T H E A M E R I C A N C O L L E G E O F G A S T R O E N T E R O L O G Y ACG 2014 Preliminary Registration Program Annual Scientific Meeting and Postgraduate Course October 17-22, 2014 Pennsylvania Convention Center Philadelphia, PA ACG 2014 Annual Scientific Meeting and Postgraduate Course Table of Contents Message from the ACG President. . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Schedule at a Glance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Exhibit Hall Hours. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Featured Lectures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Focused Programs for GI Fellows. . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Special Events and Receptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Hands-on Workshop Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 IMPORTANT DATES TO REMEMBER Pre-registration Deadline Wednesday, September 24, 2014 Housing Deadline Wednesday, September 24, 2014 Educational Programs Needs Assessment, Faculty Disclosures . . . . . . . . . . . . . . . . . . . . . . . 8 Practice Management Course. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 ASGE-Sponsored Endoscopy Course. . . . . . . . . . . . . . . . . . . . . . . . . 12 Recertification and Preparation Update Course . . . . . . . . . . . . . . 14 3-Day Clinical Review Pathology and Imaging Course . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . What’s New in GI Pharmacology Course. . . . . . . . . . . . . . . . . . . . . . 3-Day Clinical Review Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Annual Postgraduate Course. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postgraduate Course Faculty Listing . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 17 17 22 Annual Scientific Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Annual Scientific Meeting Faculty Listing. . . . . . . . . . . . . . . . . . . . .37 Download ACG 2014 slides to your Apple or Android smart device with eventScribe! Follow along with the presenter when you download slides using the eventScribe app by CadmiumCD. The eventScribe app, native to Apple and Android devices including tablets, phones, and Kindle Fire, can be downloaded in advance and used onsite during the meeting. eventScribe lets you take notes next to each slide, highlight information and draw on each slide. Save your notes to reference course available on after the meeting. Look for this symbol to see if eventScribe slide downloads are available. Poster Presentations Poster Categories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sunday, October 19, Posters 1 – 606. . . . . . . . . . . . . . . . . . . . . . . . . . Monday, October 20, Posters 607 – 1213 . . . . . . . . . . . . . . . . . . . . . Tuesday, October 21, Posters 1214 – 1818 . . . . . . . . . . . . . . . . . . . . 39 40 67 93 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 Hotel Information and Map. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 ACG Auxiliary Events and Tours . . . . . . . . . . . . . . . . . . . . . . . . . . 123 Registration Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124 Registration Form. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Exhibit Hall. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Child Care Form. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 Enjoy Philadelphia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130 Gutrunners. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130 Join Your Colleagues in Philadelphia for ACG 2014 The Premier GI Clinical Event of the Year! Dear Colleagues, It is my great pleasure to invite you to ACG 2014, ACG’s Annual Scientific Meeting and Postgraduate Course, the premier GI clinical event of the year. This year’s meeting will be held in Philadelphia, Pennsylvania at the Pennsylvania Convention Center. The faculty includes internationally known experts and rising stars in the field of gastroenterology and hepatology, delivering the latest clinical updates on common and not-so-common GI disorders, as well as what is on the horizon that may impact your practice. Get the answers you seek, exchange ideas with fellow colleagues, learn the latest clinical updates and gain insight from the experts at ACG 2014. Developed by clinical gastroenterologists for gastroenterologists and their non-physician colleagues, ACG 2014 is designed to meet your needs and cover the topics of most importance to you. The educational program is designed with the busy GI clinician in mind. You can customize your schedule to attend one day for one or more of the special Friday courses, two days for the Postgraduate Course, three days for the Annual Scientific Meeting, or a combination of the three. Unlike other unwieldy meetings, at ACG 2014, you won’t find dozens of sessions taking place at the same time, so you won’t miss any topics of interest to you. At ACG 2014 you will find: • Numerous educational sessions that will provide ways to enhance patient care and improve efficiency in your practice • Earn MOC points at the Recertification Preparation & Update Course • Cutting-edge research presented by colleagues from the U.S. and abroad • Networking events to connect with old colleagues and make new contacts • An exhibit hall showcasing the latest advances in technology and therapeutics New for the Annual Postgraduate Course is PG+MOC, a 10 point maintenance of certification module that Postgraduate Course attendees can purchase. More information about PG+MOC and how to access the module can be found on page 19. ACG’s popular Hands-on Workshop Center is back for a fifth year. Located in the Exhibit Hall, leading experts will demonstrate the latest tools and techniques using the most advanced devices and equipment. Pre-registration for the hands-on sessions will take place onsite in Philadelphia. The Hands-on Workshop Center will be open beginning Sunday, October 19th. See page 7 for more information. The ACG Annual Scientific Meeting is the ONLY major GI meeting that is still offered as a member benefit at no extra charge. ACG members also receive discounted registration rates for the Postgraduate Course and Friday courses. One reason the College can continue to offer this as a member benefit is the participation of exhibitors at the meeting. Exhibitor participation in the Exhibit Hall, as well as Exhibitor sponsorship and promotion, helps to offset costs for the meeting, and without their support, the meeting in its current form would not be possible. Their participation also allows you the opportunity to learn the latest information about their products without disrupting your busy work schedule. I encourage every attendee to visit the Exhibit Hall while at ACG 2014, take advantage of all that you can see and learn, and express your appreciation to exhibitors for their participation at the meeting. The Exhibit Hall Opening Reception will be held on Sunday, October 19th, immediately following the Postgraduate Course. This change provides an opportunity for PG Course registrants to mix and mingle with colleagues while browsing the Hall and viewing the posters being presented. I hope you will join me in Philadelphia, October 17th through the 22nd. Take a couple of days away from the office to be re-energized about your profession and reconnect with colleagues. Registration and housing for ACG 2014 are now open. You can find more information beginning on page 120. Learn more about what to do and see in Philadelphia on page 130. Sincerely, Harry E. Sarles, Jr., MD, FACG ACG President P.S. Follow ACG on Twitter and Facebook. Members can join discussions online at the GI Circle, ACG Hepatitis Circle, and the ACG & CCFA IBD Circle. 1 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Schedule at a Glance Friday, October 17 Sunday, October 19, continued 6:00 am – 8:00 pm Registration Broad Street Atrium 6:00 am – 8:00 pm Job Forum Broad Street Atrium 6:30 am – 8:00 am Continental Breakfast Outside course rooms 7:00 am – 12:30 pm GI Pathology and Imaging Course Room 120ABC 7:30 am – 4:45 pm Practice Management Course Room 121ABC 8:00 am – 5:00 pm ASGE-Sponsored Course Room 122AB 1:15 pm – 4:30 pm What’s New in GI Pharmacology Course Room 120ABC 5:00 pm – 9:00 pm Negotiation and Networking Skills Workshop* Room 124-125 5:00 pm – 9:30 pm Recertification Preparation & Update Course Room 119AB 8:00 am – 5:00 pm ACG Store Terrace Ballroom Lobby 12:20 pm – 1:35 pm Optional Learning Luncheons* (ticket required) See ticket for room assignment 12:20 pm – 1:35 pm Trainees Luncheon* – Employment (ticket required) Room 115B 12:20 pm – 1:35 pm Trainees Luncheon* – Fellowship (ticket required) Room 115C 3:30 pm – 7:00 pm Exhibit Hall Opens Exhibit Halls DE 3:30 pm – 7:00 pm Hands-on Workshop Center Exhibit Halls DE 3:30 pm – 7:00 pm Poster Sessions Exhibit Halls DE 5:15 pm – 6:00 pm International Attendee Reception Room 124 5:15 pm – 6:00 pm NP/PA Attendee Reception Room 125 5:15 pm – 6:00 pm Women and Minorities in GI Reception Room 123 5:15 pm – 7:00 pm Opening Welcome Reception Exhibit Halls DE 6:00 pm – 7:00 pm Alumni Receptions See invitation for room assignment Saturday, October 18 7:00 am – 7:45 am Continental Breakfast Terrace Ballroom Lobby 7:00 am – 5:15 pm Registration Broad Street Atrium 7:00 am – 5:15 pm Job Forum Broad Street Atrium 7:50 am – 5:00 pm Postgraduate Course Terrace Ballroom 8:00 am – 10:00 am Auxiliary Registration/Hospitality Suite Philadelphia Marriott Downtown - Room 310 8:00 am – 5:00 pm ACG Store Terrace Ballroom Lobby 10:00 am – 10:30 am David Sun Lecture Terrace Ballroom 12:20 pm – 1:35 pm Optional Learning Luncheons* (ticket required) See ticket for room assignment 12:20 pm – 1:35 pm Career Opportunities for Women in GI Luncheon* Room 119B (ticket required) 5:15 pm – 7:00 pm GI Jeopardy Room 120AB Monday, October 20 6:00 am – 4:45 pm Registration Broad Street Atrium 6:00 am – 4:45 pm Job Forum Broad Street Atrium 6:30 am – 7:45 am Optional Breakfast Sessions* (ticket required) See ticket for room assignment 7:50 am – 6:00 pm Annual Scientific Meeting Terrace Ballroom 8:00 am – 10:00 am Auxiliary Registration/Hospitality Suite Philadelphia Marriott Downtown - Room 310 8:00 am – 6:00 pm ACG Store Terrace Ballroom Lobby 9:00 am – 9:30 am Presidential Address Terrace Ballroom 10:00 am – 4:30 pm Exhibit Hall Exhibit Halls DE 10:00 am – 4:30 pm Hands-on Workshop Center Exhibit Halls DE 10:30 am – 4:00 pm Poster Sessions Exhibit Halls DE 12:45 pm – 1:30 pm Exhibitor Theater Exhibit Halls DE 12:45 pm – 2:15 pm Lunch Break Exhibit Halls DE 3:00 pm – 3:45 pm The American Journal of Gastroenterology Lecture Terrace Ballroom 3 3:55 pm – 4:35 pm ACG Informational Session – ABIM's Maintenance of Certification Program Room 122AB 6:00 pm – 6:30 pm ACG Business Meeting Terrace Ballroom 3 Sunday, October 19 7:00 am – 7:45 am Continental Breakfast Terrace Ballroom Lobby 7:00 am – 8:00 am Gutrunners™ 5k Race /1 Mile Walk Location to be announced 7:00 am – 6:30 pm Registration Broad Street Atrium 7:00 am – 6:30 pm Job Forum Broad Street Atrium 7:50 am – 5:00 pm Postgraduate Course Terrace Ballroom 8:00 am – 10:00 am Auxiliary Registration/Hospitality Suite Philadelphia Marriott Downtown - Room 310 * Pre-registration required For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 2 Schedule at a Glance Exhibit Hall 6:00 am – 5:00 pm Registration Broad Street Atrium 6:00 am – 5:00 pm Job Forum Broad Street Atrium 6:45 am – 8:15 am Optional Breakfast Sessions* (ticket required) See ticket for room assignment 8:00 am – 10:00 am Auxiliary Registration/Hospitality Suite Philadelphia Marriott Downtown - Room 310 8:00 am – 6:15 pm ACG Store Terrace Ballroom Lobby 8:30 am – 6:15 pm Annual Scientific Meeting Terrace Ballroom 10:00 am – 10:30 am J. Edward Berk Distinguished Lecture Terrace Ballroom 3 10:00 am – 4:30 pm Exhibit Hall Exhibit Halls DE 10:00 am – 4:30 pm Hands-on Workshop Center Exhibit Halls DE 10:30 am – 4:00 pm Poster Sessions Exhibit Halls DE 12:45 pm – 2:15 pm Lunch Break Exhibit Halls DE 4:30 pm – 5:00 pm Emily Couric Memorial Lecture Terrace Ballroom 3 The science and technology of medicine is everchanging and advancing the practice of gastroenterology. Showcasing these latest advances in technology and therapeutics is the ACG 2014 Exhibit Hall where more than 140 companies will display and demonstrate their products and services. With the variety of exhibitors expected to participate, there are certain to be displays of interest for all attendees. Companies who exhibit include pharmaceutical manufacturers, medical instrument suppliers, research companies, technology companies, publishers, non-profit organizations, recruiters and many others. GENERAL INFORMATION Tuesday, October 21 Immediately following the conclusion of the Postgraduate Course on Sunday, join colleagues for the ACG 2014 Opening Welcome Reception in the Exhibit Hall from 5:15 pm – 7:00 pm. The Reception will feature hors d’ouevres and refreshments. This light-hearted social gathering will give all attendees the opportunity to explore the Hall, meet with exhibitors, and network and mingle with fellow professionals. Wednesday, October 22 6:00 am – 12:15 pm Registration Broad Street Atrium 6:00 am – 12:15 pm Job Forum Broad Street Atrium 6:45 am – 8:15 am Optional Breakfast Sessions* (ticket required) See ticket for room assignment 8:00 am – 12:15 pm ACG Store Terrace Ballroom Lobby 8:30 am – 12:15 pm Annual Scientific Meeting Terrace Ballroom 10:15 am – 10:45 am David Y. Graham Lecture Terrace Ballroom 3 Exhibit Hall Hours Sunday, October 19..................3:30 pm – 7:00 pm Opening Welcome Reception 5:15 pm – 7:00 pm Monday, October 20................ 10:00 am – 4:30 pm Tuesday, October 21............... 10:00 am – 4:30 pm Pre-registration deadline: September 24, 2014 Download ACG 2014 slides to your Apple or Android smart device with eventScribe! course available on Follow along with the presenter when you download slides using the eventScribe app by CadmiumCD. The eventScribe app, native to Apple and Android devices including tablets, phones, and Kindle Fire, can be downloaded in advance and used onsite during the meeting. eventScribe lets you take notes next to each slide, highlight information and draw on each slide. Save your notes to reference after the meeting. 3 Look for this symbol to see if eventScribe slide downloads are available. For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Featured Lectures David Sun Lecture The Cloudy Future for Physicians: Reimbursement and Practice Changes in the Post-ACA Era Richard A. Kozarek, MD, FACG, is currently the Executive Director of the Digestive Disease Institute at Virginia Mason, as well as Clinical Professor of Medicine at the University of Washington. In a career spanning more than 30 years, Dr. Kozarek has contributed almost 400 scientific papers, invited reviews, editorials, and books to the medical literature on topics ranging from therapeutic endoscopy, inflammatory bowel diseases and practice economics. A past president of the American Society of Gastrointestinal Endoscopy (ASGE), he was the 2005 recipient of the ASGE’s highest honor, the Schindler Award. Dr. Kozarek is the President of the Society for Gastrointestinal Intervention and the President-Elect of the World Gastroenterology Organization (OMGE). Saturday, October 18 10:00 am – 10:30 am • Terrace Ballroom Thomas A. Scully, JD, has been awarded this year’s David Sun Lecture. Mr. Scully served as Administrator of the Centers for Medicare & Medicaid Services (CMS) from 2001-2004. In his role as Administrator, he was instrumental in designing and passing Medicare reform and Medicare Part D legislation and in making the vast agency more open and accountable to the public. He initiated the first public reporting and disclosure for comparative quality among hospitals, nursing homes, home health agencies and dialysis centers. The David Sun Lecturership, held during the Annual Postgraduate Course, was established by Mrs. Sun in memory of her husband, Dr. David Sun, an outstanding gastroenterologist and investigator. The Lecturer, wish a distinguished background in gastroenterology or an allied field, is chosen by the Course Directors of the Postgraduate program subject to the approval of the Educational Affairs Committee and the Board of Trustees. All who are registered for the Postgraduate Course are invited to attend. Emily Couric Memorial Lecture Cancer in IBD: The Colon and Beyond Tuesday, October 21 4:30 pm – 5:00 pm • Terrace Ballroom 3 Stephen B. Hanauer, MD, FACG, has been designated to deliver the Emily Couric Memorial Lecture. Dr. Hanuaer has had a distinguished career in medicine. He is currently the Medical Director of the Digestive Disease Center at Northwestern Medicine and is Professor of Medicine in the Northwestern Feinberg School of Medicine. Dr. Hanauer is President-elect of the American College of Gastroenterology. The Emily Couric Memorial Lecture, developed by the ACG, the Virginia Gastroenterological Society and the Old Dominion Society of Gastroenterology Nurses and Associates, is in honor of Virginia State Senator Emily Couric who died of pancreatic cancer in October of 2001. Senator Couric was a strong advocate for health care issues, particularly in her instrumental work to pass the nation’s first legislation mandating health insurance coverage for colorectal cancer screening. All who are registered for the Annual Scientific Meeting are encouraged to attend. The American Journal of Gastroenterology Lecture Treatment of IBD: Where We Are and Where We Are Going Monday, October 20 3:00 pm – 3:45 pm • Terrace Ballroom 3 The American Journal of Gastroenterology Lecture, “Treatment of IBD: Where We Are and Where We Are Going,” will be presented this year by Charles N. Bernstein, MD, FACG. The AJG Lecturer was chosen by the Co-Editors of The American Journal of Gastroenterology with approval from the ACG Educational Affairs Committee and the Board of Trustees. Charles N. Bernstein, MD, FACG, received his MD from the University of Manitoba in 1985, was certified in internal medicine 1989 (FRCPC and ABIM) at the University of Manitoba, and in Gastroenterology in 1991 (FRCPC and ABIM) at UCLA. He held a faculty position at UCLA in 1991-1993 until taking a position at the University of Manitoba in 1993. He is currently Professor of Medicine, Head, Section of Gastroenterology, Director of the University of Manitoba Inflammatory Bowel Disease Clinical and Research Centre. David Y. Graham Lecture Idiosyncratic Drug-induced Liver Injury: What Have We Learned in the Last Decade? Wednesday, October 22 10:15 am – 10:45 am • Terrace Ballroom 3 Naga P. Chalasani, MD, FACG, is being honored this year as presenter of the David Y. Graham Lecture. The presenter is chosen by the President and is subject to approval by the Board of Trustees. This named lectureship was established in 2004 in recognition of the many contributions to clinical gastroenterology made by David Y. Graham, MD, MACG. The lectureship was made possible through a donation by Otsuka Pharmaceutical Co., Inc., and Meretek Diagnostics, Inc. All who are registered for the Annual Meeting are encouraged to attend. Dr. Chalasani currently serves as Professor of Medicine at Indiana University School of Medicine and as the Director of its Division of Gastroenterology and Hepatology. He is a clinical hepatologist by training and in practice and is board certified in internal medicine, gastroenterology and hepatology, and transplant hepatology CAQ. He has published over 130 original manuscripts and dozens of review articles and text book chapters. He serves on the editorial boards of many scientific journals and he is one of founding PIs for the NIDDK-funded Drug Induced Liver Injury Network (DILIN) and for the NIDDK-funded NASH Clinical Research Network. He is currently a Trustee of the ACG. J. Edward Berk Distiguished Lecture GI and Endoscopic Training for the Future Gastroenterologist Tuesday, October 21 10:00 am – 10:30 am • Terrace Ballroom 3 This year’s J. Edward Berk Distinguished Lecture has been awarded to Richard A. Kozarek, MD, FACG. Awarded to individuals prominent in gastroenterology or a related area, the J. Edward Berk Distinguished Lecturer is nominated by the President and the appointment is subject to approval by the Board of Trustees. The lectureship was established in recognition of the significant contributions made by J. Edward Berk, MD, MACG, to clinical gastroenterology during his long and distinguished clinical and academic career. A nationally and internationally renowned physician and teacher, Dr. Berk also served as ACG President from 1975-1976. All who are registered for the Annual Meeting are encouraged to attend. For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 4 Focused Programs for GI Fellows "Employment Agreements" • Sunday, October 19 • 12:20 pm – 1:35 pm • Room 115B "4th Year GI Fellowships" • Sunday, October 19 • 12:20 pm – 1:35 pm • Room 115C This year, two special luncheons exclusively for fellows-in-training will be offered on Sunday during the Postgraduate Course. The topics will be “Employment Agreements” and “4th Year GI Fellowships.” The luncheons will be offered simultaneously, so you can only choose to attend one. Don’t delay as these luncheons sell out every year. Negotiation and Networking Skills Workshop Friday, October 17 • 5:00 pm – 9:00 pm • Room 124-125 The Women in Gastroenterology Committee is hosting a program geared towards senior GI fellows and junior faculty, addressing the specifics of both the private practice and academic job search. Discussions will focus on details of private practice versus academics, contract analysis, networking skills, negotiating skills, and work-life balance, for both men and women. Separate breakouts for small group discussions are planned. Dinner will be provided. Events for GI Fellows Two Simultaneous Trainees’ Luncheons The American College of Gastroenterology is committed to serving the specific needs of GI trainees. The ACG 2014 Annual Scientific Meeting and Postgraduate Course include elements designed with this aim in mind. The College assists GI trainees as they prepare for their future in gastroenterology, offering focused discussions from gastroenterologists in a variety of practice settings, such as the Trainees’ Luncheon, Career Opportunities for Women in GI Luncheon, and the Negotiation and Networking Skills Workshop. Plus, there is an opportunity for those in training programs to showcase their talents by competing in GI Jeopardy. The luncheons are available to all trainees in gastroenterology and hepatology, and each have a fee of $35. See the Registration Form on page 124 to select one of the luncheons. Hands-on Workshop Center – Trainee-only Sessions ACG will again offer the Hands-on Workshop Center in the Exhibit Hall featuring sessions delivered by ACG faculty experts. Faculty will present an overview of the device or technique, a demonstration using the device, and attendees will then have an opportunity to practice using the equipment. Each session will feature devices provided from two or more companies, when available. Advance registration is required and space is limited. To register, please visit http://gi.org/education-and-meetings/negotiation-andnetworking-skills-workshop. Career Opportunities for Women in GI Luncheon In addition, the College will offer trainee-only hands-on sessions. Look for details in September. Pre-registration for GI fellows hands-on sessions is required. Second and third year fellows will receive an email notification when pre-registration opens up. GI fellows only sessions are: Endoscopy Potpourri – Hemostasis, Foreign Body Removal, EMR and ERCP, ERCP, EUS, Foreign Body Removal, Motility Disorders – Esophageal and Anorectal, Hemorrhoid Therapy, Mucosal Ablation, EMR/Polypectomy, and Capsule Endoscopy. Saturday, October 18 • 12:20 pm – 1:35 pm • Room 119B The Women in Gastroenterology Committee is hosting a program geared toward residents and trainees who are facing difficult decisions regarding the future of their medical careers. Female gastroenterologists from a variety of medical backgrounds will address the issues of being a female subspecialist, balancing career and family, and opportunities for women in medicine, and, more specifically, gastroenterology. Advance registration is required and space is limited. To register, please visit http://gi.org/education-and-meetings/career-opportunitiesfor-women-in-gastroenterology. Trainee-only sessions will take place on Sunday, October 19 from 3:30 pm to 7:00 pm, and Monday and Tuesday, October 20 and 21, beginning at 7:45 am. Trainees are also welcome to participate in any hands-on session offered during regular Exhibit Hall hours on Sunday from 3:30 pm – 7:00 pm, and Monday and Tuesday from 10:00 am – 4:30 pm. GI Jeopardy: Buzz In for Your Training Program Saturday, October 18 • 5:15 pm – 7:00 pm • Room 120AB ACG’s favorite quiz show, GI Jeopardy, will be back again in 2014. To become a contestant, you must be a fellow-in-training, but all are welcome to attend the competitive final round, a spirited GI version of the television classic. See page 7 for additional information. The competition begins in July with a preliminary round open to all GI training programs. Groups of fellows will take a 55-question online test on a variety of GI topics and diseases. The top five scoring programs will then be invited to send two-person teams to compete in front of a live audience at ACG 2014. Travel expenses for the teams will be covered by ACG. Last year’s GI Jeopardy finalists were supported by more than 300 lively audience members giving the event a real game show atmosphere. 5 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Special Events There are numerous opportunities at ACG 2014 to network with your peers. Here are a few of the events taking place this year at ACG 2014. Unless otherwise noted, all events will take place at the Pennsylvania Convention Center. Additional Events The Opening Welcome Reception Sunday, October 19, 5:15 pm – 7:00 pm The 4th Annual Gutrunners™ 5k Race /1 Mile Walk Sunday, October 19 7:00 am • Location to be announced Immediately following the conclusion of the Postgraduate Course, join colleagues for the ACG 2014 Opening Welcome Reception in the Exhibit Hall. The Reception will feature hors d’oeuvres and refreshments. This casual social gathering will give all attendees the opportunity to explore the Hall, meet with exhibitors, and network and mingle with fellow professionals. Don't miss this exciting fun run, which is open to all ACG attendees, family members, exhibitors, and local residents. Course details and map will be available at www.gutrunners.com soon. See page 130 for more information. ACG Presidential Address Monday, October 20 9:00 am – 9:30 am • Terrace Ballroom Additional Receptions All NP/PA ACG 2014 attendees are invited to attend. Harry E. Sarles, Jr., MD, FACG, ACG President, will address attendees during the Presidential Address to mark the beginning of the Annual Meeting. The President uses this opportunity to welcome members, highlight ACG’s accomplishments over the past year, and bid farewell as he passes leadership of the ACG on to the President-Elect. Women and Minorities in Gastroenterology Reception Sunday, October 19 5:15 pm – 6:00 pm • Room 123 ACG Annual Business Meeting Monday, October 20 6:00 pm – 6:30 pm • Terrace Ballroom 3 All those interested in the issues facing women and minorities in the GI field are invited to attend. All ACG Members and Fellows (FACG) are encouraged to attend the College’s Annual Business Meeting where College business will be discussed and voted on. The meeting will be held on Monday, October 20 at 5:45 pm, immediately following that day’s Annual Scientific Session. A reception to honor the ACG President will be held in conjunction with the Annual Business Meeting, from 6:15 pm – 7:00 pm. Mix and mingle with fellow colleagues while you enjoy a selection of light refreshments. NP/PA Attendee Reception Sunday, October 19 5:15 pm – 6:00 pm • Room 125 International Reception Sunday, October 19 5:15 pm – 6:00 pm • Room 124 All International attendees are invited to attend and enjoy cocktails and hors d’oeuvres while meeting colleagues. ACG Auxiliary Saturday through Tuesday, 8:00 am – 10:00 am Philadelphia Marriott Downtown - Room 310 Alumni Receptions Every year, several Alumni Receptions are planned for alumni of various medical schools. Invited attendees will receive an invitation by mail from their alumni group. The ACG Auxiliary will provide a Hospitality Suite for spouses during the ACG Annual Meeting, offering a place to relax and unwind, review tour and visitor information, or just chat with friends. Registration for Auxiliary members will also be available in the suite. A Schedule of Events for the ACG Auxiliary is on page 123. The Auxiliary will also offer excursions as well as other events. See page 123 for complete information. For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 6 Hands-on Workshop Center Hands-on Workshop Center Sunday, October 19 through Tuesday, October 21, 2014 Course Co-Directors: David J. Hass, MD, FACG, and Douglas G. Adler, MD, FACG See experts demonstrate the latest tools and techniques, and gain insight from the experts and tips you can incorporate into practice when you attend one of the hands-on sessions at the ACG 2014 Hands-on Workshop Center. Numerous hands-on sessions will be offered, many for GI fellows only. The Hands-on Workshop Center is free to all ACG 2014 attendees. Workshop Directors David A. Hass, MD, FACG, and Douglas G. Adler, MD, FACG, have created a team of well-known experts to lead each session. Sessions and faculty leaders include: sessions open to all attendees gi fellows only sessions Sunday, October 19th Hands-on Workshop Center opens at 3:45 pm Sunday, October 19th Sessions from 7:45 am – 9:30 am •EMR/Polypectomy – Laith Jamil, MD •Endoscopy Potpourri – Hemostasis, Foreign Body Removal, EMR and ERCP – Christopher J. DiMaio, MD, FACG •Foreign Body Removal – Lawrence J. Brandt, MD, MACG •Hemostasis – John R. Saltzman, MD, FACG Monday, October 20th Sessions from 7:45 am – 9:30 am Monday, October 20th Hands-on Workshop Center opens at 10:15 am •ERCP – Douglas G. Adler, MD, FACG •EUS – Gulshan Parasher, MD, FACG •ERCP – Douglas G. Adler, MD, FACG •Foreign Body Removal – Paul Feuerstadt, MD, FACG •EUS – Uzma D. Siddiqui, MD •Motility Disorders—Esophageal and Anorectal Satish S.C. Rao, MD, PhD, FACG and Felice Schnoll-Sussman, MD, FACG •Foreign Body Removal – David A. Greenwald, MD, FACG •Stenting – Michel Kahaleh, MD, FACG •Small Bowel Enteroscopy – Lauren B. Gerson, MD, FACG Tuesday, October 21th Sessions from 7:45 am – 9:30 am •Hemorrhoid Therapy – Harry A. Sarles, Jr., MD, FACG •Hemorrhoid Therapy – Waqar A. Qureshi, MD, FACG Tuesday, October 21th Hands-on Workshop Center opens at 10:15 am •Mucosal Ablation – John C. Fang, MD •Hemorrhoid Therapy – David A. Johnson, MD, MACG •EMR/Polypectomy – Jeffrey L. Tokar, MD •Mucosal Ablation – Virendra Joshi, MD •Capsule Endoscopy – David J. Hass, MD, FACG •EMR/Polypectomy – Peter V. Draganov, MD, FACG •Capsule Endoscopy – David J. Hass, MD, FACG Pre-registration for the GI fellows sessions will take place in September. The College will email fellows inviting them to participate. Registration for all other sessions will take place onsite at ACG 2014. •ESD, Suturing & Closures – Stavros Stavropolous, MD •Stenting – Ali A. Siddiqui, MD •Small Bowel Enteroscopy – Carol E. Semrad, MD, FACG The Hands-on Workshop Center will be located in the Exhibit Hall. Hands-on Workshop Center Hours: Sunday, October 19 ­— 3:30 pm – 7:00 pm Monday, October 20 — ­ 7:45 am – 9:30 am (fellows only) and 10:00 am – 4:30 pm Tuesday, October 21 — ­ 7:45 am – 9:30 am (fellows only) and 10:00 am – 4:30 pm 7 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. ACG’s 2014 Educational Programs — Needs Assessment published data that help support recommendations of previous versions of surveillance guidelines. This will hopefully serve to increase physician adherence to the guidelines. As the survival rates from these GI cancers continue to improve, the must continue educating gastroenterologists who provide ongoing care to these patients. This important and evolving educational need must be met in a way that touches on the impact of various forms of cancer on the overall health and quality of life of these patients. Clinical gastroenterology continues to experience an ever-increasing array of options and advancements affecting both the diagnosis and treatment of gastrointestinal (GI) disorders. Gastroenterologists must stay abreast of the diagnostic and treatment options that are available for managing their patients and effectively utilize them while maximizing quality and safety. The multi-faceted pressures of new and increasing scientific developments, pressures from payors and policymakers, and demands by more knowledgeable patients mandate that gastroenterologists find ways to constantly reevaluate the diagnostic techniques and treatment modalities used and mechanisms for delivery in their practices. Declining reimbursement, increased demand for measurement of quality, and an insufficient workforce also remain significant challenges for gastroenterologists and their practices. As a consequence, it is important to identify more efficient ways to obtain the latest scientific knowledge and institute scientifically sound therapy so that the highest quality of patient care can be maintained. This objective, regardless of the specific practice setting, is to guarantee that each individual patient obtains the treatment and service that is the best possible option for their specific needs. The emphasis of ACG’s educational efforts focuses on these advancements in diagnosis and treatment options, as well as on the policies, procedures, and guidelines gastroenterologists employ in the overall management of their practices. A primary CME educational program goal is to heighten the knowledge of clinicians and other health care professionals involved in GI patient care in all areas of management, with an emphasis on those conditions with increasing prevalence and those where management continues to present a challenge. Attention is also placed on advanced and improved endoscopic techniques and practice management tools that can increase gastroenterologists’ efficiency and effectiveness in their daily practice. Obesity Obesity has drastically increased in prevalence in the United States, from less than 15% in the 1960s to over 30% at present. It has been predicted that if the rates continue at their current pace, by 2015, 75% of adults will be overweight or obese. Therefore, not only is it imperative for gastroenterologists to be knowledgeable regarding obesity prevention and treatment options, but it is also important that they understand the importance of patient education. Patient education is a necessity to improve compliance and to achieve desired treatment results. In those patients who undergo surgery for the management of obesity, information on the post-surgical complications has become increasingly important. Specifically, endoscopic techniques and management options in these patients can be a challenge. It is essential that gastroenterologists be familiar and up-to-date on endoscopic techniques in this challenging group of patients. These topics, as well as the latest information on what GI conditions are linked to or exacerbated by obesity, have been requested as areas of further education by practicing gastroenterologists. IBD Inflammatory bowel disease is an area of gastroenterology that continues to see important developments in diagnostic and medical therapeutic options. The gastroenterologist must be fully aware of the latest developments in biologic and immunomodulator therapies including safety considerations and their place in patient management. In recent years there have also been many advances made in laboratory, radiographic, and endoscopic modalities that directly impact the diagnosis and management of inflammatory bowel disease and in the surveillance for dysplasia in ulcerative colitis and Crohn’s colitis. Education regarding optimizing the use of such modalities is important to the practicing gastroenterologist. The post-surgical management of inflammatory bowel disease patients also continues to be a topic of great importance and one in which the clinician often faces challenges due to the complexity and unpredictability of the condition and the associated decision-making process. Colon Cancer Screening Colorectal cancer is the third most commonly diagnosed cancer among both men and women. Colon cancer incidence rates have declined over the last two decades and survival rates have increased. This likely relates at least in part to increased colorectal cancer screening and surveillance, which allows physicians to detect and remove pre-cancerous polyps or diagnose cancers at an early stage. Although these trends are moving in a positive direction, there remains a need to increase the number of individuals being screened. The proper and timely use of existing as well as newer screening tests that may lead to prevention or early diagnosis of specific disease conditions is critical. Increasing the rate of patient participation in colorectal cancer screening and surveillance is also important. Furthermore, providing and quantifying indicators that define a quality colonoscopy, including bowel preparation quality and adenoma detection rates, especially in light of recent findings on the prevalence of flat lesions, is a need that affects gastroenterologists. In addition, it is important that gastroenterologists understand the importance of grading bowel preparation using a validated scale, and that they are familiar with recommendations for the timing of a repeat colonoscopy in exams with inadequate bowel preparation. There is also a need to recognize the potential role that the gastroenterologist plays in minimizing the occurrence of interval cancers. This includes the use of split-dose preparation in their practice as well as the use of proper polyp resection technique. The serrated pathway, which may account for at least 15% of all colorectal cancers, requires gastroenterologists to understand the challenges in detection, resection, and pathological interpretation and classification of these lesions. To aid in surveillance of serrated polyps, gastroenterologists should be aware of an expert panel’s recent recommendations: Guidelines for Colonoscopy Surveillance After Screening and Polypectomy: A Consensus Update by the U.S. Multi-Society Task Force on Colorectal Cancer. There has also been a recent update to the surveillance guidelines that includes the addition of recommendations for certain serrated polyps. There is also a need to educate the gastroenterologist on the recent For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Hepatology Gastroenterologists are frequently faced with challenges related to liver disorders including hepatitis B and C, NAFLD, hepatic encephalopathy, cirrhosis, and autoimmune liver diseases. Often, the gastroenterologist relies on the expertise of the hepatologist to assist in the management of these patients; however, with hepatologists operating at capacity, the gastroenterologist must be able to offer the best quality of care and treatment options to patients with liver disease. With the increased incidence of NAFLD, practical and clinically relevant physician education is extremely important in this area. Hepatitis C Hepatitis C will be the most dramatically changing area of liver disease over the next few years, and there will be two major areas that will require focus and attention. First, HCV screening recommendations have shifted from the classic risk-based screening to an age-based screening. The CDC and USPFTS have recommended one-time screening of all persons born between 1945 and 1965. It will be essential that ACG and gastroenterologists educate primary care providers as well as patients about the need for HCV screening. Secondly, there has been a dramatic shift in the treatment of hepatitis C. Compared to the previous treatments, the current treatment regimens are dramatically more effective and have shorter lengths of therapy, and have dramatically fewer 8 ACG’s 2014 Educational Programs — Needs Assessment adverse side effects. Also, within the next 1-2 years, therapy will likely be completely all-oral, interferon-free, and perhaps even ribavirin-free. There will be a series of new regimens available, with new ones being introduced at a very rapid pace. Because there will be simple and effective therapies available, there will likely be more gastroenterologists who are willing to treat HCV. For this reason, ACG must work to educate gastroenterologists about the current and upcoming treatments. Also, with the expected rapid development and approval of multiple regimens, ACG must work to have a mechanism in place to allow rapid changes and/or addendums to HCV treatment guidelines. While less common, eosinophilic esophagitis appears to be increasing markedly in incidence and has been the subject of intense research leading to recent clinical guidelines. Esophageal dysmotility remains an ongoing challenge, and this field has dramatically changed in the past several years due to the adoption of new diagnostic modalities and an outpouring of outcomes data. This has been particularly significant for achalasia, which also has been the subject of recent consensus guidelines within the past year. Other upper GI conditions including Barrett’s esophagus, dyspepsia, peptic ulcer disease, and H. pylori also require a clear understanding. It is important that published evidence-based practice guidelines for these upper GI conditions and many other identified GI disorders be available to the gastroenterologist for their explicit understanding and to enhance their ability to most effectively manage each of their patients. With guidelines published on gastroesophageal reflux disease, eosinophilic esophagitis, and achalasia within the last year, this has been an active area and this new information needs to be disseminated to the gastroenterology community. EDUCATIONAL PROGRAMS Pancreaticobiliary Pancreaticobiliary diseases can also be extremely challenging to manage, and can vary greatly in complexity and severity. Gastroenterologists play an essential role in both the evaluation and the management of patients with pancreaticobiliary disorders. Cystic neoplasms of the pancreas are more frequently diagnosed and management guidelines have been updated recently as our knowledge base continues to grow. Gastroenterologist offer highly specialized care for such patients, including advanced interventional endoscopic procedures. As endoscopic technology advances, patients are simultaneously becoming more complex, making it essential that gastroenterologists are up-to-date on these management techniques and strategies. Education on the diagnosis and management of various forms of pancreaticobiliary disease including pancreatitis, pancreatic cysts, pancreatic cancer, and biliary disorders is critical to obtaining the best patient outcomes. Endoscopy Rapid technological advancements in endoscopy and other diagnostic and therapeutic areas in gastroenterology creates a need to communicate the latest techniques and strategies for managing everything from patients with altered anatomy to identification and removal of large and difficult polyps to developing practice of natural orifice transluminal endoscopic surgery. Gastroenterologists in a variety of practice settings need to learn and integrate these new therapies into their practice in order to provide state-of-the-art services to their patients. Functional GI Improvements in the understanding of the pathogenesis and treatment of motility and functional GI disorders continue to progress as research in this area expands. These disorders are among the most common GI disorders in the general population. Understanding the latest science with regard to these disorders and newer treatment modalities is critical to improving clinical outcomes and quality of life for a large group of patients who have been among the most difficult to treat. Understanding the potential role of enteric microbiota and inflammation in these disorders will also help determine the appropriate course of action and play a critical role in managing these challenging conditions. Diarrheal disorders can prove to be challenging to diagnose and manage. Whether it be acute or chronic, caused by a malabsorptive condition, inflammatory, or infectious process, gastroenterologists must be aware of the various potential causes of diarrhea and the most appropriate corresponding treatment options. With the incidence and severity of Clostridium difficile infections increasing in recent years, this is yet another condition that demands close attention by the gastroenterologist. Quality Finally, it is critical that gastroenterologists incorporate quality, safety, and service metrics into their clinical practice. In particular, quality and safety issues in the endoscopy suite need to be addressed in order to improve patient outcomes. Other quality issues dealing with specific disease states and their management in the office practice also need to be addressed by the practicing gastroenterologist. Practice efficiency is also of great importance as the demand for increased efficiency across all settings continues to drive the search for practical tools to positively impact care delivery and patient outcomes. Through the use of evidencebased approaches for treatment and rational public health policy, clinicians need to identify new and innovative ways to deliver care across the community. Ever-expanding access to information on a real-time basis by both clinicians and patients provides unique opportunities as well as challenges to the healthcare delivery system. When this is combined with the pressures associated with increased spending on healthcare in an environment currently trending toward decreased reimbursement and inadequate rewards for the physician who spends more time with the patient, the importance of high-quality continuing medical education for gastroenterologists and their patients cannot be overstated. GI Bleeding GI bleeding remains one of the most common yet most challenging issues confronted by the clinical gastroenterologist. New anticoagulants have been released in the last several years, and this new class of drugs has made patients with GI bleeding even more difficult to treat. It is critical that gastroenterologists are frequently updated on these new medications as these patients may require different management strategies than those who are on traditional anticoagulants. Whether the GI bleeding is related to drug therapy, stress ulceration in the intensive care unit, anticoagulation, chronic liver disease, or obscure gastrointestinal bleeding, the gastroenterologist must be up to date on the latest information on strategies to prevent, diagnose, and optimally treat GI bleeding. FACULTY DISCLOSURES The American College of Gastroenterology (ACG) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. ACG, as an ACCME accredited provider, ensures balance, independence, objectivity, and scientific rigor in all of its directly and jointly provided education activities. All who are in a position to control the content of an education activity (including their spouse or partner) are required to disclose to ACG all relevant financial relationships in any amount occurring in the past 12 months with any commercial interest that may create a conflict of interest related to the subject matter of an education activity. Safeguards against commercial bias have been put in place by ACG. Anyone who refuses to disclose relevant financial relationships will be disqualified. ACG ensures any conflicts of interest are resolved before the educational activity occurs and discloses all relevant financial relationships to the learners prior to the beginning of an education activity. GERD Gastroesophageal reflux disease is a common condition world-wide and affects 20% of American adults on a weekly basis. An understanding of its pathophysiology, diagnosis, treatment options, and complications is extremely important for the practicing gastroenterologist, and new guidelines have been published on reflux within the past year. 9 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. ACG's 2014 Optional Friday Courses acg practice management course The Optimal GI Practice of the Future – Understanding and Embracing Change to Improve Your Practice Friday, October 17, 2014 • 7:30 am – 4:45 pm • Room 121ABC Course Co-Directors: Michael S. Morelli, MD, CPE, FACG, and Joseph A. Cappa, MD, FACG ACG Members/Fellows: ACG Resident/Trainee/ Candidate Members: ACG Allied Health Members: ACG NP/PA Members: Non-Members: Practice Managers: Learn strategies to improve, change and adapt your practice to remain successful. Join Course Co-Directors Michael S. Morelli, MD, CPE, FACG, and Joseph A. Cappa, MD, FACG, or the ACG 2014 Practice Management Course that focuses on efficient practices in areas of interest to the clinical gastroenterologist. 6:30 am Continental Breakfast $275 7:30 am $0 $200 $200 $300 $200 session 1: Fundamentals 7:35 am course available on in Practice Management Presidential Address: Gastroenterology Practice in a Value-Based System: Preparing for the (Not-So-Distant) Future Harry E. Sarles, Jr., MD, FACG Discuss government issues and payor issues pertinent to GI practice in the year 2014, understand the major reimbursement issues that GI practices will encounter in the near future and learn how to prepare for them, and recognize the key drivers of practice value – efficacy, cost and patient satisfaction – and how to leverage them with payers and health systems. 8:05 am Developing and Expanding Your Patient Base: Practical Suggestions and Proven Methods James A. Turner, Jr., MBA, MHS Course Description Learn innovative techniques and ideas that can be readily incorporated in your practice, whether large or small, and strategies for success from leaders in the area of practice management. Market your practice directly to patients and referring physicians, assess the value of branding your practice, and identify ways to utilize marketing metrics to obtain the best return on investment for your marketing dollar. The Optimal GI Practice of the Future – Understanding and Embracing Change to Improve Your Practice is designed to provide practitioners with both a broad-based understanding of the current GI practice landscape and with focused recommendations on how to improve the clinical and business aspect of their practices. 8:25 am The Patient Portal: Enhancing the Quality of Care and Patient Satisfaction Experience James S. Leavitt, MD, FACG Define a patient portal and how to implement one in your practice, use a patient portal to improve scheduling options for your patients, and use a patient portal to communicate test results in a safe and efficient manner. The 2014 Practice Management Course will provide up-to-date information about the state of practice management, including trends, changes in regulations and laws, and best practices to effectively manage a gastroenterology practice in today’s uncertain environment. Faculty Course Co-Director – Michael S. Morelli, MD, CPE, FACG Course Co-Director – Joseph A. Cappa, MD, FACG Craig Bakken, MHA, CMPE Frank Chapman, MBA Delbert L. Chumley, MD, FACG Viju P. Deenadayalu, MD H. Gordon France, MD Reed B. Hogan, MD James S. Leavitt, MD, FACG Arnold G. Levy, MD Kathleen A. Mueller, RN, CPC, CCS-P, CMSCS, CCC, PCS Jeffry Nestler, MD Chalmers M. Nunn, Jr., MD Bergein F. Overholt, MD, MACG Harry E. Sarles, Jr., MD, FACG Brijen J. Shah, MD James A. Turner, Jr., MBA, MHS A boxed lunch will be provided to all registered attendees. Accreditation The American College of Gastroenterology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American College of Gastroenterology designates this live activity for a maximum of 8.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Welcome and Introductions Michael S. Morelli, MD, CPE, FACG Joseph A. Cappa, MD, FACG 10 ACG's 2014 Optional Friday Courses acg practice management course The Optimal GI Practice of the Future – Understanding and Embracing Change to Improve Your Practice Friday, October 17, 2014 • 7:30 am – 4:45 pm • Room 121ABC Course Co-Directors: Michael S. Morelli, MD, CPE, FACG, and Joseph A. Cappa, MD, FACG 3. Integrate clinicians in the office and endoscopy suite to improve efficiency of patient evaluation and management, and improve use of clinicians to care for hospitalized patients effectively and efficiently. Explain the future of reimbursements and how to best position your practice for the changes. 4. 9:20 am Roundtable Discussion 1:50 pm Break Use your EMR to improve quality care, patient evaluations, and coding in patient encounters. session 3: Advance 10:10 am Improving Patient Throughput in the Office Craig Bakken, MHA, CMPE Identify the first steps to implement an ancillary service into your practice and select which ancillary services can best serve your patients. 10:30 am Quality Assessment – What to Measure and How to Utilize the Data Bergein F. Overholt, MD, MACG 2:25 pm Is There a Future for the Independent Physician? Two Experts Debate the Issue Jeffry Nestler, MD H. Gordon France, MD Choose which data to accumulate and how to utilize it to form quality improvement programs and prepare for value-based reimbursements. Evaluate the pros and cons of staying independent or becoming a hospital employee. 10:55 am Q & A 11:10 am Break 3:05 pm Practice Mega Groups – Is Bigger Better? Arnold G. Levy, MD for Success – Breakout Sessions Compute the cost and identify the cost, infrastructure, and leadership formation of a mega group to help you decide if a mega group is right for you. 11:25 am Breakout Sessions 12:20 pm Breakout Sessions (box lunch available) (all sessions repeat) 3:30 pm Roundtable Discussion 3:45 pm Key Financial and Practice Indicators: What Reports Have the Most Value in Determining the Financial Health of Your Practice? Frank Chapman, MBA 1:05 pm Breakout Sessions (all sessions repeat) Breakout Sessions: Meaningful Use and PQRS James S. Leavitt, MD, FACG Explain which financial reports are most valuable in determining the financial health of your practice, in tracking practice growth, and in identifying concerning trends early. Ensure your practice is adequately prepared for Meaningful Use 2 and PQRS government initiatives. 2. Topics in Practice Management 2:00 pm Ancillary Services: What’s Next After an Endoscopy Center and Pathology? Reed B. Hogan, MD Formulate innovative ways to "check in" and "check out" your patients, and implement an effective recall system to ensure patient follow-up. 1. ABIM Maintenance of Certification (MOC) – What Every GI Must Know Brijen J. Shah, MD Summarize the updated and evolving requirements of the American Board of Internal Medicine for Maintenance of Certification (MOC). 9:40 am EMRs Can Improve Your Practice Quality, Efficiency and Revenue Generation Delbert L. Chumley, MD, FACG session 2: Strategies Preparing Your Practice for Value Based Reimbursement – The Nuts and Bolts Frank Chapman, MBA EDUCATIONAL PROGRAMS 8:50 am Mid-Level Providers and Their Evolving Role in Outpatient Practice Viju P. Deenadayalu, MD 4:10 pm Surviving and Thriving the Conversion to ICD 10 Kathleen A. Mueller, RN, CPC, CCS-P, CMSCS, CCC, PCS Outline how the conversion to ICD 10 affects your practice and how to use it to your advantage. Creating the Optimal GI Practice in 2015 – Where Do We Go from Here? Chalmers M. Nunn, Jr., MD Define what the optimal practice of the future will look like. 4:35 pm Q & A 4:45 pm Adjourn 11 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. ACG's 2014 Optional Friday Courses asge-sponsored endoscopy course Tackling Endoscopic Challenges in 2014: What Should Be in Your Toolbox? Friday, October 17, 2014 • 8:00 am – 5:00 pm • Room 122AB Course Co-Directors: Brintha K. Enestvedt, MD, MBA, and John J. Vargo, II, MD, MPH, FASGE, FACG ACG Members/Fellows: ACG Resident/Trainee/Candidate Members: ACG Allied Health Members: ACG NP/PA Members: ASGE Practice Manager Members: Non-Member Physician/Exhibitor/Guest: Non-Member Resident/Trainee: Non-Member Practice Managers: All Other Non-Members: Course Co-Directors $395 $200 $200 $200 $200 $495 $250 $250 $250 Brintha K. Enestvedt, MD, MBA, Oregon Health & Science University, Portland, OR John J. Vargo, II, MD, MPH, FACG, FASGE, Cleveland Clinic, Cleveland, OH Course Faculty Prabhleen Chahal, MD, FASGE Vinay Chandrasekhara, MD Charles E. Dye, MD Ashley L. Faulx, MD, FACG, FASGE David A. Lieberman, MD, FACG, FASGE John A. Martin, MD, FASGE Gottumukkala S. Raju, MD, FACG, FASGE Andrew S. Ross, MD, FASGE Nicholas J. Shaheen, MD, MPH, FACG Colleen M. Schmitt, MD, MHS, FASGE Michael B. Wallace, MD, MPH, FACG, FASGE Course Description This course is designed to highlight the state-of-the-art endoscopic management of patients with gastrointestinal diseases. This course is focused on a series of didactic lectures which will surround real-life cases and include video content to stimulate audience dialogue with world-renowned faculty experts. Topics to be covered include general practice and peri-procedure management, obscure GI bleeding, pancreaticobiliary disorders, colonoscopy, Barrett’s esophagus and endoscopic enigmas. Intended Audience For more information contact: This course has been specifically designed for practitioners in gastrointestinal endoscopy, especially gastroenterologists, gastrointestinal surgeons, gastrointestinal nurses, and fellows in training. This course is equally relevant to those in private practice and academic practice. Toll free: 866-353-ASGE (2743) E-mail: education@asge.org If you need any auxiliary aids or services identified in the American with Disabilities Act (e.g., assistive listening devices or Braille materials), please contact ASGE. Program Objectives At the conclusion of this course, participants should be able to: • Identify the optimal candidates for endoscopic mucosal resection and mucosal ablation in Barrett’s esophagus • Demonstrate the proper management of anticoagulation and anti-platelet agents in the peri-procedural environment • Identify the roles of various small bowel imaging modalities in the management of obscure gastrointestinal bleeding • Recognize when to refer patients for endoscopic evaluation of incidentally discovered pancreatic cysts • Evaluate the endoscopic challenges of procedures in the obese population Visit www.acgmeetings.gi.org to review the complete agenda. Accreditation The American Society for Gastrointestinal Endoscopy (ASGE) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ASGE designates this live activity for a maximum of 8.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Tel: 630-573-0600 Web: www.asge.org 12 ACG's 2014 Optional Friday Courses asge-sponsored endoscopy course Tackling Endoscopic Challenges in 2014: What Should Be in Your Toolbox? Friday, October 17, 2014 • 8:00 am – 5:00 pm • Room 122AB Course Co-Directors: Brintha K. Enestvedt, MD, MBA, and John J. Vargo, II, MD, MPH, FACG, FASGE 7:00 am in a Day's Work: Improving Your Colonoscopy session 4:All Registration/Continental Breakfast 12:40 pm Colonoscopy Through Rose-colored Glasses – Advanced Imaging – NBI, Chromoendoscopy Michael B. Wallace, MD, MPH, FACG, FASGE John J. Vargo II, MD, MPH, FACG, FASGE 8:05 am ASGE President's Address Colleen M. Schmitt, MD, MHS, FASGE 1:00 pm The Difficult Made Easy: Approaches to the Problematic Polyp Vinay Chandrasekhara, MD session 1: "Building" for Success: General Practice and Peri-Procedure Management 8:15 am 1:40 pm Questions & Discussion Passing Code: What Does Quality in Endoscopy Mean and How to Optimize Your Practice? David A. Lieberman, MD, FACG, FASGE session 5:Barrett's 2:00 pm Defeating Barrett’s Esophagus: Cut, Burn or Freeze? Nicholas J. Shaheen, MD, MPH, FACG 2:20 pm It’s Gone, Now What? Surveillance Guidelines Michael B. Wallace, MD, MPH, FACG, FASGE 8:55 am Cleaning the Plumbing: Optimizing Colonoscopy Preparation Ashley L. Faulx, MD, FACG, FASGE 2:40 pm Questions & Discussion Questions & Discussion 3:00 pm Break the Leak? Obscure GI Bleeding session 2:Where's session 6:Endoscopic 3:15 pm 9:35 am Identifying the Leak: Red Cell Scan, Angiography, Capsule or Balloon? Andrew S. Ross, MD, FASGE Enigmas Common Problems Following Bariatric Surgery Andrew S. Ross, MD, FASGE 3:35 pm I Need a Patch Job! Management of Iatrogenic Perforations Gottumukkala S. Raju, MD, FACG, FASGE 9:55 am An Update on Balloon-assisted Enteroscopy Charles E. Dye, MD 3:55 pm Questions & Discussion 4:15 pm 10:15 am Questions & Discussion Endoscopic Video Case Forum 5:00 pm Course Adjourns 10:35 am Break session 3:Pancreaticobiliary Esophagus Management Conundrums 8:35 am Bridge, Stop or Continue: Anticoagulation and Antiplatelet Management John J. Vargo II, MD, MPH, FACG, FASGE 9:15 am EDUCATIONAL PROGRAMS 8:00 am Welcome and Introductions Brintha K. Enestvedt, MD, MBA Potpourri 10:50 am Cannulation: Tricks for the Trials and Tribulations Prabhleen Chahal, MD, FASGE 11:10 am Big Stone Management: Blast, Crush, Extract, Remodel? John A. Martin, MD, FASGE 11:30 am Pancreatic Cysts: New Guidelines, When and How to Survey Brintha K. Enestvedt, MD, MBA 11:50 am Questions & Discussion 12:10 pm Lunch 13 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. ACG's 2014 Optional Friday Courses Recertification Preparation and Update Course Friday, October 17, 2014 • 5:00 pm – 9:30 pm • Room 119AB Course Co-Directors: Neena S. Abraham, MD, MSCE, FACG, and Brooks D. Cash, MD, FACG ACG Members/Fellows: ACG Resident/Trainee/Candidate Members: ACG Allied Health Members: ACG NP/PA Members: All Non-Members: Attendee Requirements $150 $150 $150 $150 $175 Registrants are required to purchase ACG’s Self-Assessment Program for Maintenance of Certification, the new edition of which is expected to be approved by September, 2014 ($75 for ACG members; $99 for non-members). Participants will be contacted no later than October 1 regarding how to purchase the required module. Attendees enrolled in the ABIM’s MOC program who successfully complete this 60-question ACG module with a minimum passing score of 70% will be awarded 20 selfevaluation of medical knowledge points by ABIM. Participants must be enrolled in ABIM’s Maintenance of Certification program to receive MOC credit for completion of this module. Course Description The challenges of quality patient care and optimal patient outcomes seem to increase exponentially from year to year through a combination of increased demand and burgeoning information/treatment options relating to disease guidelines, disease management recommendations, and the introduction of new pharmacotherapeutic agents and devices. The clinical gastroenterologist needs to build on his or her educational foundation regarding GI anatomy and disease states that lead to their board certification and recertification while distilling the essence of new information and integrating it into their dayto-day practice. The requirement for recertification has posed an educational challenge for board-certified gastroenterologists who are trying to balance the management of their practice with their educational needs. The primary purpose of the ACG Recertification Course is to facilitate completion of an ABIMapproved medical knowledge module, developed by ACG. Attendees will be provided a copy of the module questions for note-taking purposes. All additional educational materials for the program are provided through the online module — detailed written explanations, linked references, and videos of expert discussions and slides from the course. Please note: In addition to Recertification Course registration, separate purchase of ACG’s module is also required. See paragraph above. For a list of all of the ACG modules approved for MOC credit, visit www.sapmoc.gi.org. Using a new ACG module approved for self-evaluation of medical knowledge credit toward ABIM Maintenance of Certification (MOC), faculty will answer and discuss all 60 questions covering key areas of gastroenterology; audience participation is encouraged. The cases and questions will be presented and the answer options will be described. Course attendees will utilize an audience response system to choose which option they believe to be the correct answer, and these anonymous responses will be shown. The faculty member will then identify the correct answer, provide the basis for the selection and explain why the other options were incorrect. Participants will be able to complete their answer sheets for this module during the session. Faculty Course Co-Director – Neena S. Abraham, MD, MSCE, FACG Course Co-Director – Brooks D. Cash, MD, FACG Stephen C. Hauser, MD, FACG J. David Horwhat, MD, FACG Brennan M. R. Spiegel, MD, MSHS, FACG new! ACG’s Self-Assessment Program for Maintenance of Certification A boxed dinner will be provided to all registered attendees. Program Objectives 7th Edition (2014) Upon completion of this program attendees will: (approval anticipated by September 2014) •Learn the scope of the substantive areas in organ systems and disease management that they will need to be fully conversant in to successfully complete the exam. •Obtain a clear understanding of the most effective test taking approaches. available in conjunction with the 2014 ACG Recertification Preparation and Update Course Earn 20 self-evaluation of medical knowledge points toward your ABIM Maintenance of Certification. Accreditation ACG member price: $75 Non-member price: $99 The American College of Gastroenterology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Participants must be enrolled in ABIM’s Maintenance of Certification program to receive MOC credit for completion of this module. The American College of Gastroenterology designates this live activity for a maximum of 4.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. self-evaluation module 14 Optional Friday Courses / ACG's 2014 Three-Day Clinical Review Pathology and Imaging in the Evaluation of Gastrointestinal Disease Course Friday, October 17, 2014 • 7:00 am – 12:30 pm • Room 120ABC Course Director: David A. Greenwald, MD, FACG ACG Members/Fellows: ACG Resident/Trainee/Candidate Members: ACG Allied Health Members: ACG NP/PA Members: All Non-Members: Faculty $200 $160 $175 $175 $225 Course Director – David A. Greenwald, MD, FACG Mark E. Baker, MD Gregory dePrisco, MD David N. Lewin, MD Scott R. Owens, MD Rish K. Pai, MD, PhD Rupan Sanyal, MD Amitabh Srivastava, MD David J. Vining, MD Course Description Welcome and Introduction David A. Greenwald, MD, FACG 7:05 am Liver Cells, Bile Ducts, Stones and More: Pathology and Imaging of the Liver and Gallbladder Pathologist: Scott R. Owens, MD Radiologist: Gregory dePrisco, MD 8:25 am Q & A 8:35 am Deep Insight into the GI Tract: Pathology and Imaging of the Small Bowel and Pancreas Pathologist: David N. Lewin, MD Radiologist: Rupan Sanyal, MD Program Objectives At the conclusion of this course, participants should be able to: • Describe current concepts relevant to radiology and pathology in the evaluation and treatment of patients with gastrointestinal disease. • Evaluate findings of radiologic exams related to gastrointestinal disorders of the esophagus, stomach, small bowel, large intestine, liver, gallbladder and pancreas. • Identify both basic and advanced pathology findings in patients with gastrointestinal illnesses through close examination of representative photomicrographs. • Correlate typical radiology and pathology findings with endoscopic images reflective of both the normal and abnormal physiology and pathophysiology. 3–DAY CLINICAL REVIEW course available on ACG’s Pathology and Imaging in the Evaluation of Gastrointestinal Disease Course includes four mini-sessions, each devoted to new developments and old problems of special interest to the clinical gastroenterologist in pathology and imaging in a specific portion of the GI tract. A popular biennial offering of the College, this year’s course expands the mini-session concept to include a combination lecture by a pathologist and a radiologist with the addition of endoscopic correlate images. The course faculty are recognized experts in their fields and pioneers in the development of new technologies and clinical paradigms. The course is designed primarily for clinicians in GI/hepatology, as well as physician assistants, nurse practitioners, and other advanced practice healthcare professionals interested in the clinical application of GI pathology and imaging. 9:35 am Q & A 9:40 am Break 10:00 am Searching for Polyps, Tumors and IBD: Pathology and Imaging of the Colon and Rectum Pathologist: Amitabh Srivastava, MD Radiologist: David J. Vining, MD 11:05 am Q & A 11:15 am Swallowing and Digesting: Pathology and Imaging of the Esophagus and Stomach Pathologist: Rish K. Pai, MD, PhD Radiologist: Mark E. Baker, MD 12:20 pm Q & A 12:30 pm Adjourn Accreditation The American College of Gastroenterology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American College of Gastroenterology designates this live activity for a maximum of 5.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 15 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Optional Friday Courses / ACG's 2014 Three-day Clinical Review What’s New in GI Pharmacology Course Friday, October 17, 2014 • 1:15 pm – 4:30 pm • Room 120ABC Course Director: Francis A. Farraye, MD, MSc, FACG Members/Fellows: Resident/Trainees/Candidate Members: ACG Allied Health Members: ACG NP/PA Members: All Non-Members: Course Description $200 $160 $175 $175 $225 Welcome Francis A. Farraye, MD, MSc, FACG 1:15 pm New Pharmacologic Agents in the Management of Inflammatory Bowel Disease Stephen B. Hanauer, MD, FACG Evaluate the newest drugs to treat IBD. course available on 1:35 pm Treatment of Chronic Functional Abdominal Pain Lawrence R. Schiller, MD, FACG Attend ACG’s What’s New in GI Pharmacology Course for an intensive review of key GI pharmacology, including comparisons and contrasts between conventional and emerging pharmacological treatment options. This three-hour course will consist of lectures and Q & A sessions on such topics as new therapies in IBD management, treatment options for functional abdominal pain, use and management of new anticoagulation medications in patients undergoing endoscopy, treatment options for the management of microscopic colitis and pouchitis, determining best available treatment options for treatment of GI disorders in the pregnant patient, reviewing available bowel preps safety and their efficacy for colonoscopy, and updates on the latest evaluation and treatment options for hepatitis C. The course is designed primarily for physicians in GI/hepatology, as well as physician assistants, nurse practitioners and other advanced practice healthcare professionals interested in the latest information on state-of-the-art treatment of these illnesses. Assess current pharmacologic treatment options for functional abdominal pain. 1:55 pm Understanding the New Anticoagulant Medications David A. Greenwald, MD, FACG Summarize the use and management of new anticoagulation medications in your patients undergoing endoscopy or having GI bleeding. 2:15 pm Q&A 2:30 pm Break 2:50 pm Pharmacologic Treatment of Microscopic Colitis and Pouchitis Francis A. Farraye, MD, MSc, FACG Outline the most effective pharmacological treatment options for the management of microscopic colitis and pouchitis. 3:10 pm Medication Use in Pregnancy Sunanda V. Kane, MD, MSPH, FACG Select available pharmacological therapies that are safe for treatment of GI disorders in the pregnant patient. 3:30 pm Prepping Right for Colonoscopy in 2014 Jack A. Di Palma, MD, FACG Accreditation Compare safety aspects of different bowel preps and their efficacy for colonoscopy. The American College of Gastroenterology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 3:50 pm Treating the HCV Patient in 2014 and 2015 Mitchell L. Shiffman, MD, FACG Explain the latest evaluation and treatment options for hepatitis C. The American College of Gastroenterology designates this live activity for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 4:10 pm Q&A 4:30 pm Adjourn Faculty Course Director – Francis A. Farraye, MD, MSc, FACG Jack A. Di Palma, MD, FACG David A. Greenwald, MD, FACG Stephen B. Hanauer, MD, FACG Sunanda V. Kane, MD, MSPH, FACG Lawrence R. Schiller, MD, FACG Mitchell L. Shiffman, MD, FACG For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 16 ACG's 2014 Three-day Clinical Review / Postgraduate Course ACG 2014 Three-day clinical review ACG 2014 annual postgraduate course Friday, October 17 through Sunday, October 19, 2014 Saturday, October 18 and Sunday, October 19, 2014 Program Description Evidence-based Management for GI Disorders The Three-day Clinical Review, including the GI Pathology and Imaging Course, the What’s New in GI Pharmacology Course, and the Annual Postgraduate Course, is designed to provide a comprehensive clinical update. Additionally, through the Postgraduate Course, you will learn better ways to integrate the newest tools in diagnosis with the latest therapeutic/treatment alternatives to achieve optimal outcomes, improve your awareness and ability to incorporate patient care decision-making issues relating to common and not-so-common GI patient conditions, and enhance your overall capacity to frame effective disease management strategies in your practice. When you sign up for the Three-day Clinical Review, you will automatically be enrolled in the three designated courses. Program Description Your schedule for the Three-day Clinical Review includes: Friday, October 17 7:00 am – 12:30 pm GI Pathology and Imaging Course 1:15 pm – 4:30 pm What’s New in GI Pharmacology Course Saturday, October 18 7:50 am – 5:00 pm Annual Postgraduate Course Sunday, October 19 7:50 am – 5:00 pm Annual Postgraduate Course 300+ NEW QUESTIONS! The 2014 Self-Assessment Test Online Purchase in advance for $75 and save! The online test allows users to track responses, indicates the correct answers and provides detailed explanations, a bibliography (with links to PubMed) and overall/category scores. This special offer is only available until September 5th, 2014, at the special rate of $75. You will not be able to purchase advance access after September 5th. Following the Postgraduate Course, the Online Self-Assessment Test will be available for general purchase at $99 for ACG members and $150 for non-members. Use the Registration Form on page 125 to place your order for the Online Self-Assessment Test. Postgraduate Course attendees who purchase advance access to the Online Self-Assessment Test will receive access to the test beginning September 10th, 2014. The 2014 Online Self-Assessment Test offers 35 hours of AMA PRA Category 1 Credits™. NEW THIS YEAR: Physician Assistants can now earn up to 35 AAPA CME credits with ACG's Self-Assessment Test Online. The program is designed primarily for clinicians in GI/ hepatology, as well as physician assistants, nurse practitioners and other advanced practice healthcare professionals interested in an aggressive but scientifically sound approach to the management of GI and liver illnesses. POSTGRADUATE COURSE course available on With the ever-increasing demands to remain abreast of the many new and emerging advancements in the field of gastroenterology and the volume of patients continuing to increase as the population ages, the clinical gastroenterologist is more challenged than ever to deliver the best patient care in each situation they encounter. Research in a multitude of gastroenterology and hepatology areas continues to progress at a rapid pace. The outcome of advances in technology, diagnostic modalities, and therapeutic options has had a positive impact on the management of many GI diseases, and this impact can be expected to grow as we move into the future. Scientific education, based on critical foundational knowledge and clinical skills, the communication of practical methods for treatment, and the ability to integrate the newest tools in diagnosis with the latest therapeutic/treatment options are key necessities for the GI clinician to deliver top-quality patient care. This course will provide updates on a variety of gastroenterology and hepatology subjects including esophagus, colon, biliary disease, endoscopy, GI bleeding, GI emergencies, pancreas, genetic disorder, inflammatory bowel disease, diarrheal illnesses, functional GI disorders, and hepatology. Expert faculty will deliver scientific presentations in a variety of formats. Didactic lectures, followed by interactive question and answer sessions, small group learning luncheons, and a choice of simultaneous sessions on the latest topics in GI and liver clinical care will be offered. Accreditation The American College of Gastroenterology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American College of Gastroenterology designates this live activity for a maximum of 13.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This program has been reviewed and is approved for a maximum of 35 hours of AAPA Category 1 CME credit by the Physician Assistant Review Panel. Physician assistants should claim only those hours actually spent participating in the CME activity. 17 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. ACG's 2014 Postgraduate Course – Saturday, October 18 Annual Postgraduate Course Saturday and Sunday, October 18 and 19, 2014 • Terrace Ballroom Course Co-Directors: Lauren B. Gerson, MD, MSc, FACG, and Seth A. Gross, MD, FACG Saturday, October 18, 2014 11:30 am Advanced Imaging for Colon Cancer Screening – Is There a Role? Seth A. Gross, MD, FACG 7:50 am – 5:00 pm 7:50 am Evaluate recent advances in colonoscopy imaging and the potential role in clinical practice. Introduction by Course Directors Lauren B. Gerson, MD, MSc, FACG 11:50 am Panel Q & A Seth A. Gross, MD, FACG 12:10 pm Break for Learning Luncheons session 1A: Esophagus Saturday Learning Luncheons moderator: Lauren B. Gerson, MD, MSc, FACG 12:20 pm – 1:35 pm 8:00 am A 360-Degree Approach to GERD Lauren B. Gerson, MD, MSc, FACG Cost is $75 per person/per lunch. See page 124 for more information. Discuss GERD management based on recent ACG guidelines. 1. Food Allergies and the GI Tract: Fact or Fiction? Sheila E. Crowe, MD, FACG 8:20 am Achalasia: Opening Up the Bird’s Beak Philip O. Katz, MD, FACG Interpret the role of food allergies in patients presenting with gastrointestinal disorders. Discuss diagnosis and management of achalasia based on recent ACG guidelines. 2. Refractory GERD: The Esophageal Physiology Toolbox Marcelo F. Vela, MD, MSCR, FACG 8:40 am EoE and Eosinophilia Nirmala Gonsalves, MD Determine an approach to managing the patient presenting with GERD symptoms refractory to PPI therapy. Discuss diagnosis and management of EoE based on recent ACG guidelines. 3. Don’t Panic: It’s a Visible Vessel! Loren A. Laine, MD, FACG 9:00 am Barrett’s Esophagus: Detection, Surveillance, Treatment Nicholas J. Shaheen, MD, MPH, FACG Evaluate the management of peptic ulcers with high risk stigmata and discuss recent ACG guidelines on UGIB. Outline recommendations for management of BE based on current ACG guidelines. 4. Fecal Transplantation for Clostridium difficile Infection Lawrence J. Brandt, MD, MACG 9:20 am Panel Q & A Evaluate the current state-of-the-art treatment using fecal transplantation for patients with Clostridium difficile infection. 9:40 am Break 5. Diverticular Disease: Dispelling the Myths Lisa L. Strate, MD, MPH, FACG 10:00 am The David Sun Lecture The Cloudy Future for Physicians: Reimbursement and Practice Changes in the Post-ACA Era Analyze new concepts regarding the management of complicated diverticular disease including diverticulitis and diverticular hemorrhage. Thomas A. Scully, JD Explain the impact of health reform on clinical GI practice. 6. Miscellaneous Colitides Darrell S. Pardi, MD, FACG session 1B: Colon Compare and contrast management options of microscopic, ischemic, eosinophilic and drug-induced colitis. moderator: Seth A. Gross, MD, FACG 7. Anorectal Disorders Update Amy E. Foxx-Orenstein, DO, FACG 10:30 am How to Improve the Quality of Your Colonoscopy Douglas K. Rex, MD, MACG Assess recent ACG guidelines regarding diagnosis and management of anorectal disorders including pelvic floor dysfunction, fecal incontinence, and anal fissures. Describe the importance of bowel preparation and how inspection techniques improve adenoma detection. 10:50 am Removal of Flat and Large Polyps Michael Wallace, MD, MPH, FACG 8. The Role of Complementary Therapy in Your Practice David J. Hass, MD, FACG Determine the best approach to identify and remove these challenging lesions. Specify potential usage of herbal therapy, biofeedback, hypnosis, and other alternative therapeutic options for gastroenterologists. 11:10 am Colon Cancer Screening: Should It Differ by Ethnicity, Gender, and Age? Aasma Shaukat, MD, MPH, FACG 9. Update in NASH Zobair M. Younossi, MD, MPH, FACG Identify recent advances in diagnosis and management of nonalcoholic steatosis. Analyze recent data demonstrating differences in colon neoplasia by ethnicity and gender. 10. You’ve Just Been Appointed to Run Your Endoscopy Unit: Now What? David H. Robbins, MD, MSc, FACG Implement management strategies to run an efficient endoscopy unit. For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 18 ACG's 2014 Postgraduate Course – Saturday, October 18 Simultaneous Symposia Sessions 11. The Post-ablation Esophagus: What Lies Beneath Prateek Sharma, MD, FACG 3:45 pm – 5:00 pm Assess the possibility of persistent intestinal metaplasia after RFA and utilize tools for diagnosis, including confocal microscopy and/ or OCT. symposium A:Endoscopy moderator: Douglas G. Adler, MD, FACG 12. Obscure GI Bleeding – What’s the Current Algorithm? Lauren B. Gerson, MD, MSc, FACG 3:45 pm When, Where, and Why to Place a Luminal Stent Douglas G. Adler, MD, FACG Evaluate the patient with obscure GI bleeding and utilize tools including capsule endoscopy and deep enteroscopy. session 1C: Biliary Evaluate indications for stent placement in the gastrointestinal tract. Disease 4:05 pm EMR, ESD or Old-fashioned Polypectomy? Michael B. Wallace, MD, MPH, FACG moderator: Gregory G. Ginsberg, MD, FACG Differentiate between options for polyp removal in the upper and lower GI tracts including when to perform EMR and/or ESD. 1:45 pm Choledocholithiasis: Management Strategies? Gregory G. Ginsberg, MD, FACG Evaluate the different presentations of choledocholithiasis to help better triage your patient. 4:25 pm Adverse Events During or After Colonoscopy: How to Avoid Needing Surgical Help Gottumukkala S. Raju, MD, FACG 2:05 pm Choledochal Cysts: Recognition and Management Laith Jamil, MD Formulate potential management strategies for adverse events associated with colonoscopies, including perforation and bleeding. Identify the various types of choledochal cysts and their clinical impact. 2:25 pm Minimizing Adverse Events During ERCP Christopher J. DiMaio, MD, FACG 4:45 pm Panel Q & A Identify potential adverse events associated with ERCP and solutions to their management. symposium B: GI Bleeding: What's New moderator: John R. Saltzman, MD, FACG 2:45 pm Management of Indeterminate Biliary Strictures Steven A. Edmundowicz, MD 3:45 pm How to Manage Non-Variceal Bleeding: What’s New? John R. Saltzman, MD, FACG Evaluate and manage indeterminate biliary strictures. 3:05 pm Panel Q & A Analyze new methods for cessation of non-variceal bleeding, including non-endoscopic options. 3:25 pm Break NEW THIS YEAR: 4:05 pm Hemorrhoidal or Not Hemorrhoidal: That Is the Question Lisa L. Strate, MD, MPH, FACG PG+MOC 4:25 pm Should I Alter My Patient’s Antiplatelet Therapy? How to Manage Medications Before Routine Endoscopy and When the Patient Is Bleeding Neena S. Abraham, MD, MSCE, FACG PG Course attendees can purchase and complete the PG+MOC online module and earn 10 MOC points. Here is how it works: 1)Purchase the PG+MOC online module when you register for the ACG 2014 Postgraduate Course. (Use the Registration Form on page 125; pre-registration deadline is September 24, 2014.) 2)Prior to the meeting, you’ll receive an email when the PG+MOC module is available in early October. 3)Log in and answer the module’s 30 questions. Upon completion, you’ll receive a customized curriculum of recommended sessions specifically designed for you to attend at the PG Course. The customized curriculum, based on your results from taking the module, will help to fill any knowledge gaps. If you complete the module with a passing score, you can submit directly to ABIM to earn your MOC points immediately. Then use your customized curriculum to attend the PG Course. 4)After the course, log in to the PG+MOC module again, re-take ONLY the questions you answered incorrectly prior to the course, and, upon achieving a passing score, submit your results to ABIM to earn your MOC points. You have three attempts to achieve a passing score. You must be registered for the ACG 2014 Postgraduate Course to take advantage of this special offer. ACG members may purchase the PG+MOC online module for an additional $40; non-members may purchase it for an additional $50. If you are already registered for the PG Course: purchase this special module at http://acgmeetings.gi.org/pgmoc.asp. Determine management strategies for patients who are using aspirin, NSAIDs, clopidogrel, or other antiplatelet agents. 4:45 pm Panel Q & A symposium C: How POSTGRADUATE COURSE Discuss recent ACG guidelines for LGIB and determine appropriate management. Maintenance of Certification available in conjunction with ACG’s Postgraduate Course to Handle GI Emergencies moderator: David A. Greenwald, MD, FACG 3:45 pm Foreign Bodies: How to Get Them Out David A. Greenwald, MD, FACG Define management options for foreign bodies in the GI tract. 4:05 pm Variceal Bleeding: Treatment Strategies Guadalupe Garcia-Tsao, MD Identify treatment strategies for acute variceal hemorrhage. 4:25 pm How to Handle the 2:00 am Call About a Dilated Colon Eamonn M. M. Quigley, MD, FACG Identify management strategies for patients presenting with Ogilvie’s syndrome and other causes of megacolon. 4:45 pm Panel Q & A 19 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. ACG's 2014 Postgraduate Course – Sunday, October 19 Sunday, October 19, 2014 12:00 noon Break for Learning Luncheons 7:50 am – 5:00 pm 7:50 am Sunday Learning Luncheons 12:20 pm – 1:35 pm Introduction by Course Directors Cost is $75 per person/per lunch. See page 124 for more information. session 2A:Pancreas moderator: Scott M. Tenner, Md, MPH, JD, Facg 13. Liver Transplant Management in the Community Mitchell L. Shiffman, MD, FACG 8:00 am Acute Pancreatitis: How to Get the Best Outcome Scott M. Tenner, MD, MPH, JD, FACG Determine when and how to refer your patient for liver transplantation. Discuss management of acute pancreatitis based on recent ACG guidelines. 14. What’s Happening in Washington and the Potential Impact on Your Gastroenterology Practice Harry E. Sarles, Jr., MD, FACG 8:20 am How to Manage the Pain and Malabsorption in Chronic Pancreatitis Timothy B. Gardner, MD, MS, FACG Explain recent updates from Congress regarding upcoming policies for gastroenterology practice. Discuss presentation and management options for patients presenting with chronic pancreatitis. 15. Doc, I’m Still Nauseous and Bloated but All My Tests Are Negative! Eamonn M.M. Quigley, MD, FACG 8:40 am Pancreatic Cyst: A Management Dilemma John M. DeWitt, MD, FACG Evaluate and treat patients with functional gastrointestinal disorders including functional dyspepsia, refractory nausea, and bloating. Apply an evidence-based approach to diagnosis and management of pancreatic cysts. 16. Fertility and Pregnancy in IBD Marla C. Dubinsky, MD 9:00 am Role of Endoscopy in the Management of Pancreatic Disorders Vanessa M. Shami, MD Choose management strategies for the female patient with IBD who is contemplating pregnancy. Evaluate options for endoscopic therapy in patients with pancreatic disorders including pseudocysts, pancreatic strictures, and pancreatic cancer. 17. Fluid in the Abdomen: What to Do Next? Guadalupe Garcia-Tsao, MD Analyze updated management strategies for patients presenting with ascites. 9:20 am Panel Q & A 9:40 am Break session 2B:Genetic 18. The Role of Swallowing a Pill in Your Practice: Why, When, and Where Felice Schnoll-Sussman, MD, FACG Disorders Explain the role of video capsule endoscopy for patients with esophageal, small bowel, and colonic disorders and discuss indications for wireless capsule motility. moderator: Carol A. Burke, Md, Facg 10:00 am When to Send Your Patient for Genetic Counseling Heather L. Hampel, MS, CGC 19. PPIs: Do They Harm the Heart, Bones, and Intestinal Flora? Philip O. Katz, MD, FACG Determine when to refer your patient for genetic counseling and learn how testing is performed. Cite potential risks associated with PPI usage including osteoporosis, enteric infections, and interactions with clopidogrel. 10:20 am Pancreatic Cancer: The Genes You Need to Know Randall E. Brand, MD, FACG Identify pancreatic cancer genetic syndromes and when to test. 20. How to Manage the Patient Who Failed Antibiotic Therapy for H. pylori Infection William D. Chey, MD, FACG 10:40 am Liver Disorders: It’s All in the Family Kris V. Kowdley, MD, FACG Describe hereditary hepatic metabolic disorders and available testing modalities. Identify alternative management strategies for patients with refractory H. pylori infection. 11:00 am Hereditary Colon Cancer: How Not to Miss It in Your Patients Carol A. Burke, MD, FACG 21. Endoscopic Management of Pancreatic Pseudocysts Vanessa M. Shami, MD Evaluate endoscopic management strategies of pancreatic pseudocysts. Analyze when to consider genetic testing in a patient presenting with colonic polyps or colon cancer. 22. Enteral Feeding: How To Pick Your Tube Stephen A. McClave, MD 11:20 am The Role of Genetic Testing in Celiac Disease Alberto Rubio-Tapia, MD Identify options for enteral feeding and techniques for endoscopic placement. Explain recent ACG guidelines and discuss screening for celiac disease and available testing modalities. 11:40 am Panel Q & A For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 20 ACG's 2014 Postgraduate Course – Sunday, October 19 23. Treatment Strategies for the Resistant Patient with Hepatitis B Paul Y. Kwo, MD, FACG 4:45 pm Panel Q & A symposium E: Functional Describe options for treatment of chronic hepatitis B infection. moderator: Paul Moayyedi, MB, ChB, PhD, MPH, FACG 24. Endoscopy in the Post-bariatric Patient Steven A. Edmundowicz, MD 3:45 pm The Stomach that Refuses to Empty Michael Camilleri, MD, FACG Discuss how to perform endoscopy in the post-bariatric patient and disorders including gallstones, pancreatitis, and malabsorption. session 2C:Inflammatory Gastrointestinal Disorders Discuss recent ACG guidelines on the diagnosis and management of gastroparesis. 4:05 pm Limiting the Urgency for Patients with IBS-D Paul Moayyedi, MB, ChB, PhD, MPH, FACG Analyze options for management of patients with IBS-D including treatment of bacterial overgrowth syndrome. Bowel Disease moderator: Stephen B. Hanauer, Md, Facg 4:25 pm Clearing Out the Pipes in IBS-C Adil E. Bharucha, MBBS, MD 1:45 pm Preventive Care – How and When to Vaccinate Francis A. Farraye, MD, MSc, FACG Differentiate treatment options for IBS-C including new medications and biofeedback for pelvic floor dysfunction. Apply recent ACG guidelines for vaccinations in IBD patients. 4:45 pm Panel Q & A 2:05 pm What’s New for Ulcerative Colitis? Stephen B. Hanauer, MD, FACG Compare and contrast management strategies for patients with ulcerative colitis. symposium F: Update in Hepatology moderator: Mitchell L. Shiffman, MD, FACG 2:25 pm Update in Crohn’s Management Uma Mahadevan, MD, FACG 3:45 pm Evaluation of Focal Liver Lesions K. Rajender Reddy, MD, FACG Evaluate updated management options for patients with Crohn’s disease. Analyze evidence-based evaluation of liver lesions based on recent ACG guidelines. 2:45 pm How and When to Screen for Cancer in IBD David T. Rubin, MD, FACG 4:05 pm Drug-induced Liver Injury (DILI) Mitchell L. Shiffman, MD, FACG Choose screening options for neoplasia in patients with IBD. Diagnose and manage DILI according to ACG guidelines. 3:05 pm Panel Q & A 4:25 pm Update in the Management of Hepatitis C: What Does the Future Hold? Paul Y. Kwo, MD, FACG 3:25 pm Break 3:30 pm – 7:00 pm Poster Sessions Exhibit Halls DE 4:45 pm Panel Q & A 3:30 pm – 7:00 pm Hands-on Workshop Center Exhibit Halls DE, Booth #104 5:00 pm Postgraduate Course Adjourns 3:45 pm – 5:00 pm 5:15 pm – 7:00 pm Opening Welcome Reception Reception will be held in the Exhibit Hall Simultaneous Sessions Simultaneous Symposia Sessions 5:15 pm – 6:00 pm Exhibitor Theater Exhibit Halls DE, Booth #1049 3:45 pm – 5:00 pm 6:15 pm – 7:00 pm Exhibitor Theater Exhibit Halls DE, Booth #1049 symposium D: Update POSTGRADUATE COURSE Apply new advances and therapeutic options for patients with hepatitis C. 3:30 pm – 7:00 pm Exhibit Hall Opens Exhibit Halls DE in Diarrheal Illnesses moderator: Lawrence R. Schiller, MD, FACG The Opening Welcome Reception 3:45 pm The Clinical Algorithm for Acute Diarrhea Mark B. Pochapin, MD, FACG Sunday, October 19, 5:15 pm – 7:00 pm Apply the clinical algorithm to diagnose the underlying etiology of acute diarrhea. Immediately following the conclusion of the Postgraduate Course, join colleagues for the ACG 2014 Opening Welcome Reception in the Exhibit Hall. The Reception will feature hors d’oeuvres and refreshments. This casual social gathering will give all attendees the opportunity to explore the Hall, meet with exhibitors, and network and mingle with fellow professionals. 4:05 pm The Diarrhea Persists: What to Do Next? Lawrence R. Schiller, MD, FACG Evaluate and manage patients presenting with chronic diarrhea. 4:25 pm Did Your Patients Take Antibiotics? Think about Clostridium difficile Infection! Christina M. Surawicz, MD, MACG Examine options for diagnosis and management of Clostridium difficile based on recent ACG guidelines. 