragwanath Hospital, University of the Witwa- tersrand

Wamda Abuelhassan, MD Fellow in Training Chris Hani Baragwanath Hospital, University of the Witwa- tersrand Prof. Reid Ally of the Chris Hani Baragwa- nath Hospital with Gasim Ibrahim Gasim and Wamda Abuelhassan

The South African Gastroenterology sparing some time for tourism in able to attend it each in our own ca- Society (SAGES) conference is an an- beautiful South Africa. pacity as gastroenterology fellows and nual event held around the second or 2019’s SAGES conference was not as a couple. While both of us mainly third week of August in different cities to be missed. It was held in Cape concentrated on the SAGES part of in South Africa on a rotational basis. Town from 16-20 August in associa- the conference, several joint sessions It is a place where almost all South tion with the International Associa- brought us together with colleagues African gastroenterology trainees and tion of Pancreatology Congress 2019 from other societies. The conferences’ gastroenterologists converge for a (IAP) and Association of Surgeons robust scientific programs started multitude of reasons. Apart from the of South Africa (ASSA) at the Cape on the 16th of August with the post usual well-packed scientific programs, Town International Convention Cen- graduate course after the welcoming one gets to meet friends from around ter. It was an opportunity to bring session. After previous successes of the “Rainbow Country” and neigh- advances in gastroenterology and the Gastro Foundation (GFSSA) in boring countries as well, connect with pancreaticobilliary under one roof bringing international societies’ meet- new ones and visit different cities, and we were fortunate enough to be ings down to Africa (including EASL, 41 WORLD GASTROENTEROLOGY NEWS MAY 2020

ASGE, etc.), this time the post gradu- The next day started early with con- Raine and Axel Dignass, were appeal- ate course was organized by GFSSA/ tinuation of the abstract presentations ing and informative, providing the AASLD. This course was the highlight which were focused on liver research. most recent advances in the field in an of the conference for us as it show- We also presented a medal-winning engaging manner. cased the most recent advances in the abstract in this session. Professor Jay Moving away from academics, the field of hepatology bringing to us the Hoofnagle took us through an inter- conference was a great chance for us best of the AASLD liver meeting. esting fifty year journey of hepatitis to grow our network and to strength- On Saturday the 17th of August, B with emphasis on gray cases where en the connections that we already the main academic program started decisions differed. Professor Mashiko had. It was great to spend quality with presentations from the different Setshedi gave an elegant talk about time with friends and colleagues when societies. Professor Radu Tutuians’ IBS. The most interesting talk during we had engagements about the ways eponymous lecture “investigating the the second day was Professor Axel we are committed to improving our patient with esophageal symptoms in Dignass entitled “ECCO guidelines: gastroenterology practice, collaborate 2019,” which summarized the Lyon Where I do / do not follow them,” in research or further our training. consensus, was a practice-changing where he reminded us that patients With great enthusiasm we await next eye-opener in this regard. are individuals and they might not year’s SAGES conference to renew this The second conference day ended always follow the book. The Abbvie energy. This energy is key in helping with presentations of abstracts and symposium, “The bigger picture,” us persist in gastroenterology. We free papers that mostly showed South during the evening of the second day wish to thank SAGES and the WGO African research. The “Shades of gray addressed different variable presenta- for the opportunity to attend this in diagnosing gastroesophageal reflux tions of IBD and related conditions congress. disease” was discussed during the and highlighted approaches to these evening Gastro Foundation Twilight cases. symposium, which further consoli- Monday the 19th was the last day dated the understanding of the Lyons for us at SAGES. Inflammatory bowel consensus. diseases lectures by experts, Profs. Tim 42 WORLD GASTROENTEROLOGY NEWS MAY 2020

