The Division of Gastroenterology at Penn Medicine Presents

8th An n u a l

PENN LIVE: GI ENDOSCOPY AND LIVER DISEASE 2015 A CME/CEU-CERTIFIED COURSE

Friday–Saturday March 6-7, 2015

Smilow Center for Translational Research Perelman School of Medicine University of Pennsylvania 3400 Civic Center Boulevard Philadelphia, PA 19104 In Conjunction with Hospital of the University of Pennsylvania, Department of Nursing Education, Innovation and Professional Development This course is endorsed by the American Society for Gastrointestinal Endoscopy and The AGA Institute

PROGRAM OVERVIEW & TA R G E T A U D I E N C E This program is designed to demonstrate the application and execution of therapeutic gastrointestinal endoscopy. Using a format of lectures and live cases, our faculty will address challenges and practical solutions in the endoscopic management of digestive disorders including benign and malignant disorders of the esophagus, gastroduodenum, pancreas, bile ducts, and colorectum. Additional topics will include applications of endoluminal resection, radiofrequency ablation, argon plasma coagulation, ERCP, endoscopic ultrasound, polypectomy, and endoprosthetic therapies. The program will also focus the current research and recommendations for managing patients with acute and chronic liver disease, including viral and autoimmune hepatitis, metabolic liver disease, portal hypertensive bleeding, refractory ascites, hepatic encephalopathy, liver transplantation and post liver transplant considerations. This conference is designed for Gastroenterologists, Hepatologists, GI Surgeons, GI Radiologists, Gastroenterology Fellows, GI Nurses, Nurse Practitioners, Physician Assistants, Medical Residents and Medical Students.

Learning Objectives Upon completion of this activity, participants should be able to: ■

Describe indications and contraindications for therapeutic endoscopy procedures

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Identify cognitive and technical challenges as well as practical solutions in the endoscopic management of digestive and related disorders including benign and malignant disorders of the esophagus, gastroduodenum, pancreas, bile ducts, and colorectum

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Review and assess updates in digestive disease management

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Discuss updates and practical approaches to managing patients with acute and chronic liver disease, including viral and autoimmune hepatitis, metabolic liver disease, portal hypertensive bleeding, refractory ascites, hepatic encephalopathy, liver transplantation and post liver transplant considerations

Hosting Department The 8th Annual Penn Live: GI Endoscopy and Liver Disease 2015 is hosted by the Division of Gastroenterology at Penn Medicine.

Accreditation Physicians: The Perelman School of Medicine at the University of Pennsylvania is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Nurses: The Hospital of the University of Pennsylvania, Department of Nursing Education, Innovation and Professional Development is an approved provider of continuing nursing education by the PA State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Designation of Credit Physicians: The Perelman School of Medicine at the University of Pennsylvania designates this live activity for a maximum of TBD AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The Hospital of the University of Pennsylvania, Department of Nursing Education, Innovation and Professional Development awards this activity TBD contact hours. Certificates and Transcripts: A few days prior to the symposium, pre-registered participants will receive an email containing directions, additional symposium information and a link to the symposium pre-test, a short questionnaire that will be used to gauge participant knowledge. After the symposium has concluded, all participants will receive a follow-up email containing a link to the post-test, symposium evaluation and request for credit. Once participants submit the request for credit, the credit can be viewed on a transcript or a certificate can be printed by logging onto www.penncmeonline.com once the symposium concludes.

Disclosures

also be mailed or faxed to the Office of Continuing Medical Education. Please see the top of the registration form for contact information. All registrations will be confirmed by e-mail.

Cancellation and Refund Policy In order to process refunds for course withdrawals, cancellations must be received in writing by February 20, 2015 (subject to a service charge equivalent to 10% of the registration fee, but no less than $15.00). No refunds will be issued thereafter. The University reserves the right to cancel or postpone any course due to unforeseen circumstances. In the event of cancellation or postponement, the University will refund registration fees, but is not responsible for related costs or expenses to participants, including cancellation fees assessed by hotels, airlines, and travel agencies.

