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www.complications-in-endoscopy.com P R O G R A M M E 3. International Symposium on Complications in GI-Endoscopy This course is endorsed by the American Society for Gastrointestinal Endoscopy Certified and CME credits by the EBGH Under the patronage of the ESGE 28-29 June 2013 Under the patronage of the German Society for Gastroenterology 28-29 June 2013 Maritim Airport Hotel Hannover, Germany Honorary President Meinhard Classen, Munich Course Director Peter N Meier, Hannover Scientific Committee Lars Aabakken, Oslo Ian Gralnek, Haifa Rob Hawes, Orlando Helmut Messmann, Augsburg Christa Meyenberger, St. Gallen Thierry Ponchon, Lyon Krish Ragunath, Nottingham Nageshwar Reddy, Hyderabad State of the Art Lecture Christopher Williams, London

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Page 1: 3. International Symposium on Complications in GI … · 3. International Symposium on ... Ian Gralnek, Haifa Rob Hawes, Orlando Helmut Messmann, ... ® 500mg suppositories: docusate

www.complications-in-endoscopy.com

P R O G R A M M E

3. International Symposium on

Complications in GI-Endoscopy

This course is endorsed by theAmerican Society for GastrointestinalEndoscopy

Certified and CME credits bythe EBGH

Under the patronage

of the ESGE

28-29J u n e2 0 1 3

Under the patronage of theGerman Society forGastroenterology

28-29 June 2013Maritim Airport Hotel Hannover, Germany

Honorary President

Meinhard Classen, Munich

Course Director

Peter N Meier, Hannover

Scientific Committee

Lars Aabakken, OsloIan Gralnek, HaifaRob Hawes, OrlandoHelmut Messmann, AugsburgChrista Meyenberger, St. GallenThierry Ponchon, LyonKrish Ragunath, NottinghamNageshwar Reddy, Hyderabad

State of the Art Lecture

Christopher Williams, London

Page 2: 3. International Symposium on Complications in GI … · 3. International Symposium on ... Ian Gralnek, Haifa Rob Hawes, Orlando Helmut Messmann, ... ® 500mg suppositories: docusate

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Course Director

Dr. Peter N. Meier, FASGEDirector of the Department of Internal Medicine IIGastroenterology, Endoscopy, Metabolic DiseasesDiakoniekrankenhaus Henriettenstiftung gGmbHSchwemannstr. 1730559 HannoverGermany

www.complications-in-endoscopy.com

Contents

Let’s talk about it – again! 4

Programme Friday, 28 June 2013 6

Working groups, congress dinner 7

Programme Saturday, 29 June 2013 8

Poster session, call for abstracts 10

Registration, evening programme, 12meeting venue, accommodation, congress language, travel information,contact

Faculty 14

28-29J u n e2 0 1 3

3. International Symposium on

Complications in GI Endoscopy

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4

3. International Symposium on Complications in GI Endoscopy

Pre

face Dear friends and colleagues,

Being committed endoscopists, we are all concerned that even minorinvasive procedures may have side effects which might result in a so-called complication. The constant evolution, not only of imaging but also of invasive or surgical concepts, requires a permanent process of reflection.

As in previous years, the aims of the symposium are to

identify critical incidents and complications

communicate unforeseen events

develop strategies to avoid or minimise complications

demonstrate therapeutical measures for the eventuality of a complication

which we will discuss under technical, procedural, ethical, psychologicaland legal aspects.

A highlight of our symposium will be the state-of-the-art lecture by Prof. Christopher Williams. Christopher Williams is not only a globally reputed developer of endoscopic techniques but also the grandseigneur of colonoscopy.

We are honoured that Christopher Williams accepted ourinvitation and allows us to share his lifelong experiencesduring his lecture on quality and safety in colonoscopy.

Let's talk about it –again!

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5

28-29 June 2013

Preface

Honorary president of the 3. International Symposium onComplications in GI Endoscopy is Prof. Dr. Drs. h.c.Meinhard Classen.

