ACG ˜O˚˛ · 2018-07-26 · t The Premier GI Clinical Meeting & Postgraduate Course OCTOBER˜...

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The Premier GI Clinical Meeting& Postgraduate Course

OCTOBER 5–1O, 2O18

ACG2O18

Annual Scientific Meeting & Postgraduate Course

October 5-10, 2018 • Pennsylvania Convention Center, Philadelphia, PA

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 2018 PRELIMINARYP R O G R A M

TABLE of CONTENTSMessage from the ACG President ...........................................................1

General InformationSchedule-at-a-Glance ................................................................................2

Registration and Pricing Information ...................................................4

General Information ...................................................................................6

Housing and Travel Information .............................................................7

Explore Philadelphia and more ..............................................................9

Special Events & Receptions ................................................................. 10

ACG Auxiliary Events and Tours ............................................................ 11

GI Fellows-in-Training Events ................................................................ 12

Featured Lectures ..................................................................................... 13

Hands-On Endoscopy Workshop Center ........................................... 14

Educational ProgramsNeeds Assessment, Faculty Disclosure Requirements .................. 15

Accreditation / CME / MOC Information ........................................... 17

Friday Courses:

• GI Pathology and Imaging Course ...................................... 18

• What’s New in GI Pharmacology Course .......................... 19

• Practice Management Course .............................................. 20

• ASGE Postgraduate Course ...................................................22

Three-Day Clinical Review Overview ................................................. 24

Annual Postgraduate Course ................................................................25

Annual Postgraduate Course Faculty Listing .................................. 30

Annual Scientific Meeting ...................................................................... 31

Annual Scientific Meeting Faculty Listing ........................................ 42

Poster PresentationsPoster Presentation Times ....................................................................44

Sunday, October 7, Posters P1 – P881 ................................................ 45

Monday, October 8, Posters P882 – P1761 ........................................ 89

Tuesday, October 9, Posters 1762 – P2641 ...................................... 133

Exhibit Hall .................................................................................................. 177

Late-Breaking Abstract Submission Information .......................... 178

Join the Global

ACG 2018GI Community at

ACG 2018 pre-registration deadline

Friday, September 28th, 2018REGISTER ONLINE AT: ACGMEETINGS.GI.ORG



ACG2O18

Join Your Colleagues in Philadelphia for ACG 2018The Premier GI Clinical Event of the Year!

For more information on ACG 2018 and to register, visit acgmeetings.gi.org / 1

Dear Colleagues,It is my great pleasure to invite you to ACG 2018, the

American College of Gastroenterology's Annual Scientific

Meeting and Postgraduate Course, which is the premier GI

clinical event of the year. This year ACG returns to the City

of Brotherly Love, and to Philadelphia at the Pennsylvania

Convention Center for courses and scientific plenary sessions

with a focus on the educational needs and priorities of clinical

GI practitioners. Internationally known faculty and rising stars

in the fields of gastroenterology and hepatology will deliver

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 2018.

The scientific program, course agendas, and symposia have been planned for GI physicians and their non-physician

colleagues by members of ACG’s Educational Affairs

Committee whose experience and insights inform the

College’s educational priorities. The Committee has designed

ACG 2018 to cover the topics of greatest importance to you.

The College seeks to meet the needs of busy GI clinicians and

offers flexible options to maximize your education during time

away from your practice. 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.

At ACG 2018, you won’t find dozens of concurrent sessions

which means you won’t miss any important topics relevant

to your practice.

ACG 2018 delivers many benefits to attendees: � Numerous educational sessions that will provide ways to enhance patient care and improve efficiency in your practice

� Earn CME and MOC credit for all courses

� 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

ACG’s popular Hands-On Workshop Center is back again. Located in the Exhibit Hall, leading experts will demonstrate

the latest tools and techniques using the most advanced

devices and equipment. Registration for the hands-on

sessions will take place on-site in Philadelphia. The Hands-On

Workshop Center will be open beginning Sunday, October

7th. See page 14 for more information.

The ACG Annual Scientific Meeting is the ONLY major GI

meeting that is still offered as a member benefit at no 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 due

to the participation of exhibitors at the meeting. Exhibitor

participation in the Exhibit Hall, as well as Exhibitor sponsorship

and promotion, helps offset costs for the meeting. Without their

support, the meeting in its current form would not be possible.

Exhibitor participation also gives 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 2018, 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 7th, immediately following the Postgraduate Course.

This event provides an opportunity for PG Course registrants

to mix and mingle with colleagues while browsing the Hall

and viewing the posters being presented. Those registered for

the Annual Scientific Meeting are also invited to attend the

evening reception.

Once again in 2018, the College will be all-digital with faculty

presentations for ALL courses available through the ACG

Mobile app. Charge your phone, tablet, or laptop and bring

it with you to ACG 2018 to view speaker slides during the

presentations, and take notes within the app.

I urge you to join me in Philadelphia, October 5th through

the 10th. You will return to the office re-energized about your

profession having reconnected with colleagues. Registration

and housing for ACG 2018 are now open. You can find more

information beginning on page 4. Learn more about what to

do and see in Philadelphia on page 9.

Sincerely,

Irving M. Pike, MD, FACG, ACG President

P.S. Follow ACG on Twitter @AmCollegeGastro

and tag social media posts #ACG2018

2 \ 2018 Annual Scientific Meeting & Postgraduate Course

FRIDAY, OCTOBER 5

6:00 am – 5:00 pm Registration Broad Street Atrium

6:30 am – 7:30 amContinental Breakfast for Friday Course AttendeesTerrace Ballroom Lobby

7:00 am – 12:30 pm GI Pathology and Imaging CourseTerrace Ballroom 2-3

7:30 am – 4:30 pm ASGE Endoscopy CourseTerrace Ballroom 1

7:30 am – 4:40 pm Practice Management CourseTerrace Ballroom 4

1:45 pm – 5:15 pm What’s New in GI Pharmacology CourseTerrace Ballroom 2-3

5:00 pm – 8:15 pm Trainees’ Workshop: Navigating, Networking, and Negotiating Your First JobRoom 120AB

SATURDAY, OCTOBER 6


7:00 am – 7:50 amContinental Breakfast for Postgraduate Course AttendeesTerrace Ballroom Lobby

7:50 am – 5:00 pm Postgraduate CourseTerrace Ballroom

10:00 am – 10:30 am David Sun LectureTerrace Ballroom

12:20 pm – 1:35 pmOptional Learning Luncheons (pre-registration required)Room numbers will be listed on your badge.

12:20 pm – 1:35 pmCareer Opportunities for Women in GI LuncheonRoom 119A

5:15 pm – 7:00 pm GI Jeopardy CompetitionRoom 120AB

SUNDAY, OCTOBER 7


7:00 am – 7:50 amContinental Breakfast for Postgraduate Course AttendeesTerrace Ballroom Lobby

7:50 am – 5:00 pm Postgraduate CourseTerrace Ballroom

12:20 pm – 1:35 pm Optional Learning Luncheons (pre-registration required)Room numbers will be listed on your badge.

12:20 pm – 1:35 pmTrainees' Luncheon (pre-registration required)Room 115C

3:00 pm – 7:00 pm Exhibit Hall OpensExhibit Halls DE

3:30 pm – 7:00 pm Scientific Poster Sessions (Authors Present from 5:15 pm - 6:30 pm)Exhibit Halls DE

3:45 pm – 7:00 pm Hands-On Endoscopy Workshop CenterExhibit Halls DE

3:30 pm – 5:00 pm SCOPY Awards Reception and WorkshopRoom 120A

5:15 pm – 6:00 pm International Attendee ReceptionRoom 124

5:15 pm – 6:00 pm NP / PA Attendee ReceptionRoom 125

5:15 pm – 6:00 pm Women and Minorities in GI ReceptionRoom 123

5:15 pm – 6:00 pm Exhibitor TheaterExhibit Halls DE

5:15 pm – 7:00 pm Exhibit Hall Opening Welcome ReceptionExhibit Halls DE

6:00 pm – 7:00 pm Alumni ReceptionsSee invitation for room assignment

6:15 pm – 7:00 pm Exhibitor TheaterExhibit Halls DE

Schedule at-a-glance

Register for ACG 2018: acgmeetings.gi.org / 3

MONDAY, OCTOBER 8


6:30 am – 7:45 am Optional Breakfast Sessions (pre-registration required)Room numbers will be listed on your badge.

6:30 am – 7:45 am

Trainees' Breakfast: Physician Burnout and Work-Life Balance (pre-registration required)Room numbers will be listed on your badge.

7:45 am – 9:30 amHands-On Workshop Center - Trainee-Only Sessions Exhibit Halls DE

8:00 am – 9:00 am Presidential Plenary Session 1Terrace Ballroom

9:00 am – 9:30 am President's AddressTerrace Ballroom

9:30 am – 10:30 am Presidential Plenary Session 2 Terrace Ballroom

10:00 am – 4:45 pm Exhibit Hall OpensExhibit Halls DE

10:15 am – 4:40 pm Hands-On Endoscopy Workshop CenterExhibit Halls DE

10:30 am – 11:30 am Break – Visit the Exhibit Hall and Browse PostersExhibit Halls DE

10:30 am – 11:30 am Exhibitor Theater

11:30 am – 12:45 pm Simultaneous Symposia Session 1Terrace Ballroom

12:45 pm – 1:20 pm Exhibitor Theater

12:45 pm – 2:15 pm Lunch Break / Posters (Authors Present from 1:00 pm - 2:15 pm)Exhibit Halls DE

1:40 pm - 2:15 pm Exhibitor Theater

2:15 pm – 3:00 pm Simultaneous Plenary Session 1Terrace Ballroom

3:15 pm – 3:45 pm The American Journal of Gastroenterology LectureTerrace Ballroom 2-3

3:45 pm – 4:45 pm Break – Visit the Exhibit Hall and Browse PostersExhibit Halls DE


4:00 pm – 5:00 pmHow to Get Published: ACG Journal Editors' RoundtableRoom 119B

4:45 pm – 6:00 pm Simultaneous Symposia Session 2Terrace Ballroom

6:00 pm - 6:30 pm ACG Annual Business MeetingTerrace Ballroom 2-3

TUESDAY, OCTOBER 9



8:30 am – 10:00 am Simultaneous Plenary Session 2Terrace Ballroom

10:00 am – 4:30 pm Exhibit Hall OpenExhibit Halls DE

10:05 am – 10:35 am ACG’s J. Edward Berk Distinguished LectureTerrace Ballroom 2-3

10:05 am – 4:30 pm Hands-On Endoscopy Workshop CenterExhibit Halls DE

10:35 am – 11:30 am Break—Visit the Exhibit Hall and Browse PostersExhibit Halls DE




12:45 pm – 2:15 pm Lunch Break / Posters (Authors Present from 1:00 pm - 2:15 pm)Exhibit Halls DE

1:40 pm - 2:15 pm Exhibitor Theater

2:15 pm – 3:45 pm Simultaneous Plenary Session 3 Terrace Ballroom

3:45 pm – 4:30 pmBreak – Visit the Exhibit Hall and Browse PostersExhibit Halls DE

4:30 pm – 5:00 pm Emily Couric Memorial LectureTerrace Ballroom 2-3

5:10 pm – 6:25 pm Simultaneous Symposia Session 4Terrace Ballroom

WEDNESDAY, OCTOBER 10



8:30 am – 10:15 am Simultaneous Plenary Session 4Terrace Ballroom

10:20 am – 10:50 am David Y. Graham LectureTerrace Ballroom 2-3


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3-Day Clinical Review (GI Pathology and Imaging Course, What's New in GI

Pharmacology Course, and Postgraduate Course)

ACG Member Type Price

Physician $850

Resident / Trainee / Candidate $350

Advanced Practice Provider / Associate $650

Postgraduate Course & ACG 2018 Annual Scientific Meeting


Physician $500



BEST VALUE!3-Day Clinical Review & ACG 2018

Annual Scientific Meeting (GI Pathology and Imaging, GI Pharmacology, Postgraduate

Course, and ACG 2018 Annual Scientific Meeting)


Physician $850



Course Member Physician Resident / Trainee / Candidate Member

Advanced Practice Provider / Associate Member

GI Pathology and Imaging Course (Friday, October 5, half day, morning)

$225 $200 $200

What’s New in GI Pharmacology Course (Friday, October 5, half day, afternoon)

$225 $200 $200

Practice Management Course (Friday, October 5, all-day program)

$275 $75 $200

ASGE Endoscopy Course (Friday, October 5, all-day program)

$395 $200 $200

Postgraduate Course (Saturday-Sunday, October 6-7)

$500 $0 $320

ACG 2018 Annual Scientific Meeting (Monday-Wednesday, October 8-10)

$0 $0 $0

ACG MEMBER REGISTRATION PRICINGRegistration Packages – Save up to 10%

ACG MEMBER À LA CARTE OPTIONS

REGISTRATION and PRICING INFORMATIONPRE-REGISTRATION INFORMATION

Registration for ACG 2018 is online only at our secure website, acgmeetings.gi.org.

Pre-registration will remain open until Friday, September 28. After this date, on-site

registration will be required. For questions regarding registration, contact ACG Meeting

Services at [email protected].

ON-SITE REGISTRATION You may register on-site at the

ACG Registration Desk at the

Pennsylvania Convention Center,

Philadelphia, Pennsylvania,


3-Day Clinical Review (GI Pathology and Imaging Course, What's New in GI

Pharmacology Course, and Postgraduate Course)

Non-Member Type Price

Physician $1050

Exhibitor / Guest / PharmD / PhD $1050

Resident / Trainee $700

NP / PA / Allied Health / Practice Manager $950

Postgraduate Course & ACG 2018 Annual Scientific Meeting


Physician $1000




BEST VALUE!3-Day Clinical Review & ACG 2018

Annual Scientific Meeting (GI Pathology and Imaging, GI Pharmacology, Postgraduate

Course, and ACG 2018 Annual Scientific Meeting)


Physician $1520




Course Non-Member Physician

Exhibitor / Guest /PharmD / PhD

Non-Member Resident / Trainee

Non-Member NP / PA / Allied Health /

Practice Manager

GI Pathology and Imaging Course (Friday, October 5, half day, morning)

$275 $275 $250 $250

What’s New in GI Pharmacology Course (Friday, October 5, half day, afternoon)

$275 $275 $250 $250

Practice Management Course (Friday, October 5, all-day program)

$325 $325 $250 $250

ASGE Endoscopy Course (Friday, October 5, all-day program)

$495 $495 $250 $250

Postgraduate Course (Saturday-Sunday, October 6-7)

$620 $620 $280 $550

ACG 2018 Annual Scientific Meeting (Monday-Wednesday, October 8-10)

$500 $500 $0 $300

NON-MEMBER REGISTRATION PRICINGRegistration Packages – Save up to 10%

ACG NON-MEMBER À LA CARTE OPTIONS

REGISTRATION and PRICING INFORMATIONG

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CANCELLATIONWritten notice of cancellation and requests for refunds must be sent to

[email protected] by September 12. There will be a $50 administrative fee for

cancellation of paid events. Refunds will be issued after the meeting. After this date,

no refunds will be possible. Registration cancellations are not accepted by telephone.

ON-SITE REGISTRATIONbeginning Friday, October 5.

Some sessions have limited

space available. Pre-registration

is strongly recommended.


PRE-REGISTRATION NOW OPENPre-registration for ACG 2018 is available online only at the

meeting's secure website, acgmeetings.gi.org.

Pre-registration will remain open until Friday, September 28.

After this date, on-site registration will be required. For

questions regarding registration, contact Meeting Services

at [email protected].

ON-SITE REGISTRATIONYou may register on-site at the ACG 2018 Registration Desk at

the Pennsylvania Convention Center beginning on Friday,

October 5. Some sessions have limited space available. Pre-

registration is strongly recommended.

CANCELLATIONWritten notice of cancellation and requests for refunds must

be sent to [email protected] by Wednesday, September 12.

After this date, no refunds will be possible. There will be a $50

administrative fee for cancellation of paid events. Refunds will

be issued after the meeting. Registration cancellations are not

accepted by telephone.

MEETING MATERIALSMeeting materials, such as attendee badges and bags, will be

available for pick-up on-site at the ACG 2018 Registration Desk

beginning on Friday, October 5. Attendees who are registered

for the Postgraduate Course will also receive a complimentary

copy of the 2018 Self-Assessment Test (SAT) book.

Your registration includes access to the course presentations via

the ACG Mobile app (available as both a mobile app and online).

With the app, attendees will have full access to all available slide

presentations for each course for which they have registered. The

app also contains a fully searchable schedule of events, list of

program participants, abstracts, maps, exhibit information, and

more. (NOTE: No printed syllabus materials or USBs will

be available.)

Information on how to access the app, from both Apple and

Android app stores, will be e-mailed to all registrants shortly

before the meeting. For additional information about the app,

please visit acgmeetings.gi.org/education/meeting-materials.

EXHIBIT HALLThe science and technology of medicine is ever-changing and

advancing the practice of gastroenterology. Showcasing these

advances is the ACG 2018 Exhibit Hall, where more than 150

companies will display and demonstrate their products and

services. Exhibitors include pharmaceutical manufacturers,

medical instrument suppliers, research companies, technology

companies, publishers, non-profit organizations, recruiters,

and more.

THE JOB FORUMThe Job Forum will open online in July 2018. Employers will have the

opportunity to post jobs both in advance and on-site in the Broad

Street Atrium. Continue to visit acgmeetings.gi.org for updates.

THE ACG STOREVisit the Store while at the meeting to purchase promotional

items from ACG.

ON-SITE CHILD CAREChild care services will be available on-site during ACG

2018. Check acgmeetings.gi.org/meeting-info/child-care

for registration, fees, and payment information. Child care

will be provided at the Philadelphia Marriott Downtown, the

headquarters hotel. Full and half-day child care services will be

offered on the following dates and times:

Saturday, October 6 7:00 am – 5:30 pm

Sunday, October 7 7:00 am – 5:30 pm

Monday, October 8 7:00 am – 7:00 pm

Tuesday, October 9 7:00 am – 7:00 pm

Wednesday, October 10 7:00 am – 12:30 pm

ABOUT ACGThe American College of Gastroenterology is a recognized

leader in educating GI professionals and the general public about

digestive disorders. Our mission is to advance world-class care

for patients with gastrointestinal disorders through excellence,

innovation, and advocacy in the areas of scientific investigation,

education, prevention, and treatment. To learn more about ACG,

visit our website at gi.org.

ABOUT PHILADELPHIAPlan your trip to Philadelphia, Pennsylvania. Learn about

what to do and see in Philly beginning on page 9 or visit

discoverphl.com/meet/convention/acg.

ACCOMMODATIONSTen hotels are included in the ACG 2018 room block and are in close

proximity to the Pennsylvania Convention Center. The Philadelphia

Marriott Downtown, located at 1201 Market Street, will be the ACG

2018 headquarters hotel. Book your room now through the official

housing website. See page 7 for more information.

AMERICANS WITH DISABILITIES ACT (ADA)Attendees at ACG 2018 who need additional reasonable

accommodations or who have special needs should contact

the ACG office no later than Wednesday, September 12, 2018

at [email protected].

GENERAL INFORMATION


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ENJOY YOUR STAY IN PHILADELPHIA AT ONE OF THESE HOTELS IN THE ACG 2018 ROOM BLOCK. Rooms have been

booked at ten hotels in close proximity to the Pennsylvania Convention Center. The Philadelphia Marriott Downtown, located at

1201 Market Street, will be the ACG headquarters hotel. Book your room now through the official ACG 2018 Housing Bureau at at

acg.registration.meetingsites.net. For any questions, please call 888-863-7817.

Meeting Sites Resource is the official housing bureau for 2018 ACG Annual Scientific Meeting and Postgraduate Course. We

strongly recommend you book your housing through acg.registration.meetingsites.net. Do not book with any other housing bureau

that contacts you directly. Meeting Sites Resource will never contact you unsolicited. ACG and Meeting Sites Resource cannot

guarantee that other housing companies are legitimate and cannot guarantee your reservation at ACG 2018 if you book outside of

the official housing bureau.

Housing and Travel

HEADQUARTERS HOTEL

• Philadelphia Marriott Downtown

1201 Market Street Philadelphia, PA 19107 Group rate: $291 + tax

ADDITIONAL HOTELS

• Aloft Philadelphia Downtown

101 North Street Group rate: $279 + tax

• Courtyard by Marriott Philadelphia Downtown

21 North Juniper Street Group rate: $282 + tax

• Four Points by Sheraton Philadelphia City Center 1201 Race Street Group rate: $259 + tax

• Hampton Inn Philadelphia Center City - Convention Center 1301 Race Street Group rate: $245 + tax

• Hilton Garden Inn Philadelphia Center City

1100 Arch Street Group rate: $250 + tax

• Le Meridien Philadelphia 1421 Arch Street Group rate: $299 + tax

• Loews Philadelphia Hotel 1200 Market Street Group rate: $269 + tax

• Sheraton Philadelphia Downtown Hotel 201 North 17th Street Group rate: $239 + tax

• Home2 Suites by Hilton Philadelphia - Convention Center 1200 Arch Street Group rate: $229 + tax

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Cutoff Date for Hotel Reservations at the Group Rate: WEDNESDAY, SEPTEMBER 12, 2018


Hotel Reservation Deadline: Wednesday, September 12, 2018

To book your hotel room online, visit the ACG Housing Bureau website

acg.registration.meetingsites.net

TRAVEL DISCOUNT

UNITED AIRLINESBook online via www.united.com, and use offer code

ZEZ8108294 in the offer code box. If booking through a travel

professional or United Meetings at 1-800-426-1122, give the

following information: Agreement Code – 108294 and

Z Code – ZEZ8.

A $25 service fee will apply when booking through United

Meetings Reservations. There is no additional service fee when

booking online.

DELTA AIRLINESBook online via www.delta.com or by calling 1-800-328-

1111 and use Group Code NMRT9. Please note that a Direct

Ticketing Charge will apply for booking by phone. When

booking online, select Meeting Event Code and enter NMRT9

in the box provided on the Search Flight page.

DIRECT TRAVELYou can book airline reservations through ACG’s official travel

provider, Direct Travel, by calling 1-800-455-0983.

AMTRAKAmtrak 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 X52H-999. This offer is not

valid on the Auto Train and Acela Service.

INTERNATIONAL TRAVEL AND VISA INFORMATION

APPLYING FOR A VISAFor information on applying for a visa to attend

ACG 2018 in Philadelphia, visit the U.S. Department

of State website.

To apply, you will need the following:

� valid passport

� photo ID

� completed Form DS-160

(Nonimmigrant Visa Application)

� payment of required fees

We recommend applying for a visa as early

as possible.

OFFICIAL ACG 2018 DOCUMENTATION

ACG provides several documents as proof of your

intended participation in the conference. Please note

that ACG cannot provide further communication with

the U.S. Embassy or with the U.S. Department of State

on behalf of any conference registrant.

REGISTRATION CONFIRMATION: Once you have

completed your registration for ACG 2018, you will

receive a confirmation e-mail. The e-mail will outline the

courses that you have registered for, as well as show

proof of payment. If you do not receive this e-mail

upon completion of your registration, please contact

[email protected].

LETTER OF INVITATION: A link to a personalized

Letter of Invitation will be included in all registration

confirmation e-mails sent to registrants from outside

the U.S. and Canada. ACG cannot provide Letters of

Invitation to individuals who have not fully registered

for the conference.


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IONFew cities in the U.S. hold as much historical significance as

Philadelphia, which is one of the reasons why ACG has chosen

Philadelphia as the host city for ACG 2018. When asked about

Philadelphia, most know it as the birthplace of our nation, or

as home of the Liberty Bell, Benjamin Franklin, and The City of

Brotherly Love. Some may also remember it as the backdrop

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 the Super Bowl champion Eagles, 76ers, Phillies, and Flyers.

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 2018 to experience

the vibrancy of Philadelphia.

HOME OF OUR HISTORY, A CITY OF FIRSTSAny history lover will put Philadelphia on the top of their list

as places to visit to learn more about the United States, our

Founding Fathers, and our fight for independence. You can walk

cobbled streets, meet actors dressed in historical garb, see the

Liberty Bell at Independence Center, or take a carriage ride

through the area.

SEE PHILADELPHIA FROM ITS SIDEWALKSPhiladelphia is considered one of the most walkable cities in the

U.S. Put on your walking shoes and explore the various, distinct

neighborhoods of Philadelphia. There is the Historic / Waterfront

District, Washington Square District, Rittenhouse Square District,

University City / West Philadelphia, North Philadelphia, South

Philadelphia, and Manayunk / Germantown / Chestnut Hill. Along

the way, visit the museums, historical attractions, and shops in

each neighborhood. Don’t forget to do your own impersonation

of “Rocky” at the steps of the Philadelphia Museum of Art. Then

take a step inside to see some beautiful works of art from around

the world.

FOOD LOVER’S DELIGHTThere is no cheesesteak like the one you can get in Philadelphia.

South Philadelphia made these sinfully delicious concoctions

famous. It’s well known in Philly that several establishments boast

the best in the city, but we’ll leave it for you to decide. Whether

you are looking for fine or casual dining, you will find a wide

variety of cuisines to try throughout your stay. Just across the

street from the Pennsylvania Convention Center is the Reading

in PHILLY

What to&See Do Terminal Market. The Market is one of America's oldest and

largest public markets that offers food from a variety of local

vendors. Grab a quick bite to eat then head back to the

meeting after lunch.

ATTEND ACG 2018 AND VISIT PHILADELPHIA!Learn more about the area and plan your trip to Philadelphia,

visit: discoverphl.com/meet/convention/acg

TRAVELING TO PHILADELPHIA IS EASY BY PLANE, TRAIN, OR AUTOMOBILE If traveling by air, the Philadelphia International Airport is serviced

by more than 30 airlines offering 700 convenient daily nonstop

flights, including 52 daily nonstop flights from more than 30

international cities. The Philadelphia International Airport is just

seven miles outside Philadelphia and visitors can reach the city by

rail service at the airport or by taxi. Many visitors can also travel

to Philadelphia by train on Amtrak, which offers transportation

to the 30th Street Station in downtown Philadelphia. If you are

coming from a city along the Northeast corridor, Amtrak offers

a convenient, ideal service that runs from Boston to Washington,

DC and all points in between. Philadelphia is also a short drive

away from most major cities along the Northeast corridor.

WHAT TO DO AND SEE IN POPULAR PHILADELPHIA NEIGHBORHOODS

� Historic District

� Independence National Historical Park featuring the Liberty Bell, Independence Hall and Carpenters’ Hall

� The Museum of the American Revolution

� Elfreth’s Alley—the oldest continuously occupied street in the U.S.

� Waterfront District

� Independence Seaport Museum

� Penn’s Landing

� Adventure Aquarium

� Washington Square District

� Jeweler’s Row, the largest and oldest jewelry district

� Antique Row

� Convention Center District

� Reading Terminal 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

� The Franklin Institute Science Museum

� The Academy of Natural Sciences

� Philadelphia Zoo

� Please Touch Museum, Philadelphia’s children’s museum

� Mütter Museum

� Rittenhouse Square, one of the city’s most popular parks

� Academy of Music

� The Kimmel Center for the Performing Arts

� Walnut Street's fine dining, shopping, and salons

� LOVE Park across from City Hall


Special Events and ReceptionsThere are numerous opportunities at ACG 2018 to

network with your peers. Here are a few of the events

taking place this year at ACG 2018.

ACG SCOPY AWARD CEREMONY & WORKSHOPSunday, October 7 | 3:30 pm – 5:00 pm

Room 120A

Join the ACG Public Relations Committee and celebrate your colleagues receiving 2018 ACG SCOPY Awards. Be inspired by a dynamic panel presentation on some of the best, most innovative and impactful community education programs to raise awareness of colorectal cancer and enjoy a cocktail reception. SCOPY is ACG’s Service Award for Colorectal Cancer Outreach, Prevention & Year-Round Excellence.

INTERNATIONAL ATTENDEE RECEPTIONSunday, October 7 | 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.

NP/PA ATTENDEE RECEPTIONSunday, October 7 | 5:15 pm – 6:00 pm Room 125

All NP/PA ACG 2018 attendees are invited to attend.

WOMEN AND MINORITIES IN GASTROENTEROLOGY RECEPTIONSunday, October 7 | 5:15 pm – 6:00 pm Room 123

All those interested in the issues facing women and minorities in the GI field are invited to attend.

ACG PRESIDENT'S ADDRESSMonday, October 8 | 9:00 am - 9:30 am Terrace Ballroom

Irving M. Pike, MD, FACG, ACG President, will address attendees during the President's Address to mark the beginning of the ACG 2018 Annual Scientific Meeting. The President uses this opportunity to welcome attendees, highlight accomplishments over the past year, and bid farewell as the leadership passes on to the President-Elect.

HOW TO GET PUBLISHED: ACG JOURNAL EDITORS' ROUNDTABLEMonday, October 8 | 4:00 pm - 5:00 pm Rom 119B

ACG’s journal editors frequently receive questions about how best to get published, how they assess submissions, and how to best format a manuscript. In this session, the editors reveal answers to the top 10 questions they receive about the publication process and share pearls of wisdom about what works – and what doesn’t – when submitting papers for publication. If you want to start or improve your publishing career, then don’t miss this valuable opportunity to hear directly from the editors who are eager to help! Free and open to all attendees.

ACG ANNUAL BUSINESS MEETINGMonday, October 8 | 6:00 pm – 6:30 pm Terrace Ballroom 2-3 All Members and Fellows (FACG) are encouraged to attend the Annual Business Meeting where College business will be discussed and voted on.

EXHIBIT HALL OPENING WELCOME RECEPTION

Sunday, October 7, 5:15 pm – 7:00 pm

Immediately following the conclusion of the

Postgraduate Course, join colleagues for the ACG

2018 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 colleagues.



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AUXILIARY SCHEDULE AT A GLANCE

SATURDAY, OCTOBER 6

Conference RegistrationPennsylvania Convention Center – Broad Street Atrium | 7:00 am – 5:15 pm

Auxiliary Registration/Hospitality Suite*Philadelphia Marriott Downtown – Room 310 | 8:00 am - 10:00 am

SUNDAY, OCTOBER 7



Opening Welcome Reception**Pennsylvania Convention Center Exhibit Hall | 5:15 pm – 7:00 pm

MONDAY, OCTOBER 8



Auxiliary Member Luncheon**Room 306 | 12:30 pm – 3:00 pm

TUESDAY, OCTOBER 9



WEDNESDAY, OCTOBER 10


* Breakfast will be available Saturday through Tuesday in the Auxiliary Hospitality Suite.

** All Auxiliary members invited.

ACG AUXILIARY-SPONSORED TOURSRegister for the tours: acgmeetings.gi.org

BARNES FOUNDATIONSaturday, October 6 | 10:00 am - 11:00 amCost: $55, ACG Auxiliary Member | $65, Non-member

Join the Auxiliary group as they immerse themselves into the renowned Barnes Foundation. The Barnes Foundation is an art collection and educational institution promoting the appreciation of art and horticulture. Learn about the various art exhibits and network with at this hour-long docent led tour. Group will meet in the lobby of the Philadelphia Marriott Downtown and walk to the Barnes Foundation.

MURAL ARTS TOURSunday, October 7 | 10:00 am - 12:00 noon Cost: $40, ACG Auxiliary Member | $50, Non-member

The Auxiliary group will be exploring the numerous murals in Philadelphia onboard the Masterpieces East Trolley Tour. Join them for this 2-hour adventure through the various neighborhoods of the city while getting a glimpse of some of the beautiful murals. The group will meet the trolley in front of the Philadelphia Marriott Downtown at 10:00 am.

THE CONSTITUTIONAL WALKING TOURMonday, October 8 | 10:00 am - 11:15 amCost: $20, ACG Auxiliary Member | $30, Non-member

Immerse yourself in a 75-minute walking tour that will take you all across the city of Philadelphia. Group will meet in the lobby of the Philadelphia Marriott Downtown. During this 1.25-mile journey you will explore sites like the Liberty Bell, Independence Hall, and the Betsy Ross House with a private docent. Come join other members of the Auxiliary group and learn about the rich history that lies in Philly. The tour will take place rain or shine.

AUXILIARY LUNCHEON—MEMBERS ONLYMonday, October 8 | 12:30 pm – 3:00 pmCost: complimentary for ACG Auxiliary Members

Join a chef from the Philadelphia Marriott Downtown for a personalized cooking demonstration demo and catered lunch. You will be able to not only taste what you see created, but also take the recipes home to try on your own. This is an Auxiliary Member only lunch.

** Please note that tours and fees are subject to change**

Visit the ACG Auxiliary webpage and Facebook page for information

on the tours, hospitality suite, luncheon, and auxiliary membership.

Website: acgaux.gi.org | Facebook: ACG Auxiliary

ACG AUXILIARYevents and tours

ACG AUXILIARY OFFICERS 2017-2018

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President: Renee Remily

Vice-President: Shelley DeVault

Secretary: Una Quigley

Treasurer: Laurie Leighton

Vice Presidents (Activities): Lynn Reynolds Dorisann Rusche

Vice Presidents (Hospitality): Celly Morris Carol Rubin

Vice President (Membership/ Communications): Mimi Chung



GI Fellows-in-Training eventsThe American College of Gastroenterology is committed to serving the specific needs of GI trainees. ACG 2018 includes

elements designed with this aim in mind.

NAVIGATING, NETWORKING, AND NEGOTIATING YOUR FIRST JOB WORKSHOPFriday, October 5 | 5:00 pm – 8:15 pm | Room 120AB

The ACG Women in GI Committee is hosting a program for both men and women 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. Separate breakouts for small group discussions are planned.

Advance registration is required and space is limited. There is a $30 fee for this workshop. Dinner will be provided. To register, please visit the ACG 2018 registration page.

CAREER OPPORTUNITIES FOR WOMEN IN GI LUNCHEONSaturday, October 6 | 12:20 pm – 1:35 pm | Room 119A

The ACG Women in GI Committee is hosting a program geared toward residents, trainees, and junior faculty 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. This is a free program for attendees at ACG 2018. Advance registration is required and space is limited. Register online: acgmeetings.gi.org/career-opportunities-for-women-in-gi-luncheon

GI JEOPARDY: BUZZ IN FOR YOUR TRAINING PROGRAMSaturday, October 6 | 5:15 pm – 7:00 pm | Room 120AB

GI Jeopardy will return in 2018! 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.

The competition begins in July with a preliminary round open to all GI training programs. Groups of fellows take an 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 2018. 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. Light refreshments will be provided.

TRAINEES LUNCHEONSunday, October 7 | 12:20 pm – 1:35 pm | Room 115C

Once again, a special lunch exclusively for Fellows-in-Training will be offered on Sunday, October 7th during the Postgraduate Course. The topic of this year's session will be "Employment

Agreements and Financial Considerations." Attorney Marc L. Davidson will cover topics including Contacts, Compensation, Shareholder Agreements, Life and Disability Insurance, and Estate Planning. Don't delay, as this luncheon sells out every year.

This luncheon is available to all trainees in gastroenterology and hepatology, and has a fee of $40. To register, please visit the ACG 2018 registration page: acgmeetings.gi.org/registration.

TRAINEES BREAKFASTMonday, October 8 | 6:30 am – 7:45 am | Room 121B

For the first time, the ACG Training Committee will be offering a special breakfast session exclusively for fellows-in-training on Monday, October 8th, from 6:30 am - 7:45 am during the Annual Scientific Meeting entitled “Avoiding Burnout: Creating Work-Life Balance in Training and Early in Practice”. This breakfast session will provide trainees with information on how to recognize and prevent burnout, and ways to help achieve work-life balance early in your career. The session will end with a panel discussion and a question and answer session. Don’t delay as this trainee-only breakfast session will only be offered on Monday morning.

This breakfast is available to all trainees in gastroenterology and hepatology, and has a fee of $35. To register, please visit the ACG 2018 registration page: acgmeetings.gi.org/registration.

HANDS-ON WORKSHOP CENTER —TRAINEE-ONLY SESSIONSMonday, October 8 | 7:45 am – 9:30 am | Exhibit Halls DE

The ever-popular Hands-On Workshop Center will again be offered in the Exhibit Hall. Expert faculty will demonstrate techniques or devices, and attendees will have an opportunity to practice using the equipment. Each session will feature a wide variety of equipment and products. In addition, trainee-only hands-on sessions will be offered. More detailed information regarding registration coming soon. Trainees are welcome to participate in any hands-on session offered Sunday – Tuesday.

HOW TO GET PUBLISHED: AN ACG JOURNAL EDITORS' ROUNDTABLEMonday, October 8 | 4:00 pm – 5:00 pm | Room 119B

ACG’s journal editors frequently receive questions about how best to get published, how they assess submissions, and how to best format a manuscript. In this session, the editors reveal answers to the “Top 10 Questions” they receive about the publication process and share pearls of wisdom about what works—and what doesn’t —when submitting papers for publication. If you want to start or improve your publishing career, then don’t miss this valuable opportunity to hear directly from the editors who are eager to help! Free and open to all attendees.



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DAVID SUN LECTURETranslational Approaches to Common GI Diseases... Thinking Out of the Box...The Future is Now! David A. Johnson, MD, MACG

Saturday, October 6 | 10:00 am – 10:30 am | Terrace Ballroom

Hear Dr. David A. Johnson discuss how diet, prebiotic/microbiome changes, sleep/behavioral, and non-prescription medication use can act as pathways for optimizing disease management when he presents the ACG David Sun Lecture.

Dr. David A. Johnson is Professor of Medicine and Chief of Gastroenterology at Eastern Virginia School of Medicine in Norfolk, VA. He has been published in many peer-reviewed journals and books. He is a Past President of ACG (2006-2007). Since 2000, he has served on both the GI Multi-society CRC Screening Task Force and ACG guidelines committee for CRC screening and has co-authored these screening guidelines and others. He has delivered multiple named lectures, including the AJG, Couric, and Berk Lectures at the national ACG meetings. He has been honored by the ACG as a "Master," received the ACG's Berk/Fise Clinical Achievement Award for lifetime achievements and contributions in 2012, and in 2015, received the ACG Board of Governors William D. Carey Award for lifetime distinguished contributions. In 1999-2000, he worked with State Senator Emily Couric to develop the historic legislation to mandate colon cancer screening with colonoscopy as the preferred standard.

The David Sun Lecture, held during the Postgraduate Course, was established by Mrs. Sun in memory of her husband, Dr. David Sun, an outstanding gastroenterologist and investigator. Each year, a lecturer with a distinguished background in gastroenterology or an allied field is chosen by the Course Directors of the Postgraduate Course subject to the approval of the ACG Educational Affairs Committee and the ACG Board of Trustees.

THE AMERICAN JOURNAL OF GASTROENTEROLOGY LECTUREWhat Causes Functional GI Disorders? The Latest Data and Insights Nicholas J. Talley, AC, MD, MBBS, PhD, MMedSci, MACGMonday, October 8 | 3:15 pm – 3:45 pm | Terrace Ballroom 2-3

Learn how to recognize known and emerging risk factors for functional GI disorders including infections, foods, and alterations in the microbiome when Dr. Nicholas Talley presents, “What Causes Functional GI Disorders? The Latest Data and Insights.”

Laureate Professor Nicholas J. Talley AC, MD, MBBS, PhD, MMedSci, MACG, is currently Pro Vice-Chancellor, Global Research at the University of Newcastle, Australia. He is an expert clinician, educator and researcher, with extensive experience as a leader in the medical and University sectors. Professor Talley has published over 900 original and review articles in peer-reviewed literature, and is considered one of the world's most influential clinician-researchers (H index 130 Scopus).

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 ACG Board of Trustees.

J. EDWARD BERK DISTIGUISHED LECTUREFake News and Alternative Facts on Personalized Medicine in IBDStephen B. Hanauer, MD, FACG Tuesday, October 9 | 10:05 am – 10:35 am | Terrace Ballroom 2-3

Hear about best practices in IBD and learn how to differentiate the supporting evidence from the current misinformation and misunderstandings that detract from optimal patient care when Dr. Stephen Hanauer presents ACG’s J. Edward Berk Distinguished Lecture.

Stephen B. Hanauer is past President of the ACG (2014-2015). He completed a medical degree, with honors, at the University of Illinois in Chicago. His postdoctoral training included an internship and residency in internal medicine, as well as a fellowship in gastroenterology, at the University of Chicago. He served as the Joseph B. Kirsner Chair Professor of Medicine and was Chief of the Section of Gastroenterology, Hepatology and Nutrition where he served from 2000-2014. Dr. Hanauer is currently the Medical Director of the

Digestive Health Center at Northwestern Feinberg School of Medicine and Clifford Joseph Barborka Professor of Medicine. Dr. Hanauer has authored over 400 peer-reviewed journal articles, books and book chapters, abstracts, monographs, and editorials. He is ex-Editor-in-Chief of Nature Clinical Practice Gastroenterology & Hepatology and served as Associate Editor (IBD) of Clinical Gastroenterology and Hepatology. He is a member of the editorial boards of numerous journals, including The American Journal of Gastroenterology, and Inflammatory Bowel Diseases.

The J. Edward Berk Distinguished Lecture is awarded to individuals prominent in gastroenterology or a related area. The lecturer is nominated by the ACG President and the appointment is subject to approval by the ACG 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.

EMILY COURIC MEMORIAL LECTURE80% Colorectal Cancer Screening by 2018: How Did We Do and Where Do We Go From Here? David A. Greenwald, MD, FACG Tuesday, October 9 | 4:30 pm – 5:00 pm | Terrace Ballroom 2-3

Learn about the goals, successes, and future plans of the “80% by 2018” campaign for colorectal cancer screening, when Dr. David Greenwald presents the Emily Couric Lecture, “80% Colorectal Cancer Screening by 2018: How Did We Do and Where Do We Go From Here?”

Dr. David A. Greenwald is currently Director of Clinical Gastroenterology and Endoscopy at Mount Sinai Hospital in New York and Professor of Medicine at the Icahn School of Medicine at Mount Sinai. He is Treasurer of the ACG and a member of the Board of Trustees, and previously was Chair of the ACG Board of Governors. He is a Board Member of GIQuIC, the GI Quality Improvement Consortium. He has been a member of the Steering Committee of the National Colorectal Cancer Roundtable, and is now the Co-Chair of that organization's Public Awareness and Social Media Committee. In New York, he is the co-chairman of the Citywide Colorectal Cancer Control Coalition (C5).

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.

DAVID Y. GRAHAM LECTURE Management of Patients With Colorectal Polyps: A Personalized Approach Based on Etiology Carol A. Burke, MD, FACG Wednesday, October 10 | 10:20 am – 10:50 am | Terrace Ballroom 2-3

Gain a better understanding of the roles lifestyle, genetics, and polyp characteristics play on the management of patients with colorectal polyps when Dr. Carol Burke presents the ACG David Y. Graham Lecture.

Dr. Carol A. Burke is immediate past president of ACG, and a past president of the Collaborative Group of the Americas on Inherited Colorectal Cancer. She is Vice Chair of the Department of Gastroenterology and Hepatology at Cleveland Clinic and has been a staff member there since 1993 after completion of her GI fellowship at the Clinic. She holds joint appointments in the Taussig Cancer Center and the Department of Colorectal Surgery. She is the Director of the Center for Colon Polyp and Cancer Prevention and leads the section of Polyposis in the Sanford R. Weiss, MD Center for Hereditary Colorectal Neoplasia. She is internationally known for her expertise in inherited colon cancer syndromes and the prevention of colorectal neoplasia. She has authored over 100 publications. She is a visiting professor and invited speaker at national and international conferences on the prevention of colorectal neoplasia and the inherited colon cancer syndromes. She is past associate editor for The American Journal of Gastroenterology, and is a reviewer for many journals.

The Graham Lecturer is chosen by the ACG president and is subject to approval by the ACG Board of Trustees. Established in 2004 in recognition of the many contributions to clinical gastroenterology made by David Y. Graham, MD, MACG, this named lectureship was made possible through a donation by Otsuka Pharmaceutical Co., Inc., and Meretek Diagnostics, Inc.

LECTURESFeatured


LEARN FROM THE EXPERTS WHEN YOU ATTEND ONE OF THE MANY HANDS-ON ENDOSCOPY WORKSHOP SESSIONS OFFERED AT ACG 2018! Watch expert faculty demonstrate various endoscopic procedures, and try out the latest products and equipment.

Workshop registration will take place onsite in Philadelphia, and tickets will be given out on a first-come, first-served basis. The workshops will be held during Exhibit Hall hours.

SUNDAY, OCTOBER 7, 2018

3:45 pm – 6:45 pm

ERCP Faculty Leader: Jason R. Taylor, MD

EMR/Polypectomy Faculty Leader: Andrew Y. Wang, MD, FACG

4:00 pm – 7:00 pm

Foreign Body Removal Faculty Leader: Seth A. Gross, MD, FACG

Hemostasis Faculty Leader: David A. Greenwald, MD, FACG

MONDAY, OCTOBER 8, 2018

10:15 am – 12:55 pm

ERCP Faculty Leader: Douglas G. Adler, MD, FACG

EMR/Polypectomy Faculty Leader: Laith H. Jamil, MD, FACG

10:30 am – 1:05 pm

Stenting Faculty Leader: Immanuel K. H. Ho, MD, FACG

Hemostasis Faculty Leader: John R. Saltzman, MD, FACG

1:55 pm – 4:30 pm

EUS Faculyy Leader: Girish Mishra, MD, MS, FACG

ESD with Asian Experts Faculty Leader: Qiang Cai, MD, PhD, FACG

2:05 pm – 4:40 pm

Mucosal Ablation Faculty Leader: Prasad G. Iyer, MD, FACG

Hemorrhoid Therapy Faculty Leader: Stephen W. Landreneau, MD, FACG

TUESDAY, OCTOBER 9, 2018

10:05 am – 12:45 pm

ERCP Faculty Leader: Georgios I. Papachristou, MD, PhD, FACG

Enteroscopy Faculty Leader: Steven A. Keilin, MD

10:20 am – 12:55 pm

Mucosal Ablation Faculty Leader: Kenneth K. Wang, MD, FACG

Capsule Endoscopy Faculty Leader: Christian S. Jackson, MD, FACG

1:45 pm – 4:20 pm Hemorrhoid Therapy Faculty Leader: David A. Johnson, MD, MACG

1:55 pm – 4:30 pm

Foreign Body Removal Faculty Leader: Field F. Willingham, MD, MPH

Esophageal / Anorectal Manometry Faculty Leader: Satish S.C. Rao, MD, PhD, FACG

Hands-On Endoscopy Sessions do not offer CME. Limited space available.

Hands-On Endoscopy Workshop Directors: Vivek Kaul, MD, FACG, and Qiang Cai, MD, PhD, FACG

WorkshopsHANDS-ON ENDOSCOPY

GI FELLOWS ONLY SESSIONS MONDAY, OCTOBER 8, 2018

7:45 am - 9:30 am

ERCP Faculty Leader: Vivek Kaul, MD, FACG

EMR/Polypectomy Faculty Leader: Amit Rastogi, MD

Foreign Body Removal / Stenting Faculty Leader: Ashley L. Faulx, MD, FACG

Hemostasis Faculty Leader: Kevin E. Woods, MD, MPH

RESIDENT TRAINING SESSIONS BACK BY POPULAR DEMAND!

• Sunday, October 7, 2018 | 4:00 pm – 5:00 pm Faculty Leader: David J. Hass, MD, FACG

• Monday, October 8, 2018 | 10:30 am – 11:30 am Faculty Leader: Pichamol Jirapinyo, MD

• Monday, October 8, 2018 | 3:45 pm – 4:45 pm Faculty Leader: Eun J. Shin, MD


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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.

COLON CANCER SCREENINGColorectal 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 US 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 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.

OBESITYObesity 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.

IBDInflammatory 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.

HEPATOLOGYGastroenterologists 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

NEEDS ASSESSMENTACG 2018 Educational Programs


fewer 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.

PANCREATICOBILIARYPancreaticobiliary 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.

FUNCTIONAL GIImprovements 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.

GI BLEEDINGGI 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.

GERDGastroesophageal 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. 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.

ENDOSCOPYRapid 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.

QUALITYFinally, 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 evidence-based 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.

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.

NEEDS ASSESSMENTACG 2018 Educational Programs


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ACG COURSE ACCREDITATION INFORMATION

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 these live activities for a maximum number of AMA PRA Category 1 Credits™ as

noted below. Physicians should claim only the credit commensurate with the extent of their participation in the activities.

Successful completion of these CME activities, which includes participation in the evaluation component,

enables the participant to earn MOC points as noted below in the American Board of Internal Medicine’s

(ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to

the amount of CME credits claimed for each activity. It is the CME activity provider’s responsibility to submit participant completion

information to ACCME for the purpose of granting ABIM MOC credit.

COURSE CME CREDITS ABIM MOC POINTS

Pathology and Imaging Course 5.25 5.25

What’s New in GI Pharmacology Course 3.25 3.25

Practice Management Course 8 8

Postgraduate Course 13 13

• PG Course Learning Lunches - Saturday and Sunday (each) 1 0

• Self-Assessment Test 35 35

Annual Scientific Meeting 16.5 16.5

• Annual Meeting Breakfast Sessions - Monday 1.25 0

• Annual Meeting Breakfast Sessions- Tuesday and Wednesday (each) 1.5 0

• Annual Meeting Hands-On Sessions 0 0

ASGE ENDOSCOPY COURSE ACCREDITATION INFORMATION

The American Society for Gastrointestinal Endoscopy (ASGE) is accredited by the Accredited Council for Continuing Medical Education

(ACCME) to provide continuing medical education for physicians.

ASGE designates this live activity for a maximum of 7.5 AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate

with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component,

enables the participant to earn up to 7.5 MOC points in the American Board of Internal Medicine’s (ABIM)

Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of

CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME

for the purpose of granting ABIM MOC credit.

ACCREDITATION Information


PATHOLOGY AND IMAGING IN THE EVALUATION OF GASTROINTESTINAL DISEASE COURSEFriday, October 5, 2018 | 7:00 am - 12:30 pm | Terrace Ballroom 2-3Course Directors: David A. Greenwald, MD, FACG, and Olga C. Aroniadis, MD, MSc

COURSE DESCRIPTION

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 correlated endoscopic 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. Register for the course separately or as part of the Three-Day Clinical Review (see page 24).

FACULTY

Olga C. Aroniadis, MD, MSc Assistant Professor of Medicine, Montefiore Medical Center, Bronx, NY

Karen Choi, MD Assistant Professor, Department of Pathology, University of Michigan, Ann Arbor, MI

Greg dePrisco, MD Staff Radiologist, Baylor University Medical Center, Dallas, TX

Milana Flusberg, MD Associate Professor, Albert Einstein College of Medicine, NY

David A. Greenwald, MD, FACG Director of Clinical Gastroenterology and Endoscopy, Mount Sinai Hospital, New York, NY

Douglas S. Katz, MD, FACR Professor of Radiology, Stony Brook University School of Medicine, and Director, Body Imaging, and Vice Chair of Clinical Research and Education, Department of Radiology, NYU Winthrop Hospital, Mineola, NY

David N. Lewin, MD Director of Gastrointestinal Pathology, Medical University of South Carolina, Charleston, SC

Robert D. Odze, MD, FRCPC Professor of Pathology, Brigham and Women's Hospital, Boston, MA

Nicole C. Panarelli, MD Associate Professor of Pathology, Montefiore Medical Center, Bronx, NY

David J. Vining, MD Professor, Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX

PROGRAM OBJECTIVESAt 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.

COURSE AGENDA

7:00 am Welcome and Introductions David A. Greenwald, MD, FACG, and Olga C. Aroniadis, MD, MSc

7:05 am Liver Cells, Bile Ducts, and Stones: Pathology and Imaging of the Liver and Gallbladder Pathologist: Karen Choi, MD Radiologist: Greg dePrisco, MD

8:25 am Q & A

8:35 am Understanding Swallowing and Digestion: Pathology and Imaging of the Esophagus and Stomach Pathologist: Nicole C. Panarelli, MD Radiologist: Douglas S. Katz, MD, FACR

9:35 am Q & A

9:40 am Break

10:00 am Delving Deeper Into the GI Tract: Pathology and Imaging of the Small Bowel and Pancreas Pathologist: David N. Lewin, MD Radiologist: Milana Flusberg, MD

11:05 pm Q & A

11:15 am Polyps, Tumors, IBD, and More: Pathology and Imaging of the Colon and Rectum Pathologist: Robert D. Odze, MD, FRCPC Radiologist: David J. Vining, MD

12:20 pm Q & A

12:30 pm Course Adjourns

FRIDAY COURSESFriday, October 5, 2018

WHAT’S NEW IN GI PHARMACOLOGY COURSEFriday, October 5, 2018 | 1:45 pm - 5:15 pm | Terrace Ballroom 2-3Course Directors: Brooks D. Cash, MD, FACG, and William D. Chey, MD, FACG

COURSE DESCRIPTIONAttend 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 course will consist of lectures and Q & A sessions on such topics as use of biosimilars to treat IBD, treatment options for functional GI disorders, review of new anticoagulants, a GI’s guide to vaccinations, pharmacological therapy during pregnancy, treatment options for primary biliary cirrhosis, and medico-legal issues in pharmacology.

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. Register for the course separately or as part of the Three-Day Clinical Review (see page 24).

FACULTY

Michelle A. Anderson, MD, MSc Associate Professor, University of Michigan, Ann Arbor, MI

Brooks D. Cash, MD, FACG Professor of Medicine, University of Texas McGovern Medical School, Houston, TX

William D. Chey, MD, FACG Nostrant Professor of Gastroenterology & Nutrition, University of Michigan; Director, GI Physiology Lab, Michigan Medicine, Ann Arbor, MI

Phillip K. Henderson, DO Assistant Professor of Medicine, University of South Alabama, Mobile, AL

John Inadomi, MD, FACG Division Head, Division of Gastroenterology, University of Washington School of Medicine, Seattle, WA

David T. Rubin, MD, FACG Joseph B. Kirsner Professor of Medicine; Chief, Section of Gastroenterology, Hepatology and Nutrition; Co-Director, Digestive Diseases Center, University of Chicago Medicine, Chicago, IL

Stuart J. Spechler, MD, FACG Chief, Division of Gastroenterology; Co-Director, Center for Esophageal Diseases, Baylor University Medical Center at Dallas, Dallas, TX

Lisa L. Strate, MD, MPH, FACG Associate Professor, Harborview Medical Center, Seattle, WA

COURSE AGENDA1:45 pm Welcome and Introductions

Brooks D. Cash, MD, FACG, and William D. Chey, MD, FACG

1:50 pm Functional Dyspepsia: Current Pharmacologic Approaches William D. Chey, MD, FACG Identify the epidemiology, diagnostic processes, and best practices for the management of functional dyspepsia.

2:10 pm Contemporary Review of PPI Therapy: What You and Your Patients Need to Know Stuart J. Spechler, MD, FACG Discuss the clinical evidence for the use of PPIs in a variety of clinical scenarios, and review current evidence regarding short- and long-term safety of PPIs.

2:30 pm Approach to Symptomatic Diverticular Disease Lisa L. Strate, MD, MPH, FACG Describe the various presentations of symptomatic diverticular disease, and review current therapeutic approaches.

2:50 pm Antibiotic Prophylaxis for the Gastroenterologist Michelle A. Anderson, MD, MSc Explain the evidence for and against the application of antibiotic prophylaxis in patients with gastroenterological diseases or undergoing endoscopic procedures.

3:10 pm Q & A

3:25 pm Break

3:40 pm Pharmacologic Approach to Chronic Constipation and IBS-C Brooks D. Cash, MD, FACG Define current and emerging pharmacologic treatment options for constipation, including chronic idiopathic constipation, opioid-induced constipation, and IBS-C.

4:00 pm Medical Management of Fatty Liver Disease Phillip K. Henderson, DO Discuss the issues and interventions currently available for the management of patients with fatty liver disease, with a focus on available pharmacologic approaches.

4:20 pm Chemoprevention for Gastrointestinal Malignancies John M. Inadomi, MD, FACG Identify the evidence for and against chemoprevention for malignancies of the gastrointestinal tract and provide recommendations for appropriate use.

4:40 pm Personalized IBD Management: Best Practices for Therapeutic Drug Monitoring and for Managing Treatment Failures David T. Rubin, MD, FACG Outline therapeutic drug monitoring in IBD patients, and how to optimize immunosuppressive drug therapy with regard to adjusting therapy in class or switching classes of biologics.

5:00 pm Q & A


October 5, 2018

FRIDAY, OCTOBER 5GI Pathology and Imaging Course7:00 am - 12:30 pm

What’s New in GI Pharmacology Course

1:45 pm - 5:15 pm

SATURDAY & SUNDAY, OCTOBER 6–7Postgraduate Course

7:50 am - 5:00 pm

Your registration also includes: � Self-Assessment Test PRINTED BOOK with 300 questions plus comprehensive, annotated answers!

� Up to 21.5 hours of CME and MOC, plus an additional 35 hours of CME and MOC for successful completion of the Self-Assessment Test

� Access to the slide sets for all presentations with the ACG Mobile app

Register for the Three-Day Clinical Review and SAVE UP TO 10% On All Three Courses

FRIDAY COURSESFriday, October 5, 2018 Friday, October 5, 2018

Maximize Your Learning and $ave!when you register for ACG’s

Three-Day Comprehensive Clinical GI Review


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PRACTICE MANAGEMENT COURSEFriday, October 5, 2018 | 7:30 am – 4:40 pm | Terrace Ballroom 4Course Directors: Ralph D. McKibbin, MD, FACG, and Jay N. Yepuri, MD, MS, FACG

COURSE DESCRIPTIONHealthcare delivery is transforming at an accelerating rate, but opportunities in the field of gastroenterology remain strong for private practice physicians to claim ownership of their practices and their careers. Managing challenges to independence will be even more important during these changing times, but that alone will not be enough for success. Participants in the ACG 2018 Practice Management Course will learn from colleagues about new and innovative ways to improve the operations, enhance productivity, and guarantee success of their practices.

The 2018 Practice Management Course will provide up-to-date information about the state of practice management.

Rapid Fire Quick Tidbit Sessions will feature information on:

� Fee Schedule Optimization � No-Show Patients: To Charge or Not to Charge? � Password Protection Policies � Identity Theft

FACULTY

Frank J. Chapman, MBA Chief Operating Officer, Ohio Gastroenterology Group, Inc., Columbus, OH

Shelley L. Colon, MHA, CMPE Operations Director, Digestive Health Associates of Texas, P.A., Dallas, TX

Harish K. Gagneja, MD, FACG Partner Physician, Austin Gastroenterology, Austin, TX

Costas H. Kefalas, MD, MMM, FACG Partner, Akron Digestive Disease Consultants, Inc., Akron, OH

Ralph D. McKibbin, MD, FACG Director of Strategic Planning and Business Development, Blair Gastroenterology Associates, Altoona, PA

Amy S. Oxentenko, MD, FACG Professor of Medicine; Residency Program Director and Associate Chair, Department of Medicine, Mayo Clinic, Rochester, MN

Daniel J. Pambianco, MD, FACG Associate, Charlottesville Gastroenterology Associates, Charlottesville, VA

Irving M. Pike, MD, FACG Senior Vice President and Chief Medical Officer, John Muir Health, Walnut Creek, CA

Suriya V. Sastri, MD, FACG Director, Midwest Endoscopy Center, Willowbrook, IL

Christina M. Surawicz, MD, MACG Professor of Medicine; Associate Dean for Faculty Development, University of Washington School of Medicine, Seattle, WA

Eva Szigethy, MD, PhD, FACG Professor of Psychiatry, Medicine, and Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA

Louis J. Wilson, MD, FACG Managing Partner, Wichita Falls Gastroenterology Associates, Wichita Falls, TX

Jay N. Yepuri, MD, MS, FACG Partner, Digestive Health Associates of Texas, P.A.; Medical Director, Texas Health Harris Methodist HEB Hospital GI Lab, Bedford, TX

David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP Consultant, Zetter HealthCare, Mechanicsburg, PA

COURSE AGENDA

6:30 am Continental Breakfast

7:30 am Welcome and Announcements Ralph D. McKibbin, MD, FACG, and Jay Yepuri, MD, MS

SESSION 1: Macro Trends in the Healthcare Landscape

7:40 am Reading the Tea Leaves—A Legislative Update Discuss the current political climate and policy priorities shaping the healthcare legislative process and the potential impacts of the 2018 elections.

8:00 am How Will the ACG Help Us Deal With Change? Irving M. Pike, MD, FACG, ACG President Identify how to access relevant ACG materials, services, and activities that support practice growth and development.

8:20 am Practice Models: Are Clinically Integrated Networks the Answer? Frank J. Chapman, MBA Evaluate possible adoption of the clinically integrated network practice model.

8:40 am Q & A

SESSION 2: Revenue Optimization Practices

9:00 am Quick Tidbit #1: Fee Schedule Optimization

9:05 am How to Jumpstart the Revenue Cycle in the Era of Rising Deductibles David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP Discuss how practices can organize their revenue cycles to allow earlier collection of revenue.

9:25 am Revenue Losses: Undercoding and Denials—Tips and Tricks Shelley L. Colon, MHA, CMPE Identify and adopt tools to limit and prevent revenue losses due to undercoding and denials.

9:45 am Report Cards, Metrics, and Reporting in Your Practice Ralph D. McKibbin, MD, FACG Recognize key characteristics of successful quality reporting programs.

10:05 am Q & A

10:25 am Break

SESSION 3: Growing Value in Your Practice

10:45 am Quick Tidbit #2: No-Show Patients: To Charge or Not to Charge?

10:50 am Incorporating Efficiency and Best Practices in the Endoscopy Center Jay N. Yepuri, MD, MS Propose strategies for improving efficiency and optimizing work flow in the endoscopy center.



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11:10 am Advanced Practice Providers—The Value-Added Proposition Daniel J. Pambianco, MD, FACG Recognize job training trends for Advanced Practice Providers that can add value to the gastroenterology practice.

11:30 am Negotiating Payer Contracts in the Age of Cost and Quality Costas H. Kefalas, MD, MMM, FACG Apply strategies to improve payment for services.

11:50 am Q & A

12:10 pm Break / Box Lunch Provided

12:40 pm Working Luncheon Presentation: What Practices Need to Know About Finance

SESSION 4: Patient-Centered Development

1:20 pm Quick Tidbit #3: Password Protection Policies

1:25 pm Generational Differences in the Expectations of Employees, Patients, and Practitioners Eva Szigethy, MD, PhD, FACG Identify the differences in healthcare priorities for stakeholders from various generations.

1:45 pm Employee Engagement Improves Patient Satisfaction Suriya V. Sastri, MD, FACG Explain strategies to enhance employee engagement.

2:05 pm Patient-Centered Care: Growing Your Practice Culture Amy S. Oxentenko, MD, FACG Describe the concept of patient-centered care, and develop strategies for staff development that support this care.

2:25 pm Q & A

2:45 pm Break

SESSION 5: Professional Development Update

3:00 pm Quick Tidbit #4: Identity Theft

3:05 pm Practitioner Satisfaction: Lessons From the RAND Research Report Christina M. Surawicz, MD, MACG Describe the process for the optimization of practitioner satisfaction and wellness.

3:25 pm Planning for Retirement—The “Big Picture” Harish K. Gagneja, MD, FACG Identify successful retirement planning strategies and review alternative employment models that can be a “win-win” for medical practices.

3:45 pm Leadership: Creating a Written Personal Development Plan Louis J. Wilson, MD, FACG Discuss the PDP as a way to build and maintain a successful practice.

4:05 pm Q & A

4:25 pm Course Wrap-Up and Take-Away Points Ralph D. McKibbin, MD, FACG, and Jay N. Yepuri, MD, MS, FACG


ACG 2018 Meeting AppIncluded with your registration is complimentary access to the course presentations via the ACG 2018 Meeting app, which is within the ACG Mobile app.

(NOTE: A printed syllabus will not be provided.) The app can be used to view faculty presentations on tablets, mobile devices, and laptops,

and offers note-taking and highlighting capabilities. Pre-registrants will receive access

to the app prior to the meeting, to view, download, or print the

presentation slides. See page 6 for more information.

THE ONLINE ITINERARY PLANNER IS OPEN! Register today and start building your personal schedule for the ACG 2018 meeting.

Use the Itinerary Planner to prioritize your time by

planning your onsite activities in advance. Browse and

bookmark the sessions, view presentations, posters, and

events, and explore the Exhibit Hall layout and exhibitors.

Once registered for the meeting, you will be able to

create your Planner account, which allows you to build,

access, and update your itinerary at any time. When

the meeting app is available in September, your saved

itinerary and bookmarked items will sync to the app on

your device for use at the meeting in Philadelphia.

VISIT THE ITINERARY PLANNER: eventscribe.com/2018/ACG

Note: Only registered attendees will be able to create accounts and save itineraries that will sync to the ACG 2018 meeting app.



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FOR MORE INFORMATION ABOUT THIS COURSE, CONTACT ASGE

• Toll free: 866-353-ASGE (2743)

• Tel: 630-573-0600

• E-mail: [email protected]

• Web: www.asge.org

If you need auxiliary aids or services identified in the Americans with Disabilities Act (e.g., assistive listening devices or Braille materials), please contact ASGE.

ASGE ENDOSCOPY COURSEEndoscopy on the Move: Preparing for the Next DecadeFriday, October 5, 2018 | 7:30 am – 4:30 pm | Terrace Ballroom 1Course Directors: Brian C. Brauer, MD, FASGE, and Dayna S. Early, MD, FACG, FASGE

COURSE DESCRIPTIONThis year's course was created to provide information on a diverse yet commonly encountered group of topics. The array of topics presented is designed to appeal to attendees with all levels of endoscopic expertise, and the panel of speakers are well recognized content experts with significant experience in delivering balanced presentations. Topics range from innovative endoscopic techniques in submucosal endoscopy, to everyday topics such as colonoscopy quality measures and techniques. The course will also cover important pancreaticobiliary topics such as indeterminate biliary strictures, as well as a session on premalignant lesions of the GI tract, including gastric IM and pancreatic cysts. We have also included a "potpourri" session on endoscopic reprocessing, bariatrics, ergonomics in endoscopy and GI advocacy. To enhance audience engagement, there will be an audience response component to the course, and the lunch program will allow attendees to meet the speakers and enjoy discussions about challenging cases and techniques.

PROGRAM OBJECTIVESUpon completion of this educational activity, attendees will be able to:

� Recognize applications of submucosal endoscopy in daily practice.

� Characterize current and new techniques in biliary endoscopy.

� Evaluate techniques for management of routine and complex polyps in practice.

� Analyze techniques for management of common premalignant conditions of the GI tract.

� Improve day-to-day operations of endoscopy practice.

FACULTY

Hiroyuki Aihara, MD, PhD, FACG, FASGE Assistant Professor of Medicine, Harvard Medicine School, Brigham and Women's Hospital, Boston, MA

Brian C. Brauer, MD, FASGE Associate Professor of Medicine, Advanced Endoscopy Fellowship Program Director, University of Colorado Anschutz Medical Campus, Aurora, CO

Dayna S. Early, MD, FACG, FASGE Professor of Medicine, Washington University School of Medicine, Saint Louis, MO

Tonya R. Kaltenbach, MD, MS, FACG, FASGE Associate Professor of Medicine, University of California San Francisco, San Francisco Veterans Affairs Medical Center, San Francisco, CA

Rajesh N. Keswani, MD Associate Professor of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL

Daniel K. Mullady, MD, FASGE Associate Professor of Medicine, Washington University School of Medicine, Saint Louis, MO

Amrita Sethi, MD, FASGE Assistant Professor of Medicine, Columbia University Medical Center, New York, NY

Amandeep K. Shergill, MD Director of Endoscopy, University of California San Francisco, San Francisco, CA

Mihir S. Wagh, MD, FACG, FASGE Associate Professor of Medicine, Head, Endoscopic Surgery and Tissue Apposition, University of Colorado, Aurora, CO

Andrew Y. Wang, MD, FACG, FASGE Associate Professor of Medicine, Co-Medical Director of Endoscopy, University of Virginia Health System, Charlottesville, VA

COURSE AGENDA

6:30 am Registration and Continental Breakfast

7:30 am Welcome and Introductions Brian C. Brauer, MD, FASGE, and Dayna S. Early, MD, FACG, FASGE

SESSION 1: The Submucosal Space: The Final Frontier?

7:40 am POEM–Is all That Rhymes Good? Mihir S. Wagh, MD, FACG, FASGE

8:00 am ESD: It Pays to be Picky! Proper Patient Selection and Technique Hiroyuki Aihara, MD, PhD, FACG, FASGE

8:20 am Zenker’s: It’s Now an Endoscopic Disease Mihir S. Wagh, MD, FACG, FASGE

8:40 am Panel Discussion / Q & A

SESSION 2: Pancreaticobiliary Endoscopy: New Trick for Old Dogs or More of the Same?

8:55 am Indeterminate Biliary Strictures: Has New Technology Improved Diagnosis? Amrita Sethi, MD, FASGE

9:15 am Pancreatic Fluid Collections: To LAMS or Not to LAMS? Daniel K. Mullady, MD, FASGE




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FOLLOW ACG 2018 ON SOCIAL MEDIAAdd #ACG2018 to meeting-related posts

on all social media platforms. Learn how

to sign up and get started on Twitter and

other platforms; see who’s who in GI on

Twitter, and more. Visit the ACG Blog at

ACGblog.org.

FOLLOW THE MEETING HASHTAG #ACG2018

Follow #ACG2018 by visiting

Twitter.com/#ACG2018 or by searching

for “#ACG2018” in the “Explore” tab of

the Twitter app on your mobile device.

CONNECT WITH ACG ON THESE SOCIAL MEDIA PLATFORMS:

Twitter: twitter.com/AmCollegeGastro

Facebook: facebook.com/AmCollegeGastro

Instagram: instagram.com/amcollegegastro

YouTube: youtube.com/user/ACGastroenterology

LinkedIn: American College of Gastroenterology

SOCIAL MEDIA HIGHLIGHTS EMAIL

Onsite at #ACG2018, keep an eye out for

a daily email highlighting social media

posts using #ACG2018.

#ACG2018 acgmeetings.gi.org

9:35 am The Challenging Cannulation: When Do I Stop? Is EUS My Backup? Amrita Sethi, MD, FASGE

9:55 am Minimizing Complications: Pancreatitis and Beyond Brian C. Brauer, MD, FASGE

10:15 am Panel Discussion / Q & A

10:30 am Break

SESSION 3: Colonoscopy Pearls

10:50 am Resect and Discard: Is It Old News or Is Everyone Doing It? Tonya R. Kaltenbach, MD, MS, FACG, FASGE

11:10 am Large Colon Polyps: EMR, ESD or Surgery? Rajesh N. Keswani, MD

11:30 am FIT vs. Colonoscopy: Does It Matter? Amandeep K. Shergill, MD

11:50 am Quality Metrics in Colonoscopy: Do They Really Measure Quality? Rajesh N. Keswani, MD

12:10 pm Panel Discussion / Q & A

12:25 pm Lunch Break

SESSION 4: Premalignant Lesions of the GI Tract: How Much Surveillance Is Enough?

1:35 pm Gastric IM: Survey or Not? Andrew Y. Wang, MD, FACG, FASGE

1:55 pm Barrett’s with Low-Grade or No Dysplasia: Ablate or Survey? Dayna S. Early, MD, FACG, FASGE

2:15 pm Small Pancreatic Cysts: Do They Really Matter? Andrew Y. Wang, MD, FACG, FASGE


SESSION 5: Potpourri

2:50 pm Endoscope Reprocessing: What’s New? Brian C. Brauer, MD, FASGE

3:10 pm Ergonomics for the Endoscopist Amandeep K. Shergill, MD

3:30 pm Bariatrics: What Should a GI Practitioner Know? Daniel K. Mullady, MD, FASGE

3:50 pm GI Advocacy: What’s in it for Me? Dayna S. Early, MD, FACG, FASGE





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$ SAVE UP TO 10% when you

bundle the two Friday courses with the

Postgraduate Course and register for

the THREE-DAY CLINICAL REVIEW

Three-Day CLINICAL REVIEWFriday–Sunday | October 5–7, 2018If you are looking for a comprehensive clinical review and don’t want to spend too much time away from the office, attend ACG’s Three-Day Clinical Review. The Three-Day Clinical Review includes the GI Pathology and Imaging Course and the What’s New in GI Pharmacology Course on Friday, plus the popular weekend Postgraduate Course. Leading experts in the subspecialties will delve deeper into topics of interest to you and address the common and not-so-common GI disorders you encounter in practice.

FRIDAY, OCTOBER 5, 2018 (DAY 1 - MORNING)

GI Pathology and Imaging Course | Terrace Ballroom 2-3

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 correlated endoscopic images.

FRIDAY, OCTOBER 5, 2018 (DAY 1 - AFTERNOON)

What’s New in GI Pharmacology Course | Terrace Ballroom 2-3

Attend the What’s New in GI Pharmacology Course for an intensive review of key GI pharmacology topics, including comparisons and contrasts between conventional and emerging pharmacological treatment options.

SATURDAY, OCTOBER 6 – SUNDAY, OCTOBER 7, 2018 (DAYS 2 AND 3 - ALL DAY)

Postgraduate Course | Terrace Ballrooms

With the need to remain abreast of the many new and emerging advancements in the field of gastroenterology and the patient volume increasing as the population ages, the clinical gastroenterologist is challenged more than ever to deliver the best patient care. Research across gastroenterology and hepatology areas is progressing at a rapid pace. Advances in technology, diagnostic modalities, and therapeutic options have had a positive impact on the management of many GI diseases. Scientific education, based on 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.

Your Comprehensive Clinical UpdateYOUR REGISTRATION INCLUDES

� Two-Day Postgraduate Course

� What's New in GI Pharmacology Course

� Pathology and Imaging in the Evaluation of Gastrointestinal Disease Course

� Self-Assessment Test PRINTED BOOK with 300 questions, plus comprehensive, annotated answers!


� Up to 21.5 hours of CME credit and MOC points!

MEMBER TYPE REGISTRATION FEE

Physician $850



NON-MEMBER TYPE

Physician $1050





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SATURDAY, OCTOBER 6, 2018 | 7:50 AM - 5:00 PM

7:00 am REGISTRATION OPEN


7:50 am Introduction by Course Directors Terrace Ballroom Charles J. Kahi, MD, MSc, FACG, and Neil H. Stollman, MD, FACG

SESSION 1A: Functional Disorders Terrace Ballroom Moderator: Brian E. Lacy, MD, PhD, FACG

8:00 am Pharmacologic Treatment of IBS Lin Chang, MD, FACG Evaluate the selection of appropriate pharmacologic agents for the treatment of IBS.

8:20 am Non-Pharmacologic Treatment of IBS William D. Chey, MD, FACG Discuss complementary, alternative, dietary, and psychosocial strategies in the treatment of IBS.

8:40 am Food Allergies, Sensitivities, and Specialty Diets (Beyond Gluten) Brian E. Lacy, MD, PhD, FACG Explain best current practice in the use of specialty diets in the care of patients with food allergies and sensitivities.

9:00 am Chronic Abdominal Pain and Bloating Lawrence R. Schiller, MD, MACG Identify diagnostic and management options in the treatment of chronic abdominal pain, bloating, and dyspepsia.

9:20 am Panel Q & A

9:40 am Break

10:00 am The David Sun Lecture: Translational Approaches to Common GI Diseases... Thinking Out of the Box...The Future is Now! Terrace Ballroom David A. Johnson, MD, MACG Explore diet, prebiotic/microbiome changes, sleep/behavioral, and non-prescription medication use as pathways for optimizing disease management.

SESSION 1B: Hepatology Terrace Ballroom Moderator: David E. Bernstein, MD, FACG

10:30 am NAFLD/NASH David E. Bernstein, MD, FACG Review diagnostic and treatment options in NAFLD/NASH.

10:50 am Drug-Induced Liver Injury: Causes and Management Raj K. Vuppalanchi, MD, FACG Describe important causes of drug-induced liver injury and management strategies.

11:10 am Approach to the Liver Mass Fasiha Kanwal, MD, MSHS Evaluate diagnostic and treatment interventions for patients with liver masses.

11:30 am Viral Hepatitis: Where We Are in 2018 Paul Y. Kwo, MD, FACG Summarize recent advances in the management of HBV and HCV.

11:50 am Panel Q & A

12:10 pm Break for Learning Luncheons

Course Directors: Charles J. Kahi, MD, MSc, FACG, and Neil H. Stollman, MD, FACG

POSTGRADUATE COURSESaturday & Sunday, October 6-7, 2018

Part of the Three-Day Clinical Review. REGISTER AND SAVE UP TO 10% when you bundle the Postgraduate Course

with the two half-day Friday courses.

PROGRAM DESCRIPTIONWith the need 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 progresses at a rapid pace. Advances in technology, diagnostic modalities, and therapeutic options have had a positive impact on the management of many GI diseases. 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 cfunctional disorders, liver disease, pregnancy and the GI patient, GI bleeding, gastrointestinal infections, pancreaticobiliary disease, IBD, colorectal cancer prevention, endoscopy, esophagus, stomach, and motility. 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.

The program is designed primarily for clinicians in GI/hepatology, as well as physician assistants, nurse practitioners, and other advanced practice providers interested in a scientifically sound approach to the management of GI and liver illnesses.


ACG 2016 EDUCATIONAL PROGRAMS

SATURDAY OPTIONAL LEARNING LUNCHEONS – Choose from 12 12:20 pm – 1:35 pm (You must register separately for learning lunches during the registration process.)

1. Post-Operative Care of the Bariatric Surgery Patient: Role of the Gastroenterologist Violeta B. Popov, MD, PhD, FACG Discuss aspects of post-operative care (nutritional, endoscopic) of the patient after bariatric procedures (routine care and common complications).

2. Autoimmune Hepatitis Mark W. Russo, MD, MPH, FACG Explain diagnostic and treatment recommendations for patients with autoimmune hepatitis.

3. Tough Colons and Tough Polyps: Tips and Tricks Tonya Kaltenbach, MD, MS, FACG Summarize techniques most helpful in difficult colonoscopies and polypectomies.

4. Approach to the Patient With Refractory Esophageal Symptoms Ronnie Fass, MD, FACG Explain diagnosis and treatment of functional heartburn and chest pain.

5. Endoscopy Extremes: Oropharyngeal and Perianal Primer for the Gastroenterologist Amy E. Foxx-Orenstein, DO, MACG Enumerate clinically relevant oropharyngeal and perianal findings that may be encountered by gastroenterologists.

6. Management of Rumination, Cyclic Vomiting, and Cannabis Hyperemesis Lin Chang, MD, FACG Describe diagnostic and treatment plans for patients with rumination and emesis disorders.

7. Care of the CRC Patient After Diagnosis (Surgery, Chemotherapy, Surveillance) Charles J. Kahi, MD, MSc, FACG Discuss best practices after the diagnosis of colorectal cancer, with a focus on the role of the gastroenterologist.

8. SIBO: Testing and Treatment Eamonn M. M. Quigley, MD, MACG Identify practical testing and management plans for SIBO.

9. Eosinophilic Disorders of the GI Tract Evan S. Dellon, MD, MPH, FACG Outline the treatment of eosinophilic esophagitis, and discuss other eosinophilic GI disorders.

10. Ischemic Bowel Disorders Paul Feuerstadt, MD, FACG Review new understanding of mesenteric and colon ischemia in light of recent ACG guidelines.

11. Autoimmune Pancreaticobiliary Disease Timothy B. Gardner, MD, MS, FACG Discuss the approach to and treatment of autoimmune pancreatitis, PBC, and PSC.

12. Dyssynergic Defecation and Pelvic Floor Disorders Satish S.C. Rao, MD, PhD, FACG Describe the evaluation of and interventions for patients with defecatory dysfunction.

1:35 pm Break

SIMULTANEOUS SYMPOSIA 1:45 pm – 3:00 pm

SYMPOSIUM A: HELLP! My GI Patient Is Pregnant… Terrace Ballroom 4 Moderator: Uma Mahadevan, MD, FACG

1:45 pm Endoscopy and Sedation in Pregnancy Joseph C. Anderson, MD, MHCDS, FACG Evaluate sedation and endoscopy in the pregnant patient.

2:05 pm The Pregnant IBD Patient Uma Mahadevan, MD, FACG Discuss outcomes and interventions in the pregnant IBD patient.

2:25 pm Liver Disorders in Pregnancy Nancy S. Reau, MD, FACG Identify important hepatic disorders in pregnancy.

2:45 pm Panel Q & A

SYMPOSIUM B: GI Bleeding Terrace Ballroom 1 Moderator: John R. Saltzman, MD, FACG

1:45 pm Non-Variceal GI Bleeding: Prevention and Treatment John R. Saltzman, MD, FACG Explain prevention and treatment of non-variceal GI bleeding.

2:05 pm Variceal GI Bleeding: Prevention and Treatment Robert J. Wong, MD, MS, FACG Review prevention and treatment of variceal hemorrhage.

2:25 pm Obscure GIB: Imaging and Interventions Jonathan A. Leighton, MD, FACG Describe algorithms and advice for identifying the causes of obscure GI bleeding and possible interventions.

2:45 pm Panel Q & A

SYMPOSIUM C: Bugs N’ Guts Terrace Ballroom 2-3 Moderator: Christina M. Surawicz, MD, MACG

1:45 pm Enteric Infections: The Usual Suspects and Beyond Christina M. Surawicz, MD, MACG Identify diagnostic testing advances and treatments of patients with enteric infections.

2:05 pm Clostridium difficile: Are We Making Progress? Jessica R. Allegretti, MD, MPH Evaluate recent pharmacologic, immunologic, and bacteriotherapy advances in the treatment of C. difficile.

2:25 pm Helicobacter pylori David A. Greenwald, MD, FACG Discuss state-of-the-art management approaches to H. pylori in light of recent ACG guidelines.

2:45 pm Panel Q & A

3:00 pm Break



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ACG 2016 EDUCATIONAL PROGRAMS

SESSION 1C: Pancreatobiliary Terrace Ballroom Moderator: Timothy B. Gardner, MD, MS, FACG

3:20 pm Prevention and Treatment of Acute Pancreatitis Timothy B. Gardner, MD, MS, FACG Explain how best to prevent post-ERCP pancreatitis and treat patients with acute pancreatitis.

3:40 pm Medical, Endoscopic, and Surgical Approaches to Chronic Pancreatitis Douglas G. Adler, MD, FACG Summarize possible medical, endoscopic, and surgical approaches to chronic pancreatitis.

4:00 pm Cystic Neoplasms of the Pancreas Mohammad Al-Haddad, MD, FACG Describe diagnostic and treatment recommendations for pancreatic cysts.

4:20 pm Panel Q & A

4:40 pm Take-Home Pearls: What Did We Learn Today? Charles J. Kahi, MD, MSc, FACG, and Neil H. Stollman, MD, FACG Review important and practical take-home messages from today’s talks.

5:00 pm Adjourn for the day

SUNDAY, OCTOBER 7, 2018 | 7:50 AM - 5:00 PM

7:00 am REGISTRATION OPEN


7:50 am Introduction by Course Directors Terrace Ballroom Charles J. Kahi, MD, MSc, FACG, and Neil H. Stollman, MD, FACG

8:00 am SESSION 2A: Inflammatory Bowel Disease Terrace Ballroom Moderator: Sunanda V. Kane, MD, MSPH, FACG

8:00 am Biologic-Based Therapies in IBD Sunanda V. Kane, MD, MSPH, FACG Review current biologic agents for IBD, including biosimilars.

8:20 am Non-Biologic-Based Therapies in IBD Ashwin N. Ananthakrishnan, MD, MPH Describe the role of non-biologic agents including thiopurines, novel molecules, and non-pharmacologic options (diet, complementary medicine, and FMT) in managing IBD.

8:40 am Quality in IBD Care, From Monitoring to Maintenance Millie D. Long, MD, MPH, FACG Assess strategies to optimize health maintenance in IBD patients including vaccinations, bone loss prevention, and monitoring of disease activity and drug levels.

9:00 am Endoscopy in IBD Francis A. Farraye, MD, MSc, FACG Discuss the role of endoscopy in IBD patients, including assessment of disease activity, therapy of strictures, and dysplasia surveillance.

9:20 am Panel Q & A

9:40 am Break

10:00 am SESSION 2B: Colorectal Cancer Prevention Terrace Ballroom Moderator: Douglas K. Rex, MD, MACG

10:00 am Colorectal Cancer Prevention in 2018 Jason A. Dominitz, MD, MHS Present an overview of the current status of CRC prevention in the U.S., including screening options and strategies to improve participation.

10:20 am Personalized CRC Screening and Surveillance in the Average-Risk Patient Douglas J. Robertson, MD, MPH Identify the best CRC screening test based on personal demographic and clinical features, and when to start and stop screening.

10:40 am Recognition and Management of the Patient at Increased CRC Risk Aasma Shaukat, MD, MPH, FACG Recognize patients at increased CRC risk due to family history and genetic causes, and implement appropriate surveillance.

11:00 am Optimal Colonoscopy Technique and Polypectomy Douglas K. Rex, MD, MACG Discuss the elements of high-quality colonoscopy, and polypectomy strategies based on polyp characteristics.

11:20 am Colonoscopy Quality: Measures and Systems Irving M. Pike, MD, FACG Understand and apply colonoscopy quality standards and requirements.

11:40 am Panel Q & A

12:00 pm Break for Learning Luncheons


attend the

OPENING WELCOME RECEPTIONSUNDAY, OCTOBER 7, 5:15 PM – 7:00 PM

Immediately following the conclusion of the Postgraduate Course

Join colleagues for the ACG 2018 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, visit the Poster

section, and network and mingle with colleagues.



SUNDAY OPTIONAL LEARNING LUNCHEONS – Choose from 12 12:20 pm – 1:35 pm (You must register separately for learning lunches during the registration process.)

13. Diverticular Disease Update 2018 Neil H. Stollman, MD, FACG Summarize new thinking in the role of antibiotics for acute diverticulitis and care of patients with SUDD and SCAD.

14. Endoscopic and Surgical Approaches for Obesity Christopher C. Thompson, MD, MSc, FACG Assess the role, benefits, and risks of endoscopic and surgical approaches to the treatment of obesity.

15. Bowel Preparation Strategies: Routine to Challenging Brennan M. Spiegel, MD, MSHS, FACG Present current agents and strategies to optimize bowel preparation quality, including difficult-to-prep patients.

16. Microscopic and Drug-Induced Colitis David S. Weinberg, MD, MSc Review the etiologies, diagnostic approaches, and treatment options for microscopic and drug-induced colitis.

17. Hepatitis B Reactivation David E. Bernstein, MD, FACG Identify management of HBV reactivation in patients with immunosuppression and during pregnancy.

18. Endoscopic Treatment of Pancreatobiliary Cancers Douglas G. Adler, MD, FACG Provide an overview of the endoscopic treatment of patients with pancreatobiliary cancers.

19. Celiac and Gluten Sensitivity Amy S. Oxentenko, MD, FACG List practical approaches to the diagnosis and management of patients with celiac disease and non-celiac gluten sensitivity.

20. Public Policy Update 2018 Costas H. Kefalas, MD, MMM, FACG Review recent public policy issues of concern to the gastroenterologist.

21. Achalasia and Its Variants Marcelo F. Vela, MD, MSCR, FACG Provide an overview of the diagnosis of achalasia and subtypes including GEJ outflow obstruction, and their treatment.

22. Challenging IBD Situations David T. Rubin, MD, FACG Discuss the optimal approaches to patients with anti-TNF refractory disease, hospitalized patients with severe IBD, post-surgical patients, and those who wish to stop therapy.

23. Serrated Polyps and the Serrated Polyposis Syndrome Carol A. Burke, MD, FACG Review serrated polyps, as well as the recognition and management of serrated polyposis syndrome.

24. Chronic Diarrhea Christina M. Surawicz, MD, MACG Explain practical diagnostic and therapeutic approaches to the patient with chronic diarrhea.

1:35 pm Break

SIMULTANEOUS SYMPOSIA 1:45 pm – 3:00 pm

SYMPOSIUM D: Endoscopy Terrace Ballroom 4 Moderator: John J. Vargo, II, MD, MPH, FACG

1:45 pm Sedation: Medical and Regulatory Update John J. Vargo, II, MD, MPH, FACG Summarize the medical and regulatory status of sedation for endoscopy in the U.S.

2:05 pm Prevention of Post-Procedure Bleeding Heiko Pohl, MD Explain the peri-endoscopic management of antithrombotic agents, and endoscopic interventions to mitigate the risk of post-procedure bleeding.

2:25 pm Taking Care of the Endoscopist Amandeep K. Shergill, MD Present ergonomic standards for the modern endoscopy unit, and strategies to maintain work-life balance and prevent burnout.

2:45 pm Panel Q & A

SYMPOSIUM E: Care of the Patient With Liver Disease Terrace Ballroom 1 Moderator: Patrick S. Kamath, MD

1:45 pm Preventive Care of the Cirrhotic Patient Suthat Liangpunsakul, MD, FACG Outline the optimal care of patients with cirrhosis, including prevention of complications and vaccinations.

2:05 pm Alcoholic Liver Disease Patrick S. Kamath, MD Review the treatment of patients with alcoholic liver disease, including alcoholic hepatitis.

2:25 pm Liver Transplantation: Selection and Controversies Paul Y. Kwo, MD, FACG Explain the process of selection for liver transplantation, and controversies associated with evolving guidelines.

2:45 pm Panel Q & A

SYMPOSIUM F: Motility Terrace Ballroom 2-3 Moderator: Lawrence R. Schiller, MD, MACG

1:45 pm Chronic Constipation: Work-Up and Treatment Lawrence R. Schiller, MD, MACG Outline the diagnostic and therapeutic approach to chronic constipation.

2:05 pm Delayed Gastric Emptying: Diagnosis and Treatment Michael Camilleri, MD, FACG Review progress in the diagnosis and treatment of delayed gastric emptying.

2:25 pm Esophageal Motility Disorders Not Named Achalasia Felice Schnoll-Sussman, MD, FACG Understand the terminology, diagnosis, and treatment of non-achalasia esophageal motility disorders.

2:45 pm Panel Q & A

3:00 pm Break / Visit the Exhibit Hall


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Your Postgraduate Course registration includes:

� Two-Day Postgraduate Course

� Self-Assessment Test PRINTED BOOK with 300 questions, plus comprehensive, annotated answers! Earn 35 CME credits and MOC points for successful completion.

� Up to 13 hours of CME and MOC. Add Optional Learning Lunches on Saturday and Sunday for up to 2 additional hours!

� Access to the slide sets for all presentations within the ACG Mobile app

functional dyspepsia therapy IBS celiac disease GERD

screening surveillance Barrett’s esophagus anti-

TNFs imaging dysplasia bloating treatment algorithms

colonoscopy ERCP esophageal high resolution manometry

biosimilars clinical care achalasia diagnosis management

microbiota FGID pancreatitis polyps colon ablation

eosinophilic esophagitis GERD colitis disease treatment

options C. difficile therapeutic agents stool DNA capsule

endoscopy hepatitis hepatocellular carcinoma serrated polyps

follow-up NASH lesions pancreas management acute

pancreatitis nutrition pain biliary strictures autoimmune

pancreatitis diagnostic criteria gastroparesis H. pylori

evidence-based indications PPI therapy monitoring ischemic

colitis NAFLD Crohn’s disease preventive care tests

endoscopic approaches GI diseases variceal bleeding EMR

ESD tools techniques lesions Lynch syndrome surgery

surveillance high-risk populations hepatitis C obesity

bariatric procedures

SAT Exam in conjunction with the

ACG 2018 Postgraduate Course

Saturday, October 6 and Sunday, October 7, 2018

Pennsylvania Convention Center, Philadelphia, Pennsylvania

2018 Self-Assessment Test

ANSWERS

AMERICAN COLLEGE OF GASTROENTEROLOGYACG. Advancing gastroenterology, improving patient care.

functional dyspepsia therapy IBS celiac disease GERD

screening surveillance Barrett’s esophagus anti-

TNFs imaging dysplasia bloating treatment algorithms

colonoscopy ERCP esophageal high resolution manometry

biosimilars clinical care achalasia diagnosis management

microbiota FGID pancreatitis polyps colon ablation

eosinophilic esophagitis GERD colitis disease treatment

options C. difficile therapeutic agents stool DNA capsule

endoscopy hepatitis hepatocellular carcinoma serrated polyps

follow-up NASH lesions pancreas management acute

pancreatitis nutrition pain biliary strictures autoimmune

pancreatitis diagnostic criteria gastroparesis H. pylori

evidence-based indications PPI therapy monitoring ischemic

colitis NAFLD Crohn’s disease preventive care tests

endoscopic approaches GI diseases variceal bleeding EMR

ESD tools techniques lesions Lynch syndrome surgery

surveillance high-risk populations hepatitis C obesity

bariatric procedures

2018 Self-Assessment TestEXAMINATION

AMERICAN COLLEGE OF GASTROENTEROLOGY

ACG. Advancing gastroenterology, improving patient care.

SAT Exam in conjunction with the ACG 2018 Postgraduate CourseSaturday, October 6 and Sunday, October 7, 2018

Pennsylvania Convention Center, Philadelphia, Pennsylvania

THE 2018 ONLINE SELF-ASSESSMENT TEST

Buy Early Access, Study Longer, and SAVE!

SPECIAL PRE-MEETING DISCOUNTED PRICE Member price: $75* | Nonmember: $125*

The 2018 edition of the Online SAT includes:

� 300 questions

� Correct answers, detailed explanations, and a bibliography (with links to PubMed)

� The ability to track scores overall and by category

PRE-ORDER AND SAVE!

Purchase the Online SAT when you register.

The 2018 Online Self-Assessment Test offers a maximum of 35 AMA PRA Category 1 Credits™ and ABIM MOC points upon successful completion.

NOTE: The PRINTED version of the 2018 Self-Assessment Test is included in the course registration for Postgraduate Course attendees and will be provided on-site at the meeting.

* Prices in effect only until Friday, September 28th. The discount only applies to those who register through the ACG 2018 registration website at acgmeetings.gi.org. After September 28th, the Online Self-Assessment Test can be purchased through the ACG website at full price.

ONLINE ACCESS OPENS SEPTEMBER 11, 2018 SATEST.GI.ORG

SESSION 2C: Esophagus and Stomach Terrace Ballroom Moderator: Nicholas J. Shaheen, MD, MPH, FACG

3:20 pm PPI Risks: Separating Fact From Fiction Philip O. Katz, MD, MACG Provide an evidence-based guide to risks associated with PPI use.

3:40 pm Premalignant Lesions of the Esophagus Nicholas J. Shaheen, MD, MPH, FACG Discuss treatment strategies in patients with Barrett’s esophagus and esophageal squamous neoplasia.

4:00 pm Premalignant Lesions and Polyps of the Stomach Douglas R. Morgan, MD, MPH, FACG Explain the approach to patients with gastric intestinal metaplasia and gastric polyps.

4:20 pm Panel Q & A

4:40 pm Take-Home Pearls: What Did We Learn Today? Charles J. Kahi, MD, MSc, FACG, and Neil H. Stollman, MD, FACG Review important and practical take-home messages from today’s talks.

5:00 pm Postgraduate Course Adjourns


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Douglas G. Adler, MD, FACG Professor of Medicine, University of Utah School of Medicine; Director of Therapeutic Endoscopy, Huntsman Cancer Institute, Salt Lake City, UT

Mohammad Al-Haddad, MD, FACG Associate Professor of Medicine, Indiana University School of Medicine, Indianapolis, IN

Jessica R. Allegretti, MD, MPH Director, Clinical Trials, Brigham & Women's Hospital, Boston, MA

Ashwin N. Ananthakrishnan, MD, MPH Director, Crohn’s and Colitis Center, Massachusetts General Hospital, Boston, MA

Joseph C. Anderson, MD, MHCDS, FACG Associate Professor of Medicine, Dartmouth College Geisel School of Medicine, Hanover, NH

David E. Bernstein, MD, FACG Professor of Medicine, Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY

Carol A. Burke, MD, FACG Director, Center for Colon Polyp and Cancer Prevention; Vice Chair, Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, OH

Michael Camilleri, MD, FACG Professor of Medicine, Pharmacology, and Physiology, Mayo Clinic College of Medicine, Rochester, MN

Lin Chang, MD, FACG Professor of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA


Evan S. Dellon, MD, MPH, FACG Associate Professor of Medicine and Epidemiology, Center for Esophageal Diseases and Swallowing, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC

Jason A. Dominitz, MD, MHS Professor of Medicine, University of Washington School of Medicine, Seattle, WA.

Francis A. Farraye, MD, MSc, FACG Professor of Medicine, Boston University School of Medicine; Clinical Director, Section of Gastroenterology; Co-Director, Center for Digestive Disorders, Boston Medical Center, Boston, MA

Ronnie Fass, MD, FACG Professor of Medicine, Case Western Reserve University; Medical Director, Digestive Health Center; Chair, Division of Gastroenterology and Hepatology; Head, Esophageal and Swallowing Center, MetroHealth Medical Center, Cleveland, OH

Uma Mahadevan, MD, FACG Professor of Clinical Medicine, University of California, San Francisco; Co-Medical Director, UCSF Center for Colitis and Crohn's Disease, San Francisco, CA

Douglas R. Morgan, MD, MPH, FACG Associate Professor of Medicine, Vanderbilt University, Nashville, TN


Irving M. Pike, MD, FACG Senior Vice President and Chief MedicalOfficer, John Muir Health, Walnut Creek, CA

Heiko Pohl, MD Associate Professor of Medicine, Dartmouth College Geisel School of Medicine, Hanover, NH

Violeta B. Popov, MD, PhD, FACG Assistant Professor of Medicine, NYU Langone Medical Center; VA NY Harbor Healthcare System, New York, NY

Eamonn M. M. Quigley, MD, MACG Professor of Medicine, Weill Cornell Medical College; Chief, Division of Gastroenterology and Hepatology, Houston Methodist Hospital, Houston, TX

Satish S.C. Rao, MD, PhD, FACG Professor of Medicine, Digestive Health Center, Medical College of Georgia, Augusta, GA

Nancy S. Reau, MD, FACG Associate Director of Solid Organ Transplantation, Section Chief, Hepatology, Rush University Medical Center, Chicago, IL

Douglas K. Rex, MD, MACG Distinguished Professor of Medicine, Indiana University School of Medicine, Indianapolis, IN

Douglas J. Robertson, MD, MPH Professor of Medicine, Geisel School of Medicine at Dartmouth & the Dartmouth Institute, Hanover, NH; Chief, Gastroenterology, White River Junction VAMC, White River Junction, VT


Mark W. Russo, MD, MPH, FACG Professor of Medicine, Carolinas Medical Center, Charlotte, NC

John R. Saltzman, MD, FACG Professor of Medicine, Harvard Medical School; Director of Endoscopy, Brigham and Women’s Hospital, Boston, MA

Paul Feuerstadt, MD, FACG Assistant Clinical Professor of Medicine, Gastroenterology Center of Connecticut/Yale University School of Medicine, Hamden, CT

Amy E. Foxx-Orenstein, DO, MACG Professor of Medicine, Mayo Clinic, Scottsdale, AZ

Timothy B. Gardner, MD, MS, FACG Associate Professor, Geisel School of Medicine at Dartmouth; Director, Pancreatic Disorders, Dartmouth-Hitchcock Medical Center, Lebanon, NH


David A. Johnson, MD, MACG Professor of Medicine and Chief of Gastroenterology, Eastern Virginia Medical School, Norfolk, VA

Charles J. Kahi, MD, MSc, FACG Professor of Clinical Medicine; Indiana University; GI Section Chief, Roudebush VAMC, Indianapolis, IN

Tonya Kaltenbach, MD, MS, FACG Associate Professor, University of California, San Francisco; San Francisco Veterans Affairs Medical Center, San Francisco, CA

Patrick S. Kamath, MD Professor of Medicine, Mayo Clinic, Rochester, MN

Sunanda V. Kane, MD, MSPH, FACG Professor of Medicine, Mayo Clinic, Rochester, MN

Fasiha Kanwal, MD, MSHS Professor of Medicine, Michael E. DeBakey VA Medical Center, Houston, TX

Philip O. Katz, MD, MACG Director, Motility Laboratories, Weill Cornell Medicine, New York, NY

Costas H. Kefalas, MD, MMM, FACG Partner, Akron Digestive Disease Consultants, Inc., Akron, OH

Paul Y. Kwo, MD, FACG Professor of Medicine, Stanford University, Palo Alto, CA

Brian E. Lacy, MD, PhD, FACG Professor of Medicine, Mayo Clinic, Jacksonville, FL

Jonathan A. Leighton, MD, FACG Professor of Medicine, Mayo Clinic, Scottsdale, AZ

Suthat Liangpunsakul, MD, FACG Professor of Medicine, Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, IN

Millie D. Long, MD, MPH, FACG Associate Professor of Medicine, University of North Carolina, Center for Gastrointestinal Biology and Disease, Chapel Hill, NC

Lawrence R. Schiller, MD, MACG Clinical Professor, Texas A&M Dallas Campus; Program Director, Gastroenterology Fellowship, Baylor University Medical Center, Dallas, TX

Felice Schnoll-Sussman, MD, FACG Associate Professor of Clinical Medicine, Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY

Nicholas J. Shaheen, MD, MPH, FACG Professor of Medicine and Epidemiology; Chief, Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, NC

Aasma Shaukat, MD, MPH, FACG Professor of Medicine, University of Minnesota; GI Section Chief, Minneapolis VAHCS, Minneapolis, MN

Amandeep K. Shergill, MD Director of Endoscopy, Veterans Affairs San Francisco, University of California, San Francisco, San Francisco, CA

Brennan M. Spiegel, MD, MSHS, FACG Professor of Medicine and Public Health, Director of Health Services Research, Cedars-Sinai Health System; Cedars-Sinai Site Director, Clinical and Translational Science Institute (CTSI); Assistant Dean, David Geffen School of Medicine at UCLA, Cedars-Sinai Medical Center, Los Angeles, CA

Neil H. Stollman, MD, FACG Associate Clinical Professor of Medicine, University of California San Francisco; Chief, Division of Gastroenterology, Alta Bates Summit Medical Center, Oakland, CA


Christopher C. Thompson, MD, MSc, FACG Director of Therapeutic Endoscopy, Brigham and Women's Hospital, Boston, MA

John J. Vargo, II, MD, MPH, FACG Associate Professor of Medicine, Cleveland Clinic Lerner College of Medicine; Chair, Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, OH

Marcelo F. Vela, MD, MSCR, FACG Professor of Medicine, Director, Esophageal Disorders, Mayo Clinic, Scottsdale, AZ

Raj K. Vuppalanchi, MD, FACG Associate Professor of Medicine, Indiana University School of Medicine, Indianapolis, IN

David S. Weinberg, MD, MSc Chairman, Department of Medicine, Fox Chase Cancer Center, Philadelphia, PA

Robert J. Wong, MD, MS, FACG Assistant Clinical Professor of Medicine, Director of Research and Education, Alameda Health System, Highland Hospital, Oakland, CA

POSTGRADUATE COURSEFaculty


ANNUAL SCIENTIFIC MEETING

The Annual Scientific Meeting is FREE for ACG members!

Monday through Wednesday, October 8-10, 2018

MONDAY, OCTOBER 8, 2018 | 6:45 AM - 6:30 PM

6:00 am – 5:00 pm REGISTRATION OPEN

OPTIONAL BREAKFAST SESSIONS – Choose from 4 6:30 am – 7:45 am (You must register and pay separately for breakfast sessions during the registration process.)

BREAKFAST A: Advances in the Management of Cirrhosis and Portal Hypertension Moderator: Arun J. Sanyal, MD

• Evaluation of Acute Kidney Injury in a Cirrhotic Patient: HRS and Beyond Arun J. Sanyal, MD Discuss best practices in the evaluation of acute kidney injury in patients with liver cirrhosis, and guideline recommendations for the management of hepatorenal syndrome.

• Management of Hepatic Encephalopathy Catherine T. Frenette, MD Apply current and evolving guidelines for the diagnosis and management of occult and overt hepatic encephalopathy.

• Optimizing Your Patient With Ascites Nahum Mendéz-Sanchéz, MD, MSc, PhD, FACG Outline a stepwise approach to managing a patient with ascites.

BREAKFAST B: On the Wards—Challenges in the Hospitalized Patient Moderator: Kathy P. Bull-Henry, MD, FACG

• Refractory Small Bowel Bleeding Kathy P. Bull-Henry, MD, FACG Describe the approach to management of hospitalized patients with refractory small bowel bleeding.

• Abdominal Pain in Complicated Pancreatitis Darwin L. Conwell, MD, MS, FACG Explain the management of hospitalized patients with complicated pancreatitis, including necrotizing pancreatitis and fluid collections.

• Management of Constipation, Ileus, and Narcotic Bowel Melissa Latorre, MD, MS Discuss the timely management of hospitalized patients with generalized GI dysmotility with nausea, vomiting, chronic abdominal pain, and constipation.

BREAKFAST C: Concepts and Controversies in Diverticular Disease Moderator: Neil H. Stollman, MD, FACG

• Acute Diverticulitis: Can We Prevent It, How Best to Treat It, and Can We Decrease Its Recurrence? Neil H. Stollman, MD, FACG Identify risk factors for diverticulitis, possible interventions to prevent and treat it, and the changing role of antibiotics.

• Diverticular Bleeding: Can We Prevent It, How Best to Treat It, and Can We Decrease Its Recurrence? Anne F. Peery, MD, MSCR Explain risk factors for diverticular bleeding, as well as possible interventions to prevent and treat it.

• SUDD and SCAD: Are They Entities in Their Own Right, and How Should We Treat Them? Brennan M. Spiegel, MD, MSHS, FACG Discuss the emerging entities of SUDD and SCAD and their possible clinical outcomes and interventions.

PROGRAM DESCRIPTION

Gain insight from the experts, learn practical take home points, and network with your colleagues when you attend the ACG Annual Scientific Meeting. Throughout the Scientific Meeting, faculty will present the latest in GI and hepatology, and how to incorporate findings into patient care. Hear about the latest clinical research when they present free papers/oral presentations during the plenary sessions. In addition, there will be several featured lectures by world-renowned experts that delve into deeper discussion on a specific topic.

Twelve scientific symposia and over 65 oral abstract presentations will allow attendees to hear lecture presentations from experts and to participate in interactive question and answer sessions with the faculty.

In addition, 16 optional scientific breakfast sessions will be offered, where a smaller setting allows for heightened interaction with the speakers and greater audience involvement.

Finally, ACG's 6th Annual Endoscopy Video Forum will feature the best video presentations submitted from colleagues from across the U.S. and around the world.

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.

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BREAKFAST D: Case-Based Functional GI Testing: Ask the Experts Moderator: Mark Pimentel, MD, FACG

• Esophageal Motility and pH Testing John E. Pandolfino, MD, MSCI, FACG Illustrate the key factors related to the performance and interpretation of esophageal motility and pH testing.

• Breath Testing Mark Pimentel, MD, FACG Summarize the updated consensus recommendations on breath testing and describe clinical applications.

• Pelvic Floor Testing Amy E. Foxx-Orenstein, DO, MACG Discuss common diagnostic tests and their interpretation for anorectal disorders.

7:50 am – 6:30 pm Annual Scientific Meeting

7:50 am – 8:00 am Opening Remarks Irving M. Pike, MD, FACG, ACG President

8:00 am – 9:00 am Presidential Plenary – Session 1 Terrace Ballroom Moderators: Irving M. Pike, MD, FACG, and Seth A. Gross, MD, FACG

1. Rectal Indomethacin Dose Escalation for Prevention of Post-ERCP Pancreatitis in High-Risk Patients: Preliminary Report of a Multicenter Randomized Trial (RIDE Trial) Category Award (Biliary/Pancreas) Evan L. Fogel, MD, MSc1, Glen A. Lehman, MD, FACG1, Paul Tarnasky, MD, FACG2, Gregory A. Cote, MD, MSCI3, Richard Kwon, MD4, James L. Watkins, MD1, Suzette E. Schmidt, RN, BSN1, Stuart Sherman, MD, FACG1, Grace H. Elta, MD, FACG4, Jeffrey J. Easler, MD1, Douglas K. Pleskow, MD, FACG5, Ihab I. El Hajj, MD, MPH1, Akbar K. Waljee, MD, MSc4, Nalini M. Guda, MD, FACG6, Mark A. Gromski, MD7, Seena Arol, MBBS2, Sheryl Korsnes, MA, CCRC4, Lee McHenry, Jr., MD1, Alejandro L. Suarez, MD8, Rebecca Spitzer, MPH3, Marilyn Miller, RN, CCRC9, Maria Hofbauer, MS5, B. Joseph Elmunzer, MD, MSc3; 1Indiana University, Indianapolis, IN, 2Digestive Health Associates of Texas, Dallas, TX, 3Medical University of South Carolina, Charleston, SC, 4University of Michigan, Ann Arbor, MI, 5Beth Israel Deaconess Medical Center, Boston, MA, 6University of Wisconsin, Milwaukee, WI, 7Indiana University School of Medicine, Indianapolis, IN, 8Yale University, New Haven, CT, 9Aurora Research Institute, Milwaukee, WI

2. Factors Associated With Over-Utilization of Repeat Upper Endoscopy in Patients With Non-Dysplastic Barrett's Esophagus (NDBE): A Study Using the GI Quality Improvement Consortium (GIQuIC) National Registry Category Award (Practice Management) Sachin Wani, MD1, J. Lucas Williams, MPH2, Sri Komanduri, MD3, Raman Muthusamy, MD4, Nicholas J. Shaheen, MD, MPH5; 1University of Colorado Anschutz Medical Campus, Aurora, CO, 2GI Quality Improvement Consortium, Bethesda, MD, 3Feinberg School of Medicine, Northwestern University, Chicago, IL, 4University of California Los Angeles, Los Angeles, CA, 5University of North Carolina School of Medicine, Chapel Hill, NC

3. Progression of Barrett’s Esophagus (BE) and Dysplasia Detected by Wide Area Transepithelial Sampling With Computer-Assisted 3D Analysis (WATS3D) Confirms the Clinical Significance of Crypt Dysplasia ACG Governors Award for Excellence in Clinical Research Nicholas J. Shaheen, MD, MPH, FACG1, Michael S. Smith, MD, MBA2, John R. Goldblum, MD3, Robert D. Odze, MD4; 1University of North Carolina, Chapel Hill, NC, 2Mount Sinai West & Mount Sinai St. Luke's Hospitals, New York, NY, 3Cleveland Clinic Foundation, Cleveland, OH, 4Harvard Medical School, Boston, MA

4. A Multidisciplinary Clinical Care Pathway Improves the Quality of Inpatient Colonoscopy Bowel Preparations Fellows-in-Training Award (Colon Category) Alexandra Strauss, MD, MIE, Jennifer Yeh, MD, Janet Yoder, BSN, Diego Martinez, PhD, Lawrence Hsu, MS, Neysa Ernst, RN, MSN, Ravi Nehra, PharmD, Haithem Al-Grain, MD, Anne-Marie Lennon, MD, Christopher Fain, DO; Johns Hopkins Hospital, Baltimore, MD

5. Examination of the Right Colon for Three Minutes or More Significantly Increases Adenoma Detection Rate: A Multi-Center Prospective Randomized Controlled Trial ACG Governors Award for Excellence in Clinical Research Fahad F. Mir, MD, MSc1, Hasan Badar, MD2, Muhammad Shafiq, MD2, Jamie Varghese2, Wendell Clarkston, MD3, Donald Campbell, MD4, Rajiv Chhabra, MD4, Fadi Hamid, MD4, Susana Escalante-Glorsky, MD4, James Kim, MD4, John Helzberg, MD4, Laura Alba, MD4, Sakher Albadarin, MD4, Hiliary Bownik, MD4, Sreenivasa S. Jonnalagadda, MD3; 1University of Missouri, Mission, KS, 2University of Missouri, Kansas City, MO, 3St. Luke’s Health System, Kansas City, MO, 4St. Luke's Hospital, Kansas City, MO

9:00 am – 9:30 am President's Address Terrace Ballroom Irving M. Pike, MD, FACG Introduced by: Sunanda V. Kane, MD, MSPH, FACG, ACG President-Elect

9:30 am – 10:30 am Presidential Plenary Session 2 Terrace Ballroom Moderators: Sunanda V. Kane, MD, MSPH, FACG, and Seth A. Gross, MD, FACG

6. One versus Three Needle Actuations for EUS-Guided Liver Biopsy: A Prospective Randomized Trial Fellows-in-Training Award (Interventional Endoscopy Category) Rafael Ching-Companioni, MD1, Amitpal S. Johal, MD1, Bradley Confer, DO1, Harshit S. Khara, MD, FACG1, Erin Forster, MD, MPH2, David L. Diehl, MD1; 1Geisinger Medical Center, Danville, PA, 2Medical University of South Carolina, Charleston, SC

7. Development of Non-Alcoholic Fatty Liver Disease in type-2 Diabetics and Factors Associated With Its Development Fellows-in-Training Award (Liver Category) Amandeep Singh, MD 1, Falgun Gosai, MD2, Rocio Lopez, MS3, Naim Alkhouri, MD4, Donald Kirby, MD5, Arthur McCullough, MD6; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH, 2Fairview Hospital, Cleveland Clinic, Cleveland, OH, 3Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH, 4Texas Liver Institute, San Antonio, TX, 5Cleveland Clinic, Cleveland, OH, 6Cleveland Clinic Foundation, Cleveland, OH

8. Gluten Contamination of Restaurant Food: Analysis of Crowd-Sourced Data Lawlor Resident Award Benjamin A. Lerner, MD1, Lynn Phan Vo, BA2, Shireen Yates, MBA3, Andrew G. Rundle, DrPH2, Peter H. R. Green, MD1, Benjamin Lebwohl, MD, MS1; 1Columbia University Medical Center, New York, NY, 2Columbia University Mailman School of Public Health, New York, NY, 3Nima Labs, San Francisco, CA

9. A Low FODMAP Diet May Reduce Symptoms in Patients with Fecal Incontinence Category Award (Functional Bowel Disease) Stacy B. Menees, MD, MS1, Deepa Chandhrasekhar, BS2, Ee Lane Liew2, William D. Chey, MD, FACG1; 1University of Michigan, Ann Arbor, MI, 2Michigan Medicine, Ann Arbor, MI


ANNUAL SCIENTIFIC MEETINGMonday through Wednesday, October 8-10, 2018


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10. Small Bowel Innate Immune Activation Predicts Clinical Response to Vedolizumab Therapy in Crohn’s Disease Category Award (IBD) Julia J. Liu, MD1, Matthew Ciorba, MD2, Sarah C. Glover, DO3, Bincy Abraham, MD, MS4, Freeha Khan, MD5, Quinton Palmer, MD1, Xueyan Guo, MD6, Eric Yee, MD1, Felicia D. Allard, MD1, Brian Claggett7, Bo Shen, MD8, Ilyssa O. Gordon, MD, PhD5; 1University of Arkansas for Medical Sciences, Little Rock, AR, 2Washington University, St. Louis, MO, 3University of Florida, Gainesville, FL, 4Houston Methodist Hospital, Houston, TX, 5Cleveland Clinic, Cleveland, OH, 6UAMS, Xi’an, Shaanxi, China (People's Republic), 7Brigham & Women's Hospital, Boston, MA, 8Cleveland Clinic Digestive Disease Institute, Cleveland, OH

10:00 am – 4:45 pm Exhibit Hall Open

10:15 am – 4:40 pm Hands-On Endoscopy Workshop Center Open

10:30 am – 11:30 am Break – Visit the Exhibit Hall and Browse Scientific Posters


10:30 am – 4:15 pm Scientific Poster Session Open

SIMULTANEOUS SYMPOSIA – SESSION 1 11:30 am - 12:45 pm

SYMPOSIUM 1A: Conundrums of the Esophagus Terrace Ballroom 1 Moderator: Fouad J. Moawad, MD, FACG

• I Think It’s Stuck in My Gullet: Managing Dysphagia Ikuo Hirano, MD, FACG Discuss the stepwise approach to managing a patient with difficulty swallowing.

• The EoE Spectrum: From the Clinically Responsive to the Refractory Patient Fouad J. Moawad, MD, FACG Recognize both the medical and endoscopic therapeutic treatment endpoints for EoE.

• PPIs: Friend or Foe? Paul Moayyedi, MB ChB, PhD, MPH, FACG Identify the risks of long-term PPI use and weigh them against the benefits.

SYMPOSIUM 1B: Update in CRC Screening Terrace Ballroom 4 Moderator: Joseph C. Anderson, MD, MHCDS, FACG

• CRC Screening Outside the ASC: Non-Invasive Testing Douglas J. Robertson, MD, MPH Discuss the performance characteristics of stool (FIT and fecal DNA) and serum-based testing including implications of a positive test and a normal colonoscopy.

• The Cutting Edge of Serrated Polyps Joseph C. Anderson, MD, MHCDS, FACG Identify the biology, diagnosis, and classification of serrated polyps, as well as optimal detection, resection and surveillance of them.

• Thinking Big About Small Lesions Thomas F. Imperiale, MD Describe the management of small adenomas including detection, resection, and surveillance, and new concepts such as optical diagnosis and resect and discard.

SYMPOSIUM 1C: Advances in Non-Alcoholic Fatty Liver Disease (NAFLD) Terrace Ballroom 2-3 Moderator: Naga P. Chalasani, MD, FACG

• Initial Work-Up and Evaluation of a Patient With NAFLD Naga P. Chalasani, MD, FACG Describe an evidence-based approach for the general gastroenterologist in the initial screening, diagnosis, work-up, and staging of patients with non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).

• Current Management of NAFLD/NASH: Medical, Endoscopic, and Surgical Therapies Zobair M. Younossi, MD, MPH, FACG Discuss current guidelines for the management and treatment of non-alcoholic steatohepatitis (NASH), including medical, endoscopic, and surgical therapies.

• Future Therapies for NAFLD/NASH Arun J. Sanyal, MD Summarize evolving and future strategies for NASH treatment including clinical trial data and implications for clinical practice.

12:45 pm – 2:15 pm Lunch Break – Visit the Exhibit Hall and Browse Scientific Posters

12:45 pm – 2:15 pm ACG-FDA Public Forum

Room 119B


1:00 pm – 2:15 pm Poster Session – Authors Present


SIMULTANEOUS PLENARY SESSION 1 2:15 PM – 3:00 PM

PLENARY SESSION 1A – IBD Terrace Ballroom 4 Moderators: Samir A. Shah, MD, FACG, and Laura E. Raffals, MD, MS, FACG

11. A Randomized, Double-Blind, Placebo-Controlled Trial of a Selective, Oral Sphingosine 1-Phosphate (S1P) Receptor Modulator, Etrasimod (APD334), in Moderate to Severe Ulcerative Colitis (UC): Results From the OASIS Study ACG Auxiliary Award (Member) William J. Sandborn, MD, FACG1, Laurent Peyrin-Biroulet, MD, PhD2, Luba Trokan3, Jinkun Zhang3, Tanja Kühbacher, MD, PhD4, Michael Chiorean, MD5, Scott D. Lee, MD6, Severine Vermeire, MD, PhD7, Bruce Yacyshyn, MD, FACG8, Snehal Naik3, Preston Klassen3, Julian Panes, PhD9; 1University of California San Diego, La Jolla, CA, 2University Hospital of Nancy, University of Lorraine, Nancy, Lorraine, France, 3Arena Pharmaceuticals, San Diego, CA, 4Asklepio Westklinikum, Hamburg, Germany, 5Virginia Mason Medical Center, Seattle, WA, 6University of Washington, Seattle, WA, 7University Hospitals Leuven, Leuven, Brussels Hoofdstedelijk Gewest, Belgium, 8University of Cincinnati, Cincinnati, OH, 9Hospital Clinic de Barcelona, IDIBAPS, CIBERehd, Barcelona, Catalonia, Spain




12. Risk Factors for Medication Non-Adherence to Biologic Therapy in Patients With Inflammatory Bowel Disease: A Retrospective Analysis Jennifer Haydek, BS1, Nisha B. Shah, PharmD1, James Slaughter, PhD1, Jonathan R. Ashton, Jr., BS2, Autumn Zuckerman, PharmD1, Rochelle Wong, BS1, Francesca Raffa, MD1, Ailish Garrett, NP1, Caroline Duley, NP1, Kim Annis, PA1, Julianne Wagnon, JD, NSN, FNP-BC3, Lawrence Gaines, PhD1, Robin Dalal, MD1, Elizabeth Scoville, MD, MSCI1, Dawn B. Beaulieu, MD1, David Schwartz, MD1, Sara N. Horst, MD, MPH1; 1Vanderbilt University Medical Center, Nashville, TN, 2Vanderbilt Specialty Pharmacy, Nashville, TN, 3Vanderbilt IBD Center, Nashville, TN

13. Tofacitinib, an Oral Janus Kinase Inhibitor, in the Treatment of Ulcerative Colitis: An Interim Analysis of an Open-Label, Long-Term Extension Study With up to 4.9 Years of Treatment Gary R. Lichtenstein, MD1, Edward V. Loftus, Jr., MD2, Stuart Bloom, DM, FRCP3, Nervin Lawendy, PharmD4, Gary Chan, PharmD4, Gary S. Friedman, MD4, Haiying Zhang, PhD4, Wenjin Wang, PhD4, Andrew J. Thorpe, PhD4, Chudy I. Nduaka, DVM, PhD4, Chinyu Su, MD4; 1Hospital of the University of Pennsylvania, Philadelphia, PA, 2Mayo Clinic, Rochester, MN, 3University College London Hospitals NHS Foundation Trust, London, England, United Kingdom, 4Pfizer Inc., Collegeville, PA

14. Anastamotic Ulcers After Ileocolic Resection Predict Crohn’s Disease Recurrence Sarah Lopatin, MD1, Daniel Castaneda Mayorga, MD1, Benjamin Cohen, MD2, Robert Hirten, MD2; 1The Mount Sinai Hospital, New York, NY, 2Icahn School of Medicine at Mount Sinai, New York, NY

PLENARY SESSION 1B – LIVER Terrace Ballroom 2-3 Moderators: Mitchell L. Shiffman, MD, FACG, and Renu Umashanker, MD, FACG

15. Sofosbuvir, Velpatasvir, Veloxpravir Efficacy in 12-Week Treatment in Triple Infected (Chronic Hepatitis C, Chronic Hepatitis B, and HIV) Geno 3 Naive Population: An Open Level Prospective Clinical Trial - SOLVVE – C Patrick Basu, MD, MRCP, FACG1, Nimy John, MD2, Mark Aloysius, MD, PhD3, Robert S. Brown, Jr., MD, MPH4; 1Weill Cornell Medicine, Flushing, NY, 2St. Vincent Hospital/University of Massachusetts Medical School, Worcester, MA, 3James J. Peters VA Medical Center, Bronx, NY, 4Weill Cornell Medical College, New York, NY

16. Association Between Malnutrition, Nutritional Assessment Tools, Disease-Severity and Health-Related Quality of Life in Cirrhosis Elaine Chiu, MD, RD1, Lorian Taylor, PhD, MPH, RD1, Louisa Lam, RD2, Kaleb Marr, BSc, MBBS, FRCPC1, Melanie Stapleton, MD, FRCPC1, Puneeta Tandon, MD, FRCP(C), MSc(Epi)3, Maitreyi Kothandaraman, MD, MSc, FRCPC1; 1University of Calgary, Calgary, AB, Canada, 2Alberta Health Services, Calgary, Alberta, Canada, 3University of Alberta, Edmonton, AB, Canada

17. Low Incidence of Bleeding Events With a Restrictive Platelet Transfusion Protocol in Patients With Cirrhosis and Concomitant End Stage Renal Disease Lauren S. Cole, MD1, Michael Rowley, MD2, Sumit Agarwal, MBBS, MBA3, Anil Seetharam, MD2; 1University of Arizona College of Medicine, Scottsdale, AZ, 2University of Arizona College of Medicine, Phoenix, AZ, 3Banner University Medical Center, Phoenix, AZ

18. Immunotherapy Induced Liver Injury: A Retrospective Analysis Vivek Bose, MD1, Daniel Sedhom, MD1, James Penn, MD1, Vinod Rustgi, MD, MPH1, Tina John, MBBS, MPH2, Avantika Mishra, MD1; 1Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, 2Rutgers Robert Wood Johnson Medical Group, New Brunswick, NJ

3:15 pm – 3:45 pm The American Journal of Gastroenterology Lecture What Causes Functional GI Disorders? The Latest Data and Insights Terrace Ballroom 2-3 Nicholas J. Talley, AC, MD, MBBS, PhD, MMedSci, MACG Introduced by: Brian E. Lacy, MD, PhD, FACG, and Brennan M. Spiegel, MD, MSHS, FACG Recognize known and emerging risk factors for functional GI disorders including infections, foods, and alterations in the microbiome. See page 13 for more information.

3:45 pm – 4:45 pm Break – Visit the Exhibit Hall and Browse Scientific Posters


4:00 pm – 5:00 pm How to Get Published: ACG Journal Editors' Roundtable Room 119B Brian E. Lacy, MD, PhD, FACG, Brennan M. Spiegel, MD, MSHS, FACG, and David C. Whitcomb, MD, PhD, FACG See page 10 for more information.

SIMULTANEOUS SYMPOSIA – SESSION 2 4:45 pm – 6:00 pm

SYMPOSIUM 2A: Is There Consensus? Challenging Cases in IBD Terrace Ballroom 4 Moderator: Sunanda V. Kane, MD, MSPH, FACG

• Managing Ulcerative Colitis in the Sick Outpatient Sunanda V. Kane, MD, MSPH, FACG Illustrate the importance of a systematic approach to management of complicated ulcerative colitis patients.

• Crohn’s Disease Complicated by an Intraabdominal Abscess – What First? Poke, Prod, or Cut? Miguel D. Regueiro, MD, FACG Recognize the different approaches to managing the patient with complicated Crohn’s disease.

• Perianal CD – When Anti-TNF Therapy Is Not Enough David A. Schwartz, MD, FACG Describe the treatment options available for complicated perianal Crohn’s disease.

SYMPOSIUM 2B: How to Handle Tough Functional Disorders—What To Do When Typical Treatments Fail Terrace Ballroom 2-3 Moderator: Amy S. Oxentenko, MD, FACG

• Burning, Chest Pain, Nausea, and Vomiting John O. Clarke, MD Formulate diagnostic and management algorithms for functional upper gastrointestinal symptoms.

• Bloating, Belching, and Abdominal Distention Amy S. Oxentenko, MD, FACG Summarize different diagnostic and therapeutic approaches in the management of functional excess gas.

• ACG IBS Treatment Monograph: What You Need To Know Eamonn M. M. Quigley, MD, MACG Discuss current strategies around the diagnosis and management of irritable bowel syndrome.


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SYMPOSIUM 2C: Live From Philadelphia! The 6th Annual Endoscopy Video Forum Terrace Ballroom 1 Moderators: Seth A. Gross, MD, FACG, and Vivek Kaul, MD, FACG Judges: Douglas G. Adler, MD, FACG, Qiang Cai, MD, PhD, FACG, Laith H. Jamil, MD, FACG, Harshit S. Khara, MD, FACG, Shivangi T. Kothari, MD, FACG, Reem Z. Sharaiha, MD, MSc, and Meidong Xu, MD Demonstrate interesting endoscopic findings and techniques encountered in daily clinical practice.

V1. Use of EUS-Guided Needle-Based Confocal Laser Endomicroscopy and Microforceps Biopsy to Prevent an Unnecessary Cyst-Gastrostomy Steven Tsistrakis, MD1, Hongfa Zu, MD2, Scott Nguyen, MD2, Christopher J. DiMaio, MD3; 1Mount Sinai Beth Israel, New York, NY, 2Mount Sinai Hospital, New York, NY, 3Icahn School of Medicine at Mount Sinai, New York, NY

V2. Chronic Refractory Fistula Closure: Fistula Plug with Endoscopic Suturing and Oversewing Betty Li, MD1, Steven Shamah, MD2, Eric Swei, MD3, Christopher G. Chapman, MD4; 1The University of Chicago Medicine, Chicago, IL, 2University of Chicago Medical Center, CERT Division, Brooklyn, NY, 3University of Chicago Hospitals, Chicago, IL, 4Center for Endoscopic Research and Therapeutics (CERT), The University of Chicago Medicine, Chicago, IL

V3. Solving the Maze: Restoring the Oesophageal Lumen After Defective Mucosal Healing of a Stented Circumferential Intramural Esophageal Dissection Danial Daneshvar, MD1, Youssef El Douaihy, MD1, Najib Nassani, MD2, Vera Zarakat, MD1, Iskandar Barakat, MD1, Sherif Andrawes, MD1; 1Staten Island University Hospital, Staten Island, NY, 2University of Illinois, Chicago, IL

V4. Endoscopic Neck Dissection Utilizing Peroral Endoscopic Myotomy (POEM) for Removal of Extraluminal Neck Foreign Body Migrated Out From the Upper Esophagus Sherif Andrawes, MD1, Magda Daoud, MD1, Hafiz Khan, MD1, Petros Benias, MD2; 1Staten Island University Hospital, Staten Island, NY, 2Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, NY

V5. Utility of Lumen Apposing Metal Stents for Non-Pancreatic Interventions Aslam Syed, MD1, Mrinal Garg, MD1, Harshit S. Khara, MD, FACG2, Ghita Moussaide, MD1, Katie Farah, MD1, Shivangi Kothari, MD3, Shyam Thakkar, MD1; 1Allegheny Health Network, Pittsburgh, PA, 2Geisinger Medical Center, Danville, PA, 3University of Rochester Medical Center, Rochester, NY

V6. Single Operator Cholangioscopy for Removal of a Proximally Migrated Biliary Stent Julie Guider, MD1, Santosh Kale, MBBS1, Baran Bulent, MD2, Ali Raza, MD1, R. Tomas Davee, MD1, Nirav Thosani, MD3; 1University of Texas Health Science Center at Houston, Houston, TX, 2Beth Israel Deaconess Medical Center, Boston, MA, 3University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX

V7. Endoscopic Ultrasound-Guided Gallbladder Drainage After Roux-En-Y Gastric Bypass: It Can Hide, but It Can’t Run! Wajeeh Salah, MD1, Todd H. Baron, MD2; 1University of North Carolina, Scottsdale, AZ, 2University of North Carolina, Chapel Hill, NC

V8. Endoscopic Appendectomy in a Patient with Malrotation and Previous Ladd Procedure Sarah Buckley, MD, Alicia Gaidry, MD, Romeo Ignacio, MD, Joseph Cheatham, MD, FACG; Navy Medical Center San Diego, San Diego, CA

V9. Endoscopic Robotic ESD in a Cadaveric Model Seth A. Gross, MD, Gregory Haber, MD, Mark Pochapin, MD; NYU Langone Health, New York, NY

6:00 pm – 6:30 pm ACG’s Annual Business Meeting Terrace Ballroom 2-3 All Members and Fellows of ACG are invited.

6:30 pm Annual Scientific Meeting Adjourns for the Day

TUESDAY, OCTOBER 9, 2018 | 6:45 AM - 6:25 PM

6:00 am – 5:00 pm REGISTRATION OPEN

OPTIONAL BREAKFAST SESSIONS – Choose from 8 6:45 am – 8:15 am (You must register and pay separately for breakfast sessions during the registration process.)

BREAKFAST E: Quality and Technique in Colonoscopy: Doing It Better Moderator: Jason B. Samarasena, MD, FACG

• Pre-Procedural Quality: Getting Them In and Getting Them Clean Jason B. Samarasena, MD, FACG Discuss interventions to improve colonoscopy preparation quality and patient tolerance, and ways to reduce procedure cancellation through use of navigators, apps, and improved dietary restrictions.

• Intra-Procedural Quality: Technology, Techniques, and Tips to Improve Effectiveness Seth A. Gross, MD, FACG Describe the current tools and techniques used to improve quality during a colonoscopy, including assistive devices, water techniques, and computer analysis.

• Post-Procedural Quality: How Did We Do and Can We Do Better? Irving M. Pike, MD, FACG Summarize quality metrics such as ADR, withdrawal, surveillance intervals, adverse event tracking, and other possible interventions to increase quality.

BREAKFAST F: Hot Topics in Liver Disease Moderator: Renuka Umashanker, MD, FACG

• Approach to the Patient With Solid and Cystic Liver Lesions Renuka Umashanker, MD, FACG Outline current guideline recommendations in the evaluation, diagnosis, and management of patients with new liver lesions.

• Autoimmune Liver Disorders: PBC, PSC, Autoimmune Hepatitis David E. Bernstein, MD, FACG Discuss current and evolving diagnostic and treatment strategies in the management of autoimmune liver disorders, and the application of new therapeutic modalities in clinical practice.

• Evaluation of a Patient With Alcoholic Liver Disease Vijay H. Shah, MD, FACG Summarize current guidelines in the management of patients with alcoholic liver disease, and discuss evidence-based strategies for implementation in clinical practice.



BREAKFAST G: GERD – Weighing the Risks and Benefits Moderator: Philip O. Katz, MD, MACG

• GERD Diagnostics - Complementary Not Competitive C. Prakash Gyawali, MD, FACG Summarize the available techniques and develop a management algorithm for the diagnosis of GERD.

• Personalized GERD Management Rena H Yadlapati, MD, MSHS Describe the role of medical, endoscopic, or surgical management based on GERD phenotypes.

• Proton Pump Inhibitors: How to Help Get Your Patients Off of Them Philip O. Katz, MD, MACG Identify possible strategies to help your patients discontinue the use of PPIs.

BREAKFAST H: Optimizing IBD Management Moderator: Laura E. Raffals, MD, MS, FACG

• Treating to Target - What Exactly Should Our Target Be Now? Kara M. De Felice, MD Define the concept of treat-to-target for patients with IBD.

• Looking Into the IBD Crystal Ball - Predicting the Course of Disease Laura E. Raffals, MD, MS, FACG Evaluate available tools for predicting disease course in patients with IBD.

• Choosing the Right Therapy for Your Newly Diagnosed IBD Patient Adam S. Cheifetz, MD, FACG Identify how to select the best initial therapy for your patient with IBD.

BREAKFAST I: Endoscopic Management of Perforations and Fistulae Moderator: Laith H. Jamil, MD, FACG (This session will begin with two didactic lectures followed by a hands-on demonstration in the Hands-On Endoscopy Workshop Center in the Exhibit Hall. The hands-on workshop portion of the session does not offer CME.)

• Strategies for Chronic Fistulae Christopher C. Thompson, MD, MSc, FACG Describe endoscopic techniques available for managing chronic fistulae.

• Medical and Endoscopic Management of Luminal Perforations Laith H. Jamil, MD, FACG Discuss both medical and endoscopic tools and techniques available for managing luminal perforations.

• Hands-On Demonstration in the Exhibit Hall Exhibit Halls DE Laith H. Jamil, MD, FACG, Shivangi T. Kothari, MD, FACG, and Christopher C. Thompson, MD, MSc, FACG

BREAKFAST J: Esophageal Endotherapy Moderator: Gary W. Falk, MD, MS, FACG

• Barrett’s Esophagus: Burn, Freeze, or Cut? Gary W. Falk, MD, MS, FACG Describe techniques of RFA, cryoablation, and EMR/ESD, as well as pros and cons, indications, and outcomes of each technique for treating Barrett’s esophagus.

• Achalasia: Inject, Dilate, or Cut? Walter W. Chan, MD, MPH Evaluate techniques of botox injection, pneumatic dilation, and POEM, as well as pros and cons, indications, and outcomes of each technique in treating achalasia.

• Strictures: Dilate, Cut, or Stent? Mihir S. Wagh, MD, FACG Compare techniques of dilation, endoscopic incisional therapy, and stenting for benign and malignant esophageal strictures, as well as pros and cons, indications, and outcomes of each technique.

BREAKFAST K: Pancreaticobiliary Moderator: Vivek Kaul, MD, FACG

• Management of Acute Pancreatitis: The First 48 Hours Vikesh K. Singh, MD, MSc Identify the guidelines and evidence-based early management of patients with acute pancreatitis and how it impacts outcome.

• ERCP Complications: Prediction, Prevention, and Management Vivek Kaul, MD, FACG Describe how to best predict, prevent, and manage ERCP complications based on current scientific evidence and guidelines.

• Management of Complex Common Bile Duct Stones Mansour A. Parsi, MD, MPH Discuss the state-of-the-art approach to management of large and difficult to remove common bile duct stones.

BREAKFAST L: What Is New in Enteropathy? Moderator: William D. Chey, MD, FACG

• Diagnosis and Management of Celiac Disease Joseph A. Murray, MD, FACG Discuss the diagnosis and management of celiac disease and its mimics.

• Non-Celiac Gluten Sensitivity William D. Chey, MD, FACG Describe the diagnosis and management of patients with non-celiac gluten sensitivity.

• What Is New in Leaky Gut? Julia J. Liu, MD, FACG Outline laboratory and endoscopic findings of leaky gut, and recognize the role of leaky gut in the pathogenesis of chronic intestinal disease.

8:30 am - 6:25 pm Annual Scientific Meeting

SIMULTANEOUS PLENARY – SESSION 2 8:30 am – 10:00 am

PLENARY SESSION 2A – PANCREAS/BILIARY, INTERVENTIONAL ENDOSCOPY/GI BLEEDING Terrace Ballroom 4 Moderators: Immanuel K. H. Ho, MD, FACG, and John R. Saltzman, MD, FACG

19. Ringer’s Lactate vs Normal Saline in Acute Pancreatitis: A Systematic Review and Meta-Analysis Umair Iqbal, MD1, Hafsa Anwar, MBBS2, Munib Aftab, MD1, Melissa Scribani, MPH1; 1Bassett Medical Center, Cooperstown, NY, 2Dow University of Health and Sciences, Cooperstown, NY

FRIDAY, OCTOBER 5

GI Pathology and Imaging Course7:00 am - 12:30 pm

What’s New in GI Pharmacology Course1:45 pm - 5:15 pm

SATURDAY & SUNDAY, OCTOBER 6–7Postgraduate Course

7:50 am - 5:00 pm

Your registration also includes: � Self-Assessment Test PRINTED BOOK with 300 questions plus comprehensive, annotated answers!

� Up to 21.5 hours of CME and MOC, plus an additional 35 hours of CME and MOC for successful completion of the Self-Assessment Test


REGISTER FOR THE THREE-DAY CLINICAL REVIEW and $AVE UP TO 10% ON ALL THREE COURSES


20. Acute Pancreatitis Task Force on Quality (APTFQ): Formal Development of Quality Indicators Elaina Vivian, MPH, CPHQ1, Leslie Cler, MD, FACP, CPE2, Darwin Conwell, MD, MS3, Gregory A. Cote, MD, MSCI4, Richard Dickerman, MD, FACS5, Ashton Ellison, MBChB2, Martin Freeman, MD6, Timothy Gardner, MD, MS7, Samar Habash, MD8, Robert Hawes, MD, FACG9, Prashant Kedia, MD2, Rajesh Krishnamoorthi, MD10, Hellen Oduor, MBChB, MPH11, Stephen J. Pandol, MD12, Georgios Papachristou, MD, PhD13, Sheila Rastegari, DO2, Rathan Reddy, MD2, Andrew Ross, MD10, Amrita Sethi, MD, MSc14, Shyam Varadarajulu, MD9, Santhi Swaroop Vege, MD, FACP, MACG15, Wahid Wassef, MD, MPH, FACG16, C. Mel Wilcox, MD17, David C. Whitcomb, MD, PhD, FACG13, Bechien Wu, MD, MPH18, Dhiraj Yadav, MD, MPH13, Timothy Yen, MD2, Paul R. Tarnasky, MD2; 1Methodist Dallas Medical Center, Irving, TX, 2Methodist Dallas Medical Center, Dallas, TX, 3The Ohio State University Wexner Medical Center, Columbus, OH, 4Medical University of South Carolina, Charleston, SC, 5The Liver Institute, Methodist Dallas Medical Center, Dallas, TX, 6University of Minnesota, Minneapolis, MN, 7Dartmouth-Hitchcock Medical Center, Norwich, VT, 8AtlantiCare, Atlantic City, NJ, 9Florida Hospital, Orlando, FL, 10Virginia Mason Medical Center, Seattle, WA, 11Methodist Health System, Dallas, TX, 12Cedars-Sinai Medical Center, Los Angeles, CA, 13University of Pittsburgh Medical Center, Pittsburgh, PA, 14Columbia University Medical Center, New York, NY, 15Mayo Clinic, Rochester, MN, 16University of Massachusetts Memorial Medical Center, Worcester, MA, 17University of Alabama at Birmingham, Birmingham, AL, 18Kaiser Permanente Los Angeles, Los Angeles, CA

21. Familial Pancreatic Cancer Risk by Subsite of Primary Cancer: A Population-Based Study Divyanshoo R. Kohli, MD1, Ken Smith, PhD2, Jathine Wong, BS2, Zhe Yu, BS2, Kenneth Boucher, PhD2, Randall Burt, PhD2, Karen Curtin, PhD2, Niloy J. Samadder, MD3; 1Mayo Clinic, Overland Park, KS, 2University of Utah, Salt Lake City, UT, 3Mayo Clinic, Scottsdale, AZ

22. Endoscopy and Anesthesia Efficiency and Access Project Sooraj Tejaswi, MD, MSPH1, Sital Singh, MD2, Gary Levin, MD, MBA2, Stephanie Yan, MD 2; 1University of California Davis Medical Center, Sacramento, CA, 2University of California Davis, Sacramento, CA

23. Endoscopic Ultrasonography-Guided Radiofrequency Ablation Combined With Lauromacrogol Ablation for Pancreatic Cystic Neoplasms ACG Governors Award for Excellence in Clinical Research Enqiang Linghu, MD, PhD, Xiuxue Feng, MD, Ningli Chai, MD, PhD, Huikai Li, MD; Chinese PLA General Hospital, Beijing, People’s Republic of China

24. An International External Interobserver and Derivation Study for the Detection of Advanced Neoplasia in IPMNs Using Confocal Laser Endomicroscopy Somashekar G. Krishna, MD, MPH1, John M. DeWitt, MD2, Christopher J. DiMaio, MD3, Pradermchai Kongkam, MD4, Bertrand Napoleon, MD5, Mohamed Othman, MD6, Damien Tan, MBBS7, Samer El-dika, MD, MSc1, Sean McCarthy, MD1, Jon Walker, MD1, Mary Dillhoff, MD1, Andrei Manilchuk, MD1, Phil Hart, MD1, Zobeida Cruz-Monserrate, PhD1, Darwin Conwell, MD, MS1; 1The Ohio State University Wexner Medical Center, Columbus, OH, 2Indiana University Health Medical Center, Indianapolis, IN, 3Icahn School of Medicine at Mount Sinai, New York, NY, 4King Chulalongkorn Memorial Hospital, Bangkok, Krung Thep, Thailand, 5Hôpital privé Jean Mermoz, Lyon, Auvergne, France, 6Baylor College of Medicine, Houston, TX, 7Singapore General Hospital, Singapore, Singapore

25. Endoscopic Ultrasound-Guided Liver Biopsy Compared to Percutaneous and Transjugular Liver Biopsy: A Tertiary Center Experience Category Award (Interventional Endoscopy) Abdul Hamid El Chafic, MD1, Muhammad F. Mubarak, MD1, Janak Shah, MD1, George Therapondos, MD, MPH1, Ricardo Romero, MD1, Jerry Evans, MD2, Ari Cohen, MD1, Ahmed Alsaiari, MD1, Gretchen Galliano, MD1; 1Ochsner Clinic Foundation, New Orleans, LA, 2Ochsner Health System, Kenner, LA

26. Trends of Early Colonoscopy and Their Outcomes in Patients Admitted With Acute Lower Gastrointestinal Bleeding Fellows-in-Training Award (GI Bleeding Category) Kalpit Devani, MD1, Paris Charilaou, MD2, Dhruvil Radadiya, MBBS1, Hardik Sonani, MBBS3, Chakradhar M. Reddy, MD, FACP4, Mark Young, MD1, Bhaumik Brahmbhatt, MBBS5; 1East Tennessee State University, Johnson City, TN, 2St. Peter's University Hospital, New Brunswick, NJ, 3University of Mississippi, Jackson, AL, 4East Tennessee State University, Quillen College of Medicine, Johnson City, TN, 5Mayo Clinic, Jacksonville, FL

27. Hold for Late-Breaking Abstract

PLENARY SESSION 2B – ESOPHAGUS / OBESITY / PRACTICE MANAGEMENT Terrace Ballroom 2-3 Moderators: Christine Y. Hachem, MD, FACG, and Michael S. Smith, MD, MBA

28. Manometric Esophageal Length Predicts Hiatal Hernia Recurrence Pooja Lal, MD1, Shashank Sarvepalli, MD1, Andrew Tang, MD1, Siva Raja, MD, PhD2, Monica Ray, MD2, Sampurna Shakya1, Prasanthi N. Thota, MD3, Scott Gabbard, MD2; 1Cleveland Clinic Foundation, Cleveland, OH, 2Cleveland Clinic, Cleveland, OH, 3Cleveland Clinic Digestive Disease Institute, Cleveland, OH

29. Comparative Cost-Effectiveness of Gastroesophageal Reflux Disease Centric and Population Based Barrett’s Esophagus Screening Fellows-in-Training Award (Esophagus Category) Sarmed S. Sami, MBChB, PhD, James Moriarty, MS, Jordan Rosedahl, BS, Bijan Borah, PhD, John Kisiel, MD, David A. Katzka, MD, Kenneth K. Wang, MD, David A. Ahlquist, MD, Prasad G. Iyer, MD; Mayo Clinic, Rochester, MN

30. Automated Detection of Precancerous Lesion and Early Esophageal Squamous Cancer Using a Deep Learning Model LinJie Guo, MD1, ChunCheng Wu, MS1, Xiao Xiao, PhD2, Zhiwei Zhang, MS2, Weimin Pan, BS2, Jingjia Liu, BS2, Bing Hu, BS1; 1West China Hospital, Chengdu, Sichuan, People’s Republic of China, 2Shanghai Wision AI CO., Ltd., Chengdu, Sichuan, People’s Republic of China

31. A Non-Invasive Predictive Score for the Presence of Esophageal Varices ACG Governors Award for Excellence in Clinical Research Megan Hauer, BS1, Kayti Luu1, Tien Dong, MD1, Elizabeth Aby, MD1, Long Le, MD1, Amir Kalani, MD, PhD1, Keith Lindor, MD2, James H. Tabibian, MD, PhD3; 1University of California Los Angeles, Los Angeles, CA, 2Arizona State University, Phoenix, AZ, 3University of California Los Angeles, Sylmar, CA

32. Peroral Endoscopic Myotomy (POEM) Is a Safe and Effective Treatment Modality for Achalasia Patients After Failed Pneumatic Dilatation (PD) Category Award (Esophagus) Madhusudhan R. Sanaka, MD1, Malav P. Parikh, MD2, Prasanthi N. Thota, MD1, Niyati M. Gupta, MD3, George Khoudari, MD3, Monica Ray, MD2, Neha Wadhwa, MD2, Scott Gabbard, MD2, Rocio Lopez, MS4, Sudish Murthy, MD, PhD2, Siva Raja, MD, PhD2; 1Cleveland Clinic Digestive Disease Institute, Cleveland, OH, 2Cleveland Clinic, Cleveland, OH, 3Cleveland Clinic Foundation, Cleveland, OH, 4Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH

33. Increased Yield of Hereditary Cancer Risk Assessment in a GI Office Practice Utilizing NCCN Guidelines and Panel Testing Matthew McKinley, MD, Jennifer Deede, PA, Jeremy Rochester, MD, Robert Gal, MD, Frank Gerardi, MD, Betsy Pathical, MD, Hina Zaidi, MD, Brian Markowitz, MD, Michael Adler, MD, Lisa Lih-Brody, MD; ProHEALTHcare Associates, Lake Success, NY

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34. Rising, Age-Specific, Trends of Obesity-Related Gastrointestinal Cancers Correspond With Increasing Cancer Resections in Obese Patients: A 2002-2013 National Analysis Using the SEER and NIS Databases Category Award (Obesity) Hisham Hussan, MD1, Ravi Pavurala, MD1, Kyle Porter, MAS2, Rishi Jain, MD, MS3, Steven K. Clinton, MD, PhD1, John M. Carethers, MD, MACP4, Kerry S. Courneya, PhD5; 1The Ohio State University Wexner Medical Center, Columbus, OH, 2Center for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, OH, 3The Ohio State University, Columbus, OH, 4University of Michigan, Ann Arbor, MI, 5University of Alberta, Edmonton, Alberta, Canada

35. Hold for Late Breaking Abstract


10:00 am – 4:30 pm Exhibit Hall Open

10:05 am – 4:30 pm Hands-On Endoscopy Workshop Center

10:05 am – 10:35 am J. Edward Berk Distinguished Lecture Fake News and Alternative Facts on Personalized Medicine in IBD Terrace Ballroom 2-3 Stephen B. Hanauer, MD, FACG Introduced by: Irving M. Pike, MD, FACG, ACG President Discuss best practices in IBD and differentiate the supporting evidence from the current misinformation and misunderstandings that detract from optimal patient care. See page 13 for more information.

10:35 am – 11:30 am Break – Visit the Exhibit Hall and Browse Scientific Posters

10:35 am – 4:00 pm Scientific Poster Session Open


SIMULTANEOUS SYMPOSIA – SESSION 3 11:30 am – 12:45 pm

SYMPOSIUM 3A: Current Challenges and Controversies in the Management of Viral Hepatitis Terrace Ballroom 4 Moderator: Sonali Paul, MD, MS

• How to Use Non-Invasive Liver Fibrosis Tests in Clinical Practice Sonali Paul, MD, MS Identify the appropriate use of non-invasive liver fibrosis tests, such as serum fibrosis assays and imaging-based elastography, in clinical practice for patients with viral hepatitis and other chronic liver disorders.

• Challenges in Hepatitis C Management: DAA Failures, Special Populations, and Controversies Mitchell L. Shiffman, MD, FACG Describe the evidence addressing current challenges and controversies in HCV therapy, including treatment of DAA failures and special populations, and the association between DAAs and both HCC and HBV reactivation.

• Challenges in Hepatitis B Management: HBV Reactivation James S. Park, MD, FACG Discuss evidence-based approaches to challenging issues in hepatitis B management, including the care of chronic HBV in pregnancy, and the evaluation, prevention, and management of HBV reactivation in patients undergoing immunosuppressive drug therapy.

SYMPOSIUM 3B: Battling Physician Burnout: It Will Take a Village Terrace Ballroom 2-3 Moderator: Carol A. Burke, MD, FACG

• Recognizing Burnout Christina M. Surawicz, MD, MACG Recognize and identify burnout predictors.

• What Can Your Institution or Practice Do? Joseph C. Anderson, MD, MHCDS, FACG Describe what your institution or practice can do to mitigate burnout.

• The Pathway to Physician Wellness Carol A. Burke, MD, FACG Identify ways to have work-life balance.

12:45 pm – 2:15 pm Lunch Break – Visit the Exhibit Hall and Browse Scientific Posters


1:00 pm – 2:15 pm Poster Session – Authors Present


SIMULTANEOUS PLENARY – SESSION 3 2:15 pm – 3:45 pm

PLENARY SESSION 3A – COLORECTAL CANCER PREVENTION Terrace Ballroom 4 Moderators: Joseph C. Anderson, MD, MHCDS, FACG, and Aasma Shaukat, MD, MPH, FACG

37. Endocuff Allows Shorter Colonoscopy Withdrawal Times with No Loss of Detection: A Randomized Controlled Trial Douglas K. Rex, MD, MACG1, Seth A. Gross, MD2; 1Indiana University, Indianapolis, IN, 2NYU Langone Health, New York, NY

38. Factors Associated With Early (<50 Years) and Late Onset (≥50 Years) Colorectal Cancer: A Population-Based National Study Abbinaya Elangovan, MD1, Jacob M. Skeans, MD1, Dalbir S. Sandhu, MD1, David C. Kaelber, MD, MPH, PhD1, Gregory Cooper, MD2; 1Case Western Reserve University/MetroHealth Medical Center, Cleveland, OH, 2University Hospitals Cleveland Medical Center, Cleveland, OH

39. Delineating Deficiencies in Care Processes After Positive Fecal Immunochemical Test Results Christine Yu, MD1, Vivy Tran, MD1, Liu Yang, MD1, Tina Storage, MD2, Frank W. Chen, MD1, Folasade P. May, MD, PhD2; 1David Geffen School of Medicine at UCLA, Los Angeles, CA, 2University of California Los Angeles, Los Angeles, CA

40. Modifiable Factors Associated With Inadequate Bowel Preparation Quality in Patients With Inadequate Bowel Preparation on Index Outpatient Colonoscopy Shashank Sarvepalli, MD, MS1, Ari Garber, MD1, Michael Rothberg, MD, MPH1, John McMichael, PhD1, Gareth Morris-Stiff, MD, PhD1, John J. Vargo, MD2, Maged Rizk, MD1, Carol A. Burke, MD, FACG2; 1Cleveland Clinic, Cleveland, OH, 2Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

41. Can Artificial Intelligence (AI) Achieve Real-Time 'Resect and Discard' Thresholds Independently of Device or Operator? Robin Zachariah, MD1, Andrew Ninh2, Tyler Dao3, James Requa2, William Karnes, MD1; 1University of California Irvine Medical Center, Orange, CA, 2Docbot, Irvine, CA, 3Docbot, Orange, CA


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42. A Randomized Control Trial Comparing the Tolerance of Colon Prep: Same Day Colonoscopy Prep to Split Dose Prep for Afternoon Endoscopy Fellows-in-Training Award (General Endoscopy Category) Isabel Manzanillo-DeVore, DO1, Joshua A. Rosenbloom, DO2, Zuie Wakade, DO3, Olga Klyuchnikova, DO 1, Cale Sebald, DO1, Stephen Hoffman, DO 1, Ronald Rasansky, DO 1, Rene Peleman, MD 4; 1Ascension St. John Providence, Madison Heights, MI, 2Gastro Center of Maryland, Columbia, MD, 3Ascension St. John Providence, Royal Oak, MI, 4Henry Ford, Clinton Township, MI

43. Total Underwater Colonoscopy versus Standard CO2 for Adenoma Detection: A Randomized Controlled Tandem Colonoscopy Trial Category Award (General Endoscopy) Joseph Anderson, MD1, Charles J. Kahi, MD, MSCI2, Jonathan R. Garcia, BS2, Andrew W. Sullivan, BS2, Douglas K. Rex, MD, MACG2; 1Dartmouth College, Hanover, NH, 2Indiana University, Indianapolis, IN



PLENARY SESSION 3B – SMALL INTESTINE / IBD Terrace Ballroom 2-3 Moderators: Ganesh R. Veerappan, MD, and Amy S. Oxentenko, MD, FACG

46. Symptoms of Gluten Ingestion in Patients With Non-Celiac Gluten Sensitivity: A Placebo-Controlled Study Fellows-in-Training Award (Small Intestine Category) Apeksha Shah, MD1, Stephanie Moleski, MD2, Michael Matthews1, Gagan Kaushal1, Ahmed Hasan, MD3, Katelyn Koons1, Philip Durney, MD1, Colin Smith, MD1, Anthony J. Dimarino, MD1; 1Thomas Jefferson University Hospital, Philadelphia, PA, 2Thomas Jefferson University Hospitals, Philadelphia, PA, 3Lehigh Gastroenterology Associates, Palmerton, PA

47. Subjects With Celiac Disease Have Difficulty Determining if They Received Gluten in a Randomized Double Blind Placebo Controlled Gluten Challenge Amanda Cartee, MD, Carol Van Dyke, CCRP, Hinson Chadrick, King Katherine, Irina Horwath, Eric Marietta, PhD, Rok Seon Choung, MD, PhD, Joseph Murray, MD; Mayo Clinic, Rochester, MN

48. Serum Adipokines and Increased Abdominal Visceral Adipose Tissue at Diagnosis Predict Need for Biologic Therapy in Pediatric Inflammatory Bowel Disease Pediatric GI Award Jacob A. Kurowski, MD1, Rishi Gupta, MD2, Iulia Barbur3, Sarah Worley, MS1, Erick M. Remer, MD1, Tracey Bonfield, PhD3, Jean-Paul Achkar, MD, FACG1, Claudio Fiocchi, MD1, Satish E. Viswanath, MS, PhD3, Marsha Kay, MD1; 1Cleveland Clinic, Cleveland, OH, 2University of Maryland Medical Center, Baltimore, MD, 3Case Western Reserve University, Cleveland, OH

49. Long-Term Efficacy of Ustekinumab With and Without Concomitant Immunosuppressants for Crohn’s Disease: Results From IM-UNITI Long-Term Extension Through 2 Years Bruce E. Sands, MD, MS1, Brian Kramer, PhD2, Christopher Gasink, MD2, Douglas Jacobstein, MD3, Omoniyi J. Adedokun, MS, RPh3, Long-Long Gao, PhD2, Paul Rutgeerts, MD, PhD4, Subrata Ghosh, MD5; 1Icahn School of Medicine at Mount Sinai, New York, NY, 2Janssen Scientific Affairs, LLC, Horsham, PA, 3Janssen Research & Development, LLC, Spring House, PA, 4University Hospital Gasthuisberg, Leuven, Vlaams-Brabant, Belgium, 5University of Birmingham, Birmingham, England

50. Early Endoscopic Evaluation After Initiation of Biologic Therapy Reduces Disease-Related Complications in Inflammatory Bowel Disease, Supporting the Concept of Treat-to-Target Berkeley Limketkai, MD, PhD1, Siddharth Singh, MD2, William J. Sandborn, MD, FACG2, Parambir S. Dulai, MD2; 1Stanford University School of Medicine, Palo Alto, CA, 2University of California San Diego, La Jolla, CA

51. Multiple Primary Crohn’s Disease-Associated Strictures Had Poor Response to Endoscopic Balloon Dilation Nan Lan, MD1, Bo Shen, MD2; 1Cleveland Clinic, Cleveland, OH, 2Cleveland Clinic Digestive Disease Institute, Cleveland, OH

52. Impact of a Standardized Reporting System for Magnetic Resonance Enterography on Small Bowel Crohn’s Disease Management Adeeti Chiplunker, MD1, Richard Tsai, MD1, George Christophi, MD1, David Bruining, MD2, Aaron Mintz, MD1, Matthew Ciorba, MD3, Michael Lin, MD1, Kathryn Fowler, MD1, Parakkal Deepak, MBBS, MS1; 1Washington University School of Medicine, St. Louis, MO, 2Mayo Clinic, St. Louis, MO, 3Washington University, St. Louis, MO

53. Mortality in Elderly Onset Ulcerative Colitis: A Population-Based Cohort Study Louise Wang, MD1, Yu-Xiao Yang, MD, MSc(Epi)1, Nabeel H. Khan, MD2; 1University of Pennsylvania, Philadelphia, PA, 2Corporal Michael J. Crescenz Philadelphia VA Medical Center, Philadelphia, PA

54. Anti-TNF Dose Augmentation Frequently Occurs in the Absence of Objective Evidence of Disease Activity Fellows-in-Training Award (IBD Category) Evan Elias, MD, Adebanke Oketola, BSc, MSc, Harminder Singh, MD, MPH, Charles Bernstein, MD, Laura Targownik, MD, MSHS; University of Manitoba, Winnipeg, Manitoba, Canada

3:45 pm – 4:30 pm Break – Visit Exhibit Hall and Browse Scientific Posters

4:30 pm – 5:00 pm Emily Couric Memorial Lecture 80% Colorectal Cancer Screening by 2018: How Did We Do and Where Do We Go From Here? Terrace Ballroom 2-3 David A. Greenwald, MD, FACG Introduced by: Irving M. Pike, MD, FACG, ACG President Describe the goals of the 80% by 2018 campaign for colorectal cancer screening, the successes it has achieved, and plans for the future. See page 13 for more information.

