President's Message: Why Is WGO Still Important?
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WORLD GASTROENTEROLOGY NEWS www.worldgastroenterology.org
Official e-newsletter of the World Gastroenterology Organisation
VOL. 23, ISSUE 1 APRIL 2018
President’s Message:
Why Is WGO Still Important?
In this issue
Cihan Yurdaydin, MD
President of WGO 2017-2019
Hepatology Institute, Chief, University of Ankara
Professor of Gastroenterology, Department of Gastroenterology,
University of Ankara Medical School • Ankara, Turkey
We Are World GI: A Celebration As the new president of the WGO, I want to express my sincere feelings about WGO
of the World Congress of and want to thank the editors of e-WGN, Drs. Surawicz and Reis, for giving me the
Gastroenterology at ACG 2017 opportunity to use the e-WGN platform for this purpose.
David J. Bjorkman, MD, MSPH
Carol A. Burke, MD, FACG Is WGO required?
Geoffrey Metz, AM MBBS, FRACP, MD, FRCP Yes, it is, is the short answer.
(UK), FACP But don’t be shy and ask more direct questions.
Jonathan A. Leighton, MD, FACG
You can say: “There is the AGA (American Gastroenterological Association), the
ACG (American College of Gastroenterology), the UEG (United European Gastro-
enterology), the APAGE (Asian Pacific Association of Gastroenterology), the OPGE
(Organisación Panamericana de Gastroenterologia), the AMAGE (African Middle East
Association of Gastroenterology), and on top of these regional associations, the many
national gastroenterology societies. Why do we need yet another organization called
WGO, the World Gastroenterology Organisation?”
The latter part of the question needs basically no answer since it is always important
to have a national forum of professionals for many good reasons. The listed regional
Appropriate use of Fecal Calprotectin
associations need attention. The two American gastroenterology associations, although
VG Naidoo, MD
formally national organizations, should be also considered within the regional societies,
as the meetings they organize have always been international meetings, more so within
the last 3 decades at least.
It may be tempting to compare the American organizations and the other regional
organizations with WGO. However, this comparison is futile for one important reason.
All of the former organizations’ most important or main objective is to organize a very
good annual meeting where the latest of basic and/or clinical research is presented and
discussed. This is true especially for the annual meetings of the AGA, ACG, UEG and
APAGE since the bulk of new scientific input come from these areas. WGO has also
its meetings, the world congresses and regional meetings, but in contrast to the other
organizations mentioned above, these meetings are not the most important or main ob-
Continued on page 4
WORLD GASTROENTEROLOGY NEWS APRIL 2018
2
Contents
VOL. 23, ISSUE 1 Expert Point of View
Editors
President’s Message:
Christina M. Surawicz, MD, MACG Why Is WGO Still Important? 1
Professor of Medicine Cihan Yurdaydin, MD
Division of Gastroenterology
Associate Dean for Faculty Development
University of Washington School of Medicine
Appropriate use of Fecal Calprotectin 6
Seattle, Washington, USA VG Naidoo, MD
Editorial
Mário Reis Álvares-da-Silva, MD, PhD
Professor of Hepatology Message from the Editors 9
Hospital de Clinicas de Porto Alegre Christina M. Surawicz, MD, MACG
Universidade Federal do Rio Grande do Sul Mário Reis Álvares-da-Silva, MD, PhD
Porto Alegre, Brazil
WCOG at ACG 2017
We Are World GI: A Celebration of the World Congress
e-WGN Editorial Board of Gastroenterology at ACG 2017 10
• Anita Afzali, USA David J. Bjorkman, MD, MSPH
• Min-Hu Chen, China Carol A. Burke, MD, FACG
• Dan Dumitrascu, Romania Geoffrey Metz, AM MBBS, FRACP, MD, FRCP (UK), FACP
• Sara Elfadil, Sudan Jonathan A. Leighton, MD, FACG
• Amy Foxx-Orenstein, USA
• Ernst Fredericks, South Africa
• Waseem Hamoudi, Jordan WGO Announces Recipients of the Masters of the
• Nassir Alhaboob Arabi Mohammad, Sudan WGO (MWGO) Award 13
• VG Naidoo, South Africa
• Alejandro Piscoya, Peru
• Naoya Sakamoto, Japan
Shiv Kumar Sarin, MD, DM is the
• Michael Schultz, New Zealand 2017 WGO Henry L. Bockus Medal Recipient 14
• C. Wendy Spearman, South Africa
• Miguel Valdovinos, Mexico Eamonn M. M. Quigley, MD, MACG is the 2017
• Haleh Vaziri, USA
• Lu Xia, China WGO Georges Brohée Medal Recipient 16
Managing Editor Viva Endoscopy! – ASGE-WGO Postgraduate
James Melberg, WGO Program Manager
Course at WCOG at ACG 2017 18
Art Production
Jennifer Gubbin
Meeting Today’s Needs & Looking Forward:
Editorial Office
WGO Executive Secretariat A Global Education Network 19
555 East Wells Street, Suite 1100
Milwaukee, WI 53202 USA WGO Welcomes Six New Member Societies! 22
info@worldgastroenterology.org
Special World Congress of Gastroenterology
https://www.facebook.com/WorldGastroOrg
Historical Commemorative Display 24
https://twitter.com/WorldGastroOrg
Gastro 2018 - WGO/GAT International Conference:
https://www.linkedin.com/company/world-gastro-
Global Perspectives in Gastroenterology in
enterology-organisation-wgo-wgo-foundation Bangkok, Thailand 25
www.worldgastroenterology.org
©2018 World Gastroenterology Organisation. No part of this publication may be reproduced, stored in a
retrieval system, or transmitted in any form without the prior permission of the copyright owner.
WORLD GASTROENTEROLOGY NEWS APRIL 2018
3
Contents
WDHD News Live Connections Nearly Double for the Final Webinar
of the 2017 ‘Microbiota Hard Talks – Live from Texas
World Digestive Health Day 2017 Medical Center’ Webinar Series 38
Inflammatory Bowel Disease (IBD): Navigating
Evolving Therapies in an Evolving Disease 26 Report on Guategastro2017 in Guatemala 40
Julio Recinos, MD
Join WGO as We Strive to Lift the Global Burden
of Viral Hepatitis in 2018 27 GUT 2017: Annual Scientific Congress of the Malaysian
Society of Gastroenterology and Hepatology 41
French and Spanish Translations Available Now for
the Lactose Digestion Education Campaign 30 X Gastrotrilogy in Veracruz, Mexico 42
Mercedes Amieva Balmori, MD
WDHD: International Symposium on Inflammatory
Bowel Disease (IBD 2017) in Chennai, India 31 XI Gastrotrilogy in Guadalajara, Mexico 44
K R Palaniswamy, MBBS, MD, DM (Gastro), FRCP Aurelio López Colombo, MD
Udayakumar Navaneethan, MD
Summary of the XXIII United Russian
WGO & WGOF News Gastroenterology Week 46
Arkady Sheptulin, MD
Train the Trainers in Sudan 33
WGO is Live on LinkedIn 48
Train the Trainers in Portugal 34
WGO Global Guidelines
The 8th Congress of the Africa Middle East Association
for Gastroenterology - AMAGE 2017 Recap 35 WGO Global Guidelines and Cascades 49
WGO Addis Ababa Training Center Post-Congress Calendar of Events
Training Session 36
Amir Sultan, MD
Calendar of Events 50
©2018 World Gastroenterology Organisation. No part of this publication may be reproduced, stored in a
retrieval system, or transmitted in any form without the prior permission of the copyright owner.
