Research Synopsis & DDW review

If you were not able to attend and listen to every research paper that was presented at DDW this year, OMED provided a synopsis of them for you to look over. OMED invited fellows from various countries to attend every research paper presented during the week of DDW (and also the important meetings of the Asian Pacific Digestive Week and the United European Gastroenterology Week). The collected information from these congresses has been published on the OMED website for several years and we look forward to posting the report from the recent DDW Chicago in the near future.

» View past research papers here

OMED held several committee meetings at the DDW. Graeme Young (Australia) chaired the Colorectal Cancer Screening Committee meeting which is preparing guidelines for evaluation of new screening tests for colorectal and gastric cancers. This consensus is well on the way to completion and will be presented at GASTRO 2009 in

London, November 2009. The OMED Centers of Excellence also convened and, together with the OMED Executive, the following persons discussed ways to continue fruitful cooperation: N.D. Reddy (India), W.R. Brugge (USA), N.E. Marcon (Canada), I. Mostafa (Egypt), R. Saenz (Chile), B. Saunders (UK) and C.S. Shim (South Korea). Other committees who took the opportunity to meet at the DDW:

OMED Documentation and Standardisation Committee, L. Aabakken (Norway)
OMED Education Committee, J. DiSario (USA)
OMED Nominations Committee, A.T.R. Axon (UK)
OMED Upper GI Cancer Screening Committee, J.J.Y. Sung (Hong Kong, China).

 Endoscopy at GASTRO 2009: Preliminary Programme

We are happy to welcome colleagues to the ESGE /OMED activities at GASTRO 2009 in London!

OMED and ESGE are this year jointly responsible for the endoscopic content at GASTRO 2009 and we look forward to offering an interesting variety of features, including live demonstrations broadcast from three centres around the globe from Monday to Wednesday, diverse lectures throughout the week, plus interactive hands-on opportunities at the ESGE /OMED Learning Area.

A brochure was prepared to give an overview of the endoscopy-related activities of GASTRO 2009 which we would like to encourage you to visit, and revisit. Most activities do not require pre-registration, so visitors are welcome to walk in at any time. As of Saturday, the ESGE /OMED Learning Area will be open to delegates.

We look forward to meeting in London and hope that all will benefit from the offerings and the different kinds of interaction offered by OMED and ESGE, as well as our partners. The first and foremost mission of OMED and ESGE is to promote good endoscopy and we welcome help and interest in making it happen!

» View Preliminary Programme here

 ICE2011: 50th anniversary of Endoscopy, September 10-14, 2011

Ten surgical and medical organizations deeply involved in the specialty of endoscopy have joined together to commemorate the beginning of endoscopy as a separate specialty of medicine for this International Congress of Endoscopy.

The organizing core societies are:

The members of the Steering Committee:
Anthony Axon (OMED), Jerome D. Waye (OMED), Jean-Francois Rey (OMED), Robert J. Bailey (OMED), Antonio Lacy (EAES), Antonio Basoli (ISDS), Barry A. Salky (SAGES), Brian J. Dunkin (SSAT), Robert H. Hawes (ASGE), William S. C. Chao (APSDE), Ronald J. Bridges (CAG), Lars Aabakken (ESGE), Hisao Tajiri (JGES)

The members of the Scientific Committee:
Roque Saenz (OMED), Abe Fingerhut (EAES), Jakob Izbicki (ISDS), David Rattner (SAGES), Brian J. Dunkin (SSAT), David Carr-Locke (ASGE) - Joseph Lau (APSDE), David Armstrong (CAG), Guido Costamagna (ESGE), Naohisa Yahagi (JGES)

» Read more

 Sedation Meeting: September 18-19, 2009, Athens, Greece

The World Organization of Digestive Endoscopy (OMED) the Hellenic Society of Gastroenterology (HSG) and the European Society of Gastrointestinal Endoscopy (ESGE) are cooperating to produce an international position statement on the place of sedation in endoscopy an area which is rapidly changing and controversial.