Meinhard Classen’s importance for modern endoscopy islegendary, he influenced therapeutic endoscopy like no oneelse, for example, via the introduction of ERCP and EPT. Hereceived prizes for his scientific work all over the world, andwe are proud that he accepted to be honorary president ofthis symposium.

Very special thanks go to the members of the ScientificCommittee who put a lot of personal engagement in helping to select

topics and renowned speakers to make thissymposium a useful tool for every endoscopistin his every-day clinical work.

The Scientific Committee and I invite you tocome to Hannover on 28 and 29 June 2013,listen to the experts’ lectures and share yourexperiences with the other participants in ourworking groups. We especially encourage youand your co-workers to send in relevantabstracts. Selected abstracts will be presentedas lectures in the main programme, all otherswill be presented in the poster exhibition.

Looking forward to meeting you in June 2013!

Scientific Committee

Lars Aabakken, Oslo

Ian Gralnek, Haifa

Rob Hawes, Orlando

Helmut Messmann, Augsburg

Christa Meyenberger, St. Gallen

Thierry Ponchon, Lyon

Krish Ragunath, Nottingham

Nageshwar Reddy, Hyderabad

Peter N. Meier, FASGE

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6

3. International Symposium on Complications in GI Endoscopy

Programme Friday, 28 June 201310:00 – 10:30 Welcome coffee in the foyer

10:30 Welcome P. MeierM. Classen

10:40 Welcome address of the President elect J. Jähneof the German Society for Surgery

10:45 – 12:45 Session 1: Basics and communication

Chair: J. Jähne, A. Meining, T. Ponchon

10:45 Quality measurements to prevent K. Mergener complications

11:05 Responsibility and personality: K. Ragunathhuman factors

11:25 Can over- and undertreatment J. Weberresult in complications?

11:45 Behaviour and guilt: How to behave J. Beercorrectly in case of a complication

12:05 My worst case H. Neumann

12:15 Discussion

12:45 – 13:45 Lunch buffet

13:45 – 15:45 Session 2: Technology and general conditions

Chair: M. Dinis-Ribeiro, H. Feußner, H. Messmann

13:45 My worst case J. Pohl

13:55 Stenting: from blessing to curse P. Siersema

14:15 Endoscopy in patients with advanced T. Seufferleintumor diseases: Hazard or benefit?

14:35 Electrosurgery: Dangers and pitfalls G. Csomós

14:55 Endoscopic repair of mucosal defects G. Kähler

15:15 Selected poster abstract to be announced

15:25 Discussion

15:45 – 16:30 Coffee break

Pro

gram

me

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28-29 June 2013

16:30 – 18:00 Session 3: Working groups

On Friday afternoon, we offer working groups for intensified discussion ofcomplications arising in some main endoscopic procedures. In addition,we offer a working group for endoscopy nurses in German language.Together with the experts you will work out the status quo, typical andcommon complications and possible ways of minimising or preventingcomplications. A summary of the results of each working group will bereported to the plenum on Saturday morning.

The working groups take place in parallel sessions, so please enroll forone topic only with your registration:

Congress dinner on Friday, 28 June 2013

18:45 Bus transfer to the Town Hall

19:15 Reception by the Lord Mayor of Hannover

20:00 Dinner at the Town Hall Garden Restaurant

Please enroll for dinner with your registration as seats are limited!

1. EMR/ESD/NOTESChair: J. Hochberger, K. Lehmann, N. Reddy

2. ColonoscopyChair: H. Messmann, G. Rotondano, F. Schreiber

3. ERCP Chair: L. Aabakken, H.-D. Allescher, R. Hawes

4. Instruments and accessoriesChair: H. Feußner, T. Ortmaier, R. Tamm

5. EUSChair: M. Barthet, C. Meyenberger, H. Neye

6. Endoskopie = Arbeit im TeamArbeitsgruppe für Endo sko pie - assistenzVorsitz: M. Engelke, H.-J. Schulz

Program

me

7

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8

3. International Symposium on Complications in GI Endoscopy

Programme Saturday, 29 June 201308:30 – 10:00 Session 4: Reports of the working groups

