Foregut Content Review Reviewer Name* Title*Copy and Paste the title of this activity. HiddenInventory ID Number Hiddentype Access Instructions To access this video, visit the site below and log in with the following credentials: username:sagesreview password:foregut Leave the Institution ID blank Access Instructions To access this video, visit the site below and log in with your sages.org account: Please review this content item based on the Foregut Pathway Goals and Objectives . HiddenIs this content relevant to the Foregut Masters Pathway* Relevant Somewhat Relevant Not Relevant HiddenIs this content relevant to any of the below Masters Pathways?*Select all that apply Acute Care Surgery Bariatric Biliary Colorectal Flexible Endoscopy Hernia Leadership & Professional Development Liver Pancreas Robotics Difficulty Level*Select the level to which this content applies. Select All that Apply. Select All Competency Level: Equip the surgeon with the requisite knowledge of the anatomical and other patient considerations to perform MIS hiatal hernia repair and fundoplication Proficiency Level: Equip the surgeon with the requisite knowledge of the anatomical and other patient considerations to perform MIS myotomy Proficiency Level: Equip the surgeon with the requisite knowledge of the anatomical and other patient considerations to perform MIS Paraesophageal hiatal hernia Mastery Level: Equip the surgeon with the requisite knowledge of the anatomical and other patient considerations to perform revisional hiatal hernia repair procedure Competency LevelCompetency Goals*Select whether the content relates to either Pre-operative or Intra-operative goals. Select All the Apply. Select All Pre-Operative: Equip the surgeon with the requisite knowledge of the anatomical and other preoperative patient considerations to perform MIS hiatal hernia repair and fundoplication Intra Op: Assist the surgeon in acquiring the required knowledge and operative skills to perform MIS hiatal hernia repair and fundoplication Post Op: Manage post-operative issues in MIS hiatal hernia repair and fundoplication Competency Level: Pre-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Select All Presentation: Typical and atypical presenting signs & symptoms of a patient with GERD and/or hiatal hernia DDx: Other clinical conditions to consider in the differential Diagnostic work-up: Which ones? How are they performed? How to interpret them? Management considerations: Behavioral, dietary, medical, non-surgical options for management to be considered prior to surgery (when appropriate) Competency Level: Intra-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Select All Explain the critical steps of a fundoplication and hiatal hernia repair Demonstrate the key anatomic landmarks for hiatal hernia repair and fundoplication Assess which clinical scenarios require further testing such as leak test or further imaging are needed Assess the endoscopic findings that will facilitate a proper procedure during surgery Competency Level: Post-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Select All Manage post-operative issues in MIS hiatal hernia repair and fundoplication Proficiency LevelProficiency Goals (MIS Myotomy)*Select whether the content relates to either Pre-operative or Intra-operative goals. Select All the Apply. Select All Pre Op: Equip the surgeon with the requisite knowledge of the anatomical and other preoperative patient considerations to perform MIS myotomy Intra-Op: Assist the surgeon in acquiring the required knowledge and operative skills to perform MIS myotomy Post Op: Manage post-operative issues in MIS myotomy Proficiency Goals (MIS Paraesophageal hiatal hernia)* Pre Op: Equip the surgeon with the requisite knowledge of the anatomical and other preoperative patient considerations to perform MIS Paraesophageal hiatal hernia Intra Op: Assist the surgeon in acquiring the required knowledge and operative skills to perform MIS Paraesophageal hiatal hernia Post Op: Manage post-operative issues in MIS Paraesophageal hiatal hernia Proficiency Level: Pre-Operative Objective Topics (MIS Myotomy)*Select the topics covered by this content. Select All the Apply. Select All Describe the proper evaluation for a patient presenting with achalasia Distinguish the patient related conditions and motility findings that may impact choice of procedure and successful completion of a myotomy Describe the various management options for achalasia Assess the endoscopic findings that will facilitate a proper procedure before surgery Proficiency Level: Pre-Operative Objective Topics (MIS Paraesophageal hiatal hernia)*Select the topics covered by this content. Select All the Apply. distinguish symptoms based on category prioritize intial testing/managment based on category Proficiency Level: Intra-Operative Objective Topics (MIS Myotomy)*Select the topics covered by this content. Select All the Apply. Select All Preparation: Any patient prep needed? (E.g., bowel prep, clear liquid diet, antibiotics, etc.) Positioning: How is the patient to be positioned and secured for the procedure? Operational Steps: Access/Incisions: How many ports, what size, where to put them Operational Steps: Initial Exploration: What to look for before starting (e.g., mets for cancer case, accessory