UMMC COE Magazine

WEENO CDenOterSofCExcOellPencYe University of Malaya Medical Centre History Workshop WEO COE Award First gastroscope at the Univer- The first live Endoscopy work- UMMC was one of the 3 centers sity Hospital was bought in 1978 shop was held on 19th August in Asia to be given this most pres- 1993. tigious award in 2008 Pg. 9 Pg. 32 Pg. 46

2 2016 | ENDOSCOPY

The University of Malaya Medical Center Endoscopy Unit is a World Endoscopy Organization Center of Excellence 2008-2014 and 2015-2020 ENDOSCOPY | 2016 3

Preface Table Of It gives me great pleasure to be the editor of Contents this very special publication commemorating the WEO Center of Excellence award to our GI Introduction Endoscopy unit at the University of Malaya Medical Center. 07. Preparing this magazine is a mammoth task especially when we have heavy duties in our Structure and Organization of the Unit daily clinical work and preparation for the up- The GI Endoscopy unit at the University of coming ENDOSCOPY 2016 workshop. Never- Malaya Medical Center was formally formed in theless, I am proud to say that this magazine 1998. is single handedly woven by our own team from writing, typing and even up to photog- 08. raphy and graphic designs. I hope that you all enjoy reading it. Present Staffing of the GI Endoscopy Unit I would like to thank Ida, Shiaw-Hooi, Wah The unit functions as a combined endoscopy Kheong and particularly Professor Goh who unit with specialist staff from the gastroenter- contributed the most with his well kept pic- ology unit of the Departments of Medicine, tures and records of activities and events in Surgery and Pediatrics. the unit. It is our hope that this commemorative maga- History zine will not only serve to celebrate the con- tinuity of this prestigious award but to docu- 09. ment the success stories and tradition of this unit so that it can be inspiration to the young- History and Developement of the GI Endos- er generations. copy Unit To those who were part of the history of unit, The first gastroscope in University Hospital we would like to sincerely congratulate you all was bought in 1978. as without you, we would not be able to be where we are today. Editorial Board Happy reading! Alex Leow, Editor Editor & Graphic Designs: March 2016 Assoc. Professor Dr. Alex HR Leow 4 2016 | ENDOSCOPY Assistant Editor: Assoc. Professor Dr. Wah-Kheong Chan Contributors: Professor Dato Dr. Khean-Lee Goh Sister Malaiyarsi Sellamah Dr. Shiaw-Hooi Ho Professor Dr. Ida Hilmi

Training 12. Training at the Endoscopy Unit It is with the greatest pride that many of our trainees have done and are doing well in prac- tice over the years. 16. List of Local Trainees List of specialists from outside of UMMC and in-house staff training. 22. List of Overseas Trainees The majority of our fellows are from the Phil- ippines. All were either Philippine Board Cer- tified or Board Eligible when they came to us and all have proven to be earnest and humble “students”. GIE Nursing 28. Development of GI Endoscopy Nursing Major changes took place in 1998 when the endoscopy unit was placed under the charge of Ambulatory Care. At the same time, the unit was then recognized as an independent unit. 31. Pillars of GI Endoscopy Nursing A brief personality profile ENDOSCOPY | 2016 5

Workshops 32. Annual International Therapeutic Endoscopy Workshop The workshops have grown from strength to strength. Over the years, we have been able to invite all the top endoscopists and teachers in endoscopy from throughout the world. 34. University of Malaya Distinguished Endoscopy Lecturer Series of Distinguished Lectures to honor out- standing endoscopists. 35. Endoscopy Workshops and Courses organized by the University of Malaya/ Malaysian Society of Gastroenterol- ogy and Hepatology 40. Other Endoscopy Workshops Since 2012, the unit has hosted a series of APAN Tele- medicine meetings as well as several Asian EUS Group (AEG) and Asian NBI Group (ANBIG) workshops 44. Endoscopy Education: The Era of Tele-Medicine GI Endoscopy Unit of UM has been an active member of the Medical Working Group (MWG) in APAN Awards 46. WEO Center of Excellence Award It was with the greatest pride, that the OMED in 2008 chose the Endoscopy Unit of the Uni- versity of Malaya Medical Center as one of their Centers of Excellence 48. The Driving Force of GI Endoscopy Unit A Leader is one who knows the way, goes the way and shows the way 6 2016 | ENDOSCOPY

INTRODUCTION Structure and Organization of the Unit The unit provides the whole range of diagnostic and ther- apeutic GI endoscopic procedures since 1998 Gastrointestinal (GI) endoscopy is a Since its inception, Professor KL Goh subspecialty trainees also rotated key clinical unit in the University of has been the head of the unit. The through the unit. Malaya Medical Center (UMMC) and unit functions as a combined endos- The unit provides the whole range is an integral part of the practice of copy unit with specialist staff from of diagnostic and therapeutic GI en- Gastroenterology and GI surgery. the gastroenterology unit of the De- doscopic procedures and since 1998 The GI Endoscopy Unit at the Uni- partments of Medicine, Surgery and has had a dedicated fluoroscopy ma- versity of Malaya Medical Center Pediatrics. Trainees or fellows also chine on-site in the unit. On the av- was formally formed in 1998, when came from these departments. erage, the unit performs more than all GI endoscopy procedures and In keeping with the development 12,000 endoscopy procedures per work were housed in a dedicated and evolution of subspecialty train- year. The range of therapeutic cases center on the 4th Floor of the newly ing of gastroenterology in the coun- has also evolved with time with the opened Menara Timur of the Univer- try, GI fellows were taken in and development of new sophisticated sity Hospital. (The name of Universi- worked in the unit as part of their GI procedures in the field. ty Hospital was officially changed to subspecialty training. At the same The unit is currently located in the University of Malaya Medical Center time, surgical trainees as part of their 6th Floor of Menara Selatan (South in 2000 as part of the corporatiza- general surgical training in the Mas- Tower) since February 2014. It is a tion process of the hospital) A formal ters of Surgery course also trained in large unit comprising of 3 sections. unit with a nurse manager and a sec- the unit. Pediatric gastroenterology retary of the unit were appointed. The GI Endoscopy Team: March 2016 ENDOSCOPY | 2016 7

The first section consists of a reception and registration area with an out patient and inpatient waiting area. This area also houses an office for the nurse manager and a clerical office as well as a file storage room. The head of unit and the secretary’s rooms as well as patient interview rooms, storage rooms and a pharmacy are also found in this area. The second section consists of a working area with 6 endoscopy rooms located on both sides of a long corridor with a recovery ward at the end of the corridor while a third section consists of doctor’s offices, research rooms, library, nurses rest and change rooms, and pantry. Head: Nursing Staff Professor Dato Dr. Khean-Lee Goh Aalauyah Binti Mat Rashid Sister-in-Charge: Noor Atini Binti Omar Puan Malaiyarsi Sellamuthu Norziah Binti Mohamed Sairi Puan Suzilawati Binti Tulot Rosnah Binti Juhari Roswati Binti Ismail Secretary of the Unit: Hamidah Binti Desa Puan Asmarina Zulaikha Harmizan Binti Zamani Haryati Binti Muharam CONSULTANT STAFF Royzita Binti Baharuddin Siti Habibah Binti Saad Gastroenterology Suhaili Binti Sukandar Professor Dr. Sanjiv Mahadeva Siti Noor Hazlin Binti Selamat Professor Dr. Rosmawati Mohammad Chuan Hue Loo Professor Dr. Ida Hilmi Nur Hidayah Binti Mohd Yusoh Dr. Ho Shiaw Hooi Siti Normala Binti Khamis Associate Professor Dr. Chan Wah Kheong Umi Kalthum Binti Othman Associate Professor Dr. Alex Leow Hwong Ruey Dr. Suresh Sithambaran Counter Clerks Mohd Izrin Bin Mohd Hashim Surgery Noor Aziah Binti Hassan Professor Dr. April Roslani Mohd Haikal Bin Adnan Associate Professor Dr. Yong Boon Koon Nasuhanizah Binti Abdul Karim Dr. Pok Eng Hong Dr. Lau Peng Chong Medical Attendants: Dr. Chong Hoong Yin Amirrudin Bin Mohd Dain Dr. Sandip Kumar Azira Bin Che Kob Dr. Koh Peng Soon Nik Norhasfidah Binti Nik Mohd Dr. S Kamarajan Norhayati Binti Musa Dr. Nora binti Abdul Aziz Rosdi Bin Shamdin Zarinah Binti Sudin Pediatric Gastroenterology Jamil Bin Sharifuddin Professor Dr. Chris CM Boey Mohd Zainon Bin Mat Said Professor Dr. Lee Way Seah Dr. Ong Sik Yong GI Fellows Dr. Wong Zhi Qin Dr. Ruveena Bhavani Dr. Abdul Malik Talha Dr. Tahiri Mohamad Dr. Stanley Khoo Honarary Consultant Dr. Rajesh Kumar 8 2016 | ENDOSCOPY

