Dietary recommendations for IBS patients
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WORLD GASTROENTEROLOGY NEWS www.worldgastroenterology.org
Official e-newsletter of the World Gastroenterology Organisation
VOL. 23, ISSUE 2 OCTOBER 2018
Dietary recommendations
for IBS patients
In this issue
Dan L. Dumitrascu, MD, PhD, AGAF, RFF
2nd Dept. of Internal medicine
Iuliu Hatieganu University of Medicine and Pharmacy
Cluj-Napoca, Romania
Train the Trainers Irritable bowel syndrome (IBS) is a very common condition everywhere (despite differ-
Advanced Workshop in Portugal ences in reporting prevalence across the world) 1 and gastroenterologists are challenged
Guilherme Macedo, MD, PhD, FASGE, AGAF, daily with issues linked to persistence of symptoms and resistance to therapy. This is a
FACG, FAASLD functional gastrointestinal disorder;2 both patients and physicians associate the digestive
Helena Tavares de Sousa, MD, FEBGH symptoms of abdominal pain and changes in frequency of bowel movements/consis-
Anca Trifan, MD, PhD, FRCP(London), FEBGH
Wojciech Marlicz MD, PhD, FACG
tency of stool with food intake.
Indeed, the association between the type of meals and the digestive symptoms is so
obvious that all patients are aware of this. This is encountered in most digestive condi-
tions: gastroesophageal reflux disease, dyspepsia of all causes, malabsorption, etc. There-
fore, when gastroenterologists consult patients with suspected or confirmed IBS, they
have to inquire if the patients may attribute their bowel symptoms to a certain category
of food. If an association exists, physicians should decide if the symptoms represent the
expression of IBS another condition, like disaccharides intolerance, celiac disease, food
allergy, etc.
Reflections from Rwanda Endoscopy
Week 2017 Strategy of the dietary recommendations in IBS
Cristina Rutherford, MD Knowing what foods our patients consider to be harmful is of paramount importance
Shikama Felicien, MD because thanks to this we can decide what to recommend to our IBS patients. Indeed,
dietary indications are not only a must for the management of every IBS patient, but
are one of the most expected recommendations from our patients who consult us.
Getting information about patients’ dietary habits is usually possible during the
interview for taking the medical history via directed open questions. Using lists of foods
to be ticked off by the patient or analyzing alimentary diaries is also possible but rather
more useful for research, less for daily practice.
Thus, one should follow several steps during the medical interview of our IBS pa-
tients (table 1):
Continued on page 4
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
2
Contents
VOL. 23, ISSUE 2 Expert Point of View
Editors
Dietary recommendations for IBS patients 1
Christina M. Surawicz, MD, MACG Dan L. Dumitrascu, MD, PhD, AGAF, RFF
Professor of Medicine
Division of Gastroenterology Editorial
Associate Dean for Faculty Development
University of Washington School of Medicine
Seattle, Washington, USA Message from the Editors 6
Mário Reis Álvares-da-Silva, MD, PhD
Christina M. Surawicz, MD, MACG
Mário Reis Álvares-da-Silva, MD, PhD
Professor of Hepatology Gastro 2018
Hospital de Clinicas de Porto Alegre
Universidade Federal do Rio Grande do Sul Gastro 2018 - WGO/GAT International Conference:
Porto Alegre, Brazil
Global Perspectives in Gastroenterology in Bangkok 7
World Congress of Gastroenterology 2019, Istanbul 8
e-WGN Editorial Board WDHD News
• Anita Afzali, USA
• Min-Hu Chen, China
• Dan Dumitrascu, Romania
WDHD 2018 Highlights 9
• Sara Elfadil, Sudan
• Amy Foxx-Orenstein, USA WDHD 2018 in Kazakhstan:
• Ernst Fredericks, South Africa
“World Day of Healthy Digestion” 11
• Waseem Hamoudi, Jordan
• Nassir Alhaboob Arabi Mohammad, Sudan
• VG Naidoo, South Africa World Digestive Health Day in Karachi, Pakistan 12
• Alejandro Piscoya, Peru Zaigham Abbas, MD
• Naoya Sakamoto, Japan
• Michael Schultz, New Zealand
• C. Wendy Spearman, South Africa World Digestive Health Day in Venezuela 13
• Miguel Valdovinos, Mexico Gisela Romero, MD
• Haleh Vaziri, USA Edgardo Mengual, MD
• Lu Xia, China
Managing Editor WGO & WGOF News
James Melberg, WGO Program Manager
Art Production ‘Microbiota Hard Talks - Live from Texas Medical
Jennifer Gubbin
Center’ Continues to Attract Large Numbers
Editorial Office of Viewers 15
WGO Executive Secretariat
555 East Wells Street, Suite 1100
Milwaukee, WI 53202 USA Microbiota Hard Talks 17
info@worldgastroenterology.org
WGO at Digestive Disease Week 18
https://www.facebook.com/WorldGastroOrg
WGO Train the Trainers Khartoum 2018 20
https://twitter.com/WorldGastroOrg
https://www.linkedin.com/company/world-gastro-
Train The Trainers Workshop (by the World
enterology-organisation-wgo-wgo-foundation Gastroenterology Organization) in Khartoum, Sudan:21
www.worldgastroenterology.org
©2018 World Gastroenterology Organisation. No part of this publication may be reproduced, stored in a
retrieval system, or transmitted in any form without the prior permission of the copyright owner.
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
3
Contents
Train the Trainers Advanced Workshop in Portugal 25 “Astana-Gastro 2017” Forum with International
Guilherme Macedo, MD, PhD, FASGE, AGAF, FACG, FAASLD participation in Kazakhstan 38
Helena Tavares de Sousa, MD, FEBGH, Portugal
Anca Trifan, MD, PhD, FRCP(London), FEBGH, Romania
Wojciech Marlicz MD, PhD, FACG, Department of Gastroenterol- Reflections from Rwanda Endoscopy Week 2017 39
ogy, Pomeranian Medical University, Szczecin, Poland Cristina Rutherford, MD
Shikama Felicien, MD
Asian Pacific Digestive Week 2017 28
Justin C. Y. Wu, MBChB, MD, FRCP (Lond, Edin), FHKAM, FHKCP, Saudi Digestive Disease Forum 41
AGAF
WGO Exhibits Around the Globe in 2018 42
Celebrating 25 Years of UEG Week 30
WGO Global Guidelines
World Hepatitis Day 2018 33
Cihan Yurdaydin, MD WGO Guidelines News 43
Naima Amrani, MD
Saeed Hamid, MD
Calendar of Events
The 17th Iranian Congress of Gastroenterology and
Hepatology (ICGH 2017) 37 Calendar of Events 45
Akram Pourshams, MD
©2018 World Gastroenterology Organisation. No part of this publication may be reproduced, stored in a
retrieval system, or transmitted in any form without the prior permission of the copyright owner.