4
WORLD GASTROENTEROLOGY NEWS APRIL 2018
Editorial | Expert Point of View | WCOG at ACG 2017 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events
Continued from first page.
jectives of WGO. Meetings of WGO applicable. With a truly international education, and with it to the “third
represent just a complementary or a and very well selected faculty from world” as these countries are most in
secondary objective. top leaders in the field to top experts need of education of our discipline.
of various countries and regions, our The training centers (TCs) are a
Main objective of WGO: cascade approach is a blend of real perfect tool for training as the way they
We all know that the world is not life experience and expert wisdom. function and their logistics embody
a perfect place. Not all countries Another unique aspect of the WGO a natural barrier against brain drain
and their inhabitants share the same guidelines and cascades is that they towards industrialized countries. TCs
wealth, and they do not have the same have been translated into six lan- need, therefore, to be supported and
health infrastructure and educational guages, free to all via the WGO nurtured with special attention. This
possibilities and equalities. WGO tries website. Currently, the full library is goes along with support for trainees
to influence here and aims to provide available in English, French, Man- and the WGO leadership has achieved
training and education in gastroenter- darin Chinese, Portuguese, Russian a great deal in this regard in recent
ology to those in need. For this WGO and Spanish. It is also important to years. It is imperative to mention here
uses unique instruments such as the mention within the Guidelines group the contribution of the WGO Founda-
Training Centers (TCs) and the Train the “Ask a Librarian” Service which tion, which needs to go through a diffi-
the Trainers (TTT) initiatives. TCs provides free of charge literature cult and bumpy path in explaining the
and TTT are educational tools. searches requested by gastroenterolo- mission and functions of WGO and
WGO’s educational activities totally gists worldwide and made available finding funding for these very good
differ from the educational activities to those countries with poor access as intentions. It goes without saying that
of national and regional gastroenterol- defined by HINARI criteria. WGO needs to continue and further
ogy organizations. WGO TCs offer WGO’s imperative for education extend its firm financial standing to
gastroenterology and hepatology is built upon the engagement of all achieve these goals.
training of various durations from represented in the organization. We
weeks to up to 2 years in places with extend an invitation to our colleagues WGO needs to be interactive:
reasonable health and medical infra- around the world to share with us, ei- WGO functions through the WGO
structure to physicians in close vicin- ther directly or through your national Executive Committee (EC) and
ity and where sometimes formal gas- society, your thoughts and comments the Governing Council (GC). The
troenterology and hepatology training about your particular area of inter- EC meets through monthly tele-
does not exist. TTTs are designed to est within training and education. conferences comprising of the past-
disseminate teaching skills to those And to those of you who may wish president, the secretary general, the
gastroenterologists and hepatologists to join a committee of the WGO to treasurer, the president-elect and the
who hold training positions in their further your interest in promotion president; every second month the
own countries. TTT participants are of gastroenterology and hepatology Council of Chairs (CoC) and every
equipped with both skills and tools education through TTTs, TCs or third month the members of the GC
which they can then implement on guideline development, or to join any are joined in these tele-conferences.
their home ground. Our world con- of the WGO committees and interest The GC brings together the chairs
gresses and regional meetings are only groups, we would like to hear from of various committees and interest
a part of these educational efforts. you. All inquiries may be directed to groups of WGO. These are the Clini-
Further, WGO prepares its own the WGO Secretariat in care of our cal Research, Guidelines, Publications,
guidelines on various topics in executive director at cmutrie@world- Scientific Programs, Training Centers
gastroenterology, which differ from gastroenterology.org. and Train the Trainers Committees,
the ‘state of the art’ guidelines of and the Endoscopy, Other Procedures
the American, European and Asian WGO needs to be strong and Outreach and Hepatology Inter-
Pacific Guidelines. In variance with WGO is a world organization com- est Groups, in addition to representa-
the latter guidelines, WGO guidelines prising globally more than 100 mem- tives of regional organizations (AM-
use a cascade approach, which takes ber societies and more than 50,000 AGE, APAGE, OPGE and UEG) and
into account the health and medical gastroenterologists and hepatologists. the Representative for the Promotion
infrastructure of various regions and While a world organization, there is of Education and Training in the Asia-
thus provide unique insight especially a special interest based on its mission Pacific Region.
in those countries where ‘state of the towards those in need for gastroen- While these tele-conferences are
art’ recommendations are not easily terology and hepatology training and important and helpful in running the
5 WORLD GASTROENTEROLOGY NEWS APRIL 2018 Editorial | Expert Point of View | WCOG at ACG 2017 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events organization they cannot replace face groups as in the past at DDW, and Conclusion: to face meetings. More importantly depending on input from members, WGO is a well needed and unique or- the WGO leadership needs to interact these meetings will continue once ganization with a very moral mission. through its committees and interest a year either at DDW or UEG, the Until the world is a perfect place, groups with members of these groups. two meetings most of our members WGO is needed. It is a privilege and In Turkey, we have the dictum “far are likely to attend. Committee and honor for all of us working for WGO from the eye-far from the heart”. The interest group meetings will also con- at different steps of this organization WGO leadership was and is aware of tinue to be held at the WGO World to be part of it, and a very special this. We have tried to come together Congress and interim-year regional thanks goes to all who have served this at our regional meetings or at a world conferences, which are co-organized organization. congress- however, the attendance with our member societies. Our of committee and interest group motto is that we want to embrace our members dropped compared to past bigger family and want to learn from years. Therefore, starting in 2018, we them to better serve them. will have a face to face meeting with members of committees and interest
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WORLD GASTROENTEROLOGY NEWS APRIL 2018
Editorial | Expert Point of View | WCOG at ACG 2017 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events
Appropriate use of Fecal Calprotectin
to the diagnostic work-up. Thus, if
VG Naidoo, MD a clinician has already decided that
Principal Specialist endoscopic examination is warranted
Department of Gastroenterology; Nelson R Mandela School of then FC testing is not required.
