Annual Congress of the Indian Association of Surgical

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Annual Congress of the Indian Association of Surgical Gastroenterology, Chennai, September 25-28, 2008

September 25. Operative Workshop: Venue: Stanley Medical College Hospital, Chennai

0800 to 1700

Cases*

Open

Open

Hepatectomy

Whipple resection

Pouch operation

Transhiatal esophagectomy

*subject to availability

Chairpersons

Laparoscopic

Laparoscopic gastrectomy

Laparoscopic colectomy

Laparoscopic splenectomy

Laparoscopic esophagectomy laparoscopic deroofing of liver cyst

Laparoscopic

1930 onwards: faculty dinner

September 26. CME programme. Venue: Savera Hotel Convention Center, Chennai

0800-0900: Video session: Masterclass videos in three halls; 10 min videos with 2 min discussion

Hall A: HPB Chair: A Supe, Mumbai, and S Nagral, Mumbai

Laparoscopic right hepatectomy

Anterior approach to right hepatectomy

Laparoscopic Frey Procedure

Laparoscopic Whipple resection

Right hepatectomy with Glissonian approach

Hall B: SS Negi, S Dave

Luminal

Gamblin Clark, Pittsburgh, USA

ST Fan, Hong Kong, China

Michael Kendrick, Rochester, USA

KV Menon, Leeds, UK

P Jagannath, Mumbai

Transhiatal esophagectomy

Three field esophagectomy

Laparoscopic gastrectomy

Laparoscopic restorative proctocolectomy

Nerve sparing Low anterior resection

SM Chandramohan, Chennai

Fujita Hiromasa, Fukuoka, Japan

Ramesh Ardhanari, Madurai

C Palanivelu, Coimbatore

P Shukla, Mumbai

Session I: Chair: N Rangabashyam, B Krishna Rau, RC Aranya

0900-0930

0930-1000

NOTES: where are we, and where do we go from here?

Laparoscopic colorectal surgery for cancer: applicability

GV Rao, Hyderabad

Varughese Mathai, limitations, and future directions: is it ready for prime time? Hyderabad

1000-1030 Neoadjuvant therapy in gastric cancer: has it made an impact? TK Chattopadhyay, New Delhi

1030-1100 Coffee Break

Session II: Chair: SP Kaushik, RA Sastry, T Ramcharan

1100-1130 Pancreatic leak after pancreaticoduodenectomy: prevention Adarsh Chaudhary, New Delhi and management

1130-1200 Pancreatic transplantation: islets or organ, what is the current status?

Raja Kandaswamy, Rochester, USA

Session III: Chair: M Ahmed Ali, R Surendran, SS Negi

1200-1230 Update Lectures: 10 min lectures with 5 min discussion

Metastatic liver disease: surgical treatment options

Hepatectomy for hilar cholangiocarcinoma

Session IV: Chair: Ashok Kumar, A Rozario, V Chandiramani

H Ramesh, Cochin

Rajan Saxena, Lucknow

1230-1300

1300-1400

Surgery for inflammatory bowel disease: what is the gold standard approach in 2008

Lunch and visit to the Poster exhibition

Sukria Nayak, Vellore

Session V: Chair: JD Wig, SK Raul, Dhananjay Sharma, Srikumari Damodaram

1400-1500 Critical issues in GI Surgery – 10 min lectures with 5 min discussion

Low anterior resection syndrome: prevention and treatment P Sahni, New Delhi

Mechanical bowel preparation in low rectal surgery what is the verdict?

Ramesh Ardhanari, Madurai

Bile leak after hepatectomy

Landmark Publications in GI surgery over the past year

Rajendra Desai, Hyderabad

Byju Kundil, Cochin

Session VI: Chair: RP Shanmugam, KN Srivastava

1500-1600 Gastroenteropancreatic neuroendocrine tumours

Case presentation and Moderation

Aggressive surgery in pancreatic neuroendocrine tumours

Is it justified?

Session VII: Chair: S Nagral, C Palanivelu, SK Mathur

1600-1630

P Jagannath, Mumbai

KV Menon, Leeds, UK

Long-term survivors of HCC after partial hepatectomy ST Fan, Hong Kong, China

– who are they?

