ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Clinical Case-based Learning (Day Two) | March 2025-Clinical Vignettes: Approach to Bloating - Small Bowel Diseases Including Celiac Disease and SIBO

Clinical Vignettes: Approach to Bloating - Small Bowel Diseases Including Celiac Disease and SIBO

Video Transcription

Video Summary

The video discusses the complexities of diagnosing and managing bloating, celiac disease, and small bowel disorders. Many patients with bloating feel frustrated after seeing multiple providers, prompting a need for a systematic approach to their symptoms. The presenter emphasizes the importance of considering a broad range of differential diagnoses, from diet-related issues to more serious conditions like bacterial overgrowth or malignancies. For celiac disease, diagnosing can take 6 to 10 years, often delayed by patients' gluten-free diets. Detailed steps for proper testing and endoscopic biopsy are highlighted, along with the need for educating patients about the nuances of gluten sensitivity versus celiac disease. The presenter also stresses the value of diaphragmatic breathing for some cases and includes practical case studies and pearls to emphasize patient-centered care, education, and the necessity for regularly scheduled follow-ups to prevent patients from being lost in the system.

Asset Subtitle

Jill Olmstead, DNP, ANP-BC, FAANP

Keywords

bloating

celiac disease

small bowel disorders

diagnosis

gluten sensitivity

patient care