ASGE Annual GI Advanced Practice Provider Course (Virtual) - Day Two

Video Transcription

Video Summary

In this video, Jill Olmsted, NP, discusses celiac disease and its various aspects. Jill is an adult nurse practitioner at St. Joseph's Providence Health Hospital in Fullerton, California, specializing in gastroenterology practice. She has been a nurse practitioner for about 15 years and is certified in coding and clinical documentation improvement. Jill begins by stating that the diagnosis of celiac disease is often delayed, with an average time of 12 years after symptom onset. She explains that testing for celiac disease in patients who have already started a gluten-free diet requires adding back gluten for one to three months before testing. She emphasizes the importance of diagnosing celiac disease accurately through serological tests, including anti-tissue glutaminase IgA, and confirmatory biopsies. Jill discusses the typical and atypical presentations of celiac disease, as well as non-gluten sensitivity symptoms. She also mentions the management strategies, such as adherence to a gluten-free diet and the involvement of a knowledgeable dietitian. Jill concludes by highlighting the need for continuous follow-up, monitoring for persistent symptoms, and evaluating for concurrent disorders. She emphasizes the importance of patient education and providing anticipatory guidance.

Asset Subtitle

Jill Olmstead, MSN, ANP-C, CCS-P, FAANP

Keywords

celiac disease

diagnosis

gluten-free diet

serological tests

management strategies