Preliminary Program

The 17th Annual Review of DDW and Other Key GI & Liver Meetings is available in the following format:

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8:00 am - 9:00 am Registration and Breakfast
9:00 am - 9:05 am Welcome and Opening Remarks
Speaker: Michael Gould, MD, FRCP(C)

 

Details
Michael Gould, MD, FRCP(C)
William Osler Health Centre
Medical Director & President, Vaughn Endoscopy Clinic
Vice President, Toronto Digestive Disease Associates Research Group
Director, Canadian Digestive Health Foundation

 

Dr. Michael Gould is currently the Medical Director and President of the Vaughan Endoscopy Clinic, Vice President of The Toronto Digestive Disease Associates Research Group, and a Board member of the Canadian Digestive Health Foundation. He graduated from Medicine at University of Toronto in 1985 and completed his GI fellowship in 1991. He has a busy clinical practice, including over 1400 colonoscopies per year. Dr. Gould is a current member of the College of Physicians and Surgeons of Ontario (CPSO) committee setting the standards for out-patient facilities. He has participated in quality and standards initiatives with the CPSO, Cancer Care Ontario, Canadian Association of Gastroenterology and Ontario Association of Gastroenterology, since 1999. He speaks frequently on the topic of Quality Endoscopy. He is a former Chief of Medicine at the William Osler Health Centre, a Past President of the Ontario Association of Gastroenterology (OAG), and a Past Co-Chair of the Specialist Coalition of Ontario (SCO).

9:05 am - 9:25 am Top 4 Clinical Abstracts
Speaker: Dr. Brian Chan

 

Details
Brian PH Chan, BMSc, MD, FRCPC
Chief Resident, Adult Gastroenterology
McMaster University

Brian Chan is the Chief Resident at the McMaster University Adult Gastroenterology program. He has an interest in the use of EUS in malignancy staging, as well as bariatric endoscopy. He will be pursuing Advanced Endoscopy training at Beth Israel Deaconess Medical Centre following the completion of his fellowship training.

Presentation Overview:
Review of the Top 4 Clinical Abstracts presented at Digestive Diseases Week 2018, in Washington, DC. Abstract numbers to follow.

9:25 am - 9:45 am

Endoscopic Quality
Speaker: Dr. Natasha Bollegala

 

Details
Natasha Bollegala, Hon. BSc., MD, MSc, FRCP(C) 
Gastroenterology, Women's College Hospital
Assistant Professor, Faculty of Medicine, University of Toronto

 

Natasha Bollegala completed an Honours Bachelor of Science at the University of Toronto with a specialist in Human Behaviour Biology and minor in Anthropology. She completed medical school at the University of Toronto (UofT) and went on to complete her internal medicine residency training at McMaster University. In 2012 she was awarded the Hamilton Health Sciences, Medical Staff Association, Outstanding Resident Award as well as the Chief Medical Resident Award. She returned to UofT as the inaugural resident of the gastroenterology residency training program – research stream. In 2014 she began a clinical and research Inflammatory Bowel Disease (IBD) fellowship at Mount Sinai Hospital, Toronto and was the recipient of the Ogden Goldstein Fellowship Award. She began an MSc in clinical epidemiology and healthcare research at UofT in 2014. She is a member of the Eliot Phillipson Clinician Scientist Training Program and the Clinician Investigator Program. In 2015, Natasha joined the Division of Gastroenterology at Women's College Hospital (WCH).

Dr. Bollegala has an interest in the area of quality improvement. She is a member of the WCH Quality Operations Committee, the Division of Gastroenterology Quality Improvement Committee and is active in the administration of the gastroenterology quality improvement residency curriculum. She is actively engaged in a number of research initiatives including studying the effects of an IBD transition nurse, a project funded by the Crohn's and Colitis Foundation of Canada. Her work utilizing health administrative data to explore health resource utilization in this area is funded through the Canadian Association of Gastroenterology.

9:45 am - 10:05 am Therapeutic Endoscopy
Speaker: Dr. Mohammad Yaghoobi

 

Details

Mohammad Yaghoobi, MD, MSc (Epi), AFS, FRCPC
Therapeutic Endoscopist
Assistant Professor of Medicine
Division of Gastroenterology
Site coordinator, Adult Gastroenterology Residency Program, Hamilton General Hospital
Coordinator, GI elective, Undergraduate Medical Program
Michael G. DeGroote School of Medicine
McMaster University

Dr. Mohammad Yaghoobi is a gastroenterologist and an advanced endoscopist. He is an assistant professor of medicine and attending gastroenterologist at McMaster University and Hamilton Health Sciences. He received his medical degree from Tehran University School of Medicine followed by an AFS degree from University of Paris in France. He then completed simultaneous Master’s Degree in Health Research Methodology as well as a research and clinical fellowship at McMaster University. Afterward, he finished his residency in internal medicine at University of Toronto and his clinical fellowship in Gastroenterology and Hepatology at McGill University. He was then appointed as the Clinical Instructor in Advanced Endoscopy Program and staff gastroenterologist at the Medical University of South Carolina before accepting his current position at McMaster University.