4
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
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Continued from first page.
Table 1: Steps to be observed for the dietary management of IBS there is no reason to forbid coffee in
No. Activity IBS patients (except for the few who
1 Ask about dietary habits, intolerances, beliefs, attributions associated to symptoms claim diarrhea after coffee ingestion).
Tea has also no implication in IBS;
2 Decide if the information obtained from the patient is reliable, logical, plausible
if digestive symptoms occur after tea
3 Consider a differential diagnosis in addition to IBS
consumption, the nature of the symp-
4 Validate or reject the food associations reported by the patient toms should be clarified. Use of coffee
5 Formulate recommendations according to medical evidence and individual prefer- and tea should be left to the options
ences
of the patients.
6 Negotiate with the patient the adherence to these recommendations
Alcohol
In alcohol-consuming IBS patients,
Which foods are incriminated by MAPs in the managing of IBS the use should not be forbidden if it is
IBS patients? Effect of FODMAPs symptoms, there is a growing body of not linked to symptoms (empirically
Presently the most incriminated foods evidence supporting the efficacy of the more frequently observed diarrhea).
in IBS are the so-called FODMAPs. low FODMAP diet.5 Advising our Of course the use of alcohol should be
This is a quite recent acronym for patients with IBS to decrease their in- in generally accepted amount and not
fermentable sugars and alcohols. take of FODMAPs has been reported in excess.
FODMAP stands for Fermentable to reduce abdominal symptoms in 2
Oligosaccharides, Disaccharides, to 4 weeks.6 Gluten
Monosaccharides and Polyols.3 In- There are also other opinions With the actual interest on gluten
deed, there are many empirical reports stating that it is not only the com- sensitivity induced by mass-media,
of worsening IBS symptoms related position of food, i.e. the FODMAPs many IBS patients give up from own
to fermentable food. Fermentable composition is important, but also the initiative the consumption of gluten.
oligosaccharides include very poorly regular healthy dietary advice7: regular However, there is no argument to
absorbed carbohydrates like short meals, low consumption of caffeine forbid gluten unless there is associ-
chain fructooligosaccharides or fruc- and alcohol, fat avoidance. There are ated sensitivity, because the role of
tans; galacto-oligosaccharides; lactose; also concerns about an excessive low gluten in IBS is not at all proven.9
fructose; polyols include sorbitol, FODMAPs diet, which could lead to Even if patients affirm they feel better
xylitol, maltitol etc. These compounds hypocalcemia, low intake of fibers and with a gluten-free diet, the role of the
are found in many foods like cereals, changes in gut microbiota.8 Note placebo effect has to be considered.
legumes, vegetables, fruits. that experts suggest that patients It is recognized now, however, that
Typical vegetables and legumes adhere to a strict FODMAP diet for there is an entity of non-celiac gluten
high in FODMAP are: garlic, onions, no more than a few months. hypersensitivity.
artichoke, asparagus, beans, ba- The alimentary pyramid of IBS
nana, beetroot, cauliflower, celery, General dietary factors
Beside the fermentable carbohy- patients
mushrooms, peas etc. Fruits high in Given the importance to advise the
FODMAPS are apples, dates, mango, drates and alcohols, general dietary
recommendations are important and patients what to eat, and not only
pears, pine-apples, prunes, raisins, what to avoid, we created a pyra-
watermelons etc.; wheat; spices. It is patients should respect them.
mid of food to be recommended to
therefore advisable to recommend to IBS patients, according to available
Regular meals
patients susceptible to be intolerant evidence.5
Like for healthy people or for many
to high FODMAPs content food to According to this pyramid, the food
other patients, having regular meals
avoid these.4 that IBS sufferers should consume are
at precise hours, in a comfortable en-
The foods poor in FODMAPS are: presented in table 2.
vironment, without hassles and stress
vegetables and legumes: broccoli,
are important for the well-being.
carrots, cucumber, lettuce, potatoes, General recommendations instead
pumpkins, tomatoes; fruits: green ba- Coffee and tea of conclusions:
nanas, berries, grapes, lemon, papaya; Both are very frequently consumed Diet represents a major point of
cereals: corn. We should recommend foods; in patients with associated attack in the management of IBS.
these foods to patients with IBS. gastroesophageal reflux disease, pa- Dietary recommendations should
With respect to the role of FOD- tients should avoid coffee. Otherwise be individualized, based on evidence
5
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Table 2: What IBS patients should eat?: 6. Rao SS, Yu S, Fedewa A. Sys-
Level Recommendation tematic review: dietary fibre and
First Good hydration FODMAP-restricted diet in the
management of constipation and
Second Regular, healthy meals
irritable bowel syndrome. Aliment
Third Bread and pasta several servings daily
Pharmacol Ther 2015; 41: 1256-
Fourth Vegetables up to 5 servings daily 1270
Fifth Fruits: 2-3 servings daily 7. Muir JG, Gibson PR. The low
Sixth Animal or plant proteins: 2-3 servings daily FODMAP diet for treatment of ir-
Seventh Milk and dairy: 2-3 servings daily ritable bowel syndrome and other
Eighth Fats, sweets, spices: moderate consumption gastrointestinal disorders. Gastro-
Ninth Processed and fried food to be avoided
enterol Hepatol (N Y) 2013; 9:
450-452
8. Staudacher HM, Lomer MC, An-
and not dogmatic. Principally healthy 2. Drossman DA et al. Rome IV derson JL, Barrett JS, Muir JG, Ir-
meals are as important as in any other - Functional Gastrointestinal ving PM, Whelan K. Fermentable
disease or in healthy population. Food Disorders: Disorders of Gut-Brain carbohydrate restriction reduces
should be nutritious, balanced and Interaction. 4th ed. Vol. I. Ra- luminal bifidobacteria and gastro-
healthy. Intake of FODMAP contain- leigh, NC: The Rome Foundation, intestinal symptoms in patients
ing foods should be reduced, at least 2016: 646 with irritable bowel syndrome. J
temporarily. Ingestion of meals in- 3. Dugum M, Barco K, Garg S. Nutr 2012; 142: 1510-1518
cluding alcohol and beverages should Managing irritable bowel syn- 9. Biesiekierski JR, Newnham ED,
respect general healthy indications drome: The low-FODMAP diet. Irving PM, Barrett JS, Haines M,
and adapted to individual preferences Cleveland Clin J Med 2016; 83: Doecke JD, Shepherd SJ, Muir
or intolerances, without causing nutri- 655-662 JG, Gibson PR. Gluten causes
tional deficiencies. 4. Gibson PR, Shepherd SJ. Evi- gastrointestinal symptoms in
dence-based dietary management subjects without celiac disease: a
References: of functional gastrointestinal double-blind randomized placebo-
1. Sperber AD, Dumitrascu D, Fu- symptoms: The FODMAP ap- controlled trial. Am J Gastroen-
kudo S, Gerson C, Ghoshal UC, proach. J Gastroenterol Hepatol terol 2011; 106: 508-514
Gwee KA, Hungin APS, Kang JY, 2010; 25: 252-258
Minhu C, Schmulson M, Bolotin 5. Cozma-Petruţ A, Loghin F, Miere
A, Friger M, Freud T, Whitehead D, Dumitraşcu DLDiet in ir-
W. Gut. 2017 ; 66 (6): 1075-1082 ritable bowel syndrome: What to
recommend, not what to forbid to
patients! World J Gastroenterol.
