ACG Postgraduate Course at 2026 Annual Meeting

ACG Annual Postgraduate Course

Clinical Pearls for Clinical Practice: Tips and Tricks for Best Patient Outcomes

Course Directors: Shrinivas Bishu, MD, FACG, and Darren M. Brenner, MD, FACG

Saturday, October 10, 2026 | All events are offered in Central Time (CT).
7:55 am Introduction by Course Directors
 
8:00 am Session 1A: Colorectal Cancer Surveillance: Evolving Paradigms
Moderator: Aasma Shaukat, MD, MPH, FACG
  • Polyp Follow-Up Protocols: Refining Surveillance Strategies Post-Screening
    Folasade P. May, MD, PhD, MPhil
    Outline data regarding polyp surveillance intervals focusing on polyp number, size, and histology (SSAs), and identify those with higher familial CRC burden for genetic evaluation.
  • Updates on Dysplasia Detection and Surveillance in IBD and PSC-IBD
    Nayantara Coelho-Prabhu, MD, FACG
    Review updated surveillance intervals and methods in patients with IBD and PSC-IBD, focusing on targeted vs random biopsies and the role of chromoendoscopy.
  • Tips and Tricks to Visualize and Resect Polyps
    Aasma Shaukat, MD, MPH, FACG
    Review and illustrate methods to visualize and resect polyps, including advanced endoscopic tools and EMR.
  • Optimizing Bowel Prep Quality for Colonoscopy
    Brian C. Jacobson, MD, MPH, FACG
    Examine the ACG/US Multi-Society Task Force on Colorectal Cancer guidelines on bowel prep quality for colonoscopy.
  • Panel Q & A
9:40 am Break
10:00 am ACG Trailblazer Lecture: Why Doctors Will Not Be Replaced: The Future of Humanistic Medicine in an AI-Driven World
Brennan Spiegel, MD, MSHS, FACG
Explain which aspects of GI and hepatology practice are likely to be transformed by AI, which will remain uniquely human, and how clinicians can adapt to deliver more effective, humanistic care.
10:30 am Session 1B: Disorders of Gut-Brain Interaction (DGBI): The Latest and Greatest for Clinical Practice
Moderator: Anthony J. Lembo, MD, FACG
  • It’s Sticking and Burning and My Testing Is Negative—What Am I To Do?
    John E. Pandolfino, MD, MSCI, FACG
    Identify the most efficient ways to diagnose, test, and treat functional esophageal disorders.
  • Is It IBS-C/D, CIC, FD? Making Sense Out of Alphabet Soup
    Anthony J. Lembo, MD, FACG
    Identify the most efficient ways to diagnose, differentiate, test, and treat bowel disorders.
  • Pain at the End of the Drain: Why Can’t Anything Be Found?
    Leila Neshatian, MD, MSc
    Evaluate specific causes and treatments for anorectal pain when hemorrhoids, fissures, and fistulas have been ruled out (e.g., proctalgia fugax, levator ani syndrome, chronic proctalgia) and when there may be cause for concern.
  • What’s Causing My RUQ Pain: Functional Gallbladder and Sphincter of Oddi Disorders
    Amy E. Hosmer, MD
    Review current classification strategies for non-stone-based gallbladder and sphincter of Oddi disorders and define which cases require GI or surgical interventions.
  • Panel Q & A
12:10 pm Break for Learning Luncheons
12:20 pm –
1:35 pm
Saturday Optional Learning Luncheon Bonus Sessions

  1. Chronic Diarrhea: A Practical and Efficient Diagnostic Strategy
    Brooks D. Cash, MD, FACG
    Define chronic diarrhea, common and rare causes, and propose an appropriate diagnostic strategy based on clues in patients’ histories.
  2. Top Ten CardioGI Tips You Should Use NOW
    Neena S. Abraham, MD, MSc (Epid), MACG
    Apply best practices for managing anticoagulation in the actively bleeding patient.
  3. What’s the Deal With Cold, Wet, Hot, and Dry EMR?
    Mohammad Bilal, MD, FACG
    Review data and tips and tricks for different EMR approaches and how to manage lesions.
  4. It Just Won’t Go Down: Updates on Dysphagia
    Marcelo F. Vela, MD, MSCR, FACG
    Describe different causes of dysphagia, advantages/disadvantages of esophageal manometry vs FLIP, and current treatment protocols.
  5. Is There an Alien Growing in My Belly? Demystifying Abdominal Bloating and Distention
    Brian E. Lacy, MD, PhD, FACG
    Address the differences between bloating and distention (including abdominophrenic dyssynergia) and discuss appropriate diagnostic and treatment strategies.
  6. Pouchitis vs Crohn’s: Making the Call, Managing the Consequences
    Edward L. Barnes, MD, MPH, FACG
    Review how to distinguish pouchitis from Crohn’s-like disease of the pouch, and how treatment approaches may differ.
  7. Perianal Problems: Gastroenterologists Can Treat These Too!
    Jill K. Deutsch, MD
    Discuss how to differentiate and treat hemorrhoids, fissures, fistula, anal condyloma, and other common perianal complications.
  8. Oh No!! I Think That’s the Liver: Best Endoscopic Strategies for Colon Perforations
    Douglas G. Adler, MD, FACG
    Define best practices for the closure of endoscopic perforations and subsequent follow-up.
  9. Roles and Goals of Bariatric Endoscopy: Will GLP-1 Agonists Render These Interventions Obsolete?
    Pichamol Jirapinyo, MD, MPH, FACG
    Describe the current role of endobariatrics in treating obesity and how these interventions can and should be utilized in the era of GLP-1 agonists.
  10. The Role of Neuromodulation in Treating GI Illness
    Gregory S. Sayuk, MD, MPH
    Define the role of neuromodulation (TCAs, SSRIs, SNRIs, alpha-2 delta ligands, atypical antipsychotics) in treating gastrointestinal disorders and the safety and benefits of using multiple therapies.
  11. Complementary and Alternative Medicine in GI: Is This Ready for Prime Time?
    Andrea S. Shin, MD, MSCR
    Assess the evidence on the use of CAM therapies for GI disorders.
  12. Updates on the Diagnosis and Management of Hepatic Encephalopathy
    Jasmohan S. Bajaj, MD, MS, FACG
    Describe the current guidelines for the diagnosis and management of hepatic encephalopathy.
1:35 pm Break
1:45 pm –
3:00 pm
Simultaneous Symposia Session 1

