ASGE Recognized Industry Associate (ARIA) Training Program OPEN | October 2026-Esophagus and Stomach in Disease

Video Transcription

Video Summary

The lecture reviews major diseases of the esophagus and stomach. Gastroesophageal reflux occurs when the lower esophageal sphincter fails to prevent stomach contents from moving upward. Risk factors include hiatal hernia, certain foods and medications, and obesity. Treatment includes lifestyle changes, acid-suppressing medication, and, in selected cases, surgery.

Esophagitis may result from reflux, infection, medication, radiation, caustic injury, or eosinophilic inflammation. Chronic reflux can lead to Barrett’s esophagus, a precancerous change monitored by endoscopy and treated with removal of suspicious nodules and ablation when appropriate.

Esophageal motility disorders, particularly achalasia, can cause swallowing difficulty and regurgitation. Diagnosis may involve manometry and imaging; treatments include Botox injection, balloon dilation, or endoscopic myotomy.

The lecture also covers peptic ulcers, commonly associated with <em>H. pylori</em> or NSAIDs, and upper gastrointestinal bleeding, which may require resuscitation, medication, and endoscopic treatment. Gastric outlet obstruction is evaluated with imaging and endoscopy, often after stomach decompression. Gastroparesis is delayed stomach emptying without obstruction and may be managed with dietary changes and medication. Finally, endoscopic ultrasound helps assess subepithelial masses and determine whether they require sampling.

Asset Subtitle

Sepideh Moghadam

Keywords

gastroesophageal reflux

esophagitis

Barrett's esophagus

achalasia

peptic ulcer

upper gastrointestinal bleeding

gastroparesis

endoscopic ultrasound