The American Neurogastroenterology and Motility Society’s 4th Biennial Course on

Gastrointestinal Motility & Neurogastroenterology in Clinical Practice

Friday–Sunday, February 29–March 2, 2008 • Hilton Atlanta, Atlanta, Georgia

Sponsored by the American Neurogastroenterology and Motility Society and the University of Kansas Medical Center Continuing Education

Register today at: www.ContinuingEd.ku.edu (keyword: motility)

www.motilitysociety.org

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Course DirectorsHenry Parkman, MD, Professor of Medicine, Gastroenterology Section, Department of Medicine, Temple University Hospital, Philadelphia, Pa.Richard McCallum, MD, FACP, FACG, Professor of Medicine, Director, The Center for Gastrointestinal Nerve & Muscle Function & Division of GI Motility, University of Kansas Medical Center, Kansas City, Kan.Satish Rao, MD, PhD, FRCP, PhD, FRCP, Professor of Medicine, Director, Neurogastroenterology and GI Motility, University of Iowa, Iowa City, Iowa.

OverviewThis will be a comprehensive, clinically oriented course on gastrointestinal motility in clinical practice. This fourth course of the American Neurogastroenterology and Motility Society will build on and further expand the content of the first three courses in 2002, 2004, and 2006, which received extraordinarily positive feedback and success. The course will emphasize new developments in diagnosis, evaluation and treatments of GI motility and functional GI disorders and will stress the role and application of these new developments to the practitioner. The course faculty are experts actively practicing and publishing in the field of gastrointestinal motility, functional GI disorders and neurogastroenterology.

Course GoalThe goal of this course is to familiarize and update participants on the current indications, methodology, and interpretation of clinical GI motility tests. In addition, the course will provide in-depth discussion of the physiology and pathophysiology and treatment of GI motility and functional bowel disorders as well as emphasizing the spectrum of gastroesophageal reflux disease, esophageal motility disorders, gastroparesis, irritable bowel syndrome, and chronic constipation. Multiple formats will be used, including didactic lectures, workshop discussions and case-based presentations. Each of these will involve audience participation at three particular levels–the practicing physician, the GI motility nurse/technician, and the gastroenterology fellow. Case presentations will be used to help drive home key points from the lectures and stress applicability and practical aspects of adding new knowledge to the clinical care of patients. Information from society-based practice guidelines will be covered.

Target AudienceThis course is intended for gastroenterologists in academic and clinical practice, GI fellows, nurses, nurse

practitioners, physician assistants, technicians and medical assistants involved in adult and pediatric GI motility testing and research. The course will provide information that is particularly applicable to the practice setting.

ObjectivesUpon completion of this course, participants will be able to:• Explain the indications and proper methodology, as well

as how to interpret a broad range of clinical GI motility tests frequently utilized in patient care, including esophageal manometry, esophageal pH monitoring, gastric emptying scintigraphy, breath testing for bacterial overgrowth, and anorectal manometry.

• Review new pharmacology and new therapeutic advances in GI motility and functional bowel disorders including treatment strategies based on the results of motility tests.

• Assess the role of new equipment available for the GI motility laboratory–high resolution manometry, SmartPill, and breath testing–in order to better evaluate and treat patients with GI motility disorders and persistent symptoms of GERD.

• Discuss the importance of how recent basic scientific concepts in GI motility apply to our diagnosis and treatment of clinical GI motility and functional bowel disorders.

• Assess how new developments in diagnosis, evaluation and treatments of GI motility and functional GI disorders affect patient-care decision making in order to improve patient care outcomes.

Special Features• Use of Audience Response System to allow audience

participation in decision making• Focus on applications of GI motility in clinical practice• Workshops geared to different levels: Physicians,

nurses/technicians, and fellows• Case-based learning for physicians, nurses, and GI

fellows

AcknowledgmentsFinancial contributions and supporters of this program will be acknowledged in print at the symposium.

