ASGE Esophagology: Tailoring Management from Testing to Treatment (Live and Virtual) | July 2022-CASE Based Discussion Session 1

Video Transcription

Video Summary

In the video, a group of doctors discuss a case of chronic cough in a 42-year-old woman. The patient complains of chronic cough for several years, impacting her quality of life, but does not experience heartburn or acid regurgitation. The doctors discuss different approaches to diagnose and treat the cough, including options such as empiric BID PPI trial, EGD, impedance testing, pulmonary referral, and ENT referral. They also emphasize the need for a multidisciplinary approach and thorough evaluation for other possible causes of the cough, such as asthma and rhinosinusitis. The doctors discuss the importance of addressing patient expectations and the challenges in finding the right treatment for chronic cough. The video concludes with the doctors discussing potential further steps in the patient's treatment, such as pH testing on therapy, gabapentin trial, or considering multidisciplinary discussions. The main takeaway points from the video are that GERD is one of many potential causes for chronic cough, thorough evaluation is necessary to identify other possible causes, a multidisciplinary approach is important for effective management, and doctors should prioritize patient well-being over external pressures.

Asset Subtitle

Cough Conundrums
Failed Fundoplication

Keywords

chronic cough

42-year-old woman

heartburn

acid regurgitation

diagnose

treat