ASGE Recognized Industry Associate (ARIA) Training Program OPEN | October 2025-12 2025 October 9 Open ARIA Case Presentations and Group Discussion

Video Transcription

Video Summary

The transcript features a detailed medical case discussion focusing on gastrointestinal (GI) conditions. The first case covers a 58-year-old male with upper GI bleeding, emphasizing urgent management: securing two large IV lines, IV fluids, and proton pump inhibitors to stabilize and promote clotting. Peptic ulcer disease, mainly caused by NSAIDs and H. pylori, is noted as the most common cause of upper GI bleeding. Endoscopy (EGD) is highlighted as the preferred diagnostic and therapeutic tool, with treatments including epinephrine injection, clipping, and cauterization.<br /><br />The second case examines a 54-year-old woman with epigastric pain and elevated lipase, diagnosed with acute pancreatitis. The leading causes in the U.S. are alcohol and gallstones. Elevated triglycerides are identified as a contributing factor, with treatment focused on lowering triglycerides and aggressive hydration.<br /><br />The final case discusses a 67-year-old female with a large benign colon polyp. Endoscopic removal, specifically piecemeal mucosal resection or endoscopic submucosal dissection (ESD), is preferred over surgery due to lower risk and faster recovery. The choice between ESD and piecemeal resection depends on cancer suspicion. Biopsying large lesions is debated as it may complicate removal. Proper evaluation by advanced endoscopists is essential to avoid unnecessary surgery. Overall, the session highlights modern diagnostic and therapeutic approaches in gastroenterology.

Keywords

upper GI bleeding

peptic ulcer disease

endoscopy

acute pancreatitis

triglycerides

colon polyp

endoscopic submucosal dissection