Course Overview

This is the 34th year of the course, “Medical and Surgical Aspects of Esophageal and Foregut Disorders: Pathophysiology and Treatment”.  This year we are pleased to again bring together outstanding leaders in the field of Esophageal Disease as faculty and special guests.  The faculty brings broad experience in benign and malignant esophageal disease from diverse locations throughout the United States and Europe to ensure a comprehensive, state-of-the-art yet balanced approach to the diagnosis and management of patients with esophageal and foregut disorders.

We are extremely pleased to announce that our special guest surgical faculty this year is Dr. Jesper Lagergren and our special guest medical faculty is Dr. Christopher Thompson.  

Dr. Lagergren is Professor and Chairman of Upper Gastrointestinal Cancer at King’s College London as well as Professor and Consultant of Surgery at Karolinska Institute in Stockholm, Sweden. He is also a member of the Nobel Assembly. He authored the New England Journal of Medicine article linking gastroesophageal reflux with esophageal adenocarcinoma, in addition to hundreds of other important papers.  Most recently he has linked PPI use with esophageal cancer.

Dr. Christopher Thompson practices at Brigham Women’s Hospital and is Associate Professor of Medicine at Harvard Medical School in Boston, MA. He is the current Chair of the Association of Bariatric Endoscopy. Dr. Thompson is an internationally recognized thought leader in the endoscopic management of bariatric patients including complications of bariatric surgical procedures, and is the editor of the first textbook on Bariatric Endoscopy. You will not want to miss this opportunity to have these giants in their fields share their experiences and insights with you.  

Further, the course remains grounded with the core faculty and additional guest faculty including co-directors Steve DeMeester and Phil Katz, associate director Jeff Peters, emeritus directors Tom DeMeester and Don Castell, board member Stu Spechler, returning faculty Felice Schnoll-Sussman, Para Chandrasoma, Lee Swanstrom and Daniela Molena along with guest faculty Guilherme Campos and Pernilla Lagergren.

For those that have not been before, the course is specifically designed to have the feel and interaction of a small-group classroom environment where questions, comments and discussion are encouraged.  The course is open to all physicians and allied health personnel with an interest in esophageal and foregut disorders and is particularly appreciated by gastroenterologists and gastrointestinal surgeons who focus on the diagnosis and treatment of patients with esophageal disorders, and for those who have or are interested in developing a swallowing center and function as a team to collaboratively approach esophageal problems.  The lectures are detailed and supported by existing literature and on-going research to provide cutting-edge information that can be immediately applied to patient care.  Each lecture is followed by ample time for often vigorous discussion and interaction between the faculty and attendees as areas of controversy are further explored and debated.  Featured topics this year include Esophageal Function and Dysmotility, Obesity, Achalasia, Barrett’s Esophagus and Esophageal Cancer.

In addition, the interactive audience response session that was initiated the last two years will continue this year with a session on the Super Bowl of Esophageal Physiology and Pathophysiology and great prizes will be given to the winners. As in prior years there will be “Interactive New Technology” break-out sessions and Hands-on Certificate Sessions where participants will get added exposure to valuable new technologies or procedures and be provided  instruction, assistance and information exchange from the faculty. It promises to be a truly interesting, informative and enjoyable educational experience!  We hope you can join us on the beautiful Big Island of Hawaii this February!



This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Surgeons and Foundation for Research and Education in Esophageal and Foregut Disease. The American College of Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™: The American College of Surgeons designates this live activity for a maximum of 31.25 CME    AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABS MOC Program: This activity will also provide self-assessment credits towards Part 2 of the ABS MOC Program. In order to claim self-assessment credits toward Part 2 of the American Board of Surgery (ABS) Maintenance of Certification (MOC) Program, eligible learners must complete and pass (75% passing rate) a graded quiz. Please note that only ABS qualified surgeons are eligible for MOC credit.

Of the AMA PRA Category 1 Credits™ listed above, a maximum of 28.25 SA/MOC credits meet the requirements for Self-Assessment.