AccreditationAll participants are required to sign attendance rosters at the beginning of each day. A certificate of completion will be provided to all activity participants based on documentation of actual attendance time, meeting

The American Neurogastroenterology and Motility Society’s 4th Biennial Course on

Gastrointestinal Motility & Neurogastroenterology in Clinical Practice

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minimum attendance requirements specific to the activity, and payment in full. If you are not paid in full, your certificate will be mailed to you upon receipt of payment.

Physicians: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the KU Medical Center Office of Continuing Medical Education and American Neurogastroenterology and Motility Society. The KU Medical Center Office of Continuing Medical Education is accredited by the ACCME to provide continuing medical education for physicians. The KU Medical Center Office of Continuing Medical Education designates this educational activity for a maximum of 22.5 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nurses: Up to 22.5 contact hours will be awarded to all individuals based on documentation of actual attendance time, meeting minimum attendance requirements specific to the activity, and payment in full.University of Kansas School of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

ExhibitsCommercial vendors are invited to exhibit at this meeting. Limited exhibit space will be available. Call Monya Floyd at 913-588-4478 or e-mail mfloyd2@kumc.edu for an application and more information.

Location & ParkingAll events will take place at the Hilton Atlanta, 255 Courtland Street NE, Atlanta, Georgia 30303. While attending this activity, you can be reached at 404-659-2000. Callers should ask for the KU Medical Center ANMS Course. Please bring a sweater or jacket, since temperatures can be difficult to control in large rooms.

Lodging A block of rooms has been reserved at the Hilton Atlanta Hotel, 255 Courtland Street NE, Atlanta, GA 30303, at the daily rate of $159 for single occupancy and $169 for double occupancy. To take advantage of the special rate, call 404-659-2000 or 877-667-7210 by January 28, 2008, and mention that you will be attending the KU Medical Center ANMS Course. To make your hotel reservations online, visit www.ContinuingEd.ku.edu/kumc/motility to access the Hilton Hotel’s personalized online group page for the ANMS Course. After January 28, 2008, room availability and rates cannot be guaranteed.

Hilton Hotel’s Early Departure Fee: In the event a guest who has requested a room within this room block checks out prior to the guest’s reserved checkout date, the hotel will add an early checkout fee to that guest’s individual account. Guests wishing to avoid an early checkout fee should advise the Hilton Atlanta at or before check-in of any change in planned length of stay.

Planning CommitteeLori Ennis, Executive Director, American Neurogastroen-

terology and Motility Society, Belleville, Mich.Rae Hardnett-McCoy, Technician, Gastroenterology

Section, GI Motility Laboratory, Temple University Hospital, Philadelphia, Pa.

Martha Harrison, RN, Gastroenterology Section, GI Motility Laboratory, Temple University Hospital, Philadelphia, Pa.

Mary Kinnaman, RN, PhD, Assistant Dean for Community Affairs, Director, Nursing Continuing Education, University of Kansas School of Nursing, Kansas City, Kan.

Richard McCallum, MD, FACP, FACG, Professor of Medicine, Director, The Center for Gastrointestinal Nerve & Muscle Function & Division of GI Motility, University of Kansas Medical Center, Kansas City, Kan.

Henry Parkman, MD, Professor of Medicine, Gastroenterology Section, Director of GI Motility Laboratory, Temple University Hospital, Philadelphia, Pa.

Carrie Phillips, RN, Neurogastroenterology and GI Motility, University of Iowa, Iowa City, Iowa

Satish Rao, MD, PhD, FRCP, Professor of Medicine, Director, Neurogastroenterology and GI Motility, University of Iowa, Iowa City, Iowa

Kim Sanders, Office Manager, Continuing Education, University of Kansas Medical Center, Kansas City, Kan.

Sonora Thigpen, Senior Program Manager, Continuing Education, University of Kansas Medical Center, Kansas City, Kan.

Refund/Cancellation PolicyA full refund of registration fees, less a $15 administrative fee, will be available if requested in writing and received by February 21, 2008. No refunds will be made after that date. A $30 fee also will be charged for returned checks. (Please note that if you fail to cancel by the deadline and do not attend, you are still responsible for payment.)

