ASGE Recognized Industry Associate (ARIA) Training Program OPEN | October 2025-08 2025 October 9 Open ARIA Presentation 7 Kunjali Padhya Small Intestine

08 2025 October 9 Open ARIA Presentation 7 Kunjali Padhya Small Intestine

Video Transcription

Video Summary

Dr. Kunjali Padia discussed various small intestine diseases, focusing mainly on celiac disease and obscure gastrointestinal bleeding. Celiac disease is an autoimmune condition triggered by gluten, damaging intestinal villi and impairing nutrient absorption. Diagnosis requires gluten-containing diet testing through blood markers and confirmatory biopsies. Treatment is a lifelong gluten-free diet, considering hidden gluten sources. Obscure GI bleeding, often from the small intestine, includes causes like Crohn’s ulcers, angioectasias, Meckel’s diverticulum, and tumors. Evaluation involves repeat endoscopy, capsule endoscopy—a swallowable camera providing extensive small bowel imaging—and deep enteroscopy for diagnosis and treatment. Imaging like CT angiography and nuclear scans help localize bleeding. Small bowel obstruction results from adhesions, strictures, hernias, or tumors, often requiring imaging and potentially surgery. Mesenteric ischemia, from compromised blood flow due to clots or atherosclerosis, causes severe abdominal pain and is diagnosed via Doppler ultrasound or angiography. Treatment may include intervention or surgery based on the cause and severity.

Keywords

small intestine diseases

celiac disease

obscure gastrointestinal bleeding

capsule endoscopy

small bowel obstruction

mesenteric ischemia