Chair: E. Fedorov, M. Jung, G. Kähler

08:30 Endoskopie = Arbeit im Team M. Engelke H.-J. Schulz

08:45 EUS M. Barthet C. MeyenbergerH. Neye

09:00 Instruments and accessories H. Feußner T. Ortmaier R. Tamm

09:15 ERCP L. Aabakken H.-D. AllescherR. Hawes

09:30 Colonoscopy H. Messmann G. Rotondano F. Schreiber

09:45 EMR/ESD/NOTES J. Hochberger K. Lehmann N. Reddy

10:00 – 10:20 Coffee break

10:20 – 11:45 Session 5: Focus on hepato-bilio-pancreatic procedures

Chair: C. Germer, S. Meisner, H. Messmann

10:20 Selected poster abstract To be announced

10:30 Complications in endoscopic drainage M. Barthetof pancreatic fluid collections

10:50 Access to the bilio-pancreatic system: L. AabakkenWhat is the right algorithm to minimise complications?

11:10 Access to the pancreas: How to pass the T. Ponchonpapilla without causing collateral damage

Pro

gram

me

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9

28-29 June 2013

11.30 Selected poster abstract To be announced

11:40 Discussion

11:45 – 12:00 Coffee break

12:00 – 13:45 Session 6: Standards and Future

Chair: H. Buhr, M. Classen, N. Reddy

12:00 Iatrogene induced haemorrhage I. Gralnek

12:20 Development of new technologies for R. Hawesthe prevention of complications

12:40 Thinking out of the box: When medicine I. Wunnand religion collide

State-of-the-art lecture

13:00 Introduction M. Classen

13:10 Quality and safety in colonoscopy C. Williams

13:40 Farewell P. Meier

13:45 – 14:30 Farewell lunch buffet

Program

me

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Poster Committee: I. Jovanovic, T. Wehrmann

Posters will be exhibited on 28 and 29 June 2013 at the Maritim AirportHotel Hannover.

The authors will be in attendance during the coffee break on Friday after-noon while the Poster Committee will evaluate the posters.

Call for abstracts

Please submit your poster abstract by 15 April 2013. Only one-pageabstracts not exceeding 250 words, written in English and saved inMicrosoft Word format will be accepted.

Abstracts must be submitted via our Internet Abstract Submission System (http://www.falkfoundation.com/poster) where further information regard -ing the submission format and the submission process is available.Please visit our congress website www.complications-in-endoscopy.comfor a link to the Falk Foundation abstract submission.

The abstracts will undergo a review by the Scientific Committee, prefe-rence being given to those thematically related to one of the sessions ofthe programme. We especially encourage submissions of cases. Haveyou, for example:

come across a very rare or unusual complication?

developed a special technique to deal with specific complications?

experienced a disaster?

Then we invite you to send us your abstract!

10

3. International Symposium on Complications in GI Endoscopy

Poster session, call for abstracts

Pos

ter

Ses

sion

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11

28-29 June 2013

Poster S

ession

&

All accepted abstracts will be printed and distributed to the participantsof the congress together with the documents of the meeting. The authorswill receive notification about acceptance and further instructions by 10 May 2013.

The first author of any accepted poster is invited to take part in the sym-posium free of registration fee. Please note: Travel expenses are notcovered.

Contact address for questions concerning the poster submission:

Falk Foundation e.V.Leinenweberstr. 579041 Freiburg, GermanyTelephone: +49 (0)761 / 15 14-0Telefax: +49 (0)761 / 15 14-359Web address for submitting poster abstracts:http://www.falkfoundation.com/poster

Poster prizes

For the presenting authors of those three abstracts selected by theScientific Committee for oral presentation, registration fee, accommo -dation and travel expenses will be covered.

The three best posters, selected by the Poster Committee during theposter session, will win a prize certificate and an award of 750,- €.