2017 7 ;23 (21):3771-3783.
6
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
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Message from the Editors
Mário Reis Álvares-da-Silva, MD, PhD
Professor of Hepatology
Hospital de Clinicas de Porto Alegre
Universidade Federal do Rio Grande do Sul
Porto Alegre, Brazil
Christina M. Surawicz, MD, MACG
Professor of Medicine, Division of Gastroenterology
Associate Dean for Faculty Development
University of Washington School of Medicine
Seattle, Washington, USA
Greetings from your co-editors Chris meetings in Sudan and Portugal were His essay also ends with a wonderful
and Mario. In this issue you will find resounding successes. Read comments quote that we can all live by. He states
an excellent article on the role of from the attendees themselves, and it is an old saying: “Don’t walk be-
diet in treatment of irritable bowel consider attending or recommending hind me; I may not lead. Don’t walk
syndrome from Dr. Dan Dumitrascu to your colleagues for future pro- in front of me; I may not follow. Just
from Iuliu Hatieganu University in grams. The success of the Porto TTT walk beside me and be my friend.”
Romania. He has extensive experi- program is evident in the many at- Finally it is a year since the success-
ence and shares with us a practical tendee essays in this issue. We direct ful ACG-WGO congress in Orlando
approach to dietary recommendations your attention to them as well as the Florida in 2017, but not too early
for our patients. interesting introductory quote in the to plan to attend Gastro 2018 in
This year’s World Digestive Health essay by Wojciech Marlicz, MD, PhD, Bangkok Thailand from December
Day was focused on viral hepatitis. FACG, Department of Gastroenterol- 5-8, 2018.
We have heard of 19 events in 13 ogy, Pomeranian Medical University, We hope you enjoy this issue, and
countries, and some of those are re- Szczecin, Poland, who states: as always feedback and comments re
ported in this issue. Next year’s topic “Uncertainty has never been as welcome.
will be GI cancer. vivid and important as it is today in Chris and Mario.
Moreover the successful TTT pro- contemporary medicine. The topic of
gram continues to thrive, this year’s leadership and management has never
been so crucial as it is nowadays.”
7 WORLD GASTROENTEROLOGY NEWS OCTOBER 2018 Editorial | Expert Point of View | Gastro 2018 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events Gastro 2018 - WGO/GAT International Conference: Global Perspectives in Gastroenterology in Bangkok The next WGO International Conference, Gastro 2018 - WGO/GAT International Conference: Global Perspectives in Gastroenterology, will be held in partnership with the Gastroenterological Association of Thailand (GAT), together with the Thai Association for the Study of the Liver (THASL), the Thai Neurogastroenterology and Motility Society (TNMS) and the Thai Association for Gastrointestinal Endoscopy (TAGE). Gastro 2018 will be held 5-8 December 2018, in Bangkok, Thailand. For more information, please visit the meeting website at www.gastro2018bangkok.com. Upcoming Major Meetings World Congress of Gastroenterology (WCOG) 2019 - Istanbul, Turkey The next World Congress of Gastroenterology, the World Congress of Gastroenterology 2019, will be held in partnership with The Turkish Society of Gastroenterology (TSG), 21-24 September 2019 in Istanbul, Turkey! World Congress of Gastroenterology (WCOG) 2021 – Dubai, United Arab Emirates Dubai will host the 2021 World Congress of Gastroenterology in a partnership between WGO and the Emirates Gas- troenterology & Hepatology Society. The WCOG is set to take place from 12-15 December 2021 at the Dubai Interna- tional Convention and Exhibition Centre.
8 WORLD GASTROENTEROLOGY NEWS OCTOBER 2018 Editorial | Expert Point of View | Gastro 2018 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events
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WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
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WDHD 2018 Highlights
With the celebration of World Diges- WDHD Events and Success Stories meetings-and-events-calendar?event_
tive Health Day (WDHD) every year The success of WDHD 2018 contin- type=World%20Digestive%20
on May 29th comes a plethora of ues, with 19 events from 13 countries Health%20Day%20Event.
tools, resources, events, and activities reported so far this year! Since April, Hosted an event already this year?
developed by experts and community events ranging from lectures and As always, we invite you to share
leaders from around the world to workshops, policy debates, walk-a- summaries and photos from your
mark the day. The World Gastroen- thons, panel discussions television event as well. These will be featured
terology Organisation (WGO) and programs, and many more have taken on our website and in future issues of
the WGO Foundation thanks each place in honor of WDHD 2018. e-WGN as well as promoted via social
member society, organization, health- media! Also, let us know about the
care professional and participant for What event or activity will you success of the event and how WGO
helping spread the word about Viral think of next? can best support your efforts in the
Hepatitis, B and C. We are happy to WGO challenges you to develop future. We greatly appreciate your
share with you some of the wonder- even more exciting ways to celebrate feedback!
ful highlights from the campaign this digestive health all year long by get- With events continuing to take
year so far. ting involved in your community to place through the end of 2018, we
improve the standards of practice and are pleased to feature summaries from
Tools and Resources educate the public on how to manage the following WDHD 2018 events
World Digestive Health Day their diet and gut! WGO is pleased to that have recently taken place! Please
(WDHD) 2018 is pleased to provide provide you with a few ways that you stay tuned for more featured WDHD
various tools and resources for use can celebrate and take action in your 2018 success stories in our upcoming
across the globe, in support of this respective communities: issues later this year.
year’s campaign. Don’t forget to let us know what
The following WGO Global you are planning for WDHD 2018 WDHD Social
Guidelines and Cascades are featured by visiting www.worldgastroenterol- To join the conversation in support
as useful resources for the WDHD ogy.org/forms/submit-event.php to of WDHD 2018, tag WGO on
2018 campaign. The Hepatitis B and submit your event. Once your event Facebook (World Digestive Health
Hepatitis C Guidelines are globally has been approved, you can view it Day – WDHD) and/or Twitter (@
applicable, cascade-based guidelines, and other upcoming WDHD events WGOF_WDHD) and be sure to
offering different options for diagno- on the WGO Meeting and Events include #WDHD2018 in your post.
