Washington, DC POSTGRADUATE COURSE ACG EASTERN REGIONAL ATTENDEES: USE THE NEW

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1 2016 POSTGRADUATE COURSE AMERICAN COLLEGE OF GASTROENTEROLOGY ACG EASTERN REGIONAL THE MAYFLOWER HOTEL WASHINGTON, DCJUNE 25 26, 2016 ATTENDEES: USE THE NEW ACG MOBILE APP TO ACCESS FACULTY PRESENTATIONS (SEE REGISTRATION SECTION FOR DETAILS) Washington, DC COURSE DIRECTORS: Fouad J. Moawad, MD, FACG Vanessa M. Shami, MD Paul J. Thuluvath, MD, FACG EARN UP TO CME CREDITS EARN UP TO MOC POINTS

2 2016 ACG EASTERN REGIONAL POSTGRADUATE COURSE June , 2016 THE MAYFLOWER HOTEL WASHINGTON, DC JOIN COLLEAGUES in WASHINGTON, DC for the 2016 ACG EASTERN REGIONAL POSTGRADUATE COURSE REGISTER TODAY! ONLINE gi.org/regional-meetings FAX MAIL American College of Gastroenterology 6400 Goldsboro Road Suite 200 Bethesda, MD ACG is proud to host the 2016 ACG Eastern Regional Postgraduate Course in our hometown of Washington, DC. Whether you are a history buff, art lover, political junkie, gourmand, or avid shopper, you ll find dozens of things to do and see in DC. Take some time before, during, and after the Regional Course to explore the area. Getting around DC is easy and you ll find many sightseeing options within walking distance or a Metro stop from the hotel. Highlights of your visit to DC should include the National Mall, where you ll find the Lincoln Memorial, Vietnam Veterans Memorial, WWII Memorial, Korean War Memorial, the Reflecting Pool, and the Washington Monument. Other popular attractions to add to your agenda are the White House, the U.S. Capitol, Holocaust Memorial Museum, National Geographic Museum, International Spy Museum, the Smithsonian Museums, and more. This is just a short list of what to see while in DC. This year s course will take place at the historic Mayflower Hotel. Listed as one of the Historic Hotels of America by the National Trust for Historic Preservation, the Mayflower is steeped in American history. Built in 1925, it has hosted Presidents and dignitaries from around the world. It was at the Mayflower in 1933 where President Franklin D. Roosevelt wrote his speech with the famous line, the only thing we have to fear is fear itself. President Harry Truman resided at the Mayflower the first 90 days of his term, and FBI Director J. Edgar Hoover often lunched at the hotel. Explore the Mayflower Hotel at

3 EDUCATIONAL AGENDA SESSION 3: ESOPHAGUS Moderator: Fouad J. Moawad, MD, FACG Satuurday, SATURDAY, JUNE 25, :30 am Registration / Continental Breakfast / Visit the Exhibit Hall 7:30 am Welcome and Introductions Fouad J. Moawad, MD, FACG, Vanessa M. Shami, MD, and Paul J. Thuluvath, MD, FACG SESSION 1: ENDOSCOPY Moderator: Vanessa M. Shami, MD 7:35 am Update on the Management of Anticoagulants and Endoscopy Vivek Kaul, MD, FACG Assess the risk of bleeding in patients on anticoagulants and antiplatelet agents prior to endoscopic procedures, and discuss the cardiovascular implications of modifying therapy during the peri-endoscopic setting. 7:55 am New Approaches in the Management of Non-Variceal Upper Gastrointestinal Bleeding Bryan G. Sauer, MD Describe the different endoscopic tools available for hemostasis, including over-the-scope clipping, radiofrequency ablation for GAVE, and EUS-guided hemostasis. 8:15 am Management of Recurrent and Refractory Esophageal Strictures Vanessa M. Shami, MD Define recurrent vs. refractory esophageal strictures and evaluate the different modalities available to manage these strictures with steroid injection, needle knife, and stenting. 8:35 am Q & A SESSION 2: COLON Moderator: Sergey V. Kantsevoy, MD, PhD 8:55 am Navigating Through Difficult Colons Firas H. Al-Kawas, MD, FACG Recognize the common complications associated with the difficult colonoscopy and learn how to avoid these complications. 10:35 am Eosinophilic Esophagitis What to Do When Topical Steroids Fail? Fouad J. Moawad, MD, FACG Summarize the alternative treatment options in steroid refractory EoE patients including specialized diets and esophageal dilation for fibrostenotic strictures, and describe the role of emerging therapies, including biologic and interleukin agents. 