ESPGHAN Paediatric GI Motility Hands-On Training Course

Application Deadline: 21.07.2017



Registration Fee

Registration Fee for ESPGHAN Full Member & Trainee Member (100.00€)


Registration Fee for non ESPGHAN Member (200.00€)


ESPGHAN Gastrointestinal Motility Hands On training Course
(Training in GI motility testing)

Great Ormond Street Hospital and UCL Institute of Child Health, London

Tuesday 26th and Wednesday 27th September 2017


Skills and knowledge in the investigation of paediatric gastrointestinal motility disorders remains very limited, with only a handful of suitably qualified and skilled professionals across European countries. This is despite the fact that GI motility disorders collectively are common and carry a significant burden on patients, their families and healthcare services. Not surprisingly there has been little improvement in the understanding, diagnosis and management of many such disorders. More recently many practitioners across Europe have acquired equipment for some GI motility procedures such as oesophageal/anorectal manometry and pH/impedance studies. There is, however considerable variability in practice and clinical utility of the tests, which may have implications for patient care.  The proposed hands-on GI Motility Disorders course aims to provide exposure and expert guidance in GI motility disorders from a team of highly experienced and world renowned GI motility specialists.

The highly structured course set within one of Europe’s foremost clinical paediatric GI Motility centres aims to provide this training by
•    Introducing delegates to the breadth of common and more specialised tests available for the investigation of GI motility disorders in children, ranging from those of the pharynx through to the anal sphincter
•    Delivering teaching both by lectures to provide participants with a state of the art update on techniques as well as ‘hands on’ exposure and training, using actual equipment and where possible patients and volunteers
•    Teaching delegates the protocols for, as well as analysis and interpretation of, procedures based on actual patient-based cases and data.
•    Structuring the course to cover motility testing in sequence from the pharynx through to the upper and then lower GI tract
•    Providing participants with access to course materials to enable application to clinical practice and ongoing education


Faculty


Nikhil Thapar (London)
Osvaldo Borrelli (London)
Efstratios Saliakellis (London)
Keith Lindley (London)
Ania Rybak (London)
Mark Scott (London)
Joe Curry (London)
Lorenzo Biassoni (London)
Silvia Salvatore (Varese, Italy)
Marc Benninga (Amsterdam, Netherlands)
Michiel Van Wijk (Amsterdam, Netherlands)
Nathalie Rommel (Leuven, Belgium)
Yvan Vandenplas (Brussels, Belgium)
Stamitiki Kritas (Athens, Greece)
Sam Nurko (Boston, USA)  




Programme


Monday 25th September 2017

Afternoon and evening – arrival of delegates
19.00   Tutor briefing session
20.00   Dinner faculty and delegates


Tuesday 26th September 2017 (and repeated Wednesday 27th May 2016 with groups swapped around)

7.30 – 8.30 Breakfast (all delegates)

Groups divided into 25 participants each

Tuesday 26th September 2017

Group 1 (25 participants) – Oesophagus and Stomach
Group 2 (25 participants) – Small and Large Intestine and Anal Sphincter

Wednesday 27th May 2016
Group 2 (25 participants) – Oesophagus and Stomach
Group 1 (25 participants) – Small and Large Intestine and Anal Sphincter

Tutors: Oesophagus and Stomach
Efstratios Saliakellis (London)
Keith Lindley (London)
Michiel Van Wijk (Amsterdam)
Nathalie Rommel (Leuven)

Silvia Salvatore (Varese)
Stamitiki Kritas (Athens)
Lorenzo Biassoni (London)
Yvan Vandenplas (Brussels)


Tutors: Small and Large Intestine and Anal Sphincter

Nikhil Thapar (London)
Osvaldo Borrelli (London)

Ania Rybak (London)
Marc Benninga (Amsterdam)
Mark Scott (London)
Joe Curry (London)
Sam Nurko (Boston) 


Tuesday 26th September 2017 (repeated Wednesday 27th September 2017 with groups swapped around)

OESOPHAGUS AND STOMACH (Group 1-26th / Group 2-27th September 2017)

08.30-08.45     Introduction


08.45-09.30    Talk on Esophageal pH/impedance


09.30–10.30 Hands-on training in small groups in esophageal pH/impedance


09.30-09.50  Participants are split into 4 groups of 7 each. Each group with 2 tutors has a hands-on look at the equipment and run through calibration and placement

09.50-10.30 – the entire group comes together again and is allocated to 15 laptops with 1-2 delegates per laptop. The lead tutor will then talk through basic analysis with each laptop displaying an actual tracing that the delegates can visualize key elements of basic analysis e.g. need to do manual analysis to remove artifact readings, reflux episodes etc. The other tutors will split themselves across the delegates to help assist them with this analysis.

10.30–11.00 Coffee Break

11.00–12.00 Hands-on training in small groups in esophageal pH/impedance

11.00-12.00 – the entire group comes together again and is allocated to 15 laptops with 1-2 delegates per laptop. The lead tutor will then talk through actual cases. The delegates with the aid of the other tutors will carry out manual analysis and reports on the cases.


