ASGE Recognized Industry Associate (ARIA) Training Program OPEN | October 2026-Case-Based Discussions

Video Transcription

Video Summary

The session reviewed four gastrointestinal cases:

1. <strong>Upper GI bleeding:</strong> A hypotensive, tachycardic man with hematemesis and melena needs urgent stabilization with two large-bore IVs, fluids, and IV proton-pump inhibitors before endoscopy. Peptic ulcer disease is the most common U.S. cause; NSAIDs, especially combined with aspirin, are major risks. Active ulcers are generally treated with combination endoscopic methods, such as injection plus clipping or cautery.

2. <strong>Acute pancreatitis:</strong> Epigastric pain radiating to the back and elevated lipase supported the diagnosis. Gallstones and alcohol are the leading causes; triglycerides and calcium are among other causes to investigate. Early aggressive hydration is important, and fibrates can lower triglycerides.

3. <strong>Large colon polyp:</strong> Advanced endoscopic resection may avoid surgery. For EMR, the lesion is injected to lift it, then removed—sometimes in pieces to reduce perforation risk. Large or complex lesions should be assessed at an expert center.

4. <strong>Pancreatic mass:</strong> Endoscopic ultrasound with needle biopsy can diagnose a pancreatic mass. ERCP can relieve bile duct obstruction with a stent; metal stents generally remain open longer than plastic ones and reduce repeat procedures.

Keywords

upper GI bleeding

peptic ulcer disease

acute pancreatitis

gallstones

endoscopic mucosal resection

pancreatic mass

ERCP stent