Washington Manual of Surgery Podcast

Surgical Management of Obesity: Part 1 - Washington Manual of Surgery

Let’s talk surgical management of obesity—Join general surgery resident Dr. Diego Polanco for a discussion with expert weight loss surgeon, Dr. J. Christopher Egon. This episode of the Washington Manual of Surgery Podcast will focus on weight loss surgery procedures and serves as an additional companion to Chapter 15 of the 9th edition of the bestselling Washington Manual of Surgery. In this episode of the Washington Manual of Surgery Podcast, Dr. Eagon discusses patient selection criteria, preoperative evaluation, and the most common bariatric procedures. The discussion also explores recovery protocols, multimodal pain management, dietary progression after surgery, and the importance of lifelong supplementation to optimize outcomes and improve obesity-related comorbidities. Guest Host: Diego Polanco, MD – General surgery resident at WashU Medicine. Guest: J. Christopher Eagon, MD – Dr. Eagon is a professor of surgery and minimally invasive surgeon specializing in bariatric surgery. He has consummate expertise in minimally invasive weight loss surgery techniques. Under his direction, the weight loss surgery service received the Blue Distinction Centers designation for bariatric surgery in 2022.  Show notes: ERAS = Enhanced Recovery After Surgery NSAIDs = Non-Steroidal Anti-Inflammatory Drugs ASBMS = American Society for Metabolic and Bariatric Surgery [https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fasmbs.org%2F&data=05%7C02%7Cjgtaylor%40wustl.edu%7C8b9bc024b1644a91f80508dec054cb53%7C4ccca3b571cd4e6d974b4d9beb96c6d6%7C0%7C0%7C639159667591110539%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=zuXJM2H4TBOFowE9KglOD%2F2CEQKigeY5%2BiFtZJMinB0%3D&reserved=0] Bariatric surgery targeting opioid prescribing: a national model for effectively reducing opioid use after bariatric surgery [https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F39753417%2F&data=05%7C02%7Cjgtaylor%40wustl.edu%7Cc34a8b54d65d445e74f908dec239066e%7C4ccca3b571cd4e6d974b4d9beb96c6d6%7C0%7C0%7C639161747331418095%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=VejzdfRecH%2BQPBD%2BNTTFeJ1rZ1NWdHTmVGARCGYsKBs%3D&reserved=0]: Petrick AT, Shah TA, Gadaleta D, Gould J, Morton J, Smith A, Evans-Labok K, Knapp L, Ko CY, Brethauer SA. Surg Obes Relat Dis. 2025 Apr;21(4):402-410. doi: 10.1016/j.soard.2024.11.011. Epub 2024 Dec 9. PMID: 39753417 Causes of small bowel obstruction after laparoscopic gastric bypass [https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F15931476%2F&data=05%7C02%7Cjgtaylor%40wustl.edu%7Cc34a8b54d65d445e74f908dec239066e%7C4ccca3b571cd4e6d974b4d9beb96c6d6%7C0%7C0%7C639161747331502948%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=MCoyVg09YL5tNyZKNFFCGUXhKhaas6IfBwepWEIvRNA%3D&reserved=0]: Hwang RF, Swartz DE, Felix EL. Surg Endosc. 2004 Nov;18(11):1631-5. doi: 10.1007/s00464-004-8804-2. Epub 2004 Oct 11. PMID: 15931476 ------------------------------- 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 [https://shop.lww.com/The-Washington-Manual-of-Surgery/p/9781975201258?srsltid=AfmBOoph7oYoqIehLq_V-aREmxJwLx1VvZCAfRC-T86l6qg0ej7sYo5E] If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197 [https://www.buzzsprout.com/2422197] For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ [https://surgery.wustl.edu/] and follow us on social media.  ------- Instagram: * WashU Medicine Department of Surgery: @washusurg [https://www.instagram.com/washusurg] * General Surgery Residency at WashU Medicine: @washusurgres [https://www.instagram.com/washusurgres]