INTRODUCTION History and Development of the GI Endoscopy Unit at the University of Malaya Medical Center The first gastroscope at University Hospital was bought in 1978 Professors Dr. Syed Noori and KL Goh, January 2016 The first fiber optic gastroscope was invented by Basil Hirschowitz and developed and introduced for use in patients by American Cystoscope Makers, Inc. (ACMI) in 1962. Since its introduction in the early 1960s, instru- ment companies, chiefly Japanese, have at breakneck speed come up with newer and amazingly well-con- structed scopes for clinical use by doctors. These compa- nies have continuously innovated and developed scopes of increasing sophistication, superior imaging as well as “ease of use”. The first gastroscopy in Malaysia was performed by Dr Peter Vaniasingham, Chief Surgeon of Penang General Hospital in 1973. Through the efforts of bodies such as the Japan International Cooperation Agency (JICA), gas- troscopes started to be used in a few hospitals in Malay- sia. At the University Hospital, Kuala Lumpur, a gastro- scope was first purchased and used by Dr John Stephens, an expatriate lecturer of the Department of Surgery in 1978. Very soon after that, Dr Christopher Loh Chi Loong returned from Gastroenterology Training in the UK and also started to use the gastroscope. He was followed by Dr Lee Hock Bee from the Department of Surgery and Dr Damian Wong from the Department of Medicine in 1979. Dr KL Goh had joined the team in 1984. There were few other endoscopists at that time, Drs KW Chang and SH Lee from Department of Surgery and subsequently Drs Pitre Anderson, KK Tan and Francis Yip from Department of Surgery in the late 1980s and early 1990s. Dr SY Chuah from Department of Medicine joined the unit in 1992 on his return from the UK. Gastroscopies and then later on, colonoscopies were originally carried out in the surgical minor operating theater (OT) in the surgical polyclinic located on the first floor of Menara Utama. This minor OT is still in existence up to the present day. In 1988, the endoscopy“unit”shift- Dr Damian Wong, a pioneer in GI Endoscopy in Malaysia ENDOSCOPY | 2016 9

The first formal dedicated endoscopy unit was opened for clinical service in July 1998. The formation of this unit was due to the efforts of Associate Pro- fessor Dr. Syed Noori who was Head of Surgery and subsequently Deputy Director of the hospital. ed to the infrequently used Accidents and Emergency ating Theatre. Nonetheless, since that time the unit had a minor OTs located on the 2nd Floor of Menara Utama. separate budget and was operating independently from With some modifications we had 2 working rooms, a re- Departments of Surgery and Medicine, although special- ception, a small recovery area and storage and cleaning ist staff and trainees were derived from the Department rooms. Although there was a semblance, this was not of Surgery, Divisions of Gastroenterology, Department of a formal endoscopy unit. Purchase of scopes were pre- Medicine and Pediatric. It functioned truly as a combined dominantly through the Department of Surgery and oc- Endoscopy unit. casionally through the Department of Medicine. The hos- Professor Goh had by 2008 felt the acute limitation of pital set aside a budget for accessories and these were space in the Endoscopy Unit at Menara Timur. In Febru- applied for through the Main Operating Theatre budget. ary 2014, after several years of planning, the unit shifted Accessories used were at that time few in number and to its present location at the 6th Floor of Menara Selatan. almost always reusable. The original plans were drawn up by Professor KL Goh The first formal dedicated endoscopy unit was and Dr Salem Omar who had joined the Gastroenterol- opened for clinical service in July 1998. The formation of ogy Unit of the Department of Medicine as a lecturer in this unit was due to the efforts of Associate Professor Dr. 1999. Permission to shift the unit to Menara Selatan was Syed Noori who was then Head of Surgery and then later obtained through the persistent efforts of Professor KL Deputy Director of the hospital. Professor Syed Noori, Goh with the support of the then Dean and Director of however had retired from service in 1996 before the Hospital, Professor Dato Ikram Shah Ismail. The Menara opening of the unit in 1998. Professor Dato Anuar Zaini Selatan merged the facilities of Radiology and Rehabili- who was Dean of the Faculty of Medicine and Director of tation Medicine into a huge building of 14 floors which the UMMC and a fervent supporter of the unit’s activities now houses many key facilities of the hospital including appointed Professor KL Goh as Head of the Unit. The unit our remarkable Endoscopy unit. was located at the 4th Floor Menara Timur. It had taken several years to plan and construct, together with the de- velopment and construction of the whole Menara Timur building. We shared the floor space with Day Care Oper- 10 2016 | ENDOSCOPY

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Training and Education Training at the Endoscopy Unit Training and teaching endoscopy has been the cornerstone of our activity in the unit. Over the past 25 years, many doc- tors have “gone through the mill” in GI endoscopy training in the unit. Training and teaching endoscopy It is with the greatest pride that many has been the cornerstone of our of our trainees have done and are activity in the unit. Over the past doing well in practice over the years. 25 years, many doctors have “gone through the mill” in GI endoscopy Standing: Salem Omar, KL Goh, training in the unit. Many have since CH Wong, Yusuf Bhewa (Mau- left the unit and are all prominent ritius), Nerentheran, Juanda surgeons or gastroenterologists in Hartono (Indoensia), Hamizah clinical practice. Razlan Up until 2009, Masters of Medicine Squatting: Jeeta Manikam, students in the final year, who chose Haniza Bahar, SH Ho, Than Than to do Gastroenterology as a special- Aye (Myanmar) ty, started doing basic endoscopy during this period. Post Masters or post-MRCP, sub-speciality trainees in Gastroenterology were taken into the Endoscopy unit as part of their training. The first trainee was Dr SY Chuah who graduated from Cardiff, UK and who had worked for 2 years in the Royal Leicester Infirmary in UK before returning to Malaysia. Subsequently he was joined by Dr Rosmawati Mohamad and Dr Azian Musa who had both passed out from the Masters of Medicine program. Dr CK Ranjeev and YM Tan trained in the unit from mid-1996. Drs Ranjeev and Tan proved to be adept fellows and were soon promoted to the po- sitions of Senior Lecturer and subse- 12 2016 | ENDOSCOPY

Old Fellows:- Drs Mellor Nojeg, Chew Yoon Heng, Kee Thiam Ong, Lee Way Seah, Miriam See, Mrs Boey, Chris Boey, CK Ranjeev, Tan Yan Mei, 1997 quently Assocciate Professor before Dr Rosaida Mohammad, who is now they left for private practice in 2003. Head of Medicine and Gastroenter- Dr Salem Omar also graduated from ology at the Ampang Hospital, Kuala the Masters of Medicine program Lumpur, worked in the unit for 2 and joined the unit in July 1999. In years from 2nd January 2000 - 31st August 2004 he obtained a scholar- December 2001. In addition to Gas- ship to work in the world famous troenterology fellows, GI surgeons Endoscopy Unit at University Hospi- have also trained in the unit for ad- tal Eppendorf, Hamburg, Germany vanced therapeutic endoscopy par- under the tutelage of Professor Nib ticularly in ERCPs. Dr Murugan Peri- Soehendra. He returned in July 2008 asamy from Ipoh Hospital trained having learned EUS skills as well with us from 1st April - 30th June as worked on a doctoral thesis. Dr 2003. Dr Murugan is now Consultant Sanjiv Mahadeva joined the unit for Surgeon and well-know therapeutic a one year rotation in his 4th year of endoscopist at the Adventist Hos- training as part of his CCST special- pital, Penang. Dr Lee Jih Seng from ist training program in the UK from Kuantan Hospital worked with us November 2001- October 2002 and from 1st Match- 31st July 2004 and has since joined as staff member and is now Consultant Surgeon at the consultant in December 2003. Dr Ida Kuantan Specialist Hospital. Dr Kwan Hilmi joined as fellow in the unit in Keat Leong from University Perdana June 2003 and is now staff member Malaysia trained with us from 2nd and consultant in the unit. Numer- January-30th May 2005. He is now a ous other local trainees have trained very busy and successful surgeon at in the unit. (See below) the Tropicana Medical Center in Pet- ENDOSCOPY | 2016 13

-aling Jaya. troenterology at the Manila Doctor’s Hospital. Dr Grace It is with the greatest pride that many of our trainees have Santi and Ronald Romero are both Associate Professors done well in clinical practice over the years. Drs Andy in their respective Universities. Vasudevan, R Anbarasu and CJ Chua are established gas- Dr Juanda Hartono from Medan, Indonesia, joined us troenterologists in private practice. Drs CH Wong and CS after graduating from his Masters of Medicine course. He Qua are leading gastroenterologists in private practice then moved to National University Hospital Singapore to in Ipoh and Malacca respectively. Dr Chan Weng Kai is a continue his training where he is now Consultant Gastro- popular gastroenterologist in Johor Baru and Drs Hadzri enterologist. Dr Than Than Aye from Yangon worked with Hasmoni and Ahmad Najib are both Associate Professors us from 1st June-November 30th 2008. She is now Head at the International Islamic University, Kuantan and Uni- and Professor at the Sanpya Hospital, University of Ran- versity Sains Islam Malaysia, respectively. goon, Yangon, Myanmar. Post Masters of Medicine, Dr Apart from “in-house” and local Malaysian trainees, since Yusuf Bhewa spent a year with us in the unit. He has re- 2005 the unit has opened its doors to overseas trainees. turned to Mauritius where he is Consultant Gastroenter- Dr Aaron Velasco was the first international fellow and ologist and Physician. In October 2016, Yusuf will return worked in the unit from 1st October 2005 to 10th March to our unit for advanced training in ERCP. Dr Eric Gieliesse 2006. He joined the unit soon after passing his Philip- from Vrije University, Amsterdam, Netherlands worked pine Board of Gastroenterology examinations and was with us as a Senior Fellow for EUS from 6th January to 5th at that time working in the Philippine General Hospital April 2014. Dr Tahiri from Casabalanca, Morocco started under Dr Peter Sy. Dr Sy recommended Aaron to train at training with us on 1st February 2016 and will stay with our center. Dr Velasco has returned to practice in Davao us for 6 months learning ERCP and EUS. at the Davao Medical Center, where he is the main thera- The majority of our fellows are from the Philippines. All peutic endoscopist in the whole island of Mindanao. Drs were either Philippine Board Certified or Board Eligible Jun Pilapil, Ike Minerva, Jason Roque and Helen Campos when they came to us and all have proven to be earnest similarly all work outside Manila and provide much and humble “students”. Each trainee spent a minimum of needed therapeutic endoscopy service to the provinces 6 months on the average and have proven themselves to in Philippines. Dr Ismael Lapus and Raffy Chan have both be fast learners and in their short period of time contrib- done well in Manila. Ismael is now Chief at the Cardinal uted significantly to the service of the unit as well. Santos Hospital, Manila and Dr Raffy Chan, Head of Gas- Everyone (alumini) came for dinner! Unit Party, 27th September 2014- New Endoscopy Unit at Menara Selatan 14 2016 | ENDOSCOPY