5:00 pm – 5:10 pm Break

SIMULTANEOUS SYMPOSIA – SESSION 4 5:10 pm – 6:25 pm

SYMPOSIUM 4A: Interdisciplinary Management of Variceal Bleeding Terrace Ballroom 2-3 Moderator: Guadalupe Garcia-Tsao, MD, FACG

• Medical Management of Portal Hypertensive Bleeding Guadalupe Garcia-Tsao, MD, FACG Describe medical management of variceal bleeding as well as its appropriate surveillance.

• Comprehensive Endoscopic Management of Esophageal and Gastric Varices Uzma D. Siddiqui, MD Assess standard as well as state-of-the-art endoscopic and EUS-guided techniques for managing esophageal and gastric variceal bleeding.

• The Role of Interventional Radiology in the Management of Variceal Bleeding Michael C. Soulen, MD Interpret radiology techniques as well as appropriate indications to manage esophageal and gastric variceal bleeding.



SYMPOSIUM 4B: The Colonic Microbiome: C. difficile and Beyond Terrace Ballroom 4 Moderator: Lawrence J. Brandt, MD, MACG

• The Colonic Microbiome: What Do We Know in 2018? Lawrence J. Brandt, MD, MACG Elaborate on the current state of knowledge about the human microbiome; can we test, can we manipulate?

• Fecal Microbiota Transplant (FMT) in C. difficile infection Colleen R. Kelly, MD, FACG Explain the biology, technique, and outcomes of FMT in patients with C. difficile infection.

• Fecal Microbiota Transplant (FMT) for Other Emerging Indications: Potential and Promise Paul Moayyedi, MB ChB, PhD, MPH, FACG Discuss the emerging data on the efficacy of FMT for other indications beyond C. difficile, including IBD, IBS, obesity, and hepatic encephalopathy.

SYMPOSIUM 4C: Burning Issues in Barrett’s Esophagus Terrace Ballroom 1 Moderator: Prasad G. Iyer, MD, MS, FACG

• Screening and Surveillance - Why and How? Prasad G. Iyer, MD, MS, FACG Recognize indications for screening and list surveillance recommendations for BE.

• Predicting Progression to Cancer - The Holy Grail Nicholas J. Shaheen, MD, MPH, FACG Describe clinical features and biomarkers associated with progression to high grade dysplasia / cancer in Barrett’s esophagus.

• Tackling Issues in Endoscopic Therapy Vani J.A. Konda, MD, FACG Discuss issues relevant to the management of BE patients without dysplasia, with low grade dysplasia, and after successful ablation.

6:25 pm Annual Scientific Meeting adjourns for the day

WEDNESDAY, OCTOBER 10, 2018 | 6:45 AM - 12:15 PM

6:30 AM - 12:15 PM Registration Open

OPTIONAL BREAKFAST SESSIONS – Choose from 4 6:45 am - 8:15 am (You must register and pay separately for breakfast sessions during the registration process.)

BREAKFAST M: The End of the Road: A Primer on Anorectal Disorders Moderator: Arnold Wald, MD, MACG

• Ouch: Diagnosis and Treatment of Hemorrhoids and Anal Fissures Arnold Wald, MD, MACG Elaborate on current state of knowledge on the diagnosis and non-procedural treatments for hemorrhoids and anal fissures.

• Oy, It’s Not Working Right: Defecatory Dysfunction Amy E. Foxx-Orenstein, DO, MACG Describe the pathophysiology and treatment of impaired defecation including incontinence and dysynergy.

• But Can We Fix It? Anorectal Interventions for the Gastroenterologist Harry E. Sarles, Jr., MD, FACG Discuss possible anorectal interventions such as banding, injectates, and others.

BREAKFAST N: Esophageal Motility Disorders – Moving the Field Forward Moderator: John E. Pandolfino, MD, MSCI, FACG

• EGJ Outflow Obstruction - Don’t Count on IRP Abraham R. Khan, MD, FACG Define true pathology from artifact and determine appropriate management for esophagogastric junction obstruction.

• Personalized Management of Achalasia in the Era of POEM Michael F. Vaezi, MD, PhD, MSc(Epi), FACG Discuss appropriate treatment for manometric phenotypes and personal preferences in patients with achalasia.

• Borderline Esophageal Motor Function: The Garbage Can of Motility John E. Pandolfino, MD, MSCI, FACG Recognize which esophageal motility disorders are clinically relevant.

BREAKFAST O: The Shift From Humoring to Honoring Your Patient’s Questions (Going Beyond Medications) Moderator: Arun C. Swaminath, MD

• “Pot” Roast: Do Diet and Marijuana Have a Role in Management of IBD? Arun C. Swaminath, MD Summarize data-based advice regarding diet therapy and marijuana use in the management of IBD.

• Recognizing and Managing Psychological Problems in the IBD Patient Laurie A. Keefer, PhD Identifying and managing psychological issues in your IBD patient population.

• Probiotics, Antibiotics, and Stool Transplants (A Gut Hack - Manipulating the Microbiome) Colleen R. Kelly, MD, FACG Describe dysbiosis in IBD and interventions to repair it.

BREAKFAST P: Emerging Medical and Surgical Therapies for Gastrointestinal Motility Disorders Moderator: Brooks D. Cash, MD, FACG

• GERD and Hypercontractile Esophageal Disorders Shivangi T. Kothari, MD, FACG Discuss new advances in medical and surgical therapies for GERD and hypercontractile esophageal disorders.

• Gastroparesis Braden Kuo, MD Explain the mechanisms and evidence regarding new advances in gastroparesis therapy.

• Constipation and Incontinence Brooks D. Cash, MD, FACG Recognize emerging therapies for functional anorectal disorders.

8:30 am - 12:15 pm Annual Scientific Meeting

SIMULTANEOUS PLENARY – SESSION 4 8:30 am – 10:15 am

PLENARY SESSION 4A – LIVER / COLON Terrace Ballroom 4 Moderators: Joseph K. Lim, MD, FACG, and Delbert L. Chumley, MD, FACG

55. Extensive Validation of a Disease-Specific Health Related Quality of Life Instrument in Patients With Biopsy-Proven Non-Alcoholic Steatohepatitis (NASH): Chronic Liver Disease Questionnaire-NASH (CLDQ-NASH) ACG Governors Award for Excellence in Clinical Research Zobair Younossi, MD, MPH1, Maria Stepanova, PhD2, Issah Younossi, MPH2, Andrei Racila, BS, OCP, MCITP1; 1Inova Fairfax Hospital, Falls Church, VA, 2Center for Outcomes Research in Liver Disease, Washington, DC


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56. Worse Performance Status at Time of Liver Transplant Is Associated With Significantly Lower Survival Following Liver Transplantation Patrick McCabe, MD, MEd1, Benny Liu, MD2, Taft Bhuket, MD2, Robert Wong, MD3; 1California Pacific Medical Center/Sutter, San Francisco, CA, 2Highland Hospital, Oakland, CA, 3Alameda Health System - Highland Hospital, Oakland, CA

57. Comparison of Outcomes After Transjugular Intrahepatic Portosytemic Shunt Placement in Cirrhotic Patients with High MELD-Na Score versus Low MELD-Na Score Presenting With Refractory Variceal Bleed Ashley Wood, DO1, Maria Del Pilar Bayona Molano, MD1, Rocio Lopez, MS2, Jamak M. Esfeh, MD1; 1Cleveland Clinic Foundation, Cleveland, OH, 2Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH

58. Efficacy and Safety of Rifaximin Treatment for Reducing the Risk of Overt Hepatic Encephalopathy by Baseline Hepatic Impairment Steven L. Flamm, MD1, Jasmohan S. Bajaj, MD2, Zeev Heimanson, PharmD3, Guy Neff, MD4; 1Northwestern Feinberg School of Medicine, Chicago, IL, 2Virginia Commonwealth University and McGuire VA Medical Center, Richmond, VA, 3Salix Pharmaceuticals, Bridgewater, NJ, 4Florida Research Institute, Florida Digestive Health Specialists, Lakewood Ranch, FL

59. Black Patients with Acute Liver Failure Are Sicker at Presentation and Are More Likely to Undergo Liver Transplantation Than White Patients Lauren Nephew, MD, MSCE1, Zahra Zia, MD1, Marwan Ghabril, MD2, Eric Orman, MD1, Craig Lammert, MD2, Naga Chalasani, MD2; 1Indiana University, Indianapolis, IN, 2Indiana University School of Medicine, Indianapolis, IN

60. Predictors for Early Readmission in Cirrhosis in the United States - A Nationwide Population-based Study Chandraprakash Umapathy, MD, MS1, Priyadarshini Loganathan, MD2, Christopher Dodoo, MS2, Mahesh Gajendran, MD, MPH2; 1University of California San Francisco Fresno, Fresno, CA, 2Texas Tech University Health Sciences Center, El Paso, TX

61. Outcomes of Vedolizumab Treatment in Patients With Immune Checkpoint Inhibitor-Induced Diarrhea and Colitis: A Multi-Center Study Hamzah Abu-Sbeih, MD1, Faisal S. Ali, MD2, Dana Alsaadi, MD3, Joseph Jennings, MD3, Wenyi Luo, MD1, Zimu Gong, MD1, David Richards, MD1, Aline Charabaty, MD4, Yinghong Wang, MD1; 1University of Texas MD Anderson Cancer Center, Houston, TX, 2Presence Saint Joseph Hospital, Chicago, IL, 3Georgetown University Hospital, Washington, DC, 4MedStar Georgetown University Hospital, Washington, DC

62. The NAP1 Strain of Clostridium difficile Is Strongly Associated With Fecal Microbiota Transplant Failure: A Large Retrospective Study Matthew T. Bender, MD, Thomas Hunold, BSPH, R. Ann Hays, MD; University of Virginia, Charlottesville, VA

63. Non-Steroidal Anti-Inflammatory Drugs and Aspirin, but Not Acetaminophen, Are Associated With an Increased Risk of Microscopic Colitis: Results From the Nurses' Health Studies Kristin E. Burke, MD, MPH1, Po-Hong Liu, MD, MPH2, Ashwin Ananthakrishnan, MD, MPH1, Paul Lochhead, MBChB, PhD1, Ola Olen, MD, PhD3, Jonas Ludvigsson, MD, PhD3, James Richter, MD1, Andrew Chan, MD, MPH1, Hamed Khalili, MD, MPH1; 1Massachusetts General Hospital, Boston, MA, 2Massachusetts General Hospital, Dallas, TX, 3Karolinska Institutet, Stockholm, Stockholms Lan, Sweden

64. The Incidence of and Risk Factors for Local Recurrence With Malignancy After Endoscopic Resection of Large Colon Polyps With High Grade Dysplasia Ashraf Abushahin, MD1, Dhairya Mehta, MD2, Prabhleen Chahal, MD, FACG3, Tyler Stevens, MD3, Emre Gorgun, MD4, Conor Delaney, MD, PhD4, Scott Steele, MD4, Rocio Lopez, MS5, John J. Vargo, MD3, Matthew Kalady, MD4, James Church, MD4, Deepa T. Patil, MD4, Carol A. Burke, MD, FACG3, Amit Bhatt, MD3; 1Cleveland Clinic Foundation/Fairview Hospital, Cleveland, OH, 2University Hospital, Westlake, OH, 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH, 4Cleveland Clinic Foundation, Cleveland, OH, 5Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH

PLENARY SESSION 4B – FUNCTIONAL / STOMACH Terrace Ballroom 2-3 Moderators: Scott L. Gabbard, MD, and Saowanee Ngamruengphong, MD

65. Finally! Some Overdue Helicobacter pylori Data From the United States Mohd Amer Alsamman, MD1, Eric Vecchio, MD2, Gabriel A. Gonzales, MD1, Murray Resnick, MD1, Steven Moss, MD1; 1Alpert Medical School of Brown University, Providence, RI, 2Brown University, Providence, RI

66. Proton Pump Inhibitor Use and Risk of Dementia: Much Ado About Nothing? Fellows-in-Training Award (Stomach Category) Mubeen Khan Mohammed Abdul, MD1, Zubair Khan, MD, CMQ2, Shreesh Shrestha, MD3, Khwaja F. Haq, MD4, Muhammad Ali Khan, MD5, Colin W. Howden, MD, FACG5; 1University of Tennessee Health Sciences Center, Memphis, TN, 2University of Toledo Medical Center, Toledo, OH, 3UTHSC, Memphis, TN, 4Henry Ford Hospital, Detroit, MI, 5University of Tennessee Health Science Center, Memphis, TN

67. Should We Screen Gastric Cancer in an Intermediate Gastric Cancer Risk Country? International Award Rui Gaspar, MD, Patricia Andrade, MD, Susana Lopes, MD, PhD, Guilherme Macedo, MD, PhD, FACG; Centro Hospitalar São João, Porto, Portugal

68. Effect of a Team-Based Approach to Improve Enteral Access Decision-Making Jannie Tran, PA-C1, Jessica Kimmel, MD1, Andrea Betesh, MD2, Melissa Latorre, MD, MS1, Andrew Dikman, MD1, Brigette Cohan, BA1, Savita Seeriram-Saine, ANP1, Brian P. Bosworth, MD, FACG3; 1NYU Langone Health, New York, NY, 2Weill Cornell Medicine, New York, NY, 3NYU Langone Tisch Hospital, New York, NY

69. Predictors of 30-Day Readmission in Patients Admitted With Gastroparesis: Nationwide Analysis Ravi Pavurala, MD1, Alice Hinton, PhD2, Peter P. Stanich, MD1, Somashekar G. Krishna, MD, MPH1, Darwin Conwell, MD, MS1, Gokulakrishnan Balasubramanian, MD2; 1The Ohio State University Wexner Medical Center, Columbus, OH, 2The Ohio State University, Columbus, OH

70. Does Gastric Retention Pattern Affect Outcome of Gastric Peroral Endoscopic Myotomy for Patients with Gastroparesis? A Preliminary Study Robert Spandorfer, MD1, Yin Zhu, MD2, Parit Mekaroonkamol, MD1, Sunil Dacha, MBBS1, James R. Galt, PhD1, Raghuveer Halkar, MD1, Qiang Cai, MD, PhD3; 1Emory University School of Medicine, Atlanta, GA, 2The First Hospital of Nanchang University, Nanchang, Jiangxi, People's Republic of China, 3Emory University, Atlanta, GA

71. Home Biofeedback Therapy Improves Fecal Incontinence Severity and Quality of Life in a Non-Inferiority Randomized Controlled Study Amol Sharma, MD, Xuelian Xiang, MD, Yun Yan, MD, Tanisa Patcharatrakul, MD, Rachel Parr, MS, Satish S.C. Rao, MD, PhD; Augusta University Medical Center, Augusta, GA

72. Avoidant/Restrictive Food Intake Disorder in the Adult Gastroenterology Population: An Under-Recognized Diagnosis? Kimberly Harer, MD1, Jason Baker, PhD1, Nerissa Reister2, Kristen Collins1, Lydia Watts, BS1, Cari Phillips, BS1, William D. Chey, MD, FACG1; 1University of Michigan, Ann Arbor, MI, 2Universtiy of Michigan, Ann Arbor, MI



73. Mechanism of Action of Vibrant Capsule for the Treatment of Chronic Idiopathic Constipation: Pooled Results of 2 Different Studies Satish S.C. Rao, MD, PhD1, Anthony Lembo, MD2, William D. Chey, MD, FACG3, Keith Friedenberg, MD4, Jorge Loredo, DO5, Kathleen Kelly, MD6, Lydie Hazan, MD7, Viv Huilgol, MD8, Daniel Lindenberg, MD9, Jeanette Straga, DO10, Joseph Lillo, MD11, Hai Nguyen, MD12, Patrick Dennis, MD13, Chester Fisher, MD14, Paula Lane, MD15, Dena Peterson, MD16, Duane Anderson, MD17, Hessam Aazami, MD18, Barry Heller, MD19, Sean Su, MD17, Amit Paliwal, MD20, Eamonn M.M. Quigley, MD, MACG21, Bradley Block, MD22; 1Augusta University Medical Center, Augusta, GA, 2Harvard Medical School, Boston, MA, 3University of Michigan, Ann Arbor, MI, 4Great Lakes Gastroenterology Research, Mentor, OH, 5Floridian Research Institute, Miami, FL, 6Biofortis Clinical Research, Addison, IL, 7ACTCA, Los Angeles, CA, 8NOLA Research Works, New Orleans, LA, 9Clinical Research Center of Florida, Pompano Beach, FL, 10ICT Las Vegas, Las Vegas, NV, 11Elite Clinical Studies, Phoenix, AZ, 12DelRicht Research - Gretna, Gretna, LA, 13DelRicht Research - NOLA, New Orleans, LA, 14Health Research of Hampton Roads, Newport News, VA, 15Albuquerque Neuroscience, Albuquerque, NM, 16Noble Clinical Research, Tucson, AZ, 17Excel Clinical Research, Las Vegas, NV, 18Hope Clinical Research, Canoga Park, CA, 19Long Beach Clinical Research, Long Beach, CA, 20Empire Clinical Research, Upland, CA, 21Houston Methodist Gastroenterology Associates, Houston, TX, 22Oviedo Medical Research, Oviedo, FL


10:15 am – 10:20 am Break

10:20 am – 10:50 am David Y. Graham Lecture Management of Patients With Colorectal Polyps: A Personalized Approach Based on Etiology Terrace Ballroom 2-3 Carol A. Burke, MD, FACG Introduced by: Irving M. Pike, MD, FACG, ACG President Describe the implications of lifestyle, genetics, and polyp characteristics on the management of patients with colorectal polyps. See page 13 for more information.

10:50 am – 11:00 am Break

SIMULTANEOUS SYMPOSIA – SESSION 5 • 11:00 am – 12:15 pm

SYMPOSIUM 5A: Pancreatic Neoplasia Terrace Ballroom 4 Moderator: Linda S. Lee, MD

• Pancreatic Cysts: Navigating the Guidelines Linda S. Lee, MD Apply the ACG Guidelines to the management of pancreatic cysts.

• Screening for Pancreatic Cancer: 2018 Update Vivek Kaul, MD, FACG Identify the current state of the science for pancreatic cancer screening in high-risk populations.

• Malignant Masquerades in Pancreatic Disease Christopher J. DiMaio, MD, FACG Describe the various clinical conditions and imaging findings that mimic pancreatic malignancy and how to evaluate and manage these patients.

SYMPOSIUM 5B: ACG Annual Debrief: IBD Highlights at This Year’s Annual Meeting Terrace Ballroom 2-3 Moderator: David T. Rubin, MD, FACG

• Ulcerative Colitis Medical Management David T. Rubin, MD, FACG Discuss breakthroughs in clinical care for patients with ulcerative colitis.

• Crohn's Disease Medical Management Gary R. Lichtenstein, MD, FACG Describe breakthroughs in clinical care for patients with Crohn’s disease.

12:15 pm Annual Scientific Meeting Adjourns

Neena S. Abraham, MD, MSc (Epid), FACG Professor of Medicine, Mayo Clinic, Scottsdale, AZ

Douglas G. Adler, MD, FACG Professor of Medicine, University of Utah School of Medicine; Director of Therapeutic Endoscopy, Huntsman Cancer Institute, Salt Lake City, UT

Joseph C. Anderson, MD, MHCDS, FACG Associate Professor of Medicine, Dartmouth College Geisel School of Medicine, Hanover, NH

David E. Bernstein, MD, FACG Professor of Medicine, Zucker School of Medicine at Hofstra/Northwell, Manhasset, NYLawrence J. Brandt, MD, MACG Professor of Medicine and Surgery, Albert Einstein College of Medicine; Emeritus Chief of Gastroenterology, Montefiore Hospital, Bronx, NY

Kathy P. Bull-Henry, MD, FACG Assistant Professor of Medicine, Johns Hopkins Hospital, Baltimore, MD

Carol A. Burke, MD, FACG Director, Center for Colon Polyp and Cancer Prevention; Vice Chair, Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, OH

Qiang Cai, MD, PhD, FACG Professor of Medicine, Director, Advanced Endoscopy Fellowship, Emory University School of Medicine, Atlanta, GA

Brooks D. Cash, MD, FACG Professor of Medicine, University of Texas McGovern Medical School, Houston, TX

Naga P. Chalasani, MD, FACG David W. Crabb Professor & Associate Dean for Clinical Research; Director, Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, IN

Walter W. Chan, MD, MPH Director, Center for Gastrointestinal Motility, Brigham and Women’s Hospital, Boston, MA

Adam S. Cheifetz, MD, FACG Director, Center for Inflammatory Bowel Disease, Beth Israel Deaconess Medical Center, Boston, MA


Delbert L. Chumley, MD, FACG Gastro Consultants of San Antonio, San Antonio, TX

John O. Clarke, MD Director, Esophageal Program, Stanford University, Stanford, CA

Darwin L. Conwell, MD, MS, FACG Professor of Medicine; Director, Division of Gastroenterology, Hepatology and Nutrition, Ohio State University Wexner Medical Center, Columbus, OH

Kara M. De Felice, MD Assistant Professor of Clinical Medicine, LSU Health Science Center, New Orleans, LA

Kenneth R. DeVault, MD, FACG Professor of Medicine, Mayo Clinic, Jacksonville, FL

Christopher J. DiMaio, MD, FACG Director of Therapeutic Endoscopy; Director, Mount Sinai Pancreas Center, Icahn School of Medicine at Mount Sinai, New York, NY

Gary W. Falk, MD, MS, FACG Professor of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA

Amy E. Foxx-Orenstein, DO, MACG Professor of Medicine, Mayo Clinic, Scottsdale, AZ

Catherine T. Frenette, MD Medical Director of Liver Transplant, Director of the Hepatocellular Carcinoma Program, Scripps Green Hospital, La Jolla, CA

Scott L. Gabbard, MD, Assistant Professor, Cleveland Clinic, Cleveland, OH

Guadalupe Garcia-Tsao, MD, FACG Professor of Medicine, Yale University; Chief Digestive Diseases, Yale University / VA-CT Healthcare System, New Haven, CT


Seth A. Gross, MD, FACG Associate Professor of Medicine, NYU School of Medicine; Chief of Gastroenterology, Tisch Hospital, NYU Langone Medical Center, New York, NY

C. Prakash Gyawali, MD, FACG Professor of Medicine, Washington University, St. Louis, MO

Christine Y. Hachem, MD, FACG Associate Professor of Internal Medicine, St. Louis University, St. Louis, MO

Stephen B. Hanauer, MD, FACG Professor of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL

Ikuo Hirano, MD, FACG Professor of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL

Immanuel K. H. Ho, MD, FACG Clinical Professor of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA

Thomas F. Imperiale, MD Professor of Medicine, Indiana University School of Medicine; Roudebush VA Medical Center, Indianapolis, IN

Prasad G. Iyer, MD, MS, FACG Professor of Medicine, Mayo Clinic, Rochester, MN

Laith H. Jamil, MD, FACG Associate Director of Interventional Endoscopy, Cedars-Sinai Medical Center, Los Angeles, CA

Sunanda V. Kane, MD, MSPH, FACG Professor of Medicine, Mayo Clinic, Rochester, MN

ANNUAL SCIENTIFIC MEETINGFaculty


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Philip O. Katz, MD, MACG Director, Motility Laboratories, Weill Cornell Medicine, New York, NY

Vivek Kaul, MD, FACG Segal-Watson Professor of Medicine, University of Rochester Medical Center, Rochester, NY

Laurie A. Keefer, PhD Associate Professor of Medicine, Icahn School of Medicine at Mount Sinai; Division of Gastroenterology, New York, NY

Colleen R. Kelly, MD, FACG Associate Professor of Medicine, Warren Alpert Medical School of Brown University, Providence, RI

Abraham R. Khan, MD, FACG Assistant Professor of Medicine; Director, Center for Esophageal Disease, NYU Langone Health, New York, NY

Harshit S. Khara, MD, FACG Director of Endoscopic & Translational Research; Associate Director, Advanced Therapeutic Endoscopy Fellowship Program, Geisinger Medical Center, Danville, PA

Vani J.A. Konda, MD, FACG Clinical Director of the Center for Esophageal Diseases, Baylor University Medical Center, Dallas, TX

Shivangi T. Kothari, MD, FACG Assistant Professor of Medicine, Associate Director of Endoscopy, University of Rochester Medical Center, Strong Memorial Hospital, Rochester, NY

Braden Kuo, MD Director of the Center for Neurointestinal Health at MGHB, GI Unit Massachusetts General Hospital, Boston, MA

Brian E. Lacy, MD, PhD, FACG Professor of Medicine, Mayo Clinic, Jacksonville, FL

Melissa Latorre, MD, MS Director, Inpatient Gastroenterology Services, Division of Digestive and Liver Diseases, NYU Langone Health Tisch Hospital and Kimmel Pavilion, New York, NY

Linda S. Lee, MD Associate Professor of Medicine, Harvard Medical School, Associate Director of Endoscopy, Director of Women’s Health in GI, Co-Director, Pancreas Center, Brigham and Women’s Hospital, Boston, MA

Gary R. Lichtenstein, MD, FACG Professor of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA

Joseph K. Lim, MD, FACG Professor of Medicine; Director, Yale Viral Hepatitis Program, Yale University School of Medicine, New Haven, CT

Julia J. Liu, MD, FACG Associate Professor, University of Arkansas for the Medical Sciences, Little Rock, AR

Nahum Mendéz-Sanchéz, MD, MSc, PhD, FACG Professor and Scientist, Medica Sur Clinic & Foundation, Mexico City, Distrito Federal, Mexico

Fouad J. Moawad, MD, FACG Associate Professor of Medicine, Scripps Clinic, La Jolla, CA

Paul Moayyedi, MB ChB, PhD, MPH, FACG Professor, Department of Medicine; Chair, Division of Gastroenterology, McMaster University, Hamilton, ON, Canada

Joseph A. Murray, MD, FACG Professor of Medicine, Consultant, Division of Gastroenterology and Hepatology and Department of Immunology, Mayo Clinic, Rochester, MN

Saowanee Ngamruengphong, MD Assistant Professor of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD


John E. Pandolfino, MD, MSCI, FACG Professor of Medicine; Chief, Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, IL

James S. Park, MD, FACG Associate Professor of Medicine, Medical Director of Liver Transplant, NYU Langone Health, New York, NY

Mansour A. Parsi, MD, MPH Chairman, Section of Gastroenterology & Hepatology, Tulane University Health Sciences Center, New Orleans, LA

Sonali Paul, MD, MS Assistant Professor, University of Chicago Medicine, Chicago, IL

Anne F. Peery, MD, MSCR Assistant Professor, University of North Carolina at Chapel Hill, Durham, NC

Irving M. Pike, MD, FACG Senior Vice President and Chief Medical Officer, John Muir Health, Walnut Creek, CA

Mark Pimentel, MD, FACG Director, GI Motility Program, Cedars-Sinai Medical Center, Los Angeles, CA

Eamonn M. M. Quigley, MD, MACG Professor of Medicine, Weill Cornell Medical College; Chief, Division of Gastroenterology and Hepatology, Houston Methodist Hospital, Houston, TX

Laura E. Raffals, MD, MS, FACG Associate Professor of Medicine, Mayo Clinic, Rochester, MN

Nancy S. Reau, MD, FACG Associate Director of Solid Organ Transplantation, Section Chief, Hepatology, Rush University Medical Center, Chicago, IL

ANNUAL SCIENTIFIC MEETINGFaculty

ANNUAL SCIENTIFIC MEETING

Miguel D. Regueiro, MD, FACG Chief, Department of Gastroenterology and Hepatology, Vice Chair, Digestive Disease and Surgical Institute, Professor of Medicine, Lerner College of Medicine, Cleveland Clinic, Cleveland, OH

Douglas J. Robertson, MD, MPH Professor of Medicine, Geisel School of Medicine at Dartmouth & the Dartmouth Institute, Hanover, NH; Chief, Gastroenterology, White River Junction VAMC, White River Junction, VT


Jason B. Samarasena, MD, FACG Associate Professor of Medicine, H. H. Chao Comprehensive Digestive Disease Center, University of California Irvine, Yorba Linda, CA

Arun J. Sanyal, MD Z. Reno Vlahcevic Professor of Gastroenterology Research, Education Core - Clinical Center of Translational Research (CCTR), Richmond, VA

Harry E. Sarles, Jr., MD, FACG Founding Partner and Medical Director, Digestive Health Associates of Texas, DHAT Research Institute, Rockwall, TX

David A. Schwartz, MD, FACG Professor of Medicine, Vanderbilt University Medical Center, Nashville, TN

Samir A. Shah, MD, FACG Clinical Professor of Medicine, Alpert Medical School of Brown University, Chief of Gastroenterology, The Miriam Hospital, Providence, RI

Vijay H. Shah, MD, FACG Professor of Medicine, Physiology, and Cancer Cell Biology; Chair, Gastroenterology & Hepatology, Mayo Clinic, GI Research Unit, Rochester, MN

Nicholas J. Shaheen, MD, MPH, FACG Professor of Medicine and Epidemiology; Chief, Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, NC

Reem Z. Sharaiha, MD, MSc Assistant Professor of Medicine, Weill Cornell Medical College, New York, NY

Aasma Shaukat, MD, MPH, FACG Professor of Medicine, University of Minnesota; GI Section Chief, Minneapolis VAHCS, Minneapolis, MN

Mitchell L. Shiffman, MD, FACG Director, Liver Institute of Virginia, Bon Secours Health System, Richmond, VA

Uzma D. Siddiqui, MD Associate Professor of Medicine, Associate Director, Center for Endoscopic Research and Therapeutics; Director, Endoscopic Ultrasound and Advanced Endoscopy Training, University of Chicago, Chicago, IL

Vikesh K. Singh, MD, MSc Associate Professor of Medicine; Director, Pancreatitis Center; Medical Director, Pancreatic Islet Autotransplantation Program, Johns Hopkins Hospital, Baltimore, MD

Michael C. Soulen, MD Professor of Radiology, University of Pennsylvania, Philadelphia, PA

Brennan M. Spiegel, MD, MSHS, FACG Professor of Medicine and Public Health, Director of Health Services Research, Cedars-Sinai Health System; Cedars-Sinai Site Director, Clinical and Translational Science Institute (CTSI); Assistant Dean, David Geffen School of Medicine at UCLA, Los Angeles, CA

Neil H. Stollman, MD, FACG Associate Clinical Professor of Medicine, University of California San Francisco; Chief, Division of Gastroenterology, Alta Bates Summit Medical Center, Oakland, CA


Arun C. Swaminath, MD Director, IBD Program, Lenox Hill Hospital / Northwell Health, New York, NY

Nicholas J. Talley, AC, MD, MBBS, PhD, MMedSci, MACG Pro Vice-Chancellor, Global Research, University of Newcastle Australia, Newcastle, New South Wales, Australia

Christopher C. Thompson, MD, MSc, FACG Director of Therapeutic Endoscopy, Brigham Women’s Hospital, Boston, MA

Renuka Umashanker, MD, FACG Assistant Clinical Professor, Yale School of Medicine, Gastroenterology of Connecticut, Hamden, CT

Michael F. Vaezi, MD, PhD, MSc(Epi), FACG Professor of Medicine, Vanderbilt University Medical Center, Nashville, TN

Ganesh R. Veerappan, MD, FACG Akron Digestive Disease Consultants, Assistant Professor of Internal Medicine, Northeast Ohio Medical University, Akron, OH

Mihir S. Wagh, MD, FACG Associate Professor, Head of Endoscopic Surgery and Tissue Apposition, University of Colorado, Aurora, CO

Arnold Wald, MD, MACG Professor of Medicine, University of Wisconsin, Madison, WI

Rena H. Yadlapati, MD, MSHS Assistant Professor, University of Colorado, Aurora, CO

Zobair M. Younossi, MD, MPH, FACG Chairman, Department of Medicine, Inova Fairfax Medical Center, Washington, DC

Meidong Xu, MD Vice-Director of Endoscopy Center, Zhongshan Hospital, Shanghai, People’s Republic of China


SUNDAY, OCTOBER 7, 2018 Poster viewing time:

3:30 pm – 7:00 pm Authors present: 5:15 pm – 6:30 pm

Exhibit Hall hours: 3:00 pm – 7:00 pm

Biliary/Pancreas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P0001 – P0106Colon. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P0107 – P0208Colorectal Cancer Prevention. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P0209 – P0242Endoscopy Video Forum. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P0243 – P0250Esophagus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P0251 – P0326Functional Bowel Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P0327 – P0348General Endoscopy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P0349 – P0388GI Bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P0389 – P0438IBD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P0439 – P0514Interventional Endoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P0515 – P0560 Liver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P0561 – P0718 Obesity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P0719 – P0726Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P0727 – P0743Practice Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P0744 – P0775Small Intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P0776 – P0824Stomach. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P0825 – P0881

MONDAY, OCTOBER 8, 2018 Poster viewing time:

10:30 am – 4:15 pm Authors present: 1:00 pm – 2:15 pm

Exhibit Hall hours: 10:00 am – 4:45 pm

Biliary/Pancreas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P0882 – P0988Colon. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P0989 – P1091Colorectal Cancer Prevention. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1092 – P1126Endoscopy Video Forum. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1127 – P1135Esophagus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1136 – P1214Functional Bowel Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1215 – P1238General Endoscopy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1239 – P1278GI Bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1279 – P1329IBD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1330 – P1407Interventional Endoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1408 – P1453 Liver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1454 – P1608Obesity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1609 – P1618Practice Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P1619 – P1652Small Intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1653 – P1703Stomach. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1704 – P1761

TUESDAY, OCTOBER 9, 2018 Poster viewing time:

10:30 am – 4:00 pm Authors present: 1:00 pm – 2:15 pm

Exhibit Hall hours: 10:00 am – 4:30 pm

Biliary/Pancreas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1762 – P1869Colon. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1870 – P1972Colorectal Cancer Prevention. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P1973 – P2007Endoscopy Video Forum. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P2008 – P2015Esophagus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P2016 – P2092Functional Bowel Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P2093 – P2116General Endoscopy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P2117 – P2156GI Bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P2157 – P2207IBD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P2208 – P2284Interventional Endoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P2285 – P2331 Liver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P2332 – P2491Obesity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P2490 – P2498Practice Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P2499 – P2532Small Intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P2533 – P2584Stomach. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P2585 – P2641

POSTER PRESENTATIONS


SUNDAY, OCTOBER 7, 2018

BILIARY / PANCREAS

P0001. Endoscopic Ultrasound Drainage Is Associated With Reduced Hospital Stay in Patients Hospitalized With Pancreatic Pseudocyst Manish Shrestha, MD1, Bhupesh Pokhrel, MD2, Hemanth Gavini, MD, MPH1; 1University of Arizona College of Medicine, Tucson, AZ; 2Banner University Medical Center, Tucson, AZ

P0002. Fully-Covered Self-Expandable Metal Stents May Increase the Risk of Cholecystitis in Patients With Intact Gallbladders Compared to Uncovered Self-Expandable Metal Stents When Placed for Malignant Biliary Obstruction Kaushal Majmudar, DO1, Faris Murad, MD, FACG2; 1NorthShore University HealthSystem, Glenview, IL; 2NorthShore University HealthSystem, Evanston, IL

P0003. Impact of HIV and Acute Pancreatitis: Insights From National Inpatient Database Abhishek Bhurwal, MBBS, MD1, Hemant Raj Mutneja, MBBS, MD2, Ishani Shah, MD3, Khwaja F. Haq, MD4, Shantanu Solanki, MD, MPH5, Aruj Choudhry, MD6, Pavan Brahmbhatt7, Michael Bartel, MD8, Bhaumik Brahmbhatt, MBBS, MD9; 1Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 3St. Joseph’s Hospital and Medical Center, Phoenix, AZ; 4Henry Ford Hospital, Detroit, MI; 5New York Medical College at Westchester Medical Center, Valhalla, NY; 6Temple University Hospital, Philadelphia, PA; 7NHL Municipal Medical College, Gujarat, India; 8Fox Chase Medical Center, Philadelphia, PA; 9Mayo Clinic, Jacksonville, FL

P0004. Hypercalcemia and Acute Pancreatitis: Results of a Nationwide Study Abhishek Bhurwal, MBBS, MD1, Hemant Raj Mutneja, MBBS, MD2, Sandra Suarez, MD3, Khwaja F. Haq, MD4, Shantanu Solanki, MD, MPH5, Raja Chandra Chakinala, MD5, Michael Bartel, MD6, Bhaumik Brahmbhatt, MBBS, MD7; 1Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 3Saint Barnabas Medical Center, Livingston, NJ; 4Henry Ford Hospital, Detroit, MI; 5New York Medical College at Westchester Medical Center, Valhalla, NY; 6Fox Chase Medical Center, Philadelphia, PA; 7Mayo Clinic, Jacksonville, FL

P0005. Is There an Impact of Cannabis Consumption on Acute Pancreatitis in the United States? C. Roberto Simons-Linares, MD1, Jodie A. Barkin, MD2, Jacqueline Estevez, MD3, Suha Abushamma, MD4, Amit Bhatt, MD5, Sunguk Jang, MD4, Madhusudhan R. Sanaka, MD6, John J. Vargo, MD5, Tyler Stevens, MD4, Jamie S. Barkin, MD, MACG2, Prabhleen Chahal, MD, FACG5; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2University of Miami Leonard M. Miller School of Medicine, Miami, FL; 3Cleveland Clinic, Cleveland, OH; 4Cleveland Clinic Foundation, Cleveland, OH; 5Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 6Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P0006. Presence of Pancreatic Specialty Centers Is Associated With Increased Treatment of Exocrine Pancreatic Insufficiency in Chronic Pancreatitis Jodie A. Barkin, MD1, Jason C. Tsai, MD, MS2, Matthew Alsante, BS3, Daniel A. Sussman, MD, MSPH1, Jamie S. Barkin, MD, MACG1; 1University of Miami Leonard M. Miller School of Medicine, Miami, FL; 2North Chicago, IL; 3National Pancreas Foundation, Bethesda, MD

P0007. The Use of Classification Systems in the Diagnosis of Chronic Pancreatitis Deepika Satish, MD, Deepak Agrawal, MD; University of Texas Southwestern Medical Center, Dallas, TX

P0008. Is Hepatoiminodiacetic Acid Scan a Better Imaging Modality Than Abdominal Ultrasound for Diagnosing Gallbladder Disease? Layth Al-Jashaami, MD1, Richard Gerkin, MD, MS2, Rakesh Nanda, MD, FACP, FACG3; 1University of Arizona, Banner University Medical Center, Phoenix, AZ; 2University of Arizona College of Medicine, Phoenix, AZ; 3Carl T. Hayden VA Medical Center, Phoenix, AZ

P0009. Endoscopic Ultrasound-Guided Ablation of Pancreatic Cystic Neoplasms: A Systematic Review and Meta-Aanalysis Presidential Poster Award Emmanuel Ugbarugba, MD, MPA, Phil Hart, MD, Zobeida Cruz-Monserrate, PhD, Darwin Conwell, MD, MS, Somashekar G. Krishna, MD, MPH; The Ohio State University Wexner Medical Center, Columbus, OH

P0010. Does Pain Control Impact Acute Pancreatitis (AP) Hospital Experience? Emmanuel Ugbarugba, MD, MPA1, Chirag R. Patel, DO1, Jonathan Race, BS2, Somashekar G. Krishna, MD, MPH1, Luis F. Lara, MD1, Groce Royce, MD1, McCarthy Sean, MD1, Zarine Shah, MBBS1, Andrei Manilchuk, MD1, Hosmer Amy, MD1, Mary Dillhoff, MD1, Sebastian Strobel, MD1, Phil Hart, MD1, Darwin Conwell, MD, MS1; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2College of Public Heath, The Ohio State University, Columbus, OH

P0011. Same Admission Cholecystectomy Reduces 30-Day Readmissions, Mortality and Healthcare Resource Utilization Among Patients With Acute Gallstone Pancreatitis: Results From a Nationwide Longitudinal Analysis Mohammad Bilal, MD1, Russell Roark, MD1, Aun Shah, MD, MRCP2, Praveen Guturu, MD, FACG1, Sreeram Parupudi, MD, FACP, FACG1, Marwan S. Abougergi, MD3; 1University of Texas Medical Branch, Galveston, TX; 2MetroHealth Medical Center, Cleveland, OH; 3South Carolina University School of Medicine, Simpsonville, SC

P0012. Retrospective Analysis of the Use and Yield of Radiologic Studies in IPMN Surveillance Cicily Vachaparambil, MD1, Neil Kapil, MD1, Vladimir Lamm, MD1, Jennifer Xu, MD1, Chunsu Jiang, MD1, Steve Keilin, MD2, Field Willingham, MD, MPH1, Qiang Cai, MD, PhD2; 1Emory University School of Medicine, Atlanta, GA; 2Emory University, Atlanta, GA

P0013. Clinical Impact of Pancreatic Cancer Screening for High-Risk Individuals Including BRCA2 Mutation Heterozygotes and Bayesian Analysis via PancPro Nirav Thosani, MD1, Kathryn Mraz, MS2, Julie Rowe, MD2, Anneliese Gonzalez, MD2, Putao Cen, MD2, Erik F. Rahimi, MD1; 1University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX; 2University of Texas Health Science Center at Houston, Houston, TX

P0014. Evaluating Adherence to Guideline-Based Care in Diagnosis and Management of Acute Pancreatitis at an Academic Medical Center - A Quality Improvement Project Kevin Kline, MD1, Mohammad Bilal, MD2, Felippe Marcondes, MD2, Ronald Samuel, MD2, Sagar Joshi, MS2, Ronan Allencherril, MS2, Wayne Fischer, PhD2, Whitney Jenson, MD2, Praveen Guturu, MD, FACG2, Lindsay Sonstein, MD2, Sreeram Parupudi, MD, FACP, FACG2, Kelly Olino, MD2; 1University of Texas Medical Branch, Webster, TX; 2University of Texas Medical Branch, Galveston, TX

P0015. Association of Cannabis Use with Pancreatitis Adeyinka Adejumo, MD, MS1, Olalekan Akanbi, MD, MPH2, Terence Bukong, PhD3; 1North Shore Medical Center, Lowell, MA; 2University of Kentucky College of Medicine, Lexington, KY; 3INRS-Institut Armand-Frappier, Institut National de la Recherche Scientifique, Laval, PQ, Canada

POSTER PRESENTATIONSSUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM


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P0016. Endoscopic Ultrasound Tissue Acquisition for Genomic Analysis of Pancreatic Cancer Using Liquid Next-Generation Sequencing Nadim Mahmud, MD, MS, MPH1, Sherif Elhanafi, MD1, Michael L. Kochman, MD2, Gregory Ginsberg, MD3, Norge Vergara, MD1, Kashyap Panganamamula, MD4, Immanuel Ho, MD5, Nuzhat Ahmad, MD1, Michael Rajala, MD, PhD1, Vinay Chandrasekhara, MD6; 1Hospital of the University of Pennsylvania, Philadelphia, PA; 2Center for Endoscopic Innovation, Research, and Training, University of Pennsylvania Health System, Philadelphia, PA; 3Universit, Philadelphia, PA; 4Penn Presbyterian Medical Center, Philadelphia, PA; 5Pennsylvania Hospital, Philadelphia, PA; 6Mayo Clinic Rochester, Rochester, MN

P0017. Groove Pancreatitis: Management and Outcome of Patients at a Tertiary Care Center Matthew T. Bender, MD, Bryan Sauer, MD, MSc, Vanessa M. Shami, MD; University of Virginia, Charlottesville, VA

P0018. Impact of Postoperative Skeletal Muscle Change on Survival After Resection of Periampullary Cancer Ju Hyun Lee, MD1, Seung Bae Yoon, PhD2, In Seok Lee, PhD3, Tae Ho Hong, PhD2, Moon Hyung Choi, PhD2, Myung Ah Lee, PhD2, Eun Sun Jung, PhD2, Myung-Gyu Choi, PhD3; 1Catholic University of Korea, St. Mary’s Hospital, Seoul, Seoul-t’ukpyolsi, Republic of Korea; 2Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Seoul-t’ukpyolsi, Republic of Korea; 3The Catholic University of Korea, Seoul, Seoul-t’ukpyolsi, Republic of Korea

P0019. High Rate of Actionable Variants Identifed by Multigene Testing for Pancreas Cancer Patients in a High Risk Clinic Gina Wideroff, MD1, Daniel A. Sussman, MD, MSPH1, Peter J. Hosein, MBBS2, Rachel Silva-Smith, MSc2, Talia Donenberg, MS1; 1University of Miami Leonard M. Miller School of Medicine, Miami, FL; 2University of Miami, Miami, FL

P0020. Fluid Resuscitation and Inflammatory Response in Acute Pancreatitis: Does the Type of Fluid Really Matter? Vanessa Sostre, MD1, Dema Shamoon, MD1, Youssef Botros, MD1, Hardikkumar Shah, MD, MPH2, Luis C. Ortiz, MD1, Allarice Linaac, MD1, Stephen Biggiani, MD1, Walid Baddoura, MD1; 1St. Joseph’s University Medical Center, Paterson, NJ; 2New York Medical College at St. Michael’s Medical Center, Newark, NJ

P0021. EUS-Guided Pancreatic Cyst Sampling With a Novel Trans-Needle Biopsy Forceps: Initial Experience in a Pilot Study Amit Raina, MD1, Sergey Kantsevoy, MD2; 1Mercy Medical Center, Ellicott City, MD; 2Mercy Medical Center, Owings Mills, MD

P0022. Adverse Events Associated with ERCP in a Predominantly Black Urban Population Nathaniel H. Kwak, MD1, Daniel Yeoun, DO, MPH1, Ghassan Mubarak, MD1, Fray Martin Arroyo-Mercado, MD1, Kyle Michelson, BA1, Renata Lerer, BS2, Mohammed M. Islam, BS1, Dimitre Stefanov, PhD1, Derrick Cheung, MD3, Shivakumar Vignesh, MD1; 1SUNY Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate College of Medicine, Brooklyn, NY; 3NYC HHC/Kings County Hospital, Brooklyn, NY

P0023. Evaluation of a Novel Management Classification Scheme for Walled-Off Pancreatic Necrosis Jason D. Jones, MD, Clancy J. Clark, MD, Rishi Pawa, MBBS; Wake Forest School of Medicine, Winston-Salem, NC

P0024. Primary Biliary Cholangitis: A Nationwide Analysis of Temporal Trends and Outcomes Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Taruna Bhatia, MD, Jeevan Vinod, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ

P0025. Hospital Teaching Status on Mortality, Length of Stay, and Cost Amongst Patients With Primary Biliary Cholangitis Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Taruna Bhatia, MD, Jeevan Vinod, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ

P0026. What Are the Outcomes of Acute Pancreatitis in Patients with Liver Cirrhosis in the United States? C. Roberto Simons-Linares, MD1, Suha Abushamma, MD2, Jacqueline Estevez, MD3, Carlos Romero-Marrero, MD3, Amit Bhatt, MD4, Sunguk Jang, MD2, Madhusudhan R. Sanaka, MD5, John J. Vargo, MD4, Tyler Stevens, MD2, William Carey, MD3, Prabhleen Chahal, MD, FACG4; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH; 3Cleveland Clinic, Cleveland, OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 5Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P0027. Clinical Outcomes of Acute Pancreatitis in Patients with Liver Cirrhosis - A Single-Center Experience Suha Abushamma, MD1, C. Roberto Simons-Linares, MD2, Amit Bhatt, MD3, Carlos Romero-Marrero, MD4, Tyler Stevens, MD1, Robert O’Shea, MD4, Prabhleen Chahal, MD, FACG3; 1Cleveland Clinic Foundation, Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Cleveland Clinic, Cleveland, OH

P0028. What Are the Long-Term Complications of Percutaneous Cholecystostomy Tube (PCT) Placement After Discharge From the Hospital? Olapeju Olasokan, MD1, Suha Abushamma, MD2, C. Roberto Simons-Linares, MD3, Ram Gurajala, MD1, Amit Bhatt, MD4, Amanjit Gill, MD1, John J. Vargo, MD4, Gareth Morris-Stiff, MD, PhD1, Prabhleen Chahal, MD, FACG4; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P0029. What Are the Outcomes of Alcoholic Acute Pancreatitis in Patients With Concomitant Alcoholic Hepatitis? Suha Abushamma, MD1, C. Roberto Simons-Linares, MD2, Amit Bhatt, MD3, Tyler Stevens, MD1, Robert O’Shea, MD4, Prabhleen Chahal, MD, FACG3; 1Cleveland Clinic Foundation, Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Cleveland Clinic, Cleveland, OH

P0030. What Are the Outcomes of Percutaneous Cholecystostomy Tube (PCT) in Pancreatobiliary Cancer (PBCA) Patients With Acute Cholecystitis (AC)? Suha Abushamma, MD1, Olapeju Olasokan, MD2, C. Roberto Simons-Linares, MD3, Amanjit Gill, MD2, Ram Gurajala, MD2, Amit Bhatt, MD4, John J. Vargo, MD4, Gareth Morris-Stiff, MD, PhD2, Prabhleen Chahal, MD, FACG4; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P0031. What Are the Outcomes of Acute Pancreatitis (AP) in Patients Taking Immunosuppression? C. Roberto Simons-Linares, MD1, Suha Abushamma, MD2, Amit Bhatt, MD3, Tyler Stevens, MD2, Michael Bartel, MD4, Prabhleen Chahal, MD, FACG3; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Fox Chase Medical Center, Philadelphia, PA


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SUNDAY, OCTOBER 7, 3:30 PM – 7:00 PM

P0032. Secretory Unit of Islet Transplant Objects (SUITO) Index and Homeostasis Model Assessment (HOMA) Beta Score Are Ineffective at Predicting Outcomes in Patients Undergoing Total Pancreatectomy and Islet Autotransplantation Luis F. Lara, MD1, Shumei Meng, MBBS, PhD1, Jill Buss, BA2, Amer Rajab, MD, PhD1, Phil Hart, MD1, Darwin Conwell, MD, MS1, Sylvester Black, MD1, Ken Washburn, MD1; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2The Ohio State University, Columbus, OH

P0033. Is There a Difference Between Severe and Very Severe Hypertriglyceridemia (HTG) in Patients With the Triad of HTG Acute Pancreatitis (HTG) and Diabetes Ketoacidosis (DKA)? Jacqueline Estevez, MD1, C. Roberto Simons-Linares, MD2, Amit Bhatt, MD3, Tyler Stevens, MD4, Prabhleen Chahal, MD, FACG3; 1Cleveland Clinic, Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Cleveland Clinic Foundation, Cleveland, OH

P0034. Is Plasmapheresis Beneficial in Patients With the Triad of Hypertriglyceridemia-Induced Acute Pancreatitis (HTG) and Diabetes Ketoacidosis (DKA)? Jacqueline Estevez, MD1, C. Roberto Simons-Linares, MD2, Amit Bhatt, MD3, Tyler Stevens, MD4, Prabhleen Chahal, MD, FACG3; 1Cleveland Clinic, Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Cleveland Clinic Foundation, Cleveland, OH

BILIARY / PANCREAS Clinical Vignettes / Case Reports

P0035. Primary Pancreatic Lymphoma Presenting as Acute Pancreatitis Abby R. Sapp, DO1, Mohammad Arfeen, DO1, Hazem Tabbaa, DO2, Shakil Karim, DO1, Alex Yarbrough, DO1; 1Franciscan Alliance, Olympia Fields, IL; 2Franciscan Alliance, Lemont, IL

P0036. Acute Pancreatitis as an Initial Sole Presentation of Pancreatic Cancer Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA

P0037. Metastatic Pancreatic Cancer Masquerading as Bilateral Psoas Abscesses Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA

P0038. Hypertensive Emergency Leading to Diagnosis of Metastatic Pancreatic Cancer Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA

P0039. Pancreas in Trouble… Plasmapheresis to the Rescue Hyeon Mu Jang, MD, Manbeer S. Sarao, MD, Thomas J. Watson, MD, Michael van Scoy, MD, Vinod Nookala, MD; University of Pittsburgh Medical Center Pinnacle, Harrisburg, PA

P0040. Abdominal Pain, Hypotension With Rectal Bleeding: A Unique Presentation of Emphysematous Cholecystitis From Squamous Cell Carcinoma of Gallbladder (GB) Christopher Andrade, MD, Harish Guddati, MD, Hilary Hertan, MD, FACG; Montefiore Medical Center, Bronx, NY

P0041. Solid Peusdopapillary Neoplasm (SPEN): A Rare Pancreatic Tumor With Good Prognosis Christopher Andrade, MD, Harish Guddati, MD, Waqas Nawaz, MD, Hilary Hertan, MD, FACG; Montefiore Medical Center, Bronx, NY

P0042. Primary Gallbladder Carcinosarcoma: A Rare Biliary Malignancy Meghana Doniparthi, MD, Hina Omar, MD, Ali Haider, MD, Kenneth O’Riordan, MD; Advocate Lutheran General Hospital, Park Ridge, IL

P0043. A Rare Cause of Obstructive Jaundice: A Case Report Febin John, MD1, Amit Mori, MD1, Isaac Moshenyat, MD, FACG2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2NYU Brooklyn, Brooklyn, NY

P0044. A Curious Case of Autoimmune Pancreatitis with IgG4 Related Sclerosing Cholangitis Hector Gonzalez, MD1, Jamie L. Skrove, DO2, Dominic M. Colella, DO3, Leena Chacko, DO2, Seth Rosen, MD4, Javier Sobrado, MD5; 1Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 2Larkin Community Hospital, Miami, FL; 3Nova Southeastern University, Larkin Hospital, South Miami, FL; 4Gastro Health, Miami, FL; 5Larkin Community Hospital, South Miami, FL

P0045. The Wrath of Pancreatic Enzymes: A Rare Case of Hematuria Jaclyn Rivington, MD, David Soma, MD, Jeffery Becker, MD; MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH

P0046. Pancreatogastric Fistula: A Rare Complication of Pancreatitis Ryan Jordan, DO, Gerald Mank, MD, Nathaniel Krogel, DO; Carolinas HealthCare System Blue Ridge, Morganton, NC

P0047. Intraductal Papillary Neoplasm of the Bile Duct Progressing to Hepatic Mucinous Adenocarcinoma Sameer Prakash, DO1, Anu Salwan, MD1, Jason Schmidt, MD2, Edward Trevino, MD3, Juan Garrido, MD1, Daniel Beggs, MD4; 1Texas Tech University Health Sciences Center, Amarillo, TX; 2Methodist Dallas Medical Center, Dallas, TX; 3Amarillo Veterans Affairs Health Care System, Amarillo, TX; 4BSA Amarillo Diagnostic Clinic, Inc., Amarillo, TX

P0048. A Rare Case of Cyclophosphamide Induced Acute Pancreatitis in a Patient with Lupus Nephritis Charudatta Wankhade, MD1, Zara Manuelyan, MD2, Pranay Srivastava, MD2, Jiten Desai, MD3, Bobby Jacob, MD2, Shruti Patel, MD2; 1NUMC, East Meadow, NY; 2Nassau University Medical Center, East Meadow, NY; 3Nassau University Medical Center, Hicksville, NY

P0049. Recurrent Episodes of Acute Pancreatitis Secondary to Bochdalek Hernia Omar Abughanimeh, MD1, Laith Numan, MD1, Ayman Qasrawi, MD1, Yousaf Zafar, MD1, Ahmad Al-Shyoukh, MD1, Mouhanna K. Abu Ghanimeh, MD2; 1University of Missouri, Kansas City, MO; 2Henry Ford Hospital, Detroit, MI

P0050. 84-Year-Old Male With Obstructive Jaundice Due to IGG-4 Related Sclerosing Cholangitis Sophia A. Shetler1, Nathan S. Ramrakhiani2, Charles Lombard, MD3, Kristin Razzeca, MD4; 1Saratoga High School, Saratoga, CA; 2Palo Alto High School, Palo Alto, CA; 3El Camino Hospital, Mountain View, CA; 4Palo Alto Medical Foundation, Mountain View, CA

P0051. A Rare Case of an Extramedullary Plasmacytoma Rinad Tabbalat, MD 1, Kavya Kelagere Mayigegowda, MD1, Aditya Kalakonda, MD2, David Desilets, MD, PhD1; 1University of Massachusetts Medical School - Baystate Medical Center, Springfield, MA; 2University of Massachusetts, Baystate Medical Center, Springfield, MA

P0052. A Rare Case of Isoniazid Induced Pancreatitis Mohammad A. Yousef, MD, Ebubekir S. Daglilar, MD, Farnaz Shariati, MD, Kevin P. Cowley, MD, Nyan L. Latt, MD; Ochsner Clinic Foundation, New Orleans, LA

P0053. Potentiating Effects of Sorafenib and Tacrolimus Causing Acute Pancreatitis Secondary to Grade IV Hypertriglyceridemia: Case Report Kevin Brown, MD1, Carlos Vergara, BS2, Janelle Cuervo, DO, MS3, Marcelo Fernandes, MD1, Salih N. Grevious, MD1; 1University of Miami Jackson Memorial Hospital, Miami, FL; 2Poltificia Universidad Javeriana Cali, Miami, FL; 3University of Miami, Miami, FL



P0054. Hepatic Abscess: A Rare Complication of Sump Syndrome Gregory Beck, MD1, Hyaehwan Kim, MD2, Drew Triplett, DO1; 1Wright State University Boonshoft School of Medicine, Dayton, OH; 2Wright Patterson Air Force Base, OH/USAF, Wright Patterson AFB, OH

P0055. A Case of a Malignant Neuroendocrine Tumor with a Coincidental Mimicker of Malignancy Emily Tommolino, MD, Bradley Warren, DO; Providence Hospital, Southfield, MI

P0056. Intraductal Papillary Mucinous Neoplasm of the Duct of Santorini in the Absence of Pancreatic Divisum Yasmin G. Hernandez-Barco, MD1, Juan Carlos Bucobo, MD2; 1Massachusetts General Hospital, Boston, MA; 2Stony Brook University Hospital, Stony Brook, NY

P0057. Migrated Biliary Stent Causing Perforation of Sigmoid Colon Kavitha Juvvala, MBBS1, Ali Marhaba, MD1, Leslie Bank, MD, FACG2; 1Binghamton Gastroenterology Associates, Binghamton, NY; 2Upstate Medical University, Binghamton, NY

P0058. Post-Pancreatitis Gastrointestinal Bleed: A Key Association for a Difficult Diagnosis Amreet K. Aujla, MD1, Karthik Gonuguntla, MBBS1, Daniela G. Vinsard, MD1, Alexander Perelman, DO, MS2, Houman Rezaizadeh, MD3; 1University of Connecticut Health, Farmington, CT; 2University of Connecticut Health Center, Farmington, CT; 3University of Connecticut, Farmington, CT

P0059. Iatrogenic Necrotizing Gallstone Pancreatitis Complicated by Cholangitis: Post-Cholecystectomy Clip as a Nidus for Common Bile Duct Stone Formation Mohd Amer Alsamman, MD1, Jason Ferreira, MD2; 1Alpert Medical School of Brown University, Providence, RI; 2The Warren Alpert Medical School of Brown University, Providence, RI

P0060. Acute Pancreatitis Secondary to Severe Hypertriglyceridemia: Where Do We Stand with Intensive Insulin Therapy? Ahmed Munir, MBBS1, Sadat Iqbal, MD2, Faisal Inayat, MBBS3, Qulsoom Hussain, MBBS4, Zarak H. Khan, MBBS5, Fahad Zafar, MBBS6, Hanan T. Lodhi, MBBS7, Abu Hurairah, MD8; 1Services Institute of Medical Sciences, Lahore, Islamabad, Pakistan; 2SUNY Downstate Medical Center, Brooklyn, NY; 3Allama Iqbal Medical College, Lahore, Punjab, Pakistan; 4Shifa College of Medicine, Islamabad, Brooklyn, NY; 5Shifa College of Medicine, Islamabad, Islamabad, Pakistan; 6King Edward Medical University, Lahore, Islamabad, Pakistan; 7University of Nebraska Medical Center, Omaha, NE; 8SUNY Downstate, Brooklyn, NY

P0061. Occult BRAF-Positive Metastatic Melanoma of the Pancreas With Primary Diagnosis by EUS-FNB: A Case Report Soorya Aggarwal, DO, Travis Magdaleno, DO, Hiral Shah, MD, FACG, Shashin Shah, MD; Lehigh Valley Health Network, Allentown, PA

P0062. Spontaneous Closure of a Large Transmural Gastric Defect After Removal of a Migrated AXIOS Stent Ali Alshati, MD1, Indu Srinivasan, MD1, Keng-Yu Chuang, MD2; 1Maricopa Integrated Health System, Phoenix, AZ; 2Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ

P0063. Looking Across the Diaphragm: Pancreaticopleural Fistula as a Rare Cause of Shortness of Breath Fiorela Calderon Sandoval, MD, Robert J. Matlock, MD; Hennepin County Medical Center, Minneapolis, MN

P0064. Internal Migration of Lumen-Apposing, Fully Covered Self-Expanding Metal Stent Used for Walled off Pancreatic Necrosis: An Approach for Retrieval Muhammad Haris, MD1, Christopher Moreau, BSBME1, Jonathan Foster, DO1, Laura Rosenkranz, MD1, Hari Sayana, MD2; 1University of Texas Health San Antonio, San Antonio, TX; 2University of Texas Health Science Center at San Antonio, San Antonio, TX

P0065. Clonorchiasis Manifesting as Obstructive Jaundice: An Endoscopic Diagnosis of Biliary Parasitosis Caused by the Chinese Liver Fluke Seina Farshadsefat, DO1, Yu Chen, DO2, Belinda Grace Gopito, BS, MSc, DO3, Jon Mackey, DO3, Bashar Hmoud, MD3; 1St. John Providence Health System, Sterling Heights, MI; 2St. John Providence Health System, Macomb-Oakland, Oak Park, MI; 3St. John Providence Health System, Macomb-Oakland, Warren, MI

P0066. A Unique Case of Hepatolithiasis in the Setting of Situs Inversus Managed Non-Operatively with ERCP Michelle Tong, MD1, Sang-Hoon Kim, MD2; 1New York Presbyterian Queens, Flushing, NY; 2New York-Presbyterian Queens, Flushing, NY

P0067. Adefovir-Induced Pancreatitis: A Rare but Serious Side Effect Ranjit Makar, MD1, Yousif Elmofti, MD2, Faizan Sheraz, MD3, Trevor Houston, MD3, Shahid Wahid, MD1; 1University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 2University of Las Vegas School of Medicine, Las Vegas, NV; 3University of Nevada Las Vegas, Las Vegas, NV

P0068. TB or Not TB: A Rare Case of Biliary Obstruction From Peripancreatic Tuberculosis Sumair Ahmad, MD, MPH, Joshua Aron, MD, Nnaemeka Anyadike, MD, Aaron Walfish, MD, Umer Syed, MD, Soohwan Chun, MD, Uday Shankar, MD; Icahn School of Medicine, Elmhurst, NY

P0069. How Did the Fatty Pancreas Reverse to Normal? Mary Barbara, MD, Laura Rosenkranz, MD; University of Texas Health San Antonio, San Antonio, TX

P0070. A Rare Case of Pancreatitis Due to Trans-Hiatal Herniation of the Pancreas Within a Type IV Hiatal Hernia Patrick Chen, DO1, David Do, MD1, Steve Mudroch, MD1, Rajan Prakash, MD1, Padmini Krishnamurthy, MD2; 1Wright State University, Dayton, OH; 2Wright State University Boonshoft School of Medicine, Dayton, OH

P0071. A Rare Diagnosis of an Overlap Syndrome of Primary Biliary Cholangitis and Primary Sclerosing Cholangitis Lisa Beyers, MD, Michelle L. Hughes, MD, Jonathan Huang, DO; University of Rochester Medical Center, Rochester, NY

P0072. A Rare Case of Acute Cholangitis in a Young Male with Tropical Chronic Pancreatitis-Induced Pancreatic Adenocarcinoma with Metastasis to the Liver Kelsey E. Collins, MD, Ari Young, MD, Michael Herman, MD, Gil Ascunce, MD; Mount Sinai Beth Israel, New York, NY

P0073. Double Duct Sign and Elevated CA 19-9 - Clinical Correlation Is Always Needed Lauren Pioppo, MD1, Dovid Moradi, MD2, Haroon Shahid, MD1; 1Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; 2Rutgers Robert Wood Johnson Medical School, Hillside, NJ

P0074. A Unique Case of Metastatic Merkel Cell Carcinoma Without a Dermatologic Primary Isabelle Chu, BS1, Adam Russak, MD2, Jose Luis Aranez, MD1, John Miller, MD1, Christopher Steevens, MD1; 1University of Rochester Medical Center, Rochester, NY; 2University of Rochester School of Medicine, New York, NY

P0075. A Case of Post-cholecystectomy Biloma Causing Gastric Outlet Obstruction Kanza Soomro, DO1, Linoj Panicker, DO1, Faiz Javed, DO2, Jamie L. Skrove, DO2, Dominic M. Colella, DO3, Juan Sarol, MD2, Javier Sobrado, MD2; 1Larkin Community Hospital, South Miami, FL; 2Larkin Community Hospital, Miami, FL; 3Nova Southeastern University, Larkin Hospital, South Miami, FL


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P0076. Novel Technique Using EUS Guided Submucosal Injection to Aid Minor Papilla Identification in a Patient With Pancreas Divisum and Pancreaticolithiasis Ross F. Pinson, MD1, Wassem Y. Juakiem, MD2, Ryan Cho, MD1, John P. Magulick, MD1, Charles B. Miller, MD1, Craig M. Womeldorph, DO1; 1San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX; 2Keesler Medical Center, Keesler AFB, MS

P0077. Pancreatic Amyloidoma Ahmed Messallam, MD1, Vaidehi Avadhani, MD1, Sunil Dacha, MBBS2; 1Emory University, Atlanta, GA; 2Emory University School of Medicine, Atlanta, GA

P0078. A Rare Case of High-Grade Metastatic Cystic Pancreatic Neuroendocrine Tumor Inuk Zandvakili, MD, PhD, Shounak Majumder, MD; Mayo Clinic, Rochester, MN

P0079. Endoscopic Dual-Modality Drainage of a Post-Operative Pancreatic Fluid Collection Jason D. Jones, MD, Jessica Hollingsworth, MD, Nyree Thorne, MD, Girish Mishra, MD, Rishi Pawa, MBBS; Wake Forest School of Medicine, Winston-Salem, NC

P0080. Cholangitis Requiring Common Bile Duct (CBD) Resection Due to a Migrated and Buried Metal Biliary Stent Harish Guddati, MD, Nikita Fernandes, MD, Hilary Hertan, MD, FACG; Montefiore Medical Center, Bronx, NY

P0081. A Patient with Chronic Lymphocytic Leukemia with a Metastasis to Pancreas: A Rare Case Report Rajesh Essrani, MD1, Matthew J. Sullivan, DO2, Hiral Shah, MD, FACG2; 1Lehigh Valley Health Network, Danville, PA; 2Lehigh Valley Health Network, Allentown, PA

P0082. Acute Necrotizing Pancreatitis: Concurrent Fungal and Bacterial Infection Sowminya Arikapudi, MD, Laith Al momani, MD, Muazzam Ali, MD, Manisha Nukavarapu, MD, Jack Goldstein, MD; East Tennessee State University, Johnson City, TN

P0083. A Case Demonstrating Utility of Pembrolizumab in Metastatic Cholangiocarcinoma With Micro Satellite Instability Nihar Shah, MBBS1, Amreet K. Aujla, MD2, Aakash Desai, MBBS, MPH1, Timothy Hong, MD1; 1University of Connecticut Health Center, Farmington, CT; 2University of Connecticut Health, Farmington, CT

P0084. Escitalopram Induced Pancreatitis: An Unusual Culprit Zaid Imam, MBBS1, Abdulrahman Abonofal, MBBS2, Majd Khasawneh, MD3, Fadi Odish, MD1, Ismail Hader, MD4; 1William Beaumont Hospital, Royal Oak, MI; 2Jordan University of Science and Technology, Royal Oak, MI; 3William Beaumont Hospital, Clawson, MI; 4William Beaumont Hospital, West Bloomfield, MI

P0085. Undifferentiated Carcinoma with Osteoclast-Like Giant Cells of Pancreas: A Case Report Rupesh Manam, MD1, Dhishna Chaudhary, MD1, Kevan Manraj, MD1, Lianne K. Cavell, MD 2; 1Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 2Florida Atlantic University, Boynton Beach, FL

P0086. Hemobilia in the Setting of Recurrent Gastric Carcinoma Rani Berry, MD1, Tara Vartanian, MD2, James Han, MD3, James H. Tabibian, MD, PhD4; 1University of California Los Angeles, Ronald Reagan Medical Center, Los Angeles, CA; 2Western University of Health Sciences, College of Osteopathic Medicine of the Pacific, Pomona, CA; 3University of California Irvine Medical Center, Anaheim, CA; 4University of California Los Angeles, Sylmar, CA

P0087. A Vanishing Heterogeneous Mass Arising From the Antrum: Ectopic Pancreatitis Masquerading as Malignancy Rani Berry, MD, Wendy Ho, MD; University of California Los Angeles, Ronald Reagan Medical Center, Los Angeles, CA

P0088. Peripheral T-Cell Lymphoma Presenting as a Pancreatic Mass: Case Report and Review of Literature Mahak Chauhan, MD1, Vivek Kaul, MD, FACG2; 1University of Missouri, Kansas City, MO; 2University of Rochester, Rochester, NY

P0089. Fatty Pancreas as a Reversible Cause of Exocrine Pancreatic Insufficiency: A Case Series Dustin Kiker, MD1, Alexander Pieper2, Chris Fourment, MD3, Timothy E. Ritter, MD3; 1Texas Digestive Disease Consultants, Cedar Park, TX; 2Texas Digestive Disease Consultants, Southlake, TX; 3Texas Digestive Disease Consultants, PA, Southlake, TX

P0090. Pancreatic Pleomorphic Carcinoma Presenting as Recurrent Acute Pancreatitis and Walled-Off Pancreatic Necrosis Diagnosed by Direct Endoscopic Necrosectomy With Biopsy Elijah Mun, MD, Samuel Dunn, MD; University of Washington, Seattle, WA

P0091. Pancreatic Mass: Not What You Would Expect Junghyun Lim, BA1, Abhijeet Waghray, MD2, Sukeerti Kesar, MD2, Mark J. Sterling, MD2, Aaron M. Dickstein, MD2; 1Tufts University School of Medicine, Boston, MA; 2Tufts Medical Center, Boston, MA

P0092. A Rare Case of Obstructive Jaundice After Endoscopic Sphincterotomy Jamie L. Skrove, DO1, Hector Gonzalez, MD2, Saras Sharma, DO3, Javier Sobrado, MD4; 1Larkin Community Hospital, Miami, FL; 2Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 3Larkin Community Hospital, South Miami, FL; 4Gastromed, Miami, FL

P0093. A Case of Ectopic Pancreas Presenting as Small Bowel Obstruction Vishal Kaila, MD1, Vijaya Kaila, MD2, Mohamed Othman, MD3; 1Texas Health Presbyterian, Dallas, TX; 2Memorial Hermann, Houston, TX; 3Baylor College of Medicine, Houston, TX

P0094. An Unusual Case of Marijuana-Induced Acute Pancreatitis Soney Basnyat, MD1, Milan Patel, MD1, Hira Irfan, MD2, Raveen Rai, MD1; 1St. Mary Mercy Hospital, Livonia, MI; 2St. Mary Mercy Hosiptal, Livonia, MI

P0095. Endoscopic Ultrasound-Guided Fine Needle Biopsy of Retroperitoneal Lymphadenopathy: A Case of Chronic Lymphocytic Leukemia Jinendra Satiya, MD1, Ingrid Schwartz, MD2, Sandy Liu, MD3, Rtika Abraham, MD4, Mohit Girotra, MD, FACP4; 1University of Miami Leonard M. Miller School of Medicine / Palm Beach Regional GME Consortium, Atlantis, FL; 2University of Miami Leonard M. Miller School of Medicine / Jackson Memorial Hospital, Miami, FL; 3University of Miami, Ellicott City, MD; 4University of Miami Leonard M. Miller School of Medicine, Miami, FL

P0096. A Rare Case of a Double Primary of the Pancreas and the Esophagus Diagnosed on Endoscopic Ultrasound Jinendra Satiya, MD1, Ingrid Schwartz, MD2, Sandy Liu, MD3, Rtika Abraham, MD4, Mohit Girotra, MD, FACP4; 1University of Miami Leonard M. Miller School of Medicine / Palm Beach Regional GME Consortium, Atlantis, FL; 2University of Miami Leonard M. Miller School of Medicine / Jackson Memorial Hospital, Miami, FL; 3University of Miami, Ellicott City, MD; 4University of Miami Leonard M. Miller School of Medicine, Miami, FL

P0097. Ciliated Foregut Cyst of Pancreas: A Rare Clinical Entity Diagnosed Using EUS-Guided Through-the-Needle Cyst Wall Biopsy Navin Paul, MD, Kenneth Youens, MD; Sanford Medical Center, Fargo, ND

P0098. Isolated Tubulovillous Adenoma of the Bile Duct Milan Patel, MD1, Pritesh Mutha, MD, MPH1, Tilak Shah, MD, MHS2; 1VCU Medical Center/ McGuire VA Medical Center, Richmond, VA; 2Hunter Holmes McGuire VAMC/Virginia Commonwealth University, Richmond, VA



P0099. Grey Turner’s Sign: A Myth Still Needs to Be Clarified Kyawzaw Lin, MD, Aung Naing Lin, MD, Andrew Ofosu, MD, MPH, Emmanuel Ofori, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY

P0100. A Silent Solid Intraductal Adenocarcinoma of Pancreas: A Silent Killer Kyawzaw Lin, MD, Andrew Ofosu, MD, MPH, Febin John, MD, Yingxian Liu, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY

P0101. Unusual Presentation of Pancreatic Cancer: A Case Report and Review of Literature Saif Bella, MD1, Atif Saleem, MD2, Mark Shumeyko, MD3; 1Wilson Hospital, Johnson City, NY; 2Wilson Hospital, Binghamton, NY; 3United Health Services Hospitals, Johnson City, NY

P0102. Pseudocirrhosis Secondary to Metastatic Breast Cancer Diagnosed by EUS-Guided Liver Biopsy Benjamin Eidenschink, MD1, Hong Qi Peng, MD2, Navin Paul, MD2; 1University of North Dakota School of Medicine, Fargo, ND; 2Sanford Medical Center, Fargo, ND

P0103. IgG4 Autoimmune Pancreatitis: A G-Force Worth Fighting Gilad Shapira, DO, Manoj Kumar, MD, MPH, Caitlin Marshall, MD, Nicholas Ludvik, MD, C. Alex Wiles, BA, Alan Schumann, BS, Divya Nadella, MD, Leonel Maldonado, MD, Kelly Roveda, MD, Meir Mizrahi, MD; University of South Alabama, Mobile, AL

P0104. Persistent Bacteremia, Hepatic Abscesses, and Infective Endocarditis Complicating a Case of Acute Cholangitis Laith Al momani, MD1, Hossam Alslaim, MD2, Maria Zayko, MD1, Tyler Aasen, DO1, Jason McKinney, DO1, Mark Young, MD1; 1East Tennessee State University, Johnson City, TN; 2Augusta University, Augusta, GA

P0105. Pancreatic Head Mass: A Textbook Case Krishen Patel, MD, Jeffrey Kooper, MD; University of South Florida, Tampa, FL

P0106. A Case Report of Primary Neuroendocrine Carcinoma of Biliary Duct With Hepatic Metastases Combined With Clonorchis Sinensis Infection Kang Nam Bae, MD1, Jae Hyuck Chang, MD, PhD2; 1The Catholic University of Korea College of Medicine, Seoul, Seoul-t’ukpyolsi, Republic of Korea; 2Catholic University, Bucheon St. Mary’s Hospital, Bucheon, Kyonggi-do, Republic of Korea

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P0107. Use of Lyophilised Microbiota Capsules for Fecal Microbiota Transplantation in Patients With Clostridium difficile Infection Annabel Clancy, BND, PhD, Anoja W. Gunaratne, BAMS, MSc, PhD, Priya Maistry, BSc, Harriet Kingston-Smith, BMLs, Manvendra Saxena, BSc, MSc, MBA, PhD, Thomas J. Borody, MD, PhD, DSc; Centre for Digestive Diseases, Five Dock, New South Wales, Australia

P0108. Screening Colonoscopy Polyp, Adenoma and Sessile Serrated Adenoma Detection Rate Differences in Hispanics and Whites in Age-Matched Cohorts Mohammed F. Ali, MD1, Jasleen Grewal, MD2, William Karnes, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Los Angeles Medical Center, Los Angeles, CA

P0109. Anti-Protozoal Enema Treatment for Blastocystis hominis and Dientamoeba fragilis: Does Volume Matter? Antoinette Le Busque, BN, MN, MN-NP, Anoja W. Gunaratne, BAMS, MSc, PhD, Manvendra Saxena, BSc, MSc, MBA, PhD, Denise Pilarinos, BN, Priya Maistry, BSc, Harriet Kingston-Smith, BMLs, Annabel Clancy, BND, PhD, Thomas J. Borody, MD, PhD, DSc; Centre for Digestive Diseases, Five Dock, New South Wales, Australia

P0110. Role of Concomitant Immunosuppression in the Efficacy and Safety of Ustekinumab: Post-Hoc Analyses of UNITI Stephen Hanauer, MD1, Bernie Sattin, PhD2, Douglas Jacobstein, MD3, Long-Long Gao, PhD4, Christopher Gasink, MD4, Paul Rutgeerts, MD, PhD5, Subrata Ghosh, MD6; 1Northwestern University Feinberg School of Medicine, Chicago, IL; 2Janssen Inc, Toronto, ON, Canada; 3Janssen Research & Development, LLC, Spring House, PA; 4Janssen Scientific Affairs, LLC, Horsham, PA; 5University Hospital Gasthuisberg, Leuven, Vlaams-Brabant, Belgium; 6University of Birmingham, Birmingham, England, United Kingdom

P0111. Does Everyone Need Early Colonoscopy? Select Group of Patients Might Benefit From Early Screening for Colorectal Cancer - An Update Mohammad Bilal, MD1, Yamam I. Al-Saadi, MD2, Thanh-Truc Le, MD1, Shailendra Singh, MD3, Praveen Guturu, MD, FACG1; 1University of Texas Medical Branch, Galveston, TX; 2University Of Texas Medical Branch Galveston, Galveston, TX; 3West Virginia University, Charleston Area Medical Center, Charleston, WV

P0112. Efficacy of Naldemedine for the Treatment of Opioid-Induced Constipation: A Meta-Analysis Mohammad Esmadi, MD1, Dina Ahmad, MD2, Alexander Hewlett, DO3; 1Methodist Health System, Omaha, NE; 2Creighton University, Omaha, NE; 3University of Nebraska Medical Center, Omaha, NE

P0113. Relationship and Outcomes of Ischemic Bowel Disease and Clostridium difficile Adeyinka Adejumo, MD, MS1, Olalekan Akanbi, MD, MPH2, Itegbemie Obaitan, MD3, Olufunso M. Agbalajobi, MD, MPH4, Olumuyiwa Akinbolaji. Ogundipe, MBBS,MS (in training)5; 1North Shore Medical Center, Lowell, MA; 2University of Kentucky College of Medicine, Lexington, KY; 3University of Minnesota, Minneapolis, MN; 4University of Pittsburgh Medical Center, Pittsburgh, PA; 5Applied clinical research program/Stcloudstate university, Plymouth, MN

P0114. Automated Text Message Navigation to Improve Preparation Quality and Show Rate for Colonoscopy Nadim Mahmud, MD, MS, MPH1, Sahil Doshi1, Mary Coniglio, MBA1, Michelle Clermont, MD1, Donna Bernard, MSN2, Catherine Reitz, MPH3, Vandana Khungar, MD, MSc1, David A. Asch, MD, MBA3, Shivan J. Mehta, MD, MBA, MSHP3; 1Hospital of the University of Pennsylvania, Philadelphia, PA; 2Penn Presbyterian Medical Center, Philadelphia, PA; 3University of Pennsylvania, Philadelphia, PA

P0115. Colonic Stent Placement for Malignancy-Related Large Bowel Obstruction: Characteristics of Subsequent Surgical Intervention Michelle Tong, MD1, Samson Ferm, MD2, Constantine Fisher, MD1, Akil Hassam, MD1, Sang-Hoon Kim, MD2, Moshe Rubin, MD2; 1New York Presbyterian Queens, Flushing, NY; 2New York-Presbyterian Queens, Flushing, NY

P0116. Features of Microscopic Colitis in Cancer Patients Receiving Immune Checkpoint Inhibitors Kati Choi, MD1, Hamzah Abu-Sbeih, MD2, Rashmi Samdani, MD2, Gottumukkala Raju, MD2, David Richards, MD2, John Stroehlein, MD2, Yinghong Wang, MD2; 1Baylor College of Medicine, Houston, TX; 2University of Texas MD Anderson Cancer Center, Houston, TX


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P0117. Long Term Efficacy and Safety Profile of Fecal Transplants for Treatment of Recurrent C. difficile Infection Bryce Perler, MD1, Brendan Chen, MD1, Jessica R. Allegretti, MD, MPH2, Monika Fischer, MD, FACG3, Edward Krajicek, MD3, Jenna Marcus2, Lotem Nativ, BS4, Emmalee L. Phelps, BS3, Colleen R. Kelly, MD1; 1Warren Alpert Medical School of Brown University, Providence, RI; 2Brigham & Women’s Hospital, Boston, MA; 3Indiana University, Indianapolis, IN; 4Brigham & Women’s Hospital, Chestnut Hill, MA

P0118. Serum Levels of Zonulin and Risk of Colorectal Tumor: A Pilot Case Control Study Shawn Gurwara, MD, Liang Chen, MD, MS, Sarah Plew, BS, Themis Kourkoumpetis, MD, Daniel Rosen, MD, Donna White, PhD, MPH, David Y. Graham, MD, MACG, Hashem El-Serag, MD, MPH, Li Jiao, MD, MS, PhD; Baylor College of Medicine, Houston, TX

P0119. Epidemiology of Non-Malignant Gastrointestinal Disorders in Individuals With Cystic Fibrosis in the U.S. From 2013 to 2018: A Population-Based National Study Michael Glover, BS1, Emad Mansoor, MD2, Gregory Cooper, MD3, Linda Cummings, MD3; 1Case Western Reserve University, Cleveland, OH; 2Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH; 3University Hospitals Cleveland Medical Center, Cleveland, OH

P0120. Comparing the Real-World Effectiveness of Competing Colonoscopy Bowel Preparations on Bowel Cleansing and Adenoma Detection: Results of a Large Prospective Trial Shiven Chaudhry, MD1, Phillip Gu, MD2, Daniel Lew, MD1, Jeffery Ko, MD1, Ebrahim Mirakhor, MD1, Aarshi Vipani, MD1, Sun Jung Oh, MD1, Varun Pattisapu, MD1, Kevin Hsu, MD1, Tia Bullen, RN, BSN, CPAN1, Brennan M. R. Spiegel, MD, MSHS1, Christopher Almario, MD, MSHPM1; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2UT Southwestern, Los Angeles, CA

P0121. Adding Visual Cues to Improve the Yield of Screening Colonoscopy - Taking Advantage of the Hawthorne and Novelty Effects Tagore Sunkara, MD1, Christopher Brana, MD2, Eric O. Then, MD2, Sriharsha Dadana, MD2, Sabrina Brana, MD2, Tina Wexler, MD2, Prashanth Rawla, MD3, Andrew Ofosu, MD, MPH4, Nithan Narendra, MD2, Andrea Culliford, MD2, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3Memorial Hospital of Martinsville and Henry County, Martinsville, VA; 4The Brooklyn Hospital Center, Brooklyn, NY

P0122. History of Vaginal Delivery Is an Independent Risk Factor for Diverticular Disease Laura Horton, MD1, Alison Goldin, MD, MPH1, Walter W. Chan, MD, MPH2; 1Brigham & Women’s Hospital, Boston, MA; 2Brigham & Women’s Hospital/Harvard Medical School, Boston, MA

P0123. Fidaxomicin versus Vancomycin for the Treatment of First Episode of Clostridium difficile Infection: A Meta-Analysis and Systematic Review Laith Al momani, MD1, Omar Abughanimeh, MD2, Boonphiphop Boonpherg, MD1, Joseph Gabriel, MD1, Mark Young, MD1; 1East Tennessee State University, Johnson City, TN; 2University of Missouri School of Medicine, Kansas City, MO

P0124. The Association Between Smoking and Microscopic Colitis: A Meta-Analysis Laith Al momani, MD, Harika Balagoni, MD, Sowminya Arikapudi, MD, Boonphiphop Boonpheng, MD, Tyler Aasen, DO, Mark Young, MD; East Tennessee State University, Johnson City, TN

P0125. Clostridium difficile Outcomes in HIV-Seropositive Patients Sarah C. Noble, MD1, Olga C. Aroniadis, MD, MS2, Fatimah Rimawi, MD1, Uriel Felsen, MD, MPH3, David B. Hanna, PhD4, Paul Feuerstadt, MD, FACG5, Lawrence J. Brandt, MD, MACG 2, Martin Packer, RN2; 1New York Presbyterian/Columbia, New York, NY; 2Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY; 3Montefiore Medical Center, Bronx, NY; 4Albert Einstein College of Medicine, Bronx, NY; 5Yale University School of Medicine / Gastroenterology Center of Connecticut, Westport, CT

P0126. Cryptogenic Infections That May Present as Colon Cancer - A Systematic Review of 42 Cases Parth Desai, DO1, Palashkumar Jaiswal, MBBS2, Bashar M. Attar, MD, PhD1, Pradeep Parajuli, MD1, Aswathi Chandran, MD1, Radhika Jaiswal, MD3, Sanjay Patel, MD1, Manthan Jayswal, MS4, Yuchen Wang, MD1, Naser Yamani, MD1, Gurpartap Sidhu, MD1; 1Cook County Health and Hospitals System, Chicago, IL; 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 3Forest Hills Hospital, Rego Park, NY; 4B.J. Medical College, Ahmedabad, Gujarat, India

P0127. Clinical Presentation and Outcome of Diverticulitis in HIV Patients Rafeeq Ahmed, Danial Shaikh, Shehriyar Mehershahi, Vamsi Amanchi, Siddarth Hanumanthu, MS, Aiyi Zhang, MS, Bhavna Balar; BronxCare Hospital Center, Bronx, NY

P0128. Independent Factors Affecting Varying Adenoma Detection Rate Between Gastroenterologists Lindsey Merritt, DO1, Eric Berthiaume, MD1, Alisa Merolli, MD2; 1Kent Hospital, University of New England College of Osteopathic Medicine, Warwick, RI; 2Warren Alpert Medical School of Brown University, Providence, RI

P0129. Colonoscopy Findings in Patients with Development of Esophageal Carcinoma Lilia Stefaniwsky, MD, MBA1, Sajiv Sethi, MD1, Meghana Vellanki, MD1, Prasad Kulkarni, MD 2; 1University of South Florida, Tampa, FL; 2University of South Florida, James A. Haley VA, Tampa, FL

P0130. Impact of Clostridium difficile Colitis on Hospitalizations With End Stage Renal Disease (ESRD) Raja Chandra Chakinala, MD1, Shantanu Solanki, MD, MPH1, Khwaja F. Haq, MD2, Christopher Nabors, MD, PhD1, Muhammad Ali Khan, MD3, Zubair Khan, MD, CMQ4, Nauman Siddiqui, MD5, Abhishek Bhurwal, MBBS, MD6, Mohammad Arsalan Siddiqui, MD2, Muhammad Talha Farooqui, MD7, Anam S. Burney, MD8, Saba Iqbal, MD9, Khwaja S. Haq, MBBS10, Azam H. Burney, MD8, Savneek S. Chugh, MD11; 1New York Medical College at Westchester Medical Center, Valhalla, NY; 2Henry Ford Hospital, Detroit, MI; 3University of Tennessee Health Science Center, Memphis, TN; 4University of Toledo Medical Center, Toledo, OH; 5Tufts Medical Center, Boston, MA; 6Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 7Memorial Hermann Hospital, Pearland, TX; 8Kingsbrook Jewish Medical Center, Brooklyn, NY; 9Sahara Medical Associates, Jersey City, NJ; 10Kingsbrook Jewish Medical Center, Woodbury, NY; 11New York Medical College at Westchester Medical Center, Hawthorne, NY

P0131. Use of Curcumin in Achieving Clinical and Endoscopic Remission in Ulcerative Colitis: A Systematic Review and Meta-Analysis Umair Iqbal, MD1, Hafsa Anwar, MBBS2, Munib Aftab, MD1; 1Bassett Medical Center, Cooperstown, NY; 2Dow University of Health and Sciences, Cooperstown, NY

P0132. Evaluation of Fecal Microbiota Transplantation versus Vancomycin Taper With Kefir Supplementation as Treatment of Multiply Recurrent Clostridium difficile Infection: Recurrence and Reinfection Thomas Dieringer, MD1, Abhishek Shenoy, MD1, Thomas Hunold, BSPH2, Cirle Warren, MD3, R. Ann Hays, MD3; 1University of Virginia Health System, Charlottesville, VA; 2University of Virginia, Charlottesvile, VA; 3University of Virginia, Charlottesville, VA



P0133. Do Medications and Diseases Associated with Colon Ischemia (CI) Vary by Age Group? Michael Silverman, MD1, Olga C. Aroniadis, MD, MS2, Paul Feuerstadt, MD, FACG3, Marc Fenster, MD4, Tsipora M. Huisman, MD4, Muhammad S. Mansoor, MD5, Abdul Qadir Bhutta, MD6, Lawrence J. Brandt, MD, MACG 2; 1Cleveland Clinic Foundation, Cleveland, OH; 2Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY; 3Yale University School of Medicine / Gastroenterology Center of Connecticut, Westport, CT; 4Icahn School of Medicine at Mount Sinai, New York, NY; 5Albany Medical Center, Albany, NY; 6Yale New Haven Hospital, New Haven, CT

P0134. Examining 30-Day Readmission Rate and Associated Factors in Patients Hospitalized for Diverticulitis Using Nationwide Readmission Database Shashank Sarvepalli, MD, MS, Sushil Garg, MD; Cleveland Clinic, Cleveland, OH

P0135. Medications Associated Polyp Reduction in Patients With Left-Sided Diverticulosis Shashank Sarvepalli, MD, MS1, Ari Garber, MD1, Michael Rothberg, MD, MPH1, John McMichael, PhD1, Gareth Morris-Stiff, MD, PhD1, John J. Vargo, MD2, Maged Rizk, MD1, Carol A. Burke, MD, FACG2; 1Cleveland Clinic, Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P0136. Beta-Blocking Colorectal Cancer Tejal Mistry, MD1, Van Morris, MD2; 1University of Texas Health Science Center at Houston, Houston, TX; 2University of Texas MD Anderson Cancer Center, Houston, TX

P0137. Procalcitonin in Uncomplicated Diverticulitis (ProUD) Firas Ido, MD1, Lina Masso, MD2, Vesna Tegeltija, MD, MBA3, Zain Kulairi, MBChB4; 1Wayne State University, Rochester Hills, MI; 2Wayne State University, Farmington Hills, MI; 3Wayne State University, Rochester, MI; 4Wayne State University, West Bloomfield, MI

P0138. Prevalence and Impact of Clostridium difficile Infection (CDI) in Pregnancy Prabin Sharma, MD1, Rodrigo Aguilar, MD2, Mark Nader, MD3, John George, MD1, Shreesh Shrestha, MD4, Tejas V. Joshi, MD5, Paul Feuerstadt, MD, FACG6; 1Yale University Bridgeport Hospital, Bridgeport, CT; 2Marshall University, Huntington, WV; 3Kidney Care Consultants, Memphis, TN; 4University of Tennessee, Memphis, TN; 5LSU Health New Orleans School of Medicine, New Orleans, LA; 6Yale University School of Medicine / Gastroenterology Center of Connecticut, Westport, CT

P0139. Clinical Experience With a Double Balloon Interventional Endoscopic Platform to Facilitate Colonic Endoscopic Submucosal Dissection, Endoscopic Mucosal Resection and Endoscopic Suturing: First 137 Procedures Presidential Poster Award Sergey Kantsevoy, MD1, Avesh Joseph. Thuluvath, MD2, Amit Raina, MD3; 1Mercy Medical Center, Owings Mills, MD; 2Johns Hopkins University School of Medicine, Baltimore, MD; 3Mercy Medical Center, Ellicott City, MD

P0140. Endoscopic Submucosal Dissection for Removal of Large Colorectal Lesions: Initial Experience With a New Therapeutic Platform Sergey Kantsevoy, MD1, Avesh Joseph. Thuluvath, MD2, Amit Raina, MD3; 1Mercy Medical Center, Owings Mills, MD; 2Johns Hopkins University School of Medicine, Baltimore, MD; 3Mercy Medical Center, Ellicott City, MD

COLON Clinical Vignettes / Case Reports

P0141. Kayexalate Induced Colonic Ulceration: A Case Report and Clinical Review Tristan Fun, BA, Karthik Garapati, MD, Chirag Patel, MD, Juan Echavarria, MD, Brian Klazynski, MD; University of Texas Health San Antonio, San Antonio, TX

P0142. Pneumatosis Coli Complicating Clostridium difficile Pseudomembranous Colitis Marcelle Meseeha, MD, Maximos Attia, MD, Tsujung Yang, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA

P0143. Streptococcus bovis Bactremia and Colon Cancer: A Well Established but Frequently Forgotten Association Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA

P0144. An Unusual Polyp in the Colon Randhir Jesudoss, MD; University of Iowa Hospitals & Clinics, Iowa City, IA

P0145. A Case of Colitis Cystica Profunda Mohammed F. Ali, MD1, Michael Lugo, BS1, David P. Lee, MD, MPH2, Jason Samarasena, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine, Orange, CA

P0146. Pseudomembranous Gastritis of Unknown Etiology Mayuri Kulkarni, BSc, MD1, Rovin Saxena, MD2, Sahla Hammad, MD2, Monica Nicola, MD, FACP2, Mihaela Batke, MD2; 1St. Joseph Mercy Oakland Hospital, Livonia, MI; 2St. Joseph Mercy Oakland Hospital, Pontiac, MI

P0147. Poopy Pancolitis From Idelalisib Cessation Mayuri Kulkarni, BSc, MD1, Rovin Saxena, MD2, Sahla Hammad, MD2, Mihaela Batke, MD2; 1St. Joseph Mercy Oakland Hospital, Livonia, MI; 2St. Joseph Mercy Oakland Hospital, Pontiac, MI

P0148. Lyophilised Full Spectrum Microbiota Capsules for Treatment of Severe Clostridium difficile Infection in 2 Patients in ICU: A Case Study Priya Maistry, BSc1, Tae Jun Kim, BSc, BMed2, Dean Yeh, BMed, FRACS2, Anoja W. Gunaratne, BAMS, MSc, PhD1, Annabel Clancy, BND, PhD1, Manvendra Saxena, BSc, MSc, MBA, PhD1, Thomas J. Borody, MD, PhD, DSc1; 1Centre for Digestive Diseases, Five Dock, New South Wales, Australia; 2Liverpool Hospital, Liverpool, New South Wales, Australia

P0149. An Unusual High Grade Anorectal Neuroendocrine Carcinoma Arslan Talat, MD1, Mehreen Elahee, MD2, Ankit Amin, MD2, Shivani Kwatra, MD2, Paul Watanakunakorn, MD2; 1Western Reserve Health Education/NEOEMD, Youngstown, OH; 2Western Reserve Health Education/NEOMED, Youngstown, OH

P0150. Intussusception of the Appendix Associated With Endometriosis Vincent M. Pronesti, DO1, Hebin Song, MD2, Marcia Mitre, MD1; 1Allegheny Health Network, Pittsburgh, PA; 2Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA

P0151. Insight into Fecal Microbiota Transplant in an Immunocompromised Patient Vincent M. Pronesti, DO, Gurneet Bedi, MD, Heitham Abdul-Baki, MD; Allegheny Health Network, Pittsburgh, PA

P0152. Primary Gastrointestinal Mantle Cell Lymphoma Involving Colon and Gallbladder: A Case Report Sameer Prakash, DO1, Shayan Siddiqui, MD1, Chandralekha Ashangari, MD1, Juan Garrido, MD1, Amit Trehan, MD2; 1Texas Tech University Health Sciences Center, Amarillo, TX; 2Amarillo Endoscopy Clinic, Amarillo, TX


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P0153. An Unexpected Finding of Renal Cell Carcinoma Metastatic to the Colon in a Complex Patient with Hematochezia Adam Russak, MD1, Isabelle Chu, BS2, Jose Luis Aranez, MD2, John Miller, MD2, Christopher Steevens, MD2; 1University of Rochester School of Medicine, New York, NY; 2University of Rochester Medical Center, Rochester, NY

P0154. Mucinous Adenocarcinoma of the Appendix: A Deep-Seated Tumor Carmine Catalano, MD, Daryl Ramai, MD, MScBR, Madhavi Reddy, MD, FACG, Leon Kurtz, MD; The Brooklyn Hospital Center, Brooklyn, NY

P0155. Midgut Volvulus as Presentation of Intestinal Malrotation in an Elderly Patient Patricia Guzman Rojas, MD1, Reetika Sachdeva, MD1, Vladimir Neychev, MD, PhD2, Prakash Pandalai, MD, FACS3; 1University of Central Florida, Kissimmee, FL; 2University of Central Florida College of Medicine, Orlando, FL; 3Orlando VAMC, Orlando, FL

P0156. Delusional Parasitosis: A Deadly Disease Rinad Tabbalat, MD 1, Nicolas Cal, DO2, David Desilets, MD, PhD1; 1University of Massachusetts Medical School - Baystate Medical Center, Springfield, MA; 2Baystate Medical Center, Broad Brook, CT

P0157. Wound Infection Causing Monomicrobial Clostridium difficile Bacteremia Dina Hussam, MD1, Nathan A. Merriman, MD2, Alfred E. Bacon, III, MD 1; 1Christiana Health Care System, Newark, DE; 2Gastroenterology Associates of Delaware, Newark, DE

P0158. A Rare Complication of an Ingested Foreign Body: Back Pain Irene Mbih, MD1, Amir Rezk, MD2, John Boger, MD3; 1Geisinger Medical center, Danville, PA; 2Geisinger Medical Center, Danville, PA; 3Geisinger Health System, Dallas, PA

P0159. Sequential Fecal Microbiota Transplantation for the Treatment of Fulminant Clostridium difficile Infection in a Bone Marrow Transplant Patient with Critically Low Neutrophil Count Edward Krajicek, MD, Monika Fischer, MD, FACG; Indiana University, Indianapolis, IN

P0160. Beyond the Borders of the Gastric Lumen: A Rare Case of Colonic MALT Lymphoma Isabella Bergagnini, DO, Natasha Adlakha, MD, Amit Bhanvadia, MD, David Robbins, MD, MSC; Lenox Hill Hospital, New York, NY

P0161. The Elusive Erosion: Mesh Migration into the Colon Samit K. Datta, MD1, Michael Schmalz, MD, FACG2; 1Aurora Sinai Medical Center, Milwaukee, WI; 2Medical College of Wisconsin, Milwaukee, WI

P0162. The Bug Blockade: CMV-Induced Terminal Ileum Stricture Samit K. Datta, MD, Samantha Huzzar-Tembei, DO, Anupama Inaganti, MD, Aboud Affi, MD; Aurora Sinai Medical Center, Milwaukee, WI

P0163. The PTEN Mutation in Cowden Syndrome: A Case Report Chad Spencer, MD, Charles Elson, MD, Sooryanarayana Varambally, PhD, Shajan Peter, MD; University of Alabama at Birmingham, Birmingham, AL

P0164. An Unusual Cause of Bowel Obstruction Paul Paradiso, DO1, Dipesh Banker, MD2, Vishvinder Sharma, MD3, Brian Carlson, MD2, Phillip Oberg, DO1; 1Valley Hospital Medical Center, Las Vegas, NV; 2Digestive Associates, Las Vegas, NV; 3Digestive Associates/Valley Hospital Medical Center, Las Vegas, NV

P0165. Quiet Before the Storm: Indolent Chronic Diverticulitis Mimicking Carcinoma Shanti G. Rao, MD1, Saamia Faruqui, MD2, Eliza Lewine, BS1, Robin Staudinger, MD2, Martin Moehlen, MD2, Gregory Gaspard, MD2; 1Tulane University School of Medicine, New Orleans, LA; 2Tulane University, New Orleans, LA

P0166. Rituximab-Associated Colitis: An Unusual Case Report Abhimanyu Aggarwal, MBBS, MD1, Emily Levoy, MD2, Michael Desimone, MD2, Kanishka Bhattacharya, MD2; 1Berkshire Medical Center, Pittsfield, MA; 2University of Massachusetts Medical School, Worcester, MA

P0167. Cavernous Hemangioma of the Colon: A Rare Cause of Rectal Bleeding Shanti G. Rao, MD1, Saamia Faruqui, MD2, Aimee Homra, MD2, Vanessa Mendez, MD2, Henry Hefler, MD3; 1Tulane University School of Medicine, New Orleans, LA; 2Tulane University, New Orleans, LA; 3SLVHCS D, New Orleans, LA

P0168. SMAD4 Mutation and Combined Juvenile Polyposis Syndrome/Hereditary Hemorrhagic Telangiectasia Jack Scolaro, MS 1, Deena Kapadia, MD2, Houssam Kharrat, MD3, Vani Thirumala, BS4, Seshadri Thirumala, MD5; 1Texas Tech University Health Sciences Center, School of Medicine, Lubbock, TX; 2Texas Tech University Health Sciences Center, Lubbock, TX; 3Covenant Medical Center, Lubbock, TX; 4University of Texas at Austin, Austin, TX; 5Ameripath, Lubbock, TX

P0169. A Rare Case of Primary Isolated Kaposi’s Sarcoma of the Rectum in an HIV Patient Brian Frank, MD1, Liege Diaz, MD2, Jean Donet, MD3; 1Jackson Memorial Hospital, Miami, FL; 2University of Miami Jackson Memorial Hospital, Miami, FL; 3Johns Hopkins Hospital, Bethesda, MD

P0170. A Rare Case of Metastatic Colon Cancer Involving the Right Atrium Presenting as Superior Vena Cava Syndrome Harsh N. Patel, MD1, Nikesh Kapadia, MD1, Patrick Malafronte, MD2; 1University of South Florida, Tampa, FL; 2Tampa General Hospital, Tampa, FL

P0171. NSAID-Induced Colitis Masquerading as Fistulizing Crohn’s Disease Marika Bergenstock, DO, Jessica McKee, DO, Amitpal S. Johal, MD; Geisinger Medical Center, Danville, PA

P0172. An Unusual Case of Post Colonoscopy Colitis - A Pathological Surprise Madhu Mathew, MD1, Mohamed A. Elkhouly, MD1, Chimezie U. Mbachi, MBBS2, Parth Desai, DO1, Alan Urbina, MD2, Satya Mishra, MD1, Bashar M. Attar, MD, PhD1; 1Cook County Health and Hospitals System, Chicago, IL; 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL

P0173. A Case of Secondary Amyloidosis in a Patient with Well-Controlled Polymyalgia Rheumatica Samuel Owen, MD1, Elizabeth Coss, MD2, Brian Klazynski, MD2; 1Brooke Army Medical Center, San Antonio, TX; 2University of Texas Health San Antonio, San Antonio, TX

P0174. A Rare Case of Bevacizumab and Radiation-Induced Ischemic Bowel Injury Kelsey E. Collins, MD1, Michael Herman, MD1, Craig R. Gluckman, MD2, Ilan Weisberg, MD, MSc1; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel Hospital, New York, NY

P0175. A Rare Case of Red Man Syndrome with Oral Vancomycin Fray Martin Arroyo-Mercado, MD1, Onix Cantres Fonseca, MD2, Isabel Maria McFarlane, MD1; 1SUNY Downstate Medical Center, Brooklyn, NY; 2Veterans Affairs Caribbean Health System, San Juan, Puerto Rico

P0176. The Incidental Discovery of Strongyloidiasis Colitis Elizabeth Gold, DO, Travis Magdaleno, DO, Cheryl Bloomfield, MD; Lehigh Valley Health Network, Allentown, PA

P0177. Distal Intestinal Obstructive Syndrome (DIOS): A Gastrointestinal Complication of Cystic Fibrosis in Adults Marianna G. Mavilia, DO1, Samuel Pope, MD2; 1University of Connecticut Health Center, Farmington, CT; 2Hartford Hospital, Hartford, CT



P0178. Prostate Cancer Disguised as a Rectal Tumor Mohammad Nawaz, MD1, Ching-Ho Huang, MD1, James L. Araujo, MD2; 1SUNY Downstate Medical Center, Brooklyn, NY; 2Veterans Affairs Harbor Healthcare System, Brooklyn, NY

P0179. Idiopathic Colonic Varices Incidentally Found on Colonoscopy: A Case Report Basem Oraby1, Amir Soumekh, MD2; 1Weill Cornell Medicine, New York, NY; 2New York Presbyterian Hospital, New York, NY

P0180. A Rare Case of Clostridium difficile-Causing Empyema Abdalla Mohamed, MD1, Vanessa Sostre, MD1, Prem Patel, MD2, Hiren Patel, MD1, Walid Baddoura, MD1; 1St. Joseph’s University Medical Center, Paterson, NJ; 2St. Joseph’s University Medical Center, Edison, NJ

P0181. Gastric Heterotopia in the Rectum: Don’t Let Looks Deceive You Fernando J. Bonilla, MD, Carlos Fernandez-Cruz, MD, Rodolfo Estremera-Marcial, MD, Javier A. Cerra-Franco, MD, Jose Martin-Ortiz, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P0182. Schistosomiasis: An Infrequently Recognized Cause of Rectal Bleed in the Western World Damon Fu, MD1, Rohit Agrawal, MBBS2, Neethi Paranji, MD3, Kotwal Vikram2, Muhammad Majeed, MBBS2, Yuchen Wang, MD1, Yazan Abu Omar, MD1, Muhammad A. Baig, MD2, Abdul Mohammed, MD2, Bashar M. Attar, MD, PhD1; 1Cook County Health and Hospitals System, Chicago, IL; 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 3John H Stroger Hospital of Cook County, Chicago, IL

P0183. Is Colon Cancer a Consequence of Schistosomiasis: A Case Report Anas Almoghrabi, MD1, Rohit Agrawal, MBBS1, Muhammad Majeed, MBBS, MD1, Satya Mishra, MD2, Bashar M. Attar, MD, PhD2, Yazan Abu Omar, MD2, John Erikson Yap, MD2, Muhammad A. Baig, MD1, Anthonia Ijeli, MD2; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Cook County Health and Hospitals System, Chicago, IL

P0184. Wolf in the Sheep’s Clothing: Intestinal Angioedema Type III Mimicking Infectious Colitis Asif Mehmood, MD 1, Waqas Ullah, MD2, Hafez Mohammad Abdullah, MD3; 1Abington Memorial Hospital, Horsham, PA; 2Abington Memorial Hospital, Abington, PA; 3University of South Dakota, Sioux Falls, SD

P0185. A Rare Case of Chilaiditi’s Sign Associated with Cervical Neuropathy Jennifer Rodriguez, MD1, Shivali Berera, MD2, Daniel A. Sussman, MD, MSPH2; 1University of Pittsburgh Medical Center, Pittsburgh, PA; 2University of Miami Leonard M. Miller School of Medicine, Miami, FL

P0186. Post-Transplant Cecal Kaposi’s Sarcoma Kenneth W. Hung, MD, Rajani Sharma, MD, Elizabeth S. Stone, MD, Ivonne Ramirez, MD, Reuben Garcia-Carrasquillo, MD; Columbia University Medical Center, New York, NY

P0187. Appendiceal Intussusception Due to Cystic Fibrosis Isaac E. Perry, DO1, Spiro S. Mavromates, MD2, Steven Carpenter, MD, FACG3; 1Mercer University School of Medicine, Memorial Health University Medical Center, Savannah, GA; 2Memorial Health University Medical Center, Savannah, GA; 3Memorial University Medical Center, Savannah, GA

P0188. Rare Metastatic Spread of Gastric Signet Ring Cell Carcinoma to the Rectum NguyenVy Tran, DO; Wellington Regional Medical Center, Wellington, FL

P0189. Not Captured on Camera: A Case of Appendiceal Cancer and Ascites Navroop Nagra, MD1, Omar Shahbaz, MD, MS2; 1Peace Health Hospital Center, Vancouver, WA; 2Circle City Gastroenterology, Corona, CA

P0190. Collision Tumor: A Unique Combination of Tubulovillous Adenoma and Goblet Cell Carcinoid of Colon Bhupinder Romana, MD, Ravinder Mankoo, MD, Veysel Tahan, MD, FACP, FACG, FESBGH, Sami Samiullah, MD, Hammoud Ghassan, MD, MPH; University of Missouri, Columbia, MO

P0191. An Unexpected Passage: A Complex Enterovesicular Fistula Case Report Leon D. Averbukh, DO1, Faripour A. Forouhar, MD2, Ethan Bortniker, MD2; 1University of Connecticut Health Center, Hartford, CT; 2University of Connecticut Health, Farmington, CT

P0192. Large Desmoid Tumor Presenting With Abdominal Pain Vishal Kaila, MD1, Andrew Assaf, MD1, Mark Feldman, MD2, Rahul Gill, MD1; 1Texas Health Presbyterian, Dallas, TX; 2Texas Health Resources, Dallas, TX

P0193. Checkpoint Colitis: A New Emerging Autoimmune Phenomena Angel Benjamin Morales Santiago, MD, Javier A. Cerra-Franco, MD, Jaime Martinez-Souss, MD, Rodolfo Estremera-Marcial, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P0194. Recurrence of Lynch Syndrome-Associated Colon Cancer in the Lung Five Years After Resection Aliaksandr Gringlaz, MD, Yevgeniy Mikityanskiy, DO, Pratap Gadangi, MD, FACS, FASCRS, FRCS; Coney Island Hospital, Brooklyn, NY

P0195. Diverticulosis with Fistulous Disease: A New Approach to Treatment of an Old Condition Ellie Chen, MD, Parsha Forouzan, MD, Tiffany Mao, MD, Stephen Greenberg, MD; Baylor College of Medicine, Houston, TX

P0196. Secukinumab-Induced Unmasking of Crohn Colitis: A Case Report Navin Paul, MD, Kari Hektner, DNP, FNP-C, Zhanyong Bing, MD; Sanford Medical Center, Fargo, ND

P0197. Bezlotoxumab in an Academic Urban Clinical Practice: A Case Series of 18 Months of Use Brendan M. Collins, DO1, Bruce Yacyshyn, MD, FACG2, Anthony Gentene, PharmD, BCPS3; 1University of Cincinnati Medical Center/University of Cincinnati College of Medicine, Cincinnati, OH; 2University of Cincinnati, Cincinnati, OH; 3University of Cincinnati Medical Center, Cincinnati, OH

P0198. Metastatic Solitary Cecal Mass From Lobular Breast Carcinoma Seven Years After Diagnosis Laith Al momani, MD, Sowminya Arikapudi, MD, Muazzam Ali, MD, Alison Smith, MD, Puneet Goenka, MD, Dhara Chaudhari, MD; East Tennessee State University, Johnson City, TN

P0199. A Rare Case of Perforating Metastatic Medullary Carcinoma of Colon Darlene M. Wilhelm, APRN-CNP1, Vinaya Gaduputi, MD2, Hafeezuddin Ahmed, MD1, Syed Uzair Hamdani, MD1; 1Mercy Health/St. Vincent Medical Center, Toledo, OH; 2SBH Health System, Bronx, NY

P0200. Spontaneous Resolution of Langerhans Cell Histiocytosis in the GI Tract Originally Masquerading as an Ulcer Pratima Dibba, MD, MBA1, Meera Rana, MD2, Mariam Fayek, MD1, Cherie Paquette, MD1, Nnenna Okpara, MD1, Christy Dibble, DO1, Autumn Hines, DO1; 1Brown University/Women & Infants Hospital, Providence, RI; 2Wake Forest Baptist Medical Center, Winston-Salem, NC

P0201. Chronic Diarrhea in HIV Patient - An Uncommon Villain Rodolfo Estremera-Marcial, MD1, Loscar Santiago-Rivera, MD2, Jossette Axtmayer, MD1, Antonio Soto-Ramos, MD1, Glenda Gonzalez-Claudio, MD1, Carlos Fernandez-Cruz, MD1, Javier A. Cerra-Franco, MD 1; 1VA Caribbean Healthcare System, San Juan, Puerto Rico; 2VA CAribbean Healthcare System, San Juan, Puerto Rico


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P0202. ‘Rogue Stent’: Migrated Esophageal Stent to Sigmoid Colon Stalin Subramanian, MD1, Aaron Thomas, DO2, Chirag Patel, MD3, Mazyar Malakouti, MD3, Jason Rocha, MD3, Randy Wright, MD3; 1San Antonio Uniformed Services Health Education Consortium, San Antonio, TX; 2University of Texas Health Science Center at San Antonio, San Antonio, TX; 3University of Texas Health San Antonio, San Antonio, TX

P0203. Ileocolonic Intussusception Secondary to Burkitt’s Lymphoma: An Uncommon Initial Presentation of HIV Clement Wu, MBBS, MRCP, Ravishankar Asokkumar, MBBS, MRCP; Singapore General Hospital, Singapore, Singapore

P0204. Pneumatosis Intestinalis: Cost Paid for Rheumatoid Arthritis Treatment Pratyusha Tirumanisetty, MBBS1, Michael DiSalle, MD2, Ziad Alkhoury, MD1; 1Unity Hospital, Greece, NY; 2Unity Hospital, Rochester, NY

P0205. Non-Surgical Management of an Embedded Sharp Paper Clip in the Sigmoid Colon Causing Perforation and Abscess: A Case Report Narasimha Swamy Gollol Raju, MD1, Hamza Khalid, MD2, Mudireddy Prashant, MD1; 1Vidant Medical Center, Greenville, NC; 2Vidant Medical Center / East Carolina University, Greenville, NC

P0206. Prostate Metastasis Presenting as Primary Colon Cancer Carmen Lopez, MD1, Vanessa Mendez, MD2, Yukihiro Nakanishi, MD, PhD3, John P. Affronti, MS, MD3; 1Tulane Internal Medicine, New Orleans, LA; 2Tulane University, New Orleans, LA; 3Tulane University School of Medicine, New Orleans, LA

P0207. A Rare Case of Sigmoid Adenocarcinoma Presenting with Coloenteric, Colosubcutaneous, and Colovesicular Fistulas Zachary Neubert, DO, Jan-Michael Van Gent, DO, R. Daniel Lawson, MD; Naval Medical Center San Diego, San Diego, CA

P0208. Xanthogranulomatous Pyelonephritis Causing a Renocolic Fistula Presenting as Symptomatic Anemia Mohammad Tahboub, MD1, Omar Abughanimeh, MD1, Laith Numan, MD1, Ahmad Al-Shyoukh, MD1, Mouhanna K. Abu Ghanimeh, MD2, Khalil M. Abuamr, MD1; 1University of Missouri, Kansas City, MO; 2Henry Ford Hospital, Detroit, MI

COLORECTAL CANCER PREVENTION

P0209. Correlation Between Polyp and Adenoma Detection Rate in Trainee Endoscopists Aditya Sreenivasan, MD1, Sandy Ng, MD 2, Jillian M. Pecoriello, BS3, Peter S. Liang, MD, MPH4; 1New York University School of Medicine, New York, NY; 2New York University, New York, NY; 3NYU School of Medicine, New York, NY; 4NYU Langone Health/VA New York Harbor Health Care System, New York, NY

P0210. Expression of NLRP3 Inflammasome in Colorectal Cancer and Its Relationship With Tumor Characteristics and Prognosis Ying Lin, MD, PhD1, Jun-kai Chen, MD1, Zhen-xian Lew, MD2; 1Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, People’s Republic of China; 2Sun Yat-sen University, Guangzhou, Guangdong, People’s Republic of China

P0211. Histopathology and Colonic Distribution of Adenomas in South Asians at a Tertiary Academic Center Stephanie Yan, MD 1, Sooraj Tejaswi, MD, MSPH2; 1University of California Davis, Sacramento, CA; 2University of California Davis Medical Center, Sacramento, CA

P0212. Is Adenoma Detection Rate Still the Quality Indicator for Screening Colonoscopy in Younger Patients? Yamam I. Al-Saadi, MD1, Mohammad Bilal, MD2, Thanh-Truc Le, MD2, Shailendra Singh, MD3, Sreeram Parupudi, MD, FACP, FACG2, Praveen Guturu, MD, FACG2; 1University Of Texas Medical Branch Galveston, Galveston, TX; 2University of Texas Medical Branch, Galveston, TX; 3West Virginia University, Charleston Area Medical Center, Charleston, WV

P0213. Association of Hypothyroidism and Poor Bowel Prep Quality in Initial Screening Colonoscopies Jordan Burlen, MD, Shifat Ahmed, MD, Hadi Atassi, MD, Yixi Tu, MD, Vincent Nguyen, MD, Dhruv Chaudhary, MD, Nanlong Liu, MD, Stephen Furmanek, MD, Connor English, MD, Kristine Krueger, MD, Dipendra Parajuli, MD, Craig McClain, MD; University of Louisville, Louisville, KY

P0214. Association of Prescription Medications and Poor Bowel Prep Quality in Initial Screening Colonoscopies Jordan Burlen, MD, Hadi Atassi, MD, Yixi Tu, MD, Vincent Nguyen, MD, Dhruv Chaudhary, MD, Shifat Ahmed, MD, Nanlong Liu, MD, Stephen Furmanek, MD, Connor English, MD, Kristine Krueger, MD, Dipendra Parajuli, MD, Craig McClain, MD; University of Louisville, Louisville, KY

P0215. ADR of ‘Average Risk’ Males Aged 45-50 and >50 Screening Population Are Equivalent Jasleen Grewal, MD1, Mohammed F. Ali, MD2, Anish H. Patel, MD2, William Karnes, MD2; 1University of California Los Angeles Medical Center, Los Angeles, CA; 2University of California Irvine Medical Center, Orange, CA

P0216. Can Knowledge of CRC Screening Recommendations and Technologies Be Improved Through Continuing Medical Education? Jovana Lubarda, PhD1, John Maeglin, MBA2, Roderick Smith, MSc2, Douglas K. Rex, MD, MACG3; 1Medscape, Toronto, ON, Canada; 2Medscape, New York, NY; 3Indiana University, Indianapolis, IN

P0217. Results of an Electronic Patient Survey to Determine Up-to-Date Colorectal Cancer Screening Status and Identify High-Risk Individuals Thomas McGarrity, MD, Christopher T. Soriano, MD, Brian McAllister, MD, Jennifer Cooper, MD, Junjia Zhu, MD, Laurie Peiffer, BS, Greg Caputo, MD; Penn State Health Milton S. Hershey Medical Center, Hershey, PA

P0218. Adenoma Detection Rate Found to Be Independent of Time of Day in Single Site Sample Utilizing Individual Endoscopists Erika A. Tsuchiyose1, Anupam Aditi, MD2, Kazumi Tsuchiyose, MS3, Mark M. Tsuchiyose, MD4; 1Woodside High School, Woodside, CA; 2InSite Digestive Health, Daly City, CA; 3College of San Mateo, Woodside, CA; 4InSite Digestive Health, Woodside, CA

P0219. Colorectal Cancer Prevention and Screening in 45-Year-Old African-American Patients in an Internal Medicine Resident Clinic: A Retrospective Cohort Analysis Isaac E. Perry, DO1, Hassan Yousaf, MD2; 1Mercer University School of Medicine, Memorial Health University Medical Center, Savannah, GA; 2Memorial Health University Medical Center, Savannah, GA

P0220. Barriers and Facilitators of Colorectal Cancer Screening Among a Hispanic Community in Michigan Juan Gonzalez, MD1, Joann Samalik, MD2, Elizabeth Ramirez, BS3, Tryphene Saint-Phard, MD1, Parul Sud, MD, FACP1, Orimisan Adekolujo, MD, MBA, FACP1; 1McLaren Flint/Michigan State University, Flint, MI; 2University of Michigan, Flint, MI; 3Michigan State University, Flint, MI

P0221. Debunking the Fecal Occult Blood Test: Part Two Daniel E. Hogan, Jr., DO, Varun Kesar, MD, Rebecca Mazurkiewicz, MD, David Robbins, MD, MSC; Lenox Hill Hospital, New York, NY



P0222. Dairy Intake and Mucosa-Associated Gut Microbiome in Healthy Individuals Presidential Poster Award Ellie Chen, MD, Nadim Ajami, PhD, Liang Chen, MD, MS, Sarah Plew, BS, Donna White, PhD, MPH, Zhensheng Wang, MPH, PhD, Hashem El-Serag, MD, MPH, Joseph Petrosino, PhD, Li Jiao, MD, MS, PhD; Baylor College of Medicine, Houston, TX

P0223. Comparison of Colorectal Cancer (CRC) Screening Rates Obtained by Electronic Medical Record (EMR) Query versus Patient-Directed Survey in Primary Care Practice Brian McAllister, MD1, Thomas McGarrity, MD1, Christopher T. Soriano, MD1, Jennifer Cooper, MD1, Vonn Walter, PhD2, Justin Loloi, BS3, Laurie Peiffer, BS1, Victoria Martell, BS4, Greg Caputo, MD1, Michael Warren, MD4; 1Penn State Health Milton S. Hershey Medical Center, Hershey, PA; 2Penn State College of Medicine, Hershey, PA; 3Penn State Hershey College of Medicine, Hershey, PA; 4Penn State Health Community Medical Group, Lancaster, PA

P0224. Experience and Compliance With Split Dose Bowel Preparation in a Veteran Population Undergoing Outpatient Colonoscopy Stephanie Judd, MD1, Suhag Patel, MD2, Anand Ravi, MD3, Philip S. Schoenfeld, MD, MSEd, MSc 4, Fadi Antaki, MD5; 1John D. Dingell VA Medical Center/Wayne State University School of Medicine, Detroit, MI; 2Virginia Commonwealth University, Richmond, VA; 3Detroit Medical Center, Detroit, MI; 4University of Michigan School of Medicine, Ann Arbor, MI; 5John D. Dingell VA Medical Center & Wayne State University, Detroit, MI

P0225. Exposure to Oral Bisphosphonates and Risk of Gastrointestinal Cancer Daein Choi, MD, Seulggie Choi, MD, Jooyoung Chang, MD, Sang Min Park, MD, PhD, MPH; Seoul National University College of Medicine, Seoul, Seoul-t’ukpyolsi, Republic of Korea

P0226. Combined Cap-Assisted Total Water with Chromoendoscopy (CATWCE) Further Enhanced Detection of Proximal Colon Adenomas and Clinically Significant Serrated Lesions - A Retrospective Analysis Joseph Leung, MD, FRCP, FACP, MACG1, Andrey Melnik, BSc1, Andrew W. Yen, MD, MAS, FACG1, Hui Jia, MD2, Felix Leung, MD3; 1Sacramento VA Medical Center, VANCHCS, Mather, CA; 2Sepulveda Ambulatory Care Center, VAGLAHS and David Geffen School of Medicine at UCLA, Northridge, CA; 3Sepulveda Ambulatory Care Center, VAGLAHS, David Geffen School of Medicine at UCLA, North Hills, CA

P0227. Knowledge, Attitudes, and Practices of Residents and Fellows Regarding Colorectal Cancer Screening in the USA Yousaf Hadi, MD1, Rahul Raiker2, Gorman Reynolds, MD3; 1West Virginia University Hospital, Morgantown, WV; 2West Virginia University, Morgantown, WV; 3West Virginia University Hospital, Ruby Memorial Hospital, Morgantown, WV

P0228. Impact of the Affordable Care Act on Colorectal Cancer Staging in Patients at a Safety Net Healthcare System in Phoenix, Arizona Victor Arce, MD1, Cris Jacob R. Molina, MD2, Tarek I. Eid, MD3, Derek Murray4, Paul Kang, MS, MPH5, Keng-Yu Chuang, MD6; 1University of Colorado, Aurora, CO; 2Banner University Medical Center, Phoenix, CA; 3University of California Irvine, Orange, CA; 4Maricopa Integrated Health System, Phoenix, AZ; 5University of Arizona College of Medicine, Phoenix, AZ; 6Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ

P0229. Retroflexion in the Right Colon in Screening Colonoscopy: A Retrospective Analysis Nimy John, MD1, Curuchi Anand, MD2; 1St. Vincent Hospital/University of Massachusetts Medial School, Worcester, MA; 2University of Massachusetts Medical School, Worcester, MA

P0230. Body Mass Index (BMI) and Race Affect Adenoma Formation: A Large Single Center Cohort of Patients Undergoing Screening Colonoscopy Laura Pestana, MD1, Sooraj Tejaswi, MD, MSPH2, Megan Humphrey, MD1, Machelle Wilson, PhD1, Souvik Sarkar, MD, PhD2; 1University of California Davis, Sacramento, CA; 2University of California Davis Medical Center, Sacramento, CA

P0231. Optimal Withdrawal Time Associated With Average Risk, Screening Colonoscopies Shashank Sarvepalli, MD, MS1, Ari Garber, MD1, Michael Rothberg, MD, MPH1, Gareth Morris-Stiff, MD, PhD1, John McMichael, PhD1, John J. Vargo, MD2, Maged Rizk, MD1, Carol A. Burke, MD, FACG2; 1Cleveland Clinic, Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P0232. Electronic Medical Record Adaptable, Automated Risk-Stratification Tool to Identify Patients at Risk of Non-Adherence to Colonoscopy Referrals Shashank Sarvepalli, MD, MS1, Gautam Mankaney, MD1, Ari Garber, MD1, Michael Rothberg, MD, MPH1, Gareth Morris-Stiff, MD, PhD1, John McMichael, PhD1, John J. Vargo, MD2, Maged Rizk, MD1, Carol A. Burke, MD, FACG2; 1Cleveland Clinic, Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P0233. Endoscopists With Lower Polyp Detection Rate Are Likely to Perform One-And-Done Colonoscopy: Analysis From a Large Multicenter Consortium of Endoscopy Practices in the United States Kalpit Devani, MD1, Paris Charilaou, MD2, Dhruvil Radadiya, MBBS1, Srinivas Gaddam, MD3, Mark Young, MD1, Chakradhar M. Reddy, MD, FACP4; 1East Tennessee State University, Johnson City, TN; 2St. Peter’s University Hospital, New Brunswick, NJ; 3Cedars-Sinai Medical Center, Los Angeles, CA; 4East Tennessee State University, Quillen College of Medicine, Johnson City, TN

P0234. Young-Onset Colorectal Cancer Related Hospitalizations: It’s Time to Pay Attention Hemant Goyal, MD, FACP1, Rupak Desai, MBBS2, Upenkumar Patel, MBBS, MPH3, Wardah Siddiq, MBBS4, Rajiv Chhabra, MD, MRCP (UK), FACG5; 1Mercer University School of Medicine, Macon, GA; 2Atlanta VA Medical Center, Decatur, GA; 3Nassau University Medical Center, East Meadow, NY; 4Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA; 5St. Luke’s Hospital, Kansas CIty, MO

P0235. Assessing the Impact of Metformin Use on Colonic Polyp Behavior Ching-Ho Huang, MD1, Gabriel Karkenny, MD2, Carlos Buitrago, MD3, James L. Araujo, MD4; 1SUNY Downstate Medical Center, Brooklyn, NY; 2Long Island Jewish Medical Center, Brooklyn, NY; 3University of Southern California Medical Center, Brooklyn, NY; 4Veterans Affairs Harbor Healthcare System, Brooklyn, NY

P0236. Impact of Patient and Physician Characteristics Associated With Adenoma Detection Rate: A Single Institution Study Tausif Siddiqui, MD1, Jonathan E. Barsa, MD2, Brad Dworkin, MD, FACG1, Edward Lebovics, MD3, Beth Schorr-Lesnick, MD, FACG4; 1New York Medical College, Valhalla, NY; 2Westchester Medical Center, Valhalla, NY; 3Westchester Medical Center at New York Medical College, Valhalla, NY; 4New York Medical College at Westchester Medical Center, Valhalla, NY

P0237. A Randomized Controlled Trial of Financial Incentives to Increase Colorectal Cancer Screening Presidential Poster Award Shivan J. Mehta, MD, MBA, MSHP, Rebecca S. Pepe, MPH, Nicole B. Gabler, PhD, MPH, MHA , Mounika Kanneganti, BA, Catherine Reitz, MPH, Chelsea Saia, MPH, Joseph Teel, MD, David A. Asch, MD, MBA, Kevin G. Volpp, MD, PhD, Chyke A. Doubeni, MD, MPH; University of Pennsylvania, Philadelphia, PA


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P0238. Older Adult Perspectives Toward Surveillance Colonoscopy: A Qualitative Study Kathy Cazares, MS31, Sharon O’Connor, MBA, MS2, Audrey H. Calderwood, MD, MS, FACG3; 1Dartmouth Hitchcock Medical Center, Geisel School of Medicine, Lebanon, NH; 2Center for Program Design & Evaluation, Dartmouth College, Lebanon, NH; 3Geisel School of Medicine and Dartmouth Institute of Health Policy and Clinical Practice, Dartmouth-Hitchcock Medical Center, Lebanon, NH

COLORECTAL CANCER PREVENTION Clinical Vignettes / Case Reports

P0239. Hamartomas and Carcinoma: A Family Presenting with Cowden Syndrome Ali Wazir, MBBS1, Haider Rahman, MD1, Mayank Lahoti, DO2, Seth J. Richter, MD1; 1Albany Medical Center, Albany, NY; 2Gastroenterology Consultants of South Jersey, Lumberton, NJ

P0240. Longstanding IBS vs Metastatic Mucinous Adenocarcinoma: A Diagnostic Dilemma Sameer Prakash, DO, Chandralekha Ashangari, MD, Shayan Siddiqui, MD, Kaylee Shepherd, MD; Texas Tech University Health Sciences Center, Amarillo, TX

P0241. Peutz-Jeghers Phenotype Caused by an Unknown Variant APC Gene Sathvika Gaddam, MD, Tyler Aasen, MD, Ali Bokhari, MD, Vindhya Sriramoju, MD, Lawrence Schmidt, MD; East Tennessee State University, Johnson City, TN

P0242. A Masquerading Mass: An Appendiceal Fecalith Posing as a Submucosal Lesion Shruthi Narasimha, MD, Rupal Patel, MD, Reynaldo Geerken, MD; University of South Florida, Tampa, FL

ENDOSCOPY VIDEO FORUM

P0243. Endoscopic Removal of Eroding Silastic Gastric Bands - A Case Series Ramzi Mulki, MD, Edward Lin, DO, MBA, Saurabh Chawla, MD, FACG; Emory University School of Medicine, Atlanta, GA

P0244. Needle Knife Therapy for Anal and Colonic Strictures and Diverticular Fecalith Removal in a Patient With Crohn’s Disease Amandeep Singh, MD 1, Long Vu, MD2, Bo Shen, MD3; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P0245. Lumen-Apposing Metal Stent for the Treatment of Colonic Primary Crohn’s Disease Stricture Jose Melendez-Rosado, MD1, Freeha Khan, MD2, Bo Shen, MD3; 1Cleveland Clinic Florida, Weston, FL; 2Cleveland Clinic, Cleveland, OH; 3Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P0246. Confocal Endomicroscopy of Solid Pseudopapillary Tumor of the Pancreas Anjuli Luthra, MD, Antoinette Pusateri, MD, Martha Yearsley, MD, Carl Schmidt, MD, Somashekar Krishna, MD, MPH; The Ohio State University Wexner Medical Center, Columbus, OH

P0247. The Spectrum of Confocal Endomicroscopy Findings in Cystic Neuroendocrine Tumors of the Pancreas Anjuli Luthra, MD, Christina Arnold, MD, Andrei Manilchuk, MD, Somashekar Krishna, MD, MPH; The Ohio State University Wexner Medical Center, Columbus, OH

P0248. Large Gastrointestinal Stromal Tumor Removed With EFTR Involving the Novel Use of the OverStitch Device as a Pulley System Jose Nieto, DO, FACG1, Ameya Deshmukh2, Raul Torres, MD3; 1Borland Groover Clinic, Ponte Vedra, FL; 2Midwestern University, Erie, PA; 3Borland Groover Clinic, Jacksonville, FL

P0249. Boerhaave Syndrome Treated with Endoscopic Suturing Alan Chen, MD, Raymond Kim, MD; University of Maryland Medical Center, Baltimore, MD

P0250. Successful Endoscopic Management of a Malignant Gastro-Retroperitoneal Fistula Ali Alshati, MD1, Mankanwal S. Sachdev, MD2, Alan Tan, MD3, Diego Muilenburg, MD4, Toufic Kachaamy, MD4; 1Maricopa Integrated Health System, Phoenix, AZ; 2Arizona Centers for Digestive Health, Gilbert, AZ; 3Cancer Treatment Centers of America, Phoenix, AZ; 4Cancer Treatment Centers of America, Goodyear, AZ

ESOPHAGUS

P0251. Radiofrequency Ablation Outcomes in Barrett’s Esophagus Patients With Obstructive Sleep Apnea With Severe Obesity Megan Murphy, MD, Rebecca Loh, MD, Colin Huntley, MD, Anthony Infantolino, MD, Christina Tofani, MD; Thomas Jefferson University Hospital, Philadelphia, PA

P0252. Esophagogastroduodenoscopy and Esophageal Involvement in Patients With Pemphigus Vulgaris Katharine Ozeki, MD1, Thomas A. Zikos, MD1, John Clarke, MD1, Irene Sonu, MD2; 1Stanford University, Stanford, CA; 2Stanford University School of Medicine, Stanford, CA

P0253. Patient Reported Outcomes After Pneumatic Dilation for Achalasia Abid Javed, MD, Kevin Batte, MD, Mohamed Khalaf, MD, Pooja Elias, MD, MPH, Donald O. Castell, MD, MACG; Medical University of South Carolina, Charleston, SC

P0254. Eosinophillic Esophagitis: Insights From National Readmission Database Abhishek Bhurwal, MBBS, MD1, Hemant Raj Mutneja, MBBS, MD2, Ishani Shah, MD3, Pavan Brahmbhatt4, Raja Chandra Chakinala, MD5, Khwaja F. Haq, MD6, Shantanu Solanki, MD, MPH5, Michael Bartel, MD7, Aruj Choudhry, MD8, David Rahni, MD9, Bhaumik Brahmbhatt, MBBS, MD10; 1Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 3St. Joseph’s Hospital and Medical Center, Phoenix, AZ; 4NHL Municipal Medical College, Gujarat, India; 5New York Medical College at Westchester Medical Center, Valhalla, NY; 6Henry Ford Hospital, Detroit, MI; 7Fox Chase Medical Center, Philadelphia, PA; 8Temple University Hospital, Philadelphia, PA; 9Saint Barnabas Medical Center, Livingston, NJ; 10Mayo Clinic, Jacksonville, FL

P0255. Examining Symptom Severity, Compensatory Maneuvers, and Healthcare Seeking Among Adults With Dysphagia in the U.S.: Results From a Population-Based Survey of 5,000 Americans Presidential Poster Award Christopher Adkins, MD1, Will Takakura, MD1, Brennan M. R. Spiegel, MD, MSHS1, Mei Lu, MS2, Montserrat Vera-Llonch, MD, MPH2, James Williams, MD3, Christopher V. Almario, MD1; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2Shire, Cambridge, MA; 3Shire, Lexington, MA

P0256. Esophageal Dilation Demonstrates That the Majority of Esophageal Strictures Are Located in the Distal Esophagus in Adults With Eosinophilic Esophagitis Ryan Wang, BA1, Angelika Zalewski, BS1, Dyanna Gregory, MS2, Ikuo Hirano, MD1; 1Northwestern University Feinberg School of Medicine, Chicago, IL; 2Northwestern University, Evanston, IL



P0257. Prevalence of Esophageal Motility Disorders in an Open Access Hybrid “Academic – Community Setting” Patient Population Mustafa Alani, MD 1, Layth Al-Jashaami, MD2, Michael Mills, MD, MPH, FACG1, Sushovan Guha, MD, PhD3, Shiva K. Ratuapli, MD4; 1Banner University Medical Center, Phoenix, AZ; 2University of Arizona, Banner University Medical Center, Phoenix, AZ; 3University of Arizona College of Medicine, Phoenix, AZ; 4University of Arizona College of Medicine, Banner University Medical Center, Phoenix, AZ

P0258. Opioid Use Does Not Impact Treatment Response Among Achalasia and Esophagogastric Junction Outflow Obstruction (EGJOO) Patients: A Retrospective Cohort Study From a High Volume Tertiary Referral Center John Jacobs, MD, Wojciech Blonski, MD, PhD, Ambuj Kumar, MD, Joel E. Richter, MD, MACG; University of South Florida, Tampa, FL

P0259. Elevated Average Maximum Intrabolus Pressure on High Resolution Manometry Is Associated with Esophageal Dysmotility and Delayed Esophageal Emptying on Timed Barium Esophagrams Presidential Poster Award Joseph Smith, Steven Clayton, MD, FACP; University of South Carolina School of Medicine, Greenville, SC

P0260. The Development and Validation of an Endoscopic Grading System for Hiatal Hernia: The Houston Hiatal Criteria Nirav Thosani, MD1, Julie Guider, MD2, Julie Holihan, MD2, Prithvi Patil, MS2, Ali Raza, MD2, Harsimran Brar, MBBS2, Seung Chung, MD2, R. Tomas Davee, MD2, Todd Wilson, MD2, Reena V. Chokshi, MD3, Brooks D. Cash, MD, FACG2, Erik Wilson, MD2; 1University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX; 2University of Texas Health Science Center at Houston, Houston, TX; 3UT Health - McGovern Medical School, Houston, TX

P0261. Oral Administration of Zinc to Barrett’s Esophagus Patients Induces a Cancer Chemopreventive Molecular Profile in Barrett’s Tissue Mary C. Valenzano, BS1, Elizabeth Rybakovsky, BS1, Erin McDonnell, BS2, Elizabeth Richardson, DO2, Silpa Yalamanchili, MD2, Scott McShane, DO2, Arun Mathew, MD2, Will Huntington, DO2, Ryan Urbas, DO2, Marc Zitin, MD2, Gary Newman, MD2, Patricia Wong, MD2, James Thornton, MD2, Giancarlo Mercogliano, MD2, Louise Fong, PhD3, James M. Mullin, PhD1; 1Lankenau Institute for Medical Research, Wynnewood, PA; 2Lankenau Medical Center, Wynnewood, PA; 3Thomas Jefferson University Medical School, Philadelphia, PA

P0262. Characteristics and Pharmacological Treatment Patterns of Patients with Eosinophilic Esophagitis (EoE) in the United States: A Retrospective Claims Study Mei Lu, MS1, Montserrat Vera-Llonch, MD, MPH1, James Williams, MD2; 1Shire, Cambridge, MA; 2Shire, Lexington, MA

P0263. Air Force, Army, Navy Concentration, Symptom-Based Elimination (A-FANCSE) Diet for Eosinophilic Esophagitis Michael Sherman, MD, MS1, Daryl Fick, MD2, Charis Ross, RD2, Susan Driscoll-Bannister, RN2, Angela Bachmann, MD2, R. Daniel Lawson, MD2, Joseph Cheatham, MD, FACG3; 1Malcolm Grow Medical Clinics and Surgical Center, Joint Base Andrews, MD; 2Naval Medical Center San Diego, San Diego, CA; 3Navy Medical Center San Diego, San Diego, CA

P0264. Dysphagia Is a Common Consequence of Bariatric Surgery Alex T. Miller, MD, Karthik Ravi, MD, David A. Katzka, MD, Debra M. Geno, CCRP; Mayo Clinic, Rochester, MN

P0265. The Epidemiology of Esophageal Adenocarcinoma in the United States Presidential Poster Award Thuy-Van P. Hang, MD1, Zachary Spiritos, MD, MPH1, Anthony Gamboa, MD2, Zhengjia Chen, PhD1, Seth Force, MD1, Steve Keilin, MD1, Nabil Saba, MD3, Bassel El-Rayes, MD3, Qiang Cai, MD, PhD1, Field Willingham, MD, MPH4; 1Emory University, Atlanta, GA; 2Vanderbilt University School of Medicine, Nashville, TN; 3Emory University, Winship Cancer Institute, Atlanta, GA; 4Emory University School of Medicine, Atlanta, GA

P0266. Increased Prevalence of Autonomic Dysfunction in Patients With Eosinophilic Gastrointestinal Disorders Kevin Huang, MD1, Evan S. Dellon, MD, MPH2; 1Boston Medical Center, Boston, MA; 2University of North Carolina School of Medicine, Chapel Hill, NC

P0267. Does Multifocal Dysplasia in Barrett’s Esophagus Increase the Risk of Progression to Esophageal Adenocarcinoma? Presidential Poster Award Frederick B. Peng, MD1, Andrew C. Elden, MD2, Brianna Shinn, MD2, Joseph Spataro, MD2, David M. Kastenberg, MD3, Christina Tofani, MD2, Anthony Infantolino, MD2; 1Baylor College of Medicine, Houston, TX; 2Thomas Jefferson University Hospital, Philadelphia, PA; 3Thomas Jefferson University, Philadelphia, PA

P0268. The Epidemiology of Esophageal Candidiasis in the United States From 2012 to 2017: Results From the Explorys Database Yvonne Okereke, MD1, Emad Mansoor, MD2, Gregory Cooper, MD1; 1University Hospitals Cleveland Medical Center, Cleveland, OH; 2Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH

P0269. In-Hospital Resource Utilization and Treatment Outcomes Among Patients With Esophageal Cancer: A Nationwide Analysis Prabhjot S. Bedi, MD1, Manoj P. Rai, MD2, Samanjit K. Kandola, MD2, Heather Laird-Fick, MD2, Moamen M. Gabr, MD3, Mark Mujer, MD4, Marwan S. Abougergi, MD5; 1University of Pittsburgh Medical Center East, Pittsburgh, PA; 2Michigan State University, East Lansing, MI; 3Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA; 4Michigan State University, Lansing, MI; 5South Carolina University School of Medicine, Simpsonville, SC

P0270. The Utility of Advanced Imaging in Esophagogastric Junction Outflow Obstruction Sara Cerrone, MD1, Praneet Wander, MBBS1, Priyanka L. Singh, MD2, Yehuda Julian Spector, MD, MPH3, Bani Roland, MD, FACG3, Mary Cheung, MD4, Matthew Whitson, MD, MSEd5; 1Hofstra-Northwell Health Gastroenterology Fellowship Program, New Hyde Park, NY; 2Hofstra-Northwell Internal Medicine Residency Training Program, New Hyde Park, NY; 3Northwell Health, Lenox Hill Hospital, New York, NY; 4Northwell Physician Partners, New Hyde Park, NY; 5Northwell Health Physician Partners, Manhasset, NY

P0271. A Single Tertiary Care Center Experience of Treating Barrett’s Esophagus Refractory to Radiofrequency Ablation with Cryotherapy Archish Kataria, MD, Christopher Moreau, BSBME, Muhammad Haris, MD, Jonathan Foster, DO, Sandeep Patel, DO, Laura Rosenkranz, MD; University of Texas Health San Antonio, San Antonio, TX

P0272. Hygiene Hypothesis and the Risk of Eosinophilic Esophagitis - A Nationwide Study Ali Abbas, MD, Joel E. Richter, MD, MACG; University of South Florida, Tampa, FL


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P0273. Surveillance of Non-Surgical Patients With Complete Clinical Response of Esophageal Cancer Following Neoadjuvant Therapy Daniel Baik, MD1, Aruj Choudhry, MD1, Abhishek Bhurwal, MBBS, MD2, Stephen Heller, MD3, Jeffrey Tokar, MD4, Michael Bartel, MD5; 1Temple University Hospital, Philadelphia, PA; 2Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 3Temple University Hospital, Philadephia, PA; 4Fox Chase Cancer Center, Temple University, Philadelphia, PA; 5Fox Chase Medical Center, Philadelphia, PA

P0274. Use of a Minimally Invasive Cell Sampling Device (Cytosponge) in the Diagnosis of Esophageal Pathology: A Systematic Review and Pooled Analysis Umair Iqbal, MD1, Osama Siddique, MD2, Anais Ovalle, MD2, Hafsa Anwar, MBBS3, Steven Moss, MD2; 1Bassett Medical Center, Cooperstown, NY; 2Alpert Medical School of Brown University, Providence, RI; 3Dow University of Health and Sciences, Cooperstown, NY

P0275. Efficacy and Safety of ‘No Clean’ Radiofrequency Ablation of Barrett’s Esophagus Mark Malamood, MD, Rebecca Loh, MD, Christina Tofani, MD, Anthony Infantolino, MD; Thomas Jefferson University Hospital, Philadelphia, PA

P0276. Association Between Proton Pump Inhibitor Use and Fracture Incidence: An Updated Systematic Review and Meta-Analysis Yousef Nassar, MD, Seth J. Richter, MD; Albany Medical Center, Albany, NY

P0277. Documenting the Journey of Patients with Eosinophilic Esophagitis and Its Impact on Their Caregivers Robin M. Pokrzywinski, PhD1, Gale Harding, MA1, Anne Brooks, BSc1, Lora Todorova, MPH, MBA2, James Williams, MD3; 1Evidera, Bethesda, MD; 2Shire, Zug, Switzerland; 3Shire, Lexington, MA

P0278. A Comparison of Open Standard Esophageal Stent and Anti-reflux Stent with Valve: A Meta-Analysis of Randomized Controlled Trials Sudha Pandit, MD1, Hrishikesh Samant, MD2, James Morris, MD, FACG1, Moheb Boktor, MD1; 1LSU Health, Shreveport, LA; 2LSU Health Shreveport and Willis Knighton Health System, Shreveport, LA

P0279. Association of Helicobacter pylori Infection and Esophageal Adenocarcinoma: A Meta-Analysis Ahmed I. Edhi, MD1, Tusar Desai, MD1, Joel Howard Rubenstein, MD, MSc2; 1William Beaumont Hospital, Royal Oak, MI; 2University of Michigan, Ann Arbor, MI

P0280. Despite Histologic Remission in Eosinophilic Esophagitis, Esophageal Distensibility Does Not Have Short-Term Changes Kristle Lynch, MD1, Alain Benitez, MD2, Jonathan Gross2, Cynthia Li2, Maureen DeMarshall, BSN, RN3, Craig R. Gluckman, MD4, Gary Falk, MD, MS3, Amanda Muir, MD, MTR2; 1The Hospital of the University of Pennsylvania, Philadelphia, PA; 2The Children’s Hospital of Philadelphia, Philadelphia, PA; 3Hospital of the University of Pennsylvania, Philadelphia, PA; 4Mount Sinai Beth Israel Hospital, New York, NY

P0281. Mucosal Loss Is the Critical Mechanism of Esophageal Stricture After Mucosal Resection: A Pilot Experiment in a Porcine Model Bingrong Liu, PhD, MD; The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, People’s Republic of China

ESOPHAGUS Clinical Vignettes / Case Reports

P0282. When Esophagus Met Bronchus: Not a Love Story Courtney Cockerell, DO, MBA, Ravinder Mankoo, MD, Francis Dailey, MD, Sami Samiullah, MD, Hammoud Ghassan, MD, MPH, Veysel Tahan, MD, FACP, FACG, FESBGH; University of Missouri, Columbia, MO

P0283. Return of Peristalsis After Heller Myotomy: A Rare Case Laura Ross, MD1, Hamza Khalid, MD2, Nannaya Jampala, MD3; 1East Carolina University/Vidant Medical Center, Greenville, NC; 2Vidant Medical Center / East Carolina University, Greenville, NC; 3Vidant Medical Center, Greenville, NC

P0284. Spindle Cell Squamous Carcinoma of the Esophagus: A Rare Malignancy With Biphasic Morphology Brian T. Moy, DO1, Alexander Potashinsky, MD2, Frank Bauer, MD 3; 1University of Connecticut Health, Manchester, CT; 2University of Connecticut Health Center, Hartford, CT; 3St. Francis Care Medical Group, P.C., Hartford, CT

P0285. A Fat Bird – A Rare Cause of Dyspnea Ali Kadhim, MD, Khalid Hajjir, MD, Kuehl Sapna, MD; St. Agnes Hospital, Baltimore, MD

P0286. A Rare Case of Primary Herpes Esophagitis in an Immunocompetent Young Adult Jennifer Onwochei, MD, MPH, MS, Qing He, MD; Newark Beth Israel Medical Center, Newark, NJ

P0287. Essential Is Not Always Visible to the Eyes, Volumetric Laser Endoscopy Revealing Adenocarcinoma Beneath Squamous Mucosa on a Background of Barrett’s Esophagus Dhineshreddy Gurala, MD1, Nassani Najib, MD, MSc2, Danial Daneshvar, MD1, Sherif Andrawes, MD2; 1Staten Island University Hospital, Staten Island, NY; 2Staten Isand University Hospital, Staten Island, NY

P0288. Acute Esophageal Necrosis After Polytrauma Blake Jacobs, MD, George Salem, MD, Donald Kastens, MD; University of Oklahoma College of Medicine, Oklahoma City, OK

P0289. Mucous Membrane Pemphigoid: A Rare Cause of Dysphagia Charles Rives, MD, Sirish Sanaka, MD, Narasimha Swamy Gollol Raju, MD, Nannaya Jampala, MD, Hamza Khalid, MD; Vidant Medical Center, Greenville, NC

P0290. Home-Made Tooth Whitener: An Unusual Cause of Dysphagia Charles Rives, MD, Hamza Khalid, MD; Vidant Medical Center, Greenville, NC

P0291. A Case of Unusual Presentation of Zollinger Ellison Syndrome Mahesh Cheryala, MD1, Brandon Cope, MS2, Andrew Kelts, DO3, Martha Ghosh, MD2, Alfonso Zangardi, MD2; 1The Wright Center for Graduate Medical Education, Scranton, PA; 2VA Medical Center, Wilkes-Barre, PA; 3Arnot Ogden Medical Center, Elmira, NY

P0292. Esophagectomy for Management of End-Stage Achalasia With Mega-Esophagus: A Case Report Ryan O’Keefe, MD1, Induruwa Pathirana, MD2; 1Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA; 2Dwight. D. Eisenhower Army Medical Center, Fort Gordon, GA

P0293. A Rare Case of Invasive Esophageal Actinomyces in a Patient with Malabsorption Armani Patel, MD1, Senuri Layer, MD2, Vania Leung, MD1, Khin Su Mon, MBBS1, Aimee Schad, MD1; 1University of Illinois at Chicago, Chicago, IL; 2University of Illinois at Chicago, Lisle, IL

P0294. A Case of Severe Esophagitis in a Patient with Gout Michelle Rosario, MD1, Nikesh Kapadia, MD1, Jon Finan, MD2, Sajiv Sethi, MD1, Patrick G. Brady, MD, FACG1; 1University of South Florida, Tampa, FL; 2Tampa General Hospital, Tampa, FL

P0295. What Lies Beneath: Abscess or Fistula? Michelle Rosario, MD, Erika Abel, MD; University of South Florida, Tampa, FL



P0296. HSV Esophagitis Masquerading as Candidiasis: Is Age to Blame? Peter Dellatore, MD, Frank Senatore, MD; Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ

P0297. Aberrant Right Subclavian Artery: A Rare Cause of Dysphagia Corey Saraceni, MD1, Wynn-C Kwan, MD1, Tejas V. Joshi, MD2, Melissa A. Spera, MD1, Stephen W. Landreneau, MD3; 1LSU Health Sciences Center, New Orleans, LA; 2LSU Health New Orleans School of Medicine, New Orleans, LA; 3Louisiana State University Health Sciences Center, New Orleans, LA

P0298. Complete Esophageal Obstruction Following Routine Esophageal Variceal Ligation Bilal Aslam, MD, Elizabeth Holt, MD, Alla Grigorian, MD, PhD, Houssam Mardini, MD, MBA, MS; University of Kentucky, Lexington, KY

P0299. A Case of Systemic Sclerosis Mimicking Achalasia Scott Liu, MD, Roy Wong, MD, MACG, Brett W. Sadowski, MD, Edward E. Bridges, II, MD, Ruben D. Acosta, MD, Lavern Belle, MD; Walter Reed National Military Medical Center, Bethesda, MD

P0300. Traumatic Nasogastric Tube Placement Causing Acute Upper GI Bleeding in a Black Esophagus: A Warning to Gastroenterologists and Clinicians Joshua M. Steinberg, MD, Jessica Rosenberg, MD, Shervin Shafa, MD; MedStar Georgetown University Hospital, Washington, DC

P0301. Management of a Complicated Case of Sandifer Syndrome Shilpa D. Kailas, MD, Rupal Patel, MD, Joel E. Richter, MD, MACG; University of South Florida, Tampa, FL

P0302. Esophageal Pancreatic Heterotopia and Dysphagia in the Absence of a Mass Summar T. Salim, DO, Lucy Joo, DO, Brian Blair, DO; Rowan University School of Osteopathic Medicine, Stratford, NJ

P0303. Actinomyces-Induced Esophageal Stricture in an Immunocompetent Host Muntasir Jahangir, MD, Daniel S. Jamorabo, MD, Benjamin Renelus, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY

P0304. An Unusual Complication of Complete Esophageal Obstruction Following Endoscopic Variceal Banding Harsh N. Patel, MD, Wojciech Blonski, MD, PhD, Patrick G. Brady, MD, FACG; University of South Florida, Tampa, FL

P0305. A Rare Cause of Mediastinitis From Colonic Interposition for Esophageal Atresia Michelle Tong, MD1, Tina Pakala, MD1, Michael Siu, MD1, Sang-Hoon Kim, MD2, Ari Bunim, MD2; 1New York Presbyterian Queens, Flushing, NY; 2New York-Presbyterian Queens, Flushing, NY

P0306. A Rare Case of Acute Esophageal Necrosis Patrick Chen, DO1, Thomas Murphy, MD1, Gregory Beck, MD2; 1Wright State University, Dayton, OH; 2Wright State University Boonshoft School of Medicine, Dayton, OH

P0307. Acute Esophageal Necrosis (AEN) Chandralekha Ashangari, MD, Taylor Lindgren, MS3, George Parker, MS3, Shayan Siddiqui, MD, Sameer Prakash, DO, Juan Garrido, MD; Texas Tech University Health Sciences Center, Amarillo, TX

P0308. A Case Tough to Swallow: Esophageal Intramural Pseudodiverticulosis Osman Ali, MD1, Hazel Asumu, MD1, Raymond E. Kim, MD2; 1University of Maryland Medical Center Midtown Campus, Baltimore, MD; 2University of Maryland, Baltimore, MD

P0309. Utility of Multiple Rapid Swallow Maneuver With High-Resolution Manometry in the Diagnosis of Hypercontractile Esophagus Micheal Tadros, MD, MPH; Albany Medical College, Albany, NY

P0310. Rare Presentation of Esophageal Duplication Cyst in Adult Muhammad Majeed, MBBS, MD1, Rohit Agrawal, MBBS1, Anas Almoghrabi, MD1, Bashar M. Attar, MD, PhD2, Muhammad A. Baig, MD1, Yazan Abu Omar, MD2, Saqib Shami, MD1; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Cook County Health and Hospitals System, Chicago, IL

P0311. Ingestion of Tetramethylethylenediamine in a Suicide Attempt Avinash V. Sharma, MD, MPH, Aniruddh Som, MBBS, Rajus Chopra, MD; MedStar Washington Hospital Center, Washington, DC

P0312. Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic Finding and Clinical Review Jade Law, MD, Muhammad Haris, MD, Karthik Garapati, MD, Juan Echavarria, MD; University of Texas Health San Antonio, San Antonio, TX

P0313. Fade to Black: Acute Esophageal Necrosis in a Vasculopathic Man Following Traumatic Hip Fracture Patrick Bagley, DO, Brett W. Sadowski, MD, Robert Wauters, MD, Philip Lindholm, MD, Patrick E. Young, MD, FACG; Walter Reed National Military Medical Center, Bethesda, MD

P0314. A Tale of Twisted Tentacles:Calamari Food Impaction with Upper Gastrointestinal Bleeding Keerthana Kasi, BS1, Tanuj Chokshi, BS, DO2, Arul Ruthwik Duggimpudi3, Neal Vasireddi4, Nikhil Vasireddi5, Adhvik Kanagala6, Srinivas S. Vasireddi, MD, FACP7, Nidah S. Khakoo, BS, MD8, Navya Sharma3, Niranjana Kasi, BS9; 1International American University College of Medicine, Morganville, NJ; 2Rowan University School of Osteopathic Medicine, Morganville, NJ; 3Advanced Digestive Center, Inc., Metuchen, NJ; 4Cornell University, Cranbury, NJ; 5Case Western Reserve University, Cleveland, OH; 6Advanced Digestive Center, Inc., Edison, NJ; 7Bayshore Medical Center/Advanced Digestive Center, Inc., Metuchen, NJ; 8Jackson Memorial Hospital/University of Miami, Morganville, NJ; 9St. George’s University School of Medicine, Morganville, NJ

P0315. Esophageal Adenocarcinoma in Barrett’s Esophagus With Low-Grade Dysplasia: A Case of an Invisible Lesion Monique DeLisser, MD1, Benjamin Hassid, MD2, Howard Chang, MD2, Mitchell Liverant, MD2; 1Kaiser Permanente Oakland Internal Medicine Residency Program, Oakland, CA; 2Kaiser Permanente Oakland Medical Center, Oakland, CA

P0316. Primary Esophageal Diffuse Large B-Cell Lymphoma With Barrett’s Esophagus: A Case Report and Literature Review Bhupinder Romana, MD, Sirish Rao, MD, Jasmine Hundal, MD, Vanessa Kuwajima-Smith, MD; University of Missouri, Columbia, MO

