The masterclass will be in collaboration with the International Society of University Colon and Rectal Surgeons (ISUCRS), South East Thames Chapter Of The Association Of Coloproctology Of Great Britain & Ireland (ACPGBI) and King’s College London and will be held at Bush House, King's College London, WC2R 2LS.

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OBJECTIVES

• A live, interactive masterclass to enhance learning.

• A masterclass covering practical issues faced by physicians and surgeons managing patients with IBD.

• Discuss current new IBD treatments and management strategies.

• Consider the current successful medical and surgical treatment of perianal manifestations in patients with IBD.

• Discuss the development and delivery of consistent care models for monitoring patients, diets, and IBD.

• Cover all practical aspects of pouch surgery.

• Explore current and future treatments for pouchitis and pouch-related disorders.

• Examine new approaches to the management of dysplasia in patients with IBD.

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ACCREDITATION

CPD/CME points for attendance will be requested from the Association of surgeons of Great Britain & Ireland.

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TARGET AUDIENCE

• Gastroenterologist (Consultants & Trainees)

• Surgeons (Consultants & Trainees)

• General practitioners

• Specialist health care workers

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07:45 - 08:20 Registration & Coffee

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08:20 - 08:30 Welcome address: Joseph Nunoo-Mensah, London, UK & Alex Kent, London, UK

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08:30 - 09:40 Weighing the new approaches to treating IBD

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Moderators: Mr Pasquale Giordano, London, UK, Dr Alex Kent, London, UK & Dr Gareth Parks, London UK

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• NICE approval of positioning biologics and appropriate use of medical therapy. Prof Naila Arebi, IBD Clinical Lead, St Mark’s National Bowel Hospital, London, UK

• Disease monitoring & treatment targets in inflammatory bowel disease: Evolving principles and possibilities. Dr Lucy Hicks, Imperial College Healthcare NHS Trust, London, UK

• Advances in imaging modalities for decision-making in IBD. Dr Gauraang Bhatnagar, Frimley Park Hospital, Frimley, UK

• When is it time to call a surgeon? Balancing medical and surgical treatment in inflammatory bowel disease. Prof Amy Lightner, Scripps Clinic, La Jolla, CA, USA

• Artificial intelligence for disease management in inflammatory bowel disease: How will it change our practice? Dr Nick Kennedy, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK  

• Panel discussion
   

09:40 - 10:30 Perianal Crohn’s disease: Is less more in complex perianal Crohn’s fistula?

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Moderators: Dr Nick Kennedy, Exeter, UK, Mr Piero Nastro, London, UK & Prof Steve Brown, Sheffield, UK

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• Is there a future for successful medical management of perianal Crohn’s fistula? Prof Seb Sebastian, Chair : Research Committee - British Society of Gastroenterology, Hull University Teaching Hospitals, Hull, UK

• Surgical repair to close Crohn’s perianal fistulas! Is this achievable? Dr David Zimmerman, ETZ (Elisabeth - TweeSteden) Hospital, Tilburg, Netherlands

• Everything we need to know about stem cells for perianal Crohn’s fistula. Mr Phil Tozer, St Mark's Hospital, London, UK

• When is it time to call it a day. A proctectomy & stoma is all we have left? Dr Stefan Holubar, IBD Surgery Section Chief, Cleveland Clinic Main Campus, Cleveland, OH, USA

• Panel discussion

10:30 - 11:10 Coffee Break

11:10 - 11:40 Debate ‘The right therapy for the right patient at the right time’

Treatment of ileal caecal Crohn’s disease. Bottom-up medical therapy or top-down surgical approach? Dr Gareth Parks, Barts Health NHS Trust (For Medical Treatment) vrs Mr Kapil Sahnan, St Marks Hospital, (For Surgical Treatment)

Moderators: Dr Sami Hoque, London, UK & Mr Joseph Nunoo-Mensah, London, UK

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11:40 - 13:00 Intestinal Crohn’s disease

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Moderators:  Prof Seb Sebastian, Hull, UK, Dr David Zimmerman, Tilburg, Netherlands & Ms Emma Carrington, London, UK