Training and Education Tthiravasiitnybienoegf nthatihnsedunctoiterancehrsintogneenodf othsceoapcy- Dr. Malik, Dr. Qua and Dr. Wong posing for group photo during annual Endoscopy Workshop 2007 ENDOSCOPY | 2016 15

1. List of Specialist Trainees (from within Malaysia but outside the UMMC) Name Period Present position Dr. Rosaida Mohd Said 2/1/2000- Senior Consultant and Head of 31/12/2001 Gastroenterology and Medicine, Ampang Dr. Andy Vasudevan Hospital, Kuala Lumpur Dr. Sia Koon Ket 1/8/2001- Dr. Melvin Michael Raj 30/11/2001 Previously Clinical Specialist Hospital Kuala Lumpur. Consultant Gastroenterologist, Columbia Asia Hospital, Petaling Jaya. 1-31/12/2003 State Consultant Physician, Perlis and Specialist Gastroenterologist 16/12/2002- Previously Clinical Specialist Hospital Kuala 31/3/2003 Lumpur Consultant Gastroenterologist, Tawakal Hospital Kuala Lumpur, from 2010. Former Head of Gastroenterology, Kuala Lumpur General Hospital (2005-2010) Dr. Murugan Periasamy 1/4/2003- Consultant Surgeon and Therapeutic GI 30/6/2003 Endoscopist, Adventist Hospital, Penang, from 2007. Previously Consultant Surgeon, Ipoh Hospital (2003-2007) Dr. Anbarasu 1/8/2003- Consultant Gastroenterologist Columbia Renganathan 31/1/2004 Hospital Bukit Rimau. Selangor, from 1/11/2010. Previously Consultant GE AV Gastro Centre (1/6/2006-30/10/2010) and Consultant Gastroenterologist Armed Forces Services, Malaysia (1/6/1999-31/5/2006) 16 2016 | ENDOSCOPY

Dr. Lee Jih Seng 1/3/2004- Consultant Surgeon Kuantan Medical Dr. Kwan Keat-Leong 31/7/2004 Center, from 2006. Dr. Hamizah Razlan Dr. Chen Harn Chin Previously Consultant Surgeon Specialist Dr. Chan Weng Kai Surgeon, Hospital Tengku Ampuan Afzan, Dr. Hadzri Hasmoni Kuantan (Jan 2002- Dec 2006) 2/1/2005- Consultant GI Surgeon Tropicana Medical 30/5/2005 Centre, from January 2007. Previously Consultant Surgeon and Senior Lecturer, University Putra Malaysia and Hospital Kuala Lumpur 1/5/2008- Consultant Gastroenterologist Ampang 30/4/2009 Puteri Hospital, Kuala Lumpur from June 2015 Previously Head of Gastroenterology, University Kebangsaan Malaysia Hospital 1/7/2010- Consultant Gastroenterologist Sime Darby 31/12/2010 Medical Center from July 2015. Previously Consultant Gastroenterologist, Selayang Hospital, Kuala Lumpur until June 2014. 3/1/2012- Consultant Gastroenterologist, KPJ Puteri 31/12/2012 Specialist Hospital from 1st July 2014 till now.  Previously Consultant Gastroenterologist, Hospital Sultan Aminah, Johor Baru 1/11/2011- Associate Professor and Consultant 1/6/2011 Gastroenterologist, Kuantan Hospital, International Islamic University Malaysia ENDOSCOPY | 2016 17

Dr. Ng Thean Heng 1/11/2012- Consultant Gastroenterologist form 1st 31/5/2-13 October 2015 Dr. Nazri Mustaffa 1/09/2012- Previously Head of Gastroenterology, Ipoh Dr. Paul Yap Ray 30/11/2013 Hospital, Malaysia Yee 1/4/2013- Consultant Gastroenterologist and Senior Dr. Ahmad Najib 31/5/2014 Lecturer, Universiti Sains Malaysia, Kubang Azmi Kerian, Malaysia. Dr. Chieng Jing Yu 1/1/2013- 31/12/2014 Senior lecturer, University Putra Malaysia, Dr. Wong Zhiqin Serdang, Kuala Lumpur, Malaysia. Dr. Zeti Karim 1/8/2014- 31/12/2015 Presently Consultant Gastroenterologist Gleneagles Hospital, Kuala Lumpur from 1/6/2015 – 2016 31/5/2016 1/10/2015- Associate Professor Universiti Sains 10/4/2016 Islam Malaysia, Kuala Lumpur, Malaysia, Consultant Gastroenterologist Ampang Hospital Senior Lecturer and Consultant Gastroenterologist, University Putra Malaysia Senior Lecturer and Consultant Gastroenterologist, Universiti Kebangsaan Malaysia Senior Lecturer and Clinical Specialist (Surgery), Universiti Teknologi MARA Dr. Tan Yan Mei and Dr. Rosaida, Dr. Chuah Seong York, Dr. CK Ranjeev, 2001 Reunion Dinner 2014 Reunion Dinner 2014 18 2016 | ENDOSCOPY

2. In-House staff training, University of Malaya Medical Center Name Period Outcome Dr. Chuah Seong 7/8/1992- Consultant Gastroenterologist Pantai Ayer York 31/5/1996 Keroh, Malacca from June 1996 Dr. Azian Musa 10/8/1990- Previously Fellow in GI and Senior lecturer 12/9/1995 and Consultant Gastroenterologist University Dr. Rosmawati Hospital, Kuala Lumpur. Mohd 24/7/1991- 4/8/1998 Consultant Gastroenterologist, Makhota Medical Dr. CK Ranjeev 5/8/1998- Center, Malacca. 29/12/2003 Dr. Tan Yan Mei Previously GI Fellow and Lecturer, University of 24/719/96- Malaya. Dr. Salem Omar 7/11/2001 Dr. Sanjiv 8/11/2001- Consulatant Gastroenterologist, Professor of Mahadeva 31/3/2003 Medicine, University of Malaya 3/6/1996- Previously Fellow in GI and Lecturer 7/11/2001- and Associate Professor and Consultant 8/11/2001- Gastroenterologist University of Malaya Medical 30/9/2003 Center. 1/7/1999- Consultant Gastroenterologist, Subang Jaya 30/6/2002 Medical Centre from April 2003 1/11/2001- Previously Fellow in GI and Senior lecturer 31/10/2002 and Associate Professor and Consultant Gastroenterologist University of Malaya Medical Center. Consultant Gastroenterologist, Kuantan Specialist Hospital from October 2003 Previously Fellow in GI and Senior lecturer and Associate Professor and Consultant Gastroenterologist University of Malaya Medical Center. Associate Professor and Consultant Gastroenterologist, University of Malaya Medical Centre Consultant Gastroenterologist and Professor, University of Malaya Previously Fellow in GI and Senior lecturer and Associate Professor and Consultant Gastroenterologist University of Malaya Medical Center. ENDOSCOPY | 2016 19

Dr. Chua Chin Jou 1/6/2002- Consultant Gastroenterologist, Sri Kota Hospital, 31/10/2005 Klang. Previously Fellow in GI and Senior lecturer and Consultant Gastroenterologist University of Malaya Medical Center. Dr. Ida Normiha 2/6/2003- Consultant Gastroenterologist and Professor Hilmi 1/3/2008 University of Malaya. Previously Fellow in GI and Lecturer and Associate Professor and Consultant Gastroenterologist University of Malaya Medical Center. Dr. Abdul Malik 1/6/2004- Consultant Gastroenterologist, PUSRAWI Jamal Buhari 31/12/2006 Medical Center, and Kelana Jaya Medical Center, Kuala Lumpur. Previously Fellow in GI and Clinical Specialist Gastroenterologist University of Malaya Medical Center. Dr. Wong Choon 2/2/2005- Consultant Gastroenterologist, Ipoh Specialist Heng 09/11/2009 Hospital from December 2009. Previously Fellow in GI and Senior Lecturer and Consultant Gastroenterologist, University of Malaya Medical Center. Dr. Qua Choon 1/1/2007- Consultant Gastroenterologist Makhota Medical Seng 15/04/2010 Center, Malacca from May 2010. Previously Fellow in GI and Senior Lecturer and Consultant Gastroenterologist University of Malaya Medical Center. Dr. Jeeta 1/3/2007- Consultant Gastroenterologist Assunta Hospital Muthumanikam 30/9/ 2010 from January 2015 Previously Fellow in GI and Clinical Specialist Gastroenterologist University of Malaya Medical Center. 20 2016 | ENDOSCOPY

