 Dr Reavis with AMA President Dr. Barbara McAneny June 2018 Just as FSIE Board Member Dr Kevin Reavis winds down his tenure as OMA President, he is once again called upon. No rest for the rad! Dr Reavis has been given the huge honor of representing SAGES as one of two AMA Delegates. With the responsibility comes a seat on the SAGES Board of Governors. Way to represent!  Reavis and Oregon Governor Kate Brown on OMA Day March 5, 2019  Dr DeMeester and other highly influential foregut specialist during a panel discussion at the AFS Meeting The American Foregut Society was founded in 2018 with a vision to advocate personalized treatment strategies for patients with foregut disease through a collaborative partnership across disciplines. FSIE Board members Dr Awad, Ujiki, Dunst and Swanstrom attended the event along with multiple previous (and current) FSIE clinical fellows. FSIE President Dr Lee Swanstrom and Innovations team member Dr Steve DeMeester were part of the esteemed faculty each presenting outstanding lectures. Dr Christy Dunst and Dr Lee Swanstrom were honored to join the first official AFS Board of Directors. We look forward to collaborating with AFS to further the mission of FSIE in improving quality and delivery of medical care and education pertaining to all aspects of foregut diseases!  Dr Christy Dunst flanked by her mentors Dr Lee Swanstrom & Dr Tom DeMeester at the AFS Meeting  Current clinical foregut fellows Dr Kelly Haisley & Dr Michael Antiporda completed the final and most brutal part of general surgery training when they passed their oral boards in Philadelphia on March 11, 2019! Cheers to a job well done! Looking forward to watching these young rising foregut stars!
 The 34th annual "Medical and Surgical Aspects of Esophageal & Foregut Disorders: Pathophysiology and Treatment" course was held this past week on the Big Island of Hawaii led by FSIE Innovations Team member and Program Director Dr Steven DeMeester (who barely made it due to a racquetball injury!). FSIE President and Founder Dr Lee Swanstrom spoke on the Future of Endoscopic surgery and other topics as an invited lecturer among other world renowned leaders in esophageal disease. The rest of us got to soak up the sun (and the knowledge of course)- well all except for Lisa and Angi who had to run the show from behind the scenes. Great job everyone!
 FSIE is looking forward to another blockbuster showing at this year’s annual SAGES meeting.
FSIE founder and president Dr Lee Swanstrom will be honored at a special session called "Pearls from the Forefathers of Foregut Surgery” chaired by Board member Dr Mike Ujiki. The session will be a tribute to the most influential contributors and mentors in foregut surgery including Drs Tom DeMeester, John Hunter and Nat Soper. Watch for date and time and more details! Here’s a sneak peek at more FSIE activities. See you there! Wednesday April 3, 2019 TITLE: Optimal Surgical Management of Medically Refractory Gastroesophageal Reflux Disease and Concurrent Esophagogastric Junction Outlet Obstruction Presenter: Michael A Antiporda, MD Session Name: Poster Session Session Date: Wednesday, April 03, 2019 - Saturday, April 06, 2019 Session Time: 8:00 AM - 4:00 PM TITLE: Non-Internal Hernia Bowel Obstructions after Roux-en-y Gastric Bypass Presenter: Brandon W Vanderwel, MD Session Name: Poster Session (Non CME) Session Date: Wednesday, April 03, 2019 - Saturday, April 06, 2019 Session Time: 8:00 AM - 4:00 PM TITLE: The utility of MII testing in making surgical decisions Presenter: Matt Glasgow Session Name: Foregut II - Physiology Session Date: Wednesday, April 3, 2019 Session Time: 3:00 PM - 4:30 PM Thursday April 4, 2019 TITLE: Staying Out of the Wrong Place-Bile Duct, Duodenal, Pancreatic and Other Rare Injuries Presenter: Mark Whiteford, MD Session Name: Reality TV: Colorectal Nightmares Session Date: Thursday, April 4, 2019 Session Time: 7:30 AM TITLE: Hiatal Hernia Repair After Esophagectomy Presenter: