Skip to main content

  • Special EGS Populations

    Pediatric Emergency General Surgery

    The fellow should be able to:

    • Demonstrate an understanding of the unique pediatric physiology
    • Demonstrate an understanding of the role of imaging in pediatric general surgery and the consequences of ionizing radiation exposure
    • Recognize the differences and similarities in the management of acute appendicitis
    • Understand indications and treatment of pyloric stenosis
    • Understand the treatment options for treatment of intussusception
    • Understand the indications for transfer to a children’s hospital
    • Procedure/multimedia

    Resources

    • Topic Summary
    • Additional Resources:
      • Maita S, Andersson B, Svensson JF, Wester T. Nonoperative treatment for nonperforated appendicitis in children: a systematic review and meta-analysis. Pediatr Surg Int. 2020 Mar;36(3):261-269. doi: 10.1007/s00383-019-04610-1. Epub 2019 Dec 14. PMID: 31838546; PMCID: PMC7012795
      • Lin LH, Lee CY, Hung MH, Chen DF. Conservative treatment of adhesive small bowel obstruction in children: a systematic review. BMJ Open. 2014 Sep 15;4(9):e005789. doi: 10.1136/bmjopen-2014-005789. PMID: 25223569; PMCID: PMC4166136.
      • Robinson JR, Correa H, Brinkman AS, Lovvorn HN 3rd. Optimizing surgical resection of the bleeding Meckel diverticulum in children. J Pediatr Surg. 2017 Oct;52(10):1610-1615. doi: 10.1016/j.jpedsurg.2017.03.047. Epub 2017 Mar 23. PMID: 28359587; PMCID: PMC5610599.
      • Gibbs H, Jatana KR. Pediatric Button Battery Injuries-Current State and What's Next? JAMA Otolaryngol Head Neck Surg. 2022 Jul 1;148(7):683-685. doi: 10.1001/jamaoto.2022.0849. PMID: 35616959.
    Return to top.

    Emergency General Surgery During Pregnancy

    The fellow should be able to:

    • Demonstrate an understanding of the unique physiology of pregnant patients and how this pertains to general surgery
    • Demonstrate an understanding of the role of imaging during pregnancy
    • Recognize the role of fetal monitoring and risks to the fetus in emergency general surgery
    • Demonstrate an understanding of the treatment of appendicitis during pregnancy
    • Demonstrate an understanding of the treatment of gallbladder disease during pregnancy
    • Demonstrate an understanding of the treatment of umbilical/ventral hernias during pregnancy
    • Describe changes to operative approach necessary during surgery in the pregnant patient
    Return to top.

    Emergency General Surgery in the Older Adult Patient

    The fellow should be able to:

    • Demonstrate an understanding of the unique physiology of the elderly patient
    • Demonstrate an understanding of consequences of age on outcome in emergency surgery
    • Recognize the importance of prognostication and risk assessment in emergency general surgery
    • Understand the indications for palliative care evaluation in emergency surgery in the elderly

    Resources

    • Topic Summary
    Return to top.

    Emergency General Surgery in the Cirrhotic Patient

    The fellow should be able to:

    • Demonstrate an understanding of the unique physiology of cirrhotic patients
    • Demonstrate an understanding of the consequences of cirrhosis on surgical outcomes and the use of MELD and other scoring systems for prognostication
    • Demonstrate an understanding of how to manage ascites following surgery in a cirrhotic patient
    • Demonstrate an understanding of the treatment of gallbladder disease in cirrhosis
    • Demonstrate an understanding of the treatment of umbilical/ventral hernias in cirrhotic patients
    • Demonstrate an understanding of the treatment of inguinal hernias in cirrhosis

    Resources

    Return to top.

    Emergency General Surgery in the Obese Patient and Post-Bariatric Surgery Patient

    The fellow should be able to:

    • Demonstrate an understanding of the unique physiology of obese patients
    • Demonstrate an understanding of the consequences of obesity on surgical outcomes
    • Demonstrate an understanding of diagnosis and management of surgical complications following bariatric surgery including internal hernias and marginal ulcers
    • Describe options for the management of choledocholithiasis in a patient following gastric bypass surgery
    • Demonstrate an understanding of the emergent treatment of umbilical/ventral hernias in obese patients

    Resources

    • Topic Summary
    • AAST Education Module - Acute Care Surgery Problems in the Post-Bariatric Surgery Patient
    • Additional Resources:
      • Chousleb E, Chousleb A. “Management of post-bariatric surgery emergencies.” J Gastrointest Surg 2017;21(11):1946-53.
      • Lim R, Beekley A, Johnson DC etal. “Early and late complications of bariatric operation.” Trauma Surg Acute CareOpen 2018;3(1):e000219.
      • Kassir R, Debs T, Blanc P etal. “Complications of bariatric surgery: Presentation and emergency management.” Int J Surg 2016;27:77-81.
      • Wernick B, Jansen M, Noria S etal. “Essential bariatric emergencies for the acute care surgeon.” Eur J Trauma Emerg Surg 2016;42(5):571-84.
    Return to top.

    Unexpected Malignancy in EGS

    The fellow should be able to:

    • TBA

    Resources:

    Return to top.

    Surgery in Immunocompromised Patients

    The fellow should be able to:

    • TBA

    Resources

    • Topic Summary
    • Overview Article:
      • Coccolini F, Improta M, et al. Acute abdomen in the immunocompromised patient: WSES, SIS-E, WSIS, AAST, and GAIS guidelines. World J Emerg Surg. 2021 Aug 9;16(1):40.
    • Additional Resources:
      • Abu-Sbeih H, Ali FS, et al. Neutropenic Enterocolitis: Clinical Features and Outcomes. Dis Colon Rectum. 2020 Mar;63(3):381-388. 
      • Batra R, Rudnicki Y, et al. Management of Diverticulitis in Renal Transplant Patients. Am Surg. 2023 Feb;89(2):210-215. 
      • Fishman JA. Infection in Organ Transplantation. Am J Transplant. 2017 Apr;17(4):856-879. 
      • Mahmood A, Raza SH, et al. Acute appendicitis in people living with HIV: What does the emergency surgeon needs to know? SAGE Open Med. 2021 Jan 28;9:2050312120982461.
      • Tejiram, S., Sava, J.A. (2019). Emergency General Surgery in the Immunocompromised Surgical Patient. In: Brown, C., Inaba, K., Martin, M., Salim, A. (eds) Emergency General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-96286-3_42
    Return to top.

    Thoracic Issues in General Surgery

    The fellow should be able to:

    • Demonstrate an understanding of the management of spontaneous pneumothorax
    • Demonstrate an understanding of the management of parapneumonic effusions and empyema
    • Describe the options for management of empyema including medical management and surgical treatment
    • Describe the treatment for lung abscesses including hydatid and bacterial causes
    • Demonstrate an understanding of the management of symptomatic malignant pleural effusions
    • Describe the management of pancreaticopleural fistulas
    • Understand the management of chylothorax
    • Understand the management of non-traumatic pericardial effusions and infectious pericarditis

    Resources

    Return to top.

    Privacy Policy:

     

    By using this site, you agree to the Privacy Policy and acknowledge the use of cookies to store information, which may be essential to making our site work properly or enhancing user experience.