Medicine, University of KwaZulu-Natal
Durban, South Africa
In a British primary care study of
962 patients (18 to 45 years of age)
with persistent gastrointestinal symp-
toms, using a FC cut-off of 50mg/g
yielded a negative predictive value
Introduction irritable bowel syndrome (IBS) and of 98% and positive predictive value
In patients presenting with chronic as a monitoring tool in patients with of 28% for organic disease.3 Three
gastrointestinal symptoms, distin- inflammatory bowel disease (IBD). percent of patients with a negative
guishing between functional and FC using this low cut-off value had
organic disorders is essential. Assessing FC in general practice organic disease. Mild ulcerative colitis
for markers of inflammation such as Primary care physicians are often (proctitis only) and celiac disease
an erythrocyte sedimentation rate or the first port of call for patients with accounted for most of the false nega-
C-reactive protein may help select pa- symptoms suggestive of IBS. Distin- tive results. Overall, there was a low
tients for further investigation to rule guishing these symptoms from early prevalence of organic disease in this
out organic disease. However, these IBD can be challenging and IBS to a study population and increasing the
are tests of systemic inflammation and degree remains a diagnosis of exclu- cut-off value to 150mg/g would have
not gut specific. The emergence and sion. Clinical skill and judgement improved the positive predictive value
availability of fecal calprotectin (FC) remain the most cost effective diagnos- to 71% but at the cost of a slight
as a non-invasive test of intestinal tic modality. FC is a useful screening reduction in negative predictive value.
inflammation places great power in test to select patients for specialist It is not clear what the appropriate
the hands of clinicians. However, with referral and potentially avoid unneces- cut-off value should be in different
great power comes great responsibil- sary, invasive and expensive endoscopic populations. In general, accepting
ity. Every diagnostic test ordered has examinations. A combination of low a cut-off value of 50mg/g ensures a
cost implications that nibble away C-reactive protein (CRP) and fecal high sensitivity. A Ugandan study in
at the finite healthcare budget. It is calprotectin makes IBD unlikely.1 This children found FC levels comparable
thus imperative that whenever a new potentially reduces the procedure load to those reported in the developed
test finds its way into daily practice, on endoscopy services.2 Additionally, world.4 There is a need for further re-
clinicians should receive guidance re- it provides the primary care physician search in developing countries where
garding its appropriate use. This is of with an objective degree of reassurance there is a higher burden of infectious
particular importance in resource-lim- of not having overlooked serious bowel diseases such as HIV, tuberculosis and
ited settings. This paper will focus on pathology. However, it should not parasites to help define the role of FC
the appropriate use of FC in patients replace traditional clinical evaluation use in these contexts.5, 6
with suspected diarrhea predominant that includes an assessment for alarm
features. Patients with IBS symptoms False positives and negatives
FC is a useful screening or altered bowel habit that have alarm FC has a false positive rate of up to
test to select patients symptoms or other features such as 9% based on negative upper and low-
iron deficiency anemia, weight loss and er gastrointestinal endoscopic findings
for specialist referral / or blood in their stools do not require in patients with elevated FC without
and potentially avoid FC testing. If an appropriate indication taking into account the possibility of
unnecessary, invasive for endoscopic examination exists then significant small bowel pathology.7 A
and expensive endoscopic fecal calprotectin becomes superfluous small bowel video capsule study of 55
examinations. and is an unnecessary additive expense patients labelled as having false posi-
7
WORLD GASTROENTEROLOGY NEWS APRIL 2018
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same country (“private vs. public”). use. Testing for FC should not serve
There is a need for further The development of cheaper point of as a substitute for a thorough clinical
research in developing care FC testing may improve the cost- assessment and judgement.
countries where there is a effectiveness and accessibility.
References
higher burden of infectious
Disease monitoring in 1. Menees SB, Powell C, Kurlander
diseases such as HIV, Inflammatory Bowel Disease (IBD) J, Goel A, Chey WD. A meta-
tuberculosis and parasites In patients with an established diag- analysis of the utility of C-reactive
to help define the role of FC nosis of IBD, FC is a useful indicator protein, erythrocyte sedimentation
use in these contexts. of persistent bowel inflammation, rate, fecal calprotectin, and fecal
even in the absence of clinical symp- lactoferrin to exclude inflamma-
tive FC revealed abnormal findings in toms.12 A low FC predicts sustained tory bowel disease in adults with
80%.8 This included Crohn’s disease, clinical remission in IBD patients.13 IBS. The American journal of gas-
angioectasia, nonsteroidal anti-inflam- It may also be useful in IBD patients troenterology. 2015;110(3):444-
matory drug enteropathy, tuberculosis to distinguish between active inflam- 54.
and polyps. The sensitivity of FC in mation and a possible overlap with 2. Waugh N, Cummins E, Royle
this cohort was 88%. However, video IBS symptoms. Fecal calprotectin P, Kandala N-B, Shyangdan D,
capsule endoscopy is an expensive test can serve to guide therapy and avoid Arasaradnam R, et al. Faecal
and may not be easily accessible in unnecessary endoscopic examina- calprotectin testing for differenti-
resource-limited settings. Clinicians tions to assess for disease activity.14 In ating amongst inflammatory and
should thus take into account / ad- patients with Crohn’s disease, FC can non-inflammatory bowel diseases:
dress the following reasons apart from be reliably used to assess for disease systematic review and economic
IBD for an elevated FC:7 recurrence and monitoring follow- evaluation. 2013.
a. Infections (Giardia lamblia, bacte- ing intestinal resection.15 A low fecal 3. Pavlidis P, Chedgy FJ, Tibble JA.
rial dysentery, viral gastroenteritis, calprotectin provides reassurance Diagnostic accuracy and clinical
H. pylori gastritis) that current maintenance therapy application of faecal calprotectin
b. Malignancy (colorectal cancer, gas- is satisfactory. Fecal calprotectin is in adult patients presenting with
tric cancer, intestinal lymphoma) probably unnecessary in patients who gastrointestinal symptoms in pri-
c. Drugs (nonsteroidal anti-in- had a recent endoscopic examination, mary care. Scand J Gastroenterol.
flammatory drugs, proton pump patients with obvious clinical features 2013;48(9):1048-54.
inhibitors) of a relapse and those requiring hos- 4. Hestvik E, Tumwine JK, Tylles-
d. Untreated food allergy pitalization for acute severe ulcerative kar T, Grahnquist L, Ndeezi G,
e. Age < 5yrs colitis. It is not clear how often to Kaddu-Mulindwa DH, et al.
f. Other: reflux disease, cystic check the fecal calprotectin in stable Faecal calprotectin concentrations
fibrosis, untreated celiac disease, IBD patients. Should it replace the in apparently healthy children
diverticular disease, microscopic CRP and /or ESR or performed as an aged 0-12 years in urban Kampala,
colitis, cirrhosis additional test of disease activity? To Uganda: a community-based sur-
False negative FC results in patients contain costs while ensuring satisfac- vey. BMC Pediatr. 2011;11(1):9.
with chronic diarrhea have been associ- tory disease monitoring, clinicians 5. Jeevagan A, Clayton L, Soni S,
ated with celiac disease and giardiasis.9 will need to make prudent decisions Austin M. PTU-065 Is There
about the frequency and type of tests A Role For Faecal Calprotectin
Cost-effectiveness of FC testing ordered with an appreciation of the In The Investigation Of Diar-
Savings in the “cost of colonoscopy” local healthcare resources. rhoea In Patients With Hiv? Gut.
is the main selling point for the wide- 2014;63(Suppl 1):A67-A.
spread use of FC testing. Although Conclusion 6. Larsson G, Shenoy KT, Rama-
there is evidence that suggests FC FC is a valuable test to screen patients subramanian R, Thayumanavan
testing may lead to a reduction in for intestinal inflammation and for L, Balakumaran LK, Bjune GA,
colonoscopy requests, this needs con- monitoring IBD patients. It is impera- et al. High faecal calprotectin
firmation across different settings.10, 11 tive that gastroenterologists play a key levels in intestinal tuberculosis
Furthermore, the cost of colonoscopy role in educating clinicians and de- are associated with granulomas
and FC may vary across different velop locally applicable guidelines to in intestinal biopsies. Infect Dis.
health care systems even within the ensure appropriate and cost-effective 2015;47(3):137-43.