Dr. Ho Shiaw Hooi 17/12/2009- Senior Lecturer and Consultant 17/12/2012 Gastroenterologist, University of Malaya Medical Dr. Chan Wah Center Kheong 1/02/2010- 1/02/2013 Associate Professor and Consultant Dr. Suresh Gastroenterologist, University of Malaya Medical Sithambaran 03/05/2011- Center 3/05/2014 Dr. Alex Leow Senior Clinical Specialist and Consultant Hwong Ruey 28/06/2012- Gastroenterologist, University of Malaya Medical 28/06/2015 Center Dr. Ruveena Bhavani Associate Professor and Consultant Dr. Abdul Malik Gastroenterologist, University of Malaya Medical Mohamed Thalha Center Dr. Stanley Khoo 2/1/2015-present Clinical Specialist, University of Malaya Medical Center 1/1/2016-present Clinical Specialist, University of Malaya Medical Center 28/3/2016- Clinical Specialist, University of Malaya Medical present Center Drs. Ahmad Najib & Paul Yap, March 2014 November 2015 Fish head curry- the unit favourite, Stadium Drs. Ng Thean Heng and Nazri Mustaf- Merdeka, June 2008 fa, May 2013 ENDOSCOPY | 2016 21

Training and Education International Endoscopy Fellows The majority of our fellows are from the Philippines. All were either Phil- ippine Board Certified or Board Eligible when they came to us and all have proven to be earnest and humble “students”. Reunion dinner at Lake Taal, Philippines, February 2014. From the right to left: Helen Campos, Khean-Lee Goh, Ronald Romero, Shiaw-Hooi Ho, Ahmad Najib, Jay Dy, Wilfredo Benjamin, Alex Leow, Ismael Lapus, Ryan Henson Lim, Grace Santi and Sanjiv Mahadeva. 22 2016 | ENDOSCOPY

3. INTERNATIONAL ENDOSCOPY FELLOWS Trainee Duration Current Position 1. Dr. Aaron Velasco 1st October 2005- Consultant 10th March 2006 Gastroenterologist, Davao 2. Dr. Ismael Lapus Medical Center, Mindanao, Philippines 3. Dr. Muhd Yusof Bhewa 1st May 2006- 31st Consultant October 2006 Gastroenterologist 4. Dr. Rafael Chan Cardinal Santos Medical Center, Manila 15th November Consultant Physician  2006-15th July 2007 J. Nehru Hospital, Rose Belle, Mauritius 1st November 2006- Consultant 30th April 2007 Gastroenterologist Manila Doctor’s Hospital, Manila 5. Dr. Jun C Pilapil 1st June 2007-30th Consultant November 2007 Gastroenterologist, Davao 6. Dr. Helen Joyce Medical Center, Mindanao, Campos Philippines 1st November- 30th Consultant April 2008 Gastroenterologist, Riverside Medical Centre, Bacolod City, Negros Occidental, Philippines 7. Dr. Juanda Leo 1st June 2008-31st Consultant Hartono December 2010 Gastroenterologist, National University Fellow University Hospital, Singapore of North Sumatra, Medan, Indonesia ENDOSCOPY | 2016 23

8. Dr. Than Than Aye 1st June-30th Professor and Head November 2008 of Gastroenterology, Sanpya General Hospital, University of Yangon, Yangon, Myanmar 9. Dr. Wilfredo Benjamin 1st October-30th Consultant Gastroenterologist at the Reyes December 2009 Capitol Medical Center, Quezon City, Philippines 10. Dr. Ike Minerva 1st April- 30th Consultant September 2010 Gastroenterologist Iloilo Doctors Hospital, Iloilo, Philippines 11. Dr. Ryan Henson Lim 1st April- 30th October Consultant 2011 Gastroenterologist, Cardinal Santos Medical Center and The Medical City hospital 12. Dr. Grace Santi 1st October 2011- Associate Professor 31st March 2012 and Consultant Gastroenterologist. De La Salle University Hospital, Manila, Philippines 13. Dr. Ronald Romero 1st April-29th Associate Professor September 2012 Jonelta Foundation School Of Medicine University of Perpetual Help Dalta System, Manila. Dr. Ronald Romero, 2012 Dr. Jason Roque, 2014 Dr. Helen Campos, 2008 24 2016 | ENDOSCOPY

14. Dr. Jay Dy 1st October-31st Consultant March 2013 Gastroenterologist, Makati 15. Dr. Jason Roque Medical Centre, Makati, Santos Manila, Philippines 16. Dr. Erik Adrianus 2nd January-13th Head, Endoscopy Unit Roberto Gielisse June 2014 Allied Care Expert Medical 17. Dr. Julius Rustia Center - Baliwag, Bulacan  Consultant Sacred Heart Hospital Of Malolos, Bulacan, Philippines 6th January-5th April Consultant, Department 2014 of Gastroenterology Vrije University of Amsterdam, Netherlands 16th June to 15th of Head, Endoscopy Unit, December 2014 Sorsogon Medical Mission Group Hospital, Sorsogon, Philippines Consultant, Aquinas University Hospital, Legazpi City, Albay, Philippines Miriam See, Drs Ismael Lapus, Aaron Velasco, Mrs Chong and Mary Bong Dr Eric Gieliesse Dr. Helen Campos and Dr. CS Qua at work ENDOSCOPY | 2016 25

18. Dr. Abdel Hussein D. 1st January – 1st July Head, Endoscopy Unit and Gastroenterology Lucman 2015 Section of AmaiPakpak Medical Center, Marawi City, Philippines Consultant Gastroenterology at Cardinal Santos Medical Center, San Juan City, Philippines 19. Dr. Tahiri Mohamad 29th February Assistant Professor, 2016-present GI Endoscopy, Hasan 2 University of Medicine, Casablanca, Morocco Drs. Rafael Chan, Jeeta M and Yusuf Bhewa Dr. Ike Minerva, 2010 Dr. Grace Santi from Philippines, Dr. Chan Weng Kai, Sis- ter Ummi Kalthum, Harmizan and Amir with Dr. Chan Wah Kheong standing behind, 2012 26 2016 | ENDOSCOPY

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GI Endoscopy Nursing Major changes took place in 1998 when the endoscopy unit was placed under the charge of Ambulatory Care and under Matron Phan Yoke Chin. At the same time, the unit was then recognized as an independent unit. The story of endoscopy nurse as- from Mrs. See and Puan Ummi, the Matron Kam appointed a sister to sistants tracks the development of Matron sent several assistant nurses take charge of the unit administra- the Endoscopy Unit at the UMMC. to serve in endoscopy. We always tively. Sister Harrison was appointed Endoscopy nursing staff was essen- had a suspicion these were “spare” in early 1989. But as the work was tial to the running of services. At the nurses that the OT did not want to not so heavy in the Endoscopy Unit, start, nurses in the surgical minor OT use. In 1990, the OT started send- she was also in charge of other areas “doubled up” as endoscopy nurses. ing several younger assistant nurses in the OT as well. In the meantime, This was in the late 1970s where who proved adept at learning to Mrs. See started to develop a deep GI endoscopy was considered very assist well at endoscopy procedures. interest in endoscopy nursing and much a minor surgical procedure. Puan Remlah Mat Zin was the first. A was in effect running the unit day to As GI endoscopy evolved, more very quiet hardworking lady she was day. She was indeed a truly special “specialist” nursing staff were des- only in her early 30s when she joined personality. Through her indomita- ignated to take charge and assist the unit. Puan Remlah proved to be a ble spirit, relentless energy and in- in endoscopy. Mrs Miriam See was most valuable endoscopy nurse and novative ideas she had propelled one of our earliest staff nurses help- worked well with Mrs. See who liked the unit upwards many rungs! She ing with endoscopy when the unit her very much. Mrs See had by then was so enthusiastic that Professor shifted in 1988 to the Accident and started to take over most of the run- KL Goh had arranged short training Emergency minor OTs. Initially she ning of the unit. She was soon joined stints for her both in Amsterdam and retained a“half time”position as a ra- by other assistant nurses, Puan Hamburg in 1992 and 1993 with Pro- diology nurse. As a radiology nurse, Salmah, Ummi Kalthum Othman, fessor Kees Huibregtse and Nib Soe- she had the skill sets that benefited Fatimah and Ruhaizah. All proved hendra, respectively. She came back therapeutic endoscopy, viz. han- to be very good endoscopy nurses. on both occasions with wonderful dling guide wires and accessories. All worked fulltime in the unit. Puan novel ideas for the unit. Mrs See was But at that time, few therapeutic Salmah and Ruhaizah went on to do never promoted to sister but stayed procedures were performed. Ummi staff nurse conversion courses. Puan on as senior nurse until past her re- Kalthum was her co-staff nurse in GI Salmah who was a very competent tirement (she was extended twice endoscopy. She was in charge of the nurse went on to become a sister in following the then mandatory retire- surgical minor OT and again served the main OT where she serves up to ment age of 55 years). part time in the fledgling endoscopy the present day. Puan Fatimah re- Major changes took place in 1998 unit. tired in 2008. Puan Ummi Kalthum when the endoscopy unit was placed The endoscopy unit was under the Othman remains as an assistant under the charge of Ambulatory charge of the main OT. At that time, nurse and loyally serves the unit up Care and under Matron Phan Yoke Matron Kam was in charge. She was a to the present time. A highly intelli- Chin. At the same time, the unit was formidable and highly efficient lady, gent lady, Ummi remains a favorite then recognized as an independent like all matrons of the day. The first with all foreign faculty who come unit. This was the dawn of a new era. answer to any request was always for our live endoscopy workshops. Sister Mary Bong was appointed as a no. After several years, she was They have all been so impressed by Sister. With the streamlining of man- succeeded by Matron Ang. Apart her spunk and skills in assisting at agement at the UMMC with then endoscopy. 28 2016 | ENDOSCOPY

