logo
episode-header-image
May 2023
19m 28s

Journal Review in Colorectal Surgery: An...

Behind The Knife: The Surgery Podcast
About this episode
Upon encountering a patient who develops an anastomotic leak after a straight-forward low anterior resection, you are taken aback, as the patient is healthy and has no apparent risk factors. This prompts you to consider whether the microbiota may have played a role in causing the leak.

Join Dr. Carole Richard, Dr. François Dagbert, Dr. Maher Al Khaldi, and Dr. Roy Hajjar in their conversation about the impact of gut microbiota on anastomotic healing and leak. 

Learning objectives 
- To list the known risk factors for anastomotic leak.
- To understand how preoperative gut microbiota influence anastomotic healing and could lead to leak. 

Reference
Hajjar R, Gonzalez E, Fragoso G, et al. Gut microbiota influence anastomotic healing in colorectal cancer surgery through modulation of mucosal proinflammatory cytokines. Gut. Published Online First: 30 December 2022. doi: 10.1136/gutjnl-2022-328389

Ad referenced in episode: A team at the Brooke Army Medical Center is working to better define proficiency-based metrics for competency in commonly performed robotic general surgery procedures. If you are a general surgery resident or practicing surgeon who performs robotic assisted cholecystectomies or inguinal hernia repairs,  reach out to the PI, Robert Laverty, MD, at rblaverty@gmail.com for more information on how you could be compensated $500 per video submitted of each (up to $1000 per surgeon).

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

If you liked this episode, check out other colorectal surgery episodes here: https://behindtheknife.org/podcast-category/colorectal/
Up next
Jul 10
Clinical Challenges in Vascular Surgery: The Risk & Reality of EVAR Complications
It’s 2 a.m. The on-call resident’s voice is shaky. The CT shows an 18cm abdominal aortic aneurysm with a Type 1B endoleak. There’s gas in the sac, fluid in the belly, and the patient has a defibrillator on both sides of his chest. Is it a rupture? A graft infection? An aortoenter ... Show More
26m 55s
Jul 7
Clinical Challenges in Hepatobiliary Surgery: Necrotizing Pancreatitis, Time to Step Up!
In the corner of the ICU, on multiple pressors, distended, oliguric, and intubated you’ll find the necrotizing pancreatitis patient. Sounds intimidating, but with the persistence, patience, and the proper care these patients can make it! In this episode from the HPB team at Behin ... Show More
31 m
Jul 5
Intern Bootcamp: Dominate Intern Year
RE-RELEASE This was first published in 2023 but it's so good we are running it back! Buckle up, PGY-1’s! Intern year is starting whether you’re ready or not. Don’t fret, BTK has your back to make sure you dominate the first year of residency. In this last episode of the intern bo ... Show More
12m 46s
Recommended Episodes
Apr 2024
Optimizing Novel Therapies and Surgery in Early-Stage NSCLC
Doctors Vamsi Velcheti, Sandip Patel, and Michael Zervos discuss recent updates on the management of early-stage non-small cell lung cancer (NSCLC), including the optimization of neoadjuvant and adjuvant treatment options for patients and the role of surgery in the era of targete ... Show More
31m 31s
Jan 2024
Nekrotisierende Fasziitis – radikales Operieren ist die einzige Option
mit Marielle Hummels, Chirurgin (01:27) Krankheitsbild & Ursachen | (04:06) Pathophysiologie | (04:56) Symptome & Risikofaktoren | (07:27) Fallbericht: 62-Jähriger Patient mit Fieber und Hautveränderung - Anamnese und Diagnostik | (10:12) Fallbericht: Differentialdiagnosen | (11: ... Show More
20m 45s
Mar 2023
Neck of Femur Fractures; Roadside to Resus
So NOF's aren't the most glamorous of topics to cover on a podcast, but the difference we can make to patients but refining our care is huge.  Neck of femur fractures have a high and increasing incidence. They occur predominantly in frail patients who have the greatest risk of co ... Show More
1h 4m
Jul 2023
Jaimie Nathan - Surgical Treatment of Pediatric Chronic Pancreatitis (Special JPGN Episode)
In this special JPGN episode, hosts Drs. Peter Lu and Jennifer Lee talk to pediatric surgeon Dr. Jaimie Nathan about surgical treatment of chronic pancreatitis in children. Dr. Nathan is the first author of a recent NASPGHAN position paper on the role of surgical management in ch ... Show More
54m 10s
Jun 2024
103: Chondrogenic Tumors w/ Dr. Domson
Enjoy this episode on Chondrogenic Tumors as Dr. Gregory F. Domson gives us a great overview! Click here for show notes Also check out our Ortho Essentials 101 Course at courses.naileditortho.com Gregory F. Domson, MD, specializes in treating both benign and malignant tumors of t ... Show More
37m 59s
Jul 2023
35. Does spinal anesthesia decrease the risk of postoperative delirium?
Dr. Mark Neuman and Dr. Sam Falkson join the show to discuss the literature around risks of regional versus general anesthesia for postoperative delirium. Dr. Neuman is the founding Director of the Center for Perioperative Outcomes Research and Transformation and Professor of Ane ... Show More
58m 7s
Mar 2022
Dr. Justin Sonnenburg: How to Build, Maintain & Repair Gut Health
My guest this episode is Dr. Justin Sonnenburg, Professor of Microbiology & Immunology at Stanford University. Dr. Sonnenburg’s research focuses on how microbes in our gut impact our mental and physical health and how diet and your environment shape your gut microbiome. We discus ... Show More
2h 10m
May 2024
Ep. 172 HPV and Oropharyngeal Cancer: Evolving Insights and Implications with Dr. Mihir Patel
In this episode, Dr. Mihir Patel, Professor of Otolaryngology at Emory University and expert in Transoral Robotic Surgery (TORS), discusses HPV-positive head and neck cancer with host Dr. Ashley Agan. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/en-us/healthc ... Show More
1h 6m
May 2024
Hematopoietic Malignancies: Putting It All Together
If you’ve studied the hematopoietic system malignancies—all the leukemias, lymphomas, and plasma cell disorders—you probably feel like you’ve been hit with the good old medical school fire hose. Now’s a good time to take a step back from all the details, make sure that you rememb ... Show More
20m 54s