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Virtual Educational Channel
The constraints of the worldwide Covid-19 pandemic require OESO to adapt its educational structure.
A new initiative responds to this need: the OESO-SEMPIRE VIRTUAL EDUCATIONAL CHANNEL.
It is built on the basis, already operational, of the OESO-SEMPIRE Platform
coordinating the educational activities of a network of Pilot Centers of Excellence in Esophagology worldwide.
Like many of the previous ones, this approach is original, multi-disciplinary, and, from the outset, global.
Its implementation is made possible by use of the virtual techniques of communication available today.
Each time, one of the Pilot centers will propose a challenging clinical case open for interactive discussion, followed by the commentary of an invited expert.
The topic and time will be announced well in advance on the OESO website, with specification of the time to allow connection at a comfortable hour of the day.
Join us,
for an innovative series of international "Staff meetings" with experts from the five parts of the world.
The OESO-SEMPIRE virtual channel will welcome, in addition to the Pilot Centers of the network
able to connect, the contribution of
Specifications:
Content:
Technology:
Each Pilot Center to choose a preferable time (7-9 am or 5-7 pm) for its program
and know the corresponding time for other Centers wishing to attend the meeting.
Calendar
7th meeting:
from the University of Bordeaux, France
Hosted by Prof. Denis Collet
Hôpital HAUT-LEVEQUE, Pessac, France
Thursday, February 25, 2021
Presentation of the case: Prof. Caroline Gronnier
A 61 year old male is addressed for a malignant tumour of the EG junction diagnosed during the follow up of a Barrett’s esophagus.
Patient discharged on July 4 after uneventful postoperative course.
Final pathology demonstrated a ypT4aN3R0 adenocarcinoma.
Panel of experts for discussion:
Surgery:
Pathology:
This case is the opportunity to discuss several problems which are not been resolved so far, concerning the particular cases of adenocarcinomas of the EG junction with signet cells:
These points will be exposed and discussed with a selected panel of the experts.
Registration is free, but mandatory.
The next clinical case coming up for discussion in March 2021 will be proposed by the
Pilot Center of Stanford. Details and time will be announced on the OESO website and in the next Newsletter.
As of now, you can begin to prepare your own contribution to this interaction,
your thoughts, your questions, and the areas of your experience that need to be better defined.
Robert Giuli, MD, FACS
Professor of Surgery
Founder & Deputy Executive Director of OESO
__________________________________________________
6th meeting:
from Melbourne, Australia
Hosted by Matthew Read, MD, PhD, MBBS, FRACS
Senior Lecturer, St Vincent’s Hospital, Melbourne
Friday, January 29, 2021
Zoom technology applied
Gist of the Case:
Recurrent hiatal hernia – Gastric volvulus – Gastroparesis
Presentation of the case: Dr Henry Badgery
A 67 year old lady with an acute gastric volvulus in the setting of a recurrent hiatus hernia.
Panel of experts for discussion:
Surgery: Professor Lee L. Swanström, Scientific Director – I.H.U. – Strasbourg
Gastroenterology:
Discussion points:
Registration is free, but mandatory.
__________________________________________________
6th meeting:
from Melbourne, Australia
Hosted by Matthew Read, MD, PhD, MBBS, FRACS
Senior Lecturer, St Vincent’s Hospital, Melbourne
Friday, January 29, 2021
Saturday, January 30, 2021
Zoom technology applied
Gist of the Case:
Recurrent hiatal hernia – Gastric volvulus – Gastroparesis
Presentation of the case: Dr Henry Badgery
A 67 year old lady with an acute gastric volvulus in the setting of a recurrent hiatus hernia.
Panel of experts for discussion:
Surgery: Professor Lee L. Swanström, Scientific Director – I.H.U. – Strasbourg
Gastroenterology:
Discussion points:
Registration is free, but mandatory.
__________________________________________________
Hosted by Stefan Mönig and Minoa Jung (Geneva Pilot Center)
2 cases will be discussed:
Gist of the 1st Case:
Esophageal gastrointestinal stromal tumors –
A surgical treatment guide.
Presentation of the case: Mirza Muradbegovic
Moderator: Peter Grimminger
A 73 year old female patient with a giant gastrointestinal stromal tumor (GIST) of the distal esophagus.
Surgical treatment decided at Board meeting:
Uneventful postoperative period was uneventful. Patient discharged/10 days.
Histopathology findings were pT3 N0 L0 V0 PN0 RO low-grade distal esophageal wall GIST 6.5 cm, with low mitotic activity (MA) and no mutations of c-KIT and PDGFRA.
Clinical, radiological, and endoscopic patient follow-up.
Total recovery 15 months after esophagectomy without signs of oncological recurrence or functional disorders.
Panel of experts for discussion:
Surgery: Olivier Huber – Minoa Jung – Stefan Mönig – Beat Müller – Ralph Peterli – Johannes Zacherl
Oncology/Gastroenterology: Markus Möhler
Pathology: Rupert Langer
Discussion points:
Gist of the 2nd Case:
Patient with severe obesity, gastroesophageal reflux, and gastric metaplasia.