10:55 am GERD What Is the Next Step After Incomplete Response to PPI? Michael F. Vaezi, MD, PhD, MSc(Epi), FACG Define refractory GERD and identify the expected response, escalating therapy, and treatment options in a patient with suboptimal response to PPI. 11:15 am Barrett s Esophagus Who Should Undergo Surveillance and What Techniques Can Improve Detection of Dysplasia? Prateek Sharma, MD, FACG Explain current recommendations for surveillance intervals depending on Barrett s length and identify evidence-based methods which may improve detection of dysplasia. 11:35 am Q & A 11:55 am Lunch / Visit the Exhibit Hall / Networking SESSION 4: IBD Moderator: Matilda N. Hagan, MD 12:45 pm Systemic Complications in IBD Patients Raymond K. Cross, Jr., MD, MS Recognize the potential systemic complications and the role of multi-disciplinary management in IBD. 1:05 pm Biologics in 2016: How Do We Select the Most Appropriate Agent? Gary R. Lichtenstein, MD, FACG Identify new biologic agents used in IBD, their mechanism of action, and describe their treatment-related complications. 1:25 pm Utility of Biomarkers in IBD Matilda N. Hagan, MD Discuss the role for various fecal and serological biomarkers in the diagnosis of IBD and recognize the utility of biomarker assays (drug metabolites or antibodies against the drugs) in IBD treatment. 1:45 pm Q & A 2:05 pm Break / Visit the Exhibit Hall / Dessert 9:15 am Tips to Improve Adenoma Detection Rates During Colonoscopy Aasma Shaukat, MD, MPH, FACG Identify the quality standards for colonoscopy and discuss strategies and emerging technologies to improve adenoma detection rates. 9:35 am Handling Large Sessile or Flat Polyps Sergey V. Kantsevoy, MD, PhD Describe optimal techniques to remove large sessile or flat polyps, manage potential complications, and review surveillance protocols after removal of large polyps. 9:55 am Q & A 10:15 am Break / Visit the Exhibit Hall / Refreshments

4 ACG Eastern Regional Postgraduate Course June 25 26, 2016 The Mayflower Hotel Washington, DC Course Directors: Fouad J. Moawad, MD, FACG, Vanessa M. Shami, MD, and Paul J. Thuluvath, MD, FACG SATURDAY AFTERNOON GENERAL SESSIONS / HANDS-ON WORKSHOP SESSIONS*: 2:35 pm Hepatitis C: Drugs of Choice for G1 6 Bruce A. Luxon, MD, PhD, FACG Explain new developments in HCV management with interferon free regimens and the potential side effects and drug resistant mutations. OR Hands-on Workshop* 3:25 pm Is It Celiac Disease or Gluten Sensitivity? Mark T. DeMeo, MD, FACG Outline the pathogenesis and the best current testing methods to diagnose celiac disease and gluten sensitivity. OR Hands-on Workshop* 4:15 pm The Difficult ERCP: Tips to Succeed Andrew Y. Wang, MD, FACG Define conditions which are predictors for difficult cannulation such as altered anatomy, diverticula, and ampulary stenosis; and describe techniques which would facilitate cannulation when traditional methods are unsuccessful. OR Hands-on Workshop* 8 hands-on stations will be offered. The stations are*: Mucosal Ablation: RFA Mucosal Ablation: Cryotherapy *Hands-on workshops are not for CME. Sunday EMR ESD ERCP SUNDAY, JUNE 26, :30 am Registration / Continental Breakfast / Visit the Exhibit Hall 7:25 am Announcements Fouad J. Moawad, MD, FACG, Vanessa M. Shami, MD, and Paul J. Thuluvath, MD, FACG Foreign Body Removal Hemostasis Techniques Hemorrhoid Therapy SESSION 5: FUNCTIONAL AND LUMINAL BOWEL DISORDERS Moderator: Brooks D. Cash, MD, FACG 7:30 am Management of Dyspepsia John K. DiBaise, MD, FACG Define dyspepsia, recognize alarm features which would prompt further evaluation, and compare evidence-based treatment for the dyspeptic patient. 7:50 am Treatment of IBS Diet or Drugs? Brooks D. Cash, MD, FACG Identify treatment options and compare clinical response in the IBS patient to include specialized diets, tricyclic antidepressants, and antispasmodics. SESSION 6: PANCREATICOBILIARY Moderator: Vanessa M. Shami, MD 9:10 am Incidental Pancreatic Cysts: When to Survey, Sample, Resect, or Ablate? Anne Marie Lennon, MD, MBBCh, PhD Describe the most common incidentally found pancreatic cystic lesions (including imaging characteristics) and discuss the factors (size, CEA, cytology, imaging criteria) that would prompt sampling resection, or ablation. 