Louis La Luna, MD, PSG PresidentAbraham Mathew, MD, Program Chair

PSG

Skytop Lodgewww.skytop.com

Sept. 28 – 30, 2012

Pennsylvania Society of Gastroenterology

2012 Annual Scientific Meeting

Register online at

www.pasg.org

2

Educational ObjectivesAt the conclusion of this program, participants should be able to:• ReviewtherecommendationsofscreeningandtherapyinBarrett’sesophagus• DiscussthecontroversyrelatedtomanagementofBarrett’swithlowgradedysplasia• ReviewthetreatmentoptionsforBarrett’sesophagus• Discussthestrategyofmanagingperipancreaticfluidcollection• Illustratethetechniqueofpancreaticnecrosectomy• Reviewtheliteratureonpancreaticnecrosectomy• Reviewclassificationofpancreaticcysticneoplasms• Discusstreatmentstrategiesandthescientificbasisbehindthem• ReviewthenaturalhistoryofIPMN• Reviewtheguidelinesforscreeningcolonoscopyandsurveillancecolonoscopy• Discussthebenefits/riskofrepeatcolonoscopyinelderly• Reviewtherecommendationsforsurveillanceendoscopyfollowingdetectionofpolyps• ReviewsideeffectsofPPI’s• ReviewrecentliteratureonsideeffectsofPPI• Discussosteoporosis,heartattacksandClostridiumDifficileinfectionrisksofPPI’s• Reviewtheetiologyofchronicpancreatitis• Discusstherecentfindingsrelatedtotheroleofsmokingincausingandperpetratingchronicpancreatitis• Reviewthetreatmentoptionsforchronicpancreatitis• Reviewindicationsandtypesofendoscopicstents• Compareandcontrastdifferentstents:enteralandBiliary• Reviewthetechniqueofenteralstenting• Reviewindicationsforendoclips• Compareandcontrastdifferenttypesofclips• Demonstrateclipsintroducedrecently• Reviewdevicesusedforforeignbodyextraction• Demonstratethetechniqueforforeignbodyremoval• Demonstratethetechniqueofcholangioscopy• Discussthemaintenanceofthecholangioscope• Discussthebottlenecksinendoscopy• Introducemanagementstrategiesformanagementofendoscopyunitefficiency• Definetheroleofnursesinanefficientendoscopyunit• Reviewthenutritional,dietaryandpreventativerecommendationsformanagementofhepatitisC• ReviewthesideeffectsoftheoldandnewtreatmentoptionsforhepatitisC• Reviewthepharmacologyofdabigatran• Reviewthesideeffectsofanticoagulationtherapy• Discusstheimplicationsofcessationofanticoagulanttherapyinthesettingofcardiovasculardisease• Discusstreatmentoptionsforre-treatmentofhepatitisC• Describethealgorithmforre-treatmentofhepatitisCgiventheavailabilityofmultiplenewdrugs• Discussthebasisfortherecommendationforantibioticsinpatientswithgastrointestinalbleedingandliverdisease• Reviewtripletherapyforhepatorenalsyndrome• Discussrecentchangesinthemanagementofendstageliverdisease• Reviewthesymptomsofpelvicfloordysfunction• Discusstheevaluationandmanagementoptionsforpelvicfloordysfunction• ReviewthetreatmentofIBS• Discussthesideeffectsofdifferentantidepressants• Reviewbiologicaltherapyformanagementofinflammatoryboweldisease• DiscussthechangesthathavehappenedinthemanagementofIBDinthelastdecade• DefinetheindicationsforsurgeryinmanagementofIBD• Describesurgicaltechniques• Discussemergingconceptsinsurgicalapproachtoinflammatoryboweldisease

AccreditationThisactivityhasbeenplannedandimplementedinaccordancewithEssentialAreasandPoliciesoftheAccreditationCouncilforContinuingMedicalEducation(ACCME)throughthejointsponsorshipofthePennsylvaniaMedicalSocietyandthePennsylvaniaSocietyofGastroenterology.ThePennsylvaniaMedicalSocietyisaccreditedbytheACCMEtoprovidecontinuingmedicaleducationforphysicians.