1630-1700

1700-1730

1800-1900

Liver

Laparoscopic hepatic surgery: current status and future trends

Metabolic surgery: can diabetes mellitus be cured by bowel surgery

Inauguration followed by entertainment and dinner

September 27, 2008

0700-0800: breakfast sessions

ST Fan, TG Clark, S Gupta, R Saxena,

T Gamblin Clark, Pittsburgh, USA

Rajesh Khullar, New Delhi

Pancreatic

UGI

Laparoscopy

M Kendrick, P Jagannath, KV Menon

Fujita Hiromasa, TK Chattopadhyay, G Mathew,

Colorectal R Surendran, Ashok Kumar, P Shaikh,

Biliary and portal hypertension SS Sikora, A Agarwal, SK Mathur

C Palanivelu, P Shukla, A Ramesh

Chair: N Rajan, SK Mathur, Premasish Haldar

0800-0830: Guest Lecture: Intraductal Papillary

Mucinous Neoplasia: critical issues

0830-0920: Award Paper session: 4 papers

8 minutes for presentation, 4 minutes for discussion

Michael Kendrick, Rochester, USA

Chair: N Ananthakrishnan, JD Wig, Ahmed Ali

1.

Role of thrombocytosis and C Reactive protein level in esophageal carcinoma. N Mandjiny, M Thiagarajan, GR Verma, L Kaman, R Das, P Rajapandi,

PGI Chandigarh.

2.

Poor results with laparoscopic fenestration for simple liver cyst. MMS Bedi, V Lekha, H Ramesh, Lakeshore Hospital & Research Center, Cochin.

3.

Reasons for rejection of liver donors: an analysis of 260 consecutive living donor liver transplants. R Kakodkar, V Kumaran, S Saigal, N Saraf, N

Mohan, S Nundy, AS Soin, Sir Gangaram Hospital, New Delhi.

4.

Safe Liver resection for hilar cholangiocarcinoma without preoperative biliary drainage and portal vein embolization. B Kundil, M Jacob, B

Venugopal, H Ramesh, Lakeshore Hospital, Cochin.

0920-1000: Lucknow Oration: Chair: N Ananthakrishnan, RA Sastry, JM Mehta

Functional 3 field dissection for cancer in the thoracic esophagus

1000-1030 Coffee Break

Chair: N Rajan, P Jagannath

Fujita Hiromasa, Fukuoka, Japan

1030-1130

1130-1210

Symposium: Extended & Vascular resection in HPB surgery: 20 min plus 10 min for discussion

Vascular resections and reconstructions in pancreaticoduodenectomy Mohamed Rela, London, UK

Extended and vascular resections during hepatectomy KR Prasad, Leeds, UK

Chennai Oration: Liver transplantation: who lives, who dies

Chair; R Surendran, H Ramesh, MR Rajasekar

ST Fan

1210-1310 Special mention Posters presentation Moderator: A Chaudhary

1.

Effect of antecolic versus retrocolic reconstruction on the incidence of delayed gastric emptying (DGE) after pancreaticoduodenectomy - a prospective randomised controlled study. R Gangavatiker, TK Chattopadhyay, P Sahni, S Pal, NR Dash, All India Institute of Medical Sciences, New

Delhi. Reviewer: A Chaudhary

2.

The role of neoadjuvant chemoradiotherapy in locally advanced resectable gall bladder cancer (T3N0M0, T1-3N1M0). U Anand, TK Chattopadhyay,

P Sahni, S Pal, NR Dash, AIIMS, New Delhi. Reviewer: P Jagannath

3.

Vascular resection and reconstruction during pancreaticoduodenectomy. G Singh, B Venugopal, M Jacob, MMS Bedi, M Sharma, H Ramesh,

Lakeshore Hospital & Research Center, Cochin. Reviewer: P Sahni

4.

Central pancreatectomy – safe alternative for middle segment pancreatic pathology. R Dama, H Mishra, MG Shetty, R Pradeep, GV Rao, DN Reddy,

Asian Institute of Gastroenterology, Hyderabad. Reviewer: R Ardhanari.

5.

Urgent Living donor Liver Transplantation for Acute Liver Failure. S Sharma, RCN Menon,OV Sudheer, P Dhar,S Sudhindran, Amrita Institute of

Medical Sciences, Cochin. Reviewer: S Nagral.

6.

Technical modifications in reconstruction of the hepatic venous outflow in right lobe living donor liver transplantation. V Kumaran, R Kakodkar, S

Saigal, N Saraf, N Mohan,S Nundy, AS Soin, Sir Gangaram Hospital, New Delhi. Reviewer: ST Fan

7.

Endocytoscopy-assisted laparoscopic intraoperative diagnosis of disseminated malignancy. MJ Mansard, R Pradeep, GV Rao, DN Reddy, Asian

Institute of Gastroenterology, Hyderabad. Reviewer: M Kendrick.

8.

Relevance of Resection margin status in pancreaticoduodenectomy, PS Rao, A Perwaiz, A Singh, A Chaudhary, Sir Gangaram Hospital, New Delhi.

