This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by Arghavan Salles during the Masters Acute Care: Perforated Viscus Call – You Never Want It But You’re Going to Get It on April 14 2018
Keyword(s): abdomen, abdominal pain, acid reducing surgery, algorithm, anesthesiologist, antibiotics, anticoagulation, antrectomy, aspirin, asymptomatic, bariatric population, bariatric surgeon, bariatric surgery, Barretts esophagus, bias, bile reflux, Bilroth II reconstruction, biopsy, bleeding, Bougie injury, cancer, cerebral palsy, chest x-ray, clips, compression, conversion, CT scan, CXR, decompression, diaphragm, diarrhea, diet, dilation, Dor fundoplication, drain, drive line, dumping syndrome, duodenal perforation, duodenostomy, E.D., early satiety, EGD, elective surgery, emboli, emergency department, endoscope, endoscopic, endoscopic perforations, endoscopy, energy device, ERCP, erosion, esophagus, excision, falciform ligament, feeding tube, fever, follow-up, foregut perforations, foregut surgery, free air, gastric bypass, gastric partition, gastrin, gastrocolic, gastrograffin swallow, gastrointestinal, gastrojejunostomy, GI, giant ulcers, GJ, Graham patch, greater curve, H. pylori, heart disease, heart transplant, hypotensive, iatrogenic perforations, impingement, incidence, independent surgeon, INR, insufflation, International Normalized Ratio, irrigation, ischemic, jejunum, laparoscopic, leak, leak test, left ventricular assist device, loop, lumen, LVAD, management, marginal ulcers, mobilization, morbidity, mortality, N&V, nasogastric tube, nausea & vomiting, NG tube, NGT, NOM, non-occlusive mesenteric ischemia, non-operative management, nothing by mouth, NPO, omental patch, omentum, oral contrast, oversew, parietal cells, peptic ulcer disease, perfoated duodenal ulcer, perforated gastric ulcer, perforated viscus, pneumobilia, PPIs, prednisone, presentation, proton pump inhibitors, PUD, pyloric exclusion, pyloroplasty, pylorus, RA, randomized trials, recurrence, reflux, repair, resection, resident, resuscitation, retained antrum, rheumatoid arthritis, risk factors, Roux-en-Y reconstruction, RYGB, serosal patch, side-to-side anastomosis, sleeve gastrectomy, small bowel, SOFA score, source control, split leg, stable patient, Standford University, stent, stents, steroids, stomach, supine, surgical risk, suture, symptoms, TA stapler, tachycardia, Toupet fundoplication, trainee, University of Southern California, USC, vagotomy, WBC, wedge resection, white blood cell
Presentation–1:08
Diagnostic options–1:34
Upright CXR–1:57
CT scan–2:06
Gastrograffin swallow–2:21
Initial management–2:31
Peptic ulcer disease–3:30 Surg Endosc 2010
Non-operative management algorithm–5:54 Arch Surg 1998
Omental patch–7:00
Omental patch video clip–8:05
Leak test video clip–10:20
Surgical considerations–11:00
Definitive ulcer operations–11:56 Am J Surg 2014
Reconstruction options–13:28
Bilroth II vs RYGB–13:48
Long-term care–15:38
Giant ulcers–16:19 BMC Surg 2005
World J Gastrointest Surg 2014
Pyloric exclusion/gastric partition–17:13 World J Surg 2006
Duodenostomy–18:07 Am J Surg 2009
Iatrogenic perforations–21:51 Endoscopy 2014
Small perforations, controlled setting–22:27
Large perforations or unstable pt–23:58
Operative options–24:43
Bariatric population–25:24
Post-LVAD–25:58