Research

Chair: Edward Dickson (Berkshire)

Welcome - Jim Tiernan (Leeds)

Breaking Trials

• PRO-diGi - Matt Lee (Sheffield)
• NHS England Colon Capsule Study - James Turvill (York)
• ROCCS-Ex - Ellen Jerome (Birmingham)
• PITSTOP - Steve Brown (Sheffield)
• POLO - Louise Da Silva (Cardiff)

Panel Questions

New Trials

• PICCOS – Jared Torkington (Cardiff)
• Colo-Prevent - Ajay Verma (Kettering)
• EXTEND - Andrew Kirby & Dermot Burke (Leeds)
• BioNTech Adjuvant Vaccine Trial - Rob Jones (Liverpool)

ACPGBI Research MDT

• Jim Tiernan (Leeds)

ACPGBI/BRUK Research App

• Dale Vimalachandran (Chester)

Wrap up – Jim Tiernan (Leeds)

Proctology

Section 1: Guideline update

Chairs: Farah Khasawneh (Leicester) and Steve Ward (Birmingham)

• ACPGBI Fissure guideline – Katie Cross (Devon)
• ESCP Fistula guideline – Lillian Reza (London)

Section 2: Current Practices

Chairs: Kathryn McCarthy (Bristol) and Raj Rajaganeshan (Bristol)

• Ambulatory proctology - Kathryn McCarthy (Bristol)
• Rectovaginal fistula: who and what? - Jennie Grainger (Chester)
• Rationalising fistulae: tips and tricks - Kapil Sahnan (London)
• MDT cases - Phil Tozer (London)

ACPGBI Essential Coloproctology Skills Workshop

This requires a separate sign-up when registering for the conference, places are limited and allocated on a first-come-first-serve basis

• Delegate level: ST3-8, SAS and specialty doctors
• Number of delegates: 12
• Number of observers: 6
• Delegate booking fee: £20

Procedures: Ileoanal pouch construction and pouch anal anastomosis; stricturoplasty; Kono-S anastomosis.

The ACPGBI Essential Coloproctology Skills Workshop is designed to deliver key specialist practical skills in the annual meeting in Manchester.

This hands-on wet lab simulation model workshop, organised for the first time in an ACPGBI annual meeting, is suitable for trainees and speciality doctors in colorectal surgery practice. Delegates booking this section are expected to have acquired basic background knowledge about the procedures which they will learn to perform on the wet tissue.

BRUK Lecture

Chair: Asha Senapati (Portsmouth)

• Anaemia and colorectal cancer - Austin Acheson (Nottingham)

Coffee break

Ethicon Sponsored Symposium: Reducing Complications in Colorectal Surgery

• The impact of technology in leaks reduction - Professor Pla Marti

Pelvic Floor

Chairs: Cat Boereboom (Nottingham) and Pam Chaichanavichkij (London)

• Anal sex and the sphincter - Lesley Hunt (Sheffield)
• Male to female gender reassignment and the pelvic floor - James Bellringer (London)
• Acute obstetric injury - Charlotte Chaliha (London)

Quality Improvement

Chair: Nicola Dames (Glasgow) and Connor Boyle (Edinburgh)

• Ileostomy closure and quality improvement - Nicola Fearnhead (Cambridge)
• National Consultant Information Programme - Norman Williams (London)
• Reducing unwarranted variation in colorectal surgery - Mark Cheetham (Shrewsbury)
• Quality Improvement in Northern Ireland - Barry McAree (Belfast)

• How a colorectal surgeon can help the national colorectal cancer screening effort: lessons from Singapore - Ian Tan (Singapore)

• Quality of life in colorectal cancer patients: a multi-institution prospective longitudinal study of 233 patients in Singapore - Ian Tan (Singapore)

Annual General Meeting

• President's report
• Secretary's report
• NBOCA report
• Treasurer's report
• The Dukes' Club report
• BRUK report
• Colorectal Disease report

Parastomal Hernias

Chairs: Ben Griffiths (Newcastle) and Niroshini Rajaretnam (Torbay)

Panel: Dominic Slade (Salford), Toby Hammond (Chelmsford), Akash Mehta (London), David Messenger (Bristol), Sue Blackwell (patient representative), Kylie Lockett (ASCN), Jordan Fletcher (The Dukes' Club)

A scenario driven panel discussion with aims to highlight what we should and should not do with parastomal hernias. Covering:

• Management of parastomal hernias in Crohn's
• Small but symptomatic
• Combined with midline hernia
• Consent
• The role of a specialist parastomal hernias clinic
• Working with our stoma nurses
• What patients want

Intuitive Sponsored Symposium

Dr Mark Soliman, AdventHealth USA, System Chair of Colon and Rectal Surgery and Assistant Professor of Surgery, UCF

Agenda:

• Global expansion of da Vinci within colorectal surgery
• The move to a total robotic approach
• Intracorporeal anastomosis technique
• Navigating the robotic surgery learning curve

Bad things that happen to good(ish) surgeons

Chair: Sarah Squire (Oxford) and Delphine Couderq (Leicester)