ThePennsylvaniaMedicalSocietydesignatesthisliveactivityforamaximumof6.50 AMA PRA Category 1 Credits™.Physiciansshouldonlyclaimcreditcommensuratewiththeextentoftheirparticipationintheliveactivity.

Nurse Accreditation:ThiseducationalactivityhasbeensubmittedtotheSocietyofGastroenterologyNursesandAssociates,Inc.forapproval.ThesocietyofGastroenterologyNursesandAssociates,Inc.isaccreditedasanapproverofcontinuingeducationinnursingbytheAmericannursesCredentialingCenter’sCommissiononAccreditation.

Who Should AttendGIphysicians,residents,fellows,nurses,physicianassistants,nursepractitioners,andregisterednurses.

FacultyAsyia S. Ahmad, MD, MPH,AssociateProfessorofMedicine,DrexelUniversityCollegeofMedicine,Philadelphia,PA

Klaus Bielefeldt, MD, PhD,AssociateProfessorofMedicine,UniversityofPittsburgh,Pittsburgh,PA

Vinay Chandrasekhara, MD,InstructorofMedicine,UniversityofPennsylvania,Philadelphia,PA

David L. Diehl, MD,AssociateProfessorofMedicine,GeisingerMedicalCenter,Danville,PA

Dawn E. French, BSN, RN,EndoscopyNurseManager,PennStateHersheyMedicalCenter,Hershey,PA

Karen L. Krok, MD,AssistantProfessorofMedicine,UniversityofPennsylvania,Philadelphia,PA

Mathew T. Moyer, MD, MS,AssistantProfessorofMedicine,PennStateHersheyMedicalCenter,Hershey,PA

Victor J. Navarro, MD,ProfessorofMedicine,PharmacologyandExperimentalTherapeutics,ThomasJeffersonUniversity,Philadelphia,PA

Aminat O. Oluyemi, MD,Fellow,DivisionofGastroenterology&Hepatology,DepartmentofInternalMedicine,PennStateHersheyMedicalCenter,Hershey,PA

Stacy G. Prall, DO,AssociateGastroenterology,GeisingerMedicalCenter,Danville,PA

David A. Sass, MD, FACP,AssociateProfessorofMedicineandSurgery,DrexelUniversityCollegeofMedicine,Philadelphia,PA

Michael S. Smith, MD, MBA,MedicalDirector,EsophagealProgram,AssistantProfessorofMedicine,TempleUniversitySchoolofMedicine,Philadelphia,PA

David B. Stewart, MD,AssistantProfessorofSurgery,DivisionofColonandRectalSurgery,PennStateHersheyMedicalCenter,Hershey,PA

Emmanuelle D. Williams, MD,AssistantProfessorofMedicine,PennStateHersheyMedicalCenter,Hershey,PA

Dhiraj Yadav, MD, MPH,AssociateProfessor,UniversityofPittsburghSchoolofMedicine,Pittsburgh,PA

Yu-Xiao Yang, MD, MScE, FACP,AssistantProfessorofMedicineandEpidemiology,HospitaloftheUniversityofPennsylvania,Philadelphia,PA

3

Friday, September 28, 20126:30–8:00pm Welcome Reception with Cocktails and Hors D’Oeuvres

Scientific ProgramSaturday, September 29, 20127:00–7:45am Registration/Breakfast/Visit Exhibits/Visit Poster Displays7:45–7:50am Welcome and Introductions Louis La Luna, MD, PSG President

7:50–9:00am General Session Lectures7:50–8:10am Should We Treat Low Grade Dysplasia in Barrett’s Esophagus? A Review of Management of

Barrett’s Esophagus Michael S. Smith, MD, MBA

8:10–8:30am Should Endoscopic Pancreatic Necrosectomy Become Standard of Care? What is the Data on Managing Peri Pancreatic Fluid Collections? Mathew T. Moyer, MD MS