Dr. Yaghoobi is certified in both Internal Medicine and Gastroenterology and Hepatology from both the Royal College of Physicians and Surgeons of Canada and the American Board of Internal Medicine. He is fully licensed to practice medicine and gastroenterology and hepatology by the College of Physicians and Surgeons of Ontario.

10:05 am - 10:30 am Morning Discussion – Part I
Moderator: Dr. Michael Gould

 

Details
Michael Gould, MD, FRCP(C)
William Osler Health Centre
Medical Director & President, Vaughn Endoscopy Clinic
Vice President, Toronto Digestive Disease Associates Research Group
Director, Canadian Digestive Health Foundation

 

Dr. Michael Gould is currently the Medical Director and President of the Vaughan Endoscopy Clinic, Vice President of The Toronto Digestive Disease Associates Research Group, and a Board member of the Canadian Digestive Health Foundation. He graduated from Medicine at University of Toronto in 1985 and completed his GI fellowship in 1991. He has a busy clinical practice, including over 1400 colonoscopies per year. Dr. Gould is a current member of the College of Physicians and Surgeons of Ontario (CPSO) committee setting the standards for out-patient facilities. He has participated in quality and standards initiatives with the CPSO, Cancer Care Ontario, Canadian Association of Gastroenterology and Ontario Association of Gastroenterology, since 1999. He speaks frequently on the topic of Quality Endoscopy. He is a former Chief of Medicine at the William Osler Health Centre, a Past President of the Ontario Association of Gastroenterology (OAG), and a Past Co-Chair of the Specialist Coalition of Ontario (SCO).

10:30 am - 11:00 am Coffee Break

11:00 am - 11:20 am

Non-Viral Liver Disease
Speaker: Dr. Hemant Shah

 

Details
Hemant Shah, MD, MScCH, HPTE, FRCP(C)
Education Director, Francis Family Liver Clinic, Toronto Western Hospital
Assistant Professor, University of Toronto
Secretary, Ontario Association of Gastroenterology

 

Dr. Hemant Shah is an Assistant Professor, Staff Hepatologist and Clinic Director at the Francis Family Liver Clinic, Toronto Western Hospital, University of Toronto. His clinical focus is viral liver disease and he maintains a busy teaching practice. In addition to clinical care, Dr. Shah is actively engaged in projects to develop innovative models of care for viral hepatitis, progress interprofessional collaboration and improve knowledge levels amongst primary care and specialty providers. He also serves as Program Director of the Hepatology Fellowship which trains three to five clinical and research fellows annually. Dr. Shah has graduate training in Health Practitioner Education. 

11:20 am - 11:40 am Viral Liver Disease
Speaker: Dr. Paul Marotta

 

Details
Paul Marotta, MD, FRCP(C) 
Associate Professor
University of Western Ontario
Transplant Hepatology and Gastroenterology
Medical Director Liver Transplantation, Multiorgan Transplant Unit
London Health Sciences Centre

 

Dr. Paul Marotta is currently an Associate Professor of Medicine at the Schulich School of Medicine at the University of Western Ontario. Dr. Marotta is the Medical Director of Liver Transplantation at the London Health Sciences Centre and is the Program Director of the Advanced Hepatology/Liver Transplantation Fellowship Program. Dr. Marotta is currently president of the Canadian Liver Transplant Network and on the Governing Board of the Canadian Association for the Study of Liver Disease. Dr. Marotta has over 60 peer reviewed publications and is published in many varied fields of medicine including health economic journals, pathology journals, pediatric journals, radiology journals in addition to the numerous publications in gastrointestinal, hepatology and transplant related journals.

Dr. Marotta is involved in many clinical research protocols involving hepatitis C virus, hepatitis B, HCC, cost effective analysis, autoimmune liver diseases and immunosuppression in liver transplant population.