Reviewer: KV Menon.

1310-1400 Lunch

1400-1500 Debates in GI Surgery: 10 min talk plus 5 min discussion

Chair: SK Mathur, R Pradeep, Chetan Kantharia, Mohamed Ibrarullah

Hepatocellular carcinoma: Resection versus Transplantation

Sentinel node in GI Surgery: useful or gimmick?

Early feeding in GI Surgery: fashion or advance

abdominal approach

GE junction adenocarcinoma: transthoracic, transhiatal or

AS Soin, New Delhi

Parul Shukla, Mumbai

Shailesh Shrikhande, Mumbai

SM Chandramohan, Chennai

1500-1600 Free paper session: three halls simultaneously (7 minutes for each presentation, and 3 minutes for discussion)

Hall A: Main Hall

Session I: Hepatobiliary: Chair: Nilesh Doctor, S Sudhindran

1.

Major hepatic resection- our experience of 79 cases. Vijayakumar C Bada, K Ravindranath, Global Hospital, Hyderabad.

2.

Double donor graft vessels in living donor liver transplantation : Is double really trouble? R Kakodkar, V Kumaran,S Saigal, N Saraf, N Mohan, S

Nundy and AS Soin, Sir Gangaram Hospital, New Delhi.

3.

Surgical Complications among recipients and donors in an early experience of liver transplantation at a center in Western India. S Philip, V Gandhi, P

Gupte, A Nagral, N Doctor, S Nagral, Jaslok Hospital, Mumbai

4.

Technical innovations for Liver SOLs unsuitable for conventional liver resection. D Sood, V Kumaran, R Kakodkar, S Saigal, N Saraf, N Mohan, S

Nundy, AS Soin, Sir Gangaram Hospital, New Delhi.

5.

Symptomatic non-parasitic benign cystic liver diseases – surgical options. S Debakshi, S Sen, CMRI, Kolkata.

6.

Effect of Persistent External Biliary Fistula on the Surgical Repair and Outcome of Patients with Post Cholecystectomy Benign Biliary Stricture. R

Vijayahari, A Prakash, A Behari, RK Singh, A Kumar, R Saxena, VK Kapoor, Sanjay Gandhi Post Graduate Institute, Lucknow.

Session II: Hall B: Foregut I: Chair: G Mathew, BS Tiruvadanan

1.

Foreign body induced tracheo-esophageal fistula: a novel surgical technique and our experience. S Bandhopadhyay, V Abraham, S Inian, S

Chandran, G Mathew, Christian Medical College, Vellore.

2.

Laparoscopic management of gastric GIST. P Kumar, N Mohan, R Ardhanari, Meenakshi Mission hospital, Madurai.

3.

Surgical Outcomes of patients with gastrointestinal stromal tumours. P Kumar, N Mohan, R Ardhanari, Meenakshi Mission hospital, Madurai.

4.

A prospective randomized controlled trial to compare stapled side-to-side versus handsewn end-to-end cervical esophagogastric anastomosis after

Transhiatal esophagectomy in carcinoma esophagus patients. H Mishra, R Dama, R Pradeep, S Rao, U Rao, GV Rao, DN Reddy, Asian Institute of

Gastroenterology, Hyderabad.

5.

Peptic Ulcer: an institutional audit. S Arveen, S Jagdish, D Kadambair, JIPMER, Pondicherry.

6.

Comparison between pyloromyotomy and pyloric sphincter stretching in facilitating the emptying of intrathoracic stomach: a randomized controlled trial. S Saravanan, R Singh, V Gupta, BR Mittal, PGI, Chandigarh.

Hall C: Session III: Pancreatic: Chair: R Pradeep, Paresh P Varty

1.

Enteral nutrition in severe acute pancreatitis – a prospective study. RP Doley, TD Yadav, R Kochhar, A Kudari, Kishore GSB, R Gupta, V Gupta, C

Vaishnavi, G Singh, JD Wig,PGI, Chandigarh.

2.

Post-pancreaticoduodenectomy pancreatitis: predictors and outcome. AK Tank, RK Singh, A Prakash, A Behari, AK Gupta, R Saxena, VK Kapoor,

SGPGI, Lucknow.

3.

Therapeutic strategies in severe acute pancreatitis - a prospective study. Kishore GSB, JD Wig, R Kochhar, RP Doley, TD Yadav, R Gupta, V Gupta, R

Babu, N Kalra, PGI, Chandigarh.

4.

Validation of the modified CT severity index as a better predictor of outcome in patients with acute pancreatitis. MJ Mansard, J Singh, R Dama, R

Pradeep, GV Rao, DN Reddy, Asian Institute of Gastroenterology, Hyderabad.