9:30 am Recurrent Acute Pancreatitis: Work-up and Management Gregory A. Cote, MD, MS Diagnose and determine the causative factors of acute pancreatitis, discuss the best modalities for estimating the severity of pancreatitis, and identify patients who require endoscopic and/or surgical care. 9:50 am Evaluation and Management of Refractory Biliary Stricture J. David Horwhat, MD, FACG Describe refractory biliary strictures, discuss the imaging and procedural work-up, and summarize the management of refractory biliary strictures including stenting. 10:10 am Q & A 10:30 am Break / Visit the Exhibit Hall / Refreshments SESSION 7: LIVER Moderator: Paul J. Thuluvath, MD, FACG 10:50 am NASH: Progress in the Last Decade Mitchell L. Shiffman, MD, FACG Explain the prevalence, natural history, and pathogenesis of NASH, and discuss the treatment options and research in progress. 11:10 am Alcoholic Hepatitis Paul J. Thuluvath, MD, FACG Identify current prognostic models, treatment options, and the role of liver transplantation in alcoholic hepatitis. 11:30 am What Is Acute-on-Chronic Liver Failure? David E. Bernstein, MD, FACG Define acute-on-chronic liver failure, summarize prognostic variables, treatment strategies, and ongoing research. 11:50 am Q & A 12:10 pm Course Wrap-up and Take Home Points Fouad J. Moawad, MD, FACG, Vanessa M. Shami, MD, and Paul J. Thuluvath, MD, FACG 12:20 pm Course Adjourns ACCREDITATION / CME The American College of Gastroenterology is accredited by the American Council for Continuing Medical Education to provide continuing medical education for physicians. will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC points. 8:10 am H. pylori How to Handle It if Refractory to the Initial Treatment Course? David A. Peura, MD, MACG Recognize the epidemiology of refractory H. pylori and describe current management options in patients who are refractory to an initial course of treatment. 8:30 am Clostridium difficile When to Use FMT? Lawrence J. Brandt, MD, MACG Evaluate the role of FMT in C. difficile via upper versus lower GI tract and compare response of FMT in refractory versus recurrent C. difficile. 8:50 am Q & A Eastern Regional Course CME: The American College of Gastroenterology 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. MOC POINTS: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to MOC points in the American Board of Internal Medicine s (ABIM) Maintenance of Certification (MOC) program. Participants Hepatitis School CME: The American College of Gastroenterology designates this live activity for a maximum of 8 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. MOC POINTS: Attend ACG s Hepatitis School on Friday, June 24, and earn 10 MOC points when you successfully complete the 30-question online module, which is free to all Hepatitis School attendees. Instructions on how to access the online MOC module will be provided at the conclusion of the program.

5 Registration Form ACG Eastern Regional Postgraduate Course Participant Information Please print or type information as you would like it to appear on your name badge. Name MUST check all that apply: MD* DO* PhD RN NP LPN PA PharmD Other: *Please enter your 10-digit NPI number above (required if physician) Address Address Line 2 City State Zip Phone Fax (required for meeting confirmation/receipt) Hands-on Workshops (Saturday afternoon) Three hands-on sessions will be offered. Each session is 30 minutes in length and features the eight stations listed below. There are limited spaces available. To ensure you can participate in one of the hands-on sessions, please select your top two choices for hands-on stations. The College will assign attendees to sessions based on availability of their top station choices. The hands-on stations are: HANDS-ON WORKSHOPS Mucosal Ablation: RFA Hemostasis Techniques EMR Hemorrhoid Therapy Mucosal Ablation: Cryotherapy Foreign Body Removal ESD ERCP DON T FORGET TO MAKE YOUR HOTEL RESERVATIONS BY JUNE 2, 2016! The program will take place at The Mayflower Hotel. Make your reservations by calling or Special meeting rates apply. A limited number of rooms are available. See Accommodations section for more information.