Thursday, February 21
6:00 A.M.Continental Breakfast / Introductions and WelcomeDr. S DeMeester
Dr. P Katz
Session 1: Esophageal Diagnostics and Metabolic SurgeryTotal 5.75
6:30 A.M.Evaluation of Esophageal function: HRM and Beyond1.00Dr. P Katz
7:15 A.M.Discussion 
7:30 A.M.Why the LES is Still Relevant1.00Dr. T DeMeester
8:15 A.M.Discussion 
8:30 A.M.Natural History and Relevance of a Hiatal Hernia1.00Dr. S DeMeester
9:00 A.M.Discussion 
9:15 A.M.Metabolic Surgery: Candidates, Procedure Options and Outcomes0.50Dr. G Campos
10:00 A.M.Discussion 
10:15 A.M.Coffee Break and Case Discussions 
10:45 A.M.Endoscopic Bariatric Procedures and Beyond0.75Dr. C Thompson
11:30 A.M.Discussion 
11:45 A.M.Superbowl of Esophageal Physiology and Pathophysiology0.75Dr. P Katz
Dr. D Castell
12:45 P.M.Discussion 
1:00 P.M.Lunch: Interesting Case Presentations with Panel Discussion by Faculty 
1:45 P.M.Discussion 
2:00 P.M.Hands On Sessions:
Motility Hands On
5:30 P.M.WELCOME RECEPTION for All Participants 
Friday, February 22
Session 2: Metabolic Surgery and GERDTotal 6.00
6:00 A.M.Continental Breakfast / Case Presentation: Bariatric0.50Portland
6:30 A.M.Incidence and Management of GERD Before and After Metabolic Surgery1.00Dr. G Campos
7:15 A.M.Discussion 
7:30 A.M.Endoscopic Interventions for GERD and Beyond0.75Dr. L Swanstrom
8:15 A.M.Discussion 
8:30 A.M.The Role of Obesity in GERD and Complications of GERD1.00Dr. J Lagergren
9:15 A.M.Discussion 
9:30 A.M.Coffee Break and Case Discussions 
10:15 A.M.Bariatric Surgery: What Can/Will Go Wrong and How to Work Up?1.00Dr. G Campos
10:45 A.M.Discussion 
11:00 A.M.Pathology of GERD1.00Dr. Chandrasoma
11:45 A.M.Discussion 
12:00 P.M.Current AGA Guidelines for GERD and BE: Progress or Retreat?1.00Dr. S Spechler
12:30 P.M.Discussion 
12:45 P.M.Lunch Deep Dive: Implementing Pathology into the Current Understanding of GERD, BE and AdenocarcinomaDr. Chandrasoma
1:45 P.M.Discussion 
2:00-4:00 P.M.*Hand On Session
4:00-5:00 P.M.Cocktail Reception for Hands On Participants 
  * Additional registration fee 
Saturday, February 23
6:00 A.M.Continental Breakfast / The Future of Endoscopic Surgery0.50Dr. L Swanstrom
Session 3: GERD and Bariatric Surgery Outcomes SessionTotal 4.50
6:30 A.M.Endoscopic Interventions for Complications of Esophageal and Bariatric Surgery1.00Dr. C Thompson
7:15 A.M.Discussion 
7:30 A.M.PPIs and Cancer Risk: The Swedish Data1.00Dr. J Lagergren
8:15 A.M.Discussion 
8:30 A.M.Break-out Rooms with Industry
6–7 rooms, 20 minutes in each roomNO CME
 1. Mucosal Impedance: A New Testing Paradigm for Diagnostic Testing (Sandhill/Diversatek)Plantation 2
Dr. Katz
 3. Enhanced Esophageal Biopsy and Tissue Analysis (CDX)Oahu Room
Dr. Louie
 5. Comprehensive Esophageal Assessment of GERD Patients with Cellvizio (Mauna Kea)Plantation 3
Dr. Dunst
 7. PDT for Esophageal Disease (Pinnacle Biologics)Maui Room
Dr. Molena
10:30 A.M.Coffee Break and Case Discussions 
11:00 A.M.PPIs and cancer risk: GI response0.75Dr. S Spechler
11:45 A.M.Discussion 
12:00 P.M.Current Role of LINX in GERD and PEH1.25Dr. S DeMeester
12:30 P.M.Discussion 
