Scientific Sessions

Gastrointestinal bleeding refers to any bleeding that occurs in the digestive tract, classified as upper or lower GI bleeding. Causes range from peptic ulcers and varices to diverticulosis and malignancies. Symptoms may include hematemesis, melena, or hematochezia. Prompt diagnosis through endoscopy and imaging, followed by endoscopic, medical, or surgical intervention, is crucial for effective management.

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Functional gastrointestinal (GI) disorders and motility issues, such as gastroparesis, functional dyspepsia, and esophageal spasm, arise from abnormal GI tract movements without structural abnormalities. These conditions often cause chronic symptoms like bloating, pain, and altered bowel habits. Diagnosis involves motility tests, and treatment includes dietary modifications, prokinetics, and neuromodulators to improve quality of life.

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Gut microbiota and microbiome research explores the complex community of microorganisms residing in the digestive tract and their profound impact on human health. Imbalances in the gut flora are linked to conditions such as IBD, obesity, diabetes, and even neurological disorders. Current studies focus on modulation through probiotics, diet, and fecal microbiota transplantation for therapeutic benefits.

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Pancreatic diseases encompass a range of conditions including acute and chronic pancreatitis, pancreatic cysts, and pancreatic cancer. These disorders can lead to digestive enzyme dysfunction, severe abdominal pain, and metabolic complications. Diagnosis involves imaging, enzyme assays, and tumor markers. Management may include medication, endoscopic drainage, or surgical intervention, depending on the severity and underlying cause.

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Pediatric gastroenterology focuses on the diagnosis and treatment of gastrointestinal, liver, and nutritional disorders in infants, children, and adolescents. Common conditions include gastroesophageal reflux, celiac disease, inflammatory bowel disease, and congenital anomalies. Management requires age-appropriate diagnostic tools, growth monitoring, and tailored therapies to ensure healthy development and long-term well-being.

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Irritable Bowel Syndrome (IBS) is a common functional gastrointestinal disorder characterized by chronic abdominal pain, bloating, and altered bowel habits such as diarrhea, constipation, or both. While its exact cause remains unclear, it is linked to gut-brain axis dysfunction, stress, and dietary triggers. Management includes lifestyle changes, dietary modifications, and targeted pharmacological therapies.

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Liver fibrosis is the excessive accumulation of scar tissue resulting from chronic liver injury, which can progress to cirrhosis—an advanced stage characterized by irreversible liver damage and impaired function. Early diagnosis through non-invasive imaging and biomarkers is vital. Current treatments focus on managing underlying causes, slowing fibrosis progression, and preventing complications such as liver failure and cancer.

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Gastrointestinal imaging techniques play a crucial role in diagnosing and monitoring disorders of the digestive tract. Modalities such as MRI, CT scans, ultrasound, barium studies, and capsule endoscopy provide detailed visualization of the GI tract. These tools aid in detecting inflammation, tumors, obstructions, and vascular abnormalities, enabling precise and timely clinical decision-making.

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Advanced gastrointestinal endoscopy refers to cutting-edge diagnostic and therapeutic procedures that go beyond standard endoscopic techniques. These include endoscopic ultrasound (EUS), endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and chromoendoscopy. These tools enable early detection and minimally invasive treatment of complex conditions such as gastrointestinal cancers, bleeding lesions, strictures, and submucosal tumors, significantly improving patient outcomes.

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Biliary tract disorders encompass conditions affecting the bile ducts, gallbladder, and associated structures, including gallstones, cholangitis, and biliary strictures. These disorders can cause pain, jaundice, and infections. Diagnosis relies on imaging such as ultrasound and MRCP, while treatment options range from endoscopic interventions to surgical procedures.

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Nutrition plays a vital role in managing liver and gastrointestinal diseases by supporting healing, reducing complications, and improving quality of life. Tailored dietary plans address malnutrition, nutrient deficiencies, and specific needs in conditions like cirrhosis, inflammatory bowel disease, and pancreatitis. Nutritional therapy includes enteral and parenteral support when necessary.

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GI pharmacology and therapeutics focus on the development and use of medications to treat digestive and liver diseases. This includes proton pump inhibitors, biologics for inflammatory bowel disease, antiviral agents for hepatitis, and novel drugs targeting gut motility and microbiota. Ongoing research aims to improve efficacy, reduce side effects, and personalize treatment approaches.

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Recent advances in hepatocellular carcinoma (HCC) include improved early detection through imaging and biomarkers, novel systemic therapies such as immunotherapy and targeted agents, and enhanced locoregional treatments like radiofrequency ablation and transarterial chemoembolization. These developments have significantly improved patient outcomes and expanded treatment options for this aggressive liver cancer.

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GI pathology and histology focus on the microscopic examination of gastrointestinal tissues to diagnose diseases. Biopsy samples from the esophagus, stomach, intestines, liver, and pancreas are analyzed to identify inflammation, infections, neoplasms, and autoimmune conditions. Accurate histopathological evaluation guides clinical decision-making and treatment strategies in gastroenterology and hepatology.

