13th Annual Rocky Mountain Interventional Endoscopy Course

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1 Join us in Denver, Colorado at Anschutz Medical Campus 13th Annual Rocky Mountain Interventional Endoscopy Course February 18-19, 2016 Fellows Advanced Endoscopy and GI Nurses Program February 17, 2016 Presented by: Division of Gastroenterology and Hepatology Sponsored by: University of Colorado School of Medicine Offi ce of Continuing Medical Education This course is endorsed by the American Society for Gastrointestinal Endoscopy.

2 Course Directors Brian Brauer, MD, FASGE Associate Professor of Medicine Director, Advanced Endoscopy Fellowship Program University of Colorado Paul Fockens, MD, PhD Professor and Chair of Gastroenterology and Hepatology Academic Medical Center University of Amsterdam Amsterdam, Netherlands Raj J. Shah, MD, FASGE, AGAF Professor of Medicine Director, Pancreaticobiliary Endoscopy University of Colorado FELLOWS ADVANCED ENDOSCOPY PROGRAM Augustin R. Attwell, MD, FASGE Assistant Professor of Medicine University of Colorado Denver Health and Hospital Authority Sachin Wani, MD Assistant Professor of Medicine Co-Director Esophageal & Gastric Center University of Colorado GI NURSES PROGRAM William Greenwood, RN, BSN, CEN Interventional RN University of Colorado Health Diane Pruitt, RN, BSN Interventional RN University of Colorado Health

3 Stuart Amateau, MD PhD Assistant Professor of Medicine University of Minnesota Medical Center Minneapolis, Minnesota Everson L.A. Artifon, MD, MSc, PhD, FASGE Associate Professor of Surgery University of Sau Paulo Sao Paulo, Brazil Dayna S. Early, MD Professor of Medicine Co-Director, Interventional Endoscopy Washington University, St. Louis St. Louis, Missouri Barish H. Edil, MD, FACS Associate Professor of Medicine Director of Surgical Oncology Pancreas and Biliary Surgery Director University of Colorado Steven Edmundowicz, MD Professor of Medicine Medical Director, Digestive Health Center University of Colorado B. Joseph Elmunzer, MD, MSc Associate Professor of Medicine Medical University of South Carolina Charleston, South Carolina Course Faculty Ihab I. El Hajj, MD, MPH Assistant Professor of Medicine Indiana University Indianapolis, Indiana Priya Jamidar, MD, FACG, FASGE Professor of Medicine Director of Endoscopy Yale School of Medicine New Haven, Connecticut Laith Jamil, MD, FASGE Associate Clinical Professor Associate Director of Interventional Endoscopy Cedars-Sinai Medical Center David Geffen School of Medicine at UCLA Los Angeles, California Mouen Khashab, MD Associate Professor of Medicine Director of Therapeutic Endoscopy Johns Hopkins Hospital Baltimore, Maryland Rawad Mounzer, MD Assistant Professor of Medicine Thomas Jefferson Universtity Philadelphia, Pennsylvania V. Raman Muthusamy, MD, FACG, FASGE Director of Endoscopy Clinical Professor of Medicine David Geffen School of Medicine at UCLA Los Angeles, California Cyrus Piraka, MD Section Chief, Advanced Therapeutic Endoscopy Fellowship Henry Ford Health System Detroit, Michigan Daniel Ringold, MD Director of Advanced Endoscopic Services Abington Memorial Hospital Abington, Pennsylvania Chang Beom Ryu, MD, PhD Professor of Medicine Institute for Digestive Research Soon Chun Hyang University Bucheon Hospital Bucheon City, Rep of Korea Thomas Savides, MD Professor of Clinical Medicine University of California, San Diego La Jolla, California Mihir Wagh, MD Associate Professor of Medicine University of Colorado Patrick Yachimski, MD, MPH, FASGE Associate Professor of Medicine Director of Pancreatobiliary Endoscopy Vanderbilt University Medical Center Nashville, Tennessee