Deadline for submission of abstracts: 15 April 2013

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12

3. International Symposium on Complications in GI Endoscopy

Reg

istr

atio

n

Please visit our congress website www.complications-in-endoscopy.com forregistration, hotel booking and further information.

Registration fee

The registration fee includes access to the lecture hall, choice of one workinggroup, coffee breaks with snacks, rich lunch buffets with a selection of warm andcold dishes on Friday and Saturday, certificate of participation and the get-togetheron Thursday.

Physicians: until 15 April 2013 160,- €

from 16 April 2013 220,- €ESGE Individual Members receive a 20% reduction on the registration fee

Nurses and students: until 15 April 2013 40,- €

from 16 April 2013 70,- €

Team (1 physician, until 15 April 2013 190,- €

up to 2 nurses): from 16 April 2013 250,- €

You may either register online on www.complications-in-endoscopy.com or fill inthe enclosed registration form.

Get-together on Thursday, 27 June 2013

Participants arriving already on Thursday are invited to a get-together at theMaritim Airport Hotel with drinks and light warm and cold dishes, starting 7 pm.The get-together is included in the registration fee.

Congress dinner on Friday, 28 June 2013

The fee includes bus transport from the meeting venue to the restaurant and back,reception and dinner at the beautiful Town Hall Garden Restaurant.

Participant: 30,- €

Accompanying Person : 45,- €

Registration, evening programme

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13

28-29 June 2013

Meeting venue – Maritim Airport Hotel

The symposium takes place at the Maritim Airport Hotel in Hannover, Germany.This magnificent hotel will delight you with its comfort and ideal location on the air-port grounds.

Arrival by plane: The hotel is just a 2-minute footwalk away from the Arrival Hall.

Arrival by car: Take the exit to the airport from highways A2 and A7.

Arrival by train: From Hannover main station, the local tram S5 to “HannoverFlughafen” takes you to the airport and hotel in 18 min.

A taxi from Hannover main station to the airport takes around 20 min. and costsaround 25,- €.

Hotel accommodation

We have reserved a number of rooms at a special congress rate. You may bookyour room either online on our congress website or with the registration form included in this brochure.

Single room including breakfast: 119,- €

Double / twin room including breakfast: 158,- €

Room rates include all service charges and VAT.

Congress language

The congress language is English except for the working group for nurses which isin German.

Die Arbeitsgruppe für Endoskopieassistenz „Patientensicherheit in der Endoskopie”findet in deutscher Sprache statt.

Contact

For any further questions concerning registration and hotel booking, please contact:

COCS GmbH – Congress Organisation C. SchaeferRosenheimer Str. 145c81671 Munich, GermanyPhone: +49 (0)89 / 89 06 77-0 Fax: +49 (0)89 / 89 06 77-77Email: [email protected]

Meeting venue, accommodation, congress language, travel information, contact

Meeting venue

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Aabakken, Lars, MD PhDProfessor, Chief of Endoscopy Dept. of Medical Gastroenterology Rikshospitalet University Hospital 0027 Oslo, Norway

Allescher, Hans-Dieter, Prof. Dr.Zentrum Innere MedizinGastroenterologie, Hepatologieund Stoffwechsel, KlinikumGarmisch-PartenkirchenAuenstraße 6, 82467 Garmisch-Partenkirchen, Germany

Barthet, Marc, Prof. Dr.Service d'hépato-gastro -entérologie, Hôpital Nord Chemin des Bourrely 13915 Marseille cedex 20, France

Beer, JohnBeer advocatenWeteringschans 85-871017 RZ Amsterdam, Netherlands

Buhr, Heinz, Prof. Dr.Klinik für Allgemein-, Gefäß- undThoraxchirurgie, Charité – CampusBenjamin FranklinHindenburgdamm 3012200 Berlin, Germany

Classen, Meinhard, Prof. Dr. Drs.h.c., Em. Direktor II.Med. KlinikKlinikum rechts der IsarTechnische Universität München  Ismaninger Straße 2281675 München, Germany

