Endoscopy Surgery Room
Presented at the

AdventHealth Nicholson Center

August 28-30, 2019
AdventHealth Nicholson Center, Celebration, FL

Registration and Information: 407-303-9863

Components:

  • Diagnostic EUS
  • Interventional EUS
  • EUS-FNA and Cytopathology
  • Didactic Lectures
  • Hands-on Workshop
  • Self-assessment Examination

Event Information 

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Objectives

The 6th Annual Orlando Live EUS 2019 will have six components to provide participants a comprehensive education in endosonography

Diagnostic EUS

Procedures will be demonstrated using the “station-based” approach for identification of normal structures and pathology using both the radial and linear array echoendoscopes. Mediastinal, pancreaticobiliary and upper and lower gastrointestinal system examinations will be taught in a structured format. The latest technology such as contrast-enhanced imaging and elastography will be demonstrated so that participants are aware of the various options available for performing diagnostic examinations of the different organ systems. We will demonstrate the versatility of the latest generation echoendoscopes that are currently available.

Interventional EUS

Using a stepwise approach, the different techniques to perform celiac plexus interventions, pancreatic fluid collection drainage, biliary/gallbladder drainage, pancreatic cyst ablation, tumor ablation by RFA, fiducial placements and possibly gastro-jejunal anastomosis will be demonstrated. New technologies and evidence-based techniques will be demonstrated by expert faculty.

EUS-FNA and Cytopathology

The key to sucess of an EUS program is providing the best-quality samples in the most efficient manner. Proper selection of needles based on location of lesions, adapting evidence-based techniques when performing FNA maneuvers and appropriate processing of specimens based on the presence or absence of an onsite cytopathologist are factors that determine outcomes for EUS-FNA.

Centers with onsite cytopathology access: Several studies have shown that the diagnostic sensitivity of EUS-FNA is strongly associated with the availability of onsite cytopathology services. While it is important to provide an adequate quantity of representative material, steps must be taken to provide the best quality specimens. Participants will be educated on the best techniques to procure specimens with minimal bloodiness. This will include discussion about appropriate needle selection for sampling of solid and cystic lesions and education on the optimal specimen processing techniques. The utility of different FNA and core-biopsy needles will be discussed and demonstrated.

Centers without onsite cytopathology services: For centers that do not have access to onsite cytopathology, the key to success is in providing adequate amounts of material to assure an accurate diagnosis. Participants will be educated about cell block, core biopsy, accessories used to procure core specimens, the medium required to collect core specimens, and most importantly, how to use a microscope and assess for specimen adequacy. Specimen yield from the four currently available core biopsy needles will be demonstrated.

Didactic Sessions

Breakfast sessions will provide an opportunity for participants to interact with expert faculty and gain first-hand knowledge in specific areas of interest. Luncheon sessions conducted by faculty will provide a comprehensive literature update on diagnostic and therapeutic EUS. The most recent and important publications in EUS literature will be reviewed in these sessions.

Hands-on Workshop

Limited slots are available for delegates to gain hands-on experience in the lab. The objective of this session is to teach participants to (a) handle specimens, (b) operate microscopes, (c) assess for on-site diagnostic sufficiency, (d) learn the different techniques of FNA (standard, fanning, core biopsy) and (e) Perform EUS-based interventions (celiac plexus neurolysis, fiducial/coil placements, pseudocyst drainage).

Self-assessment Examination

Interesting videos and cases will be presented by the course directors in a quiz format. This will enable participants to self-evaluate their diagnostic interpretation skills and theoretical knowledge in endosonography.

Dedicated Cytopathology Program

Dr. Darshana Jhala and Dr. Nirag Jhala

This half-day program for endosonographers, cytopathologists and technicians will include three hours of didactic lectures and round-table discussions that provide tips to improve the quality and efficiency of the EUS cytopathology service. This session will be particularly useful for units that do not have access to onsite cytopathology support. The main focus of this session will be on (a) how to collect and process specimens, (b) self-assess for diagnostic adequacy and (c) how to maximize the outcomes of EUS-guided tissue acquisition.

