The 19th Annual

VIRGINIA LIVER SYMPOSIUM & UPDATE IN GASTROENTEROLOGY

March 21, 2015 The Hilton Richmond Hotel/Short Pump 12042 W. Broad Street Richmond, Virginia 23233 PRESENTED BY The Division of Gastroenterology, Hepatology & Nutrition Virginia Commonwealth University Health System and the VCU Continuing Medical Education

Course Description and Target Audience The Division of Gastroenterology, Hepatology and Nutrition, the Liver Transplant Program and the VCU Continuing Medical Education are pleased to offer the 19th Annual Virginia Liver Symposium and Update in Gastroenterology in Richmond, Virginia at the Hilton Richmond Hotel/Short Pump. The program is designed for primary care and sub-specialty physicians, and mid-level medical providers who treat patients with gastrointestinal and liver disorders.

Accreditation and Credit University Health Services Professional Education Programs (UHS-PEP) of Virginia Commonwealth University Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UHS-PEP designates this live activity for a maximum of 8.0 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Application for CME credit has been filed with American Academy of Family Physicians. Determination of credit pending. The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AMA PRA Category 1 Credits TM from organizations accredited by the ACCME. Individuals are responsible for checking with the AANPCP for further guidelines. For the purpose of relicensure, the VA Board of Nursing accepts AMA PRA Category 1 Credits™(report up to 13 hours of credit and list "CME Category 1" as the provider number) as approved by one of the certifying entities outlined in the Nurse Practitioner Regulations. This continuing education activity meets the criteria of Virginia Commonwealth University and the Southern Association of Colleges and Schools. 0.8 CEUs will be awarded and recorded with the University.

Course Directors Richard K. Sterling, MD, MSc, FACP, FACG, FAASLD Professor of Medicine Chief, Section of Hepatology Division of Gastroenterology, Hepatology and Nutrition Virginia Commonwealth University Health System George Smallfield, MD, MSPH Assistant Professor of Medicine Division of Gastroenterology Virginia Commonwealth University Health System

Visiting Faculty Michael Fried, MD Director of Hepatology University of North Carolina Chapel Hill, NC David Lieberman, MD, FACG Professor of Medicine Oregon Health and Science University Portland, OR Arti Pandya, MD, MBA Chief, Division of Genetics and Metabolism Department of Pediatrics UNC Chapel Hill Chapel Hill, NC

Conference Manager Sagé Blaska, MFA, Grad Dip VCU Continuing Medical Education P.O. Box 980048 Richmond, VA 23298 Phone: (804) 828-5415 Fax: (804) 828-7438

VCU HEALTH SYSTEM DIVISION OF GASTROENTEROLOGY, HEPATOLOGY AND NUTRITION FACULTY Jasmohan Bajaj, MD, MBBS, MS, FACG, AGAF Associate Professor of Medicine Associate Fellowship Program Director John Baillie, MBBS, FASGE, FACG Professor of Medicine Chief of Endoscopy Stephen Bickston, MD, AGAF Professor of Internal Medicine Director, Inflammatory Bowel Disease Center Associate Chair of Gastroenterology Jill Gaidos, MD Assistant Professor of Medicine Sarah Hubbard, PA Division of Gastroenterology John Kuemmerle, MD, AGAF, FACG Professor and Chair Division of Gastroenterology, Hepatology and Nutrition Scott Matherly, MD Assistant Professor of Medicine W. Michael Pandak, Jr., MD Professor of Medicine Puneet Puri, MD, MBBS Assistant Professor of Medicine Arun J. Sanyal, MD, MBBS Charles Caravati Professor of Medicine Mitchell Schubert, MD, AGAF, FACG, FASGE Professor of Medicine and Physiology Chief of Gastroenterology McGuire Veterans Administration Medical Center Mohammad Siddiqui, MD Assistant Professor R. Todd Stravitz, MD Professor of Medicine Medical Director, Liver Transplantation Ravi Vachhani, MD Assistant Professor of Medicine Fellowship Director Anne Marie Irani, MD Professor of Pediatrics & Medicine Division of Pediatric Allergy & Immunology Children's Hospital of Richmond at VCU (CHoR)