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Endoscopic Ultrasound (EUS) combines endoscopy and ultrasound to obtain detailed images of the digestive tract and surrounding organs. It is invaluable for diagnosing and staging gastrointestinal cancers, evaluating pancreatic and biliary diseases, and guiding fine-needle aspiration biopsies. EUS enhances minimally invasive diagnosis and therapeutic interventions with high accuracy and safety.

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Gastrointestinal infections are caused by bacteria, viruses, parasites, or fungi, leading to symptoms such as diarrhea, abdominal pain, and vomiting. Common pathogens include Clostridium difficile, Helicobacter pylori, and norovirus. Diagnosis involves stool testing and culture. Treatment depends on the causative agent and may include antibiotics, antivirals, or supportive care to prevent dehydration and complications.

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Bariatric endoscopy and gastrointestinal (GI) surgery are effective interventions for obesity and related metabolic disorders. Endoscopic techniques like intragastric balloons and endoscopic sleeve gastroplasty offer less invasive alternatives to traditional surgeries such as gastric bypass and sleeve gastrectomy. These procedures help achieve significant weight loss, improve comorbidities, and enhance overall gastrointestinal health with reduced recovery times.

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Autoimmune liver diseases are chronic conditions in which the immune system attacks liver cells, leading to inflammation and potential liver damage. Key types include autoimmune hepatitis, primary biliary cholangitis (PBC), and primary sclerosing cholangitis (PSC). Diagnosis relies on autoantibody testing and liver biopsy. Treatment typically involves immunosuppressive therapy to control inflammation and slow disease progression.

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Ethics and patient-centered care in gastroenterology emphasize respect, autonomy, and shared decision-making. This approach ensures treatments align with patient values, preferences, and informed consent. Ethical considerations include balancing risks and benefits, maintaining confidentiality, and addressing disparities in access to care, ultimately fostering trust and improving health outcomes in GI practice.

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Telemedicine and digital health are transforming gastroenterology by improving access to care, especially in remote areas. Virtual consultations, remote monitoring tools, mobile apps, and AI-driven diagnostics enhance patient management, adherence, and early detection of GI conditions. These technologies support personalized care, reduce healthcare costs, and streamline clinical workflows.

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GI and liver diseases in pregnancy include conditions such as hyperemesis gravidarum, intrahepatic cholestasis of pregnancy, and acute fatty liver of pregnancy. These disorders require careful diagnosis and management to protect both maternal and fetal health. Treatment strategies balance effective symptom control with safety during pregnancy, often involving multidisciplinary care.

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Capsule endoscopy involves swallowing a small, camera-equipped pill that captures images throughout the small intestine, enabling non-invasive visualization of areas difficult to reach by traditional endoscopy. Enteroscopy uses specialized scopes for direct examination and intervention in the small bowel. Both techniques are essential for diagnosing obscure GI bleeding, Crohn’s disease, and small bowel tumors.

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GI stenting and advanced endotherapy involve minimally invasive techniques to treat strictures, obstructions, and leaks within the gastrointestinal tract. Stents help maintain patency in areas like the esophagus, bile ducts, and colon, while advanced endoscopic therapies include ablation, dilation, and hemostasis. These procedures improve patient outcomes with reduced recovery time compared to surgery.

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Small intestinal disorders include a variety of conditions such as celiac disease, Crohn’s disease, small intestinal bacterial overgrowth (SIBO), and intestinal obstruction. These disorders can cause malabsorption, abdominal pain, diarrhea, and nutrient deficiencies. Diagnosis involves endoscopy, imaging, and laboratory tests, while treatment focuses on managing symptoms and addressing underlying causes.

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Esophageal disorders include conditions such as gastroesophageal reflux disease (GERD), achalasia, esophagitis, and esophageal cancer. Symptoms often involve swallowing difficulties, chest pain, and heartburn. Diagnosis is made through endoscopy, manometry, and imaging. Treatment varies from lifestyle modifications and medications to endoscopic or surgical interventions depending on severity.

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Biomarkers in gastrointestinal and liver diseases are measurable indicators used for early diagnosis, disease monitoring, and treatment response evaluation. Examples include fecal calprotectin for inflammatory bowel disease, alpha-fetoprotein (AFP) for liver cancer, and liver enzymes (ALT, AST) for hepatitis. Ongoing research aims to discover more sensitive and specific biomarkers to enhance clinical decision-making and patient care.

Hepatic encephalopathy is a serious complication of liver dysfunction, often associated with cirrhosis, in which toxins like ammonia build up in the brain due to impaired liver clearance. Symptoms range from mild confusion to coma. Diagnosis is clinical, supported by blood tests. Treatment includes lactulose, rifaximin, and managing precipitating factors to reduce toxin levels and improve mental status.

Endoscopic Ultrasound (EUS) is a cutting-edge diagnostic and therapeutic technique that combines endoscopy with high-frequency ultrasound to obtain detailed images of the gastrointestinal wall and surrounding organs such as the pancreas, bile ducts, and lymph nodes. EUS is widely used for cancer staging, detecting pancreatic cysts, evaluating submucosal lesions, and guiding fine-needle aspiration (FNA) for tissue sampling. Its precision and minimal invasiveness make it an essential tool in modern gastroenterology.