21.07.2013 Views

Management of Colon and Rectal Diseases - Creighton University

Management of Colon and Rectal Diseases - Creighton University

Management of Colon and Rectal Diseases - Creighton University

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

st 21 Annual<br />

<strong>Management</strong> <strong>of</strong> <strong>Colon</strong> <strong>and</strong><br />

<strong>Rectal</strong> <strong>Diseases</strong><br />

Saturday, Feb. 16, 2013<br />

Omaha Marriott Regency<br />

10220 Regency Circle<br />

Omaha, Neb.<br />

FEATURING:<br />

Recent Advances in the <strong>Management</strong> <strong>of</strong> <strong>Colon</strong><br />

<strong>and</strong> <strong>Rectal</strong> <strong>Diseases</strong><br />

DESIGNED FOR:<br />

•Primary Care Physicians<br />

•General Surgeons<br />

•Nurse Practitioners<br />

•Physician Assistants<br />

•Pharmacists<br />

•Nurses<br />

•Support Staff<br />

•Public Health Pr<strong>of</strong>essionals<br />

•Fellows<br />

•Residents <strong>and</strong> Students<br />

JOINTLY SPONSORED BY:<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

Department <strong>of</strong> Surgery<br />

Section <strong>of</strong> <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> Surgery<br />

<strong>and</strong> Health Sciences Continuing Education<br />

Scan the QR Code<br />

with your smart phone<br />

to learn more!


Purpose <strong>and</strong> Objectives<br />

Purpose: This conference is designed to update primary care physicians, nurses, pharmacists <strong>and</strong> support staff on recent advances in<br />

the management <strong>of</strong> lower gastrointestinal diseases that are commonly seen in a primary care practice. Information presented is intended<br />

to enhance clinical competence in the <strong>of</strong>fice management <strong>and</strong> differential diagnosis <strong>of</strong> selected colon <strong>and</strong> rectal diseases <strong>and</strong> may<br />

include initial management as well as guidelines to assist in determining when referral to specialty consultants is indicated.<br />

Conference Objectives — At the end <strong>of</strong> the program, the participant should be able to:<br />

Session I<br />

• Discuss the anatomy <strong>of</strong> the colon <strong>and</strong> anorectum<br />

• Identify causes <strong>of</strong> anorectal pain <strong>and</strong> its treatment<br />

• Describe the management <strong>of</strong> infective anorectal conditions<br />

• Discuss the causes, symptoms <strong>and</strong> treatment <strong>of</strong><br />

hemorrhoidal disease<br />

Session II<br />

• Discuss the new indications <strong>of</strong> screening for colon <strong>and</strong><br />

rectal cancers<br />

• Describe new treatment options for bowel incontinence<br />

• Describe the use <strong>of</strong> robot for surgical resection <strong>of</strong> colon<br />

<strong>and</strong> rectum<br />

• Discuss the indication <strong>and</strong> use <strong>of</strong> laparoscope for the<br />

management <strong>of</strong> colorectal diseases<br />

Schedule<br />

7:15 a.m.<br />

7:50 a.m.<br />

Session I:<br />

Anorectal <strong>Diseases</strong>: Underst<strong>and</strong>ing an Ageless Problem<br />

Moderator: Mark D. Goodman, M.D.<br />

8:00 a.m.<br />

8:20 a.m.<br />

8:40 a.m.<br />

9:00 a.m.<br />

9:20 a.m.<br />

9:40 a.m.<br />

Session II:<br />

New Technologies: <strong>Management</strong> <strong>of</strong> <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> <strong>Diseases</strong><br />

Moderator: Charles A. Ternent, M.D., FACS, FASCRS<br />

10:05 a.m.<br />

10:25 a.m.<br />

10:45 a.m.<br />

11:05 a.m.<br />

Registration, Continental Breakfast & Visit Exhibits<br />

Welcome & Program Overview<br />

M. Shashidharan, M.D., FRCS, FACS<br />

Anatomy <strong>of</strong> the <strong>Colon</strong> <strong>and</strong> Anorectum – Getting to<br />