sis and treatment depending on the Calendar at http://www.worldgastro- We encourage you to connect and
resources available. enterology.org/meetings-and-events/ interact with us on LinkedIn too, as
10 WORLD GASTROENTEROLOGY NEWS OCTOBER 2018 Editorial | Expert Point of View | Gastro 2018 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events WGO and WGO Foundation are now officially part of the LinkedIn community. Find us at: Facebook World Gastroenterology Organisation - https://www.facebook.com/World- GastroOrg/ World Digestive Health Day - https:// www.facebook.com/WGOFWDHD/ Twitter World Gastroenterology Organisa- tion – https://twitter.com/WorldGas- troOrg World Digestive Health Day – https://twitter.com/WGOF_WDHD LinkedIn World Gastroenterology Organisa- tion - https://www.linkedin.com/ company/world-gastroenterology- organisation-wgo-wgo-foundation/
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WDHD 2018 in Kazakhstan:
“World Day of Healthy Digestion”
The forum was directed by: 52 physicians from medical
Highlighted at the forum Professor R.R. Bektaeva, MD -- organizations in Astana took part in
were the current issues of President of the National Association the forum. The following issues were
preventing diseases of the of Gastroenterologists of Kazakhstan, widely covered at the event:
digestive system Member of the European Commit- - sensible nutrition, as the basis of a
tee Star (Gastric Cancer Research, healthy lifestyle;
GWAS), Head of the Department - avoiding risk factors such as to-
With the support of Gastroenterology and Infectious bacco, alcohol, obesity;
of the Ministry Diseases of JSC “MUA”; - obesity-preventing diseases of the
of Health of Professor B.S. Iskakov, MD -- pancreas, stomach, liver, intestines;
the Republic of Head of the Department of Inter- - sufficient physical activity;
Kazakhstan, the nal Diseases No 2 KazNMU, chief - reaction of the body associated
World Gastroenter- freelance gastroenterologist of the UZ with the use of antibacterial drugs,
ology Organisation of Almaty; such as the development of anti-
(WGO) and the National Association A.R. Kuschugulova, MD -- Head biotic resistance, the development
of Gastroenterologists of Kazakhstan of the laboratory of microbioma of of intestinal dysbacteriosis, and
held the Republic Forum “World man and longevity, JSC “Nazarbayev antibiotic-associated diarrhea;
Day of Healthy Digestion: Current University”; - problems associated with poly-
Problems in Preventing Diseases of A.H. Akhmukhamedova, Associ- pharmacy (the appointment of
Digestive Organs.” The forum was ate Professor of the Department of more than 3 drugs at a time, etc.);
held in Astana, Kazakhstan on 2 June Internal Medicine of the Internship of - safety of the use of drugs in dif-
2018. The event took place at City the JSC “MUA” ; ferent age groups (prescribe only
Clinical Hospital No. 4. Highlighted K.S. Adrisova, PhD, MD, Candi- those drugs without which the pa-
at the forum were the current issues date of Medical Science, Associate tient cannot do without, not using
of preventing diseases of the digestive Professor of the Department of Gas- drugs with unproven efficacy, use
system for general practitioners, thera- troenterology and Infectious Diseases cautiously with age restrictions,
pists, infectious disease specialists, as of JSC “MUA”; avoid unsafe routes of administra-
well as gastroenterologists of medical L.G. Makalkina, Associate Profes- tion: intravenous, intramuscular,
organizations in the city of Astana. sor of the Department of Clinical inhalation (for children up to 6
Pharmacology of JSC “MUA” years, inhalation administration of
irritants is contraindicated);
- prophylaxis of precancerous condi-
tions and cancer of the gastrointes-
tinal tract.12
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
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World Digestive Health Day in Karachi, Pakistan
Zaigham Abbas, MD
Vice President, Pakistan Society for the Study of Liver Diseases
nationwide average (HCV 4.8% and
This program was aimed at HBV 2.5%). He underlined the chal-
raising awareness among lenges in the management and men-
Attendance at the event
health care professionals tioned that considering epidemiology
and gastroenterologists and prevalence pattern of hepatitis in
regarding the international Pakistan, micro-elimination strategies
are one of the ways for going forward
struggle to eliminate to lift the burden of the disease.
hepatitis by 2030. Prof. Saeed Hamid, Past President
of PSSLD, in his presentation further
The Pakistan Society for the Study stressed the role of community based
of Liver Diseases (PSSLD) arranged efforts to control hepatitis. The
a symposium on 29 May 2018 to ultimate goal is to ensure that patients
observe World Digestive Health Day WDHD Symposium in Pakistan
in Karachi. The title of the sympo-
sium was “Lift the burden of hepatitis …micro-elimination
B and C.” This program was aimed at strategies are one of the able goal within the next decade. He
raising awareness among health care highlighted the major immunopa-
ways for going forward
professionals and gastroenterologists thology discoveries in the HBV cure
regarding the international struggle to to lift the burden of the
research programs and ways to target
eliminate hepatitis by 2030. disease. cccDNA. This was followed by in-
Prof. Zaigham Abbas, Vice teractive discussions with enthusiastic
President of PSSLD, welcomed the participation by the audience. Prof.
with hepatitis B and C are appropri-
participants. He discussed in detail Shahab Abid, Prof. Zahid Azam, Prof.
ately picked up from the community,
the occurrence of hepatitis B and C in Nasir Luck, Prof Jamil Ahmed and
investigated and treated according to
the endemic districts within Pakistan, Dr. Faisal Wasim participated in the
the modern guidelines. He demon-
where the prevalence of hepatitis B strated the effectiveness of a low cost discussion.
and C was much higher than the community model for the care and
treatment of hepatitis C patients.
Prof. Wasim Jafri, Patron of
PSSLD, presented on new devel- He demonstrated the
opments to cure hepatitis B. He effectiveness of a low
mentioned that unlike hepatitis C, cost community model for
hepatitis B was treatable but not
the care and treatment of
curable. However, with ongoing
research it might become an attain- hepatitis C patients.
WDHD committee13
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World Digestive Health Day in Venezuela
Gisela Romero, MD The audience participated
WDHD 2018 Coordinator very actively in formulating
University of Zulia questions and proposing
recommendations.
graduate and graduate students of
Internal Medicine and Surgery, the
Edgardo Mengual, MD
Faculty of Medicine and the Fac-
University of Zulia ulty of Internal Medicine Specialists,
Gastroenterology and Hepatology.