P0317. Esophageal Parakeratosis: Not All White Plaques Are Candida Bhupinder Romana, MD, Jasmine Hundal, MD, Mohamad Yousef, MD, Vanessa Kuwajima-Smith, MD, Matthew Bechtold, MD, FACG, Veysel Tahan, MD, FACP, FACG, FESBGH; University of Missouri, Columbia, MO

P0318. Simple or Complex? A Not so Straightforward Manifestation of Herpes Simplex Virus Shaina M. Lynch, DO, Catherine Hagen, MD, Patrick Sanvanson, MD; Medical College of Wisconsin, Milwaukee, WI

P0319. Extruding Cervical Screw: A Rare Cause of Dysphagia Nathan S. Ramrakhiani1, George Triadafilopoulos, MD, FACG2; 1Palo Alto High School, Palo Alto, CA; 2Stanford University School of Medicine, Stanford, CA

P0320. A Case of Kaposi’s Sarcoma of the Esophagus Presenting with Odynophagia Anthony Cancio, MD1, Crystale Cruz, DO2; 1Walter Reed National Military Medical Center, Bethesda, MD; 2Fort Belvoir Community Hospital, Fort Belvoir, VA


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P0321. Acute Esophageal Necrosis: The Black Hole of Endoscopy Jamie L. Skrove, DO1, Kanza Soomro, DO2, Linoj Panicker, DO2, Amandeep Kaur, DO2, Javier Sobrado, MD3; 1Larkin Community Hospital, Miami, FL; 2Larkin Community Hospital, South Miami, FL; 3Gastromed, Miami, FL

P0322. An Unusual Case of the Diffuse Villous Tumor Arising in Barrett’s Esophagus Presenting with Aspiration Pneumonia Vishal Kaila, MD1, Nirav Thosani, MD2; 1Texas Health Presbyterian, Dallas, TX; 2University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX

P0323. Esophageal Perforation Complicated by Carotid Pseudoaneurysm Francis Hartge, IV, MD, Anthony Cancio, MD, Adam Tritsch, MD; Walter Reed National Military Medical Center, Bethesda, MD

P0324. Granulomatous Esophagitis: Crohn’s Disease in Rare Form Patrick Snyder, MD1, Themistocles Dassopoulos, MD1, Arthur Bredeweg, MD1, James M. Mitchell, MD1, Rhonda F. Souza, MD2, Stuart J. Spechler, MD2, Vani Konda, MD2; 1Baylor University Medical Center, Dallas, TX; 2Baylor University Medical Center and Center for Esophageal Research, Dallas, TX

P0325. Esophageal Actinomyces in Immunocompetent Patient: That’s Unusual! Saif Bella, MD1, Atif Saleem, MD2, Mark Shumeyko, MD3; 1Wilson Hospital, Johnson City, NY; 2Wilson Hospital, Binghamton, NY; 3United Health Services Hospitals, Johnson City, NY

P0326. Oropharyngeal Dysphagia With Pyriform Sinus Dilatation Mimicking Zenker’s Diverticulum Parth Desai, DO1, Mohamed A. Elkhouly, MD1, Madhu Mathew, MD1, Palashkumar Jaiswal, MBBS2, Michael Alebich, DO1; 1Cook County Health and Hospitals System, Chicago, IL; 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL

FUNCTIONAL BOWEL DISEASE

P0327. The Role of Obesity in Fecal Incontinence Donny Kakati, MD1, Adanech W. Kidanie, MD1, Ziduo Zheng, MS2, Eugene Huang, PhD2, Jennifer Christie, MD2; 1Emory University School of Medicine, Atlanta, GA; 2Emory University, Atlanta, GA

P0328. Does the Solid Meal Utilized in a Standard Scintigraphic Gastric Emptying Test Induce Symptoms That Correlate With the Degree of Delayed Gastric Emptying in Patients With Gastroparesis? Presidential Poster Award Roxann A. Lerma, BS, Christopher Dodoo, MS, Alok Dwivedi, PhD, Kenneth Dominguez, Jesus Diaz, MD, Richard McCallum, MD; Texas Tech University Health Sciences Center, El Paso, TX

P0329. Characteristics of Gastroparetic Patients Needing Hospital Admission and 30-Day Readmission Dariush Shahsavari, MD1, Asad Jehangir, MD2, Daniel Rubin, MD, MSc, FACE1, Rajiv Bhuta, MD1, Henry P. Parkman, MD3; 1Temple University School of Medicine, Philadelphia, PA; 2Reading Hospital - Tower Health, Reading, PA; 3Temple University Hospital, Philadelphia, PA

P0330. Opioid-Induced Constipation: An Assessment of Clinical Practice Patterns and Barriers Jovana Lubarda, PhD1, Piyali Chatterjee2, Katherine Galluzzi, DO3; 1Medscape, Toronto, ON, Canada; 2Medscape, New York, NY; 3Philadelphia College of Osteopathic Medicine, Philadelphia, PA

P0331. Treatment Patterns, Over-the-Counter (OTC) Use, and Outcomes Among Patients With Irritable Bowel Syndrome With Constipation or Chronic Idiopathic Constipation: Results from the CONTOR Study Douglas C.A. Taylor, MBA1, Jessica L. Abel, MPH2, Carolyn Martin, MSW3, Alyssa Goolsby Hunter, MA3, Breanna Essoi, MPH3, Stephanie Korrer, MPH3, David S. Reasner, PhD1, William D. Chey, MD, FACG4; 1Ironwood Pharmaceuticals, Inc., Cambridge, MA; 2Allergan plc, Madison, NJ; 3Optum, Eden Prairie, MN; 4University of Michigan, Ann Arbor, MI

P0332. Impact of Linaclotide on Patient-Reported Constipation Symptoms and Quality of Life: Results From the CONTOR Study Douglas C.A. Taylor, MBA1, Jessica L. Abel, MPH2, William D. Chey, MD, FACG3, Alyssa Goolsby Hunter, MA4, Breanna Essoi, MPH4, Stephanie Korrer, MPH4, David S. Reasner, PhD1, Carolyn Martin, MSW4; 1Ironwood Pharmaceuticals, Inc., Cambridge, MA; 2Allergan plc, Madison, NJ; 3University of Michigan, Ann Arbor, MI; 4Optum, Eden Prairie, MN

P0333. The Rao Protocol for Anal Incontinence Improves Key Patient Reported Outcomes as Well as Objective Endurance on High Resolution Anorectal Manometry Holly Greenwald, MD, David Kunkel, MD; University of California San Diego, La Jolla, CA

P0334. Characteristics of Patients Who ‘Fail’ Biofeedback Therapy for Anal Incontinence: Discordance Between Patient Reported Outcomes, Stool Diary Findings, and Objective Manometric Parameters Holly Greenwald, MD, Kevin Cohenmehr, BS, David Kunkel, MD; University of California San Diego, La Jolla, CA

P0335. Evaluation of the Safety and Tolerability of Plecanatide in CIC and IBS-C Patients Aged 65 and Older Stacy B. Menees, MD, MS1, William D. Chey, MD, FACG1, Robert Crozier, PhD2; 1University of Michigan, Ann Arbor, MI; 2Synergy Pharmaceuticals Inc., New York, NY

P0336. Significance of Chronic Abdominal Wall Pain, Association With Fibromyalgia and Response to Treatment With Trigger Point Injections: A Retrospective Study Avanija Buddam, MD1, Arun Kanmanthareddy, MD2, Manjari Devidi, MBBS, MS3, Sunil Dacha, MBBS3; 1Creighton University, Omaha, NE; 2University of Texas at Houston, Houston, TX; 3Emory University School of Medicine, Atlanta, GA

P0337. Characterization of Abdominal Pain Response to Rifaximin in Patients with Irritable Bowel Syndrome with Diarrhea (IBS-D), by Baseline Pain Severity Presidential Poster Award Anthony Lembo, MD1, Zeev Heimanson, PharmD2, Brooks D. Cash, MD, FACG3; 1Harvard Medical School, Boston, MA; 2Salix Pharmaceuticals, Bridgewater, NJ; 3University of Texas Health Science Center at Houston, Houston, TX

P0338. An Open Label Long-Term Safety Trial (T3MPO-3) of Tenapanor in Patients With Irritable Bowel Syndrome With Constipation (IBS-C) Presidential Poster Award Anthony Lembo, MD1, William D. Chey, MD, FACG2, David P. Rosenbaum, PhD3; 1Harvard Medical School, Boston, MA; 2University of Michigan, Ann Arbor, MI; 3Ardelyx, Inc., Fremont, CA



P0339. Naldemedine Is Effective in the Treatment of Opioid-Induced Constipation in Chronic Non-Cancer Pain in Subjects With or Without Inadequate Response to Laxatives Jan Tack, MD, PhD1, Martin E. Hale, MD2, Eric Krauter, PhD3, Tadaaki Yamada, MS3, Takaaki Yokota, MSc4, James E. Wild, MD5; 1Translational Research Center for Gastrointestinal Disorders (TARGID), University of Leuven, Leuven, Brussels Hoofdstedelijk Gewest, Belgium; 2Gold Coast Research, LLC, Plantation, FL; 3Shionogi Inc., Florham Park, NJ; 4Shionogi & Co., Ltd, Kita-ku, Osaka, Japan; 5Upstate Clinical Research Associates, Williamsville, NY

P0340. Beliefs and Practices of Canadian and U.S. Physicians Regarding the Use of Probiotics for Gastrointestinal Illnesses Premysl Bercik, MD1, Brian Craig, MD2, Eytan Wine, MD, PhD3, Brian Yan, MD4, William D. Chey, MD, FACG5; 1McMaster University, Hamilton, ON, Canada; 2Saint John Regional Hospital, Saint John, NB, Canada; 3University of Alberta, Edmonton, AB, Canada; 4Western University, London, ON, Canada; 5University of Michigan, Ann Arbor, MI

P0341. Assessment of Gastric Sensitivity and Symptom Patterns in Patients With Functional Dyspepsia With or Without Bile Gastropathy Amol Sharma, MD1, Anam Herekar, MD2, Jigar Bhagatwala, MD, MPH2, Satish S.C. Rao, MD, PhD1; 1Augusta University Medical Center, Augusta, GA; 2Augusta University, Augusta, GA

P0342. Facilitating Diagnosis of Dyssynergic Defecation in Children With Acquired Outlet Dysfunction Constipation Rossella Turco, MD, Jennifer Webster, DO, Alain Benitez, MD, Keri Dowds, RN, Kristin Fiorino, MD, Ritu Verma, MD, John Boyle, MD; The Children’s Hospital of Philadelphia, Philadelphia, PA

P0343. Majority of Patients With Irritable Bowel Syndrome Do Not Have Comorbid Borderline Personality Disorder Janice Cho, MD1, Brian Palmer, MD, MPH2, Jean Fox, MD1; 1Mayo Clinic, Rochester, MN; 2Mayo Clinic, Minneapolis, MN

P0344. Efficacy and Safety of Eluxadoline in IBS-D Patients Who Report Inadequate Symptom Control With Prior Loperamide Use: A Phase 4, Multicenter, Multinational, Randomized, Placebo-controlled, Double-blinded Study (RELIEF) Presidential Poster Award Darren Brenner, MD1, Catherine Gutman, PhD2, Esther Jo3; 1Feinberg School of Medicine, Northwestern Memorial Hospital, Chicago, IL; 2Allergan plc, Madison, NJ; 3Allergan plc, Irvine, CA

FUNCTIONAL BOWEL DISEASE Clinical Vignettes / Case Reports

P0345. Splenic Artery Thrombosis as the Sole Presentation of Polycythemia Vera Marcelle Meseeha, MD, Maximos Attia, MD, Tsujung Yang, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA

P0346. Rare Presentation of Severe Gastroparesis After Atrial Fibrillation Ablation Tania LeGrand, BS1, Samir Shah2, Nimesh Khatri, MD1; 1MedStar Shah Medical Group, Hollywood, MD; 2MedStar Shah Medical Group, Mechanicsville, MD

P0347. A Need to Raise Awareness for Cyclic Vomiting Syndrome: An Underdiagnosed Clinical Entity Loba Alam, MD 1, Abhishek Bhurwal, MBBS, MD2, John Franzese, MD1; 1Overlook Medical Center, Summit, NJ; 2Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ

P0348. A Rare Cause of Severe Gastroparesis - Ehler Danlos Syndrome Lakshmi Asritha Gollapudi, MD1, Brad Dworkin, MD, FACG, FACN2; 1New York Medical College at Westchester Medical Center, Valhalla, NY; 2Westchester Medical Center, Valhalla, NY

GENERAL ENDOSCOPY

P0349. Adenoma Detection Rates in Patients in the 40-49 Year Age Group Across Different Ethnicities Presidential Poster Award Thanh-Truc Le, MD1, Mohammad Bilal, MD1, Yamam I. Al-Saadi, MD2, Shailendra Singh, MD3, Praveen Guturu, MD, FACG1; 1University of Texas Medical Branch, Galveston, TX; 2University Of Texas Medical Branch Galveston, Galveston, TX; 3West Virginia University, Charleston Area Medical Center, Charleston, WV

P0350. Esophagogastroduodenoscopy With Every Endoscopic Ultrasound Study - Is It Necessary? A Single Center Experience Mouhanna K. Abu Ghanimeh, MD, Ahmed Abdulhamid, MD, Sara Stanley, MD, Jinyu Zhang, MD, Ahmed Elbanna, MD, Fitsum Kumssa, MD, Tobias Zuchelli, MD; Henry Ford Hospital, Detroit, MI

P0351. Hiatal Width: A Novel Measure of Hiatal Hernia J. Robert Evans, MD, FACG1, Ryan Moore2, David Chacon, BS3; 1University of California Riverside, Redlands, CA; 2Brigham Young University, Redlands, CA; 3San Bernardino, CA

P0352. A Canadian Outpatient Experience of Intrajejunal Levodopa/Carbidopa Intestinal Gel Sarah S. Al Ghamdi, MD1, Amir Rumman, MD2, Louis Liu, MD, BEng, MEng, PhD, FRCP(C)2; 1University of Toronto, Toronto, NU, Canada; 2University of Toronto, Toronto, ON, Canada

P0353. Efficacy of Mucosal Incision-Assisted Biopsy for the Diagnosis of Upper Gastrointestinal Subepithelial Tumors: A Systematic Review and Meta-Analysis Amaninder Dhaliwal, MD1, Aravdeep S. Jhand, MBBS2, Harmeet S. Mashiana, MD3, Rajani Rangray, MD4, Harlan Sayles, MS1, Ishfaq Bhat, MD5, Shailender Singh, MD6, Douglas G. Adler, MD7; 1University of Nebraska Medical Center, Omaha, NE; 2Creighton University School of Medicine, Omaha, NE; 3University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 4Creighton University, Omaha, NE; 5Beth Israel Deaconess Medical Center, Boston, MA; 6Nebraska Medical Center, Omaha, NE; 7University of Utah School of Medicine, Salt Lake City, UT

P0354. Factors Associated With Adequate Bowel Preparation for Outpatient Colonoscopies at a High-Volume Community Hospital Daniel S. Jamorabo, MD, Benjamin Renelus, MD, Simran Gill, MD, Gurpreet Singh, MD, Abhishek Sadhu, MD, Daniel Golpanian, MD, Ofem Ajah, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY

P0355. Fighting Lengthy Cecal Intubation Times With Proning Brooke Corning, MD, Jessica Davis, MD, Cynthia Yoshida, MD, Amy Doran, MD, Jeanetta W. Frye, MD, Andrew P. Copland, MD; University of Virginia, Charlottesville, VA

P0356. The Impact of the Affordable Care Act on Colonoscopy Cancellation Rates Thomas Borecky, BS, Michael Borecky, BS, Lauren Chang, BA, Alexander Chang, BS, Aslam Godil, MD, Andrew Chang, MD, Roy Foliente, MD, Kevin Hill, DO, Benjamin Brichler, MD; Sierra Nevada Gastroenterology Medical Associates, Inc., Grass Valley, CA

P0357. Foreign Body Impaction: A Decade Review Jean Abed, MD1, Elijah Verheyen, MD1, Bharat Monga, MD1, John C. Rowland, MS2, Michael S. Smith, MD, MBA3, Il Paik, MD1; 1Mount Sinai St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; 2Icahn School of Medicine at Mount Sinai, New York, NY; 3Mount Sinai West & Mount Sinai St. Luke’s Hospitals, New York, NY

P0358. Diagnostic Yield of Endoscopy in Patients with Chronic Anemia Without Classic Iron Deficiency: A Retrospective Study in the U.S. Veterans Population Brian Dinh, MD, Christopher Chan, DO, Ronald J. Markert, PhD, Padmini Krishnamurthy, MD; Wright State University Boonshoft School of Medicine, Dayton, OH


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P0359. Safety and Efficacy of Dedicated Cold versus Standard Snares Jane Roberts, MD, PhD1, Joseph Anderson, MD, MHCDS2, Heiko Pohl, MD, MPH 1; 1Dartmouth-Hitchcock Medical Center, Lebanon, NH; 2Geisel School of Medicine at Dartmouth, Hanover, NH

P0360. The Endoscopy Unit: An Opportunity for Obstructive Sleep Apnea Screening Kiranmayee Kandragunta, MBBS, Jose Melendez-Rosado, MD, Katia Rodriguez, MD, Jeff Jacobs, MD, Fernando Castro, MD, FACG; Cleveland Clinic Florida, Weston, FL

P0361. Comparison of Peroral Endoscopic Myotomy with Right Shoulder Elevated Supine Position versus Left Lateral Position for Achalasia Nanjun Wang, MD, Ningli Chai, MD, PhD, Enqiang Linghu, MD, PhD; Chinese PLA General Hospital, Beijing, People’s Republic of China

P0362. Correlation of Routine Gastrointestinal Imaging Findings to Endoscopy in the Community Setting - A Retrospective Analysis Colin Woodard, DO1, Eric Berthiaume, MD2; 1Kent Hospital, Warwick, RI; 2Kent Hospital, University of New England College of Osteopathic Medicine, Warwick, RI

P0363. Impact of Fellow Involvement and Fellowship Training Year on Adenoma Detection Rate: A Single Tertiary Institution Study Tausif Siddiqui, MD1, Jonathan E. Barsa, MD2, Brad Dworkin, MD, FACG1, Edward Lebovics, MD3, Beth Schorr-Lesnick, MD, FACG4; 1New York Medical College, Valhalla, NY; 2Westchester Medical Center, Valhalla, NY; 3Westchester Medical Center at New York Medical College, Valhalla, NY; 4New York Medical College at Westchester Medical Center, Valhalla, NY

P0364. Adverse Events of Endoscopic Ultrasound Guided Fine Needle Aspiration (EUS-FNA) of Lower Gastrointestinal Tract: 10 Year, Single-Center Experience Adriana A. Luzuriaga Chavez, MD, Irina M. Cazacu, MD, Brian R. Weston, MD, William Ross, MD, Jeffrey H. Lee, MD, Manoop S. Bhutani, MD; MD Anderson Cancer Center, Houston, TX

P0365. Considerations on Serum Electrolytes After a Sulfate-Based Bowel Prep Russell W. Pelham, PhD, Matthew L. Walker, PhD, Mark vB. Cleveland, PhD; Braintree (a part of Sebela Pharmaceuticals), Braintree, MA

P0366. Identifying Behaviors and Characteristics of High Quality Endoscopy Educators: Do We Practice What We Preach? Reid Hopkins, MD1, Lindsay Demers, MS, PhD2, Christopher Huang, MD2, Sharmeel K. Wasan, MD1; 1Boston Medical Center, Boston, MA; 2Boston University School of Medicine, Boston, MA

GENERAL ENDOSCOPY Clinical Vignettes / Case Reports

P0367. An Upper Endoscopy Autoimmune “Hat Trick”: Esophagitis Dissecans Superficialis, Autoimmune Gastritis, and Celiac Disease Christopher S. Choo, MD1, Jafary Farfara, BS1, Kevin Song, MD2, Brian J. Hanson, MD3, Hector Mesa, MD4, Emilie Hudalla, PharmD4; 1University of Minnesota Medical School, Minneapolis, MN; 2University of Minnesota, Minneapolis, MN; 3Minneapolis VA and University of Minnesota, Minneapolis, MN; 4Minneapolis Veterans Affairs Medical Center, Minneapolis, MN

P0368. Coil Migration After Embolization of the Gastroduodenal Artery Steven Tsistrakis, MD1, Simi Singh, MD2, Jahnavi Naik, MD1; 1Mount Sinai Beth Israel, New York, NY; 2University of California Los Angeles, Santa Monica, CA

P0369. Gastric Xanthelasma: Innocent Bystander? Mona Domadia, MD1, Adib Chaaya, MD2, Joshua DeSipio, MD3, William Rafferty, MD1; 1Cooper University Hospital, Camden, NJ; 2Cooper University Healthcare, Mt. Laurel, NJ; 3Cooper University Hospital, Mt. Laurel, NJ

P0370. A Surprising Life-Changing Screening Colonoscopy Sailaja Pisipati, MD, FRCS, Ting-Hui Hsieh, MD; University of Nevada Reno School of Medicine, Reno, NV

P0371. Feeds Through the Liver - Can This Happen? Omar Abughanimeh, MD1, Mahmoud Isseh, MD2, Laith Numan, MD1, Mouhanna K. Abu Ghanimeh, MD2; 1University of Missouri, Kansas City, MO; 2Henry Ford Hospital, Detroit, MI

P0372. A Case of Large Asymptomatic Pharyngeal Vascular Malformation Vanessa Sostre, MD, Luis C. Ortiz, MD, Hiren Patel, MD, Manrique Guerrero, DO, Ariy Volfson, MD; St. Joseph’s University Medical Center, Paterson, NJ

P0373. Rare Complications of Percutaneous Endoscopic Gastrostomy Tube Placement Vanessa Sostre, MD, Luis C. Ortiz, MD, Yana Cavanagh, MD, Joseph Shami, MD; St. Joseph’s University Medical Center, Paterson, NJ

P0374. A Case of Henoch-Schönlein Purpura on Endoscopy Aniqa Kohen, MD1, Jad Bou-Abdallah, MD2, Theodore Pettle, MD1, Jan Novak, MD1; 1University at Buffalo Jacobs School of Medicine, Buffalo, NY; 2Western NY VA Medical Center, Buffalo, NY

P0375. Endoscopic Extraction of a Migrated Coil From the Duodenum 9 Years After Superior Mesenteric Artery (SMA) Aneurysm Embolization Suha Abushamma, MD1, Monica Ray, MD2; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH

P0376. Suspected Acetaminophen Overdose Causing Acute Esophageal Necrosis Yousaf Zafar, MD1, Ghazal Khan, MD1, Marjan Nazer, MD1, Eslam Dosokey, MD1, Omar Abughanimeh, MD1, Laith Numan, MD1, Sean Doran, DO1, Khalil M. Abuamr, MD2; 1University of Missouri, Kansas City, MO; 2Truman Medical Center, Kansas City, KS P0377. Endoscopic Removal of Gastric Perforating Fish Bone Samer Azab, MD1, Kaveh Hajifathalian, MD, MPH2, Shirley Cohen-Mekelburg, MD, MS3, Amy Tyberg, MD4, David Wan, MD2; 1Alexandria University Faculty of Medicine, Alexandria, Al Iskandariyah, Egypt; 2New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY; 3University of Michigan, Ann Arbor, MI; 4Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ

P0378. Polyethylene Glycol Electrolyte Solution: Safety Considerations in Atopic Patients Fernando J. Bonilla, MD, Walisbeth Class, MD, Arelis Cordero, MD, Doris Toro, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P0379. Abdominal Pain After Colonoscopy Abhijeet Waghray, MD1, Caroline Jouhourian, MD2; 1Tufts Medical Center, Boston, MA; 2Steward St. Elizabeth’s Medical Center, Boston, MA

P0380. Metastatic Prostate Cancer Presenting as Solitary Hepatic Flexure Colon Polyp Gregory Wagner, DO1, Konstantin Peysin, DO1, Chunghun Chang, MD, FACP1, Vera Platsky, MD2, Eleonora Akker, DO1, Michael Bernstein, MD1; 1Coney Island Hospital, Brooklyn, NY; 2Coney Island Hospital, Brooklyn, NY

P0381. Large Retroperitoneal GIST in a Patient With Neurofibromatosis Diagnosed With EUS Laith Al momani, MD, Maria Zayko, MD, Alison Smith, MD, Puneet Goenka, MD, Mark Young, MD; East Tennessee State University, Johnson City, TN

P0382. Rare Case of Intestinal Lipomatosis Presenting With Hemorrhage Darlene M. Wilhelm, APRN-CNP1, Syed Uzair Hamdani, MD1, Vinaya Gaduputi, MD2; 1Mercy Health/St. Vincent Medical Center, Toledo, OH; 2SBH Health System, Bronx, NY



P0383. Mirror, Mirror With the Scope!! Stalin Subramanian, MD1, Chirag Patel, MD2, Aaron Thomas, DO2, Juan Echavarria, MD2; 1San Antonio Uniformed Services Health Education Consortium, San Antonio, TX; 2University of Texas Health San Antonio, San Antonio, TX

P0384. Hiding in Plain Sight: A Large Ampullary Adenoma Only Seen on Side-View Evaluation Vincent Chao Chang, MD1, Zain Moosvi, MD1, Zachary Lu, BSc1, David P. Lee, MD, MPH2, Jason Samarasena, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine, Orange, CA

P0385. Unexpected Capsule Endoscopy Findings: A Case of How an Initial Evaluation for Polyposis Syndrome Led to the Discovery of Multiple Foreign Bodies Benjamin Pottebaum, DO1, Lirio Polintan, MD, FACG2, Charles Ruzkowski, MD, FACG2, Matthew Lute, DO2, Jimmy Giang, DO2, Neha V. Kaiser, DO2; 1Parkview Medical Center, Pueblo, IA; 2Parkview Medical Center, Pueblo, CO

P0386. Getting to the Point: Sharp Object Retrieval via Push Endoscopy in the Setting of a Contained Duodenal Perforation Frederick S. Rozenshteyn, MD1, Melissa Hershman, MD2, Praneet Korrapati, MD1, Seth Cohen, MD1; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel, St. Luke’s and West, New York, NY

P0387. EUS Guidance in Diagnosing a Rare Case of Lung Adenocarcinoma Metastatic to Pancreas Devashree Dave, MD1, Maen Masadeh, MD2, Rami El Abiad, MD1; 1University of Iowa Hospitals & Clinics, Iowa City, IA; 2University of Iowa, San Francisco, CA

P0388. Learning Points From a Case of Opiate Body Packing Melissa Hershman, MD1, Elijah Verheyen, MD2, Frank Andrew Nelson, MD3; 1Mount Sinai Beth Israel, St. Luke’s and West, New York, NY; 2Mount Sinai St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; 3Mount Sinai St. Luke’s Hospital, New York, NY

GI BLEEDING

P0389. Management of Acute Gastrointestinal Bleed in Jehovah’s Witnesses: A Tertiary Care Bloodless Medicine Center Experience Pamela Kim, MD1, Shifa Umar, MD1, Erin Suydam, MD2, Anastasios Kapetanos, MD2; 1Allegheny Health Network, Pittsburgh, PA; 2Allegheny General Hospital, PIttsburgh, PA

P0390. Non-Variceal Upper Gastrointestinal Hemorrhage Is a Rare Complication After Percutaneous Coronary Intervention for Myocardial Infarction, but Has a Detrimental Effect on Mortality: A National Analysis Over 11 Months Mohammad Bilal, MD1, Ronald Samuel, MD1, Maryam Murtaza, MD2, Mazen K. Khalil, MD3, Sreeram Parupudi, MD, FACP, FACG1, Marwan S. Abougergi, MD4; 1University of Texas Medical Branch, Galveston, TX; 2None, Philadelphia, PA; 3Columbia Heart Clinic, Columbia, SC; 4South Carolina University School of Medicine, Simpsonville, SC

P0391. AIM65 Score Predicts Adverse Outcomes for Both Non-Variceal and Variceal GI Bleeding in an Inner City Underserved Population Fiorela Calderon Sandoval, MD1, Mauricio Torrealba, MD2, Gabriel Alonso1, Holly Rodin, PhD3, Hernando Gonzalez, MD1; 1Hennepin County Medical Center, Minneapolis, MN; 2University of Minnesota, Minneapolis, MN; 3Hennepin Healthcare, Minneapolis, MN

P0392. Prophylactic Clipping to Prevent Post-Polypectomy Bleeding: Is It Worth It? Vivian Lee, MD, MSc1, Marc J. Landsman, MD2, Jason Abdallah, MD1, Aparna Roy, MD1, Dalbir S. Sandhu, MD1; 1Case Western Reserve University/MetroHealth Medical Center, Cleveland, OH; 2MetroHealth Hospital, Cleveland, OH

P0393. A Single Center Study on Guideline Adherence to H. pylori Testing Alexander Jenkins, DO1, Stefanie Gallagher, BS, MBE2, David Hanna, DO, MSc 3, David Truscello, DO4, Justin DeRosa, DO5, Steven Lichtenstein, DO6; 1Walter Reed National Military Medical Center, Bethesda, MD; 2Philadelphia College of Osteopathic Medicine, Cherry Hill, NJ; 3Geisinger Health System, Glen Allen, VA; 4Rowan SOM Jefferson Health, Stratford, NJ; 5Rowan-SOM Jefferson Health, Stratford, NJ; 6Mercy Health System and Philadelphia College of Osteopathic Medicine, Darby, PA

P0394. Erythromycin and Upper Gastrointestinal Bleeding: A Meta-Analysis for 2018 Bhupinder Romana, MD1, Vanessa Kuwajima-Smith, MD1, Michelle Matteson-Kome, APN, PhD1, Douglas Nguyen, MD2, Srinivas Puli, MD3, Matthew Bechtold, MD, FACG1; 1University of Missouri, Columbia, MO; 2University of California Irvine Medical Center, Anaheim, CA; 3University of Illinois, Peoria, IL

P0395. A Retrospective Review Assessing the Efficacy of PPIs in Preventing Gastrointestinal Bleeding in Patients on DAPT: A Single Center Experience Laith Al momani, MD1, Lindsey C. Shipley, MD2, Sukhdeep Bhogal, MD1, Zia Rahman, MD1, Tyler Morgan, MA1, Jennifer Phemister, MD1, Chakradhar Reddy, MD1; 1East Tennessee State University, Johnson City, TN; 2University of Alabama at Birmingham, Birmingham, AL

P0396. Evaluation and Management of Gastrointestinal Bleeding After Left Ventricular Assist Device Placement: A National Multi-Center Survey Presidential Poster Award Caren Taylor, MD1, Vivek Kaul, MD, FACG2, Krystle Bittner, MPH1, Truptesh Kothari, MD1, Shivangi Kothari, MD1; 1University of Rochester Medical Center, Rochester, NY; 2University of Rochester, Rochester, NY

P0397. Impact of Night and Weekend Upper Endoscopy on Outcomes in Intensive Care Unit Patients With Upper Gastrointestinal Bleeding Nina Gupta, MD1, Eric Swei, MD2, Thomas R. Wagner, MD3, K. Gautham Reddy, MD1, Andrew Aronsohn, MD1, Neil Sengupta, MD1, Vijaya Rao, MD1; 1University of Chicago Medical Center, Chicago, IL; 2University of Chicago Hospitals, Chicago, IL; 3University of Chicago, Chicago, IL

P0398. Gastrointestinal Hemorrhage Associated BacteremiaExtracorporeal Membrane Oxygenation (ECMO): Temporal Trends and Outcomes Raja Chandra Chakinala, MD1, Shantanu Solanki, MD, MPH1, Khwaja F. Haq, MD2, Muhammad Ali Khan, MD3, Uvesh Mansuri, MD4, Muhammad Talha Farooqui, MD5, Abhishek Bhurwal, MBBS, MD6, Srikanth Yandrapalli, MD1, George P. Jolly, MBBS1, Zubair Khan, MD, CMQ7, Mohammad Arsalan Siddiqui, MD2, Khwaja S. Haq, MBBS8, Nauman Siddiqui, MD9, Shilpkumar Arora, MBBS, MPH10, Anam S. Burney, MD11, Azam H. Burney, MD11, Christopher Nabors, MD, PhD1; 1New York Medical College at Westchester Medical Center, Valhalla, NY; 2Henry Ford Hospital, Detroit, MI; 3University of Tennessee Health Science Center, Memphis, TN; 4MedStar Health Internal Medicine, Baltimore, MD; 5Memorial Hermann Hospital, Pearland, TX; 6Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 7University of Toledo Medical Center, Toledo, OH; 8Kingsbrook Jewish Medical Center, Woodbury, NY; 9Tufts Medical Center, Boston, MA; 10Guthrie Clinics, Philadelphia, PA; 11Kingsbrook Jewish Medical Center, Brooklyn, NY

P0399. Gastrointestinal Hemorrhage in Patients with End-Stage Renal Disease (ESRD): Insights From the Healthcare Utilization Project Raja Chandra Chakinala, MD1, Khwaja F. Haq, MD2, Shantanu Solanki, MD, MPH1, Muhammad Ali Khan, MD3, Muhammad Talha Farooqui, MD4, Mohammad Arsalan Siddiqui, MD2, Zubair Khan, MD, CMQ5, Nauman Siddiqui, MD6, Abhishek Bhurwal, MBBS, MD7, Rehan Farooqi, MD8, Khwaja S. Haq, MBBS9, Anam S. Burney, MD10, Azam H. Burney, MD10, Christopher Nabors, MD, PhD1, Savneek S. Chugh, MD11; 1New York Medical College at Westchester Medical Center, Valhalla, NY; 2Henry Ford Hospital, Detroit, MI; 3University of Tennessee Health Science Center, Memphis, TN; 4Memorial Hermann Hospital, Pearland, TX; 5University of Toledo Medical Center, Toledo, OH; 6Tufts Medical Center, Boston, MA; 7Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 8MedStar Union Memorial Hospital, Baltimore, MD; 9Kingsbrook Jewish Medical Center, Woodbury, NY; 10Kingsbrook Jewish Medical Center, Brooklyn, NY; 11New York Medical College at Westchester Medical Center, Hawthorne, NY


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P0400. EUS-Guided Coil Embolization with Absorbable Hemostatic Gelatin Sponge vs. Cyanoacrylate Injection for Treatment of Gastric Varices: Comparison of Clinical Outcomes and Health Care Utilization Presidential Poster Award Thomas J. Wang, MD1, Ahmad Bazarbashi, MD2, Christopher C. Thompson, MD3, Marvin Ryou, MD3; 1Massachusetts General Hospital, Boston, MA; 2Brigham & Women’s Hospital, Boston, MA; 3Brigham & Women’s Hospital/Harvard Medical School, Boston, MA

GI BLEEDING Clinical Vignettes / Case Reports

P0401. A Rare Cause of Hematochezia Necessitating Surgical Resection: Massive Colonic Angiodysplasia Francis Dailey, MD, Erica Turse, DO, MPH, Maliha Naseer, MD, Veysel Tahan, MD, FACP, FACG, FESBGH; University of Missouri, Columbia, MO

P0402. An Unexpected Source: An Unusual Source of Bleeding in a Post-Liver Transplant Patient With Hereditary Hemorrhagic Telangiectasia (HHT) Lolwa Alobaid, MD, Ahmed Abdelfattah, MD, Saad Javed, MD, Anita Krishnarao, MD, MPH, Shams Iqbal, MD, Fredric Gordon, MD; Lahey Hospital and Medical Center, Burlington, MA

P0403. Massive Splenomegaly as Initial Presentation of Diffuse Large B-Cell Lymphoma Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA

P0404. Endovascular Stenting of a Malignant Portal Vein Thrombus Causing a Gastric Variceal Bleed Brian T. Moy, DO1, Erik R. Bee, MD2; 1University of Connecticut Health, Manchester, CT; 2Radiology Associates of Hartford, P.C., Hartford, CT

P0405. Portal Hypertensive Esophagopathy: A Real Entity? Caitlin Marshall, MD1, Gilad Shapira, DO1, Manoj Kumar, MD, MPH1, C. Alex Wiles, BA1, Divya Nadella, MD1, Nicholas Ludvik, MD1, Phillip Henderson, MD1, Tawfik Khoury, MD2, Meir Mizrahi, MD1; 1University of South Alabama, Mobile, AL; 2Hadassah Medical Center, Jerusalem, Yerushalayim, Israel

P0406. Over the Scope Clip to Control Major Bleeding of Gastric Adenocarcinoma Safa Maharsi, BS , Hamza Abdulla, MD, Timothy Krill, MD, Harshwardhan Thaker, MD, PhD, Sreeram Parupudi, MD, FACP, FACG, Marc Shabot, MD, MACP, FACG; University of Texas Medical Branch, Galveston, TX

P0407. Recurrent Gastrointestinal Bleed After Interventional Emblotherapy Monjur Ahmed, MD, FACG, Cecilia Kelly, MD, Curtis Alloy, DO, Brian Karp, MD; Thomas Jefferson University, Philadelphia, PA

P0408. A Case of Upper GI Bleed in an Adult with VACTERL Naren S. Nallapeta, MBBS, Jose R. Estrada, MD, Naveen Prasad Gopalakrishnan Ravikumar, MD; University at Buffalo, Buffalo, NY

P0409. Dieulafoy Lesion of the Rectum Ki Eum, DO, Kenneth Bogenberger, MD, Scott Nguyen, MD, Caleb B. Hudspath, DO, Franklin Goldwire, MD, Jessica Bunin, MD; Tripler Army Medical Center, Honolulu, HI

P0410. A Rare Presentation of Upper Gastrointestinal Bleeding Secondary to an Aortoesophageal Fistula Following Esophageal Stent Placement Mohammad A. Yousef, MD, Ebubekir S. Daglilar, MD, Kevin P. Cowley, MD, Farnaz Shariati, MD, Abdul Mukhtadir Khan, MD; Ochsner Clinic Foundation, New Orleans, LA

P0411. The Detection and Management of a Pancreaticoduodenal Aneurysm Resulting in a GI Bleed Peter Dellatore, MD, Kristina Katz, MD, Haroon Shahid, MD; Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ

P0412. Cholecystocolonic Fistulous Catastrophe! Kaivan Salehpour, MD1, Ramin Bagheri, MD1, Shifat Ahmed, MD2; 1University of Arizona College of Medicine, Phoenix, AZ; 2University of Arizona, Phoenix, Phoenix, AZ

P0413. An Unusual Cause of Obscure Gastrointestinal Bleeding Unmasked by Video Capsule Endoscopy Sailaja Pisipati, MD, FRCS, Ting-Hui Hsieh, MD; University of Nevada Reno School of Medicine, Reno, NV

P0414. Recurrent Ulcer Bleed in a Patient With Henoch-Schonlein Purpura (HSP) and Cytomegalovirus (CMV) Infection Jonathan Kuang, MRCP, Jacqueline Yang, MRCP; Tan Tock Seng Hospital, Singapore, Singapore

P0415. Upper Gastrointestinal Bleeding in a Patient With Concomitant Bullous Pemphigoid and Acquired Factor 8 Deficiency Jonathan Kuang, MRCP, Wei Da Chew, MRCP; Tan Tock Seng Hospital, Singapore, Singapore

P0416. Superior Vena Cava Obstruction - A Rare Cause of Recurrent Esophageal Variceal Bleeding: Case Report Agazi Gebreselassie, MD, MSc1, Ahmad Awan, MD1, Hamid Yaqoob, MD1, Angesom Kibreab, MD1, Victor Scott, MD1, Hassan Ashktorab, PhD2, Charles Howell, MD2, Farshad Aduli, MD1, Adeyinka Laiyemo, MD, MPH2; 1Howard University Hospital, Washington, DC; 2Howard University, Washington, DC

P0417. Arteriogastric Fistula: A Rare Complication of Peptic Ulcer Disease Muhammad Haris, MD1, Jade Law, MD2, Souleymane Diallo, DO2, Allan Parker, DO2, Kent W. Rohweder, MD2; 1University of Texas Health San Antonio, San Antonio, TX; 2University of Texas Health Science Center at San Antonio, San Antonio, TX

P0418. A Fatal Case of Cytomegalovirus Duodenitis Exacerbated by Aggressive Immunosuppression to Treat Presumed IgA Vasculitis Michael Rosman, MD, Saikiran M. Kilaru, MD, Renee Williams, MD; New York University School of Medicine, New York, NY

P0419. Hematochezia and Submucosa Hematomas Along the Gastrointestinal Tract From AL Amyloidosis Patrick Chen, DO, Melinda Wayde, MD, Salma Akram, MD; Wright State University, Dayton, OH

P0420. Atherosclerotic Disease Leading to Dieulafoy Lesion Tudor Gradinariu, DO1, Harry Nguyen, DO2, Karthik Mohan, DO2; 1Palmetto General Hospital, Miami Lakes, FL; 2Palmetto General Hospital, Hialeah, FL

P0421. Iliac Artery Pseudoaneurysm: A Rare Cause of Obscure Overt Gastrointestinal Bleeding Tatiana Teslova, MD, Sameer Siddique, MD; Albert Einstein Medical Center, Philadelphia, PA

P0422. Small Bowel Varices: Beyond Our Reach? Tina Pakala, MD1, Frank Senatore, MD2, Moshe Rubin, MD3; 1New York Presbyterian Queens, Flushing, NY; 2Rutgers University, Robert Wood Johnson Medical Center, New Brunswick, NJ; 3New York-Presbyterian Queens, Flushing, NY

P0423. A Rare Case of Primary Jejujnal Lymphangiectasia Presenting as Gastrointestinal Bleeding Managed with Intraoperative Enteroscopy and Resection Sruthi Kapliyil Subramanian, MD, Bhavtosh K. Dedania, MD, Vishnu Mohan, MD, Hani A Zamil, MD; University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX



P0424. A Case of a Bleeding Meckel’s Masquerading as an Arterio-venous Malformation Philip Chuang, MD1, Yi-Chia Wu, BS, MD2, Il Paik, MD3, Arkadiy Kheyfits, DO4, Amita Kamath, MD, MPH5; 1Mount Sinai Beth Israel, St. Luke’s and West, New York, NY; 2Mount Sinai Beth Israel, New York, NY; 3Mount Sinai St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; 4Mount Sinai St. Luke’s and West, New York, NY; 5Mount Sinai Health System, New York, NY

P0425. Subcapsular Hematoma: An Unusual Complication of ERCP Sally Ziatabar, DO, Andrew A. Nguyen, DO, Jusuf Zlatanic, MD; Lenox Hill Hospital, New York, NY

P0426. Sometimes, What’s on the Outside Matters: A Rare Case of a Bleeding Para-Esophageal Varix With Resultant Hemothorax Aaron Thomas, DO1, Chirag Patel, MD2, Jacqueline Rampy, MD1, Souleymane Diallo, DO1, Amy Schindler, MD2, Stalin Subramanian, MD3; 1University of Texas Health Science Center at San Antonio, San Antonio, TX; 2University of Texas Health San Antonio, San Antonio, TX; 3San Antonio Uniformed Services Health Education Consortium, San Antonio, TX

P0427. Management of Refractory Bleeding From Peristomal Varices Secondary to Oxaliplatin-Associated Portal Hypertension Hao Chi Zhang, MD1, John Stroehlein, MD2; 1University of Texas Health Science Center at Houston, Houston, TX; 2University of Texas MD Anderson Cancer Center, Houston, TX

P0428. Hepatocelluar Carcinoma Invading the Gallbladder - A Rare Cause of Hemobilia Nihar Shah, MBBS1, Amreet K. Aujla, MD2, Nha T. Duong, DO1, Marisa Terino, MD1; 1University of Connecticut Health Center, Farmington, CT; 2University of Connecticut Health, Farmington, CT

P0429. A Coil Calamity Amruta Panwala, MBBS1, Nihar Shah, MBBS2, Alexander Perelman, DO, MS2, Roopjeet K. Bath, MBBS1; 1University of Connecticut, Farmington, CT; 2University of Connecticut Health Center, Farmington, CT

P0430. Trident Technique of Hemo-Clipping to Successfully Control Bleeding Dieulafoy Lesions: A Case Series Keerthana Kasi, BS1, Navya Sharma2, Tanuj Chokshi, BS, DO3, Nikhil Vasireddi4, Nidah S. Khakoo, BS, MD5, Arul Ruthwik Duggimpudi2, Divya Sudireddi, MBBS2, Neal Vasireddi2, Srinivas S. Vasireddi, MD, FACP6, Niranjana Kasi, BS7; 1International American University College of Medicine, Morganville, NJ; 2Advanced Digestive Center, Inc., Metuchen, NJ; 3Rowan University School of Osteopathic Medicine, Morganville, NJ; 4Case Western Reserve University, Cleveland, OH; 5Jackson Memorial Hospital/University of Miami, Morganville, NJ; 6Bayshore Medical Center/Advanced Digestive Center, Inc., Metuchen, NJ; 7St. George’s University School of Medicine, Morganville, NJ

P0431. Life Threatening Gastrointestinal Bleeding From Stomal Varices Managed by Transjugular Intrahepatic Portosystemic Shunt and Amplatzer Plug Embolization David Wilhoite, BS, Tyler Aasen, DO, Lawrence Schmidt, MD; East Tennessee State University, Quillen College of Medicine, Johnson City, TN

P0432. All That Bleeds! Visceral Artery Pseudo Aneurysm as a Rare Cause of Recurrent Fresh Gastrointestinal Bleeding Maria Bajwa, MD, Thomas Genese, MD, FACP, Adam Cloud, MD, RPVI; United Health Services Hospitals, Binghamton, NY

P0433. Acquired Deficiency of Von Willebrand Factor (wWF) Associated with Intestinal Angiodysplasia Mohamed A. Elkhouly, MD1, Nisar Asmi, MD1, Afsana Asharaf, MD1, Ahmed A. Elkhouly, MD2, Alaa Hijazi, MD3, Xavier Andrade Gonzalez, MD1, Alan Urbina, MD4, Bashar M. Attar, MD, PhD1; 1Cook County Health and Hospitals System, Chicago, IL; 2Cairo University Hospitals, Cairo, Al Qalyubiyah, Egypt; 3Cairo University Hospitals, Cairo, Al Qahirah, Egypt; 4John H. Stroger, Jr. Hospital of Cook County, Chicago, IL

P0434. Complete Esophageal Occlusion Following Variceal Band Ligation: A Rare Complication and Novel Solution Brendan M. Collins, DO1, Loren P. Brook, MD, MS2, David N. Fitch, MD2, Sampath Poreddy, MD2, Richard P. Rood, MD, FACG, FACP2; 1University of Cincinnati Medical Center/University of Cincinnati College of Medicine, Cincinnati, OH; 2University of Cincinnati College of Medicine, Cincinnati, OH

P0435. Use of Minnesota Tube to Tamponade Rectal Hemorrhage Todd Looney, MD1, Zachary Junga, MD1, Nicole Harrison, MD2, Jaime Stull, MD2, Adam Tritsch, MD2; 1Walter Reed National Military Medical Center, Silver Spring, MD; 2Walter Reed National Military Medical Center, Bethesda, MD

P0436. Hereditary Hemochromatosis and Dieulafoy’s Lesion - A Plausible Association Ali Bokhari, MD1, Laith Al momani, MD1, Sathvika Gaddam, MD1, Jojo Yorke, MD1, Vinendra Gupta, MD2; 1East Tennessee State University, Johnson City, TN; 2VA Mountain Home, Johnson City, TN

P0437. Hemosuccus Pancreaticus Caused by Splenic Artery Pseudoaneurysm: A Rare Cause of Gastrointestinal Bleeding Laith Al momani, MD1, Lindsey C. Shipley, MD2, Jennifer Phemister, MD1, Jason McKinney, DO1, Mark Young, MD1; 1East Tennessee State University, Johnson City, TN; 2University of Alabama at Birmingham, Birmingham, AL

P0438. Duodenal Varices: A Rare yet Potentially Fatal Cause of Gastrointestinal Bleeding Laith Al momani, MD, Tyler Aasen, DO, Mark Young, MD; East Tennessee State University, Johnson City, TN

IBD

P0439. Clostridium difficile-Associated Outcomes Among Hospitalized Inflammatory Bowel Disease Patients in the United States: 2006-2014 Manish Shrestha, MD, Sasha Taleban, MD; University of Arizona College of Medicine, Tucson, AZ

P0440. Cardiovascular Disease in Hospitalized Patients with Inflammatory Bowel Disease Kaushal Majmudar, DO1, Luis Diaz Quintero, MD2, Juan Pablo Salazar Adum, MD2, Iva Golemi, MD2, Christian Torres, MD3, Harry Fuentes Bayne, MD, MS4, Alfonso Tafur, MD2; 1NorthShore University HealthSystem, Glenview, IL; 2NorthShore University HealthSystem, Evanston, IL; 3John H. Stroger, Jr. Hospital of Cook County, Evanston, IL; 4John H. Stroger, Jr. Hospital of Cook County, Chicago, IL

P0441. Inflammatory Bowel Disease and the Emergency Department: Risk Factors for Repeated Visits and Role of CT Imaging Lauren George, MD1, Jennifer Cahill, MD1, Fauzia Ullah1, Brendan Martin, PhD2, Nikiya Asamoah, MD1, Kathleen Idstein, PA-C1, Mukund Venu, MD1, Amar Naik, MD1; 1Loyola University Medical Center, Maywood, IL; 2Loyola University Chicago, Maywood, IL

P0442. Racial and Geographic Variation in Colectomy Rates: Insights From National Inpatient Database Abhishek Bhurwal, MBBS, MD1, Hemant Raj Mutneja, MBBS, MD2, Ishani Shah, MD3, Parth Brahmbhatt, MBBS4, Raja Chandra Chakinala, MD5, Khwaja F. Haq, MD6, Shantanu Solanki, MD, MPH5, David Rahni, MD7, Michael Bartel, MD8, Bhaumik Brahmbhatt, MBBS, MD9; 1Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 3St. Joseph’s Hospital and Medical Center, Phoenix, AZ; 4Rush University Medical Center, Chicago, IL; 5New York Medical College at Westchester Medical Center, Valhalla, NY; 6Henry Ford Hospital, Detroit, MI; 7Saint Barnabas Medical Center, Livingston, NJ; 8Fox Chase Medical Center, Philadelphia, PA; 9Mayo Clinic, Jacksonville, FL


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P0443. Clinical Outcomes of Endoscopy-Associated Perforation (EAP) in Patients With Inflammatory Bowel Disease (IBD) Amandeep Singh, MD 1, Mustanser Badar, MD2, Rocio Lopez, MS3, Jessica Philpott, MD2, Bo Shen, MD4; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P0444. Shifts in Vedolizumab Utilization Across the United States Are Associated With Improved Outcomes Jenna Koliani-Pace, MD1, Siddharth Singh, MD2, Robert Hirten, MD3, Satimai Aniwan, MD4, Gursimran Kochhar, MD5, Shannon Chang, MD6, Dana J. Lukin, MD, PhD7, Youran Gao, MD8, Matthew Bohm, DO9, Arun Swaminath, MD10, Varun Kesar, MD11, Nitin Gupta, MD12, Eugenia Shmidt, MD13, Joseph Meserve, MD2, Adam Winters, MD3, Shreya Chablaney, MD3, David Faleck, MD3, Brigid S. Boland, MD2, Preeti Shashi, MD14, Aaron Weiss, MD15, David Hudesman, MD16, Sashidhar Varma, MD9, Monika Fischer, MD, FACG9, Keith Sultan, MD17, Bo Shen, MD18, Sunanda Kane, MD19, Edward V. Loftus, Jr., MD4, Bruce E. Sands, MD, MS3, Jean-Frederic Colombel, MD3, William J. Sandborn, MD, FACG2, Karen Lasch, MD20, Michelle Luo, PhD20, Jiao Yang, PhD21, Corey Siegel, MD, MS1, Parambir S. Dulai, MD2; 1Dartmouth-Hitchcock Medical Center, Lebanon, NH; 2University of California San Diego, La Jolla, CA; 3Icahn School of Medicine at Mount Sinai, New York, NY; 4Mayo Clinic, Rochester, MN; 5Mayo Clinic, Jacksonville, FL; 6NYU Langone Health, New York, NY; 7Montefiore Medical Center, Bronx, NY; 8North Shore University Hospital, Manhasset, NY; 9Indiana University, Indianapolis, IN; 10Hofstra NorthShore-LIJ School of Medicine, New York, NY; 11Lenox Hill Hospital, New York, NY; 12University of Minnesota, Minneapolis, MN; 13University of Mississippi, Jackson, MS; 14Cleveland Clinic Foundation, Cleveland, OH; 15Montefiore Medical Center, New York, NY; 16NYU, New York, NY; 17Northwell Health, Hofstra School of Medicine, Manhasset, NY; 18Cleveland Clinic Digestive Disease Institute, Cleveland, OH; 19Mayo Clinic Rochester, Rochester, MN; 20Takeda Pharmaceuticals, U.S.A., Inc., Deerfield, IL; 21Takeda Pharmaceuticals U.S.A., Inc., Deerfield, IL

P0445. Assessment of Biologic Treatment Outcomes in Inflammatory Bowel Disease Patients with ‘Early Disease’: Results of a Systematic Literature Review Parambir S. Dulai, MD1, Vipul Jairath, PhD2, Donna Wright3, Alan Calleja3, Dirk Demuth, PhD4, Sarah Campbell-Hill, PhD5, Laurent Peyrin-Biroulet, MD, PhD6; 1University of California San Diego, La Jolla, CA; 2Western University, London, ON, Canada; 3IQVIA, London, England, United Kingdom; 4Takeda International – UK Branch, London, England, United Kingdom; 5Takeda International - UK Branch, London, England, United Kingdom; 6University Hospital of Nancy, University of Lorraine, Nancy, Lorraine, France

P0446. The Impact of Trophic Effects of Multi Strain Probiotic Preparation on Paracellular Permeability Valentina Petito, PhD1, Lucrezia Laterza, MD2, Cristina Graziani, PhD1, Alma Boninsegna, BSc3, Donatella Lucchetti, PhD4, Loris Lopetuso, MD, PhD5, Alessandro Sgambato, MD, PhD3, Franco Scaldaferri, MD, PhD1, Antonio Gasbarrini, MD, PhD1; 1Fondazione Policlinico Gemelli IRCSS, Catholic University of Sacred Heart of Rome, Rome, Lazio, Italy; 2Fondazione Policlinico Universitario Gemelli IRCSS, Catholic University of Sacred Heart of Rome, Rome, Lazio, Italy; 3Catholic University of Sacred Heart of Rome, Rome, Lazio, Italy; 4Università Cattolica del Sacro Cuore, Roma, Lazio, Italy; 5Fondazione Policlinico Universitario Gemelli Universita Cattolica del Sacro Cuore, Rome, Lazio, Italy

P0447. Impact of Cholecystectomy on Clinical Course of IBD: Increased Diarrhea, Healthcare Charges, Narcotic Use and Decreased Quality of Life Independent of Inflammation Status Maham Lodhi, MD1, Claudia Ramos del Aguila de Rivers, MD2, Marc Schwartz, MD3, Dmitriy Babichenko, MSIS4, Gong Tang, PhD2, Tanvi Nagpal, MS3, Michael Dunn, MD, FACP3, David Binion, MD, FACG2; 1Rush University Medical Center, Chicago, IL; 2University of Pittsburgh, Pittsburgh, PA; 3University of Pittsburgh Medical Center, Pittsburgh, PA; 4University of Pittsburgh School of Computing and Information, Pittsburgh, PA

P0448. Development of a Novel Longitudinal Observational Cohort of Adult and Pediatric Patients with Inflammatory Bowel Disease: TARGET-IBD Millie D. Long, MD, MPH1, David T. Rubin, MD2, Marla C. Dubinsky, MD3, John Hanson, MD4, Michael Weiss, MD5, Edward L. Barnes, MD, MPH6, Sumona Saha, MD, MPH7, Charles Moser, BS8, Robert Sandefur, BA8, Bruce E. Sands, MD, MS3; 1University of North Carolina, Center for Gastrointestinal Biology and Disease, Chapel Hill, NC; 2Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL; 3Icahn School of Medicine at Mount Sinai, New York, NY; 4Atrium Health, Charlotte, NC; 5Gastro Florida, Clearwater, FL; 6University of North Carolina at Chapel Hill, Chapel Hill, NC; 7University of Wisconsin School of Medicine & Public Health, Madison, WI; 8TARGET PharmaSolutions, Inc., Chapel Hill, NC

P0449. Analysis of Non-Melanoma Skin Cancer in the Ulcerative Colitis Program for Tofacitinib Bruce E. Sands, MD, MS1, Millie D. Long, MD, MPH2, Leonard Baidoo, MD3, Walter Reinisch, MD4, Julian Panés, MD, PhD5, Chudy I. Nduaka, DVM, PhD6, Arif Soonasra, PharmD6, Ronald D. Pedersen, MS6, Nervin Lawendy, PharmD6, Gary Chan, PharmD6, Gary S. Friedman, MD6, Chinyu Su, MD6; 1Icahn School of Medicine at Mount Sinai, New York, NY; 2University of North Carolina, Center for Gastrointestinal Biology and Disease, Chapel Hill, NC; 3Northwestern University Feinberg School of Medicine, Chicago, IL; 4Medical University of Vienna, Vienna, Wien, Austria; 5Hospital Clínic de Barcelona, IDIBAPS, CIBERehd, Barcelona, Catalonia, Spain; 6Pfizer Inc., Collegeville, PA

P0450. Under Utilization of Iron Supplementation in Inflammatory Bowel Disease (IBD) Patients With Iron Deficiency Anemia (IDA): An Experience at a Tertiary Referral IBD Center Meet Parikh, DO, Khine Shan, MD, Dhruvan Patel, MD, Neilanjan Nandi, MD; Drexel University College of Medicine, Philadelphia, PA

P0451. Long-Term Safety in the Open-Label Period of a Phase 2a Study of Brazikumab, an Antibody Against Interleukin-23 Bruce E. Sands, MD, MS1, Robert A. Gasser, Jr., MD2, Carl Gommoll, MS3, Silvio Danese, MD, PhD4; 1Icahn School of Medicine at Mount Sinai, New York, NY; 2MedImmune, Gaithersburg, MD; 3Allergan plc, Madison, NJ; 4Humanitas University, Milan, Lombardia, Italy

P0452. DVT Prophylaxis in Patients with Inflammatory Bowel Disease: Single-Center Retrospective Analysis of Care Appropriateness Olga Vitorsky, DO1, Andrew Canakis, DO2, Matthew Delmonico, DO1, William Huntington, DO1, Scott McShane, DO1, Patricia Wong, MD1, Ryan Urbas, DO1; 1Lankenau Medical Center, Wynnewood, PA; 2Boston University Medical Center, Boston, MA

P0453. ‘An Ounce of Prevention Is Worth a Pound of Cure’: Using an Objective Structured Clinical Examination to Assess Delivery of Preventative Care in IBD Irving Levine, MD1, Sondra Zabar, MD2, Elizabeth Weinshel, MD3, Colleen Gillespie, PhD2, Lisa Malter, MD2; 1NYU School of Medicine, Manhattan, NY; 2NYU School of Medicine, New York, NY; 3New York University School of Medicine, New York, NY



P0454. Demographics and Outcomes of Patients Cared for in an Integrated Academic Inflammatory Bowel Disease Center Irving Levine, MD1, Valerie Gausman, MD2, Brian P. Bosworth, MD, FACG3, Feza Remzi, MD2, Shannon Chang, MD2, David Hudesman, MD4; 1NYU School of Medicine, Manhattan, NY; 2NYU Langone Health, New York, NY; 3NYU Langone Tisch Hospital, New York, NY; 4NYU, New York, NY

P0455. Equivalent Cell Mediated Immunity to Varicella Zoster Virus in Young Patients With Inflammatory Bowel Disease Compared to Healthy Controls for Whom the Herpes Zoster Vaccine Is Recommended Freddy Caldera, DO1, Sumona Saha, MD, MPH1, Jason Browne, BS1, Kate Berlin2, Sue McCrone, BS2, Mary Hayney, PharmD, MPH2; 1University of Wisconsin School of Medicine & Public Health, Madison, WI; 2University of Wisconsin School of Pharmacy, Madison, WI

P0456. Bowel Wall Thickening on Emergency Room CT Scans - Is It Always IBD? Syed Adnan Mohiuddin, MD, Saad Al Kaabi, MD, Prem Chandra, MBBS, PhD, Joseph Angilivelil, MD; Hamad Medical Corporation, Doha, Ad Dawhah, Qatar

P0457. Demographic and Mortality Trends in Hospital Admissions for Inflammatory Bowel Disease-Related Colorectal Cancer Reza Hashemipour, MD1, Neel Patel, MD2, Sushil Ahlawat, MD3; 1Rutgers New Jersey Medical School, Jersey City, NJ; 2Rutgers New Jersey Medical School, Newark, NJ; 3Rutgers University, New Jersey Medical School, Newark, NJ

P0458. A Novel Multidimensional IBD Complexity Score Associates with Quality of Life and Predicts Unplanned Care Benjamin Click, MD, MSc1, Miguel Regueiro, MD2, William Shrank, MD3, Sandra McAnallen, RN, MS3, Marion McGowan, PhD3, Roger Kathol, MD4, Eva Szigethy, MD, PhD5; 1University of Pittsburgh Medical Center, Pittsburgh, PA; 2Cleveland Clinic, Cleveland, OH; 3University of Pittsburgh Medical Center Health Plan, Pittsburgh, PA; 4Cartesian Solutions, Minneapolis, MN; 5University of Pittsburgh, Pittsburgh, PA

P0459. Ethnic and Demographic Differences in Colectomy Rates and Timing for Ulcerative Colitis: 2007-2014 Daniel D. Bodek, DO1, Alana Persaud, MD2, Brian Blair, DO3, Sushil Ahlawat, MD2; 1Rowan-SOM/Jefferson Health NJ, Stratford, NJ; 2Rutgers University, New Jersey Medical School, Newark, NJ; 3Rowan-SOM/Jefferson Health NJ, Cherry Hill, NJ

P0460. Half of IBD Patients Without Anemia Have Iron Deficiency Leading to Similar Rates of Fatigue as Iron Deficiency Anemia Avesh Thuluvath, MD1, Divya Rayapati, BA1, Berkeley Limketkai, MD, PhD2, Alyssa Parian, MD1; 1Johns Hopkins University School of Medicine, Baltimore, MD; 2Stanford University School of Medicine, Palo Alto, CA

P0461. Real World Experience in Therapeutic Drug Monitoring in Inflammatory Bowel Disease: Lack of Anti-Drug Antibodies to Vedolizumab and Ustekinumab Compared to Anti-TNF Agents in IBD Kerri L. Glassner, DO, Ayah Oglat, MD, Bincy Abraham, MD, MS; Houston Methodist Hospital, Houston, TX

P0462. Safety of Consecutive Vedolizumab and Iron Infusions: A Retrospective Cohort Study Stephanie L. Gold, MD1, Yecheskel Schneider, MD2, Shirley Cohen-Mekelburg, MD, MS3, Ellen Scherl, MD, FACP, FACG, NYSGEF4, Adam Steinlauf, MD5; 1New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY; 2University of Pennsylvania, Philadelphia, PA; 3University of Michigan, Ann Arbor, MI; 4Weill Cornell Medical College of Cornell University, New York, NY; 5Mount Sinai School of Medicine, New York, NY

P0463. Baseline Ulcerative Colitis Endoscopic Index of Severity and Endoscopic Mayo Score Perform Similarly Predicting Response to Medical Therapy in Patients with Ulcerative Colitis Hasan Bader, MD, Lawrence Seymour, John Grady, Daniel Stein, MD, Andres Yarur, MD; Medical College of Wisconsin, Milwaukee, WI

P0464. Presenting Symptoms in Inflammatory Bowel Disease: Analysis of a Community-Based Inception Cohort Bryce Perler, MD1, Ryan Ungaro, MD2, Grayson Baird, PhD3, Meaghan Mallette4, Renee Bright, MS4, Samir Shah, MD5, Jason Shapiro, MD1, Bruce E. Sands, MD, MS2; 1Warren Alpert Medical School of Brown University, Providence, RI; 2Icahn School of Medicine at Mount Sinai, New York, NY; 3Brown University/Rhode Island Hospital, Providence, RI; 4Rhode Island Hospital, Providence, RI; 5The Warren Alpert Medical School of Brown University, Providence, RI

P0465. Efficacy and Safety of Ustekinumab for Crohn’s Disease: Results From IM-UNITI Long-Term Extension Through 3 Years Presidential Poster Award William J. Sandborn, MD, FACG1, Paul Rutgeerts, MD, PhD2, Douglas Jacobstein, MD3, Christopher Gasink, MD4, Reese Patel, PharmD4, Bin Zou, PhD3, Jewel Johanns, PhD3, Bruce E. Sands, MD, MS5, Stephen Hanauer, MD6, Stephan Targan, MD7, Subrata Ghosh, MD8, Willem de Villiers, MD9, Jean-Frederic Colombel, MD5, Brian Feagan, MD10; 1University of California San Diego, La Jolla, CA; 2University Hospital Gasthuisberg, Leuven, Vlaams-Brabant, Belgium; 3Janssen Research & Development, LLC, Spring House, PA; 4Janssen Scientific Affairs, LLC, Horsham, PA; 5Icahn School of Medicine at Mount Sinai, New York, NY; 6Northwestern University Feinberg School of Medicine, Chicago, IL; 7Cedars-Sinai Medical Center, Los Angeles, CA; 8University of Birmingham, Birmingham, England, United Kingdom; 9University of Stellenbosch, Stellenbosch, Western Cape, South Africa; 10Robarts Research Institute, London, ON, Canada

P0466. Long-Term Safety of the Anti-Mucosal Addressin Cell Adhesion Molecule-1 (MAdCAM-1) Antibody SHP647 in Ulcerative Colitis: An Open-Label Extension Study (TURANDOT II) Walter Reinisch, MD1, William J. Sandborn, MD, FACG2, Silvio Danese, MD, PhD3, Xavier Hébuterne, MD4, Bruce Salzberg, MD5, Maria Kłopocka, MD, PhD6, Dino Tarabar, MD, PhD7, Tomáš Vaňásek, MD, MPH8, Miloš Greguš, MD9, Paul Hellstern, MD10, Joo Sung Kim, PhD, MD, MS11, Miles Sparrow, MD, PhD, MBBS12, Kenneth J. Gorelick, MD13, Martina Goetsch, MD14, Caleb Bliss, PhD15, Fabio Cataldi, MD15, Séverine Vermeire, MD, PhD16; 1Medical University of Vienna, Vienna, Wien, Austria; 2University of California San Diego, La Jolla, CA; 3Humanitas University, Milan, Lombardia, Italy; 4University of Nice Sophia Antipolis, Hospital l’Archet, Nice, Provence-Alpes-Cote d’Azur, France; 5Atlanta Gastroenterology Specialists PC, Atlanta, GA; 6Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Kujawsko-Pomorskie, Poland; 7Clinic of Gastroenterology and Hepatology, Military Medical Academy, Belgrade, Kosovo, Serbia; 8Charles University Hospital, Hradec Králové, Kralovehradecky kraj, Czech Republic; 9Gastroenterology Center, Nitra, Slovakia; 10Nature Coast Clinical Research, Inverness, FL; 11Seoul National University College of Medicine, Seoul, Seoul-t’ukpyolsi, Republic of Korea; 12Alfred Hospital, Melbourne, Victoria, Australia; 13Zymo Consulting Group, Newtown Square, PA; 14Shire, Zug, Switzerland; 15Shire, Lexington, MA; 16University Hospitals Leuven, Leuven, Vlaams-Brabant, Belgium


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P0467. Long-Term Safety, Efficacy and Pharmacokinetics of the Anti-Mucosal Addressin Cell Adhesion Molecule-1 (MAdCAM-1) Monoclonal Antibody SHP647 in Crohn’s Disease: The OPERA II Study Geert R. D’Haens, MD, PhD1, Walter Reinisch, MD2, Scott D. Lee, MD3, Dino Tarabar, MD, PhD4, Edouard Louis, MD, PhD5, Maria Kłopocka, MD, PhD6, Jochen Klaus, MD, PhD7, Stefan Schreiber, MD8, Dong Il Park, MD, PhD9, Xavier Hébuterne, MD10, Fabio Cataldi, MD11, Steven W. Martin, PhD12, Satyaprakash Nayak, PhD12, Anindita Banerjee, PhD12, Kenneth J. Gorelick, MD13, William J. Sandborn, MD, FACG14; 1Academic Medical Center, Amsterdam, Noord-Holland, Netherlands; 2Medical University of Vienna, Vienna, Wien, Austria; 3University of Washington, Seattle, WA; 4Clinic of Gastroenterology and Hepatology, Military Medical Academy, Belgrade, Kosovo, Serbia; 5University Hospital of Liège, Liège, Liege, Belgium; 6Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Kujawsko-Pomorskie, Poland; 7University Hospital Ulm, Ulm, Baden-Wurttemberg, Germany; 8University Hospital Schleswig-Holstein, Christian-Albrechts-University of Kiel, Kiel, Schleswig-Holstein, Germany; 9Kangbuk Samsung Hospital, Sungkyunkwan University, Seoul, Seoul-t’ukpyolsi, Republic of Korea; 10University of Nice Sophia Antipolis, Hospital l’Archet, Nice, Provence-Alpes-Cote d’Azur, France; 11Shire, Lexington, MA; 12Pfizer, Cambridge, MA; 13Zymo Consulting Group, Newtown Square, PA; 14University of California San Diego, La Jolla, CA

P0468. Variation in IBD Prevalence by Race/Ethnicity Within an Integrated Healthcare Delivery System Monique DeLisser, MD1, Julia Wei, MPH2, Nirmala Ramalingam, MPP3, Fernando Velayos, MD4, Benjamin Hassid, MD5; 1Kaiser Permanente Oakland Internal Medicine Residency Program, Oakland, CA; 2Kaiser Permanente, Oakland, CA; 3Kaiser Permanente Oakland, Oakland, CA; 4Kaiser Permanente San Francisco Medical Center, San Francisco, CA; 5Kaiser Permanente Oakland Medical Center, Oakland, CA

P0469. Fecal Calprotectin Levels Predict Histological Healing in Ulcerative Colitis Sylvester Luu, DO1, Sonali Sarkar, PhD1, Ryan Ungaro, MD2, Anish A. Patel, DO1; 1Brooke Army Medical Center, San Antonio, TX; 2Icahn School of Medicine at Mount Sinai, New York, NY

P0470. The Use of an EMR Patient Portal (MYCHART-EPIC) in Patients With Inflammatory Bowel Disease: Preliminary Results of a Randomized Clinical Trial Jason Reich, MD1, Jill E. Harrington, MD1, Divya Shankar, MD1, Eric Jones, BS2, Janice Weinberg, ScD3, Ansu Norohna, MD1, Sharmeel K. Wasan, MD1, Francis A. Farraye, MD, MSc1; 1Boston Medical Center, Boston, MA; 2Boston University, Boston, MA; 3Boston University School of Public Health, Boston, MA

P0471. Unambiguous Real-Time Endoscopic Scoring of Ulcerative Colitis Using a Convolutional Neural Network Alexander P. Abadir, MD1, James Requa2, Andrew Ninh2, William Karnes, MD3, Mark Mattar, MD4; 1University of California Irvine, Orange, CA; 2Docbot, Irvine, CA; 3University of California Irvine Medical Center, Orange, CA; 4MedStar Georgetown University Hospital, Washington, DC

P0472. Incidence Rates of Infection and Malignancy of Patients Treated With Vedolizumab for Inflammatory Bowel Disease in Clinical Practice Steven Lin, MD, MPH, Lindsey Sattler, MD, Gila Hoffman, MD, Joseph Feuerstein, MD; BIDMC/Harvard Medical School, Boston, MA

P0473. Elderly versus Non-elderly Patients with Inflammatory Bowel Disease on Biologic Therapy: Characteristics and Outcomes Steven Lin, MD, MPH, Zachary Devore, MD, Christina Wang, MD, Jeremy R. Glissen Brown, MD, Ghideon Ezaz, MD, Kenneth Falchuk, MD, Joseph Feuerstein, MD; BIDMC/Harvard Medical School, Boston, MA

P0474. A Clinical and Radiographic Model to Guide Medical versus Surgical Management for Acute Small Bowel Obstruction in Crohn’s Disease Sarina Lowe, MD1, Justin Ream, MD2, David Hudesman, MD2, Lisa Malter, MD3, Brian P. Bosworth, MD, FACG4, Alec Megibow, MD, MPH5, Yuhe Xia, MS6, Hua Zhong, PhD6, Shannon Chang, MD6; 1University of California Los Angeles, Los Angeles, CA; 2NYU, New York, NY; 3NYU School of Medicine, New York, NY; 4NYU Langone Tisch Hospital, New York, NY; 5NYU-Langone Health, New York, NY; 6NYU Langone Health, New York, NY

P0475. Healthcare Resource Utilization in Inflammatory Bowel Disease Patients: A 2-Year Analysis Harry E. Sarles, Jr., MD, FACG1, Lucinda J. Van Anglen, PharmD2, Thomas C. Hardin, PharmD2, Schroeder P. Claudia, PharmD, PhD2; 1DHAT Research Institute, Richardson, TX; 2Healix Infusion Therapy, Sugar Land, TX

P0476. Patients Without Private or Commercial Insurance Are Less Likely to Be Worked up for Inflammatory Bowel Disease or Celiac Disease When They Present With Iron Deficiency Anemia and Diarrhea Adjoa Anyane-Yeboa, MD1, Betty Li, MD2, George Gulotta, MS1, Olivia V. Yvellez, BA1, David T. Rubin, MD1; 1Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL; 2The University of Chicago Medicine, Chicago, IL

P0477. The Incidence of Inflammatory Bowel Disease in Chicago Over an 18-Year Period Adjoa Anyane-Yeboa, MD1, Donald Goens, MD2, Olivia V. Yvellez, BA1, George Gulotta, MS1, David T. Rubin, MD1; 1Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL; 2University of Chicago Medical Center, Chicago, IL

P0478. Ustekinumab Dose Intensification Can Be Effective in Crohn’s Disease Patients Not Responding to Induction Ari Young, MD1, Steven Tsistrakis, MD1, Jason Rubinov, MD1, Elizabeth Kohan, ARNP2, Robert Hirten, MD3, Ryan Ungaro, MD3, Benjamin Cohen, MD3, Judy Cho, MD3, Bruce E. Sands, MD, MS3, Jean-Frederic Colombel, MD3, Ioannis Oikonomou, MD4; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Hospital, New York, NY; 3Icahn School of Medicine at Mount Sinai, New York, NY; 4Rush University Medical Center, Chicago, IL

P0479. Ustekinumab Improves Productivity and Reduces Work Limitation of Patients With Moderate to Severe Crohn’s Disease: Results From Three Phase 3 Clinical Trials Bruce E. Sands, MD, MS1, Chenglong Han, MD, PhD2, Dominik Naessens, PhD3, Christopher Gasink, MD4, Douglas Jacobstein, MD3, Long-Long Gao, PhD4, Brian Feagan, MD5; 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Janssen Research & Development, LLC, Malvern, PA; 3Janssen Research & Development, LLC, Spring House, PA; 4Janssen Scientific Affairs, LLC, Horsham, PA; 5Robarts Research Institute, London, ON, Canada

P0480. Adherence to Preventative Health Care Measures in Inflammatory Bowel Disease Patients Is Low Lynsey M. Maciolek, BS1, Kevin Kline, MD2, Mohammad Bilal, MD1, Wayne Fischer, PhD1, Sreeram Parupudi, MD, FACP, FACG1, Gurinder Luthra, DO1; 1University of Texas Medical Branch, Galveston, TX; 2University of Texas Medical Branch, Webster, TX



P0481. Characterization of Creatine Kinase Levels in the Tofacitinib Ulcerative Colitis Development Program Remo Panaccione, MD, FRCP1, John D. Isaacs, MBBS, PhD, FRCP2, Lea Ann Chen, MD3, Wenjin Wang, PhD4, Amy Marren, MD4, Kenneth Kwok, MS5, Lisy Wang, MD6, Gary Chan, PharmD4, Chinyu Su, MD4; 1University of Calgary, Calgary, AB, Canada; 2Institute of Cellular Medicine, Newcastle University and The NIHR Newcastle Biomedical Research Centre, Newcastle upon Tyne, England, United Kingdom; 3New York University School of Medicine, New York, NY; 4Pfizer Inc., Collegeville, PA; 5Pfizer Inc., New York, NY; 6Pfizer Inc., Groton, CT

P0482. The Association Between Disease Activity and Patient-Reported Outcomes in Patients With Moderate-to-Severe Ulcerative Colitis in the United States Marco DiBonaventura, PhD1, Danielle Bargo, MSc1, James Lucas, BS2, Daniel Bluff, BS2, Ben Hoskin, BSc2, Leonardo Salese, MD3, Joseph C. Cappelleri, PhD, MPH4; 1Pfizer Inc., New York, NY; 2Adelphi Real World, Macclesfield, England, United Kingdom; 3Pfizer Inc., Collegeville, PA; 4Pfizer Inc., Groton, CT

P0483. Dose Escalation and Treatment Patterns of Advanced Therapies Used to Treat Ulcerative Colitis: A Retrospective Database Analysis in the United States Timothy W. Smith, PhD1, Marco DiBonaventura, PhD1, David Gruben, PhD2, Danielle Bargo, MSc1, Leonardo Salese, MD3, Daniel Quirk, MD, MPH, MBA3; 1Pfizer Inc., New York, NY; 2Pfizer Inc., Groton, CT; 3Pfizer Inc., Collegeville, PA

P0484. Treatment Patterns Among Patients With Moderate-to-Severe Ulcerative Colitis in the United States Marco DiBonaventura, PhD1, Danielle Bargo, MSc1, James Lucas, BS2, Daniel Bluff, BS2, Ben Hoskin, BSc2, Leonardo Salese, MD3, Joseph C. Cappelleri, PhD, MPH4, Daniel Quirk, MD, MPH, MBA3; 1Pfizer Inc., New York, NY; 2Adelphi Real World, Macclesfield, England, United Kingdom; 3Pfizer Inc., Collegeville, PA; 4Pfizer Inc., Groton, CT

P0485. Real World Effectiveness of Advanced Therapies Among Patients With Moderate-to-Severe Ulcerative Colitis in the United States Timothy W. Smith, PhD1, Marco DiBonaventura, PhD1, David Gruben, PhD2, Danielle Bargo, MSc1, Leonardo Salese, MD3, Daniel Quirk, MD, MPH, MBA3; 1Pfizer Inc., New York, NY; 2Pfizer Inc., Groton, CT; 3Pfizer Inc., Collegeville, PA

P0486. Capsule Delivery of Fecal Microbiota Transplant Is Well Tolerated in Ulcerative Colitis Patients Adam Tabbaa, MD1, Martin Zydek, BS2, Vivian Deng, BS2, Ann Lazar, PhD, MS2, Jonathan P. Terdiman, MD, FACG2, Najwa El-Nachef, MD2; 1University of California San Francisco, San Fransisco, CA; 2University of California San Francisco, San Francisco, CA

P0487. Baseline Albumin Level Is Not a Significant Predictor of Tofacitinib Efficacy in Patients with Ulcerative Colitis: Results of Multivariate Exposure-Response Analysis Gary R. Lichtenstein, MD1, Andrew Tinsley, MD, MSc2, Xavier Roblin, MD, PhD3, Tadakazu Hisamatsu, MD, PhD4, Camille Vong, PhD5, Shinichi Tsuchiwata, MS6, Konstantinos Tsilkos, MD7, Haiying Zhang, PhD7, Arnab Mukherjee, PhD8, Chinyu Su, MD7, David T. Rubin, MD9; 1Hospital of the University of Pennsylvania, Philadelphia, PA; 2Penn State College of Medicine, Hershey, PA; 3University Hospital of Saint-Etienne, Saint-Priest-en-Jarez, Rhone-Alpes, France; 4Kyorin University School of Medicine, Mitaka-shi, Tokyo, Japan; 5Pfizer Inc., Cambridge, MA; 6Pfizer Japan Inc., Shibuya, Tokyo, Japan; 7Pfizer Inc., Collegeville, PA; 8Pfizer Inc., Groton, CT; 9Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL

P0488. Selective Inhibition of Tyrosine Kinase 2 (TYK2) with BMS-986165 Is Efficacious in IL-23–Mediated Diseases: Evidence from Preclinical IBD Models and From a Psoriasis Study James R. Burke, PhD1, Lihong Cheng, MS1, Joann Strnad, MS1, Yifan Zhang, MS1, Elizabeth M. Heimrich, BS1, Kathleen M. Gillooly, MS1, Jenny Xie, PhD1, Adriana Zupa-Fernandez, BS1, Kim Papp, MD, PhD2, Kenneth Gordon, MD3, Ihab G. Girgis, PhD1, Sudeep Kundu, PhD1, Subhashis Banerjee, MD1; 1Bristol-Myers Squibb, Princeton, NJ; 2K Papp Clinical Research and Probity Medical Research, Waterloo, ON, Canada; 3Medical College of Wisconsin, Milwaukee, WI

P0489. Factors Predicting Remission and Disease Progression of Pyoderma Gangrenosum Lesions in Patients With Inflammatory Bowel Disease Malav P. Parikh, MD1, Komal Thind, MD2, Maulik Dhandha, MD3, Niyati M. Gupta, MD4, George Khoudari, MD4, Rocio Lopez, MS5, Gursimran Kochhar, MD6, Bo Shen, MD7; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic, Akron General, Akron, OH; 3Maine Dartmouth Family Medicine Residency, Augusta, ME; 4Cleveland Clinic Foundation, Cleveland, OH; 5Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 6Mayo Clinic, Jacksonville, FL; 7Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P0490. Simplification of Validated Patient-Reported Outcome Instruments in Inflammatory Bowel Disease Michael J. Andersen Jr, MSc1, Olivia V. Yvellez, BA2, Katia El Jurdi, MD2, Donald Lei, MSc1, Talia A. Pearl, BA2, Nada Zmeter, MD2, David T. Rubin, MD2; 1Pritzker School of Medicine, University of Chicago Medicine, Chicago, IL; 2Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL

P0491. Protein-Calorie Malnutrition Reduces the Durability of Biologic Therapy in Inflammatory Bowel Disease Sarah Lechner, MD1, Steven Hendler, MD1, Kian Keyashian, MD1, David Limsui, MD1, Kefu Li, MD2, Andrea Wolf, RD3, Berkeley Limketkai, MD, PhD4; 1Stanford University School of Medicine, Stanford, CA; 2Santa Clara Valley Medical Center, San Jose, CA; 3Stanford Health Care, Stanford, CA; 4Stanford University School of Medicine, Palo Alto, CA

P0492. Exploratory Examination of Real-World Treatment Patterns of Mesalamine Products in Patients With Ulcerative Colitis Misti Paudel, PhD1, Junliang Tong, PhD1, Steven Hass, PhD2, Arpita Nag, PhD, MBA, MS3, Rachel Halpern, PhD1; 1OptumInsight Life Sciences, Inc., Eden Prairie, MN; 2H. E. Outcomes, Los Angeles, CA; 3Shire, Lexington, MA

P0493. Economics of Vaccinating Patients in a Hospital-Based Gastroenterology Practice Presidential Poster Award Manisha Apte, MD, Jason Reich, MD, Toni Zahorian, PharmD, Bhavesh Shah, RPh, BCOP, Francis A. Farraye, MD, MSc; Boston Medical Center, Boston, MA

IBD Clinical Vignettes / Case Reports

P0494. An Unusual Side Effect of Interferon Therapy Francis Dailey, MD, Erica Turse, DO, MPH, Maliha Naseer, MD, Veysel Tahan, MD, FACP, FACG, FESBGH; University of Missouri, Columbia, MO

P0495. Sustained Resolution of Multifocal Low Grade Dysplasia in Ulcerative Colitis: A Rare Progression Andrew Canakis, DO1, Peter Dellatore, MD 2, Matthew Josephson, MD2, Mark Lazarev, MD3, Steven Brant, MD2; 1Boston University Medical Center, Boston, MA; 2Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; 3The Johns Hopkins Hospital, Baltimore, MD


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P0496. IBD-Associated Malignancies: An Unusual Case of Concurrent Colon Adenocarcinoma and Small Cell Neuroendocrine Tumor Judith Staub, MD1, David Bjorkman, MD, MSPH, MSci(Epi)2; 1University of Utah, Salt Lake City, UT; 2University of Utah School of Medicine, Salt Lake City, UT

P0497. A Rare Coexistence of Crohn’s Disease and Sarcoidosis Hector Gonzalez, MD1, Leyla Maric, MD2, Andrew Ukleja, MD3; 1Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 2Cleveland Clinic Florida, Weston, FL; 3Beth Israel Deaconess Medical Center, Milton, MA

P0498. A Case of IBD, or Is It Really?! Naren S. Nallapeta, MBBS, Jose R. Estrada, MD, Robin Jindal, MBBS; University at Buffalo, Buffalo, NY

P0499. Real Life Experience With the Use of Ustekinumab for the Treatment of Inflammatory Conditions of the Ileal Pouch Steven Tsistrakis, MD1, Jason Rubinov, MD1, Ari Young, MD1, Ryan Ungaro, MD2, Benjamin Cohen, MD3, Elizabeth Kohan, ARNP2, Bruce E. Sands, MD, MS3, Jean Fred Colombel, MD2, Ioannis Oikonomou, MD4; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Hospital, New York, NY; 3Icahn School of Medicine at Mount Sinai, New York, NY; 4Rush University Medical Center, Chicago, IL

P0500. Ustekinumab-Associated Thrombocytopenia in a Patient With Refractory Crohn’s Disease Irving Levine, MD1, Vineet Rolston, MD2, Marianna Papademetriou, MD3, Lisa Malter, MD2; 1NYU School of Medicine, Manhattan, NY; 2NYU School of Medicine, New York, NY; 3Georgetown University/ Washington DC Veterans Administration, Washington, DC

P0501. Granulomatosis with Polyangiitis Presenting Primarily With Gastrointestinal Bleeding Shadi Ghadermarzi, MD, Shadman Memarian, MD, Folashade Jose, MD; Vidant Medical Center, Greenville, NC

P0502. Mesalamine-Induced Myopericarditis Marika Bergenstock, DO, Jessica McKee, DO, John Walker, DO; Geisinger Medical Center, Danville, PA

P0503. Hypersensitivity to IV Ustekinumab but Tolerance to Subcutaneous Ustekinumab in a Patient With Crohn’s Disease Noa Krugliak Cleveland, MD, Alexandra Masching, APN, FNP, David T. Rubin, MD; Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL

P0504. Rare, but Serious Extra-intestinal Complication of Inflammatory Bowel Disease Steven Russo, DO, Arslan Kahloon, MD, Michael Davis, MD; University of Tennessee College of Medicine, Chattanooga, TN

P0505. Use of Oral Low-dose Cyclophosphamide Therapy in Patients With Refractory Extensive Crohn’s Disease Roni Weisshof, MD1, Inessa Normatov, MD2, Betty Li, MD3, David T. Rubin, MD1; 1Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL; 2University of Chicago, Comer Children’s Hospital, Chicago, IL; 3The University of Chicago Medicine, Chicago, IL

P0506. Novel Use of Cyclosporine Induction Therapy as a Bridge to Tofacitinib in Severe Ulcerative Colitis Roni Weisshof, MD1, Eric Swei, MD2, Jacob E. Ollech, MD1, M. Anthony Sofia, MD1, David T. Rubin, MD1; 1Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL; 2University of Chicago Hospitals, Chicago, IL

P0507. The Use of Vedolizumab in Patients With Concomitant Cirrhosis and Crohn’s Disease NIkhil Kapila, MD1, Gianina Flocco, MD2, Bo Shen, MD3, Jamak M. Esfeh, MD2; 1Cleveland Clinic Florida, Weston, FL; 2Cleveland Clinic Foundation, Cleveland, OH; 3Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P0508. Time Does Not Heal All Wounds Maham Hayat, MD, Hussein Bitar, MD, Salman Nusrat, MD; University of Oklahoma Health Sciences Center, Oklahoma City, OK

P0509. Endoscopic Sinusotomy Using Needle Knife Technique for Treatment of H Pouch Sinus George Khoudari, MD1, Amandeep Singh, MD 2, Bo Shen, MD3; 1Hospital Medicine Institute, Cleveland Clinic Foundation, Lakewood, OH; 2Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 3Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P0510. To Treat or Not to Treat? Dilemma of CMV Ileitis and Biologic Therapy Kendra T. Stilwell, DO1, Maria T. Kurtz, DO1, Anish A. Patel, DO2, James M. Francis, DO2, David T. Lynch, MD2; 1San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX; 2Brooke Army Medical Center, San Antonio, TX

P0511. A Case of Pyoderma Gangrenosum as Skin Manifestation of SAPHO Syndrome in an IBD Patient Mitchell Kang, DO1, Seyedehsan Navabi, MD2, Allison J. Baragona, MD3, Carl Manzo, MD2, Andrew Tinsley, MD, MSc4, Emmanuelle D. Williams, MD4, Deborah Bethards, MD5; 1Penn State University - Milton S. Hershey Medical Center, Hummelstown, PA; 2Penn State University - Milton S. Hershey Medical Center, Hershey, PA; 3Penn State Health Milton S. Hershey Medical Center, Hummelstown, PA; 4Penn State College of Medicine, Hershey, PA; 5Penn State University, Hershey, PA

P0512. Septic Panniculitis Due to Fistulizing Crohn’s Disease Masquerading as Pyoderma Gangrenosum Sushma Chinni, DO 1, Shana Kothari, MD, MS2, Charles Berkelhammer, MD, FACG 3; 1University of Illinois at Chicago - Advocate Christ Medical Center, Oak lawn, IL; 2University of Illinois at Chicago - Advocate Christ Medical Center, Oak Lawn, IL; 3Advocate Christ Medical Center, Oak Lawn, IL

P0513. Active Tuberculosis Complicates the Diagnosis and Treatment of Fibrostenosing Crohn’s Disease Brendan M. Collins, DO1, Sanjeev Singh, MD1, Richard P. Rood, MD, FACG, FACP2; 1University of Cincinnati Medical Center/University of Cincinnati College of Medicine, Cincinnati, OH; 2University of Cincinnati College of Medicine, Cincinnati, OH

P0514. Mandated Payor Switching With Infliximab (IFX) Biosimilars Harry E. Sarles, Jr., MD, FACG1, Lucinda J. Van Anglen, PharmD2, Thomas C. Hardin, PharmD2; 1DHAT Research Institute, Richardson, TX; 2Healix Infusion Therapy, Sugar Land, TX

INTERVENTIONAL ENDOSCOPY

P0515. Efficacy of G-POEM or POP in Refractory Gastroparesis: A Systematic Review Naveen Prasad Gopalakrishnan Ravikumar, MD1, Kevin El-Hayek, MD2, Jeffrey Ponsky, MD2, Michael Cline, DO3, Prasanthi N. Thota, MD4, Madhusudhan R. Sanaka, MD4; 1University at Buffalo, Buffalo, NY; 2Cleveland Clinic Foundation, Cleveland, OH; 3Cleveland Clinic, Cleveland, OH; 4Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P0516. Clinical Impact of Digital Cholangioscopy in Management of Indeterminate Biliary Strictures and Complex Biliary Stones: A Single-Center Study Stephanie Yan, MD 1, Sooraj Tejaswi, MD, MSPH2; 1University of California Davis, Sacramento, CA; 2University of California Davis Medical Center, Sacramento, CA



P0517. A Multi-Center Retrospective Study of 420 EUS-Guided Fine Needle Core Liver Biopsy with a Modified 1-Pass 1-Actuation Wet Suction Technique Comparing Two Types of EUS Core Needles Jose Nieto, DO, FACG1, Ameya Deshmukh2, Michael Herman, DO3, Ali Lankarani, MD3, David Holloman, MD4, Raul Torres, MD3, Eli Penn, MD3; 1Borland Groover Clinic, Ponte Vedra, FL; 2Midwestern University, Erie, PA; 3Borland Groover Clinic, Jacksonville, FL; 4Baptist Medical Center, Jacksonville, FL

P0518. When High Viscosity of Pancreatic Cysts and Fluid Collections Precludes Effective EUS-Guided Fine Needle Aspiration: A Side-by-Side, Bench Top Comparison of Negative Pressure Devices Leonard Walsh, MD1, Lindsay Mitchell2, Ansh Johri, MS3, Matthew Moyer, MD1, Nicholas Matone, BSEE, EIT4, Mary Frecker, PhD2; 1Penn State Health Milton S. Hershey Medical Center, Hershey, PA; 2Pennsylvania State University, University Park, PA; 3Penn State College of Medicine, Hershey, PA; 4Burns & McDonnell, Farmington, CT

P0519. Musculoskeletal Pain Symptoms and Injuries Among Endoscopists Who Perform ERCP Presidential Poster Award Earl Campbell, III, MD, Thiruvengadam Muniraj, MD, PhD, Aslanian Harry, MD, Loren Laine, MD, Priya Jamidar, MD; Yale University School of Medicine, New Haven, CT

P0520. Endoscopic Ultrasound-Guided Celiac Plexus Block and Celiac Neurolysis: A Systematic Review of Efficacy, Safety, and Protocols Alastair Dorreen, MD1, Zhao Wu Meng, MD2, Avijit Chatterjee, MD, MSc2; 1University of Ottawa, Montreal, PQ, Canada; 2University of Ottawa, Ottawa, ON, Canada

P0521. Diagnostic Yield of Deep Biopsy via Endoscopic Submucosal Dissection for the Diagnosis of Upper Gastrointestinal Subepithelial Tumors: A Systematic Review and Meta-Analysis Amaninder Dhaliwal, MD1, Aravdeep S. Jhand, MBBS2, Harmeet S. Mashiana, MD3, Rajani Rangray, MD4, Harlan Sayles, MS1, Ishfaq Bhat, MD5, Shailender Singh, MD6, Douglas G. Adler, MD7; 1University of Nebraska Medical Center, Omaha, NE; 2Creighton University School of Medicine, Omaha, NE; 3University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 4Creighton University, Omaha, NE; 5Beth Israel Deaconess Medical Center, Boston, MA; 6Nebraska Medical Center, Omaha, NE; 7University of Utah School of Medicine, Salt Lake City, UT

P0522. Endoscopic Retrograde Cholangiopancreatography (ERCP) in Critically Ill Patients Is Safe and Effectively Performed in the Endoscopy Suite Domenico Farina, MD, Srinadh Komanduri, MD, MS, Abdul Aadam, MD, Rajesh Keswani, MD, MS; Feinberg School of Medicine, Northwestern University, Chicago, IL

P0523. Digital Pancreatoscopy Guided Electrohydraulic Lithotripsy for Pancreatic Duct Stones - A Multicenter Experience Itegbemie Obaitan, MD1, Fareha Iqbal, MBBS2, Guru Trikudanathan, MD1, Mustafa A. Arain, MD2, Martin Freeman, MD1; 1University of Minnesota, Minneapolis, MN; 2University of California San Francisco, San Francisco, CA

P0524. Use of Fully Covered Biliary Stents in Management of Extra-Biliary Gastrointestinal Disorders Mahak Chauhan, MD1, Zaheer H. Rizvi, MD2, Meyer Alyssa, BS2, Chandra Raghav, MD2, Kavel Visrodia, MD2, Aniket Dhariwal, BS2, Sukhman Shergill, MBBS3, Navtej S. Buttar, MD2; 1University of Missouri, Kansas City, MO; 2Mayo Clinic, Rochester, MN; 3All India Institutes of Medical Sciences, New Delhi, Delhi, India

P0525. Effect of ERCP Nurse Experience on Procedure Duration Bahaa Bseiso, MD1, Mahmoud Mosli, MBBCh, FRCPC, MSc2, Turki AlAmeel, MBBS, FRCPC1; 1King Fahad Specialist Hospital, Dammam, Ash Sharqiyah, Saudi Arabia; 2King Abdulaziz University, Jeddah, Makkah, Saudi Arabia

P0526. Does Biliary Stricture Brushing During Endoscopic Retrograde Cholangio-Pancreatography Lead to Increased Risk of Post-ERCP Pancreatitis? If So, Is It Worth It? Daria S. Yunina, MD1, Kevin Tin, MD1, Nana Gegechkori, MD1, Fidelis Okoli, MD2, Dikshya Sharma, MBBS1, Roshan Srikanthan, MD1, Shawn Mathew, BS3, Prasun Shah, MD1, Kadirawel Iswara, MD1, Ira E. Mayer, MD, FACG1, Rabin Rahmani, MD, FACG1; 1Maimonides Medical Center, Brooklyn, NY; 2Maimonides Medical Center, Brooklyn, New York, Brooklyn, NY; 3New York Institute of Technology College of Osteopathic Medicine, Brooklyn, NY

P0527. Safety of ERCP and EUS Procedures in Cirrhotic Patients Timothy S. Yoo, MD1, Raisa Epistola, MD2, Jordan Epistola, BA, BS3, Michael W. Fleischman, MD1, Sofiya Reicher, MD2, Viktor Eysselein, MD2, Linda A. Hou, MD2; 1Harbor-UCLA Medical Center, Torrance, CA; 2Harbor-UCLA Medical Center, Torrance, CA; 3University of Maryland, College Park, MD

P0528. Predictors of In-Hospital Mortality After Percutaneous Endoscopic Jejunostomy (PEJ): A Nationwide Analysis Upenkumar Patel, MBBS, MPH1, Rupak Desai, MBBS2, Dipen Zalavadia, MBBS3, Shreyans Doshi, MD4, Sudeep Ruparelia, MD5, Hardikkumar Shah, MD, MPH6, Hemant Goyal, MD, FACP7; 1Nassau University Medical Center, East Meadow, NY; 2Atlanta VA Medical Center, Decatur, GA; 3The Wright Center for Graduate Medical Education, Scranton, PA; 4UCF COM/HCA Consortium, Gainesville, FL; 5Wright Center for Graduate Medical Education, Scranton, PA; 6New York Medical College at St. Michael’s Medical Center, Newark, NJ; 7Mercer University School of Medicine, Macon, GA

P0529. Endoscopic Retrograde Cholangiopancreatography-Related Complications From the Nationwide Inpatient Sample: An Analysis of Racial Distribution, Length of Stay, and Mortality Shreyans Doshi, MD1, Diego Lim, MD2, Mohammad Bilal, MD3, Rupak Desai, MBBS4, Upenkumar Patel, MBBS, MPH5, Amir Fathi, MD6, Helen Wong, MD7, Shreyas Saligram, MD8, Madhav Desai, MD9; 1UCF COM /HCA Consortium, Gainesville, FL; 2University of Kansas Medical Center, Kansas City, KS; 3University of Texas Medical Branch, Galveston, TX; 4Atlanta VA Medical Center, Decatur, GA; 5Nassau University Medical Center, East Meadow, NY; 6University of California San Francisco, San Francisco, CA; 7VA Central California Health Care System, Fresno, CA; 8University of California San Francisco, Fresno, CA; 9KUMC, Overland Park, KS

P0530. Treatment of Small Bowel Angiodysplasia Using a Novel Radiofrequency Ablation Device Luis F. Lara, MD1, Zain Moosvi, MD2, Peter P. Stanich, MD1, Daniel Mai, BSc2, Michael Lugo, BS2, David P. Lee, MD, MPH3, Jason Samarasena, MD2; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2University of California Irvine Medical Center, Orange, CA; 3University of California Irvine, Orange, CA

P0531. Practice Patterns in the Management of Recurrent Acute Pancreatitis Jonathan Reichstein, MD1, Vaishali Patel, MD, MHS2, Parit Mekaroonkamol, MD3, Sunil Dacha, MBBS3, Steve Keilin, MD4, Qiang Cai, MD, PhD4, Field Willingham, MD, MPH3; 1Duke University, Durham, NC; 2Emory University Hospital, Atlanta, GA; 3Emory University School of Medicine, Atlanta, GA; 4Emory University, Atlanta, GA

P0532. Racial Disparities in Rates of Therapeutic Intervention During Hospitalizations for Acute Cholangitis: A National Survey Neel Patel, MD1, Reza Hashemipour, MD2, Sushil Ahlawat, MD3; 1Rutgers New Jersey Medical School, Newark, NJ; 2Rutgers New Jersey Medical School, Jersey City, NJ; 3Rutgers University, New Jersey Medical School, Newark, NJ

P0533. Gastric Access Temporary for Endoscopy (GATE): An Algorithmic Approach Towards LAMS-Assisted Temporary Reversal of Gastric Bypass Anatomy to Perform Foregut Procedures Presidential Poster Award Thomas J. Wang, MD1, Christopher C. Thompson, MD2, Marvin Ryou, MD2; 1Massachusetts General Hospital, Boston, MA; 2Brigham & Women’s Hospital/Harvard Medical School, Boston, MA


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P0534. Length of Stay, Readmissions, and Time to Return of Adequate Oral Nutrition After Introduction of Lumen Opposing Metal Wallstents for the Treatment of Symptomatic Pancreatic Fluid Collections Charles Dye, MD1, Sarah Z. Maher, MD2, Venkata Gorrepati, MD3, Brandy Headlee, PA1, Setareh Sharzehi, MD4, Jonathan T. Blandford5, Rachael Wentzel1, Sarah Haring1, Brian McAllister, MD2, Eileen Gagliardi, RN, CGRN5, Melissa Kelly, BSN, RN, CGRN2, Jennifer Maranki, MD2, Abraham Mathew1, Thomas McGarrity, MD2, Matthew Moyer, MD2, John M. Levenick, MD2; 1Penn State College of Medicine/Penn State Health Hershey Medical Center, Hershey, PA; 2Penn State Health Milton S. Hershey Medical Center, Hershey, PA; 3Penn State University - Milton S. Hershey Medical Center, Hershey, PA; 4Hershey Medical Center, Hershey, PA; 5Penn State Health, Hershey, PA

P0535. Transoral Incisionless Fundoplication: Effectiveness in Improving Typical and Atypical Symptoms of Gastroesophageal Reflux Disease Incompletely Controlled With Medical Therapy Nihit Shah, MD1, Sagar Javia, MD2, Bindiya Shah, MD1, Ravikumar Patel, MD1, Amit Sohagia, MD3; 1Easton Hospital, Easton, PA; 2American University of Antigua College of Medicine, Easton, PA; 3Twin Rivers Gastroenterology Center/Easton Hospital, Easton, PA

P0536. A Clinical Study of Continuous Peritoneal Lavage in the Treatment of Endoscopic Iatrogenic Peritoneal Contamination and Infection Bingrong Liu, PhD, MD; The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, People’s Republic of China

P0537. Efficacy and Safety of Hybrid ESD for the Rectal Neuroendocrine Tumors: A Retrospective Study Presidential Poster Award Xiangyao Wang, MD1, Ningli Chai, MD, PhD1, Enqiang Linghu, MD, PhD1, Huikai Li, MD1, Yaqi Zhai, MD1, Xiuxue Feng, MD1, Chen Du, MS1, Wengang Zhang, MS1, Jiale Zou, MS1, Longsong Li, MS1, Jingyuan Xiang2; 1Chinese PLA General Hospital, Beijing, People’s Republic of China; 2MS, Beijing, People’s Republic of China

P0538. Submucosal Tunneling Endoscopic Resection for Upper Gastrointestinal Submucosal Tumors Originating From the Muscularis Propria Layer Chen Du, MS, Ningli Chai, MD, PhD, Enqiang Linghu, MD, PhD, Zhenjuan Li, MD, Longsong Li, MS, Jiale Zou, MS, Lei Jiang, MD, Yaqi Zhai, MD, Zhongsheng Lu, MD, Jiangyun Meng, MS, Ping Tang, MS; Chinese PLA General Hospital, Beijing, People’s Republic of China

INTERVENTIONAL ENDOSCOPY Clinical Vignettes / Case Reports

P0539. Use of Endoscopic Mucosal Resection Techniques and Submucosal Lifting to Successfully Remove Foreign Bodies Abby R. Sapp, DO1, Hazem Tabbaa, DO2; 1Franciscan Alliance, Olympia Fields, IL; 2Franciscan Alliance, Lemont, IL

P0540. Treatment of Biliary Stent Complications in a Patient With Roux-En-Y Gastric Bypass Using Endoscopic Ultrasound-Directed Transgastric ERCP (EDGE): A Case Report Naveen Prasad Gopalakrishnan Ravikumar, MD, Danish Shahab, MD, Rajvinder Sidhu, MD, Robin Jindal, MBBS, Ramon Rivera, MD; University at Buffalo, Buffalo, NY

P0541. Incidental Finding of Nutcracker Syndrome of the Left Renal Vein Identified on Upper Endoscopic Ultrasound Divyesh R. Nemakayala, MD1, Julie Guider, MD2, Erik F. Rahimi, MD3, Nirav Thosani, MD3, Anil Pillai, MD4; 1Michigan State University, Lansing, MI; 2UT Health Science Center at Houston/McGovern Medical School, Houston, TX; 3University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX; 4University of Texas Health Science Center at Houston, Houston, TX

P0542. Endoscopic Closure of Persistent Anastomotic Leaks Using the US Endoscopy Padlock® Over-the-Scope Clip Zhibo An, MD, PhD1, Abdul Haseeb Shehzad, MD2, Amit Gajera, MD2; 1The Christ Hospital, Mason, OH; 2The Christ Hospital, Cincinnati, OH

P0543. Application of ERCP and Spyglass Technique in Diagnosis of Pediatric Botryoid Rhabdomyosarcoma of the Biliary Duct Zahava C. Farkas, DO1, Shalom Z. Frager, MD2, Kevin Shayani, BS3, Michelle Bravo, MD1, Larisa Debelenko, MD1, Edward Lebovics, MD1, Gregory Veillette, MD2; 1Westchester Medical Center at New York Medical College, Valhalla, NY; 2New York Medical College at Westchester Medical Center, Valhalla, NY; 3New York Medical College, Valhalla, NY

P0544. Endoscopic Ultrasound-Guided Drainage of a Walled-Off Pancreatic Necrosis via Cystoesophagostomy Rashmi Advani, MD, Michael Schopis, MD, Amar Manvar, MD, Sam Serouya, MD, Sammy Ho, MD, FACG; Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY

P0545. A Novel Use of Over-the-Scope Clip for Management of Duodenal-Renal Enteric Fistula Bilal Aslam, MD, Wesam Frandah, MD, Houssam Mardini, MD, MBA, MS; University of Kentucky, Lexington, KY

P0546. Hereditary Spherocytosis Complicated by Choledocholithiasis: Compounded Hyperbilirubinemia Samit K. Datta, MD, Anupama Inaganti, MD, Aboud Affi, MD; Aurora Sinai Medical Center, Milwaukee, WI

P0547. Massive Upper Gastrointestinal Bleeding Due to Buried Bumper Syndrome Treated by Over-the-Scope Clip Placement Mouhanna K. Abu Ghanimeh, MD, Mahmoud Isseh, MD, Allyce Caines, MD, Tobias Zuchelli, MD, Adarsh Varma, MD; Henry Ford Hospital, Detroit, MI

P0548. Successful Endoscopic Reduction of an Ileocolonic Intussusception in an Adult With Peutz-Jeghers Syndrome Mohd Amer Alsamman, MD1, Jason Ferreira, MD2, Paul Akerman, MD, FACG3; 1Alpert Medical School of Brown University, Providence, RI; 2The Warren Alpert Medical School of Brown University, Providence, RI; 3Warren Alpert Medical School of Brown University, Providence, RI

P0549. Hydrogen Peroxide-Assisted Endoscopic Necrosectomy Vanessa Sostre, MD, Yana Cavanagh, MD, Dema Shamoon, MD, Matthew Grossman, MD; St. Joseph’s University Medical Center, Paterson, NJ

P0550. Endoscopic Vacuum Therapy for the Treatment of Upper Gastrointestinal Transmural Defects Rui Morais, MD, Eduardo Rodrigues-Pinto, MD, Rodrigo Liberal, PhD, Rui Gaspar, MD, Cristina Fernandes, MD, Filipe Vilas-Boas, MD, Pedro Pereira, MD, Guilherme Macedo, MD, PhD, FACG; Centro Hospitalar São João, Porto, Portugal

P0551. Paraesophageal Bronchogenic Cyst Ahmed Messallam, MD1, Sunil Dacha, MBBS2, Vaidehi Avadhani, MD1; 1Emory University, Atlanta, GA; 2Emory University School of Medicine, Atlanta, GA

P0552. Successful Salvages of Partially Covered Esophageal Metal Stent Using Repeated Sessions of Argon Plasma Coagulation Richy Chen, MD1, Marina Kim, DO2, Zeid Karadsheh, MD2, Mukul Arya, MD2; 1NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY; 2NewYork-Presbyterian, Brooklyn, NY

P0553. Endoscopic Resection of a Gastric Metastasis From Renal Cell Carcinoma Edwin Golikov, DO, Shil Patel, DO, Michael Abadier, DO, Devarajan Iyengar, MD, Kovil Ramasamy, MD, John Dedousis, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ



P0554. Role of Hybrid Argon-Plasma Coagulation (Hybrid APC) in the Management of Barrett’s Esophagus: A Case Series Report Abdul Aleem, MD, Kyle Kreitman, DO, Shashin Shah, MD, FACP, Hiral Shah, MD, FACG; Lehigh Valley Health Network, Allentown, PA

P0555. Cholangioscopy-Assisted Guidewire Placement in a Malignant Biliary Stricture Grace E. Kim, MD1, David Y. Lo, MD, FACG2; 1University of Maryland, Baltimore, MD; 2Ohio Gastroenterology Group, Inc., The Ohio State University College of Medicine, Columbus, OH

P0556. Successful Retrieval of Fragmented Intrahepatic Biliary Stent Using Cholangioscopy Grace E. Kim, MD1, Alexander H. Kim, DO2, Peter Darwin, MD3; 1University of Maryland, Baltimore, MD; 2University of Maryland School of Medicine, Ellicott City, MD; 3University of Maryland School of Medicine, Baltimore, MD

P0557. Bouveret Syndrome Masquerading as a Gastric Mass - Unmasked with Endoscopic Luminal Laser Lithotripsy Swetha Parvataneni, MD1, Kabeer Khurana2, David L. Diehl, MD1, Harshit S. Khara, MD, FACG1, Ansh Khurana2; 1Geisinger Medical Center, Danville, PA; 2LAHS, Lewisburg, PA

P0558. Grab Both Ends and Pull: Stenting the Unstentable Bile Duct Injury Using EUS Rendezvous Alexander P. Abadir, MD1, Farid Jalali, MD1, Jason Samarasena, MD2, John Lee, MD1; 1University of California Irvine, Orange, CA; 2University of California Irvine Medical Center, Orange, CA

P0559. From Above and Below: Double-Balloon Enteroscopy in a Small Intestine Gastrointestinal Stromal Tumor With Excessive Bleeding Zunirah Ahmed, MD1, Allan Seibert, MD1, Tasnia Matin, MD2, Ali M. Ahmed, MD3, Kondal Rao Kyanam Kabir Baig, MD4, Shajan Peter, MD3; 1UAB Montgomery, Montgomery, AL; 2UAB Birmingham VA Medical Center, Birmingham, AL; 3University of Alabama at Birmingham, Birmingham, AL; 4UAB, Birmingham, AL

P0560. Successful Closure of Upper GI Leaks by Endoscopic Vacuum Therapy Timothy S. Yoo, MD1, Adnan Ameer, MD2, Linda A. Hou, MD2, Sofiya Reicher, MD2, Kathryn T. Chen, MD1, Viktor Eysselein, MD2; 1Harbor-UCLA Medical Center, Torrance, CA; 2Harbor-UCLA Medical Center, Torrance, CA

LIVER

P0561. Incidence and Survival Trends of Hepatocellular Carcinoma in Non-Cirrhotics With Ishak Fibrosis Score of 0-4 Between 2005-2014: A SEER Analysis Nicolas Patel, MD1, Peter S. Liang, MD, MPH2, Michael Poles, MD, PhD3, Ira M. Jacobson, MD3; 1NYU Langone Health, North Brunswick, NJ; 2NYU Langone Health/VA New York Harbor Health Care System, New York, NY; 3NYU Langone Health, New York, NY

P0562. Incidence and Survival Trends for Hepatocellular Carcinoma in Patients With Ishak Fibrosis Scores of 5-6, 2005-2014: A SEER Analysis Nicolas Patel, MD1, Peter S. Liang, MD, MPH2, Michael Poles, MD, PhD3, Ira M. Jacobson, MD3; 1NYU Langone Health, North Brunswick, NJ; 2NYU Langone Health/VA New York Harbor Health Care System, New York, NY; 3NYU Langone Health, New York, NY

P0563. Establishment of Highly Intrahepatic Metastatic Cell Line of HCC by In vivo Selection and Investigation of Mechanism by Integrated Microarray Analysis Yuichiro Okumura, MD, Takehiro Noda, MD, PhD, Hidetoshi Eguchi, MD, PhD, Yoshifumi Iwagami, MD, PhD, Hirofumi Akita, MD, PhD, Tadafumi Asaoka, MD, PhD, Kunihito Gotoh, MD, PhD, Shogo Kobayashi, MD, PhD, Yuichiro Doki, MD, PhD, Masaki Mori, MD, PhD; Graduate School of Medicine, Osaka University, Suita, Osaka, Japan

P0564. Factors Associated With Deep Vein Thrombosis in Type 2 Diabetics With Biopsy-Proven Non-Alcoholic Fatty Liver Disease Amandeep Singh, MD 1, Falgun Gosai, MD2, George Khoudari, MD3, Long Vu, MD4, Rocio Lopez, MS5, Naim Alkhouri, MD6; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2Fairview Hospital, Cleveland Clinic, Cleveland, OH; 3Cleveland Clinic Foundation, Cleveland, OH; 4Cleveland Clinic, Cleveland, OH; 5Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 6Texas Liver Institute, San Antonio, TX

P0565. Trends of Awareness of Non-Alcoholic Fatty Liver Disease, Alcoholic Liver Disease and Both Fatty Liver Diseases (BAFLD) Using National Health and Nutrition Examination Survey Amandeep Singh, MD 1, Atul Kumar, MD2, Shailender Singh, MD3, Amaninder Jeet Singh Dhaliwal, MD4, Rocio Lopez, MS5, Mazen Noureddin, MD6, Naim Alkhouri, MD7; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2Stony Brook, New York, NY; 3Nebraska Medical Center, Omaha, NE; 4University of Nebraska Medical Center, Omaha, NE; 5Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 6Digestive Disease Center, Cedars-Sinai, Los Angeles, CA; 7Texas Liver Institute, San Antonio, TX

P0566. Increased Prevalence of Obesity and Metabolic Syndrome in Patients With Alcoholic Fatty Liver Disease Amandeep Singh, MD 1, Annalisa Vigni, MD2, Adam Tabbaa, MD3, Andrea Scott, MD2, Mahsa Mansouri, MD2, Toluwalase Okubote, MD2, Michael Scott, MD2, Rocio Lopez, MS4, Eric Lawitz, MD2, Naim Alkhouri, MD2; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2Texas Liver Institute, San Antonio, TX; 3University of California San Francisco, San Fransisco, CA; 4Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH

P0567. Simplifying Care: A Real World HCV Treatment Model for Patients with HIV Co-Infection in the DAA Era Pamela Kim, MD, Shifa Umar, MD, ChiuBin Hsiao, MD, FIDSA, AAHIVS; Allegheny Health Network, Pittsburgh, PA

P0568. Impact of Hospital Volume on Mortality in Patients With Liver Cirrhosis Undergoing Coronary Artery Bypass Graft Surgery: A National Analysis Ravi Pavurala, MD1, Kyle Porter, MAS2, Emmanuel Ugbarugba, MD, MPA1, Hisham Hussan, MD1, Somashekar G. Krishna, MD, MPH1, Khalid Mumtaz, MD, MSc1; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2Center for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, OH

P0569. Analysis of AST to Platelet Ratio Index (APRI) for Determining Eligibility for 8 Weeks of Glecaprevir/Pibrentasvir Tarik Asselah, MD, PhD1, Sabela Lens, MD, PhD2, Neddie Zadeikis, MD, MBA3, Magdy Elkhashab, MD, MSc, FRCPC4, Robert J. Fontana, MD5, Zhenyi Xue, PhD3, Ana Gabriela Pires dos Santos, MD3, Federico Mensa, MD3, Robert S. Brown, Jr., MD, MPH6; 1Hopital Beaujon & INSERM UMR 1149, Clichy, Centre, France; 2Liver Unit Hospital Clínic, IDIBAPS and CIBERehd, Barcelona, Catalonia, Spain; 3AbbVie Inc., North Chicago, IL; 4Toronto Liver Centre, Toronto, ON, Canada; 5University of Michigan, Ann Arbor, MI; 6Weill Cornell Medical College, New York, NY

P0570. Trend and Outcomes of Budd Chiari Syndrome Hospitalizations in the United States Emmanuel Ugbarugba, MD, MPA1, Ravi Pavurala, MD1, Alice Hinton, PhD2, Khalid Mumtaz, MD, MSc1; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2College of Public Health, The Ohio State University, Columbus, OH

P0571. The Incidence, Risk Factors and Impact of 30-Day Readmission Among Patients With Variceal Gastrointestinal Hemorrhage on Mortality, Morbidity and Healthcare Resource Utilization: A Nationwide Analysis Obada Tayyem, MD1, Mohammad Bilal, MD1, Marwan S. Abougergi, MD2, Sreeram Parupudi, MD, FACP, FACG1, Don C. Rockey, MD3; 1University of Texas Medical Branch, Galveston, TX; 2South Carolina University School of Medicine, Simpsonville, SC; 3Medical University of South Carolina, Charleston, SC


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P0572. Among Cirrhosis-Related Hospitalizations in the United States, the Highest Rates of In-Hospital Mortality Were Observed in Men, Older Patients, and Patients with Alcoholic Liver Disease Sanah Ladhani, MD1, Benny Liu, MD1, Michele Tana, MD2, Taft Bhuket, MD1, Robert Wong, MD3; 1Highland Hospital, Oakland, CA; 2University of California San Francisco, San Francisco, CA; 3Alameda Health System - Highland Hospital, Oakland, CA

P0573. Sofosbuvir-Based Direct Acting Antiviral Therapy of Recurrent HCV Infection Following Liver Transplant Courtney Walker, DO 1, Jenny Hatch, PA-C1, Nathan McBride, PA-C1, Tuan Pham, MD2, Ray Thomason, MD2, Terry Box, MD2, Juan F. Gallegos-Orozco, MD2; 1University of Utah School of Medicine, Salt Lake City, UT; 2University of Utah, Salt Lake City, UT

P0574. Clinical Manifestations, Treatment, and Prognosis of Wilson’s Disease - Outcomes From a Tertiary Hospital in Singapore Jonathan Kuang, MRCP1, Wei Lyn Yang, MRCP1, Kalaiyarasi Kaliyaperumal, MRCP2; 1Tan Tock Seng Hospital, Singapore, Singapore; 2Tan Tock Seng Hospital, Singpaore, Singapore

P0575. Comparison of Knowledge to Screen for Hepatitis C Virus Infection versus Colorectal Cancer Screening Among Primary Care Physicians Agazi Gebreselassie, MD, MSc1, Carensa Cezar, BS, MS2, Angesom Kibreab, MD1; 1Howard University Hospital, Washington, DC; 2Howard University School of Medicine, Washington, DC

P0576. Impact of Sustained Viral Remission in Patients With Chronic Hepatitis C Infection on Surrogate Markers of Hepatic Fibrosis Thomas J. Konturek, MD1, Hirsh D. Trivedi, MD2, Ioannis Koulouridis, MD1, Bertrand Jaber, MD1, Claudia Nader, MD3; 1St. Elizabeth’s Medical Center, Boston, MA; 2Beth Israel Deaconess Medical Center, Boston, MA; 3Saint Elizabeth’s Medical Center, Brighton, MA

P0577. NAC for Liver Attack!: Use of N-acetylcysteine for Prevention and Treatment of Isoniazid-Induced Liver Injury During Treatment of Mycobacterial Infections Tamneet Singh, MD1, Heidi Torres, MD1, Ruth Serrano, MD1, Jason Bowling, MD1, Gregory Anstead, MD, PhD2, Heta Javeri, MD, MPH1; 1University of Texas Health San Antonio, San Antonio, TX; 2South Texas Veterans Health Care System, San Antonio, TX

P0578. Gender Differences in Acute Liver Failure in Patients Waitlisted for Liver Transplantation in the United States Zahra Zia, MD1, Marwan Ghabril, MD2, Eric Orman, MD1, Naga Chalasani, MD2, Lauren Nephew, MD, MSCE1; 1Indiana University, Indianapolis, IN; 2Indiana University School of Medicine, Indianapolis, IN

P0579. Mortality and Morbidity of Orthopedic Procedures in Hospitalized Patients With Liver Cirrhosis Saad Saleem, MD, Wissam Bleibel, MD, FACG; Mercy St. Vincent Medical Center, Sylvania, OH

P0580. Thromboembolism in Hospitalized Cirrhotic Patients Saad Saleem, MD, Wissam Bleibel, MD, FACG; Mercy St. Vincent Medical Center, Sylvania, OH

P0581. Mortality and Morbidity Associated With Cellulitis in Hospitalized Cirrhotic Patients Saad Saleem, MD, Wissam Bleibel, MD, FACG; Mercy St. Vincent Medical Center, Sylvania, OH

P0582. The Influence of Gender on the Morbidity and Mortality of Hospitalized Patients With Cirrhosis Saad Saleem, MD, Wissam Bleibel, MD, FACG; Mercy St. Vincent Medical Center, Sylvania, OH

P0583. Prevalence of Non-Alcoholic Steatohepatitis (NASH) in Individuals With Crohn’s Disease: A Population-Based National Study Jamie A. Elchert, MD1, Emad Mansoor, MD2, Preetika Sinh, MD1, Seth Sclair, MD1, Stanley Cohen, MD1, Jeffry Katz, MD1, Gregory Cooper, MD1; 1University Hospitals Cleveland Medical Center, Cleveland, OH; 2Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH

P0584. Prevalence of Non-Alcoholic Steatohepatitis (NASH) in Individuals With Ulcerative Colitis: A Population-Based National Study Jamie A. Elchert, MD1, Emad Mansoor, MD2, Preetika Sinh, MD1, Seth Sclair, MD1, Stanley Cohen, MD1, Jeffry Katz, MD1, Gregory Cooper, MD1; 1University Hospitals Cleveland Medical Center, Cleveland, OH; 2Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH

P0585. Can Online Case-Based Challenges Improve Diagnosis and Management of Hepatic Encephalopathy? Jovana Lubarda, PhD1, Susan Smith, PhD2, Piyali Chatterjee2; 1Medscape, Toronto, ON, Canada; 2Medscape, New York, NY

P0586. Implications of Patent Foramen Ovale in Patients Undergoing Liver Transplantation Gianina Flocco, MD1, Hector J. Crespo, MD2, Cristian Milla Matute, MD2, Christina Lindenmeyer, MD1, Roberto J. Cubeddu, MD2; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic Florida, Weston, FL

P0587. Cirrhotic Patients With Prior i>Clostridium difficile Infection (CDI) and Recent Hospitalization Are at High-Risk for Recurrent CDI (rCDI) Despite Frequent Use of Rifaximin Adelina Hung, MD1, Prabin Sharma, MD2, Muhammad S. Mansoor, MD3, Paul Feuerstadt, MD, FACG4; 1Yale University School of Medicine, New Haven, CT; 2Yale New Haven Health, Bridgeport, CT; 3Albany Medical Center, Albany, NY; 4Yale University School of Medicine / Gastroenterology Center of Connecticut, Westport, CT

P0588. Temporal Trends and Impact of Cirrhosis on Outcomes of Patients With PUB From the Nationwide Inpatient Sample From 2002-2014 Tsujung Yang, MD1, Subash Ghimire, MD1, Hardikkumar Shah, MD, MPH2, Harshil Shah, MD1, Jasmine Garcha, MBBS3, Aakashi Shah, MBBS3, Ashish Sadolikar, MBBS4, Prakashkumar Maiyani, MD5, Rehan Farooqi, MD6, Achint Patel, MD3, Vinshi Khan, MD7; 1Guthrie Clinic/Robert Packer Hospital, Sayre, PA; 2New York Medical College at St. Michael’s Medical Center, Newark, NJ; 3Mount Sinai Hospital, New York, NY; 4DY Patil Medical College, Kolhapur, Maharashtra, India; 5Gold Coast University Hospital, Southport, Queensland, Australia; 6MedStar Union Memorial Hospital, Baltimore, MD; 7Baylor College of Medicine, Houston, TX

P0589. Economic Factors Impacting Length of Stay, Mortality, and Cost of Care of Cirrhosis in the United States Presidential Poster Award Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Taruna Bhatia, MD, Jeevan Vinod, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ

P0590. Nationwide Healthcare Utilization in Wilson’s Disease Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Jeevan Vinod, MD, Taruna Bhatia, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ

P0591. Hospital Teaching Status on Outcomes Amongst Patients With Drug-Induced Liver Injury Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Taruna Bhatia, MD, Jeevan Vinod, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ

P0592. Portal Vein Thrombosis: A Nationwide Analysis of Temporal Trends, Cost of Care, and Outcomes Edwin Golikov, DO, Shil Patel, DO, Michael Abadier, DO, Suhail Salem, MD, Jeevan Vinod, MD, Taruna Bhatia, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ



P0593. Socioeconomic Impact on Mortality and Outcomes in Patients With Acute Liver Failure Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Taruna Bhatia, MD, Jeevan Vinod, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ

P0594. What Are the Outcomes of Percutaneous Cholecystostomy Tube (PCT) in Cirrhosis Patients Deemed High-Risk Surgical Candidates With Acute Cholecystitis (AC)? Suha Abushamma, MD1, Olapeju Olasokan, MD2, C. Roberto Simons-Linares, MD3, Ram Gurajala, MD2, Amanjit Gill, MD2, Amit Bhatt, MD4, John J. Vargo, MD4, Gareth Morris-Stiff, MD, PhD2, Prabhleen Chahal, MD, FACG4; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P0595. Aspirin and Statin Use in Preventing Cholangiocarcinoma (CCA) in Patients with Primary Sclerosing Cholangitis (PSC) Suha Abushamma, MD, Jamak M. Esfeh, MD; Cleveland Clinic Foundation, Cleveland, OH

P0596. Improving Hepatitis C Screening Rates in a Resident Clinic: A Quality Improvement Project Rajesh Essrani, MD1, Eric Nellis, MD2, Hiral Shah, MD, FACG2; 1Lehigh Valley Health Network, Danville, PA; 2Lehigh Valley Health Network, Allentown, PA

P0597. Unreliable Elastography Scores - Shear-Wave vs Transient: Are Their Differences? Allan P. Weston, MD, Jennifer Rickman, BA; Digestive Health Center of the Four States, LLC, Galena, KS

P0598. Office Based Shear Wave Elastography. Much More Than Just a Fibrosis Score Allan P. Weston, MD, Jennifer Rickman, BA; Digestive Health Center of the Four States, LLC, Galena, KS

P0599. Does Tenofovir Alafenamide (TAF) Impact Renal and Hepatic Function in Patients With Hepatitis B Virus (HBV)? A Community-Based Study Scott Berger, BA1, Cynthia Koboo, BS2, Hasan Dawood, MD2, Maria Welsh, RN2, Scott Zela, RN, FNP2, Chukwuma Egwim, MD2, Victor Ankoma-Sey, MD2; 1Baylor College of Medicine, Houston, TX; 2Liver Associates of Texas, Houston, TX

P0600. Prognostic Value of Albumin–Bilirubin Grade (ALBI) in Patients Underwent Transarterial Chemoembolization for Unresectable Hepatocellular Carcinoma Muhammad Ali Khalid, MBBS, FCPS (Gastro)1, Inamullah Khan, MBBS1, Shoaib Ahmed Khan, MBBS1, Zain Majid, MBBS1, Farina Hanif, MBBS, FCPS (Gastro)1, Jawaid Iqbal, MBBS, FCPS (Gastro) 2, Syed Mudassir Laeeq, MBBS, FCPS (Gastro)1, Nasir Luck, MBBS, FCPS (Med), FCPS (Gastro)1; 1Sindh Institute of Urology and Transplantation, Karachi, Sindh, Pakistan; 2Asian Institute of Medical Science, Hyderabad, Telangana, India

P0601. Eradication of Hepatitis C in Renal Transplant Recipients With Sofosbuvir Based Direct Acting Antiviral Agents in Resources Sparse Country Farina Hanif, MBBS, FCPS (Gastro)1, Rajesh Mandhwani, MBBS, FCPS1, Ghulamullah Lail, MBBS, FCPS (Gastro)1, Syed Mudassir Laeeq, MBBS, FCPS (Gastro)1, Nasir Luck, MBBS, FCPS (Med), FCPS (Gastro)1, Tahir Aziz, MD2; 1Sindh Institute of Urology and Transplantation, Karachi, Sindh, Pakistan; 2SIUT, Karachi, Sindh, Pakistan

P0602. Virological Response and Safety of Sofosbuvir-Based Direct Antiviral Agents in Chronic Hepatitis C Infection in Hemodialysis Patients Farina Hanif, MBBS, FCPS (Gastro)1, Rajesh Mandhwani, MBBS, FCPS1, Ghulamullah Lail, MBBS, FCPS (Gastro)1, Nasir Luck, MBBS, FCPS (Med), FCPS (Gastro)1, Syed Mudassir Laeeq, MBBS, FCPS (Gastro)1, Tahir Aziz, MD2; 1Sindh Institute of Urology and Transplantation, Karachi, Sindh, Pakistan; 2SIUT, Karachi, Sindh, Pakistan

P0603. Prevalence of Celiac Disease in Cirrhosis: A Population- Based Study Lindsay Meurer, MD1, Emad Mansoor, MD1, Gregory Cooper, MD2; 1Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH; 2University Hospitals Cleveland Medical Center, Cleveland, OH

P0604. Epithelial-Mesenchymal Cell Transition (EMT) Stimulation Is Associated With Hepatic Fibrosis in Non-Alcoholic Steatohepatitis (NASH): Pathway Analysis of MicroRNA and Phosphoproteomics Data Azza Karrar, PhD1, Anatoly Ulyanov, PhD1, Maria Stepanova, PhD2, Daisong Tan, MD1, Kira Tokarz, MSc1, Thomas Jeffers, MSc1, Sean Felix, BA1, Goodman Zachary, MD, PhD1, Zobair Younossi, MD, MPH1; 1Inova Fairfax Hospital, Falls Church, VA; 2Center for Outcomes Research in Liver Disease, Washington, DC

P0605. Body Mass Index Does Not Impact the Efficacy of Avatrombopag in Increasing Platelet Counts and Reducing Platelet Transfusions or Rescue Procedures for Bleeding in Cirrhotic Patients with Thrombocytopenia Presidential Poster Award Stuart Gordon, MD1, Lee F. Allen, MD2, Kavita Aggarwal, PharmD2, Michael Vredenburg, PhD2, Wei Tian, PhD2, Naim Alkhouri, MD3; 1Henry Ford Hospital, Detroit, MI; 2Dova Pharmaceuticals, Durham, NC; 3Texas Liver Institute, San Antonio, TX P0606. Characterization of Baseline Thrombopoietin Levels in Patients With Chronic Liver Disease: Results From 2 Pooled Clinical Studies in Patients With Thrombocytopenia and Liver Disease Stephen Caldwell, MD1, Naim Alkhouri, MD2, Lee F. Allen, MD3, Kavita Aggarwal, PharmD3, Michael Vredenburg, PhD3, Wei Tian, PhD3, Neeral Shah, MD1; 1University of Virginia, Charlottesville, VA; 2Texas Liver Institute, San Antonio, TX; 3Dova Pharmaceuticals, Durham, NC

P0607. Management and Outcomes of Hepatorenal Syndrome at Urban Academic Medical Center: A Cross Sectional Study Muhammad Bashir, MBBS, Sadat Iqbal, MD, Ghassan Mubarak, MD, Michelle Likhtshteyn, MD, Elliot Bigajer, DO, Bridget Gallagher, MD, Abu Hurairah, MBBS, Dimitre Stefanov, PhD, Regina Miller, MD, Samy McFarlane, MD, Richard Ferstenberg, MD; SUNY Downstate Medical Center, Brooklyn, NY

P0608. Use of Computer Generated Alerts in the Detection and Treatment of HCV in the Underserved Baby Boomer Population of New York Zara Manuelyan, MD, Rabab Hajar, MD, Bobby Jacob, MD, Paul Mustacchia, MD, MBA; Nassau University Medical Center, East Meadow, NY

P0609. Influence of Donor and Recipient Gender Mismatch on the Outcomes of Living Donor Liver Transplantation in a Sector of Egyptian Population: A Single Center Study Mohamed A. Elkhouly, MD1, Sherif Mogawer, PhD2, Shaimaa Elkholy, MD2, Riem El-Missery, MD2, Nahla Mohamed, MD2; 1Cook County Health and Hospitals System, Chicago, IL; 2Cairo University Hospitals, Cairo, Al Qahirah, Egypt

P0610. Intra-Ductal Papillary Mucinous Neoplasms in Primary Sclerosing Cholangitis: Frequency, Risk Factors and Outcome Babak Torabi Sagvand, MD1, Katelyn Edwards, MD1, Bo Shen, MD2; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P0611. Recurrent Primary Sclerosing Cholangitis in Transplanted Liver: A Longitudinal Cohort Babak Torabi Sagvand, MD, Arthur McCullough, MD; Cleveland Clinic Foundation, Cleveland, OH

P0612. Correlation of MELD and CTP Scores With Readmission Rate Among HBV and HCV Patients Kyawzaw Lin, MD, Denzil Etienne, MD, Savitha Nagaraj, MD, Sandar Linn, MD, Aung Naing Lin, MD, Madhavi Reddy, MD; The Brooklyn Hospital Center, Brooklyn, NY


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P0613. HCV Co-Infection in Patients With HBV Infection in Urban Minority Population in a U.S. Major City - A Closer Look Kyawzaw Lin, MD, Denzil Etienne, MD, Savitha Nagaraj, MD, Sandar Linn, MD, Aung Naing Lin, MD, Myo Htet Zaw, MD, Madhavi Reddy, MD; The Brooklyn Hospital Center, Brooklyn, NY

P0614. Autoimmune Hepatitis (AIH) in Patients with Human Immunodeficiency Virus Infection (HIV) - A Systematic Review of the Published Literature Mohamad Mubder, MD1, Mahendran Jayaraj, MD1, Chad L. Cross, PhD2, Gordon V. Ohning, MD, PhD3, Mohamed Azab, MD4; 1University of Nevada Las Vegas, Las Vegas, NV; 2University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 3University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 4Loma Linda University School of Medicine, Loma Linda, CA

P0615. Increased Brain Natriuretic Peptide and Pro Brain Natriuretic Peptide Levels Correlate With the Severity of Liver Cirrhosis: A Meta-Analysis Laith Al momani, MD, Bara El Kurdi, MD, Boonphiphop Boonpherg, MD, Alison Smith, MD, Mark Young, MD; East Tennessee State University, Johnson City, TN

P0616. Barriers to Initiating Directly Acting Antiviral (DAA) Therapy in Hepatitis C Virus (HCV) and HIV Co-Infected Patients at One of the Largest Safety Net HIV Care Centers in the United States Shahla Bari, MD1, Taiwo A. Ajose, MD1, Austin Chan, MD1, Saurabh Chawla, MD, FACG2; 1Morehouse School of Medicine, Atlanta, GA; 2Emory University School of Medicine, Atlanta, GA

P0617. Impact of Directly Acting Antivirals (DAAs) Treatment on Rates of Hepatocellular Carcinoma (HCC) in Hepatitis C Virus (HCV) and HIV Co-infected Patients Shahla Bari, MD1, Austin Chan, MD1, Titilope Olanipekun, MD, MPH1, Saurabh Chawla, MD, FACG2; 1Morehouse School of Medicine, Atlanta, GA; 2Emory University School of Medicine, Atlanta, GA

P0618. Evaluation of Hepatitis B Virus (HBV) Reactivation in Hepatitis C Virus (HCV) and HIV-Infected Patients (Triple Infected), Being Treated With Directly Active Antiviral (DAAs) Therapy Shahla Bari, MD1, Austin Chan, MD1, Saurabh Chawla, MD, FACG2; 1Morehouse School of Medicine, Atlanta, GA; 2Emory University School of Medicine, Atlanta, GA

P0619. Liver Stiffness Assessed by Transient Elastography Overestimates Fibrosis Compared to Histology of Liver Specimens Obtained by Endoscopic Ultrasound Guided Liver Biopsy (EUS-LB) Kashif Tufail, MD, Pranav Patel, MD, Sandeep Khurana, MD, Andrea L. Berger, MAS, Amitpal S. Johal, MD, Bradley Confer, DO, David L. Diehl, MD, Harshit S. Khara, MD, FACG; Geisinger Medical Center, Danville, PA

P0620. The Integration of Resident Physicians in the Outpatient Management of Chronic Hepatitis C: Bridging the Gap With Primary Care Kamraan Madhani, MD; Yale University School of Medicine, Waterbury, CT

P0621. Screening High Risk Patients for the Presence of NAFLD Using Vibration Controlled Transient Elastography Kamraan Madhani, MD; Yale University School of Medicine, Waterbury, CT

P0622. Prevalence of Non-Alcoholic Fatty Liver Disease (NAFLD) and Non-Alcoholic Steatohepatitis (NASH) in High-Risk Undiagnosed Adults in South Florida Dhishna Chaudhary, MD1, Simran Sidhu, MBBS1, Rupesh Manam, MD1, Kevan Manraj, MD1, Melaine Lanza, MD1, Michael A. DeDonno, PhD2, Seth J. Baum, MD, FACC, FACPM, FAHA, FNLA, FASPC1; 1Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 2Florida Atlantic University, Boca Raton, FL

P0623. Insights into Acute Kidney Injury in the Setting of Liver Cirrhosis Danial Daneshvar, MD1, Jobin Philipose, MBBS1, Fady G. Haddad, MD2, Mira Alsheikh, MD3, Sara Atallah, MD1, Saqib Abbasi, MD1, Elie El-Charabaty, MD2, Suzanne El-Sayegh, MD1, Liliane Deeb, MD3; 1Staten Island University Hospital, Staten Island, NY; 2Staten Island University Hospital, Northwell Health, Staten Island, NY; 3Northwell Health Staten Island University Hospital, Staten Island, NY

LIVER Clinical Vignettes / Case Reports

P0624. Severe Acute Hepatitis With Adult Onset Still’s Disease Ali Khan, MD, MPH, Bedoor Alabbas, MBBS, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC

P0625. Legionella and the Liver: Severe Hepatic Injury With Legionella-Associated Rhabdomyolysis Ali Khan, MD, MPH, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC

P0626. Drug-Induced Liver Injury Mimicking Autoimmune Hepatitis After Treatment With TNF-alpha Inhibitor Summer Lepley, DO, Jared Pembrook, MD, Kevin McGinn, MD, Carmen Vesbianu, MD; University of Oklahoma College of Medicine, Tulsa, OK

P0627. Unusual Cause of Acute Drug-Induced Hepatitis Marcelle Meseeha, MD1, Michael J. Georgetson, MD, FACG2, Maximos Attia, MD1; 1Guthrie Clinic/Robert Packer Hospital, Sayre, PA; 2Guthrie Clinic, Sayre, PA

P0628. Epstein-Barr Virus: A Rare Cause of Splenic Infarct and Transaminitis Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA

P0629. A Forgotten Cause of Acute Abdominal Pain Marcelle Meseeha, MD, Maximos Attia, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA

P0630. A Fatal Case of Severe Lactic Acidosis and Acute Liver Failure in a Patient with Primary Hepatic Lymphoma Magdalena Espinoza, MD1, Paul MunaAguon, MD2, Nayan Patel, DO, MPH1, Wendi Zhou, MD1, David Hsiehchen, MD3; 1Banner University Medical Center, Phoenix, AZ; 2University of Arizona College of Medicine, Phoenix, AZ; 3University of Texas Southwestern Medical Center, Dallas, TX

P0631. A Rare Case of Xiao Chai Hu Tang Induced Acute Liver Failure Samuel Wopperer, MS1, Kamal Baig, MD2, Joseph Jennings, MD2, Alexander Lalos, MD3; 1MedStar Georgetown University Hospital, Grand Island, NY; 2Georgetown University Hospital, Washington, DC; 3MedStar Georgetown University Hospital, Washington, DC

P0632. Thrombocytopenia From Cirrhosis or Cirrhosis With Thrombocytopenia? The Answer Is in the Bone Marrow Christopher Andrade, MD, Harish Guddati, MD, Hilary Hertan, MD, FACG; Montefiore Medical Center, Bronx, NY

P0633. Hepatitis B Surface Antigenemia and Elevated Transaminases Due to Hepatitis B Vaccination in Hemodialysis Patient Muhammad S. Mansoor, MD, Nour Parsa, MD, Asra Batool, MD, FACG; Albany Medical Center, Albany, NY

P0634. A Challenging Case of Triple Hepatitis Virus Infection: An Accurate Diagnostic Test for Hepatitis D Virus Is Urgently Needed Saad A. Choudhry, MD, MBBS1, Karen J. Campoverde Reyes, MD2, Rizwan Ishtiaq, MBBS, MD, BSc3, Aysha Aslam, MD4, Jeffrey S. Glenn, MD,PhD5, Daryl T.Y. Lau, MD, MS, MPH2; 1Beth Israel Deaconess Medical Center, Boston, MA; 2Harvard Medical School, Boston, MA; 3Mercy St. Vincent Medical Center, Perrysburg, OH; 4Louis A. Weiss Memorial Hospital, Chicago, IL; 5Stanford University, Palo Alto, CA



P0635. Metoclopramide-Induced Acute Liver Injury Palashkumar Jaiswal, MBBS1, Parth Desai, DO2, Bashar M. Attar, MD, PhD2, Radhika Jaiswal, MD3, Yuchen Wang, MD2, Anthonia Ijeli, MD2, Madhu Mathew, MD2, Manthan Jayswal, MS4, Naser Yamani, MD2, Gijo Vettiankal, MD2; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Cook County Health and Hospitals System, Chicago, IL; 3Forest Hills Hospital, Rego Park, NY; 4B.J. Medical College, Ahmedabad, Gujarat, India

P0636. Balloon Angioplasty as a Novel Therapy for Infective Endotipsitis Bacteremia: A Case Report Blake Jacobs, MD, George Salem, MD, Ralph Guild, III, MD; University of Oklahoma College of Medicine, Oklahoma City, OK

P0637. Successful Liver Transplantation for Kava-Associated Liver Failure: Report of 2 Cases Cassandra L. Craig, MD1, Maisha Barnes, MD2, Jeffrey Weinstein, MD2, Alejandro Mejia, MD2; 1Methodist Dallas, Dallas, TX; 2Methodist Dallas Medical Center, Dallas, TX

P0638. Reactivation of Resolved HBV Infection: A Potential Fatal Complication of Direct Acting Antiviral Therapy Mohamad B. Taha, MD, Osama Hadid, MD, Akshay Sharma, MD, Maher Tama, MD, Omar Al-Subee, MD; Wayne State University / Detroit Medical Center, Detroit, MI

P0639. Polycythemia Vera Presenting as Acute Liver Failure Omar Abughanimeh, MD1, Laith Numan, MD1, Laith Al momani, MD2, Mohammad Tahboub, MD1, Ayman Qasrawi, MD1, Mouhanna K. Abu Ghanimeh, MD3; 1University of Missouri, Kansas City, MO; 2East Tennessee State University, Johnson City, TN; 3Henry Ford Hospital, Detroit, MI

P0640. A Case of Leptospirosis in Chicago, Co-diagnosed with Chronic Lymphocytic Leukemia Antoni Wojtkowski, MD1, Sarbagya Pandit, MD1, Nasir Saleem, MD2, George Atia, MD1, Arvind Balavenkataraman, MD1, Shyam Chalise, MD1; 1Presence Saint Joseph Hospital, Chicago, IL; 2Presence Saint Joseph Hospital, Memphis, TN

P0641. Hyperbilirubinemia Due to Extrinsic Biliary Compression From Direct Intrahepatic Portocaval Shunt Performed for Portal Hypertensive Bleeding Saikiran M. Kilaru, MD1, Maureen Whitsett, MD, MEd2, David M. Feldman, MD2, Ryan M. Hickey, MD1, Carmen M. Stanca, MD1; 1New York University School of Medicine, New York, NY; 2NYU Langone Health, New York, NY

P0642. Potential Complications of Hyperbilirubinemia on Therapy With Glecaprevir and Pibrentasvir for Therapy of Hepatitis C in Complex Real World Patients Jinyu Zhang, MD, Randeep Kaur, MD, Mahmoud Isseh, MD, Mouhanna K. Abu Ghanimeh, MD, Syed-Mohammed Jafri, MD; Henry Ford Hospital, Detroit, MI

P0643. Hepatocellular Carcinoma Presenting as Right-Sided Heart Failure Ofer Fass, MD1, Nathan Jia, BS2, Jason Ng, MD1, Clayton Li, MD3, Neha Sathe, MD1; 1New York University Langone Medical Center, New York, NY; 2New York University School of Medicine, New York, NY; 3New York University School of Medicine, Little Neck, NY

P0644. Spontaneous Hepatic Hemorrhage in the Setting of Hepatic Amyloidosis: An Unusual Presentation Quinton Palmer, MD, Mohammad Al-Shoha, MD, Vibhor Wadhwa, MD, Mauricio Garcia Saenz de Sicilia, MD, Matthew Deneke, MD; University of Arkansas for Medical Sciences, Little Rock, AR

P0645. Mycobacterium tuberculosis and Acute Hepatitis B Coinfection: Challenges in Treatment Corey Saraceni, MD1, Tejas V. Joshi, MD2, Melissa A. Spera, MD1, John Hutchings, MD1; 1LSU Health Sciences Center, New Orleans, LA; 2LSU Health New Orleans School of Medicine, New Orleans, LA

P0646. Yttrium 90 Radioembolization-Induced Cirrhosis Faizi Hai, MD1, Catherine Frenette, MD, FAST2, Mark Johnson, MD3; 1Scripps Clinic, La Jolla, CA; 2Scripps Center for Organ Transplantation, La Jolla, CA; 3Scripps Health, Chula Vista, CA

P0647. Hepatic Artery Thrombosis - A Rare Complication of Microwave Ablation in Hepatocellular Carcinoma Amreet K. Aujla, MD1, Nihar Shah, MBBS2, Toishi Sharma, MBBS2, Colin Swales, MD3; 1University of Connecticut Health, Farmington, CT; 2University of Connecticut Health Center, Farmington, CT; 3Connecticut GI, P.C., Hartford, CT

P0648. Longstanding Non-Cirrhotic Portal Hypertension May Lead to Decreased Synthetic Function: A Case Report Kevin Kline, MD1, Muhannad Al Hanayneh, MD2, Mohammad Bilal, MD2, Heather Stevenson, MD2; 1University of Texas Medical Branch, Webster, TX; 2University of Texas Medical Branch, Galveston, TX

P0649. An Intriguing Case of Portal Hypertension: Concurrent Hepatic Vein and Inferior Vena Cava Stenoses Jared Huber, MD1, Joseph Ahn, MD2, Kenneth J. Kolbeck, MD, PhD3; 1Oregon Health and Sciences University, Portland, OR; 2Oregon Health and Science University, Portland, OR; 3Dotter Interventional Institute, OHSU, Portland, OR

P0650. A Rare Infectious Complication After Orthotopic Liver Transplant: Donor Transmitted Toxoplasmosis Jared Huber, MD1, Willscott Naugler, MD1, Erin Maynard, MD, FACS2, Michael F. Chang, MD, MSc3, C. Kristian Enestvedt, MD, FACS2, Joseph Ahn, MD2; 1Oregon Health and Sciences University, Portland, OR; 2Oregon Health and Science University, Portland, OR; 3Portland VAMC, Portland, OR

P0651. A Rare Case of Primary Biliary Cholangitis (PBC) and Hereditary Hemorrhagic Telangiectasia (HHT) Co-Existing in an Asian Male Patient Jonathan Kuang, MRCP1, Kalaiyarasi Kaliyaperumal, MRCP2; 1Tan Tock Seng Hospital, Singapore, Singapore; 2Tan Tock Seng Hospital, Singpaore, Singapore

P0652. Concurrent Hepatitis B Reactivation and Acute Cellular Rejection in Patient Post-Liver Transplantation NIkhil Kapila, MD1, Kapil Gupta, MD2, Bobby Zervos, DO1, Pablo Bejarano, MD1, Kawtar Al Khalloufi, MD1; 1Cleveland Clinic Florida, Weston, FL; 2University of Miami/JFK Medical Center Palm Beach Regional GME Consortium, Fort Lauderdale, FL

P0653. Bortezomib for Management of Acute Antibody Mediated Rejection Post-Liver Transplantation NIkhil Kapila, MD1, Kapil Gupta, MD2, Kawtar Al Khalloufi, MD1, Bobby Zervos, DO1; 1Cleveland Clinic Florida, Weston, FL; 2University of Miami/JFK Medical Center Palm Beach Regional GME Consortium, Fort Lauderdale, FL

P0654. Oh the Places It Will Go: A Rare Case of HCC Metastasis to the Esophagus Shanti G. Rao, MD1, Saamia Faruqui, MS, MD2, Vanessa Mendez, MD2, Cacey Peters, MD2, Patrick Selakovich, MD 1, Christie Blanton, MD2, Fredric Regenstein, MD 2; 1Tulane University School of Medicine, New Orleans, LA; 2Tulane University, New Orleans, LA

P0655. A Case of Primary Hepatic Amyloidosis Masquerading as Obstructive Jaundice S. Vikas Kumar, MD, Fahad Zubair, MD, Robert E. Smith, MD; Geisinger Health System, Danville, PA

P0656. Imaging-Negative Hepatocellular Carcinoma Presents as an Intrabiliary Mass: A Case Report Ali Alshati, MD1, Sharad Bellapravalu, MD1, Indu Srinivasan, MD1, Abdul Nadir, MD2, Keng-Yu Chuang, MD3; 1Maricopa Integrated Health System, Phoenix, AZ; 2Maricopa Medical Center, Gilbert, AZ; 3Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ


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P0657. NONI: A Health Benefit or Hazard? Myra Nasir, MBBS1, Sheena Mago, DO2, Raffi Karagozian, MD3, Daniela G. Vinsard, MD1; 1University of Connecticut Health, Farmington, CT; 2University of Connecticut, Farmington, CT; 3University of Connecticut, Hartford, CT

P0658. Curious Case of Liver Lesions Marjan Nazer, MD1, Fahad Mir, MD1, Yousaf Zafar, MD1, Leen Al-Sayyed, MD2; 1University of Missouri, Kansas City, MO; 2St. Luke’s Liver and Transplant Specialists, Kansas City, MO

P0659. Disseminated Adenovirus Infection in an Adult Orthotopic Liver Transplant Recipient Jagpal S. Klair, MD, Kiran Gajurel, MD, Sumant Arora, MD, Arvind Murali, MD, Huy Tran, MD, PhD, FHRS, Antonio Sanchez, MD; University of Iowa Hospitals & Clinics, Iowa City, IA

P0660. Mystery Ascites: Ascites Secondary to Spontaneous Bladder Perforation Cyrus Edelson, MD1, Guy S. Dooley, DO 1, Madhavi Rudraraju, MD2; 1Brooke Army Medical Center, San Antonio, TX; 2Methodist Specialty and Transplant Hospital, San Antonio, TX

P0661. Early Non-alcoholic Fatty Liver Disease in Laurence-Moon-Biedl Syndrome Lauren Pioppo, MD, Kristina Katz, MD, Vinod Rustgi, MD, MPH; Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ

P0662. Severe Cholestatic Jaundice: A Rare Adverse Reaction of Methimazole Lauren Pioppo, MD1, Jack Xu, MD1, Preston Keiffer, BS1, Eric Pagan, MD1, Jonathan Stoll, MD1, Matthew Danish, MD1, Christine Fanning, MD2, Matthew Sandel, MD2; 1Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; 2Penn Medicine Princeton Health, Plainsboro, NJ

P0663. Severe Liver Injury Associated With Adult Onset Still’s Disease Successfully Treated With Anakinra Niloofar Yahyapourjalaly, MD1, Alan Chen, MD2, Samuel A. Schueler, MD3, William Hutson, MD2; 1MedStar Health, Baltimore, MD; 2University of Maryland Medical Center, Baltimore, MD; 3University of Maryland Medical Center / National Institutes of Health, Baltimore, MD

P0664. Hepatic Sarcoidosis Suspected for Liver Cirrhosis - A Case Report of Diagnosing Subclinical Disease Marcel T. Ghanim, MD1, Abhinav Tiwari, MD1, Ali Nawras, MD2; 1The University of Toledo, Toledo, OH; 2University of Toledo Medical Center, Toledo, OH

P0665. Fusobacterium necrophorum: An Extremely Rare Cause of Concurrent Hepatic Abscess and Infectious Myositis Erik Holzwanger, MD1, Irma Hashmi, DO2, Sandeep Jubbal, MD3; 1University of Massachusetts Medical School, Worcester, MA; 2University of Massachusetts Medical Center, Worcester, MA; 3Hospital Medicine, UMass Memorial Medical Center, Worcester, MA

P0666. A Patient with a History of Chronic Lymphocytic Leukemia Presents with Rash and Elevated Liver Biochemistries Inuk Zandvakili, MD, PhD, Randall Pearson, MD, FACG; Mayo Clinic, Rochester, MN

P0667. A Rare Presentation of Non-Cirrhotic Portal Vein Thrombosis Edwin Golikov, DO, Shil Patel, DO, Michael Abadier, DO, Choudhry Hammad, MD, Kovil Ramasamy, MD, John Dedousis, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ

P0668. Pembrolizumab-Induced Autoimmune Hepatitis Marianna G. Mavilia, DO1, Ayushi Chauhan, MBBS2; 1University of Connecticut Health Center, Farmington, CT; 2University of Connecticut, Farmington, CT

P0669. Pazopanib-Induced Cholestatic Hepatitis Marianna G. Mavilia, DO; University of Connecticut, East Hampton, CT

P0670. Amanita Phalloides Induced Hepatitis: Watch Out for Renal Failure? Tina Pakala, MD1, Michael Siu, MD2, Ari Bunim, MD1, Moshe Rubin, MD3; 1New York Presbyterian Queens, Flushing, NY; 2New York Presbyterian Queens, New York, NY; 3New York-Presbyterian Queens, Flushing, NY

P0671. Rare Post-Infectious Autoimmune Hepatitis-Induced Liver Failure: A Consequence of HAV Infection Sruthi Kapliyil Subramanian, MD1, Jigar M. Patel, MD1, Moises I. Nevah, MD2, Vishnu Mohan, MD1; 1University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX; 2University of Texas Health Science Center at Houston, Houston, TX

P0672. Oral Contraception Woes: Idiosyncratic Drug Induced Liver Injury Abdul Aleem, MD, She-Yan Wong, MD; Lehigh Valley Health Network, Allentown, PA

P0673. Hepatocellular Carcinoma Masquerading as Paraneoplastic Myasthenia Gravis Kati Choi, MD, Anita L. Sabichi, MD, Maheshwari Ramineni, MD; Baylor College of Medicine, Houston, TX

P0674. Problem in the Liver? Look to the Lungs! Nicolas Cal, DO1, Hassan Tuyyab, MD2, Anthony Cretara, MD2, Zain Hassan3; 1Baystate Medical Center, Broad Brook, CT; 2Baystate Medical Center, Springfield, MA; 3Baystate Medical Center, Springfield, CT

P0675. Shingles All the Way Ben Nunley, MD, Neha Hingorani, MD, Sudha Kodali, MD, MPH; UAB Hospital, Birmingham, AL

P0676. Not so Cryptogenic Anymore Ben Nunley, MD1, Neha Hingorani, MD1, Chirag Patel, MD1, Mohamed Shoreibah, MD2; 1UAB Hospital, Birmingham, AL; 2UAB, Birmingham, AL

P0677. Unusual Case of Elevated Alkaline Phosphatase From Chronic Myelomonocytic Leukemia: A Case Report Parminderjit Singh, MD1, Kalpit Devani, MD2, Mark Young, MD2, Puneet Goenka, MD2; 1HVMC, Kingsport, TN; 2East Tennessee State University, Johnson City, TN

P0678. Hepatic Amyloidosis Presenting as Painless Jaundice Michael Zimmerman, MD, Diana Dy, RN; Digestive Disease Specialists, Las Vegas, NV

P0679. Development of Cirrhosis and Portal Hypertension in Fontan-Associated Liver Disease Hao Chi Zhang, MD, Poyee Tung, MD, Victor I. Machicao, MD; University of Texas Health Science Center at Houston, Houston, TX

P0680. Multiple Hepatocellular Regenerative Nodules in a Patient With History of Budd-Chiari With Transjugular Intrahepatic Portosystemic Shunt Placement Sarah Repking, APN1, Jaimin Amin, MD2, Bulent Arselan, MD3, Edie Chan, MD3, Nikunj Shah, MD1, Shriram Jakate, MD3; 1Rush University, Chicago, IL; 2Rush Medical College, Chicago, IL; 3Rush University Medical Center, Chicago, IL

P0681. Identification and Surveillance of Multiple Hepatic Adenomas in Glycogen Storage Disease Type Ia Hao Chi Zhang, MD, Preethi Reddy, MD; University of Texas Health Science Center at Houston, Houston, TX

P0682. Perforated Hemocholecyst: An Unintended Consequence of Endoscopic Variceal Ligation Brett W. Sadowski, MD, Mary Gasser, MD, Ryan Kwok, MD, FACP; Walter Reed National Military Medical Center, Bethesda, MD



P0683. L-carnitine for L-asparaginase Induced Hepatotoxicity Sumant Arora, MD, Jagpal S. Klair, MD, Andrew Bellizzi, MD, Tomohiro Tanaka, MD, PhD; University of Iowa Hospitals & Clinics, Iowa City, IA

P0684. Spirochetes in the Liver: An Unusual Presentation of a Common Infection Layth Al-Jashaami, MD1, Natasha Narang, DO2, Nayan Patel, DO, MPH3; 1University of Arizona, Banner University Medical Center, Phoenix, AZ; 2Banner University Medical Center, University of Arizona College of Medicine, Phoenix, AZ; 3Banner University Medical Center, Phoenix, AZ

P0685. Ganciclovir-Resistant CMV Colitis in a Donor-Seronegative/Recipient-Seronegative Liver Transplant Patient Krunal Patel, MD1, Greg Wellman, MD2, Hrishikesh Samant, MD3, Samuel Igbinedion, MD1; 1LSU HSC, Shreveport, LA; 2Delta Pathology Group, Shreveport, LA; 3LSU Health Shreveport and Willis Knighton Health System, Shreveport, LA

