ISDE News

Esophageal cancer is among the 6th to 8th cause of cancer mortality according to the Global Cancer Observatory. The esophagus is a muscular tube that connects the throat to the stomach. Its symptoms cause a significant impact on patients lives and are often: swallow disorder (dysphagia), unintentional weight loss, heartburn and chest pain. The early treatment for esophageal cancer is imperative for a better prognosis and enhances the chance of the patient survivor. Esophagectomy has an important role in the cancer treatment and minimally invasive approach has been achieving an increasingly solid result in recent years.

The ISDE (International Society for Diseases of the Esophagus) hosted a virtual presentation and discussion regarding cancer of the esophagus, managing the disease including surgery for esophageal cancer and other treatment approaches.

The Esophageal Cancer Virtual Tumour Board held on August 20, 2020, and moderated by Mark van Berge Henegouwen, Amsterdam University Medical Center (Netherlands) and Lorenzo Ferri, McGill University (Canada), is presented in four separate segments below. Watch different segments when you have the time or all at once, the choice is yours.

Case 1 – Esophageal Adenocarcinoma (EAC)

Case 2 – Esophageal squamous cell carcinoma (ESCC)

Case 3 – Esophago gastric junction (EGJ) Adenocarcinoma

Conduit Complications

ISDE wishes to recognize and thank the following individuals for their contributions to this virtual presentation:

• Wayne Hofstetter, MD Anderson Cancer Center (USA)
• Simon Law, University of Hong Kong (China)
• John Reynolds, Trinity College Dublin (Ireland)
• Mark Smithers, University of Queensland (Australia)
• Yuko Kitagawa, Keio University (Japan)
• Mark van Berge Henegouwen, Amsterdam University Medical Center (The Netherlands)
• Lorenzo Ferri, McGill University (Canada)

If you are interested in this you may be interested in the Esophageal Cancer Playlist too.

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International, Interdisciplinary, Everything esophageal!

The Communications Committee created a new Facebook group, Challenging Cases Discussions, to provide a platform for discussing cases and clinical challenges on diseases of the esophagus. Members are encouraged to use this platform for advice and opinions on a clinical conundrum of interest.

With a distinctive multidisciplinary international composition of leaders in different areas of expertise, the purpose of this new discussion group is to spread knowledge and improve patient care through collaborative engagements.

The ISDE Board of Directors is inviting all members to join them in contributing to the growth of the society by joining a Standing Committee.

Join a dedicated group of physicians, surgeons, scientists, and other health professionals work towards making ISDE an international leader in the development and dissemination of information about the esophagus.

Interested in joining a committee? Put your name forward by submitting a self-nomination.

Not an ISDE Member? Not a problem, simply become an ISDE member before submitting a self-nomination.

A series of three webinars showcasing the top 25 of abstracts submitted for the (now rescheduled to August 2021) 17th ISDE World Congress for Esophageal Diseases. Each webinar will also include a state of the art lecture by an international expert. Webinar dates are: September 23, 2020; October 7, 2020 and October 21, 2020. More details available soon!

DOTE - Volume 33, Issue 8, August 2020

Checkout the latest DOTE issue for articles on Benign Esophageal and Malignant Esophageal Diseases; See the full table of contents.

Management of paraesophageal hernia review of clinical studies: timing to surgery, mesh use, fundoplication, gastropexy and other controversies

DOTE Volume 33, Issue 8 | Editor's Choice
Free Article

Despite paraesophageal hernias (PEH) being a common disorder, several aspects of their management remain elusive. Elective surgery in asymptomatic patients, management of acute presentation, and other technical aspects such as utilization of mesh, fundoplication or gastropexy are some of the debated issues. The aim of this study was to review the available evidence in an attempt to clarify current controversial topics. Read the full Management of paraesophageal hernia review of clincial studies article for free.

Totally minimally invasive esophagectomy versus hybrid minimally invasive esophagectomy: systematic review and meta-analysis.

DOTE Volume 33, Issue 8| Featured Article
Members Only Article

Regarding the need to establish the safety and feasibility of total versus hybrid minimally invasive esophagectomy this systemic review provides a comparison between those two methods for the treatment of esophageal cancer. It raises attention towards the importance of having randomized controlled evidence in that matter. Discover through its findings the difference between the lymph node count, anastomotic leakage rate, morbidity and operative data on both groups. Read the Totally minimally invasive article.

By Wayne L. Hofstetter, MD

Dr DeMeester was ISDE's fourth president, during presidency he facilitated two important changes: First he shaped the ISDE into a truly worldwide society by establishing it as a 501-C3 nonprofit organization. Secondly, Dr DeMeester altered the structure of the society, such that the presidency would switch between surgeon and internist, thus encouraging multidisciplinary leadership and participation in the meetings and membership. 

Find out more about Dr DeMeester in Diseases of the Esophagus, Volume 33, Issue 8, August 2020.

About the Presidential Biography Series

The Presidential Biography Series is being published as part of the celebration for the 40th anniversary of the first ISDE Congress, visit our Celebrating 40 Years page to find out more. We hope you find the series an informative look at the history of the ISDE over the past 40 years.

Sincerely,

Giovanni Zaninotto and Neil Gupta
Editors in Chief, Diseases of the Esophagus (DOTE)

Achalasia is a relatively rare esophageal motility disorder that is mainly characterized by a lack of peristalsis of the esophageal body and absence or incomplete relaxation of the lower esophageal sphincter. Its symptons, frequently heard from patients’ stories, produce a huge impact on their lives.

