Virtual Educational Channel

 

 

• Virtual Global interactive Staff Meetings around a clinical case

 

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

• all the members of OESO,
• other renowned specialists bringing their specific knowledge into the network, whatever their discipline,
• and, more widely, members of the international scientific community.

 

 

• Setting up a meeting

Specifications:

• Transmitted from one of the Pilot Centers of the OESO-SEMPIRE Platform.
• Intended for Pilot Centers in another part of the world, taking into account the time differences.
• Chaired by the Scientific Director of the Center with a member of the junior faculty.
• Short duration: 1-2 hours.

 

Content:

• Presentation of a challenging case in esophagology, preferably involving several disciplines,
  – Exchange of views between the presenters,
  – Discussion with people connected in another part of the world with their audience
     (prior announcements made by the Centers to encourage attendance).
• Invited commentary given by an internationally recognized expert who can also contribute his/her experience to the panel discussion.
  These experts don't have to belong to the OESO-SEMPIRE network.

 

Technology:

• Zoom type technology,
• with announcement well in advance requiring prior signing up of potential participants.
• Courses and discussions recorded and available on the OESO website.

 

• Time zones                                                                                          > Chart download pdf

​

 

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

 

• 4th meeting: Thursday, October 29, 2020
• Time: 5:00 – 7:00 pm Beijing time (9:00 – 11:00 am GMT)
• Zoom technology applied
• Zones in a comfortable time to connect to the meeting: 
  Africa – South America – North America – Asia – Australia – Europe

 

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:

​

• A locally advanced esophageal middle thoracic squamous cell carcinoma with metastatic lymph nodes in the right recurrent nerve area.
• cT3N1M0 Stage III AJCC.
• 4 cycles of neoadjuvant immunotherapy combined with chemotherapy applied.
  No adverse events.
• Minimally invasive McKeown esophagectomy with two-field lymphadenomectomy 4 weeks after neoadjuvant therapy.
• Final pathological diagnosis: ypT0N0M0
  
  

Discussion points, with the panel of experts:

• Value of additional PD-1 blockade
• Neoadjuvant therapy
• Combined immunotherapy
• Evaluation of clinical response to treatment
• Indications for surgery in patients with clinically complete response

 

 

​

• A potentially resectable locally advanced middle thoracic squamous cell carcinoma
• cT3N1M0 Stage III AJCC.
• Neoadjuvant chemoradiotherapy (2 cycles + 40 Gy).

• Poor response with tumor progression.

• Sequential chemotherapy combined with immunotherapy

• Significant response

• Minimally invasive esophagectomy 4 weeks after, with radical tumor resection.
• Final pathological diagnosis: ypT1bN0M0
• Sudden death of unknown cause.

 

Discussion points, with the panel of experts:

• Neoadjuvant therapy for locally advanced tumors
• Strategy for patients with poor response to chemoradiotherapy
• Indications for combined immunotherapy
• Indications for surgery in such patients
• Preferable surgical techniques after complex neoadjuvant therapy
  
  
  

Registration is free, but mandatory.

 

​Free registration

____________________________________________________________

• 3rd meeting: Saturday, October 3, 2020

 

Hosted by Russel White and Michael Mwachiro

From Tenwek Hospital (Bomet, Kenya)

 

Multidisciplinary Panel for discussion:

Matthew Read (Melbourne) – Kumwinder Dua (Milwaukee) 

• Time: 7-9 am EAT (East African Time, GMT+3)

• Zoom technology applied
• Zones in a comfortable time to connect to the meeting:

 

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:

• What would you do with this patient?
• What would be your therapeutic strategy?
• How would you proceed surgically?

 

____________________________________________________________

 

• 2nd meeting: Wednesday, July 22, 2020

      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

____________________________________________________________

• Inaugural meeting: Thursday May 28, 2020

      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.