P0686. A Rare Twist of the Forgotten Disease: A Case of Fusobacterium necrophorum Sepsis with Porto-mesenteric Thrombosis Zaid Imam, MBBS1, Majd Khasawneh, MD2, Ismail Hader, MD3; 1William Beaumont Hospital, Royal Oak, MI; 2William Beaumont Hospital, Clawson, MI; 3William Beaumont Hospital, West Bloomfield, MI

P0687. Mesalamine: Good for IBD but Bad for the Liver? A Case of DILI Caused by Mesalamine Nihar Shah, MBBS, Aakash Desai, MBBS, MPH, Alexander Potashinsky, MD, Colin Swales, MD; University of Connecticut Health Center, Farmington, CT

P0688. Rivaroxaban-Induced Liver Injury: A Rare Event or the Tip of an Iceberg? Nihar Shah, MBBS1, Amruta Panwala, MBBS1, Alexander Perelman, DO, MS1, Toishi Sharma, MBBS1, Colin Swales, MD2; 1University of Connecticut Health Center, Farmington, CT; 2Connecticut GI, P.C., Hartford, CT

P0689. Successful N-Acetylcysteine Treatment of Trimethoprim/Sulfamethoxazole-Induced Acute Liver Injury Courtenay Ryan-Fisher, MBBCh, Sarah Rawi, MD, Rishabh Sachdev, MD, Daniela G. Vinsard, MD; University of Connecticut Health, Farmington, CT

P0690. Thymoma-Induced Autoimmune Hepatitis: A Rare Paraneoplastic Syndrome Kendra T. Stilwell, DO1, Douglas F. Taylor, DO1, Angelo H. Paredes, MD2; 1San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX; 2Brooke Army Medical Center, San Antonio, TX

P0691. 6-Mercaptopurine-Induced Non-Cirrhotic Portal Hypertension With Rapid Progression to Liver Cirrhosis in the Absence of Pre-Existing Liver Disease Maria Chiejina, MD1, Hrishikesh Samant, MD2, John Bienvenu, MD1, Greg Wellman, MD3; 1LSU Health Sciences Center, Shreveport, LA; 2LSU Health Shreveport and Willis Knighton Health System, Shreveport, LA; 3Delta Pathology Group, Shreveport, LA

P0692. Young Male With Cryptogenic Hepatitis-Associated Aplastic Anemia Navroop Nagra, MD1, Arul Thomas2; 1Peace Health Hospital Center, Vancouver, WA; 2MedStar Georgetown Transplant Institute, Washington, DC

P0693. A Case Report of Rifampin Alone Drug Induced Liver Injury (DILI) Ashina D. Singh, MD1, Scott A. Manski, MD2, Nathalie H. Urrunaga, MD, MS3; 1Henry Ford Hospital, Detroit, MI; 2University of Maryland Medical Center, Baltimore, MD; 3University of Maryland School of Medicine, Baltimore, MD

P0694. Infected Hepatocellular Carcinoma With Salmonella Dublin Moamen Al Zoubi, MD1, Muhammad Alsayid, MD, MPH1, Sakeina R. Howard-Wilson, DO2, Steven Hatch, MD, MSc1; 1University of Massachusetts Memorial Medical Center, Worcester, MA; 2University of Massachusetts Memorial Hospital, Worcester, MA

P0695. Hepatic Infarction - A Rare Complication of HELLP Syndrome Vicky H. Bhagat, MD, MPH1, Kenneth Chen, MD2; 1Rutgers Robert Wood Johnson Medical School, Piscataway, NJ; 2Warren Alpert Medical School at Brown University, Providence, RI

P0696. Rhabdomyolysis Masquerading as Acute Liver Failure: A Case Report Daniel E. Hogan, Jr., DO, Varun Kesar, MD, Alexander Chun, MD; Lenox Hill Hospital, New York, NY

P0697. Prolonged Anhepatic State After Rescue Hepatectomy of a Transplanted Liver Kelly Zucker, DO, Paul Gomez, MD, Paul Muna Aguon, MD, Thomas Ardiles, MD; University of Arizona College of Medicine, Phoenix, AZ

P0698. A Case of Alcoholic Hepatitis Induced Hemolytic Anemia Disguised as a Drug Induced Hemolytic Anemia Andrew Tomaw, DO, MBA1, Yousaf Zafar, MD2, Muhammad Shafiq, MD3; 1University of Missouri, Gladstone, MO; 2University of Missouri, Kansas City, MO; 3University of Missouri Kansas City, Kansas City, MO

P0699. Clostridium perfringens Bacteremia-Associated Hemolysis Andrew Tomaw, DO, MBA1, Julie Nahar, MD2, Yousaf Zafar, MD2, Gagan Mathur, MD3; 1University of Missouri, Gladstone, MO; 2University of Missouri, Kansas City, MO; 3St. Luke’s Hospital, Kansas City, MO

P0700. Escherichia coli Bacteremia Following Liver Biopsy: A Case Report of Hemobilia Related Cholangitis From Transjugular Liver Biopsy Preeti Gupta, MD, MPH1, Nhu An Nguyen, DO2, Joseph Jennings, MD1, Alexander Lalos, MD1; 1Georgetown University Hospital, Washington, DC; 2Walter Reed National Military Medical Center, Bethesda, MD

P0701. A Visitor From the East Mohamed A. Elkhouly, MD1, Vikram Kotwal, MD1, Ahmed A. Elkhouly, MD2, Alaa Hijazi, MD3, Hemant Mutneja, MD1, Nisar Asmi, MD1, Chimezie Mbachi, MD1, Jayakumar Sreenivasan, MD1, Bashar M. Attar, MD, PhD1; 1Cook County Health and Hospitals System, Chicago, IL; 2Cairo University Hospitals, Cairo, Al Qalyubiyah, Egypt; 3Cairo University Hospitals, Cairo, Al Qahirah, Egypt

P0702. An Unusual Cause of Hyperammonemic Encephalopathy Zunirah Ahmed, MD1, Sumant Arora, MD2, Allan Seibert, MD1, Rashi Khanna, MD2; 1UAB Montgomery, Montgomery, AL; 2University of Iowa Hospitals & Clinics, Iowa City, IA

P0703. Yttrium-90 Radioembolization for Unresectable Chemorefractory Breast Cancer Liver Metastases: A Case Report Jinendra Satiya, MD1, Kapil Gupta, MD2, Aviv Katz, DO3; 1University of Miami Leonard M. Miller School of Medicine / Palm Beach Regional GME Consortium, Atlantis, FL; 2University of Miami/JFK Medical Center Palm Beach Regional GME Consortium, Fort Lauderdale, FL; 3Digestive Disease Center of the Palm Beaches, Atlantis, FL

P0704. Long-Term Azathioprine Use and the Development of Non-Cirrhotic Portal Hypertension Richard A. Manfready, MD, AM1, Jack Husney, MD1, Shmuel Golfeyz, MD2, Swan Thung, MD3, Ilan Weisberg, MD, MSc1; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel, Brooklyn, NY; 3The Mount Sinai Hospital, New York, NY

P0705. Kratom: A Rare Cause of Hepatotoxicity Ashraf Abushahin, MD, Craig Harris, MD; Cleveland Clinic Foundation/Fairview Hospital, Cleveland, OH

P0706. Extrapulmonary Hepatic Histoplasmosis Presenting as Chronic Liver Disease: A Case Report Ashley Wood, DO, Suha Abushamma, MD, Jamak M. Esfeh, MD; Cleveland Clinic Foundation, Cleveland, OH

P0707. Don’t Make a Rash Diagnosis: A Curious Case of Syphilitic Hepatitis in a Young Healthy Female Joshua M. Steinberg, MD, Jessica Rosenberg, MD, Arul Thomas, MD; MedStar Georgetown University Hospital, Washington, DC


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P0708. Nivolumab and Ipilimumab Immunotherapy-Induced Colitis and Hepatitis Eric Ballecer, MD1, Alexander Sy, MD2, Jennifer Miller, MD2, Sheena Mago3, Tova Sofer, MD4, Peter Malet, MD2; 1NYU Winthrop Hospital, Mineola, NY; 2NYU-Winthrop, Mineola, NY; 3New York Institute of Technology College of Osteopathic Medicine, Mineola, NY; 4Southern California Permanente Medical Group, Los Angeles, CA

P0709. Acute Liver Failure: A Rare Primary Sequela of Exertional Heat Stroke Lindsay Clarke, MS, Daniel Szvarca, BS, Danielle Davison, MD, Bedoor Alabbas, MBBS, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC

P0710. The Importance of a Recent Liver Biopsy Prior to Cardiac Transplant Evaluation Adalberto Gonzalez, MD, Vaibhav Wadhwa, MD, Fayssa Salomon, MD, Pablo Bejarano, MD, Bobby Zervos, DO; Cleveland Clinic Florida, Weston, FL

P0711. Extraordinary Hyperbilirubinemia in a Patient With Multiple Myeloma Adalberto Gonzalez, MD1, Michael Castillo, MD1, Isaac Goldszer, MS2, Chelsea Garcia, MD1, Jeevna Kaur, MD1, Chakra Chaulagain, MD1; 1Cleveland Clinic Florida, Weston, FL; 2Florida Atlantic University, Boca Raton, FL

P0712. Real World Experience With Obeticholic Acid for Primary Biliary Cholangitis: A Case Series Eric Nellis, MD1, Adam Peyton, DO2, She-Yan Wong, MD1; 1Lehigh Valley Health Network, Allentown, PA; 2Eastern Pennsylvania Gastroenterology and Liver Associates, Allentown, PA

P0713. Hemophagocytic Lymphohistiocytosis Masquerading as Alcoholic Hepatitis Sawsan Abulaimoun, MD1, Thamer Kassim, MD1, Abdullah Abdussalam, MD, MBA1, Peter Lampe, BS1, Savio Reddymasu, MBBS1, Bryan Teruya, MD1, Nagendra Natarajan, MD2; 1Creighton University, Omaha, NE; 2Nebraska Cancer Specialists, Omaha, NE

P0714. A Case of Severe, Nilotinib-induced Liver Injury Yuliya Belopolsky, MD1, David Grinblatt, MD2, Nora Joseph, MD2, Claus Fimmel, MD2; 1University of Chicago at NorthShore, Chicago, IL; 2University of Chicago at NorthShore, Evanston, IL

P0715. Prolonged Jaundice Secondary to Amiodarone Use: A Case Report Laith Al momani, MD, Maria Zayko, MD, Alison Smith, MD, Tyler Aasen, DO, Jason McKinney, DO, Mark Young, MD; East Tennessee State University, Johnson City, TN

P0716. Hyperammonemic Encephalopathy: A Rare Presentation of Valproic Acid Toxicity in the Absence of Liver Impairment Iana Gueorguieva, MD, Dale Stern, MD, Camelia Arsene, MD, Malitha S. Hettiarachchi, MD; Detroit Medical Center/Wayne State University, Detroit, MI

P0717. Spontaneous Pylephlebitis of the Portal Vein Mimicking Acute Ascending Cholangitis: A Rare Case Parth Desai, DO1, Radhika Jaiswal, MD2, Bashar M. Attar, MD, PhD1, Palashkumar Jaiswal, MBBS3, Manthan Jayswal, MS4, Naser Yamani, MD1; 1Cook County Health and Hospitals System, Chicago, IL; 2Forest Hills Hospital, Rego Park, NY; 3John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 4B.J. Medical College, Ahmedabad, Gujarat, India

P0718. Cholestasis as a Diagnostic Challenge Thrupthi Komandur, MBBS1, Julie Guider, MD1, Nirav Thosani, MD2; 1University of Texas Health Science Center at Houston, Houston, TX; 2University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX

OBESITY

0719. Is There Disparity in Index-Admission Cholecystectomy for Mild Acute Biliary Pancreatitis in Patients With Morbid Obesity: A National Survey Emmanuel Ugbarugba, MD, MPA1, Charles Lawrence, MD1, Kyle Porter, MAS2, Ravi Pavurala, MD1, Hisham Hussan, MD1, Phil Hart, MD1, Darwin Conwell, MD, MS1, Somashekar G. Krishna, MD, MPH1; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2Center for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, OH

P0720. Outcomes of a Transoral Outlet Reduction Endoscopy Procedure for Weight Regain Due to Dilated Anastomosis Aperture in Roux-en-Y Patients Truptesh Kothari, MD1, Vivek Kaul, MD, FACG2, Krystle Bittner, MPH1, Victoria Howard, PA-C1, Shivangi Kothari, MD1; 1University of Rochester Medical Center, Rochester, NY; 2University of Rochester, Rochester, NY

P0721. Institutional Review of Utilization of Vibration-Controlled Transient Elastography (FibroScan) in Evaluation of Non Alcoholic Fatty Liver Disease Donya Imanirad, MD1, Nadia Bozanich, MD 1, Gitanjali Vidyarthi, MD2; 1University of South Florida College of Medicine, Tampa, FL; 2James A. Haley Veterans’ Hospital, Tampa, FL

P0722. Prevalence of Metabolic Syndrome and Type 2 Diabetes in Veterans With Nonalcoholic Fatty Liver Disease Nadia Bozanich, MD 1, Donya Imanirad, MD1, Anmol Warman, BS1, Gitanjali Vidyarthi, MD2, Ambuj Kumar, MD3; 1University of South Florida College of Medicine, Tampa, FL; 2James A. Haley Veterans’ Hospital, Tampa, FL; 3University of South Florida, Tampa, FL

P0723. Ten-Year Analysis of Nonalcoholic Fatty Liver Disease-Related Hospitalizations Edwin Golikov, DO, Shil Patel, DO, Suhail Salem, MD, Taruna Bhatia, MD, Jeevan Vinod, MD; CarePoint Health Bayonne Medical Center, Bayonne, NJ

P0724. Rising Trends in Gastrointestinal, Liver, and Pancreatic Diseases Admissions Among Young Adults With Obesity in the United States Hisham Hussan, MD1, Kishan Patel, MD1, Darrell M. Gray, II, MD, MPH1, Peter P. Stanich, MD1, Khalid Mumtaz, MD, MSc1, Alice Hinton, MS2, Somashekar G. Krishna, MD, MPH1; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2The Ohio State University, Columbus, OH

OBESITY Clinical Vignettes / Case Reports

P0725. When a Lap Band Goes Rogue Florence-Damilola Odufalu, MD1, William Joseph Goldkamp, MD2; 1St. Louis University School of Medicine, St. Louis, MO; 2St. Louis University, St. Louis, MO

P0726. Prolonged Hypercupremia After Vertical Sleeve Gastrectomy Successfully Treated With an Excess of Oral Zinc Timothy R. Koch, MD1, Elizabeth A. Zubowicz, MD2, John Gross, Jr., MD3; 1Georgetown University School of Medicine, Washington, DC; 2MedStar-Washington Hospital Center, Washington, DC; 3Mayo Clinic, Rochester, MN



PEDIATRICS

P0727. Breath Analysis in Children with Ketogenic Glycogen Storage Diseases Presidential Poster Award Mohammad Nasser Kabbany, MD1, Praveen Kumar Conjeevaram Selvakumar, MD1, Neal Mehta, MD1, Xiaozhen Han, MS1, Xiaozhen Wang, PhD1, David Grove, PhD2, Adriano Tonelli, MD1, Raed Dweik, MD1, Laurie Tsilianidis, MD1, Kadakkal Radhakrishnan, MD1, Naim Alkhouri, MD3; 1Cleveland Clinic Foundation, Cleveland, OH; 2Learner Research Institute, Cleveland Clinic Foundation, Cleveland, OH; 3Texas Liver Institute, San Antonio, TX

P0728. Pediatric Inflammatory Bowel Disease (P-IBD) in India: Is It Really Uncommon? Ujjal Poddar, MBBS, MD, DM, Surender Kumar Yachha, MBBS, MD, DM, Anshu Srivastava, MBBS, MD, DM; Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

P0729. Safety and Feasibility of Pediatric Gastrointestinal Procedures at an Ambulatory Endoscopy Center Sejal Mahajan1, Nithin Gupta2, Rahul Sao, MD3, Sachin Kunde, MD, MPH4, Neeraj Sachdeva, MD5; 1University of North Carolina, Cary, NC; 2North Carolina State University, Cary, NC; 3University of Connecticut School of Medicine, Farmington, CT; 4Wake Pediatric GI, Raleigh, NC; 5Wake Endoscopy Center, Raleigh, NC

P0730. Sensitivity of Serologic Markers in Celiac Disease in Children 2 Years Old or Younger Muhammad Rehan Khan, MBBS, Ahmed Barazi, MBBCh, Mhd Louai Manini, MD, Imad Absah, MD; Mayo Clinic, Rochester, MN

P0731. The Utility of Lactulose/Rhamnose Permeability Test in Celiac Disease and High Risk Children Muhammad Rehan Khan, MBBS, Joseph Larson, Roy Dyer, Ravinder Singh, PhD, William Faubion, MD, Imad Absah, MD; Mayo Clinic, Rochester, MN

P0732. Shortcomings in Long-Term Management: A Retrospective Analysis of Follow-Up of Children Diagnosed With Celiac Disease Bradley Blansky, MS1, Zackary Hintze, BS2, Eaman Alhassan, MD1, Alan Leichtner, MD, MSPHEd1, Dascha Weir, MD2, Jocelyn Silvester, MD, PhD2; 1Celiac Disease Center, Boston Children’s Hospital, Boston, MA; 2Celiac Disease Program, Boston Children’s Hospital, Boston, MA

P0733. Influences From Europe: The Rise of "Organic" Baby Formula Use in NYC Private Practices Nan Du, MD1, Jamila K. Williams, MD2, Veronika Shabanova, PhD3, Dina Dimaggio, MD4, Ine Leus, MD, MPH5, Anthony Porto, MD, MPH1; 1Yale New Haven Hospital, New Haven, CT; 2NYU Langone Health, New York, NY; 3Yale University, New Haven, CT; 4New York University Langone Health, Brooklyn, NY; 5New York University Langone Health, New York, NY

P0734. The Risk of Autoimmune Endocrine Disorders in Treated Celiac Disease Patients in Olmsted County, Rochester, MN Presidential Poster Award Muhammad Rehan Khan, MBBS, Shilpa Nellikkal, MBBS, Ahmed Barazi, MBBCh, Joseph Larson, Joseph Murray, MD, Imad Absah, MD; Mayo Clinic, Rochester, MN

P0735. Hepatitis A and B Seroimmunity in Vaccinated Children With Cirrhosis Presidential Poster Award Heli Bhatt, MBBS, MPH1, Thomas Fox, MD2, William Bennett, Jr., MD, MS1, Girish S. Rao, MD1; 1Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN; 2Ryan White Center for Pediatric Infectious Disease, Riley Children’s Hospital, Indiana University School of Medicine, Indianapolis, IN

P0736. Real World Use of Oral Corticosteroids ≥30 mg/Day Among Adolescents With Newly Diagnosed Crohn’s Disease Theresa Hunter, PhD, MPH, MS, April Naegeli, DrPH, MPH, Krista Schroeder, PhD, Xiang Zhang, PhD, Amy Larkin, BS, Wendy Komocsar, BS, MT(ASCP) SI, Diana Stefani-Hunyady, MD, MBA; Eli Lilly and Company, Indianapolis, IN

P0737. Gastrointestinal Bleeding Is Common in Children With Familial Dysautonomia: A Case-Control Study (1980-2017) Presidential Poster Award Chethan Ramprasad, MD 1, Christy Spalink, ARNP1, Isabel Vanegas, PhD1, Lucy Norcliffe-Kaufmann, PhD1, Jose Alberto Palma, MD, PhD1, Joseph Levy, MD1, Horacio Kaufmann, MD1, Lea Ann Chen, MD2; 1New York University, New York, NY; 2New York University School of Medicine, New York, NY

PEDIATRICS Clinical Vignettes / Case Reports

P0738. Pinworms: The Missing Link Between Vitamin B12 Deficiency and Tissue Eosinophilia David Wilhoite, BS1, Alexandria Boley, DO2, Patrick Costello, MD2, Anjali Malkani, MBBS2; 1East Tennessee State University, Quillen College of Medicine, Johnson City, TN; 2East Tennessee State University, Johnson City, TN

P0739. Johanson-Blizzard Syndrome: Report of One Case Narmer F. Galeano, MD, Rivera-Penera Maria Teresa, MD, Nishith Bhattacharyya, MD, Roberto Nachajon, MD, Punita Gupta, MD; St. Joseph’s Medical Center, Paterson, NJ

P0740. Benign Colonic Schwann Cell Hamartoma in a Pediatric Patient with PTEN Hamartoma Tumor Syndrome (PHTS) Naser Tolaymat, MD, Adam Paul, DO; Children Hospital’s at Lehigh Valley Health Network, Allentown, PA

P0741. Application of Whole Exome Sequencing in Diagnosis of Pediatric Acute Liver Failure of Unknown Etiology Heli Bhatt, MBBS, MPH, Girish S. Rao, MD; Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN

P0742. Retention of the Patency Capsule: A Complication That Deserves Attention George Obeng, BS, MS, Asha Sigei, MD, Patrick Costello, MD, Anjali Malkani, MBBS; East Tennessee State University, Johnson City, TN

P0743. Apposing the Average Age: Lumen-Apposing Metal Stent Placement in a 3-Year-Old Stephen Beasley, MD, Meir Mizrahi, MD, Manoj Kumar, MD, MPH, Gilad Shapira, DO; University of South Alabama, Mobile, AL

PRACTICE MANAGEMENT

P0744. Implementation of Clostridium difficile Algorithm for Reduction of Inappropriate Testing in a Community Hospital Marcelle Meseeha, MD1, Darla Fink, BS2, Natasha Kohanzadeh, BA3, Stephen Mazurkivich, BS2, Chloe M. Swanger, BS4; 1Guthrie Clinic/Robert Packer Hospital, Sayre, PA; 2Geisinger Commonwealth School of Medicine, Sayre, PA; 3Geisinger Commonwealth School of medicine, Sayre, PA; 4Geisinger Commonwealth School of Medicine, Altoona, PA

P0745. Prevention of Hospital-Acquired Clostridium difficile Infection Using UVC Light Units for Terminal Decontamination of Patient Rooms Emil Putrus, MD1, Alan Putrus, MD2, Jenni Steinbrunner, BS 3, Carolyn Fiutem3, Stephen Blatt, MD4; 1Good Samaritan Hospital/TriHealth, Cincinnati, OH; 2Ascension Providence Hospital/MSU College of Human Medicine, Southfield, MI; 3TriHealth, Cincinnati, OH; 4TriHealth Infectious Diseases, Cincinnati, OH


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P0746. U.S. Hospital Transfer Patterns for Patients With Acute Pancreatitis Shibani Pokras, MPH, George Mu, PhD, MS; GSK, Collegeville, PA

P0747. Outcomes of Percutaneous Endoscopic Gastrostomy (PEG) Placement in the Endoscopy Lab versus the Operating Room Pamela Kim, MD1, Aslam Syed, MD1, Ricardo Mitre, MD2, Katie Farah, MD1, Marcia Mitre, MD1; 1Allegheny Health Network, Pittsburgh, PA; 2Allegheny General Hospital, Pittsburgh, PA

P0748. Augmenting the Guidelines: Screening Patients for CRE Carriage Prior to Endoscopic Retrograde Cholangiopancreatography (ERCP) as Surveillance and Risk Mitigation Strategy Pari Shah, MD 1, Brett Van Leer-Greenberg, MD1, Tracy McMillen, BS1, Jennifer Hsieh, MD1, Janet Eagan, MPH, CIC1, Mark Schattner, MD1, Robin Mendelsohn, MD1, Robert Kurtz, MD1, Hans Gerdes, MD1, Esther Babady, MD2, Mini Kamboj, MD1; 1Memorial Sloan Kettering Cancer Center, New York, NY; 2Microbiology Service, Clinical Laboratories, Memorial Sloan Kettering Cancer Center, New York, NY

P0749. A Low Residue Diet with a Split Dose Bowel Prep Is Effective in Improving Bowel Prep Adequacy in a Veteran’s Affairs Endoscopy Unit Shani Woolard, MD1, Adanech W. Kidanie, MD1, Bradley Mathers, MD1, Shanthi Srinivasan, MD2, Meena Prasad, MD3, Robert H. Lyles, PhD3; 1Emory University School of Medicine, Atlanta, GA; 2Emory University and Atlanta VAMC, Atlanta, GA; 3Emory University, Atlanta, GA

P0750. Factors Associated With Outpatient Colonoscopy Appointment Non-Adherence at a Safety-Net Healthcare System: A Retrospective Review Tarek I. Eid, MD1, Cris Jacob R. Molina, MD2, Victor Arce, MD3, Derek Murray4, Paul Kang, MS, MPH5, Keng-Yu Chuang, MD6; 1University of California Irvine, Orange, CA; 2Banner University Medical Center, Phoenix, CA; 3University of Colorado, Aurora, CO; 4Maricopa Integrated Health System, Phoenix, AZ; 5University of Arizona College of Medicine, Phoenix, AZ; 6Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ

P0751. Inpatient Endoscopy Biopsy Follow-Up: A Quality Improvement Study Stephanie Yan, MD 1, Sooraj Tejaswi, MD, MSPH2; 1University of California Davis, Sacramento, CA; 2University of California Davis Medical Center, Sacramento, CA

P0752. Standardizing the Removal of Large Colon Polyps: An Evidence-Based Approach Ryan Jacobs, BA, Srikar Mapakshi, MD, Clark Hair, MD, Nisreen Husain, MD, Maria Jarbrink-Sehgal, MD, PhD, Yamini Natarajan, MD, Ruben Hernaez, MD, MPH, PhD, Fasiha Kanwal, MD, MSHS, Rhonda Cole, MD, Maria Velez, MD, Gyanprakash Ketwaroo, MD, MSc; Baylor College of Medicine, Houston, TX

P0753. Proton Pump Inhibitor (PPI) Prescribing Practices in an Academic Outpatient GI Fellowship Clinic Bradford Chong, MD1, Ahilan Arulanandan, MD1, Saif Azam, BA2, Stefan Nguyen, MD1, Christianne Lane, PhD2, Michael Kline, MD1; 1LAC+USC Medical Center, Los Angeles, CA; 2Keck School of Medicine of USC, Los Angeles, CA

P0754. Mind the Gap: Improving Transitions of Care After Inpatient Endoscopy at an Academic Medical Center Cicily Vachaparambil, MD1, Angela Ward, MSN, FNP-BC, DNP2, Maria Klimenko, MD2, Heba Iskandar, MD, MSCI1; 1Emory University School of Medicine, Atlanta, GA; 2Emory University, Atlanta, GA

P0755. Role of Race in Loss of Response to Infusion Biologics in Patients With Inflammatory Bowel Disease Cicily Vachaparambil, MD, Catherine Bartnik, MD, MPH, Tanvi Dhere, MD, Heba Iskandar, MD, MSCI; Emory University School of Medicine, Atlanta, GA

P0756. Use and Abuse of Fecal Occult Blood Tests: A Community Hospital Experience Fellows-in-Training Award (Practice Management Category) Presidential Poster Award Sarthak Soin, MD1, Nasir Saleem, MD1, Olalekan Akanbi, MD, MPH2, Yunha Kim, MD1, Sarbagya Pandit, MD1, Igor Wroblewski, MD1; 1Presence Saint Joseph Hospital, Chicago, IL; 2University of Kentucky College of Medicine, Lexington, KY

P0757. Evaluating Appropriate Use of Antibiotics in Acute Pancreatitis - Need for Antibiotic Stewardship Kevin Kline, MD, Felippe Marcondes, MD, Mohammad Bilal, MD, Sagar Joshi, MS, Ronan Allencherril, MS, Wayne Fischer, PhD, Praveen Guturu, MD, FACG, Kelly Olino, MD, Sreeram Parupudi, MD, FACP, FACG; University of Texas Medical Branch, Galveston, TX

P0758. Artificial Intelligence Can Accurately Detect Tools Used During Colonoscopy: Another Step Forward Toward Autonomous Report Writing Presidential Poster Award Jason Samarasena, MD1, Allen R. Yu, BS1, Ericson John Torralba, BSc1, Daniel Mai, BSc1, David P. Lee, MD, MPH2, Zain Moosvi, MD1, Vincent Chao Chang, MD1, Tyler Dao3, James Requa4, Andrew Ninh4, William Karnes, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine, Orange, CA; 3Docbot, Orange, CA; 4Docbot, Irvine, CA

P0759. Burnout and Well-being in GI Fellows Kegan Jessamy, MBBS, Sekou Rawlins, MD; SUNY Upstate Medical University, Syracuse, NY

P0760. Variability in Antibiotic Regimens for Cholangitis in a Tertiary Care Center Bushra Wazed, MD1, Galen Leung, MD1, Erin Taub, MPH1, Adam Solis-Cohen, MD1, Juan Carlos Bucobo, MD1, Jonathan Buscaglia, MD1, Demetrios Tzimas, MD2; 1Stony Brook University Hospital, Stony Brook, NY; 2NYU Langone Health/Bellevue Hospital Center, New York, NY

P0761. Patient Perceptions of Interprofessional Teamwork in a Streamlined Liver Transplant Evaluation Dina L. Halegoua-De Marzio, MD1, Steven Herrine, MD1, Jonathan M. Fenkel, MD2, Lauren Collins, MD1, Shoshana Sicks, EdM1, Abigail Sherburne1, Elizabeth Speakman, EdD, RN1, April Smith, MPH1; 1Thomas Jefferson University, Philadelphia, PA; 2Thomas Jefferson University Hospital, Philadelphia, PA

P0762. Stewardship for Appropriate Management of Proton Pump Inhibitors (PPI) Usage in GI Fellows’ Continuity Clinics Presidential Poster Award Nicholas Crews, MD1, Megan Walker, MD2, Mustapha El-Halabi, MD1, Nabil F. Fayad, MD, FACG2; 1Indiana University, Indianapolis, IN; 2Indiana University School of Medicine, Indianapolis, IN

P0763. Optimizing Endoscopy Scheduling Tamara Brodsky, MD, Moshe Rubin, MD; New York-Presbyterian Queens, Flushing, NY

P0764. The Incidence of Precancerous Polyps and Post-Polypectomy Bleeding During Screening Colonoscopy in Patients With a Left Ventricular Assist Device Rohit Dhingra, MD, Sharanya Mohanty, MD, Yazan Daaboul, MD, Joseph Dailey, MD, Christopher Firely, MD, Michael Winter, MD, Amirah Khan, MD, Aaron M. Dickstein, MD, Amanda Vest, MD, Michael Kiernan, MD; Tufts Medical Center, Boston, MA



P0775. A Rare Case of a Colonic Polypoid Arteriovenous Malformation Causing Symptomatic Anemia Jason B. Kramer, MD, Allison Rzepczynski, MD, Shriram Jakate, MD, Lin Cheng, MD, Ajaypal Singh, MD; Rush University Medical Center, Chicago, IL

SMALL INTESTINE

P0776. Cigarette Smoking and Risk of Celiac Disease: A Systematic Review and Meta-Analysis Karn Wijarnpreecha, MD1, Susan Lou, MD2, Panadeekarn Panjawatanan, MD3, Wisit Cheungpasitporn, MD4, Surakit Pungpapong, MD1, Frank J. Lukens, MD1, Patompong Ungprasert, MD, MS5; 1Mayo Clinic Florida, Jacksonville, FL; 2University of Minnesota, Minneapolis, MN; 3Chiang Mai University, Chiang Mai, Thailand; 4University of Mississippi Medical Center, Jackson, MS; 5Mahidol University, Bangkok, Krung Thep, Thailand

P0777. Association Between Juxtapapillary Duodenal Diverticula and Risk of Choledocholithiasis: A Systematic Review and Meta-Analysis Karn Wijarnpreecha, MD1, Panadeekarn Panjawatanan, MD2, Wuttiporn Manatsathit, MD3, Wisit Cheungpasitporn, MD4, Surakit Pungpapong, MD1, Frank J. Lukens, MD1, Patompong Ungprasert, MD, MS5; 1Mayo Clinic Florida, Jacksonville, FL; 2Chiang Mai University, Chiang Mai, Thailand; 3University of Nebraska Medical Center, Omaha, NE; 4University of Mississippi Medical Center, Jackson, MS; 5Mahidol University, Bangkok, Krung Thep, Thailand

P0778. The Safety and Utility of Double Balloon Enteroscopy in the Evaluation and Treatment of Gastrointestinal Bleeding in Patients With Left Ventricular Assist Devices: A Retrospective Review Badar Hasan, MD1, Charles W. McMahon, MD1, Rajiv Chhabra, MD, MRCP (UK), FACG2; 1University of Missouri, Kansas City, MO; 2St. Luke’s Hospital, Kansas CIty, MO

P0779. Recent Probiotic Use Is Independently Associated With Methane-Positive Breath Test for Small Intestinal Bacterial Overgrowth Emilie Mitten, MD, Alison Goldin, MD, MPH, Jasmine Hanifi, MD, Walter W. Chan, MD, MPH; Brigham & Women’s Hospital/Harvard Medical School, Boston, MA

P0780. Measuring Small Bowel Transit Time in Obesity by Video Capsule Endoscopy Andrew J. Hsu, MD, Li Wang, MD, David Cave, MD, MPH; University of Massachusetts Memorial Medical Center, Worcester, MA

P0781. CT Diagnosis of Terminal Ileitis with Clinical, Endoscopic, and Histologic Correlation - More Than Just IBD Bilal A. Asif, MD, Brianna Shinn, MD, Joseph A. Spataro, MD, Charles Kistler, MD, PharmD, Monjur Ahmed, MD, FRCP, FACG, FACP; Thomas Jefferson University Hospital, Philadelphia, PA

P0782. The Sensitivity of Cross-Sectional Imaging for Identifying Periampullary Diverticula Austin Lee Chiang, MD, MPH, Jetmir Vojnika, Alexander Schlachterman, MD, David E. Loren, MD, Thomas Kowalski, MD; Thomas Jefferson University Hospital, Philadelphia, PA

P0783. Impact of Oral-Cecal Transit Time on the Interpretation of Breath Tests After RYGB: A Personalized Approach to the Diagnosis of SIBO Pichamol Jirapinyo, MD, MPH1, Tracy T. Makuvire, MD2, William Y. Dong3, Walter W. Chan, MD, MPH1, Christopher C. Thompson, MD, MSc1; 1Brigham & Women’s Hospital/Harvard Medical School, Boston, MA; 2Harvard Medical School, Boston, MA; 3Stony Brook University, Stony Brook, NY

P0784. Diagnostic Yields of Pillcam® SB3 versus Pillcam® SB2 Capsules in a United States Veteran Population Tyler Aasen, DO1, David Wilhoite, BS1, Aynur Rahman, MD2, Mark Young, MD2, James Swenson, MD3; 1East Tennessee State University, Quillen College of Medicine, Johnson City, TN; 2East Tennessee State University, Johnson City, TN; 3Mountain Home VA Medical Center, Johnson City, TN

P0765. Can Clinical Decision Support Software Tools Increase Accuracy in Decision Making Among Resident Physicians? Gayatri Vengayil, MD, Edward Hoefler, MD, Samira Khan, MD, Jasprit Takher, MD, FACP; Mountain View Hospital/Sunrise GME Consortium/HCA, Las Vegas, NV

P0766. Impact of Electronic Medical Record Intervention on OP-29 and OP-30 Scores at St. Luke’s University Health Network Noel Martins, MD1, Christopher McCarthy2, Jessica Sallit1, Andrew Ivankovitz1, Kathy Nunemacher1, Adam Gurgick1, Tracy Huhn1; 1St. Luke’s University Health Network, Bethlehem, PA; 2Lewis Katz School of Medicine at Temple University, Philadelphia, PA

P0767. Hepatitis C Screening Among Baby Boomers in a Community Hospital: A Quality Improvement Project Tsujung Yang, MD, Harshil Shah, MD, Subash Ghimire, MD, Marcelle Meseeha, MD, John Pamula, MD, FACP, CPHQ; Guthrie Clinic/Robert Packer Hospital, Sayre, PA

P0768. Zolpidem Use Is a Potential Risk Factor for Clostridium difficile Colitis in Hospitalized Patients: A Large Case Control Study Steve Hu, MD1, Fares Qeadan, PhD2, Tarik Alhmoud, MD3; 1University of California San Francisco Fresno, Fresno, CA; 2University of New Mexico Hospital, Albuquerque, NM; 3Promedica Physician Group, Sylvania, OH

P0769. Taking an Old Standard to New Places: Split-Dose Preps Improve Bowel Cleanse in the Inpatient Setting Seper Dezfoli, MD1, Sameer K. Berry, MD, MBA2, Brennan M. R. Spiegel, MD, MSHS3, Christopher V. Almario, MD3; 1University of California Los Angeles, Los Angeles, CA; 2Cedars-Sinai, Los Angeles, CA; 3Cedars-Sinai Medical Center, Los Angeles, CA

P0770. A Case of Torn Loyalty? Industry Rewards and Payments to Gastroenterologists Salman Nusrat, MD1, Taseen A. Syed, MD2, Sanober Nusrat, MD1, Sixia Chen, PhD3, Wei-Jen Chen, PhD Student1, Klaus Bielefeldt, MD, PhD4; 1University of Oklahoma Health Sciences Center, Oklahoma City, OK; 2The University of Oklahoma Health Sciences Center, Oklahoma City, OK; 3University of Oklahoma Health Sciences Center, Edmond, OK; 4Veterans Affairs Medical Center, Salt Lake City, UT

PRACTICE MANAGEMENT Clinical Vignettes / Case Reports

P0771. The GIST of It Michelle Likhtshteyn, MD1, Sadat Iqbal, MD1, Nikita Gupta, MD1, Abu Hurairah, MD2, Richard Ferstenberg, MD1; 1SUNY Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, NY

P0772. Post-Endoscopic Fungemia With Candida lipolytica Abhimanyu Aggarwal, MBBS, MD, Sylvia Alarcon, MD, Mary Classe Kilayko, MD; Berkshire Medical Center, Pittsfield, MA

P0773. Frey-Baillarger Syndrome in a Middle Aged Man: A Rare Case Report Stacey E. Thomas, MD, MBA1, Sherry Reyes, MD2, Zaheer A. Qureshi, MBBS, MD3, Sri Lekha Bodepudi, MBBS4, Sharmi Biswas, MBBS5, Jose K. Thomas, MBBS6, Alec Hovagim, MD7; 1Mayo Clinic, Scottsdale, AZ; 2N/A, Lynbrook, NY; 3University of Health Sciences, Rego Park, NY; 4Dr. P.S.I. of Medical Sciences and Research Foundation, Jacksonville, FL; 5MAG Osmani Medical College, Sylehet, Bangladesh, Edmonton, AB, Canada; 6J.J.M. Medical College, Davangere, Karnataka- India, Scottsdale, AZ; 7Mayo Clinic, Phoenix, AZ

P0774. Anchoring Bias: A Presumptive Diagnosis of Gastrointestinal Lupus Taiwo A. Ajose, MD, Titilope Olanipekun, MD, MPH, Suaka Kagbo-Kue, MD, Micheal Flood, MD, Claudia Toukam-Fotzeu, MD, MPH; Morehouse School of Medicine, Atlanta, GA


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P0785. Differences in Diagnostic Yield of Video Capsule Endoscopy Based on Definition of Obscure GI Bleeding Nikita A. Narayani, Raj I. Narayani, MD; Gastrointestinal Associates, PC, Knoxville, TN

SMALL INTESTINE Clinical Vignettes / Case Reports

P0786. Jejunal Lymphangiectasia and Phlebectasia in a 70-Year-Old Male: A Case Report Naveen Prasad Gopalakrishnan Ravikumar, MD1, Jose R. Estrada, MD1, Jad Bou-Abdallah, MD2; 1University at Buffalo, Buffalo, NY; 2Western NY VA Medical Center, Buffalo, NY

P0787. Strongyloides Enteritis and Hyperinfection in an Immunosuppressed Host Sneha Patel, MD; Montefiore Medical Center, New York, NY

P0788. Radiographic Diagnosis of Diphyllobothriasis: Hiding in Plain Sight Abid Javed, MD, Ira Wilner, MD; Medical University of South Carolina, Charleston, SC

P0789. A Rare Side Effect of Capecitabine: Pneumatosis Intestinalis with Pneumoperitoneum Taimoor Khan, MD1, Mujtaba Mohamed, MD2, Alsadiq Al hillan, MD3, Diana Curras, MD3, Marcus S. Flores, PharmD, BCPS1, Michael Carson, MD4; 1Jersey Shore University Medical Center/Hackensack Meridian Health, Neptune City, NJ; 2Jersey Shore University Medical Center/Hackensack Meridian School of Medicine at Seton-Hall, Neptune, NJ; 3Jersey Shore University Medical Center/Hackensack Meridian Health, Neptune, NJ; 4Jersey Shore University Medical Center/Hackensack Meridian Health, Ocean, NJ

P0790. A Rare Case of Medullary Carcinoma of the Ileum Hector Gonzalez, MD1, Simran Sidhu, MBBS1, Todd Eisner, MD2; 1Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 2Boca Raton Regional Hospital, Boca Raton, FL

P0791. Unusual Case of Acquired Gastroduodenal Fistula Due to Methotrexate Ryan Jordan, DO, Nathaniel Krogel, DO; Carolinas HealthCare System Blue Ridge, Morganton, NC

P0792. Acute Appendicitis and Small Bowel Obstruction Secondary to Metastatic Breast Cancer Omar Abughanimeh, MD1, Laith Numan, MD1, Mohammad Tahboub, MD1, Timothy Pluard, MD2; 1University of Missouri, Kansas City, MO; 2St. Luke’s Hospital, Kansas City, MO

P0793. Terminal Ileum MALToma in an H. pylori Negative Patient Antoni Wojtkowski, MD, Sarbagya Pandit, MD, George Atia, MD, Shyam Chalise, MD; Presence Saint Joseph Hospital, Chicago, IL

P0794. Mesenteric Venous Thrombosis Presenting as Subacute Diarrhea: A Rare but Tragic Case Matthew J. DeMaria, DO, Jogarao Vedula, MD, Haseeb Ahmed, MD, James H. Grendell, MD; NYU Winthrop Hospital, Mineola, NY

P0795. Unmasking Jejunal Carcinoma With Dual Antiplatelet Therapy Hussam Tayel, MD1, Ana Martinez-Tapia, MD2, Hesham Tayel, MD2, Rodrigo Duarte-Chavez, MD3, Ronak Modi, MD3, Kimberly J. Chaput, DO2; 1St. Luke’s University Health Network, Bethlehem, PA; 2St. Luke’s University Hospital Health Network, Bethlehem, PA; 3St. Luke’s University Hospital Health Network, Fountain Hill, PA

P0796. The Bouncing Bezoar Pressure Ulcer: Trapped in a Suture After Pancreatectomy Samit K. Datta, MD1, Michael Schmalz, MD, FACG2; 1Aurora Sinai Medical Center, Milwaukee, WI; 2Medical College of Wisconsin, Milwaukee, WI

P0797. A Rare Cause of Upper GI Bleed Caused by Duodenal Lipoma Amreet K. Aujla, MD1, Nha T. Duong, DO2, Nihar Shah, MBBS2, Alexander Potashinsky, MD2, Raffi Karagozian, MD3; 1University of Connecticut Health, Farmington, CT; 2University of Connecticut Health Center, Farmington, CT; 3Yale University School of Medicine, Hartford, CT

P0798. Less Copper Than a Modern Penny: A Case of Insidious Copper Deficiency and Short Bowel Syndrome Matthew T. Bender, MD, Jeanetta W. Frye, MD, Carol Parrish, MS, RD, Andrew P. Copland, MD; University of Virginia, Charlottesville, VA

P0799. Lupus Enteritis Christopher Oglesby, DO, Brent Rhodes, MD, Daniel Raines, MD, FACG; LSU Health Sciences Center, New Orleans, LA

P0800. Is Your Diagnosis of Celiac Disease Correct? A Case of Tropical Sprue Highlighting Common Errors Marika Bergenstock, DO, Jessica McKee, DO, Amitpal S. Johal, MD; Geisinger Medical Center, Danville, PA

P0801. GIST Another Duodenal Ulcer? Patrick S. Harris, MD1, John Romano, MD1, Kirk B. Russ, MD1, Mohamed Shoreibah, MD2, Kondal Rao Kyanam Kabir Baig, MD2; 1University of Alabama at Birmingham, Birmingham, AL; 2UAB, Birmingham, AL

P0802. Cutaneous Metastasis of Primary Small Intestinal Neuroendocrine Tumor Rohit Dhingra, MD1, Wasif M. Saif, MD1, Julie Y. Tse, MD2; 1Tufts Medical Center, Boston, MA; 2Tufts University School of Medicine, Boston, MA

P0803. Fecal Microbiota Transplantation (FMT) for Treatment of Clostridium difficile Enteritis (CDE) Following Total Colectomy for Familial Adenomatous Polyposis (FAP) Syndrome Darrell F. Barker, MD, Carlos E. Angueira, MD, Amilcar L. Morales-Cardona, MD; San Antonio Military Medical Center, Fort Sam Houston, TX

P0804. ACE Inhibitor-induced Angioedema of the Intestine: A Decade of Suffering Marcel T. Ghanim, MD, Steven Gu, MD, Basmah Khalil, MD, Momen Banifadel, MD, Anand B. Mutgi, MD, MSc, FACP; The University of Toledo, Toledo, OH

P0805. Gut Failure and Delirium - A Rare but Reversible Diagnosis Mridula Nadamuni, MD1, Harris Naina, MD2, Kyle Blackburn, MD1, Purva Gopal, MS, MD1, Steven Vernino, MD, PhD1, Samar Harris, MD3; 1University of Texas Southwestern Medical Center, Dallas, TX; 2The Center of Cancer and Blood Disorders, Fort Worth, TX; 3University of Texas Southwestern, Dallas, TX

P0806. Management of Duodenal Varix With Coiling Abdalla Mohamed, MD1, Amol Shah, MD2, Varun Patel, MD3, Neal Carlin, MD1, Walid Baddoura, MD1; 1St. Joseph’s University Medical Center, Paterson, NJ; 2St. Joseph’s University Medical Center, Livingston, NJ; 3NYMC - St. Joseph’s University Medical Center, Newark, NJ

P0807. Rare Case of Gangliocytic Paraganglioma Kalpit Devani, MD1, Parminderjit Singh, MD2, Puneet Goenka, MD1, Mark Young, MD1; 1East Tennessee State University, Johnson City, TN; 2HVMC, Kingsport, TN

P0808. The Abdominal Cocoon: A Case of Encapsulating Peritoneal Sclerosis in Liver Transplant Abdalla Mohamed, MD1, Varun Patel, MD2, Walid Baddoura, MD1; 1St. Joseph’s University Medical Center, Paterson, NJ; 2NYMC - St. Joseph’s University Medical Center, Newark, NJ

P0809. Acquired Angioedema as Unusual Cause of Recurrent Abdominal Pain Sumant Arora, MD, Barakat Aburajab Altamimi, MD, Avraham Levin, MD, MSc; University of Iowa Hospitals & Clinics, Iowa City, IA



P0810. A Rare Cause of Post-Menopausal Vaginal Bleeding: A Case of an Extra-Gastrointestinal Stromal Tumor (EGIST) Stephanie L. Gold, MD1, Ryan Notti, MD, PhD1, David Wan, MD2; 1New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY; 2New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY

P0811. Aortoenteric Fistulas: A Proposed Stepwise Diagnostic Approach in an Otherwise Ambiguous Clinical Situation Bryce Perler, MD1, Samuel M. Miller, MD2, Malorie Simons, MD2, Gabrielle Mock, MD2, Sehrish Jamot, MD2, Abbas Rupawala, MD2; 1Warren Alpert Medical School of Brown University, Providence, RI; 2Brown University/Rhode Island Hospital, Providence, RI

P0812. T-ALL Presenting With Acute Mesenteric Ischemia Brandon Hood, Kadie Nausha, BSc, Hamza Abdulla, MD, Sreeram Parupudi, MD, FACP, FACG; University of Texas Medical Branch, Galveston, TX

P0813. Capsule Retention Caused by Jejunal Adenocarcinoma Brandon Hood1, Hamza Abdulla, MD1, Timothy Krill, MD2, Sreeram Parupudi, MD, FACP, FACG1, Sheharyar Merwat, MD1, Laila Rashidi, MD1; 1University of Texas Medical Branch, Galveston, TX; 2University of Texas Medical Branch, Sugar Land, TX

P0814. Acute Gastroenteritis Revealing Helicobacter Bacteremia: How Common Is This? Mahak Chauhan, MD, Julie Nahar, MD, Yousaf Zafar, MD, Hani El-Halawany, MD; University of Missouri, Kansas City, MO

P0815. A Rare Case of Symptomatic Gastric Heterotopia Causing Jejunal Intussusception Nasir Akhtar, DO1, Jessica McKee, DO2, David Talabiska, DO2; 1Geisinger Medical Center, Selinsgrove, PA; 2Geisinger Medical Center, Danville, PA

P0816. Incidental Jejunal Anisakiasis in a Patient Presenting With Small Bowel Obstruction Vishal Kaila, MD, David Rosenstein, MD; Texas Health Presbyterian, Dallas, TX

P0817. Bouveret Syndrome: An Unusual Case of Gastric Outlet Obstruction Zunirah Ahmed, MD1, Bhavana Bhagya Rao, MD2, Michael Cline, DO2; 1UAB Montgomery, Montgomery, AL; 2Cleveland Clinic, Cleveland, OH

P0818. An Unusual Case of Small Bowel Lymphangioma Carlos Fernandez-Cruz, MD, Francisco Echevarria, MD, Ekie Vazquez, MD, Doris Toro, MD, Javier A. Cerra-Franco, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P0819. Case of Cystic Fibrosis with Distal Intestinal Obstruction Syndrome Mimicking Acute Appendicitis Sushant Nanavati, MD, Hiren Patel, MD, Gabriel Melki, MD, Vinod Kumar, MD, Patrick Michael, MD, Matthew Grossman, MD; St. Joseph’s University Medical Center, Paterson, NJ

P0820. A Hamartomatous Duodenal Polyp Caused by Intestinal Schistosomiasis: A Unique Case Adalberto Gonzalez, MD1, Sandra Rodriguez, MD2, Basil Shahin3, Vaibhav Wadhwa, MD1, Pablo Bejarano, MD1, Roger Charles, MD1; 1Cleveland Clinic Florida, Weston, FL; 2Cleveland Clinic Florida, Miami, FL; 3Ross University School of Medicine, Portsmouth, Saint John, Dominica

P0821. Gastrointestinal Amyloidosis Presenting as Hyponatremia Rachel Engelberg, MD1, Rachel Niec, MD, PhD1, David Wan, MD2; 1NewYork-Presbyterian Weill Cornell Medical Center, New York, NY; 2New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY

P0822. Small Cell Lung Cancer With Life-Threatening Small Bowel Metastasis: A Case Report Aynur Rahman, MD1, Tyler Aasen, DO1, Dhara Chaudhari, MD1, Maria Zayko, MD2, Moka Nagaishwarya, MD2; 1East Tennessee State University, Quillen College of Medicine, Johnson City, TN; 2East Tennessee State University, Johnson City, TN

P0823. Extensive Gastric Metaplasia Presenting as a Duodenal Mass Brian McAllister, MD1, Matthew Moyer, MD1, Dipti Karamchandani, MD2; 1Penn State Health Milton S. Hershey Medical Center, Hershey, PA; 2Penn State Health/Milton S. Hershey Medical Center, Hershey, PA

P0824. A Unique Case of Renal Carcinoma in a Patient Requiring Teduglutide Therapy for Short Bowel Syndrome Hafsa Abdulla, MD1, Syed-Mohammed Jafri, MD2; 1Henry Ford Health System, Detroit, MI; 2Henry Ford Hospital, Detroit, MI

STOMACH

P0825. Changes of the Gastric Mucosal Glycosylation in H. pylori Infection and Before/After H. pylori Eradication Using Lectin Microarray Analysis Tadayoshi Okimoto, MD, PhD, Ryo Ogawa, MD, Sotaro Ozaka, MD, Osamu Matsunari, MD, PhD, Kensuke Fukuda, MD, Kazuhisa Okamoto, MD, Kazuhiro Mizukami, MD, PhD, Masaaki Kodama, MD, PhD, Kazunari Murakami, MD, PhD; Oita University, Yufu, Oita, Japan

P0826. Idiopathic Dumping Syndrome in Patients Presenting with Chronic Unexplained Nausea Patty T. Wang, MD, Kenneth L. Koch, MD; Wake Forest School of Medicine, Winston-Salem, NC

P0827. A New Player in Gastric Cancer with Rising Incidence in Young Caucasian Women - A Cause for Worry ACG/Naomi Nakao Gender-Based Research Award Presidential Poster Award Anas Raed, MD1, Jigar Bhagatwala, MD, MPH1, Muhammed Sherid, MD2, Amol Sharma, MD3, Humberto Sifuentes, MD1, Subbaramiah Sridhar, MBBS, MPH, FACG, MRCP1; 1Augusta University, Augusta, GA; 2Mercy Rockford Hospital, Rockford, IL; 3Augusta University Medical Center, Augusta, GA

P0828. The Incidence of Non-Variceal Upper Gastrointestinal Hemorrhage After Percutaneous Coronary Intervention Among Patients Without Acute Myocardial Infarction Is Low: A National Analysis over 11 Months Mohammad Bilal, MD1, Fawad Virk, MD1, Hussain Ibrahim, MD1, Shifa Umar, MD2, Monica Chowdhry, MD3, Marwan S. Abougergi, MD4, Praveen Guturu, MD, FACG1; 1University of Texas Medical Branch, Galveston, TX; 2Allegheny Health Network, Pittsburgh, PA; 3West Virginia University, Charleston, WV; 4South Carolina University School of Medicine, Simpsonville, SC

P0829. Efficacy of Promotility Agents in Improving Gastric Emptying and Upper Gastrointestinal Symptoms: A Systematic Review and Meta-Analysis Priya Vijayvargiya, MD, Victor Chedid, MD, Patricia Erwin, MLS, M. Hassan Murad, MD, Michael Camilleri, MD; Mayo Clinic, Rochester, MN

P0830. Evaluation of a New Latex Agglutination Immunoturbidimetry Kit, H. pylori-Latex ”SEIKEN”, for the Detection of Anti-H. pylori Antibody in the Blood Masaaki Kodama, MD, PhD, Tadayoshi Okimoto, MD, PhD, Kazuhiro Mizukami, MD, PhD, Ryo Ogawa, MD, Kazuhisa Okamoto, MD, Kensuke Fukuda, MD, Osamu Matsunari, MD, PhD, Kazunari Murakami, MD, PhD; Oita University, Yufu, Oita, Japan

P0831. Influence of CYP2C19 Polymorphism on the Gut Microbiome in Helicobacter pylori-Negative Healthy Individuals Receiving Vonoprazan and Lansoprazole Taketo Otsuka, MD1, Mitsushige Sugimoto, MD, PhD1, Ryo Inoue, MD, PhD2, Masashi Ohno, MD, PhD3, Hiromitsu Ban, MD, PhD4, Atsushi Nishida, MD, PhD3, Osamu Inatomi, MD, PhD5, Yuji Naito, MD, PhD6, Akira Andoh, MD, PhD5; 1Shiga University of Medical Science Hospital, Otsu-shi, Shiga, Japan; 2Kyoto Prefectural University, Laboratory of Animal Science, Kyoto, Japan; 3Shiga University of Medical Science, Otsu, Shiga, Japan; 4Kusatsu General Hospital, Kusatsu, Shiga, Japan; 5Shiga University of Medical Science, Otsu-shi, Shiga, Japan; 6Kyoto Prefectural University of Medicine, Kyoto, Japan


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P0832. Smooth Muscle Enzyme Levels and Response to Pyloric Botulinum Injection in Patients With Gastroparesis Steven Stanek, MD1, Zachary Wilmer Reichenbach, MD, PhD1, Zubair Malik, MD2, Henry P. Parkman, MD1, Ron Schey, MD3; 1Temple University Hospital, Philadelphia, PA; 2Lewis Katz School of Medicine at Temple University, Philadelphia, PA; 3Lewis Katz School of Medicine at Temple University Hospital, Philadelphia, PA

P0833. Eradication Therapy for Helicobacter pylori Improves Nutrition Status Depended on Severity of Gastric Mucosal Atrophy and Plasma Ghrelin Level in Japanese Hemodialysis Patients Mitsushige Sugimoto, MD, PhD1, Taketo Otsuka, MD1, Masaki Murata, MD2, Hitomi Ichikawa, MD3, Shu Sahara, MD3, Akira Andoh, MD, PhD2; 1Shiga University of Medical Science Hospital, Otsu-shi, Shiga, Japan; 2Shiga University of Medical Science, Otsu-shi, Shiga, Japan; 3First Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan

P0834. Clinical Predictors of Rapid Gastric Emptying in Patients Presenting with Dyspeptic Symptoms Juan Gomez Cifuentes, MD, Mark Radetic, MD, Scott Gabbard, MD; Cleveland Clinic, Cleveland, OH

P0835. Insurance Carrier and Local Healthcare Delivery Practices Are Independent Predictors of Mortality Among Hospitalized Patients With Gastric Cancer Samanjit K. Kandola, MD1, Manoj P. Rai, MD1, Prabhjot S. Bedi, MD2, Ikponmwosa Enofe, MD3, Divyesh R. Nemakayala, MD3, Heather Laird-Fick, MD1, Marwan S. Abougergi, MD4; 1Michigan State University, East Lansing, MI; 2University of Pittsburgh Medical Center East, Pittsburgh, PA; 3Michigan State University, Lansing, MI; 4South Carolina University School of Medicine, Simpsonville, SC

P0836. A Disease-Focused Quality Improvement Process Is an Effective Tool for Improvement of Inter-Observer Reproducibility in HER2 Immunohistochemistry Scoring for Biopsies from Gastric and Esophageal Adenocarcinomas Ahmed Bedeir, MD1, Sahar Samaha, MD1, Amy Bedeir2, Anuradha Singhal, MD1, James Gulizia, MD, PhD1, Richard Lash, MD, FACG1; 1Inform Diagnostics, Irving, TX; 2Arizona State University, Irving, TX

P0837. Prevalence and Demographic Associations of Delayed Gastric Emptying Scintigraphy While on Prescribed Opioid Medications: Is the 72-hour Opioid Withholding Time Adequate? Kimberly Harer, MD1, Jason Baker, PhD1, Lydia Watts, BS1, Louise Amat1, Allen Lee, MD1, William Hasler, MD2; 1University of Michigan, Ann Arbor, MI; 2University of Michigan Health System, Ann Arbor, MI

P0838. Prevalence of Symptoms and Endoscopic Findings in Patients With Rapid Gastric Emptying Mark Radetic, MD, Juan Gomez Cifuentes, MD, Scott Gabbard, MD; Cleveland Clinic, Cleveland, OH

P0839. The Global Incidence of Peptic Ulcer Disease at the Turn of the 21st Century: A Study of the Organization for Economic Co-Operation and Development (OECD) Hassan Azhari, BS, MD1, James King, BA1, Fox Underwood, BSc, MSc1, Stephanie Coward, BSc, MSc1, Shailja Shah, BS, MD2, Grace Ho, BS3, Connie Chan, BS3, Siew Ng, MBBS, PhD3, Gilaad Kaplan, BSc, MS, MD1; 1University of Calgary, Calgary, AB, Canada; 2Vanderbilt University, Nashville, TN; 3Chinese University of Hong Kong, Hong Kong, Hong Kong

P0840. The Global Incidence of Peptic Ulcer Disease and Its Complications at the Turn of the 21st Century: A Systematic Review Hassan Azhari, BS, MD1, Fox Underwood, BSc, MSc1, James King, BA1, Stephanie Coward, BSc, MSc1, Shailja Shah, BS, MD2, Connie Chan, BS3, Grace Ho, BS3, Siew Ng, MBBS, PhD3, Gilaad Kaplan, BSc, MS, MD1; 1University of Calgary, Calgary, AB, Canada; 2Vanderbilt University, Nashville, TN; 3Chinese University of Hong Kong, Hong Kong, Hong Kong

P0841. Molecular Detection of Clarithromycin Resistance: Is It Predictive of Treatment Success? Asantewaa Ture, BA1, Constantine Melitas, MD2, Michael Northcutt, MD3, Mohammad Qasim Khan, MD4, Amir C. Patel, MD5, Zachary L. Smith, DO6, Obaid R. Ansari, BS3, Edessa David, BS7, Colleen Leonard, MPH3, Boris Jancan, CCRP3, Adam Vanderloo, BA3, MaryAnn Regner, MS3, Kathy A. Mangold, PhD3, Dena R. Shibib, DO8, Karen Kaul, MD, PhD3, Jay L. Goldstein, MD, FACG3; 1Rush University Medical College, Chicago, IL; 2Michigan State University College of Human Medicine/ Providence-Providence Park Hospitals, Southfield, MI; 3NorthShore University HealthSystem, Evanston, IL; 4University of Chicago, NorthShore University Health System, Evanston, IL; 5Medical College of Wisconsin, Milwaukee, WI; 6Case Western Reserve University School of Medicine, Cleveland, OH; 7Columbia University Mailman School of Public Health, New York, NY; 8The University of Oklahoma Health Sciences Center / Oklahoma City VA Health Care System, Oklahoma City, OK

STOMACH Clinical Vignettes / Case Reports

P0842. Syncope and Near Syncope: Broadening Our Differential Alexander Pop, MD, Mary Ziccardi, MD, Maria Bandres, MD, Sohaib Basharat, MD; Albert Einstein Medical Center, Philadelphia, PA

P0843. Delayed Gastric Outlet Obstruction From Ingestion of Coins Febin John, MD1, Eric O. Then, MD2, Carmine Catalano, MD1, Prashanth Rawla, MD3, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3Memorial Hospital of Martinsville and Henry County, Martinsville, VA

P0844. Ipilimumab and Nivolumab Induced Gastritis Palashkumar Jaiswal, MBBS1, John Erikson Yap, MD2, Bashar M. Attar, MD, PhD2, Satya Mishra, MD1; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Cook County Health and Hospitals System, Chicago, IL

P0845. Inflammatory Fibroid Polyp With Coexisting Cirrhosis Removed With Endoscopic Submucosal Dissection Waseem Amjad, MD1, Faisal Inayat, MBBS2, Waqas Ullah, MD3, Fahad Zafar, MBBS4, Ahmed Munir, MBBS5, Hanan T. Lodhi, MBBS6, Qulsoom Hussain, MBBS7, Zarak H. Khan, MBBS8; 1Northwell Health Long Island Jewish Forest Hills Hospital, Forest Hills, NY; 2Allama Iqbal Medical College, Lahore, Punjab, Pakistan; 3Abington Memorial Hospital, Abington, PA; 4King Edward Medical University, Lahore, Islamabad, Pakistan; 5Services Institute of Medical Sciences, Lahore, Islamabad, Pakistan; 6University of Nebraska Medical Center, Omaha, NE; 7Shifa College of Medicine, Islamabad, Brooklyn, NY; 8Shifa College of Medicine, Islamabad, Islamabad, Pakistan

P0846. Signet Ring Cell Carcinoma of the Stomach Presenting With Painless Obstructive Jaundice: Do We Need to Think out of the Box? Faisal Inayat, MBBS1, Waseem Amjad, MD2, Qulsoom Hussain, MBBS3, Fahad Zafar, MBBS4, Ali T. Khan, MBBS5, Hanan T. Lodhi, MBBS6, Ahmed Munir, MBBS7, Waqas Ullah, MD8; 1Allama Iqbal Medical College, Lahore, Punjab, Pakistan; 2Northwell Health Long Island Jewish Forest Hills Hospital, Forest Hills, NY; 3Shifa College of Medicine, Islamabad, Brooklyn, NY; 4King Edward Medical University, Lahore, Islamabad, Pakistan; 5Icahn School of Medicine at Mount Sinai, New York, NY; 6University of Nebraska Medical Center, Omaha, NE; 7Services Institute of Medical Sciences, Lahore, Islamabad, Pakistan; 8Abington Memorial Hospital, Abington, PA

P0847. A Case of Type I Gastric Neuroendocrine Tumor Found on Endoscopic Polypectomy Hector Gonzalez, MD1, George Yazji, MD2, Mary Acosta1, Matthew Q. Bromer, DO3; 1Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 2St. George’s University, Jacksonville, FL; 3South Florida Gastroenterology Associates, Boynton Beach, FL



P0848. Rare Case of Olmesartan-Induced Collagenous Gastritis Samir Shah1, Brian Plasil, MD2, Nimesh Khatri, MD2; 1MedStar Shah Medical Group, Mechanicsville, MD; 2MedStar Shah Medical Group, Hollywood, MD

P0849. Abdominal Pain in Celiac Disease Unmasking Enteropathy-Type T-Cell Lymphoma Vincent M. Pronesti, DO1, Pamela Kim, MD1, Kanika Goel, MD2, Marcia Mitre, MD1; 1Allegheny Health Network, Pittsburgh, PA; 2Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA

P0850. Total vs Partial Gastrectomy in Gastric Cancer: A Comparison of Quality of Life and Clinical Outcomes in 2 Patients Sameer Prakash, DO1, Shayan Siddiqui, MD1, Chandralekha Ashangari, MD1, Edward Trevino, MD2, Juan Garrido, MD1, Shujath Khan, MD2; 1Texas Tech University Health Sciences Center, Amarillo, TX; 2Amarillo Veterans Affairs Health Care System, Amarillo, TX

P0851. I Have Never Seen a Gastrointestinal Disease Presenting With Heart Failure Symptoms, Have You? Omar Abughanimeh, MD1, Laith Numan, MD1, Laith Al momani, MD2, Yousaf Zafar, MD1, Mouhanna K. Abu Ghanimeh, MD3; 1University of Missouri, Kansas City, MO; 2East Tennessee State University, Johnson City, TN; 3Henry Ford Hospital, Detroit, MI

P0852. Extensive Mucor-Associated Necrosis in a Patient Post-Cardiac Transplant Adam S. Faye, MD, Anne Onishi, MD, Katherine Fischkoff, MD, Charles Marboe, MD, Ivonne Ramirez, MD, Richard Rosenberg, MD; Columbia University Medical Center, New York, NY

P0853. A Rare Case of Disseminated, Helicobacter pylori Negative, Gastric MALT Lymphoma Kantor Micaella, MD1, Monica L. Multani, DO2, Nimal Patel, DO2, Javier Sobrado, MD2, Christina Marin, MD3; 1Kendall Regional Hospital, Kendall, FL; 2Larkin Community Hospital, Miami, FL; 3Kendall Regional Hospital, Miami, FL

P0854. An Unusual Presentation of HCV-Associated Gastric MALT Lymphoma Samuel Burton, MD, Sandeep Tummala, MD, Charlene Prather, MD; St. Louis University, St. Louis, MO

P0855. Strongyloides Infection Masquerading as Gastric Malignancy Nisha Koya, DO1, Yevgeniy Mikityanskiy, DO1, Vera Platsky, MD2, Chunghun Chang, MD1, John W. Trillo, MD3; 1Coney Island Hospital, Brooklyn, NY; 2Coney Island Hospital, Brooklyn, NY; 3Coney island Hospital, Brooklyn, NY

P0856. Orbital Swelling as the Presenting Symptom of Gastric Adenocarcinoma Andrew Herman, MD1, Jigar M. Patel, MD1, Reena V. Chokshi, MD2; 1University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX; 2UT Health - McGovern Medical School, Houston, TX

P0857. The Crystal Ulcer: Sevelamer-Induced Gastric Mucosal Injury Samit K. Datta, MD1, Miguel Lalama, MD2, Nalini M. Guda, MD, FACG3; 1Aurora Sinai Medical Center, Milwaukee, WI; 2GI Associates, Milwaukee, WI; 3University of Wisconsin, Milwaukee, WI

P0858. Stroke Associated With Gastric Cancer Nurlan Aliyev, Stephen J. Kwak, MD, Rachel Aliyev, Umair Iqbal, MD; Bassett Medical Center, Cooperstown, NY

P0859. A Case of a Non-Cancerous, Ulcerated Gastric Mass: Gastric Amyloidosis Causing Coffee Ground Emesis Thuy-Van P. Hang, MD1, Kavitha Nair, MD1, Drew Davis, MD2, Nikrad Shahnavaz, MD1; 1Emory University, Atlanta, GA; 2Emory University School of Medicine, Atlanta, GA

P0860. Retroperitoneal Teratoma and Ganglioneuroma: A Rare Tumor in a Woman With Gastric Outlet Obstruction Tatiana Teslova, MD, Sameer Siddique, MD; Albert Einstein Medical Center, Philadelphia, PA

P0861. Liver in the Stomach! A Rare Case of Perforated Gastric Ulcer Sealed off by the Liver Mohammad K. Choudhry, MD, Yevgeniy Mikityanskiy, DO, Christopher Chum, DO, Michael Bernstein, MD; Coney Island Hospital, Brooklyn, NY

P0862. An Unexpected Cause of Dyspepsia and Ascites Isaac Jaben, MS, MD, Akshay Shetty, MD; Medical University of South Carolina, Charleston, SC

P0863. Chronic Urticaria Associated with Helicobacter pylori Rajesh Essrani, MD1, Matthew J. Sullivan, DO2, Hiral Shah, MD, FACG2; 1Lehigh Valley Health Network, Danville, PA; 2Lehigh Valley Health Network, Allentown, PA

P0864. The Tip of the Iceberg: A Case of Treated Penile Melanoma With Gastric Recurrence Abdalla Mohamed, MD1, Varun Patel, MD2, Hadir Mohamed, MD3, Ashima Kapoor, MD4, Jewook Ha, MD, MPH1, Walid Baddoura, MD1; 1St. Joseph’s University Medical Center, Paterson, NJ; 2NYMC - St. Joseph’s University Medical Center, Newark, NJ; 3St. Joseph’s Regional Medical Center, Franklin Lakes, NJ; 4Saint Joseph’s University Medical Center, Bloomfield, NJ

P0865. What Is the Role of Upper Endoscopy in Patients With Gastric Pneumatosis? Abdalla Mohamed, MD1, Yana Cavanagh, MD2, Siva Prasad Maruboyina, MD3, Walid Baddoura, MD1; 1St. Joseph’s University Medical Center, Paterson, NJ; 2St. Joseph’s University Medical Center, Paterson, NJ; 3NYMC-Saint Michael’s Medical Center, Newark, NJ

P0866. Signet Ring Cell Carcinoma Masquerading as Severe Peptic Ulcer Disease Dustin Kilpatrick, DO1, Gerald Mank, MD1, Matthew Mishoe, DO2, Allison Jones, DO3; 1Carolinas HealthCare System Blue Ridge, Morganton, NC; 2CHS Blue Ridge, Morganton, NC; 3CHS Blue Ridge Internal Medicine, Morganton, NC

P0867. Emphysematous Gastritis After Endoscopy: A Case Report Rohit Agrawal, MBBS1, Neethi Paranji, MD2, Efesomwan Aisien1, Oscar A. Rivas Chicas, MD3, Bashar M. Attar, MD, PhD3, Muhammad Majeed, MBBS, MD1, Anthonia Ijeli, MD3; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2John H Stroger Hospital of Cook County, Chicago, IL; 3Cook County Health and Hospitals System, Chicago, IL

P0868. The Enemy Strikes Back…. Gist a Thought Provoking Case Shalaka Akolkar, DO, Constantine Melitas, MD, Jalpa Patel, MD, Marc Piper, MD, MSc; Providence-Providence Park Hospital, Southfield, MI

P0869. Concomitant Gastric Metastases From Renal Cell Carcinoma Presenting as a Solitary Polyp: A Case Report Mahak Chauhan, MD, Samuel Schowengerdt, MD, Osama Yousef, MD, Stuart Chen, MD, PhD; University of Missouri, Kansas City, MO

P0870. Secondary Gastrointestinal Melanoma of Unclear Origin Leon D. Averbukh, DO1, Marianna G. Mavilia, DO2, Woo Cheal Cho, MD3; 1University of Connecticut Health Center, Hartford, CT; 2University of Connecticut Health Center, Farmington, CT; 3Hartford Hospital, Hartford, CT

P0871. Gastritis Cystica Polyposa: A Rare Case of Abdominal Pain and Satiety Nathan S. Ramrakhiani1, Sophia A. Shetler2, Charles Lombard, MD3, George Triadafilopoulos, MD, FACG4; 1Palo Alto High School, Palo Alto, CA; 2Saratoga High School, Saratoga, CA; 3El Camino Hospital, Mountain View, CA; 4Stanford University School of Medicine, Stanford, CA


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MONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P0872. Choroidal Melanoma Metastases to the Stomach and Duodenum Vishal Kaila, MD1, Donna J. Lager, MD2, Rajeev Jain, MD, FACP3; 1Texas Health Presbyterian, Dallas, TX; 2ProPath, Dallas, TX; 3Texas Digestive Disease Consultants, Dallas, TX

P0873. Dose-Dependent Response to Octreotide in Ménétrier’s Disease Babak Torabi Sagvand, MD1, Afrin Kamal, MD2, Pooja Lal, MD1, John J. Vargo, MD3; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P0874. Advanced Biventricular Heart Failure Leading to the Formation of a Gastric Bezoar: The Implications of Heart Failure on the Gastrointestinal Tract Daria S. Yunina, MD1, Dikshya Sharma, MBBS1, Richard M. Fazio, MD2, Hossam Amin, MD1, Yuriy Tsirlin, MD, FACG1, Rabin Rahmani, MD, FACG1, Vijay Shetty, MD3; 1Maimonides Medical Center, Brooklyn, NY; 2Maimonides Medical Center, Broooklyn, NY; 3SUNY Downstate School of Medicine, Brooklyn, NY

P0875. A Rare Case of High-Grade Dysplasia in Sporadic Fundic Gland Polyps Eric Ballecer, MD1, Ramya Muddasani, DO2, Jacqueline Forman, MD1, Rakesh Shah, MD1, Bebu Ram, MD1, Barbara Arendash, MD2, James H. Grendell, MD1; 1NYU Winthrop Hospital, Mineola, NY; 2NYU Winthrop University Hospital, Mineola, NY

P0876. As the Stomach Turns: A Case of Chronic Gastric Volvulus Zachary Junga, MD1, Jonathan Francis, MD2, Patrick E. Young, MD, FACG2; 1Walter Reed National Military Medical Center, Silver Spring, MD; 2Walter Reed National Military Medical Center, Bethesda, MD

P0877. Back Pain Masquerading as Metastatic Gastric Signet Ring Cell Adenocarcinoma Bobby M. Jacob, MD1, Beenish Faheem, MD2, Charudatta Wankhade, MD2, Pranay Srivastava, MD2, Shino Prasandhan, MD1, Ian Cohen, MD2, Nausheer A. Khan, MD1; 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Meadow, NY

P0878. Gastric Kaposi Sarcoma Discovered in a Immunocompromised Renal Transplant Patient Faizan Khan, MD1, Jason Puckett, MD2; 1Michigan State University - Mercy Health Grand Rapids, Grand Rapids, MI; 2Grand River Gastroenterology, Grand Rapids, MI

P0879. Cardiac Tamponade as a Complication of Hiatal Hernia Ashwini Arvind, MBBS, BA1, Rachel Niec, MD, PhD2, Kaveh Hajifathalian, MD, MPH3, David Wan, MD3; 1Imperial College of London, London, England, United Kingdom; 2NewYork-Presbyterian Weill Cornell Medical Center, New York, NY; 3New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY

P0880. Advanced Gastric Adenocarcinoma During Pregnancy: A Treatment and Nutritional Conundrum Pratima Dibba, MD, MBA1, Meera Rana, MD2, Christy Dibble, DO1, Mariam Fayek, MD1, Autumn Hines, DO1, Nnenna Okpara, MD1; 1Brown University/Women & Infants Hospital, Providence, RI; 2Wake Forest Baptist Medical Center, Winston-Salem, NC

P0881. A Gastric Ulcer Perforation Presenting as ST Elevation Myocardial Infarction Lynda Hoang, DO, MPH1, Mordecai Solomon, DO1, Brian Carlson, MD2; 1Valley Hospital Medical Center, Las Vegas, NV; 2Digestive Associates, Las Vegas, NV


BILIARY / PANCREAS

P0882. Accuracy of Brush Cytology in Pancreatic Duct Strictures: A Systematic Review and Meta-Analysis Itegbemie Obaitan, MD, Umar Hayat, MD, Guru Trikudanathan, MD; University of Minnesota, Minneapolis, MN

P0883. To Assess Resident’s Knowledge and Give Recommendations Regarding Early Management of Acute Pancreatitis in a Community-Based Hospital Asif Mehmood, MD 1, Waqas Ullah, MD2, Daniel Ringold, MD3; 1Abington Memorial Hospital, Horsham, PA; 2Abington Memorial Hospital, Abington, PA; 3Abington Jefferson Health, Abington, PA

P0884. Partially Covered versus Uncovered Self-Expandable Metal Stents in the Palliative Treatment of Malignant Distal Biliary Obstruction Kyo-Sang Yoo, MD, PhD, Jae Gon Lee, MD, Chang Soo Eun, MD, PhD, Ho Soon Choi, MD, PhD; Hanyang University Guri Hospital, Guri, Kyonggi-do, Republic of Korea

P0885. Survival Trends for Resectable Pancreatic Cancer Using a Multidisciplinary Conference Aslam Syed, MD, Mrinal Garg, MD, Ghita Moussaide, MD, Annika Dhawan, Shyam Thakkar, MD; Allegheny Health Network, Pittsburgh, PA

P0886. Small Intestinal Bacterial Overgrowth in Chronic Pancreatitis: A Systematic Review and Meta-Analysis Bara El Kurdi, MD, Laith Al momani, MD, Mahmoud El Iskandarani, MD, Mark Young, MD; East Tennessee State University, Johnson City, TN

P0887. Endocrinopathy in Pancreatic Cancer Is Characterized by Reduced Islet Size and Density with Preserved Endocrine Composition as Compared to Type 2 Diabetes Presidential Poster Award Sajan Jiv Singh Nagpal, MD, Harika Kandlakunta, MBBS, Ayush Sharma, MBBS, Shilpa Sannapaneni, MD, Pruthvi Velamala, MD, Shounak Majumder, MD, Aleksey Matveyenko, PhD, Suresh T. Chari, MD; Mayo Clinic, Rochester, MN

P0888. Solid Pseudopapillary Tumor of the Pancreas: A Large Population-Based Study Using the SEER Database Sajan Jiv Singh Nagpal, MD1, Dhruvika Mukhija, MD2, Harika Kandlakunta, MBBS1, Ayush Sharma, MBBS1, Shounak Majumder, MD1; 1Mayo Clinic, Rochester, MN; 2Cleveland Clinic, Cleveland, OH

P0889. Drug-Induced Acute Pancreatitis - An Update Mohamed A. Elkhouly, MD1, Miguel Salazar, MD1, C. Roberto Simons-Linares, MD2; 1Cook County Health and Hospitals System, Chicago, IL; 2Digestive Disease Institute/Cleveland Clinic, Cleveland, OH

P0890. Comorbidity Burden in Active Pancreatic Cyst Surveillance Population Ankit Chhoda, MBBS1, Muhammad Nadeem Yousaf, MD2, Kamraan Madhani, MD3, Aslanian Harry, MD4, Priya Jamidar, MD4, Thiruvengadam Muniraj, MD, PhD4, Ronald R. Salem, MBChB5, Alejandro L. Suarez, MD5, James J. Farrell, MBChB5; 1Yale Waterbury Internal Medicine Program, Waterbury, CT; 2MedStar Union Memorial Hospital, Baltimore, MD; 3Yale University School of Medicine, Waterbury, CT; 4Yale University School of Medicine, New Haven, CT; 5Yale New Haven Hospital, New Haven, CT


POSTER PRESENTATIONSMONDAY, OCTOBER 8, 10:30 AM – 4:00 PM

P0891. Clinical Predictors of High Healthcare Utilization Among Patients With Acute Cholangitis: Analysis From the National Readmission Database Shashank Sarvepalli, MD1, Malav P. Parikh, MD2, Niyati M. Gupta, MD1, Komal Thind, MD3, George Khoudari, MD1, Rocio Lopez, MS4, Prasanthi N. Thota, MD5, Arthur McCullough, MD1, Madhusudhan R. Sanaka, MD5; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Cleveland Clinic, Akron General, Akron, OH; 4Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 5Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P0892. Clinical Implications and Cost Effectiveness of Index Admission Cholecystectomy in Acute Biliary Pancreatitis;: A Study in a Inner City Minority Populations Tagore Sunkara, MD1, Christopher Brana, MD2, Prashanth Rawla, MD3, Andrew Ofosu, MD, MPH4, Eric O. Then, MD2, Sriharsha Dadana, MD2, Tina Wexler, MD2, Sabrina Brana, MD2, Andrea Culliford, MD2, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3Memorial Hospital of Martinsville and Henry County, Martinsville, VA; 4The Brooklyn Hospital Center, Brooklyn, NY

P0893. A Population-Based Cohort Study of National Trends in Hospital Admissions for Alcohol and Non-Alcohol-Related Acute Pancreatitis Over an 8-Year Span Monica Saumoy, MD, MS1, Russell Rosenblatt, MD2, Shawn Shah, MD2, Aleksey Novikov, MD3, Kaveh Hajifathalian, MD4, David L. Carr-Locke, MD, FACG5, Reem Z. Sharaiha, MD, MSc6; 1New York Presbyterian Hospital, New York, NY; 2NewYork-Presbyterian Weill Cornell Medical Center, New York, NY; 3NewYork-Presbyterian Weill Cornell Medical Center, Philadelphia, PA; 4New York Presbyterian, New York, NY; 5Weill Cornell Medical College & New York Presbyterian Hospital, New York, NY; 6New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY

P0894. Expedited Inpatient Work-Up for Suspected Non-Metastatic Pancreatic Cancer Is Associated With Greater Resource Utilization but Questionable Clinical Benefit Robert Schenck, MD, Ajay Singhvi, MD, Rajesh Keswani, MD, MS; Feinberg School of Medicine, Northwestern University, Chicago, IL

P0895. The Surveillance Patterns of Incidentally Detected Pancreatic Cysts Vary Widely and Infrequently Adhere to Guidelines Robert Schenck, MD, Frank Miller, MD, Rajesh Keswani, MD, MS; Feinberg School of Medicine, Northwestern University, Chicago, IL

P0896. Admission Lymphocyte to Monocyte Ratio Is Predictive of Persistent Organ Failure, Pancreatic Necrosis, Longer Intensive Care and In-Hospital Mortality in an Asian-Chinese Population of Acute Pancreatitis Presidential Poster Award Yushun Zhang, PhD; Union Hospital, Wuhan, Hubei, People’s Republic of China

P0897. Analgesia and Discharge Decisions in Acute Pancreatitis: Does Pain Lead to Readmission? Sameer K. Berry, MD, MBA1, Daniel Lew, MD2, Catherine Bresee, MS1, Stephen J. Pandol, MD2; 1Cedars-Sinai, Los Angeles, CA; 2Cedars-Sinai Medical Center, Los Angeles, CA

P0898. Training Level (July Effect) and the Risk of Post-ERCP Pancreatitis: A Nationwide Analysis of More Than Half a Million ERCP Procedures Ali Abbas, MD1, Sajiv Sethi, MD1, Gitanjali Vidyarthi, MD2, Pushpak Taunk, MD1; 1University of South Florida, Tampa, FL; 2James A. Haley Veterans’ Hospital, Tampa, FL

P0899. Predictors of Post ERCP Pancreatitis: Analysis of More Than Half a Million ERCPs Performed Nationwide Over the Last 15 Years Ali Abbas, MD1, Sajiv Sethi, MD1, Gitanjali Vidyarthi, MD2, Pushpak Taunk, MD1; 1University of South Florida, Tampa, FL; 2James A. Haley Veterans’ Hospital, Tampa, FL

P0900. Nationwide Trends of Post ERCP Pancreatitis: Analysis of More Than Half a Million ERCP Procedures Ali Abbas, MD1, Sajiv Sethi, MD1, Gitanjali Vidyarthi, MD2, Pushpak Taunk, MD1; 1University of South Florida, Tampa, FL; 2James A. Haley Veterans’ Hospital, Tampa, FL

P0901. Clinical Outcomes and Predictors of Severity of Post-ERCP Pancreatitis - A Nationwide Analysis Ali Abbas, MD1, Sajiv Sethi, MD1, Gitanjali Vidyarthi, MD2, Pushpak Taunk, MD1; 1University of South Florida, Tampa, FL; 2James A. Haley Veterans’ Hospital, Tampa, FL

P0902. The Diagnostic and Prognostic Value of Hyponatremia in Acute Pancreatitis Yazan Abu Omar, MD1, Neethi Paranji, MD2, Anthonia Ijeli, MD1, Rohit Agrawal, MBBS3, V. V. Pavan Kedar Mukthinuthalapati, MBBS 3, Saqib Shami, MD4, Muhammad Majeed, MBBS, MD3, Yuchen Wang, MD3, Melchor Demetria, MD3; 1Cook County Health and Hospitals System, Chicago, IL; 2John H Stroger Hospital of Cook County, Chicago, IL; 3John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 4John H. Stroger, Jr. Hospital of Cook County, Chicago, IL

P0903. When to Consider an Increase in Cyst Size in Patients With Pancreatic Cystic Neoplasms? Sonmoon Mohapatra, MD1, Ayush Sharma, MBBS2, Saurabh Mukewar, MD3, Suresh T. Chari, MD2; 1St. Peter’s University Hospital, New Brunswick, NJ; 2Mayo Clinic, Rochester, MN; 3Weill Cornell Medical Center, New York, NY

P0904. Endoscopic Ultrasound as a Useful Tool for Benign Common Bile Duct Dilation in Chronic Opiate Users Faizan Khan, MD1, J. Bradley Morrow, MD2, Umair Azimi, MD1, Juri Bassuner, MD1; 1Michigan State University - Mercy Health Grand Rapids, Grand Rapids, MI; 2Grand River Gastroenterology, Grand Rapids, MI

P0905. Predictive Value of Acute Pancreatitis Diagnosis Code in Diabetic Patients Is Similar to Non-Diabetic Patients Jacob S. Lipkin, MD, Georgios Papachristou, MD, PhD, Melissa Saul, MS, Dhiraj Yadav, MD, MPH; University of Pittsburgh Medical Center, Pittsburgh, PA

P0906. Early Aggressive Fluid Resuscitation in Acute Pancreatitis: Room for Debate? Zain A. Sobani, MD1, Kevin Tin, MD2, Behtash Saeidi, MD, MPH3, Daria S. Yunina, MD2, Nitin Sabharwal, MBBS2, Kaveh Zivari, MD2, Mary Rojas, MD2, Melvyn L. Hecht, MD2, Eitan Dickman, MD2, Joel Horovitz, MD2, Ira E. Mayer, MD, FACG2, Prasun Shah, MD2, Negar Niknam, MD2, Michael G. Kantrowitz, DO2, Jonathan Weinberger, MD2, Richard M. Fazio, MD2, Daniel J. Waintraub, MD2, Rabin Rahmani, MD, FACG2, Scott Tenner, MD, MPH, JD4; 1University of New Mexico, Albuquerque, NM; 2Maimonides Medical Center, Brooklyn, NY; 3Maimonides Meidcal Center, Brooklyn, NY; 4State University of New York, Brooklyn, NY

P0907. Rising Incidence of Solid Organ Tumors Metastasizing to the Pancreas Mahmoud Mahfouz, MD1, Paul Sojo, DO2, Asaad Trabolsi, MD1, Manuel Berzosa, MD1; 1Mount Sinai Medical Center, Miami Beach, FL; 2Mount Sinai Medical Center, Davie, FL

P0908. Trends and Risk Factors for 30-Day Readmissions in Patients With Acute Cholangitis: Analysis From the National Readmission Database Presidential Poster Award Malav P. Parikh, MD1, Shashank Sarvepalli, MD2, Niyati M. Gupta, MD2, Rocio Lopez, MS3, Amit Bhatt, MD4, Prabhleen Chahal, MD, FACG4, Sunguk Jang, MD2, Tyler Stevens, MD2, John J. Vargo, MD4, Prasanthi N. Thota, MD5, Arthur McCullough, MD2, Madhusudhan R. Sanaka, MD5; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH; 3Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 5Cleveland Clinic Digestive Disease Institute, Cleveland, OH


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P0909. Early Aggressive Hydration Is Associated with Less Narcotic Use in Mild Acute Pancreatitis Shreyans Doshi, MD1, Hong Liang, PhD2, Hale Toklu, PhD3, Sue-Wei Luu, MD2, Charles A. Sninsky, MD4; 1UCF COM /HCA Consortium, Gainesville, FL; 2UCF COM/HCA Consortium, Gainesville, FL; 3UCF COM/HCA GME Consortium, Gainesville, FL; 4DIgestive Disease Associates, Gainesville, FL

P0910. Association of Early Aggressive Hydration with Reduced All Cause Readmission in Patients with Mild Acute Pancreatitis Shreyans Doshi, MD1, Hong Liang, PhD2, Hale Toklu, PhD2, Sue-Wei Luu, MD2, Charles A. Sninsky, MD3; 1UCF COM /HCA Consortium, Gainesville, FL; 2UCF COM/HCA Consortium, Gainesville, FL; 3DIgestive Disease Associates, Gainesville, FL

P0911. EUS-Guided Cyst Wall Biopsy Is Highly Effective in Definitive Diagnosis of Pancreatic Cysts Valery Hrad, MD1, Ross Meidinger, MD2, Hong Qi Peng, MD3, Kenneth Youens, MD3, Paul Lappinga, MD4, Navin Paul, MD3; 1University of North Dakota School of Medicine, Fargo, ND; 2Sanford Medical Center and University of North Dakota, Fargo, ND; 3Sanford Medical Center, Fargo, ND; 4Sanford Medical Center, Bemidji, MN

P0912. Quality of Life Measures in Pancreas Divisum Jonathan Reichstein, MD1, Kara Raphael, MD2, Vaishali Patel, MD, MHS3, Parit Mekaroonkamol, MD4, Steve Keilin, MD5, Qiang Cai, MD, PhD5, Field Willingham, MD, MPH4; 1Duke University, Durham, NC; 2Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY; 3Emory University Hospital, Atlanta, GA; 4Emory University School of Medicine, Atlanta, GA; 5Emory University, Atlanta, GA

P0913. Cystic Fibrosis Variants and Pancreatitis Gordon Robbins, MD1, Christopher M. Haydek, MD2, Seth Walker, MD1, Field Willingham, MD, MPH1; 1Emory University School of Medicine, Atlanta, GA; 2Emory University, Atlanta, GA

P0914. Outcomes of Precut Sphincterotomy Techniques in Cases of Difficult Biliary Access Jared Rejeski, MD1, Cambridge Hines, MD1, Kristina Barsten, MD1, Jason D. Jones, MD1, Jason Conway, MD1, Girish Mishra, MD1, Jerry Evans, MD2, Rishi Pawa, MBBS1; 1Wake Forest School of Medicine, Winston-Salem, NC; 2Ochsner Health System, Kenner, LA

P0915. Decision Tree Analysis of Pancreatic Cyst Fluid Data for the Detection of Mucinous Cysts Bijun S. Kannadath, MBBS, MS1, Putao Cen, MD2, Julie Rowe, MD2, Curtis Wray, MD2, John Bynon, MD2, Erik F. Rahimi, MD2, R. Tomas Davee, MD2, Nirav Thosani, MD3; 1University of Arizona College of Medicine, Phoenix, AZ; 2University of Texas Health Science Center at Houston, Houston, TX; 3University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX


P0916. Pancreatic Insulinoma in a Child: Report of a Rare Case Zaheer A. Qureshi, MBBS, MD1, Sherry Reyes, MD2, Sri Lekha Bodepudi, MBBS3, Stacey E. Thomas, MD, MBA4, Sharmi Biswas, MBBS5, Faryal Altaf, MBBS6; 1University of Health Sciences, Rego Park, NY; 2N/A, Lynbrook, NY; 3Dr. P.S.I. of Medical Sciences and Research Foundation, Jacksonville, FL; 4Mayo Clinic, Scottsdale, AZ; 5MAG Osmani Medical College, Sylehet, Bangladesh, Edmonton, AB, Canada; 6Multan Institute of Kidney Diseases, Lahore, Punjab, Pakistan

P0917. Pancreatoscopy in Undiagnosed Pancreatic Disease Travis Magdaleno, DO, Shashin Shah, MD, Hiral Shah, MD, FACG; Lehigh Valley Health Network, Allentown, PA

P0918. Hepatic Artery Pseudoaneurysm Following Percutaneous Transhepatic Cholangiography: An Extremely Rare Complication Pratyusha Tirumanisetty, MBBS, Mahesh Krishnamurthy, MD; Unity Hospital, Greece, NY

P0919. When the Sound Surmounts the Magnet: Pancreatic Cancer Imaging Harishankar Gopakumar, MD, Jayakrishnan Krishnakurup, MD, Christina Zelt, MSN, Neil Sharma, MD; Parkview Health, Fort Wayne, IN

P0920. Management of Refractory Biliary Leak Using Spyglass Cholangioscopy for Better Localization and Grading of Bile Duct Injury Ibrahim Abubakar, MD1, Moustafa Massoud, MD2, Suril Patel, MD1, George Philips, MD1; 1University of Tennessee College of Medicine, Chattanooga, TN; 2UT, Birmingham, AL

P0921. Autoimmune Hepatitis/Primary Sclerosing Cholangitis/Ulcerative Colitis Overlap Syndrome in a Young Male Yiu-Ting Chiu, MD; LSU Health, Shreveport, LA

P0922. Large Peri-Renal Fluid Collection Involving Gerota’s Fascia After Acute Pancreatitis Ahmad Nakshabandi, MD1, Rohan Mandaliya, MD2, James Lewis, MD, FACP, FACG3, Mitesh Patel, MD3; 1Mercy Hospital and Medical Center, Chicago, IL; 2Georgetown University Hospital, Washington, DC; 3MedStar Georgetown University Hospital, Washington, DC

P0923. Hyperplasia of Distal Common Bile Duct Epithelium Manifesting as Benign Biliary Stricture Jaesin Lee, MD, Jae Hyuck Chang, MD, PhD; Catholic University, Bucheon St. Mary’s Hospital, Bucheon, Kyonggi-do, Republic of Korea

P0924. A Familial Cause of a Familiar Disease: Two Concurrent Cases of Hypertriglyceride Pancreatitis in a Sibling Pair Koosh Desai, MD, Parth Jamindar, MD, William Davis, MD; Augusta University, Augusta, GA

P0925. Mixed Adeno-Neuroendocrine Carcinoma of the Gastroenteropancreatic Tract: A Case Report and a Pertinent Review of the Literature Jojo Yorke, MD, Moka Nagaishwarya, MD, Kalpit Devani, MD; East Tennessee State University, Johnson City, TN

P0926. Cushing’s Syndrome Secondary to Pancreatic Carcinoid Tumor Maham Hayat, MD1, Usman Bhatti, MD2, Muhammad Hashim Hayat, MBBS3, Madiha Bhatti, MBBS4; 1University of Oklahoma Health Sciences Center, Oklahoma City, OK; 2OUHSC, Oklahoma City, OK; 3Services Institute of Medical Sciences, Lahore, Punjab, Pakistan; 4Sheikh Zayed Medical College, Lahore, Punjab, Pakistan

P0927. Pancreatic Solid Pseudopapillary Tumor Presenting With Elevated DHEA and Testosterone Elias G. Estifan, MD1, Yana Cavanagh, MD2, Matthew Grossman, MD2, Ashima Kapoor, MD2; 1St. Jospeh’s University Medical Center, Paterson, NJ; 2St. Joseph’s University Medical Center, Paterson, NJ

P0928. Monolobar Caroli’s Disease Treated With Left Lobectomy Eric M. Montminy, MD1, Shanti G. Rao, MD1, Nabil D. Baddour, MD1, Christopher Hoddnette, MD1, James Caridi, MD2, Luis A. Balart, MD, MACG2; 1Tulane University School of Medicine, New Orleans, LA; 2Tulane University Medical Center, New Orleans, LA

P0929. When Focal Pancreatitis Bounces From the Head to the Tail Andres Rabell-Bernal, MD, Rodolfo Estremera-Marcial, MD, Hendrick Pagan-Torres, MD, Carlos Fernandez-Cruz, MD, Javier A. Cerra-Franco, MD, Doris Toro, MD, Jaime Martinez-Souss, MD, Jose Martin-Ortiz, MD, Eduardo Acosta-Pumarejo, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P0930. Low Bone Mineral Density Presenting as Bone Pain Due to Gilbert’s Syndrome Mary Lan, MD, MPH, Jefferson Roberts, MD, Pedro Manibusan, DO, MBA; Tripler Army Medical Center, Honolulu, HI



P0931. Bouncing Off the Balloon: A New Trick for Selective Cystic Duct Cannulation Rishabh Gulati, MD1, Sergio A. Sánchez-Luna, MD1, Swathi Paleti, MD1, Tarun Rustagi, MD2; 1The University of New Mexico School of Medicine, Albuquerque, NM; 2University of New Mexico School of Medicine, Albuquerque, NM

P0932. Clip Migration Causing Duodenal Thickening After Cholecystectomy: A Potential Deadly Complication of a Common Procedure Diego Hidalgo, MD, Alison Smith, MD, Dhara Chaudhari, MD, Mark Young, MD; East Tennessee State University, Johnson City, TN

P0933. Drug-Induced Acute Pancreatitis in a Patient With Normal Renal Function: Metformin Diego Hidalgo, MD, Alison Smith, MD, Mark Young, MD; East Tennessee State University, Johnson City, TN

P0934. Post-Cholecystectomy Clip Migration-Induced Acute Pancreatitis: A New Case and Review of the Literature Ami Panara, MD1, Jodie A. Barkin, MD2, Jamie S. Barkin, MD, MACG2; 1University of Miami, Miami, FL; 2University of Miami Leonard M. Miller School of Medicine, Miami, FL

P0935. A Case of CMV Cholangiopathy in an HIV Patient on Antiretroviral Therapy Cris Jacob R. Molina, MD1, Tarek I. Eid, MD2, Victor Arce, MD3, Gerard Quigley, DNP, FNP-C4, Tessa Bowie, PA-C4, Keng-Yu Chuang, MD5; 1Banner University Medical Center, Phoenix, CA; 2University of California Irvine, Orange, CA; 3University of Colorado, Aurora, CO; 4Maricopa Medical Center, Phoenix, AZ; 5Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ

P0936. A Rare Cause of Acute Pancreatitis Fnu Versha, MD1, Roy Young, MD2, Adewale Ajumobi, MD, MBA2; 1Eisenhower Health, Beaumont, CA; 2Eisenhower Health, Rancho Mirage, CA

P0937. Nivolumab in Cholangiocarcinoma: A Case Report Kevin Tin, MD, MBA1, Ping Gu, MD2, Rabin Rahmani, MD, FACG1, James Park, MD3; 1Maimonides Medical Center, Brooklyn, NY; 2New York University Langone Medical Center, New York, NY; 3New York University Medical Center, New York, NY

P0938. A Migrated Percutaneous Endoscopic Gastrostomy Tube Inducing Gastric Outlet Obstruction and Acute Pancreatitis Brian Dinh, MD, Patrick Chen, DO, Gregory Beck, MD; Wright State University Boonshoft School of Medicine, Dayton, OH

P0939. Endoscopic Management of Ansa Pancreatica in a Patient With Recurrent Pancreatitis Chiemeziem Eke, MD1, Derek Lin, MD2, Mohamed Othman, MD1; 1Baylor College of Medicine, Houston, TX; 2Bayor College of Medicine, Houston, TX

P0940. Surveillance of Gastric Gastrointestinal Stromal Tumor (GIST): Suspected Gall Bladder Mass? Mamoon Ur Rashid, MD1, Muhammad Hasan, MD1, Umair Majeed, MD2; 1Florida Hospital, Orlando, FL; 2FLH South, Orlando, FL

P0941. Cystic Neoplasm of Pancreas: A Case of Chronic Abdominal Pain Mamoon Ur Rashid, MD1, Muhammad Hasan, MD1, Waqas Ullah, MD2; 1Florida Hospital, Orlando, FL; 2Abington Memorial Hospital, Abington, PA

P0942. Bouveret Syndrome Managed Endoscopically Using Through the Scope (TTS) Balloon Retrieval Technique Pragnesh Patel, MD1, Ashish Saharia, MD2, Alberto Barroso, MD, FACP, FACG3; 1Underwood Center for Digestive Disorders, Houston Methodist Hospital, Weill Cornell Medical College, Pearland, TX; 2Sherrie and Alan Conover Center for Liver Disease & Transplantation at Houston Methodist J.C. Walter Transplant Center, Houston, TX; 3Houston Methodist Hospital, Weill Cornell Medical College, Houston, TX

P0943. Acute Recurrent Pancreatitis in Association with Gallbladder Agenesis Sean Winkle, BS1, Monica L. Multani, DO2, Amir Riaz, MS43, Jamie L. Skrove, DO2, Linoj Panicker, DO4, Faiz Javed, DO2, Juan Sarol, MD4, Javier Sobrado, MD2; 1St. George’s University, Miami, FL; 2Larkin Community Hospital, Miami, FL; 3St. George’s University School of Medicine, Miami, FL; 4Larkin Community Hospital, South Miami, FL

P0944. A Rare Case of Cholestasis Ryan Yarnall, MD1, Peter Madden, MD1, Carmen Vesbianu, MD1, Dragos Vesbianu, MD2; 1University of Oklahoma College of Medicine, Tulsa, OK; 2Saint John Medical Center, Tulsa, OK

P0945. Acute Pancreatitis in Pancreas Divisum From an Impacted Stone in the Minor Papilla Rehan Farooqi, MD1, Faris El-Khider, MD, MS2, Prabhleen Chahal, MD, FACG3, Carol A. Burke, MD, FACG3; 1MedStar Union Memorial Hospital, Baltimore, MD; 2Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P0946. Acute Pancreatitis with Severe Mediastinal Fluid Accumulation via Retrocrural Space: An Indication for Single Dose Radiation Therapy? Nicholas Daane, DO, Brad Solomon, DO; Advocate Lutheran General Hospital, Park Ridge, IL

P0947. Atypical Presentation of a Lethal Disease Rodolfo Estremera-Marcial, MD, Adriana Marzan, MD, Jose Martin-Ortiz, MD, Doris Toro, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P0948. Surgical Clip Migration Leading to Obstructive Choledocholithiasis Noah Settergren, DO, Jimmy Giang, DO, Matthew Lute, DO, Atul Vahil, MD, FACG; Parkview Medical Center, Pueblo, CO

P0949. Painless Jaundice: A Rare Presentation of Uterine Leiomyosarcoma With Pancreatic Metastasis Mohammad Ali, MD1, Kristen Sticco, DO1, Rakesh Shah, MD2, Jeffrey Schneider, MD1, John Allendorf, MD1, Jessica Widmer, DO1; 1New York University Winthrop Hospital, Mineola, NY; 2NYU Winthrop Hospital, Mineola, NY

P0950. Liraglutide Associated Acute Pancreatitis: A Case Report and Review of the Literature Muhammad Ghabra, MD1, Mohamad Alkhouli, MD2; 1Sanjay Bharti, MD, PLLC, Morgantown, WV; 2West Virginia University School of Medicine, Morgantown, WV

P0951. Pancreatic Teratoma: A Challenging Diagnosis of Pancreatic Cyst Konika Sharma, MD1, Mahyar Afrooz, MD2, Satish K. Boddhula, MD2, Pascale Raymond, MD2; 1Basset Medical Center, Cooperstown, NY; 2Bassett Medical Center, Cooperstown, NY

P0952. Ruptured Cystic Artery Pseudoaneurysm as a Cause of Cholestasis Jonathan Gapp, MD1, Turna Mukherjee, MD1, John Gross, MD1, Gopi Sirineni, MD1, Adil Abdalla, MD2; 1Creighton University, Omaha, NE; 2MD, Omaha, NE

P0953. Vanishing Bile Duct Syndrome Ahmed Hamed, MD1, Amira Hamed, MD1, Nouran Hamed, MD2, Omar Taha1; 1East Carolina University, Greenville, NC; 2American University of Beirut, Greenville, NC

P0954. A Curious Case of Massive Splenomegaly: Overlap of Autoimmune Hepatitis and Primary Biliary Cholangitis Ahmed Hamed, MD, Amira Hamed, MD, Karissa Lambert, MD, Melissa Moey, Eslam Ali, MD; East Carolina University, Greenville, NC

P0955. Lamotrigine Induced DRESS Syndrome With Multi-Organ Involvement Including the Pancreas Ahmed Hamed, MD, Amira Hamed, MD, Karissa Lambert, MD; East Carolina University, Greenville, NC


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P0956. A Giant Gallbladder Ahmed Hamed, MD, Amira Hamed, MD, Eslam Abo-talb, Eslam Ali, MD; East Carolina University, Greenville, NC

P0957. Oriental Cholangiohepatitis: Hong Kong Disease in the United States Ahmed Hamed, MD, Amira Hamed, MD, Nizar Talaat; East Carolina University, Greenville, NC

P0958. Unusual Presentation of IgG4-Related Disease Somaya Albhaisi, MBBCh, Adam Godsey, MD; Virginia Commonwealth University, Richmond, VA

P0959. Much More Than an Abnormal CT; Physical Exam Isn’t Dead Kelsey L. Able, DO, MSc1, Maham Hayat, MD1, Javid Fazili, MD, FACP2; 1University of Oklahoma Health Sciences Center, Oklahoma City, OK; 2Oklahoma University Health Sciences Center, Edmond, OK

P0960. Malignant Transformation of Type I Biliary Cyst into Papillary Type Neoplasm Tejas V. Joshi, MD1, Melissa A. Spera, MD2, Seema Walvekar, MD2, Stephen W. Landreneau, MD3; 1LSU Health New Orleans School of Medicine, New Orleans, LA; 2LSU Health Sciences Center, New Orleans, LA; 3Louisiana State University Health Sciences Center, New Orleans, LA

P0961. Vanishing Bile Duct Syndrome in a Patient With Uterine Cancer and Paraneoplastic Systemic Sclerosis: A Complex Clinical Challenge Daniel Sedhom, MD, Amanda Herrmann, MD, Melroy D’Souza, MD, Billie Fyfe-Kirsschner, MD, Francisco Zaldana, DO, Naomi Schlesinger, MD, Vinod Rustgi, MD, MPH; Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ

P0962. A Case of Isolated Direct Hyperbilirubinemia Associated with High Dose Cytarabine Maggie Cheung, MD1, Vicky Bhagat, MD1, Swati Pawa, MD2; 1Robert Wood Johnson Medical School, New Brunswick, NJ; 2Robert Wood Johnson University Hospital, New Brunswick, NJ

P0963. Burkitt’s Lymphoma Presenting as Acute Cholecystitis and Vaginal Bleeding Majd Kanaa, MD, Yazan Alkawaleet, MD, Jennifer Phemister, MD, Chakradhar Reddy, MD, Mark Young, MD; East Tennessee State University, Johnson City, TN

P0964. Spontaneous Hemorrhagic Rupture of Pancreatic Pseudocyst Majd Kanaa, MD, Muhammad Khalid, MD, Chakradhar Reddy, MD, Mark Young, MD; East Tennessee State University, Johnson City, TN

P0965. Massive Gastric Variceal Hemorrhage Due to Splenic Vein Thrombosis: A Rare Initial Presentation of Asymptomatic Metastatic Pancreatic Adenocarcinoma Kelley Nguyen, BS, Daniel Zhang, MD, Mark Sultenfuss, MD, David Victor III, MD; Houston Methodist Hospital, Houston, TX

P0966. When Cholangioscopy-Guided Electrohydraulic Lithotripsy May Solve the Problem Spiro S. Mavromates, MD1, Rufaat Mando, MD2, Meir Mizrahi, MD2, Manoj Kumar, MD, MPH2; 1Memorial Health University Medical Center, Savannah, GA; 2University of South Alabama, Mobile, AL

P0967. A Pseudo to Pseudo Connection: Pseudoaneurysm Draining Into the Pseudocyst Waqas Ullah, MD1, Mamoon Ur Rashid, MD2, Hafez Mohammad Abdullah, MD3; 1Abington Memorial Hospital, Abington, PA; 2Florida Hospital, Orlando, FL; 3University of South Dakota, Sioux Falls, SD

P0968. Metastatic Seeding of Cholangiocarcinoma From Biliary Drain Matthew Bauer, MD1, Amie Harvey, MD1, Catherine Frenette, MD, FAST2; 1Naval Medical Center San Diego, San Diego, CA; 2Scripps Center for Organ Transplantation, La Jolla, CA

P0969. An Unusual Presentation of Primary Gallbladder Carcinoma Qian Zhou, MD, Alexander Schafir, MD; Providence Saint Vincent Medical Center, Portland, OR

P0970. A Pain in the Gut: Hypertriglyceridemia Induced Pancreatitis Christine Chen, DO, Nitzy N. Munoz Casablanca, MD; Mount Sinai Beth Israel, New York, NY

P0971. A Rare Case of Non-Umbilical Cutaneous Metastasis as a First Presentation of a Very Aggressive Pancreatic Cancer – A Case Report and Review of Literature Preethi Ramachandran, MD, MRCP, FRCP, Gardith Joseph, MD; Brookdale University Hospital and Medical Center, Brooklyn, NY

P0972. Metastatic Breast Cancer Presenting as Painless Jaundice Daniel Wilen, DO1, Donald McMahon, DO2, Brian Blair, DO3, Joanne Kaiser-Smith, DO1, Darshan Roy, MD1; 1Rowan University School of Osteopathic Medicine, Stratford, NJ; 2Kennedy Health Alliance, Turnersville, NJ; 3Kennedy Health Alliance, Cherry Hill, NJ

P0973. Finding a Signet Ring in the Biliary System Nikita Gupta, MD1, Michelle Likhtshteyn, MD1, Jason Green, DO1, Sadat Iqbal, MD1, Abu Hurairah, MD2, Richard Ferstenberg, MD1; 1SUNY Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, NY

P0974. Spontaneous Rupture of a Pancreatic Pseudocyst: A Fatal Complication Prateek Mathur, MD1, Nicole Toscano, MD2, Mark Gestring, MD2, Vivek Kaul, MD, FACG2; 1Rochester General Hospital, Rochester, NY; 2University of Rochester, Rochester, NY

P0975. Acting Fast: A Case of Spontaneous Calculus Migration in a Patient with Bouveret’s Syndrome Isaiah P. Schuster, MD1, Victoria Shklar, MD, MS2, Harold Paredes, MD3, Lionel D’Souza, MD1; 1Stony Brook University Medical Center, Stony Brook, NY; 2Stony Brook University Medical Center, Port Jefferson, NY; 3Stony Brook Medicine, Stony Brook, NY

P0976. Pseudopapillary Tumor: Still a Possibility in Old Age Waseem Amjad, MD1, Anish Khalil, MBBS2, Hanan T. Lodhi, MBBS3, Qulsoom Hussain, MBBS4, Faisal Inayat, MBBS5, Ghulam Ilyas, MD6, Ahmed Munir, MBBS7, Waqas Ullah, MD8, Fahad Zafar, MBBS9; 1Northwell Health Long Island Jewish Forest Hills Hospital, Forest Hills, NY; 2Shifa College of Medicine, Islamabad, Islamabad, Pakistan; 3University of Nebraska Medical Center, Omaha, NE; 4Shifa College of Medicine, Islamabad, Brooklyn, NY; 5Allama Iqbal Medical College, Lahore, Punjab, Pakistan; 6SUNY Downstate Medical Center, Brooklyn, NY; 7Services Institute of Medical Sciences, Lahore, Islamabad, Pakistan; 8Abington Memorial Hospital, Abington, PA; 9King Edward Medical University, Lahore, Islamabad, Pakistan

P0977. Biliary Metal Stent Placement During Single-Balloon Enteroscopy-Assisted Endoscopic Retrograde Cholangiopancreatography: A Novel Stent Delivery System to Address Surgically Altered Anatomy Steve Hu, MD1, Tarun Rustagi, MD2; 1University of California San Francisco Fresno, Fresno, CA; 2University of New Mexico School of Medicine, Albuquerque, NM

P0978. An Endoscopic Fix: Common Bile Duct Stent Migration Resulting in a Traumatic Duodenal Perforation Causing Biliary Peritonitis in a Liver Transplant Patient Ahmed Khattab, MD, Hina Omar, MD, Kenneth Chi, MD; Advocate Lutheran General Hospital, Park Ridge, IL

P0979. Afferent Limb Obstruction: Diagnosis and Management Mathew Finniss, MD1, Laith Al Momani, MD1, Nina Amilineni, MD1, Christian Rosero, MD1, Jennifer Phemister, MD1, James Swenson, MD2, Thad Snyder, MD2; 1East Tennessee State University, Johnson City, TN; 2Mountain Home VA Medical Center, Johnson City, TN



P0980. Sarcomatoid Carcinoma of the Pancreas: An Unusual Cause of Abdominal Pain Shima Ghavimi, MD1, Neel Patel, MD1, Zhiwei Yin, MD1, Sushil Ahlawat, MD2; 1Rutgers New Jersey Medical School, Newark, NJ; 2Rutgers University, New Jersey Medical School, Newark, NJ

P0981. Recurrent Primitive Neuroectodermal Tumor (PNET) of the Pancreas Mathew Finniss, MD1, Allison Locke, MD1, Lawrence Schmidt, MD2; 1East Tennessee State University, Johnson City, TN; 2Mountain Home VA Medical Center, Johnson City, TN

P0982. The Light at the End of the Tunnel Rufaat Mando, MD, Manoj Kumar, MD, MPH, Shoeb Chaudry, MD, Osama Abdul-Rahim, MD, Meir Mizrahi, MD; University of South Alabama, Mobile, AL

P0983. A Rare Case of Pancreatic Cystic Lymphangioma Diagnosed with Endoscopic Ultrasound-Guided Fine Needle Aspiration Mustafa Alani, MD 1, Indu Srinivasan, MD2, Gerard Quigley, DNP, FNP-C3, Tessa Bowie, PA-C3, Abdul Nadir, MD 2, Keng-Yu Chuang, MD4; 1Banner University Medical Center, Phoenix, AZ; 2Maricopa Integrated Health System, Phoenix, AZ; 3Maricopa Medical Center, Phoenix, AZ; 4Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ

P0984. Hemorrhagic Pancreatic Pseudocyst Sadat Iqbal, MD1, Muhammad Bashir, MD1, Michelle Likhtshteyn, MD1, Abu Hurairah, MD2, Ayesha Zahiruddin, MD3; 1SUNY Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, NY; 3Brooklyn Campus of the VA New York Harbor Healthcare System, Brooklyn, NY

P0985. Air in the Gastric Wall Along with Hepatic Portal Venous Air - When Not to Panic! Sadat Iqbal, MD1, Abu Hurairah, MD2, Ava Anklesaria, MBBS3; 1SUNY Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, NY; 3NYC HHC/Kings County Hospital, Brooklyn, NY

P0986. Hemosuccus Pancreaticus: Side-Viewing Endoscopic Diagnosis of a Rare but Fatal Cause of Gastrointestinal Hemorrhage Faisal Inayat, MBBS1, Sadat Iqbal, MD2, Zarak H. Khan, MBBS3, Qulsoom Hussain, MBBS4, Hanan T. Lodhi, MBBS5, Fahad Zafar, MBBS6, Ahmed Munir, MBBS7, Abu Hurairah, MD8, Cynthia Quianoo, MD9; 1Allama Iqbal Medical College, Lahore, Punjab, Pakistan; 2SUNY Downstate Medical Center, Brooklyn, NY; 3Shifa College of Medicine, Islamabad, Islamabad, Pakistan; 4Shifa College of Medicine, Islamabad, Brooklyn, NY; 5University of Nebraska Medical Center, Omaha, NE; 6King Edward Medical University, Lahore, Islamabad, Pakistan; 7Services Institute of Medical Sciences, Lahore, Islamabad, Pakistan; 8SUNY Downstate, Brooklyn, NY; 9Brookdale University Hospital, Brooklyn, NY

P0987. Large Infected Lymphoepithelial Cyst of Pancreas: A Rare Entity Diagnosed by Cyst Wall Biopsies Using Lumen Apposing Metal Stent Monica Chowdhry, MD1, Hamza Shah, MD2, Jesse Clanton, MD1, Shailendra Singh, MD3; 1West Virginia University, Charleston, WV; 2Charleston Area Medical Center, Charleston, WV; 3West Virginia University, Charleston Area Medical Center, Charleston, WV

P0988. A Rare Case of Perimpullary Duodenal Diverticulitis Diagnosed by ERCP Causing Obstructive Jaundice (Lemmel’s Syndrome) Ahmed Elkafrawy, MD, Samuel Schowengerdt, MD, Sreeni Jonnalagadda, MD; University of Missouri, Kansas City, MO

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P0989. Mesothelin Expression Pattern Has a Significant Prognostic Value in Stage II/III Colorectal Cancer Takehiro Shiraishi, MD, Eiji Shinto, MD, PhD, Satsuki Mochizuki, PhD, Yoshiki Kajiwara, MD, PhD, Koichi Okamoto, MD, PhD, Takahiro Einama, MD, PhD, Hideki Ueno, MD, PhD; National Defense Medical College, Tokorozawa, Saitama, Japan

P0990. Clostridium difficile Infection in Patients With Hematologic Malignancy and Neutropenic Fever: A Clinical Overview Daniel Sedhom, MD, Mohamed Elsaid, MPH, Ramy Sedhom, MD; Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ

P0991. Nationwide Trends in Young Onset Colorectal Cancer-Related Hospitalizations: An Alarming Gender Disparity Rupak Desai, MBBS1, Upenkumar Patel, MBBS, MPH2, Wardah Siddiq, MBBS3, Sandeep Singh, MBBS4, Nihar Shah, MD, FACP5, Hemant Goyal, MD, FACP6; 1Atlanta VA Medical Center, Decatur, GA; 2Nassau University Medical Center, East Meadow, NY; 3Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA; 4AMC, Amsterdam, Noord-Holland, Netherlands; 5Marshall University, Huntington, WV; 6Mercer University School of Medicine, Macon, GA

P0992. ‘Seasonal Effect’ on Incidence and In-Hospital Mortality of Acute Bowel Ischemia: A Study of National Inpatient Database 2005-2014 in the United States Tausif Siddiqui, MD1, Dhruv Mehta, MD2, Khwaja F. Haq, MD3, Virendra Tewari, MD4; 1New York Medical College, Valhalla, NY; 2New York Medical College at Westchester Medical Center, Valhalla, NY; 3Henry Ford Hospital, Detroit, MI; 4Westchester Medical Center at Westchester Medical Center, Valhalla, NY

P0993. Life Expectancy Among Adults Undergoing Elective Colonoscopy: A Survey of Older Adults Kathy Cazares, MS31, Sharon O’Connor, MBA, MS2, Audrey H. Calderwood, MD, MS, FACG3; 1Dartmouth Hitchcock Medical Center, Geisel School of Medicine, Lebanon, NH; 2Center for Program Design & Evaluation, Dartmouth College, Lebanon, NH; 3Geisel School of Medicine and Dartmouth Institute of Health Policy and Clinical Practice, Dartmouth-Hitchcock Medical Center, Lebanon, NH

P0994. Examining Individuals’ Decision Making Surrounding Bowel Preps for Colonoscopy: Insights From a Conjoint Analysis Survey Vartan C. Tashjian, MD, Sophia Haass, Ellen Lhee, Brennan M. R. Spiegel, MD, MSHS, Christopher V. Almario, MD; Cedars-Sinai Medical Center, Los Angeles, CA

P0995. Opioid Use in Clostridium difficile Infection Is Associated With Worse Outcomes Monica Chowdhry, MD1, Shailendra Singh, MD2, Suzanne Kemper, MPH3, Mustafa Bhaty, MD1, Ashley Huggett, DO3, Andrea Stark, DO1, Ahmad Khan, MD4, Brittain McJunkin, MD3, Kristen Helmick, MD1; 1West Virginia University, Charleston, WV; 2West Virginia University, Charleston Area Medical Center, Charleston, WV; 3West Virginia University, Charleston Division, Charleston, WV; 4Charleston Area Medical Center, Charleston, WV

P0996. Outcomes of Polyps Resected Using Underwater Endoscopic Mucosal Resection (UEMR): Carilion Clinic Experience Mohamad A. Mouchli, MD1, Robert Summey, MD2, Christopher Walsh, MD3, Shravani Reddy, MD4, Adil Mir, MD1, Rajan Kanth, MD1, Vikas Chitnavis, MD5, Paul Yeaton, MD2, Mohammad Shakhatreh, MD, MPH2; 1Carilion Clinic, Virginia Tech University, Roanoke, VA; 2Virginia Tech Carilion School of Medicine, Roanoke, VA; 3Carilion Roanoke Memorial Hospital, Roanoke, VA; 4Carilion Clinic, Virginia Tech School of Medicine, Roanoke, VA; 5Carilion Clinic, Roanoke, VA


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P0997. Treatment of Recurrent Clostridium difficile Infection With Fecal Microbiota Transplantation in a Community Ambulatory Surgical Center Jay Anderson, DO1, David Y. Lo, MD, FACG2, Victor Jochem, MD3, Kim Jordan, MD4, John Elliott, PhD1; 1OhioHealth, Riverside Methodist Hospital, Columbus, OH; 2Ohio Gastroenterology Group, Inc., The Ohio State University College of Medicine, Columbus, OH; 3Ohio Gastroenterology Group, Inc., Columbus, OH; 4OhioHealth, Columbus, OH

P0998. Laparoscopic Surgery for Colovesical Fistula Due to Sigmoid Colon Diverticulitis Kenji Tomizawa, MD, Shuichiro Matoba, MD, PhD, Takatsugu Fujii, MD, Naoto Okazaki, MD, Kosuke Hiramatsu, MD, Yutaka Hanaoka, MD, Shigeo Toda, MD, Hiroya Kuroyanagi, MD, PhD; Toranomon Hospital, Minatoku, Tokyo, Japan

P0999. Differential Longitudinal Symptom and Quality of Life (QOL) Outcomes on Selected Medications in Patients With Suspected Gastroparesis With Delayed versus Normal Colon Transit on Wireless Motility Capsule Testing Baharak Moshiree, MD, FACG1, William Hasler, MD2, Allen Lee, MD3, Braden Kuo, MD4, Linda Nguyen, MD5, Richard McCallum, MD6, Irene Sarosiek, MD6, Henry P. Parkman, MD7, John Wo, MD8, Michael Schulman, MD9, Satish S.C. Rao, MD, PhD10; 1Carolinas HealthCare System, Charlotte, NC; 2University of Michigan Health System, Ann Arbor, MI; 3University of Michigan, Ann Arbor, MI; 4Massachusetts General Hospital, Boston, MA; 5Stanford University, Palo Alto, MI; 6Texas Tech University Health Sciences Center, El Paso, TX; 7Temple University Hospital, Philadelphia, PA; 8Indiana University, Indianapolis, IN; 9Florida Digestive Health Associates, Largo, FL; 10Augusta University Medical Center, Augusta, GA

P1000. Colonic Diverticular Disease in Autosomal Dominant Polycystic Kidney Disease: Is There Really an Association? Rodrigo Duarte-Chavez, MD1, Marcela E. Perez-Acosta, MD2, Cara Ruggeri, DO, FACP3, Kimberly J. Chaput, DO4, Ana Martinez-Tapia, MD4, Noel B. Martins, MD3, Ayaz Matin, MD4, Berhanu M. Geme, MD5; 1St. Luke’s University Hospital Health Network, Fountain Hill, PA; 2Osceola Regional Medical Center, Kissimmee, FL; 3St. Luke’s University Health Network, Bethlehem, PA; 4St. Luke’s University Hospital Health Network, Bethlehem, PA; 5St. Luke’s University Hospital Health Network, Center Valley, PA

P1001. Location of Intussusception in Adults Predicts Malignant Etiology Dhruv Patel, MD1, Amir Taefi, MD2, Machelle Wilson, PhD1, Sooraj Tejaswi, MD, MSPH2; 1University of California Davis, Sacramento, CA; 2University of California Davis Medical Center, Sacramento, CA

P1002. Risk Factors, Presentation, Diagnosis and Management Factors Associated With Surgery and Death in Ischemic Colitis Patients: A Retrospective Cohort Study Ahmad Alfedaghi, MBChB, Baha Alazzoni, MD, Khurram J. Khan, MD, BSc, MSc(Epi); McMaster University, Hamilton, ON, Canada

P1003. Gut Microbial Composition in Human Colons Associated With Polyp Development Rachel Sarnoff, BA1, Lauren Seo, BA1, Catherine Uy, MD1, Tracey Martin, MD1, Renee Williams, MD2, Martin Blaser, MD1, Giulio Quarta, MD1; 1NYU School of Medicine, New York, NY; 2New York University School of Medicine, New York, NY

P1004. The Effect of Gender and Race on the Prevalence of Adenomas and Proximal Serrated Polyps Found on Screening Colonoscopy in Disparate Populations Rohan Mandaliya, MD1, Muhammad Mirza, MBBS2, Khushali Jhaveri, MBBS2, Aniruddh Som, MBBS2, Vagishwari Murugesan, MD2, Shiva Shankar Vangimalla, MBBS2, Allyson Raymond, MD1, Michele Barnhill, MD1, Kamal Baig, MD1, Lubaba Hasan2, Won Cho, MD2; 1Georgetown University Hospital, Washington, DC; 2MedStar Washington Hospital Center, Washington, DC

P1005. Differential Prognostic Significance of Tumor Budding Status Evaluated by Hematoxylin and Eosin Staining and Immunohistochemical Staining in Stage II Colorectal Cancer Eiji Shinto, MD, PhD, Yoshiki Kajiwara, MD, Satsuki Mochizuki, PhD, Koichi Okamoto, MD, Masato Yamadera, MD, Takehiro Shiraishi, MD, Hironori Tsujimoto, MD, Suefumi Aosasa, MD, Takahiro Einama, MD, Junji Yamamoto, MD, Kazuo Hase, MD, Hideki Ueno, MD; National Defense Medical College, Tokorozawa, Saitama, Japan

P1006. Underwater Insertion Improves Polyp Detection in Young Adults Undergoing Colonoscopy Anish H. Patel, MD1, Jasleen Grewal, MD2, Rasha Ahmed, DO1, William Karnes, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Los Angeles Medical Center, Los Angeles, CA

P1007. Post-Infectious Irritable Bowel Syndrome Persists After Fecal Microbiota Transplant for C. difficile Infection Olufemi Kassim, Becky Smith, MD1, Jennifer Grant, MD2, Donna Schora, BS2, Naomi Adams, BA2, Edessa David, BS2, Eugene Yen, MD, MBA, FACG3; 1Duke University, Durham, NC; 2NorthShore University HealthSystem, Evanston, IL; 3NorthShore University Health System, Evanston, IL

P1008. The Overuse of Empiric Antibiotic Treatment for Enterocolitis Diagnosed by Abdominal CT (OVERACCT) Merjona Saliaj, MD1, Mark Aloysius, MD, PhD2, Mariam Saad, MD2, Muneer Khan, MD2, Julie Singh, MD2, Luna Acharya, MD2, Susanne Burger, MD3; 1James J. Peters VA Medical Center, Flushing, NY; 2James J. Peters VA Medical Center, Bronx, NY; 3North Central Bronx Hospital, Bronx, NY

P1009. Relationship Between Remote History of Cholecystectomy and Risk for Incident Clostridium difficile Infection Ying Wang, MD1, Jianhua Li, MD1, Philip Zachariah, MD, MSc1, Julian Abrams, MD, MS2, Daniel E. Freedberg, MD, MS1; 1Columbia University Medical Center, New York, NY; 2Columbia University, New York, NY

P1010. Vaginal Delivery Is Independently Associated With Internal Hemorrhoids Alison Goldin, MD, MPH1, Laura Horton, MD1, Namisha Thapa, MD2, Walter W. Chan, MD, MPH3; 1Brigham & Women’s Hospital, Boston, MA; 2OHSU Hospital, Portland, OR; 3Brigham & Women’s Hospital/Harvard Medical School, Boston, MA

P1011. Psychiatric Comorbidity and Recent Narcotics Use Are Independently Associated With Dyssynergic Defecation in Patients With Chronic Constipation Alison Goldin, MD, MPH1, Namisha Thapa, MD2, Laura Horton, MD1, Walter W. Chan, MD, MPH3; 1Brigham & Women’s Hospital, Boston, MA; 2OHSU Hospital, Portland, OR; 3Brigham & Women’s Hospital/Harvard Medical School, Boston, MA

P1012. Technical and Clinical Outcomes of Colonic Stent Placement in Patients With Proximal Malignant Large Bowel Obstruction Samson Ferm, MD1, Constantine Fisher, MD2, Michelle Tong, MD2, Moshe Rubin, MD1, Syed Hussain, MD1, Sang-Hoon Kim, MD1; 1New York-Presbyterian Queens, Flushing, NY; 2New York Presbyterian Queens, Flushing, NY

P1013. Sickle Cell Disease Is Associated With Higher Mortality Among Patients Hospitalized With Ischemic Bowel Disease Olalekan Akanbi, MD, MPH1, Adeyinka Adejumo, MD, MS2; 1University of Kentucky College of Medicine, Lexington, KY; 2North Shore Medical Center, Lowell, MA



P1014. Pharmacological Profile of Naldemedine, a Peripheral Acting μ-Opioid Receptor Antagonist : Comparison With Naloxone and Naloxegol Toshiyuki Kanemasa, PhD1, Katsumi Koike1, Kenji Takase, PhD2, Tohko Arai, BS3, Atsushi Nakamura, PhD1, Yasuhide Morioka, PhD1, Minoru Hasegawa, PhD1; 1Drug Discovery & Disease Research Laboratory, Shionogi & Co., Ltd., Toyonaka-shi, Osaka, Japan; 2Product Marketing Department, Shionogi & Co., Ltd., Osaka-shi, Osaka, Japan; 3Research Laboratory for Development, Shionogi & Co., Ltd., Toyonaka-shi, Osaka, Japan

P1015. SMAD4 Mutation and the Combined Juvenile Polyposis and Hereditary Hemorrhage Telangiectasia Syndrome: A Single Center Experience Guilherme Piovezani Ramos, MD, Nicholas McDonald, MD, Seth Sweetser, MD; Mayo Clinic, Rochester, MN

P1016. Gender Disparities in Short-Term and Long-Term Colon Cancer Specific Survival Venu Gopala Reddy Gangireddy, MD, Swathi Talla, MD; United Hospital Center, Bridgeport, WV

P1017. Gender Disparities in the Incidence of Colorectal Cancer in the Era of Screening Colonoscopy Venu Gopala Reddy Gangireddy, MD, Swathi Talla, MD; United Hospital Center, Bridgeport, WV

P1018. Community and Healthcare-Acquired Clostridium difficile Infections in a Texas Community Hospital – Retrospective Descriptive Analysis Yvette Achuo-Egbe, MD, MPH, MS, Shane Skarda, MD, Hameed Akilo, PhamD; UT Health East Texas/ Christus Good Shepherd Health System, Longview, TX

P1019. Older Age and Higher Lung Allocation Score May Predict Recurrent Clostridium difficile Infection in the Post-Lung Transplant Population Jessica L. Sterling, MD1, Rachel Frank, MD1, Aruj Choudhry, MD1, Zubair Malik, MD2, Patrick Mulhall, MD2, Adam C. Ehrlich, MD, MPH2; 1Temple University Hospital, Philadelphia, PA; 2Lewis Katz School of Medicine at Temple University, Philadelphia, PA

P1020. Epidemiology of Clostridium difficile Infection in the Lung Transplant Population at a High Volume Transplant Center Jessica L. Sterling, MD1, Rachel Frank, MD1, Aruj Choudhry, MD1, Zubair Malik, MD2, Patrick Mulhall, MD2, Adam C. Ehrlich, MD, MPH2; 1Temple University Hospital, Philadelphia, PA; 2Lewis Katz School of Medicine at Temple University, Philadelphia, PA

P1021. Understanding the Scope of Do-It-Yourself (DIY) Fecal Microbiota Transplant (FMT) Chiazotam Ekekezie, MD1, Shannon Simmons, MD1, Bryce Perler, MD1, Tamela Burhke2, Catherine Duff3, Beth Hott, BA4, Christian John Lillis, BA5, Colleen R. Kelly, MD1; 1Warren Alpert Medical School of Brown University, Providence, RI; 2The Power of Poop, Phoenix, AZ; 3The Fecal Transplant Foundation, Louisville, KY; 4Lifespan/Women’s Medicine Collaborative, Providence, RI; 5Peggy Lillis Foundation, Brooklyn, NY

P1022. Using a Multimedia System for Informed Consent for Inpatient Endoscopy Improves Patient Knowledge and Satisfaction but Increases Patient Anxiety Before the Procedure: A Randomized Controlled Trial Fahad F. Mir, MD, MSc1, Jamie Varghese2, Irum Shakeel, MD3, Sreenivasa S. Jonnalagadda, MD4, John Helzberg, MD3; 1University of Missouri, Mission, KS; 2University of Missouri, Kansas City, MO; 3St. Luke’s Hospital, Kansas City, MO; 4St. Luke’s Health System, Kansas City, MO

P1023. Longer Retroflexion Duration Significantly Improves Adenoma Detection Rate in the Right Colon: A Multicenter Prospective Pragmatic Clinical Trial Fahad F. Mir, MD, MSc1, Hasan Badar, MD2, Muhammad Shafiq, MD2, Jamie Varghese2, Wendell Clarkston, MD3, Donald Campbell, MD4, Rajiv Chhabra, MD4, Fadi Hamid, MD4, Susana Escalante-Glorsky, MD4, James Kim, MD4, John Helzberg, MD4, Laura Alba, MD4, Sakher Albadarin, MD4, Hiliary Bownik, MD4, Sreenivasa S. Jonnalagadda, MD3; 1University of Missouri, Mission, KS; 2University of Missouri, Kansas City, MO; 3St. Luke’s Health System, Kansas City, MO; 4St. Luke’s Hospital, Kansas City, MO


P1024. Lynch Syndrome: An Unorthodox Presentation Taiwo A. Ajose, MD, Suaka Kagbo-Kue, MD, Temitayo Gboluaje, MD, Micheal Flood, MD; Morehouse School of Medicine, Atlanta, GA

P1025. Lumen Obstructive Primary B-Cell Lymphoma of the Colon: A Rare Masquerader of Colorectal Carcinoma Ingrid Schwartz, MD1, Jinendra Satiya, MD2, Mohit Girotra, MD, FACP3; 1University of Miami Leonard M. Miller School of Medicine / Jackson Memorial Hospital, Miami, FL; 2University of Miami, Miami, FL; 3University of Miami Leonard M. Miller School of Medicine, Miami, FL

P1026. A Rare Case of EBV-Associated Diffuse Large B-Cell Lymphoma Involving Colon as the Primary Site in a Patient with a History of Treated Colorectal Cancer Saraswathi Lakkasani, MD1, Hamid Shaaban, MD1, Gunwant Guron, MD1, Andre Fedida, MD1, Varun Modi, MD1, Theodore Dacosta, MD2; 1Saint Michael’s Medical Center, Newark, NJ; 2St. Michael’s Medical Center, Newark, NJ

P1027. A Nerve-Racking Colonoscopy: The Case of a Mucosal Benign Epithelioid Nerve Sheath Tumor Fahad Khemani, MD, Jaimin Amin, MD, Shriram Jakate, MD; Rush University Medical Center, Chicago, IL

P1028. Proctitis: What’s the Bottom Line? Keith Freeman, DO1, Taryn Silverstein, DO 2, Jennifer Spiegel, MD 2; 1Wellington Regional Medical Center, Wellington, FL; 2Medical Specialists of the Palm Beaches, Wellington, FL

P1029. Lupus Mesenteric Vasculitis Varun Kesar, MBBS1, Komal Lakhani, MD2, Andrew A. Nguyen, DO2, Uday Shergill, MBBS2, Berman Nicola, MD3, Arun Swaminath, MD4; 1Virginia Tech Carilion School of Medicine, Roanoke, VA; 2Lenox Hill Hospital, New York, NY; 3Lenox Hill Hospital/Northwell Health, New York, NY; 4Hofstra NorthShore-LIJ School of Medicine, New York, NY

P1030. Ischemic Colitis in the Presence of Supratherapeutic INR: A Case Report Sahla Hammad, MD1, Mayuri Kulkarni, BSc, MD2, Rovin Saxena, MD1, Mihaela Batke, MD1; 1St. Joseph Mercy Oakland Hospital, Pontiac, MI; 2St. Joseph Mercy Oakland Hospital, Livonia, MI

P1031. Infectious Discitis Secondary to Streptococcus gallolyticus as the Initial Presentation of a Polypoid Colonic Mass Aliana Bofill, MD1, Mirza Zeyn, MD1, Walisbeth Class-Vazquez, MD 1, Loscar Santiago-Rivera, MD2, Doris Toro, MD 1; 1VA Caribbean Healthcare System, San Juan, Puerto Rico; 2VA CAribbean Healthcare System, San Juan, Puerto Rico

P1032. Not Just Another Adenomatous Polyp: A Case of Colonic Leiomyoma Neel Patel, MD, Qasim Salimi, MD, Hecca Cox, MD, Stephen Peters, MD, Weizheng Wang, MD; Rutgers New Jersey Medical School, Newark, NJ

P1033. Isolated Colonic Ganglioneuromas: A Rare Entity, Under-Reported or a New Phenomenon? Gaurav Chand, DO, Dustin Kilpatrick, DO, Suneel Mohammed, MD; Carolinas HealthCare System Blue Ridge, Morganton, NC

P1034. Perforation During Underwater Endoscopic Mucosal Resection of a Large Sessile Polyp With Successful Endoscopic Management Ericson John Torralba, BSc1, Daniel Mai, BSc1, David P. Lee, MD, MPH2, Jason Samarasena, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine, Orange, CA

P1035. Incidental Finding of a Colonic Gastrointestinal Stromal Tumor (GIST) in Screening Colonoscopy: A Case Report and Review of Literature Anupama Inaganti, MD1, Samit K. Datta, MD2, Aboud Affi, MD2; 1Aurora Sinai Medical Center, Brookfield, WI; 2Aurora Sinai Medical Center, Milwaukee, WI


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P1036. Refractory Microscopic Colitis and Vedolizumab: Another Option Before Colectomy? Joseph Jennings, MD1, Aline Charabaty, MD2; 1Georgetown University Hospital, Washington, DC; 2MedStar Georgetown University Hospital, Washington, DC

P1037. Rectal Polyp Secondary to Schistosoma mansoni in a Patient From East Africa Jared Lander, DO, Elizabeth Richardson, DO, Ashley Manganiello, MD, Scott Fink, MD, MPH, FACP; Lankenau Medical Center, Wynnewood, PA

P1038. Treatment Resistant Grade III Capecitabine-Induced Diarrhea Highlighting the Therapeutic Efficacy of Oral Budesonide John Shumar, DO, Zachary Junga, MD, Lawrence Goldkind, MD; Walter Reed National Military Medical Center, Bethesda, MD

P1039. It Is Not Always Colitis: A Confusing Case of Colonic Lymphoma Yasir Al-Azzawi, MD, MPH1, Rohit Singhania, MD2, David Desilets, MD, PhD3; 1Baystate Health Center, Allston, MA; 2Baystate Health Center, Springfield, MA; 3University of Massachusetts Medical School - Baystate Medical Center, Springfield, MA

P1040. An 8-Mm Polyp Is Worth a 1,000 Words: Metastatic Lung Cancer Within a Tubular Adenoma Kevin Song, MD1, Brian J. Hanson, MD2; 1University of Minnesota, Minneapolis, MN; 2Minneapolis VA and University of Minnesota, Minneapolis, MN

P1041. Starving Colon: A Rare Cause of Colitis in a Patient With a Diversion Ileostomy Brian Dinh, MD1, Ankush Sharma, MD2, Mustafa Musleh, MD1; 1Wright State University Boonshoft School of Medicine, Dayton, OH; 2Wright State University, Beavercreek, OH

P1042. Intestinal Tuberculosis Mimicking Crohn’s Disease and Malignancy Philip Durney, MD, Aaron Martin, MD, Lily Ackermann, MD, Steven Greenfield, MD, Wei Jiang, MD; Thomas Jefferson University Hospital, Philadelphia, PA

P1043. An Unusual Case of a Cecal Mass Jane Roberts, MD, PhD1, Audrey H. Calderwood, MD, MS, FACG2; 1Dartmouth-Hitchcock Medical Center, Lebanon, NH; 2Geisel School of Medicine and Dartmouth Institute of Health Policy and Clinical Practice, Dartmouth-Hitchcock Medical Center, Lebanon, NH

P1044. Graft-Versus-Host Disease: Not Only in Allogeneic Hematopoietic Cell Transplant Artemio Santiago, MD, MPH, Irene VIllamil, MD, Alexandra Deya, MD, Noridza Rivera, MD, Javier Sanchez, MD, Maria Marcos, MD; University of Puerto Rico, San Juan, Puerto Rico

P1045. Chronic Lymphocytic Leukemia Manifesting as Colon Polyps Michael Green, MD1, Khalil M. Abuamr, MD2; 1University of Missouri, Kansas City, MO; 2Truman Medical Center, Kansas City, KS

P1046. The Breast in the End: Metastatic Lobular Breast Cancer Found in the Rectum Mohammed Nayeem, MD1, My-Tang Dang, DO, PhD2, Husain Saleh, MD3, Ahmad Abu-Rashed, MD3; 1Detroit Medical Center / Wayne State University - Sinai Grace Hospital, Detroit, MI; 2Authority Health, Sterling Heights, MI; 3Detroit Medical Center/Sinai Grace Hospital, Detroit, MI

P1047. A Rare Case of Unresolving Chronic Intestinal Pseudo-Obstuction (CIP) requiring Surgical Intervention Mohammed Nayeem, MD1, My-Tang Dang, DO, PhD2, Bashar Mohamad, MD3, Polk Zakia, DO4, Nida Firdous, MD5, Ahmad Abu-Rashed, MD5, Camelia Arsene, MD, PhD, MHS5; 1Detroit Medical Center / Wayne State University - Sinai Grace Hospital, Detroit, MI; 2Authority Health, Sterling Heights, MI; 3Detroit Medical Center/Wayne State University, Detroit, MI; 4Health Authority, Detroit, MI; 5Detroit Medical Center/Sinai Grace Hospital, Detroit, MI

P1048. Mycophenolate-Induced Colitis Rehan Farooqi, MD1, Afrin Kamal, MD2, Komal Thind, MD3, Carol A. Burke, MD, FACG4; 1MedStar Union Memorial Hospital, Baltimore, MD; 2Cleveland Clinic, Cleveland, OH; 3Cleveland Clinic, Akron General, Akron, OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P1049. Chronic Inflammatory Demyelination Polyneuropathy (CIDP) Associated with Colorectal Cancer Adnan Malik, MD1, Dana Pan, MD2, Sooraj Tejaswi, MD, MSPH3; 1University of California Davis Medical Center, Marietta, GA; 2University of California Davis, Sacramento, CA; 3University of California Davis Medical Center, Sacramento, CA

P1050. Post-Colonoscopy Appendicitis: A Rare but Concerning Entity Mohammad Ali, MD1, Jigar Patel, MD2, Douglas Katz, MD2, David Friedel, MD3; 1New York University Winthrop Hospital, Mineola, NY; 2NYU-Winthrop, Mineola, NY; 3NYU Winthrop Hospital, Mineola, NY

P1051. Colonic Stricture Secondary to Recurrent Ischemic Colitis: A Case Report Faisal Mehmood, MD1, Yash Shah, MD1, Mihir Dave, MBBS2; 1Icahn School of Medicine at Mount Sinai, James J. Peters VA Medical Center, New York, NY; 2Icahn School of Medicine at Mount Sinai, New York, NY

P1052. Primary Diffuse Large B-Cell Lymphoma of the Descending Colon: A Rare Presentation Bashar Sharma, MD1, Marsha Antoine, MD2, Mili Shah, MD2, Vikrant Tambe, MD2, Housam Hegazy, MD2; 1Upstate Medical University, Syracuse, NY; 2SUNY Upstate, Syracuse, NY

P1053. Looks Can Be Deceiving: An Atypical Presentation of Mantle Cell Lymphoma Niharika Mallepally, MD, MPH1, Rollin George, MD1, Homayon Sidiq, MD2; 1Baylor College of Medicine, Houston, TX; 2Kelsey Seybold Clinic, Houston, TX

P1054. A Rare Case of Hematochezia: Rectal Melanoma Niharika Mallepally, MD, MPH, Robert Sealock, MD; Baylor College of Medicine, Houston, TX

P1055. Insidious Colonic Histoplasmosis in an Immunocompetent Patient: A Case Report Sachin Srinivasan, MD1, John Millard, PharmD2, Christopher Fox, MD3, Nathan Tofteland, MD1, Maha Assi, MD4; 1Kansas University School of Medicine, Wichita, KS; 2Robert J. Dole Veteran Affairs Medical Center, Wichita, KS; 3Robert J. Dole Veterans Affairs Medical Center, Wichita, KS; 4Infectious Disease Consultants of Wichita, Wichita, KS

P1056. A Rare Case of Cytomegalovirus Colitis in an Immunocompetent Patient Mimicking Clostridium difficile Colitis Ahmed Hamed, MD1, Karissa Lambert, MD1, Amira Hamed1, Deepak Donthi, MD, MPH2, Ahmed Abubaker1; 1East Carolina University, Greenville, NC; 2East Carolina University/Vidant Health Center, Greenville, NC

P1057. Adult Hirschsprung Disease (HD): An Uncommon Cause of Chronic Refractory Constipation in Adults Tehseen Haider, MD, Harish Guddati, MD, Waqas Nawaz, MD, Hilary Hertan, MD, FACG; Montefiore Medical Center, Bronx, NY

P1058. A Pain in the Colon: Rheumatoid Arthritis as an Unusual Cause of Colonic Ischemia Alexander L. Nguyen, MD, John Erikson Yap, MD, Vikram Kotwal, MD, Bashar M. Attar, MD, PhD; Cook County Health and Hospitals System, Chicago, IL

P1059. Co-Infection of CMV and Cryptosporidium in a Patient With AIDS Tejas V. Joshi, MD1, Corey Saraceni, MD1, Derek Childers, MS2, Sai Shruti Veerisetty, MD3, John Hutchings, MD3; 1LSU Health New Orleans School of Medicine, New Orleans, LA; 2UMHS-St. Kitts, New Orleans, LA; 3LSU Health Sciences Center, New Orleans, LA



P1060. A Rare Case of Blue Rubber Bleb Nevus Syndrome Andrew Kelts, DO1, Cassandra Steimle, DO1, Gary Valvano, DO1, Sadid Askarian, DO1, Masoud Firouzi, MD2, Michael Kochik, DO1, Mahesh Cheryala, MD3; 1Arnot Ogden Medical Center, Elmira, NY; 2Wilkes-Barre VA Medical Center, Wilkes-Barre, PA; 3The Wright Center for Graduate Medical Education, Scranton, PA

P1061. A Colorectal Myxoid Nodule: Is It a BUMP or a Myxoma? Sanket Patel, DO1, Adib Chaaya, MD2, Satyajeet Roy, MD3, Thomas Holdbrook, MD1, Cynthia McCleery, MD2; 1Cooper University Healthcare, Camden, NJ; 2Cooper University Healthcare, Mt. Laurel, NJ; 3Cooper University Healthcare, Cherry Hill, NJ

P1062. Common Complaints Masking a Rare Disease: Abdominal Pain and Diarrhea as the Presenting Signs of Lupus Enteritis Shmuel Golfeyz, MD1, Michael Ma, MD2, Franklin E. Kasmin, MD2; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel Hospital, New York, NY

P1063. Diagnosis and Management of Chronic Intestinal Pseudo-Obstruction Secondary to Visceral Myopathy: A Case Presentation Isaiah P. Schuster, MD1, Marissa A. Wolfe, BA2, Jela Bandovic, MD 1, Demetrios Tzimas, MD3; 1Stony Brook University Medical Center, Stony Brook, NY; 2Stony Brook University School of Medicine, Stony Brook, NY; 3NYU School of Medicine, New York, NY

P1064. Praziquantel for a Polyp? Matthew Bauer, MD, Amie Harvey, MD, Edward Stickle, MD, Angela M. Bachmann, MD, FCAP; Naval Medical Center San Diego, San Diego, CA

P1065. A Case of Intestinal Behcet’s: More Than a Gut Feeling Christine Chen, DO, Steven Tsistrakis, MD, Ilan Weisberg, MD, MSc; Mount Sinai Beth Israel, New York, NY

P1066. A Case of Chronic Diarrhea Caused by Monomorphic Epitheliotropic Intestinal T-Cell Lymphoma Qian Zhou, MD1, Rodger Sleven, MD2; 1Providence Saint Vincent Medical Center, Portland, OR; 2The Oregon Clinic Gastroenterology-West, Portland, OR

P1067. A Peculiar Case of Inferior Mesenteric Vein Thrombus Christine Chen, DO, Anup Shah, MD, Ilan Weisberg, MD, MSc; Mount Sinai Beth Israel, New York, NY

P1068. Epiploic Appendagitis Masquerading as Acute Diverticulitis Christine Chen, DO, Ilan Weisberg, MD, MSc; Mount Sinai Beth Israel, New York, NY

P1069. A Rare Case of Primary Ovarian Squamous Cell Cancer Metastatic to Colon Andrew Ofosu, MD, MPH1, Sowmya Josyula, MD2, Sriharsha Dadana, MD2, Prashanth Rawla, MD3, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD5; 1The Brooklyn Hospital Center, Brooklyn, NY; 2Saint Barnabas Hospital, Bronx, NY; 3Memorial Hospital of Martinsville and Henry County, Martinsville, VA; 4St. Barnbas Hospital, Bronx, NY; 5SBH Health System, Bronx, NY

P1070. Fishing in the Colon Ahmed Chatila, MD, Lauren August Clark, MD, Yezaz Ghouri, MD, Gurinder Luthra, DO; University of Texas Medical Branch, Galveston, TX

P1071. Arteriovenous Malformation Within Duodenal Diverticulum Ahmed Chatila, MD, Eric Gou, MD, Hamza Abdulla, MD, Sheharyar Merwat, MD; University of Texas Medical Branch, Galveston, TX

P1072. Capecitabine-Associated Ileocolitis Diagnosed on Colonoscopy Alexander Dao, MD1, Ahmad Nakshabandi, MD2, Rohan Mandaliya, MD1, Sandeep Nadella, MD3, Mark Mattar, MD, FACG3, Aline Charabaty, MD3; 1Georgetown University Hospital, Washington, DC; 2Mercy Hospital and Medical Center/University of Illinois, Chicago, IL; 3MedStar Georgetown University Hospital, Washington, DC

P1073. Fulminant C. difficile Colitis in a Young Healthy Patient Yonatan Ziv, MD, Kimberly R. Cavaliere, MD, Michelle R. Ewart, MD; Montefiore Medical Center, Bronx, NY

P1074. Endoscopic Full Thickness Resection of Rectal Schwannoma: The Best to the Last Hafiz Khan, MD1, Magda Daoud, MD2, Sherif Andrawes, MD1; 1Staten Island University Hospital, Staten Island, NY; 2Staten Isand University Hospital, Staten Island, NY

P1075. Gastrocolonic Fistula: A Rare Complication of Disseminated Mucormycosis in a Previously Immunocompetent Adult Lauren S. Cole, MD1, Shifat Ahmed, MD2, Michael Fallon, MD3; 1University of Arizona College of Medicine, Scottsdale, AZ; 2University of Arizona, Phoenix, Phoenix, AZ; 3University of Arizona College of Medicine, Phoenix, AZ

P1076. An Adenoma with a Twist: Colonic Intussusception Prateek Mathur, MD1, Paridhi Malik, MD2, Erik Olson, DO1; 1Rochester General Hospital, Rochester, NY; 2Rochester General Hospital, Henrietta, NY

P1077. Quetiapine-Associated Ischemic Colitis Kevin Singh, MD1, Raffat Batool, MD2, Soren Gandhi, MD2; 1New York University School of Medicine, Woodhull Medical and Mental Health Center, Lakewood, OH; 2New York University School of Medicine, Woodhull Medical and Mental Health Center, Brooklyn, NY

P1078. A Rare Care of Subcutaneous Emphysema After Colonoscopy with No Identifiable Mucosal Defect Anjali Mone, MD, Jack Goldstein, MD; Cooper University Hospital, Camden, NJ

P1079. Post-Colonoscopy Rapidly Progressive Colorectal Cancer Pranay Srivastava, MD1, Bobby Jacob, MD1, Miral Subhani, MD1, Qi Tao, MD, PhD1, Kaleem Rizvon, MBBS, FACG2; 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Meadow, NY

P1080. Severe Colitis Secondary to IgA Vasculitis in Elderly Kaveh Zivari, MD, Michael G. Kantrowitz, DO, Negar Niknam, MD, Ira E. Mayer, MD, FACG, Rabin Rahmani, MD, FACG; Maimonides Medical Center, Brooklyn, NY

P1081. A Rare Case of Extensive Colonic Vascular Malformation Leading to Chronic Disabling Gastrointestinal Bleeding Kaveh Zivari, MD, Negar Niknam, MD, Daniel J. Waintraub, MD, Ira E. Mayer, MD, FACG, Rabin Rahmani, MD, FACG; Maimonides Medical Center, Brooklyn, NY

P1082. Severe Steroid-Refractory Gastrointestinal Graft-Versus-Host Disease in a Recipient of Autologous Hematopoietic Stem Cell Transplantation Ahmed Khattab, MD1, Hina Omar, MD1, Baseer Qazi, MD1, Leonard Klein, MD1, David Loeffler, DO2; 1Advocate Lutheran General Hospital, Park Ridge, IL; 2University of Illinois at Chicago, Park Ridge, IL

P1083. Cloacal Carcinoma - A Rare Feature in Anal Tumors Krunal Patel, MD1, Sudha Pandit, MD2, Moheb Boktor, MD2; 1LSU HSC, Shreveport, LA; 2LSU Health, Shreveport, LA

P1084. A Rare Case of Mixed Adenoneuroendocrine Carcinoma of Colon Mustafa Alani, MD 1, Sharad Bellapravalu, MD2, Indu Srinivasan, MD2, Keng-Yu Chuang, MD3; 1Banner University Medical Center, Phoenix, AZ; 2Maricopa Integrated Health System, Phoenix, AZ; 3Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ

P1085. Focal Ischemic Colitis Mimicking Colon Cancer Nhu An Nguyen, DO, Nena Wendzel, DO, MS, Rodney Boyum, MD, PhD, Michael McNally, MD, Roy Wong, MD, MACG; Walter Reed National Military Medical Center, Bethesda, MD


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P1086. Rare Presentation of Neuroendocrine Carcinoma and Adenocarcinoma Occurring Independently in Same Segment of Colon Jesse J. Xie, MD, Salman Khan, MD, Eric Yee, MD, Nazish Khan, MBBS, Julia J. Liu, MD; University of Arkansas for Medical Sciences, Little Rock, AR

P1087. A Rare Case of Pembrolizumab-Induced Collagenous Colitis Jesse J. Xie, MD, Salman Khan, MD, Matthew R. Lindberg, MD, Nazish Khan, MBBS, Julia J. Liu, MD; University of Arkansas for Medical Sciences, Little Rock, AR

P1088. The Carbon Pillow Tattoo: Improving EMR Efficiency, Costs and Follow-Up Surveillance Reed B. Hogan, MD1, Reed B. Hogan, MD2; 1GI Associates, Jackson, MS; 2GI Associates, Flowood, MS

P1089. Are Laxatives Enough to Manage Chronic Constipation? Mohamad A. Mouchli, MD1, Douglas Grider, MD, FCAP, FASDP2, Marrieth Rubio, MD1; 1Carilion Clinic, Virginia Tech University, Roanoke, VA; 2Carilion Clinic, Virginia Tech School of Medicine, Roanoke, VA

P1090. Fistulizing Crohn’s Disease Complicated by a Giant Abdominopelvic Sterile Seroma Gaurav Bhardwaj, MD, Harish Guddati, MD, Hilary Hertan, MD, FACG; Montefiore Medical Center, Bronx, NY

P1091. Intestinal Spirochetosis: Incidental Finding or Clinically Significant? Dan McEntire, MD1, Sheeva K. Parbhu, MD1, David Bjorkman, MD, MSPH, MSci(Epi)2; 1University of Utah, Salt Lake City, UT; 2University of Utah School of Medicine, Salt Lake City, UT


P1092. Accuracy of the Quantitative Fecal Immunochemical Test (FIT) for Colorectal Cancer and Advanced Adenoma Detection: An Updated Systematic Review and Meta-Analysis Presidential Poster Award Emma Levine, BA1, Kevin Selby, MD, MAS2, Cecilia Doan, MPH3, Anton Gies4, Hermann Brenner, MD, MPH5, Jeffrey Lee, MD6, Douglas Corley, MD, PhD6; 1University of California San Francisco, San Francisco, CA; 2University of Lausanne, Lausanne, Vaud, Switzerland; 3Kaiser Permanente Division of Research, Oakland, CA; 4Division of Preventive Oncology, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT), Heidelberg, Heidelberg, Baden-Wurttemberg, Germany; 5German Cancer Research Center, Heidelberg, Baden-Wurttemberg, Germany; 6Kaiser Permanente Northern California, San Francisco, CA

P1093. Real World Utilization of a Mobile Application-Based Bowel Preparation on Quality Indicators in Colonoscopy Michelle L. Hughes, MD1, Whitney S. Kukol, MD1, Krystle Bittner, MPH1, Brandon Sprung, MD2; 1University of Rochester Medical Center, Rochester, NY; 2University of Rochester, Rochester, NY

P1094. Breaking Down Barriers: Using Virtual Reality to Enhance Patient Education and Improve Colorectal Cancer Screening Nathaniel Ernstoff, MD1, Janelle Cuervo, DO, MS1, Flavia Carneiro, PhD2, Ignacia Dalmacio, ARNP3, Amar Deshpande, MD, FACG1, Daniel A. Sussman, MD, MSPH4, Jamie S. Barkin, MD, MACG4, Paul A. Feldman, MD, MSc4; 1University of Miami, Miami, FL; 2Miami VA, Miami, FL; 3Veterans Affairs Medical Center, Miami, FL; 4University of Miami Leonard M. Miller School of Medicine, Miami, FL

P1095. Influence of Aerodigestive Tract Radiation on Multi-Target Stool DNA Screening for Colorectal Cancer Derek Ebner, MD1, Jason D. Eckmann, MD1, Kelli Burger1, Doug Mahoney1, Thomas Whitaker, PhD1, David A. Ahlquist, MD2, Ivy A. Petersen, MD1, John Kisiel, MD2; 1Mayo Clinic Rochester, Rochester, MN; 2Mayo Clinic, Rochester, MN

