ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Clinical Case-Based Learning (Day Two) | April 2023-Celiac Disease and Other Diseases of the Small Bowel

Video Transcription

Video Summary

The presentation discusses celiac disease and other small bowel disorders, with a focus on small intestinal bacterial overgrowth (SIBO). Celiac disease is an autoimmune disorder that damages the small intestine in response to gluten consumption. It can cause a range of symptoms such as weight loss, diarrhea, malabsorption, and dermatitis herpetiformis. The incidence of celiac disease is increasing and it affects 1.4% of the population, primarily individuals of Northwestern European descent. Genetic testing is necessary for diagnosis, with both the DQ2 and DQ8 genes required for a positive result. A gluten-free diet is the main management approach for celiac disease, and patients may need to reintroduce gluten before testing. Non-classical symptoms can include iron deficiency anemia and psychiatric disorders. Small intestinal bacterial overgrowth (SIBO) is characterized by excessive bacteria in the small intestine and can cause symptoms such as bloating, gas, diarrhea, and constipation. Diagnosis involves breath tests and management may include antibiotics and a low FODMAP diet. The importance of patient education, consulting with a dietitian, and regular follow-up is emphasized.

Asset Subtitle

Jill Olmstead, DNPc, ANP-BC, CCS-P, FAANP

Keywords

celiac disease

small intestinal bacterial overgrowth

gluten-free diet

genetic testing

autoimmune disorder

breath tests