6th MATTU Oesophago-Gastric Cancer Symposium 8th – 10th December 2014 Monday 8th December 09.00-09.30 Registration 09.30-11.30 Current management of Barrett’s, dysplasia and early cancer 09.30 – 09.45 09.45 – 09.55 10.05 – 10.15 10.15 - 10.25 10.25 – 10.35 10.35 – 10.45 Barrett’s who and what warrants surveillance The best endoscopic imaging for Barrett’s dysplasia Cytosponge Screening ‘Sniffing-out’ cancer Cell or stroma? Discussion 10.45-11.00 Mr Piers Gatenby Dr Oliver Pech Prof Mike Griffin Mr Sacheen Kumar Mr Tim Underwood Coffee Break Guest Lecture 11.00 – 11.30 UK experience 11.30 – 11.40 11.40 – 11.50 11.50 – 12.00 Optimal management Barrett’s dysplasia and early Carcinoma: The data and video demonstrations of EMR & RFA RFA/EMR – how we do it EMR – Newcastle experience Discussion Dr Oliver Pech Dr Natalie Direkze Prof Mike Griffin Pre-habilitation and patient optimisation 12.00 -12.20 12.20 – 12.35 12.35 – 12.50 12.50 -13.05 13.05 – 13.15 Review of literature and the Guildford programme The Utrecht programme: set-up and results Pre-operative respiratory assessment and optimisation Cardiopulmonary exercise (CPX) an update Discussion 13.15 - 14.15 Mr Javed Sultan Prof Richard van Hillegersberg Dr Ben Creagh-Brown Dr Pradeep Prabhu Lunch Fluid resuscitation – do we really know what to do? 14.15 – 14.30 14.30 – 14.40 Fluid management post-oesophagectomy - type, volume and the use of inotropes Discussion Dr Justin Kirk-Bayley Enhanced recovery & standardised pathways for oesophagectomy - anaesthesia and surgery 14.40 15.00 15.15 15.30 – – – – 15.00 15.15 15.30 15.45 15.45-16.00 16.00 16.15 16.30 16.45 – – – – 16.15 16.30 16.45 17.00 17.00 – 17.30 An update and review of the literature The Seattle anaesthetic and surgical pathways The Guildford surgical pathway Cost benefit analysis the Guildford experience Mr Chris Grocock Dr Don Low Mr Shaun Preston Mr Paul Wilkerson Tea Break The Guildford anaesthetic pathway Setting up a pathway and early results from Karolinska The Newcastle pathway and results Reducing pulmonary complications by vagal sparing: Anatomical and nutritional studies Discussion Dr Toc Hussain Prof Mats Lindblad Prof Michael Griffin Prof Richard van Hillegersberg Tuesday 9th December 08.30 -09.00 Tea & Coffee Optimal staging of OG cancer 09.00 – 09.15 09.15 – 09.25 09.25 – 09.35 09.35 – 09.45 09.45 – 09.55 09.55 – 10.05 10.05 – 10.15 10.15-10.30 EUS & EBUS +/- FNA/FNB in the assessment of 'game changing' nodes Laparoscopy +/- Thoracoscopy when and where? Should we look for brain metastases? Optimised staging algorithm for OG cancer MRI for oesophageal cancer Radiomics and MIMOSA Identification of sentinel node by SPECT- how & why? Discussion 10.30-11.50 Dr Nicholas Carrol Mr Javed Sultan Mr Sukhpal Singh Mr Nick Maynard Dr Angela Riddell Dr Connie Yip Prof Mats Lindblad Coffee Break Guest Lecture 11.50 – 12.10 Standardised reporting of complications for OG surgery 12.10 - 12.20 Discussion Dr Don Low In the spotlight 12.20 – 12.30 12.30 – 12.40 12.40 – 12.50 12.50 – 13.00 13.00 – 13.15 There is no ‘I’ in team - NOGCA and individualised surgeon outcomes The Swedish Quality Care Register for OG Cancer OG Cancer – media and awareness The EURECCA Project Discussion 13.15 - 14.15 Mr Bill Allum Prof Mats Lindblad Prof Michael Griffin Mr Bill Allum Lunch Current and future therapies 14.15 – 14.30 14.30 – 14.45 14.45 – 15.00 15.00 – 15.15 15.15 – 15.30 15.30 – 15.45 15.45 – 16.00 Monoclonals – are they really the future? Vaccines/Immunotherapy for cancer The Cancer Genome Atlas (TCGA) gastric cancer – a predictor of future therapeutic agents Advances in radiotherapy techniques Quality Assurance in radiotherapy