Meeting Location The 8th Annual Penn Live: GI Endoscopy and Liver Disease 2015 will be held Friday-Saturday, March 6-7, 2015 at the Smilow Center for Translational Research, Perelman School of Medicine at the University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, Pennsylvania, 19104. Parking: Parking on the University of Pennsylvania campus is limited. We strongly recommend you use public transportation to get to/from campus. For those driving to the conference, the following garages are within 1-2 blocks of the Smilow Center for Translational Research. Parking is subject to availability (1st come, 1st serve basis) and fees are not included or validated. Penn Museum of Anthropology and Archeology Garage South Street and Convention Avenue Approximate Cost Per Day: $21.00

Chestnut 34 Garage 34th Street (between Ludlow and Chestnut Streets) Approximate Cost Per Day: $18.00

Perelman School of Medicine at the University of Pennsylvania, Office of Continuing Medical Education, adheres to the ACCME Standards for Commercial Support. Faculty disclosure information will be made available in the conference materials and syllabi. Faculty members are also expected to disclose to participants any discussions of off-label and/or investigational uses of pharmaceutical products during their presentations.

Overnight Accommodation Options

Registration Fees

There are no special room rates for course participants. Please contact the following hotels directly if you are interested in overnight room reservations:

The registration fees for the 8th Annual Penn Live: GI Endoscopy and Liver Disease 2015 are the following: $175 for physicians and industry representatives; $75 for nurses and healthcare professionals, Residents and Fellows. The registration fee for Penn Medicine employees, faculty and staff is $39. Penn Medicine, Department of Gastroenterology employees, faculty and staff should contact the Office of Continuing Medical Education for a special course rate. A copy of your Penn Medicine ID or ID number is required with the completed registration form in order to receive the Penn Medicine course rate. The registration fee includes attendance to the conference, a course booklet and the link to view the presentations online, continental breakfast, mid-morning break, lunch and an afternoon break on both days. You may register online at www.penncmeonline.com. Click on CME Activities, then Live Events and select “Penn Live: GI Endoscopy and Liver Disease 2015”. Registration forms may

Penn Museum Harrison Lot 33rd and Spruce Streets Approximate Cost Per Day: $20.00

Homewood Suites by Hilton 4109 Walnut Street Philadelphia, PA, 19104 215-382-1111 www.HomewoodUnivCity.com *Homewood Suites offers a complimentary shuttle service

The Inn at Penn 3600 Sansom Street Philadelphia, PA 19104 215-222-0200 www.theinnatpenn.com

Sheraton University City Hotel 3600 Chestnut Street Philadelphia, PA 19104 215-387-8000 www.sheraton.com/universitycity

Except where indicated, the Course Directors and Faculty are from the Division of Gastroenterology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania

Rotonya Carr, MD Instructor of Medicine

David L. Jaffe, MD Professor of Clinical Medicine Clinical Director of Gastroenterology Director of Endoscopy Penn Medicine at Radnor Director of Medical Student Education, Division of Gastroenterology

Sun-Chaun Dai, MD Instructor of Medicine

Vandana Khungar, MD, MSc Assistant Professor of Medicine

Gary Falk, MD Professor of Medicine Co-director GI Physiology Laboratory

John Leib, II, MD Instructor of Medicine

Course Faculty Brenda Appolo, PA Physician Assistant Anna M. Buchner, MD, PhD Assistant Professor of Medicine

Course Directors Nuzhat A. Ahmad, MD Associate Professor of Medicine Associate Director of Endoscopy Gregory G. Ginsberg, MD Professor of Medicine Executive Director of Endoscopy

Kim Forde, MD Assistant Professor of Medicine and Epidemiology

George Makar, MD, MSCE Assistant Professor of Clinical Medicine Medical Director Liver Transplantation

K. Rajender Reddy, MD Professor of Medicine Director of Hepatology Director of the Center for Viral Hepatitis

David Goldberg, MD, MSCE Instructor of Clinical Center for Epidemiology and Biostatistics

