annual meeting

AFS 2021: We’re Back… Together!

September 23-25, 2021 at The Gaylord Opryland

Registration is now open for the AFS annual meeting!

We will be IN PERSON for 2 1/2 days at the Gaylord Opryland in Nashville, TN.

19 CME/MOC credits will be offered (see bottom of page for details). There will be a beginner motility course Thursday morning and an advance course Sunday morning. 

Course Agenda

Thursday September 23, 2021

8am -12:00 Beginner HRIM Course- Topics covered in the basic course on Thursday, September 23, 2021 include: basic principles underlying esophageal high resolution manometry (HRM); metrics used in HRM interpretation; the hierarchical algorithm for interpreting HRM studies based on Chicago Classification v4.0; use of provocative maneuvers during HRM testing; catheter based ambulatory pH analysis; impedance reflux measurement; and pH monitoring using the Bravo™ wireless system. The HRM protocol will be described using commonly used HRM systems. Diagnostic interpretation of sample studies will be described. The course is appropriate for any practitioner, nurse, or motility operator or technologist involved in evaluating patients with esophageal disorders, whether they have some experience with manometry and pH testing or not. No CME will be offered for this event.


1:00-1:15 State of the Society

1:15-2:15 Esophagogastric Physiology

1:15-1:30 Pathophysiology of Esophageal and Gastric Symptoms

1:30-1:45 Demystifying the Physiologic and Structural Defects in Hiatal Hernia

1:45-2:00 Mechanical Factors in the Reflux Barrier

2:00-2:15 Discussion

2:15-3:00 Motor Disorders- I

            2:15-2:25 The Role of Timed Barium Esophagram in the Assessment of Dysphagia

            2:25-2:35 Video Esophagography- Can It Replace Manometry?           

2:35-2:45 FLIP

            2:45-3:00 Discussion

3:00-3:30 Break

3:30-5:00 Motor Disorders- II

            3:30-3:45 Mucosal Defense and Eosinophils in Esophageal Disease

            3:45-4:00 The Clinical Spectrum of Achalasia

            4:00-4:15 Optimal Therapy for Achalasia and EGJOO in 2021

            4:15-4:45 Meet the Press: Chicago Classification v4.0

            4:45-5:00 Discussion

5:30-6:30 Welcome Reception


Friday September 24, 2021

7:00-8:00 Original Research Presentations

8:00-9:00 “60 minutes” on Foregut Pharmacotherapy

            8:00-8:12 Vonoprazan: The Promise and Current Status

            8:12-8:24 Prucalopride for Gastroparesis

            8:24-8:36 Budesonide: Finally, a drug approved for Eosinophilic Esophagitis?

            8:36-8:48 Semaglutide: A Game Changer for Weight Loss?

            8:48-9:00 Discussioon

9:00-9:30 Break

9:30-11:00 GERD Physiology and Diagnostics

            9:30-9:45 The Value of pH Testing On and Off PPIs

            9:45-10:00 Testing for GERD: Beyond pH Monitoring

            10:00-10:15 Mucosal Integrity

            10:15-10:30 The Evaluation of Recurrent Reflux after Failed Fundoplication

            10:30-11:00 Discussion

11:00-11:40 Presidential Address

11:40-12:55 Lunch

12:55-2:25 GERD and its Phenotypes I

            12:55-1:10 The Concept of GERD Phenotypes

            1:10-1:25 Maximizing Lifestyle Modifications in GERD

            1:25-1:40 Appropriate Use of Acid-Suppressive Medications

            1:14-1:55 Beyond ASMs- Neuromodulators, Behavior Modification

            1:55-2:25 Discussion

2:25-2:55 Break

2:55-3:30 International Keynote Address I- The Reality of Long Term PPI Adverse Events

3:30-5:00 GERD and its Phenotypes II Therapeutic Implications

            3:30-3:45 Which GERD Phenotypes Respond Best to Surgery?

            3:45-4:00 New GERD Therapies and the Challenge of Lifelong Learning

            4:00-4:15 Hiatal Hernia- The Nemesis of the Antireflux Procedure

            4:15-4:30 Combined TIF (C-TIF) What do the Data Show?