8
WORLD GASTROENTEROLOGY NEWS APRIL 2018
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7. Van Rheenen PF, Van de Vijver 11. Soubieres A, Boa F, Davie S, Kent 13. Mooiweer E, Severs M, Schipper
E, Fidler V. Faecal calprotectin for L, Uddin F, Poullis A. PTU-062 ME, Fidder HH, Siersema PD,
screening of patients with suspect- Endoscopy workload following Laheij RJ, et al. Low fecal calpro-
ed inflammatory bowel disease: the introduction of faecal cal- tectin predicts sustained clinical
diagnostic meta-analysis. BMJ. protectin (FCP)–does fcp testing remission in inflammatory bowel
2010;341:c3369. reduce lower gi endoscopies?–part disease patients: a plea for deep
8. Asser L, Nanton S, Price T, Holt of a nice nhs adoption site study remission. Journal of Crohn’s and
H, Johnson M. PTH-069 Is a false in wandsworth. BMJ Publishing Colitis. 2014;9(1):50-5.
positive faecal calprotectin as false Group; 2015. 14. Rosenfeld G, Greenup A-J, Round
as you think? : BMJ Publishing 12. Schoepfer AM, Beglinger C, A, Takach O, Halparin L, Saaded-
Group; 2017. Straumann A, Trummler M, din A, et al. FOCUS: Future of
9. Carroccio A, Iacono G, Cottone Vavricka SR, Bruegger LE, et al. fecal calprotectin utility study
M, Di Prima L, Cartabellotta F, Fecal calprotectin correlates more in inflammatory bowel disease.
Cavataio F, et al. Diagnostic ac- closely with the Simple Endo- World journal of gastroenterology.
curacy of fecal calprotectin assay scopic Score for Crohn’s disease 2016;22(36):8211.
in distinguishing organic causes (SES-CD) than CRP, blood 15. Wright EK, Kamm MA, De
of chronic diarrhea from irritable leukocytes, and the CDAI. The Cruz P, Hamilton AL, Ritchie
bowel syndrome: a prospective American journal of gastroenterol- KJ, Krejany EO, et al. Measure-
study in adults and children. Clin ogy. 2010;105(1):162-9. ment of fecal calprotectin im-
Chem. 2003;49(6):861-7. proves monitoring and detection
10. Mindemark M, Larsson A. of recurrence of Crohn’s disease
Ruling out IBD: estimation of after surgery. Gastroenterology.
the possible economic effects of 2015;148(5):938-47. e1.
pre-endoscopic screening with
F-calprotectin. Clin Biochem.
2012;45(7):552-5.
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WORLD GASTROENTEROLOGY NEWS APRIL 2018
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Message from the Editors
Mário Reis Álvares-da-Silva, MD, PhD
Professor of Hepatology
Hospital de Clinicas de Porto Alegre
Universidade Federal do Rio Grande do Sul
Porto Alegre, Brazil
Christina M. Surawicz, MD, MACG
Professor of Medicine, Division of Gastroenterology
Associate Dean for Faculty Development
University of Washington School of Medicine
Seattle, Washington, USA
Welcome to this fresh and exciting Following the reading, it is time ing the meeting to Dr. Shiv Kumar
e-WGN issue. We hope you will enjoy to celebrate the World Congress of Sarin and Eamonn Quigley for their
it as much as we have. Definitely, it Gastroenterology at ACG 2017, valuable contributions to GI and liver
is a special issue, full of worldwide held in Orlando, Florida, USA, last diseases.
insights on Gastroenterology’s future fall. More than 5,000 attendees from We also have reports from many
pathways and challenges. The new nearly 70 countries gathered to hear regional meetings, from Guatemala
WGO president Dr. Cihan Yurdayin’s the latest scientific advances in diges- to Russia, and the WGO plans for
message opens the issue—he asks us tive diseases. Indeed for the first time, 2018 - from Portugal to Thailand,
if there is still a need for the WGO. many sessions were offered in Span- as well as some opportunities for
He answers this provocative question ish, given the large number of Latin training. WGO has now six new
by noting that it is a unique organiza- American physicians. What a good member societies – from Democratic
tion, and differs from national and idea! During the meeting, WGO an- Republic of Congo, Ghana, Madagas-
regional GI societies as it has a special nounced the recipients of the Masters car, Palestine, Rwanda and Zambia
moral mission. He reinforces that the of the WGO (MWGO) Award. We (we welcome you all!). Take a look at
WGO needs to continue to be strong are also proud to congratulate Drs. them in this issue.
and interactive. Julio Bai, from Argentina, Khean-Lee Finally, remember WGO is now
Please, do not miss the comprehen- Goh, from Malaysia, Günter Krejs, live on LinkedIn. So, let’s get social
sive article on the appropriate use of from Austria, Shuji Shimizu, from with WGO!
fecal calprotectin, as the author Dr. Japan, and Sandie Thomson, from
VG Naidoo, from South Africa, did South Africa, the newest MWGOs.
a great job discussing its utility and This e-WGN issue highlights some
limitations. other important honors given dur-
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WORLD GASTROENTEROLOGY NEWS APRIL 2018
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We Are World GI: A Celebration of the World
Congress of Gastroenterology at ACG 2017
David J. Bjorkman, MD, MSPH
2015-2017 WGO President
WCOG at ACG 2017 Joint Steering Committee Co-Chair
Professor, University of Utah School of Medicine • Division of Gas-
troenterology, Hepatology and Nutrition• Salt Lake City, Utah, USA
Carol A. Burke, MD, FACG
2016-2017 ACG President
WCOG at ACG 2017 Joint Steering Committee Co-Chair World Congress of Gastroenterology @ ACG
Vice Chair, Department of Gastroenterology and Hepatology 2017.
The Cleveland Clinic • Cleveland, Ohio, USA
gram Committee: Co-chairs, Geof-
frey Metz, AM, FRACP, MD,FRCP,
Geoffrey Metz, AM MBBS, FRACP, MD, FRCP (UK),
FACP and Jonathan A. Leighton,
FACP
MD, FACG, and members Kelly W.
WCOG at ACG 2017 Scientific Program Committee Co-Chair Burak, MD, FRCPC, MSc (Epid),
Professor, Director of Medical Education
Epworth Hospital • Richmond, Victoria, Australia Carolina Olano, MD, MSc (Ed),
Seth A. Gross, MD, FACG, and
John R. Saltzman, MD, FACG, the
Jonathan A. Leighton, MD, FACG World Gastroenterology Organisa-
tion (WGO) along with the American
WCOG at ACG 2017 Scientific Program Committee Co-Chair
Professor of Medicine College of Gastroenterology (ACG)
Mayo Clinic• Scottsdale, Arizona, USA are honored to have co-hosted this
outstanding Congress. This global
gathering represented the first time
the World Congress of Gastroenter-
ology had been held in the United
States in more than 20 years.
