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Welcome Message from the President of USG Eamon Mackle.

Dear Colleagues and FriendsIt is once more my pleasure to welcome you to the Hilton Hotel, Templepatrick for the Spring meeting ofthe Ulster Society of Gastroenterology. I hope and expect that you should find sufficient in the programmethat will be both interesting and educational.

This spring meeting we are testing a new format and the morning will have a focus on trainees with aseparate Symposium for SpRs in Gastroenterology and Surgery. Our own Dr Tony Tham kicks off thetrainee session with a talk on JETS/JAG. This is followed by Mrs Louisa Graham, Head of OrganisationalDevelopment at the Royal Preston Hospital. She is leading a session on something I still haven’t mastered:Difficult conversations and conflict management. As a mere surgeon one thinks enviously that perhaps SirLancelot Spratt had it easy within the hospital hierarchy in his day!

The main meeting is split into a Pancreatic Cyst Section and an IBD Section. The afternoon leads with DrMike Mitchell discussing the role of endoscopic ultrasound and whether it makes any difference. Dr EoinNapier will advise us on how to appropriately investigate pancreatic cysts. The session before coffee closeswith Mr Tom Diamond advising us when do we refer these patients to the HPB surgeons.

After coffee we are privileged to have Dr Sara Mc Cartney, Consultant Gastroenterologist, University CollegeLondon Hospitals talking on Transition in IBD Care- How should patients be managed?. This is followed byDr David Kevans, Consultant Gastroenterologist, St James’s Hospital, Dublin talking on Penetrating Intra-abdominal Complications of Crohns Disease – Medical versus Surgical management. After the two talks weplan to discuss a couple of difficult cases.

In April 2013 we held the BIG meeting in the Waterfront Hall. This was an ambitious meeting which I amdelighted to say was a great success. In October last year we entered in to discussions with the BSGregarding the possibility of another BIG meeting. I am pleased to announce that on 27th and 28th April2017 we will be holding the meeting in the Europa Hotel and would ask you to keep the dates free in yourdiaries.

A meeting like todays doesn’t happen without a lot of behind the scenes work. I am indebted to Dr PatrickAllen and Dr Jenny Addley for their dedication in planning this meeting. Most importantly I would like tothank our friends in the industry for their continued support and to thank Michael and Cora for all the hardwork they do in producing the programme and organizing the venue and meeting.

Lastly I would like to thank all the speakers and also you for attending and helping to make the meetinga success.

Eamon MacklePresident Ulster Society of Gastroenterology

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PROGRAMMEHilton Hotel Templepatrick

29th April 2016

Trainee Symposium (for GI and Surgical SpRs only)

09.00 Breakfast, Registration and Meet the Industry

09.30 JETS/JAG-What is it all about? Dr Tony Tham, Consultant Gastroenterologist, Ulster Hospital Dundonald

10.00 Difficult conversations and Conflict managementMrs Louisa Graham,Head of Organisational development,Royal Preston Hospital

12.00 Lunch, Registration and Meet the Industry

USG Main Meeting (open to all)

13.00 Pancreatic Session “The Multi-disciplinary management of Pancreatic Cystic Lesions.”

Medical – Endoscopic Ultrasound for pancreatic cysts- does it change management? Dr Michael MitchellConsultant Gastroenterologist, Belfast City Hospital.

Radiology – What scans are appropriate and how to interpret them? Radiology for pancreatic cystic lesions Dr Eoin NapierRadiology Consultant, Belfast Trust.

Surgical –When do you need to refer to the surgeon?Mr Tom DiamondConsultant in Hepatobiliary and Pancreatic Surgery,Mater Hospital Belfast.

Case presentations and Panel Discussion

14.15 Coffee and Meet the Industry

14.45 IBD session

Transition in IBD Care- How should patients be managed? Dr Sara Mc Cartney Consultant GastroenterologistUniversity College London Hospitals

Penetrating Intra-abdominal Complications of Crohns Disease – Medical versus Surgical managementDr David KevansConsultant GastroenterologistSt James’s Hospital, Dublin

Complex IBD Case presentations and discussion with the panel

16.30 USG Business Meeting all members are invited to attend

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BiographiesMr Eamon MackleConsultant Surgeon Southern TrustPresident USG

Eamon Mackle confesses to being ageneral surgeon, albeit with interests inGI surgery and the pelvic floor. He hasbeen a Consultant in Craigavon AreaHospital for 21 years and is the SouthernTrust's Associate Medical Director for Surgery and ElectiveCare. He is President of the USG and President elect of theUlster Medical Society. He is a past member of AUGIS Council. He is a member

of the Intercollegiate Committee for Basic SurgicalExaminations as well as a member of the IMRCS paper paneland the OSCE subgroup. He is an undergraduate examinerfor QUB as well as being an undergraduate andpostgraduate examiner for RCSI.

