This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by D Dante Yeh 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): abdominal distention, abdominal pain, achalasia, acute care, age, algorithm, anatomy, anorexia, antibiotics, ASA class, balloon dilatation, basket, biliary diversion, biliary pancreatitis, Bilroth, bowel, cancer, chest x-ray, complication, consult, counseling, creatinine, critical care, CT scan, CXR, deep palpation, diagnosis, diagnostic endoscopy, discharge, drainage, duodenal perforation, E.D., EGD, emergency department, Emergency Surgery Acuity Score, endoscope trauma, endoscopic perforation, endoscopic surgery, epigastric pain, ERCP, ESAS, European, expert opinion, exploration, extraluminal air, extravasation, failure rate, falciform ligament, false diverticulum, febrile, female, fever, free air, gastric bypass, gastrojejunal anastomosis, general anesthesia, general surgery, GJ anastomosis, guidewire, Helsinki, Hong Kong, ICU, inflammation, insufflation, intensive care unit, interventional radiology, IR, ischemic, leak, left lower quadrant pain, LLQ pain, morbidity, mortality, nasobiliary stenting, neoplastic lesion, NOM, non-operative management, oral contrast, pain medication, palliative care, pathology, patient selection, perforated diverticulitis, perforated peptic ulcer, perforated viscus, perforation, periampullary, pericolic, peritonitis, physiology, Pneumatosis coli, pneumoperitoneum, PPU, preop, preoperative, qSOFA score, radiographic, randomized trial, rebounding, resuscitation, retroperitoneal air, retropertioneal air, Roux-en-Y gastric bypass, RYGB, sepsis, shearing, SIRS, sleeve gastrectomy, SOFA score, source control, sphincterotomy, staple line, strictures, swallow study, Systematic Inflammatory Response Syndrome, tachycardia, tenderness, therapeutic endoscopy, triage, ulceration, unstable patient, UpToDate, water soluble, WBC, white blood cell
Universal approach to perforated viscus–1:02
Why not operate?–1:22
Patient selection–1:49
Perforated peptic ulcer–3:10 Asian J Surg 2014
Perforated diverticulitis–5:34 Dis Colon Rectum 2014
EGD perforation–7:48 Gastroenterology 1994
ERCP perforation–9:13
Post-ERCP suspicion of periampullary or ductal perforation tx algorithm–9:54
Duodenal perforation tx algorithm–10:20
RYGB leak–11:35 Ann Surg 2008
Sleeve gastrectomy leak–12:15
All perfoated viscus bottom line–12:55 J Trauma Acute Care Surg 2016
How to determine if a pt is septic–14:38 Chest 1992
Perforated viscus algorithm–15:37