Csomós, Guido, Dr.Helios Hanseklinikum StralsundMedizinische KlinikGroße Parower Straße 47-5318435 Stralsund, Germany

Dinis-Ribeiro, Mario, MD PhDServico de GastrenterologiaInstituto Portugues de Oncologia'Francisco Gentil'Rua Dr Antonio Bernardino deAlmeida4200-072 Porto, Portugal

Engelke, MonikaBildungszentrum RuhrHospitalstraße 1944649 Herne, Germany

Fedorov, Evgeny D., Prof. Dr. University Hospital No. 31Russia State Medical UniversityDept. of Digestive Endoscopy Lobachevskogo Str. 42 119415 Moscow, Russia

Feußner, Hubertus, Prof. Dr.Chirurgische Klinik und PoliklinikKlinikum rechts der IsarTechnische Universität MünchenIsmaninger Straße 2281675 München, Germany

Germer, Christoph-T., Prof. Dr.Klinik & Poliklinik für Allgemein-und Viszeralchirurgie, Gefäß- undKinderchirurgieUniversitätsklinik Würzburg Oberdürrbacher Straße 697080 Würzburg, Germany

Gralnek, Ian, Prof. Dr. FASGEDepartment of GastroenterologyRambam Health Care CampusRappaport Faculty of MedicineTechnion-Israel Institute ofTechnology8 Ha'Aliyah StreetHaifa, 35254, Israel

Hawes, Rob, MD PhD FASGECenter for InterventionalEndoscopyFlorida Hospital Orlando610 East Rollins StOrlando, FL 32803, USA

Hochberger, Jürgen, Prof. Dr.Département de Hépatogastro -entérologie, HôpitauxUniversitaires de StrasbourgNouveau Hôpital Civil1 Place de l'Hôpital - BP 42667091 Strasbourg Cedex, France

Jähne, Joachim, Prof. Dr. Klinik für Allgemein- undVisceralchirurgieDiakoniekrankenhausHenriettenstiftung gGmbHMarienstraße 72-9030171 Hannover, Germany

Jovanovic, Ivan, MD, PhDAss. Professor of InternalMedicine, Medical School,University of BelgradeClinic for Gastroenterology andHepatologyClinical Center of Serbia2 Koste Todorovic Street11 000 Belgrade, Serbia

Jung, Michael, Prof. Dr. FRCPKlinik für Innere MedizinGastroenterologie, Onkologie u.DiabetologieSt. Hildegardis KrankenhausHildegardstraße 255131 Mainz, Germany

Kähler, Georg, Prof. Dr.Leiter der ZentralenInterdisziplinären Endoskopie Universitätsmedizin Mannheim Medizinische Fakultät derUniversität Heidelberg Theodor-Kutzer-Ufer 1-3 68167 Mannheim, Germany

Lehmann, Kai, Dr.Klinik für Allgemein-, Gefäß- undThoraxchirurgie Charité – Campus BenjaminFranklinHindenburgdamm 3012200 Berlin, Germany

Meier, Peter N, Dr. FASGEMedizinische Klinik II -GastroenterologieDiakoniekrankenhausHenriettenstiftung gGmbHSchwemannstraße 1730559 Hannover, Germany

14

3. International Symposium on Complications in GI Endoscopy

Faculty

Facu

lty

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Meining, Alexander, Prof. Dr.II. Medizinischen KlinikKlinikum rechts der IsarTechnische Universität MünchenIsmaninger Straße 2281675 München, Germany

Meisner, Søren, MDHead of GI Endoscopy UnitBispebjerg University HospitalBispebjerg Bakke 232400 Copenhagen NV, Denmark

Mergener, Klaus, MD, PhD, MBADirector, GI Hospitalist ServicesDigestive Health SpecialistsClinical Medical Director,GastroenterologyMultiCare Health SystemTacoma, Washington, USA

Messmann, Helmut, Prof. Dr.III. Medizinische Klinik mit S.GastroenterologieKlinikum AugsburgStenglinstraße 286156 Augsburg, Germany

