Advanced Practice Provider EoE Program (Live/Virtual) | November 2024-Highway to the Danger Zone- How APPs Navigate the Narrow Lanes of Esophageal Stricture

Highway to the Danger Zone- How APPs Navigate the Narrow Lanes of Esophageal Stricture

Video Transcription

Video Summary

The video focuses on esophageal strictures, especially associated with eosinophilic esophagitis (EOE), discussing symptoms, diagnosis, and management strategies. The session discusses the case of a 36-year-old male with recurrent food impactions and a possible EOE diagnosis, evidenced by symptoms and esophageal endoscopy findings. Initial treatment included high-dose PPIs and swallowed corticosteroids, focusing on both medication and dietary adjustments. Endoscopic dilation is emphasized for patients with persistent esophageal stricture, alongside medical treatment to manage chronic conditions effectively. The panel highlights the importance of monitoring through regular follow-ups, periodic clinical assessments, and considering dilation to achieve symptomatic and histological remission. Emphasis is placed on informed consent procedures, detailing the risks and benefits of esophageal dilation. The presentation concludes with the importance of consistent long-term follow-up to optimize patient outcomes, given the chronic nature of EOE, and encourages healthcare providers to thoroughly communicate the treatment plan and expectations with patients.

Asset Subtitle

Sumeet Tewani, MD, FASGE and Sarah Enslin, PA-C

Keywords

esophageal strictures

eosinophilic esophagitis

endoscopic dilation

food impactions

swallowed corticosteroids

dietary adjustments

long-term follow-up