Train with Transoral Incisionless Fundoplication

Cleveland Clinic London (CCL) is proud to present ‘Train with Transoral Incisionless Fundoplication’ in partnership with Endogastric solutions. Gastro-oesophageal reflux disease (GORD) is a very common disorder with an estimated prevalence of 10-20%. A growing number of patients are seeking alternative treatments to longterm pharmacotherapy. The current, and most effective, endoscopic procedure is TIF2.0, which is performed using the EsophyX device manufactured by EndoGastric Solutions, Inc. It can be completed under a general anaesthetic as a day case procedure with excellent long-term efficacy and safety data. This annual course provides delegates with a full day of immersive teaching for use of the EsophyX device. The course includes a fantastic three-hour session dedicated to hands-on training using an animal model.

Delegates will be taught essential skills in the preparation, assembly, and technical use of the EsophyX device.

COURSE OBJECTIVES

The aim of the course is help you get familiar with the set-up and use of the device in day-to-day clinical practice. This means understanding everything from the principles of reflux disease to performing TIF2.0 in the endoscopy suite. The hands-on session with give you a chance to use the device to practice different stages of creation of the 270-300º wrap in porcine models. All of our seminars will be delivered by highly experienced therapeutic endoscopists who use the device in their clinical practice. After participating in this educational course, delegates will be able to:

• Discuss the principles of reflux disease

• Understand the indications for TIF2.0

• Understand the contraindications to TIF2.0

• Understand the different components of the EsophyX device

• Learn how to set-up the EsophyX device

• Demonstrate use of the EsophyX device in an animal model

• Perform each stage of the TIF2.0 procedure

• Apply Serosafuse fasteners to endoscopy models

• Learn how to trouble-shoot with the device

• Understand the rationale for cTIF

TARGET AUDIENCE

The course is designed for consultants who are involved in advanced endoscopy who want to learn how to perform an TIF2.0 and introduce it into their clinical practice. It serves as a starting point fo delegates interested in endoscopic therapy for gastrooesophageal reflux disease.

AGENDA

08:30 - 08:45- Coffee & registration

08:45 - 09:00- Welcome and introduction by Rehan Haidry

09:00 - 09:20- Gastro-oesophageal reflux disease by Natalia Zarate-Lopez

09:20 - 09:40- Surgical management of reflux disease - traditional Nissen’s fundoplication by Muntzer Mughal

09:40 - 10:00- Endoscopic management of reflux disease by Roberto Simons-Linares

10:00 - 10:20- EsophyX device, tips, tricks, indication and contraindications by Salih Boğa

10:20 - 10:40- Concomitant hiatal hernia repair and TIF (cTIF) by Aleksandar P. Simic

10:40 - 11:00- Morning coffee break

11:00 - 11:30- Video case 1: TIF2.0 training, • Introducing the device, • Performing the wrap

11:30 - 12:00- Video case 2: TIF2.0, • Fine-tuning the wrap

12:00 - 12:30- Video case 3: cTIF, • Indications & technique

12:30 - 12:45- Q&A

12:45 - 13:30- Buffet Lunch

13:30 - 16:45- Hands-on skills lab: Four immersive animal training stations for hands-on practice with EsophyX device. Four delegates per station with personal trainer.

• Setting up the device

• Introducing the device

• Using tissue helix

• Performing the wrap

• Applying fasteners

• Reloading the device

• Fine-tuning the wrap

16:45 - 17:00- Closing remarks by Rehan Haidry

COURSE FACULTY

Dr Rehan Haidry

Consultant Gastroenterologist and Interventional Endoscopist Clinical Lead for Endoscopy at Cleveland Clinic London

Dr Benjamin Norton

Advanced endoscopy doctoral research fellow Cleveland Clinic London

Dr Andrea Telese

Advanced endoscopy doctoral research fellow Cleveland Clinic London

Mrs Alana Stevens

Research nurse coordinator Cleveland Clinic London

Prof. Muntzer Mughal

Consultant Upper GI surgeon Cleveland Clinic London

Natalia Zarate-Lopez

Consultant Gastroenterologist Cleveland Clinic London

Aleksandar P. Simic

Professor of Surgery University Clinical Center of Serbia

Dr Roberto Simons-Linares

Advanced Endoscopist and Director of Bariatric Endoscopy Cleveland Clinic

Dr Salih Boğa

Professor of Surgery Memorial Hospital, Istanbul

General Information:

Meeting location: Cleveland Clinic London, Grosvenor Place, London, SW1X 7HY

Interest: Please submit your interest to cclendoscopycourses@ccf.org or register via eventbrite.

Cost: The cost of this one-day course is £199 per delegate.

Cancellation: The course fee is refundable if cancelled more than six weeks before the course date. Any cancellation within six weeks of the course is nonrefundable.

If you need to cancel, please submit your request to cclendoscopycourses@ccf.org.