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Session Guide www.fascrs.org #ASCRS21 - American Society of ...
Session Guide
www.fascrs.org   #ASCRS21
Session Guide www.fascrs.org #ASCRS21 - American Society of ...
American Society of Colon & Rectal Surgeons                                                    Annual Scientific Meeting 2021

                                                               SCHEDULE AT A GLANCE
                                                       Saturday, April 24, 2021 (pages 5-11)                          Click on any
                                                                                                                     session title to .
                                                                                                                                 page
12:00 – 4:00 pm       SYMPOSIUM: Practice Management                                                               jump to that
                      SYMPOSIUM: Advance Practice Provider/Allied Health
1:00 - 4:00 pm        WORKSHOP: Question Writing: Do You Know How to Write the Perfect Exam Question?
1:00 – 4:30 pm        SYMPOSIUM: Advanced Techniques in Rectal Prolapse Surgery: Ventral Rectopexy Masterclass
                      SYMPOSIUM: AIN and HRA: What the Colorectal Surgeon Needs to Know
1:00 – 5:30 pm        WORKSHOP: Early Career Mock Orals and More
                                                   Sunday, April 25, 2021 (pages 12-24)
7:00 – 9:00 am        SYMPOSIUM: Critical Review of Manuscripts
7:30 – 9:45 am        SYMPOSIUM: Advanced Endoscopy
8:00 – 9:30 am        SYMPOSIUM: The Challenging Stoma
8:00 – 10:00 am       SYMPOSIUM: Core Subject Update
                      PLENARY ABSTRACT SESSION I: Benign Anorectal Disease and Pelvic Floor
10:00 – 10:15 am      Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
10:15 am – 12:00 pm   PLENARY ABSTRACT SESSION II: Rectal Cancer
10:15 – 11:45 am      SYMPOSIUM: Management of Diverticulitis. Is There Anything We Were Taught That is True?
                      SYMPOSIUM: Pelvic Floor: The Great Falling Out.
                      QUICK SHOTS I: Quality, Cost and Education
12:00 – 1:00 pm       Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
1:00 – 1:30 pm        Welcome and Opening Announcements
1:30 – 2:15 pm        Humanities in Surgery Lectureship
2:15 – 3:00 pm        Memorial Lectureship Honoring David Margolin, MD
3:00 – 3:15 pm        Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
3:15 – 4:30 pm        SYMPOSIUM: Duty Hours and Evaluation Forms and Robots, Oh My! A Levelheaded Approach to
                      Intraoperative Teaching
3:15 – 4:45 pm        SYMPOSIUM: Paradigm Shifts in the Diagnosis and Neoadjuvant Treatment of Rectal Cancer
                      PLENARY ABSTRACT SESSION III: Colorectal Cancer and Other Neoplasia
6:30 – 8:30 pm        ASCRS Welcome Reception: ASCRS “TOGETHER IN SPIRIT” (Networking Lounge)
                                                   Monday, April 26, 2021 (pages 25-38)
7:00 – 8:00 am        LGBTQ+ and Allies Virtual Meet-up
                      Meet the Professor Roundtables
7:30 – 9:15 am        PLENARY ABSTRACT SESSION IV: Quality Cost and Education
7:45 – 9:15 am        Quick Shots of Distinction
8:00 – 9:15 am        ABSTRACT SESSION: General Surgery Forum
9:15 – 9:30 am        Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
9:30 – 10:15 am       Norman D. Nigro, MD, Research Lectureship
10:15 – 11:30 am      QUICK SHOTS II: Benign Anorectal Disease and Pelvic Floor
10:15 – 11:45 am      SYMPOSIUM: Enhancing Your Recovery Program
                      SYMPOSIUM: From Pull-through to PSARP: Caring for Patients with Congenital and Pediatric
                      Colorectal Disease as they Age
                      PLENARY ABSTRACT SESSION V: Benign Abdominal Disease
11:45 am – 1:15 pm    Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
1:15 – 2:00 pm        Special Lectureship: Leadership in Turbulent Times
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Session Guide www.fascrs.org #ASCRS21 - American Society of ...
American Society of Colon & Rectal Surgeons                                                Annual Scientific Meeting 2021

                                                  SCHEDULE AT A GLANCE (continued)
2:00 – 3:15 pm        SYMPOSIUM: Controversies in IBD Surgery
                      SYMPOSIUM: How to Wake-Up from An Intra-Operative Nightmare
                      SYMPOSIUM: Beyond the Knife. Personalized Colorectal Cancer Treatment – Genetics, Molecular
                      Targets, Immunotherapy and More
3:15 – 3:30 pm        Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
3:30 – 5:15 pm        SYMPOSIUM: New Technologies
5:30 – 6:45 pm        Residents’ Reception
                                                   Tuesday, April 27, 2021 (pages 39-50)
7:00 – 8:00 am        Diversity Virtual Meet-up
7:30 – 9:00 am        QUICK SHOTS III: Rectal Cancer, Colorectal Cancer, and Other Neoplasia
8:00 – 9:00 am        SYMPOSIUM: A Well-Made Anastomosis Could Be Your Best Sleep Medicine
                      SYMPOSIUM: Diversity in Colorectal Surgery
                      ABSTRACT SESSION: Research Forum
9:00 – 9:15 am        Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
9:15 – 10:15 am       ASCRS Annual Business Meeting and State of the Society Address
10:15 – 11:00 am      Masters in Colorectal Surgery Lectureship Honoring Robert D. Fry, MD
11:00 – 11:15 am      Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
11:15 am – 12:00 pm   Ernestine Hambrick, MD, Lectureship
12:00 – 1:30 pm       Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
                      Women and Allies for Women in Colorectal Surgery Virtual Meet-up
1:30 – 3:00 pm        SYMPOSIUM: Complete Response after Neoadjuvant Therapy for Rectal Cancer: Cases and
                      Considerations
                      SYMPOSIUM: So, You Want to Be an Academic Colorectal Surgeon? Then Come to this Session
                      PLENARY ABSTRACT SESSION VI: Inflammatory Bowel Disease
                      QUICK SHOTS IV: Inflammatory Bowel Disease, and Benign Abdominal Disease
3:00 – 3:15 pm        Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
3:15 – 4:15 pm        Deep Roots Video
                      Presidential Address
4:15 – 4:30 pm        Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
4:30 – 6:00 pm        Game Show: ASCRS JeoPARODY (Networking Lounge)
                                                 Wednesday, April 28, 2021 (pages 51-57)
9:00 – 10:30 am       PLENARY ABSTRACT SESSION VII: Best of 2020 (I)
                      SYMPOSIUM: The Challenge of Caring for Geriatric Patients – Adopting Novel Studies in Everyday
                      Practice
                      SYMPOSIUM: Video Based Education Premiers: Robotic and Laparoscopic Techniques
                      SYMPOSIUM: Best of the Diseases of the Colon & Rectum Journal
10:30 – 10:45 am      Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
10:45 – 11:30 am      Harry E. Bacon, MD, Lectureship
11:30 am – 12:30 pm   Virtual Engagement Break (ASCRS Central in the Exhibit Hall)
12:30 – 1:15 pm       PLENARY ABSTRACT SESSION VIII: Best of 2020 (II)
12:30 – 2:00 pm       SYMPOSIUM: Anorectal Controversies: Let’s Get to the Bottom of This
                      SYMPOSIUM: Alternate Career Options: From Manhattan to Rural America
2:00 – 2:45 pm        QUICK SHOTS: Best of 2020
2:00 – 3:15 pm        Abstract Video Session
3:30 pm               Meeting Adjourns

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Session Guide www.fascrs.org #ASCRS21 - American Society of ...
American Society of Colon & Rectal Surgeons                                             Annual Scientific Meeting 2021

General Information
All sessions are in the auditorium unless noted. All times are in Pacific Time.
Please Note: Times and Speakers are subject to change.