Sean R Maloney, MD Session Name: Video Loop Day 2 Session Date: Thursday, April 4, 2019 Session Time: 8:00 AM - 5:00 PM TITLE: Devil`s in the Details: Primary Fundoplication Co-Chair: Kevin Reavis, MD Session Date: Thursday, April 04, 2019 Session Time: 10:00 AM - 11:00 AM TITLE: Colorectal Anastomosis: Must-Have Skills and Tool Kit, Course Director: Mark Whiteford, MD Session Date: Thursday, April 4, 2019 Session Time: 10:00 AM TITLE: Laparoscopic Repair of Strangulated Internal Hernia Presenter: Melissa L Desouza, MD Session Name: Bariatric I - Complications Session Date: Thursday, April 4, 2019 Session Time: 10:00 AM - 12:00 PM Talk Title: Esophagogastric Leak Presenter: Christy M Dunst, MD Session name: Reality TV: Foregut Surgery Mishaps, Disasters and Calamities Session Date: Thursday April 04, 2019 Session Time: 11:00:00 AM - 12:00:00 PM Room: 314-317 TITLE: Hands On Course ADOPT: Laparoscopic Right Hemicolectomy with Intra-corporeal Anastomosis Faculty: Mark Whiteford, MD Session Date: Thursday, April 4, 2019 Session Time: 12:00 PM TITLE: SAGES- Parts Unknown Co-Chair Lee Swanstrom,MD Session Date: Thursday, April 04, 2019 Session Time: 4:00 PM - 5:30 PM TITLE: Crural Blowout Years After Laparoscopic Repair of Recurrent Paraesophageal Hernia Presenter: Michael A Antiporda, MD Session Name: Foregut III Session Date: Thursday, April 4, 2019 Session Time: 4:00 PM - 5:30 PM Friday April 5, 2019 TITLE: Endoscopic Resection of a Large Mediastinal Esophageal Leiomyoma Presenter: Kelly R Haisley, MD Session Name: Plenary I Session Date: Friday, April 5, 2019 Session Time: 7:30 AM - 8:30 AM TITLE: Neurectomy with Hybrid Laparoscopic-Robotic Device for Chronic Groin Pain After Open Inguinal Hernia Repair Presenter: Kelly Haisley, MD Session Name: Inquinal and Ventral Hernia Session Date: Friday, April 5, 2019 Session Time: 10:30 AM - 12:00 PM TITLE: Thoracoscopic Visualization of a Long Endoscopic Esophageal Myotomy for Spastic Achalasia Presenter: Kelly Haisley, MD Session Name: Flexible Endoscopy I Session Date: Friday, April 5, 2019 Session Time: 10:30 AM - 12:00 PM TITLE: Devil is in the Details: Taking an Appropriate History for Gastroesophageal Reflux Disease Presenter: Kevin Reavis, MD Session Name: Masters Foregut: Evaluating Patients for Antireflux Surgery Best Practices and Pitfalls, Setting Expectation and Avoiding Poor Outcomes Session Date: Friday, April 5, 2019 Session Time: 1:30 PM - 4:30 PM TITLE: Laparoscopic Repair of A Large Morgagni Hernia Presenter: Walaa F Abdelmoaty, MD, MBA Session Name: Exhibit Hall Theater Video Session IV Session Date: Friday, April 5, 2019 Session Time: 1:30 PM - 4:00 PM Saturday April 06, 2019 Talk Title: How I Do It: Video and Technical Pearls for POEM Presenter: Christy M Dunst, MD Session name: Updates on Achalasia Session Date: Saturday April 06, 2019 Session Time: 11:30:00 AM - 1:00:00 PM Room: 314-317  Dr. Shail Rupakheti was a visiting international fellow with FSIE in 2012 where he spent time observing a multitude of foregut and hepatobiliary procedures as well as joining the team at the annual SAGES conference in Baltimore. This year, Innovations team members Dr. Paul Hansen and Dr. Ron Wolf had the opportunity to visit Dr. Rupakheti as invited guest lecturers at the XIV International Conference of society of surgeons of Nepal (SSN) Kathmandu, Nepal November 30-December 1, 2018. The Society of surgeons of Nepal (SSN) is an official professional non-profit organization of surgeons of Nepal. It was established on June 1992 as a non-government organization to provide platform to share knowledge and experiences among surgeons for mutual benefit. It aims to promote professional, academic development of surgeons and surgical residents in order to provide quality, standard, scientific, evidence based surgical services in Nepal. Dr. Wolf presented “Safety of Minimally Invasive Pancreaticoduodenectomy in the Era of MIS” and Dr. Hansen spoke on “Techniques for Liver Tumor Ablation”.