Meyenberger, Christa, Prof. Dr.Ärztliche LeitungGastroenterologie Department Innere Medizin-Haus 01Kantonsspital St. Gallen9007 St. Gallen, Switzerland

Neumann, Helmut, Prof. Dr.Medizinische Klinik 1Interventionelle EndoskopieUniversitätsklinikum ErlangenUlmenweg 1891054 Erlangen, Germany

Neye, Holger, Dr.HELIOS Klinikum Emil von Behring Klinik für Innere Medizin IIWalterhöferstraße 1114165 Berlin, Germany

Ortmaier, Tobias, Prof. Dr.-Ing. Leibniz Universität Hannover Institut für MechatronischeSystemeAppelstr. 11a30167 Hannover, Germany

Pohl, Jürgen, Prof. Dr.HSK Dr.-Horst-Schmidt-KlinikenII. Medizinische KlinikLudwig-Erhard-Straße 10065199 Wiesbaden, Germany

Ponchon, Thierry, Prof. Dr.Hôpital Eduard HerriotSpecialité Digestive, Pavillon HPlace d’Arsonval69437 Lyon, France

Ragunath, Krish, MD DNB MPhilFRCP(Edin) FRCP(Lond), Notting -ham Digestive Diseases Centre,NIHR, Queens Medical CentreCampus, Nottingham UniversityHospitals NHS TrustNottingham NG7 2UH, UK

Reddy, Nageshwar, Prof. Dr.ChairmanAsian Institute of Gastroenterology6-3-661, Somajiguda,Hyderabad - 500 082, India

Rotondano, Gianluca, MD FASGEFACG, Division of GastroenterologyHospital Maresca Via Cappella Vecchia 880121 Napoli, Italy

Schreiber, Florian, Prof. Dr.Klin. Abt. für Gastroenterologieund Hepatologie, Universitätsklinikfür Innere Medizin, MedizinischeUniversität GrazAuenbruggerplatz 158010 Graz, Austria

Schulz, Hans-Joachim, Prof. Dr.Klinik für Innere Medizin I, Gastro -enterologie und AkutgeriatrieSana-Klinikum LichtenbergFanningerstraße 3210365 Berlin, Germany

Seufferlein, Thomas, Prof. Dr.Klinik für Innere Medizin IZentrum für Innere MedizinUniversitätsklinikum UlmAlbert-Einstein-Allee 23, 89070 Ulm, Germany

Siersema, Peter, Prof. Dr.Academisch Ziekenhuis UtrechtAfd. GastroenterologieHeidelberglaan 1003584 CX Utrecht, Netherlands

Tamm, RüdigerSenior Product ManagerGastroenterology Gastroentero lo gy and RespiratoryEndoscopyMedical Systems DivisionOlympus Europa Holding GmbHWendenstraße 14-1820097 Hamburg, Germany

Weber, Josef, Dr.Centre Hospitalier LuxembourgDept. Hepatogastroenterologie4, rue Barblé1210 Luxembourg, Luxembourg

Wehrmann, Till, Prof. Dr.Fachbereich GastroenterologieStiftung Deutsche Klinik fürDiagnostikAukammallee 3365191 Wiesbaden, Germany

Williams, Christopher, BM FRCPFRCSEndoscopy UnitThe London ClinicLondon, W1N 2DHUK

Wunn, Ina, Prof. Dr. Dr.G. W. Leibniz-UniversitätHannoverLeinstraße 830159 Hannover, Germany

15

28-29 June 2013

Faculty

Faculty

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Postbox 10 49 08, 20034 Hamburg, Germany | Tel. +49 40 23773-0 | www.olympus-europa.com

In the pursuit of the perfect endoscopy system, Olympus introduces EVIS EXERA III

as the next milestone towards improved clinical outcomes.

For more information, please visit www.olympus-europa.com/EXERA3

EVIS EXERA IIIAdvancing the Art of Endoscopy.

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3. International Symposium on Complications in GI Endoscopy28 - 29 June 2013, Maritim Airport Hotel Hannover

Please use capital letters.