The first of its kind GI Assistants (GIA) workshop in Malaysia,1999. planned corporatization of service, the country were invited to attend. she was categorized as a Specialist Cases were performed by specialist Clinical Nurse and Nurse Manager. staff of the unit which by the time in A whole group of staff nurses were addition to Professor Goh included then placed in the Endoscopy Unit Drs CK Ranjeev and Tan Yan Mei and when the then new unit at Menara Rosmawati. Timur was opened. To assist Mrs. As the number of cases grew and Miriam See, Puan Jamilah and Mrs services expanded and at the per- Leong from OT and Mrs. Malaiyarsi sistent requests of Professor KL Goh, from ICU were transferred to the more nurses were taken in. Staff Endoscopy Unit. Assistant nurses, nurse Rokiah Shaari worked with Remlah, Fatimah, Ummi Kalthum us from 2002 till 2010 until she re- continued to serve in the unit and tired. In 2005 Staff nurse Norziah being more experienced, help these Mohd Sairi and Jamilah Asanar were new staff nurses get into the groove recruited into the unit. Mary Bong as endoscopy nurses. unexpectedly resigned and left the At about that time, Endoscopy nurs- unit in July 2005. Staff nurse Jamilah ing became more established world- Asanar was acting sister but sadly wide and endoscopy nurses came she died suddenly at work in May to be known as GI Assistants (GIA). 2006. Sister Ummi Kalthum Ibrahim With this new increase in nursing took over the helm as sister in charge staffing, Professor KL Goh organ- from 2006 until February 2014,when ized a workshop with lectures and she was replaced by Sister Malaiyarsi live procedures for GIAs, the first Sellamah of its kind in Malaysia in 1999. All A further batch of nurses were taken nurses involved in endoscopy across ENDOSCOPY | 2016 29

in subsequently: Aalauyah and Back row: Remlah Mat Zin, Norhayati, Dr. Grace Santi, Umi Kalthum, Rosnah Juhairi in 2008, Noor Atini, Royzita, Rosdi, Roswati, Haryati Hamidah Desa, Harmizan Zamani, and Suzilawati Tulot in 2009, Haryati Front row: Norziah, Suzilawati, Dr. S Suresh and Royzita in 2010, Siti Habibah in 2012,Siti Hazlin, Nur Hidayah, Chuan Hue Loo, Suhaili in 2014. The total staff count had risen to 16. With the recent shift to Menara Selatan, Siti Normala joined us in 2015. The total number of nurses currently stands at 17. The GIAs have been the cornerstone of our endoscopy services, with their invaluable dedicated servic- es, they have helped forge the top class unit that we have today at the UMMC. Nursing staff, Medical Attendants and Counter clerks, 2015 After Fish head Curry lunch, Stadium Merdeka, 2006 GIA Gala night- Mr Philip Gisan Dr. Abdul Malik, Rokiah Saari, Remlah Mat Zin, Malaiyarsi, Leong Lee Hoon, dancing, 2005 Norziah, Umi Kalthum, Jamilah, Dr. CH Wong, Dr. Sanjiv Mahadeva 30 2016 | ENDOSCOPY

Pillars of GI Endos- Sister Mary Bong and Malaiyarsi with Dr. Salem Omar copy Nursing A Brief Personality Profile With indomitable spirit, relentless energy and innovative ideas, she had propelled the unit upwards many rungs! Mrs Miriam See with Drs Raffy Chan and Ismael Lapus Phan Yoke Ching ing avidly as is her nature in what- It was great loss to us when she left Matron Phan assumed responsibili- ever she does. With her zeal, persis- for Australia where she joined the ties as the coordinating Matron for GI tence and high energy she helped Endoscopy Unit of Professor Mi- Endoscopy in 1998 when we shifted forged the endoscopy unit particu- chael Bourke at Westmead Hospital, to our new unit at the Menara Timur. larly with the fledgling therapeutic Sydney. As a testimony to her skills She was in charge of the Ambulatory services. On Professor Goh’s recom- and attitude to work, within 4 years services of which Endoscopy was mendation she spent short stints in Mary was appointed in 2009 as the placed under. As the new unit was both the Academic Medical Center Nursing Unit Manager at the West- running independently for the first in Amsterdam and the University mead Endoscopy unit. The West- time, Matron Phan through her good Hospital Eppendorf, Hamburg, Ger- mead Endoscopy unit is the largest offices ensured the smooth running many. More than anyone else, she therapeutic Endoscopy Unit in Aus- of the unit with the appointment of has helped pushed up the unit many tralia. a Nurse Manager, nurses and other rungs in the early days. Malaiyarsi A/P Sellamuthu support staff. Matron Phan served Sister Malaiyarsi joined the Endos- the UMMC a total of 30 years and Mary Bong copy unit in April 2004. A hardwork- upon retirement works in UMSC Mary was appointed nurse man- ing and humble person, Malai is a until the present time. ager in Endoscopy in October 1998, highly skilled GIA. In 2009 she was a position she held until she left for appointed sister and was transferred Miriam See Australia in June 2005. With her calm out of the unit. In 2014, she returned Miriam Loo or Mrs See as she is demeanor, pleasant disposition to helm the unit as Sister in Charge. fondly known was an indomitable and intelligence, Mary developed a She will remain as sister until she re- spirit. She took to endoscopy nurs- system of running the unit to cope tires this year at the end of May 2016. with future changes and expansion. As diligent and reliable as ever, Malai has been great asset to the unit. ENDOSCOPY | 2016 31

Endoscopy Workshops The workshops have grown from strength to Annual International strength. Over the years, Therapeutic Endoscopy we have been able to invite Workshop at UMMC all the top endoscopists and teachers in endoscopy The first live endoscopy workshop was throughout the world. held on 19th August 1993 with the help of Dr. Damian Wong Therapeutic endoscopy developed -py Workshops. At the same time we copy Unit shifted to the 6th Floor rapidly at the turn of the 1980s. started the series of Distinguished of Menara Selatan, where through Basic endoscopy procedures were Lectures to honor outstanding en- Local Area Network (LAN) cables, we by then well established and ERCPs doscopists. From 1999-2002, the live were able to now stream very high were considered the pinnacle of demonstrations were transmitted quality live endoscopy images. At therapeutic endoscopic procedures. by CCTV lines to the Lecture Hall at the same time, we have also been What started to be in vogue then the 5th Floor of Menara Timur. From able to transmit remotely to overseas were endoscopy workshops where 2003, live procedures were trans- centers and participants through the live procedures were performed and mitted from the Endoscopy Unit in APAN network. In the 2009 work- transmitted to a lecture hall. Menara Timur over a long distance shop, we received a whole afternoon Live endoscopy workshops were to Dewan Jermerlang and Bidara at of live transmission session on Natu- highly sought after at that time but the Faculty of Medicine. This was our ral Orifice Transendoscopic Surgery not many centers in the world could “home” until 2013 when we started (NOTES) from the Asian Institute of organize such workshops. Together to use the auditorium at Menara Se- Gastroenterology, Hyderabad, India with Dr Damian Wong, we held our latan. In February 2014, the Endos- with Dr. Nageshwar Reddy and GV first live workshop on 19th August 1993. It was a one day workshop and Professor Jong Moon (Bucheon, Korea) at work- was run by Professor Kess Huibregtse Endoscopy 2015 Workshop from Amsterdam. Procedures were carried out from the fluoroscopy room on the second floor of Menara Utama and transmitted by CCTV cables to the then new lecture hall of the Primary Care Unit. We had 120 participants including nurses and it was a most absorbing workshop as live workshops were not common practice at that time and was a great novelty. We organized several other live workshops in the subsequent years. In 1999, at the new Endoscopy Unit in Menara Timur, we organized our first live workshop for nurses only. From the year 2000, we started to organize, in collaboration with the Malaysian Society of Gastroenterol- ogy and Hepatology, Annual Inter- national Live Therapeutic Endosco- 32 2016 | ENDOSCOPY

Vice-Chancellor of University of Malaya Professor Dato’Dr. Mohd Amin Jala- ludin officiating ENDOSCOPY 2013 Rao. Telemedicine will take the fore- hands on workshops have been or- Peter Cotton (South Carolina, USA), front of live cases in the future. ganized for small groups of doctors Christopher Williams (London, UK) In addition to the live demonstra- post-workshop on the Sunday after- and Jerome Waye (New York, USA). tions, a special video presentation noon since 2005 and have covered Through the years, we have been session entitled “Endoscopy with the basic techniques in colonoscopy, fortunate to have outstanding en- Champions” has been held since the EUS, enhanced imaging and POEM. doscopists accept our invitation to 2008 workshop. In 2013, we inaugu- The workshops have grown from be faculty- Nagi Reddy, Haru Inoue, rated the first Young Consultants– GI strength to strength. Over the years, Greg Ginsberg, Kulwinder Dua, Fellows Forum on the Friday after- we have been able to invite all the Guido Costamagna, Horst Neuhaus noon. The GI Assistants have had top endoscopists and teachers in en- and Jacques Deviere to name a few. their independent workshop since doscopy throughout the world. Our The annual international therapeu- 2000. In addition to lectures, the international faculty has included pi- tic live endoscopy workshops have GIAs have hands–on session with oneer endoscopists like Nib Soehen- truly been the pride of our activities new products and accessories with dra (Hamburg, Germany). Kees Hui- here at the Endoscopy unit of the the biomedical companies. Special bregtse (Amsterdam, Netherlands), UMMC Professor Kulwinder Dua with Professors Jerry Waye and Yong-Chan Lee with Sister Malaiyarsi, Ummi Kalthum- ENDOSCOPY 2009 ENDOSCOPY | 2016 33

