ASGE Recognized Industry Associate (ARIA) Training Program for Regeneron and Sanofi

Video Transcription

Video Summary

This video goes over several diseases impacting the small intestine. The presentation starts with celiac disease, an autoimmune condition with a genetic predisposition, triggered by gluten. Symptoms range from asymptomatic to severe malabsorption leading to weight loss and growth issues. Diagnosis typically involves serological tests and upper endoscopy with biopsy. The primary treatment is a strict gluten-free diet, often requiring dietitian support.<br /><br />The discussion then moves to obscure gastrointestinal bleeding, challenging because it can occur anywhere in the GI tract, though often in the small intestine. Techniques to locate the bleeding include capsule endoscopy, balloon-assisted enteroscopy, and radiological interventions like tagged RBC scans and angiography.<br /><br />Next, small bowel obstruction is covered, highlighting causes such as adhesions, hernias, tumors, strictures, and bezoars. Diagnosed via x-rays or CT scans, treatment can involve decompression, hydration, and sometimes surgery.<br /><br />Lastly, mesenteric ischemia, acute or chronic, is examined. Acute cases often involve blood clots, while chronic cases are due to atherosclerosis, causing postprandial pain and weight loss. Diagnosis utilizes imaging techniques, and treatment may include angioplasty, stent placement, or surgical intervention.

Asset Subtitle

Neha Mathur, MD

Keywords

celiac disease

gluten-free diet

small intestine

gastrointestinal bleeding

small bowel obstruction

mesenteric ischemia

diagnosis and treatment