4 Learning Objectives At the conclusion of this activity, the participants should be able to:»» Improve the performance of ERCP and EUS by understanding established and emerging therapeutic techniques and technologies to optimize success, reduce adverse events, and enhance outcomes for benign and malignant pancreatic and biliary disorders.»» Implement the best endoscopic treatment strategies for patients with Barrett s esophagus and colon polyps and understand the importance of the role of new techniques and technologies to expand non-surgical treatment options.»» Integrate practice guidelines and expert opinion in the identification and treatment of autoimmune pancreatitis and the prevention and management of post-ercp pancreatitis.»» Diagnose difficult to visualize polyps and treat challenging polyps along with improved recognition of adverse events to optimize treatment, manage both endoscopic and surgical adverse events, and identify surgically altered GI anatomy to enhance outcomes. Accreditation The University of Colorado School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Colorado School of Medicine designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The Main Course Program has been awarded 2 COPIC points. You will be awarded 2 COPIC credits for attending the Main Course Program. This education activity has been submitted to the Society of Gastroenterology Nurses and Associates, Inc. for approval. The Society of Gastroenterology Nurses and Associates, Inc. is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. THIS CME ACTIVITY IS ENDORSED BY THE AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY. Program Information The Rocky Mountain Interventional Endoscopy 2016 Course offers the following programs for Gastroenterologists, Gastrointestinal Surgeons, and Gastrointestinal Nurses:»» GI Nurse and Technicians Program Wednesday, February 17, 2016»» Fellows Advanced Endoscopy Programs Wednesday, February 17, 2016»» Rocky Mountain Interventional Endoscopy Main Course and Workshop Thursday-Friday, February 18-19, 2016

5 Wednesday, February 17 GI Nurses and Technicians Program 7:40 AM Introduction/Housekeeping Items 7:45 AM EUS: A Nursing Perspective Ratcliffe 8:45 AM Altered Anatomy: Navigating the Intestinal Maze Amateau 9:45 AM BREAK 10:15 AM Barrett s Esophagus: Pathophysiology; Hammad Surveillance; Treatment 11:15 AM Manometry: Can You Handle the Pressure? Murray 12:15 PM LUNCH/ VENDOR FAIR 1:15 PM Peri-Procedure Patient Processes: Hrovat What You Need to Know 2:15 PM Cholangiopancreatoscopy Greenwood 3:15 PM BREAK 3:30 PM MD/RN Roundtable Discussion Shah/Greenwood 4:15 PM ADJOURN Stuart Amateau, MD PhD Assistant Professor of Medicine University of Minnesota Medical Center Minneapolis, Minnesota Faculty Raj J. Shah, MD, FASGE, AGAF Professor of Medicine Director, Pancreaticobiliary Endoscopy University of Colorado William Greenwood, RN, BSN, CEN Interventional RN University of Colorado Health Aurora Colorado Hazem Hammad, MD Therapeutic Endoscopy Fellow University of Colorado Health Kelly Hrovat, RN Staff Nurse, Endoscopy University of Colorado Health Lynne Murray, MSN, CGRN Nurse Manager, Therapeutic Endoscopy University of Colorado Health Susan Ratcliffe, RN Staff Nurse, Endoscopy University of Colorado Health

6 Wednesday, February 17 Fellows Advanced Endoscopy Program Module I: Biliary Interventional Endoscopy 7:30 AM Course Welcome and Introduction Attwell, Wani 7:40 AM Preparing for a Career in Therapeutic Endoscopy Fockens DIDACTIC LECTURES (AM SESSION) 8:10 AM Basics in Cannulation and Sphincterotomy Attwell 8:35 AM Fluoroscopy Basics and Management of Biliary Stones Ringold 9:00 AM Evaluation and Management of Biliary Strictures Yachimski 9:25 AM BREAK 9:40 AM Therapeutic Applications of EUS: Now and the Future Khashab 10:05 AM Update on Evaluation of Pancreatic Cysts: Muthusamy Imaging, EUS, Surgery or Ignore 10:30 AM Prevention and Management of Biliary Complications Wagh 11:00 AM Roundtable Discussion 11:45 AM LUNCH 1:00 PM HANDS-ON WORKSHOP (PM SESSION) Conducted in Endoscopy Lab with Fluoroscopy Guidance Biliary Stone Management Stricture Management Hemostasis Esophageal/Enteral Stenting 4:30 PM Adjourn