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• The Mesentery - Deciphering the role of mesenteric fat in inflammatory bowel disease or is there something else to consider? Ms Tara Connelly FRCS, PhD University Hospital Limerick,  Limerick, Ireland

• Preoperative nutritional and medical conditioning for optimal patient outcomes. Dr Rachel Cooney, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

• How I do it - Management of Crohn’s disease strictures from an endoscopic perspective. Dr Adam Humphries, St Mark's Hospital, London, UK

• Preventing postoperative Crohn's disease recurrence through medical strategies. Dr Kamal Patel, St. George’s Hospital, London, UK

• Surgical management of Crohn's disease strictures. Mr Amir Darakhshan, St Thomas Hospital, London, UK

• The Kono-S anastomosis. Is it a viable approach to preventing recurrence of Crohn's disease postoperatively? Prof Steven Brown, Consultant Colorectal Surgeon, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. Past President of ASCPGBI 2020-2021, Chief investigator - MEErKAT MEsenteric Excision and Kono-s Anastomosis Trial

• Panel discussion

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13:00 - 14:15 Lunch

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14:00 - 14:15 Guest Lecture

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Indeterminate Colitis. Is it Crohn's disease or ulcerative colitis? I know what it is. Prof Amosy E. M'Koma, Surgical Sciences, Pathology and Cancer BiologyDivision of Biomedical Sciences, Meharry Medical College and Vanderbilt University Medical Center, Nashville, USA

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Moderators: Mr Joseph Nunoo-Mensah, London, UK & Dr Rachel Cooney, Birmingham, UK

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14:15 - 15:45 All Things Pouch - Outcomes and Management of Pouchitis and Pouch-related Disorders

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Moderators:  Dr Patrick Dubois, London, UK, Mr Pasquale Giordano, London, UK, Dr Stefan Holubar, Cleveland, USA

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• Ileoanal pouch & redo surgery. Prof Feza Remzi, Center for Advanced IBD Care Northwell Health, New York, USA

• Pre-pouch considerations and who to avoid? Mr Niroo Rajendran, Barking, Havering and Redbridge University Hospitals NHS Trust, Romford, London

• Early IPAA operative complications. Prof Paris Tekkis, The Royal Marsden NHS Foundation Trust, London, UK

• Management of pouchitis - The gastroenterologist and surgeons working together. Hannah Gordon, Oxford University Hospitals NHS Trust, UK

• The dysfunctional pouch - identifying and managing it. Mr Valerio Celentano, Chelsea and Westminster Hospital, London UK

• Is there still a place for the continent ileostomy? Prof. Gabriela Möslein, Chair EHTG - European Hereditary Tumor Group, Bethesda Lutheran Hospital, Duisburg, Germany

• Panel discussion

15:45 - 16:15 Coffee Break

16:15 - 16:30 Guest Lecture

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When the going gets short. When inflammatory bowel disease turns to intestinal failure. Medical and surgical options. Dr Michael Fitzpatrick, Oxford University Hospitals NHS Foundation Trust, Oxford UK

Moderator: Dr Alex Kent, London, UK & Mr Andy Williams, London, UK 

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16:30 - 17:45 IBD Dysplasia in Clinical Practice

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Moderators: Dr Hannah Gordon, London, UK, Prof Gabriela Möslein, Duisburg, Germany & Mr Philip Bearn, London, UK

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• How I to do a good surveillance colonoscopy. Dr Misha Kabir University College London NHS Foundation Trust, London, UK

• Help, I’ve found dysplasia – What next? Mr Andy Williams, London Bridge Hospital, London

• EMR & ESD for IBD dysplasia – How to do it? Prof Bu Hayee, King's College Hospital, London, UK

• When to give up and surgery is needed. Segmental or proctocolectomy? - Prof Amy Lightner, Scripps Clinic, La Jolla, CA, USA

• Panel discussion

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17:45 - 18:00 Closing statement

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7 CPD points will be provided by

The Association of Surgeons of Great Britain and Ireland (ASGBI) for attendance