Episode 34 - Bowel Obstruction & the Role of the Gastrografin Challenge

Trauma ICU Rounds

Dr. Dennis Kim

Emergency General Surgery, Critical Care, Foam, Intensive Care, Education, Health & Fitness, Science, Life Sciences, Acute Care Surgery, Trauma Surgery, Medicine, Medical Education

4.8 • 663 Ratings

🗓️ 8 January 2021

⏱️ 43 minutes

🔗️ Recording | iTunes | RSS

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Summary

Dr. Martin Zielinski from the Mayo Clinic, Rochester, MN, joins us on Rounds to discuss best practices in the management of bowel obstruction. In this episode, we review common etiologies for bowel obstruction, discuss the role of imaging, as well as the significance of clinical and radiographic findings on the likelihood of operative intervention. Dr. Zielinski also shares with us the Gastrografin swallow protocol that has been successfully developed and implemented at the Mayo Clinic in the...

Transcript

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0:00.0	From the classroom to the emergency room, O-R and beyond.
0:05.7	You're joining trauma ICU rounds with your host, Dr. Dennis Kim.
0:11.5	So one of the best pieces of advice, it was from Dr. Rosen, hernia specialist, Cleveland Clinic.
0:16.1	He said, find something nobody else likes.
0:18.9	It's not sexy and own it.
0:23.4	And the other thing was where it actually came from from my interest was I had a patient when I was a chief resident. I was convinced was fine.
0:29.3	He had bowel obstruction, put him on medicine because why would you want to make your own chief
0:33.3	service even busier? And 12 hours later, we were getting calls that the guy wasn't doing well.
0:38.2	And he had a strangulated bowel obstruction that I completely missed. That really drove me,
0:41.9	like, what did I miss and how can I do better and what can we make sure that this never happens
0:47.3	again? So that's really where it all started for me. That's Dr. Martin Zelensky, sharing his
0:51.5	thoughts on how and why he decided to pursue bowel obstruction as a major area of research focus. Dr. Zelensky, sharing his thoughts on how and why he decided to pursue bowel obstruction
0:54.7	as a major area of research focus, Dr. Zolensky is a professor of surgery at the Mayo Clinic
1:00.3	College of Medicine and Science, where he also completed his residency and fellowship training.
1:06.0	Interestingly, prior to medical school, Martin was voted captain of the 1998-1999-N-C-W-A swimming team,
1:13.4	and he qualified not once, but twice, to the Swimming Olympic trials, both in 1996 and 2000.
1:21.2	Interestingly, 2000 was the year that a young 15-year-old by the name of Michael Phelps, also qualified for the 2000 Olympics.
1:29.7	Faced with a choice between med school and the pursuit of Olympic glory, Dr.
1:35.2	Zelensky conveyed to me that he's happy with his career decision.
1:39.2	As with so many of our guest professors on rounds, Martin is involved and has made significant contributions
1:45.2	to our major surgical societies, including East and the AAST. He's authored over 155 peer-reviewed
1:52.5	articles, a dozen or so textbook chapters, and has really done a great job advancing our knowledge
	...

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