Short Courses and Special Courses

SC46 – Getting the Upper Hand on Upper GI: A Practical Approach to Common Issues in the Esophagus, Stomach, and Small Bowel

Wednesday, March 21, 2018 - 1:30 pm - 5:30 pm
This Short Course session includes up to a one-hour break.

Session Credits:

3 CME and 3 SAMs


Dora Lam-Himlin, MD, Mayo Clinic, Scottsdale, AZ
Wendy L. Frankel, MD, The Ohio State University Wexner Medical Center, Columbus, OH
Christina A. Arnold, MD, The Ohio State University Wexner Medical Center, Columbus, OH

Course Description

Gastrointestinal biopsies represent a high-volume specimen for most centers. Familiarity with newly described entities, evolving guidelines, and biomarker requests is critical for optimal patient care and outcomes. This course focuses on updates to common diagnoses and practical approaches to newly described entities in inflammatory and neoplastic lesions of the esophagus, stomach and small bowel. During this case-based course, emphasis is on practical tips for diagnosis, sign-out, clinical implications and prognosis. Nine cases will review updates in terminology, use of ancillary studies and current consensus recommendations.

Discussion of these cases will cover a broad range of topics including: 1) Inflammatory esophageal diseases such as Candida esophagitis, gastroesophageal reflux disease, sloughing esophagitis, epidermoid metaplasia and eosinophilic esophagitis; 2) Barrett esophagus with an update on clinical surveillance guidelines and diagnostic challenges; 3) Gastric adenocarcinoma with associated syndromes and interpretation of Her2neu; 4) Gastritides caused by Helicobacter, autoimmune and environmental etiologies; 5) Select gastric polyps; 6) Small bowel malabsorption pattern and its causes.

Learning Objectives

Upon completion of this educational activity, the learner will be able to:

  • List the differential diagnosis for parakeratosis and eosinophilia in the esophagus
  • Describe the utility of special stains for Barrett Esophagus and Barrett related Dysplasia
  • Explain the significance and criteria for Her2neu immunohistochemistry of gastric adenocarcinoma
  • Differentiate reactive gastritis, Helicobacter gastritis and autoimmune gastritis
  • List the differential diagnosis for malabsorption injury in the small bowel


Continuing Medical Education and Maintenance of Certification

The United States and Canadian Academy of Pathology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The United States and Canadian Academy of Pathology designates this live activity for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The USCAP is approved by the American Board of Pathology (ABP) to offer Self-Assessment credits (SAMs) for the purpose of meeting the ABP requirements for Maintenance of Certification (MOC). Physicians must take and pass the post-test in order to claim SAMs credit.

Physicians can earn a maximum of 3 SAM credit hours.


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