ASGE Adult and Pediatric Gastroenterology and Endoscopy Board Preparatory and Review Course | 2022-Walsh_Celiac and non-celiac small bowel diseases

Walsh_Celiac and non-celiac small bowel diseases

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The document discusses several small bowel diseases and their management. Celiac disease, characterized by an immune reaction to gluten, can present with a range of symptoms including diarrhea, weight loss, and iron-deficiency anemia. Diagnosis is typically confirmed through serologic testing and biopsy, and treatment involves adherence to a gluten-free diet.<br /><br />Eosinophilic gastrointestinal diseases (EGIDs) are chronic immune-mediated disorders characterized by an increase in eosinophils in specific regions of the GI tract. Symptoms can include abdominal pain, bloating, and diarrhea. Diagnosis is based on clinical symptoms and histologic findings, and treatment often involves the use of corticosteroids.<br /><br />Small intestinal bacterial overgrowth (SIBO) occurs when there is an overgrowth of bacteria in the small intestine. Symptoms can include bloating, abdominal pain, and diarrhea. Diagnosis is typically confirmed through breath tests or small bowel aspirate culture. Treatment involves the use of antibiotics.<br /><br />NSAID-induced enteropathy refers to small bowel injury caused by the use of non-steroidal anti-inflammatory drugs. It is characterized by erosions, ulceration, and strictures in the small intestine. Treatment involves discontinuation of NSAIDs and supportive care.<br /><br />Overall, the management of small bowel diseases involves various diagnostic tests, targeted treatments based on the specific condition, and management of any underlying factors contributing to the disease.

Keywords

small bowel diseases

management

celiac disease

gluten

diarrhea

eosinophilic gastrointestinal diseases

abdominal pain

small intestinal bacterial overgrowth

SIBO

NSAID-induced enteropathy