More than 5,000 gastroenterologists uate Course (WCOG at ACG2017) 2017 was a record-breaking year
and other health care professionals from 13 – 18 October 2017. The for registration with 5,935 attendees,
from nearly 70 countries around the Congress reviewed the latest scientific and abstract submissions with over
world, convened at the Orange Coun- advances in gastrointestinal research, 2,600 posters and oral presentations.
ty Convention Center in Orlando, treatment of digestive diseases and Each day of the poster sessions, well-
Florida, USA for the World Congress clinical practice management.
of Gastroenterology at ACG2017 An- On behalf of the WCOG at
nual Scientific Meeting and Postgrad- ACG 2017 Joint Steering Commit-
tee: Co-Chairs, David Bjorkman,
The Congress reviewed the MD, MSPH and Carol A. Burke,
MD, FACG, and members, James
latest scientific advances in
Toouli, MD, MBBS, PhD, FRACS,
gastrointestinal research, Cihan Yurdaydin, MD, Kenneth R.
treatment of digestive DeVault, M.D., FACG and Irving M.
diseases and clinical Pike, MD, FACG, and the WCOG
practice management. at ACG 2017 Joint Scientific Pro-
We are World GI.11
WORLD GASTROENTEROLOGY NEWS APRIL 2018
Editorial | Expert Point of View | WCOG at ACG 2017 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events
Given a large international pres-
ence, especially from Latin America,
many sessions offered simultaneous
Spanish interpretation — a first for
a World Congress of Gastroenterol-
ogy. Simultaneous symposia sessions
were presented on topics such as
Hepatocellular Carcinoma, Gluten- “Best of the World Congress of Gastroen-
terology” expert panelists, Seth Gross, MD,
related disorders, Hepatitis C Therapy, Jonathan Leighton, MD, Carolina Olano, MD,
IBD, Upper GI Tract Endosurgery, and Moderator, Jordan Karlitz, MD.
WGO and WGO Foundation Program Manager, Colorectal Cancer Screening and H.
Jim Melberg staffing the WGO Exhibit Booth.
pylori as well as Simultaneous plenary DVD, offering an amazing experience
sessions presenting on Liver, IBD, for all attendees. WGO’s exhibit booth
Given a large international Pancreaticobiliary Disease/ GI Bleed- showcased the many programs and
presence, especially ing, Endoscopy and so much more. activities of WGO, built around the
from Latin America, four WGO pillars as well as a special
We are World GI World Congress of Gastroenterology
many sessions offered The WGO-focused “Simultaneous Historical Commemorative Display
simultaneous Spanish Symposium 5D: Global Education: celebrating the history of the WCOG,
interpretation — a first WGO” emphasized the importance highlighting the 1994 WCOG in
of the WGO Training Centers, WGO
for a World Congress of Train the Trainers Program and the
Los Angeles, CA, USA and the 2017
Gastroenterology. WCOG taking place in the USA for
WGO Guidelines, which are at the the first time in more than 20 years
core of WGO’s mission and vision (Read more about the special World
known experts led attendees around
and exemplify the four WGO pillars: Congress of Gastroenterology Historical
to posters of interest. This was a great
“Train. Educate. Advocate. Inform.” Commemorative Display on page 24.)
opportunity to discuss posters, garner
(Read more about the Simultaneous The ACG also celebrated its 85th an-
insight from the experts, and make
Symposium 5D and WGO’s Global niversary with a commemorative 3D
new contacts with other attendees
Education Network on page 19). timeline display of College milestones
in a low-key, relaxed environment.
WGO and ACG conducted various from 1932 to 2017.
In addition to the presentations, the
exciting activities throughout the Con- The communications teams from
educational opportunities the Friday
gress. The exhibit hall featured poster the ACG and WGO hosted a live
Courses, Postgraduate Course, and
presentations, theater presentations, Press Briefing session for reporters
the Scientific Meeting, were unparal-
Hands-on Sessions and Abstracts on from the GI & internal medicine
leled. The WCOG at ACG 2017
Scientific Program Committee, along trade press in Orlando, entitled “Best
with the Postgraduate Course Direc- of the World Congress of Gastroenter-
tors, and the Friday Course Directors, ology” on Monday, 16 October 2017.
and the coordinators of the hands on Expert panelists provided an overview
program and other congress offer- of key scientific studies and high-
ings, brought together internationally lighted noteworthy oral presentations,
recognized experts and rising stars in posters, and abstracts and concluded
the field. The program delivered the with a very informative and interac-
latest clinical updates in gastroenterol- tive Q&A session regarding upcoming
ogy and hepatology, plus discussion trends in the GI world.
of what is on the horizon that may Additionally, various WGO and
be impactful. Among the highlights ACG related meetings also took place,
of this year’s scientific presentations including many committee meetings,
are significant findings and innova- the WGO General Assembly — to
tive technologies for the prevention, which all WGO member societies
diagnosis and treatment of digestive were invited — and the ACG Busi-
World Congress of Gastroenterology Historical
diseases and serious GI-related health Commemorative Display. ness Meeting. Many important actions
issues.12
WORLD GASTROENTEROLOGY NEWS APRIL 2018
Editorial | Expert Point of View | WCOG at ACG 2017 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events
• Sunanda V. Kane, MD, • 2017 Masters of American
Many important actions MSPH,FACG, 2017 ACG’s David College of Gastroenterology
took place during the WGO Y. Graham Lecture “On Becoming (MACG):
General Assembly, including a Successful Leader: An Amazing - Lauren B. Gerson, MS, MSC,
Journey or the Path to Nowhere” MACG
the handover of the WGO • Corey A. Siegel, MD, MS, 2017, - Amy E. Foxx-Orenstein, DO,
Presidency. 2017 American Journal of Gastro- MACG
enterology Lecture on “Refocus- - Philip O. Katz, MD, MACG
took place during the WGO General ing IBD Patient Management: - Lawrence R. Schiller, MS,
Assembly, including the handover of Personalized, Proactive, and MACG
the WGO Presidency from David Patient-Centered Care” - Nicholas J. Talley, MD, PHD,
Bjorkman, MD, MSPH, 2015-2017 • Mark B. Pochapin, MD, FACG, MACG
WGO President, to Cihan Yurdaydin, 2017 ACG’s Emily Couric Memo- We hope all attendees had the oppor-
MD, 2017-2019 WGO President, the rial Lecture on “Colon Cancer: tunity to connect with your colleagues
ratification of the WGO Statutes & Polyps, Prevention, and Progress” from around the United States, the
By-laws, the presentation of the 2017- • John J. Vargo, II, MD, MPH, Americas, and the entire world and we
2019 Nominations for WGO Com- FACG, 2017 ACG’s J. Edward cordially invite you to attend the up-
mittees and Interest Groups, and the Berk Distinguished Lecture on coming ACG 2018 Annual Scientific
announcement of the 2017 Masters of “Are Our Patients Sleeping Meeting and Postgraduate Course,
the WGO (MWGO) award recipi- Safely and Soundly? The State of 5-10 October 2018 in Philadelphia,
ents (See page 13 for an overview of the Endoscopic Procedural Sedation Pennsylvania, USA, Gastro 2018:
Master of the WGO (MWGO) award). in 2017” WGO – GAT International Confer-
During the ACG Business Meeting, • Gary Falk, MD, MS, FACG, ence, 5-8 December 2018 in Bangkok,
the handover of the ACG Presidency 2017 ACG’s David Sun Lecture Thailand, and the next World Congress
from Dr. Carol Burke, MD, FACG to on “Screening and Surveillance of Gastroenterology 2019, 21-24 Sep-
Dr. Irving M. Pike, MD, FACG, the of Barrett’s Esophagus: Where tember 2019 in Istanbul, Turkey!