6 REGISTRATION FORM PAGE Eastern Regional Postgraduate Course June 25 26, 2016 The Mayflower Hotel, Washington, DC Payment Information REGISTRATION FEES EASTERN REGIONAL COURSE SATURDAY, JUNE 25 SUNDAY, JUNE 26 REGISTRATION FEES (PLEASE SELECT ONE) $449 ACG Member/Fellow $149 ACG Trainee/Resident Member $239 ACG Allied Health Member (RN, LPN, Practice Manager, Genetic Counselor) $239 ACG NP/PA Member $549 Non-member Physician/PharmD/PhD/Guest $209 Non-member Trainee/Resident $299 Non-member NP/PA/Allied Health HEPATITIS SCHOOL FRIDAY, JUNE 24 REGISTRATION FEES (PLEASE SELECT ONE) $100 ACG Member/Fellow $100 ACG Trainee/Resident Member ACG Allied Health Member $100 (RN, LPN, Practice Manager, Genetic Counselor) $100 ACG NP/PA Member $145 Non-member Physician/PharmD/PhD/Guest $145 Non-member Trainee/Resident $145 Non-member NP/PA/Allied Health RETURN COMPLETED REGISTRATION FORM WITH PAYMENT IN U.S. FUNDS TO ACG. MAIL: American College of Gastroenterology 6400 Goldsboro Road, Suite 200, Bethesda, MD FAX: REGISTER ONLINE: gi.org/regional-meetings CHECK PAYABLE TO ACG IS ENCLOSED. Check payment must be received before June 2, PAYMENT TYPE CREDIT CARD: MASTERCARD VISA AMEX Cardholder Name Card Number Exp. Date Security Code (3 or 4 digits) Signature Today s Date Full refund of registration fees will be given, less a $25 administrative fee, if written cancellation notice is received by ACG by June 2, No refunds will be given after this date.

7 PROGRAM DESCRIPTION The field of gastroenterology continues to experience an introduction of new and novel diagnostic techniques and therapeutic options affecting numerous areas of GI disease management and patient care. This program is designed to explore those areas which the gastroenterologist often faces in clinical practice and will address management updates in a variety of gastrointestinal and hepatic areas. During the program, several broad topics will be explored, including the management of anticoagulants and endoscopy; improving adenoma detection rates during colonoscopy; updates on eosinophilic esophagitis, GERD, and Barrett s esophagus; biologics and biomarkers in IBD; management of dyspepsia; when to use FMT for C. difficile; incidental pancreatic cysts and refractory biliary stricture; alcoholic hepatitis; acute-on-chronic liver failure; and tips for the difficult ERCP. The structure of the program includes a mix of didactic presentations delivered by expert faculty, significant question and answer periods, smaller afternoon general sessions, and non-cme hands-on sessions. This program is designed for gastroenterologists, primary care physicians, nurses, physician assistants and nurse practitioners interested in the latest information on diagnostic GI and state-of-the-art treatment of these illnesses. Hands-on Workshops: Hands-on sessions are offered at no charge to all course attendees so they can experience first-hand specific and often challenging endoscopic procedures. It is an opportunity to gain tactile experience using a variety of tools and techniques. Faculty will present an overview of the device or technique and a demonstration using the device. Attendees then have an opportunity to practice using the equipment. In addition, attendees will benefit from Q & A with experts during the session. While no CME is offered for hands-on sessions, they provide valuable experiential learning. Three hands-on sessions will be offered. Each session will offer eight hands-on stations. There are limited spaces available. To ensure you can participate in one of the hands-on sessions, please select your top two choices for hands-on stations. The