Agenda

Day One: August 28, 2019

Time Topic Speaker
7 a.m. to 7:15 a.m. Breakfast & Registration  
Breakfast Sessions    
7:15 a.m. to 7:45 a.m. How to accelerate my learning curve in EUS? Robert Hawes, Shyam Varadarajulu
  Tips to maximize yield at FNA, FNB and liver biopsy? Anand Sahai, Fauze Maluf-Filho
  Pancreatic cysts: When to sample and when not to instrument? Michael Levy
  Pancreatic Fluid Collection Drainage: When to place metal or plastic stents? Sundeep Lakhtakia
  EUS-guided biliary drainage: How to minimize adverse events? Pierre Deprez
7:50 a.m. to 8 a.m. Welcome and Introduction  
Morning Session - Pancreatic Cysts    
8 a.m. to 8:20 a.m. Pancreatic Cysts: How to evaluate correctly and survey appropriately? Dr. Michael Levy
8:20 a.m. to 8:30 a.m. Questions  
8:30 a.m. to 10:30 a.m. Live Demonstrations  
10:30 a.m. to 10:45 a.m. Break & Visit Exhibits  
10:45 a.m. to 11:05 a.m. Luminal Cancer Staging: What is the role of EUS in 2019? Dr. Tomas Hucl
11:05 a.m. to 11:15 a.m. Questions  
11:15 a.m. to 12:30 p.m. Live Demonstrations  
12:30 p.m. to 1 p.m. Lunch & Visit Exhibits  
1 p.m. to 1:30 p.m. Lunch Lecture: Diagnostic EUS literature update Dr. Vivek Khumbari
Afternoon Session - Diagnostic EUS    
1:30 p.m. to 1:500 p.m. Elastography and Contrast Imaging: Time to learn or waste of time? Dr. Fauze Maluf-Filho
1:50 p.m. to 2 p.m. Questions  
2 p.m. to 4 p.m. Live Demonstrations  
4 p.m. to 4:15 p.m. Break & Visit Exhibits  
4:15 p.m. to 4:35 p.m. EUS-Guided Liver Biopsy: How to perform and is it better than other alternatives? Dr. Anand Sahai
4:35 p.m. to 4:45 p.m. Questions  
4:45 p.m. to 5:15 p.m. Test Your Knowledge in Diagnostic EUS: A video based self-assessment Dr. Shyam Varadarajulu
5:15 p.m. Adjourn  
7 p.m. Welcome Reception, Gaylord Palms Resort & Convention Center  

 

Day Two: August 29, 2019

Time Topic Speaker
Breakfast Sessions    
7:15 a.m. to 7:45 a.m. How to accelerate my learning curve in EUS? Robert Hawes, Shyam Varadarajulu
  Tips to maximize yield at FNA, FNB and liver biopsy? Anand Sahai, Fauze Maluf-Filho
  Pancreatic cysts: When to sample and when not to instrument? Michael Levy
  Pancreatic Fluid Collection Drainage: When to place metal or plastic stents? Sundeep Lakhtakia
  EUS-guided biliary drainage: How to minimize adverse events? Pierre Deprez
Morning Session - Interventional EUS    
7:45 a.m. to 8 a.m. Short Break - Visit Exhibits  
8 a.m. to 8:20 a.m. Treatment of Pancreatic Fluid Collections in the era of LAMS Dr. Pierre Deprez
8:20 a.m. to 8:30 a.m. Questions  
8:30 a.m. to 10:30 a.m. Live Demonstrations  
10:30 a.m. to 10:45 a.m. Break & Visit Exhibits  
10:45 a.m. to 11:05 a.m. EUS-Guided Billary Drainage: When to do and using which approach? Dr. Sundeep Lakhtakia
11:05 a.m. to 11:15 a.m. Questions  
11:15 a.m. to 12:30 p.m. Live Demonstrations  
12:30 p.m. to 1 p.m. Lunch & Visit Exhibits  
1 p.m. to 1:30 p.m. Lunch Lecture: Interventional EUS literature update Dr. Vivek Khumbari
Afternoon Session - EUS-FNA and Cytopathology    
1:30 p.m. to 1:50 p.m. EUS-Guided Sampling of Solid Mass Lesions: Are FNB needles the (only) way to go? Dr. Thomas Rosch
1:50 p.m. to 2 p.m. Questions  
2 p.m. to 4 p.m. Live Demonstrations  
4 p.m. to 4:15 p.m. Break & Visit Exhibits  
4:15 p.m. to 4:35 p.m. EUS-Guided Sampling in the Era of FNB: Is ROSE obsolete? Dr. Nirag Jhala
4:35 p.m. to 5 p.m. Questions  
4:30 p.m to 5 p.m. Test You Knowledge in Therapeutic EUS: A Video base self-assessment Dr. Shyam Varadarajulu
5 p.m. Adjourn  

