Advanced Practice Provider EoE Program (Live/Virtual) | October 2025-Adult Cases and Debates

Video Transcription

Video Summary

The video discusses evaluation and management of esophageal disorders through patient cases. Case one involves a 34-year-old male with intermittent solid food dysphagia and eosinophilic esophagitis (EOE) confirmed by biopsy. Initial treatment starts with proton pump inhibitors (PPIs), progressing to topical steroids if remission is incomplete, considering food elimination diets. Endoscopy and esophagram assess esophageal narrowing, with dilation reserved as adjunct treatment. Case two describes a 50-year-old female with progressive solid and liquid dysphagia diagnosed with type II achalasia via manometry and esophagram, managed through options like pneumatic dilation, Heller myotomy, or peroral endoscopic myotomy (POEM), with follow-up for reflux monitoring. Case three covers a 42-year-old female with refractory gastroesophageal reflux disease (GERD) symptoms; diagnosis confirmed with Bravo pH monitoring informs escalation of PPI therapy or further testing. Finally, acute pill esophagitis is reviewed with emphasis on medication factors and prevention. The speaker highlights thorough history, tailored diagnostics, and shared decision-making in managing esophageal conditions.

Asset Subtitle

Sarel J. Myburgh, APRN, CNP, MS

Keywords

esophageal disorders

eosinophilic esophagitis

achalasia

gastroesophageal reflux disease

pH monitoring

pill esophagitis