Know Your Guts <strong>and</strong> Backside<br />

Thomas H. Quinn, Ph.D.<br />

Managing the Emergency ‘My Butt Hurts!’ Call<br />

Garnet J. Blatchford, M.D., FACS<br />

The Safe <strong>Management</strong> <strong>of</strong> Pus in the Office<br />

Kerrie R. Bossard, M.D.<br />

Modern <strong>Management</strong> <strong>of</strong> Misbehaving Piles<br />

M. Shashidharan, M.D., FRCS, FACS<br />

Panel Discussion<br />

Garnet J. Blatchford, M.D., FACS<br />

Kerrie R. Bossard, M.D.<br />

Thomas H. Quinn, Ph.D.<br />

M. Shashidharan, M.D., FRCS, FACS<br />

Break & Visit Exhibits<br />

Moving Targets in Colorectal Cancer Screening: Is<br />

There a Best Test?<br />

Savio C. Reddymasu, M.D.<br />

Advances in the <strong>Management</strong> <strong>of</strong> Bowel<br />

Incontinence<br />

Alan G. Thorson, M.D., FACS<br />

Can a Robot Replace Your <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong><br />

Surgeon?<br />

Charles A. Ternent, M.D., FACS, FASCRS<br />

Laparoscopic <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> Resection: Operating<br />

on the Big Screen – <strong>Colon</strong> Cancer in Prime Time?<br />

Jennifer S. Beaty, M.D., FACS<br />

Session III<br />

• Determine the diagnostic utility <strong>of</strong> molecular testing in<br />

patients with colorectal cancer<br />

• Review the non-surgical treatment <strong>of</strong> diverticulitis<br />

• Identify various treatments available for the management<br />

<strong>of</strong> clostridium difficile colitis<br />

• Discuss the use <strong>of</strong> chemotherapeutic drugs for the<br />

treatment <strong>of</strong> colon <strong>and</strong> rectal cancers<br />

• Review the symptoms <strong>and</strong> treatment <strong>of</strong> irritable bowel<br />

syndrome<br />

11:25 a.m.<br />

11:45 a.m.<br />

Noon<br />

Session III:<br />

New Concepts in the <strong>Management</strong> <strong>of</strong> Colorectal <strong>Diseases</strong><br />

Moderator: M. Shashidharan, M.D., FACS<br />

1:00 p.m.<br />

1:20 p.m.<br />

1:40 p.m.<br />

2:00 p.m.<br />

2:20 p.m.<br />

2.40 p.m.<br />

3:00 p.m.<br />

Panel Discussion<br />

Jennifer S. Beaty, M.D., FACS<br />

Savio C. Reddymasu, M.D.<br />

Charles A. Ternent, M.D., FACS, FASCRS<br />

Alan G. Thorson, M.D., FACS<br />

Break & Visit Exhibits<br />

Lunch with Faculty – Meet the Pr<strong>of</strong>essor<br />

Course faculty will be present at each table for<br />

individualized discussion <strong>of</strong> colon <strong>and</strong> rectal<br />

diseases – bring your interesting cases <strong>and</strong><br />

questions.<br />

Molecular Testing in Colorectal Cancer<br />

Poonam Sharma, M.B.B.S.<br />

Proven Methods to Keep Diverticular Disease<br />

Away from the Surgeon<br />

Gary L. Gorby, M.D.<br />

Changing Perspectives in the Medical<br />

<strong>Management</strong> <strong>of</strong> C.difficile Colitis<br />

A. Sasan Gholami, M.D.<br />

Update in Systemic Therapy for Colorectal<br />

Cancer<br />

Yungpo Bernard Su, M.D., FACP<br />

IBS: A Review<br />

Marc A. Scheer, D.O.<br />

Panel Discussion<br />

A. Sasan Gholami, M.D.<br />

Gary L. Gorby, M.D.<br />

Marc A. Scheer, D.O.<br />

Poonam Sharma, M.D.<br />

Yungpo Bernard Su, M.D., FACP<br />

Evaluation & Adjournment


Course Director<br />

M. Shashidharan, M.D., FRCS, FACS<br />

Assistant Clinical Pr<strong>of</strong>essor <strong>of</strong> Surgery<br />

Department <strong>of</strong> Surgery<br />

Section <strong>of</strong> <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> Surgery<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

Omaha, Neb.<br />

Faculty<br />

Jennifer S. Beaty, M.D., FACS<br />

Assistant Clinical Pr<strong>of</strong>essor <strong>of</strong> Surgery<br />

Program Director, <strong>Colon</strong> & <strong>Rectal</strong> Surgery Residency<br />

Department <strong>of</strong> Surgery<br />

Section <strong>of</strong> <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> Surgery<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