Schedule

March 21, 2015

AM

SESSION II

7:00

Continental Breakfast/Registration

8:00

Welcome and Announcements John Kuemmerle, MD, AGAF, FACG

UPDATE ON COMMON LIVER DISEASES

Educational Objectives

SESSION I

1. To recognize the changing epidemiology and indications for treatment of HBV.

DAILY CHALLENGES IN CLINICAL GASTROENTEROLOGY

2. Review the non-invasive assessment of liver disease severity.

Educational Objectives

3. To better manage how and when to screen for and what treatment options are available for HCC.

1. To optimize available treatment options and how to monitor therapy in IBD. 2. To determine who to screen, how often, and what if I find something in those with Barrett’s 3. Describe the mechanisms and management of pain in chronic pancreatitis. Moderator Stephen Bickston, MD, AGAF 8:05

8:30

8:55

Optimizing Therapy for Patients with IBD John Kuemmerle, MD, AGAF, FACG Barrett’s Esophagus: Who to Screen, How Often, and What if I Find Something? George Smallfield, MD, MSPH Mechanisms and Management of Pain In Chronic Pancreatitis John Baillie, MBBS, FACG, FASGE

9:20

Panel Discussion

9:30

Alvin Zfass State of the Art Lecture: Colorectal Cancer Screening and Surveillance: Where are we in 2015? David Lieberman, MD, FACG

10:15 Break with Exhibits

Moderator Arun Sanyal, MD, MBBS 10:30

Hepatitis B Virus: Changes in Epidemiology and Indications for Therapy Michael Fried, MD

11:15

Non-invasive assessment of liver disease: is liver biopsy a thing of the past? Richard K. Sterling, MD, MSc, FACP, FACG, FAASLD

11:45

Hepatocellular Carcinoma: Screening and treatment Scott Matherly, MD

PM 12:10

Panel Discussion

12:20

Lunch with Exhibitors

12:45

LUNCH WORKSHOP SESSIONS Please indicate on the registration panel your preferences of workshops from below, numbering them 1 through 5. If your preferred choice is full, you will be given your next available choice.

A Update in Treatment of Hepatitis C Richard Sterling, MD, MSc, FACP, FACG, FAASLD and Sarah Hubbard, PA Objective – To determine who should be treated for Hep C and how in 2015 B

C

Pearls for Managing Cirrhosis R. Todd Stravitz MD, Scott Matherly, MD Objective: To better anticipate and manage complications of cirrhosis GERD: Managing Difficult Cases Mitchell Schubert, MD, FACG, AGAF, FASGE Objective – Recognize how to manage difficult to treat GERD and dyspepsia

D Functional Abdominal Pain Ravi Vachhani, MD and Jill Gaidos, MD Objective – To better evaluate and treat functional GI disorders. E Difficult Cases in IBD Stephen Bickston, MD, AGAF and W. Michael Pandak, MD Objective – To formulate a rational approach in managing difficult cases of IBD.

SESSION III The role of diet in GI diseases

Educational Objectives

2:15

Food Allergies: What Every Provider Needs to Know Anne Marie Irani, MD

2:45

Weight Loss Diets: Food for Thought Puneet Puri, MD, MBBS

3:15

Panel Discussion

3:25

Break with Exhibits

SESSION IV RECENT ADVANCES IN GASTROENTEROLOGY AND HEPATOLOGY

Educational Objectives 1. To recognize the clinical significance and relationship of the liver and lipids on cardiovascular disease. 2. To explain the importance of genomics in GI and liver diseases and recommend genetic testing to the appropriate patients. 3. To explain the differences between covert and overt hepatic encephalopathy and how to select appropriate treatments. Moderator Richard Sterling, MD, MSc, FACP, FACG, FAASLD

