News from the AGA

Top AGA Community patient cases


 

Physicians with difficult patient scenarios regularly bring their questions to the AGA Community to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses.

In case you missed it, here are the most popular clinical discussions shared in the forum recently:

1. Refractory lymphocytic colitis and diarrhea
An elderly female with lymphocytic colitis wasn’t responding to any treatment provided by her physician, who was trying to avoid a colectomy due to her advanced age. The GI community shared their support with recommendations for therapy options and next steps.

2. Atypical case of enteropathy
This physician found mild erosive gastritis, villous blunting and mucosal accumulation of eosinophils up to 55/hpf in an 18-year-old female with a history of nausea, vomiting, nonbloody diarrhea, abdominal pain, and weight loss over the past year. She tested negative for celiac disease and a gluten-free diet only provided partial improvement. The conversation in the Community forum covered potential diagnoses to be considered and recommendations for therapy.

3. Eosinophilic esophagitis with aperistalsis
A 21-year-old male presented with progressive dysphagia due to eosinophilic esophagitis with a weight loss of 17 pounds in two months. A panendoscopy revealed a hiatal hernia and aperistalsis of the esophagus, with normal inferior and superior sphincter pressures. No changes were observed recently; he is being managed with prokinetics and remains asymptomatic.

More clinical cases and discussions are at https://community.gastro.org/discussions.

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