Continuing Medical Education Information
Continuing Medical Education Mission Statement                              treatment in patients with diseases of the
The American Society of Colon and Rectal                                    colon, rectum and anus
Surgeons (ASCRS) is dedicated to ensuring                           This activity is supported by educational grants
high-quality patient care by advancing the science                  from commercial interests. Complete information
through research and education for prevention                       will be provided to participants prior to the
and management of disorders of the colon,                           activity.
rectum, and anus.
                                                                    ASCRS takes responsibility for the content, quality
Annual Meeting Scientific Meeting Goals,                            and scientific integrity of this CME activity.
Purpose and Learning Objectives                                     Accreditation
The goals of the American Society of Colon and                                The American Society of Colon and
Rectal Surgeons Annual Scientific Meeting are to                               Rectal Surgeons (ASCRS) is accredited
improve the quality of patient care by maintaining,                            by the Accreditation Council for
developing and enhancing the knowledge, skills,                                Continuing Medical Education (ACCME)
professional performance and multidisciplinary                      to provide continuing medical education (CME)
relationships necessary for the prevention,                         for physicians. ASCRS takes responsibility for the
diagnosis and treatment of patients with diseases                   content, quality and scientific integrity of this CME
and disorders affecting the colon, rectum and                       activity.
anus. The Program Committee is dedicated to
meeting these goals.                                                Continuing Medical Education Credit
This scientific program is designed to provide                      The American Society of Colon and Rectal
surgeons with in-depth and up-to-date knowledge                     Surgeons (ASCRS) designates this live activity for
relative to surgery for diseases of the colon,                      a maximum of 30.5 AMA PRA Category 1 Credits™
rectum and anus with emphasis on patient care,                      and designates these enduring activities for a
teaching and research.                                              maximum of 54 AMA PRA Category 1 Credits™.
                                                                    Physicians should claim only the credit
Presentation formats include podium
                                                                    commensurate with the extent of their
presentations followed by audience questions and
                                                                    participation in the activity.
critiques, panel discussions, ePosters (ePoster
presentations), video presentations and symposia                    Attendees can earn 1 CME credit for every 60
focusing on specific state-of-the-art diagnostic                    minutes of educational time.
and treatment modalities.                                           CME credits are subject to change
The purpose of all sessions is to improve the
                                                                    Continuing Nursing Education Accreditation
quality of care of patients with diseases of the
colon and rectum. At the conclusion of this                                          SynAptiv is an approved provider
meeting, participants should be able to:                                             of continuing nursing education
                                                                                     by the California Board of
    • Recognize new information in colon and                        Registered Nursing. Provider approved by
      rectal benign and malignant treatments,                       California Board of Registered Nursing, Provider
      including the latest in basic and clinical                    #16031 for 25 contact hours.
      research
    • Describe current concepts in the diagnosis                    Continuous Certification Credit (Previously MOC)
      and treatment of diseases of the colon,                       Successful completion of the designated self-
      rectum and anus                                               assessment activities enables the learner to earn
                                                                    up to 10 credits toward Self-Assessment
    • Apply knowledge gained in all areas of
                                                                    requirements of the American Board of Colon and
      colon and rectal surgery
                                                                    Rectal Surgery’s Continuous Certification program.
    • Recognize the need for multidisciplinary

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Session Guide www.fascrs.org #ASCRS21 - American Society of ...
American Society of Colon & Rectal Surgeons                                             Annual Scientific Meeting 2021

Daily Schedule
Saturday, April 24, 2021
Exhibit Hall Hours: 12:00 – 5:30 pm
Ongoing Video Room: 12:00 – 5:30 pm
ePosters: 12:00 – 5:30 pm

12:00 – 4:00 pm                                                      Co-Directors
                                                                     Jeffrey Cohen, MD, Hartford, CT
SYMPOSIUM: Practice Management                                       Jennifer Rea, MD, Lexington, KY
CME Credit Hours: 4
                                                                     12:00 pm     Introduction
CNE Credit Hours: 4                                                               Jeffrey Cohen, MD, Hartford, CT
Most physicians entering practice following                                       Jennifer Rea, MD, Lexington, KY
completion of their clinical training are poorly                     12:05 pm     The Art of Negotiation: Strategies
prepared for the non-clinical aspects of the                                      that Work
practice of medicine. Whether joining a small                                     Jennifer Rea, MD, CPE, Lexington, KY
single specialty practice or becoming part of a
large healthcare system, physicians have had                         12:25 pm     The Art of Negotiation: Does Gender
little formal education and training in what is                                   Matter?
broadly described as the “business of                                             Karin Hardiman, MD, PhD, Birmingham, AL
medicine.”                                                           12:45 pm     Revenue Cycle 101
This multiyear symposium course is designed                                       David O’ Brien, MD, Portland, OR
to meet the needs of our membership by                               1:00 pm      Ancillary Services and
teaching the basic principles of the business of                                  Entrepreneurship
clinical practice development and maintenance,                                    Steven Fassler, MD, Abington, PA
while also providing a “toolbox” for dealing
with change management, organizational                               1:20 pm      Panel Discussion
relationships, communication skills and                                           All Faculty
strategic thinking. While primarily focused on                       2:00 pm      Assessing Strategic Opportunities:
colorectal surgeons in the first decade of their                                  Leaving or Returning to Academia
career, the topics presented will be relevant to                                  Daniel Herzig, MD, Portland, OR
the entire membership, in particular those that
are contemplating transitions in their careers.                      2:15 pm      Assessing Strategic Opportunities:
                                                                                  Choosing a New Institution
Objectives                                                                        Daniel Herzig, MD, Portland, OR
At the conclusion of this session, participants                      2:30 pm      Marketing Your Practice in 2021
should be able to:                                                                Rebecca Stewart, Hartford, CT
1. Describe strategies to effectively negotiate                      2:45 pm      Leadership Lessons Learned During
   an employment contract and gender-specific                                     the Time of COVID-19
   issues related to contract negotiation                                         Jeffrey Cohen, MD, Hartford, CT
2. Describe the common negotiation
                                                                     3:00 pm      Mentorship and Leadership:
   techniques, focusing on the concept of
                                                                                  Perspectives from the Editor
   “getting to yes”                                                               Susan Galandiuk, MD, Louisville, KY
3. Define MACRA and know how it affects the
   income stream of your practice

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Session Guide www.fascrs.org #ASCRS21 - American Society of ...
American Society of Colon & Rectal Surgeons                                             Annual Scientific Meeting 2021

Saturday, April 24, 2021
Practice Management continued                                       5. Promote and build a national network of
                                                                       colon and rectal surgery APPs with a
3:15 pm     Mentorship and Leadership:                                 common mission, goals, and connection to
            Perspectives from a Program                                ASCRS
            Director
            Leander Grimm, Jr., MD, Mobile, AL                      Director
3:30 pm     Panel Discussion                                        Michele Rubin, MSN, APN, CNS-BC, CGRN,
            All Faculty                                             Chicago, IL

4:00 pm     Adjourn                                                 12:00 pm      Introductions
                                                                                  Michele Rubin, MSN, APN, CNS-BC,
                                                                                  CGRN, Chicago, IL
12:00 – 4:00 pm
                                                                    12:05 pm      Workup and Surgical Option for
SYMPOSIUM: Advance Practice Provider/                                             Chronic Constipation
Allied Health                                                                     Karrie Ann Driscoll, MSN, ANP-BC

CME Credit Hours: 4                                                 12:25 pm      Case Presentation: Low Anterior
                                                                                  Resection Syndrome
CNE Credit Hours: 4
                                                                                  Samantha Wolff, PA-C, Milwaukee, WI
Advanced practice providers (APPs) and other
allied health members have become a crucial                         12:45 pm      Perioperative Nutrition
                                                                                  Kelly Issokson, MS, RD, CNSC,
part of health care teams and are providing
                                                                                  Los Angeles, CA
front-line care to colorectal surgery patients.
This symposium offers an opportunity for APPs                       1:05 pm       APP Practice Models/Scope of
to come together with their surgeon partners                                      Practice
and other allied health members of the surgical                                   Michele Rubin, APRN, CNS-BC, Chicago, IL
team to further their knowledge on timely
                                                                    1:30 pm       Panel Discussion and Questions
topics, as colorectal surgical teams become
more diverse and utilize APPs in increasingly                       2:00 pm       Condyloma and HRA Clinic
complex roles.                                                                    Daniel Worrall, APRN, NP-BC,
                                                                                  Boston, MA
Objectives
                                                                    2:20 pm       Benign Anorectal: Hemorrhoids,
At the conclusion of this session, participants
                                                                                  Fissures and Fistulas
should be able to:                                                                Marcia A. Dinsmore, APRN, NP-BC,
1. Recognize the varied practice roles APPs                                       Rochester, NY
   have in colon and rectal Surgery
                                                                    2:40 pm       Ostomy Clinic
2. Realize the importance of nutrition peri-                                      Janice Colwell APRN, CNS-BC, Chicago, IL
   operatively
                                                                    3:00 pm       J-Pouch Assessment and
3. Describe APP practice models that exist
                                                                                  Surveillance Clinic
   within the inpatient, outpatient or                                            Michele Rubin APRN, CNS-BC, Chicago, IL
   combination of settings. Optimizing APP
   scope of practice and utilization can lead to                    3:25 pm       Questions and Answer
   increased patient access to care, increased
                                                                    4:00 pm       Adjourn
   productivity of the team and improved APP
   and patient satisfaction
4. Gain insight and learn from other APP
   participants with facilitated round table
   discussions on APP roles, barriers to practice,
   job satisfaction and experience

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Session Guide www.fascrs.org #ASCRS21 - American Society of ...
American Society of Colon & Rectal Surgeons                                             Annual Scientific Meeting 2021