College will assign attendees to sessions based on availability of their top station choices. Hepatitis School: Held one day prior to ACG s Eastern Regional Postgraduate Course, Hepatitis School is a day-long (8:00am- 4:30pm) interactive educational program providing an immersion in hepatitis B and C management, and a clinical update on new therapeutic modalities and approaches. The program will focus on the epidemiology and treatment of hepatitis B, the epidemiology of hepatitis C, assessing candidates for therapy, currently approved therapies for hepatitis C and the pipeline of new drug development for the treatment of hepatitis C, approaches to patients with HCV-HIV co-infection and how to navigate the complex insurance processes related to HCV treatment. Separate registration is required. REGISTRATION The registration fee includes admission to all sessions; continental breakfasts on Saturday and Sunday, lunch on Saturday; and midmorning coffee breaks. NEW: Included with your registration is complimentary access to the course presentations via the ACG Mobile app. The app can be used to download faculty presentations onto tablets, mobile devices, and laptops with note-taking and highlighting capabilities. Take notes at the event and continue reviewing them when you get home. Presentations will also be available online in PDF format. You will have access prior to the course to download or print the slides. (NOTE: A printed syllabus will not be available.) All registrants must pay the full registration fee; one-day registration is not available. ACG Members and Fellows: $449 ACG Trainees/Resident Members: $149 ACG Allied Health Members and ACG NP/PA members: $239 Nonmember Trainees: $209 Nonmember Physicians/PharmD: $549 Nonmember NP/PA or Allied Health: $299 Full refund of registration fees will be given, less a $25 administrative fee, if written notice of cancellation is received by ACG by Thursday, June 2, No refunds will be given after this date. Attendees may register by submitting the enclosed registration form with payment in U.S. funds to the College headquarters by fax at , by mail to ACG, 6400 Goldsboro Road, Suite 200, Bethesda, MD 20817, or online at gi.org/regional-meetings. ACCOMMODATIONS To make your reservation, please contact The Mayflower Hotel at or to reserve your room by phone. Special meeting room rates per night are $189 single/double plus tax. Reservations must be made by June 2, VISA, MasterCard, American Express and Diners Club are accepted. There are a limited number of rooms available at the meeting rate. Rooms will fill up fast, so make your reservation as early as possible. There is no guarantee that rooms will be available up to the deadline date, and there is no guarantee that the rooms will be available at the ACG meeting rate. Rates quoted are on a space-available basis only. Once ACG s room block is sold out, the hotel may charge a higher rate for any additional rooms made available. Requests for reservations received after this date will be on a space-available basis only. All reservations require a deposit of one night s room and tax by guest check or credit card to be charged upon reservation. Cancellations made within 24 hours of check-in will be charged one night s room and tax. Check in is 3:00 pm. Check out is 12:00 noon. MORE INFORMATION For more information about the ACG meeting, call ACG at Americans with Disabilities Act: Attendees of this ACG Regional Course who need additional reasonable accommodations or who have special needs (including dietary needs) should contact the ACG office at or by at info@gi.org no later than June 2, 2016.