KU Continuing Education reserves the right to cancel the ANMS Course on Gastrointestinal Motility and Neurogastroenterology in Clinical Practice and return all fees in the event of insufficient registration. The liability of the University of Kansas is limited to the registration fee. The University of Kansas will not be responsible for any losses incurred by registrants, including but not limited to airline cancellation charges or hotel deposits.

Register today at www.ContinuingEd.ku.edu (keyword motility)

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FacultyBette Bischoff, MD, RD, Department of Internal Medicine,

University of Texas, San Antonio, Tex.Michael Camilleri, MD, Atherton and Winifred W.

Bean Professor, Professor of Medicine and Physiology, Consultant in Gastroenterology, Mayo Clinic College of Medicine, Rochester, Minn.

Carlo Dilorenzo, MD, Gastroenterologist and Nutritionist, Columbus Children’s Hospital, Columbus, OH

Douglas Drossman, MD, Professor of Medicine and Psychiatry Division, University of North Carolina, Chapel Hill, N.C.

Gianrico Farrugia, MD, Professor of Medicine and Physiology, Mayo Clinic College of Medicine, Rochester, Minn.

Ronnie Fass, MD, FACP, FACG, Associate Professor of Medicine, Director, GI Motility Laboratory, University of Arizona, Head of the Neuro-Enteric Clinical Research Group, Tucson, Ariz.

Rae Hardnett-McCoy, Technician, Gastroenterology Section, GI Motility Laboratory, Temple University Hospital, Philadelphia, Pa.

Martha Harrison RN, Gastroenterology Section, GI Motility Laboratory, Temple University Hospital, Philadelphia, Pa.

Paul E. Hyman, MD, Professor of Pediatrics, Chair, Pediatric GI Division, University of Kansas Medical Center, Kansas City, Kan.

Richard McCallum, MD, FACP, FACG, Professor of Medicine, Director, Center for Gastrointestinal Nerve & Muscle Function & Division of GI Motility, University of Kansas Medical Center, Kansas City, Kan.

Nancy Norton, President of International Foundation for Functional Gastrointestinal Disorders, Milwaukee, Wis.

Carol Parish, RD, Director of Nutrition, Nutrition Support Team Medicine, Digestive Health Center of Excellence, University of Virginia Health Systems, Charlottesville, Va.

Henry Parkman, MD, Professor of Medicine, Gastroenterology Section, Director, GI Motility Laboratory, Temple University Hospital, Philadelphia, Pa.

Carrie Phillips, RN, Neurogastroenterology and GI Motility, University of Iowa, Iowa City, Iowa

Charlene M. Prather, MD, Professor of Medicine, Gastroenterology & Hepatology, Director, GI Motility Center, St. Louis University School of Medicine, Saint Louis, Mo.

Satish Rao, MD, PhD, FRCP, Professor of Medicine, Director, Neurogastroenterology and GI Motility, University of Iowa, Iowa City, Iowa

Yehuda Ringel, MD, Assistant Professor of Medicine, Clinical Services and Functional GI/Motility

Coordinator, Brain Imaging Research Project, Clinical Trials in Functional GI Disorders, University of North Carolina, Center for Functional GI & Motility, University of North Carolina, Chapel Hill, N.C.

Dana Sands, MD, F.A.C.S, Director, Colorectal Physiology Center, Associate Staff, Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Fla.

C. Daniel Smith, MD, FACS, Associate Professor of Surgery, Chief, Mayo Clinic, Jacksonville, Fla.

Robert Twillman, PhD, Assistant Professor of Psychiatry, Director, Pain Management, University of Kansas Medical Center, Kansas City, Kan.

Michael Vaezi, MD, PhD, Clinical Director, Department of Medicine, Division of Gastroenterology, Hepatology and Nutrition, Vanderbilt University, Nashville, Tenn.

J. Patrick Waring, MD, Associate Professor, Division of Digestive Disease, Director, Endoscopy; Professor of Surgery, Digestive Health Care–GA, Emory University, Atlanta, Ga.

