ASGE Annual GI Advanced Practice Provider Course (Virtual) - Onboarding Day One | April 2022-ASGE APP Video of the Week

Video Transcription

Video Summary

In this video, Joe Vicari discusses a case of a 40-year-old white female with celiac disease who has been experiencing non-bloody watery diarrhea for eight weeks. Despite being strictly adherent to a gluten-free diet and having normal celiac serology, the most likely cause of her diarrhea is microscopic colitis. Vicari explains that patients with celiac disease have a higher incidence of microscopic colitis, which can be diagnosed through histology. Medications like NSAIDs and PPIs have been associated with microscopic colitis, and treatment involves controlling the diarrhea with antidiarrheals or, in more severe cases, using Budesonide. The main takeaway is to consider microscopic colitis in patients with stable celiac disease and decompensation.

Keywords

Joe Vicari

celiac disease

non-bloody watery diarrhea

microscopic colitis

histology