THE OESO-SEMPIRE

Virtual Educational Channel

OESO and the OESO-SEMPIRE Platform of Excellence in Esophagology

continue to be a trail blazer

in all fields of Esophagology.

 

A new model of Education has come forward

with the OESO-SEMPIRE Virtual Educational Channel.

 

Indeed, going beyond the traditional series of presentations one after the other,

the clinical case of a patient becomes the focal point of interest: it becomes
the starting point of a two hour intense educational interaction between top experts,

punctuated by comments and questions by a worldwide floor

 

 

*

19th meeting:

From St Vincent’s Hospital, Melbourne

and Tenwek Hospital, Kenya

 

Hosted by:
Dr Matthew Read, MBBS, FRACS, PhD

and

Prof Russell E. White, MD, MPH, FACS, FCS(ECSA)

Director of Cardiothoracic Surgery – Tenwek Hospital

 

Wednesday, May 4, 2022

Australia, Melbourne, 12 midnight – 1:30 am (May 5)

 

• Europe CET, Paris: 4 – 5:30 pm
• North America: West Coast: 7 – 8:30 am / East Coast: 10 – 11:30 am
• South America: São Paulo, 11 am – 12:30 pm
• Africa: Bomet, Kenya, 5 – 6:30 pm
• Malaysia: Kuala Lumpur: 10 pm – 12 midnight

 

 

Topic: Esophageal cancer in young patients

Subtheme: a celebration of the first fellowship between two Pilot Centers of the OESO-SEMPIRE Platform

The discussion will be based around two cases

 

Presentation of the cases: Dr Matthew Read and Prof Russell E. White

 

​Case 1: a 23-year-old man, originally from East Africa, recently presented to St Vincent’s Hospital in Melbourne with a four-month history of chest tightness, progressive dysphagia and headache. This was subsequently investigated with endoscopy which revealed a cancer at the GEJ. Subsequent staging excluded metastatic disease.

 

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​Figure 1                                                   ​Figure 2                                              ​Figure 3

 

Figure 1: Endoscopic images detailing the GEJ from above

Figure 2: Endoscopic images detailing the GEJ from below

Figure 3: FDG PET avid lesion at the GEJ

 

 

Case 2: a 16-year-old male patient presented with an eight-month history of progressive dysphagia, anorexia, and weight loss.

 

​

• Despite multiple visits to health facilities and being treated for a range of different ailments, no endoscopy was performed until seven months later.
• There were no associated risk factors, no history of smoking and no alcohol intake. There was also no significant family history of cancer.
• Histology revealed a moderately differentiated adenocarcinoma.
• Following surgery, the patient made a good recovery. However, they subsequently developed an anastomotic stricture which required serial dilatation. During the post-operative period they also required treatment for a bowel obstruction secondary to a band adhesion.
• Patient developed suicidal ideation in association with a major depressive illness and is currently receiving psychotherapy (12 sessions to date).

 

Discussion points:

• What challenges exist in the diagnosis & management of esophageal cancer in the younger patient.
• Balancing care, quality of life and survivorship. How to tailor the best approach.
• How do cancers between a younger patient and an older patient compare? Are they different entities and should we be more aggressive with our management?
• Management of esophageal cancer in a resource limited environment.
• Highlighting the significance of the first fellowship between OESO Pilot centers.

The discussion will also include the following presentations:

• Surgery for cancer of the GEJ. How I do it. Dr. Yong Li, Thoracic Surgeon of the Beijing National Cancer Center, China.
• Clinicopathological features of GEJ cancer of the younger patient. Assoc Prof Qin Huang, Harvard Medical School / Brigham and Women’s Hospital, Boston.

 

 

Panel for discussion:

• Michael Mwachiro (Program Director, Tenwek)
• Dr Guifang Xu, GI Gastroenterologist of Nanjing Drum Tower Hospital, China
• Dr Lei Wang, GI Gastroenterologist of Nanjing Drum Tower Hospital, China
• Dr Yong Li, Thoracic Surgeon of the Beijing National Cancer Center, China
• Assoc Prof Qin Huang, Harvard Medical School, Boston
  
  

Registration is free, but mandatory:

 

​Free registration

 

 

The next clinical case coming up for discussion will be proposed in May by the Pilot Center of Stanford.

Date and details on time will be announced on the OESO website and in next Newsletters.

_____________________________________________

 

ANNOUNCEMENT

In the framework of its cooperation with the New York Academy of Sciences, OESO is pleased to announce to the international scientific community the publication (Wiley Publ.) of the 15th and 16th volumes of its Encyclopedia of Esophagology.

 

These two books, which follow the 15th OESO World Congress in Beijing, contain 39 Review Articles in two consecutive special issues of the Annals of the New York Academy of Sciences.

 

These 39 papers, like the congress they follow, cover topics related to the various disciplines represented in OESO, and each of them is the result of the work of teams of international specialists of the highest level in their fields.