ASGE Recognized Industry Associate (ARIA) Training Program for Regeneron and Sanofi | August 2024-Day in the Life of a Gastroenterologist (1 of 2)

Video Transcription

Video Summary

This segment was an interactive discussion on the day-to-day practices of a gastroenterologist, particularly focusing on empiric dilation during endoscopies for patients with dysphagia. The panel discussed the reasoning behind this practice, emphasizing that even if initial tests show no abnormalities, empirical dilation may still relieve symptoms due to microscopic scarring from conditions like acid reflux. They also explored different approaches, stressing the importance of patient-centered decision making and the low risk associated with this procedure.<br /><br />Subsequent discussions shifted to the use of artificial intelligence (AI) in gastroenterology, primarily in colonoscopy for polyp detection. The panel highlighted that AI serves as an adjunct tool to improve detection rates and standardize assessments but is not yet fully integrated into esophageal procedures. They acknowledged the potential for AI to enhance diagnostic accuracy and the need for further refinement.<br /><br />The final part of the discussion touched on the management of eosinophilic esophagitis (EOE), the role of allergen elimination diets, and the integration of biologic treatments like dupilumab into practice. The panel emphasized the importance of shared decision-making between doctors, patients, and the nuanced use of new therapies based on patient-specific needs. They also discussed the growing role of nurse practitioners and physician assistants in managing chronic conditions, underscoring the need for ongoing training and collaboration with industry and academic centers.

Keywords

gastroenterologist

empiric dilation

endoscopies

dysphagia

artificial intelligence

polyp detection

eosinophilic esophagitis

biologic treatments