ASGE Recognized Industry Associate (ARIA) Training Program for Regeneron and Sanofi | August 2024-Case Discussion

Video Transcription

Video Summary

In the afternoon session, Dr. Gonsalves leads a clinical case discussion focusing on dysphagia, specifically eosinophilic esophagitis (EOE). Three interactive sessions, including an adult case of dysphagia, a pediatric/adolescent case, and an EOE patient's journey, are planned. The primary case discussed involves a 34-year-old male with trouble swallowing, pointing to EOE as a probable cause. The discussion covers differential diagnoses and recommends an esophagogastroduodenoscopy (EGD) for definitive diagnosis and potential treatment, dilating the esophagus if necessary.<br /><br />Further, the session reviews the advantages and implications of different treatments like proton pump inhibitors (PPIs), topical steroids, and dietary changes, stressing shared decision-making based on patient response and preferences. Dr. Gonsalves emphasizes that although dilation may induce short-term scarring, its benefits usually outweigh potential drawbacks when combined with anti-inflammatory treatments.<br /><br />Two additional cases are briefly presented: a 56-year-old male likely suffering from esophageal adenocarcinoma and a 50-year-old female with suspected achalasia. The latter case urges the use of high-resolution manometry for accurate diagnosis. The session concludes with an open forum for addressing any remaining questions regarding EOE and the discussed cases.

Asset Subtitle

Lead Faculty: Nirmala Gonsalves, MD
Other Faculty: Laura Yun, MD

Keywords

dysphagia

eosinophilic esophagitis

clinical case discussion

esophagogastroduodenoscopy

proton pump inhibitors

topical steroids

shared decision-making