P1096. Incidence Rates of Colorectal Cancer in South Asians, Other Asian Groups, and Non-Hispanic Whites in California Runalia Bahar, MD1, Cyllene R. Morris, DVM, PhD2, Sooraj Tejaswi, MD, MSPH1; 1University of California Davis Medical Center, Sacramento, CA; 2California Cancer Reporting and Epidemiologic Surveillance (CalCARES) Program, Sacramento, CA

P1097. Body Mass Index Does Not Impact the Parameters of Screening Colonoscopy Courtney Bundrick, MD, Benjamin Tharian, MD, Sumant Inamdar, MD, Shashank Garg, MD; University of Arkansas for Medical Sciences, Little Rock, AR

P1098. Is Family History Relevant When Considering Screening Colonoscopy in Male Octogenarians and Nonagenarians? David R. Miller, BS1, Micheal Tadros, MD, MPH1, Mikram Jafri2, Gurjiwan Virk, MD1; 1Albany Medical College, Albany, NY; 2Veterans Affairs Medical Center, albany, NY

P1099. Assessing Resident Awareness: A Quality Improvement Project on Indications and Recommendations for Fecal Occult Blood Testing Sachin Kirtane, MD1, Deepanshu Jain, MD2, Benjamin Tharian, MD3, Rafael Amaral, MD1, Samar Harris, MD4, Sameer Siddique, MD2; 1Mercy Catholic Medical Center, Philadelphia, PA; 2Albert Einstein Medical Center, Philadelphia, PA; 3University of Arkansas for Medical Sciences, Little Rock, AR; 4University of Texas Southwestern, Dallas, TX

P1100. Validation Study of U.S. Guideline of Surveillance Colonoscopy for Colorectal Cancer Using Asian Population Fumio Omata, MD, MPH, PhD1, Naoki Ishii, MD, PhD2, Yasuhisa Kumakura, MD1, Katsuyuki Fukuda, MD1, Yoshiyuki Fujita, MD1, Katsunori Masuda, MD1; 1St. Luke’s International University, Chuo-Ku, Tokyo, Japan; 2Tokyo Shinagawa Hospital, Shinagawa-Ku, Tokyo, Japan

P1101. Is 6 Minutes of Withdrawal Time Still Enough? A Re-examination of Withdrawal Time in Colonoscopy at a Contemporary Academic Setting James Han, MD1, Rani Berry, MD2, Daniel Kim, MD3, Mohammed Ali, MD3, William Karnes, MD3; 1University of California Irvine Medical Center, Anaheim, CA; 2University of California Los Angeles, Ronald Reagan Medical Center, Los Angeles, CA; 3University of California Irvine Medical Center, Orange, CA

P1102. Referral for Colonoscopy in Patients With Streptococcus bovis Bacteremia and the Association With Colorectal Cancer and Adenomatous Polyps: A Quality Assurance Study Kristyne Onizuka, MD, Derek H.W. Little, MD, Khurram J. Khan, MD, BSc, MSc(Epi); McMaster University, Hamilton, ON, Canada

P1103. Adenoma Detection Rate in Index Screening Colonoscopy in Predominantly Immigrant Urban Black Population: A Retrospective Study Karthik Ragunathan, MD, Helen Lyo, MD, Michael Mann, MD, Shivakumar Vignesh, MD; SUNY Downstate Medical Center, Brooklyn, NY

P1104. Alterations in Adenoma Characteristics Over Time: More Patients with >2 Small Adenomas and Not Associated With Metachronous Advanced Adenoma Fellows-in-Training Award (Colorectal Cancer Prevention Category) Presidential Poster Award Carol Rouphael, MD1, Rocio Lopez, MS2, John McMichael1, Carol A. Burke, MD, FACG3; 1Cleveland Clinic, Cleveland, OH; 2Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P1105. Lack of Reliability of Self Reports of Patients With Advanced Colon Polyps Ben G. Fiedler1, Lawrence M. Fiedler, MD2, Michael A. DeDonno, PhD3, Kosisochukwu Anago, MD2, Leonie de la Cruz, BA2, George R. Luck, MD, FAAHPM2, Charles H. Hennekens, MD, DrPH2; 1Cornell University College of Arts and Sciences, Boca Raton, FL; 2Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 3Florida Atlantic University, Boca Raton, FL



P1106. Early Incidence of Malignant and Pre-Malignant Colorectal Lesions: Evaluation of 310 Cases Ana Santos, MD, Armando Peixoto, MD, Ana Santos, MD, Pedro Costa-Moreira, MD, Rosa Ramalho, MS, Eduardo Rodrigues-Pinto, MD, Margarida Marques, MS, Guilherme Macedo, MD, PhD, FACG; Centro Hospitalar São João, Porto, Portugal

P1107. Urine Metabolomic Biomarker Panel for Colorectal Cancer Presidential Poster Award Lu Deng, PhD1, Kathleen P. Ismond, PhD2, Zhengjun Liu, MS2, Jiamin Zheng, MS2, David Chang, PhD1, Peter T. Kingham, MD, FACS3, Olusegun Issac Alatise, MD4, David S. Wishart, PhD2, Haili Wang, MD2, Richard N. Fedorak, MD2; 1Metabolomic Technologies Inc., Edmonton, AB, Canada; 2University of Alberta, Edmonton, AB, Canada; 3Memorial Sloan Kettering Cancer Center, New York, NY; 4Obafemi Awolowo University, Ile-Ife, Osun, Nigeria

P1108. Comparative Effectiveness and Cost-Effectiveness Analysis of a Urine Test versus Alternative Colorectal Cancer Screening Strategies Scott Barichello, MD1, Thanh Nguyen, MD2, Lu Deng, PhD3, Kathleen P. Ismond, PhD1, Dustin E. Loomes, MD1, Erin Kirwin, MA4, Haili Wang, MD1, David Chang, PhD3, Larry Svenson, PhD4, Richard N. Fedorak, MD1; 1University of Alberta, Edmonton, AB, Canada; 2Institute of Health Economics, Edmonton, AB, Canada; 3Metabolomic Technologies Inc., Edmonton, AB, Canada; 4Government of Alberta, Edmonton, AB, Canada

P1109. Prevalence of Advanced Histology in Small and Diminutive Colon Polyps Mary Strader, MD, Jennifer Copare, DO, Ayesha Munir, MBBS, Matthew Rosenblum, BA, Seth J. Richter, MD; Albany Medical Center, Albany, NY

P1110. Incidence and Determinants of Post Colonoscopy Colorectal Carcinoma: A Large Single Centre Retrospective Study in United Kingdom Anirudh Pramod Bhandare, MBBS, MD, Yaa Danso, MBBS, MRCP, Gaurav Bhasker Nigam, MBBS, DNB, Salahudin Khalid, MBBS, FRCP; Pennine Acute Hospitals Trust, Manchester, England, United Kingdom

P1111. Should All Diabetic Patients Receive Extended Bowel Preps? A Novel Attempt at a Predictive Score Jose R. Estrada, MD1, Thomas C. Mahl, MD1, Erika Mruczek, RN2, Jad Bou-Abdallah, MD3; 1University at Buffalo, Buffalo, NY; 2Buffalo VA Medical Center, Buffalo, NY; 3Western NY VA Medical Center, Buffalo, NY

P1112. FIT-Positive Patients Have Higher Rates of Colorectal Cancer and Advanced Neoplasia Compared to Screening Colonoscopy Patients Ankush Sharma, MD1, Brian Dinh, MD2, Padmini Krishnamurthy, MD2, Ronald J. Markert, PhD2, Sangeeta Agrawal, MD, FACG2; 1Wright State University, Beavercreek, OH; 2Wright State University Boonshoft School of Medicine, Dayton, OH

P1113. Colorectal Neoplasia in Lynch Syndrome Patients Henry Dust, MD, Elena Stoffel, MD, Erika Koeppe, MS, Shannen Bolde, MPH; University of Michigan, Ann Arbor, MI

P1114. Hyperplastic Polyps on Colonoscopy - Not so Benign After All Marc Monachese, MD1, Gautam Mankaney, MD2, Carol Rouphael, MD2, Rocio Lopez, MS3, Carol A. Burke, MD, FACG4, John McMichael2; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P1115. A Survey of ADR Knowledge and Practices Among U.S. Gastroenterologists Michael Peng, BS1, Douglas K. Rex, MD, MACG2; 1Indiana University School of Medicine, Indianapolis, IN; 2Indiana University, Indianapolis, IN

P1116. Increased Prevalence of Colorectal Adenomas in Patients With Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Study John W. Blackett, MD, Elizabeth Verna, MD, Benjamin Lebwohl, MD, MS; Columbia University Medical Center, New York, NY

P1117. Endoscopic Control of Polyp Burden and Expansion of Surveillance Intervals in Serrated Polyposis Syndrome Margaret E. MacPhail, MS1, Scott B. Thygesen1, Douglas K. Rex, MD, MACG2; 1Indiana University School of Medicine, Indianapolis, IN; 2Indiana University, Indianapolis, IN

P1118. Epidemiology of First-Ever Colorectal Cancer in Individuals with HIV in the United States Between 2012 and 2017: A Population-Based Study Vijit Chouhan, MD1, Emad Mansoor, MD2, Mohannad Abou Saleh, MD1, Gregory Cooper, MD1; 1University Hospitals Cleveland Medical Center, Cleveland, OH; 2Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH

P1119. The Impact of a Health Care Delivery-Based Colorectal Cancer Screening Educational Session on the Perceptions and Knowledge Base of First Year Medical Students Roselande Marcellon, BS, MPH1, William Calawerts, BS1, Joseph Roberts, BS1, Elena Insley, BS1, Christopher Mayer, BS, MS1, Heather Dacus, DO, MPH2, Paul Sorum, MD1, Manjunath Kallanna, MD3, Rebecca Stetzer, MD4, Hyacinth Mason, PhD, MPH1, Michael Waxman, MD, MPH1, Micheal Tadros, MD, MPH1; 1Albany Medical College, Albany, NY; 2New York State Department of Health, Menands, NY; 3Whitney Young Health Center, Albany, NY; 4Albany Medical College/Albany VA Medical Center, Albany, NY

P1120. Impact of Cleansing Quality Using the Boston Bowel Preparation Scale on Polyp and Adenoma Detection Rates: A Post Hoc Analysis of Three Phase 3 Randomized Trials Cesare Hassan, MD1, Raf Bisschops, MD, PhD2, Howard Franklin, MD3, Bharat Amlani, BPharm4, Michael S. Epstein, MD5; 1Nuovo Regina Margherita, Rome, Lazio, Italy; 2KU Leuven, University Hospitals Leuven, Leuven, Brabant Wallon, Belgium; 3Salix Pharmaceuticals, Bridgewater, NJ; 4Norgine Ltd., Harefield, England, United Kingdom; 5Digestive Disorders Associates, Annapolis, MD

P1121. Association Between Trust in Source of Health Information and Being Screened for Colorectal Cancer Among U.S. Adults Kolapo Idowu, MD1, Lydia Suryakumar, MD1, Temitayo Ogundipe, MD1, Idongesit Attang, MD1, Oladunni Filani, MD1, Clinton Burnside, MD1, Carla Williams, PhD2, Mark Johnson, MD1, Krishnan Narasimhan, MD2, Adeyinka Laiyemo, MD, MPH2; 1Howard University Hospital, Washington, DC; 2Howard University, Washington, DC

P1122. Can a Convolutional Neural Network Solve the Polyp Size Dilemma? Category Award (Colorectal Cancer Prevention) Presidential Poster Award James Requa1, Tyler Dao2, Andrew Ninh1, William Karnes, MD3; 1Docbot, Irvine, CA; 2Docbot, Orange, CA; 3University of California Irvine Medical Center, Orange, CA


P1123. Breast Cancer as a Cause of Intestinal Obstruction? A Case Report Diego Hidalgo, MD, Manisha Nukavarapu, MD, Alison Smith, MD, Dhara Chaudhari, MD, Mark Young, MD; East Tennessee State University, Johnson City, TN

P1124. Incidental Metastatic Breast Cancer of the Ascending Colon on Screening Colonoscopy George Shenouda, DO1, Leonid Shamban, DO2, Justin Miller, DO, FACOI2; 1Northeast Regional Medical Center, Kirksville, MO; 2Genesys Regional Medical Center, Grand Blanc, MI


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P1125. First Documented Case of Interval Colorectal Cancer With Metastatic Spread to the Lungs Faris Pacha, DO1, Jamie L. Skrove, DO1, Joseph Salhab, DO1, Dominic M. Colella, DO2, Andres M. Perez Pecora, MD3, Amir Riaz, MS44, Sarah R. Cheyney, MS4, MPH 4, Javier Sobrado, MD5; 1Larkin Community Hospital, Miami, FL; 2Nova Southeastern University, Larkin Hospital, South Miami, FL; 3Gastromed, Homestead, FL; 4St. George’s University School of Medicine, Miami, FL; 5Gastromed, Miami, FL

P1126. Metastatic Breast Cancer Diagnosed Through Screening Colonoscopy Jayal Education, DO1, Shakil Karim, DO2; 1Franciscan Health Olympia Fields, Streamwood, IL; 2Franciscan Health Olympia Fields, Olympia Fields, IL

ENDOSCOPY VIDEO FORUMP1127. Double-Balloon Assisted Ileo-Cecal Valve Hybrid EMR Case Series Presidential Poster Award Sam Sharma, MBBCh, Kota Momose, MD, Yohei Kono, MD, Talal Al-Zaghari, MD, Parul Shukla, MD, Jeffrey Milsom, MD; Weill Cornell Medicine, New York, NY

P1128. Next Generation Therapeutic Endoscopic Polypectomy Platform: First in vivo Experience Sam Sharma, MBBCh, Yohei Kono, MD, Kota Momose, MD, Jeffrey Milsom, MD; Weill Cornell Medicine, New York, NY

P1129. Complex Sigmoid EMR with Double-Balloon Assistance: A Case Series Sam Sharma, MBBCh, Kota Momose, MD, Yohei Kono, MD, Talal Al-Zaghari, MD, Carl McDougall, MD, Parul Shukla, MD, Jeffrey Milsom, MD; Weill Cornell Medicine, New York, NY

P1130. Bouveret Syndrome: A Tough Nut to Crack Ijlal Akbar Ali, MD1, Sultan Mahmood, MD1, William M. Tierney, MD2; 1Oklahoma University Health Sciences Center, Oklahoma City, OK; 2University of Oklahoma Health Sciences Center, Oklahoma City, OK

P1131. Successful Endoscopic Management of Bouveret’s Syndrome Using LASER Lithotripsy Presidential Poster Award Dupinder Singh, MD, Guru Trikudanathan, MD; University of Minnesota, Minneapolis, MN

P1132. EUS-Guided Hepaticogastrostomy with Lumen-Apposing Metal Stent (LAMS) for Management of Pyogenic Liver Abscess Presidential Poster Award Amar Manvar, MD1, Sammy Ho, MD, FACG2; 1Montefiore Medical Center, New York, NY; 2Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY

P1133. Embedded Lumen Apposing Metal Stent Removal Using Argon Plasma Coagulation Shelini Sooklal, MD1, Anand Kumar, MD, MPH2; 1Drexel University College of Medicine, Philadelphia, PA; 2Drexel University, Philadelphia, PA

P1134. A Simple and Novel Single-Step Method for Simultaneous Removal and Closure of a Distally Migrated Biliary Stent Causing Lateral Wall Duodenal Perforation Andrew Hornick, MD1, Zachary L. Smith, DO2; 1University Hospitals/Case Western Reserve School of Medicine, Cleveland, OH; 2Case Western Reserve University School of Medicine, Cleveland, OH

P1135. Exploration of the Common Bile Duct and Cystic Duct Stump Using an Esophagoscope With the Ampulla Hidden in a Diverticulum - Tricks of the Trade Rayburn Rego, MD; VA Medical Center, Little Rock, AR

ESOPHAGUSP1136. Electronic Medical Record Adaptable Tool to Stratify Risk of Readmission for Esophageal Stenosis After Endoscopic Dilation Shashank Sarvepalli, MD, MS1, Malav P. Parikh, MD1, Swara Sarvepalli2, Prasanthi N. Thota, MD3, Madhusudhan R. Sanaka, MD3; 1Cleveland Clinic, Cleveland, OH; 2University of Michigan, Ann Arbor, MI; 3Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P1137. High Utilizers of Inpatient Services in Patients With Esophageal Stenosis Shashank Sarvepalli, MD, MS1, Malav P. Parikh, MD1, Swara Sarvepalli2, Prasanthi N. Thota, MD3, Madhusudhan R. Sanaka, MD3; 1Cleveland Clinic, Cleveland, OH; 2University of Michigan, Ann Arbor, MI; 3Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P1138. Autologous Free Skin Transplantation to Prevent Esophageal Stricture After Complete Circular Endoscopic Submucosal Dissection for Superficial Esophageal Neoplasms Ningli Chai, MD, PhD, Jiale Zou, MS, Enqiang Linghu, MD, PhD, Longsong Li, MS, Xiangyao Wang, MD, Jingyuan Xiang, MS, Wengang Zhang, MS, Zhenjuan Li, MD; Chinese PLA General Hospital, Beijing, People’s Republic of China

P1139. Randomized Controlled Trial: The Clinical Efficacy and Safety of Transoral Endoscopy Cardia Coarctation With Ligation versus Proton Pump Inhibitors for the Treatment of Gastroesophageal Reflux Disease Enqiang Linghu, MD, PhD1, Ningli Chai, MD, PhD1, Shengzhen Liu, MD2, Yaqi Zhai, MD1, Xiuxue Feng, MD1, Zhenjuan Li, MD1, Longsong Li, MS1, Jiale Zou, MS1, Xiaobin Zhang, MD1, Xiaoxiao Wang, MD1; 1Chinese PLA General Hospital, Beijing, People’s Republic of China; 2Chinese PLA General Hospital, Pittsburgh, PA

P1140. Predictors of Postoperative Stricture After Endoscopic Submucosal Dissection for Large Superficial Esophageal Squamous Cell Neoplasms Zhenjuan Li, MD, Ningli Chai, MD, PhD, Longsong Li, MS, Jiale Zou, MS, Chen Du, MS, Zhongsheng Lu, MD, Enqiang Linghu, MD, PhD; Chinese PLA General Hospital, Beijing, People’s Republic of China

P1141. Endoscopic Features and Risk Stratification of Patients With Barrett’s Esophagus Sajiv Sethi, MD1, Lilia Stefaniwsky, MD 1, Meghana Vellanki, MD1, Prasad Kulkarni, MD 2; 1University of South Florida, Tampa, FL; 2University of South Florida, James A. Haley VA, Tampa, FL

P1142. Post-Prandial Acid Pocket as a Cause of GERD, Nausea and Vomiting Post Sleeve Gastrectomy Khushbir Bath, MD, Jadesola Fapohunda, MD, MPH, Joan Culpepper-Morgan, MD; Harlem Hospital Center, New York, NY

P1143. Socioeconomic Disparity Is a Major Factor in Adherence to Endoscopic Surveillance for Non-Dysplastic Barrett’s Esophagus Mahmoud Isseh, MD, Laurel Mueller, DO, Hussna Abunafeesa, MBBS, Dania Shakaroun, MD, Mouhanna K. Abu Ghanimeh, MD, Christopher Fernandez, MD, Keith Mullins, MD, Joseph Miller, MD, Syed-Mohammed Jafri, MD, Adrienne Lenhart, MD; Henry Ford Hospital, Detroit, MI

P1144. The Incidence of Variceal Bleeding Is Impacted by the Season: A Review of the National Inpatient Sample (NIS) Database, 2005-2014 Tausif Siddiqui, MD1, Mohammad Bilal, MD2, Jonathan E. Barsa, MD3, Benjamin Barbash, MD3, Christopher Nabors, MD, PhD4, Virendra Tewari, MD5, David C. Wolf, MD, FACG4; 1New York Medical College, Valhalla, NY; 2University of Texas Medical Branch, Galveston, TX; 3Westchester Medical Center, Valhalla, NY; 4New York Medical College at Westchester Medical Center, Valhalla, NY; 5Westchester Medical Center at Westchester Medical Center, Valhalla, NY



P1145. Barrett’s Esophagus Screening and Treatment: A Survey to Assess Knowledge Gaps in Internal Medicine Residents Brianna Shinn, MD1, Charles Kistler, MD, PharmD1, Apeksha Shah, MD2, Andrew C. Elden, MD2, Christopher H. Henry, MD1, Christina Tofani, MD1, Anthony Infantolino, MD1; 1Thomas Jefferson University Hospital, Philadelphia, PA; 2Thomas Jefferson University Hospitals, Philadelphia, PA

P1146. Assessing the Safety of Esophageal Stents in the Management of Patients with Benign and Malignant Esophageal Diseases Vivek Kesar, MD1, Talal Seoud, MD2, Christa McPhee, MD1, Anna Andrzejczyk, MD1, Erin Taub, MPH1, Varun Kesar, MD3, Lionel D’Souza, MD1, Demetrios Tzimas, MD4, Jonathan Buscaglia, MD1, Juan Carlos Bucobo, MD1; 1Stony Brook University Hospital, Stony Brook, NY; 2Stony Brook University Hospital, Lake Grove, NY; 3Lenox Hill Hospital, Stony Brook, NY; 4Stony Brook University Hospital, New York, NY

P1147. Utility of Screening EGD in High Risk Patients Undergoing Transesophageal Echocardiography Nurit S. Katz, MD1, Hamza Aziz, MD2, Uzoamaka Kimberly Dike, MD1, Moises I. Nevah, MD1; 1University of Texas Health Science Center at Houston, Houston, TX; 2University of Texas at Houston, Houston, TX

P1148. Natural Language Processing of EGD Procedure Notes More Accurately Identifies GERD Indications Than ICD Administrative Codes Sheeva K. Parbhu, MD1, Garrett Cole, MS1, Michael Sossenheimer, MD, FACG2, Andrew Gawron, MD, PhD1; 1University of Utah, Salt Lake City, UT; 2University of Utah School of Medicine, Salt Lake City, UT

P1149. Recurrence Rate of Barrett’s Esophagus After Cryoablation Behnam Moein Jahromi, MD, Franklin Tsai, MD, Walter Coyle, MD; Scripps Clinic/Scripps Green Hospital, San Diego, CA

P1150. Characteristics of Esophageal Pulsatile Pressure Zones (EPPZ) on HREMI in Patients Undergoing Pre-Lung Transplantation Evaluation Samanta Zitomer, DO1, Rajiv Bhuta, MD2, Zubair Malik, MD3, Ron Schey, MD4, Henry P. Parkman, MD5; 1Temple University Hospital, Huntingdon Valley, PA; 2Temple University School of Medicine, Philadelphia, PA; 3Lewis Katz School of Medicine at Temple University, Philadelphia, PA; 4Lewis Katz School of Medicine at Temple University Hospital, Philadelphia, PA; 5Temple University Hospital, Philadelphia, PA

P1151. A New Strategy for Preventing Esophageal Stricture After Complete Circular ESD by Using a New Balloon Longsong Li, MS, Enqiang Linghu, MD, PhD, Ningli Chai, MD, PhD, Jiale Zou, MS, Xiangyao Wang, MD, Jingyuan Xiang, MS, Zhenjuan Li, MD; Chinese PLA General Hospital, Beijing, People’s Republic of China

P1152. Clinical Impact of Increasing the Threshold for Distal Esophageal Acid Exposure Time (AET) Ali Raza, MD1, Harsimran Brar, MBBS1, Seung Chung, MD1, Julie Guider, MD1, Riddhi Chaudhari, MBBS1, Prithvi Patil, MS1, Nirav Thosani, MD2, Erik Wilson, MD1, R. Tomas Davee, MD1, Reena V. Chokshi, MD3, Brooks D. Cash, MD, FACG1, Todd Wilson, MD1; 1University of Texas Health Science Center at Houston, Houston, TX; 2University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX; 3UT Health - McGovern Medical School, Houston, TX

P1153. Higher Daily Pollen Counts Correlate With an Increased Rate of Esophageal Food Bolus Impactions Charles W. McMahon, MD1, Yousaf Zafar, MD1, Conner Clarkston2, Veronica Gaspasrovich, RN3, Wendell Clarkston, MD3; 1University of Missouri, Kansas City, MO; 2University of Kansas Medical Center, Kansas City, KS; 3St. Luke’s Health System, Kansas City, MO

P1154. Obesity Associated With Higher Risk of Barrett’s Esophagus but Indolent Disease Progression: A Nationwide Analysis Paul T. Kroner, MD, MSc1, Karl Mareth, MD2, Alex M. Kesler, MD1, Herbert Wolfsen, MD1; 1Mayo Clinic Florida, Jacksonville, FL; 2Mayo Clinic, Jacksonville, FL

P1155. Impact of Metformin Use on Esophageal Cancer Recurrence and Survival: A Systematic Review and Meta-Analysis Evan Wilder, BA1, Jillian Poles2, Brooke Yang3, Violeta Popov, MD, PhD1; 1New York University School of Medicine, New York, NY; 2VA NY Harbor Health Care System, Millwood, NY; 3VA NY Harbor Health Care System, New York, NY

P1156. Probe-Based Confocal Laser Endomicroscopy Predicts Non-Erosive Reflux Disease During Routine Upper Endoscopy in Humans Pritesh Mutha, MD, MPH1, Tilak Shah, MD, MHS2, Alvin Zfass, MD, MACG2, Shijian Chu, PhD3, Patricia Cooper, MS4, Mankanchan Gill, DNP5, Le Kang, PhD6, George Smallfield, MD, MSc6, Mitchell Schubert, MD2; 1VCU Medical Center/ McGuire VA Medical Center, Richmond, VA; 2Hunter Holmes McGuire VAMC/Virginia Commonwealth University, Richmond, VA; 3John Tyler Community College, Richmond, VA; 4McGuire Veterans Administration Medical Center, Richmond, VA; 5Hunter Holmes McGuire VAMC, Richmond, VA; 6Virginia Commonwealth University, Richmond, VA

P1157. Efficacy, Tolerance, and Safety of Hybrid Argon Plasma Coagulation for the Treatment of Barrett’s Esophagus: A U.S. Pilot Study James Han, MD1, Toshitaka Shimizu, MD2, Allen Yu, BSc1, Kyle Fortinsky, MD2, David P. Lee, MD, MPH2, Kenneth Chang, MD2, Jason Samarasena, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine, Orange, CA

P1158. Hospitalized Patients With Crohn’s Disease Are More Likely to Have Eosinophilic Esophagitis Xiaowen Fan, MD1, Melissa Hershman, MD2, Xiaocen Zhang, MD3, Ali T. Khan, MBBS4, Gaurav Kakked, MD5, Michael S. Smith, MD, MBA6; 1Mount Sinai St Luke’s and Mount Sinai West, New York, NY; 2Mount Sinai Beth Israel, St. Luke’s and West, New York, NY; 3Mount Sinai St. Luke’s West Hospital Center, New York, NY; 4Icahn School of Medicine at Mount Sinai, New York, NY; 5Icahn School of Medicine, New York, NY; 6Mount Sinai West & Mount Sinai St. Luke’s Hospitals, New York, NY

P1159. Inpatients Requiring Dilation for Esophageal Strictures Have High Rates of Readmission Regardless of Etiology Xiaowen Fan, MD1, Jean Abed, MD2, Xiaocen Zhang, MD3, Ali T. Khan, MBBS4, Michael S. Smith, MD, MBA5; 1Mount Sinai St Luke’s and Mount Sinai West, New York, NY; 2Mount Sinai St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; 3Mount Sinai St. Luke’s West Hospital Center, New York, NY; 4Icahn School of Medicine at Mount Sinai, New York, NY; 5Mount Sinai West & Mount Sinai St. Luke’s Hospitals, New York, NY

P1160. Prolonged Wireless pH Monitoring Increases Diagnostic Yield of Abnormal Acid Reflux Reena V. Chokshi, MD1, Seung Chung, MD2, Harsimran Brar, MBBS2, Prithvi Patil, MS2, Julie Guider, MD2, Julie Holihan, MD2, Bijun S. Kannadath, MBBS, MS3, R. Tomas Davee, MD2, Ali Raza, MD2, Todd Wilson, MD2, Erik Wilson, MD2, Nirav Thosani, MD4, Brooks D. Cash, MD, FACG2; 1UT Health - McGovern Medical School, Houston, TX; 2University of Texas Health Science Center at Houston, Houston, TX; 3University of Arizona College of Medicine, Phoenix, AZ; 4University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX

P1161. Predictors of Mortality Among Hospitalized Patients With Esophageal Cancer Ikponmwosa Enofe, MD1, Prabhjot S. Bedi, MD2, Manoj P. Rai, MD3, Divyesh R. Nemakayala, MD1, Samanjit K. Kandola, MD3, Xiao Ling, MD3, Vikas K. Singh, MD2, Heather Laird-Fick, MD3, Marwan S. Abougergi, MD4; 1Michigan State University, Lansing, MI; 2University of Pittsburgh Medical Center East, Pittsburgh, PA; 3Michigan State University, East Lansing, MI; 4South Carolina University School of Medicine, Simpsonville, SC


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P1162. Comparing Current Practice Patterns and Practice Guidelines for the Diagnosis and Management of Eosinophilic Esophagitis in the United States Swathi Eluri, MD, MSCR, Michael Massaro, MD, Anne Peery, MD, MSCR, Nicholas J. Shaheen, MD, MPH, Evan S. Dellon, MD, MPH; University of North Carolina School of Medicine, Chapel Hill, NC

P1163. Intralesional Triamcinolone Injection as Adjunct Therapy in Eosinophilic Esophagitis Patients With Stricturing Disease Manaswita Tappata, BS1, Swathi Eluri, MD, MSCR1, Kevin Z. Huang, MD2, Nathaniel Koutlas, BS1, Benjamin Robey, MD1, Claire Fan, MD1, Nicholas J. Shaheen, MD, MPH1, Evan S. Dellon, MD, MPH1; 1University of North Carolina School of Medicine, Chapel Hill, NC; 2University of North Carolina School of Medicine, Chapel Hil, NC

P1164. A Western Experience in the Use of a Novel CryoBalloon Focal Ablation System for the Management of Barrett’s Neoplasia Tarek Sawas, MD, MPH, Kavel Visrodia, MD, Liam Zakko, MD, Cadman Leggett, MD, Kenneth K. Wang, MD; Mayo Clinic, Rochester, MN

P1165. Eosinophilic Esophagitis (EoE) - Successful Treatment With PPI Therapy in a Single-Center - Education and Engagement Are Key Jonathan E. Hilal, MD, Joel E. Richter, MD, MACG; University of South Florida, Tampa, FL

P1166. The Epidemiology of Barrett’s Esophagus in the United States Between 2012 and 2017: A Population-Based Study Vijit Chouhan, MD1, Mohannad Abou Saleh, MD1, Emad Mansoor, MD2, Gregory Cooper, MD1; 1University Hospitals Cleveland Medical Center, Cleveland, OH; 2Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH

P1167. Efficacy and Safety of Cryotherapy in Treatment of Barrett’s Esophagus: A Systematic Review and Meta-Analysis Rajesh Krishnamoorthi, MD1, Babu P. Mohan, MD2, Mahendran Jayaraj, MD3, Joanna K. Law, MD1, Michael Larsen, MD1, Shayan Irani, MD1, Andrew Ross, MD1; 1Virginia Mason Medical Center, Seattle, WA; 2University of Alabama at Birmingham, Birmingham, AL; 3University of Nevada Las Vegas, Las Vegas, NV

P1168. Upper Esophageal Sphincter (UES) Abnormalities Are a Frequent Finding on High Resolution Manometry (HREM) and Associated With Esophageal Motility Disorders (EMD) Yehuda Julian Spector, MD, MPH1, Zain Iqbal Memon, DO2, Monica Passi, MD3, Andrew A. Nguyen, DO4, Caitlin Olson, MD5, Sara Cerrone, MD6, Priyanka L. Singh, MD7, Tristan M. Tham, MD4, Anil Vegesna, MD, MPH8, Patrick Okolo, MD2, Matthew Whitson, MD, MSEd9, Lary S. Miller, MD10, Bani Roland, MD, FACG1; 1Northwell Health, Lenox Hill Hospital, New York, NY; 2Northwell Health Lenox Hill Hospital, New York, NY; 3University of Maryland Medical Center, Baltimore, MD; 4Lenox Hill Hospital, New York, NY; 5New York Head & Neck Institute, New York, NY; 6Hofstra-Northwell Health Gastroenterology Fellowship Program, New Hyde Park, NY; 7Hofstra-Northwell Internal Medicine Residency Training Program, New Hyde Park, NY; 8The Feinstein Institute for Medical Research, Northwell Health, New York, NY; 9Northwell Health Physician Partners, Manhasset, NY; 10Northwell Health, New York, NY

ESOPHAGUS Clinical Vignettes / Case Reports

P1169. A Strange Connection: Spontaneous Esophageal-Pleural Fistula Parth Desai, DO1, Afsana Asharaf, MD1, Yanting Wang, MD1, Madhu Mathew, MD1, Palashkumar Jaiswal, MBBS2, Hemant Mutneja, MD1, Michael Alebich, DO1; 1Cook County Health and Hospitals System, Chicago, IL; 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL

P1170. Esophageal Perforation Associated With Barotrauma Nirmal Onteddu, MD1, Mihira Ginnavaram, MBBS2, Ashutosh Gupta, MD1; 1Texas Tech University Health Sciences at Permian Basin, Odessa, TX; 2Bhaskar Medical College, Hyderabad, Telangana, India

P1171. A Rare Case of Odynophagia as a Result of Radiation and Candida Esophagitis Pilar Palmrich1, Rachel Niec, MD, PhD2, David Wan, MD3, Charles Maltz, MD, PhD4; 1Medical University of Vienna, Vienna, Wien, Austria; 2NewYork-Presbyterian Weill Cornell Medical Center, New York, NY; 3New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY; 4Weill Cornell Medical College, New York, NY

P1172. A Case Report of Granular Cell Tumor of the Esophagus Asaad Trabolsi, MD1, Mahmoud Mahfouz, MD1, Paul Sojo, DO2, Manuel Berzosa, MD1; 1Mount Sinai Medical Center, Miami Beach, FL; 2Mount Sinai Medical Center, Davie, FL

P1173. Novel Treatment for Achalasia in a First Trimester Pregnant Patient Zachary Neubert, DO, Edward Stickle, MD; Naval Medical Center San Diego, San Diego, CA

P1174. A Hard Pill to Swallow: Esophageal Intramural Pseudodiverticulosis Brett Rossow, MD, Veysel Tahan, MD, FACP, FACG, FESBGH, Matthew Bechtold, MD, FACG, Sami Samiullah, MD, Jack Bragg, DO, MACOI; University of Missouri, Columbia, MO

P1175. Downhill Esophageal Varices: A Therapeutic Dilemma Raja Chandra Chakinala, MD1, Anila Kumar, DO1, Jonathan E. Barsa, MD2, Dhruv Mehta, MD1, Khwaja F. Haq, MD3, Shantanu Solanki, MD, MPH1, Virendra Tewari, MD4; 1New York Medical College at Westchester Medical Center, Valhalla, NY; 2Westchester Medical Center, Valhalla, NY; 3Henry Ford Hospital, Detroit, MI; 4Westchester Medical Center at Westchester Medical Center, Valhalla, NY

P1176. An Uncommon Cause of Dysphagia Lara Aboud Syriani, BS, Liat Gutin, MD, Najwa El-Nachef, MD; University of California San Francisco, San Francisco, CA

P1177. Rare Complications of Portal Hypertension in a Patient With Underlying Focal Nodular Hyperplasia Reema S. Siddiqui, BA1, Syed-Mohammed Jafri, MD2; 1St. George’s University School of Medicine, Bloomfield Hills, MI; 2Henry Ford Hospital, Detroit, MI

P1178. A Rare Case of Neuroendocrine Cell Tumor of the Esophagus Justin DeRosa, DO1, Hasan Ali1, Donald McMahon, DO2, Lucy Joo, DO1; 1Rowan University School of Osteopathic Medicine, Stratford, NJ; 2Kennedy Health Alliance, Stratford, NJ

P1179. VLE for Identification of Subsquamous T1a Esophageal Adenocarcinoma Jared Lander, DO1, Apeksha Shah, MD2, Anthony Infantolino, MD, FACG, FACP3, Christina Tofani, MD3; 1Lankenau Medical Center, Wynnewood, PA; 2Thomas Jefferson University Hospitals, Philadelphia, PA; 3Thomas Jefferson University Hospital, Philadelphia, PA

P1180. An Atypical Presentation of an Esophageal Squamous Cell Carcinoma With Pancreatic and Bone Metastases Yousef Nassar, MD, Eric Yoon, MD, Juan Tejada, MD, Muhammad Mansoor, MD, Kavita Umrau, MD, Sven Hida, MD; Albany Medical Center, Albany, NY

P1181. A Novel Indication of Per Oral Esophageal Myotomy in the Management of a Lower Esophageal Diverticulum Yousef Nassar, MD, Muhammad Mansoor, MD, Juan Tejada, MD, Sven Hida, MD; Albany Medical Center, Albany, NY



P1182. Black Esophagus and Necrotic Duodenum Masquerading as New Onset GERD Daryl Fick, MD1, Shireen Ghorbani, MD2; 1Naval Medical Center San Diego, San Diego, CA; 2Sharp Rees-Stealy Medical Group, San Diego, CA

P1183. Esophageal Arteriovenous Malformation as a Cause of Significant Gastrointestinal Bleeding - Rare, but Potentially Easy to Treat Pradeep Kathi, MD1, Maher Tama, MD1, Shanker D. Kundumadam, MD 1, Sandra Naffouj, MD2, Murray N. Ehrinpreis, MD3; 1Wayne State University, Detroit, MI; 2Henry Ford Hospital, Detroit, MI; 3Detroit Medical Center/Wayne State University, Detroit, MI

P1184. The Ectopic Inlet Patch: A Commonly Benign Pathology With a Remarkably Rare Manifestation of Invasive Squamous Cell Carcinoma Monica L. Multani, DO1, Harry Nguyen, DO2, Joseph Dulaney, DO2, Amandeep Kaur, DO3, Javier Sobrado, MD1; 1Larkin Community Hospital, Miami, FL; 2Palmetto General Hospital, Hialeah, FL; 3Larkin Community Hospital, South Miami, FL

P1185. Boerhaave Syndrome - A Case Report Abdussalam Shredi, MD, Saif El Naser H. M. El Nawaa, MD, Hawa Edriss, MD, Kenneth Nugent, MD; Texas Tech University Health Sciences Center, Lubbock, TX

P1186. Lugol Iodine Solution Reveals a Well Camouflaged Esophageal Squamous Cell Carcinoma Steven Pappas, MD1, Paul St. Romain, MD1, Mahfuzul Haque, MBBS2; 1Duke University Health System, Durham, NC; 2Duke University Hospital, Durham, NC

P1187. A Rare Case of Esophagitis Associated with Mycoplasma-Induced Rash and Mucositis in a 16-Year-Old Male Katrina Loh, MD, Elena Puscasiu, MD, Seema Khan, MD; Children’s National Medical Center, Washington, DC

P1188. Food Impaction as Recurrent Feature of Epidermolysis Bullosa Hashroop Gurm, MD, Benjamin Renelus, MD, Daniel S. Jamorabo, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY

P1189. An Eye on Necrosis Abdul Kouanda, MD, Kendall Beck, MD; University of California San Francisco, San Francisco, CA

P1190. A Case of Palmoplantar Hyperkeratosis and Strong Family History of Esophageal Cancer: Tylosis or Not? Paul MunaAguon, MD1, Hussein Abidali, DO2, Stacie Vela, MD3, Rakesh Nanda, MD, FACP, FACG3; 1University of Arizona College of Medicine, Phoenix, AZ; 2Banner University Medical Center, Phoenix, AZ; 3Carl T. Hayden VA Medical Center, Phoenix, AZ

P1191. A Case of Simultaneous Small Cell Neuroendocrine Carcinoma of the Esophagus and Barrett’s Adenocarcinoma Paul MunaAguon, MD1, Christina Bentley, MD1, Shifat Ahmed, MD2, Michael Fallon, MD3; 1University of Arizona College of Medicine, Phoenix, AZ; 2University of Arizona, Phoenix, Phoenix, AZ; 3Banner University Medical Center, Phoenix, AZ

P1192. Primary Herpes Simplex Virus-1 Infection Manifesting as Severe Esophagitis in an Adult Immunocompetent Host With Eosinophilic Esophagitis John G. McCarthy, MD, Evan Ewers, MD, Ruben D. Acosta, MD; Walter Reed National Military Medical Center, Bethesda, MD

P1193. A “Freak of Nature”… Revealed! Mira Alsheikh, MD, Fady G. Haddad, MD, Liliane Deeb, MD; Northwell Health Staten Island University Hospital, Staten Island, NY

P1194. Esophageal Bronchogenic Cyst Ahmed Hamed, MD, Sirish Sanaka, MD, Amira Hamed, MD, Gaurav Khullar, Prashant Mudireddy; East Carolina University, Greenville, NC

P1195. Plummer Vinson Syndrome in a Young African American Female: A Rare Entity Shanker D. Kundumadam, MD 1, Maher Tama, MD1, Sandra Naffouj, MD2, Pradeep Kathi, MD1, Murray N. Ehrinpreis, MD3; 1Wayne State University, Detroit, MI; 2Henry Ford Hospital, Detroit, MI; 3Detroit Medical Center/Wayne State University, Detroit, MI

P1196. An Atypical Case of Dysphagia: Left Atrial Enlargement Sanchita Singal-Parulkar, MD1, Sehrish Jamot, MD1, Zilla Hussain, MD2; 1Brown University, Providence, RI; 2Lifespan Physicians Group, Providence, RI

P1197. Rare Presentation of Esophageal Adenocarcinoma Majd Kanaa, MD, Muhammad Khalid, MD, Yazan Alkawaleet, MD, Jennifer Phemister, MD, Chakradhar Reddy, MD, Mark Young, MD; East Tennessee State University, Johnson City, TN

P1198. A Rare Presentation of Pseudoachalasia: Burkitt’s Lymphoma Andrew Ofosu, MD, MPH1, Eric O. Then, MD2, Tagore Sunkara, MD3, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD2, Sriharsha Dadana, MD5; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY; 4St. Barnbas Hospital, Bronx, NY; 5Saint Barnabas hospital, Bronx, NY

P1199. Glycopyrolate-Induced Esophageal Dysmotility Leading to Food Impaction Kaveh Zivari, MD1, Negar Niknam, MD1, Richard M. Fazio, MD2, Rabin Rahmani, MD, FACG1, Ira E. Mayer, MD, FACG1, Elliot Fuhrer, MD1; 1Maimonides Medical Center, Brooklyn, NY; 2Maimonides Medical Center, Broooklyn, NY

P1200. Paraesophageal Hernia With Gastric Herniation Complicated by Tracheal and Bronchial Compression Pranay Srivastava, MD, Paresh Sojitra, MD, Miral Subhani, MD, Davinder Singh, MD, Paul Mustacchia, MD, MBA; Nassau University Medical Center, East Meadow, NY

P1201. Eiosinophilic Esophagitis with Mastocytosis Aasiya Haroon, MD1, Ali Marhaba, MD2; 1Wilson Hospital, Johnson City, NY; 2United Health Services Hospitals, Johnson City, NY

P1202. Utilization of the Bi-Directional Endoscopic Rendezvous Method in the Treatment of Radiation-Induced Complete Esophageal Strictures Krunal Patel, MD1, Patrick Harriss, MD2, Paul Weinberger, MD2, Kenneth Manas, MD3; 1LSU HSC, Shreveport, LA; 2Louisiana State University, Shreveport, LA; 3LSU Health, Shreveport, LA

P1203. Presentation of Herpes Simplex Esophagitis in an Immunocompetent Host We’am Hussain, MD, Drew Triplett, DO, Sangeeta Agrawal, MD, FACG; Wright State University Boonshoft School of Medicine, Dayton, OH

P1204. The Anti-α4α7 Integrin Therapeutic Antibody for Inflammatory Bowel Disease, Vedolizumab, Ameliorates Eosinophilic Esophagitis: A Novel Clinical Observation Quan M. Nhu, MD, PhD1, Hellen Chiao, MD2, Fouad J. Moawad, MD2, Fei Bao, MD3, Gauree G. Konijeti, MD, MPH2; 1Scripps Clinic, San Diego, CA; 2Scripps Clinic, La Jolla, CA; 3Scripps Clinic/Scripps Green Hospital, La Jolla, CA

P1205. Hard to Swallow: Epidermoid Metaplasia of the Esophagus Alexander M. Sarkisian, MS, MD1, Vanessa Mendez, MD2, Zachary Eagle, BS1, Sean H. Lee, BA3, Yukihiro Nakanishi, MD, PhD1, John P. Affronti, MS, MD1; 1Tulane University School of Medicine, New Orleans, LA; 2Tulane University, New Orleans, LA; 3MR, New Orleans, LA

P1206. Broncho-Esophageal Fistula: A Rare Complication of Mediastinal Carcinomas Diagnosed by Esophagogram Samreen Khuwaja, MD, Steven Guttmann, MD; Hofstra Northwell School of Medicine/Long Island Jewish Forest Hills Hospital, New York, NY


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P1207. Esophageal Dissection Progressing to Esophageal Perforation: Case Report and Literature Review Yang Xuan, DO1, Danlu Wang, DO2, Tushar Gohel, MD3; 1Midwestern University, College of Osteopathic Medicine, Mesa, AZ; 2Midwestern University, College of Osteopathic Medicine, Gilbert, AZ; 3Midwestern University, College of Osteopathic Medicine, Scottsdale, AZ

P1208. Renal Cell Carcinoma Presenting With Dysphagia: A Case Report Zion Lamm, MD, Kevin Humphreys, MD, Andrew Dries, MD, Kevin Lamm, MD; Carolinas Medical Center, Charlotte, NC

P1209. A Tough DISH to Swallow Siew Yi Ching, MBBS1, Benjamin Cherng Hann Yip, MBBS2, Kenny Ching Pan Sze, MBBS2, Constantinos P. Anastassiades, MBBS2; 1Tan Tock Seng Hospital, Singapore, Singapore; 2Khoo Teck Puat Hospital, Singapore, Singapore

P1210. A Dangerous Case of Fistulization at the Piriform Sinus Shruti Mony, MD1, Brett Hughes, MD2, Neil Vyas, MD3, Farhoud Khosravi, DO4; 1St. Joseph’s Hospital and Medical Center, Phoenix, AZ; 2Creighton University School of Medicine (Phoenix-St. Joseph’s), Phoenix, AZ; 3St. Joseph’s Hospital and Medical Center, Phonix, AZ; 4Arizona Centers for Digestive Health, Phoenix, AZ

P1211. Successful Treatment of a Severe Case of Corkscrew Esophagus With Sildenafil David R. Miller, BS, Siddharth Bhargava, BS, Micheal Tadros, MD, MPH; Albany Medical College, Albany, NY

P1212. A Case of Acute Esophageal Necrosis in a Patient With Multiple Sclerosis Amulya Reddy, DO1, Frank Lopez, DO1, Nick Frazier, DO1, Thomas Birris, MD2; 1Lakeland Health, St. Joseph, MI; 2Great Lakes Gastroenterology, St. Joseph, MI

P1213. A Rare Case of Cocaine-Induced “Black Esophagus” Manasa Reddy, MD, Krishna Patel, DO, Gerald Wade, MD, Stephen Osmon, MD; St. Louis University, St. Louis, MO

P1214. Squamous Cell Carcinoma Arising From Dynamically Monitored Esophageal Lichen Planus Karl Mareth, MD1, Maoyin Pang, MD, PhD2, Murli Krishna, MD1, Dawn Francis, MD1; 1Mayo Clinic, Jacksonville, FL; 2Georgetown University Hospital, Washington, DC

FUNCTIONAL BOWEL DISEASEP1215. Specific Neuroanatomical Abnormalities Identified in Cyclical Vomiting Syndrome Based on Brain MRI Analysis Richard McCallum, MD1, Hugo Sandoval, PhD1, Marisol Ramirez, BA2, Jake B. Wilson, MS3, Roshni A. Mandania, BS3, Osagie Usen, MS-IV4, Carola Mullins1, Silvina Tonarelli, MD2, Jose Gavito-Higuera, MD5, Radosveta Wells, MD2, Irene Sarosiek, MD1, Tyler Davis, PhD6; 1Texas Tech University Health Sciences Center, El Paso, TX; 2Texas Tech Health Sciences Center, El Paso, TX; 3Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX; 4TTUHSC Paul L. Foster School of Medicine, El Paso, TX; 5Texas Tech Health Sciences Center, EL Paso, TX; 6Texas Tech University, Lubbock, TX

P1216. The Humanistic Burden of Chronic Idiopathic Constipation in the USA: A Systematic Review Bimpe Olayinka-Amao, PharmD, MPH1, Susan Martin, MSPH2, Molly Purser, PhD1, Deirdre Mladsi, BA1, Arpita Nag, PhD, MBA, MS3; 1RTI-HS, Research Triangle Park, NC; 2RTI-HS, Ann Arbor, MI; 3Shire, Lexington, MA

P1217. Emergency Department Visits and Inpatient Admissions - Trends in IBS Over a Decade Maham Hayat, MD1, Ijlal Akbar Ali, MD2, Salman Nusrat, MD1; 1University of Oklahoma Health Sciences Center, Oklahoma City, OK; 2Oklahoma University Health Sciences Center, Oklahoma City, OK

P1218. Acute Management of Cyclic Vomiting Syndrome Patients in the Emergency Department Setting Joy Liu, MD1, Kimberly Young1, Casey Silvernale, BA2, Veer Sawhney1, Andrew Ludwig1, David Cangemi, MD2, Anthony Lembo, MD3, Braden Kuo, MD2; 1Beth Israel Deaconess Medical Center, Boston, MA; 2Massachusetts General Hospital, Boston, MA; 3Harvard Medical School, Boston, MA

P1219. Correlation Between GAD Antibody Levels and Severity of Gastrointestinal Motility Dysfunction as Determined by Wireless Motility Capsule Testing Anne Harwood, DO1, Shashank Sarvepalli, MD, MS2, Cynthia Funk, RN1, Michael Cline, DO2; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH

P1220. Factors Associated With Improvement of Symptom Index in Patients With Gastroparesis After Per-Oral Pyloromyotomy Shashank Sarvepalli, MD, MS1, Malav P. Parikh, MD1, John Rodriguez, MD2, Kevin El-Hayek, MD2, Michael Cline, DO1; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH

P1221. Effects of Linaclotide on Cortico-Anorectal (Efferent) Brain-Gut Axis in IBS-C Patients Satish S.C. Rao, MD, PhD, Yun Yan, MD, Amol Sharma, MD, Xuelian Xiang, MD, Rachel Parr, MS, Patricia Hall, MS; Augusta University Medical Center, Augusta, GA

P1222. Acid Suppression Therapy Does Not Affect the Efficacy of Plecanatide: A Patient-Level Pooled Analysis of Two Large Randomized Controlled Trials Baharak Moshiree, MD, FACG1, Leslie Magnus, MD2, Ali Rezaie, MD3; 1Carolinas HealthCare System, Charlotte, NC; 2Synergy Pharmaceuticals Inc., New York, NY; 3Cedars-Sinai Medical Center, Los Angeles, CA

P1223. Use of a Multiple-Analyte Test in Assessing Patients With Diarrhea Baharak Moshiree, MD, FACG1, Brooks D. Cash, MD, FACG2, Richard Saad, MD, MS, FACG3, Paul Feuerstadt, MD, FACG4, Robert Barnett, MD5, Jatinder Pruthi, MD6, Scott D. Levenson, MD7, Richard A. Krause, MD8, Mark R. Fleisher, MD9, Rajalakshmi Iyer, MD10, Fred Princen, PhD11, Mark Renshaw, PhD11, Hongyu Chen, PhD11, Judson McFarland, BS11, Larry Mimms, PhD11, Annelie Everts-van der Wind, PhD11, Philip Ginsburg, MD11, Kurtis Bray, PhD11, Anthony Lembo, MD12; 1Carolinas HealthCare System, Charlotte, NC; 2University of Texas Health Science Center at Houston, Houston, TX; 3University of Michigan, Ann Arbor, MI; 4Yale University School of Medicine / Gastroenterology Center of Connecticut, Westport, CT; 5Granite Peaks Gastroenterology, Sandy, UT; 6High Desert Gastroenterology, Lancaster, CA; 7Digestive Care Medical Center, San Carlos, CA; 8Digestive Care & Management, Chattanooga, TN; 9Borland Groover Clinic, Jacksonville, FL; 10Iowa Digestive Disease Center, Clive, IA; 11Prometheus Laboratories, San Diego, CA; 12Harvard Medical School, Boston, MA

P1224. Use of Cannabinoids in Patients With Symptoms of Gastroparesis Asad Jehangir, MD1, Henry P. Parkman, MD2; 1Reading Hospital - Tower Health, Reading, PA; 2Temple University Hospital, Philadelphia, PA

P1225. The Frequency of Gastrointestinal Symptom Complaints and Functional Gastrointestinal Disorders in Patients Presenting for Eating Disorder Treatment Helen B. Murray, BA1, Jennifer J. Thomas, PhD2, Braden Kuo, MD3, Kamryn T. Eddy, PhD2, Kyle D. Staller, MD2; 1Drexel University, Philadelphia, PA; 2Massachusetts General Hospital/Harvard Medical School, Boston, MA; 3Massachusetts General Hospital, Boston, MA

P1226. Phenotype and Antibiotic Response in Patients With Flat Line Breath Test Results: A Large Scale Database Analysis Krutika Lakhoo, MD1, Xiaochen Liu, MSc1, Greg Lentz2, Eugenia Lin, BS1, Bianca W. Chang, MD3, Mark Pimentel, MD1, Nipaporn Pichetshote, MD1, Ali Rezaie, MD, MSc1; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2CSHS, Los Angeles, CA; 3University of Chicago, Chicago, IL



P1227. Mucosal Mast Cells Are Increased in the Small Intestine of Patients With Irritable Bowel Syndrome: A Systematic Review and Meta-Analysis David Perez Ingles, MD1, Abhizith Deoker, MD1, Alejandro Robles, MD1, Jerzy Sarosiek, MD, PhD2, Richard McCallum, MD2, Irene Sarosiek, MD2, Max Schmulson, MD3, Mohammad Bashashati, MD4; 1Texas Tech Health Sciences Center, El Paso, TX; 2Texas Tech University Health Sciences Center, El Paso, TX; 3Universidad Nacional Autónoma de México, Mexico City, Distrito Federal, Mexico; 4Texas Tech University Health Sciences Center, El Paso, TX

P1228. The Long Non-Coding RNA AFDN-AS1 Is Expressed in Colonic Epithelial Cells Elizabeth Videlock, MD, Swapna Makurhar-Joshi, PhD, Dimitrios Iliopoulos, PhD, MBA, Charalabos Pothoulakis, MD, Emeran Mayer, MD, PhD, Lin Chang, MD; University of California Los Angeles, Los Angeles, CA

P1229. Polypharmacy in Patients Referred to a Tertiary Gastroenterology Practice Abimbola Chris-Olaiya, MD, MPH1, William C. Palmer, MD2, Fernando Stancampiano, MD3, Michael Heckman, MS2, Emily Vargas, MPH2, Alexander N. Maillis2, Ethan McLeod2, Naveed Nikpour2, Taylor Ryan2, Ernest Bouras, MD2; 1Grand Strand Medical Center, Myrtle Beach, SC; 2Mayo Clinic, Jacksonville, FL; 3Mayo Clinic Florida, Jacksonville, FL

P1230. Evaluating Unmet Needs of Those With Chronic Constipation by Examining Their Healthcare Seeking Behavior and Satisfaction With Medications: Results From a Survey of Over 5,000 Americans Fellows-in-Training Award (Functional Bowel Disease Category) Presidential Poster Award Sun Jung Oh, MD1, Devin Patel, MD1, Garth Fuller, MS1, William Spalding, MS2, Arpita Nag, PhD, MBA, MS2, Brennan M. R. Spiegel, MD, MSHS1, Christopher V. Almario, MD1; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2Shire, Lexington, MA

P1231. Rifaximin for Improving Abdominal Pain and Bloating Symptoms in Patients With Irritable Bowel Syndrome With Diarrhea (IBS-D) Using Modified Definitions of Pain Response Brian E. Lacy, MD, PhD1, Zeev Heimanson, PharmD2, Mark Pimentel, MD3; 1Mayo Clinic, Jacksonville, FL; 2Salix Pharmaceuticals, Bridgewater, NJ; 3Cedars-Sinai Medical Center, Los Angeles, CA

P1232. 24-Month Post Marketing Safety Surveillance Data of a Novel Peppermint Oil Formulation for IBS Designed for Site Specific Targeting (PO-SST), Confirms Favorable Safety Profile, Including Heartburn and Anal Burning Michael S. Epstein, MD1, Patrick Corsino, PhD2, Syed M. Shah, PhD2; 1Digestive Disorders Associates, Annapolis, MD; 2IM HealthScience, Boca Raton, FL

P1233. Irritable Bowel Syndrome, Fecal Incontinence and Quality of Life: It Depends on How You Think About It Melissa Hunt, PhD, Connie Wong, BA, Syed Aajmain, BA, Ife Dawodu, BA; University of Pennsylvania, Philadelphia, PA

FUNCTIONAL BOWEL DISEASE Clinical Vignettes / Case Reports

P1234. A Case of Systemic Mastocytosis with Predominately Gastrointestinal Manifestations Harsh N. Patel, MD, Stephanie N. Hudey, MS, MD, Amber N. Pepper, MD; University of South Florida, Tampa, FL

P1235. Auto-Brewery Syndrome in a Diabetic Man ACG Case Reports Journal Award Presidential Poster Award Zalmi Rahmany, BS, Natalia Lattanzio, BS, Vikaran Kadaba, BS; Richmond University Medical Center, Staten Island, NY

P1236. Rumination, Eosinophilic Esophagitis and a Parasitic Infestation: A Diagnostic Conundrum Adam Harris1, Harris Naina, MD2, Samar Harris, MD3; 1Highland Park Middle School, Dallas, TX; 2The Center of Cancer and Blood Disorders, Fort Worth, TX; 3University of Texas Southwestern, Dallas, TX

P1237. Co-Infection of Blastocystis and Endolimax Nana and Their Association with Functional Disorders and Bowel Inflammation Zara Manuelyan, MD1, Nfn Ranjeeta, MD1, Rabab Hajar, MD1, Kaleem Rizvon, MBBS, FACG2; 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Meadow, NY

P1238. Premature Ticagrelor Discontinuation Secondary to Severe Diarrhea: A Case Report Laith Al momani, MD, Jason Ross, MD, Jason McKinney, DO, Mark Young, MD; East Tennessee State University, Johnson City, TN

GENERAL ENDOSCOPYP1239. Re-PEGing: An Endoscopic Approach to Inadvertent Early PEG Tube Withdrawal Youssef Soliman, MD, MSc, Alexander Kurchin, MD, Surinder Devgun, MD; Rochester General Hospital, Rochester, NY

P1240. Hot versus Cold Snare Polypectomy Technique: Trends From the New Hampshire Colonoscopy Registry Shannon Morales, MD, MBA1, Joseph Anderson, MD, MHCDS2, Christina Robinson, MS1, Lynn Butterly, MD3; 1Dartmouth-Hitchcock Medical Center, Lebanon, NH; 2Geisel School of Medicine at Dartmouth, Hanover, NH; 3Geisel School of Medicine at Dartmouth, Lebanon, NH

P1241. Can Telehealth Technology Be an Important Factor in Providing High Quality Colonoscopy? A Proof of Concept Study Thi Khuc, MD1, Christian Jackson, MD2, Daniel Chao, MD2, Ralph Clark, MD2; 1Loma Linda University Medical Center, Loma Linda, CA; 2VA Loma Linda Healthcare System, Loma Linda, CA

P1242. Glucagon Use During Endoscopy to Assist Push Technique in Food Impactions Elizabeth Decker, DO1, Alisa Merolli, DO2, Eric Berthiaume, MD3; 1University of New England College of Osteopathic Medicine, Warwick, RI; 2University of New England College of Osteopathic Medicine, Warren Alpert Medical School of Brown University, Warwick, RI; 3Kent Hospital, University of New England College of Osteopathic Medicine, Warwick, RI

P1243. Individualized Feedback on Colonoscopy Skills Improves Colonoscopy Quality in Providers With Lower Adenoma Detection Rates Presidential Poster Award Anna Duloy, MD1, Mariah Wood, BA1, Mark Benson, MD2, Andrew Gawron, MD, PhD3, Charles J. Kahi, MD, MSCI4, Tonya Kaltenbach, MD, MS5, Rena Yadlapati, MD, MHS6, Rajesh Keswani, MD, MS7; 1Northwestern University, Chicago, IL; 2University of Wisconsin, Madison, WI; 3University of Utah, Salt Lake City, UT; 4Indiana University, Indianapolis, IN; 5University of California San Francisco, San Francisco, CA; 6University of Colorado, Aurora, CO; 7Feinberg School of Medicine, Northwestern University, Chicago, IL

P1244. Sex, Smoking and Ethnicity: Does It Influence Bowel Preparation? Jonathan Panitch, MD, Kevin Tin, MD, Varun Gonuguntla, MD, Rabin Rahmani, MD, FACG; Maimonides Medical Center, Brooklyn, NY


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P1245. The Role of Gender, Ethnicity and Practice Setting on Esophagoduodenoscopy Completion: Evidence From the National Endoscopic Database Abimbola Chris-Olaiya, MD, MPH1, Babatunde Olaiya, MD, MPH2, Jessica Cvinar, MD1, Bryan Doherty, MD3, Vinod Nambudiri, MD, MBA1, Victor Collier, MD1, William C. Palmer, MD4, Walter W. Chan, MD, MPH5; 1Grand Strand Medical Center, Myrtle Beach, SC; 2Marshfield Clinic, Marshfield, WI; 3NewYork Presbyterian Brooklyn Methodist Hospital, Old Brookville, NY; 4Mayo Clinic, Jacksonville, FL; 5Brigham & Women’s Hospital/Harvard Medical School, Boston, MA

P1246. Readmission of Adult Patients With Intentional Foreign Body Ingestion: A Retrospective Analysis Fahad Chaudhary, MD1, Sardar Momin Shah-Khan, MD1, Hiren Vallabh, MD1, Ikenna Anaka, MD1, Justin Kupec, MD2; 1West Virginia University School of Medicine, Morgantown, WV; 2West Virginia University Hospital, Morgantown, WV

P1247. Analysis of the Patient Information Quality and Readability on Esophagogastroduodenoscopy (EGD) on the Internet Priyanka Priyanka, MD1, Yousaf Hadi, MD1, Gorman Reynolds, MD2; 1West Virginia University Hospital, Morgantown, WV; 2West Virginia University Hospital, Ruby Memorial Hospital, Morgantown, WV

P1248. Clinical Impact of Endoscopic Ultrasound in the Evaluation of Subepithelial Lesions of the Lower Gastrointestinal Tract: 10-Year, Single-Center Experience Irina M. Cazacu, MD, Adriana A. Luzuriaga Chavez, MD, Brian R. Weston, MD, William Ross, MD, Jeffrey H. Lee, MD, Manoop S. Bhutani, MD; MD Anderson Cancer Center, Houston, TX

P1249. Safety of 1 L Polyethylene Glycol-Based Bowel Preparation, NER1006, for Colon Cleansing Before Colonoscopy: A Pooled Analysis of Three Phase 3 Randomized Controlled Trials Neal Osborn, MD1, Howard Franklin, MD2, Prateek Sharma, MD3; 1Atlanta Gastroenterology Associates, Douglasville, GA; 2Salix Pharmaceuticals, Bridgewater, NJ; 3University of Kansas School of Medicine, Kansas City, KS

P1250. Information Experiences, Needs, and Preferences of Colonoscopy Patients: A Pre-Colonoscopy Survey Eugene Lee, MD, Leigh Anne Shafer, PhD, John Walker, PhD, Celeste Waldman, RN, BN, Valerie Michaud, MA, Chengyue Yang, MD, Charles Bernstein, MD, Jason Park, MD, MEd, Kristy Wittmeier, MSc, PhD, Gayle Restall, PhD, Harminder Singh, MD, MPH; University of Manitoba, Winnipeg, MB, Canada

P1251. Is It Necessary to Sedate the Pain Associated With Colonoscopies? Daniel M. Kim, MD1, Zain Moosvi, MD2, William Karnes, MD2; 1University of California Irvine, Orange, CA; 2University of California Irvine Medical Center, Orange, CA

P1252. No Difference in Pain Based on Insufflation Technique Used During Colonoscopy Daniel M. Kim, MD1, Michelle Park, MD2, William Karnes, MD2; 1University of California Irvine, Orange, CA; 2University of California Irvine Medical Center, Orange, CA

P1253. Observations of Dynamic Blood Electrolyte Concentrations After Administration of Colonic Cleansing Lavages Matthew Walker, PhD, Russell Pelham, PhD, Mark vB. Cleveland, PhD; Braintree (a part of Sebela Pharmaceuticals), Braintree, MA

P1254. Efficacy of Over-the-Scope Clip (OTSC) for the Management of Perforations, Leaks, and Fistulas: A Systematic Review and Pooled Analysis of Published Literature Viveksandeep Thoguluva Chandrasekar, MBBS1, Madhav Desai, MD2, Muhammad Aziz, MBBS3, Venkata subhash Gorrepati, MD, MPH4, Ramprasad Jegadeesan, MD3, Shreyas Saligram, MD5, Alessandro Repici, MD6, Cesare Hassan, MD7, Prateek Sharma, MD8; 1University of Kansas Medical Center, Overland Park, KS; 2KUMC, Overland Park, KS; 3University of Kansas Medical Center, Kansas City, KS; 4Penn State University - Milton S. Hershey Medical Center, Hershey, PA; 5University of California San Francisco, Fresno, CA; 6Humanitas Medical University, Milan, Lombardia, Italy; 7Nuovo Regina Margherita, Rome, Lazio, Italy; 8University of Kansas School of Medicine, Kansas City, KS

P1255. Early Endoscopy Is Associated with Better Clinical Outcomes in Ischemic Bowel Disease Olalekan Akanbi, MD, MPH1, Adeyinka Adejumo, MD, MS2; 1University of Kentucky College of Medicine, Lexington, KY; 2North Shore Medical Center, Lowell, MA

GENERAL ENDOSCOPY Clinical Vignettes / Case Reports

P1256. Splenic Laceration After Diagnostic EGD Shana Kothari, MD, MS1, Sybila Martinez, MD2, Tarek Almouradi, MD3; 1University of Illinois at Chicago - Advocate Christ Medical Center, Oak Lawn, IL; 2University of Illinois at Chicago - Advocate Christ Medical Center, Chicago, IL; 3Advocate Christ Medical Center, Oak Lawn, IL

P1257. Gastrointestinal Manifestation Preceding Cutaneous Lesions in Adult Henoch-Schonlein Purpura Ramiro De La Guerra, MD, Anita Chandra, MD, Bonnie Patek, DO, Michael Popeck, DO, Abhijit Kulkarni, MD; Allegheny Health Network, Pittsburgh, PA

P1258. Recovery Room Neck Pain: An Unusual Presentation of Colonic Perforation Artemio Santiago, MD, MPH, Roberto Mera, MD; University of Puerto Rico, San Juan, Puerto Rico

P1259. Mantle Cell Lymphoma of the Gastrointestinal Tract Detected by Endoscopy Annie S. Hong, MD1, Mohamad Mubder, MD2, Altaf Dawood, MD3, Ranjit Makar, MD3, Wen Yuan Yu, DO1, Shahid Wahid, MD3; 1University of Las Vegas School of Medicine, Las Vegas, NV; 2University of Nevada Las Vegas, Las Vegas, NV; 3University of Nevada Las Vegas School of Medicine, Las Vegas, NV

P1260. A Rare Case of Enterococcus Faecalis Endocarditis Following Colonoscopy Requiring Mitral Valve Replacement in a Patient with No Valvular Abnormalities Shanker D. Kundumadam, MD 1, Ziad Kanaan, MD, PhD2, Murray N. Ehrinpreis, MD3; 1Wayne State University, Detroit, MI; 2Wayne State University / Detroit Medical Center, Troy, MI; 3Detroit Medical Center/Wayne State University, Detroit, MI

P1261. Metastatic Adenocarcinoma of Lung Diagnosed on Screening Colonoscopy: A Rare Occurrence Kartikeya Tripathi, MD1, Thomas Dunzendorfer, MD2; 1St. Vincent Hospital, Worcester, MA; 2Berkshire Gastroenterology, Pittsfield, MA

P1262. Braids in the Belly: A Case Report of Retrieving Gastric Bezoar Through Endoscopy Nazar Hafiz, MD1, Sudha Pandit, MD2, Sam Abdehou, MD3, James Morris, MD, FACG2, Kashif Khan, MD3, Moheb Boktor, MD2, Samuel Igbinedion, MD4; 1Louisiana State University Health Sciences Center, Shreveport, LA; 2LSU Health, Shreveport, LA; 3LSU Health Sciences Center, Shreveport, LA; 4LSU HSC, Shreveport, LA



P1263. Bridge to Nowhere Gurbir Sehmbey, MD1, Layth Al-Jashaami, MD2, Rakesh Nanda, MD, FACP, FACG3; 1Banner University Medical Center, Phoenix, AZ; 2University of Arizona, Banner University Medical Center, Phoenix, AZ; 3Carl T. Hayden VA Medical Center, Phoenix, AZ

P1264. A Case Report of Double Pylorus: An Unusual Complication of Peptic Ulcer Disease Andrew Ofosu, MD, MPH1, Christopher Brana, MD2, Andrea Culliford, MD2, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY

P1265. To Do or Not to Do: Role of Endoscopy in Arrested Colonic Foreign Body Andrew Ofosu, MD, MPH1, Christopher Brana, MD2, Andrea Culliford, MD2, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY

P1266. Evidence of Early Thermal Mucosal Damage After Battery Ingestion, Urging for Change in Current Endoscopic Retrieval Guideline Andrew Ofosu, MD, MPH1, Christopher Brana, MD2, Tagore Sunkara, MD3, Andrea Culliford, MD2, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY

P1267. A Case Report Identifying the Clinical Significance of Spontaneous Gastrojejunal Fistulization Related to Roux-en-Y Bypass Andrew Ofosu, MD, MPH1, Christopher Brana, MD2, Tagore Sunkara, MD3, Andrea Culliford, MD2, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY

P1268. Foreign Body Extraction Extravaganza! Approach to 25 Foreign Bodies, One Patient Sean Harrell, MD1, Jigar Bhagatwala, MD, MPH1, Amol Sharma, MD2; 1Augusta University, Augusta, GA; 2Augusta University Medical Center, Augusta, GA

P1269. GOO Due to Gastric Stimulator Electrode Migration: Add This to Your DDx of Gastroparesis Exacerbation Eula Geralyn P. Tetangco, MD, MPH1, Sean Harrell, MD2, Rami Abboud, MD2, Satish S.C. Rao, MD, PhD1, L. Renee Hilton, MD1, Amol Sharma, MD1; 1Augusta University Medical Center, Augusta, GA; 2Augusta University, Augusta, GA

P1270. Rare Case of Gastric Xanthelasmas Yousef Elfanagely1, Kevin Skole, MD2; 1Rutgers Robert Wood Johnson Medical School, Wayne, NJ; 2University Medical Center of Princeton, Plainsboro, NJ

P1271. Deliberate Ingestion of Metallic Objects: Wait, Watch, and They Shall Pass Shilpa Lingala, MD, Matthew Barnes, MD, Colin W. Howden, MD, FACG; University of Tennessee Health Science Center, Memphis, TN

P1272. Over-the-Scope Clip Defect Closure Following Endoscopic Mucosal Resection Throughout the Gastrointestinal Tract: A Case Series Kyle Kreitman, DO, Patrick Hickey, DO, Shashin Shah, MD, Hiral Shah, MD, FACG; Lehigh Valley Health Network, Allentown, PA

P1273. A Case of Duodenoureteral Fistula Formation Claire Schnell, MD1, Timothy Schnell, MD1, Avigeet Gupta, BS2, Kim Basu, MD3; 1Palmetto Health Richland/ University of South Carolina, Irmo, SC; 2University of South Carolina, Columbia, SC; 3William Jennings Bryan Dorn VA Medical Center, Columbia, SC

P1274. An Uncommon Presentation of Abdominal Pain Leslie H. Massey, DO1, Snehal Desai, MD2, Aric Tucker, DO1; 1Valley Hospital Medical Center, Las Vegas, NV; 2Digestive Associates, Las Vegas, NV

P1275. Total Colo-Rectal Anastomotic Closure Corrected by Placement of an Axios Stent via an Endoscopic Double Illumination Technique Olumide Ajayeoba, MD, Joan Culpepper-Morgan, MD, Jeff C. Anucha, MD, Evin McCabe, MD, Raja Sabbagh, MD; Harlem Hospital Center, New York, NY

P1276. Cholecystocolonic Fistula with Impacted Gallstone Presented as Proctitis Mordecai Solomon, DO1, Thinh Tang, DO1, Dipesh Banker, MD2, Vishvinder Sharma, MD3; 1Valley Hospital Medical Center, Las Vegas, NV; 2Digestive Associates, Las Vegas, NV; 3Digestive Associates/Valley Hospital Medical Center, Las Vegas, NV

P1277. None Shall Pass: Migrated Surgical Mesh Causing Gastric Outlet Obstruction With Endoscopic Extraction Matthew J. Sullivan, DO, Shashin Shah, MD, FACP, Paola Blanco, MD; Lehigh Valley Health Network, Allentown, PA

P1278. Rare Case of Stomal Seeding From an Esophageal Squamous Cell Carcinoma in Remission George Jeung, DO1, Leslie H. Massey, DO1, Brien R. Miller, DO1, Vishvinder Sharma, MD2; 1Valley Hospital Medical Center, Las Vegas, NV; 2Digestive Associates/Valley Hospital Medical Center, Las Vegas, NV

GI BLEEDINGP1279. Early Transjugular Intrahepatic Portosystemic Shunt Creation Compared to Endoscopy With Pharmacotherapy in the Management of Variceal Rebleeding in Cirrhotic Patients: A Comprehensive Systematic Review and Meta-Analysis Presidential Poster Award Yousef Nassar, MD, Seth J. Richter, MD; Albany Medical Center, Albany, NY

P1280. Comparing the Efficacy and Safety of Anti-Coagulation in Patients With Atrial Fibrillation and Liver Cirrhosis Yousef Nassar, MD, Seth J. Richter, MD; Albany Medical Center, Albany, NY

P1281. Comparison of Risk Scoring Systems for Non-Variceal Upper Gastrointestinal Bleeding (GIB): Do They Perform as Expected? Presidential Poster Award Catherine Frakes, MD1, C. Roberto Simons-Linares, MD2, Faris El-Khider, MD, MS1, John J. Vargo, MD3; 1Cleveland Clinic, Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P1282. Weekend versus Weekday Admission and Outcomes for Hospitalizations Due to Hemorrhagic Peptic Ulcer Disease: An Insight From National Data Harshil Shah, MD1, Hardikkumar Shah, MD, MPH2, Tsujung Yang, MD1, Aakashi Shah, MBBS3, Subash Ghimire, MD1, Prakashkumar Maiyani, MD4, Pushpa Khanal, MBBS3, Rehan Farooqi, MD5, Ashish Sadolikar, MBBS6, Jasmine Garcha, MBBS3, Vinshi Khan, MD7, Achint Patel, MD3; 1Guthrie Clinic/Robert Packer Hospital, Sayre, PA; 2New York Medical College at St. Michael’s Medical Center, Newark, NJ; 3Mount Sinai Hospital, New York, NY; 4Gold Coast University Hospital, Southport, Queensland, Australia; 5MedStar Union Memorial Hospital, Baltimore, MD; 6DY Patil Medical College, Kolhapur, Maharashtra, India; 7Baylor College of Medicine, Houston, TX

P1283. Utility of CT Angiography (CTA) in Diagnosis and Treatment of Acute Lower GI Bleeding (LGIB) Ameer Zai Rasheed, MD, Ankur Mogla, Gaurav Parhar, MD, Madeeha Shahzadi, MD, Urmee Saha, MD, Louis Gerolemou, DO, Viswanath Vasudevan, MD; The Brooklyn Hospital Center, Brooklyn, NY


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P1284. Predictors of Unplanned Thirty-day Readmission Among Patient with Acute Lower Gastrointestinal Bleeding Kalpit Devani, MD1, Hardik Sonani, MBBS2, Dhruvil Radadiya, MBBS1, Paris Charilaou, MD3, Bhaumik Brahmbhatt, MBBS, MD4, Pranav Patel, MD5, Parag Brahmbhatt, MD, FACP6, Parminderjit Singh, MD7, Mark Young, MD1, Chakradhar M. Reddy, MD, FACP8; 1East Tennessee State University, Johnson City, TN; 2University of Mississippi, Jackson, AL; 3St. Peter’s University Hospital, New Brunswick, NJ; 4Mayo Clinic, Jacksonville, FL; 5University of Alabama at Birmingham, Montgomery, AL; 6Eagle Gastroenterology, Greensboro, NC; 7HVMC, Kingsport, TN; 8East Tennessee State University, Quillen College of Medicine, Johnson City, TN

P1285. Gastrointestinal Bleeding During Hospitalization for Transcatheter Aortic Valve Replacement Ted Spiewak, DO1, Armen Eskandari, MD2, Heejung Bang, PhD2, Sooraj Tejaswi, MD, MSPH1; 1University of California Davis Medical Center, Sacramento, CA; 2University of California Davis, Sacramento, CA

P1286. Comparative Evaluation of Endoscopic Variceal Band Ligation and Carvedilol for Prevention of First Variceal Bleed in High Risk Cirrhotics Category Award (GI Bleeding) Presidential Poster Award Gadadhar Panda1, Suresh Kumar1, Siddharth Srivastava2, Premashis Kar, MBBS, MD, DM, 1; 1Maulana Azad Medical College, New Delhi, Delhi, India; 2GB Pant Hospital, New Delhi, Delhi, India

P1287. Endoscopic Techniques and Clinical Outcomes in Non-Variceal Upper Gastrointestinal Bleeding at a General Hospital in Singapore Siew Yi Ching, MBBS1, Benjamin Cherng Hann Yip, MBBS2, Kenny Ching Pan Sze, MBBS2, Sayeed Sajjad Hossain, MBBS2, Jiexun Wang, PhD3, Constantinos P. Anastassiades, MBBS2; 1Tan Tock Seng Hospital, Singapore, Singapore; 2Khoo Teck Puat Hospital, Singapore, Singapore; 3Clinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore

P1288. The Role of Endoscopic Thrombin Therapy in the Management of Gastric Variceal Bleeding: A Systematic Review and a Meta-Analysis Presidential Poster Award Muhammad Tahir, MD1, Amanpal Singh, MD, MS, FACG2, Naveen Prasad Gopalakrishnan Ravikumar, MD1, Lorin Miller1, Kehua Zhou, MD1, Kashif Samad, MD1; 1University at Buffalo, Buffalo, NY; 2Mercy Medical Group, Sacramento, CA

P1289. Assessing the Appropriateness of Stress Ulcer Prophylaxis in Critically Ill ICU Patients at CAMC Tanureet Kochar, MD, Prasannalaxmi Palabindela, MD, Chirag Patel, MD, Sarwan Shaikh, MD, Dany Tager, MD, Suzanne Kemper, MD, Hesham Mohamed, MD, Brittain McJunkin, MD; Charleston Area Medical Center, Charleston, WV

P1290. Frequency of Gastrointestinal Bleeding and Its Impact on In-Hospital Mortality Among Patients With Solid Organ Transplantation Chaitanya Allamneni, MD1, Allen Haas, MA2, Yong-Fang Kuo, PhD2, Ashwani Singal, MD, MS1, Shajan Peter, MD1; 1University of Alabama at Birmingham, Birmingham, AL; 2University of Texas Medical Branch, Galveston, TX

P1291. Trend in Mortality in Variceal and Non-Variceal Gastrointestinal Bleeds Over 15 Years: A National Level Study Presidential Poster Award Vagishwari Murugesan, MBBS, Jennifer Tran, MD; MedStar Washington Hospital Center/Georgetown University, Washington, DC

GI BLEEDING Clinical Vignettes / Case Reports

P1292. Late Gastrointestinal Bleeding in Short Limb Gastric Bypass: Is Endoscopy Under-Rated? Darlene M. Wilhelm, APRN-CNP1, Vinaya Gaduputi, MD2; 1Mercy Health/St. Vincent Medical Center, Toledo, OH; 2SBH Health System, Bronx, NY

P1293. A Rare Case of Upper Gastrointestinal Bleed: Gastric Metastasis of Pancreatic Neuroendocrine Tumor Sonmoon Mohapatra, MD, Devendra Enjamuri, MD, Sugirdhana Velpari, MD, Andrew Korman, MD, Arkady Broder, MD; St. Peter’s University Hospital, New Brunswick, NJ

P1294. Recurrent Gastrointestinal Hemorrhage From a Pair of Colonic Dieulafoy Lesions Lindsey C. Shipley, MD1, Tyler Aasen, DO2, Allison Locke, MD3, Chakradhar M. Reddy, MD, FACP2; 1University of Alabama at Birmingham, Birmingham, AL; 2East Tennessee State University, Quillen College of Medicine, Johnson City, TN; 3East Tennessee State University, Johnson City, TN

P1295. Idiopathic Acquired Factor VIII Inhibitor Presenting as Life Threatening GI Bleed From an Apparent Gastric Mass Alexandra Weiss, MD, Anjali Mone, MD, Henry Ho, MD; Cooper University Hospital, Camden, NJ

P1296. Getting the GIST of Small Bowel Bleeding Kathryn Driggers, BS1, Nicole Harrison, MD2, Henri Renom de la Baume, MD3; 1Uniformed Services University of the Health Sciences, Bethesda, MD; 2Walter Reed National Military Medical Center, Bethesda, MD; 3Fort Belvoir Community Hospital, Fort Belvoir, VA

P1297. Multimodal Approach for Refractory GAVE: A Case Report Ketisha De Roche, MD1, Muhammad Bashir, MD1, Manuel Martinez, MD2; 1SUNY Downstate Medical Center, Brooklyn, NY; 2Brooklyn Campus of the VA New York Harbor Healthcare System, Brooklyn, NY

P1298. Chronic Nasal Sinusitis Revealing Disseminated Kaposi’s Sarcoma Tahmina Jahir, MD1, Ekaterina Casmartino Bondarenko, MD1, Faiza Malik, MD1, Matthew Nguyen, MD2, Sm Hossain, MBBS3, Sophia Jagroop, MD1; 1Jamaica Hospital Medical Center, Richmond Hill, NY; 2Jamaica Hospital Medical Center, Briarwood, NY; 3Brookdale Hospital Medical Center, Brooklyn, NY

P1299. Extraordinarily Complicated Case of Scurvy - Complicated by Gastrointestinal Hemorrhage, Anemia, Splenic Infarction, and Acute Pulmonary Hemorrhage Andrew C. Lee, MD, Priyanka Bhatia, MD, Anand A. Dutta, MD; Wellspan Health - York Hospital, York, PA

P1300. When It Is Not Just NSAID-Related Gastrointestinal Bleed: Unusual Presentation of Advanced Gastrointestinal Stromal Tumor Andrew C. Lee, MD1, Lauren Eversmeyer, MD2, Aparajita Singh, MD, MPH3; 1Wellspan Health - York Hospital, York, PA; 2University of California, San Francisco, San Francisco, CA; 3University of California San Francisco, San Francisco, CA

P1301. Gastric Ulcer and Perforation Due to Mucormycosis in an Immunocompetent Patient Rameez Malik, MD1, Keng-Yu Chuang, MD2, Sharad Bellapravalu, MD1, Indu Srinivasan, MD1; 1Maricopa Integrated Health System, Phoenix, AZ; 2Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ

P1302. Plop, Plop, Fizz, Fizz: Is It Really a Relief? Satish K. Boddhula, MD1, Sowmya Boddhula1, Konika Sharma, MD2, Peter Francisco1, Edward Bischof1; 1Bassett Medical Center, Cooperstown, NY; 2Basset Medical Center, Cooperstown, NY



P1303. Metallic Sliver Stool? Thomas’s Sign or Something Else? Koosh Desai, MD; Augusta University, Augusta, GA

P1304. Dieula-Foiled: Diagnosis and Management of Obscure Gastrointestinal Bleeding Secondary to a Duodenal Dieulafoy Frederick S. Rozenshteyn, MD1, Melissa Hershman, MD2, Steven Rogers, MD1; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel, St. Luke’s and West, New York, NY

P1305. Use of Transexamic Acid for the Treatment of Transfusion Dependent Gastrointestinal Bleeding Vlad Stanila, MD, Shea Wickland, MD, Julian Nicholas, MD, PhD, MRCP; US Navy, Oceanside, CA

P1306. A Case of Gastrointestinal Kaposi’s Sarcoma Gabriella Raffa, MD, Leah Katta, MD, Morgan Sendzischew, MD, Liege Diaz, MD, Emory Manten, MD; University of Miami Jackson Memorial Hospital, Miami, FL

P1307. It’s Not Always the Diverticula: A Rare Case of Obscure Overt Lower Gastrointestinal Bleed Resulting From a Fistulous Tract Between Rectum and Seminal Vesicle Secondary to Metastatic Prostate Adenocarcinoma Evanee Frank, DO, Ramiro De La Guerra, MD, Benjamin Wardrop, DO, Bonnie Patek, DO; Allegheny Health Network, Pittsburgh, PA

P1308. Gastro-Splenic Fistula Formation in Gastric Tuberculosis Presenting With Massive Hematemesis Kristoffer Ted Angala, MD, Rommel Palaganas, MD; Baguio General Hospital and Medical Center, Baguio City, Benguet, Philippines

P1309. Massive Gastric Bleed Post Splenic Embolization Anila Kumar, DO1, Raja Chandra Chakinala, MD1, Shalom Z. Frager, MD1, Sam McCabe, MD1, Khwaja F. Haq, MD2, Shantanu Solanki, MD, MPH1, Roxana Bodin, MD1; 1New York Medical College at Westchester Medical Center, Valhalla, NY; 2Henry Ford Hospital, Detroit, MI

P1310. Successful Treatment of Hereditary Hemorrhagic Telangiectasia With Octreotide Beena Umar1, Kimberly Houghton, MD2, Jason Schairer, MD3; 1Henry Ford Hospital, Detroit, MI; 2Henry Ford Health System, Farmington Hills, MI; 3Henry Ford Health Systems, Detroit, MI

P1311. Improved Visualization With Cap Fitted Colonoscopy in Lower GI Bleeding Ross J. Humes, MD1, Zachary Junga, MD2, Adam Tritsch, MD1; 1Walter Reed National Military Medical Center, Bethesda, MD; 2Walter Reed National Military Medical Center, Silver Spring, MD

P1312. Esophageal Stenting for Refractory Esophageal Variceal Bleeding Ronald Samuel, MD, Lauren August Clark, MD, Marc Shabot, MD, MACP, FACG, Sreeram Parupudi, MD, FACP, FACG; University of Texas Medical Branch, Galveston, TX

P1313. Upper Esophageal Laceration After Transesophageal Echocardiography Ronald Samuel, MD1, Obada Tayyem, MD1, Timothy Krill, MD2, Hamza Abdulla, MD1, Sreeram Parupudi, MD, FACP, FACG1, Shehzad Merwat, MD1; 1University of Texas Medical Branch, Galveston, TX; 2University of Texas Medical Branch, Sugar Land, TX

P1314. Severe Mallory Weiss Tear Following Heller Myotomy Ronald Samuel, MD, Hamza Abdulla, MD, Sreeram Parupudi, MD, FACP, FACG; University of Texas Medical Branch, Galveston, TX

P1315. A Rare Etiology of Upper Gastrointestinal Bleeding: Dieulafoy of the Distal Esophagus Nha T. Duong, DO1, Alexander Potashinsky, MD1, Raffi Karagozian, MD2; 1University of Connecticut Health Center, Farmington, CT; 2Yale University School of Medicine, Hartford, CT

P1316. An Usual Cause of Massive Upper Gastrointestinal Bleeding: Pancreatic Pseudoaneurysm Rupture Ahmed Hamed, MD, Karissa Lambert, MD, Amira Hamed, MD, Eric Gochanour, MD, Eslam Ali, MD; East Carolina University, Greenville, NC

P1317. Diagnosis of a Bleeding Meckel’s in an Adult with a Negative Meckel’s Scan Tejas V. Joshi, MD1, Justin Miller, MD2, Daniel Raines, MD, FACG2; 1LSU Health New Orleans School of Medicine, New Orleans, LA; 2LSU Health Sciences Center, New Orleans, LA

P1318. Unusual Presentation of Ectopic Variceal Bleeding in Patient With Roux-en-Y Gastric Bypass Amar Dodda, MD1, Bixuan Lin, MD2, Murad Aburajab, MD1; 1Medical College of Wisconsin, Brookfield, WI; 2Medical College of Wisconsin, Milwaukee, WI

P1319. GIST - An Unusual Cause of Upper GI Bleeding Justin DeRosa, DO, Lucy Joo, DO, Drew Chiesa, DO, Darshan Roy, MD; Rowan University School of Osteopathic Medicine, Stratford, NJ

P1320. Gastrointestinal Bleeding Due to a Testicular Germ Cell Tumor With Duodenal Involvement Mahmoud Isseh, MD1, Mouhanna K. Abu Ghanimeh, MD1, Omar Abughanimeh, MD2, Allyce Caines, MD1, Mazen El-atrache, MD1; 1Henry Ford Hospital, Detroit, MI; 2University of Missouri, Kansas City, MO

P1321. Klippel-Trenaunay Syndrome: A Rare Cause of Hematochezia Andrew Ofosu, MD, MPH1, Eric O. Then, MD2, Tagore Sunkara, MD3, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY; 4St. Barnbas Hospital, Bronx, NY

P1322. A Rare Case of Massive Gastrointestinal Bleeding From a Rectal Dieulafoy Lesion Andrew Ofosu, MD, MPH1, Eric O. Then, MD2, Prashanth Rawla, MD3, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3Memorial Hospital of Martinsville and Henry County, Martinsville, VA; 4St. Barnbas Hospital, Bronx, NY

P1323. An Unusual Cause of Obscure Gastrointestinal Bleed: Ileal Inflammatory Polyp Nathan Davis, DO, Yogesh Govil, MD; Albert Einstein Medical Center, Philadelphia, PA

P1324. Hemosuccus Pancreaticus in a Patient With Pancreatic Neuroendocrine Tumor S. Bradley Hicks, MD, George Saffouri, MD, Randall Pearson, MD, FACG; Mayo Clinic, Rochester, MN

P1325. A Fatal Case of Occult Aortoenteric Fistula Kimesh Chetty, MBBS, BSc, Erik Vantomme, MD, Mike O’Byrne, MD, FRCPC; University of Saskatchewan, Regina, SK, Canada

P1326. Duodenal Variceal Bleeding: A Rare Complication of Portal Hypertension Obada Tayyem, MD1, Timothy Krill, MD2, Hamza Abdulla, MD1, Sheharyar Merwat, MD1, Sreeram Parupudi, MD, FACP, FACG1; 1University of Texas Medical Branch, Galveston, TX; 2University of Texas Medical Branch, Sugar Land, TX

P1327. Carotid Blowout Syndrome: A Rare Case of Bleeding Which Can Be Initially Missed in Patients Shima Ghavimi, MD1, Alana Persaud, MD2, Neel Patel, MD1, Zamir Brelvi, MD, PhD1; 1Rutgers New Jersey Medical School, Newark, NJ; 2Rutgers University, New Jersey Medical School, Newark, NJ


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P1328. Dieulafoy’s Lesion of Ano-Rectum: An Unusual Etiology of Lower Gastrointestinal Bleeding Jobin Philipose, MD1, Fady G. Haddad, MD2, Liliane Deeb, MD3; 1Staten Island University Hospital, Northwell Health, New York, NY; 2Staten Island University Hospital, Northwell Health, Staten Island, NY; 3Staten Island University Hospital, Staten Island, NY

P1329. Bleeding Meckel’s Diverticulum: An Alternative Diagnostic Approach Jay Anderson, DO1, David Y. Lo, MD, FACG2, Scott Arlin, MD3, Robert Toscano, MD4; 1OhioHealth, Riverside Methodist Hospital, Columbus, OH; 2Ohio Gastroenterology Group, Inc., The Ohio State University College of Medicine, Columbus, OH; 3Ohio Gastroenterology Group, Inc., Columbus, OH; 4Riverside Surgical Associates, Columbus, OH

IBD

P1330. Infliximab Drug Trough Levels Do Not Correlate With Infectious Complication Risk in Patients With Crohn’s Disease Helen Lee, MD1, Yecheskel Schneider, MD, MS2, Gary R. Lichtenstein, MD3; 1Hospital of the University of Medicine, Philadelphia, PA; 2University of Pennsylvania, Philadelphia, PA; 3Hospital of the University of Pennsylvania, Philadelphia, PA

P1331. Effect of CMV on Outcomes Among Hospitalized Patients With Crohn’s Disease Gaurav Kistangari, MD, MPH1, Rocio Lopez, MS2, Bo Shen, MD3; 1University at Buffalo Jacobs School of Medicine, Buffalo, NY; 2Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 3Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P1332. Histologic Chronic Gastritis Is Not Associated With De novo Crohn’s Disease After Ileal Pouch-Anal Anastomosis Will Takakura, MD1, James Mirocha, MS2, Gayane Ovsepyan, MPH2, Karen Zaghiyan, MD2, Gaurav Syal, MD1, Phillip Fleshner, MD2; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2Cedars-Sinai, Los Angeles, CA

P1333. What Is the Most Cost-Effective Position of Vedolizumab in Treatment Algorithms of Ulcerative Colitis From a Population Management Perspective? Frank I. Scott, MD, MSCE1, Michelle Luo, PhD2, Yash Shah3, Karen Lasch, MD2, James D. Lewis, MD, MSCE4; 1University of Colorado Anschutz Medical Campus; Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Denver, CO; 2Takeda Pharmaceuticals, U.S.A., Inc., Deerfield, IL; 3University of Pennsylvania School of Arts and Sciences, Philadelphia, PA; 4Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA

P1334. Inflammatory Bowel Disease and Risk of Osteoporotic Fractures: A Meta-Analysis Diego Hidalgo, MD, Boonphiphop Boonpheng, MD, Jennifer Phemister, MD, Mark Young, MD; East Tennessee State University, Johnson City, TN

P1335. Patient Education on Inflammatory Bowel Disease (IBD) Guided by Assessments of Patient and Provider Team Perceptions Elisabeth R. Evans, MSN, FNP-BC1, Ellen Scherl, MD, FACP, FACG, NYSGEF2, Laurie Powers Yopp, RN3, Alison Kerekes, PA-C4, Moriane Joseph, MSN, MPH, ARNP5, Laura C. Simone, PhD6, Laurence Greene, PhD6, Tamar Sapir, PhD6; 1University of California San Diego IBD Center, San Diego, CA; 2Weill Cornell Medical College of Cornell University, New York, NY; 3University of North Carolina Inflammatory Bowel Disease Center, Chapel Hill, NC; 4Duke University, Durham, NC; 5University of Miami Leonard M. Miller School of Medicine, Crohn’s and Colitis Center, Miami, FL; 6PRIME Education, Fort Lauderdale, FL

P1336. Fibrosis Scores in Inflammatory Bowel Disease Patients With a History of Ileostomy or Ileal Pouch Surgery With Exposure to Methotrexate and Thiopurines Winnie Szeto, MD1, Laura Chiu, MD2, Robert Wilechansky, MD2, Rahul Bhale2, Li Pei-Hsuan2, Janice Weinberg, ScD3, Michelle Long, MD2, David Nunes, MD2, Francis A. Farraye, MD, MSc2; 1St. Elizabeth’s Medical Center, Brighton, MA; 2Boston Medical Center, Boston, MA; 3Boston University School of Public Health, Boston, MA

P1337. Bariatric Surgery Is a Safe and Effective Option for IBD Patients: A Case Series and Review of the Literature Joshua Hudson, MD, MS1, Edward L. Barnes, MD, MPH2, Hans Herfarth, MD, PhD1, Kim L. Isaacs, MD, PhD3, Animesh Jain, MD1; 1University of North Carolina, Chapel Hill, NC; 2University of North Carolina at Chapel Hill, Chapel Hill, NC; 3University of North Carolina, Chapel HIll, NC

P1338. The Impact of Disease Specific Knowledge on Anxiety, Depression, and Quality of Life in Patients With Inflammatory Bowel Disease Aya Hamadeh, MSc1, Mohamad Chahrour, BS1, Habib El-Khoury, BS1, Jad M. Kfouri, BS1, Mohammad N. Hosni, MD1, Joanna Khalifeh, BS1, Serena Saade, BS1, Nadim Kattouf, BS1, Ala I. Sharara, MD1, Kassem Barada, MD1, Fady Daniel, MD1, Assaad Soweid, MD1, Yasser Shaib, MD1, David Binion, MD, FACG2, Jana G. Hashash, MD, MSc3; 1American University of Beirut Medical Center, Beirut, Beyrouth, Lebanon; 2University of Pittsburgh, Pittsburgh, PA; 3University of Pittsburgh School of Medicine, Pittsburgh, PA

P1339. The Majority of Patients With Inflammatory Bowel Disease Are Interested in Drug Discontinuation Despite Risks Nicole Harrison, MD, John G. McCarthy, MD, Ross J. Humes, MD, Manish Singla, MD; Walter Reed National Military Medical Center, Bethesda, MD

P1340. Lack of Discrepancy in Inflammatory Bowel Disease Hospitalization Outcomes Among Patients of Different Race or Ethnicity Rahul S. Dalal, MD, Gary R. Lichtenstein, MD; Hospital of the University of Pennsylvania, Philadelphia, PA

P1341. A Validated User-Friendly Predictive Tool to Identify Colectomy Risk in Patients with Mild, Moderate, and Severe Ulcerative Colitis Rahul S. Dalal, MD1, Mark T. Osterman, MD, MSCE2, Anna Buchner, MD1, Amy Praestgaard, MS3, Gary R. Lichtenstein, MD1; 1Hospital of the University of Pennsylvania, Philadelphia, PA; 2Penn Presbyterian Medical Center, Philadelphia, PA; 3Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA

P1342. Weekend Discharges Are Not Associated with Increased Readmission Rates for Ulcerative Colitis Hospitalizations Rahul S. Dalal, MD, Gary R. Lichtenstein, MD; Hospital of the University of Pennsylvania, Philadelphia, PA

P1343. A Comparison of Hospitalization Outcomes for Inflammatory Bowel Disease in Academic vs. Non-academic Medical Centers Rahul S. Dalal, MD, Ravy Vajravelu, MD, James D. Lewis, MD, Gary R. Lichtenstein, MD; Hospital of the University of Pennsylvania, Philadelphia, PA

P1344. Treatment and Efficacy Assessment in African American With Inflammatory Bowel Disease Wissam Kiwan, MD1, Shanker D. Kundumadam, MD 2, Pradeep Kathi, MD2, Zaid Kaloti, MD2, Raya Kutaimy, MD2, Mohammed Nayeem, MD3, Ahmad Abu-Heija, MD2, Wadah Ameen, MD 2, Vijay Jarodiya, MD4, Anubhav Jain, MD5, Eugene Verkhovsky, MD6, Paul Naylor, PhD7, Omar Al-Subee, MD, FACG2, Kartikkumar Jinjuvadia, MD, MPH8; 1Wayne State University / Detroit Medical Center, Detroit, MI; 2Wayne State University, Detroit, MI; 3Detroit Medical Center / Wayne State University - Sinai Grace Hospital, Detroit, MI; 4St. Mary Mercy Hospital, Livonia, MI; 5Wayne State University, Rochester, MI; 6Wayne State University, Tucson, AZ; 7Wayne State University School of Medicine, Hazel Park, MI; 8Wayne State University, Troy, MI



P1345. Higher Propofol Dosing Rates Needed for Colonoscopy in Inflammatory Bowel Disease Patients Compared to Non-Inflammatory Bowel Disease Patients Daniel Zhang, MD, Roman Stana, MD, Bincy Abraham, MD, MS; Houston Methodist Hospital, Houston, TX

P1346. Overuse of Tuberculosis Screening Practices in Patients With Inflammatory Bowel Disease on Biologic Therapy Eric Vecchio, MD, Eric Mao, MD, Sean Fine, MD; Brown University, Providence, RI

P1347. Real World Treatment Persistence With Vedolizumab in Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis Dirk Demuth, PhD1, Haridarshan Patel, PharmD2, Shashi Adsul, MD, MBA3; 1Takeda International – UK Branch, London, England, United Kingdom; 2Takeda International, Deerfield, IL; 3Takeda Pharmaceuticals International AG, Zurich, Switzerland

P1348. Phenotypic Manifestations of Inflammatory Bowel Disease in Indian-Americans Compared to Caucasian-Americans: A Single Center Retrospective Study Sanket Patel, DO1, James Dechiara2, Si Yu2, John Gaughan, MS, PhD, MBA1, Satyajeet Roy, MD3, Thomas Judge, MD4, Yize Wang, MD, PhD4; 1Cooper University Healthcare, Camden, NJ; 2Cooper Medical School of Rowan University, Camden, NJ; 3Cooper University Healthcare, Cherry Hill, NJ; 4Cooper University Healthcare, Mt. Laurel, NJ

P1349. Need for Escalation to Systemic Prednisone Therapy After Initiation of Budesonide MMX® in a Real-World Cohort of Patients With Ulcerative Colitis Sydney Greenberg, MD1, Hans Herfarth, MD, PhD1, Edward L. Barnes, MD, MPH2; 1University of North Carolina, Chapel Hill, NC; 2University of North Carolina at Chapel Hill, Chapel Hill, NC

P1350. Routine Immunization Screening Prior to Initiation of Biologic and Immunosuppressive Therapy: A Healthcare Initiative Survey Christine Chen, DO1, Michael Ma, MD2, Jack Husney, MD1, Ilan Weisberg, MD, MSc1; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel Hospital, New York, NY

P1351. Prevalence of Inflammatory Bowel Disease in the U.S. Adult Population: Recent Estimates from Large Population-Based National Databases Yizhou Ye, PhD, MS, Sudhakar Manne, MS, Dimitri Bennett, MD, MPH, FACE, FISPE; Takeda, Cambridge, MA

P1352. Pediatric Inflammatory Bowel Disease in the U.S.: Population-Based Prevalence Estimates From Large National Databases Yizhou Ye, PhD, MS, Sudhakar Manne, MS, Dimitri Bennett, MD, MPH, FACE, FISPE; Takeda, Cambridge, MA

P1353. The Use of Dual Energy Computed Tomography in Evaluating Crohn’s Disease Activity Sean Michael Duenas, MD1, Bari Dane, MD1, David Hudesman, MD2, Grigoriy Gurvits, MD1, Melissa Rosen, MD1, Rebekah Gross, MD1, Sophie Balzora, MD1, Alec Megibow, MD, MPH3, Shannon Chang, MD1; 1NYU Langone Health, New York, NY; 2NYU, New York, NY; 3NYU-Langone Health, New York, NY

P1354. Assessing the Risk of Osteoporosis in Patients with Inflammatory Bowel Disease Muhammad Talal Sarmini, MD, Mohammad Maysara Asfari, MD, Yasser Al-Khadra, MD, Srinivasan Dasarathy, MD, Arthur McCullough, MD; Cleveland Clinic Foundation, Cleveland, OH

P1355. State of the Gastroenterology Physician Workforce With Regard to Inflammatory Bowel Disease Eula Geralyn P. Tetangco, MD, MPH1, Jai Eun Lee, MD2, Supannee Rassameehiran, MD2, Jigar Bhagatwala, MD, MPH2, Hafiz Muhammad Sharjeel Arshad, MD2, Humberto Sifuentes, MD2; 1Augusta University Medical Center, Augusta, GA; 2Augusta University, Augusta, GA

P1356. Vedolizumab Outcomes in Real-world Bio-naive Ulcerative Colitis and Crohn’s Disease Patients (EVOLVE) in North America Andres Yarur, MD1, Marielle Bassel, BA2, Dara Stein, MSc3, Hankyul Kim, MSPH4, Gabriela Radulescu, MD5, Claudia Lopez, DVM, MSc6, Trevor Lissoos, MD, FACG7, Dirk Demuth, PhD8, Brian Bressler, MD, MS, FRCPC9; 1Froedtert & Medical College of Wisconsin, Milwaukee, WI; 2Evidera, Montreal, PQ, Canada; 3Evidera, London, England, United Kingdom; 4Evidera, Waltham, MA; 5Takeda Canada, Inc., Oakville, ON, Canada; 6Takeda Pharmaceuticals U.S.A., Inc., Deerfield, IL; 7Takeda Pharmaceuticals U.S.A., Inc., Elgin, IL; 8Takeda International – UK Branch, London, England, United Kingdom; 9Evidera, Vancouver, BC, Canada

P1357. Home-Based Infusions for Inflammatory Bowel Disease From the Provider and Patient Perspective Gregory J. Eustace, BSc, MD1, Christopher V. Almario, MD1, Brennan M. R. Spiegel, MD, MSHS1, S. Alandra Weaver, MPH2, Corey Siegel, MD, MS3, Gil Melmed, MD1; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2Crohn’s & Colitis Foundation, New York, NY; 3Dartmouth-Hitchcock Medical Center, Lebanon, NH

P1358. Cervical Cancer Screening in Inflammatory Bowel Disease Patients: Practice and Perceptions of Responsibility Among Gastroenterologists and Internists Krishna Patel, DO, Florence-Damilola Odufalu, MD, Muhammad Bader Hammami, MD, Katie S. Schroeder, MD; St. Louis University School of Medicine, St. Louis, MO

P1359. Pregnancy Associated With Lower Occurrence of Inflammatory Bowel Disease Karl Mareth, MD1, Paul T. Kroner, MD, MSc2, Alex M. Kesler, MD2, Juan Corral, MD2, Monia E. Werlang, MD2, Peter Abader, MD2, John Cangemi, MD2; 1Mayo Clinic, Jacksonville, FL; 2Mayo Clinic Florida, Jacksonville, FL

P1360. TELEmedicine for Patients With Inflammatory Bowel Disease (TELE-IBD): A Qualitative Assessment Erin Roth, PhD1, Sarah Chard, PhD1, J. Kevin Eckert, PhD2, Ray Cross, Jr., MD, MS3; 1UMBC/Center for Aging Studies, Baltimore, MD; 2UMBC/Sociology, Anthropology, & Health Administration and Policy, Baltimore, MD; 3University of Maryland School of Medicine, Baltimore, MD

P1361. Perceptions on Shared Management and Primary Care Competencies in Inflammatory Bowel Disease (IBD) Care Informed Through a Gastroenterologist-Led Mentorship Model Ray Cross, Jr., MD, MS1, Tasneem Ahmed, DO2, Richard Chasen, MD, FACG 3, Adam Cheifetz, MD4, Peter D. R. Higgins, MD, PhD, MSc5, Jonathan A. Leighton, MD, FACG6, Ellen Scherl, MD, FACP, FACG, NYSGEF7, Arun Swaminath, MD8, Laura C. Simone, PhD9, Laurence Greene, PhD9, Tamar Sapir, PhD9; 1University of Maryland School of Medicine, Baltimore, MD; 2University of Texas Southwestern Medical Center, Dallas, TX; 3Capital Digestive Care, Laurel, MD; 4Beth Israel Deaconess Medical Center, Boston, MA; 5University of Michigan, Ann Arbor, MI; 6Mayo Clinic Arizona, Scottsdale, AZ; 7Weill Cornell Medical College of Cornell University, New York, NY; 8Hofstra NorthShore-LIJ School of Medicine, New York, NY; 9PRIME Education, Fort Lauderdale, FL

P1362. Efficacy of Thiopurines in Achieving Steroid-Free Remission in a Nationwide Cohort of Ulcerative Colitis Patients Nabeel H. Khan, MD, Chinmay P. Trivedi, MBBS; Corporal Michael J. Crescenz Philadelphia VA Medical Center, Philadelphia, PA

P1363. Prevalence and Severity of Anemia in a Nationwide Cohort of IBD and Non-IBD Patients Nabeel H. Khan, MD, Chinmay P. Trivedi, MBBS; Corporal Michael J. Crescenz Philadelphia VA Medical Center, Philadelphia, PA


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P1364. Ustekinumab Reinduction for Loss of Response or Interruption of Treatment Lauren Evers, MD1, Audrey L. Bennett, MD1, Ailish Garrett, NP1, Caroline Duley, NP1, Kim Annis, PA1, Julianne Wagnon, JD, NSN, FNP-BC2, Robin Dalal, MD1, Elizabeth Scoville, MD, MSCI1, Dawn B. Beaulieu, MD1, David Schwartz, MD1, Sara N. Horst, MD, MPH1; 1Vanderbilt University Medical Center, Nashville, TN; 2Vanderbilt IBD Center, Nashville, TN

P1365. Association of Higher Infliximab Drug Levels with Response Rates of Perianal Crohn’s Disease Nauroz Syed, MD, MHS1, Sara Brown, MD2, Rajiv Perinbasekar, MD1, Alicia Wentz, MS3, Ray Cross, Jr., MD, MS3; 1University of Maryland Medical Center, Baltimore, MD; 2University of Maryland, Nashville, TN; 3University of Maryland School of Medicine, Baltimore, MD

P1366. Intensified Infliximab Induction Dosing in Acute Severe Ulcerative Colitis Nauroz Syed, MD, MHS1, Kaci E. Christian, MD2, Sean Kelly, PharmD3, Alicia Wentz, MS2, Ray Cross, Jr., MD, MS2; 1University of Maryland Medical Center, Baltimore, MD; 2University of Maryland School of Medicine, Baltimore, MD; 3University of Maryland School of Pharmacy, Baltimore, MD

P1367. Small Bowel Cancer Complicating Inflammatory Bowel Disease: A Tertiary Referral Center Experience Sumedha Chablani, MD1, Carlita Shen, MD1, David Binion, MD, FACG2, Claudia Ramos del Aguila de Rivers, MD2; 1University of Pittsburgh Medical Center, Pittsburgh, PA; 2University of Pittsburgh, Pittsburgh, PA

P1368. Histoplasmosis in Inflammatory Bowel Disease Patients on Tumor Necrosis Factor-α Medications Claire Jansson-Knodell, MD, Courtney Moors, MD, Edward V. Loftus, Jr., MD, Randall Walker, MD, Mark Enzler, MD, Abinash Virk, MD; Mayo Clinic, Rochester, MN

P1369. The Impact of Delay in Clostridium difficile Testing on Outcomes in Hospitalized IBD Patients With Gastrointestinal Symptoms Adam Tepler, MD, Manasi Agrawal, MD, Simon Hong, MD, Brad Tricomi, MS, Dana J. Lukin, MD, PhD, FACG; Montefiore Medical Center, Bronx, NY

P1370. Osteoarticular Manifestations in Inflammatory Bowel Disease: The Experience of a Tertiary Center Ana Santos, MD, Susana Lopes, MD, PhD, Rui Gaspar, MD, Patricia Andrade, MD, Amadeu Corte-Real, MS, Guilherme Macedo, MD, PhD, FACG; Centro Hospitalar São João, Porto, Portugal

P1371. Presentation and Outcomes Among Hospitalized Inflammatory Bowel Disease Patients With Concurrent Pneumatosis Intestinalis Youran Gao, MD1, Michael Ashamallah, MD2, Meka Uffenheimer3, Gregory Grimaldi, MD3, Keith Sultan, MD3; 1Northwell Health, Hofstra School of Medicine, Rego Park, NY; 2Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY; 3Northwell Health, Hofstra School of Medicine, Manhasset, NY

P1372. Enteral Nutrition Associated with Decreased Risk of Postoperative Recurrence of Crohn’s Disease Anish H. Patel, MD1, Felix Lui, MD1, Douglas Nguyen, MD2; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine Medical Center, Anaheim, CA

P1373. Efficacy and Tolerability of a Biosimilar Infliximab Switch - A Large Single-Centre Experience From the U.K. Anirudh Pramod Bhandare, MBBS, MD 1, Gaurav Bhasker Nigam, MBBS, DNB1, Shadab Nayeemudin, MBBS, MRCP1, Jimmy K. Limdi, MD, FACG, FRCP, FRCPE2; 1Pennine Acute Hospitals Trust, Manchester, England, United Kingdom; 2Pennine Acute Hospitals Trust, Bury, England, United Kingdom

P1374. Incidental Diagnosis of Inflammatory Bowel Disease From the English Bowel Cancer Screening Programme: Follow-Up of the First Reported Cohort Anirudh Pramod Bhandare, MBBS, MD 1, Gaurav Bhasker Nigam, MBBS, DNB1, Rhys Owain Butcher, MB ChB, MD2, Jimmy K. Limdi, MD, FACG, FRCP, FRCPE3; 1Pennine Acute Hospitals Trust, Manchester, England, United Kingdom; 2Blackpool Victoria Hospital, Blackpool, England, United Kingdom; 3Pennine Acute Hospitals Trust, Bury, England, United Kingdom

P1375. Dermatological Reactions Associated With Anti-TNF Therapy in Inflammatory Bowel Disease: A Single-Centre, 13-Year Experience Anirudh Pramod Bhandare, MBBS, MD 1, Rizwan Diyar, MBBS, MRCP2, Jo Taylor, BSC1, Jimmy K. Limdi, MD, FACG, FRCP, FRCPE3; 1Pennine Acute Hospitals Trust, Manchester, England, United Kingdom; 2North West Deanery, Manchester, England, United Kingdom; 3Pennine Acute Hospitals Trust, Bury, England, United Kingdom

P1376. Unique Differences in Breath Test Gas Patterns in Inflammatory Bowel Disease (IBD) Compared to Non-IBD Patients: A Large-Scale Database Linkage Analysis Phillip Gu, MD1, Devin Patel, MD2, Krutika Lakhoo, MD2, Jeffrey Ko, MD2, Xiaochen Liu, MSc2, Shrey Mathur, BS2, Bianca W. Chang, MD3, Dana Pan, MD4, Greg Lentz5, Matthew Sonesen2, Renier Estiandan2, Eugenia Lin, BS2, Mark Pimentel, MD2, Ali Rezaie, MD, MSc2; 1University of Texas Southwestern, Dallas, TX; 2Cedars-Sinai Medical Center, Los Angeles, CA; 3University of Chicago, Chicago, IL; 4University of California Davis, Sacramento, CA; 5CSHS, Los Angeles, CA

P1377. Probiotics Treatment in Ulcerative Colitis: A Systematic Review and Meta-Analysis of Randomized Clinical Trial Muhammed Khaled Elfaituri1, Mina Fransawy Alkomos, MD2, Tran Thai Huu Loc3, Nguyen Thi Linh Hue, MD4, Abdulmoate Alhadi Alshareef5, Ammar Kalo6, Nada Gaballa7, Mai Nhu Y8, Saed Enabi9, Tarek Ahmed10, Thai Le Ba Nghia11, Bisher Sawaf, MD12, Sherihan E. Galal13, Nguyen Tien Huy, MD, PhD14; 1Tripoli University, Tripoli, Tripoli, Libya; 2Ain shams University hospitals, Cairo, Al Qahirah, Egypt; 3Vietnam National University, Ho Chi Minh City, Ho Chi Minh, Vietnam; 4Vo Truong Toan University, Ha Giang, Vietnam; 5Zawia Medical College, University of Zawia, Azzawiya, Az Zawiyah, Libya; 6Mansoura University, Mansoura, Ad Daqahliyah, Egypt; 7Al-Azhar University, Cairo, Al Qahirah, Egypt; 8Vo Truong Toan University, Hau Giang, Vietnam; 9Suliaman Al-Rajhi Colleges, Al Bukayriyah, Al Bahah, Saudi Arabia; 10Alexandria Faculty of Medicine, Alexandria, Al Iskandariyah, Egypt; 11Faculty of Medicine, Vo Truong Toan University, Hau Giang, Vietnam; 12Syrian Private University, Damascus, Dimashq, Syria; 13Misr University for Science and Technology, 6th of October City, Al Jizah, Egypt; 14Nagasaki University, Nagasaki, Japan

P1378. Failure of Vedolizumab as First-Line Biologic Does Not Decrease Response Rates of Second-Line Therapy Timothy E. Ritter, MD1, Chris Fourment, MD1, Tracy C. Okoro, PharmD2, Thomas C. Hardin, PharmD2, Lucinda J. Van Anglen, PharmD2; 1Texas Digestive Disease Consultants, PA, Southlake, TX; 2Healix Infusion Therapy, Sugar Land, TX

P1379. Can We Develop Precision Medicine for Biologic Selection in IBD Based on Routinely Available Clinical Information? Using Big Data Analytics to Identify Predictors of Anti-TNF Response Scott Friedberg, MD1, Claudia Ramos del Aguila de Rivers, MD2, weston Bettner, MD1, Marc Schwartz, Dmitriy Babichenko, MSIS3, Gong Tang, PhD2, Michael Dunn, MD, FACP1, Tanvi Nagpal, MS4, Ioannis Koutroubakis, MD4, Michelle Luo, PhD5, Brian Talon, PharmD6, David Zepeda, MD7, David Binion, MD, FACG2; 1University of Pittsburgh Medical Center, Pittsburgh, PA; 2University of Pittsburgh, Pittsburgh, PA; 3University of Pittsburgh School of Computing and Information, Pittsburgh, PA; 4Pittsburgh, PA; 5Takeda Pharmaceuticals, U.S.A., Inc., Deerfield, IL; 6Takeda Pharmaceuticals, Deerfield, IL; 7Takeda, Deerfield, IL



P1380. Association of Novel Inflammatory Markers TREM1 & TREM2 with Vitamin D Levels in Inflammatory Bowel Disease Mounika Mounika, MBBS, D. K. Agrawal, MS, PhD, Robert Kizer, MD; Creighton University, Omaha, NE

P1381. Full, Partial, or Modified: Understanding Relationships Between Permutations of the Mayo Score in Real-World Ulcerative Colitis Patients April Naegeli, DrPH, MPH1, Xiang Zhang, PhD1, Theresa Hunter, PhD, MPH, MS1, Ben Hoskin, BSc2, Chloe Middleton, BS2, James Hetherington, BS2, Diana Stefani-Hunyady, MD, MBA1, James Canavan, MD, PhD1; 1Eli Lilly and Company, Indianapolis, IN; 2Adelphi Real World, Macclesfield, England, United Kingdom

P1382. The Prevalence of Opportunistic Infections in Crohn’s Disease and Ulcerative Colitis Varies by Gender Mohammed Z. Sheriff, MD1, Emad Mansoor, MD2, Mohannad Abou Saleh, MD1, Maneesh Dave, MD, MPH1; 1University Hospitals Cleveland Medical Center, Cleveland, OH; 2Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH

P1383. Coping with Crohn’s and Colitis: Cognitive Behavioral Therapy Self-Help Book Improves Health Related Quality of Life for Inflammatory Bowel Disease Patients Presidential Poster Award Melissa Hunt, PhD1, Paddy Loftus1, Mary Keenan, MA1, Michael Accardo, MA1, Mark T. Osterman, MD, MSCE2; 1University of Pennsylvania, Philadelphia, PA; 2Penn Presbyterian Medical Center, Philadelphia, PA

P1384. Utilizing Therapeutic Drug Monitoring of Biological Therapy in Inflammatory Bowel Disease Konstantinos Papamichail, MD, PhD1, Adam Cheifetz, MD1, Gil Melmed, MD2, Peter Irving, MA, MD, FRCP3, Niels Vande Casteele, PharmD, PhD4, Patricia Kozuch, MD5, Laura Raffals, MD, MS6, Leonard Baidoo, MD7, Brian Bressler, MD, MS8, Shane Devlin, MD, FRCPC9, Jennifer Jones, MD, MSc10, Gilaad Kaplan, BSc, MS, MD9, Miles Sparrow, MD, PhD, MBBS11, Fernando Velayos, MD12, Thomas Ullman, MD, FACG13, Corey Siegel, MD, MS14; 1Beth Israel Deaconess Medical Center, Boston, MA; 2Cedars-Sinai Medical Center, Los Angeles, CA; 3Guy’s and St. Thomas’ NHS Foundation Trust, London, England, United Kingdom; 4University of California San Diego, San Diego, CA; 5Jefferson University, Philadelphia, PA; 6Mayo Clinic, Rochester, MN; 7Northwestern University Feinberg School of Medicine, Chicago, IL; 8University of British Columbia, Vancouver, BC, Canada; 9University of Calgary, Calgary, AB, Canada; 10Dalhousie University, Halifax, NS, Canada; 11Alfred Hospital, Melbourne, Victoria, Australia; 12Kaiser Permanente-San Francisco, San Franscisco, CA; 13Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY; 14Dartmouth-Hitchcock Medical Center, Lebanon, NH

P1385. National Inpatient Mortality Trends of Adult Patients With Inflammatory Bowel Disease From 1993 to 2014 Jie Yu, MD1, Bashar M. Attar, MD, PhD2, Vikram Kotwal, MD2, John Erikson Yap, MD1; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Cook County Health and Hospitals System, Chicago, IL

IBD Clinical Vignettes / Case Reports

P1386. Orbital Myositis as a Presenting Symptom of Exacerbation of Crohn’s Disease Ghassan Sayegh, DO, MBA1, Brandon Schneider, DO, MPH2; 1Orange Regional Medical Center, Congers, NY; 2Orange Regional Medical Center, Middletown, NY

P1387. A Rare and Unusual Case of Healing Pyoderma Gangrenosum in Uncontrolled Crohns’ Disease David Choi, DO1, John Choi, BS2, Andrea Miller-Lari, DO3, Linoj Panicker, DO3, Jamie Skrove, DO1, Javier Sobrado, MD1; 1Larkin Community Hospital, Miami, FL; 2Kentucky College of Osteopathic Medicine, Bowling Green, KY; 3Larkin Community Hospital, South Miami, FL

P1388. Elevated Lipase in Newly Diagnosed IBD: Reluctance or Impetus for Treatment? Frank Senatore, MD1, Hadie Razjouyan, MD2; 1Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; 2Rutgers Robert Wood Johnson Medical School, Franklin Park, NJ

P1389. Pointing Fingers at Multiple Culprits: A Case of Atypical Pyoderma Gangrenosum of the Finger Ahmad Nakshabandi, MD1, James Topilow, BSc2, Sandeep Nadella, MD3, Rohan Mandaliya, MD4, Mark Mattar, MD, FACG3; 1Mercy Hospital and Medical Center/University of Illinois, Chicago, IL; 2Georgetown University, Washington, DC; 3MedStar Georgetown University Hospital, Washington, DC; 4Georgetown University Hospital, Washington, DC

P1390. Cardiac Toxicity Due to High-Dose Loperamide Therapy Jared Rejeski, MD, Neel Patel, MD, Richard Bloomfeld, MD; Wake Forest School of Medicine, Winston-Salem, NC

P1391. Adalimumab Associated Pancytopenia and Reversible Lymphadenopathy Rohit Jain, MBBS1, Ravi Patel, DO1, Kirk Jones, PharmD2, Zain Ayaz, MD3, Jonathan Walburn, MD2, Julie Caler, PharmD3; 1Hershey Medical Center, Hershey, PA; 2Western Maryland Health System, Cumberland, MD; 3Western Maryland Health System, Cumberland, PA

P1392. Case of Invasive Metastatic Breast Cancer Mimicking Crohn’s Disease Jonah Rubin, MD, MA, Kaci E. Christian, MD, Uni Wong, MD, Ray Cross, Jr., MD, MS, Andrea Bafford, MD, Seema Patil, MD; University of Maryland School of Medicine, Baltimore, MD

P1393. Ileal Adenocarcinoma with Liver Metastasis in Patient with Crohn’s Disease: A Case with Prolonged Survival Jiten P. Kothadia, MD1, Deepa H. Nagaraju, MD1, Seymour Katz, MD, MACG2, Howard Bruckner, MD3, Steven H. Itzkowitz, MD4, Myron Schwartz, MD4; 1Integris Baptist Medical Center, Oklahoma City, OK; 2NYU Langone Medical Center, Great Neck, NY; 3Bruckner Oncology, Bronx, NY; 4Icahn School of Medicine at Mount Sinai, New York, NY

P1394. A Novel Use of Open-Capsule Budesonide for Microscopic Colitis Kristen Selema, DO1, Leyla Maric, MD2, Alison Schneider, MD2, Pablo Bejarano, MD2; 1Cleveland Clinic Florida, Fort Lauderdale, FL; 2Cleveland Clinic Florida, Weston, FL

P1395. Endoscopic Remission of Ulceratie Pancolitis Induced by Qing-Dai After Biologic Therapy Failure Joseph Jennings, MD1, Anita Sivaraman, MD1, Mark Mattar, MD, FACG2; 1Georgetown University Hospital, Washington, DC; 2MedStar Georgetown University Hospital, Washington, DC

P1396. A Case Report of a Rare Complication With a Confusing Presentation - Colonic Lymphoma Mimics Ulcerative Colitis Flare Yasir Al-Azzawi, MD, MPH1, Rohit Singhania, MD2, David Desilets, MD, PhD3; 1Baystate Health Center, Allston, MA; 2Baystate Health Center, Springfield, MA; 3University of Massachusetts Medical School - Baystate Medical Center, Springfield, MA

P1397. A Head-Scratcher: Humira Causing Enthesitis of the Skull in a Patient with Crohn’s? Vivian Lee, BS, Nadeem Tabbara, BA, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC


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P1398. Tumor Protein 63-related Disorders and Its Association With Crohn’s Disease Caleb B. Hudspath, DO, John Ellis, MD, Peter Eum, DO, Pedro Manibusan, DO, MBA; Tripler Army Medical Center, Honolulu, HI

P1399. Particularly Peculiar: Pulmonary Necrobiotic Nodules in the Crohn’s Patient Irma Hashmi, DO, Boskey Patel, DO , Krunal Patel, MD, John Zawacki, MD; University of Massachusetts Medical Center, Worcester, MA

P1400. IBD in Camouflage or Are There Similarities?: A Case of Cronkhite-Canada Syndrome Yilien Alonso, MD1, Kevin P. Cowley, MD1, Mona Bansal, MD2, Matthew C. Rice, MD3, Shamita Shah, MD1; 1Ochsner Clinic Foundation, New Orleans, LA; 2Ochsner Health System, New Orleans, LA; 3Ochsner Medical Center, New Orleans, LA

P1401. A Rare Case of Crohn’s Disease Presenting with a Massive GI Bleeding in a Patient with Hemophilia A Ahmed Hamed, MD, Karissa Lambert, MD, Amira Hamed, Sabeen Abid, MD; East Carolina University, Greenville, NC

P1402. Vancomycin in Treatment of Immune Mediated Pouchitis Komal Thind, MD1, Bo Shen, MD2, Rehan Farooqi, MD3; 1Cleveland Clinic, Akron General, Akron, OH; 2Cleveland Clinic Digestive Disease Institute, Cleveland, OH; 3MedStar Union Memorial Hospital, Baltimore, MD

P1403. A Case of Small Bowel Adenocarcinoma in a Patient with Quiescent Crohn’s Disease Breton Roussel, MD1, Shannon Simmons, MD1, Laura Massa, ARNP1, Jesse Hart, DO1, Natalia Belova, MD2, Sarah Hyder, MD2, Thomas DeNucci, MD1; 1Warren Alpert Medical School of Brown University, Providence, RI; 2Brown University/Rhode Island Hospital, Providence, RI

P1404. Hemophagocytic Lymphohistiocytosis in a Patient With Crohn’s Disease Breton Roussel, MD, Valerie Carter, MD, Chiazotam Ekekezie, MD, Erick Argueta, MD, Colleen R. Kelly, MD, Matthew D. Jankowich, MD; Warren Alpert Medical School of Brown University, Providence, RI

P1405. Crohn’s Disease Masquerading Ileal Signet Ring Cell Carcinoma: Case Report Muhammad B. Hammami, MD1, Maaz Sohail, MD2, Edward Horvath, MD1; 1Florida Atlantic University, Boynton Beach, FL; 2Florida Atlantic University, Boca Raton, FL

P1406. The Great Imitator: Secondary Syphilis Mimicking Primary Sclerosing Cholangitis and Inflammatory Bowel Disease Marielys Figueroa Sierra, MD, MS, Thomas Shuman, MD, Nicholas Young, MD, Kenneth Singhel, MD, Stephanie Taylor, MD; Carolinas Medical Center, Charlotte, NC

P1407. A Case of Severe De novo Ulcerative Colitis Following Ixekizumab Therapy Jobin Philipose, MD1, Moiz Ahmed, MD2, Stephen Mulrooney, MD3, Vivek V. Gumaste, MD1; 1Staten Island University Hospital, Northwell Health, New York, NY; 2Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, New York, NY; 3Staten Island University Hospital, Northwell Health., New York, NY


P1408. A Prospective Study on the Feasibility of a Novel Endoscopic Papillectomy to Prevent Postoperative Bleeding Lei Jiang, MD, Enqiang Linghu, MD, PhD, Ningli Chai, MD, PhD, Chen Du, MS; Chinese PLA General Hospital, Beijing, People’s Republic of China

P1409. Comparative Study on the Perioperative Invasiveness of Endoscopic Submucosal Dissection for Gastric Cancer Between Elderly and Non-Elderly Patients Daisuke Chinda, MD, PhD, Tadashi Shimoyama, MD, PhD, Tetsu Arai, MD, Kuniaki Miyazawa, MD, PhD, Shiro Hayamizu, MD, PhD, Tetsuya Tatsuta, MD, PhD, Hidezumi Kikuchi, MD, PhD, Manabu Sawaya, MD, PhD, Tatsuya Mikami, MD, PhD, Shinsaku Fukuda, MD, PhD; Hirosaki University Graduate School of Medicine, Hirosaki-shi, Aomori, Japan

P1410. An Exclusive Fine Needle Biopsy Approach to Sampling Solid Lesions Under EUS Guidance: A Case-Controlled Study Presidential Poster Award Lindsey Temnykh, MD1, Mahmoud Rahal, MD1, Zahra Zia, MD2, Harsh Patel, MD3, Mohammad Al-Haddad, MD, MSc1; 1Indiana University School of Medicine, Indianapolis, IN; 2Indiana University, Indianapolis, IN; 3Indiana University School of Medicine, Carpentersville, IL

P1411. Clinical Outcomes and Efficacy of a New Endoscopic Ultrasound Program in a Community Hospital Raiya Sarwar, MD1, Aya Deif, MD1, Andy Guo2, Andres Garza, MD3, Marla Perez, MD4, Wael Youssef, MD, FACG1; 1Carle Foundation Hospital, Urbana, IL; 2University of Illinois College of Medicine at Rockford, Rockford, IL; 3George Washington University, Washington, DC; 4UIUC, Urbana, IL

P1412. Impact of Biliary Stent Choice on Proton Beam Radiotherapy Dose Distribution Xiao Jing Wang, MD, Erik Tryggestad, PhD, Nicholas Remmes, PhD, Christopher Hallemeier, MD, Chris Beltran, PhD, Jon Kruse, PhD, Michael Haddock, MD, Aurelie Garant, MD, Ferga Gleeson, MD, Elizabeth Rajan, MD, Michael Levy, MD, Barham K. Abu Dayyeh, MD, MPH, John Martin, MD, Vinay Chandrasekhara, MD, Bret Petersen, MD, Mark Topazian, MD, Andrew C. Storm, MD; Mayo Clinic Rochester, Rochester, MN

P1413. Efficacy and Complications of Self-Expendable Metal Stents (SEMS) for Malignant Colonic and Extra-Colonic Strictures Xiao Jing Wang, MD1, Victor Chedid, MD2, Andrew C. Storm, MD1, Amindra Arora, MBBS, Chir1; 1Mayo Clinic Rochester, Rochester, MN; 2Mayo Clinic, Rochester, MN

P1414. Outcomes of 4 French Pancreatic Stent Placement in Difficult Biliary Cannulation Shishira Bharadwaj, MD1, Aymeric Becq, MD1, Jeremy R. Glissen Brown, MD2, Baran Bulent, MD1, Jonah Cohen, MD1, Moamen M. Gabr, MD, MSc1, Tyler M. Berzin, MD, MS1, Mandeep S. Sawhney, MD, MS, MBBS1, Douglas K. Pleskow, MD, FACG1; 1Beth Israel Deaconess Medical Center, Boston, MA; 2BIDMC/Harvard Medical School, Boston, MA

P1415. Efficacy and Safety of Endoscopic Ultrasound-Guided Liver Biopsy - A Systematic Review and Meta-Analysis Babu P. Mohan, MD1, Mahendran Jayaraj, MD2, Tarun Rustagi, MD3, Rajesh Krishnamoorthi, MD4; 1University of Alabama at Birmingham, Birmingham, AL; 2University of Nevada Las Vegas, Las Vegas, NV; 3University of New Mexico, Albuquerque, NM; 4Virginia Mason Medical Center, Seattle, WA

P1416. Hospital Teaching Status and the Effect on Endoscopic Retrograde Cholangiopancreatography Mortality and Complications in the United States Laura Rotundo, MD, Faiz Afridi, MD, Mirela Feurdean, MD, Sushil Ahlawat, MD; Rutgers University, New Jersey Medical School, Newark, NJ



P1417. Outcomes of Endoscopic Ultrasound-Guided Biliary Drainage: A Systematic Review and Meta-Analysis Abdellah Hedjoudje; Besancon University Hospital, Besançon, Franche-Comte, France

P1418. Comparison of Efficacy and Safety of Endoscopic Mucosal Resection versus Endoscopic Submucosal Dissection in Treating Barrett’s Esophagus Lesions Vignesh Vudatha, BS1, Kishan Padalia, BS1, Evgeny Idrisov, MD2, Muhammad Hasan, MD2; 1University of Central Florida College of Medicine, Orlando, FL; 2Florida Hospital, Orlando, FL

P1419. The Utility of Endosonographic Evaluation of the Liver Despite a Normal Pre-Procedural Imaging Study for Patients Undergoing EUS for Pancreatic Masses Yousef Abdel-Aziz1, Tariq Hammad, MD2, Thaer Abdelfattah, MD1, Yaseen Alastal, MPH1, Ali Nawras, MD1; 1University of Toledo Medical Center, Toledo, OH; 2Baylor College of Medicine, Houston, TX

P1420. Long-Term Maintenance of Weight Loss Following Removal of Intragastric Balloon (IGB) Sylvia Pytraczyk, MD1, Lawrence B. Cohen, MD, MSc, FRCP(C), FACG2; 1Sunnybrook Health Sciences Centre, Toronto, ON, Canada; 2University of Toronto, Toronto, ON, Canada

P1421. Endoscopic Ultrasound (EUS)-Guided Therapy of Gastric Varices: A Systematic Review and Pooled Analysis Chandraprakash Umapathy, MD, MS1, Madhav Desai, MD2, Umesha Naragalu Boregowda, MD3, Mahesh Gajendran, MD, MPH4, Helen Wong, MD5, Marina Roytman, MD1, Shreyas Saligram, MD6; 1University of California San Francisco Fresno, Fresno, CA; 2KUMC, Overland Park, KS; 3CRMC, Fresno, CA; 4Texas Tech University Health Sciences Center, El Paso, TX; 5VA Central California Health Care System, Fresno, CA; 6University of California San Francisco, Fresno, CA

P1422. A Single Academic Center Evaluation of Tacrolimus and Post-ERCP Pancreatitis Nicholas G. Brown, MD, Harika Gorti, MD, Khuram Bari, MD, Shimul A. Shah, MD, Sampath Poreddy, MD; University of Cincinnati College of Medicine, Cincinnati, OH

P1423. Same Day ERCP and Cholecystectomy for Choledocholithiasis: A Single Community Center Experience Krupa Shah, DO1, Sidharth Bhandari, DO1, Edward Jurkovic, DO1, Joseph Hanks2, Ashish Shah, MD1; 1Midwestern University, Riverside Medical Center, Kankakee, IL; 2Riverside Medical Center, Kankakee, IL

P1424. Factors Associated With Loss of Clinical Response to Gastric Per-Oral Endoscopic Pyloromyotomy (GPOEM) for Refractory Gastroparesis Neil Kapil, MD1, Cicily Vachaparambil, MD2, Parit Mekaroonkamol, MD1, Vaishali Patel, MD, MHS2, Baiwen Li, MD2, Hui Lou, MD2, Shanshan Shen, MD2, Huimin Chen, MD2, Steve Keilin, MD3, Field Willingham, MD, MPH1, Qiang Cai, MD, PhD3; 1Emory University School of Medicine, Atlanta, GA; 2Emory University Hospital, Atlanta, GA; 3Emory University, Atlanta, GA

P1425. Impact of Double Balloon Enteroscopy (DBE) on Resource Utilization for Evaluation of Obscure Gastrointestinal Bleeding Zunirah Ahmed, MD1, Krishna Venkatta, MD1, Tasnia Matin, MD2, Kondal Rao Kyanam Kabir Baig, MD3, C. Mel Wilcox, MD4, Shajan Peter, MD4; 1UAB Montgomery, Montgomery, AL; 2UAB Birmingham VA Medical Center, Birmingham, AL; 3UAB, Birmingham, AL; 4University of Alabama at Birmingham, Birmingham, AL

P1426. Role of Double Balloon Enteroscopy in Post-Bariatric Surgery Patients Tasnia Matin, MD1, Ben Nunley, MD2, Zunirah Ahmed, MD3, Shajan Peter, MD4; 1UAB Birmingham VA Medical Center, Birmingham, AL; 2UAB Hospital, Birmingham, AL; 3UAB Montgomery, Montgomery, AL; 4University of Alabama at Birmingham, Birmingham, AL

P1427. Endoscopic Ultrasound-Guided Gallbladder Drainage Is Potentially a Safer and Efficacious Treatment of Choice in High-Risk Patients, as Opposed to Percutaneous Transhepatic Gallbladder Drainage Neil Vyas, MD1, Sofi Aijaz, MD2, Nantha Surkunalingam, DO2, Shruti Mony, MD3, Toufic Kachaamy, MD4, Nisha M. Singh, MD3, Ananya Das, MD2, Farhoud Khosravi, DO5, Mankanwal S. Sachdev, MD2; 1St. Joseph’s Hospital and Medical Center, Phonix, AZ; 2Arizona Centers for Digestive Health, Gilbert, AZ; 3St. Joseph’s Hospital and Medical Center, Phoenix, AZ; 4Cancer Treatment Centers of America, Goodyear, AZ; 5Arizona Centers for Digestive Health, Phoenix, AZ

P1428. Fine Needle Biopsy Is Superior to Fine Needle Aspiration in Endoscopic Ultrasound Guided Sampling of Suspected Gastrointestinal Stromal Tumors: A Large Multi-Center Study Arvind Trindade, MD1, Petros Benias, MD2, Mohammed Alshelleh, MD2, Ahmad Bazarbashi, MD3, Benjamin Tharian, MD4, Sumant Inamdar, MD4, Neil Sharma, MD5, Christina Zelt, MSN6, Praneet Korrapati, MD7, Mohamed Barakat, MD7, Marvin Ryou, MD8; 1Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Edgewater, NJ; 2Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, NY; 3Brigham & Women’s Hospital, Boston, MA; 4University of Arkansas for Medical Sciences, Little Rock, AR; 5Parkview Health System, Parkview, IN; 6Parkview Health, Fort Wayne, IN; 7Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, New York, NY; 8Brigham & Women’s Hospital/Harvard Medical School, Boston, MA

P1429. Efficacy and Safety of Endoscopic Ultrasound (EUS)-Guided Choledochoduodenostomy (CDD): A Systematic Review and Meta-Analysis Rajesh Krishnamoorthi, MD1, Babu P. Mohan, MD2, Mahendran Jayaraj, MD3, Joanna K. Law, MD1, Michael Larsen, MD1, Andrew Ross, MD1, Richard Kozarek, MD1, Shayan Irani, MD1; 1Virginia Mason Medical Center, Seattle, WA; 2University of Alabama at Birmingham, Birmingham, AL; 3University of Nevada Las Vegas, Las Vegas, NV

P1430. Diagnostic Yield of a Conventional Endoscopic Ultrasound-Fine Needle Aspiration (EUS-FNA) and Two Endoscopic Ultrasound-Fine Needle Biopsy (EUS-FNB) Needles: A Single-Center, Retrospective Study Fareha Iqbal, MD1, Anupam Aditi, MD2, Brian L. Huang, MD1, Ardene Ballonado, NP1, Muhammad Hassan, MD3, Mustafa A. Arain, MD1; 1University of California San Francisco, San Francisco, CA; 2InSite Digestive Health, Daly City, CA; 3Stanford University, Palo Alto, CA


P1431. Biliary Stent Migration Causing Duodenal Perforation: An Uncommon Complication of a Common Procedure Mohamad Mubder, MD1, Altaf Dawood, MD2, Ranjit Makar, MD2, Annie S. Hong, MD3, Shahid Wahid, MD2; 1University of Nevada Las Vegas, Las Vegas, NV; 2University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 3University of Las Vegas School of Medicine, Las Vegas, NV

P1432. An Esophageal Perforation Due to an Infected Duplication Cyst - Avoiding Surgery Is Still Possible! Mouhanna K. Abu Ghanimeh, MD1, Hafsa Abdulla, MD2, Mahmoud Isseh, MD1, Laith Numan, MD3, Tobias Zuchelli, MD1; 1Henry Ford Hospital, Detroit, MI; 2Henry Ford Health System, Detroit, MI; 3University of Missouri, Kansas City, MO

P1433. Malignant Esophago-Pericardial Fistula Complicated by Purulent Pericarditis and Tamponade Treated With an Esophageal Stent With High Radial Force and Secured With Endoscopic Sutures Richard Bower, MD, R. Daniel Lawson, MD; Naval Medical Center San Diego, San Diego, CA


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P1434. A Case of Endoscopic Mucosal Resection of Gastric Metastasis From Renal Cell Carcinoma Without Recurrence Nima Y. Raminfar, DO1, Katherine Fung, DO2, Devarajan Iyengar, MD2, Kovil Ramasamy, MD2; 1CarePoint Health Bayonne Medical Center, Brooklyn, NY; 2CarePoint Health Bayonne Medical Center, Bayonne, NJ

P1435. Extrahepatic Pancreatobiliary Obstruction Causing Recurrent Symptoms - Just Another Diverticulum? Mihajlo Gjeorgjievski, MD, Ahmed I. Edhi, MD, Alan Cutler, MD, Mitchell S. Cappell, MD, PhD; William Beaumont Hospital, Royal Oak, MI

P1436. Long-Term Safety and Durability of EUS-Guided Gastrojejunostomy With Lumen-Apposing Metal Stent Zain Moosvi, MD1, Michelle Park, MD1, David P. Lee, MD, MPH2, Jason Samarasena, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine, Orange, CA

P1437. Non-Malignant Gastric Outlet Obstruction: Therapy With Endoscopic Ultrasound Guided Gastrojejunonostomy Andrew C. Lee, MD1, Brian L. Huang, MD2, Mustafa A. Arain, MD2; 1Wellspan Health - York Hospital, York, PA; 2University of California San Francisco, San Francisco, CA

P1438. Novel Technique for Challenging Lesion: Full Thickness Resection of a Suspected Polyp at Ileo-Anal Anastomosis Site Danial Daneshvar, MD1, Hafiz Khan, MD1, Jobin Philipose, MD2, Sherif Andrawes, MD1; 1Staten Island University Hospital, Staten Island, NY; 2Staten Island University Hospital, Northwell Health, New York, NY

P1439. Recurrent Pancreatic Pseudocyst: Manage the Cyst but Don’t Forget the Duct Ingrid Schwartz, MD1, Priscila Santiago, MD1, Mohit Girotra, MD, FACP2; 1University of Miami Leonard M. Miller School of Medicine / Jackson Memorial Hospital, Miami, FL; 2University of Miami Leonard M. Miller School of Medicine, Miami, FL

P1440. Upper Gastrointestinal Bleeding From Cholecystogastrostomy Lumen-Apposing Metal Stent (LAMS) Sergio A. Sánchez-Luna, MD1, Rishabh Gulati, MD1, Swathi Paleti, MD1, Gulshan Parasher, MD1, Tarun Rustagi, MD2; 1The University of New Mexico School of Medicine, Albuquerque, NM; 2University of New Mexico School of Medicine, Albuquerque, NM

P1441. Peri Ampullary Complications and How to Fix Them Heba Ashraf, MD; Thomas Jefferson University Hospital, Philadelphia, PA

P1442. Blastomycosis Diagnosed by EUS-FNA: An Unsual Modality of Diagnosis Anupama Inaganti, MD1, Samit K. Datta, MD2, Brian Moloney, MD3; 1Aurora Sinai Medical Center, Brookfield, WI; 2Aurora Sinai Medical Center, Milwaukee, WI; 3GI Associates, Milwaukee, WI

P1443. When the Good Becomes the Bad: A Case of Lactobacillus rhamnosus Septicemia Unrelated to Probiotic Use Mohammed Nayeem, MD1, Nida Firdous, MD2, My-Tang Dang, DO, PhD3, Wasif Hafeez, MD2, Camelia Arsene, MD, PhD, MHS2; 1Detroit Medical Center / Wayne State University - Sinai Grace Hospital, Detroit, MI; 2Detroit Medical Center/Sinai Grace Hospital, Detroit, MI; 3Authority Health, Sterling Heights, MI

P1444. Endoscopic Transcecal Appendectomy: A Novel Option for the Treatment of Appendiceal Polyps Bingrong Liu, PhD, MD; The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, People’s Republic of China

P1445. Endoscopic Repair of a Transesophageal Echocardiography-Induced Distal Esophageal Perforation Li Pang, MD1, Zaid H. Tafesh, MD2, Amin Khalifeh-Soltani, MD, MPH2, Kristina Fernandez, MD3, Monica Saumoy, MD, MS4, Reem Z. Sharaiha, MD, MSc2, David Wan, MD2; 1Tongji Hospital/ Tongji University School of Medicine, Shanghai, People’s Republic of China; 2New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY; 3New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY; 4New York Presbyterian Hospital, New York, NY

P1446. Endoscopic Ultrasound Isolates Type B Aortic Dissection Kruthika Bachali, BA, Daryl Ramai, MD, MScBR, Vahe Shahnazarian, MD, MPH, Denzil Etienne, MD, Madhavi Reddy, MD, FACG, Krishna C. Gurram, MD; The Brooklyn Hospital Center, Brooklyn, NY

P1447. A Unique Diagnosis of Metastatic Prostate Adenocarcinoma Benjamin Schmidt, MD1, Promila Banerjee, MD, FACP, FACG2, Jack Leya, MD3, Shaun Boyes, MD1; 1Loyola University Medical Center, Maywood, IL; 2Hines VA Hospital, Hines, IL; 3Hines VA Hospital, Maywood, IL

P1448. Simultaneous Endoscopic Transmural Drainage of Three Infected Cystic Walled-Off Pancreatic Fluid Collections Tehseen Haider, MD1, Harish Guddati, MD1, Sammy Ho, MD, FACG2; 1Montefiore Medical Center, Bronx, NY; 2Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY

P1449. Phew, It Finally Came Out!! Successful Endoscopic Retrieval of a Buried Lumen-Apposing Metal Stent After Drainage of a Large Pancreatic Fluid Collection Sajiv Sethi, MD1, Prasad Kulkarni, MD 2; 1University of South Florida, Tampa, FL; 2University of South Florida, James A. Haley VA, Tampa, FL

P1450. High-Drade Small Bowel Obstruction Caused by a Migrated Lumen-Apposing Metal Stent (LAMS) Swathi Paleti, MD1, Sergio A. Sánchez-Luna, MD1, Rishabh Gulati, MD1, David Alexanian, MD2, Tarun Rustagi, MD2; 1The University of New Mexico School of Medicine, Albuquerque, NM; 2University of New Mexico School of Medicine, Albuquerque, NM

P1451. Emergent Placement of an Over-the-Scope Clip in a Patient With Hemorrhagic Shock Due to H. pylori-Associated Forest Class Ia Gastric Ulcer Eric Vecchio, MD, Sehrish Jamot, MD, Sean Fine, MD; Brown University, Providence, RI

P1452. Stent and Forget: A Biliary Tree 15 Years Later Jonathan Buscaglia, MD1, Juan Carlos Bucobo, MD1, Eduardo Quintero, MD1, Demetrios Tzimas, MD2, Isaiah P. Schuster, MD3; 1Stony Brook University Hospital, Stony Brook, NY; 2NYU School of Medicine, New York, NY; 3Stony Brook University Medical Center, Stony Brook, NY

P1453. Early Onset Cholelithiasis and Macrocytic Anemia: A Fragile Combination Kevin Lamm, MD, Andrew Dries, MD; Carolinas Medical Center, Charlotte, NC

LIVERP1454. TIPS Outcomes According to Race and Ethnicity James H. Helzberg, BS, Alice Parish, MSPH, Donna Niedzwiecki, PhD, Charles Y. Kim, MD, Julius M. Wilder, MD, PhD, Andrew J. Muir, MD; Duke University School of Medicine, Durham, NC

P1455. Trends in Cancer Prevalence Among Liver, Heart and Lung Transplant Recipients in the United States, 2005 to 2014 Presidential Poster Award Chimezie U. Mbachi, MBBS1, Setri Fugar, MD2, Madhu Mathew, MD3, Anthonia Ijeli, MD3, Benjamin Mba, MD, MRCP (UK), FHM, FACP1, Ayokunle T. Abegunde, MBBS, MSc4; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Rush University Medical Center, Chicago, IL; 3Cook County Health and Hospitals System, Chicago, IL; 4Loyola University Chicago Stritch School of Medicine, Maywood, IL



P1456. Healthcare Utilization and Inpatient Burden of Hepatorenal Syndrome Associated With Acute and Subacute Hepatic Failure Raja Chandra Chakinala, MD1, Khwaja F. Haq, MD2, Shantanu Solanki, MD, MPH1, Priyanka Chugh, MD1, Dhruv Mehta, MD1, Muhammad Ali Khan, MD3, Zubair Khan, MD, CMQ4, Nauman Siddiqui, MD5, Abhishek Bhurwal, MBBS, MD6, Khwaja S. Haq, MBBS7, Anam S. Burney, MD8, Azam H. Burney, MD8, David C. Wolf, MD, FACG1; 1New York Medical College at Westchester Medical Center, Valhalla, NY; 2Henry Ford Hospital, Detroit, MI; 3University of Tennessee Health Science Center, Memphis, TN; 4University of Toledo Medical Center, Toledo, OH; 5Tufts Medical Center, Boston, MA; 6Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 7Kingsbrook Jewish Medical Center, Woodbury, NY; 8Kingsbrook Jewish Medical Center, Brooklyn, NY

P1457. Perioperative Transjugular Intrahepatic Portosystemic Shunt (TIPS) Placement in Cirrhotics Undergoing Abdominal Surgery: A Case Series Chaitanya Allameni, MD1, Ahmed Abdel-Aal, MD1, Moustafa Massoud, MD2, Mohamed Shoreibah, MD1; 1UAB, Birmingham, AL; 2UT, Birmingham, AL

P1458. Chronic Liver Disease and the Risk of Osteoporotic Fractures: A Meta-Analysis Diego Hidalgo, MD, Boonphiphop Boonpheng, MD, Jennifer Phemister, MD, Mark Young, MD; East Tennessee State University, Johnson City, TN

P1459. The Patient Odyssey to Confirmed Acute Hepatic Porphyria Diagnosis: Clinical Characteristics and Healthcare Utilization of Patients Preceding Diagnosis of Acute Hepatic Porphyria Sean R. Rudnick, MD1, Hélio Pedro, MD2, Madeline Merkel, PharmD3, John J. Ko, PharmD, MS3, Amy Simon, MD3, Barbara H. Johnson, MBA4, Ashley L. Cole, MPH5, Virginia Noxon, PhD5, Sonalee Agarwal, BPharm, PhD3; 1Wake Forest School of Medicine, Winston-Salem, NC; 2Hackensack University Medical Center, Hackensack, NJ; 3Alnylam Pharmaceuticals, Cambridge, MA; 4IBM Watson Health, Cambridge, MA; 5IBM Watson Health, Durham, NC

P1460. Real World Analysis of Symptoms, Diagnostic Patterns, and Provider Perspective on Acute Hepatic Porphyrias John J. Ko, PharmD, MS1, Sarah Murray1, Madeline Merkel, PharmD1, Chitra Karki, MPH2, Katherine Krautwurst, MA3, Renata Mustafina, BBA2, Sonalee Agarwal, BPharm, PhD1; 1Alnylam Pharmaceuticals, Cambridge, MA; 2Ipsos LLC, New York, NY; 3Ipsos LLC, Parsippany, NJ

P1461. Fenofibrate in Primary Biliary Cholangitis Patients With Inadequate Response to Ursodeoxycholic Acid (UDCA) Inessa Khaykis, MD, Alex Sherman, MD, Hillel Tobias, MD, PhD; Concorde Medical Group, New York, NY

P1462. Role of Liver Biopsy in the Era of Clinical Prediction DILI Scores: Experience of a Tertiary Hospital Pedro Costa-Moreira, MD, Rui Gaspar, MD, Pedro Pereira, MD, Patricia Andrade, MD, Rosa Coelho, MD, Hélder Cardoso, MD, Susana Lopes, MD, PhD, Joanne Lopes, MD, Fátima Carneiro, MD, PhD, Guilherme Macedo, MD, PhD, FACG; Centro Hospitalar São João, Porto, Portugal

P1463. Efficacy, Safety, and Tolerability of Direct Antiviral Agents in Hepatitis C Virus-Infected Patients While on Immunosuppressives Praneet Wander, MD1, Michael Ashamallah, MD2, Tai-Ping Lee, MD2; 1North Shore Long Island Jewish Hospital, New York, NY; 2Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY

P1464. Sarcopenia Is Increased in Females and Associated With Severity of Alcoholic Hepatitis and Increased Hospital Stay Yasir AL-Azzawi, MD, MPH1, Jennifer Coukos, MD2, Alexander Martin, MD1, Betty Albo, MD3, Sakeina R. Howard-Wilson, DO4, Aimee Kroll-Desrosiers, MSc1, David Radcliffe, MD4, Rayn Tai, MD1, George Watts, MD1, Gyongyi Szabo, MD, PhD3; 1University of Massachusetts Memorial Medical Center, Worcester, MA; 2University of Massachusetts Medical Center, Worcester, MA; 3University of Massachussetts, Worcester, MA; 4University of Massachusetts Memorial Hospital, Worcester, MA

P1465. Obesity and Its Correlation With Severe Alcoholic Hepatitis Yasir Al-azzawi, MD, MPH1, Jennifer Coukos, MD2, Alexander Martin, MD1, Betty Albo, MD3, Sakeina R. Howard-Wilson, DO4, Muhammad Alsayid, MD, MPH1, Aimee Kroll-Desrosiers, MSc1, Deepika Devuni, MD5, Bruce Barton, PhD1, Gyongyi Szabo, MD, PhD3; 1University of Massachusetts Memorial Medical Center, Worcester, MA; 2University of Massachusetts Medical Center, Worcester, MA; 3University of Massachussetts, Worcester, MA; 4University of Massachusetts Memorial Hospital, Worcester, MA; 5University of Massachusetts Medical School, Worcester, MA

P1466. Bovine Immunoglobulin Orally with Modified Doses of Rifaximin for Advanced Cirrhotics in Overt Hepatic Encephalopathy: A Randomized Placebo Control Prospective Clinical Pilot Trial. (BRAIN Trial) Patrick Basu, MD, MRCP, FACG1, Nimy John, MD2, Mark Aloysius, MD, PhD3; 1Weill Cornell Medicine, Flushing, NY; 2St. Vincent Hospital/University of Massachusetts Medial School, Worcester, MA; 3James J. Peters VA Medical Center, Bronx, NY

P1467. Prevalence of Acute Hepatitis E Infection in Community: A Cross-Sectional Cohort Study in New York Patrick Basu, MD, MRCP, FACG1, Nimy John, MD2, Mark Aloysius, MD, PhD3; 1Weill Cornell Medicine, Flushing, NY; 2St. Vincent Hospital/University of Massachusetts Medial School, Worcester, MA; 3James J. Peters VA Medical Center, Bronx, NY

P1468. Isolated Immunoglobulin G IgG 4 Related Clinical Entity in Extraluminal Overt Celiac Disease: An Observational Clinical Pilot Study Patrick Basu, MD, MRCP, FACG1, Nimy John, MD2, Mark Aloysius, MD, PhD3; 1Weill Cornell Medicine, Flushing, NY; 2St. Vincent Hospital/University of Massachusetts Medial School, Worcester, MA; 3James J. Peters VA Medical Center, Bronx, NY

P1469. Role and Effect of Plecanatide vs Lactulose Affects in Compensated Cirrhosis With Constipation Efficacy: A Randomized Open Level Prospective Clinical Pilot Study - REPLACE Trial Patrick Basu, MD, MRCP, FACG1, Nimy John, MD2, Mark Aloysius, MD, PhD3; 1Weill Cornell Medicine, Flushing, NY; 2St. Vincent Hospital/University of Massachusetts Medial School, Worcester, MA; 3James J. Peters VA Medical Center, Bronx, NY

P1470. Ophthalmic Complications of Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Observational Clinical Study Patrick Basu, MD, MRCP, FACG1, Nimy John, MD2, Mark Aloysius, MD, PhD3; 1Weill Cornell Medicine, Flushing, NY; 2St. Vincent Hospital/University of Massachusetts Medial School, Worcester, MA; 3James J. Peters VA Medical Center, Bronx, NY

P1471. Inherited Nonalcoholic Fatty Liver Disease and/or Dyslipidemia Due to Monoallelic ABHD5 Mutations Presidential Poster Award Leila Youssefian, MSc1, Hassan Youssefian, PhD1, Amir Hossein Saeidian, MSc1, Sara Pajouhanfar, MD1, Soheila Sotoudeh, MD2, Roberto Colombo, MD, PhD3, Jouni Uitto, MD, PhD1; 1Thomas Jefferson University, Philadelphia, PA; 2Tehran University of Medical Sciences, Tehran, Tehran, Iran; 3Catholic University of the Sacred Heart, Milan, Emilia-Romagna, Italy

P1472. Screening Efficiency for Hepatitis C in an Internal Medicine Practice of an Urban Medical Center (With a High Percent of African Americans) Pradeep Kathi, MD1, Maher Tama, MD1, Ahmad Abu-Heija, MD1, Paul Naylor, PhD2, Murray Ehrinpreis, MD3, Milton G. Mutchnick, MD3; 1Wayne State University, Detroit, MI; 2Wayne State University School of Medicine, Hazel Park, MI; 3Wayne State University School of Medicine, Detroit, MI