7 Wednesday, February 17 Fellows Advanced Endoscopy Program Module II: Luminal Interventional Endoscopy 7:30 AM Course Welcome and Introduction Attwell, Wani 7:40 AM Preparing for a Career in Therapeutic Endoscopy Fockens 8:10 AM HANDS-ON WORKSHOP (AM SESSION) Conducted in Endoscopy Lab with Fluoroscopy Guidance Esophageal/Enteral Stenting Deep Enteroscopy Hemostasis/Tissue Ablation Basic ERCP 11:45 AM LUNCH DIDACTIC LECTURES (PM SESSON) 1:00 PM Endoscopic Therapies in Barrett s Esophagus: Wani Current State and Future Directions 1:25 PM Endoscopic Resection Techniques: Do s and Don ts Jamil 1:50 PM Luminal Stenting: Basic Principles and Techniques Piraka 2:15 PM BREAK 2:30 PM Role of EUS in Luminal Indications Early 2:55 PM Endotherapy for Weight Loss: Ready for Primetime? Amateau 3:20 PM Endoscopic Management of Luminal Complications Elmunzer 3:45 PM Roundtable Discussion 4:30 PM Adjourn

8 Thursday, February 18 Lectures and Live Case Demonstrations (8.25 Hours) 7:40 AM Course Welcome and Introduction 7:45 AM Diffi cult Biliary Access: We Can and Should Artifon 8:00 AM LIVE CASE DEMONSTRATIONS 9:15 AM Patient Experience in the Endoscopy Unit Savides 9:30 AM BREAK 9:50 AM LIVE CASE DEMONSTRATIONS 11:45 AM Innovations in Therapeutic Endoscopy: Fockens The European Perspective 5th Annual Yang K. Chen Memorial Lecture 12:05 PM LUNCH 1:00 PM LIVE CASE DEMONSTRATIONS 3:00 PM BREAK 3:20 PM LIVE CASE DEMONSTRATIONS 4:45 PM Preventing and Managing ERCP Complications Elmunzer Prime Time for Bariatric Endoscopy Wagh Post-Surgical Anatomy and Complications- Edil What Are We Looking at and How Can We Help? 5:30 PM Adjourn Registration fee includes lunch, snacks, and course materials.

9 Friday, February 19 Lectures and Live Case Demonstrations (4.5 Hours) 7:15 AM The Giant and Not-So-Giant Polyps- Early Techniques for Daily Use Autoimmune Pancreatitis- Looking, but Do We See It? Jamidar 7:50 AM Questions and Answers 8:00 AM LIVE CASE DEMONSTRATIONS 9:40 AM BREAK 10:00 AM LIVE CASE DEMONSTRATIONS 11:40 AM Treating Dysplastic Barrett s: When and How Muthusamy 11:55 AM Wrap Up 12:00 PM Main Course Ends OPTIONAL SESSIONS (4 HOURS) Registration for these workshops is open to GI Physicians, Nurses, Technicians, and Fellows. Modules include lunch. 1:00 PM HANDS-ON WORKSHOPS This advanced endoscopy workshop, with one-on-one interaction with course faculty, will allow participants to gain hands-on exposure to new and/or advanced endoscopy techniques and devices, utilizing a combination of animal models and simulators for training. The hands-on workshops are held in our state-of-the-art endoscopy center. We offer live fl uoroscopy for the hands-on workshops to enhance the learning of ERCP and stent placement. Participants will select one of the following three modules. MODULE 1 ERCP and Esophageal/Enteral Stenting MODULE 2 Deep Enteroscopy, EUS, Barrett s Mucosal Ablation MODULE 3 Endoscopic Mucosal Resection, Tissue Apposition, and Perforation Closure 5:00 PM Adjourn