The aim of this symposium is to review current practice on the use of sedation for gastrointestinal endoscopy around the world and elaborate guidelines on this topic, based on current published evidence, for the safety of the patients).

» Read more

 OMED Showcase: Centers of Excellence

This month OMED highlights the Department of Gastroenterology and Hepatology at the Academic Medical Centre of the University of Amsterdam, Netherlands

The next course of Amsterdam Live Endoscopy will be held on December 14 & 15, 2009 at the Hotel Okura in Amsterdam. Please visit our site for further information at www.amsterdamendoscopy.com.

The live demonstrations will be transmitted from the Dept. of Endoscopy at the Academic Medical Center of the University of Amsterdam.

This a case that was performed during the annual endoscopy course in Amsterdam. Amsterdam Live Endoscopy is held mid December each year.

Dr. Jacques Deviere from Brussels performs a Zenker's diverticulotomy. A special diverticular overtube is used, a plastic tube device with two flaps at the end that is placed into the esophagus. This is preloaded onto the standard gastroscope before the procedure begins. The endoscope is introduced in the usual manner and the overtube is placed into the pharynx with the short flap positioned posteriorly to permit it to enter the diverticulum. When properly positioned, the larger flap is in the esophagus, the shorter one is in the diverticulum, and the septum separating the Zenker's diverticulum from the esophagus is caught in the "duck-bill" like overtube. This overtube stabilizes the view while the septum is incised with a needle knife using endocut current. Multiple incisions are made with the needle knife until the base of the diverticulum is reached and endoclips are then applied to bring the cut edges together. This usually results in a complete cure of the Zenker's diverticulum, since the septum between the diverticulum and the main esophageal lumen has been completely destroyed.

» View live demonstration video

 NYSGE: Management of Common Stones – The good, the bad, and the ugly

By Franklin Kasmin, M.D. The Pancreas and Biliary Center at St Vincent’s Hospital Manhattan

The New York Society for Gastrointestinal Endoscopy is the largest regional GI endoscopy society in the United States. The Society is dedicated to the teaching and advancement of gastrointestinal endoscopy. The society runs numerous programs throughout the year, including an annual fellow’s endoscopy course each summer, and a major postgraduate endoscopy conference each fall. The next course will be held in New York from December 16-19, 2009.

Each month a syllabus entry from the 32nd Annual New York Society for Gastrointestinal Endoscopy Course can be accessed here. This month the entry is entitled ‘Management of Common Stones – The good, the bad, and the ugly’ by Franklin Kasmin, M.D., The Pancreas and Biliary Center at St Vincent’s Hospital Manhattan.

The Endoscopic management of common duct stones was the initial therapeutic reason for ERCP, and it continues to be our main reason for therapeutic biliary intervention.  Since about 7% of patients with symptomatic gallbladder disease also have choledocholitihiasis, there is frequent need for common duct clearance around the time of cholecystectomy.  In addition, it is not uncommon to see elderly patients present with symptomatic biliary tract stones, sometimes quite large and longstanding.  Symptoms of jaundice, cholangitis, or even neurologic or cardiovascular alterations may be seen in the very old patient, and will require a different therapeutic approach than the patient with acute gallbladder disease.  In the era of advanced laparoscopic biliary surgery, it was thought (and promoted by the NIH consensus conference committee) that most common duct stone disease could be managed laparoscopically along with the gallbladder.  In reality, this approach has not gained the favor of the typical biliary surgeon, and so in 2008, ERCP remains the favored approach for all forms of CBD stones.

» Read more

 Brainteaser/image of the month

This lesion was found in the sigmoid colon of a 72 year-old man undergoing colonoscopy after faecal occult blood testing was positive.

What is the most likely endoscopic diagnosis?

a) adenoma with low or moderate dysplasia

b) hyperplastic polyp

c) serrated adenoma

d) adenoma with high grade dysplasia or at the most     intramucosal cancer

e) invasive carcinoma

» Click Here for the Answer and Explanation

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