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The MATTU Oesophago-Gastric Cancer Course

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					                                                                                                                Day 1: Monday 8th December 2008

                                                                                                                08.00 Coffee & Registration

                                                                                                                08.30 Welcome                                                      Mr SR Preston

                                                                                                                Endoscopic diagnosis
                                                                                                                Chairman     Dr CJ Tibbs
The MATTU Oesophago-Gastric Cancer Course
                                            ‘minimally invasive approaches to oesophageal and gastric cancer’




                                                                                                                08.45 – 09.30 Methods of enhanced detection in OG Dysplasia / Early Cancer

                                                                                                                             Chromoendoscopy, Narrow Band Imaging (NBI), Auto-fluorescence
                                                                                                                             Imaging (AFI) and Optical Computed Tomography (OCT)

                                                                                                                Endoscopic therapy
                                                                                                                Chairman     Mr SR Preston

                                                                                                                09.30 – 10.30 The techniques with video demonstrations

                                                                                                                             Resection
                                                                                                                                    Endoscopic mucosal resection (EMR) &
                                                                                                                                    Endoscopic submucosal dissection (ESD)         Dr Bhandari
                                                                                                                             Ablation
                                                                                                                                    Photodynamic therapy (PDT) &
                                                                                                                                    Radio frequency ablation (RFA)                 Dr Lovat

                                                                                                                10.30 – 11.00       Coffee
                                                                                                                11.00 – 12.00 Guest Lecture

                                                                                                                             Dysplasia in Barretts – all you need to know          Dr Spechler

                                                                                                                             Surveillance – the evidence

                                                                                                                             Management Uni-focal HGD, Multi-focal HGD & T1(m) cancer

                                                                                                                             ‘The buried glands’ - results of endoscopic therapy

                                                                                                                             Effect of PPIs and anti-reflux surgery on dysplasia

                                                                                                                12.00 – 12.20 Discussion
                                                                                                                12.20 – 13.00 Dysplasia in oesophageal squamous epithelium      Dr Lovat

                                                                                                                             Should we survey high risk groups – the evidence

                                                                                                                             The risks of synchronous aero-digestive cancers

                                                                                                                             Management Uni-focal HGD, Multi-focal HGD & T1(m) cancer

                                                                                                                             The results of endoscopic therapy

                                                                                                                13.00 – 14.00       Lunch
The MATTU Oesophago-Gastric Cancer Course
                                            ‘minimally invasive approaches to oesophageal and gastric cancer’




                                                                                                                14.00 – 14.40 Dysplasia in the gastric mucosa                   Dr Bhandari

                                                                                                                             Surveillance – Is there ever a role?
                                                                                                                                    Post surgery? CAG with IM? LGD?
                                                                                                                                    Familial (E-cadherin mutations)?

                                                                                                                             High risk groups in the Helicobacter aware era
                                                                                                                                    The real risk and the evidence

                                                                                                                14.40 – 15.30 Management & Results

                                                                                                                Chairman     Dr P Bhandari

                                                                                                                                    The UK Experience of EMR & ESD              Dr Lovat

                                                                                                                                    The US Experience of EMR & ESD              Dr Spechler

                                                                                                                                    The NCCH Experience of ESD                  Dr XXXX (Link)

                                                                                                                15.30 – 16.00       Tea

                                                                                                                16.00 – 17.30 Video demonstrations of cases by the experts & discussion

                                                                                                                Chairman     Dr S Spechler

                                                                                                                      PDT for HGD Barrett’s oesophagus                          Dr L Lovat

                                                                                                                      EMR of a small T1(m) adenocarcinoma in Barretts & RFA
                                                                                                                                                                         Dr XXXX(?Link)

                                                                                                                      Endoscopic Submucosal Dissection in a large area of HGD in Barretts
                                                                                                                      with suspicion of carcinoma (UK patient)
                                                                                                                                                               Dr Takuji Gotoda, Tokyo, Japan

