About MES 2011

The Society for Endocrinology sponsored the 6th Hammersmith Multidisciplinary Endocrine Symposium on 9th December 2011 at Hammersmith Hospital. This annual meeting brings together trainees and consultants from all specialties who manage complex endocrine patients in multidisciplinary teams, so that they can share best practice and discuss difficult cases. The 210 delegates also included MEN-1 and MEN-2 patients, who attended the main meeting and the parallel sessions specifically designed for them. This year’s meeting had a strong pituitary theme. The audience were updated in the recent advances of pituitary ima

ging and surgery by Dr Amrish Mehta and Mr Nigel Mendoza (Charing Cross Hospital). Dr Nick Plowman (St Bartholomew’s Hospital) gave an overview of the radiotherapy options now available for patients with pituitary tumours and this was followed by interactive case discussions with the use of interactive clickers to vote for particular options and roving microphones.

The theme then changed to discuss the controversies in the management of patients with hyperparathyroidism. Following a fascinating case that illustrated the difficulties of some hyperparathyroid patients presented by Dr Matthew Oldfield (Kingston Hospital) Dr Channa Jayasena and Prof Karim Meeran (Hammersmith Hospital) gave an entertaining interactive presentation regarding the pitfalls in the diagnosis of primary hyperparathyroidism. This was followed by a lengthy discussion on the question of ‘To D or not to D – should we replace vitamin D when managing patients with primary hyperparathyroidism?’ with expert advice from specialists in the audience – the overall consensus was ‘yes’. An important addition to this year’s meeting were 2 presentations from medical students who had undertaken a BSc in Endocrinology and presented their project work. There were many experts in the audience and both Jeremy Cox and James Ahlquist added vastly to the discussion. This was followed by the Society for Endocrinology Seminar by Prof Zyg Krukowski (Aberdeen) who demonstrated typical surgical grit in fighting through the gales and heavy rains that closed most of Scotland’s airports bridges and roads to make it to the meeting! Despite sleep deprivation he gave an excellent pragmatic and comprehensive overview of the evidence for parathyroid surgery in hyperparathyroidism.

The delegates viewed the excellent posters over lunch. The Society supported a prize for the best poster which was awarded to Dr Agnieska Falinska (Chelsea and Westminster Hospital). The theme for the afternoon was endocrine neoplasia starting with an update in adrenocortical carcinoma. Surgical approaches were discussed by Mr Fausto Palazzo (Hammersmith Hospital) and Mr Radu Mihai (Oxford) and adjuvant treatment was elegantly reviewed by Prof Wiebke Arlt (Birmingham). This was followed by the final session on neuroendocrine tumours with case based discussion of gastrinomas (Prof Waljit Dhillo, Hammersmith Hospital) and an update of medical therapies Dr Tricia Tan (Hammersmith Hospital). You can enjoy all the abstracts online at (http://metmed.info ). Preparations are underway for the 7th Hammersmith Endocrine Symposium will take place on 7th December 2012 and details will be available at http://metmed.info/ .