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

Let’s talk disorders of the small intestine—Join general surgery resident, Dr. Cameron Casson, for a discussion with expert colorectal surgeon, Dr. Paul Wise. This episode of the Washington Manual of Surgery Podcast will focus on small bowel disorders as a companion to Chapter 16 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Paul Wise provides insights into the classification and management of small bowel fistulas, including non-operative and operative approaches to their care.

Guest Host:

Cameron Casson, MD – General surgery resident at WashU Medicine.

Guest:

Paul Wise, MD – Dr. Paul Wise is a professor of surgery who specializes in comprehensive colon and rectal cancer care in the Section of Colon and Rectal Surgery at WashU Medicine. Dr. Wise is the Vice Chair for Education in the Department of Surgery and Senior Editor of the 9th Edition of the Washington Manual of Surgery.

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

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 disorders of the small intestine—Join general surgery resident, Dr. Cameron Casson, for a discussion with expert colorectal surgeon, Dr. Paul Wise. This episode of the Washington Manual of Surgery Podcast will focus on small bowel disorders as a companion to Chapter 16 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Paul Wise provides insights into the management of adhesive and malignant small bowel obstructions, including timely intervention and consideration of palliative options, as well as assessment and management of Crohn's disease.

Guest Host:

Cameron Casson, MD – General surgery resident at WashU Medicine.

Guest:

Paul Wise, MD – Dr. Paul Wise is a professor of surgery who specializes in comprehensive colon and rectal cancer care in the Section of Colon and Rectal Surgery at WashU Medicine. Dr. Wise is the Vice Chair for Education in the Department of Surgery and Senior Editor of the 9th Edition of the Washington Manual of Surgery.

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

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 disorders of the esophagus—Join general surgery resident Dr. Adam Liebendorfer for a discussion with expert thoracic surgeon, Dr. Bryan Meyers. This episode of the Washington Manual of Surgery Podcast will focus on the diagnosis and management of Barrett's, esophageal cancer, and emergencies as an additional companion to Chapter 13 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Dr. Bryan Meyers provides insights into the assessment and surveillance of Barrett’s esophagus. The discussion also encompasses esophageal cancer delineation, staging, and treatment (including palliative options), in addition to some "potpourri" of benign conditions of the esophagus, including perforation and caustic ingestion. Tune in for valuable insights in a comprehensive guide for understanding the complexities of esophageal surgery.

Guest Host:

Adam Liebendorfer, MD – General surgery resident at WashU Medicine.

Guest:

Bryan Meyers, MD, MPH – Dr. Bryan Meyers is the Patrick and Joy Williamson Professor of Surgery, specializing in lung and esophageal cancer, lung transplantation, and general thoracic surgery at WashU Medicine. He has expertise in minimally invasive approaches, including robotic surgery.

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

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 disorders of the esophagus — Join general surgery resident Dr. Adam Liebendorfer for a discussion with expert thoracic surgeon, Dr. Bryan Meyers. This episode of the Washington Manual of Surgery will focus on management of common disorders of the esophagus and serves as an additional companion to Chapter 13 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. Bryan Meyers provides insights into the management of dysphagia, hiatal hernia, and esophageal reflux disease. The discussion encompasses diagnostic strategies and surgical interventions, including the POEM* procedure. Tune in for valuable insights in a comprehensive guide for understanding the complexities of esophageal surgery.

Guest Host:

Adam Liebendorfer, MD – General surgery resident at WashU Medicine.

Guest:

Bryan Meyers, MD, MPH – Dr. Bryan Meyers is the Patrick and Joy Williamson Professor of Surgery, specializing in lung and esophageal cancer, lung transplantation, and general thoracic surgery at WashU Medicine. He has expertise in minimally invasive approaches, including robotic surgery.

Notes:

*POEM: Per Oral Endoscopic Myotomy

Schatzki ring: Benign ring of tissue in the lower esophagus that can lead to dysphagia, often associated with hiatal hernias and chronic gastroesophageal reflux disease

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

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 cerebrovascular conditions - Join vascular surgery resident Dr. Ryan Wahidi for a discussion with expert vascular surgeon, Dr. Mohamed Zayed. This episode of the Washington Manual of Surgery Podcast will focus on diseases affecting the blood supply to the brain and serves as an additional companion to Chapter 34 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, Dr. Mohamed Zayed provides comprehensive insights into the management of cerebrovascular disease with a specific focus on carotid artery stenosis. The discussion encompasses the evaluation and treatment of carotid artery stenosis. Tune in for valuable insights into optimal patient care and recent advances in the field.

Guest Host:

Ryan Wahidi, MD - Vascular surgery resident at WashU Medicine.

Guest:

Mohamed Zayed, MD, PhD, is a distinguished professor of surgery, radiology, molecular and cellular biology, and biomedical engineering and the Chief of the Division of Surgical Sciences at WashU Medicine. He is a leading expert on the management of cerebrovascular disease, particularly carotid artery stenosis. Dr. Zayed is the Director of Vascular Research as well as CVISE (CardioVascular Research Innovation in Surgery and Engineering) Center at WashU.

Notes/Citations:

CVISE: CardioVascular Research Innovation in Surgery and Engineering Center at WashU https://cvise.wustl.edu/

TCAR: Trans Carotid Artery Revascularization

B-mode (Brightness mode) added to Doppler is an ultrasound technique that combines standard grayscale imaging (highlighting anatomy) with flow analysis (Doppler) to visualize both structure and movement, like blood flow in vessels, in one real-time image

NASCET: North American Symptomatic Carotid Endarterectomy Trial; N Engl J Med. 1998;339(20). https://bit.ly/49IQHgJ and North American Symptomatic Carotid Endarterectomy Trial Collaborators; N Engl J Med. 1991;325(7). https://bit.ly/4qzCl9O

ACAS: Asymptomatic Carotid Atherosclerosis Study; JAMA. 1995;273(18). https://bit.ly/4qyrxc5

ROADSTER: Reverse Flow Used During Carotid Artery Stenting Procedure trial; J Vasc Surg. 2015;62(5). https://bit.ly/3LrldUx

CREST: Carotid Revascularization Endarterectomy vs. Stenting Trial; N Engl J Med. 2010;363(1). https://bit.ly/45Vicm9

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

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