11:40 am - 12:00 pm Surgical Abstracts
Speaker: Dr. Margherita Cadeddu

 

Details
Margherita Cadeddu, MD, FRCS(C)
Laparoscopic and General Surgery
Associate Professor, Department of Surgery
Faculty of Health Sciences, McMaster University

 

Dr. Margherita Cadeddu is an Associate Professor at McMaster University and is on staff at St. Joseph’s Healthcare. Her area of interest is minimally invasive surgery, and she is the Associate Director of CMAS (Centre of Minimal Access Surgery) at St. Joseph’s Healthcare.

Dr. Cadeddu completed her medical school and general surgery residency at the University of Western Ontario, and fellowship in Minimally Invasive Surgery at the University of Toronto. Her research interests includes surgical outcomes, which has been in conjunction with SOURCE, a group whose focus is evidence-based surgery and outcomes research, as well as advanced endoscopic techniques outcomes.

12:00 pm - 12:25 pm Morning Discussion – Part II
Moderator: Dr. Nicky Marwaha

 

Details
Avantika (Nicky) Marwaha, BScOT, MD, FRCP(C)
Medical Director and Gastroenterologist
GI Health Centre

 

Dr. Avantika Marwaha grew up in Montreal during her formative years and learned to speak French at a very early age. She continued her high school and University studies in French. She is therefore fluently bilingual in both of Canada’s national languages. She is also fluent in Hindi, Punjabi and Urdu.

Dr. Marwaha completed a Bachelor’s of Science degree in Occupational Therapy at the University of Ottawa in 2000. She then enrolled in medical school at the University of Ottawa and graduated in 2004.

Dr. Marwaha completed her internal medicine and gastroenterology training at McMaster University. She graduated from the Gastroenterology program in 2010. During her training, she worked on research related to the prevalence and risk factors for dyspepsia with Dr. Paul Moayyedi.

Dr. Marwaha is passionate about working in underserviced areas and with underprivileged communities. She has provided internal medicine and gastroenterology care to many underserviced areas within Canada, including Thunder Bay, Ontario; Yellowknife, Northwest Territories and Cambridge Bay, Nunavut. She also did an educational elective at the All India Institute of Medical Sciences (AIIMS), a government hospital in New Delhi, India, during her gastroenterology training. These experiences have instilled in her the importance of providing holistic and culturally-sensitive care to patients.

12:25 pm - 1:25 pm Lunch
1:25 pm - 1:45 pm Ulcerative Colitis
Speaker: Dr. Vipul Jairath

 

Details
Vipul Jairath, BSc, MBChB, PhD, MRCP (UK) 
Associate Professor of Medicine, Epidemiology and Biostatistics
Division of Gastroenterology
Western University
London Health Sciences Centre
London, ON


Vipul Jairath is Associate Professor of Medicine, Epidemiology and Biostatistics at Western University and his clinical practice is based at University Hospital, London Ontario. His research interests are in clinical trials, endpoint development and methodology. Prior to moving to Canada, he was a consultant gastroenterologist at Oxford University hospitals and a lecturer at Oxford University, with career funding from the National Institute for Health Research. He is a principal or co-investigator for several randomized trials.

1:45 pm - 2:05 pm Crohn’s Disease
Speaker: Dr. Reena Khanna

 

Details
Reena Khanna,  MD, FRCPC, MSc
Assistant Professor - Department of Medicine
University of Western Ontario

 

Reena Khanna completed a MSc in Clinical Epidemiology at McMaster University and an Honors BSc with high distinction at the University of Toronto.  She studied Medicine and Internal Medicine at the University of Western Ontario (UWO) before entering Fellowship training in Gastroenterology at McMaster University.  Subsequently, Dr. Khanna completed a clinical and research fellowship in inflammatory bowel diseases (IBD) at the Cleveland Clinic and a research fellowship in International Clinical Trials Fellowship in Amsterdam NL, San Diego USA, London Canada.   Dr. Khanna is currently an Assistant Professor and Junior Scientist at UWO.  Dr. Khanna’s primary research interest is the development of outcome measures for evaluation of new treatments for IBD and designing and conducting clinical trials.

2:05 pm - 2:25 pm Acid-Related Disorders
Speaker: Dr. Naoki Chiba

 

Details
Naoki Chiba, MD, MSc, FRCP(C), AGAF, CAGF
Clinical Professor
McMaster University

Dr. Chiba is a Guelph-based community gastroenterologist with interest in ERCP and office endoscopy. He also has an academic appointment as Clinical Professor at McMaster. He received his MD (Cum Laude) in1986 from UWO. He completed gastroenterology and research training fellowships at McMaster University in 1992 and in 2004, he completed his Masters in Health Research Methodology at McMaster. Despite being in community practice, he has authored 95 peer-reviewed publications and book chapters. He has participated in over 70 multicentre clinical trials. Primary research interests focus on acid related disorders and evidence based medicine. Interests include singing in the Guelph Chamber Choir, golf and his beloved bearded collies, Murphy and Molly.