5.

Post-pancreatic surgery hemorrhage: incidence, etiology, management and outcome - a single-center experience.M Sharma, N Seethalekshmi,

MMS Bedi, MD Gandhi, M Jacob, A Venugopal, B Venugopal, H Ramesh, Lakeshore Hospital & Research Center, Cochin

6.

Follow up evaluation after severe acute pancreatitis. R Gupta, JD Wig, DK Bhasin, P Singh, S Suri, PGI, Chandigarh.

1600-1630 Quiz Vikram Kate, Pondicherry

1630-1730 Transfer to Temple Bay, Mamallapuram

1730-1900

1900-2000

On the beach

Annual General Meeting of the Association

2000 onwards Dinner

September 28, 2008

0700-0800 Masterclass videos

Hall A: Chair: Col Atul Sharma, Delhi, M Subramaniam, Chennai

Safe pancreatic anastomosis

Robotic surgery including VATS in India

Laparoscopic choledochal cyst excision

Minimally invasive retroperitoneal pancreatic necrosectomy

Shailesh Shrikhande, Mumbai

Arvind Kumar, Delhi

C Palanivelu, Coimbatore

KK Madhavan, Singapore

Laparoscopic Whipple operation

Hall B: Chair: Nilesh Doctor, Mumbai, KR Prakasam, Salem

Non conventional hepatic resection using RFA and staplers

Laparoscopic Nissen fundoplication with crural patch

Open D2 gastrectomy

How to do a liver transection

Proximal Lieno renal shunt

0800-0900 Breakfast sessions

UGI: N Ananthakrishnan, Sanjay Sharma, SM Chandramohan

Pancreas; JD Wig, RA Sastry, A Chaudhary

Liver: KK Madhavan, KV Prasad, AS Soin, S Govil, S Nagral

Colorectal: Sukria Nayak, V Mathai, Maj Gen Ramdas

0900-0945

0945-1100

C Palanivelu, Coimbatore

Subodh Varshney, Bhopal

C Palanivelu, Coimbatore

R Surendran, Chennai

Shailesh Shrikhande, Mumbai

P Sahni, Delhi

Biliary: A Ramesh, Srikumari Damodaram, Subodh Varshney

Chair: Ramesh Ardhanari, A Chaudhary, OV Sudheer

Minimally invasive pancreatic surgery Michael Kendrick, Rochester, USA

Debates in GI Surgery – 8 min for each speaker, 2 min for rebuttal, and 5 min for audience participation

Chair: CMK Reddy, S Varshney, Col Atul Sharma

1100-1130

1.

Biliary stricture repair a.

Early specialist repair is better b.

Delayed repair is better

KK Madhavan, Singapore

SS Sikora, Bangalore

2.

Localised squamous cell carcinoma of mid-esophagus (T2-3, N?M0) a.

Transthoracic resection is better b.

Transhiatal resection is better

3.

Intervention in infected pancreatic necrosis a.

Open surgery is still the gold standard b.

Gold standard has shifted towards minimally invasive

Sanjay Sharma, Mumbai

SM Chandramohan, Chennai

Vibha Varma, Hyderabad

and non operative approaches Sanjay Govil, Bangalore

Veerabhai JR Das Aggarwal Oration:

Chair: RA Sastry, JM Mehta, H Ramesh

1130-1230 free Paper session: concurrently in three halls

Corrosive injuries of the upper GI tract: an Indian viewpoint

A Rathnaswami, Chennai

Session IV: Hall A: Foregut II: Chair: AN Supe, ON Babu

1.

Management of corrosive strictures of esophagus – our experience. NS Nagesh, S Diwakaramurthy, R Bhat, R Nayak, KV Ashok Kumar, Bangalore

Hospital & Research Center, Bangalore

2.

Can stomach be used as the conduit even in the presence of antral strictures when colon is not available? M Kanagavel, C Sugumar, SM

Chandramohan, Royapettah Hospital, Chennai.

3.

Initial experience with thoracoscopic-assisted esophagectomy. S Sharma, S Sudhindran, P Dhar, OV Sudheer, Amrita Institute of Medical Sciences,

Cochin.

4.

Esophageal perforation: an audit. M Kanagavel, C Sugumar, SM Chandramohan, Royapettah Hospital, Chennai.

5.

Neoadjuvant chemotherapy in locally advanced carcinoma stomach – A promising approach. M Jayaraman, OV Sudheer,S Sudhindran, P Dhar,

Amrita Institute of Medical Sciences, Cochin.

6.