3:40

The significance of the liver on lipids and cardiovascular disease Mohammad Siddiqui, MD

4:05

Genomics and Gasteroenterology: How Does One Use It to Enhance Patient Care? Arti Pandya, MD, MBA

4:30

Hepatic Encephalopathy: Overt or Covert Jasmohan Bajaj, MD, MBBS, MS, FACG, AGAF

4:50

Panel Discussion

5:00

Adjourn

1. To review the science behind probiotics and FODMAP diets. 2. Select appropriate testing and treatment for patients at risk for food allergies. 3. To evaluate the different weight loss diets and how to advise my obese patient. Moderator John Baillie, MBBS, FACG, FASGE 1:45

Probiotics and FODMAP diets: Is there any science in the fiction? Jill Gaidos, MD

Course Description and Target Audience The Division of Gastroenterology, Hepatology and Nutrition, the Liver Transplant Program and the VCU Continuing Medical Education are pleased to offer the 19th Annual Virginia Liver Symposium and Update in Gastroenterology in Richmond, Virginia at the Hilton Richmond Hotel/Short Pump. The program is designed for primary care and sub-specialty physicians, and mid-level medical providers who treat patients with gastrointestinal and liver disorders.

Accreditation and Credit University Health Services Professional Education Programs (UHS-PEP) of Virginia Commonwealth University Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UHS-PEP designates this live activity for a maximum of 8.0 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Application for CME credit has been filed with American Academy of Family Physicians. Determination of credit pending. The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AMA PRA Category 1 Credits TM from organizations accredited by the ACCME. Individuals are responsible for checking with the AANPCP for further guidelines. For the purpose of relicensure, the VA Board of Nursing accepts AMA PRA Category 1 Credits™(report up to 13 hours of credit and list "CME Category 1" as the provider number) as approved by one of the certifying entities outlined in the Nurse Practitioner Regulations. This continuing education activity meets the criteria of Virginia Commonwealth University and the Southern Association of Colleges and Schools. 0.8 CEUs will be awarded and recorded with the University.

MCA 3330-14 8 THE 19th ANNUAL VIRGINIA LIVER SYMPOSIUM March 21, 2015

Please PRINT information as you would like it to appear on your name badge.

First Name

Last Name

$175 Physician Registration Fee Title

$100 Residents and Fellows not affiliated with VCU Health System/McGuire Veterans Medical Center (must include letter of verification from Program Director)

Firm Degree

$100 Non-VCU Health System Healthcare Providers (NP, Physician Asst, etc.) $100 Discounted Fee - Other VCU Health System Faculty & Staff

(W) Telephone

Fax

(H) Telephone

Email (required)

Street Address

$50 Non - GI/ Hepatology Research Staff (Based on the Department’s Approval)

City

State

Zip

Fee Waived - Residents and GI Fellows Registration (VCU Health System/McGuire Veterans Medical Center Fellows and Residents only; must include letter from Program Director)

Lunch Workshop Sessions (Write Preference 1-5)

Fee Waived - VCU Health System/McGuire Veterans Medical Center GI Faculty & Transplant Staff (Based on the Department’s Approval)

Please Select one of the following to obtain syllabus

REGISTER ONLINE: www.cme.vcu.edu

A

B

C

D

E

$25 Printed, bound syllabus to be provided onsite to those who have pre-paid. *Free download of syllabus will be available 1 week prior to conference

CREDIT CARD INFORMATION Make Check payable to: UHS-PEP Mail Registration Form and Check to: UHS-PEP, Inc. P.O. Box 980048 Richmond, VA 23298-0048

VISA

MASTERCARD

DISCOVER

AMEX

Credit Card Name

/ Expiration Date

Credit Card #

Security Code

Fax Registration Phone # 804-828-7438

Signature