UEG Week Barcelona 2019

With over 13,000 attendees from Postgraduate Teaching Program 122 countries, UEG Week Barcelona The Congress began with the Post- 2019 was a truly record-breaking graduate Teaching Program (PGT), event. Over the course of five days, which covered year 3 of the 3-year experts from across the globe met to rolling curriculum, enabling learners discuss the most exciting develop- to select sessions most relevant to their ments in the digestive health field, en- personal need, with a host of subjects joying a stimulating programme that delivered using a variety of interactive included a variety of symposia and teaching methods. Paul Fockens speaks at the opening session session types catering to all attendees Commenting on the remarkable and their diverse specialities. With growth of the programme, former an additional 4,200 people tuning UEG President Paul Fockens said: in via UEG Week Live, UEG Week “The PGT is becoming a huge, huge IBD experts who addressed issues lived up to its reputation as the most success. At this year’s meeting we had ranging from the role of therapeutic prestigious digestive health meeting more than 4,000 people registered drug monitoring (TDM) in manag- in the world. for the course, with numbers growing ing IBD patients, to how to position Herbert Tilg, Chair of the UEG year on year. So, something is going the available drugs in ulcerative colitis Scientific Committee, commented: well!” (UC) and Crohn’s disease (CD), how “UEG Week is a truly iconic inter- Of particular note were the sessions to use drugs before and after surgery national meeting that attracts people centred around inflammatory bowel in CD and how to optimise medi- from all corners of the globe. I believe disease (IBD), with this year’s cur- cal treatment over the course of the we generated a hugely exciting riculum focusing on how to use drugs disease. A further session ‘Monitoring programme and sincerely hope that and how to monitor disease activity. disease activity in IBD’ reviewed why attendees engaged in invigorating de- Delegates who attended the session it is essential to monitor disease activ- bates and enjoyed the latest science.” ‘How to use drugs in IBD’ enjoyed a ity and examined different monitoring lively session with presentations from techniques and their challenges in clinical practice. Young GI Network An exciting and evolving part of UEG Week, the Young GI Network at UEG Week, organised by the UEG Young Talent Group (YTG), is dedicated to supporting congress delegates below the age of 40 by providing the opportunity to obtain guidance from mentors and network with peers and senior experts. Young gastroenterologists were treated to a variety of carefully crafted sessions during the congress programme, which included CV tips and tricks from experts, advice on submitting an impressive scientific paper and how fellowships and grants can help build a career in gastroenterology. 43 WORLD GASTROENTEROLOGY NEWS MAY 2020

angitis, and the mechanisms of liver regeneration after injury. All studies will be published in the UEG Journal. This year’s winners were: Lissy de Ridder, William Waddingham, Magdy El-Salhy, Aiva Lundberg Båve, Yang Wang Journal Best Paper Award The UEG Journal Best Paper Award was presented to Liat Gutin, as the first author of the winning article titled “Fecal microbiota transplant for Crohn’s disease: a study evaluating safety, efficacy, and microbiome profile.” UEG Rising Stars Each year, the UEG Scientific Com- mittee and National Societies Com- mittee jointly select 6-8 emerging clinical scientists as Rising Stars. The networking event ‘Let’s meet’ UEG Lifetime Achievement Award This year’s winners were: Thomas also provided another exclusive op- Peter Malfertheiner was awarded the Bird, Johan Burisch, Sarwa Darwish portunity for young delegates to meet renowned UEG Lifetime Achieve- Murad, Ihsan Ekin Demir, Sheraz colleagues from all over the world in ment Award 2019, who has had a Markar, Jean Charles Nault, María an informal atmosphere, allowing at- career spanning more than 40 years Jesús Perugorria, Thomas Reiberger. tendees to swap advice and form new and is widely acknowledged by the collaborations. community of gastroenterologists in Congress recording- UEG Week Europe. Under his Chairmanship, the 24/7 and Congress TV UEG Week Barcelona 2019 Department of Gastroenterology and The congress experience continues. Awards Hepatology in Magdeburg, Germany, UEG Week 24/7 features all core sci- UEG Research Prize became a thriving institution in gas- entific lectures from the week, whilst UEG awards €100,000 each year for troenterology. He is also widely rec- UEG Week Congress TV contains excellence in basic science, transla- ognised for work on H. pylori, which expert interviews from the leading fig- tional or clinical research. The prize is led him to become one of the world’s ures in digestive health: https://www. awarded to well-established research- leading experts in this area. Presently, ueg.eu/education/ueg-week-24-7/ueg- ers at the height of their active career, he coordinates research projects re- week-247/ whose science has had, or will have, a lated to H. pylori, gut microbiota and https://www.ueg.eu/week/congress- crucial impact on digestive health. hepatocellular cancer. tv/ This year, Silvio Danese was award- Please join us for another excit- Top Abstract Prize Awardees ed the distinguished UEG Research ing week of scientific advances and Prize for his outstanding project “The Every year €10,000 is awarded to each updates from the world’s leading gut virome as a trigger for IBD: from of the top five abstracts submitted to experts in digestive health at UEG metagenomics to pathogenesis.” His UEG Week. The top five abstracts Week 2020 in Amsterdam, held research aimed to further investigate from 2019 were selected based on between October 10-14, 2020! how the microbiota may affect IBD their scientific merit, and cover a pathogenesis, with a focus on the vi- range of clinical and basic science rome as a possible trigger for intestinal topics, including the treatment of CD inflammation. and irritable bowel syndrome (IBS), cancer risk in primary sclerosing chol- UEG Week 2020

