ASGE Annual GI Advanced Practice Provider Course (Virtual) (Day One)

Video Transcription

Video Summary

The speakers answer Q&A on genetic testing, post-diverticulitis colonoscopy, GLP-1 use, and bariatric complications. For genetic testing, they advise referral to genetic counselors/high-risk clinics unless clinicians are comfortable interpreting results, especially variants of uncertain significance. After diverticulitis, they generally recommend repeat colonoscopy in 6–8 weeks even if recently scoped, to exclude missed malignancy. GLP-1s are approached cautiously in patients with prior pancreatitis (consider cause) and generally not contraindicated for small pancreatic cysts; thyroid cancer requires case-specific/endocrine input. Chronic diarrhea after duodenal switch needs thorough workup, close nutritional monitoring, possible TPN, and sometimes surgical reversal. They discourage “microdosing” GLP-1s due to lack of data and discuss maintenance therapy and lifestyle change after goal weight.

Keywords

genetic testing counseling

post-diverticulitis colonoscopy timing

GLP-1 agonist safety pancreatitis pancreatic cyst thyroid cancer

duodenal switch complications chronic diarrhea nutritional monitoring TPN reversal

GLP-1 microdosing maintenance therapy lifestyle after weight loss