21 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. ACG's 2014 Postgraduate Course – Faculty Listing Neena S. Abraham, MD, MSCE, FACG Professor of Medicine, Mayo Clinic College of Medicine, Scottsdale, AZ Douglas G. Adler, MD, FACG Associate Professor of Medicine, University of Utah School of Medicine, Salt Lake City, UT Adil E. Bharucha, MBBS, MD Professor of Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN Randall E. Brand, MD, FACG Professor of Medicine, University of Pittsburgh, Pittsburgh, PA Lawrence J. Brandt, MD, MACG Emeritus Chief of Gastroenterology, Montefiore Hospital, Bronx, NY Carol A. Burke, MD, FACG Director, Center for Colon Polyp and Cancer Prevention, Cleveland Clinic Foundation, Cleveland, OH Michael Camilleri, MD, FACG Professor of Medicine, Pharmacology, and Physiology, Mayo Clinic College of Medicine, Rochester, MN William D. Chey, MD, FACG Professor of Medicine; Director, GI Physiology Lab; Co-Director, Michigan Bowel Control Program, University of Michigan Medical Center, Ann Arbor, MI Sheila E. Crowe, MD, FACG Professor of Medicine, Director of Research, University of California, San Diego, La Jolla, CA John M. DeWitt, MD, FACG Professor of Medicine, Indiana University Medical Center, Indianapolis, IN Christopher J. DiMaio, MD, FACG Director of Therapeutic Endoscopy, Icahn School of Medicine at Mount Sinai, New York, NY Marla C. Dubinsky, MD Director, Pediatric IBD Center, Cedars-Sinai Medical Center, Los Angeles, CA Steven A. Edmundowicz, MD Professor of Medicine, Chief of Endoscopy, Division of Gastroenterology, Washington University School of Medicine, St. Louis, MO Guadalupe Garcia-Tsao, MD Professor of Medicine; Chief Digestive Diseases at VA-CTHCS, Yale University / VA-CT Healthcare System, New Haven, CT Loren A. Laine, MD, FACG Professor of Medicine, Yale University School of Medicine, New Haven, CT Uma Mahadevan, MD, FACG Professor of Medicine, UCSF Center for Colitis and Crohn’s Disease, San Francisco, CA Timothy B. Gardner, MD, FACG Assistant Professor, Geisel School of Medicine at Dartmouth, Hanover, NH; Director, Pancreatic Disorders, Dartmouth-Hitchcock Medical Center, Lebanon, NH Stephen A. McClave, MD Professor of Medicine, University of Louisville School of Medicine, Louisville, KY Lauren B. Gerson, MD, MSc, FACG Attending Physician; Director of Clinical Research, GI Fellowship Program, California Pacific Medical Center, San Francisco, CA Paul Moayyedi, MB, ChB, PhD, MPH, FACG Chair, Division of Gastroenterology, McMaster University, Hamilton, Ontario, Canada Gregory G. Ginsberg, MD, FACG Director of Endoscopic Services, University of Pennsylvania Hospital, Philadelphia, PA Darrell S. Pardi, MD, FACG Professor of Medicine, Vice Chair, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN Nirmala Gonsalves, MD Associate Professor of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL Mark B. Pochapin, MD, FACG Director, Division of Gastroenterology, Professor of Medicine, NYU Langone Medical Center, New York, NY David A. Greenwald, MD, FACG Fellowship Program Director, Associate Division Director, Montefiore Medical Center, Bronx, NY Eamonn M. M. Quigley, MD, FACG Chief, Division of Gastroenterology, The Methodist Hospital, Weill Cornell Medical College, Houston, TX Seth A. Gross, MD, FACG Director of Endoscopy, Tisch Hospital, NYU Langone Medical Center, NYU School of Medicine, New York, NY Gottumukkala S. Raju, MD, FACG Professor of Medicine, University of Texas MD Anderson Cancer Center, Houston, TX Heather L. Hampel, MS, CGC Certified Genetic Counselor, The Ohio State University, Columbus, OH K. Rajender Reddy, MD, FACG Professor of Medicine, Director of Hepatology, Director of Viral Hepatitis Center, Hospital of the University of Pennsylvania, Philadelphia, PA Stephen B. Hanauer, MD, FACG Professor of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL Douglas K. Rex, MD, MACG Distinguished Professor of Medicine, Indiana University Medical Center, Indianapolis, IN David J. Hass, MD, FACG Assistant Clinical Professor of Medicine, Yale University School of Medicine, Hamden, CT David H. Robbins, MD, MSc, FACG Program Director, Lenox Hill Hospital, New York, NY Laith H. Jamil, MD Associate Director of Interventional Endoscopy, Cedars-Sinai Medical Center, Los Angeles, CA David T. Rubin, MD, FACG Professor of Medicine, University of Chicago Medicine, Chicago, IL Philip O. Katz, MD, FACG Chair, Division of Gastroenterology, Einstein Medical Center, Philadelphia, PA Francis A. Farraye, MD, MSc, FACG Professor of Medicine, Boston University School of Medicine; Clinical Director, Section of Gastroenterology, Boston Medical Center, Boston, MA Kris V. Kowdley, MD, FACG Director, Liver Center of Excellence; Director of Research, Digestive Diseases Institute, Virginia Mason Medical Center, Seattle, WA Amy E. Foxx-Orenstein, DO, FACG Professor of Medicine, Mayo Clinic, Scottsdale, AZ Paul Y. Kwo, MD, FACG Professor of Medicine, Indiana University, Indianapolis, IN For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Alberto Rubio-Tapia, MD Assistant Professor of Medicine, Mayo Clinic, Rochester, MN John R. Saltzman, MD, FACG Director of Endoscopy, Brigham and Women’s Hospital; Associate Professor of Medicine, Harvard Medical School, Boston, MA Harry E. Sarles, Jr., MD, FACG Founding Partner, Digestive Health Associates of Texas, Rockwall, TX 22 Lawrence R. Schiller, MD, FACG Program Director, Gastroenterology Fellowship, Baylor University Medical Center, Digestive Health Associates of Texas, Dallas, TX Felice Schnoll-Sussman, MD, FACG Associate Professor of Clinical Medicine, Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY Thomas A. Scully, JD Senior Counsel, Alston & Bird, Washington, DC Nicholas J. Shaheen, MD, MPH, FACG Professor of Medicine and Epidemiology, University of North Carolina, Chapel Hill, NC Vanessa M. Shami, MD Associate Professor of Medicine, University of Virginia, Charlottesville, VA Prateek Sharma, MD, FACG Professor of Medicine, University of Kansas School of Medicine, Leawood, KS Aasma Shaukat, MD, MPH, FACG GI Section Chief, Minneapolis VAHCS, Associate Professor, University of Minnesota, Minneapolis, MN Mitchell L. Shiffman, MD, FACG Director, Liver Institute of Virginia, Bon Secours Health System, Richmond, VA Lisa L. Strate, MD, MPH, FACG Associate Professor of Medicine, University of Washington School of Medicine, Seattle, WA Christina M. Surawicz, MD, MACG Professor of Medicine, Assistant Dean for Faculty Development, University of Washington School of Medicine, Seattle, WA Scott M. Tenner, MD, MPH, JD, FACG Clinical Professor of Medicine, State University of New York, State University of New York, Brooklyn, NY Marcelo F. Vela, MD, MSCR, FACG Associate Professor, Mayo Clinic, Scottsdale, AZ Michael B. Wallace, MD, MPH, FACG Professor of Medicine, Division of GI and Hepatology, Mayo Clinic, Jacksonville, FL Zobair M. Younossi, MD, MPH, FACG Chairman, Department of Medicine; VP for Research, Inova Health System, Falls Church, VA ACG's 2014 Annual Scientific Meeting Annual Scientific Meeting Monday through Wednesday, October 20 through 22, 2014 • Terrace Ballroom Join GI physicians from around the U.S. and the world for the ACG Annual Scientific Meeting. The meeting promises to deliver the latest clinical information on timely topics in gastroenterology. As an ACG member, you can attend the three-day Annual Meeting for free – there is no registration fee. Choose from 11 symposia, multiple networking events, and see the latest advances in technology and therapeutics from exhibitors from around the globe. Additional breakfast sessions, 17 in total, will be offered for a nominal fee. Register today! Be sure to visit poster presentations in the Exhibit Hall on Sunday, October 19th beginning at 3:30 pm, and enjoy the Exhibit Hall Opening Reception beginning at 5:15 pm on Sunday. Program Description Returning this year is the Endoscopy Video Forum, “Live from Philly! The 2nd Annual Endoscopy Video Forum.” The Forum will feature the best video presentations submitted from colleagues from across the U.S. and around the world. Submitted during ACG’s Call for Abstracts and peer-reviewed and selected for presentation, the cases will feature endoscopy techniques, challenging or unique cases, and cases in the area of GI endoscopy. During the session, the audience, along with the Moderators, will vote to select the best video of ACG 2014. The field of gastroenterology and hepatology continues to see advancements in multiple areas relating to diagnostic measures, therapeutic options and technology. In order to provide appropriate and top-quality patient care, the clinician is challenged to stay abreast of the changes and advancements affecting the management of many gastrointestinal and liver disease states. Throughout the three-day Annual Meeting, you will be exposed to updates in a variety of topics, including biologic therapy in IBD, hepatitis C, acute and chronic pancreatitis, IBS, colonoscopy, the refractory esophageal patient, case studies in IBD management, the inpatient hepatology consult, the human microbiome, and more. The Annual Scientific Meeting program is designed primarily for physicians in gastroenterology and hepatology, as well as physician assistants, nurse practitioners and other advanced practice healthcare professionals interested in the latest information on state-of-the-art treatment of these illnesses. Eleven scientific plenary symposia will allow attendees to hear lecture presentations from experts and to participate in interactive question and answer sessions with the faculty. In addition, 17 optional scientific breakfast sessions will be offered, where a smaller setting allows for heightened interaction with the speakers and greater audience involvement. Accreditation The American College of Gastroenterology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Many sessions will use expert panel discussions in debate and case-based formats. The American College of Gastroenterology designates this live activity for a maximum of 16.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Download ACG 2014 slides to your Apple or Android smart device with eventScribe! 23 ANNUAL MEETING Follow along with the presenter when you download slides using the eventScribe app by CadmiumCD. The eventScribe app, native to Apple and Android devices including tablets, phones, and Kindle Fire, can be downloaded in advance and used onsite during the meeting. eventScribe lets you take notes next to each slide, highlight information and draw on each slide. Save your notes to reference after the meeting. annual scientific meeting slides will be available on course available on Look for this symbol to see if eventScribe slide downloads are available. For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Annual Scientific Meeting Agenda – Monday, October 20 Monday, October 20, 2014 breakfast c: GI Disease in Transitioning Teenagers: Adults Aren't Big Kids 6:30 am – 6:00 pm 6:00 am – 4:45 pm Registration (Broad Street Atrium) moderator: Sandeep K. Gupta, MD, FACG Cystic Fibrosis Drucy S. Borowitz, MD Discuss issues that carry over with patients as they transition into adult practice, including nutrition and liver disease. 6:30 am – 7:45 am OPTIONAL Breakfast Sessions Cost is $60 per person/per session. Separate registration required. A USB containing all ACG 2014 Breakfast Sessions submissions will be provided to attendees registered for any Breakfast Session. See page 124 for registration information. IBD Judith R. Kelsen, MD breakfast a: Outline how patients with childhood-onset IBD are different from adultonset disease. moderator: Ryan Madanick, MD EoE Sandeep K. Gupta, MD, FACG GIs in the Digital Age: The Power of Social Media Describe issues faced by teenagers with GI disease including diet compliance, medication use and independent access to health-care. To Socialize or Not to Socialize: The Pros and Cons of Social Media Sites Ryan Madanick, MD breakfast d: A Explain the threats to professionalism that involvement in social media poses and how these threats can be minimized, and monitor and begin to manage your own digital footprint. Conditions moderator: Philip O. Katz, MD, FACG Reputation Management: How to Use Your Online Brand to Bring in New Patients Kenneth Brown, MD GERD and Barrett’s Philip O. Katz, MD, FACG Explain how social media can improve patient care and how your online brand can be used to bring in new patients. Formulate a cost-effective approach for the management of GERD and Barrett’s esophagus. Case Studies in Social Media: Dos and Don’ts David T. Rubin, MD, FACG Constipation Amy E. Foxx-Orenstein, DO, FACG Select a social media platform appropriate for personal and professional needs. breakfast b: Atypical Cost-effective Approach to Common GI Assess the need for diagnostic testing in patients with chronic constipation. Dyspepsia Brian E. Lacy, MD, PhD, FACG Colitides Identify a cost-effective approach for the treatment of dyspepsia. moderator: Darrell S. Pardi, MD, FACG breakfast e: Endoscopy 101: Esophageal and Anorectal Motility, and Hands-on Microscopic Colitis: What’s New in Diagnosis and Management Darrell S. Pardi, MD, FACG Identify current and new methods to detect and treat microscopic colitis. moderator: Felice Schnoll-Sussman, MD, FACG The Spectrum of Diverticular Disease: SCAD, SUDD Brennan M. R. Spiegel, MD, MSHS, FACG Esophageal Manometry Felice Schnoll-Sussman, MD, FACG Utilize diagnostic tools to define the spectrum of diverticular diseases. Interpret common esophageal motility problems, followed by a hands-on demonstration. Ischemic Colitis Lawrence J. Brandt, MD, MACG Anorectal Manometry Satish S. C. Rao, MD, PhD, FACG Summarize the pathophysiology and know the methods for diagnosing and treating ischemic colitis. Interpret common anorectal motility problems, followed by a hands-on demonstration. Following the didactic lectures, attendees will participate in a hands-on session taking place in the Hands-on Workshop Center from 7:50 am9:00 am. For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 24 Annual Scientific Meeting Agenda – Monday, October 20 6:00 am – 4:45 pm Registration (Broad Street Atrium) 7:50 am – 6:00 pm Scientific Meeting 7:50 am – 8:00 am Opening Remarks 8:00 am – 9:00 am ModeratoRS: Paris Descartes et Hôpital, Paris, France, Hopital Saint Joseph, Marseille, France, Complejo Hospitalario Universitario A Coruña, A Coruña, Spain, Hospital Universitario La Fe, Valencia, Spain, AbbVie, Inc., North Chicago, IL (Terrace Ballroom) Harry E. Sarles, Jr., MD, FACG ACG President 9:00 am – 9:30 am President’s Address (Terrace Ballroom) Harry E. Sarles, Jr., MD, FACG Introduced by: Stephen B. Hanauer, MD, FACG ACG President-Elect PRESIDENT'S Plenary Session 1 (Terrace Ballroom) Harry E. Sarles, Jr., MD, FACG John R. Saltzman, MD, FACG 9:30 am – 10:30 am 1. Dronabinol Increases Pain Threshold in Non-Cardiac Chest Pain: A Double Blind Placebo Controlled Trial 2014 ACG Auxiliary Award (Trainee) Zubair Malik, MD, Levant Bayman, MSc, Jessica Valestine, BSc, Ron Schey, MD, Temple University Hospital, Philadelphia, PA, University of Iowa Hospitals and Clinics, Iowa City, IA ModeratoRS: PRESIDENT'S Plenary Session 2 (Terrace Ballroom) Stephen B. Hanauer, MD, FACG John R. Saltzman, MD, FACG 6. Capnographic Monitoring Does Not Improve Detection of Hypoxemia in Colonoscopy With Moderate Sedation. A Randomized, Controlled Trial 2014 ACG Fellow Award Paresh P. Mehta, MD, Gursimran Kochhar, MD, Mazen Albeldawi, MD, Brian Kirsh, MD, Maged K. Rizk, MD, Brian Putka, MD, Binu John, MD, Yinghong Wang, MD, Nicole Breslaw, MD, John J. Vargo, MD, FACG, Cleveland Clinic, Cleveland, OH 2. Metal Versus Plastic for Pancreatic Pseudocyst Drainage: Clinical Outcomes and Success Reem Z. Sharaiha, MD, MSc, Ersilia M. DeFilippis, MD, Prashant Keida, MD, Christine Boumitri, MD, Huei-Wen Lim, MD, Eugene Han, MD, Harkarit Singh, MD, Saad S. Ghumman, MD, Monica Gaidhane, MD, Thomas Kowalski, MD, David Loren, MD, Michel Kahaleh, MD, FACG, Ali Siddiqui, MD, Weill Cornell Medical Center, New York, NY, Thomas Jefferson University, Philadelphia, PA 7. Young-Onset Colorectal Cancer: A More Aggressive Disease on the Rise 2014 ACG Colorectal Cancer Prevention Award Xi E. Zheng, MD, PhD, Heather Yeo, MD, MHS, Doron Betel, PhD, Manish A. Shah, MD, Weill Cornell Medical College, New York, NY 3. Gender Differences in Research Productivity, Academic Rank and Career Duration Among U.S. Academic Gastroenterology Faculty 2014 ACG/Naomi Nakao Gender-Based Research Award Sarah J. Diamond, MD, Brintha K. Enestvedt, MD, MBA, Charles Thomas, MD, Sima Desai, MD, Reshma Jagsi, MD, Colleen Schmitt, MD, Oregon Health and Science University, Portland, OR, University of Michigan, Ann Arbor, MI, Galen Medical Group, Chattanooga, TN 8. Impact of Retroflexion Versus Second Forward View Examination of the Right Colon on Adenoma Detection: A Multicenter Randomized Controlled Trial 2014 ACG Colorectal Cancer Prevention Award Vladimir M. Kushnir, MD, Young Oh, MD, Thomas Hollander, BS, Chien-Huan Chen, MD, PhD, Gregory S. Sayuk, MD, MPH, Nicholas Davidson, MD, FACG, Daniel Mullady, MD, Faris M. Murad, MD, Noura M. Sharabash, MD, Eric Ruettgers, MSN, RN, ANP-BC, Themistocles Dassopoulos, MD, Jeffrey J. Easler, MD, C. Prakash Gyawali, MD, FACG, Steven A. Edmundowicz, MD, Dayna S. Early, MD, FACG, Washington University School of Medicine, St. Louis, MO, Medical College of Wisconsin, Milwaukee, WI 9. Colonoscopy Is Associated With a Reduced Risk of Colon Cancer and Mortality in Patients With Inflammatory Bowel Diseases 2014 ACG Auxiliary Award (Member/Fellow) Ashwin Ananthakrishnan, MD, MPH, Andrew Cagan, BS, Tianxi Cai, PhD, Vivian Gainer, MS, Stanley Shaw, MD, PhD, Susanne Churchill, PhD, Elizabeth Karlsin, MD, MPH, Shawn Murphy, MD, PhD, Isaac Kohane, MD, PhD, Katherine Liao, MD, MPH, Massachusetts General Hospital, Boston, MA, Brigham and Women’s Hospital, Boston, MA, Harvard School of Public Health, Boston, MA, Partners Healthcare, Boston, MA 5. Normalization of Liver-Related Laboratory Parameters in HCV Genotype 1-Infected Patients With Cirrhosis After Treatment With ABT-450/R/Ombitasvir, Dasabuvir and Ribavirin Gregory Everson, MD, Samuel Lee, MD, Stefan Zeuzem, MD, Pietro Andreone, MD, Stanislas Pol, MD, Marc Bourlière, MD, Angeles Castro, MD, PhD, Marina Berenguer, MD, Sandra Lovell, PhD, Marcos Pedrosa, MD, PhD, Roger Trinh, MD, MPH, University of Colorado Denver and Hospital, Aurora, CO, University of Calgary, Calgary, Alberta, Canada, J.W. Goethe University, Frankfurt, Germany, University of Bologna, Bologna, Italy, Université ANNUAL MEETING 4. SVR12 of 99% Achieved With a Ribavirin-Free Regiment of ABT-450/r/Ombitasvir and Dasabuvir in HCV Genotype 1bInfected Patients 2014 ACG International Award Andreas Maieron, MD, Massimo Puoti, MD, Jeffrey Enejosa, MD, Ziv Ben-Ari, MD, Gunnar Norkrans, MD, Manuel RomeroGomez, MD, Wangang Xie, MD, PhD, Daniel Cohen, MD, Thomas Podsadecki, MD, Pietro Andreone, MD, Elisabeth Hospital, Linz, Austria, A.O. Ospedale Niguarda Ca Granda, Milan, Italy, AbbVie, Inc., North Chicago, IL, The Chaim Sheba Medical Center, Tel Hashomer, Israel, Sahlgrenska University Hospital, Göteborg, Sweden, Hospital Universitario Nuestra Senora De Valme, Seville, Spain, University of Bologna, Bologna, Italy 10. The Effect of Immunosuppressive Therapy on Cardiovascular Disease in Patients With Inflammatory Bowel Disease Sudeep D. Thapa, MD, Hiba Hadid, MD, Syed-Mohammed Jafri, MD, Mohammed Imam, DO, Jason Schairer, MD, Internal Medicine, Henry Ford Hospital, Detroit, MI 25 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Annual Scientific Meeting Agenda – Monday, October 20 10:00 am – 4:30 pm Exhibit Hall Opens 10:00 am – 4:30 pm Hands-on Workshop Center Plenary Session 1: Functional Bowel Disorder/Pediatrics (Exhibit Halls DE) MODERATORS: Brian E. Lacy, MD, PhD, FACG 10:30 am – 11:30 am Break – Visit Exhibits 10:30 am – 11:30 am Exhibitor theater 11:30 am – 12:45 pm Simultaneous Symposia 1 2:15 pm – 3:00 pm Simultaneous Plenary Sessions (Exhibit Halls DE) Samra Sarigol-Blanchard, MD 11. Linaclotide Efficacy on Dyspepsia Symptoms Using Nepean Dyspepsia Index (NDI) in a Phase 3B Trial of CIC Patients With Bloating Anthony Lembo, MD, Nicholas J. Talley, MD, PhD, FACG, Steven J. Shiff, MD, Bernard J. Lavins, MD, Robyn T. Carson, MPH, Rick Blakesley, PhD, Xinming Hao, PhD, Mark G. Currie, PhD, Caroline Kurtz, PhD, Jeffrey M. Johnston, MD, University of Newcastle, Callaghan, New South Wales, Australia, Forest Laboratories, Jersey City, NJ, Ironwood Pharmaceuticals, Cambridge, MA (Exhibit Halls DE) (Exhibit Halls DE) simultaneous symposia 1a:Choosing Biologic Therapy for IBD and Monitoring moderator: David T. Rubin, MD, FACG 12. Analysis of Exhaled Volatile Organic Compounds Reveals New Biomarkers for Irritable Bowel Syndrome 2014 ACG Fellow Award Sophia A. Patel, MD, Nishaben Patel, MD, Vera Okwu, MD, Ammar Matloob, MD, David Grove, PhD, Ellen Rome, MD, Raed Dweik, MD, Naim Alkhouri, MD, Pediatric GI, Cleveland Clinic Children’s, Cleveland, OH; Cleveland Clinic Respiratory Institute, Cleveland, OH; Cleveland Clinic Pediatric Department, Cleveland, OH Positioning Biologics in Ulcerative Colitis Bruce E. Sands, MD, FACG Describe how timing and selection factor into the implementation of biologic therapy for UC. Positioning Biologics in Crohn’s Disease David T. Rubin, MD, FACG Describe how timing and selection factor into the implementation of biologic therapy for Crohn’s disease. 13. Urgency as a Measure of Treatment Effect Due to Eluxadoline Anthony Lembo, MD, David Andrae, MD, Scott Dove, MD, Paul Covington, MD, Beth Israel Deaconess Medical Center, Boston, MA, Furiex Pharmaceuticals, Morrisville, NC Appropriate Use and Interpretation of Drug Levels Marla C. Dubinsky, MD Incorporate a rational approach to therapeutic drug monitoring in IBD. Apply recent phase 3 treatment options for genotype 1 infected individuals who are treatment naïve and non-responders to previous therapy. 14. Plecanatide, a Novel Uroguanylin Analog: A 12-week, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Trial to Evaluate Efficacy and Safety in Patients With Irritable Bowel Syndrome With Constipation (IBS-C) Philip B. Miner, MD, FACG, Robert DeLuca, MD, Marianela D. La Portilla, MD, Eveline Padila, MD, William Koltun, MD, Othon H. Wiltz, MD, Kunwar Shailubhai, PhD, MBA, Gary S. Jacob, PhD, Patrick Griffin, MD, Laura M. Barrow, PharmD, R&D, Synergy Pharmaceuticals, Inc., Doylestown, PA, Genoma Research Group, Miami, FL, Columbus Clinical Services, Miami, FL, Medical Center for Clinical Research, San Diego, CA, Oklahoma Center for Clinical Research, Oklahoma City, OK, Medical Research Unlimited, Hialeah, FL, South Medical Research Center, Miami, FL Genotype 2/3 Other Populations Andrew J. Muir, MD, MHS Plenary Session 2: IBD simultaneous symposia 1b: Hepatitis Arrived C: The Future Has moderator: Stanley M. Cohen, MD Evaluating Your Patient for Therapy Using All Oral Therapies Stanley M. Cohen, MD Use elastography to identify patients with hepatitis C (including fibrosis assessment). Genotype 1 Treatment Options Mitchell L. Shiffman, MD, FACG Apply treatment options for genotype 2/3 infected individuals including nonresponding genotype 3 cirrhotic patients, implement treatment strategies in special populations including those who are (a) HCV/HIV infected and (b) awaiting liver transplant, and explain post-transplant outcomes. 12:45 pm – 1:30 pm Exhibitor Theater 12:45 pm – 2:15 pm Lunch Break – vISIT EXHIBITS 12:45 pm – 2:15 pm Poster Session 1:45 pm – 2:15 pm exhibitor theater MODERATORS: Uma Mahadevan, MD, FACG Sunanda V. Kane, MD, MSPH, FACG 15. Infliximab or Cyclosporine as Rescue Therapy in Patients With Severe Ulcerative Colitis Refractory to Steroids: A Systematic Review and Meta-Analysis Neeraj Narula, MD, John K. Marshall, MD, Jean-Frederic Colombel, MD, PhD, Grigorios I. Leontiadis, MD, Zack Muqtadir, MD, Walter Reinisch, MD, PhD, Mount Sinai Hospital, New York, NY, McMaster University, Hamilton, Ontario, Canada (Exhibit Halls DE) (Exhibit Halls DE) (Exhibit Halls DE) (Exhibit Halls DE) For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 26 Annual Scientific Meeting Agenda – Monday, October 20 16. Safety of Vedolizumab Alone or With Concomitant Corticosteroids and/or Immunosuppressants in Patients With Ulcerative Colitis or Crohn’s Disease Edward V. Loftus, MD, FACG, Jean-Frederic Colombel, MD, PhD, Corey A. Siegel, MD, James D. Lewis, MD, FACG, Brihad Abhyankar, MBA, Serap Sankoh, PhD, Michael Smyth, MBA, Catherine Milch, MD, Mayo Clinic, Rochester, MN, Icahn School of Medicine at Mount Sinai, New York, NY, Dartmouth-Hitchcock Medical Center, Lebanon, NH, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, Takeda Global Research and Development Centre (Europe) Ltd., London, U.K., Takeda Pharmaceuticals International Co., Cambridge, MA 4:45 pm – 6:00 pm simultaneous symposia 2a:Clearing moderator: Santhi Swaroop Vege, MD, FACG Changing Outcomes in Acute Pancreatitis Santhi Swaroop Vege, MD, FACG Identify the management options in acute pancreatitis which improve patient outcomes. Painful Chronic Pancreatitis: Scope or Knife Timothy B. Gardner, MD, MS, FACG Differentiate between the endoscopic or surgical management of chronic pancreatitis. Evaluation and Management of Pancreatic Cysts William R. Brugge, MD, FACG Determine the most appropriate treatment and management strategies for pancreatic cysts. simultaneous symposia 2b:Deciphering IBS: Understanding the Diverse Pathophysiology moderator: William D. Chey, MD, FACG Food Allergies and Food Sensitivities in IBS Sheila E. Crowe, MD, FACG 18. Post-Operative Mortality for the Inflammatory Bowel Diseases: A Systematic Review and Meta-Analysis of Population-Based Studies 2014 ACG Fellow Award Sundeep Singh, MD, Ahmed Al-Darmaki, MD, Alexandra Frolkis, PhD, Cynthia H. Seow, MD, Yvette P. Leung, MD, Kerri L. Novak, MD, Subrata Ghosh, MD, Remo Panaccione, MD, Gilaad G. Kaplan, MD, Division of Gastroenterology, University of Calgary, Calgary, Alberta, Canada, Department of Medicine, University of Calgary, Calgary, Alberta, Canada Counsel IBS patients on how foods contribute to the generation of IBS symptoms. An Evidence-based Approach to Dietary Treatment of IBS Brian E. Lacy, MD, PhD, FACG Perform an evidence-based review of different diets used to treat IBS. IBS as an Inflammatory Condition William D. Chey, MD, FACG Identify new physiologic processes involved in the development of IBS and discuss potential treatments. he American Journal of T Gastroenterology Lecture simultaneous symposia 2c:Live from Philly! The 2nd Annual Endoscopy Video Forum (Terrace Ballroom 3) Treatment of IBD: Where We Are and Where We Are Going Charles N. Bernstein, MD, FACG Evaluate the latest treatment options for patients with IBD. moderators: Seth A. Gross, MD, FACG, David A. Greenwald, MD, FACG, and Daniel J. Pambianco, MD, FACG Exhibitor theater 3:45 pm – 4:40 pm Break – Visit Exhibits 3:55 pm – 4:35 pm ABIM’s Maintenance of Certification Program (Room 122AB) Attend this informational session to understand how the changes to ABIM’s MOC Program requirements affect you. (Exhibit Halls DE) (Exhibit Halls DE) ANNUAL MEETING This Video Forum Symposium will feature the best video presentations submitted by colleagues from across the U.S. and around the world. Submitted during ACG’s Call for Abstracts and peer-reviewed and selected for presentation, the cases will feature endoscopy techniques, challenging or unique cases, and cases in the area of GI endoscopy. During the session, the audience, along with the Moderators, will vote to select the best video of ACG 2014. Attendees will view videos showcasing interesting endoscopic findings and techniques encountered in daily clinical practice. See page 4 for more information. 3:30 pm – 4:30 pm Up Confusion in Day-to-day Pancreatic Issues 17. Does End-to-End Versus Side-to-Side Anastomosis in Postoperative Crohn’s Disease Matter? Prospective 2-Year Evaluation of Postoperative Quality of Life, Health Care Utilization, and Clinical Activity Mahesh Gajendran, MD, Claudia Ramos Rivers, MD, Jana G. Hashash, MD, Miguel D. Regueiro, MD, FACG, Andrew Watson, MD, Anthony J. Bauer, PhD, Leonard Baidoo, MD, Arthur M. Barrie, MD, Marc Schwartz, MD, Jason Swoger, MD, MPH, Michael A. Dunn, MD, David G. Binion, MD, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh, Pittsburgh, PA, Division of Colorectal Surgery, University of Pittsburgh, Pittsburgh, PA 3:00 pm – 3:45 pm Simultaneous Symposia 2 V1. Incarcerated, Retroflexed Endoscope Associated With a Para-Esophageal Hernia Yazen Qumsiyeh, BS, Bashar Qumseya, MD, MPH, Michael Wallace, MD, MPH, FACG, Herbert Wolfsen, MD, FACG, Mayo Clinic Florida, Jacksonville, FL 27 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Annual Scientific Meeting Agenda – Tuesday, October 21 Tuesday, October 21, 2014 V2. Endoscopic Management of High-Grade Dysplastic Barrett’s With Esophageal Varices William Palmer, MD, Milena Di Leo, MD, Manol Jovani, MD, Herbert Wolfsen, MD, FACG, Murli Krishna, MD, Michael Wallace, MD, MPH, FACG, Mayo Clinic, Jacksonville, FL, Vita-Salute San Raffaele University, Scientific Institute San Raffaele, Milan, Italy, Humanitas Research Hospital, Milan, Rozzano, Italy 6:45 am – 6:15 pm 6:00 am – 5:00 pm 6:45 am – 8:15 am OPTIONAL Breakfast Sessions Cost is $60 per person/per session. Separate registration required. A USB containing all ACG 2014 Breakfast Sessions submissions will be provided to attendees registered for any Breakfast Session. See page 124 for registration information. V3. Endoscopic Full Thickness Resection (EFTR) of a Subepithelial Tumor With Extensive Muscularis Propria (MP) Involvement Stavros Stavropoulos, MD, Rani Modayil, MD, John Allendorf, MD, Collin Brathwaite, MD, James Grendell, MD, Winthrop University Hospital, Mineola, New York, NY breakfast f: Doctor, Do I Have to Take this Medicine Forever? Escalation and De-escalation of Therapy in IBD V4. Percutaneous Endoscopic Debridement and Washout of a Bilateral, Loculated, Hepatic Abscess: A Minimally Invasive Approach to a High-Risk Surgical Situation Ryan Gaffney, DO, Niraj Gusani, MD, MS, Neil Bhayani, MD, MHS, Karen Krok, MD, Ian Schreibman, MD, Abraham Mathew, MD, MHES, Matthew Moyer, MD, MS, Penn State Milton S. Hershey Medical Center and College of Medicine, Hershey, PA Moderator: Miguel D. Regueiro, MD, FACG Can You Stop Therapy in the Patient in Deep Remission? Asher Kornbluth, MD Adjust therapy for patients’ deep remission. Approach to the Patient Not in Deep Remission: Treat to Target Jean-Paul Achkar, MD, FACG V5. Successful Endoscopic Resection of Stage T1 Intraductal Biliary Adenocarcinoma Truptesh Kothari, MD, MS, Christine Granato, MD, Shivangi Kothari, MD, Glen Hintz, MS, Jennifer Lewis, MD, Asad Ullah, MD, Ashok Shah, MD, Vivek Kaul, MD, FACG, University of Rochester Medical Center, Rochester, NY, G. Hintz, Rochester Institute of Technology, Rochester, NY Describe the concept of treat-to-target and its current application to practice. Continuing Therapy in the Patient With Infection or Malignancy Miguel D. Regueiro, MD, FACG Justify the use of biologics during a treatment complication and identify when to stop immunosuppression. V6. Endoscopic Therapy Using Self-Expandable Metal Stents for Walled-Off Pancreatic Necrosis Susana Lopes, MD, Filipe Vilas-Boas, MD, Pedro Pereira, MD, Armando Ribeiro, MD, Guilherme Macedo, MD, PhD, Centro Hospitalar S. João, Porto, Portugal breakfast g: Using Practice New ACG Guidelines in Clinical Moderator: John E. Pandolfino, MD, FACG Esophageal Eosinophilia and EoE: Are They Different? Evan S. Dellon, MD V7. Endoscopic Mucosal Resection of a Diverticular Polyp Raul Badillo, MD, Michael Wallace, MD, MPH, FACG, Mayo Clinic, Jacksonville, FL Describe the new ACG clinical guidelines for EoE and esophageal eosinophilia. V8. Endoscopic Retrograde Appendicitis Therapy (ERAT): A New Endoscopic Technique From China Jitao Song, MD, Bing-Rong Liu, MD, PhD, The Second Affiliated Hospital of Harbin Medical University, Harbin, China 6:00 pm – 6:30 pm Registration (Broad Street Atrium) GERD: PPIs and Is There a Dark Side? Marcelo F. Vela, MD, MSCR, FACG Explain the new ACG clinical guidelines for GERD. Achalasia: Diagnosis and Optimization of Treatment John E. Pandolfino, MD, FACG Annual Business Meeting Discuss the new ACG clinical guidelines for achalasia. (Terrace Ballroom 3) College Members and Fellows invited. breakfast h: Common (Yet Controversial) Topics in Pancreaticobiliary Disease Moderator: Douglas G. Adler, MD, FACG SOD: Does it Exist? Martin L. Freeman, MD, FACG Explain the latest evidence characterizing sphincter of Oddi dysfunction. Gallbladder Polyps: What to Do? Jason D. Conway, MD Judge when to resect, when to follow and when to ignore. Large Stones Made Easy Douglas G. Adler, MD, FACG Discuss the techniques to be used alone and in combination to remove large stones. For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 28 Annual Scientific Meeting Agenda – Tuesday, October 21 breakfast i: breakfast l: Functional Anorectal Disease: Do Ask Fatty Liver Diseases: You Can’t Escape and Do Tell Them Moderator: Amy E. Foxx-Orenstein, DO, FACG Moderator: Mary E. Rinella, MD, FACG Urgency, Tenesmus and Leakage: How Can I Help? Satish S. C. Rao, MD, PhD, FACG Non-Alcoholic Fatty Liver Disease: What Is Beyond Vitamin E? Mary E. Rinella, MD, FACG Evaluate patients with non-alcoholic fatty liver disease and identify which patients require a liver biopsy and which can be followed. Discuss current therapies available and those in the pipeline. Explain the physiology of the pelvic floor and identify risk factors for tenesmus, urgency and fecal soiling. Medical, Endoscopic and Surgical Treatments for Incontinence Michael D. Brown, MD, FACG One Bourbon, One Scotch and One Beer: What to Do When They Are Drinking Vijay H. Shah, MD, FACG Discuss evidence-based therapies for the treatment of fecal incontinence. Pelvic Floor Dysfunction: How to Diagnose and How to Treat Amy E. Foxx-Orenstein, DO, FACG Classify clinical spectrum of alcoholic fatty liver disease, who requires therapy and with what, and how to apply the Lille criteria in treatment of alcoholic hepatitis. Identify the patient with pelvic floor dysfunction and construct an individualized treatment program. Recognizing and Preventing Drug-induced Liver Injury in Those With Chronic Liver Disease, Including Those With Fatty Liver Victor J. Navarro, MD breakfast j: Pushing the Envelope With New Endoscopic Techniques Discuss the latest techniques and devices for closing luminal perforations. Identify the different types of drug-induced liver disease, explain how those with non-alcoholic fatty liver disease, in general, are not at higher risk of drug-induced liver injury, determine how much acetaminophen can be administered and which populations require caution, and plan how to approach patients with chronic liver disease who require potentially hepatotoxic medicines. Want to Lose Weight? The Endoscopic Options Richard I. Rothstein, MD, FACG breakfast m: Medicolegal Moderator: Richard I. Rothstein, MD, FACG Perforation: We Can Fix That! Louis-Michel Wong Kee Song, MD Describe endoscopic management of obesity. Issues in Gastroenterology Moderator: Richard S. Bloomfeld, MD, FACG Endoscopic Treatment of Hemorrhoids Waqar A. Qureshi, MD, FACG Why Are Gastroenterologists Sued? Richard S. Bloomfeld, MD, FACG Identify new endoscopic therapies for hemorrhoid treatment. Identify top reasons gastroenterologists are named in lawsuits. Documentation and Communication Tips to Prevent Lawsuits John Baillie, MB, ChB, FACG breakfast k: The Gastroenterologist and the Pregnant Patient Moderator: Sunanda V. Kane, MD, MSPH, FACG Describe ways to improve documentation and communication to modify your risk of adverse medicolegal events. GI Meds in Pregnancy Sunanda V. Kane, MD, MSPH, FACG Refusing and Dismissing Problem Patients Andrew D. Feld, MD, JD, FACG Identify available pharmacological therapies that are safe for treatment of GI disorders in the pregnant patient. Establish policies for handling challenging patients in your practice. IBD and Pregnancy Sonia Friedman, MD, FACG 6:00 am – 5:00 pm Registration (Broad Street Atrium) 8:30 am – 6:15 pm Scientific Meeting 8:30 am – 10:00 am SIMULTANEOUS Plenary SessionS Define strategies for a successful pregnancy outcome in the IBD patient, including fertility, preparation of the patient for pregnancy, monitoring and postpartum issues. Plenary Session 1: Endoscopy / Colorectal Cancer Prevention MODERATORS: Mark B. Pochapin, MD, FACG Evaluate diagnostic and management options for liver diseases in pregnancy. David A. Johnson, MD, MACG 19. A Phase IIb Study Comparing the Safety and Efficacy of Remimazolam and Midazolam in Colonoscopy Patients Daniel J. Pambianco, MD, FACG, Keith Borkett, BSc, Dennis Riff, MD, Peter Winkle, MD, Howard Schwartz, MD, Timothy Melson, MD, Karin Wilhelm-Ogunbiyi, MD, Charlottesville Medical Research, Charlottesville, VA, Paion UK Ltd., Cambridge, United Kingdom, Anaheim Clinical Trials, Anaheim, CA, Miami Research Institute, Miami, FL, Helen Keller Hospital, Sheffield, AL, PAION Deutschland GmbH, Anchen, Germany 29 ANNUAL MEETING Liver Disease in Pregnancy Tram T. Tran, MD For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Annual Scientific Meeting Agenda – Tuesday, October 21 20. What Is the Optimum Time to Do Endoscopy in Acute Caustic Ingestion? Munish Ashat, MD, Pradeep K. Siddappa, DM, Saroj K. Sinha, DM, Usha Dutta, DM, Rakesh Kochhar, DM, Gastroenterology, Post Graduate Institute of Medical Education and Research, Panchkula, Haryana, India sity School of Medicine, New Orleans, LA; Louisiana Tumor Registry, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA 27B. Population-Based Lynch Syndrome (LS) Screening in Colorectal Cancer (CRC) Patients Aged ≤50 Years: A Statewide Analysis of Timing of Microsatellite Instability (MSI) Test Result Availability in Relation to Surgery 2014 ACG Governors Award for Excellence in Clinical Research Jordan J. Karlitz, MD, Mei-chin Hsieh, MSPH, Yong Liu, BS, Christine Blanton, MD, Beth Schmidt, MD, Meredith Sherrill, MD, Sanjay Sikka, MD, Giuseppe Gagliardi, MD, Xiao-Cheng Wu, MD, MPH, Vivien W. Chen, PhD, MD, Medicine, Tulane University School of Medicine, New Orleans, LA, Louisiana Tumor Registry, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA 21. Volumetric Laser Endomicroscopy in Barrett’s Esophagus – Feasibility of Use and Detection of Dysplasia in Clinical Practice Jeffrey Mosko, MD, FRCPC, Sumeet K. Tewani, MD, Ivana Dzeletovic, MD, Gyanprakash Ketwaroo, MD, Tyler Berzin, MD, Ram Chuttani, MD, Mandeep Sawhney, MD, Douglas Pleskow, MD, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA 22. Natural Orifice Endoscopic Surgery (NOTES) Techniques for Full Thickness R0 Endoscopic Resection of Deep Seated Subepithelial Tumors (SETs): First U.S. Cases Stavros Stavropoulos, MD, Rani J. Modayil, MD, Collin Brathwaite, MD, Kumkum S. Patel, MD, Thomas Coppola, DO, John Allendorf, MD, David Friedel, MD, James Grendell, MD, Winthrop University Hospital, Mineola, NY Plenary Session 2: Liver MODERATORS: Kris V. Kowdley, MD, FACG Paul Y. Kwo, MD, FACG 28. Association Between Aspirin Use and Prevalence of Nonalcoholic Fatty Liver Disease: A Cross-Sectional Study From the Third National Health and Nutrition Examination Survey Huafeng Shen, MD, Ghulamullah Shahzad, MD, Mahreema Jawairia, MD, Paul Mustacchia, MD, NUMC, East Meadow, NY 23. Over-The-Scope-Clip and Cap-Assisted Method for the Resection of Submucosal Lesions of the Gastrointestinal Tract: A Multi-Center Study Shabnam Sarker, MD, Marcel Sandmann, MD, Martin Faendrich, MD, Kondal Kyanam Kabir Baig, MD, Klaus Monkemuller, MD, PhD, Gastroenterology, University of Alabama, Birmingham, AL, Klinikum Dortmund, Dortmund, Germany 29. Serum Ceruloplasmin, Ferritin, and Their Ratio Are Significantly Associated with Nonalcoholic Steatohepatitis in Patients with NAFLD Danny Issa, MD, Rocio Lopez, MS, Ariel E. Feldstein, MD, Mohamed Yaseen Alsabbagh, MD, Naim Alkhouri, MD, Cleveland Clinic, Cleveland, OH 24. Is Cold Biopsy the Best Method for Diminutive Colonic Polyp Removal? A Systematic Review and Meta-analysis Dany Raad, MD, Priyam Tripathi, MD, MPH, Gregory Cooper, MD, FACG, Yngve Falck-Ytter, MD, Case Western Reserve University/ University Hospitals Case Medical Center/VA Medical Center, Cleveland, OH 30. Mean Platelet Volume, Red Cell Distribution Width to Platelet Count Index, Globulin Platelet Index and 12 Other Simple Non-invasive Fibrosis Scores: How Much Do Routine Blood Tests Tell About Liver Fibrosis? 2014 ACG Governors Award for Excellence in Clinical Research Ragesh B. Thandassery, MD, DM, Anil John, MD, DM, MRCP, Madiha Soofi, MD, Syed A. Mohiuddin, MBBS, Mohammed E. Elbadri, MD, Saad Al Kaabi, MD, Division of Gastroenterology, Department of Medicine, Hamad Medical Corporation, Doha, Qatar, Department of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, Qatar 25. Withdrawal Times, Adenoma Detection Rates, and Risk of Interval Colorectal Cancer 2014 ACG Colorectal Cancer Prevention Award Aasma Shaukat, MD, MPH, FACG, Thomas Rector, PhD, Timothy R. Church, PhD, Frank Lederle, MD, Adam S. Kim, MD, Jeffrey Rank, MD, John I. Allen, MD, Minneapolis VA Medical Center, Minneapolis, MN, University of Minnesota, Minneapolis, MN, Minnesota Gastroenterology, PA, Minneapolis, MN 31. Idiosyncratic Drug-Induced Liver Injury (DILI) in the United States: A Report of 1,257 Prospectively Enrolled Patients 2014 ACG Governors Award for Excellence in Clinical Research Naga P. Chalasani, MD, FACG, Herbert Bonkovsky, MD, FACG, Robert Fontana, MD, William Lee, MD, FACG, Andrew Stolz, MD, Jay Talwalkar, MD, FACG, Rajender Reddy, MD, FACG, Paul Watkins, MD, Victor Navarro, MD, Huiman Barnhart, PhD, Jiezhun Gu, PhD, Jose Serrano, MD, Indiana University School of Medicine, Indianapolis, IN, Carolinas Health Care System, Charlotte, NC, University of Michigan, Ann Arbor, MI, UT-Southwestern, Dallas, TX, University of Southern California, Los Angeles, CA, Mayo Clinic, Rochester, MN, University of Pennsylvania, Philadelphia, PA, University of North Carolina, Chapel Hill, NC, Einstein Medical Center, Philadelphia, PA, Duke Clinical Research Institute, Durham, NC, NIDDK, Bethesda, MD 26. A Phase-3 Placebo-Controlled Trial of Celecoxib in Pediatric Subjects With Familial Adenomatous Polyposis Carol A. Burke, MD, FACG, Patrick M. Lynch, MD, Robin K. Phillips, MD, Manuela F. Berger, MD, Chunming Li, PhD, Dinu Iorga, MD, Cleveland Clinic, Cleveland, OH, MD Anderson Cancer Center, Houston, TX, St. Marks Hospital, Middlesex, London, United Kingdom, Pfizer, Inc., New York, NY combined abstracts 27A. Statewide, Population-Based Lynch Syndrome (LS) Screening by Microsatellite Instability (MSI) in Colorectal Cancer (CRC) Patients Aged ≤50 Years: Frequency, Determinants of Testing, and Result Analysis 2014 ACG Governors Award for Excellence in Clinical Research Jordan J. Karlitz, MD, Mei-chin Hsieh, MSPH, Yong Liu, BS, Christine Blanton, MD, Beth Schmidt, MSPH, Xiao-Cheng Wu, MD, MPH, Vivien W. Chen, PhD, MPH, Medicine, Tulane UniverFor more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 30 Annual Scientific Meeting Agenda – Tuesday, October 21 32. Health Related Quality of Life (HRQL) and Health Utilities (HU) of Patients With Chronic Hepatitis C (CH-C) Treated With an Interferon (IFN)-Free Regimen Containing Ledipasvir (LDV) and Sofosbuvir (SOF) Zobair Younossi, MD, MPH, FACG, Maria Stepanova, PhD, Patrick Marcellin, MD, PhD, Nezam Afdhal, MD, Kris V. Kowdley, MD, FACG, Stefan Zeuzem, MD, Linda Henry, PhD, Sharon Hunt, MBA, Center for Liver Diseases, Department of Medicine, Inova Fairfax Hospital, Falls Church, VA; CLDQ LLC, Washington, DC, Viral Hepatitis Research Unit in Hospital Beaujon, Clichy, France, Beth Israel Deaconess Medical Center, Boston, MA, Digestive Diseases Institute, Digestive Diseases Institute, Virginia Mason Clinic, Seattle, WA, Department of Medicine, J.W. Goethe University Hospital, Frankfurt, Germany, Betty and Guy Beatty Center for Integrated Research, Inova Health System, Falls Church, VA 10:00 am – 4:30 pm Exhibit Hall Opens 10:00 am – 4:30 pm Hands-on Workshop Center 33. Management of Hemoglobin Decrease in Patients Treated With ABT-450/Ritonavir/Ombitasvir and Dasabuvir With or Without Ribavirin in HCV Genotype 1-infected Patients Vinod Rustgi, MD, FACG, David Bernstein, MD, FACG, Thomas Sepe, MD, FACG, William King, MD, Moises Diago, MD, Pietro Andreone, MD, Daniel Forton, PhD, Hendrik Reesink, MD, Peter Ferenci, MD, Yiran Hu, MS, Jeffrey Enejosa, MD, Daniel Cohen, MD, Yan Luo, MD, PhD, Marcos Pedrosa, MD, PhD, John Vierling, MD, Metropolitan Research, Fairfax, VA, North Shore University Hospital (BRANY), Manhasset, NY, University Gastroenterology, Providence, RI, Trial Management Associates, LLC, Wilmington, NC, Hospital Quirón de Valencia, Unidad de Hepatología, Servicio de Aparato Digestivo, Valencia, Spain, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy, St. George’s, University of London, London, United Kingdom, Academisch Medisch Centrum, Universiteit van Amsterdam, Gastroenterology & Hepatology, Amsterdam, Netherlands, Department of Internal Medicine 3, Medical University of Vienna, Vienna, Austria, AbbVie Inc., North Chicago, IL, Advanced Liver Therapies, Baylor St. Luke’s Medical Center, Houston, TX moderator: Douglas K. Rex, MD, MACG (Exhibit Halls DE) 10:30 am – 11:30 am Break – Visit Exhibits (Exhibit Halls DE) 10:30 am – 11:30 am Exhibitor theater (Exhibit Halls DE) 11:30 am – 12:45 pm Simultaneous Symposia 3 simultaneous symposia 3a:Quality Here and Now in Colonoscopy: Quality Indicators in Colonoscopy and How to Improve Them in Practice Aasma Shaukat, MD, MPH, FACG Define current quality indicators and discuss technology and techniques to improve them in practice. Detection and Resection of Serrated Polyps Douglas K. Rex, MD, MACG Determine the classification, pathology variation and methods to improve detection and resection of serrated polyps. Controversies in Surveillance Guidelines Dennis J. Ahnen, MD Analyze surveillance guidelines for serrated polyps and other grey areas. simultaneous symposia 3b:Reading Between the Lines: The Refractory Esophageal Patient – What the Guidelines Do Not Address moderator: Evan S. Dellon, MD, MPH 34. Sex, Age and Race Are Associated With Increased Risk of Exposure to Hepatitis E in the U.S. Tyler B. Fleming, MD, Alla Y. Grigorian, MD, PhD, Bilal Aslam, MS, IV, Philip Westgate, PhD, Houssam E. Mardini, MD, MPH, University of Kentucky College of Medicine, Lexington, KY, University of Kentucky College of Public Health, Lexington, KY Achalasia: New Treatment Paradigms Steven R. DeMeester, MD, FACG Describe new treatments, including POEM, as well as patient selection for surgical therapy and management of post-surgical complications. EoE: When Steroids Fail Evan S. Dellon, MD, MPH 35. The Impact of Hyponatremia on the Outcomes of Wait-Listed and Transplanted Patients With Liver Cirrhosis Mohammed Eyad Yaseen Alsabbagh, MD, Bayan Alsuleiman, MD, Naim Alkhouri, MD, Cleveland Clinic, Cleveland, OH Discuss the reasons and treatment approaches for steroid-refractory EoE patients, including dietary elimination and dilation. Refractory GERD: What Are the Options in 2014? Ronnie Fass, MD, FACG 36. Reserved for Late Breaking Abstract Describe current treatment options for PPI-refractory GERD, optimal selection of patients for surgery and post-op complications/recurrences. J. Edward Berk Distinguished Lecture (Terrace Ballroom 3) GI and Endoscopic Training for the Future Gastroenterologist Richard A. Kozarek, MD, FACG Identify the fundamentals of GI and endoscopic training for tomorrow’s GI. Introduced by: Harry E. Sarles, Jr., MD, FACG ACG President 12:45 pm – 2:15 pm Lunch Break (Exhibit Halls DE) 12:45 pm – 2:15 pm ANNUAL MEETING 10:00 am – 10:30 am (Exhibit Halls DE) Poster Session (Exhibit Halls DE) 12:45 pm – 1:15 pm Exhibitor theater (Exhibit Halls DE) See page 4 for more information. 1:45 pm – 2:15 pm Exhibitor theater (Exhibit Halls DE) 31 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Annual Scientific Meeting Agenda – Tuesday, October 21 2:15 pm – 3:45 pm Simultaneous Plenary Sessions 42. Improvement in Symptoms and QOL Is Sustained With Minimal Side Effects 4 Years After Magnetic Sphincter Augmentation (LINX) for GERD Philip O. Katz, MD, FACG, Kenneth R. DeVault, MD, FACG, Steven A. Edmundowicz, MD, Steven C. Schlack-Haerer, MD, Robert A. Ganz, MD, Einstein Medical Center, Philadelphia, PA, Mayo Clinic Florida, Jacksonville, FL, Washington University School of Medicine, St. Louis, MO, Gundersen Health System, La Crosse, Wisconsin, Minnesota Gastroenterology, Minneapolis, MN Plenary Session 1: Esophagus MODERATORS: Nicholas J. Shaheen, MD, MPH, FACG Marcelo F. Vela, MD, FACG 37. Efficacy of Topical Corticosteroids in the Treatment of Eosinophilic Esophagitis: A Meta-Analysis and Systematic Review of Placebo Controlled Randomized Clinical Trials Ashutosh Gupta, MD, Venkatesh Ravi, MD, Arvind R. Murali, MD, Bashar M. Attar, MD, PhD, FACG, Pramoda Koduru, MD, John H. Stroger Hospital of Cook County, Chicago, IL 43. Reserved for Late Breaking Abstract 44. Reserved for Late Breaking Abstract 38. Site Volume Is Inversely Associated With Recurrence Rate After Successful Radiofrequency Ablation (RFA): An Analysis of the U.S. RFA Registry Cary C. Cotton, BA, W. Asher Wolf, MD, MPH, Srinadh Komanduri, MD, MS, Charles J. Lightdale, MD, MACG, Anthony Infantolino, MD, FACG, Herbert C. Wolfsen, MD, FACG, Nicholas J. Shaheen, MD, MPH, FACG, University of North Carolina, Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and Hepatology, Chapel Hill, NC, Northwestern University Feinberg School of Medicine, Chicago, IL, Columbia University Department of Medicine, New York, NY, Jefferson Medical College, Philadelphia, PA, Mayo Clinic Florida, Jacksonville, FL 39. DNA Methylation Changes in Barrett’s Epithelium and Adjacent Normal Mucosa Tamas A. Gonda, MD, Samuel Stevens, BA, Clare LaFave, PhD, Charles J. Lightdale, MD, MACG, Benjamin Tycko, MD, PhD, Gastroenterology, Columbia University Medical Center, New York, NY Plenary Session 2: Pancreatic / Biliary MODERATORS: Linda S. Lee, MD Scott M. Tenner, MD, MPH, JD, FACG 46. Rapid Point-of-Care Measurement of Cyst Fluid Glucose Is Feasible and Accurate in Predicting Mucinous Pancreatic Cysts Thomas Zikos, MD, Kimberly Pham, MS, Ann Chen, MD, Subhas Banerjee, MD, Shai Friedland, MD, MS, Monica Dua, MD, Jeffrey Norton, MD, George Poultsides, MD, MS, Brenda Visser, MD, Walter Park, MD, MS, Medicine/Gastroenterology, Stanford University, Stanford, CA 47. RNA Sequencing of Cystic Lesions of the Pancreas Sarah Rodriguez, MD, Terry Morgan, PhD, Brintha K. Enestvedt, MD, Carl Pelz, Gene Bakis, MD, Soren Impey, PhD, Gastroenterology, The Oregon Clinic-West, Portland, OR, Oregon Health and Science University, Portland, OR 40. Endoscopic Radiofrequency Energy Delivery to the Lower Esophageal Sphincter for Gastroesophageal Reflux Disease: A Systematic Review and Meta-Analysis 2014 ACG Fellow Award Seth Lipka, MD, Ambuj Kumar, MD, MPH, Joel E. Richter, MD, MACG, Digestive Diseases and Nutrition, University of South Florida, Morsani College of Medicine, Tampa, FL, Division of Evidence Based Medicine and Outcomes Research, University of South Florida, Morsani College of Medicine, Tampa, FL, Department of Digestive Diseases and Nutrition, University of South FL, Morsani College of Medicine, Joy McCann Culverhouse Center for Swallowing Disorders, Tampa, FL 48. Risk Factors for Malignant Progression of Intraductal Papillary Mucinous Neoplasms (IPMN): An International Registry Cohort Maria Moris Felgueroso, MD, Michael B. Wallace, MD, FACG, Massimo Raimondo, MD, FACG, Timothy A. Woodward, MD, Verna J. Skinner, MD, Paolo G. Arcidiacono, MD, Cinzia Boemo, MD, Maria C. Petrone, MD, Claudio De Angelis, MD, Selene F. Manfre, MD, Pietro Fusaroli, MD, Michele Lewis, MD, Mayo Clinic Jacksonville, Jacksonville, FL, San Raffaele Scientific Institute, Milan, Italy, University of Turin, Turin, Italy, Ospedale di Castel San Pietro Terme, Bologna, Italy 41. Transoral Fundoplication Provides Better GERD Symptom Control Than PPIs in Patients With Troublesome Regurgitation: A Multicenter Sham-Controlled Randomized Clinical Trial Peter J. Kahrilas, MD, FACG, John Hunter, MD, Reginald Bell, MD, Erik Wilson, MD, Karim Trad, MD, James Dolan, MD, Kyle Perry, MD, Brant Oelschlager, MD, Nathaniel Soper, MD, Miguel Burch, MD, W. Scott Melvin, MD, Kevin Reavis, MD, Daniel Turgeon, MD, Eric Hungness, MD, Brian Diggs, PhD, Brad Snyder, MD, Medicine, Northwestern University, Chicago, IL, Oregon Health & Science University, Portland, OR, SurgOne Foregut Institute, Englewood, CO, University of Texas Health & Science Center, Houston, TX, The George Washington University of Medicine and Health Sciences, Washington, DC, Reston Surgical Associates, Reston, VA, The Ohio State University, Columbus, OH, University of Washington, Seattle, WA, Cedars-Sinai Medical Center, Los Angeles, CA, Oregon Clinic, Portland, OR For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 45. Reserved for Late Breaking Abstract 49. Morbid Obesity (MO) Is Associated With Increased Healthcare Utilization and Is an Independent Predictor of Mortality of Acute Pancreatitis (AP) Somashekar G. Krishna, MD, MPH, Samer El-Dika, MD, Alice Hinton, PhD, Jeffrey R. Groce, MD, Hisham Hussan, MD, Cheng Zhang, MD, PhD, Peter P. Stanich, MD, Na Li, MD, Darwin L. Conwell, MD, MS, Department of Gastroenterology, Hepatology and Nutrition, The Ohio State University Medical Center, Columbus, OH 32 Annual Scientific Meeting Agenda – Tuesday, October 21 50. Acute Pancreatitis (AP) in Post-Bariatric Surgery (BRS) Status: Analysis of National Trends, Complications and Outcomes from 2007 to 2011 2014 ACG Obesity Award Somashekar G. Krishna, MD, MPH, Jennifer Behzadi, MD, Alice Hinton, PhD, Samer El-Dika, MD, Jeffrey R. Groce, MD, Hisham Hussan, MD, Darwin L. Conwell, MD, MS, Department of Gastroenterology, Hepatology and Nutrition, The Ohio State University Medical Center, Columbus, OH 5:00 pm – 6:15 pm Simultaneous Symposia 4 simultaneous symposia 4a:Obesity: The Hunger Games moderator: Steven A. Edmundowicz, MD Which Surgery Will Keep Your BMI in Check? Alfons Pomp, MD Compare the different surgical options in the management of obesity. Post-operative Complications: Metabolic and Nutritional John K. DiBaise, MD, FACG 51. Prevalence of Exocrine and Endocrine Pancreatic Insufficiency After Sentinel Acute Pancreatitis (AP) Kishore Vipperla, MD, Georgios Papachristou, MD, Adam Slivka, MD, PhD, David Whitcomb, MD, PhD, Dhiraj Yadav, MD, MPH, University of Pittsburgh Medical Center, Pittsburgh, PA Identify and manage the potential metabolic complications post-bariatric surgery. Post-operative Complications: Endoscopic Management Steven A. Edmundowicz, MD 52. Reserved for Late Breaking Abstract Define how to endoscopically manage post-bariatric surgical complications. 53. Reserved for Late Breaking Abstract simultaneous symposia 4b:Pearls and Pitfalls of Routine IBD Management: Case Studies 54. Reserved for Late Breaking Abstract 3:45 pm – 4:30 pm Break – Visit Exhibits moderator: Uma Mahadevan, MD, FACG (Exhibit Halls DE) The Newly Diagnosed IBD Patient Edward V. Loftus, Jr., MD, FACG 4:30 pm – 5:00 pm Emily Couric Memorial Lecture (Terrace Ballroom 3) Apply appropriate initial therapy for newly diagnosed IBD patients. Cancer in IBD: The Colon and Beyond Stephen B. Hanauer, MD, FACG Describe the role of surveillance techniques to prevent colon cancer in IBD, and identify the risks of medication-related malignancies in IBD. The Medically Refractory IBD Patient Uma Mahadevan, MD, FACG Apply a comprehensive approach to the patient with refractory symptoms. The Post-operative Patient Miguel D. Regueiro, MD, FACG See page 4 for more information. Sponsored by the ACG, the Virginia Gastroenterological Society and the Old Dominion Society of Gastroenterology Nurses and Associates Apply a therapy for the prevention of recurrence. 6:15 pm Introduced by: Harry E. Sarles, Jr., MD, FACG ACG President ADJOURN ANNUAL MEETING 33 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Annual Scientific Meeting Agenda – Wednesday, October 22 Wednesday, October 22, 2014 breakfast p: Beyond the Burn: Controversies in Barrett's Esophagus 6:45 am – 12:15 pm 6:00 am – 12:15 pm Registration (Broad Street Atrium) Moderator: Nicholas J. Shaheen, MD, MPH, FACG Difficult Ablation: When to Step on the Pedal and When to Refer Kenneth K. Wang, MD, FACG Discuss cases that present difficulty for ablation such as nodularity, long segment BE, large hiatal hernias and esophageal varices, and determine when they can be safely performed and when a referral is needed. 6:45 am – 8:15 am OPTIONAL Breakfast Sessions Cost is $60 per person/per session. Separate registration required. A USB containing all ACG 2014 Breakfast Sessions submissions will be provided to attendees registered for any Breakfast Session. See page 124 for registration information. breakfast n: Common Liver Outpatient Consults Afterburn: Surveillance After Ablation and Management of Recurrence Nicholas J. Shaheen, MD, MPH, FACG Moderator: Santiago J. Munoz, MD, FACG The Patient With a Solid Liver Mass K. Rajender Reddy, MD, FACG Explain post-ablation surveillance protocols and the strategy for treating BE recurrence after ablation. Distinguish between benign and malignant liver masses on imaging, and develop strategies to screen for hepatoma in patients with advanced fibrosis. Esophagectomy in 2014: What Is the Role? Steven R. DeMeester, MD, FACG Describe the circumstance in which esophagectomy for BE is still indicated, and differences between the U.S. and British guidelines. The Abnormal Liver Panel Santiago J. Munoz, MD, FACG Evaluate abnormal liver tests and identify the presence or absence of advanced liver disease. breakfast q: Thinking Outside the Bowel: Common Complications of IBD and IBD Therapy The Hepatitis B Infected Patient Joseph K. Lim, MD, FACG Moderator: Jason M. Swoger, MD, MPH Interpret hepatitis B serologies to determine whether to follow or treat the infected patient. breakfast o: Practical Skin Jason M. Swoger, MD, MPH Identify common skin manifestations of IBD and complications from therapy. Colonoscopy Moderator: Joseph C. Anderson, MD Arthralgias Christina Y. Ha, MD What’s New in Colonoscopy Prep Brooks D. Cash, MD, FACG Discuss recent data regarding various prep regimens, qualities, and adjunctive measures to achieve an optimal bowel prep. Differentiate the causes and identify treatment of joint pain in the patient with IBD. Abnormal Liver Function Tests Paul Martin, MD, FACG The Incomplete Colonoscopy: What Next? Jonathan A. Leighton, MD, FACG Outline common liver complications of IBD and IBD therapy. Explain the options for patients who have an incomplete colonoscopy. Approach to the Difficult Polypectomy Charles J. Kahi, MD, FACG Identify techniques for successful and complete polyp resection. For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 34 Annual Scientific Meeting Agenda – Wednesday, October 22 6:00 am – 12:15 pm Registration (Broad Street Atrium) 8:30 am – 12:15 pm Scientific Meeting 8:30 am – 10:15 am Simultaneous Plenary Sessions 61. Association of Mean Vitamin D Level With Clinical Status in Inflammatory Bowel Disease: A 5 Year Prospective Study 2014 ACG Fellow Award Toufic A. Kabbani, MD, MPH, Claudia Ramos Rivers, MD, Jason Swoger, MD, MPH, Miguel D. Regueiro, MD, FACG, Arthur M. Barrie, MD, PhD, Marc Schwartz, MD, Jana G. Hashash, MD, Leonard Baidoo, MD, FACG, Michael A. Dunn, MD, David G. Binion, MD, University of Pittsburgh Medical Center, Pittsburgh, PA Plenary Session 1: IBD / Small Intestine / Unclassified MODERATORS: Francis A. Farraye, MD, MSc, FACG Jonathan A. Leighton MD, FACG 62. Health Outcomes of Ulcerative Colitis (UC) and Crohn’s Disease (CD) Patients Hospitalized With Human Cytomegalovirus (CMV) Disease Cheng Zhang, MD, Edward J. Levine, MD, Somashekar G. Krishna, MD, Alice Hinton, PhD, Darwin L. Conwell, MD, Razvan Arsenescu, MD, Inflammatory Bowel Disease Program, Division of Gastroenterology, Hepatology, & Nutrition, The Ohio State University, Columbus, OH; Division of Biostatics, College of Public Health, The Ohio State University, Columbus, OH 55. The Clinical Characteristics of HLA Genotype DQ2.2 in a U.S. Adult Celiac Disease Population 2014 ACG Fellow Award Richard Wu, MD, MPH, Stephanie Moleski, MD, C. Andrew Kistler, MD, PharmD, Beth Colombe, PhD, Anthony DiMarino, MD, Thomas Jefferson University Hospital, Philadelphia, PA 56. Impact of Small Bowel Imaging on the Histological Patterns of Small Bowel Tumors: Analysis With SEER Database 2014 ACG Lawlor Resident Award Felix H. Lui, MD, Richard E. Shaw, PhD, Lauren B. Gerson, MD, FACG, Internal Medicine, California Pacific Medical Center, San Francisco, CA; Division of Clinical Informatics, California Pacific Medical Center, San Francisco, CA; Division of Gastroenterology, California Pacific Medical Center, San Francisco, CA 63. The Risk of a Second Non-Melanoma Skin Cancer With Thiopurine and Anti-TNF Use in Inflammatory Bowel Disease Frank I. Scott, MD, MSCE, Ronac Mamtani, MD, MSCE, Colleen Brensinger, MS, Kevin Haynes, PharmD, MSCE, Zelma C. Chiesa-Fuxench, MD, Jie Zhang, PhD, Lang Chen, MD, PhD, Fenglong Xie, MS, David J. Margolis, MD, PhD, Jeffrey R. Curtis, MD, MS, MPH, James D. Lewis, MD, MSCE, Abramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, Department of Epidemiology, University of Alabama at Birmingham School of Public Health, Birmingham, AL, Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, Division of Gastroenterology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelph, PA 57. Small Bowel Cancer in the U.K. Lolita Chan, BSc, MBChB, MCRP, Gareth Evans, MBBS, MRCP, MD, FRCP, Central Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom 58. Mode of Childbirth and Long-term Outcomes in Women With Inflammatory Bowel Diseases 2014 ACG Governors Award for Excellence in Clinical Research Ashwin N. Ananthakrishnan, MD, MPH, Andrew Cagan, BS, Vivian Gainer, MS, Tianxi Cai, PhD, Stanley Shaw, MD, PhD, Susanne Churchill, PhD, Elizabeth Karlsin, MD, MPH, Shawn Murphy, MD, PhD, Isaac Kohane, MD, PhD, Katherine Liao, MD, MPH, Gastrointestinal Unit, Massachusetts General Hospital, Boston, MA; Harvard School of Public Health, Boston, MA, Brigham and Women’s Hospital, Boston, MA, Partners Healthcare, Boston, MA Plenary Session 2: Stomach / Colon MODERATORS: Joseph C. Anderson, MD Francisco C. Ramirez, MD, FACG 59. Updated Incidence and Prevalence of Crohn’s Disease and Ulcerative Colitis in Olmsted County, Minnesota (between 1970 and 2010) 2014 ACG IBD Research Award Raina Shivashankar, MD, William J. Tremaine, MD, FACG, Scott W. Harmsen, MS, Alan Zinsmeister, PhD, Edward V. Loftus, MD, FACG, Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 64. Risks of Thromboembolism Versus Recurrent GI Hemorrhage After Interruption of Anticoagulation in Admitted Patients With GI Bleeding (GIB) – A Prospective Study Neil Sengupta, MD, Joseph Feuerstein, MD, Vilas R. Patwardhan, MD, Gyanprakash Ketwaroo, MD, Adarsh M. Thaker, MD, Daniel Leffler, MD, Beth Israel Deaconess Medical Center, Boston, MA 35 ANNUAL MEETING 65. Topographical Mapping in a Cohort of Patients With Gastric Intestinal Metaplasia 2014 ACG Fellow Award Manish B. Singla, MD, Steven Armbruster, MD, Nisha Shah, MD, Molly Burman, BSN, Corinne L. Maydonovitch, BS, Patrick E. Young, MD, FACG, Jayde Kurland, MD, FACG, Scott Itzkowitz, DO, FACG, Walter Reed National Military Medical Center, Washington, DC, Gastrointestinal Associates, Lima, OH 60. Impact of Immigration on Phenotype and Severity of Inflammatory Bowel Disease: A Prospective Cohort Study of Hispanics in the United States 2014 ACG IBD Research Award Nirupama Bonthala, MD, Jared Macklin, MD, Syeda Hamadani, MD, Mark Salem, MD, Rachel Demisse, MD, Beverly Chen, MD, Caroline Hwang, MD, Gastroenterolgy and Hepatology, University of Southern California, Los Angeles, CA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Annual Scientific Meeting Agenda – Wednesday, October 22 66. An Assessment of Gastric and Small Bowel Pressure Profiles in Diabetics With Gastroparesis Before and During 28 Days of Treatment With the Motilin Receptor Agonist Camicinal (GSK962040) Kenneth Barshop, MD, George Dukes, MD, Matthew Barton, MD, Jack Semler, MD, Braden Kuo, MD, University of Chicago Pritzker School of Medicine, Chicago, IL, Massachusetts General Hospital, Boston, MA, GlaxoSmithKline, Raleigh, NC 10:15 am – 10:45 am (Terrace Ballroom 3) Idiosyncratic Drug-Induced Liver Injury: What Have We Learned in the Last Decade? Naga P. Chalasani, MD, FACG Assess recent developments in the diagnosis and management of DILI. Introduced by: Harry E. Sarles, Jr., MD, FACG ACG President 67. Gastric Electric Stimulation: A Prospective Analysis of 151 Patients at a Single Center Jason Heckert, BS, Sean Harbison, MD, Henry P. Parkman, MD, FACG, Temple University, Philadelphia, PA See page 4 for more information. 68. Colorectal Cancer Patients Have Higher Rates of Advanced Features in Their Diminutive Adenomas Compared to Patients Undergoing Average-Risk Screening 2014 ACG Colorectal Cancer Prevention Award Amoah Yeboah-Korang, MD, MPH, MSc, Philip Vutien, MD, Kateri Evans, MS, Michael Greenspan, MD, Sohrab Mobarhan, MD, Shriram Jakate, MD, Joshua Melson, MD, MPH, Rush University Medical Center, Chicago, IL 10:45 am – 11:00 am Break 11:00 am – 12:15 pm Simultaneous Symposia 5 simultaneous symposia 5a:The Inpatient Hepatology Consult moderator: Mark W. Russo, MD, MPH, FACG Fluid, Distention, Infection, Oh My: Approach to the Patient With Ascites Mark W. Russo, MD, MPH, FACG Treat patients with massive ascites and spontaneous bacterial peritonitis. 69. Insertion Water Exchange Minimizes Endoscopist Multitasking During Withdrawal Inspection: A Plausible Explanation for Enhanced Polyp Detection in the Right Colon Andrew Yen, MD, FACG, Victoria Y. Yung, MD, Joseph W. Leung, MD, MACG, Surinder Mann, MD, FACG, Machelle D. Wilson, PhD, Felix W. Leung, MD, FACG, Sacramento VA Medical Center, VANCHCS, Mather, CA, University of California, Davis Medical Center, Sacramento, CA, Sepulveda Ambulatory Care Center, VAGLAHS, North Hills, CA Water, Water Everywhere: Approach to the Cirrhotic Patient With Acute Kidney Injury Jasmohan S. Bajaj, MD, FACG Evaluate the cirrhotic patient with acute kidney injury, including hepatorenal syndrome, acute kidney injury and hyponatremia. 70. Comparing Diagnostic Tests in Dyssynergic DefecationConstipation Danse Bi, MD, Sandra Sostrich, MD, Mojtaba Olyaee, MD, Elena Sidorenko, MD, Tuba Esfandyari, MD, University of Kansas Medical Center, Kansas City, KS A Rational Guide to the Use of TIPS Atif Zaman, MD, FACG Discuss appropriate indications for TIPS referrals and manage post-TIPS complications. 71. Clostridium difficile Associated Risk of Death Score (CARDS): A Novel Risk Score to Predict Mortality Among Hospitalized Patients With Clostridium difficile Infection 2014 ACG Fellow Award Zain Kassam, MD, MPH, Camila Cribb Fabersunne, MD, MPH Candidate, Mark B. Smith, MD, PhD Candidate, Gilaad G. Kaplan, MD, MPH, Geoffrey C. Nguyen, MD, PhD, Ashwin N. Ananthakrishnan, MBBS, MPH, Massachusetts Institute of Technology, Cambridge, MA, Harvard Medical School, Boston, MA, University of Calgary, Calgary, Alberta, Canada, University of Toronto, Toronto, Ontario, Canada, Massachusetts General Hospital, Boston, MA simultaneous symposia 5b:The Human Microbiome moderator: Eamonn M. M. Quigley, MD, FACG Human Intestinal Microbiome: What the Practicing Gastroenterologist Should Know Eamonn M. M. Quigley, MD, FACG Identify how the microbiome functions and interacts within the GI tract. What Is the Evidence that the Intestinal Microbiome Has a Role in Gastrointestinal Diseases? Lawrence J. Brandt, MD, MACG 72. Fresh, Frozen, or Lyophilized Fecal Microbiota Transplantation (FMT) for Multiple Recurrent C. difficile Infection (CDI) Zhi-Dong Jiang, PhD, Nadim J. Ajami, PhD, Todd Lasco, PhD, Joe Petrosino, PhD, Fredric Hochman, MD, Victor Ankoma-Sey, MD, Matthew Wong, PhD, Ashley Alexander, MS, Shi Ke, MS, Herbert L. DuPont, MD, University of Texas SPH, Houston, TX, Baylor College of Medicine, Houston, TX, Baylor St. Luke’s Medical Center, Houston, TX Define the role of the human microbiome in relation to GI disorders. Targeting the Intestine Microbiota in the Treatment of Gastrointestinal Diseases Yehuda Ringel, MD, FACG Assess the role of the human microbiome in the treatment of GI diseases. 12:15 pm For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. David Y. Graham Lecture 36 ANNUAL SCIENTIFIC MEETING ADJOURNS Annual Scientific Meeting – Faculty Listing Jean-Paul Achkar, MD, FACG Rainin Endowed Chair for IBD Research, Cleveland Clinic, Cleveland, OH Douglas G. Adler, MD, FACG Associate Professor of Medicine, University of Utah School of Medicine, Salt Lake City, UT Dennis J. Ahnen, MD Staff Physician, Denver Department of Veterans Affairs Medical Center, Professor of Medicine, University of Colorado School of Medicine, Denver, CO Joseph C. Anderson, MD Associate Professor of Medicine, Geisel School of Medicine at Dartmouth College/ University of Connecticut Health Center, Hanover, NH John Baillie, MB, ChB, FACG Consulting Gastroenterologist, Carteret Medical Group, Morehead City, NC Jasmohan S. Bajaj, MD, MSc, FACG Associate Professor, Division of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University, Richmond, VA Charles N. Bernstein, MD, FACG Professor of Medicine, Head, Section of Gastroenterology, Director of the University of Manitoba Inflammatory Bowel Disease Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada Richard S. Bloomfeld, MD, FACG Associate Professor of Medicine, Wake Forest University School of Medicine, Winston-Salem, NC Drucy S. Borowitz, MD Clinical Professor, Pediatrics, Women and Children's Hospital of Buffalo, Buffalo, NY Kenneth J. Brown, MD Digestive Health Associates of Texas, PA, Plano, TX Michael D. Brown, MD, FACG Professor of Medicine, Rush University Medical Center, Oak Park, IL John K. DiBaise, MD, FACG Professor of Medicine, Mayo Clinic, Scottsdale, AZ Marla C. Dubinsky, MD Director, Pediatric IBD Center, Cedars-Sinai Medical Center, Los Angeles, CA Brooks D. Cash, MD, FACG Professor of Medicine, University of South Alabama, Mobile, AL Steven A. Edmundowicz, MD Professor of Medicine, Chief of Endoscopy, Division of Gastroenterology, Washington University School of Medicine, St. Louis, MO Naga P. Chalasani, MD, FACG David W. Crabb Professor of Medicine and Cellular and Integrative Physiology; Director, Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, IN Francis A. Farraye, MD, MSc, FACG Professor of Medicine, Boston University School of Medicine; Clinical Director, Section of Gastroenterology, Boston Medical Center, Boston, MA William D. Chey, MD, FACG Professor of Medicine; Director, GI Physiology Lab; Co-Director, Michigan Bowel Control Program, University of Michigan Medical Center, Ann Arbor, MI Ronnie Fass, MD, FACG Chair, Department of Gastroenterology and Hepatology; Head of the Esophageal and Swallowing Center, Case Western Reserve University, Cleveland, OH Stanley M. Cohen, MD Medical Director, Hepatology, Digestive Health Institute, University Hospitals Case Medical Center; Professor of Medicine, Division of Gastroenterology and Liver Disease, Case Western Reserve University School of Medicine, Cleveland, OH Andrew D. Feld, MD, JD, FACG Clinical Professor of Medicine, University of Washington, Group Health Cooperative, Seattle, WA Amy E. Foxx-Orenstein, DO, FACG Professor of Medicine, Mayo Clinic, Scottsdale, AZ Jason D. Conway, MD Assistant Professor of Medicine, Wake Forest School of Medicine, WinstonSalem, NC Martin L. Freeman, MD, FACG Professor of Medicine; Medical Director, Total Pancreatectomy and Islet Autotransplantation; Director, Pancreaticobiliary Endoscopy Fellowship, University of Minnesota, Minneapolis, MN Sheila E. Crowe, MD, FACG Professor of Medicine, Director of Research, University of California, San Diego, La Jolla, CA Sonia Friedman, MD, FACG Associate Professor of Medicine, Harvard Medical School, Boston, MA Evan S. Dellon, MD, MPH Associate Professor of Medicine, Adjunct Associate Professor of Epidemiology, Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill, NC Timothy B. Gardner, MD, FACG Assistant Professor, Geisel School of Medicine at Dartmouth, Hanover, NH; Director, Pancreatic Disorders, Dartmouth-Hitchcock Medical Center, Lebanon, NH Steven R. DeMeester, MD, FACG Professor of Surgery, University of Southern California, Los Angeles, CA David A. Greenwald, MD, FACG Fellowship Program Director, Associate Division Director, Montefiore Medical Center, Bronx, NY 37 Seth A. Gross, MD, FACG Director of Endoscopy, Tisch Hospital, NYU Langone Medical Center, NYU School of Medicine, New York, NY Sandeep K. Gupta, MD, FACG Professor of Clinical Pediatrics, Indiana University School of Medicine, Indianapolis, IN Christina Y. Ha, MD Assistant Professor, David Geffen School of Medicine at UCLA, Los Angeles, CA Stephen B. Hanauer, MD, FACG Professor of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL David A. Johnson, MD, MACG Professor of Medicine and Chief of Gastroenterology, Eastern Virginia Medical School, Norfolk, VA Charles J. Kahi, MD, MSc, FACG Associate Professor of Clinical Medicine, GI Section Chief, Roudebush VAMC, Indiana University, Indianapolis, IN Sunanda V. Kane, MD, MSPH, FACG Professor of Medicine, Mayo Clinic, Rochester, MN Philip O. Katz, MD, FACG Chair, Division of Gastroenterology, Einstein Medical Center, Philadelphia, PA Judith R. Kelsen, MD Assistant Professor of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA Asher Kornbluth, MD Clinical Professor of Medicine, The Icahn School of Medicine at Mount Sinai, New York, NY Kris V. Kowdley, MD, FACG Director, Liver Center of Excellence; Director of Research, Digestive Diseases Institute, Virginia Mason Medical Center, Seattle, WA ANNUAL MEETING Lawrence J. Brandt, MD, MACG Emeritus Chief of Gastroenterology, Montefiore Hospital, Bronx, NY William R. Brugge, MD, FACG Professor of Medicine, Harvard Medical School; Director, Pancreas Biliary Center, Massachusetts General Hospital, Boston, MA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Annual Scientific Meeting – Faculty Listing Richard A. Kozarek, MD, FACG Clinical Professor, University of Washington School of Medicine; Executive Director, Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA Paul Y. Kwo, MD, FACG Professor of Medicine, Indiana University, Indianapolis, IN Brian E. Lacy, MD, PhD, FACG Professor of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH Linda S. Lee, MD Assistant Professor of Medicine, Harvard Medical School, Director, Women’s Health in GI and Endoscopic Education, Brigham and Women’s, Boston, MA Jonathan A. Leighton, MD, FACG Professor of Medicine, Mayo Clinic, Scottsdale, AZ Joseph K. Lim, MD, FACG Associate Professor of Medicine; Director, Yale Viral Hepatitis Program, Yale University School of Medicine, New Haven, CT Edward V. Loftus, MD, FACG Professor of Medicine, Mayo Clinic, Rochester, MN Ryan D. Madanick, MD Assistant Professor of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC John Pandolfino, MD, FACG Professor & Chief, Division of Gastroenterology and Hepatology, Northwestern University, Chicago, IL Mary E. Rinella, MD, FACG Associate Professor of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL Aasma Shaukat, MD, MPH, FACG GI Section Chief, Minneapolis VAHCS, Associate Professor, University of Minnesota, Minneapolis, MN Darrell S. Pardi, MD, FACG Professor of Medicine, Vice Chair, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN Yehuda Ringel, MD, FACG Professor of Medicine, University of North Carolina, Chapel Hill, NC Mitchell L. Shiffman, MD, FACG Director, Liver Institute of Virginia, Bon Secours Health System, Richmond, VA Richard I. Rothstein, MD, FACG Joseph M. Huber Professor and Chair, Department of Medicine, Geisel School of Medicine at Dartmouth, Lebanon, NH Brennan M. R. Spiegel, MD, MSHS, FACG Associate Professor of Medicine, UCLA School of Public Health, UCLA/VA Center for Outcomes Research and Education (CORE), Los Angeles, CA Mark B. Pochapin, MD, FACG Director, Division of Gastroenterology, Professor of Medicine, NYU Langone Medical Center, New York, NY Alfons Pomp, MD Vice Chairman, Department of Surgery, Weill Medical College of Cornell University, New York, NY Bruce E. Sands, MD, MS, FACG Chief, Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY Francisco C. Ramirez, MD, FACG Professor of Medicine, Director, Esophageal Clinic, Mayo Clinic, Scottsdale, AZ Paul Martin, MD, FACG Professor of Medicine, University of Miami School of Medicine, Miami, FL K. Rajender Reddy, MD, FACG Professor of Medicine, Director of Hepatology, Director of Viral Hepatitis Center, Hospital of the University of Pennsylvania, Philadelphia, PA Victor Navarro, MD Chair, Division of Hepatology, Einstein Healthcare Network, Philadelphia, PA John R. Saltzman, MD, FACG Director of Endoscopy, Brigham and Women’s Hospital; Associate Professor of Medicine, Harvard Medical School, Boston, MA Waqar Qureshi, MD, FACG Professor of Medicine, Clinical Director Chief of Endoscopy, Baylor College of Medicine, Houston, TX Satish S. C. Rao, MD, PhD, FACG Professor of Medicine, Georgia Regents University, Augusta, GA Santiago J. Munoz, MD, FACG Director, Center for Liver Disease, Capital Health Medical Center, Cinnaminson, NJ Mark W. Russo, MD, MPH, FACG Clinical Professor of Medicine, Carolinas Medical Center, Charlotte, NC Eamonn M. M. Quigley, MD, FACG Chief, Division of Gastroenterology, The Methodist Hospital, Weill Cornell Medical College, Houston, TX Uma Mahadevan, MD, FACG Professor of Medicine, UCSF Center for Colitis and Crohn's Disease, San Francisco, CA Andrew J. Muir, MD, MHS Clinical Director, Hepatology, Duke University, Durham, NC David T. Rubin, MD, FACG Professor of Medicine, University of Chicago Medicine, Chicago, IL Samra Sarigol-Blanchard, MD Associate Professor, University of Maryland School of Medicine, Baltimore, MD Harry E. Sarles, Jr., MD, FACG Founding Partner, Digestive Health Associates of Texas, Rockwall, TX Felice Schnoll-Sussman, MD, FACG Associate Professor of Clinical Medicine, Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY Miguel D. Regueiro, MD, FACG Professor of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA Vijay H. Shah, MD, FACG Professor of Medicine, Physiology, and Cancer Cell Biology, Chair, Gastroenterology and Hepatology, Mayo Clinic, GI Research Unit, Rochester, MN Douglas K. Rex, MD, MACG Distinguished Professor of Medicine, Indiana University Medical Center, Indianapolis, IN Nicholas J. Shaheen, MD, MPH, FACG Professor of Medicine and Epidemiology, University of North Carolina, Chapel Hill, NC Daniel J. Pambianco, MD, FACG Associate, Charlottesville Gastroenterology Associates, Charlottesville, VA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 38 Jason M. Swoger, MD, MPH Assistant Professor of Gastroenterology, Hepatology, and Nutrition Associate Program Director, Gastroenterology Fellowship Program Director, Inflammatory Bowel Disease Clinical Research Program, University of Pittsburgh, Pittsburgh, PA Scott M. Tenner, MD, MPH, JD, FACG Clinical Professor of Medicine, State University of New York, Brooklyn, NY Tram T. Tran, MD Associate Professor of Medicine, Geffen UCLA School of Medicine; Medical Director, Liver Transplantation, Cedars-Sinai Medical Center, Los Angeles, CA Santhi Swaroop Vege, MD, FACG Director Pancreas Group; Professor of Medicine, Mayo Clinic, Rochester, MN Marcelo F. Vela, MD, MSCR, FACG Associate Professor of Medicine, Mayo Clinic, Scottsdale, AZ Kenneth K. Wang, MD, FACG Van Cleve Professor of Gastroenterology Research, Mayo Clinic College of Medicine, Rochester, MN Louis-Michel Wong Kee Song, MD Associate Professor of Medicine, Mayo Clinic, Rochester, MN Atif Zaman, MD, MPH, FACG Professor of Medicine, Oregon Health and Science University, Portland, OR Poster Presentations Sunday, October 19, 2014 3:30 pm – 7:00 pm Authors will be present from 4:30 pm – 6:00 pm Esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1– 58 Stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P59– 96 Pancreatic/Biliary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P97–168 Small Intestine/Unclassified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P169–223 Liver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P224–326 Colon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P327–388 Outcomes Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P389–432 Inflammatory Bowel Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P433–491 Functional Bowel Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P492–509 Endoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P510–571 Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P572–578 Colorectal Cancer Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P579–599 Endoscopic Video Forum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P600–606 Monday, October 20, 2014 10:30 am – 4:00 pm Authors will be present from 12:45 pm – 2:15 pm Esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P607–664 Stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P665–703 Pancreatic/Biliary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P704–774 Small Intestine/Unclassified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P775–839 Liver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P840–931 Colon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P932–993 Outcomes Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P994 –1037 Inflammatory Bowel Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1038 –1096 Functional Bowel Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1097 –1115 Endoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1116 –1178 Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1179 –1186 Colorectal Cancer Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1187 –1206 Endoscopic Video Forum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1207 –1213 Tuesday, October 21, 2014 10:30 am – 4:00 pm Authors will be present from 12:45 pm – 2:15 pm Esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pancreatic/Biliary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Small Intestine/Unclassified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Liver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Colon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Outcomes Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inflammatory Bowel Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Functional Bowel Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Endoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Colorectal Cancer Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Endoscopic Video Forum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 P1214 P1272 P1311 P1382 P1437 P1540 P1602 P1646 P1706 P1723 P1785 P1792 P1812 –1271 –1310 –1381 –1436 –1539 –1601 –1645 –1705 –1722 –1784 –1791 –1811 –1818 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P10. High Resolution Manometry Has Low Sensitivity and High Specificity for Detecting Hiatal Hernia Mustafa Abdul-Hussein, MD, Donald Castell, MD, FACG, Janice Freeman, RN, Medical University of South Carolina, Charleston, SC P11. Nodularity Does Not Affect Radiofrequency Ablation Outcomes in Barrett’s Esophagus Daniel Chan, MD, Cadman Leggett, MD, Emmanuel Gorospe, MD, Lori Lutzke, CCRP, Navtej Buttar, MD, Prasad Iyer, MD, FACG, Kenneth Wang, MD, FACG, Department of Gastroenterology, Mayo Clinic, Rochester, MN P12. Does Intensive Acid Suppression Reduce Esophageal Inflammation and Recurrence of Barrett’s Esophagus Following Ablation? A Pilot Randomized Controlled Trial Swarup Kumar, MBBS, Anamay Sharma, MBBS, Emmanuel Gorospe, MD, MPH, Swapna Devanna, MD, Michele Johnson, BS, Kristyn Maixner, BS, Kenneth Wang, MD, FACG, Navtej Buttar, MD, Prasad Iyer, MD, MS, FACG, Gastroenterology, Mayo Clinic, Rochester, MN P13. Efficacy of Radiofrequency Ablation for Barrett’s Esophagus With Low-Grade Dysplasia: A Systematic Review and a Meta-analysis Jeremy Cumberledge, MD, Houssam Mardini, MD, MPH, FACG, Luis Pena, MD, FACG, Internal Medicine, University of Kentucky, Lexington, KY, Lexington VA Medical Center - Division of Gastroenterology, Lexington, KY, University of Kentucky - Division of Gastroenterology, Lexington, KY P14. Laparoscopic Heller Myotomy Is the Preferred Modality for Treatment of Achalasia Among Both Academic and Non-Academic U.S. Gastroenterologists Abhinav Sankineni, MD, MPH, Michael Smith, MD, MBA, Natalya Iorio, MD, Oleh Haluszka, MD, Henry Parkman, MD, Jennifer Maranki, MD, MSc, Gastroenterology, Temple University Hospital, Philadelphia, PA P15. Dysphagia Outcome Severity Scale and EAT-10 Do Not Reliably Predict High Resolution Manometry Findings Rohit Chappidi, MD, Yomari Gonzalez, BA, Teresa Pope, CMT, Mukund Venu, MD, Loyola University Medical Center, Maywood, IL P16. Association of Mayo Dysphagia Questionnaire-30 Day Scores to the Chicago Classification Diagnosis of Weak Peristalsis Raul Badillo, MD, Kenneth DeVault, MD, FACG, Cristina Almansa, MD, PhD, Lesley Houghton, PhD, Dawn Francis, MD, MPH, Gastroenterology, Mayo Clinic Florida, Jacksonville, FL P17. A Peculiar Initial Presentation of Achalasia Raul Badillo, MD, Paul Kroner, MD, Gastroenterology, Mayo Clinic Florida, Jacksonville, FL P18. Wide Area Transepithelial Sampling With Computer-Assisted 3-Dimensional Analysis (WATS3D) and Forceps Biopsies Should Both Be Obtained to Maximize Detection of Intestinal Metaplasia Following Ablation of Barrett’s Esophagus Natalya Iorio, MD, Rebecca Thomas, MD, Michael Smith, MD, MBA, Temple University School of Medicine, Philadelphia, PA P19. The Changing Face of Eosinophilic Esophagitis: A 25 Year Experience Seth Lipka, MD, Ambuj Kumar, MD, MPH, Joel Richter, MD, FACG, University of South Florida Morsani College of Medicine, Department of Digestive Diseases and Nutrition, Tampa, FL, University of South Florida Morsani College of Medicine, Department of Medicine Division of Evidence Based Medicine and Outcomes Research, Tampa, FL, University of South Florida Morsani College of Medicine, Department of Digestive Diseases and Nutrition, Joy McCann Culverhouse Center for Swallowing Disorders, Tampa, FL P20. Does Gender or Age Affect Clinical, Endoscopic or Histological Characteristics of EoE? Seth Lipka, MD, Ambuj Kumar, MD, MPH, Joel Richter, MD, FACG, Digestive Diseases and Nutrition, University of South Florida, Morsani College of Medicine, Tampa, FL, University of South Florida Morsani College of Medicine, Department of Medicine Division of Evidence Based Medicine and Outcomes Research, Tampa, FL, University of South Florida Morsani College of Medicine, Department of Digestive Diseases and Nutrition, Joy McCann Culverhouse Center for Swallowing Disorders, Tampa, FL SUNDAY, October 19, 2014 ESOPHAGUS P1. A Single Paraffin-Embedded or RNA-Later-Preserved Esophageal Biopsy Is Valid for Genetic Diagnosis of Eosinophilic Esophagitis Regardless of Location in the Esophagus Evan Dellon, MD, MPH, Vivek Yellore, PhD, James Stover, PhD, Center for Esophageal Diseases and Swallowing, and Center for Gastrointestinal Biology and Disease, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill, NC, Diagnovus, Nashville, TN P2. Diagnosis of New Cases of Eosinophilic Esophagitis Continues to Outpace Endoscopy Rates: Results From an Academic and Private Practice Multicenter Collaboration Paul Menard-Katcher, MD, Benjamin Mitlyng, MD, Elizabeth Jensen, MPH, PhD, Adam Kim, MD, Dennis Ahnen, MD, John Baron, MD, Evan Dellon, MD, MPH, Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Denver, CO, Minnesota Gastroenterology, PA, St. Paul, MN, Center for Esophageal Diseases and Swallowing, and Center for GI Biology and Disease, University of North Carolina School of Medicine, Chapel Hill, NC, Department of Veterans Affairs Eastern Colorado Health Care System; and University of Colorado School of Medicine, Denver, CO P3. Increased Risk of Eosinophilic Esophagitis in Patients With Active Celiac Disease on Biopsy: Results From a National Pathology Database Elizabeth Jensen, MPH, PhD, Benjamin Lebwohl, MD, MS, Robert Genta, MD, Evan Dellon, MD, MPH, Center for Esophageal Diseases and Swallowing; University of North Carolina School of Medicine, Chapel Hill, NC, Celiac Disease Center, Department of Medicine, Columbia University College of Physicians and Surgeons; and Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, Miraca Research Institute, Miraca Life Sciences; and Dallas Veterans Affairs Medical Center and University of Texas Southwestern Medical Center, Irving and Dallas, TX P4. Subepithelial Fibrosis Is a Distinctive Characteristic of Eosinophilic Esophagitis Christopher McPhaul, MD, Kevin Turner, DO, Robert Genta, MD, FACG, Stuart Spechler, MD, Edaire Cheng, MD, Miraca Life Sciences Research Institute, Irving, TX, Dallas VAMC, Dallas, TX, UTSW, Dallas, TX P5. Durability of Effect and Lack of Rebound Symptoms Following a 14-Day Regimen of Esomeprazole 20 mg Treatment in Patients With Frequent Heartburn David Peura, MD, MACG, Anne LeMoigne, Charles Pollack, MD, PhD, Peter Nagy, MD, University of Virginia, Charlottesville, VA, Pfizer Consumer Healthcare, Madison, NJ, AstraZeneca, Molndal, Sweden P6. Efficacy of 14-Day Treatment With Esomeprazole 20 mg According to Baseline Heartburn Frequency: A Pooled Analysis of Randomized, Double-Blind, Placebo-Controlled Trials David Peura, MD, MACG, Anne LeMoigne, Jing Li, PhD, Charles Pollack, MD, PhD, Peter Nagy, MD, David Johnson, MD, MACG, University of Virginia, Charlottesville, VA, Pfizer Consumer Healthcare, Madison, NJ, AstraZeneca, Molndal, Sweden, Eastern Virginia Medical School, Charlottesville, VA P7. Should Gastric Cardia Be Biopsied? Dysplasia and Intestinal Metaplasia of the Gastric Cardia in Patients With Barrett’s Esophagus Akhil Nehra, BSHS, Daniel Chan, MD, Cadman Leggett, MD, Emmanuel Gorospe, MD, Lori Lutzke, CCRP, Navtej Buttar, MD, Prasad Iyer, MD, FACG, Kenneth Wang, MD, FACG, Department of Gastroenterology, Mayo Clinic, Rochester, MN P8. Intestinal Metaplasia of the Inlet Patch: Clinical and Pathological Associations Kevin Turner, DO, Robert Genta, MD, FACG, Salima Haque, MD, Miraca Life Sciences Research Institute, Irving, TX P9. Esophageal Metal Self Expandable Stents Implantation With Ultraslim Gastroscope for Esophageal Malignant Stricture Demin Li, MD, Qiu Zhao, MD, Gastroenterology, Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 40 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P21. Initial Validation of the Dysphagia Stress Test 2014 ACG Presidential Poster Award Tiffany Taft, PsyD, Emily Kern, MD, Bethany Doerfler, RD, MS, Peter Kahrilas, MD, FACG, Laurie Keefer, PhD, Ben Mogni, BA, John Pandolfino, MD, FACG, Northwestern University, Chicago, IL P22. Lymphocytic Esophagitis Following Ablation Therapy for Barrett’s Esophagus With Dysplasia Juliana Kissiedu, MD, Prashanthi Thota, MD, FACG, Tushar Gohel, MD, Rocio Lopez, MS, Ilyssa Gordon, MD, PhD, Cleveland Clinic, Cleveland, OH P23. Feasibility of Volumetric Laser Endomicroscopy (VLE) in Barrett’s Esophagus With Dysplasia and Post-Ablation Surveillance Prashanthi Thota, MD, Crysti Iarossi, CCRA, Mary Oldenburgh, RN, Sunguk Jang, MD, John Vargo, MD, Cleveland Clinic, Cleveland, OH, Ninepoint Medical, Cambridge, MA P24. H2 Blockers Revisited: Any Role in Barrett’s Esophagus (BE) Management and Prevention of Esophageal Adenocarcinoma (EAC)? Prashanthi Thota, MD, FACG, Madhusudan Sanaka, MD, FACG, Rocio Lopez, MS, Cleveland Clinic, Cleveland, OH P25. Barrett’s Esophagus in African Americans: A Case Control Study Prashanthi Thota, MD, FACG, Deepa Patil, MD, Amitabh Chak, MD, Jie Dai, MS, Rocio Lopez, MS, Cleveland Clinic, Cleveland, OH, University Hospitals, Cleveland, OH P26. Change in Serum 25-hydroxy Vitamin D Levels Do Not Impact Progression of Dysplasia in Barrett’s Esophagus (BE) Prashanthi Thota, MD, FACG, Prabhdeep Singh, MD, Gaurav Kistangari, MD, Cummings Linda, MD, Rocio Lopez, MS, Cleveland Clinic, Cleveland, OH, University Hospitals, Cleveland, OH P27. Coronary Artery Disease and Barrett’s Esophagus: Is There Any Association? Prashanthi Thota, MD, FACG, Rocio Lopez, MS, Madhusudan Sanaka, MD, FACG, Cleveland Clinic, Cleveland, OH P28. Endoluminal Stenting for Benign and Malignant Esophageal Leak: Is There a Difference in Outcome? Muhammad Bawany, MD, Yaseen Alastal, MD, Tariq Hammad, MD, Aijaz Sofi, MD, Sadik Khuder, PhD, Ali Nawras, MD, FACG, University of Toledo Medical Center, Toledo, OH P29. Detection of GERD With Esophageal Manometry With Impedance Paul Chang, MD, Abhinav Sankineni, MD, MPH, Grace Shin, MD, Daniel Baik, MD, Zubair Malik, MD, Henry Parkman, MD, FACG, Digestive Diseases Center, Temple University Hospital, Philadelphia, PA P30. Psychological Characteristics in Patients With Persistent Symptoms of Non-erosive Reflux Disease Rushikesh Shah, MBBS, Omar Mousa, MBBS, Muhammad Arif, MBBS, Praveen Sampath, MBBS, Sekou Rawlins, MD, Internal Medicine, SUNY Upstate Medical University, Syracuse, NY P31. High Resolution Esophageal Manometry and pH Impedance Are Frequently Abnormal in Symptomatic Patients With Systemic Sclerosis Kristle Lynch, MD, Francis Okeke, MD, Shreya Raja, MD, Laura Hummers, MD, Fred Wigley, MD, John Clarke, MD, Gastroenterology, Johns Hopkins School of Medicine, Baltimore, MD P32. Gastroesophageal Reflux Disease and Length of Hospitalization in Patients With Chronic Obstructive Pulmonary Disease: A Retrospective Observational Study Anthony Bartley, MD, MS, Bhanu Patibandla, MD, John Johnson, DO, Ahmad Alwassia, MD, Steven Davis, MD, St. Vincent Hospital, Worcester, MA POSTERS SUNDAY P35. Acquired Double Barrel Esophagus in the Setting of Barrett’s Kimberly Kolkhorst, DO, Prasad Kulkarni, MD, Gitanjali Vidyarthi, MD, FACG, University of South Florida, Tampa, FL, James A Haley VA, Tampa, FL P36. Endoscopic Risks of Paraesophageal Hernias and Incidental Transdiaphragmatic Herniation of the Pancreas Christopher Velez, MD, Akiva Marcus, MD, Paul Feuerstadt, MD, Arthur Harris, MD, FACG, Department of Medicine, Montefiore Medical Center, Bronx, NY, North Bronx Health Network, Bronx, NY P37. A Case of Plunging GIST Presenting as Intermittent Dysphagia Rahman Nakshabendi, MD, Matthew Clark, MD, Juan Munoz, MD, FACG, Imad Nakshabendi, MD, PHD, FACG, University of Florida COM, Jacksonville, FL, Tampa General Hospital, Tampa, FL P38. High-Grade Dysplastic Villous Adenoma Arising From Barrett’s Esophagus Alexander Schlachterman, MD, Dennis Yang, MD, Dennis Collins, MD, Anand Gupte, MD, Gastroenterology, University of Florida, Gainesville, FL P39. A Case of Esophageal Intramural Pseudodiverticulosis Due to Chronic GERD Xiao Jing Wang, MD, Anthony Gamboa, MD, Sonali Sakaria, MD, Internal Medicine, Emory University School of Medicine, Atlanta, GA, Emory University School of Medicine, Digestive Disease Department, Atlanta, GA P40. Primary Malignant Melanoma of Esophagus: A Rare Entity Brijesh Patel, MD, Adnan Muhammad, MD, Joel Richter, MD, Anne Champeaux, MD, Internal Medicine, University of South Florida, Tampa, FL P41. Lymphocytic Esophagitis, a Mystery Ankur Varma, MD, MPH, Yezaz Ghouri Ghouri, MD, Pratap Singh, MD, Adeeb Dwairy, MD, Sushovan Guha, MD, PhD, Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, TX, Division of Gastroenetrology, University of Texas Health Science Center at Houston, Houston, TX P42. Esophageal Hemangioma: An Unusual Cause of Upper GI Bleeding Joseph Salhab, DO, Saras Sharma, DO, Farhan Israr, DO, Cristina Marin, MD, Laritza Enriquez, MD, Larkin Community Hospital, Miami, FL P43. A Case of Eosinophilic Esophagitis With Achalasia Requiring Myotomy Diana Snyder, MD, Yomari Gonzalez, BA, Mukund Venu, MD, Loyola University Medical Center, Maywood, IL P44. Pooling of Barium at Mucosotomy Site After Peroral Endoscopic Myotomy for Achalasia Madhusudhan Sanaka, MD, FACG, Siva Raja, MD, PhD, Andrei Purysko, MD, Gastroenterology, Cleveland Clinic, Cleveland, OH P45. Iatrogenic Pericardial-Esophageal Fistula Following Atrial Ablation Eric Hilgenfeldt, MD, Alex Schlachterman, MD, Internal Medicine, University of Florida, Gainesville, FL P46. A Case Report on a Rare Cause of Upper Gastrointestinal Bleed Silpa Mandava, MBBS, Akriti Dewanwala, MBBS, Katie Agnello, MD, Abha Rani, MD, FACG, Internal Medicine, University at Buffalo, Buffalo, NY P47. Lymphocytic Esophagitis in Crohn's Disease: Understanding the Significance Satyajit Reddy, MSci, Edward Feller, MD, FACG, Li Juan Wang, MD, PhD, Samir Shah, MD, FACG, Alpert Medical School of Brown University, Providence, RI, Roger Williams Medical Center, Providence, RI P48. Achalasia in Patients With Malignancy Shamim Ejaz, MD, MPH, John Stroehlein, MD, FACG, Mehnaz Shafi, MD, FACG, Gastroenterology, Hepatology and Nutrition, UT MD Anderson Cancer Center, Houston, TX P49. Eosinophilic Esophagitis Presenting as Massive Upper Gastrointestinal Bleeding Treated With Esophageal Stent Manajyoti Yadav, MD, Fritz-Henry Volmar, MD, Michael Cashman, MD, Sonu Dhillon, MD, Srinivas Puli, MD, University of Illinois College of Medicine at Peoria, Peoria, IL, OSF St. Francis Hospital, Peoria, IL ESOPHAGUS - CLINICAL VIGNETTES P33. A Case of a Giant Esophageal Papilloma Geoffrey You, MD, Melissa Reynon, MD, Amy Tilara, MD, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, Division of Gastroenterology and Hepatology, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 41 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P50. Colonic Metastasis of a Primary Esophageal Adenocarcinoma Michael Green, MD, Najla Itani, MD, Mustapha El-Halabi, MD, Ransom Kilgore, MD, FACG, William Salyers, MD, MPH, FACG, University of Kansas School of Medicine - Wichita, Wichita, KS P51. A Rare Case of Tension Colothorax Following Esophageal Dilation Syed Amer, MBBS, Cuong Nguyen, MD, Mayo Clinic, Phoenix, AZ P52. A Calcific Mass in The