Friday Courses

Receive in-depth updates on the latest in GI and hepatology, endoscopy, and practice management when you attend one or more of the optional Friday courses. Four courses are offered: two half-day courses, the GI Pathophysiology Course and the What’s New in GI Pharmacology Course; and two full-day courses, the Practice Management Course and the ASGE Endoscopy Course.

Attending the Postgraduate Course? Register for the GI Pathophysiology and the What’s New in GI Pharmacology Courses and save up to 10 percent! The GI Pathophysiology Course, the What’s New in GI Pharmacology Course, along with the Postgraduate Course make up the Three-Day Clinical Review, your comprehensive clinical update.

Course Directors: Amrita Sethi, MD, FASGE, and Tyler Stevens, MD, FASGE, FACG

Join ASGE’s esteem faculty who will review and highlight a number of emerging diagnostic and therapeutic endoscopic techniques in the literature and its implications in clinical practice. Key discussions will begin with Barrett’s surveillance and ablation, reviewing several societal guidelines that include a 2016 guideline from the American College of Gastroenterology (ACG), 2012 and 2018 guideline from the American Society of Gastrointestinal Endoscopy (ASGE) and a 2011 guideline and 2016 expert review from the American Gastroenterological Association (AGA). Faculty will then discuss ESD versus EMR for polyps. EMR being the most commonly used technique for resection of large distal colorectal adenomas yet there are some important limitations. This will be compared to endoscopic submucosal dissection (ESD), which is more technically difficult, resulting in longer procedural time. However, ESD is promising due to the high en-bloc resection rates and the very low recurrence rates. Presentations will highlight long-term recurrence rates, healthcare resource utilization and costs along with perceived quality of life among patients. Additional topics will focus on duodenal cancer, specifically as this is the most common cause of death in familial adenomatous polyposis. This will be followed by a review of the revised Atlanta classification system and how this facilitates standardized reporting of clinical and imaging data as well as objective assessment of treatment, fostering effective communication among the clinical team.

Discussions will include clinical assessment and management of acute pancreatitis and clarify appropriate terms for peripancreatic fluid collections, pancreatic and peripancreatic necrosis and their changes over time. And if you are looking for more topics, faculty will discuss emerging endoscopic diagnostics and therapeutics for pancreaticobiliary neoplasia. As pancreatobiliary carcinomas require careful correlation of clinical presentation, gross pathology and histopathologic findings to distinguish between pancreatic neoplasms from each other and from extrapancreatic tumors. Our program is designed to engage the audience with faculty through audience response along with question, answer and discussion. Attendees are encouraged to enjoy lunch with the speakers and enjoy conversations about challenging cases and techniques. We look forward to seeing you in San Antonio!

Upon completion of this educational activity, physicians will be able to:
  • Recognize current standards for diagnosing and reporting Barrett’s esophagus
  • Identify current and new techniques for detecting upper and lower GI neoplasia
  • Describe techniques for management of pancreatic fluid collections arising in acute pancreatitis
  • Recognize new approaches for treating biliary neoplasia
  • Identify new endoscopic therapies for GI bleeding

This course has been specifically designed for practitioners of gastrointestinal endoscopy, especially gastroenterologists, gastrointestinal surgeons, gastrointestinal nurses, and fellows in training. This course is equally relevant to those in private practice and academic practice.

Friday, October 25, 2019
6:30 am Registration and Continental Breakfast
7:30 am Welcome and Introductions
Amrita Sethi, MD, FASGE, and Tyler Stevens, MD, FASGE, FACG
Session 1 Barrett’s Esophagus (Be): Current Best Practices And A Look At The Future
7:40 am Looks like Barrett’s: Now What?
How to Examine, Biopsy, Report, and Survey

Tamas A. Gonda, MD, FASGE
8:00 am Becoming a “Super Sleuth” in BE. New Techniques for Detection
Shivangi T. Kothari, MD, FASGE, FACG
8:20 am Debate: ESD vs. EMR in Nodular BE and Early Esophageal Cancer
8:20 am Snare it Out
Nabeel Azeem, MD
8:35 am Cut it Out
Dennis J. Yang, MD, FASGE, FACG
8:50 am Panel Discussion and Q & A
Session 2 Updates In Diagnosis and Management of Gastric And Duodenal Neoplasia
9:05 am Screening for Gastric Mucosal Neoplasia in 2019
Amit Bhatt, MD
9:25 am Endoscopist’s Role in Duodenal Polyposis
Uzma D. Siddiqui, MD, FASGE
9:45 am Sub-epithelial Lesions. Endoscopic Options for Diagnosis and Resection
Amit Bhatt, MD
10:05 am Panel Discussion and Q & A
10:20 am Break
Session 3 Refining The Approach to Pancreatic Fluid Collections
10:40 am It Isn’t a Pseudocyst: How Revised Atlanta Classification Guides Decision Making
Tyler Stevens, MD, FASGE, FACG
11:00 am Endoscopic Pathways for PFCs: Do All Roads Lead to LAMS?
Amrita Sethi, MD, FASGE
11:20 am I put in a LAMS, Now What? Managing Walled Off Necrosis Beyond Access
Nabeel Azeem, MD
11:40 am Panel Discussion and Q & A
12:00 pm Lunch
Session 4 Emerging Endoscopic Diagnostics and Therapeutics for Pancreaticobiliary Neoplasia
1:10 pm When Should I Order EUS? Comparison of Guidelines
Victoria Gomez, MD
1:30 pm Advances in biliary and pancreatic diagnostics
Tamas A. Gonda, MD, FASGE
1:50 pm Ablative Techniques for Pancreaticobiliary Lesions
Prashant S. Kedia, MD, FASGE
2:10 pm Panel Discussion and Q & A
Session 5 Potpourri
2:25 pm Tried and True, EMR is the Way to Go
Uzma D. Siddiqui, MD, FASGE
2:45 pm Out with EMR, Make Room for ESD
Dennis J. Yang, MD, FASGE, FACG
3:05 pm Debate in Advanced polyp resection
3:05 pm A Rational Approach to Elusive Small Bowel Bleeding
Shivanga T. Kothari, MD, FASGE, FACG
3:25 pm Evolving Management for Gastric Variceal Bleeding: Getting Out of “Sticky” Situations
Victoria Gomez, MD
3:45 pm New Tricks for Bleeders. Updating your Travel Cart for Every Scenario
Prashant S. Kedia, MD, FASGE
4:05 pm Panel Discussion and Q & A