American Association for Primary Care Endoscopy

American Association for Primary Care Endoscopy (AAPCE)

The Linq Hotel

Las Vegas, NV

Evolution Room

Social Square Exhibit Hall

Friday, November 11 – Saturday, November 12, 2016

Friday, November 11, 2016:

1:00 PM – 2:00 PM

AAPCE General Membership Meeting

 

1:00 PM - 5:30 PM

Visit our Exhibitors – Social Square

Education Chair:  Mark Koch, MD

 

Moderator

 

 

2:00 PM - 2:40 PM

Celiac disease is the most commonly genetically related food related food intolerance worldwide.  The epidemiology, pathogenesis, clinical manifestation including extra-intestinal manifestation, treatment and monitoring will be presented. 

Stuart Forman, MD

This is a lecture modified from Thomas Hargrave, MD.  Celiac disease is the most commonly genetically related food related food intolerance worldwide.  The epidemiology, pathogenesis, clinical manifestation including extra-intestinal manifestation, treatment and monitoring will be presented.  The data regarding non-celiac gluten sensitivity will be briefly discussed.

Ss

 

 

2:40 PM - 3:00 PM

Summarizes H Pylori

Chad Johanning, MD

Summarizes H Pylori and its complex association with gastritis and dyspepsia. This is an educational review that many may already be aware of, however it’s a good review of the pathophysiology, symptoms, dyspepsia management, H Pylori detection and Treatments.

 

3:00 PM - 3:20 PM

Gastric Polyps

Aaron Sinclair, MD

Gastric polyps rarely cause symptoms and are most commonly found incidentally on endoscopic examination of the stomach for other reasons.  There are five types of gastric polyps.  Three types of polyps are benign – hyperplastic, fundic gland, and inflammatory fibroid polyps.  The other two types of polyps are considered neoplastic – gastric neuroendocrine and gastric adenomas.   The purpose of this lecture will be to differentiate polyps, their neoplastic potential and when should biopsies versus polypectomies be performed.

 

 

3:20 PM – 3:40 PM

Session Discussion

 

 3:40 PM-4:00 PM

BREAK - Visit our Exhibitors – Social Square

 

4:00 PM – 4:20 PM

Exploring the Science Behind the Art of the Difficult Colonoscopy. 

Aaron Sinclair, MD

A lot of pressure will come in the approaching year to meeting performance and quality based markers for endoscopic procedures.  These markers may eventually be tied to credentialing and/or payment from insurance companies.  The purpose of this lecture will focus on different maneuvers, medications, techniques that can improve the ability to achieve cecal intubation.  This overview will attempt to identify medicinal, physical and technical maneuvers to improve the performance and completion of the difficult colonoscopic procedure.

Ss

 

4:20 PM – 5:00 PM

Water Exchange Colonoscopy: Many Benefits for Patient and Endoscopist

Piet de Groen, MD – Featured Speaker

 

5:00 PM – 5:15 PM

5:15 PM – 5:30 PM

5:30 PM – 5:45 PM

5:45 PM – 6:00 PM

Gastrojejunostomy 

Stuart Forman, MD

Sometimes it takes group think to come up with an answer.  An odd incidental finding was seen of what appeared to be a large gastric perforation on EGD.  The gastroenterologist didn’t know what it was.  His surgeon was similarly in the dark.  It took an intrepid AAPCE member to make a diagnosis of an odd appearing gastrojejunostomy

Focal Active Colitis 

Bridget Caulkins, MD and Ethan Zimmerman, MD

A 50 year-old male presented for routine colonoscopy for colon cancer screening. He reported some transient bright red blood on the stool that resolved weeks before the procedure. Intraoperative findings included a solitary diverticulum, no hemorrhoids, two small hyperplastic polyps and a 5cm segment of colitis in the cecum and ascending colon. A biopsy confirmed chronic active colitis. The patient remained asymptomatic. The various causes of focal active colitis will be reviewed.

Carcinoid Tumor- Case Presentation 

Steve Schrock, MD

A carcinoid tumor case will be presented along with information regarding prevalence, incidence and work-up of these cancers. 

