ASGE Endo Hangout: Lower Motility for Practicing Gastroenterologist | August 2024-Lower Motility for Practicing Gastroenterologist

Video Transcription

Video Summary

The ASGE Endo Hangout for GI Fellows webinar focused on lower motility issues for practicing gastroenterologists, facilitated by Michael DeLuttre. The session featured Dr. Lavinia Viswanathan from David Grant Medical Center in Houston, Texas, and Dr. Baha Moshiri, a clinical professor at Wake Forest University and director of motility at Atrium Health. Dr. Moshiri discussed various diagnostic tools and treatment strategies for motility disorders through two case studies. <br /><br />She covered a range of diagnostic methods for lower GI motility, including radiopaque marker studies, colon scintigraphy, and wireless motility capsules, highlighting their advantages and limitations. She emphasized the importance of using combined diagnostic and therapeutic approaches, such as laxatives and prokinetics, for patients with severe constipation and other motility issues. Dr. Moshiri also explained the utility of new technologies like the ANX device, which uses magnetically controlled capsules, and the Atmo gas sensing capsule, both of which offer alternative diagnostic options.<br /><br />Additionally, the webinar covered the importance of assessing upper GI symptoms like bloating and gastroparesis, and potential treatments for functional defecation disorders and pelvic floor dysfunction. Tools like anorectal manometry, biofeedback therapy, and MRI defecography were discussed for their role in diagnosing various motility disorders.<br /><br />Dr. Moshiri also explained new innovations such as vibrating capsules that can aid in motility and the potential for less invasive diagnostic capsules. Overall, the session underscored the complexity of motility disorders and the need for comprehensive diagnostic and therapeutic strategies to manage these conditions effectively.<br /><br />Audience questions highlighted practical aspects such as combining therapies and using drugs like metoclopramide, further enriching the discussion with real-world applicability. The session concluded with an emphasis on multidisciplinary approaches and tools available for effective GI motility management.

Keywords

GI motility

diagnostic tools

treatment strategies

Michael DeLuttre

Lavinia Viswanathan

Baha Moshiri

radiopaque marker studies

wireless motility capsules

ANX device

Atmo gas sensing capsule

functional defecation disorders

multidisciplinary approaches