The ISDE (International Society for Diseases of the Esophagus) held its first live virtual presentation and discussion regarding achalasia of the esophagus through its types, how to diagnose and what is the most appropriate achalasia treatment. Discussion also included the role of achalasia surgery and common questions such as, what is the role of POEM in achalasia treatment.

This virtual presentation was moderated by Education Committee Co-Chairs, Simon Law and Lawrence Ho, this virtual event included didactic lectures covering updates in diagnostic assessments, endoscopic approaches, and surgery. This interactive session explored multidisciplinary approaches to tailor treatments and is presented in five segments below.

Updates on pathophysiology and work for Achalasia presented by Vani Konda from Baylor University Medical Center (USA)

Update on endoscopic treatment for Achalasia presented by Haruhiro Inoue, Showa University (Japan)

Surgical treatment for Achalasia presented by Marco Patti, University of North Carolina (USA)

Effects of Post Myotomy GER in Achalasic Patients: Data from a 65 Years Long Follow-up Program presented by Sandro Mattioli, University of Bologna (Italy)

Achalasia Case Discussion lead by Vani Konda from Baylor University Medical Center (USA)

ISDE wishes to recognize and thank the following individuals for their contributions to this virtual presentation:

• Vani Konda, Baylor University Medical Center (USA)
• Haruhiro Inoue, Showa University (Japan)
• Marco Patti, University of North Carolina (USA)
• Sandro Mattioli, University of Bologna (Italy)
• André Brandalise, University of Campinas (Brazil)

Join us for the next virtual presentation titled Esophageal Cancer Virtual Tumour Board on August 20, 2020.

Join our community as an ISDE Member to receive updates and other benefits.

By Sheila K. Krishnadath

Professor Wang served as the 13^th President of the ISDE. His participation with societies in East Asian countries, such as the People’s Republic of China and Japan, facilitated the connection with the Chinese Society of Diseases of the Esophagus and the ISDE. This has been an outstanding benefit and resulted in an increased number of Chinese members. 

Find out more about Professor Wang and the many achievements throughout his career in Diseases of the Esophagus, Volume 33 Issue 7, July 2020 or download the biography here. 

About the Presidential Biography Series

The Presidential Biography Series is being published as part of the celebration for the 40^th anniversary of the first ISDE Congress, visit our Celebrating 40 Years page to find out more. We hope you find the series an informative look at the history of the ISDE over the past 40 years. 

Sincerely,

Giovanni Zaninotto and Neil Gupta
Editors in Chief, Diseases of the Esophagus (DOTE) 

By Cesare Hassan and Philip W.Y. Chiu

Guidelines committees chairs are pleased to present another virtual roundtable on the COVID-19 in follow-up to the launch of the ISDE Guidance Statement and first roundtable discussion on managing upper-GI endoscopy and surgery during the outbreak. ISDE Guidelines Committee Chair, Cesare Hassan, was joined by an international panel from Singapore, Hong Kong, India and Russia sharing their experiences and perspectives on practicing minimally invasive surgery during COVID 19 (ELSA Guidelines), restarting clinical services for endoscopy and upper GI surgery, and evidence of upper GI endoscopy as Aerosol Generating Procedure.

ISDE wishes to recognize and thank the following individuals for their contributions to this roundtable discussion.

International Panelists

Sergey Kashin, Yaroslavl Regional Cancer Hospital Yaroslavl (Russia)
CS Pramesh, Tata Memorial Hospital Mumbai (India)
Asim Shabbir, National University of Singapore (Singapore)
Shannon Chan, Chinese University of Hong Kong (Hong Kong)

Moderated by Cesare Hassan, Nuovo Regina Margherita Hospital, Rome, Italy 

We are pleased to announce the ISDE Board of Directors and Committees are working hard to create opportunities for members and our community at large to stay up-to-date. A series of virtual presentations will be introduced over the coming months and we are pleased to announce the first ISDE Virtual Presentation on:

Multidisciplinary approaches to Achalasia

The ability to diagnose and characterize achalasia has improved with advancements in technology. Treatment options include surgical myotomy and endoscopic treatments. This webinar on achalasia presents didactic lectures covering updates in diagnostic assessments, endoscopic approaches, and surgery and invites the audience to engage in an interactive session to explore multidisciplinary approaches to tailor treatments with case-based presentations and panel discussions.

Date & Time
Wednesday, July 29 at 1:00 PM GMT

• New York 9:00 AM EDT
• London 2:00 PM BST
• Hong Kong 9:00 PM HKT

Program & Speakers

• Update on pathophysiology and work up for Achalasia - Vani Konda, Baylor University Medical Center, USA
• Update on endoscopic treatment for Achalasia - Haruhiro Inoue, Showa University, Japan
• Surgical treatment for Achalasia - Marco Patti, University of North Carolina, USA
• Case presentations - André Brandalise, University of Campinas, Brazil and Vani Konda, Baylor University Medical Center, USA
• Moderated by Simon Law, University of Hong Kong, China and Lawrence Ho Khek-Yu, National University of Singapore, Singapore

Registration and Information is available now.

If you cannot attend the live presentation a recording will be made available on our Youtube Channel after. A full listing of upcoming virtual presentations can be found in the ISDE Events Calendar.