8:30–8:50am Why Should I Not Recommend Surgery to All my Patients With a Cystic Neoplasm? What Do We Know About IPMN? Vinay Chandrasekhara, MD

8:50–9:00am Q & A

Nurse Lecture Track10:40–11:00am Can PPI’s Really Cause

Osteoporosis and Heart Attacks? What Do I Tell my Patients When They Call? Stacy G. Prall, DO

11:00–11:20am Improving Efficiency: Importance and Role of Endoscopy Unit Personnel in 2012 Dawn E. French, BSN, RN

11:20–11:40am Educating Patients Preparing for Hepatitis C Treatment Karen L. Krok, MD

11:40am–12:00pm Q & A4

Physician Lecture Track9:00–9:20am Recommendations For

Surveillance Colonoscopy in 2012: Can I Stop Screening my Patient?

Yu-Xiao Yang, MD, MScE, FACP 9:20–9:40am Can PPI’s Really Cause

Osteoporosis and Heart Attacks? What Do I Tell My Patients When They Call?

Stacy G. Prall, DO 9:40–10:00am Why Should Cessation of

Smoking Be Asked of Those With Chronic Pancreatitis? Reviewing the Etiology and Management of Chronic Pancreatitis

Dhiraj Yadav, MD, MPH 10:00–10:10am Q & A10:10–10:40am Break/Visit Exhibits/

Visit Poster Displays

Nurse Hands on Track (15minutestationstorotatethrough)9:00–10:10am Station1: Endoscopic Clips Mathew T. Moyer, MD, MS Station2: Endoscopic Stents Vinay Chandrasekhara, MD Station3: Visualizing the Pancreatobiliary Ducts David L. Diehl, MD Station4: Radiofrequency Ablation System Michael S. Smith, MD, MBA10:10–10:40am Break/Visit Exhibits/ Visit Poster Displays

Physician Hands on Track10:40am–12:00pm

Station1: Endoscopic Clips Mathew T. Moyer, MD, MS

Station2: Endoscopic Stents Vinay Chandrasekhara, MD

Station3: Visualizing the Pancreatobiliary Ducts David L. Diehl, MD

Station4: Radiofrequency Ablation System Michael S. Smith, MD, MBA

9:00–10:10am Breakout Sessions

10:40am-12:00pmBreakout Sessions

continued on page 5

5

Sunday, September 30, 20127:00–8:00am Registration/Breakfast/Visit Exhibits

8:00–8:10am Welcome Announcements Louis La Luna, MD, PSG President

8:10–11:55am General Session Lectures8:10–8:30am Dabigatran, Clopidogrel and New Antiplatelet Agents: Implications for the Gastroenterologist Aminat O. Oluyemi, MD

8:30–8:50am When and How Should I Re-Treat Hepatitis C? Victor J. Navarro, MD

8:50–9:10am Why Every Patient with Variceal Bleed Needs Antibiotics and What is Triple Therapy for Hepatorenal Syndrome? Update on Managing ESLD David A. Sass MD, FACP

9:10–9:20am Q & A

9:20–9:50am Break and Visit Exhibits

9:50–10:10am What is Pelvic Floor Dysfunction, its Syptomatology and How to Manage It? Asyia S. Ahmad, MD, MPH

10:10–10:30am How Do I Select an Antidepressant for Treating IBS? Klaus Bielefeldt, MD, PhD

10:30–10:50am Annual Business Meeting

10:50–11:05am Break and Visit Exhibits

11:05–11:25am Should I Keep Salicylates When my Patient is on Infleximab? How has Biological Agents Changed Management of IBD? Emmanuelle D. Williams, MD

11:25–11:45am Emerging Concepts in Surgical Management of IBD David B. Stewart, MD

11:45–11:55am Q & A

11:55am Adjourn

Scientific Program

continued from page 4Saturday, September 29, 20126:30–9:30pm Reception and Dinner at Hotel

6

Skytop LodgeOneSkytop,Skytop,PA18357www.skytop.com

About Skytop LodgeSkytopLodgeResortandSpaisoneoftheultimateresortsforPoconovacations.Skytopisacharmingblendofoldworldcharmandcharacter,timelessattentiontodetail,impeccableservice,modernconveniencesandamenities,and,ofcourse,thatsignaturesensationofcompleteandutterrelaxation.