2:25 pm - 2:50 pm Afternoon Discussion – Part I
Moderator: Dr. Fahd Jowhari

 

Details
Fahd Jowhari, MD, BSc, FRCP(C) 
The Ottawa Hopsital
Sault Area Hospital

 

Dr. Fahd Jowhari completed his MD from the University of Calgary before moving to Kingston where he completed his Internal Medicine residency as well as Gastroenterology fellowship at Queen’s University. He is currently finishing an Advanced Therapeutic Endoscopy fellowship in both ERCP and EUS from the University of Ottawa, and will be moving out west to Kelowna, BC later this year to join their team of therapeutic endoscopists.

During the course of his training, Dr. Jowhari was actively involved in research activities, and has won several teaching and research awards including the Ivan T Beck Research prize in Digestive Diseases. His research and educational interests include improvement in medical education; ergonomics in the endoscopy suite; quality, performance and outcomes of endoscopy; and minimally invasive therapeutic endoscopy.

2:50 pm - 3:10 pm Lower Functional GI Disorders
Speaker: Dr. Yvonne Tse

 

Details
Dr. Yvonne Tse MD, FRCPC
Toronto Western Hospital, University Health Network

Dr. Yvonne Tse is currently a Clinical Associate at University Health Network, with special interest in functional GI disease and GI motility disorder. She completed her undergraduate study at Queen's University and went on to complete her medical training at McMaster University. She did her residency in Internal Medicine at Western University followed by Gastroenterology at the University of Toronto, and subsequently went on to pursue fellowship training in Hepatology and Motility at the University of Toronto.

Presentation Overview:
To review new development in the management of lower functional GI disorders presented at DDW and other GI meetings over the past year.

3:10 pm - 3:30 pm Upper Functional GI Disorders
Speaker: Dr. David Armstrong

 

Details

David Armstrong, MA, MB BChir, FRCP (UK), FRCP(C), FACG, AGAF
Professor, Department of Medicine, McMaster University;
Consultant Gastroenterologist, Division of Gastroenterology, Hamilton Health Sciences,
Hamilton, Ontario, Canada

 

David Armstrong is Professor of Medicine at McMaster University.

He graduated from Cambridge University and King’s College Hospital, London, UK.  After 2 years as a family physician in Labrador, he completed his medicine and gastroenterology training in the UK, Switzerland and Canada in 1995.

His clinical interests include upper GI disorders, inflammatory bowel disease, nutrition, cystic fibrosis, endoscopy, electronic health records, education and quality. He is an active researcher with over 250 full publications.

He is Medical Director of the Hamilton Health Sciences (HHS) Home Parenteral Nutrition Program and he co-chairs the HHS Nutrition Committee & HHS Endoscopy Committee.

He is President of the Canadian Association of Gastroenterology, a CAG SEE Faculty Member, Regional Governor (Ontario) & Councillor (Canada) for the American College of Gastroenterology, Chair of the Canadian National Colon Cancer Screening Network and a Board Member of the Canadian Digestive Health Foundation.

He lives with his wife and a diminishing proportion of his 5 sons in Hamilton, Ontario.

Presentation Overview:
Functional disorders of the upper gastrointestinal tract, including functional heartburn, esophageal spasm, functional dyspepsia, nausea and vomiting are amongst the most challenging conditions to manage, in part because of the absence of clear etiologies. It is, generally, considered that these disorders are attributable to abnormalities of gastrointestinal motility or visceral sensation modulated by central disorders of perception. Abnormalities identified on investigation are not, necessarily, responsible for the patient’s symptoms and, even if they are, treatment may not address the relevant abnormality appropriately or effectively.

Studies presented at DDW this year report that upper gastrointestinal symptoms and esophageal motor abnormalities are more common in cannabis users (Abstract 0045: Sooklal s et al) and that Botulinum toxin injections were not superior to placebo for the management of diffuse esophageal spasm (Abstract 0041: Mion F et al).