8 ACG EASTERN REGIONAL POSTGRADUATE COURSE JUNE 25 26, 2016 THE MAYFLOWER HOTEL, WASHINGTON, DC Course Directors COURSE DIRECTORS FOUAD J. MOAWAD, MD, FACG Associate Professor of Medicine, Walter Reed National Military Medical Center, Bethesda, MD VANESSA M. SHAMI, MD Associate Professor of Medicine, University of Virginia, Charlottesville, VA PAUL J. THULUVATH, MD, FACG Chief, Division of Gastroenterology, Director, The Melissa L. Posner Institute for Digestive Health and Liver Disease, Mercy Medical Center, Baltimore, MD Faculty FACULTY FIRAS H. AL-KAWAS, MD, FACG Professor of Medicine, Director of Endoscopy, Johns Hopkins Sibley Memorial Hospital, Washington, DC DAVID A. BERNSTEIN, MD, FACG Chief of Hepatology and Director, Center for Liver Diseases, North Shore LIJ Health System, Roslyn, NY LAWRENCE J. BRANDT, MD, MACG Emeritus Chief of Gastroenterology, Montefiore Hospital, Bronx, NY BROOKS D. CASH, MD, FACG Professor of Medicine, University of South Alabama, Mobile, AL GREGORY A. COTE, MD, MS Assistant Professor of Medicine, Medical University of South Carolina, Charleston, SC RAYMOND K. CROSS, Jr., MD, MS Associate Professor of Medicine, University of Maryland, Baltimore, Baltimore, MD MARK T. DEMEO, MD, FACG Associate Professor of Medicine, Rush University Medical Center, Chicago, Illinois JOHN K. DIBAISE, MD, FACG Professor of Medicine, Mayo Clinic, Scottsdale, AZ MATILDA N. HAGAN, MD Gastroenterologist, Clinical Assistant Professor of Medicine, Mercy Medical Center, University of Maryland School of Medicine, Baltimore, MD J. DAVID HORWHAT, MD, FACG Gastroenterologist, Lancaster Gastroenterology, Inc., Lancaster, PA SERGEY V. KANTSEVOY, MD, PhD* Director of Therapeutic Endoscopy, Mercy Medical Center, Baltimore, MD VIVEK KAUL, MD, FACG Chief, Division of Gastroenterology and Hepatology, Center for Advanced Therapeutic Endoscopy, University of Rochester Medical Center and Strong Memorial Hospital, Rochester, NY ANNE MARIE LENNON, MD, MBBCh, PhD Associate Professor of Medicine and of Surgery, Director, Multidisciplinary Pancreatic Cyst Program, Johns Hopkins Medical Institutions, Baltimore, MD GARY R. LICHTENSTEIN, MD, FACG Professor of Medicine, Director, Center for Inflammatory Bowel Diseases, University of Pennsylvania Health System, Philadelphia, PA BRUCE A. LUXON, MD, PhD, FACG Chairman, Department of Medicine, Georgetown University, Washington, DC DAVID A. PEURA, MD, MACG Professor of Medicine, UVA Health System, Charlottesville, VA BRYAN G. SAUER, MD Assistant Professor, Co-Director of Endoscopy, University of Virginia, Charlottesville, VA PRATEEK SHARMA, MD, FACG Professor of Medicine, University of Kansas School of Medicine, Kansas City, KS AASMA SHAUKAT, MD, MPH, FACG GI Section Chief, Minneapolis VAHCS, Associate Professor, University of Minnesota, Minneapolis, MN MITCHELL L. SHIFFMAN, MD, FACG Director, Liver Institute of Virginia, Bon Secours Health System, Richmond, VA MICHAEL F. VAEZI, MD, PhD, MSC(Epi), FACG Professor of Medicine, Vanderbilt University Medical Center, Nashville, TN ANDREW Y. WANG, MD, FACG * Associate Professor of Medicine, Co-Medical Director of Endoscopy, University of Virginia School of Medicine, Charlottesville, VA Hands-on Directors HANDS-ON WORKSHOP DIRECTORS QIANG CAI, MD, PhD, FACG Professor of Medicine, Director of Advanced Endoscopy Fellowship, The Emory Clinic Digestive Diseases, Atlanta, GA VIVEK KAUL, MD, FACG Chief, Division of Gastroenterology and Hepatology, Center for Advanced Therapeutic Endoscopy, University of Rochester Medical Center and Strong Memorial Hospital, Rochester, NY Hands-on Faculty HANDS-ON FACULTY TIMOTHY B. GARDNER, MD, MS, FACG Associate Professor, Geisel School of Medicine, Dartmouth; Director, Pancreatic Disorders, Dartmouth-Hitchcock Medical Center, Lebanon, NH SHIVANGI T. KOTHARI, MD Assistant Professor of Medicine, Department of Gastroenterology and Hepatology, University of Rochester Medical Center and Strong Memorial Hospital, Rochester, NY TRUPTESH H. KOTHARI, MD, MS Assistant Professor of Medicine, Director of the Developmental Endoscopy Laboratory, University of Rochester Medical Center, Rochester, New York JUIA J. LIU, MD, FACG Assistant Professor of Medicine, Division of Gastroenterology and Hepatology, University of Arkansas for the Medical Sciences, Little Rock, AR FIELD F. WILLINGHAM, MD, MPH Director of Endoscopy, Associate Professor of Medicine, Emory University Healthcare, Atlanta, GA *Denotes Hands-on Faculty