Disorders of the esophagus, stomach and intestine are the subjects of considerable basic and clinical research over the past several years. New technologies to enhance endoscopic visual observation of surface tissues are allowing more rapid and precise diagnoses for patients with Barrett esophagus and other mucosal diseases. This pre-malignant condition of Barrett esophagus is related to the fastest rising incidence of cancer in white males in this country. There is a lack of understanding of these recently developed technologies and their applications to patient care based on knowledge gained from regular referrals to our clinics for consultation and the limited number of medical articles published. Teaching by experts instrumental in the development, testing and applications of newly developed technologies is clearly needed to improve patient care.

Understanding of the latest research information in the newly developing field of esophagology is essential for optimum patient care, but most recent information is not yet available in either textbooks or literature. Consequently, lecture presentations by faculty experts are most likely to provide useful information that is immediately clinically applicable.

There are no reports yet available in the medical literature on the endoscopic anatomy of the esophagogastric junction and the lower esophageal sphincter that directly relate this anatomy to the technique of botulinum toxin injection. Clinical research on eosinophilic esophagitis, Helicobacter pylori, irritable bowel syndrome and chronic constipation has discovered new aspects of diagnosis and therapy not understood by many physicians simply because of the newness of the reports.

Most gastroenterologists are unfamiliar with the subtleties of pathophysiology, diagnosis and treatment of oropharyngeal dysphagia, which has only recently been considered as an emerging responsibility of their specialty rather than just for speech pathologists and otolaryngologists. There are very few gastroenterology residency training programs in this country that provide adequate training on these disorders. Therefore, training at the postgraduate level is needed to fill this information gap.

This course is designed to update clinicians on the latest diagnostic and therapeutic innovations and interventions for management of esophageal and gastric disorders by providing practical, current information that will be readily applicable to patient care. Newly developed and relatively complex diagnostic and therapeutic procedures, such as endoscopic mucosal resection and endoscopic lumen restoration, will be presented with details of technique that are not available in the medical literature. Extended panel discussions and case presentations have been scheduled to allow time for optimal participant-faculty interchange.

The University of South Florida College of Medicine adheres to the ACCME Standards regarding commercial support of continuing medical education.  It is the policy of the USF College of Medicine that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved, and also that speakers will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation.  Detailed disclosure will be made in the course syllabus.

This program has been developed to meet the educational needs of gastroenterologists, surgeons, internists, nurses, speech pathologists, and endoscopy assistants.

Upon completion of this activity, the participant will be able to:

• Explain patient management regarding surveillance and treatment of Barrett esophagus;
• Implement knowledge of esophageal anatomy in utilization of the newest diagnostic techniques for reflux disease;
• Utilize the newest imaging techniques for Barrett esophagus and dysplasia;
• Select proper techniques for management of eosinophilic esophagitis and related strictures;
• Identify patients with Barrett esophagus who could benefit from ablative therapies;
• Develop practical management plans for patients with irritable bowel syndrome;
• Interpret the new treatment options for chronic constipation;
• Evaluate technologies and applications of new endoscopic imaging procedures; and
• Determine when and how to perform endoscopic mucosal resection.

Physicians:   The University of South Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of South Florida College of Medicine designates this educational activity for a maximum of 13.25 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nurses:   The University of South Florida College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This activity is for 13.25 contact hours.

Speech Pathologists:  The Department of Communication Sciences and Disorders at the University of South Florida is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA) to provide continuing education activities in speech language pathology and audiology.  This program is offered for 1.3 CEUs / 13 contact hours (Advanced level; Professional area). The ASHA CE Provider approval does not imply endorsement of course content, specific products or clinical procedures.

Others: Certificates of attendance are available for all other participants.

TIME

SESSION / EVENT

LOCATION

7:00 am – 8:00 am

Registration & Continental Breakfast

Promenade Salons 4-6

Session 1 (Chair: H. Worth Boyce, MD)

8:00 am – 8:05 am

Welcome & Announcements

Promenade East

8:05 am – 8:15 am

Audience Response Pre-Test
(David S. Estores, Jr., MD)

Promenade East

8:15 am – 8:35 am

Oropharyngeal Anatomy, Physiology and Testing (Joy E. Gaziano, MA, CCC-SLP, BRS-S)

Promenade East

8:35 am – 9:00 am

Endoscopic Anatomy of the Esophagus and Esophagogastric Junction
(H. Worth Boyce, MD)

Promenade East

9:00 am – 9:25 am

Persistent Symptoms on Antisecretory Therapy: Acid, Non-Acid, No GERD
(Philip O. Katz, MD)

Promenade East

9:25 am – 10:00 am

Panel Discussion
(Moderator: H. Worth Boyce, MD)

Promenade East

10:00 am – 10:30 am

Break

Promenade Salons 4-6

Session 2 (Chair: David S. Estores, Jr., MD)