Saturday, April 24, 2021

1:00 - 4:00 pm                                                       4. Develop a second order question that
                                                                        combines diagnosis and management and
WORKSHOP: Question Writing: Do You                                      format the answers in an acceptable form
Know How to Write the Perfect Exam                                   5. Recognize the key differences between a
Question?                                                               written question and question sequence
CME Credit Hours: 3                                                     developed for oral examination formats, as
                                                                        well as questions for various other
Registration Required                                                   examination formats
Link to be sent to pre-registered participants
                                                                     Co-Directors
Limit: 70 participants                                               Glenn Ault, MD, MSEd, Los Angeles, CA
Please Note: 3:00 - 4:00 pm is live interaction                      Rebecca Hoedema, MD, Grand Rapids, MI
with the faculty.
                                                                     1:00 pm      Introduction
There are multiple areas of examination in the                                    Glenn Ault, MD, MSEd, Los Angeles, CA
realm of colon and rectal surgery that require                                    Rebecca Hoedema, MD, Grand Rapids, MI
written questions to assess knowledge. These
include the qualifying written exam, the                             1:05 pm      Key Concept – The True
certifying oral exam, continuous certification                                    Foundation of a Good Question
                                                                                  Jennifer Beaty, MD, Omaha, NE
questions, CARSITE, CARSEP and CREST.
Despite looking straightforward, it is extremely                     1:25 pm      The Stem – The Makings of a Good
difficult to write a good exam question. Many                                     Question
concepts are controversial and what is not                                        Shane McNevin, MD, Spokane, WA
controversial can become trivial. There are
                                                                     1:45 pm      The Answers – They Can Ruin a
basic guidelines that help the writer, and this is
                                                                                  Great Stem
a skill that can be learned and improve with
                                                                                  Liana Tsikitis, MD, Portland, OR
practice. In recent years emphasis has been
placed on how to write an acceptable exam                            2:05 pm      Finalizing Questions – Rescue and
question and guidelines have been published                                       Salvage
by organizations such as the National Board of                                    Glenn Ault, MD, MSEd, Los Angeles, CA
Medical Examiners.                                                   2:20 pm      Critiques – Painful but Very
Objectives                                                                        Important
                                                                                  Rebecca Hoedema, MD, Grand Rapids, MI
At the end of this session, participants should
be able to:                                                          2:40 pm      The Art of Writing an Oral
1. Identify fundamental problems with                                             Examination Question
                                                                                  Scott Steele, MD, MBA, Cleveland, OH
   construction of questions developed for
   testing purposes                                                  3:00 pm      Let’s Write Questions
2. Explain the sequential thinking process used                                   All Faculty
   to write an acceptable question and                               4:00 pm      Adjourn
   understand how a key concept drives
   question development
3. Demonstrate how to write a stem for a question
   utilizing the key concept as a foundation

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Session Guide www.fascrs.org #ASCRS21 - American Society of ...
American Society of Colon & Rectal Surgeons                                             Annual Scientific Meeting 2021

Saturday, April 24, 2021

1:00 – 4:30 pm                                                      Co-Directors
                                                                    Brooke Gurland, MD, Stanford, CA
SYMPOSIUM: Advanced Techniques in                                   James Ogilvie, Jr., MD, Grand Rapids, MI
Rectal Prolapse Surgery: Ventral                                    Andrew Stevenson, MD, Brisbane, Australia
Rectopexy Masterclass
                                                                    1:00 pm       Introduction
CME Credit Hours: 3.5                                                             Brooke Gurland, MD, Stanford, CA
CNE Credit Hours: 3.5                                               1:10 pm       Principles and Evolution of
Rectal prolapse is a relatively common                                            Procedures for Rectal Prolapse
debilitating condition with both functional and                                   Anders Mellgren, MD, PhD, Chicago, IL
anatomic sequelae.                                                  1:25 pm       Testing? What Helps Me Prior to
Ventral Rectopexy (VR) is the current gold                                        Prolapse/VR Repair?
standard for treatment of rectal prolapse in                                      Amy Thorsen, MD, Minneapolis, MN
most countries outside of North America. VR
                                                                    1:40 pm       Rectal Prolapse Outcomes: How
can correct full-thickness rectal prolapse,
                                                                                  Does Ventral Rectopexy Measure Up
rectoceles and internal rectal prolapse and can                                   Mehraneh Dorna Jafari, MD, Irvine, CA
be combined with vaginal prolapse procedures,
such as sacrocolpopexy, in patients with                            1:55 pm       RVR Getting Started: VR / Initial
multicompartment pelvic floor defects. Limiting                                   Patient Selection and Booking Your
dissection to the anterior rectum minimizes                                       First Few Cases
autonomic nerve damage associated with                                            Kenneth Loh, MD, San Francisco, CA
posterior dissection and division of the lateral                    2:10 pm       To Mesh or Not Mesh in
stalks.                                                                           Multicompartment Prolapse
VR is technically demanding and requires a                                        Liliana Bordeianou, MD, Boston, MA
complete ventral dissection of the rectovaginal
                                                                    2:25 pm       LX VR – How I Do It
septum (rectovesical in men) down to the                                          James Ogilvie, Jr., MD, Grand Rapids, MI
pelvic floor and suturing skills within a confined
space that further maximizes the difficulty.                        2:40 pm       Robotic VR - How I Do It
Poor technique minimizes the functional benefit                                   Joseph Carmichael, MD, Irvine, CA
and increases the risk for complications. Formal                    2:55 pm       VR for ODS and IRP
training programs in VR can help to avoid                                         Sara Vogler, MD, Cleveland, OH
complications and improve outcomes.
                                                                    3:10 pm       Management and Prevention of VR
Objectives                                                                        Complications
At the conclusion of this session, participants                                   Elizabeth Raskin, MD, Loma Linda, CA
should be able to:                                                  3:25 pm       Recurrent Rectal Prolapse: Where
1. Explain ventral rectopexy, indications and                                     Does VR Fit In?
   long-term outcomes                                                             Ian Paquette, MD, Cincinnati, OH
2. Describe surgical steps for ventral rectopexy                    3:40 pm       Pelvic Mesh and Sacrocolopexy
   using a minimally invasive approach such as                                    Pearls Applicable to VR
   laparoscopy or robotics                                                        Felicia Lane, MD, Irvine, CA
3. Distinguish how to avoid and how deal with                       3:55 pm       Cases and Panel Discussion
   surgical complication after prolapse surgery                                   Brooke Gurland, MD, Stanford, CA
4. Refine VR technique and improve efficiency                                     James Ogilvie, Jr., MD, Grand Rapids, MI
                                                                                  Andrew Stevenson, MD, Brisbane,
                                                                                  Australia
                                                                    4:10 pm       Question and Answer
                                                                    4:30 pm       Adjourn

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Session Guide www.fascrs.org #ASCRS21 - American Society of ...
American Society of Colon & Rectal Surgeons                                             Annual Scientific Meeting 2021

Saturday, April 24, 2021

1:00 – 4:30 pm                                                      4. Describe different management strategies
                                                                       for pilonidal disease
SYMPOSIUM: AIN and HRA: What the                                    5. Examine the utility and efficacy of cutting
Colorectal Surgeon Needs to Know                                       seton for anal fistula
CME Credit Hours: 3.5
                                                                    Co-Directors
CNE Credit Hours: 3.5                                               Stephen Goldstone, MD, New York, NY
Self-Assessment Credit: 3.5                                         Naomi Jay, RN, NP, PhD, San Francisco, CA
Anorectal disorders are some of the most                            1:00 pm       Welcome
common pathologies seen in a colon and rectal                                     Stephen Goldstone, MD, New York, NY
surgery practice. These entities can have a
major impact on patients’ lives sometimes                           1:05 pm       Introduction to HPV: Scope of the
leading to significant morbidity. When                                            Problem
                                                                                  Joel Palefsky, MD, San Francisco, CA
operating on these complex conditions,
including fistula, hemorrhoids, fissures and                        1:20 pm       Pathology and Cytology and the
pilonidal cysts, many options are available to                                    LAST Criteria
the surgeon. With the multitude of options,                                       Teresa Darragh, MD, San Francisco, CA
how are practitioners making decisions
                                                                    1:40 pm       Fundamentals of HRA
regarding operative treatment? When
                                                                                  Naomi Jay, RN, NP, PhD, San Francisco, CA
controversy exists over the best option, how do
we tailor the treatment to the specific patient?                    2:00 pm       HRA Findings of AIN and Biopsy
Patients with these conditions comprise a large                                   J. Michael Berry-Lawhorn, MD,
portion of our practice. For example, in 2004,                                    San Francisco, CA
the National Institutes of Health noted that the                                  Naomi Jay, RN, NP, PhD, San Francisco, CA
diagnosis of hemorrhoids was associated with                        3:00 pm       HRA Guided Treatment Options and
3.2 million ambulatory care visits, 306,000                                       Management Algorithms
hospitalizations, and two million prescriptions                                   Stephen Goldstone, MD, New York, NY
in the United States. In-depth knowledge of                                       Joel Palefsky, MD, San Francisco, CA
these disease processes and the various
treatment options are essential for proper                          4:00 pm       Incorporating HRA Into Your Practice
                                                                                  Julian Sanchez, MD, Tampa, FL
management. In this symposium, we will
                                                                                  Rebecca Levine, MD, New York, NY
highlight some of these controversies in
                                                                                  Joseph Terlizzi, MD, New York, NY
treatment and guide practitioners to make
choices that may not be in their standard                           4:20 pm        Question and Answer
arsenal.                                                                          J. Michael Berry-Lawhorn, MD,
                                                                                  San Francisco, CA
Objectives                                                                        Teresa Darragh, MD, San Francisco, CA
At the conclusion of this session, participants                                   Stephen Goldstone, MD, New York, NY
should be able to:                                                                Naomi Jay, RN, NP, PhD, San Francisco, CA
                                                                                  Rebecca Levine, MD, New York, NY
1. Describe how to operatively manage chronic                                     Joel Palefsky, MD, San Francisco, CA
   anal fissures                                                                  Julian Sanchez, MD, Tampa, FL
2. Recognize different treatment paths for                                        Joseph Terlizzi, MD, New York, NY
   grade III internal hemorrhoids                                   4:30 pm       Adjourn
3. Assess the utility and critically examine the
   evidence for anal dysplasia screening

