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GI Insights

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Looking to digest the latest in gastroenterology? GI Insights is here to provide updates on screening guidelines, diagnostic options, and management tools for all diseases and disorders affecting the gastrointestinal tract.
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Episodes

Managing Barrett’s Esophagus with Dysplasia: A Review of the Latest ACG Guideline

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Nicholas Shaheen, MD, MPH For patients with Barrett’s esophagus with dysplasia, endoscopic surveillance is recommended to monitor the progression of the condition. But with the release of an updated guideline from the ACG, which of our patients are the right candidates for endoscopic treatment, and when should we be stopping surveillance? To discuss these and other key questions stemming from the updated guideline, Dr. Peter Buch is joined by Dr. Nic...

Jul 12, 20220

Investigating Esophageal Strictures

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Todd H. Baron, MD Treating benign esophageal strictures can be challenging. How can we avoid mistakes and improve care? Dr. Peter Buch joins Dr. Todd Baron, Professor of Medicine and Director of Advanced Therapeutic Endoscopy at the Division of Gastroenterology and Hepatology at the University of North Carolina School of Medicine to share common therapeutic mistakes and discuss how to treat esophageal strictures.

Jul 11, 20220

Evaluating the Increasing Incidence of Eosinophilic Esophagitis: What You Need to Know

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Kathryn Peterson, MD, MSci As rates of eosinophilic esophagitis continue to rise, how should we adjust our approach to management? To answer that question, Dr. Peter Buch is joined by Dr. Kathryn Peterson, an Associate Chief of the Division of Gastroenterology at the University of Utah Health.

Jul 06, 20220

GI Around the World: A Look at IBS in Asia

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Andrew Ong MBChB, MRCP, FAMS Irritable bowel syndrome (IBS) varies by geography, culture, and environment. So to learn more about IBS in the Asian population, Dr. Peter Buch welcomes Dr. Andrew Ong, who discusses the differences between IBS in the Asian population compared to North America and the importance of considering cultural differences when confronting IBS.

Jun 30, 20220

Navigating Non-Alcoholic Fatty Liver Disease: Diagnostic & Management Strategies

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Naim Alkhouri, MD Non-alcoholic fatty liver disease (NAFLD) is the most common form of chronic liver disease in the United States and affects about one-quarter of the population. So what are the risk factors for developing NAFLD, and how can we monitor its progression and manage our patients? Joining Dr. Peter Buch to answer these and other key questions is Dr. Naim Alkhouri, Chief of Transplant Hepatology and the Director of the Fatty Liver Program ...

Jun 29, 20220

Scrubs & Heels: How an Organization Aims to Close Gender Disparities in GI

Host: Neilanjan Nandi, MD Guest: Anita Afzali MD, MPH, FACG, AGAF Guest: Aline Charabaty, MD Although the rate of females in gastroenterology has increased, gender disparities such as equal pay and leadership positions still persist. That’s why Drs. Aline Charabaty and Anita Afzali co-founded Scrubs & Heels, a leadership organization working to foster professional growth for women in gastroenterology. And now, they join Dr. Neil Nandi to discuss Scrubs & Heels’ mission and how we can clo...

Jun 22, 20220

Reviewing the Use of Per-Oral Endoscopic Myotomy in Esophageal Dysmotility

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Michel Kahaleh, MD Per-oral endoscopic myotomy (POEM) is a specialized endoscopic procedure to treat motility disorders of the esophagus. But what’s the procedure’s specific use in treating achalasia and other esophageal dysmotilities? To help answer that key question, Dr. Peter Buch is joined by Dr. Michel Kahaleh, Professor of Medicine and Director of the Pancreas Program in the Department of Medicine at Robert Wood Johnson Medical School, to discu...

Jun 22, 20220

Assessing Anticoagulants & Antiplatelets During GI Bleeding

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Neena Abraham, MD, MS Join Dr. Peter Buch as he explores the management of acute gastrointestinal bleeding and the periendoscopic period with anticoagulants and with Dr. Neena Abraham, Associate Medical Director at the Mayo Clinic Center for the Science of Health Care Delivery in Arizona and lead author of the joint “American College of Gastroenterology-Canadian Association of Gastroenterology Clinical Practice Guideline.”...

Jun 14, 20220

Fighting Food Allergies & Intolerances in GI

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Frances Onyimba, MD Over the last two decades, up to 20 percent of the population in industrialized nations have reported an abnormal physical response to food ingestion, also known as an adverse reaction to food. So what key information do we need to know about food allergies and intolerances amid this recent rise around the world? To find out, Dr. Peter Buch is joined by Dr. Frances Onyimba, Assistant Professor of Medicine at the University of Mary...