10:30 am – 11:10 am

Challenging Case Presentations for the Guest Faculty (David S. Estores, Jr., MD)

Promenade East

11:10 am – 11:30 am

Achalasia: Pneumatic Dilation and Surgical Options (Philip O. Katz, MD)

Promenade East

11:30 am – 11:50 am

Achalasia: LES Anatomy and Botulinum Neurotoxin Injection (H. Worth Boyce, MD)

Promenade East

11:50 am – 12:15 pm

Endoscopic Imaging Techniques: Helpful or Just Gimmicks? (Kenneth K. Wang, MD)

Promenade East

12:15 pm – 12:50 pm

Panel Discussion
(Moderator: David S. Estores, Jr., MD)

Promenade East

12:50 pm – 1:00 pm

Audience Response Post-Test
(David S. Estores, Jr., MD)

Promenade East

TIME

SESSION / EVENT

LOCATION

7:00 am – 8:00 am

Continental Breakfast

Promenade Salons 4-6

Session 3 (Chair: Philip O. Katz, MD)

8:00 am – 8:05 am

Welcome & Announcements

Promenade East

8:05 am – 8:15 am

Audience Response Pre-Test
(David S. Estores, Jr., MD)

Promenade East

8:15 am – 8:35 am

Treating Non-Dys plastic Barrett Esophagus:
A New Paradigm (Bergein F. Overholt, MD)

Promenade East

8:35 am – 9:00 am

Survival Following Treatment of Barrett Esophagus with High-Grade Dysplasia
(Kenneth K. Wang, MD)

Promenade East

9:00 am – 9:25 am

Ablation of Barrett Esophagus: Overview of Techniques and Results
(Bergein F. Overholt, MD)

Promenade East

9:25 am – 10:00 am

Panel Discussion
(Moderator: Philip O. Katz, MD)

Promenade East

10:00 am – 10:30 am

Break

Promenade Salons 4-6

Session 4 (Chair: Bergein F. Overholt, MD)

10:30 am – 11:10 am

Challenging Case Presentations for the Guest Faculty (David S. Estores, Jr., MD)

Promenade East

11:10 am – 11:30 am

All About Helicobacter Pylori: Update for 2009 (William D. Chey, MD)

Promenade East

11:30 am – 11:50 am

The Challenge of Diagnosing and Treating GERD-Related Respiratory Disease
(Philip O. Katz, MD)

Promenade East

11:50 am – 12:15 pm

Update on Irritable Bowel Syndrome
(William D. Chey, MD)

Promenade East

12:15 pm – 12:50 pm

Panel Discussion
(Moderator: Bergein F. Overholt, MD)

Promenade East

12:50 pm – 1:00 pm

Audience Response Post-Test
(David S. Estores, Jr., MD)

Promenade East

TIME

SESSION / EVENT

LOCATION

7:00 am – 8:00 am

Continental Breakfast

Promenade Salons 4-6

Session 5 (Chair: H. Worth Boyce, MD)

8:00 am – 8:05 am

Welcome & Announcements

Promenade East

8:05 am – 8:15 am

Audience Response Pre-Test
(David S. Estores, Jr., MD)

Promenade East

8:15 am – 8:40 am

Endoscopic Muscosal Resection: Indications, Techniques, and Results
(Kenneth K. Wang, MD)

Promenade East

8:40 am – 9:00 am

Endoscopic Lumen Restoration: Indications, Techniques and Results
(H. Worth Boyce, MD)

Promenade East

9:00 am – 9:30 am

Challenges and Opportunities for ASCs in 2009 and Beyond (Bergein F. Overholt, MD)

Promenade East

9:30 am – 10:00 am

Panel Discussion
(Moderator: H. Worth Boyce, MD)

Promenade East

10:00 am – 10:30 am

Break

Promenade Salons 4-6

Session 6 (Chair: Kenneth K. Wang, MD)

10:30 am – 11:10 am

Challenging Case Presentations for the Guest Faculty (David S. Estores, Jr., MD)

Promenade East

11:10 am – 11:35 am

Constipation: New Treatment Options for a Chronic Condition (William Chey, MD)

Promenade East

11:35 am – 11:55 am

Eosinophilic Esophagitis in Adults: Clinical Features and Medical Therapy
(Philip O. Katz, MD)

Promenade East

11:55 am – 12:15 pm

Eosinophilic Esophagitis Strictures: Dilation Therapy (H. Worth Boyce, MD)

Promenade East

12:15 pm – 12:50 pm

Panel Discussion
(Moderator: Bergein F. Overholt, MD)

Promenade East

12:50 pm – 1:00 pm

Audience Response Post-Test
(David S. Estores, Jr., MD)

