ASGE Recognized Industry Associate (ARIA) Training Program for Sanofi | June 2022-Session 7

Video Transcription

Video Summary

In this video, the speaker discusses various diseases of the small intestine. They mention that while the small intestine is large, gastrointestinal doctors do not commonly see diseases specific to this organ, with the exception of Crohn's disease and irritable bowel syndrome. Four areas of small bowel disease they cover are celiac disease, obscure GI bleeding, small bowel obstruction, and mesenteric ischemia. They discuss celiac disease as an autoimmune disease where the immune system attacks the lining of the small intestine due to gluten intake. They note that gluten is found in grains like wheat, barley, and rye, but not in corn or rice. The speaker also explains that celiac disease can cause a range of symptoms including anemia, abdominal pain, cramping, and diarrhea. They describe the diagnostic process and treatment, emphasizing the importance of avoiding gluten. Regarding obscure GI bleeding, the speaker explains that it refers to bleeding in the small intestine that cannot be detected with an upper or lower endoscope. They discuss various causes such as ulcers, angioectasia, tumors, and diverticula. They describe the use of capsule endoscopy and deep endoscopy for evaluation and potential treatments, as well as radiologic tests and angiography. Small bowel obstruction is also mentioned as a mechanical blockage of the small intestine, often caused by adhesions, hernias, tumors, intussusception, or strictures. Treatment includes decompression, fluid replacement, and surgery if necessary. Finally, the video briefly touches on mesenteric ischemia, both chronic and acute, which involve blockages and reduced blood flow to the small intestine. The speaker shares that treatment can involve interventional stenting or surgery depending on the severity of the condition.

Keywords

small intestine diseases

celiac disease

obscure GI bleeding

small bowel obstruction

mesenteric ischemia

gluten intake