Omaha, Neb.<br />

Garnet J. Blatchford, M.D., FACS<br />

Associate Clinical Pr<strong>of</strong>essor <strong>of</strong> Surgery<br />

Department <strong>of</strong> Surgery<br />

Section <strong>of</strong> <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> Surgery<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

Omaha, Neb.<br />

Kerrie R. Bossard, M.D.<br />

Clinical Fellow<br />

<strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> Surgery, Inc.<br />

Section <strong>of</strong> <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> Surgery<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

Omaha, Neb.<br />

Mark D. Goodman, M.D.<br />

Associate Pr<strong>of</strong>essor <strong>of</strong> Medicine<br />

Department <strong>of</strong> Family Medicine<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

Omaha, Neb.<br />

A. Sasan Gholami, M.D.<br />

Consultant Infectious <strong>Diseases</strong><br />

Methodist Physicians Clinic<br />

Regency Infectious <strong>Diseases</strong>/Travel Clinic<br />

Omaha, Neb.<br />

Gary L. Gorby, M.D.<br />

Associate Pr<strong>of</strong>essor <strong>and</strong> Chief<br />

Medicine Service Line, VA Nebraska-Western Iowa<br />

Health Care System<br />

Adult Infectious <strong>Diseases</strong> Division<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

Co-Director, The Center for Preparedness Education<br />

A Joint Endeavor <strong>of</strong> <strong>Creighton</strong> <strong>University</strong> School <strong>of</strong><br />

Medicine <strong>and</strong> <strong>University</strong> <strong>of</strong> Nebraska Medical Center<br />

Omaha, Neb.<br />

Thomas H. Quinn, Ph.D.<br />

Pr<strong>of</strong>essor <strong>of</strong> Biomedical Sciences <strong>and</strong> Surgery<br />

Department <strong>of</strong> Biomedical Sciences<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

Omaha, Neb.<br />

Savio C. Reddymasu, M.D.<br />

Assistant Pr<strong>of</strong>essor <strong>of</strong> Medicine<br />

Director, Endoscopic Ultrasound Program<br />

Division <strong>of</strong> Gastroenterology<br />

Department <strong>of</strong> Medicine<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

Omaha, Neb.<br />

Marc A. Scheer, M.D.<br />

Consultant Gastroenterologist<br />

Midwest Gastroenterologists Associates, PC<br />

Omaha, Neb.<br />

Poonam Sharma, M.B.B.S.<br />

Associate Pr<strong>of</strong>essor <strong>and</strong> Vice Chair<br />

Department <strong>of</strong> Pathology<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

Associate Pr<strong>of</strong>essor<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Pharmacy <strong>and</strong><br />

Health Pr<strong>of</strong>essions<br />

Omaha, Neb.<br />

Yungpo Bernard Su, M.D., FACP<br />

Medical Oncology<br />

Nebraska Cancer Specialists<br />

Omaha, Neb.<br />

Charles A. Ternent, M.D., FACS, FASCRS<br />

Associate Clinical Pr<strong>of</strong>essor <strong>of</strong> Surgery<br />

Department <strong>of</strong> Surgery<br />

Section <strong>of</strong> <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> Surgery<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

Omaha, Neb.<br />

Alan G. Thorson, M.D., FACS<br />

Clinical Pr<strong>of</strong>essor <strong>of</strong> Surgery<br />

<strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

Clinical Pr<strong>of</strong>essor <strong>of</strong> Surgery<br />

<strong>University</strong> <strong>of</strong> Nebraska College <strong>of</strong> Medicine<br />

Omaha, Neb.<br />

Planning Committee: M. Shashidharan, M.D., FRCS, FACS; Alan<br />

G. Thorson, M.D., FACS; Sally C. O’Neill, Ph.D.; Pat Newlin M.S.N.,<br />

R.N., WOCN; <strong>and</strong> Loretta Melichar.<br />

HSCE Program Review Committee: Mark Malesker, PharmD;<br />

Philip Brauer, Ph.D.; Scott DiLorenzo, D.D.S.; Lesa Grovas, M.N.,<br />

APRN-NP; Dennis Higginbotham, D.D.S.; Linda Lazure, Ph.D., R.N.;<br />

Sally C. O’Neill, Ph.D.; Amy Pick, Pharm.D.


