ASGE Annual GI Advanced Practice Provider Course (Virtual) - Clinical Case-Based Learning (Day Two) | April 2023-Questions and Answers: Session 7

Video Transcription

Video Summary

In the video, the speakers discuss various topics related to pancreatitis, inflammatory bowel disease (IBD), and the use of Imodium for diarrhea. They mention that certain diabetes drugs have been associated with acute pancreatitis, and recommend discontinuing the medication if pancreatitis is suspected. When determining whether a patient with pancreatitis needs hospital admission or can be treated as an outpatient, the speakers suggest looking at the patient's symptoms and hemodynamic status, as well as their ability to tolerate oral fluids and their clinical improvement. The speakers also talk about the use of CT enterography versus MR enterography for diagnosing IBD. They discuss the pros and cons of each and mention that the availability and reimbursement of MR enterography can be limiting factors. In terms of assessing remission in IBD, they mention the use of the Crohn's disease activity index score for Crohn's disease and the Mayo score for ulcerative colitis. However, they highlight that these scores may be more commonly used in clinical trials rather than in practice. Lastly, they mention the use of Imodium for diarrhea and provide recommendations for patients who experience drowsiness from Imodium, such as taking it at night or using a lower dose. They also suggest alternatives like fiber supplementation or the use of Banatrol, which is a prebiotic for diarrhea. Overall, the speakers provide insights, recommendations, and considerations for managing pancreatitis, IBD, and diarrhea. No specific credits are mentioned in the video transcription.

Keywords

pancreatitis

inflammatory bowel disease

Imodium

diabetes drugs

CT enterography

MR enterography