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Session Guide www.fascrs.org #ASCRS21 - American Society of ...
American Society of Colon & Rectal Surgeons                                              Annual Scientific Meeting 2021

Saturday, April 24, 2021

1:00 – 5:30 pm                                                      The session will consist of an introduction and
                                                                    overview of the structure of the mock oral
WORKSHOP: Early Career Mock Orals                                   examination and then break into two tracks
and More                                                            each composed of a Mock Oral Examination
*CME Credit Hours: 3.5, Didactic                                    Session and a Mini-Symposium, that will run
(This symposium is pre-recorded and available                       concurrently. The Mock Oral Examinations will
to view at your convenience)                                        be conducted in a small group format and are
                                                                    administered by different examiners, with
Link to be sent to pre-registered participants                      critique of the examinees’ performances in a
**CME Credit Hours: 2.0 Real Time MOCK Exam                         format that replicates the actual ABCRS Oral
** Live interaction with faculty during the tracks                  Examination. Questions will be directed to one
below.                                                              participant at a time, so other group members
                                                                    may observe their colleagues answer and
Track I: 1:00 – 3:00 pm Pacific Time                                receive critique on scenarios. Scenarios covered
         CRS Residents/Fellows-in-Training                          will be those which are heavily tested on the
Track II: 3:30 – 5:30 pm Pacific Time                               certifying oral examination and are commonly
          Physicians in Practice Applying for                       encountered in a standard colorectal practice.
          Board Certification                                       Additionally, the session will also provide
                                                                    feedback on performance and guidance in
Registration is Required
                                                                    treatment of these various disease processes by
(This course is not intended for General Surgery                    members who are board-certified already.
Residents)
                                                                    The Mini-Symposium consists of presentations
Candidate Member Fee: $50                                           and a panel discussion on topics highly relevant
Member Fee: $100                                                    to the audience, such as board review, transition
                                                                    to practice, academic success, transition of
Non-Member Fee: $125
                                                                    careers and financial planning. This mini-
Limit: 60 participants per Track                                    symposium will be tailored to each track, which
To achieve certification by The American Board                      was have a slightly different audience, i.e.
of Colon and Rectal Surgery (ABCRS), a                              current ACGME fellows or those physicians in
candidate must pass a Written Examination                           practice applying for board certification.
(Part I) and an Oral Examination (Part II). The
                                                                    Objectives
Oral Examination is taken once the candidate
passes the Written Examination. Its objective is                    At the conclusion of this session, participants
to evaluate candidates’ clinical experience,                        should be able to:
problem-solving ability and surgical judgment,                      1. Describe the structure of the oral examination
and to ascertain the candidate’s knowledge of                       2. Demonstrate the ability to answer colorectal
the current literature on colon and rectal                             oral board style questions in a simulated, high
diseases and surgery. Additionally, despite                            stakes format
years of intensive surgical training, most fellows
                                                                    3. Demonstrate knowledge among colleagues
and faculty receive very little instruction on how
                                                                       and learn from other examinees
to navigate through the obstacles faced while
starting out in practice. The workshop aims to                      4. Understand key topics relevant to his or her
prepare candidates for these examinations and                          own career stage
address critical needs of current fellows and
recent graduates when they are beginning their
practices.

10   Session Guide   (Back to Schedule at a Glance)   All Times are Pacific Daylight Time (PDT)   www.fascrs.org   #ASCRS21
American Society of Colon & Rectal Surgeons                                              Annual Scientific Meeting 2021

Saturday, April 24, 2021
Early Career Mock Orals and More continued                           **Live/Real Time Mock Oral Exams
Didactic Symposium*                                                  Track I - CRS Residents/Fellows-in-Training
                                                                               1:00 – 3:00 pm Pacific Time
Co-Directors                                                         Track II - Physicians in Practice Applying for
Anuradha Bhama, MD, Chicago, IL                                                 Board Certification
Jennifer Davids, MD, Worcester, MA                                              3:30 – 5:30 pm Pacific Time
Carrie Y. Peterson, MD, MS, Milwaukee, WI
                                                                     Young Surgeon’s Committee as Examiners:
Introduction
                                                                     Christopher Buzas, MD, Danville, PA
Jennifer Davids, MD, Worcester, MA
                                                                     Jad Chamieh, MD, Osford, MS
Welcome                                                              Jessica Cohan, MD, Boston, MA
Najjia Mahmoud, MD, Philadelphia, PA                                 Marianne Cusick, MD, Houston, TX
                                                                     R. Scott Dougherty, MD, Baton Rouge, LA
How to Prepare for the Written Exam                                  Mark Hanna, MD, Duarte, CA
Jennifer Agnew, MD, New York, NY                                     Marjun Philip Duldulao, MD, Los Angeles, CA
Things I Wish I Knew in My First Year of                             Samuel Eisenstein, MD, San Diego, CA
Practice                                                             Leandro Feo, MD, Boca Raton, FL
Tal Raphaeli, MD, Houston, TX                                        Daniel Fish, MD, Springfield, MA
                                                                     John Gahagan, MD, Irvine, CA
What No One Ever Teaches You: The Basics of                          Daniel Galante, MD, Winter Park , FL
Billing and Coding                                                   Lindsey Goldstein, MD, Gainesville, FL
Karen Zaghiyan, MD, Los Angeles, CA                                  Leander Grimm, MD, Mobile, AL
                                                                     Michael Guzman, MD, Indianapolis, IN
What Can ASCRS Do for You and What Can                               Wissam J. Halabi, MD, Davis, CA
You Do for ASCRS?                                                    Jennifer Kaplan, MD, Minneapolis, MN
Kellie Mathis, MD, Rochester, MN                                     Deborah Keller, MD, New York, NY
Finances 101                                                         David Kleiman, MD, Burlington, MA
Conan Mustain, MD, Little Rock, AR                                   Ziad Kronfol, MD, Baytown, TX
                                                                     Pamela Lee, DM, San Diego, CA
Must-Know Topics and Avoiding Pitfalls for the                       Robert Lewis,MD, Hartford, CT
Oral Examination                                                     Jonaton Mitchem, MD, Columbus, OH
David Row, MD, Phoenix, AZ                                           Eric Nelson, MD, Chattanooga, TN
                                                                     Tal Raphaeli, MD, Humble, TX
Building Your Practice and Defining Your                             Aashish Rajesh, MD, Houston, TX
Niche                                                                Steven Scarcliff, MD, Birmingham, AL
Jennifer Rea, MD, Lexington, KY                                      Karen Sherman, MD, Raleigh, NC
How to Make the Most of Your First 5 Years of                        Vlad Simianu, MD, Seattle, WA
Practice                                                             Jacquelyn Turner, MD, Atlanta, GA
Brian Bello, MD, Washington, DC                                      Gabriela Vargas, MD, MS, Salt Lake City, UT
                                                                     Karen Zaghiyan, MD, Los Angeles, CA
Teaching and Mentoring While You are Just
Getting Your Own Feet Wet
Heather Yeo, MD, MBA, New York, NY
How to Navigate Changes in Your Practice: Tips
for Success
Leandro Feo, MD, Boca Raton, FL

11   Session Guide   (Back to Schedule at a Glance)   All Times are Pacific Daylight Time (PDT)   www.fascrs.org   #ASCRS21
American Society of Colon & Rectal Surgeons                                                Annual Scientific Meeting 2021

Daily Schedule
Sunday, April 25, 2021
Exhibit Hall Open: 7:00 am – 8:30 pm
Industry Representatives available for Live Chat: 12:00 – 1:00 pm
Ongoing Video Room: 7:00 am – 8:30 pm
ePosters: 7:00 am – 8:30 pm