Which operation to offer?
Presentation of the case: Minoa Jung
Moderator: Ralph Peterli
Barrett esophagus and reflux-esophagitis 5 years after laparoscopic sleeve gastrectomy
and Roux-Y-gastric bypass
A 48-year-old male patient of Spanish origin with BMI 38.4 kg/m2, metabolic syndrome, obstructive sleep apnea, depression, and gastroesophageal reflux.
Consultation at a private practice center specialized in bariatric surgery to discuss options for surgery.
Consultation at the University Hospital for a second opinion on the most appropriate bariatric surgery option.
Panel of experts for discussion:
Surgery: Peter Grimminger – Olivier Huber – Minoa Jung – Stefan Mönig – Beat Müller –
Johannes Zacherl
Oncology/Gastroenterology: Markus Möhler
Pathology: Rupert Langer
Discussion points:
– Sleeve gastrectomy
– Roux-en-Y gastric bypass
– Roux-en-Y gastric bypass with removal of the excluded stomach
Registration is free, but mandatory.
__________________________________________________
Hosted by Jie He and Yousheng Mao
China National Cancer Center
Cancer Hospital, Chinese Academy of Medical Sciences
Multidisciplinary Panels for the discussions:
China: Zhentao Yu (Shenzen) – Yongtao Han (Chengdu) – Keneng Chen (Beijing) – Junfeng Liu (Shijiazhuang) –
Qi Xue (Beijing) – Yin Li (Beijing) – Lijie Tan (Shanghai) – Chun Chen (Fuzhou) – Hecheng Li (Shanghai) –
Xiangning Fu (Wuhan) – Zhigang Li (Shanghai) – Shun Xu (Shenyang) – Yong Li (Beijing) – Jianjun Qin (Beijing) –
Hon Yang (Guangzhou) – Zhen Wang (Beijing) – Xuefeng Leng (Chengdu) – Jiagen Li (Beijing)
USA: Andrew Chang (Ann Arbor) Kenya: Russell White (Bomet) Switzerland: Stefan Mönig (Geneva) Germany: Thorsten Götze (Frankfurt) France: Stephane Bonnet (Paris)
2 cases will be discussed:
Gist of the 1stCase:
Discussion points, with the panel of experts:
Gist of the 2nd Case:
Discussion points, with the panel of experts:
Registration is free, but mandatory.
____________________________________________________________
Hosted by Russel White and Michael Mwachiro
From Tenwek Hospital (Bomet, Kenya)
Multidisciplinary Panel for discussion:
Matthew Read (Melbourne) – Kumwinder Dua (Milwaukee)
Gist of the Case:
An unusual case of a 6 year old female involving a foreign body lodged in the esophagus for an extended period of time. The case required a multidisciplinary approach between surgeons and endoscopists to provide appropriate initial care for the patient, and for the complications which arose.
The patient complained of a persistent cough of at least three months duration. She had a chest radiograph performed which revealed the presence of a foreign body in the oesophagus at the level of the tracheal carina. Neither she nor her mother recalled the incident of ingesting the foreign body. The child was able to tolerate a normal diet without difficulty. She did not appear to be in any significant distress, but did have a persistent cough.
Upper GI endoscopy revealed a metallic foreign body, firmly wedged in the mid-esophagus. There appeared also to be a trachea-esophageal fistula present in the anterior surface of the esophagus.
Discussion points, with a panel of experts:
____________________________________________________________
Time: 7-9 am PDT (10 am-12 pm EDT / 4-6 pm CEST / 5-7 pm EAT / 10-12 pm CST)
From Stanford, USA
• Hosted by John Clarke, George Triadafilopoulos and Dan Azagury
• Junior Faculty: Micaela Esquivel, Afrin Kamal and Thomas Zikos
Gist of the Case:
A challenging case of achalasia in the context of hypersensitivity and other comorbidities, with dilemmas in treatment and complications thereafter.
One of the most challenging cases of achalasia management that we have seen at Stanford and sure to stimulate conversation.
Discussion points, with a panel of experts
• Physiology of achalasia
• How to choose the initial line of therapy
• Complications after surgical intervention
• Treatment of reflux after achalasia therapy
• When to consider esophagectomy0
• Treatment of belching
• Next steps
• Zoom technology applied
• Centers in a comfortable time zone to connect to the meeting:
North America – South America – Europe – East and South Africa – Asia
____________________________________________________________
From Milan, Italy, by Professor Luigi Bonavina – Ass. Prof. Emanuele Asti
From Stanford University, Invited Expert: Professor George Triadafilopoulos
Patient case: a long history of GERD – Association of a giant hiatal hernia
This first concrete achievement of our new virtual project was unanimously applauded.
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2, Bd Pershing
75017 Paris, France
Tel. + 33 (0)1 55 37 90 15
email: michele.liegeon@oeso.org
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