new 2017-2018 ACG President, took Are We Now and What Does the
place, and College business was dis- Future Hold?” We Are World GI!
cussed and voted on by ACG Members • Amar Deshpande, MD, FACG
and Fellows (FACG). recipient of the 2017 ACG Com-
The WCOG at ACG 2017 meeting munity Service Award
also recognized various individuals • Mark D. Topazian, MD, FACG
with a distinguished background in recipient of the 2017 International
the gastroenterology and/or allied Leadership Award
fields. We would like to honor the • John W. Popp Jr., MD, MACG
following recipients that received pres- recipient of the 2017 ACG Samuel
tigious awards during the meeting: Weiss Award
• Eamonn M. M. Quigley, MD, • Darwin L. Conwell, MD, MS
MACG recipient of the 2017 recipient of the 2017 ACG Minor-
WGO Georges Brohée Medal and We Are World GI: 2015-2017 WGO President,
ity Digestive Health Care Award David Bjorkman, and 2013-2015 President,
Lecture on “News From a Dark • 2017 Masters of the World James Toouli.
Continent – An Assessment of Gastroenterology Organisation
the Diagnostic and Therapeutic (MWGO):
Implications of the Gut Microbi- - Julio Bai, MWGO (Argentina)
ome” and ACG Berk/Fise Clinical - Khean-Lee Goh, MWGO
Achievement Award (Malaysia)
• Shiv Kumar Sarin, MD, DM re- - Günter Krejs, MWGO (Aus-
cipient of the 2017 WGO Henry tria)
L. Bockus Medal and Lecture on - Shuji Shimizu, MWGO (Ja-
“Does Portal Pressure Guide pan)
Management of Portal Hyper- - Sandie Thomson, MWGO
tension and its Complications?” (South Africa) We Are World GI: WGO Secretariat Staff.13
WORLD GASTROENTEROLOGY NEWS APRIL 2018
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WGO Announces Recipients of the Masters of the
WGO (MWGO) Award
Established in 2009, the Master of the WGO (MWGO) Award is the highest honor the World Gastroenterology Or-
ganisation (WGO) can bestow on a member and is granted only to those individuals who have provided outstanding
dedication to the mission of the WGO and achieved distinction in such areas as scholarly research, teaching, and service
to WGO and the community at large.
The MWGO Award was created to recognize these contributions and by this recognition provide incentive, encourage-
ment, and guidance for others to significantly contribute to their fields. The Masters of the WGO Award is a capstone
career award and is given in conjunction with each World Congress of Gastroenterology.
Recipients of the 2017 Masters of the WGO Award were recognized with an engraved plaque at the WGO General As-
sembly during the World Congress of Gastroenterology at ACG 2017 on Tuesday, 17 October 2017 in Orlando, Florida,
USA. Recipients may now use the title of “Master of the WGO” and the letters “MWGO” in conjunction with their name.
Please join WGO in congratulating the 2017 recipients of this prestigious award!
WGO is Honored to Announce the 2017 MWGO Award Recipients:
Julio Bai, MWGO Khean-Lee Goh, Günter Krejs, Shuji Shimizu, Sandie Thomson,
(Argentina) MWGO (Malaysia) MWGO (Austria) MWGO (Japan) MWGO (South
Africa)
Past recipients of the MWGO Award include
Professor Luiz de Paula Castro, Professor Bernard Levin, MWGO Professor Isidor Segal, MWGO
MWGO (Brazil) (USA) (South Africa)
Professor Suliman Fedail, MWGO Professor Juan Malagelada, MWGO Professor Zeyad Sharaiha, MWGO
(Sudan) (Spain) (Jordan)
Professor Michael Fried, MWGO Professor Finlay Macrae, MWGO Professor Joseph Sung, MWGO
(Switzerland) (Australia) (China)
Professor Jean Paul Galmiche, Professor Solly Marks, MWGO Professor Rakesh Tandon, MWGO
MWGO (France) (South Africa) (India)
Professor Joseph Geenen, MWGO Professor Ibrahim Mostafa, MWGO Professor Guido Tytgat, MWGO (The
(USA) (Egypt) Netherlands)
Professor Richard Hunt, MWGO Professor D Nageshwar Reddy, Professor Guido Villa-Gomez,
(UK) MWGO (India) MWGO (Bolivia)
Professor Richard Kozarek, MWGO Professor Melvin Schapiro, MWGO Professor Shu-Dong Xiao, MWGO
(USA) (USA) (China)14
WORLD GASTROENTEROLOGY NEWS APRIL 2018
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Shiv Kumar Sarin, MD, DM is
the 2017 WGO Henry L. Bockus
Medal Recipient
2015-2017 WGO President Prof. David Bjork-
Shiv Kumar Sarin, blood pressure measurements,” said man presents the WGO Henry L. Bockus Medal
MD, DM received Dr. Sarin. “It is the core of liver dis- to Dr. Sarin.
the WGO Henry L. eases because it changes the outcome
Bockus Medal and of your patient.” the government of India for his work,
presented his lecture VIDEO - In this exclusive video awarding him the Padma Bhushan,
on the topic, “Does from the World Congress of Gas- the third highest civilian award in
Portal Pressure troenterology at ACG 2017, you India. He is a member of all three
Guide Management of Portal Hyper- can view Dr. Sarin’s speech at science academies of India. He is cur-
tension and its Complications?” This http://acgblog.org/2017/12/18/ rently the Director of the WGO New
event took place during the World video-of-the-week-shiv-kumar-sarin- Delhi Training Center inaugurated in
Congress of Gastroenterology at ACG md-dm-does-portal-pressure-guide- India on 26 April 2015. He has been
2017 in Orlando, Florida, USA on 16 management-of-portal-hypertension- a recipient of Shanti Swarup Bhat-
October 2017. and-its-complications/ nagar Award, the highest Award in
During his distinguished academic Science in India, The World Academy
career spanning 35 years, Dr. Sarin of Medical Sciences International
“It is the core of liver has contributed immensely to the Prize, EASL International Recogni-
diseases because it changes field of hepatology. His contribu- tion Award and “Most Distinguished
the outcome of your tions include “Sarin’s Classification of Physician from India” from the
Gastric Varices”; variceal band ligation American Association of Physicians
patient.”
as primary prophylaxis which was a of India.
landmark NEJM paper. He has also
Dr. Sarin’s lecture described invasive defined new disease entities, portal About the WGO Henry L. Bockus
and noninvasive measurement of biliopathy and acute and chronic Medal and Lecture
portal pressure, rational approach to liver failure. In addition, his seminal A medal, known as the Henry L.
managing complications of portal contributions on liver regeneration us- Bockus Medal, is awarded at each
hypertension, and new vistas beyond ing growth factors have the potential World Congress to a gastroenter-
beta-blocker therapy. “Liver pressure for providing non-transplant options ologist who, in the opinion of the
has come of age. Gastroenterologists to ACLF patients. Prof. Sarin has World Gastroenterology Organisa-
and hepatologists besides endoscopy authored more than 500 publica- tion (WGO) Governing Council, has
should learn to measure pressures, tions including the WGO Expert made a distinguished contribution to
should use it in routine practice like Point of View Scientific Article “Part the clinical practice, science and/or
II: Global Burden Of Liver Disease: teaching of gastroenterology.