UNIVERSITY OF MALAYA Distinguished Endoscopy Lecturer (in collaboration with Malaysian Society of Gastroenterology and Hepatology) 1999 Topic Lecturer Amsterdam, Biliary stents- the past and the Kees Huibregtse Netherlands 2000 future Hong Kong, China 2001 The Future of GI Endoscopy Sydney CS Chung Hamburg, Germany 2002 Innovations in GI Endoscopy Nib Soehendra London, UK 2003 The Art of Colonoscopy Christopher Williams Amsterdam, Advances in Endoscopic Imaging Guido NJ Tytgat Netherlands Tokyo, Japan 2004 Development and Application of Yoshihiro Sakai Colonoscopy\" Rome, Italy 2005 Endoscopic management of Guido Costamagna Leeds, UK pancreatobiliary diseases- State of 2006 the Art in 2005 Anthony TR Axon Hyderabad, India 2007 D Nageshwar Reddy Charleston, USA 2008 The impact of new technology in GI Peter B Cotton 2009 endoscopy Jerome D Waye New York, USA 2010 Chronic pancreatitis- \"Genes to Bed David L Carr-Locke New York, USA 2011 Side\" Hisao Tajiri 2012 Robert Hawes Tokyo, Japan Therapeutic Endoscopy- Then, now Orlando, USA 2013 and maybe” Horst Neuhaus Dusseldorf, Germany Exploring the Limits of Endoscopy Philadelphia, USA Enhancing the Eye - The Future of Endoscopy Rochester, USA Enhanced Imaging of the Gastrointestinal Tract The Current and Future Role of Endoscopic Ultrasonography in GI practice Viewing the bile duct - recent developments of cholangioscopy 2014 Future Prospects for Gregory Ginsberg Gastrointestinal Endoscopy 2015 Diagnosis and Endoscopic Kenneth Wang Treatment of Barrett’s Esophagus Mr Ong Kim Chee served the GI En- 1 doscopy fraternity in Malaysia as MD of Endodynamics for 30 years until his retirement in 2014 with our loyal and highly efficient MSGH Ex- ecutive Secretary, Ms. Molly Kong. 34 2016 | ENDOSCOPY

Endoscopy Workshops and Courses organized by the University of Malaya/ Malaysian Society of Gastroenterology and Hepatology Difficult ERCP- Faculty Date “The Master’s approach” • Kees Huibregtse (Amsterdam, 19th August Endoscopic Ultrasonography 1993 ERCP- Netherlands) “Basic skills, finer points and new 26th July 1994 techniques” • TL Tio (Washington, USA) Practical points in Therapeutic 25th August Endoscopy • Kees Huibregtse (Amsterdam, 1994 Therapeutic Endoscopy Netherlands) Workshop • Nib Soehendra (Hamburg, 6th December GI Endoscopy Nurses Workshop- Germany) 1994 “Setting the Standards for Practice” • Nib Soehendra (Hamburg, 22nd July 1997 Endoscopy 2000 Germany) 30th April-2nd Endoscopy 2001- • Kees Huibregtse (Amsterdam, May 1999 “A Master class in Therapeutic Netherlands) Endoscopy” • Endoscopy 2002- “Enhancing Basic Skills and • Staff members- Endoscopy unit, Developing Expertise” University Hospital, Kuala Lumpur • Sydney CS Chung (Hong Kong, 13-15th April China), 2000 • Kenji Yasuda (Kyoto, Japan), • Wang Yong Guang, (Beijing, China), • Nageshwar Reddy (Hyderabad, India); GIA Faculty: • Dorothy Wong (Hong Kong, China) • Nib Soehendra (Hamburg, 14-15th April Germany) 2001 GIA Faculty • Adriana Cargin (Melbourne, Australia) • • Christopher Williams (London, UK) 5-7th April 2002 • Naotaka Fujita (Sendai, Japan) • Joseph Leung (Sacramento, USA) • Kees Huibregtse (Amsterdam, Netherlands) GIA Faculty: • Diana Jones (Sydney, Australia) Nurses Hands-On Work- 1 shop with the outstand- ing Mr. Cyprian Tan, Asia- Pacific Manager, Cook Medical at work. ENDOSCOPY | 2016 35

Endoscopy 2003- • Douglas Howell (Portland, USA) 28th February- “The Cutting Edge of GI • Haruhiro Inoue (Tokyo, Japan) 2nd March 2003 Endoscopy” • Simon K Lo (Los Angeles, USA) • Nageshwar Reddy (Hyderabad, Endoscopy 2004- “Appreciating the Art of GI India) Endoscopy” • Firas Al Kawas (Washington, USA) 5th-7th March Endoscopy 2005- “Defining the scope of • Yoshihiro Sakai (Tokyo, Japan) 2004 excellence” Endoscopy 2006- • Stefan Seewald (Hamburg, “Frontiers of Therapeutic Endoscopy” Germany) Endoscopy 2007- • Joseph Sung (Hong Kong, China) “The Best Endoscopic Practices” • Guido Costamagna *Rome, Italy 1st-3rd April 2005 Endoscopy 2008- • CS Shim (Seoul, S. Korea) “Seeing Better, Doing Better” • K Yasuda (Kyoto, Japan) • B Rembacken (Leeds, UK) Endoscopy 2009- “Exploring the Limits of • ATR Axon (Leeds, UK) 14th-16th April Endoscopy” • James Lau (HK, China) 2006 • Seo-Dong Wan (Seoul, Korea) Incorporating a Live Transmission session • Irving Waxman (Chicago, USA) on Natural Orifice Transluminal • Naohisa Yahagi (Tokyo, Japan) Endoscopic Surgery (NOTES) from AIG, Hyderabad, India- Drs Nageshwar Reddy • Nageshwar Reddy (Hyderabad, 13th-15th April and GV Rao. India) 2007 • Reza Shaker (Milwaukee, USA) • Yusuke Saitoh (Sapporo, Japan) • Stefan Seewald (Hamburg, Germany) • Si Young Song (Seoul, Korea) GIA Faculty • Mary Bong (Sydney, Australia) • Peter B Cotton (Charleston, USA) 29th February, • Greg Ginsberg (Philadelphia, 1st-2nd March USA), 2008 • H Isayama (Tokyo, Japan) • S Ryozawa, (Yamaguchi, Japan) • JS Byeon (Seoul, Korea) • Syed Shah, (West Yorkshire, UK) 20th-22nd March • Yong Chan Lee (Seoul, Korea), • Jerome D Waye (New York, USA) 2009 • Kulwinder S Dua (Wisconsin, USA) • Ichiro Yasuda (Gifu, Japan) • Hirofumi Kawamoto (Okayama, Japan) • Amit Maydeo (Mumbai, India) • Yasushi Sano (Kobe, Japan) NOTES- Nagi Reddy live from Hyderabad 1 S Ryozawa, Syed Shah, Greg Ginsberg, Peter Coton, Yunus 36 2016 | ENDOSCOPY Gul, H. Isayama, ENDOSCOPY 2009

Asian Pacific Digestive Week • Michael Bourke (Sydney, Australia) 19th-22nd 2010 ( Incorporating live workshops • David Carr-Locke (New York, September from University of Malaya Medical Centre and Selayang Hospital) USA) 2010 Endoscopy 2011- • Yang K Chen (Denver, USA) “What’s New And What’s Good For Our Patients” • Mitsuhiro Fujishiro (Tokyo, Japan) ENDOSCOPY 2012- • Marc Giovannini (Marseilles, \"Therapeutic Endoscopy In The Global World\" France) • Takuji Gotoda (Tokyo, Japan) • James Lau (Hong Kong, China) • Amit Maydeo (Mumbai, India) • Ibrahim Mostafa (Cairo, Egypt) • Horst Neuhaus (Düsseldorf, Germany • Nageshwar Reddy ( Hyderabad, India • Rungsun Reknimitr (Bangkok, Thailand) • Seo, Dong Wan (Seoul, Korea) • Naohisa Yahagi (Tokyo, Japan) • Hironori Yamamoto (Tokyo, Japan • Kenjiro Yasuda (Kyoto, Japan) • Han-Mo Chiu (Taipei, Taiwan), 14th-17th April • Arthur Kaffes (Sydney, Australia) 2012 • Khek-Yu Ho (Singapore) • Hiroo Imazu (Tokyo, Japan) • Takao Itoi (Tokyo, Japan) • Dong-Ki Lee (Seoul, Korea) • Takahisa Matsuda (Tokyo, Japan) • Jong-Ho Moon (Seoul, Korea) • Hisao Tajiri (Tokyo, Japan) • Robert Hawes (Orlando, USA) 30th March-1st • Hiroshi Kashida, (Osaka, Japan) April 2012 • Sang Hyub Lee, ( Seoul, Korea) • Claudio Navarette- Garcia,Santiago, Chile • Paulo Sakai (Sao Paulo, Brazil) • Rajvinder Singh (Adelaide, Australia) • Hsiu-Po Wang (Taipei, Taiwan) • Kenshi Yao (Fukuoka, Japan) Peter Cotton, ENDOSCOPY 2008 1 Kees Huibregste with Joseph Leung- ENDOSCOPY 2002 ENDOSCOPY | 2016 37