Preoperative Assessment - Washington Manual of Surgery

Let’s talk preoperative management—Join general surgery resident Dr. Angela Hill for a discussion with expert trauma critical care surgeon Dr. Thoi H. Ngo. This episode of the Washington Manual of Surgery Podcast will focus on the preoperative assessment of patients and serves as an additional companion to Chapter 1 of the 9th edition of the bestselling Washington Manual of Surgery. In this episode of the Washington Manual of Surgery Podcast, Drs. Ngo and Hill discuss surgical decision-making in a "flip-the-script" Board-style (versus our usual) discussion of an elderly patient presenting to the emergency department with abdominal pain, focusing not just on the clinical management but functional status, preoperative optimization, and decision-making capacity. Guest Host: Angela Hill, MD – General surgery resident at WashU Medicine. Guest: Thoi H. Ngo, MD – Dr. Ngo is a fellowship-trained trauma surgeon. Dr. Ngo completed the two-year surgical critical care and trauma/acute care surgery fellowship at WashU Medicine before joining the faculty in the Section of Acute and Critical Care Surgery. He is now an attending trauma surgeon at Westchester Medical Center Health. Notes: FRAIL Scale: Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight - Gleason LJ, et al. FRAIL Questionnaire Screening Tool and Short-Term Outcomes in Geriatric Fracture Patients. J Am Med Dir Assoc. 2017 Dec 1;18(12):1082. Comprehensive Geriatric Assessment: Pilotto A, et al. The Comprehensive Geriatric Assessment and the multidimensional approach. A new look at the older patient with gastroenterological disorders. Best Pract Res Clin Gastroenterol. 2009;23(6):829. Prehabilitation: Hughes MJ, et al. Prehabilitation Before Major Abdominal Surgery: A Systematic Review and Meta-analysis. World J Surg. Jul 2019;43(7):1661. Decision-making information: WashU Center for Humanism and Ethics in Surgical Specialties (CHESS): https://chess.wustl.edu/ [https://chess.wustl.edu/] ------------------------------- 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 [https://shop.lww.com/The-Washington-Manual-of-Surgery/p/9781975201258?srsltid=AfmBOoph7oYoqIehLq_V-aREmxJwLx1VvZCAfRC-T86l6qg0ej7sYo5E] If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197 [https://www.buzzsprout.com/2422197] For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ [https://surgery.wustl.edu/] and follow us on social media.  ------- Instagram: * WashU Medicine Department of Surgery: @washusurg [https://www.instagram.com/washusurg] * General Surgery Residency at WashU Medicine: @washusurgres [https://www.instagram.com/washusurgres]

Surgical Diseases of the Biliary Tree: Part 3 - Washington Manual of Surgery

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. ------------------------------- 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 [https://shop.lww.com/The-Washington-Manual-of-Surgery/p/9781975201258?srsltid=AfmBOoph7oYoqIehLq_V-aREmxJwLx1VvZCAfRC-T86l6qg0ej7sYo5E] If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197 [https://www.buzzsprout.com/2422197] For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ [https://surgery.wustl.edu/] and follow us on social media.  ------- Instagram: * WashU Medicine Department of Surgery: @washusurg [https://www.instagram.com/washusurg] * General Surgery Residency at WashU Medicine: @washusurgres [https://www.instagram.com/washusurgres]

Surgical Diseases of the Biliary Tree: Part 2 - Washington Manual of Surgery

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 ------------------------------- 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 [https://shop.lww.com/The-Washington-Manual-of-Surgery/p/9781975201258?srsltid=AfmBOoph7oYoqIehLq_V-aREmxJwLx1VvZCAfRC-T86l6qg0ej7sYo5E] If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197 [https://www.buzzsprout.com/2422197] For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ [https://surgery.wustl.edu/] and follow us on social media.  ------- Instagram: * WashU Medicine Department of Surgery: @washusurg [https://www.instagram.com/washusurg] * General Surgery Residency at WashU Medicine: @washusurgres [https://www.instagram.com/washusurgres]

Surgical Diseases of the Biliary Tree: Part 1 - Washington Manual of Surgery

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/ [https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.sages.org%2Fsafe-cholecystectomy-program%2F&data=05%7C02%7Cjgtaylor%40wustl.edu%7C3553f88757e74f4e49a108de941153a1%7C4ccca3b571cd4e6d974b4d9beb96c6d6%7C0%7C0%7C639110999293794171%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=TXBK52tPQJ123wHkv1pivZ2lKaqpOH%2BTbc9IBLdTRI4%3D&reserved=0] ------------------------------- 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 [https://shop.lww.com/The-Washington-Manual-of-Surgery/p/9781975201258?srsltid=AfmBOoph7oYoqIehLq_V-aREmxJwLx1VvZCAfRC-T86l6qg0ej7sYo5E] If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197 [https://www.buzzsprout.com/2422197] For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ [https://surgery.wustl.edu/] and follow us on social media.  ------- Instagram: * WashU Medicine Department of Surgery: @washusurg [https://www.instagram.com/washusurg] * General Surgery Residency at WashU Medicine: @washusurgres [https://www.instagram.com/washusurgres]