A True Burden on Health Sciences Dr. Henry L.
and Economies!!”, helped develop Bockus (1894-
18 major guidelines including the 1982) was a leading
WGO Esophageal Varices, NAFLD & American gastroen-
NASH and Hepatocellular Carcinoma terologist from
(HCC) guidelines and edited 13 Philadelphia,
books. Dr. Sarin is the founding Co- Pennsylvania with a
Chief Editor of Hepatology Interna- well-deserved reputation due to the
Dr. Sarin delivers the Bockus lecture. tional and has also been recognized by authorship of an outstanding Gastro-
enterology treatise and the organiza-15
WORLD GASTROENTEROLOGY NEWS APRIL 2018
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tion of specialty postgraduate courses
at the University of Pennsylvania,
which were attended by numerous
physicians from North and South
America as well as from Europe. He
was elected President of the first
World Congress of Gastroenterology,
held in Washington, DC, USA on 29
May 1958. On the last day of the
Congress a provisional WGO
Governing Council was elected, and
Dr. Bockus became the first president
of what is now the World Gastroen-
terology Organisation. His vision to
enhance standards of education and
training in gastroenterology lives on
today.
Dr. Sarin: “Liver pressure has come of age.”16
WORLD GASTROENTEROLOGY NEWS APRIL 2018
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Eamonn M. M. Quigley, MD, MACG is the
2017 WGO Georges Brohée Medal Recipient
Eamonn M. M. Medical College, and chief of gastro-
Quigley, MD, enterology and hepatology at Houston
MACG received the Methodist Hospital, shares an over-
WGO Georges view of the current state of gut mi-
Brohée Medal and crobiome research from the clinician’s
presented his lecture perspective, which he discussed dur-
on the topic, “News ing the WGO Brohée Lecture. View it
From a Dark Continent – An here: https://www.healio.com/gastro-
Assessment of the Diagnostic and enterology/therapeutics-diagnostics/
Therapeutic Implications of the Gut news/online/%7B896e0212-2beb-
Microbiome?” This event took place 4187-b547-c7b5b2e5b680%7D/
during the World Congress of video-gut-microbiome-research-sped-
Gastroenterology at ACG 2017 in by-technology-informatics-but-diet-a-
Orlando, Florida, USA on 17 major-confounder.
October 2017. Dr. Quigley’s clinical and research
Much has been learned of the mi- interests include irritable bowel
crobiology of the human gut microbi- syndrome, gastrointestinal motility
ome and laboratory experiments have and the role of the gut microbiota 2017-2019 WGO President, Prof. Cihan Yur-
revealed potential involvement of a in health and in gastrointestinal and daydin, presents the Georges Brohée Medal to
disturbed microbiome in a number of metabolic disorders. He has authored Dr. Quigley.
gastrointestinal and systemic diseases. over 900 publications, chaired and
Dr. Quigley’s lecture explored to what helped to develop the WGO Ir- wood Chair of Medicine in Digestive
extent this promise has translated into ritable Bowel Syndrome Guideline Disorders, Chief of the Division of
clinical value. and edited or co-edited 22 books Gastroenterology and Hepatology,
VIDEO - In this exclusive video or monographs. He has received Medical Director of the Lynda K. and
from the World Congress of Gastro- numerous awards world-wide. He David M. Underwood Center for
enterology at ACG 2017, Eamonn served as president of the American Digestive Disorders and Professor of
M.M. Quigley, MD, MACG, profes- College of Gastroenterology and Medicine, Weill Cornell Medical Col-
sor of medicine at Weill Cornell World Gastroenterology Organisation lege at Houston Methodist Hospital
(WGO) and has served as Chair of in Houston, Texas, USA.
the WGO Foundation. Dr. Quigley
Much has been learned has served in various other roles in
of the microbiology of the WGO since 2002 and currently serves
human gut microbiome and on the WGO Foundation Board as
laboratory experiments Past Past Chairman. Dr. Quigley
is a Program Director for the “The
have revealed potential
Microbiota Hard Talks - Live From
involvement of a disturbed Texas Medical Center” Webinar Series
microbiome in a number and is a past editor-in-chief of The
of gastrointestinal and American Journal of Gastroenterology.
systemic diseases. Dr. Quigley is the David M. Under- Dr. Quigley delivering the Georges Brohée
Lecture.17 WORLD GASTROENTEROLOGY NEWS APRIL 2018 Editorial | Expert Point of View | WCOG at ACG 2017 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events About the WGO Georges Brohée The World Gastro- Brussels in 1935. His continuing Medal and Lecture enterology Organ- efforts culminated in the constitution A Brohée Lecture is delivered during isation (WGO) of the “Organisation Mondiale de each World Congress of Gastroen- originated largely Gastro-entérologie” (OMGE) on 29 terology to commemorate Georges due to the initiative May 1958 in Washington, DC, USA Brohée, the founder of the first Inter- of Dr. Georges where the first World Congress of national Association of Gastroenterol- Brohée (1887- Gastroenterology was held. The ogy. The Brohée Lecturer is chosen by 1957), a Belgian Surgeon and organization was officially renamed the WGO Governing Council from Radiologist who promoted modern the World Gastroenterology Organisa- either the host country or the respec- Gastroenterology, in particular by tion (WGO) in May 2007. tive region. A Medal is presented to founding the Belgian Society of the nominated lecturer during the Gastroenterology in 1928 and by World Congress in which the lecture organizing the first International is presented. Congress of Gastroenterology in
18
WORLD GASTROENTEROLOGY NEWS APRIL 2018
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Viva Endoscopy! – ASGE-WGO Postgraduate Course
at WCOG at ACG 2017
The WGO-ASGE Endoscopy Course highlighted state-of-the-art endoscopic management of gastrointestinal
diseases that attendees encounter daily, and presented important recent innovations that are changing
clinical practice!
Held in conjunction with the WCOG at ACG 2017 in Orlando, Florida, USA, the ASGE-WGO Postgraduate Course at
ACG: Viva Endoscopy took place on Friday, October 13, 2017. Led by Course Directors Andres Gelrud, MD, MMSc,
FASGE and Mark D. Topazian, MD, FACG, FASGE, the ASGE-WGO Postgraduate course provided tips and tech-
niques that could be immediately employed to improve endoscopic outcomes. The course also provided attendees with
a series of presentations including case discussions and video content to stimulate audience dialogue with the panel of
world-renowned faculty experts.