 

Day Three: August 30, 2019

Hands on Lab Experience  
6:50 a.m. to 7:20 a.m. Breakfast and Visit Exhibits
7:20 a.m. to 7:35 a.m. Hands-on Lab Overview
7:35 a.m. to 7:50 a.m. Gown & Glove
7:50 a.m. to 11:30 a.m. Hands on Lab
Group I Fine Needle Aspiration & Liver Biopsy Techniques
Group II How to make slides, check for diagnostic sufficiency and process an FNA sample
Group III Pseudocyst Drainage (Using a dedicated one-step device)
Group IV Celiac Plexus Interventions/Fiducial Placement
Group V Biliary Drainage/Other Interventions

 

Breakfast Sessions

How to accelerate my learning curve in EUS? Robert Hawes, Shyam Varadarajulu
Tips to maximize yield at FNA, FNB and liver biopsy? Anand Sahai, Fauze Maluf-Filho
Pancreatic cysts: When to sample and when not to instrument? Michael Levy
Pancreatic Fluid Collection Drainage: When to place metal or plastic stents? Sundeep Lakhtakia
EUS-guided biliary drainage: How to minimize adverse events? Pierre Deprez

Dedicated Cytopathology Program

August 28, 2018; 1:30 p.m. to 3 p.m.

Topic: Everything an endosonographer needs to know about EUS-related pathology

This 90-minute program for endosonographers, cytopathologists and technicians will include two hours of didactic lectures and round table discussions that provide tips to improve the quality of EUS-pathology service. This session will be particularly useful for centers that do not have access to onsite cytopathology support. The main focus of this session will be on (a) how to collect and process specimens, (b) self-assess for diagnostic adequacy, and (c) how to maximize the outcomes of EUS-guided tissue acquisition.

Target Audience

Gastroenterologists, Fellows-in-training, General Surgeons, Oncologists, Allied Health Professionals and Nurses

Cost
Physicians  
Didactic Sessions $550
Didactic Sessions and Hands-On Lab $700
Didactic Sessions and Cytopathology Program $700
Complete Program (Didactic Sessions, Lab and Cytopathology Program) $800
Others (Fellows-in-Training, Nurses, Allied Health and Industry  
Didactic Sessions Only $350
Didactic Sessions and Hands-on Lab $475
Didactic Sessions and Cytopathology Program $500
Complete Program (Didactic Sessions, Lab, and Cytopathology Program) $625
Cytopathology Program Only $200

The registration fee covers general session, live demonstration, breakfast and lunch

Registration Link

Registration Opening Soon 

Location

AdventHealth Nicholson Center
400 Celebration Pl, Celebration, FL 34747

Lodging Information

Gaylord Palms Resort & Convention Center
6000 W. Osceola Pkwy, Kissimmee, FL
Please note that we will provide daily transportation from the Gaylord Palms  to the Nicholson Center

For a discounted room rate, click here to reserve

CME/MOC Information

CME Information Coming Soon

American Disabilities Act

AdventHealth is committed to making our activities accessible to all individuals. If you have a disability, please submit a description of your needs, along with your registration, to assure that you will be able to participate in this activity.