44 WORLD GASTROENTEROLOGY NEWS MAY 2020

UEG Week Amsterdam 2020 October 10-14, 2020, RAI Amsterdam

Axel Dignass, UEG President, discusses why he is looking forward to UEG Week Amsterdam 2020, which promises to be one of the year’s leading digestive health meetings.

With over 13,000 participants from 122 so delegates can also benefit from attending countries in attendance in 2019, UEG Week is industry sessions throughout the congress one of the world’s largest and most prestigious programme. digestive health meetings. This year, UEG Week will take place in the wonderful city of Practical-minded delegates can visit the Amsterdam – the first time the Dutch capital UEG Week Hands-on areas to increase their will host the congress since 2012. knowledge of diagnostic and therapeutic techniques, including surgical training, This year’s programme, which is carefully ultrasonography and endoscopy. pieced together by our Scientific Committee, Incorporating a range of educational formats, will feature a variety of exciting topics within these sessions provide a unique opportunity Early-bird registration fee the fields of gastroenterology, hepatology, for attendees to watch, learn and perfect their until May 15, 2020 endoscopy, digestive surgery and nutrition. technique under the supervision of some of A range of interactive session types will the world’s leading specialists. showcase the very best science in our Reduced fees for field, ensuring the delivery of a first-class, Submitting an abstract to UEG Week is a Allied Healthcare multidisciplinary programme inclusive to all unique opportunity to make your scientific Professionals! attendees, no matter their level of experience. achievements visible to a large audience who share your interest in digestive health. Abstract submission open Highlights will include the exciting ‘Today’s There are a number of sessions dedicated until April 24, 2020 Science, Tomorrow’s Medicine’ initiative, with to presenting original research, from oral this year’s theme on ‘Innovative Technologies presentations to e-Posters, and Top Abstract Driving Future Medicines’, and the UEG Week Prizes are awarded to the meeting’s five best @myUEG Hotspot, which will feature the meeting’s most abstracts submissions, with each awardee @my_ueg controversial sessions and hottest debates. receiving €10,000 for use on future research.

We’ve expanded the case-based programme Hard work, dedication and exceptional for 2020, where situations and specific research will, as always, be acknowledged at problems experienced in daily clinical UEG Week with the inaugural presentations of routines will be debated and discussed by a series of awards, including the UEG Lifetime experts of all fields. We all learn and grow Achievement Award, the Journal Best Paper from our mistakes, so it’s worth noting the Award and the UEG Research Prize. popular ‘Mistakes in…’ sessions. Based on the successful UEG article series, we’ve added We’re expecting an exciting week of scientific two additional sessions for 2020 to ensure the advances and updates from the world’s series appeals to a wider range of delegates. leading experts in digestive health and I am thoroughly looking forward to welcoming All of the leading companies in the field of new and returning delegates to UEG Week gastroenterology are present at UEG Week, Amsterdam 2020.