Congratulations to FSIE Laboratory Coordinator and Student Program co-director Dr. Walaa Abdelmoaty on his new position as a general surgery resident with the OHSU Department of Surgery Walaa moved to the United States in 2011 after completing an orthopedic surgery residency and obtaining a master’s degree in healthcare administration in his native home of Egypt. As a result of his exceptional performance as a resident, Walaa received a scholarship from the Egyptian Ministry of Health to study business management with the focus on healthcare in the United States. The plan was to complete a two year master’s degree in the US and return to Egypt to work as a consultant to the Minister of Health for healthcare reform and build a surgical practice. However, after few months of starting the MBA program at University of Portland, the Egyptian government collapsed with the beginning of the Egyptian revolution. All the previous plans were gone- replaced with drastic changes and violent instability that comes with such revolution. With the sudden loss of Egyptian support, the Abdelmoaty family prepared for permanent residency in the United States. Walaa finished his MBA and found work as a business development specialist for Pacific Nanoscience Inc. and as medical instructor at both Heald College and University of Portland teaching anatomy, pathology, pharmacology and biology. Walaa came to FSIE in 2015 and quickly became one of our most valuable Innovation Team members as an exceptionally reliable, considerate and competent post graduate researcher. It soon became readily apparent that he deserved a formal fellowship position and he was awarded the NOTES Research Fellowship at The Providence Cancer Center. In addition, he was promoted to FSIE laboratory coordinator where he was responsible for running a multitude of post graduate educational labs such as the bi-annual hands on POEM course and the FSIE Summer Internship skills labs. Walaa is incredibly bright and thorough. As such his research accomplishments are many including authorship on multiple scientific publications, numerous national podium presentations and receiving a prestigious research grant which lead to international collaboration and travel opportunities to the IRCAD in Strasbourg, France. In addition to his professional accomplishments, but equally important, Walaa has a uniquely kind and even temperament. His compassion for others and respect for human beings and the work he does is simply remarkable and admirable. FSIE will miss him dearly but of course, we are absolutely thrilled for him to fulfill his dream of clinical medicine as he begins his general surgical residency at OHSU. Walaa undoubtedly has a bright future and will be an excellent resident, researcher and clinician in his surgical residency program and beyond. Congratulations Walaa aka “Dr A”!
The FSIE POEM course remains a popular destination for physicians to learn the skills of submucosal endosurgery. This week the team hosted a new crop of surgeons and gastroenterologists to a 2 day course including an intensive hands on skills lab and observation of live cases. Participants were able to complete multiple POEM procedures throughout the day in the lab and relax with a fabulous course dinner at Portland's Noble Rot restaurant. Cases began bright and early the following morning where they observed the endoscopic removal of a large submucosal esophageal mass and two endoscopic myotomies for achalasia.