Jun 13, 20220

A Guide for Deprescribing Proton Pump Inhibitors

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Laura Targownik, MD Proton pump inhibitors (PPIs) are among the 10 most widely prescribed medications, but PPI overuse has been associated with adverse events. So what is the best advice for de-prescribing PPIs, and which of our patients should remain on PPIs? Find out the answers to these and other key questions with Dr. Peter Buch and Dr. Laura Targownik, who’s the lead author of the American Gastroenterological Association’s Clinical Practice Upda...

Jun 13, 20220

Assessing the Availability of H. Pylori Testing

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: David Graham, MD H. pylori testing is accessible now more than ever before. Why is this development so important? To help us understand why, Dr. David Graham, a Professor of Medicine and Gastroenterology at the Baylor College of Medicine, joins Dr. Peter Buch to discuss this availability and dive into “Antimicrobial Susceptibility Testing for Helicobacter pylori Is Now Widely Available: When, How, Why."

Jun 06, 20220

How to Best Manage Acute-on-Chronic Liver Failure

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Jasmohan Bajaj, MD In patients with cirrhosis and chronic liver disease, acute-on-chronic liver failure is emerging as a major cause of mortality. That’s why an update on precipitating factors and essential management strategies is the basis of Dr. Peter Buch’s discussion with Dr. Jasmohan Bajaj, Professor of Medicine at the Richmond VA Medical Center and lead author of the article “Acute-on-Chronic Liver Failure Clinical Guidelines,” which was publi...

Jun 02, 20220

Diving into the Science & Art Behind GERD Treatment

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Harish Gagneja, MD What are some ways we can strike the perfect balance when it comes to treating our patients with GERD? To help us answer this question, Dr. Harish Gagneja from the Dell Medical School at the University of Texas joins Dr. Peter Buch to explore balanced treatment options for these patients.

May 27, 20220

A Look at Emerging Virtual Reality Tools in Gastroenterology

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Brennan Spiegel, MD, MSHS Let’s escape our busy day for a moment to imagine the future of gastroenterology and to ask ourselves: How can technology make us better clinicians? Explore that very question with Drs. Peter Buch and Brennan Spiegel as they discuss the latest advances in artificial intelligence and virtual reality that are aiding both clinical practice and research efforts.

May 27, 20220

Breaking Down Our Approach to Small Intestinal Bacterial Overgrowth

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Alexander Perelman, D.O. Small intestinal bacterial overgrowth (SIBO) has been recognized for years, yet the optimal method of diagnosis remains controversial. So to help clear up the controversy, Dr. Peter Buch welcomes back returning guest Dr. Alexander Perelman to talk about diagnosing and treating SIBO.

May 23, 20220

Evaluating Therapeutic Drug Monitoring in IBD

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Adam S. Cheifetz, MD Therapeutic drug monitoring has emerged as an important tool to optimize therapy for patients with inflammatory bowel disease (IBD). To help us learn more about this tool, Dr. Peter Buch is joined by Dr. Adam Cheifetz of Beth Israel Deaconess Medical Center and Professor of Medicine at Harvard Medical School.

May 19, 20220

Gender & the Gut: Managing Women’s Digestive Health

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Asma Khapra, MD Over the last few years, we've only started to gain an understanding of how gender affects our approach to GI illnesses. And since a greater awareness of these differences will help us become better clinicians, Dr. Peter Buch speaks with Dr. Asma Khapra about how we can optimize our approach to managing common GI illnesses in our female patients.

May 10, 20220

Investigating the Latest Innovations in IBD

Host: Neilanjan Nandi, MD Guest: Peter D. Higgins, MD, PhD What's on the horizon for the management of inflammatory bowel disease? To share some of the latest clinical trial updates, Dr. Neil Nandi is joined by Dr. Peter Higgins from the University of Michigan to explore some of the latest developments in early detection tools and treatment strategies for patients with IBD.

Apr 21, 20220

ICIs & Gastrointestinal Side Effects: What You Need to Know

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Rashid N. Lui, MD Immune checkpoint inhibitors have evolved the treatment landscape for cancer, but we need to consider the GI side effects. To do so, Dr. Peter Buch is joined by Dr. Rashid N. Lui to assess the GI impacts of ICIs and how to manage them.

Apr 20, 20220

How to Mitigate the Risk of Medical Malpractice Claims

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Michael L. Weinstein, MD As clinicians, providing the best quality of care is paramount. But when it comes to procedure-intensive specialties, medical malpractice is a notable concern. So what do we need to know about the common malpractice claims in the GI field, and how can we mitigate the risk of those claims? To find out, Dr. Peter Buch is joined by Dr. Michael Weinstein, President and CEO of Capital Digestive Care....

Apr 20, 20220

Proton Pump Inhibitors: Overused or Necessary?