Scintigraphic gastric emptying studies were reported to be very reproducible although the characterization of gastric emptying as normal or abnormal changed, in repeated studies, in a quarter of patients (Abstract 0043: Desai AC et al) and another group reported that gastric emptying can change over time in many gastroparesis patients depending, in part, on a number of patient-related factors (Abstract 143: Parkman HP et al) including glycemic control (Abstract 145: Bharuchia AE et al) and the duodenal microbiota (Abstract 146: Shanahan ER et al). Systematic reviews and meta-analyses suggest that gastric emptying and the symptoms of gastroparesis may respond to gastric per-oral endoscopic myotomy (G-POEM) (Abstract 0928: Yan J et al; Abstract Sa1584: Avalos DJ et al) although the magnitude and longevity of the improvements needs to be confirmed in clinical trials.

Overall, these data indicate that, despite advances, there is still much to be learned about the causes, investigation and treatment of functional upper gastrointestinal disorders.

3:30 pm - 3:55 pm Afternoon Discussion – Part II
Moderator: Dr. David Morgan

 

Details
David Morgan, MD, MSc., FRCP(C)
Head, Service of Gastroenterology
St. Joseph's Healthcare, Hamilton
Associate Professor, Division of Gastroenterology
McMaster University


Dr. David Morgan completed his undergraduate training in Human Genetics at McGill University. He did graduate studies including a Masters in Population Genetics. Undergraduate medical studies were completed at McMaster University and post-graduate studies including Internal Medicine and Gastroenterology, were also completed at McMaster. Dr. Morgan took an additional fellowship year with special attention paid to advanced endoscopic techniques, including YAG laser..

Dr. Morgan's research interests include dyspepsia, particularly with regards to effects of non-steroidal anti-inflammatory drugs. Other research areas have included colon cancer prevention with COX-2 specific inhibitors and upper GI bleeding, particularly with relation to non-steroidal anti-inflammatory drug use. He has published on such topics such as GI bleeding, quality of life in cancer care, use of proton pump inhibitors and the prevention of bleeding from GI vascular lesions. Dr. Morgan as participated on several CAG consensus panels dealing with such topics as CRC screening. Dr. Morgan is a member of several international societies and is a previous President and previous member of the Board of Directors of the Canadian Association of Gastroenterology. He is on the Executive of the Ontario Association of Gastroenterology (Vice President) and the OMA Section of Gastroenterology. Dr. Morgan is the Ontario Provincial Lead for the CCO / CPSO Quality Management Partnership, Colonoscopy. This group is tasked with developing a quality delivery framework for the province.

Dr. Morgan has been a representative on several McMaster University finance committees and is a Past President of the Regional Medical Associates. Dr. Morgan is on faculty at McMaster University and is involved in teaching at the undergraduate and post-graduate levels. He is Head, Service of Gastroenterology at St. Joseph's Healthcare, Hamilton and is the Deputy Chief of the Department of Medicine.

3:55 pm - 4:00 pm Closing Remarks
Speaker: Dr. David Morgan

 

Details
David Morgan, MD, MSc., FRCP(C)
Head, Service of Gastroenterology
St. Joseph's Healthcare, Hamilton
Associate Professor, Division of Gastroenterology
McMaster University


Dr. David Morgan completed his undergraduate training in Human Genetics at McGill University. He did graduate studies including a Masters in Population Genetics. Undergraduate medical studies were completed at McMaster University and post-graduate studies including Internal Medicine and Gastroenterology, were also completed at McMaster. Dr. Morgan took an additional fellowship year with special attention paid to advanced endoscopic techniques, including YAG laser..

Dr. Morgan's research interests include dyspepsia, particularly with regards to effects of non-steroidal anti-inflammatory drugs. Other research areas have included colon cancer prevention with COX-2 specific inhibitors and upper GI bleeding, particularly with relation to non-steroidal anti-inflammatory drug use. He has published on such topics such as GI bleeding, quality of life in cancer care, use of proton pump inhibitors and the prevention of bleeding from GI vascular lesions. Dr. Morgan as participated on several CAG consensus panels dealing with such topics as CRC screening. Dr. Morgan is a member of several international societies and is a previous President and previous member of the Board of Directors of the Canadian Association of Gastroenterology. He is on the Executive of the Ontario Association of Gastroenterology (Vice President) and the OMA Section of Gastroenterology. Dr. Morgan is the Ontario Provincial Lead for the CCO / CPSO Quality Management Partnership, Colonoscopy. This group is tasked with developing a quality delivery framework for the province.

Dr. Morgan has been a representative on several McMaster University finance committees and is a Past President of the Regional Medical Associates. Dr. Morgan is on faculty at McMaster University and is involved in teaching at the undergraduate and post-graduate levels. He is Head, Service of Gastroenterology at St. Joseph's Healthcare, Hamilton and is the Deputy Chief of the Department of Medicine.

 


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