21 WORLD GASTROENTEROLOGY NEWS JULY 2014 Editorial | Expert Point of View | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events emphasized the benefit of a thera-peutic physician-patient relationship in both functional dyspepsia (FD) and irritable bowel syndrome (IBS) sufferers. He discussed further various novel pharmacologic agents and their mechanisms of action in the treatment of both these disorders. Differences in the microbiota of IBS patients were discussed by Professor Robin Spiller, as well as the implication of dietary influence on the symptoms of IBS. Professor Taku Kobayashi discussed the mystery of gut inflammation in FGID. Conventional and new tech-niques of evaluating gastric sensorim-otor function, as well as controversies in their utility, was comprehensively discussed by Professor Daphne Ang in the “Assessment of Disordered Gut Function: Current Standards and Other Innovations”. Professor Nimish Vakil elegantly discussed challenges and solutions to refractory GERD, in the lunch sym-posium. Professor Suck Chei Choi, also discussed etiology and treatment options for atypical GERD. The mul-tifactorial pathogenesis of NERD, of-ten refractory to proton pump inhibi-tor therapy was discussed by Professor Hiroto Miwa, who emphasized opti-mizing treatment efficacy of PPI and combination treatment with prokinet-ics or psychological treatment as well as central and peripheral sensitization. A more deliberate definition of func-tional dyspepsia in the development of a Rome IV criteria was proposed by Professor Kentaro Sugano, as he elo-quently stated that in the real world setting, there are wide variations in the diagnostic work up among the Asian Pacific countries. Professor Nimish Vakil discussed recent interna-tional consensus guidelines as a basis for recommendations on Barrett’s esophagus. Diffuse Esophageal Spasm was discussed by Professor Varocha Mahachai. The sunset symposium on the role of specialized amino acids in patient’s early recovery was delivered by Professor Jesus Fernando Inciong. The fellowship night that ensued was a cultural and engaging social night to remember, as it fostered closer ties between guests and hosts. On the last day, the State-of-the- Art lecture was on the prevalence, symptom spectrum and management of constipation in Asia, delivered by Professor Minhu Chen, followed by management of solitary rectal ulcer syndrome, by Professor Sutep Gonlachanvit, and constipation in adolescents by Professor Shaman Rajindranith. The rest of the scien-tific sessions dealt with the following: “Gut Dysbiosis and IBS” by Professor Mark Morrison, who also talked on the “Impact of Dietary Pattern, Func-tional Foods, FODMAP, and Diges-tive Enzymes on the Gut Microbiota”, and “IBS and IBD: Association or Dissociation” by Professor Choon-Jin Ooi. “Approaches to the Management of IBS using Prebiotics, Probiotics and Antibiotics” by Professor Aamir Ghafoor Khan, “Psychotherapy in IBS” by Professor Constantine Della, and a lecture by Professor Gerald Holtmann, on “Obesity being a Functional Disorder of the Gut”. Three simultaneous workshops, at-tended by fellows in training as well as their mentors on Quality of Life in FGID, facilitated by Professor Sanjiv Mahadeva and Professor Chirk-Jen Ng, Capsule Endoscopy by Professor Wai Keung Leung and High Resolu-tion Manometry/ pH Impedance by Professor Justin Wu, concluded the conference. Faculty and the Organizing committee of the APAGE 4th Asian Pacific Single Topic Conference on Functional Gastrointestinal Disorders.
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