Additional Information<br />

CANCELLATION<br />

Please call 800.548.2633 or 402.280.5659 by Friday, Feb. 8, 2013. Refund less $25 if cancelling by<br />

Friday, Feb. 8, 2013. No refund after Friday, Feb. 8, 2013.<br />

EMERGENCY PHONE<br />

402.399.9000 – Ask for the <strong>Creighton</strong> <strong>University</strong> HSCE Program.<br />

MEETING PLACE<br />

Omaha Marriott Hotel, 10220 Regency Circle, Omaha, Neb.<br />

Phone: 800.228.9290 or 402.399.9000 website: omahamarriott.com<br />

LODGING<br />

The Omaha Marriott Regency is <strong>of</strong>fering a rate <strong>of</strong> $129/night plus tax to guests who would like to stay<br />

during the meeting. Please reference the <strong>Creighton</strong> <strong>University</strong> Program to receive the discounted rate.<br />

Reservations should be made prior to February 1, 2013, after this date subject to availability.<br />

OMAHA MARRIOTT REGENCY DIRECTIONS<br />

From Eppley Airfield: Abbott Drive South (left) to Downtown area. West (right) on Dodge Street to<br />

Regency Parkway exit. Turn left at first light; turn left at the next light (under Dodge Street). Turn right at<br />

split in road; turn right at Regency Circle. Hotel is on the right.<br />

From I-80: I-680 North to Dodge Street East. Exit Regency Parkway; turn left at first light. Turn right at<br />

Regency Circle. Hotel is on the right.<br />

CLIMATE AND DRESS<br />

Casual dress is encouraged for the entire meeting. Temperature in meeting rooms can fluctuate. Layered<br />

clothing is suggested.<br />

SPECIAL NEEDS<br />

<strong>Creighton</strong> <strong>University</strong> Health Sciences Continuing Education (HSCE) wishes to ensure that no individual<br />

with special needs is excluded, denied services, segregated or otherwise treated differently from other<br />

individuals because <strong>of</strong> the absence <strong>of</strong> auxiliary aids <strong>and</strong> services. If you are in need <strong>of</strong> auxiliary aids or<br />

services, please contact HSCE at 800.548.2633 or 402.280.5659.<br />

COURTESY<br />

For the concentration <strong>and</strong> comfort <strong>of</strong> our participants, we ask that all cell phones <strong>and</strong> pagers be silenced<br />

during sessions <strong>of</strong> the conference. Breaks are provided for your communication convenience. Thank you<br />

for your cooperation.<br />

WEBSITE<br />

CREIGHTON HSCE: cme.creighton.edu


Registration<br />

Program Registration Fees<br />

Physicians, General Surgeons, Nurse Practitioners,<br />

Physician Assistants, Pharmacists . . . . . . . . . . . . . . . . . $125<br />

Nurses <strong>and</strong> Support Staff . . . . . . . . . . . . . . . . . . . . . . . . . $70<br />

Fellows, Residents <strong>and</strong> Full-time Students. . . . . . . . . . . $45<br />

Letter <strong>of</strong> verification <strong>of</strong> resident or student status is required to<br />

accompany registration<br />

Registration fees includes continental breakfast, lunch, <strong>and</strong><br />

breaks. Registration deadline is Monday, Feb. 11, 2013.<br />

HANDOUT OPTIONS: Please be advised that h<strong>and</strong>out materials<br />

for this conference will not be included in the registration<br />

fee <strong>and</strong> be distributed as paper copies, but rather, made<br />

available online ahead <strong>of</strong> time (to the best extent possible).<br />

Participants can download <strong>and</strong> print the presentations prior to<br />

the conference, or follow along on their own laptop during the<br />

conference.<br />

- • A link will be sent by email a week prior to the Conference<br />

to download <strong>and</strong> print the h<strong>and</strong>outs needed before the<br />

event.<br />

• For those needing a traditional h<strong>and</strong>out, they will be<br />

available by pre-order at a cost <strong>of</strong> $15. Please pre-order<br />

your h<strong>and</strong>out by Feb. 6, 2013. No additional h<strong>and</strong>outs will<br />

be available to purchase the day <strong>of</strong> the conference.<br />

230160-811620 HSCE# S162<br />

DON’T MISS OUT —<br />

REGISTER ONLINE TODAY AT:<br />

http://2013colonrectal.eventbrite.com<br />

Walk-ins are welcome, however seating or conference materials<br />

cannot be guaranteed. If registration/h<strong>and</strong>out fee is being paid by<br />

check in advance, please make check out to <strong>Creighton</strong> <strong>University</strong><br />

<strong>and</strong> mail to <strong>Creighton</strong> <strong>University</strong> HSCE, 601 N. 30th St., Suite 2130,<br />