P1473. Response to Hepatitis B Vaccination in Patients With Chronic Hepatitis C Virus Infection Ashraf Ashhab, MD1, Holly Rodin, PhD2, Jane A. Hall, BS1, Jesse Powell, PA-C2, Jose D. Debes, MD3; 1Hennepin County Medical Center, Minneapolis, MN; 2Hennepin Healthcare, Minneapolis, MN; 3University of Minnesota, Minneapolis, MN


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P1474. Early Paracentesis-Induced Thrombocytopenia (EPIT): A Retrospective Study With Novel Insights Regarding Splenic Hemodynamics Nihit Shah, MD1, Bindiya Shah, MD1, Ravikumar Patel, MD1, Lindsley Van der Veer, MD1, Richard Snyder, DO2, David Livert, PhD3; 1Easton Hospital, Easton, PA; 2St. Luke’s University Health Network, Easton, PA; 3Penn State Lehigh Valley/Easton Hospital, Easton, PA

P1475. Locoregional Therapy for Hepatocellular Carcinoma Is Safe in Patients With Advanced Age Joshua Matrachisia, DO1, Trevor Downing, MD2, Brian Kouri, MD3, Sean R. Rudnick, MD4; 1Wake Forest Baptist Medical Center, Winston-Salem, NC; 2Wake Forest University Baptist Medical Center, Winston-Salem, NC; 3Wake Forest Baptist Health, Winston-Salem, NC; 4Wake Forest School of Medicine, Winston-Salem, NC

P1476. Correlation of Quantitative Hepatitis B Surface Antigen (qHBsAg) with Hepatitis B Virus (HBV) DNA Levels as an Indicator of Viral Clearance Mary Lape Nixon, BA, MS1, Ron M. Kagan, PhD2, Dale A. Schwab, PhD3, Rick Pesano, MD, PhD2, Russell Baumann, BS2, Hollis Batterman, MD2; 1Quest Diagnostics Infectious Disease, Inc., San Juan Capistrano, CA; 2Quest Diagnostics, San Juan Capistrano, CA; 3Quest Diagnostics Infectious Disease, San Juan Capistrano, CA

P1477. Trends in Incidence and Clinical Outcomes for Fibrolamellar Hepatocellular Carcinoma Daryl Ramai, MD, MScBR, Andrew Ofosu, MD, MPH, Emmanuel Ofori, MD, Krishna C. Gurram, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY

P1478. Hepatitis A and B Vaccination Rates Among Patients With Chronic Liver Disease: A Phase 1 Quality Assessment Report Daryl Ramai, MD, MScBR, Elizabeth Swezey, BA, Taylor Spence, BA, Febin John, MD, Carmine Catalano, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY

P1479. Hepatocellular Carcinoma Screening in Patients Co-Infected With Human Immunodeficiency Virus and Hepatitis B: A Phase 1 Quality Assessment Report Daryl Ramai, MD, MScBR, Taylor Spence, BA, Elizabeth Swezey, BA, Febin John, MD, Carmine Catalano, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY

P1480. Combined Hepatocellular Cholangiocarcinoma (CHC): A Rising Concern in the United States? Presidential Poster Award Daryl Ramai, MD, MScBR, Emmanuel Ofori, MD, Andrew Ofosu, MD, MPH, Denzil Etienne, MD, Krishna C. Gurram, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY

P1481. Implementation of Quality Improvement Measures Improve Hepatocellular Carcinoma Surveillance Among Individuals With Cirrhosis Anish V. Patel, MD1, Michael Ashamallah, MD2, Pooja M. Jotwani, MBBS1, Monique Demabildo, RN (GC, MN)2, David E. Bernstein, MD2, Tai-Ping Lee, MD2; 1Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY; 2Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY

P1482. Is Health Illiteracy Related to Severity of Non-Alcoholic Fatty Liver Disease? Miral Subhani, MD1, Deepthi Kagolanu, MD1, Bobby Jacob, MD1, Kaleem Rizvon, MBBS, FACG2; 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Meadow, NY

P1483. Trends, Characteristics, and Outcomes of Hospitalized Patients With Hepatic Encephalopathy in the United States: An Update Ahmad M. Al-Taee, MD1, Gebran Khneizer, MD2, Kahee A. Mohammed, MD, MPH1; 1St. Louis University, St. Louis, MO; 2Indiana University School of Medicine, Indianapolis, IN

P1484. Co-Morbidities as a Predictor for Progression of Non-Alcoholic Fatty Liver Disease Daniel Sedhom, MD, Kristina Katz, MD, Hadie Razjouyan, MD, Vinod Rustgi, MD, MPH; Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ

P1485. Female Gender, Aspartate Aminotransferase, and Triglycerides as Independent Predictors of Histological Progression of Non-alcoholic Fatty Liver Disease Daniel Sedhom, MD, Hadie Razjouyan, MD, Kristina Katz, MD, Vinod Rustgi, MD, MPH; Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ

P1486. The Hepatic Steatosis Index Is Not Accurate in Predicting the Presence of Fatty Liver Disease in Patients With Hepatitis C Who Achieve Sustained Virologic Response Toluwalase Okubote, MD1, Micaela Wong, MD2, Amandeep Singh, MD 3, Edward Mena, MD2, Naim Alkhouri, MD1, Mazen Noureddin, MD4; 1Texas Liver Institute, San Antonio, TX; 2California Liver Research Institute, Pasedena, CA; 3Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 4Digestive Disease Center, Cedars-Sinai, Los Angeles, CA

P1487. Evaluating and Improving Adherence to Guideline-Based Care in Diagnosis and Management of Cirrhosis - A Quality Improvement Project Ahmed Chatila, MD, Mohammad Bilal, MD, Ali Casey Kassem, Lauren Lagrimas, Lola Carrete, MD, Leah Low, MD, Olugbenga Ojo, MD, Shehzad Merwat, MD, Lindsay Sonstein, MD, Steven Cohn, MD, PhD, FACG; University of Texas Medical Branch, Galveston, TX

P1488. Platelet Count to Spleen Diameter Ratio: A Non-Invasive Parameter to Predict Portal Hypertensive Gastropathy Kevin Singh, MD1, Gulam Khan, MD2, Soren Gandhi, MD2; 1New York University School of Medicine, Woodhull Medical and Mental Health Center, Lakewood, OH; 2New York University School of Medicine, Woodhull Medical and Mental Health Center, Brooklyn, NY

P1489. Effectiveness of Bezafibrate and Ursodeoxycholic Acid in Patients With Primary Biliary Cholangitis: An Updated Meta-Analysis of Randomized Controlled Trials Muhammad Majeed, MBBS, MD1, Rohit Agrawal, MBBS1, Saqib Shami, MD2, Seema Gandhi, MD2, Bashar M. Attar, MD, PhD3, Muhammad A. Baig, MD1, Yuchen Wang, MD3, Yazan Abu Omar, MD3, Hassan Muhammad, MD1; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 3Cook County Health and Hospitals System, Chicago, IL

P1490. Hepatitis C Screening - An Outcomes-Based Analysis Shilpa Junna, MD1, Rita Wadeea, MD1, Todd Golden, MS 2, Mohamed Torabi, PhD 1, Meenakshi Dagar, MD 1; 1University of Arizona, Tucson, AZ; 2University of Arizona College of Medicine, Tucson, AZ



P1491. Mood Altering Medications Do Not Increase Post-TIPS Hepatic Encephalopathy in a Large Multi-Center Cohort Shilpa Junna, MD1, Bhupesh Pokhrel, MD1, Justin Boike, MD 2, Jin Ge, MD 3, Margarita N. German, MD 4, Nathaniel Jest, DO 5, Giuseppe Joseph Morelli, MD 5, Erin K. Spengler, MD4, Adnan Said, MD 4, Alexander Lee, MD4, Alexander Hristov, MD4, Kanti Pallav Kolli, MD3, Jennifer Cindy Lai, MD3, Thomas Couri, MD6, Sonali Paul, MD, MS6, Catherine Frenette, MD, FAST7, Nathaniel Christian-Miller, MD8, Marcela Laurito, MD, PhD 9, Elizabeth Verna, MD 10, Usman Rahim, MD 11, Aparna Goel, MD12, Arighno Das, BA 13, Stewart Pine, BA14, Dyanna Gregory, MS2, Lisa B. VanWagner, MD, MSc2, Archita Desai, MD1; 1University of Arizona, Tucson, AZ; 2Northwestern University, Evanston, IL; 3University of California San Francisco, San Francisco, CA; 4University of Wisconsin, Madison, WI; 5University of Florida, Gainesville, FL; 6University of Chicago Medical Center, Chicago, IL; 7Scripps Center for Organ Transplantation, La Jolla, CA; 8Scripps Clinic, San Diego, CA; 9Columbia University, New York, NY; 10Columbia University Medical Center, New York, NY; 11Wayne State University / Detroit Medical Center, Detroit, MI; 12Stanford University School of Medicine, Palo Alto, CA; 13Northwestern University School of Medicine, Evanston, IL; 14Northwestern University Feinberg School of Medicine, Evanston, IL

P1492. The Effectiveness of Inpatient Reflex Hepatitis C PCR Testing in Tertiary Medical Centers Chun Kit Hung, MD, Monique Demabildo, RN (GC, MN), David E. Bernstein, MD, Tai-Ping Lee, MD; Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY

P1493. Vitamin D3 and Thymosin β 4 Level as a Biomarker of Prognosis in Acute on Chronic Liver Failure Gireesh Kumar Dhaked, MBBS, MD, Premashis Kar, MBBS, MD, DM, ; Maulana Azad Medical College, New Delhi, Delhi, India

P1494. Profile of Patients With Extrahepatic Portal Vein Obstruction in a Tertiary Care Centre of Eastern India Prasanta Kumar Parida, MBBS, MD, DM1, Girish Kumar Pati, MBBS, MD, DM2, Debakanta Mishra, MBBS, MD1, Rakesh Kumar Barik, MBBS, MD1; 1SCB Medical College, Cuttack, Orissa, India; 2IMS & SUM Hospital, Bhubaneswar, Orissa, India

P1495. Do Physical Exam and Ultrasound Liver Size Findings Correlate? Teaching the Abdominal Examination Through Reflective Practice Justin Loloi, BS1, Ankit Patel, MD2, Thomas Riley, III, MD2; 1Penn State Hershey College of Medicine, Hershey, PA; 2Penn State Health Milton S. Hershey Medical Center, Hershey, PA

P1496. The Association Between Diabetes Mellitus and Mortality Following Spontaneous Bacterial Peritonitis in Cirrhotic Inpatients Alex Huh, MD, Pierre Blais, MD, Leela Nayak, MD, Greg Sayuk, MD, MPH, Jill Elwing, MD; Veterans Administration, St. Louis, MO

P1497. Short Term Mortality in Young Patients (<40 y/o) With Alcoholic Liver Cirrhosis After First Hospitalization: Carilion Clinic Experience Mohamad A. Mouchli, MD1, Robert Summey, MD2, Adil Mir, MD1, Christopher Walsh, MD3, Shravani Reddy, MD4, Marrieth Rubio, MD1; 1Carilion Clinic, Virginia Tech University, Roanoke, VA; 2Virginia Tech Carilion School of Medicine, Roanoke, VA; 3Carilion Roanoke Memorial Hospital, Roanoke, VA; 4Carilion Clinic, Virginia Tech School of Medicine, Roanoke, VA

P1498. Alcoholic Liver Disease Correlates with Lower Palliative Performance Score Mital Shah, MD, Drew Kotler, MD, John Liantonio, MD, Dina L. Halegoua-DeMarzio, MD; Thomas Jefferson University Hospital, Philadelphia, PA

P1499. Beyond the HCV Treatment Cascade: Investigating Adherence with Liver Cancer Screening in HCV Patients with Advanced Liver Fibrosis or Cirrhosis Christopher Folgueras1, Whitney Nichols2, Alexander Geboy2, Sameer Desale2, Stephen Fernandez2, Peter T. Basch3, Dawn Fishbein, MD4; 1Georgetown University School of Medicine, Washington, DC; 2MedStar Health Research Institute, Washington, DC; 3MedStar Institute for Innovation, Washington, DC; 4MedStar Washington Hospital Center, Washington, DC

P1500. To Biopsy or Not to Biopsy: A Retrospective Study on the Clinical Diagnostic Utility of Liver Biopsy Anuhya Gampa, MD, Jaimin Amin, MD, Shriram Jakate, MD, Nikunj Shah, MD; Rush University Medical Center, Chicago, IL

P1501. Novel Approach Leveraging Social Media Indicates Complementary and Alternative Medicine Use Highly Prevalent and Is Sometimes Associated with Serious Adverse Events in Patients With Autoimmune Hepatitis Sai Chalasani1, Vahin Vuppalanchi2, Luke Tilmans, MD3, Kayla Petersen3, Regina Weber3, Naga Chalasani, MD3, Craig Lammert, MD3; 1Brebeuf Jesuit High School, Indianapolis, IN; 2Park Tudor High School, Indianapolis, IN; 3Indiana University School of Medicine, Indianapolis, IN

P1502. Factors Leading to Earlier Recognition of Hepatocellular Carcinoma of Under-Served Population at an Urban, Midwest, Safety-Net Hospital Jacob Skeans, MD1, Tae Hoon Lee, MD2, Marc J. Landsman, MD3, Vikram Rangan, MD4, Hicham Khallafi, MD3; 1MetroHealth Hospital, Lakewood, OH; 2Mount Sinai Hospital, New York, NY; 3MetroHealth Hospital, Cleveland, OH; 4Israel Deaconess Medical Center, Boston, MA

P1503. Provider Attitudes Towards the Use of Hepatitis C Virus Positive Organs in Kidney Transplantation Thomas Couri, MD1, Joshua Katz, MD1, Kate Stoeckle1, Aishwarya Nugooru1, Heidi Yeh, MD2, Raymond Chung, MD2, Sonali Paul, MD, MS1; 1University of Chicago Medical Center, Chicago, IL; 2Massachusetts General Hospital, Boston, MA

P1504. Racial Disparities in Fatty Liver Disease Clinical Trial Enrollment: A Systematic Review Parita Patel, MD, Charles Muller, MD, Sonali Paul, MD; University of Chicago, Chicago, IL

P1505. Where Is the Gap? Comparing the Spread of Liver and Intrahepatic Bile Duct Cancer With Gastroenterology Work Force in America Aneesh Kuruvilla, DO , Elizabeth Brindise, DO; Advocate Christ Medical Center, Oak Lawn, IL

P1506. Hepatic Steatosis Is Highly Prevalent but Is Not Correlated With Advanced Fibrosis in Autoimmune Hepatitis: Results Obtained at the Autoimmune Hepatitis Association National Meeting Sai Chalasani1, Vahin Vuppalanchi2, Regina Weber3, Naga Chalasani, MD3, Craig Lammert, MD3; 1Brebeuf Jesuit High School, Indianapolis, IN; 2Park Tudor High School, Indianapolis, IN; 3Indiana University School of Medicine, Indianapolis, IN

P1507. A Systematic Review of the Non-Alcoholic Fatty Liver Disease (NAFLD) Treatment Strategies Muhammad Tahir, MD, Anthony Martinez, MD, Naveen Prasad Gopalakrishnan Ravikumar, MD, Kehua Zhou, MD; University at Buffalo, Buffalo, NY

P1508. Liver Function Test in Hyperemesis Gravidarum Patients Tanureet Kochar, MD1, Prerna Sharma, MD2, Suzanne Kemper, MD1, Molly John, MD2; 1Charleston Area Medical Center, Charleston, WV; 2Charleston, WV

P1509. The Risk of Gastrointestinal Bleeding Is Higher in Patients With Underlying Cirrhosis on Dual Antiplatelet Therapy Linsey Spence, DO , Mark Russo, MD, Jennifer Benbow, PhD , Leybelis Padilla, MD, William Anderson, PhD, Laura Schrum, PhD ; Carolinas Medical Center, Charlotte, NC

P1510. Hepatitis C Educational Outreach Recruitment Among Arizona Nephrologists: Physician and Staff Response Lindsey M. Schader, BA, BS, Shahid Habib, MD; Liver Institute PLLC, Tucson, AZ


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P1511. African Americans and Asians Have Significantly Higher In-Hospital Mortality Compared to Non-Hispanic Whites Among Adults Hospitalized with Alcoholic Liver Disease: An Analysis of 2008-2014 Nationwide Inpatient Sample Farah Shirazi, MD, MS1, Benny Liu, MD2, Taft Bhuket, MD2, Robert Wong, MD3; 1California Pacific Medical Center, San Francisco, CA; 2Highland Hospital, Oakland, CA; 3Alameda Health System - Highland Hospital, Oakland, CA

P1512. Young, Female, and Medicaid Populations With Acute Alcoholic Hepatitis Are at Increased Risk of Readmission Xiaowen Fan, MD1, Jean Abed, MD2, Xiaocen Zhang, MD3, Ali T. Khan, MBBS4, Xiaoquan Huang, MD5, Ilan Weisberg, MD, MSc6; 1Mount Sinai St Luke’s and Mount Sinai West, New York, NY; 2Mount Sinai St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; 3Mount Sinai St. Luke’s West Hospital Center, New York, NY; 4Icahn School of Medicine at Mount Sinai, New York, NY; 5Zhongshan Hospital, Fudan University, Shanghai, Shanghai, People’s Republic of China; 6Mount Sinai Beth Israel, New York, NY

P1513. Racial Disparity in Non-Alcoholic Fatty Liver Disease: Prevalence, Comorbidities, and Mortality in Adult Inpatient Population Xiaowen Fan, MD1, Melissa Hershman, MD2, Xiaoquan Huang, MD3, Xin Zheng, DO, MS4, Ilan Weisberg, MD, MSc5; 1Mount Sinai St Luke’s and Mount Sinai West, New York, NY; 2Mount Sinai Beth Israel, St. Luke’s and West, New York, NY; 3Zhongshan Hospital, Fudan University, Shanghai, Shanghai, People’s Republic of China; 4Loma Linda University Medical Center, Loma Linda, CA; 5Mount Sinai Beth Israel, New York, NY

P1514. Timeline of Linkage to Care in Hepatitis C: From Screening to Treatment in the Outpatient Setting at a Tertiary Care Center Obada M. Tabbaa, MD1, Tenzin Choden, MD2, Katherine Hahn, MD2, Mohamed Modar Abidian, MD1, James H. Lewis, MD, FACP, FACG3; 1MedStar Washington Hospital Center, Washington, DC; 2Georgetown University School of Medicine, MedStar Georgetown University Hospital, Washington, DC; 3Georgetown University School of Medicine, Georgetown University Hospital, Washington, DC

P1515. Assessment of Sarcopenia in Patients with Chronic Liver Disease Ujwal Gajula, MBBS, DNB; Apollo Hospitals, Chennai, Tamil Nadu, India

P1516. Hepatitis C Treatment Outcomes Using Direct Acting Antiviral Agents Among HCV Mono-Infected and HIV-HCV Infected Veterans Ioannis Papayannis, MD1, George Psevdos, MD2, Rahul Mahapatra, MD3, Edward Cheng, MD2; 1Stony Brook University Hospital, Port Jefferson, NY; 2Northport Veterans Affairs Medical Center, Northport, NY; 3Stony Brook University Hospital, Stony Brook, NY

LIVER Clinical Vignettes / Case Reports

P1517. Persistent Hepatitis a IgM Antibody: A Clue in the Diagnosis of Autoimmune Hepatitis Thrupthi Komandur, MBBS, Hao Chi Zhang, MD, Moises I. Nevah, MD, Preethi M. Reddy, MD, Victor I. Machicao, MD; University of Texas Health Science Center at Houston, Houston, TX

P1518. Save by the DILI Rodolfo Estremera-Marcial, MD, Ivonne Figueroa-Rivera, MD, Javier A. Cerra-Franco, MD, Carlos Fernandez-Cruz, MD, Loscar Santiago-Rivera, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P1519. Subcapsular Hepatic Abscess in an Iatrogenic Hepatic Hematoma Post-Percutaneous Biliary Drainage Pratyusha Tirumanisetty, MBBS, Aditya Rander, MBBS, Mahesh Krishnamurthy, MD; Unity Hospital, Greece, NY

P1520. A Rare Case of Endotipsitis with Multiorgan Involvement Carmen Lopez, MD1, Nancy Worley, BS2, Nabil Baddour, DO3, Alexandra Silverton, MD1; 1Tulane Internal Medicine, New Orleans, LA; 2Tulane University School of Medicine, New Orleans, LA; 3Tulane Gastroenterology, New Orleans, LA

P1521. Pazopanib-Induced Liver Injury: A Near TKO From a TKI Mohammad S. Ansari, MD, Arvind R. Murali, MD; University of Iowa Hospitals & Clinics, Iowa City, IA

P1522. Isolated Hyperbilirubinemia: A Rarely Reported Adverse Effect of Cytarabine Chemotherapy Narasimha Swamy Gollol Raju, MD1, Sriraksha Jayananda, MD2, Hamza Khalid, MD3; 1Vidant Medical Center, Greenville, NC; 2Vidant Medical Center, Winterville, NC; 3Vidant Medical Center / East Carolina University, Greenville, NC

P1523. Hepatocellular Carcinoma Presenting as Hemobilia: A Case Report Narasimha Swamy Gollol Raju, MD1, Sriraksha Jayananda, MD2, Prashant Mudireddy, MD1; 1Vidant Medical Center, Greenville, NC; 2Vidant Medical Center, Winterville, NC

P1524. Treatment Dilemma: A Case of Hepatitis C Virus Autoimmune Hepatitis (HCV-AIH) Overlap Syndrome Christopher Kim, MD, Jadranko Corak, MD; Dell Medical School at the University of Texas at Austin, Austin, TX

P1525. A Surprise Case of Hyperbilirubinemia and Transaminitis Gaurav Kakked, MD1, Ruchit Shah, MD1, Jack Husney, MD2, Melissa Hershman, MD3, Andrew Blank, MD1, Michael S. Smith, MD, MBA4; 1Icahn School of Medicine, New York, NY; 2Mount Sinai Beth Israel, New York, NY; 3Mount Sinai Beth Israel, St. Luke’s and West, New York, NY; 4Mount Sinai West & Mount Sinai St. Luke’s Hospitals, New York, NY

P1526. Abnormal Liver Enzymes Due to H. pylori Infection Ahmed Abdulhamid, MD, Deepak Venkat, MD; Henry Ford Hospital, Detroit, MI

P1527. Non-Hodgkin B-Cell Lymphoma in Hepatitis C Virus Infection Ahmed Abdulhamid, MD, Syed-Mohammed Jafri, MD, Stuart Gordon, MD; Henry Ford Hospital, Detroit, MI

P1528. Do You Have a History of Recreational Drug Use? Joseph M. Mossad, BS1, Stephen J. Kwak, MD2, Karthikeyan Viswanathan, DO3, Maria Jose Jimenez Cerna, MD3; 1Albany Medical College, Albany, NY; 2Bassett Medical Center, Cooperstown, NY; 3Bassett Healthcare Network, Cooperstown, NY

P1529. Duodenal Perforation with Transplant Hepatic Artery Pseudo-Aneurysm: A Rare Case of Massive Gastrointestinal Bleeding RajaKoteswar Dhanekula, MD1, Kaitlyn Votta2, Adam M. Frank, MD1, Ashesh P. Shah, MD1, David A. Sass, MD3; 1Thomas Jefferson University Hospital, Philadelphia, PA; 2Sidney Kimmel Medical College, Philadelphia, PA; 3Thomas Jefferson University, Philadelphia, PA

P1530. Primary Small Cell Neuroendocrine Tumor of the Liver: A Rare Entity Colin Leffert, DO1, Areej Mazhar, DO2; 1Henry Ford Macomb Hospital, Clinton Township, MI; 2Henry Ford Hospital, Detroit, MI

P1531. Pembrolizumab-Associated Hepatitis and Hemophagocytic Lymphohistiocytosis Syndrome Asad Ali, MD, Nancy Gupta, MD, Woodlyne Roquiz, DO, Mohammad S. Ansari, MD, Arvind R. Murali, MD; University of Iowa Hospitals & Clinics, Iowa City, IA



P1532. Liver Abscesses and Primary Sclerosing Cholangitis in Ulcerative Colitis: An Unusual Occurrence Hima Veeramachaneni, MD1, Gordon Robbins, MD1, Salih Samo, MD1, Rushikesh Shah, MD1, Sonali Sakaria, MD2; 1Emory University School of Medicine, Atlanta, GA; 2Emory University, Atlanta, GA

P1533. Vibrio vulnificus: A Preventable Cause of Septicemia in Patients With Liver Disease Fadi Odish, MD1, Zaid Imam, MBBS1, Majd Khasawneh, MD2, Dillon Karmo, MD1, Andrew Aneese, MD1; 1William Beaumont Hospital, Royal Oak, MI; 2William Beaumont Hospital, Clawson, MI

P1534. Hepatitis E-Induced Acute Liver Failure Chimezie U. Mbachi, MBBS1, Jaiswal Palashkumar, MD1, John Erikson Yap, MD2, Oscar A. Rivas Chicas, MD2; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Cook County Health and Hospitals System, Chicago, IL

P1535. Hepatoduodenal Fistula Successfully Treated With Enteral Metallic Stent: A Rare Complication Following Trans-catheter Arterial Chemoembolization for Hepatocellular Carcinoma Supachaya Sriphoosanaphan, MD, Rungsun Rerknimitr, MD; King Chulalongkorn Memorial Hospital, Bangkok, Krung Thep, Thailand

P1536. Deranged Liver Function Tests: A Red Herring for Acute Lymphoblastic Leukemia Maham Hayat, MD, Hassaan Zia, MD, Rajesh Kanagala, MD; University of Oklahoma Health Sciences Center, Oklahoma City, OK

P1537. Disseminated Histoplasmosis Presenting as Granulomatous Hepatitis in a Patient with Psoriatic Arthritis Maham Hayat, MD, Hassaan Zia, MD, Rajesh Kanagala, MD; University of Oklahoma Health Sciences Center, Oklahoma City, OK

P1538. Memantine-Induced DILI Sarah Ordway, MD, Zachary Junga, MD, Dawn Torres, MD; Walter Reed National Military Medical Center, Bethesda, MD

P1539. Clopidogrel-Induced Hepatotoxicity: A Case Report Devashree Dave, MD, Arvind R. Murali, MD; University of Iowa Hospitals & Clinics, Iowa City, IA

P1540. Elevated Liver Enzymes: An Atypical Presentation of Otherwise Asymptomatic Multiple Myeloma Cristian D. Rios, MD1, Nihar Shah, MD1, Saad Shaheen, MD2, Dipendra Parajuli, MD1; 1University of Louisville, Louisville, KY; 2Robley Rex VA Medical Center, Louisville, KY

P1541. Rapidly Developing Acute Hepatotoxicity With Intravenous Amiodarone Infusion: A Case Report Kristen Selema, DO1, Vaibhav Wadhwa, MD2, Bobby Zervos, DO2, Pablo Bejarano, MD2; 1Cleveland Clinic Florida, Fort Lauderdale, FL; 2Cleveland Clinic Florida, Weston, FL

P1542. Hepatic Porphyria: An Acute Interesting Presentation Diego Hidalgo, MD, Manisha Nukavarapu, MD, David Ginn, MD; East Tennessee State University, Johnson City, TN

P1543. The Acute Blood Loss Anemia Mystery Elijah Verheyen, MD1, Michael Herman, MD2, Jean Abed, MD1, Marcin Kolber, MD3, Linda Du, DO4, Frank Andrew Nelson, MD5; 1Mount Sinai St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; 2Mount Sinai Beth Israel, New York, NY; 3Icahn School of Medicine at Mount Sinai, New York, NY; 4Mount Sinai West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; 5Mount Sinai St. Luke’s Hospital, New York, NY

P1544. Recurrent Hepatic Encephalopathy Due to Spontaneous Mesocaval Shunt Elijah Verheyen, MD1, Jean Abed, MD1, Manu Singh, MD2, Ashwin S. Sawant, MBBS, MD3, Michael S. Smith, MD, MBA4; 1Mount Sinai St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; 2Icahn School of Medicine at Mount Sinai, New York, NY; 3Mount Sinai West, New York, NY; 4Mount Sinai West & Mount Sinai St. Luke’s Hospitals, New York, NY

P1545. Carnitine Palmitoyltransferase 1A Deficiency: A Rare Cause of Chronic Liver Disease with Rare Presentation Fnu Versha, MD1, Viktor Eysselein, MD2, Sofiya Reicher, MD2; 1Eisenhower Health, Beaumont, CA; 2Harbor-UCLA Medical Center, Torrance, CA

P1546. A Rare Case of T-Cell Lymphoma Found in the Liver Neethi R. Dasu, BS, DO1, Lucy Joo, DO1, Kailash Lal, DO2, Donald McMahon, DO3; 1Rowan University School of Osteopathic Medicine, Stratford, NJ; 2Rowan University School of Osteopathic Medicine, Turnersville, NJ; 3Kennedy Health Alliance, Turnersville, NJ

P1547. Acalculous Cholecystitis in Acute Hepatitis B Infection – A Forgotten Complication Nitin Sabharwal, MBBS1, Zain A. Sobani, MD2, Maryam Baqir, MD1, Michael G. Kantrowitz, DO1, Rabin Rahmani, MD, FACG1, Edward Chapnick, MD1; 1Maimonides Medical Center, Brooklyn, NY; 2University of New Mexico, Albuquerque, NM

P1548. The Cons of Probiotics: Lactobacillus Bacteremia and Liver Abscess in a Patient Using Probiotic Supplements Mark Hanscom, MD; University of Illinois at Chicago, Chicago, IL

P1549. A Case of Systemic Mastocytosis Presenting Initially with Weight Loss and Elevated Alkaline Phosphatase Noel B. Martins, MD1, Matthew Murray2, James Nguyen2; 1St. Luke’s University Health Network, Bethlehem, PA; 2Lewis Katz School of Medicine at Temple University, Philadelphia, PA

P1550. Incidentally Found Back Mass in a Liver Transplant Patient Reveals Possible Muir-Torre Syndrome Joseph Jennings, MD1, Preeti Gupta, MD, MPH1, Kamal Baig, MD1, Nhu An Nguyen, DO2, Coleman Smith, MD1; 1Georgetown University Hospital, Washington, DC; 2Walter Reed National Military Medical Center, Bethesda, MD

P1551. Severe Cerebral Edema in a Patient With Hepatitis B-Induced Acute Liver Failure and Concurrent Acute Pancreatitis Nadeen Hussain, BS, Nikki Duong, MD, Victor Ciofoaia, MD, Amol Rangnekar, MD; MedStar Georgetown University Hospital, Washington, DC

P1552. A Case of Idiopathic Non-Cirrhotic Portal Hypertension in a Patient With a Left Ventricular Assist Device (LVAD) Shana Kothari, MD, MS1, Michael Kalinowski, DO, MS1, Natasha Shah, MD1, Hareth Raddawi, MD2; 1University of Illinois at Chicago - Advocate Christ Medical Center, Chicago, IL; 2Advocate Christ Medical Center, Chicago, IL

P1553. First Reported Case of Pimozide-Related Liver Injury Ramiro De La Guerra, MD, Shifa Umar, MD, Moaz Sial, MD, Michael Babich, MD; Allegheny Health Network, Pittsburgh, PA

P1554. Clarity on Clear Cell Hepatocellular Carcinoma: A Rare Occurrence in an Individual with Chronic Hepatitis C Without Cirrhosis Vivian Lee, BS, Nadeem Tabbara, BA, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC

P1555. The Deficiency Dilemma Neha V. Kaiser, DO, Charles Ruzkowski, MD, Paul McCarthy, MD; Parkview Medical Center, Pueblo, CO

P1556. Clarithromycin-Induced Acute Liver Failure (ALF) Ahmed I. Edhi, MD, Siefeldin Hakim, MD, Christienne Shams, MD, Mitual Amin, MD, Mitchell S. Cappell, MD, PhD; William Beaumont Hospital, Royal Oak, MI


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P1557. A Very Rare Complication of Hepatitis a Infection: Acute Myocarditis Ahmed I. Edhi, MD, Olivia Allen, MD, Adam Hafeez, MD, Alexandra Halalau, MD; William Beaumont Hospital, Royal Oak, MI

P1558. Oxaliplatin-Induced Sinusoidal Injury: A Rare Complication of a Common Adjuvant Therapy Caleb B. Hudspath, DO, Joseph Roswarski, MD, Pedro Manibusan, DO, MBA; Tripler Army Medical Center, Honolulu, HI

P1559. A Rare Manifestation of Autoimmune Hepatitis Type 1 with Hereditary Hemochromatosis Monica L. Multani, DO1, Prathusha Maduri, DO1, Jason Keller, BS2, Jamie L. Skrove, DO1, Leena Chacko, DO1, Javier Sobrado, MD1, Juan Sarol, MD3; 1Larkin Community Hospital, Miami, FL; 2St. George’s University, Miami, FL; 3Larkin Community Hospital, South Miami, FL

P1560. Never Fear, TAVR Is Here: Patient With Decompensated Cirrhosis and Severe Aortic Stenosis Irma Hashmi, DO1, Nimy John, MD2, Graham F. Barnard, MD, PhD3, Deepika Devuni, MD3; 1University of Massachusetts Medical Center, Worcester, MA; 2St. Vincent Hospital/University of Massachusetts Medial School, Worcester, MA; 3University of Massachusetts Medical School, Worcester, MA

P1561. Angiosarcoma: A Rare Cause of Acute Liver Failure Samuel A. Schueler, MD1, Daniel G. Hwang, MD2, William Twaddell, MD3, Nathalie H. Urrunaga, MD, MS3; 1University of Maryland Medical Center / National Institutes of Health, Baltimore, MD; 2University of Maryland Medical Center, Baltimore, MD; 3University of Maryland School of Medicine, Baltimore, MD

P1562. A Case of Passenger Lymphocyte Syndrome in a Minor ABO-Incompatible Liver Transplantation Paul MunaAguon, MD1, Shifat Ahmed, MD2, Brenda Shinar, MD3, Mark Wong, MD3; 1University of Arizona College of Medicine, Phoenix, AZ; 2University of Arizona, Phoenix, Phoenix, AZ; 3Banner University Medical Center, Phoenix, AZ

P1563. Metastatic Hepatocellular Carcinoma Presenting as Extensive Bone Metastasis Annie S. Hong, MD1, Mohamad Mubder, MD2, Ranjit Makar, MD3, Jenny M. Hong, MS3, Shahid Wahid, MD3; 1University of Las Vegas School of Medicine, Las Vegas, NV; 2University of Nevada Las Vegas, Las Vegas, NV; 3University of Nevada Las Vegas School of Medicine, Las Vegas, NV

P1564. A Rare Case of Autoimmune Hepatitis in an Immunocompromised Patient Annie S. Hong, MD1, Jeff Caseja, MD1, Carina Chang, MS2, Jenny M. Hong, MS3, Awad Javaid, MD1, Badrunnisa Hanif, MD1; 1University of Las Vegas School of Medicine, Las Vegas, NV; 2University of Nevada Reno School of Medicine, Reno, NV; 3University of Nevada Las Vegas School of Medicine, Las Vegas, NV

P1565. Early Experience with Salvage Direct-Acting Antiviral (DAA) Therapy in Liver Transplant Recipients Bo Hyung Yoon, MD, Dina L. Halegoua-DeMarzio, MD, Jonathan M. Fenkel, MD; Thomas Jefferson University Hospital, Philadelphia, PA

P1566. Hepatic Adenomatosis Complicated by Comorbid Steroid Dependent Ulcerative Colitis Jungmin Lee, MD, Heitham Abdul-Baki, MD; Allegheny Health Network, Pittsburgh, PA

P1567. Losing My Mind Over Mavyret: An Unexpected Drug Reaction Sylvia Oppong-Antwi, CRNP, BSN, Iryna S. Hepburn, MD, FACG, FACP; WellSpan Health, Lebanon, PA

P1568. Drug-Induced Autoimmune Hepatitis in a Patient Treated With Minocycline: A Rare Adverse Effect Jamil M. Shah, MD1, Abul B. Shahidullah, MD2, Yingxian Liu, MD3; 1Rutgers New Jersey Medical School, Newark, NJ; 2Henry J. Carter Specialty Hospital and Nursing Facility, New York, NY; 3The Brooklyn Hospital Center, Brooklyn, NY

P1569. Recurrence of Hepatocellular Carcinoma at the Porta-Hepatis Following Liver Transplantation: It Can Happen! Ronald Samuel, MD, Mohammad Bilal, MD, Michael T. Nguyen, MD, Ranjana Nawgiri, MD, Sreeram Parupudi, MD, FACP, FACG, Praveen Guturu, MD, FACG; University of Texas Medical Branch, Galveston, TX

P1570. L-Carnitine as Treatment for Valproic Acid Induced Acute Liver Failure Mohammed Al-juboori, MD, Saurabh Chitnis, MD, Yudelquis Comas, MD, Chaitali Panchal, MD, Shushan Veranyan, MD, Aulio Bustos, MD, Soowhan Lah, MD, Nora Bergasa, MD; Metropolitan Hospital, New York, NY

P1571. Urea Cycle Disorder Hyperornithinemia-Hyperammonemia-Homocitrullinuria (HHH) Syndrome in an Adult Unmasked by Physical Exertion and Protein Supplements Ly-Elaine Pham, MD1, Kashif Khan, MD1, Neeraj Singh, MD1, John Bienvenu, MD1, Moheb Boktor, MD2, Kenneth Manas, MD2, Anil Minocha, MD1, Tejinder Singh, MD1, Adam Mosallati, MD3, Brian Monaco, MD3, Ryan Palmer, MD1, Mardeli Mendoza, MD1, Jonathan Steven Alexander, PhD1, James Morris, MD, FACG2, Jordan Paul, MD1, Hrishikesh Samant, MD4; 1LSU Health Sciences Center, Shreveport, LA; 2LSU Health, Shreveport, LA; 3WK North, Shreveport, LA; 4LSU Health Shreveport and Willis Knighton Health System, Shreveport, LA

P1572. Primary Hepatic Mixed Acinar-Neuroendocrine Tumor: A Rare Case of a Liver Mass Sachin Srinivasan, MD1, William Salyers, MD1, Imad Nassif, MD2; 1Kansas University School of Medicine, Wichita, KS; 2Wichita Endoscopy Center, Wichita, KS

P1573. Starvation-Induced Hepatopathy in a Patient With Severe Anorexia Nervosa: A Case Report Somaya Albhaisi, MBBCh; Virginia Commonwealth University, Richmond, VA

P1574. An Uncommon Cause of Ascites : A Combination of Budd Chiari Syndrome and Secondary Bacterial Peritonitis in a Postpartum Patient Shanker D. Kundumadam, MD 1, Lubna I. Fatiwala, MD2, Catherine Czesnowski, MD1, Manmeet Singh, MD1; 1Wayne State University, Detroit, MI; 2Detroit Medical Center, Detroit, MI

P1575. Relapse of Multiple Myeloma Presenting as Extramedullary Disease in Multiple Organs Somaya Albhaisi, MBBCh; Virginia Commonwealth University, Richmond, VA

P1576. Liver Cirrhosis Due to an Isolated Inferior Vena Cava Stenosis Causing Outflow Obstruction and Treated by Endovascular Intervention Mouhanna K. Abu Ghanimeh, MD1, Ahmed Elbanna, MD1, Hafsa Abdulla, MD2, Reena Salgia, MD1; 1Henry Ford Hospital, Detroit, MI; 2Henry Ford Health System, Detroit, MI

P1577. Lysosomal Acid Lipase Deficiency: An Uncommon Masquerader Benjamin Schmidt, MD, Steven Scaglione, MD, Xianzhong Ding, MD; Loyola University Medical Center, Maywood, IL

P1578. Cold Blooded: Cryoglobulinemia Immune to Hepatitis C Treatment Firas Ido, MD1, Malek Numier, MD2, Cara Ruggeri, DO, FACP2; 1Wayne State University, Rochester Hills, MI; 2St. Luke’s University Health Network, Bethlehem, PA



P1579. Cirrhosis a Long Term Consequence of Congenital Tricuspid Atresia After Fontan Procedure Shoma Bommena, MD1, Ishani Joshi, MS2, Shivang Mehta, MD1; 1Banner University Medical Center, Phoenix, AZ; 2Midwestern University, Phoenix, AZ

P1580. Locoregional Therapy With Transarterial Chemoembolization (TACE) for Stage 1A Intrahepatic Cholangiocarcinoma (ICC) Before Surgical Resection: A Case Report Tehseen Haider, MD, Harish Guddati, MD, Hilary Hertan, MD, FACG; Montefiore Medical Center, Bronx, NY

P1581. Lobectomy Reveals Co-infection of Streptococcus Anginosus and Extrapulmonary Tuberculosis Tejas V. Joshi, MD1, Corey Saraceni, MD1, Huy A. Le, MS42, Derek Childers, MS3, Justin Miller, MD4, John Hutchings, MD4; 1LSU Health New Orleans School of Medicine, New Orleans, LA; 2UMHS-St. Kitts, New York, NY; 3UMHS-St. Kitts, New Orleans, LA; 4LSU Health Sciences Center, New Orleans, LA

P1582. The Great Mimicker Strikes Again: Isolated Hepatic Sarcoidosis Tejas V. Joshi, MD1, Corey Saraceni, MD1, Huy Le, MS42, Derek Childers, MS3, Abhitabh Patil, MD4; 1LSU Health New Orleans School of Medicine, New Orleans, LA; 2UMHS-St. Kitts, New York, NY; 3UMHS-St. Kitts, New Orleans, LA; 4Saint Anthony Hospital, St. Petersburg, FL

P1583. A Rare Case of Ascites Alexander M. Sarkisian, MS, MD1, Tejas V. Joshi, MD2, Melissa A. Spera, MD3, Kara M. De Felice, MD3; 1Tulane University School of Medicine, New Orleans, LA; 2LSU Health New Orleans School of Medicine, New Orleans, LA; 3LSU Health Sciences Center, New Orleans, LA

P1584. An Uncommon Culprit of Acute Hepatitis Janyll I. Castineira, DO1, Angela S. Park, DO1, Ergen Muso, DO1, Marc A. Kudelko, DO2; 1Largo Medical Center, Largo, FL; 2Largo Medical Center, Pinellas Park, FL

P1585. Asymptomatic Transaminitis: A Case of Hepatic Sarcoidosis Sanchita Singal-Parulkar, MD1, Sehrish Jamot, MD1, Kittichai Promrat, MD2, Zilla Hussain, MD3; 1Brown University, Providence, RI; 2Brown University/Lifespan, Providence, RI; 3Lifespan Physicians Group, Providence, RI

P1586. A Rare Case of Hepatic Sarcoidosis Leading to the Development of Hemophagocytic Lymphohistiocytosis (HLH) Anjali Mone, MD1, Alexandra Weiss, MD1, Cynthia McCleery, MD2; 1Cooper University Hospital, Camden, NJ; 2Cooper University Healthcare, Mt. Laurel, NJ

P1587. Budd-Chiari Syndrome: Is That a Clot? Amna Khan, MD1, Erik Holzwanger, MD2, Muhammad Alsayid, MD, MPH1; 1University of Massachusetts Memorial Medical Center, Worcester, MA; 2University of Massachusetts Medical School, Worcester, MA

P1588. A Case of Hepatic Sarcoidosis Mimicking Cholangiocarcinoma Christine Chen, DO1, Michael Ma, MD2, Ahmed Zaman, MD1, Songyang Yuan, MD, PhD3, Ilan Weisberg, MD, MSc1; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel Hospital, New York, NY; 3Mount Sinai, New York, NY

P1589. Acute Liver Rejection After Exposure to Nivolumab in Treatment of Metastatic Hepatocellular Carcinoma Ching-Ho Huang, MD1, Elliot Bigajer, DO1, Andrea Leaf, MD2, Ayesha Zahiruddin, MD3, Ayse Aytaman, MD3; 1SUNY Downstate Medical Center, Brooklyn, NY; 2VA NY Harbor Health Care System, Brooklyn, NY; 3Brooklyn Campus of the VA New York Harbor Healthcare System, Brooklyn, NY

P1590. Upper Gastrointestinal Bleeding From Ischemic Gastropathy After TACE Therapy Anita Krishnarao, MD, MPH, Nicole Hanley-Williams, MD; Lahey Hospital and Medical Center, Burlington, MA

P1591. Overlap Syndrome: A Serological and Histological Dilemma Andrew Ofosu, MD, MPH1, Ankit Dwivedi, MD2, Sriharsha Dadana, MD2, Vinaya Gaduputi, MD3; 1The Brooklyn Hospital Center, Brooklyn, NY; 2Saint Barnabas Hospital, Bronx, NY; 3SBH Health System, Bronx, NY

P1592. An Unusual Presentation of an Adult with Diffuse Abdominal Pain Related to Congenital Diaphragmatic Hepatic Eventration Andrew Ofosu, MD, MPH1, Sriharsha Dadana, MD2, Christopher Brana, MD2, Tagore Sunkara, MD3, Vinaya Gaduputi, MD2, Andrea Culliford, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY

P1593. Severe Anemia Leading to Acute Ischemic Hepatitis: A Rare Sequela Andrew Ofosu, MD, MPH1, Christopher Brana, MD2, Prashanth Rawla, MD3, Andrea Culliford, MD2, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3Memorial Hospital of Martinsville and Henry County, Martinsville, VA

P1594. Diffuse Large B-cell Lymphoma - A Rare Cause of Acute Liver Failure Andrew Ofosu, MD, MPH1, Eric O. Then, MD2, Prashanth Rawla, MD3, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3Memorial Hospital of Martinsville and Henry County, Martinsville, VA; 4St. Barnbas Hospital, Bronx, NY

P1595. A Rare Case of Partial Diaphragmatic Eventration with Hepatic Herniation Andrew Ofosu, MD, MPH1, Sriharsha Dadana, MD2, Tagore Sunkara, MD3, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD5; 1The Brooklyn Hospital Center, Brooklyn, NY; 2Saint Barnabas Hospital, Bronx, NY; 3The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY; 4St. Barnbas Hospital, Bronx, NY; 5SBH Health System, Bronx, NY

P1596. A Case of Elevated Autoimmune Serologies in Alcoholic Hepatitis Ahmed Chatila, MD, Steven Klimczak, MD, Leah Low, MD; University of Texas Medical Branch, Galveston, TX

P1597. Ewing Sarcoma/Primitive Neuroectodermal Tumor of the Liver: A Late Presentation With an Extremely Rare “Large Cell” Variant Sameet Shah, DO, Ammar Hassan, DO, John Sotiriadis, MD, PhD; Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ

P1598. Detection of Macro-Aspartate Aminotransferase in a Young Patient Nathan Davis, DO, Yogesh Govil, MD; Albert Einstein Medical Center, Philadelphia, PA

P1599. Fulminant Hepatic Failure Due to Kratom Toxicity Anamay Sharma, MD, Stanley Cohen, MD; University Hospitals Cleveland Medical Center, Cleveland, OH

P1600. A Unique Case of Concurrent Syphilitic Hepatitis and Gastroparesis Brianna Shinn, MD, Charles Kistler, MD, PharmD, RajaKoteswar Dhanekula, MD, Jesse Civan, MD; Thomas Jefferson University Hospital, Philadelphia, PA

P1601. Hepatic Metastasis Presenting as Merkel Cell Carcinoma of Unknown Primary Shravani Reddy, MD1, Meeta R. Desai, MD2, Joshua Eikenberg, MD, MPH2, Vikas Chitnavis, MD2, Douglas Grider, MD, FCAP, FASDP1; 1Carilion Clinic, Virginia Tech School of Medicine, Roanoke, VA; 2Carilion Clinic, Roanoke, VA

P1602. Septic Shock in Steroid Resistant PD-1 Inhibitor Associated Autoimmune Hepatitis: When Should We Stop the Steroids? Emily Harding-Theobald, MD, Bharat Maraj, MD; University of California San Francisco, San Francisco, CA


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P1603. Early Mortality After Local-Regional Therapy: As Use Expands, Do We Need Improved Selection Criteria? Emily Harding-Theobald, MD, Bharat Maraj, MD; University of California San Francisco, San Francisco, CA

P1604. Spontaneous Intrahepatic Porto-Systemic Shunt Thrombosis as a Rare Cause of Pulmonary Embolism in a Cirrhotic Patient Abimbola Adenote, MD1, Dhuha Alhankawi, MD2, David M. Feldman, MD3; 1Harlem Medical Center, Harlem, NY; 2New York University Medical Center, New York, NY; 3NYU Langone Health, New York, NY

P1605. Bupivacaine-Induced Liver Injury: A Rare Case of Acute Hepatitis Samuel Slone, MD, James Wilson, MD, Erika Abel, MD; University of South Florida, Tampa, FL

P1606. Unusual Cause of Liver Injury in a Young Healthy Patient Mustafa Alani, MD 1, Hamsa Sahib, MD2, Mohemmedd Khalid Abbas, MD3; 1Banner University Medical Center, Phoenix, AZ; 2Banner Estrella Medical Center, Glendale, AZ; 3Banner Estrella Medical Center, Phoenix, AZ

P1607. SCIC (Sickle Cell Intrahepatic Cholestasis) Patient with Acute Liver Failure Sadat Iqbal, MD1, Abu Hurairah, MD2, Savanna Thor, DO, MPH1; 1SUNY Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, NY

P1608. Dots on the Skin, Dots on the Liver Sadat Iqbal, MD1, Michelle Likhtshteyn, MD1, Nikita Gupta, MD1, Jason Green, DO1, Abu Hurairah, MD2, Richard Ferstenberg, MD1; 1SUNY Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, NY

OBESITY

P1609. Obesity and Inflammatory Bowel Disease: Outcomes of Patients in a Pro-inflammatory State on Biologic Therapy for Crohn’s Disease and Ulcerative Colitis Steven Lin, MD, MPH, Christina Wang, MD, Zachary Devore, MD, Jeremy R. Glissen Brown, MD, Christopher Danford, MD, Joseph Feuerstein, MD; BIDMC/Harvard Medical School, Boston, MA

P1610. Biliary Disease Has Increased in Patients With Bariatric Surgery Over the Past Decade: A Nationwide Analysis Presidential Poster Award Andrew Thompson1, Violeta Popov, MD, PhD2; 1New York University School of Medicine, New York, NY; 2New York University, New York, NY

P1611. Visual Processing Impairments Detected by Oculometric Assessment Provide Evidence of Obesity-Related Neurological Dysfunction Aaron Yeoh, MD1, Katherine Wong, MD1, Dorion Liston, PhD2, Stephanos Papademetriou, PhD2, Philip N. Okafor, MD, MPH1; 1Stanford University School of Medicine, Stanford, CA; 2NeuroFit, Inc., Mountain View, CA

P1612. Endoscopic Management of Post Roux-En-Y Dumping Syndrome With TransOral Outlet Reduction (TORe) Presidential Poster Award Eric J. Vargas, MD1, Fateh Bazerbachi, MD1, Andrew C. Storm, MD2, Barham K. Abu Dayyeh, MD, MPH2; 1Mayo Clinic, Rochester, MN; 2Mayo Clinic Rochester, Rochester, MN

P1613. Air-Filled versus Water-Filled Intragastric Balloon: A Comparative Retrospective Study Mohamed Abdelbadie, MD1, Mostafa Hashem, MD1, Magdy Fawzy, MD2, Ragheed Lababidi, MD1, Siba Abbsi, MD1, Mohamed Nabil, MD1, Ahmed Fathy, MD2, Abdelrahman Almahdy, MD1, Iyad Subei, MD2; 1Dr Erfan and Bagedo General Hospital, Jeddah, Makkah, Saudi Arabia; 2Dr. Erfan and Bagedo General Hospital, Jeddah, Makkah, Saudi Arabia

P1614. Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy Alter Gut Microbiome in Bariatric Patients Claire M. Shin, BS1, Heekoung Youn, RN, CCRC, MA2, Henry Lee, MD2, Christine Ren-Fielding, MD2, George Fielding, MD2, Bradley Schwack, MD2, Ilseung Cho, MD2; 1University of South Carolina School of Medicine, Greenville, SC; 2New York University School of Medicine, New York, NY

P1615. Healthcare Resource Utilization in Obese Patients With High MELD (≥ 35) Undergoing Liver Transplantation Presidential Poster Award Mubeen Khan Mohammed Abdul, MD1, Bilal Ali, MD2, Stephen Soufleris, MD1, Pradeep S. B. Podila, PhD3, Satheesh Nair, MD1; 1University of Tennessee Health Sciences Center, Memphis, TN; 2University of Tennessee Health Science Center, Memphis, TN; 3Methodist Le Bonheur Healthcare, Memphis, TN

OBESITY Clinical Vignettes / Case Reports

P1616. Intradialytic Parenteral Nutrition: A Method of Copper Replacement Nirmal Onteddu, MD1, Gaurav Rajashekar, MD1, Swetha Jangangari, MD2, Anand Reddy, MD3; 1Texas Tech University Health Sciences at Permian Basin, Odessa, TX; 2Midland Community Healthcare Services Coleman Clinic, Odessa, TX; 3Texas Tech University Health Sciences Center, Odessa, TX

P1617. Mallory Weiss Tear an Early Complication of ReShape Integrated Gastric Balloon Placement Abdussalam Shredi, MD; Texas Tech University Health Sciences Center, Lubbock, TX

P1618. Endoscopic Gastric Mucosal Ablation (EGMA) for Weight Loss: The First Human Case Report Bingrong Liu, PhD, MD; The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, People’s Republic of China

PRACTICE MANAGEMENT

P1619. Adherence to Helicobacter pylori Testing After Hospitalization for Bleeding Peptic Ulcer Disease Kenneth W. Hung, MD, Rita M. Abdelmessih, MD, MS, Adam S. Faye, MD, Adam R. Pont, MD, PhD, Benjamin Lebwohl, MD, MS, Daniel E. Freedberg, MD, MS; Columbia University Medical Center, New York, NY

P1620. Is Sex Associated With Differences in Academic Productivity Among Gastroenterologists at U.S. Training Programs? ACG Auxiliary Award (Trainee) Presidential Poster Award Daniel S. Jamorabo, MD, Benjamin Renelus, MD, Richy Chen, MD, Hashroop Gurm, MD, Muntasir Jahangir, MD, Smruti Mohanty, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY

P1621. Scoping for Productivity: An Analysis of Academic Metrics Among Gastroenterologists at U.S. Training Programs Daniel S. Jamorabo, MD, Benjamin Renelus, MD, Hashroop Gurm, MD, Richy Chen, MD, Muntasir Jahangir, MD, Smruti R. Mohanty, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY



P1622. Improving the Quality of Care for Patients Newly Diagnosed With Hepatitis C Virus: Starting With the Initial Patient Encounter Kevin Harris, MD, Adam Kichler, DO, MS, MEd, Richard Cartabuke, MD, Faris El-Khider, MD, MS, Ruthvik Padival, MD, Tavankit Singh, MD, David Sires, MHA, Carlos Romero-Marrero, MD; Cleveland Clinic, Cleveland, OH

P1623. Enhancing Communication Between Gastroenterology Fellows and Medicine Residents: A Quality Initiative Vanessa Kuwajima-Smith, MD1, Bhupinder Romana, MD1, Michelle Matteson-Kome, APN, PhD1, Douglas Nguyen, MD2, Srinivas Puli, MD3, Matthew Bechtold, MD, FACG1; 1University of Missouri, Columbia, MO; 2University of California Irvine Medical Center, Anaheim, CA; 3University of Illinois, Peoria, IL

P1624. The Effect of Demand and Supply Imbalance on Access to Gastroenterology Specialty Care Nathan S. Ramrakhiani1, Katerina Shetler, MD2, Edward S. Huang, MD2; 1Palo Alto High School, Palo Alto, CA; 2Palo Alto Medical Foundation, Mountain View, CA

P1625. Access to Gastroenterology Care: A Comparison Between Physicians and Advanced Practice Clinicians Nathan S. Ramrakhiani1, Katerina Shetler, MD2, Edward S. Huang, MD2; 1Palo Alto High School, Palo Alto, CA; 2Palo Alto Medical Foundation, Mountain View, CA

P1626. Improving Safety Net Gastroenterology Outpatient Clinic Productivity by Template Modification Donald Kirkpatrick, MD, MHCM; Denver Health, Denver, CO

P1627. Association of Antibiotic and Proton Pump Inhibitor Usage in Patients with Hospital Acquired Clostridium difficile Infection: A Single Center Experience Eric Ballecer, MD1, Mohammad Ali, MD2, Zinal Patel, MD3, Mark Shen, PharmD3, Shahidul Islam, MPH3, Raluca Vrabie, MD3, James H. Grendell, MD1; 1NYU Winthrop Hospital, Mineola, NY; 2New York University Winthrop Hospital, Mineola, NY; 3NYU-Winthrop, Mineola, NY

P1628. Limiting the Inappropriate Use of Acid Suppression Therapy for Stress Ulcer Prophylaxis in Hospitalized Patients at Cleveland Clinic Florida: A Quality Improvement Project Adalberto Gonzalez, MD1, Emily Jonczak, MD2, Samantha Gillenwater, MD1, Edward Rojas, MD1, Jeevna Kaur, MD1, Frederick Ross, MD1; 1Cleveland Clinic Florida, Weston, FL; 2University of Miami, Miami, FL

P1629. Our Center Experience in Improving Colonic Preparation for Screening Colonoscopy: Quality Improvement Project Leyla Maric, MD, Sandra Rodriguez, MD, Adalberto Gonzalez, MD, Eduardo Perez, MD, Fernando Castro, MD, FACG; Cleveland Clinic Florida, Weston, FL

P1630. Implementing Procedure Team in IM Residency: Exposing Residents to Paracentesis Without Increasing Patient Risk Saif Bella, MD1, Nazif Chowdhury, MD1, Mohammed Alom, MD1, Aasiya Haroon, MD1, Raheel Chaudry, MD2, Mark Shumeyko, MD3, Amine Hila, MD3; 1Wilson Hospital, Johnson City, NY; 2Ross University School of Medicine, Johnson City, NY; 3United Health Services Hospitals, Johnson City, NY

P1631. Conducting an Effective Quality and Patient Outcomes (QPO) Conference: A Tertiary Care Center Experience Abdul Haseeb, MD, MPH1, Sheeva K. Parbhu, MD1, John Fang, MD1, Tracie Soper, RN1, Michael Sossenheimer, MD, FACG2; 1University of Utah, Salt Lake City, UT; 2University of Utah School of Medicine, Salt Lake City, UT

P1632. Implementation of Modified CDI Algorithm to Improve Diagnosis of Clostridium difficile Infection at Hahnemann University Hospital Shefali Shah, MD1, Maliha Shah, DO1, Chelsea Weldie, MS2, Jeffrey Kim, MD1, Andrew Quinn, MD1, Bahar Adeli, MD1, James Rossi, MD1, Brian Lin, MD1, Kyle Krevolin2, Neal Goldstein2, Seth Welles2, Naglaa Mohammad3, Michael Pride3, Kevin D’mello, MD1, Neilanjan Nandi, MD2, Michele Kutzler, PhD2; 1Hahnemann University Hospital, Philadelphia, PA; 2Drexel University College of Medicine, Philadelphia, PA; 3Pfizer, Philadelphia, PA

P1633. i>Helicobacter pylori Treatment Failure in a Community Hospital Setting Bobby M. Jacob, MD1, Pranay Srivastava, MD1, Charudatta Wankhade, MD2, Abhishek Challa, MD1, Joshua Fogel, PhD1, Lu Fan, MD, PhD1, Albin Abraham, MD1, Kaleem Rizvon, MBBS, FACG2; 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Meadow, NY

P1634. Improving Colorectal Cancer Rates in Primary Care Gordon T. Robbins, MD1, Erica Heiman, MD, MS2, Caitlin R. Anderson, MD, MPH1, Jada Bussey-Jones, MD, FACP1, Darby Ford, MPH, CHES3, Nurcan Ilksoy, MD, FACP, FHM2, Maha Lund, DHSc, PA-C, DFAAPA2, Tapasya Raavi, MD4, Stacie Schmidt, MD2, Chengcheng Ye, MD1, Amit Narayan, MD1, Michael A. Yu, MD1, Babusai Rapaka, MD2, Tiffanie Pollard, MSN, FNP-C5, Raj M. Dalsania, MD6; 1Emory University School of Medicine, Atlanta, GA; 2Emory University, Atlanta, GA; 3Grady Health System, Atlanta, GA; 4Emory Rollins School of Public Health, Atlanta, GA; 5Grady Hospital, Atlanta, GA; 6Emory Healthcare, Atlanta, GA

P1635. Does Use of Medical Scribes Affect Time Efficiency in a GI Ambulatory Clinic Setting? Presidential Poster Award Mahyar Afrooz, MD1, Affan Quadri, MD2, Umair Iqbal, MD1, Konika Sharma, MD2; 1Bassett Medical Center, Cooperstown, NY; 2Basset Medical Center, Cooperstown, NY

P1636. Assessing Competency of Abdominal X-ray Interpretation in Internal Medicine Residents Varun Kesar, MBBS1, Kenneth Schaefle, MD2, Arber Kodra, MD3, Vivek Kesar, MD4, Stephen Machnicki, MD3; 1Virginia Tech Carilion School of Medicine, Roanoke, VA; 2Montefiore Health System, New York, NY; 3Lenox Hill Hospital, New York, NY; 4Stony Brook University Hospital, Stony Brook, NY

P1637. Another Day in Para-dise: An Institutionalized Approach to Creating an Outpatient Paracentesis Clinic Parth Worah, DO1, Bryce C. Bushe, MD2, Shamyal Khan, DO3, George Martinez, MD4, Arshad Ghauri, MD, MPH4; 1Scott and White Internal Medicine Residency, Temple, MS; 2Scott & White Memorial Hospital, Temple, TX; 3Baylor Scott and White Health, Temple, TX; 4Central Texas Veterans Health Care System, Temple, TX

P1638. The Effect of Marijuana and Opiate Use on Prevalence of Gastrointestinal Symptoms: A Population-Based Analysis of Internet Search Trends Allison Yang, MD, Walter W. Chan, MD, MPH; Brigham & Women’s Hospital/Harvard Medical School, Boston, MA


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P1639. Managing Inpatient Constipation: A Docusate Initiative Elijah Verheyen, MD1, Sridevi Rajeeve, MD1, Setareh Alipourfetrati, MD1, Jayanthi Sethunarayanan, MD1, Andrew Kaplan, PharmD, BCPS, BCGP2, Amy Tan, MD1, Mangalore S. Shenoy, MBBS3, Michael S. Smith, MD, MBA4, Edward Lung, MD, MPH1, Grace Farris, MD2; 1Mount Sinai St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; 2Mount Sinai West, New York, NY; 3Icahn School of Medicine, New York, NY; 4Mount Sinai West & Mount Sinai St. Luke’s Hospitals, New York, NY

P1640. Problem-Based Learning Increases Comfort and Knowledge of Non-Alcoholic Fatty Liver Disease Among Residents Brett Styskel, MD1, Yamini Natarajan, MD2; 1MD, Houston, TX; 2Baylor College of Medicine, Houston, TX

P1641. Inflammatory Bowel Disease Care: Development and Testing an Infusion Center Questionnaire for Continuous Quality Improvement Elizabeth Y. Liu, BA, Laure Kouyoudjian, MD, PA-C, Ramonna Thomas, RN, Louis Y. Korman, MD; Capital Digestive Care, Chevy Chase, MD

P1642. Analyzing the Use of Fecal Immunochemical Testing (FIT) in Acute Patient Care in a Safety-Net Hospital System Nathaniel Spezia-Lindner, BA1, Jane R. Montealegre, PhD1, Maria Daheri, RN2, Milena Gould Suarez, MD1; 1Baylor College of Medicine, Houston, TX; 2Harris Health, Houston, TX

P1643. Gastric Acid Suppression May Lead to an Increased Risk of Vancomycin-Resistant Enterococcus Colonization Presidential Poster Award Sun-Hye Ko, MD, PhD1, Myong Ki Baeg, MD, PhD2; 1Haeundae Paik Hospital, College of Medicine, Inje University, Busan, Pusan-jikhalsi, Republic of Korea; 2International St. Mary’s Hospital, Catholic Kwandong University, Incheon, Inch’on-jikhalsi, Republic of Korea

P1644. Stop Blaming the Weatherman! Impact of Weather on Endoscopy No-Show Rates at a Midwest Safety Net Hospital Aakash Desai, MD1, Patrick Twohig, MD, MPH1, Abhijeet Waghray, MD2, Sripriya Gonakoti, MD3, Jacob M. Skeans, MD4, Nisheet Waghray, MD1, Dalbir S. Sandhu, MD5; 1MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH; 2Tufts Medical Center, Boston, MA; 3Aultman Hospital/Canton Medical Education Foundation, Canton, OH; 4Case Western Reserve University/MetroHealth Medical Center, Cleveland, OH; 5Case Western University Hospital/MetroHealth Medical Center, Cleveland, OH

P1645. Similar Morbidity and Mortality for ERCPs Performed Over the Weekend versus Postponing to Next Available Weekday Andrew Aneese, MD, MS1, Seifeldin Hakim, MD1, Edhi Ahmed, MD2, Michael Cannon, MD2, Mitchell S. Cappell, MD, PhD1; 1William Beaumont Hospital, Royal Oak, MI; 2Beaumont Health, Royal Oak, MI

P1646. Using the Plan-Do-Study-Act Method to Improve Bone Mineral Density Screening in Patients With Inflammatory Bowel Disease Sardar M. Shah-Khan, MD, Jeremy D. Cumberledge, MD, Kelley M. Gannon, MD, Gorman Reynolds, MD; West Virginia University Hospital, Ruby Memorial Hospital, Morgantown, WV

PRACTICE MANAGEMENT Clinical Vignettes / Case Reports

P1647. Acne Treatment Gone Erratic: A Rare Case of Minocycline-induced Eosinophilic Cholecystitis, Myopericarditis, and CNS Vasculitis Nihit Shah, MD1, Bindiya Shah, MD1, Koroush Khalighi, MD2, Ramendra Debnath, MD1; 1Easton Hospital, Easton, PA; 2Easton Cardiovascular Associates/Easton Hospital, Easton, PA

P1648. Peritoneal Tuberculosis: A Challenging Diagnosis Bashar Sharma, MD1, Marsha Antoine, MD2, Mili Shah, MD2, Vikrant Tambe, MD2, Housam Hegazy, MD2; 1Upstate Medical University, Syracuse, NY; 2SUNY Upstate, Syracuse, NY

P1649. Unusual Recurrence of Mantle Cell Lymphoma to the Colon Without Lymph Node Involvement Kartikeya Tripathi, MD1, Thomas Dunzendorfer, MD2; 1St. Vincent Hospital, Worcester, MA; 2Berkshire Gastroenterology, Pittsfield, MA

P1650. Propofol-Induced Seizure Darius Rutazaana, MD, Leelavathi Kasturi, MD, FACG; Icahn School of Medicine at Mount Sinai, Queens Hospital Center Campus, Jamaica, NY

P1651. Gastric Cancer in a Patient With Multiple Colon Adenomas Without Germline Mutation: Time to Add Upper Endoscopy to the Guidelines? Andrew Kruger, DO, Rachel Pearlman, LGC, Christina Arnold, MD, Peter P. Stanich, MD; The Ohio State University Wexner Medical Center, Columbus, OH

P1652. Trigger Point Injections for the Relief of Post-Operative Abdominal Scar Pain Ioannis Papayannis, MD1, Farah Monzur, MD2, Juan Carlos Bucobo, MD2; 1Stony Brook University Hospital, Port Jefferson, NY; 2Stony Brook University Hospital, Stony Brook, NY

SMALL INTESTINE

P1653. Opioid Use Is Associated With Incomplete Capsule Endoscopy Examinations: A Meta-Analysis and Systematic Review Laith Al momani, MD, Boonphiphop Boonpherg, MD, Tyler Aasen, DO, Chakradhar Reddy, MD, Mark Young, MD; East Tennessee State University, Johnson City, TN

P1654. Teduglutide Efficacy and Safety for Short Bowel Syndrome in a Real World Patient Population Hafsa Abdulla, MD1, Mouhanna K. Abu Ghanimeh, MD2, Yakir Muszkat, MD1, Syed-Mohammed Jafri, MD2; 1Henry Ford Health System, Detroit, MI; 2Henry Ford Hospital, Detroit, MI

P1655. Chronic Gut Failure: Management Strategy and Long-Term Outcome Kareem Abu-Elmagd, MD, PhD1, Sherif Armanyous, MD1, Neha Parekh, RN2, David McMichael, BA1, Masato Fujiki, MD, PhD1, Koji Hashimoto, MD, PhD1, Ajai Khanna, MD, PhD, MBA, FACS, FRCS3, Abdullah Shatnawei, MD1, Guilherme Costa, MD, PhD4; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinc, Cleveland, OH; 3Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA; 4Cleveland Clinic Foundation, Cleveland, OH

P1656. Diagnostic Performance of a New Test to Measure Lactose Maldigestion and Intolerance in a Group of Patients With Symptoms After Lactose Consumption: A Pilot Study Sophia E. Martinez, MSc1, Maricarmen Coss-Adame, BS2, Sergio G. Muñoz-Martínez, MD3, Fagundo Coss-Adame, MD2, Carolina Coss-Adame, PharmD2, Enrique Coss-Adame, MD2, Luis F. Coss-Adame, MD2; 1Instituto Nacional de Ciencias Medicas y Nutricion ‘Salvador Zubirán’, México, Distrito Federal, Mexico; 2Instituto Nacional de Ciencias Medicas y Nutricion ‘Salvador Zubirán’, Mexico, Distrito Federal, Mexico; 3National Institute of Medical Science and Nutrition Salvador Zubiran, Mexico City, Distrito Federal, Mexico

P1657. Risk of Urinary Stones in Patients With Celiac Disease: A Meta-Analysis Diego Hidalgo, MD, Boonphiphop Boonpheng, MD, David Ginn, MD; East Tennessee State University, Johnson City, TN

P1658. Celiac Disease and Risk of Atrial Fibrillation: A Meta-Analysis Diego Hidalgo, MD, Boonphiphop Boonpherg, MD, David Ginn, MD; East Tennessee State University, Johnson City, TN

P1659. The Gist of GIST From 2001 to 2015 in U.S.: Smaller Lesions Detected More in Everyone, Everywhere in GI Tract Jigar Bhagatwala, MD, MPH1, Anas Raed, MD1, Muhammed Sherid, MD2, Subbaramiah Sridhar, MBBS, MPH, FACG, MRCP1, Humberto Sifuentes, MD1, Amol Sharma, MD3; 1Augusta University, Augusta, GA; 2Mercy Rockford Hospital, Rockford, IL; 3Augusta University Medical Center, Augusta, GA



P1660. Reading Between the Lines: Assessing the Quality, Readability and Reliability of Online Information Regarding Non-Celiac Gluten Sensitivity Vivian Lee, BS, Nadeem Tabbara, BA, Lindsay Clarke, MS, Daniel Szvarca, BS, Rahma Aldhaheri, MBBS, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC

P1661. The Role of Zinc, Inflammation and Duodenal Mucosal Integrity in Cholesterol Gallstone Diseases Eleodoro Riveras, PhD, Lorena Azocar, Tomas Custodio Moyano, MS, Marcia Ocares, Hector Molina, Juan Carlos Roa, MD, Jose Rafael Valbuena, MD, Rodrigo Antonio Gutierrez, PhD, Juan Francisco Miquel, MD; Pontificia Universidad Católica de Chile, Santiago, Region Metropolitana, Chile

P1662. Frequency of Anemia at Diagnosis of New and Non-Responsive Celiac Disease: A Comparison With the U.S. National Population Giovanni A. Roldan, MD, Mariana Urquiaga, MD, Eaman Alhassan, MD, Rafael Mendo, MD, Javier Villafuerte Galvez, MD, Daniel A. Leffler, MD, Ciaran P. Kelly, MD; BIDMC/Harvard University, Boston, MA

P1663. Pan-Disaccharidase Deficiency: Symptom Patterns and Association With Small Intestinal Bacterial Overgrowth Presidential Poster Award Satish S.C. Rao, MD, PhD, Lavanya Viswanathan, MD, MS, FACP, Amol Sharma, MD; Augusta University Medical Center, Augusta, GA

SMALL INTESTINE Clinical Vignettes / Case Reports

P1664. Primary Effusion Lymphoma: Small Bowel Recurrence Following Stem Cell Transplant Sabrina Prabakaran, MD1, Sarah Mushtaq, MD1, Sayeef Mirza, MD2, Rawan Faramand, MD3, Lubomir Sokol, MD, PhD3, Adharsh Ravindran, MD2; 1University of South Florida, Tampa, FL; 2USF, Tampa, FL; 3Moffitt Cancer Center, Tampa, FL

P1665. Encapsulating Peritoneal Sclerosis Complicated by Encapsulating Mesenteric Hematoma: The Threshold for Diagnostic Certainty Andrew C. Lee, MD1, Jessica B. Rubin, MD, MPH2, Emily Chan, MD, PhD2, Jonathan P. Terdiman, MD, FACG2, Priya Kathpalia, MD2; 1Wellspan Health - York Hospital, York, PA; 2University of California San Francisco, San Francisco, CA

P1666. A Rare Case of Duodenal Penetration and Ulceration From an Inferior Vena Cava Filter Lilia Stefaniwsky, MD, MBA, Sajiv Sethi, MD, Soojong Chae, MD; University of South Florida, Tampa, FL

P1667. Recurrent and Treatment Refractory C. difficile Colitis: A Harbinger of Lymphocytic Colitis? Areej Mazhar, DO, Ravish Parekh, MD, Jeffrey C. Tang, MD; Henry Ford Hospital, Detroit, MI

P1668. GERD Resulting in Superior Mesenteric Artery Syndrome: An Unfortunate Outcome Tamer Abd El Moaein, MBChB1, Stephanie Carpentier, FRCPC2; 1Memorial University, St. John’s, NF, Canada; 2Eastern Health, St. John’s, NF, Canada

P1669. Metastatic Urothelial Carcinoma to the Duodenum: A Rare Cause of Small Bowel Obstruction Fadi Odish, MD1, Ahmed I. Edhi, MD1, Zaid Imam, MBBS1, Majd Khasawneh, MD2, Mitual Amin, MD1, Mitchell S. Cappell, MD, PhD1; 1William Beaumont Hospital, Royal Oak, MI; 2William Beaumont Hospital, Clawson, MI

P1670. Endoscopic versus Surgical Intervention for Jejunal Bezoar Formation Dana Berg, MD1, Raja Chandra Chakinala, MD2, Gregory Veillette, MD2, Beth Schorr-Lesnick, MD, FACG2; 1New York Medical College at Westchester Medical Center, New York, NY; 2New York Medical College at Westchester Medical Center, Valhalla, NY

P1671. The Importance of Biopsy: A Primary Gastrointestinal Tract Lymphoma Diagnosis Himesh B. Zaver, BS1, Lindsey C. Shipley, MD2, Laith Al momani, MD3, Maria Zayko, DO4, Jennifer Phemister, MD4, Jason D. McKinney, MD4; 1James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN; 2University of Alabama at Birmingham, Birmingham, AL; 3East Tennessee State University, Johnson City, TN; 4Quillen College of Medicine, Johnson City, TN

P1672. Intussusception After Pancreaticoduodenectomy Kishan Patel, MD, Anjuli Luthra, MD, Fasika Aberra, MD, Luis F. Lara, MD, Darrell M. Gray, II, MD, MPH; The Ohio State University Wexner Medical Center, Columbus, OH

P1673. Meckel’s Diverticulum in the Elderly Population: A Case Report Diego Hidalgo, MD, Laith Al momani, MD, Gregory Champney, MD; East Tennessee State University, Johnson City, TN

P1674. Seeing Isn’t Believing: Utilization of Advanced Imaging to Guide Diagnosis of Abdominal Pain Post RYGB Elijah Verheyen, MD1, Melissa Hershman, MD2, Jungwhan J. Choi, MD3, David Frager, MD, FACR4, Frank Andrew Nelson, MD5; 1Mount Sinai St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY; 2Mount Sinai Beth Israel, St. Luke’s and West, New York, NY; 3Mount Sinai West Hospital, New York, NY; 4Mount Sinai Medical Center, New York, NY; 5Mount Sinai St. Luke’s Hospital, New York, NY

P1675. A Rare and Aggressive Lymphoma; Burkitt Lymphoma in the Terminal Ileum Evanee Frank, DO, Ramiro De La Guerra, MD, Benjamin Wardrop, DO, Atif Raja, MD, Muhammad Salman Faisal, MD, Marcia Mitre, MD; Allegheny Health Network, Pittsburgh, PA

P1676. Small Bowel Diverticulosis: Does Location Matter? Gaurav Parhar, MD, Daryl Ramai, MD, MScBR, Carmine Catalano, MD, Sandar Linn, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY

P1677. Intestinal Parasite as Cause of Abdominal Pain and Diarrhea in a Patient With Normal Labs and Stool Studies Sean Doran, DO, Khalil M. Abuamr, MD; University of Missouri, Kansas City, MO

P1678. Acalculous Cholecystitis Presenting as Small Bowel Obstruction Daryl Ramai, MD, MScBR, Gaurav Parhar, MD, Carmine Catalano, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY

P1679. Mantle Cell Lymphoma Mimicking a Benign Duodenitis Patricia Guzman Rojas, MD1, Nancy Torres Luna, MD1, Jignesh Parikh, MD2, Fady Baddoura, MD3, Juan Oharriz, MD2; 1University of Central Florida, Kissimmee, FL; 2Orlando VA Medical Center, Orlando, FL; 3Orlando VAMC, Orlando, FL

P1680. Mitochondrial Neurogastrointestinal Encephalopathy (MNGIE): Lessons From a Rare Cause of Weight Loss David Goldenberg, MD, Serguei Bannykh, MD, PhD, Brennan M. R. Spiegel, MD, MSHS, Nipaporn Pichetshote, MD, Shirley Paski, MD, Ali Rezaie, MD, MSc; Cedars-Sinai Medical Center, Los Angeles, CA

P1681. A Rare Case of Jejunal Diverticulitis Ronald Samuel, MD, Hamza Abdulla, MD, Marc Shabot, MD, MACP, FACG; University of Texas Medical Branch, Galveston, TX

P1682. Monomorphic Epitheliotropic Intestinal T-Cell Lymphoma: A Rare Cause of Chronic Diarrhea Ronald Samuel, MD, Obada Tayyem, MD, Timothy S. Krill, MD, Hamza Abdulla, MD, Vikram Jala, MD; University of Texas Medical Branch, Galveston, TX

P1683. Creation of High Output Enterocutaneous Fistula From Self-Mutilation Ronald Samuel, MD, Lauren August Clark, MD, Sheharyar Merwat, MD; University of Texas Medical Branch, Galveston, TX


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P1684. Incidental Finding of Primary Duodenal Adenocarcinoma Resembling a Submucosal Tumor Successfully Diagnosed and Treated With EUS FNA and EUS Guided Fiducial Placement and SBRT Konika Sharma, MD1, Adam Russak, MD2, Isabelle Chu, BS3, Jose Luis Aranez, MD3, Shivangi Kothari, MD3, Brandon Sprung, MD4; 1Basset Medical Center, Cooperstown, NY; 2University of Rochester School of Medicine, New York, NY; 3University of Rochester Medical Center, Rochester, NY; 4University of Rochester, Rochester, NY

P1685. Olmesartan-Induced Enteropathy Ahmed Hamed, MD, Amira Hamed, MD, Nizar Talaat; East Carolina University, Greenville, NC

P1686. Volvulus of Ileal J Pouch - Rare But Yet Not Forgotten: A Rare Complication of Ileal Pouch Anal Anastomosis (IPAA) Leading to Small Bowel Obstruction Tehseen Haider, MD1, Sana Tariq, MD1, Waqas Nawaz, MD2, Hilary Hertan, MD, FACG1; 1Montefiore Medical Center, Bronx, NY; 2Montefiore Medical Center, Yonkers, NY

P1687. ACE in the Hole: Angiotensin-Converting Enzyme Inhibitor-Induced Angioedema as a Cause of Recurrent Abdominal Pain Alexander L. Nguyen, MD, John Erikson Yap, MD, Oscar A. Rivas Chicas, MD, Bashar M. Attar, MD, PhD; Cook County Health and Hospitals System, Chicago, IL

P1688. Lupus Enteritis as the Only Manifestation of Active Systemic Lupus Erythematosus Adalberto Gonzalez, MD, Fayssa Salomon, MD, Vaibhav Wadhwa, MD, Jeevna Kaur, MD, Fernando Castro, MD, FACG; Cleveland Clinic Florida, Weston, FL

P1689. The Follicular Lymphoma of Ileum With Atypical Endoscopic Features: A Case Report of a Rare Presentation of a Rare Disease Pongtorn Hanboonkunupakarn, MD1, Piyapan Prueksapanich, MD1, Thamathorn Assanasen, MD2; 1Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Krung Thep, Thailand; 2Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Krung Thep, Thailand

P1690. Isolated Superior Mesenteric Artery Dissection: An Unusual Presentation Quashed by an Unusual Approach Waqas Ullah, MD1, Hafez Mohammad Abdullah, MD2, Waseem Amjad, MD3, Abu Hurairah, MD4; 1Abington Memorial Hospital, Abington, PA; 2University of South Dakota, Sioux Falls, SD; 3Northwell Health Long Island Jewish Forest Hills Hospital, Forest Hills, NY; 4SUNY Downstate, Brooklyn, NY

P1691. Melanosis? Think Again: A Case of Pseudomelanosis duodeni and Jejunal Hemangiomas Shmuel Golfeyz, MD1, Michael Ma, MD2, Craig R. Gluckman, MD2, Franklin E. Kasmin, MD2; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel Hospital, New York, NY

P1692. Primary Gastrointestinal De Novo CD5+ CD23+ Diffuse Large B-Cell Lymphoma (DLBCL): A Different Treatment Approach Preethi Ramachandran, MD, MRCP, FRCP, Rewais Morcus, MD, Hesham Taha, MD, MRCP; Brookdale University Hospital and Medical Center, Brooklyn, NY

P1693. O.J. in the Small Bowel Nikita Gupta, MD1, Mahbod Pourriahi, BS2, Jason Green, DO1, Mayhar Pourriahi, MD1, Sadat Iqbal, MD1, Christopher D. South, MD3; 1SUNY Downstate Medical Center, Brooklyn, NY; 2University of Toledo, Toledo, OH; 3Ohio Gastroenterology & Liver Institute, Cincinnati, OH

P1694. Pseudomelanosis Duodeni: A Rare Endoscopic Finding Shilpa Junna, MD, Elly Varma, MBBS, Michael Dahip, MD, Richa Jain, MD; University of Arizona, Tucson, AZ

P1695. A Rare Case of an Aggressive Duodenal Neuroendocrine Tumor (NET) Shilpa Junna, MD1, Todd Golden, MS 2, David Kim, MD1, Bhaskar Banerjee, MD1; 1University of Arizona, Tucson, AZ; 2University of Arizona College of Medicine, Tucson, AZ

P1696. Jejunojejunal Intussusception Secondary to Feeding Gastrojejunostomy: A Rare Complication Marsha Antoine, MD1, Bashar Sharma, MD2, Brian Changlai, MD1; 1SUNY Upstate, Syracuse, NY; 2Upstate Medical University, Syracuse, NY

P1697. Endosonography in Guiding Local Resection and Ampullary Preservation of a High-Risk Peri-Ampullary GIST - A Novel Approach Andrew Spiel, MD, Ravi Patel, MD, Rebecca Minter, MD, Amir A. Rahnemai-Azar, MD, Antonio Bosch, MD, Deepak Gopal, MD, FACG; University of Wisconsin Hospitals and Clinics, Madison, WI

P1698. Small Bowel Obstruction From Ventral Hernia Mesh Eroding into the Bowel and Turning into a Bezoar Kaveh Zivari, MD1, Negar Niknam, MD1, Shawn Banash, MD2, Ira E. Mayer, MD, FACG1, Rabin Rahmani, MD, FACG1; 1Maimonides Medical Center, Brooklyn, NY; 2Maimonides Medical Center, New York, NY

P1699. An Unusual Case of Hemorrhagic Enteritis Ahmed Khattab, MD, Ali Haider, MD, Hina Omar, MD, Dean Silas, MD, Jason Macklis, MD, Ivaylo Mitsiev, MD; Advocate Lutheran General Hospital, Park Ridge, IL

P1700. Primary Small Bowel Diffuse Large B-Cell Lymphoma: Excellent Endoscopic Appearance Hanan T. Lodhi, MBBS1, Sadat Iqbal, MD2, Qulsoom Hussain, MBBS3, Zarak H. Khan, MBBS4, Faisal Inayat, MBBS5, Ahmed Munir, MBBS6, Fahad Zafar, MBBS7, Abu Hurairah, MD8, Safak Reka, MD2; 1University of Nebraska Medical Center, Omaha, NE; 2SUNY Downstate Medical Center, Brooklyn, NY; 3Shifa College of Medicine, Islamabad, Brooklyn, NY; 4Shifa College of Medicine, Islamabad, Islamabad, Pakistan; 5Allama Iqbal Medical College, Lahore, Punjab, Pakistan; 6Services Institute of Medical Sciences, Lahore, Islamabad, Pakistan; 7King Edward Medical University, Lahore, Islamabad, Pakistan; 8SUNY Downstate, Brooklyn, NY

P1701. Clostridium difficile Enteritis and Bowel Ischemia After Recent Total Abdominal Colectomy: A Fatal Case of Extra-Colonic Pseudomembranous Disease Kellen Hipp, DO1, Carmen Demarco, MD2; 1St. John Providence-Providence Park Hospital, Royal Oak, MI; 2Newland Medical Associates, Southfield, MI

P1702. Metastatic Small Bowel Melanoma Presenting as Gastrointestinal Blood Loss: A Case Report Vick S. DiCarlo, II, MD1, Rachel Mitchell, CRNP2, Kondal Rao Kyanam Kabir Baig, MD3, Ali M. Ahmed, MD2, Shajan Peter, MD2; 1UAB, Hoover, AL; 2University of Alabama at Birmingham, Birmingham, AL; 3UAB, Birmingham, AL

P1703. A Sneaky Case of Pneumoperitoneum Carlos Fernandez, MD, Hendrick Pagan-Torres, MD, Jose Martin-Ortiz, MD, Doris Toro, MD, Rodolfo Estremera-Marcial, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico



STOMACH

P1704. Comparing Longitudinal Overall and Individual Symptom Outcomes on Neuromodulator versus Prokinetic Drugs in Patients With Symptoms Suspicious for Gastroparesis but With Non-Delayed Gastric Emptying William Hasler, MD1, Baharak Moshiree, MD, FACG2, Richard McCallum, MD3, Satish S.C. Rao, MD, PhD4, Linda Nguyen, MD5, Richard Krause, MD6, Michael Schulman, MD7, Allen Lee, MD1, John Wo, MD8, Henry Parkman, MD9, Irene Sarosiek, MD3, Braden Kuo, MD10; 1University of Michigan Health System, Ann Arbor, MI; 2Carolinas HealthCare System, Charlotte, NC; 3Texas Tech University Health Sciences Center, El Paso, TX; 4Augusta University Medical Center, Augusta, GA; 5Stanford University, Palo Alto, MI; 6Clin Search, LLC, Chattanooga, TN; 7Florida Digestive Health Associates, Largo, FL; 8Indiana University, Indianapolis, IN; 9Temple University, Philadelphia, PA; 10Massachusetts General Hospital, Boston, MA

P1705. Predictors of Blood Transfusion in Hospitalized Gastric Antral Vascular Ectasia (GAVE) Patients Upenkumar Patel, MBBS, MPH1, Rupak Desai, MBBS2, Dipen Zalavadia, MBBS3, Dhruval Patel, MBBS4, Bhavya Vemuri, MBBS5, Sudeep Ruparelia, MD6, Shreyans Doshi, MD7, Hemant Goyal, MD, FACP8; 1Nassau University Medical Center, East Meadow, NY; 2Atlanta VA Medical Center, Decatur, GA; 3The Wright Center for Graduate Medical Education, Scranton, PA; 4AMC MET Medical College, L.G. Hospital Campus, Ahmedabad, Gujarat, India; 5Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA; 6Wright Center for Graduate Medical Education, Scranton, PA; 7UCF COM/HCA Consortium, Gainesville, FL; 8Mercer University School of Medicine, Macon, GA

P1706. Cannabinoids Dramatically Improve Symptoms of Refractory Gastroparesis Benjamin Barbash, MD1, Lavneet Chawla, MD1, Brad Dworkin, MD, FACG, FACN1, Tausif Siddiqui, MD2, Raja Chandra Chakinala, MD3; 1Westchester Medical Center, Valhalla, NY; 2New York Medical College, Valhalla, NY; 3New York Medical College at Westchester Medical Center, Valhalla, NY

P1707. Cannabinoids Lead to Significant Improvement in Gastroparesis-Related Abdominal Pain Benjamin Barbash, MD1, Lavneet Chawla, MD1, Tausif Siddiqui, MD2, Brad Dworkin, MD, FACG, FACN1; 1Westchester Medical Center, Valhalla, NY; 2New York Medical College, Valhalla, NY

P1708. Algorithm to Help Predict Antibiotic Resistance of <="" i=""> Anjali Mone, MD1, Robert Cooper, DO1, Thomas Judge, MD2, Joshua DeSipio, MD3, John Gaughan, MS, PhD, MBA4, Zoya Grigoryan, MD5, Imad Awan, BS5, Hansol Chung, BS5, Harpreet Singh, BS5, Sanket Patel, DO4, Phadtare Sangita, PhD6; 1Cooper University Hospital, Camden, NJ; 2Cooper University Healthcare, Mt. Laurel, NJ; 3Cooper University Hospital, Mt. Laurel, NJ; 4Cooper University Healthcare, Camden, NJ; 5Rowan University Cooper Medical School, Camden, NJ; 6Cooper Medical School of Rowan University, Camden, NJ

P1709. Overall Safety and Tolerability of Relamorelin in Adults With Diabetic Gastroparesis: Analysis of Phase 2a and Phase 2b Trial Data Michael Camilleri, MD1, Anthony Lembo, MD2, Richard McCallum, MD3, Stavros Tourkodimitris, PhD4, Lara Kemps, MPT4, Matthew B. Miller, PhD, RAC4, Kirk Bertelsen, PhD4, Alexandru Iacob, MD4; 1Mayo Clinic, Rochester, MN; 2Harvard Medical School, Boston, MA; 3Texas Tech University Health Sciences Center, El Paso, TX; 4Allergan plc, Madison, NJ

P1710. Defining the Fundic Emptying and Antral Motility Characteristics in Dumping Syndrome Patients Utilizing New Scintigraphic Methodology Richard McCallum, MD1, Michael Mullarkey, MS2, Carola Mullins1, Karen Vaz, MS2, Hugo Sandoval, PhD1, Jesus Diaz, MD1, Kenneth Dominguez1, Anna Leykekhman3, Irene Sarosiek, MD1, Marvin Friedman, PhD3; 1Texas Tech University Health Sciences Center, El Paso, TX; 2Paul L. Foster School of Medicine, El Paso, TX; 3Mount Sinai St. Luke’s Hospital, New York, NY

P1711. Comparing Concomitant Therapy Eradication Rates of Helicobacter pylori Between Immigrant Chinese and General American Populations in an Urban Setting Christina Lin, BS, BA1, Marcus Juan L. Esteban, MD2, Xiang Liu, MD1, Justin Huang3, Salina Lee, MD2; 1Rush Medical College, Chicago, IL; 2Rush University Medical Center, Chicago, IL; 3Midwest Asian Health Association, Chicago, IL

P1712. i>Helicobacter pylori Eradication Therapy Improves Chronic Defecatory Dysfunction Masaki Murata, MD1, Mitsushige Sugimoto, MD, PhD2, Taketo Otsuka, MD2, Osamu Inatomi, MD, PhD1, Shigeki Bamba, MD, PhD2, Akira Andoh, MD, PhD1; 1Shiga University of Medical Science, Otsu-shi, Shiga, Japan; 2Shiga University of Medical Science Hospital, Otsu-shi, Shiga, Japan

P1713. Outcomes and Characteristics of Patients With Gastric Intestinal Metaplasia Presidential Poster Award Judy Trieu, MD, MPH, Viridiana Estrada, Hayley Rogers, Adam Booth, MD, Mohammad Bilal, MD, Praveen Guturu, MD, FACG; University of Texas Medical Branch, Galveston, TX

P1714. 20 Years of H. pylori in Puerto Rico Dennis M. De León Morilla, MD1, Juan Serallés, MD2, Willie Vázquez, MD, FACG3; 1NewYork-Presbyterian/Columbia University Medical Center, New York, NY; 2Mount Sinai Hospital Miami Beach, Miami, FL; 3Ponce Health Sciences University, Ponce, Puerto Rico

P1715. Identifying Phenotypes Based on Patterns of Gastric Emptying Disturbances Presidential Poster Award Anjani Muthyala, MBBS, Michael K. O’Connor, PhD, Adil E. Bharucha, MBBS, MD; Mayo Clinic, Rochester, MN

P1716. Intragastric Pressure During Food Intake: The Explanatory Study in Japanese Population Using High Resolution Manometry Kentaro Izumi, MD1, Yuji Shimada, MD2, Mariko Hojo, MD2, Akihito Nagahara, MD, PhD1; 1Juntendo University School of Medicine, Bunkyo-Ku, Tokyo, Japan; 2Juntedo University, Tokyo, Japan

P1717. Validity of E-plate and LZ Test for Serological Identification of Patients With H. pylori Infection in Mass Survey Tetsu Arai, MD1, Tadashi Shimoyama, MD, PhD1, Daisuke Chinda, MD, PhD1, Kiyonori Yamai, MD, PhD2, Satoru Nakagawa, MD, PhD1, Daisuke Chiba, MD1, Shigeyuki Nakaji, MD, PhD1, Shinsaku Fukuda, MD, PhD1; 1Hirosaki University Graduate School of Medicine, Hirosaki-shi, Aomori, Japan; 2Hirosaki University Graduate School of Medicine, Odate Municipal Hospital, Odate, Akita, Japan

P1718. Marginal Ulcers Are Less Responsive to Proton Pump Inhibitors Compared to Gastric Ulcers: A Case-Control Study Zhuo Z. Geng, MD, Itegbemie Obaitan, MD, Aasma Shaukat, MD; University of Minnesota, Minneapolis, MN

P1719. The Microbiota of Gastric Premalignant Lesions: 16S Sequencing Data in a Central American Population Michael Dougherty, MD, MSCR1, Andrea Azcarate-Peril, PhD2, Samuel Vilchez, PhD3, Carla Rivera, MD3, Javier Pastora, MD3, Douglas Morgan, MD, MPH4; 1University of North Carolina School of Medicine, Durham, NC; 2University of North Carolina School of Medicine, Chapel Hill, NC; 3National Autonomous University of Nicaragua, Leon, Nicaragua; 4Vanderbilt University Medical Center, Nashville, TN

P1720. The American Neurogastroenterology and Motility Society Gastroparesis Cardinal Symptom Index-Daily Diary (ANMS GCSI-DD): Psychometric Evaluation in Patients With Idiopathic or Diabetic Gastroparesis Category Award (Stomach) Presidential Poster Award Dennis A. Revicki, PhD1, Rebecca Speck, PhD1, Sara Gleeson, MPH1, Jorge Puelles, PharmD, MSc, MBA2, Braden Kuo, MD3, Michael Camilleri, MD4, Henry P. Parkman, MD5; 1Evidera, Bethesda, MD; 2Takeda Pharmaceuticals, London, England, United Kingdom; 3Massachusetts General Hospital, Boston, MA; 4Mayo Clinic, Rochester, MN; 5Temple University Hospital, Philadelphia, PA


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P1721. (Zygluten) Digestive Enzyme Supplement Therapy for Diabetic Gastroparesis With Gastric Bezoar Amrit Narula, MD, FACG, FACP, FACN1, Megan Amey, PA-c1, Jennifer Kramer, RN2, Sarah Marconis, CRNP1; 1Integrated Medical Group, Pottsville, PA; 2Schulykill Endoscopy Center, Pottsville, PA

STOMACH Clinical Vignettes / Case Reports

P1722. A Rare Case of Antemortem Metastatic Gastric and Small Intestine Melanoma Natalie Mitchell, MD1, Zachary Junga, MD2, Jonathan Francis, MD1, Adam Tritsch, MD1, Jeffrey Laczek, MD1; 1Walter Reed National Military Medical Center, Bethesda, MD; 2Walter Reed National Military Medical Center, Silver Spring, MD

P1723. Gastric Emphysema - A Rare Complication of a Massive Upper Gastrointestinal Bleed Emmanuel McDonald, DO, MBS1, Matthew Soberano, DO2, Jamie L. Skrove, DO1, Joseph Salhab, DO1, Javier Sobrado, MD1; 1Larkin Community Hospital, Miami, FL; 2Larkin Community Hospital, South Miami, FL

P1724. Symptomatic Lanthanum Deposition in the Gastrointestinal Tract Mihajlo Gjeorgjievski, MD, Mihaela Batke, MD, Mitual Amin, MD, Mitchell S. Cappell, MD, PhD; William Beaumont Hospital, Royal Oak, MI

P1725. Submucosal Neuromuscular and Vascular Hamartoma of the Stomach: A Rare Cause of Abdominal Pain and Intermittent Partial Gastric Outlet Obstruction Ingrid Schwartz, MD1, Jinendra Satiya, MD2, Sandy Liu, MD3, Vikas Dudeja, MD4, Mohit Girotra, MD, FACP5; 1University of Miami Leonard M. Miller School of Medicine / Jackson Memorial Hospital, Miami, FL; 2University of Miami, Miami, FL; 3University of Miami, Ellicott City, MD; 4University of Miami Jackson Memorial Hospital, Miami, FL; 5University of Miami Leonard M. Miller School of Medicine, Miami, FL

P1726. Chronic Gastric Volvulus - A Rare Cause of Nausea and Epigastric Pain Varun Kesar, MBBS1, Komal Lakhani, MD2, Amit Bhanvadia, MD2, Vivek Kesar, MD3, Arun Swaminath, MD4; 1Virginia Tech Carilion School of Medicine, Roanoke, VA; 2Lenox Hill Hospital, New York, NY; 3Stony Brook University Hospital, Stony Brook, NY; 4Hofstra NorthShore-LIJ School of Medicine, New York, NY

P1727. Metastatic Gastric Melanoma Masquerading as Bleeding Ulcer: A Challenging Case of Rarity Himesh B. Zaver, BS1, Harika Balagoni, MD2, Allison Locke, MD3, Chakradhar M. Reddy, MD, FACP4, Mark F. Young, MD4; 1James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN; 2East Tennessee State University, Johnson City, TN; 3Quillen College of Medicine, Johnson City, TN; 4East Tennessee State University, Quillen College of Medicine, Johnson City, TN

P1728. Pyloric Gland Adenoma: Uncommon or Unrecognized? Inessa Khaykis, MD1, Leon Pachter, MD2, Charles Friedlander, MD1; 1Concorde Medical Group, New York, NY; 2NYU Langone Health, New York, NY

P1729. Gastric Adenocarcinoma on the Background of Gastric Sarcoidosis Mohamed Modar Abidian, MD1, Leen Al Saleh, MD2, Muhamad Alhaj Moustafa, MD1; 1MedStar Washington Hospital Center, Washington, DC; 2MedStar Washington Hospital Center, Arlington, VA

P1730. Radiation Gastritis Associated With Yttrium-90 Microsphere Radioembolization Shana Kothari, MD, MS1, Yanxia Li, MD, PhD2, Tarek Almouradi, MD2, Charles Berkelhammer, MD, FACG 2; 1University of Illinois at Chicago - Advocate Christ Medical Center, Oak Lawn, IL; 2Advocate Christ Medical Center, Oak Lawn, IL

P1731. Gastric Mucosa-Associated Lymphoid Tissue Lymophoma Presenting as a Large Subepithelial Tumor Seong Taeg Kim, MD, Mi Seon Kim, MD, Soo-Young Na, MD; Jeju National University Hospital, Jeju, Cheju-do, Republic of Korea

P1732. A Rare Case of Gastric Ischemia Mohamad Hemu, MD, Jason B. Kramer, MD, Shriram Jakate, MD, Salina Lee, MD; Rush University Medical Center, Chicago, IL

P1733. A Rare Case of Diffuse Gastritis Cystic Polyposa Jason B. Kramer, MD, Vishal Desai, MD, Shriram Jakate, MD, Agne Paner, MD, Ajaypal Singh, MD; Rush University Medical Center, Chicago, IL

P1734. Mesenteroaxial Gastric Volvulus Due to Hernia Bochdalek in Adult Patient Randy Adiwinata, MD1, Richard Antonius, MD1, Fredy Kastilani, MD1, Paulus Simadibrata, MD2, Marcellus Simadibrata, MD, PhD, FACG3; 1Abdi Waluyo Hospital, Jakarta, Jakarta Raya, Indonesia; 2Abdi Waluyo Hospital, Jakarta Pusat, Jakarta Raya, Indonesia; 3Faculty of Medicine, Unversitas Indonesia, Jakarta, Jakarta Raya, Indonesia

P1735. Bezoar Formation in a Patient with Anorexia Nervosa Hashroop Gurm, MD, Benjamin Renelus, MD, Daniel S. Jamorabo, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY

P1736. Eosinophilic Ascites: An Unusual Rare Presentation of Eosinophilic Gastroenteritis Alexa Choy, BS1, Darrel Gachette, BS1, Sehrish Jamot, MD2, Liz Edmund, MD1, Zilla Hussain, MD3; 1Warren Alpert Medical School of Brown University, Providence, RI; 2Brown University, Providence, RI; 3Lifespan Physicians Group, Providence, RI

P1737. Post-Fundoplication Late Dumping Syndrome in an Adult Diagnosed by Provocative Modified Oral Glucose Tolerance Test Claire M. Shin, BS, Steven Clayton, MD, FACP; University of South Carolina School of Medicine, Greenville, SC

P1738. Gastric Neuroendocrine Tumor Presenting as Large Gastric Ulceration and Melena Ronald Samuel, MD, Obada Tayyem, MD, Timothy Krill, MD, Hamza Abdulla, MD, Safa Maharsi, BS , Kelly Olino, MD, Praveen Guturu, MD, FACG, Sreeram Parupudi, MD, FACP, FACG; University of Texas Medical Branch, Galveston, TX

P1739. Emphysematous Gastritis Christian Trujillo, MD1, Palashkumar Jaiswal, MBBS1, Manthan Jayswal, MS2; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2B.J. Medical College, Ahmedabad, Gujarat, India

P1740. Acquired Double Pylorus (ADP): A Rare Complication of Peptic Ulcer Disease Richa Bhardwaj, MBBS, MS, Raffi Karagozian, MD; University of Connecticut, Hartford, CT

P1741. Recurrent Gastrointestinal Stromal Tumor With Limited Disease Spread: Role of Surgical Resection Waseem Amjad, MD1, Waqas Ullah, MD2, Ali T. Khan, MBBS3, Qulsoom Hussain, MBBS4, Ahmed Munir, MBBS5, Hanan T. Lodhi, MBBS6, Zarak H. Khan, MBBS7, Ghulam Ilyas, MD8, Fahad Zafar, MBBS9; 1Northwell Health Long Island Jewish Forest Hills Hospital, Forest Hills, NY; 2Abington Memorial Hospital, Abington, PA; 3Icahn School of Medicine at Mount Sinai, New York, NY; 4Shifa College of Medicine, Islamabad, Brooklyn, NY; 5Services Institute of Medical Sciences, Lahore, Islamabad, Pakistan; 6University of Nebraska Medical Center, Omaha, NE; 7Shifa College of Medicine, Islamabad, Islamabad, Pakistan; 8SUNY Downstate Medical Center, Brooklyn, NY; 9King Edward Medical University, Lahore, Islamabad, Pakistan



P1742. A Rare Case of Plasmablastic Lymphoma with Gastric Involvement Kevin J. Yeroushalmi, MD1, Rabab Hajar, MD1, Kaleem Rizvon, MBBS, FACG2; 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Meadow, NY

P1743. Widespread Diffuse Large B-Cell Lymphoma Presenting With Dyspepsia: How Accurate Are the Standard Endoscopic Biopsies? Mouhanna K. Abu Ghanimeh, MD1, Omar Abughanimeh, MD2, Mahmoud Isseh, MD1, Jinyu Zhang, MD1, Mazen El-atrache, MD1; 1Henry Ford Hospital, Detroit, MI; 2University of Missouri, Kansas City, MO

P1744. Metastatic Gastric Cancer Presenting as Periorbital Edema Nathaniel Peyton, MD, Jeffrey Juneau, MD, Stephen W. Landreneau, MD, Elizabeth Rinker, MD; Louisiana State University Health Sciences Center, New Orleans, LA

P1745. A Case of Primary Gastric Lymphoma in Immunocompomised Patient Andrew Ofosu, MD, MPH1, Sriharsha Dadana, MD2, Sowmya Josyula, MD2, Prashanth Rawla, MD3, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD5; 1The Brooklyn Hospital Center, Brooklyn, NY; 2Saint Barnabas Hospital, Bronx, NY; 3Memorial Hospital of Martinsville and Henry County, Martinsville, VA; 4St. Barnbas Hospital, Bronx, NY; 5SBH Health System, Bronx, NY

P1746. A Rare Case of Gastric Neuroendocrine Tumor in a Patient with History of Familial Adenomatous Polyposis - Is There an Association? Andrew Ofosu, MD, MPH1, Christopher Brana, MD2, Tagore Sunkara, MD3, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2SBH Health System, Bronx, NY; 3The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY; 4St. Barnbas Hospital, Bronx, NY

P1747. Signet Ring Cell Carcinoma of the Stomach Presenting With Gastric Outlet Obstruction Andrew Ofosu, MD, MPH1, Sriharsha Dadana, MD2, Tagore Sunkara, MD3, Sowmya Josyula, MD2, Andrea Culliford, MD, FACG4, Vinaya Gaduputi, MD5; 1The Brooklyn Hospital Center, Brooklyn, NY; 2Saint Barnabas Hospital, Bronx, NY; 3The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, NY; 4St. Barnbas Hospital, Bronx, NY; 5SBH Health System, Bronx, NY

P1748. The Itch for GIST Folabomi Ajanaku, MD, Babak Shokrani, MD, Farshad Aduli, MD, Victor Scott, MD, Adeyinka Laiyemo, MD, Angesom Kibreab, MD; Howard University Hospital, Washington, DC

P1749. A Lethal Case of Emphysematous Gastritis From Sarcina Ventriculi Kevin Singh, MD1, Gulam Khan, MD2; 1New York University School of Medicine, Woodhull Medical and Mental Health Center, Lakewood, OH; 2New York University School of Medicine, Woodhull Medical and Mental Health Center, Brooklyn, NY

P1750. Severe CMV Gastritis Associated With Pembrolizumab Therapy Anamay Sharma, MD1, Ashley Faulx, MD2, Andrew Blum, MD3; 1University Hospitals Cleveland Medical Center, Cleveland, OH; 2University Hospitals Cleveland Medical Center, Louis Stokes Cleveland VA Medical Center, Cleveland, OH; 3Case Western Reserve University School of Medicine, Louis Stokes Cleveland VA Medical Center, Cleveland, OH

P1751. Spinal Metastases: An Initial Presenting Sign of Signet Ring Cell Adenocarcinoma Shilpa Junna, MD1, Todd Golden, MS 2, David Kim, MD1, Bhaskar Banerjee, MD1; 1University of Arizona, Tucson, AZ; 2University of Arizona College of Medicine, Tucson, AZ

P1752. Management of Percutaneous Endoscopic Gastrostomy Through Colon and Gastrocolocutaneous Fistula Kaveh Zivari, MD, Negar Niknam, MD, Seth Lapin, DO, Rabin Rahmani, MD, FACG; Maimonides Medical Center, Brooklyn, NY

P1753. A Rare Case of Placental Metastasis in Gastric Cancer Krunal Patel, MD1, Nazar Hafiz, MD2, John Bienvenu, MD3, Greg Wellman, MD4, James Morris, MD, FACG5; 1LSU HSC, Shreveport, LA; 2Louisiana State University Health Sciences Center, Shreveport, LA; 3LSU Health Sciences Center, Shreveport, LA; 4Delta Pathology Group, Shreveport, LA; 5LSU Health, Shreveport, LA

P1754. Rapidly Developing Mixed Acinar-Neuroendocrine Carcinoma of the Stomach Sadat Iqbal, MD1, Lilly Gonzalez, MD1, Michelle Likhtshteyn, MD1, Mohammad Nawaz, MD1, Abu Hurairah, MD2, James L. Araujo, MD3; 1SUNY Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, NY; 3Veterans Affairs Harbor Healthcare System, Brooklyn, NY

P1755. Below the Surface: A Rare Case of an Inflammatory Fibroid Polyp in the Stomach Sadat Iqbal, MD1, Nathaniel H. Kwak, MD1, Abu Hurairah, MD2, Ryan Beyer, MD1, Ghulam Ilyas, MD1, Kameela Tigaris, MD3, Derrick Cheung, MD3; 1SUNY Downstate Medical Center, Brooklyn, NY; 2SUNY Downstate, Brooklyn, NY; 3NYC HHC/Kings County Hospital, Brooklyn, NY

P1756. Gastric Carcinoid Tumor: A Rare Cause of Iron Deficiency Anemia Alicia Bowles, BS1, Lindsey C. Shipley, MD2, Laith Al momani, MD1, Allison Locke, MD1, James Swenson, MD3, Mark Young, MD1; 1East Tennessee State University, Johnson City, TN; 2University of Alabama at Birmingham, Birmingham, AL; 3Mountain Home VA Medical Center, Johnson City, TN

P1757. Acuphagia Presenting with Vomiting, Abdominal Pain, and Weight Loss Mohamad A. Mouchli, MD1, Seth Sweetser, MD2; 1Mayo Clinic-Rochester, Carilion Clinic-Roanoke, Roanoke, VA; 2Mayo Clinic, Rochester, MN

P1758. Fish Bone Perforation Causing Cholecystoantral Fistula: A Case Report Gaurav Bhardwaj, MD, Harish Guddati, MD, Nejat Kiyici, MD; Montefiore Medical Center, Bronx, NY

P1759. Metastatic Gastric Adenocarcinoma Mimicking Pulmonary Tuberculosis Pratik Patel, MD, Suneha Sundaram, MD, Ethan Phan, MD, William Leland, MD, Purushothaman Muthukanagaraj, MD; East Carolina University/Vidant Medical Center, Greenville, NC

P1760. An Early Presentation of the Buried Bumper Syndrome Leen Al Saleh, MD1, Mohamed Modar Abidian, MD2, Muhamad Alhaj Moustafa, MD2; 1MedStar Washington Hospital Center, Arlington, VA; 2MedStar Washington Hospital Center, Washington, DC

P1761. Gastric Granular Cell Tumor: A Case Report and Review of the Literature Pawel Szurnicki, MD1, Ahmed Alansari, MD2, Tarek Alansari, MD2, Gulam Khan, MD3; 1Woodhull Hospital, Brooklyn, NY; 2New York Medical College/Metropolitan Hospital Center/Woodhull Hospital, Brooklyn, NY; 3New York University School of Medicine, Woodhull Medical and Mental Health Center, Brooklyn, NY


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POSTER PRESENTATIONSTUESDAY, OCTOBER 9, 10:30 AM – 4:00 PM

TUESDAY, OCTOBER 9, 2018

BILIARY / PANCREAS

P1762. Obstructive Sleep Apnea a Risk Factor Pancreatitis Outcomes? Praneeth Kudaravalli, MD1, Shashank Vemala, MD1, Abubaker O. Abdalla, MBBS2, Nageshwara Gullapalli, MD, MPH1, Chia-Yang Hsu, MD3; 1University of Nevada Reno School of Medicine, Reno, NV; 2University of Nevada, Reno, NV; 3UNR, Reno, NV

P1763. Increased Mortality in Late Decompression of Acute Cholangitis in Malignant Biliary Obstruction Kishan Patel, MD1, Kyle Porter, MAS2, Luis F. Lara, MD1, Groce Royce, MD1, Hosmer Amy, MD1, Sebastian Strobel, MD1, Somashekar G. Krishna, MD, MPH1; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2Center for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, OH

P1764. Clinical Utility of the Fukuoka 2017 Consensus and 2015 American Gastroenterological Association Guidelines in the Management of Intraductal Papillary Mucinous Neoplasms (IPMNs) Emmanuel Coronel, MD1, Gandhi Lanke, MD2, Manoop S. Bhutani, MD1, Brian R. Weston, MD1, William Ross, MD1, Matthew Harold Katz, MD1, Michael Kim, MD1, Graciela Nogueras Gonzalez, MPH1, Jeffrey H. Lee, MD1; 1MD Anderson Cancer Center, Houston, TX; 2PRMC, Lubbock, TX

P1765. Aggressive Hydration with Lactated Ringer’s Solution for Prevention of Post-ERCP Pancreatitis: A Meta-Analysis Yousaf Hadi, MD1, Justin Kupec, MD1, Rahul Raiker2; 1West Virginia University Hospital, Morgantown, WV; 2West Virginia University, Morgantown, WV

P1766. CT Scan Imaging in Diagnosing Acute Uncomplicated Pancreatitis: Usefulness versus Cost Shana Kothari, MD, MS1, Michael Kalinowski, DO, MS2, Matthew Kobeszko, MD, MS1, Tarek Almouradi, MD3; 1University of Illinois at Chicago - Advocate Christ Medical Center, Oak Lawn, IL; 2University of Illinois at Chicago - Advocate Christ Medical Center, Chicago, IL; 3Advocate Christ Medical Center, Oak Lawn, IL

P1767. Exosomal Glypican-1 and Pancreatic Adenocarcinoma: Prime Time for Early Diagnosis? Pedro Moutinho-Ribeiro, MD, MSc1, Ana Santos, MD1, Ines Batista, MSc2, Barbara Adem, MSc2, Soraia Silva, MSc2, Rui Morais, MD1, Rosa Coelho, MD1, Susana Lopes, MD, PhD1, Filipe Vilas-Boas, MD1, Manuela Baptista, MD1, Helena Barroca, MD1, Jose Machado, PhD2, Fátima Carneiro, MD, PhD1, Sonia Melo, PhD2, Guilherme Macedo, MD, PhD, FACG1; 1Centro Hospitalar São João, Porto, Portugal; 2Instituto de Investigação e Inovação em Saúde - i3S and IPATIMUP, Porto, Portugal

P1768. ERCP Improves Mortality in Acute Biliary Pancreatitis Without Cholangitis Aleksey Novikov, MD1, Jennifer Fieber, MD2, Monica Saumoy, MD, MS3, Russell Rosenblatt, MD4, Shirley Cohen-Mekelburg, MD, MS5, Shawn L. Shah, MD6, Carl Crawford, Jr., MD7, Reem Z. Sharaiha, MD, MSc8; 1NewYork-Presbyterian Weill Cornell Medical Center, Philadelphia, PA; 2University of Pennsylvania, Philadelphia, PA; 3New York Presbyterian Hospital, New York, NY; 4NewYork-Presbyterian Weill Cornell Medical Center, New York, NY; 5University of Michigan, Ann Arbor, MI; 6New York Presbyterian/Weill Cornell Medical Center, New York, NY; 7Weill Cornell Medicine, New York, NY; 8New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY

P1769. Microbial Spectrum in Infected Pancreatic Necrosis: An Analysis From Endoscopic Ultrasound Guided Drainage Pradeep Kathi, MD1, Jahangeer Basha, MD, DM2, Sundeep Lakhtakia, MD, DM2, Nageshwar Reddy, MD, DM, DSc, FAMS, FRCP, FACG, MWGO2; 1Wayne State University, Detroit, MI; 2Asian Institute of Gastroenterology, Hyderabad, Telangana, India

P1770. Temporal Profile of Common Biochemical Laboratory Studies in Pancreatic Cancer: A Population-Based Study Harika Kandlakunta, MBBS, Sri Harsha Patlolla, MBBS, Ayush Sharma, MBBS, Suresh T. Chari, MD; Mayo Clinic, Rochester, MN

P1771. Total Pancreatectomy and Islet Autotransplantation for Treatment of Chronic Pancreatitis Even in Patients With Prior Whipple Procedure Amer Rajab, MD, PhD1, Jill Buss, BA2, Luis F. Lara, MD1, Phil Hart, MD1, Darwin Conwell, MD, MS1, Shumei Meng, MBBS, PhD1, Sylvester Black, MD1, Ken Washburn, MD1; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2The Ohio State University, Columbus, OH

P1772. Flexible Endoscopic Trans-Rectal Gallbladder Preserving Cholecystolithotomy: The First Reported Clinical Series Bingrong Liu, PhD, MD1, Dan Liu, MD1, Lixia Zhao, MD1, Bing Du, MD2, Jitao Song, MD2, Xinhong Wang, MD2, Qianqian Huang, MD2; 1The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, People’s Republic of China; 2The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, People’s Republic of China

P1773. Demographics, Tumor Characteristics, Treatment, and Clinical Outcomes of Patients with Ampullary Cancer: A Surveillance, Epidemiology, and End Results (SEER) Cohort Study Presidential Poster Award Daryl Ramai, MD, MScBR1, Andrew Ofosu, MD, MPH1, Emmanuel Ofori, MD1, Febin John, MD1, Douglas G. Adler, MD2, Krishna C. Gurram, MD1, Madhavi Reddy, MD, FACG1; 1The Brooklyn Hospital Center, Brooklyn, NY; 2University of Utah School of Medicine, Salt Lake City, UT

P1774. Statins Reduce the Development of Complications in Patients With Asymptomatic Gallstone Disease: A Propensity Matched Analysis Shashank Sarvepalli, MD, MS1, Ari Garber, MD1, Michael Rothberg, MD, MPH1, Maged Rizk, MD1, John McMichael, PhD1, Carol A. Burke, MD, FACG2, John J. Vargo, MD2, Gareth Morris-Stiff, MD, PhD1; 1Cleveland Clinic, Cleveland, OH; 2Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P1775. Trends in 30-Day Readmission Rate in Patients With Acute Cholecystitis and Factors Associated With Readmissions Shashank Sarvepalli, MD, MS1, Sushil Kumar Garg, MBBS2; 1Cleveland Clinic, Cleveland, OH; 2Mayo Clinic, Rochester, MN

P1776. A Prospective Study on Contrast-Enhanced Endoscopic Ultrasound for Differential Diagnosis of Pancreatic Cystic Neoplasms Lisen Zhong, MD, Ningli Chai, MD, PhD, Enqiang Linghu, MD, PhD, Huikai Li, MD, Lihua Sun, MS, Jing Yang, MS, Ping Tang, MS; Chinese PLA General Hospital, Beijing, People’s Republic of China

P1777. EUS-Guided Lauromacrogol Ablation for the Treatment of Pancreatic Cystic Neoplasms: Long-Term Follow-Up of at Least 12 Months Chen Du, MS1, Ningli Chai, MD, PhD1, Enqiang Linghu, MD, PhD1, Huikai Li, MD1, Yufa Sun, MD2, Wei Xu, MD2, Lisen Zhong, MD1, Wengang Zhang, MS1, Xu Guo, MD1, Xiuxue Feng, MD1; 1Chinese PLA General Hospital, Beijing, People’s Republic of China; 2Central Guard Bureau, Beijing, People’s Republic of China

P1778. Predicting Acute Pancreatitis Length of Stay: ‘Hotspotting High-cost Admissions Emily Bowns, MS, MPH1, Alice Hinton, PhD2, Luis F. Lara, MD1, Phil Hart, MD1, Darwin Conwell, MD, MS1; 1The Ohio State University Wexner Medical Center, Columbus, OH; 2The Ohio State University, Columbus, OH



P1779. Safety and Efficacy of ERCP in Patients With Periampullary Diverticulum at a General Hospital in Singapore Jing Liang Ho, MD1, Benjamin Cherng Hann Yip, MBBS2, Kenny Ching Pan Sze, MBBS2, Aruni Seneviratna, MBBS, MPH3, Constantinos P. Anastassiades, MBBS2; 1Tan Tock Seng Hospital, Singapore, Singapore; 2Khoo Teck Puat Hospital, Singapore, Singapore; 3Clinical Research Unit, Clinical Research & Innovation Office, Tan Tock Seng Hospital, Singapore, Singapore

P1780. Temporal Profile of Soft Tissue Changes in Pancreatic Cancer During the Pre-Diagnostic Phase Fellows-in-Training Award (Biliary/Pancreas Category) Presidential Poster Award Sri Harsha Patlolla, MBBS, Harika Kandlakunta, MBBS, Ayush Sharma, MBBS, Sajan Jiv Singh Nagpal, MBBS, Suresh T. Chari, MD; Mayo Clinic, Rochester, MN

P1781. Outcomes of Acute Pancreatitis Treatment in the Cannabis Users: A Nationwide Propensity Matched Analysis Hemant Goyal, MD, FACP1, Rupak Desai, MBBS2, Upenkumar Patel, MBBS, MPH3, Abhilash Perisetti, MD, FACP4, Rajiv Chhabra, MD, MRCP (UK), FACG5; 1Mercer University School of Medicine, Macon, GA; 2Atlanta VA Medical Center, Decatur, GA; 3Nassau University Medical Center, East Meadow, NY; 4University of Arkansas for Medical Sciences, Little Rock, AR; 5St. Luke’s Hospital, Kansas CIty, MO

P1782. Enteral Nutrition by Percutaneous Endoscopic Gastrojejunostomy Tube (PEG-J) Tube in Pancreatitis: A Retrospective Study Rajan Kanth, MD1, Adil S. Mir, MD1, Christopher Walsh, MD2, Jash Bansal, MD, MPH1, Mohamad A. Mouchli, MD1, Amrendra Mandal, MD3, Paul Yeaton, MD4, Mohammad Shakhatreh, MD, MPH4; 1Carilion Clinic, Roanoke, VA; 2Carilion Roanoke Memorial Hospital, Roanoke, VA; 3Interfaith Medical Center, Brooklyn, NY; 4Virginia Tech Carilion School of Medicine, Roanoke, VA

P1783. Long-Term Outcome of Mucinous Pancreatic Cystic Lesions in Cancer Survivors or Patients With Extra-Pancreatic Malignancy Emmanuel Coronel, MD1, Hamzah Abu-Sbeih, MD2, Graciela Nogueras Gonzalez, MPH1, Ayush Sutaria, MD3, Michael Kim, MD1, Phillip Lum, PhD3, Brian R. Weston, MD1, Matthew Harold Katz, MD1, Jeffrey E. Lee, MD3, Jeffrey H. Lee, MD1, Manoop S. Bhutani, MD1; 1MD Anderson Cancer Center, Houston, TX; 2University of Texas MD Anderson Cancer Center, Houston, TX; 3University of Texas, MD Anderson Cancer Center, Houston, TX

P1784. Demographics, Tumor Characteristics, Treatment, and Survival Associated With Signet Ring Cell Carcinoma of the Gallbladder (SRCCG): A Population-Based Retrospective Cohort Study Andrew Ofosu, MD, MPH1, Daryl Ramai, MD, MScBR1, Emmanuel Ofori, MD1, Denzil Etienne, MD1, Krishna C. Gurram, MD1, Douglas G. Adler, MD2, Madhavi Reddy, MD, FACG1; 1The Brooklyn Hospital Center, Brooklyn, NY; 2University of Utah School of Medicine, Salt Lake City, UT

P1785. Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Metastases: A Retrospective Study Kevin Lamm, MD, Jason Lewis, MD, Andrew Dries, MD, Tarun Narang, MD, Jamie Campbell, DO; Carolinas Medical Center, Charlotte, NC

P1786. Economic Impact of Pancreatic Enzyme Replacement Therapy (PERT) in Pancreatic Cancer Patients Who May Have Exocrine Pancreatic Insufficiency (EPI) Following Pancreatic Surgery Presidential Poster Award Nikhil Khandelwal, PhD1, Diala Harb, PharmD, PhD1, Shivaji Manthena, PhD1, Patrick Reilly, MA1, Jamie Vora, PharmD, MBA2, Gareth Morris-Stiff, MD3; 1AbbVie Inc., Mettawa, IL; 2AbbVie Inc., North Chicago, IL; 3Digestive Disease Institute/Cleveland Clinic, Cleveland, OH

P1787. Endoscopic Necrosectomy versus Surgical Necrosectomy in the Treatment of Infected Pancreatic Necrosis: A Systematic Review and Meta-Analysis Presidential Poster Award Jobin Philipose, MD1, Moiz Ahmed, MD2, Jean M. Chalhoub, MD3, Vivek V. Gumaste, MD1; 1Staten Island University Hospital, Northwell Health, New York, NY; 2Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, New York, NY; 3Staten Island University Hospital, New York, NY

P1788. The Outcome of Acute Pancreatitis in Patients With Cannabinoid Abuse Muhammad Talal Sarmini, MD, Mohammad Maysara Asfari, MD, Yasser Al-Khadra, MD, Srinivasan Dasarathy, MD, Arthur McCullough, MD; Cleveland Clinic Foundation, Cleveland, OH

P1789. The Association Between Cannabinoid Abuse and Acute Pancreatitis Muhammad Talal Sarmini, MD, Mohammad Maysara Asfari, MD, Yasser Al-Khadra, MD, Srinivasan Dasarathy, MD, Arthur McCullough, MD; Cleveland Clinic Foundation, Cleveland, OH

P1790. Utility of Routinely Sending Pancreaticobiliary Stents for Cytology Shawn Shah, MD1, Kaveh Hajifathalian, MD2, Tushar Khanna, BS, MD1, Gaurav Ghosh, MD1, Monica Saumoy, MD, MS3, Salem Karadsheh, MD4, David L. Carr-Locke, MD, FACG5, Reem Z. Sharaiha, MD, MSc6; 1NewYork-Presbyterian Weill Cornell Medical Center, New York, NY; 2New York Presbyterian, New York, NY; 3New York Presbyterian Hospital, New York, NY; 4University of Jordan Faculty of Medicine, Amman, Jordan; 5Weill Cornell Medical College & New York Presbyterian Hospital, New York, NY; 6New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY

P1791. Complications of Inpatient Endoscopic Retrograde Cholangiopancreatography in Pancreatic Cancer versus Biliary Obstruction Laura Rotundo, MD1, Faiz Afridi, MD1, Thayer Nasereddin, MD1, Neel Patel, MD2, Mirela Feurdean, MD1, Sushil Ahlawat, MD1; 1Rutgers University, New Jersey Medical School, Newark, NJ; 2Rutgers New Jersey Medical School, Newark, NJ

P1792. Methodological Quality Assessment of Meta-Analyses and Systematic Reviews of Rectal Indomethacin in the Prophylaxis of Post-ERCP Pancreatitis Using AMSTAR 2 Ali Raza, MD1, Santosh Kale, MBBS1, Baran Bulent, MD2, Thrupthi Komandur, MBBS1, Bijun S. Kannadath, MBBS, MS3, Prithvi Patil, MS1, R. Tomas Davee, MD1, Nirav Thosani, MD4; 1University of Texas Health Science Center at Houston, Houston, TX; 2Beth Israel Deaconess Medical Center, Boston, MA; 3University of Arizona College of Medicine, Phoenix, AZ; 4University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX

P1793. A Mid-Term Follow-Up Analysis of Mixed Type Intraductal Papillary Mucinous Neoplasms Undergoing Non-Surgical Management Atsushi Kubo, MD; Takamatsu Red Cross Hospital, Takamatsu, Kagawa, Japan

P1794. Hypertriglyceridemia-Associated Drug-induced Acute Pancreatitis Mohamed A. Elkhouly, MD1, Miguel Salazar, MD1, C. Roberto Simons-Linares, MD2; 1Cook County Health and Hospitals System, Chicago, IL; 2Digestive Disease Institute/Cleveland Clinic, Cleveland, OH

P1795. Difference in Clinical Behavior of the Pancreatic Adenocarcinomas versus Pancreatic Neuroendocrine Tumors (PNETs) - A Systematic Review and Meta-Analysis Muhammad Tahir, MD1, Prakash Viswanathan, MD, FACG2, Naveen Prasad Gopalakrishnan Ravikumar, MD1, Lorin Miller1; 1University at Buffalo, Buffalo, NY; 2North Memorial Medical Center, Maple Grove Hospital, Robbinsdale, MN


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P1796. Role of Periprocedural Antibiotics in Patients Undergoing ERCP for Biliary Stent Removal John Walker, DO1, Ruchit N. Shah, DO2, Sunny Patel, DO1, Harshit S. Khara, MD, FACG1, David L. Diehl, MD1, Bradley Confer, DO1; 1Geisinger Medical Center, Danville, PA; 2Geisinger Health Systen, Danville, PA


P1797. Intraductal Papillary Mucinous Neoplasm Complicated by Pancreatoduodenal Fistula Decreased Frequency of Recurrent Acute Pancreatitis Gebran Khneizer, MD1, Kavya M. Reddy, MD2, Muhammad Bader Hammami, MD2, Samer AlKaade, MD2; 1Indiana University School of Medicine, Indianapolis, IN; 2St. Louis University School of Medicine, St. Louis, MO

P1798. Additive Benefit of Confocal Laser Endomicroscopy and Micro-Forceps Needle Biopsy in the Evaluation of a Mucinous Cystic Neoplasm Vick S. DiCarlo, II, MD1, Joseph Drwiega, MD2, Isam Eltoum, MD2, Rachel Mitchell, CRNP2, Devin Harrison, CRNP2, Shajan Peter, MD2, Kondal Rao Kyanam Kabir Baig, MD3, C. Mel Wilcox, MD2, Ali M. Ahmed, MD2; 1UAB, Hoover, AL; 2University of Alabama at Birmingham, Birmingham, AL; 3UAB, Birmingham, AL

P1799. Cannabis as an Overlooked Cause of Acute Pancreatitis: A Case Report and Literature Review Pawel Szurnicki, MD1, Ahmed Alansari, MD2, Tarek Alansari, MD2, Gulam Khan, MD3; 1Woodhull Hospital, Brooklyn, NY; 2New York Medical College/Metropolitan Hospital Center/Woodhull Hospital, Brooklyn, NY; 3New York University School of Medicine, Woodhull Medical and Mental Health Center, Brooklyn, NY

P1800. Afferent Loop Syndrome Masquerading as Recurrent Acute Pancreatitis Nannaya Jampala, MD, Shiva Poola, MD, Sirish Sanaka, MD, Mudireddy Prashant, MD; Vidant Medical Center, Greenville, NC

P1801. An Interesting Patient with IgG4-Associated Simultaneous Autoimmune Hepatitis and Autoimmune Pancreatitis Shruti Patel, MD1, Jiten Desai, MD2, Zalak Desai, MD2, Charudatta Wankhade, MD3, Qi Tao, MD, PhD1, Kaleem Rizvon, MBBS, FACG3; 1Nassau University Medical Center, East Meadow, NY; 2Nassau University Medical Center, Hicksville, NY; 3NUMC, East Meadow, NY

P1802. Azathioprine-Induced Cholestatic Liver Injury with Mild Ductopenia Mengdan Xie, MS1, Kaveh Hajifathalian, MD1, Catherine Lucero, MD1, Clifton G. Fulmer, MD, PhD1, Rhonda K. Yantiss, MD2; 1New York Presbyterian, New York, NY; 2Weill Cornell Medicine, New York, NY

P1803. Disseminated Blastomycosis with Gastrointestinal Involvement of the Pancreas Nayna Riyat, MD1, Thomas Wells, DO, MBA1, Christopher Jackson, MD1, Neena Thomas-Gosain, MD2, Vickie Baselski, MD1, Ilya Stone, MD2, Bradford Waters, MD3, Claudio Tombazzi, MD3; 1University of Tennessee, Memphis, TN; 2Memphis VA Medical Center, Memphis, TN; 3University of Tennessee and Memphis VA Medical Center, Memphis, TN

P1804. Pancreatic Panniculitis: A Harbinger of Systemic Inflammatory Response Syndrome From Spontaneous Rupture of Massive Pancreatic Pseudocyst Anam Qureshi, MD, Asad Jehangir, MD, Anthony A. Donato, MD, MHPE; Reading Hospital - Tower Health, Reading, PA

P1805. Unusual Discovery During ERCP: Bile Duct Adenoma Karen Gordon, FNP, CRNP, Faye Smith Chakmakova, MD, Iryna S. Hepburn, MD, FACG, FACP; WellSpan Health, Lebanon, PA

P1806. In Rare Form: A Case of Squamous Cell Pancreatic Cancer Diagnosed by EUS-Guided Core Biopsies (FNB) Saamia Faruqui, MS, MD1, Eliza Lewine, BS2, Shanti G. Rao, MD2, Virendra Joshi, MD, FACG3; 1Tulane University, New Orleans, LA; 2Tulane University School of Medicine, New Orleans, LA; 3University Medical Center, New Orleans, LA

P1807. Diagnostic and Therapeutic Benefits of Direct Visualization of the Biliary Tree David R. Miller, BS1, Nidah S. Khakoo, BS, MD2, Siddharth Bhargava, BS1, Michael Schuster, MD1, James Litynski, MD1, Micheal Tadros, MD, MPH1; 1Albany Medical College, Albany, NY; 2Jackson Memorial Hospital/University of Miami, Morganville, NJ

P1808. An Unusual Case of Gallbladder Cancer in a Young Male Sandra Gomez-Paz, MD1, Shruti Patel, MD1, Kaleem Rizvon, MBBS, FACG2; 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Meadow, NY

P1809. Biliary Lesion? Might Want to Consider an IPMN Chuma Obineme, MD1, Taimur Office, MD1, Ross Deppe, MD2, Parit Mekaroonkamol, MD1, Jessica Tracht, MD3; 1Emory University School of Medicine, Atlanta, GA; 2Emory University, Atlanta, GA; 3University of Alabama at Birmingham, Birmingham, AL

P1810. Endoscopic Management of Giant Pancreatic Pseudocyst at High Risk for Bleeding Muhammad Alsayid, MD, MPH1, Syed K. Mahmood, MD, MPH2, Jaroslav Zivny, MD3; 1University of Massachusetts Memorial Medical Center, Worcester, MA; 2University of Massachusetts, Worcester, MA; 3University of Massachusetts Medical Center, Worcester, MA

P1811. Tamoxifen-Induced Hypertriglyceridemia-Induced Pancreatitis: A Rare Side Effect Tanureet Kochar, MD1, Parminder Dhingra, MD2, Arupreet Kochar, MD3, Mohamad Sankari, MD1; 1Charleston Area Medical Center, Charleston, WV; 2St. Vincent Mercy Health, Toledo, OH; 3Geisinger Medical Center, Danville, PA

P1812. Adenocarcinoma Synchronous with Neuroendocrine Tumor in Ampulla of Vater: A Rare Presentation Tanureet Kochar, MD, Hamza Shah, MD; Charleston Area Medical Center, Charleston, WV

P1813. A Rare, yet Aggressive, Intra-Abdominal Malignancy: Ewing Sarcoma of the Pancreas Sharanjit Khaira, MD1, Sukhmanpreet Singh, MD1, Angadbir Parmar, MBBS1, Asma Taj, MD2; 1Central Michigan University, Saginaw, MI; 2St. Mary’s of Michigan Medical Center, Hematology/Oncology, Saginaw, MI

P1814. Bronchobiliary Fistula - A Rare Case of a Patient Presenting With Biliptysis Grigoriy Rapoport, MD1, Juan Castano, MD1, Muhammed Gulzar Nathani, MD, FACP, FACG2, Asif Zamir, MD3; 1University of Texas Rio Grande Valley School of Medicine, Edinburg, TX; 2Kelsey-Seybold Clinic, Spring, TX; 3Renaissance Gastroenterology / UTRGV, Edinburg, TX

P1815. Mirizzi’s Syndrome in a Patient With Decompensated Cirrhosis Alexander Troum, DO1, Rouenne Seeley, DO2, Joanne Kaiser-Smith, DO2; 1Rowan University Cooper Medical School, Stratford, NJ; 2Rowan University School of Osteopathic Medicine, Stratford, NJ

P1816. Pancreatico-Pleural Fistula Presenting as Recurrent Bilateral Pleural Effusion: A Rare Complication of Chronic Pancreatitis Ranjit Makar, MD1, Muthena Maklad, MD2, Mohamad Mubder, MD3, Joseph M. Fayad, MD, FACG4, Bipin Saud, MD2; 1University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 2University of Las Vegas School of Medicine, Las Vegas, NV; 3University of Nevada Las Vegas, Las Vegas, NV; 4VA Southern Nevada Healthcare System, Las Vegas, NV



P1817. Pancreatic Adenocarcinoma Disguised as Diabetic Ketoacidosis: A Case Review Tamoor Shahid, MBBS1, Shahzad Shahid, MBBS2; 1Geisinger Health System, Danville, PA; 2Mayo Hospital, Lahore, Punjab, Pakistan

P1818. Use of an Esophageal Stent as a Novel Treatment for Toilsome Choledocholithiasis Areeba S. Awan, MBBS1, Simran Sidhu, MBBS2, Jasmine Martin, MD1, Theodore Doukides, MD3; 1Florida Atlantic University, Boca Raton, FL; 2Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 3Boca Raton Regional and Delray Medical Center, Boca Raton, FL

P1819. Squamous Cell Carcinoma of the Anus: An Unlikely Suspect for a Pancreatic Mass Thomas Mellor, DO1, Patrick Bagley, DO2, Aaron Tallant, MD2, Scott Liu, MD2, Jeffrey Laczek, MD2; 1Naval Medical Center San Diego, San Diego, CA; 2Walter Reed National Military Medical Center, Bethesda, MD

P1820. Isolated Pancreatic Metastasis From Colorectal Cancer Faiza Malik, MD1, Matthew Nguyen, MD2, Tahmina Jahir, MD1, Sm Hossain, MBBS3, Sophia Jagroop, MD1; 1Jamaica Hospital Medical Center, Richmond Hill, NY; 2Jamaica Hospital Medical Center, Briarwood, NY; 3Brookdale Hospital Medical Center, Brooklyn, NY

P1821. Splenic Artery Pseudoaneurysm: A Common Presentation With a Rare Etiology Ashley Manganiello, MD1, Bashar Kako, MD1, Lauren Mechanic, MD1, Jared Lander, DO2; 1Lankenau Medical Center, Philadelphia, PA; 2Lankenau Medical Center, Wynnewood, PA

P1822. Pancreatic Head Mass: A Rare Manifestation of Granulomatosis With Polyangiitis Michael Castillo, MD1, Adalberto Gonzalez, MD2, Eduardo Perez, MD2, Jeevna Kaur, MD2, Asad Ur Rahman, MD2, Pablo Bejarano, MD2, Vaibhav Wadhwa, MD2, Annie Gupta, MD3, Anazilta Edward, BS4, Kevin Perry, MD2, Alison Schneider, MD2, Ronnie Pimentel, MD2; 1Cleveland Clinic Florida, Miami, FL; 2Cleveland Clinic Florida, Weston, FL; 3Cleveland Clinic Florida, Fort Lauderdale, FL; 4Ross University School of Medicine, Weston, FL

P1823. A Rare Cause of Biliary Obstruction: Intrabiliary Rupture of a Hepatic Hydatid Cyst Jacqueline Forman, MD, Ismail Jimada, MD, Daniel Shapiro, MD, David Friedel, MD, Natalie Klein, MD, Burke Cunha, MD, Megan Winner, MD; NYU Winthrop Hospital, Mineola, NY

P1824. Transgastric Endoscopic Cystogastrostomy in a Patient With Gastric Sleeve Anatomy Frances Onyimba, MD, Wilson Kwong, MD; University of California San Diego, San Diego, CA

P1825. A Rare Diagnosis Made by Wire-Guide Assisted Endobiliary Forceps Parth J. Parekh, MD1, Mohammad H. Shakhatreh, MD, MPH1, Douglas Grider, MD, FCAP, FASDP2, Paul Yeaton, MD1; 1Carilion Clinic, Roanoke, VA; 2Carilion Clinic, Virginia Tech School of Medicine, Roanoke, VA

P1826. Getting Into the Groove: An Unusual Case of Paraduodenal Groove Pancreatitis Ashley Rossi, MD, Yesenia Greeff, MD, Natalia Belova, MD, Shaolei Lu, MD, Colleen Kelly, MD, Kevin Charpentier, MD, Sarah Hyder, MD; Brown University/Rhode Island Hospital, Providence, RI

P1827. Acetaminophen-Induced Pancreatitis: A Rare Complication of Acetaminophen Hepatotoxicity Nihaal P. Karnik, MD, Andrew J. Quinn, MD, Lauren Hunter, MD, Naitik Patel, MD; Hahnemann University Hospital/Drexel University College of Medicine, Philadelphia, PA

P1828. Lightening up the Tunnel of Darkness: Endoscopic Radio Frequency Ablation of Malignant Biliary Stricture: A Novel Technique Manoj Kumar, MD, MPH1, Gilad Shapira, DO1, Caitlin Marshall, MD1, C. Alex Wiles, BA1, Nicholas Ludvik, MD1, Tawfik Khoury, MD2, Alan Schumann, BS1, Reynaldo Rodriguez, DO1, Meir Mizrahi, MD1; 1University of South Alabama, Mobile, AL; 2Hadassah Medical Center, Jerusalem, Yerushalayim, Israel

P1829. An Effortless Collision Sport in the Bile Duct - A Novel Stent Delivery System for Malignant Biliary Hilar Obstruction Manoj Kumar, MD, MPH1, Nicholas Ludvik, MD1, Gilad Shapira, DO1, Caitlin Marshall, MD1, C. Alex Wiles, BA1, Alan Schumann, BS1, Tawfik Khoury, MD2, Divya Nadella, MD1, Meir Mizrahi, MD1; 1University of South Alabama, Mobile, AL; 2Hadassah Medical Center, Jerusalem, Yerushalayim, Israel

P1830. Endoscopic Management of Biliary Stent Occlusion With Bipolar Electrocautery Jake Jacob, BA, Gyanprakash Ketwaroo, MD, Maria Jarbrink-Sehgal, MD, PhD, Rhonda Cole, MD, Clark Hair, MD; Baylor College of Medicine, Houston, TX

P1831. Non-Hodgkin’s Lymphoma Masquerading as Cholangiocarcinoma: A Differential Diagnosis for Malignant Obstructive Jaundice Rebecca Loh, MD, Andrew C. Elden, MD, David E. Loren, MD; Thomas Jefferson University Hospital, Philadelphia, PA

P1832. Fenofibrate: A Non-Lithogenic Means of Recurrent Drug-Induced Pancreatitis Thamer Kassim, MD, Joy-Marie Hermes, MD, Abdullah Abdussalam, MD, MBA, Ahmed Aly, MD, Avanija Buddam, MD, Subhash Chandra, MBBS; Creighton University, Omaha, NE

P1833. Unusual Presentation of Solid Pseudopapillary Tumor of the Pancreas With Pyelonephritis and Weight Loss Michael Kalinowski, DO, MS, Shana Kothari, MD, MS, Matthew Kobeszko, MD, MS, Rogelio Silva, MD; University of Illinois at Chicago - Advocate Christ Medical Center, Oak Lawn, IL

P1834. Pancreatic Pseudocyst: Up to Where It Can Go? Alan Schumann, BS1, Manoj Kumar, MD, MPH1, Divya Nadella, MD1, Gilad Shapira, DO1, Caitlin Marshall, MD1, C. Alex Wiles, BA1, Nicholas Ludvik, MD1, Tawfik Khoury, MD2, Meir Mizrahi, MD1; 1University of South Alabama, Mobile, AL; 2Hadassah Medical Center, Jerusalem, Yerushalayim, Israel

P1835. A Rare Cause of Hemobilia After Cholecystostomy Ishani Shah, MD1, Shruti Mony, MD1, Abhishek Bhurwal, MBBS, MD2, Neil Vyas, MD3, Farhoud Khosravi, DO4; 1St. Joseph’s Hospital and Medical Center, Phoenix, AZ; 2Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 3St. Joseph’s Hospital and Medical Center, Phonix, AZ; 4Arizona Centers for Digestive Health, Phoenix, AZ

P1836. First Report of Pancreatic Metastasis From Small Cell Carcinoma of the Urinary Bladder Sravani Kamatam, MD, MPH1, Bhavana Bhagya Rao, MD2; 1St. Vincent Charity Medical Center, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH

P1837. Achieving Hemostasis in a Rare Case of Hemomobilia Alma Guerrero Bready, MD1, Sehrish Jamot, MD2, Fadlallah Habr, MD3; 1Alpert Medical School at Brown University, Providence, RI; 2Brown University, Providence, RI; 3Lifespan Physician Group, Providence, RI

P1838. Pancreaticopleural Fistula: To Treat or Not to Treat Betty Albo, MD1, Matthew Fasullo, DO2, Jojo Yeboa, MD2, Wahid Wassef, MD, MPH, FACG3; 1University of Massachussetts, Worcester, MA; 2University of Massachusetts, Worcester, MA; 3University of Massachusetts Memorial Medical Center, Worcester, MA


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P1839. Transhiatal Herniation of the Pancreas as a Cause of Acute Pancreatitis Sarmed Al Yassin, MD1, Harold Paredes, MD2, Jonathan Buscaglia, MD3, Emily Glazer, MD4, Dennis Chang, DO5, McEvoy Robert Patrick, MD6; 1Stony Brook University Program/Mather Hospital, Port Jefferson Station, NY; 2Stony Brook Medicine, Stony Brook, NY; 3Stony Brook University Hospital, Stony Brook, NY; 4Long Island Digestive Disease Consultants, Setauket, NY; 5Stony Brook University Program/Mather Hospital, Port Jefferson, NY; 6Stony Brook University Radiology Residency Program, Port Jefferson Station, NY

P1840. Pancreatic Retroperitoneal Fibrosis Masquerading as a Pancreatic Mass: A Diagnostic Quandary Christopher King, DO1, Matthew Rendo, MD1, Ryan Cho, MD2, Charles B. Miller, MD2, Devin Broadwater, MD1, Brendan Graham, MD1, Christopher Lisanti, MD1; 1San Antonio Uniformed Services Health Education Consortium, San Antonio, TX; 2San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX

P1841. A Sausage-Shaped Pancreas That Isn’t Autoimmune Pancreatitis Ali Osman, MD, Abdullah Abdussalam, MD, MBA, Savio Reddymasu, MD, Subhash Chandra, MBBS, Clay Jarrell, MD, Nicholas Dietz, MD; Creighton University, Omaha, NE

P1842. Use of Axios Stent to Relieve Short Malignancy Stricture Zain Iqbal Memon, DO, David Dicaprio, DO, Patrick Okolo, MD; Northwell Health Lenox Hill Hospital, New York, NY

P1843. Curious Case of a Middle Common Bile Duct (CBD) Stricture Found on Endoscopic Retrograde Cholangiopancreatography Zain Iqbal Memon, DO, David Dicaprio, DO, Patrick Okolo, MD; Northwell Health Lenox Hill Hospital, New York, NY

P1844. Unusual Presentation of Sarcoidosis: Biliary Sarcoidosis Mimicking Cholangiocarcinoma Raya Kutaimy, MBChB1, Bashar Mohamad, MD2, Kartikkumar Jinjuvadia, MD, MPH3; 1Wayne State University, Detroit, MI; 2Detroit Medical Center/Wayne State University, Detroit, MI; 3Wayne State University, Troy, MI

P1845. A Rare Case of B-Cell Lymphoma Presenting as a Large Solid Pancreatic Mass: A Case Report Mohamed Azab, MD, Amaan Shafi, MD, Shahid Wahid, MD; University of Nevada Las Vegas School of Medicine, Las Vegas, NV

P1846. Recurrent Pancreatitis in a Patient With Abnormal Pancreaticobiliary Junction: Case Report Gurjiwan S. Virk, MD1, Nour Parsa, MD2, Sven Hida, MD2; 1Albany Medical Center and VA Medical Center, Albany, NY; 2Albany Medical Center, Albany, NY

P1847. Functional Bowel Obstruction From a Pancreatic Giant Cell Tumor: A Case Report Adam Van Huis, MD, Paul Co, MD, Marmy Shah, MD; Loyola University Medical Center, Maywood, IL

P1848. Giardia lamblia Found on Endoscopic Ultrasound-Guided Fine Needle Aspiration in a Patient Bacteremiaa Pancreatic Mass Ahmed Al-Chalabi, MD, Neha Varshney, MD, Ali Nawras, MD; University of Toledo Medical Center, Toledo, OH

P1849. Alcohol-Induced Severe Pancreatitis Complicated by Atypical Hemolytic Uremic Syndrome: Response to Eculizumab Matthew Kobeszko, MD, MS, Michael Kalinowski, DO, MS, Shana Kothari, MD, MS; University of Illinois at Chicago - Advocate Christ Medical Center, Oak Lawn, IL

P1850. A Case of Autoimmune Pancreatitis and IgG4-related Sclerosing Cholangitis Amna Mehdi, DO1, Geethan Sivanathan, MD1, Suhail Salem, MD1, Jeevan Vinod, MD2, Taruna Bhatia, MD2, Noreen Shahla, MD1; 1CarePoint Health, Bayonne, NJ; 2CarePoint Health Bayonne Medical Center, Bayonne, NJ

P1851. A Common Disease with an Uncommon Complication: A splenic Artery Pseudoaneurysm and the Acute Management Marisa Terino, MD, Marianna G. Mavilia, DO, Nha T. Duong, DO, Nihar Shah, MBBS, Chioma Ihunnah, MD; University of Connecticut Health Center, Farmington, CT

P1852. A Rare Case of Severe Acute Pancreatitis in an Adult Caused by Type 1 Choledochal Cyst (CC) Romaisa Wadood, MD, Harish Guddati, MD, Hilary Hertan, MD, FACG; Montefiore Medical Center, Bronx, NY

P1853. Allopurinol Associated Drug Rash with Eosinophila and Systemic Symptoms (DRESS)-Induced Fulminant Liver Failure Kenneth D. Allen, DO, Jeffrey Yu, MD, Lanla F. Conteh, MD, MPH, John Christman, MD; The Ohio State University Wexner Medical Center, Columbus, OH

P1854. Needle-Based Confocal Laser Endomicroscopy Examination of Autoimmune Pancreatitis With Cystic Lesions Yunlu Feng, MD, Aiming Yang, MD, Xi Wu, MD, Tao Guo, MD, Shengyu Zhang, MD; Peking Union Medical College Hospital, Beijing, People’s Republic of China

P1855. Diffuse Caroli’s Disease: A Rare Form of Intrahepatic Bile Duct Dilatation Presenting with Acute Cholangitis Juan F. Ricardo, MD, Ahmed I. Salem, MD, Talal Alkayali, MD, Wilhelmine Wiese-Rometsch, MD, Stephen Kucera, MD; Florida State University/Sarasota Memorial Hospital, Sarasota, FL

P1856. Acute Epstein-Barr Virus-Induced Acute Pancreatitis and Cholestatic Hepatitis Colleen Caprio, MD, Vikram Patel, MD, Hector Gonzalez, MD; Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL

P1857. Mucinous Cystic Neoplasm in a Patient With Polycystic Kidney Disease Yamam I. Al-Saadi, MD1, Lauren August Clark, MD2, Sreeram Parupudi, MD, FACP, FACG2; 1University Of Texas Medical Branch Galveston, Galveston, TX; 2University of Texas Medical Branch, Galveston, TX

P1858. Recurrent Acute Pancreatitis With Energy Drinks Consumption: Rare but Definite Association Ahmad Al-Tamimi, MD, Thamer Kassim, MD, Subhash Chandra, MBBS; Creighton University, Omaha, NE

P1859. The Magic of Covered Self Expanding Metallic Stents: A Novel Therapeutic Approach for Bile Leaks Ghulam Mustafa Aftab, MD, MBBS, Hasan Zahid, MD, MBBS, Muhammad Riaz, MD, Mujtaba Butt, MD; Orange Park Medical Center, Orange Park, FL

P1860. A Unique Case of a Hepatobiliary Plasmacytoma Causing Obstructive Jaundice in a Patient with Multiple Myeloma John Dally, MD; The Wright Center for Graduate Medical Education, Scranton, PA

P1861. Case Report of a Unique but Likely Not Uncommon Etiology of a Markedly Elevated Serum Carbohydrate Antigen 19-9 (CA 19-9) Jared Sninsky, MD1, Charles A. Sninsky, MD2, Troy Hampton, MD3, Christopher Cassisi, MD4; 1Washington University School of Medicine, St. Louis, MO; 2DIgestive Disease Associates, Gainesville, FL; 3Pathology Associates of North Florida, Gainesville, FL; 4Urologic Surgeons, Gainesville, FL



P1862. A Rare Case of Zollinger-Ellison Syndrome and Pancreatic Adenocarcinoma in a Patient with Multiple Endocrine Neoplasia Type 1 Pedro Rosa-Cortes, MD1, Carlos Micames-Caceres, MD, FACG2, Carlos Laboy-Olivieri, MD3; 1VA Caribbean Healthcare System, San Juan, Puerto Rico; 2Hospital Bella Vista, Mayaguez, Puerto Rico; 3Hospital Metropolitano Dr. Susoni, Arecibo, Puerto Rico

P1863. Pancreatolithiasis: An Unusual Cause of Obstructive Jaundice Harmeet S. Mashiana, MD1, Matthew J. Sullivan, DO2, Hiral Shah, MD, FACG2; 1University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 2Lehigh Valley Health Network, Allentown, PA

P1864. Eosinophilic Cholangiopathy Mimicking Cholangiocarcinoma: Case Report Maaz Sohail, MD1, Muhammad B. Hammami, MD2, Cornelia Charles, MD2; 1Florida Atlantic University, Boca Raton, FL; 2Florida Atlantic University, Boynton Beach, FL

P1865. The CT "Sandwich Sign": Not Your Everyday Pancreatic Cancer Brett Hughes, MD1, Shruti Mony, MD2, Keng-Yu Chuang, MD3; 1Creighton University School of Medicine (Phoenix-St. Joseph’s), Phoenix, AZ; 2St. Joseph’s Hospital and Medical Center, Phoenix, AZ; 3Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ

P1866. Primary Anaplastic Large Cell Lymphoma of the Pancreas: A Unique Pancreatic Neoplasm Brett Hughes, MD1, Shruti Mony, MD2, Keng-Yu Chuang, MD3; 1Creighton University School of Medicine (Phoenix-St. Joseph’s), Phoenix, AZ; 2St. Joseph’s Hospital and Medical Center, Phoenix, AZ; 3Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ

P1867. Percutaneous Transhepatic Cholangioscopy With Electrohydraulic Lithotripsy in a Patient With Choledocholithiasis in a Metal Biliary Stent Jeffrey Hubers, MD, Ravi Patel, MD, Prasad Dalvie, MD, Bryant Megna, MD, Deepak Gopal, MD, FACG; University of Wisconsin Hospitals and Clinics, Madison, WI

P1868. Synchronous Presentation of Three Distinct Pancreaticobiliary Tumors: Pancreatic Ductal Adenocarcinoma, Cholangiocarcinoma, and a Pancreatic Neuroendocrine Tumor Joon Kyung Kim, BS1, Benjamin Powers, MD2, Sean Dineen, MD2, Jason Fleming, MD2; 1University of South Florida Morsani College of Medicine, Tampa, FL; 2Moffitt Cancer Center, Tampa, FL

P1869. Acute Uremia and Aspirin: A Recipe for Disaster Leading to Post-Sphincterotomy Hemorrhage Richard M. Fazio, MD, MS, Negar Niknam, MD, Daniel J. Waintraub, MD, Ira E. Mayer, MD, FACG, Rabin Rahmani, MD, FACG; Maimonides Medical Center, Brooklyn, NY

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P1870. National Demographic and Economic Trends of Acute Diverticulitis in the United States From 2000-2015 Stephen Tsoukas, MD1, Yii Chun Khiew, MD1, Teodora-Cristiana Dumitra, MD2, Manoj A. Shirodkar, MD3; 1Pennsylvania Hospital of University of Pennsylvania Health System, Philadelphia, PA; 2McGill University Health Centre, Montreal, PQ, Canada; 3University of Pennsylvania, Philadelphia, PA

P1871. The Effect of Obesity on Cecal Intubation Arnab Mitra, MD1, Jared Huber, MD2, David Lieberman, MD1; 1Oregon Health and Science University, Portland, OR; 2Oregon Health and Sciences University, Portland, OR

P1872. PillCam Colon™ (PC) Live Training Course Is Effective at Increasing Comfort Levels With Understanding Usage and Reading Studies David J. Hass, MD, FACG1, Paul Feuerstadt, MD, FACG2, Ira Schmelkin, MD, FACG3; 1Yale University School of Medicine / Gastroenterology Center of Connecticut, Hamden, CT; 2Yale University School of Medicine / Gastroenterology Center of Connecticut, Westport, CT; 3Baystate Medical Center, Springfield, MA

P1873. Polyp Detection Trends: Data from New Hampshire Colonoscopy Registry 2004-2015 Joseph Anderson, MD, MHCDS1, Christina Robinson, MS2, Lynn Butterly, MD3; 1Geisel School of Medicine at Dartmouth, Hanover, NH; 2Dartmouth-Hitchcock Medical Center, Lebanon, NH; 3Geisel School of Medicine at Dartmouth, Lebanon, NH

P1874. Is There an Association of the Andes Traditional Coca Leaf Chewing and Sigmoid Volvulus? A Study of 441 Patients in Bolivia C. Roberto Simons-Linares, MD1, Ricardo Morgenstern, MD2, Abel Acosta-Canedo, MD3, Jaime Saravia-Burgos, MD3; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2Drexel University, Philadelphia, PA; 3Instituto de Gastroenterología Boliviano Japonés, Facultad de Medicina, Universidad Mayor de San Simon, Cochabamba, Bolivia

P1875. RBX7455 – a Non-Frozen, Lyophilized, Oral Microbiota Reduces Clostridium difficile Infection Recurrence and Restores Patients’ Microbiomes Presidential Poster Award Sahil Khanna, MD, MS1, Darrell Pardi, MD, MS1, Dale Gerding, MD2, Ken Blount, PhD3, Courtney Jones, BS3, Bill Shannon, PhD, MBA4, Elena Deych, MS4; 1Mayo Clinic, Rochester, MN; 2Edward Hines Jr. VA Hospital, Hines, IL; 3Rebiotix, Inc., Roseville, MN; 4BioRankings, LLC, St. Louis, MN

P1876. The Incidence of Colonic Neoplasia in Patients With Microscopic Colitis and Chronic Diarrhea: A Retrospective Case Control Study Amrit Kamboj, MD, Conor Lane, MD, Sahil Khanna, MD, MS, Darrell Pardi, MD, MS; Mayo Clinic, Rochester, MN