10 Anschutz Medical Campus Main Course Location (February 18-19) Ed 2 South Building, Main Auditorium E. 17th Ave. Aurora, CO DIRECTIONS: Anschutz Medical Campus is located east of the intersection of Colfax Ave. and Peoria St. Heading East on Colfax Ave., turn left onto Wheeling St. Turn left at East 17th Place. Turn right into the Julesburg Lot or left into the Kiowa lot (adjacent to main course location). Parking is $1 per hour for up to 4 hours in the Kiowa lot; parking is $1 per hour or $5 per day in the Julesburg lot. Nurses/Fellows Programs (February 17) and Friday Hands-on Workshops (February 19) Anschutz Inpatient Pavilion E. 16th Ave. Aurora, CO DIRECTIONS: Heading East on Colfax Ave, turn left onto Quentin St. Turn right at East 16th Ave. Visitor parking lots and garage are located along 16th Ave, just south of the course location. Visitor parking is free. Julesburg Kiowa

11 Course Registration Information To register: go to For questions or issues related to online registration, call or Megan Meyers at or The deadline for discounted advanced registration is Friday, January 22nd, 2016 Accommodations Renaissance Denver Hotel 3801 Quebec Street Denver, Colorado Online hotel reservations: RATE: $129 per night plus applicable taxes (available 2/15-2/19) If making reservations by phone, please reference RMIE at the time of reservation Free internet is available for RMIE guest rooms Ground transportation Denver International Airport is 17 miles from the hotel The Denver Renaissance offers complimentary shuttle service to and from Denver International Airport Service to the Hotel from DIA: 7:35 am 12:35 am shuttles leave DIA every 30 minutes at :05 and :35 after the hour. Pick-up at DIA is located on Baggage Claim Level 5; Westside Doors 506 Service to DIA from the Hotel: 4:30 am 12:00 am midnight; shuttles leave every 30 minutes on the hour and the half hour. Shuttle picks up from the hotel lobby promptly at the times listed. Shuttle buses will be provided for transportation between the hotel and the course location from February 17th-19th. If you are staying at the Renaissance Hotel, you are encouraged to use our ground transportation. If you are driving, self-pay parking is $5/day at the course location

12 Welcome to Anschutz Medical Campus Join us for an interactive educational experience!

13 Live Hands-on Workshops Lectures Demonstrations

14 Registration Fees Main Course Thurs - Fri Noon Discounted by After FEBRUARY 18-19, 2016 Jan. 22, 2016 Jan. 22, 2016 Physicians $350 $450 GI Nurses/Technicians $200 $300 (Includes Nursing Program on Wednesday) GI Nurses/Technicians $150 $250 (Main Course Only) Fellows $150 $250 (Includes Advanced Endoscopy Course on Wednesday**) *Course registration fee includes all conference meals **Fellows Advanced Endoscopy Course Wednesday 2/17/16 Select one of the following: Module 1 Biliary Interventional Endoscopy Module 2 Luminal Interventional Endoscopy Hands-On Modules Before or After (In conjunction with Main Course Registration)* January 22, 2016 Physicians $100 Fellows $75 Nurses/Technicians $50 Friday Afternoon Hands-On Module** 2/17/16 1:00 pm -5:00 pm ** Please select ONE of the following modules: 1. Advanced ERCP and Enteral Stenting 2. Deep Enteroscopy, Esophageal Stenting, Barrett s Mucosal Ablation 3. Endoscopic Mucosal Resection, Tissue Apposition, and Perforation Closure Hands-on space is limited. Registration on a first-come basis. 10% Discount for GI nurses/technicians/md s registering as a team Please indicate on registration form if you have any need for auxiliary aids or special assistance services. CANCELLATION/REFUNDS: The full conference tuition is refundable, less a $75 processing fee, if your cancellation is received, in writing, by January 31, (The $75 processing fee is nonrefundable regardless of the reason for cancellation.) Refunds will not be granted after this time or for non-attendance.

15 The Rocky Mountain Interventional Endoscopy course was founded by and is dedicated to the memory of Yang K. Chen, MD, FASGE, AGAF, FACG June 20, October 15, 2010 Dr. Chen s vision and legacy continue to inspire faculty, staff, and course participants.

16 Division of Gastroenterology and Hepatology Mail Stop F Aurora Court Aurora, CO NON-PROFIT ORG. US POSTAGE PAID PERMIT NO 831 DENVER, CO

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