            4:30-5:00 Discussion

5:00 Adjourn


Saturday September 25, 2021

7:00-8:00 AFS Meeting, committee updates

8:00-9:00 Original Research Presentations

9:00-9:30 Break

9:30-10:30 Bariatrics

            9:30-9:45 Evolving Endoluminal Therapies for Obesity

            9:45-10:00 Reflux after Bariatric Surgery

            10:00-10:15 The Pendulum Swings- What is the Optimal Bariatric Procedure in 2021?

10:15-10:30 Discussion

10:30-11:30 Barrett’s Esophagus

            10:30-10:45 What is the Current Role of Biomarkers and Risk Stratification?

            10:45-11:00 Optimal Imaging: Which Modalities Should Every Endoscopist Know and Love?

            11:00-11:15 Machine Learning/Neural Network/AI: The Role in BE Detection

            11:15-11:30 Discussion

11:30-12:30 Lunch

12:30-1:30 “Meet the Press”

12:30-1:00 What’s Hot?

            1:00-1:10 Robotics

            1:10-1:20 The Future of 3rd Space

            1:20-1:30 Discussion

1:30-2:05 International Keynote Address II- Antireflux Surgery and Barrett’s Esopahgus

2:05-2:30 Break

2:30-4:00 Foregut Neoplasia

            2:30-2:45 Non-Barrett’s Neoplasia of the Foregut: it Does Really Matter

            2:45-3:00 Contemporary Management of GIST

            3:00-3:15 Advances in the Understanding and Treatment of Gastric Metaplasia

            3:15-3:30 Technology and Improving Esophagectomy Outcomes

            3:30-4:00 Discussion

4:00-5:00 Video Session “Triumphs and Tragedies”

5:00-6:30 Closing Reception


Sunday September 26th

8:00-12:00 Advanced HRIM Course- The advanced course on Sunday, September 26, 2021 uses symptomatic patient scenarios to illustrate how the clinical story integrates with esophageal evaluation, and directs management. Each of the prominent esophageal diagnoses will be covered using a case-based format, and will describe optimal utilization of all available esophageal tests including endoscopy, HRM, ambulatory reflux monitoring, barium radiography and functional lumen imaging probe. Planning esophageal therapeutics, including pharmacotherapy, invasive intervention, and behavioral therapy will be described. This course is appropriate for any novice, intermediate or advanced health care provider wishing to understand how experts utilize esophageal test options, interpret results and initiate management in common esophageal presentations.

No CME will be offered for this event.

CME/MOC information

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of The HealthONE Health System and the American Foregut Society. The HealthONE Health System is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statements

The HealthONE Health System designates this live activity for a maximum of 19.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 19 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Non-Physician Attendance

A certificate of participation will be provided to other health care professionals requesting credits. Participants should ensure in advance that their credentialing or licensing organization accepts AMA PRA Category 1 Credits™.

*The American Academy of Nurse Practitioners Certification Board, The American Nurses Credentialing Center and The American Academy of Physician Assistants (AAPA) accept AMA PRA Category 1 Credit™ issued by organizations accredited by the ACCME (Accreditation Council for Continuing Medical Education) toward recertification requirements. *We suggest that learners check with their state licensing board to ensure they accept reciprocity with AMA PRA Category 1 Credit™ for re-licensure.

Target Audience

Specialties – Gastroenterology, Internal Medicine; Foregut Surgery


Join us for two and a half days of innovative content on foregut diseases with small group sessions that provide opportunities for interactive learning through case analysis and in-depth discussion. This activity is designed for physicians, nurse practitioners, physician assistants, nurses, and other health care professionals who care for patients with foregut diseases. We strongly encourage collaboration across disciplines to further this goal.


  1. Expand knowledge base of new foregut disease diagnostic criteria and therapeutic options.
  2. Improve ability to accurately diagnose foregut disorders
  3. Develop a knowledge base that will translate into more precise interventional procedures for patients
  4. Increase interaction and collaboration between medical and surgical providers will ultimately improve patient outcomes.

-By attending this event you grant the American Foregut Society the right at the event to record, film, photograph, or capture your likeness in any media and to distribute, broadcast, use, or otherwise disseminate, in perpetuity, such media without any further approval from or any payment to you.  

-Minimum and maximum numbers for attendance at this event have been established, and we reserve the right to substitute speakers/topics, or cancel if necessary.

-We will comply with all safety/social distancing/mask requirements that are in place at the time of the meeting.