Session Discussion

 

6:00 PM

    Adjournment


 

6:00 PM – 8:00 PM

Cocktail Hour – Innovation Room

 

Saturday, November 12, 2016:

7:00 AM – 5:30 PM

Visit our Exhibitors – Social Square

 

7:00 AM – 7:40 AM

Continental Breakfast – in the Social Square

 

Moderator:  Mark Koch, MD

 

 

7:40 AM – 8:20 AM

Colon Cancer Update in the Uninsured

Zeena Mae Cortes, MD and Alexander Fishberg, MD

This two part lecture will be focused on family physicians delivering colorectal cancer screening and subsequent therapies in those who are uninsured. The first portion will be a literature review of the topic.  The second portion will be focused on family physicians delivering care to uninsured patient screened and found to have colorectal cancer in a community based academic practice with limited resources.  The primary goal is to raise awareness of the increasing need for family physicians to provide these types of services to the uninsured and underserved.

 

8:20 AM – 9:00 AM

Gas, Bloating, Flatulence and Fire Breathing Dragons

Justin Bailey, MD

This lecture will explore the epidemiology, differential diagnosis, evaluation and treatment of upper and lower intestinal gas associated diseases including eructation, bloating, flatulence, IBS etc.  Will use a case based learning format.

 

9:00 AM – 9:20 AM

Anticoagulation Plans for Screening Colonoscopies

Robert Caulkins, MD and Matthew Hawks, MD

Anticoagulation is a common therapy for patients of CRC screening age.  Determining eligibility of care and risk for these patients can vary based on the indication and type of therapy used. This has been further complicated by the FDA approval of multiple new anticoagulants over the last several years. This session will focus on evidence-based recommendation for anticoagulation management for screening colonoscopies.

 

9:20 AM – 9:40 AM

Session Discussion

 

9:40 AM – 10:00 AM

BREAK - Visit our Exhibitors – Social Square

 

 

10:00 AM – 10:20 AM

Fruit Rinds and the Seeds of Knowledge

John R. Fleming, Jr., MD, FAAFP and Elise Hyser

 

10:20 AM – 10:40 AM

10:40 AM – 11:00 AM

Adenoma Detection Rate Study

Stephen D. Cagle, Jr., MD

Adenoma Detection Rate and Cecal Intubation Rate for Air Force Family Medicine Colonoscopist: A Multicenter Study to determine if Air Force Family Physicians achieve safety and quality standards for colonoscopies using adenoma detection rate (ADR), cecal intubation rate (CIR) and complication rates as quality indicators.

Options for Sedation During Colonoscopy

Ethan Zimmerman, MD

Several options exist for achieving appropriate sedation during endoscopy. Common choices for moderate sedation include intravenous short-acting benzodiazepines typically used in combination with intravenous opioid analgesics. Augmentation with diphenhydramine, promethazine and droperidol can be helpful for more challenging cases. Deep sedation can often be achieved with propofol for particularly challenging procedures. The risk of endoscopic procedures is minimized with lower levels of sedation. Choices regarding sedation are generally made to maximize patient comfort while minimizing risk and should be based on the patient’s medical history, the indications for the procedure and individual preferences.

 

11:00 AM – 11:20 AM

Session Discussion

 

11:20 AM – 1:20 PM

LUNCH – ON OWN - Visit our Exhibitors – Social Square

 

Moderator: 

 

1:20 PM - 2:20 PM

2:20 PM – 2:40 PM

Polypectomy: How to Resect 95% of All Polyps with Clear Margins

Piet de Groen, MD – Featured Speaker

Session Discussion

 

 

2:40 PM – 3:00 PM

BREAK - Visit our Exhibitors – Social Square

 

3:00 PM – 4:00 PM

POEMS

Scott M. Strayer, MD, MPH

Keeping up with the rapid advancement of medical science is very difficult, unless filters are used by clinicians to detect only the valid and relevant information that is useful to their practice.  Using the concepts of “Information Mastery,” this lecture will present the top 10 new findings for 2016 in gastrointestinal medicine and endoscopy that apply to primary care physicians performing endoscopy in their practices. Only studies that had patient oriented evidence that matters (POEMs) will be stressed.   This lecture is designed to update clinicians' information on GI care and endoscopy and to improve screening and access to GI care throughout the United States by advancing the training of primary care endoscopists. 

 

4:00 PM – 4:20 PM

Closing Comments and Adjournment

 

 

 

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