Indian Association of Surgical Gastroenterology ... - IASGonline.com

IASG 2009 Scientific Programme
October 2, 2009
CME
Theme: Safety in Surgical Gastroenterology
1000-1030: “Safe Surgery Saves Lives” campaign: How should Surgical Gastroenterologists take notice?
Chairpersons: S K Mathur, A N Supe
Speaker: John Windsor
The WHO has launched a 'safe surgery saves lives' campaign. A landmark multi country study has shown significant
reduction in mortality & morbidity with the implementation of simple checklists.
1030-1200: Perioperative Period: what is critical & practical?
This session is devoted to issues beyond surgical technique and intra -operative strategies, which contribute
to increased safety.
Chairpersons: R Surendran, V Sitaram
1. Cardiopulmonary problems; risk assessment & reduction - D Karnad
2. Nutritional interventions: when & how? - K Mohandas
3. Coagulation defects: identification & correction - S Singhi
4. The anaesthetic contribution - A Kulkarni
5. Antibiotic prophylaxis: when, what & for how long? - P Dhar
6. Prevention of Deep Vein Thrombosis and pulmonary embolism - A Bhave
1200-1330: Making GI Surgery safer: lessons from the last decade
Speaker will identify & elucidate critical areas, which they believe have made surgery safer for that organ
system. This could include patient selection, timing, operative strategies & postop interventions.
Chairpersons: P Khanduri, J M Mehta
Esophagus – T K Chattopadhyay
Gastric – A Sarela
Pancreas – P Jagannath

Colorectal - R Cima
Liver - A Humar
Biliary – K Kubota
1330-1430: Lunch
1330-1430 Poster viewing (Grand Salon)
(Stomach, Esophagus, Liver, Liver Transplantation, Pancreas & Portal Hypertension)
1345-1415 Lunch Symposium: Hemostasis in G I Surgery (Supported by J & J wound management)
Chairpersons: M Mohapatra, K Khandelwal
Hemostasis in Liver surgery - K V Menon
Hemostasis in Laparoscopic surgery – R Ardhanari
1430-1630: Damage limitation strategies in OR: difficult intraoperative scenarios - what can be done?
Session devoted to Intraoperative scenarios which are difficult, potentially dangerous and need quick
effective measures.
HPB: Chairpersons: A Humar, J Windsor, P Wagle
1. Cut section of liver does not stop bleeding after Hepatectomy – R Kakodkar
2. Bleeding ruptured HCC – S Naidu
3. Bile from Calot’s triangle after cholecystectomy - S Jain
4. Injury to right hepatic artery during cholecystectomy - S Govil
5. Inoperable hilar cholangiocarcinoma realized after bile duct division – K Vasudevan
6. Bleeding from bed after pancreatic necrosectomy - R A Sastry
7. Hepatic artery pulse disappears after ligation of GDA – P Sahni
Luminal: Chairpersons: A Sarela, T K Chattopadhyay, S Varshney
8. Bowel obstruction but peritoneum riddled by metastases - S Haribhakti
9. Perforation of esophagus during cardiomyotomy for achalasia - R Rao
10. Bleeding during transhiatal esophagectomy - S Chandramohan
11. Large posterosuperior duodenal ulcer perforated and bleeding - R Ardhanari
12. J Pouch turns dusky after anastomosis - R Pradeep
13. Incomplete doughnut after low anterior resection – K Prakash

1630-1730: PANEL: GLOBAL IDEAS; INDIAN REALITY
In the last few years new ideas originating from the West have made an impact on surgical policy & practice.
These include concepts like Centralization, Informed consent, Evidence Based protocols, Fast tracking
Are these ideas applicable to the Indian scenario?
Moderators: S Sikora, H Ramesh
Panelists: K V Menon, K Mohandas, S Vege, R Cima, S Nundy
1730-1800: Tea Break
1800-1900: Inaugural Ceremony:
Welcome: S Nagral
Secretary’s report: H Ramesh
Presidential address: J M Mehta
Keynote address: My most memorable patient: R D Bapat, T E Udwadia, V N Shrikhande
Award presentation
Vote of thanks: N Doctor
1900-2000: Dinner Symposium:
Panel Discussion: Rational approach to intra-abdominal sepsis (Supported by MSD)
Session dealing with rational approach to severe intra abdominal sepsis with inputs from relevant
specialists
Moderator: R A Sastry
Panel: C Rodrigues, R Soman, J D Sunavala, V Sitaram
2000 onwards Dinner