Find out more: ueg.eu/week WGO Global Guidelines

45 WORLD GASTROENTEROLOGY NEWS MAY 2020

WGO Guidelines and Cascades News

WGO has a library of 26 Global The Endoscope Disinfection Guidelines, which are written from a Guideline is intended for use by viewpoint of global applicability. Each health providers and professionals Guideline goes through a rigorous who are involved in the use, cleaning, process of authoring, editing, and peer and maintenance of endoscopes, and review, and is as evidence based as it aims to support national societies, possible. WGO is the only organiza- official bodies, and individual endos- tion whose guidelines have adopted a copy departments in developing local global focus. Each WGO guideline is standards and protocols for reprocess- available in English, French, Manda- ing endoscopes. rin, Portuguese, Russian and Spanish and is updated as new information … and Portuguese and Spanish and evidence is discovered. The Endoscope Disinfection Guideline has also been published in New Translations in Mandarin Portuguese and Spanish. The new translations are all available at https://www.worldgastroenterology. org/guidelines/global-guidelines/pancreatic-cystic-lesions and https://www. worldgastroenterology.org/guidelines/ Translation of the new Pancreatic global-guidelines/endoscope-disinfec- Cystic Lesions Guideline and re- tion. cently updated Endoscope Disinfec- tion Guideline are now completed in Mandarin. The Pancreatic Cystic Lesions Guideline aims at providing physicians worldwide with a reasonable, up-to-date approach in the management of pancreatic cystic lesions. Since pertinent diagnostic and therapeutic resources are not uni- formly available in different areas of the world, these guidelines are meant to be used as appropriate keeping in mind the local resources and patient preferences. Calendar of Events

46 WORLD GASTROENTEROLOGY NEWS MAY 2020

Calendar of Events

Due to uncertainties of scheduling CALENDAR OF EVENTS Gastro Update Europe 2020 from the COVID-19 situation, please When: September 4 - 5, 2020 check the WGO Meetings and Events Ukrainian World Digestive Health Location: Crowne Plaza Bratislava Calendar for the latest updates at Day Hodzovo Namestie 2 https://www.worldgastroenterology. When: June 11 - 15, 2020 Bratislava, Slovakia org/meetings-and-events/meetings- Location: Kyiv, Ukraine Organizer: MedUpdate Europe and-events-calendar Organizer: Ukrainian Gastroentero- Email: [email protected] logical Association Website: www.gastro-update-europe.eu WGO RELATED EVENTS Email: [email protected] WGO-ENDORSED EVENT World Digestive Health Day International Symposium on 2020: “Gut Microbiome: A Global Viral Hepatitis and Liver Disease Congress of the Association Perspective” (ISVHLD) of Gastroenterologists and When: When: May 29, 2020 June 18 - 21, 2020 Hepatologists in Bosnia and Location: Location: Worldwide events Taipei International Conven- Herzegovina Organizer: WGO and WGO Member tion Center When: September 10, 2020 Taipei, Taiwan Societies Location: Cultural Centre Banski Organizers: Website: https://www.worldgastroen- ISVHLD / GHS and the Dvor terology.org/wgo-foundation/wdhd/ Taiwan Association for the Study of Banja Luka, Bosnia and Herzegovina wdhd-2020 the Liver Organizer: Association of Gastroenter- Website: ghs2020taipei.com ologists and Hepatologists in Bosnia Gastro 2020 Prague 3rd Annual Conference of and Herzegovina When: December 3-5, 2020 the Egyptian Association for Website: http://www.geha.ba/ Location: Prague, Czech Republic Research and Training in Hepato- Organizers: WGO and the Czech World Congress for Esophageal Gastroenterology (EARTH 2020) Society of Gastroenterology Diseases When: Website: www.gastro2020prague.org June 25 - 26, 2020 When: September 21 - 23, 2020 Location: Grand Nile Tower Location: Toronto, Ontario, Canada Cairo, Egypt World Congress of Organizer: International Society for Organizer: Gastroenterology 2021 EARTH Diseases of the Esophagus Website: When: December 12-15, 2021 http://www.earth-eg.org Website: https://isde2020.com Location: Dubai, United Arab Emir- The Digital International Liver ates Congress 2020 (ILC) Organizers: WGO and the Emirates When: Gastroenterology and Hepatology August 25 - 28, 2020 Location: Society On-line WGO Member Societies Organizer: Website: http://wcog2021.org/ EASL Submit Your Event Website: https://ilc-congress.eu/ Are you a WGO Member Society https://ilc-congress.eu/ wanting to share your event with WGO readers? Visit http://www. worldgastroenterology.org/forms/ submit-event.php to submit your event for publication in WGO’s website conference calendar as well as the quarterly e-WGN calendar of events! 47 WORLD GASTROENTEROLOGY NEWS MAY 2020