David C. Metz, MD Professor of Medicine & Otorhinolaryngology

Guest Faculty

Immanuel K Ho, MD Clinical Professor of Medicine Pennsylvania Hospital

Kashyap Panganmamula, MD Clinical Assistant Professor of Medicine

Maarouf Hoteit, MD Assistant Professor of Clinical Medicine Director, HCC Program

Anil K. Rustgi, MD T. Grier Miller Professor of Medicine Chief, Division of Gastroenterology

Christine Hsu, MD Assistant Professor of Clinical Medicine

Marina Serper, MD Fellow

David E. Kaplan, MD, MSc Assistant Professor of Medicine Director of Hepatology Philadelphia VA Medical Center

Anna Lok, MD Professor of Internal Medicine Director, Clinical Hepatology Associate Chair, Clinical Research Department of Internal Medicine University of Michigan Ann Arbor, MI Michael Lucey, MD Professor of Medicine Division of Gastroenterology and Hepatology Chief, Gastroenterology and Hepatology University of Wisconsin School of Medicine and Public Health Madison, WI Patrick Pfau, MD Professor of Medicine, Division of Gastroenterology Chief of Clinical Gastroenterology University of Wisconsin School of Medicine and Public Health Madison, WI

Services for the Disabled If special arrangements are required for an individual with a disability to attend this meeting, please contact the Office of Continuing Medical Education no later than February 20, 2015 at 215-898-8005. Nondiscrimination Statement The University of Pennsylvania values diversity and seeks talented students, faculty, and staff from diverse backgrounds. The University of Pennsylvania does not discriminate on the basis of race, sex, sexual orientation, gender identity, religion, color, national or ethnic origin, age, disability, or status as a Vietnam Era Veteran or disabled veteran in the administration of educational policies, programs or activities; admissions policies; scholarship and loan awards; athletic, or other University administered programs or employment. Questions or complaints regarding this policy should be directed to Executive Director, Office of Affirmative Action and Equal Opportunity Programs, 3600 Chestnut Street, Sansom Place East Suite 228, Philadelphia PA 19104-6106 or 215-898-6993 (Voice) or 215- 898-7803 (TDD). www.upenn.edu/affirm-action

Frida y a nd Sa turda y Ma rc h 6-7, 2015

AGENDA Frida y, Ma rc h 6, 2015 7:30 AM Registration and Continental Breakfast 8:00 AM Welcome/Introduction Nuzhat A. Ahmad, MD Gregory Ginsberg, MD Anil Rustgi, MD 8:15 AM Eosinophilic Esophagitis: An Update Gary W. Falk, MD, MS 8:30 AM Live Cases Moderators: Patrick Pfau, MD and Gary Falk, MD 9:30 AM Clinical Applications of Chromoendoscopy in the IBD Patient Anna Buchner, MD, PhD

2:15 PM Quality in ERCP Immanuel Ho, MD 2:30 PM Break 3:00 PM Live Cases Moderators: David Jaffe, MD and John Lieb, MD 4:00 PM Keynote Lecture Introduction Gregory G. Ginsberg, MD 4:15 PM 8th William “Bob” Long Lecture Colorectal Cancer Screening: Threats to Screening Colonoscopy and What you can do About it Patrick Pfau, MD 5:00 PM Adjourn

9:45 AM Break 10:00 AM Emerging Therapies in Achlasia: The Case for Poem Gregory Ginsberg, MD

Saturday, March 7, 2015

10:15 AM Live Cases Moderators: Patrick Pfau, MD and Kashyap Panganmamula, MD

Session I – Viral Hepatitis and Chronic Liver Disease Moderator: K. Rajender Reddy, MD

11:15 AM Esophageal Stenting for Esophageal Leaks and Perforations Patrick Pfau, MD

ACUTE AND CHRON IC LIVER DISEASE

7:30 AM Registration and Continental Breakfast

11:45 AM Lunch/Exhibits

8:00 AM Hepatitis C: Current Status and Recent Advances Anna Lok, MD

1:00 PM Pancreatic Cysts: An Update Kashyap Panganmamula, MD

8:30 AM Alcoholic Liver Disease: An Update Michael Lucey, MD

1:15 PM Live Cases Moderators: David Metz, MD and Sun Dai, MD

9:00 AM Hepatitis B: Current Status and Recent Advances Anna Lok, MD

9:30 AM Panel Discussion With Cases Moderator: K. Rajender Reddy, MD and Kim Forde, MD