7:00 – 9:00 am                                                         manuscripts of these four papers will be
                                                          OUT          distributed to each symposium participant who
SYMPOSIUM: Critical Review S                          OLD
                                                                       will have the chance to read and critique them
of Manuscripts                                                         as if they were primary reviewers. During the
Link to be sent to pre-registered participants                         symposium, each participant will be assigned
                                                                       to a small group led by an editorial board
CME Credit Hours: 2                                                    member from DC&R. Following an introduction
CNE Credit Hours: 2                                                    of the manuscript by the faculty, the editorial
Please Note: 8:00 - 9:00 am is live interaction                        board members will facilitate a working
with the faculty.                                                      discussion and critique of each manuscript
                                                                       within the small groups. Board members will
The peer review process is central to the                              have access to the original editorial comments
continued advancement of surgical knowledge.                           and the changes that were requested by the
Continuous critical review of new manuscripts                          editors prior to publication to enhance the
ensures the best available evidence is                                 discussion. The benefit to each individual
disseminated within the surgical community.                            participant will be maximized with appropriate
The volume of new material, the complexity of                          preparation time prior to the symposium.
trial design and the increasingly nuanced
conclusions require detailed and systematic                            Objectives
critical review.                                                       At the conclusion of this session, participants
This symposium is aimed at three groups:                               should be able to:
present and prospective reviewers for Diseases                         1. Recognize patient scenarios where
of the Colon & Rectum (DC&R), the practicing                              observational studies are appropriate and
surgeon who wants to increase their critical                              can potentially provide strong evidence
appraisal skills and authors who wish to                               2. Identify the advantages, limitations and
improve their writing skills. It is designed to be                        proper use of studies using administrative
hands on. Through an interactive symposium,                               databases
we will explore the most common study
methodologies, identify appropriate questions                          3. Recognize the potential for bias and
for each method, while identifying the                                    methodological limitations involving
advantages, the disadvantages and the                                     randomized controlled trials
common mistakes in study conduct, reporting                            4. Recall the components of a valuable
and conclusions. We will also explore essential                           comprehensive systematic review and
resources for additional learning in this area.                           meta-analysis
Previously published representative papers                             5. Apply resources to enhance their critical
from the four common methodologies will be                                appraisal skills
identified in advance from Diseases of the                             Co-Directors
Colon & Rectum. Six weeks prior to the
                                                                       Susan Galandiuk, MD, Louisville, KY
symposium, the originally submitted unedited
                                                                       David Stewart, MD, Tucson, AZ

12   Session Guide   (Back to Schedule at a Glance)     All Times are Pacific Daylight Time (PDT)   www.fascrs.org   #ASCRS21
American Society of Colon & Rectal Surgeons                                              Annual Scientific Meeting 2021

Sunday, April 25, 2021
Critical Review of Manuscripts continued                             Objectives
7:00 am     Introduction                                             At the conclusion of this session, participants
            Susan Galandiuk, MD, Louisville, KY                      should be able to:
                                                                     1. Explain methods to predict neoplastic lesions
7:05 am     Observational Studies
                                                                        of the colon and select the best endoscopic
            Matthew Z. Wilson, MD, Lebanon, NH
                                                                        resection technique
7:17 am     Administrative Database Studies                          2. Recognize the available enhanced
            Kristen Crowell, MD, Boston, MA                             endoscopic visualization techniques
7:29 am     Randomized Controlled Trials                             3. Describe the indications and uses for
            Willem Bemelman, MD, PhD, Amsterdam,                        endoscopic submucosal resection for
            Netherlands                                                 colorectal neoplasia and the associated
7:41 am     Systematic Reviews & Meta-                                  learning curve
            Analyses                                                 4. Explain available techniques for endoscopic
            Husein Moloo, MD, MBA, Ottawa, Ontario,                     closure of the bowel wall, stents and
            Canada                                                      hemostatic agents
*Live interaction with faculty                                       7:30 am       Introduction
7:53 –      Breakout Rooms                                                         Kyle Cologne, MD, Los Angeles, CA
9:00 am     Each assigned room will cover:                           7:35 am       The Art of Endoscopic Electro-
             • Observational Study                                                 surgery
             • Administrative Database Study                                       Jennifer Hrabe, MD, Iowa City, IA
             • Randomized Controlled Trial                           7:50 am       Utility of Intraoperative
             • Systematic Reviews & Meta-                                          Colonoscopy and Interventions
               Analysis                                                            Lea Lowenfeld, MD, New York, NY
9:00 am     Adjourn                                                  8:05 am       Beyond Poypectomy: EMR, ESD
                                                                                   Richard L. Whelan, MD, New York, NY
7:30 – 9:45 am
                                                                     8:20 am       Combined Endo-Laparoscopic
SYMPOSIUM: Advanced Endoscopy                                                      Surgery (CELS) and Full Thickness
CME Credit Hours: 2.25                                                             Laparo-Endoscopic Excision
                                                                                   (FLEX) for Complicated Polyps
CNE Credit Hours: 2.25
                                                                                   David Rosen, MD, Cleveland, OH
There has been significant expansion of new
techniques and instrumentation for advanced                          8:35 am       ELSI (EndoLuminal Surgical
endoscopic procedures. These techniques                                            Interventions): ESD and Beyond
                                                                                   Uzma D. Siddiqui, MD, Chicago, IL
broaden our ability to perform more complex
procedures in a much less invasive way. As                           8:50 am       Quality Metrics and Endoscopy –
colorectal surgeons, we are positioned to adopt                                    What do I need to Know, and
these techniques and lead in this field.                                           Who’s Watching?
Yet as busy practicing surgeons, it is often                                       Margarita Murphy, MD, Charleston, SC
difficult to get exposure to state-of-the-art                        9:15 am       The Future of Endoluminal Surgery
techniques. This symposium highlights new                                          David Kleiman, MD, Burlington, MA
advanced endoscopic techniques and their
applications as well as existing platforms.                          9:30 am       Panel Discussion and Questions
                                                                     9:45 am       Adjourn

13   Session Guide   (Back to Schedule at a Glance)   All Times are Pacific Daylight Time (PDT)   www.fascrs.org   #ASCRS21
American Society of Colon & Rectal Surgeons                                              Annual Scientific Meeting 2021

Sunday, April 25, 2021

8:00 – 9:30 am                                                       8:50 am       “There’s a Big Bump Under my Bag!”
                                                                                   Diagnosis and Management of Late
SYMPOSIUM: The Challenging Stoma                                                   Postoperative Stoma Complications
CME Credit Hours: 1.5                                                              Virginia Shaffer, MD, Atlanta, GA
CNE Credit Hours: 1.5                                                9:05 am       The Bottom of the Barrel:
The stoma is the ultimate patient dissatisfier                                     Challenging Case Presentations and
and can drive up length of stay, readmissions                                      Panel Discussion
                                                                                   Jennifer Beaty, MD, Omaha, NE
and complications—and exact even higher rates
                                                                                   Michael McGee, MD, Chicago, IL
of intangibles such as patient anxiety, cost and
frustration. This session was built to better arm                    9:30 am       Adjourn
surgical care teams with resources to help
ostomates live a high-quality life even in the                        8:00 – 10:00 am
most challenging situations. From preoperative
                                                                     SYMPOSIUM: Core Subject Update
planning and patient activation to technical
considerations of operative construction, and                        CME Credit Hours: 2
management of common complications, this                             CNE Credit Hours: 2
session is intended to provide surgeons
                                                                     Self-Assessment Credit: 2
pragmatic, practice-ready advice on helping
patients who are experiencing one of the most                        Maintaining proficiency across a wide array of
life-altering events they will ever endure.                          conditions can be challenging for practicing
                                                                     surgeons particularly when advanced
Objectives                                                           technologies and treatment options are rapidly
At the conclusion of this session, participants                      changing. The Core Subject topics provide
should be able to:                                                   expertise and a framework to explore the current
1. Explain principles of pre-operative stoma site                    understanding of a particular topic for surgeons
   marking                                                           seeking the opportunity to add to their
                                                                     knowledge base in critical areas and/or those
2. Incorporate “best practice” stoma creation                        conditions that are not seen routinely.
   principles
3. Diagnose and manage common                                        Objectives
   postoperative stoma-related complications                         At the conclusion of this session, participants
                                                                     should be able to:
Co-Directors
Jennifer Beaty, MD, Omaha, NE                                        1. Describe the evaluation, management
Michael McGee, MD, Chicago, IL                                          options, and complications associated with
                                                                        anal fissures and hemorrhoids
8:00 am     Introduction                                             2. Explain the pathophysiology and treatment
            Jennifer Beaty, MD, Omaha, NE                               options for rectal prolapse, intussusception,
8:05 am     An Ounce of Prevention:                                     and solitary rectal ulcer and to offer patients
            Preoperative Patient Preparation for                        a range of nonsurgical and surgical
            Stoma Creation                                              treatment options
            Crina Floruta, RN, NP, Cleveland, OH                     3. Review the literature for the current medical
8:20 am     “It Won’t Reach!” Intraoperative                            and surgical treatment of ulcerative colitis
            Considerations for Stoma Creation                        4. Recognize strategies for the management of
            Peter Cataldo, MD, Burlington, VT                           colorectal trauma and colonic volvulus
8:35 am     “It Keeps Leaking and I’m Really                         5. Explore advances in the management of
            Dizzy!” Diagnosis and Management                            benign and malignant anal tumors and
            of Early Postoperative Stoma                                retrorectal tumors
            Complications
            Samantha Hendren, MD, MPH, Ann Arbor, MI