0700-0800: Breakfast sessions: Meet the Professor:
3 rd October 2009
Hepatobiliary and
Laparoscopy
Pancreas
UGI
Colorectal
portal hypertension
Moderator: K
Moderator: P Wagle
Moderator: S Negi
Moderator: P Varty
Moderator: S Shah
Panel: A Humar, K V Menon,
S K Mathur
Khandelwal
Panel: C Palanivelu, D
Bhandarkar, A Dalvi
Panel: J Windsor, P
Jagannath, S Shrikhande
Panel: A Sarela, T K
Chattopadhyay, S
Sharma
Panel: R Cima, B Peraketh, S
Haribhakti
0800-0900: Video session I
Hall - Mahogany
• Advanced Hepatobiliary Procedures
• Chairpersons: Maj. Gen. Choubey, S Shah
o Laparoscopic hepatectomy - C Palanivelu
o Living Donor Liver Transplant - A S Soin
o Subsegmentecomy for HCC: K Kubota
o Hepaticopancreaticoduodenectomy – K Kubota
o Hilar cholangiocarcinoma with vascular resection – M Nagino
Hall – Combined Ballrooms
• Focus on the Anastomosis:
• Chairpersons: R C Aranya, S P Kaushik
o Oesophago-gastric – C S Pramesh
o Bilio-enteric – R A Sastry
o Pancreatico-jejunal / pancreatico-gastric after PD –
P Wagle
o Colo-rectal following LAR – R Cima

0900-1000: Award papers (Plenary)
Chairpersons: T K Chattopadhyay, S K Mathur
Sequential therapy versus standard triple drug therapy for eradication of H
pylori in patients with perforated duodenal ulcer following simple closure: a
randomized controlled trial
Optimal utilization of the living donor pool: how to use non-usable donor
livers
The effect of preoperative carbohydrate loading in major colorectal surgery:
a randomized controlled trial
Pancreaticogastrostomy versus pancreaticojejunostomy
in reconstruction after pancreaticoduodenectomy: a
prospective randomized trial
The role of fat and fibrosis in pancreatic texture and in the incidence of
postoperative pancreatic fistula
Outcome of esophageal stenting in palliation of
unresectable esophageal carcinoma. Does adjunctive radiotherapy have
any added benefit? - a randomized controlled trial
GJ Valooran, JIPMER,
Puducherry
AS Soin, Gangaram
Hospital, Delhi
S Bandyopadhyay, CMC,
Vellore
MMS Bedi, Lakeshore,
Kochi
VM Thumma, NIMS,
Hyderabad
A Javed, AIIMS, Delhi
1000-1030: Lucknow Oration: “Resection for hilar cholangiocarcinoma – the anatomy and the
physiology”
Chairpersons: R Surendran, H Ramesh
Speaker: M Nagino, Nagoya, Japan
1030-1130: Symposium “Acute pancreatitis: new rules for an old game”
There has been paradigm shift in the understanding and approach to severe acute pancreatitis
in the last few years. The session looks at some of these issues.
Chairperson: S P Kaushik, S Sikora
1. Why revise Atlanta? – S Vege
2. Step up or step down approach for infected pancreatic necrosis: a critical evaluation – H Ramesh
3. Minimally invasive approach to necrosis: When & how? – J Windsor