                                                                                                                      EMR of an early gastric cancer (EGC)                      Dr P Bhandari

                                                                                                                Evening             Delegates - Free             Faculty - Dinner
                                                                                                                Day 2: Tuesday 9th December 2008

                                                                                                                Minimally Invasive Gastric Resection
                                                                                                                Chairman      Prof ME Bailey

                                                                                                                08.00 – 09.30 How I do it: Step-by-Step (Video Presentations)

                                                                                                                       08.00 Subtotal gastrectomy                               Mr KK Singh
The MATTU Oesophago-Gastric Cancer Course




                                                                                                                       08.15 Robot ‘Da Vinci’ assisited subtotal
                                            ‘minimally invasive approaches to oesophageal and gastric cancer’




                                                                                                                             gastrectomy & D2 nodal dissection                  Prof R Pugliese

                                                                                                                       08.30 Completion/Total gastrectomy                       Mr SR Preston

                                                                                                                       08.45 Distal (Bilroth I) gastrectomy                     Mr SR Preston

                                                                                                                       09.00 Sleeve/Wedge resections                            Mr Y Soon

                                                                                                                       09.15 Panel Discussion & Questions from the floor
                                                                                                                             Laparoscopic resections for gastric cancer
                                                                                                                             – comparable or compromised?

                                                                                                                09.45 – 10.30 Results & Outcomes

                                                                                                                       09.45 Review of the world literature                     Mr Y Soon

                                                                                                                       10.05 The Milan experience:                              Mr A Costanzi

                                                                                                                       10.20 The Guildford/Worthing experience                  Mr KK Singh


                                                                                                                10.30-11.00 Coffee

                                                                                                                Minimally Invasive Oesophageal Resection
                                                                                                                Chairman      Mr R Beresford

                                                                                                                11.00-12.40   How I do it: Step-by-Step (Video Presentations)

                                                                                                                       11.00 3 Phase MIO (Left lateral)                         Prof JD Luketich

                                                                                                                       11.20 3 Phase MIO (Prone)                                Prof C Palivanelu

                                                                                                                       11.40 3 Phase thoracoscopic assisted oesophagectomy      Mr G Couper

                                                                                                                       12.00 2 Phase MIO (Left lateral)                         Prof JD Luketich

                                                                                                                       12.20 2 phase laparoscopically assited oesophagectomy    Mr SR Preston
                                                                                                                12.40-13.30 Lunch


                                                                                                                Technical aspects of minimally invasive oesophageal surgery
                                                                                                                Chairman      Mr SR Preston

                                                                                                                13.30 Variations in technique – why so many?
The MATTU Oesophago-Gastric Cancer Course




                                                                                                                       Thoracic dissection – prone or lateral?
                                            ‘minimally invasive approaches to oesophageal and gastric cancer’




                                                                                                                       13.30 The surgeon’s feel                                    Mr A Nisar
                                                                                                                       13.45 The anaesthetist’s reasoning                          Dr M Scott

                                                                                                                       14.00 O-G anastomosis         - neck or chest?              Prof JD Luketich

                                                                                                                       14.15 Ischaemic preconditioning – myth or magic?            Mr S Wajed

                                                                                                                       14.30 Fashioning the gastric tube – how & where?            Prof ME Bailey

                                                                                                                       14.45 Gastric drainage – is it necessary?                   Mr Y Soon

                                                                                                                       15.00 Peri-operative nutrition - risk or reward?            Miss F Macharg

                                                                                                                       15.15 Panel Discussion & Questions from the floor
                                                                                                                             Laparoscopic 2 field (en bloc) nodal dissection – is it possible?