14   Session Guide   (Back to Schedule at a Glance)   All Times are Pacific Daylight Time (PDT)   www.fascrs.org    #ASCRS21
American Society of Colon & Rectal Surgeons                                              Annual Scientific Meeting 2021

Sunday, April 25, 2021                                                             Satish Rao3, Donato F Altomare4, Adil E
                                                                                   Bharucha5, Rebecca Burgell6, William D
Core Subject Update continued                                                      Chey7, Guiseppe Chiarioni8, Phil Dinning9,
                                                                                   Anton Emmanuel10, Ridzuan Farouk11,
Director                                                                           Richelle JF Felt-Bersma12, Kee Wook
Mukta Krane, MD, Seattle, WA                                                       Jung13, Anthony Lembo14, Allison
                                                                                   Malcolm15, Ravinder K Mittal16, Franҫois
8:00 am     Introduction                                                           Mion17, Seung-Jae Myung13, P Ronan
            Mukta Krane, MD, Seattle, WA                                           O’Connell18, Christian Pehl19, Jose María
8:05 am     Anal Fissure and Hemorrhoids                                           Remes Troche20, R Matthew Reveille21,
            Jennifer Irani, MD, Boston, MA                                         Carolynne J Vaizey22, Veronique Vitton23,
                                                                                   William E Whitehead24, Reuben K Wong11,
8:24 am     Discussion                                                             S Mark Scott1 (All members of the
                                                                                   International Anorectal Physiology
8:28 am     Prolapse/Intussusception/Solitary                                      Working Group). 1Queen Mary, University
            Rectal Ulcer                                                           of London, United Kingdom; 2University
            Margarita Murphy, MD, Mt. Pleasant, SC                                 of Zürich, Switzerland; 3Medical College
8:47 am     Discussion                                                             of Georgia, USA; 4University Aldo Moro of
                                                                                   Bari, Italy; 5Mayo Clinic, USA; 6Monash
8:51 am     Ulcerative Colitis                                                     University and Alfred Health, Australia;
            Jonathan Abelson, MD, Burlington, MA                                   7
                                                                                    Michigan Medicine, USA; 8AOUI Verona,
                                                                                   Italy; 9Flinders University, Australia;
9:10 am     Discussion                                                             10
                                                                                      University College London, UK; 11National
9:14 am     Trauma, Colonic Volvulus                                               University Hospital Singapore, Singapore;
            Cary Aarons, MD, Philadelphia, PA                                      12
                                                                                     UMC Amsterdam, Netherlands; 13Asan
                                                                                   Medical Center, Korea; 14Harvard Medical
9:33 am     Discussion                                                             School, USA; 15University of Sydney and
9:37 am     Benign and Malignant Anal Tumors/                                      Royal North Shore Hospital, Australia;
            Retrorectal Tumors
                                                                                   16
                                                                                      University of California, USA, 17Université
            Marcia Russell, MD, Los Angeles, CA                                    de Lyon et Hospices Civils de Lyon,
                                                                                   France; 18University College Dublin,
9:46 am     Discussion                                                             Ireland; 19Krankenhaus Vilsbiburg and
                                                                                   Technical University Munich, Germany;
10:00 am    Adjourn                                                                20
                                                                                      University of Veracruz, Mexico;
                                                                                   21
                                                                                     University of Colorado, Denver VAMC,
8:00 – 10:00 am                                                                    USA; 22St Mark’s Hospital and Imperial
PLENARY ABSTRACT SESSION I: Benign                                                 College London, UK; 23AP-HM - Aix-
                                                                                   Marseille University, France; 24University
Anorectal Disease and Pelvic Floor                                                 of North Carolina at Chapel Hill, USA.
CME Credit Hours: 2
                                                                     8:16 am       SP3      Outcomes of an Algorithmic,
8:00 am     Introduction                                                           Multidisciplinary Approach to
            Robert Goldstone, MD, New York, NY                                     Rectourethral Fistula Repair;
            Amber Traugott, MD, Columbus, OH                                       A Pre- and Post-Intervention Quasi-
                                                                                   Experimental Study
8:08 am     ACPGBI Travelling Fellow                                               J. Hayden*1, W. Boysen1, U. Kowalik1, B.
            SP1 The International Anorectal                                        Inouye1, J. Migaly1, C. Mantyh1, D.
                Physicology Working Group                                          Erdmann1, A. Peterson1; 1Durham, NC
                (IAPWG) Recommendations:                             8:24 am       SP4 Risk of Anal Fistula Recurrence
                Standardized Testing Protocol                                          in Immunocompromised
                and the London Classification                                          Patients: A Case-control Study
                for Disorders of Anorectal
                Function                                                           J.A. Nguyen*1, A. Cioci1, M.S. Meece1, F.
                                                                                   Marchetti1, L. Sands1, V. Hui1; 1Miami, FL
            Emma V Carrington1, Henriette Heinrich2,
            Charles H Knowles1, Mark Fox2,

15   Session Guide   (Back to Schedule at a Glance)   All Times are Pacific Daylight Time (PDT)    www.fascrs.org     #ASCRS21
American Society of Colon & Rectal Surgeons                                              Annual Scientific Meeting 2021

Sunday, April 25, 2021

Benign Anorectal Disease and Pelvic Floor                            9:20 am       SP11 Multi-institutional Safety
continued                                                                               Profile of Minimally Invasive
                                                                                        Ventral Rectopexy in the
8:32 am      SP5 Endorectal Advancement Flap                                            United States
                 with Fibrin Glue for Treatment                                    G. Chitragari*1, G.B. Filosa1, J. Ogilvie1;
                 of Trans-sphincteric Fistulas                                     1
                                                                                    Grand Rapids, MI
            S.G. Lee*1, A. Ferrara1, J. Gallagher1, P.
            Williamson1, S. DeJesus1, R. Mueller1, J.                9:28 am       SP12 Working Towards a Universal
            Karas1, M. Ferrara1; 1Orlando, FL                                           Language: A Preliminary
                                                                                        Report from the ASCRS Pelvic
8:40 am      SP6 Outcomes of Virtual Visits for                                         Floor Disorders Consortium on
                 Anorectal Complaints During                                            Pelvic Organ Prolapse (POP)
                 the COVID-19 Pandemic                                                  Physical Exam (PE) Workgroup
            K.K. Thanki*1, J. Ayscue1, M. Bayasi1, S.                              M. Varma*1, D.S. Keller2, C. Grimes3, L.
            Berkey1, J. Fitzgerald1, A. Kata1, B. Bello1;                          Bordeianou4, E. PE Workgroup5; 1San
            1
             Washington, DC                                                        Francisco, CA, 2Columbia, SC, 3Valhalla,
8:48 am      SP7 Does Adding a Fissurectomy to                                     NY, 4Boston, MA, 5Multiple, MA
                 Botox Injection Increase                            9:36 am       SP13 Does Concomitant Pelvic
                 Success Rate or Just Cost?                                             Organ Prolapse Repair at the
            K. Winter*1, M. Porter1, K. Quinn1,                                         time of Rectopexy Impact
            T. Savolt1, N. Sanchez1; 1Wichita, KS                                       Rectal Prolapse Recurrence
                                                                                        Rates? A Retrospective Review
8:56 am      SP8 Anorectal Abscess: The
                                                                                        of a Prospectively Collected
                 High-Cost of Unguided Care
                                                                                        Pelvic Floor Disorders
            V.C. Simon*1, J.H. Frankel1, B.C. Chapman1,                                 Consortium Quality
            S.S. Michael1, E. Birnbaum1, J.D. Vogel1;                                   Improvement Database
            1
             Aurora, CO
                                                                                   L. Bordeianou*1, J. Ogilvie2, B. Gurland3, P.
9:04 am      SP9 Implementation of a                                               QI Database Participants4; 1Boston, MA,
                 Multimodal Enhanced                                               2
                                                                                     Grand Rapids, MI, 3Palo Alto, CA,
                 Recovery Protocol in                                              4
                                                                                     Multiple, ME
                 Ambulatory Anorectal Surgery:
                                                                     9:44 am       SP14 The Prevalence of Mental
                 A Randomized Trial
                                                                                        Health Disorders in Young
            L. Yao*1, A. Parrish2, P. Fleshner1, K.                                     Patients with Rectal Prolapse
            Zaghiyan1; 1Los Angeles, CA, 2Los Gatos, CA                            A. Whitlock*1, M.N. Fakler1, B.G. Allar1, T.E.
9:12 am      SP10 Opioid Prescription Guidelines                                   Cataldo1, K.T. Crowell1, A. Fabrizio1, E.
                                                                                   Messaris1; 1Boston, MA
                  for Anorectal Surgery - The
                  Answer to a Missing Piece in                       10:00 am      Adjourn
                  the Current Opioid Literature
            A. Althans*1, K. Hrebinko1, O. Olaitan1,                 10:00 – 10:15 am
            M. Ettore1, J.Celebrezze1, D. Medich1, J.
            Holder-Murray1; 1Pittsburgh, PA                          Virtual Engagement Break, Join us
                                                                     at ASCRS Central in the Exhibit Hall!