Distal Esophagus Rupal Patel, MD, Steven Clayton, MD, Prasad Kulkarni, MD, University of South Florida, Tampa, FL P53. A Rare Case of Mixed Adenoneuroendocrine Carcinoma of the Esophagus John Anong, MD, John Litchfield, MD, Mark Young, MD, Thomas Borthwick, MD, Internal Medicine, East Tennessee State University, Johnson City, TN P54. Successful Combined Intralesional Corticosteroid Therapy and Wire-Guided Dilation of Severe Esophageal Graft Versus Host Disease V. Alin Botoman, MD, FACG, Eleonor Botoman, HS, Gastroenterology, University of Miami, Fort Lauderdale, FL, Pine Crest School/GI Research Institute of Ft Lauderdale, Fort Lauderdale, FL P55. Black Esophagus Dilhana Badurdeen, MD, Kenneth Brown, MD, FACG, Andrew Sanderson, MD, Adeyinka Laiyemo, MD, Howard University College of Medicine, Washington, DC, Providence Hospital, Washington, DC P56. Acute Chemical Esophagitis After Chromoendoscopy in a Patient With Squamous Cell Dysplasia of Esophagus Gokul Samudrala, MD, Kaartik Soota, MD, Mohammad Telfah, MD, Karthik Ramakrishna, MD, Andrej Strapko, MD, Deerajnath Lingutla, MD, Internal Medicine, Unity Health System of Rochester, Rochester, NY P57. Simultaneous Occurrence of Eosinophilic Esophagitis and Esophageal Granular Cell Tumor: Two Case Reports Borko Nojkov, MD, Gehad Ghaith, MD, Mitchell Cappell, MD, PhD, William Beaumont Hospital, Royal Oak, MI P58. Upside Down Intrathoracic Stomach: A Case Report Laura Pestana, DO, George Saffouri, MD, Christopher Blevins, MD, Santhi Swaroop Vege, MD, FACG, Mayo Clinic, Rochester, MN P62. Prevalence of Gastric Fundic Gland Polyps in Our Upper GI Endoscopy Patient Marina Kim, DO, Jesse Green, MD, FACG, Albany Medical Center, Albany, NY P63. Sex-Specific and Race/Ethnicity-Specific Disparities in Cancer Incidence and Survival Persist Among Both Gastric Cardia Cancer and Lower Esophageal Cancer Patients Felix Lui, MD, Robert Wong, MD, California Pacific Medical Center, San Francisco, CA, Stanford University Medical Center, Stanford, CA P64. Prognostic Impact of Post-Operative Body Mass Index in Patients With Gastric Cancer After Gastrectomy Seung Bae Yoon, MD, Han Hee Lee, MD, Jae Myung Park, PhD, Han Mo Yoo, MD, Kyo Young Song, PhD, Myung-Gyu Choi, PhD, Cho Hyun Park, PhD, Department of Internal Medicine, The Catholic University of Korea, Seoul, Republic of Korea, Department of Surgery, The Catholic University of Korea, Seoul, Republic of Korea P65. An Unusual Cause of Acute Anemia in an Immunosuppressed Patient Jamak Modaresi Esfeh, MD, Whitney Jackson, MD, Brian Putka, MD, Cleveland Clinic, Gastroenterology and Hepatology, Cleveland, OH P66. A Survey of Screening and Treatment Practices for Helicobacter pylori in the United States Traci Murakami, MD, Rebecca Scranton, BS, Heidi Brown, PhD, MPH, Sunitha Musuku, MD, Zhao Chen, PhD, MPH, Robin Harris, PhD, MPH, Eyal Oren, PhD, MS, Department of Internal Medicine, Divison of Gastroenterology, University of Arizona Medical Center, Tucson, AZ, Division of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health; University of Arizona, Tucson, AZ P67. UGI Bleeding in the AIDS Patient: Not Your Usual Ulcer Rajesh Ramachandran, MD, David Lee, MD, SUNY Downstate Medical Center, Division of Gastroenterology and Hepatology, Brooklyn, NY P68. An Unusual Case of CMV Gastritis in a Healthy Adult Raghu Vanama, MD, Prabhleen Chahal, MD, Wayne State University/ DMC, Detroit, MI, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH P69. A Comparison of Complication Rates Between GI Percutaneous Endoscopic Gastrostomy (PEG) and IR Percutaneous Radiologic Gastrostomy (PRG) Tube Placement Bilal ElChaarani, BS, Christopher Gal, MD, Ismet Lukolic, MD, James Walsh, MD, David Lee, MD, Gastroenterology, SUNY Downstate Medical Center, Brooklyn, NY, Kings County Hospital Center, Brooklyn, NY P70. Evaluation of Gastric Cancer Diagnosis Using New Magnification Endoscopy (Near Focus) With NBI Takashi Kawai, MD, PhD, FACG, Fuminori Moriyasu, MD, PhD, Takuji Gotoda, MD, PhD, Masakatsu Fukuzawa, MD, PhD, Yasuhiro Mizuguchi, MD, PhD, Kengo Tokunaga, MD, PhD, Shin’ichi Takahashi, MD, PhD, FACG, Endscopy Center, Tokyo Medical University Hospital, Tokyo, Japan, Gastoloenterology and Hepatology, Tokyo Medical University, Tokyo, Japan, Kyorin University School of Medicine, Tokyo, Japan P71. The Endoscopically Normal Stomach: Is it Worth a Biopsy? Daniel Nevin, MD, Kevin Turner, DO, Robert Genta, MD, FACG, Miraca Life Sciences Research Institute, Irving, TX P72. Full Versus Reduced-Dose Antimicrobials in Clarithromycin-Based Regimens for Helicobacter pylori Eradication: A Systematic Review and Meta-Analysis Ali Harb, MD, Rachel Abou Mrad, MD, Ala Sharara, MD, FACG, Internal Medicine, American University of Beirut, Beirut, Lebanon P73. Efficacy of Reduced-Dose Regimen of a Capsule Containing Bismuth Subcitrate, Metronidazole, and Tetracycline Given With Amoxicillin and Esomeprazole in the Treatment of Helicobacter pylori Infection Ali Harb, MD, Zeinab El Reda, MD, Fayez Sarkis, MD, Hani Chaar, PharmD, Ala Sharara, MD, FACG, Internal Medicine, American University of Beirut, Beirut, Lebanon STOMACH P59. Is Standard Triple Therapy for H. pylori Failing in Asia? Anil John, MD, Saad Al Kaabi, MD, Sanjay Doiphode, MD, Prem Chandra, MD, Rafie Yakoub, MD, Manik Sharma, MD, Hamid Wani, MD, Moutaz Derbala, MD, Fuad Pasic, MD, Ragesh Babu, MD, Nazeeh Dweik, MD, Muneera Mohannadi, MD, Mohammed Butt, MD, Khalid Ejji, MD, Khaleel Sultan, MD, Yasser Kamel, MD, Cosima Langner, BSc, Peter Malfertheiner, MD, Dept. of Gastroenterology, Hamad Medical Corporation, Doha, Qatar, Dept. of Microbiology, Hamad Medical Corporation, Doha, Qatar, Medical Research Centre, Hamad Medical Corporation, Doha, Qatar, Dept. of Microbiology, Otto-Von-Guiricke University, Magdeburg, Germany P60. The Association of Obesity With Peptic Ulcer Disease Among U.S.Born Versus Foreign-Born Urban Minorities Adeyinka Laiyemo, MD, MPH, Angesom Kibreab, MD, Andrew Sanderson, MD, Kolapo Idowu, MD, Getachew Mekasha, MD, Momodu Jack, MD, Victor Scott, MD, Medicine, Howard University, Washington, DC P61. Rapid Urease Testing as a Cost-Effective Alternative for Helicobacter pylori Diagnosis C. Andrew Kistler, MD, PharmD, Juan Palazzo, MD, Daniel Quirk, MD, MPH, Thomas Jefferson University Hospital, Department of Medicine, Philadelphia, PA, Thomas Jefferson University Hospital, Department of Pathology, Philadelphia, PA, Thomas Jefferson University Hospital, Department of Medicine, Division of Gastroenterology and Hepatology, Philadelphia, PA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 42 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P74. The Prevalence of Hypomagnesemia in Long-term Recipients of Proton Pump Inhibitors in a Managed Care Cohort Ali Harb, MD, Nijmeh Hammoud, MD, Fayez Sarkis, MD, Ghassan Hamadeh, MD, Ala Sharara, MD, FACG, Internal Medicine, American University of Beirut, Beirut, Lebanon, Family Medicine Department American University of Beirut, Beirut, Lebanon P75. Radiologic Versus Endoscopic Placement of Gastrostomy: A Comparison of Indications and Outcomes at a Tertiary Referral Center Steven Clayton, MD, Kimberly Kolkhorst, DO, Rashid Syed, MD, Patrick Brady, MD, Gastroenterology, University of South Florida, Tampa, FL P76. Antibiotic Resistance of Helicobacter pylori in Detroit, Michigan Faris El-Khider, MD, Nizar Talaat, MD, Maher Tama, MD, Ritu Gupta, MD, Murray Ehrinpreis, MD, Wayne State University, Detroit, MI, Oakwood Hospital, Dearborn, MI P77. Prevalence and Associated Risk Factors of Helicobacter pyloriNegative Gastritis Ahmed Salem, MD, Simon Matthews, MD, Yuriko Mori, MD, PhD, Sariat Ibrahim, BA, Stephen Meltzer, MD, Bani Chander Roland, MD, The Johns Hopkins Medical Institutions, Baltimore, MD POSTERS SUNDAY P86. Gastic Adenocarcinoma Presenting With Gastro-Hepatic Fistula and Hepatic Abscesses Abhishek Matta, MBBS, Arun Nagabandi, MBBS, Savio Reddymasu, MD, FACG, Internal Medicine, Creighton University Medical Center, Omaha, NE P87. Sequential Endoscopic Gastropexy and Esophageal Stent Placement for Treatment of Gastric Volvulus With Early Signs of Ischemia Ramen Sakhi, MD, Raja Thotakura, MD, MS, Dinuli Delpachitra, MD, Tariq Hammad, MD, Osama Alaradi, MD, Ali Nawras, MD, FACG, Internal Medicine, University of Toledo Medical Center, Toledo, OH P88. Inadvertent Gastric Stimulator Use During Pregnancy Avik Sarkar, MD, Brian Weiner, MD, Craig Rezac, MD, Sita Chokhavatia, MD, FACG, Rutgers - Robert Wood Johnson Medical School, Department of Internal Medicine, Division of Gastroenterology, New Brunswick, NJ, Rutgers - Robert Wood Johnson Medical School, Department of Surgery, New Brunswick, NJ P89. Blurry Vision in Patient With Watery Diarrhea: Serendipitous Diagnosis of Neurocysticercosis Javier Lopez Moncayo, MD, Normi Dessalines, MD, Sita Chokhavatia, MD, Salman Muddassir, MD, St. Francis Medical Center, Hamilton, NJ, Robert Wood Johnson University Hospital, New Brunswick, NJ P90. Gastric and Colonic Mantle Cell Lymphoma With History of Peptic Ulcer Disease Tanya Dam, DO, Nathaniel Krogel, DO, Duane Moise, DO, Brent Smith, MD, Todd Ogrodowczyk, MD, Gastroenterology, Blue Ridge Digestive Health, Morganton, NC P91. Collagenous Gastritis: A Case Report and Clinical Review Karthik Garapati, MD, Mazyar Malakouti, MD, Charles Randall, MD, University of Texas Health Science Center at San Antonio, San Antonio, TX, Gastroenterology Research of San Antonio, San Antonio, TX P92. Diarrhea With Severe Weight Loss Secondary to Gastrocolic Fistula (GCF) Don Esprit, MD, Nicholas Karamitsios, MD, FACG, Tokunbo Ajayi, MD, Nureddin Almaddah, MD, Internal Medicine, NSMC, Salem, MA, North Shore Medical Center, Salem, MA P93. Hematemesis Secondary to Paraesophageal Hernia With Incarcerated Gastric Volvulus Eric Gou, MD, Habeeb Salameh, MBBS, Venessa Beckman, DO, Guillermo Gomez, MD, Sreeram Parupudi, MBBS, FACG, University of Texas Medical Branch, Galveston, TX P94. Gastric Outlet Obstruction Secondary to Retroperitoneal Nodular Fasciitis C. Andrew Kistler, MD, PharmD, Wei Jiang, MD, PhD, Ernest Rosato, MD, Robert Coben, MD, Thomas Jefferson University Hospital, Department of Medicine, Philadelphia, PA, Thomas Jefferson University Hospital, Department of Pathology, Philadelphia, PA, Thomas Jefferson University Hospital, Department of Surgery, Philadelphia, PA, Thomas Jefferson University Hospital, Department of Medicine, Division of Gastroenterology and Hepatology, Philadelphia, PA P95. Microscopic Gastritis: A Case Series Highlighting the Diagnostic and Therapeutic Challenges C. Andrew Kistler, MD, PharmD, Christopher Henry, MD, Linda Yan, MS3, Wei Jiang, MD, PhD, Patricia Kozuch, MD, Thomas Jefferson University Hospital, Department of Medicine, Philadelphia, PA, Thomas Jefferson University Hospital, Department of Medicine, Division of Gastroenterology and Hepatology, Philadelphia, PA, Jefferson Medical College, Philadelphia, PA, Thomas Jefferson University Hospital, Department of Pathology, Philadelphia, PA P96. Olmesartan Induced Collagenous Gastritis, Duodenitis, and Colitis Robert Taylor, MD, Casey Chapman, MD, Internal Medicine, LSU Baton Rouge, Baton Rouge, LA, GI Associates, Baton Rouge, LA STOMACH - CLINICAL VIGNETTES P78. A Case of Gastritis in a Patient With Paper Pica Constantine Fisher, MD, Marci Laudenslager, MD, Manish Thapar, MD, Kenneth Rothstein, MD, Hahnemann University Hospital, Philadelphia, PA, Drexel University College of Medicine, Philadelphia, PA P79. Gastric Adenocarcinoma Presenting as a Solitary Metastatic Bone Lesion in the Scapula Larry Carter, DO, Jennifer Phemister, MD, Pranav Patel, MD, Chakradhar Reddy, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN P80. Acute Hemorrhage From Gastric Schwannoma: An Uncommon Presentation of a Rare Submucosal Neoplasm Gobind Sharma, MD, Farihah Perwez, MD, Benjamin Bluen, MD, Missale Solomon, MD, James Reynolds, MD, Gastroenterology, Drexel University College of Medicine, Philadelphia, PA, Hahnemann University Hospital, Philadelphia, PA P81. Gastric Antral Web: A Case Series to Better Define a Rare Cause of Gastric Outlet Obstruction Neha Nigam, MD, Walid Chalhoub, MD, Dalia Abdelaziz, MD, Firas AlKawas, MD, FACG, Stanley Benjamin, MD, FACG, Medstar Georgetown University Hospital, Washington, DC, Johns Hopkins Sibley Memorial Hospital, Washington, DC P82. Rare Case of End-Stage Gastric Signet Cell Adenocarcinoma that Metastasized to the Colon Deepak Sharma, DO, Varun Jain, MD, Sandeep Jubbal, MD, Vimala Ramasamy, MD, Ava Anklesaria, MD, Zoran Bogdanovic, MD, Icahn School of Medicine at Mount Sinai (Bronx) - James J. Peters VA Medical Center, Bronx, NY, North Central Bronx Hospital, Bronx, NY P83. Antral Hyperplastic Polyp Causing Gastric Outlet Obstruction. Case Report and Review of Literature Prathab Devaraj, MD, Shashank Ponugoti, MD, Swati Pawa, MD, West Virginia University - Department of Digestive Diseases, Morgantown, WV, West Virginia University - Department of Internal Medicine/Clinical and Translational Sciences (CTSI), Morgantown, WV P84. Gastric Calciphylaxis: Endoscopy and Histopathology Manifestations Bashar Attar, MD, PhD, FACG, Warren Piette, MD, Jesse Jiang, MD, Alexander Sauper, MD, Cook County Health and Hospitals System and Rush University Medical Center, Chicago, IL P85. Acute Gastric Dysfunction After Catheter Ablation of Atrial Fibrillation 2014 ACG Presidential Poster Award Alicia Alvarez, MD, Sandra Rodriguez, MD, Roger Charles, MD, FACG, Cleveland Clinic Florida, Weston, FL 43 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm PANCREATIC/BILIARY P104. Clinical Predictors of Concordance Between Non-Invasive Imaging Studies and Endoscopic Retrograde Cholangiopancreatography (ERCP) in Post-Liver Transplant Patients Mark Pedersen, MD, Bobby Kakati, MD, Myunghan Choi, PhD, MPH, Anil Seetharam, MD, Banner Good Samaritan Medical Center, Phoenix, AZ, Transplant Center and Advanced Liver Disease at Banner Good Samaritan Medical Center, Phoenix, AZ, University of Arizona College of Medicine, Phoenix, AZ P105. Clinical Predictors of Gallbladder Dyskinesia Andrew Berry, Mojtaba Olyaee, MD, Elena Sidorenko, MD, Tuba Esfandyari, MD, MSc, IM/GI, University of Kansas Medical Center, Kansas City, KS P106. Endoscopic Ultrasound-Directed Pseudocyst Drainage Without the Use of Fluoroscopy: A Case Series Rasha Issa, MD, Omar Majdobeh, MD, Ronya Kawji, MD, Zubin Patel, MD, Laura Hamad, DO, Charles Berkelhammer, MD, FACG, Kamran Ayub, MD, FACG, Christ Advocate Medical Center, Oak Lawn, IL, Silver Cross Hospital, New Lenox, IL P107. Groove Pancreatitis, A Masquerading Yet Distinct Clinicopathological Entity: Analysis of Risk Factors and Differentiation Veeral Oza, MD, Jacob Skeans, MD, Peter Muscarella, MD, Brett Sklaw, MD, Kevin Cronley, MD, Jon Walker, MD, Samer El-Dika, MD, Benjamin Swanson, MD, Alice Hinton, PhD, Darwin Conwell, MD, MS, FACG, Somashekar Krishna, MD, MPH, Division of Gastroenterology, Ohio State University, Columbus, OH P108. Pancreatic Cyst Ablation: An Experimental Study With a New EUS Needle Prototype Maria Moris Felgueroso, MD, Murli Krishna, MD, Ariston Librero, Eugene Richie, Massimo Raimondo, MD, FACG, Timothy Woodward, MD, John Stauffer, MD, Horacio Asbun, MD, Michael Wallace, MD, MPH, FACG, GI, Mayo Clinic Jacksonville, Jacksonville, FL P109. Yield and Safety of Pancreatoscopy in Main Duct Intraductal Papillary Mucinous Neoplasms Nicholas Martinez, MD, Laura Rosenkranz, MD, Sandeep Patel, DO, Gastroenterology, University of Texas Health Science Center at San Antonio, San Antonio, TX P110. The Relationship of ERCP Facility Volume With Nurse/Associate Training and Functions of Health Care Industry Representatives (HCIR) During ERCP: A Survey of SGNA Members Rajesh Keswani, MD, Phyllis Malpas, MA, RN, CGRN, Sheryl Lynch, RN, Gregory Coté, MD, MS, Medicine, Northwestern University, Chicago, IL, Medical University of South Carolina, Charleston, SC, Indiana University, Indianopolis, IN P111. Is There a Role for Sphincterotomy With Endoscopic Biliary Drainage in Acute Obstructive Cholangitis? Tarek Sawas, MD, Mitesh Patel, MD, Georgetown University Medstar Washington Hospital Center, Washington, DC P112. A Comparison Between Nasobiliary Drainage and Biliary Stenting in Acute Suppurative Cholangitis Tarek Sawas, MD, Shadi Al Halabi, MD, MPH, Mitesh Patel, MD, FACG, Georgetown University Medstar Washington Hospital Center, Washington, DC, Cleveland Clinic, Cleveland, OH P113. Comparison of 19-Gauge Needle and 25-Gauge Needle Diagnostic Accuracy in EUS-FNA of Pancreatic Cystic Lesions Samuel Han, MD, Daniel Kaufman, MD, Wahid Wassef, MD, MPH, Gastroenterology, University of Massachusetts Medical Center, Worcester, MA P114. Smoking Cessation Comparison in Chronic Pancreatitis Patients Samuel Han, MD, Joan Kheder, MD, Lisa Bocelli, MD, Wahid Wassef, MD, MPH, FACG, University of Massachusetts Medical School, Worcester, MA P115. Does Aspirin Use Decrease Severity of Acute Pancreatitis in Hospitalized Patients? Nongnooch Poowanawittayakom, MD, Michael Flicker, MD, Dana Villines, PhD, Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL P97. Perceived Effectiveness of Endoscopic and Surgical Treatments Among North American Women With Complications of Chronic Pancreatitis 2014 ACG Presidential Poster Award Jyothsna Talluri, MD, Joseph Romagnuolo, MD, MSc, Dhiraj Yadav, MD, MSc, David Whitcomb, MD, PhD, GI, University of Pittsburgh Medical Center, Pittsburgh, PA, Medical University of South Carolina, Charleston, SC P98. Early-Onset and Late-Onset Idiopathic Chronic Pancreatitis in the North American Pancreatitis Study (NAPS2-CV) Cohort Michele Lewis, MD, Jyothsna Talluri, MD, Dhiraj Yadav, MD, MSc, David Whitcomb, MD, PhD, GI, University of Pittsburgh Medical Center, Pittsburgh, PA, Mayo Clinic, Jacksonville, FL P99. A Proposed “Modified Criteria” for EUS Can Accurately Identify Patients Best Suited for Either Endoscopic Ampullectomy or Surgical Excision 2014 ACG Presidential Poster Award Jared Rejeski, MD, Sarba Kundu, MD, John Evans, MD, Jason Conway, MD, MPH, Matthew Hauser, BA, BS, Rishi Pawa, MBBS, Girish Mishra, MD, Wake Forest School of Medicine, Winston-Salem, NC, Hugh Chatham Memorial Hospital, Elkin, NC P100. APACT: A Phase III Trial of Nab-Paclitaxel (nab-P) Plus Gemcitabine (Gem) Versus Gem Alone as Adjuvant Therapy for Patients With Resected Pancreatic Cancer (PC) Margaret Tempero, MD, Dana Cardin, MD, Andrew Biankin, MBBS, PhD, David Goldstein, MBBS, Malcolm Moore, MD, Eileen O’Reilly, MD, Philip Philip, MD, PhD, Hanno Riess, MD, Teresa Macarulla, MD, Lotus Yung, PharmD, Xinyu Wei, PhD, Brian Lu, MD, UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, Vanderbilt University Medical Center, Nashville, TN, Wolfson Wohl Cancer Research Centre, Institute of Cancer Sciences, University of Glasgow, Glasgow, United Kingdom, Prince of Wales Hospital, Sydney, NSW, Australia, Princess Margaret Hospital, Toronto, ON, Canada, Memorial Sloan Kettering Cancer Center, New York, NY, Karmanos Cancer Center, Detroit, MI, Charité-Universitätsmedizin Berlin, Berlin, Germany, Vall d’Hebron University Hospital, Barcelona, Spain, Celgene Corporation, Summit, NJ P101. Biliary Adenomas Involving Extrahepatic Tree Are Rare, But Have Aggressive Clinical Course Deborah Nautsch, MD, Kah Poh Loh, MD, David Desilets, MD, PhD, James Mueller, MD, Vaibhav Mehendiratta, MD, Baystate Medical Center, Springfield, MA P102. Efficacy of Endoscopic Ultrasound Fine Needle Aspiration (EUSFNA) in Obtaining Optimal Samples for Immunohistochemistry (IHC) in Pancreatic Ductal Adenocarcinoma (PDA) Reshi Kanuru, MD, Michael Wellner, MD, Ming Jin, MD, Kyle Porter, MS, Jon Walker, MD, Somashekar Krishna, MBBS, MPH, Adrian Suarez, MD, Samer El-Dika, MD, MS, Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University-Wexner Medical Center, Columbus, OH, Department of Internal Medicine, The Ohio State University-Wexner Medical Center, Columbus, OH, Department of Pathology, The Ohio State University-Wexner Medical Center, Columbus, OH, Center of Biostatistics, The Ohio State University, Columbus, OH, Section of Advanced Therapeutic Endoscopy Section, Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University-Wexner Medical Center, Columbus, OH P103. Laparoscopic-Assisted ERCP and EUS in Patients With Prior Rouxen-Y Gastric Bypass Surgery: A Dual-Center Case Series Experience Erik Bowman, MD, Nalini Guda, MD, Mark Benson, MD, Patrick Pfau, MD, Anurag Soni, MD, Michael Garren, MD, Jacob Greenberg, MD, Deepak Gopal, MD, FACG, University of Wisconsin, Madison, WI, Aurora St. Lukes, Milwaukee, WI For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 44 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P127. The Efficacy of ERCP and PTBD and Comparison of Survival in Unilateral Versus Bilateral Drainage in Patients With Cholangiocarcinoma: Experience From a Single Tertiary Cancer Specialty Institute Hemanth Gavini, MD, MPH, Jay Chouhan, DO, Lianchun Xiao, William Ross, MD, Brian Weston, MD, Gottumukkala Raju, MD, Marta Davila, MD, Milind Javle, MD, Jeffrey Lee, MD, MPH, FACG, MD Anderson Cancer Center, Houston, TX P128. The Diagnostic Yield of Imaging Modalities in Screening for Pancreatic Cancer in Asymptomatic High-Risk Individuals: Experience From a Tertiary Cancer Center Hemanth Gavini, MD, Jay Chouhan, MD, Lianchun Xiao, Nathaniel Kwak, MD, William Ross, MD, Manoop Bhutani, MD, Brian Weston, MD, Jeffrey Lee, MD, FACG, MD Anderson Cancer Center, Houston, TX P129. Comparison of Imaging Characteristics of CT, MRI, PET, and EUS in the Evaluation of Metastasis to the Pancreas: Results From a Single Tertiary Cancer Center Hemanth Gavini, MD, MPH, Daniel Salvador, Christopher Chan, Charanjeet Singh, MD, William Ross, MD, Manoop Bhutani, MD, Brian Weston, MD, Jeffrey Lee, MD, MPH, FACG, MD Anderson Cancer Center, Houston, TX P130. Evaluating the Role of EUS-FNA in the Diagnosis of Metastasis to the Pancreas: Results From a Tertiary Cancer Center Hemanth Gavini, MD, MPH, Christopher Chan, Daniel Salvador, Charanjeet Singh, MD, William Ross, MD, Manoop Bhutani, MD, Brian Weston, MD, Jeffrey Lee, MD, MPH, FACG, MD Anderson Cancer Center, Houston, TX P131. Imaging Characteristics, Role of EUS-FNA and Prognosis in Patients With Pancreatic Lymphoma Hemanth Gavini, MD, MPH, Muhammad Ahmad, MD, Charanjeet Singh, MD, William Ross, MD, Manoop Bhutani, MD, Brian Weston, MD, Jeffrey Lee, MD, MPH, FACG, MD Anderson Cancer Center, Houston, TX POSTERS SUNDAY P116. BMI Has No Effect on Severity of Acute Pancreatitis? Nongnooch Poowanawittayakom, MD, Michael Flicker, MD, Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL P117. Female Gender Increases Severity of Acute Pancreatitis in Hospitalized Patients Nongnooch Poowanawittayakom, MD, Michael Flicker, MD, Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL P118. Evaluation of Rosemont Classification for Non-Calcific Chronic Pancreatitis (NCCP) Based on Histopathology: A Retrospective Study Guru Trikudanathan, MD, Satish Munigala, MD, Usman Barlass, MBBS, Ahmad Malli, MD, Yuisheng Han, MD, Melena Bellin, MD, Srinath Chinnakotla, MD, Ty Dunn, MD, Timothy Pruett, MD, Gregory Beilman, MD, Jose Vega-Peralta, MD, Mustafa Arain, MD, Shawn Mallery, MD, Martin Freeman, MD, FACG, Rajeev Attam, MD, Gastroenterology, Univerisity of Minnesota, Minneapolis, MN, Washington University, St. Louis, MO P119. Mild Acute Pancreatitis and Antibiotic Use in Clinical Practice Monjur Ahmed, MD, FACG, Danielle Dang, MD, Thomas Jefferson University, Philadelphia, PA P120. Unfolded Protein Response (UPR) Predicts and Exacerbates the Development of Alcohol-Induced Pancreatitis Keisaku Sato, PhD, Angela Dolganiuc, MD, PhD, UFL, Gainesville, FL P121. Antisense Oligonucleotides Targeted to KRAS Gene Could Inhibit the Tumor Growth, Invasion, and MMP-2 and MMP-9 Expression in Hamster Pancreatic Cancer Model In vitro and In vivo Cintia Morioka, MD, PhD, Jose Otoch, MD, PhD, Seiji Saito, MD, PhD, Marcel Machado, MD, PhD, Akiharu Watanabe, MD, PhD, Cheng Huang, Frederico Costa, MD, PhD, University Nove de Julho, Sao Paulo, Brazil, University of Sao Paulo, Sao Paulo, Brazil, Advantage Health, Sao Paulo, Brazil, Toyama University, Toyama, Japan, Hospital Sirio Libanes, Sao Paulo, Brazil P122. Double Wire-Guided Technique Improves Biliary Cannulation Rates in Difficult ERCP: 3-Year Experience Audrey Tse, DO, Anuj Datta, MD, Inder Singh, MD, Viktor Eysselein, MD, Sonya Reicher, MD, Gastroenterology, Harbor UCLA, Torrance, CA P123. The Impact of Sphincter of Oddi Dysfunction (SOD) on Health Care Utilization in Patients Admitted for Abdominal Pain Jeffery Groce, MD, MS, Somashekar Krishna, MBBS, MPH, Samer El-Dika, MD, MS, Sheetal Sharma, MBBS, Alice Hinton, PhD, Darwin Conwell, MD, MS, Advanced Therapeutic Endoscopy Section, Division of Gastroenterology, Hepatology and Nutrition, The Ohio State University Wexner Medical Center, Columbus, OH, Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH, Section of Pancreatic Disorders, Division of Gastroenterology, Hepatology and Nutrtion, The Ohio State University Wexner Medical Center, Columbus, OH P124. Elevated Serum Triglycerides Are a Risk for Severity in Acute Pancreatitis Regardless of Etiology Jeffrey Easler, MD, Haq Nawaz, MD, Dhiraj Yadav, MD, MPH, Efstratios Koutroumpakis, MD, Vijay Singh, MD, Adam Slivka, MD, PhD, David Whitcomb, MD, PhD, FACG, Georgios Papachristou, MD, Washington University School of Medicine, Saint Louis, MO, University of Pittsburgh Medical Center, Pittsburgh, PA, Mayo Clinic, Scottsdale, AZ P125. The Use of Bayesian Analysis to Predict Severe Acute Pancreatitis in a Nationwide Military Population Scott Cunningham, MD, Corinne Maydonovitch, BS, John Betteridge, MD, Walter Reed National Military Medical Center, Bethesda, MD P126. Prevalence and Outcomes of Cystic Neoplasm of the Pancreas in Immunosuppressed Patients With Solid Organ Transplantation Saowonee Ngamruengphong, MD, Kristina Seeger, MD, Luke McCrone, MD, Maria Moris Felgueroso, MD, Stephen Garrison, MD, Surakit Pungpapong, MD, Andrew Keaveny, MD, Massimo Raimondo, MD, FACG, Gastroenterology and Hepatology, Mayo Clinic Florida, Jacksonville PANCREATIC/BILIARY - CLINICAL VIGNETTES P132. Malignant Melanoma: A Rare but Important Consideration in Pancreatic Metastases Tanima Jana, MD, Manoop Bhutani, MD, University of Texas Health Science Center at Houston, Houston, TX, University of Texas MD Anderson Cancer Center, Houston, TX P133. Breast Cancer Recurrence: An Unusual Cause of Biliary Obstruction Mayur Parepally, MD, Sugir Velpari, MD, University of Illinois Hospital and Health Sciences System, Chicago, IL P134. IgG4-Related Autoimmune Pancreatitis Presenting With Multiple Extrapancreatic Manifestations Ketan Shah, MD, MBA, Mazen Jamal, MD, MPH, Veterans Affairs Medical Center, Long Beach, CA P135. Endoscopic Management of Xanthogranulomatous Choledochitis Mohanad Abu Speitan, MD, Barret Halgas, MS IV, William V Rice, MD, Michael E. Goldberg, DO, Mohanad Abu-Speitan, MD, Barret Halgas, MSIV, William Rice, MD, Michael Goldberg, DO, Internal Medicine, William Beaumont Army Medical Center, El Paso, TX P136. Massive Intraperitoneal Hemorrhage Due to Perforated Cholecystitis Hajime Hirose, MD, Satoru Miyazaki, MD, Kinan Hospital, Tanabe, Japan P137. Drainage of a Pancreatic Pseudocyst Via a Spontaneous CystDuodenostomy: A Case Report Lilly Sadri, MD, Amar Thosani, MD, Satish Nagula, MD, FACG, Jonathan Buscaglia, MD, FACG, Stony Brook University Hospital, Stony Brook, NY 45 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P138. A Rare Case of Gastrointestinal Bleeding From Choledochoduodenal Fistula William Hsueh, MD, Dennis Nguyen, MD, Mitesh Patel, MD, Medstar Washington Hospital Center, Washington, DC P139. Lemierre’s Syndrome: A Rare Cause of Secondary Sclerosing Cholangitis Kunut Kijsirichareanchai, MD, Sarah Bligh, MD, Alexander Hewlett, DO, FACG, University of Nebraska Medical Center, Omaha, NE P140. Sickle Cell Intrahepatic Cholestasis: Reversal of Liver Function Without Exchange Transfusion: A Case Report and Review Literature Nattamol Hosiriluck, MD, Supannee Rassameehiran, MD, Erwin Argueta, MD, Lukman Tijani, MD, Texas Tech Health Science Center, Lubbock, TX P141. Metastatic Adenosquamous Cell Carcinoma of the Pancreas Presenting With Upper Gastrointestinal Bleeding Roopjeet Bath, MBBS, Navkiran Brar, MBBS, Haleh Vaziri, MD, Gastroenterology and Hepatology, University of Connecticut, Farmington, CT P142. Primary Pancreatic Lymphoma Diagnosed by Endoscopic Ultrasound-Guided Fine Needle Aspiration With Flow Cytometry Brandon Marion, MD, P. Wesley Benson, MD, Rishi Pawa, MD, Wake Forest University School of Medicine Department of Internal Medicine, Winston-Salem, NC, Wake Forest University School of Medicine Department of Gastroenterology, Winston-Salem, NC P143. Superior Mesenteric Vein Pseudoaneurysm Presenting as a Pancreatic Mass Andrew Gangemi, MD, Tobias Zuchelli, MD, Eval Alsheik, MD, Daniel Ringold, MD, Department of Internal Medicine, Drexel University College of Medicine/Hahnemann University Hospital, Philadelphia, PA P144. A Mass in the Junction of the Body and Tail of the Pancreas Eduardo Rodriguez, MD, Aaron Garza Romero, MD, Frederick Williams, MD, Internal Medicine, University of Miami Miller School of Medicine, Palm Beach Regional Campus, West Palm Beach, FL P145. Doxycycline-Induced Pancreatitis Brian Moy, DO, Nikhil Kapila, MD, University of Connecticut, Farmington, CT P146. Cardiac Tamponade as a Complication of Pseudocyst in Chronic Pancreatitis Syed Amer, MBBS, Mohammed MuqeetAdnan, MBBS, Mayo Clinic, Phoenix, AZ, University of Oklahoma Health Sciences Center, Oklahoma, OK P147. Bulimia: A Rare Cause of Recurrent Acute Pancreatitis Syed Amer, MBBS, Andrew Walker, PSM, MS, PAC, Cuong Nguyen, MD, Mayo Clinic, Phoenix, AZ P148. A Rare Case of Multiple Pancreatic Metastases in a Patient With Renal Cell Carcinoma Syed Amer, MBBS, Vishnu Teja Kommineni, MD, Wajeeh Salah, MD, Cuong Nguyen, MD, Rahul Pannala, MD, Mayo Clinic, Phoenix, AZ P149. Acute Pancreatitis Causing a Highway to the Colon With Subsequent Road Closure Justin Cochrane, DO, Providence Sacred Heart Medical Center, Spokane, WA P150. A Rare Case of Gastrointestinal Bleeding Mitesh Bhalala, MD, Shireen Pais, MD, Grigory Rozenbilt, MD, Brad Dworkin, MD, FACG, New York Medical College, Valhalla, NY P151. Noncommunicating Mucinous Biliary Cystadenoma: A Rare Cause of Jaundice Alicia Alvarez, MD, Kanwarpreet Singh Tandon, MD, Luis Lara, MD, FACG, Cleveland Clinic Florida, Weston, FL P152. Intraductal Papillary Mucinous Neoplasm of the Pancreas in a Patient With Muir-Torre Syndrome Alicia Alvarez, MD, Kanwarpreet Singh Tandon, MD, Brenda Jimenez, MD, Luis Lara, MD, FACG, Andrew Ukleja, MD, FACG, Cleveland Clinic Florida, Weston, FL For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P153. When Might Endosonographic Decompression of Courvoisier’s Gallbladder Be Required With Palliative Metallic Biliary Stenting? A Case Series Tariq Hammad, MD, Yaseen Alastal, MD, Muhammad Bawany, MD, Muhammad Ali Khan, MD, Usman Ahmad, MD, Osama Alaradi, MD, Ali Nawras, MD, FACG, University of Toledo, Department of Internal Medicine, Division of Gastroenterology, Toledo, OH P154. Sarcomatoid Carcinoma of the Lung With Metastasis to the Pancreas Tariq Hammad, MD, Yaseen Alastal, MD, Muhammad Ali Khan, MD, Luis DeLasCasas, MD, Osama Alaradi, MD, Ali Nawras, MD, FACG, Internal Medicine, University of Toledo, Toledo, OH, Department of Pathology, University of Toledo, Toledo, OH P155. How Can Adenocarcinoma of the Pancreas Mimic Klatskin Tumor? Tariq Hammad, MD, Yaseen Alastal, MD, Aijaz Sofi, MD, Osama Alaradi, MD, Ali Nawras, MD, FACG, University of Toledo, Department of Internal Medicine, Division of Gastroenterology, Toledo, OH P156. Pancreaticoureteral Fistula: A Rare Complication of Pancreatitis Hiren Patel, MD, Nhat Nguyen, MD, Nihar Shah, MD, Sohail Shaikh, MD, Walid Baddoura, MD, St. Joseph’s Regional Medical Center, Paterson, NJ, Seton Hall University School of Health and Medical Sciences, South Orange, NJ P157. Small-Cell Neuroendocrine Carcinoma of the Gallbladder Hiren Patel, MD, Abhishek Kumar, MD, Michael Maroules, MD, St. Joseph’s Regional Medical Center, Paterson, NJ, Seton Hall University School of Health and Medical Sciences, South Orange, NJ P158. Endoscopic Diagnosis and Management of Intraductal Papillary Neoplasm of Bile Duct (IPNB) Vishnu Teja Kommineni, MBBS, Wajeeh Salah, MD, Rahul Pannala, MD, Gastroenterology, Mayo Clinic, Scottsdale, AZ P159. Successful Endoscopic Management of Bouveret’s Syndrome: A Rare Cause of Duodenal Obstruction Margaret Adamcewicz, DO, Asad Ullah, MD, Shivangi Kothari, MD, Donald Tsynman, MD, Albert Kim, MD, Thomas Werth, MD, Ashok Shah, MD, MACG, FACG, Vivek Kaul, MD, FACG, Gastroenterology, University of Rochester Medical Center, Rochester, NY P160. Proliferating Pilar Tumor (PPT) of Scalp Metastasizing to Pancreas – Not Your Everyday Pancreatic Mass Guru Trikudanathan, MD, Hector Mesa, MD, Carlos Manivel, MD, Aasma Shaukat, MD, FACG, Yan Bakman, MD, Gastroenterology, Univerisity of Minnesota, Minneapolis, MN, VA Medical Center, Minneapolis, MN P161. Gastroduodenal Signet-Ring Cell Carcinoma Presenting as IgG4Related Sclerosing Cholangitis: Not Everything That Glitters Is Gold Tossapol Kerdsirichairat, MD, Juan Manivel, MD, University of Minnesota, Minneapolis, MN P162. Acute Obstructive Suppurative Pancreatic Ductitis in an Asymptomatic Patient Patrick Koo, MD, Eisha Wali, BS, Clifford Packer, MD, Case Western Reserve University, University Hospitals Case Medical Center, Cleveland, OH, Case Western Reserve University School of Medicine, Cleveland, OH, Louis Stokes Cleveland VA Medical Center, Cleveland, OH P163. Duodenal Stent in the Common Bile Duct Karthik Ragunathan, MD, Srinivas Puli, MD, University of Illinois College of Medicine, Peoria, IL P164. Ansa Pancreatica Karthik Ragunathan, MD, Daniel Martin, MD, Srinivas Puli, MD, University of Illinois College of Medicine, Peoria, IL P165. Endoscopic Removal of Gallstone Through Choledochoduodenal Fistula Karthik Ragunathan, MD, Prabhleen Chahal, MD, University of Illinois College of Medicine, Peoria, IL, Cleveland Clinic Foundation, Cleveland, OH P166. An Atypical Case of Fatal Gastrointestinal Bleeding Hannah Xu, BSE, Vanessa Mewani, MD, MS, Matthew Czaja, MD, Robert Wood Johnson Medical School, Piscataway, NJ, Robert Wood Johnson University Hospital, New Brunswick, NJ 46 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P178. Celiac Disease Awareness Among Health Care Providers: Recognizing the Clinical Presentations of the Disease: Results of an Anonymous Online Survey Mohamed Sultan, MD, Caroline McCormick, MS, Aline Charabaty, MD, Gastroenterology, MedStar Georgetown University Hospital, Washington, DC, Georgetown University School of Medicine, Washington, DC P179. Carcinoid Tumors of the Gastrointestinal Tract and Associated Carcinoid Syndrome: A Population Based Study Steve Serrao, MD, MPH, Nishant Puri, MD, Nicole Shah, DO, Lauren Gerson, MD, MSc, Christian Jackson, MD, FACG, Internal Medicine, Loma Linda University Medical Center, Loma Linda, CA, California Pacific Medical Center, San Francisco, CA, VA Loma Linda Healthcare System, Loma Linda, CA P180. Celiac Disease Awareness Among Health Care Providers: Diagnosis and Nutritional and Metabolic Deficiencies: Results of an Anonymous Online Survey Caroline McCormick, BA, Mohamed Sultan, MD, Aline Charabaty, MD, Georgetown University, Washington, DC, MedStar Georgetown Hospital, Washington, DC P181. The Glasgow-Blatchford Score as a Predictor of Length of Hospital Stay for Upper Gastrointestinal Bleeding: A Prospective Analysis Adarsh Thaker, MD, Joseph Feuerstein, MD, Neil Sengupta, MD, Gyanprakash Ketwaroo, MD, Daniel Leffler, MD, MS, Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA P182. The Cook-Out Crisis: Intestinal Perforation From an Ingested Grill Cleaning Wirebrush Bristle Pranith Perera, MD, David Rahni, MD, Paul Akerman, MD, Gastroenterology, Brown University, Providence, RI P183. High Prevalence of Small Intestinal Bacterial Overgrowth in Lactose Intolerance Patients: Is It a Chicken and Egg Situation? Lucio Lombardo, MD, Mariangela Schembri, MS, Tc, Antonella Giostra, DO, Mauriziano U.Ist, Gastroenterology Dpt, Turin, Italy, Mauriziano U.Ist H, Physics Dept., Turin, Italy, Poliambulatorio Statuto Santa Croce, Turin, Italy P184. Clinical Predictors and Locations of Angioectasias on Video Capsule Endoscopy (VCE) Done for the Evaluation of Obscure Gastrointestinal Bleeding (OGIB) Wiley Truss, MD, MPH, Frederick Weber, MD, Arvind Tripathi, PhD, Shajan Peter, MD, UAB, Birmingham, AL P185. Impact of Inpatient Status on Diagnostic Yield and Clinical Outcome of Video Capsule Endoscopy (VCE) in the Evaluation of Obscure Gastrointestinal Bleeding (OGIB) Wiley Truss, MD, MPH, Arvind Tripathi, PhD, Frederick Weber, MD, Shajan Peter, MD, UAB, Birmingham, AL P186. Low Prevalence of Villous Atrophy (Marsh 3) in Duodenal Biopsies From Americans of East Asian and Hispanic Ancestry Kevin Turner, DO, Benjamin Lebwohl, MD, Robert Genta, MD, FACG, Miraca Life Sciences Research Institute, Irving, TX, Celiac Disease Center, Columbia University, New York, NY P187. Celiac Disease in Women With Infertility: A Meta-Analysis 2014 ACG/Radhika Srinivasan Gender-Based Research Award 2014 ACG Presidential Poster Award Prashant Singh, MBBS, Shubhangi Arora, MBBS, Tor Strand, PhD, Govind Makharia, DM, Massachusetts General Hospital, Boston, MA, All India Institute of Medical Sciences, New Delhi, India, University of Bergen, Bergen, Norway P188. Meta Analysis of Trials Comparing Standard Antiemetic Treatment (SAT) Versus Aprepitant Containing Anti-Emetic Regimens (ACAR) for Prevention of Chemotherapy Induced Nausea and Vomiting (CINV) Neha Gupta, MD, Fahad Zubair, MD, Omar Al Ustwani, MD, Hassan Hatoum, MD, Pongwut Danchaivijitr, MD, Katy Wang, MA, Roberto Pili, MD, Internal Medicine, State University of New York at Buffalo, Buffalo, NY, Roswell Park Cancer Institute, Buffalo, NY POSTERS SUNDAY P167. A Case of Isolated Metastasis of Renal Cell Carcinoma to the Pancreas Michael Green, MD, Najla Itani, MD, Thomas Schulz, MD, William Salyers, MD, FACG, University of Kansas School of Medicine, Wichita, KS P168. A Rare Case of Pancreatic Cystic Lymphangioma Diagnosed and Treated With EUS Prasun Shah, MD, Emeka Anyadike, MD, Alexander Perelman, DO, Ira Mayer, MD, FACG, Rabin Rahmani, MD, FACG, Gastroenterology, Maimonides Medical Center, Brooklyn, NY SMALL INTESTINE/UNCLASSIFIED P169. Enterohormones Down-Regulated in High-Fat Diet Andreas Mykoniatis, MD, Joseph Pierre, PhD, Candace Cham, PhD, Dengping Yin, MD, PhD, John Alverdy, MD, Eugene Chang, MD, Medicine, University of Chicago, Chicago, IL P170. Partial Balloon Deflation for Controlled Withdrawal of Single Balloon Enteroscopy Abiodun Laoye, MD, Steven Gorcey, MD, Internal Medicine, Jersey Shore University Medical Center, Neptune, NJ, Monmouth Medical Center, Long Branch, NJ P171. Does the CT Enterography Really Lead to Better Improvement of Diagnostic Yield Than Conventional CT in Obscure Gastrointestinal Bleeding? EunYoung Kim, MD, Jin Su Kim, MD, Chul-Hyun Lim, MD, Yu Kyung Cho, MD, Jae Myung Park, MD, Bo-In Lee, MD, In Seok Lee, MD, Sang Woo Kim, MD, Myung-Gyu Choi, MD, Gastroenterology, Seoul St. Mary’s Hospital, Seoul, Republic of Korea P172. Uncommon Cause of Right Upper Quadrant Pain: A Case Report of Omental Infarction Prajwal Boddu, MD, Nongnooch Poowanawittayakom, MD, Rohan Shah, MD, Michael Flicker, MD, Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL, Advocate Illinois Masonic, Chicago, IL P173. Octreotide for Prevention of Repeat Gastrointestinal Bleeding in Patients With Left Ventricular Assist Device: Analysis of a Single Center Cohort Adam Stein, MD, Justin Boike, MD, Erin Jenkins, MD, Valluvan Jeevanandam, MD, K. Reddy, MD, Carol Semrad, MD, University of Chicago, Chicago, IL, Creighton University, Omaha, NE P174. Colon and Ileum Intubation Times Are a Significant Component of the Time It Takes to Perform Retrograde Overtube-Assisted Enteroscopy and May Affect Procedure Efficiency Luis Lara, MD, Andrew Ukleja, MD, Ferenando Castro, MD, FACG, Nicole Palekar, MD, Tolga Erim, DO, Alison Schneider, MD, Ronnie Pimentel, MD, FACG, Brenda Jimenez, MD, Roger Charles, MD, FACG, Cleveland Clinic Florida, Weston, FL P175. A 10-Year Evaluation of Jejunostomy Tube Indications, Complications, and Clinical Outcomes for Nutritional Support at a Tertiary University Hospital Chad Cooper, MD, MHA, Emmanuel Rodriguez, MD, Salman Otoukesh, MD, Sharareh Moraveji, MD, Evelin Eichler, MS, RD, Kristine DeMaio, BS, Chetna Pande, BS, Irene Sarosiek, MD, Brian Davis, MD, Richard McCallum, MD, FACG, Internal Medicine, Texas Tech University Health Sciences Center, El Paso, TX, University Medical Center, El Paso, TX, Texas Tech University Paul L. Foster School of Medicine, El Paso, TX P176. Celiac Disease: Education, Barriers to Care, Dietary Recommendations, and Screening Rohit Chappidi, MD, Abdillahi Abdinoor, MD, Andelka LoSavio, MD, Loyola University Medical Center, Maywood, IL P177. A Prospective Study of the Patency Capsule and Cross Sectional Imaging in Diagnostic Management of Patients With Suspected or Known Intestinal Strictures or Obstruction Anitha Yadav, MD, Amy Hara, MD, Russell Heigh, MD, Suryakanth Gurudu, MD, Shabana Pasha, MD, Lucinda Harris, MD, Laurie Rentz, RN, Jonathan Leighton, MD, Gastroenterology, Mayo Clinic AZ, Scottsdale, AZ 47 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm SMALL INTESTINE/UNCLASSIFIED CLINICAL VIGNETTES P203. A Rare Complication of Peptic Ulcer Disease: Spontaneous Choledochoduodenal Fistula Ching-Ho Huang, MD, Ali Ahmed, MD, David Lee, MD, Evan Grossman, MD, Suny Downstate, Brooklyn, NY P204. Celiac Crisis as a First Presentation of Celiac Disease: A LifeThreatening Syndrome Marvin Lopez, MD, Eduardo Rodriguez, MD, Maria Perez, MD, Daniel Sussman, MD, MSPH, University of Miami Miller School of Medicine, Miami, FL, JFK Medical Center, Atlantis, FL P205. Peritoneal Blastomycosis Mimicking Pseudo-Carcinomatosis Aaysha Kapila, MD, Atul Khanna, MD, Rishika Motiani, MD, Amit Kalra, MD, Jonnathan Moorman, MD, James Myers, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN P206. Incidental Discovery of Hidden Carcinoid in a Meckel’s Diverticulum Aaysha Kapila, MD, Pranav Patel, MD, Patrick Costello, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN P207. Atypical Manifestation of Whipple’s Disease Tossapol Kerdsirichairat, MD, Paul Dambowy, MD, Saleh Elwir, MD, Jessica Thueringer, MD, Sarah Yamaguchi, MD, Chris Shepela, MD, University of Minnesota, Minneapolis, MN P208. Mendelian Susceptibility to Mycobacterial Disease Presenting With Cholecystitis Tossapol Kerdsirichairat, MD, Martin Freeman, MD, FACG, University of Minnesota, Minneapolis, MN P209. Recurrent Gastrointestinal Bleeding: A Rare Presentation of Intestinal Lymphangiomatosis Kunut Kijsirichareanchai, MD, Alexander Hewlett, DO, University of Nebraska Medical Center, Omaha, NE P210. Lupus Enteritis as the Initial Presentation of Systemic Lupus Erythematosus Dhyan Rajan, MD, Rabab Hajar, MD, Christopher Tan, MD, Huafeng Shen, MD, Seth Lipka, MD, Kaleem Rizvon, MD, Paul Mustacchia, MD, Nassau University Medical Center, East Meadow, NY, University of South Florida, Morsani College of Medicine, Tampa, FL P211. Severe Hemorrhagic Enterocolitis Caused by Cytomegalovirus Juveria Abdullah, MD, Amit Desai, MD, David Wan, MD, New YorkPresbyterian Hospital, New York, NY P212. Olmesartan-Associated Spruelike Enteropathy Justin Hartke, MD, Arushi DeFonseka, MD, Anne Tuskey, MD, Brian Behm, MD, University of Virginia Health Systems, Charlottesville, VA P213. Jejunal Variceal Bleeding in an Undiagnosed Cirrhotic: Detected on Capsule Endoscopy and Treated With Embolization Muhammad Mansoor, MD, Tarun Rustagi, MD, Department of Internal Medicine, Yale New Haven Hospital, New Haven, CT, Section of Digestive Diseases, Yale University School of Medicine, New Haven, CT P214. Whipple’s Disease: A Rheumatoid Masquerader Fnu Sanna, MD, Simranjit Singh, MD, Davendra Ramkumar, MD, FACG, University of Illinois at Urbana-Champaign, Urbana, IL P215. A Case of Asymptomatic Culture Positive Human Simplex Virus Duodenitis Treated With Acyclovir Brett Sadowski, MD, Vito Cirigliano, DO, John Betteridge, MD, FACG, Walter Reed National Military Medical Center, Bethesda, MD P216. Recurrent Enterocutaneous Fistula in the Setting of Incisional Ventral Hernia Mesh Repair Karthik Penumetsa, MD, Ikenna Anaka, MD, Swapna Gayam, MD, Digestive Diseases, West Virginia School of Medicine, Morgantown, WV P217. A Rare Case of Gastrointestinal Bleeding Due to Primary Intestinal Melanoma Ashish Zalawadia, MD, Yousuf Siddiqui, MD, Henry Ford Hospital, Detroit, MI P218. A Parasitic Journey Vinay Yalamanchi, DO, Wallace Wang, MD, Moshe Rubin, MD, FACG, Ellen Gutkin, DO, FACG, Internal Medicine, New York Hospital of Queens, New York, NY P189. A Case of Eosinophilic Gastroenteritis Initially Misdiagnosed as Idiopathic Intestinal Angioedema Vinay Patel, MD, Kunal Karia, MD, David Wan, MD, Weill Cornell Medical College, New York, NY P190. Carcinoid Tumor: A Rare Cause of Recurrent Small Bowel Obstruction With Facial Flushing Negar Niknam, MD, Negin Niknam, MD, Izabella Yusupova, NP, Durga Maddineni, MD, Leelavathi Kasturi, MD, FACG, Henry Safier, MD, FACG, Internal Medicine, Icahn School of Medicine at Mt. Sinai, Queens Hospital Center, Great Neck, NY P191. A Rare Case of Adult Autoimmune Enterpathy Sarah Lee, MD, Zibing Woodward, MD, Brian Fennerty, MD, OHSU, Portland, OR P192. Large Primary Jejunal Adenocarcinoma Presenting as Bilateral Ovarian Carcinomatosis: Not Always a Krukenberg Tumor Charilaos Papafragkakis, MD, Kinesh Changela, MD, Emmanuel Ofori, MD, Mel Ona, MD, Giashuddin Shah, MD, Sury Anand, MD, Mahesh Krishnaiah, MD, The Brooklyn Hospital Center Department of Gastroenterology, Brooklyn, NY, The Brooklyn Hospital Center Department of Pathology, Brooklyn, NY P193. A Rare Cause of Gastrointestinal Bleeding Erica Turse, DO, John Turse, MD, University of Mississippi Medical Center, Jackson, MS, Medical Associates of Brevard, Melbourne, FL P194. Gluten Challenge Causes Exacerbation of Postural Orthostatic Tachycardia Syndrome in a Patient With Ehlers-Danlos Syndrome: A Case Report Andrew Mazulis, MD, Scott Siglin, MD, Timothy Laurie, DO, Internal Medicine, Lutheran General Hospital, Park Ridge, IL P195. Peritoneal Tuberculosis: A Diagnostic Challenge Yana Cavanagh, MD, Mary Mathews, MD, Nihar Shah, MD, Walid Baddoura, MD, St. Josephs Regional Medical Center, Paterson, NJ, Seton Hall University School of Health and Sciences, South Orange, NJ P196. Multiple Intussusceptions in an Anabolic Steroid Abuser Yana Cavanagh, MD, Nhat Nguyen, MD, Allison Thomas, MS, Walid Baddoura, MD, Ashok Gupta, MD, St. Josephs Regional Medical Center, Paterson, NJ, Seton Hall University School of Health and Sciences, South Orange, NJ P197. An Unusual Case of a Small Bowel Obstruction Emily Tommolino, MD, Serge Sorser, MD, FACG, Roberto Gamarra, MD, FACG, Providence Hospital, Southfield, MI P198. Favorable Outcome With Teduglutide Treatment of a Young Woman With Long-Standing Intestinal Failure/Short Bowel Syndrome (SBS) With No Remaining Central Venous Access Mohammad Jami, MD, Russell Merritt, MD, PhD, Kim Rinauro, NP, Claudia Cox, BSN, Children’s Hospital Los Angeles, Los Angeles, CA P199. An Unusual Case Presenting With Acid-Related Disease Huijun Shu, MD, Wuying Cheng, MD, Jie Shi, MD, Jiaming Qian, MD, Gastroenterology, Peking Union Medical College Hospital, Beijing, China, Nuclear Medicine, Peking Union Medical College Hospital, Beijing, China, Pathology, Peking Union Medical College Hospital, Beijing, China P200. A Rare Cause of Abdominal Pain, Nausea, and Vomiting: A Windsock Diverticulum Jason Rubinov, MD, Dovid Moradi, MD, Andrew Korman, MD, Joseph Kim, MD, FACG, David Carr-Locke, MD, FACG, Mount Sinai Beth Israel, New York, NY P201. A Case of Superior Mesenteric Artery Syndrome Ahmad Awan, MBBS, Audrey Pintcke, DO, Jacob Feagens, MD, FACG, Hattiesburg Clinic, Hatiitesburg, MS P202. Small Intestine Diverticulitis Shamim Ejaz, MD, MPH, Mehnaz Shafi, MD, FACG, John Stroehlein, MD, FACG, Gastroenterology, Hepatology and Nutrition, UT MD Anderson Cancer Center, Houston, TX For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 48 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P219. Keep an Eye Out for Those Eosinophils: A Case of Strongyloides Duodenitis in an HIV/AIDS Patient Wasseem Skef, MD, Asim Shuja, MD, Ahmad Usmani, MD, Hirsh Trivedi, MD, Angel Gonzalez, MD, FACG, St. Elizabeth’s Medical Center, Brighton, MA P220. Resolution of Mesenteric Panniculitis in a Patient With Vibrio Cholera: A Case Report Grigory Roginsky, MD, Andrew Mazulis, MD, Jacob Ecanow, MD, Eli Ehrenpreis, MD, FACG, Internal Medicine, NorthShore University HealthSystem, Evanston, IL, Advocate Lutheran General Hospital, Park Ridge, IL P221. Small Bowel Obstruction: A Novel Complication of Superior Mesenteric Vein Thrombosis Pratap Singh, MD, Ankur Varma, MD, MPH, Modushudan Bhattacharjee, MD, Internal Medicine, University of Texas Health Science Center at Houston, Houston, TX P222. Bleeding Reactive Amyloidotic Duodenal Tumor in Multiple Myeloma, Precipitated by Factor Xa Inhibitor: A Pitfall in the Choice of Anticoagulation in Amyloidosis Eliezer Weiss, MD, Rajesh Ramachandran, MD, Cherif El Younis, MD, SUNY Downstate Medical Center, Brooklyn, NY, Brookdale University Hospital and Medical Center, Brooklyn, NY P223. Massive Upper GI Bleeding Due to Pseudoaneurysm of Right Gastroepiploic Artery in Chronic Pancreatitis: A Rare Presentation Sherry Levio, MD, Prathab Devaraj, MD, Srinivasan Ganesan, MD, WVU, Morgantown, WV POSTERS SUNDAY P231. The Effect of Renal Impairment on Single-Dose Pharmacokinetics of Daclatasvir, an HCV NS5A Inhibitor Tushar Garimella, PhD, Reena Wang, MD, Wen-Lin Luo, PhD, Carey Hwang, MD, PhD, Diane Sherman, BSN, Hamza Kandoussi, MDS, Thomas Marbury, MD, Harry Alcorn, Pharm D, Richard Bertz, PhD, Marc Bifano, MSC, Bristol-Myers Squibb Research and Development, Princeton, NJ, Orlando Clinical Research Center, Orlando, FL, DaVita Clinical Research, Minneapolis, MN P232. IL-8 Is an Important Contributor to Both the Progression of Systematic Inflammation and Increasing Severity of Non-Alcoholic Fatty Liver Disease (NAFLD) Aybike Birerdinc, PhD, Maria Keaton, MS, Katherine Doyle, PhD Candidate, Zahra Younoszai, BS, Lei Wang, PhD Candidate, Zachary Goodman, MD, Ancha Baranova, PhD, Zobair Younossi, MD, FACG, Betty and Guy Beatty Center for Integrated Research, Inova Health System, Falls Church, VA, 2Center for the Study of Genomics in Liver Diseases, Molecular and Microbiology Department, George Mason University, Fairfax, VA, Center for Liver Diseases, Department of Medicine, Inova Fairfax Hospital, Falls Church, VA P233. Gastric Bypass Surgery Impacts Cardiac and Liver Outcomes With Better Survival in Patients With Non-Alcoholic Fatty Liver Disease Paul Fitzmorris, MD, Mohamed Shoreibah, MD, Yong-Fang Kuo, PhD, Joseph Bloomer, MD, Ashwani Singal, MD, Internal Medicine, University of Alabama at Birmingham, Birmingham, AL, University of Texas Medical Branch at Galveston, Galveston, TX P234. A Meta-Analysis and Systematic Review Comparing Losartan and Propranolol in Lowering Portal Hypertension in Cirrhosis Mubarak Sayyar, MD, Tarek Sawas, MD, Won Cho, MD, FACG, Washington Hospital Center, Washington, DC P235. Early Post-Operative Use of Ursodeoxycholic Acid Does Not Prevent Biliary Complications After Orthotopic Liver Transplantation Mark Pedersen, MD, Bobby Kakati, MD, Myunghan Choi, PhD, MPH, Anil Seetharam, MD, Internal Medicine Resident, Banner Good Samaritan Medical Center, Phoenix, AZ, Gastroenterology Fellow, Banner Good Samaritan Medical Center, Phoenix, AZ, Transplant and Advanced Liver Disease at Banner Good Samaritan Liver Center, Phoenix, AZ, University of Arizona College of Medicine, Phoenix, AZ P236. Patients With Stage 3 Fibrosis Need Different and Less Frequent Surveillance Compared to Stage 4 Fibrosis Shabnam Sarker, MD, Mohamed Shoreibah, MD, Sandhaya Mudumbi, MD, Euriko Torrazza Perez, MD, Yong-Fang Kuo, PhD, Brendan McGuire, MD, Ashwani Singal, MD, University of Alabama, Birmingham, AL, University of Texas Medical Branch at Galveston, Galveston, TX P237. Differential Expression of Microrna in Non-Tumoral Liver Tissue of Patients With Non-Alcoholic Steatohepatitis Chirrhosis and Hapataocellular Cancer Raj Vuppalanchi, MD, Tiebing Liang, PhD, Vishal Sarasani, MS, Sarath Janga, PhD, Janaiah Kota, PhD, Naga Chalasani, MD, Indiana University School of Medicine, Indianapolis, IN P238. Do Patients With Primary Biliary Cirrhosis Get Treated for Their Hyperlipidemia? Maryam Gondal, MD, Craig Lammert, MD, Marwan Ghabril, MD, Raj Vuppalanchi, MD, Indiana University School of Medicine, Indianapolis, IN P239. Renal Function and Acute Kidney Injury in Orthotopic Liver Transplant: A Prospective Study Kirk Russ, MD, Donny Kakati, MD, Yong-Fang Kuo, PhD, Ashwani Singal, MD, Department of Internal Medicine, UAB, Birmingham, AL, Division of Gastroenterology and Hepatology, UAB, Birmingham, AL, Division of Biostatistics, Department of Preventative Medicine, UTMB, Galveston, TX P240. Assessment of Nutrition at Presentation in Patients With Alcoholic Liver Disease and Its Correlation With Mortality at 6 Months Using a New “ABCD” Scale Ajay Jain, MD, DM, DNB, Suchita Jain, MD, Pratibha Sharma, MSc, Shohini Sikdar, MD, DNB, Mayank Jain, MD, DNB, ChoiChoiChoithram Hospital and Research Centre, Indore, India LIVER P224. Hepatitis C Genotype 1 Cured With 4 Weeks of Pegylated Interferon, Ribavirin, and Sofosbuvir Masud Habibullah, MD, Ari Bunim, MD, Moshe Rubin, MD, FACG, New York Hospital Queens, Flushing, NY P225. Effectiveness of Modafinil on Fatigue in Chronic Hepatitis C Jehangir Ansari, MD, Padmini Krishnamurthy, MD, Internal Medicine, Wright State University, Beavercreek, OH, Dayton VA Medical Center, Dayton, OH P226. The Yemeni Liver’s Curse – Dilemmas and Challenges Hamed Omer Alkaff, MD, Sanaa University, Sanaa, Yemen P227. Fecal Calprotectin Level in Decompensated Liver Cirrhosis Patients With Hepatic Encephalopathy Fauzi Rahman, MD, Cut Srijuita, MD, Azzaki Abubakar, MD, Gastroenterohepatology, Zainoel Abidin Hospital, Banda Aceh, Indonesia P228. Intrahepatic Cholestasis of Pregnancy With Concomitant Hepatitis C Virus Infection Tilahun Belay, MD, MPH, Hailegiorgis Woldegiorgis, MD, Yaser Rayyan, MD, FACG, Todd Gress, MD, MPH, Internal Medicine, Marshall University, Huntington, WV P229. Effect of Ribavirin on the Safety Profile of Daclatasvir + Sofosbuvir for Patients With Chronic HCV Infection 2014 ACG Presidential Poster Award Mark Sulkowski, MD, David Gardiner, MD, Eric Hughes, MD, PhD, Shu-Pang Huang, PhD, Dennis Grasela, PharmD, PhD, Johns Hopkins University, Baltimore, MD, Bristol-Myers Squibb, Princeton, NJ P230. Prevalence of Fatty Liver Disease Post Liver Transplantation and Its Relationship to Cardiovascular Events Maggie Samaan, MD, Mina Shaker, MD, Danny Issa, MD, Mazen Albeldawi, MD, Rocio Lopez, MS, Mohamed Yaseen Alsabbagh, MD, Nizar Zein, MD, Naim Alkhouri, MD, Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, OH, Department of Internal Medicine, Fairview Hospital, Clevlenad Clinic, Cleveland, OH, Department of Quantitative Sciences, Cleveland, Clinic, Cleveland, OH 49 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P241. Homeostasis of Iron and Hepcidin in Erythropoietic Protoporphyria and X-Linked Protoporphyria Krista Bossi, MS, Jingyun Lee, PhD, Paul Schmeltzer, MD, Gale Groseclose, RN, Siddesh Besur, MD, Sunil Hwang, PhD, Herbert Bonkovsky, MD, FACG, Carolinas Medical Center, Charlotte, NC P242. A Novel Method for Measuring Skeletal Muscle Mass in Liver Cirrhosis Using Adobe Photoshop Pavan Mankal, MD, MA, Priya Simoes, MD, MBBS, Ahmad Hakimzada, MD, Imad Asaad, MD, Adel Asaad, MD, Donald Kotler, MD, FACG, Department of Medicine, Mount Sinai St. Lukes Roosevelt Hospital Center, New York, NY P243. Logistic Issues in the Treatment of HCV Patients With the New All Oral DAA Agents Kenda Al-Assi, Farhan Arif, MD, Melissa Horton, BS, Deborah Baker, LVN, Cheryl Levine, PhD, Dana Al-Assi, Reem Ghalib, MD, Texas Clinical Research Institute, Arlington, TX, Texas Digestive Disease Consultants, Arliington, TX, Texas Health Physician Group, Arlington, TX P244. Sofosbuvir Based Therapy for Hepatitis C After Liver Transplantation Alexander Weick, MD, Khalid George, MD, Syed-Mohammed Jafri, MD, Dilip Moonka, MD, Henry Ford Hospital, Detroit, MI P245. Endoscopic Cyanoacrylate Is a Useful Therapy in Gastric Varices but Early Rebleed Can Be a Threat Shahid Karim, MD, MACG, Wasim Jafri, MD, FACG, Afsheen Faryal, MD, Mohammad Arsalan Siddiqui, MD, Adil Memon, MD, Rabeea Mirza, MD, Samrah Zaigham, MD, Saeed Hamid, MD, FACG, Liaquate National Hospital and Medical College, Karachi, Pakistan, Agha Khan Univercity Hospital, Karachi, Pakistan P246. Non-Alcoholic Steatohepatitis: Role of Inflammation and Oxidative Stress Charoen Mankongpaisarnrung, MD, Sangyi Park, MS, Jan Simoni, PharmD, Sharma Prabhakar, MD, Texas Tech University Health Sciences Center (TTUHSC), Lubbock, TX P247. Movement Disorders in Hereditary Hemochromatosis: Case Series Karthik Ragunathan, MD, Arthi Vamsi, MBBS, Sonu Dhillon, MD, University of Illinois College of Medicine, Peoria, Peoria, IL, OSF St. Francis Medical Center, Peoria, IL P248. Results of Simeprevir and Sofosbuvir Combination Therapy in HCV Genotype 1 Patients Who Have Failed Prior DAA: A Clinical Practice Experience Dana Al-Assi, Farhan Arif, MD, Melissa Horton, BS, Deborah Baker, LVN, Cheryl Levine, PhD, Kenda Al-Assi, Reem Ghalib, MD, Texas Clinical Research Institute, Arlington, TX, Texas Digestive Disease Consultants, Arlington, TX, Texas Health Physician Group, Arlington, TX P249. Vitamin D Levels Are Not Correlated With Hepatitis C RNA Levels Sumeet Munjal, MD, Jeong-hee Ku, MD, Cheng Cheng, MD, Sandhya Shukla, MD, Rositsa Dimova, PhD, Jeena Yoo, MD, Craig Keller, MD, Sunkanmi Ajewole, MD, Thomas Mahl, MD, Department of Medicine, University at Buffalo and VA Western New York, Buffalo, Buffalo, NY, Department of Biostatistics, University at Buffalo, Buffalo, NY P250. Zieve’s Syndrome: Autoimmune Hemolytic Anemia Associated With Alcoholic Liver Disease and Hyperlipidemia Crystale Cruz, MS, DO, John Bassett, MD, FACG, Dawn Torres, MD, FACG, Walter Reed National Military Medical Center, Bethesda, MD P251. Caroli’s Disease: An Unusual Presentation Joseph Salhab, DO, Saras Sharma, DO, Farhan Israr, DO, Michael Valladares, DO, Javier Sobrado, MD, Larkin Community Hospital, Miami, FL P252. Real Life Experience of Hepatitis C Treatment With a Combination of Sofosbuvir and Simeprevir Tavankit Singh, MD, Gurshawn Singh, MD, Mina Shaker, MD, Ibrahim Hanouneh, MD, Nizar Zein, MD, Naim Alkhouri, MD, Cleveland Clinic Foundation, Cleveland, OH P253. Salvage Plasmapheresis for Small-for-Size Syndrome Following Hepatic Resection for Hepatocellular Carcinoma Cynthia Quainoo, MD, Cynthia Victor, DO, Ayse Aytaman, MD, FACG, GI, SUNY Downstate, Brooklyn, NY, VA NY Harbor Health Care System, Brooklyn, NY For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P254. The Impact of Peri-Discharge Interventions on 30-day Readmission and 90-day Mortality Rates for Patients Admitted With Hepatic Encephalopathy Roland Li, MD, Ann Tierney, MS, Rotonya Carr, MD, Department of Medicine, University of Pennsylvania, Philadelphia, PA, Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA, Gastroenterology, University of Pennsylvania, Philadelphia, PA P255. Birth Cohort Screening for Hepatitis C: A Comparative Analysis in Foreign-born Versus U.S.-born Baby Boomers 2014 ACG Presidential Poster Award Kenechukwu Chudy-Onwugaje, MD, MPH, Stanley Yakubov, MD, Jack Husney, MD, Daniel Benasher, MD, Chukwudi Obiagwu, MD, Steven Shamah, MD, Kelly Teagle, DO, Amala Talasila, MD, Ira Mayer, MD, FACG, Yuriy Tsirlin, MD, FACG, James Park, MD, FACG, Rabin Rahmani, MD, FACG, Maimonides Medical Center, Brooklyn, NY, Department of Gastroenterology, New York University, New York, NY P256. Predictors of Mortality in Cirrhotic Inpatients With C. difficile Infection Elliot Smith, MD, Patrick Northup, MD, Curtis Argo, MD, MS, University of Virginia Health System, Charlottesville, VA P257. Treatment of Chronic HCV With Sofosbuvir (SOF) and Simeprevir (SMV) in Patients With Cirrhosis and Contraindications to Peginterferon (PEGINF) and Ribavirin (RBV) Mitchell Shiffman, MD, FACG, Amy James, NP, April Long, NP, Philip Alexander, NP, Liver Institute of Virginia, Bon Secours Health System, Richmond, VA, Liver Instiutute of Virgnia, Bon Secours Health System, Newport News, VA P258. Safety Comparison of 12- and 24-Week Treatments inHCV Genotype 1-Infected Patients With Cirrhosis: Results From Turquoise-II Nancy Reau, MD, Paul Kwo, MD, Michael Bennett, MD, Heiner Wedemeyer, MD, Xavier Forns, MD, PhD, Antonio Craxi, MD, Stefan Bourgeois, MD, Stephen Ryder, MD, Dominique Larrey, MD, David Mutimer, MD, Sandra Lovell, PhD, Manal Abunimeh, BSN, Marcos Pedrosa, MD, PhD, Roger Trinh, MD, MPH, University of Chicago Medical Center, Chicago, IL, Indiana University, Indianapolis, IN, Medical Associates Research Group, San Diego, CA, Medizinische Hochschule Hannover, Hannover, Germany, Liver Unit, Hospital Clinic, IDIBAPS, CIBEREHD, Barcelona, Spain, A.O.U Policlinico “P. Giaccone” Dip. Di Gastroenterologia ed Epatologia D.B.M.I.S., Palermo, Italy, ZNA Stuivenberg, Antwerpen, Belgium, Nottingham Digestive Diseases Centre and Biomedical Research Unit, Nottingham, United Kingdom, CHU de Montpellier, Hopital Saint Eloi, Montpellier, France, Queen Elizabeth Hospital and NIHR Liver Biomedical Research Unit, Birmingham, United Kingdom, AbbVie, Inc., North Chicago, IL P259. Chronic Narcotic Use Before and After Liver Transplantation Increases Three Year Mortality and Has Deleterious Effects on the Rate of Rejection, Rehospitalization and One Year Mortality Mina Pirzadeh, MD, Amir Prushani, MD, Allen Yudovich, MD, SyedMohammed Jafri, MD, Internal Medicine, Boston Medical Center, Boston, MA, Henry Ford Hospital, Detroit, MI P260. Early Kidney Dysfunction After Liver Transplantation Is Associated With Reduced Graft and Patient Survival Rahima Bhanji, MD, Mang Ma, MD, Vincent Bain, MD, Aldo MontanoLoza, MD, MSc, PhD, Gastroenterology and Liver Unit, University of Alberta, Edmonton, AB, Canada P261. Resuscitation Strategies for Cirrhotic Patients With Septic Shock Kevin Davidson, MD, Carlos Girod, MD, University of Texas Southwestern, Dallas, TX P262. Plasma Transfusion in Cirrhotic Patients Undergoing Hernia Repair Justin Hartke, MD, Claire Meyer, MD, Stephen Caldwell, MD, Neeral Shah, MD, University of Virginia, Department of Gastroenterology, Charlottesville, VA, Washington University, St. Louis, MO P263. Alpha-1 Antitrypsin Deficiency and the Risk of Hepatocellular Carcinoma in Patients With End-Stage Liver Disease Clara Antoury, MD, Rocio Lopez, MS, MPH, Nizar Zein, MD, James Stoller, MD, Naim Alkhouri, MD, Cleveland Clinic, Cleveland, OH 50 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P277. Liver Transplant: Cure for Caroli’s Syndrome Trushar Patel, MD, Jeremy Cumberledge, MD, University of Kentucky, Lexington, KY P278. Fatigue and Itch Are Associated With Less Biochemical Response in Treated Autoimmune Hepatitis Sarah Perryman, MD, Gouri Sreepati, MD, Naga Chalasani, MD, FACG, Craig Lammert, MD, Indiana University, Indianapolis, IN P279. Negative Anti-Mitochondrial Antibodies in Patients With Primary Biliary Cirrhosis: Experience at a Tertiary Hospital Care in Mexico City Elizabeth Buganza, MD, Armando Alonso, MD, Gastroenterology, Hospital 20 de Noviembre ISSSTE, Distrito Federal, Mexico P280. First Case of Fatal Renal and Fulminant Hepatic Failure From Muscle Building Supplements Sushma Venugopal, MD, James Park, MD, FACG, Prasun Shah, MD, Ira Mayer, MD, FACG, Rabin Rahmani, MD, FACG, Gastroenterology, Maimonides Medical Center, Brooklyn, NY P281. Non-Uremic Calciphylaxis in a Patient With NASH Cirrhosis Johnathon Markus, MD, Vivian Ebrahim, MD, Homer Wiland, MD, Carlos Romero-Marrero, MD, FACG, Cleveland Clinic, Cleveland, OH P282. Fear of a Liver Biopsy Is the Primary Barrier Leading to Disparities in the Treatment and Outcomes of Hepatitis C in Somali Patients in Minnesota Esther Connor, MD, Albert Ndzengue, MD, Nasra Giama, RN, DNP, Jeremiah Menk, MS, Saleh Elwir, MD, Lewis Roberts, MB, ChB, PhD, Mohamed Hassan, MD, University of Minnesota, Minneapolis, MN, Mayo Clinic, Rochester, MN POSTERS SUNDAY P264. Evaluating the Effect of Tenofovir and Other Factors on the Progression of Acute Hepatitis B Infection Trushar Patel, MD, Mohamad Mouchli, MD, University of Kentucky, Lexington, KY P265. Sitagliptin: A Rare Cause of Drug Induced Liver Injury Muhammad Shafqet, MD, B.Gabriel Smolarz, MD, MS, Internal Medicine, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ P266. Unsedated Peroral Thin Scope Endoscopy for Screening of Esophageal Varices in Endoscopy-Naïve Child-Pugh A Cirrhotics Andrew Flynn, MD, PhD, Stephen Congly, MD, Robert Myers, MD, Kelly Burak, MD, Alex Aspinall, MD, PhD, Jack Pang, BSc, Samuel Lee, MD, University of Calgary, Calgary, AB, Canada P267. Peripheral Cytopenias in Hospitalized Cirrhotics Brett Sklaw, MD, Eric Kraut, MD, Gastroenterology, Hepatology, and Nutrition, Wexner Medical Center at the Ohio State University, Columbus, OH P268. The Role of LPS-TLR4 Pathway on Hepatic Fibrogenesis in Chronic Ethanol-Fed Rats Yongfang Liu, MD, Zhenzhen Tian, MD, Min Li, MD, Ming Xiu, MD, Runping Gao, MD, PhD, Dept. of Hepatic Biliary Pancreatic Medicine, First Hospital, Jilin University, Changchun, China P269. Multivariate Analysis of the Development of Hepatocellular Carcinoma Under Long-term Nucleos(T)Ide Analog Therapy Erli Gu, MD, Hong Wang, MD, Yanyan Ji, MD, Wenhong Zhang, MD, PhD, Jing’an Central Hospital, Shanghai, China, Shanghai, China P270. Frequency of Cardiac Events and Impact on Survival Among Liver Transplant Recipients for Steatohepatitis Related Cirrhosis Nicholas Piazza, MD, Ashwani Singal, MD, University of Alabama at Birmingham, Birmingham, AL P271. A Curious Case of a Rapid Resolution of Acute Tubular Necrosis After Portal Vein Decompression in a Cirrhotic Patient With Underlying Hepatorenal Syndrome: A Case Report and Literature Review Maneerat Chayanupatkul, MD, Rapeepat Lekkham, MD, Eric Bloom, MD, Einstein Medical Center, Philadelphia, PA P272. Protocol for Coronary Artery Disease Screening Among Orthotopic Liver Transplant Candidates Bryan Lee, MD, Feng Li, MD, Scott Lilly, MD, PhD, A. James Hanje, MD, The Ohio State University, Columbus, OH P273. MRSA Liver Abscess Associated With Very High CA 19-9 Levels Muhammad Sohaib, MD, Mohamed Hegazi, MD, Dawn Calderon, DO, Jesey Shore University Medical Center, Neptune, NJ P274. Factors Associated With a Better Outcome in Portal Hypertensive Bleeding Secondary Prophylaxis With Band Ligation Eduardo Rodrigues-Pinto, MD, Helder Cardoso, MD, Rui Morais, MD, João Santos-Antunes, MD, Andreia Albuquerque, MD, Filipe VilasBoas, MD, Susana Rodrigues, MD, Armando Ribeiro, MD, Margarida Marques, MD, Regina Gonçalves, MD, Guilherme Macedo, MD, PhD, FACG, Gastroenterology, Centro Hospitalar São João, Porto, Portugal P275. Iatrogenic Superior Mesenteric Arterio-Venous Fistula as an Unusual Cause of Refractory Ascites: A Case Report Jager Jasem, MD, MPH, Jean Park, MD, Gabriel Lockhart, MD, A. James Hanje, MD, Department of Internal Medicine at The Ohio State University Wexner Medical Center, Columbus, OH, Division of Gastroenterology, Hepatology, and Nutrition at The Ohio State University Wexner Medical Center, Columbus, OH P276. Does the Use of Highly Active Antiretroviral Therapy (HAART) for HIV Improve the Viral Load for Patients With Chronic Hepatitis C? Akeem Adebogun, MD, MPH, Nana Osafo, MSc, Victor Clarke, MS, Adeyinka Laiyemo, MD, MPH, Andrew Sanderson, MD, Division of Gastroenterology, Department of Medicine, Howard University Hospital, Washington, DC, Department of Medicine, Howard University Hospital, Washington, DC, Georgetown-Howard Universities Center for Clinical and Translational Science, Washington, DC, Innovation Center for Biomedical Informatics (ICBI), Georgetown University Medical Center, Washington, DC LIVER - CLINICAL VIGNETTES P283. Pinpointing the Culprit in Drug Induced Liver Injury: A Clinical Vignette of Mixed Hepatotoxicity With Amoxicillin Clavulanate Carl Chotas, MS, Rezwan Ahmed, MD, Larry Dial, MD, Marshall University Joan C. Edwards School of Medicine, Huntington, WV P284. Pegylated Interferon-Induced Cardiomyopathy: A Rare Presentation in a Patient Treated for Hepatitis C April Elam, MD, MS, Erica Isom, MD, Punita Kaveti, MD, Kelly Schrapp, MD, Marvin Crawford, MD, Morehouse School of Medicine, Atlanta, GA P285. Onset of Celiac Disease in a Patient Associated With Treatment of Chronic Hepatitis C Using Interferon-Based Triple Therapy Amandeep Singh, MD, Nayere Zaeri, MD, Immanuel Ho, MD, FACG, Crozer Chester Medical Center, Upland, PA P286. A “Q”uizzical Cause of Abnormal LFTs Katherine Chen, BS, Margaret Adamcewicz, DO, Donald Tsynman, MD, Christine Granato, MD, Erik Olson, DO, Ashok Shah, MD, MACG, Benedict Maliakkal, MD, Gastroenterology, University of Rochester Medical Center, Rochester, NY P287. Autoimmune Hepatitis Complicated by Newly Found Pregnancy Bret Stysly, MD, MPH, Tarun Kukkadapu, MBBS, Joshua Mansour, MD, Georgia Regents University, Augusta, GA P288. The Path of Least Resistance: A Rare Case of Enterocutaneous Fistula (ECF) Due to Pressure From Massive Polycystic Liver Mark Pedersen, MD, Aparna Basnet, MD, Bobby Kakati, MD, Sara StimsonRiahi, MD, Anil Seetharam, MD, Internal Medicine Resident, Banner Good Samaritan Medical Center, Phoenix, AZ, Gastroenterology Fellow, Banner Good Samaritan Medical Center, Phoenix, AZ, Internal Medicine Faculty, Banner Good Samaritan Medical Center, Phoenix, AZ, Transplant Center and Advanced Liver Diseases, Banner Good Samaritan Medical Center, Phoenix, AZ P289. A Case of Zieve’s Syndrome Chukwuemeka Ezeoke, MD, Giao Vuong, MD, James Ampadu, MD, Christine Hachem, MD, FACG, Internal Medicine, Saint Louis University School of Medicine, St. Louis, MO P290. TPN Associated Liver Toxicity in Patient With Mixed Connective Tissue Disease Diana Whitehead, MD, Amreen Dinani, MD, FACG, DartmouthHitchcock Medical Center, Lebanon, NH 51 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P291. Unusual Liver Tumor in a Patient With Chronic Hepatitis C Shaina Lynch, DO, University of Connecticut, Farmington, CT P292. Cholestasis in AIDS: A Case of Disseminated Mycobacterium avium Complex Nikhil Kapila, MD, Kunal Kapila, MD, Jonathan Wilmot, MD, Internal Medicine, University of Connecticut Health Center, Farmington, CT, Goverment Medical College, Patiala, India, University of Connecticut Health Center-Department of Gastroenterology/Hepatology, Farmington, CT P293. Levofloxacin as a Cause of Vanishing Bile Duct Syndrome Katherine Shaffer, MD, Ram Subramanian, MD, Internal Medicine, Emory University, Atlanta, GA P294. Diagnostic Challenges in the Evaluation of Abnormal Liver Function Test: Is it Celiac or Celiac-like Disease? Tariq Hammad, MD, Yaseen Alastal, MD, Muhammad Ali Khan, MD, Osama Alaradi, MD, Ali Nawras, MD, FACG, University of Toledo, Department of Internal Medicine, Division of Gastroenterology, Toledo, OH P295. An Unusual Case of Hepatitis: Herpes Hepatitis Bhavtosh Dedania, MBBS, Rahul Mutneja, MBBS, Mamta Shah, MBBS, Deepika Devuni, MBBS, University of Connecticut Health Center, Farmington, CT P296. Blue Cell Tumor of Liver Bhavtosh Dedania, MBBS, Shounak Majumder, MBBS, Murali Dharan, MD, University of Connecticut Health Center, Farmington, CT, Saint Francis Hospital, Hartford, CT P297. Hepatic Epithelioid Hemangioendothelioma: A Rare Cause of Acute Liver Failure Danny Avalos, MD, Yanelba Toribio, MD, Julio Gutierrez, MD, University of Miami Regional Campus, Atlantis, FL, University of Miami/Jackson Memorial Hospital, Miami, FL P298. It Ain’t Always the Liver: An Unusual Case of Variceal Bleeding Tarik Alhmoud, MD, Joe Alcorn, MD, University of New Mexico, Albuquerque, NM P299. Sickle Cell Intrahepatic Cholestasis: A Case Report Manav Sharma, MD, Simranjit Singh, MD, Internal Medicine, University of Illinois College of Medcine at Urbana-Champaign, Champaign, IL P300. Hepatocellular Carcinoma Secondary to Metabolic Syndrome: A Morbid Association of Concern Dovid Moradi, MD, Alfred Burger, MD, Faraj Faour, MD, Mount Sinai Beth Israel, New York, NY P301. Case of Hilar Cholangiocarcinoma (Klatskin’s Tumor) in a Patient With Hepatitis C Cirrhosis Anand Kumar, MD, Shravan Kooragayalu, MD, Paul Gaglio, MD, Montefiore Medical Center, Bronx, NY P302. Perplexing Pattern of Liver Tests in a Patient With Congestive Heart Failure Anand Kumar, MD, Vivek Reddy Garlapati, MD, Shilpa Jain, MD, Hilary Hertan, MD, FACG, Montefiore Medical Center, Bronx, NY P303. Gas Forming Infection of the Spleen Charles Maltz, MD, PhD, Weill Cornell Medical College, New York, NY P304. Acute Liver Injury of Rare Etiology: Hemophagocytic Lymphohistiocytosis Amit Mori, MD, Dipendra Chaudhry, MD, Transplant Hepatology, Carolinas Medical Center, Charlotte, NC, Wake Forest School of Medicine, Winston-Salem, NC P305. Treatment of Duodenal Variceal Hemorrhage With Endoscopic Band Ligation Tripti Chopade, MD, Dina Halegoua-De Marzio, MD, Ali Siddiqui, MD, Jesse Civan, MD, Jonathan Fenkel, MD, Department of Medicine, Division of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, PA P306. Overlap Between Primary Biliary Cirrhosis (PBC) and Primary Sclerosing Cholangitis (PSC): A Rare Coexistence Ashraf Almashhrawi, MD, MSc, Mohamad Yousef, MD, Khulood Ahmed, MD, Harleen Chela, MD, Ghassan Hammoud, MD, MPH, Gastroenterology, University of Missouri, Columbia, MO For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P307. Wandering Liver in a 60-Year-Old: Diagnosis and Significance 2014 ACG Presidential Poster Award Annu Gupta, MD, TS Dharmarajan, MD, Montefiore Medical Center, Bronx, NY P308. A Rare Case of Peliosis Hepatis in a Young Female With End Stage Renal Disease on Chronic Hemodialysis Vivek Reddy Garlapati, MD, Annu Gupta, MD, Hilary Hertan, MD, Gastroenterology and Hepatology, Montefiore Medical Center-Wakefield Campus, Bronx, NY P309. A Case of Multiple Myeloma: Rare Presentation as Ascites Annu Gupta, MD, Srinivas Guptha Gunturu, MD, Hilary Hertan, MD, Montefiore Medical Center, Bronx, NY P310. De novo Primary Sclerosing Cholangitis (PSC) Post Liver Transplantation for Alcoholic Cirrhosis 2014 ACG Presidential Poster Award Shiva Kumar, MD, FACG, Liver Transplant Program, Aurora St. Luke’s Medical Center, Milwaukee, WI P311. Oral Contraceptive-Induced Hepatic Sinusoidal Dilatation Shiva Kumar, MD, FACG, Liver Transplant Program, Aurora St. Luke’s Medical Center, Milwaukee, WI P312. Complete Regression of Locally Advanced Hepatocellular Carcinoma (HCC) Following Sorafenib Monotherapy Shiva Kumar, MD, FACG, Liver Transplant Program, Aurora St. Luke’s Medical Center, Milwaukee, WI P313. The Successful Use of Eltrombopag in the Treatment of Thrombocytopenia in Two Patients With Recurrent Hepatitis C After Liver Transplantation Tavankit Singh, MD, Gurshawn Singh, MD, Bijan Eghtesad, MD, Naim Alkhouri, MD, Cleveland Clinic Foundation, Cleveland, OH P314. Pituitary Tumor as the Initial Presentation of Hepatocellular Carcinoma Yana Cavanagh, MD, Nihar Shah, MD, Hamid Shaaban, MD, Allison Thomas, MS, Walid Baddoura, MD, Sohail Shaikh, MD, St. Josephs Regional Medical Center, Paterson, NJ, Seton Hall University School of Health and Sciences, South Orange, NJ P315. Acute Sickle Hepatic Crisis After Liver Transplantation in a Patient With Hb SC Disease Jeffrey Gillis, DO, Nader Dbouk, MD, FACG, Laxmi Parsa, MD, Sanjaya Satapathy, MD, FACG, University of Tennessee Health Science Center, Memphis, TN P316. An Uncommon Cause of Upper Gastrointestinal Bleeding in a PostLiver Transplant Patient: Hepatic Arteriojejunal Fistula Emilie Regner, MD, Stuart Amateau, MD, PhD, Lisa Forman, MD, Internal Medicine, University of Colorado, Denver CO, CO P317. Testicular Acute Hepatitis B-Related Polyarteritis Nodosa Emely Eid, MD, Juan Blum Guzman, MD, GI, UF Health Jacksonville, Jacksonville, FL P318. Hydrogen Peroxide Resulting in Portal Venous Air Igor Naryzhny, DO, Manali Patel, MD, Mani Mahdavian, MD, FACG, Advocate Lutheran General Hospital, Park Ridge, IL P319. Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) for the Treatment of Refractory Hepatic Encephalopathy Lisa Waller, MD, Syed-Mohammed Jafri, MD, Amir Prushani, MD, Scott Schwartz, MD, Dilip Moonka, MD, FACG, Gastroenterology and Hepatology, Henry Ford Hospital, Detroit, MI, Interventional Radiology, Henry Ford Hospital, Detroit, MI P320. Different Faces of Hepatotoxicity in Patients With Metastatic Melanoma on Combination Vemurafenib and Ipilimumab Therapy Priya Simoes, MD, Jedd Wolchok, MD, Paul Chapman, MD, Maya Gambarin- Gelwan, MD, FACG, Department of Medicine, Mount Sinai St. Lukes Roosevelt Hospital Center, New York, NY, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY P321. “Black Ant”-Induced Autoimmune Hepatitis Phoenix Fung, MD, Rutgers New Jersey Medical School, Newark, NJ 52 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P322. Cryoglobulinemic Vasculitis Occurring With Initiation of Interferon and Sofosbuvir for Treatment of Hepatitis C Tanima Jana, MD, Sanah Ali, MD, Shivang Mehta, MD, Sarah Sweeney, MD, Richard Jahan-Tigh, MD, Kevin Dasher, MD, University of Texas Health Science Center at Houston, Houston, TX P323. All About the Medication Reconciliation: A Case of DRESS Syndrome Appearing as Primary Sclerosing Cholangitis Xiao Jing Wang, MD, Christian Mustroph, BS, Parit Mekaroonkamol, MD, Ryan Ford, MD, Internal Medicine, Emory University School of Medicine, Atlanta, GA, Emory University School of Medicine, Digestive Disease Department, Atlanta, GA P324. Shunt Myelopathy in a Non-Cirrhotic Patient Nongnooch Poowanawittayakom, MD, Bhaumik Brahmbhatt, MD, Surakit Pungpapong, MD, Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL, Mayo Clinic, Jacksonville, FL P325. Herpes Simplex Virus Hepatitis: A Rare Case in an Immunocompetent Male Ezechukwu Umeh, MD, Shamiq Zackria, MD, Awais Ahmed, MD, Rama Narayanan, MD, Bassel Al-Lahham, MD, Internal Medicine, Canton Medical Education Foundation, Canton, OH, Northeast Ohio Medical University, Rootstown, OH, Mercy Medical Center, Department of Gastroenterology, Canton, OH P326. Rejection, Recurrence or Something Else? Felipe Vélez González, MD, Veroushka Ballester, MD, Rafael Pastrana, MD, Ivan Antúnez, MD, Carmen González-Keelan, MD, Esther Torres, MD, FACG, University of Puerto Rico, San Juan, Puerto Rico POSTERS SUNDAY P333. Effect of Race, Gender and Body Position on the Prevalence and Type of Dyssynergic Defecation Askin Erdogan, MD, Yeong Lee, MD, Kulthep RATTANAKOVIT, MD, Siegfried Yu, MD, Satish Rao, MD, PhD, Gastroenterology/ Hepatology, Georgia Regents University, Augusta, GA P334. The Role of Prophylactic Hemoclips to Prevent Delayed PostPolypectomy Bleeding in Patients on Chronic Anticoagulation: A Large University-Based Experience Joseph Marsano, MD, Andrew Antony, MD, Demetrios Tzimas, MD, Mark Pochapin, MD, Adam Goodman, MD, Seth Gross, MD, New York University School of Medicine, Department of Internal Medicine, New York, NY, New York University School of Medicine, Division of Gastroenterology, New York, NY P335. Adenoma Detection Rate (ADR) Strongly Correlates With Detection Rate of Sessile Serrated Adenomas (SSADR) Supporting ADR as a Primary Quality Measure for Reducing Interval Colorectal Cancers Jason Huang, MBBS, Jerry Yu, MD, Jason Samarasena, MD, John Lee, MD, Nimisha Parekh, MD, Gregory Albers, MD, Kenneth Chang, MD, FACG, William Karnes, MD, Gastroenterology, University of California Irvine, Irvine, CA P336. Clinical Outcomes Following Postoperative Chemotherapy for Colorectal Adenocarcinoma in Patients With and Without Inflammatory Bowel Disease Mohannad Dugum, MD, Johnathon Markus, MD, Jingmei Lin, MD, PhD, Bassam Estfan, MD, Elena Manilich, PhD, Bo Shen, MD, Xiuli Liu, MD, PhD, Cleveland Clinic Foundation, Cleveland, OH, Indiana University School of Medicine, Indianapolis, IN P337. The Impact of Fellow Involvement on Patient Satisfaction and Quality Measures of Colonoscopy in Newly Established Gastroenterology Fellowship Program Yaseen Alastal, MD, Usman Ahmad, MD, Tariq Hammad, MD, Faisal Siddiqui, MD, Ramen Sakhi, MD, Shalini Gupta, ND, Nicholas Horen, MD, Dinuli Delpachitra, MD, Thomas Sodeman, MD, Osama Alaradi, MD, Ali Nawras, MD, FACG, Gastroenterology, University of Toledo Medical Center, Toledo, OH P338. The Impact of a Newly Established Gastroenterology Fellowship Program on the Colonoscopy Performance of Faculty Tariq Hammad, MD, Usman Ahmad, MD, Yaseen Alastal, MD, Faisal Siddiqui, MD, Ramen Sakhi, MD, Shalini Gupta, MD, Nicholas Horen, MD, Dinuli Delpachitra, MD, Thomas Sodeman, MD, Osama Alaradi, MD, Ali Nawras, MD, FACG, Gastroenterology, University of Toledo Medical Center, Toledo, OH P339. Ethnic Distribution of Microscopic Colitis Amnon Sonnenberg, MD, FACG, Kevin Turner, DO, Robert Genta, MD, FACG, Portland VA Medical Center, Portland, OR, Miraca Life Sciences Research Institute, Irving, TX P340. Endoscopic Appearances in Predicting Colon Neoplasia in Patients With Ulcerative Colitis on Surveillance Colonoscopy Ramprasad Jegadeesan, MD, Udayakumar Navaneethan, MD, Norma Gutierrez, MD, Madhusudhan Sanaka, MD, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH P341. Is Hypothyroidism a Predictor of Survival in Patients With Colorectal Cancer? Hiren Patel, MD, Abhishek Kumar, MD, Hamid Shaaban, MD, Michael Maroules, MD, St. Joseph’s Regional Medical Center, Paterson, NJ, Seton Hall University School of Health and Medical Sciences, South Orange, NJ P342. Epidemiological and Clinical Characteristics of Colorectal Cancer in Hypothyroidism Hiren Patel, MD, Abhishek Kumar, MD, Anurag Sharma, MD, Hamid Shaaban, MD, Emma Punni, MD, Michael Maroules, MD, St. Joseph’s Regional Medical Center, Paterson, NJ, Seton Hall University School of Health and Medical Sciences, South Orange, NJ COLON P327. Colorectal Cancer Screening in Asymptomatic HIV-Infected Subjects: High Rates of Mucosal Abnormalities Sumair Ahmad, MD, Ishita Rajnish, MD, Amar Ashraf, MD, Lawrence Reich, MD, Joshua Aron, MD, FACG, Icahn School of Medicine, New York, NY P328. Basaloid Squamous Cell Carcinoma of the Sigmoid Salih Samo, MD, Muhammed Sherid, MD, Kevin Liu, MD, Leila Kia, MD, David Shapiro, MD, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL, Georgia Regents University, Augusta, GA P329. Comparison of Harefield Cleansing Scale (HCS) and Boston Bowel Preparation Scale (BBPS) for Assessment of Cleansing Prior to Colonoscopy: An Analysis Based on 1,865 Patients in 6 Clinical Trials 2014 ACG Presidential Poster Award Jonathan Belsey, MBBS, Marc Halphen, MD, Lucy Clayton, BSc, MSc, The Old Brickworks, JB Medical Ltd, Sudbury, United Kingdom, Norgine Ltd, Harefield, United Kingdom P330. Pharmacodynamic and Clinical Evaluation of Low-Volume Polyethylene Glycol (PEG)-Based Bowel Cleansing Solutions (NER1006) Using Split Dosing in Healthy and Screening Colonoscopy Subjects Marc Halphen, MD, Bola Tayo, MBBS, Stephen Flanagan, PhD, Lucy Clayton, MSc, Rüdiger Kornberger, MD, Norgine Ltd, Harefield, United Kingdom, PAREXEL International GmbH, Berlin, Germany P331. Antibiotic-Associated Microbiome Changes in Healthy Volunteers and Corrective Impact of the Probiotic Saccharomyces boulardii 2014 ACG Presidential Poster Award Toufic Kabbani, MD, MPH, Kumar Pallav, MD, Scot Dowd, PhD, Rohini Vanga, MD, Javier Villafuerte-Gálvez, MD, Natalia Castillo, MD, Ciaran Kelly, MD, FACG, Harvard Medical School, Boston, MA, BIDMC, Boston, MA, MR DNA, Shallowater, TX P332. Ranolazine Blocks NaV1.5 Peak Current and Shear Sensitivity in Human Colonic Circular Smooth Muscle Leila Neshatian, MD, MSc, Peter Strege, MSc, David Larson, MD, Robert Cima, MD, Arthur Beyder, MD, PhD, Gianrico Farrugia, MD, Mayo Clinic, Rochester, MN 53 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P343. Progressive Decreased Gut Microbial Diversity in Chronic Kidney Disease Shan Xie, MD, PhD, Hanchang He, DO, Zhongqiu Wang, DO, Pu Wang, MD, PhD, Runhua Li, DO, Youlian Zhou, DO, Ting Zhang, DO, Shuanghong Jiang, DO, Minyi Lin, DO, Fanfan Hou, MD, PhD, Ye Chen, MD, PhD, Bo Jiang, MD, PhD, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China, Department of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China P344. Reexamining Risk Factors for High-Grade Dysplasia in Colorectal Polyps Bradley Anderson, MD, Thomas Smyrk, MD, Seth Sweetser, MD, Douglas Mahoney, MS, Kari Anderson, BS, Mary Devens, BA, John Kisiel, MD, David Ahlquist, MD, Mayo Clinic, Rochester, MN P345. Fecal Incontinence: A Heterogenous Disorder Danse Bi, Sandra Sostrich, RN, Mojtaba Olyaee, MD, Elena Sidorenko, MD, Tuba Esfandyari, MD, MSc, IM/GI, University of Kansas Medical Center, Kansas City, KS P346. Syphilis Colitis: A Rare Case Report in a Human Imunodeficiency Virus-Positive Patient Jianfeng Cheng, MD, PhD, Patrick Proctor, MD, Kent Holtzmuller, MD, Oscar Brann, MD, University of North Carolina, Charlotte, NC P347. A Rare Case of Ischemic Colitis Due to Cryoglobulinemic Vasculitis Jianfeng Cheng, MD, PhD, Patrick Proctor, MD, Martin Scobey, MD, University of North Carolina, Charlotte, NC P348. Establishing the Link Between HBV Infection and Colorectal Adenoma Brijesh Patel, MD, Seth Lipka, MD, Ashley Davis-Yadley, MD, Huafeng Shen, MD, Alex Baronowsky, MD, Jeffrey Silpe, MD, Qinshi Pan, MD, Josh Mosdale, MD, Prakash Viswanathan, MD, Albin Abraham, MD, Internal Medicine, University of South Florida, Tampa, FL, Nassau University Medical Center, East Meadow, NY P349. Lipoma-Induced Asymptomatic Colocolonic Intussusception Damodar Pandey, MD, Harish Guddati, MD, Hilary Hertan, MD, FACG, Albert Einstein College of Medicine/Montefiore Medical Center, Wakefield Division, Bronx, NY P350. A Curious Case of Colitis Akeem Adebogun, MD, MPH, Michael Windham, MD, Howard University Hospital, Washington, DC P351. Poorly Differenciated Medullary Carcinoma of Colon With Gastrointestinal Stromal Tumor: Is There Any Association? Amara Nidimusili, MD, Internal Medicine, Trinitas Regional Medical Center, Elizabeth, NJ P352. Is Polypectomy Rate a Good Quality Metric Substitute for Adenoma Detection Rate During Screening Colonoscopy? Wesam Frandah, MD, Cory Fielding, MD, Philip Westgate, PhD, Nicholas Nickl, MD, Gastroenterology and Hepatology, University of Kentucky, Lexington, KY P353. Socioeconomic (SE) and Seasonal Differences (SD) as a Risk of C. difficile Infection (CDI) Mohamed Abdelfatah, MD, Maysaa El Zoghbi, MD, Kathleen Enriquez, MD, Rabih Nayfe, MD, Ala Nijim, MD, Richard Watkins, MD, Hossam Kandil, MD, PhD, AGMC, Northeast Ohio Universty, Akron, OH, Department Gastroenterology and Hepatology, University Hospitals, Case Medical Center, Cleveland, OH, Division of Infectious Diseases, Akron General Medical Center, Northeast Ohio Medical University, Akron, OH, Division of Gastroenterology and Hepatology, East Carolina University, Greenville, OH P354. Recurrent Clostridium difficile Infection in Patients With Chronic Kidney Disease Mohamed Abdelfatah, MD, Ala Nijim, MD, Rabih Nayfe, MD, Kathleen Enriquez, MD, Jamil Khouri, MD, Maysaa El Zoghbi, MD, Richard Watkins, MD, Hossam Kandil, MD, PhD, FACG, AGMC, Northeast Ohio Universty, Akron, OH, Division of Infectious Diseases, Akron General Medical Center, Northeast Ohio Medical University, Akron, OH, Department Gastroenterology and Hepatology, University Hospitals, Case Medical Center, Cleveland, OH, Department Gastroenterology and Hepatology, East Carolina University, Greenville, NC For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P355. The Effect of Statins on the Risk of Recurrent Clostridium difficile Infection Mohamed Abdelfatah, MD, MS, Rabih Nayfe, MD, Kathleen Enriquez, MD, Ala Nijim, MD, Maysaa El Zoghbi, MD, FACG, Richard Watkins, MD, AGMC, Northeast Ohio Universty, Akron, OH, Department Gastroenterology and Hepatology, University Hospitals Case Medical Center, Cleveland, OH, Division of Infectious Diseases, Akron General Medical Center, Northeast Ohio Medical University, Akron, OH P356. Antidepressant Medications and Recurrent Clostridium difficile Infection Mohamed Abdelfatah, MD, Rabih Nayfe, MD, Kathleen Enriquez, MD, Ala Nijim, MD, Maysaa El Zoghbi, MD, Richard Watkins, MD, AGMC, Northeast Ohio Universty, Akron, OH, Division of Infectious Diseases, Akron General Medical Center, Northeast Ohio Medical University, Akron, OH, Department Gastroenterology and Hepatology, University Hospitals, Case Medical Center, Cleveland, OH P357. Low Vitamin D Level Impact on Clostridium difficile Infections (CDI) Mohamed Abdelfatah, MD, Ala Nijim, MD, Rabih Nayfe, MD, Kathleen Enriquez, MD, Maysaa El Zoghbi, MD, FACG, Richard Watkins, MD, AGMC, Northeast Ohio Universty, Akron, OH, Division of Infectious Diseases, Akron General Medical Center, Northeast Ohio Medical University, Akron, OH, Department Gastroenterology and Hepatology, University Hospitals, Case Medical Center, Cleveland, OH COLON - CLINICAL VIGNETTES P358. Apoptotic Colitis: A Rare Variant Aditya Kalakonda, MD, Rushikesh Shah, MBBS, Divey Manocha, MD, Jivan Lamichhane, MD, Medicine, SUNY Upstate Medical University, Syracuse, NY P359. Hidden Diagnosis: Mantle Cell Lymphoma Masquerading Acute Diverticulitis! Dipti Sagar, MD, Srinivas Guptha Gunturu, MD, Hilary Hertan, MD, FACG, Albert Einstein University/Montefiore Medical Center, Bronx, NY P360. Spontaneous Rectal Hematoma Andrew Mazulis, MD, Igor Naryzhny, DO, Timothy Laurie, DO, FACG, Advocate Lutheran General Hospital, Park Ridge, IL P361. Vertebral Metastasis as the Initial Manifestation of Colon Cancer Tushina Jain, Renee Williams, MD, Lea Ann Chen, MD, NYU School of Medicine, New York, NY P362. Clinical Course of a Rare Malignancy: Mucinous Cystadenocarcinoma of the Appendix Marina Kim, DO, Montgomery Lobe, MD, Wei Wang, MD, Nivedita Pandey, MD, FACG, Syed Mehdi, MD, Stratton Veteran Affairs Medical Center, Albany, NY P363. Colonic Dieulafoy’s Lesion: A Rare Cause of Lower Gastrointestinal Hemorrhage Christopher Ma, MD, Edwin Cheng, MD, Medicine, University of Alberta, Edmonton, AB, Canada, University of Calgary, Calgary, AB, Canada P364. NSAID Colopathy: An Overlooked Masquerader of Inflammatory Bowel Disease Nicole Albert, DO, Giancarlo Mercogliano, MD, FACG, Lankenau Medical Center, Wynnewood, PA P365. Ipilimumab-Induced Autoimmune Colitis: A Case Series of an Emerging Clinical Entity Jagpal Klair, MD, Mohit Girotra, MD, Aneet Kaur, MD, Mauricio Garcia-Saenz-de-Sicilia, MD, FACG, University of Arkansas for Medical Sciences, Little Rock, AR P366. Strongyloides Colitis: A Lethal Mimic of Ulcerative Colitis Belen Tesfaye, MD, Dilhana Badurdeen, MD, Justice Arhinful, MD, Getachew Mekasha, MD, PhD, Howard University Hospital, Washington, DC P367. Colonic Spirochetes in a Patient With HIV Belen Tesfaye, MD, Michael Windham, MD, Rehana Begum, MD, Howard University Hospital, Washington, DC 54 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P383. Plesiomonas shigelloides: A Rare Etiology of Peritonitis in an Immunocompetent Patient Haseeb Ahmed, MD, James Grendell, MD, Ritu Saha, MD, Winthrop University Hospital, Mineola, NY P384. EUS Findings of Rectal Splenosis Bakht Cheema, MD, Mohammed Zaidan, MD, Inder Singh, MD, UT Southwestern Austin Programs, Austin, TX P385. Acute Bowel Obstruction Due to Endometriosis Treated With Colonic Stent Muhammad Sohail, MD, Ikram Umaira, MD, Gordon Hunt, MD, Gastroenterology, UCSD, San Diego, CA, Kaiser Medical Center, San Diego, CA, Ross University, Newark, NJ P386. Ipilimumab-Induced Colonic Perforation Ali Haider, MD, Kenneth O’Riordan, MD, Internal Medicine, Lutheran General Hospital, Park Ridge, IL P387. Ace-Inhibitor Induced Visceral Angioedema Ali Haider, MD, Hymie Kavin, MD, Internal Medicine, Lutheran General Hospital, Park Ridge, IL POSTERS SUNDAY P368. Osseous Metaplasia in an Inflammatory Sigmoid Colon Polyp Jennifer Lewis, MD, Margaret Adamcewicz, DO, Philip Katzman, MD, Jonathan Huang, DO, University of Rochester Medical Center, Rochester, NY P369. Supplement Induced Acute Colonic Pseudo-Obstruction in Healthy Young Male Aaron Craig, DO, Michael Goldberg, DO, FACG, Internal Medicine, William Beaumont Army Medical Center, El Paso, TX P370. Shotgun Colonoscopy Loveleen Sidhu, MD, Ramin Bagheri, MD, Samarth Patel, MD, Joshua Aron, MD, Aaron Walfish, MD, Elmhurst Hospital Center, Elmhurst, NY P371. Surgical Intervention Is Non-Negotiable: Colonic Mucormycosis Infection in an Elderly Immunosuppressed Female on Systemic Steroids Andrew Mowery, DO, Chuan Long Miao, MD, Kimberly Fairley, DO, Matthew Shellenberger, DO, Geisinger Medical Center, Danville, PA P372. Distinct Appearances of Colonic Breast Cancer Metastases in a Single Patient Ivan Harnden, MD, James Watson, MD, Gastroenterology and Hepatology, Duke University, Durham, NC P373. Abdominal Pain, Constipation and Rectal Bleeding: A Rare Case of Invasive Squamous Cell Carcinoma of the Rectosigmoid Junction April Elam, MD, MS, Louise Bacon, MD, Jacquelyn Turner, MD, Clarence Clark, MD, Michael Flood, MD, Shahrzad Ehdaivand, MD, Internal Medicine, Morehouse School of Medicine, Decatur, GA, Emory University School of Medicine, Atlanta, GA P374. Colonic Ganglioneuromas as the Cause of Heme-Positive Stool in a 31-Year-Old Man James Izanec, MD, Vincent McLaughlin, MD, Maria Pagan, MSN, APN, Gary Matusow, DO, Gastroenterology Group of South Jersey, Vineland, NJ P375. A Case of Barium Inspissation Resulting in Acute Constipation and Colectomy Gaja Shaughnessy, MD, Paul Cho, Jordan Ray, MD, Dawn Francis, MD, Internal Medicine, Mayo Clinic Florida, Jacksonville, FL, University of Missouri, Columbia, MO P376. Proctitis in AIDS Patient, a Diagnostic Dilemma Layth Al-Jashaami, MD, Yousef Usta, MD, Vincent Honan, MD, Maricopa Medical Center, Phoenix, AZ, Banner Good Samaritan Medical Center, Phoenix, AZ P377. A Case of Incidental Intestinal Spirochetosis Avantika Mishra, MD, Pooja Singhal, MD, Louis Korman, MD, Medstar Georgetown University Hospital, Washington, DC, Washington DC Veterans Affairs Medical Center, Washington, DC P378. CMV Colitis in Immunocompetent Patient Mimicking Rectal Carcinoma Gaurang Vaidya, MBBS, Aditya Kalakonda, MD, Raja Vadlamudi, MD, Lynn Cleary, MD, Internal Medicine, SUNY Upstate Medical University, Syracuse, NY P379. Massive Splenomegaly: A Rare Cause of Partial Colonic Obstruction Michael Clores, DO, Samir Kapadia, MD, Satish Nagula, MD, Stony Brook University Hospital, Stony Brook, NY P380. Mucosa-Associated Lymphoid Tissue Lymphoma of the Rectum Mandana Kamgar, MD, MPH, Saurabh Gupta, MD, Bashar Attar, MD, PhD, Asad Rafiq, MD, Internal Medicine, John Stroger Jr. Hospital of Cook County, Chicago, IL P381. A Rare Case of Primary Colonic Non-Hodgkins Diffuse Large B-cell Lymphoma Charles Rives, MD, John Anong, MD, John Litchfield, DO, Atif Saleem, MD, Atul Khanna, MD, Pranav Patel, MD, Eric Carter, DO, Mark Young, MD, Ravindra Murthy, MD, East Tennessee State University, Johnson City, TN P382. An Unusual Case of Mantle Cell Lymphoma Involving the GI Tract Mohamed Bayoumi, MD, Shriram Jakate, MD, Irene Ma, MD, A. Aziz Aadam, MD, Rush University Medical Center, Chicago, IL, University of Illinois College of Medicine, Chicago, IL OUTCOMES RESEARCH P388. Retrospective Review of the Diagnosis and Clinical Impact of Unexpected or Incidental Positive Findings in Positron Emission Tomography (PET) Scans of the Gastrointestinal Tract (GI) Leon Kundrotas, MD, FACG, Shashank Nayak, BA, ALM VAH, San Antonio, TX, University of Texas Health Sciences Center at San Antonio (UTHSCSA), San Antonio, TX P389. The Effect of Bariatric Surgery on the Outcome of Patients With Chronic Liver Disease Fadi Niyazi, MD, Baha Al-Abid, MD, Kristen Nonahal, RD, Amir Prushani, MD, Syed-Mohammed Jafri, MD, Internal Medicine, Henry Ford Hospital, Detroit, MI P390. Rectal Endoscopic Ultrasound and Staging of Rectal Carcinoma: A Community Perspective Christopher Chapman, BSc, MSc, Andrew Singh, BSc, MD, William Orrom, BSc, MD, University of Alberta, Edmonton, AB, Canada, University of British Columbia, Victoria, BC, Canada P391. Predicting Polyp Pathology Based on Patient Risk Factors Darren Andrade, MD, Michael Foley, DO, Bobby Kakati, MD, RIchard Gerkin, MD, MS, Michele Young, MD, Gastroenterology and Hepatology, Carl T. Hayden Veterans Affairs Medical Center / Banner Good Samaritan Medical Center, Phoenix, AZ P392. Effect of Diarrhea Adverse Events on Health-Related Quality of Life and Treatment Satisfaction in Patients With Irritable Bowel Syndrome With Constipation William Spalding, MS, Jessica Buono, MPH, Huan Huang, PhD, Michael Munsell, BA, Douglas Taylor, MBA, Robyn Carson, MPH, Robert Griffiths, MS, ScD, Ironwood Pharmaceuticals Inc., Cambridge, MA, Forest Research Institute, Jersey City, DE, Formerly of Boston Health Economics, Boston, MA, Boston Health Economics, Boston, MA P393. Effect of Participation in GIQuIC on Colonoscopy Report and Documentation Time for Quality Metrics Adewale Ajumobi, MD, MBA, Glen Gross, MD, FACG, Tisha Lunsford, MD, FACG, GI, UTHSCSA, San Antonio, TX P394. Managing Opioid Induced Constipation: Perceptions and Misconceptions From the Online Community Cynthia Whitman, MPH, Corey Arnold, PhD, Haridarshan Patel, PharmD, Justin Scopel, MD, MBA, Bibiana Martinez, MPH, Mark Reid, PhD, Brennan Spiegel, MD, MSHS, Cedars-Sinai Medical Center CORE, Beverly Hills, CA, David Geffen School of Medicine at UCLA, Los Angeles, CA, Global Outcomes and Epidemiology Research, Takeda Pharmaceuticals International, Inc, Deerfield, IL, US Medical Affairs, Takeda Pharmaceuticals International, Inc., Deerfield, IL, VA Greater Los Angeles Healthcare System, Los Angeles, CA, Fielding School of Public Health at UCLA, Los Angeles, CA 55 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P395. Factors Predicting Nonattendance to Outpatient Colonoscopy Prasanna Ponugoti, MD, Jean Wang, MD, PhD, Washington University, Saint Louis, MO, Betty Jean Kerr People’s Health Centers, Saint Louis, MO P396. Assessment of Sexual Function and Attitudes in Female Patients With Functional Bowel Disorders Jessica Haefner, Jason Baker, MS, William Chey, MD, Pamela Fairchild, MD, Mitchell Berger, MD, PhD, University of Michigan, Ann Arbor, MI P397. Management of Malignant Colorectal Polyps Comparing Endoscopic and Surgical Therapies: A Population-based Comparative Study Using Propensity Score Matching Sachin Wani, MD, Roy Yen, MD, Amit Rastogi, MD, Ajay Bansal, MD, Lindsay Hosford, BA, Ananya Das, MD, University of Colorado, Centennial, CO, Veterans Affairs Medical Center, Kansas City, KS, Arizona Center for Digestive Health, Gilbert, AZ P398. Assessing the Impact of Registered Dietitian Recommendations on the Appropriate Use of Parenteral Nutrition in a Community Hospital Setting Matthew Kaplan, DO, Krupa Shah, DO, Sudipta Roy, PhD, Edward Jurkovic, DO, Ryan Adams, Pharm D, Katie Swafford, MS, RD, LDN, Nikhil Bhargova, DO, Riverside Medical Center, Kankakee, IL P399. Striking the Right Balance: Assessing Fellows’ Abilities to Deliver Patient Education Catherine Lucero, MD, Gerald Villanueva, MD, Samia Talishinskiy, MD, Noami Chaudhary, MD, Michael Poles, MD, PhD, Colleen Gillespie, PhD, Sandra Zabar, MD, Elizabeth Weinshel, MD, NYU School of Medicine, New York, NY, VA New York Harbor Healthcare System, New York, NY P400. Quality Improvement Using Outcome Metrics for Inpatient Management of GI Bleed: Analysis By Diagnosis Related Groups Pushwaz Virk, MD, Anurag Duggal, MD, Maged Rizk, MD, Akron General Medical Center, Akron, OH, Cleveland Clinic, Cleveland, OH P401. Cost-Analysis Model of Colonoscopy Preparation Using Split-Dose Reduced-Volume Oral Sulfate Solution (OSS) and Polyethylene Glycol With Electrolytes Solution (PEG-ELS) Sander Yermakov, MS, Matthew Davis, MA, Romaine Campbell, BA, Francis Farraye, MD, FACG, Mark Cleveland, PhD, R&D, Braintree Laboratories, Braintree, MA, Analysis Group, Boston, MA, Boston Medical Center, Boston, MA P402. Will Charging a Penalty for No Show to Outpatient Colonoscopy Appointment Improve Compliance? Adeyinka Laiyemo, MD, MPH, Kolapo Idowu, MD, Carla Williams, PhD, Clinton Burnside, BS, Rabia Cherqaoui, MD, Ricardo Caldera, MD, Tonya Gadsden, MD, Kyle Anders, MD, Debra White-Coleman, MD, Shelly McDonald-Pinkett, MD, Medicine, Howard University, Washington, DC P403. POSTER WITHDRAWN P404. Number of Passes Needed for Endoscopic Ultrasound-Guided FineNeedle Aspiration Diagnosis of Malignancy Samuel Han, MD, Daniel Kaufman, MD, Wahid Wassef, MD, MPH, Gastroenterology, University of Massachusetts Medical Center, Worcester, MA P405. Esophageal Perforation: 10 Year Trends in Incidence and Outcomes Venu Gopala Reddy Gangireddy, MD, Swathi Talla, MD, Sumanth Daram, MD, FACG, Gastroenterology, Georgia Regents University, Augusta, GA, Luzhou Medical College, Luzhou, China P406. Experience With Fidaxomicin as First-Line Treatment for C. difficile Infection (CDI): Clinical Outcomes and Cost-Effectiveness Tim Planche, MD, Laura Whitney, MPharm, MSc, Attiq Ahmad, John Nesnas, MPharm, Institute of Infection and Immunity, St. George’s University of London, London, United Kingdom, Pharmacy, St. George’s Healthcare NHS Trust, London, United Kingdom, Finance Department, St. George’s Healthcare NHS Trust, London, United Kingdom For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P407. Outcomes and Survival in Hepatitis C Virus Seropositive Lymphoma and Myeloma Patients After Autologous Stem Cell Transplantation Ankur Varma, MD, MPH, Rima Saliba, PhD, Harrys Torres, MS, Aimaz Afrough, MD, Chitra Hosing, MD, Issa Khouri, MD, Yago Nieto, MD, PhD, Nina Shah, MD, Simrit Parmar, MD, Qaiser Bashir, MD, Sairah Ahmed, MD, Roy Jones, MD, PhD, Partow Kebriaei, MD, Elizabeth Shpall, MD, Amin Alousi, MD, Muzaffar Qazilbash, MD, Richard Champlin, MD, Uday Popat, MD, Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, TX, Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, Department of Infectious Diseases, The University of Texas MD Anderson Cancer Center, Houston, TX P408. Hepatic Encephalopathy, A Preventable Readmission: Implementation of Quality Indicators at a Tertiary Care Center Abdul Haseeb, MD, MPH, Juan Gallegos-Orozco, MD, Internal Medicine, University of Utah, Salt Lake City, UT P409. Risk of Post-Polypectomy Hemorrhage on Antithrombotic Therapy: Systematic Review and Meta-analysis Dov Shalman, MD, Lauren Gerson, MD, MSc, FACG, 2340 Clay Street, California Pacific Medical Center, San Francisco, CA P410. Racial Disparities in C. difficile Infection Zain Kassam, MD, MPH, Camila Cribb Fabersunne, MD/MPH Candidate, Mark Smith, PhD Candidate, Gilaad Kaplan, MD, MPH, Geoffrey Nguyen, MD, PhD, Ashwin Ananthakrishnan, MBBS, MPH, Massachusetts Institute of Technology, Cambridge, MA, Harvard Medical School, Boston, MA, University of Calgary, Calgary, AB, Canada, University of Toronto, Toronto, ON, Canada, Massachusetts General Hospital, Boston, MA P411. Prevalence and In-Hospital Mortality of Upper Gastrointestinal Bleeding in Patients With Solid Organ Transplantation Shajan Peter, MD, Ashwani Singal, MD, MS, University of Alabama at Birmingham, Birmingham, AL P412. Effect of Diarrhea Adverse Events on Health-Related Quality of Life and Treatment Satisfaction in Patients With Chronic Idiopathic Constipation Jessica Buono, MPH, William Spalding, MS, Huan Huang, PhD, Michael Munsell, BA, Douglas Taylor, BS, MBA, Robyn Carson, MPH, Robert Griffiths, MS, ScD, Forest Research Institute, Jersey City, NJ, Ironwood Pharmaceuticals Inc., Cambridge, MA, Formerly of Boston Health Economics, Boston, MA, Boston Health Economics, Boston, MA P413. Unmet Treatment Needs Among Commercially Insured Patients With Irritable Bowel Syndrome With Constipation (IBS-C) or Chronic Constipation (CC) in the U.S. Judith Stephenson, SM, Jessica Buono, MPH, William Spalding, MS, Qian Cai, MS, MSPH, Hiangkiat Tan, MS, BPharm, Robyn Carson, MPH, Jalpa Doshi, PhD, HealthCore Inc, Wilmington, DE, Forest Research Institute, Jersey City, NJ, Ironwood Pharmaceuticals, Cambridge, MA, University of Pennsylvania, Philadelphia, PA P414. Inflammatory Bowel Disease Quality Measure Results in a Large National Plan Dataset Joseph Tkacz, MS, Brenna Brady, PhD, Roxanne Meyer, PhD, Jennifer Lofland, PharmD, PhD, Nayantara Coelho Prabhu, MD, Charles Ruetsch, PhD, Health Analytics, LLC, Columbia, MD, Janssen Scientific Affairs, LLC, Horsham, PA, Mayo Clinic, Dept. of Gastroenterology and Hepatology, Rochester, MN P415. Appropriateness of Total Parental Nutrition: A Quality Improvement Endeavor Mitesh Bhalala, MD, Pauline Hackney, MS, RD, CDE, Brad Dworkin, MD, FACG, Gastroenterology, New York Medical College, Yonkers, NY P416. Gastroesophageal Reflux in a Cohort of Morbidly Obese Patients Before and After Sleeve Gastrectomy Amy Stratton, DO, Manish Singla, MD, John Betteridge, MD, Yen-Ju Chen, BSN, MSN, CGRN, Lavern Belle, BS, Corinne Maydonovitch, BS, Fouad Moawad, MD, FACG, Walter Reed National Military Medical Center, Bethesda, MD 56 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P429. Bilateral Versus Unilateral Stenting for Malignant Hilar Obstruction: A Meta-analysis Shadi Al Halabi, MD, MPH, Tarek Sawas, MD, John Vargo, MD, MPH, FACG, Cleveland Clinic, Cleveland, OH, Georgetown University Medstar Washington Hospital Center, Washington, DC P430. Risks of Endoscopic Complications in Patients With Neutropenia: A Population-Based U.S. Study Erik Rahimi, MD, Sachin Batra, MD, MPH, Shaheryar Siddiqui, MBBS, Sushovan Guha, MD, PhD, Gastroenterology, Hepatology, Nutrition, University of Texas Medical School at Houston, Houston, TX P431. Morbidity and Mortality for Patients With PSC Is Higher When Compared to Patients With PSC and IBD 2014 ACG Presidential Poster Award Ankush Sharma, MD, MPH, Mazen Jamal, MD, Mehrtash Hashemzadeh, MS, University of California Irvine, Orange, CA, Long Beach VA Hospital, Long Beach, CA P432. POSTER WITHDRAWN POSTERS SUNDAY P417. Readmission Rates for Hepatic Encephalopathy in West Texas: Common and Correctable Precipitating Factors Supannee Rassameehiran, MD, Charoen Mankongpaisarnrung, MD, Grerk Sutamtewagul, MD, Ariwan Rakvit, MD, FACG, Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, Lubbock, TX P418. Laparoscopic Cholecystectomy for Biliary Dyskinesia: Does Ejection Fraction Predict Long-term Symptom Relief? Karthik Penumetsa, MD, Shashank Ponugoti, MD, Srinivasan Ganesan, MD, West Virginia School of Medicine, Department of Digestive Diseases, Morgantown, WV, West Virginia School of Medicine, Clinical and Translational Sciences (CTSI), Morgantown, WV P419. Functional Dyspepsia and Prokinetics: A Systematic Review of Gastric Emptying, Health-Related Quality of Life and Symptom Severity Kelly Everhart, MS, Brian Lacy, MD, PhD, Dartmouth-Hitchcock Medical Center, Lebanon, NH P420. Multicenter Colonoscopy Quality Measurement Utilizing Natural Language Processing Timothy Imler, MD, MS, Justin Morea, DO, MS, Charles Kahi, MD, FACG, Huiping Xu, PhD, Cynthia Calley, MS, Thomas Imperiale, MD, FACG, Gastroenterology, Indiana University School of Medicine, Indianapolis, IN P421. Age, Gender, Insurance, and Race: Risk Factors for Early Repeat Colonoscopy Timothy Imler, MD, MS, Nathan Ring, MS, Cynthia Calley, MS, Huiping Xu, PhD, Gastroenterology, Indiana University School of Medicine, Indianapolis, IN, Regenstrief Institute, Indianapolis, IN, Indiana University School of Medicine, Indianapolis, IN P422. An Indirect Comparisons Analysis of Biologic Medications in the Induction of Response and Remission in Crohn’s Disease Sandeep Dayanand, MD, Pradeep Dayanand, MBBS, Elie Donath, MD, Daniel Sussman, MD, Amar Deshpande, MD, JFK Medical Center/ Regional Campus University of Miami Miller School of Medicine, West Palm Beach, FL, University of Miami, Miami, FL, Mamata Medical College, Khammam, India P423. Early Nasoenteral Tube (NET) Is Associated With Higher Mortality Compared to Early PEG Tube in Stroke Patients Admitted With Dysphagia in the United States Samer El-Dika, MD, MS, Somashekar Krishna, MBBS, MPH, Jeffery Groce, MD, MS, Peter Stanich, MD, Hisham Hussan, MD, Alice Hinton, PhD, Darwin Conwell, MD, MS, Division of Gastroenterology, Hepatology and Nutrition, The Ohio State University-Wexner Medical Center, Columbus, OH, Division of Biostatistics,College of Public Health, The Ohio State University, Columbus, OH P424. Protein-Calorie Malnutrition Is Associated With Increased Risk of Complications, Length of Stay, and Overall Cost in Patients Hospitalized With Acute on Chronic Pancreatitis (ACP): A Population Based CaseControl Study Pragnesh Patel, MD, Sachin Batra, MD, MPH, Nirav Thosani, MD, MHA, Sushovan Guha, MD, PhD, University of Texas Health Sciene Center at Houston, Houston, TX, Stanford University, School of Medicine, Stanford, CA P425. Is Current Treatment of Hepatitis C Type 2 Cost Effective? Iryna Hepburn, MD, GSH, Lititz, PA P426. Is Current Treatment of Hepatitis C Type 1 Too Costly? Iryna Hepburn, MD, GSH, Lititz, PA P427. Probiotic Use for Management of Pouchitis: A Systematic Review and Meta-analysis Imran Ashraf, MD, Umair Sohail, MD, Murtaza Arif, MD, Sameer Siddique, MD, Matthew Bechtold, MD, FACG, Abhishek Choudhary, MD, Division of Gastroenterology, University of Missouri - Columbia, Columbia, MO P428. Test Characteristics of Fecal Immunochemical Tests for Colorectal Cancer and Advanced Adenoma: Systematic Review and Meta-Analysis Patrick Barrett, MD, MA, Timothy Stump, MA, Patrick Monahan, PhD, Thomas Imperiale, MD, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, Department of Biostatistics, Indiana University School of Medicine, Indianapolis, IN INFLAMMATORY BOWEL DISEASE P433. Comparison of Cost per Responder and Remitter in Patients With Inflammatory Bowel Disease in the United States: An Indirect Comparison of Adalimumab and Vedolizumab Yifei Liu, PhD, A Burak Ozbay, BPharm, MBA, PhD, Martha Skup, PhD, William Reichmann, MA, Melissa Diener, BA, Jingdong Chao, PhD, University of Missouri-Kansas City, Kansas City, MO, AbbVie Inc., North Chicago, IL, Analysis Group, Inc., Boston, MA P434. Analysis of Epidemiology and Clinical Characteristics of Inflammatory Bowel Disease Over a 15-Year Period Jianfeng Cheng, MD, PhD, Min Lei, MD, Stephen Bickston, MD, Qian Cao, MD, PhD, Sir Run Run Shaw Hospital, Hangzhou, China, University of North Carolina, Charlotte, NC, Virginia Commonwealth University, Richmond, VA P435. Demographic Characteristics of a Predominantly Hispanic Population With Inflammatory Bowel Disease in a U.S.