Thank you to our industry sponsors who always make sure participants have access to trial all the latest and greatest endosurgery tools and technology with a collaborative attitude.    Great time had by all at the 7th Annual FSIE Summer Celebration at Ecotrust in downtown Portland! The Innovations team and friends happily cleaned up and exchanged their daily scrubs for an elegant night on the town. Money was raised for programs such as the FSIE Summer Internships, research scholarships and educational travel awards. Thank you to all who made the party such a success and to everyone who contributes to the mission of FSIE to inspire, innovate and educate! See you next summer!  The students ended the academic portion of the FSIE Summer Internship program with a special hands on didactic in the lab. The team headed out to the off-site FSIE partner lab facility for an outstanding session on electrosurgery. We started off with an introductory didactic where they got to hear how all their physics classes do actually pay off in real surgical applications (V=IR, Ohm's law anyone?). Then they performed flexible endoscopic surgery on live and explant human simulation models. The day concluded with an absolutely mind blowing and inspiring lecture about the future of medicine by Dr Lee Swanstrom (TED talks ain't got nothin' on our FSIE President!). A huge thanks goes to John Day and ERBE for supporting this lab! It was a perfect way to end the summer student program!  Congratulations to the FSIE Undergraduate Summer Surgical Interns! This year the formal 6 week program received a record number of applicants from around the country. The committee made final selections in the fall and the lucky winners are (top left clockwise in photo): Anthony Jones Cal State East Bay Hannah Creasey Lewis and Clark Naly Setthavongsack Portland State University Natalie Bolton Creighton University Roshini Mudunuru Purdue University It has been a pleasure getting to know this group of bright and motivated students as they head into the last few weeks of the program. The interns have been busy! In addition to ample hands on labs in the PSSI, operating room experiences and clinical shadowing they have been productive researchers working on a variety of projects. They also learned about sterile technique, anesthesia and robotic surgery from our Providence Portland Medical Center Operating Room partners and have had weekly lectures from expert surgeons in the fields of foregut, colorectal, endocrine, hernia, thoracic and hepatobiliary surgery. We look forward to the upcoming hands-on electrosurgery laboratory and “Future of Surgery” lecture by Founder and President Dr Lee Swanstrom followed that night by the certificate ceremony at the 7th Annual FSIE Summer Celebration! Thanks to Co-Direcor Walaa Abdelmoaty, SIM lab coordinator Rosen Ilchev, student coordinator Matt Glasgow, administrator Lisa Leeth and the entire Innovations Team for making this internship program such a success!   Digestive diseases week (DDW) was held in Washington, DC over the past several days. FSIE had a strong showing! Special congratulations goes to Dr Ahmed Zihni for presenting "Laparoscopic Heller Myotomy VS POEM: Evolving Criteria for Treatment Selection" which took a critical look at not only the clinical outcomes of the two procedures but also the role insurance plays in the once doctor-patient decision for treatment. The work was also given the prestigious honor of being highlighted in the "Best of DDW" all society session. Great job team! Some other FSIE DDW highlights include:
  Congratulations to Portland Surgical President (and FSIE innovations team member) Dr. Valerie Halpin and the committee for creating another outstanding program for the annual Portland Surgical Scientific Session held at Good Samaritan Hospital. This year marks the first time in history that all four society executives were women surgeons since the society's inception in 1948. While appreciating this nod toward gender equality, we were reminded that as a surgical community, we may still have work to do. Dr Heather Hoops and colleagues from OHSU presented their findings demonstrating gender-based differences in surgical resident training. Their study showed that mid-level male trainees were given more autonomy than their female counterparts despite similar objective technical aptitude. This difference disappeared by their chief years. This timely and thought provoking work lead to a discussion of potential etiologies. Are gender-based "differences" necessarily discriminatory on the part of the instructors? Or perhaps they reveal gender-based differences in learning styles and/or perceptions of confidence (possibly over confidence) that impact the instructors willingness to let go of the reigns. This type of work and discussion signifies an inspiring willingness to investigate important issues citywide among Portland surgeons. During the conference, the society also tackled quality and performance improvement issues in a lecture by invited guest professor Dr Vance Sohn. His lecture was flanked by a multitude of scientific presentations highlighting the important work done by surgical investigators throughout the city. Here are the FSIE highlights:
  The Annual Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) meeting in Seattle was a resounding success. Congratulations to the multiple FSIE Team members who presented their work! The meeting was held at the Seattle Convention Center with the end of the week celebration at the Museum of Flight. But the highlight was certainly getting together for the Annual Swanstrom/FSIE reunion! Great to see everyone!
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