12:45 P.M.Lunch Debate: Non-Pharmacologic Options for GERD are UnderutilizedDr. J Peters
Dr. S Spechler
1:30 P.M.Discussion 
1:45 P.M.Adjourn  
Sunday, February 24 – FREE DAY
Monday, February 25
6:00 A.M.Early Risers Video Session (Endoscopic Zenker's)0.50Portland
Session 4: Esophageal Dysmotility SessionTotal 4.25
6:30 A.M.Continental Breakfast / Diagnosis, Subtypes and Role of Botox and PD for Achalasia0.50Dr. F Schnoll-Sussman
7:15 A.M.Discussion 
7:30 A.M.Foregut Motility Disorders and Diverticula: Options and How I choose my Approach for Therapy0.75Dr. L Swanstrom
8:15 A.M.Discussion 
8:30 A.M.Reflux after Achalasia Therapy: Management, Implications and Should it Impact our Choice of Therapy? 0.75Dr. P Katz
9:00 A.M.Discussion 
Session 5: Barrett's Esophagus and Esophageal Cancer Session ATotal 2.25
9:15 A.M.Epidemiology of Esophageal Adenocarcinoma: from Risk Factors to Worldwide Incidence1.00Dr. J Lagergren
10:00 A.M.Discussion 
10:15 A.M.Coffee Break and Case Discussions 
10:45 A.M.Endoscopic Therapy for HGD and T1a Cancer: Long Term Outcomes0.75Dr. S DeMeester
11:15 A.M.Discussion 
11:30 A.M.Debate: Does the Extent of Lymphadenectomy Impact the Outcomes of Esophagectomy?0.75Dr. J Lagergren
Dr. D Molena
12:15 P.M.Discussion 
12:30 P.M.Adjourn 
6:30 P.M.Farewell Reception 
Tuesday, February 26
6:00 A.M.Early Risers Video Session (Barrett's Ablation)0.50New York
6:30 A.M.Continental Breakfast/Case Presentation: Barrett's0.50New York
Session 6: Barrett's Esophagus and Esophageal Cancer Session BTotal 3.25
7:00 A.M.Antireflux Surgery, BE and Esophageal Adenocarcinoma0.75Dr. J Lagergren
7:45 A.M.Discussion 
8:00 A.M.Post-Neoadjuvant Therapy Restaging: Is Esophagectomy Optional?0.75Dr. D Molena
8:30 A.M.Discussion 
8:45 A.M.Endoscopic Interventions for Palliation of Esophageal Cancer and Post-Esophagectomy Complications0.75Dr. F Schnoll-Sussman
9:15 A.M.Discussion 
9:30 A.M.Strategies to Improve Outcomes with Esophagectomy 0.75Dr. P Lagergren
10:00 A.M.Discussion 
10:15 A.M.Coffee Break and Case Discussions 
10:45 A.M.Late Complications after Esophagectomy: Work-up and Management0.75Dr. D Molena
11:15 A.M.Discussion 
11:30 A.M.Recovery and QOL After Treatment for Esophageal Cancer0.75Dr. P Lagergren
12:00 P.M.Discussion 
12:15 P.M.Adjourn 



The Medical and Surgical Aspects of Esophageal and Foregut Disorders 2019 conference will be held at the Fairmont Orchid. This spectacular four diamond 32-acre luxury oceanfront resort is located along the beautiful Kohala Coast. You can enjoy a sugar-white sandy lagoon and aquamarine waters, spa, and six restaurants. The resort is located about 22 miles from the Kona Airport (KOA).


Rates include complimentary resort fee, a value of $30 per day which includes many services such as self-parking and internet access.

Tax of 13.42% is not included and will be added to your room bill at check-out.


Fairmont category, $309

 Partial Ocean View, $349

 Ocean View, $379

Deluxe Ocean View $399 (very limited)


The online registration for the 2019 Course is now closed. If you are interested in attending the 2020 Course, please click here and fill out the early interest form.