Let’s talk bile leaks and cholangitis — Join general surgery resident Dr. Usman Panni for a discussion with expert transplant and biliary surgeon Dr. Adeel Khan. This episode of the Washington Manual of Surgery Podcast will focus on benign biliary diseases, including choledocholithiasis and acute cholangitis, and serves as an additional companion to Chapter 18 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. Adeel Khan discusses the management of post-cholecystectomy biloma/bile leaks. He also provides insight into the assessment and management of choledocholithiasis and acute cholangitis.

Guest Host:

Usman Panni, MD – General surgery resident at WashU Medicine.

Guest:

Adeel S. Khan, MD, MPH – Dr. Khan is a transplant surgeon and a hepatopancreatobiliary surgeon. He is a professor of surgery at WashU Medicine. Dr. Khan is an award-winning robotic surgeon, whose practice focuses on laparoscopic and robotic surgery of the liver, pancreas and bile ducts, with a special interest in liver tumors (primary and metastatic), pancreatic cancer, cancer of the gallbladder and bile duct, and benign hepatobiliary and pancreatic conditions.

Show notes:

• Acute cholangitis signs:
  • Charcot’s triad: Fever, jaundice, RUQ pain.
  • Reynold’s pentad: Charcot’s triad with hypotension and altered mental status.

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk biliary injury—Join general surgery resident Dr. Usman Panni for a discussion with expert transplant and biliary surgeon Dr. Adeel Khan. This episode of the Washington Manual of Surgery Podcast will focus on benign biliary diseases, including nuances of cholecystectomy and its complications, and serves as an additional companion to Chapter 18 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Adeel Khan provides insight into the assessment and treatment of bile duct injuries. Topics also include intra-operative cholangiography and common bile duct exploration. They discuss injury classification using the Strasberg classification system.

Guest Host:

Usman Panni, MD – General surgery resident at WashU Medicine.

Guest:

Adeel S. Khan, MD, MPH – Dr. Khan is a transplant surgeon and a hepatopancreatobiliary surgeon. He is a professor of surgery at WashU Medicine. Dr. Khan is an award-winning robotic surgeon, whose practice focuses on laparoscopic and robotic surgery of the liver, pancreas and bile ducts, with a special interest in liver tumors (primary and metastatic), pancreatic cancer, cancer of the gallbladder and bile duct, and benign hepatobiliary and pancreatic conditions.

Show notes:

• Strasberg Classification of Bile Duct Injuries (modified from Table 18.3) - injury classification and description
  • A: Leak from cystic duct stump or duct of Luschka
  • B: Occlusion of aberrant right hepatic duct
  • C: Transection without ligation of aberrant right hepatic duct
  • D: Lateral injury to major bile duct
  • E1: Common hepatic duct (CHD) division >2 cm from bifurcation
  • E2: CHD division <2 cm from bifurcation
  • E3: CHD division at the bifurcation with confluence preserved
  • E4: Hilar stricture, involvement of the confluence, & loss of communication between right and left HDs
  • E5: Involvement of aberrant right HD with or without CBD stricture

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres

Let’s talk benign biliary diseases—Join general surgery resident Dr. Usman Panni for a discussion with expert transplant and biliary surgeon Dr. Adeel Khan. This episode of the Washington Manual of Surgery Podcast will focus on benign biliary diseases, including cholelithiasis and acute cholecystitis, and serves as a companion to Chapter 18 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. Adeel Khan provides comprehensive insights into diagnosing and treating biliary diseases. Topics include evaluation and diagnosis of cholelithiasis, cholecystitis, and simple and complex cholecystectomy.

Guest Host:

Usman Panni, MD – General surgery resident at WashU Medicine.

Guest:

Adeel S. Khan, MD, MPH – Dr. Khan is a transplant surgeon and a hepatopancreatobiliary surgeon. He is a professor of surgery at WashU Medicine. Dr. Khan is an award-winning robotic surgeon, whose practice focuses on laparoscopic and robotic surgery of the liver, pancreas and bile ducts, with a special interest in liver tumors (primary and metastatic), pancreatic cancer, cancer of the gallbladder and bile duct, and benign hepatobiliary and pancreatic conditions.

Show notes:

• HIDA scan: "hepatobiliary iminodiacetic acid" scan is a nuclear imaging procedure used to evaluate gallbladder function, bile production, and flow.
• Tokyo Guidelines: Yokoe M, Hata J, Takada T, et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018;25(1):41-54.
• SAGES Safe Cholecystectomy Guidelines: https://www.sages.org/safe-cholecystectomy-program/

-------------------------------

The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

-------

Instagram:

• WashU Medicine Department of Surgery: @washusurg
• General Surgery Residency at WashU Medicine: @washusurgres