Omaha, NE 68131.<br />

For questions or more information, please call the Health Sciences<br />

Continuing Education (HSCE) Office at 402.280.1830 or visit<br />

cme.creighton.edu.<br />

Scan the QR Code<br />

with your smart phone<br />

to learn more!<br />

EDUCATION CREDIT<br />

Register by<br />

Feb. 11, 2013<br />

The <strong>Creighton</strong> <strong>University</strong> School <strong>of</strong> Medicine<br />

designates this live activity for a maximum <strong>of</strong> 6.25<br />

AMA PRA Category 1 Credit(s). Physicians should<br />

claim only credit commensurate with the extent <strong>of</strong><br />

their participation in the activity.<br />

AAPA accepts AMA category 1 credit for the PRA<br />

from organizations accredited by ACCME.<br />

Application for CME credit has been filed with the<br />

American Academy <strong>of</strong> Family Physicians.<br />

Determination <strong>of</strong> credit is pending.<br />

The <strong>Creighton</strong> <strong>University</strong> Health Sciences<br />

Continuing Education designates this activity for<br />

6.25 contact hours for nurses. Nurses should claim<br />

only credit commensurate with the extent <strong>of</strong> their<br />

participation in the activity.<br />

The 21st Annual: <strong>Management</strong> <strong>of</strong> <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong><br />

<strong>Diseases</strong> is sponsored by <strong>Creighton</strong> <strong>University</strong><br />

Health Sciences Continuing Education (HSCE).<br />

HSCE is accredited by the Accreditation Council<br />

for Pharmacy Education (ACPE) as a provider <strong>of</strong><br />

continuing pharmacy education. This activity is<br />

assigned Universal Activity (UAN)<br />

# 0839-0000-13-005-L04-P <strong>and</strong> is accredited for 6.25<br />

hours for attendance <strong>of</strong> all CE sessions on Feb. 16,<br />

2013. The 21st Annual: <strong>Management</strong> <strong>of</strong> <strong>Colon</strong> <strong>and</strong><br />

<strong>Rectal</strong> <strong>Diseases</strong> is a knowledge-based CE activity.<br />

ACCREDITATION STATEMENT<br />

In support <strong>of</strong> improving patient care, <strong>Creighton</strong><br />

<strong>University</strong> Health Sciences Continuing Education is<br />

accredited by the American Nurses Credentialing<br />

Center (ANCC), the Accreditation Council for<br />

Pharmacy Education (ACPE), <strong>and</strong> the Accreditation<br />

Council for Continuing Medical Education (ACCME)<br />

to provide continuing education for the healthcare<br />

team.<br />

DISCLOSURE POLICY<br />

It is the policy <strong>of</strong> <strong>Creighton</strong> <strong>University</strong> Health<br />

Sciences Continuing Education, to ensure balance,<br />

independence, objectivity <strong>and</strong> scientific rigor in all<br />

its educational activities. All faculty participating<br />

in this activity are expected to disclose to the<br />

audience any significant financial interest or other<br />

relationship he/she has with the manufacturer(s)<br />

<strong>of</strong> any commercial product(s) discussed in an<br />

educational presentation.


st<br />

21 Annual<br />

<strong>Management</strong> <strong>of</strong> <strong>Colon</strong> <strong>and</strong><br />

<strong>Rectal</strong> <strong>Diseases</strong><br />

Saturday, Feb. 16, 2013<br />

Health Sciences<br />

Continuing Education<br />

2500 California Plaza<br />

Omaha, Nebraska 68178-0216<br />

230160-811620-7431-110<br />

21st Annual: <strong>Management</strong> <strong>of</strong> <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> <strong>Diseases</strong><br />

Saturday, Feb. 16, 2013<br />

FOR MORE<br />

INFORMATION CALL:<br />

<strong>Creighton</strong> <strong>University</strong><br />

Health Sciences<br />

Continuing Education<br />

800.548.2633 or<br />

402.280.1830<br />

cme.creighton.edu<br />

In the unlikely event this program<br />

is cancelled, you will be<br />

notified by phone.<br />

REGISTER ONLINE TODAY!<br />

Before Feb. 11, 2013<br />

http://2013colonrectal.eventbrite.com<br />

Please forward to a colleague if unable to attend<br />

Nonpr<strong>of</strong>it Org<br />

U.S. Postage<br />

PAID<br />

Permit No. 227<br />

Omaha, NE

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!