ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Clinical Case-based Learning (Day Two)

Video Transcription

Video Summary

The transcript covers a Q&A session focusing on gastrointestinal disorders like celiac disease, Crohn’s disease, and SIBO (Small Intestinal Bacterial Overgrowth). The discussion starts by explaining the celiac disease test, which measures the destruction of villi in the intestines by gluten, and why gluten must be reintroduced for accurate diagnosis. Questions about immunoglobulin A levels and treatment strategies for celiac disease with inconclusive endoscopy results are addressed. For inflammatory bowel diseases (IBD) such as Crohn’s, the session discusses medication adjustments in response to antibodies and undetectable drug levels and suggests treatments for patients with specific medical history considerations. The session also explores the use of biologics like Stelara, dietary recommendations for SIBO breath testing, management approaches for SIBO with different symptoms, and the role of probiotics and fiber in treating IBS. Treatment timing during steroid therapy, and options for managing steroid-resistant cases are also discussed.

Keywords

gastrointestinal disorders

celiac disease

Crohn's disease

SIBO

biologics