TDDW 2020 - Taiwan Digestive AEG 23rd Annual Meeting Asian Pacific Digestive Week 2020 Disease Week 2020 When: November 5 - 6, 2020 When: December 7 - 10, 2020 When: September 25 - 27, 2020 Location: Madrid, Spain Location: Kuala Lumpur Convention Location: Taipei, Taiwan Organizer: Asociación Española de Centre Organizer: The Gastroenterological Gastroenterología (AEG) Kuala Lumpur, Malaysia Society of Taiwan Website: www.aegastro.es Organizers: Asian Pacific Association Email: [email protected] of Gastroenterology and Malaysian Website: www.tddw.org European Lifestyle Medicine Society of Gastroenterology & Hepa- Congress tology 28th UEG Week When: November 13 - 15, 2020 Website: http://www.apdw2020.org/ When: October 10 - 14, 2020 Location: Crowne Plaza Athens City Location: RAI Centre APASL 2021 Amsterdam, Netherlands Michalacopoulou,50 – 11528 When: February 3 - 6, 2021 Organizer: United European Gastro- Athens, Greece Location: Bangkok, Thailand enterology Organizer: European Lifestyle Medi- Organizer: Asian Pacific Association Website: https://www.ueg.eu/ cine Organization for the Study of the Liver Telephone: +30 210 7414700 Website: apasl2021bangkok.org ACG 2020 Annual Scientific Email: [email protected] ALEH 2021 Meeting and Postgraduate Course Website: https://www.erasmus.gr/ When: May 12 - 15, 2021 When: October 23 - 28, 2020 microsites/1200 Location: Music City Center Location: Rio de Janiero, Brazil Nashville, Tennessee, United States Portuguese Digestive Week 2020 Organizer: Latin American Association Organizer: American College of Gas- When: November 23 - 26, 2020 for the Study of the Liver (ALEH) troenterology Location: Centro de Congressos do Website: https://alehlatam.org Website: http://acgmeetings.gi.org/ Algarve JDDW 2021 - Japan Digestive Vilamoura, Portugal Disease Week 2021 EDDW 2020 Organizer: Sociedade Portuguesa de When: November 4 - 7, 2021 When: October 28 - 30, 2020 Gastrenterologia Location: Kobe, Japan Location: Intercontinental Cairo Email: [email protected] Organizer: Organization of JDDW Semiramis Website: www.semanadigestiva.pt Cairo, Egypt Website: http://www.jddw.jp/english/ Organizer: Egyptian Society for the XII Curso Internacional de Otoño index.html AGA-SAGE Study of Endoscopy & Hepatogastro- JDDW 2022 - Japan Digestive When: enterology November 30 - December 1, Disease Week 2022 Email: [email protected] 2020 When: October 27 - 30, 2022 Location: Universidad Católica Argen- Location: Fukuoka, Japan tina - Aula Magna WGO-ENDORSED EVENT Organizer: Organization of JDDW Buenos Aires, Argentina Website: http://www.jddw.jp/english/ Panamerican Digestive Disease Organizer: Sociedad Argentina De index.html Week 2020 Gastroenterología (SAGE) and Ameri- When: November 3 - 6, 2020 can Gastroenterology Association Location: Punta del Este, Uruguay (AGA) Organizer: OPGE Email: [email protected] Website: sped2020.com Website: https://sage.org.ar/evento/ xii-curso-internacional-de-otono-aga- JDDW 2020 - Japan Digestive sage/2020-05-15/ Disease Week 2020 When: November 5 - 8, 2020 Location: Kobe, Japan Organizer: Organization of JDDW Website: http://www.jddw.jp/english/ index.html