ASGE Esophagology General GI Practice Virtual Program (LIVE Virtual) | April 2021-Case Discussion 1

Video Transcription

Video Summary

In a video discussion, a panel of experts explores treatment options for a patient with gastroesophageal reflux disease (GERD). The patient is a 48-year-old male executive who has been symptomatic for five years, experiencing frequent episodes of heartburn, chest pain, and intermittent cough. Despite taking double-dose proton pump inhibitors (PPIs), his symptoms persist, and stopping the medication leads to immediate recurrence.<br /><br />The panel discusses various treatment options for the patient, including continuing PPI therapy, using PPIs as needed, or considering different procedures such as antireflux mucosectomy, endoscopic full thickness placation, or laparoscopic fundoplication. The panelists weigh the benefits and risks of each approach, considering the patient's lifestyle and preferences.<br /><br />They also discuss long-term effects and potential side effects of PPI therapy, as well as durability of endoscopic procedures. The panel emphasizes the importance of individualized treatment plans and considering the patient's quality of life when determining the best course of action.<br /><br />The discussion touches on the use of endoscopic procedures such as ARMS (antireflux mucosectomy) and GERD-X (endoscopic full thickness placation), as well as the benefits of a combined procedure such as hiatal hernia repair with transoral incisionless fundoplication (TIF).<br /><br />Throughout the video, the experts provide clinical insights, share their experiences, and address specific questions from the audience. The discussion provides a comprehensive overview of treatment options and considerations for patients with GERD.

Asset Subtitle

Panel: Reginald Bell, Kenneth Chang, Felice Schnoll-Sussman, Peter Kahrilas, and Prateek Sharma

Keywords

GERD

treatment options

PPI therapy

endoscopic procedures

symptoms persist

individualized treatment

quality of life