Course Directors: Andres Gelrud, MD, MMSc, FASGE and Mark D. Topazian, MD, FACG, FASGE
WGO-ASGE Endoscopy Course Faculty
Barham Abu Dayyeh, MD, MPH Nicholas J. Shaheen, MD, MPH,
Assistant Professor of Medicine FASGE
Mayo Clinic Chief of Gastroenterology
Rochester, Minnesota, USA University of North Carolina
Peter V. Draganov, MD, FASGE School of Medicine
University of Florida Chapel Hill, North Carolina, USA
Gainesville, Florida, USA Uzma Siddiqui, MD, FASGE
Antonio Rollan Rodriquez, MD Associate Professor of Medicine
Clinica Alemana de Santiago University of Chicago
World-renowned faculty experts discussing
University of Desarrollo Chicago, Illinois, USA important endoscopic topics for attendees.
Santiago, Chile Claudio Rolim Teixeira, MD, PhD
Steven A. Edmundowicz, MD, Interventional Endoscopy
FASGE Moinhos Vento Hospital
University of Colorado Denver Porto Alegre, Brazil
Aurora, Colorado, USA
Reem Z. Sharaiha, MD, BSc, MBBS
Assistant Professor of Medicine
Presbyterian Hospital
Weill Cornell Medical College
New York, New York, USA
WGO and WGO Foundation Program Manager,
Ashley Huren-Johnson, staffing the ASGE/
WGO registration table.19
WORLD GASTROENTEROLOGY NEWS APRIL 2018
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Meeting Today’s Needs & Looking Forward:
A Global Education Network
Education and training
are at the core of the
World Gastroenterology
Organisation’s (WGO)
mission and vision, with
its special focus on the
developing and low-resource
regions of the world.
Professors Greger Lindberg, Desmond Leddin, David Bjorkman and Guilherme Macedo.
A highlight of the World Congress of
Gastroenterology at ACG 2017 was program has endeavored to address Training Center program special-
a symposium on 18 October 2017 it. The symposium was moderated izes in refining and training the next
which focused on WGO’s Global by Prof. David Bjorkman, 2015-2017 generation of GI professionals. The
Education programs, entitled “Meet- WGO President, and Prof. Guilherme Train the Trainers offers educators the
ing Today’s Needs & Looking For- Macedo, WGO Treasurer. opportunity to refine their teach-
ward: A Global Education Network.” Education and training are at the ing skills, and the Global Guidelines
This session included presentations core of the World Gastroenterology which provide the world with a cas-
and discussion on the WGO Train- Organisation’s (WGO) mission and cading approach to address the vary-
ing Center program, WGO Train the vision, with its special focus on the ing availability of resources for those
Trainers and the WGO Guidelines, developing and low-resource regions in the digestive health field. Together
led by the 2015-2017 Chairs of each of the world. with other WGO programs, these ini-
of these flagship programs: Professors The projected long-term outcomes tiatives focus primarily on developing
Desmond Leddin, Damon Bizos and of this approach are two-fold: 1) in- and low-resource countries and aim to
Greger Lindberg, respectively. Each creased access to high-quality patient meet the increasing demand for diges-
Chair deliberated on a current topic care for digestive disorders in low re- tive disorder prevention and treatment
of Global Education and how their source nations through the provision worldwide. It is through its education
of skilled health care professionals and
equipment; and 2) a reduction in the
emigration of health care professionals
from developing countries, thereby in-
creasing retention of qualified, locally
trained and skilled doctors and other
health care professionals in their home
countries both to practice medicine
and teach others.
The WGO has established several
major programs and initiatives to
Professor Damon Bizos discussing WGO Train Professor Greger Lindberg speaking about
the Trainers. develop and sustain the WGO’s global Guidelines and Cascades at the Global Educa-
training and education efforts. The tion Network symposium.20
WORLD GASTROENTEROLOGY NEWS APRIL 2018
Editorial | Expert Point of View | WCOG at ACG 2017 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events
cally relevant knowledge and develop been enthusiastically received around
Since 2001, over 3,400 appropriate skills among medical the world, providing an excellent
professionals have practitioners and health care workers forum for the exchange of ideas and
received training through from low-resource countries to opti- the establishment of contacts between
mize standards of patient care while various countries in an environment
the various educational
ensuring a focus on regionally-relevant which is conducive to learning and
programs offered at the 23 digestive disorders, and attempt to interaction.
WGO Training Centers. reduce the “brain-drain” of highly WGO Guidelines: “Why Cascades?”
skilled practitioners from developing The WGO Guide-
and training activities that WGO has countries by providing training close lines portion of the
become a leader of global education in to home. symposium – “Why
the field of digestive health. Cascades?” -- was
WGO Train the Trainers: How Can I
presented by Prof.
WGO Training Centers: Developing Improve my Teaching Skills?
Greger Lindberg,
an Endoscopy Service in Limited Prof. Damon Bizos’
Chair of the WGO
Resource Settings presentation focused Prof. Greger
Lindberg. Global Guidelines
Prof. Leddin’s on recognizing ways
Committee. Prof.
presentation to improve lectures,
Lindberg’s presentation described the
discussed how to small group
use of the Guidelines Cascades Model
start and sustain facilitation, and
and the application of WGO Guide-
endoscopy services Prof. Damon teaching skills.
lines in regions of variable resources.
in settings with Bizos. The Train the
The WGO Global Guidelines Li-
limited resources Trainers (TTT)
Prof. Desmond brary contains 24 practice guidelines
Leddin. with a focus on how program, developed by WGO,
written from a viewpoint of global
services were started exposes educators in gastroenterol-
applicability. WGO Guidelines are
and sustained in Ethiopia, Bolivia, ogy, hepatology, endoscopy, oncology,
and Myanmar. and GI surgery to current educational
Since 2001, over 3,400 profession- techniques and philosophies. It brings Prof. Lindberg pointed
als have received training through the together faculty and participants
out that 18 of the 24
various educational programs offered from across the globe in an intensive
and interactive four-day workshop. WGO Guidelines feature
at the 23 WGO Training Centers.
Located primarily in developing The workshop is characterized by cascades.
countries throughout the world, numerous hands-on sessions with
each WGO Training Center provides ample opportunity for discussion
available in English, French, Manda-
trainees with the opportunity to and interchange. Train the Trainers
rin, Portuguese, Russian and Spanish
enhance their skills and further their has proven to be a highly successful
and can be found in the Journal of
education in gastroenterology, hepa- method of disseminating teaching
Clinical Gastroenterology (JCG) and
tology, endoscopy, oncology, and GI skills to GI physicians who hold train-
on the WGO website (www.worldgas-
surgery. The Centers promulgate lo- ing positions in their own countries.
troenterology.org).
Delegates are equipped with skills
WGO Global Guidelines are
which they can then implement in
unique because they utilize “cascades”
their countries. Train the Trainers has
which provide various diagnosis and
evidence-based treatment options that
Train the Trainers has are scalable to available local resources
proven to be a highly and infrastructure in countries with
successful method of varying resources. Cascades make the
WGO Guidelines globally appli-
disseminating teaching cable by identifying multiple ways of
skills to GI physicians who achieving the best possible outcome
Professor Desmond Leddin presenting on hold training positions in by taking the available resources
WGO Training Centers.
their own countries. into account. WGO cascades areYou can also read