TheLodgesitsonaplateauandoverlooksthemagnificent5,500-acremountainestate.TheguestroomsandsuitesfeatureEnglishcountry-styledesignsandofferspectacularviewsofthePoconoMountains,thelakeandthegolfcourse.Thisfullserviceresorthasgolf,tennis,swimming,yoga,hiking,biking,boating,rockclimbing,canoeing,rockclimbing,lawnbowling,kayaking,shooting,running,fishing,andmanymoreattractions!AtSkytop,thereareendlessactivitiesforyourfamily’senjoyment.

Gentlemenarerequiredtowearjacketsfortheeveningmeal,tiesareoptional.Appropriateattirefortheladiesissuggested.Nojeansorsneakersforchildren.(thisdoesnotapplytoourSaturdaynightprivatefunction)

Hotel AccommodationsTomakeyourhotelreservations,gotowww.pasg.org/NewsEvents/AnnualMeeting.aspxanddownloadthehotelreservationform.Oryoucancallthehoteldirectlyat(800)345-7759,askforreservationsandletthemknowyouarewiththePennsylvaniaSocietyofGastroenterologytoreceivethereservationform.Onceyousubmittedthereservationform,besuretoreceiveaconfirmationthatthehotelreceivedthefax.

$210plustaxandservicecharge(QueenorKingRoom–MainLodge)

Adepositintheamountofonenight’srateisrequiredtoconfirmyourreservation.ThedepositisrefundableifcancellationismadebySeptember21,2012lessa$10.00processingfee.Afterthisdate,anycancellations,earlycheckoutsornoshowswillresultinchargesequaltothelengthoftheoriginalreservation.

Reservations must be made by August 28, 2012.Afterthiscut-offdate,reservationswillbeacceptedonaspace-availablebasis.

ParkingSelfparking/valetparkingareincludedintheguestroomrate.

Activities (Mustpre-register)

Friday, September 28, 20126:00–7:30pm

Welcome ReceptionAttendeesandguestsareinvitedtojoinusforcocktailsandhorsd’oeuvresatthehotel.

Saturday, September 29, 20126:30–9:30pmReception and Dinner with award ceremony for poster contest will be held at the hotel.

Dinner Talk “The Mold in Dr. Florey’s Coat”

PagesofhistoryandmedicinefromthedaysofthefirstWorldWarunfoldsbeforeyoureyesastheonceyoungapprenticeinDr.Florey’slabgivesyouthefirsthandnarrationofwhatlatertransformedmedicine.Weinviteyoutoenjoyagreatstorytellerwhospeaksfromthebackgroundof57yearsofpracticeofmedicineandgastroeneterolgy.

Dinner Speaker: Graham Jeffries, MD

AftercompletinghisbasicmedicaldegreeinNewZeland,Dr.JefferiesworkedunderProfessorHowardFloreywhileatOxfordUniversity,Oxford,England.Dr.JeffriesisaProfessorofMedicineatPennStateMiltonS.HersheyMedicalCenter.HewasthefounderandfirstChairoftheDepartmentofMedicineatPennStateHershey.Heservedinthiscapacityfrom1968-88.Inaddition,hewasthefirstchiefofgastroenterology,aposthehelduntil1982.ItwasintheserolesthatDr.Jeffrieshadhisgreatestimpactasateacher,mentorandrolemodelonthefirstgenerationofmedicalstudents,internalmedicineresidents,andgastroenterologyfellowsatthisinstitution.

Other ActivitiesFishing:Skytop’sprivatetroutstreamaboundswithfreshlystockedtroutandtheirlakesprovideexcellentopportunitiesforalltypesoffishingincludingbassandrainbowtrout.Skytop’ssuperiorguideswillofferprivateguidingandinstruction.

