Advanced Practice Provider EoE Program (Live/Virtual) | November 2024-Adult Case Studies and Debates

Video Transcription

Video Summary

The video discusses the evaluation and management of eosinophilic esophagitis (EOE) and other esophageal disorders through case studies. A 34-year-old male experienced dysphagia (difficulty swallowing), heartburn, and reflux, leading to an endoscopy revealing eosinophilic infiltrate. Initial treatment with proton pump inhibitors (PPI) followed by topical steroids was suggested, demonstrating ongoing management complexities. Another case involves a 50-year-old female with progressive dysphagia, eventually diagnosed with achalasia via manometry and treated with options like Botox, pneumatic dilation, or myotomy. Similarly, a case of a 42-year-old female with refractory GERD shows the need for thorough evaluation, possibly using a 48-hour pH study. Management often starts with PPIs and may include further diagnostics or surgery. Lastly, an elderly patient with acute odynophagia and dysphagia was eventually diagnosed with esophageal adenocarcinoma, highlighting the importance of endoscopy in identifying malignancies. The overarching theme stresses accurate diagnosis via appropriate tests (endoscopy, manometry, esophagram) and personalized treatment plans involving medications, dietary adjustments, or surgical interventions, emphasizing shared decision-making in treatment.

Asset Subtitle

Sarel J. Myburgh, APRN, CNP, MS

Keywords

eosinophilic esophagitis

dysphagia

endoscopy

proton pump inhibitors

achalasia

esophageal adenocarcinoma

shared decision-making