-Mexico Border City Antonio Mendoza Ladd, MD, Christine Yu, MD, Sherif Elhanafi, MD, Yi Jia, MD, Mark Hall, MS IV, Alok Dwivedi, PhD, Jiayang Liu, MS, Gengqing Song, MD, PhD, Marc Zuckerman, MD, FACG, Texas Tech University Health Sciences Center, El Paso, TX P436. An In vitro Model of Graded Epithelial Barrier Leak in IBD Katherine DiGuilio, BS, Christina Mercogliano, BA, Brendan Ferraro, BS, Julie To, BS, Brittany Mixson, BS, James Mullin, PhD, FACG, Lankenau Institute for Medical Research, Wynnewood, PA, Division of Gastroenterology, Lankenau Medical Center, Wynnewood, PA P437. Mucosal Gene Signature May Predict Flare-up Likelihood Following Mindfulness Based Stress Reduction (MBSR) in Ulcerative Colitis (UC) Patients Sharon Jedel, PsyD, Robin Voigt, PhD, Christopher Forsyth, PhD, Arthur Hoffman, MD, Shohreh Raeisi, MS, Maliha Shaikh, MS, Garth Swanson, MD, Ece Mutlu, MD, April Taylor-Cliff, PhD, Megan Hood, PhD, Stevan Hobfoll, PhD, Ali Keshavarzian, MD, University Gastroenterologists, Rush University Medical Center, Chicago, IL, Rush University Medical Center- Dept. of Behavioral Sciences, Chicago, IL P438. Dietary Practices in Patients With Inflammatory Bowel Disease: Food for Thought Hannah Burns, MBChB, Divya Aggarwal, MD, John McLaughlin, BSc, MB ChB, PhD, Jimmy Limdi, MBBS, FACG, Gastroenterology, Pennine Acute Hospitals NHS Trust, Manchester, United Kingdom, Institute of Inflammation and Repair, University of Manchester, Manchester, United Kingdom 57 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P439. Clinical Characteristics and Natural History of Crohn’s Disease Patients With Endoscopic Skipping of Distal Terminal Ileum on Ileoscopy Parakkal Deepak, MBBS, Joel Fletcher, MD, Jeff Fidler, MD, Sunil Samuel, MBBS, PhD, Edward Loftus, MD, FACG, John Barlow, MD, Stephanie Hansel, MD, Brenda Becker, BSc, Ishrat Mansuri, MBBS, David Bruining, MD, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, Department of Radiology, Mayo Clinic, Rochester, MN, Division of Gastroenterology and Hepatology, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom, Division of Pediatric Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN P440. CD4 Count Does Not Impact Disease Severity in HIV Positive Patients With Ulcerative Colitis Meira Abramowitz, MD, Rajesh Ramachandran, MD, Charles Koczka, MD, Garrett Lawlor, MD, SUNY Downstate Medical Center, Brooklyn, NY, VA Harbor Health System, Brooklyn, NY P441. Hispanic Ethnicity Is Associated With Milder Disease Severity in Crohn’s Disease but Not Ulcerative Colitis Christie Choi, MD, Amit Singal, MD, MS, Kunjali Padhya, MD, Avegail Flores, MD, Prabhakar Swaroop, MD, Ezra Burstein, MD, Tasneem Ahmed, DO, Digestive Diseases, University of Texas Southwestern Medical Center, Dallas, TX P442. Vedolizumab Induces Clinical Response and Remission Across a Range of Baseline Fecal Calprotectin Levels in Patients With Ulcerative Colitis: Results From GEMINI 1 Tim Wyant, PhD, James Lewis, MD, FACG, Walter Reinisch, MD, PhD, Themistocles Dassopoulos, MD, Philip Ginsburg, MD, FACG, Bruce Sands, MD, FACG, Brian Feagan, MD, FACG, Silvio Danese, MD, PhD, Arne Roseth, MD, PhD, Maria Rosario, PhD, Huyuan Yang, PhD, Asit Parikh, MD, PhD, Brian Bressler, MD, MS, FRCPC, Takeda Pharmaceuticals International Co., Cambridge, MA, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria, Gastroenterology Division, Washington University School of Medicine, St. Louis, MO, Gastroenterology Center of Connecticut, Hamden, CT, Icahn School of Medicine at Mount Sinai, New York, NY, Robarts Research Institute, University of Western Ontario, London, ON, Canada, Istituto Clinico Humanitas, Milan, Italy, Lovisenberg Diaconal Hospital, Oslo, Norway, Takeda Pharmaceuticals International, Inc., Deerfield, IL, Division of Gastroenterology, University of British Columbia, Vancouver, BC, Canada P443. Clinical Benefit of Adalimumab Dose Adjustment for Patients With Moderately to Severely Active Crohn’s Disease in EXTEND Jean-Frederic Colombel, MD, Paul Rutgeerts, MD, William Sandborn, MD, Douglas Wolf, MD, Walter Reinisch, MD, Gert Van Assche, MD, Samantha Eichner, MD, Qian Zhou, PhD, Joel Petersson, MD, Anne Robinson, MD, Roopal Thakkar, MD, Icahn School of Medicine at Mount Sinai, New York, NY, University of Leuven, Leuven, Belgium, University of California San Diego, La Jolla, CA, Atlanta Gastroenterology Associates, Atlanta, GA, McMaster University, Hamilton, ON, Canada, AbbVie Inc, North Chicago, IL P444. Improvement of C-Reactive Protein in Certolizumab Pegol Responders but Not in Non-Responders in Crohn’s Disease Douglas Wolf, MD, FACG, Christine Wolf, MD, Atlanta Gastroenterology Associates, Atlanta, GA P445. Evaluation of an Interim Crohn’s Disease Outcome Measure (PRO−2) Based on 2 Patient-Reported Components (Stool Frequency, Abdominal Pain) of the Crohn’s Disease Activity Index (CDAI) in the Ustekinumab CERTIFI Study Christopher Gasink, MD, Joshua Friedman, PhD, Long long Gao, PhD, Daphne Chan, PhD, William Sandborn, MD, Brian Feagan, MD, Janssen R&D, LLC, Spring House, PA, University of California San Diego, La Jolla, CA, Robarts Research Institute, London, ON, Canada P446. Etrolizumab Population Pharmacokinetics (Pop PK) and Covariate Analysis in Patients With Moderately to Severely Active Ulcerative Colitis (UC) Xiaohui (Tracey) Wei, PhD, Diana Luca, PhD, Yehong Wang, PhD, Sharon O’Byrne, MD, Rich Erickson, PhD, John Davis, PhD, Meina Tang, PhD, Genentech, Inc., South San Francisco, CA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P447. Pregnancy Outcomes After Exposure to Certolizumab Pegol: Results From Safety Surveillance Uma Mahadevan, MD, Séverine Vermeire, MD, Douglas Wolf, MD, Frauke Förger, MD, John Cush, MD, Amanda Golembesky, PhD, Laura Shaughnessy, PhD, Dirk De Cuyper, PhD, Kristel Luijtens, PhD, Sarah Abbas, MD, Megan Clowse, MD, UCSF Medical Center, San Francisco, CA, University Hospitals Leuven, Leuven, Belgium, Atlanta Gastroenterology Associates, Atlanta, GA, University of Bern, Bern, Switzerland, Baylor Research Institute and Baylor University Medical Center, Dallas, TX, UCB Pharma, Raleigh, NC, Duke University Medical Center, Durham, NC P448. Comparative Efficacy of Pharmacological Interventions for PostOperative Prophylaxis After Surgical Resection in Crohn’s Disease: A Systematic Review and Network Meta-analysis Siddharth Singh, MD, Sushil Kumar Garg, MBBS, Darrell Pardi, MD, MS, FACG, Zhen Wang, PhD, Mohammad Murad, MD, MPH, Edward Loftus, MD, FACG, Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, University of Minnesota, Minneapolis, MN P449. Idiopathic Inflammatory Demyelinating Disease of the Central Nervous System in Patients With Inflammatory Bowel Disease Kara De Felice, MD, Martina Novotna, MD, William Faubion, MD, William Tremaine, MD, Orhun Kantarci, MD, Laura Raffals, MD, Mayo Clinic Gastroenterology and Hepatology, Rochester, MN, Mayo Clinic Neurology, Rochester, MN P450. The Usefulness of Capsule Enteroscopy and Patency in the Management of Patients With Crohn’s Disease João Santos-Antunes, MD, Helder Cardoso, MD, Margarida Marques, MD, Amadeu CR Nunes, MD, Susana Lopes, MD, Guilherme Macedo, MD, PhD, Centro Hospitalar S. João, Porto, Portugal P451. Early Life Environment and Natural History of Inflammatory Bowel Diseases Abra Guo, BS, Robin Wilson, BS, Betsy Stevens, BS, Caitlin Russell, BS, MS, Melissa Cohen, BS, Holly Sturgeon, BS, MPH, Cosmas Giallourakis, MD, Hamed Khalili, MD, MPH, Deanna Nguyen, MD, Jenny Sauk, MD, Ramnik Xavier, MD, PhD, Vijay Yajnik, MD, PhD, Ashwin Ananthakrishnan, MD, MPH, Gastrointestinal Unit, Massachusetts General Hospital, Boston, MA P452. Endoscopic Skipping of the Distal Terminal IIeum in Pediatric Crohn’s Disease Ishrat Mansuri, MBBS, Joel Fletcher, MD, Parakkal Deepak, MBBS, David Bruining, MD, Amy Kolbe, MD, Jeff Fidler, MD, Sunil Samuel, MBBS, PhD, Edward Loftus, MD, FACG, John Barlow, MD, Stephanie Hansel, MD, Brenda Becker, BSc, Jeanne Tung, MD, FACG, Division of Pediatric Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, Department of Radiology, Mayo Clinic, Rochester, MN, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom P453. The Novel PillCam Crohn’s Disease Capsule Demonstrates Similar Diagnostic Yield as Ileocolonoscopy in Patients With Active Crohn’s Disease: A Prospective Multicenter International Cohort Study Jonathan Leighton, MD, Debra Helper, MD, Pramod Malik, MD, Russell Havranek, MD, Kim Isaacs, MD, Iris Dotan, MD, Adi Lahat, MD, John Horlander, MD, Andrew Tinsley, MD, Ignacio Fernandez-Urien Sainz, MD, Bruno Rosa, MD, Gerrard Mullin, MD, Ian Gralnek, MD, Mayo Clinic, Scottsdale, AZ, Medicine, Indiana University School of Medicine, Indianapolis, IN, Gastroenterology Associates of Tidewater, Chesapeake, VA, Gastroenterology Clinic of San Antonio, San Antonio, TX, University of North Carolina, Chapel Hill, NC, Tel Aviv Sourasky Medical Center (Ichilov), Tel Aviv, Israel, Sheba Medical Center, Ramat Gan, Israel, Louisville Gastroenterology Associates, Louisville, KY, Penn State Hershey Medical Center, Hershey, PA, Hospital de Navarra, Pamplona, Spain, CentroHospitalar do Alto Ave, Guimaraes, Portugal, Johns Hopkins Medical Center, Baltimore, MD, Rambam Medical Center, Haifa, Israel 58 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P454. Outcomes of Fecal Microbiota Transplantation for C. difficile Infection in Patients With Inflammatory Bowel Disease 2014 ACG Presidential Poster Award Monika Fischer, MD, MS, Colleen Kelly, MD, Dina Kao, MD, Aishwarya Kuchipudi, MD, Syed-Mohammed Jafri, MD, Mark Blumenkehl, MD, Douglas Rex, MD, Mark Mellow, MD, Nirmal Kaur, MD, Harry Sokol, MD, PhD, Gwen Cook, MS, Emmalee Phelps, BA, Brian Sipe, MD, Medicine/Gastroenterology, IUPUI, Indianapolis, IN, Alpert School of Medicine of Brown University, Providence, RI, University of Alberta, Edmonton, AB, Canada, Henry Ford Hospital, Detroit, MI, Integris Digestive Health Center, Oklahoma City, OK, Hospital Saint-Antoine, Paris, France, St. John’s Hospital, Anderson, IN P455. Anal Intraepithelial Neoplasia: Another Cancer to Screen and Vaccinate for in Crohn’s Disease Mubarak Sayyar, MD, Tarek Sawas, MD, Mitesh Patel, MD, FACG, Washington Hospital Center, Washington, DC P456. Quantifying Fecal Tumor Necrosis Factor-α (TNF-α) in Active IBD Compared to Other Forms of Enterocolitis: A Prospective Study Melvin Bullock, MD, Ravi Kottoor, MD, Candace Aureleus, MD, University of Florida, Jacksonville, Jacksonville, FL P457. Non-Adherence to Topical Mesalamine in Patients With Ulcerative Colitis Amanda Ting, BSc, Adam Cheifetz, MD, FACG, Alan Moss, MD, FACG, Gastroenterology, BIDMC, Boston, MA P458. Physicians’ Perspective Regarding Adherence to Systemic Therapies for IBD and Other Immune-Mediated Inflammatory Diseases Ala Sharara, MD, FACG, Alfred Alfred Ammoury, MD, Jad Okais, MD, Raymond Sayegh, MD, American University of Beirut, Beirut, Lebanon, USJ, Beirut, Lebanon, Balamand University, Beirut, Lebanon, Lebanese University, Beirut, Lebanon P459. Segmental Sigmoid Polyposis as a Colonoscopic Indicator of an Ileo-Sigmoid Fistula (ISF) in Crohn’s Disease: A Newly Recognized Prognostic Entity Raja Taunk, MD, Vivek Kesar, MBBS, Burton Korelitz, MD, MACG, FACG, Lenox Hill Hospital, New York City, NY P460. SP-333, a Guanylate Cyclase C Agonist, Is Safe and WellTolerated, Locally Acting Drug Candidate for Treatment of Gastrointestinal Disorders and Diseases Laura Barrow, PharmD, John Foss, PhD, Stephen Comiskey, PhD, Rong Feng, PhD, Gary Jacob, PhD, Kunwar Shailubhai, PhD, MBA, R&D, Synergy Pharmaceuticals, Inc, Doylestown, PA P461. Food Avoidance and Use of Dietary Supplements Among Patients With Inflammatory Bowel Disease Tien-Chun Chen, MD, Guillermina Cruz, MD, Joseph Sellin, MD, Jason Hou, MD, Baylor College of Medicine, Houston, TX, Baylor College of Medicine; Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, Baylor College of Medicine; Center for Innovations in Quality, Effectiveness and Safety (IQuESt); Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX P462. Risk Factors for Campylobacter jejuni Infection and Impact on the Disease Course in Patients With Ulcerative Colitis Zubin Arora, MD, Xianrui Wu, MD, Saurabh Mukewar, MD, Bo Shen, MD, FACG, Cleveland Clinic Foundation, Cleveland, OH P463. Role of Colonic Expression of Wnt Inhibitory Factor-1 in Ulcerative Colitis Jayakrishna Chintanaboina, MD, MPH, Brittany Lippert, BS, Deep Patel, BS, Amanda Tracy, BS, Price Kimberly, BS, Alexander Lalos, MD, Bharat Patel, MD, Edward Sherwin, MD, Christopher Barbarevech, MD, David Rutta, MD, Matthew Haner, PhD, Linda Gutierrez, MD, Medicine, Penn State Hershey Medical Center, Hummelstown, PA, Wilkes University, Wilkes-Barre, PA, GI Consultants of Northeast Pennsylvania, Scranton, PA, Mansfield University, Mansfield, PA POSTERS SUNDAY P464. Endoscopic Balloon Dilation in Crohn’s Disease: The Real Impact on Clinical Disease Behavior Susana Lopes, MD, Patrícia Andrade, MD, Eduardo Rodrigues-Pinto, MD, Filipe Vilas-Boas, MD, Fernando Magro, MD, PhD, Guilherme Macedo, MD, PhD, FACG, Gastroenterology, Centro Hospitalar São João, Porto, Portugal P465. Endoscopic Recurrence After Ileocolectomy in Crohn’s Disease Susana Lopes, MD, Patrícia Andrade, MD, Eduardo Rodrigues-Pinto, MD, Filipe Vilas-Boas, MD, Fernando Magro, MD, PhD, Guilherme Macedo, MD, PhD, FACG, Gastroenterology, Centro Hospitalar São João, Porto, Portugal P466. POSTER WITHDRAWN P467. Budesonide Foam for Ulcerative Proctitis (UP) and Ulcerative Proctosigmoiditis (UPS): Subgroup Analyses of 2 Randomized, PlaceboControlled, Phase 3 Studies Brian Bosworth, MD, FACG, William Sandborn, MD, FACG, David Rubin, MD, FACG, Jing Yu, PhD, Andrew Barrett, PhD, Enoch Bortey, PhD, William Forbes, PharmD, New York-Presbyterian Hospital/Weill Cornell MedicalCollege, New York, NY, University of California San Diego, La Jolla, CA, University of Chicago Medicine, Chicago, IL, Salix Pharmaceuticals, Inc., Raleigh, NC P468. Diet Compliance and Its Measurement in a Clinical Trial of Crohn’s Disease Gayatri Sanku, BS, Prachi Chakradeo, MS, Susan Mikolaitis, MS, RDN, Ali Keshavarzian, MD, FACG, Shahriar Sedghi, MD, Louis Fogg, PhD, Ece Mutlu, MD, MBA, MS, FACG, Rush University Medical Center, Chicago, IL, Mercer University, Macon, GA P469. Prebiotic Compliance and Its Measurement in a Clinical Trial of Crohn’s Disease Gayatri Sanku, BS, Prachi Chakradeo, MS, Susan Mikolaitis, MS, RDN, Ali Keshavarzian, MD, FACG, Shahriar Sedghi, MD, Louis Fogg, PhD, Ece Mutlu, MD, MBA, MS, FACG, Rush University Medical Center, Chicago, IL, Mercer University, Macon, GA P470. Efficacy and Tolerability of Budesonide Foam With or Without Baseline 5-Aminosalicylic Acid Use in Patients With Ulcerative Proctitis (UP) or Ulcerative Proctosigmoiditis (UPS): Results of 2 Randomized, Placebo-Controlled, Phase 3 Studies William Sandborn, MD, FACG, Brian Bosworth, MD, FACG, David Rubin, MD, FACG, Jing Yu, PhD, Andrew Barrett, PhD, Craig Paterson, MD, William Forbes, PharmD, University of California San Diego, La Jolla, CA, New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY, University of Chicago Medicine, Chicago, IL, Salix Pharmaceuticals, Inc., Raleigh, NC P471. Characterization of Mucosal Healing With Adalimumab Treatment in Patients With Moderately to Severely Active Crohn’s Disease From EXTEND Walter Reinisch, MD, Jean-Frederic Colombel, MD, Geert D’Haens, MD, William Sandborn, MD, Paul Rutgeerts, MD, Joel Petersson, MD, Samantha Eichner, MD, Qian Zhou, PhD, Annalisa Iezzi, MD, Roopal Thakkar, MD, McMaster University, Hamilton, ON, Canada, Icahn School of Medicine at Mount Sinai, New York, NY, Academic Medical Center, Amsterdam, Netherlands, University of California San Diego, La Jolla, CA, University of Leuven, Leuven, Belgium, AbbVie Inc, North Chicago, IL P472. Different Methodologies for Determining Mayo Score in Clinical Studies Can Influence Disease Activity Assessments in Ulcerative Colitis Subrata Ghosh, MD, William Sandborn, MD, Julian Panés, MD, Geert D’Haens, MD, Nattanan Reilly, MD, Andreas Lazar, MD, Bidan Huang, PhD, Anne Robinson, MD, Roopal Thakkar, MD, University of Calgary, Calgary, AB, Canada, University of California San Diego, La Jolla, CA, Hospital Clinic University of Barcelona, Barcelona, Spain, Academic Medical Center, Amsterdam, Netherlands, AbbVie Inc, North Chicago, IL, AbbVie Deutschland GmbH and Co, KG, Ludwigshafen, Germany 59 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P473. Deep Remission With Vedolizumab in Patients With Ulcerative Colitis: Evaluating Various Combinations of Endoscopic and PatientReported Outcomes William Sandborn, MD, FACG, Jean-Frederic Colombel, MD, PhD, Remo Panaccione, MD, Karen Lasch, MD, Serap Sankoh, PhD, Brihad Abhyankar, MBA, Division of Gastroenterology, University of California San Diego, La Jolla, CA, Icahn School of Medicine at Mount Sinai, New York, NY, Department of Medicine, University of Calgary, Calgary, AB, Canada, Takeda Pharmaceuticals International, Inc., Deerfield, IL, Takeda Pharmaceuticals International Co., Cambridge, MA, Takeda Global Research and Development Centre (Europe) Ltd., London, United Kingdom P474. Vedolizumab Results in Durable Clinical Remission in Crohn’s Disease William Sandborn, MD, FACG, Silvio Danese, MD, PhD, Brihad Abhyankar, MBA, Walter Reinisch, MD, PhD, Jing Xu, PhD, Karen Lasch, MD, Catherine Milch, MD, Division of Gastroenterology, University of California San Diego, La Jolla, CA, IBD Center, Istituto Clinico Humanitas, Milan, Italy, Takeda Global Research and Development Centre (Europe) Ltd., London, United Kingdom, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria, Takeda Pharmaceuticals International Co., Cambridge, MA, Takeda Pharmaceuticals International, Inc., Deerfield, IL P475. Assessment of Fecal Markers and Clinical Outcomes in Patients With Moderately to Severely Active Ulcerative Colitis: Results From PURSUIT-SC Induction William Sandborn, MD, Brian Feagan, MD, Colleen Marano, PhD, Richard Strauss, MD, Jewel Johanns, PhD, Hongyan Zhang, PhD, Jean-Frederic Colombel, MD, Walter Reinisch, MD, Peter Gibson, MD, Judith Collins, MD, Dino Tarabar, MD, Zbigniew Hebzda, MD, Paul Rutgeerts, MD, University of California San Diego, La Jolla, CA, Robarts Research Institute, London, ON, Canada, Janssen R&D, LLC, Spring House, PA, CHU, Lille, France, U für Innere Medizin III/McMaster University, Vienna and Hamilton, Austria, Alfred Hospital, Melbourne, VIC, Australia, Oregon Health Sciences University, Portland, OR, Military Medical Academy, Belgrade, Serbia, Klinika Chorob Wewnetrznych, Krakow, Poland, U Hospital, Gasthuisberg, Leuven, Belgium P476. Predictors of Maintenance of Long-term Remission in Crohn’s Disease Patients Treated With Certolizumab Pegol: Multivariate and Univariate Analyses From the PRECiSE 3 Study William Sandborn, MD, Stefan Schreiber, MD, Corey Siegel, MD, Gil Melmed, MD, Dermot McGovern, MD, Bosny Pierre-Louis, PhD, Gordana Kosutic, MD, Marshall Spearman, MD, University of California San Diego, La Jolla, CA, Christian-Albrechts University at Kiel, Kiel, Germany, Dartmouth-Hitchcock Medical Center, Lebanon, NH, CedarsSinai Medical Center, Los Angeles, CA, UCB Pharma, Raleigh, NC P477. Clinical Outcomes in Continuous Clinical Responders With Moderately to Severely Active Ulcerative Colitis: Sub-analyses From the PURSUIT-SC Maintenance Study William Sandborn, MD, Jean-Frederic Colombel, MD, Walter Reinisch, MD, Peter Gibson, MD, Brian Feagan, MD, Colleen Marano, PhD, Richard Strauss, MD, Jewel Johanns, PhD, Hongyan Zhang, PhD, Haoling Weng, MD, MHS, Ruji Yao, PhD, Dino Tarabar, MD, Zbigniew Hebzda, MD, Paul Rutgeerts, MD, University of California San Diego, La Jolla, CA, Hôpital Claude Huriez, Lille, France, Universitätsklinik für Innere Medizin III/McMaster U, Vienna/Hamilton, Austria, Alfred Hospital, Melbourne, VIC, Australia, Robarts Research Institute, London, ON, Canada, Janssen R&D, LLC, Spring House, PA, Merck Sharp and Dohme, Kenilworth, NJ, Military Medical Academy, Belgrade, Serbia, Klinika Chorob Wewnetrznych,Krakow, Krakow, Poland, University Hospital Gasthuisberg, Leuven, Belgium P478. Serum Albumin as a Predictor of Long-term Response and Remission With Certolizumab Pegol for Crohn’s Disease: Results From 7-Year Data From the PRECiSE 3 Study William Sandborn, MD, Finlay Macrae, MD, Ian Lawrance, MD, David Sen, PhD, Sarah Abbas, MD, Kevin Douglas, MD, Gary Lichtenstein, MD, University of California San Diego, La Jolla, CA, Royal Melbourne Hospital, Melbourne, VIC, Australia, University of Western Australia, Fremantle Hospital, WA, Australia, UCB Pharma, Raleigh, NC, University of Pennsylvania School of Medicine, Philadelphia, PA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P479. Stratification of Crohn’s Disease Patients Using the Lemann Index to Quantify Gut Damage: A 5 Year Prospective Study 2014 ACG Governors Award for Excellence in Clinical Research 2014 ACG Presidential Poster Award Bhavana Bhagya Rao, MD, Claudia Ramos Rivers, MD, Jean-Frederic Colombel, MD, PhD, Miguel Regueiro, MD, Jason Swoger, MD, Marc Schwartz, MD, Leonard Baidoo, MD, Jana Hashash, MD, Arthur Barrie, MD, PhD, Michael Dunn, MD, David Binion, MD, Medicine, University of Pittsburgh, Pittsburgh, PA, Icahn School of Medicine at Mount Sinai, New York, NY INFLAMMATORY BOWEL DISEASE CLINICAL VIGNETTES P480. Crohn’s Flare Causes a Catastrophe Anam Khan, MD, Yamini Natarajan, MD, Joseph Sellin, MD, FACG, Internal Medicine, Baylor College of Medicine, Houston P481. Budd Chiari Syndrome Induced by Severe Ulcerative Colitis: A Case Report of Two Patients Without Thrombophilia 2014 ACG Presidential Poster Award Amar Mandalia, MD, Parit Mekaroonkamol, MD, Heba Iskandar, MD, MSc, Tanvi Dhere, MD, Emory University - Department of Internal Medicine, Atlanta, GA, Emory University - Division of Digestive Diseases, Atlanta, GA P482. Isolated Gastroduodenal Crohn’s Disease Matthew Sullivan, DO, Patrick Hickey, DO, Saba Ahmad, MD, Jeffrey Brodsky, MD, Hiral Shah, MD, Ronald Bross, MD, Lehigh Valley Health Network, Allentown, PA P483. Gastric Outlet Obstruction Caused by Crohn’s Disease Victor Velocci, MD, Mohammad Nasser, MD, Peter McCullough, MD, Internal Medicine, Providence Hospital, Southfield, MI, Baylor Heart and Vascular Institute, Dallas, TX P484. Crohn’s Disease Presenting as an Inflammatory Cecal Mass in an Asymptomatic Patient Svetlana Fridlyand, DO, David Wan, MD, Nassau University Medical Center, East Meadow, NY, New York-Presbyterian Hospital, New York, NY P485. Infliximab and Colchicine Therapy in the Treatment of Systemic Secondary Amyloidosis in Crohn’s Disease Geoffrey You, MD, William Ferges, MD, Kiron Das, MD, PhD, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, Division of Gastroenterology and Hepatology, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ P486. Case Report: Atypical Presentation of Pyelonephritis in a Crohn’s Disease Patient on Adalimumab Mohamad Houry, MD, Sara Wikstrom, MD, Angela Pham, MD, George Washington University Hospital, Washington, DC P487. Ménétrier’s Disease and Ulcerative Colitis: True, True and Unrelated? Bradley Anderson, MD, Seth Sweetser, MD, Mayo Clinic, Rochester, MN P488. An Abdominal Catastrophe in an Obstetric Patient: Perforated Crohn’s Disease Jessica Burgers, MD, John Leff, MD, Oscar Ruiz, MD, OhioHealth Riverside Methodist Hospital, Columbus, OH P489. Abdominal Actinomycosis Complicating Active Crohn’s Disease: A Case Report Ahmad Malli, MD, Guru Trikudanathan, MD, Courtney Ferch, MD, Ashish Malhotra, MD, University of Minnesota Medical Center, Minneapolis, MN, Minneapolis VA Medical Center, Minneapolis, MN P490. The Management of IBD With Biologics in the Third Trimester of Pregnancy Anish Mammen, MD, Burton Korelitz, MD, FACG, Lenox Hill Hospital, New York, NY 60 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P500. Impact of Methadone Dose and Baseline Bowel Movement Frequency on Efficacy of Lubiprostone for Opioid-Induced Constipation Byron Cryer, MD, FACG, Peter Lichtlen, MD, PhD, BBA, Martin Wang, MS, Taryn Losch-Beridon, BS, University of Texas Southwestern Medical School, Department of Internal Medicine, Digestive and Liver Diseases, and Veterans Affairs North Texas Health Care System, Dallas, TX, Sucampo AG, Zug, Switzerland, Sucampo Pharma Americas, LLC, Bethesda, MD P501. Guanylate Cyclase-C Receptor and Ligand Expression in Colonic Mucosa in Chronic Constipation Elizabeth Videlock, MD, Swapna Mahurkar-Joshi, PhD, Jill Hoffman, PhD, Wendy Shih, MS, Melissa Alberto, RN, Lin Chang, MD, FACG, David Geffen School of Medicine at UCLA, Los Angeles, CA P502. Patients With Diarrhea-Predominant Irritable Bowel Syndrome Have Lower Disease-Specific Quality of Life Than ConstipationPredominant Irritable Bowel Syndrome Prashant Singh, MD, Kyle Staller, MD, Kenneth Barshop, BS, Elaine Dai, BS, Jennifer Newman, BS, Sonia Yoon, MD, Shahar Castel, MAMS, Braden Kuo, MD, Gastroenterology, Massachusetts General Hospital, Newton, MA, Cornell Medical Center, New York, NY, University of Chicago, Chicago, IL P503. Evaluation of Alosetron Using the New FDA Composite Endpoint Demonstrates Strong Treatment Effect in Females With Severe Irritable Bowel Syndrome With Diarrhea Michael Camilleri, MD, FACG, Richard Krause, MD, FACG, Sandy Deveze, BS, Tharak Rao, MD, David Earnest, MD, FACG, Mayo Clinic College of Medicine, Rochester, MN, ClinSearch, LLC, Chattanooga, TN, Prometheus Laboratories Inc., San Diego, CA P504. Characteristics of Anal Sphincter Dysfunction Using High Resolution Manometry in Patients With Fecal Incontinence Rohan Mandaliya, MBBS, Anthony DiMarino, MD, Satish Rattan, PhD, Sidney Cohen, MD, Thomas Jefferson University, Philadelphia, PA, Abington Memorial Hospital, Abington, PA P505. Comparison of Generic to Disease-Specific Quality-of-Life Measures in Patients With Irritable Bowel Syndrome Samrath Singh, MD, Gregory Gudleski, PhD, Darren Brenner, MD, Laurie Keefer, PhD, Michael Sitrin, MD, Jeffrey Lackner, PsyD, Department of Medicine, University at Buffalo School of Medicine, SUNY, Buffalo, NY, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL P506. Understanding Gender Differences in IBS: The Role of Stress From the Social Environment 2014 ACG Presidential Poster Award Elyse Thakur, MA, Michael Gurtman, PhD, Gregory Gudleski, PhD, Laurie Keefer, PhD, Darren Brenner, MD, Silpa Mandava, MD, Jeffrey Lackner, PsyD, Wayne State University, Detroit, MI, University of Wisconsin-Parkside, Kenosha, WI, University at Buffalo, SUNY, Buffalo, NY, Northwestern University Feinberg School of Medicine, Chicago, IL POSTERS SUNDAY P491. Granulomatous Interstitial Nephritis as the Presenting Manifestation of Crohn’s Disease: A Case Report and Review of Literature Thoetchai Peeraphatdit, MD, Guru Trikudanathan, MD, Chris Shepela, MD, Department of Internal Medicine, University of Minnesota, Minneapolis, MN, Division of Gastroenterology, University of Minnesota, Minneapolis, MN, Division of Gastroenterology, Regions Hospital, Saint Paul, MN FUNCTIONAL BOWEL DISORDERS P492. Preliminary Experience With Dextranomer in Stabilized Sodium Hyaluronate (Solesta®) Injections in Adults With Fecal Incontinence Refractory to Medical Therapy Mohammed Saadi, MD, Sherif Elhanafi, MD, Reza Hejazi, MD, Eduardo Onate, MD, Richard McCallum, MD, FACG, Texas Tech University HSC Division of Gastroenterology, El Paso, TX P493. Prevalence of Irritable Bowel Syndrome Among Medical Students of a Medical School in Lima, Peru George Vasquez, Adriana Pezua, Julio Huapaya, Luis Marcos, MD, MPH, Sushovan Guha, MD, PhD, Jorge Machicado, MD, Universidad Peruana Cayetano Heredia, Lima, Peru, Forrest General Hospital, Hattiesburg, MS, University of Texas at Houston, Houston, TX, University of Pittsburgh Medical Center, Pittsburgh, PA P494. Constipation Predominant Irritable Bowel Syndrome (IBS-C) With Positive Lactulose Breath Test (LBT) Can Be Treated With Polyethylene Glycol (PEG) in lieu of Antibiotics Bingru Xie, MD, Shamik Shah, MD, Dharmesh Kaswala, MD, Nikolaos Pyrsopoulos, MD, PhD, MBA, Zamir Brelvi, MD, PhD, The University of Medicine and Dentistry of New Jersey, Newark, NJ P495. Translation and Validation of Enhanced Asian Rome 3 Questionnaires (EAR3-Q) in Bengali Language for Diagnosis of Functional Gastrointestinal Disorders Mohammed Rahman, MBBS, MD, Uday Ghoshal, MBBS, MD, DNB, DM, FACG, Ahm Rowshon, MBBS, MD, Faruque Ahmed, MBBS, MD, Md Kibria, MBBS, MD, Mahmud Hasan, MBBS, PhD, Kok-Ann Gwee, MBBS, MMed, PhD, William Whitehead, PhD, FACG, Department of Gastroenterology, Dhaka Medical College, Dhaka, Bangladesh, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh, Bangladesh Medical Research Council, Dhaka, Bangladesh, National University of Singapore, Singapore, Singapore, Center for Functional GI and Motility Disorders, University of North Carolina at Chapel Hill, Chapel Hill, NC P496. Chronic Dyspepsia in Patients With Diabetes Mellitus: Is There a Role for the Cholecystokinin-HIDA Scan? Sandar Linn, MD, Carmen Stanca, MD, In Seo, MD, Sury Anand, MD, The Brooklyn Hospital Center, Brooklyn, NY, Gastroenterology, The Brooklyn Hospital Center, Brooklyn, NY, Nuclear Medicine, The Brooklyn Hospital Center, Brooklyn, NY P497. Gastric Motility Disorders: A Possible Under-Diagnosed Cause of Non-Responsive Non-Ulcer Dyspepsia Carmen Stanca, MD, Sandar Linn, MD, Gregory Rozansky, MD, In Seo, MD, Sury Anand, MD, The Brooklyn Hospital, Brooklyn, NY, Gastroenterology, The Brooklyn Hospital Center, Brooklyn, NY, Nuclear Medicine, The Brooklyn Hospital Center, Brooklyn, NY P498. Risk of Serious Adverse Events With Alosetron Is Similar to or Less Than That Associated With Other Drugs Prescribed for Chronic GI Disorders Susan Lucak, MD, Jean Paul Nicandro, PharmD, David Earnest, MD, FACG, Weill Cornell Medical College, New York, NY, Prometheus Laboratories Inc., San Diego, CA P499. Week 2 Response Predicts Durable Response to Lubiprostone in Patients With Chronic Idiopathic Constipation Ayesha Akbar, MBChB (Hons), PhD, Taryn Losch-Beridon, BS, Martin Wang, MS, Peter Lichtlen, MD, PhD, BBA, Gastroenterology Department, St. Mark’s Hospital, London, United Kingdom, Sucampo Pharma Americas, LLC, Bethesda, MD, Sucampo AG, Zug, Switzerland FUNCTIONAL BOWEL DISORDERS CLINICAL VIGNETTES P507. A Case of Short Bowel Syndrome Managed With a Prescription Medical Food Product, Serum-Derived Bovine Immunoglobulin/Protein Isolate (SBI) Raouf Hilal, MD, University of Central Florida Medical School, Orlando, FL P508. Rapid Gastric Emptying: An Alternative Cause of Functional Dyspepsia Anna Platovsky, MD, Aaron Tokayer, MD, FACG, Internal Medicine, Montefiore Medical Center, Bronx, NY P509. Three Cases of Median Arcuate Ligament Syndrome in a Tertiary Care Setting Samuel Kallus, MD, Pooja Singhal, MD, Caren Palese, MD, Nadim Haddad, MD, Georgetown University Hospital, Washington, DC 61 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm ENDOSCOPY P521. Cholangitis Associated With Spyglass® Peroral Cholangiopancreatoscopy: A Systematic Review of the Literature Deniz Duman, MD, Sheila Bharmal, MD, Monica Gaidhane, MD, MPH, Reem Sharaiha, MD, Michel Kahaleh, MD, FACG, Division of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, NY P522. Increased Polyp Detection and Decreased Sedation Usage in an ASC Setting After Implementing Panorama Endoscopy Platform Blair Lewis, MD, FACG, Ian Gralnek, MD, MSHS, Melinda Lugay, RN, MS, CGRN, Carnegie Hill Endoscopy, New York, NY, Rambam Health Care Campus, Haifa, Israel P523. POSTER WITHDRAWN P524. Is Wireless Capsule Endoscopy Safe in Patients With Implantable Cardiac Devices? Anoop Appannagari, MD, Mukund Venu, MD, Loyola University Medical Center, Chicago, IL P525. Safety and Utility of Combined Radiofrequency Ablation (RFA) and Endoscopic Mucosal Resection (EMR) in a Single Endoscopic Therapy Session Swarup Kumar, MBBS, Swapna Devanna, MD, Emmanuel Gorospe, MD, MPH, Michele Johnson, BS, Lori Lutzke, BS, Magdalen Clemens, BS, Kristyn Maixner, MS, Kenneth Wang, MD, FACG, Prasad Iyer, MD, MS, FACG, Gastroenterology, Mayo Clinic, Rochester, MN P526. Risk Factors for Incomplete Inpatient Video Capsule Endoscopy Andrew Watson, MD, Divya Bhatt, MD, Kristin McBeath, DO, Cemal Yazici, MD, Fredrik Langi, MD, Russell Brown, MD, FACG, Brian Boulay, MD, MPH, University of Illinois Hospital and Health Sciences System, Chicago, IL, NorthShore University Health System, Evanston, IL P527. Prophylactic Tracheal Intubation Versus No Intubation for Upper GI Bleeding: Is There a True Difference in Patient Outcomes? A MetaAnalysis Ashraf Almashhrawi, MD, Rubayat Rahman, MD, Samuel Jersak, BS, Akwi Asombang, MD, Alisha Hinds, DO, Hazem Hammad, MD, Douglas Nguyen, MD, Matthew Bechtold, MD, FACG, Division of Gastroenterology, University of Missouri - Columbia, Columbia, MO, University of California - Irvine, Irvine, CA P528. Initial Experience With Endoscopic Sleeve Gastroplasty Feasibility and Reproducibility of Technique Reem Sharaiha, MD, MSc, FACG, Prashant Keida, MD, Nkhil Kumta, MD, Ersilia DeFilippis, MD, Andrea Benuveto, NP, Monica Gaidhane, MD, Alpana Shukla, MD, Louis Aronne, MD, Michel Kahaled, MD, Gastroenterology and Hepatology, Weill Cornell Medical Center, New York, NY P529. Per Oral Endoscopic Myotomy (POEM) for Achalasia: Effective, Durable and Safe Based on Outcomes of a Large Prospective Series Stavros Stavropoulos, MD, Rani Modayil, MD, Collin Brathwaite, MD, Sharon Taylor, MD, Douglas Katz, MD, Thomas Coppola, DO, Kumkum Patel, MD, David Friedel, MD, Bhawna Halwan, MD, James Grendell, MD, Winthrop University Hospital, Mineola, NY P530. A Pilot Study Regarding Safety and Histological Yield of Endoscopic Ultrasound (EUS) Guided Liver Biopsy With a 19 Gauge Core Histology Needle (CHN) for the Diagnosis and Staging of Benign Hepatic Parenchymal Disease Jason Huang, MBBS, Hassan Ghani, MS, Jason Samarasena, MD, Ke-Qin Hu, MD, John Lee, MD, Gary Kanel, MD, Kenneth Chang, MD, FACG, Gastroenterology, University of California Irvine, Irvine, CA, University of Southern California, Los Angeles, CA P531. IBD Surveillance Colonoscopies Require More Time and Medication Than Screening Colonoscopies for Non-IBD Patients Emilie Regner, MD, Gregory Austin, MD, MPH, Mark Gerich, MD, University of Colorado, Aurora, CO P510. Endoscopic Management of Complex Bariatric Surgery Complications Shabnam Sarker, MD, Jacobo Velazquez-Avina, MD, Klaus Mönkemüller, MD, PhD, University of Alabama at Birmingham Division of Gastroenterology and Hepatology, Birmingham, AL P511. Utility of Double Balloon Enteroscopy in Patients With Surgically Altered Bowel Anatomy After Bariatric Surgery Shabnam Sarker, MD, Jacobo Velazquez-Avina, MD, Matthew Skinner, MD, Shajan Peter, MD, Klaus Mönkemüller, MD, PhD, University of Alabama, Birmingham, AL P512. A Comparison of CT Imaging to Endoscopic Findings Sadra Azizi, MD, Pete Vlismas, MS IV, Zachary Feinberg, MD, Shawn Chaudhary, MD, Peter Ells, MD, FACG, Albany Medical Center, Albany, NY P513. AIMS 65 Scoring to Predict Clinical Outcomes in Upper Gastrointestinal Bleeding Taruna Bhatia, MD, Kinesh Changela, MD, Monica Kaminski, BS, Sury Anand, MD, Gastroenterology, The Brooklyn Hospital Center, New York, NY P514. Does Prior Therapy With Anti-acid Therapy Impact Clinical Outcomes in Upper Gastrointestinal Bleeding? A Retrospective Analysis in a Predominantly Minority Population Kinesh Changela, MD, Taruna Bhatia, MD, Sury Anand, MD, Gastroenterology, The Brooklyn Hospital Center, New York, NY P515. Validation of Glasgow-Blatchford Score in Predicting Severity of Upper GI Bleeding Taruna Bhatia, MD, Kinesh Changela, MD, Emmanuel Ofori, MD, Manhal Izzy, MD, Anju Malieckal, MD, Sury Anand, MD, Gastroenterology, The Brooklyn Hospital Center, New York, NY P516. AIMS 65 Scoring to Predict Clinical Outcomes in Upper Gastrointestinal Bleeding From Peptic Ulcer Disease Taruna Bhatia, MD, Kinesh Changela, MD, Monica Kaminski, BS, Sury Anand, MD, Gastroenterology, The Brooklyn Hospital Center, New York, NY P517. Clinical Utility of Integrated Molecular Pathology (IMP) in Determining the Malignant Potential of Pancreatic Cysts (n=492) Thomas Kowalski, MD, David Loren, MD, Ali Siddiqui, MD, H. Mertz, MD, D. Mallat, MD, Nadim Haddad, MD, Nidhi Malhotra, MD, M. Lybik, MD, Sandeep Patel, MD, E. Okoh, MD, Laura Rosenkranz, MD, M. Karasik, MD, M. Golioto, MD, J. Linder, MD, K. Callenberg, PhD, Sara Jackson, PhD, Catalano M, MD, M. AlHaddad, MD, Thomas Jefferson University, Philadelphia, PA, Indiana University, Indianapolis, IN, Nashville GI Specialists, Nashville, TN, Premier Gastroenterology of Texas, Dallas, TX, Georgetown University, Washington, DC, Northside Gastroenterology, Indianapolis, IN, University of Texas San Antonio, San Antonio, TX, Connecticut GI, Hartford, CT, RedPath Integrated Pathology, Pittsburgh, PA, Digestive Health Associates of Texas, Dallas, TX, St. Luke’s Medical Center, Milwaukee, WI P518. Optical Biopsy With Probe-Based Confocal Laser Endomicroscopy for Prediction of Residual Barrett’s After Complete Radiofrequency Ablation (RFA) – A Pilot Study Shajan Peter, MD, Kevin Cowley, MD, Klaus Mönkemüller, MD, PhD, Helmut Neumann, MD, Charles Wilcox, MD, MSPH, Gurudatta Naik, MPH, UAB, Birmingham, AL, University Erlangen - Nuremburg, Erlangen, Germany P519. Radiofrequency Ablation for Barrett’s Esophagus: Initial Outcomes From a Center Starting This Treatment Modality Kevin Cowley, MD, Shajan Peter, MD, Klaus Mönkemüller, MD, PhD, Charles Wilcox, MD, MSPH, UAB, Birmingham, AL P520. Cyanoacrylate Therapy for Bleeding Gastric Varices: A Communitybased Case Series and Results of a Survey of U.S. Endoscopists Louisa Ng, BS, Robert Barclay, MD, MSc, FRCP(C), Medicine, University of Illinois College of Medicine, Rockford, Illinois, Rockford, IL For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 62 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P532. Interim Analysis of the Effectiveness of the Endoscopy Core Curriculum in Gastroenterology Fellowship Training Programs Pichamol Jirapinyo, MD, Avlin Imaeda, MD, PhD, FACG, Christopher Thompson, MD, MHES, FACG, Yale New Haven Hospital, New Haven, CT, Brigham and Women’s Hospital, Boston, MA P533. Cost-Based Comparison of Anesthetist-Administered Propofol Versus Endoscopist-Directed Propofol as Sedation During Screening Colonoscopies in an Academic University Center Arjun Vaid, MD, Mohit Girotra, MD, Rayburn Rego, MD, Gastroenterology, University of Arkansas for Medical Sciences, Little Rock, AR P534. A National Survey of Physician Knowledge Regarding the Benefits of Percutaneous Endoscopic Gastrostomy (PEG) in Advanced Dementia Alan Wong, MD, MPH, Colin Howden, MD, FACG, Gastroenterology, Northwestern University, Chicago, IL P535. Impact of EUS-FNA on Patient Management, Resource Use, and Clinical Outcomes in Patients With Lung Cancer Rasha Issa, MD, Omar Majdobeh, MD, Laura Hamad, DO, Ronya Kawji, BS, Hesam Keshmiri, DO, MS, Zubin Patel, BS, Kamran Ayub, MD, Internal Medicine, St. James Franciscan Alliance, Oak Brook, IL, Silver Cross Hospital, New Lenox, IL, Advocate Christ Hospital, Oak Lawn, IL P536. The Safety and Efficacy of Single Balloon Enteroscopy in the Elderly Ashley Davis-Yadley, MD, Seth Lipka, MD, Andrea Rodriguez, MD, Kirbylee Nelson, MD, Vignesh Doraiswamy, BS, Roshanak Rabbanifard, MD, Ambuj Kumar, MD, MPH, Patrick Brady, MD, Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, FL, Department of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, Department of Internal Medicine, Division of Evidence Based Medicine and Outcomes Research, University of South Florida Morsani College of Medicine, Tampa, FL, University of South Florida Morsani Medical School, Tampa, FL P537. The Role of HAS-BLED Scoring in Single Balloon Enteroscopy Ashley Davis-Yadley, MD, Jonathan Keshishian, MD, Christian Andrade, MD, Seth Lipka, MD, Andrea Rodriguez, MD, Kirbylee Nelson, MD, Kimberly Kolkhorst, DO, Vignesh Doraiswamy, BS, Roshanak Rabbanifard, MD, Ambuj Kumar, MD, MPH, Patrick Brady, MD, FACG, Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, FL, Department of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, Department of Internal Medicine, Division of Evidence Based Medicine and Outcomes Research, University of South Florida Morsani College of Medicine, Tampa, FL, University of South Florida Morsani Medical School, Tampa, FL P538. Accuracy of Capsule Endoscopy to Determine the Lesion Location and Route of Insertion for Enteroscopy in the Evaluation of Small Bowel Disease Meagan Gray, MD, Andrew Brock, MD, Brenda Hoffman, MD, Division of Gastroenterology, Hepatology and Nutrition, Medical University of South Carolina, Charleston, SC P539. Outcome of Endoscopic Mucosal Resection of Duodenal Adenomas: An Update Luke McCrone, MB, BCh, Michael Bartel, MD, Ruchir Puri, MD, Timothy Woodward, MD, Mayo Clinic, Jacksonville, FL P540. Pre-Procedural Patient Education Reduces Fall Risk in an Outpatient Endoscopy Suite Moira Hilscher, MD, Desiree Tynsky, RN, Sunanda Kane, MD, MSPH, FACG, Department of Medicine, Mayo Clinic, Rochester, MN, Mayo Clinic Department of Nursing, Rochester, MN P541. LPOSTER WITHDRAWN POSTERS SUNDAY P542. Balloon-Occluded Retrograde Transvenous Obliteration of Gastric Fundal Varices: A Single Center Experience From Qatar Muneera Mohannadi, MD, Rafie Yakoub, MD, Ahmad Omar, MD, Moatasem Bellah A S Gomaa, MD, Waleed Ibrahim, MD, Division of Gastroenterology and Hepatology,Department of Medicine, Hamad General Hospital, Doha, Qatar, Department of Intervential Radiology, Hamad General Hospital, Doha, Qatar, Department of Medicine, Hamad General Hospital, Doha, Qatar P543. A Low-Volume Sodium Picosulfate and Magnesium Citrate Bowel Preparation Has No Effect on Cardiovascular Parameters in Patients Preparing for Colonoscopy Gerald Bertiger, MD, Michael Epstein, MD, FACG, Dennis Marshall, RN, PhD, David Dahdal, PhD, Raymond Joseph, MD, FACG, Hillmont GI, Flourtown, PA, Digestive Disorders Associates, Annapolis, MD, Ferring Pharmaceuticals Inc, Parsippany, NJ P544. Renal Function Decline in Patients Receiving Sodium Picosulfate/ Magnesium Citrate or 2L PEG+Bisacodyl in Preparation for Colonoscopy: A Retrospective Analysis Gerald Bertiger, MD, Andrey Pavlov, PhD, Richard Willey, MS, Susan Johansson, CCRA, Raymond Joseph, MD, FACG, Hillmont GI, Flourtown, PA, Everest Clinical Research Inc, Markham, ON, Canada, Ferring Pharmaceuticals Inc, Parsippany, NJ P545. Peroral Endoscopic Myotomy Improves Esophageal Body Motility in Patients With Short Achalasia Duration Ying-ying LI, MD, Enqiang Linghu, MD, Hai-qing HU, MD, Xiang-dong WANG, MD, The Chinese PLA General Hospital, Beijing, China P546. The Clinical Curative Effect Analysis of 41 Cases of Achalasia Underwent Asymptotic Full-Thickness Myotomy Type of Peroral Endoscopic Myotomy Enqiang Linghu, MD, Nan-jun Wang, MM, Xiang-dong Wang, BD, Hong Du, BD, Jiang-yun Meng, BD, Hong-bin Wang, BD, Jing Zhu, BD, Department of Gastroenterology and Hepatology, the Chinese PLA General Hospital, Beijing, China P547. Comparison of Peroral Endoscopic Myotomy With Right Shoulder Elevated Supine Position Versus Left Lateral Position for Achalasia Nan-jun Wang, MM, Enqiang Linghu, MD, Xiang-dong Wang, BD, Hong Du, BD, Jiang-yun Meng, BD, Jing Zhu, BD, Hong-bin Wang, BD, Department of Gastroenterology and Hepatology, the Chinese PLA General Hospital, Beijing, China P548. The Clinical Significance of Pressure Relief Degree for the Selection of Surgical Method of Peroral Endoscopic Myotomy for Achalasia Nan-jun Wang, MM, Enqiang Linghu, MD, Xiang-dong Wang, BD, Hong Du, BD, Jiang-yun Meng, BD, Jing Zhu, BD, Hong-bin Wang, BD, Department of Gastroenterology and Hepatology, the Chinese PLA General Hospital, Beijing, China P549. The Clinical Research for the Selection Criteria of Surgical Method of Peroral Endoscopic Myotomy for Achalasia Nan-jun Wang, MM, Enqiang Linghu, MD, Xiang-dong Wang, BD, Hong Du, BD, Jiang-yun Meng, BD, Jing Zhu, BD, Hong-bin Wang, BD, Department of Gastroenterology and Hepatology, the Chinese PLA General Hospital, Beijing, China P550. The Application of Inverse T Incision in Digestive Endoscopic Tunnel Technique Comparing With Longitudinal and Transverse Incision Yufei Wang, MD, Enqiang Linghu, MD, Xiangdong Wang, MD, Department of Gastroenterology and Hepatology, the Chinese PLA General Hospital, Beijing, China P551. Predictability of Capsule Endoscopy Referred to a Tertiary Care Center for Double Balloon Enteroscopy: Should Some Capsules Be Reread? Jatinder Goyal, MD, Ali Khan, MD, Hwasoon Kim, MS, Shajan Peter, MD, University of Alabama at Birmingham, Birmingham, AL P552. Analysis of a Grading System to Assess Quality of Small Bowel Preparation for Capsule Endoscopy: In Search of the Holy Grail Jatinder Goyal, MD, Anshum Goel, MD, Gerald Mcgwin, PhD, Frederick Weber, MD, University of Alabama at Birmingham, Birmingham, AL 63 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P553. High-Resolution Colonoscopy Does Not Improve Adenoma Detection Rate 2014 ACG Presidential Poster Award Praveen Koneru, MD, Samuel Han, MD, Anupam Singh, MD, John Levey, MD, UMass Memorial Medical Center, Worcester, MA P567. Incarceration of Umbilical Hernia Following Colonoscopy Abdullah Al-Shahrani, MBBS, Mohammed Ali, MD, Marie Borum, MD, MPH, EdD, FACG, Gastroeterology, George Washington University, Washington, DC P568. Gastro-Duodenal Artery (GDA) Pseudo-Aneurysm: Emerging Role of Endoscopic Ultrasound Avin Aggarwal, MD, Department of Medicine, Hennepin County Medical Center, Minneapolis, MN P569. A Case of Rectal Endometriosis Presented as Neoplasm Xinyan Yang, MD, Jianqiu Sheng, MD, Beijing Military General Hospital of PLA, Beijing, China P570. Endoscopic Closure of a Multifocal Leak From a Gastric Sleeve Janaki Patel, MD, Reza Akhtar, MD, Jersey Shore University Medical Center, Neptune Township, NJ P571. Ischemic Colitis After Routine Colonoscopy Hina Omar, MD, Scott Siglin, MD, Marc Fine, MD, Lutheran General Hospital, Park Ridge, IL ENDOSCOPY - CLINICAL VIGNETTES P554. Interesting Case of “Downhill” Varices Keta Vaidya, MD, Prithvi Sreenivasan, MD, MPH, FACG, Yale New Haven Hospital, New Haven, CT P555. Successful Closure of a Suture Line Leak Following Remnant Gastrectomy in a Patient With Gastrogastric Fistula Using an Over-TheScope Clip Harini Rathinamanickam, MD, Swapna Gayam, MD, Gastroenterology, West Virginia University Health Sciences Center, Morgantown, WV P556. Inflammatory Polyp Mimicking Local Recurrence of Gastric Cancer After Endoscopic Submucosal Dissection (ESD) Alain Harb, MD, Rami Tarabay, MD, Arthi Kumaravel, MD, Matthew Kroh, MD, John Vargo, MD, MPH, FACG, Amit Bhatt, MD, Cleveland Clinic Foundation, Cleveland, OH, American Univeristy of Beirut Medical Center, Beirut, Lebanon P557. Iatrogenically Induced Occult Gastro-Intestinal Bleed Kaartik Soota, MD, Kartik Ramakrishna, MD, Gokul Samudrala, MD, Deerajnath Lingutla, MD, Tarun Kothari, MD, FACG, Surinder Devgun, MD, Unity Health System, Rochester P558. Colonic Linear Hyperpigmentation in a Patient With Ulcerative Colitis Taking the Natural Supplement Indigo Naturalis Sasan Mosadeghi, MD, MS, Benny Liu, MD, Neil Stollman, MD, FACG, Alameda Health System/ Highland Hospital, Oakland, CA, Alta Bates Summit Medical Center, Oakland, CA P559. A Novel Technique in Removal of Completely Eroded Intraluminal Gastric Band Amala Talasila, MD, Daniel Brelian, MD, Ira Mayer, MD, Yuriy Tsirlin, MD, Rabin Rahmani, MD, Gastroenterology, Maimonides Medical Center, Brooklyn, NY P560. Think Outside the Box in Refractory Upper Gastrointestinal Hemorrhage Using Over-the-Scope Clip System Sreedevi Atluri, MD, Hernan Lopez, MD, Tagore Sunkara, MD, Andrea Culliford, MD, Jay Babich, MD, The Brooklyn Hospital Center, Brooklyn, NY, St. Barnabas Hospital, Bronx, NY P561. Bile Leak After Cholecystectomy Sultan Mahmood, MD, Mohammed Muqeet Adnan, MD, Salman Nusrat, MD, John Maple, MD, FACG, Internal Medicine, Oklahoma University Health Sciences Center, Oklahoma city, OK P562. It Looks Worse Than It Actually Is: Post Endoscopy Sialadenitis Phani Molakatalla, MD, MPH, Yogesh Govil, MD, Einstein Medical Center, Philadelphia, PA P563. Catch 22: Management Dillema of Gastrointestinal AVM Ajayi Tokunbo, MD, Arooj Hyat, MD, Albert Namias, MD, Salem Hospital, Salem, MA P564. Endoscopic Tissue Shielding Method With Polyglycolic Acid Sheet (PGA Sheet) and Fibrin Glue After ESD in 10 Consecutive Cases Masanobu Kodama, MD, Gastroenterology, Kinan Hospital, Tanabe, Japan P565. EUS-Guided Fiducial Placement Using a New Forward-Viewing Ultrasound Gastrovideoscope Harshit Khara, MD, Kimberly Fairley, MS, MD, Chuan Long Miao, MD, David Diehl, MD, Amit Johal, MD, Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, PA P566. Duodenal Gastrointestinal Stromal Tumor Masquerading as Refractory Bleeding Peptic Ulcer Stephen Oh, MBBS, BSc, John Evans, MD, Jason Conway, MD, MPH, Girish Mishra, MD, MPH, Rishi Pawa, MBBS, Section on Gastroenterology, Wake Forest School of Medicine, Winston-Salem, NC For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. PEDIATRICS P572. Gluten-Free Diet and Lipid Profile in Children With Celiac Disease Maria Luisa Forchielli, MD, MPH, FACG, Paola Fernicola, MD, Lucia Diani, RD, Barbara Scrivo, Nunzio Salfi, MD, Achille Pessina, MD, PhD, Mario Lima, MD, Silvana Ministeri, RN, Elisa Ballarini, MD, Maria Chiara Ragni, MD, Andrea Pession, MD, PhD, Medical School of Bologna, Bologna, Italy P573. A Randomized, Controlled Trial of Yoga in Pediatric Inflammatory Bowel Disease: Preliminary Findings Alycia Leiby, MD, Annette Langseder, RN, Rami Bustami, PhD, MBA, Minal Vazirani, MD, Madeline Marchell, YT, E-RYT, Madelana Ferrara, MA, E-RYT, IAYT, Joel Rosh, MD, Pediatric Gastroenterology, Goryeb Children’s Hospital Atlantic Health System, Morristown, NJ, Siegler Center for Integrative Medicine, Barnabas Health, Livingston, NJ, Integrative Medicine, Atlantic Health System, Morristown, NJ, Atlantic Center for Research, Atlantic Health System, Morristown, NJ P574. Predictors of Loss of Response to Infliximab in Pediatric Crohn’s Disease Praveen Kumar Conjeevaram Selvakumar, MD, Susan Szpunar, MPH, PhD, Hernando Lyons, MD, Pediatrics, St.John Hospital and Medical Center, Detroit, MI, Wayne State University School of Medicine, Detroit, MI P575. SPECT Nuclear Imaging: Improved Diagnostic Tool in Infants With Biliary Atresia Deepali Tewari, MD, Perry Gerard, MD, Richard Rosencrantz, MD, Department of Pediatrics, Section of Pediatric Gastroenterology and Hepatology, Maria Fareri Children’s Hospital New York Medical College, Valhalla, NY, Department of Nuclear Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY P576. Cardiac Structural and Functional Changes and Risk of Acute on Chronic Liver Failure in Biliary Atresia Patients Thaddaeus May, MD, Alex Tedesco, Charles Ho, Katherine Dong, Jayme Smith, Moreshwar Desai, MD, Ross Shepherd, MD, Pediatric Gastroenterology, Hepatology, and Nutrition, Baylor College of Medicine, Houston, TX, Rice University, Houston, TX PEDIATRICS - CLINICAL VIGNETTES P577. Pelvic Floor Dyssynergia Causing Constipation in a Patient With Prader-Willi Syndrome Juan Corral, MD, Rahul Kataria, MD, Dawn Vickers, RN, Rhagad Koutouby, MD, Baharak Moshiree, MD, MSCI, Department of Medicine, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, FL, Division of Gastroenterology, University of Miami Health System, Miami, FL, Division of Pediatric Gastroenterology, University of Miami Health System, Miami, FL 64 Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm P588. Assessment of Knowledge of Primary Care Providers Regarding Fecal Immunochemical Testing (FIT) for Colorectal Cancer Screening Mel Ona, MD, MS, MPH, MA, Charilaos Papafragkakis, MD, Daniel Bashari, MD, Zubin Tharayil, MD, Kinesh Changela, MD, Sushil Duddempudi, MD, Sury Anand, MD, Madhavi Reddy, MD, The Brooklyn Hospital Center, Brooklyn, NY, Lutheran Healthcare, Brooklyn, NY, North Shore-LIJ Health System, Manhasset, NY P589. Improving the Quality of Colonoscopy Bowel Preparation With a Fellow-Based Colonoscopy Clinic Michelle Cohen, MD, Amir Soumekh, MD, Brian Bosworth, MD, FACG, Gastroenterology, New York Presbyterian-Weill Cornell Medical Center, New York, NY P590. The Yield of Screening Colonoscopy in Potential Renal Transplant Recipients Turki AlAmeel, MBBS, Bahaa Bseiso, MD, Meteb AlBugami, MBBS, Sami AlMomen, MBBS, Lee Roth, MD, King Fahad Specialist Hospital, Dammam, Saudi Arabia, Department of Medicine, The Scarborough Hospital, Scarborough, ON, Canada P591. Low Prevalence of Advanced Histological Features in Diminutive Polyps Among a Minority Cohort Kristen Lee, MD, Lina Jandorf, MA, Steven Itzkowitz, MD, FACG, Icahn School of Medicine at Mount Sinai, New York, NY P592. Large (>5 mm) Hyperplastic Polyps That Are Proximal to the Sigmoid Are More Likely to Be Reclassified as Sessile Serrated Adenomas/Polyps Joseph Anderson, MD, Mikhail Lisovsky, MD, PhD, Mary Ann Greene, MS, Catherine Hagen, MD, Amitabh Srivastava, MD, White River Junction VAMC, White River Junction, VT, Dartmouth Hitchcock Medical Center, Lebanon, NH, Brigham and Women’s Hospital, Boston, MA, Dartmouth College, Hanover, NH, Massachusetts General Hospital, Boston, MA P593. A High Percentage of Advanced Adenomas Detected by Fecal Immunochemical Testing in an Underserved Population J. Christie Heller, MD, Angela Keniston, MSPH, Joel Levine, MD, Denver Health and Hospital, Denver, CO P594. A Multicenter, Randomized, Investigator-Blinded Study (MODEC) Comparing the Cleansing Quality and the Observed Lesion Detection Rate of Two Bowel Preparations: 2L Polyethylene Glycol With Electrolytes + Ascorbate Components (PEG+ASC) and Sodium Picosulfate/Magnesium Citrate (NaPic/MgCit) Jurgen Pohl, MD, Marc Halphen, MD, Hans Rudolf Kloess, MD, Wolfgang Fischbach, MD, Horst Schmidt Klinik, Wiesbaden, Germany, Norgine Ltd, Harefield, United Kingdom, Norgine GmbH, Marburg, Germany, Klinikum Aschaffenburg, Aschaffenburg, Germany P595. A Scoring System for Predicting the Risk of Advanced Proximal Neoplasia in Asymptomatic Adults Thomas Imperiale, MD, Patrick Monahan, PhD, Timothy Stump, MA, Elizabeth Glowinski, RN, David Ransohoff, MD, Medicine, Indiana University School of Medicine, Indianapolis, IN, Indianapolis Gastroenterology Research Foundation, Indianapolis, IN, University of North Carolina, Chapel Hill, IN P596. Racial Disparities in Colorectal Cancer Screening in an Equal Access Health Care System James Haddad, MD, Brett Partridge, MD, FACG, David You, MD, FACG, Naval Medical Center San Diego, Department of Internal Medicine, San Diego, CA, Naval Medical Center San Diego, Department of Gastroenterology, San Diego, CA P597. Prevalence of DNA Biomarkers in Fecal Immunochemical Test Positive and Negative Colorectal Cancers 2014 ACG Presidential Poster Award Theodore Levin, MD, Chyke Doubeni, MD, MPH, Christopher Jensen, PhD, Wei Zhao, MPH, Alexis Zebrowski, BA, Rebecca OldhamHaltom, MS, Hatim Allawi, PhD, Graham Lidgard, PhD, Douglas Corley, MD, PhD, Barry Berger, MD, Kaiser Permanete Division of Research, Oakland, CA, Family Medicine and Community Health, and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, Exact Sciences Corporation, Madison, WI POSTERS SUNDAY P578. Ischemic Cholangiopathy: A Consequence of Sickle Cell Disease? Maria Kassab, MD, Mitesh Bhalala, MD, Shireen Pais, MD, FACG, New York Medical College, Valhalla, NY COLORECTAL CANCER PREVENTION P579. Assessing Multiple Variables in Adenoma Detection: An Interim Analysis John Vizuete, MD, MPH, Gregg Wendorf, MD, MPH, Balaji Ayyar, MD, Greg Constantine, MD, Carlo Taboada, MD, Charles Randall, MD, University of Texas Health Science Center San Antonio, San Antonio, TX, University of Louisville School of Medicine, Louisville, KY, University of Texas Southwestern, Dallas, TX, Baylor College of Medicine, Houston, TX, Gastroenterology Research of America, San Antonio, TX P580. Diabetes Is Associated With Socioeconomic Disparities and More Comorbidities in Colorectal Cancer Surgery: A Nationwide Inpatient Sample Study Hisham Hussan, MD, Peter Stanich, MD, Darwin Conwell, MD, MS, Samer El-Dika, MD, MS, Somashekar Krishna, MD, MPH, Alice Hinton, PhD, Darrell Gray, MD, MPH, Section of Intestinal Neoplasia and Hereditary Polyposis (INHP), Department of Gastroenterology, Hepatology and Nutrition, The Ohio State University Medical Center, Columbus, OH, Department of Gastroenterology, Hepatology and Nutrition, The Ohio State University Medical Center, Columbus, OH, Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH P581. Colonic Stasis and Chronic Constipation: Demystifying Proposed Risk Factors for Polyp Formation and Colon Cancer in a Spinal Cord Injury VA Population Jason Colizzo, MD, Jonathan Keshishian, MD, Ambuj Kumar, MD, PhD, Gitanjali Vidyarthi, MD, Donald Amodeo, MD, Internal Medicine, University of South Florida, Tampa, FL, James A. Haley Veterans Hospital, Tampa, FL P582. A Cost Model of Screening and Treatment for Anal HPV, Anal Dysplasia, and Anal Cancer With Attention to Woman Undergoing Screening Colonoscopy Eli Ehrenpreis, MD, FACG, Dylan Smith, BS, Ibrahim Habib, MD, Andrew Mazulis, MD, NorthShore University HealthSystem, Evanston, IL, Advocate Lutheran General Hospital, Park Ridge, IL P583. Smoking Is Associated With an Increased Risk of Adenomas in Patients at High Risk for Colorectal Cancer Steven Zeddun, MD, Abdullah Al-Shahrani, MBBS, Vikesh Khanijow, MD, Timothy Dougherty, MD, Wadha Al-Jaser, MD, Brandon Rieders, MD, Marie Borum, MD, EdD, MPH, FACG, Division of Gastroenterology and Liver Diseases, George Washington University, Washington, DC P584. Does Mandatory Documentation of Colonoscopy Duration Enhance Adenoma Detection Rate? Sohaib Hassan, MD, Prashanthi Thota, MD, Jamak Modaresi Esfeh, MD, Rocio Lopez, MS, Madhusudhan Sanaka, MD, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH P585. In Vivo Diagnosis of Colorectal Polyps by GI Endoscopists Using HD Narrow-Band Imaging Jason Rocha, MD, Shuko Lee, MS, Lawrence Siegel, MD, Neha Mathur, MD, Suneal Agarwal, MD, Cesar Sostre, MD, Leon Kundrotas, MD, University of Texas Health Science Center at San Antonio, San Antonio, TX, Audie L. Murphy VA Hospital, San Antonio, TX P586. Prevalence and Gender Difference of Gastrointestinal Cancers and Polyps in Patients Presenting With Gastrointestinal Bleeding in Nepal Umid Shrestha, MD, PhD, Umid Shrestha, MD, PhD, Bishnu Jwarchan, MD, Medicine, Manipal College of Medical Sciences and Manipal Teaching Hospital, Pokhara, Nepal, Kaski Sewa Hospital and Research Center, Pokhara, Nepal P587. Ineffective Use of Fecal Blood Testing as a Lone Method for Colorectal Cancer Screening: Cancer Screening Is Only Useful When in Compliance With Recommendations Andrew Mowery, DO, Kimberly Fairley, MS, DO, Chuan Long Miao, MD, Christopher Valente, BS, Michael Komar, MD, Geisinger Medical Center, Danville, PA 65 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Sunday, October 19, 3:30 pm - 7:00 pm ENDOSCOPY VIDEO FORUM P598. Post-Colonoscopy Colorectal Cancer in the United Kingdom: A Double-Center Experience 2014 ACG Presidential Poster Award James Britton, MBChB, Lolita Chan, MBChB, Kirsty Allan, MBChB, Neeraj Prasad, MBChB, Regi George, MBBS, Pennine Acute Hospitals NHS Trust, Manchester, United Kingdom, Wigan and Leigh NHS Foundation Trust, Wigan, United Kingdom P600. Wide Field Endoscopic Mucosal Resection (EMR) for Barrett’s Esophagus With High-grade Dysplasia Timothy Wallace, Michael Bartel, MD, Michael Wallace, MD, FACG, Gastroenterology, Mayo Clinic, Jackonville, FL P601. Massive Jejunal Diverticular Bleeding Successfully Treated With Spirus Enteroscopy Rohan Mandaliya, MBBS, Mitchell Conn, MD, Abington Memorial Hospital, Abington, PA, Thomas Jefferson University, Philadelphia, PA P602. Successful Endoscopic Closure of Rectovesical Fistula With OVESCO Clip Ashwini Anumandla, MD, Shashank Ponugoti, MD, Phani Kumar Hukumathirao, MD, MBA, Srinivasan Ganesan, MD, West Virginia University, Morgantown, WV P603. Novel Technique for Intradiverticular Advanced Adenoma Resection Zilla Hussain, MD, John Levenick, MD, Stuart Gordon, MD, FACG, Gastroenterology, Dartmouth Hitchcock Medical Center, Lebanon, NH P604. POSTER WITHDRAWN P605. POSTER WITHDRAWN P606. POSTER WITHDRAWN COLORECTAL CANCER PREVENTION CLINICAL VIGNETTES P599. Metastatic Gastrointestinal Stromal Tumor Detected on CT Colonography After Negative Barium Enema Elizabeth Williams, DO, James Grendell, MD, Gastroenterology, Winthrop University Hospital, Mineola, NY For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 66 Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm MONDAY, October 20, 2014 P619. The Effect of Dietary n6:n3 Polyunsaturated Fatty Acid Ratio on Chronic Reflux Esophagitis in Rats Zehao Zhuang, MD, PhD, Dupeng Tang, MPhil, Jingjing Xie, MPhil, Jingjing Wei, MPhil, Jun Zhang, MPhil, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China P620. Factors Associated With Adherence to Endoscopic Surveillance in Patients With Non-Dysplastic Barrett’s Esophagus Supriya Rao, MD, Helen Lee, MD, Brian Jacobson, MD, MPH, Boston Medical Center, Boston, MA P621. Cryospray Ablation for Barrett’s High Grade Dysplasia in a Community-Based Barrett’s Registry of 965 Patients: 7 Year Follow-up Mark Johnston, MD, FACG, Hope Johnston, John Horwhat, MD, FACG, Lancaster Regional Medical Center, Lancaster, PA P622. Quality of the Evaluation and Management of Eosinophilic Predominant Inflammation of the Esophagus in a Busy Urban Hospital Center Salwa Hussain, MD, Daniyeh Khurram, MD, Jaspreet Ghumman, MD, Jeffrey Najor, MD, Micheal Piper, MD, FACG, Syed-Mohammed Jafri, MD, FACG, Providence Hospital and Medical Centers, Southfield, MI, Henry Ford Health System, Detroit, MI P623. Normal BMI Is Not Enough to Resist GERD Symptoms in Presence of Abdominal Obesity Shahid Karim, MD, Afsheen Faryal, MD, Wasim Jafri, MD, FACG, Saeed Hamid, MD, Zohaib Nawaz, MD, Liaquate National Hospital and Medical College, Karachi, Pakistan, Agha Khan University Hospital, Karachi, Pakistan P624. Clinicopathologic and Diagnostic Features of Esophagitis Dissecans Superficialis Ryan Romano, DO, Philip Hart, MD, Roger Moreira, MD, Karthik Ravi, MD, FACG, Seth Sweetser, MD, FACG, Mayo Clinic - Division of Anatomic Pathology, Rochester, MN, Mayo Clinic - Division of Gastroenterology and Hepatology, Rochester, MN P625. Effects of Individual Components of Metabolic Syndrome on GERD Prevalence in a National Study of 125,029 Patients: Diabetes, but Not Hypertension or Hyperlipidemia, Significantly Increases the Risk of GERD Independent of Obesity Arunkumar Muthusamy, MD, Rajesh Krishnamoorthi, MD, Palaniappan Manickam, MD, MPH, Mitchell Cappell, MD, PhD, FACG, Wayne State University/Detroit Medical Center, Detroit, MI, Mayo Clinic, Rochester, MN, Oakland University William Beaumont School of Medicine, Royal Oak, MI P626. Histopathologic Patterns Among Achalasia Subtypes Jamie Sodikoff, MD, Brandon Shetuni, MD, Peter Kahrilas, MD, FACG, Guang-Yu Yang, MD, PhD, John Pandolfino, MD, FACG, Northwestern University Feinberg School of Medicine, Chicago, IL P627. Associations Between Leptin, Ghrelin and Barrett’s Esophagus: A Case-Control Study With Stratified Analyses 2014 ACG Presidential Poster Award Stuart Thomas, MD, Douglas Corley, MD, PhD, MPH, FACG, Kaiser Permanente Medical Center, San Francisco, CA P628. Post-POEM and Gastrografin Swallow: What to Look For? Vivek Kesar, MBBS, Andrawes Sherif, MD, Matthew Muranaka, MD, Stephen Machnicki, MD, Gregory Haber, MD, Center for Advanced Endoscopy, Lenox Hill Hospital, New York, NY, Department of Radiology, Lenox Hill Hospital, New York, NY P629. Safety of Radiofrequency Ablation in the Porcine Esophagus With Implanted Magnetic Sphincter Augmentation Device Kee Don Choi, MD, Jason Huang, MD, Jason Samarasena, MD, Smith Brian, MD, Kenneth Chang, MD, FACG, H. H. Chao Comprehensive Digestive Disease Center, University of California Irvine, Irvine, CA P630. Barium Esophagram in Idiopathic Pulmonary Fibrosis Patients Being Evaluated for Lung Transplant Demonstrates Limited Utility Lucy Salieb, MD, Diana Kolman, MD, Namrata Patel, MD, Francis Cordova, MD, Yoshiya Toyoda, MD, Michael Smith, MD, MBA, Temple University School of Medicine, Philadelphia, PA ESOPHAGUS POSTERS MONDAY P607. Esophagogastric Fistula Related to Nissen Fundoplication Mariam Naveed, MD, Sachin Kukreja, MD, Kerry Dunbar, MD, PhD, Jennifer Rossen, Zeeshan Ramzan, MD, UT Southwestern Medical Center, Dallas, TX P608. Elimination of Moderate and Severe Regurgitation Is Sustained 4 Years After Magnetic Sphincter Augmentation (LINX) for GERD With Minimal Side Effects Philip Katz, MD, FACG, Kenneth DeVault, MD, FACG, Steven Edmundowicz, MD, Steven Schlack-Haerer, MD, Robert Ganz, MD, Einstein Medical Center Philadelphia, Philadelphia, PA, Mayo Clinic Florida, Jacksonville, FL, Washington University School of Medicine, St. Louis, MO, Gundersen Health System, La Crosse, WI, Minnesota Gastroenterology, Minneapolis, MN P609. Short-term Esomeprazole Treatment Resolves Reflux Symptoms in Subjects With Nonerosive Symptomatic Gastroesophageal Reflux Disease and Frequent Heartburn Philip Katz, MD, FACG, Anne LeMoigne, Kelly Park, PharmD, Charles Pollack, MD, PhD, Einstein Medical Center, Philadelphia, PA, Pfizer Consumer Healthcare, Madison, NJ P610. Hypercontractile (Jackhammer) Esophagus After Lung Transplantation Zubin Arora, MD, Sanath Allampati, MD, Rebecca Chota, MS, Rocio Lopez, MS, MPH, Sigurbjorn Birgisson, MD, Cleveland Clinic, Cleveland, OH P611. Revision of the GerdQ for Patients Referred for Wireless pH Testing Christopher Navas, BS, Brian Lacy, MD, PhD, FACG, Michael Crowell, PhD, FACG, Scott Gabbard, MD, Dartmouth Hitchcock Medical Center, Lebanon, NH, Cleveland Clinic, Cleveland, OH, Mayo Clinic, Scottsdale, AZ P612. The Effect of Food on the Bioavailability of Dexlansoprazole From the Dexlansoprazole Orally Disintegrating Tablet Formulation Michael Kukulka, BS, Sai Nudurupati, PhD, Maria Perez, MD, Takeda Development Center Americas, Inc., Deerfield, IL P613. Use of a Sleep Positioning Device Significantly Improves Nocturnal Gastroesophageal Reflux Symptoms Sanath Allampati, MD, Rocio Lopez, MS, Monica Ray, MD, Sigurbjorn Birgisson, MD, Scott Gabbard, MD, Gastroenterology, Cleveland Clinic, Cleveland, OH P614. The Hypercontractile (Jackhammer) Esophagus. Do the Numbers Matter? Sanath Allampati, MD, Rebecca Chota, MS, Zubin Arora, MD, Rocio Lopez, MS, MPH, Sigurbjorn Birgisson, MD, MA, Cleveland Clinic, Cleveland, OH P615. Serum Albumin Is an Independent Predictor of Early Mortality in Veteran Patients With Esophageal Cancer Ammar Nassri, MD, Sergio Huerta, MD, Stuart Spechler, MD, Zeeshan Ramzan, MD, Dallas VA Medical Center, UT Southwestern Medical Center, Dallas, TX P616. Underutilization of Esophageal Biopsies and Endoscopic Follow-up in Patient Populations at Higher Risk for Eosinophilic Esophagitis Kristina Ross, MD, Wataru Tamura, MD, University of Colorado Anschutz Medical Campus, Denver, CO P617. Appropriateness of Upper Gastrointestinal Endoscopy in Patients With Gastroesophageal Reflux Disease (GERD): A Single Center Experience Nneoma Okoronkwo, MD, Leroy Floyd, MD, Xiangli Li, MD, PhD, Yucai Wang, MD, PhD, Aleksey Tentler, MD, Neil Kothari, MD, Rutgers University - New Jersey Medical School, Newark, NJ, VA New Jersey Health Care System - East Orange, East Orange, NJ P618. The Histologic and Clinical Significance of Endoscopic “Islands” After Radiofrequency Ablation for Barrett’s Esophagus Tim McGorisk, MD, Kiran Bidari, MD, Shayan Nabavi Nouri, BS, Laurie Keefer, PhD, Srinadh Komanduri, MD, MS, Northwestern University Feinberg School of Medicine, Chicago, IL 67 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P631. A Retrospective Analysis and a New Type of Clinical Classification of Mallory-Weiss Syndrome Peiyuan Li, MD, PhD, Zhengbo Li, Post-Graduate, Dean Tian, MD, PhD, Division of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China P632. A Single Center Experience Comparing Surveillance of Barrett’s Esophagus in Subjects With Liver Cirrhosis and Those Without Cirrhosis Khalid George, MD, Sagger Mawri, MD, Syed-Mohammed Jafri, MD, Mark Blumenkehl, MD, FACG, Henry Ford Hospital - Department of Internal Medicine, Detroit, MI, Henry Ford Hospital - Department of Gastroenterology and Hepatology, Detroit, MI P633. Hypertensive Peristalsis of the Esophagus and Psychotropic Medications: A Retrospective Case Study Sachin Mohan, MD, PhD, Tara Lautenslager, MD, Thomas Judge, MD, Joshua Desipio, MD, Cooper University Hospital, Camden, NJ P634. Safety of Cryotherapy in Advanced Stage Esophageal Cancer: A Very Cool Treatment Option Toufic Kachaamy, MD, Jason Adam, MD, Alvin Zfass, MD, Gastroenterology, Cancer Treatment Center of America, Phoenix, AZ, Virginia Commonwealth University, Richmond, VA P635. Clinical Factors Do Not Explain Why Barrett’s Esophagus Primarily Occurs Among Non-Hispanic Whites in North Florida Ahmad Alkaddour, MD, Camille McGaw, MD, Rama Hritani, MD, Carlos Palacio, MD, MPH, Juan Munoz, MD, Kenneth Vega, MD, Division of Digestive Diseases and Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, OK, University of Florida Jacksonville - Gastroenterology, Jacksonville, FL, University of Florida Jacksonville Medicine, Jacksonville, FL P636. Endoscopic Management of Esophageal Anastomotic Leaks Following Surgery for Malignant Disease Eugene Licht, MD, Hans Gerdes, MD, Arnold Markowitz, MD, Emmy Ludwig, MD, Robin Mendelsohn, MD, Pari Shah, MD, Moshe Shike, MD, Nabil Rizk, MD, Vivian Strong, MD, Mark Schattner, MD, Memorial Sloan Kettering Cancer Center, New York, NY P637. Esophageal Dysmotility in Gastroesophageal Reflux Disease in the Era of High Resolution Manometry and the Chicago Classification Reza Hejazi, MD, Sherif Elhanafi, MD, Mohammed Saadi, MD, Richard McCallum, MD, FACG, Medicine, Texas Tech University Health Sciences Center, El Paso, TX P638. Clinical Significance of Pulsatile High Pressure Zones on High Resolution Esophageal Manometry in Dysphagia Patients Naueen Chaudhry, MD, Kamran Zahid, MD, Qing Zhang, MD, PhD, Internal Medicine, University of Florida, Gainesville, FL P643. Watch It Grow: Esophageal Impaction With Chia Seeds Rebecca Rawl, MD, MPH, Lauren Browne, MD, Carolinas Medical Center, Charlotte, NC P644. Mediastinal Gastrointestinal Stromal Tumor (GIST) in a Patient With Esophageal Colonic Interposition Zainab Shahnawaz, MD, Muhammad Arif, MD, Savio John, MD, Upstate Medical University, Syracuse, NY P645. When Diagnosing HIV Is a Good Thing: Cytomegalovirus Presenting as Gastroesophageal Junction Mass in a Young Patient With Weight Loss Jessica Davis, MD, Ramsey Daher, MD, Katherine Bull-Henry, MD, Internal Medicine, George Washington University, Washington, DC, Georgetown University, Washington, DC P646. Esophageal Leukoplakia: A Rare Cause of White Patches in Esophagus With Malignant Potential Komal Thind, MBBS, Shiva Ratuapli, MD, Amy Foxx-Orenstein, MD, David Fleischer, MD, Shiff Arthur, MD, Dora Lam-Himlin, MD, Gastroenterology, Mayo Clinic Arizona, Scottsdale, AZ, Laboratory Medicine and Pathology, Mayo Clinic Arizona, Scottsdale, AZ P647. Black Esophagus – Acute Esophageal Necrosis Hiren Patel, MD, Deepshikha Nag Chowdhury, MD, Nihar Shah, MD, Arya Karki, MD, Robert Spira, MD, FACG, St. Joseph’s Regional Medical Center, Paterson, NJ, Seton Hall University School of Health and Medical Sciences, South Orange, NJ P648. Aorto-Esophageal Fistula Fatal Complication Status Post Esophageal Stent for Esophagojejunostomy Anastamosis Leak Lakshmi Yarlagadda, MD, Belen Tesfaye, MD, Howard University Hospital, Washington dc, DC P649. An Interesting Case of Esophageal Intramural Pseudodiverticulosis With Tract Formation in an HIV Patient Victor Velocci, MD, Juan Blum-Guzman, MD, Bijo John, MD, Juan Munoz, MD, FACG, Internal Medicine, Providence Hospital, Southfield, MI, University of Florida Shands Hospital, Gastroenterology, Jacksonville, FL P650. Metastatic Breast Cancer With Odd Presentations Justin Cochrane, DO, Providence Sacred Heart Medical Center, Spokane, WA P651. Early Detection and Non-Surgical Treatment of Squamous Cell Carcinoma of the Esophagus Anthony Flaim, DO, Steven Lichtenstein, DO, Mainline Health, Philadelphia, PA, Mercy Fitzgerald Hospital, Darby, PA P652. Pure Primary Signet Ring Cell Adenocarcinoma of Non-Barrett’s Esophagus: Case Report of A Rare Tumor Simranjit Singh, MD, Sahibzada Latif, MD, FACG, Patricia Henry, DO, FACG, Manav Sharma, MD, Fnu Sanna, MD, Hafiz Khalid, MD, Ike Uzoaru, MD, FACG, Carle Foundation Hospital, University of Illinois at Urbana-Champaign, Urbana, IL P653. Verrucous Carcinoma of Esophagus: A Diagnostic Challenge Tarun Kukkadapu, MBBS, Bret Stysly, MD, Abul Rehman, MBBS, SUmanth Daram, MD, Georgia Regents University, Augusta, GA P654. Esophagitis Dissecans Superficialis (EDS) as a Rare Clinical Manifestation of a Paraneoplastic Syndrome Javed Sadiq, MD, Dimitrios Georgostathis, MD, Veronika Dubrovskaya, MD, FACG, SUNY Downstate Medical Center, Brooklyn, NY P655. Dysphagia in a Post-Surgical Patient Without a Stricture: Treatment With a Novel Large Caliber Fully Covered Self-Expanding Metal Stent Jerry Yu, MD, Zachariah Chandy, Bsc, Shawn Kaye, Bsc, Avanka Lowe, MD, Joshua Steichen, MD, John Lee, MD, Kenneth Chang, MD, FACG, Jason Samarasena, MD, University of California - Irvine, Orange, CA P656. Alendronate, an Unlikely Cause of Intramural Esophageal Hematoma Meira Abramowitz, MD, Dimitrios Georgostathis, MD, Evan Grossman, MD, FACG, SUNY Downstate Medical Center, Brooklyn, NY ESOPHAGUS - CLINICAL VIGNETTES P639. Double Stenting for Malignant Broncho-Esophageal Fistula: A Viable Option for Palliation in Advanced Esophageal Cancer Prathab Devaraj, MD, Shashank Ponugoti, MD, Swati Pawa, MD, West Virginia University - Department of Digestive Diseases, Morgantown, WV, West Virginia University - Department of Internal Medicine/Clinical and Translational Siences (Ctsi), Morgantown, WV P640. Massive Gastrointestinal Hemorrhage Due to Candida Esophagitis: An Unusual Presentation Alicia Alvarez, MD, Leyla Maric, MD, Alison Schneider, MD, Cleveland Clinic Florida, Weston, FL P641. Metachronous Primary Distal Esophageal Small Cell Carcinoma and Adenocarcinoma Arising From the Same Site Inside a Barrett’s Segment Mustapha El-Halabi, MD, Michael Green, MD, Patrick Seitz, MD, William Salyers, MD, Internal Medicine, University of Kansas School of Medicine - Wichita, Wichita, KS P642. A Fishy Case of Upper Gastrointestinal Bleeding Vikas Khullar, MD, Alexander Schlachterman, MD, Anil Sharma, MD, FACG, University of Florida - Department of Medicine, Gainesville, FL, University of Florida - Division of Gastroenterology and Hepatology, Gainesville, FL For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 68 Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm STOMACH P665. Helicobacter pylori Gastritis: Atypical Infections May Be Missed Without the Regular Use of Special Stains Jonathan Glickman, MD, PhD, FACG, Daniel Nevin, MD, Mukunda Ray, MD, PhD, Richard Lash, MD, FACG, Robert Genta, MD, FACG, Amy Noffsinger, MD, Miraca Life Sciences Research Institute, Irving, TX P666. Acute Vagal Activity and Gastric Slow Wave Effects of Transcutaneous Electroacupuncture in Synchronization With Inspiration in Humans Gengqing Song, MD, PhD, Nina Zhang, MD, Ruoyi Shi, Ms, Qiong Wu, Ms, Jianfeng Chen, PhD, Jiande Chen, PhD, Internal Medicine Department and, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX, Ningbo Pace Translational Medical Research Center, Ningbo, China, MedKinetic Inc, Ningbo, China P667. Neoadjuvant Imatinib for Gastrointestinal Stromal Tumor (GIST): Community Hospital Experience Charles Chaya, MD, Priyanka Yaramada, MD, Albert Ko, MD, Mark Taira, MD, Jane Tongson-Ignacio, MD, Brian Lim, MD, Gastroenterology, Kaiser Permanente Riverside Medical Center, Riverside, CA, UC Riverside, School of Medicine, Riverside, CA P668. Double Channel Pylorus as a Complication of Peptic Ulcer Disease Vinod Kumar, MD, Shobha Shahani, MD, Andrew Batey, MD, FACG, Internal Medicine, University of Illinois at Urbana Champaign, Champaign, IL, Carle Foundation Hospital, Urbana, IL P669. A Retrospective Analysis of the Epidemiology and Outcomes of Gastrointestinal Bleeding With Respect to the Use of Non-Steroidal AntiInflammatory Drugs Neil Marya, MD, Salmaan Jawaid, MD, Christopher Marshall, MD, Joseph Charpentier, DO, Anne Foley, BA, Louise Maranda, PhD, Anupam Singh, MD, Gregory Volturo, MD, Bilal Gondal, MD, David Cave, MD, PhD, University of Massachusetts-Worcester, Worcester, MA P670. Usefulness of Measurement of Pepsinogen Value on Diagnosis of H. pylori Infection Takashi Kawai, MD, PhD, FACG, Yasuhiro Mizuguchi, MD, PhD, Kengo Tokunaga, MD, PhD, Shin’ichi Takahashi, MD, PhD, FACG, Endscopy Center, Tokyo Medical University Hospital, Tokyo, Japan, Kyorin University School of Medicine, Tokyo, Japan P671. Inhibition of Fatty Acid Amide Hydrolase (FAAH) Reduces Contextually Elicited Gaping, a Measure of Anticipatory Nausea, in Rats Erin Rock, PhD, Linda Parker, PhD, Galen Carey, PhD, Al Profy, PhD, Mark Currie, PhD, Jeffrey Segal, PhD, University of Guelph, Guelph, ON, Canada, Ironwood Pharmaceuticals, Cambridge, MA P672. Intractable Nausea and Vomiting and Weight Loss in a Young Adult: A Rare Diagnosis to Consider Habeeb Salameh, MBBS, CMQ, Rashid Khan, MD, Eric Gou, MD, Daniel Beckles, MD, PhD, Sreeram Parupudi, MD, FACG, Department of Internal Medicine, University of Texas Medical Branch at Galveston, Galveston, TX, Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Texas Medical Branch at Galveston, Galveston, TX, Division of Cardiothoracic Surgery, Department of General Surgery, University of Texas Medical Branch at Galveston, Galveston, TX P673. Efficacy of Subcutaneous Hydrocortisone Injection in Patients Diagnosed With Chronic Abdominal Wall Pain Rami Abboud, MD, Yousuf Siddiqui, MD, Syed-Mohammed Jafri, MD, Henry Ford Health System, Detroit, MI P674. Prevalence and Characteristics of Patients With Gastric Intestinal Metaplasia and Gastric Cancer in a Population of American Veterans Ralph Vance, MD, Shelby Melton, MD, Kerry Dunbar, MD, PhD, Gastroenterology, University of Texas Southwestern Medical Center, Dallas, TX, Dallas VA Medical Center, Division of Gastroenterology, Dallas, TX, Dallas VA Medical Center, Department of Pathology, Dallas, TX P675. Outpatient vs. Inpatient Gastric Emptying Studies: Does Admission Status Influence Findings? Scott Holmes, DO, Michael Kim, MS, Charlene Prather, MD, Medhat Osman, MD, Razi Muzaffar, DO, Kara Christopher, MS, MPH, Christine Hachem, MD, Saint Louis University, St. Louis, MO P676. Gastroduodenal Intussusception and Biochemical Pancreatitis Due to a Gastric Hyperplastic Polyp: A Case Report Elie Chahla, MD, Michael Kim, BS, Muhammad Hammami, MD, Brandon Beal, BS, Michael Ogawa, MD, Nicholas Frederickson, MD, Samer AlKaade, MD, Jason Taylor, MD, Gastroenterology and Hepatology, Saint Louis University, Saint Louis, MO P677. Utilization of Electroencephalogram Imaging Technique in Assessment for Efficacy of Transcutaneous Electrical Acupuncture to Control Nausea in Diabetic Gastroparesis Irene Sarosiek, MD, FACG, Hugo Sandoval, PhD, Stephen Sands, PhD, Yan Sun, MD, Gengqing Song, MD, Richard McCallum, MD, FACG, TTUHSC, El Paso, TX P678. Obesity and Gastric Antral Vascular Ectasia (GAVE): Is There an Association? Basem Alkurdi, MD, Ali Khan, MD, Brendan McGuire, MD, Shajan Peter, MD, University of Alabama at Birmingham, Birmingham, AL P679. Impact of Smoking on Stage I-III Gastric Cancer: A Single Center Retrospective Study Samrath Singh, MD, Kevin Eng, PhD, Amanpal Singh, MD, MS, Mary Reid, PhD, Usha Malhotra, MD, Department of Medicine, State University of New York at Buffalo, Buffalo, NY, Department of Biostatistics and Bioinformatics, Roswell Park Cancer Institute, Buffalo, NY, Department of Medicine, Roswell Park Cancer Institute, Buffalo, NY POSTERS MONDAY P657. A Rare Finding Among Common Conditions: Esophageal Intramural Pseudodiverticulosis Audrey Menezes, MBBS, Aparna Goel, MD, FACG, Gina Sam, MD, MPH, University of Sydney Medical School, Sydney, NSW, Australia, Mount Sinai Hospital, New York, NY P658. Chronic Gasoline Ingestion as a Predisposing Factor of Severe Cytomegalovirus Esophagitis in an Immunocompetent Patient Parit Mekaroonkamol, MD, Michael Flood, MD, Robert Cohen, MD, FACG, Emory University School of Medicine, Atlanta, GA, Morehouse School of Medicine, Atlanta, GA P659. Refractory Esophagitis and Mid-Esophageal Stricture Due to Mycophenolate Mofetil Yan Zhao, MD, Jatinder Goyal, MD, Frederick Weber, MD, University of Alabama-Birmingham, Birmingham, AL P660. A Case of Esophagitis Dissecans Superficialis With Concomitant Bullous Pemphgoid Shawn Shah, MD, Zilla Hussain, MD, Rolland Dickson, MD, DartmouthHitchcock Medical Center, Lebanon, NH P661. Incisional Therapy for Symptomatic Double Lumen Esophagus: A New Therapeutic Modality 2014 ACG Presidential Poster Award Harshit Khara, MD, Kimberly Fairley, MS, DO, Chuan Long Miao, MD, Amit Johal, MD, David Diehl, MD, Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, PA P662. That’s Pretty Hard to Swallow: A Rare Case of Dysphagia Due to Myasthenia Gravis Kumkum Patel, MD, MPH, Jacqueline Forman, MD, Bhawna Halwan, MD, James Grendell, MD, Winthrop-University Hospital, Mineola, NY P663. Asymptomatic Colonic Tuberculosis Nimah Jamaluddin, MD, Guy Weiss, MD, FACG, Wendy Ho, MD, MPH, Department of Internal Medicine, University of California Los Angeles, Los Angeles, CA, Division of Digestive Diseases, David Geffen School of Medicine at UCLA, Los Angeles, CA P664. Is Endovascular Stenting as Benign as Proposed? Jayakrishnan Krishnakurup, MBBS, MD, Lauren Bleich, MD, Andrew Bedford, MD, Gregory Soloway, MD, Venkata Gourineni, MBBS, MD, Pietro Andres, MD, Bridgeport Hospital/Yale University, Bridgeport, CT 69 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P680. Association of Helicobacter pylori With HIV and Hepatitis C Infections: Subanalysis ROUM Data (Registry of Outcomes of Upper Endoscopy in Minorities): A Hospital-Based Registry Manhal Izzy, MD, Kinesh Changela, MD, Anju