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

Video Transcription

Video Summary

The Q&A session covered various aspects of diagnosing and managing colon health issues, focusing on ischemic colitis and colonoscopy practices. Clinicians often rely on symptoms and imaging, like CT scans, to diagnose ischemic colitis rather than immediately opting for a colonoscopy, reserving it for unclear cases or non-resolving symptoms. Colonoscopies done sooner than recommended intervals for symptoms like diarrhea and rectal bleeding are considered diagnostic rather than surveillance. Updated guidelines from gastroenterology societies guide follow-up intervals, considering factors such as polyp characteristics and patient risk. When dealing with young patients or those over 80, decisions about colonoscopy are highly individualized, weighing their medical history and overall health. Virtual colonoscopy is less common, often replaced by non-invasive screenings like Cologuard. Combining upper and lower endoscopies is typically preferred to minimize multiple procedures. In the elderly, screening decisions are complex, emphasizing personalized discussions about risks and benefits.

Keywords

ischemic colitis

colonoscopy practices

diagnostic imaging

gastroenterology guidelines

personalized screening