12.00-12.30  Talk on high-resolution esophageal manometry


12.30-13.30 Lunch (all delegates) - Talk: Nutrients: the ENS, sensing and gut motility

13.30-15.15 Hands-on training in small groups in high-resolution esophageal manometry

Participants are split into 3 groups of 12/13 each. Each group should have 2-3 tutors with one taking lead. In each group we have the following programme:


13.30-14.00 – each group of 8 and their 2 tutors has a hands-on look at the equipment and run through calibration and placement into volunteer
14.00-14.30 – standard procedure and analysis of manometry in volunteer
14.30-15.15 - look through recorded tracings of patients (3 cases) and discuss.

15.15-15.45 – Coffee Break

15.45-16.15  Tandem talk on gastric motility testing: radiology / EGG / gastric scintigraphy / breath tests

All participants (25) together. Generic talk covering the basic non-radiological non-scintigraphic methodologies used for gastric emptying/function studies including EGG, breath tests, smart pill. Lorenzo talk on nuclear medicine studies. Could also talk on endoflip

16.15 – 17.30 Hands-on training in small groups in gastric motility studies
Participants are split into 3 groups of 8 each rotating through 3 stations (20 minutes) dealing with equipment, procedures (volunteers is possible) and data.
Station 1 in Nuclear Medicine (Gastric Scintigraphy) – Lorenzo Biassoni + 1
Station 2 in GI Investigation Unit (EGG and Endoflip) – Keith Lindley + 1
Station 3 in GI Investigation Unit (Breath tests) – Nathalie Rommel + 1


17.15-17.30 – (all delegates) summary and close of day

19.00 All groups - Dinner


Tuesday 26th September 2017 (repeated Wednesday 27th September 2017 with groups swapped around)

SMALL AND LARGE INTESTINE AND ANAL SPHINCTER (Group 2-26th / Group 1-27th September 2017)

08.30-08.45     Introduction

08.45-09.30   Talk on antroduodenal manometry (small intestinal) and other techniques available for small intestinal motility assessment
entire group comes together.

09.30–10.30 Hands-on training in small groups in antroduodenal manometry (small intestinal) and other techniques available for small intestinal motility assessment

Participants are split into 2 groups of 12 each. Each group with 2 tutors has a hands-on look at the equipment and run through calibration and placement (radiological and or endoscopic) using videos where possible. The groups then look at basic analysis and interpretation from actual cases

10.30–11.00 Coffee Break

11.00–11.30 Talk on colonic manometry (large intestinal) and other techniques available for large intestinal motility assessment (colonic scintigraphy, smart pill)

entire group comes together.

11.30–12.30 Hands-on training in small groups in colonic manometry and other techniques available for large intestinal motility assessment

Participants are split into 2 groups of 12/13 each rotating through 2 stations (30 minutes) dealing with equipment, procedures and data (videos where possible).

Station 1 in Nuclear Medicine (Colonic Scintigraphy) and smart pill– Lorenzo Biassoni, Carlo Di Lorenzo, Mark Scott
Station 2 in GI Investigation Unit (Colonic Manometry including analysis of cases) – Osvaldo Borrelli, Nikhil Thapar, Joe Curry


12.30-13.30 Lunch (all delegates)- Talk: The Microbiome: effect on sensory and motor function of the GI tract

13.30–14.15 Talk on anorectal manometry and other techniques available for anorectal motility assessment (defecography, electrical muscle stim for anorectal anomalies)

entire group comes together.

14.15-15.15 Hands-on training in small groups in anorectal manometry and other techniques available for anorectal motility assessment

Participants are split into 2 groups of 12/13 each. Each group should have 2-3 tutors with one taking lead. In each group we have the following programme:

14.15-14.45 – each group their 2-3 tutors has a hands-on look at the equipment and run through calibration and placement into patient (possible to use patient covered and separated from delegates by a screen)
14.45-15.15 - look through recorded tracings of patients (3 cases) and discuss.

15.15-15.45 – Coffee Break

15.45-16.15  Tandem talks on treatment techniques for motility disorders: Peristeen / gastric / intestinal pacing / botox / biofeedback / Sacral and tibial nerve stimulation

All participants (25) together. Talks divided into 3
(i)    Osvaldo Borrelli - gastric pacing + transcutaneous electrical stimulation (15 min)
(ii)    Marc Benninga – Peristeen, Biofeedback, Sacral nerve stimulation (15 min)
(iii)    Joe Curry – role of surgery (ace, stoma) and botox (gastric/anal) (15 min)


16.15 – 17.15 Hands-on training in small groups in treatments of

Suggest participants are split into 3 groups of 8 each rotating through 3 stations (15 minutes) dealing with equipment and procedures.

Station 1 in pacing / electrical stimulation – Osvaldo Borrelli + Carlo Di Lorenzo
Station 2 in Peristeen – Marc Benninga + Nikhil Thapar
Station 3 in Botox injection (using model)– Joe Curry + Mark Scott


17.15-17.30 – (all delegates) summary and close of day

19.00 all groups - dinner


We thank our EPP Partners for their support:
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