Malieckal, MD, Devin Lane, MD, Kshitij Bhalani, MD, Sury Anand, MD, The Brooklyn Hospital Center, Brooklyn, NY P681. A Paradoxical Cannabis Effect Rodolfo Estremera, MD, Ivonne Figueroa, MD, Marielly Sierra, MD, Doris Toro, MD, FACG, Internal Medicine, Internal Medicine Residency Program Administrator VA Caribbean Healthcare System, San Juan, PR P682. Lactate Level and Acute GI Bleeding: Early Predictor of Ongoing Blood loss and Tissue Hypoperfusion? Nicole Gomez, MD, Liga Yusvirazi, MD, Luis Quiel, MD, Reno Teribillini, MD, Xiomara Antonetti, MD, Norhan Ibrahim, MD, Hossein Kalantari, MD, MPH, Getaw Hassen, MD, PHD, Metropolitan Hospital Center New York Medical College, New York, NY P683. Use of Upper Endoscopy in Solid Organ Transplant Recipients to Determine Utility as a Pre-Transplant Procedure Kaartik Soota, MD, Grace Shin, MD, Mark Malamood, MD, Frank Friedenberg, MD, Kaveh Sharzehi, MD, Gastroenterology and Hepatology, Temple University, Philadelphia, PA, University of Rochester, Rochester, NY P694. Upper Gastrointestinal Bleeding as a Manifestation of Metastasis From Laryngeal Cancer Amandeep Singh, MD, Hammad Nazeer, MD, Nayere Zaeri, MD, Kshitij Thakur, MD, Monica Zeitz, MD, FACG, Crozer Chester Medical Center, Upland, PA P695. Unusual Presentation of a MALT Lymphoma as a Gastric Submucosal Mass Grace Yang, BA, MBS, Amy Tilara, MD, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ P696. An Unexpected Cause of Profound Iron Deficiency Anemia John Erikson Yap, MD, Ashutosh Gupta, MD, Bashar Attar, MD, PhD, FACG, Satya Mishra, MD, FACG, Meron Teshome, MD, Frances Manosca, MD, John H. Stroger Hospital of Cook County, Chicago, IL P697. Nausea and Vomiting: A Case of a Common Complaint With a Rare Etiology Albert Hor, MD, Jessica Trevino, MD, Brackenridge Medical Center, Austin, TX P698. When it’s NOT Just the Baby: Krukenberg Tumor in Pregnancy Paul Co, MD, Ashutosh Gupta, MD, Bashar Attar, MD, PhD, FACG, Melchor Demetria, MD, Internal Medicine, John H Stroger Jr. Hospital of Cook County, Chicago, IL P699. Superior Mesenteric Vein Thrombosis in a Patient Heterozygous for Factor V Leiden Mutation and With a History of Sleeve Gastrectomy Victor Velocci, MD, Ahmad Malas, MD, Micheal Piper, MD, FACG, Internal Medicine, Providence Hospital, Southfield, MI, Department of Gastroenterology, Providence Hospital, Southfield, MI P700. An Unusual Cause of Hematemesis: Buried Bumper Syndrome Anupam Aditi, MD, Aparajita Singh, MD, FACG, University of California, San Francisco, CA P701. Post-Transplant Lymphoproliferative Disorder With Diffuse Large B-Cell Lymphoma of the Stomach 14 Years Post Orthotopic Heart Transplant Aaysha Kapila, MD, Lovely Chhabra, MD, Pranav Patel, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN, University of Connecticut, Hartford, CT P702. An Uncommon Presentation With an Inevitable Outcome Jayakrishnan Krishnakurup, MBBS, MD, Venkata Gourineni, MBBS, MD, Shady Henien, MD, Nicholas Lillo, MD, Alan Nelson, MD, Bridgeport Hospital, Bridgeport, CT P703. Spherogenic Stomach Ulcers Jayakrishnan Krishnakurup, MBBS, MD, Venkata Gourineni, MBBS, MD, Shady Henien, MD, Daniel Stupak, MD, Liming Hao, MD, Bridgeport Hospital, Bridgeport, CT STOMACH - CLINICAL VIGNETTES P684. Rare Case of Metastatic Gastric Cancer Loveleen Sidhu, MD, Samarth Patel, MD, Ramin Bagheri, MD, Melik Tiba, MD, Joshua Aron, MD, Elmhurst Hospital Center, Elmhurst, NY P685. A Rare Case of Hemorrhagic Gastritis Caused By Sevelamer Induced Necrosis Syed Amer, MBBS, De Petris Giovanni, MD, Cuong Nguyen, MD, Mayo Clinic, Phoenix, AZ P686. A Case of Varicella Zoster Hemorrhagic Gastritis Kaartik Soota, MD, Brandon Sprung, MD, Aaron Huber, MD, Thomas Werth, MD, FACG, Unity Health System, Rochester, NY, University of Rochester, Rochester, NY P687. A Rare Case of Squamous Cell Carcinoma of the Stomach Mark Pence, DO, Amy Stratton, DO, Dawn Torres, MD, FACG, Internal Medicine/Gastroenterology, Walter Reed National Military Medical Center, Bethesda, MD P688. Collagenous Gastritis: An Uncommon Cause of Abdominal Pain Neil Volk, MD, Zilla Hussain, MD, Amreen Dinani, MD, FACG, Dartmouth-Hitchcock Medical Center, Lebanon, NH P689. Gastric Bezoar After Vagotomy and Billroth I Resection: An Intriguing Complication of a Historical Surgery Christine Boumitri, MD, Frank Gress, MD, George Abdelsayed, MD, Liliane Deeb, MD, Department of Medicine, Staten Island University Hospital, Staten Island, NY, NewYork-Presbyterian Hospital/Columbia University Medical Center, New York, NY P690. A Mysterious Cause of Abdominal Pain Tarek Sawas, MD, Mubarak Sayyar, MD, Won Cho, MD, FACG, Georgetown University Medstar Washington Hospital Center, Washington, DC P691. Helicobacter heilmannii: a Rare Cause of Abdominal Pain Azfar Niazi, MBBS, Omar Khokhar, MD, FACG, Department of Medicine, Division of Gastroenterology, University of Illinois-Peoria, Bloomington, IL P692. Gastric Sarcoidosis With Pernicious Anemia Maleka Khambaty, MD, Omair Atiq, MD, Leon Wolf, MD, University of Texas Southwestern, Dallas, TX P693. A Gastric Carcinoid and Fundic Polyps in a Patient on Chronic Proton Pump Inhibitor Therapy: A Diagnostic Challenge Veronica Baptista, MD, Anjali Basil, MD, Kaitlin Fitzpatrick, BS, David Cave, MD, PhD, Gastroenterology, Umass Memorial Medical Center, Worcester, MA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. PANCREATIC/BILIARY P704. POSTER WITHDRAWN P705. Evaluating the Revised International Consensus Guidelines for Management of Pancreatic Cysts Michael Sighinolfi, MD, Susan Quan, MD, Monica Dua, MD, George Poultsides, MD, MS, Brenda Visser, MD, Walter Park, MD, MS, Medicine/Gastroenterology, Stanford University, Stanford, CA, Santa Clara Valley Medical Center, San Jose, CA 70 Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P706. Management and Outcomes of 400 Prospectively Enrolled United States Patients With Acute Pancreatitis (AP) Categorized by the Revised Atlanta Classification (RAC) Efstratios Koutroumpakis, MD, Adam Slivka, MD, PhD, David Whitcomb, MD, PhD, Jennifer Chennat, MD, Herbert Zeh, MD, Amer Zureikat, MD, Kenneth Lee, MD, Melissa Hogg, MD, Anwar Dudekula, MD, Dhiraj Yadav, MD, MPH, Georgios Papachristou, MD, University of Pittsburgh Medical Center, Pittsburgh, PA P707. WATS3D Brush Biopsy Is More Sensitive Than Standard Brush Cytology in Diagnosing Pancreatobilairy Malignancies at Endoscopic Retrograde Cholangiopancreatography Masud Habibullah, MD, Wallace Wang, MD, Konika Bose, MD, David Tenembaum, MD, Syed Hussain, MD, Moshe Rubin, MD, FACG, Sang Kim, MD, New York Hospital Queens, Flushing, NY P708. Pancreas Cyst Fluid KRAS Mutation Is an Accurate Marker for the Diagnosis of a Mucinous Cyst Abdurrahman Kadayifci, MD, Mustafa Atar, MD, Jessica Wang, MD, David Forcione, MD, Brenna Casey, MD, Carlos Fernandez-del Castillo, MD, Martha Pitman, MD, William Brugge, MD, Massachusetts General Hospital, Boston, MA P709. The Role of GNAS Analyses for Differential Diagnosis of IPMN Abdurrahman Kadayifci, MD, Mustafa Atar, MD, Jessica Wang, MD, David Forcione, MD, Brenna Casey, MD, Martha Pitman, MD, William Brugge, MD, Gastroenterology, Medicine, Massachusetts General Hospital, Boston, MA P710. Safety and Effectiveness of Using Hydrogen Peroxide in Endoscopic Necrosectomy for Walled-Off Pancreatic Necrosis: A Comparative Evaluation of Outcomes Mohammed Saadi, MD, Sherif Elhanafi, MD, Brian Davis, MD, Mohamed Othman, MD, Division of Gastroenterology, Internal Medicine Department, Texas Tech University HSC, El Paso, TX, Division of Gastroenterology, Department of General Surgery, Texas Tech University HSC, El Paso, TX P711. The Variant I148M in PNPLA3 Is Associated With the Development of Gallbladder Cholesterol Polyps Karen Silva, MD, Alan Lopez, MCs, Vicente Sánchez, MCs, Hugo Villamil, MCs, Paola Leon, MCs, Samuel Canizales, MD, Norberto Chávez, MD, Fredy Chabble, MD, Misael Uribe, MD, PhD, FACG, Nahum Mendez Sánchez, MD, MSc, PhD, FACG, Medica Sur Clinic and Foundation, Mexico City, Mexico, Instituto Nacional de Medicina Genómica, Mexico City, Mexico P712. Racial Inequities in Health Care Utilization and Costs for Immigrant Minorities With Pancreatic Disorders Jean Park, MD, Kyle Porter, MS, Darwin Conwell, MD, MS, Somashekar Krishna, MD, MPH, Department of Internal Medicine at The Ohio State University Wexner Medical Center, Columbus, OH, Center for Biostatistics at The Ohio State University, Columbus, OH, Division of Gastroenterology, Hepatology, and Nutrition at The Ohio State University Wexner Medical Center, Columbus, OH P713. Prospective Validation of pCLE Performance in Patients With Indeterminate Biliary Strictures Adam Slivka, MD, Ian Gan, MD, Marc Giovannini, MD, Priya Jamidar, MD, Guido Costamagna, MD, Paola Cesaro, MD, Michel Kahaleh, MD, UPMC, Pittsburgh, PA, VMMC, Seattle, WA, Institut Paoli-Calmettes, Marseille, France, Yale University, New Haven, CT, Policlinico Gemelli, Rome, Italy, Weill Cornell, New York, NY P714. Nuclear Medicine Scintigraphy (NMS) Results Predict Symptom Resolution After Sphincterotomy in Patients With Sphincter of Oddi Dysfunction (SOD) Harnish Patel, MBBS, Mihir Patel, MD, MSc, Sankaran Shrikanthan, MD, Rocio Lopez, MS, MPH, Madhusudhan Sanaka, MD, Cleveland Clinic, Cleveland, OH P715. Autopsy Study of Patients Dying Due to Acute Pancreatitis Allison Yang, MD, Lizhi Zhang, MD, Santhi Swaroop Vege, MD, FACG, Mayo Clinic, Rochester, MN POSTERS MONDAY P716. Needle Knife Sphincterotomy for Biliary Access at ERCP: Experience at Two United States Academic Tertiary Referral Centers Caren Bartosz, MD, Alicia Kovach, BA, Kate Forssell, MD, Michael Winter, MD, Shivangi Kothari, MD, Asad Ullah, MD, Ashok Shah, MD, FACG, Dushyant Damania, MBBS, Harshit Khara, MD, Truptesh Kothari, MD, David Diehl, MD, Vivek Kaul, MD, FACG, University of Rochester Medical Center, Rochester, NY, Geisinger Medical Center, Danville, PA P717. Cost Effectiveness and Compliance With ACG Guidelines in the Diagnosis of Acute Pancreatitis: A Comparison Between a University and Private Tertiary Hospital Pavan Patel, MD, Jason Ross, MD, Michael Agnelli, MD, Ying Tang, MD, Rutgers - NJMS, Newark, NJ P718. Increase in Branched Duct IPMN Lesion Size During Surveillance Is Not Associated With Other High-Risk Features: A MultiCenter Study Abdul Hamid El Chafic, MD, Ashish Aggarwal, MD, John DeWitt, MD, Alexandra Roch, MD, Christian Schmidt, MD, Stuart Sherman, MD, Ali Siddiqui, MD, Gregory Cote, MD, Lee Mchenry, MD, Thomas Imperiale, MD, M. AlHaddad, MD, Indiana University School of Medicine, Indianapolis, IN, Thomas Jefferson University, Philadelphia, PA P719. Clinical Utility of Intracystic Glucose Levels in Differentiating Mucinous From Non-Mucinous Pancreatic Cysts Divya Yadav, MD, Prabhleen Chahal, MD, John Vargo, MD, Madhusudan Sanaka, MD, Sunguk Jang, MD, Gregory Zuccaro, MD, Cleveland Clinic, Cleveland, OH P720. Pediatric Feeding Tube Implantation During Orthotopic Liver Transplantation: An Anaylsis of Effectiveness in Preventing Biliary Complications Bobby Kakati, MD, Mark Pedersen, MD, Myunghan Choi, PhD, MPH, Anil Seetharam, MD, Banner Good Samaritan Medical Center, Phoenix, AZ, Transplant Center and Advanced Liver Disease at Banner Good Samaritan Medical Center, Phoenix, AZ, Univeristy of Arizona College of Medicine, Phoenix, AZ P721. Risk of Post-ERCP Pancreatitis With the Placement of Covered Versus Uncovered Self-Expandable Biliary Metal Stents: Systematic Review and Meta-Analysis Aijaz Sofi, MD, Abdur Khan, MD, Tariq Hammad, MD, Yaseen Alastal, MD, Osama Alaradi, MD, FACG, Muhammad Bawany, MD, Ali Nawras, MD, FACG, University of Toledo Medical Center, Toledo, OH P722. Outcome in Cholangiocarcinoma: CA 19.9 as Marker of Survival and as Predictor of Metastization Rosa Coelho, MD, Marco Silva, MD, Eduardo Rodrigues-Pinto, MD, Pedro Pereira, MD, Susana Lopes, MD, Helder Cardoso, MD, Filipe Vilas-Boas, MD, João Santos-Antunes, MD, Ana Horta-Vale, MD, PhD, Guilherme Macedo, MD, PhD, FACG, Gastrenterology, Centro Hospitalar São João, Oporto, Oporto, Portugal P723. The APACHEIV: A New Scoring System for Predicting Mortality and Complications of Severe Acute Pancreatitis Shaffer Mok, MD, MBS, Thomas Judge, MD, Adam Elfant, MD, FACG, Sachin Mohan, MD, PhD, Gastroenterology and Liver Diseases, Cooper University Hospital, Philadelphia, PA P724. Malnutrition and Quality of Life in Chronic Pancreatitis Joan Kheder, MD, Samuel Han, MD, Lisa Bocelli, MD, Wahid Wassef, MD, MPH, FACG, University of Massachusetts Medical School, Worcester, MA P725. Trends in Preoperative Endoscopic Biliary Drainage in Patients With Obstructive Jaundice Caused by Tumors of the Pancreatic Head: A Single-Center Experience Sandeep Nadella, MD, Jason Korenblit, MD, MBA, Ali Siddiqui, MD, David Loren, MD, Thomas Kowalski, MD, Internal Medicine, Abington Memorial Hospital, Jenkintown, PA, Thomas Jefferson University Hospital, Philadelphia, PA 71 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P726. Local Chemotherapy for Pancreatic Cancer: Potential of Injectable Drug-Loaded Microparticles Vadim Kurbatov, BFA, Rajesh Ramachandran, MD, Laura MartelloRooney, PhD, Raavi Gupta, MD, Frank Gress, MD, SUNY Downstate Medical Center, Division of Gastroenterology and Hepatology, Brooklyn, NY, SUNY Downstate Medical Center, Department of Pathology, Brooklyn, NY, New York-Presbyterian Hospital/Columbia University Division of Digestive Diseases, New York, NY P727. Use of Bayesian Analysis to Predict Pancreatic Fibrosis With the Secretin Endoscopic Pancreatic Function Test (ePFT): Comparisons to Histopathology Gold Standards Feng Li, MD, Wendy Frankel, MD, Alice Hinton, PhD, Philip Hart, MD, Darwin Conwell, MD, Department of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH, Department of Pathology, Ohio State University Wexner Medical Center, Columbus, OH, Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH, Section of Pancreatic Disorders, Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH P728. Bevacizumab-Associated Pancreatitis: Cases Reported to the Adverse Event Reporting System of the Food and Drug Administration Malav Parikh, MD, Eli Ehrenpreis, MD, Presence Saint Francis Hosptal, Evanston, IL, Northshore University Health System, Evanston, IL P729. Biliary Intervention After Bariatric Surgery (BRS): Inferences From a Nationwide Population-Based Study Somashekar Krishna, MD, MPH, Alecia Blaszczak, MD, PhD, Samer El-Dika, MD, Jeffery Groce, MD, Hisham Hussan, MD, Cheng Zhang, MD, PhD, Jeffrey Wenzke, MD, Sheetal Sharma, MD, Darwin Conwell, MD, MS, Department of Gastroenterology, Hepatology and Nutrition, The Ohio State University Medical Center, Columbus, OH P730. The Impact of Introduction of a New Endoscopic Ultrasound (EUS) Service on the Volume, Success, and Complexity of Endoscopic Retrograde Cholangiopancreatography (ERCP) Performed in a Tertiary Referral Center Harathi Yandrapu, MD, MS, Sherif Elhanafi, MD, Farhanaz Chowdhury, MD, Jiayang Liu, MS, Eduardo Onate, MD, Alok Dwivedi, PhD, Mohamed Othman, MD, Texas Tech University of Health Sciences, El Paso, TX P731. Twenty-Five Percent of Breast Cancer Patients Referred for BRCA Testing Have Pancreatic Cystic Lesions on Magnetic Resonance Imaging at Time of Cancer Diagnosis Andrew Becker, AB, Yasmin Hernandez, MD, Emily Soper, MS, Claire Davis, MS, Aimee Lucas, MD, MS, Icahn School of Medicine at Mount Sinai, New York, NY P732. Natural History of Patients With Indeterminate Biliary Stricture and Negative Endoscopic Ultrasound-Guided Fine Needle Aspiration (EUSFNA) Bhavtosh Dedania, MBBS, Shounak Majumder, MBBS, Murali Dharan, MD, University of Connecticut Health Center, Farmington, CT, Saint Francis Hospital, Hartford, CT P733. Overutilization of the HIDA Scan in the Inpatient Setting Kimberly Fairley, MS, DO, Kimberly Chaput, DO, Dana Christopher, DO, Alexander Kim, DO, Christopher Valente, BS, Mohsen Shabahang, MD, Christopher Pohl, MD, Ron Hollm, PhD, Barry Nazar, PhD, David Diehl, MD, Gastroenterology, Geisinger Medical Center, Danville, PA, Temple University, Philadelphia, PA P734. Serum Bilirubin Elevation Predicts Disease Severity in Patients With Primary Sclerosing Cholangitis Abdul Haseeb, MD, MPH, Kristen Cox, MS, RN, Douglas Adler, MD, FACG, Internal Medicine, University of Utah, Salt Lake City, UT P735. Role of ERCP SpyGlass® Electrohydraulic Lithotripsy in Patients With Chronic Pancreatitis and Pancreatic Duct Calculi Causing Duct Obstruction: A Case Series Laura Hamad, DO, Zubin Patel, BS, Rasha Issa, MD, Omar Majdobeh, MD, Ronya Kawji, BS, Hesam Keshmiri, DO, MS, Kamran Ayub, MD, Internal Medicine, St. James Franciscan Alliance, Oak Brook, IL, Silver Cross Hospital, New Lenox, IL, Advocate Christ Hospital, Oak Lawn, IL For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P736. A Single-Center Experience With the Prevention of Post-ERCP Pancreatitis by the Use of Rectal Indomethacin in a High-Risk Population Jason Rubinov, MD, Matthew Kutner, DO, Arkady Broder, MD, Lionel D’Souza, MD, Gil Ascunce, MD, David Carr-Locke, MD, FACG, Mount Sinai Beth Israel, New York, NY P737. Intravenous Antibiotics Impact on Post-ERCP Pancreatitis Mohamed Abdelfatah, MD, Kathleen Enriquez, MD, Maysaa El Zoghbi, MD, FACG, Martin Shill, MD, Hossam Kandil, MD, PhD, AGMC, Northeast Ohio University, Akron, OH, Department Gastroenterology and Hepatology, AGMC, Northeast Ohio University, Akron, OH, Department Gastroenterology and Hepatology, University Hospitals, Case Medical Center, Cleveland, OH, Division of Gastroenterology and Hepatology, East Carolina University, Greenville, NC P738. The Efficacy and Security of ERCP in Super-Aged Patients Enqiang Linghu, MD, The Chinese PLA General Hospital, Beijing, China PANCREATIC/BILIARY - CLINICAL VIGNETTES P739. The Fine Line Between Right and Left: A Patient With Situs Inversus Totalis Presenting With Choledocholithiasis Dominic Colella, DO, Farhan Israr, DO, Rajan Narula, DO, Leena Saline, DO, Juan Sarol, MD, Javier Sobrado, MD, FACG, Michael Valladares, DO, Nova Southeastern University College of Osteopathic Medicine (NSU-COM), Fort Lauderdale-Davie, FL, Larkin Community Hospital, South Miami, FL P740. Acute Pancreatitis and Sickle Cell Hepatopathy in a Pregnant Patient Dilhana Badurdeen, MD, Kawtar Alkhalloufi, MD, Angesom Kibreab, MD, Rehana Begum, MD, Howard University College of Medicine, Washington, DC P741. Endoscopic Visualization of a Large Gastric Intramural Hematoma Secondary to a Ruptured Hemorrhagic Pancreatic Pseudocyst: A Case Report Simon Hong, MD, Akiva Marcus, MD, PhD, Alex Jow, MD, Daniel Berkowitz, MD, Montefiore Medical Center, Bronx, NY P742. Successful Management of Refractory Noninsulinoma Pancreatogenous Hypoglycemia Syndrome With Gastric Bypass Reversal: A Case Report Bhavana Bhagya Rao, MD, Benjamin Click, MD, Ronald Codario, BS, MD, University of Pittsburgh Medical Center, Pittsburgh, PA, VA Pittsburgh Healthcare System, University Drive Division, Pittsburgh, PA P743. Pancreatic Lipoma Masquerading as A Cystic Neoplasm Katie Agnello, MD, Lalit Gurtoo, MD, Manoj Kumar, MD, MPH, Andrew Bain, MD, Amanpal Singh, MD, MS, Roswell Park Cancer Institute, Buffalo, NY, University at Buffalo, Buffalo, NY P744. A Case of a “Dumbbell” Gallbladder Diagnosed by ERCP Priyanka Patel, MD, Scott Swendsen, MD, Vu Nhu Nguyen, MD, Kateryna Poole, Bachelors, Internal Medicine, Baylor Scott and White, Temple, TX P745. Tumor Necrosis Factor α (TNFα) Inhibitor Class Induced Acute Pancreatitis Rajat Bhalla, MD, Michele Lewis, MD, Michael Bartel, MD, Mayo Clinic, Jacksonville, FL P746. Xanthogranulomatous Cholecystitis Mimicking Cholangiocarcinoma Bashar Mohamad, MD, Arthi Kumaravel, MD, Federico Aucejo, MD, Amit Bhatt, MD, Cleveland Clinic Foundation, Cleveland, OH P747. Chylous Ascites Secondary to Necrotizing Pancreatitis: A Fortuitous Diagnosis by ERCP Allison Yang, MD, Todd Baron, MD, FACG, Philip Hart, MD, Mayo Clinic, Rochester, MN P748. Case Report: Rosai-Dorfman Disease Mirza Baig, MD, Peninsula Regional Medical Center, Salisbury, MD 72 Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P764. Surviving Primary Pancreatic Squamous Cell Carcinoma: A Rare Entity 2014 ACG Presidential Poster Award Harjot Kaur, MD, Arjun Vaid, MD, Jagpal Klair, MD, Rayburn Rego, MD, Internal Medicine, University of Arkansas for Medical Sciences, Little Rock P765. Epidermoid Cyst of Intrapancreatic Accessory Spleen: A Diagnostic Dilemma Saloni Sharma, MBBS, Kaartik Soota, MD, Maisa Abdalla, MD, Guabao Wang, MM, Zhongren Zhou, BMed, PhD, Eva Galka, MD, Ashok Shah, MD, Shivangi Kothari, MD, Vivek Kaul, MD, Unity Health System, Rochester, NY, University of Rochester Medical Center, Rochester, NY P766. A Rare Case of Isolated Granulomatous Non-Caseating Pancreatitis Mimicking Malignancy Salma Akram, MD, FACG, Mustafa Musleh, MD, Wright State University, Dayton, OH P767. Intra-Abdominal Xanthogranulomatosis Secondary to PostOperative Bile Leak Tushar Gohel, MD, CNSC, Shishira Bharadwaj, MD, Arthur McCullough, MD, Cleveland Clinic, Cleveland, OH P768. Glucagonoma: A Paradoxical Presentation Cory Gaiser, MD, Natasha Dhawan, MSIII, Internal Medicine, The Jewish Hospital, Cincinnati, OH, St. George’s University, Great River, NY P769. Taking an Alternate Route Home: Stenting of Choledochoduodenal Fistula Jayakrishna Chintanaboina, MD, MPH, Matthew Moyer, MD, MS, Penn State Hershey Medical Center, Hershey, PA P770. A Case of Exenatide-Induced Recurrent Pancreatitis Despite Withdrawl of Drug Therapy Varun Jain, MD, Deepak Sharma, DO, Vimala Ramasamy, MD, Ava Anklesaria, MD, Gayotri Goswami, MD, Icahn School of Medicine at Mount Sinai (Bronx) - James J Peters VA Medical Center, Bronx, NY, North Central Bronx Hospital, Bronx, NY P771. More Than Skin Deep Ross Jones, MD, Dan Collins, MD, Andrew Dries, MD, Internal Medicine- Gastroenterology, Carolinas Medical Center, Charlotte, NC P772. A Case of IgG4-Negative Sclerosing Cholangitis and Autoimmune Pancreatitis Responsive to Steroids Allon Kahn, MD, Anitha Yadav, MBBS, M. Edwyn Harrison, MD, FACG, Mayo Clinic, Scottsdale, AZ P773. Hemosuccus Pancreaticus From IPMN Puth Muangpaisarn, MD, Narisorn Lakananurak, MD, FACG, Phonthep Angsuwatcharakon, MD, FACG, Nutcha Pinchareorn, MD, Rungsun Rerknimitr, MD, FACG, Chulalongkorn University, Pathumwan District, Thailand P774. Novel Metal Stent With Anti-Migration System for Pseudocyst Drainage Eric Nelsen, MD, Eric Johnson, MD, Deepak Gopal, MD, FACG, University of Wisconsin Gastroenterology and Hepatology, Madison, WI POSTERS MONDAY P749. A Case of Mistaken Identity: Disseminated Bartonella as Pancreatic Mass Jennifer Behzadi, MD, Mohamed Naem, MD, Somashekar Krishna, MD, MPH, Ohio State University Wexner Medical Center, Columbus, OH P750. From the Toe to the Pancreas? A Case Report of Metastatic Melanoma Presenting as an Obstructive Pancreatic Mass in an African American Male Cortni Tyson, MD, Howard University Hospital, Washington, DC P751. Kawasaki Disease Complicated by Pancreatitis in an Adult Dustin Albert, MD, Mazer Ally, MD, Maryann Ally, MD, Walter Reed National Military Medical Center, Bethesda, MD P752. Recurrent Acute Pancreatitis Following Roux-en-Y Gastric Bypass (RYGB): The Afferent Loop Syndrome Feng Li, MD, Jonathan Congeni, MD, Somashekar Krishna, MD, MPH, Department of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH, Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH P753. Gastrostomy Tube Migration Causing Acute Pancreatitis Feng Li, MD, Mohamed Naem, MD, Cheng Zhang, MD, PhD, Somashekar Krishna, MD, MPH, Department of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH, Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH P754. A Rare Case of Zollinger Ellison Syndrome From a Primary Intrahepatic Bile Duct Gastrinoma Nejmudin Kemal, MD, Jason Gutman, MD, Rochestetr General Hospital, Rochester, NY P755. A Case of Abdominal Pain, Jaundice, Eosinophilia, and Thrombocytopenia Teresa Valentin, MD, Marina Serper, MD, Gregory Ginsberg, MD, FACG, Maarouf Hoteit, MD, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, Division of Gastroenterology, Hospital of the University of Pennsylvania, Philadelphia, PA P756. Lemmel’s Syndrome: An Uncommon Cause of Acute Cholangitis Steven Gay, MD, MSBS, Owen Baldwin, MD, Milton Smith, MD, FACG, University of Cincinnati, Cincinnati, OH P757. Acute Pancreatitis: A Complication of Jejunostomy Tube Jehangir Ansari, MD, Samer Mohandes, MD, Sangeeta Agrawal, MD, FACG, Gastroneterology, Dayton VA Medical Center; Wright State University, Dayton, OH P758. Metastatic Renal Cell Carcinoma to the Distal Common Bile Duct Presenting as Jaundice Hina Omar, MD, Catherine Ly, DO, Baseer Qazi, MD, Kenneth Chi, MD, Lutheran General Hospital, Park Ridge, IL P759. Painless Jaundice: A Rare Presentation of Primary Biliary Cirrhosis Aaysha Kapila, MD, Pranav Patel, MD, Patrick Costello, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN P760. Successful Treatment of Hypertriglyceridemia-Associated Pancreatitis With Insulin Aaysha Kapila, MD, Charles Rives, MD, Neil Barry, DO, Pranav Patel, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN P761. Crouching Tiger, Hidden Dragon: Lung Adenocarcinoma Presenting as an Obstructive Jaundice Aaysha Kapila, MD, Dhara Chaudhari, MD, Atul Khanna, MD, Puneet Goenka, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN P762. “Migrating” Cholecystectomy Clip Within a Choledocholith Joseph Yarze, MD, FACG, Gastroenterology Associates of Northern New York, Glens Falls, NY P763. Pancreatic Tail and Liver Metastases Related to Recurrent Breast Cancer Joseph Yarze, MD, FACG, Gastroenterology Associates of Northern New York, Glens Falls, NY SMALL INTESTINE/UNCLASSIFIED P775. Primary Small Bowel Amyloidosis Shelini Sooklal, MD, Amit Sohagia, MD, Easton Hospital, Easton, PA P776. A Rare Presentation of Cutis Laxa as Recurrent Small Bowel Obstruction Prakash Shrestha, MD, Kripa Shrestha, MD, Maninder Singh, MD, Mansi Reddy, MD, Shishira Bharadwaj, MD, Guthrie/Robert Packer Hospital, Sayre, PA, Grand Valley State University, Grand Rapids, MI P777. Metastatic Sarcoidosis of Terminal Ileum and Colon: Very Rare, But Important to Differentiate From Crohn’s Disease Shail Sheth, MD, Ravi Patel, MD, Walid Baddoura, MD, FACG, Swamy Nathan, MD, FACG, Internal Medicine, Saint Michael’s Medical Center, Newark, NJ, Mountainside Hospital, Glenridge, NJ, Saint Joseph Regional Medical Center, Paterson, NJ 73 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P778. Diagnostic Utility of Duodenal Biopsy in Upper Endoscopy Performed for Abdominal Pain Joseph Roberts, MD, Wataru Tamura, MD, University of Colorado, Aurora, CO P779. POSTER WITHDRAWN P780. Survival Rates in Neuroendocrine Tumors of Small Intestine (NESIT): A SEER Database Study 2014 ACG Presidential Poster Award Shams Mistry, MD, Vaishali Thudi, MD, Joseph Ramzy, MD, Michale Roxas, MD, Marcello Schmidt, MD, Jill Gernand, PhD, Radhika Kakarala, MD, MS, Kavitha Kesari, MD, Mclaren Regional Medical Center, Flint, MI P781. A Comparison of the Epidemiology and Natural History of Chronic Stenosing Enteritis and Crohn’s Disease Veronica Baptista, MD, Neil Marya, MD, Benjamin Hyatt, MD, David Cave, MD, PhD, FACG, Dept. of Medicine, Div. of Gastroenterology, University of Massachusetts Medical Center, University Campus, Worcester, MA P782. The Impact of Abdominal Surgeries on Small Intestinal Bacterial Overgrowth Sheevani Bhalsod, DO, Seth Lipka, MD, Roshanak Rabbanifard, MD, Jennifer Leigh, MD, Jae Chung, BS, Marc Levin, BS, Kiran Joglekar, MD, Ambuj Kumar, MD, MPH, Jay Mamel, MD, FACG, University of South Florida Morsani College of Medicine, Tampa, FL P783. Gastrointestinal Bleeding in Patients With LVAD: Multifactorial or Anticoagulation Problem? Justin Cochrane, DO, Providence Sacred Heart Medical Center, Spokane, WA P784. Effect of Irritable Bowel Syndrome on Outcomes After Bariatric Surgery Iman Andalib, MD, Timothy Shope, MD, Timothy Koch, MD, FACG, Section of Gastroenterology and Hepatology, MedStar-Washington Hospital Center, Washington, DC P785. Mechanisms of Glucose Malabsoprtion After Bariatric Surgery Iman Andalib, MD, Timothy Shope, MD, Timothy Koch, MD, FACG, Medstar Washington Hospital Center, Washington, DC P786. Do Antibiotics Improve Symptoms in IBS Patients With Previous History of Abdominal Surgeries? Jennifer Leigh, MD, MPH, Seth Lipka, MD, Roshanak Rabbanifard, MD, Kiran Joglekar, MD, Jae Chung, BS, Marc Levin, BS, Ambuj Kumar, MD, MPH, Jay Mamel, MD, University of South Florida, Tampa, FL P787. Greater Than Once Daily Proton Pump Inhibitor Use Increases Risk of Small Intestinal Bacterial Overgrowth Mohammed Alzubaidi, MD, Samita Garg, MD, Rocio Lopez, MS, Scott Gabbard, MD, Gastroenterology, Cleveland Clinic, Cleveland, OH P788. Efficacy and Safety of Endoscopic Mucosal Resection for Large Non-Ampullary Duodenal Adenomas: A Single U.S. Center Experience Ajaypal Singh, MD, Uzma Siddiqui, MD, Vani Konda, MD, Ann Koons, Irving Waxman, MD, Center for Endoscopic Research and Therapeutics,University of Chicago, Chicago, IL P789. Clinical Presentation of Celiac Disease in Hispanic Patients Presenting to an Urban Medical Center Mark Salem, MD, Nirupama Bonthala, MD, Andrea Cedeno, BS, Priscilla Campos, BS, Caroline Hwang, MD, Anisa Shaker, MD, Internal Medicine, Los Angeles County + University of Southern California Medical Center, Los Angeles, CA, Gastroenterolgy and Hepatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, Keck School of Medicine, University of Southern California, Los Angeles, CA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P790. Prevalence of Celiac Disease in Hispanic Patients Undergoing Upper Endoscopy With Small Bowel Biopsy for Evaluation of Anemia in an Urban Teaching Hospital in the United States Mark Salem, MD, Nirupama Bonthala, MD, Priscilla Campos, BS, Andrea Cedeno, BS, Caroline Hwang, MD, Anisa Shaker, MD, Internal Medicine, Los Angeles County + University of Southern California Medical Center, Los Angeles, CA, Gastroenterolgy and Hepatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, Keck School of Medicine, University of Southern California, Los Angeles, CA P791. Multi-Center Evaluation of Current Knowledge of Intestinal Transplantation and Rehabilitation Among Trainee Physicians Amit Mehta, MD, Salwa Hussain, MD, Syed-Mohammed Jafri, MD, Theodore Pettle, PhD, Anas Kutait, MD, FACG, Amir Prushani, MD, Fadi Niyazi, MD, Michigan State University, East Lansing, MI, Providence Hospital and Medical Center, Southfield, MI, State University of New York at Buffalo, Buffalo, NY, Henry Ford Health System, Detroit, MI P792. Teduglutide Treatment and Associated Parenteral Support (PS) Reductions in Adult Short Bowel Syndrome (SBS) Patients With Ultra Short Remnant Bowel and/or No Colon-in-Continuity Kursheed Jeejeebhoy, MD, PhD, Stephane Schneider, MD, PhD, Simon Gabe, MD, MSc, BSc, MBBS, Ulrich-Frank Pape, MD, Ken Fujioka, MD, Nader Youssef, MD, Douglas Seidner, MD, FACG, St. Michael’s Hospital, Toronto, ON, Canada, University of Nice-Sophia Antipolis, Nice, France, St. Mark’s Hospital and Academic Institute, Harrow, United Kingdom, Charité University Medical Center, Berlin, Germany, Scripps Clinic, La Jolla, CA, NPS Pharmaceuticals, Inc., Bedminster, NJ, Vanderbilt University Medical Center, Nashville, TN P793. Celiac Disease Screening Rates Vary by Race in Pediatric Patients With Type 1 Diabetes Mellitus at a Tertiary Care Center M. Anthony Sofia, MD, Aaron Cohn, MD, Jeffrey Jacobs, MD, Katy Ceryes, MPH, Sonia Kupfer, MD, University of Chicago, Chicago, IL P794. Starved for Attention: The Prevalence and Quality of NutritionRelated Research in Gastroenterology Eoin Slattery, MD, Jesse Koskey, MD, Alana Aylward, MD, Loren Rabinowitz, MD, David Seres, MD, Nutrition Support, New York Presbyterian Hospital-Columbia University Medical Center, New York, NY SMALL INTESTINE/UNCLASSIFIED CLINICAL VIGNETTES P795. An Unwanted Traveler Jennifer Hsieh, MD, Daniel Blachman, MD, Stony Brook University Hospital, Stony Brook, NY, Hudson Valley Gastroenterology, P.C., Highland, NY P796. A Rare Case of Hepatitis C-Associated Cryoglobulinemic Duodenal Vasculitis Shivali Berera, MD, Alexandra Gomez, MD, Leopoldo Arosemena, MD, Kalyan Bhamidimarri, MD, MPH, Kevin Dholaria, MD, Jackson Memorial Hospital/University of Miami, Miami, FL P797. Case Report of a Patient With Enteropathy and Severe Malabsorption Due to Clofazimine-Induced Crystal-Storing Histiocytosis Winnie Szeto, MD, Monica Garcia-Buitrago, MD, Lilian Abbo, MD, Joseph Rosenblatt, MD, Michele Morris, MD, Baharak Moshiree, MD, MS, Miami Miller School of Medicine, Miami, FL P798. Incidentally Detected Ileal Carcinoids During Colonoscopy: A Case Series Thomas Corredine, DO, Kymberly McDonald, MD, Murali Dharan, MD, Shounak Majumder, MD, University of Connecticut, Farmington, CT, Saint Francis Hospital and Medical Center, Hartford, CT 74 Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P799. Use of the New NaviAid™ Enteroscopy System for Treatment of Bleeding Terminal Ileal Hamartoma Harshit Khara, MD, Mustafa Huseini, MD, Kimberly Fairley, MS, MD, Kimberly Chaput, MD, Chuan Long Miao, MD, David Diehl, MD, Amit Johal, MD, Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, PA P800. An Unusual Duodenal Foreign Body Presenting With Halitosis Bhavtosh Dedania, MBBS, Shounak Majumder, MBBS, Murali Dharan, MD, University of Connecticut Health Center, Farmington, CT, Saint Francis Hospital, Hartford, CT P801. Abdominal Tuberculosis Initially Diagnosed as Crohn’s Disease Xi Chen, MD, Daniel Eshtiaghpour, MD, Viktor Eysselein, MD, Harbor UCLA Medical Center, Torrance, CA P802. Autoimmune Enteropathy and Schwachman-Diamond Syndrome: A Puzzling Dilemma Emir Roach, MD, May Olayan, MD, Serkan Ayvaz, PhD, Abdullah Shatnawei, MD, Fairview Hospital, Westlake, OH, Cleveland Clinic, Cleveland, OH P803. Whipple’s Disease Presenting as Endocarditis Ryan Meinen, DO, David Payton, PA-C, Joseph Fares, MD, Walid Almuti, MD, GI, John C. Lincoln, Phoenix, AZ P804. Jejunal Plasmacytoma: An Uncommon Cause of Massive Gastrointestinal Bleeding in a Young Patient Kenechukwu Chudy-Onwugaje, MD, MPH, Nnaemeka Anyadike, MD, Ira Mayer, MD, FACG, Yuriy Tsirlin, MD, FACG, Rabin Rahmani, MD, FACG, Gastroenterology, Maimonides Medical Center, Brooklyn, NY P805. Severe Strongyloidiasis With Negative Serology After Corticosteroid Treatment Eduardo Rodriguez, MD, Thomas Abraham, MD, Frederick Williams, MD, University of Miami Miller School of Medicine, Palm Beach Regional Campus, Atlantis, FL P806. Unusual Cause of Gastrointestinal Bleeding and Encephalopathy Chung-Jyi Tsai, MD, PhD, FACG, Ibrahim Hanouneh, MD, Cleveland Clinic, Cleveland, OH P807. Bouveret’s Syndrome: Definitive Diagnosis With Esophagogastroduodenoscopy Patrick Hickey, DO, Matthew Sullivan, DO, Saba Ahmad, MD, Hiral Shah, MD, Lehigh Valley Health Network, Allentown, PA P808. Olmesartan-Induced Spruelike Enteropathy in the Community Setting Madeline Russell, MD, Lorainne Milton, BS, Steven Carpenter, MD, Mercer University School of Medicine, Savannah, GA P809. A Not So Starry Night: Atypical Duodenal Burkitt’s Lymphoma in a Patient With Celiac Disease and Chronic Hepatitis C Alfredo Camero, MD, Neha Mathur, MD, Cesar Sostre, MD, FACG, University of Texas Health Science Center at San Antonio, San Antonio, TX P810. Primary Follicular Lymphoma of the Gastrointestinal Tract Brian Moy, DO, Jonathan Wilmot, MD, University of Connecticut, Farmington, CT P811. Progressive Development of Pseudomyxoma Peritonel After Resection of Low-Grade Mucinous Adenocarcinoma of the Appendix Damodar Pandey, MD, Kamran Zahid, MD, Hilary Hertan, MD, FACG, Albert Einstein College of Medicine/Montefiore Medical Center, Wakefield Division, Bronx, NY P812. Duodenal Intussusception Secondary to Metastasis From Uterine Leimyosarcoma Tina Seecharan, MD, Javed Sadiq, MD, Dimitrios Georgostathis, MD, Veronika Dubrovskaya, MD, FACG, SUNY Downstate Medical Center, Brooklyn, NY P813. Unusual Cause of Gastric Outlet Obstruction Jana Hashash, MD, Victor Chedid, MD, Nadia Habib-Bein, MD, Fadi Francis, MD, University of Pittsburgh Medical Center, Division of Gastroenterology, Hepatology, and Nutrition, Pittsburgh, PA, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA POSTERS MONDAY P814. The Refractory Duodenal Ulcer With Eosinophilia: A Clinician’s Conundrum Anam Shaikh, MD, Inder Singh, MD, FACG, UT Southwestern Austin, Austin, TX P815. An Obscure Gastrointestinal Bleed Caused by Jejunal Diverticulosis Vihang Patel, MD, Scott Young, MD, Internal Medicine, Mount Carmel Health System, Columbus, OH P816. Successful Treatment With Sirolimus of a Patient With Blue Rubber Bleb Nevus Syndrome Helder Cardoso, MD, Jorge Dias, MD, Marco Silva, MD, Filipe VilasBoas, MD, Eunice Trindade, MD, Marta Tavares, MD, Guilherme Macedo, MD, PhD, FACG, Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal, Pediatrics Department, Centro Hospitalar São João, Porto, Portugal P817. Unusual Case of Celiac Disease Mohsen Hasanin, MD, Khalid Rasheed, MD, Muhammad Baig, MD, UAB Montgomery, Montgomery, AL P818. Acute Upper Gastrointestinal Bleeding as the First Presentation of Metastatic Urothelial Carcinoma to the Stomach and Duodenum Zuie Wakade, DO, Anuradha Sreenivasan, DO, Jaimin Patel, DO, Jacqueline Moore, DO, Gurpreet Singh, DO, Dawn Severson, MD, Wendy Frauchiger, MD, Rene Peleman, MD, Joseph Kinzie, MD, Henry Ford Macomb Hospital, Clinton Township, MI P819. An Atypical Presentation of Small Bowel Diverticulosis Matthew Whitson, MD, Carolyn Newberry, MD, Octavia Pickett-Blakely, MD, University of Pennsylvania, Philadelphia, PA P820. Fish Bone Ingestion as an Etiology for Intramural Duodenal Hematoma James Katsis, MD, Philip Sarges, MD, Mark Mattar, MD, Medstar Georgetown University Hospital, Washington, DC P821. Pneumatosis Intestinalis: A Rare Cause of Recurrent Pneumoperitoneum Tinzar Basein, MD, Rangan Murali, MD, FACG, Berkshire Medical Center, Pittsfield, MA P822. Whipple’s Disease: A Fatal Disease That Is Often Missed Without Gastrointestinal Symptoms Amir Rezk, MD, A. Clark Gunnerson, DO, Michael Komar, MD, General Internal Medicine, Geisinger Medical Center, Danville, PA, Gastroenterology, Geisinger Medical Center, Danville, PA P823. Rare Presentation of Mucinous Cystadenoma of the Appendix John Anong, MD, John Litchfield, MD, Mark Young, MD, Thomas Borthwick, MD, Internal Medicine, East Tennessee State University, Johnson City, TN P824. Superior Mesenteric Vein Thrombosis: To Lyse or Not to Lyse? Aleksey Novikov, MD, Amit Desai, MD, David Wan, MD, Ira Jacobson, MD, New York-Presbyterian Hospital, New York, NY P825. A Rare Case of Primary Duodenal Signet Ring Cell Carcinoma Scott Foley, BSc, Ian Epstein, MD, Medicine, Dahousie University, Halifax, NS, Canada P826. Wilkie’s Syndrome: A Rare Cause of Duodenal Obstruction Vera Zaraket, MD, George Abdelsayed, MD, Frank Gress, MD, Liliane Deeb, MD, Internal Medicine, SIUH, New York, NY, Columbia University Medical School/New York-Presbyterian, New York, NY P827. An Unexpected Diagnosis of Tuberculosis Colitis Rosalyn Adigun, MD, PharmD, Hye Yeon Jhun, MD, Kongkiat Chaikriangkrai, MD, Anusha Shirwaikar Thomas, MD, Matthew Tompson, MD, FACG, Houston Methodist Hospital, Houston, TX P828. Alimentary, My Dear Watson! ACE Inhibitor-Induced Bowel Angioedema Jatinder Goyal, MD, Frederick Weber, MD, University of Alabama at Birmingham, Birmingham, AL P829. Relapsing Symptoms From Sclerosing Mesenteritis: A Pain in the Gut! Jatinder Goyal, MD, Frederick Weber, MD, University of Alabama at Birmingham, Birmingham, AL 75 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm LIVER P839. The Role of Mannan Binding Lectin Pathway in Non Alcoholic Fatty Liver Disease (NAFLD) Azza Karrar, BVSc, MSC, PhD, Siddharth Hariharan, BB, Khatera Malik, BB, Zheng Li, MSC, Munkhzul Otgonsuren, MSC, Sharon Hunt, MSC, Zachary Goodman, MD, PhD, Zobair Younossi, MD, MPH, Betty and Guy Beatty Center for Integrated Research, Inova Health System, Falls Church, VA, Center for Liver Diseases, Department of Medicine, Falls Church, VA P840. Hepatitis C Virus Prevalence in an Unselected Emergency Department Population Vidhya Kunnathur, MD, Susan Rouster, BS, Kimberly Hart, MA, Matthew Sperling, BS, Kenneth Sherman, MD, PhD, FACG, Michael Lyons, MD, MPH, University of Cincinnati Dept. of Medicine Digestive Diseases, Cincinnati, OH, University of Cincinnati Dept. of Emergency Medicine, Cincinnati, OH P841. Surveillance Endoscopic Variceal Ligation Is Underutilized in Patients With Cirrhosis and Bleeding Esophageal Varices Maleka Khambaty, MD, Mahendra Nehra, MBBS, MPH, Amit Singal, MD, MS, UT Southwestern Medical Center and Parkland Health and Hospital System, Dallas, TX P842. Recidivism Among Liver Transplant Recipients for Alcoholic Cirrhosis: prevalence, Predictors, and Impact on Outcomes Kaely Bade, MD, Ashwani Singal, MD, MS, University of Alabama at Birmingham, Birmingham, AL P843. Systemic Inflammatory Response Syndrome Predicts Acute Kidney Injury and In-Hospital Mortality Among Patients With Alcoholic Hepatitis Kaely Bade, MD, Sujan Ravi, MD, Ashwani Singal, MD, MS, University of Alabama at Birmingham, Birmingham, AL P844. Patient-Specific Factors as Causes for Differences in Hepatocellular Carcinoma Screening Rates in an Urban Veteran Population Eliezer Weiss, MD, Rafayat Hossain, MD, Samy McFarlane, MD, Garrett Lawlor, MD, Ayse Aytaman, MD, SUNY Downstate Medical Center, Brooklyn, NY, Brooklyn VA Medical Center, Brooklyn, NY P845. Reversal of Low-Grade Cerebral Edema After Lactulose/Rifaximin Therapy in Patients With Cirrhosis Who Have Minimal Hepatic Encephalopathy Radha Dhiman, MD, DM, FAMS, FACG, Rahul Rai, MD, DM, Chirag Ahuja, MD, Navin Kalra, MD, Niranjan Khandelwal, MD, Ajay Duseja, MD, DM, FAMS, FACG, Yogesh Chawla, MD, DM, FAMS, FACG, Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India P846. Evolution of Serum Atherogenic Risk in Liver Transplant Recipients; Role of Lipoproteins, Metabolic and Inflammatory Markers Ravi Chhatrala, MD, Mohammad Bilal Siddiqui, MD, R. Todd Stravitz, MD, Carolyn Driscoll, PhD, Arun Sanyal, MD, Carol Sargeant, RN, MPH, Velimir Luketic, MD, Scott Matherly, MD, Richard Sterling, MD, Puneet Puri, MD, Mohammad Shadab Siddiqui, MD, Virginia Commonwealth University, Richmond, VA, The University of Texas Medical School at Houston, Houston, TX P847. Microvessel Density( MVD) Quantitation With Image Analysis in Patients With Viral Hepatitis Versus Nonviral Hepatitis-Related Hepatocellular Carcinoma Avantika Chenna, MD, Amr Mohamed, MD, Mohamed Abdelfatah, MD, Balsam Elhammali, MD, John Kauh, MD, Ahmed Kaseb, MD, Morehouse School of Medicine, Atlanta, GA, Akron General Medical Center, Akron, OH, Winship Cancer Institute Emory University, Atlanta, GA, MD Anderson, Houston, TX P848. Safety of Factor IX Complex in Patients With Cirrhosis: A Single Center Experience Maitri Kalra, MBBS, Ashish Aggarwal, MBBS, Laura Caragol, MD, Naveen Manchanda, MD, Marwan Ghabril, MD, Indiana University, Indianapolis, IN P849. The Association of the Metabolic Syndrome, Its Components, and the Risk of HCC Among Hispanic Patients From Puerto Rico Undergoing Liver Transplantation Ashley Sanchez-Mitchell, MD, Juan Serralles, MD, Barbara Rosado, MD, Willie Vazquez, MD, FACG, Gastro-Hepatology and Geriatrics Center, Ponce, Ponce School of Medicine, Ponce, PR P830. NAFLD Appears to Be the Most Common Liver Disease in IBD Patients: IBD Is Likely a Risk Factor for NAFLD Jason Dundulis, MD, John Helzberg, MD, FACG, Shaya Ansari, MD, Hani El-Halawany, MD, Randal Michelson, DO, Rajiv Chhabra, MD, University of Missouri - Kansas City School of Medicine, Kansas City, MO, St. Luke’s Health System, Kansas City, MO P831. CYP2C19 Genetic Polymorphism in Chronic Hepatitis B Infection Related Hepatocellular Carcinoma in Thailand Pongjarat Nun-anan, MD, Sith Siramolpiwat, MD, Soonthorn Chonprasertsuk, MD, Anupong Tangaroonsanti, MD, Bubpha Pornthisarn, MD, Patommatat Bhanthumkomol, MD, Ratha-korn Vilaichone, MD, PhD, FACG, GI Unit, Department of Medicine, Thammasat University Hospital, Pathumthani, Thailand P832. Hepatitis A and B Immunization Status in the U.S. Population: Results From the National Health and Nutrition Examination Survey (NHANES) 2003 to 2012 Houssam Mardini, MD, MPH, FACG, Alla Grigorian, MD, PhD, Philip Westgate, PhD, Bilal Aslam, MS IV, Tyler Fleming, MD, University of Kentucky, Lexington, KY, University of Kentucky College of Public Health, Lexington, KY P833. Hepatitis B Serology in the U.S. Population: Results From the National Health and Nutrition Examination Survey (NHANES) 2003 to 2012 Houssam Mardini, MD, MPH, FACG, Alla Grigorian, MD, PhD, Philip Westgate, PhD, University of Kentucky, Lexington, KY, University of Kentucky College of Public Health, Lexington, KY P834. The Prevalence of Hepatitis D in the U.S. Population: Results From the National Health and Nutrition Examination Survey (NHANES) 2003 to 2012 Alla Grigorian, MD, PhD, Houssam Mardini, MD, MPH, FACG, Tyler Fleming, MD, Bilal Aslam, MS IV, Philip Westgate, PhD, University of Kentucky, Lexington, KY, University of Kentucky College of Public Health, Lexington, KY P835. HLA Class II Alleles Are Associated to Histological Inflammatory Features of Steatohepatitis (NASH) 2014 ACG Presidential Poster Award Azza Karrar, BVSC, MSC, PhD, Ali Moosvi, BB, Maria Stepanova, PhD, Siddharth Hariharan, BB, Zheng Li, MSc, Zachary Goodman, MD, PHD, Zobair Younossi, MD, MPH, FACG, Betty and Guy Beatty Center for Integrated Research, Inova Health System, Falls Church, VA, Center for Liver Diseases, Department of Medicine, Falls Church, VA P836. Tolerance and Outcomes of Sofosbuvir Based Therapy for Chronic Hepatitis C Khalid George, MD, Alexander Weick, MD, Dilip Moonka, MD, Syed-Mohammed Jafri, MD, Henry Ford Hospital - Department of Internal Medicine, Detroit, MI, Henry Ford Hospital - Department of Gastroenterology and Hepatology, Detroit, MI P837. Insurance Approval for Sofosbuvir and Simeprevir-Based Hepatitis C Therapies Khalid George, MD, Alexander Weick, MD, Dilip Moonka, MD, Maria Segovia, MD, Syed-Mohammed Jafri, MD, Henry Ford Hospital Department of Internal Medicine, Detroit, MI, Henry Ford Hospital Department of Gastroenterology and Hepatology, Detroit, MI P838. A Systematic Review Assessing the Impact of Chronic Hepatitis C on Health-Related Quality of Life and Patient-Reported Outcomes Linda Henry, PhD, Kathleen Whitley, MS, Kerry Dhakal, MS, Libby Samuel, MS, Lois Culler, MS, Melinda Bryns, MS, Sharon Hunt, MBA, Zobair Younossi, MD, MPH, FACG, Betty and Guy Beatty Integrated Research Center, Falls Church, VA, Inova Fairfax Hospital, Falls Church, VA, Center for Liver Diseases, Department of Medicine, Inova Fairfax Hospital, Falls Church, VA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 76 Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P862. Sustained Virologic Response 12 Weeks Post-Treatment With ABT450/Ritonavir/Ombitasvir and Dasabuvir With Ribavirin (SAPPHIRE I and II) Is Independent of Patient Subgroups Maurizia Rossana Brunetto, MD, Mihály Makara, MD, Holger Hinrichsen, MD, PhD, John Hanson, MD, Michael Bennett, MD, Eric Lawitz, MD, Junyuan Xiong, MS, Eoin Coakley, MD, Tolga Baykal, MD, Guy Neff, MD, Liver Unit, University Hospital of Pisa, Pisa, Italy, Saint Laszlo Hospital, Budapest, Hungary, GastroenterologischHepatologisches Zentrum Kiel, Kiel, Germany, Charlotte Gastroenterology and Hepatology, PLLC, Charlotte, NC, Medical Associates Research Group, San Diego, CA, Texas Liver Institute, University of Texas Health Science Center, San Antonio, TX, AbbVie, Inc., North Chicago, IL P863. Low Incidence of Hyperbilirubinemia Events With ABT-450/R/ Ombitasvir and Dasabuvir With or Without Ribavirin inHCV Genotype-1 Infected Patients David Bernstein, MD, FACG, Naoky Tsai, MD, Tarek Hassanein, MD, FACG, Federico Rodriguez-Perez, MD, Manuel Romero-Gomez, MD, Rui Marinho, MD, PhD, Ramon Planas Vila, MD, Massimo Colombo, MD, Sandra Lovell, PhD, Jeffrey Enejosa, MD, Yan Luo, MD, PhD, Daniel Cohen, MD, Marcos Pedrosa, MD, PhD, K. Rajender Reddy, MD, FACG, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY, The Queen’s Medical Center - Liver Center, Honolulu, HI, Southern California Liver Centers and Southern California Research Center, Coronado, CA, Gastroenterology and Hepatic Wellness Center, Santurce, Hospital Universitario Nuestra Senora De Valme, Seville, Spain, Centro Hospitalar Lisboa Norte, Medical School of Lisbon, Lisboa, Portugal, Hospital Germans TríasiPujol, CIBERehd, Badalona, Spain, University of Milan, Milan, Italy, AbbVie Inc., North Chicago, IL, University of Pennsylvania, Philadelphia, PA P864. Nonselective β-Blockers May Negatively Impact Survival in Patients With Decompensated Cirrhosis 2014 ACG Presidential Poster Award Bradley Confer, DO, Mohannad Dugum, MD, Thimmaiah Theethira, MD, Ibrahim Hanouneh, MD, Rocio Lopez, MS, Nizar Zein, MD, Cleveland Clinic, Cleveland, OH P865. Seroprevalence and Associated Factors of Hepatitis E Virus Infection in Pig Handlers of Lima, Peru Martin Tagle, MD, Patricia Guzman, MD, Alessandra Ciliotta, MD, Roxana Gallegos, MD, Eduar Bravo, MD, Leandro Huayanay, MD, Universidad Peruana Cayetano Heredia, Lima, Peru P866. Screening for Hepatocellular Carcinoma Associated With Meeting Milan Criteria at Diagnosis Richard Kalman, MD, David Nunes, MD, Gastroenterology, Boston Medical Center, Boston, MA P867. Autoimmune Hepatitis With Inflammatory Bowel Disease Is Distinct and May Be More Refractory to Traditional Treatment James Bailey, MD, Gouri Sreepati, MD, Joshua Love, BS, Monika Fischer, MD, Raj Vuppalanchi, MD, Marwan Ghabril, MD, Samer Gawrieh, MD, Eric Orman, MD, Naga Chalasani, MD, FACG, Craig Lammert, MD, Indiana University, Indianapolis, IN P868. Impact of Donation After Cardiac Death (DCD) Allografts on Incidence and Severity of Recurrent Hepatitis C (HCV) and Graft Survival Post Liver Transplantation (LT) for HCV Shiva Kumar, MD, FACG, Liver Transplant Program, Aurora St. Luke’s Medical Center, Milwaukee, WI POSTERS MONDAY P850. Predictors of Hospital Readmissions Among Hispanics With Hepatitis C Related Cirrhosis Pradeep Atla, MD, MPH, Firdose Gill, DO, Bakht Roshan, MD, Muhammad Sheikh, MD, FACG, Division of Gastroenterology and Hepatology, UCSF Fresno, Fresno, CA, Communtiy Regional Medical Center, Fresno, CA, Saint Agnes Medical Center, Fresno, CA P851. Serum Vitamin B12 Level Could Be a Novel Diagnostic Marker to Predict Cirrhosis in Patients With Chronic Liver Disease Frank Czul, MD, Andres Yarur, MD, Kalyan Bhamidimarri, MD, University of Miami, Miami, FL P852. Rescuing Liver Transplant Recipients From Severe Recurrent Hepatitis C With Interferon Free Therapy Siddesh Besur, MD, Phillipe Zamor, MD, Paul Schmeltzer, MD, Mark Russo, MD, Carolinas Medical Center, Charlotte, NC P853. Extrapulmonary Tuberculosis in Liver Transplant Recipients: Case Series Siddesh Besur, MD, Paul Schmeltzer, MD, Phillipe Zamor, MD, Mark Russo, MD, Carolinas Medical Center, Charlotte, NC P854. An Unusual Case of Elevated AFP in a Hep C Cirrhotic Patient Zaid Alnoah, MD, Jennifer Luke, MD, Field Willingham, MD, MPH, Ryan Ford, MD, Gastroenterology, Emory, Atlanta, GA P855. An Unusual Case of Disseminated Adenovirus Presenting as Focal Hepatic Lesions Zilla Hussain, MD, Gastroenterology, Dartmouth Hitchcock Medical Center, Lebanon, NH P856. Effectiveness of Triple Therapy With Boceprevir, Pegylated Interferon, and Ribavirin in Veteran Patients With Chronic Hepatitis C Virus Infection Christian Andrade, MD, Brijesh Patel, MD, Adnan Muhammad, MD, Gitanjali Vidyarthi, MD, James A. Haley Veterans Affairs, Tampa, FL, Gastroenterology, University of South Florida, Tampa, FL P857. Results of Interferon Free HCV Therapy in a Clinical Practice Setting Kenda Al-Assi, Farhan Arif, MD, Melissa Horton, BS, Deborah Baker, LVN, Cheryl Levine, PhD, Dana Al-Assi, Reem Ghalib, MD, Texas Clinical Research Institute, Arlington, TX, Texas Digestive Disease Consultants, Arlington, TX, Texas Health Physician Group, Arlington, TX P858. Porto-Arterial Fistula Creation as a Complication of TIPS Procedure Causing Occult GI Bleeding Daniel Benasher, MD, Derrick Cheung, MD, Kelly Teagle, DO, Nnaemeka Anyadike, MD, Kadirawel Iswara, MD, FACG, James Park, MD, FACG, Aaron Winnick, MD, Sergei Sobolevsky, MD, David Mobley, MD, Rabin Rahmani, MD, FACG, Ira Mayer, MD, FACG, Maimonides Medical Center, Brooklyn, NY P859. A Rare Case of Hepatocellular Carcinoma With Self-Embolization and Regression of Tumor Kireet Agrawal, MBBS, MD, Nameer Al Mardini, MD, Kamal Agrawal, MD, Swedish American Hospital, Rockford, IL, University of Illinois, Rockford, IL, University College of Medical Sciences, New Delhi, India P860. Hepatitis C Associated Dermatomyositis and Lupus Complicating Treatment Imran Solaiman, MD, Kathryn White, DO, Jeff Hunt, DO, FACOI, University of Oklahoma Tulsa, Tulsa, OK, Oklahoma State University, Tulsa, OK P861. Results From the Phase 2 PEARL-I Study: Interferon-Free Regimens of ABT-450/r + ABT-267 With or Without Ribavirin in Patients With HCV Genotype 4 Infection Christophe Hezode, MD, Patrick Marcellin, MD, PhD, Stanislas Pol, MD, Tarek Hassanein, MD, FACG, Katarzyna Fleischer-Stepniewska, MD, Tolga Baykal, MD, Tianli Wang, PhD, Sandra Lovell, PhD, Tami Pilot-Matias, PhD, Regis Vilchez, MD, PhD, Assistance Publique Hopitaux de Paris, Paris, France, Hopital Beaujon Inserm Crb3 - U773 - Service Hepatologie, Clichy, France, Université Paris Descartes et Hôpital, Paris, France, Southern California Liver Centers and Southern California Research Center, Coronado, CA, EMC Instytut Medyczny Spolka Akcyjna, Wroclaw, Poland, AbbVie, Inc., North Chicago, IL 77 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P869. Diagnostic Performance of Magnetic Resonance Elastography for the Staging of Liver Fibrosis: A Systematic Review and Collaborative Individual Participant Data Meta-analysis Siddharth Singh, MD, Sudhakar Venkatesh, MD, Zhen Wang, PhD, Frank Miller, MD, Utaroh Motosugi, MD, Russell Low, MD, Tarek Hassanein, MD, FACG, Patrick Asbach, MD, Edmund Godfrey, MD, Meng Yin, PhD, Jun Chen, PhD, Andrew Keaveny, MD, Anneloes Bohte, MD, Mohammad Murad, MD, MS, Jay Talwalkar, MD, MPH, FACG, Richard Ehman, MD, Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, Northwestern University Feinberg School of Medicine, Chicago, IL, University of Yamanashi, Chuo-shi, Yamanashi, Japan, Sharp and Children’s MRI Center, San Diego, CA, Liver Centers of Southern California, San Diego, CA, Charité-Universitätsmedizin Berlin, Charité Campus Mitte, Berlin, Germany, St. James’ Hospital, Beckett Street, Leeds, United Kingdom, Mayo Clinic, Jacksonville, FL, Academic Medical Center, Amsterdam, Netherlands P870. Influence of Race on Hepatocellular Cancer Surveillance Rates in Patients With Chronic Hepatitis C: The VA Experience David Wan, MD, Jennifer Maratt, MD, Luba Greeder, MD, Alexander Jow, MD, Tao Xu, MD, Craig Tenner, MD, Fritz Francois, MD, FACG, New York-Presbyterian Hospital, New York, NY, Manhattan Veterans Affairs Medical Center, New York, NY, New York University Langone Medical Center, New York, NY P871. Volatile Organic Compounds in the Exhaled Breath as Biomarkers of Nonalcoholic Steatohepatitis in Obese Children Vera Okwu, MD, Ammar Matloob, MD, David Grove, PhD, Liping Tian, BS, Sara Lappe, MD, Rocio Lopez, MS, Raed Dweik, MD, Naim Alkhouri, MD, Cleveland Clinic - Department of Pediatric Gastroenterology, Cleveland, OH, Cleveland Clinic - Department of Pediatrics, Cleveland, OH, Cleveland Clinic - Department of Pathobiology, Cleveland, OH, Cleveland Clinic - Respiratory Institute, Cleveland, OH P872. Decreased Muscle Attenuation Predicts Mortality in Alcoholic Hepatitis Patients Mohamed Shoreibah, MD, David Arrington, MD, Derek DuBay, MD, Stephen Gray, MD, James Roy, Ashwani Singal, MD, GI and Hepatology, University of Alabama at Birmingham, Birmingham P873. The Relationship of Normal Hepatic Synthetic Function and Platelets With Advanced Fibrosis or Cirrhosis Mohamed Shoreibah, MD, Shabnam Sarker, MD, Ashwani Singal, MD, GI and Hepatology, University of Alabama at Birmingham, Birmingham P874. Are Cardiac Event and Cirrhosis Development Two Different Pathways in Non-Alcoholic Fatty Liver Disease? Mohamed Shoreibah, MD, Paul Fitzmorris, MD, Yong-Fang Kuo, PhD, Joseph Bloomer, MD, Ashwani Singal, MD, GI and Hepatology, University of Alabama at Birmingham, Birmingham, The University of Texas Medical Branch at Galveston, Galveston, TX P875. Hepatitis C Virus Is Not Associated With an Increased Risk of Colorectal Polyps in Cirrhotic Patients Undergoing Screening Colonoscopy Birju Bhatt, MD, Thresiamma Lukose, Pharm.D, Robert Brown, MD, MPH, Elizabeth Verna, MD, MS, Columbia University, New York, NY P876. Risk Factors for Readmissions Among Patients With Cirrhosis Sangeeta Agrawal, MD, FACG, Paras Kumar, Student, Kriti Agrawal, Student, Adrienne Stolfi, MSPH, Dayton VA Medical Center, Dayton, OH, Wright State University, Dayton, OH, University of California, Berkeley, CA P877. Translational Bioenergetics: A Promising Biomarker With Potential to Personalize Treatment in Patients With Alcoholic Liver Disease Ashwani Singal, MD, MSc, Philip Kramer, PhD, Saranya Ravi, PhD, Balu Chacko, PhD, Degui Zhi, PhD, Victor Darley-Usmar, PhD, Gastroenterology and Hepatology, UAB, Birmingham, AL P878. Serum Cytokeratin-18 Fragment Levels Predict Development of Type 2 Diabetes Mellitus in Adult Patients With Non-Alcoholic Fatty Liver Disease Sajan Jiv Singh Nagpal, MD, Rocio Lopez, MS, MPH, Ariel Feldstein, MD, Naim Alkhouri, MD, Cleveland Clinic, Cleveland, OH For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 78 P879. Sonic Hedgehog Signaling Pathway in Hepatocellular Carcinoma and Its Association With Tumor Recurrence Following Liver Transplantation: A Pilot Study Mohannad Dugum, MD, Ibrahim Hanouneh, MD, Thomas McIntyre, PhD, Rish Pai, MD, PhD, Nizar Zein, MD, Cleveland Clinic Foundation, Cleveland, OH P880. Functional Status of Patients With Cirrhosis Does Not Differ Among Etiologies of Cirrhosis Based on the Six-Minute Walk Test (6MWT) Jeffrey Juneau, MD, Sudha Kodali, MD, MPH, Talha Malik, MD, MPH, Winnie Tsai, BS, Daniel Booth, BS, Brendan McGuire, MD, MS, University of Alabama at Birmingham, Birmingham, AL P881. Pre-Transplant Characteristics in Patients Evaluated for Orthotopic Liver Transplant (OLT) Associated With Positive Stress Test Feng Li, MD, Bryan Lee, MD, Kyle Porter, MAS, Nicole O’Bleness, BS, RN, Scott Lilly, MD, PhD, A. James Hanje, MD, Department of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH, Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH, Division of Cardiovascular Medicine, Department of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH, Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH P882. Hepatic Steatosis Is Independently Associated With Coronary Atherosclerosis Anusha Shirwaikar Thomas, MD, Kongkiat Chaikriangkrai, MD, Sharleen Botero, BS, Su Min Chang, MD, Houston Methodist Hospital, Houston, TX P883. Multiple Liver Abscesses From Fusobacterium Infection Venkata Gourineni, MD, Joyce George, MD, Jayakrishnan Krishnakurup, MD, Andrew Bedford, MD, FACG, Gregory Soloway, MD, Gastroenterology, Bridgeport Hospital, Milford, CT P884. Are Patients Hospitalized With Cirrhosis and Ascites Receiving Appropriate Diagnostic Paracentesis? Harith Baharith, MD, Marco Puglia, MD, McMaster University, Hamilton, ON, Canada P885. Reevaluation of the Upper Limit of Normal for Outpatient Alanine Aminotransferase (ALT) Levels at a Large United States Urban Medical Center Adarsh Varma, MD, Stuart Gordon, MD, Richard Krajenta, BS, Lois Lamerato, PhD, Veronica Luzzi, PhD, Kimberly Brown, MD, Ashish Zalawadia, MD, Gastroenterology and Hepatology, Henry Ford Hospital, Detroit, MI P886. Utility of Liver Biopsies in Patients Undergoing Left Ventricular Assist Device Implantation Hesam Keshmiri, DO, MS, Burhan Mohamedali, MD, Gardner Yost, BSc, Geetha Bhat, MD, University of Illinois/Advocate Christ Medical Center, Chicago, IL P887. Clopidogrel-Induced Severe Cholestatic Hepatitis Hesam Keshmiri, DO, MS, Anuj Behal, MD, Rasha Issa, MD, Shawn Shroff, MD, Kamran Ayub, MD, Charles Berkelhammer, MD, UIC/ Advocate Christ Medical Center, Chicago, IL P888. IPH With Gait Disturbances: Is It a New Congenital Syndrome? Nongnooch Poowanawittayakom, MD, Michael Flicker, MD, Bhaumik Brahmbhatt, MD, Surakit Pungpapong, MD, Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL, Mayo Clinic, Jacksonville, FL Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm LIVER - CLINICAL VIGNETTES P904. An Unusual Case of Hepatocellular Carcinoma Without PreExisting Liver Cirrhosis or Fibrosis in a Patient With Metabolic Syndrome Gouri Sreepati, MBBS, Ashish Aggarwal, MBBS, Craig Lammert, MD, Medicine, Indiana University School of Medicine, Indianapolis, IN P905. Focal Fatty Infiltration of the Liver Mimicking Malignancy in HighRisk Patients Vinay Yalamanchi, DO, Wallace Wang, MD, Moshe Rubin, MD, FACG, Ari Bunim, MD, FACG, New York Hospital of Queens, New York, NY P906. Chronic Dystonia as Presenting Symptom of Hereditary Hemochromatosis Karthik Ragunathan, MD, Kavitha Kalvakuri, MD, Sonu Dhillon, MD, University of Illinois College of Medicine, Peoria, IL, OSF St. Francis Medical Center, Peoria, IL P907. Armodafinil, Not So Silent as It Appears! Venu Gopala Reddy Gangireddy, MD, Swathi Talla, MD, Hamza Abdulla, MD, Sherman Chamberlain, MD, FACG, Subbaramia Sridhar, MD, FACG, Gastroenterology, Georgia Regents University, Augusta, GA, Luzhou Medical College, Luzhou, China P908. Ovarian Cancer Despite Previous Oophorectomy in Liver Transplant Patient Jennifer Behzadi, MD, Peter Stanich, MD, Robert Kirkpatrick, MD, Ohio State University Wexner Medical Center, Columbus, OH P909. Marchiafava-Bignami Disease (MBD): Rare Diagnosis With Poor Outcome in Alcoholic Cirrhosis Avin Aggarwal, MD, Conrad Engler, DO, Department of Medicine, Hennepin County Medical Center, Minneapolis, MN P910. Primary Hepatic T-cell Lymphoma Causing Acute Liver Failure and Hemophagocytic Lymphohistiocytosis Daniel Eshtiaghpour, MD, Sharareh Shahangian, MD, Ariana Cornejo, RN, Sofiya Reicher, MD, Anuj Datta, MD, Viktor Eysselein, MD, Harbor UCLA, Torrance, CA P911. Patient With Esophageal Varices, Portal Hypertension, and Coagulopathy: Things Are Not Always What They Seem! Seyed Ali Gaskari, MD, PhD, Sherry Yang, MD, Brent NeuschwanderTetri, MD, FACG, Saint Louis University, St. Louis, MO P912. Mycoplasma Pneumonia: The Cause of an Obscure Cholestatic Hepatitis Arnaldo Freire, MD, MPH, Antonio Soto, MD, Rafael Tirado, MD, Maria Dueno, MD, Doris Toro, MD, FACG, Internal Medicine, Caribbean VA Healthcare System, San Juan P913. Spontaneous Clearance of Chronic HCV Infection: An Unusual Phenomenon Varun Jain, MD, Deepak Sharma, DO, Sonja Marcus, MPH, Norbert Brau, MD, Icahn School of Medicine at Mount Sinai (Bronx) - James J Peters VA Medical Center, Bronx, NY P914. Guillain Barre Syndrome and Autoimmune Hepatitis: Is There a Relationship? Sehrish Kamal, MD, Muhammad Ali Khan, MD, Muhammad Imran Khan, MD, Tariq Hammad, MD, Yaseen Alastal, MD, Thomas Sodeman, MD, FACG, University of Toledo, Toledo, OH P915. Cholestatic Hepatitis: An Unusual Presentation of LisinoprilMediated Hepatotoxicity Gurpinder Singh, MD, MBBS, Amit Kachalia, MD, MBBS, Jaspreet Kaur, MBBS, Kinjal Kachalia, MBBS, Vincent Rizzo, MD, MBA, Icahn School of MEdicine at Mount Sinai Queens, Fresh Meadows, NY P916. Hepatolithiasis: A Cause for Persistent Abdominal Pain That Escaped MRCP Frank Senatore, MD, Ankeet Bhatt, BS, Houman Rezaizadeh, MD, Murali Dharan, MD, FACG, University of Connecticut School of Medicine, Farmington, CT, St. Francis Medical Center, Hartford, CT P917. A Plea for HELLP: HELLP-Like Syndrome Presenting in the Second Trimester Dominic Colella, DO, Farhan Israr, DO, Lorenc Kalaveshi, DO, Rajan Narula, DO, Leena Saline, DO, Javier Sobrado, MD, FACG, Michael Valladares, DO, Nova Southeastern University College of Osteopathic Medicine (NSU-COM), Fort Lauderdale-Davie, FL POSTERS MONDAY P889. Enteral Nutrition Support for Sarcopenia in End-Stage Liver Disease Dina Halegoua-De Marzio, MD, She-Yan Wong, MD, Jonathan Fenkel, MD, Department of Medicine, Division of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, PA P890. An Unusual Cause of Elevated LFTs: Progressive Familial Intrahepatic Cholestasis Syed Amer, MBBS, Andrew Walker, PSM, MS, PA-C, Cuong Nguyen, MD, Mayo Clinic, Phoenix, AZ P891. Hepatotoxicity Associated With the Use of OxyELITE Pro: A Nutritional Supplement Patrick Koo, MD, Deepak Venkat, MD, Stanley Cohen, MD, Digestive Health Institute, University Hospital/Case Medical Center, Cleveland, OH P892. A Rare Case: Diffuse Large B-Cell Lymphoma (DLBCL) Presenting as Acute Liver Failure Pragnesh Patel, MD, Erik Rahimi, MD, Sushovan Guha, MD, PhD, Victor Machicao, MD, Internal Medicine, University of Texas at Houston, Houston, TX P893. A Rare but Sinister Cause of Leukemoid Reaction: Alcoholic Hepatitis Raman Khehra, MD, Cristina Strahotin, MD, Jose Oliva, MD, Jan Silverman, MD, Division of Gastroenterology, Allegheny General Hospital, Pittsburgh, PA, Department of Pathology, Allegheny General Hospital, Pittsburgh, PA P894. Hepatocellular Autophagy in Anorexia Nervosa (AN) Ishita Rajnish, MD, Sumair Ahmad, MD, Joshua Aron, MD, Melik Tiba, MD, Internal Medicine, Icahn School of Medicine, Elmhurst, NY P895. Massive Lower Gastrointestinal Bleed With AL Amyloidosis Salvatore Savona, MD, Allison Rossetti, MD, Christina Arnold, MD, A. James Hanje, MD, Ohio State Wexner Medical Center, Columbus, OH P896. A Case of Drug-Induced Liver Injury by the New Diabetes Drug Canagliflozin Chuan Long Miao, MD, MPH, Jinhong Li, MD, Andrew Mowery, DO, Harshit Khara, MD, Amit Johal, MD, Nicholas Inverso, MD, Korta Yuasa, MD, Geisinger Medical Center, Danville, PA P897. Pleural Effusion, Ascites, and Periportal Edema in the Absence of Fulminant Hepatic Failure Secondary to Nimesulide Justin Lui, MD, Bilal Gondal, MD, Joan Kheder, MD, Curtis Barry, MD, Department of Medicine, University of Massachusetts Medical School, Worcester, MA P898. Acute Massive Hepatic Enlargement in Sickle Cell Disease Minhaj Musa, MD, Kyaw Thein, MD, Bisrat Haile, MD, Rajat Mukherji, MD, Harish Patel, MD, Kingsbrook Jewish Medical Center, Brooklyn, NY P899. A Rare Case of Acute Liver Failure From an Adverse Drug Reaction Muhammad Baig, MBBS, MD, Mohsen Hasanin, MD, Sanam Anwer, MBBS, MD, UAB Montgomery Internal Medicine Residency Program, Montgomery, AL P900. The Cat Is Out of the Bag: A Case of Disseminated Bartonella henselae Mimicking Post-Transplant Lymphoproliverative Disorder David Chascsa, MD, Darryn Potosky, MD, University of Maryland, Baltimore, MD P901. Intra-Hepatic Splenosis With Transformation Into B-Cell Lymphoma: More Than Meets the Eye Elliot Cauble, MD, Jennifer Reed, MD, Prasad Kulkarni, MD, FACG, Division of Digestive Diseases and Nutrition, University of South Florida, Tampa, FL, James A. Haley VA, Tampa, FL P902. Idiopathic Non-Cirrhotic Portal Hypertension: A Case Report in a Caucasian Female Cortni Tyson, MD, Internal Medicine, Howard University Hospital, Washington, DC P903. Successful Treatment of Fibrosing Cholestatic Hepatitis C With Sofosbuvir and Simeprevir Meghan NeSmith, MD, Atif Zaman, MD, FACG, Jennifer Urquhart, MD, Jody Hooper, MD, Joseph Ahn, MD, FACG, Oregon Health and Science University, Portland, OR, Kaiser Permanente, Portland, OR 79 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm COLON P918. A Case of Drug-Induced Cholangitis and Cholestasis From Amoxicillin/Clavulanic Acid and Levofloxacin Rafael Rojano-Marin, MD, Amir Rezk, MD, Chuan Miao, MD, MPH, MS, Nina Ahuja, MD, General Internal Medicine, Geisinger Medical Center, Danville, PA, Gastroenterology, Geisinger Medical Center, Danville, PA P919. Bosentan-Induced Autoimmune Hepatitis Amir Taefi, MD, Suzan Ebrahimi, MD, Farzin Rashti, MD, Grishma Joy, MD, Mitesh Patel, MD, Won Cho, MD, Washington Hospital Center, Silver Spring, MD P920. An Unusual Occurrence of Granulomatous Liver Disease in Turner’s Syndrome: A Case Series Jayakrishna Chintanaboina, MD, MPH, Pragnesh Shah, MD, Thomas Riley, MD, Penn State Hershey Medical Center, Hershey, PA P921. A Case of Worsening Liver Function Due to Sitosterolemia in Turner’s Syndrome Jayakrishna Chintanaboina, MD, MPH, Pragnesh Shah, MD, Thomas Riley, MD, FACG, Penn State Hershey Medical Center, Hershey, PA P922. Fever and Transaminitis: Sole Manifestations of Enteric Fever in a Traveler Returning From Bengladesh Amir Kalani, MD, PhD, Sonaly Patel, MD, Drexel University School of Medicine, Division of Internal Medicine, Philadelphia, PA P923. A Case of Acute Liver Failure Associated With Synthetic Cannabis Use 2014 ACG Presidential Poster Award Erin Spengler, MD, Douglas LaBrecque, MD, Internal Medicine, University of Iowa, Iowa City, IA P924. SBRT for Hepatocellular Carcinoma With Portal Vein Invasion From Palliation to a Cure Mohammed Eyad Yaseen Alsabbagh, MD, Carlos Romero-Marrero, MD, Cleveland Clinic, Cleveland, OH P925. Cyanoacrylate Injection in the Treatment of Gastric Varices: A Case Series Anuj Sharma, MD, Nader Dbouk, MD, Satheesh Nair, MD, Sanjaya Satapathy, MD, Gastroenterology and Hepatology, University of Tennessee Health Science Center, Memphis, TN, Methodist University Transplant Institute, Memphis, TN P926. Rare Presentation of Acute Liver Injury From Herpes Simplex Virus-1 Hepatitis and Concomitant Acetaminophen Toxicity in an Immunocompetent Patient Harsha Moole, MD, Daniel Martin, MD, Srinivas Puli, MD, Sonu Dhillon, MD, University of Illinois College of Medicine Peoria, Peoria, IL P927. Acute Cholestatic Hepatitis Without Ductopenia: An Extremely Rare Adverse Effect of Oral Clindamycin Harsha Moole, MD, Daniel Martin, MD, Sonu Dhillon, MD, Srinivas Puli, MD, University of Illinois College of Medicine Peoria, Peoria, IL P928. Systemic Mastocytosis: A Confounder of Refractory Pruritus in a Liver Disease Patient Creating Management Dilemma Jagpal Klair, MD, Mohit Girotra, MD, Johnny Jones III, MD, Aneet Kaur, MD, Farshad Aduli, MD, FACG, University of Arkansas for Medical Sciences, Little Rock, AR P929. Rare Complication of Simple Liver Cyst Necessitating Prompt Management Jagpal Klair, MD, Gaurav Syal, MD, Farshad Aduli, MD, FACG, University of Arkansas for Medical Sciences, Little Rock, AR P930. Successful Treatment of Erythropoietic Protoporphyria Induced Liver Injury With Pan-Hematin 2014 ACG Presidential Poster Award Nisha Shah, MD, Nicholas Fiacco, MD, John Bassett, MD, FACG, Walter Reed, Bethesda, MD P931. Acalculous Cholecystitis Associated With Acute Q Fever Infection Nisha Shah, MD, John Bassett, MD, FACG, Thomas Mellor, MD, Walter Reed, Bethesda, MD For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P932. Ribotype 027 Strain Does Not Predict the Severity of Clostridium difficile Infection but Predicts Relapse and the Antimicrobial Agent Used Anand Kumar, MD, MPH, Einstein Medical Center Philadelphia, Philadelphia, PA P933. Colonoscopy After Acute Diverticulitis: What Happens to Those Who Don’t Adhere to Guidelines? Josh Wilson, MD, Joseph Cristiano, MD, Michael Williford, BS, Richard Bloomfeld, MD, Wake Forest, Winston Salem, NC P934. Obstacles to Donor Recruitment for Faecal Microbiota Transplantation: Experiences From the FOCUS Study Sudarshan Paramsothy, BSc (Med), MBBS (Hon 1), Thomas Borody, MD, PhD, FACG, Enmoore Lin, BA, BSc (Hons), PhD, Sarah Finlayson, BAdvSc (Hon 1), Alissa Walsh, MBBS (Hons), Douglas Samuel, BSc (Med), MBBS (Hons) MMed, Johan van den Bogaerde, MBChB, PhD, FCP, MMed, Hazel Mitchell, BSc (Hons), Dip Ed, PhD, Nadeem Kaakoush, BSc (Hons), PhD, Michael Kamm, MBBS, MD, St. Vincent’s Hospital, Sydney, NSW, Australia, Centre for Digestive Diseases, Sydney, NSW, Australia, Bankstown-Lidcombe Hospital, Sydney, NSW, Australia, Nambour General Hospital, Nambour, QLD, Australia, University of New South Wales, Sydney, NSW, Australia, St. Vincent’s Hospital, Melbourne, VIC, Australia P935. Rescue Therapy With Fecal Microbiota Transplantation in Hospitalized Patients With Severe and Severe-Complicated Clostridium difficile Infection Monika Fischer, MD, MS, Gwen Cook, MS, Nicholas Rogers, MD, Brian Sipe, MD, Raj Vuppalanchi, MD, IUPUI, Indianapolis, IN, St. John’s Hospital, Anderson, IN P936. Gastrointestinal Bleeding Secondary to Sevelamer-Induced Mucosal Injury Venkata Gourineni, MD, Nicole Loo, MD, Mayra Sanchez, MD, Bridgeport Hospital, Bridgeport, CT, Yale New Haven Hospital, New Haven, CT P937. Colonoscopy Without Insufflation: A Prospective Randomized Controlled Study Sergey Kantsevoy, MD, PhD, Marianne Bitner, CRNA, Deborah Hockett, BSN, RN, Deborah Pennington, MSN, RN, Karen Chapman, RN, Kathleen Maier, BSW, RN, CGRN, April Vilches, BSN, RN, Barbara O’Neil, RN, ADN, Mercy Medical Center, Owings Mills, MD, University of Maryland School of Medicine, Baltimore, MD P938. Sedationless Colonoscopy With Visualization Balloon: First Clinical Experience in Humans Sergey Kantsevoy, MD, PhD, Marianne Bitner, CRNA, Deborah Hockett, BSN, RN, Deborah Pennington, MSN, RN, Karen Chapman, RN, Kathleen Maier, BSW, RN, CGRN, April Vilches, BSN, RN, Barbara O’Neil, RN, ADN, Mercy Medical Center, Baltimore, MD, University of Maryland School of Medicine, Baltimore, MD P939. Safety Outcomes After Fecal Microbiota Transplantation (FMT) for C. difficile Infection (CDI) Desmond Wilson, MD, David Rahni, MD, Colleen Kelly, MD, FACG, The Alpert Medical School of Brown University, Providence, RI P940. Using Population-Based Resources to Identify Sessile Serrated Polyps in a Statewide Population Kajsa Affolter, MD, Keith Gligorich, PhD, Noah Welker, PhD, Wade Samowitz, MD, Karen Curtin, PhD, Pathology, University of Utah, Salt Lake City, UT, Huntsman Cancer Institute, Salt Lake City, UT P941. Outcomes of Fidaxomicin Treatment of Clostridium difficile Infection Clayton Spiceland, MD, Sahil Khanna, MBBS, Darrell Pardi, MD, FACG, Mayo Clinic, Rochester, MN P942. Higher Prevalence of Celiac Disease in Patients With Microscopic Colitis: Results From a Large Pathology Database Eugene Yen, MD, FACG, Amnon Sonnenberg, MD, FACG, Robert Genta, MD, FACG, NorthShore University HealthSystem, Evanston, IL, Portland VA Medical Center, Portland, OR, Miraca Life Sciences Research Institute, Irving, TX 80 Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P954. Concurrent Infectious Disease and GI Consults in Clostridium difficile Colitis Increases Cost Without Improving Outcome Kelly Teagle, DO, Shantanu Solanki, MBBS, Kenechukwu ChudyOnwugaje, MBBS, Peter Homel, PhD, Ira Mayer, MD, FACG, Rabin Rahmani, MD, Gastroenterology, Maimonides Medical Center, Brooklyn, NY P955. A Cell Culture Model for Oral Administration of Tegafur for Topical Drug Delivery to Colon Adenocarcinoma Chahinaz Kouba, BS, Katherine DiGuilio, BS, Carmen Valenzano, BS, James Mullin, PhD, Steven Neau, PhD, University of the Sciences in Philadelphia, Philadelphia, PA, Lankenau Institute for Medical Research, Wynnewood, PA P956. Clinical Outcome of C. difficile-Toxin Negative, PCR-Positive Patients Ashar Usmani, MD, John Boyce, MD, Yale New Haven Hospital, New Haven, CT P957. Basaloid Squamous Cell Carcinoma of the Ascending Colon: An Unusual but Aggressive Malignancy Rasha Issa, MD, Omar Majdobeh, MD, Hareth Raddawi, MD, FACG, Christ Advocate Medical Center, Oak Lawn, IL P958. Relationship Between Prior Therapeutic Colonoscopic Procedures and Diverticulitis Mrinal Garg, MD, Syed-Mohammed Jafri, MD, Jeffrey Tang, MD, Henry Ford Hospital, Detroit, MI P959. Secondary Peritonitis in Peritoneal Dialysis Faraz Khan Luni, MBBS, MD, Muhammad Imran Khan, MBBS, Abdur Khan, MD, Muhammad Bawany, MD, Ragheb Assaly, MD, Internal Medicine, University of Toledo Medical Center, Toledo, OH, Dow Medical College, Karachi, Pakistan P960. Bowel Preparation Scales: When Glasses Become More Important Than the View 2014 ACG Presidential Poster Award Ali Harb, MD, Fayez Sarkis, MD, Robert Habib, PhD, Fadi Mourad, MD, Omar Masri, MD, Rami Badreddine, MD, Mahmoud Othman, MD, Ala Sharara, MD, FACG, Internal Medicine, American University of Beirut, Beirut, Lebanon P961. The Burden of Bowel Preparation on Patients’ Quality of Life: The Elephant in the Colonoscopy Room! Zeinab El Reda, MD, Ali Harb, MD, Fayez Sarkis, MD, Rachel Abou Mrad, MD, Ala Sharara, MD, FACG, Internal Medicine, American University of Beirut, Beirut, Lebanon P962. Body Mass Index and Quality of Bowel Preparation: Real Life Versus Clinical Trials Ali Harb, MD, Fayez Sarkis, MD, Robert Habib, PhD, Ala Sharara, MD, FACG, American University of Beirut, Beirut, Lebanon P963. A Randomized Trial of Split-Dose PEG-Electrolyte Plus Menthol Candy Versus Reduced-Volume PEG-Electrolyte Plus Ascorbic Acid for Colonoscopy Preparation Ali Harb, MD, Fayez Sarkis, MD, Rami Badreddine, MD, Omar Masri, MD, Mahmoud Othman, MD, Fadi Mourad, MD, Ala Sharara, MD, FACG, Internal Medicine, American University of Beirut, Beirut, Lebanon POSTERS MONDAY P943. Factors Associated With Delayed Screening in Colorectal Cancer Patients Christopher Johnson, MD, PhD, Moazzam Sana, MD, Juhee Song, PhD, Syed Ahmed, MD, Mena Milad, MD, Angela Hochhalter, PhD, Richard Erickson, MD, FACG, Jennifer Vincent, DO, FACG, Gastroenterology, Baylor Scott and White Healthcare, Temple, TX P944. Comparison Between Endoscopic Ultrasound and Magnetic Resonance Imaging for the Staging of Rectal Cancer Michael McCabe, MD, Vanessa Shami, MD, Bryan Sauer, MD, Internal Medicine, University of Virginia Health System, Charlottesville, VA P945. Diverticulitis in HIV/AIDS Patients Is Associated With Increased Mortality Kevin Cronley, MD, Jeffrey Wenzke, MD, Hisham Hussan, MD, Alice Hinton, PhD, Darwin Conwell, MD, Somashekar Krishna, MD, Peter Stanich, MD, Division of Gastroenterology, Hepatology and Nutrition, Ohio State University Wexner Medical Center, Columbus, OH P946. Management of Leiomyomatous Colonic Polyps Identified During Colonoscopy: A Retrospective Outcome Study May Olayan, MD, Emir Roach, MD, Serkan Ayvaz, PhD, Abdullah Shatnawei, MD, Internal Medicine, Cleveland Clinic Fairview Hospital, Westlake, Cleveland Clinic, Cleveland, OH P947. Comparison of the Prevalence of Colonic Diverticulosis Among Africans Versus African Americans Adeyinka Laiyemo, MD, MPH, Hassan Brim, PhD, Edward Lee, MD, Babafemi Adenuga, MD, Kolapo Idowu, MD, Shelly McDonaldPinkett, MD, Hassan Ashktorab, PhD, Medicine, Howard University, Washington, DC P948. Success Rates of Endoscopic Mucosal Resection of Large Polyps and Predictors of Incomplete Resection Shreyas Saligram, MD, Deepti Rao, MD, Diego Lim, MD, Bhairvi Jani, MD, Mojtaba Olyaee, MD, Prashanth Pandya, MD, Prateek Sharma, MD, Ajay Bansal, MD, Amit Rastogi, MD, Kansas City VA Medical Center, Kansas City, MO, Kansas University Medical Center, Kansas City, KS P949. A Risk Index for Serrated Adenoma on the Subsequent Screening/ Surveillance Colonoscopy in Patients With Previous Adenomas Jinma Ren, PhD, Carl Asche, PhD, Daniel Martin, MD, Sonu Dhillon, MD, Srinivas Puli, MD, Michael Cashman, MD, University of Illinois, Peoria, IL, Institute for Outcomes Research, University of Illinois, Peoria, IL P950. Perceptions of Fecal Microbiota Transplantation: Factors That Predict Acceptance: A Preliminary Analysis Leslie Park, MD, Demetrios Tzimas, MD, Jennifer Price, MD, Anjali Mone, MD, Jaqueline Hirsh, MD, Michael Poles, MD, Lisa Malter, MD, Lea Ann Chen, MD, NYU Medical Center, New York, NY, University of California San Francisco, San Francisco, CA P951. Enema Administration of RBX2660 (Microbiota Suspension) for Recurrent C. difficile Infection: Lessons Learned From the PUNCH CD Study Arnab Ray, MD, Robert Hardi, MD, Mayur Ramesh, MD, Mary Kay Sobcinski, RN, MHA, Ochsner Clinic, New Orleans, LA, Capital Digestive Care, Chevy Chase, MD, Henry Ford Health System, Detroit, MI, Rebiotix Inc., Roseville, MN P952. Relationship of Body Mass Index (BMI) and Age With Recurrent Clostridium difficile Infection Salwa Hussain, MD, Daniyeh Khurram, MD, Shruti Pandita, MD, Amir Prushani, MD, Syed-Mohammed Jafri, MD, FACG, Providence Hospital and Medical Centers, Southfield, MI, Henry Ford Health System, Detroit, MI P953. Robotic Surgery: Advances in the Treatment of Diverticulitis Michelle DeLeon, MD, Nell Maloney Patel, MD, Sita Chokhavatia, MD, FACG, Craig Rezac, MD, Rutgers Robert Wood Johnson University Hospital, Department of Surgery, New Brunswick, NJ, Rutgers Robert Wood Johnson University Hospital, Division of Gastroenterology and Hepatology, Department of Internal Medicine, New Brunswick, NJ COLON - CLINICAL VIGNETTES P964. Widely Metastatic Colon Cancer After Previous Prostate Irradiation Adeeti Chiplunker, MD, MMS, A. Aziz Aadam, MD, William Berger, MD, Medical College of Wisconsin, Milwaukee, WI, Rush Medical College, Chicago, IL P965. Sodium Polysterone Sulfonate Induced Colonic Mucosal Necrosis in a Hypovolemic Patient With Acute Kidney Injury Harsha Moole, MD, Zohair Ahmed, MD, Meenakshy Aiyer, MD, Srinivas Puli, MD, Sonu Dhillon, MD, University of Illinois College of Medicine Peoria, Peoria, IL 81 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P966. Colo-Colonic Intussusception With a Cecal Mass in a 21-Year-Old Female Ian Holmes, MD, Liz Kramer, MD, David Wan, MD, New YorkPresbyterian Hospital, New York, NY, Memorial Sloan-Kettering, New York, NY P967. Colonic MALT Lymphoma Charles Wang, MD, Jeanette Smith, MD, Gastroenterology, Brown University, Providence, RI, Providence Veterans Hospital, Providence, RI P968. Streptococcus anginosus Septicemia, Sole Presentation of Silent Colorectal Tumor: A Case Report Dhruv Lowe, MBBS, Divey Manocha, MBBS, Shreya Sinha, MD, Arunpreet Kahlon, MBBS, Internal Medicine, SUNY Upstate Medical University, Syracuse, NY P969. There’s More Than Meets the Eye: Histoplasma Mimicking Colon Neoplasm Lohit Garg, MD, Treta Purohit, MD, Dariusz Lazarczyk, MD, FACG, Deaprtment of Internal Medicine, William Beaumont Hospital, Beaumont Health System, Royal Oak, MI, Department of Gastroenterology and Hepatology, William Beaumont Hospital, Beaumont Health System, Royal Oak, MI P970. How to Get Unstuck: Difficult Polypectomy Involving a Solitary Cecal Ganglioneuroma Ashley Vareedayah, MD, Pooja Singhal, MD, Klaus Gottlieb, MD, MBA, MS, FACG, Internal Medicine, Georgetown University Hospital, Washington, DC Veterans Affairs Medical Center, Washington, DC P971. Two Cases of Primary Malignant Melanoma of the Colorectal Area Rahman Nakshabendi, MD, Matthew Clark, MD, Juan Munoz, MD, FACG, Imad Nakshabendi, MD, PHD, FACG, University of Florida COM, Jacksonville, FL, Tampa General Hospital, Tampa, FL P972. Sigmoid Colon Polyp as Initial Presentation of Metastatic Papillary Renal Cell Carcinoma Andrew Berry, BS, Rahman Nakshabendi, MD, Andres Yarur, MD, Marcelo Larsen, MD, Brijesh Patel, MD, Mohan Persaud, MD, Warren Reuther, MD, Rachel Herdes, MA, Wayne Cai, MD, Kansas City University of Medicine and Biosciences, Kansas City, MO, University of Florida-Jacksonville, Jacksonville, FL, University of Miami Miller School of Medicine, Miami, FL, University of South Florida, Tampa, FL, West Palm Hospital, West Palm Beach, FL P973. CMV Proctitis in an Immunocompetent Young Adult Nikhil Kapila, MD, Justin Goralnik, MD, Andrew Hamarich, DO, Internal Medicine, University of Connecticut Health Center, Farmington, CT P974. Mesenteric Thrombophlebitis: An Uncommon Complication of Diverticulitis Avin Aggarwal, MBBS, Hennepin County Medical Center, Minneapolis, MN P975. Colon Neuroganglionoma: a Rare Cause of Hematochezia Azfar Niazi, MBBS, Omar Khokhar, MD, FACG, Department of Medicine, Division of Gastroenterology, University of Illinois-Peoria, Bloomington, IL P976. Flat Rectal Lesion: Not Your Typical Polyp Amin Mahdi, MD, Matthew Bechtold, MD, FACG, Hazem Hammad, MD, Gastroenterology, University of Missouri, Columbia, MO P977. Does Gastrointestinal Dysmotility Predispose to Recurrent C. diff. Infection? Ahmad Alkaddour, MD, Abdulwahab Hritani, MD, Jeffrey House, DO, University of Florida- Department of Medicine, Jacksonville, FL P978. Looks Like, Sounds Like, But….A Rectal Dieulafoy? Stacey Wells, MD, Kunal Suryawala, MD, James Morris, MD, FACG, Gastroenterology, Louisiana State University Health Sciences Center, Shreveport, LA P979. Ischemic Colitis After a Routine Colonoscopy: Report of Two Cases Edson da Silva, MD, FACG, Hospital Federal dos Servidores do Estado do Rio de Janeiro, Rio de Janeiro, Brazil P980. Gastrointestinal Manifestation of Autologous Graft Versus Host Disease in a Patient With Plasmablastic Lymphoma Mohsen Khan, DO, Catherine Ly, DO, Baseer Qazi, MD, Omat Hassan, BA, Advocate LGH, Park Ridge, IL For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P981. Rare Case of GI Bleeding: Rectal Dieulafoy Lesion William Goldkamp, MD, Richard Goldberg, DO, Keval Patel, MD, Claudio Tombazzi, MD, University of Tennessee Department of Internal Medicine, Memphis, TN, University of Tennessee Department of Gastroenterology and Hepatology, Memphis, TN P982. Delayed Gastrointestinal Bleeding in a Case of Failed Graft Pancreatic and Kidney Transplant 2014 ACG Presidential Poster Award Nisha Sharma, MD, Yuriy Israel, MD, Ruri Lee, MD, Sam McCabe, MD, Roxana Bodin, MD, Westechester Medical Center, Valhalla, NY P983. Taxane-Induced Colon Ischemia Amir Taefi, MD, Suzan Ebrahimi, MD, Farzin Rashti, MD, Kirthi Kolli, MD, Mitesh Patel, MD, Washington Hospital Center, Washington, DC P984. An Unusual Case of Lymphocytic Colitis in The Setting of Methamphetamine Use and Rectal Chlamydia Infection David Pineles, Ahmed Abdulhamid, Kunal Karia, MD, Amit Desai, MD, David Wan, MD, New York-Presbyterian Hospital, New York, NY, New York University School of Medicine, New York, NY P985. Kayexylate-Induced Rectal Ulcerative Polyp Amr Dokmak, Tariq Chukir, Fouad Otaki, MD, David Wan, MD, Weill Cornell Medical College in Qatar, Doha, Qatar, New York-Presbyterian Hospital, New York, NY P986. A Case of Idiopathic Colonic Varices Presenting as a Lower Gastrointestinal Bleed Karthik Penumetsa, MD, Ravi Juluri, MD, Swapna Gayam, MD, Srinivasan Ganesan, MD, West Virginia School of Medicine, Department of Digestive Diseases, Morgantown, WV P987. Burkitt’s Lymphoma Presenting as Abdominal Pain in a Young, Healthy Woman Jason Rubinov, MD, Isabel Preeshagul, DO, Andrew Korman, MD, David Carr-Locke, MD, FACG, Nancy Lau, MD, FACG, Mount Sinai Beth Israel, New York, NY P988. Intraperitoneal Mucinous Adenocarcinoma Jason Rubinov, MD, Arkady Broder, MD, Lan Sun Wang, MD, FACG, Songyang Yuan, MD, Kurt Melstrom, MD, Mount Sinai Beth Israel, New York, NY P989. Colonic Sarcoidosis: Should We Treat? Supannee Rassameehiran, MD, Charoen Mankongpaisarnrung, MD, Ariwan Rakvit, MD, FACG, Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, Lubbock, TX P990. An Unusual Complication After a Fecal Microbiota Transplant via Colonoscopy Tarik Alhmoud, MD, Michael Gavin, MD, GI, UNM, Albuquerque, NM P991. Early Diagnosis and Treatment of Stercoral Colitis With an Aggressive Bowel Regimen Aly Mohamed, MD, Minh Nguyen, MD, Rebecca Tsang, MD, Andelka LoSavio, MD, Omar Khan, MD, Loyola University Medical Center, Maywood, IL P992. A Case of Clostridium septicum Aortitis With Concomitant Adenocarcinoma of the Cecum Shawn Shah, MD, Diana Whitehead, MD, Kartik Sampath, MD, Arifa Toor, MD, Dartmouth-Hitchcock Medical Center, Lebanon, NH P993. Colonic Lipomatosis Mimicking Pneumatosis coli Tariq Hammad, MD, Yaseen Alastal, MD, Muhammad Bawany, MD, Roaya Khalaf, MD, Ali Nawras, MD, FACG, Osama Alaradi, MD, University of Toledo, Department of Internal Medicine, Division of Gastroenterology, Toledo, OH OUTCOMES RESEARCH P994. Gastrointestinal Quality of Life Following Laparoscopic Rouxen-Y Gastric Bypass and Laparoscopic Mini Gastric Bypass Surgery for Obesity: A Comparative Study Rema Krishnakumar, MD, DM, Mohamed Ismail, MS, Mahesh Rajagopal, MS, Muhammed Shereef, MS, Sheela Haveri, MD, Sebastian NM, MD, Gastroenterology, Moulana Hospital, Perinthalmanna, India, MES Medical College and Hospital, Perinthalmanna, India 82 Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P995. Fish Oil and the Risk of Post Polypectomy Bleeding Maheen Sheikh, MD, Derek Landan, MD, RIchard Gerkin, MD, Michele Young, MD, Camron Kiafar, DO, FACG, Phoenix VA Medical Center, Phoenix, AZ, Banner Good Samaritan Medical Center, Phoenix, AZ P996. Comparison of Patient and Doctor Perceptions of Barriers to Hepatitis C Treatment Pavan Mankal, MD, Jean Abed, MD, Ellen Engelson, EdD1, Donald Kotler, MD, Mount Sinai St. Luke’s and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, Mount Sinai Health System, New York, NY P997. Temporal and Regional Trends in Use of Chemotherapy Regimens in Advanced Colorectal Cancer Siddharth Singh, MD, Kristi Swanson, MS, Jeph Herrin, PhD, Preet Paul Singh, MD, Mustaqeem Siddiqui, MD, Nilay Shah, PhD, Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, Yale University, New Haven, CT P998. An Indirect Comparisons Analysis of Biologic Medications in the Maintenance of Response and Remission in Crohn’s Disease Sandeep Dayanand, MD, Sampath Manickam, MD, Samer Fahmy, MD, Pradeep Dayanand, MBBS, Elie Donath, MD, JFK Medical Center/ Regional Campus University of Miami Miller School of Medicine, West Palm Beach, FL, Mamata Medical College, Khammam, India P999. Risk of Colonic Neoplasm With Hypothyroidism: An Analysis From Colonoscopy Outcome in Minority Population (COMP) Registry Kinesh Changela, MD, Manhal Izzy, MD, Anju Malieckal, MD, Deepanshu Jain, MD, Devin Lane, MS IV, Kshitij Bhalani, MD, Shashideep Singhal, MD, Sury Anand, MD, FACG, Gastroenterology, The Brooklyn Hospital Center, Brooklyn, NY, Albert Einstein Medical Center, Philadelphia, PA, Columbia University Medical Center, New York, NY P1000. IBD in Young Adult Patients: Impact on School and/or College Life John Miller, MD, Gina Gessner, RN, MSN, Jamie Massarelli, RN, BSN, Aline Charabaty, MD, Medicine, Medstar Georgetown University Hospital, Washington, DC P1001. IBD in Young Adult Patients: Perceived Impact on Daily Life Activities John Miller, MD, Gina Gessner, RN, MSN, Jamie Massarelli, RN, BSN, Aline Charabaty, MD, Medicine, Medstar Georgetown University Hospital, Washington, DC P1002. IBD in Young Adult Patients: Impact on Early Professional Life Experience John Miller, MD, Gina Gessner, RN, MSN, Aline Charabaty, MD, Medicine, Medstar Georgetown University Hospital, Washington, DC P1003. IBD in Young Patients: Perceived Effect on Relationship With Family and Friends John Miller, MD, Jamie Massarelli, BSN, RN, Gina Gessner, MSN, RN, Aline Charabaty, MD, Medicine, Medstar Georgetown University Hospital, Washington, DC P1004. Improving the Quality of Bowel Preparations by Educational Intervention: A Meta-analysis Sameer Siddique, MD, MRCP (UK), Imran Ashraf, MD, MRCP (UK), Umair Sohail, MD, Bhupinder Romana, MD, Saket Kottewar, MD, Murtaza Arif, MD, Matthew Bechtold, MD, FACG, Abhishek Choudhary, MD, Dilip Bearelly, MD, Division of Gastroenterology, University of Missouri - Columbia, Columbia, MO P1005. Identifying Risk Factors Associated With Inappropriate Use of Acid Suppressive Therapy at a Community Hospital Amandeep Singh, MD, Yvette Wang, DO, Yinghui Lu, Graduate Student, Statistics, Alexandra Hanlon, Research Professor, Michael Davis, DO, FACG, Crozer Chester Medical Center, Upland, PA, Temple Univesity, Philadelphia, PA P1006. Fellows in the Ambulatory Surgical Center: Impact on Quality, Efficiency, and Training Anish Mammen, MD, Raja Taunk, MD, David Robbins, MD, FACG, Lenox Hill Hospital, New York, NY POSTERS MONDAY P1007. One-Step Versus Two-Step Management of Choledocholithiasis: A Systematic Review and Meta-analysis Imran Ashraf, MD, Sohail Ashraf, MBBS, Alisha Hinds, DO, Bhupinder Romana, MD, Sameer Siddique, MD, Murtaza Arif, MD, FACG, Matthew Bechtold, MD, FACG, Abhishek Choudhary, MD, FACG, University of Missouri-Columbia, Columbia, MO, Central Manchester University Hospitals, Manchester, United Kingdom P1008. Urban Hospitalization Increases Costs and Healthcare Utilization for Diverticulitis in the United States Sheryl Pfeil, MD, Kyle Porter, MAS, Darwin Conwell, MD, The Ohio State University, Columbus, OH P1009. How and When to Use Confocal Laser Endomicroscopy? A Consensus Report Based on Clinical Evidence Kenneth Wang, MD, FACG, David Carr-Locke, MD, Satish Singh, MD, Helmut Neumann, MD, Helga Bertani, MD, Jean-Paul Galmiche, MD, Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, Division of Digestive Diseases, Mount Sinai Beth Israel, New York, NY, Department of Medicine, Boston University School of Medicine, Boston, MA, The Ludwig Demling Endoscopic Center of Excellence, Department of Medicine I, University Hospital Erlangen, Erlangen, Germany, Endoscopy Unit, Nuovo Ospedale Civile S. Agostino Estense, Modena, Italy, CHU Nantes, Nantes, France P1010. Prevalence and Predictors of Patient No-Shows to Outpatient Endoscopic Procedures Scheduled With Anesthesia Jennifer Chang, MD, Justin Sewell, MD, MPH, Lukejohn Day, MD, Medicine, University of California, San Francisco, San Francisco, CA P1011. Non-Tumor Related Gastrointestinal Bleeding in U.S. National Hospitalized Cancer Patients Yezaz Ghouri, MD, Sachin Batra, MD, MPH, Erik Rahimi, MD, Sushovan Guha, MD, PhD, FACG, Internal Medicine, University of Texas- Health Science Center at Houston, Houston, TX P1012. Low 25-Hydroxy Vitamin D Levels and Mortality Among U.S. Adults: Results of NHANES 18-Year Mortality-linked Data Ivo Ditah, MD, MPhil, Albert Ndzengue, MD, Yahuza Siba, MD, Chijioke Enweluzo, MD, Chobufo Ditah, MD, Zeenat Bhat, MD, Michael Charlton, MD, Patrick Kamath, MD, Gastroenterology, Mayo Clinic, Rochester, MN, Wayne State Unversity School of Medicine, Detroit, MI, Wake Forest School of Medicine, Winston Salem, NC, Columbia University Medical Center, New York, NY, Hepatology and Liver Transplantation, Intermountain Medical Center, Salt Lake, UT, University of Yaounde, Yaounde, Cameroon P1013. Race and Gender Differences in Chronic Pancreatitis (CP): Analysis of Nationwide Inpatient Sample (NIS) From 2003 to 2011 Jennifer Behzadi, MD, Darwin Conwell, MD, Alice Hinton, PhD, Somashekar Krishna, MD, MPH, Ohio State University Wexner Medical Center, Columbus, OH P1014. Risks and Benefits of Large Volume Paracentesis in Spontaneous Bacterial Peritonitis With Tense Ascites: Where Is the Clinical Evidence? Ehsan Chitsaz, MD, MHSc, David Nunes, MD, Department of Medicine, Boston University Medical Center, Boston, MA P1015. Antibiotic Resistance Guided Therapy Using PCR Based Assays for Clarithromycin Resistant H. pylori in an Ambulatory Setting Hareesh Bose, MBBS, Arathi Mohan, MS, Sandeep Tummala, MS, Srinivas Vasireddi, MD, Advanced Digestive Center, Metuchen, NJ, Case Western Reserve University School of Medicine, Cleveland, OH, RWJUH Medical School, New Brunswick, NJ P1016. In-Hospital Outcomes in Patients With a Malignancy Admitted for Acute Pancreatitis Tanima Jana, MD, Jorge Machicado, MD, Sachin Batra, MD, MPH, Neda Hashemi-Sadraei, MD, Sushovan Guha, MD, PhD, University of Texas Health Science Center at Houston, Houston, TX, University of Pittsburgh Medical Center, Pittsburgh, PA P1017. Prevalence and Trends of Celiac Disease in the United States From 1988 to 2012 Augustine Nnadi, MD, MPH, Philip Okafor, MD, MPH, Angelico Mendy, MD, MPH, Saint Joseph Hospital, Chicago, IL, Mayo Clinic, Rochester, MN, University of Iowa, Iowa City, IA 83 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P1018. Hepatitis C (HCV) Treatment Progress and SVR of Combination Therapy in Practice Nadia El-Hamdi, HSG, Frankie Chen, HSG, Aya Cloyd, HSG, Imtiaz Alam, MD, Austin Hepatitis Center, Austin, TX P1019. Incidence of Clip Artifact After Post-Polypectomy Clip Closure of Large Colon Polyps Gouri Sreepati, MBBS, Krishna Vemulapalli, MBBS, MPH, Douglas Rex, MD, Medicine, Indiana University School of Medicine, Indianapolis, IN P1020. Depression and Mortality in Gastrointestinal Cancers Chukwuemeka Ezeoke, MD, Vivian Nwankwo, PharmD, Kara Christopher, MS, MPH, Christine Hachem, MD, FACG, Internal Medicine, Saint Louis University School of Medicine, St. Louis, MO P1021. Laxative Use Over Time in Patients With Opioid-Induced Constipation for Chronic Non-Cancer Pain Catherine Datto, MD, MSc, Robert LoCasale, PhD, MSc, Mary Kay Margolis, MPH, MHA, Karen Yeomans, MSc, Krista Payne, MEd, Karin Coyne, PhD, MPH, AstraZeneca Pharmaceuticals, LP, Wilmington, DE, Outcomes Research, Evidera, Bethesda, MD, United Biosource Corporation, Montreal, QC, Canada P1022. Concurrent Use of Acid Suppressive Medications in NonHematemesis GIB Patients Minimizes the Risk of Peptic Ulcers as the Source of Bleed Salmaan Jawaid, MD, Neil Marya, MD, Christopher Marshall, MD, Anupam Singh, MD, Gregory Volturo, MD, Bilal Gondal, MD, Joseph Charpentier, DO, Louise Maranda, PhD, Anne Foley, BA, CCRC, David Cave, MD, PhD, University of Massachusetts Medical Center, Worcester, MA, University of Massachusetts Medical School, Worcester, MA P1023. The Effect of Dual Antiplatelet Therapy on the Severity of Lower Intestinal Bleeding Neal Carlin, MD, Walid Baddoura, MD, FACG, Fady Asslo, MD, Saint Michael’s Medical Center, Newark, NJ, Saint Joseph’s Regional Medical Center, Patterson, NJ P1024. The Inappropriate Use of Fecal Immunochemical Testing in a Safety-Net Hospital J. Christie Heller, MD, Angela Keniston, MSPH, Joel Levine, MD, Gastroenterology and Hepatology, Denver Health, Denver, CO P1025. 