Stomach - Washington Manual of Surgery

Let’s talk surgical diseases of the stomach — Join general surgery resident Dr. Shaleen Sathe for a discussion with surgeon scientist and hepatopancreatobiliary (HPB) surgeon, Dr. Roheena Panni. This episode of the Washington Manual of Surgery Podcast will focus on the surgical care of gastric diseases and serves as a companion to Chapter 14 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery podcast, host Dr. Shaleen Sathe is joined by surgical oncologist Dr. Roheena Panni to discuss comprehensive management of stomach-related conditions. They cover high-yield topics such as the diagnosis and management of gastroparesis, approaches to treating malignant and benign stomach diseases, and endoscopic interventions for gastrointestinal bleeding. Tune in to learn about the latest surgical techniques, the importance of multidisciplinary care, and updates on treatments for gastric cancer. 

Guest Host: Shaleen Sathe, MD – General surgery resident at WashU Medicine. 

Guest: Roheena Z. Panni, MD, MPHS – Assistant professor of surgery for the Section of Surgical Oncology. She specializes in hepatic, biliary, pancreatic, and gastric surgery.

Notes:

Modified Forrest Classification: stratifies risk of ulcer rebleeding based on observed characteristics on endoscopy

Forrest I (active ulcer hemorrhage): Ia - spurting hemorrhage; Ib - oozing hemorrhage

Forrest II (signs of recent ulcer hemorrhage): IIa - nonbleeding visible vessel; IIb - adherent clot; IIc - flat pigmented spot on ulcer base

Forrest III (no active bleeding): clean ulcer base (lesions without signs of recent hemorrhage and/or fibrin-covered)

Original citation: Forrest J.A., Finlayson N.D., Shearman D.J. Endoscopy in gastrointestinal bleeding. Lancet. 1974;2:394–397. doi: 10.1016/S0140-6736(74)91770-X.

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

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For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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