Clinical Challenges in Emergency General Surgery: Management of Duodenal Emergencies

Clinical Challenges in Emergency General Surgery: Management of Duodenal Emergencies

Join our Emergency General Surgery team as we talk about the dreaded difficult duodenum. We discuss two cases on a common disease that has now become a rarity in surgical management. We cover principles of combined assessment and resuscitation, diagnosis and helpful adjuncts, and multidisciplinary and surgical management.

Hosts: Drs. Ashlie Nadler, Jordan Nantais and Graham Skelhorne-Gross

We have come a long way from managing duodenal emergencies with vagotomies since the widespread use of proton pump inhibitors. But surgeons and trainees still need to gain competence in managing duodenal emergencies, despite the dearth of operative interventions often encountered. We discuss the two most common presentations related to duodenal ulcers - bleeding and perforation. We focus on resuscitation, damage-control surgery, and the role of non-surgical management options.

Learning Objectives:
- Learn to investigate and resuscitate patients with upper gastrointestinal bleeding
- Develop an approach to the management of upper gastrointestinal bleeding
- Understand the risks and benefits of various surgical techniques for dealing with perforated duodenal ulcers

References:

Tarasconi, A., Coccolini, F., Biffl, W.L. et al. Perforated and bleeding peptic ulcer: WSES guidelines. World J Emerg Surg 15, 3 (2020). https://doi.org/10.1186/s13017-019-0283-9

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Episoder(500)

Mastering M&M: A Practical Guide to Presenting Complications

Mastering M&M: A Practical Guide to Presenting Complications

Welcome back to Behind the Knife with Cody, Patrick, Jason, and Ayman. Today, we are tackling a defining professional ritual for every surgical trainee: the Morbidity and Mortality (M&M) Conference. W...

2 Apr 40min

Clinical Challenges in Transplant Surgery: How Xenotransplantation Will Change Our Lives

Clinical Challenges in Transplant Surgery: How Xenotransplantation Will Change Our Lives

Xenotransplantation—the use of organs from other species to treat human disease—has long existed at the intersection of science fiction and surgical innovation. While early efforts were marked by limi...

30 Mar 45min

OBGYN Oral Board Review - Sample Episode: Adnexal Emergency

OBGYN Oral Board Review - Sample Episode: Adnexal Emergency

INTRODUCING Behind the Knife OBGYN Oral Board Review!The oral boards aren't just about knowledge—they are about executing under pressure. This course is designed to give you the structure and confiden...

27 Mar 20min

The Prelim Playbook: Tips, Tricks, and Unspoken Rules for Success

The Prelim Playbook: Tips, Tricks, and Unspoken Rules for Success

In this episode, we explore the grueling realities of the general surgery preliminary year—a high-stakes, one-year audition for surgical trainees operating without a safety net. We sit down with a pro...

26 Mar 54min

Clinical Challenges in Hepatobiliary Surgery: Pancreatic Cysts

Clinical Challenges in Hepatobiliary Surgery: Pancreatic Cysts

Identification of pancreatic cystic lesions has become increasingly common due to improved resolution and increased utilization of cross-sectional imaging. However, there are many types of pancreatic ...

23 Mar 38min

Clinical Challenges in Colorectal Surgery: Management of Metastatic Colorectal Cancer

Clinical Challenges in Colorectal Surgery: Management of Metastatic Colorectal Cancer

With the increasing incidence of colorectal cancer in those less than 50 years of age, one must wonder how many patients present with a Stage IV diagnosis. Take a deep dive with us discussing the mana...

19 Mar 45min

Healthcare Econ 101 - Ep. 3: Decoding the Black Box (Billing & Coding)

Healthcare Econ 101 - Ep. 3: Decoding the Black Box (Billing & Coding)

In the final installment of the Healthcare Econ 101 miniseries, Dr. Christopher Childers and Dr. Nina Clark demystify the "black box" of medical billing and coding. This episode breaks down the two es...

16 Mar 40min

Healthcare Econ 101 - Ep. 2: Show Me the Money (RVUs & DRGs)

Healthcare Econ 101 - Ep. 2: Show Me the Money (RVUs & DRGs)

Ever wonder why a complex gallbladder surgery only nets the surgeon about $350, while the hospital collects thousands? In this episode, Dr. Christopher Childers and Dr. Nina Clark pull back the curtai...

12 Mar 48min

Populært innen Fakta

mikkels-paskenotter
fastlegen
dine-penger-pengeradet
relasjonspodden-med-dora-thorhallsdottir-kjersti-idem
foreldreradet
rss-strid-de-norske-borgerkrigene
treningspodden
jakt-og-fiskepodden
sinnsyn
rss-kunsten-a-leve
hverdagspsyken
gravid-uke-for-uke
rss-kull
fryktlos
hagespiren-podcast
rss-var-forste-kaffe
rss-bisarr-historie
level-up-med-anniken-binz
hva-er-greia-med
rss-impressions-2