30-Day Readmission After Admission for Alcoholic Hepatitis: Prevalence and Impact on Outcome Kaely Bade, MD, Sujan Ravi, MD, Ashwani Singal, MD, MS, University of Alabama at Birmingham, Birmingham, AL P1026. Esophagogastroduodenoscopy Indications: Are We Following the New Guidelines? Caroline Soyka, DO, Priyam Tripathi, MD, MPH, Gregory Cooper, MD, FACG, University Hospitals Case Medical Center, Cleveland, OH P1027. A Quality Improvement Intervention Significantly Improved Influenza and Pneumococcal Vaccination Rates in Patients With Inflammatory Bowel Disease (IBD) Jason Reich, MD, Daniel Zanchetti, MD, Sharmeel Wasan, MD, Hannah Miller, MD, Ansu Noronha, MD, Eileen Ardagna, RN, Brian Jacobson, MD, MPH, Francis Farraye, MD, MSc, Section of Gastroenterology, Boston Medical Center, Boston, MA P1028. Association of Histology and Location of Malignant Colonic Polyps: A SEER database Analysis Xi Zheng, MD, PhD, Public Health, Weill Cornell Medical College, New York, NY P1029. Impact of Active H. pylori Infection on Degree of Proteinuria in a Diabetic Population Miral Subhani, MD, Huafeng Shen, MD, Mitanshu Shah, MD, Seth Lipka, MD, Dhyan Rajan, MD, Paul Mustacchia, MD, MBA, Nassau University Medical Center, East Meadow, NY, University of South Florida, Morsani College of Medicine, Tampa, FL P1030. Impact of Rapid On-Site Evaluation With Cytopathologist Guidance on the Diagnostic Yield of EUS-FNA of Pancreatic Lesions Tariq Hammad, MD, Usman Ahmad, MD, Yaseen Alastal, MD, Osama Alaradi, MD, Ali Nawras, MD, FACG, Gastroenterology, University of Toledo Medical Center, Toledo, OH For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1031. Hospital Readmission After Transjugular Intrahepatic Portosystemic Shunts (TIPS) Vivian Ebrahim, MD, Mazen Albeldawi, MD, Krishna Patel, MD, Mena Boules, MD, Rocio Lopez, MS, Baljendra Kapoor, MD, Maged Rizk, MD, FACG, Mohamed Yaseen Alsabbagh, MD, Naim Alkhouri, MD, FACG, Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, Diagnostic and Interventional Radiology, Cleveland Clinic, Cleveland, OH P1032. Transjugular Intrahepatic Portosystemic Shunts (TIPS) in Elderly Patients: to TIPS or not to TIPS? Vivian Ebrahim, MD, Krishna Patel, MD, Mazen Albeldawi, MD, Rocio Lopez, MS, Maged Rizk, MD, FACG, Mohamed Yaseen Alsabbagh, MD, Naim Alkhouri, MD, FACG, Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH P1033. Prevalence and Determinants of Topical 5-Aminosalicyclic Acid Therapy Among Veterans With Ulcerative Colitis Rajesh Shah, MD, Hoda Malaty, MD, FACG, Shubhada Sansgiry, PhD, Jason Hou, MD, Baylor College of Medicine, Houston, TX P1034. Comparative Effectiveness of Biliary Brushings and Biopsies in the Diagnosis of Malignant Biliary Strictures: A Systematic Review and Meta-analysis Udayakumar Navaneethan, MD, Basile Njei, MD, Vennisvasanth Lourdusamy, MD, Madhusudhan Sanaka, MD, FACG, The Cleveland Clinic, Cleveland, OH, University of Connecticut, Connecticut, CT P1035. Compliance With American Gastroenterological Association Inflammatory Bowel Disease Quality Measures Sana Siddique, MD, Joseph Feuerstein, MD, Natalia Castillo, MD, Jeffrey Lewandowski, MD, FACG, Kerry Geissler, RN, FACG, Manuel Martínez Vazquez, MD, FACG, Daniel Leffler, MD, MS, FACG, Bob Thukral, MD, PhD, FACG, Adam Cheifetz, MD, FACG, Medicine, Mount Auburn Hospital, Cambridge, MA, Beth Israel Deaconess Medical Center, Boston, MA, University Hospital, Monterrey, Mexico, University of Illinois, Chicago, IL P1036. A High Body Mass Index (BMI) Is Associated With Incremental Health Care Utilization and Surgical Complications in Patients Undergoing Colorectal Cancer Surgery 2014 ACG Presidential Poster Award Hisham Hussan, MD, Darrell Gray, MD, MPH, Cheng Zhang, MD, PhD, Alice Hinton, PhD, Somashekar Krishna, MD, MPH, Sheetal Sharma, MBBS, Darwin Conwell, MD, MS, Peter Stanich, MD, Section of Intestinal Neoplasia and Hereditary Polyposis (INHP), Department of Gastroenterology, Hepatology and Nutrition, The Ohio State University Medical Center, Columbus, OH, Department of Gastroenterology, Hepatology and Nutrition, The Ohio State University Medical Center, Columbus, OH, Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH P1037. Type 2 Diabetes Mellitus Increases Economic Burden of Colorectal Cancer Surgery Hisham Hussan, MD, Darrell Gray, MD, MPH, Somashekar Krishna, MD, MPH, Alice Hinton, PhD, Jeffery Groce, MD, Darwin Conwell, MD, MS, Peter Stanich, MD, Section of Intestinal Neoplasia and Hereditary Polyposis (INHP), Department of Gastroenterology, Hepatology and Nutrition, The Ohio State University Medical Center, Columbus, OH, Department of Gastroenterology, Hepatology and Nutrition, The Ohio State University Medical Center, Columbus, OH, Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH INFLAMMATORY BOWEL DISEASE P1038. Understanding Attitudes, Perceptions, and Beliefs About Ulcerative Colitis Among Gastroenterologists: Phase 1 Survey Results Karen Lasch, MD, Lyann Ursos, PhD, Stephen Liu, PharmD, Reema Mody, PhD, Kristen Concialdi, Marco DiBonaventura, PhD, Julie Leberman, PhD, Marla Dubinsky, MD, Takeda Pharmaceuticals International, Inc., Deerfield, IL, Kantar Health, New York, NY, Independant Consultant, Fairless Hills, PA, Department of Pediatrics, Pediatric Inflammatory Bowel Disease Center, and Immunobiology Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA 84 Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P1039. No Increase in Serious or Mild Infectious Complications of Immunosuppression in an Office-Based IBD Population: A Prospective Study Chris Shepela, MD, MS, Justin Howard, MD, Katherine Janssen, MD, Kathleen Barrett, CNP, GI, Health Partners, Saint Paul, MN P1040. Anti-TNF Agents Prevent Endoscopic and Clinical Recurrence of Crohn’s Disease After Surgical Resection: A Meta-Analysis Houssam Mardini, MD, MBA, MPH, FACG, Alla Grigorian, MD, PhD, Lisbeth Selby, MD, Terrence Barrett, MD, University of Kentucky, Lexington, KY P1041. Response Rates to Anti-TNF Biologic Therapy After Failure of a Prior Biologic: A Retrospective Analysis of a Single Center’s Experience William Ferges, MD, Geoffrey You, MD, Muhammad Shafqet, MD, Qasim Salimi, MD, Daniel Schaer, MD, Eleazer Yousefzadeh, MD, Kiron Das, MD, PhD, FACG, S. Devi Rampertab, MD, FACG, Rutgers - Robert Wood Johnson Medical School, New Brunswick, NJ P1042. Side Effect Profiles of Anti-TNF Biologics in the Treatment of Inflammatory Bowel Disease: Experience of a Single Crohn’s and Colitis Center William Ferges, MD, Qasim Salimi, MD, Geoffrey You, MD, Muhammad Shafqet, MD, Daniel Schaer, MD, Kiron Das, MD, PhD, FACG, S. Devi Rampertab, MD, FACG, Rutgers - Robert Wood Johnson Medical School, New Brunswick, NJ P1043. Clinical Predictors of a Poor Response to Anti-TNF Biologic Therapy for Inflammatory Bowel Disease William Ferges, MD, Muhammad Shafqet, MD, Qasim Salimi, MD, Geoffrey You, MD, Daniel Schaer, MD, Kiron Das, MD, PhD, FACG, S. Devi Rampertab, MD, FACG, Rutgers - Robert Wood Johnson Medical School, New Brunswick, NJ P1044. Analysis of Risk Factors for Avascular Necrosis in Inflammatory Bowel Disease Siddhant Yadav, MD, Scott Harmsen, MS, Edakkanambeth Varayil Jithinraj, MD, Kevin Karls, MD, William Tremaine, MD, FACG, Edward Loftus, MD, FACG, Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, Mid-Dakota Clinic, Bismarck, ND P1045. Incidence and Outcomes of Home Parenteral Nutrition in Patients With Crohn’s Disease in Olmsted County, Minnesota Siddhant Yadav, MD, Edakkanambeth Varayil Jithinraj, MD, Scott Harmsen, MS, William Tremaine, MD, FACG, Ryan Hurt, MD, PhD, Edward Loftus, MD, FACG, Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN P1046. The C. difficile Relapse Rate Is Low in IBD Patients Who Have Metronidazole or Vancomycin as Initial Therapy Lilani Perera, MD, Amar Dodda, MD, Yelena Zadvornova, Daniel Stein, MD, Amar Naik, MD, Kari Best, PA-C, Kathleen Idstein, PA-C, Benson Massey, MD, Medicine, Medical College of Wisconsin, Milwaukee, WI P1047. Predictors of Satisfaction With Life Among Adult Patients With Established Crohn’s Disease Orly Sarid, PhD, Vered Slonim-Navo, PhD, Michael Friger, PhD, Hillel Vardi, MS, Doron Schwartz, MD, Daniela Munteau, MD, Vitaly Dizengof, MD, Alex Moshkelo, MD, Alex Rozental, MD, Gil Ben Yaakov, MD, Pavel Krugliak, MD, Naim Abu Freha, MD, Leslie Eidelman, MD, Nava Gaspar, MD, Alex Fich, MD, Dan Greenberg, PhD, Shmuel Odes, MD, Social Work, Ben-Gurion University of the Negev, Beer Sheva, Israel, Public Health, Ben-Gurion University of the Negev, Beer Sheva, Israel, Gastroenterology and Hepatology, Soroka Medical Center, Beer Sheva, Israel, Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva, Israel, Gastroenterology, Ben-Gurion University of the Negev, Beer Sheva, Israel P1048. Imbalanced Intestinal Microbiota in Treatment-Naïve Patients With Inflammatory Bowel Disease by a Metagenomic Approach Youlian Zhou, MS, Yan He, PhD, Pu Wang, PhD, Ting Zhang, PhD, Jiasheng Tan, MS, Minyi Lin, MS, Yunsheng Yang, PhD, Bo Jiang, PhD, Hongwei Zhou, PhD, Ye Chen, PhD, Gastroenterology.Nanfang Hospital, Southern Medical University, Guangzhou, China, Department of Environmental Health,School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, China, Institute of Digestive Diseases, Chinese PLA General Hospital, Beijing, China POSTERS MONDAY P1049. SHIELD 4 Phase 3 Clinical Trial With Orally Administered CCR9 Inhibitor Vercirnon in Crohn’s Disease Satish Keshav, MD, PhD, Thomas Schall, PhD, Pirow Bekker, MD, PhD, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom, ChemoCentryx, Inc., Mountain View, CA P1050. Predictors of Hospitalization in Patients With Moderately to Severely Active Ulcerative Colitis From ULTRA 1 and ULTRA 2 Brian Feagan, MD, William Sandborn, MD, Walter Reinisch, MD, Subrata Ghosh, MD, Anne Robinson, MD, Andreas Lazar, MD, Qian Zhou, PhD, Martha Skup, MD, Roopal Thakkar, MD, University of Western Ontario, London, ON, Canada, University of California San Diego, La Jolla, CA, McMaster University, Hamilton, ON, Canada, University of Calgary, Calgary, AB, Canada, AbbVie Inc, North Chicago, IL, AbbVie Deutschland GmbH and Co. KG, Ludwigshafen, Germany P1051. Patients With Refractory Crohn’s Disease Successfully Treated With Ustekinumab Kimberly Harris, MD, Sara Horst, MD, Akash Gadani, MD, Anne Nohl, PA, Kimberly Annis, PA, Caroline Duley, NP, Dawn Beaulieu, MD, Leyla Ghazi, MD, David Schwartz, MD, Vanderbilt University Medical Center, Nashville, TN, University of Maryland Medical Center, Baltimore, MD P1052. Efficacy of High-Dose Versus Low-Dose Methotrexate in Combination Therapy for Inflammatory Bowel Disease Ruben Colman, MD, David Rubin, MD, FACG, IBD Center, University of Chicago Medicine, Chicago, IL P1053. POSTER WITHDRAWN P1054. Effects of Increased Vedolizumab Dosing Frequency on Disease Activity in Ulcerative Colitis and Crohn’s Disease Bruce Sands, MD, FACG, Marla Dubinsky, MD, Séverine Vermeire, MD, PhD, Serap Sankoh, PhD, Maria Rosario, PhD, Catherine Milch, MD, Icahn School of Medicine at Mount Sinai, New York, NY, Cedars-Sinai Medical Center, Los Angeles, CA, University Hospital Gasthuisberg, Leuven, Belgium, Takeda Pharmaceuticals International Co., Cambridge, MA P1055. Underestimation of Disease Severity in Patients With Inflammatory Bowel Disease by Physicians in Case Study Survey Tauseef Ali, MD, A Burak Ozbay, BPharm, MBA, PhD, Martha Skup, PhD, Song Wang, PhD, Brittany Gentile, PhD, Danielle Cohen, MPH, Roopal Thakkar, MD, Jingdong Chao, PhD, University of Oklahoma, Oklahoma City, OK, AbbVie Inc., North Chicago, IL, ICON Plc, San Francisco, CA P1056. Physician Survey to Assess Severity Criteria for Patients With Inflammatory Bowel Disease Tauseef Ali, MD, Martha Skup, PhD, A Burak Ozbay, BPharm, MBA, PhD, Song Wang, PhD, Brittany Gentile, PhD, Danielle Cohen, MPH, Roopal Thakkar, MD, Jingdong Chao, PhD, University of Oklahoma, Oklahoma, OK, AbbVie Inc., North Chicago, IL, ICON Plc, San Francisco, CA P1057. Eating Patterns and Disease Activity in Patients With Inflammatory Bowel Disease Ersilia DeFilippis, BA, Saniya Tabani, BA, Ryan Warren, BA, Colleen Webb, MS, RD, Priyanka Patel, MS, Fatiha Chabouni, MD, Paul Christos, DrPH, MS, Brian Bosworth, MD, FACG, Ellen Scherl, MD, FACG, Weill Cornell Medical College, New York, NY, New York Presbyterian-Weill Cornell Medical Center, New York, NY 85 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P1058. Pharmacokinetics, Pharmacodynamics, Immunogenicity, and Safety of AVX-470, an Oral, Bovine-Derived Anti-TNF Antibody, in Patients With Active Ulcerative Colitis (UC): Initial Human Experience Barbara Fox, PhD, Deborah Hartman, PhD, Sharon Spence, MS, Sally Kennedy, MS, Theodore Ptak, MD, Ron Pruitt, MD, FACG, Séverine Vermeire, MD, PhD, M. Scott Harris, MD, MS, Avaxia Biologics, Lexington, MA, Toronto Digestive Disease Associates, Toronto, ON, Canada, Nashville Medical Research Institute, Nashville, TN, University Hospital Gasthuisberg, Leuven, Belgium P1059. Long-term Efficacy of Vedolizumab Therapy for Crohn’s Disease 2014 ACG Presidential Poster Award Stephen Hanauer, MD, FACG, Paul Rutgeerts, MD, PhD, Jing Xu, PhD, David Rubin, MD, FACG, Michael Smyth, MBA, Brihad Abhyankar, MBA, Digestive Health Center, Northwestern University Feinberg School of Medicine, Chicago, IL, Department of Gastroenterology, University Hospital Gasthuisberg, Leuven, Belgium, Takeda Pharmaceuticals International Co., Cambridge, MA, Takeda Global Research and Development Centre (Europe) Ltd., London, United Kingdom P1060. Prevalence and Management of C. difficile Infection in Inflammatory Bowel Disease Outpatient and Inpatient Setting at a Tertiary Care Center Pooja Singhal, MD, Neha Nigam, MD, Mark Mattar, MD, Aline Charabaty, MD, Georgetown University Hospital, Washington, DC P1061. Type 3 Muscarinic Receptors (M3R) Contribute to Expulsion of Nippostrongylus brasiliensis Through Induction of Th2 Cytokines Leon McLean, MD, MPH, Allen Smith, PhD, Lumei Cheung, PhD, Neemesh Desai, BS, Viktoriya Grinchuk, BS, Aiping Zhao, MD, Rex Sun, BS, Jean-Pierre Raufman, MD, Terez Shea-Donohue, PhD, University of Maryland School of Medicine, Baltimore, MD, United States Department of Agriculture, Agricultural Research Service, Beltsville, MD P1062. Characterization of Disease Course and Treatment in Patients With Inflammatory Bowel Disease and Anti-TNF Induced Psoriasis Mona Liu, BA, Lisa Grandinetti, MD, Arthur Barrie, MD, PhD, Melissa Saul, MS, Miguel Regueiro, MD, FACG, Jason Swoger, MD, MPH, University of Pittsburgh School of Medicine, Pittsburgh, PA, Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, PA, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, PA P1063. Mycobacterium avium Complex: An Emerging Pathogen in IBD and Non-IBD Diarrhea: Preliminary Results Ellen Gutkin, DO, Konika Bose, MD, Sang Kim, MD, FACG, Jean Luo, MD, Moshe Rubin, MD, FACG, Gastroenterology, New York Hospital Queens, Flushing, NY P1064. Predictors of Infliximab Failure in Ulcerative Colitis Daniel Stein, MD, MPH, Brian Behm, MD, University of Virginia Health Systems, Charlottesville, VA P1065. Providing Fellows-in-Training With Education on Inflammatory Bowel Disease Health Maintenance to Improve the Quality of Care in our Healthcare System Ann Lee, MD, Emely Eid, MD, University of Florida Jacksonville, Jacksonville, FL P1066. Endoscopic Surveillance Patterns of Polypoid Dysplasia Among Patients With Inflammatory Bowel Disease Nisha Patel, MD, Rajesh Shah, MD, Jason Hou, MD, Gastroenterology, Baylor College of Medicine, Houston, TX P1067. Sexual Function in Patients With Inflammatory Bowel Disease: Results of a Web-Based Health Survey Matilda Hagan, MD, Guruprasad Jambaulikar, MBBS, MPH, Katherine Osche-Gauvin, MS, David Schwartz, MD, Tina Higginbotham, MPA, Ray Cross, MD, MS, Gastroenterology and Hepatology, University of Maryland, Baltimore, Baltimore, MD, Vanderbilt, Nashville, MD For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1068. Predictors of Re-Admissions in Hospitalized Patients With Inflammatory Bowel Disease Treated at a Tertiary Care Hospital Matilda Hagan, MD, Guruprasad Jambaulikar, MBBS, MS, Kaci Christian, MD, Akash Gadani, MD, Ray Cross, MD, MS, Gastroenterology and Hepatology, University of Maryland, Baltimore, Baltimore, MD, University of Maryland Medical Center, Baltimore, MD P1069. Do Inflammatory Bowel Disease Patients Have Difficulty Tapering off of Oral Vancomycin? Marwa El Mourabet, MD, Claudia Ramos Rivers, MD, Marc Schwartz, MD, Miguel Regueiro, MD, Arthur Barrie, MD, PhD, Jana Hashash, MD, Leonard Baidoo, MD, Jason Swoger, MD, Michael Dunn, MD, David Binion, MD, Medicine, University of Pittsburgh, Pittsburgh, PA P1070. Role of Capsule Endoscopy in Inflammatory Bowel Disease: A Single Center’s Experience Angela Hira, DO, Muhammad Shafqet, MD, Qasim Salimi, MD, Geoffrey You, MD, S. Devi Rampertab, MD, FACG, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ P1071. Outcomes of IBD Care Vary Across Different Healthcare Delivery Settings Kunjali Padhya, MD, Amit Singal, MD, MS, Christie Choi, MD, Ezra Burstein, MD, Avegail Flores, MD, Prabhakar Swaroop, MD, Tasneem Ahmed, DO, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, Parkland Health and Hospital System, Dallas, TX P1072. Compliance With Vaccination Recommendations in the IBD Population: The Effect of a Formal Health Maintenance Program Stanley Pietrak, MD, Philip Sarges, MD, Neha Nigam, MD, Dalia Abdelaziz, MD, MPH, Walid Chalhoub, MD, Pooja Singhal, MD, Aimee LeStrange, FNP, Mark Mattar, MD, Aline Charabaty, MD, Medstar Georgetown University Hospital, Washington, DC P1073. Compliance With Cervical Health Recommendations in the Inflammatory Bowel Disease Population: The Effect of a Formal Health Maintenance Program Stanley Pietrak, MD, Dalia Abdelaziz, MD, MPH, Neha Nigam, MD, Walid Chalhoub, MD, Pooja Singhal, MD, Philip Sarges, MD, Mark Mattar, MD, FACG, Aline Charabaty, MD, FACG, MedStar Georgetown University Hospital, Washington, DC P1074. Compliance With Colon Cancer Surveillance in the Inflammatory Bowel Disease Population: The Effect of a Formal Health Maintenance Program Neha Nigam, MD, Walid Chalhoub, MD, Stanley Pietrak, MD, Dalia Abdelaziz, MD, MPH, Philip Sarges, MD, Pooja Singhal, MD, Aimee LeStrange, FNP, Mark Mattar, MD, FACG, Aline Charabaty, MD, FACG, MedStar Georgetown University Hospital, Washington, DC P1075. Disease Activity as a Predictor of Long-term Outcomes of Treatment With Certolizumab Pegol for Active Crohn’s Disease: An Analysis of the PRECiSE 3 Study Jennifer Choi, MD, Bincy Abraham, MD, Douglas Wolf, MD, JeanFrederic Colombel, MD, Gordana Kosutic, MD, Marshall Spearman, MD, Jason Coarse, MS, William Sandborn, MD, University of California Los Angeles, Los Angeles, CA, Houston Methodist Hospital, Houston, TX, Atlanta Gastroenterology Associates, Atlanta, GA, Icahn School of Medicine, New York, NY, UCB Pharma, Raleigh, NC, University of California San Diego, San Diego, CA P1076. Assessment of Sexual Dysfunction Among Inflammatory Bowel Disease Patients Sultan Mahmood, MD, Salman Nusrat, MD, Amber Crosby, APRN-CNP, Yan Daniel Zhao, PhD, Tauseef Ali, MD, FACG, Oklahoma University Health Sciences Center, Oklahoma City, OK P1077. Risk of Inflammatory Bowel Disease From Isotretinoin: A CaseControl Study Susil Sivaraman, MD, Shahrooz Rashtak, MD, Susanth Sivaraman, MD, Rebecca Scherr, MD, Howard Baron, MD, Christian Stone, MD, MPH, University of Nevada Section of Gastroenterology, Las Vegas, NV, University of Nevada Department of Pediatrics, Las Vegas, NV, Pediatric Gastroenterology and Nutrition Associates, Las Vegas, NV 86 Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm INFLAMMATORY BOWEL DISEASE CLINICAL VIGNETTES P1078. Interpretation of Anti-TNF Drug Concentration and Antibody Levels in IBD: A Mobile App to Guide Management Based on Results From a RAND Appropriateness Panel Gil Melmed, MD, Peter Irving, MD, Jennifer Jones, MD, Gilaad Kaplan, MD, Patricia Kozuch, MD, Fernando Velayos, MD, Leonard Baidoo, MD, Miles Sparrow, MD, Brian Bressler, MD, Adam Cheifetz, MD, Shane Devlin, MD, Laura Raffals, MD, Niels Vande Casteelle, PhD, Diana Mould, PhD, Marla Dubinsky, MD, Jean-Frederic Colombel, MD, William Sandborn, MD, Corey Siegel, MD, MS, Cedars-Sinai Medical Center, Los Angeles, CA, Guy’s and St. Thomas’ Hospitals, London, United Kingdom, Universit of Saskatchewan, Saskatoon, SK, Canada, University of Calgary, Calgary, AB, Canada, Thomas Jefferson University, Philadelphia, PA, University of California San Francisco, San Francisco, CA, University of Pittsburgh, Pittsburgh, PA, The Alfred Hospital, Melbourne, VIC, Australia, University of British Columbia, Vancouver, BC, Canada, Beth Israel Deaconess Medical Center, Boston, MA, Mayo Clinic, Rochester, MN, University of California San Diego, San Diego, CA, Projects Research Inc., Phoenixville, PA, Icahn School of Medicine at Mount Sinai, New York, NY, Dartmouth-Hitchcock Inflammatory Bowel Disease Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH P1079. Mucosal Response to Ustekinumab in Crohn’s Disease Aleksey Novikov, MD, Nandita Sriram, MD, Melissa Rosen, MD, FACG, Ellen Scherl, MD, FACG, Brian Bosworth, MD, FACG, Division of Gastroenterology and Hepatology, New York-Presbyterian Hospital, Weill Cornell Medical Center, New York, NY P1080. Predictors of Sleep Disturbance Amongst Adult IBD Patients Jana Hashash, MD, Claudia Ramos Rivers, MD, Ada Youk, PhD, Wai Kan Chiu, PhD, Laci Altman, Gregory Thorkelson, MD, David Binion, MD, Miguel Regueiro, MD, Eva Szigethy, MD, PhD, University of Pittsburgh, Pittsburgh, PA P1081. A Model Integrating Genetic and Environmental Factors Interactions Can Predict Crohn’s Disease Risk Ming-Hsi Wang, MD, PhD, Claudio Fiocchi, MD, Richard Duerr, MD, Stephan Ripke, MD, Jean-Paul Achkar, MD, FACG, Cleveland Clinic, Cleveland, OH, University of Pittsburgh, Pittsburgh, PA, Massachusetts General Hospital, Boston, MA P1082. C-Reactive Protein and Erythrocyte Sedimentation Rate Do Not Correlate With Disease Activity in Pregnant Women With IBD Yvette Leung, MD, Gilaad Kaplan, MD, MPH, Elnaz EhteshamiAfshar, MD, Divine Tanyingoh, MSc, Herman Barkema, DVM, PhD, Subrata Ghosh, MD, Remo Panaccione, MD, Cynthia Seow, MD, MSc, University of Calgary, Calgary, AB, Canada P1083. Significance of Sessile Serrated Lesions in Inflammatory Bowel Disease 2014 ACG IBD Research Award 2014 ACG Presidential Poster Award Whitney Jackson, MD, Jean-Paul Achkar, MD, Lee Lili, MD, Xiuli Liu, MD, Rish Pai, MD, Rocio Lopez, MS, Daniela Allende, MD, Cleveland Clinic, Department of Gastroenterology and Hepatology, Cleveland, OH, Cleveland Clinic, Department of Pathology, Cleveland, OH, Cleveland Clinic, Department of Quantitative Health Sciences, Cleveland, OH P1084. Using Genetic Data Bases to Explore Biological Pathways in IBD and Its Extra Intestinal Manifestations 2014 ACG IBD Research Award 2014 ACG Presidential Poster Award Sachin Mohan, MD, PhD, Shaffer Mok, MD, MBS, Thomas Judge, MD, Cooper University Hospital, Camden, NJ POSTERS MONDAY P1085. Cerebral Venous Thrombosis and Inflammatory Bowel Disease: A Case Series 2014 ACG Presidential Poster Award Ersilia DeFilippis, BA, Elaine Barfield, MD, Dana Leifer, MD, Adam Steinlauf, MD, Brian Bosworth, MD, FACG, Ellen Scherl, MD, FACG, Robbyn Sockolow, MD, Weill Cornell Medical College, New York, NY, New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY P1086. A Rare Case of Collagenous Pouchitis Treated With Adalimumab Alicia Alvarez, MD, Leyla Maric, MD, Alison Schneider, MD, Cleveland Clinic Florida, Weston, FL P1087. An Unusual Cause of Headache in Ulcerative Colitis Elliot Coburn, MD, Amit Desai, MD, David Wan, MD, New YorkPresbyterian Hospital, New York, NY P1088. Fecal Alpha 1-Antitrypsin as a Biomarker for Disease Activity in Ulcerative Colitis Ruben Colman, MD, David Rubin, MD, FACG, IBD Center, University of Chicago Medicine, Chicago, IL P1089. Use of Golimumab in Pregnancy in Ulcerative Colitis Nisha Patel, MD, Julie Weatherly, NP, Bincy Abraham, MD, Gastroenterology, Baylor College of Medicine, Houston, TX, Houston Methodist, Houston, TX P1090. Burkitt Lymphoma Complicating Azathioprine Therapy in Ulcerative Colitis Patient With Autoimmune Hepatitis Syndrome/ Primary Sclerosing Cholangitis Overlap Syndrome Jennifer Lewis, MD, Maisa Abdalla, MBBS, Bing Ren, MD, Christine Granato, MD, Andrew Evans, MD, PhD, Gopal Ramaraju, MD, Ashok Shah, MD, MACG, FACG, University of Rochester Medical Center, Rochester, NY P1091. Association of Collagenous Disorders of the Gut and Common Variable Immunodeficiency Rohan Mandaliya, MBBS, Anthony DiMarino, MD, Sidney Cohen, MD, Ashlie Burkart, MD, Abington Memorial Hospital, Abington, PA, Thomas Jefferson University, Philadelphia, PA P1092. Intestinal Tuberculosis Mimicking Crohn’s Disease Dalbir Sandhu, MD, David Elliott, MD, Gastroenterology, University of Iowa Hospitals and Clinics, Iowa City, IA P1093. Oral Lichen Planus: An Emerging Paradoxical Adverse Effect of Anti Tnf-α Therapy Patrícia Andrade, MD, Susana Lopes, MD, Andreia Albuquerque, MD, Joana Pardal, MD, Filipa Osório, MD, Guilherme Macedo, MD, PhD, FACG, Gastroenterology, Centro Hospitalar São João, Porto, Portugal, Department of Anatomic Pathology, Centro Hospitalar São João, Porto, Portugal, Department of Dermatology, Centro Hospitalar de São João, Porto, Portugal P1094. C. difficile Enteritis After Total Proctocolectomy Successfully Treated With Fecal Transplant Chuan Long Miao, MD, MPH, Andrew Mowery, DO, Harshit Khara, MD, Matthew Shellenberger, DO, Michael Komar, MD, Geisinger Medical Center, Danville, PA P1095. An Unusual Case of Inflammatory Bowel Disease (IBD) Presenting as Phlegmasia Cerulea Dolens (PCD) Sumeet Munjal, MD, Akriti Dewanwala, MD, Thomas Mahl, MD, Department of Gastroenterology, Hepatology and Nutrition, University at Buffalo, New York, Buffalo, NY P1096. Incidental De novo Crohn’s Disease in the Elderly: A Case Series Neil Marya, MD, Justin Yamin, MD, David Cave, MD, PhD, University of Massachusetts-Worcester, Worcester, MA 87 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm FUNCTIONAL BOWEL DISORDERS P1108. The Frequency of Histological Abnormalities in the Muscularis Propria of the Antrum and Pylorus in Gastroparesis Patients Sherif Elhanafi, MD, Joseph Sunny, MD, Alireza Torabi, MD, Irene Sarosiek, MD, Brian Davis, MD, Sharareh Moraveji, MD, Richard McCallum, MD, FACG, Department of Internal Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX, Department of Pathology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX, Department of Surgery, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX P1109. Inclusion Bodies in the Gastric Muscularis Propria in Diabetic Gastroparesis: A Neglected Finding Sherif Elhanafi, MD, Mohammed Saadi, MD, Joseph Sunny, MD, Alireza Torabi, MD, Richard McCallum, MD, FACG, Department of Internal Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX, Department of Pathology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX P1110. Cognitive Behavioral Self-help for Irritable Bowel Syndrome Melissa Hunt, PhD, University of Pennsylvania, Philadelphia, PA P1111. Two Years on Linaclotide: Tolerability and Treatment Satisfaction in IBS-C Patients With and Without Diarrhea 2014 ACG Presidential Poster Award William Chey, MD, Steven Shiff, MD, Harvey Schneier, MD, Xinming Hao, PhD, Bernard Lavins, MD, Jennifer Chickering, PhD, Caroline Kurtz, PhD, Mark Currie, PhD, Jeffrey Johnston, MD, Division of Gastroenterology, University of Michigan, Ann Arbor, MI, Forest Research Institute, Jersey City, NJ, Ironwood Pharmaceuticals, Cambridge, MA P1112. Predictive Value and Interexaminer Variability of Digital Rectal Examination for Dyssynergic Defecation in Constipated Patients Undergoing Anorectal Manometry William Chey, MD, FACG, Jason Baker, MS, Stacy Menees, MD, MS, Monthira Maneerattanaporn, MD, MS, Richard Saad, MD, MS, University of Michigan, Ann Arbor, MI, Siriraj Hospital, Mahidol University, Bangkok, Thailand P1097. Is Treating Elderly Irritable Bowel Syndrome Patients With Anticholinergics Really Dangerous? Results of a Community-based Study Douglas Sprung, MD, FACG, Gastroenterology, Florida Hospital, Altamonte Springs, FL P1098. Effect of Otilonium Bromide in the Treatment of Irritable Bowel Syndrome: A Meta-analysis Dina Ahmad, MD, Mohammad Esmadi, MD, Belal Firwana, MD, Alisha Hinds, DO, Imran Ashraf, MD, Matthew Bechtold, MD, FACG, Division of Gastroenterology, University of Missouri - Columbia, Columbia, MO P1099. Differences in Comorbidities and Quality of Life in a Racially Diverse Population Between Patients With and Without Irritable Bowel Syndrome: Preliminary Results Supriya Rao, MD, Howard Cabral, PhD, MPH, Roshni Singh, BS, Venkata Satyam, BA, Taha Qazi, MD, Vikram Rangan, MD, Athanasios Desalermos, MD, H. Christian Weber, MD, Boston Medical Center, Boston, MA, Boston University School of Public Health, Boston, MA, Boston University, Boston, MA P1100. Sacral Nerve Stimulation Is an Effective Treatment Strategy in Refractory Fecal Incontinence (FI) Francis Okeke, MD, Ahmed Salem, MD, Rajdeep Singh, MD, Bani Chander Roland, MD, Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD P1101. The GutCheck Part 1: Signal Acquisition and Analysis of Surfacemeasured Myoelectrical Signals of the Human GI Tract George Triadafilopoulos, MD, DSc, FACG, Steve Axelrod, PhD, Anand Navalgund, PhD, Prince Shah, MD, FACG, Uday Devanaboyina, PhD, Stanford University School of Medicine, Palo Alto, CA, Gilroy Gastroenterology, Gilroy, CA, G-Tech Medical, Palo Alto, CA P1102. Effects of Lubiprostone, in Patients With Chronic Idiopathic and Opioid-Induced Constipation, on Serum Electrolytes and Markers of Renal Function Satish Rao, MD, PhD, FACG, Egilius Spierings, MD, PhD, John Johanson, MD, MSc, FACG, Peter Lichtlen, MD, PhD, Sepideh Habibi, MD, Medicine - Gastroenterology/Hepatology, Georgia Regents University, Augusta, GA, Craniofacial Pain Center, Tufts University School of Dental Medicine and Headache and Face Pain Program, Dept. of Neurology, Tufts Medical Center and Dept. of Neurology, Brigham and Women’s Hospital, Boston, MA, University of Illinois College of Medicine, Rockford, IL, Sucampo AG, Zug, Switzerland, Sucampo Pharma Americas, LLC, Bethesda, MD P1103. Stapled Hemorrhoidectomy and Obstructive Defecation Symptoms: Post-operative Functional Outcome Aldo Bove, MD, PhD, Raffaella Di Renzo, MD, Gino Palone, MD, Vincenzo D’Addetta, MD, Paolo Panaccio, MD, Giuseppe Bongarzoni, MD, University G. D’Annunzio, Chieti, Italy P1104. Prior Gynecological Surgery and Anorectal Manometry Jose Parungao, MD, Ruby Jhaj, MD, Victor Velocci, MD, Michael Piper, MD, FACG, Luis Maas, MD, FACG, Providence Hospital, Southfield, MI P1105. Lubiprostone for Treatment of Opioid-Induced Constipation: Analysis of Influencing Factors Taryn Losch-Beridon, BS, Peter Lichtlen, MD, PhD, BBA, Martin Wang, MS, Sucampo Pharma Americas, LLC, Bethesda, MD, Sucampo AG, Zug, Switzerland P1106. Biofeedback Therapy Is an Effective Treatment Strategy in Refractory Fecal Incontinence Francis Okeke, MD, MPH, Ahmed Salem, MD, John Clarke, MD, Sameer Dhalla, MD, MHS, Monica Nandwani, CRNP, Ellen Stein, MD, Bani Chander Roland, MD, The Johns Hopkins Medical Institutions, Baltimore, MD P1107. What Strategies Do Patients With Irritable Bowel Syndrome Continue to Use Following a 9-Week Comprehensive Self-Management Program? Jasmine Zia, MD, Kevin Cain, PhD, Pamela Barney, ARNP, Monica Jarrett, PhD, RN, Margaret Heitkemper, PhD, RN, Gastroenterology, University of Washington, Seattle, WA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. FUNCTIONAL BOWEL DISORDERS CLINICAL VIGNETTES P1113. Fecal Incontinence With Chronic Mesenteric Ischemia: Case Report in Response to Serum-Derived Bovine Immunoglobulin/Protein Isolate Larry Good, MD, South Nassau Communities Hospital, Oceanside, NY P1114. A Clinical Vignette Demonstrating the Efficacy of Treating CIPO in a Patient With ALS Joshua Anderson, MD, Felix Leung, MD, FACG, Jonathan Kaunitz, MD, FACG, West Los Angeles Veteran’s Affairs Medical Center, Los Angeles, CA, Internal Medicine, Cedars Sinai Medical Ceneter, Los Angeles, CA P1115. Abnormal Motility Associated With Tumor Necrosis Factor Receptor-Associated Periodic Fever Syndrome Adam Godsey, MD, Baharak Moshiree, MD, University of Miami, Miami, FL, University of Virginia, Charlottesville, VA 88 Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm ENDOSCOPY P1126. Endoscopic Mucosal Resection of Large Nonampullary Duodenal Polyps: Technical Aspects and Long Term Therapeutic Outcomes Andrew Zabolotsky, MD, C. Andrew Kistler, MD, Saad Ghumman, MBBS, Sobia Laique, MBBS, Ali Siddiqui, MD, Thomas Jefferson University Hopsital, Philadelphia, PA P1127. What Is the Impact of Abdominal and Pelvic Surgery for Patients With Overt Obscure GI Bleed Who Undergo Retrograde Double Balloon Enteroscopy? Analysis of a Large Database Michael Bartel, MD, Carlos Simons Linares, MD, Luke McCrone, MD, Mark Stark, MD, FACG, Frank Lukens, MD, FACG, Gastroenterology, Mayo Clinic, Jackonville, FL P1128. Noncompliance With Recommended Intervals for Surveillance of Polyps Leads to Reduced Adenoma Detection Rates Vishal Desai, MD, Sheena Patel, MD, John Losurdo, MD, Sohrab Mobarhan, MD, Joshua Melson, MD, MPH, Rush University Medical Center, Chicago, IL P1129. Balloon Dilation of Duodenal Strictures to Facilitate ERCP for Biliary Obstruction Amanpal Singh, MD, MS, Samrath Singh, MD, Akriti Dewanwala, MD, Andrew Bain, MD, Division of Gastroenterology, Roswell Park Cancer Institute, Buffalo, NY, Department of Medicine, State University of New York at Buffalo, Buffalo, NY P1130. Factors Determining Residual Neoplasia After EMR of Flat Sessile Colonic Polyps Abhishek Bhurwal, MBBS, Michael Bartel, MD, Massimo Raimondo, MD, FACG, Michael Wallace, MD, MPH, FACG, Timothy Woodward, MD, FACG, Gastroenterology, Mayo Clinic, Jacksonville, FL P1131. Endoscopic Mucosal Resection Learning Curve for Large Colorectal Polyps: Analysis of a Large Database Abhishek Bhurwal, MBBS, Michael Bartel, MD, Massimo Raimondo, MD, FACG, Michael Wallace, MD, MPH, FACG, Timothy Woodward, MD, FACG, Gastroenterology, Mayo Clinic, Jacksonville, FL P1132. Nationwide Utilization of Endoscopic Ultrasound Sharlene DSouza, MD, Brintha Enestvedt, MD, Brian Pavic, MD, Jennifer Holub, Sarah “Betsy” Rodriguez, MD, Gastroenterology, The Oregon Clinic-West, Portland, OR, Oregon Health and Science University, Portland, OR, Portland VA Medical Center, Portland, OR P1133. Endoscopic Nested Y-Shaped Self-Expanding Metal Stent Placement for Advanced Hilar Cholangiocarcinoma: A Study of a Novel Stent With a Unique Mesh Structure Kyo-Sang Yoo, MD, PhD, Ji Yeoun Kim, MD, Jongkwan Jung, MD, Youngouk Ro, MD, Young Jae Byun, MD, Sun Min Kim, MD, Chang Soo Eun, MD, PhD, Gastroenterology and Hepatology, Hanyang University College of Medicine, Guri, Republic of Korea P1134. Diagnostic Yield of Upper Endoscopy and Colonoscopy for Isolated Unintentional Weight Loss Oleg Shulik, MD, Andy Cuchhiara, PhD, Octavia Pickett-Blakely, MD, MHS, University of Pennsylvania, Philadelphia, PA P1135. Physician-Directed Bolus Sedation for Colonoscopy Improves Endoscopy Unit Efficiency Amit Bhaskar, MD, Ziad Gellad, MD, MPH, Internal Medicine, Duke University, Durham, NC P1136. Comparison of Sedation Practices in GI Endoscopy Between Ambulatory Endoscopy Center and GI Lab in Hospital Ali Kazemi, MD, Olivia Babich, Jungmin Lee, MD, Michael Babich, MD, Allegheny General Hospital, Pittsburgh P1137. Yield of Capsule Endoscopy for Obscure Gastrointestinal Bleed Chinemerem Okwara, MD, Leon Kundrotas, MD, Raju Akriti, MD, UT Southwestern Medical Center, Dallas, TX, University of Texas Health and Science Center at San Antonio, San Antonio, TX P1138. Minimizing Insertion Pain in Unsedated Patients by Combined Water Exchange and Cap-Assisted Colonoscopy Felix Leung, MD, FACG, Joseph Leung, MD, FACG, Andrew Yen, MD, FACG, Medicine, Sepulveda Ambulatory Care Center, VAGLAHS and David Geffen School of Medicine at UCLA, North Hills, CA, Sacramento VAMC and School of Medicine at UC Davis, Sacramento, CA POSTERS MONDAY P1116. Proper Tools and Technique Improve Biliary Papillotomy: A Simulation Study Joseph Leung, MD, MACG, FACG, Wei-Chih, David Liao, MD, Wenbo Meng, MD, Andrew Yen, MD, FACG, Dong Wang, MD, Yanglin Pan, MD, Hp Wang, MD, Gastroenterology, Sacramento VAMC and UC Davis Medical Center, Mather, CA, Gastroenterology, National Taiwan University Hospital, Taipei, Taiwan, Gastroenterology, Changhai Hospital, Shanghai, China, Surgery, 1st Hospital of Lanzhou University, Lanzhou, China, Gastroenterology, Xijing Hospital, Xi’an, China P1117. Retrospective Review of Airway Management and Complications in the Treatment of Esophageal Food Impaction Jose Melendez-Rosado, MD, Raul Badillo, MD, Dawn Francis, MD, Mayo Clinic, Gastroenterology, Jacksonville, FL P1118. Endoscopic Ultrasound Fine Needle Aspiration for the Evaluation of Focal Ampullary Lesions Philip Okafor, MD, MPH, Larissa Fujii, MD, Michael Levy, MD, Mayo Clinic, Rochester, MN P1119. Fully Covered Self Expanding Metallic Stent as a Reversible Treatment Option for Common Bile Duct Stricture and Post-ERCP Complications Justin Cochrane, DO, Providence Sacred Medical Center, Spokane, WA P1120. Retrospective Analysis of the Effectiveness of Covered Esophageal Stents for the Management of Benign Upper Gastrointestinal Disorders Isaac Cline, MD, Nitin Ahuja, MD, Andrew Wang, MD, FACG, Vanessa Shami, MD, Bryan Sauer, MD, MSc, Medicine, Gastroenterology, University of Virginia, Charlottesville, VA P1121. Predictors of Prolonged Withdrawal Time During Screening Colonoscopy Among Gastroenterology Fellows Hernan Lopez-Morra, MD, Juan Tejada, MD, Manhal Izzy, MD, Sandar Linn, MD, Emmanuel Ofori, MD, Luis Guzman, MD, Faraj Karagoli, MD, Sury Anand, MD, Gastroenterology, The Brooklyn Hospital Center, Brooklyn, NY P1122. Impact of a Novel Mobile Device Application for Endoscopic Procedure Logging Lanre Jimoh, MD, MBA, Keith Obstein, MD, MPH, FACG, Vanderbilt University Medical Center, Nashville, TN P1123. Hemospray for Refractory Gastrointestinal Bleeding: Initial United States Experience Rabia Ali, MD, David Carr-Locke, MD, FACG, Srinadh Komanduri, MD, MS, Sanjay Jagannath, MD, Toufic Kachaamy, MD, Peter Sargon, MD, Catherine Frenette, MD, Harish Gagneja, MD, FACG, Douglas Howell, MD, FACG, James Buxbaum, MD, Timothy Laurie, MD, Joseph Marsano, MD, Seth Gross, MD, FACG, New York University School of Medicine, New York, NY, Beth Israel Medical Center, New York, NY, Northwestern University Feinberg School of Medicine, Chicago, IL, Mercy Medical Center, Baltimore, MD, Cancer Treatment Centers of America, Phoenix, AZ, Advocate Lutheran General Hospital, Park Ridge, IL, Scripps Health, San Diego, CA, Austin Gastroenterology, Austin, TX, Maine Medical Center, Portland, ME, University of Southern California-Keck School of Medicine, Los Angeles, CA P1124. Incidence and Outcomes of Acute Gastrointestinal Bleeding in LVAD Patients Haseeb Jabbar, MD, Ali Abbas, MD, Mustafa Mohammed Ahmed, MD, Charles T Jr Klodell, MD, Peter Draganov, MD, University of Florida, Gainesville, FL P1125. The Utility of Video Capsule Endoscopy to Evaluate Gastrointestinal Bleeding in an Inpatient Setting Divya Bhatt, MD, MA, Andrew Watson, MD, Kristin McBeath, DO, Cemal Yazici, MD, Fredrik Langi, MD, Brian Boulay, MD, MPH, Russell Brown, MD, FACG, University of Illinois Chicago, Chicago, IL, NorthShore University Health System, Evanston, IL 89 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm P1139. Seasonal Variation of Colonoscopy Bowel Preparation Hussein Bitar, MD, Sumit Alhuwalia, MD, Mohammad Madhoun, MD, MPH, University of Oklahoma, Veterans Affairs Medical Center, Oklahoma City, OK P1140. Comparing the “Value” of Endoscopists: Are We All as Valuable as Each Other? Gavin Harewood, MD, MBA, Eoin Slattery, MD, Yolanda Tiedt, MD, Diarmuid Fleming, MD, Nutrition Support, New York Presbyterian Hospital-Columbia University Medical Center, New York, NY, Beaumont Hospital, Dublin, Ireland P1141. Does the Principal Agent Phenomenon Exist in Gastroenterology: A Region by Region Comparison Eoin Slattery, MD, Gavin Harewood, MD, Nutrition Support, New York Presbyterian Hospital-Columbia University Medical Center, New York, NY, Beaumont Hospital, Dublin, Ireland P1142. Colonoscopy With Miniprobe Ultrasound Helps Identify Mucosal, Submucosal, and Extra-Mucosal Colonic Lesions Brandon Marion, MD, Jason Conway, MD, MPH, John Evans, MD, MMSc, Girish Mishra, MD, MS, FACG, Wake Forest University School of Medicine, Department of Internal Medicine, Winston-Salem, NC, Wake Forest University School of Medicine, Department of Gastroenterology, Winston-Salem, NC P1143. Yield of Endoscopic Evaluation in Left Ventricular Assist Device Associated Gastrointestinal Bleeding Patrick Koo, MD, Chad Kawa, MD, Amitabh Chak, MD, Case Western Reserve University/University Hospitals Case Medical Center, Cleveland, OH P1144. The Predictive Value of Endoscopic Ultrasound in Endoscopic Submucosal Dissection Wu Shuang, MS, Yuqin Li, MD, Libo Wang, MD, Yang Shi, MD, Tongyu Tang, MD, Hong Xu, MD, First Hospital of Jilin University, Changchun, China P1145. Real Time Histologic Assessment of Dysplasia in IBD Patients Using Probe Based Confocal Endomicroscopy Razvan Arsenescu, MD, PhD, Martha Yearsley, MD, Violeta Arsenescu, MD, PhD, Wendy Frankel, MD, The Ohio State University, Columbus, OH P1146. EUS-FNA During Initial ERCP for Obstructive Jaundice From Pancreatic Head Adenocarcinoma Results inFewer Subsequent Invasive Procedures Sandeep Samuel, MD, Amanpal Singh, MD, Theodore Pettle, MD, Wei Tan, MS, Andrew Bain, MD, Department of Internal Medicine, University at Buffalo, Buffalo, NY, Roswell Park Cancer Institute, Buffalo, NY P1147. The Improvement of the Endoscopic Techniques for the Diagnosis of Celiac Disease. Proposal of an Endoscopic Classification and Correlation With Histological Findings Lorete Kotze, PhD, Mauro Bonatto, MD, Luiz Kotze, MD, Pontifical University of Paraná, Curitiba, Brazil, Gastroclinica Cascavel LTDA, Cascavel, Brazil P1148. How Often Do We Let Our Patients Have Clear Liquids Up to Two Hours Before Colonoscopy? Richard Robbins, MD, Chenlu Tian, MD, Deepak Agrawal, MD, Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, TX P1149. Use of Split Dose Colonoscopy Preparation: A National Survey Richard Robbins, MD, Chenlu Tian, MD, Deepak Agrawal, MD, Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, TX P1150. Do Endoscopy Centers Follow Recommendations About Not Stopping Aspirin Before Colonoscopy? Richard Robbins, MD, Chenlu Tian, MD, Deepak Agrawal, MD, Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, TX For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1151. An Investigation of Renal Function and Serum Magnesium Levels in Patients Receiving Day-Before Low-Volume Sodium Picosulfate and Magnesium Citrate Bowel Preparation Michael Epstein, MD, FACG, Edward Jones, MD, Gerald Bertiger, MD, David Dahdal, PhD, Raymond Joseph, MD, FACG, Digestive Disorders Associates, Annapolis, MD, Delaware Valley Nephrology and Hypertension Associates, Lansdale, PA, Hillmont GI, Flourtown, PA, Ferring Pharmaceuticals Inc, Parsippany, NJ P1152. Propofol From Start to Finish: Evidence-Based Optimized Dosing Models for the Induction and Maintenance of Moderate Sedation Louis Wilson, MD, FACG, James Johnston, PhD, Dale McDonald, PhD, Wichita Falls Gastroenterology Associates, Wichita Falls, TX, Midwestern State University, Wichita Falls, TX P1153. Endoscopy in Neutropenic and/or Thrombocytopenic Patients: Review of Current Evidence and Development of Clinical Recommendations Michelle Tong, MD, Michael Tadros, MD, Haleh Vaziri, MD, University of Connecticut School of Medicine, Farmington, CT P1154. Outcomes of the Use of Fully Covered Esophageal SelfExpandable Stent in the Management of Colorectal Anastomotic Strictures and Leaks Chad Cooper, MD, MHA, Angel Morales, MD, Mohamed Othman, MD, Internal Medicine, Texas Tech University Health Sciences Center, El Paso, TX P1155. Efficacy of the Over-The-Scope Clip Device in the Management of Acute Gastroduodenal Artery Territory Bleeding From Duodenal Ulcers: A Single Center Experience Anushka Baruah, MD, Emmanuel Gorospe, MD, MPH, Louis Wong Kee Song, MD, Navtej Buttar, MD, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN P1156. Usefulness of Trans-Nasal Ultra-Thin Office Endoscopy in High Risk Pre-Bariatric Patients Hareesh Bose, MBBS, Sandeep Tummala, MS, Srinivas Vasireddi, MD, Advanced Digestive Center, Inc, Metuchen, NJ, RWJUH Medical School, New Brunswick, NJ P1157. Safety and Efficacy of Colonoscopy in Patients 85 Years and Older: Retrospective Review Soujanya Sodavarapu, MD, Erick Imbertson, MD, Jonathan Grotts, MA, William Hahn, MD, James Eagan, MD, Vincent DeRosa, MD, John Petrini, MD, Santa Barbara Cottage Hospital, Goleta, CA, Sansum Clinic, Santa Barbara, CA P1158. Diphenhydramine Use in Conscious Sedation: A Retrospective Analysis of Efficacy 2014 ACG Presidential Poster Award Akwi Asombang, MD, MPH, Shoba Theivanayagam, MD, Kristi Lopez, MD, Matthew Bechtold, MD, FACG, Internal Medicine, Div. of Gastroenterology/Hepatology, University of Missouri-Columbia, Columbia, MO P1159. Achalasia Subtypes Have Different Motility Response of Esophagus to Per-oral Endoscopic Myotomy (POEM): High-Resolution Manometry Approach With Chicago Classification Yutang Ren, MD, Fengping Chen, BN, Zhiliang Deng, MD, Xiaowei Tang, MD, Jianuan Wu, MD, Fachao Zhi, MD, Wei Gong, MD, PhD, Bo Jiang, MD, PhD, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China 90 Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm ENDOSCOPY - CLINICAL VIGNETTES P1160. Asymptomatic Cholecystitis Detected on Routine Screening Colonoscopy Porter Glover, MD, Duc Vu, MD, Vu Nhu Nguyen, MD, Scott Swendsen, MD, Baylor Scott and White Hospital, Temple, TX, GastroenterologyBaylor Scott and White Hospital, Temple, TX P1161. Successful Endoscopic Drainage of an Intramural Gastric Abscess 2014 ACG Presidential Poster Award Ami DeWaters, MD, Amol Sharma, MD, Ryan Gaffney, DO, Abraham Mathew, MD, Penn State Milton S. Hershey Medical Center, Hershey, PA P1162. Symptomatic Pancreatic Insulinoma Successfully Treated With Alcohol Ablation Kirbylee Nelson, MD, Asif Lakha, MD, Mokenge Malafa, MD, Barbara Centeno, MD, Cynthia Harris, MD, FACG, Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, FL, Department of Endoscopic Oncology, University of South Florida Morsani College of Medicine, Tampa, FL, Department of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, Department of Anatomic Pathology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, Department of Endoscopic Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL P1163. Utility of Needle-Based Confocal Laser Endomicroscopy (nCLE) in a Pancreatic Cyst With Equivocal Findings Kirbylee Nelson, MD, Asif Lakha, MD, Cynthia Harris, MD, FACG, Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, FL, Department of Endoscopic Oncology, University of South Florida Morsani College of Medicine, Tampa, FL, Department of Endoscopic Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL P1164. Primary Gastric Anaplastic Lymphoma Kinase (ALK) Negative, Large Cell Lymphoma Causing Gastrointestinal Bleeding in a Patient With Roux-en-Y Gastric Bypass Sara Ancello, DO, Badal Shah, DO, Robert Shmuts, DO, Alan Shienbaum, DO, Hong-Guang Gao, MD, John Chiesa, DO, Rowan University School of Osteopathic Medicine, Stratford, NJ P1165. Triglyceride Level of EUS Guided FNA of Cystic Fluid Helps in the Diagnosis of Suspected Lymphocele Yaseen Alastal, MD, Tariq Hammad, MD, Syed Hasan, DO, Muhammad Ali Khan, MD, Osama Alaradi, MD, Ali Nawras, MD, FACG, University of Toledo, Department of Internal Medicine, Division Of Gastroenterology, Toledo, OH P1166. The Role of Endoscopic Ultrasound in the Diagnosis of Aortitis Brittany Venci, MD, Amit Aravapalli, MD, Andrew Dries, MD, Internal Medicine, Carolinas Medical Center, Charlotte, NC P1167. Two Acute Hepatitis C Virus Infections Following Outpatient Endoscopy Procedures Catherine Dentinger, FNP, MPH, Catharine Prussing, MPH, Perminder Khosa, MPH, Sharon Balter, MD, New York City Department of Health and Mental Hygiene, New York, NY, Centers for Disease Control and Prevention (CDC), Atlanta, GA P1168. Spyglass-Assisted Management of a Large Impacted Cystic Duct Stone Marina Kim, DO, Mandeep Singh, MD, Vinay Sood, DO, FACG, Albany Medical Center, Albany, NY P1169. Repair of an Iatrogenic Distal Rectal Perforation With Placement of Endoscopic Clips Priyanka Patel, MD, Scott Swendsen, MD, Vu Nhu Nguyen, MD, Duc Vu, MD, Felix Lin, MD, Internal Medicine, Baylor Scott and White, Temple, TX P1170. Obscure Occult Gastrointestinal Bleed in a Patient With Metastatic Carcinoid Tumor at the Apex of Meckel’s Diverticulum Donnesha Clayton, MD, William Palmer, MD, Frank Lukens, MD, FACG, Internal Medicine, Mayo Clinic Jacksonville, Jacksonville, FL POSTERS MONDAY P1171. Disseminated Strongyloidiasis Diagnosed on Endoscopic Biopsy: Manifesting as Aseptic Meningitis, Ileus, Septic Shock, Respiratory Failure and Necrotizing Cellulitis Anand Kumar, MD, Srinivas Guptha Gunturu, MD, Hilary Hertan, MD, FACG, Montefiore Medical Center, Bronx, NY P1172. Endo Stitch Placed During Previous Endoscopic Submucosal Dissection of Early Gastric Adenocarcinoma Can Complicate Follow-up Surveillance Jayakrishna Chintanaboina, MD, MPH, Matthew Moyer, MD, MS, Penn State Hershey Medical Center, Hershey, PA P1173. “A Needle in the Duodenum:” A Complication of Inferior Vena Cava Filter Jayakrishna Chintanaboina, MD, MPH, Matthew Moyer, MD, Penn State Hershey Medical Center, Hershey, PA P1174. Hematemesis in a 67-Year-Old Male Parastoo Jangouk, MD, Victor Chedid, MD, Jana Hashash, MD, University of Pittsburgh Medical Center- Division of Gastroenterology, Hepatology, and Nutrition, Pittsburgh, PA P1175. Analysis of Outcomes in Patients Undergoing EUS Rendezvous for Biliary Drainage Peter Chung, MD, Anjali Basil, MD, Wahid Wassef, MD, Internal Medicine, UMass Memorial Medical Center, Worcester, MA P1176. Endoscopic Removal of Accidentally Ingested Adult Toothbrush Sarfaraz Jasdanwala, MD, William Ferges, MD, Abhinav Agrawal, MD, Avik Sarkar, MD, Sita Chokhavatia, MD, FACG, Monmouth Medical Center, Long Branch, NJ, Robert Wood Johnson University Hospital, New Brunswick, NJ P1177. Role of Preoperative EUS Guided Fine-Needle Tattooing of a Pancreatic Head Insulinoma: A Case Report Pornchai Leelasinjaroen, MD, Wuttiporn Manatsathit, MD, Richard Berri, MD, Barawi Mohammed, MD, FACG, St. John Hospital and Medical Center, Detroit, MI P1178. An Uncommon Cause of Lower GI Bleeding in the Elderly: Blue Rubber Bleb Nevus Syndrome Zahra Iqbal, MD, Benjamin Robey, BS, Sabeen Abid, MD, Eslam Ali, MD, FACG, East Carolina University, Greenville, NC PEDIATRICS P1179. Post-Vaccination Levels of Antibodies Against Hepatitis B Core Antigen in Nonresponding (Anti-HBs <10 mIU/mL) Children of State of Sikkim Divya Korpu, MBBS, Amlan Gupta, MD, Vivek Gupta, MD, Pathology, Sikkim Manipal Institute of Medical Sciences, Gangtok, India P1180. Clinical Predictors of Abnormal Esophagogastroduodenoscopy (EGD) Findings in Children Ying Zhang, MD, Susan Szpunar, PhD, Vanessa Dejaeghere, BS, Hernando Lyons, MD, St. John Hospital and Medical Center, Detroit, MI, Wayne State University, School of Medicine, Detroit, MI P1181. Pathologic Findings on Repeat Biopsy in Children With Celiac Disease on a Gluten-Free Diet Michael Pettei, MD, PhD, FACG, Toni Webster, DO, Cohen Children’s Medical Center of New York, North Shore LIJ Health System, Lake Success, NY P1182. Cardiovascular Risk Factors and Cardiac Disorders in Long-term Survivors of Pediatric Liver Transplantation 2014 ACG Presidential Poster Award Shankar Baskar, MD, Peggy George, RN, BSN, Bijan Eghtesad, MD, Vera Hupertz, MD, Aziz Peter, MD, Naim Alkhouri, MD, Cleveland Clinic Foundation, Cleveland, OH P1183. Endoscopic Ultrasound-Guided Pseudocyst Drainage Using a Novel Lumen-Apposing Metal Stent (AXIOS) in Two Pediatric Patients Jose Nieto, DO, FACG, Kelli Hathaway, BSN, Gastroenterology, Borland Groover Clinic, Ponte Vedra Beach, FL 91 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Monday, October 20, 10:30 am - 4:00 pm PEDIATRICS - CLINICAL VIGNETTES P1194. Association Between Human Papillomavirus and Colorectal Adenomas in Women: A Cross-Sectional Study Huafeng Shen, MD, Seth Lipka, MD, Jeffrey Silpe, MD, Andy White, BS, Samuel Satler, BS, Dustin Luebbers, BS, James Statler, BS, Anna Zheng, BS, Joshua Elder, BS, Albin Abraham, MD, Ghulamullah Shahzad, MD, Prakash Viswanathan, MD, Paul Mustacchia, MD, Nassau University Medical Center, East Meadow, NY, Morsani College of Medicine, University of South Florida, Tampa, FL P1195. Adenoma Detection Rate May Be Higher in Whites With a Personal History of Adenomas Steven Zeddun, MD, Abdullah Al-Shahrani, MBBS, Vikesh Khanijow, MD, Timothy Dougherty, MD, Wadha Al-Jaser, MD, Brandon Rieders, MD, Marie Borum, MD, EdD, MPH, FACG, Division of Gastroenterology and Liver Diseases, George Washington University, Washington, DC P1196. Awareness of Routine, Anonymous Video Recording Does Not Improve Quality of Colonoscopy Piet de Groen, MD, FACG, Felicity Enders, PhD, Michael Szewczynski, MS, David Katzka, MD, Johnny Wong, PhD, JungHwan Oh, PhD, Wallapak Tavanapong, PhD, Mayo Clinic, Rochester, MN, Iowa State University, Ames, IA, University of North Texas, Denton, TX P1197. Prevalence of Sessile Serrated Adenomas in a Cohort of New England Women Sarah Freeman, MD, Christy Dibble, DO, Katrine Hansen, MD, James Sung, MD, Mariam Fayek, MD, Medicine, Brown University, Providence, RI, Women and Infants Hospital, Department of Gastroenterology, Providence, RI, Women and Infants Hospital, Department of Pathology, Providence, RI P1198. Staining of Proximal Flat Polyps by Indigo Carmine Delivered by Oral Polyethylene Glycol Bowel Preparation: A Prospective, Open Label Pilot Study Toufic Kachaamy, MD, Shiva Ratuapli, MD, Francisco Ramirez, MD, Felix Leung, MD, Shabana Pasha, MD, Suryakanth Gurudu, MD, Michael Crowell, PhD, Cuong Nguyen, MD, M Edwyn Harrison, MD, Gastroenterology, Mayo Clinic Arizona, Scottsdale, AZ, Sepulveda Ambulatory Care Center, VAGLAHS and David Geffen School of Medicine at UCLA, Los Angeles, CA P1199. Ursodiol as Chemoprevention for Colorectal Cancer: A MetaAnalysis Imran Ashraf, MD, Douglas Nguyen, MD, Abhishek Choudhary, MD, Matthew Bechtold, MD, FACG, University of Missouri, Columbia, Columbia, MO, University of California, Irvine, Irvine, CA P1200. Increased Adenoma Detection Rate in an Average-Risk Urban Population Steven Zeddun, MD, Brandon Rieders, MD, Lakshmi Lattimer, MD, Timothy Dougherty, MD, Marie Borum, MD, EdD, MPH, FACG, Division of Gastroenterology and Liver Diseases, George Washington University, Washington, DC P1201. Separating the Wheat From the Chaff: Identifying Sessile Serrated Adenomas Among Polyps Previously Read as Hyperplastic Seth Crockett, MD, MPH, Christopher Martin, MSPH, Dale Snover, MD, Robert Sandler, MD, MPH, FACG, John Baron, MD, MSc, Division of Gastrointerology and Hepatology, University of North Carolina, Chapel Hill, NC, NC, Department of Pathology, Fairview Southdale Hospital, Edina, MN P1202. Differences in Risk Factors Among Those With Serrated Polyps, Sessile Serrated Adenomas, and Conventional Adenomas Seth Crockett, MD, MPH, Christopher Martin, MSPH, Dale Snover, MD, Robert Sandler, MD, MPH, FACG, John Baron, MD, MSc, Division of Gastrointerology and Hepatology, University of North Carolina, Chapel Hill, NC, NC, Department of Pathology, Fairview Southdale Hospital, Edina, MN P1203. Gender Difference in Reproducibility of Quantitative Fecal Immunochemical Test in Asymptomatic Individuals Fumio Omata, MD, MPH, PhD, Gautam Deshpande, MD, Katsunori Masuda, MD, Tsuguya Fukui, MD, MPH, PhD, St. Luke’s International Hospital, Chuo-Ku, Japan, St. Luke’s Life Science Institute, Chuo-Ku, Japan P1184. Recurrent Biliary Obstruction Overcome With Metal Biliary Stent Placement in the Surgically Altered Down Syndrome Patient for Congenital Duodenal Atresia Patrick Hickey, DO, Matthew Sullivan, DO, Saba Ahmad, MD, Hiral Shah, MD, Lehigh Valley Health Network, Allentown, PA P1185. Severe Esophageal Ulceration Secondary to Pill Esophagitis in the Setting of Eosinophilic Esophagitis (EoE) Sadaf Saghier, MD, Fernando Windemullaer, MD, Raavi Gupta, MD, Jiliu Xu, MD, Steven Schwarz, MD, Evan Grossman, MD, Simon Rabinowitz, MD, PhD, SUNY Downstate Medical Center, Downstate Children’s Hospital - Pediatric Gastroenterology, Brooklyn, NY, SUNY Downstate Medical Center - Internal Medicine, Division of Digestive Disease, Brooklyn, NY, SUNY Downstate Medical Center - Pathology, Brooklyn, NY P1186. The Role of Octreotide in Gastroparesis Dana Hong, MD, Shamila Zawahir, MD, Anjali Malkani, MD, Samra Blanchard, MD, University of Maryland, Baltimore, MD COLORECTAL CANCER PREVENTION P1187. The New York City Colonoscopy Quality Benchmarking Group: Screening Colonoscopy Data on Follow-up Interval Recommendations Elena Ivanina, DO, Victoria Obe, PhD, Tuhina Mitra, MPH, Mari Carlesimo, JD, David Greenwald, MD, FACG, Balavenkatesh Kanna, MD, MPH, Steven Itzkowitz, MD, FACG, Felice Schnoll-Sussman, MD, FACG, Marian Krauskopf, MSW, Tom Weber, MD, Sidney Winawer, MD, MACG, NYC Department of Health and Mental Hygiene, New York, NY, Citywide Colon Cancer Control Coalition (C5), New York, NY P1188. Precolonoscopy Rectal Examination 1-2 Minutes After Sedation as Supplementary Prostate Screening Tat-Kin Tsang, MD, Samantha Chao, Pritzker School of Medicine, University of Chicago, Chicago, IL, Carleton College, Northfield, MN P1189. Observational Study of Changes in Patient Bowel Movements Post-Colonoscopy Tat-Kin Tsang, MD, Samantha Chao, Pritzker School of Medicine, University of Chicago, Chicago, IL, Carleton College, Northfield, MN P1190. Adenoma Detection Rate and Sessile Serrated Polyps Among Hispanics in Southern Arizona Krunal Patel, MD, Courtney Walker, DO, Varun Takyar, MD, Nirmal Singh, MBBS, Christian Dominguez, DO, Bianca Afonso, MD, University of Arizona, Department of Internal Medicine, Tucson, AZ, University of Arizona, Department of Gastroenterology and Hepatology, Tucson, AZ, University of Arizona, Tucson, AZ P1191. Gender Differences in Colonic Adenoma Detection Rate: A Community Study Shilun Li, MD, Joanne Maas, MS, Michael Spencer, PhD, Panagiotis Panagiotakis, MD, David Brokl, MD, Meher Rahman, MBBS, Mayo Clinic Health System, Mankato, Mankato, MN, Minnesota State University, Mankato, MN P1192. Adherence to Colorectal Cancer Screening in Two Ethnic Groups in Metropolitan Detroit Nizar Talaat, MD, Maher Tama, MD, Athar Haq, DO, Faris El-Khider, MD, Walid Harb, MD, Oakwood Hospital and Medical Center, Dearborn, MI, Wayne State University, Detroit, MI P1193. Is Pathologic Evaluation Necessary When Resecting Diminutive Polyps? Douglas Sprung, MD, FACG, Gastroenterology, Florida Hospital, Altamonte Springs, FL For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 92 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm TUESDAY, October 21, 2014 P1204. G-EYE™ Colonoscopy Significantly Improves Adenoma Detection Rates: Initial Results of a Multicenter Prospective Cohort Study 2014 ACG Presidential Poster Award Seth Gross, MD, FACG, Zamir Halpern, MD, Mark Pochapin, MD, FACG, Sauid Ishaq, MD, Helmut Neumann, MD, Marek Dobosz, MD, Edi Viale, MD, Arthur Hoffman, MD, Jakob Hendel, MD, Hakan Senturk, MD, Harold Jacob, MD, Ralf Kiesslich, MD, NYU Langone Medical Center, New York, NY, The Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, Russell’s Hall, Dudley, West Midlands, United Kingdom, University Clinic Erlangen, Erlangen, Germany, Pomorskie Centrum Traumatologii w Gdansku, Gdansk, Poland, San Raffaele Hospital, Milano, Italy, St. Marienkrankenhaus, Katharina-Kasper GmbH, Frankfurt, Germany, Copenhagen University Hospital Herlev, Herlev, Denmark, Bezmi Alem University, Istanbul, Turkey, Hadassah Medical Center, Jerusalem, Israel P1205. PillCam Colon for Incomplete Colonoscopy Seth Gross, MD, FACG, Rabia Ali, MD, NYU Langone Medical Center, New York, NY ESOPHAGUS P1214. An Atypical Case of Melena Caused by Esophageal Perforation Janese Laster, MD, Pooja Singhal, MD, Internal Medicine Residency, Georgetown University Hospital, Washington, DC, Georgetown University, Department of Gastroenterology, Washington, DC P1215. Clinical Presentation Doesn’t Predict the Need for Esophageal Dilation in Patients With Eosinophilic Esophagitis Rebecca Ensley, DO, Brett Partridge, MD, David You, MD, Gastroenterology, Naval Medical Center San Diego, San Diego, CA P1216. Does Preop EUS Staging Have Influence on the 5-Year Survival Rate of Esophageal Cancer? Omar Nadhem, MD, Yasir Al Abboodi, MD, Jesse Mer, MS III, Subhasis Misra, MD, MS, Texas Tech University Health Sciences Center, Amarillo, TX P1217. Clinical Predictors of Gastroesophageal Reflux Disease Evidence on Endoscopy in Non-Cardiac Chest Pain Alexandra Baumann, DO, David Wheeler, MD, PhD, Monil Patel, DO, Philip Katz, MD, FACG, Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA, Gastroenterology, Albert Einstein Medical Center, Philadelphia, PA P1218. The Impact of Eosinophilic Esophagitis on Body Mass Index Amilcar Morales, MD, Manish Singla, MD, Corinne Maydonovitch, BS, Yen-Ju Chen, RN, Fouad Moawad, MD, Walter Reed National Military Medical Center, Bethesda, MD P1219. Multivariate Analysis of Clinical Predictors of Sleep Disturbance Related to Frequent Nighttime Heartburn and Acid Regurgitation Symptoms in Individuals Taking Esomeprazole 20 mg or Placebo David Johnson, MD, MACG, Anne LeMoigne, Jing Li, PhD, Charles Pollack, MD, PhD, Peter Nagy, MD, Gastroenterology, Eastern Virginia School of Medicine, Norfolk, VA, Pfizer Consumer Healthcare, Madison, NJ, AstraZeneca, Molndal, Sweden P1220. Improved Accuracy of 24-Hour pH-Impedance Monitoring With Elimination of Acidic Ingestion Periods Eyad Alakrad, MD, Yuanqing Yan, PhD, Haseeb Jabbar, MD, April Goddard, PA-C, Qing Zhang, MD, PhD, University of Florida, Gainesville, FL P1221. Surveillance of Short Segment Barrett’s Esophagus Using Ultrathin Endoscopy Takashi Kawai, MD, PhD, FACG, Masakatsu Fukuzawa, MD, PhD, Kyosuke Yanagisawa, MD, PhD, Sakiko Naito, MD, Mari Fukuzawa, MD, PhD, Hiroko Sugimoto, MD, Tetuya Yamagishi, MD, PhD, Takuji Gotoda, MD, PhD, Chika Kusano, MD, PhD, Fuminori Moriyasu, MD, PhD, Kengo Tokunaga, MD, PhD, Shin’ichi Takahashi, MD, PhD, FACG, Endscopy Center, Tokyo Medical University Hospital, Tokyo, Japan, Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan, Kyorin University School of Medicine, Tokyo, Japan P1222. Comparison of High Resolution Pressure Topography and High Resolution Impedance Manometry in Patients With Non-Obstructive Dysphagia Siegfried Yu, MD, Yeong Lee, MD, PhD, Askin Erdogan, MD, Erick Singh, MD, Arie Mack, RN, Satish Rao, MD, PhD, FACG, Internal Medicine, Georgia Regents University, Augusta, GA, School of Medical Sciences, Universiti Sains Malaysia, Kota Bahru, Malaysia P1223. Effects of Lifestyle Modifications on the Quality of Life for a Patient With Gastroesophageal Reflux Disease (GERD) Badal Shah, DO, Jonathan Foster, DO, Robert Shmuts, DO, FACG, Rowan School of Medicine, Stratford, NJ P1224. Tamoxifen Is Associated With Decreased Prevalence of Barrett’s Esophagus Ahmed Bolkhir, MD, Jason Mills, MD, PhD, Craig Lockhart, MD, MHS, Jean Wang, MD, PhD, Washington University, Saint Louis, MO COLORECTAL CANCER PREVENTION CLINICAL VIGNETTES POSTERS TUESDAY P1206. Small and Diminutive Polyps and Risk of Malignancy Anish Patel, MD, David Padua, MD, Hartley Cohen, MD, Felix Leung, MD, Cedars Sinai Medical Center, Los Angeles, CA, Ronald Reagan UCLA Medical Center, Los Angeles, CA, VA West Los Angeles Healthcare Center, Los Angeles, CA ENDOSCOPY VIDEO FORUM P1207. Per-Oral Endoscopic Myotomy (POEM) With Inverse T Incision Yufei Wang, MD, Enqiang Linghu, MD, Department of Gastroenterology and Hepatology, the chinese PLA General Hospital, Beijing, China P1208. Successful Endoscopic Closure of a Large Duodenal Perforation Caused by Therapeutic Endoscopic Retrograde Cholangiopancreatography (ERCP) Enqiang Linghu, MD, You Zhang, MD, Department of Gastroenterology and Hepatology, the Chinese PLA General Hospital, Beijing, China P1209. Treatment of Hemobilia Using a Covered Metallic Stent in a Patient With a CBD Remnant Post-Bile Duct Resection Justin Cuschieri, MD, Thomas Loughney, MD, FACG, Aline Charabaty, MD, Nadim Haddad, MD, Medstar Georgetown University Hospital, Washington, DC P1210. Guidewire-Assisted Intubation of the Ileocecal Valve Hamza Abdulla, MD, Moshe Bachar, MD, Sherman Chamberlain, MD, FACG, Internal Medicine, Medical College of Georgia, Augusta, GA P1211. Needle-Based Confocal Laser Endomicroscopy (nCLE) in the Evaluation of Pancreatic Cysts Jennifer Maranki, MD, Kaveh Sharzehi, MD, Oleh Haluszka, MD, Temple University School of Medicine, Philadelphia, PA P1212. Gallbladder Cancer Eroding Into the Duodenum Causing Gastric Outlet Obstruction Nidhi Malhotra, MD, Mohamed Sultan, MD, Mark Mattar, MD, FACG, Medstar Georgetown University Hospital, Washington, DC P1213. Flexible Endoscopic Zenker’s Diverticulotomy After Recurrence of Dysphagia Following Open and Rigid Endoscopic Stapled Diverticulotomies 2014 ACG Presidential Poster Award Luis Lara, MD, Tolga Erim, DO, Ronnie Pimentel, MD, FACG, Cleveland Clinic Florida, Weston, FL 93 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1225. Is 18F-FDG PET/CT Useful for Selecting Right Candidates for Endoscopic Resection Among Patients With Superficial Esophageal Squamous Cell Carcinomas? Yaqi Zhai, MD, Enqiang Linghu, MD, Huikai Li, MD, Baixuan Xu, MD, Liping Fu, MD, Can Li, MD, Dianjun Wang, MD, Huaiyin Shi, MD, Department of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing, China, Department of Nuclear Medicine, Chinese PLA General Hospital, Beijing, China, Department of Pathology, Chinese PLA General Hospital, Beijing, China P1226. Peroral Endoscopic Myotomy Can Improve Esophageal Motility in Patients With Achalasia From a Large Sample Self-Control Research (66 Patients) Enqiang Linghu, MD, The Chinese PLA General Hospital, Beijing, China P1227. Analysis of 24 Hours Esophageal pH Monitoring Outcomes of Achalasia Patients You Zhang, MD, Enqiang Linghu, MD, Lihua Peng, MD, Xiaoxiao Wang, BD, The Chinese PLA General Hospital, Beijing, China P1228. Study of Cardiopulmonary Effects and Complications During Peroral Endoscopic Myotomy (POEM) Zhichu Qin, MD, Enqiang Linghu, MD, Wei Du, MD, The Chinese PLA General Hospital, Beijing, China P1229. Topical Mitomycin-C in Management of Radiation-Induced Esophageal Strictures (RIES) Margarita German, MD, Kerstin Stenson, MD, Ellen MacCracken, MS, CCC-SLP, Donna Nozicka, RN, Maureen Crowley, APN, CNP, Vani Konda, MD, University of Chicago, Chicago, IL P1230. Separation of Patients With Gastroesophageal Reflux Disease From Functional Dyspepsia With a Simple Scoring System Neil Marya, MD, Veronica Baptista, MD, Krunal Patel, MD, Anne Foley, BA, Christopher Macomber, MD, David Cave, MD, PhD, University of Massachusetts-Worcester, Worcester, MA P1231. Does High Resolution Manometry (HRM) Over-Diagnose Nutcracker Esophagus (NE)? Miriam Hiestand, MD, Nathaniel Ranney, MD, Donald Castell, MD, MACG, Gastroenterology/Hepatology, Medical University of South Carolina, Charleston, SC P1232. Analytical Validation of a Novel Multi-Gene Assay for Patients With Eosinophilic Esophagitis James Stover, PhD, Marc Rothenberg, MD, PhD, Vivek Yellore, PhD, Ting Wen, PhD, Diagnovus, Nashville, TN, Cincinnati Children’s Hospital Medical Center, Cincinnati, TN P1233. Clinical Impact of a Genetic Test in the Treatment and Surveillance of Barrett’s Esophagus: A National Community-based Study of Gastroenterologists James Stover, PhD, Vivek Yellore, PhD, Stephen Meltzer, MD, Yulan Cheng, PhD, Diagnovus, Nashville, TN, Johns Hopkins University, Baltimore, MD P1234. A Meta-Analysis of Serum Adipokines and Esophageal Adenocarcinoma Sivakanth Aloor, MBBS, Leonardo Tamariz, MD, MPH, Amar Deshpande, MD, Daniel Sussman, MD, MSPH, University of Miami/Jackson Health System - Department of Medicine, Miami, FL, University of Miami/ Jackson Health System - Division of Gastroenterology, Miami, FL P1235. Endoscopic Management of Esophageal Foreign Bodies Iman Andalib, MD, Divyanshoo Kohli, MD, Mitesh Patel, MD, Medstar Washington Hospital Center, Arlington, VA P1236. Evaluation of the Frequency of Nutcracker and Jackhammer Esophagus as the Extreme Phenotypes of Esophageal Hypercontractility: A Single Center Experience Yi Jia, MD, PhD, Richard McCallum, MD, FACG, Department of Internal Medicine, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1237. The Relationship Between Length of Barrett’s Esophagus Mucosa and Body Mass Index Jason Abdallah, MD, Carla Maradey-Romero, MD, Steven Lewis, MS, Adam Perzynski, PhD, Ronnie Fass, MD, FACG, The Esophageal and Swallowing Center, Division of Gastroenterology and Hepatology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, Center for Health Care Research and Policy, Case Western Reserve University at MetroHealth Medical Center, Cleveland, OH P1238. Weak or Frequent Failed Peristalsis: No Difference in Outcome After Paraesophageal Hernia Repair Susan McCormick, MD, FACG, Otto Lin, MD, FACG, Donald Low, MD, Gastroenterology, Virginia Mason Medical Center, Seattle, WA P1239. Comparative Quality Assessment of Esophageal Examination With Transnasal and Sedated Endoscopy: Results From a Large Randomized Controlled Study 2014 ACG Presidential Poster Award Nicholas Crews, MD, Emmanuel Gorospe, MD, Kelly Dunagan, RN, Michele Johnson, PTA, Swapna Devanna, MD, Louis Wong Kee Song, MD, David Katzka, MD, FACG, Prasad Iyer, MD, MS, FACG, Mayo Clinic, Rochester, MN P1240. Increased Detection of Barrett’s Esophagus and Dysplasia in Community Gastroenterology Practices Resulting From the Addition of Computer-Assisted Transepithelial Brush Biopsy to Forceps Biopsy Seth Gross, MD, FACG, Vivek Kaul, MD, Michael Smith, MD, NYU School of Medicine, New York, NY, University of Rochester School of Medicine, Rochester, NY, Temple University School of Medicine, Philadelphia, PA P1241. The “Kothari-Haber” Scoring System: An Accurate Objective Tool to Assess Treatment Success and Failure in Patients Undergoing Endoscopic Zenker’s Myotomy Dushyant Damania, MBBS, Asad Ullah, MD, Vivek Kaul, MD, FACG, Shivangi Kothari, MD, Gregory Haber, MD, Truptesh Kothari, MD, Gastroenterology / Hepatology, University of Rochester Medical Center, Rochester, NY, Lenox Hill Hospital, New York, NY P1242. Case Series of Diffuse Esophageal Leiomyomatosis: Endoscopic, Radiologic, Clinical and Literature Review Shervin Shafa, MD, Fuad Maufa, MD, Ruben Khan, MD, Halim Charbel, MD, Naveen Gupta, MD, Aline Charabaty, MD, Georgetown University Hospital, Washington, DC P1243. Clinical Benefit of Performing 24-hour pH-Impedance Testing in Addition to 48-hour pH Capsule Studies During Evaluation of Patients With Suspected Refractory Gastroesophageal Reflux Disease (GERD) Ella Khan, MD, Zubair Malik, MD, Robert Fisher, MD, Henry Parkman, MD, Michael Smith, MD, MBA, Sutter Health, Sacramento, CA, Temple University School of Medicine, Philadelphia, PA P1244. Wide Area Transepithelial Sampling With Computer-Assisted 3-Dimensional Analysis (WATS3D) Safely Evaluates a Variety of Esophageal Disorders Michael Smith, MD, MBA, Natalya Iorio, MD, Emily Walzer, BA, Rahul Kataria, MD, Seth Gross, MD, Vivek Kaul, MD, Temple University School of Medicine, Philadelphia, PA, Jackson Memorial Hospital, Miami, FL, New York University School of Medicine, New York, NY, University of Rochester School of Medicine, Rochester, NY P1245. Responsiveness to Both Empiric Elimination Diet and Proton Pump Inhibitor Therapy in 5 Adults With Typical Features of Eosinophilic Esophagitis Jamie Sodikoff, MD, Ikuo Hirano, MD, FACG, Northwestern University Feinberg School of Medicine, Chicago, IL P1245-A. Site Volume Is Associated With Achievement of Complete Eradication of Intestinal Metaplasia (CEIM) in Radiofrequency Ablation (RFA) Cary C. Cotton, BA, W. Asher Wolf, MD, MPH, Srinadh Komanduri, MD, MS, Charles J. Lightdale, MD, MACG, Anthony Infantolino, MD, FACG, Herbert C. Wolfsen, MD, FACG, Nicholas J. Shaheen, MD, MPH, FACG, University of North Carolina, Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and Hepatology, Chapel Hill, NC, Northwestern University Feinberg School of Medicine, Chicago, IL, Columbia University Department of Medicine, New York, NY, Jefferson Medical College, Philadelphia, PA, Mayo Clinic Florida, Jacksonville, FL 94 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm ESOPHAGUS - CLINICAL VIGNETTES P1260. Esophageal Variceal Band Ligation as a Means of Eradicating Barrett’s Esophagus Erin Toto, MD, Michael Smith, MD, MBA, Temple University School of Medicine, Philadelphia, PA P1261. Desiccant-Induced Esophageal Obstruction: An Emerging Patient Safety Issue Jodie Barkin, MD, Jamie Barkin, MD, MACG, FACG, University of Miami, Leonard M. Miller School of Medicine, Dept. of Medicine, Division of Gastroenterology, Miami, FL P1262. Acute Necrotizing Esophagitis in a Patient Without GI Bleeding Andrew Weber, BA, Alia Hasham, MD, Bassem Khalil, MD, Thomas Mahl, MD, FACG, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY, MedStar Union Memorial Hospital, Baltimore, MD, University at Buffalo Division of Gastroenterology, Hepatology, and Nutrition, Buffalo, NY P1263. Leukemic Infiltration of the Esophagus, a Rare Etiology for a Common Disease Yaseen Alastal, MD, Tariq Hammad, MD, Muhammad Ali Khan, MD, Muhammad Bawany, MD, Osama Alaradi, MD, Ali Nawras, MD, FACG, University of Toledo, Department of Internal Medicine, Division of Gastroenterology, Toledo, OH P1264. Absolute Dysphagia Caused by Severe Esophageal Stricture Complicating Radiofrequency Ablation of Short Segment Barrett’s Esophagus Yaseen Alastal, MD, Tariq Hammad, MD, Muhammad Bawany, MD, Osama Alaradi, MD, Ali Nawras, MD, FACG, University of Toledo, Department of Internal Medicine, Division of Gastroenterology, Toledo, OH P1265. Endoscopic Mucosal Resection (EMR) for the Management of Solitary Extramedullary Plasmacytoma of the Esophagus Erik Rahimi, MD, Wayne Hofstetter, MD, Chelsea Pinnix, MD, PhD, Sheeba Thomas, MD, Sanam Loghavi, MD, L Jeffrey Medeiros, MD, Brian Weston, MD, The University of Texas MD Anderson Cancer Center, Houston, TX P1266. Black Esophagus: Complication of Colon Post-Polypectomy Bleeding Hemant Chatrath, MD, Sunitha Musuku, MD, Rita Kapoor, MD, University of Arizona, Tucson, AZ, Jamaica Hospital Medical Center, New York, NY P1267. Primary Paget’s Disease of the Esophagus: A Rare Presentation of Esophageal Adenocarcinoma Omar Shahbaz, MS, MD, Shounak Majumder, MBBS, MD, Medicine, University of Connecticut School of Medicine, Farmington, CT P1268. Cytomegalovirus-Associated Esophagopulmonary Fistula in an AIDS Patient Successfully Treated With Esophageal Stenting James Araujo, MD, Alina Iuga, MD, Amrita Sethi, MD, Division of Digestive and Liver Diseases, Columbia University Medical Center, New York, NY, Department of Pathology and Cell Biology, Columbia University Medical Center, New York, NY P1269. Black Esophagus: A Case of Acute Esophageal Necrosis Secondary to HSV2 Infection Christopher Hodnette, MD, Oleana Lamendola, MD, Venkat Banda, MD, Internal Medicine, Baton Rouge General Medical Center, Baton Rouge, LA P1270. Osteopetrosis: A Rare Cause of Portal Hypertension Kristina Katz, MD, Muhammad Shafqet, MD, S. Devi Rampertab, MD, Nakechand Pooran, MD, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ P1271. An Unusual Case of Obstruction Due to Colonic Intussusception in a Patient With Scleroderma Kristina Katz, MD, Kevin Skole, MD, Jean Fede, DO, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, University Medical Center of Princeton at Plainsboro, Plainsboro, NJ POSTERS TUESDAY P1246. Congenital Bronchoesophageal Fistula Diagnosed in Late Adulthood Anna Christina Dela Cruz, MD, Joseph Valentino, MD, Jeremiah Martin, MB BCh, Ashish Maskey, MD, Luis Pena, MD, FACG, Division of Digestive Diseases and Nutrition, University of Kentucky, Lexington, KY, Division of Cardiothoracic Surgery, University of Kentucky, Lexington, KY, Division of Pulmonary, Critical Care and Sleep Medicine, University of Kentucky, Lexington, KY, Division of General Surgery, University of Kentucky, Lexington, KY P1247. Stage IV Squamous Cell Carcinoma of Esophagus With MultiLoculated Cystic Metastasis to Pancreas: A Rare Presentation Arun Nagabandi, MBBS, Abhishek Matta, MBBS, Rajesh Kunadharaju, MBBS, Kyle Regsiter, MD, Savio Reddymasu, MD, FACG, Creighton University Medical Center, Omaha, NE P1248. A Rare Presentation of Colon Cancer Diagnosed on an Upper Endoscopy Ashutosh Gupta, MD, Bashar Attar, MD, PhD, FACG, Bikram Padda, MD, William Riles, MD, John H Stroger Hospital of Cook County, Chicago, IL P1249. Acute Respiratory Failure Caused by a Dilated Esophagus Pavel Teslya, MD, Natalya Teslya, MD, Tro Kalayjian, DO, Charles Seelig, MD, Greenwich Hospital, Greenwich, CT P1250. Acute Esophageal Necrosis in Alcohol Abuse and Diabetic Ketoacidosis Xi Chen, MD, Daniel Eshtiaghpour, MD, Anuj Datta, MD, Sofiya Reicher, MD, Viktor Eysselein, MD, Harbor UCLA Medical Center, Torrance, CA P1251. Endoscopic Evolution of Acute Necrotizing Esophagitis Joseph Yarze, MD, FACG, Gastroenterology Associates of Northern New York, Glens Falls, NY P1252. Lymphocytic Esophagitis: an Under-Recognized Entity by Gastroenterologists Ana Maria Crissien Martinez, MD, Walter Coyle, MD, FACG, Scripps Green Hospital and Clinic, San Diego, CA P1253. A Case of Persistent Dysphagia Following Mesh Hiatal Hernia Repair Preethi Reddy, MD, Internal Medicine, University of Arizona Medical Center, Tucson, AZ P1254. Incidental Arteriovenous Malformation (AVM) in the Proximal Esophagus: A Rare Finding Ashraf Almashhrawi, MD, MSc, Mohamad Yousef, MD, Harleen Chela, MD, Khulood Ahmed, MD, Murtaza Arif, MD, Gastroenterology, University of Missouri, Columbia, MO P1255. Spontaneous Paraesophageal Hematoma Jessica Yan, MD, Courtney Walker, DO, Internal Medicine, University of Arizona, Tucson, AZ P1256. Esophageal Hyperkeratosis and Multiple Esophageal Rings in a Patient With Recurrent Dysphagia Jason Mader, DO, Maen Kamal, MD, Rezwan Ahmed, MD, Yaser Rayyan, MD, FACG, Marshall University - Joan C. Edwards School of Medicine, Huntington, WV P1257. Transepithelial Esophageal Brush Sampling Detects Adenocarcinoma Missed Twice With Forceps Biopsies Emily Walzer, BA, Jennifer Maranki, MD, MS, Howard Guss, DO, Michael Smith, MD, MBA, Temple University School of Medicine, Philadelphia, PA, Coastal Healthcare, Ocean, NJ P1258. Esophageal Cancer in Patients With Cystic Fibrosis Kevin Rank, MD, Alexander Khoruts, MD, Joanne Billings, MD, MPH, Jordan Dunitz, MD, University of Minnesota, Minneapolis, MN P1259. Epiphrenic Diverticulum Mimicking Hiatal Hernia Roopa Gandhi, MD, Sangeeta Agrawal, MD, FACG, Wright State University, Dayton, OH, Dayton VAMC, Dayton, OH 95 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm STOMACH P1284. Sequential Therapy Versus Standard Triple Therapy for Helicobacter pylori Infection: A Meta-Analysis Tarek Sawas, MD, Shadi Al Halabi, MD, MPH, Tamim Sawas, MSc, Mitesh Patel, MD, FACG, Georgetown University Medstar Washington Hospital Center, Washington, DC, Cleveland Clinic, Cleveland, OH, AIMST, Bedong, Malaysia P1285. Comparison of Delayed and Rapid Gastric Emptying in Patients Undergoing Scintigraphy for a Suspected Upper Gastrointestinal Motility Disorder Jesus Diaz, MD, Arya Bagherpour, DO, Josh Reber, MD, Luis Alvarado, MS, Alok Dwivedi, PhD, Irene Sarosiek, MD, FACG, Richard McCallum, MD, FACG, Department of Radiology, Texas Tech University Health Sciences Center, El Paso, TX, Student Affairs, Texas Tech University Health Sciences Center, El Paso, TX, Division of Biostatistics and Epidemiology, Texas Tech University Health Sciences Center, El Paso, TX, Division of Gastroenterology, Texas Tech University Health Sciences Center, El Paso, TX P1286. A Survey of Lawsuits for Metoclopramide and Tardive Dyskinesia Asha Krishnan, BS, Aimee Alexoff, BS, Dylan Smith, BS, Sarah Wilensky, BA, Eli Ehrenpreis, MD, FACG, NorthShore University HealthSystem, Evanston, IL, Columbia University, New York, NY P1287. Does H. pylori Colonization Impact Basal Metabolic Rate? David Pineles, BA, Nora Henderson, BA, Sukhleen Bedi, BA, MS, Yu Chen, PhD, MPH, Martin Blaser, MD, Fritz Francois, MD, MS, FACG, New York University School of Medicine, New York, NY P1288. Need for Prokinetic Medications After Gastric Electrical Stimulation in Patients With Medically Refractory Gastroparesis Anam Hameed, MD, John Stroehlein, MD, FACG, Mehnaz Shafi, MD, FACG, University of Texas MD Anderson, Houston, TX, University of Texas, Houston, TX P1289. Prior Abdominal Surgery Does Not Impair Clinical Response to Gastric Electrical Stimulation in Gastroparesis Patients Followed for Up to Five Years Anam Hameed, MD, Mehnaz Shafi, MD, FACG, Md Anderson, Houston, TX, UT Houston, Houston, TX P1290. Five-Year Sustained Durability of Clinical Response After Gastric Electrical Stimulation Therapy (GES) for Severe Gastroparesis Anam Hameed, MD, John Stroehlein, MD, FACG, Mehnaz Shafi, MD, FACG, UT MD Anderson Cancer Center, Houston, TX, UT Houston, Houston, TX P1272. Seven-Day Bismuth-Based Quadruple Therapy as an Initial Therapy for Helicobacter pylori Infection in a High MetronidazoleResistant Area Hatainuch Prapitpaiboon, MD, Anupong Tangaroonsanti, MD, Varocha Mahachai, MD, FACG, Ratha-korn Vilaichone, MD, PhD, FACG, Thammasat University Hospital, Pathumthani, Thailand, Chulalongkorn University Hospital, Bangkok, Thailand P1273. An Uncommon Diagnosis for Common Symptoms: Ménétrier’s Disease Christopher Brown, MD, Mark Metwally, MD, Christopher Bach, MD, Maged Bakr, MD, Suma Magge, MD, FACG, Rakhee Mangla, MD, FACG, Norwalk Hospital, Norwalk, CT P1274. Doctor, I Have a Knot in My Stomach: Post-Operative Vertical Sleeve Gastrectomy Iman Andalib, MD, Farzin Rashti, MD, Timothy Shope, MD, Timothy Koch, MD, FACG, Medstar Washington Hospital Center, Washington, DC P1275. Helicobacter pylori Eradication Therapy for Penicillin-Allergic Patients Akifumi Tanaka, MD, PhD, Kengo Tokunaga, MD, PhD, Shin’ichi Takahashi, MD, PhD, FACG, The Third Department of Internal Medicine, Kyorin University School of Medicine, Mitaka, Japan P1276. Higher Rates of Helicobacter pylori Infection and Gastric Intestinal Metaplasia in the Asian Population Christie Mannino, MD, Yize Wang, MD, PhD, Cooper Digestive Health Institute, Mount Laurel, NJ P1277. Retrospective Review of Management of Acute Gastrointestinal Bleeding in Jehovah’s Witness Population and the Role of Bloodless Medicine Pooja Singhal, MD, Danielle Hoo-Fatt, Resident, Katherine Bull-Henry, MD, Georgetown University Hospital, Washington, DC P1278. Central and Peripheral Effects of Transcutaneous Acupuncuture Therapy for Nausea in Patients With Diabetic Gastroparesis 2014 ACG Presidential Poster Award Yan Sun, MD, PhD, Gengqing Song, MD, PhD, Hugo Sandoval, PhD, Stephen Sands, PhD, Irene Sarosiek, MD, Richard McCallum, MD, Internal Medicine Department, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX, Center of Excellence of Neuroscience, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX P1279. The Effect of MK-2206, a New AKT Inhibitor on the Gastric Cancer Cells Growth and Enhancement of Chemotherapy Piaopiao JIn, MD, Jianfeng Cheng, MD, PhD, Leimin Sun, MD, PhD, University of North Carolina, Charlotte Campus, Charlotte, NC, Sir Run Run Shaw Hospital, Hangzhou, China P1280. The Efficacy of Gastric Cancer Risk A, B, C, D Gastritis Screening (ABC Screening) for the Detection of the PG-Negative Gastric Cancer Shinya Kodashima, MD, PhD, FACG, Kazumasa Miki, MD, PhD, FACG, Department of Gastroenterology, The University of Tokyo, Tokyo, Tokyo, Japan, Japan Research Foundation of Prediction, Diagnosis and Therapy for Gastric Cancer, Tokyo, Japan P1281. The Incidence, Mortality, and Geographical Distribution of Gastric Cancer in Bhutan Tashi Dendup, MD, PhD, James Richter, MD, FACG, Kinley Wangchuk, MS, Dorji Dorji, PhD, Hoda Malaty, MD, PhD, FACG, Medicine/GI, Baylor College of Medicine, Houston, TX, Harvard Medical School, Boston, MA, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan P1282. Congenital Diaphragmatic Hernia: A Rare Cause of Acute Abdomen Irum Zaheer, MD, Natalie Dryden, MD, Saira Nasar, MBBS, Medicine, Houston Methodist, Houston, TX P1283. Is Gastric Cancer Underdiagnosed in Young Latin American Immigrants? Shelini Sooklal, MD, Catherine Waggy, DO, Amit Sohagia, MD, Easton Hospital, Easton, PA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. STOMACH - CLINICAL VIGNETTES P1291. Gastric Metastasis From Renal Cell Carcinoma Causing Upper Gastrointestinal Bleeding 18 Years After Curative Tumor Resection: A Case Report and Review of the Literature Hassan Dakik, MD, Deborah Fisher, MD, Mafuzul Haque, MBBS, Duke University, Durham, NC, Veterans Affairs Hospital, Durham, NC P1292. A Curious Case of Dysphagia: Use of Jumbo Forceps to Increase the Yield of Tissue Diagnosis Ganesh Aswath, MBBS, Muhammad Arif, MBBS, Zainab Shahnawaz, MBBS, Sekou Rawlins, MD, SUNY Upstate Medical University, Syracuse, NY P1293. Gastric Antral Vascular Ectasia (GAVE) Associated With Imatinib in a Patient With Chronic Myeloid Leukemia Samrath Singh, MD, Amanpal Singh, MD, MS, Andrew Bain, MD, Eunice Wang, MD, Department of Medicine, State University of New York at Buffalo, Buffalo, NY, Division of Gastroenterology, Roswell Park Cancer Institute, Buffalo, NY, Department of Medicine, Roswell Park Cancer Institute, Buffalo, NY P1294. Gastric Mucosa Associated Lymphoid Tissue (MALT Lymphoma) and Immunoglobulin IgM Kappa Gammopathy: Is There an Association? Ibrahim Habib, MD, Sarosh Bukhari, DO, Dean Silas, MD, Hymie Kavin, MD, Advocate Lutheran General Hospital, Mount Prospect, IL 96 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1295. Merkel Cell Carcinoma With Gastric Metastases Presenting as a GI Bleed Keval Shah, DO, Michael Raphael, DO, Michael Piper, MD, FACG, Michigan State University - Botsford Hospital, Farmington Hills, MI, St. John Providence Health System, Warren, MI P1296. Proten Shakes: An Unusual Cause of Gastric Phytobezoar in a Health Obsessed Person Jagpal Klair, MD, Mohit Girotra, MD, Jonathan Dranoff, MD, FACG, Farshad Aduli, MD, FACG, University of Arkansas for Medical Sciences, Little Rock, AR P1297. Metastatic Non-Seminomatous Germ Cell Tumor (Choriocarcinoma) Presenting With Hematemesis and a Gastric Mass S. Bashar Almadani, MD, MPH, Sohrab Mobarhan, MD, Shriram Jakate, MD, Rush University Medical Center, Division of Digestive Diseases, Chicago, IL, Rush University Medical Center, Department of Pathology, Chicago, IL P1298. A Case Report: Bridging the Gap in Understanding “Non-Celiac Gluten Sensitivity” 2014 ACG Presidential Poster Award Bhaumik Brahmbhatt, MD, Meghavi Brahmbhatt, MBA, John Cangemi, MD, Mayo Clinic, Jacksonville, FL, London Metropolitan University, London, United Kingdom P1299. An Uncommon Cause of GI Bleeding in a Patient With a Left Ventricular Assist Device Saleh Elwir, MD, Tossapol Kerdsirichairat, MD, Michael Shaw, MD, FACG, University of Minnesota, Minneapolis, MN P1300. Gastric Splenosis: An Uncommon Cause of Submucosal Gastric Mass Saleh Elwir, MD, Brooke Glessing, MD, Ahmad Malli, MD, Beenu Thakral, MD, Elizabeth Courville, MD, Shawn Mallery, MD, FACG, University of Minnesota, Minneapolis, MN P1301. Ovarian Cancer Metastatic to the Stomach: A “Reverse Krukenberg” Tumor John Guido, MD, Peter Stanich, MD, Edward Levine, MD, Ohio State University Wexner Medical Center, Columbus, OH P1302. Primary Gastric Melanoma: Wait, I Thought the Stomach Did Not Have Any Melanocytes! Daniel Eshtiaghpour, MD, Danny Lee, MD, Sofiya Reicher, MD, Anuj Datta, MD, Viktor Eysselein, MD, Harbor UCLA Medical Center, Torrance, CA P1303. Intra-Abdominal Myxoid Liposarcoma as a Cause of Isolated Gastric Varices Daniel Eshtiaghpour, MD, Xi Chen, MD, Ann Pham, MD, Anuj Datta, MD, Sofiya Reicher, MD, Viktor Eysselein, MD, Harbor UCLA Medical Center, Torrance, CA P1304. A Rare Cause of Back Pain: Metastatic Gastric Signet Ring Cell Adenocarcinoma Jason Rubinov, MD, Sunny-Skye Keppel, MD, Jonathan Mazurek, MD, Jonah Shulman, MD, Gil Ascunce, MD, FACG, Gabriel Levi, MD, Mount Sinai Beth Israel, New York, NY P1305. POSTER WITHDRAWN P1306. A Case Report: Gastric Foreign Bodies of 14 Batteries Wu Shuang, MS, Yuqin Li, MD, Hong Xu, MD, Department of Gastroenterology and Endoscopy Center of 1st Hospital of Jilin University, Changchun, China P1307. Successful Control of Upper GI Bleeding by Endoscopic Removal of Eroded Vertical Banded Gastroplasty Sadra Azizi, MD, Shawn Chaudhary, MD, Xinjun Zhu, MD, Albany Medical Center, Albany, NY P1308. Concurrent Gastric and Colonic Mestastases of Invasive Lobular Breast Cancer Causing Gastric Outlet Obstruction Jatinder Ahluwalia, MD, Zoltan Gombos, MD, PhD, Michael Cain, MD, Gastroenterology Clinics of Louisiana, Lafayette, LA, Dept. of Pathology, Lafayette General Medical Center, Lafayette, LA, Cancer Center of Acadiana, Lafayette, LA P1309. Massive Arterial Bleeding After Radiologic Percutaneous Gastrostomy: successful Hemostasis by Angiographic Embolization Dupinder Singh, MD, Treta Purohit, MD, Mihaela Batke, MD, FACG, Mitchell Cappell, MD, PhD, FACG, William Beaumont Hospital, Royal Oak, MI P1310. Gastric Sarcoidosis, A Case Report Kathlynn Caguiat, MD, Meira Abramowitz, MD, Veronika Dubrovskaya, MD, Safek Reka, MD, Rafael Garcia, MD, Ning Neil Chen, MD, SUNY Downstate Medical Center, Brooklyn, NY PANCREATIC/BILIARY POSTERS TUESDAY P1311. Comparison of Capillary Versus Aspiration Technique in Endoscopic Ultrasound-Guided Fine-Needle Aspiration for Solid Pancreatic Lesions 2014 ACG Presidential Poster Award Apeksha Shah, MD, Tanvi Khurana, MD, Jessica Malin, MD, Justin Hermna, MD, Saad Ghumman, MD, Sobia Laique, MD, Ali Siddiqui, MD, Thomas Jefferson University Hopsital, Philadelphia, PA P1312. Modified Clinical Grading for Post-Operative Dysmotility in Chronic Pancreatitis Patients Following Total Pancreatectomy With Islet Cell Transplantation George Kunnackal John, MD, MSc, Vikesh Singh, MD, MSc, Pankaj Pasricha, MD, Martin Makary, MD, MPH, Kenzo Hirose, MD, Niraj Desai, MD, Christi Walsh, CRNP, Rita Kalyani, MD, Erica Hall, CRNP, Daniel Warren, MD, Ellen Stein, MD, Johns Hopkins Medical Institutions, Baltimore, MD P1313. Acute Pancreatitis in Pregnancy: A Report From the Nationwide Inpatient Sample Julia McNabb-Baltar, MD, Linda Lee, MD, Peter Banks, MD, MACG, Darwin Conwell, MD, MS, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, Ohio State University, Columbus, OH P1314. The Role of Lipopolysaccharide on Macrophage-Mediated Inflammatory Response in Alcoholic Chronic Pancreatitis Yajun Li, MD, Kun Yang, MD, Li Sun, MD, Rongli Piao, MD, Runping Gao, MD, PhD, Dept. of Hepatic Biliary Pancreatic Medicine, First Hospital, Jilin University, Changchun, China P1315. Exploring In-Hospital Outcomes of Pancreatic Cancer: A Population-Based Study Steve Serrao, MD, MPH, Nicole Shah, DO, Nishant Puri, MD, Medina Sahak, MPH, Diana Babayan, MPH, David Juma, MPH, Lauren Gerson, MD, MSc, FACG, Christian Jackson, MD, FACG, Kendrick Che, MD, Loma Linda University Medical Center, Loma Linda, CA, VA Loma Linda Healthcare System, Loma Linda, CA, California Pacific Medical Center, San Francisco, CA, Loma Linda University School of Public Health, Loma Linda, CA P1316. Utility of Endoscopic Ultrasound (EUS) Compared to CrossSectional Imaging (CSI) in Identifying High-Risk Intraductal Papillary Mucinous Neoplasms (IPMNs) Jennifer Phan, MD, Kourosh Ghassemi, MD, Alireza Sedarat, MD, Rabindra Watson, MD, Timothy Donahue, MD, Raman Muthusamy, MD, FACG, University of California, Los Angeles, Los Angeles, CA P1317. Safety and Efficacy of EUS-Guided Fiducial Placement in Patients With Pancreatic Cancer Joseph Jennings, MD, Samuel Kallus, MD, Walid Chalhoub, MD, Nadim Haddad, MD, FACG, MedStar Georgetown University Hospital, Washington, DC P1318. Nonalcoholic Fatty Liver Disease (NAFLD) Reflects Severity of Acute Pancreatitis (AP): A Study of 574 Cases Sarfaraz Jasdanwala, MD, Shivank Madan, MD, Janeesh Veedu, MD, Tejas Sheth, MD, Riddhi Shah, MD, Anupam Gupta, MD, Rajagopalan Sivaprasad, MD, Capecomorin Pitchumoni, MD, Monmouth Medical Center, Eatontown, NJ, Saint Peters University Hospital, New Brunswick, NJ 97 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1319. Comparative Effectiveness of Pyruvate Kinase M2 in Bile, Serum Carbohydrate Antigen 19-9, and Biliary Brushings in Diagnosing Malignant Biliary Strictures Udayakumar Navaneethan, MD, Vennisvasanth Lourdusamy, MD, Earl Poptic, PhD, Preethi GK Venkatesh, MD, Jeffrey Hammel, MS, Madhusudhan Sanaka, MD, FACG, John Vargo, MD, MPH, FACG, Mansour Parsi, MD, MPH, The Cleveland Clinic, Cleveland, OH P1320. The Atlanta Classification 1992, Revised Atlanta Classification 2012, and Determinant-Based Classification 2012 for Acute Pancreatitis: Which Is Better at Stratifying Outcomes? Vivek Kadiyala, MD, Shadeah Suleiman, BS, Julia McNabb-Baltar, MD, Bechien Wu, MD, MPH, Vikesh Singh, MD, MSc, Peter Banks, MD, Brigham and Women’s Hospital, Boston, MA, Johns Hopkins Medical Institutions, Baltimore, MD, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA P1321. The Prevalence of Incidental Pancreatic Cysts on CrossSectional Imaging: A Systemic Review and Meta-Analysis Wesam Frandah, MD, Houssam Mardini, MD, Nicholas Nickl, MD, Gastroenterology and Hepatology, University of Kentucky, Lexington, KY P1322. The Effect of Deferoxamine on the Proliferation of Pancreatic Cancer Cell Lines Hua Qin, MD, Han Zhu, Master, Hui-Zhen Zhao, Master, Cong Xu, Master, Qiu Zhao, MD, Department of Gastroenterology of Tongji Hospital, Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China P1323. Hypertriglyceredemia Pancreatitis: Challenges in Management Tarun Kaura, MD, Bashar Attar, MD, PhD, FACG, Melchor Demetria, MD, Ashutosh Gupta, MD, John H. Stroger Hospital of Cook County, Chicago, IL P1324. Impact of Periampullary Diverticula on Success of Endoscopic Retrograde Cholangiopancreatography: A Meta-Analysis John Anong, MD, John Litchfield, MD, Mark Young, MD, Thomas Borthwick, MD, Chakradhar Reddy, MD, Internal Medicine, East Tennessee State University, Johnson City, TN P1325. MST Criteria to Diagnose Chronic Pancreatitis Are Inaccurate Among Expert Endosonographers Timothy Gardner, MD, MS, FACG, Stuart Gordon, MD, Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH P1326. Derivation of a Non-Invasive Chronic Pancreatitis (CP) Risk Score Darwin Conwell, MD, MS, Linda Lee, MD, Vivek Kadiyala, MD, Shadeah Suleiman, BS, Alice Hinton, PhD, Peter Banks, MD, FACG, Center for Pancreatic Disease, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, Section of Pancreatic Disorders, Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Ohio State University Medical Center, Columbus, OH, Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH P1327. Cystic Pancreatic Neuroendocrine Tumors: Clinical and Endoscopic Ultrasound Characteristics and Accuracy of EUS-FNA Vishnu Teja Kommineni, MBBS, Longwen Chen, MD, Jun Zhang, MD, Thorvadur Halfdanarson, MD, De Petris Giovanni, MD, Coung Nguyen, MD, Douglas Faigel, MD, FACG, Rahul Pannala, MD, Gastroenterology, Mayo Clinic, Scottsdale, AZ P1328. Enhanced Insulin Response Sensitivity Following Bilateral Splanchnicectomy