ENDOSCOPY 2013- • Phillip Chiu (Hong Kong, China), 12th-14th April “Advancing the Practice of • Lawrence Khek-Yu Ho 2013 Endoscopy” ENDOSCOPY 2014 (Singapore), “The Best Tips in Therapeutic • Horst Neuhaus Endoscopy” ENDOSCOPY 2015 (Dusseldorf,Germany) “Maintaining Quality in Endoscopy • Krish Ragunath (Nottingham, UK) Practice” • Dong-Wan Seo (Seoul, Korea) • Yun-Sheng Yang (Beijing, China) • Ian Yusoff (Perth, Australia) • Gregory Ginsberg ( Philadelphia, 28th-30th March 2014 USA) • Mitsuhiro Kida (Tokyo, Japan) • Yutaka Saito ( Tokyo, Japan) • James Lau ( Hong Kong , China) • Michael Bourke (Sydney, Australia • GIA Faculty • Mary Bong (Sydney, Australia) • Kenneth Wang (Rochester, USA) 17th-19th April • Amit Maydeo (Mumbai, India) 2015 • Jong-Ho Moon (Bucheon, Korea) • Roy Soetikno (Singapore) • Christopher Khor (Singapore) • Sundeep Lakhtakia (Hyderabad, India) • Hiroyuki Maguchi (Sapporo, Japan) 1 38 2016 | ENDOSCOPY

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Other Endoscopy Workshops In 1997 we had our first hands on Dr Amit Maydeo- POEM Hands-on Workshop, 2015 session on the use of lasers in Gastro- faculty, together with the company in collaboration with Covidien and enterology. At that time the unit had ERBE in July 2011. A very special Per Medtronic companies. purchased a Nd YAG laser machine Oral Endoscopic Myotomy (POEM) Since 2012, the unit has hosted a for tumor ablation and Dr Roger workshop was held after Endoscopy series of APAN Telemedicine meet- Leicester from the UK came to dem- 2015 on ex-vivo models with Dr Amit ings as well as several Asian EUS onstrate to us on ex-vivo models. Maydeo as Guest Faculty and Profes- Group (AEG) and Asian NBI Group Since 2005, several small hands-on sor Sanjiv Mahadeva and Dr. Alex (ANBIG) workshops (see below). workshop have been organized. The Leow as coordinators. In addition, first hands on EUS workshop was we had Professor Warren Wang from conducted by Professor Ken Yasuda Taipei work with us on a hands –on (Kyoto, Japan) and CS Shim (Seoul, Esophageal Barrx RFA session on Korea) during Endoscopy 2005. This patients on 17th August 2015 with was followed by a session conduct- ed by Professor Irving Waxman from Chicago with the assistance of Dr Salem Omar following Endoscopy 2006. Since then we have had nu- merous hands on workshop- with Dr Syed Shah in 2009 using the scope guide for colonoscopy. We organ- ized a 1 day Live Training workshop in Therapeutic Endoscopy” by our in-house faculty, together with the Since 2012, the unit has hosted a series of APAN Telemedicine meetings as well as several Asian EUS Group (AEG) and Asian NBI Group (ANBIG) work- shops. ANBIG Workshop February 2016, Dr. Noriya Uedo 40 2016 | ENDOSCOPY

Asian Narrow Band Imag- ing Group (ANBIG) Work- shops at UMMC ANBIG is an academic interest group which aim at disseminating the knowledge and skill of early GI cancer management. Established officially in February ginners through the Train-the-Train- It is truly a privilege and joy for er (TTT) programme. In conducting UMMC to participate and contrib- 2014, Asian Narrow Band Imaging local workshop, each local society or ute in such meaningful educational Group (ANBIG) is a NGO based in institution will organize its workshop activities. It is envisaged that more Hong Kong (URL: www.anbig.org) supported by ANBIG. The faculty for local endoscopists will be familiar organised under the auspices of the workshop are selected from its with such advance endoscopy im- Olympus Optical Co. and is chaired pool of regional HCPs. As for centres aging and perhaps, in near future, by Professor Philip Chiu of Hong or countries with more experience TTT workshops will be conducted Kong. Its faculty members consist in this aspect, the local endoscopists instead of basic workshops so that of gastrointestinal (GI) endoscopists will be trained with more advanced more trainers are available for our who are deemed to be experts in the skills and be prepared to be trainers local endoscopy fraternity. field of early GI cancer detection and in their own country through TTT management. It is an academic in- workshops. Editors note: terest group which aims at dissemi- GI endoscopy unit of UMMC has Dr Shiaw-Hooi Ho has been in charge nating the knowledge and skill of conducted 3 local ANBIG workshops of these workshops at the UMMC early GI cancer management. till the time of writing and trained from the beginning. A dedicated en- In achieving the above objectives, more than 70 local endoscopists. doscopist, Dr Ho has a deep interest ANBIG takes a 2-prong approach in The first ANBIG workshop in UMMC in enhanced imaging endoscopy and training the beginners through local was also the first in Malaysia. It was is currently spending a 10 month sab- workshops and equip the experi- held on 30th March 2014 in conjunc- batical in Kyushu and the National enced endoscopists to train local be tion with 2014 UMMC Endoscopy Cancer Centre, Tokyo. He is now workshop. The lists of UM-ANBIG also a regular faculty member for the workshops and their respective fac- ANBIG workshops throughout the ulties are listed below: Asian Pacific region and the Middle East. 30th March 2014 - Professor James Lau (Chinese University of Hong Kong) (i) - Dr Shiaw-Hooi Ho (University of Malaya) 28th-29thSeptember 2014 (ii) - Professor Philip Chiu (Chinese University of Hong Kong) - Dr Rupa Banerjee (Asian Institute of Gastroenterology, India) (iii) - Dr Shiaw-Hooi Ho (University of Malaya) 15th February 2016 - Professor Takuji Gotoda (Nihon University, Japan) - Professor Noriya Uedo (Osaka Medical Center for Oncology & Cardiovascular Diseases, Japan) ENDOSCOPY | 2016 41

The Asian EUS Group Work- shops at UMMC The vision of the AEG is to promote the adoption of EUS in Asia and to place Asia at the forefront of EUS traning and innovation in the world. The Asian EUS Group (AEG) training and innovation in the shops under the AEG banner. world. These workshops catered to was formed in 2012 under the basic and advanced fellows in auspices of Olympus Opti- The AEG has to date conduct- the field of EUS and included cal Company and chaired by ed over 50 workshops in vari- hands-on sessions on training Professor Lawrence Ho of Sin- ous countries across Asia and 6 models and real patients. The gapore. The vision of the AEG Train-the-Trainer courses. workshops have been very is to promote the adoption of popular and have benefited EUS in Asia, to keep practice We were privileged to hold many fellows. The workshops standards on par with techno- the first AEG workshop in held over the past years are as logical advances, and to place UMMC in 2012 and since then follow: Asia at the forefront of EUS have hosted several work- Workshops Date Faculty Advanced EUS Hands-On 29th October 2012 Prof. Lawrence Ho, Singapore Workshop 2012 Dr. Vinay Dhir, India A. Prof. Nga Min En, Singapore Basic EUS Hands-On 14th April 2013 Prof. Seo Dong Wan, Korea Workshop 2013 Dr. Ian Yusoff, Australia Basic EUS Hands-On 30th March 2014 Prof. Mitsuhiro Kida, Japan Guest Faculty and Chairman of AEG- Workshop 2014 Professor Lawrence Ho, 2012 13th October 2014 Prof. Lawrence Ho, Singapore Advanced EUS Hands-On A. Prof. Charles Vu, Singapore Editor’s footnote: The AEG workshops have Workshop 2014 21st December Dr. Qasim Ahmad, Singapore been organized by Professor Ida Hilmi and 2015 ably assisted by Dr Chan Weng Kai and EUS-Cytopathology Hands- Dr. Raymond Tang, Hong Kong Associate Professor Chan Wah Kheong On Workshop 2015 A. Prof. Nga Min En, Singapore Dr. Teoh Kean Hooi, Malaysia 42 2016 | ENDOSCOPY

STAND-ALONE HANDS-ON WORKSHOPS AND TEACHING COURSES UNIVERSITY OF MALAYA MEDICAL CENTER Workshop Dates Teaching Faculty Lasers in Gastroenterology 13th August 1997 Roger Leicester (London, UK) Hands-on EUS workshop 3rd April 2005 K Yasuda ( Kyoto, Japan) CS Shim ( Seoul, Korea) EUS in Practice workshop 16th April 2006 Irving Waxman ( Chicago, USA) \"Practical tips in EUS\" Salem Omar ( Malaysia) Achieving proficiency in EUS\" 15th April 2007 Stefan Seewald (Hamburg, Germany), Hands-on EUS workshop Salem Omar, Kuala Lumpur, Malaysia), Chris Khor (Singapore), Ang Tiing Leong (Singapore) Practical tips in EUS FNA 2nd March 2008 Shomei Ryozawa (Yamaguchi, Japan) G Ginsberg ( Philadelphia, USA) Hands on Colonoscopy 2nd March 2008 Syed Shah (Leeds, UK) workshop on Models- scope JS Byeon (Seoul, Korea) guide and simulators 17th April 2011 Takahisa Matsuda (Tokyo, Japan) Special Workshop Han-Mo Chiu, (Taipei, Taiwan) “Endoscopic Detection of Early Colorectal Neoplasms 1st July 2011 Staff Members Endoscopy unit, University of Malaya Medical Center 1st ERBE – UMMC Training workshop in Therapeutic Endoscopy” 2nd ERBE- University of Malaya 1st June 2012 Peter Collet (Germany) ESD Workshop 1st April 2012 Kenshi Yao (Fukuoka, Japan) Special Workshop Rajvinder Singh ( Adelaide, Australia) “Endoscopic Detection of Early Gastric Neoplasms OTSC Clips Hands on 14th April 2013 Thomas Gottwald (Germany) Workshop on ex-vivo models Ahmad Shukri Gastroinetestinal Motility 11th June 2013 John Pandolfino (Chicago, USA) Workshop 2013 21st May 2015 YT Wang (Singapore) Experience with EndoBarrier Manoel Galvo Neto (Brazil) GI Liner for Treatment of Obese Type II DM 17th August 2015 Wen-Lung Wang (Taiwan) Barrx RFA for Esophageal Lesions ENDOSCOPY | 2016 43