4. Bowel & vascular complications of severe acute pancreatitis – J Kleeff
5. Late functional results after severe acute pancreatitis – R Gupta
1130-1200: Chennai Oration: Three decades of the J pouch
Chairpersons: J M Mehta, R A Sastry
Speaker: R Cima, Rochester, USA
1200-1230: Landmark publications in GI surgery
Experts will critique papers from 2008 – 2009, which make a major impact on clinical practice.
Chairpersons: S Nundy, S Negi
UGI – I Sethu
Colorectal – M Ibrarullah
Hepatobiliary – D Singhal
Pancreatic – R K Singh
Laparoscopic – R Bhojwani
1230-1330: Special Mention Posters
7 posters of distinction are critically reviewed by experts
Chairpersons - H Ramesh, R Ardhanari, V Sitaram
Title
1. Is bactibilia a predictor of poor outcome following
pancreaticoduodenectomy?
2. Microbubble technology with intraoperative ultrasound
improves the detection of hepatic lesions in colorectal
cancer
3. Laparoscopic liver resection
4. Pre-transplant portal vein thrombosis: operative
management and outcomes in 375 consecutive living donor
liver transplants
5. Comparison of resection versus bypass
procedures for corrosive strictures of the esophagus - a
randomized controlled trial
Presenter
J Satheesh, SMC,
Chennai
AJ Shah, Bristol
Royal Infirmary,
Bristol
R Ravindran, Gem
Hospital, Coimbatore
AN Rastogi, SGRH,
Delhi
R Gangavatiker,
AIIMS, Delhi
Reviewer
J Windsor
Z Sonawala
K V Menon
A Humar
A Sarela

6. Effect of antibiotic prophylaxis in prevention of rebleeding in
patients with acute variceal hemorrhage following
endoscopic therapy: a randomized controlled trial
7. Randomised double blind placebo controlled study to
evaluate the efficacy of probiotics in prevention of radiation
induced diarrhoea
A Agarwal, JIPMER,
Puducherry
AD Gunaraj, JIPMER,
Puducherry
P Sahni
S Karandikar
1330-1430: Lunch
1330-1430: Poster viewing – Grand Salon
(Intestine, Colorectum, Biliary and Miscellaneous)
1430- 1515: Concurrent sessions
Ballroom 1 Ballroom 2
Neo Adjuvant and Adjuvant therapy for GI cancers: A case New challenges for the Surgical Gastroenterologist in India
based discussion (Supported by Dr. Reddy’s Lab)
Changing demographics as well as newer investigative modalities
There is an increasing evidence based role for neo adjuvant and are posing unique challenges in Surgical GE. The session will
adjuvant strategies in G I cancers. The session will discuss case address some of these.
scenarios in this context.
Chairpersons: R Pradeep, S P Matkari
Moderator: S Shrikhande
Panel: P Patil, S Pal, B Dhabhar, K V Menon, A Sarela, S Karandikar
Crohns disease in India: what the surgeon must know – P Abraham
PET scan and it’s impact on G I oncology practice – V. Lele
Surgery in the obese patient – S Shah
Pancreatic Incidentalomas – Z Soonawala

1515-1615: Concurrent sessions
Ballroom 1 Ballroom 2
Symposium: “Emerging issues in living donor liver
transplant” (Supported by Sandor Pharmaceuticals)
LDLT is now established as the main form of liver transplantation
in India. The session looks at some emerging issues.
Chairpersons: R Kakodkar, V Sitaram
Small for size syndrome: prevention & treatment - A Humar
LDLT in Large HCC: is it worth it? – A S Soin
LDLT in Fulminant Hepatic failure: Feasibility and results – S Sudhindran
Making donation safe for the living donor: lessons learnt – S Gupta
1615-1715: Free paper sessions
Symposium: “The wall & the cavity”
Session devoted to looking at special problems related to the
parietal wall and the abdominal cavity.
Chairpersons: C Kantharia, A Rathnaswami
Difficult abdominal closure: Techniques and new approaches - O V Sudheer
Abdominal compartment syndrome: Hype or reality? – G Srikanth
Hernias in the cirrhotic with ascites: what is to be done? – Z Soonawala
Drainage after G I Surgery: evidence verses tradition - W Ali
Ballroom 1 Ballroom 2 Mahogany
Hepatobiliary
Chairpersons: Brig A Sharma, R K Sigh
Is it safe to perform hepatic
lobectomy in jaundiced patients? S Govil
Management of uncomplicated
liver abscess -a prospective study
comparing drugs alone versus
drugs and aspiration
KA Khan
Perioperative outcomes and
factors affecting morbidity and
mortality after hepatectomy: a Senthil
prospective study
kumar P
Ruptured liver tumours: outcome Prabhaka
of a multidisciplinary approach ran R
Risk factors for development of
shunt block in lienorenal shunt for
extra hepatic obstruction of portal PK
vein
Mallick
Budd-Chiari Syndrome: tablets,
stent or knife?
ST Binoj
Upper GI
Chairpersons: A N Supe, Col Sinha
Results of treatment of
esophageal perforations
NRV Prasad
Lymph node harvest in minimally
invasive esophagectomy for
esophageal cancer
R Ravindran
Prognostic factors for survival in AS
carcinoma stomach with lymph Ramakrishna
node metastasis
n
Efficacy of hydrogastric
sonography and spiral CT in
staging of gastric carcinoma - a
comparative study
Outcomes following a radical
surgical approach to carcinoma
stomach: analysis of 366 patients
Laparoscopic total gastrectomy
with D2 lymph node dissection
and jejunal pouch reconstruction
Himagirish K
Rao
MMS Bedi
R Ravindran
Colorectal
Chairpersons: V Mathai, A Rozario
Usefulness of hydrogen peroxide
enhanced endoanal sonography in
preoperative assessment of fistula Nagendra
in ano
Nath
Laparoscopic Hartmann's reversal
100 stapled ileoanal pouches for
ulcerative colitis
A 12 year experience in managing
complicated sigmoid diverticulitis
Laparoscopic total
proctocolectomy with ileal pouch
anastomosis
Has preoperative bowel
preparation made a difference to
early outcomes after low anterior
resection
P Kumar
S Lalwani
M Hussain
R
Ravindran
B
Abraham