in Rats Subjected to Chronic Surcharged Fructose Ingestion: An Alternative Therapeutic Simplification of Bariatric Surgery? Osvaldo Tiscornia, MD, FACG, Fabiana López Mingorance, PhD, Graciela Otero, PhD, Viviana Yapur, MD, Fernanda Bustos, PhD, Patricia Wasserman-Tiscornia, PhD, FACG, Gustavo Negri, PhD, Programa Estudios Pancreaticos-UBA, Buenos Aires, Argentina, INFIBIOC, Buenos Aires, Argentina, UCA, Buenos Aires, Argentina, Columbia University Medical Center, New York, NY For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1329. Right Hemicolectomy: Intestinal Motility and Exocrine Pancreatic Secretion Changes in Rats. Influence Exerted by the Reinsertion of the Ileo-Cecal Segment as a Self-service Emptying Pouch in the Left Colon Osvaldo Tiscornia, MD, FACG, Gustavo Negri, PhD, Graciela Otero, PhD, Fabiana López Mingorance, PhD, Patricia Wasserman-Tiscornia, MD, FACG, Programa Estudios Pancreaticos-UBA, Buenos Aires, Argentina, INFIBIOC, Buenos Aires, Argentina, UCA, Buenos Aires, Argentina, Columbia University Medical Center, New York, NY P1330. Hepatobiliary Iminodiacetic Acid (HIDA) Scan Usage and Its Potential Limitations With Patient Care Michael Foley, DO, RIchard Gerkin, MD, Rakesh Nanda, MD, Phoenix Veterans Affairs Medical Center, Phoenix, AZ P1331. Long-term Surveillance of Intraductal Papillary Mucinous Neoplasms Maia Kayal, MD, John Poneros, MD, Amrita Sethi, MD, Frank Gress, MD, Tamas Gonda, MD, Division of Digestive and Liver Diseases, Columbia University Medical Center, New York, NY P1332. The Use of a Novel 19-Gauge Flexible Needle Can Facilitate Endoscopic Ultrasound (EUS)-Assisted Endoscopic Retrograde Cholangiopancreatography (ERCP): A Single-Center Experience Sherif Elhanafi, MD, Mohamed Othman, MD, Texas Tech University HSC, El Paso, TX P1333. Complication Rates of Combined Endoscopic Ultrasound (EUS)Guided Fine Needle Aspiration (FNA) With Needle-Based Confocal Laser-Induced Endomicroscopy (nCLE) and Through-the-Needle (TTN) Cystoscopy in Pancreatic Cysts Jason Huang, MBBS, Jason Samarasena, MD, Yousuke Nakai, MD, PhD, Takuji Iwashita, MD, Kenneth Chang, MD, FACG, Gastroenterology, University of California Irvine, Irvine, CA P1334. Assessment of Lifestyle Modifications in Chronic Pancreatitis Patients Lisa Bocelli, MD, Samuel Han, MD, Joan Kheder, MD, Wahid Wassef, MD, MPH, FACG, University of Massachusetts Medical School, Worcester, MA P1335. Short Double-Balloon Enteroscope Endoscopic Retrograde Cholangiopancreatography in Patients With Surgically Altered Upper Gastrointestinal Tract Kaveh Sharzehi, MD, Jennifer Maranki, MD, Jeffrey Tokar, MD, Stephen Heller, MD, Oleh Haluszka, MD, Temple University Hospital, Philadelphia, PA, Fox Chase Cancer Center, Philadelphia, PA P1336. Non-Invasive Imaging for Assessment of Biliary Anastomotic Stricture After Liver Transplantation Abhinav Sankineni, MD, MPH, Natalya Iorio, MD, Kaveh Sharzehi, MD, Temple University Hospital, Philadelphia, PA P1337. Metastatic Lesions to the Pancreas Diagnosed by Endoscopic Ultrasound-Guided Fine Needle Aspiration: A Single Tertiary Care Center Experience Stephen Oh, MB, BS, BSc, Brandon Marion, MD, Rishi Pawa, MB, BS, John Evans, MD, Girish Mishra, MD, MPH, Jason Conway, MD, MPH, Wake Forest School of Medicine, Winston-Salem, NC P1338. Prospective and Dynamic Analysis of Economic Burden, Depression and Anxiety, Diet, Nutritional and Employment Status in Patients With Idiopathic Chronic Calcific Pancreatitis in India Pankaj Singh, MD, Kshaunish Das, MD, DM, Gopal Krishna Dhali, MD, DM, Kausik Das, MD, DM, Rajib Sarkar, MD, DM, Abhijit Chowdhury, MD, DM, Institute of Post Graduate Medical Education and Research, Kolkata, India P1339. Biliary and Pancreatic Ductal Dilatation in Patients on Opioid Maintenance Virendra Tewari, MD, Deepali Tewari, MD, Raveendra Chigurupati, MD, Ayyappa Rangaraju, MD, Shahnaz Rashid, MBBS, Rawshan Basunia, MBBS, Gopal Kaza, MD, Mohammed Mansour, MD, FACG, Gerald Posner, MD, FACG, Eric Jaffe, MD, SUNY Downstate University Hospital, Brooklyn, NY, NY Medical College, Valhalla, NY, Interfaith Medical Center, Brooklyn, NY 98 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1340. Acute Pancreatitis-Induced Fluid Collections: The Naming Game Dana Christopher, DO, Kimberly Chaput, DO, Kimberly Fairley, DO, Andrew Mowery, DO, Christopher Valente, BS, Blake Stewart, DO, Steven Bonebrake, DO, Amit Johal, MD, Harshit Khara, MD, Geisinger Medical Center, Danville, PA P1341. Bilateral Side-by-Side Metal Stents for Malignant Hilar Biliary Strictures Daniel Eshtiaghpour, MD, Oscar Lopez, MD, Alexander Jahng, MD, Anuj Datta, MD, Viktor Eysselein, MD, Sofiya Reicher, MD, Harbor UCLA Medical Center, Torrance, CA P1342. Challenges and Opportunities for Diagnosing and Treating Exocrine Pancreatic Insufficiency (EPI): A Systematic Literature Review Amit Bodhani, MS, MPH, Lindsay Parker, MPH, Zarmina Khankhel, BA, Mahesh Fuldeore, PhD, MBA, Vikesh Singh, MD, MSc, Andres Gelrud, MD, MMSc, AbbVie Inc., North Chicago, IL, Health Economics, Evidera, Lexington, MA, Johns Hopkins University School of Medicine, Baltimore, MD, University of Chicago School of Medicine, Chicago, IL P1343. nCLE (Needle-Based Confocal Laser Endomicroscopy) in Evaluation of Indeterminate Pancreatic Cystic Lesions: A Single-Center Experience Virendra Joshi, MD, FACG, Ochsner Clinic, New Orleans, LA P1344. Pancreatic Adenocarcinoma: Have Current Diagnostic Techniques and Treatments Improved Outcomes? Rohit Chappidi, MD, Stephen Sontag, MD, Hines Veterans Affairs Hospital, Maywood, IL POSTERS TUESDAY P1353. Metastatic Transitional Cell Carcinoma Masquerading as Cholangiocarcinoma Jordan Fakhoury, BS, Jack Braha, DO, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, Mount Sinai Beth Israel, Brooklyn, NY P1354. Intragastric Balloon Causing Pancreatitis Ahmad Al Dobyany, MBBS, Medicine, King Abdul Aziz Medical City, Makkah, Saudi Arabia P1355. A Case of Lialda®-Induced Pancreatitis Alina Kutsenko, MD, Keri Herzog, MD, Michelle Cohen, MD, David Wan, MD, Brian Bosworth, MD, Michel Kahaleh, MD, FACG, New York Presbyterian Hospital, New York, NY, Memorial Sloan-Kettering, New York, NY P1356. An Unusual Cause of Biliary Obstruction Iryna Hepburn, MD, GSH, Lititz, PA P1357. SpyGlass Retrieval of SEMS Proximal to CBD Stricture Michael Richins, DO, MBA, University of North Texas Health Science Center, Fort Worth, TX P1358. Markedly Elevated CA 19-9 in a Case of Mirizzi’s Syndrome: An Atypical Presentation Saba Ahmad, MD, Hiral Shah, MD, Patrick Hickey, DO, Matthew Sullivan, DO, Lehigh Valley Health Network, Allentown, PA P1359. POSTER WITHDAWN P1360. Successful Use of Budesonide in the Treatment of IgG4 Cholangiopathy Carmi Punzalan, MD, MS, Curtis Barry, MD, Gastroenterology, UMass Medical Center, Worcester, MA P1361. Cholecystoduodenal Fistula Masquerading as a Duodenal Mass Erik Rahimi, MD, Brian Weston, MD, Gastroenterology, Hepatology, Nutrition, University of Texas Medical School at Houston, Houston, TX, The University of Texas MD Anderson Cancer Center, Houston, TX P1362. Biliary Cystadenocarcinoma Presents as Chronic Gastrointestinal Bleed Leonid Shamban, DO, Samira Ahsan, MD, Muhammad Ahsan, MD, Laurence Stawick, MD, FACG, Providence Hospital Medical Center, Southfield, MI P1363. Lymphoepithelial Cysts of the Pancreas: An Unusual Presentation of Multiple Cysts With Elevated CEA Levels James Penn, MD, Jane Hon, MD, Amy Tilara, MD, Aparna Repaka, MD, Rutgers - Robert Wood Johnson Medical School, Department of Medicine, Piscataway, NJ, Rutgers - Robert Wood Johnson Medical School, Department of Pathology and Laboratory Medicine, Piscataway, NJ, Rutgers - Robert Wood Johnson Medical School, Division of Gastroenterology and Hepatology, Department of Medicine, Piscataway, NJ P1364. Acute Pancreatitis Secondary to Gastrostomy Tube Placement: A Rare Complication Christine Granato, MD, Shivangi Kothari, MD, Viren Kaul, MBBS, Asad Ullah, MD, Truptesh Kothari, MD, Vivek Kaul, MD, FACG, University of Rochester Medical Center, Rochester, NY P1365. Prolonged Cholestasis After Endoscopic Retrograde Cholangiopancreatography Tarek Sawas, MD, Neha Nigam, MD, Walid Chalhoub, MD, Mubarak Sayyar, MD, Nadim Haddad, MD, FACG, Georgetown University Medstar Washington Hospital Center, Washington, DC, Medstar Georgetown University Hospital, Washington, DC P1366. POSTER WITHDRAWN P1367. Obstructive Cholestasis Secondary to Duodenal B-Cell Lymphoma With Large Cell Transformation Ahmed Abdulhamid, MSIV, Fouad Otaki, MD, Ira Jacobson, MD, Michel Kahaleh, MD, FACG, David Wan, MD, New York Presbyterian Hospital, New York, NY, Weill Cornell Medical College in Qatar, Doha, Qatar PANCREATIC/BILIARY - CLINICAL VIGNETTES P1345. Groove Pancreatitis: Analysis of an Eight Patient Cohort Adam Godsey, MD, Victor Zaydfudim, MD, MPH, Andrew Wang, MD, Vanessa Shami, MD, Bryan Sauer, MD, MSc, Medicine, Gastroenterology, University of Virginia, Charlottesville, VA P1346. The Risks and Complications of the Forgotten Common Bile Duct Stent Jonathan Ram, MD, Benjamin Salgado, MD, Inder Singh, MD, Gerald Mank, MD, Internal Medicine, UTSW at Austin, Austin, TX P1347. A Case of Extrahepatic IgG4-Sclerosing Cholangitis Devon Charlton, MD, Steven Brandwein, MD, FACG, Internal Medicine, Danbury Hospital, Danbury, CT P1348. Sump Syndrome After Choledochoduodenostomy: An Atypical Case Refractory to Endoscopic Therapy Amir Rezk, MD, Kimberly Fairley, MS, DO, David Diehl, MD, General Internal Medicine, Geisinger Medical Center, Danville, PA, Gastroenterology, Geisinger Medical Center, Danville, PA P1349. An Uncommon Source of Upper Gastrointestinal Hemorrhage Michael Sherman, MD, MS, Joanne So, MD, David You, MD, Brett Partridge, MD, Naval Medical Center San Diego, San Diego, CA P1350. Unusual Adrenal Gland Dissemination From Primary Pancreatic Adenocarcinoma Motaz Ashkar, MD, Sandeep Krishnan, MBBS, PhD, FACG, Department of Medicine, Steward St. Elizabeth’s Medical Center, Brighton, MA, Division of Gastroenterology, Steward St. Elizabeth’s Medical Center, Brighton, MA P1351. Bouveret’s Sydrome: Not Your Garden Variety Gallstone Ileus Mohammad Ali, MD, Prateek Chapalamadugu, MD, Jennifer Slane, DO, Jarred Marshak, MD, Sabrina Mahboob, MD, David Friedel, MD, Stavros Stavropoulos, MD, Winthrop University Hospital, Mineola, NY P1352. Pancreatic Fibromyxoid Sarcoma: A Rare Variant Dan Collins, MD, William Ahrens, MD, Jason Lewis, MD, FACG, Gastroenterology, Carolinas Medical Center, Charlotte, NC 99 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1368. Not All Bleeding in Cirrhosis Are Variceal Tariq Hammad, MD, Usman Ahmad, MD, Yaseen Alastal, MD, Ali Nawras, MD, FACG, Gastroenterology, University of Toledo Medical Center, Toledo, OH P1369. Acute Pancreatitis From a Migrated Foley Gastrostomy Tube Neha Nigam, MD, Walid Chalhoub, MD, Dalia Abdelaziz, MD, Katherine Bull-Henry, MD, Gastroenterology, Medstar Georgetown University Hospital, Washington, DC P1370. Obstructive Jaundice From Metastatic Prostate Cancer Neha Nigam, MD, Walid Chalhoub, MD, Dalia Abdelaziz, MD, Mohamed Sultan, MD, Gustavo Marino, MD, Medstar Georgetown University Hospital, Washington, DC, Veterans Affairs Medical Center, Washington, DC P1371. Immunoglobulin G4-Sclerosing Cholangitis (IgG4-SC) Presenting as Metachronous Biliary Strictures Shawn Shroff, MD, Rasha Issa, MD, Hesam Keshmiri, DO, Gopal Madhav, MD, Kamran Ayub, MD, Charles Berkelhammer, MD, UIC/ Advocate Christ Medical Center, Oak Lawn, IL P1372. Osteomyelitis as a Consequence of Pancreatic Panniculitis Kasra Adham, MD, Sasha Mangray, MD, Ritesh Kohli, MD, Douglas Grider, MD, Alan Brijbassie, MD, Virginia Tech Carilion School of Medicine, Roanoke, VA P1373. Type II Mirizzi Syndrome: A Rare Complication of Gallstones Aftab Ahmed, MD, Mohammed Muqeet Adnan, MD, Salman Nusrat, MD, John Maple, MD, FACG, Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK P1374. Stubborn as a Stone: A Case of Hereditary Pancreatitis Causing Difficult to Manage Pancreatic Stone and Review of Endoscopic and Surgical Management Options Xiao Jing Wang, MD, Juan Sarmiento, MD, Kenneth Ogan, MD, Gabriela Bedolla, MD, Kevin Woods, MD, MPH, Internal Medicine, Emory University School of Medicine, Atlanta, GA, Emory University School of Medicine, Department of General Surgery, Atlanta, GA, Emory University School of Medicine, Department of Urology, Atlanta, GA, Emory University School of Medicine, Department of Pathology, Atlanta, GA, Emory University School of Medicine, Department of Medicine, Division of Digestive Diseases, Atlanta, GA P1375. EUS-Guided Pancreatic Intervention for Treatment of Pancreaticocutaneous Fistulas Abdul Haseeb, MD, Larissa Fujii, MD, Barham Abu Dayyeh, MD, Michael Levy, MD, Randall Pearson, MD, FACG, Suresh Chari, MD, FACG, Jonathan Clain, MD, FACG, Michael Farnell, MD, Ferga Gleeson, MBChB, FACG, Michael Kendrick, MD, Bret Peterson, MD, Mark Truty, MD, Santhi Swaroop Vege, MD, FACG, Mark Topazian, MD, FACG, Mayo Clinic, Rochester, MN P1376. Adenomyomatous Hyperplasia of the Ampulla of Vater Masquerading as Malignancy: A Case Series Patrick Hickey, DO, Saba Ahmad, MD, Matthew Sullivan, DO, Jeffrey Brodsky, MD, Hiral Shah, MD, Lehigh Valley Health Network, Allentown, PA P1377. A Rare Case of Hemobilia: Ruptured Cystic Artery Pseudoaneurysm With Ectopic Ampulla of Vater Porter Glover, MD, Jennifer Thompson, BS, Scott Swendsen, MD, Vu Nhu Nguyen, MD, Duc Vu, MD, Internal Medicine, Baylor Scott and White Hospital, Temple, TX, Gastroenterology, Baylor Scott and White Hospital, Temple, TX P1378. Mirizzi Syndrome Type I Complicated By Cholecystocolonic Fistula: A Rare Complication for a Rare Disease Yaseen Alastal, MD, Tariq Hammad, MD, Syed Hasan, DO, Osama Alaradi, MD, Ali Nawras, MD, FACG, University of Toledo, Department of Internal Medicine, Division of Gastroenterology, Toledo, OH P1379. De novo Stent-Stone Complex Formation With Resultant Secondary Sclerosing Cholangitis. A Case Report and Literature Review Fnu Jaydev, MD, Eyad Baghal, MD, FACG, Amara Nidimusili, MD, Internal Medicine, Trinitas Regional Medical Center, Elizabeth, NJ For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1380. Pancreatic Schwannoma Masquerading as a Mucinous Cystic Neoplasm Jessica Barrett, DO, Jeffrey Archer, MD, Thomas Robertson, MD, John Matyas, MD, David Lo, MD, Riverside Methodist Hospital, Columbus, OH P1381. Recurrent Obstructive Jaundice Following Cholecystectomy Caused by Choledochoduodenal Fistula Prathab Devaraj, MD, Shashank Ponugoti, MD, Swati Pawa, MD, West Virginia University - Department of Digestive Diseases, Morgantown, WV, West Virginia University - Department of Interntal Medicine/Clinical and Translational Science Institute (Ctsi), Morgantown, WV SMALL INTESTINE/UNCLASSIFIED P1382. Rare Presentation of Sarcoidosis Involving the Terminal Ileum Fadi Alali, MD, Maria Hafez, MD, Sherif Elmahdy, BS, Ali Shukr, MD, St. Joseph Mercy Oakland Hospital, Pontiac, MI, Ross University School of Medicine, North Brunswick, NJ P1383. A Single Center U.S. Experience With Bleeding Dieulafoy Lesions of the Small Bowel: Diagnosis and Treatment With Single Balloon Enteroscopy Roshanak Rabbanifard, MD, Seth Lipka, MD, Ambuj Kumar, MD, MPH, Patrick Brady, MD, University of South Florida, Morsani College of Medicine, Division of Digestive Diseases and Nutrition, Tampa, FL, University of South Florida, Morsani College of Medicine, Division and Center for Evidence Based Medicine and Outcomes Research, Tampa, FL P1384. Albumin Administration in Patients With Spontaneous Bacterial Peritonitis at a Tertiary Hospital: A Retrospective Clinical Analysis Padmavathi Mali, MD, Rajan Kanth, MD, Sudheer Muduganti, MD, Internal Medicine, Marshfield Clinic, Marshfield, WI P1385. Stroke as Initial Presentation of Celiac Disease: A Rare Entity and Review of Literature May Olayan, MD, Emir Roach, MD, Serkan Ayvaz, PhD, Abdullah Shatnawei, MD, Internal Medicine, Cleveland Clinic Fairview Hospital, Westlake, Cleveland Clinic, Cleveland, OH P1386. Linaclotide Decreases Small Bowel Transit Time and Improves Visualization of Small Bowel Mucosa in Patients Undergoing Small Bowel Capsule Endoscopy Ira Schmelkin, MD, Noble Hospital, Westfield, MA P1387. Dermatitis Herpetiformis in Brazilian Adult Patients: Are There Gender Differences in Clinical Picture? Lorete Kotze, MD, PhD, FACG, Luiz Dalla Vecchia, MD, Renato Nisihara, PhD, Luiz Kotze, MD, Shirley Utiyama, PhD, Medicine, Positivo University, Curitiba, Brazil, Service of Gastroenterology, Cajuru Hospital, Pontifical University of Paraná, Curitiba, Brazil P1388. Difference in Prevalence of Small Bowel Video Capsule Endoscopy Findings Between Cardiac vs. Non-Cardiac Inpatient Cohorts Jason Baker, MS, Laurel Fisher, MD, Christopher Fernandez, MD, Kristen May, Medical Assistant, Abir Azeem, Jessica Maddox, BS, Keith Mullins, MD, Michael Rice, MD, University of Michigan, Ann Arbor, MI P1389. Bronchial Aspiration of a Video Capsule Endoscope: Report of a Case Joesph Elmunzer, MD, Kristen May, Medical Assistant, Laurel Fisher, MD, Michael Rice, MD, Jason Baker, MS, University of Michigan, Ann Arbor, MI P1390. Gastrointestinal (GI) Complaints and Narcotic Usage in Patients (pts) With Short Bowel Syndrome (SBS) Receiving Teduglutide (TED) Stephane Schneider, MD, PhD, Kursheed Jeejeebhoy, MD, PhD, Simon Gabe, MD, MSc, BSc, MBBS, Ulrich-Frank Pape, MD, Douglas Seidner, MD, FACG, Nader Youssef, MD, Ken Fujioka, MD, University of Nice-Sophia Antipolis, Nice, France, St. Michael’s Hospital, Toronto, ON, Canada, St. Mark’s Hospital and Academic Institute, Harrow, United Kingdom, Charité University Medical Center, Berlin, Germany, Vanderbilt University Medical Center, Nashville, TN, NPS Pharmaceuticals, Inc., Bedminster, NJ, Scripps Clinic, La Jolla, CA 100 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1400. Prevalence of Celiac Disease in Patients With Ocular Autoimmune Disease Sana Siddique, MD, C. Stephen Foster, MD, Medicine, Mount Auburn Hospital, Cambridge, MA, Ocular Immunology and Uveitis Foundation, Cambridge, MA P1401. Physician Recommendations for Celiac Disease Screening in First-Degree Relatives Abhik Roy, MD, Colin Smith, MD, Constantine Daskalakis, SciD, Anthony DiMarino, MD, FACG, David Kastenberg, MD, FACG, Thomas Jefferson University Hospital, New York, NY SMALL INTESTINE/UNCLASSIFIED CLINICAL VIGNETTES P1402. A Rare Case of Jejunal Diverticula Presenting as Small Bowel Perforation and GI Bleeding Prathab Devaraj, MD, Swapna Gayam, MD, West Virginia University Department of Digestive Diseases, Morgantown, WV P1403. Upper Gastrointestinal Bleed Due to Coil Extrusion From GastroDuodenal Artery Prathab Devaraj, MD, Swati Pawa, MD, West Virginia University Department of Digestive Diseases, Morgantown, WV P1404. Crohn’s Disease: How Sure Is Sure? Mahalakshmi Krishnamoorthy, MD, Bisharah Rizvi, MD, Jennifer Bolyard, MD, Daniel Wasdahl, MD, Internal Medicine, Canton Medical Education Foundation, Canton, OH P1405. Primary Splenic Lymphoma: A Rare Incidental Diagnosis Jae Yoon Park, MD, Vandana Nehra, MD, Mayo Clinic, Rochester, MN P1406. POSTER WITHDRAWN P1407. POSTER WITHDRAWN P1408. Synchronous Small Intestinal Tumors: Discrete Duodenal Carcinoid and Adenocarcinoma Kristina Katz, MD, Neelam Gidwaney, MD, Mark Saxena, MD, Sita Chokhavatia, MD, Rutgers Robert Wood Johnson Medical School Department of Medicine, New Brunswick, NJ, Rutgers Robert Wood Johnson Medical School - Division of Gastroenterology, New Brunswick, NJ P1409. Giant Brunner’s Gland Hamartoma: A Case Report Pornchai Leelasinjaroen, MD, Muhammad Khurram, MD, David Fan, MD, Mohammed Barawi, MD, Internal Medicine, St. John Hospital and Medical Center, St. Clair Shores, MI P1410. Cytomegalovirus (CMV) Enteritis: A Rare Entity Requiring Meticulous Diagnostic Pursuit Umangi Patel, MD, Jason Bofinger, MD, University of Pennsylvania Health System, Philadelphia, PA P1411. Resolution of Intestinal Failure With Prolonged Parenteral Nutrition, Bowel Rest, and Intravenous Antibiotics in an HIV Patient With Chronic Cystoisospora belli Diana Snyder, MD, Lena Palmer, MD, Loyola University Medical Center, Maywood, IL P1412. Cholecystoduodenal Fistula: A Rare Cause of Massive Upper GI Bleeding Asra Batool, MD, Paul Leonor, Cynthia Victor, DO, David Lee, MD, FACG, SUNY Downstate Medical Center, Brooklyn, NY P1413. Thinking Outside the Bowels: Splanchnic Venous Thrombosis Presenting as Subacute Abdominal Pain Jessica Davis, MD, Mohamad Houry, MD, Lakshmi Lattimer, MD, Anita Kumar, MD, Marie Borum, MD, EdD, MPH, Internal Medicine, George Washington University, Washington, DC 101 POSTERS TUESDAY P1391. A Study of Patients With a Radiologic Diagnosis of Mesenteric Panniculitis and the Correlation With Malignancy Grigory Roginsky, MD, Andrew Mazulis, MD, Ibrahim Habib, MD, Mohammed Faseehuddin, DO, Eli Ehrenpreis, MD, FACG, NorthShore University HealthSystem, Evanston, IL, Advocate Lutheran General Hospital, Park Ridge, IL P1392. Duodenal Rather Than Gastric Motility Parameters Correlate With Symptom Severity in Patients With Diabetic Gastroparesis Kenneth Barshop, BA, George Dukes, MD, Matthew Barton, BS, Jack Semler, MD, Braden Kuo, MD, MS, University of Chicago Pritzker School of Medicine, Chicago, IL, Massachusetts General Hospital, Boston, MA, GlaxoSmithKline, Raleigh, NC P1393. Sensitive and Rapid Detection of ermB Gene in Clostridium difficile by Loop-Mediated Isothermal Amplification Minyi Lin, MD, Wei Liu, PhD, Pu Wang, PhD, Youlian Zhou, MD, Jiasheng Tan, MD, Peiqun Wu, MD, ZhiHui Mo, PhD, Ting Zhang, PhD, Shan Xie, PhD, Zhongqiu Wang, PhD, Jiaxi Fei, MD, Jing Yuan, PhD, Ye Chen, PhD, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China, Institute of Disease Control and Prevention, Academy of Military Medical Sciences, Beijing, China P1394. Is Immunoglobulin G4 (IgG4) Novel Diagnostic Biomarker in Celiac Disease ? Hakan Demirci, MD, Zulfikar Polat, MD, Kadir Ozturk, MD, Murat Kantarcioglu, MD, Fatih Sahiner, MD, Ahmet Uygun, Prof, Sait Bagci, Prof, Gulhane Military Medical Academy, Department of Gastroenterology, Ankara, Turkey, Gulhane Military Medical Academy, Department of Microbiology, Ankara, Turkey P1395. Racial Differences in the Prevalence of Celiac Disease in the U.S. Population: National Health and Nutrition Examination Survey (NHANES) 2009 to 2012 Houssam Mardini, MD, MBA, MPH, FACG, Alla Grigorian, MD, PhD, University of Kentucky College of Medicine, Lexington, KY P1396. Timing of Single Balloon Enteroscopy: significant or Not? Kirbylee Nelson, MD, Seth Lipka, MD, Ashley Davis-Yadley, MD, Andrea Rodriguez, MD, Vignesh Doraiswamy, BS, Roshanak Rabbanifard, MD, Ambuj Kumar, MD, MPH, Patrick Brady, MD, FACG, Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, FL, Department of Internal Medicine, Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, University of South Florida Morsani College of Medicine, Tampa, FL, Department of Evidence Based Medicine and Outcomes Research, University of South Florida Morsani College of Medicine, Tampa, FL P1397. Video Capsule Endoscopy Completion Rates and Total Transit Times Are Similar With Oral or Endoscopic Delivery John Guido, MD, Peter Stanich, MD, Bryan Kleinman, DO, Kavita Betkerur, MD, Kyle Porter, MAS, Marty Meyer, MD, Ohio State University Wexner Medical Center, Columbus, OH, Section of Capsule Endoscopy; Division of Gastroenterology, Hepatology and Nutrition; The Ohio State University Wexner Medical Center, Columbus, OH P1398. Overt Obscure GI Bleed: What Do We Miss on Colonoscopy? Analysis of a Large Database 2014 ACG Presidential Poster Award Carlos Simons Linares, MD, Rajat Bhalla, MD, Mark Stark, MD, FACG, Frank Lukens, MD, FACG, Michael Bartel, MD, Gastroenterology, Mayo Clinic, Jackonville, FL P1399. Intestinal Transplant Related Financial Burden, Length of Stay and Mortality in the United States Samir Bhalla, MD, Raxitkumar Jinjuvadia, MD, MPH, Suthat Liangpunsakul, MD, MPH, Marwan Kazimi, MD, Maria Segovia, MD, Syed-Mohammed Jafri, MD, Internal Medicine, Henry Ford Hospital, Detroit, MI, Indiana University, Indianapolis, IN For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1414. GI Manifestation of Waldenström Macroglobulinemia: Distal Ileal Ulcers Raman Khehra, MD, Kiranpreet Khosa, MD, Abhijit Kulkarni, MD, Robin Midian, MD, Cunfeng Pu, MD, PhD, Division of Gastroenterology, Allegheny General Hospital, Pittsburgh, PA, Department of Pathology, Allegheny General Hospital, Pittsburgh, PA P1415. An Unusual Case of Marginal Zone B-Cell Lymphoma Michelle Delneo, MD, Joann Kwah, MD, Julie Yang, MD, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY P1416. A Unique Cause of Gastrointestinal Bleed With Innovative Treatment Tarek Sawas, MD, Farzin Rashti, MD, Mitesh Patel, MD, FACG, Georgetown University Medstar Washington Hospital Center, Washington, DC P1417. A Case of Recurrent Clostridium difficile Enteritis Treated With Fecal Microbiota Transplant Sarah Freeman, MD, Eric Mao, MD, Samir Shah, MD, Colleen Kelly, MD, Medicine, Brown University, Providence, RI, Brown University Dept. of Gastroenterology, Providence, RI P1418. Generalized Lymphangiectasia in a Patient Presenting With Overt Obscure Gastrointestinal Bleeding Maen Kamal, MD, Jason Mader, DO, Rezwan Ahmed, MD, Muralikrishna Mukkamala, MS, Teresa Limjoco, MD, Yaser Rayyan, MD, FACG, Internal Medicine, Marshall University, Huntington, WV, Marshall Pathology, Marshall University, Huntington, WV P1419. Sinistral Portal Hypertension and Anastamotic Varices Secondary to Splenic Vein Thrombosis After a Whipple Procedure Richard Kalman, MD, David Lichtenstein, MD, Gastroenterology, Boston Medical Center, Boston, MA P1420. Metastases to the Jejunum Presenting as an Obscure Gastrointestinal Bleed Neha Nigam, MD, Walid Chalhoub, MD, Dalia Abdelaziz, MD, Katherine Bull-Henry, MD, Gastroenterology, Medstar Georgetown University Hospital, Washington, DC P1421. Protein-Losing Enteropathy: An Uncommon Presentation of Celiac Disease Dimpal Bhakta, MD, Robert Jay Sealock, MD, Clark Hair, MD, Baylor College of Medicine, Houston, TX P1422. Primary Ewing’s Sarcoma of Jejunum Presenting as a Small Bowel Obstruction: A Case Report Kartik Valluri, MD, Marvin Lopez, MD, Michael Monzel, MD, FACG, Ashley Lankford, MD, Internal Medicine, University of Miami Miller School of Medicine Palm Beach Regional Campus, Boynton Beach, FL P1423. Duodenal Necrosis in the Setting of Acute Cholecystitis Kimberly Kolkhorst, DO, Jeffrey Gill, MD, FACG, University of South Florida, Tampa, FL, James A. Haley Veterans Hospital, Tampa, FL P1424. Relief of Duodenal Obstruction Due to Necrotizing Pancreatitis: A Novel Use of a Fully Covered Stent Anchored Using Full Thickness Endoscopic Suturing Jerry Yu, MD, Avanka Lowe, MD, Shawn Kaye, BSc, Zachariah Chandy, BSc, Joshua Steichen, MD, John Lee, MD, Kenneth Chang, MD, FACG, Jason Samarasena, MD, University of California - Irvine, Orange, CA P1425. An Unusual Case of Gastrointestinal Bleeding That Resolved With Eculizumab Infusion Sandeep Dayanand, MD, Seth Sclair, MD, Souto Enrico, MD, University of Miami Hospital, Miami, FL P1426. Metastatic Carcinoid: An Atypical Presentation Shamiq Zackria, MD, Ezechukwu Umeh, MD, Awais Ahmed, MD, Muhammad Zulqarnain, MD, Asha Chakka, MD, Sameh Kamel, MD, Internal Medicine, Canton Medical Education Foundation, Canton, OH, Mercy Medical Center- Department of Gastroenterology, Canton, OH For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1427. A Case of Severe Sprue-Like Enteropathy Associated With Olmesartan Juan Corral, MD, Andres Yarur, MD, Liege Diaz, MD, Monica GarciaBuitrago, MD, Daniel Sussman, MD, MSPH, Department of Medicine, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, FL, Division of Gastroenterology, University of Miami Miller School of Medicine, Miami, FL, Department of Pathology, University of Miami Miller School of Medicine, Miami, FL P1428. A Case of Early Onset of Ileal Adenocarcinoma in a Patient With Crohn’s Disease Harini Rathinamanickam, MD, John Shamma'a, MD, Gastroenterology, West Virginia University Health Sciences Center, Morgantown, WV P1429. Primary Follicular Lymphoma of the Jejenum Presenting With Severe Iron Deficiency Anemia Nikhil Kapila, MD, Lawrence Giove, MD, Michael Tadros, MD, MPH, Internal Medicine, University of Connecticut Health Center, Farmington, CT, University of Connecticut Health Center-Department of Gastroenterology/Hepatology, Farmington, CT P1430. An Unusual Cause of Gastrointestinal Bleed in an Older Adult Avik Sarkar, MD, Nakechand Pooran, MD, FACG, Bernard Aaron, MD, FACG, Sita Chokhavatia, MD, FACG, Rutgers - Robert Wood Johnson Medical School, Department of Internal Medicine, Division of Gastroenterology, New Brunswick, NJ P1431. An Unusual Cause of Partial Small Bowel Obstruction in a Young Male With HTLV-1 Varun Jain, MD, Deepak Sharma, DO, Tatjana Gavrancic, MD, Ava Anklesaria, MD, Vimala Ramasamy, MD, Sherrie White, MD, Andrey Iliev, MD, North Central Bronx Hospital, Bronx, NY, Icahn School of Medicine at Mount Sinai (Bronx) - James J Peters VA Medical Center, Bronx, NY P1432. Successful Treatment of Bleeding Portal Hypertensive Polypoid Ileopathy by a Combined Endoscopic and Surgical Approach Parit Mekaroonkamol, MD, Ram Subramanian, MD, Steven Keilin, MD, Digestive Disease, Emory University, Atlanta, GA P1433. Olmesartan-Associated Sprue-Like Enteropathy David Rybnicek, MD, Samir Shah, MD, FACG, Warren Alpert Medical School of Brown University, Providence, RI P1434. Not All Diarrhea and Villous Atrophy Is Celiac Disease: A Case Report on Olmesartan-Induced Enteropathy Abimbola Aderinto, MD, Ronald Colman, MD, FACG, Eamonn Quigley, MD, FACG, Houston Methodist Hospital, Houston, TX P1435. Sclerosing Mesenteritis Presenting as Duodenal Obstruction Sasha Mangray, MBBS, Alan Brijbassie, MBBS , MD, FACG, Carilion Clinic, Roanoke, VA P1436. Zip Tie: A Simple Fix for Gastrostomy Tube Dislodgement Pancreatitis Siegfried Yu, MD, Sherman Chamberlain, MD, FACG, Internal Medicine, Georgia Regents University, Augusta, GA LIVER P1437. Locoregional Therapy Does Not Affect Radiologic-Histologic Correlation for Hepatocellular Carcinoma Lanla Conteh, MD, MPH, Sunil Geevarghese, MD, MSCI, Gastroenterology/Hepatology, Vanderbilt University, Nashville, TN P1438. Predictors of Intensive Care Unit (ICU) Transfer in Hospitalized Patients With Decompensated Cirrhosis Teresa Valentin, MD, Kimberly Forde, MD, MHS, David Hao, K. Rajender Reddy, MD, Ranjeeta Bahirwani, MD, Department of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, Division of Gastroenterology, Hospital of the University of Pennsylvania, Philadelphia, PA 102 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1450. Initial Serum Bilirubin Level as a Predictor of Clinical End Points in Primary Sclerosing Cholangitis Abdul Haseeb, MD, MPH, Kristen Cox, MS, RN, Douglas Adler, MD, FACG, University of Utah, Salt Lake City, UT P1451. National Survey of Hepatitis C Treatment Practice Patterns in the Era of Direct-Acting Antiviral Therapy Ted James, MD, Amit Singal, MD, Mark Sulkowski, MD, Ahmet Gurakar, MD, Christine Durand, MD, Saleh Alqahtani, MD, Johns Hopkins Hospital, Baltimore, MD, University of Texas Southwestern, Dallas, TX P1452. Correlating Perceived Hepatitis B Status With Actual Status in Asian and Pacific Islander Americans in Rhode Island Joyce Nguyen, BA, Austin Ha, BS, Edward Feller, MD, FACG, Richard Doyle, PhD, The Warren Alpert Medical School of Brown University, Providence, RI P1453. A Reality Check on the Quality of NASH Care Chuan Long Miao, MD, MPH, Andrew Mowery, DO, Amir Rezk, MD, Sara Huang, DO, Jonh Pineda, MD, Kimberly Fairley, MS,DO, Robert Smith, MD, Michael Komar, MD, Geisinger Medical Center, Danville, PA P1454. Implications of Treating Hepatitis C Virus Infection in Individuals Awaiting Liver Transplantation Andrew Ofosu, MD, Christine Durand, MD, Saleh Alqahtani, MD, Andrew Cameron, MD, PhD, Mark Sulkowski, MD, Ahmet Gurakar, MD, MedStar Harbor Hospital, Baltimore, MD, John Hopkins University Hospital, Baltimore, MD P1455. Adiponectin Ligand and Receptor Expression in Omental Adipose Tissue of Morbidly Obese Patients With Non-Alcoholic Fatty Liver Disease (NAFLD) Kameron Tavakolian, BS, James Estep, PhD, Ancha Baranova, PhD, Zachary Goodman, MD, PhD, Zobair Younossi, MD, MPH, FACG, The Beatty Liver and Obesity Research Program, Falls Church, VA, School of Systems Biology, College of Science, George Mason Univiversity, Fairfax, VA P1456. Measured Evaluation Gaps in HCV Care at a Practice Setting on the United States-Mexico Border Sherif Elhanafi, MD, Danby Kang, BS, Hannah Lee, BS, Luis Alvarado, MS, Alok Dwivedi, PhD, Ogechika Alozie, MD, Department of Internal Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX, Division of Biostatistics and Epidemiology, Department of Biomedical Sciences, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX P1457. Re-treatment of Patients With Chronic Hepatitis C Genotype 4 (HCV-4) Infection With Pegylated Interferon and Ribavirin (P/R): A Systematic Review and Meta-analysis Bing Zhang, BA, Brittany Yee, BS, Nghia Nguyen, BA, Benjamin Yip, MD, Walid Ayoub, MD, FACG, Mindie Nguyen, MD, MAS, FACG, Glen Lutchman, MD, FACG, University of California, San Diego, School of Medicine, La Jolla, CA, Stanford University Medical Center, Stanford, CA, UC Irvine Medical Center, Orange, CA, Cedar-Sinai Medical Center, Los Angeles, CA P1458. An Uncommon Cause of Portal Venous Gas: Hydrogen Peroxide Ingestion Mariajose Rojas De Leon, MD, Benjamin Go, MD, Bashar Attar, MD, PhD, FACG, Medicine - Gastroenterology, John H. Stroger Hospital of Cook County, Chicago, IL P1459. A Unique Case of Non-Cirrhotic Portal Hypertension Secondary to Extra-Hepatic Sarcoidosis Kanwarpreet Singh Tandon, MD, Brent Murchie, MD, John Rivas, MD, Ronnie Pimentel, MD, Cleveland Clinic Florida, Weston, FL P1460. Vitamin D Repletion Needed for Resolution of Steatohepatitis Joan Culpepper-Morgan, MD, FACG, Rhonda Trousdale, MD, Israr Sheikh, MD, Medicine, Harlem Hospital, New York, NY, Columbia University, New York, NY 103 POSTERS TUESDAY P1439. A Validated Clinical Score to Differentiate Non-Alcoholic Fatty Liver Diseases From Alcoholic Liver Disease Donny Kakati, MD, Evan Raff, MD, Khaleed Rashid, MD, Mohamed Shoreibah, MD, Joseph Bloomer, MD, Yong-Fang Kuo, PhD, Ashwani Singal, MD, Department of Medicine University of Alabama at Birmingham, Birmingham, AL, Department of Internal Medicine Montgomery Program, Montgomery, AL, Division of Gastroenterology and Hepatology, Birmingham, AL, Department of Biostatistics, Galveston, TX P1440. Effect of Liver Transplant on Kidney Function Recovery in Patients With Chronic Kidney Disease Donny Kakati, MD, Kirk Russ, MD, Ashwani Singal, MD, University of Alabama at Birmingham, Birmingham, AL, Division of Gastroenterology and Hepatology, Birmingham, AL P1441. Association Between Caffeine Consumption and Nonalcoholic Fatty Liver Disease: A Systemic Review and Meta-Analysis Huafeng Shen, MD, Seth Lipka, MD, Ghulamullah Shahzad, MD, Ambuj Kumar, MD, Paul Mustacchia, MD, NUMC, East Meadow, NY, Morsani College of Medicine, University of South Florida, Tampa, FL P1442. Association Between Nonalcoholic Fatty Liver Disease and Colorectal Adenoma: A Systemic Review and Meta-Analysis Huafeng Shen, MD, Seth Lipka, MD, Ambuj Kumar, MD, Paul Mustacchia, MD, NUMC, East Meadow, NY, Morsani College of Medicine, University of South Florida, Tampa, FL P1443. Increased Incidence of Hepatocellular Carcinoma in African American Men With Chronic Hepatitis C as Compared to Women and the Importance of Treatment on the Development of Advanced Liver Disease Paul Naylor, PhD, Naveen Reddy, MD, Dhiraj Gulati, MD, Zaher Hakim, MD, Redwan Asbahi, MD, Suhag Patel, MD, Maher Tama, MD, Karthik Ravindran, MD, Murray Ehrinpreis, MD, Milton Mutchnick, MD, Internal Medicine/Gastroenterology, Wayne State University School of Medicine, Detroit, MI P1444. Distinct Treatment Response and Liver Transplant-Free Survival of Autoimmune Hepatitis in the Elderly Dasha Moza, MS, Thara Kumar, MS, Andrew Mason, MD, Aldo Montano-Loza, MD, MSc, PhD, Gastroenterology and Liver Unit, University of Alberta, Edmonton, AB, Canada P1445. Skeletal Muscle Mass (SMM) Reduction With Decompensation of Liver Cirrhosis Differs by Sex Priya Simoes, MD, MBBS, Pavan Mankal, MD, MA, Ahmad Hakimzada, MD, Imad Asaad, MD, Adel Asaad, MD, Ellen Engelson, EdD, Donald Kotler, MD, FACG, Department of Medicine, Mount Sinai St. Lukes Roosevelt Hospital Center, New York, NY P1446. Treatment of Patients With Chronic Genotype 1 Hepatitis C With a Combination of Sofosbuvir, Simeprevir, +/- Ribavirin at a High-Volume Academic Transplant Center Anjana Pillai, MD, Ryan Ford, MD, Nicole Cheng, PA-C, MMSc, Anand Shah, MD, John Norvell, MD, Shenee Laurence, BSN, Nikita Young, BSN, RN, Samir Parekh, MD, James Spivey, MD, Emory University Hospital, Atlanta, GA P1447. High Incidence of Autoimmune Markers in Patients With Chronic Hepatitis C (HCV), But a Low Incidence of the Autoimmune Hepatitis (AIH)-HCV Overlap Syndrome Natalie Szpakowski, MD, Margy McCullough-Hicks, MD, Neha Nigam, MD, Sameer Desale, MS, James Lewis, MD, FACG, Medstar Georgetown University Hospital, Washington, DC, Medstar Health Research Institute, Hyattsville, MD P1448. Impact of Gender, Race and Ethnicity in the Clinical Presentation and Outcomes of Autoimmune Hepatitis Michael Huang, ScM, MD, Jean Donet-Mostacero, MD, Paul Martin, MD, Cynthia Levy, MD, University of Miami, Department of Medicine, Miami, FL, University of Miami, Division of Hepatology, Miami, FL P1449. Implementation of the Hepatitis C Screening in the Medicine Clinic: A Quality Improvement Project Nicole Gomez, MD, Jonna Mercado, MD, Asma Beg, MD, Nora Bergasa, MD, Internal Medicine, Metropolitan Hospital Center, New York, NY For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1461. Metastatic Hepatocellular Carcinoma Presenting as Bulky Lymphadenopathy Mimicking Lymphoma Sonaly Patel, MD, Eval Alsheik, MD, Daniel Ringold, MD, David Sass, MD, Internal Medicine, Drexel University School of Medicine/ Hahnemann University Hospital, Philadelphia, PA, Drexel University School of Medicine Department of Gastroenterology and Hepatology, Philadelphia, PA, Thomas Jefferson University Department of Gastroenterology and Hepatology, Philadelphia, PA P1462. Risk Factors for In-Hospital Mortality Due to Esophageal Variceal Bleeding 2014 ACG Fellow Award 2014 ACG Presidential Poster Award Paul Chang, MD, Digestive Diseases Center, Temple University Hospital, Philadelphia, PA P1463. Endoscopic Ultrasound-Directed Core Biopsy of the Liver for Diffuse Hepatic Disease 2014 ACG Presidential Poster Award Faizan Khan, DO, Tom Spyratos, DO, Rasha Issa, MD, Laura Hamad, DO, Kamran Ayub, DO, FACG, St. James Hospital, Olympia Fields, IL, Silver Cross Hospital, Joilet, IL P1464. Hepatitis E Seropositivity in the U.S. Population: Results From the National Health and Nutrition Examination Survey (NHANES) 2009 to 2012 Bilal Aslam, MS IV, Tyler Fleming, MD, Philip Westgate, PhD, Alla Grigorian, MD, PhD, Houssam Mardini, MD, MBA, MPH, FACG, University of Kentucky College of Medicine, Lexington, KY, University of Kentucky College of Public Health, Lexington, KY P1465. Identifying and Fixing Roadblocks to Hepatitis C Screening in the Primary Care Setting Brandon Szeto, MD, Deepak Venkat, MD, Stanley Cohen, MD, Digestive Health Institute, University Hospital/Case Medical Center, Cleveland, OH P1466. Liver Retransplant Outcomes and Impact of Surgical Technique on Survival: A 21-Year Single Center Experience Karolina Skrzypek, MD, Dora Montezuma, MD, Matthew George, MD, Amir Prushani, MD, Syed-Mohammed Jafri, MD, Gabriel Schnickel, MD, Marwan Abouljoud, MD, Henry Ford Hospital, Detroit, MI P1467. A Single-Centered Experience Evaluating Variable Prognostic Indicators of 30- and 90-Day Mortality in Patients With End-Stage Liver Disease After Creation of Transjugular Intrahepatic Portosystemic Shunt Rezwan Ahmed, MD, Yaser Rayyan, MD, FACG, Prasanna Santhanam, MD, Kimberly Weaver, MD, Marshall University, Huntington, WV P1468. Portal Hypertension (PHTN) in Patients With Cirrhosis Is Not Associated With Worsened C. difficile Infection (CDI) Outcomes Simon Hong, MD, Paul Feuerstadt, MD, FACG, Lawrence Brandt, MD, MACG, Montefiore Medical Center, Bronx, NY, Gastroenterology Center of Connecticut, Hamden, CT P1469. Survival Rate of Patients Undergoing Liver Transplant in the United States With Post-Op Care in Puerto Rico Juan Serralles, MD, Barbara Rosado, MD, Willie Vazquez, MD, FACG, Orlando Regional Medical Center, Orlando, FL, Ponce School of Medicine, Ponce P1470. Probiotic Decreases Post-Liver Transplant Infection Tarek Sawas, MD, Shadi Al Halabi, MD, Mubarak Sayyar, MD, Won Cho, MD, FACG, Georgetown University Medstar Washington Hospital Center, Washington, DC, Cleveland Clinic, Cleveland, OH P1471. Large Volume Paracentesis: Z-tract or Coaxial Insertion Technique? Preliminary Data From a Randomized Controlled Trial Amy Rubin, MD, Sean Rudnick, MD, Stephen Caldwell, MD, Patrick Northup, MD, University of Virginia, Charlottesville, VA P1472. Gender Disparities of Acute Liver Injury in the United States: analysis of the National Inpatient Sample From 2006 to 2011 Na Li, MD, PhD, Somashekar Krishna, MD, A. James Hanje, MD, Darwin Conwell, MD, Ohio State University, Columbus, OH For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1473. Renal Function Association With In-Hospital and 30-Day Mortality in Patients With Alcoholic Hepatitis Sujan Ravi, MD, MPH, Ashwani Singal, MD, MS, Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, AL, Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingam, AL P1474. Serum Ammonia at Admission Predicts In-Hospital Mortality in Patients With Alcoholic Hepatitis Sujan Ravi, MD, MPH, Kaely Bade, MD, Ashwani Singal, MD, MS, Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, AL, Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL P1475. Natural History of Patients Admitted With Alcoholic Hepatitis Sujan Ravi, MD, MPH, Ashwani Singal, MD, MS, Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, AL, Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL P1476. Assessment of Severity of Alcoholic Hepatitis Episode: Comparison of Discriminant Function, MELD, and Glasgow Alcoholic Hepatitis Scores Sujan Ravi, MD, MPH, Kaely Bade, MD, Ashwani Singal, MD, MS, Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, AL, Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL P1477. Type of Hepatic Decompensation in a Hospitalized Cirrhotic Patient Predicts the Onset of ACLF and Mortality Vishnu Vardhan Reddy Naravadi, MD, Edward Villa, MD, Atif Ali, MD, Tonya Scardina, PharmD, William Adams, MA, Thomas Layden, MD, Scott Cotler, MD, Loyola University Medical Center, Maywood, IL P1478. Variability in Erythrocyte and Plasma Porphyrin Levels in Erythropoietic Protoporphyria and X-Linked Protoporphyria Eric Gou, MD, John Phillips, PhD, Manisha Balwani, MD, Montgomery Bissell, MD, Joseph Bloomer, MD, Herbert Bonkovsky, MD, Robert Desnick, MD, Hetanshi Naik, MS, CGC, Karl Anderson, MD, University of Texas Medical Branch, Galveston, TX, University of Utah, Salt Lake City, UT, Mt. Sinai School of Medicine, New York, NY, University of California San Francisco, San Francisco, CA, University of Alabama, Birmingham, AL, Carolinas Health Care System, Charlotte, NC P1479. Daily Single-Dose Rifaximin for Prevention of Hepatic Encephalopathy in Patients With Chronic Liver Disease Muhammad Omar Qureshi, MD, Shafiq Ahmad, MD, Aiza Ahmad, MD, Farzana Shafqat, MD, Muhammad Salih, MD, Omar Khokhar, MD, FACG, Nasir Khokhar, MD, FACG, Department of Medicine, Division of Gastroenterology, University of Illinois-Peoria, Bloomington, IL, Division of Gastroenterology, Department of Medicine, Shifa International Hospital, Islamabad, Pakistan P1480. Interferon Ineligible Naive Chronic Hepatitis C Genotype I Subjects Treated With Simeprevir and Sofosbuvir in Special Population (Psychiatric). An Open Label Prospective Clinical Pilot Study; INSPIRE C Study; Interim Results Patrick Basu, MD, Niraj Shah, MD, Mark Aloysius, MD, Columbia School of Physicians and Surgeons, New York, NY, King’s County Hospital Medical Center, Brooklyn, NY, New York, NY, James J. Peters VA Medical Center, Icahn School of Medicine at Mount Sinai, NY, New York, NY P1481. Simeprevir and Sofosbuvir With Modified Doses of Ribavirin (RBV) Therapy on Telaprevir-Experienced, Co-infected (With HIV) Cirrhotics With Chronic Hepatitis C (CHC): A Randomized Open Label Clinical Pilot Study, STOP C, Interim Results Patrick Basu, MD, Niraj Shah, MD, Mark Aloysius, MD, Columbia School of Physicians and Surgeons, New York, NY, King’s County Hospital Medical Center, NY, New York, NY, James J. Peters VA Medical Center, Icahn School of Medicine at Mount Sinai, NY, New York, NY 104 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1493. Knowledge Deficits About Hepatitis C Prognosis and Treatment Among Non-Gastroenterologists and Medical Students Perry Dubin, MD, Frank Glaser, BA, Tulane University School of Medicine, New Orleans, LA P1494. Cryptosporidium Enteritis in a Liver Transplant Patient Jean Park, MD, Jeffrey Kuo, MD, MS, Anthony Michaels, MD, Department of Internal Medicine at The Ohio State University Wexner Medical Center, Columbus, OH, Division of Gastroenterology, Hepatology, and Nutrition at The Ohio State University Wexner Medical Center, Columbus, OH P1495. Effect of Citrus Bergamot Polyphenol Extract on Patients With Non-Alcoholic Fatty Liver Disease James Ehrlich, MD, Micaela Gliozzi, PhD, Elzbieta Janda, PhD, Ross Walker, MD, Francesco Romeo, MD, Vincenzo Mollace, MD, Medicine, University of Colorado, Denver, CO, University Magna Graecia of Catanzaro, Catanzaro, Italy P1496. Paraneoplastic Non-Metastatic Hepatic Dysfunction as a Presenting Sign in a Patient With an Occult Malignancy Sidra Anwar, MD, Sakshi Jasra, MD, Fahad Zubair, MD, Mukesh Nangia, MD, State University of New York at Buffalo, Buffalo, NY, Western New York VA Hospital, Buffalo, NY LIVER - CLINICAL VIGNETTES P1497. Pre-Emptive Embolization for Post-Liver Biopsy Asymptomatic Type 2 Hepatoportal Fistula Youran Gao, MD, Craig Greben, MD, Anupama Duddempudi, MD, FACG, Tai-Ping Lee, MD, FACG, North Shore- LIJ, Manhasset, NY P1498. Management of Massive Parastomal Variceal Bleed by Minimally Invasive Percutaneous N-Butyl-2-Cyanoacrylate Embolization Youran Gao, MD, Tai-Ping Lee, MD, FACG, North Shore- LIJ, Manhasset, NY P1499. Compression of the Right Atrial and Ventricular Inflow Tract by a Large Hepatic Cyst: A Case Report Maulik Panchal, MD, Ferdinand Visco, MD, Susan Williams, MD, FACG, Alexander Sy, MD, Department of Medicine, Metropolitan Hospital Center, New York Medical College, New York, NY, Dept. of Cardiology, Metropolitan Hospital Center, New York Medical College, New York, NY, Dept. of Gastroenterology, Metropolitan Hospital Center, New York Medical College, New York, NY P1500. Two Diseases, One Treatment: The Challenges Faced When Treating an Overlap Syndrome Mervin Figueroa-Pinto, MD, Ivan Antúnez, MD, Rafael Pastrana, MD, Carmen González-Keelan, MD, Esther Torres, MD, FACG, University of Puerto Rico School of Medicine, San Juan, PR P1501. Hepatic Angiomyolipoma: An Unusual Finding on Liver Biopsy Often Mistaken for Hepatocellular Carcinoma James Izanec, MD, Vincent McLaughlin, MD, Maria Pagan, MSN, APN, Gary Matusow, DO, Gastroenterology Group of South Jersey, Vineland, NJ P1502. Endoscopic Ultrasound-Fine Needle Aspiration: A Novel Way to Diagnose a Solitary Extramedullary Plasmacytoma of the Liver Steven Guttmann, MD, Jack Husney, MD, Nnaemeka Anyadike, MD, Ira Mayer, MD, Rabin Rahmani, MD, Gastroenterology, Maimonides Medical Center, Brooklyn, NY P1503. Hematogenous Seeding of Splenic Tissue Presenting as Malignancy Andrew Han, MD, Keval Patel, MD, Claudio Tombazzi, MD, Bradford Waters, MD, Internal Medicine, University of Tennessee, Memphis, TN P1504. Organizing Pneumonia: Another Extrahepatic Manifestation of Hepatitis C? Gerardo Cabanillas-Salazar, MD, Roger Carbajal-Mendoza, MD, Alexander Sy, md, Nora Bergasa, MD, Internal Medicine, New York Medical College Metropolitan Hospital, New York, NY 105 POSTERS TUESDAY P1482. Trial Role of Mycophenolate Mofetil (MMF) in Steroid NonResponsive Severe Acute Alcoholic Hepatitis: A Randomized Open Label Placebo Control Prospective Clinical Pilot Trial-MASH Patrick Basu, MD, Niraj Shah, MD, Mark Aloysius, MD, Robert Brown, MD, Columbia School of Physicians and Surgeons, New York, NY, King’s County Hospital Medical Center, NY, New York, NY, James J. Peters VA Medical Center, Icahn School of Medicine at Mount Sinai, NY, New York, NY P1483. Berberine With Alfa Lipoic Acid (ALA) in Non-Alcoholic SteatoHepatitis: A Randomized Double Blinded Placebo Control Trial: A Clinical Pilot – The Banish Trial Patrick Basu, MD, Niraj Shah, MD, Mark Aloysius, MD, Robert Brown, MD, Columbia School of Physicians and Surgeons, New York, NY, King’s County Hospital Medical Center, NY, New York, NY, James J. Peters VA Medical Center, Icahn School of Medicine at Mount Sinai, NY, New York, NY P1484. Role of Intravenous N-Acetyl Cysteine (NAC) With Steroids in Acute Alcoholic Hepatitis With High Morbidity Score: A Randomized Open-Label Prospective Clinical Trial: Renaissance Trial Patrick Basu, MD, Niraj Shah, MD, Mark Aloysius, MD, Robert Brown, MD, Columbia School of Physicians and Surgeons, New York, NY, King’s County Hospital Medical Center, NY, New York, NY, James J. Peters VA Medical Center, Icahn School of Medicine at Mount Sinai, NY, New York, NY P1485. Molecular Approach for Assessing the Risk Factors for AntiTubercular Therapy-Induced Hepatotoxicity Premashis Kar, MD, DM, PhD, FACG, Shilpa Arora, MD, Rajesh Ruttala, MSc, Bhudev Das, PhD, Medicine, Maulana Azad Medical College, New Delhi, India, Dr B R Ambedkar Center for Biomedical Research, New Delhi, India P1486. Evaluation of Tenofovir on Lipid Parameters in Adult Patients With Chronic Hepatitis B Infection Michael DeMicco, MD, Anthanett Solis, MA, CNA, Bradley Collins, PhD, MHS, PA-C, Gastroenterology, AGMG, Anaheim, CA, Gilead Sciences, Foster City, CA P1487. Racial Differences in Liver Disease Severity and Disability Among Hispanic Versus Non-Hispanic White Liver Transplant Candidates at Listing Hilary Hayssen, BA, Blanca Lizaola, MD, Jennifer Lai, MD, MBA, University of California, San Francisco, San Francisco, CA P1488. A Unique Case of Disseminated Cryptococcosis in the Setting of Hepatitis C Cirrhosis Muhammad Hammami, MD, Elie Chahla, MD, Bruce Bacon, MD, Gastroenterology and Hepatology, Saint Louis University, Saint Louis, MO P1489. Human Herpes Virus 6: A Rare Cause of Acute Liver Failure Mohsen Khan, DO, Catherine Ly, DO, Omat Hassan, BA, Advocate LGH, Park Ridge, IL P1490. Post-Transplant Cardiac Events Among Patients Receiving Orthotopic Liver Transplant (OLT) Feng Li, MD, Bryan Lee, MD, Kyle Porter, MAS, Nicole O’Bleness, BS, RN, Scott Lilly, MD, PhD, A. James Hanje, MD, Department of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH, Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH, Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH, Division of Cardiovascular Medicine, Department of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH P1491. Idiopathic Adulthood Ductopenia – “It Is Out There” Mohammad Bilal, MD, Reza Kazemi, MD, Ali Kazemi, MD, Michael Babich, MD, Internal Medicine, Allegheny General Hospital, Pittsburgh, PA P1492. iNOS and eNOS Genotypes and Expression in Hepatitis E Related Acute Liver Failure Rajib Hazam, MSc, Jayanta Borkakoti, MSc, Premashis Kar, MD, DM, PhD, FACG, Medicine, Maulana Azad Medical College, New Delhi, India For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1505. The Wrong Side: A Rare Case of “Wandering Liver” Srinivas Guptha Gunturu, MD, Dipti Sagar, MD, Hilary Hertan, MD, FACG, Albert Einstein University/Montefiore Medical Center, Bronx, NY P1506. Previously Undiagnosed Gilbert Syndrome Causing Confusion in a Case of Hematemesis Secondary to Gastric Varices Neil Marya, MD, Joseph Charpentier, DO, Internal Medicine, University of Massachusetts-Worcester, Northborough, MA P1507. Metastatic Disease and “Cirrhosis” of Unknown Etiology: A Case of Low-Grade Angiosarcoma Zaid Tafesh, MD, Michelle Cohen, MD, David Wan, MD, Alyson Fox, MD, New York-Presbyterian Hospital, New York, NY P1508. A Case of Sacromatoid Hepatocellular Carcinoma Without Prior Anticancer Therapy Hiren Patel, MD, Abhishek Kumar, MD, Sharon Peng, MD, Nihar Shah, MD, Hamid Shaaban, MD, Michael Maroules, MD, St. Joseph’s Regional Medical Center, Paterson, NJ, Seton Hall University School of Health and Medical Sciences, South Orange, NJ P1509. A Rare Case Report of Spontaneous Resolution of Hepatic Portal Venous Gas Associated With Cocaine-Induced Intestinal Ischemia Hiren Patel, MD, Nihar Shah, MD, Hamid Shaaban, MD, Walid Baddoura, MD, St. Joseph’s Regional Medical Center, Paterson, NJ, Seton Hall University School of Health and Medical Sciences, South Orange, NJ P1510. A Case of Successful Surgical Decortication for Empyema With Trapped Lung in a Patient With Decompensated Cirrhosis Tripti Chopade, She-Yan Wong, MD, David Sass, MD, Scott Cowan, MD, Jesse Civan, MD, Medicine - Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, PA, Thomas Jefferson University, Division of Thoracic Surgery, Philadelphia, PA P1511. Rare Case of Acute Liver Failure Caused by Diffuse Liver Metastases in a Patient With Non-Muscle Invasive Transitional Cell Carcinoma of the Bladder Ashish Zalawadia, MD, Rishi Sharma, MD, Stuart Gordon, MD, Henry Ford Hospital, Detroit, MI P1512. Thyroid Storm Complicated by Acute Liver Failure Brittany Venci, MD, Ross Jones, MD, Andrew deLemos, MD, Internal Medicine, Carolinas Medical Center, Charlotte, NC P1513. Gastrointestinal Involvement of Systemic Amyloidosis Brijesh Patel, MD, Thure Caire, MD, Chris Nobo, MD, Patrick Brady, MD, Christopher Albers, MD, Jennifer Horkan, PA, Internal Medicine, University of South Florida, Tampa, FL, University of South Florida Division of Digestive Disease, Tampa, FL, Tampa General Hospital Department of Hepatology, Tampa, FL P1514. Treatment of Hepatic Epithelioid Hemangioendothelioma: Finding New Uses for Thalidomide Matthew Soape, MD, Rashmi Verma, MD, Drew Payne, MD, Mitchell Wachtel, MD, Everardo Cobos, MD, Fred Hardwicke, MD, Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX P1515. A Blakemore for the Bile Duct Konika Bose, MD, Moshe Rubin, MD, FACG, Syed Hussain, MD, Gastroenterology, New York Hospital Queens, Flushing, NY P1516. Thyroid Storm Presenting With Profound Cholestatic Liver Injury: A Rare Diagnostic Dilemma Anand Shah, MD, Trevor Tompane, BA, MPH, Parit Mekaroonkamol, MD, Kelly Stephens, MD, Valerie Chen, MD, Anthony Martinez, MD, John Norvell, MD, FACG, Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA, Emory University School of Medicine, Atlanta, GA, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA, Division of Endocrinology, Emory University School of Medicine, Atlanta, GA, Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA P1517. A Rare Case of Human Herpes Virus Reactivation in DRESS Syndrome Anand Shah, MD, Anjana Pillai, MD, FACG, Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1518. Hypervitaminosis A Presenting With Decompensated Liver Disease in the Absence of Cirrhosis Shivali Berera, MD, Fernando Calmet, MD, Leopoldo Arosemena, MD, Marcelo Larsen, MD, Monica Garcia-Buitrago, MD, Jackson Memorial Hospital/University of Miami, Miami, FL P1519. Successful Renal Transplant in Epstein Syndrome: a Rare Cause of Thrombocytopenia Diagnosed During Pre-Transplant Evaluation Shivali Berera, MD, Fernando Calmet, MD, Kalyan Bhamidimarri, MD, MPH, Jackson Memorial Hospital/University of Miami, Miami, FL P1520. Pazopanib-Induced Acute Liver Failure and Posterior Reversible Encephalopathy Syndrome Tarek Sawas, MD, Neha Nigam, MD, Walid Chalhoub, MD, Rohit Satoskar, MD, FACG, Georgetown University Medstar Washington Hospital Center, Washington, DC, Medstar Georgetown University Hospital, Washington, DC P1521. A Case of Subacute Liver Failure Associated With Black Cohosh Use Hyuntae Kim, MPH, Constantine Fisher, MD, Marci Laudenslager, MD, Manish Thapar, MD, Drexel College of Medicine, Philadelphia, PA P1522. A Rare Case of Reactivated Hepatits B in the Setting of Hepatitis B Surface Antibody Positivity Sadra Azizi, MD, Emory Manten, MD, Jesse Green, MD, Albany Medical Center, Albany, NY P1523. Virologic Failure to Sofosbuvir-Containing Regimens in Patients With HCV Cirrhosis and Hepatocellular Carcinoma: Report of Two Cases Jonathan Fenkel, MD, Doris Chan, CRNP, Darryn Potosky, MD, Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospital, Philadelphia, PA, Division of Gastroenterology and Hepatology, University of Maryland Medical Center, Baltimore, MD P1524. Portal Hypertensive Gastric Polyps Presenting as Iron Deficiency Anemia in a Cirrhotic Patient Sajan Jiv Singh Nagpal, MD, Carole Macaron, MD, Naim Alkhouri, MD, Cleveland Clinic, Cleveland, OH P1525. Porto-Pulmonary Venous Anastomosis (PPVA) and Its Clinical Significance: A Case Report and Literature Review Muhannad Al Hanayneh, MD, Deborah Majchel-Koss, MD, Eric Walser, MD, Richard Goodgame, MD, Internal Medicine, University of Texas Medical Branch, Galveston, TX P1526. Small Bowel Variceal Bleeding Secondary to Gyno-Enteric Shunt Kasra Adham, MD, Meho Jasarevic, MD, Michael Bern, BS, Jesse Davidson, MD, Vishal Patel, MD, M. Jonathan Bern, MD, Medicine-GI, Virginia Tech Carilion School of Medicine, Roanoke, VA, Washington University School of Medicine, St. Louis, MO P1527. Glycogenic Hepatopathy: A Differential Diagnosis of Acute Hepatitis in Diabetes Mellitus Marco Silva, MD, Helder Cardoso, MD, Susana Rodrigues, MD, Joana Oliveira, MD, Joana Pardal, MD, Joanne Lopes, MD, Guilherme Macedo, MD, PhD, FACG, Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal, Endocrinology Department, Centro Hospitalar São João, Porto, Portugal, Pathology Department, Centro Hospitalar São João, Porto, Portugal P1528. A Rare Cause of Cholestatic Hepatitis in an Immunocompetent Male Roshan Patel, MD, Rahul Maheshwari, MD, Ram Subramanian, MD, Department of Medicine, Emory University, Atlanta, GA P1529. Fitz-Hugh Curtis: A Rare Cause of Ascites Susanne Shokoohi, MD, Adam Zivony, MD, Gene Bakis, MD, Alice Fung, MD, Kian Keyashian, MD, Joseph Ahn, MD, MS, FACG, Oregon Health and Science University, Portland, OR 106 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm COLON P1540. Prognostic Impact of Tumor (T) and Lymph Node (N) Status in Patients With Metastatic Colorectal Cancer (mCRC) Shiva Kumar Mukkamalla, MD, MPH, Rajshekhar Chakraborty, MD, Kranthi Singam, MBBS, Natalia Calderon, MD, Internal Medicine, Icahn School of Medicine at Mount Sinai/Queens Hospital Center, Jamaica, NY, Queens Hospital Center, Jamaica, NY P1541. Safety and Efficacy of Fecal Microbiota Transplantation (FMT) for Recurrent Clostridium difficile Infection (RCDI) in Septuagenarians, Octogenarians, and Nonegenarians: A Single-Center Experience Rohit Anand, MBBS, Mohit Girotra, MD, Shashank Garg, MBBS, Sudhir Dutta, MD, MACG, Sinai Hospital of Baltimore, Baltimore, MD P1542. RBX2660 (Microbiota Suspension) for Recurrent C. difficile Infection: 60-Day Interim Analysis of the PUNCH CD Phase 2 Safety Study Mayur Ramesh, MD, Bharat Misra, MD, Arnab Ray, MD, Robert Smith, MD, Mary Kay Sobcinski, RN, MHA, Henry Ford Health System, Detroit, MI, Borland-Groover, Jacksonville, FL, Ochsner Clinic, New Orleans, LA, Rebiotix Inc, Roseville, MN P1543. Role of Computed Tomography (CT) in Determining Severity of Colon Ischemia (CI) Eugenia Tsai, MD, Paul Feuerstadt, MD, FACG, Olga Aroniadis, MD, Lawrence Brandt, MD, MACG, Montefiore Medical Center, Bronx, NY, Yale University School of Medicine, New Haven, CT P1544. Lymphocytic Colitis and Collagenous Colitis: Differences in Clinical Characteristics, Treatment Patterns, and Predictors of Response to Treatment Dora Colussi, MD, Gregory Lauwers, MD, James Richter, MD, Luigi Ricciardiello, MD, PhD, Andrew Chan, MD, MPH, Hamed Khalili, MD, MPH, Gastroenterology, Massachusetts General Hospital, Boston, MA, University of Bologna, Bologna, Italy P1545. Low Serum Vitamin D Is Associated With Increased Risk of Community-Acquired Clostridium difficile Infection Tanya Sahay, MD, Ashwin Ananthakrishnan, MD, MPH, Gastrointestinal Unit, Massachusetts General Hospital, Boston, MA P1546. Effects of Low-Residue Diet Prior to Day of Colonoscopy on Bowel Preparation Quality Varun Takyar, MD, Krunal Patel, MD, Courtney Walker, DO, Christian Dominguez, DO, Nirmal Singh, MBBS, Bassel Kisso, MD, Eugene Trowers, MD, MPH, University of Arizona Medical Center, Tucson, AZ, NIDDK at NIH, Bethesda, MD P1547. Low-Residue Diet in Colon Preparation Prior to Screening Colonoscopy: A Review of Literature Varun Takyar, MD, Nirmal Singh, MBBS, Krunal Patel, MD, Eugene Trowers, MD, MPH, NIDDK at NIH, Bethesda, MD, University of Arizona Medical Center, Tucson, AZ P1548. Evaluation of Health-Related Quality of Life in Patients Treated With RBX2660 (Microbiota Suspension) for Recurrent C. difficile Infection Bharat Misra, MD, Mayur Ramesh, MD, Mary Kay Sobcinski, RN, MHA, Borland-Groover, Jacksonville, FL, Henry Ford Health System, Detroit, MI, Rebiotix Inc., Roseville, MN P1549. On the Anatomic Site-Specific Variation of Sensitivity and Specificity of Computed Tomography (CT) to Confirm Colonoscopy-Proved Colon Ischemia (CI) Paul Feuerstadt, MD, FACG, Olga Aroniadis, MD, Eugenia Tsai, MD, Lawrence Brandt, MD, MACG, Montefiore Medical Center, Bronx, NY, Yale University School of Medicine, New Haven, CT P1550. Right-Sided Colon Involvement (RCI) on Both Computed Tomography (CT) and Colonoscopy Are Associated With a Worse Prognosis in Colon Ischemia (CI) Olga Aroniadis, MD, Eugenia Tsai, MD, Paul Feuerstadt, MD, FACG, Lawrence Brandt, MD, MACG, Montefiore Medical Center, Bronx, NY, Yale University School of Medicine, New Haven, CT P1551. Use of Screening and Surveillance Colonoscopy in a Community Teaching Hospital Zeid Karadsheh, MD, Diana Winston, MD, Durga Borkar, MD, Harmony Allison, MD, Tufts Medical Center, Boston, MA, Brockton Hospital, Brockton, MA P1552. Outcomes for Severe Complicated Clostridium difficile Infection Treated With Vancomycin Enemas Mark Malamood, MD, Eric Nellis, MD, Frank Friedenberg, MD, Internal Medicine, Temple University Hospital, Philadelphia P1553. Proximal Sessile Serrated Adenomas May Occur More Frequently in Whites Showkat Bashir, MD, Shreya Chablaney, MD, Marie Borum, MD, Gastroenterology, George Washington University, Potomac, MD 107 POSTERS TUESDAY P1530. Sofosbuvir Plus Simeprevir for the Treatment of Recurrent Hepatitis C With Fibrosing Cholestatic Hepatitis After Liver Transplantation 2014 ACG Clinical Vignette Award 2014 ACG Presidential Poster Award Danny Issa, MD, Bijan Eghtesad, MD, Nizar Zein, MD, FACG, Naim Alkhouri, MD, FACG, Richard Adams, RN, Ibrahim Hanouneh, MD, FACG, Cleveland Clinic, Department of Internal Medicine Fairview Hospital, Cleveland, OH, Cleveland Clinic, Digestive Disease Institute, Cleveland, OH P1531. A Rare Case of Type II Autoimmune Hepatitis Daniel Kaufman, MD, Samuel Han, MD, Joseph Charpentier, DO, Isabel Zacharias, MD, Internal Medicine, University of Massachusetts Medical Center, Worcester, MA P1532. Hepatitis B Flare Preceding Unexpected Fetal Demise in a Pregnant Woman With Inactive Hepatitis B: A Case for Estrogen Withdrawal-Induced Viral Rebound 2014 ACG Presidential Poster Award Ana Petrova, MD, Yetian Zhang, MD, PhD, Meira Abramowitz, MD, Cherif El Younis, MD, FACG, Brookdale University Hospital, Brooklyn, NY, SUNY Downstate Medical Center, Brooklyn, NY P1533. Hepatic Cysts With an Unusual Twist: Smooth Muscle Tumor by Epstein-Barr Virus Sricharitha Krishnamoorthy, MD, Arup Maitra, MD, Jennifer Bolyard, MD, Zuoliang Xiao, MD, Canton Medical Education Foundation,An Affiliate of Northeast Ohio Medical University, Canton, OH P1534. A Rare Case of Isolated Hepatic Sarcoidosis With Cholestatic Jaundice and Review of Literature Prathab Devaraj, MD, Harini Rathinamanickam, MD, Swapna Gayam, MD, West Virginia University - Department of Digestive Disease, Morgantown, WV P1535. Persistence of Mixed Cryoglobulinemia Despite Cure of Chronic Hepatitis C With Oral Direct Acting Antiviral Therapy: A Case Series Scott Cornella, MD, Jonathan Stine, MD, Virginia Kelly, RN, BSN, Stephen Caldwell, MD, Neeral Shah, MD, University of Virginia, Charlottesville, VA P1536. Cholestatic Jaundice Due to Renal Cell Carcinoma: A Variant of Stauffer’s Syndrome Aaysha Kapila, MD, Pranav Patel, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN P1537. Hepatocellular Cancer in a Non-Cirrhotic Hepatitis C Patient Aaysha Kapila, MD, Atul Khanna, MD, Georges Tanios, MD, Mark Young, MD, Gene Lesage, MD, East Tennessee State University, Johnson City, TN P1538. An Idiosyncratic Reaction of Clopidogrel Aaysha Kapila, MD, Allison Locke, MD, Atul Khanna, MD, Pranav Patel, MD, Chakradhar Reddy, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN P1539. Glyburide-Induced Cholestatic Hepatitis Jennifer Phemister, MD, Aaysha Kapila, MD, Pranav Patel, MD, Jason Mckinney, DO, Mark Young, MD, East Tennessee State University, Johnson City, TN For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1554. Experience in Microscopic Colitis: A Case Series at a Large Multicenter Single-Specialty Community Practice Steven Sha, BA, Lucy Westerfield, John Baron, MD, Adam Kim, MD, Minnesota Gastroenterology, PA, Saint Paul, MN, University of North Carolina, School of Medicine, Chapel Hill, NC, Saint Paul, Saint Paul, MN P1555. EMR Experience at a Large Tertiary Care Endoscopic Center: Referral, Patient, and Lesion Characteristics Jatinder Goyal, MD, Ali Khan, MD, Shajan Peter, MD, University of Alabama at Birmingham, Birmingham, AL P1556. Current Trend of Palliative Care Clinic Referrals in Patients With Gastrointestinal (GI) Cancer: Retrospective Analysis at an American Comprehensive Cancer Institute Neha Gupta, MD, Fahad Zubair, MD, Sidra Anwar, MD, Katy Wang, MA, Roberto Pili, MD, Yashodhara Satchidanand, MD, Internal Medicine, State University of New York at Buffalo, Buffalo, NY, Roswell Park Cancer Institute, Buffalo, NY P1557. Association Between Bone Mineral Density and Colorectal Adenomas: A Cross-Sectional Study Huafeng Shen, MD, Seth Lipka, MD, Jeffrey Silpe, MD, Andy White, BS, Samuel Satler, BS, Dustin Luebbers, BS, James Statler, BS, Anna Zheng, BS, Joshua Elder, BS, Albin Abraham, MD, Dhyan Rajan, MD, Prakash Viswanathan, MD, Paul Mustacchia, MD, Nassau University Medical Center, East Meadow, NY, Morsani College of Medicine, University of South Florida, Tampa, FL P1558. Association Between Serum Creatinine Level and Colorectal Adenomas: A Cross-Sectional Study Huafeng Shen, MD, Seth Lipka, MD, Jeffrey Silpe, MD, Andy White, BS, Samuel Satler, BS, Dustin Luebbers, BS, James Statler, BS, Anna Zheng, BS, Joshua Elder, BS, Albin Abraham, MD, Ghulamullah Shahzad, MD, Prakash Viswanathan, MD, Paul Mustacchia, MD, Nassau University Medical Center, East Meadow, NY, Morsani College of Medicine, University of South Florida, Tampa, FL P1559. Association Between Diverticulosis and Colorectal Adenomas: A Cross-Sectional Study Huafeng Shen, MD, Seth Lipka, MD, Jeffrey Silpe, MD, Andy White, BS, Samuel Satler, BS, Dustin Luebbers, BS, James Statler, BS, Anna Zheng, BS, Joshua Elder, BS, Albin Abraham, MD, Dhyan Rajan, MD, Prakash Viswanathan, MD, Paul Mustacchia, MD, Nassau University Medical Center, East Meadow, NY, Morsani College of Medicine, University of South Florida, Tampa, FL P1560. Does BMI or Sedation Type Affect Adenoma Detection on Screening Colonoscopy? Cory Fielding, MD, Wesam Frandah, MD, Philip Westgate, PhD, Nicholas Nickl, MD, Gastroenterology and Hepatology, University of Kentucky, Lexington, KY P1561. Routine Colonoscopy After Acute Uncomplicated Diverticulitis: Is It Necessary? Patrícia Andrade, MD, Armando Ribeiro, MD, Guilherme Macedo, MD, PhD, FACG, Gastroenterology, Centro Hospitalar São João, Porto, Portugal P1562. Diversion Colitis: Systematic Evaluation of 636 Cases With Metaanalysis Nirmal Mann, MD, MS, Ph, DD, Sc, MACG, FACG, Sital Nagra, MD, Kamyar Shahedi, MD, University of California, Davis, Folsom, CA P1563. Antibiotic-Associated Pseudomembranous Colitis Due to Methicillin-Resistant Staphylococcus aureus Shadi Hamdeh, MD, Maryam Gbadamosi-Akindele, MD, Neelima Kandula, MD, Savio Reddymasu, MBBS, FACG, Internal Medicine, Creighton University, Omaha, NE P1564. Cost-Effective Therapy for Opioid-Induced Constipation (OIC): Lubiprostone and Methylnaltrexone Andrew Mazulis, MD, Dylan Smith, BS, Grigory Roginsky, MD, Ibrahim Habib, MD, Eli Ehrenpreis, MD, FACG, NorthShore University HealthSystem, Evanston, IL, Advocate Lutheran General Hospital, Park Ridge, IL For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1565. Times Quoted Following Incomplete Colonoscopies Can Directly Effect Patient Follow-up Ramin Bagheri, MD, Loveleen Sidhu, MD, Ahmed Al-Khazraji, MD, Joshua Aron, MD, Lawrence Reich, MD, Aaron Walfish, MD, Joel Baum, MD, James Tak, MD, Ichan School of Medicine Elmhurst Hospital, Elmhurst, NY P1566. Identifying Risk Factors Leading to Suboptimal Bowel Preparation Ramin Bagheri, MD, Loveleen Sidhu, MD, Ahmed Al-Khazraji, MD, Aaron Walfish, MD, Lawrence Reich, MD, Joshua Aron, MD, Joel Baum, MD, James Tak, MD, Icahn School of Medicine Elmhurst Hospital Center, Elmhurst, NY P1567. Novel Probe-Based Confocal Laser Endomicroscopy (pCLE) Criteria for Diagnosing Colon Polyp Histology 2014 ACG Presidential Poster Award Prashanth Vennalaganti, MD, Satish Singh, MD, Mazen Jamal, MD, MPH, Vijay Kanakadandi, MD, Matthew Hall, MPH, Neil Gupta, MD, Benjamin Alsop, MD, Venkat Nutalapati, MD, Benjamin Hornung, MD, Prateek Sharma, MD, Gastroenterology, Kansas City VA Medical Center, Kansas City, MO, University of Kansas School of Medicine, Kansas City, KS, Loyola University Medical Center, Chicago, IL, Boston University School of Medicine, Boston, MA, VA Long Beach Healthcare System, Long Beach, CA P1568. Split Dosing (SD) Is Superior to Prior Day (PD) Bowel Preps for Colonoscopy for Women Versus Men but Not for Morning Versus Afternoon Procedures: Comparison of 4 Preps in 3,595 Patients at a University Center Tilak Baba, MD, MPH, James Lewis, MD, FACG, Medicine/ Gastroenterology, Georgetown University Hospital, Washington, DC P1569. Chronic Opioid Users Require More Medication to Achieve Conscious Sedation During Colonoscopy Steven Clayton, MD, Rupal Patel, MD, Eduardo Quintero, MD, Jeffrey Gill, MD, Gastroenterology, University of South Florida, Tampa, FL P1570. Risk Factors for ICU-Onset Clostridium difficile Infection David Faleck, MD, Hojjat Salmasian, MD, MPH, Yoko Furuya, MD, Julian Abrams, MD, MS, Daniel Freedberg, MD, Columbia University Medical Center, New York, NY COLON - CLINICAL VIGNETTES P1571. Kayexalate-Induced Rectal Ulceration as a Cause of Rectal Bleeding in a Non-Uremic Patient Meira Abramowitz, MD, Cherif El Younis, MD, SUNY Downstate Medical Center, Brooklyn, NY, Brookdale University Hospital Medical Center, Brooklyn, NY P1572. An Inflammatory Presentation of Right-Sided Solitary Juvenile Polyp Masquerading as Appendicitis Meira Abramowitz, MD, Cherif El Younis, MD, Downstate Medical Center, Brooklyn, NY, Brookdale University Hospital Medical Center, Brooklyn, NY P1573. It’s All Good in the Hood: An Innovative Technique for Rectal Fish Bone Extraction Meira Abramowitz, MD, Evan Grossman, MD, Safak Reka, MD, SUNY Downstate Medical Center, Brooklyn, NY P1574. Colon Polyps: a Rare Presentation of Metastatic Breast Cancer... or Is It? Lisa Waller, MD, Matthew George, MD, Syed-Mohammed Jafri, MD, FACG, Mostafa Ibrahim, MD, FACG, Gastroenterology and Hepatology, Henry Ford Hospital, Detroit, MI P1575. Incidental Finding of Colonic Sarcoidosis in a Patient With Pulmonary Sarcoidosis Kunal Suryawala, MD, Avinash Aravantagi, MD, Randy Geldmacher, MD, Ryan Palmer, MD, Overton Brooks VAMC, Shreveport, LA, Gastroenterology, Louisiana State University Health Sciences Center, Shreveport, LA 108 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1589. Long-term Successful Treatment of Metastatic Colon Adenocarcinoma in a Celiac Disease Patient With Gluten Free Diet and Limited Chemotherapy Andleeb Rasheed, MD, Kartik Sampath, MD, Susan Mikolaitis, MS, RDN, Shriram Jakate, MD, William Leslie, MD, Ece Mutlu, MD, MBA, MS, FACG, Rush University Medical Center, Chicago, IL, Darthmouth University, Hanover, NH P1590. Eosinophilic Gastroenteritis: A Rare Cause of Diarrhea Malav Parikh, MD, Muhammed Sherid, MD, Salih Samo, MD, Venu Ganipisetti, MD, Sathish Krishnan, MD, Internal Medicine, Saint Francis Hosptal, Evanston, IL, CGH Medical Center, Sterling, IL, Northwestern Memorial Hospital, Chicago, IL P1591. A Rare Case of Entamoeba Histolytica and Colonic Strictures Orel Benshar, MD, Evan Grossman, MD, Veronika Dubrovskaya, MD, SUNY Downstate Medical Center, Brooklyn, NY P1592. Clozapine Induced Gastrointestinal Hypomotility (CIGH) – An Under-Recognized Serious Side Effect Vishnu Vardhan Reddy Naravadi, MD, Neelima Valluru, MBBS, Loyola University Medical Center, Maywood, IL, Mt.Sinai Hospital Medical Center, Chicago, IL P1593. Antibiotic-Associated Hemorrhagic Colitis Adegboyega Olayode, MD, Internal Medicine, Creighton University Medical Center, Omaha, NE P1594. Mastocytic Enterocolitis as a Rare Cause of Chronic Diarrhea Abdillahi Abdinoor, MD, Mukund Venu, MD, Gastroenterology, Loyola University Medical Center, Maywood, IL P1595. Severe Hemorrhagic CMV Colitis Mimicking Ulcerative Colitis in an Evidently Immunocompetent Elderly Patient Status-Post Partial Colectomy for Colon Cancer Dupinder Singh, MD, Treta Purohit, MD, Mitual Amin, MD, Thomas Alexander, MD, FACG, Mitchell Cappell, MD, PhD, FACG, William Beaumont Hospital, Royal Oak, MI P1596. Basaloid Squamous Cell Carcinoma of the Anus: A Distinct and Rare Entity Manpreet Singh, MBBS, Rohit Singhania, MBBS, SM, Gastroenterology, Union Hospital of Cecil County, Elkton, MD P1597. A Rare Case of an Isolated AL-Amyloid Polyp in the Colon Jennifer Phemister, MD, Aaysha Kapila, MD, Pranav Patel, MD, Thomas Borthwick, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN, VA Mountain Home, Mountain Home, TN P1598. An Incidental Discovery of Low Grade Appendiceal Mucinous Neoplasm Aaysha Kapila, MD, Jennifer Phemister, MD, Pranav Patel, MD, Ravindra Murthy, MD, Chakradhar Reddy, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN, James H. Quillen VA Medical Centre, Johnson City, TN P1599. Laxatives Can Paint Your Colon Black! Aaysha Kapila, MD, Pranav Patel, MD, Ravindra Murthy, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN, James H. Quillen VA Medical Centre, Johnson City, TN P1600. Clostridium septicum myonecrosis Killed Him Before Colon Cancer Jennifer Phemister, MD, Aaysha Kapila, MD, Pranav Patel, MD, Deidre Pierce, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN P1601. A Case of Salmonella typhi A Dysentery and Bacteremia in East Tennessee Aaysha Kapila, MD, Pranav Patel, MD, David Ginn, MD, Mark Young, MD, East Tennessee State University, Johnson City, TN 109 POSTERS TUESDAY P1576. Colon Cancer With Gastric Invasion Resulting in Gastric Outlet Obstruction: An Uncommon Presentation of Locally Advanced Colorectal Cancer That Was Successfully Treated With Surgical Resection Varun Jain, MD, Deepak Sharma, DO, Kosana Simeunovic, MD, Tatjana Gavrancic, MD, Sandeep Jubbal, MD, Vimala Ramasamy, MD, Ava Anklesaria, MD, Icahn School of Medicine at Mount Sinai (Bronx) James J Peters VA Medical Center, Bronx, NY, North Central Bronx Hospital, Bronx, NY P1577. Isolated Cecal Ischemia: Is There a Role for Conservative Management? Douglas Mills, DO, Sarosh Bukhari, DO, Marc Fine, MD, FACG, Advocate Lutheran General Hospital, Park Ridge, IL P1578. Case Report: Mantle Cell Lymphoma Polyposis Diagnosed During Routine Screening Colonoscopy Shilun Li, MD, Eric Evans, MD, Gastroenterology and Hepatology, Mayo Clinic Health System - Mankato, Mankato, MN P1579. Getting Burned by Activated Charcoal: A Case of Colitis Associated With Activated Charcoal Use Jessica Davis, MD, Vikesh Khanijow, MD, Anita Kumar, MD, Marie Borum, MD, EdD, MPH, Internal Medicine, George Washington University, Washington, DC P1580. A Rare Case of a Skeletal Muscle Mass as an Initial Presentation of Metastatic Colon Carcinoma Kosana Simeunovic, MD, Deepak Sharma, DO, Varun Jain, MD, Julijana Botic, MD, Vimala Ramasamy, MD, Ava Anklesaria, MD, Mark Korsten, MD, Aziz Ahmed, MD, Mount Sinai (Bronx) - James J Peters VA Medical Center, Bronx, NY, North Central Bronx Hospital, Bronx, NY P1581. Culture Negative Neutrocytic Ascites in a Severe Clostridium difficile Infection Ali Bukhari, MD, Daniel Opris, DO, Amish Patel, MD, Sravya Surapaneni, MBBS, Wright State University, Dayton, OH P1582. An Unusual Case of Osteomyelitis and Discitis in a Patient With Crohn’s Disease Ayeetin Azah, BA, Tamer DaBous, MD, Ashley Hicks, MD, William Norris, MD, FACG, Medhat Kalliny, MD, PhD, Meharry Medical College, Nashville, TN, Norris Gastroenterology Group, PLLC, Nashville, TN P1583. Multi-Organism Bacteremia After Fecal Microbiota Transplantation for Relapsing Clostridium difficile Infection Wei Sun, MD, Ambalavanan Arunachalam, MD, Sana Siddique, MD, Daniel Zandman, MD, FACG, Medicine, Mount Auburn Hospital, Cambridge, MA P1584. A Case of Perforating Ipilimumab Induced Autoimmune Colitis Brandon Sprung, MD, Anjana Sathyamurthy, MD, Jennifer Lewis, MD, Christina Cellini, MD, Arthur DeCross, MD, FACG, Vivek Kaul, MD, FACG, Shivangi Kothari, MD, FACG, University of Rochester, Rochester, NY P1585. Rosai-Dorfman Disease Presenting as a Large Rectal Polyp Joseph Marsano, MD, Shannon Chang, MD, New York University School of Medicine, Department of Internal Medicine, New York, NY, New York University School of Medicine, Division of Gastroenterology, New York, NY P1586. Oseltamivir Induced Acute Hemorrhagic Colitis Christopher Brown, MD, Mark Metwally, MD, Christopher Bach, MD, Vikram Anand, MD, Justin Provost, MD, William Hale, MD, FACG, Norwalk Hospital, Norwalk, CT P1587. Gastrointestinal Bleeding in the Setting of Invasive Aspergillus Infection in an Immunocompromised Patient Chad Cooper, MD, MHA, Jorge Bizet, MD, Marc Zuckerman, MD, FACG, Alireza Torabi, MD, Antonio Mendoza Ladd, MD, Internal Medicine, Texas Tech University Health Sciences Center, El Paso, TX P1588. An Acute Abdomen Leading to an Unexpected Price Ali Alsayed Hussain, MD, Michelle Hadley, DO, Department of Medicine, Saint Vincent Hospital, Worcester, MA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm OUTCOMES RESEARCH P1602. Clinical Analysis of 245 Patients With Gastroenteropancreatic Neuroendocrine Tumors (GEP-NET): A Single-Center Retrospective Study (2002-2013) in South China ZhiHui Mo, MD, Ye Chen, MD, Nanfang Hospital Affiliated to Southern Medical University, Guangzhou, China P1603. Risk Factors for Acquisition of C. difficile Toxin-Positive Diarrhea in a Chinese Tertiary Hospital Pu Wang, PhD, Zhongqiu Wang, PhD, Shan Xie, PhD, Youlian Zhou, PhD, Ting Zhang, PhD, Minyi Lin, MD, Jiasheng Tan, MD, Runhua Li, PhD, Ye Chen, MD, PhD, FACG, Bo Jiang, MD, PhD, FACG, Nanfang Hospital, Southern Medical University, Guangzhou, China P1604. Download Alert: What Do Gastroenterology Patients Really Think of Health-Related Smartphone Apps? Jasmine Zia, MD, Thai Le, BS, Margaret Heitkemper, RN, PhD, George Demiris, PhD, University of Washington, Seattle, WA P1605. Treatment Expectations and Drivers of Treatment Satisfaction Among Chronic Idiopathic Constipation (CIC) and Irritable Bowel Syndrome With Constipation (IBS-C) Patients Rob Arbuckle, MSc, Brooke Witherspoon, BA, Robyn Carson, MPH, Adelphi Values Ltd, Bollington, Cheshire, United Kingdom, Endpoint Outcomes, Boston, MA, Forest Research Institute, Jersey City, NJ P1606. Upper Gastrointestinal Hemorrhage: To Scope or Not to Scope Emergently? Mohammad Ali, MD, Haseeb Ahmed, MD, Sagar Patil, MD, Bhawna Halwan, MD, Internal Medicine, Winthrop University Hospital, Mineola, NY P1607. Prevalence of Rectal Cancer and Its Association With Risk Factors in Major Tertiary Hospital Care in Mexico City Elizabeth Buganza, MD, Armando Alonso, MD, Gerardo Lopez Gomez, MD, FACG, Gastroenterology, Hospital 20 de Noviembre ISSSTE, Distrito Federal, Mexico P1608. Prevalence of Appendiceal Endoscopic Abnormalities and Risk of Endoscopic Management Syed Amer, MBBS, Molly Disbrow, MD, Cuong Nguyen, MD, Mayo Clinic, Phoenix, AZ P1609. Non-Dysplastic Barrett’s Surveillance: as Recommendations Evolve, Do We? Craig Brown, BS, Michael Ujiki, MD, Brittany Lapin, MPH, Chi Wang, PhD, John Linn, MD, Woody Denham, MD, Stephen Haggerty, MD, Joann Carbray, BS, Mark Talamonti, MD, John Howington, MD, Jay Goldstein, MD, FACG, Biological Sciences Division, University of Chicago Pritzker School of Medicine, Chicago, IL, NorthShore University HealthSystem, Evanston, IL P1610. Improving the Hepatitis A and B Vaccination Rates in an Outpatient Hepatology Clinic Using Six Sigma Methodology Irum Zaheer, MD, Saira Nasar, MBBS, Howard Monsour, MD, Medicine, Houston Methodist, Houston, TX P1611. Outcomes of Unsuccessful ERCPs at a Tertiary Care Center Sami Samiullah, MD, Henry Dinneen, DO, Hadi Bhurgri, MD, Gustavo Churrango, MD, Nneoma Okoronkwo, MD, Nikolaos Pyrsopoulos, MD, Sushil Ahlawat, MD, Rutgers University - New Jersey Medical School, Newark, NJ P1612. Effects of High-Dose Versus Non-High-Dose Proton Pump Inhibitor on Upper Gastrointestinal Bleeding: A Meta-analysis Alisha Hinds, DO, Dina Ahmad, MD, Imran Ashraf, MD, Douglas Nguyen, MD, Matthew Bechtold, MD, FACG, Division of Gastroenterology, University of Missouri - Columbia, Columbia, MO, University of California - Irvine, Irvine, CA P1613. Impact of First-Case Start Time on Interventional Endoscopy Unit Efficiency at a Tertiary Academic Medical Center Yaseen Perbtani, DO, Robert Summerlee, MD, Dennis Yang, MD, Alejandro Suarez, MD, Manas Shukla, MD, Jonathan Blair Williamson, MD, Charles Shrode, MD, Anand Gupte, MD, Shailendra Chauhan, MD, Peter Draganov, MD, Chris Forsmark, MD, Mihir Wagh, MD, Internal Medicine, University of Florida, Gainesville, FL, University of Florida Division of Gastroenterology, Gainesville, FL For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1614. The Use of Computer Integrated Alerts for Hepatitis C Screening and Patient Follow-Up: A Community Hospital Experience Dhyan Rajan, MD, Christopher Tan, MD, Mahreema Jawairia, MD, Rabab Hajar, MD, Seth Lipka, MD, Huafeng Shen, MD, Paul Mustacchia, MD, Nassau University Medical Center, East Meadow, NY P1615. Risk of Gastrointestinal Bleeding in Patients With Left Ventricular Assist Devices (LVADs) Kyle Eliason, MD, Stavros Drakos, MD, Craig Selzman, MD, Aaron Healy, MD, Kathryn Peterson, MD, Gastroenterology, University of Utah, Salt Lake City, UT P1616. Factors Increasing the Risk of Pneumonia Among Proton Pump Inhibitor Users Rushikesh Shah, MBBS, Omar Mousa, MBBS, Anthony Paredes, MD, Gaurang Vaidya, MBBS, Sekou Rawlins, MD, SUNY Upstate Medical University, Syracuse, NY P1617. Quality Improvement of Colonoscopy at a Tertiary Care Academic Medical Center Silpa Mandava, MBBS, Ali Abbas, MD, Abha Rani, MD, FACG, Gregory Gudleski, PhD, University at Buffalo, Buffalo, NY P1618. Fecal Microbiota Transplant for Treatment of Resistant C. difficile Infection Using a Standardized Protocol: A Community Hospital Experience Okoli Obi, MD, Dan Hampton, MD, Twyla Anderson, RN, Patrick Leung, PharmD, Mubeen Khan Mohammed Abdul, MD, Gopika Chandra, MD, PhD, Nkem Iroegbu, MD, MPH, Memorial Medical Center, Las Cruces, NM, Presence-Saint Joseph Hospital, Chicago, IL P1619. Rates of Hepatitis C Screening After USPSTF Birth Cohort Screening Recommendation Within a Large Community Health Center Population Erica Turse, DO, Angela Garcia, PharmD, MPH, CPh, Saint Amofah, MD, MBA, Nicole Cook, PhD, MPH, Nova Southeastern University, Ft Lauderdale, FL, Health Choice Network, Inc., Miami, FL P1620. Primary Gastrointestinal Follicular Lymphoma: Characterizing Survival by Primary Site Jay Chouhan, DO, Sachin Batra, MD, MPH, Sushovan Guha, MD, PhD, University of Texas Health Science Center at Houston, Houston, TX P1621. Modeling Multitarget Stool DNA Test Results in Asymptomatic Persons With Advanced Precancerous Lesions Thomas Imperiale, MD, Philip Lavin, PhD, Graham Lidgard, PhD, Barry Berger, MD, Medicine, Indiana University School of Medicine, Indianapolis, IN, Boston Biostatistics Research Foundation, Framingham, MA, Exact Sciences Corporation, Madison, WI P1622. Outcomes of Combined Endoscopic Cyanoacrylate Injection With Balloon Retrograde Transvenous Occlusion of Gastro/Splenorenal Shunts for Gastric Variceal Hemorrhage Swarup Kumar, BS, Badr Al-Bawardy, MD, Emmanuel Gorospe, MD, MPH, Navtej Buttar, MD, Louis Wong Kee Song, MD, Mayo Clinic, Rochester, MN P1623. C. difficile Infection in Inflammatory Bowel Disease: A Nursing Based Quality Improvement Strategy Jordan Axelrad, MD, MPH, Brijen Shah, MD, Department of Medicine, Mount Sinai Hospital, New York, NY P1624. Video Capsule Endoscopy Is Safe and Effective in Hospitalized Patients With Implantable Cardiac Devices and Left Ventricular Assist Devices John Guido, MD, Peter Stanich, MD, Bryan Kleinman, DO, Nishaki Mehta Oza, MD, Kavita Betkerur, BS, Kyle Porter, MAS, Marty Meyer, MD, Ohio State University Wexner Medical Center, Columbus, OH P1625. Value of Risk Stratification Scores in Predicting Length of Stay Outcomes for Patients Admitted to the Intensive Care Unit With Gastrointestinal Bleeding Amaninder Dhaliwal, MD, Rashmee Patil, MD, LeAnn Blankenship, MD, Francois Dufresne, MD, George Apergis, MD, Internal Medicine, Lutheran Healthcare, Brooklyn, NY 110 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1637. Evaluation of Daily GI Symptoms in a Phase 2A Study of IW-9179 in Functional Dyspepsia Jan Tack, MD, PhD, Donald Fitch, MPH, James Shao, MS, Christopher O’Dea, MS, Mark Currie, PhD, Jeffrey Johnston, MD, FACG, Department of Gastroenterology, University of Leuven, Leuven, Belgium, Ironwood Pharmaceuticals, Cambridge, MA P1638. Gastrointestinal Stromal Tumors Survival Outcomes in Hispanic Patients in the Post-Imatinib Era David DiCaprio, DO, Raji Shameem, MD, Niket Sonpal, MD, FACG, Mohammad Hamid, MD, Avrind Randhawa, MD, Nakul Singhal, MD, Kevin Sullivan, MD, Lenox Hill NSLIJ Hospital System, New York, NY, Fox Chase Cancer Center, Philadelphia, PA, Detroit Medical Center/ Wayne State University, Detroit, MI P1639. Fecal Microbiota Transplant for Treatment of Refractory C. difficile Colitis: Long Term Follow-up of 58 Patients Daniel Greenwald, MD, Tarun Patel, MD, Amy Barto, MD, FACG, Department of Internal Medicine, Lahey Hospital and Medical Center, Burlington, MA, Department of Gastroenterology, Lahey Hospital and Medical Center, Burlington, MA P1640. Endoscopic Ultrasound Does Not Influence Neoadjuvant Treatment Strategy in Patients With Locally Advanced Esophageal Adenocarcinoma Ashley Canipe, MD, Lanre Jimoh, MD, Patrick Yachimski, MD, MPH, Vanderbilt University Medical Center, Nashville, TN P1641. Culture Negative Neutrocytic Ascites and Mortality Risk in Cirrhotic Patients: A Systematic Review Jorge Machicado, MD, Julio Huapaya, Luis Marcos, MD, MPH, Sushovan Guha, MD, PhD, Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, PA, Universidad Peruana Cayetano Heredia, Lima, Peru, Forrest General Hospital, Hattiesburg, MS, University of Texas at Houston, Houston, TX P1642. Effects of Patient Compliance on the Cost-Effectiveness of Non-Invasive Tests for Initial Diagnosis of H. pylori Infection in a High Prevalence Population Susan Boklage, MS, MPH, Allen Mangel, MD, PhD, Varun Ramamohan, PhD, Deirdre Mladsi, BA, Tao Wang, PhD, Otsuka America Pharmaceutical, Inc., Princeton, NJ, RTI Health Solutions, Research Triangle Park, NC P1643. Cost-Effectiveness of Noninvasive Active Tests for Universal Post-Treatment Confirmation of Eradication of H. pylori Infection Susan Boklage, MS, MPH, Allen Mangel, MD, PhD, Varun Ramamohan, PhD, Deirdre Mladsi, BA, Tao Wang, PhD, Otsuka America Pharmaceutical, Inc., Princeton, NJ, RTI Health Solutions, Research Triangle Park, NC P1644. Predictors of Mortality in Hospitalized Adults With C. difficile Infection 2014 ACG Presidential Poster Award Sahil Khanna, MBBS, MS, Darrell Pardi, MD, MS, FACG, Division of Gastoenterology and Hepatology, Mayo Clinic, Rochester, MN P1645. Complications Associated With Colonoscopy in an Open-Access Referral Center Sara Epstein, MD, Jeffrey Lee, MD, MAS, FACG, Ma Somsouk, MD, MAS, Kenneth McQuaid, MD, Amandeep Shergill, MD, MS, Medicine, University of California, San Francisco, San Francisco, CA, San Francisco General Hospital, University of California, San Francisco, San Francisco, CA, Veterans Affairs San Francisco, University of California, San Francisco, San Francisco, CA 111 POSTERS TUESDAY P1626. Fidaxomicin vs. Vancomycin as a First Line Treatment for C. difficile-Associated Diarrhea (CDAD) in Specific Patient Populations: A Pharmacoeconomic Evaluation Kelly Broderick, PharmD, Peng Xu, MS, Frank Corvino, PhD, Marko Zivkovic, PhD, Cubist Pharmaceuticals, Lexington, MA, Genesis Research, Hoboken, NJ P1627. Etiology and Outcome of Patients With Diabetic Ketoacidosis (DKA) and Upper Gastrointestinal Bleeding (UGIB) Dhruvan Patel, MD, Rajiv Bhattarai, MD, Mervyn Danilewitz, MD, FACG, Mercy Philadelphia Hospital, Philadelphia, PA P1628. Is Insulin Exposure an Independent Risk Factor for Colon Advanced Adenomas Among Type 2 Diabetes Mellitus Patients? Deepanshu Jain, MD, Jorge Uribe, MD, Philip Katz, MD, FACG, Albert Einstein Medical Center, Philadelphia, PA P1629. Effect of Different Treatment Modalities on Colon Adenoma and Advanced Adenoma Among Type 2 Diabetes Mellitus Patients Deepanshu Jain, MD, Jorge Uribe, MD, Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA P1630. Effect of Obesity and Demographic Factors on Advanced Adenoma Detection Rate Among Type 2 Diabetes Mellitus Patients Deepanshu Jain, MD, Jorge Uribe, MD, Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA P1631. Use of Modifiable and Non-Modifiable Factors to Predict Bowel Preparation Quality Prior to Colonoscopy Deepanshu Jain, MD, Sury Anand, MD, Shashideep Singhal, MD, Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA, The Brooklyn Hospital Center, New York, NY, Columbia University, New York, NY P1632. Upper Gastrointestinal Symptoms in Medical Professionals: A Higher Burden? Jodie Barkin, MD, Morgan Sendzischew, MD, David Landy, PhD, MPH, Baharak Moshiree, MD, MS, University of Miami, Leonard M. Miller School of Medicine, Dept. of Medicine, Division of Gastroenterology, Miami, FL P1633. HIV Infection in Patients With Acute Pancreatitis Is Associated With Worse In-Hospital Outcomes: A Nationwide Analysis Jorge Machicado, MD, Tanima Jana, MD, MS, Sachin Batra, MD, MPH, Sushovan Guha, MD, PhD, Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, PA, University of Texas at Houston, Houston, TX P1634. The Risk of GI Bleeding in Prasugrel as Compared to Clopidogrel: Results of a Multicenter Study Muhammed Sherid, MD, Humberto Sifuentes, MD, Malav Parikh, MD, Samip Parikh, MBBS, MPH, Charles Spurr, MD, FACG, Subbaramia Sridhar, MBBS, MPH, FACG, Georgia Regents University, Augusta, GA, Saint Francis Hospital, Evanston, IL P1635. International Multicenter IPMN Registry: Role of EUS-FNA Cytology, CEA, and Amylase in the Diagnosis of Intraductal Papillary Mucinous Neoplasms Maria Moris Felgueroso, MD, Michael Wallace, MD, MPH, FACG, Massimo Raimondo, MD, FACG, Timothy Woodward, MD, Verna Skinner, Paolo Arcidiacono, MD, Cinzia Boemo, MD, Maria Petrone, MD, Claudio De Angelis, MD, Selene Manfre, MD, Pietro Fusaroli, MD, Michele Lewis, MD, GI, Mayo Clinic Jacksonville, Jacksonville, FL, San Raffaele Scientific Institute, Milano, Italy, University of Turin, Turin, Italy, Ospedale di Castel San Pietro Terme, Bologna, Italy P1636. Occurrence of Delayed Non-GI Events Post-Colonoscopy and Patients With Identifiable Increased Risk David Johnson, MD, David Lieberman, MD, Mark Pochapin, MD, Douglas Robertson, MD, MPH, Seth Gross, MD, John Inadomi, MD, Uri Ladabaum, MD, Gastroenterology, Eastern VA Medical School, Norfolk, VA, Oregon Health and Science University, Portland, OR, NYU Langone Medical Center, New York, NY, Dartmouth-Hitchcock Medical Center, Lebanon, NH, UM Medical Center, Seattle, WA, Stanford University Medical Center, Stanford, CA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm INFLAMMATORY BOWEL DISEASE P1646. Fecal Calprotectin Levels for the Ethiological Diagnosis in Brazilian Patients With Gastrointestinal Symptoms Lorete Kotze, MD, PhD, FACG, Renato Nisihara, PhD, Murilo Cavassani, MD, Sandra Valarini, MD, Paulo Kotze, MD, Medicine, Positivo University, Curitiba, Brazil, Gastroenterology and Colorectal Surgery Units, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná, Brazil, Curitiba, Brazil, Faculdade Evangélica do Paraná, Curitiba, Brazil P1647. The Utility of Capsule Endoscopy for the Diagnosis and Management of Crohn’s Disease Anna Buchner, MD, PhD, Gary Lichtenstein, MD, Wojciech Blonski, MD, PhD, University of Pennsylvania, Philadelphia, PA P1648. Rates of Hospitalization in TNF-Naïve IBD Patients Exposed to Infliximab or Adalimumab for at Least 6 Months Julien Fahed, MD, Veronica Baptista, MD, Randall Pellish, MD, FACG, Internal Medicine, University of Massachusetts Medical Center, Worcester, MA P1649. Malignancy Outcomes in Inflammatory Bowel Disease Patients on Immune Modulators and Anti-Tumor Necrosis Factor Therapy Umangi Patel, MD, Gary Lichtenstein, MD, Frank Scott, MD, MSCE, University of Pennsylvania Health System, Philadelphia, PA P1650. Objective Sleep Quality Assessment Using Wrist Actigraphy in Patients With Ulcerative Colitis Jami Kinnucan, MD, Sarah Goeppinger, BS, Justin Tomal, MD, Aaron Ackerman, BS, Vineet Arora, MD, Tauseef Ali, MD, David Rubin, MD, FACG, Inflammatory Bowel Disease, University of Chicago Medicine, Chicago, IL, University of Chicago Medicine, Chicago, IL, University of Oklahoma, Oklahoma City, OK P1651. Assessment of Clinicians’ Knowledge and Attitudes Regarding Sleep Quality of Their Gastrointestinal Patients Jami Kinnucan, MD, Olufemi Kassim, MD, David Rubin, MD, FACG, Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL P1652. Sleep Quality and Quality of Life Improve Over Time in Patients With Inflammatory Bowel Disease Jami Kinnucan, MD, Sarah Goeppinger, BS, David Rubin, MD, FACG, Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL P1653. Assessment of the Disease Activity of Inflammatory Bowel Disease on the Outcome of Small Intestinal Transit Times Using Video Capsule Endoscopy Hala Fadda, PhD, Shivi Siva, MD, Monika Fischer, MD, MS, Butler University College of Pharmacy and Health Sciences, Indianapolis, IN, Indiana University Division of Gastroenterology and Hepatology, Indianapolis, IN P1654. Pediatric Crohn’s Disease, Unrealized Height and Diminished Lifetime Earnings Russell Cohen, MD, Stacy Kahn, MD, Scott Johnson, PhD, MHA, A Burak Ozbay, BPharm, MBA, PhD, Martha Skup, PhD, Jingdong Chao, PhD, University of Chicago, Chicago, IL, Medicus Economics, LLC, Milton, MA, AbbVie Inc., North Chicago, IL P1655. Use of Computed Tomography on Inflammatory Bowel Patients in a Community Hospital Setting: What Are the Rates of Urgent Findings? Philip Elbaum, DO, William Huntington, DO, Robert Cooper, DO, Robert Bailey, DO, Patricia Wong, MD, MSCE, Lankenau Medical Center, Philadelphia, PA P1656. Causes and Consequences of Chronic Abdominal Pain in Crohn’s Disease: A Five-Year Prospective Study Nikhil Seth, MD, Heitham Abdul-Baki, MD, Nicholas Mahoney, MD, David Binion, MD, Claudia Ramos Rivers, MD, Michael Dunn, MD, Eva Szigethy, MD, PhD, FACG, Miguel Regueiro, MD, FACG, Klaus Bielefeldt, MD, PhD, Matthew Coates, MD, PhD, University of Pittsburgh Medical Center, Pittsburgh, PA, Veterans Affairs Pittsburgh Healthcare Service, Pittsburgh, PA For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1657. Optimizing Transition of Pediatric to Adult Care in Inflammatory Bowel Disease (IBD) Through the Use of an Observed Structured Clinical Examination (OSCE) Joseph Kingsbery, MD, Martin Wolff, MD, Sondra Zabar, MD, Colleen Gillespie, PhD, Elizabeth Weinshel, MD, Aliza Soloman, DO, Lisa Malter, MD, New York University School of Medicine, New York, NY, Weill Cornell Medical