Telemedicine workshops through the activity. It is led by Professor Dr Rungsun Rerknimitr from Chulalongkorn University Asian Pacific Area Network Asia-Pacific Ad- (Thailand) and Dr Shiaw-Hooi Ho from Uni- vanced Network (APAN) is a non-profitable versity of Malaya (Malaysia). Since its forma- international consortium established on June tion in less than a year ago, there are currently 3rd 1997. It is a backbone network that con- over 30 participating endoscopy centres from nects the research and education networks across different regions in the world. It owes (REN) of its member countries in Asia and its success to the fine contribution from its Oceania and thus, it is an organization that members and to the excellent technical sup- represent its members in these regions. It co- port from Telemedicine Development Center ordinates activities related to network tech- (TEMDEC) of Kyushu University. nologies, services and applications among its members and with its peer international Dr SH Ho is co-chairman organizations. It is also an important driver in of the Endoscopic Club promoting and facilitating network-enabled E-conference and a key research and education activities. Malaysian member of the Medical Research and Education Network (Malaysian Working Group of APAN. REN or MYREN), under the governance of the Ministry of Education, is the Malaysian repre- sentative in APAN. Medical working group (MWG) is one of the application working groups in APAN. Formed in 2005, it is chaired by Professor Dr Shuji Shimizu of Kyushu University and co-chaired by Professor Dr Ho-Seong Han from Seoul Na- tional University Bundang Hospital. University of Malaya (UM), as one of the oldest academic institution in the country, was one of the first academic centres that were linked with MYREN. The involvement of UM in the APAN MWG started since 2007 when the Gastroin- testinal (GI) Endoscopy unit of UM (represent- ed by late Associate Professor Dr Salem Omar) was invited to attend as remote participant in the MWG endoscopy teleconference held in conjunction with 24th APAN meeting in Xian, China. The network setup was done in MYREN Network Operating Centre in Cyberjaya, Ma- laysia. The live endoscopy procedures were performed in both Kyushu University and Kyoto 2nd Red Cross Hospital in Japan and were transmitted with 2-way communication to 6 other centres both in Asia and Europe. The highlight was the demonstration of en- doscopic submucosal dissection (ESD) tech- nique which is a novel endoscopic technique for treatment of early GI cancer. Participating centres benefitted greatly from the sharing of such technique via remote transmission. The GI Endoscopy Unit of UM has been an APAN Meeting, Manila, January 2015- active member of the MWG having partici- Alex Leow and SH Ho pated (either remotely or physically) in almost all the endoscopy-related MWG meetings held in conjunction with the biannual APAN meeting. Recently, a special interest group focusing on GI endoscopy, called Endoscopic Club E-conference (ECE), was formed in mid- 2015 due to the increased demand for such 44 2016 | ENDOSCOPY

ENDOSCOPY EDUCATION The Era of Tele-Medicine GI Endoscopy Unit of UM has been an active member of the Medical Working Group (MWG) having partici- pated in almost all the endoscopy-related MWG meet- ings held in conjunction with the APAN meeting. ENDOSCOPY | 2016 45

Professor Khean-Lee Goh Head, GI Endoscopy Unit c/o Department of Medicine Faculty of Medicine University of Malaya 50603 Kuala Lumpur Malaysia June 12, 2008 Dear Professor Goh It gives me great pleasure to confirm that the Governing Council of the World Organisation for Digestive Endoscopy has unanimously recommended that we designate your department as an OMED Center of Excellence. The OMED Centers of Excellence are restricted to a small number of endoscopy units that are chosen from around the world for the quality of their endoscopy service, the expertise of their faculty, but more particularly for the contribution they have made to international teaching in digestive endoscopy. The World Organisation recognizes that your department in Kuala Lumpur provides not only endoscopy of an exceptional quality, but in addition you have, over many years, established a regular international live endoscopy course employing a wide range of internationally renowned endoscopists. You are one of 16 Centers of Excellence and you or a colleague of yours will be welcome to attend the Annual Meeting of Centers of Excellence which we hold at the time of the American DDW. This meeting will enable you to meet with the other directors of the centers, who offer advice to the World Organisation of Digestive Endoscopy as to how high quality endoscopy can be promoted throughout the world, the way in which the World Organisation will be able to help, encourage and promote your own department and to consider ways in which the centers can work together to undertake research and teaching. I have great pleasure in welcoming you to the community. Yours sincerely Athony T. Axon OMED President 46 2016 | ENDOSCOPY

Professor Dato Ikram Ismail receiving the WEO Center of Excellence plaque from Profes- sor Jerome Waye, 2009 World Endoscopy Organization Center of Excellence Award It was with the greatest pride, that the OMED in 2008 chose the En- doscopy Unit at the University of Malaya Medical Center as one of Center of Excellence. UMMC was one of the In 2007, the Organiasation Mondiale’ ious award (letter attached). three centers in Asia to be Endoscopie Digestive (OMED), sub- At the Annual International Thera- given this most prestig- sequently renamed the World En- peutic Endoscopy Workshop in ious award in 2008 doscopy Organization (WEO) under 2009, Professor Jerry Waye, the Vice the leadership of Professor Anthony President of WEO at that time and Axon, started a special award to rec- our Distinguished Lecturer for En- ognize outstanding GI Endoscopy doscopy 2009, presented the award Centers in the world. to Professor Dato Ikram Ismail as It was with the greatest pride, that Director of the University of Malaya the OMED in 2008 chose the Endos- Medical Center. In 2015, the WEO ex- copy Unit at the University of Malaya tended the Award of Center of Excel- Medical Center as one such center. lence to 2020. At that time, we were only one of 16 centers in the world and one of 3 in Asia to be given this most prestig- ENDOSCOPY | 2016 47

Professor Dato Dr. Khean-Lee Goh This commemorative issue of our The Driving Force Center of Excellence magazine of our Behind the Unit Endoscopy Unit will not be complete without some words about Professor Chan Wah Kheong Dato Dr KL Goh. This unit owes every- Ida Normiha Hilmi thing to Professor Goh who has for the best part of 25 years, dedicated his pro- fessional life to building it up to the high level it has attained today. Professor Goh graduated with MBBS from the University of Malaya in 1980. Soon after passing his MRCP (UK) ex- amination, he joined the Department of Medicine as a lecturer in 1984. 48 2016 | ENDOSCOPY

At that time everyone was a general all will remember KL Goh not only as has been immense. He was Presi- physician with an interest and he a mentor and teacher par excellence dent of the Malaysian Society of chose gastroenterology. He spent a but also as a very kind person. Gastroenterology and Hepatology in life changing sabbatical in 1991 at Not only was he always willing to 1996/1997 and he has been instru- the world famous Academic Medi- share his knowledge and experi- mental in organizing live endoscopy cal Center, University of Amsterdam ence, he also made an effort to workshops, ENDOSCOPY, since 1993 working under Professors Kees Hui- ensure that each trainee fulfills his or and high quality Annual Scientific bregtse and Guido Tytgat. When he her potential to the fullest and at the meetings of the Society, GUT, serv- returned with newly acquired skills same time introducing them into ing as scientific chairman for several (and enthusiasm), he started to work the regional and international arena years in a row. This culminated with relentlessly in building up the en- of Gastroenterology. A humble and his presidency of the highly success- doscopy unit to a full fledged thera- sincere person, he was most of all a ful Asian Pacific Digestive Week in peutic endoscopy unit. In 1998, an friend to all of us. September 2010. independent endoscopy unit with His leadership qualities has been Professor Goh was recognized for his Professor Goh in charge and with the recognized and tapped by the Gas- contributions by being awarded the first of its kind “in-unit” fluoroscopy troenterology fraternity in the Asian highly prestigious Merdeka Award machine in Malaysia, started its ser- Pacific region and internationally. in 2011 in the Outstanding Scholas- vice at the University Hospital Kuala Professor Goh was President of the tic Achievement Category, “For out- Lumpur. At the same time, the gas- Asian Pacific Association of Gastro- standing contribution in elevating troenterology unit started to publish enterology from 2010-2014, a posi- the study and practice of Gastroen- many papers in top journals. Profes- tion he held with great distinction. terology and Hepatology in Malaysia sor Goh himself, after much seminal From 2011-2015 he was at the same to global standards”. The American work on Helicobacter pylori infec- time the Vice President of the World Society of GI Endoscopy (ASGE) also tion, obtained his doctoral degree Gastroenterology Organization. A recognized his contributions on the from the University of Malaya in past editor of the Journal of Gastro- international scene and awarded 1997. enterology and Hepatology (JGH), him the ASGE Crystal Award for In- Professor Goh has an exemplary he is presently an Editor Emeritus as ternational Service in 2014. record of leadership in the field of well as Chairman of the JGH Founda- Gastroenterology and GI Endoscopy. tion. Many trainees and fellows (local and His contribution on the local front foreign) have looked back fondly at their years of training in his unit and Professor Kees Huibregtse (KL Goh’s mentor in Amster- dam) retired in 2004 following a kidney ailment for which he received a renal transplant from his lovely wife Anne- Marie. With a new lease of life, Kees has now become a world renowned authority in 19th Century Dutch art. KL Goh performing mother-baby scope with Kees Huibregtse. circa 1994 ENDOSCOPY | 2016 49

“A leader is one who knows the way, goes the way and shows the way” - John C Maxwell Professor KL Goh performing ERCP with Dr. SH Ho look- ing on, 2011 50 2016 | ENDOSCOPY