Gastrointestinal Surgery

Timothy M. Pawlik, MD, MPH, PhD Professor of Surgery and Oncology Chief, Division of Surgical Oncology John L. Cameron M.D. Professor of Alimentary Tract Diseases Director, Johns Hopkins Medicine Liver Tumor Center Multi-Disciplinary Clinic Johns Hopkins Hospital Baltimore, MD Shishir K. Maithel, MD Associate Professor of Surgery Division of Surgical Oncology Department of Surgery Emory University Atlanta, GA Nipun Merchant, MD Professor of Surgery and Cancer Biology Director, Vanderbilt Pancreas Center Department of Surgery Vanderbilt Medical Center Nashville, Tennessee

Tracheo-esophageal Fistula.- Esophageal strictures refractory to endoscopic dilatation.- Esophgeal anastomotic leak.- Transhiatal esophagectomy: intraoperative disasters.- Chyle leak after esophageal surgery.- Management of airway, hoarseness and vocal cord dysfunction after esophagectomy.- Severe reflux induced esophagitis.- Introperative solutions for gastric conduit that will not reach.- Injury to the right gastroepiploic artery.- Intraoperative solutions for ischemic gastric conduit.- Jejunal feeding tube complications.- Bile reflux and gastroparesis.- Gastric surgery: dealing with dumping syndrome.- Afferent loop syndrome.- Duodenal stump blowout.- Postoperative complications after surgery for gastric cancer: Anastomotic leakage.- Hepatobiliary and pancreatic surgery:  postoperative hepatic insufficiency.- Biliary leaks and thoracobiliary fistula.- Contralateral bile duct injury during hepatic resection.- Massive Intra-operative Hemorrhage During Hepato-Biliary and Pancreatic Surgery.- Hepatobiliary and Pancreatic Surgery: Intraoperative injury to Hepatic Arterial Structures.- Hepatobiliary and pancreatic surgery: hepatic abscess.- Hepaticojejunostomy anastomotic strictures.- Stricture at Pancreatico-Jejunostomy or Pancreatico-Gastrostomy.- Postoperative Portal, Mesenteric and Splenic Vein Thrombosis.- Post-pancreatectomy Hemorrhage: Early and Late.- Major Disruptions of Pancreaticojejunostomy.- Persistent Pancreatic Fistula.- Management of Chyle Leaks Following Pancreatic Resection.- Hepatobiliary and Pancreatic Surgery: Preventing Pancreatic Fistula following Distal Pancreatectomy.- Pearls for the Small Bowel and Colon That Will Not Reach.- Anastomotic Leak / Pelvic Abscess.- Management of Anastomotic Stricture.- Colorectal Surgery: Intraoperative Ureteral Injury.- Colorectal surgery: Prostatic Urethral Injury.- Vaginal Injury During Stapled.- Anastomosis.- Management of rectovaginal fistula.- Management of Presacral / Pelvic Bleeding.- Breakdown / Nonhealing of Perineal Wound.- Complications after TEM (Transanal Endoscopic Microsurgery) and TAMIS Maria.- Parastomal hernia.- Stoma Retraction/Ischemia/Stenosis.- Incontinence after Lateral Internal Sphincterotomy/ Fistulotomy.- Anal Stenosis after Hemorrhoidectomy:  Avoidance and Management.- Delivering Bad News: Conversations with My Surgeon.