College, New York, NY, VA New York Harbor Healthcare System, New York, NY P1658. Ustekinumab for the Treatment of Crohn’s Disease Sara Keihanian, MD, Sarah Glover, DO, Division of Gastroenterology, Hepatology and Nutrition at the University of Florida, Gainesville, FL P1659. Predictors of Poor Outcome of Infliximab Therapy in Ulcerative Colitis Vivian Ebrahim, MD, Xianrui Wu, MD, PhD, Bo Shen, MD, FACG, Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH P1660. Orally Administered CCR9 Inhibitor CCX507 Effectively Blocks CCR9 in Circulating Human Leukocytes Lisa Seitz, PhD, Lisa Lohr, MS, Joanne Tan, PhD, Antonia Potarca, MS, Shichang Miao, PhD, Daniel Dairaghi, PhD, Trevor Charvat, PhD, Andrew Pennell, PhD, Penglie Zhang, PhD, Thomas Schall, PhD, Pirow Bekker, MD, PhD, ChemoCentryx, Inc., Mountain View, CA P1661. Inflammatory Bowel Disease in Asian Americans: Differences in Clinical Characteristics Compared to the General U.S. Population Nanae Takatori, MD, Shamita Shah, MD, Stanford Hospital and Clinics, Stanford, CA P1662. Elevated C-Reactive Protein Is Associated With Poor Sleep Quality in Patients With Inflammatory Bowel Disease Robin Wilson, BA, Betsy Stevens, BS, Abra Guo, BS, Melissa Cohen, BA, Holly Sturgeon, BS, MPH, Caitlin Russell, BS, MS, Cosmas Giallourakis, MD, Hamed Khalili, MD, MPH, Deanna Nguyen, MD, Ramnik Xavier, MD, PhD, Vijay Yajnik, MD, PhD, Jenny Sauk, MD, Ashwin Ananthakrishnan, MD, MPH, Gastrointestinal Unit, Massachusetts General Hospital, Boston, MA P1663. Analysis of an Administrative Claims Database Suggests Poor Quality of Care for Inflammatory Bowel Disease Gil Melmed, MD, MS, A Burak Ozbay, BPharm, MBA, PhD, Martha Skup, PhD, Song Wang, PhD, Jingdong Chao, PhD, Corey Siegel, MD, Cedars-Sinai Medical Center, Los Angeles, CA, AbbVie Inc., North Chicago, IL, Dartmouth-Hitchcock Medical Center, Lebanon, NH P1664. Effect of Ferumoxytol Treatment on Secondary Thrombocytosis in Patients With Iron Deficiency Anemia and Inflammatory Bowel Disease Naomi Dahl, PharmD, William Strauss, MD, Robert Kaper, MD, Kristine Bernard, MPH, AMAG Pharmaceuticals, Inc., Waltham, MA P1665. The Increasing Prevalence of Human Cytomegalovirus (CMV) Disease Among Hospitalized Patients With Inflammatory Bowel Disease (IBD) in the United States Cheng Zhang, MD, PhD, Edward Levine, MD, Somashekar Krishna, MD, Alice Hinton, PhD, Darwin Conwell, MD, Razvan Arsenescu, MD, PhD, Inflammatory Bowel Disease Program, Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University, Columbus, OH, Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University, Columbus, OH, Division of Biostatics, College of Public Health, The Ohio State University, Columbus, OH P1666. Time Trends, Clinical Characteristics, and Risk Factors of Chronic Anal Fissure Among a National Cohort of Patients With Inflammatory Bowel Disease Hoda Malaty, MD, PhD, FACG, Shubhada Sansgiry, PhD, Jason Hou, MD, Baylor College of Medicine, Houston, TX, VA Medical Center, Houston, TX P1667. Long-term Efficacy of Vedolizumab Therapy for Patients With Ulcerative Colitis 2014 ACG Presidential Poster Award Brian Feagan, MD, FACG, Arthur Kaser, MD, Michael Smyth, MBA, Remo Panaccione, MD, Serap Sankoh, PhD, Brihad Abhyankar, MBA, Robarts Research Institute, University of Western Ontario, London, ON, Canada, Department of Medicine, University of Cambridge, Addenbrooke’s Hospital, Cambridge, United Kingdom, Takeda Global Research and Development Centre (Europe) Ltd., London, United Kingdom, Department of Medicine, University of Calgary, Calgary, AB, Canada, Takeda Pharmaceuticals International Co., Cambridge, MA 112 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1680. Are Inflammatory Bowel Disease Patients Referred Too Late to Expert Centers? Ranjit Makar, MD, Susil Sivaraman, MD, Altaf Dawood, MD, Christian Stone, MD, MPH, University of Nevada Section of Gastroenterology, Las Vegas, NV, University of Nevada Department of Medicine, Las Vegas, NV P1681. The Presence of Primary Sclerosing Cholangitis in Patients With Ileal Pouch Anal Anastomosis Increases the Risk for Vitamin D Deficiency Andrea Fialho, MD, Andre Fialho, MD, Bo Shen, MD, FACG, Cleveland Clinic Foundation-Department of Internal Medicine, Cleveland, OH, Cleveland Clinic Foundation- Department of Gastroenterology/ Hepatology, Cleveland, OH P1682. Serum Certolizumab Pegol Levels and Antibodies to Certolizumab Pegol Are Associated With C-Reactive Protein Levels in Patients With Crohn’s Disease Andres Yarur, MD, Scott Hauenstein, PhD, Frank Czul, MD, Steven Lockton, PhD, Maria Quintero, MD, Jamie Barkin, MD, FACG, Anjali Jain, PhD, Sharat Singh, PhD, Maria Abreu, MD, FACG, Division of Gastroenterology, University of Miami, Miami, FL, Prometheus Laboratories, San Diego, CA P1683. Do Optimal Anti-Tumor Necrosis Factor Levels Influence Vitamin D Levels or Metabolic Bone Disease in Patients With Inflammatory Bowel Diseases? Andres Yarur, MD, Vanessa Mendez, MD, Liege Diaz, MD, Daniel Sussman, MD, MSPH, Division of Gastroenterology, University of Miami, Miami, FL P1684. Disease Location as a Risk Determinant for Maintenance of Remission in Crohn’s Disease Patients Treated With Certolizumab Pegol: Results of Analyses From the PRECiSE 3 Study Stefan Schreiber, MD, Charles Randall, MD, Marla Dubinsky, MD, Gordana Kosutic, MD, Bosny Pierre-Louis, PhD, Marshall Spearman, MD, William Sandborn, MD, Christian-Albrechts-University, Kiel, Germany, Gastroenterology Research of America, San Antonio, TX, Cedars-Sinai Medical Center, Los Angeles, CA, UCB Pharma, Raleigh, NC, University of California San Diego, San Diego, CA P1685. Is Advanced Age in Elderly IBD Patients a Predictor of Infectious Complications? Christina Tofani, MD, Ann Tierney, MS, Gary Lichtenstein, MD, University of Pennsylvania Health System, Philadelphia, PA P1686. Ulcerative Colitis: The Influence of BMI at Time of Diagnosis on Disease Severity and Progression Carolyn Newberry, MD, Ann Tierney, MS, Gary Lichtenstein, MD, FACG, Hospital of the University of Pennsylvania, Philadelphia, PA P1687. Golimumab Rescue for Active Crohn’s Disease Refractory to Other Therapies Matthew Bohm, MD, Abdul Hamid El Chafic, MD, Monika Fischer, MD, MS, Medicine/Gastroenterology, IUPUI, Indianapolis, IN P1688. Mucosal Features of Colonic Crohn’s Disease Determined by Confocal Laser Endomicroscopy (CLE): An Inter-Observer Agreement Study Sandeep Kaur, MD, Eric Press, BSc, Usha Dutta, MD, Markad Kamath, PhD, David Armstrong, MD, FACG, McMaster University, Hamilton, ON, Canada P1689. Clinical Correlates and Pharmacokinetic Parameters of Certolizumab Pegol Predicted by Modeling in Patients With Crohn’s Disease Janet Wade, PhD, Ruth Oliver, PhD, Gerry Parker, PhD, Gordana Kosutic, MD, Brian Feagan, MD, SGS Exprimo, Mechelen, Belgium, UCB Pharma, Slough, United Kingdom, Robarts Research Institute, London, United Kingdom P1690. Small Bowel Location, Stricturing Behavior, Vitamin D Receptor Polymorphism and Metabolic Disease Susceptibility Genes Are Associated With NAFLD in Crohn’s Disease Sultan Chhina, MD, Kenneth Steadman, BS, Gati Goel, MD, PhD, Ken Nguyen, MD, Stephan Targan, MD, Xiaoxiao Li, PhD, Talin Haritunians, PhD, Dalin Li, PhD, Shaohong Yang, MD, Dermot McGovern, MD, PhD, F Widjaja Foundation Inflammatory Bowel and Immunobiology Research Institute, Cedars Sinai Medical Center, Los Angeles, CA 113 POSTERS TUESDAY P1668. Adalimumab Therapy Reduces Hospitalization Rates in Patients With Moderate Ulcerative Colitis Brian Feagan, MD, Martha Skup, PhD, A Burak Ozbay, BPharm, MBA, PhD, Andreas Lazar, MD, Roopal Thakkar, MD, Naijun Chen, MS, Jingdong Chao, PhD, William Sandborn, MD, University of Western Ontario, Robarts Research Institute, London, ON, Canada, AbbVie Inc., North Chicago, IL, University of California, San Diego, La Jolla, CA P1669. TELEmedicine for Patients With Inflammatory Bowel Disease (TELE-IBD) Guruprasad Jambaulikar, MBBS, MPH, Patricia Langenberg, PhD, Jonathan Katz, Charlene Quinn, PhD, RN, Mark Flasar, MD, MS, Miguel Regueiro, MD, Leyla Ghazi, MD, Seema Patil, MD, David Schwartz, MD, Ray Cross, MD, MS, University of Maryland, Baltimore, Baltimore, MD, University of Pittsburgh, Pittsburgh, PA, Vanderbilt University, Nashville, TN, MedAdherence, Stamford, CT P1670. A Unique Presentation of Ulcerative Colitis Simon Crasss, MD, GI, Loyola, Justice, IL P1671. Crohn’s Disease Behavior as a Risk Factor for Loss of Maintenance of Remission in Patients Treated With Certolizumab Pegol: Results From the PRECiSE 3 Study David Rubin, MD, Charles Randall, MD, Jason Coarse, MS, Gordana Kosutic, MD, Marshall Spearman, MD, Sumeet Ambarkhane, MD, Njegica Jojic, MD, The University of Chicago Medicine, Chicago, IL, Gastroenterology Research of America and The University of Texas, San Antonio, TX, UCB Pharma, Raleigh, NC, Zvezdara Clinical Center, Belgrade, Serbia P1672. The Prevalence of Sub-Clinical Sacro-Ileitis in Patients With Inflammatory Bowel Disease Juan Trivella, MD, Andres Yarur, MD, Andrew Elden, MD, Amar Mandalia, MD, Ryan Dauer, MD, Daniel Sussman, MD, FACG, Internal Medicine, University of Miami, Miami, FL, Emori University, Atlanta, GA P1673. Addressing Sexual Function in Patients With IBD: Results of a National Survey of U.S. GI Physicians Britt Christensen, BSc, MD, MPH, Sarah Goeppinger, BA, David Rubin, MD, FACG, University of Chicago Medicine, Chicago, IL P1674. Small Molecule Inhibition of Chemokine Receptor ‘CCR9’ Combined With Anti-α4β7 Blocking Antibody Confers Synergistic Protection Against Piroxicam-Accelerated Colitis in Mice Joanne Tan, PhD, Karen Ebsworth, BSc, Linda Ertl, MSc, Deogracias Canivel, BSc, Penglie Zhang, PhD, Pirow Bekker, MD, Thomas Schall, PhD, ChemoCentryx, Mountain View, CA P1675. Vaccinating Patients With IBD: Still to Begin, at the Beginning Anurag Goel, MD, Thomas Johnson, MBBS, Jimmy Limdi, FACG, Blackpool Teaching Hospitals NHS Trust, Preston, United Kingdom, Fylde and Wyre Clinical Commissioning Group, Wesham, United Kingdom, Pennine Acute NHS Trust, Manchester, United Kingdom P1676. The Relationship Between Remission Status and Work-Related Outcomes in Patients With Mild-to-Moderate Ulcerative Colitis Who Completed Short-term and Long-term Therapy With Multimatrix Mesalamine Mary Kaye Willian, DrPH, MPH, Aaron Yarlas, PhD, Ashish Joshi, PhD, Shire, Wayne, PA, Optum, Lincoln, RI P1677. The Impact of Short-Term and Long-term Daily Treatment With Multimatrix Mesalamine on Disease Burden and on Generic HealthRelated Quality of Life in Adult Patients With Mild-to-Moderate Ulcerative Colitis Mary Kaye Willian, DrPH, MPH, Aaron Yarlas, PhD, Ashish Joshi, PhD, Shire, Wayne, PA, Optum, Lincoln, RI P1678. Sleep Disturbance in Active Crohn’s Disease Is Confirmed by Both Subjective and Objective Sleep Quality Measures Emily Vivio, Ami Patel, MD, Gregory Sayuk, MD, MPH, Matthew Ciorba, MD, Heba Iskandar, MD, MSCI, Medicine/Gastroenterology, Washington University in St. Louis, St. Louis, MO P1679. Long-term Pooled Safety Analysis of Once-Daily Multimatrix Mesalamine Susana Silva Sanchez, MD, Hong Wan, BSc, Paul Streck, MD, MBA, Deborah Willshire, MMedSc, Jeffrey Raskin, MD, Shire, Brussels, Belgium, University of Miami Health System, Miami, FL For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1691. Substitution With Alternative Anti-TNF-α Therapy (SaVANT): Outcomes of a Crohn’s Disease Cohort Undergoing Substitution Therapy With Certolizumab 2014 ACG IBD Research Award 2014 ACG Presidential Poster Award Andrew Motlis, MD, Avinash Aravantagi, MD, Moheb Boktor, MD, Ankur Sheth, MD, FACG, Kenneth Manas, MD, James Morris, MD, FACG, Paul Jordan, MD, FACG, Felix Becker, MD, PhD, Jonathan Alexander, PhD, Louisiana State University School of Medicine - Department of Gastroenterology and Hepatology, Shreveport, LA P1692. Clinical Features of Drug-Induced Lupus in Patients With IBD Treated With Anti-TNF-α Therapy Gururaj Kolar, MD, Siddhant Yadav, MD, Sahil Khanna, MD, David Wetter, MD, Kevin Moder, MD, Sunanda Kane, MD, FACG, Edward Loftus, MD, FACG, Steward Carney Hospital, Department of Internal Medicine, Boston, MA, Mayo Clinic, Division of Gastroenterology and Hepatology, Rochester, MN, Mayo Clinic, Department of Dermatology, Rochester, MN, Mayo Clinic, Division of Rheumatology, Rochester, MN P1693. POSTER WITHDRAWN INFLAMMATORY BOWEL DISEASE CLINICAL VIGNETTES P1694. Gut Microbiome Instability in Pediatric Crohn’s Patients Compared With Non-IBD Patients 2014 ACG Presidential Poster Award Zoya Grigoryan, MS, Lea Ann Chen, MD, Medicine, New York University School of Medicine, New York, NY P1695. Anti-TNF Therapy for De novo IBD Following CMV Colitis After Renal Transplantation Priyam Tripathi, MD, MPH, Jeffry Katz, MD, FACG, Case Western Reserve University/University Hospitals Case Medical Center, Cleveland, OH P1696. Myopericarditis in a Patient With Ulcerative Colitis on Mesalamine and Prednisone: Case Report and Review of Literature Mazyar Malakouti, MD, Karthik Garapati, MD, Charles Randall, MD, University of Texas Health Science Center, San Antonio, TX, Gastroenterology Research of San Antonio, San Antonio, TX P1697. Acute Pancreatitis as Initial Presentation of Crohn’s Disease: Report of a Rare Case Sara Keihanian, MD, Sarah Glover, DO, Division of Gastroenterology, Hepatology and Nutrition at the University of Florida, Gainesville, FL P1698. Use of Serum-Derived Bovine Immunoglobulin/Protein Isolate (SBI) to Manage Refractory Ulcerative Colitis Symptoms and Avoid Surgery Gerald Dryden, MD, School of Medicine - University of Louisville, Louisville, KY P1699. A Case Report of Mesalamine-Induced Drug Fever Parth Joshi, MD, Jeremy Weinberger, BA, Robert Cohen, MD, Emory University, Atlanta, GA P1700. Extensive Cerebral Sinus Venous Thrombosis in a Crohn’s Patient on Adalimumab Therapy Presenting as Severe Headache and Vision Change Margaret Adamcewicz, DO, Katherine Chen, BS, Jennifer Lewis, MD, Danielle Marino, MD, Ashok Shah, MD, FACG, Gastroenterology, University of Rochester Medical Center, Rochester, NY P1701. Successful Treatment of Refractory Perineal Metastatic Crohn’s Disease Using a Combination Therapy of Certolizumab, Surgical Debridement, and Hyperbaric Oxygen Parit Mekaroonkamol, MD, Anthony Gamboa, MD, Tanvi Dhere, MD, Emory University School of Medicine, Atlanta, GA P1702. Development of Collagenous Colitis in Inflammatory Bowel Disease After Initiation of TNF Inhibitors Rahoma Elharari, MD, Rima Shobar, MD, Ece Mutlu, MD, MBA, MS, FACG, Rush University Medical Center, Chicago, IL For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1703. IgA-λ/λ Biclonal Multiple Myeloma in a Patient With Crohn’s Disease: A Case Report and Review of the Literature Jie Zhang, MD, Xinjuan Liu, MD, Jing Chen, MM, Xue Chen, MM, Xue Li, MM, Department of Gastroenterology, Beijing An Zhen Hospital, Capital Medical University, Beijing, China, Department of Gastroenterology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China, Department of Gastroenterology, Beijing Tong Ren Hospital, Capital Medical University, Beijing, China, Department of Pathology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China P1704. A Rare Disease Mimicking Crohn’s Disease Huafeng Shen, MD, David Cave, MD, Seymour Katz, MD, NUMC, East Meadow, NY, UMass Memorial Medical Center, Worcester, MA, New York University School of Medicine, New York, NY P1705. Autoinflammatory Disorder-Associated Pouchitis Darren Seril, MD, PhD, Bo Shen, MD, FACG, Cleveland Clinic Foundation-Gastroenterology/Hepatology, Cleveland, OH FUNCTIONAL BOWEL DISORDERS P1706. The GutCheck Part 3: Early Clinical Utility of Surface-measured Myoelectrical Signals of the GI Tract in Patients With Functional GI Disorders and Healthy Controls George Triadafilopoulos, MD, DSc, FACG, Steve Axelrod, PhD, Anand Navalgund, PhD, Prince Shah, MD, FACG, Uday Devanaboyina, PhD, Stanford University School of Medicine, Palo Alto, CA, Gilroy Gastroenterology, Gilroy, CA, G-Tech Medical, Palo Alto, CA P1707. The GutCheck Part 2: Signal Processing and Preliminary Clinical Utility of Surface-measured Myoelectrical Signals of the GI Tract George Triadafilopoulos, MD, DSc, FACG, Steve Axelrod, PhD, Anand Navalgund, PhD, Prince Shah, MD, FACG, Uday Devanaboyina, PhD, Stanford University School of Medicine, Palo Alto, CA, Gilroy Gastroenterology, Gilroy, CA, G-Tech Medical, Palo Alto, CA P1708. The Effect of Dried Plum on Targeted Gut Flora and Host Gene Expression in a Rat Model of Post-Infectious IBS Seong-Eun Kim, MD, Sun Moon Kim, MD, Allen Yu, BS, Zachary Marsh, BS, Walter Morales, BS, Gene Kim, BS, Stacy Weitsman, MS, Konstantinos Triantafyllou, MD, Mark Pimentel, MD, FACG, Christopher Chang, MD, PhD, Ewha Womans University, DaeJun, Republic of Korea, Kunyang University, DaeJun, Republic of Korea, GI Motility Program, Cedars-Sinai Medical Center, Los Angeles, CA, Attikon University General Hospital, Athens University, Greece P1709. High Prevalence of Subclinical Iron Deficiency in Patients With Irritable Bowel Syndrome Shadi Yarandi, MD, Jennifer Christie, MD, Gastroenterology, Johns Hopkins University, Baltimore, MD, Emory University, Atlanta, GA P1710. Folate Levels in Patients With Small Intestinal Bacterial Overgrowth (SIBO) Anna Platovsky, MD, Aaron Tokayer, MD, FACG, Internal Medicine, Montefiore Medical Center, Bronx, NY P1711. Plecanatide and SP-333, Novel Agonists of Guanylate Cyclase-C, Attenuate Visceral Hypersensitivity in Rat Models Kunwar Shailubhai, PhD, MBA, Illona-Marie Boulete, BSC, John Foss, PhD, E. Priya Eddy, PhD, Apoorva Joshi, MS, Viren Patwa, MS, Vassila Theodorou, PhD, Vaseem Palejwala, PhD, Lionel Bueno, PhD, Dr.es SC, Dr. Ing., Synergy Pharmaceuticals Inc., Doylestown, PA, UMR 1331 Toxalim INRA/INPT, Toulouse, France, Baruch S. Blumberg Institute, Doylestown, PA P1712. SP-333, a D-amino Acid Containing Peptide Agonist of Guanylate Cyclase-C Is a Novel Drug Candidate for Treatment of Gastrointestinal Disorders and Diseases Vaseem Palejwala, PhD, Apoorva Joshi, MS, Viren Patwa, MS, Stephen Comiskey, PhD, Rong Feng, PhD, John Foss, PhD, Kunwar Shailubhai, PhD, MBA, R&D, Synergy Pharmaceuticals, Inc, Doylestown, PA, Baruch S. Blumberg Institute, Doylestown, PA 114 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm FUNCTIONAL BOWEL DISORDERS CLINICAL VIGNETTES P1721. Prostate Cancer: A Novel Cause of Paraneoplastic Ileus Simranjit Singh, MD, Sahibzada Latif, MD, FACG, Fnu Sanna, MD, Dhananjay Kulkarni, MD, Carle Foundation Hospital, University of Illinois at Urbana-Champaign, Urbana, IL P1722. Does She Have a Double Stomach? Rotimi Ayoola, MD, Humberto Sifuentes, MD, Neal Patel, MD, Satish Rao, MD, PhD, FACG, Georgia Regents University, Augusta, GA ENDOSCOPY P1723. Practice Patterns of Endoscopic Ultrasound (EUS) With Fine Needle Aspiration in Pancreatic Mass Lesions Alexander Weick, MD, Vinay Katukuri, MD, Henry Ford Hospital, Detroit, MI P1724. Hemostatic Spray: What’s the Most Current Evidence? Salman Nusrat, MD, Owais Bhatti, MD, Muhammad Saad, MD, Mohammad Madhoun, MD, MSc, University of Oklahoma Health Sciences Center, Oklahoma, OK P1725. Factors Affecting Adverse Outcomes During Colonoscopy Salman Nusrat, MD, Sultan Mahmood, MD, Hussein Bitar, MD, William Tierney, MD, FACG, Klaus Bielefeldt, MD, FACG, Mohammad Madhoun, MD, FACG, Oklahoma University Health Sciences Center, Oklahoma City, OK, University of Pittsburgh Medical Center, Pittsburgh, PA P1726. Visualization Balloon Allows Successful Performance of Colonoscopy in Patients With Prior Documented Difficult Colon Anatomy: A Pilot Clinical Study Sergey Kantsevoy, MD, PhD, Marianne Bitner, CRNA, Deborah Hockett, BSN, RN, Deborah Pennington, MSN, RN, Karen Chapman, RN, Kathleen Maier, BSW, RN, CGRN, April Vilches, BSN, RN, Barbara O’Neil, RN, ADN, Mercy Medical Center, Baltimore, MD, University of Maryland School of Medicine, Baltimore, MD P1727. Overt Gastrointestinal Bleeding and Predictors of Rebleeding in Hematologic Malignancies Yezaz Ghouri, MD, Ankur Varma, MD, Sachin Batra, MD, MPH, Nirav Thosani, MD, MHA, Mehnaz Shafi, MD, FACG, Sushovan Guha, MD, PhD, FACG, University of Texas- Health Science Center at Houston, Houston, TX, MD Anderson Cancer Center, Houston, TX, Stanford University, Stanford, CA P1728. Evaluation of the Diagnostic and Therapeutic Utility of SingleBalloon Enteroscopy: A Single Center Experience Sherif Elhanafi, MD, Yi Jia, MD, Mohamed Othman, MD, Jiayang Liu, MS, Alok Dwivedi, PhD, Marc Zuckerman, MD, FACG, Division of Gastroenterology, Department of Internal Medicine, Texas Tech University Health Sciences Center, El Paso, TX, Division of Biostatistics and Epidemiology, Department of Biomedical Sciences, Texas Tech University Health Sciences Center, El Paso, TX P1729. Mapping of Endoscopy Unit Workflow in a Tertiary Care Teaching Hospital Souvik Sarkar, MD, PhD, Amir Masoud, MD, Brian Clark, MD, Keta Vaidya, MD, Nicole Loo, MD, Tarun Rustagi, MD, Avlin Imaeda, MD, PhD, John Allen, MD, MBA, FACG, Yale University School of Medicine, New Haven, CT P1730. Degree of Concordance Between Single Balloon Enteroscopy and Capsule Endoscopy for Obscure Gastrointestinal Bleeding After an Initial Positive Capsule Javier Nieves, MD, Seth Lipka, MD, Ashok Shiani, BS, Kerolos Fahmi, MD, Sahab Mustafa, MD, Ambuj Kumar, MD, MPH, Patrick Brady, MD, FACG, Javier Nieves, University of South Florida, Tampa, FL P1731. Does Intravenous Toradol Lower the Risk for Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis? Hussein Al-Hamid, MD, Wuttiporn Manatsathit, MD, Steve Chausse, MD, Hussein Ballout, MD, Mohammed Barawi, MD, St. John Hospital and Medical Center, Detroit, MI 115 POSTERS TUESDAY P1713. Validating a Brief Screening Questionnaire for IBS Patients With Symptoms Aggravated by GI-Specific Anxiety Jeffrey Lackner, PsyD, Brian Quigley, PhD, Gregory Gudleski, PhD, Jennifer Labus, PhD, Emeran Mayer, MD, Kirsten Tillisch, MD, Laurie Keefer, PhD, Darren Brenner, MD, Rebecca Firth, MHA, Theodore Pettle, MD, Bruce Naliboff, PhD, University at Buffalo School of Medicine, SUNY, Buffalo, NY, Northwestern University Feinberg School of Medicine, Chicago, IL, David Geffen School of Medicine at UCLA, Los Angeles, CA P1714. Characteristics of Healthcare Visits During the Crisis Year of Adolescents With Irritable Bowel Syndrome (IBS) Predict Future Gastrointestinal (GI) Healthcare Utilization Amir Kalani, MD, PhD, Meghan Gilroy, MD, Jessica Del Pozo, PhD, Tashia Orr, BSc, Michael Lawson, MD, PhD, Drexel University School of Medicine, Division of Internal Medicine, Philadelphia, PA, Kaiser Permanente Sacramento, Division of Gastroenterology, Sacramento, CA, University of California at Davis, Division of Internal Medicine, Davis, CA P1715. Reduced Healthcare Utilization Achieved by a Multidisciplinary Behavioral Intervention for Adolescents With Irritable Bowel Syndrome (IBS): Four Year Healthcare Utilization Data Including Diagnostic Imaging Studies, Number and Nature of Healthcare Visits 2014 ACG GutRunners Award 2014 ACG Presidential Poster Award Amir Kalani, MD, PhD, Meghan Gilroy, MD, Jessica Del Pozo, PhD, Tashia Orr, BSc, Michael Lawson, MD, PhD, Drexel University School of Medicine, Division of Internal Medicine, Philadelphia, CA, Kaiser Permanente Sacramento, Division of Gastroenterology, Sacramento, CA, University of California at Davis, Division of Internal Medicine, Davis, CA P1716. A Brief Evidence-Based Curriculum Can Improve Internal Medicine Residents’ Ability to Successfully Manage Irritable Bowel Syndrome and Reduce Unnecessary Diagnostic Testing Amoah Yeboah-Korang, MD, MPH, MSc, Shakthi Kumar, MD, Seema Gandhi, MD, Sharon Jedel, PsyD, Michael Brown, MD, Rush University Medical Center, Chicago, IL P1717. Anorectal and Defecography Parameters in Patients With Contrast Retaining Rectocele Katerina Shetler, MD, Taehyun Chung, MD, Kagay Christopher, MD, Knowles Sarah, Qiwen Huang, Sergii Bhkhtii, MD, William Snape, Palo Alto Medical Foundation, Mountain View, CA, California Pacific Medical Center, San Francisco, CA, Palo Alto Medical Foundation Research Institute, Palo Alto, CA, Regional Hospital, Zaporozhye, Ukraine P1718. Age-Related Health Care Disparities in Patients With Irritable Bowel Syndrome: Findings From a Sample of Commercially Insured Patients 2014 ACG Presidential Poster Award Brian Lacy, MD, PhD, Haridarshan Patel, PharmD, Annie Guérin, MSc, Katherine Dea, MSc, Reza Alaghband, PhD, Eric Q. Wu, PhD, Justin Scopel, MD, MBA, Reema Mody, PhD, Dartmouth Hitchcock Medical Center, Lebanon, NH, Global Outcomes and Epidemiology Research, Takeda Pharmaceuticals International, Inc., Deerfield, IL, Analysis Group, Inc., Boston, MA, Global Medical Affairs, Takeda Pharmaceuticals International, Inc., Deerfield, IL P1719. Regional Variation of Care for Irritable Bowel Syndrome in the United States Brian Lacy, MD, PhD, Haridarshan Patel, PharmD, Annie Guérin, MSc, Katherine Dea, MSc, Reza Alaghband, PhD, Eric Q. Wu, PhD, Justin Scopel, MD, MBA, Reema Mody, PhD, Dartmouth-Hitchcock Medical Center, Lebanon, NH, Global Outcomes and Epidemiology Research, Takeda Pharmaceuticals International, Inc., Deerfield, IL, Analysis Group, Inc., Boston, MA, Global Medical Affairs, Takeda Pharmaceuticals International, Inc., Deerfield, IL P1720. Eluxadoline Demonstrates Efficacy in IBS-D Loperamide Treatment Failures Brian Lacy, PhD, MD, FACG, June Almenoff, MD, PhD, David Andrae, PhD, Lisa Turner, RPh, Rocio Lopez, PhD, Scott Dove, PhD, Paul Covington, MD, Dartmouth-Hitchcock Medical Center, Lebanon, NH, Furiex Pharmaceuticals, Morrisville, NC For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1732. Novel Cost Effective Application of Multiband Ligator in Endoscopic Mucosal Resection Carson Keck, MSIII, Mudit Chowdhary, MSIII, Minh Hang, MSII, Ali Keshavarzian, MD, Shahriar Sedghi, MD, Mercer University School of Medicine, Macon, GA, Rush University Medical Center, Chicago, IL P1733. Outcomes in Bloodless Medicine Patients With Acute Gastrointestinal Bleeding Umangi Patel, MD, Caroline Kerner, MD, MSCE, Chantal Lewis, MD, Amol Agarwal, BS, Patricia Ford, MD, University of Pennsylvania Health System, Philadelphia, PA P1734. Endoscopic PEG Replacement Versus External PEG Replacement: An Outcome Analysis Taruna Bhatia, MD, Muhammad Virk, MD, Sofia Nigar, MD, Manhal Izzy, MD, Faraj Karagoli, MD, MPH, Sury Anand, MD, Gastroenterology, The Brooklyn Hospital Center, New York, NY, Columbia Presbyterian Medical Center, New York, NY, Montefiore Medical Center, New York, NY P1735. Is Body Mass Index an Independent Predictor of Inadequate Bowel Preparation Mustafa Huseini, MD, Kimberly Fairley, DO, Kimberly Chaput, DO, Amir Rezk, MD, C.Nishal Ravindran, MD, Michael Komar, MD, FACG, Nicholas Inverso, MD, Gastroenterology, Geisinger Medical Center, Danville, PA P1736. Endoscopic Full Thickness Gastric Wall Resection for Tumors Originating From Deep Muscularis Propria Bing-Rong Liu, MD, PhD, Lingjian Kong, MD, The Second Affiliated Hospital of Harbin Medical University, Harbin, China P1737. Endoscopic Transoral Reduction (TORe) for Treatment of Weight Regain After Roux-en-Y Gastric Bypass (RYGB): A Meta-Analysis Saurabh Mukewar, MBBS, Nitin Kumar, MD, Pichamol Jirapinyo, MD, Haasan Ghoz, MBBCh, Christopher Thompson, MD, MSc, Christopher Gostout, MD, Barham Abu Dayyeh, MD, MPH, Mayo Clinic, Rochester, MN, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA P1738. Needle Based Confocal Endomicroscopy for Pancreatic Cysts: Is There Any Agreement in Interpretation? Kunal Karia, MD, Irving Waxman, MD, Vani Konda, MD, Frank Gress, MD, Amrita Sethi, MD, Uzma Siddiqui, MD, Reem Sharaiha, MD, Prashant Keida, MD, Armeen Jamal-Kabani, FNP-BC, Monica Gaidhane, MD, MPH, Michel Kahaleh, MD, FACG, Division of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, NY, The University of Chicago Medicine, Chicago, IL, Columbia University, New York, NY P1739. Endoscopic Suturing Registry: A Single Center’s Two-Year Experience Rani Modayil, MD, David Friedel, MD, Maria Marotta-Kollarus, RN, James Grendell, MD, John Allendorf, MD, Stavros Stavropoulos, MD, Winthrop University Hospital, Mineola, NY P1740. Predictors of Gastrointestinal Bleeding and Incidence of Recurrence After Endoscopic Intervention Among Recipients of Left Ventricular Assist Device Ali Abbas, MD, MPH, Haseeb Jabbar, MD, Mustafa Mohammed Ahmed, MD, Charles T Jr Klodell, MD, Peter Draganov, MD, FACG, University of Florida, Department of Medicine, Gainesville, FL, University of Florida, Division of Thoracic and Cardiovascular Surgery, Gainesville, FL, University of Florida, Division of Cardiovascular Medicine, Gainesville, FL, University of Florida, Division of Gastroenterology and Hepatology, Gainesville, FL P1741. Safety and Economic Feasibility of Endoscopic Ultrasonography (EUS) in a Free-Standing Ambulatory Surgery Center (ASC) Is Comparable to Colonoscopy Brenda Valencia, AGTS, Mankanwal Sachdev, MD, Debi Bradley, MSNLRN, Ananya Das, MD, FACG, Arizona Advanced Endoscopy, Gilbert, AZ P1742. Impact of Inadequate Preparation for Inpatient Colonoscopy and Identification of Potential Risk Factors 2014 ACG Presidential Poster Award Elyse Johnston, MD, Rena Yadlapati, MD, Rajesh Keswani, MD, FACG, Northwestern University, Chicago, IL For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1743. A Retrospective Evaluation of Quality in Photo-Documentation During Colonoscopy Mohamed Bayoumi, MD, Brendon Maher, BS, Michael Hsu, MD, Edwin McDonald, MD, Michael Brown, MD, FACG, Gastroenterology, Rush University, Chicago, IL P1744. Factors Associated With Number of Duodenal Samples Obtained in Suspected Celiac Disease in a Community Setting Leonid Shamban, DO, Serge Sorser, MD, Stan Naydin, BSPS, Mousa Shukr, MD, Charlotte Wiemann, MD, Daniel Yevsyukov, MD, Michael Piper, MD, FACG, Bradley Warren, DO, FACG, Providence Hospital Medical Center, Southfield, MI, St. Luke’s Hospital, Milwaukee, WI P1745. Novel Colonoscopy Preparation of Organic Coconut Water With Miralax® and Dulcolax® in Split Doses for Decompensated Cirrhotics. A Randomized Double Blinded Open Labelled Clinical Pilot Single Centered Observational Study. COSMIC Study Patrick Basu, MD, MACG, Niraj Shah, MD, Mark Aloysius, MD, David Lee, MD, Frank Gress, MD, Columbia School of Physicians and Surgeons, New York, NY, King’s County Hospital Medical Center, Brooklyn, NY, Brooklyn, NY, James J. Peters VA Medical Center, Icahn School of Medicine at Mount Sinai, NY, Bronx, NY P1746. Endoscopic Yield and Appropriateness of Esophagogastroduodenoscopy (EGD) in a Community Hospital-Based Gastroenterology Practice Yogita Fotaria, MD, Scott Rathgaber, MD, Gastroenterology, Gundersen Health System, La Crosse, WI P1747. Yield of Balloon Assisted Enteroscopy After Abnormal Capsule Endoscopy Depends on the Source of the Capsule Endoscopy Andrea Rodriguez, MD, Seth Lipka, MD, Kirbylee Nelson, MD, Ashley Davis-Yadley, MD, Vignesh Doraiswamy, BS, Roshanak Rabbanifard, MD, Ambuj Kumar, MD, MPH, Patrick Brady, MD, FACG, University of South Florida Morsani College of Medicine, Department of Medicine, Tampa, FL, University of South Florida Morsani College of Medicine, Department of Digestive Diseases and Nutrition, Joy McCann Culverhouse Center for Swallowing Disorders, Tampa, FL, University of South Florida Morsani College of Medicine, Department of Medicine, Division of Evidence Based Medicine and Outcomes Research, Tampa, FL, University of South Florida Morsani College of Medicine, Tampa, FL P1748. Successful Endoscopic Closure of Tracheoesophageal Fistula With APC and EVICEL Fibrin Sealant Josh Wilson, MD, P. Wesley Benson, MD, John Evans, MD, Wake Forest Baptist Health, Winston Salem, NC P1749. The Utility of an Upper Esophagogastroduodenoscopy in Patients Who Are Scheduled to Undergo an Upper Endoscopic Ultrasound Examination Ravi Vora, MD, Amar Mandalia, MD, Xiao Jing Wang, MD, Tilak Shah, MD, Kevin Woods, MD, MPH, Steven Keilin, MD, Field Willingham, MD, MPH, Qiang Cai, MD, PhD, Internal Medicine, Emory University School of Medicine, Atlanta, GA, Emory University School of Medicine, Department of Internal Medicine, Division of Digestive Diseases, Atlanta, GA P1750. The Utility of an Upper Esophagogastroduodenoscopy in Patients Who Are Scheduled to Undergo an Upper Endoscopic Ultrasound Examination Ravi Vora, MD, Xiao Wang, MD, Tilak Shah, MD, Kevin Woods, MD, MPH, Steven Keilin, MD, Field Willingham, MD, MPH, Qiang Cai, MD, PhD, FACG, Emory University School of Medicine, Atlanta, GA P1751. Factors That Influence the Efficiency of an Endoscopy Unit: A Patient Flow Analysis Rowena Almeida, MD, Nancy Craig, BA, BEd, Lawrence Hookey, MD, Gastrointestinal Diseases Research Unit, Queen’s University, Kingston, ON, Canada P1752. Endoscopic Versus Surgical Resection for Benign Complex Colon Polyps: Practice Patterns at an Academic Medical Center and Factors Influencing Management Anna Lipowska, MD, Srinadh Komanduri, MD, Rajesh Keswani, MD, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 116 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1764. Small Bowel Capsule Endoscopy in Patients With Implantable Cardiac Defibrillators and Permanent Pacemakers Anjuli Luthra, MD, John Evans, MD, Department of Gastroenterology, Wake Forest University, Winston Salem P1765. Gastric Cardia Intestinal Metaplasia Is Common in Schatzki’s Ring: Study of Resection Specimens Diana Winston, MD, MPH, Moises Guelrud, MD, Tufts Medical Center, Boston, MA P1766. POSTER WITHDRAWN ENDOSCOPY - CLINICAL VIGNETTES P1767. Enterocutaneous Fistula Plug Placement as a Successful Endoscopic Intervention for Management of a Refractory Gastrocutaneous Fistula 2014 ACG Clinical Vignette Award 2014 ACG Presidential Poster Award Khadija Chaudrey, MD, John Maple, DO, FACG, Gastroenterology, Oklahoma University Health Science Center, Oklahoma City, OK P1768. Interesting Case of Retained Wireless Capsule Despite Successful Passage of Patency Capsule in a Patient With Crohn’s Disease Raxitkumar Jinjuvadia, MD, MPH, Sandeep Walia, MD, Samir Bhalla, MD, Yousuf Siddiqui, MD, Internal Medicine, Henry Ford Hospital, Detroit, MI P1769. Gastric Heterotopic Pancreas Complicated by Pancreatitis and Pseudocyst Formation, a Rare Complication of an Uncommon Lesion Armen Eskandari, MD, Eric Choi, MD, University of California Riverside- Department of Medicine, Riverside, CA, Division of Gastroenterology and Hepatology- Riverside Medical Clinic, Riverside, CA P1770. Unusual Complications Related to Endoscopic Retrograde Cholangiopancreatography With a Focus on Air Embolism Mohsen Khan, DO, Omat Hassan, BA, Marc Fine, MD, Advocate LGH, Park Ridge, IL P1771. Gastric Adenocarcinoma in an Excluded Stomach Diagnosed by Double Balloon Enteroscopy Deena Midani, MD, Adam Ehrlich, MD, MPH, Truptesh Kothari, MD, Stephen Heller, MD, Medicine/Gastroenterology, Temple University School of Medicine, Philadelphia, PA, Fox Chase Cancer Center, Philadelphia, PA P1772. The Unique Utility of EUS in Diagnosis of Substernal Retroesophageal Thyroid Masses Sadra Azizi, MD, Shawn Chaudhary, MD, Shannon Comley-Sood, DO, Todd Beyer, MD, Vinay Sood, DO, Albany Medical Center, Albany, NY P1773. Sucessful Endoscopic Stenting of an Anastomotic Leak Following Gastric Bypass Surgery Sadra Azizi, MD, Shawn Chaudhary, MD, Vinay Sood, MD, Albany Medical Center, Albany, NY P1774. Foreign Body Ingestion Masquerading as Crohn’s Disease Audrey Pintcke, Student DO, Ahmad Awan, MD, Hattiesburg Clinic, Hattiesburg, MS, Forrest General Hospital, Hattiesburg, MS P1775. Endoscopic Ultrasound-Guided Ethanol Ablation of a Large Metastatic Carcinoid Tumor: success With a Note of Caution Bradley Mathers, MD, Charles Dye, MD, Harold Harvey, MD, Matthew Moyer, MD, Internal Medicine, Penn State Hershey Medical Center, Hershey, PA P1776. A Rare Case of Aorto-Jejunal Fistula Diagnosed Via Video Capsule Endoscopy Nooshin Hosseini, MD, Lawrence Murphy, MD, Kanishka Bhattacharya, MD, Christopher Marshall, MD, University of Massachusetts Medical School, Worcester, MA 117 POSTERS TUESDAY P1753. Prospective Evaluation of the Clinical Utility of LaparoscopyAssisted ERCP in Patients With Roux-en-Y Gastric Bypass Disaya Chavalitdhamrong, MD, Mihir Wagh, MD, FACG, Luis Lara, MD, Kfir Ben-David, MD, Peter Draganov, MD, FACG, Division of Gastroenterology, University of Florida, Gainesville, FL, Gastroenterology and Hepatology, Cleveland Clinic Florida, Weston, FL, Department of Surgery, University of Florida, Gainesville, FL P1754. U.S. Gastroenterology Fellowship Programs Are Not Practicing Competency Based Medical Education in Endoscopy Training: National Survey of GI Program Directors and GI Trainees Swati Patel, MD, MS, Rajesh Keswani, MD, Grace Elta, MD, FACG, Lindsay Hosford, BA, Aimee Myers, BS, Dennis Ahnen, MD, FACG, Philip Schoenfeld, MD, MEd, MSc, FACG, Sachin Wani, MD, University of Michigan Health System, Ann Arbor, MI, Northwestern University, Chicago, IL, University of Colorado Anschutz Medical Campus, Aurora, CO P1755. A Randomized Controlled Trial Comparing 3 Regimes of Colon Preparation Evaluating the Patient Satisfaction and Quality of Colonoscopy Griselda Martínez, MD, Oscar Teramoto, MD, Alejandro Angeles-Labra, MD, Felipe Zamarripa, MD, María Elena Hernández, MD, Miguel Camacho, MD, Adrian Gollas, MD, GI, ABC Medical Center, Mexico D.F., Mexico, Hospital Juárez de México, México D.F., Mexico, Hospital General de Zona “Dr. Ignacio Zaragoza” ISSSTE, México D.F., Mexico P1756. New Peritoneal Access for NOTES: Esophago-Cardial-GastricTunneling Access Bing-Rong Liu, MD, PhD, Ji-Tao Song, MD, The Second Affiliated Hospital of Harbin Medical University, Harbin, China P1757. Clinical Value of Continuous Peritoneal Lavage for the Treatment of Iatrogenic Peritonitis After Endoscopic Intervention Bing-Rong Liu, MD, JingYang Liu, MM, The Second Affiliated Hospital of Harbin Medical University, Harbin, China P1758. Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Analysis of 846 Cases in China Xiaowei Tang, MD, Wei Gong, MD, PhD, Bo Jiang, MD, PhD, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China P1759. Systematic Review: The Role of Spyglass™ Direct Visualization System in the Management of Biliary Disorders Xiaowei Tang, MD, Wei Gong, MD, PhD, Bo Jiang, MD, PhD, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China P1760. Endoscopic Management of Dieulafoy Lesion and Long-term Outcomes Xiaowei Tang, MD, Wei Gong, MD, PhD, Bo Jiang, MD, PhD, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China P1761. Diagnostic and Therapeutic Endoscopic Retrograde Cholangiopancreatography (ERCP) in Children: A Two Center Experience in China Xiaowei Tang, MD, Wei Gong, MD, PhD, Bo Jiang, MD, PhD, Zhining Fan, MD, PhD, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China, the First Affiliated Hospital With Nanjing Medical University, Nanjing, China P1762. Endoscopic Submucosal Tunnel Technique for the Treatment of Gastric Submucosal Tumors Xiaowei Tang, MD, Wei Gong, MD, PhD, Bo Jiang, MD, PhD, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China P1763. Endoscopic Submucosal Tunnel Dissection for Submucosal Tumors of the Esophagogastric Junction Originating From the Muscularis Propria Xiaobing Cui, MD, Wei Gong, MD, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm P1777. Eosinophilic Granulomatosis With Polyangiitis With Diffuse Gastrointestinal Involvement Diana Franco, MD, Kevin Ruff, MD, Lester Mertz, MD, Dora LamHimlin, MD, Russell Heigh, MD, FACG, Mayo Clinic, Internal Medicine, Scottsdale, AZ, Mayo Clinic, Gastroenterology, Scottsdale, AZ, Mayo Clinic, Rheumatology, Scottsdale, AZ, Mayo Clinic, Pathology, Scottsdale, AZ P1778. A Case of Accidental 30% Hydrogen Peroxide Ingestion Edward Villa, MD, Rozana Asfour, MD, Nelson Moy, MD, Michael Klamut, MD, Internal Medicine, Loyola University of Chicago, Chicago, IL P1779. Endoscopic Placement of Gel Foam Achieves Hemostasis of Lower Gastrointestinal Bleed Andrew Mazulis, MD, Catherine Ly, DO, Baseer Qazi, MD, Slawomir Marecik, MD, Internal Medicine, Lutheran General Hospital, Park Ridge, IL P1780. Retroperitoneal Abscess Following EUS-Guided Celiac Plexus Block Benjamin Stein, MD, TImothy Gardner, MD, FACG, John Levenick, MD, Stuart Gordon, MD, Edward Merrens, MD, Richard Zuckerman, MD, Dartmouth Hitchcock Medical Center, Lebanon, NH P1781. Epidermoid Cyst of Pancreas Can Be Safely and Precisely Diagnosed by EUS Guided FNA Muhammad Ali Khan, MD, Sehrish Kamal, MD, Vasuki Anandan, MD, Zarine Kamaluddin, MD, Ali Nawras, MD, FACG, University of Toledo, Toledo, OH P1782. Diagnosis of Primary Follicular B Cell Non Hodgkin Lymphoma of the Spleen by EUS Guided FNA Muhammad Ali Khan, MD, Sehrish Kamal, MD, Muhammad Imran Khan, MD, Tariq Hammad, MD, Yaseen Alastal, MD, Ali Nawras, MD, FACG, University of Toledo, Toledo, OH P1783. Colonoscope Incarceration Resulting in Colonic Perforation Repaired Using Endoclips Justin Horwitz, DO, Duane Moise, DO, Carolinas Healthcare SystemBlue Ridge, Valdese, NC P1784. Case Report: Successful Endoscopic Pancreatic Necrosectomy in 5-Year-Old Child Joan Kheder, MD, Swapnil Munsaf, MD, Wahid Wassef, MD, MPH, FACG, University of Massachusetts Medical School, Worcester, MA PEDIATRICS P1785. Effects of Dietary Intervention on Breath Volatile Organic Compounds in Obese Children With Hypercholesterolemia Ammar Matloob, MD, Michael Macknin, MD, Sara Lappe, MD, David Grove, PhD, Frank Cikach, BS, Vera Okwu, MD, Sarah Worley, MS, Raed Dweik, MD, Naim Alkhouri, MD, Cleveland Clinic - Department of Pediatric Gastroenterology, Cleveland, OH, Cleveland Clinic Department of Pediatrics, Cleveland, OH, Cleveland Clinic - Department of Pathobiology, Cleveland, OH, Cleveland Clinic - Respiratory Institute, Cleveland, OH P1786. Lymphocytic Colitis in Children: 5-ASAs as Effective Treatment Divya Mirchandani, MD, Samra Blanchard, MD, William Twaddell, MD, Anjali Malkani, MBBS, University of Maryland, Baltimore, MD P1787. Treatment Options for Nonalcoholic Fatty Liver Disease in Children: A Systematic Review Nidhi Rawal, MD, MPH, Anca Safta, MD, Anjali Malkani, MD, Shamila Zawahir, MD, Runa Watkins, MD, Howard Kader, MD, Samra Blanchard, MD, Pediatric GI, Hepatology and Nutrition, Univeristy of Maryland, Baltimore, MD For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. P1788. PELD and BALF Scores Demonstrate Similar Reliability for Predicting Acute on Chronic Liver Failure and Death in Biliary Atresia Patients 2014 ACG Fellow Award 2014 ACG Presidential Poster Award Thaddaeus May, MD, Charles Ho, MD, Jacob Smith, MD, Ross Pepper, MD, Jesal Shah, MD, Ross Shepherd, MD, Pediatric Gastroenterology, Hepatology, and Nutrition, Baylor College of Medicine, Houston, TX, Rice University, Houston, TX PEDIATRICS - CLINICAL VIGNETTES P1789. Fluoxetine-Induced Transaminitis in an Adolescent Patient Elizabeth Collyer, MD, Marsha Kay, MD, FACG, Cleveland Clinic Children’s, Cleveland, OH P1790. Large Splenomegaly, Mediastinal and Pulmonary Nodularity, and Elevated Transaminases Associated With Non-Necrotizing Granulomatosis of Liver and Spleen in an 8-Year-Old Boy Narmer Galeano, MD, Dennis Kuo, MD, Kathleen Haines, MD, Orestes Sanchez, MD, David Goldberg, MD, St. Joseph’s Children’s Hospital, Paterson, NJ, Hackensack University Medical Center, Hackensack, NJ P1791. Evaluation of Therapeutic Uses of Endoscopic Ultrasonography in Pediatric Patients: A Case Series Yi Jia, MD, PhD, Mohamed Othman, MD, FACG, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX COLORECTAL CANCER PREVENTION P1792. Surveillance Colonoscopy Interval: A Regression Model that Renders Pathology Unnecessary Ethan Bortniker, MD, Michael Tadros, MD, John Birk, MD, FACG, University of Connecticut, Farmington, CT P1793. IBD Patients Have a Lower Adenoma Detection Rate Than the Average-Risk Screening Population at a University Medical Center Steven Zeddun, MD, Abdullah Al-Shahrani, MD, Vikesh Khanijow, MD, Lakshmi Lattimer, MD, Timothy Dougherty, MD, Wadha Al-Jaser, MD, Brandon Rieders, MD, Marie Borum, MD, EdD, MPH, FACG, Division of Gastroenterology and Liver Diseases, George Washington University, Washington, DC P1794. A High Adenoma Detection Rate Does Not Decrease Gender Disparity in Polyp Detection Steven Zeddun, MD, Brandon Rieders, MD, Lakshmi Lattimer, MD, Timothy Dougherty, MD, Marie Borum, MD, EdD, MPH, FACG, Division of Gastroenterology and Liver Diseases, George Washington University, Washington, DC P1795. Colorectal Cancer in the Bahamian Population Anjali Chandra, MD, Eugene Cooper, MD, Princess Margaret Hospital, New Providence, Bahamas P1796. Differential Expression of Cohesin SA in Early Colorectal Carcinogenesis: Potential Biomarker for Racial Disparities Ehsan Chitsaz, MD, MHSc, Mart DeLaCruz, BS, MSc, Audrey Calderwood, MD, Ramesh Wali, PhD, Navneet Momi, PhD, Jaclyn Weinstein, BA, MS, Ari Davis, BS, Hemant Roy, MD, Department of Medicine, Boston University Medical Center, Boston, MA P1797. The Quality of Medical Care and the Burden of Colorectal Cancer in the Universal Health Care System in Thailand Satimai Aniwan, MD, Sombat Treeprasertsuk, MD, Kamthorn Phaosawasdi, MD, Chulalongkorn University, Bangkok, Thailand, Vichaiyut Hospital and Medical Center, Bangkok, Thailand P1798. Predictors of Guideline-Consistent Colon Cancer Surveillance Recommendations After Polypectomy Zachary Freeland, BS, Ben Kahn, MD, Christian Mayorga, MD, Samir Gupta, MD, FACG, Amit Singal, MD, FACG, Gastroenterology, UT Southwestern Medical Center, Dallas, TX, UC San Diego, San Diego, CA 118 Poster Presentations – Tuesday, October 21, 10:30 am - 4:00 pm COLORECTAL CANCER PREVENTION CLINICAL VIGNETTES P1811. Bowel Preparation: A Rare Cause of Focal Seizures – A Case Report and Review Kenechukwu Chudy-Onwugaje, MD, MPH, Kevin Tin, MD, Yuriy Tsirlin, MD, FACG, Ira Mayer, MD, FACG, Rabin Rahmani, MD, FACG, Gastroenterology, Maimonides Medical Center, Brooklyn, NY ENDOSCOPY VIDEO FORUM P1812. Closure of a Non-Healing PEG-Induced Fistula Tract Using a Novel Endoscopic Technique Philip Smith, BMedSci (Hons), BMBS (Hons), MSc (Nutrition), Cheryl McKenzie, RN, Laith Alrubaiy, MBBS, Jim Buenaventura, RN, Sami Hoque, MD, PhD (Edin), Department of Gastroenterology, Whipps Cross University Hospital, Barts Health NHS Trust, London, United Kingdom, College of Medicine, Swansea University, Swansea, United Kingdom P1813. Direct Peroral Cholangioscopy in a Transplanted Patient With Anastomotic Stricture and Choledocholithiasis Eduardo Rodrigues-Pinto, MD, Pedro Pereira, MD, Susana Lopes, MD, Guilherme Macedo, PhD, FACG, Gastroenterology, Centro Hospitalar São João, Porto, Portugal P1814. The Use of Hemospray® in Refractory Post-Polypectomy Bleeding From a Large Antral Polyp Joseph Marsano, MD, Seth Gross, MD, FACG, New York University School of Medicine, Department of Internal Medicine, New York, NY, New York University School of Medicine, Division of Gastroenterology, New York, NY P1815. Endoscopic Ultrasound Findings in Autoimmune Pancreatitis With IgG4-Associated Cholangiopathy Harshit Khara, MD, Shivangi Kothari, MD, Truptesh Kothari, MD, Vivek Kaul, MD, FACG, David Diehl, MD, Amit Johal, MD, Geisinger Medical Center, Danville, PA, Gastroenterology / Hepatology, University of Rochester Medical Center, Rochester, NY P1816. Idiopathic Ileocolonic Varices: Combined GI-Surgery Approach for Management of a Rare Condition Brian Lim, MD, Sarah Thomas, MD, Robert Rudek, MD, Charles Chaya, MD, Ales Pindur, MD, Emily Phan, MD, Albert Ko, MD, Michael Lawrence, MD, Robert Wen, MD, James Ma, MD, Gastroenterology, Kaiser Permanente Riverside Medical Center, Riverside, CA, UC Riverside, School of Medicine, Riverside, CA P1817. Endoscopic Technique for Successful Hemostasis in Massive Diverticular Bleed and the Importance of Rapid Bowel Prep Jennifer Slane, DO, Shahzad Iqbal, MD, Winthrop University Hospital, Mineola, NY P1818. Night Out for Steak and Band: Innovative Use of the Multiple Band Ligator in Endoscopic Management of Esophageal Food Bolus Impaction 2014 ACG Presidential Poster Award Joelle Roskens, RN, Sarah Matchan, CMA, Angela Deubel, PA-C, Stephen Nanton, MD, FACG, Avera McKennan Hospital and University Health Center, Sioux Falls, SD 119 POSTERS TUESDAY P1799. Discordant Regulation of Colonic Mucosal Fatty Acid Synthase (FASN) in African Americans and Caucasians: Implications for Colorectal Cancer Disparities Mart DeLaCruz, BS, Jaclyn Weinstein, MS, Audrey Calderwood, MD, Ramesh Wali, PhD, Navneet Momi, PhD, Hemant Roy, MD, Medicine, Boston University Medical Center, Boston, MA P1800. Barriers to Colorectal Cancer Screening by Colonscopy in a Suburban Low-Income Pennsylvania Clinic Shelini Sooklal, MD, Susannah Stair, MD, Harvey Hakim, MD, Easton Hospital, Easton, PA P1801. Association of Family Discussions About Colorectal Cancer and Uptake of Screening Among an Underserved Population Kolapo Idowu, MD, Babafemi Adenuga, MD, Feremusu Kamara, MD, Oritsetsemaye Otubu, MD, Finie Hunter-Richardson, MPH, Krishnan Narasimhan, MD, Adeyinka Laiyemo, MD, MPH, Medicine, Howard University, Washington, DC P1802. Colonoscopy or CT Colonography: Patient Preference for Colorectal Cancer Screening Joshua Samuel, MD, Nicholas Agresti, MD, Juan Munoz, MD, Juan Blum-Guzman, MD, UF Health Jacksonville, Jacksonville, FL P1803. Pathogenetic Differences in the Progression of MLH1 Intact and Deficient Sessile Serrated Adenomas Kevin Turner, DO, Mark Redston, MD, Miraca Life Sciences Research Institute, Irving, TX P1804. Outcomes of Next Day Colonoscopy Versus Non-next Day Colonoscopy After Initial Colonoscopy With Inadequate Bowel Preparation John Fang, MD, Jewel Samadder, MD, Gastroenterology, University of Utah, Salt Lake City, UT P1805. Barriers to Colorectal Cancer Screening Between Arab American and Southeast Asian Americans Faris El-Khider, MD, Nizar Talaat, MD, Maher Tama, MD, Athar Haq, DO, Ritu Gupta, DO, Wayne State University, Detroit, MI, Oakwood Hospital, Dearborn, MI P1806. Using Life Expectancy to Determine the Appropriateness of Screening or Surveillance Colonoscopy Among Elderly Patients Lisa Lin, MD, MS, Oren Bernheim, MD, Akash Kumar, MD, Steven Itzkowitz, MD, FACG, Lina Jandorf, MA, Brijen Shah, MD, FACG, The Samuel Bronfman Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, The Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, The Division of Cancer Prevention and Control, Icahn School of Medicine at Mount Sinai, New York, NY P1807. Starting Gastroenterology Fellowship Increased the Adenoma Detection Rate in a University Practice Sherif Elhanafi, MD, Indika Mallawaarachchi, MS, Wynee Lou, DO, Gabriela Rangel, MD, Rahul Chhana, BS, Hongfei Fang, BS, Rinkal Raj Patel, BS, Alok Dwivedi, PhD, Marc Zuckerman, MD, FACG, Mohamed Othman, MD, Division of Gastroenterology, Department of Internal Medicine, Division of Biostatistics and Epidemiology, Department of Biomedical Sciences, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX P1808. Expand the View but Keep Your Scope: Initial Results Using the Third Eye® Panoramic Cap™ for Colonoscopy Moshe Rubin, MD, FACG, Svetlana Fridlyand, DO, Konika Bose, MD, Sang Kim, MD, FACG, New York Hospital Queens Weill-Cornell Medical College, Flushing, NY P1809. Randomized Trial of Competing Strategies for Colorectal Cancer Screening: A 3-Year Follow-up Peter Liang, MD, MPH, Chelle Wheat, MPH, John Inadomi, MD, FACG, Division of Gastroenterology, University of Washington School of Medicine, Seattle, WA, Department of Health Services, University of Washington School of Public Health, Seattle, WA P1810. Instructional Video Improves the Quality of Bowel Preparation for Colonoscopy 2014 ACG Presidential Poster Award Dilip Bearelly, MD, Saket Kottewar, MD, Ashraf Almashhrawi, MD, Wade Davis, PhD, John Marshall, MD, FACG, Jamal Ibdah, MD, PhD, University of Missouri, Columbia, MO For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. General Information Registration noted on the pre-registration form. Details for optional Friday courses begin on page 10. Pre-Registration You may pre-register for the ACG Annual Scientific Meeting and Postgraduate Course, and other half-day and full-day optional programs in one of three ways: 1.Online – You may register online at ACG’s secure website at www.acgmeetings.gi.org. 2.Fax – You may fax your completed pre-registration form (with credit card information) to ACG at 301-263-9025. The Registration Form can be found on page 125. 3.Mail – You may mail your completed pre-registration form with payment to: American College of Gastroenterology 6400 Goldsboro Road, Suite 200 Bethesda, MD 20817-5842 Deadline for receipt of pre-registration is September 24, 2014. All preregistrations received prior to September 24 will be acknowledged. Onsite Registration After September 24, 2014, registration will only be available onsite at the Pennsylvania Convention Center, on a space available basis. Pre-registration is strongly recommended. The onsite ACG Registration Desk will be located in the Broad Street Atrium at the Pennsylvania Convention Center. Cancellation Written notice of cancellation and requests for refunds must be received by the College’s office by September 24, 2014. After this date, no refunds will be possible. Registration cancellations are not accepted by telephone. An explanation must be provided in writing. There will be a $50 administrative fee assessed for cancellation of any paid event. Refunds will be issued after the meeting. Meeting Materials Meeting materials (including name badges and optional event tickets) will be available for pick-up onsite at the ACG Registration Desk beginning on Friday, October 17. The onsite ACG Registration Desk will be located in the Broad Street Atrium at the Pennsylvania Convention Center. Registrants of the Postgraduate Course and the Annual Scientific Meeting may choose to receive either a printed copy of the meeting syllabus or a PDF of the syllabus on a USB drive. There is a separate charge to purchase both the USB version and the printed version of either syllabus Annual Postgraduate Course – Saturday, October 18 and Sunday, October 19 All registrants will receive a separate printed Self-Assessment Test and may choose to purchase advance online access to the Test (deadline for advance access purchase is September 5, 2014). The 2014 Self-Assessment Test will offer 35 hours of CME. The Postgraduate Course again offers registrants the opportunity to participate in the optional Learning Luncheon programs. Participation will be by pre-registration only. There is a separate charge of $75 per ticket for the Learning Luncheons. There are a limited number of participants who may attend each Learning Luncheon. Because participation is limited in each session, you will need to provide your top five Learning Luncheon choices when completing your pre-registration form. Registration forms will be processed in order of receipt and must be accompanied by payment of the registration fee in full. All registrants of the Postgraduate Course may choose to receive the printed syllabus or a USB drive, which includes a PDF of the syllabus. For course details, see page 17. Annual Scientific Meeting — Monday through Wednesday, October 20 through 22 There is no registration fee for ACG Members (including FACG and MACG), Residents/Trainee/Candidate Members, NP/PA Members, and Allied Health Members. In addition, Residents/Non-Member Trainees will have their registration fee waived if they provide a letter from their Program Director indicating they are currently in training. Guests/Non-Member Physicians/Non-Member PharmDs/Exhibitors are required to submit a registration fee. Non-Member Nurse Practitioners, Physician Assistants, Allied Health Professionals and Practice Managers are also required to submit a registration fee. All registrants of the Annual Scientific Meeting may choose to receive a printed copy of the meeting syllabus or a USB drive which includes a pdf of the syllabus. Attendees of the optional Breakfast Sessions will receive an additional syllabus which includes the presentations for all breakfast sessions. Tickets for the optional breakfast sessions on Monday, Tuesday and Wednesday may be purchased for an additional charge by indicating your preference on the registration form. There are a limited number of participants who may attend each breakfast session. Because participation is limited in each session, you will need to provide your top three breakfast session choices when completing your pre-registration form. There is a separate charge of $60 per ticket for the breakfast session. For course details, see page 23. Procedures to Claim CME Optional Courses – Friday, October 17 Optional Friday courses to be offered at ACG 2014 include: GI Pathology and Imaging Course; What’s New in GI Pharmacology Course; Practice Management Course; and Recertification Preparation and Update Course. In addition, the ASGE will offer a one-day Endoscopy course. Separate registration fees apply for all optional Friday courses and are For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 120 Attendees of the ACG 2014 educational activities may claim CME or print a Certificate of Attendance in one of two ways: 1. Visit the CME kiosks located near ACG Registration in the Convention Center. Complete your evaluation and print your CME or attendance certificate, or email yourself a copy of the certificate to print later. OR 2. From your own computer, visit www.acgmeetings.gi.org to complete your evaluation and print your certificate. General Information Accreditation The American College of Gastroenterology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Americans With Disability Act (ADA) Attendees of ACG 2014 who need additional reasonable accommodations or who have special needs should contact the ACG office no later than September 24, 2014. The ACG designates these live activities for a maximum as noted below of AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Hotel Accommodations Make your reservations early—deadline for hotel reservations is September 24, 2014! The headquarters hotel for ACG 2014 is the Philadelphia Marriott Downtown. Learn more on the following page. GI Pathology and Imaging Course. . . . . . . . . . . . 5.25 What’s New in GI Pharmacology. . . . . . . . . . . . . . . 3 Practice Management Course. . . . . . . . . . . . . . . . 8.5 Recertification Course. . . . . . . . . . . . . . . . . . . . . . 4.5 Annual Postgraduate Course. . . . . . . . . . . . . . . 13.25 Annual Scientific Meeting. . . . . . . . . . . . . . . . . 16.25 Airline Information Meeting attendees and exhibitors will find traveling to Philadelphia easy by plane or train. If traveling by air, the Philadelphia International Airport is serviced by 30 airlines offering 600 daily nonstop flights from 124 cities, including more than 80 daily nonstop flights from 38 international cities. The airport is just seven miles outside the city and visitors can reach the downtown area by rail service at the airport or by taxi. Additional CME credits are provided for attendees of the optional Learning Luncheons and Breakfast Sessions. The following airlines will offer discounts to ACG members: Exhibit Hall The science and technology of medicine is ever changing and advancing the practice of gastroenterology. Showcasing these latest advances in technology and therapeutics is the ACG 2014 Exhibit Hall where more than 140 companies will display and demonstrate their products and services. With the variety of exhibitors expected to participate, there are certain to be displays of interest for all attendees. Companies who exhibit include pharmaceutical manufacturers, medical instrument suppliers, research companies, technology companies, publishers, non-profit organizations, recruiters and many others. Delta – Book online via www.delta.com or by calling 1-800-3281111 and use Group Code NMJAY. Please note that a Direct Ticketing Charge will apply for booking by phone. When booking online, select Meeting Event Code and enter NMJAY in the box provided on the Search Flight page. Saturday, October 18 . . . . . 8:00 am – 5:00 pm Sunday, October 19 . . . . . . 8:00 am – 5:00 pm Monday, October 20 . . . . . . 8:00 am – 6:00 pm Tuesday, October 21 . . . . . . 8:00 am – 6:15 pm Wednesday, October 22 . . . 8:00 am – 12:15 pm Train Information Many visitors can also travel to Philadelphia by Amtrak, which offers transportation to the historic 30th Street Station right in the downtown area. Amtrak is a convenient, ideal service along the Northeast Corridor from Boston to Washington, DC and all points in between. Onsite Child Care Information The American College of Gastroenterology will again be offering child care services during its 2014 Annual Meeting and Postgraduate Course. Child care will take place at the Philadelphia Marriott Downtown. Times are as follows: American Airlines – Book online via www.aa.com/group for AA/AE flights only, or by calling 1-800-433-1790 and give the Group Code 88H4BW. A reservation charge of $25 USD per ticket will apply for tickets booked through AA Reservations, subject to change. There is no additional charge when booking online. REGISTRATION INFORMATION The ACG Store Postgraduate Course and Annual Meeting syllabi, as well as other educational materials will be available for purchase at the ACG Store. ACG logo items, such as jackets, golf shirts, t-shirts, and mugs will also be available. ACG Store hours are: United – Book online via www.united.com, and use offer code ZSDV393225 in the offer code box. If booking through a travel professional or United Meetings at 1-800-426-1122, please give them the following information: Agreement Code – 393225 and Z Code – ZSDV. A $25 service fee will apply when booking through United Meetings Reservations. There is no additional service fee when booking online. Amtrak offers a 10% discount off the best available rail fare to Philadelphia. To book your reservation, call 1-800-872-7245 and refer to Convention Fare Code X99S-906. This offer is not valid on the Auto Train and Acela Service. Saturday, October 18 . . . . . 7:00 am – 5:00 pm Sunday, October 19 . . . . . . 7:00 am – 5:00 pm Monday, October 20 . . . . . . 7:00 am – 6:00 pm Tuesday, October 21 . . . . . . 7:00 am – 6:15 pm Wednesday, October 22 . . . 7:00 am – 12:30 pm To take advantage of this special service, complete the Child Care Reservation Form on page 129 or download and print a copy from www.acgmeetings.gi.org/general.asp. Please note: We must receive the completed Child Care Registration Form with General Release and Waiver by September 24, 2014. Car Rental Information Interested in renting a car in Philadelphia? Avis Rent will offer discounts to ACG members. Book online via www.avis.com or by calling 1-888754-8878 and use AWD Number J900824 to receive the best possible car rental rates. Travel Destinations You can book airline reservations through ACG's official travel provider, Travel Destinations Management Group, by calling 1-800-455-0983. 121 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Hotel Information Make your hotel reservations early – the deadline for hotel reservations is September 24, 2014. Visit the official ACG Housing Bureau website for a direct link to book your hotel room online. Booking through the housing bureau ensures you will receive the special meeting rates and amenities ACG has negotiated with area hotels. Booking your room online is the easiest and fastest way to confirm your reservation in Philadelphia. http://acg.registration.meetingsites.net If you require a hard copy of the housing booking form, please call 888-863-7817. Leave your name, fax number and/or email address and phone number and a form will be sent to you within 48 hours. VINE ST. 4 CHERRY ST. 4 CHERRY ST. PA RK W AY 7 7 ARCH ST. 2 PENNSYLVANIA PENNSYLVANIA CONVENTIONCONVENTION CENTER CENTER 5 2 5 62 6 1 10 8 LUDLOW ST. 8 6 OTEL SANSOM ST. SANSOM ST. WALNUT ST. WALNUT ST. RITTENHOUSE SQUARE 8 9 ROOM ROOM map # HOTEL map # HOTEL 9TH ST. 10TH ST. 10TH ST. 11TH ST. 12TH ST. 11TH ST. 12TH 13TH ST. ST. 3 BROAD ST. 13TH ST. BROAD 15TH ST.ST. 15TH ST. 16TH ST. 17TH ST. 16TH ST. 18TH ST. 17TH ST. 3 19TH 18TH ST. ST. 7 LOCUST ST. LOCUST ST. SPRUCE ST. Doubletree 237 South Broad Street $219 ARCH ST. $217 Hampton Inn Philadelphia City Center 1301 Race Street FILBERT ST. $216 Home2 Suites by Hilton 1200 Arch Street $209 Le Meridien 1421 Arch Street $259 Loews 1200 Market Street $259 ROOM SANSOM ST. WALNUT ST. WASHINGTON WASHINGTON Sheraton SQUARE SQUARE 201 North 17th Street LOCUST ST. 10 Royal Sonesta 1800 Market Street SPRUCE ST. $207 LOCUST ST. LOCUST ST. $199 ROOM RATE RATEplace in Philadelphia. ACG is pleasedRATE to have our 2014 Annual Scientific Meeting and Postgraduate RATE Course taking All programs will be held atby theHilton Pennsylvania ahiladelphia Marriott Downtown Marriott Downtown $257 $257 Home2 Home2 Suites by HiltonConvention $209 Center. $209 6 6 Suites phia Philadelphia Marriotthotel) Downtown Marriott Downtown headquarters ers hotel) 201 t Street Market Street CHERRY ST. CHESTNUT ST. CHESTNUT ST. CHESTNUT ST. Courtyard Philadelphia $249 Downtown 21 North Juniper Street CHERRY ST. ST. 5 MARKET Hilton Garden Inn 1100 Arch Street MARKET ST. MARKET ST. SPRUCE ST. 4 FILBERT ST. 1 RITTENHOUSE SQUARE 3 ARCH ST. JFK BLVD. 10 RACE ST. RACE ST. IN $257 3RD ST. 4TH ST. AN KL 4 Philadelphia Marriott FRANKLIN FRANKLIN SQUARE SQUARE Downtown (headquarters hotel) 1201 Market Street 4TH ST. 5TH ST. 4 FR VINE ST. 5TH ST. 6TH ST. AM IN 8TH ST. 9TH ST. NJ 1 7TH ST. 9 LOGAN SQUARE BE RT. 676 HOTELRATE RT. 676 6TH ST. 9 KW AY GAN UARE VINE ST. VINE ST. 8TH ST. VINE ST. 7TH ST. The passcode for meeting attendees is 2014. 1200 Arch 1200 StreetArch Street6. Home26.Suites Home2bySuites Hiltonby Philadelphia-Convention Hilton Philadelphia-Conven Cent Le Meridien Le Meridien $259 $259 rdCourtyard by Marriott by Philadelphia Marriott Philadelphia Downtown Downtown 7 7 7. Le Meridien 7. Le Meridien Philadelphia Philadelphia 1421 Arch Street 1421 Arch Street 122 ourtyard hiladelphia Philadelphia Downtown Downtown $249 $249 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. ree byStreet Hilton Hotel Hilton Philadelphia Hotel Philadelphia Center City Center City 8. Loews8.Philadelphia Loews Philadelphia Hotel Hotel niper 1Doubletree North Juniperby Street ACG Auxiliary Events and Tours Auxiliary Schedule at a Glance saturday, october 18 Auxiliary Registration/ Hospitality Suite* Philadelphia Marriott Downtown - Room 310 8:00 am – 10:00 am monday, october 20 Physician Registration Broad Street Atrium, Conv. Ctr. 6:00 am – 4:45 pm Auxiliary Registration/ Hospitality Suite* Philadelphia Marriott Downtown - Room 310 8:00 am – 10:00 am Tour (details at right) 9:00 am – 11:00 am sunday, october 19 Physician Registration Broad Street Atrium, Conv. Ctr. 7:00 am – 6:30 pm Auxiliary Member Luncheon** Philadelphia Marriott Downtown, Room TBD 11:30 am – 1:30 pm Auxiliary Board Meeting** Philadelphia Marriott Downtown - Room 307 7:00 am – 8:00 am tuesday, october 21 Physician Registration Broad Street Atrium, Conv. Ctr. 6:00 am – 5:00 pm Auxiliary Registration/ Hospitality Suite* Philadelphia Marriott Downtown - Room 310 8:00 am – 10:00 am Auxiliary Registration/ Hospitality Suite* Philadelphia Marriott Downtown -- Room 310 8:00 am – 10:00 am Tour (details at right) 8:30 am – 2:00 pm *Breakfast will be available from 8:00 am to 10:00 am, Saturday through Tuesday in the Auxiliary Hospitality Suite at the Marriott. **All Auxiliary members are invited. Barnes Foundation Private Group Tour Saturday, October 18, 9:00 am - 11:00 am Cost: $55 per person Discover the legendary collection of the Barnes Foundation, one of the world's finest holdings of impressionist, post-impressionist, and early modern paintings. The Barnes Collection includes an extraordinary number of masterpieces by Pierre-Auguste Renoir (181), Paul Cézanne (69), and Henri Matisse (59). The collection also includes important works by Pablo Picasso (46), Chaim Soutine (21), Henri Rousseau (18), Amedeo Modigliani (16), Edgar Degas (11), Vincent van Gogh (7), Georges Seurat (6), Edouard Manet (4), and Claude Monet (4). We will have one docent per 15 guests. The distance from the Philadelphia Convention Center/ Marriott Downtown to the Barnes Foundation is approximately a 20-minute walk or a 6-minute trolley ride. For more information on The Barnes Foundation, please visit www.barnesfoundation.org. Brandywine River Museum Private Group Tour Sunday, October 19, departs 8:30 am, returns 2:00 pm Cost: $25 per person The Brandywine River Museum is noted for an outstanding collection of American art, featuring America’s beloved artist, Andrew Wyeth. The museum is housed in a nineteenth-century mill on the banks of the Brandywine River. The galleries boast the old original beams and provide expansive views of the river and the hills beyond. Supplementing the museum’s art collections, we will visit the Wyeth House and Studio, a national landmark. Here, we will experience not only the environment in which Wyeth created many of his memorable works of art but also the home where he raised his extraordinarily creative children. The 90-minute tour will begin at 9:30 am. Following the tour, we will stop for lunch at a local Brandywine tavern (cost for lunch not included in tour price). The distance from Philadelphia Convention Center/Marriott Downtown to the Brandywine Valley is approximately 40 minutes. For more information on the Brandywine River Museum, please visit www.brandywinemuseum.org. Register for the tours online at www.acgmeetings.gi.org. For information about the ACG Auxiliary, visit www.acgaux.gi.org. REGISTRATION INFORMATION wednesday, october 22 Physician Registration Broad Street Atrium, Conv. Ctr. 6:00 am – 12:15 pm Opening Welcome Reception** Exhibit Halls DE, Conv. Ctr. 5:15 pm – 7:00 pm ACG Auxiliary-Sponsored Tours at ACG 2014 ACG Auxiliary Officers 2013-2014 Co-Presidents Randy Pike, RP18@cox.net Leilani Katz, Leilani@cirquemeded.com 2nd Vice-Presidents/Membership Chairs Shelley DeVault, shelleydevault@att.net Chrissy Johnson, ckesslerjohnson@gmail.com 1st Vice-Presidents/Hospitality Chairs Angel Lyles, alyles@me.com Audreylee Leavitt, ajleavitt@bellsouth.net 3rd Vice-Presidents/Communication Chairs Mimi Chung, mimichung@aol.com Cheryl Wheeler, cwheeler18@gmx.com Renee Remily, rmremily@comcast.net 123 Secretary Patrice Koscheski, pakoscheski@gmail.com Treasurer Dorisann Rusche, walker1468@aol.com For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Registration Instructions Registering for ACG 2014 is easy. You can register online, by fax or by mail. ONLINE:www.acgmeetings.gi.org MAIL: American College of Gastroenterology 6400 Goldsboro Road, Suite 200 Bethesda, MD 20817-5842 FAX:301-263-9025 Step 1 • Contact Information handouts will be provided to attendees registered for any Breakfast Session. You may choose one Breakfast Session each day. Breakfast Sessions are optional. Since Breakfast Sessions fill up fast, please choose up to your top five choices for each day by numbering them 1-5. We will make every effort to accommodate your top choice. Provide your contact information (including email address) on the Registration Form. Step 2 • Course Selections To register, choose one of the educational programs under your corresponding registration category. You may also select one or more of the optional programs offered on Friday, October 17. Please circle the Friday Program(s) you would like to attend. Step 4 • Additional Offerings ACG offers additional programs or materials to certain attendees. • Fellows-in-training may sign up for one of the two Trainees’ luncheons on Sunday, October 19. The cost for each luncheon is $35. This event is available only to GI fellows-in-training. • Online Self-Assessment Test. Postgraduate Course registrants may purchase the 2014 Online Self-Assessment Test for $75. The advance purchase option is available only to 2014 Postgraduate Course registrants. The deadline for advance access purchase is September 5, 2014. Check the box on the registration form if you would like to place an advance order for the Online SelfAssessment Test. • PG+MOC. Postgraduate Course registrants may purchase ACG's new 10 point module exclusive for the 2014 Annual Postgraduate Course. Members pay an additional $40; Non-members $50. The deadline for pre-registration is September 24, 2014. Check the box on the registration form if you would like to place an order when you register. Note: If you select the 3-day Clinical Review, you do not need to register for the GI Pathology and Imaging Course or the What’s New in GI Pharmacology Course. Registrants of the Postgraduate Course and the Annual Scientific Meeting may choose to receive either a printed copy of the meeting syllabus or a PDF of the syllabus on a USB drive. There is a separate charge to purchase both the USB version and the printed version of either syllabus. Step 3 • Optional Learning Luncheons and Breakfast Sessions If you’ve selected the Postgraduate Course, you have the option of attending up to two of the 24 Postgraduate Course Learning Luncheons (one each day) to be offered. The cost is only $75 each. Learning Luncheons are offered on Saturday and Sunday, October 18 and 19. You may choose one Learning Luncheon each day. Learning Luncheons are optional. Since Learning Luncheons fill up fast, please indicate your top five choices for each day by numbering them 1-5. We will make every effort to accommodate your top choice. Step 5 • Payment Registration selections are now complete. If you choose to mail or fax the registration form, please complete the payment information on the form and sign the form. If you signed up for the Annual Scientific Meeting, you have the option of attending up to three of the 17 Annual Scientific Meeting Breakfast Sessions offered on Monday, October 20, Tuesday, October 21, and Wednesday, October 22. The cost is only $60 each. A syllabus on USB containing all ACG 2014 Breakfast Session For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 124 ACG 2014 Registration Form Mail to: ACG, 6400 Goldsboro Road, Suite 200, Bethesda, MD 20817-5842 Fax to: ACG at 301-263-9025. Fax with credit card number and signature. Web: Register online at www.acgmeetings.gi.org. Cancellation: Written notice of cancellation and requests for refunds must be received by the College’s office by September 24, 2014. After this day, no refunds will be possible. Registration cancellations are not accepted by telephone. An explanation must be provided in writing. There will be a $50 administrative fee assessed for cancellation of any paid event. Refunds will be issued after the meeting. See Cancellation Policy on page 121. ADA Compliance: Attendees of the ACG Annual Meeting who need additional reasonable accommodations or who have special needs should contact the ACG office at 301-263-9000 no later than September 24. Please complete sections 1-5. Please print clearly. 1. peRsonal InFoRmatIon First name Last name MUST circle all that apply: Mailing Address MD* DO* PhD Home address Rn nP LPn PA PharmD Other *Please enter your 10-digit nPI number (required if U.S. physician) Look up your nPI number at npinumberlookup.org. Work address City State/Province Zip / Postal Code Phone Country Fax Email (required for meeting confirmation) I am bringing a mobile device or tablet: Spouse / Guest name, only if attending meeting Yes no 2. ReGIstRatIon Fees I am currently an ACG member. My application† for membership is attached. I have registered below at the member rates. (For membership information or to download a membership application, visit www.gi.org.) † Registration will not be processed without membership application. I am an ACG 2014 presenter: oral paper poster AS R le esid tte e Ph G r f nt ue ys sid clu ac (e A ro /Tr (e Alli st ici tic .g. llie en m a de .g ed Ph an in t/T e N d sF P .N H Pr D ee M P, He ys / E AC P, ea an RN a x * M rain ac ve * i c h RN lth em ee G A lth ia ib rif (m a tic , g n an CG i y L / e P b t , e i / P or ng us r M PN Pe er Ca LP er d M M / h t r nd s , M e N o an s s ar Gu at o em PA on t f A id AC m , n a t m ag e P t a n ) b a u n be o e CG te st c e D A G) e s er h l ) ) r / r r l (in Re GE aCG memBeRs Circle fee(s) based on attendee type PG Course and Annual Meeting, October 18–22 PG Course Only, October 18–19 Annual Meeting Only, October 20–22 3-day Clinical Review, October 17–19, includes PG Course, GI Pathology/Imaging, and GI Pharmacology 3-day Clinical Review PLUS Annual Meeting, October 17–22 Optional Friday Programs, October 17 GI Pathology/Imaging; half-day/am (included in 3-Day Clinical) GI Pharmacology; half-day/pm (included in 3-Day Clinical) Practice Management; full day GI Recertification; half-day/pm ASGE Endoscopy Course; full day *Recertification Course: Separate purchase of ACG’s module required. Boxed dinner provided. See page 14 for more details. **Your registration will not be processed without a letter from your Program Director verifying status. Pr non-memBeRs $425 $425 $0 $600 $0 $0 $0 $200 $275 $275 $0 $450 $750 $550 $300 $750 $200 $200 $0 $425 $575 $500 $150 $725 $575 $500 $150 $725 $600 $200 $450 $850 $425 $800 $800 $200 $200 $275 $150* $395 $160 $160 $0 $150* $200 $175 $175 $200 $150* $200 $225 $225 $300 $175* $495 $225 $225 $300 $175* $250 $225 $225 $300 $175* $250 $225 $225 $200 $175* $250 Postgraduate Course attendees Please indicate syllabus preference. Print version only ....... FREE USB drive only ........... FREE Print and USB...............$30 2014PRE Annual Scientific Meeting attendees Please indicate syllabus preference. Print version only ....... FREE USB drive only ........... FREE Print and USB...............$30 125 3. Postgraduate Course Attendees Only $75 Advance copy of Self-Assessment Test ONLINE PG Course registrants only. See page 17 for details. This offer is only available until September 5, 2014. ACG member ACG nonmember $40 $50 PG+MOC – Maintenance of Certification Module PG Course registrants only. See page 19 for details. Pre-registration deadline is September 24, 2014. 4. OPTIONAL SESSIONS LEARNING LUNCHEONS No refunds after September 24, 2014. $75 – Saturday Learning Lunch – pg course registrants only 12:20pm – 1:35pm, October 18, 2014 Select top 5 choices and number them 1, 2, 3, 4 or 5. Food Allergies and the GI Tract Refractory GERD: Esophageal Physiology Toolbox Don’t Panic: It’s a Visible Vessel! Fecal Transplantation for C. difficile Infection Diverticular Disease: Dispelling the Myths Miscellaneous Colitides Anorectal Disorders Update Complementary Therapy in Your Practice Update in NASH You’ve Been Appointed to Run Endoscopy Unit The Post-ablation Esophagus Obscure GI Bleeding – Current Algorithm SA1 SA2 SA3 SA4 SA5 SA6 SA7 SA8 SA9 SA10 SA11 SA12 BREAKFAST SESSIONS No refunds after September 24, 2014. $60 – Monday Breakfast – annual meeting registrants only 6:30am – 7:45am, October 20, 2014 Select top 4 choices and number them 1, 2, 3 or 4. MONA The Power of Social Media MONB Atypical Colitides MONC GI Disease in Transitioning Teenagers Cost-effective Approach to Common GI Conditions MOND Endoscopy 101: Esophageal and Anorectal Motility MONE $60 – Tuesday Breakfast – annual meeting registrants only 6:45am – 8:15am, October 21, 2014 Select top 5 choices and number them 1, 2, 3, 4 or 5. Escalation and De-Escalation of Therapy in IBD Using New ACG Guidelines in Clinical Practice Topics in Pancreaticobiliary Disease Functional Anorectal Disease: Do Ask and Do Tell New Endoscopic Techniques The Gastroenterologist and the Pregnant Patient Fatty Liver Diseases: You Can’t Escape Them Medicolegal Issues in Gastroenterology $75 – Sunday Learning Lunch – pg course registrants only 12:20pm – 1:35pm, October 19, 2014 Select top 5 choices and number them 1, 2, 3, 4 or 5. Liver Transplant Management Washington’s Impact on Your GI Practice Nauseous and Bloated but Tests Are Negative Fertility and Pregnancy in IBD Fluid in the Abdomen: What to Do Next? The Role of Swallowing a Pill in Your Practice Do PPIs Harm Heart, Bones, Intestinal Flora? Managing Failed Antibiotic Therapy for H. pylori Endoscopic Management of Pancreatic Pseudocysts Enteral Feeding: How To Pick Your Tube Treatment for Resistant Patient with Hepatitis B Endoscopy in the Post-bariatric Patient SU13 SU14 SU15 SU16 SU17 SU18 SU19 SU20 SU21 SU22 SU23 SU24 $60 – Wednesday Breakfast – annual meeting registrants only 6:45am – 8:15am, October 22, 2014 Select top 4 choices and number them 1, 2, 3 or 4. Common Liver Outpatient Consults Practical Colonoscopy Controversies in Barrett’s Esophagus Common Complications of IBD and IBD Therapy ADDITIONAL OFFERINGS No refunds after September 24, 2014. 12:20pm – 1:35pm, October 19, 2014 You may not register for a Sunday Learning Luncheon if you are registered for a Trainees’ Luncheon. See page 24 for details. Select one. I am registering for a Breakfast Session and require a vegetarian meal Kosher meal gluten-free meal Employment Agreements 4th Year GI Fellowships NOTE: While space is limited for the Learning Luncheons and the Breakfast Sessions, we will make every effort to accommodate your top choice. Register early for the best selection. 5. PAYMENT Pay by check. Make checks payable in U.S. funds to ACG. Pay by credit card: VISA MASTERCARDAMEX Subtotal section 2: CREDIT CARD # EXP. DATE NAME ON CARD 3 OR 4 DIGIT SECURITY CODE Subtotal section 3: Subtotal section 4: SIGNATURE WEDN WEDO WEDP WEDQ $35 – Trainees’ Luncheon I am registering for a Luncheon and require a vegetarian meal Kosher meal gluten-free meal TUEF TUEG TUEH TUEI TUEJ TUEK TUEL TUEM TOTAL DUE: TLEA TL4Y Exhibit Hall T he science and technology of medicine is ever-changing and advancing the practice of gastroenterology. Showcasing these latest advances in technology and therapeutics is the ACG 2014 Exhibit Hall, where more than 140 companies will display and demonstrate their products and services. With the variety of exhibitors expected to participate, there will certainly be displays that will interest any attendee. Companies who exhibit include pharmaceutical manufacturers, medical instrument suppliers, research companies, technology companies, publishers, non-profit organizations, recruiters and many others. Immediately following the conclusion of the Postgraduate Course on Sunday, join colleagues for the ACG 2014 Opening Welcome Reception in the Exhibit Hall from 5:15 pm – 7:00 pm. The Reception will feature hors d’ouevres and refreshments. This casual social gathering will give all attendees the opportunity to explore the Hall, meet with exhibitors, and network and mingle with fellow professionals. exhibit hall hours Sunday, October 19 . . . . . . . . . . . . . . . . . . . . . . 3:30 pm – 7:00 pm Opening Welcome Reception 5:15 pm – 7:00 pm Monday, October 20 . . . . . . . . . . . . . . . . . . . . 10:00 am – 4:30 pm Tuesday, October 21 . . . . . . . . . . . . . . . . . . . . 10:00 am – 4:30 pm ACG 2013 Exhibitors included the following: 22otters AbbVie ABIM Affiliated Community Medical Centers Amenity Health, Inc. American College of Gastroenterology American Express OPEN American Neurogastroenterology & Motility Society American Physician Institute American Regent AmeriPath/Quest Diagnostics AmSurg Corp Apollo Endosurgery, Inc. Aptalis AstraZeneca, LP Avantis Medical Systems Bayer HealthCare Bio-K+ International, Inc. Bodhi Tree Anesthesia Boehringer Ingelheim Pharmaceuticals, Inc. Boston Scientific Bracco Diagnostics Braintree Laboratories, Inc. Butterfly Health, Inc. Calmoseptine Inc. Cass Laboratories CDx Diagnostics ChiRhoClin, Inc. Chronic Liver Disease Foundation Cleveland Clinic - Digestive Disease Institute Colloid Apps, LLC Colon Cancer Alliance Colon Prep Center Colowrap, LLC Commonwealth Laboratories, Inc. Community Health Systems ConMed Contemporary Insurance Services, Inc. Cook Medical-Endoscopy Covidien coVita CRH Medical Corporation Crospon Ltd. CSA Medical, Inc. Diagnovus Digestive Care, Inc. Digestive Disease Week Elsevier EndoChoice Endogastric Solutions EndoSoft Entera Health, Inc. Enterix Inc, a Quest Diagnostics Company EPIX Anesthesia ERBE USA, Inc. Exact Sciences EZ2GO Ferring Pharmaceuticals Fleet Laboratories Flexicare Inc. Forest Pharmaceuticals, Inc./ Ironwood Pharmaceuticals, Inc. FUJIFILM Medical Systems U.S.A., Inc. - Endoscopy Division Gastroenterology & Endoscopy News Gastroenterology & Hepatology Genii, Inc. GeniusDoc GI Health Foundation GI Pathology, PLLC GI Supply Gilead Sciences GIPAC Booth GIQuIC Given Imaging, Inc. GlaxoSmithKline GlaxoSmithKline (US) Global Medical Staffing gMed Gundersen Health System 127 FREE! Free Exhibit Hall Passes for Practice Managers ACG will again offer free Exhibit Hall passes for Practice Managers. See ACG 2014 online registration for details, www.acgmeetings.gi.org. H.M.B. Endoscopy Products Hemosure, Inc. IFFGD Innovative Anesthesia invendo Medical Janssen Biotech, Inc. Janssen Therapeutics, Division of Janssen Products, LP Kadlec Kimberly-Clark Health Care LocumTenens.com Luminex Mauna Kea Technologies Mayo Clinic MD-Reports/ Infinite Software Solutions, Inc. Medivators Mediwatch USA Medspira Merit Medical Endotek Merrill Lynch Miraca Life Sciences Mission Road Pharmacy Mother to Baby Studies Conducted by The Organization of Teratology Information Specialists Myriad Genetic Laboratories National Digestive Diseases Information Clearinghouse National Pancreas Foundation Nature Publishing Group NeuIsys NewPath Diagnostics NexTech NextGen Healthcare Nextservices, Inc. NinePoint Medical NPS Pharmaceuticals OBP Medical Olympus America Inc. Optimer Pharmaceuticals Optimer Pharmaceuticals Medical Information Otsuka America Pharmaceuticals - Medical Device Division Ovesco Endoscopy USA, Inc. Oxford University Press Pancreatic Cancer Action Network PBM Pharmaceuticals Peacehealth PENTAX Medical Physicians Endoscopy Pinnacle Biologics, Inc. PLUS Diagnostics POM Medical, LLC Practical Gastroenterology PracticeLink Procter & Gamble Prometheus Laboratories Inc. QDX Pathology Services Quintron Instrument Company R&O Pharmacy, LLC Redfield Corporation RedPath Integrated Pathology Reshape Medical ResiCal, Inc. Restech Salix Pharmaceuticals, Inc. Sandhill Scientific Sanford Health Santarus Inc Sebela Pharmaceuticals, Inc. Sedasys, a Division of Ethicon Endo-Surgery, Inc. Shire Sigma Tau Pharmaceuticals, Inc. SLACK, Inc Smart Medical Systems Ltd. Somna Therapeutics Staff Care, Inc. Sucampo/Takeda Pharmaceuticals U.S.A., Inc. Sweet Dreams Anesthesia, Inc. Synergi, Inc. Takeda Pharmaceuticals U.S.A., Inc. Torax TZAM Diagnostics, LLC UCLA Pathology Outreach US Endoscopy Group US Medical Innovations Vascular Technology Vertex Pharmaceuticals Incorporated Vital Therapies, Inc. Wako Diagnostics Warner Chilcott Wolters Kluwer Health ProVation Medical World Gastroenterology Organisation Xenon Health For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. ACG 2014 Late-Breaking Abstracts Again this year, for the ACG Annual Scientific Meeting, ACG will consider late-breaking abstracts of high quality clinical research results. ACG will consider extending the program to create a few additional slots in response to submissions of great merit and clinical interest. Please do not resubmit abstracts already considered during the regular 2014 abstracts review process. Deadline to submit late-breaking abstracts: Friday, September 5, 2014, at 11:59 pm Eastern Time www.acgmeetings.gi.org/abstracts.asp For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. 128 Child Care Registration Form The American College of Gastroenterology Annual Scientific Meeting and Postgraduate Course October 17–22, 2014 • The Pennsylvania Convention Center, Philadelphia, PA Your Name: First Name Middle Initial Last Name Mailing Address: City/State/Zip/Country: Home Phone: Work Phone: Cell Phone: Email: Name/s of Child/Children: Age/s: Childcare will be provided at the Philadelphia Marriott Downtown, the Headquarters Hotel during ACG 2014. Please indicate the block(s) of time you will be reserving. To take advantage of this special service, read and sign the General Release and Waiver below and mail or fax this form to: American College of Gastroenterology 6400 Goldsboro Rd., Suite 200 Bethesda, MD 20817-5842 Ph: (301) 263-9000 Fx: (301) 263-9025 Saturday, October 18 Sunday, October 19 Monday, October 20 7:00 am – 5:00 pm 7:00 am – 5:00 pm 7:00 am – 6:00 pm Tuesday, October 21 7:00 am – 6:15 pm Wednesday, October 22 7:00 am – 12:30 pm Half-day morning Half-day afternoon Full day We must receive the Reservation Form and the signed General Release and Waiver by September 24, 2014. GENERAL RELEASE AND WAIVER We, the undersigned, in consideration of the services of care for our children during the ACG 2014 Postgraduate Course and Annual Meeting in Philadelphia, PA, from October 17-22, 2014, do hereby release and discharge forever the American College of Gastroenterology, the Philadephia Marriott Downtown, contracted child care providers, corporations both known and unknown, from any and all claims, demands, damages, actions, causes or actions, or suits at law or inequity because of any matter, incident or thing done, omitted or suffered to be done by anyone, which may hereafter arise from or out of our children’s presence at the children’s program at the Philadephia Marriott Downtown, October 17-22, 2014. Furthermore, we the undersigned do expressly stipulate and agree, in consideration for the aforesaid children’s hospitality center, to indemnify and to hold the American College of Gastroenterology and the Philadephia Marriott Downtown, firms and corporations both known and unknown, forever harmless against loss from any and all further claims, demands, grievances and causes of actions of any kind whatsoever that may hereafter at any time be made or brought by our children and we hereby waive any and all rights of exemption under the laws of any state or against such claims. In the event of any emergency, the American College of Gastroenterology and the Philadephia Marriott Downtown and their agents have our permission to administer first aid or obtain emergency medical treatment in our children’s best interest. We agree to pay all expenses incurred due to an emergency involving our children. Printed Name (Parent/Guardian) Signature (Parent/Guardian) (In signing, I/we acknowledge and accept the General Release and Waiver printed above.) 129 For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. Enjoy Philadelphia Philadelphia – The Birthplace of Our Nation and Host City for ACG 2014 Few cities in the U.S. hold as much historical significance as Philadelphia, which is one of the reasons ACG has chosen it as the host city for ACG 2014. Most Americans know Philadelphia as the birthplace of our nation, or as home of the Liberty Bell, Ben Franklin, and the nickname “The City of Brotherly Love.” Some may also remember it as the setting to the movie “Rocky,” where Rocky raised his arms in triumph after running to the top of the famous steps of the Philadelphia Museum of Art. Still others may think of Love Park and the famous “LOVE” statue that has been immortalized on postage stamps, while some recognize the city’s passion for its sports teams, like thede Philadelphia Eagles, the 76ers, and the Phillies. Situated on the banks of the Delaware River, this historically important city is a thriving, ethnically diverse metropolis that offers something for every visitor. Attend ACG 2014 to experience the excitement of Philadelphia. Gutrunners™ Foundation With Support From Acg Presents: The 5th Annual Gutrunners™ 5k Race /1 Mile Walk Sunday, October 19, 2014 at 7:00 am Philadelphia, PA Don't miss this exciting fun run at ACG (course details/map will be available soon at www.gutrunners.com). Register today at www.gutrunners.com/programs.php and join your peers, Gutrunners and ACG in our effort to improve digestive health in the community! Entry Fee and Participant Amenities The $30 registration fee includes the following: • Official race t-shirt • Post-race breakfast • Prizes for all registered participants • Awards for the top-three male and female finishers What to Do and See in Popular Philadelphia Neighborhoods Situated on the banks of the Delaware River, Philadelphia is a thriving, ethnically diverse metropolis that offers something for every visitor. Attend ACG 2014 to experience the excitement. Considered one of the most walkable cities in the U.S., put on your walking shoes and explore its various distinct neighborhoods. *Registration fee is non-refundable and non-transferable. The event is open to all ACG attendees, family members, exhibitors and local residents. Teams are welcome; encourage your peers and family to run with you on race day. For more information visit www.gutrunners.com. Waterfront/Historic District – Independence National Historical Park featuring the Liberty Bell, Independence Hall and Carpenters’ Hall • Independence Seaport Museum • Penn’s Landing • Elfreth’s Alley – the oldest continuously occupied street in the U.S. About Gutrunners™ The Gutrunners™ Foundation is a leading charitable organization dedicated to improving digestive health in the community through education and exercise. Proceeds from the races go toward providing free colonoscopies for uninsured patients through the Colonoscopy Access Program (CAP), research and patient education. Washington Square District – Jeweler’s Row, the largest and oldest jewelry district • Antique Row Gutrunners gratefully acknowledges support from ACG and the following corporate sponsors: Align, Metamucil, PENTAX, Given Imaging, and Olympus. Convention Center District – Reading Terminal Farmer’s Market • The Gallery at Market East, the largest downtown shopping center in the U.S. • Friendship Gate at Chinatown Parkway/Museum District – Philadelphia Museum of Art – create your own “Rocky” moment on the steps of this museum • The Franklin Institute Science Museum • The Academy of Natural Sciences • Philadelphia Zoo • Please Touch Museum, Philadelphia’s Children’s Museum Rittenhouse Square District – Rittenhouse Square, one of the city’s most popular parks • Academy of Music • The Kimmel Center for the Performing Arts • Walnut Street features some of the country’s finest restaurants, shopping, and salons • LOVE Park across from City Hall Premier Sponsor Plan to attend ACG 2014 and visit Philadelphia! We hope you make plans to join ACG for the ACG 2014 Annual Scientific Meeting and Postgraduate Course, October 17-22, at the Pennsylvania Convention Center. We look forward to seeing you in Philadelphia! For more information on ACG 2014 and to register, visit www.acgmeetings.gi.org. To inquire about sponsorship contact Katie Thorne at kthorne@gutrunners.com or 410-746-0369. 130 For ACG 2014 Annual Postgraduate Course Attendees Only! PG+MOC Maintenance of Certification with ACG’s Annual Postgraduate Course Successfully complete PG+MOC and you can earn 10 MOC points Registering for the Annual Postgraduate Course? Purchase the new PG+MOC module when you register and you can earn 10 maintenance of certification points. The module will be available in early October. You must be registered for the 2014 Annual Postgraduate Course to take advantage of this special offer. ACG members can purchase PG+MOC for only $40 additional; $50 for non-members. Preregistration deadline is September 24, 2014. For complete details on how to purchase and earn points, see page 19. ACG 2014 Annual Postgraduate Course ONLINE SELF-ASSESSMENT TEST Available for a limited time for only $75* *This special offer is only available to Preregistrants of the ACG 2014 Postgraduate Course, and pre-order is only available until September 5th at the special rate of $75. After the Postgraduate Course, the Self-Assessment Test ONLINE will be available for general purchase at $99 for ACG Members and $150 for non-members. Use Registration Form on page 125 to place your order. What You Get Advance access will include all portions of the test—detailed explanations and supporting references for further study, as well as overall/category scores and comparison data to other test takers. Up to 35 AMA PRA Category 1 Credits™ available for successful completion. PG Course registrants who purchase the 2014 Self-Assessment Test ONLINE will receive access to the test on or about September 10th. All PG Course registrants will receive a hard copy version of the 2014 Self-Assessment Test on-site with their course materials. Question topics include: • • • • • • • GI Emergencies Genetic Disorders Endoscopy & GI Bleeding Hepatology IBD Liver Disease Pancreaticobility Diseases Purchase your online edition today!