                                                                                                                15.45 Complications - does the profile differ from open surgery?
                                                                                                                      Conduit necrosis, leak rate, bronchial injuries, lung parenchymal,
                                                                                                                      respiratory mechanics, enterothorax & mortality              Mr R Hardwick




                                                                                                                16.00-16.30 Tea



                                                                                                                The results of minimally invasive oesophago-gastric surgery
                                                                                                                Chairman      Mr SS Singh

                                                                                                                16.30 The International Experts Practice, Morbidity & Mortality

                                                                                                                       16.30 The Pittsburgh experience to date                     Prof JD Luketich

                                                                                                                       17.00 The Coimbatore experience to date                     Prof C Palanivelu
                                                                                                                17.30 Current UK Practice, Morbidity & Mortality

                                                                                                                      17.30 Guildford                              Prof ME Bailey

                                                                                                                      17.45 Maidstone                              Mr H Ali

                                                                                                                      18.00 Exeter                                 Mr R Beresford

                                                                                                                      18.15 Edinburgh                              Mr G Couper
The MATTU Oesophago-Gastric Cancer Course
                                            ‘minimally invasive approaches to oesophageal and gastric cancer’




                                                                                                                18.30 The AUGIS & ALS Consensus statement          Mr R Hardwick




                                                                                                                19.30 Champagne Reception


                                                                                                                20.00 Course Dinner
                                                                                                                Day 3: Wednesday 10th December 2008

                                                                                                                Live Cases from The Royal Surrey County Hospital
                                                                                                                Chairman      Prof ME Bailey

                                                                                                                09.00 – 16.00 Live cases & Invited case discussion

                                                                                                                Synchronous / staggered cases live from the theatres at RSCH with interactive
                                                                                                                discussion with doyens of minimally invasive OG cancer surgery
The MATTU Oesophago-Gastric Cancer Course
                                            ‘minimally invasive approaches to oesophageal and gastric cancer’




                                                                                                                Prof JD Luketich             2 phase minimally invasive oesophagectomy

                                                                                                                Prof C Palanivelu            Prone 3 phase minimally invasive oesophagectomy

                                                                                                                Prof R Pugleise              Subtotal gastrectomy



                                                                                                                It’s Good To Talk ……………………………………………………...
                                                                                                                Invited case discussion of complex cases or cases with complications
                                                                                                                Chairman      Mr Y Soon

                                                                                                                The day will be interspersed with Video and Powerpoint Presentations of Interesting
                                                                                                                Cases (Invited from both Faculty & Delegates)
                                                                                                                Faculty

                                                                                                                Local

                                                                                                                        Professor Michael E Bailey        Guildford
                                                                                                                        Mr Andrea Costanzi                Guildford
                                                                                                                        Miss Fiona Macharg                Guildford
                                                                                                                        Mr Shaun R Preston                Guildford
                                                                                                                        Dr Mike Scott                     Guildford
                                                                                                                        Mr Krishna K Singh                Worthing/Guildford
The MATTU Oesophago-Gastric Cancer Course




                                                                                                                        Mr Sukhpal Singh                  Frimley/Guildford
                                            ‘minimally invasive approaches to oesophageal and gastric cancer’




                                                                                                                        Mr Yuen Soon                      Guildford
                                                                                                                        Dr Christopher J Tibbs            Guildford


                                                                                                                National
                                                                                                                        Mr Haytham Ali                    Maidstone
                                                                                                                        Mr Richard Beresford              Exeter
                                                                                                                        Dr Pradeep Bhandari               Portsmouth
                                                                                                                        Mr Graham Couper                  Edinburgh
                                                                                                                        Mr Richard Hardwick               Cambridge
                                                                                                                        Dr Laurence Lovat                 London
                                                                                                                        Mr Amir Nissar                    Maidstone
                                                                                                                        Mr Saj Wajed                      Exeter


                                                                                                                International
                                                                                                                        Dr Stuart J Spechler,             Dallas, USA
                                                                                                                        Professor James D Luketich        Pittsburgh, USA
                                                                                                                        Professor Chinnusamy Palanivelu   Coimbatore, India
                                                                                                                        Prof Raffaele Pugliese            Milan, Italy

				
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