spleens for splenectomy) Operational Steps: Resection/Dissection (when appropriate): List steps at level expected on a board exam; describe key anatomic landmarks Operational Steps: Reconstruction (when appropriate): List steps at level expected on a board exam Operational Steps: Use of any intra-op adjunctive diagnostics (when appropriate): e.g., intra-op EGD, cholangiogram, etc Operational Steps: Final Exploration: confirm hemostasis, no inadvertent bowel injury, etc. Operational Steps: Closure Proficiency Level: Intra-Operative Objective Topics (MIS Paraesophageal hiatal hernia)*Select the topics covered by this content. Select All the Apply. Preparation: Any patient prep needed? (E.g., bowel prep, clear liquid diet, antibiotics, etc.) Positioning: How is the patient to be positioned and secured for the procedure? Operative Steps: Access/Incisions: How many ports, what size, where to put them Operative Steps: Initial Exploration: What to look for before starting (e.g., mets for cancer case, accessory spleens for splenectomy) Operative Steps: Resection/Dissection (when appropriate): List steps at level expected on a board exam; describe key anatomic landmarks Operativve Steps: Reconstruction (when appropriate): List steps at level expected on a board exam Operativve Steps: Use of any intra-op adjunctive diagnostics (when appropriate): e.g., intra-op EGD, cholangiogram, etc Operative Steps: Final Exploration: confirm hemostasis, no inadvertent bowel injury, etc. Operative Steps: Closure Proficiency Level: Post-Operative Objective Topics (MIS Myotomy)*Select the topics covered by this content. Select All the Apply. Select All Pathway: Typical immediate post-op pathway (e.g., diet, activity, med changes, etc) Outcomes: Typical expected outcomes (e.g., % of patients with desired effects, how long, expected post-op symptoms – bloating, dysphagia) Short-term post-op complications: (e.g., PE, DVT, perforation) – incidence, diagnostics, how to manage them Long-term post-op complications: (e.g., hiatal hernia recurrence) – incidence, diagnostics, how to manage them Proficiency Level: Post-Operative Objective Topics (MIS Paraesophageal hiatal hernia)*Select the topics covered by this content. Select All the Apply. Pathway: Typical immediate post-op pathway (e.g., diet, activity, med changes, etc) Outcomes: Typical expected outcomes (e.g., % of patients with desired effects, how long, expected post-op symptoms – bloating, dysphagia) Short-term post-op complications: (e.g., PE, DVT, perforation) – incidence, diagnostics, how to manage them Long-term post-op complications: (e.g., hiatal hernia recurrence) – incidence, diagnostics, how to manage them Mastery LevelMastery Goals*Select whether the content relates to either Pre-operative or Intra-operative goals. Select All the Apply. Select All Pre-Operative: Equip the surgeon with the requisite knowledge of the anatomical and other preoperative patient considerations to perform MIS revisional hiatal hernia repair procedure Intra-Operative: Assist the surgeon in acquiring the required knowledge and operative skills to perform MIS revisional hiatal hernia repair procedure Post-Operative: Manage post-operative issues in MIS revisional hiatal hernia repair procedure Mastery Level: Pre-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Select All Describe the proper evaluation for a patient presenting with recurrent GERD or hiatal hernia Distinguish the patient related conditions and motility findings that may impact choice of procedure and successful completion of a revisional hiatal hernia repair procedure Mastery Level: Intra-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Select All Preparation: Any patient prep needed? (E.g., bowel prep, clear liquid diet, antibiotics, etc.) Positioning: How is the patient to be positioned and secured for the procedure? Operative steps: Access/Incisions: How many ports, what size, where to put them Operative steps: Initial Exploration: What to look for before starting (e.g., mets for cancer case, accessory spleens for splenectomy) Operative steps: Resection/Dissection (when appropriate): List steps at level expected on a board exam; describe key anatomic landmarks Operative steps: Reconstruction (when appropriate): List steps at level expected on a board exam Operative steps: Use of any intra-op adjunctive diagnostics (when appropriate): e.g., intra-op EGD, cholangiogram, etc Operative steps: Final Exploration: confirm hemostasis, no inadvertent bowel injury, etc. Operative steps: Closure Intraoperative complications: most common and how to manage Mastery Level: Post-Operative Objective Topics*Select the topics covered by this content. Select All the Apply. Select All Pathway: Typical immediate post-op pathway (e.g., diet, activity, med changes, etc) Outcomes: Typical expected outcomes (e.g., % of patients with desired effects, how long, expected post-op symptoms – bloating, dysphagia) Short-term post-op complications: (e.g., PE, DVT, perforation) – incidence, diagnostics, how to manage them Long-term post-op complications: (e.g., hiatal hernia recurrence) – incidence, diagnostics, how to manage them General CommentsPlease list any general comments regarding this content.EmailThis field is for validation purposes and should be left unchanged.