Dr Patrick Allen Consultant GastroenterologistSecretary USG

Dr Patrick Allen is a ConsultantGastroenterologist working in the SouthEast Trust. He graduated from Queen'sUniversity of Belfast in 2002. Hecompleted his training in NI and completed a fellowship inSt Vincent’s Hospital, Melbourne in Endoscopy and IBD. Hehas been Secretary for the Ulster Society of Gastroenterologysince 2012 and was on the organising committee for the BIGMeeting held in the Waterfront Hall in 2013. His maininterests are IBD and Endoscopy.

Dr Jenny Addley Consultant GastroenterologistTreasurer USG

Dr Jenny Addley Graduated from TrinityCollege Dublin in 2002 and completedher Gastroenterology Training inNorthern Ireland Deanery. She iscurrently employed as a ConsultantGastroenterologist in the Ulster Hospital,Dundonald. WithinGastroenterology, Jenny has an interest in Hepatology andQuality Improvement, is a member of the Faculty of MedicalLeadership and Management and has recently beenappointed Alcohol Care Team Lead for the South EasternTrust. Jenny is also involved with the BSG SWiG group(Supporting Women in Gastroenterology) and currentlyparticipates in their Mentorship Programme for newconsultants.

Dr Tony C.K. ThamMB BCh BAO, MD, FRCP, FRCPIUlster Hospital, Dundonald, Belfast

Dr Tham qualified from the Queen’sUniversity of Belfast’s medical school.He trained as a gastroenterologist andphysician in the Northern Ireland trainingprogram. He completed his training asan Advanced Gastroenterology Fellow in the Brigham andWomen’s Hospital, Harvard Medical School, Boston, MA,USA. He has been Consultant Physician and Gastroenterologist

in the Ulster Hospital, Dundonald, Belfast since 1997. Duringthis time, he has developed gastroenterology services in theUlster Hospital, especially in therapeutic endoscopy andERCP. His other interests include inflammatory boweldisease (IBD). He has more than 60 publications in peerreviewed journals. He is the first author of a book entitled“Gastrointestinal Emergencies”. He is currently co-writingthe third edition. He has contributed to several other book chapters. He is

the Head of the School of Medicine, Northern Ireland Medicaland Dental Training Agency. He sits on the SpecialistAdvisory Committee for general internal medicine at the JointRoyal College of Physicians Training Board. He is also onthe British Society of Gastroenterology committee on clinicalstandards. He is an assessor for doctors applying for entryinto the specialist register. He is an examiner for the RoyalCollege of Physicians and also Queen’s University. He hasassisted in obtaining funding for IBD nurses and biologicaltherapy in N. Ireland.

Mr Thomas DiamondConsultant in Hepatobiliary and Pancreatic Surgery, Mater Hospital Belfast. Senior Lecturer in Surgery, Queen’s University Belfast.Mr. Thomas Diamond is a General Surgeon in the Mater

Hospital, Belfast. His areas of interest are Pancreatic surgery/disorders and Hepatobiliary (Surgery).

Dr Sara McCartney Consultant GastroenterologistUniversity College London Hospitals

Dr Sara McCartney is a consultantgastroenterologist at The WellingtonHospital with special interests in generalgastroenterology, ulcerative colitis,Crohn's disease, IBS, diverticular disease, bowel cancerscreening and adolescent gastroenterology.Dr McCartney is an accreditated bowel cancer screening

colonoscopist in the National screening programme and isan examiner in colonoscopic accreditation. She has asubspeciality interest in inflammatory bowel disease andstudied inflammatory mechanisms in IBD for her PhD thesisDr McCartney is chairman of the Adolescent and Young

Person's section at the British Society of Gastroenterology.Dr McCartney is also a consultant gastroenterologist at

University College London Hospital where she is also thechairman of gastroenterology.