The expert panel consisted of these
professors:
-- Dr. Soledad Briceño, Coordinator
of Postgraduate Internal Medicine
-- Dr. Miriam Sotolongo, Head of
the Immunology Service of the
of Gastroenterology at University Chiquinquirá Hospital
Hospital (HUM). Since 2007, Ven- -- Dr. Edgardo Mengual, Gastro-
ezuela has participated in this annual enterologist, Hepatologist and
activity created by the World Gas- Researcher of LUZ
troenterology Organisation in order -- Dr. Gisela Romero, Gastroenter-
to give answers to problems of great ologist, Hepatologist, Coordinator
global interest and impact. of the PEC and of the WDHD
For this event we undertook actions 2018 celebration.
Hepatitis B panel with Drs. Soledad Briceño, and activities from 28 to 31 May
Miriam Sotolongo, Edgardo Mengual and 2018. It is noteworthy that we had
Gisela Romero the support of journalists from radio,
television and print media, including
interviews on the Educational Televi-
Since 2007, Venezuela has sion of the University of Zulia, as well
participated in this annual as by social media networks.
activity created by the On Monday 28 May we held a
discussion about transmission mecha-
World Gastroenterology
nisms and prevention directed to sixty
Organisation… medical specialists and post-graduate
residents of the school of Internal WDHD forum attendees
The Faculty of Medicine of the Medicine of the HUM.
University of Zulia (LUZ) in Mara- On 29 May 2018 we held a scien-
caibo, Venezuela organized the World tific working day to celebrate World
Digestive Health Day campaign Digestive Health Day in the Dr.
whose central theme was Hepatitis B Ludovic Auditorium of the Faculty of
and C. This was coordinated through Medicine. This consisted of a Forum
the Continuing Education Program about Hepatitis B and a Symposium
(PEC) connected to the Division of on Hepatitis C. It began with a total
Graduate Studies and the Department of 160 participants including under- Dr. Gisela Romero leads the discussion14
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
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most important issue, especially for
groups at risk such as health personnel.
The Hepatitis C symposium ad-
dressed topics such as epidemiology,
natural evolution, extrahepatic mani-
festations and updated treatments.
On 30th of May we held a discus-
sion about transmission mechanisms
and prevention directed to students
of the four Schools of the Faculty of
Medicine: Nutrition and Dietetics,
Nursing, Bioanalysis and Medicine.
Each of the classes had between 20 to
Aventura Television interview with Dr. Gisela
80 students participating.
Romero
And finally the 31st of May was
highlighted by a Hepatitis B and C
Drs. Romero and Mengual with Dr. Maria Master Class directed to students of
Gabriela Arteaga, President of the Sociedad
Venezolana de Gastroenterología – Capitulo
Zuliano
The audience participated very
actively in formulating questions and
proposing recommendations.
The reason for the study of these
issues is public health problems, with
Hepatitis B virus one hundred times Niños Cantores del Estado Zulia Television
interview with Dr. Edgardo Mengual
more infectious than HIV, and can
stay in the blood on surfaces and
clothes for 15 days and continues to the postgraduate programs in Gastro-
be infectious. About 270 to 360 mil- enterology, Hepatology and Internal
lion people are infected worldwide. Medicine of the HUM and the Cen-
Hepatitis C affects 170 million people tral Hospital of Maracaibo.
infected globally.
During the Forum on Hepatitis B it Delivery of certificates
was concluded that prevention is the15
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
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‘Microbiota Hard Talks - Live from Texas
Medical Center’ Continues to Attract Large
Numbers of Viewers
webinar, followed by Europe and the
Americas. We look forward to this
number increasing for the next and
final webinar of 2018, in November!
Next Webinar in November 2018
The next and final 2018 webinar will
take place LIVE at 8:00 – 8:45 AM
CST ((Houston Time GMT–6:00)/ • Join the #MHT2018 conversa-
The second webinar in 2018 of the 1:00 – 1:45 PM (GMT) on Wednes- tion on social media, http://www.
“Microbiota Hard Talks – Live from day, 7 November 2018. Prof. Fergus worldgastroenterology.org/about-
Texas Medical Center” webinar series Shanahan, Director of APC Microbi- wgo/media-center/social-media
was broadcast on Thursday, 12 July ome Ireland will present “Dysbiotic • Subscribe to the WGO Mailing
2018. Moderated by Prof. Henry Co- Microbiota: Facts and Fiction.” List, http://www.worldgastroenter-
hen (Uruguay), the webinar featured To view the complete program for ology.org/forms/mailing-list.php
Prof. Eamonn Quigley (USA), MD, 2018 and to stay up-to-date with
PhD, who discussed the topic “Func- announcements about the webinar On-Demand Availability
tional Gastrointestinal Disorders and series: If you missed the live broadcasts of
Microbiota.” • Visit the WGO Educational Pro- the Microbiota Hard Talks webinar
Prof. Quigley presented that grams page, http://www.worldgas- series in 2017 and 2018, all previous
functional gastrointestinal disorders troenterology.org/education-and- webinars are available for on-demand
(FGIDs) include functional heart- training/educational-programs/ viewing! To access the webinar series,
burn, functional dyspepsia, irritable microbiota-hard-talks
bowel syndrome (IBS) and chronic
idiopathic constipation (CIC), and
he focused his discussion on the latter
two: IBS and CIC.
The live broadcast of the second
webinar had over 500 live connec-
tions from all continents, which was
an increase in the number of live con-
nections from the first webinar for
2018! The Asia Pacific region had the
most live connections of the second
The Asia Pacific region had
the most live connections
of the second webinar,
followed by Europe and
the Americas. Professors Quigley and Cohen16
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
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About the Webinar Series more information on the “Microbiota
‘Microbiota Hard Talks – Live From Hard Talks” webinar series, please
Texas Medical Center’ webinar series visit the WGO Educational Programs
is supported by an unrestricted medi- webpage, http://www.worldgastroen-
cal educational grant from Biocodex. terology.org/education-and-training/
The education webinar series aims to educational-programs/microbiota-
provide medical education in the field hard-talks.
of the human gut microbiota. This
interactive program, developed by
Professors Henry Cohen (Montevi-
please visit https://edge.media-server. deo, Uruguay) and Eamonn Quigley
com/m/s/ezz7g8i2/p/pg6bwph9/lan/ (Houston, Texas, USA), both former
en; you must register for the webinar Presidents of WGO, offers the chance
series. Once registered, you will gain to join experts and like-minded col-
access to all on-demand webinars. leagues from around the globe on
To view a webinar, select the title of state-of-the-art microbiota topics.
