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

Video Transcription

Video Summary

The video discusses celiac disease and other small bowel disorders, with a focus on small intestinal bacterial overgrowth (SIBO). Celiac disease is an autoimmune disorder caused by a reaction to dietary gluten, resulting in a malabsorption syndrome. The incidence of celiac disease is increasing and affects 1.4% of the population, primarily those of northwestern European descent. The presentation of celiac disease can vary, with symptoms such as weight loss, diarrhea, malabsorption, and dermatitis herpetiformis. Diagnosis is typically made through serological tests, small bowel biopsies, and genetic testing.<br /><br />The video also discusses the management and surveillance strategies for celiac disease, including adherence to a gluten-free diet, monitoring for nutritional deficiencies, and continuous follow-up with a multidisciplinary team. The importance of educating patients about the disease process and the need for lifelong adherence to a gluten-free diet is emphasized. The video also touches on non-celiac gluten sensitivity and the use of low FODMAP diets for symptom management.<br /><br />Regarding SIBO, the video highlights its association with excessive bacteria in the small bowel, leading to malabsorption of nutrients and symptoms such as bloating, gas, diarrhea, and constipation. Diagnosis is typically made through breath tests that assess for glucose or lactulose hydrogen. Treatment options for SIBO include antibiotics such as rifaximin, low FODMAP diets, elemental diets, and herbal remedies. The importance of engaging a knowledgeable dietitian and long-term follow-up is emphasized. The video concludes with a case presentation and practice pearls for managing celiac disease and SIBO.<br /><br />Video source: Unknown

Asset Subtitle

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

Keywords

celiac disease

small intestinal bacterial overgrowth

gluten-free diet

nutritional deficiencies

breath tests

rifaximin