Symposium A: Churning and Burning: What’s Up in My Stomach? [LIVESTREAM]
Moderator: Linda Anh B. Nguyen, MD, FACG

  • Guideline Recommendations for Functional Dyspepsia and Gastroparesis, or a Lack Thereof
    Linda Anh B. Nguyen, MD, FACG
    Address current guideline “recommendations” for the treatment of functional dyspepsia and gastroparesis and identify what can be done to further develop therapies which may achieve FDA approval in the future.
  • Triple Therapy for H. pylori Must Be Eradicated: It’s That Simple
    Shailja C. Shah, MD, MPH
    Explain the treatment of H. pylori and the rationale for removing triple therapy from our armamentarium.
  • Is the Gastric Emptying Study Obsolete? New and Innovative Therapies for Assessing Gastric Function
    Joy J. Liu, MD
    Discuss the limitations of 2- and 4-hour gastric emptying studies and the role of this test in an era of wireless motility capsules, breath tests, and peristaltic patches.
  • Panel Q & A

Symposium B: Pain in the Pancreas: Assessments of Common Condition
Moderator: B. Joseph Elmunzer, MD, MSc

  • Biliary Strictures and Stones: What, When, How?
    B. Joseph Elmunzer, MD, MSc
    Review the latest indications and techniques for treating common biliary obstructions.
  • A Practical Approach to Acute Pancreatitis
    Timothy B. Gardner, MD, MS, FACG
    Summarize ACG pancreatitis guidelines, with a focus on early medical management, nutritional strategies, and indications for endoscopic vs surgical management of associated complications (pseudocysts, necrosis, etc.).
  • Chronic Pancreatitis: Is This Just Acute Recurrent Pancreatitis or Something More?
    Allison L. Yang, MD, MPH
    Define the underlying causes of chronic pancreatitis, mitigation strategies to reduce development, and best practice treatments for pain relief once it develops.
  • Panel Q & A
3:00 pm Break
3:20 pm –
4:35 pm
Simultaneous Symposia Session 2

Symposium C: Feeling More Than Just the Burn: Esophageal Enigmas [LIVESTREAM]
Moderator: Rena H. Yadlapati, MD, MSHS, FACG

  • The Burning Question of Acid vs Non-Acid Reflux: How to Differentiate and Treat
    Rena H. Yadlapati, MD, MSHS, FACG
    Describe current diagnostic strategies differentiating acid from non-acid reflux and how to appropriately treat these conditions.
  • Eosinophilic Esophagitis: No Longer a Hard Pill to Swallow
    Evan S. Dellon, MD, MPH, FACG
    Explain the criteria used to differentiate EoE from acid reflux, the importance of the EREFS score, and current treatment algorithms for EoE.
  • Reflux Redefined: Regurgitation, Rumination, Eructation, and Abelchia
    C. Prakash Gyawali, MD, MRCP, FACG
    Define and differentiate these disorders commonly labeled as “reflux” and apply appropriate diagnostic and treatment strategies.
  • Panel Q & A

Symposium D: What’s New in Poo: Lumps, Bumps, and Inflammatory Stumps
Moderator: Darren M. Brenner, MD, FACG

  • Chronic Constipation Beyond Laxatives: What to Do When You Still Cannot Poo
    Darren M. Brenner, MD, FACG
    Discuss alternative strategies for treating constipation when OTC and prescription laxatives fail.
  • GI Polyposis: Making Sense of Complex Hereditary Disorders
    Jennifer M. Weiss, MD, MS
    Discuss the different types of hereditary colon cancer syndromes (FAP, Lynch syndrome, etc.) and current surveillance recommendations.
  • IBD With IBS-Like Symptoms: What’s in a Name?
    Lin Chang, MD, FACG
    Explain the overlapping nature of IBS and IBD, based on joint Rome Foundation and IOIBD consensus recommendations.
  • Panel Q & A
4:40 pm Take-Home Pearls: What Did We Learn Today?
Shrinivas Bishu, MD, FACG, and Darren M. Brenner, MD, FACG
Review important and practical take-home messages from today’s talks.
5:00 pm Postgraduate Course Adjourns for the Day