the respective webinar highlighted in Each webinar features a presenta-
purple. At the end of each webinar, tion by a renowned lecturer and will
a Certificate of Participation may include time dedicated to an interac-
be downloaded directly from the tive question and answer session. For
webinar player.17
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
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dorsed by
En
Missing Microbes and Misplaced Microbes
facts and fiction
PROF. FERGUS SHANAHAN, MD, PhD
Department of Medicine at University College Cork (UCC),
National University of Ireland
MODERATED BY PROF. EAMONN QUIGLEY, MD, PhD
David M Underwood Chair of Medicine in Digestive Disorders,
Houston, USA
Former President of World Gastroenterology Organization
Wednesday November 7th 2018
8 - 8:45 AM CST (Houston)
2 - 2:45 PM GMT (London)
“Microbiota Hard Talks – Live from Texas Medical Center” is supported
by an unrestricted medical education grant from18
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
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WGO at Digestive Disease Week
presentation, the General Assembly
unanimously voted in favor of Dubai,
UAE as the host destination for the
2021 event.
Stay tuned for more details about
this upcoming World Congress of
Gastroenterology.
Train the Trainers Alumni
Reception and Luncheon
For the 17 years that WGO has
sponsored its 27 Train the Train-
ers workshops, we now count over
WGO Governing Council and staff at DDW
1,000 alumni from more than 90
countries, including both participants
and faculty. We were pleased to host
With the presence of over 14,000 WGO Extraordinary General
a reception and luncheon for these
gastroenterology physicians, research- Assembly
individuals to reunite or, for others,
ers and academics from across the On Monday 4 June 2018 this General
meet for the first time.
globe at Digestive Disease Week Assembly was held. In addition to
2018 in Washington, DC, USA, the leadership and committee members,
World Gastroenterology Organisa- representatives of 17 WGO Member It once again confirmed
tion held a full slate of concurrent Societies from these countries partici- that TTT is one of the most
internal meetings for leadership, pated: esteemed and popular
committee members, Member Australia, Bangladesh, Brazil, Chi-
programs that WGO offers.
Societies and others. Among the na, Colombia, Costa Rica, Domini-
highlights of the week were the can Republic, Finland, Estonia, Japan,
Extraordinary General Assembly, the Portugal, Romania, Russia (both RGA
Train the Trainers Alumni reception and GSSR), Taiwan, Thailand, and
and luncheon, a WGO Leadership the United Arab Emirates.
reception and the WGO booth at the Following a welcome statement,
DDW exhibition hall. introduction and report by WGO
President Prof. Cihan Yurdaydin the
Assembly also heard reports from Sec-
retary General Prof. Geoffrey Metz,
Treasurer Prof. Guilherme Macedo,
and President-Elect and Chair of Train the Trainers alumni and faculty at the
the WGO Foundation Prof. Naima reception and luncheon
Amrani.
The basis and success of the TTT
A key item of the agenda was the
workshops is that they are designed
World Congress of Gastroenterology
to be collaborative. This was truly
(WCOG). Dr. Maryam Al Khatry,
reflected in the enthusiastic interac-
President of the Emirates Gastro-
tion among the many alumni and
enterology and Hepatology Society
faculty who attended this event. It
gave a presentation of their bid for
once again confirmed that TTT is
DDW 2018 in Washington, DC, USA the 2021 WCOG. Following the bid
one of the most esteemed and popular19
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
Editorial | Expert Point of View | Gastro 2018 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events
programs that WGO offers. We look
forward to more of these events in the
future.
WGO Leadership Reception
With all of the WGO Executive
Committee and many of the Com-
mittee and Task Force chairs present
at DDW we hosted a reception the
evening of 3 June. Also invited were
Past Presidents, Training Center WGO staffing the booth at DDW
Directors, Masters of the WGO and
other awardees including lectureships.
This provided a welcome opportunity for these far-flung persons to meet
face-to-face in a social setting outside
of the scientific programs of DDW.
WGO Past President David Bjorkman with
WGO Exhibit Varocha Mahachai, Gastro 2018 Joint
The WGO booth focuses on the Steering Committee Co-Chair and Sakkarin
four pillars of our mission: Advocate, Chirapongsathorn, Member and Deputy Sec-
retary of the Gastro 2018 Local Organizing
Train, Inform and Educate. We Committee at DDW
were pleased to welcome hundreds of
DDW attendees to our booth over
the course of the four days to learn
about our various programs as well as
upcoming events.
WGO Leadership reception20
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
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WGO Train the Trainers Khartoum
2018
WGO is proud to announce its Train
the Trainers workshop in Sudan a
resounding success! Since Train the
Trainers began in 2001, over 1,000
educators have attended this unique
program to hone their skills in adult
education. The 26th WGO Train
the Trainers (TTT) workshop took
place this past 18-21 April 2018
in Khartoum, Sudan. This interac-
tive workshop was organized by the
World Gastroenterology Organisation
(WGO) and the Sudanese Society of
Gastroenterology with support from
TTT Sudan 2018 was an the American College of Gastroenter-
intensive four-day course ology. It was made up of 17 modules,
focused on improving the included lectures, small group discus-
sions, and hands-on sessions while TTT faculty and staff
abilities and educational
creating the opportunity for every-
skills of trainers in the field body to engage in an open discussion
of digestive health. on many topics related to teaching
and training. The participants were
divided into break out groups for
sessions that occurred every day. These
groups were named for prominent
locations in Sudan: Kassala, Don-
gula, Nyala, Kosti, Wad Madani and
Omdurman.
In particular, TTT Sudan 2018 was
an intensive four-day course focused
on improving the abilities and educa-
tional skills of trainers in the field of
digestive health. Sudan 2018 brought
together renowned faculty members
from WGO (trainers) and participants
(trainees) from 16 different countries
and settings around the world, in an
enabling environment to improve
their potential for teaching. For the
first time a participant came from
Participants, faculty and staff Eritrea, which had never before sent21
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
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Break out session
Participants and faculty came from around the globe
a participant to a Train the Trainers to the best of Khartoum by their kind
workshop. Sudanese hosts.
Going beyond seminars, the A truly once-in-a-lifetime work-
workshop also sought to bring the shop, the invaluable impact of the
participants and faculty together training and guidance provided on
through a variety of teambuilding and the field of adult education combined
small group activities that highlighted with the breathtaking adventure Train the Trainers Sudan workshop
the beauty and history of Sudanese that is Khartoum is hard to put into
culture. The venue itself was opulent words. So we are pleased to feature
and rich in Sudanese architecture testimonials from one of the partici-
and featured a setting along the Nile pants, Dr. Pedro Moutinho Ribeiro
River – and indeed a boat tour on the from Portugal.