Course Directors

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Headshot of Shyam Varadarajulu

Shyam Varadarajulu, MD

Medical Director, Florida Hospital Center for Interventional Endoscopy
Professor of Internal Medicine, University of Central Florida College of Medicine

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Robert Hawes, MD

Medical Director, Florida Hospital Institute for Minimally Invasive Therapy
Professor of Internal Medicine, University of Central Florida College of Medicine

CIE Faculty

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Headshot of Ji Young Bang, MD

Ji Young Bang, MD

Director of Clinical Research
Center for Interventional Endoscopy

Headshot of Muhammad Hasan

Muhammad Hasan, MD

Assistant Professor of Internal Medicine
University of Central Florida College of Medicine

Headshot of Udayakumar Navaneethan

Udayakumar Navaneethan, MD

Assistant Professor of Internal Medicine
University of Central Florida College of Medicine
Center for Interventional Endoscopy

Guest Faculty

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Headshot of Pierre Deprez

Prof Dr Pierre H. Deprez, MD, PhD – Belgium

Hepato-gastroenterology Dpt Cliniques Universitaires Saint-Luc Université Catholique de Louvain Brussels, Belgium

Dr. Takao Itoi, MD, PhD, FACG, FASGE – Japan

Dr. Takao Itoi, MD, PhD, FACG, FASGE – Japan

Professor and Chair, Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo, Japan

Headshot of Dr. Sundeep Lakhtakia, MD – India

Dr. Sundeep Lakhtakia, MD – India

Senior Consultant Asian Institute of Gastroenterology, Hydebad, India

Headshot of Dr. Michael Levy, MD – USA Division of Gastroenterology and Hepatology

Dr. Michael Levy, MD – USA Division of Gastroenterology and Hepatology

Professor of Medicine, Mayo Clinic Rochester, Minnesota

Headshot of Dr. Fauze Maluf-Filho, MD, PhD, FASGE - Brazil

Dr. Fauze Maluf-Filho, MD, PhD, FASGE - Brazil

Endoscopy Unit of the Cancer Institute of São Paulo - ICESP Department of Gastroenterology of the University of São Paulo Associate Editor for Gastrointestinal Endoscopy São Paulo, Brazil

Headshot of Prof. Dr. Thomas Rösch, MD, PhD - Germany

Prof. Dr. Thomas Rösch, MD, PhD - Germany

Director of Department of Interdisciplinary Endoscopy University Hospital Hamburg-Eppendorf Hamburg, Germany

Headshot of Anand Sahai MD, MSc (EPID), FRCPC – Canada

Anand Sahai MD, MSc (EPID), FRCPC – Canada

Professor of Medicine, Chief, GI Division, Centre Hospitalier de l'Universite de Montreal Montreal, Canada

Headshot of Nirag C. Jhala, MD, MIAC

Nirag C. Jhala, MD, MIAC

Professor, Pathology & Laboratory Medicine Director, Anatomic Pathology/Cytology Temple University School of Medicine Philadelphia, PA

Headshot of Darshana Jhala, MD, B MUS, FCAP

Darshana Jhala, MD, B MUS, FCAP

Chief, Pathology and Laboratory Medicine Service CMC VAMC Professor Clinical Pathology and Lab medicine University of Pennsylvania Philadelphia, PA

AHS Staff

Tomas Hucl - Czech Republic

Institute for Clinical and Experimental Medicine
Department of Gastroenterology and Hepatology
Member Society Councillor/Education Committee Chair
Institute for Clinical and Experimental Medicine
Czech Republic

EUS 2019
Registration Information

Course Fees Starting at $200.00

To register, call 407-303-9863 for more information