Sessions 8 and 11

Wednesday, April 24, 2:00 – 5:30 pm
Auditorium Kagame​

Hour 1
Chairs: C. Prakash Gyawali (USA) – Roberto Penagini (Italy) 
Moderators: Edoardo V. Savarino (Italy) – Mark R. Fox (Switzerland) – Walter W. Chan (USA) – Ellen M. Stein (USA) 

Potential important topics to discuss:

• Physiology, mucosal nerve, and innervation 
• Mechanisms of esophageal hypersensitivity 
• Achalasia/EGJOO evaluation vs normal transit dysphagia
• Overlap between GERD and DGBI of esophagus
• Perceptive vs transit symptoms
• Globus sensation
• Invasive intervention in functional disorders

Hour 2 (6 Questions)
Chairs: Walter W. Chan (USA) – C. Prakash Gyawali (USA)
Moderators: Marcelo F. Vela Aquino (USA) – Justin C. Y. Wu (Hong Kong)

1. How do you clinically address belching or lack thereof? – Dan Sadowski (Canada)
2. When to suspect and confirm the diagnosis of rumination? – Joan W. Chen (USA)
3. Esophageal chest pain or heartburn: is it reflux or not? – Albis C. Hani de Ardila (Colombia)
4. When nothing is “wrong” – how to approach normal transit dysphagia? – Daphne Ang (Singapore)
5. Not all cough is reflux - what to do when reflux is ruled out? – Walter W. Chan (USA)
6. What to do when achalasia is adequately treated but symptoms persist? – Ellen M. Stein (USA)

Hour 3 (6 Questions)
Chairs: Roberto Penagini (Italy) – Ellen M. Stein (USA)
Moderators: Justin Y. Y. Lee (Malaysia) – Braden Kuo (USA)

1. Is acid suppression appropriate for treatment of disorders of gut-brain interaction? – Justin Y. Y. Lee (Malaysia)
2. How to choose the right neuromodulator for esophageal DGBI? – Braden Kuo (USA)
3. When talking is better than drugs: what are the roles of cognitive behavioral therapy and hypnosis? – Livia Guadagnoli (Belgium)
4. Is there a role for cannabinoids in esophageal disorders? – Marcelo F. Vela Aquino (USA)
5. Pins, needles and clips – when to use acupuncture and vagal nerve stimulation? – Justin C. Y. Wu (Hong Kong)
6. Can digital apps and virtual reality be leveraged for esophageal disorders, or is it too soon? – Eric D. Shah (USA)