Promenade East

1:00 pm

Adjournment

Joy McCann Culverhouse Center for Esophageal and Swallowing Disorders
University of South Florida College of Medicine
Tampa, Florida

H. Worth Boyce, MD
Course Director
Professor of Medicine and Radiology
Hugh F. Culverhouse Chair for Esophagology

David S. Estores, Jr., MD
Assistant Professor of Internal Medicine
Director, Esophageal Physiology Laboratory

Joy E. Gaziano, MA, CCC-SLP, BRS-S
Instructor of Internal Medicine
Director, Section of Swallowing Rehabilitation

Janet L. Jones, BA
Instructor, Department of Internal Medicine
Patient Care Coordinator
Assistant to the Director

William D. Chey, MD
Professor, Internal Medicine
Director, Gastrointestinal Physiology Laboratory
University of Michigan Medical Center
Ann Arbor, Michigan

Philip O. Katz, MD
Clinical Professor of Medicine
Thomas Jefferson University
Chairman, Division of Gastroenterology
Albert Einstein Medical Center
Philadelphia, Pennsylvania

Bergein F. Overholt, MD
Thompson Cancer Survival Center
Gastrointestinal Associates, PC
Knoxville, Tennessee

Kenneth K. Wang, MD
Professor of Medicine
Division of Gastroenterology and Hepatology
Director, Advanced Endoscopy Group
and Esophageal Neoplasia Clinic
Mayo Clinic
Rochester, Minnesota

Cancellations must be received in writing by November 3, 2008 and will be subject to a $50.00 processing fee. This fee will increase to $100 between November 4, 2008 and November 14, 2008. No refunds will be given for cancellations after November 14, 2008, but you may transfer your registration to a colleague.

The University of South Florida reserves the right to cancel this program due to unforeseen circumstances, in which case a full refund will be given to participants. The University of South Florida will not be responsible for travel expenses incurred by the participant in the unlikely event that the program is cancelled.

Events, activities and facilities of the University of South Florida are available without regard to race, color, sex, national origin, disability, age, or Vietnam veteran status as provided by law and in accordance with the University's respect for personal dignity.

Disney's BoardWalk Inn Resort
2101 N. Epcot Resorts Blvd.
Lake Buena Vista, Fl 32830
Resort Phone: 407-939-5100
Resort Fax: 407-934-3305
Reservations: 407-934-3372
website

Travel back in time to a charming waterfront village built around a fanciful mid-Atlantic boardwalk, with its unique lakeside dining and entertainment district. It’s all you’d expect from a first-class resort and more. Enjoy incredible dining experiences, a complete health club, a bit of relaxation at the pool or a stroll along the boardwalk. There is an array of activities from which to choose.

A block of rooms has been reserved for this meeting at a special conference rate of $210 per night single/double occupancy. Additional persons (18 yrs. and older) are $25 per person. When calling the phone number above to make your reservation, please identify yourself as part of the USF Esophagology Group. Room rates are subject to applicable sales and resort taxes, currently 12.5%. Subject to availability, you may reserve rooms at the group rate for the three days before or three days after the conference. Check-in time is after 3:00 pm. Check-out time is before 11:00 am. Please note that if you cancel your room, a refund is given only if the reservation is cancelled at least five days prior to arrival. After November 3, 2008, rooms will be on a space available basis only and the rate is not guaranteed.

Discounted Disney Theme Park Admission Tickets are Available for Purchase at www.disneyconventionear.com/aec until December 2, 2008.

Directions

From Orlando International Airport, exit the airport using Boggy Creek Road to Rt. #417 South, which is a toll road. Stay on Rt. #417 through toll plazas. When highway splits, bear right onto Rt. #536. Take Rt. #536, following signs to Epcot Resorts area. Exit right onto Buena Vista Drive. Follow Buena Vista Drive.*

From Tampa, take I-4 East toward Orlando. Take exit 67 (old 26B).*

From Miami, take I-95 North to the Florida Turnpike. Take the Orlando exit to I-4 West. Take exit 67 (old 26B).*

From North Florida, take I-95 South to the Florida Turnpike. Take the Orlando exit to I-4
West. Take exit 67 (old 26B).*

* Pass Disney’s Caribbean Beach Resort and the Reedy Creek Fire Station. Turn right onto Epcot Resorts Boulevard, and Disney’s BoardWalk will be on your left.

For information regarding transportation to/from the airport, click HERE .

There is complimentary transportation to all of the Disney parks from the hotel.

Please call the CPD Office at (813) 974-4296 or (800) 852-5362 a minimum of ten working days in advance of the event if a reasonable accommodation for a disability is needed.

Events, activities and facilities of the University of South Florida are available without regard to race, color, sex, national origin, disability, age or Vietnam veteran
status as provided by law and in accordance with the University’s respect for personal dignity.