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Mrs Louisa GrahamAssociate Director for Workforce &Organisational DevelopmentLancashire Teaching Hospitals NHSFoundation Trust

Louisa has over 10 years experiencein maximising organisationaleffectiveness through people. Shespecialises in organisational development and has provencompetence in leadership development, changemanagement, employee engagement, training evaluation aswell as assessment and selection. Prior to joining the NHS, she worked as an Organisational

Psychologist for Greater Manchester Police and more recentlythe Dove Nest Group. Here she managed large-scale projectsand through planned interventions she was able to influencethe strategic direction of the organisation.Louisa is an experienced and able facilitator; her

approach is flexible and positive combining focus on bestprofessional practice with an understanding of differentorganisational cultures. She has proven skills in dealing withpeople at all levels of an organisation.Louisa is a full member of the Division of Occupational

Psychology within the British Psychological Society (BPS).She holds Level A and Level B (intermediate) Certificate inOccupational Testing.

Dr Michael MitchellConsultant Gastroenterologist, Belfast City Hospital.

Consultant Gastroenterologist at BelfastHealth & Social Care TrustConsultant Gastroenterologist/ General PhysicianEndoscopy Training Lead, Belfast Healthand Social Care Trust. Queens University Belfast MB BChBAO, Medicine 1987 – 1992.Clinical interests include therapeutic endoscopy includingendoscopic ultrasound and ERCP, detection andmanagement of early GI cancer, endoscopic palliation of GImalignancy.

Dr David KevansConsultant GastroenterologistSt James’s Hospital, Dublin

Dr Kevans graduated with an HonoursMedical Degree in 2001 from UniversityCollege Dublin. He undertookpostgraduate training on the Irish HigherMedical Training Scheme in Gastroenterology achievingSpecialist Certification in 2011. He subsequently took up athree year appointment as an Advanced Fellow inInflammatory Bowel Disease (IBD) at Mount Sinai Hospital /University of Toronto, one of the largest IBD centres in NorthAmerica. During his fellowship he was also co-appointed tothe Hospital for Sick Children Toronto, Adolescent IBDTransition Service and the University Health NetworkToronto, Intestinal Failure Unit. He was appointed as aConsultant Gastroenterologist at St James’s Hospital and aSenior Clinical Lecturer at Trinity College Dublin inSeptember 2014. He is currently clinical lead of the IBDprogramme at St James Hospital which provides bothregional and tertiary level care for IBD patients. Dr Kevanshas a strong research pedigree having completed 2 years oftranslational research during his training resulting in theawarding of a Medical Doctorate from the National Universityof Ireland. He also received a Canadian Institutes of HealthResearch award to support his research activities at theUniversity of Toronto. His current research interests includethe pharmacokinetics of monoclonal antibody therapies,biomarkers in inflammatory bowel disease, intestinalmicrobiota in health and disease and the impact of nutritionon gastro-intestinal health. He has presented research atnumerous national and international meetings and hasauthored a significant number of publications.

Jenny Addley Honorary Treasurer USG & Mark Fitzmaurice Sword Medical

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Poster Viewing Poster Viewing

Poster Viewing Graham Morrison & Patrick Allen

Grant Russell, Takeda Dr Jon Shaffer, Salford Clinic

Section of Audience Section of Audience

Eamon Mackle & Norah Scally Patrick Allen in deep concentration

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Jurgen Mulsow, Mater Hospital Dublin Top Table

USG Autumn Meeting Belfast 2015

Delegates interacting with the industry during break

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Delegates interacting with the industry during break

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EXHIBITORS

Abbott

AbbVie Limited

Actavis UK Ltd

Boston Scientific

Cardiac Services

Cook Medical

Dr Falk Pharma UK

Endosurgical NI Ltd

Ferring Ltd

Fleetwood Healthcare Ltd

Fresenius Kabi Ltd

Hospital Services Ltd

Intercept Pharma

Mylan

Napp Pharmaceuticals Ltd

Norgine Pharmaceuticals Ltd

Pharmacosmos UK Ltd

Pro Strakan

Sword Medical

Takeda UK Limited

Tillotts Pharmaceuticals

Vifor Pharma UK

The above sponsors have supported this meeting through a payment to exhibit a stand and have no involvement in

the academic programme of this meeting.

Ulster Society of Gastroenterology Officer Members

Mr Eamon MackleConsultant SurgeonPresident USG

Dr Patrick AllenConsultant Gastroenterologist

Secretary USG

Dr Jenny AddleyConsultant Gastroenterologist

Treasurer USG

Coffee Break

Delegates interacting with the industry during break