1715-1730: Tea Break
1730-1830: Video Session II: How I do it? : The critical step (Supported by Solvay)
Specific important steps of an operations
will be highlighted with discussion with
the presenter
Chairpersons: R Ardhanari, P Sahni
• Nerve identification and sparing in TME – R Cima
• Uncinate process resection – J Kleeff
• D2 lymphdenectomy; lap and open – A Sarela
• Piggybacking for Liver Transplant – A Humar
• Controlling hepatic veins in liver surgery – K V Menon
1830-1900: Quiz – S Shah
1900-1945: Annual General Meeting (Mahagony)
19 45 – 20.30: Advanced Hepatocellular Carcinoma: is there hope? (Supported by Bayer)
Chairpersons: V Sitaram, P Jagannath
1. Advanced HCC; An algorithmic approach - B Daniele, Italy
2. Stem cell therapy for HCC – N Habib
3. Yttrium microspheres; an Indian perspective – S Marar
20.30 onwards: Cocktails & Dinner

4 th October 2009
0700-0800: Breakfast sessions: Meet the Professor:
Hepatobiliary
Moderator: B.
Venugopal
Panel: M Nagino,
K.V. Menon , A
Agarwal
Liver transplantation
Moderator: S Govil
Panel: A Humar, A S Soin, S
Gupta
Pancreas
Moderator: P
Radhakrishna
Panel:J.Kleeff, K
Prakash, R A
Sastry
UGI
Moderator: D
Bhandarkar
Panel: S Chandramohan,
J Windsor, V Kate
Colorectal
Moderator: W
Ali
Panel: V Mathai,
A K Gupta, S
Karandikar
0800-0900: Video session III: New procedures in G I Surgery
This video session looks at recently
described procedures in G I Surgery
Chairpersons: S K Mohanty, D Bhandarkar
• Single-port laparoscopic cholecystectomy - P Rao
• Robotic fundoplication – J Palep
• Laparoscopic J pouch – S. Haribhakti
• Median pancreatectomy – J Kleeff
• NOTES – G V Rao
0900-0945: Laparoscopic Surgery in 2009: Looking back; looking ahead
Laparoscopic approach has now emerged as an alternative for many abdominal procedures.
It is now moving to newer areas. This session looks at the appropriate indications, the results and the cost
effectiveness in three relatively new areas.
Chairpersons: TE Udwadia, K P Balsara
1. Pancreas – C Palanivelu
2. Esophagus – R Mistry
3. Liver – K V Menon