P1877. Perception of Quality of Life Among People Experiencing or Having Experienced a Clostridium difficile Infection in the United States: Qualitative Review of Respondents Verbatim Category Award (Colon) Presidential Poster Award Lise Lurienne, PharmD, MSc1, Pierre-Alain Bandinelli2, Thibaut Galvain, PharmD, MSc1, Charles-Alexis Coursel3, Philippe Boutier1, Caterina Oneto, MD4, Paul Feuerstadt, MD, FACG5; 1Da Volterra, Paris, Ile-de-France, France; 2Da Volterra SAS, Paris, Ile-de-France, France; 3Da Volterra, Issy-Les-Moulineaux, Ile-de-France, France; 4Concorde Medical Group, New York, NY; 5Yale University School of Medicine / Gastroenterology Center of Connecticut, Westport, CT

P1878. Outcomes and Mortality in Post-Operative C. difficile Infection: A Single Center Study Rashmi Advani, MD1, Micheal Schopis, MD1, Ruth Eisenberg, MS2, Natasha Chhabra, MD3, Bradley Bauer, MD1, Wenzhu Mowrey, PhD2, Singh Nair, MD, PhD3, Olga C. Aroniadis, MD, MS3, Lawrence J. Brandt, MD, MACG 3; 1Albert EInstein College of Medicine/Montefiore Medical Center, Bronx, NY; 2Albert Einstein College of Medicine, Bronx, NY; 3Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY

P1879. Timing of Events in Recurrent Clostridium difficile Infection Charles Meade, MD, George Saffouri, MD, Sahil Khanna, MD, MS, Herb Heien, Darrell Pardi, MD, MS; Mayo Clinic, Rochester, MN

P1880. Improved Regularity With a Chewable Inulin Fiber Tablet (CIFT): Results From a Patient Reported Outcomes (PRO) Study Brian E. Lacy, MD, PhD1, Michael S. Epstein, MD2, Syed M. Shah, PhD3, Patrick Corsino, PhD3; 1Mayo Clinic, Jacksonville, FL; 2Digestive Disorders Associates, Annapolis, MD; 3IM HealthScience, Boca Raton, FL


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P1881. A Comprehensive Cost Analysis Using Medicare Data Supports Consideration of Less Invasive Resection Techniques for Benign Colon Lesions Emre Gorgun, MD1, Michael J. Cangelosi, MA, MPH2, Sofia Faucher, BA2, Stacey L. Amorosi, MA2; 1Cleveland Clinic Foundation, Cleveland, OH; 2Boston Scientific, Marlborough, MA

P1882. National Landscape of Unplanned 30-Day Readmission Rates for Acute Non-Hemorrhagic Diverticulitis: Insight From National Readmission Database Dhruv Mehta, MD1, Aparna Saha, MD, MPH2, Lavneet Chawla, MD3, Tausif Siddiqui, MD4, Dishita Pandya, MD2, Priti Poojary, MD, MPH2, Virendra Tewari, MD5, Edward Lebovics, MD6; 1New York Medical College at Westchester Medical Center, Valhalla, NY; 2Icahn School of Medicine at Mount Sinai, New York, NY; 3Westchester Medical Center, Valhalla, NY; 4New York Medical College, Valhalla, NY; 5Westchester Medical Center at Westchester Medical Center, Valhalla, NY; 6Westchester Medical Center at New York Medical College, Valhalla, NY

P1883. Use of Proton Pump Inhibitors Is Not an Independent Risk Factor for Microscopic Colitis: A Large Retrospective Case Controlled Study Abhishek Shenoy, MD1, Thomas Hunold, BSPH1, Walker Redd, MD2, R. Ann Hays, MD3; 1University of Virginia, Charlottesville, VA; 2Brigham & Women’s Hospital, Boston, MA; 3University of Virignia, Charlottesville, VA

P1884. The Importance of Endoscopic and Histological Evaluation in the Management of Immune Checkpoint Inhibitor-Induced Colitis Hamzah Abu-Sbeih, MD1, Faisal S. Ali, MD2, Wenyi Luo, MD1, Gottumukkala Raju, MD1, Yinghong Wang, MD1; 1University of Texas MD Anderson Cancer Center, Houston, TX; 2Presence Saint Joseph Hospital, Chicago, IL

P1885. Taming the Beast: The Safety and Efficacy of Fecal Microbiota Transplantation in Severe and Complicated Clostridium difficile Infection Hamzah Abu-Sbeih, MD1, Faisal S. Ali, MD2, Rachel Hicklen, MS1, Yinghong Wang, MD1; 1University of Texas MD Anderson Cancer Center, Houston, TX; 2Presence Saint Joseph Hospital, Chicago, IL

P1886. Fecal Microbiota Transplantation for Clostridium difficile Infection in Immunocompromised Patients - Safe or Risky? Hamzah Abu-Sbeih, MD1, Faisal S. Ali, MD2, Rachel Hicklen, MS1, Yinghong Wang, MD1; 1University of Texas MD Anderson Cancer Center, Houston, TX; 2Presence Saint Joseph Hospital, Chicago, IL

P1887. Megacolon in Clostridium difficile Infection Akeem O. Adebogun, MD, MPH1, Tanya Thomas, MD1, Musa Abdullahi, MD1, Mustafa Mustafa, MD1, Adeyinka Laiyemo, MD, MPH2; 1Howard University Hospital, Washington, DC; 2Howard University, Washington, DC

P1888. Smoking and the Risk of Microscopic Colitis: A Meta-Analysis Kittika Poonsombudlert, MD, Veeravich Jaruvongvanich, MD; University of Hawaii, Honolulu, HI

P1889. Prostate Examination at Time of Colonoscopy: A Survey of Patients, General Practitioners (GPs), and Endoscopists Ahsan Syed, MD1, Mark Borgaonkar, MD, FRCPC2; 1University of Calgary, Calgary, AB, Canada; 2Memorial University, St. John’s, NF, Canada

P1890. Fecal Microbiota Transplant via Retention Enema in Severe Clostridium difficile Infection Olanrewaju Jimoh, MD1, Darrel Gachette, BS2, Mena Bakhit, MD2, Colleen R. Kelly, MD2; 1Carolina Digestive Health Associates, Charlotte, NC; 2Warren Alpert Medical School of Brown University, Providence, RI

P1891. Optimizing the Preparation Regimen Prior to Colonoscopy Procedure With the Pure-Vu® System Gerald Bertiger, MD; Hillmont GI PC, Flourtown, PA

P1892. Results From a Proof of Concept Study Evaluating DCL-101, a Novel Pill Colon Prep, Compared to 4L PEG-ELS in Adult Outpatients Undergoing Routine Colonoscopy Dale Bachwich, MD1, Vera O. Kowal, MD1, Michael L. Kochman, MD2, James D. Lewis, MD3; 1Dark Canyon Laboratories, LLC, Rapid City, SD; 2Center for Endoscopic Innovation, Research, and Training, University of Pennsylvania Health System, Philadelphia, PA; 3Hospital of the University of Pennsylvania, Philadelphia, PA

P1893. Young versus Older-Onset Colorectal Cancer in a Safety Net Hospital Pooja Dharwadkar, MD, Garrett Greenan, MD, Amit Singal, MD, MS, Caitlin Murphy, PhD, MPH; University of Texas Southwestern Medical Center, Dallas, TX

P1894. Efficacy of Fecal Microbiota Transplantation for Clostridium difficile Infection in Immunocompromised Patients: A Systematic Review and Meta-Analysis Raseen Tariq, MBBS1, Srishti Saha, MBBS, MD1, Abdul Wahab, MD2, Fateeha Furqan, MD3, Erik Olson, DO3, Darrell Pardi, MD, MS1, Sahil Khanna, MD, MS1; 1Mayo Clinic, Rochester, MN; 2Unity Hospital/ Rochester Regional Health System, Rochester, NY; 3Rochester General Hospital, Rochester, NY

P1895. Outcomes of Clostridium difficile Infection in Patients With Obesity: A Nationwide Analysis Raseen Tariq, MBBS1, Abdullah Abdullah, MD, MSC2, Abdul Wahab, MD3, Mohammed Aradaib, MD, MReS4, Srishti Saha, MBBS, MD1, Maryrose Laguio-Vila, MD5, Darrell Pardi, MD, MS1, Sahil Khanna, MD, MS1; 1Mayo Clinic, Rochester, MN; 2Unity Hospital, Rochester, NY; 3Unity Hospital/ Rochester Regional Health System, Rochester, NY; 4Beacon Hospital, Dublin, Ireland; 5Rochester General Hospital, Rochester, NY

P1896. Endoscopy Room Turnaround Efficiency: Risk-Benefit Analysis of Water Exchange (WE) versus GAS (air or Carbon Dioxide) Colonoscopy - A Systematic Review Sergio Cadoni, MD1, Cesare Hassan, MD2, Leonardo Frazzoni, MD3, Sauid Ishaq, MBBS, FRCP4, Malcolm Koo, PhD5, Felix Leung, MD6; 1ATS Sardegna, ASSL Carbonia, CTO Hospital, Iglesias, Sardegna, Italy; 2Nuovo Regina Margherita, Rome, Lazio, Italy; 3S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Emilia-Romagna, Italy; 4Birmingham City University, Dudley, England, United Kingdom; 5Tzu Chi University of Science and Technology, Hualien City, Hualien, Taiwan (Republic of China); 6Sepulveda Ambulatory Care Center, VAGLAHS, David Geffen School of Medicine at UCLA, North Hills, CA

P1897. Colorectal Advanced Neoplasia Are Associated with Aging, Current Smoking, and Metabolic Factors in Japan: Analyses of Comprehensive Health Checkup Data Nagamu Inoue, MD, Toshifumi Yoshida, MD, Kazuhiro Kashiwagi, MD, Yoshinori Sugino, MD, Yasushi Iwao, MD; Center for Preventive Medicine, Keio Unversity School of Medicine, Shinjuku-ku, Tokyo, Japan

P1898. Mucosal Schwann Cell Hamartoma: a Two Year, Community GI Practice Experience Fred Rosenberg, MD, Thomas Mientus, MD; Illinois Gastroenterology Group, Libertyville, IL

P1899. Surveillance Colonoscopy After Colorectal Cancer Resection: Are We Doing It Right? Nabeeha Mohy-ud-din, MD, Aslam Syed, MD, Shifa Umar, MD, Shyam Thakkar, MD, Dulabh Monga, MD; Allegheny Health Network, Pittsburgh, PA

P1900. Fecal Microbiota Transplantation for Eradication of Multi-Drug-Resistant Infections: A Systematic Review and Meta-Analysis Srishti Saha, MBBS, MD, Raseen Tariq, MBBS, Pritish K. Tosh, MD, Darrell Pardi, MD, MS, Sahil Khanna, MD, MS; Mayo Clinic, Rochester, MN



P1901. The Effect of Clostridium difficile Infection on Pregnancy and Neonatal Outcomes: An Observational Study Srishti Saha, MBBS, MD, Ryan Pardi, BS, Darrell Pardi, MD, MS, Sahil Khanna, MD, MS; Mayo Clinic, Rochester, MN

P1902. Beyond Pain Relief: Is Narcotic Analgesia Safe During Clostridium difficile Infection? Hassan Al moussawi, MD1, Mira El sheikh, MD1, Qasim Iqbal, MD1, Khalil Kamar, MD1, Youssef Shammaa, MD1, Talal El imad, MD1, Jean M. Chalhoub, MD2, Liliane Deeb, MD1; 1Staten Island University Hospital, Staten Island, NY; 2Staten Island University Hospital, New York, NY

P1903. Gut-Skin Connection: Role of Intestinal Biome in Rosacea Iryna Buianova, MD1, Galyna Girnyk, MD, PhD1, Nataliia Senyshyn, MD1, Iryna S. Hepburn, MD, FACG, FACP2; 1Ivano-Frankivsk State Medical University, Ivano-Frankivsk, Ivano-Frankivs’ka Oblast’, Ukraine; 2WellSpan Health, Lebanon, PA


P1904. A Patient Near Death - And Common Variable Immune Deficiency to Blame Dan McEntire, MD1, Sheeva K. Parbhu, MD1, Michael Sossenheimer, MD, FACG2; 1University of Utah, Salt Lake City, UT; 2University of Utah School of Medicine, Salt Lake City, UT

P1905. Peritonitis Due to Perforated Uterine Actinomycosis Youssef Soliman, MD, MSc, Stephen Rauh, MD; Rochester General Hospital, Rochester, NY

P1906. A Double Agent in the Cecum Hendrick Pagan-Torres, MD, Walisbeth Class-Vazquez, MD, Javier A. Cerra-Franco, MD, Loscar Santiago-Rivera, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P1907. A Case of Splenic Hematoma Presenting as Left Shoulder Pain Due to Recent Colonoscopy Mohammed Shafi, MD, Omar A. Shafi, Noah Shafi; Digestive Disease Specialists, Henderson, NV

P1908. An Interesting Presentation of Gastrointestinal Amyloidosis in a Patient on Chronic Hemodialysis Daniel J. Waintraub, MD1, Daria S. Yunina, MD1, Richard M. Fazio, MD2, Omar Azar, MD1, Ira E. Mayer, MD, FACG1, Rabin Rahmani, MD, FACG1; 1Maimonides Medical Center, Brooklyn, NY; 2Maimonides Medical Center, Broooklyn, NY

P1909. Insult to Injury: A Multifactorial Etiology of Ischemic Colitis Neeraj Mangla, MD, MS, Marvin Singh, MD, Adam Gomez, MD; Scripps Memorial Hospital Encinitas, San Diego, CA

P1910. Clostridium difficile Colitis Causing Takotsubo Cardiomyopathy Megan Murphy, MD1, Samik Shah, MD2, Drew Kotler, MD1, Christina Tofani, MD1; 1Thomas Jefferson University Hospital, Philadelphia, PA; 2Thomas Jefferson University Hospital, Philadlephia, PA

P1911. NSAID-Induced Colitis and Colonic Stricture Courtney Bundrick, MD, Radhika Ayyagari, MD, Benjamin Tharian, MD; University of Arkansas for Medical Sciences, Little Rock, AR

P1912. Double Trouble: Intestinal Spirochetosis in an HIV-Positive Patient Saamia Faruqui, MS, MD1, Lindsay A. Matthews, MD2, Cacey Peters, MD1, Porter Glover, MD3, John P. Affronti, MS, MD3; 1Tulane University, New Orleans, LA; 2University of Wisconsin Madison School of Medicine, Madison, WI; 3Tulane University School of Medicine, New Orleans, LA

P1913. An Unusual Case of Primary Colonic Cecal Lymphoma Joshua Sifuentes, MD, MPH1, Richard Young, MD1, Dimitris Stavrakis, MD1, Thomas Hanzlik, MD2; 1University of Arizona, Tucson, AZ; 2Unversity of Arizona, Tucson, AZ

P1914. Fecal Incontinence Resulting From Rectosigmoid Foreign Body Jaime de la Fuente, MD, Bradley Anderson, MD, Seth Sweetser, MD; Mayo Clinic, Rochester, MN

P1915. Why Can’t He Go? An Unusual Case of Constipation Brian S. Lee, MD1, Charles Chaya, MD2, Brian Lim, MD, MCR, FACG3, Mark T. Taira, MD4, Anh Phan, MD4; 1University of California Riverside, Riverside, CA; 2Kaiser Permanente Riverside, Riverside, CA; 3University of California Riverside, School of Medicine, Irvine, CA; 4Southern California Permanente Medical Group, Riverside, CA

P1916. An Atypical Cause of an Already Rare Condition - Isolated Rectal Ischemic Proctitis Roberto Trasolini, MD, MSc1, Tarun Misra, MD2, Edwin J. Cheng, MD2; 1University of British Columbia, Victoria, BC, Canada; 2University of Calgary, Calgary, AB, Canada

P1917. Primary Diffuse Large B-Cell Lymphoma of Rectosigmoid Colon in a Patient With Ulcerative Colitis (UC) With No Immunomodulator Use Baruh Mulat, MD1, Harish Guddati, MD1, Konstantin Boroda, MD2, Nejat Kiyici, MD1; 1Montefiore Medical Center, Bronx, NY; 2Montefiore Medical Center Wakefield Campus, Bronx, NY

P1918. Uncommon Case of Primary Squamous Cell Carcinoma of the Rectum Chloe Lee, DO, Dorsa Samsami, DO, Brad Solomon, DO, Baseer Qazi, MD, Jeffrey Jacobs, MD; Advocate Lutheran General Hospital, Park Ridge, IL

P1919. A Rare Presentation of a Rectal Sessile Serrated Adenoma Kristina Fernandez, MD1, David Wan, MD2; 1New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY; 2New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY

P1920. Colonic Metastasis in a Patient With Mammary Carcinoma Dhruv Patel, MD, Laura Pestana, MD, Amar Al-Juburi, MD; University of California Davis, Sacramento, CA

P1921. A Rare Case of Primary Anaplastic Large Cell Lymphoma of the Colon, Anaplastic Lymphoma Kinase Negative Ranjit Makar, MD1, Muthena Maklad, MD2, Joseph M. Fayad, MD, FACG3; 1University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 2University of Las Vegas School of Medicine, Las Vegas, NV; 3VA Southern Nevada Healthcare System, Las Vegas, NV

P1922. Severe Human Intestinal Spirochetosis: An Unusual Cause of Diffuse Colonic Ulcerations in a Patient Living With HIV Judith Aniekwena, MBBS, Taiwo A. Ajose, MD, Valery Effoe, MD, MS, Melvin Simien, MD; Morehouse School of Medicine, Atlanta, GA

P1923. Fecal Microbiota Transplantation: A Salvage Treatment for Severe Clostridium difficile Infection in a Critically Ill Patient With Multiple Comorbidities Ankush Kalra, MD1, Robert Lee, MD2; 1University of California Irvine Medical Center, Anaheim, CA; 2University of California, Irvine, Orange, CA

P1924. Duodeno-Colonic Fistula Associated With an Intestinal Large B-Cell Lymphoma Zhaodong Li, MD, Zachary Smith, DO, Wissam Dahoud, MD, Sharon Stein, MD, Gregory Cooper, MD; University Hospitals Cleveland Medical Center, Cleveland, OH

P1925. Streptococcus gallolyticus Endocarditis: Association With a Case of Mistaken Identity Harvey Rosenberg, MD, Lawrence J. Brandt, MD, MACG ; Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY


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P1926. Case Report of Simultaneous Presentation of Adenocarcinoma of the Stomach and Colon in the Absence of Family History and Lynch Syndrome Sivani B. Reddy, BBA, MS1, Connar G. Franklin2, Rekha Khurana, MD3; 1University of Alabama at Birmingham School of Medicine, Tuscaloosa, AL; 2GastroCarePC & The University of Alabama, Tuscaloosa, AL; 3GastroCare PC, Tuscaloosa, AL

P1927. Artificial Urinary Sphincter Reservoir Related Complication Masquerading as Colonic Mass Sarbjit S. Masson, MD, Harika Balagoni, MD, Rupal Shah, MD; East Tennessee State University, Johnson City, TN

P1928. Asymptomatic Gastric Heterotopia in the Rectum? A Rare Finding with Unclear Malignant Risk Mohammed Inam U. Khan, Khurram J. Khan, MD, BSc, MSc(Epi), Robert Spaziani, MD, BSc; McMaster University, Hamilton, ON, Canada

P1929. Paclitaxel-Induced Bowel Perforation: A Rare Cause of Acute Abdomen on Oncology Floor Ahmed Baiomi, MD, Hafsa Abbas, MD, Suresh Kumar Nayudu, MD, Amit Bhandari, MD; BronxCare Health System, Bronx, NY

P1930. Ipilimumab and Nivolumab Induced Steroid-Refractory Colitis Treated With Infliximab Ammar Nassri, MD, Mario Cisneros, MD, Valery Muenyi, MD, Andre Fialho, MD, Andrea Fialho, MD, Wesley Taylor, MD, Ahmad Alkhasawneh, MD, Bruno Ribeiro, MD, James Scolapio, MD, Miguel Malespin, MD, Silvio De Melo, MD; University of Florida Jacksonville, Jacksonville, FL

P1931. The Great Masquerader: Syphilis Presenting as Rectal Ulcer in the Setting of Neurosyphilis Shelby J. Madden, MD1, Angelo H. Paredes, MD2, Ryan Cho, MD1; 1San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX; 2Brooke Army Medical Center, San Antonio, TX

P1932. A Case of the Missing Ring Douglas Taylor, DO1, Brian Benson, MD2, Jonathan Schwake, MD2, Amy N. Stratton, DO2; 1San Antonio Military Medical Center, Schertz, TX; 2San Antonio Military Medical Center, Fort Sam Houston, TX

P1933. Colonic Ischemia: A Rare Occurrence Following Vaginal Delivery Brian Kim, DO1, Kimberly J. Chaput, DO2, Hesham Tayel, MD2; 1St. Luke’s University Health Network, Allentown, PA; 2St. Luke’s University Hospital Health Network, Bethlehem, PA

P1934. Primary Anorectal Melanoma Nazneen Hussain, MD, Mardeli Mendoza, MD; LSU Health Sciences Center, Shreveport, LA

P1935. A Case of Abdominal Pain Unmasking Undiagnosed Colonic Sarcoidosis Christopher Cao, MD1, Stephanie Moleski, MD2, Juan Palazzo, MD2; 1Thomas Jefferson University Hospital, Philadelphia, PA; 2Thomas Jefferson University Hospitals, Philadelphia, PA

P1936. A Tumor with Two Faces Patricia Guzman Rojas, MD1, Hilda Merino, MD1, Jignesh Parikh, MD2, Simi George, MD2; 1University of Central Florida, Kissimmee, FL; 2Orlando VA Medical Center, Orlando, FL

P1937. Immunotherapy-Induced Colitis with Perforation Treated with Infliximab Postoperatively Lukas Delasos, DO1, Aakash Desai, MBBS, MPH2; 1University of Connecticut Health Center, West Hartford, CT; 2University of Connecticut Health Center, Farmington, CT

P1938. A Rare Case of Granular Cell Tumor of the Colon Nisar Amin, MD, Charles Reisdorf, ANPC, Diane Hall, MD, PhD, Richa Handa, MD, Vivek Kak, MD, Vishal Gupta, MD, PhD; Henry Ford Allegiance Health, Jackson, MI

P1939. BHD: Colon Cancer and Its Association With a Rare Genetic Syndrome Daniela Abrams, BS1, Akash Goel, MD2, Daniel A. Sussman, MD, MSPH1, Talia Donenberg, MS, CGC3; 1University of Miami Leonard M. Miller School of Medicine, Miami, FL; 2Jackson Memorial Hospital, Miami, FL; 3University of Miami, Miami, FL

P1940. An Unusual Case of Diarrhea: Lymphocytic Colitis in a 21-Year-Old Female Thomas R. Wagner, MD1, Lindsay Yassan, MD1, Joel Pekow, MD2; 1University of Chicago, Chicago, IL; 2Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL

P1941. A Sheep in Wolf’s Clothing: Gastrointestinal Lipoma Causing Intussusception, Masquerading as a Possible Cecal Malignancy Matthew Custodio, BS1, Rekha Reddy, MD1, Iman Andalib, MD1, Richard Ferstenberg, MD2, Ava Anklesaria, MBBS3; 1SUNY Downstate College of Medicine, Brooklyn, NY; 2SUNY Downstate Medical Center, Brooklyn, NY; 3NYC HHC/Kings County Hospital, Brooklyn, NY

P1942. An Uncanny Cause of Proctitis: A Case of Lymphogranuloma Venereum Alex Zhornitskiy, MD1, James H. Tabibian, MD, PhD2, Kirollos Zaki, DO3; 1Olive View - UCLA Medical Center, Clovis, CA; 2University of California Los Angeles, Sylmar, CA; 3Olive View - UCLA Medical Center, Sylmar, CA

P1943. Polypectomy for Colonic Arteriovenous Malformation Taher Jamali, BSc1, Yezaz A. Ghouri, MD2, Sreeram Parupudi, MD, FACP, FACG1; 1University of Texas Medical Branch, Galveston, TX; 2UTMB, Galveston, TX

P1944. Colonic Marginal Zone B-Cell Lymphoma (MALT Lymphoma) in a Patient Negative for H. pylori: Case Report Gurjiwan S. Virk, MD1, Jennifer Copare, DO2, Sven Hida, MD2, Seth J. Richter, MD2; 1Albany Medical Center and VA Medical Center, Albany, NY; 2Albany Medical Center, Albany, NY

P1945. Unique Endoscopic Therapy of Colonic Obstruction Caused by a Fecaloma Shayan Moraveji, BS1, Ali D. Siddiqui, MD2; 1UC, Philadelphia, PA; 2Dr., Philadelphia, PA

P1946. Mycophenolate Mofetil-Related Colitis: Endoscopic and Histologic Findings Melissa Jackson, MD, Mary Strader, MD; Albany Medical Center, Albany, NY

P1947. A Nonagenarian’s Struggle with Recurrent Clostridium difficile and the Discovery of a Cure Zachary Dickson, MD, MS, R. Ann Hays, MD; University of Virginia, Charlottesville, VA

P1948. An Ancient Fecalith: A Case Report Mark James Radlinski, MD, Jeanetta W. Frye, MD, Sook Hoang, MD, Javelle Wynter, MD, Brooke Corning, MD; University of Virginia, Charlottesville, VA

P1949. Surprise Findings on Screening Colonoscopy David J. Park, MD, MSc1, Promila Banerjee, MD, FACP, FACG2, Saeedeh Masoom, MD3, Stephen James Sontag, MD, FACP, FACG4, Marmy Shah, MD5, Thomas Schnell, MD6, Jack Leya, MD3; 1Loyola University Medical Center, Maywood, IL; 2Hines VA Hospital, Hines, IL; 3Hines VA Hospital, Maywood, IL; 4Hines VA Hospital, Hines, GA; 5Edward Hines Jr. VA Hospital, Hines, IL; 6DVA, Hines, IL

P1950. Endoscopic Removal of a Giant Colonic Lipoma-Causing Intussusception Steven Beckoff, MD, MA1, Michael Siu, MD2, Albert Shalomov, MD1, Sang-Hoon Kim, MD1, Moshe Rubin, MD1; 1New York-Presbyterian Queens, Flushing, NY; 2New York Presbyterian Queens, Flushing, NY



P1951. Idiopathic Colonic Varices in a Young Patient Amin Khalifeh-Soltani, MD, MPH1, Li Pang, MD2, Kaveh Hajifathalian, MD, MPH1, Zaid H. Tafesh, MD1, David Wan, MD1; 1New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY; 2Tongji Hospital/ Tongji University School of Medicine, Shanghai, People’s Republic of China

P1952. Plecanatide for Constipation Associated With Parkinson’s Disease: A Case Series Anusha Shirwaikar Thomas, MD1, Eamonn M.M. Quigley, MD, MACG2, William Ondo, MD3; 1Houston Methodist Hospital, Houston, TX; 2Houston Methodist Gastroenterology Associates, Houston, TX; 3Methodist Neurological Institute, Weill Cornell Medical School, Houston, TX

P1953. Isolated Asymptomatic Metastatic Melanoma to the Colon: A Case Report Passisd Laoveeravat, MD1, Nicha Wongjarupong, MD2, Sakolwan Suchartlikitwong, MD1, Thammasak Mingbunjerdsuk, MD1, Wasawat Vutthikraivit, MD1, Saif El Naser H. M. El Nawaa, MD1, Lisa A. Smith, MSHS, DO1, Mitchell Wachtel, MD1, Sameer Islam, MD1; 1Texas Tech University Health Sciences Center, Lubbock, TX; 2University of Minnesota, Minneapolis, MN

P1954. Colonic Granular Cell Tumor - A Rare Finding in Clinical Practice - Case Report Pejman Solaimani, MD, Laura Denham, MD, Yan Zhao, MD; Loma Linda University, Loma Linda, CA

P1955. Age Is Just a Number When It Comes to Diverticulitis Colleen Caprio, MD, Vikram Patel, MD, Simran Sidhu, MBBS; Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL

P1956. An Unusual Cause of Abdominal Pain: A Telescopic View Rohit Nathan, DO, Ronald Leonard, MD, PhD; Einstein Medical Center, Philadelphia, PA

P1957. A Rare Cause of Colonic Obstruction: Metastatic Breast Cancer to the Rectum Myung Ko, MD, Christopher Bowman, MD, Aparajita Singh, MD, MPH; University of California San Francisco, San Francisco, CA

P1958. A Rare Case of Sevelamer-Induced Colitis Rohit Gupta, DO1, Elie Jean, MD1, Jose Ruiz, MD1, Soren Gandhi, MD2; 1NYC Health + Hospitals - Woodhull Medical and Mental Health Center, New York, NY; 2New York University School of Medicine, Woodhull Medical and Mental Health Center, Brooklyn, NY

P1959. Anti-Epileptic Medication Induced Eosinophilic Colitis Yamam I. Al-Saadi, MD1, Mohammad Bilal, MD2, Praveen Guturu, MD, FACG2; 1University Of Texas Medical Branch Galveston, Galveston, TX; 2University of Texas Medical Branch, Galveston, TX

P1960. Colonic Myeloid Sarcoma - A Rare Presentation of Relapsed Acute Myeloid Leukemia Parkpoom Phatharacharukul, MD1, Nabil F. Fayad, MD, FACG2, Natalia Rush, MD2, Robert Siwiec, MD1; 1Indiana University, Indianapolis, IN; 2Indiana University School of Medicine, Indianapolis, IN

P1961. Multi Segmental Asymptomatic Duplication of Colon: A Case Report Neda Valizadeh, MD1, Harish Guddati, MD1, Konstantin Boroda, MD2, Hilary Hertan, MD, FACG1; 1Montefiore Medical Center, Bronx, NY; 2Montefiore Medical Center Wakefield Campus, Bronx, NY

P1962. The Ball-in-Socket Lesion: A Case Report of an Incidentally Found Large Mobile Lipoma Originating From the Ileocecal Valve Ahmad Najdat Bazarbashi, MD1, Benjamin Smith, MD2; 1Brigham & Women’s Hospital, Boston, MA; 2Brigham & Women’s Faulkner Hospital, Boston, MA

P1963. A Retrospective Case Series of Granulomatosis with Polyangiitis Complicated by Bowel Perforation After High Dose Steroid Therapy John Dally, MD, Chien-Wen Yang, MD, Mladen Jecmenica, MD; The Wright Center for Graduate Medical Education, Scranton, PA

P1964. Ileocecal Valve Agenesis: A Rare Anatomical Variant Ahmed Naeem, BSc1, Daryl Ramai, MD, MScBR2, Vahe Shahnazarian, MD, MPH2, Krishna C. Gurram, MD2; 1Saint George’s University School of Medicine, Brooklyn, NY; 2The Brooklyn Hospital Center, Brooklyn, NY

P1965. Unique Presentation of Isolated Intestinal Angioedema Without ACE-I Involvement Ammar Hassan, DO, John C. Heffernan, DO, Sameet Shah, DO, John Sotiriadis, MD, PhD; Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ

P1966. Lenalidomide Induced Hemorrhagic Colitis in Multiple Myeloma Sarah Gorgis, MD, Dorian Jones, MD, Kajali Mishra, MD, Yousuf Siddiqui, MD; Henry Ford Hospital, Detroit, MI

P1967. Management of Clostridium difficile Infection Following Fecal Microbiota Transplant in the Immunocompromised Patient: A Case Series Nour Parsa, MD, Haadi Hakimi, MD, Muhammad S. Mansoor, MD, Catherine Bartholomew, MD; Albany Medical Center, Albany, NY

P1968. Intestinal Spirochetosis Fadi Francis, MD1, Agnes Liman, MD1, Jana G. Hashash, MD, MSc2; 1Pittsburgh VA Healthcare System/ University of Pittsburgh School of Medicine, Pittsburgh, PA; 2University of Pittsburgh School of Medicine, Pittsburgh, PA

P1969. Toxic Megacolon From an Unheard Tropical Parasite Esteban I. Rodriguez-Martino, MD, Mariela Navarro-Torres, MD, Jose Martin-Ortiz, MD, Jose Gutierrez-Nuñez, MD, Rodolfo Estremera-Marcial, MD, Carlos Fernandez-Cruz, MD, Javier A. Cerra-Franco, MD, Ivonne Figueroa-Rivera, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P1970. A Fatal Case of Gastrointestinal Chronic Graft-versus-Host Disease Corey R. O’Brien, MD, Christopher Morton, MD; Yale New Haven Hospital, New Haven, CT

P1971. Neuroendocrine Carcinoma of the Ileocecal Valve: The “Zebra” of Lower Gastrointestinal Bleeding Richard M. Fazio, MD, MS, Daniel J. Waintraub, MD, Rabin Rahmani, MD, FACG, Yuriy Tsirlin, MD, FACG; Maimonides Medical Center, Brooklyn, NY

P1972. A Case of Pneumatosis Cystoides Intestinalis in a Patient with COPD Anam Malik, MD, Tarick Sheikh, MD, Matthew J. Sullivan, DO, Michael Engels, MD; Lehigh Valley Health Network, Allentown, PA


P1973. Are Socioeconomic Factors or Medical Comorbidities Associated with Adenoma Detection Rate? An Examination of Outpatient Colonoscopies at a High Volume Community Hospital Benjamin D. Renelus, MD, Daniel S. Jamorabo, MD, Simran Gill, MD, Gurpreet Singh, MD, Abhishek Sadhu, MD, Daniel Golpanian, MD, Ofem Ajah, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY

P1974. Up-to-Date Colonoscopy Use in Asian and Hispanic Subgroups in New York City, 2003-2016 Presidential Poster Award Peter S. Liang, MD, MPH1, Yuhe Xia, MS2; 1NYU Langone Health/VA New York Harbor Health Care System, New York, NY; 2NYU Langone Health, New York, NY


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P1975. Colonoscopy Education Delivered via the Patient Portal Does Not Improve Adherence to Scheduled First-Time Screening Colonoscopy Rajesh N. Keswani, MD, MS1, Dyanna Gregory, MS2, Mariah Wood, BA3, Nancy Dolan, MD3, Ryan Chmiel4, Michael Manka, MBA4, Kenzie Cameron, PhD3; 1Feinberg School of Medicine, Northwestern University, Chicago, IL; 2Northwestern University, Evanston, IL; 3Northwestern University, Chicago, IL; 4Northwestern Medicine, Chicago, IL

P1976. Smoking and High Body Mass Index: Risk Factors for Advanced Interval Polyps Aliya Khan, BS1, Divya Bhatt, BA, MA, MD2, Paul Gomez, MD2, Lauren S. Cole, MD1, Richard Gerkin, MD, MS2, Michele Young, MD3; 1University of Arizona College of Medicine, Scottsdale, AZ; 2University of Arizona College of Medicine, Phoenix, AZ; 3Phoenix VA Medical Center, Phoenix, AZ

P1977. Colonoscopy Videos on YouTube: Are They a Good Source of Patient Education? Presidential Poster Award Dhruvil Radadiya, MBBS1, Kalpit Devani, MD1, Jorge Emilio Lira-Vera, MD2, Katia Lizarraga-Torres, MD 3, Shayan Sinha Mahapatra, MD 4, Ricardo Murguia-Fuentes, MD5, Sebastian Niezen, MD6, Kaushik Mohan, MBA7, Chakradhar M. Reddy, MD, FACP8, Alexei Gonzalez-Estrada, MD9; 1East Tennessee State University, Johnson City, TN; 2Universidad Autónoma del Estado de Hidalgo, Ciudad de México, Distrito Federal, Mexico; 3Special consultant, Panama, Chiriqui, Panama; 4Cleveland Clinic, Cleveland, OH; 5Universidad Nacional Automoma de Mexico, Mexico City, Distrito Federal, Mexico; 6Anahuac University, Mexico City, Distrito Federal, Mexico; 7University of Tennessee, Knoxville, TN; 8East Tennessee State University, Quillen College of Medicine, Johnson City, TN; 9Mayo Clinic Florida, Jacksonville, FL

P1978. Risk of Metachronous Advanced Adenomas and Large Serrated Polyps for Index Right Sided “Hyperplastic Polyps” Diagnosed Before 2003 Is Unchanged After Pathologic Reassessment: A Retrospective Longitudinal Study Presidential Poster Award Joseph Anderson, MD1, Catherine Hagen, MD2, Mikhail Lisovsky, MD3, Lynn Butterly, MD4, Amitabh Srivastava, MD5; 1Dartmouth College, Hanover, NH; 2Medical College of Wisconsin, Milwaukee, WI; 3Dartmouth-Hitchcock Medical Center, Lebanon, NH; 4Geisel School of Medicine at Dartmouth, Lebanon, NH; 5Brigham & Women’s Hospital, Boston, MA

P1979. Multi-Target Stool DNA Testing: High Positive Predictive Value Among Average Risk Patients New to Colorectal Cancer Screening Jason D. Eckmann, MD1, Derek Ebner, MD1, Jamie Bering, MD2, Allon Kahn, MD3, Eduardo A. Rodriguez, MD3, Mary Devens, CCRP1, Kari Lowrie1, Karen A. Doering1, Sara Then1, Kelli Burger1, Doug Mahoney1, David A. Ahlquist, MD4, David Prichard, MBBCh, PhD1, Michael Wallace, MD5, Suryakanth R. Gurudu, MD, FACG6, John Kisiel, MD4; 1Mayo Clinic Rochester, Rochester, MN; 2Mayo Clinic Scottsdale, Scottsdale, AZ; 3Mayo Clinic, Scottsdale, AZ; 4Mayo Clinic, Rochester, MN; 5Mayo Clinic Florida, Jacksonville, FL; 6Mayo Clinic Arizona, Scottsdale, AZ

P1980. Multi-Target Stool DNA Testing in Patients at Increased Risk for Colorectal Neoplasia Shows Similar Positive Predictive Value to Average Risk Patients Jason D. Eckmann, MD1, Derek Ebner, MD1, Jamie Bering, MD2, Allon Kahn, MD3, Eduardo A. Rodriguez, MD3, Mary Devens, CCRP1, Kari Lowrie1, Karen A. Doering1, Sara Then1, Kelli Burger1, Doug Mahoney1, David A. Ahlquist, MD4, David Prichard, MBBCh, PhD1, Michael Wallace, MD5, Suryakanth R. Gurudu, MD, FACG6, John Kisiel, MD4; 1Mayo Clinic Rochester, Rochester, MN; 2Mayo Clinic Scottsdale, Scottsdale, AZ; 3Mayo Clinic, Scottsdale, AZ; 4Mayo Clinic, Rochester, MN; 5Mayo Clinic Florida, Jacksonville, FL; 6Mayo Clinic Arizona, Scottsdale, AZ

P1981. Multi-Target Stool DNA Has a High Positive Predictive Value as an Interval Test After Colonoscopy Jason D. Eckmann, MD1, Derek Ebner, MD1, Jamie Bering, MD2, Allon Kahn, MD3, Eduardo A. Rodriguez, MD3, Mary Devens, CCRP1, Kari Lowrie1, Karen A. Doering1, Sara Then1, Kelli Burger1, Doug Mahoney1, David A. Ahlquist, MD4, David Prichard, MBBCh, PhD1, Michael Wallace, MD5, Suryakanth R. Gurudu, MD, FACG6, John Kisiel, MD4; 1Mayo Clinic Rochester, Rochester, MN; 2Mayo Clinic Scottsdale, Scottsdale, AZ; 3Mayo Clinic, Scottsdale, AZ; 4Mayo Clinic, Rochester, MN; 5Mayo Clinic Florida, Jacksonville, FL; 6Mayo Clinic Arizona, Scottsdale, AZ

P1982. Use of Standardized Educational Video to Overcome Patient Fears and to Improve Colonoscopy Preparation Quality Ryan Kenneth Fawley, MD1, Joanne So, MD1, Susan Driscoll-Bannister, RN1, David You, MD2, Brent Lacey, MD3; 1Naval Medical Center San Diego, San Diego, CA; 2Captain James A. Lovell Federal Health Care Center, Chicago, IL; 3Naval Hospital Camp Lejeune, Camp Lejeune, NC

P1983. Colorectal Cancer Knowledge, Risk Perception, and Screening Inclination Among Previously Unscreened Adults Timothy Yen, MD1, Edgar Asiimwe, BS, MSc1, Feifei Qin, MPH1, Vandana Sundaram, MPH1, Tina Storage, MD2, Uri Ladabaum, MD, MS1; 1Stanford University School of Medicine, Stanford, CA; 2University of California Los Angeles, Los Angeles, CA

P1984. Tailoring Surveillance Colonoscopy in Patients With Advanced Adenomas Thomas F. Imperiale, MD1, Laura J. Myers, PhD2, Timothy D. Imler, MD, MS1, Eric A. Sherer, PhD3, Jason Larson, BA2, Charles J. Kahi, MD, MSCI4; 1Indiana University School of Medicine, Indianapolis, IN; 2Roudebush VA Medical Center, Indianapolis, IN; 3Louisiana State University, Ruston, LA; 4Indiana University, Indianapolis, IN

P1985. Patient Factors Are More Important Than Physician Factors in Predicting Likelihood of Adenoma Detection Nicole G. Jawitz, MD1, David A. Leiman, MD, MSHP2, Li Lin, MS2, Richard Wood, MD2, Ziad F. Gellad, MD, MPH2; 1Duke University, Durham, NC; 2Duke University School of Medicine, Durham, NC

P1986. National Survey of Pre-Lung Transplant Colon Cancer Screening Practices in High-Volume Centers Across the United States Jonathan Gotfried, MD1, Sara Aijaz, MS1, Zubair Malik, MD2, Ron Schey, MD1, Adam C. Ehrlich, MD, MPH2, Frank Friedenberg, MD1; 1Lewis Katz School of Medicine at Temple University Hospital, Philadelphia, PA; 2Lewis Katz School of Medicine at Temple University, Philadelphia, PA

P1987. Reversal From Propofol Anesthesia to Midazolam/Fentanyl Sedation Using Water Exchange Insertion Colonoscopy Piet C. de Groen, MD1, Gregory J. Miller, MD2; 1University of Minnesota, Minneapolis, MN; 2Vibrant Health Family Clinics, River Falls, WI

P1988. Assessment of Risk Stratification and Genetic Testing of Patients Referred for Polyposis to a High-Risk Colorectal Cancer Prevention Program Kiranmayi Bulusu, MD1, Mercy Laurino, MS, PhD1, Teri Brentnall, MD1, Robin Bennett, MS1, Neelendu Dey, MD2, William Grady, MD2, Stacey Cohen, MD1; 1Seattle Cancer Care Alliance, Seattle, WA; 2Fred Hutchinson Cancer Research Center, Seattle, WA

P1989. Risks and Benefits of Colonoscopy in the Very Elderly Population, 90 Years of Age and Above Akber Sheikh, BS, Faraaz Godil, Andrew Chang, MD, Kevin Hill, DO, Roy Foliente, MD, Benjamin Brichler, MD, Aslam Godil, MD; Sierra Nevada Gastroenterology Medical Associates, Inc., Grass Valley, CA



P1990. Variation over Time and Factors Associated With Detection Rates of Sessile Serrated Adenoma/polyps Across the U.S.: Results From a National Sample Using GIQUIC Registry Aasma Shaukat, MD, MPH1, Jennifer Holub, MPH2, Colleen Schmitt, MD3; 1University of Minnesota, Minneapolis, MN; 2GIQUiC, Baltimore, MD; 3Chattanooga GI, Chattanooga, TN

P1991. Colorectal Cancer Prevalence and Adherence to Colon Cancer Screening in Asian Patients: A Single-Center, Cross-Sectional Study Katerina Shetler, MD1, Barry Eisenberg, MD1, Santosh Gummidipundi2, Nathan S. Ramrakhiani3, Edward E. Yu, MD1, Edward Huang, MD1, Sandra Wilson, PhD2; 1Palo Alto Medical Foundation, Mountain View, CA; 2PAMF Research Institute, Mountain View, CA; 3Palo Alto High School, Palo Alto, CA

P1992. Colorectal Cancer Prevalence and Adherence to Colon Cancer Screening in African American, Hawaiians/Pacific Islanders, and American Indian Patients - Single-Center Cross-Sectional Study Katerina Shetler, MD1, Barry Eisenberg, MD1, Santosh Gummidipundi2, Shetler Shetler3, Sanjay Ramrakhiani, MD1, Edward E. Yu, MD1, Edward Huang, MD1, Sandra Wilson, PhD2; 1Palo Alto Medical Foundation, Mountain View, CA; 2PAMF Research Institute, Mountain View, CA; 3Saratoga High School, Saratoga, CA

P1993. Temporal Trends and Risk Factors for Post-Colonoscopy Colorectal Cancer Presidential Poster Award Eugenia Uche-Anya, MD, MPH, Nicole DeCuir, MD, Benjamin Lebwohl, MD, MS; Columbia University Medical Center, New York, NY

P1994. Physician Attitudes Regarding Post-Colonoscopy Colorectal Cancers (PCCRCs) Eugenia Uche-Anya, MD, MPH, Richard Rosenberg, MD, Benjamin Lebwohl, MD, MS; Columbia University Medical Center, New York, NY

P1995. Improving Compliance of Colorectal Cancer Screening Through Housestaff Education in an Urban Community Hospital: A Quality Improvement Study Vahe Shahnazarian, MD, MPH, Santosh Sharma, MD, Jamil Shah, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY

P1996. Trainees’ Influence on Adenoma Detection and Follow-Up Recommendations at Screening and Surveillance Colonoscopies Joan Kheder, MD1, Alexander J. Eckardt, MD2, Yasir Al-azzawi, MD3, Anjali Basil, MD4, Taryn Silverstein, DO 5, Krunal Patel, MD1, Mohammad Mahmood, MD1, Daniel Ellis, MD1, Yoel Carrasquillo Vega, MD1, William Gillespie, MD1, John Levey, MD1; 1University of Massachusetts Medical School, Worcester, MA; 2DKD Helios Klinik Wiesbaden, Wiesbaden, Hessen, Germany; 3University of Massachusetts Memorial Medical Center, Worcester, MA; 4Gastroenterology Associates of SE Massachusetts, Brockton, MA; 5Medical Specialists of the Palm Beaches, Wellington, FL

P1997. Early Stage Colorectal Cancer Detection Using Artificial Intelligence and Whole-Genome Sequencing of Cell-Free DNA in a Retrospective Cohort of 1,040 Patients Katherine Niehous, PhD, Nathan Wan, MS, Brandon White, Ajay Kannan, BA, Erik Gafni, BS, Tzu-Yu Liu, PhD, Imran Haque, PhD, Girish Putcha, MD, PhD; Freenome, South San Francisco, CA

P1998. Let Them Eat! A Low Residue Diet Is an Effective Alternative to Clear Liquids for Screening Colonoscopy Preparation in the Community Gastroenterology Setting Muddasir Ayaz, MD1, Theodore James, MD1, Hailey J. James, MHA2, Christopher McGowan, MD, MSCR3, Millie D. Long, MD, MPH4; 1University of North Carolina, Chapel Hill, NC; 2Gillings School of Global Public Health, Chapel Hill, NC; 3Cary Gastroenterology, Cary, NC; 4University of North Carolina, Center for Gastrointestinal Biology and Disease, Chapel Hill, NC

P1999. Reasons for Low Value Referral to Screening Colonoscopy in a Large Academic Health System Courtney Reynolds, MD, PhD, Folasade P. May, MD, PhD, Reinalyn Cates, BS, Anna Betlachin, MD, Vishnu Nair, BS, Carmen Carrillo, MA, MHS, John Mafi, MD, MPH; University of California Los Angeles, Los Angeles, CA

P2000. Evaluation of Anti-Carcinogenic Genes in the Colon of Ulcerative Colitis Patients After Long-Term Mesalamine (5-ASA) Therapy Manisha Bajpai, PhD1, Darren Seril, MD, PhD1, James Gurp, MD1, Xin Geng, MD1, Janet Alvarez, BS1, Steve Gorin, BS1, Carlos Minacapelli, MD1, Koushik Das, MD2, Elizabeth Poplin, MD1, Jerry Cheng, PhD1, Peter Amenta, MD, PhD3, Kiron Das, MD, PhD1; 1Rutgers University, New Brunswick, NJ; 2Washington University School of Medicine, St. Louis, MO; 3Joslin Diabetes Center, Boston, MA

P2001. Colorectal Cancer on the U.S.-Mexico Border: An Epidemiological Study in an Indigent Hispanic Population Alejandro Robles, MD1, Mohammad Bashashati, MD2, David Perez Ingles, MD1, Alejandro Del Cerro Rondon, MD1, Meghan McAlice, DO1, Munaza Gohar, MD1, Priyadarshini Loganathan, MD3, Joshua Hahn1, Sumit Gaur, MD1, Abhizith Deoker, MD1; 1Texas Tech Health Sciences Center, El Paso, TX; 2Texas Tech University Health Sciences Center, El Paso, TX; 3Texas Tech University Health Sciences Center, El Paso, TX

P2002. Trends in Colorectal Cancer Screening and Diagnosis Through Colonoscopy at the University of Wisconsin-Madison From 2013-2016 Jeffrey Hubers, MD1, Amnon Sonnenberg, MD, MSc2, Deepak Gopal, MD, FACG1, Jennifer Weiss, MD, MS1, Thomas Holobyn, MD1, Anurag Soni, MD1; 1University of Wisconsin Hospitals and Clinics, Madison, WI; 2Oregon Health and Science University, Portland, OR

P2003. Low-Residue Diet Bowel Preparation in a Veteran Population: Satisfaction, Compliance, and Risk Factors for Inadequate Bowel Preparation Chethan Ramprasad, MD 1, Sandy Ng, MD 1, Peter S. Liang, MD, MPH2; 1New York University, New York, NY; 2NYU Langone Health/VA New York Harbor Health Care System, New York, NY


P2004. The Li Fraumeni Dilemma: Early Onset Colorectal Cancer due to TP53 Mutation Kavya Kelagere Mayigegowda, MD1, Rinad Tabbalat, MD1, Aditya Kalakonda, MD2, David Desilets, MD, PhD1; 1University of Massachusetts Medical School - Baystate Medical Center, Springfield, MA; 2University of Massachusetts, Baystate Medical Center, Springfield, MA

P2005. Improving Compliance With CMS Colonoscopy Core Measures: A Quality Improvement Intervention Vahe Shahnazarian, MD, MPH, Santosh Sharma, MD, Arpi Patel, MD, Daryl Ramai, MD, MScBR, Krishna C. Gurram, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY

P2006. Langerhans Cell Histiocytosis Diagnosed During Routine Screening Colonoscopy Christian L. Horn, MD1, Amilcar L. Morales-Cardona, MD2; 1Brooke Army Medical Center, San Antonio, TX; 2San Antonio Military Medical Center, Fort Sam Houston, TX

P2007. Stercoral Rectal Ulceration or a Missed Diagnosis of Rectal Carcinoma: Primary Signet Ring Cell Carcinoma of the Rectum Presenting as Fecal Incontinence in an Elderly Female Tooba Tariq, MD1, Furqan B. Irfan, MBBS2; 1WMU School of Medicine, Portage, MI; 2Michigan State University, College of Osteopathic Medicine, Portage, MI


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ENDOSCOPY VIDEO FORUM

P2008. Sweet Potato Esophagus Andrew Mertz, MD1, Zachary Junga, MD2, Sarah Ordway, MD1, Adam Tritsch, MD1; 1Walter Reed National Military Medical Center, Bethesda, MD; 2Walter Reed National Military Medical Center, Silver Spring, MD

P2009. Through the Scope Removal and Resheath of a Lumen Apposing Metal Stent as Salvage Technique After Misdeployment During EUS-Guided Choledochoduodenostomy Presidential Poster Award Andres Sanchez-Yague, MD, PhD, FACG, Cristina Lopez-Muñoz, RN, Robin Rivera Irigoin, MD, Andres Sanchez Cantos, MD; Hospital Costa del Sol, Marbella, Andalucia, Spain

P2010. A Novel Clip Facilitated Tissue Traction Technique in ESD: “The Cleveland Method” Presidential Poster Award Ipek Sapci, MD1, Conor Delaney, MD, PhD2, Emre Gorgun, MD2; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH

P2011. A Rare Dieulafoy Lesion in the Periampullary Duodenum Sindhura Kolli, MD, Amit Mori, MD, Krishna C. Gurram, MD; The Brooklyn Hospital Center, Brooklyn, NY

P2012. Wire-Guided Stricturotomy for Sealed Ileal Pouch Presidential Poster Award Freeha Khan, MD1, Bo Shen, MD2; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P2013. Utilization of a Lumen-Apposing Metal Stent in Palliating Malignant Gastric Outlet Obstruction Abdelkader Chaar, MD, Rajat Garg, MD, Mohammed Barawi, MD; St. John Hospital and Medical Center, Detroit, MI

P2014. EUS-Guided Biliary Drainage as an Alternative to ERCP in Patients With Biliary Obstruction Neha Hingorani, MD1, Chaitanya Allamneni, MD2, C. Mel Wilcox, MD2, Ali M. Ahmed, MD2, Shajan Peter, MD2, Kondal Rao Kyanam Kabir Baig, MD3; 1UAB Hospital, Birmingham, AL; 2University of Alabama at Birmingham, Birmingham, AL; 3UAB, Birmingham, AL

P2015. EUS-Guided Coil and Glue Embolization of Jejunal Varices Presidential Poster Award Jaehoon Cho, MD1, Stuart T. Schroff, MD2, James Buxbaum, MD2, Ara B. Sahakian, MD2; 1University of Southern California, Los Angeles, CA; 2University of Southern California School of Medicine, Los Angeles, CA

ESOPHAGUS

P2016. Ineffective Esophageal Motility (IEM) Is a Manometric Disorder Poorly Recognised by Barium Radiography Mohamed H. Khalaf, MS, MD1, Mustafa Abdul-Hussein, MS, MD2, Stephen I. Schabel, MD1, Hanan Nouh, MD, PhD3, Pooja Elias, MD, MPH1, Donald O. Castell, MD, MACG1; 1Medical University of South Carolina, Charleston, SC; 2MUSC, Charleston, SC; 3Alexandria Faculty of Medicine, Alexandria, Al Iskandariyah, Egypt

P2017. Length Normalisation for Pharyngeal and Distal Contractile Integrals: Is It Necessary? Mohamed H. Khalaf, MS, MD, Florence A. Othieno, MD, Lindsey Shehee, MD, Ashli O’Rourke, MD; Medical University of South Carolina, Charleston, SC

P2018. Ineffective Esophageal Motility (IEM): Not a Subset of a Diffuse Gastrointestinal Dysmotility Mohamed H. Khalaf, MS, MD1, Kate Freeman, RN, MSN, ANPC, FNP2, Aylin Tansel, MD, MPH1, Reginald Bell, MD2, Hanan Nouh, MD, PhD3, Donald O. Castell, MD, MACG1; 1Medical University of South Carolina, Charleston, SC; 2Institute of Esophageal and Reflux Surgery, Englewood, CO; 3Alexandria Faculty of Medicine, Alexandria, Al Iskandariyah, Egypt

P2019. Clinical Response Is Associated with Improvement in Health-Related Quality of Life in Patients with Persistent GERD Symptoms Hancheng Jiang, MS, James Shao, MS, Oluwafunke Ojo, MPH, Jennifer T. Hanlon, MPH, Elizabeth P. Shea, PhD, Douglas C.A. Taylor, MBA; Ironwood Pharmaceuticals, Inc., Cambridge, MA

P2020. Esophageal Biopsies for All? The Diagnostic Yield of Esophageal Biopsies in Patients Referred for EGD to Investigate Dysphagia in Excluding Significant Esophageal Eosinophilia When No Other Cause Is Apparent Thomas Garvey, MBBCh, BAO, MRCP, Chirag Oza, MBBS, BSc, FRCP; Broomfield Hospital, NHS, Chelmsford, England, United Kingdom

P2021. Gender and Race Disparities in Prevalence and In-Hospital Mortality of Esophageal Cancer Elizabeth Brindise, DO1, Imad Elkhatib, MD2, Aneesh Kuruvilla, DO1, Rogelio Silva, MD1; 1University of Illinois at Chicago - Advocate Christ Medical Center, Oak Lawn, IL; 2Advocate Christ Medical Center, Oak Lawn, IL

P2022. Early Dysplasia After Initial Diagnosis of Barrett’s Esophagus: When Should We Initiate Surveillance? Eugene Kligman, MD1, Mustafa Abdulsada, MBBS1, Sarah Cheney1, Ruifei Wang1, Ngoc Duong, PA-C2, Havis Nguyen, PA-C2, Maria Jarbrink-Seghal, MD1, Clark Hair, MD1, Maria Velez, MD1, Gyanprakash Ketwaroo, MD1; 1Baylor College of Medicine, Houston, TX; 2Michael E. DeBakey VA Medical Center, Houston, TX

P2023. Intrabolus Pressure Predicts Delayed Esophageal Emptying in EGJ Outflow Obstruction Matthew Hoscheit, MD1, Scott Gabbard, MD2; 1The Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH

P2024. Association Between Aberrant p53 Expression and Risk of Neoplastic Progression in Barrett’s Esophagus Cassandra Sanossian, MD1, Antonio R. Cheesman, MD1, Christopher J. DiMaio, MD1, Nikhil Kumta, MD, MS2, Alexandros Polydorides, MD, PhD3, Satish Nagula, MD1; 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Mount Sinai Hospital, New York, NY; 3Mount Sinai Medical Center, New York, NY

P2025. Gastric Emptying Is Not Associated With Esophageal Motility Pattern or Patient Outcomes After Lung Transplantation Nancy Yang, MD1, Shai Posner, MD1, Alice Parish, MSPH2, Rahul Shimpi, MD2, Richard Wood, MD2, Thomas Finn, MD, MBA1, Deborah Fisher, MD, MHS2, Matthew Hartwig, MD, MHS2, Jacob Klapper, MD2, John Reynolds, MD2, Donna Niedzwiecki, PhD2, David A. Leiman, MD, MSHP2; 1Duke University, Durham, NC; 2Duke University School of Medicine, Durham, NC

P2026. Effects of a Gastric-Retentive Extended-Release Bile Acid Sequestrant on Esophageal Erosions in Patients With Persistent GERD: Exploratory Analysis From a Phase 2B Study of IW-3718 Peter Kahrilas, MD1, James Shao, MS2, Yan Chen, PhD2, Elizabeth P. Shea, PhD2, Mark G. Currie, PhD2, Robert Mittleman, MD, MS2; 1Northwestern University Feinberg School of Medicine, Chicago, IL; 2Ironwood Pharmaceuticals, Inc., Cambridge, MA

P2027. Are Current Guidelines Appropriate for Hispanic Barrett’s Esophagus Patients? Results of a Nationwide Analysis Paul T. Kroner, MD, MSc1, Alex M. Kesler, MD1, Karl Mareth, MD2, Brian Ting, MD3, Juan Corral, MD1, Herbert Wolfsen, MD1; 1Mayo Clinic Florida, Jacksonville, FL; 2Mayo Clinic, Jacksonville, FL; 3Johns Hopkins Hospital, Baltimore, MD

P2028. An Evaluation of the Quality of Esophageal Biopsies in Patients with Eosinophilic Esophagitis Adam Van Huis, MD1, Paul Co, MD1, Mukund Venu, MD1, William H. Adams, PhD2, Rizwan Mahmood, BS1, Neil Gupta, MD, MPH3, Nikhil Shastri, MD1, Xianzhong Ding, MD1; 1Loyola University Medical Center, Maywood, IL; 2Loyola University Chicago, Maywood, IL; 3Loyola University Health System, Chicago, IL



P2029. Does EUS Add Information to FDG-PET/CT and EGD in the Initial Management of Esophageal Cancer? A Prospective Single-Center Study Mark Radlinski, MD, Patrick Northup, MD, MPH, Brian Sauer, MD, MPH, Terri Rodee, RN, Vanessa M. Shami, MD; University of Virginia, Charlottesville, VA

P2030. The Epidemiology of Barrett’s Esophagus and Malignant Esophageal Neoplasms in Obesity: An Explorative Population-Based Study Mohannad Abou Saleh, MD1, Kamal Khorfan, MD2, Mohammed Z. Sheriff, MD3, Emad Mansoor, MD4, Amitabh Chak, MD3; 1Cleveland Clinic Foundation, Cleveland, OH; 2Henry Ford Health System, Detroit, MI; 3University Hospitals Cleveland Medical Center, Cleveland, OH; 4Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH

P2031. Obesity Is Associated With an Increased Time to Repeat Dilation in Adult Patients With Eosinophilic Esophagitis Dorothea Letner, BSc1, Abigail Belasen, BSc2, Sadra Azizi-Ghannad, MD1, Paul J. Feustel, PhD1, Micheal Tadros, MD, MPH1; 1Albany Medical College, Albany, NY; 2Albany Medical Center, Albany, NY

P2032. Bethanechol Does Not Improve Dysphagia in Patients With Ineffective Esophageal Motility and Defective Bolus Transit Ala Abdel Jalil, MD1, Janice Freeman, RN2, Donald O. Castell, MD, MACG3; 1Center for Interventional Endoscopy, Florida Hospital, Columbia, MO; 2MUSC, Charleston, SC; 3Medical University of South Carolina, Charleston, SC

P2033. High-Resolution Manometry Diagnosis of Ineffective Esophageal Motility Is Associated With Higher Reflux Burden Chanakyaram Reddy, MD, Jason Baker, PhD, Joyee Lau, MPH, Joan Chen, MD, MSCI; University of Michigan, Ann Arbor, MI

P2034. A Subgroup of Patients with Esophagogastric Junction Outflow Obstruction Demonstrate Higher Reflux Burden Chanakyaram Reddy, MD, Jason Baker, PhD, Lydia Watts, BS, Joan Chen, MD, MSCI; University of Michigan, Ann Arbor, MI

P2035. Esophagogastric Junction Outflow Obstruction: Features, Etiology, and Outcome in a Single-Center Experience - Time for Standardization? Anusha Shirwaikar Thomas, MD1, Minjeong C. Kwon, MD1, Alejandro Granillo, MD1, Eamonn M.M. Quigley, MD, MACG2, Gulchin A. Ergun, MD1; 1Houston Methodist Hospital, Houston, TX; 2Houston Methodist Gastroenterology Associates, Houston, TX

P2036. To Test or Not to Test? A Role for Comprehensive Food and Aeroallergen Testing in Adults With Eosinophilic Esophagitis Annie Braseth, MD, Jill Poole, MD, Fang Qiu, MS, Samantha Simet, PhD, Alexander Hewlett, DO; University of Nebraska Medical Center, Omaha, NE

P2037. Predictors of Non-Adherence to the Seattle Biopsy Protocol for Barrett’s Esophagus Patients Undergoing Surveillance Endoscopy: A Study From the GI Quality Improvement Consortium (GIQuIC) Quality Benchmarking Registry Presidential Poster Award Sachin Wani, MD1, J. Lucas Williams, MPH2, Sri Komanduri, MD3, Raman Muthusamy, MD4, Nicholas J. Shaheen, MD, MPH5; 1University of Colorado Anschutz Medical Campus, Aurora, CO; 2GI Quality Improvement Consortium, Bethesda, MD; 3Feinberg School of Medicine, Northwestern University, Chicago, IL; 4University of California Los Angeles, Los Angeles, CA; 5University of North Carolina School of Medicine, Chapel Hill, NC

P2038. Peroral Endoscopic Myotomy (POEM) Is an Effective Treatment Option in Achalasia Patients With Normal Lower Esophageal Sphincter-Integrated Relaxation Pressure (LES-IRP) Madhusudhan R. Sanaka, MD1, Malav P. Parikh, MD2, Prasanthi N. Thota, MD1, Niyati M. Gupta, MD3, Shashank Sarvepalli, MD3, Scott Gabbard, MD2, Rocio Lopez, MS4, Sudish Murthy, MD, PhD2, Siva Raja, MD, PhD2; 1Cleveland Clinic Digestive Disease Institute, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Cleveland Clinic Foundation, Cleveland, OH; 4Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH

P2039. Severity of Obesity Does Not Impact the Outcomes of Peroral Endoscopic Myotomy (POEM) in Achalasia Madhusudhan R. Sanaka, MD1, Malav P. Parikh, MD2, Prasanthi N. Thota, MD1, Niyati M. Gupta, MD3, Scott Gabbard, MD2, Rocio Lopez, MS4, Sudish Murthy, MD, PhD2, Siva Raja, MD, PhD2; 1Cleveland Clinic Digestive Disease Institute, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Cleveland Clinic Foundation, Cleveland, OH; 4Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH

P2040. Peroral Endoscopic Myotomy (POEM) Is an Effective Treatment Modality for All Subtypes of Achalasia Madhusudhan R. Sanaka, MD1, Malav P. Parikh, MD2, Subanandhini Subramaniam, MD3, Prasanthi N. Thota, MD1, Niyati M. Gupta, MD3, Rocio Lopez, MS4, Scott Gabbard, MD2, Sudish Murthy, MD, PhD2, Siva Raja, MD, PhD2; 1Cleveland Clinic Digestive Disease Institute, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Cleveland Clinic Foundation, Cleveland, OH; 4Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH

P2041. Prognostic Significance of Positive Deep Margins on Endoscopic Resection Specimens of Esophageal Adenocarcinoma: A Cohort Study Presidential Poster Award Nicholas McDonald, MD1, Adharsh Ravindran, MBBS2, Michele Johnson1, Ramona Lansing1, Cadman Leggett, MD1, Kenneth K. Wang, MD1, Prasad G. Iyer, MD1; 1Mayo Clinic, Rochester, MN; 2University of Buffalo, Buffalo, NY

P2042. Identifying Gaps in the Treatment Pathway for GERD Courtney Reynolds, MD, PhD1, Elizabeth Aby, MD1, Meghan Nechrebecki, MSPH1, Nasim Afsarmanesh, MD, MBA2, Cody Dashiell-Earp, MD1, Raman Muthusamy, MD1; 1University of California Los Angeles, Los Angeles, CA; 2University of California Irvine, Orange, CA

P2043. A Quality Improvement Project: High Resolution Impedance Manometry (HRIM) Distilled Water (DW) Challenge: Quantifies Esophageal Wall Impedance and Clearance in Patients with Abnormal Bolus Transit Presidential Poster Award Matthew Gideon, Stacey Zavala, MD; Einstein Healthcare Network, Philadelphia, PA

P2044. An Analysis of Objective pH Testing in Post-POEM Achalasia Patients Matthew Woo, MD1, Mandip Rai, BSc, MD2, Stephanie Canning, MBBCh3, Amar Chakraborty, BHSc, MD4, Robert Bechara, MD5; 1Queen’s University, Kingston, ON, Canada; 2Queen’s University, Kingston, ON, Canada; 3University of Ottawa, Ottawa, ON, Canada; 4Queen’s University, Mississauga, ON, Canada; 5Queen’s University, Kingston Health Sciences Centre, Kingston, ON, Canada

P2045. The Association Between Electronic Cigarette Smoking and Gastroesophageal Reflux Disease: A Population-Based Study Ahmad Fariz Malvi Zamzam Zein, MD1, Catur Setiya Sulistiyana, MD1, Murdani Abdullah, MD, PhD, FACG2; 1Faculty of Medicine, Swadaya Gunung Jati University, Cirebon, Jawa Barat, Indonesia; 2Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia, Jakarta, Jakarta Raya, Indonesia


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P2056. Pulsatile Esophagus: An Endoscopic Clue to a Rare Etiology of Dysphagia Thomas Mellor, DO1, Jonathan Francis, MD2, Manish Singla, MD2; 1Naval Medical Center San Diego, San Diego, CA; 2Walter Reed National Military Medical Center, Bethesda, MD

P2057. A Rare Case of Acute Esophageal Necrosis Due to Gastric Outlet Obstruction From a Malignant Duodenal Ulcer Rajarajeshwari Ramachandran, MD1, Michael Asike, MD2; 1Greater Baltimore Medical Center, Baltimore, MD; 2Greater Baltimore Medical Center, Towson, MD

P2058. Mucous Membrane Pemphigoid With Refractory Dysphagia Patricia Garcia, MD, Sarah Mattessich, BS, Rahul Sao, MD, Houman Rezaizadeh, MD, Jun Lu, MD; University of Connecticut, Farmington, CT

P2059. Pseudoachalasia Due to Infiltrative Malignancy Not Identified on Cross-Sectional Imaging Patrick Avila, MD1, Amandeep Shergill, MD1, Kenneth McQuaid, MD1, Lygia Stewart, MD1, Rabindra Watson, MD2, Priya Kathpalia, MD1; 1University of California San Francisco, San Francisco, CA; 2San Francisco VA, San Francisco, CA

P2060. Unusual Presentation of Boerhaave’s Syndrome: Self-Limiting Spontaneous Perforation of the Mid-Esophagus Khrystyna Babenko1, Iryna S. Hepburn, MD, FACG, FACP2; 1Temple University, Lititz, PA; 2WellSpan Health, Lebanon, PA

P2061. Change Can Be Difficult to Swallow: Progression of Esophagogastric Junction Outflow Obstruction to Overt Achalasia Ashish C. Ahuja, MD; University of Pittsburgh Medical Center Mercy, Pittsburgh, PA

P2062. Esophageal Varices: It’s Not Always an Uphill Battle Elizabeth Hubbard, MD, Karen Ma, MD, Rana Abraham, MD; Rush University Medical Center, Chicago, IL

P2063. A Case of an Inlet Patch Causing Laryngopharyngeal Reflux Ashley Rossi, MD1, Amanda Pressman, MD2, Fadlallah Habr, MD3; 1Brown University/Rhode Island Hospital, Providence, RI; 2Lifespan/Brown University, Providence, RI; 3Lifespan Physician Group, Providence, RI

P2064. A Hole in the Soul: A Rare Complication Post TEVAR Barakat Aburajab Altamimi, MD, Fadi Niyazi, MD, Rami El Abiad, MD; University of Iowa Hospitals & Clinics, Iowa City, IA

P2065. Esophageal Ulcers in Primary Biliary Cholangitis: A Rare Cause of Hematemesis in the Setting of Portal Hypertension and Esophageal Varices Sindhura Kolli, MD1, Amit Mori, MD1, Isaac Moshenyat, MD2; 1The Brooklyn Hospital Center, Brooklyn, NY; 2NYU Langone Hospital-Brooklyn, Brooklyn, NY

P2066. Immune-Related Esophagitis and Duodenitis Secondary to Nivolumab-Ipilimumab Combination Therapy Susan Wang, MD, Shannon Morales, MD, MBA, Bing Ren, MD, PhD, Mary Drinane, MD; Dartmouth-Hitchcock Medical Center, Lebanon, NH

P2067. Coughing up a Polyp: A Rare Cause of Dysphagia! Jennifer Coukos, MD1, Joan Kheder, MD2, Alec Vaezi, MD, PhD1, Jaroslav Zivny, MD1; 1University of Massachusetts Medical Center, Worcester, MA; 2University of Massachusetts Medical School, Worcester, MA

P2068. Treatment of Barrett’s With Balloon Cryotherapy Is Feasible and Safe in Patients With Prior Magnetic Sphincter Augmentation Device (MSAD) Jessica L. Sterling, MD1, Abbas Abbas, MD1, Michael S. Smith, MD, MBA2, Zubair Malik, MD3; 1Temple University Hospital, Philadelphia, PA; 2Mount Sinai West & Mount Sinai St. Luke’s Hospitals, New York, NY; 3Lewis Katz School of Medicine at Temple University, Philadelphia, PA

P2046. Variations in the Clinical Course of Patients With Herpes Simplex Virus Esophagitis Based on Immunocompetence and Presence Underlying Esophageal Disease Patrick Hoversten, MD, Tsung-Teh Wu, MD, PhD, David A. Katzka, MD; Mayo Clinic, Rochester, MN

P2047. Endoscopic Submucosal Dissection for the Treatment of Early Esophageal Adenocarcinoma in the U.S.: Similar Outcomes to the Asian Experience Mohamed Othman, MD1, Abdelaziz Tabash, MD1, Yahya Ahmed, MD1, Sadhna Dhingra, MD1, Sherif Andrawes, MD2; 1Baylor College of Medicine, Houston, TX; 2Staten Island University Hospital, Staten Island, NY

ESOPHAGUS Clinical Vignettes/Case Reports

P2048. Acute Esophageal Necrosis (AEN): A Potentially Fatal Outcome of Cocaine Abuse Hafez Mohammad Abdullah, MD1, Waqas Ullah, MD2, Mamoon Ur Rashid, MD3, Abu Hurairah, MD4; 1University of South Dakota, Sioux Falls, SD; 2Abington Memorial Hospital, Abington, PA; 3Florida Hospital, Orlando, FL; 4SUNY Downstate, Brooklyn, NY

P2049. Herpes Simplex Esophagitis in Immunocompetent Patients: A Rare Entity Hafez Mohammad Abdullah, MD1, Waqas Ullah, MD2, Waseem Amjad, MD3, Faisal Inayat, MBBS4; 1University of South Dakota, Sioux Falls, SD; 2Abington Memorial Hospital, Abington, PA; 3Northwell Health Long Island Jewish Forest Hills Hospital, Forest Hills, NY; 4Allama Iqbal Medical College, Lahore, Punjab, Pakistan

P2050. A Case of Downhill Esophageal Varices in a Patient With Superior Vena Cava Obstruction Lavneet Chawla, MD, Suman Pal, MD, Naga Kanaparthy, MD; Westchester Medical Center, Valhalla, NY

P2051. Esophageal Lichen Planus: A Rare Condition and a Unique Treatment Approach Kaio S. Ferreira, MD1, Mena Bakhit, MD2, Ga Hi Nam, MD1, Zilla Hussain, MD3; 1Brown University, Providence, RI; 2Warren Alpert Medical School of Brown University, Providence, RI; 3Lifespan Physicians Group, Providence, RI

P2052. An Interesting Case of a Rare Cause of Dysphagia and a Novel Approach to Treatment Brittany Seminara, MD1, Andrew Dries, MD2; 1Atrium Health, Charlotte, NC; 2Carolinas Medical Center, Charlotte, NC

P2053. Esophageal Ulceration Following Mitomycin C Application for Benign Refractory Stricture Rintaro Hashimoto, MD, PhD1, Daniel Mai, BSc1, Ericson John Torralba, BSc1, Allen R. Yu, BS1, David P. Lee, MD, MPH2, Jason Samarasena, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine, Orange, CA

P2054. Acute Esophageal Necrosis in a Patient with Hepatitis C and Hepatocellular Carcinoma Ridwaan Albeiruti, MD1, Hiren Vallabh, MD2, Justin Kupec, MD2; 1West Virginia University School of Medicine, Morgantown, WV; 2West Virginia University Hospital, Morgantown, WV

P2055. Idiopathic Ulcerative Esophagitis in a Patient With HIV Kruti Patel, DO1, Ryan Kahl, DO2, Jeffrey Sobecki, DO3, Robert Palma, DO4, Sumit Kapoor, MD5; 1Genesys Regional Medical Center/Ascension/MSU, Grand Blanc, MI; 2Providence-Providence Park Hospital, Southfield, MI; 3Doctors Hospital/OhioHealth, Columbus, OH; 4Doctors Hospital/OhioHealth/OUHCOM, Columbus, OH; 5Doctors Hospital/Ohiohealth, Columbus, OH



P2069. Multiple Esophageal Polyps: Unusual Endoscopic Finding of Eosinophilic Esophagitis - Case Report Ahmed M. Badi, MBBCh, MD1, Khalil H. Sultan, MBBCh, MD2; 1Hamad Medical Corporation, Doha, Al Khawr, Qatar; 2Hamad Medical Corporation, Doha, Ad Dawhah, Qatar

P2070. A Case Report on Dysphagia and Edema in an Elderly Patient: Warning Signs for Severe Dermatomyositis Christina DiMaria, DO, RD1, Heather C. Fackelman, DO2, Rachel Masia, DO3, Terrie Ginsberg, DO4, David J. Libon, PhD5; 1Einstein Medical Center, Philadelphia, PA; 2Nemours A.I. duPont Hospital for Children, Wilmington, DE; 3Rowan University School of Osteopathic Medicine, Manalapan, NJ; 4Rowan University School of Osteopathic Medicine, Stratford, NJ; 5Rowan University, School of Osteopathic Medicine, New Jersey Institute for Successful Aging, Stratford, NJ

P2071. Dark and Deadly Down the Throat: Case Report of Acute Esophageal Necrosis Sushant Nanavati, MD, Vinod Kumar, MD, Gabriel Melki, MD, Abdalla Mohamed, MD, Hesham Yasin, MD, Youssef Botros, MD, Patrick Michael, MD; St. Joseph’s University Medical Center, Paterson, NJ

P2072. Dysphagia: Got to Take It to Heart Bianca Islam, PhD, Jigar Bhagatwala, MD, MPH, Jai Eun Lee, MD, Subbaramiah Sridhar, MBBS, MPH, FACG, MRCP, Humberto Sifuentes, MD; Augusta University, Augusta, GA

P2073. When Esophageal Interventions Have Unintended Consequences Nicholas Oblizajek, MD1, Marcella Tschautscher, MD1, Stephanie L. Hansel, MD, MS2; 1Mayo School of Graduate Medical Education, Rochester, MN; 2Mayo Clinic, Rochester, MN

P2074. Eosinophilic Esophagitis Complicated by a Distal Esophageal Stricture in a 15-Month-Old Infant Hong Jennifer, MD, MPH, Samra Blanchard, MD, Anupama Kewalramani, MD, Elaine Leonard Puppa, RN, MEd, MSN, DHA, CCRP, Nidhi Rawal, MD, MPH; University of Maryland Medical Center, Baltimore, MD

P2075. Esophageal Squamous Cell Carcinoma in the Setting of Chronic Mucocutaneous Candidiasis Alan Erdmann, MD, Martin Scobey, MD, FACG, Thomas Roberts, MD; Carolinas Medical Center, Charlotte, NC

P2076. Successful Cryoablation Eradication of an Esophageal Gastrointestinal Stromal Tumor Daniel Mai, BSc1, Ericson John Torralba, BSc1, Michelle Park, MD1, Allen Yu, BSc1, David P. Lee, MD, MPH2, Rintaro Hashimoto, MD, PhD1, Jason Samarasena, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine, Orange, CA

P2077. Dysphagia: The Primary Indicator of Esophageal Compression by a Pericardial Effusion Vikaran Kadaba, BS1, Natalia Lattanzio, BS1, Zalmi Rahmany, BS1, John Geha, BS1, Niket Sonpal, MD2; 1Richmond University Medical Center, Staten Island, NY; 2Brookdale University Hospital Medical Center, Hauppauge, NY

P2078. An Unusual Location for Arteriovenous Malformations Alfredo Camero, Jr., MD, Christopher Moreau, BSBME, Sandeep Patel, DO; University of Texas Health San Antonio, San Antonio, TX

P2079. Acute Esophageal Necrosis Following Kidney Transplantation Alex M. Kesler, MD, Paul T. Kröner, MD, MSc, Hani M. Wadei, MD; Mayo Clinic Florida, Jacksonville, FL

P2080. Acute Esophageal Necrosis: A Case Report Saif El Naser H. M. El Nawaa, MD, Passisd Laoveeravat, MD, Rita Medrano, MD, Sakolwan Suchartlikitwong, MD, Wasawat Vutthikraivit, MD, Abdussalam Shredi, MD, Kenneth Iwuji, MD; Texas Tech University Health Sciences Center, Lubbock, TX

P2081. Esophageal Epidermoid Metaplasia - A Management Dilemma Dalal Alhaqqan, MBBS1, Daniel A. Sussman, MD, MSPH2, Mohit Girotra, MD, FACP2; 1University of Miami Jackson Memorial Hospital, Miami, FL; 2University of Miami Leonard M. Miller School of Medicine, Miami, FL

P2082. A Rare Case of Esophageal Eosinophilia Secondary to Bullous Pemphigoid Myung Ko, MD, John Cannatella, MD, Jonathan P. Terdiman, MD, FACG, Priya Kathpalia, MD; University of California San Francisco, San Francisco, CA

P2083. Lymphocytic Esophagitis Masquerading as Gastroesophageal Reflux Disease-Induced Peptic Strictures Hesham Tayel, MD1, Brian Kim, DO2, Ana Martinez-Tapia, MD1, Hussam Tayel, MD3, Rodrigo Duarte-Chavez, MD4, Ayaz Matin, MD1; 1St. Luke’s University Hospital Health Network, Bethlehem, PA; 2St. Luke’s University Health Network, Allentown, PA; 3St. Luke’s University Health Network, Bethlehem, PA; 4St. Luke’s University Hospital Health Network, Fountain Hill, PA

P2084. Isolated Dysphagia: An Unusual Presentation of a Lateral Medullary Lesion Layth Alzubaidy, BS, MS, Muhannad Al Hanayneh, MD, Timothy Krill, MD, Sreeram Parupudi, MD, FACP, FACG; University of Texas Medical Branch, Galveston, TX

P2085. Esophageal Plaques in a 67-Year-Old Female Seyed Farzad Marashi nia, MD, Wei Cui, MD, Reza Hejazi, MD; Kansas University Medical Center, Kansas City, KS

P2086. A Rare Case of Esophageal Intramural Pseudodiverticulosis with Concomitant Eosinophilic Esophagitis Vahe Shahnazarian, MD, MPH, Amit Mori, MD, Madhavi Reddy, MD, FACG; The Brooklyn Hospital Center, Brooklyn, NY

P2087. Giant Esophageal Ulcer in a Patient with Acquired Immunodeficiency Syndrome Awwadah Asalah, Seyed Farzad Marashi nia, MD, Maura F. O’Neil, MD, Reza Hejazi, MD; Kansas University Medical Center, Kansas City, KS

P2088. Warthin-Like Tumor of the Esophagus Ana Martinez-Tapia, MD1, Rodrigo Duarte-Chavez, MD2, Ayaz Matin, MD1, Firas Ido, MD3, Santo Longo, MD4, Atef Labeeb, MD4; 1St. Luke’s University Hospital Health Network, Bethlehem, PA; 2St. Luke’s University Hospital Health Network, Fountain Hill, PA; 3Wayne State University, Rochester Hills, MI; 4St. Luke’s University Hospital, Bethlehem, PA

P2089. Achalasia as a Complication of Roux-en-Y Gastric Bypass Dema Shamoon, MD, Sushant Nanavati, MD, Vinod Kumar, MD, Vanessa Sostre, MD, Hiren Patel, MD, Matthew Grossman, MD; St. Joseph’s University Medical Center, Paterson, NJ

P2090. Black Esophagus: Rare and Deadly Nabeeha Mohy-ud-din, MD, Omar Jilani, MD, Gurneet Bedi, MD, Michael Babich, MD, Manish Dhawan, MD; Allegheny Health Network, Pittsburgh, PA

P2091. Esophageal Necrosis in an Uncontrolled Diabetic Requiring Serial Dilations Neal Mehta, MD, MPH, MBA, MS1, Raleigh A. Jeffrey2, Philip Pack, III, DO1, Luis Quiel, MD3; 1White River Health System, Batesville, AR; 2Lyon College, Batesville, AR; 3White River Medical Center, Batesville, AR

P2092. The Hard Burn - Phosphodiesterase 5 Inhibitors (PDE5 Inhibitors): A Possible Cause/ Exacerbator of Gastro Esophageal Reflux Disease Adeniyi A. Ajenifuja, MBBS1, Pooja Mysore, MS2, Niket Sonpal, MD3; 1Brookdale University Hospital Medical Center, Brooklyn, NY; 2Brookdale University Hospital Medical Center, South Setauket, NY; 3Brookdale University Hospital Medical Center, Hauppauge, NY


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FUNCTIONAL BOWEL DISEASE

P2093. Risk Factors Associated With Development of Post-Infection Irritable Bowel Syndrome Following Acute Gastroenteritis in a Large Urban Healthcare Center Samuel C. Muench, MD1, Olga C. Aroniadis, MD, MS2; 1Montefiore Medical Center, Bronx, NY; 2Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY

P2094. Anti-Cytolethal Distending Toxin B Antibody (Anti-CdtB) Differentiates Functional Dyspepsia From Healthy Controls Nicholas J. Talley, MBBS, MDm, PhD, MACG1, Gerald Holtmann, MD, PhD, MBA2, Marjorie M. Walker, MBBS3, Michael Jones, PhD4, Natasha A. Koloski, PhD5, Simon Keely, PhD6; 1The University of Newcastle, New Lambton, New South Wales, Australia; 2University of Queensland, Brisbane, Queensland, Australia; 3University of Newcastle, Newcastle, New South Wales, Australia; 4Macquarie University, North Ryde, New South Wales, Australia; 5University of Newcastle, Woolloongabba, Queensland, Australia; 6University of Newcastle, New Lambton Heights, New South Wales, Australia

P2095. Zonulin as a Biomarker to Identify the Irritable Bowel Syndrome (IBS), Functional Dyspepsia (FD), and Non-Celiac Wheat Sensitivity (NCWS) Nicholas J. Talley, MBBS, MDm, PhD, MACG1, Gerald Holtmann, MD, PhD, MBA2, Marjorie M. Walker, MBBS3, Michael Jones, PhD4, Natasha A. Koloski, PhD5, Simon Keely, PhD6; 1The University of Newcastle, New Lambton, New South Wales, Australia; 2University of Queensland, Brisbane, Queensland, Australia; 3University of Newcastle, Newcastle, New South Wales, Australia; 4Macquarie University, North Ryde, New South Wales, Australia; 5University of Newcastle, Woolloongabba, Queensland, Australia; 6University of Newcastle, New Lambton Heights, New South Wales, Australia

P2096. Relationship Between Constipation and Physical Activity: Results From the National Health and Nutrition Examination Survey (NHANES) Amporn Atsawarungruangkit, MD1, Zilla Hussain, MD2; 1MetroWest Medical Center, Framingham, MA; 2Lifespan Physicians Group, Providence, RI

P2097. Patient Reported Outcomes in Women With IBS Using Opioids for Chronic Non-Cancer Pain ACG/Radhika Srinivasan Gender-Based Research Award Presidential Poster Award Alma Jusufagic, MPH1, Eldin Dzubur, PhD2, Brennan M. R. Spiegel, MD, MSHS1; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2University of Southern California, Los Angeles, CA

P2098. The Prevalence of Irritable Bowel Syndrome Among Board Certified Medical Doctors: A Cross Sectional Study Eman AlSulais, MD1, Turki AlAmeel, MBBS, FRCPC2, Lee S. Roth, BSc, MD, MSc3; 1King Fahad Specialist Hospital, Qatif, Ash Sharqiyah, Saudi Arabia; 2King Fahad Specialist Hospital, Dammam, Ash Sharqiyah, Saudi Arabia; 3William Osler Health System, Toronto, ON, Canada

P2099. Tegaserod Cardiovascular Safety Analysis: Importance of a Methodologic Approach to Drug Safety Analysis Rachael Gerlach, PhD1, Lawrence Goldkind, MD2, Joanna Ng, MPH1, Philip Sager, MD3; 1US WorldMeds, LLC, Louisville, KY; 2Walter Reed National Military Medical Center, Bethesda, MD; 3Stanford University School of Medicine, Stanford, CA

P2100. A Novel Galacto-Oligosaccharide (RP-G28) Promotes Beneficial Adaptations to the Human Gut Microbiome in Patients With Lactose Intolerance William D. Chey, MD, FACG1, Todd R. Klaenhammer, PhD2, William J. Sandborn, MD, FACG3, Dennis A. Savaiano, PhD4, Andrew J. Ritter5, Andrea M. Azcarate-Peril, PhD6; 1University of Michigan, Ann Arbor, MI; 2NC State University, Raleigh, NC; 3University of California San Diego, La Jolla, CA; 4Purdue University, West Lafayette, IN; 5Ritter Pharmaceuticals, Inc., Los Angeles, CA; 6University of North Carolina at Chapel Hill, Chapel Hill, NC

P2101. Gastrointestinal Symptoms and Dietary Practices Among the United States (U.S.) Population: A National Survey Rachel Nicole Pauls, MD1, Joshua Max, MD2; 1TriHealth, Inc., Cincinnati, OH; 2TriHealth Digestive Institute, Cincinnati, OH

P2102. Validation of a Post-Infectious Irritable Bowel Syndrome Risk Score in an Indian Population Shivaram Prasad Singh, MBBS, MD, DM, FSGEI, FACG, FRCP [Edin]1, Debakanta Mishra, MBBS, MD1, Prasanta Kumar Parida, MBBS, MD, DM1, Chitta Ranjan Khatua, MBBS, MD1, Subhendu Panigrahi, MBBS, MD1, Preetam Nath, MBBS, MD, DM2, Kaibalya Ranjan Dash, MBBS, MD1, Sambit Kumar Behera, MBBS, MD1, Suryakant Parida, MBBS, MD1; 1SCB Medical College, Cuttack, Orissa, India; 2Kalinga Institute of Medical Science, Bhubaneswar, Orissa, India

P2103. Prevalence of Irritable Bowel Syndrome Symptoms After Fecal Microbiota Transplant for C. difficile Brendan Chen, MD1, Bryce Perler, MD1, Jessica R. Allegretti, MD, MPH2, Lotem Nativ, BS3, Anthony D. Scotina, PhD4, Colleen R. Kelly, MD1; 1Warren Alpert Medical School of Brown University, Providence, RI; 2Brigham & Women’s Hospital, Boston, MA; 3Brigham & Women’s Hospital, Chestnut Hill, MA; 4Simmons College, Swampscott, MA

P2104. Efficacy of Tegaserod in IBS-C: Original RCTs and Reanalysis in Patients with Severe Symptoms Lawrence Goldkind, MD1, Rachael Gerlach, PhD2, Heng Zou, MS2, Colin W. Howden, MD, FACG3; 1Walter Reed National Military Medical Center, Bethesda, MD; 2US WorldMeds, LLC, Louisville, KY; 3University of Tennessee Health Science Center, Memphis, TN

P2105. Lactulose Breath Testing Predicts Response to Rifaximin for Cardinal Irritable Bowel Syndrome With Diarrhea (IBS-D) Ali Rezaie, MD1, Zeev Heimanson, PharmD2, Robert J. Israel, MD2, Richard McCallum, MD3, Mark Pimentel, MD1; 1Cedars-Sinai Medical Center, Los Angeles, CA; 2Salix Pharmaceuticals, Bridgewater, NJ; 3Texas Tech University Health Sciences Center, El Paso, TX

P2106. Ehlers-Danlos Syndrome Type III (EDS) and Visceroptosis: Getting to the Bottom of This Diagnosis Ali Rezaie, MD, MSc, Yaniv Raphael, MD, Richard Sukov, MD, Xiaochen Liu, MSc; Cedars-Sinai Medical Center, Los Angeles, CA

P2107. Emergency Department Burden of Abdominal Pain in the United States From 2006-2014 Sushil Kumar Garg, MBBS1, Shashank Sarvepalli, MD, MS2, Harika Kandlakunta, MBBS1; 1Mayo Clinic, Rochester, MN; 2Cleveland Clinic, Cleveland, OH

P2108. Activated Duodenal Eosinophilia Is Associated with Dysbiosis in Functional Dyspepsia Patients Jordan Sparkman, MD, Alexander Damron, MD, Linda Green, MD, Daniel Rosen, MD, Hashem El-Serag, MD, MPH, David Y. Graham, MD, MACG, Maria Jarbrink-Sehgal, MD, PhD; Baylor College of Medicine, Houston, TX

P2109. Fecal Microbiome Patterns in IBS, IBD, and Celiac Disease versus Healthy Controls Courtney Reynolds, MD, PhD1, Zachary Stokes, BS1, Miriam Dvorsky, BS1, Lihong Chen, MD, PhD2, Daniel Hommes, MD, PhD1; 1University of California Los Angeles, Los Angeles, CA; 2Genova Diagnostics, Asheville, NC

P2110. Gastric Slow Wave Spatial Abnormalities Are Present and Associated with Cannabinoid Hyperemesis Syndrome Among Daily Cannabis Users Armen A. Gharibans, PhD, Todd Coleman, PhD, David Kunkel, MD; University of California San Diego, La Jolla, CA

P2111. Frequency and Burden of Gastrointestinal Symptoms in Patients With Familial Dysautonomia Chethan Ramprasad, MD1, Christy Spalink, ARNP1, Lucy Norcliffe-Kaufmann, PhD1, Jose Alberto Palma, MD, PhD1, Joseph Levy, MD1, Isabel Vanegas, PhD1, Abraham Khan, MD1, Scott Smukalla, MD1, Horacio Kaufmann, MD1, Lea Ann Chen, MD2; 1New York University, New York, NY; 2New York University School of Medicine, New York, NY



FUNCTIONAL BOWEL DISEASE Clinical Vignettes/Case Reports

P2112. Recurrent Pancreatitis Due to Celiac Disease Sahla Hammad, MD1, Mayuri Kulkarni, BSc, MD2, Rovin Saxena, MD1, Mihaela Batke, MD1; 1St. Joseph Mercy Oakland Hospital, Pontiac, MI; 2St. Joseph Mercy Oakland Hospital, Livonia, MI

P2113. Median Arcuate Ligament Syndrome: A Missed Diagnosis in Patients With Chronic Abdominal Pain Josh Nichols, MS, Sarah Al-Obaidi, MD, Ihsan Al-Bayati, MS, Irene Sarosiek, MD, Brian Davis, MD, Melhem Ghalib, MD, Richard McCallum, MD; Texas Tech University Health Sciences Center, El Paso, TX

P2114. Redness From Fire: Fevers, Abdominal Pain, and Rash Anthony Choi, MD, David Wan, MD; New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY

P2115. Gluten-Free Diet Induced Nephrotic Syndrome in a Patient with Newly Diagnosed Celiac Disease Shawn Banash, MD1, Kevin Tin, MD, MBA2, Rabin Rahmani, MD, FACG2; 1Maimonides Medical Center, New York, NY; 2Maimonides Medical Center, Brooklyn, NY

P2116. An Anatomical Explanation for a Chronic Gastrointestinal Complaint Avi Davis1, Fiorella Melendez, MD2, Eluar Mendez, MD2, Kelissa Shillingford, MD2, Damian Casadesus, MD2; 1Ross University School of Medicine, Miami, FL; 2Jackson Health System, Miami, FL

GENERAL ENDOSCOPY

P2117. High Burden of GI Disease and Unmet Need in Rwanda: Findings From Rwanda Endoscopy Week Cristina Rutherford, MD1, Eric Rutaganda, MD, MPH2, Nzayisenga Mayele Julienne, NMJ3, Barnabe Habimana, MD4, Felicien Shikama, MD5, Oswald Habyarimana, MD6, Marcellin Musabende, MD7, Jean Pierre Sibomana, MD8, Alphonse Ndayambaje, MD9, Menelas Nkeshimana, MBBS, MMED10, Andy Robinson, MD11, Dirk Van Leeuwen, MD, PhD12, Frederick Makrauer, MD13, Stuart Gordon, MD1, Steve Bensen, MD1; 1Dartmouth-Hitchcock Medical Center, Lebanon, NH; 2Kigali University Teaching Hospital/CHUK, Kigali, Rwanda; 3Centre Universitaire de Kigali, Kigali, Rwanda; 4Rwanda Military Hospital, Kigali, Rwanda; 5Ministry of Health, Kigali, Rwanda; 6Gisenyi Hospital, Gisenyi, Nord, Rwanda; 7University of Rwanda, Kigali, Rwanda; 8University Teaching Hospital of Butare, Huye/South, Sud, Rwanda; 9Ruhango Provincial Hospital/Ministry Of Health-Rwanda, Kigali, Rwanda; 10Centre Hospitalier Universitaire de Kigali, Kigali, Rwanda; 11Mt. Ascutney Hospital, Windsor, VT; 12Geisel School of Medicine at Dartmouth, Colchester, VT; 13Brigham & Women’s Hospital, Boston, MA

P2118. Hemorrhoid Injection Ablation Therapy Using 1% Tetradecly Sulfate Presidential Poster Award Jose Rodriguez, MD; Texas Gastroenterology Institute, McAllen, TX

P2119. History of Bariatric Surgery Is an Independent Risk Factor for Inadequate Colonoscopy Preparation Presidential Poster Award Matthew Peller, MD1, Rajesh Keswani, MD, MS2, Dejan Micic, MD3; 1McGaw Medical Center of Northwestern University, Chicago, IL; 2Feinberg School of Medicine, Northwestern University, Chicago, IL; 3University of Chicago, Chicago, IL

P2120. Simethicone Pre-Treatment With Polyethylene Glycol and Bisacodyl Combination Preparation in an Effort to Improve Bowel Wall Visualization Mohit Rishi, MD1, Jaskarin Kaur, MD1, Chia-Yang Hsu, MD1, Eric Osgard, MD, FACG2; 1University of Nevada Reno School of Medicine, Reno, NV; 2Gastroenterology Consultants, Reno, NV

P2121. Gastroenterologists Underestimate Endoscopic Risk in Patients Undergoing Routine Procedures Richard Young, MD1, Joshua Sifuentes, MD, MPH1, Sasha Taleban, MD2; 1University of Arizona, Tucson, AZ; 2University of Arizona College of Medicine, Tucson, AZ

P2122. Comparison of Procedural Sequence in Same-Day Bidirectional Endoscopy: Which Procedure Should We Do First? Analysis of a Large Database C. Roberto Simons-Linares, MD1, Jacqueline Estevez, MD2, Faris El-Khider, MD, MS2, John J. Vargo, MD3, Prabhleen Chahal, MD, FACG3, Jean-Paul Achkar, MD, FACG2; 1Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH

P2123. Factors Associated With Adequate Bowel Preparation in Inpatient Colonoscopies: A Retrospective Analysis From a High-Volume Community Center Benjamin Renelus, MD, Daniel S. Jamorabo, MD, Niel Dave, MD, Ofem Ajah, MD; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY

P2124. Probe-Based Confocal Endomicroscopy May Improve the Diagnosis of Clinical Complete Response After Neoadjuvant Chemoradiotherapy for Locally Advanced Rectal Neoplasia Adriana Safatle-Ribeiro, MD, PhD, FACG, Carlos Marques, MD, PhD, Clelma Pires, MD, Elisa Baba, MD, Luciana Meirelles, MD, Sheila Faraj, MD, Lívia Arraes, MD, Diogo Araújo, MS, Carla Gusmon, MD, Fábio Kawaguti, MD, PhD, Luciano Lenz, MD, PhD, Marcelo Simas, MD, Bruno Martins, MD, PhD, Caio Nahas, MD, PhD, Sergio Nahas, MD, PhD, Ulysses Ribeiro Jr, MD, PhD, FACG, Fauze Maluf Filho, MD, PhD; Sao Paulo State Cancer Institute, University of Sao Paulo (ICESP-HCFMUSP), Sao Paulo, Brazil

P2125. Factors Leading to Trainee Entrustment in EGD and Colonoscopy: A Prospective Multicenter Study Evaluating Endoscopy Competence in the Era of the Next Accreditation System (NAS) Presidential Poster Award Samuel Han, MD1, Joshua Obuch, MD, MSc2, Rajesh Keswani, MD, MS3, Matt Hall, PhD4, Violette Simon, BA1, Eze Ezekwe, BA1, Swati Patel, MD1, Bryan Brimhall, MD1, Eva Aagaard, MD5, Paul Menard-Katcher, MD1, Asyia Ahmad, MD6, Saad Alghamdi, MD5, Michael Brown, MD7, Charles Broy, MD8, Priyanka Chugh, MD9, Anand S. Shah, MD10, David Cooley, MD11, Jack A. Di Palma, MD, MACG12, Anna Duloy, MD1, Dayna Early, MD, FACG5, Eric Gaumnitz, MD13, Kevin Ghassemi, MD14, Edward Lebovics, MD15, Robert Lee, MD16, Tisha N. Lunsford, MD, FACG17, Julia Massaad, MD18, Mohit Mittal, MD19, Kirsten Morigeau, MD20, Stanley J. Pietrak, III, MD, MS21, Michael Piper, MD, FACG22, Alan Shapiro, MD23, William P. Sonnier, MD12, Shivakumar Vignesh, MD10, Shani Woolard, MD18, Sachin Wani, MD24; 1University of Colorado, Aurora, CO; 2Geisinger Hospital - Wyoming Valley, Wilkes-Barre, PA; 3Feinberg School of Medicine, Northwestern University, Chicago, IL; 4Cincinnati Children’s Hospital Medical Center, Cincinnati, OH; 5Washington University, St. Louis, MO; 6Drexel University College of Medicine, Philadelphia, PA; 7Rush University Medical Center, Chicago, IL; 8Advocate Health Care, Oak Lawn, IL; 9New York Medical College at Westchester Medical Center, Valhalla, NY; 10SUNY Downstate Medical Center, Brooklyn, NY; 11St. John Providence, Southfield, MI; 12University of South Alabama, Mobile, AL; 13University of Wisconsin, Madison, WI; 14University of California Los Angeles, Los Angeles, CA; 15New York Medical College, Valhalla, NY; 16University of California, Irvine, Orange, CA; 17University of Texas Health San Antonio, San Antonio, TX; 18Emory University School of Medicine, Atlanta, GA; 19University of California Irvine, Irvine, CA; 20University of Texas Health Science Center at San Antonio, San Antonio, TX; 21Georgetown University Medical Center, Washington, DC; 22Providence-Providence Park Hospital, Farmington Hills, MI; 23Advocate Lutheran General Hospital, Park Ridge, IL; 24University of Colorado Anschutz Medical Campus, Aurora, CO

P2126. A Prospective Multicenter Study Evaluating Endoscopy Competence Among Gastroenterology Trainees in the Era of the Next Accreditation System (NAS) - The EnCompAS Study Samuel Han, MD1, Joshua Obuch, MD, MSc2, Rajesh Keswani, MD, MS3, Matt Hall, PhD4, Violette Simon, BA1, Eze Ezekwe, BA1, Swati Patel, MD1, Bryan Brimhall, MD1, Eva Aagaard, MD5, Paul Menard-Katcher, MD1, Asyia Ahmad, MD6, Saad Alghamdi, MD5, Michael Brown, MD7, Charles Broy, MD8, Priyanka Chugh, MD9, Anand S. Shah, MD10, David Cooley, MD11, Jack A. Di Palma, MD, MACG12, Anna Duloy, MD1, Dayna Early, MD5, Eric Gaumnitz, MD13, Kevin Ghassemi, MD14, Edward Lebovics, MD15, Robert Lee, MD16, Tisha N. Lunsford, MD, FACG17, Julia Massaad, MD18, Mohit Mittal, MD19, Kirsten Morigeau, MD20, Stanley J. Pietrak, III, MD, MS21, Michael Piper, MD, FACG22, Alan Shapiro, MD23, William P. Sonnier, MD12, Shivakumar Vignesh, MD10, Shani Woolard, MD18, Sachin Wani, MD24; 1University of Colorado, Aurora, CO; 2Geisinger Hospital - Wyoming Valley, Wilkes-Barre, PA; 3Feinberg School of Medicine, Northwestern University, Chicago, IL; 4Cincinnati Children’s Hospital Medical Center, Cincinnati, OH; 5Washington University, St. Louis, MO; 6Drexel University College of Medicine, Philadelphia, PA; 7Rush University Medical Center, Chicago, IL; 8Advocate Health Care, Oak Lawn, IL; 9New York Medical College at Westchester Medical Center, Valhalla, NY; 10SUNY Downstate Medical Center, Brooklyn, NY; 11St. John Providence, Southfield, MI; 12University of South Alabama, Mobile, AL; 13University of Wisconsin, Madison, WI; 14University of California Los Angeles, Los Angeles, CA; 15New York Medical College, Valhalla, NY; 16University of California, Irvine, Orange, CA; 17University of Texas Health San Antonio, San Antonio, TX; 18Emory University School of Medicine, Atlanta, GA; 19University of California Irvine, Irvine, CA; 20University of Texas Health Science Center at San Antonio, San Antonio, TX; 21Georgetown University Medical Center, Washington, DC; 22Providence-Providence Park Hospital, Farmington Hills, MI; 23Advocate Lutheran General Hospital, Park Ridge, IL; 24University of Colorado Anschutz Medical Campus, Aurora, CO

P2127. Effect of Timing of Endoscopy on Patient Outcomes Ujas Patel, BS, Jessica Giordano, BS, Benjamin Tharian, MD; University of Arkansas for Medical Sciences, Little Rock, AR

P2128. Upper Endoscopies Performed in Emergency Department (ED): An Analysis Ujas Patel, BS, Jessica Giordano, BS, Benjamin Tharian, MD; University of Arkansas for Medical Sciences, Little Rock, AR

P2129. Does Resident Education Improve Barrett’s Esophagus Screening Rates? Brian Peterson, BS, Steven Clayton, MD, FACP; University of South Carolina School of Medicine, Greenville, SC

P2130. Code Status Reversal for Do-Not-Resuscitate (DNR) Patients Prior to Endoscopy: Current Practices of Medical and Surgical Residents Lauren Feld, MD, Vijaya Rao, MD; University of Chicago Medical Center, Chicago, IL

P2131. Impact of Preparatory Counseling on Esophagogastroduodenoscopy (EGD) Performance and Patient Comfort: A Randomized, Double-Blind Trial Arunkumar Muthusamy, MD1, Fadi Antaki, MD2, Stephanie Judd, MD3, Ashley Miller, NP3, Emmanuel Akintoye, MD, MPH1, Mohammad Anees, MD4, Philip S. Schoenfeld, MD, MSEd, MSc 5, Kirthi Lilley, MD2; 1Wayne State University School of Medicine, Detroit, MI; 2John D. Dingell VA Medical Center & Wayne State University, Detroit, MI; 3John D. Dingell VA Medical Center, Detroit, MI; 4John D. Dingell VA Medical Center, Dearborn, MI; 5University of Michigan School of Medicine, Ann Arbor, MI

P2132. Comparison of Insertion Methods of Water Exchange, Water Immersion, and Air Insufflation on Right Colon Flat Polyp Detection Rate - Pooled Data Analysis of Three Reports Hui Jia, MD1, Malcolm Koo, PhD2, Sergio Cadoni, MD3, Yu-Hsi Hsieh, MD4, Chi-Tan Hu, MD5, Felix Leung, MD6; 1Sepulveda Ambulatory Care Center, VAGLAHS and David Geffen School of Medicine at UCLA, Northridge, CA; 2Tzu Chi University of Science and Technology, Hualien City, Hualien, Taiwan (Republic of China); 3ATS Sardegna, ASSL Carbonia, CTO Hospital, Iglesias, Sardegna, Italy; 4Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Chiayi, Taiwan (Republic of China); 5Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien City, Hualien, Taiwan (Republic of China); 6Sepulveda Ambulatory Care Center, VAGLAHS, David Geffen School of Medicine at UCLA, North Hills, CA

P2133. Rating of Bowel Prep Is Highly Variable Among Physicians: Is Beauty in the Eye of the Beholder? Susan Lou, MD1, Allison J. Z. Levy, MD2, Michael Kuskowski, PhD1, Aasma Shaukat, MD1, Shahnaz Sultan, MD, MHSc3, Ashish Malhotra, MD, MS4; 1University of Minnesota, Minneapolis, MN; 2Abbott Northwestern, Minneapolis, MN; 3University of Minnesota, Minneapolis Veterans Affairs HCS, Minneapolis, MN; 4Minneapolis VA, St. Paul, MN

GENERAL ENDOSCOPY Clinical Vignettes/Case Reports

P2134. Villous Duodenal Polyp With Foveolar Gastric Metaplasia in a Patient With Recently Resected Papillary Clear Cell Carcinoma: A Case Report Muhammad F. Mubarak, MD, Arnab Ray, MD; Ochsner Clinic Foundation, New Orleans, LA

P2135. Gastric Volvulus Caused by Gastric Tube Migration Yousaf Zafar, MD1, Charles W. McMahon, MD1, Omar Abughanimeh, MD1, Laith Numan, MD1, Mohammad Tahboub, MD1, Lyla Saeed, MD2, Khalil M. Abuamr, MD3; 1University of Missouri, Kansas City, MO; 2UMKC, Kansas City, MO; 3Truman Medical Center, Kansas City, KS

P2136. Obstructing Gallstone at a Colo-Colonic Anastomosis Successfully Treated With Endoscopic Electrohydraulic Lithotripsy David Kleesattel, MD1, David N. Fitch, MD2, Sampath Poreddy, MD2; 1University of Cincinnati Medical Center, Cincinnati, OH; 2University of Cincinnati College of Medicine, Cincinnati, OH

P2137. Amyloidosis: A Rare, but Unifying Diagnosis Pranav Penninti, DO1, Tamneet Singh, MD1, Souleymane Diallo, DO2, Leon Kundrotas, MD3; 1University of Texas Health San Antonio, San Antonio, TX; 2University of Texas Health Science Center at San Antonio, San Antonio, TX; 3South Texas VA Medical Center, San Antonio, TX

P2138. A Case of Disseminated Strongyloides Infection in an Immunosuppressed Patient Presenting With Ileus Anna Krigel, MD, Marilyn Nedumcheril, MD, Daniela Jodorkovsky, MD; New York Presbyterian - Columbia University Medical Center, New York, NY

P2139. Endoscopic Disimpaction in a Constipated Patient with Amyotrophic Lateral Sclerosis Andrew Yin, BA1, Rachel Niec, MD, PhD1, Kaveh Hajifathalian, MD, MPH2, David Wan, MD2; 1NewYork-Presbyterian Weill Cornell Medical Center, New York, NY; 2New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY

P2140. Proximal Gastrointestinal Ulcerations: A Potential Complication of Atezolizumab Therapy? Eric Swei, MD1, Austin Lin, MD1, Bianca W. Chang, MD2, Marc Bissonnette, MD2, Lindsay Alpert, MD2, Anthony Serritella, MD1; 1University of Chicago Hospitals, Chicago, IL; 2University of Chicago, Chicago, IL

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P2141. An Unusual Rectal Foreign Body Michael Itidiare, DO1, Brian Blair, DO2, Rajiv Mallipudi, MD3; 1Jefferson Health/Rowan School of Medicine, Voorhees, NJ; 2Rowan University School of Osteopathic Medicine, Stratford, NJ; 3Hackensack Meridian Health Mountainside Medical Center, Glen Ridge, NJ

P2142. A Case of Colonic Mucosubmucosal Elongated Polyp in Sigmoid Colon on Surveillance Colonoscopy Xiaowen Fan, MD1, Melissa Hershman, MD2, Gabriel Levi, MD3, Ilan Weisberg, MD, MSc3; 1Mount Sinai St Luke’s and Mount Sinai West, New York, NY; 2Mount Sinai Beth Israel, St. Luke’s and West, New York, NY; 3Mount Sinai Beth Israel, New York, NY

P2143. Foreign Body Removal From the Colon: A Successful Approach Herit Vachhani, MD1, Andrea Fialho, MD2, Andre Fialho, MD2, Asim Shuja, MD2, Miguel Malespin, MD2, Silvio De Melo, MD2; 1University of Florida, Philadelphia, PA; 2University of Florida Jacksonville, Jacksonville, FL

P2144. Intestinal Kaposi´s Sarcoma in a Patient With Cirrhosis María Alejandra Pérez Ardila, MD1, Julián Alberto Naranjo Millán, MD2, Henry Augusto Millán, MD2, Fredy Andrés Luna Vela, MD2, Jacqueline Mugnier, MD2, Carolina Salinas, MD2, Gustavo Díaz, MD2; 1Fundacion Cardioinfantil, Bogotá, Cundinamarca, Colombia; 2Fundacion Cardioinfantil, Bogotá, Distrito Capital de Bogota, Colombia

P2145. Ingestion of Crystalline Potassium Permanganate Mena Bakhit, MD1, Kaio S. Ferreira, MD2, Zilla Hussain, MD3; 1Warren Alpert Medical School of Brown University, Providence, RI; 2Brown University, Providence, RI; 3Lifespan Physicians Group, Providence, RI

P2146. Intentional Foreign Body Ingestion in Adults: A Novel Case of Ingestion of a 13.6 cm Metallic Shank by a Prisoner for Secondary Gain That had to Be Surgically Removed Syed H. Abbas, MD1, Waqas Nawaz, MD2, Hilary Hertan, MD, FACG3; 1Montefiore Medical Center Wakefield Campus, Bronx, NY; 2Montefiore Medical Center, Yonkers, NY; 3Montefiore Medical Center, Bronx, NY

P2147. Endoscopic Diagnosis of Amyloidosis Daniel Hwang, MD1, Alexander H. Kim, DO2, Kristen Stashek, MD1, Rashid Hanif, MD3, Peter Darwin, MD1; 1University of Maryland School of Medicine, Baltimore, MD; 2University of Maryland School of Medicine, Ellicott City, MD; 3Meritus Medical Center, Hagerstown, MD

P2148. Repeat Colonoscopy Revealing CMV Ileitis in an ALL Patient With GVHD Marcus Juan L. Esteban, MD, Shriram Jakate, MD, Salina Lee, MD; Rush University Medical Center, Chicago, IL

P2149. Seeing Spots: Eosinophilic Abscess as an Endoscopic Marker of Giardiasis Melissa Hershman, MD1, Samuel Wahl, MD2, Arun Swaminath, MD3; 1Mount Sinai Beth Israel, St. Luke’s and West, New York, NY; 2Lenox Hill Hospital, New York, NY; 3Hofstra NorthShore-LIJ School of Medicine, New York, NY

P2150. Lumen-Apposing Metal Stent in the Treatment of Benign Pyloric Stenosis Michael Brazeau, DO1, John Gancayco, MD2; 1San Antonio Military Medical Center, Fort Sam Houston, TX; 2Brooke Army Medical Center, San Antonio, TX

P2151. Mycophenolate Mofetil-Induced Non-Healing Gastric and Duodenal Ulcers Vincent Chao Chang, MD1, Daniel Mai, BSc1, Michelle Park, MD1, David P. Lee, MD, MPH2, Jason Samarasena, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine, Orange, CA

P2152. Recurrence of Primary Epididymal Leiomyosarcoma to Colon and Stomach Juan F. Ricardo, MD1, Raynieri Fernandez, MD2, Fernando Contreras, MD, FACP, FACG3, Carlos Esteva, MD, FCAP4, Santiago Collado-Chastel, MD5, Magnolia Fernandez, MD6; 1Florida State University/Sarasota Memorial Hospital, Sarasota, FL; 2Advocate Illinois Masonic Medical Center, Chicago, IL; 3Universidad Nacional Pedro Henriquez Ureña, Dominican Republic, Santo Domingo, Distrito Nacional, Dominican Republic; 4Esteva Patologia Diagnostica, Dominican Republic, Santo Domingo, Distrito Nacional, Dominican Republic; 5Institute of Biomedical Studies, Dominican Republic, Santo Domingo, Distrito Nacional, Dominican Republic; 6Centro de Gastroenterologia Avanzada, Santo Domingo, Distrito Nacional, Dominican Republic

P2153. A Rare Case of Emphysematous Gastritis - Sarcina Ventriculi Saranya Rajasekar, MD, Nirmal Onteddu, MD, Ashutosh Gupta, MD; Texas Tech University Health Sciences at Permian Basin, Odessa, TX

P2154. A Rare Case of Bouveret’s Syndrome Presenting with Hematemesis and Spontaneous Resolution of Obstruction Benjamin Hart, MD, PhD, MPH1, Muhannad Heif, MD2; 1University of Toledo College of Medicine, Toledo, OH; 2Promedica Physicians Digestive Healthcare, Toledo, OH

P2155. Gastrointestinal Toxoplasmosis in a Renal Transplant Patient Chunsu Jiang, MD, Ross Deppe, MD, Shahzad Ahmed, MD, Jennifer Christie, MD; Emory University, Atlanta, GA

P2156. An Unusual Case of Appendiceal Intussusception Sara Ancello, DO, Sudhakar Reddy, MD, Raul Lopez, MD, Tushar Gohel, MD; Mountain Vista Medical Center / Midwestern University, Mesa, AZ

GI BLEEDING

P2157. Rates of Gastrointestinal Bleeding in Cirrhotics Treated With Warfarin Tiffany Lee, MD1, Jaehyun Kim, MD2, Rick A. Weideman, PharmD3, Linda Feagins, MD4; 1University of Texas Southwestern, Dallas, TX; 2University of Texas Southwestern Medical Center, Dallas, TX; 3VA North Texas Health Care System, Dallas, TX; 4University of Texas Southwestern and VA North Texas Healthcare System, Dallas, TX

P2158. A National Survey of the Prevalence and Demographics of Gastrointestinal Bleeding in Cirrhotic Patients Evan Orosz, DO1, Pavan Patel, MD2, Nikolaos Pyrsopoulos, MD, MBA, PhD2; 1Rutgers New Jersey Medical School, Jersey City, NJ; 2Rutgers New Jersey Medical School, Newark, NJ

P2159. Effect of Co-Morbid Cirrhosis on In-Hospital Mortality in Female Patients With Gastrointestinal Bleeding Elizabeth Brindise, DO1, Imad Elkhatib, MD2, Aneesh Kuruvilla, DO1, Rogelio Silva, MD1; 1University of Illinois at Chicago - Advocate Christ Medical Center, Oak Lawn, IL; 2Advocate Christ Medical Center, Oak Lawn, IL

P2160. Epidemiology of Lower GI Bleed in the United States - An Update From the National Inpatient Survey 2005-2014 Paris Charilaou, MD1, Kalpit Devani, MD2, Devendra Enjamuri, MD3, Dhruvil Radadiya, MBBS2, Chakradhar M. Reddy, MD, FACP4, Mark Young, MD2; 1St. Peter’s University Hospital, New Brunswick, NJ; 2East Tennessee State University, Johnson City, TN; 3Rutgers University, Saint Peters University Hospital, New Brunswick, NJ; 4East Tennessee State University, Quillen College of Medicine, Johnson City, TN


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P2161. A Pro-Angiogenic Shift in the Angiopoietin Axis Is Associated with Gastrointestinal Bleeding After Continuous Flow Left Ventricular Assist Device Implantation Adam L. Edwards, MD, MSc, C. Mel Wilcox, MD, Salpy V. Pamboukian, MD, MSPH, Peter Mannon, MD, Shajan Peter, MD; University of Alabama at Birmingham, Birmingham, AL

P2162. Teaching an Old Drug New Tricks: Ketamine for Endoscopic Sedation in Critically Ill Patients Jerome Edelson, MD1, Cyrus Edelson, MD1, Kevin Chung, MD1, Don C. Rockey, MD2, Matthew Robles, DO1, Stalin Subramanian, MD1, John Gancayco, MD1; 1Brooke Army Medical Center, San Antonio, TX; 2Medical University of South Carolina, Charleston, SC

P2163. Gastrointestinal Bleeding in Patients With Mechanical Ventilation: Insights From the Healthcare Utilization Project Zubair Khan, MD, CMQ1, Nauman Siddiqui, MD2, Khaled Srour, MD1, Zakaria Alyousif, BS1, Yaseen Alastal, MPH1, Muhammad Ali Khan, MD3, Ali Nawras, MD1; 1University of Toledo Medical Center, Toledo, OH; 2Tufts Medical Center, Boston, MA; 3University of Tennessee Health Science Center, Memphis, TN

P2164. Clinical Outcomes in Patients with Gastric Adenocarcinoma Presenting with Upper Gastrointestinal Bleeding Initially Jae Young Kim, MD1, Yeon Ji Kim, MD2, Dae Bum Kim, MD2, Woo Chul Chung, MD2, Sung Hoon Jung, MD2; 1St. Vincent Hospital, Su-won, Kyonggi-do, Republic of Korea; 2St. Vincent Hospital, Su-Won, Kyonggi-do, Republic of Korea

P2165. Radiofrequency Ablation (RFA) for the Treatment of Refractory Gastric Antral Vascular Ectasia: A Systematic Review and Meta-Analysis Hamza Salim1, Thrupthi Komandur, MBBS1, Usman Shah1, Mohammed Turab, MBBS1, Prithvi Patil, MS1, Nirav Thosani, MD2; 1University of Texas Health Science Center at Houston, Houston, TX; 2University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX

P2166. Diagnostic Utility of Blood in the Gastric Tube in Hospitalized Patients Fahad F. Mir, MD, MSc1, Yousaf Zafar, MD2, Laith Numan, MD2, Eslam Dosokey, MD3, Laith Derbas, MD2, Sreenivasa S. Jonnalagadda, MD4; 1University of Missouri, Mission, KS; 2University of Missouri, Kansas City, MO; 3University of Missouri, Overland Park, KS; 4St. Luke’s Health System, Kansas City, MO

P2167. Proximal Small Bowel Angiodysplasia (AD) Is More Strongly Associated With Melena Than Is Hematochezia Sanjana Luther, MD1, Simon Hong, MD2, Lawrence J. Brandt, MD, MACG 3, Joann Kwah, MD2; 1Montefiore Medical Center, New York, NY; 2Montefiore Medical Center, Bronx, NY; 3Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY

P2168. Role of Pre-LVAD Endoscopic Screening and Assessment of Risk Factors Associated With Post-LVAD Implantation Gastrointestinal Bleeding Vivek Kesar, MD1, Jessica Harris, MD1, Akhil Penmetcha, MD1, Michael Croglio, MD1, Erin Taub, MPH1, Varun Kesar, MD2, Hal Skopicki, MD, PhD1, Allison McLarty, MD1, Juan Carlos Bucobo, MD1; 1Stony Brook University Hospital, Stony Brook, NY; 2Lenox Hill Hospital, New York, NY

GI BLEEDING Clinical Vignettes/Case Reports

P2169. Successful Coil Embolization of an Isolated Duodenal Varix: A Case Report Luis C. Ortiz, MD, Vanessa Sostre, MD, Manrique Guerrero, DO, Paul Hanna, DO, Namrata Paul, MD, Oren Bernheim, MD; St. Joseph’s University Medical Center, Paterson, NJ

P2170. Gastrointestinal Bleeding With Rare Etiology: A Case Report of Primary Aorto-Enteric Fistula Elizabeth Tran, DO1, Justin Reed, DO1, Aaron Fieker, DO2, Audrey Corbett, MD1; 1Oklahoma University, Tulsa, OK; 2OU Internal Medicine/ Gastroenterology/ Warren Clinic Gastroenterology, Tulsa, OK

P2171. First Reported Case of Hemodynamically Unstable Gastrointestinal Hemorrhage Due to Isolated Jejunal Ulcerated Mass Because of Cytomegalovirus in an Immunocompetent Patient Birtukan Cinnor, MD, MPH1, Kristina Ross, MD2; 1Minnesota Gastroenterology, P.A., Plymouth, MN; 2University of Colorado, Denver, CO

P2172. An Unusual Case of Massive Upper Gastrointestinal Bleeding Related to Salmonella Typhi Infection Daniel J. Waintraub, MD1, Richard M. Fazio, MD2, Yuriy Tsirlin, MD, FACG1, Rabin Rahmani, MD, FACG1; 1Maimonides Medical Center, Brooklyn, NY; 2Maimonides Medical Center, Broooklyn, NY

P2173. Gastrointestinal Bleeding From Metastatic Non-Cutaneous Melanoma Identified in the Ileum Nikhil R. Thiruvengadam, MD1, Melike Pekmezci, MD1, Tonya Kaltenbach, MD, MS2; 1University of California San Francisco Medical Center, San Francisco, CA; 2University of California San Francisco, San Francisco, CA

P2174. Dueling with Fire: A Case Series of Dieulafoy’s Lesions Saamia Faruqui, MS, MD1, Eliza Lewine, BS2, Shanti G. Rao, MD2, Chris Hodnette, MD2, Patrick Selakovich, MD 2, Gregory Gaspard, MD1; 1Tulane University, New Orleans, LA; 2Tulane University School of Medicine, New Orleans, LA

P2175. Approach to Bleeding Downhill Varices: A Multidisciplinary Approach Chengcheng Ye, MD, Rushikesh Shah, MD, Mohammed Naseemuddin, MD, Parit Mekaroonkamol, MD; Emory University School of Medicine, Atlanta, GA

P2176. Metastatic Neuroendocrine Tumor of the Pancreas Presenting With Gastric Variceal Hemorrhage Yousaf Zafar, MD1, Sean Doran, DO1, John Helzberg, MD2; 1University of Missouri, Kansas City, MO; 2St. Luke’s Hospital, Kansas City, MO

P2177. A Case of Gastrointestinal Amyloidosis Presenting Initially as Melena Lavneet Chawla, MD1, Dana Berg, MD2, Beth Schorr-Lesnick, MD, FACG3; 1Westchester Medical Center, Valhalla, NY; 2New York Medical College at Westchester Medical Center, New York, NY; 3New York Medical College at Westchester Medical Center, Valhalla, NY

P2178. Small Bowel Hemorrhage Due to Ectopic Varices Between the Inferior Mesenteric Vein and the Left Gonadal Vein James Han, MD1, Zachary Lu, BSc1, David P. Lee, MD, MPH2, Jason Samarasena, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine, Orange, CA

P2179. Colonic Intramural Hematoma: A Rare Cause of Lower Gastrointestinal Bleeding Kavita Radhakrishnan, MD, Jessica B. Rubin, MD, MPH, Tonya Kaltenbach, MD, MS; University of California San Francisco, San Francisco, CA

P2180. A Rare Case of Bleeding Duodenal Arteriovenous Malformations in Association with Amyloid Enteropathy Parijat Mathur, MD, Mohammed Imran Khan, MD, Diane Hall, MD, PhD, Charles Reisdorf, ANPC, Vivek Kak, MD, Vishal Gupta, MD, PhD; Henry Ford Allegiance Health, Jackson, MI

P2181. An Unusual Cause of Upper GI Bleeding: Eroded Molina Band Nirmal Onteddu, MD1, Venkata Siva Krishna Kumar Pulivarthi, MBBS2, Ashutosh Gupta, MD1; 1Texas Tech University Health Sciences at Permian Basin, Odessa, TX; 2Mayo Clinic Arizona, Phoenix, AZ



P2182. Bleeding Complications Associated With Colonic Polypoid Arteriovenous Malformations Dorsa Samsami, DO, Chloe Lee, DO, Alyssa Kaleta, DO, Mohsen Khan, DO, Scott Siglin, MD; Advocate Lutheran General Hospital, Park Ridge, IL

P2183. Testicular Choriocarcinoma (TC) With Gastric Metastasis Presenting as Melena Omar Alsalman, MD1, Shashank Trivedi, MD1, Marwah Alchalabi, MBChB2, Shobhana Chaudhari, MD1; 1Metropolitan Hospital, New York Medical College, New York, NY; 2Metropolitan, Forest hills, NY

P2184. Uncommon Cause of Upper Gastrointestinal Bleeding in a Patient With Portal Hypertension Omar Alsalman, MD1, Marwah Alchalabi, MBChB2, Shobhana Chaudhari, MD1; 1Metropolitan Hospital, New York Medical College, New York, NY; 2Metropolitan, Forest hills, NY

P2185. Case Study - An Unusual Case of Bleeding Ian Turner, MBBS (Hons) , Priya Acharya, MBBS (Hons) ; Western Sydney University, Campbelltown, New South Wales, Australia

P2186. Under Pressure: Obscure Bleeding due to Small Bowel Varices Nicole Harrison, MD1, Sarah Davis, MD2, Lawrence Goldkind, MD1; 1Walter Reed National Military Medical Center, Bethesda, MD; 2United States Air Force, San Antonio, TX

P2187. Colonic Varices: An Under-Recognized but Potentially Deadly Complication of Cirrhosis Sohni Reddy, MD1, Paridhi Malik, MD2, Michael Gurell, MD1; 1Rochester General Hospital, Rochester, NY; 2Rochester General Hospital, Henrietta, NY

P2188. Acquired Von Willebrand Disease as a Cause of Obscure Gastrointestinal Bleeding Parita Patel, MD, Valerie G. Press, MD, MPH; University of Chicago, Chicago, IL

P2189. Jejunal Dieulafoy: A Rare Case of Gastrointestinal Hemorrhage Neera Sinha, MD, Yevgeniy Mikityanskiy, DO, Stephen Mularz, DO, John Trillo, MD; Coney Island Hospital, Brooklyn, NY

P2190. A Rare Cause of Bleeding After Roux-en-Y Gastric Bypass Alexander Pan, MD1, Sakshi Sahni, MD1, Ruben Khan, MD2, Brian Boulay, MD, MPH3; 1University of Illinois Hospital & Health Sciences System, Chicago, IL; 2University of Illinois at Chicago, Chicago, IL; 3University of Illinois Hospital, Chicago, IL

P2191. Gastrointestinal (GI) Hemorrhage Secondary to Stromal Tumor (GIST) in Excluded Stomach Osama Kaddourah, MD, Osama Yousef, MD, Tarek Tamimi, MD; University of Missouri, Kansas City, MO

P2192. An Unexpected Outcome After Coil Embolization for Recurrent Upper Gastrointestinal Bleed Neil Rangwani, MD1, Jonathan T. Hlivko, MS, MD2; 1Summa - Akron City Hospital, Akron, OH; 2Alliance Community Hospital, Alliance, OH

P2193. When Occam’s Razor Dulls: Meckel’s Diverticulum Complicated by a Carcinoid Tumor in an Octogenarian Edward E. Bridges, MD, Patrick E. Young, MD, FACG; Walter Reed National Military Medical Center, Bethesda, MD

P2194. Rare Case of Upper Gastrointestinal Bleeding Aaron Reiprich, DO, John Sotiriadis, MD, PhD; Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ

P2195. A Rare Cause of Gastrointestinal Bleeding in a Patient with Acquired Immune Deficiency Syndrome Nikhil Gupta, MD1, Varun Takyar, MD1, Terrence Lee, MD1, James Buxbaum, MD2; 1LAC+USC Medical Center, Los Angeles, CA; 2University of Southern California School of Medicine, Los Angeles, CA

P2196. Hemorrhagic Shock Due to Diffuse Colitis Associated With Severe Vitamin C Deficiency Kenneth D. Allen, DO, Alexander Wallner, MD, Lucy Rosenbaum, MD, Peter P. Stanich, MD, John Christman, MD; The Ohio State University Wexner Medical Center, Columbus, OH

P2197. Small Intestinal Hemorrhage as a Rare Presentation of Metastatic Testicular Choriocarcinoma Pir Shehzad, MD1, Sharad Bellapravalu, MD1, Indu Srinivasan, MD1, Keng-Yu Chuang, MD2; 1Maricopa Integrated Health System, Phoenix, AZ; 2Maricopa Integrated Health System/St. Josephs Hospital and Medical Center, Phoenix, AZ

P2198. Bleeding Isolated Jejunal Varix Without Portal Hypertension David Alexanian, MD, Tarun Rustagi, MD; University of New Mexico School of Medicine, Albuquerque, NM

P2199. Gastric Metastasis: An Unexpected Finding in a Patient With Severe Anemia Kristin Olson, DO1, Jacob West, DO2, Jorge Zapatier, MD3; 1Mercy Medical Center, West Des Moines, IA; 2Mercy Medical Center, Des Moines, IA; 3Mercy Gastroenterology, Des Moines, IA

P2200. Isolated Enteric Varix in the Proximal Ileum: An Unusual Presentation of Suspected Small Bowel Bleeding Preeya Goyal, MD, Nicole Shah-Ghassemzadeh, DO, Khaled Selim, MD; Loma Linda University, Loma Linda, CA

P2201. Endoscopic Ultrasound-Guided Treatment of Gastric Varices With Coil Embolization and Absorbable Hemostatic Gelatin Sponge Ahmad Najdat Bazarbashi, MD1, Thomas J. Wang, MD2, Phillip S. Ge, MD3, Christopher C. Thompson, MD3, Marvin Ryou, MD3; 1Brigham & Women’s Hospital, Boston, MA; 2Massachusetts General Hospital, Boston, MA; 3Brigham & Women’s Hospital/Harvard Medical School, Boston, MA

P2202. Terminal Ileum Diverticular Bleed: A Rare Cause of Gastrointestinal Bleeding Ahmad Najdat Bazarbashi, MD1, Jordan Sack, MD1, Odise Cenaj, MD1, Jennifer Nayor, MD2, Rachel W. Winter, MD, MPH3, Punyanganie S. de Silva, MD, MPH1, John R. Saltzman, MD, FACG1; 1Brigham & Women’s Hospital, Boston, MA; 2Brigham & Women’s Hospital, Brookline, MA; 3Brigham & Women’s Hospital/Harvard Medical School, Boston, MA

P2203. A Rare Cause of Anemia and Abdominal Pain in an HIV-Positive Patient Manoela Mota, MD1, Dennis Yang, MD2, Jinping Lai, MD1, Calvin Koh, MD1, Joydeep Chakraborty, MD1; 1University of Florida, Gainesville, FL; 2University of Florida College of Medicine, Gainesville, FL

P2204. Brisk Upper Gastrointestinal Bleeding From Isolated Proximal Esophageal Varices Xin Zheng, DO, MS, Chuong Tran, MD, Andrew Wright, MD; Loma Linda University Medical Center, Loma Linda, CA

P2205. A Case of Duodenal Traditional Serrated Adenoma Manifested as Gastrointestinal Bleeding Jinah Ryu, MD1, Seungwoo Lee, PhD1, Sangbum Kang, MD1, SungJin Moon, MD1, Dongsu Lee, MD1, Junguee Lee, MD2; 1Daejeon St. Mary’s Hospital, Daejeon, Taejon-jikhalsi, Republic of Korea; 2Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Taejon-jikhalsi, Republic of Korea

P2206. Pernicious Anemia: Early Detection of the Historical “Great Pretender" Huy A. Le, MS41, Tejas V. Joshi, MD2, Corey Saraceni, MD2, Lee Engel, MD, PhD3; 1UMHS-St. Kitts, New York, NY; 2LSU Health New Orleans School of Medicine, New Orleans, LA; 3LSU Health Sciences Center, New Orleans, LA


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P2207. Fatal Strongyloides stercoralis Hyperinfection in a Patient With Gastrointestinal Bleeding and Asthma: A Case to Screen for Asymptomatic Carriers Atchayaa Gunasekharan1, Daniel Greenwald, MD2, Caroline Loeser, MD, FACG3; 1Saba University School of Medicine, Ottawa, ON, Canada; 2Yale New Haven Health System, Bridgeport Hospital, Bridgeport, CT; 3Yale University School of Medicine, Bridgeport, CT

IBD

P2208. Paper Standard Gamble Is a Useful Utility and Patient Reported Outcome Measure in Crohn’s Disease Jean-Paul Achkar, MD, FACG1, Keyonna Smith, MSHS2, Xinge Ji, MS1, Janine Bauman, BSN1, David Sugano, DrPH1, Alex Milinovich, BA1, Michael Kattan, PhD1, Jacob A. Kurowski, MD1; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH

P2209. Novel Inflammatory-Nutritional Biomarkers as Predictors of Histological Activity in Crohn’s Disease Ammar Nassri, MD1, Andre Fialho, MD1, Andrea Fialho, MD1, Mayssan Muftah, MD2, Bruno Ribeiro, MD1, James Scolapio, MD1, Miguel Malespin, MD1, Silvio De Melo, MD1; 1University of Florida Jacksonville, Jacksonville, FL; 2Emory University, Atlanta, GA

P2210. Pouch Wall Thickness and Floppy Pouch Complex Freeha Khan, MD1, Grace Sze1, Nan Lan, MD1, Bo Shen, MD2; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P2211. Comparison of Disease Burden of IBD (CD and UC) Patients in the U.S. Treated With Biologics/Biosimilars in Remission and Not in Remission Holly Triggs, BSc1, Yao Lu, MSc2; 1Ipsos Mori, London, England, United Kingdom; 2Ipsos Mori, New York, NY

P2212. Treatment With Cyclosporine After Infliximab Failure in Hospitalized Patients With Acute Severe Ulcerative Colitis Is Effective and Safe Jacob E. Ollech, MD, Roni Weisshof, MD, Katia El Jurdi, MD, Olivia V. Yvellez, BA, Russell D. Cohen, MD, Atsushi Sakuraba, MD, PhD, Sushila R. Dalal, MD, Joel Pekow, MD, David T. Rubin, MD; Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL

P2213. Increased Risk of Endoscopic Disease Progression With Rutgeerts’ i2a and i2b Recurrence: Implications for Disease Prevention Jacob E. Ollech, MD1, Maya Aharoni Golan, MD2, Roni Weisshof, MD1, Inessa Normatov, MD3, Abby R. Sapp, DO4, Aditya Kalakonda, MD5, Sushila R. Dalal, MD1, Atsushi Sakuraba, MD, PhD1, Russell D. Cohen, MD1, David T. Rubin, MD1, Joel Pekow, MD1; 1Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL; 2Rabin Medical Center, Petach Tikva, HaMerkaz, Israel; 3University of Chicago, Comer Children’s Hospital, Chicago, IL; 4Franciscan Alliance, Olympia Fields, IL; 5University of Massachusetts, Baystate Medical Center, Springfield, MA

P2214. Anti-TNF Use Prior to Bowel Resection Is Not Associated with 30-Day Post-Operative Complications Sean Pirkle1, Srikanth Reddy, BA2, Lewis L. Shi, MD1, Michael J. Lee, MD1, Sushila R. Dalal, MD3; 1The University of Chicago, Chicago, IL; 2Northwestern University, Chicago, IL; 3Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL

P2215. Maintenance of Remission With Tofacitinib in Patients With Ulcerative Colitis: Subpopulation Analysis From an Open-Label, Long-Term Extension Study Jean-Frederic Colombel, MD1, Walter Reinisch, MD2, Mark T. Osterman, MD, MSCE3, Andrew J. Thorpe, PhD4, Chudy I. Nduaka, DVM, PhD4, Haiying Zhang, PhD4, Nervin Lawendy, PharmD4, Gary S. Friedman, MD4, Chinyu Su, MD4; 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Medical University of Vienna, Vienna, Wien, Austria; 3Penn Presbyterian Medical Center, Philadelphia, PA; 4Pfizer Inc., Collegeville, PA

P2216. Secular Trends in the Perceptions of Risks and Benefits of Adalimumab Within an Online Community of Patients With Crohn’s Disease Amneet K. Hans, MD1, Mark Gerich, MD1, Blair Fennimore, MD1, Frank I. Scott, MD, MSCE2; 1University of Colorado Anschutz Medical Campus, Denver, CO; 2University of Colorado Anschutz Medical Campus; Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Denver, CO

P2217. In-Hospital Outcomes of Gastrointestinal Bleeding in Patients With Co-Morbid Inflammatory Bowel Disease Elizabeth Brindise, DO1, Imad Elkhatib, MD2, Aneesh Kuruvilla, DO1, Rogelio Silva, MD1; 1University of Illinois at Chicago - Advocate Christ Medical Center, Oak Lawn, IL; 2Advocate Christ Medical Center, Oak Lawn, IL

P2218. Characteristics of Anemia in Inflammatory Bowel Disease (IBD) Patients and Their Impact on Disease Activity and Health Care Utilization at a Tertiary Referral IBD Center Dhruvan Patel, MD, Meet Parikh, DO, Khine Shan, MD, Neilanjan Nandi, MD; Drexel University College of Medicine, Philadelphia, PA

P2219. Soluble MAdCAM-1: A Potential Predictor of Clinical Outcome in Inflammatory Bowel Disease (IBD) Tara Menon, MD1, Maya Devi Srivastava, MD, PhD2; 1University at Buffalo Jacobs School of Medicine, Buffalo, NY; 2SUNY at Buffalo, Williamsville, NY

P2220. Venous Thromboembolism (VTE) Prophylaxis in Inflammatory Bowel Disease (IBD) Flare-Ups Osama Kaddourah, MD1, Laith Numan, MD1, Sravan Jeepalyam, MD1, Omar Abughanimeh, MD1, Mouhanna K. Abu Ghanimeh, MD2, Khalil M. Abuamr, MD1; 1University of Missouri, Kansas City, MO; 2Henry Ford Hospital, Detroit, MI

P2221. Polypharmacy May Represent an Independent Risk Factor of Disease Flare in Patients With Ulcerative Colitis Presidential Poster Award Jingzhou Wang, MD, Anne G Tuskey, MD, Brian W. Behm, MD; University of Virginia, Charlottesville, VA

P2222. Real World Experience of Vedolizumab in Pediatric Inflammatory Bowel Disease Annette Whitney, MD1, Harry E. Sarles, Jr., MD, FACG2, Schroeder P. Claudia, PharmD, PhD3, Tracy C. Okoro, PharmD3, Lucinda J. Van Anglen, PharmD3; 1Digestive Health Associates of Texas, Dallas, TX; 2DHAT Research Institute, Richardson, TX; 3Healix Infusion Therapy, Sugar Land, TX

P2223. Population Pharmacokinetics and Pharmacodynamics of SHP647, a Fully Human Monoclonal Antibody Against Mucosal Addressin Cell Adhesion Molecule-1 (anti-MAdCAM-1), in Patients With Ulcerative Colitis or Crohn’s Disease Yi Wang, PhD1, J.F. Marier, MSc, PhD2, Jean Lavigne, MSc2, Nastya Kassir, PharmD, PhD2, Patrick Martin, MD3; 1Shire, Cambridge, MA; 2Certara Strategic Consulting, Montreal, PQ, Canada; 3Shire, Lexington, MA

P2224. Red Cell Distribution Width Can Differentiate Inflammatory Bowel Disease Sub-Types Seyedehsan Navabi, MD1, Nabeel M. Akhtar, MD2, Zachary L. Pattison, DO, MPH1, Venkata subhash Gorrepati, MD, MPH1, Stuart August, MS1, Andrew Tinsley, MD, MSc3, Emmanuelle D. Williams, MD3, Matthew D. Coates, MD, PhD3, Kofi Clarke, MD, FRCP3; 1Penn State University - Milton S. Hershey Medical Center, Hershey, PA; 2Penn State Health Milton S. Hershey Medical Center, Hershey, PA; 3Penn State College of Medicine, Hershey, PA



P2225. Despite Shorter Length of Hospital Stays, Hospitalization Charges in Crohn’s Disease Patients of Asian and Hispanic Ethnicity Are Higher Than Non-Hispanic Whites: An Analysis of the 2007-2013 Nationwide Inpatient Sample Mona Rezapour, MD, MHS1, Artin Galoosian, MD, MA1, Benny Liu, MD2, Taft Bhuket, MD2, Robert Wong, MD3; 1California Pacific Medical Center, San Francisco, CA; 2Highland Hospital, Oakland, CA; 3Alameda Health System - Highland Hospital, Oakland, CA

P2226. The Greatest Proportional Increase in Hospitalizations Among U.S. Adults With Ulcerative Colitis was Observed in Hispanic Patients, and Those With Medicaid Insurance: An Analysis of the Nationwide Inpatient Sample Mona Rezapour, MD, MHS1, Artin Galoosian, MD, MA1, Benny Liu, MD2, Taft Bhuket, MD2, Robert Wong, MD3; 1California Pacific Medical Center, San Francisco, CA; 2Highland Hospital, Oakland, CA; 3Alameda Health System - Highland Hospital, Oakland, CA

P2227. Relevant Factors and Significant Endoscopic Findings for Detecting UC-Associated Neoplasms Using Pancolonic NBI Surveillance Colonoscopy: A Sub-Analysis of Navigator Study Kenji Watanabe, MD, PhD, FACG1, Reo Kawano, PhD2, Masakazu Nishishita, MD, PhD3, Fumio Shimamoto, MD, PhD4, Takumi Fukuchi, MD, PhD5, Motohiro Esaki, MD, PhD6, Shiro Oka, MD, PhD2, Shigehiko Fujii, MD, PhD7, Fumihito Hirai, MD, PhD8, Kazuki Kakimoto, MD, PhD9, Takuyta Inoue, MD, PhD9, Ryoichi Nozaki, MD, PhD10, Hiroshi Kashida, MD, PhD11, Ken Takeuchi, MD, PhD12, Naoki Ohmiya, MD, PhD13, Masayuki Saruta, MD, PhD14, Shoichi Saito, MD, PhD15, Shinji Tanaka, MD, PhD, FACG2, Yoichi Ajioka, MD, PhD16, Hisao Tajiri, MD, PhD14; 1Hyogo College of Medicine, Osaka, Japan; 2Hiroshima University, Hiroshima, Japan; 3Nishishita GI Hospital, Osaka, Japan; 4Prefectural University of Hiroshima, Hiroshima, Japan; 5Osakafu Saiseikai Nakatsu Hospital, Osaka, Japan; 6Saga University, Saga, Japan; 7Kyoto Katsura Hospital, Kyoto, Japan; 8Fukuoka University Chikushi Hospital, Chikushi, Fukuoka, Japan; 9Osaka Medical College, Osaka, Japan; 10Takano Hospital, Kumamoto, Kumamoto, Japan; 11Kinki University, Osakasayama, Osaka, Japan; 12Toho University Sakura Medical Center, Sakura, Chiba, Japan; 13Fujita Health University, Toyoake, Aichi, Japan; 14The Jikei University School of Medicine, Tokyo, Japan; 15The Cancer Institute Hospital of JFCR, Tokyo, Japan; 16Niigata University, Niigata, Niigata, Japan

P2228. IBD-Associated With Increased Risk of C. difficile Reinfection After Treatment with Vancomycin or FMT: A Small Retrospective Cohort Study Thomas Hunold, BSPH1, Thomas Dieringer, MD2, Abhishek Shenoy, MD2, R. Ann Hays, MD1; 1University of Virginia, Charlottesville, VA; 2University of Virginia Health System, Charlottesville, VA

P2229. Characterization of the Clinical and Phenotypic Features of South Asian Patients with Inflammatory Bowel Disease at an IBD Referral Center in the United States Vimal Bodiwala, MD1, Timothy F. Marshall, PhD2, Darren Seril, MD, PhD1; 1Robert Wood Johnson Medical School, New Brunswick, NJ; 2Kean University, North Brunswick, NJ

P2230. SNP Analysis as a Potential Predictor of Disease Progression Within the UCLA IBD Biobank Melissa Corson, MD1, Nimah Jamaluddin, MD2, Jenny Sauk, MD1, Jonathan Jacobs, MD, PhD3, Carl Rankin, PhD1, David Padua, MD, PhD3; 1University of California Los Angeles, Los Angeles, CA; 2University of California Los Angeles Gastroenterology, Los Angeles, CA; 3University of California Los Angeles / VA Greater Los Angeles, Los Angeles, CA

P2231. Use of Recombinant Zoster Vaccine (RZV-Shingrix) in Patients With Inflammatory Bowel Disease Jason Reich, MD, Li Pei-Hsuan, BA, Toni Zahorian, PharmD, Ansu Noronha, MD, Sharmeel K. Wasan, MD, Francis A. Farraye, MD, MSc; Boston Medical Center, Boston, MA

P2232. Hispanic Ethnicity Associated With Lower Prevalence of Inflammatory Bowel Disease Paul T. Kroner, MD, MSc1, Alex M. Kesler, MD1, Karl Mareth, MD2, Brian Ting, MD3, John Cangemi, MD1; 1Mayo Clinic Florida, Jacksonville, FL; 2Mayo Clinic, Jacksonville, FL; 3Johns Hopkins Hospital, Baltimore, MD

P2233. Emergency Department Visits for Inflammatory Bowel Disease Patients Are Increasing at a Steady Rate Yecheskel Schneider, MD, MS1, Helen Lee, MD2, Gary R. Lichtenstein, MD3; 1University of Pennsylvania, Philadelphia, PA; 2Hospital of the University of Medicine, Philadelphia, PA; 3Hospital of the University of Pennsylvania, Philadelphia, PA

P2234. An Analysis of Latest Data on Sequential Use of Biologic Therapies in Patients with Inflammatory Bowel Disorder: A Systematic Literature Review Tariq Ahmad, MRCP, DPhil, MBChB1, Nicholas A. Kennedy, MBBS, MA, FRACP2, Edouard Louis, MD, PhD3, Kristina Kligys, PhD4, Tricia Finney-Hayward, PhD5, Tim Raine, MA, MB BChir, PhD, MRCP6; 1University of Devon, Exeter, Devon, England, United Kingdom; 2Royal Devon and Exeter NHS Foundation Trust and University of Exeter, Exeter, Devon, England, United Kingdom; 3University Hospital of Liège, Liège, Liege, Belgium; 4AbbVie Inc., North Chicago, IL; 5AbbVie Ltd., Maidenhead, Berkshire, England, United Kingdom; 6Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, United Kingdom

P2235. Real World Mucosal Healing With Vedolizumab in Crohn’s Disease: A Systematic Review and Meta-Analysis Silvio Danese, MD, PhD1, Dirk Demuth, PhD2, Parnia Geransar, PhD3, Sarah Campbell-Hill, PhD4, Peter Irving, MA, MD, FRCP5; 1Humanitas University, Milan, Lombardia, Italy; 2Takeda International – UK Branch, London, England, United Kingdom; 3Takeda Pharmaceuticals International AG, Zurich, Switzerland; 4Takeda International - UK Branch, London, England, United Kingdom; 5Guy’s and St. Thomas’ NHS Foundation Trust, London, England, United Kingdom

P2236. Correlation of Fecal Lactoferrin with Endoscopic Scores: Impact of Disease Location and Timing of Testing in Inflammatory Bowel Disease Patients Marrieth Rubio, MD1, Kofi Amo-Mensah, MD2, Vu Nguyen, MD2, James Boone, MSc3, Dario Sorrentino, MD2; 1Carilion Clinic, Virginia Tech University, Roanoke, VA; 2Virginia Tech Carilion School of Medicine, Roanoke, VA; 3TechLab, Inc., Blacksburg, VA

P2237. Efficacy of Tofacitinib and Biologics as Induction and Maintenance Therapy for Moderately-to-Severely Active Ulcerative Colitis: A Systematic Review and Network Meta-Analysis Presidential Poster Award David T. Rubin, MD1, Ajibade Ashaye, MD, MBA, MPH, MSc2, Younan Zhang, MBiochem3, Kyle Fahrbach, PhD2, Andreas Freitag, MD, MSc3, Cem Kayhan, MD4, Christoph Lohan, MSc5, Joseph C. Cappelleri, PhD, MPH6, Marco DiBonaventura, PhD7; 1Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL; 2Evidera, Inc., Waltham, MA; 3Evidera, Inc., London, England, United Kingdom; 4Pfizer Inc., Collegeville, PA; 5Pfizer Inc., Walton Oaks, England, United Kingdom; 6Pfizer Inc., Groton, CT; 7Pfizer Inc., New York, NY

P2238. Fecal Calprotectin Correlates With Histological Disease Activity in Ulcerative Colitis: A Post-Hoc Analysis of the MOMENTUM Trial Toer W. Stevens, MD1, Krisztina Gecse, MD, PhD1, Karen Barrett, MSc2, Jerrold R. Turner, MD, PhD3, Gert de Hertogh, MD, PhD4, David T. Rubin, MD5, Geert R. D’Haens, MD, PhD6; 1Amsterdam University Medical Centers, Amsterdam, Noord-Holland, Netherlands; 2Shire, Basingstoke, England, United Kingdom; 3Brigham & Women’s Hospital/Harvard Medical School, Boston, MA; 4KU Leuven, Leuven, Brabant Wallon, Belgium; 5Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL; 6Academic Medical Center, Amsterdam, Noord-Holland, Netherlands


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P2239. Tofacitinib 15 Milligrams Twice Daily for Patients With Moderate to Severe Ulcerative Colitis: Results From 8-Week Induction Studies OCTAVE Induction 1 & 2 David T. Rubin, MD1, Satoshi Motoya, MD, PhD2, Stefan Schreiber, MD3, Daniel Quirk, MD, MPH, MBA4, Chudy I. Nduaka, DVM, PhD4, Nervin Lawendy, PharmD4, Deborah A. Woodworth, MS, MBA4, Wenjin Wang, PhD4, Chinyu Su, MD4, Peter D. R. Higgins, MD, PhD, MSc5; 1Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL; 2Sapporo Kosei Hospital, Sapporo, Hokkaido, Japan; 3University Hospital Schleswig-Holstein, Christian-Albrechts-University of Kiel, Kiel, Schleswig-Holstein, Germany; 4Pfizer Inc., Collegeville, PA; 5University of Michigan, Ann Arbor, MI

P2240. Sexual Function and Contraception Use in Women With Inflammatory Bowel Disease Nichola R. Haddad, BA1, Pratima Dibba, MD2, Benjamin A. Bouvier, BSc2, Christy Dibble, DO3; 1Warren Alpert Medical School of Brown University, Providence, RI; 2Women & Infants Hospital, Providence, RI; 3Brown University/Women & Infants Hospital, Providence, RI

P2241. The Utility of Fecal Calprotectin in an Acute Flare of Inflammatory Bowel Disease Jonathan Wilen, MD1, Shria Kumar, MD2, Simon Lichtiger, MD1; 1NewYork-Presbyterian - Columbia, New York, NY; 2University of Pennsylvania, Philadelphia, PA

P2242. Impact of Inflammatory Bowel Disease Subtypes and Other Risk Factors on Incidence Rate of Nonalcoholic Fatty Liver Disease: A Systematic Review and Meta-Analysis Sakolwan Suchartlikitwong, MD, Passisd Laoveeravat, MD, Thammasak Mingbunjerdsuk, MD, Pakpoom Tantrachoti, MD, Saif El Naser H. M. El Nawaa, MD, Wasawat Vutthikraivit, MD; Texas Tech University Health Sciences Center, Lubbock, TX

P2243. Real World Use of Oral Corticosteroids ≥30 mg/Day Among Adolescents With Newly Diagnosed Ulcerative Colitis Theresa Hunter, PhD, MPH, MS, April Naegeli, DrPH, MPH, Krista Schroeder, PhD, Xiang Zhang, PhD, Amy Larkin, BS, Wendy Komocsar, BS, MT(ASCP) SI, Diana Stefani-Hunyady, MD, MBA; Eli Lilly and Company, Indianapolis, IN

P2244. Time to Loss of Efficacy Following Tofacitinib Interruption in Patients With Ulcerative Colitis: Results From OCTAVE Sustain Marla C. Dubinsky, MD1, Kofi Clarke, MD, FRCP2, Jochen Klaus, MD, PhD3, Yoram Bouhnik, MD, PhD4, Arif Soonasra, PharmD5, Andrew J. Thorpe, PhD5, Haiying Zhang, PhD5, Gary S. Friedman, MD5, Deborah A. Woodworth, MS, MBA5, Nervin Lawendy, PharmD5, Chinyu Su, MD5; 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Penn State College of Medicine, Hershey, PA; 3University Hospital Ulm, Ulm, Baden-Wurttemberg, Germany; 4Gastroentérologie, MICI et Assistance Nutritive, Hôpital Beaujon, Clichy, Ile-de-France, France; 5Pfizer Inc., Collegeville, PA

P2245. Sustained Steroid Free Remission at One Year in Corticosteroid Dependent Ulcerative Colitis Patients on Vedolizumab Apoorva Bollu, MD, Mallory Chavannes, MD, Robert Enns, MD, FRCP, Greg Rosenfeld, MD, FRCPC, Brian Bressler, MD, MS, FRCPC, Yvette Leung, MD, PhD, FRCPC; University of British Columbia, Vancouver, BC, Canada

P2246. The Association of Vitamin D and Endoscopic Disease Severity in Patients With Inflammatory Bowel Disease (IBD) Anusha Shirwaikar Thomas, MD, Ayah Oglat, MD, Alejandro Granillo, MD, Antonio Duran, MD, Bincy Abraham, MD, MS; Houston Methodist Hospital, Houston, TX

P2247. Safety of Immune Checkpoint Inhibitors for Cancer Therapy in IBD Patients Ernesto M. Llano, MD1, David T. Rubin, MD1, Jason Luke, MD2; 1Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL; 2University of Chicago, Chicago, IL

P2248. African American Ethnicity Associated with Decreased Odds of Inflammatory Bowel Disease: Results of a Nationwide Analysis Alex M. Kesler, MD1, Karl Mareth, MD2, Juan Corral, MD1, Monia E. Werlang, MD1, Brian Ting, MD3, Peter Abader, MD1, Paul T. Kroner, MD, MSc1; 1Mayo Clinic Florida, Jacksonville, FL; 2Mayo Clinic, Jacksonville, FL; 3Johns Hopkins Hospital, Baltimore, MD

P2249. Immunogenicity of the Influenza Vaccine in IBD Patients Treated with Vedolizumab Jill E. Harrington, MD1, Rachael E. Hamilton, BA2, Sharmeel K. Wasan, MD1, Francis A. Farraye, MD, MSc1, Lisa Ganley-Leal, PhD2; 1Boston Medical Center, Boston, MA; 2Leaf Therapeutics, Boston, MA

P2250. The Impact of Substance Abuse on Outcomes in Inflammatory Bowel Disease Alicia Philippou, BS1, Anand Kumar, MD2, Brad Tricomi, MS2, Dana J. Lukin, MD, PhD2; 1Albert Einstein College of Medicine, Bronx, NY; 2Montefiore Medical Center, Bronx, NY

P2251. Fearing the Unknown - The Fate of Inflammatory Bowel Disease After Fecal Microbiota Transplantation for Clostridium difficile Infection Faisal S. Ali, MD1, Hamzah Abu-Sbeih, MD2, Rachel Hicklen, MS2, Yinghong Wang, MD2; 1Presence Saint Joseph Hospital, Chicago, IL; 2University of Texas MD Anderson Cancer Center, Houston, TX

P2252. Sleep and Fatigue Scores Differ Between Cytokine Genotypes in Young People With Crohn’s Disease Eva Szigethy, MD, PhD1, Mitchell Knisely, PhD, RN2, Katheryn McAuliff, BA3, Meredith Strassburger, MA3, David Binion, MD, FACG1, Claudia Ramos del Aguila de Rivers, MD1, Miguel Regueiro, MD4, Yvette Conley, PhD1; 1University of Pittsburgh, Pittsburgh, PA; 2Duke University School of Nursing, Durham, NC; 3University of Pittsburgh Medical Center, Pittsburgh, PA; 4Cleveland Clinic, Cleveland, OH

P2253. Improvement in Physician’s Global Assessment Within 2 Weeks in Patients With Ulcerative Colitis Treated With Tofacitinib Michael Chiorean, MD1, David T. Rubin, MD2, Mark Löwenberg, MD, PhD3, Javier P. Gisbert, MD, PhD4, Konstantinos Tsilkos, MD5, Daniel Quirk, MD, MPH, MBA5, Leonardo Salese, MD5, Haiying Zhang, PhD5, Deborah A. Woodworth, MS, MBA5, Chinyu Su, MD5; 1Virginia Mason Medical Center, Seattle, WA; 2Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL; 3Academic Medical Center, Amsterdam, Noord-Holland, Netherlands; 4La Princesa University Hospital, IIS-IP and CIBEREHD, Madrid, Spain; 5Pfizer Inc., Collegeville, PA