Nile -- and all attendees were treated
Train The Trainers Workshop (by the World
Gastroenterology Organisation) in Khartoum, Sudan:
Where the Blue and the White Nile get together and head towards the Mediterranean Sea
Pedro Moutinho Ribeiro, Portugal
Train The Trainers em Khartoum, Sudão, onde o Train The Trainers Workshop in Khartoum,
Nilo Azul se encontra com o Branco para juntos, Sudan: Where the Blue and the White Nile get
num só, rumarem ao delta no mediterrâneo. together and head towards the Mediterranean Sea
Foi com alguma resistência e muita expectativa que I accepted the challenge to travel last April to
aceitei o desafio para, em abril último, me deslocar Khartoum, Sudan to take part in another Train the
a Khartoum, no Sudão, em representação da SPG, para Trainers (TTT) Workshop, on behalf of the Portuguese
participar em mais um Train The Trainers (TTT), da Society of Gastroenterology, under the responsibility of
responsabilidade da World Gastroenterology Organisation the World Gastroenterology Organisation (WGO) with
(WGO). great expectations and some doubts.
Confesso que o entusiasmo com que ouvia falar dos I confess that the enthusiasm with which I heard of
TTTs, nomeadamente na sua capacidade de interferir na the TTT Workshops, namely their ability to modify the22 WORLD GASTROENTEROLOGY NEWS OCTOBER 2018 Editorial | Expert Point of View | Gastro 2018 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events forma como olhamos para o nosso dia a dia, seja como way we look at our daily routine, as a trainer but also as a formadores, seja como eternos formandos, foi suplantan- lifelong learner, I progressively overcame the mistrust of do, dia a dia, a intranquilidade e desconfiança que uma traveling to a country as Sudan. deslocação a uma país tão problemático como o Sudão Two main reasons made this dream come true. First, inevitavelmente me assolavam. the constant insistence and encouragement of Prof. A insistência e o estímulo constantes por parte do Prof. Guilherme Macedo, Head of the Department of Gastro- Guilherme Macedo, diretor do Serviço de Gastrenterolo- enterology of the Centro Hospitalar São João in Oporto, gia onde trabalho, que desde 2015 é um dos dois Centros Portugal, my workplace and one of two Training Centers de Treino da WGO em território Europeu, associadamente of the WGO in Europe since 2015. Secondly, knowing à noticia de que a Dra. Teresa Pinto Pais seria uma com- Dr. Teresa Pinto Pais would be a partner in this adventure. panheira nesta aventura, fez com que da ficção se passasse After deciding to embark on this trip, we initiated à realidade. malaria prophylaxis and updated the yellow fever vaccina- E foi assim, que a 17 de Abril, eu e a Teresa embarcamos tion status. And finally, on April 17th, Dr. Teresa and I num A320 da Turkish Airlines com destino a Khartoum, boarded a Turkish Airlines A320 flight with Khartoum após escala em Istambul. Não sem antes iniciarmos a being our final destination after making a stopover in profilaxia da malária e atualização do estado vacinal contra Istanbul. a febre amarela! Sudan (North) is the third largest country in Africa O Sudão (Norte) é o terceiro maior país da África (após (after Algeria and the Democratic Republic of the Congo) a Argélia e a República Democrática do Congo) e também and also the third largest country in the Arab world (after o terceiro maior país do mundo árabe (depois da Argélia Algeria and Saudi Arabia). It is bordered by Egypt to the e Arábia Saudita). É limitado a norte pelo Egito, a leste north, the Red Sea, Eritrea and Ethiopia to the east, South pelo Mar Vermelho, pela Eritreia e pela Etiópia, a sul pelo Sudan to the south, the Central African Republic to the Sudão do Sul e a oeste pelo Chade e Líbia. Trata-se de southwest, Chad to the west and Libya to the northwest. uma República federal presidencial democrática e repre- It is a federal presidential representative democratic re- sentativa, cujo sistema legal é baseado na lei islâmica, a sua public whose legal system is based on the Islamic religion; religião predominante. its predominant religion. About one-fifth of its population Cerca de um quinto da população vive abaixo da linha lives below the international poverty line, with less than $ internacional de pobreza, subsistindo com menos de U$ 1.25 per day. 1,25 por dia. The recent history of the country is marked by ethnic A história do país é marcada por conflitos étnicos, com conflicts, with two ongoing internal conflicts, one in the dois conflitos internos ainda em desenvolvimento, um na southern region and the other in the Darfur region, and região sul e outro na região de Darfur, e por duas guerras by two civil wars, between 1955-1972 and 1983-2005. civis, entre 1955 e 1972 e 1983 e 2005. São inúmeros os There are numerous reports of ethnic cleansing and slavery relatos de limpeza étnica e escravidão no país. in the country. Aterramos já noite dentro na sua capital, Khartoum, o We landed in Sudan’s capital city, Khartoum, the centro político, cultural e comercial da nação e a segunda country’s political, cultural and commercial center and the Boat tour on the Nile River Khartoum, Sudan
23 WORLD GASTROENTEROLOGY NEWS OCTOBER 2018 Editorial | Expert Point of View | Gastro 2018 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events Faculty Team Building maior cidade do país, com população de cerca 1,5 milhões second largest city in the country, with a population of de habitantes. about 1.5 million people. The WGO and the Sudanese A WGO e a Sociedade Sudanesa de Gastrenterologia Society of Gastroenterology offered an excellent support não facilitaram no apoio e segurança prestados a todos os and security to all participants. We were received at the participantes. Fomos recebidos à porta do avião e, de igual door of the plane, and similarly, on the day of return, on modo, no dia do regresso, a 22 de abril, entregues à porta do April 22nd, they brought us back to the same plane. mesmo avião. The truth is that these 5 days in Sudan were charac- A verdade é que esses 5 dias em terras sudanesas foram terized by an extremely rich experience at all levels, in pautados por uma vivência extraordinariamente rica a todos contrast to the country’s poverty. The Faculty included os níveis, em absoluto contraste com a pobreza do país. the current Chairman of the TTTs of the WGO (French Da Faculty faziam parte o atual Chairman dos TTTs da Prof. Jean-Christophe Saurin), WGO past president WGO, o francês Jean Cristophe Saurin, um dos seu past (North American Prof. David Bjorkman), and two presidents, o norte-americano David Bjorkman, e dois South African high-quality physicians (Prof. Damon sul-africanos de grande craveira, Damon Bizos e Sandie Bizos and Prof. Sandie Thomson). The event was orga- Thomson. A secretariar o evento, a incansável canadiana nized by the tireless Caley Mutrie, Executive Director of Caley Mutrie, diretora executiva da Organização. the WGO. Os formandos, 44, oriundos da Europa (5), Estados Uni- The 44 trainees came from Europe (5), the United dos (2), Argentina (2), Colombia (1), Guatemala (1), India States (2), Argentina (2), India (2), Colombia (1), (2) e os mais diversos países do continente africano (31). Guatemala (1) and different countries from the African O lugar escolhido para sede de alojamento e desenrolar continent (31). de todas as sessões do Workshop foi o requintado Hotel The chosen place to host accommodation and where Corinthia, uma pérola desenquadrada de todo o padrão all sessions of the Workshop took place was the exquisite “urbanístico” da cidade, e que constituiu uma oferta passada Corinthia Hotel Khartoum, a true oasis in the middle of do líder líbio Muammar Khadafi. the city. O Corinthia tem umas vistas fascinantes sobre o porto The hotel provided fascinating views over the river fluvial, precisamente na confluência dos rios Nilo Azul e port, precisely at the confluence of the Blue and the Nilo Branco, no momento da constituição do Rio Nilo, tal White Nile, at the point of the formation of the Nile qual o conhecemos, com rumo para norte, passando pelo River, as we know it, heading north, and passing Egito em direção ao delta que termina no Mar Mediterrâ- through Egypt towards the delta and ending in the neo. Não escondo que a conjugação destas duas cores, para Mediterranean Sea. I admit that the combination of muitos de nós inspiradoras e sinónimo de força, trabalho e these two colors, for many of us, was inspiring and sucesso! synonym of strength, work and success! E foi neste registo de união, de convergência de culturas, The Workshop took place in this context of union and experiências e afetos que decorreu toda a semana. Uma multicultural partnership sharing experiences and affec- semana exigente, com início dos trabalhos às 7.45 e término tions. It was a demanding week, starting at 7:45 am and pelas 17.00h, por vezes com apenas 30 minutos para um ending by 5:00 pm, sometimes with only 30 minutes for frugal almoço! a light lunch!