Title Prof. Dr. Mrs. Mr.

First name _____________________________________________________________________________________________

Family name _____________________________________________________________________________________________

Institution, Department _____________________________________________________________________________________________

Street _____________________________________________________________________________________________

Postal Code _____________________________________________________________________________________________

City/Country _____________________________________________________________________________________________

E-Mail _____________________________________________________________________________________________

Statistics: Office-based physician Hospital-based physician

Specialisation: Gastroenterology Surgery Internal Medicine Others: __________________________________________

REGISTRATION FEE UNTIL 15 APRIL 2013 FROM 16 APRIL 2013

Physician 160,- € 220,- € Nurse 40,- € 70,- € Student 40,- € 70,- € Team (1 physician and max. 2 nurses) 190,- € 250,- €

Please fill in one form for each team member!

ESGE individual member (please tick)

Please choose one of the following working groups, 28 June 2013 from 16:30 to 18:00 (no extra charge)

WG 1: EMR/ESD/NOTES WG 4: Instruments and accessories WG 2: Colonoscopy WG 5: EUS WG 3: ERCP WG 6: Patientensicherheit in der Endoskopie (in German)

Registration fee total: ____________

RECEPTION AND DINNER at the Town Hall Garden Restaurant on 28 June 2013

Participant: 30,- € Accompanying person: 45,- €

Dinner fee total: ____________

HOTEL BOOKING, Maritim Airport Hotel Hannover (Flughafenstr. 5, 30669 Hannover)

Check in _____ June 2013 Check out _____ June 2013 = _____ nights Rates are per room and night, incl. breakfast, service and VAT.

single room 119,- € double room 158,- € Estimated arrival time: _______________

Special wishes: non-smoking room smoking room

______________________________________________________________________________________

Hotel fee total: ____________

TOTAL AMOUNT: ____________

Online registration under: www.complications-in-endoscopy.com

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REGISTRATION

Please register via our website www.complications-in-endoscopy.com or complete this registration form and fax it to +49 (0)89 / 89 06 77-77. The final registration date is 21 June 2013. Please register after this date on site.

CANCELLATION

Congress Registration

Cancellation in written must be received not later than 14 June 2013. A service fee of 20.- € will be deducted from the refundamount. Registration fees will not be refunded if cancellations are received at a later date.

HOTEL RESERVATION

We kindly ask you to settle all additional expenses during check out at the hotel.

Changes in reservation and cancellations must be reported in written to COCS GmbH (not to the hotel). If the guest cancels areservation prior to 26 April 2013 a cancellation fee of 20,- € per room reservation and per night will be charged; any bank chargesthat may arise as a result of such a cancellation will be covered by the guest him-/herself. After that date, COCS GmbH and thehotel certainly try to resell cancelled rooms, but if this is not possible the cancellation fee of the hotel (up to 100% of the roomrate) will be charged to you.

Please also be aware in the case of a later arrival or an earlier departure some hotels will charge you the total number of nightsbooked, if the nights cannot be resold.

PAYMENT

Please choose between bank transfer or credit card payment.

bank transfer

Please pay the total amount to the following account:

Account holder: COCS GmbHBank name: HypoVereinsbank MünchenBank code: 700 202 70Account: 39613140IBAN: DE30 7002 0270 0039 6131 40BIC: HYVEDEMMXXXReference: CIE2013 & name of the participant

All bank charges must be covered by the participantsdirectly.

credit card (Visa or Master)

_________________________________________Name of credit card holder

_________________________________________Credit card number

_________________________________________Exp. Date (Month/Year)

I hereby authorize COCS GmbH to charge the total amountfrom the credit card.

_____________________________________________________________________________________________________________________Date, Signature

For further questions, please do not hesitate to contact:COCS GmbH – Congress Organisation C. Schaefer – Rosenheimer Str. 145c – 81671 Munich, GermanyTel: +49 (0)89 / 89 06 77-23 – Fax: +49 (0)89 / 89 06 77-77 – E-Mail: [email protected]