William Whitehead, MD, PhD, University of North Chapel Hill, Chapel Hill, N.C.

John M. Wo, MD, Associate Professor of Medicine, Director, GI Motility, University of Louisville, Division of Gastroenterology and Hepatology, Louisville, Ky.

Registration & FeesPlease register in advance. Fees include course materials, continental breakfast, lunch, refreshments and continuing education credit.

Full Conference Registration Fees:Physician . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $500GI Fellow in Training . . . . . . . . . . . . . . . . . . . . . . . $150Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $300Other healthcare professional . . . . . . . . . . . . . . . . $300

One-Day Registration Fees:Physician . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $175GI Fellow in Training . . . . . . . . . . . . . . . . . . . . . . . $50Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100Other healthcare professional . . . . . . . . . . . . . . . . $100

Program AccessibilityWe accommodate persons with disabilities. Please call 785-864-5823 or mark the space on the registration form and a KU Continuing Education representative will contact you to discuss your needs. To ensure accommodation, please register at least two weeks before the start of the ANMS Course on Gastrointestinal Motility and Neurogastroenterology in Clinical Practice.

University of Kansas is committed to providing programs and activities to all persons, regardless of race, religion, color, national origin, ancestry, sex, age, disability, and veteran status. In addition, university policies prohibit discrimination on the basis of sexual orientation, marital status, and parental status.

University of Kansas Medical Center is an AA/EO Title IX institution.

The American Neurogastroenterology and Motility Society’s 4th Biennial Course on

Gastrointestinal Motility & Neurogastroenterology in Clinical Practice

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Thursday, February 28, 20087–9 p.m. Pre-Registration

Friday, February 29, 20087 a.m. Breakfast, Registration, & Exhibits

7:50 a.m. Course IntroductionHenry Parkman, MDSatish Rao, MD, PhD, FRCPRichard McCallum, MD, FACP, FACG

8 a.m. Gastrointestinal Motility at the Cellular Level: Muscle, Nerves & Interstitial Cells of CajalGianrico Farrugia, MD

u Symposium on the Stomach & Small Intestine Chair: Henry Parkman, MD

8:20 a.m. Integrated Upper Gastrointestinal Responses to Food IntakeMichael Camilleri, MD

8:40 a.m. Assessment of Gastric Emptying & Small Bowel Transit: Scintigraphy, Breath Tests, Manometry, SmartPillHenry Parkman, MD

9:05 a.m. Functional Dyspepsia–Presentation, Evaluation & ManagementMichael Camilleri, MD

9:30 a.m. Current Treatment of Nausea, Vomiting, & Gastroparesis: Antiemetics, Prokinetics, TricyclicsJohn Wo, MD

9:55 a.m. Treatments for Refractory Gastroparesis: Botox, G & J tubes, Gastric Stimulation, SurgeryRichard McCallum, MD, FACP, FACG

10:20 a.m. Panel Discussion/Questions & Answers

10:40 a.m. Break & Exhibits

u Simultaneous Breakout SessionsChoose one of the following sessions

Physicians: Case Presentations on Gastric Disorders(Four cases; each is 20 minutes for presenter and discussant with 5 min presentation and 15 min on DDX, Evaluation, RX)

11 a.m. Case 1: Diabetic GastroparesisCase presented by Henry Parkman, MDComments by Gianrico Farrugia, MD

11:20 a.m. Case 2: Functional Dyspepsia with Rapid Gastric EmptyingCase presented by John Wo, MDComments by Michael Camilleri, MD

11:40 a.m. Case 3: Post-Operative IleusCase presented by Richard McCallum, MD, FACP, FACGComments by Dana Sands, MD, FACS

Noon Case 4: Cyclic Vomiting SyndromeCase presented by Paul Hyman, MDComments by Richard McCallum, MD, FACP, FACG