Session III – Pot Pourri – Case Based Afternoon / Ask the Expert Moderator: George A. Makar, MD, MSCE

10:00 AM Break

2:45 PM Hepatocellular Carcinoma: Diagnosis and Management Maarouf Hoteit, MD

Session II – Cirrhosis and Related Complications Moderator: David Kaplan, MD, MSc 10:15 AM Psychosocial and Medical Assessment of Liver Transplant Candidacy: What are Considerations for Assessing Candidacy? Michael Lucey, MD 10:45 AM Preventive Care in Patients with Cirrhosis: How to Keep Your Cirrhotic Patient “Healthy” as Long as you can Vandana Khungar, MD 11:15 AM Panel Discussion With Cases Moderators: David Kaplan, MD, MSc and David Goldberg, MD 12:00 PM Lunch Session II – Cirrhosis and Related Complications (Continued) 1:00 PM Inpatient Management of Cirrhotic Patients Marina Serper, MD 1:30 PM Role of Midlevel Providers in Cirrhosis and Viral Hepatitis Care Brenda Appolo, PA 2:00 PM Panel Discussion with Cases Moderator: George Makar, MD, MSCE and Rotonya Carr, MD 2:30 PM Break

3:10 PM Confused? Management of Hepatic Encephalopathy: 2015 and Beyond Christine Hsu, MD 3:35 PM What is a MELD and What Does it Mean to me (the Primary Care Practitioner or Community Gastroenterologist)? George Makar, MD, MSCE 4:10 PM Cases, Questions & Answers Ranjeeta Bahirwani, MD 5:00 PM Adjourn

Registration Form

8th An n ual

PENN LIVE: GI ENDOSCOPY AND LIVER DISEASE 2015

Friday and Saturday March 6-7, 2015

To register online for the course please visit www.penncmeonline.com and click on CME Activities You May Also Mail or Fax Payment and Registration Information to:

Conference Coordinator, Perelman School of Medicine at the University of Pennsylvania, Office of Continuing Medical Education 150 Anatomy/Chemistry Building, 3620 Hamilton Walk Philadelphia, PA 19104-6061 Phone: 215-898-6400 or 215-898-8005; Fax: 215-898-1888 [email protected] Please print or type

Name (First)

(Last)

Academic Degree Medical Specialty Affiliation (Hospital, Office, or Company) Address ( ■ Affiliation or ■ Home) City

State

Zip

Phone

Fax

E-mail

Registration Fee (pre-payment is required to be officially registered) ■

$175.00 for Practicing Physicians

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$175.00 for Industry Representatives

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$75.00 for Nurses and Healthcare Professionals

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$39.00 for Penn Medicine Employees, Faculty and Staff

Penn Medicine ID # ______________________________________ Payment Method Make check payable to The Trustees of the University of Pennsylvania/CME ■ Visa

■ MasterCard

■ Discover

■ American Express

Authorization Signature Cardholder Name Card #

Exp. Date

Security Code #

Please Note: Walk-in registrants must bring payment to the program. Seating may be limited for walk-in registrants.

This course is endorsed by the American Society for Gastrointestinal Endoscopy and The AGA Institute

Smilow Center for Translational Research Perelman School of Medicine University of Pennsylvania 3400 Civic Center Boulevard Philadelphia, PA 19104

Friday and Saturday March 6-7, 2015

A C M E / C E U - C E RT I F I E D C O U R S E

PENN LIVE: GI ENDOSCOPY AND LIVER DISEASE 2015

8th An n u al

150 Anatomy/Chemistry Building 3620 Hamilton Walk Philadelphia, PA 19104-6061

Non-Profit Org. U.S. Postage PA I D Permit No. 2563 Phila., PA 19104