Predictive markers of treatment outcome for oesophageal cancer Discussion 16.00 – 16.15 Prof Gary Middleton Dr MazharAjaz Prof Gary Middleton Dr Marianne Illsley Dr Tom Crosby Prof Richard van Hillegersberg Tea Break Updates on current and pending trials in OG cancer 16.15 16.30 16.45 17.00 17.15 17.30 – – – – – – 16.30 16.45 17.00 17.15 17.30 17.45 17.45 –18.15 OCCAMS & ICGC ROMIO STO3 &OEO5 NeoAEGIS NeoSCOPE Salvage surgery vs. chemotherapy for stage 3b gastric cancer Discussion 19.30 Course Dinner Dr Ayesha Noorani Prof Jane Blazeby Mr Bill Allum Prof John Reynolds Dr Tom Crosby Mr Andrew Macdonald Dr Was Mansoor Wednesday 10th December 08.30 -09.00 Tea & Coffee Ongoing surgical dilemmas 09.00 – 09.20 09.20 - 09.40 09.40 - 10.00 10.00 – 10.15 Conduit necrosis – identification, classification & management Siewert II cancer - resection specific mortality, morbidity and long-term survival The philosophy and reality of radical lymph node dissection in oesophago-gastric cancer surgery Discussion 10.15-11.30 Mr Raj Veeramootoo Prof Mats Lindblad Prof George Hanna Coffee Break Video Session: How I do it 10.30 – 10.45 10.45 – 11.00 11.00 – 11.15 11.15 – 11.30 11.30 – 11.45 11.45 – 12.00 Robotic oesophagectomy 3-D minimally invasive oesophagectomy Open 2-phase oesophagectomy Left thoracoabdominal oesophagogastrectomy Standardized pathway & enhanced recovery Discussion 12.00 - 12.30 Prof Richard van Hillegersberg Mr Shaun Preston Prof George Hanna Mr Nick Maynard Mr Shaun Preston Light lunch When it all goes wrong 12.30 – 14.00 Case presentations and discussion 14.00 Close Meeting Whole Faculty Mr Shaun Preston Faculty Symposium Director Mr Shaun Preston Surgery Guildford Prof Richard van Hillegersberg Surgery Utrecht, The Netherlands Dr Mats Lindblad Surgery Stockholm, Sweden Dr Don Low Surgery Seattle, USA Dr Oliver Pech Gastroenterology Regensburg, Germany Prof John Reynolds Surgery Dublin, Ireland Mr Bill Allum Surgery London Prof Jane Blazeby Surgery Bristol Dr Nicholas Carroll Radiology Cambridge Dr Tom Crosby Clinical Oncology Cardiff Prof Michael Griffin Surgery Newcastle Prof George Hanna Surgery London Mr Sacheen Kumar Surgery London Mr Andrew Macdonald Surgery Manchester Dr Was Mansoor Medical Oncology Manchester Mr Nicholas Maynard Surgery Oxford Prof Gary Middleton Medical Oncology Birmingham Dr Ayesha Noorani Gastroenterology Cambridge Dr Angela Riddell Radiology London Mr Tim Underwood Surgery Southampton Mr Paul Wilkerson Surgery Bristol Dr Connie Yip Radiology London Dr MazharAjaz Medical Oncology Guildford Prof Michael Bailey Surgery Guildford Dr Ben Creagh-Brown ITU/Respiratory Medicine Guildford Dr Natalie Direkze Gastroenterology Guildford Mr Piers Gatenby Anaesthetics Guildford Mr Chris Grocock Surgery Guildford Dr Toc Hussain Anaesthetics Guildford Dr Marianne Illsley Clinical Oncology Guildford International National Local Dr Justin Kirk-Bayley Anaesthetics Guildford Dr Pradeep Prabhu Anaesthesia Guildford Mr Shaun Preston Surgery Guildford Mr Sukhpal Singh Surgery Guildford Mr Javed Sultan Surgery Guildford Mr Raj Veeramoothoo Surgery Guildford Course Fees Consultants: 1 day £350, 3 days £950 Registrars: 1 day £275, 3 days £750 Dieticians, Clinical Nurse Specialists and Theatre Personnel: 1 day £75 Registration To register please contact Alison Snook or Agnes Solska at MATTU Tel: +44 (0) 1483 688691 Fax: +44 (0) 1483 688633 e-mail: alisons@mattu.org.uk or a.solska@surrey.ac.uk A limited number of supported places are also available through the generous support of Ethicon Endosurgery (Johnson & Johnson Medical Limited) The Symposium is also kindly sponsored by Aquilant Interventional (Aquilant Services Limited).