0945-1015: Veerabhai JR Das Aggarwal Oration.
1015-1145: Debates
1145-1200: Tea Break
Topic: Visceral artery aneurysms
Chairpersons: J M Mehta, R Surendran
Speaker: R A Sastry, Hyderabad.
Contentious but important issues which still continue to evoke strongly differing opinions
Chairpersons: A K Gupta, S Nundy
Debate 1 Laparoscopic resection for colorectal cancer is appropriate – R Cima
Laparoscopic colorectal resection does not meet oncologic goals – S Karandikar
Debate 2 Small HCC in child A cirrhotic: RFA is the treatment of choice – B Venugopal
Small HCC in child A cirrhotic: Resection is the treatment of choice – R Ardhanari
Debate 3 Bowel preparation for colorectal surgery must be abandoned – S Varshney
Bowel preparation is still important in colorectal surgery – R Patankar
Debate 4 There is circumstantial evidence that gallstones lead to carcinoma gall bladder – S Shrikhande
1200-1300: Free paper sessions
There is no connection between gallstone and carcinoma gall bladder – A Agarwal
Ballroom 1 Ballroom 2 Mahogany
Pancreas
Chairpersons: P Wagle, P J Haldar
Selective drainage in patients
undergoing
pancreaticoduodenectomy
To evaluate the efficacy of
tumour markers CA 19-9 and
CEA to predict operability and
survival in pancreatic
malignancy
T Singh
N Jain
Laparoscopy & Misc
Chairpersons: V Kate, K P Balsara
Value of WBC count, CRP and
neutrophil/ leukocyte ratio (NLR)
for acute appendicitis in children
Laparoscopic appendectomy for
complicated appendicitis: Is it
safe and justified?
Diagnosis of GI tuberculosis:
combining cytology, immunology
and molecular techniques - a
study from Central India
Laparoscopic management of
cystic lesions of spleen
RR Boddu
P Kumar
S
Ponnambathayil
P Kumar
Liver Transplant
Chairpersons: K Subbarao, A Saha
Alternative arterial inflow in
living related liver transplant
Management of portal vein
thrombosis in liver
transplant recipients and
implications
Recanalised umbilical vein
graft for reconstruction of
Segment V/VIII veins in
LRLT
VK Chorasiya
VK Chorasiya
S Sasturkar

Incidence of delayed gastric
emptying (DGE) in pylorus
preserving pancreaticoduodenectomy
based on the
new International Study Group
for Pancreatic Surgery
definition
Outcome of Whipple's
pancreaticoduodenectomy
using microsurgical techniques
and SMA first approach in a
Surgical Gastroenterology &
Liver transplantation Unit
Anterior transgastric
Pancreaticogastrostomy - novel
technique of reconstruction
following Whipple procedure
Multivisceral resections in
pancreaticoduodenectomy
VA Iyoob
S Sasturkar
P Kumar
PS Rao
Prophylactic mesh repair should
be the standard of care to
prevent closed ostomy site
hernia
Gastrointestinal stromal tumours:
analysis of risk factors for
recurrence after resection
M Joshi
K Ravikanth
Bile duct reconstruction in
LRLT: Refining techniques
and reducing leaks
Outcomes of patients
referred for living related
liver transplantation at a
high volume LDLT center
Cryopreserved veins from
explanted livers in living
donor liver transplantation
S Sasturkar
R Mohanka
T Singh
1300-1400: Concurrent sessions
Ballroom 1 Ballroom 2
Symposium: “Intestinal obstruction: special issues” Symposium: liver transection techniques (Supported by Access
A look at specific issues in intestinal obstruction beyond the Devices)
standard
There is now a wide range of technology available to transect the
Chairpersons: R Srivastava, A N Supe
Liver: how do they compare?
Chairperson: A S Soin, S Sudhindran
Acute Ischemic bowel: tackling the mesenteric vessels – N Sekar
CUSA – S Govil
Primary resection for large bowel obstruction: anastomosis versus diversion Waterjet: A Humar
– A Sharma
Laparoscopy in intestinal obstruction: feasibility and results –G V Rao RFA – N Habib
Adhesive intestinal obstruction: what’s new in prevention and management? Kelly Clamp – R Surendran
– V Kate