16   Session Guide   (Back to Schedule at a Glance)   All Times are Pacific Daylight Time (PDT)    www.fascrs.org       #ASCRS21
American Society of Colon & Rectal Surgeons                                              Annual Scientific Meeting 2021

Sunday, April 25, 2021

10:15 am – 12:00 pm                                                  10:40 am      SP23 An Improvement in
                                                                                        Assessment of Response to
PLENARY ABSTRACT SESSION II:                                                            Preoperative
Rectal Cancer                                                                           Chemoradiotherapy for Rectal
CME Credit Hours: 1.75                                                                  Cancer Using MRI and
                                                                                        Multigene Biomarker
10:15 am     Introduction                                                          I. Park*1, E. Cho*1, Y. Kim1, S. Hong1, S. Lim1, C.
             Mary Kwann, MD, Los Angeles, CA                                       Yu1, J. Kim1; 1Seoul, Korea (the Republic of)
             Bradford Sklow, MD, Cleveland, OH
                                                                     10:48 am      SP24 Total Neoadjuvant Therapy
10:16 am     SP20 Association of Patient, Tumor,                                        Significantly Increases Clinical
                  and Operative Characteristics                                         Complete Response
                  with TME Intactness in Rectal                                    R.L. Rettig*1, B.W. Beard1, J.J. Ryoo1,
                  Surgery: Review of a Multi-                                      R.A. Parker1, M. Tam1, V. Attaluri1;
                  institutional Database                                           1
                                                                                    Los Angeles, CA
             M. Mohammed*1, K.M. Reitz1, K. Hrebinko1,
                                                                     10:56 am      SP25 Trajectory of Low Anterior
             S. Regenbogen2, A. Hawkins3, A. Ejaz4, P.
                                                                                        Resection Syndrome After
             Bauer5, G. Balch6, J. Holder-Murray1;
             1
              Pittsburgh, PA, 2Ann Arbor, MI, 3Nashville,                               Restorative Proctectomy for
             TN, 4Columbus, OH, 5St. Louis, MO,                                         Rectal Adenocarcinoma
             6
               Atlanta, GA                                                         F. Alrashid*1, S. Robitaille1, P. Charlebois1,
                                                                                   B.L. Stein1, L.S. Feldman1, J.F. Fiore Jr.1,
10:24 am     SP21 Perineural Invasion is a                                         A.S. Liberman1, L. Lee1; 1Montreal, QC,
                  Reliable Predictor of                                            Canada
                  Recurrence and Response in
                  Rectal Cancer Patients Who                         11:04 am      SP26 Transanal Endoscopic
                  Underwent Curative Resection                                          Microsurgery versus Total
                  After Preoperative                                                    Mesorectal Excision in ypT0-1
                  Chemoradiotherapy                                                     Rectal Cancer after Pre-
                                                                                        operative Radiochemotherapry:
             Y. Kim*1, C. Kim1, J. Lee1, Y. Yoon1, I. Park1,
             S. Lim1, C. Yu1, J. Kim1; 1Seoul, Korea (the                               Post-operative morbidity,
             Republic of)                                                               Functional Results, and Long-
                                                                                        term Oncologic Outcome
10:32 am     SP22 Post-treatment Rectal MRI for                                    G. Rizzo*1, D.P. Pafundi1, F. Sionne1, C.
                  Rectal Cancer Underestimates                                     Mattana1, G. Pietricola1, R. Aversa1, L.
                  Distance to Circumferential                                      D’Agostino1, C. Coco1; 1Cerveteri, Italy
                  Resection Margin (CRM)
                  Particularly in Anterior Tumors                    11:12 am      SP27 Management and Outcomes of
                  – A Comparison with Whole-                                            Pathologic Upstaging of
                  mount Pathological Specimens                                          Clinical Stage 1 Rectal Cancers
             J.B. Yuval*1, H.M. Thompson1, C. Firat1, F.S.                         A. Lussiez*1, S.J. Rivard1, P. Bauer2, K.
             Verheij1, M. Widmar1, J. Shia1, M.J. Gollub1,                         Edwards-Hollingsworth3, S. Abdel-Misih4,
             J. Garcia-Aguilar1; 1New York, NY                                     K. Hrebinko5, G. Balch6, L. Maguire1; 1Ann
                                                                                   Arbor, MI, 2St. Louis, MO, 3Nashville, TN,
                                                                                   4
                                                                                    Columbus, OH, 5Pittsburgh, PA, 6Atlanta,
                                                                                   GA

17   Session Guide   (Back to Schedule at a Glance)   All Times are Pacific Daylight Time (PDT)     www.fascrs.org       #ASCRS21
American Society of Colon & Rectal Surgeons                                              Annual Scientific Meeting 2021

Sunday, April 25, 2021                                                10:15 – 11:45 am
Rectal Cancer continued                                              SYMPOSIUM: Management of
11:20 am     SP28 Evaluation of Magnetic
                                                                     Diverticulitis. Is There Anything We
                  Resonance – Tumor Regression                       Were Taught That is True?
                  Grade for Prediction of                            CME Credit Hours: 1.5
                  Pathological Response to
                                                                     CNE Credit Hours: 1.5
                  Neoadjuvant Treatment in
                  Rectal Cancer                                      Self-Assessment Credit: 1.5
            I. Sapci*1, A. Purysko1, M. Kalady1, E.                  The management of diverticulitis has changed
            Gorgun1, M.A. Valente1, S. Steele1, C.                   over the past decades. In this symposium, we
            Delaney1, D. Liska1; 1Cleveland, OH                      will discuss the shifts in the treatment paradigm
                                                                     of diverticulitis. We will review the evidence
11:28 am     SP29 In Patients with Rectal Cancer
                                                                     behind the new guidelines for the treatment of
                  who are Treated with Total
                                                                     this prevalent disease.
                  Neoadjuvant Therapy, Rectal
                  Resection May Be Superfluous                       Objectives
                  in More than One-Third of
                                                                     At the conclusion of this session, participants
                  Patients.
                                                                     should be able to:
            B.C. Chapman*1, S. Lai1, T. Friedrich1, E.
            Birnbaum1, M.D. McCarter1, J.D. Vogel1;                  1. Explain the role of antibiotics in acute
            1
             Aurora, CO                                                 diverticulitis
                                                                     2. Discuss the role of surgical management of
11:36 am     SP30 Deep Learning Based
                                                                        acute and chronic diverticulitis
                  Assessment of Rectal Tumors
                  after Total Neoadjuvant                            3. Discuss minimal invasive tips and tricks for
                  Therapy                                               acute diverticulitis
            H.M. Thompson*1, R. Jimenez-Rodriguez2,                  4. Recognize options for medical management
            J. Garcia-Aguilar1, H. Veeraraghavan1; 1New                 of diverticulitis
            York, NY, 2Sevilla, Spain
                                                                     Co-Directors
11:44 am     SP31 Anastomotic Leak Does Not                          Jason Hall, MD, MPH, Boston, MA
                  Affect Survival in Rectal                          Mehraneh Dorna Jafari, MD, Irvine, CA
                  Cancer Patients Receiving
                  Neoadjuvant Therapy: An                            10:15 am      Introduction
                                                                                   Jason Hall, MD, MPH, Boston, MA
                  Analysis of the US Rectal
                                                                                   Mehraneh Dorna Jafari, MD, Irvine, CA
                  Cancer Consortium
            K. Hrebinko*1, K.M. Reitz1, S. Regenbogen2,              10:20 am      What is the Best Medical Therapy for
            A. Hawkins3, A. Ejaz4, P. Bauer5, G. Balch6,                           the Treatment of Acute
            J. Holder-Murray1; 1Pittsburgh, PA, 2Ann                               Noncomplicated Diverticulitis?
            Arbor, MI, 3Nashville, TN, 4Columbus, OH,                              Fergal Fleming, MD, Rochester, NY
            5
              St. Louis, MO, 6Atlanta, GA
                                                                     10:30 am      Do All Complicated Presentations of
11:52 am     SP32 The Efficacy of Adjuvant                                         Diverticulitis Require Surgery?
                  Chemotherapy on Oncologic                                        Dana Hayden, MD, Chicago, IL
                  Outcomes in Stage 2A Rectal
                                                                     10:42 am      When is Enough, Enough? Surgical
                  Cancer Patients
                                                                                   Management of Recurrent
            H. Ryu*1, J. Lee1; 1Seoul, Korea (the                                  Uncomplicated Diverticular Disease
            Republic of)                                                           Sean Langenfeld, MD, Omaha, NE
12:00 pm     Adjourn                                                 10:52 am      Tips and Tricks for the Minimally
                                                                                   Invasive Management of Emergency
                                                                                   Resections for Diverticulitis
                                                                                   Lynn O’Connor, Huntington, NY