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Alexander Perelman, D.O. Proton pump inhibitors (PPIs) are among the most frequently prescribed medications in the world, but in many instances, they may be unnecessary. So how might this impact our patients’ health, and how can we identify those patients who should be prescribed PPIs? Dr. Peter Buch is joined by Dr. Alexander Perelman to talk about the overuse of PPIs.

Apr 18, 20220

Progress in Primary Biliary Cholangitis Care: A Look at Management Updates

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Hetal A. Karsan, MD, FACG, FAASLD, FASGE, FACP Primary biliary cholangitis, which was formerly known as primary biliary cirrhosis, is a chronic disease that progresses over time. Fortunately, much progress has been made in that many patients are being diagnosed and treated much earlier than before. But what exactly has changed when it comes to our detection and treatment of this disease? Dr. Peter Buch is joined by Dr. Hetal Karsan, Adjunct Professor...

Apr 12, 20220

Understanding IBD in Underserved Populations

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Lea Ann Chen, MD As clinicians, we know that adherence to treatment regimens is associated with improved outcomes in our patients with inflammatory bowel disease (IBD). However, many factors can contribute to a patient's nonadherence, and understanding what those factors are, especially in underserved patient populations, is an important category of care that we need to keep in mind. Tune in to hear Dr. Peter Buch speak with Dr. Lea Ann Chen about ho...

Apr 11, 20220

Eradicating Helicobacter Pylori: What the Gastroenterologist Needs to Know

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Erick Argueta, MD Since only 70 percent of initial eradication attempts of Helicobacter pylori are successful, it’s important for us to understand the factors that might be contributing to this startling statistic. That’s why Dr. Peter Buch speaks with Dr. Erick Argueta about why Helicobacter pylori can be difficult to eradicate and how we can best treat this infection.

Mar 21, 20220

Evaluating & Treating IBD in the Elderly

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Benjamin L. Cohen, MD Inflammatory bowel disease (IBD) among the elderly is common, and when compared to IBD in younger patients, it’s characterized by a different disease course and has an increased risk of mortality. So how can we achieve better outcomes for our elderly patients? Dr. Peter Buch is joined by Dr. Benjamin Cohen, Co-Section Head and Clinical Director for Inflammatory Bowel Disease at the Cleveland Clinic, to discuss evaluation and tre...

Mar 16, 20220

Multidisciplinary Perspectives on Peripheral Arthritis in IBD

Host: Neilanjan Nandi, MD Guest: Monica Schwartzman, MD, MS It's estimated that 50 percent of patients with IBD experience arthralgia, with the most common form being peripheral arthritis. What screening strategies are available to help us identify those patients with peripheral discomforts? Tune in to hear multidisciplinary perspectives on peripheral arthritis in IBD from gastroenterologist Dr. Neil Nandi and rheumatologist Dr. Monica Schwartzman.

Mar 08, 20220

Strategies for Increasing Colorectal Cancer Screening Rates

Host: Neilanjan Nandi, MD Guest: Samir Shah, MD From new guideline recommendations to a concert featuring the American College of Gastroenterology’s official band, a lot is being done to help raise awareness of the importance of screening for colorectal cancer. So how can you help increase screening rates in your own community? Get inspired with these creative initiatives shared by Dr. Neil Nandi and Dr. Samir Shah, President of the American College of Gastroenterology....

Mar 08, 20220

Reviewing the Role of the GI Hospitalist in Modern Practice

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Michelle Hughes, MD Over the past two decades, there has been an increasing need for GI hospitalists to help provide rapid access to care. Since then, GI hospitalists have become an important part to many healthcare systems and their approach to patient care. Joining Dr. Peter Buch to discuss the benefits and challenges that come along with the GI hospitalist role is Dr. Michelle Hughes, Assistant Professor of Medicine and Medical Chief of Quality an...

Feb 23, 20220

Moving in on Gastroparesis Treatment Strategies

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Amir E. Masoud, MD Gastroparesis affects approximately five million people in the United States alone, and there are more than 50 recognized causes. In recent years, however, it's been shown that simply accelerating gastric emptying may not improve symptoms, and the overlap of functional dyspepsia and gastroparesis has further clouded our understanding of this condition. So to help clear up some of that confusion, Dr. Peter Buch speaks with Dr. Amir ...

Feb 18, 20220

Recognizing Pulmonary Manifestations of Chronic Liver Disease

Host: Neilanjan Nandi, MD Guest: Karen Krok, MD, FAASLD While hepatologists can help gastroenterologists manage the pulmonary manifestations that may occur in our patients with chronic liver disease, it’s still important for gastroenterologists to know what they should be on the lookout for so that patients can receive timely and appropriate treatment. Additionally, gastroenterologists need to consider the potential impacts of those pulmonary manifestations on transplant outcomes. Joining Dr. Ne...

Feb 14, 20220
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