24
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
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Para quem nunca frequentou workshops desta natureza, For those who have never attended to this kind of
a principal mensagem é a aquisição de competências na área workshops, the main aim is to acquire skills in the area of
da formação, da aprendizagem, dos métodos de discussão e training, learning, methods of discussion, teamwork and
trabalho em equipa, de apresentação em público da forma public presentation of how we evaluate our performance
como avaliamos a nossa performance e a dos outros. Sem and others’. Also, it must be highlighted that during these
esquecer módulos de extrema importância e utilidade como sorts of events, important and useful themes such as those
os relacionados com a apreciação crítica de artigos científicos related to critical appraisal of scientific articles and the
e o desenho de ensaios clínicos. design of clinical trials are developed too.
Do componente social fizeram parte uma sessão de team The social component of the Workshop included some
building logo na primeira noite do workshop, em ambiente activities. On the first night, a teambuilding session was
festivo com jantar ao som de cantares e danças populares, as- organized in a festive atmosphere during dinner through
sim como um cruzeiro no Nilo, onde tivemos oportunidade popular songs and dances. Also, a cruise on the Nile
estabelecer e fortalecer laços de união e amizade. A noite River allowed establishing and strengthening union and
cultural, em que cada delegação, no final do jantar, fez uma friendship. Another important moment was the cultural
breve apresentação sobre a história e os costumes de cada evening, in which each delegation, at the end of the
país foi também um momento alto. dinner, made a brief presentation on the history and cus-
O povo sudanês revelou-se de uma amabilidade, atenção toms of each country. It should be emphasized that the
e simpatia extrema, fazendo esquecer qualquer preocupação Sudanese people showed to be extremely kind, friendly
em relação à segurança do país ou à contração de agente and welcoming.
infeccioso menos desejado. The feelings at the time of saying goodbye revealed
O sentimento no momento da despedida foi bem tradu- the intensity of the emotions and shared experiences,
tora da intensidade de emoções e partilhas vividas, segura- certainly materialized in some friendships that will last a
mente materializadas em algumas amizades que perdurarão lifetime.
ao longo da vida.
Reprinted with the permission of the Sociedade Portuguesa de Gastrenterología
Greetings from Khartoum!25
WORLD GASTROENTEROLOGY NEWS OCTOBER 2018
Editorial | Expert Point of View | Gastro 2018 | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events
Train the Trainers Advanced
Workshop in Portugal
Guilherme Macedo, MD, PhD, FASGE, AGAF, FACG,
FAASLD
WGO Treasurer and Director, WGO Porto Training Center
The Second Edition of the Advanced
Train the Trainers Course in Leader- Revisiting experiences and reflecting on the “roads not
ship & Management was held in taken”, and on the ones we have decided to follow, is also
Porto, Portugal 25-26 June, 2018. of crucial importance in a leadership and management
Again, the workshop proved how dedicated course.
useful and enlightening it is for those
gastroenterologists involved in clinical
perfect melting pot enabling everyone professional, social and personal lives.
practice, teaching, research and ad-
to come closer with an eagerness to Revisiting experiences and reflecting
ministration. With vivid discussion of
learn and improve their own skills on the “roads not taken”, and on the
all the topics included in the modules,
in communication. The participants ones we have decided to follow, is also
we went through a vast array of con-
were very committed and brought of crucial importance in a leadership
cepts of leadership, communication
up very interesting challenges to the and management dedicated course.
skills, conflicts management, planning
passionate faculty. In fact, acknowl- The advanced courses are evolv-
and budgeting, which provided mean-
edging diversity, equity and inclusion ing, and while they should keep their
ingful discussion and interaction,
in our minds throughout the course, great virtues they also should be
applying a wide range of examples to
we were able to understand how to reshaped or adapted to the incoming
learn with, in a learning environment
build high impact leadership behavior educational tools. This represents an
that provided a sense of everyday real
and how we can help people to add important challenge and task that we
life problems and solving strategies
value and make them feel valued. It is have to face. This will be the proper
solutions.
extremely rewarding, from the Faculty way to nourish the plants that facul-
As per usual, diverse and multiple
point of view, to keep on receiving ties and attendees, in different times,
academic practices, and cultural
truly emotional testimonies, praising have been seeding. We must never
backgrounds were important trumps
how everyone was feeling supported forget that education implies not only
and the friendly attitude towards an
and oriented, and specially, how acknowledging and welcoming the
appropriate learning environment is a
everyone was able to establish a frame-
work for their own future develop-
ment.
The Advanced Course provides
also another interesting insight which
relates to the fact that every attendee
has already been primed in previous
standard course, so many positive feel-
ings come across with the gathering
and meeting of former participants,
that almost always refer the huge im-
Participants and faculty pact the previous course had on their
TTT workshopYou can also read