18   Session Guide   (Back to Schedule at a Glance)   All Times are Pacific Daylight Time (PDT)   www.fascrs.org   #ASCRS21
American Society of Colon & Rectal Surgeons                                                Annual Scientific Meeting 2021

Sunday, April 25, 2021
Management of Diverticulitis continued                               pain management and functional medicine
                                                                     together for evaluation and holistic patient
11:12 am    Is there Still a Role of for the                         treatment.
            Hartmann Procedure in the
            Management of Hinchey III and IV                         Objectives
            Diverticular Disease?                                    At the conclusion of this session, participants
            Christy Cauley MD, MPH, Boston, MA                       should be able to:
11:23 am    Case Presentations                                       1. Evaluate patients with pelvic floor disorders
            Jason Hall, MD, MPH, Boston, MA,                             by using data collection tools and pelvic
            Mehraneh Dorna Jafari, MD, Irvine, CA                        floor physiology tests, such as anorectal
11:45 am    Adjourn                                                      manometry, ultrasound and defecography
                                                                     2. ​Describe treatment pathways for common
10:15 – 11:45 am                                                         pelvic floor disorders: constipation, prolapse,
                                                                         incontinence
SYMPOSIUM: Pelvic Floor: The Great
                                                                     3. Explain the necessity for multidisciplinary
Falling Out.
                                                                         collaboration in treating patients with pelvic
CME Credit Hours: 1.5                                                    floor disorders. Identify the specialists and
CNE Credit Hours: 1.5                                                    care providers that are necessary to optimize
                                                                         patient outcomes
In the last decade, there has been a
tremendous increase in new technologies, new                         4. Develop a plan for organizing their own
surgical techniques and new imaging modalities                           virtual or real pelvic floor center
that impact the care of patients with pelvic                         Co-Directors
floor disorders. Subsequently, the treatment
                                                                     Russell Farmer, MD, Louisville, KY
pathways for common disorders such as
                                                                     Sarah Vogler, MD, MBA, Cleveland, OH
constipation, prolapse, and incontinence have
changed drastically. Approximately one                               10:15 am      Introduction
quarter of all women suffer from at least one                                      Russell Farmer, MD, Louisville, KY
pelvic floor disorder in their lifetime. Urinary                                   Sarah Vogler, MD, MBA, Cleveland, OH
incontinence is the most common, with a
                                                                     10:20 am      Sacral Neuromodulation in 2021 –
prevalence of 15-17%, whereas fecal
                                                                                   What’s New?
incontinence affects approximately 9% of adult                                     Bidhan Das, MD Houston, TX
women. Pelvic organ prolapse has an estimated
prevalence of 3-8%, and 20% of women                                 10:35 am      The Mystery Behind Rectoceles
undergo stress urinary incontinence or prolapse                                    Karmjit Koko Singh Khanduja, MD,
repair surgery by the age of 80. As the aging                                      Columbus, OH
population grows, the number of women with                           10:50 am      Obstructive Defecation – Has the
pelvic floor dysfunction will increase                                             Evaluation and Care Pathway
substantially and the demand for care of these                                     Changed?
disorders will continue to grow.                                                   Madulika Varma, MD, San Francisco, CA
The need to work across subspecialties in a                          11:05 am      Ventral Rectopexy – When and
multidisciplinary fashion is crucial to improving                                  Why is this an Option?
patient satisfaction and outcomes related to                                       Kenneth Loh, MD, San Francisco, CA
pelvic floor disorders. Successful and safe
patient outcomes, and minimization of                                11:20 am      Stump The Experts – A Review of
complications, depends on appropriate training                                     Difficult Cases
and collaboration in the care of pelvic floor                                      Panel
disorders. A multidisciplinary approach brings                       11:35 am      Question and Answer
practitioners in urology, gynecology, colorectal,
gastroenterology, physical therapy, radiology,                       11:45 am      Adjourn

19   Session Guide   (Back to Schedule at a Glance)   All Times are Pacific Daylight Time (PDT)   www.fascrs.org   #ASCRS21
American Society of Colon & Rectal Surgeons                                                  Annual Scientific Meeting 2021

Sunday, April 25, 2021

10:15 – 11:45 am                                                         10:45 am      QS6 Acceptability of Telemedicine
                                                                                           for Routine Colorectal Care
QUICK SHOTS I: Quality, Cost and                                                       C.M. Sokas*1, T.E. Cataldo1, K.T. Crowell1,
Education                                                                              E. Messaris1, A. Fabrizio1; 1Boston, MA
CME Credit Hours: 1.5                                                    10:50 am      QS7 Outcomes of Open,
10:15 am    Introduction                                                                   Laparoscopic, and Robotic
            Michael Guzman, MD, Indianapolis, IN                                           Colectomy in the Veterans
            Jennifer Paruch, MD, New Orleans, LA                                           Health Administration: A
                                                                                           2008-2019 National Case
10:20 am    QS1 Impact of Resident                                                         Review
                Involvement on Surgeon
                                                                                       T.J. Holleran*1, M.A. Napolitano1,
                Productivity in Outpatient
                                                                                       A. Sparks1, F. Brody1, J. Duncan1;
                Anorectal Procedures                                                   1
                                                                                        Washington, DC
            S. Whelan*1, M. Abdel-Rasoul1, D. Koller1,
            M. Magallanes1, S.S. Lansing1, J. Chen1,                     10:55 am      QS8 Enhanced Recovery Pathways
            S. Husain1; 1Columbus, OH                                                      Should be Mandatory in
                                                                                           Elective Colorectal Operations
10:25 am    QS2 Gender Differences in
                                                                                       A. Talukder*1, D. Davenport1, A. Bhakta1,
                Reimbursement among
                                                                                       J.A. Patel1; 1Lexington, KY
                Colorectal Surgeons in the
                United States                                            11:00 am      QS9 Development and Validation of
            N. Sela* , A. Hoffman , I. Ramos ,
                     1                  1             1                                    a Colorectal Operative Severity
            B. Anderson1, S. Merani1, A. Stefanou2;                                        Score: An Independent
            1
             Omaha, NE, 2Detroit, MI                                                       Predictor of Postoperative
                                                                                           Outcomes
10:30 am    QS3 Fewer Complications Seen in
                Rectal Cancer Patients Treated                                         J. Mostales*1, C. Qin1, o. Owudunni1,
                                                                                       A. Gabre-Kidan1, S. Gearhart1; 1Towson, MD
                at National Accreditation
                Program for Rectal Cancer                                11:05 am      QS10 Ketamine Intolerance in
                (NAPRC) Sites Versus                                                        Enhanced Recovery after
                Non-NAPRC Sites.                                                            Surgery patients undergoing
            P. Johnson*1, M. Parikh1, J. Wright1,                                           Colorectal Operations
            J. Lucking1, J.R. Monson1; 1Orlando, FL                                    S. Stringfield*1, C. Keirsyn1, B. Burgess1,
                                                                                       L. Dosselman1, A. Waddimba1, A. Fichera1,
10:35 am    QS4 Cost Comparison of
                                                                                       W. Peters1, K. Wells1; 1Dallas, TX
                Colectomies for Colon Cancer
                Performed by General or                                  11:10 am      QS11 Colorectal Surgery During
                Colorectal Surgeons                                                         COVID: Sicker Patients, Similar
            I.C. Le Leannec*1, C.C. Jensen2; 1New York,                                     Outcomes, More Readmissions
            NY, 2Minneapolis, MN                                                       D. Wong*1, C.M. Sokas1, T.E. Cataldo1,
                                                                                       A. Fabrizio1, K.T. Crowell1, E. Messaris1;
10:40 am    QS5 Modified Frailty Index                                                 1
                                                                                        Boston, MA
                is a Good Predictor of
                Postoperative Venous                                     11:15 am      QS12 Acute Kidney Injury is a
                Thromboembolism Incidence                                                   Common and Significant
                in Colorectal Surgery Patients                                              Complication After Ileostomy
            J. Ali Asgar*1, C. D’Adamo1, J. Wolf1,                                          Formation
            S. Svoboda1, G. Metoyer1, A. Mavanur1;                                     A. Loria*1, C.F. Justiniano1, J. Speranza1,
            1
             Baltimore, MD                                                             C. Cellini1, R. Salloum1, L.K. Temple1,
                                                                                       F. Fleming1; 1Rochester, NY

20   Session Guide   (Back to Schedule at a Glance)       All Times are Pacific Daylight Time (PDT)    www.fascrs.org       #ASCRS21
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