P2254. Data From Outer Space: The Association of Ultraviolet Light and Crohn’s Disease Faris El-Khider, MD, MS1, Suha Abushamma, MD2, C. Roberto Simons-Linares, MD3, Madhusudhan R. Sanaka, MD4, Jean-Paul Achkar, MD, FACG1; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH; 3Digestive Disease Institute/Cleveland Clinic, Cleveland, OH; 4Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P2255. Nutritional Adequacy of Popular Defined Diets for Inflammatory Bowel Disease Nicolaus Nazarenkov1, Lori Beeken, RD2, Kristina Seeger, MD2, Ashwin Ananthakrishnan, MD, MPH3, Hamed Khalili, MD, MPH3, James D. Lewis, MD4, Gauree G. Konijeti, MD, MPH2; 1University of California Davis, Davis, CA; 2Scripps Clinic, La Jolla, CA; 3Massachusetts General Hospital, Boston, MA; 4Hospital of the University of Pennsylvania, Philadelphia, PA

P2256. Golimumab Trough Levels Predict Mucosal Healing and Success of Dose Optimization: A Prospective Observational Study Sebastian Stefanovic, MD1, Iris Detrez2, Griet Compernolle2, Els Brouwers2, Nejc Sever, MD1, Borut Stabuc, MD, PhD1, Ivo Ferkolj, MD, PhD1, Natasa Smrekar, MD1, Tina Kurent, MD1, Gregor Novak, MD, PhD1, Matic Kozelj, MD1, Marc Ferrante, MD, PhD3, Ann Gils, PhD2, David Drobne, MD, PhD1; 1University Medical Centre Ljubljana, Ljubljana, Slovenia; 2KU Leuven, Leuven, Brabant Wallon, Belgium; 3UZ Leuven, Leuven, Brabant Wallon, Belgium



P2257. Results From the Vedolizumab Pregnancy Exposure Registry: An OTIS Pregnancy Study Christina D. Chambers, PhD, MPH1, Jane Adams, PhD2, Ronghui Xu, PhD1, Diana Johnson, MS1, Yunjun Luo, MS1, Kenneth Lyons Jones, MD1; 1University of California San Diego, La Jolla, CA; 2University of Massachusetts, Boston, MA

P2258. Analysis of Serum Vedolizumab Concentrations in Over 800 Patient Samples: Distribution of Drug and Anti-Drug Ab Levels and Serial Measurement Trends Kelly Y. Chun, PhD, Jane Chun, MD; Esoterix, LabCorp, Calabasas, CA

P2259. Therapeutic Drug Monitoring of Biologics in Patients With Inflammatory Bowel Disease: A Real World Experience Chris Fourment, MD1, Timothy E. Ritter, MD1, Schroeder P. Claudia, PharmD, PhD2, Tracy C. Okoro, PharmD2, Lucinda J. Van Anglen, PharmD2; 1Texas Digestive Disease Consultants, PA, Southlake, TX; 2Healix Infusion Therapy, Sugar Land, TX

P2260. The Influence of Inflammatory Bowel Disease on the Outcome of Patients With Acute Stroke Yecheskel Schneider, MD1, Helen Lee, MD2, Gary R. Lichtenstein, MD1; 1Hospital of the University of Pennsylvania, Philadelphia, PA; 2Hospital of the University of Medicine, Philadelphia, PA

P2261. Prevalence and Epidemiology of First Ever Occurrence of Ulcerative Colitis at Least 1 Month After Diagnosis of Celiac Disease in the United States: A Population-Based Study Between 2013 and 2018 Emad Mansoor, MD1, Daniel Karb, MD1, Mohannad Abou Saleh, MD2, Preetika Sinh, MD2, Jeffry Katz, MD2, Gregory Cooper, MD2; 1Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH; 2University Hospitals Cleveland Medical Center, Cleveland, OH

P2262. Prevalence and Epidemiology of First Ever Occurrence of Crohn’s Disease at Least 1 Month After Diagnosis of Celiac Disease in the United States: A Population-Based Study Between 2013 and 2018 Emad Mansoor, MD1, Daniel Karb, MD1, Mohannad Abou Saleh, MD2, Preetika Sinh, MD2, Jeffry Katz, MD2, Gregory Cooper, MD2; 1Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH; 2University Hospitals Cleveland Medical Center, Cleveland, OH

P2263. A Study of the Risk Factors for Hospital Admissions in IBD and the Differences Between Crohn’s Disease and Ulcerative Colitis Admissions in a Large Tertiary Care Center Qin Rao, MD1, Matthew Berger, MD2, Jessica Harris, MD3, Lorenzo Ottaviano, MD3, Erin Taub, MPH3, Ramona Rajapakse, MD3, Farah Monzur, MD3; 1Stony Brook University Hospital, Port Jefferson, NY; 2Stony Brook University, Dix Hills, NY; 3Stony Brook University Hospital, Stony Brook, NY

IBD Clinical Vignettes/Case Reports

P2264. A Perf-ect Diagnosis: Ileocolonic Crohn Disease Presenting as Acute Appendicitis Matthew J. Sullivan, DO, Michael Engels, MD; Lehigh Valley Health Network, Allentown, PA

P2265. Nuisance Neighbors: Gut-Lung Cross Talk in a Case of Crohn’s Disease Guleid Hussein, MD, Manbeer S. Sarao, MD, Vinod Nookala, MD, John P. McLaughlin, MD; University of Pittsburgh Medical Center Pinnacle, Harrisburg, PA

P2266. Is It Crohn’s or Lymphoma: Which Is the Chicken and Which Is the Egg? Rodrigo Duarte-Chavez, MD1, Ana Martinez-Tapia, MD2, Berhanu M. Geme, MD3, Ronak Modi, MD1, Noel B. Martins, MD4, Kimberly J. Chaput, DO2, Ayaz Matin, MD2; 1St. Luke’s University Hospital Health Network, Fountain Hill, PA; 2St. Luke’s University Hospital Health Network, Bethlehem, PA; 3St. Luke’s University Hospital Health Network, Center Valley, PA; 4St. Luke’s University Health Network, Bethlehem, PA

P2267. Life Threatening Guillain-Barre Syndrome Attributed to Infliximab After Ten Years of Therapy: A Case Report Neethu Nair, MD1, Venkata Vedantam, MD1, Joseph Maguire, DO1, Tyler Aasen, DO2, James Swenson, MD3; 1East Tennessee State University, Johnson City, TN; 2East Tennessee State University, Quillen College of Medicine, Johnson City, TN; 3Mountain Home VA Medical Center, Johnson City, TN

P2268. Gastric Outlet Obstruction as a Manifestation of Recurrent Crohn’s Disease Muhammad Alsayid, MD, MPH1, Anas Alshawa, MD2, Tareq Al Saadi, MD3; 1University of Massachusetts Memorial Medical Center, Worcester, MA; 2University of Texas, MD Anderson Cancer Center, Houston, TX; 3Faculty of Medicine, University of Damascus, Burbank, IL

P2269. A Case of Intestinal Tuberculosis Masquerading as Crohn’s Disease in a Patient Treated With Infliximab James Han, MD, Zachary Lu, BSc, Fady A. Youssef, MD, Jason Samarasena, MD; University of California Irvine Medical Center, Orange, CA

P2270. Pericardial Effusion Due to Infliximab Therapy for Ulcerative Colitis Muhammad Mirza, MBBS1, Maira Mirza, MD2, Vagishwari Murugesan, MD1, Arrel Olano, MD1; 1MedStar Washington Hospital Center, Washington, DC; 2Cambridge Health Alliance/Harvard Medical School, Boston, MA

P2271. Hepatic Hazards in Inflammatory Bowel Disease Gabrielle Mock, MD1, Bryce Perler, MD2; 1Brown University, Providence, RI; 2Warren Alpert Medical School of Brown University, Providence, RI

P2272. A Single Center Case Series on the Use of Ustekinumab for Crohn’s Disease in Patients with Active Malignancy Nicholas G. Brown, MD, Richard P. Rood, MD, FACG, FACP; University of Cincinnati College of Medicine, Cincinnati, OH

P2273. Chronic Diarrhea After Infectious Enteritis: Not the Diagnosis You Are Thinking of Bara Hasanain, MD1, Neeraj Sardana, MD2; 1St. Agnes Hospital, Baltimore, MD; 2St. Agnes Hospital, Catonsville, MD

P2274. IBD-Associated Arthritis Misdiagnosed as Juvenile Idiopathic Arthritis: A Case Report and Literature Review Sharmi Biswas, MBBS1, Zaheer A. Qureshi, MBBS, MD2, Sherry Reyes, MD3, Sri Lekha Bodepudi, MBBS4, Stacey E. Thomas, MD, MBA5; 1MAG Osmani Medical College, Sylehet, Bangladesh, Edmonton, AB, Canada; 2University of Health Sciences, Rego Park, NY; 3N/A, Lynbrook, NY; 4Dr. P.S.I. of Medical Sciences and Research Foundation, Jacksonville, FL; 5Mayo Clinic, Scottsdale, AZ

P2275. Catastrophic Phlegmasia Cerulea Dolens in Inflammatory Bowel Disease Brian McGrath, MD, Salih Samo, MD, Bradley Mathers, MD, Drew Davis, MD, Tanvi Dhere, MD; Emory University School of Medicine, Atlanta, GA

P2276. Duloxetine as a Primary Cause of Microscopic Colitis: A Case Report Noah Becher, BA1, Zachary Marwil, MD2; 1Touro College of Osteopathic Medicine, New York, NY; 2Endoscopy Center of Long Island, Northwell Health, Garden City, NY


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P2277. Bowel-Associated Dermatosis-Arthritis Syndrome (BADAS) as Initial Presentation of Crohn’s Disease Jose R. Ruiz, MD, MPH1, Jennie Johnson, MD2, Gabriel A. Gonzales, MD3, Steven Moss, MD1; 1Brown University, Providence, RI; 2Brown University/Lifespan, Providence, RI; 3Alpert Medical School of Brown University, Providence, RI

P2278. A Challenging Case of Crohns Colitis with Severe Colonic Strictures Failing Multiple Therapy Ali Osman, MD, Thamer Kassim, MD, Abdullah Abdussalam, MD, MBA, Robert Kizer, MD; Creighton University, Omaha, NE

P2279. A Rapid Response of Pyoderma Gangrenosa to Adalimumab David N. Fitch, MD1, Ashley Trotter, MD2, Richard P. Rood, MD, FACG3; 1University of Cincinnati College of Medicine, Cincinnati, OH; 2Trihealth Hospitals, Cincinnati, OH; 3University of Cincinnati College of Medicine, Cinicnnati, OH

P2280. Persistent Iliopsoas Abscess Due to Fistulizing Crohn’s Disease: Can Biologic Agents Play a Role? Ruchit N. Shah, DO1, Erin Forster, MD, MPH2; 1Geisinger Health Systen, Danville, PA; 2Medical University of South Carolina, Charleston, SC

P2281. Thrombotic Cutaneous Gangrene: A Rare Dermatologic and Hematologic Extraintestinal Manifestation of Ulcerative Colitis Michael A. Yu, MD1, Shahzad Ahmed, MD2, Ross Deppe, MD2, Jason M. Brown, MD1, Tanvi Dhere, MD1, Jennifer Christie, MD2; 1Emory University School of Medicine, Atlanta, GA; 2Emory University, Atlanta, GA

P2282. A Case of Evan’s Syndrome Triggered by Vedolizumab Henry Jen, MD1, Lionel D’Souza, MD2, Bradley Morganstern, MD2; 1Stony Brook University Hospital, Sands Point, NY; 2Stony Brook University Hospital, Stony Brook, NY

P2283. Severe Flare of Mild Ileocolonic Crohn’s Disease Associated With Fecal Microbiota Transplantation Requiring Diverting Ileostomy Vivy Tran, MD1, Jennifer Phan, MD2, Ben Nulsen, MD2, Lizhou Huang, MD2, Marc Kaneshiro, MD2, Guy Weiss, MD2, Wendy Ho, MD3, Jonathan Sack, MD2, Christina Ha, MD4, Dan Uslan, MD2, Jenny Sauk, MD2; 1David Geffen School of Medicine at UCLA, Los Angeles, CA; 2University of California Los Angeles, Los Angeles, CA; 3University of California Los Angeles, Ronald Reagan Medical Center, Los Angeles, CA; 4Cedars-Sinai, Los Angeles, CA

P2284. Recurrent Collagenous Colitis in a Patient With Crohn’s Colitis on Infliximab Connie Y. Huang, MD, Emma Z. Du, MD, Gauree G. Konijeti, MD, MPH; Scripps Clinic, La Jolla, CA

INTERVENTIONAL ENDOSCOPY

P2285. 22G vs. 19G Needles for EUS-Guided Transgastric Liver Biopsies for Parenchymal Disease: a Comparative Analysis Harsh Patel, MD1, Natalia Rush, MD2, John M. DeWitt, MD3, Romil Saxena, MD4, Suchi Patel, BBA, MBA, DTP5, Wadad S. Mneimneh, MD6, Ariel Quickery, MS2, Mahmoud Rahal, MD2, Lindsey Temnykh, MD2, Mohammad Al-Haddad, MD, MSc2; 1Indiana University School of Medicine, Carpentersville, IL; 2Indiana University School of Medicine, Indianapolis, IN; 3Indiana University Health Medical Center, Indianapolis, IN; 4Indiana University, Indianapolis, IN; 5Anand Institute of Management, Sardar Patel University, Anand, Gujarat, India; 6University of South Alabama, Mobile, AL

P2286. A Prospective Assessment of Inter-Observer Agreement Among Endosonographers in the Classification and Diagnosis of Pancreatic Cysts Harsh Patel, MD1, Michael Wallace, MD2, Douglas Faigel, MD3, William Brugge, MD4, Suchi Patel, BBA, MBA, DTP5, Sundeep Lakhtakia, MD, DM6, Zhao-Shen Li, MD7, Amrita Sethi, MD, MSc8, Douglas K. Pleskow, MD, FACG9, Cuong C. Nguyen, MD10, Rahul Pannala, MD, MPH10, John M. DeWitt, MD11, Massimo Raimondo, MD, FACG12, Timothy Woodward, MD2, Mohan Ramchandani, MD6, Zhendong Jin, MD7, Can Xu, MD7, Mohammad Al-Haddad, MD, MSc13; 1Indiana University School of Medicine, Carpentersville, IL; 2Mayo Clinic Florida, Jacksonville, FL; 3Mayo Clinic Arizona, Scottsdale, AZ; 4Massachusetts General Hospital, Boston, MA; 5Anand Institute of Management, Sardar Patel University, Anand, Gujarat, India; 6Asian Institute of Gastroenterology, Hyderabad, Telangana, India; 7Changhai Hospital, Shanghai, People’s Republic of China; 8Columbia University Medical Center, New York, NY; 9Beth Israel Deaconess Medical Center, Boston, MA; 10Mayo Clinic, Scottsdale, AZ; 11Indiana University Health Medical Center, Indianapolis, IN; 12Mayo Clinic, Jacksonville, FL; 13Indiana University School of Medicine, Indianapolis, IN

P2287. Trends in Post-ERCP Gastrointestinal Hemorrhage, Perforation and Mortality From 2000 to 2012: A Nationwide Study Faiz Afridi, MD, Laura Rotundo, MD, Mirela Feurdean, MD, Sushil Ahlawat, MD; Rutgers University, New Jersey Medical School, Newark, NJ

P2288. Endoscopic Submucosal Dissection for Colorectal Lesions: A Single-Center Experience Rushikesh Shah, MD1, Parit Mekaroonkamol, MD1, Yue Xue2, Steve Keilin, MD2, Field Willingham, MD, MPH1, Qiang Cai, MD, PhD2; 1Emory University School of Medicine, Atlanta, GA; 2Emory University, Atlanta, GA

P2289. Trends in the Use of Endoscopic Retrograde Cholangiopancreatography for the Management of Acute Pancreatitis in the United States Zubair Khan, MD, CMQ1, Nauman Siddiqui, MD2, Mohamad Moussa, MD, RDMS1, Muhammad Ali Khan, MD3, Thomas Sodeman, MD, FACP, FACG1, Ali Nawras, MD1; 1University of Toledo Medical Center, Toledo, OH; 2Tufts Medical Center, Boston, MA; 3University of Tennessee Health Science Center, Memphis, TN

P2290. Post-Procedural Gain in Body Mass Index Is Associated With the Risk of Pouch Anastomotic Sinus Recurrences Nan Lan, MD1, Longjuan Zhang, MD1, Bo Shen, MD2; 1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P2291. Outcomes of a Single-Step Endoscopic Ultrasonography-Guided Drainage of Pancreatic Fluid Collections Using a Novel Electrocautery-Enhanced Lumen-Apposing, Self-Expanding Metal Stent With and Without Fluoroscopy Babatunde Olaiya, MD, MPH1, Parit Mekaroonkamol, MD2, Baiwen Li, MD3, Huimin Chen, MD3, Steve Keilin, MD4, Field Willingham, MD, MPH2, Qiang Cai, MD, PhD4; 1Marshfield Clinic, Marshfield, WI; 2Emory University School of Medicine, Atlanta, GA; 3Emory University Hospital, Atlanta, GA; 4Emory University, Atlanta, GA

P2292. Efficacy of Endoscopic Gastroplasty for Weight Loss: A Systematic Review and Meta-Analysis Benjamin Renelus, MD1, William Briggs, PhD1, Kevin Woods, MD, MPH2; 1NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY; 2Cancer Treatment Centers of America, Atlanta, GA

P2293. Endoscopic Submucosal Dissection for Colorectal Lesions: Experience in an American Quaternary Referral Unit Gabriela Rodriguez Ruiz, MD1, Uzma D. Siddiqui, MD2, Christopher G. Chapman, MD2, Kianoush Donboli, MD2, Irving Waxman, MD2; 1Hospital Central Norte, Petroleos Mexicanos, Mexico City, Distrito Federal, Mexico; 2Center for Endoscopic Research and Therapeutics (CERT), The University of Chicago Medicine, Chicago, IL



P2294. Dissection-Enabled Scaffold-Assisted Resection (DeSCAR) in GI Neoplasia of the Colon: Experience From 2015-2018 Gabriela Rodriguez Ruiz, MD1, Matthew W. Stier, MD2, Uzma D. Siddiqui, MD2, Christopher G. Chapman, MD2, Kianoush Donboli, MD2, Irving Waxman, MD2; 1Hospital Central Norte, Petroleos Mexicanos, Mexico City, Distrito Federal, Mexico; 2Center for Endoscopic Research and Therapeutics (CERT), The University of Chicago Medicine, Chicago, IL

P2295. Case Series of EUS Guided Biliary Drainage as a Newly Adopted Technique for Biliary Obstruction in a Tertiary Care Center Neha Hingorani, MD1, Chaitanya Allamneni, MD2, Ben Nunley, MD1, Ali M. Ahmed, MD2, Shajan Peter, MD2, C. Mel Wilcox, MD2, Kondal Rao Kyanam Kabir Baig, MD3; 1UAB Hospital, Birmingham, AL; 2University of Alabama at Birmingham, Birmingham, AL; 3UAB, Birmingham, AL

P2296. Update: Outcome of ERC in High Grade Traumatic Liver Injury Catherine Tridico Hudson, MD, MPH1, Stephen W. Landreneau, MD2; 1LSU School of Medicine, New Orleans, LA; 2Louisiana State University Health Sciences Center, New Orleans, LA

P2297. Efficacy of Endoscopic Ultrasonography-Guided Gastroenterostomy (EUS-GE) in Gastric Outlet Obstruction (GOO): A Systematic Review and Meta-Analysis Amaninder Jeet Singh Dhaliwal, MD1, Ian Cormier, MBBS1, Aravdeep S. Jhand, MBBS2, Rajani Rangray, MD3, Elizabeth Lyden, MS1, Ishfaq Bhat, MD4, Mohit Girotra, MD, FACP5, Shailender Singh, MD6; 1University of Nebraska Medical Center, Omaha, NE; 2Creighton University School of Medicine, Omaha, NE; 3Creighton University, Omaha, NE; 4Beth Israel Deaconess Medical Center, Boston, MA; 5University of Miami Leonard M. Miller School of Medicine, Miami, FL; 6Nebraska Medical Center, Omaha, NE

P2298. The Learning Curve for EUS-Guided Hepaticoenterostomy: Results of a Large Single Center U.S. Retrospective Analysis Theodore James, MD1, Mohamed Abdelfatah, MD2, Todd H. Baron, MD1; 1University of North Carolina, Chapel Hill, NC; 2East Carolina University, Greenville, NC

P2299. Safety of Radiation versus Non-Radiation Endoscopic Retrograde Cholangiopancreatography (ERCP) in Pregnancy: A Systematic Review and Meta-Analysis Mohamed Azab, MD1, Mahendran Jayaraj, MD2, Annie S. Hong, MD3, Hyeyoung Yeom, MD4, Mohamad Mubder, MD2, Amaan Shafi, MD5, Pejman Solaimani, MD6, Syed M. Saghir, MD7, Ji Won Yoo, MD7, Michael L. Volk, MD6; 1Loma Linda University School of Medicine, Loma Linda, CA; 2University of Nevada Las Vegas, Las Vegas, NV; 3University of Las Vegas School of Medicine, Las Vegas, NV; 4University of Nevada Las Vegas School of Community Health Sciences, Las Vegas, NV; 5University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 6Loma Linda University, Loma Linda, CA; 7School of Medicine, Las Vegas, NV

P2300. Endoscopic Submucosal Dissection Skill Acquisition Using a Unique 3-D Printed Tissue Training Model Yohei Kono, MD1, Kota Momose, MD1, Talal Al-Zaghari, MD1, Krishna C. Gurram, MD2, Takahiro Hiratsuka, MD1, Andrew Harvey, BS1, Russell Corwin1, Jeffrey Milsom, MD1, Sam Sharma, MBBCh1; 1Weill Cornell Medicine, New York, NY; 2The Brooklyn Hospital Center, Brooklyn, NY

P2301. The Clinical Usefulness of Endoscopic Full Thickness Resection-Assisted Laparoscopic Surgery for Duodenal Neuroendocrine Tumor Jae Yeong Cho, MD, Dae Young Cheung, PhD, Jun Ki Moon, MD, Kiwook Kwon, MD, Dong Jin Kim, PhD, Jin Il Kim, PhD, Soo-Heon Park, PhD, Wook Kim, MD; The Catholic University of Korea College of Medicine, Seoul, Seoul-t’ukpyolsi, Republic of Korea

P2302. Late Complications of Whipple’s Resection: Endoscopic Recognition and Treatment Duncan Flynn, BA1, Edward Belkin, MD2, Douglas A. Howell, MD, FACG2, Daniil Rolshud, MD3, Andreas Stefan, MD, FACG2; 1Tufts University School of Medicine / Maine Medical Center Advanced Interventional Endoscopy, Portland, ME; 2Maine Medical Center, Portland, ME; 3Portland Gastroenterology, Portland, ME

P2303. The Efficacy of Endocuff-Assisted Colonoscopy in Adenoma Detection: A Meta-Analysis of Randomized Controlled Trials Veeravich Jaruvongvanich, MD, Kittika Poonsombudlert, MD; University of Hawaii, Honolulu, HI

P2304. Safety of Endoscopic Per-Oral Pyloromyotomy (POP) as an Outpatient Procedure Joshua Landreneau, MD, MSc1, Andrew Strong, MD1, Jeffrey Ponsky, MD1, Michael Cline, DO1, Matthew Kroh, MD2, John Rodriguez, MD1, Kevin El-Hayek, MD1; 1Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic, Abu Dhabi, Abu Dhabi, United Arab Emirates

P2305. A Novel Technique for Endoscopic Ultrasound-guided Pancreaticogastrostomy: Duct Access Without Cautery Using Angioplasty Balloon Umar Hayat, MD, Martin Freeman, MD, Guru Trikudanathan, MD, Stuart Amateau, MD, PhD, James Mallery, MD; University of Minnesota, Minneapolis, MN

P2306. Local Recurrence Rate of Rectal Carcinoid Tumors After Endoscopic Mucosal Resection With Transrectal Ultrasound Chunsu Jiang, MD1, Baiwen Li, MD1, Hui Lou, MD1, Steve Keilin, MD1, Field Willingham, MD, MPH2, Qiang Cai, MD, PhD1; 1Emory University, Atlanta, GA; 2Emory University School of Medicine, Atlanta, GA

P2307. Long-Term Outcomes of Endoscopic Treatment of External Pancreatic Fistulas Without Concomitant Pancreatic Fluid Collections Nadav Sahar, MD, Michael Gluck, MD, Richard Kozarek, MD, Michael Larsen, MD, Andrew Ross, MD, Shayan Irani, MD; Virginia Mason Medical Center, Seattle, WA

P2308. Post ERCP Pancreatitis Is Not Increased in Patients Presenting With Gallstone Pancreatitis Jaehoon Cho, MD1, Han Zhang, MD1, Andrew Lin, BS2, Melissa Ling, BS2, Chung Yao Yu, MD1, Ara B. Sahakian, MD2, Helen Lee, NP-C2, James Buxbaum, MD2; 1University of Southern California, Los Angeles, CA; 2University of Southern California School of Medicine, Los Angeles, CA

INTERVENTIONAL ENDOSCOPY Clinical Vignettes/Case Reports

P2309. Nasogastric Tube Suction Impairs Apposition of Full Covered Esophageal Metal Stent Aruj Choudhry, MD1, Daniel Baik, MD1, Michael Bartel, MD2; 1Temple University Hospital, Philadelphia, PA; 2Fox Chase Medical Center, Philadelphia, PA

P2310. Trans-Colonic Forward Viewing Curvilinear Array Echoendoscope-Guided Fine Needle Aspiration of an Infra-Renal Mass Sunny Patel, DO, Kashif Tufail, MD, Amitpal S. Johal, MD, David L. Diehl, MD, Harshit S. Khara, MD, FACG; Geisinger Medical Center, Danville, PA

P2311. Intra-Abdominal Lymph Node Tuberculosis: EUS-FNB Is a Valuable Tool in Prompt Diagnosis Sandra Suarez, MD1, Abhishek Bhurwal, MBBS, MD2, David Rahni, MD1; 1Saint Barnabas Medical Center, Livingston, NJ; 2Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ


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P2312. Endoscopic Management of Afferent Loop Syndrome: Case of Recurrent Gastric Cancer Leading to Pancreatitis and Gastric Outlet Obstruction Negar Niknam, MD, Kaveh Zivari, MD, Yuriy Tsirlin, MD, FACG, Kadirawelpillai Iswara, MD, Ira E. Mayer, MD, FACG, Rabin Rahmani, MD, FACG; Maimonides Medical Center, Brooklyn, NY

P2313. Retrograde NaviAid Enteroscopy-Assisted Resection of Distal Ileal Hamartomatous Polyps Ayusa Sinha, MD1, Ansh Khurana2, Amitpal S. Johal, MD1, Harshit S. Khara, MD, FACG1; 1Geisinger Medical Center, Danville, PA; 2LAHS, Lewisburg, PA

P2314. Endoscopic Papillectomy for Major and Minor Papillary Adenoma in Familial Adenomatous Polyposis Moiz Ahmed, MD1, Jobin Philipose, MD2, Andrew Hunton, PA-C3, Sherif Andrawes, MD4; 1Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, New York, NY; 2Staten Island University Hospital, Northwell Health, New York, NY; 3Staten Island University Hospital, New York, NY; 4Staten Island University Hospital, Staten Island, NY

P2315. Adequacy of Endoscopic Ultrasound-Guided Liver Fine Needle Biopsies Using a 20-Gauge Needle Brian Phillips, DO1, David Y. Lo, MD, FACG2, Kevin Forsthoefel, MD3, Olga Speck, MD3, Brian Turner, MD4; 1OhioHealth, Riverside Methodist Hospital, Columbus, OH; 2Ohio Gastroenterology Group, Inc., The Ohio State University College of Medicine, Columbus, OH; 3OhioHealth, Columbus, OH; 4Ohio Gastroenterology Group, Inc., Columbus, OH

P2316. Pneumoretroperitoneum, Pneumomediastinum, and Subcutaneous Emphysema Due to Retroperitoneal Penetration After Endoscopic Mucosal Resection of the Ascending Colon Where Only Right Cervical Pain Was the Initial Symptom Kentaro Yazawa, PhD, Yoshiaki Kanemoto, MD, Yuki Azuma, MD, Tomohiro Kurokawa, PhD, Giichiro Tsurita, PhD, Masaru Shinozaki, PhD; IMSUT Hospital, The Institute of Medical Science, The University of Tokyo, Minato-ku, Tokyo, Japan

P2317. EUS-Guided Micro-Forceps Biopsy for the Diagnosis of Lymphoma Amar Manvar, MD1, Aditi Desai, MBBS2, Sam Serouya, MD1, Sammy Ho, MD, FACG3; 1Montefiore Medical Center, New York, NY; 2Montefiore Medical Center, Bronx, NY; 3Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY

P2318. Lumen Apposing Metal Stents ( LAMS) in the Treatment of Post Surgical Fluid Collections: A Case Series of 3 Patients Priyanka Priyanka, MD, William Hseuh, MD, John Nasr, MD; West Virginia University Hospital, Morgantown, WV

P2319. IPMN Never Fails to Surprise: A Rare Case of Colloid Carcinoma of Pancreas Manoj Kumar, MD, MPH1, Gilad Shapira, DO1, Caitlin Marshall, MD1, C. Alex Wiles, BA1, Nicholas Ludvik, MD1, Tawfik Khoury, MD2, Meir Mizrahi, MD1; 1University of South Alabama, Mobile, AL; 2Hadassah Medical Center, Jerusalem, Yerushalayim, Israel

P2320. Introducing ERCP in a Low Income Country: A Case Series From Rwanda Endoscopy Week Cristina Rutherford, MD1, Eric Rutaganda, MD, MPH2, Vincent Dusabejambo, MD, MMED2, Marcellin Musabende, MD3, Steve Bensen, MD1, Stuart Gordon, MD1; 1Dartmouth-Hitchcock Medical Center, Lebanon, NH; 2Kigali University Teaching Hospital/CHUK, Kigali, Rwanda; 3University of Rwanda, Kigali, Rwanda

P2321. Primary Jejunal MALT Lymphoma Diagnosed Using Double Balloon Enteroscopy Navdeep Chehl, MD1, Sergey Kantsevoy, MD2, Amit Raina, MD, CNSC3; 1University of Maryland School of Medicine, Baltimore, MD; 2Mercy Medical Center, Owings Mills, MD; 3Mercy Medical Center, Baltimore, MD

P2322. Mirror Image Technique in Choledocholithiasis: ERCP in Situs Inversus With a Forward Viewing Endoscope Michael Ma, MD1, Shmuel Golfeyz, MD2, Seth Cohen, MD2; 1Mount Sinai Beth Israel Hospital, New York, NY; 2Mount Sinai Beth Israel, New York, NY

P2323. Endoscopic Lap-Band Removal at a Community Hospital: Experience and Lessons Learned Matthew Josephson, MD1, Kevin Skole, MD2, Wai Yip Chau, MD2; 1Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; 2Penn Medicine Princeton Health, Plainsboro, NJ

P2324. Secondary Multiple Choledocholithiasis in Obstructive Jaundice Patient Due to Choledochoduodenal-Fistula Stricture Muhammad Begawan Bestari, MD, MHS, PhD1, Eka Surya Nugraha, MD2, Siti Aminah Abdurachman, MD, PhD2; 1University of Padjadjaran, Hasan Sadikin General Hospital, Bandung, Jawa Barat, Indonesia; 2University of Padjajdaran, Hasan Sadikin General Hospital, Bandung, Jawa Barat, Indonesia

P2325. Transoral Incisionless Fundoplication in a Patient With Dysphagia From Peptic Stricture Zain Iqbal Memon, DO, David Dicaprio, DO, Patrick Okolo, MD; Northwell Health Lenox Hill Hospital, New York, NY

P2326. An Unusual Delayed Complication of Urogynecologic Surgical Mesh Placement: Perirectal Abscess 10 Years After Initial Placement Treated by Endoscopic Removal and Transrectal Drain Placement ACG Case Reports Journal Award Presidential Poster Award David L. Diehl, MD, Sara West, DO, Kristen L. Halm, MD; Geisinger Medical Center, Danville, PA

P2327. Our First Two Cases of Endoscopic Ultrasound (EUS)-Guided Placement of Lumen-Apposing Metal Stent to Manage Acute Cholecystitis: Lessons Learned Sarah Buckley, MD, Robert Lawson, MD; Navy Medical Center San Diego, San Diego, CA

P2328. A Case of in Situ Plastic Biliary Stent Causing Duodenal Perforation Namisha Thapa, DO, Michael Loudin, MD, Brintha Enestvedt, MD, MBA; Oregon Health and Science University, Portland, OR

P2329. Love It or GIST It: Looking Beyond the GIST Marina Kim, DO, Zeid Karadsheh, MD, Mukul Arya, MD, Kenneth Hennrick, MD, Vadim Nakhamiyayev, MD; New York Presbyterian - Brooklyn Methodist Hospital, Brooklyn, NY

P2330. Turning Tight Corners: Utilization of Pediatric Bronchoscope in Intraoperative Pancreatoscopy for Parenchyma-Sparing Pancreatectomy of Pancreatic Cystic Neoplasm Marina Kim, DO, Zeid Karadsheh, MD, Mukul Arya, MD; New York Presbyterian - Brooklyn Methodist Hospital, Brooklyn, NY

P2331. Uncovered Duodenal Stent Removal: Should It Be Attempted? Dalbir S. Sandhu, MD, Aakash Desai, MD, Roy Ferguson, MD; MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH

LIVER

P2332. Weight Loss Through Bariatric Surgery Is Associated With Lower Rates of Hepatic Decompensation Cambridge Hines, MD, Sean R. Rudnick, MD; Wake Forest School of Medicine, Winston-Salem, NC

P2333. Direct-Acting Antivirals Are Associated With Increased Risk of De novo Hepatocellular Carcinoma in HCV Cirrhotic Patients - Real World Data Ghias un Nabi Tayyab, MBBS, MRCP, Shafqat Rasool, MBBS, Muhammad Bilal Nasir, MBBS; Post Graduate Medical Institute, Ameer Ud Din Medical College, Lahore, Punjab, Pakistan



P2334. Early Liver Transplantation for Severe Alcoholic Hepatitis: A Systematic Review With Meta-Analysis Varun Kohli, MD, Tarvinder Gilotra, MD, Harika Balagoni, MD, Dhara Chaudhari, MD; East Tennessee State University, Johnson City, TN

P2335. Endoscopic Ultrasonography (EUS)-Guided Liver Biopsy for the Diagnosis of Liver Parenchymal Diseases: A Systematic Review and Meta-Analysis Baran Bulent, MD1, Santosh Kale, MBBS2, Prithvi Patil, MS2, Bijun S. Kannadath, MBBS, MS3, Nirav Thosani, MD4; 1Beth Israel Deaconess Medical Center, Boston, MA; 2University of Texas Health Science Center at Houston, Houston, TX; 3University of Arizona College of Medicine, Phoenix, AZ; 4University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX

P2336. Systematic Review: Interferon-Free Direct-Acting Antiviral Therapy for Hepatitis C Virus Genotype 6 Panita Mettikanont, MD1, Chalermrat Bunchorntavakul, MD2; 1Thammasat University, Bangkok, Krung Thep, Thailand; 2Rajavithi Hospital, Bangkok, Krung Thep, Thailand

P2337. Prison Break: Curing HCV Infection in the Prison Setting Rui Gaspar, MD1, Rodrigo Liberal, PhD1, Jorge Esteves, MD2, Rui Morgado, MD3, Guilherme Macedo, MD, PhD, FACG1; 1Centro Hospitalar São João, Porto, Portugal; 2Estabelecimento de Custóias, Porto, Portugal; 3Estabelecimento de Custoias, Porto, Portugal

P2338. Adherence to Screening, Primary Prophylaxis, and Surveillance for Esophageal Varices in a U.S Veterans’ Population Ankush Sharma, MD1, Kyle Ball, DO2, Ronald J. Markert, PhD3, Padmini Krishnamurthy, MD3; 1Wright State University, Beavercreek, OH; 2Wright State University Boonshoft School of Medicine, Kettering, OH; 3Wright State University Boonshoft School of Medicine, Dayton, OH

P2339. Hospitalizations and Complications of Spontaneous Bacterial Peritonitis in the U.S. Population Alana Persaud, MD1, Yasaman Motlaghzadeh, MD, MPH 2; 1Rutgers University, New Jersey Medical School, Newark, NJ; 2Rutgers New Jersey Medical School, Newark, NJ

P2340. The Efficacy and Safety of Obeticholic Acid (OCA) in Primary Biliary Cholangitis (PBC) Ahmed Al-Khazraji, MBChB, MD1, Shyam Patel, MD1, Faruq Pradhan, MBBCh2, Fredric Gordon, MD2, Nezam Afdhal, MD1, Alan Bonder, MD1; 1Beth Israel Deaconess Medical Center, Boston, MA; 2Lahey Hospital and Medical Center, Burlington, MA

P2341. Utility of Tumor Markers and Imaging for Post-Transplant Detection of Recurrent Hepatocellular Carcinoma Mohammad Arsalan Siddiqui, MD1, Kajali Mishra, MD1, Amanda Farris2, Reena Salgia, MD1; 1Henry Ford Hospital, Detroit, MI; 2Wayne State University School of Medicine, Detroit, MI

P2342. Predicting Post-Liver Transplant Recurrence of Hepatocellular Carcinoma: Validating Individual Patient-Level Risk Mohammad Arsalan Siddiqui, MD1, Kajali Mishra, MD1, Amanda Farris2, Reena Salgia, MD1; 1Henry Ford Hospital, Detroit, MI; 2Wayne State University School of Medicine, Detroit, MI

P2343. Efficacy and Safety of Indwelling Pleural Catheters in Management of Hepatic Hydrothorax: A Systematic Review of Literature Muhammad A. Baig, MD1, Muhammad Majeed, MBBS, MD1, Bashar M. Attar, MD, PhD2, Zubair Khan, MD, CMQ3, Seema Gandhi, MD2, Melchor Demetria, MD1; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Cook County Health and Hospitals System, Chicago, IL; 3University of Toledo Medical Center, Toledo, OH

P2344. Lower Cure Rates of Hepatitis C Treatment in Elderly Patients (aged 70 Years and Above) With Cirrhosis: Single Center Comparative Analysis Kamran Qureshi, MD1, Jennifer Andres, PharmD2; 1Temple University Hospital, Philadelphia, PA; 2Temple University School of Pharmacy, Philadelphia, PA

P2345. Decreased Risk of Hepatocellular Carcinoma Recurrence With Direct-Acting Antivirals for Hepatitis C: A Meta-Analysis Felix Lui, MD1, Samiya Hussain, MD2, Anish Patel, MD1, Matthew Bechtold, MD, FACG3, Douglas Nguyen, MD2; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine Medical Center, Anaheim, CA; 3University of Missouri, Columbia, MO

P2346. Ultrasonographic (US) Two Dimensional (2D) Measurement of Spleen Is Superior to Traditional Length Measurement in Diagnosing Clinical Cirrhosis Felix Lui, MD1, Patrick Ma1, Mohammad Helmy, MD1, Ke-Qin Hu, MD2; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine School of Medicine, Orange, CA

P2347. Long-Term Incidence of Cirrhosis in Patients Following the Fontan Procedure: A Systematic Review and Meta-Analysis Aravdeep S. Jhand, MBBS1, Amaninder Dhaliwal, MD2, Shailender Singh, MD3, Fedja A. Rochling, MD3; 1Creighton University School of Medicine, Omaha, NE; 2University of Nebraska Medical Center, Omaha, NE; 3Nebraska Medical Center, Omaha, NE

P2348. Impact of Timing of Paracentesis on Readmission Rates in Patients With Spontaneous Bacterial Peritonitis: Analysis of National Readmission Database Aravdeep S. Jhand, MBBS1, Amaninder Dhaliwal, MD2, Abhishek Thandra, MBBS1, Ryan Walters, PhD1, Rajani Rangray, MD3, Shailender Singh, MD4, Renuga Vivekanandan, MD1; 1Creighton University School of Medicine, Omaha, NE; 2University of Nebraska Medical Center, Omaha, NE; 3Creighton University, Omaha, NE; 4Nebraska Medical Center, Omaha, NE

P2349. Acute on Chronic Liver Failure in Patients With Nonalcoholic Fatty Liver Disease: Trends in Mortality and Hospitalization Burden Over Time Maureen Whitsett, MD, MEd1, Violeta Popov, MD, PhD2, Giulio Quarta, MD, PhD1, Ira M. Jacobson, MD1; 1NYU Langone Health, New York, NY; 2New York University, New York, NY

P2350. Racial Factors Influence Appropriate Albumin Infusion After Undergoing Large Volume Paracentesis: Retrospective Study From Multiple Community-Based Hospitals Jolian Kathawa, DO1, Ryan Kahl, DO2, Jalpa Patel, MD2, Alan Putrus, MD2, Judith Boura, MS1, Marc Piper, MD, MSc2; 1Ascension Macomb-Oakland Hospital, Warren, MI; 2Providence-Providence Park Hospital, Southfield, MI

P2351. HIV Infection Does Not Affect Hepatic Steatosis or Fibrosis Neva Castro, MD1, Paula Debroy, MD2, Leonidas Palaiodimos, MD, MSc1, Priyanka Mathias, MD1, Isaac Laniado, Jr., MD1, Dimpi Desai, MD3, Luis Alejandro De Leon Castro, MD4, Donald P. Kotler, MD1; 1Jacobi Medical Center, Bronx, NY; 2University of Texas, Houston, TX; 3University of Pennsylvania, Philadelphia, PA; 4Baylor College of Medicine, Houston, TX

P2352. Improvement in Quality of Life in HCV Cirrhosis After Successful Eradication of Hepatitis C Virus With Sofosbuvir Based Antiviral Treatment Umer Tariq, MBBS1, Arif Nawaz, MD, FACP, FACG2, Abdul Hafeez, MBBS1, Asad Choudhry, FRCP3, Mohammed Sohaib, MBBS4, Mohammed Sikander Saleem, MBBS4, Shahmeer Nawaz1, Zohaib Khan, MBBS1, Bushra Ali, FCPS1, Raja Ikram Ul Haq, MBBS1, Hafsa Chaudhry5, Altaf Alam, FRCP1; 1Fatima Memorial Hospital, Lahore, Punjab, Pakistan; 2Fatima Memorial Hospital, Kearney, NE; 3Chaudhry Hospital, Gujranwala, Punjab, Pakistan; 4Fatima Memorial Hospital, Gujranwala, Punjab, Pakistan; 5Chaudhry Hospital, Lahore, Punjab, Pakistan


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P2353. Low ALT Levels Do Not Predict Mortality After Liver Transplantation Abby Lochmann-Bailkey, MD, Steven Gay, MD, Roman Jandarov, PhD, Kamran Safdar, MD; University of Cincinnati, Cincinnati, OH

P2354. Improving Resident Paracentesis Certification Rates by Using an Innovative Resident Driven Procedure Service Matthew Berger, MD1, Vadim Divilov, MD2, Harold Paredes, MD3, Vivek Kesar, MD2, Edward Sun, MD, MBA4; 1Stony Brook University, Dix Hills, NY; 2Stony Brook University Hospital, Stony Brook, NY; 3Stony Brook Medicine, Stony Brook, NY; 4Stony Brook Medicine, East Setauket, NY

P2355. Sarcopenia Is Not a Predictor of Survival or Dose Limiting Toxicity in Patients Treated With Sorafenib for HCC Mohamed A. Abdallah, MBBS1, Sally Bampoh, MD2, Naoki Takahashi, MD2, Michael Moynagh, MD2, Mohamed Hassan, MBBS2, Nicha Wongjarupong, MD3, Lewis Roberts, MBBCh, PhD2; 1University of South Dakota Sanford School of Medicine, Sioux Falls, SD; 2Mayo Clinic, Rochester, MN; 3University of Minnesota, Minneapolis, MN

P2356. Study Design and Impact on Publication Raj Shah, MD1, Jamie Varghese2, Felicia Ratnaraj, MD3, Mahathi Indaram, MD1, Joseph Feuerstein, MD4; 1University of Missouri, Kansas City, MO; 2St. Luke’s Hospital, Kansas City, MO; 3Washington University School of Medicine / Barnes-Jewish Hospital, St. Louis, MO; 4BIDMC/Harvard Medical School, Boston, MA

P2357. Burden of Mental Illness in Hospitalized Patients of Liver Cirrhosis: A Nationwide Analysis From the National Inpatient Sample Umar Darr, MD1, Zubair Khan, MD, CMQ2, Muhammad A. Baig, MD3, Muhammad Ali Khan, MD4, Raja Chandra Chakinala, MD5, Shantanu Solanki, MD, MPH5, Khwaja F. Haq, MD6, Thomas Sodeman, MD, FACP, FACG2, Ali Nawras, MD2; 1Baylor College of Medicine, Houston, TX; 2University of Toledo Medical Center, Toledo, OH; 3John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 4University of Tennessee Health Science Center, Memphis, TN; 5New York Medical College at Westchester Medical Center, Valhalla, NY; 6Henry Ford Hospital, Detroit, MI

P2358. Physician Awareness of Hepatocellular Carcinoma Surveillance in Patients With Chronic Liver Disease Emmanuel Ofori, MD1, Daryl Ramai, MD1, Andrew Ofosu, MD, MPH1, Denzil Etienne, MD1, Kyawzaw Lin, MD1, Monica Dhawan, MD2, Madhavi Reddy, MD1; 1The Brooklyn Hospital Center, Brooklyn, NY; 2Wayne State University, Auburn Hills, MI

P2359. Modest Concordance Between Vibration Controlled Transient Elastography and Non-Invasive Serum Markers of Fibrosis in Staging of Chronic Hepatitis C Virus (HCV) Infection Paul Gomez, MD1, Kelly Zucker, DO1, Jean Chang, BS2, Michael Rowley, MD1, Anil Seetharam, MD1; 1University of Arizona College of Medicine, Phoenix, AZ; 2University of Washington School of Medicine, Phoenix, AZ

P2360. Long Term Mortality in Young Patients (<40 y/o) With Alcoholic Liver Cirrhosis After First Hospitalization: Carilion Clinic Experience Robert Summey, MD1, Mohamad A. Mouchli, MD2, Shravani Reddy, MD3, Adil Mir, MD2, Christopher Walsh, MD4, Marrieth Rubio, MD2; 1Virginia Tech Carilion School of Medicine, Roanoke, VA; 2Carilion Clinic, Virginia Tech University, Roanoke, VA; 3Carilion Clinic, Virginia Tech School of Medicine, Roanoke, VA; 4Carilion Roanoke Memorial Hospital, Roanoke, VA

P2361. Correlation Resistin Serum with IL6 Serum Level in Liver Cirrhosis Patients I Ketut Mariadi, MD, Hendra Koncoro, MD; Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia

P2362. Transient Elastography (Fibroscan) Compared to FIB-4, APRI, and AST/ALT Ratio for Assessment of Liver Significant Fibrosis in Patients With Nonalcoholic Fatty Liver Disease Dhuha Alhankawi, MD1, Kim HunJung, MD2, Santosh Sharma, MD3, Jonathan Weinberger, MD4, James Park, MD1; 1New York University Medical Center, New York, NY; 2New York University, New York, NY; 3New York University Medical Center, Brooklyn, NY; 4Maimonides Medical Center, Brooklyn, NY

P2363. Transient Elastography (Fibroscan) Compared to FIB-4, APRI, and AST/ALT Ratio for Assessment of Significant Liver Fibrosis in Patients With Chronic Hepatitis C Dhuha Alhankawi, MD1, Kim HunJung, MD2, Santosh Sharma, MD3, James Park, MD1; 1New York University Medical Center, New York, NY; 2New York University, New York, NY; 3New York University Medical Center, Brooklyn, NY

P2364. FIB-4, APRI, and AST/ALT Ratio in Comparison to Transient Elastography (TE, Fibroscan) in the Assessment of Significant Liver Fibrosis in Patients With Chronic Hepatitis B (CHB) Dhuha Alhankawi, MD1, Santosh Sharma, MD2, Kim HunJung, MD3, Jacob Ahlin, MD3, Jonathan Weinberger, MD4, Negar Niknam, MD5, James Park, MD1; 1New York University Medical Center, New York, NY; 2New York University Medical Center, Brooklyn, NY; 3New York University, New York, NY; 4Maimonides Medical Center, Brooklyn, NY; 5Maimonides Medical Center, New York, NY

P2365. Burden of Hepatocellular Carcinoma in California’s Central Valley Leyla Farshidpour, BS, Padmavathi Mali, MD, Amir Fathi, MD, Marina Roytman, MD; University of California San Francisco Fresno, Fresno, CA

P2366. Serum Urea at Admission Is a Predictor of Mortality in Patients With Acute on Chronic Liver Failure Shivaram Prasad Singh, MBBS, MD, DM, FSGEI, FACG, FRCP [Edin]1, Chitta Ranjan Khatua, MBBS, MD1, Bhaskar Thakur, BSc, MD2, Debakanta Mishra, MBBS, MD1, Subhendu Panigrahi, MBBS, MD1, Saroj Kanta Sahu, MBBS, MD1, Rakesh Kumar Barik, MBBS, MD1, Subhasis Pradhan, MBBS, MD1, Sambit Kumar Behera, MBBS, MD1, Prasanta Kumar Parida, MBBS, MD, DM1; 1SCB Medical College, Cuttack, Orissa, India; 2KIMS, KIT University, Bhubaneswar, Orissa, India

P2367. Prevalence of Risk Factors for and Presence of Non-Alcoholic Fatty Liver Disease in Patients Receiving Upper Endoscopic Ultrasound Alyson M. Johnson, MD1, Naomi Chou, MD2, Rachel Feder, MD1, Joshua P. Lee, MD3, Manal Abdelmalek, MD, MPH1, Rebecca A. Burbridge, MD1; 1Duke University, Durham, NC; 2Beth Israel Deaconess Medical Center, Boston, MA; 3Duke University Medical Center, Durham, NC

P2368. Low Hepatitis B Virus Vaccination Rates Among High-Risk and Immigrant Populations: A Safety Net Community-Based Hospital Experience Grishma Hirode, MAS1, Benny Liu, MD2, Taft Bhuket, MD2, Robert Wong, MD1; 1Alameda Health System - Highland Hospital, Oakland, CA; 2Highland Hospital, Oakland, CA

P2369. Predictors of In-Hospital Mortality in Patients With Acute on Chronic Liver Failure Neha Hingorani, MD1, Chad Spencer, MD2, Page Axley, MD2, Ashwani Singal, MD, MS2; 1UAB Hospital, Birmingham, AL; 2University of Alabama at Birmingham, Birmingham, AL

P2370. Multiple Organ Failure From Heart, Lungs and Liver in Females With Acute on Chronic Liver Failure Have Very High In-Hospital Mortality Neha Hingorani, MD1, Chad Spencer, MD2, Page Axley, MD2, Ashwani Singal, MD, MS2; 1UAB Hospital, Birmingham, AL; 2University of Alabama at Birmingham, Birmingham, AL

P2371. Intensive Care Need and Its Predictors Among Patients Admitted With Acute on Chronic Liver Failure: A Retrospective Study From a Single Tertiary Care Center Chad Spencer, MD1, Neha Hingorani, MD2, Page Axley, MD1, Ashwani Singal, MD, MS1; 1University of Alabama at Birmingham, Birmingham, AL; 2UAB Hospital, Birmingham, AL

P2372. Impact of Nonalcoholic Fatty Liver Disease on the Subclinical Coronary Atherosclerosis in Patients With Low Cardiovascular Risk Factor: A Systematic Review and Meta-Analysis Sakolwan Suchartlikitwong, MD, Passisd Laoveeravat, MD, Thammasak Mingbunjerdsuk, MD, Saif El Naser H. M. El Nawaa, MD, Nimesh Adhikari, MD, Cinthya Carrasco, MD, Meily Arevalo Acosta, MD, Wasawat Vutthikraivit, MD; Texas Tech University Health Sciences Center, Lubbock, TX



P2373. The Impact of Hepatitis C Anti Viral Therapy Initiative on Overall Health Maintenance Firas Al-Ani, MD1, Amita Kalra, MD2, Daniel Yeoun, DO, MPH1, Renata Lerer1, Margarita Pashukyants, FNP3, Samy McFarlane, MD1, Ayesha Zahiruddin, MD3, Ayse Aytaman, MD3; 1SUNY Downstate Medical Center, Brooklyn, NY; 2Stanford, Palo Alto, CA; 3Brooklyn Campus of the VA New York Harbor Healthcare System, Brooklyn, NY

P2374. Chronic Hepatitis C Treatment Response with Direct-Acting Antivirals in Patients With Substance Abuse and Opioid Agonist Therapy - A Community Hospital Based Study Presidential Poster Award Vijay Gayam, MD1, Benjamin Tiongson1, Amrendra Mandal, MD1, Mazin Khalid, MD1, Pavani Garlapati, MD1, Arshpal Gill1, Mowyad Khalid, MD2, Mohammad Mansour, MD1, Smruti Mohanty, MD3; 1Interfaith Medical Center, Brooklyn, NY; 2Wayne State University / Detroit Medical Center, Detroit, MI; 3NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY

P2375. Implications of Opioid and Benzodiazepine Use Prior to Liver Transplantation Jayakrishna Chintanaboina, MD, Nabeel M. Akhtar, MD, Thomas Riley, III, MD; Penn State Health Milton S. Hershey Medical Center, Hershey, PA

P2376. Patient Reported Outcomes of Physical and Psychological Suffering in Patients With Autoimmune Hepatitis Vahin Vuppalanchi1, Sai Chalasani2, Saeed Mohammad, MD3, Naga Chalasani, MD4, Craig Lammert, MD4; 1Park Tudor High School, Indianapolis, IN; 2Brebeuf Jesuit High School, Indianapolis, IN; 3Northwestern University Feinberg School of Medicine, Chicago, IL; 4Indiana University School of Medicine, Indianapolis, IN

P2377. Predictors of In-Hospital Mortality and of 30-Day Readmissions in Hepatic Encephalopathy (From the Nationwide Readmissions Database) Mihir Dave, MBBS1, Yash Shah, MD2, Kamaldeep Singh, MD2, Faisal Mehmood, MD2; 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Icahn School of Medicine at Mount Sinai, James J. Peters VA Medical Center, New York, NY

P2378. Outcomes Associated With Percutaneous Coronary Intervention in Patients With NASH Cirrhosis: Analysis of the National Inpatient Sample 2004-2014 Ysabel Ilagan-Ying, BS1, Yeunjung Kim, MD, MPH2, Albert Do, MD, MPH3; 1Yale University School of Medicine, New Haven, CT; 2Yale University, New Haven, CT; 3Yale University, Hamden, CT

P2379. Time to Viral Suppression Does Not Impact SVR in Patients Treated With Glecaprevir/Pibrentasvir for 8 Weeks Christoph Sarrazin, MD1, Tram Tran, MD2, Douglas E. Dylla, PhD3, Jordan J. Feld, MD, MPH4, Sanjeev Arora, MD5, David Victor III, MD6, Yiran Hu, PhD3, Stanley Wang, MD, PhD7, Federico Mensa, MD3, David Wyles, MD8; 1JW Goethe University Hospital and St. Josefs-Hospital Wiesbaden, Frankfurt, Hessen, Germany; 2Cedars-Sinai Medical Center, Los Angeles, CA; 3AbbVie Inc., North Chicago, IL; 4Toronto Centre for Liver Disease, University of Toronto, Toronto, ON, Canada; 5University of New Mexico School of Medicine, Albuquerque, NM; 6Houston Methodist Hospital, Houston, TX; 7AbbVie Inc., Redwood City, CA; 8Denver Health Medical Center, Denver, CO

P2380. Efficacy and Safety of Endoscopic Ultrasound-Guided Liver Biopsies in Parenchymal Liver Diseases: A Systematic Review and Meta-Analysis Anup Shah, MD1, Isabel C. Guerrido Martinez, MD2, Nelson Valentin, MD1, Shmuel Golfeyz, MD1, Kelsey E. Collins, MD1, Melissa Hershman, MD3, Ilan Weisberg, MD, MSc1; 1Mount Sinai Beth Israel, New York, NY; 2Mount Sinai Beth Israel, Brooklyn, NY; 3Mount Sinai Beth Israel, St. Luke’s and West, New York, NY

P2381. Prevalence of Comorbidities in Patients With Cirrhosis Admitted to U.S. Safety Net Hospitals and Their Impact on Clinical Phenotype of Admission V. V. Pavan Kedar Mukthinuthalapati, MBBS1, Moinuddin Syed, MBBS2, Miguel Salazar, MD3, Samuel Akinyeye, MD4, Zachary Fricker, MD5, Marwan Ghabril, MD6, Michelle T. Long, MD7, Maya Balakrishnan, MD, MPH4, Naga Chalasani, MD6, Bashar M. Attar, MD, PhD3; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2CCHHS, Chicago, IL; 3Cook County Health and Hospitals System, Chicago, IL; 4Baylor College of Medicine, Houston, TX; 5Boston University, Boston, MA; 6Indiana University School of Medicine, Indianapolis, IN; 7Boston University School of Medicine, Boston, MA

P2382. Impact of Omega-3 Fatty Acids on the Serum Lipidomic Profile of Patients With NAFLD Yan Qin, PhD, Christoph Garbotz, Derek Tobin, PhD; BASF, Lysaker, Akershus, Norway

P2383. Acute Toxic Hepatitis Induced by Herbal Medicine in Assam: A Pilot Study Bhabadev Goswami, MBBS, MD, PhD1, Preeti Sharma, MBBS, MD1, Snigdha Saikia, MSc, PhD2, Prajjalendra Barooah, MTech3, Mallika Bhattacharyya, MBBS, MD, PhD1, Subhash Medhi, MSc, PhD3; 1Gauhati Medical College Hospital, Guwahati, Assam, India; 2Gauhati University, Guwahati, Assam, India; 3Gauhati University, Institute of Science and Technology, Guwahati, Assam, India

P2384. Tenofovir Alafenamide (TAF) Improves the Glomerular Filtration Rate (GFR) of Patients With Hepatitis B Virus (HBV) With Borderline Chronic Kidney Disease Stage 1 (CKD-1): A Case-Control Study Christine Paul, MD1, Caroline Ankoma-Sey2, Scott Berger, BA3, Khalid Abdullah, MD1, Audrey Rose, PharmD4, Chukwuma Egwim, MD1, Victor Ankoma-Sey, MD1; 1Liver Associates of Texas, Houston, TX; 2University of Texas at Austin, Austin, TX; 3Baylor College of Medicine, Houston, TX; 4Smith Ranch Pharmacy, Pearland, TX

P2385. Cost Benefit and Break-Even Analysis of Screening for Non-Alcoholic Fatty Liver Disease Utilizing FibroScan as Compared to Usual Care Woodie Zachry, III, PhD, David Halajko, MD, Vincent Hayes, MBA, MHA, Guy Neff, MD, MBA; Quantym Therapeutic Data, Bradenton, FL

P2386. Use of Endoscopy Encounters to Increase Hepatitis C Virus (HCV) Screening and Linkage to Treatment Kirthi Lilley, MD1, Sachin Goyal, MD2, Fadi Antaki, MD1; 1John D. Dingell VA Medical Center & Wayne State University, Detroit, MI; 2John D. Dingell VA Medical Center, Wayne State University, and Detroit Medical Center, Detroit, MI

P2387. Pre-Intervention Treatment, Screening, and Vaccination Rates in Hepatitis B-Infected Patients at an Urban Academic Center Renata Lerer, BS1, Margarita Pashukyants, FNP2, Ayse Aytaman, MD2, Ayesha Zahiruddin, MD2; 1SUNY Downstate College of Medicine, Brooklyn, NY; 2Brooklyn Campus of the VA New York Harbor Healthcare System, Brooklyn, NY

P2388. Excellent Outcomes of Deceased Donor Liver Transplantation Using Grafts From Older Donors: A U.S. Single-Center Experience Ebubekir S. Daglilar, MD, David Bruce, Humberto Bohorquez, Mohammad A. Yousef, MD, Ian Carmody, Ari Cohen, MD, John Seal, George Therapondos, MD, MPH, Nigel Girgrah, George Loss, Nyan L. Latt, MD; Ochsner Clinic Foundation, New Orleans, LA

P2389. Association of Proton Pump Inhibitors With Spontaneous Bacterial Peritonitis in Patients With Cirrhosis: An Adjusted Meta-Analysis of Observational Studies Raseen Tariq, MBBS1, Fateeha Furqan, MD2, Abdul Wahab, MD3, Srishti Saha, MBBS, MD1, Stephen Silver, MD2, Sahil Khanna, MD, MS1; 1Mayo Clinic, Rochester, MN; 2Rochester General Hospital, Rochester, NY; 3Unity Hospital/ Rochester Regional Health System, Rochester, NY


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P2390. Does Switching to Tenofovir Alafenamide (TAF) Avoid Organ Toxicity Associated with Other Anti-Hepatitis B Virus (HBV) Medications in Chronic HBV+ Patients? Emmanuel Baidoo, MD1, Scott Berger, BA2, Caroline Ankoma-Sey3, Sara Bahanshal, MD1, Arab Al-Bayati, MD1, Hermann Ortiz, CCRC1, Chukwuma Egwim, MD1; 1Liver Associates of Texas, Houston, TX; 2Baylor College of Medicine, Houston, TX; 3University of Texas at Austin, Austin, TX

P2391. Bile Acid Profiles are Not Altered by Fecal Microbiota Transplantation for the Treatment of Primary Sclerosing Cholangitis Category Award (Liver) Presidential Poster Award Jessica R. Allegretti, MD, MPH1, Benjamin Mullish, MD2, Zain Kassam, MD, MPH3, Madeline Carrellas, BA1, Julian Marchesi, MD, PhD2, Mark Smith, PhD4, Ylaine Geradin, PhD4, Sonia Timberlake, PhD4, Daniel Pratt, MD5, Joshua Korzenik, MD6; 1Brigham & Women’s Hospital, Boston, MA; 2Imperial College of London, London, England, United Kingdom; 3Finch Therapeutics, Somerville, MA; 4FInch Therapeutics, Somerville, MA; 5Massachusetts General Hospital, Boston, MA; 6Brigham & Women’s Hospital, Boston, MA

P2392. Among U.S. Adults Undergoing Liver Transplantation, African Americans and Hispanics Have Significantly Worse Functional Status at Time of Liver Transplant Patrick McCabe, MD, MEd1, Benny Liu, MD2, Taft Bhuket, MD2, Robert Wong, MD3; 1California Pacific Medical Center/Sutter, San Francisco, CA; 2Highland Hospital, Oakland, CA; 3Alameda Health System - Highland Hospital, Oakland, CA

P2393. Liver Stiffness Improvement Is Associated With Amelioration of Indirect Parameters of Portal Hypertension One Year After Sustained Virological Response to Direct Acting Antivirals in Chronic Hepatitis C Patients Edoardo G. Giannini, MD, PhD, FACG, Mattia Crespi, MD, Mariagiulia Demarzo, MD, Giorgia Bodini, MD, PhD, Manuele Furnari, MD, Elisa Marabotto, MD, PhD, Patrizia Zentilin, MD, PhD, Vincenzo Savarino, MD; University of Genoa, Ospedale Policlinico San Martino-IRCCS per l’Oncologia, Genoa, Liguria, Italy

P2394. Three-Dimensional (3D)-Printed Liver Model Improves Identification of Hepatic Sub-Segments in Learners Victor Chedid, MD, Amika A. Kamath, John M. Knudsen, MD, Katrin R. Frimannsdottir, MA, PhD, Kathleen J. Yost, PhD, Jennifer R. Geske, MS, Patrick S. Kamath, MD, Jane M. Matsumoto, MD; Mayo Clinic, Rochester, MN

P2395. Investigation of Muscle Cramps in Patients With Cirrhosis Using Electrical Stimulation Cramp Threshold Frequency Rishi Bolla, Cynthia Bodkin, MD, Marwan Ghabril, MD, Naga Chalasani, MD, Raj Vuppalanchi, MBBS; Indiana University School of Medicine, Indianapolis, IN

LIVER Clinical Vignettes/Case Reports

P2396. Atypical Presentation of HBV-Induced Hepatocellular Carcinoma in a 26-Year-Old Black American Male Jesse J. Xie, MD, Salman Khan, MD, Hannah E. Goyne, MD, Nazish Khan, MBBS, Mary K. Rude, MD; University of Arkansas for Medical Sciences, Little Rock, AR

P2397. Unexplained Reactive Leukocytosis Associated to the Use of DAA for the Treatment of Chronic HCV Carlos Fernandez, MD, Walisbeth Class, MD, Adriana Marzan, MD, Rodolfo Estremera-Marcial, MD, Doris Toro, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P2398. Fulminant Liver Failure Due to Acute Hepatitis E Infection in an Immunocompetent Male: A Case Report Sachit Sharma, MD1, Ashu Acharya, MBBS2, Alok Uprety, MD3, Abhushan Poudyal, MD1, Sadikshya Sharma, MBBS4; 1John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 2Kathmandu Medical College, Chicago, IL; 3John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 4College of Medical Sciences, Bharatpur, Chicago, IL

P2399. A Case of Flood Syndrome: To Operate or Not to Operate? Sanmeet Singh, MD1, Wasseem Skef, MD1, Sarang Thaker, MD, MS2, Christine Chan, MD3; 1University of Illinois at Chicago, Chicago, IL; 2University of Illinois Chicago, Mount Prospect, IL; 3UIC, Chicago, IL

P2400. Clostridium difficile: A Rare Cause of Hepatic Abscess Sanmeet Singh, MD, Armani Patel, MD, Kumkum Sarkar S. Patel, MD, MPH, Wadih Chacra, MD; University of Illinois at Chicago, Chicago, IL

P2401. Case Report: Hepatosplaenic T Cell Lymphoma in Patient with Crohn’s Disease on Monotherapy of Azathioprine John Guirguis, MBBCh, MRCP1, Wajeeha Butt, MD1, Kanwarpreet Tandon, MBBS1, Nemer Dabage, MD, FACP2; 1Blake Medical Center, Bradenton, FL; 2Blake Medical Center, HCA West Florida, USF Affiliation, Bradenton, FL

P2402. Drowning on Land Hendrick Pagan-Torres, MD, Andres Rabell-Bernal, MD, Carlos Fernandez-Cruz, MD, Angel Morales Santiago, MD, Jose Martin-Ortiz, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P2403. Severe Acute Hepatitis Improved With Cyclosporine in DRESS Syndrome Elizabeth Tran, DO, Justin Reed, DO, Audrey Corbett, MD; Oklahoma University, Tulsa, OK

P2404. A Case of Recurrent Diverticulitis Complicated by Liver Abscesses Simran Sidhu, MBBS1, Harmanpreet Kaur, MD2, Hector Gonzalez, MD1, Amelia Wong, MS43, Mohammad Salim, MD2, Sammer M. Elwasila, MD4, Lianne K. Cavell, MD5; 1Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 2Florida Atlantic University, Boca Raton, FL; 3Florida Atlanta University College of Medicine, Boca Raton, FL; 4FAU Internal Medicine Residency, Boca Raton, FL; 5Florida Atlantic University, Delray Beach, FL

P2405. A Rare Cause of Elevated Liver Tests in a Pregnant Patient Souleymane Diallo, DO1, Nael Haddad, MD2, Kirsten Morigeau, MD1, Cristian Dominguez, MD2, Chukwuemeka Ezeoke, MD2, Charles Brady, MD2; 1University of Texas Health Science Center at San Antonio, San Antonio, TX; 2University of Texas Health San Antonio, San Antonio, TX

P2406. Rare Case of Syphilitic Hepatitis Simran Sidhu, MBBS1, Neeharika Kalakota, MD2, Juan Tejada, MD2; 1Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 2Albany Medical Center, Albany, NY

P2407. Liver Mass: When in Doubt Think Carcinoid or Islet Cell Carcinoma Simran Sidhu, MBBS1, Areeba S. Awan, MBBS2, Jasmine Martin, MD3, Kevan Manraj, MD1, Dhishna Chaudhary, MD1, Leonalba Martinez, MD4, Hector Gonzalez, MD1, Lloyd Berkowitz, MD5; 1Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL; 2Florida Atlantic University, Boca Raton, FL; 3Boca Raton Regional Hospital, Boca Raton, FL; 4Florida Atlantic University, Boynton Beach, FL; 5Center for Hematology-Oncology, Boca Raton, FL

P2408. Diffuse Portomesenteric Thrombosis and Non-Cirrhotic Portal Hypertension Secondary to Antiphospholipid Syndrome: A Case Report Gregory A. Aird1, Shruti Mony, MD2, Ryan Scott, MD2, Olga Kalinkin, MD2, Justin A. Reynolds, MD2; 1Creighton University, Omaha, NE; 2St. Joseph’s Hospital and Medical Center, Phoenix, AZ



P2409. Hepatic Hydrothorax Complicated by Spontaneous Bacterial Empyema: An Under-Recognized Clinical Entity David W. Dornblaser, MD, MS, Benjamin Verplanke, MD, Sonja Olsen, MD; New York University School of Medicine, New York, NY

P2410. Parvovirus-Induced Adult Onset Stills Disease Presenting With Elevated Liver Transaminases Samer Al-Humadi1, Dennis Kumral, MD2, Velimir A. Luketic, MD, MA, FACG, FACP1; 1Virginia Commonwealth University, Richmond, VA; 2Virginia Commonwealth University, Glen Allen, VA

P2411. Acute Hepatomegaly: A Rare Manifestation of Richter Transformation Following Elective Splenectomy for Splenic Marginal Zone Lymphoma Harry Nguyen, DO, Gustavo A. Cadavid, MD, Antonio Martinez, MD, Vanitha Vasudevan, MD; Palmetto General Hospital, Hialeah, FL

P2412. A Case of Hepatic Adenoma With Imaging Suggestive of Fibrolamellar Hepatocellular Carcinoma Salem Karadsheh, MD1, Kaveh Hajifathalian, MD, MPH2, David Wan, MD2; 1University of Jordan Faculty of Medicine, Amman, Jordan; 2New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY

P2413. Diagnosing the Etiology of Portal Hypertension by Colonoscopy Runalia Bahar, MD, Tao Wang, MD, PhD, Souvik Sarkar, MD, PhD; University of California Davis Medical Center, Sacramento, CA

P2414. Perplexing Hyperferritinemia in Fulminant Hepatic Failure From Herpes Simplex Virus Type 1 Samuel Dunn, MD, Elijah Mun, MD, Supaksh Gupta, MD; University of Washington, Seattle, WA

P2415. Prolonged Latency Period of Danazol-Induced Liver Injury in a Patient With Hereditary Angioedema Isaac Huml, MD, Patrick Kohlitz, MD; SUNY Upstate Medical University, Syracuse, NY

P2416. Dietary Supplement Garcinia Cambogia Causing Liver Injury Krishna Patel, DO, Mechu Narayanan, MD, Brent Tetri, MD, FACG; St. Louis University School of Medicine, St. Louis, MO

P2417. Acute Severe Hepatitis and Hepatic Necrosis Caused by Babesiosis Andrew Dargan, MD1, Jesse Civan, MD2, Bryan Hess, MD1, David A. Sass, MD1; 1Thomas Jefferson University, Philadelphia, PA; 2Thomas Jefferson University Hospital, Philadelphia, PA

P2418. Giant Hepatic Hemangioma: An Incidental Finding Causing Pulmonary Embolism Sachin Kirtane, MD, Venkata Sunkesula, MD, PhD, Blanca Iriarte Oporto, MD, Tanya Glushko, MD, Rafael Amaral, MD; Mercy Catholic Medical Center, Philadelphia, PA

P2419. Portal Vein Thrombosis in a Post-Liver Transplant Patient Presenting With Subtle Ultrasound Abnormalities and Treated Percutaneously Thomas Couri, MD, Carla Harmath, MD, Talia Baker, MD, Anjana Pillai, MD; University of Chicago Medical Center, Chicago, IL

P2420. Workup for Elevated Liver Function Tests Unmasks Life-Threatening Disseminated Histoplasmosis Infection Neethu Nair, MD1, Joseph Maguire, DO1, Laith Al Momani, MD1, Tyler Aasen, DO1, James Swenson, MD2; 1East Tennessee State University, Johnson City, TN; 2Mountain Home VA Medical Center, Johnson City, TN

P2421. Hepatitis C: Culprit for Cholangiocarcinoma Anita Kumar, MD, Vivian Lee, BS, Nadeem Tabbara, BA, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC

P2422. Late Distant Liver Metastasis From Mucoepidermoid Carcinoma of the Parotid Gland Kara Raphael, MD1, Tai-Ping Lee, MD2; 1Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY; 2Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY

P2423. Chlamydia: A Rare Cause of Ascites Chuma Obineme, MD1, Samir Parekh, MD2, Brittne Halford, MD, MPH3, David Liu, MD1, Mariah Piazza, BS1; 1Emory University School of Medicine, Atlanta, GA; 2Emory University, Atlanta, GA; 3Emory University Hospital Midtown, Atlanta, GA

P2424. Metastatic Hepatocellular Carcinoma Secreting Intact PTH: A Case Report Lindsey Shantzer, MD1, Stephanie Garbarino, MD1, Steve S. Choi, MD2; 1Duke University Health System, Durham, NC; 2Durham Veterans Affairs Medical Center, Durham, NC

P2425. Hepatocellular Carcinoma in Patient With Non-Alcoholic Fatty Liver Without Cirrhosis Grigoriy Rapoport, MD1, Juan Castano, MD1, Hussein Al Jobori, MD1, Muhammed Gulzar Nathani, MD, FACP, FACG2, Rashmee Patil, MD3, Asif Zamir, MD4; 1University of Texas Rio Grande Valley School of Medicine, Edinburg, TX; 2Kelsey-Seybold Clinic, Spring, TX; 3Transplant Institute and Liver Specialty Center/ DHR Health, McAllen, TX; 4Renaissance Gastroenterology / UTRGV, Edinburg, TX

P2426. Hepatic Endometrioma: A Rare Case of an Intraparenchymal Endometriosis of the Liver Bhavish Manwani, MD, Mazen Shobassy, MD, Clark Hair, MD; Baylor College of Medicine, Houston, TX

P2427. Downhill Esophageal Varices Secondary to Porto-Pulmonary Hypertension: Case Report and Review of Literature Ranjit Makar, MD1, Muthena Maklad, MD2, Gordon V. Ohning, MD, PhD3; 1University of Nevada Las Vegas School of Medicine, Las Vegas, NV; 2University of Las Vegas School of Medicine, Las Vegas, NV; 3University of Nevada Las Vegas School of Medicine, Las Vegas, NV

P2428. Portal Vein Thrombosis (PVT) Following Laparoscopic Sleeve Gastrectomy Successfully Treated by Trans-Hepatic Catheter-Directed Tissue Plasminogen Activator (tPA) Ahmad Kattan, MD1, Yousef Abdel-Aziz1, Nizar Hariri2, Sahira Kazanjian3, Ali Nawras, MD1, Allen Kaufman3; 1University of Toledo Medical Center, Toledo, OH; 2Jobst Vascular Institute, Toledo, OH; 3Promedica Toledo Hospital, Toledo, OH

P2429. Rapidly Progressive Portal Vein Thrombosis Causing Hepatic Ischemia Jessica Paige Harris, MD1, Usama Siddique, MD2, Rekha Sivadas, MD 3; 1Stony Brook University Hospital, Cortlandt Manor, NY; 2Stony Brook University, Stony Brook, NY; 3Stony Brook University Hospital, Holtsville, NY

P2430. Complicated Case of Acute Fatty Liver of Pregnancy Without Deadly Outcome: Case Report Md Saiful Alom, MD1, Mohammad Sadaghiani, MD, MPH2, Saif Bella, MD3, Nazif Chowdhury, MD3; 1UHS Wilson Medical Center, Johnson City, NY; 2UHS, Baltimore, MD; 3Wilson Hospital, Johnson City, NY

P2431. Acute Hepatitis B versus Autoimmune Hepatitis: A Clinical Conundrum Babusai Rapaka, MD, Rushikesh Shah, MD, Amit Narayan, MD, Sonali Sakaria, MD; Emory University, Atlanta, GA


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P2432. A Case of Pancreatic Abscess Causing Portal Vein Stenosis Leading to Portal Hypertension Sarang Thaker, MD, MS1, Sanmeet Singh, MD2, Christine Chan, MD3; 1University of Illinois Chicago, Mount Prospect, IL; 2University of Illinois at Chicago, Chicago, IL; 3UIC, Chicago, IL

P2433. Acalculous Cholecystitis as a Presentation of Acute Hepatitis A Patricia Garcia, MD1, Sobia Faisal, MD1, Henry Anyimadu, MD, FACP, FIDSA, AAHIVS2; 1University of Connecticut, Farmington, CT; 2University of Connecticut, New Britian, CT

P2434. A Diagnostic Puzzle: New Liver Dysfunction with Severe Thrombocytopenia Maher Elharake, MD, Sarah Mushtaq, MD, Sabrina Prabakaran, MD; University of South Florida, Tampa, FL

P2435. Segmental Atrophy: A Rare Pseudotumor of the Liver Tanya Thomas, MD1, Carensa Cezar, BS, MS2, Adeyinka Laiyemo, MD, MPH3; 1Howard University Hospital, Washington, DC; 2Howard University School of Medicine, Washington, DC; 3Howard University, Washington, DC

P2436. The Drunken Kidney: The Utility of Renal Replacement Therapy in Hepatic Encephalopathy Ashish C. Ahuja, MD, Neena Chandrasekaran, MD; University of Pittsburgh Medical Center Mercy, Pittsburgh, PA

P2437. Innumerable Liver Lesions With a More Benign Outcome: A Case Report Elie S. Kazzi, MD, MPH1, Gil Ben-Yakov, MD2, David E. Kleiner, MD, PhD2, Theo Heller, MD2; 1MedStar Health System, Baltimore, MD; 2National Institutes of Health, Bethesda, MD

P2438. Idiopathic Intrahepatic Cholestasis Associated With Monoclonal Gammopathy of Undetermined Significance Tongluk Teerasarntipan, MD, Roongruedee Chaiteerakij, MD; Chulalongkorn University, Bangkok, Krung Thep, Thailand

P2439. Caught Smoking Khat! A Case of Drug-Induced Autoimmune Hepatitis Megan Soliman, MD, MSc1, Youssef Soliman, MD, MSc1, Mark Levstik, MBBCh2; 1Rochester General Hospital, Rochester, NY; 2University of Rochester Medical Center, Rochester, NY

P2440. Long Live the Liver! Accidental Prophylaxis With N-acetylcysteine in Intentional Acetaminophen Overdose Megan Soliman, MD, MSc, Youssef Soliman, MD, MSc, Michael Gurell, MD; Rochester General Hospital, Rochester, NY

P2441. HEaV-y Supplement Use: Or Is It? Allison Bush, MD, MPH, Kevin Pak, MD, Tyler Church, DO, Brett W. Sadowski, MD, Dawn Torres, MD; Walter Reed National Military Medical Center, Bethesda, MD

P2442. An Unusual Cause of Neonatal Cholestasis Ryan Burkholder, MD1, Maribel Martinez, MD1, Adrian Chapa-Rodriguez, MD 2; 1Louisiana State University Health Sciences Center, Shreveport, LA; 2Louisiana State University Health Science Center, Shreveport, LA

P2443. Glycogenic Hepatopathy in Type I Diabetic Patient Usman Sagheer, MD1, Rehan Farooqi, MD1, Lawrence Mills, Jr., MD, FACG2; 1MedStar Union Memorial Hospital, Baltimore, MD; 2MedStar Good Samaritan Hospital, Baltimore, MD

P2444. Myasthenia Gravis as a Presenting Feature in a Patient With Hepatocellular Carcinoma: A Case Report Piyapoom Pakvisal1, Piyapan Prueksapanich, MD, MSc2, Nopavut Geratikornsupuk, MD3, Piyawat Komolmit, MD, PhD4; 1Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Krung Thep, Thailand; 2King Chulalongkorn Memorial Hospital, Bangkok, Krung Thep, Thailand; 3Queen Sa, Chonburi, Chon Buri, Thailand; 4Division of Gastroenterology, Faculty of Medicine, Bangkok, Krung Thep, Thailand

P2445. Relapsing Hepatitis A: An Asymptomatic Recurrence of Elevated Liver Chemistries Michael Ma, MD1, Shmuel Golfeyz, MD2, Christine Chen, DO2, Jahnavi Naik, MD2; 1Mount Sinai Beth Israel Hospital, New York, NY; 2Mount Sinai Beth Israel, New York, NY

P2446. Bactrim-Induced Liver Injury: It Can Happen! Hannah Parks1, Priyanka Ghosh, MD2, Shifa Umar, MD2, Marisa Evans, MD2, Abhijit Kulkarni, MD2; 1Temple University School of Medicine, Pittsburgh, PA; 2Allegheny Health Network, Pittsburgh, PA

P2447. Advanced De novo Hepatocellular Carcinoma (HCC) in a Non-Cirrhotic Hepatitis C Patient 15 Years After Sustained Virologic Response (SVR) Andrew Antony, MD1, Tai-Ping Lee, MD2; 1Northwell Health, Manhasset, NY; 2Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY

P2448. Disseminated Zoster Following Use of Ledipasvir-Sofosbuvir and Intra-Articular Steroid Injection Pooja M. Padigala, MD, Obiora Egbuche, MD, MPH, Temitayo Gboluaje, MD, Emory Gray, MD, Poorvi Chordia, MD, Austin Chan, MD; Morehouse School of Medicine, Atlanta, GA

P2449. Wilson Disease: Acute Liver Failure in a 72-Year-Old Patient Christopher Cao, MD1, Timothy Colangelo, MD1, RajaKoteswar Dhanekula, MD1, Daniel Brandt, MD2, Indira Laothamatas1, Manish Thapar, MD1, Steven Herrine, MD3, Jesse Civan, MD1; 1Thomas Jefferson University Hospital, Philadelphia, PA; 2Thomas Jefferson University Hospital, Camden, NJ; 3Thomas Jefferson University, Philadelphia, PA

P2450. An Exceedingly Rare Case of Embryonal Rhabdomyosarcoma of the Liver in an Adult Betty Albo, MD1, Gustavo Churrango, MD2, Erik Holzwanger, MD3, Deepika Devuni, MD3; 1University of Massachussetts, Worcester, MA; 2University of Massachusetts, Worcester, MA; 3University of Massachusetts Medical School, Worcester, MA

P2451. The Ultimate Tipping Point: A Case of Cerebral Edema and Brain Death as a Complication of TIPS in a Cirrhotic Patient Marcus Juan L. Esteban, MD, Nathan Mesfin, MD, Jaimin Amin, MD, Justin Mitchell, DO; Rush University Medical Center, Chicago, IL

P2452. Nonalcoholic Fatty Liver Disease After Pancreaticoduodenectomy Spiro Mavromates, MD, Isaac Perry, MD, William Hannah, MD, Steven Carpenter, MD; Memorial Health University Medical Center, Savannah, GA

P2453. An Unexpected Cause of Coagulopathy Alexis Bayudan, MD, Ruchi Bhatia, MD, Jaquelyn Fleckenstein, MD; Washington University School of Medicine / Barnes-Jewish Hospital, St. Louis, MO

P2454. Novel Side Effect of a Novel Medication Khola Qamar, MD1, Abhinav Tiwari, MD2, Ali Nawras, MD3; 1UTMC, Perrysburg, OH; 2UTMC, Toledo, OH; 3University of Toledo Medical Center, Toledo, OH



P2455. A Case of Hepatocellular Carcinoma (HCC) Immunotherapy Inducing Liver Transplant Rejection Paul Gomez, MD1, Alan Naim, MD1, Kelly Zucker, DO1, Mark Wong, MD2; 1University of Arizona College of Medicine, Phoenix, AZ; 2Banner University Medical Center, Phoenix, AZ

P2456. A Case of a Liver Lesion with Capsular Retraction Suspicious for Malignancy: Not Always the Worst Case Scenario Naemat Sandhu, MD, Manjula Balasubramanian, MD, Peter Wang, MD, Radi Zaki, MD, Richard Kalman, MD; Einstein Medical Center, Philadelphia, PA

P2457. Hepatic Inflammatory Pseudotumor Associated With Multi-Organ Thromboembolism and Pyogenic Liver Abscess With Streptococcus intermedius Bacteremia Ali Osman, MD, Gopi Sirineni, MD, Savio Reddymasu, MD, Subhash Chandra, MBBS; Creighton University, Omaha, NE

P2458. Graft-Versus-Host Disease in a Post-Liver Transplant Patient Arnab Mitra, MD, Atif Zaman, MD, MPH, Janice Jou, MD, MHS, Dekey Lhewa, MD, Joseph Ahn, MD; Oregon Health and Science University, Portland, OR

P2459. Fever and Transaminitis: A Case of Carbamazepine Hypersensitivity Reaction Associated With Human Herpes Virus 6 Reactivation Amrit Kamboj, MD, Marie Hu, MD, Patrick Hoversten, MD, Ibironke Oduyebo, MD, Shounak Majumder, MD; Mayo Clinic, Rochester, MN

P2460. A Rare Case of Spontaneous Liver Rupture (SLR) in a Patient on Warfarin Therapy Santosh Sharma, MD1, Dhuha Alhankawi, MD2, David M. Feldman, MD3, Viviana Figuerora Diaz, MD2; 1New York University Medical Center, Brooklyn, NY; 2New York University Medical Center, New York, NY; 3NYU Langone Health, New York, NY

P2461. Proton Pump Inhibitor-Induced Liver Injury Dhuha Alhankawi, MD1, Santosh Sharma, MD2, Katherine Sun, MD3, Neil Theise, MD3, James Park, MD1; 1New York University Medical Center, New York, NY; 2New York University Medical Center, Brooklyn, NY; 3NYU, New York, NY

P2462. Incidental Hepatic Splenosis in a Male with Microhematuria Amirah Khan, MD, Kathleen Viveiros, MD; Tufts Medical Center, Boston, MA

P2463. Strongyloides Infection in Immunocompetent Patient With New Onset Cirrhosis Jordan Roussel, MD1, Kelli Morgan, MD1, Moheb Boktor, MD2; 1LSU Health Sciences Center, Shreveport, LA; 2LSU Health, Shreveport, LA

P2464. Cefprozil as a Cause of Drug-Induced Liver Injury Leading to Acute-on-Chronic Liver Failure Majd Khasawneh, MD1, Zaid Imam, MBBS2, Fadi Odish, MD2, Mohamad Rasm Al Sibae, MD2; 1William Beaumont Hospital, Clawson, MI; 2William Beaumont Hospital, Royal Oak, MI

P2465. Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient With Hereditary Hemorrhagic Telangiectasia Ruchit N. Shah, DO1, Michael Makar, BA2, Nasir Akhtar, DO3, Erin Forster, MD, MPH4; 1Geisinger Health Systen, Danville, PA; 2Geisinger Medical Center, Highland Mills, NY; 3Geisinger Medical Center, Selinsgrove, PA; 4Medical University of South Carolina, Charleston, SC

P2466. B-Cell Lymphoblastic Leukemia/Lymphoma Presenting as Focal Hepatic Masses Sakolwan Suchartlikitwong, MD, Passisd Laoveeravat, MD, Thammasak Mingbunjerdsuk, MD, Wasawat Vutthikraivit, MD, Amr Ismail, MD, Saif El Naser H. M. El Nawaa, MD, Hamed Al-tamimi, MD, FACG; Texas Tech University Health Sciences Center, Lubbock, TX

P2467. TACE-Associated Hepatic Encephalopathy in the Absence of Decompensated Liver Disease Bharat Maraj, MD, Emily Harding-Theobald, MD; University of California San Francisco, San Francisco, CA

P2468. A Rare Case of Undifferentiated High-Grade Sarcoma Masquerading as Thrombus Resulting in Acute Budd-Chiari Syndrome Rajiv Mallipudi, MD1, Rikhil Kochhar, MD1, Christopher DiGiorgio, MD1, Swami Nathan, MD1, Michael Itidiare, DO2; 1Hackensack Meridian Health Mountainside Medical Center, Glen Ridge, NJ; 2Jefferson Health/Rowan School of Medicine, Voorhees, NJ

P2469. A Case of Sweet Pleural Effusion in Cirrhosis Priyanka Ghosh, MD, Shifa Umar, MD, Tariq Cheema, MD; Allegheny Health Network, Pittsburgh, PA

P2470. A Case of Hepatic Angiosarcoma Presenting as Hemorrhagic Ascites Natalya Iorio, MD, Bashar Sharma, MD, Savio John, MD, FACG; Upstate Medical University, Syracuse, NY

P2471. Hepatobiliary Cystadenoma: Not Too Benign to Be Ignored: A Benign Hepatic Cyst That Is Often Misdiagnosed as Hydatid Cyst Waqas Nawaz, MD1, Syed H. Abbas, MD2, Hilary Hertan, MD, FACG3; 1Montefiore Medical Center, Yonkers, NY; 2Montefiore Medical Center Wakefield Campus, Bronx, NY; 3Montefiore Medical Center, Bronx, NY

P2472. Double Trouble: Chronic Hepatitis C and Hepatocellular Carcinoma Anusha Shirwaikar Thomas, MD, Robert McFadden, MD; Houston Methodist Hospital, Houston, TX

P2473. Enlarging Ectopic Thyroid in the Porta Hepatis Bubu A. Banini, MD, PhD, Scott C. Matherly, MD, Hannah M. Lee, MD; Virginia Commonwealth University, Richmond, VA

P2474. Unusual Presentation of a Rare Hepatic Tumor Erica P. Turse, DO, MPH1, Francis E. Dailey, MD1, Veysel Tahan, MD, FACP, FACG, FESBGH1, John C. Turse, MD2; 1University of Missouri, Columbia, MO; 2Medical Associates of Brevard, Melbourne, FL

P2475. Cerebral Lipiodol Embolization After Trans-Arterial Chemoembolization for Hepatocellular Carcinoma Anand Nath, MD1, Rashid Syed, MD2, Saurabh Agrawal, MD2, Christopher Albers, MD2, Nyingi Kemmer, MD2; 1MedStar Georgetown University Hospital, Washington, DC; 2Tampa General Medical Group, Tampa, FL

P2476. Portal Venous Gas in a Methamphetamine User: An Unfortunate Outcome After Sodium Polystyrene Sulfonate Administration Kristin Olson, DO1, Cydney Wolf, DO2, Daniela Frankova, MD, PhD2; 1Mercy Medical Center, West Des Moines, IA; 2Mercy Medical Center, Des Moines, IA

P2477. Candidal Liver Abscess and Fungemia with Concomitant Cholecystitis and Pancreatitis in an Immunocompetent Non-Diabetic Patient Ethan Phan, MD, MPH1, Pratik Patel, MD1, Suneha Sundaram, MD1, Nelly Bellamy2, James Powell, MD1; 1East Carolina University/Vidant Medical Center, Greenville, NC; 2Brody School of Medicine, Greenville, NC

P2478. A Case of Gastroesophageal Varices with Unique Anatomy Zarir Ahmed, DO, Dan Bujanda, MD, Alex Befeler, MD; St. Louis University, St. Louis, MO

P2479. Lactulose Induced Pneumatosis and Pneumoperitoneum: A Case Report Kazi I. Ullah, BS1, Henry Jen, MD2, Tyson Collazo, MD3; 1Stony Brook Medicine, Bronx, NY; 2Stony Brook University Hospital, Sands Point, NY; 3Stony Brook University Medical Center, Hicksville, NY


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P2480. A Case of Large Cell Neuroendocrine Carcinoma Presenting as Acute Hepatitis Victoria Jackson, MD, Marlyn Mayo, MD; University of Texas Southwestern, Dallas, TX

P2481. A Case of Pseudocirrhosis From Metastatic Breast Cancer Zaynab Marzuk1, David Wan, MD2, Shawn L. Shah, MD3; 1Royal College of Surgeons in Ireland, Medical University of Bahrain, Ottawa, ON, Canada; 2New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY; 3New York Presbyterian/Weill Cornell Medical Center, New York, NY

P2482. Chronic Portal Vein Thrombosis in a Non-Cirrhotic Patient Ricardo Marrero-Torres, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P2483. GVHD After Orthotopic Liver Transplant: Successful Treatment With High Dose Steroids and Anti Thymocyte Globulin (ATG) Asad Ur Rahman, MD1, Effa Zahid, MBBS2, Kawtar Al Khalloufi, MD1; 1Cleveland Clinic Florida, Weston, FL; 2Services Institute of Medical Sciences, Lahore, Punjab, Pakistan

P2484. Chylous Ascites and Pleural Effusion Treated with Intravenous Octreotide Subash Ghimire, MD, Harshil Shah, MD, Tsujung Yang, MD, James Walsh, MD; Guthrie Clinic/Robert Packer Hospital, Sayre, PA

P2485. Case Report of Primary Hepatic Actinomycosis: A Rare Cause of Hepatic Lesions Veronica Beyley-Pagan, MD; University of Puerto Rico, Medical Science Campus, Guaynabo, Puerto Rico

P2486. A Rare Case of VZV-Induced Hepatitis Adeniyi A. Ajenifuja, MBBS1, Niket Sonpal, MD2, Pooja Mysore, MS3; 1Brookdale University Hospital Medical Center, Brooklyn, NY; 2Brookdale University Hospital Medical Center, Hauppauge, NY; 3Brookdale University Hospital Medical Center, South Setauket, NY

P2487. Acute Hepatitis B Viral Infection in a Patient with Common Variable Immunodeficiency: A Case Report P. Bennett Milner, MD1, Jennifer Wang, MD2; 1University of Virginia, Charlottesville, VA; 2University of Chicago, Charlottesville, VA

P2488. IGF-Mediated Hypoglycemia as the First Manifestation of Huge Hepatocellular Carcinoma (HCC) in a Chronic Hepatitis B Infected Patient Kasenee Tiankanon, MD, Preut Assawaworrarit, MD, Roongruedee Chaiteerakij, MD; Chulalongkorn University, Bangkok, Krung Thep, Thailand

P2489. Severe Transaminitis and Iron Deposition Induced by Malnutrition Wilson Lee, MD1, Raymond E. Kim, MD2; 1MedStar Harbor Hospital, Baltimore, MD; 2University of Maryland, Baltimore, MD

OBESITY

P2490. #Trending: Intermittent Fasting Is a Global Discussion on Twitter Nadeem Tabbara, BA, Vivian Lee, BS, Daniel Szvarca, BS, Lindsay Clarke, MS, Rahma Aldhaheri, MBBS, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC

P2491. Obesity Has Significant Impact on Mortality in Patients With Acute Alcoholic Hepatitis Fellows-in-Training Award (Obesity Category) Presidential Poster Award Tausif Siddiqui, MD1, Judy Trieu, MD, MPH2, Mohammad Bilal, MD2, Dhruv Mehta, MD3, Lakshmi Asritha Gollapudi, MD3, Christopher Nabors, MD, PhD3, David C. Wolf, MD, FACG3; 1New York Medical College, Valhalla, NY; 2University of Texas Medical Branch, Galveston, TX; 3New York Medical College at Westchester Medical Center, Valhalla, NY

P2492. Obesity Is Associated With a Higher Rate of Intensive Care Unit Monitoring in Patients With Peptic Ulcer Disease: Results From a Nationwide Analysis Ali T. Khan, MBBS1, Muhammad Faateh, MBBS2, Xiaowen Fan, MD3, Waseem Amjad, MD4, Vijay Dalapathi, MD5, Edward Lung, MD, MPH6; 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Johns Hopkins Medical Institution, Baltimore, MD; 3Mount Sinai St Luke’s and Mount Sinai West, New York, NY; 4Northwell Health Long Island Jewish Forest Hills Hospital, Forest Hills, NY; 5University of Rochester Medical Center, Rochester, NY; 6Mount Sinai St. Luke’s - West Hospital, Icahn School of Medicine at Mount Sinai, New York, NY

P2493. Performance of Double Balloon Enteroscopy in the Overweight and Obese Patients Abhik Bhattacharya, MD1, Alfred Nelson, MD1, Matthew Hoscheit, MD2, Rocio Lopez, MS3, John J. Vargo, MD4, Vaibhav Wadhwa, MD5, Roger Charles, MD5, Luis F. Lara, MD6, Sunguk Jang, MD1; 1Cleveland Clinic Foundation, Cleveland, OH; 2The Cleveland Clinic Foundation, Cleveland, OH; 3Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 5Cleveland Clinic Florida, Weston, FL; 6The Ohio State University Wexner Medical Center, Columbus, OH

P2494. Evaluating the Efficacy of an Intensive Medical Weight Management Program Vimal Bodiwala, MD1, Catherine Gardiner, BA1, Sonia Pothraj, BA1, Mark Schwartz, MD2, Rameck Hunt, MD2; 1Robert Wood Johnson Medical School, New Brunswick, NJ; 2Penn Medicine Princeton Medical Center, New Brunswick, NJ

P2495. Characterization of Changes in Clinical and Metabolic Parameters for Patients in an Intensive Medical Weight Management Program Vimal Bodiwala, MD1, Catherine Gardiner, BA1, Sonia Pothraj, BA1, Mark Schwartz, MD2, Rameck Hunt, MD2; 1Robert Wood Johnson Medical School, New Brunswick, NJ; 2Penn Medicine Princeton Medical Center, New Brunswick, NJ

P2496. The Adequacy of Treatment of Hypovitaminosis D in Individuals With Medically-Complicated Obesity (MCO) Anand Nath, MD1, Timothy Shope, MD2, John S. Brebbia, MD2, Timothy R. Koch, MD3; 1MedStar Georgetown University Hospital, Washington, DC; 2MedStar Washington Hospital Center, Washington, DC; 3Georgetown University School of Medicine, Washington, DC

OBESITY Clinical Vignettes/Case Reports

P2497. Paralysis Due to Thiamine and Copper Deficiencies Following Sleeve Gastrectomy Complicated by Oral Intolerance With Recurrent Pancreatitis Catherine Tridico Hudson, MD, MPH1, Vaniolky Losada, MD2, Emily Alker, RD3, Michael Cook, MD4; 1LSU School of Medicine, New Orleans, LA; 2LSU School of Medicine, River Ridge, LA; 3UMCNO Bariatrics and Nutrition, Mandeville, LA; 4Louisiana State University, New Orleans, LA

P2498. Diagnostic Dilemma: Perforated Gastric Ulcer in the Excluded Stomach After Roux-en-Y Gastric Bypass Megan Frank, MPAS, PA-C, David Deysher, DO, Iryna S. Hepburn, MD, FACG, FACP; WellSpan Health, Lebanon, PA



PRACTICE MANAGEMENT

P2499. Quality Assessment of Gastroenterology and Primary Care Physician Compliance With Healthcare Maintenance Metrics for Inflammatory Bowel Disease Chioma Ihunnah, MD, MPH1, Marianna G. Mavilia, DO2, Haleh Vaziri, MD3, John Birk, MD, FACG4; 1University of Connecticut Health Center/Connecticut G.I., Farmington, CT; 2University of Connecticut Health Center, Farmington, CT; 3University of Connecticut, Avon, CT; 4University of Connecticut Health Center, West Hartford, CT

P2500. Prevalence of Comorbidities and the Associated Costs in Hospitalized Patients With Acute Pancreatitis: A Nationwide Analysis Felippe Marcondes, MD, Rahul Shah, BS, Jaqueline Contrera Avila, BS, Mohammad Bilal, MD, Sapna Kaul, PhD; University of Texas Medical Branch, Galveston, TX

P2501. A Novel Approach to Identify Patients Who May Be Non-Compliant with Scheduled Outpatient Screening Colonoscopy Adeyinka Laiyemo, MD, MPH1, John Kwagyan, PhD1, Carla Williams, PhD1, Jessica Rogers, BS1, Angesom Kibreab, MD2, Victor Scott, MD2, Momodu Jack, MD1, Hassan Brim, PhD1, Hassan Ashktorab, PhD1, Farshad Aduli, MD2, Charles Howell, MD1, Duane Smoot, MD3, Elizabeth Platz, DSc, MPH4; 1Howard University, Washington, DC; 2Howard University Hospital, Washington, DC; 3Meharry Medical Center, Nashville, TN; 4Johns Hopkins University, Baltimore, MD

P2502. Superfluous Amylase/lipase Testing at University-Affiliated Teaching Hospital: Retrospective Review Presidential Poster Award Muhammad B. Hammami, MD1, Milad Khoury, MD2, Henry Haire, MD 2; 1Florida Atlantic University, Boynton Beach, FL; 2Florida Atlantic University, Boca Raton, FL

P2503. Comparing Colonoscopy Quality Between Gastroenterologists and Transplant Hepatologists: A Single Tertiary Care Center Study Tausif Siddiqui, MD1, Jonathan E. Barsa, MD2, Brad Dworkin, MD, FACG1, Edward Lebovics, MD3, Beth Schorr-Lesnick, MD, FACG4; 1New York Medical College, Valhalla, NY; 2Westchester Medical Center, Valhalla, NY; 3Westchester Medical Center at New York Medical College, Valhalla, NY; 4New York Medical College at Westchester Medical Center, Valhalla, NY

P2504. Perceptions and Practices of Primary Care Physicians Regarding Proton Pump Inhibitors Behdod Poushanchi, MD1, Yousaf Hadi, MD2, George Roy, MD1, Hiren Vallabh, MD1, Swapna Gayam, MD1; 1West Virginia University School of Medicine, Morgantown, WV; 2West Virginia University Hospital, Morgantown, WV

P2505. The Opportunity Cost of Inpatient GI Procedures in an Academic Teaching Hospital in Philadelphia Krysta Johns-Keating, MD, MPH1, Alexander Pop, MD2, Alison Platt, DO, MBA1, Victor Navarro, MD1; 1Einstein Medical Center, Philadelphia, PA; 2Albert Einstein Medical Center, Philadelphia, PA

P2506. Risk of Fall Injury in Patients Taking Proton Pump Inhibitors: A Meta-Analysis Kamolyut Lapumnuaypol, MD1, Charat Thongprayoon, MD2, Karn Wijarnpreecha, MD3, Sujani Yadlapati, MD4, Andrew Tiu, MD4, Wisit Cheungpasitporn, MD5; 1Albert Einstein Medical Center, Philadelphia, PA; 2Mayo Clinic, Rochester, MN; 3Mayo Clinic Florida, Jacksonville, FL; 4Einstein Medical Center, Philadelphia, PA; 5University of Mississippi Medical Center, Jackson, MS

P2507. Screening Colonoscopy: How Much Does It Cost? Marijeta Pekez, MD, Kshitij Thakur, MD, FACP; University of Kentucky, Lexington, KY

P2508. Text Messaging Reminders Improve Colonoscopy Show Rates in a County Endoscopy Unit Sunina Nathoo, MD, Loan Ho, NP, Maria Jibaja-Weiss, MEd, EdD, Jane R. Montealegre, PhD, Milena Gould Suarez, MD, Karina Canadas, MD, Richa Shukla, MD; Baylor College of Medicine, Houston, TX

P2509. Characterization of Foreign Body Ingestions Based on a National Survey of Consumer Products in the U.S. Antony Hsieh, MD1, David Hsiehchen, MD2, Sabrina Layne, BA3, Gregory Ginsberg, MD4, Thormika Keo, MD, PhD5; 1University of Pennsylvania, Philadelphia, PA; 2University of Texas Southwestern Medical Center, Dallas, TX; 3Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; 4Universit, Philadelphia, PA; 5Philadelphia VA Medical Center, Philadelphia, PA

P2510. Shortcomings in Colon Cancer Screening in an Inner City Cohort Sadat Iqbal, MD1, Zarak H. Khan, MBBS2, Waqas Ullah, MD3, Qulsoom Hussain, MBBS4, Abu Hurairah, MD5, Cynthia Quianoo, MD6; 1SUNY Downstate Medical Center, Brooklyn, NY; 2Shifa College of Medicine, Islamabad, Islamabad, Pakistan; 3Abington Memorial Hospital, Abington, PA; 4Shifa College of Medicine, Islamabad, Brooklyn, NY; 5SUNY Downstate, Brooklyn, NY; 6Brookdale University Hospital, Brooklyn, NY

P2511. Prevalence and Evaluation of Gastro-Esophageal Reflux Disease (GERD) in Internal Medicine Resident Clinic Archana Kulkarni, MD, Hamza Arif, MD, Abhijit Kulkarni, MD; Allegheny Health Network, Pittsburgh, PA

P2512. Racial Disparities in Cirrhosis-Related Healthcare Outcomes Among Hospitalized Patients Amir Taefi, MD, Ted Spiewak, DO, Shruti Patel, MD, Chin-Shang Li, PhD, Eric Chak, MD, MPH; University of California Davis Medical Center, Sacramento, CA

P2513. Retrospective Analysis Assessing Adequate IV Fluid Hydration in the Emergency Department in Patients With a Diagnosis of Acute Pancreatitis Vijeta Pamudurthy, DO1, Edward Jurkovic, DO2, Sudipta Roy, PhD3, Ryan Adams, PharmD2, Nikhil Bhargava, DO1; 1Midwestern University, Riverside Medical Center, Bourbonnais, IL; 2Midwestern University, Riverside Medical Center, Kankakee, IL; 3University of St. Francis, Bourbonnais, IL

P2514. Like Clockwork: Efficiency Metrics in an Interventional Endoscopy Suite Saamia Faruqui, MS, MD1, Cris Molina, BS2, April Wendt, RN2, Virendra Joshi, MD, FACG3, Timothy A. Hilbun4; 1Tulane University, New Orleans, LA; 2Ochsner Health System, New Orleans, LA; 3University Medical Center, New Orleans, LA; 4Ochsner Health System, new orleans, LA

P2515. Back to the Basics: Improving HCV Testing Rates in Resident Clinics Saamia Faruqui, MS, MD1, Lindsay A. Matthews, MD2, Tony Marsh, MD3; 1Tulane University, New Orleans, LA; 2University of Wisconsin Madison School of Medicine, Madison, WI; 3Tulane University School of Medicine, New Orleans, LA

P2516. Text Messages Can Improve Hepatitis C Screening in Primary Care Settings Disha Kumar, BS, BA1, Daniel Murphy, MD, MBA2, Monisha Arya, MD, MPH1; 1Baylor College of Medicine, Houston, TX; 2Baylor College of Medicine and Michael E. DeBakey VA Medical Center, Houston, TX

P2517. Increasing Identification of Hepatitis C Viral (HCV) Infection in Baby Boomers Using the Health Maintenance Tab Yousaf Zafar, MD, Ahmed Elkafrawy, MD, Timothy Chow, MD, Kristin Gillenwater, MD, Raj Shah, MD; University of Missouri, Kansas City, MO


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P2518. Successful Implementation of a Therapeutic Drug Monitoring Program and Its Impact on Patient Management and Outcomes Elliot J. Graziano, MD, James P. Campbell, MD, Andrew Reinink, MD, Byron Vaughn, MD; University of Minnesota, Minneapolis, MN

P2519. i>Helicobacter pylori Eradication Rates Higher With Clarithromycin Treatment Despite Increased Resistance Rizwan Mahmood, BS1, Nathan Schomaker, MD1, Andrew Choi, BA2, Mukund Venu, MD1; 1Loyola University Medical Center, Maywood, IL; 2Loyola University Stritch School of Medicine, Maywood, IL

P2520. Trends in Female Authorship of High Impact Publications in Gastroenterology Journals, 1997-2017 Shweta Bhatia, BS, Swathi Eluri, MD, MSCR, Erin Kim, BS, Hannah Angle, BS, Evan S. Dellon, MD, MPH, Nicholas J. Shaheen, MD, MPH; University of North Carolina School of Medicine, Chapel Hill, NC

P2521. High Impact Research in Digestive Diseases Is Becoming More Multi-National and Is Performed by Larger Teams: A Trend Analysis of Publications From 1997-2017 Shweta Bhatia, BS, Swathi Eluri, MD, MSCR, Erin Kim, BS, Hannah Angle, BS, Evan S. Dellon, MD, MPH, Nicholas J. Shaheen, MD, MPH; University of North Carolina School of Medicine, Chapel Hill, NC

P2522. Audit of Gastroenterology Consultations in a High-Volume Lung Transplantation Program in the United States Ishani Shah, MD1, Shruti Mony, MD1, Neil Vyas, MD2, Abhishek Bhurwal, MBBS, MD3, Ananya Das, MD4; 1St. Joseph’s Hospital and Medical Center, Phoenix, AZ; 2St. Joseph’s Hospital and Medical Center, Phonix, AZ; 3Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 4Arizona Centers for Digestive Health, Gilbert, AZ

P2523. Smartphone App Based Tool to Counteract Over-Prescription of Proton Pump Inhibitors Upon Discharge From Academic Medicine Services: A Quality Improvement Project Zubair Khan, MD, CMQ1, Umar Darr, MD2, Zakaria Alyousif, BS1, Muhammad A. Baig, MD3, Muhammad Ali Khan, MD4, Thomas Sodeman, MD, FACP, FACG1, Ali Nawras, MD1; 1University of Toledo Medical Center, Toledo, OH; 2Baylor College of Medicine, Houston, TX; 3John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; 4University of Tennessee Health Science Center, Memphis, TN

P2524. Successful Transition to an Infliximab Biosimilar at an Academic Hospital Toni Zahorian, PharmD, Francis A. Farraye, MD, MSc, Jason Reich, MD, Ansu Noronha, MD, Sharmeel K. Wasan, MD, Bhavesh Shah, RPh, BCOP; Boston Medical Center, Boston, MA

P2525. Implementing Methods to Capture ERCP Intraprocedural Quality Indicators in a Health Care System Abdul Hamid El Chafic, MD1, Luke McCrone, MD1, Ricardo Romero, MD1, Jerry Evans, MD2, Janak Shah, MD1; 1Ochsner Clinic Foundation, New Orleans, LA; 2Ochsner Health System, Kenner, LA

P2526. Current Practices of Proton-Pump Inhibitor Prescribing in a Large Resident-Run Ambulatory Setting: Targets for Intervention Jeremy Louissaint, MD, Jared Sninsky, MD, Thomas Ciesielski, MD; Washington University School of Medicine, St. Louis, MO

P2527. Race Differences in IBD: A Study of Quality of Life, Work Productivity, and Endoscopic Severity Chunsu Jiang, MD1, David Alfa, MBBS, MPH1, Doree Gardner, MS1, Tanvi Dhere, MD2, Heba Iskandar, MD, MPH2; 1Emory University, Atlanta, GA; 2Emory University School of Medicine, Atlanta, GA

PRACTICE MANAGEMENT Clinical Vignettes/Case Reports

P2528. A Rare Case of High-Grade B-cell Lymphoma Involving the Colon and Small Bowel Linoj Panicker, DO1, Matthew Soberano, DO1, Faiz Javed, DO1, Sweekriti Adhikari, DO1, Juan Sarol, MD1, Adrieene Moul, MD2, Carlos Dominguez, MD1, Javier Sobrado, MD1; 1Larkin Community Hospital, South Miami, FL; 2Aurora Diagnostics, Miami Lakes, FL

P2529. Rare Occurrence of Isolated Celiac Trunk Dissection: A Case Report Yousaf Zafar, MD, Shahryar Khan, MD, Zara Wadood, MD, Laith Nu’man, MD, Omar Abughanimeh, MD; University of Missouri, Kansas City, MO

P2530. Epigastric Paresthesia: Can It Be This Serious? Laith Numan, MD1, Omar Abughanimeh, MD1, Mohammad Tahboub, MD1, Yousaf Zafar, MD1, Nedaa Husainat, MD1, Mouhanna K. Abu Ghanimeh, MD2; 1University of Missouri, Kansas City, MO; 2Henry Ford Hospital, Detroit, MI

P2531. Loperamide Abuse in a Soldier Cesar Rosa, DO1, Michael Brazeau, DO1, Andrew Clark, MD2; 1San Antonio Military Medical Center, Fort Sam Houston, TX; 2Travis Air Force Base, Travis Air Force Base, CA

P2532. Excelling at MIPS Reporting and Quality Improvement Amanda Taylor; Gastroenterology Associates of Pensacola, Pensacola, FL

SMALL INTESTINE

P2533. Isolated Superior Mesenteric Artery Dissection: A Systematic Review of Different Treatment Modalities Waqas Ullah, MD1, Hafez Mohammad Abdullah, MD2, Abu Hurairah, MD3, Asif Mehmood, MD 4; 1Abington Memorial Hospital, Abington, PA; 2University of South Dakota, Sioux Falls, SD; 3SUNY Downstate, Brooklyn, NY; 4Abington Memorial Hospital, Horsham, PA

P2534. Active Smoking Is Associated with Positive Video Capsule Endoscopy for Iron Deficiency Anemia Jihan Fathallah, MD1, Shadi Hamdeh, MD1, Alexander Levy, MD2, Khaldoun Haj Mahmoud, MD1, Hong Gi Shim, MD2, Scott Grisolano, MD3, Dejan Micic, MD4; 1Kansas University Medical Center, Kansas City, KS; 2Tufts Medical Center, Boston, MA; 3University of Kansas School of Medicine, Kansas City, KS; 4University of Chicago, Chicago, IL

P2535. Performance of Single Balloon Enteroscopy in the Overweight and Obese Patients Alfred Nelson, MD1, Abhik Bhattacharya, MD1, Matthew Hoscheit, MD2, Rocio Lopez, MS3, John J. Vargo, MD4, Madhusudhan R. Sanaka, MD5, Amit Bhatt, MD4, Sunguk Jang, MD1; 1Cleveland Clinic Foundation, Cleveland, OH; 2The Cleveland Clinic Foundation, Cleveland, OH; 3Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 5Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P2536. Effect of Gluten-Free Diet on Lipid Profile in the Celiac and Non-Celiac Adult Population - A Cross-Sectional Study Karthik Gnanapandithan, MD; Yale New Haven Hospital and Yale School of Medicine, New Haven, CT



P2537. CD117+ Exosomes and Mast Cells From Hereditary Alpha Tryptasemia Patients Reveal Unique Phosphorylation, Lipidomics, and Proteomics Profiles Category Award (Small Intestine) Presidential Poster Award Abdel A. Alli, PhD1, Liza Konnikova, MD, PhD2, Kubra Tuna, MD1, Nancy Denslow, PhD1, Mohammad-Zaman Nouri, PhD1, Jin Koh, MD, PhD1, Jian Li, MD, PhD1, Ying Tang, BS1, J. Forrest Shirley, MS1, Lisa K. Ryan, PhD3, Jonathan J. Lyons, MD4, Joshua D. Milner, MD4, Scott B. Snapper, MD, PhD5, Sarah C. Glover, DO6; 1University of Florida College of Medicine, Gainesville, FL; 2University of Pittsburgh/UPMC Children’s Hospital, Pittsburgh, PA; 3Department of Medicine, Gainesville, FL; 4NIAID/NIH, Bethesda, MD; 5Harvard Medical School/Boston Children’s Hospital, Boston, MA; 6University of Florida, Gainesville, FL

P2538. Comparative Quantitative Analysis Between a Dyspeptic versus Irritable Bowel Syndrome Groups in Relation to a Positive Hydrogen Breath Test - Small Intestinal Bacterial Overgrowth Jason Baker, PhD, Borko Nojkov, MD, Richard Saad, MD, MS, FACG; University of Michigan, Ann Arbor, MI

P2539. A Prospective Evaluation of Isolated Terminal Ileal Lesions in Symptomatic Patients: Natural History and Clinical Significance Presidential Poster Award Ashutosh Mohapatra, MD1, Sonmoon Mohapatra, MD2; 1AMRI Hospital, Bhubaneswar, Orissa, India; 2St. Peter’s University Hospital, New Brunswick, NJ

P2540. Novel Anti-Siglec-8 Antibody Reduces Eosinophil and Mast Cell Infiltration in a Mouse Model of Eosinophilic Gastroenteritis Bradford Youngblood, PhD, Emily Brock, MS, John Leung, BS, Christopher Bebbington, PhD, Nenad Tomasevic, PhD; Allakos, Inc., San Carlos, CA

P2541. Highly Sensitive and Specific Identification of Anatomical Landmarks and Mucosal Abnormalities in Video Capsule Endoscopy With Convolutional Neural Networks Presidential Poster Award Felix Lui, MD1, Yash Rusconi-Rodrigues, BA2, Andrew Ninh3, James Requa3, William Karnes, MD1; 1University of California Irvine Medical Center, Orange, CA; 2University of California Irvine School of Medicine, Irvine, CA; 3Docbot, Irvine, CA

P2542. Regional and Ethnic Variations and Predictors of Mortality Among Patients With Acute Mesenteric Ischemia: A Population-Based Study Ishani Shah, MD1, Abhishek Bhurwal, MBBS, MD2, Shruti Mony, MD1, Neil Vyas, MD3, Ananya Das, MD4; 1St. Joseph’s Hospital and Medical Center, Phoenix, AZ; 2Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ; 3St. Joseph’s Hospital and Medical Center, Phonix, AZ; 4Arizona Centers for Digestive Health, Gilbert, AZ

P2543. Utility of CT Imaging Prior to Single Balloon Enteroscopy Matthew Hoscheit, MD1, Abhik Bhattacharya, MD2, Alfred Nelson, MD2, Rocio Lopez, MS3, John J. Vargo, MD4, Madhusudhan R. Sanaka, MD5, Amit Bhatt, MD4, Sunguk Jang, MD2; 1The Cleveland Clinic Foundation, Cleveland, OH; 2Cleveland Clinic Foundation, Cleveland, OH; 3Lerner Research Institute/Cleveland Clinic Foundation, Cleveland, OH; 4Digestive Disease Institute/Cleveland Clinic Foundation, Cleveland, OH; 5Cleveland Clinic Digestive Disease Institute, Cleveland, OH

P2544. Gastrointestinal Amyloidosis Does Not Impact Rejection Burden After Orthoptic Heart Transplant: A Retrospective Study Anusha Shirwaikar Thomas, MD1, Ayah Oglat, MD1, Raquel Araujo-Gutierrez, MD1, Duc T. Nguyen, MD, PhD2, Edward A. Graviss, PhD, MPH2, Barry Trachtenberg, MD3, David Victor III, MD1; 1Houston Methodist Hospital, Houston, TX; 2Houston Methodist Research Institute, Houston, TX; 3J.C. Walter Transplant Center, Houston Methodist Hospital, Houston, TX

SMALL INTESTINE Clinical Vignettes/Case Reports

P2545. An Unusual Cause for Recurrent Pneumatosis Intestinalis and Asymptomatic PneumoperitoneumPanagiotis H. Panagiotakis, MD, Andrew Barta, PA-C; MN Gastroenterology, Minneapolis, MN

P2546. The Virgin Small Bowel Obstruction Natalia Lattanzio, BS1, Vikaran Kadaba, BS1, Zalmi Rahmany, BS1, Niket Sonpal, MD2; 1Richmond University Medical Center, Staten Island, NY; 2Brookdale University Hospital Medical Center, Hauppauge, NY

P2547. Decade After Resection: A Case Report of Recurrent Malignant Melanoma in Multiple Organs of the GI Tract Siva Prasad Maruboyina, MD1, Shaker Barham, MD1, Varun Patel, MD2, Joseph DePasquale, MD1, Judith Faria-Briceno, MD1; 1NYMC-Saint Michael’s Medical Center, Newark, NJ; 2NYMC - St. Joseph’s University Medical Center, Newark, NJ

P2548. Non-Metastatic Jejunal Neuroendocrine Tumor Presenting With Carcinoid Syndrome Brian Phillips, DO1, John Castor, MD2, David Arrese, MD3, David Y. Lo, MD, FACG4, Kim Jordan, MD3; 1OhioHealth, Riverside Methodist Hospital, Columbus, OH; 2Ohio Gastroenterology Group, Inc., Columbus, OH; 3OhioHealth, Columbus, OH; 4Ohio Gastroenterology Group, Inc., The Ohio State University College of Medicine, Columbus, OH

P2549. A Rare Case of Primary Gastrointestinal Follicular Lymphoma Presenting as Dyspepsia Faris Pacha, DO1, Joseph Salhab, DO1, Jamie L. Skrove, DO1, Dominic M. Colella, DO2, Sarah R. Cheyney, MS4, MPH 3, Amir Riaz, MS43, Javier Sobrado, MD4; 1Larkin Community Hospital, Miami, FL; 2Nova Southeastern University, Larkin Hospital, South Miami, FL; 3St. George’s University School of Medicine, Miami, FL; 4Larkin Community Hospital, South Miami, FL

P2550. A Celiac-Like Disease Phenotype After Checkpoint Inhibitor Exposure: Another of Example of Immune Dysregulation After Immunotherapy? Joud Arnouk, MD1, Don Mathew, MD2, Vikrant Rachakonda, MD3; 1UPMC McKeesport Hospital, McKeesport, PA; 2UPMC McKeesport, Monroeville, PA; 3University of Pittsburgh Medical Center, Pittsburgh, PA

P2551. Mantle Cell Lymphoma of the Duodenum and Colon Nayna Riyat, MD1, Kirthi Reddy, MD1, Nazneen Ahmed, MD2; 1University of Tennessee, Memphis, TN; 2University of Tennessee and Memphis VA Medical Center, Memphis, TN

P2552. Now You See Me, Now You Don’t: A Case of Rapidly Evolvin Lupus Enteritis Anuhya Gampa, MD, Jaimin Amin, MD; Rush University Medical Center, Chicago, IL

P2553. Don’t Judge a Polyp by Its Cover: A Case of an Inflammatory Fibroid Polyp in the Duodenum Saamia Faruqui, MS, MD1, Lindsay A. Matthews, MD2, Cacey Peters, MD1, Porter Glover, MD3, Vanessa Mendez, MD1, John P. Affronti, MS, MD3; 1Tulane University, New Orleans, LA; 2University of Wisconsin Madison School of Medicine, Madison, WI; 3Tulane University School of Medicine, New Orleans, LA

P2554. A Unique Presentation of Cutaneous T-cell Lymphoma Involving the Gastrointestinal Tract Amulya Reddy, DO1, Frank Lopez, DO1, Thomas Birris, MD2; 1Lakeland Health, St. Joseph, MI; 2Great Lakes Gastroenterology, St. Joseph, MI


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P2555. An Unusual Etiology of Iron Deficiency Anemia Diagnosed on Duodenal Biopsy Lavneet Chawla, MD1, Anila Kumar, DO2, George P. Jolly, MD1, Virendra Tewari, MD3; 1Westchester Medical Center, Valhalla, NY; 2New York Medical College at Westchester Medical Center, Valhalla, NY; 3Westchester Medical Center at Westchester Medical Center, Valhalla, NY

P2556. Extraintestinal Manifestation of Celiac Disease: Gluten Ataxia Danse Bi, MD, Elizabeth Coon, MD; Mayo Clinic, Rochester, MN

P2557. Isolated Gastrointestinal Angioedema Due to an Angiotensin Receptor Blocker: A Novel Case Krutika Lakhoo, MD, Pedram Enayati, MD; Cedars-Sinai Medical Center, Los Angeles, CA

P2558. Gastrointestinal Bleeding From a Rare Duodenal Lesion in a Young Woman Kristina Fernandez, MD1, Monica Saumoy, MD, MS2, Amy Tyberg, MD3, David L. Carr-Locke, MD, FACG4; 1New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY; 2New York Presbyterian Hospital, New York, NY; 3Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; 4Weill Cornell Medical College & New York Presbyterian Hospital, New York, NY

P2559. A Rare Case of Primary Gastrointestinal Follicular Lymphoma Detected After Thorough Evaluation of the Duodenum Amr Dokmak, MD, Amr Radwan, MD, Douglas Schneider, MD, Caroline Jouhourian, MD; Steward St. Elizabeth’s Medical Center, Boston, MA

P2560. An Unexpected Case of Carcinoid Crisis: The Missing Piece of the Puzzle Blanca E. Iriarte, MD1, Sachin Kirtane, MD1, Martina Risech, DO2, Cristina Olivas, MD3, Rafael Amaral, MD1, Nicholas Ghionni, DO1; 1Mercy Catholic Medical Center, Philadelphia, PA; 2Drexel University College of Medicine, Philadelphia, PA; 3Mercy Catholic Medical Center, Darby, PA

P2561. Celiac Disease in a Patient with Ulcerative Colitis and Primary Sclerosing Cholangitis Hazem Tabbaa, DO1, Rida Rafiqui, DO2, Abby R. Sapp, DO3, Alex Yarbrough, DO3; 1Franciscan Alliance, Lemont, IL; 2Franciscan Health St. James Olympia Fields, Morton Grove, IL; 3Franciscan Alliance, Olympia Fields, IL

P2562. An Unusual Case of GI Metastasis From Adenocarcinoma of the Lung Juan Menjivar, MD1, Azif Zamir, MD2, Rex Huang, MD2, Andrew Dentino, MD2, Bilal Nazif, DO2, Daniel Varela, MD2; 1UTRGV, McAllen, TX; 2UTRGV, Edinburg, TX

P2563. Celiac Strikes Back: Recurrent Celiac Disease After Intestinal Transplantation Long Vu, MD1, Alomari Mohammad, MD1, Shrouq Khazaaleh, MD2, May Olayan, MD1, Abdullah Shatnawei, MD1, Kareem Abu-Elmagd, MD, PhD1; 1Cleveland Clinic, Cleveland, OH; 2King Abdullah University Hospital, Ramtha, Irbid, Jordan

P2564. From Eosinophilic Gastroenteritis to Chronic Eosinophilic Leukemia: A Case of Hypereosinophilia Billy-Joe Liane, MD1, Maria T. Kurtz, DO1, John Gancayco, MD2; 1San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX; 2Brooke Army Medical Center, San Antonio, TX

P2565. Acute Abdomen with Ileus: A Heralding Presentation of Neuroleptic Malignant Syndrome Kishore Kumar, MD, Chukwunonso Chime, MD, Ahmed Alemam, MD, Manjeet Dhallu, MD; BronxCare Health System, Bronx, NY

P2566. Rare Case of Primary Small Intestinal Malignant Melanoma Presenting With Intussusception and Bowel Obstruction Abhinav Tiwari, MD1, Khola Qamar, MD2; 1UTMC, Toledo, OH; 2UTMC, Perrysburg, OH

P2567. A Case of Celiac Crisis in an Elderly Male Kavya Kelagere Mayigegowda, MD1, Megan Emmich, DO1, Aditya Kalakonda, MD2, David Desilets, MD, PhD1; 1University of Massachusetts Medical School - Baystate Medical Center, Springfield, MA; 2University of Massachusetts, Baystate Medical Center, Springfield, MA

P2568. Cryptosporidium: A Potentially Fatal Cause of Diarrhea in a Heart Transplant Recipient Anne Borja, MD1, Andrew E. Lee, MD1, Ben Bluen, MD1, Shelley Hankins, MD1, Dong Heun Lee, MD2; 1Drexel University College of Medicine/Hahnemann University Hospital, Philadelphia, PA; 2Drexel University, Philadelphia, PA

P2569. Immunoglobulin a Vasculitis in a Middle-Aged Male Matthew Chadwick, DO1, Leonid Shamban, DO1, John Macksood, DO2; 1Genesys Regional Medical Center, Grand Blanc, MI; 2Flint Gastroenterology Associates, Grand Blanc, MI

P2570. Aberrant Right Hepatic Artery Leading to Duodenal Obstruction Vinay Yalamanchi, DO, Aaron Reiprich, DO, Michael Sciarra, DO; Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ

P2571. A Rare Cause of Acute Abdomen: Spontaneous Isolated Superior Mesenteric Artery Dissection Rikhil Kochhar, MD, Rajiv Mallipudi, MD, Swami Nathan, MD; Hackensack Meridian Health Mountainside Medical Center, Glen Ridge, NJ

P2572. A Case of Everted Appendix With Benign Appendicial Nodule Masquerading as Appendiceal Mucocele: A Case Report Amaan Shafi, MD, Mohamed Azab, MD; University of Nevada Las Vegas School of Medicine, Las Vegas, NV

P2573. Duodenal Hyperplastic Polyp Masquerading as a Bleeding Tumor Yang Liu, MD, Craig M. Womeldorph, DO, Ryan Cho, MD; San Antonio Uniformed Services Health Education Consortium, San Antonio, TX

P2574. When Gastroenteritis Is too Mainstream: Eosinophilic Gastroenteritis Vinod Nagabhairu, MD, Manbeer S. Sarao, MD, Aswani Nagabhairu, MD, Vinod Nookala, MD; University of Pittsburgh Medical Center Pinnacle, Harrisburg, PA

P2575. A Deadly Diagnostic Dilemma of Celiac Disease Vikram Patel, MD, Colleen Caprio, MD, Simran Sidhu, MBBS; Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL

P2576. Idiopathic Intestinal Angioedema: A Diagnostic Dilemma Laith Numan, MD1, Omar Abughanimeh, MD1, Mohammad Tahboub, MD1, Yousaf Zafar, MD1, Nedaa Husainat, MD1, Mouhanna K. Abu Ghanimeh, MD2; 1University of Missouri, Kansas City, MO; 2Henry Ford Hospital, Detroit, MI

P2577. A Case of Superior Mesenteric Artery Syndrome Associated with Acute Pancreatitis Amna Mehdi, DO1, Nima Raminfar, DO1, Suhail Salem, MD1, Jeevan Vinod, MD2, Taruna Bhatia, MD2, Shil Patel, DO1, Jonelle George, DO1, Marc Sheinman, DO1; 1CarePoint Health, Bayonne, NJ; 2CarePoint Health Bayonne Medical Center, Bayonne, NJ

P2578. Serendipitous Abdominal Discomfort: A Rare Case of Sporadic Non-Ampullary Duodenal Carcinoma in a 31-Year-Old Male Hasan Zahid, MD, MBBS, Ghulam Mustafa Aftab, MD, MBBS, Ramla Abbas, MD, MBBS, Mujtaba Butt, MD; Orange Park Medical Center, Orange Park, FL

P2579. Multi-focal Intussusception With Concurrent Appendicitis in an Adult Female Christienne Shams, MD1, Soumail Patwardhan, MBBS2, Atulkumar Patel, MD2; 1William Beaumont Hospital, Royal Oak, MI; 2Beaumont Health, Royal Oak, MI

P2580. Intussussception and Ileal Ulceration: A Case of Recurrent Near-Tetraploid Diffuse Large B-Cell Lymphoma of the Small Intestine Steven N. Mathews, MD1, Rachel Niec, MD, PhD1, John Allan, MD1, Carl Crawford, Jr., MD2; 1NewYork-Presbyterian Weill Cornell Medical Center, New York, NY; 2Weill Cornell Medicine, New York, NY



P2581. Late Presenting Celiac Disease and Atypical T-Cell Lymphoproliferative Disorder Erick Argueta, MD, Chiazotam Ekekezie, MD, Breton Roussel, MD, Valerie Carter, MD, Mark LeGolvan, DO, Lijuan Wang, MD, Colleen R. Kelly, MD; Warren Alpert Medical School of Brown University, Providence, RI

P2582. Isolated Intestinal Ganglioneruoma Mimicking Small Bowel Crohn’s Disease Madhuri Badrinath, MBBS, Dhruv Lowe, MD, Divey Manocha, MD, Nisha Ramani, MBBS; SUNY Upstate Medical University, Syracuse, NY

P2583. The Crystal Method: GI Manifestations of Cryocrystalglobulinemia Patrick McCabe, MD, MEd, Nikhil Agarwal, MD, Ryan Johnson, MD, Parul Patel, MD; California Pacific Medical Center/Sutter, San Francisco, CA

P2584. Whipple’s Disease Presenting as Severe Cachexia and Failure to Thrive Corey R. O’Brien, MD, Thomas McCarty, MD, Daria Madeeva, MD, Camila Odio, MD, Samir Gautam, MD, Mark Siegel, MD; Yale New Haven Hospital, New Haven, CT

STOMACH

P2585. Clinichopathological and Endoscopic Features of Helicobacter pylori-Negative Early Gastric Cancer Hiroya Ueyama, MD, PhD, Kohei Matsumoto, MD, PhD, Kenshi Matsumoto, MD, PhD, Atsushi Ikeda, MD, Noboru Yatagai, MD, Yoichi Akazawa, MD, PhD, Hiroyuki Komori, MD, Kentaro Izumi, MD, Kumiko Ueda, MD, PhD, Mariko Hojo, MD, PhD, Takashi Yao, MD, PhD, Akihito Nagahara, MD, PhD; Juntendo University School of Medicine, Bunkyo-Ku, Tokyo, Japan

P2586. Reflux Symptoms in Patients With Gastroparesis: Prevalence, Severity, and Correlation With Gastroparesis Symptoms and Gastric Retention Presidential Poster Award Asad Jehangir, MD1, Henry P. Parkman, MD2; 1Reading Hospital - Tower Health, Reading, PA; 2Temple University Hospital, Philadelphia, PA

P2587. Efficacy and Safety of Trans-Oral Incisionless Fundoplication Performed by Gastroenterologists Ali Raza, MD1, Marc Catalano, MD1, Erik F. Rahimi, MD1, Hani A Zamil, MD2, Bijun S. Kannadath, MBBS, MS3, Julie Guider, MD1, Reena V. Chokshi, MD4, Brooks D. Cash, MD, FACG1, Todd Wilson, MD1, Erik Wilson, MD1, Nirav Thosani, MD2; 1University of Texas Health Science Center at Houston, Houston, TX; 2University of Texas Health Science Center at Houston / McGovern Medical School, Houston, TX; 3University of Arizona College of Medicine, Phoenix, AZ; 4UT Health - McGovern Medical School, Houston, TX

P2588. Rethinking the Test-and-Treat Strategy: Dyspepsia Is Not Associated With H. pylori Infection in a Northern California Population Justin Yu, MD, Artin Galoosian, MD, Jesse Liu, MD; California Pacific Medical Center, San Francisco, CA

P2589. High Efficacy of Vonoprazan-Based First-Line and Second-Line Eradication Therapy for i>Helicobacter pylori Infection Has Been Maintained Since 2015 in Japan Kiyonori Yamai, MD, PhD1, Tadashi Shimoyama, MD, PhD2, Daisuke Chinda, MD, PhD2, Hitoshi Ogasawara, MD, PhD3, Shinsaku Fukuda, MD, PhD2; 1Hirosaki University Graduate School of Medicine, Odate Municipal Hospital, Odate, Akita, Japan; 2Hirosaki University Graduate School of Medicine, Hirosaki-shi, Aomori, Japan; 3Odate Municipal Hospital, Odate, Akita, Japan

P2590. Efficacy of Levofloxacin-Based Triple Therapy Regimen Compared to Bismuth Sub Citrate Quadruple Therapy in Eradication of H. pylori Infection in Patients With Intellectual Disabilities and Developmental Delay (IDDD) Rehan Rais, MD, Farhan Hassan, Naureen Ali, MD, Tariq Hassan, MD; Netherton Office, St. Louis, MO

P2591. Siglec-8, a Novel Selective Target for Eosinophilic Gastrointestinal Diseases (EGIDs) Found on Eosinophils and Mast Cells in Human Tissue Bradford Youngblood, PhD1, Emily Brock, MS1, John Leung, BS1, Christopher Bebbington, PhD1, Nenad Tomasevic, PhD1, Henrik S. Rasmussen, MD, PhD1, Kathryn Peterson, MD2; 1Allakos, Inc., San Carlos, CA; 2University of Utah, Salt Lake City, UT

P2592. History of Eating Disorder in Patients With Gastroparesis Symptoms: More Severe Postprandial Fullness and Delayed Gastric Emptying Helen B. Murray, BA1, Asad Jehangir, MD2, Henry P. Parkman, MD3; 1Drexel University, Philadelphia, PA; 2Reading Hospital - Tower Health, Reading, PA; 3Temple University Hospital, Philadelphia, PA

P2593. Effect of Long-Term Proton Pump Inhibitor Use on Iron Absorption: A Systematic Review Priyanka Priyanka, MD1, Sarah Sofka, MD, FACP1, Gorman Reynolds, MD2; 1West Virginia University Hospital, Morgantown, WV; 2West Virginia University Hospital, Ruby Memorial Hospital, Morgantown, WV

P2594. Effect of Helicobacter pylori Eradication on Low-Density Lipoprotein Cholesterol in Patients With Type 2 Diabetes Omar Alsalman, MD1, Ahmed Shady, MD2, Priyanka Yerragorla, MD2, Mohammed Al-juboori, MD2, Hala Boktor, MD2, Aulio Bustos, MD2, Marwah Alchalabi, MBChB3, Jennifer Harley, MD 4, Nora Bergasa, MD2; 1Metropolitan Hospital, New York Medical College, New York, NY; 2Metropolitan Hospital, New York, NY; 3Metropolitan, Forest hills, NY; 4NYC Health + Hospitals - Metropolitan Hospital Center, New York, NY

P2595. H. pyloriEradication Trends in the Last 8 Years in an Urban Medical Center in the U.S. Marcus Juan L. Esteban, MD1, Christina Lin, BS, BA2, Prachi Chakradeo, MS1, Xiang Liu, MD2, Mohamad Hemu, MD1, Shriram Jakate, MD1, Salina Lee, MD1; 1Rush University Medical Center, Chicago, IL; 2Rush Medical College, Chicago, IL

P2596. Prevalence and Risk Factors for Helicobacter pylori Among Patients Undergoing Outpatient Endoscopy in South Texas Alfredo Camero, Jr., MD1, Muhammad Haris, MD1, David Valadez, MD1, Pranav Penninti, DO1, Nael Haddad, MD1, Codey Pham, BS1, Mazyar Malakouti, MD1, Chirag Patel, MD1, Yiqing Yang, BS2, Juan Echavarria, MD1, Shail Govani, MD1; 1University of Texas Health San Antonio, San Antonio, TX; 2University Hospital San Antonio, San Antonio, TX

P2597. The Constellation of Upper Gastrointestinal Symptoms and Associated Endoscopic and Histologic Features in Patients Receiving Immune Checkpoint Inhibitors Tenglong Tang, MD, Hamzah Abu-Sbeih, MD, Wenyi Luo, MD, Rashmi Samdani, MD, Wei Qiao, MD, Robert Bresalier, MD, David Richards, MD, Yinghong Wang, MD; University of Texas MD Anderson Cancer Center, Houston, TX

P2598. Vonoprazan versus Proton Pump Inhibitors for Gastric Endoscopic Submucosal Dissection-Induced Ulcers: A Systematic Review and Meta-Analysis Kittika Poonsombudlert, MD, Veeravich Jaruvongvanich, MD; University of Hawaii, Honolulu, HI

P2599. Characterization of Upper Gastrointestinal Symptoms, Gastric Motor Functions, and Triopathy in Patients with Diabetes Mellitus at a Referral Center Victor Chedid, MD1, Justin Brandler, MD1, Priya Vijayvargiya, MD1, Seon-Young Park, MD2, Lawrence A. Szarka, MD1, Michael Camilleri, MD1; 1Mayo Clinic, Rochester, MN; 2Chonnam National University Hospital, Gwangju, Seoul-t’ukpyolsi, Republic of Korea


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P2600. Abnormalities of Gastric Slow Wave Propagation on Cutaneous High Resolution Electrogastrogram Are Associated with More Severe Clinical Symptoms Armen A. Gharibans, PhD, Todd Coleman, PhD, Hayat Mousa, MD, David Kunkel, MD; University of California San Diego, La Jolla, CA

P2601. High-Density Multichannel Electrode Array Improves the Accuracy of Cutaneous Electrogastrography Across Subjects With Wide-Ranging BMI Armen A. Gharibans, PhD, Todd Coleman, PhD, Hayat Mousa, MD, David Kunkel, MD; University of California San Diego, La Jolla, CA

STOMACH Clinical Vignettes/Case Reports

P2602. A Rare Case of Severe Ischemic Gastropathy Causing Upper GI Bleed Jonathan Pinto, MD, Joan Culpepper-Morgan, MD, Jeff C. Anucha, MD, Alvaro Genao, MD, Neil Resnick, MD; Harlem Hospital Center, New York, NY

P2603. Gastrointestinal Occurrence of a Glomus Tumor Nisha M. Singh, MD1, Farhoud Khosravi, DO2, Tanvir Khosla, MD3; 1St. Joseph’s Hospital and Medical Center, Phoenix, AZ; 2Arizona Centers for Digestive Health, Gilbert, AZ; 3Martin Luther King Jr. Community Hospital, Los Angeles, CA

P2604. Metastatic Gastric Adenocarcinoma Diagnosed Following Spontaneous Bacterial Peritonitis: A Rare Complication of Malignant Ascites David W. Dornblaser, MD, MS1, Christian Torres, MD1, Giulio Quarta, MD2, Denise McCulloch, MD, MPH1; 1New York University School of Medicine, New York, NY; 2NYU School of Medicine, New York, NY

P2605. More Than Polyps: A Rare Case of Gastric Plasmacytoma Sandra Gomez-Paz, MD1, Rabab Hajar, MD1, Kaleem Rizvon, MBBS, FACG2; 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Meadow, NY

P2606. Organoaxial Gastric Volvulus Complicated by Gastric Outlet Obstruction Kara Raphael, MD1, Matthew Whitson, MD, MSEd2; 1Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY; 2Northwell Health Physician Partners, Manhasset, NY

P2607. The Pepcid Pustulosis Problem: An Unusual Side Effect Akhil Sureen, BA1, Adelynn Vadrar, BS2, Firas Siddique, BA2, Patrick DeSanto, BA2; 1American University of Antigua, Tustin, CA; 2American University of Antigua, Brooklyn, NY

P2608. Gastric Outlet Obstruction as the Initial Presentation of Locally Advanced Urothelial Carcinoma Karl Andersen, DO, Assad Munis, DO, Ryan Hoff, DO, Alan Shapiro, MD; Advocate Lutheran General Hospital, Park Ridge, IL

P2609. A Rare Case of Delayed Gastric Ulcerations Several Months After Y-90 Radioembolization for Hepatic Carcinoid Tumor Jeffrey Prochot, DO1, Brad Solomon, DO1, Scott Siglin, MD1, Suzanne Iwaz, MD2, Jacob Bitran, MD1; 1Advocate Lutheran General Hospital, Park Ridge, IL; 2University of Illinois at Chicago, Chicago, IL

P2610. Percutaneous Transesophageal Gastrostomy (PTEG) as an Alternative When PEG Is Contraindicated Konstantin Boroda, MD1, Nirmal Guragain, MD1, Hilary Hertan, MD, FACG2; 1Montefiore Medical Center Wakefield Campus, Bronx, NY; 2Montefiore Medical Center, Bronx, NY

P2611. Fasciola Hepatica Infection Mimicking a Gastric Tumor Lesly Calixto-Aguilar, MD1, George Vasquez-Rios, MD2, Jheferson Contreras-Grande, MD1, Wilder Ramos-Castillo, MD1, Edson Guzman-Calderon, MD1, Luis Marcos, MD3; 1Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru; 2St. Louis University Hospital, Lima, Peru; 3Global Health Institute, Lima, Peru

P2612. Fungal Peptic Ulcer Disease in an Immunocompetent Patient Ridwaan Albeiruti, MD1, Hiren Vallabh, MD2, Justin Kupec, MD2; 1West Virginia University School of Medicine, Morgantown, WV; 2West Virginia University Hospital, Morgantown, WV

P2613. Gastric Leiomyoma Causing GOO in a Roux-en-Y Gastric Bypass Patient Shino Prasandhan, MD1, Bobby Jacob, MD1, Kaleem Rizvon, MBBS, FACG2; 1Nassau University Medical Center, East Meadow, NY; 2NUMC, East Meadow, NY

P2614. An Unexpected Cause of Superior Vena Cava Syndrome Frances Rodriguez-Berrios, MD, Angel Morales Santiago, MD, Carlos Fernandez-Cruz, MD, Jaime Martinez-Souss, MD; VA Caribbean Healthcare System, San Juan, Puerto Rico

P2615. A Case of Emphysematous Gastritis - Rare Disease With High Mortality Rajarajeshwari Ramachandran, MD, Diana Whitehead, MD, Ji Rhee, MD; Greater Baltimore Medical Center, Baltimore, MD

P2616. A Rare Symptomatic Congenital Hernia in an Octogenarian Ami P. Patel, DO, MBA, Dorsa Samsami, DO, Chloe Lee, DO, Asif Lakha, MD; Advocate Lutheran General Hospital, Park Ridge, IL

P2617. Gastrointestinal Kaposi Sarcoma: An Underdiagnosed Entity Barakat Aburajab Altamimi, MD, Rahman Nakshabendi, MD, Woodlyne Roquiz, DO, Mohamad Mokadem, MD; University of Iowa Hospitals & Clinics, Iowa City, IA

P2618. Hidden Dangers and Updated Labels on Gastric Balloons Sindhura Kolli, MD, Andrew Ofosu, MD, MPH, Krishna C. Gurram, MD; The Brooklyn Hospital Center, Brooklyn, NY

P2619. Plexiform Fibromyxoma: Curable by Endoscopic Mucosal Resection Dayah Rawan, MD, Guo Eric, MD, Bhatt Asmeen, MD, PhD, Mohammad Bilal, MD, Sheharyar Merwat, MD, Praveen Guturu, MD, FACG, Sreeram Parupudi, MD, FACP, FACG; University of Texas Medical Branch, Galveston, TX

P2620. The Gut Offending the Brain: An Unusual Presentation of Pernicious Anemia Mimicking Catatonic Schizophrenia Temitayo Gboluaje, MD, Titilope Olanipekun, MD, MPH, Taiwo A. Ajose, MD, Micheal Flood, MD; Morehouse School of Medicine, Atlanta, GA

P2621. A Rare Diagnosis with a Rare Etiology: A Case of Retching-Induced Gastric Emphysema Zubair Khan, MD, CMQ1, Toseef Javaid, MD1, Benjamin Hart, MD, PhD, MPH2, Ali Nawras, MD1; 1University of Toledo Medical Center, Toledo, OH; 2University of Toledo College of Medicine, Toledo, OH

P2622. Mixed Germ Cell Tumor With Metastasis to Liver and Stomach: A Case of Multi-Gastrointestinal Organ Involvement Mimi Van, DO1, Tushar Gohel, MD2; 1Midwestern University, Gilbert, AZ; 2Midwestern University, College of Osteopathic Medicine, Scottsdale, AZ

P2623. Emphysematous Gastritis: A Case of Survival with Non-Operative Medical Management Mimi Van, DO1, Sudhakar Reddy, MD2; 1Midwestern University, Gilbert, AZ; 2Mountain Vista Medical Center / Midwestern University, Mesa, AZ

P2624. It’s Not Recurrence? Robert Summey, MD1, Mohamad A. Mouchli, MD2, Douglas Grider, MD, FCAP, FASDP3; 1Virginia Tech Carilion School of Medicine, Roanoke, VA; 2Carilion Clinic, Roanoke, VA; 3Carilion Clinic, Virginia Tech School of Medicine, Roanoke, VA



P2625. Acute Neurological Syndrome Mimicking Stroke in a Post-Gastric Sleeve Surgery Patient Taimoor Khan, MD1, Alsadiq Al hillan, MD2, Diana Curras, MD3, Ravneet S. Bajwa, MD4, Mujtaba Mohamed, MD4, Mohammad A. Hossain, MD4, Arif Asif, MD5; 1Jersey Shore University Medical Center/Hackensack Meridian Health, Neptune City, NJ; 2Jersey Shore University Medical Center/Hackensack Meridian Health, Neptune, NJ; 3Jersey Shore University Medical Center/Hackensack Meridian School of Medicine at Seton-Hall, Neptune City, NJ; 4Jersey Shore University Medical Center/Hackensack Meridian School of Medicine at Seton-Hall, Neptune, NJ; 5Jersey Shore University Medical Center/Hackensack Meridian School of Medicine at Seton-Hall, Neptune city, NJ

P2626. Gastric Wall Emphysema: A Benign Finding After Intractable Retching - Two Case Reports Ahmed Al-Chalabi, MD1, Benjamin Hart, MD, PhD, MPH2, Thomas Sodamen, MD1, Ali Nawras, MD1; 1University of Toledo Medical Center, Toledo, OH; 2University of Toledo College of Medicine, Toledo, OH

P2627. Gastric Sarcoidosis: A Rare Manifestation of the Disease Suneha Sundaram, MD1, Myra Chai, MD2, Narasimha Swamy Gollol Raju, MD3, Glenn Harvin, MD4; 1East Carolina University/Vidant Medical Center, Greenville, NC; 2VMC/ ECU Brody School of Medicine, Greenville, NC; 3Vidant Medical Center, Greenville, NC; 4East Carolina University, Greenville, NC

P2628. Diospyrobezoar Formation in Patient With Sleeve Gastrectomy Jared Magee, DO, MPH, Ioannis Papadopoulos, MD; Madigan Army Medical Center, Joint Base Lewis-McChord, WA

P2629. Do You Eat Healthy? You May Need a Diet Coke! A Case Report of Successful Non-Surgical Phytobezoar Treatment Rohit Gupta, DO1, Ahmed Shady, MD2, Raffat Batool, MD3, Jennifer Harley, MD 2; 1NYC Health + Hospitals - Woodhull Medical and Mental Health Center, New York, NY; 2NYC Health + Hospitals - Metropolitan Hospital Center, New York, NY; 3New York University School of Medicine, Woodhull Medical and Mental Health Center, Brooklyn, NY

P2630. Identifying the GAPPS in Hereditary Gastric Polyposis Syndromes Alyssa Anderson, MD1, Linnea Swanson, BA2, Regina Plummer, DO1, James Abraham, MD1; 1University of Minnesota, Minneapolis, MN; 2University of Minnesota Medical School, Minneapolis, MN

P2631. Gastric Adenocarcinoma Presenting With Dysphagia and Heart Block Yamam I. Al-Saadi, MD1, Mohammad Bilal, MD2, Praveen Guturu, MD, FACG2; 1University Of Texas Medical Branch Galveston, Galveston, TX; 2University of Texas Medical Branch, Galveston, TX

P2632. Metastatic Gastric Signet Cell Carcinoma to Colon Masquerading as Diverticulitis Vandan Panchal, MD, MPH, Charles Reisdorf, ANPC, Diane Hall, MD, PhD, Samir Parikh, MD, MBA, Vivek Kak, MD, Vishal Gupta, MD, PhD; Henry Ford Allegiance Health, Jackson, MI

P2633. Pyloric Gland Adenomas: Histologically Distinct yet Phenotypically Diverse Neoplasms of the GI Tract Tai Hang Ho, MD, Lawrence J. Brandt, MD, MACG ; Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY

P2634. Use of Helicobacter pylori Antibiotic Resistance Testing on Paraffin Embedded Gastric Biopsy Tissue Nelson Garcia, MD, James Leavitt, MD, Curtis L. McCarty, III, MD; Gastro Health, LLC, Miami, FL

P2635. A Rare Case of Primary Gastric MALToma with Hepatocytes Found in the Stomach! Ahmed Shady, MD1, Nicole Gomez, MD1, Silvia Fernandez, MD1, Jennifer Harley, MD 2, Melissa Kang, MD3; 1Metropolitan Hospital Center, New York, NY; 2NYC Health + Hospitals - Metropolitan Hospital Center, New York, NY; 3Metropoltan Hospital Center, New York, NY

P2636. The Utility of Transabdominal Ultrasound in Percutaneous Endoscopic Gastrostomy Tube Placement: A Novel Approach Henry Jen, MD1, Eduardo Quintero, MD2, Michael Clores, DO2, Juan Carlos Bucobo, MD2; 1Stony Brook University Hospital, Sands Point, NY; 2Stony Brook University Hospital, Stony Brook, NY

P2637. Aerosplenomegaly: Case of Gastrosplenic FIstula and Splenic Abscess in Lymphoma Ashima Kapoor, MD1, Sushant Nanavati, MD1, Vinod Kumar, MD1, Shoaib Azam, MD2, Fnu Komal, MD1, Monisha Singhal, MD1; 1St. Joseph’s University Medical Center, Paterson, NJ; 2St. Joseph’s University Medical Center, Woodland Park, NJ

P2638. Gastric Glomus Tumor: A Rare Incidental Finding Rahma Aldhaheri, MBBS, Steven Zeddun, MD, Sana Tabbara, MD, Marie Borum, MD, EdD, MPH; George Washington University, Washington, DC

P2639. This Looks Malignant but Is It Really Cancer? A Case of Symptomatic Systemic Amyloidosis Presenting as Granulomatous Gastroduodenitis Asad Ur Rahman, MD1, Muhammad Talha Khan, MD2, Effa Zahid, MBBS3, Roger Charles, MD1; 1Cleveland Clinic Florida, Weston, FL; 2Carle Foundation Hospital, Champaign, IL; 3Services Institute of Medical Sciences, Lahore, Punjab, Pakistan

P2640. Use of Helicobacter pylori Antibiotic Resistance Testing on Paraffin Embedded Gastric Biopsy Tissue Jonathan Williams, DO1, Thomas Mientus, MD2, Yogesh Patel, DO2; 1Gastroenterology Consultants of the North Shore, Kenilworth, IL; 2Illinois Gastroenterology Group, Libertyville, IL

P2641. Prophylactic Gastrectomy in Hereditary Diffuse Gastric Cancer Hussein Al Jobori, MD1, Grigoriy Rapoport, MD1, Juan Castano, MD1, Muhammed Gulzar Nathani, MD, FACP, FACG2, Asif Zamir, MD3; 1University of Texas Rio Grande Valley School of Medicine, Edinburg, TX; 2Kelsey-Seybold Clinic, Spring, TX; 3Renaissance Gastroenterology / UTRGV, Edinburg, TX


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 2018 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.

Immediately following the conclusion of the Postgraduate Course on Sunday, October 7, join colleagues for the ACG 2018 Opening Welcome Reception in the Exhibit Hall from 5:15 pm – 7:00 pm. The reception will feature hors d'oeuvres 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.

ACG 2018 EXHIBITORS INCLUDE

AbbVieAdler Micromed, Inc.ADVANCED PATHOLOGY SOLUTIONSAerodiagnosticsAkcea TherapeuticsAkcea Therapeutics - MedicalAlfasigma USA, Inc.AllerganAlnylam Pharmaceuticals, Inc.American Association for the Study of Liver DiseasesAmerican Board of Internal MedicineAmerican College of GastroenterologyAmerican Molecular LaboratoriesAmerican Neurogastroenterology & Motility SocietyAmgenApplied Medical Technology, Inc. AMTAries PharmaceuticalsBanner HealthBassett Healthcare NetworkBayer HealthCare LLCBioFire DiagnosticsBioGaiaBioGastrex LLCBoston ScientificBraintree Laboratories, Inc.Cairn DiagnosticsCalmoseptine Inc.CapsoVision, Inc.CDx DiagnosticsChiRhoClin, Inc.Colorectal Cancer AllianceColoWrap, LLC

Commonwealth Diagnostics International, Inc.Compulink Healthcare SolutionsConmed Endoscopic TechnologiesCook MedicalCRH MedicalCSA Medical, Inc.Daiichi Sankyo, IncDIEM Labs LLCDigestive Care, Inc.Diversatek HealthcareDova Pharmaceuticals, Inc.DRG LaboratoryDWD Medical, Inc.Echosens North America, Inc.EndoGastric SolutionsEndosimEndoSoftEndo-Therapeutics, Inc.EpigenomicsERBE USA, Inc.Exact SciencesFerring Pharmaceuticals Inc.FUJIFILM Medical Systems USA, Inc. Endoscopy DivisionFunctional FormulariesGastro Health, LLCGastroenterology & Endoscopy NewsGastroenterology & HepatologyGI & Hepatology NewsGI PathologyGilead SciencesGlutenosticsgMed, a Modernizing Medicine CompanyGundersen Health SystemHayes Healthcare

Healio Gastroenterology and SLACK Inc.Healix Infusion TherapyHealth Monitor NetworkIM HealthScience® LLCIndiana University Kelley School of Business, Business of Medicine Physician MBAInform DiagnosticsInterceptIFFGDInterpace DiagnosticsJackson & CokerJanssen Biotech, Inc.Kawean Delta Health Care DistrictLabCorpLABORIELocumTenens.comLumeudi LLCMasimo Mayo ClinicMayo Medical LaboratoriesMD-Reports/ Infinite Software Solutions, Inc.Medrobotics CorporationMedspira, LLCMedtronicMerck BiosimilarsMerit Medical EndotekMetabolomic Technologies Inc.Metro Medical (A Cardinal Health Specialty Solutions Company)Metropolitan Healthcare Billing, LLCMicro-Tech EndoscopyMother to Baby Pregnancy Studies MOTUS GINapo Pharmaceuticals, Inc.Naturlax

NextservicesOfficiteOlympus America Inc.Ovesco Endoscopy USAPeacehealthPenn State HealthPENTAX MedicalPfizerPhysicians Endoscopy, LLCPractical GastroenterologyPracticeLinkProMedicaPrometheus Laboratories Inc.QDX Pathology ServicesQOL Medical, LLCQuintron Instrument CompanyRedfield CorporationRedhill BioPharmaResiCal, Inc.Salix PharmaceuticalsSaneso Inc.Satius PharmaceuticalsShionogi Inc.ShireSmart Medical Systems Ltd.Staff Care, Inc.Stratis Medical, Inc.Summa Health SystemSynergy PharmaceuticalsTakeda Pharmaceuticals U.S.A., Inc.TeleflexTorax MedicalUCB, Inc.US EndoscopyWolters KluwerWorld Gastroenterology Organisation (WGO)

ACG 2018 EXHIBIT HALL

EXHIBIT HALL HOURS

Sunday, October 7 . . . . . . . . . . . . . . . . . 3:00 pm – 7:00 pm

Opening Welcome Reception . . . . . . . . . . 5:15 pm – 7:00 pm

Monday, October 8. . . . . . . . . . . . . . . . 10:00 am – 4:45 pm

Tuesday, October 9 . . . . . . . . . . . . . . . 10:00 am – 4:30 pm


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 oral presentation slots in response to

submissions of great merit and clinical interest.

Please do not resubmit abstracts already considered during the regular 2018 abstracts review process.

acgmeetings.gi.org/late-breaking-abstracts

Deadline to submit late-breaking abstracts:

THURSDAY, AUGUST 21, 2018 11:59 pm Eastern Time

ACG 2018 Late-Breaking Abstracts

Acute Diarrheal Infections Mark S. Riddle, MD, DrPH, FACG

Anorectal DisordersWilliam E. Whitehead, PhD, MACG

C. dif� cile (Pseudomembranous Colitis)Christina M. Surawicz, MD, MACG

DyspepsiaPaul Moayyedi, MB, ChB, PhD, MPH, FACG

Gastroesophageal Re� ux Disease (GERD)Philip O. Katz, MD, MACG

Helicobacter pylori (H. pylori) InfectionWilliam D. Chey, MD, FACG

Lower GI BleedingLisa L. Strate, MD, MPH, FACG

Small Bowel BleedingJonathan A. Leighton, MD, FACG

ACG MOBILE: ACCESS KEY RESOURCESat the point of care

NEW DECISION SUPPORT TOOLS for ACG CLINICAL GUIDELINES Developed in partnership with EvidenceCare

DOWNLOAD THE ACG MOBILE APPDownload the app via Google Play or Apple App Store.

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a c g m e e t i n g s . g i . o r gA 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



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