1400-1415: Valedictory function and awards distribution
1415-1500: Lunch
1500-1730: Workshops
Ballroom 1 Mahogany Ballroom 2
Liver transplantation: back to the
basics (Supported by BMS & Roche)
A workshop designed to look at basic
issues in liver transplantation
Coordinators: A Nagral, R Kakodkar
Chairpersons- HG Desai, S K Mathur
1. Timing and pretransplant evaluation in chronic
liver disease - A Nagral
2. Pre and post transplant issues in Hepatitis B - S
Gupta
3. Pre and post transplant issues in Hepatitis C –
C E Eapen
4. Liver transplantation for Hepatocellular
Carcinoma - R Kakodkar
5. Issues in transplantation for fulminant hepatic
failure - P Dhar
Expert comments- A Humar, A S Soin
Tea Break 4.15 TO 4.25 PM
Chairpersons- P Gupte, D Trivedi
1. Basics of immunosuppresion in liver
transplantation - C E Eapen
2. Evaluation of the donor in Living Donor Liver
Transplant -V Kumaran
3. Deceased donor vs. Living donor liver
transplantation - A Saha
4. Approach to early graft dysfunction after Liver
transplantation - R Rai
Expert comments- A Humar, S Gupta
Searching the Internet & Digital
photography
A hands on workshop to enhance your
skills in searching the internet and digital
photography
Coordinators: N Roy, R Parthasarthy
Digital photography
Tea Break 4.15 TO 4.25 PM
Searching the Internet
Stoma creation, complications and care
(Supported by Coloplast)
A workshop addressing surgical issues in
stoma creation, management complications
as well as appliances and long-term stoma
care.
Coordinators: D Balsarkar, Sister J Mohite
1. Constructing a good stoma – tricks of the trade –
S Karandikar
2. Surgical correction of stoma complications –
when & how? R Cima
3. Appliances; what’s new: Sister. J Mohite
Tea Break 4.15 TO 4.25 PM
1. Challenges in the management of
enterocutaenous fistula – B Peraketh
2. Role of Laparoscopy in stoma creation, reversal
and Complications – R. Ardhanari
3. Skin protection in fistula management – Sister N
Chakravorthy

VIDEO ACADEMY (Mahogany) (800am – 800pm)
Selected, edited videos covering the entire gamut of Surgical Gastroenterology will be run throughout the conference at 4
stations in Mahagony Hall. These will be run on all three days and repeated morning, afternoon and evening.
UPPER GI SURGERY
Thoracoscopic esophagectomy in dorsolateral position : an innovative approach Suraj Pawar
Total esophagectomy and coloplasty
Laparoscopic anterior partial fundoplication
Thoraco-laparoscopic esophagectomy
Laparoscopic cardiomyotomy for achalasia cardia
Laparoscopic repair of large paraesophageal hernia
S M Chandramohan
John Windsor
C Palanivelu
Disha Sayl
Deepraj Bhandarkar
COLORECTAL SURGERY
Laparoscopic right hemicolectomy
Laparoscopic anterior resection
Laparoscopic low anterior resection
Laparoscopic suture rectopexy
Prone abdominoperineal resection
MRI-guided trans-sphincteric fistula surgery
Disha Sayl
Ajay Kriplani
Kalpesh Jani
Baiju Sendhiappan
Sharad Karandikar
Sharad Karandikar

HEPATOPANCREATOBILIARY SURGERY
Laparoscopic management of giant hydatid of liver
Laparoscopic CBD exploration
Excision of type IV choledochal cyst
Revision surgery for carcinoma gallbladder
Minimally invasive surgery in pancreatic necrosis
Laparoscopic distal pancreatectomy
Berne variant of duodenum-preserving pancreatic head resection
Kalpesh Jani
Baiju Senadhipan
Sadiq Sikora
Shailesh Shrikhande
Roy Patankar
Z Soonawala
Jorg Kleef
CUTTING EDGE SURGERY
Single port laparoscopic surgery
Radiofrequency assisted liver and partial spleen resection
Pancreas transplantation
Total laparoscopic Whipples pancreaticoduodenectomy
Robotic distal pancreatectomy
G Srikanth
Nagy Habib
Abhinav Humar
CJ Varghese
Jaydeep Palep