Nurses & Technicians11 a.m. Gastric Testing in the GI Motility

Laboratory: Hands-On Experience• Satiety testing• SmartPill• Electrogastrography (EGG)• Discussion of billing and coding for gastric

motility testsRae Hardnett-McCoy, TechnicianMartha Harrison, RNCarrie Phillips, RNSatish Rao, MD, PhD, FRCP

12:20 p.m. Lunch (provided)—Meet the Faculty Experts

u Anorectal SessionChairpersons: Satish Rao, MD, PhD, FRCP & William Whitehead, MD

1:15 p.m. Physiology & Evaluation of Colorectal FunctionDana Sands, MD, FACS

1:40 p.m. Anorectal Manometry & BiofeedbackSatish Rao, MD, PhD, FRCP

2:05 p.m. Clinical Approach to Fecal Incontinence(Includes epidemiology, QOL, diagnosis, evaluation and medical management) William Whitehead, MD, PhD

2:30 p.m. Clinical Approach to Chronic Constipation: Evaluation, Diagnosis, Treatment Satish Rao, MD, PhD, FRCP

3 p.m. Surgery & Sacral Nerve Stimulation for Constipation & Fecal Incontinence Dana Sands, MD, FACS

3:25 p.m. Panel Discussion/Questions & Answers

3:45 p.m. Refreshment Break & Exhibits

AGENDA

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6 p.m. Adjournment

7–10 p.m. ANMS Welcome Reception at Hilton Hotel

Saturday, March 1, 20087 a.m. Breakfast & Exhibits

7:50 a.m. Introduction & Announcements Richard McCallum, MD, FACP, FACG

u Esophageal SymposiumChair: Patrick Waring, MD

8 a.m. Esophageal Manometry: Normal & Abnormal (Anatomy, Oropharyngeal Swallowing and Esophageal Phases)J. Patrick Waring, MD

8:45 a.m. Pathophysiology & Treatment of GERDRonnie Fass, MD, FACP, FACG

9:20 a.m. Gastroesophageal Reflux Monitoring: pH (Catheter & Capsule), Impedance Michael Vaezi, MD, PhD

10 a.m. Panel Discussion/Questions & Answers

10:15 a.m. Break & Exhibits

u Esophageal Symposium (continued)

10:30 a.m. Esophageal Sensory Testing–Balloon Distension, Provocation Testing Satish Rao, MD, PhD, FRCP

10:50 a.m. Functional Heartburn: What It Is & How to Treat It Ronnie Fass, MD, FACP, FACG

11:10 a.m. Surgical Therapy for GERD: Indications, Evaluation, Procedures C. Daniel Smith, MD, FACS

11:40 a.m. Panel Discussion/Questions & Answers

12:15 p.m. Lunch (provided)—Meet the Faculty Experts

u Pediatric Gastroenterology Session1:30 p.m. Upper GI Motility Disorders in Adolescent

PatientsPaul Hyman, MD

2 p.m. Lower GI Motility Disorders in Adolescent PatientsCarlo DiLorenzo, MD

u Case Presentations on Esophageal DisordersModerator: Henry Parkman, MD(Four cases; each is 20 minutes for presenter and discussant with 5-minute presentation and 15-minute dialogue on DDX, Evaluation, RX)

2:30 p.m. Case 1: AchalasiaCase presented by J. Patrick Waring, MDComments by C. Daniel Smith, MD, FACS

2:50 p.m. Case 2: Unexplained Chest PainCase presented by Ronnie Fass, MD, FACP, FACGComments by Satish Rao, MD, PhD, FRCP

3:10 p.m. Case 3: Dysphagia from Eosinophilic EsophagitisCase presented by Michel Vaezi, MD, PhDComments by Richard McCallum, MD, FACP, FACG

3:30 p.m. Case 4: Post Fundoplication DysphagiaCase presented by C. Daniel Smith, MD, FACS

Comments by J. Patrick Waring, MD

4:10 p.m. Refreshment Break & Exhibits

AGENDA4 p.m. Choose two of the following workshops on

Practical Aspects of GI Motility Testing: When, Who, How, & What It Tells You (each one is 50 minutes; repeats at 5 p.m.)

