Colorectal Surgery Review

ASCRS Guidelines: Chronic Anal Fissure Management

Join us for a comprehensive clinical review of the American Society of Colon and Rectal Surgeons (ASCRS) Clinical Practice Guidelines for the Management of Anal Fissures.

ERAS in Colorectal Surgery: ASCRS & SAGES Guidelines

A clinical deep dive into the 2022 and 2023 ASCRS and SAGES guidelines for Enhanced Recovery After Surgery (ERAS). We cover carbohydrate loading, bowel prep, SSI bundles,

Enhanced Recovery After Colorectal Surgery (ERAS)

Join us for a detailed clinical dissection of the updated American Society of Colon and Rectal Surgeons (ASCRS) and Society of American Gastrointestinal and Endoscopic Su

ASCRS Guidelines: Anal Squamous Cell Cancer Management

Join us for a detailed clinical breakdown of the 2018 American Society of Colon and Rectal Surgeons (ASCRS) Clinical Practice Guidelines for Anal Squamous Cell Cancer. In

Ambulatory Anorectal Surgery Explained

Join us for a comprehensive clinical review of the 2015 American Society of Colon and Rectal Surgeons (ASCRS) Clinical Practice Guidelines for Ambulatory Anorectal Surger

Rectal Prolapse

Reviews the Broden and Snellman theory of rectal prolapse as a progressive internal intussusception. The episode clarifies the misnomer of solitary rectal ulcer syndrome—

Treatment of Difficult-Obstructive Defecation

Unpacks Obstructive Defecation Syndrome (ODS), starting with the absolute necessity of pelvic floor biofeedback over surgical intervention for dyssynergic defecation. It

Evaluation of Constipation and Treatment of Abdominal Component

Explores the diagnostic and surgical algorithms for chronic refractory constipation. It clearly differentiates slow transit constipation (colonic inertia) from IBS-C util

Common Tests for the Pelvic Floor

A deep dive into the physiological and mechanical evaluation of pelvic floor disorders. The episode examines the hardware evolution of manometry from water-perfused cathe

Functional Disorders After Colorectal Surgery - IBS

Focuses on distinguishing and managing Irritable Bowel Syndrome using the rigid Rome IV criteria. It issues a stark warning against operating on functional visceral hyper

Abdominal Wall Reconstruction and Parastomal Hernia

Tackles the inevitable biomechanical failure of parastomal hernias, which eventually affect nearly all permanent stoma patients. It emphasizes strict preoperative optimiz

Intestinal Stomas

A comprehensive guide to the physiological and mechanical management of stomas. Key topics include the massive clinical and financial benefits of preoperative WOCN educat

Radiation, Microscopic, and Ischemic Colitis

This episode unpacks three deceptive colitis presentations. For chronic radiation proctitis, driven by obliterative endarteritis, the biggest takeaway is strictly avoidin

Clostridium difficile Infection

A high-yield breakdown of Clostridioides difficile, focusing on the hypervirulent Ribotype 027 strain driving increased hospital morbidity. The episode details the clinic

Infectious Colitis

This episode explores the ultimate "chameleons" of the GI tract, featuring bacterial, parasitic, and viral infections that mimic surgical emergencies. Learn how to avoid

Pelvic Pouch Complications

A salvage-focused guide for the failing pouch. We outline the "structured assessment" triad (Endoscopy, EUA, Imaging) to differentiate mechanical failure from sepsis or C

Ulcerative Colitis - Surgical Management

A technical and strategic review of the IPAA (J-Pouch). We discuss the SCENIC guidelines shifting away from automatic colectomy for polypoid dysplasia. The episode covers

Crohn's Disease - Surgical Management

Defines the role of the "Surgical IBDologist" and bowel-sparing strategies. We break down strictureplasty techniques (Heineke-Mikulicz, Finney, Michelassi) and introduce

Anorectal Crohn's Disease

Focused on perianal pathology, this episode establishes MRI as the gold standard for mapping complex fistulas (Likelihood Ratio 22.7). We review Heller's Rule for fistula

Crohn's Disease - Medical Management

A rigorous review of Crohn's pharmacotherapy, highlighting the "Do Nots": antibiotics and 5-ASAs have limited to no role in luminal disease. We explore the "Treat to Targ