Golf:Skytop’sawardwinningcourseisopentothepublic.Advancetee-timesarerequired.ForadditionalinformationcalltheProShopat(570)595-8910.

Spa:ForasensationalPoconospaexperience,aswellasafewsignaturesurprises,discovertherarefieddelightsoftheSkyviewSpa.Tomakeanappointment,pleasecall(570)595-8968,orextension8968ifyou’restayingattheLodge.

PleaserefertotheSkytopLodgewebsiteforadditionalactivitiesorcontactthehotelreservationsdepartmentat(800)345-7759.

Questions, please call Jessica Winger PSG Meeting Manager at (717) 558-7750 x1584 or email at jwinger@pamedsoc.org

ATTENTIONPoster Competition open to all adult and pediatric fellows in Pennsylvania Gastroenterology and Hepatology programs, as well as residents in Internal Medicine programs.

AnyresearchtopicorinterestingclinicalvignetterelatedtoGastroenterology,HepatologyorNutritionmaybesubmitted.Abstract submissions are due by July 27, 2012.

FirstPrize $750.00SecondPrize $500.00ThirdPrize $250.00

Go to www.pasg.org for additional information.

Method of Payment

Checkenclosed,payabletoPSG

CreditCard

Number

ExpirationDate SecurityCode(CVV#)

Amount

CreditCardBillingAddress(required)

City

State/ZipCode

NameofCardholder

Signature

(Please print)

Name ❑MD❑DO❑PA❑NP❑RN❑LPN❑Other

MailingAddress

City/State/Zip

Phone/Fax

Email*EmailisrequiredforallCMEandevaluationmaterials.

Name(s)ofSpouse/Guest(s)/Child(ren)ifattending

Meeting Price Per Person Total Payment

PSGActiveMember NOCHARGE NOCHARGE

PSGAffiliateMember NOCHARGE NOCHARGE

PSGAssociateMember(Residents/Fellows) NOCHARGE NOCHARGE

PSGNon-PhysicianClinicianMember NOCHARGE NOCHARGE

Non-MemberResident/Fellow NOCHARGE NOCHARGE

Non-MemberPhysicians $175.00 $

Non-MemberPhysicianAssistant,NursePractitioner,RegisteredNurse,LPN $100.00 $

Non-MemberOther $100.00 $

Activities (pleaseindicatethenumberofpeopleattending)

Friday, September 28, 2012 Number Attending Price Per Person Total Payment

ReceptionattheHotel NOCHARGE NOCHARGE

Saturday, September 29, 2012 Number Attending Price Per Person Total Payment

ReceptionandDinnerattheHotel Adults $35.00 $ Children’sEntrée(12&under) $10.00 $

Total Amount Enclosed$

Ihavethefollowingdietaryrequirements:

Cancellation policy -Atwo-weekcancellationnoticeisrequiredforafullrefund.Norefundwillbeissuedotherwise.Foodcountsandprogrammaterialsare

orderedinadvanceofthemeetingbasedonadvancedregistrations.Forthisreason,ifyoudonotprovide

paymentatthetimeofregistrationanddonotattendthemeetingyoumaybeinvoicedanadministrativefeeof$20.

Registration Form2012 Annual Scientific Meeting • September 28-30, 2012

Please mail or fax this completed form with payment

before September 14, 2012 to:JessicaWinger,MeetingManager,

PennsylvaniaSocietyofGastroenterology777EastParkDrive,POBox8820,

Harrisburg,PA17105-8820Fax(717)558-7841

Phone(717)558-7750ext.1584•www.pasg.org

7

Preferred Online Meeting Registration Available at www.pasg.org

777 East Park DrivePO Box 8820Harrisburg, PA 17105-8820

PRSRT STDU.S. POSTAGE

PAIDHARRISBURG PAPERMIT NO. 922

PSG

September 28 – 30, 2012• Skytop Lodge, Skytop, PA

Louis La Luna, MD, PSG PresidentAbraham Mathew, MD, Program Chair

Register online at

www.pasg.org

AnnuAl Scientific Meeting Pennsylvania Society of Gastroenterology