Tuberculous dysphagia – a review. C Sugumar, M Kanagavel, SM Chandramohan, Royapettah Hospital, Chennai.

Session V: Colorectal & Miscellaneous: Hall B: Chair: Varughese Mathai, AK Gupta

1.

Laparoscopic Versus Open Colonic Resections for Left Sided Colonic Tumors: Short Term Results of 62 patients. K Prakash, D Varma, M Rajan, NP

Kamlesh, GN Ramesh, M Philip, PVS Memorial Hospital, Cochin.

2.

Is inferior mesenteric root lymph node dissection critical to the surgical treatment of carcinoma rectum? MMS Bedi, B Kundil, H Ramesh, Lakeshore

Hospital, Cochin.

3.

Modified triple stapling technique for colorectal anastomosis after anterior resection for rectal carcinoma – a preliminary report. L Anand, S

Damodaram, ON Babu, T Selvaraj, P Raghumani, Madras Medical college, Chennai.

4.

The Puborectalis muscle compensates continence in patients after fistulotomy with or without seton. T Jacob, B Perakath, S Nayak, MRB Keighley,

M R Jesudasan. P Samuel, Christian Medical College, Vellore.

5.

Clinical study of enterocutaenous fistula. Prakash Kumar MN, S Jagdish, Kate V, Maroju NK, CMC, Vellore.

6.

Correlation of preoperative CT enteroclysis (single slice) with intra operative findings in 43 consecutive patients with suspected small bowel pathology. R Dama, R Pradeep, GV Rao, P Nag, R Jagadeesh, Reddy DN, Asian Institute of Gastroenterology, Hyderabad.

Session VI: Pancreatic, Biliary & Miscellaneous, Hall C: Chair: Nilesh Doctor, Mumbai & A Rathnaswami, Chennai

1.

Impact of Intra operative Ultrasonogram in surgery for chronic pancreatitis. RSaravanabhoopathi,S Sukumar , S Jeswanth, V Vimalraj, D Jyotibasu, S

Rajendran, P Ravichandran, TG Balachander, D Kannan, R Surendran, Stanley Medical College Hospital, Chennai.

2.

Pancreatic fistula after pancreaticoduodenectomy – incidence & outcomes of management in a tertiary care center. SM Sivaraj, V Vimalraj, S

Rajendran, D Jothibasu, S Jeswanth, P Ravichandran, D Kannan, TG Balachander, R Surendran, Stanley Medical College Hospital, Chennai.

3.

Complicated choledochal cysts. S Daga, V Varma, N Bheerappa, RA Sastry, Nizam’s Institute of Medical Sciences, Hyderabad.

4.

Mucin expression and polarization pattern in gallbladder carcinoma. S Maurya, A Pandey, M Tewari, M Kumar, HS Shukla, Institute of Medical

Sciences, BHU, Varanasi.

5.

An audit of surgical management of Crohn’s disease at a tertiary centre. S Mahesh S, B Kundil, V Lekha, M Sharma,M Jacob, H Ramesh, Lakeshore

Hospital Cochin.

6.

Visceral artery aneurysms – NIMS experience. VM Thumma , V Varma , N Bheerappa , RA Sastry, Nizam’s Institute of Medical Sciences, Hyderabad.

1230-1330 Disaster limitation in surgery: two experts speak for 3 minutes each with 4 minutes for discussion

1.

Laparoscopic appendectomy: sloughed base & friable cecum

2.

Gastric pull up for esophagus replacement: colour change or falls short

Sunil Kumar, Jamshedpur, and G Srikanth, Bangalore

P Radhakrishna, Chennai, and Srikumari Damodaram, Chennai

3.

Bleeding from sacral veins during resection of huge rectal neoplasm

4.

Posterior capsular perforation during Frey procedure

5.

Tracheal injury during esophageal surgery

6.

Ileal pouch does not reach the anorectal junction

Mihir Mahapatra, Cuttack, and Col Atul Sharma, New Delhi

Moderation and concluding remarks: R Surendran, RA Sastry, PK Patnaik, H Ramesh

Lunch

Three post conference courses

TG Balachander, Chennai, and Nilesh Doctor, Mumbai

M Ahmed Ali, Chennai, and Hemant Raj, Chennai

Anil Agarwal, New Delhi, and Maj Gen Ramdas, New Delhi

1330-1430

1430-1530 a) Digital video editing: Dr Parthasarathy, Coimbatore – Hall A b) Stoma therapy: CA Saroja RNET--- Hall B c) Storage, retrieval and analysis of data: P Sahni, RA Sastry- Hall C a.

Storage: RA Sastry b.

Analysis: P Sahni

1530-1600 Valedictory function and close

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