• Where we are with meshes in colorectal surgery - Andy Williams (London)

• The GMC: How to stay out of trouble - Samantha Watson (General Medical Council)

• Clinical negligence litigation: the nuts and bolts - Sally Hatfield KC (Manchester)

• Patients are only human; we make mistakes too - Susannah Hill (patient)

Acute Severe Intestinal Failure for the Colorectal Surgeon - how to get out of trouble

Chairs: Osman Chaudhary (Norwich), Akash Mehta (Salford), Carolynne Vaizey (London)

• Aims and objectives
• Abdominal sepsis and acute IF in colorectal surgery - Akash Mehta (London)
• Initial management of enterocutaneous and enteroatmospheric fistulation - John Burke (Dublin)
• Initial nutritional and metabolic support in acute severe intestinal failure  - Neena Randhawa (Newcastle)
• What is specialist IF care, why and when is it required? – Andy King (Southampton)
• Conclusions and summary - Carolynne Vaizey (London)

Association of Coloproctology Nurses (ACPN)

Annual General Meeting

Chair: Gabrielle Thorpe (Norwich)

14.15-14.30

Presentations

Chairs: Linnet McGeever (Forth Valley) and Cheryl Hides (Sheffield)

14.30-15.30

• Psychological well-being of people living with a colorectal cancer predisposition syndrome: evidence from a systematic review - Laura Monje-Garcia (London) and Tracie Miles (Bath)
• Using transanal irrigation for all functional bowel disorders: PERSPECTIVE, an observational study - Michelle Henderson (East Lothian)
• A quality improvement project to pilot and evaluate a one-stop multi-speciality clinic for patients undergoing surgery for advanced pelvic malignancy in Greater Manchester at The Christie NHS Foundation Trust - Amanda Coop (Manchester)
• The National NHS Genomic Medicine Service Lynch Syndrome Transformation Project: forming the national nursing team - Laura Monje-Garcia (London) and Tracie Miles (Bath)

Coffee break: 15:30-16:00

ACPN Mentoring Workshop

This mentoring workshop open to everyone and is with Michelle Crossland, Director, Intuition Discovery and Development.

The session will be a highly participative and is designed to introduce you to the benefits of mentoring as a means of supporting others in achieving personal and professional effectiveness and success. We will help you to understand what mentoring is and what it isn’t.

You will be introduced to the essential skills and a mentoring model to support a mentoring conversation and will be given an opportunity to practice with your peers.

Please sign up for this workshop via the registration system.

Travelling Fellows

Chair: Sanjay Chaudhri (Leicester)

• Diverticulitis Management, a Snapshot Collaborative Audit Study (DAMASCUS): protocol for an international, multicentre, prospective observational study - Deborah Keller, ASCRS Travelling Fellow (USA)
• Distinct colonic microbiome changes are associated with acute diverticulitis - Greg Turner, CSSANZ Travelling Fellow (Australasia)

Tea break

CMR Sponsored Symposium

Introduced by Mike Yang, CMR Surgical

• How we successfully completed over 100 colorectal cancer resections in 10 months using the small, modular and portable Versius robotic system - Vanash Patel, Consultant Colorectal and General Surgeon

Colorectal Disease Lecture

Chair: Paul Sutton (Manchester)

• Quality of life after complex pelvic surgery - Gabrielle Van Ramshorst (Belgium)

The Dukes' Club Programme

Chairs: Lillian Reza (London), Mohamed Rabie (London) and Panchali Sarmah (Leicester)

• High performance surgery - Tim Underwood (Southampton)
• Looking for something different: my experience with global surgery - Helen Please
• How I got my consultant job - Emma Carrington (London), Sarah Hassan (Derby) and Pratik Roy (Leeds).

ACPGBI Medical Students Core Training Quiz with drinks reception

Organ Preservation in Early Rectal Cancer

Chairs: Katie Cross (Devon), Amyn Haji (London) and Katie Siggens (Portsmouth)

• TAMIS in the treatment of ERC - Chris Cunningham (Oxford)
• Trials update on NEOadjuvant therapy in ERC - Claire Arthur (Manchester)
• ESD in the treatment of ERC - Noriko Suzuki (London)

Case Presentations

Panel: Oliver Warren (Lap/Robotic LAR), Claire Arthur (Oncologist), Rohit Kochhar (Radiologist), Noriko Suzuki (ESD/EMR), Chris Cunningham (TAMIS)

• Case 1: Katie Siggens (Portsmouth), Rohit Kochhar (Manchester)
  MDT Panel Discussion
• Case 2: Andrew Emmanuel (London), Rohit Kochhar (Manchester)
  MDT Panel Discussion
• Case 3: Ann-Marie Howell (London), Rohit Kochhar (Manchester)
  MDT Panel Discussion

Improving Outcomes for Colorectal Cancer

Chair: Sarah Mills (London)

Speaker: Robert Logan (London), National Speciality Advisor for Endoscopy and Screening at NHS England