A. Anorectal Workshop: Manometry & Biofeedback

Satish Rao, MD, PhD, FRCP Dana Sands, MD, FACS William Whitehead, MD, PhD

B. Breath Testing Workshop: SIBO, CHO Maldigestion, H. Pylori, Gastric Emptying

Richard McCallum, MD, FACP, FACG Michael Camilleri, MD

C. Gastric & Small Bowel Motility Workshop: Antroduodenal Manometry, EGG, SmartPill

Henry Parkman, MD John Wo, MD Gianrico Farrugia, MD

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6:30 p.m. End of Formal Day’s ProgramDinner on your own

Sunday, March 2, 20087:15 a.m. Breakfast & Exhibits

u Simultaneous Breakout SessionsChoose one of the following sessions

Physicians: Didactic LecturesModerator: Nancy Norton

8 a.m. Patient groups for GI Motility & Functional Bowel DisordersNancy Norton

8:10 a.m. Nutrition for GI Motility & Functional GI DisordersCarol Parish, RD

8:50 a.m. Extending the GI Motility Lab into Other Areas: Women’s Health & Geriatric MedicineCharlene Prather, MD

9:30 a.m. Complementary Alternative Therapies and Acupuncture in GI Motility Disorders & Functional Bowel DisordersBette Bischoff, MD, RD

Nurses and Technicians: Workshop

8 a.m. Esophageal Manometry & pH Monitoring Workshop, with Panel Discussion/Question & Answers• Anorectal manometry• Breath testing• Training and competency assessment for GI motility testingMartha Harrison, RNRae Hardnett-McCoy, TechnicianCarrie Phillips, RN

10 a.m. Break & Exhibits

10:10 a.m. Brief Remarks: CE Credit & Course EvaluationsRichard McCallum, MD, FACP, FACGHenry Parkman, MDSatish Rao, MD, PhD, FRCP

u Functional Bowel Disorders SymposiumChair: Douglas Drossman, MD

10:15 a.m. Brief Overview of Functional GI Disorders(Rome III, Epidemiology, Quality of Life)Doug Drossman, MD

10:30 a.m. Treatment of Pain in Functional GI & GI Motility Disorders Robert Twillman, PhD

10:55 a.m. Irritable Bowel Syndrome–Pathophysiology & TreatmentCharlene Prather, MD

11:25 a.m. Alterations of Bacterial Flora & Functional Bowel SymptomsYehuda Ringel, MD

11:50 a.m. Psychopharmacologic & Behavioral Treatments for Functional GI Disorders Doug Drossman, MD

12:15 p.m. Panel Discussion/Questions & Answers

12:30 p.m. Adjournment

4:30 p.m. Choose two of the following workshops on Practical Aspects of GI Motility Testing

(continued) (each one is 50 minutes; repeats at 5:30 p.m.)

D. Pediatric Gastroenterology: Typical Cases Paul Hyman, MD Carlo DiLorenzo, MD

E. Workshop: Practical & Technical Aspects of the GI Motility Lab: Hands-On Demonstrations

• Esophageal manometry–hands on demonstration

• Esophageal pH and impedance monitoring • Discussion on dealing with difficult

& challenging patients: (intubation tips, sedation, endoscopy, fluoroscopy, guidewires)

Ronnie Fass, MD, FACP, FACG Rae Hardnett-McCoy, Technician Martha Harrison, RN Henry Parkman, MD Carrie Phillips, RN

F. Workshop: Interpretation of Esophageal Tracings, Coding & Billing

Richard McCallum, MD, FACP, FACG Michael Vaezi, MD, PhD J. Patrick Waring, MD

The American Neurogastroenterology and Motility Society’s 4th Biennial Course on

Gastrointestinal Motility & Neurogastroenterology in Clinical Practice

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The American Neurogastroenterology and Motility Society’s 4th Biennial Course on

Gastrointestinal Motility & Neurogastroenterology in Clinical PracticeFriday-Sunday, February 29—March 2, 2008 | Hilton Atlanta, Atlanta, Georgia