Jeff Ponsky

147 statements · 8 topics · summaries given as host listed separately

Featured statements

▶ Ep 2 · 1:43

Certainly if a patient comes in with deep jaundice or cholangitis, Remember that's jaundice, fever, right upper quadrant pain, sometimes sepsis, or the patient has what looks like gallstone pancreatitis. That's jaundice, abdominal pain, and elevated pancreatic enzymes. Those patients have to be looked at very carefully and are potential candidates to relieve common bile duct obstruction with emergency ERCP.

quote · Choledocholithiasis

▶ Ep 8 · 15:17

One of the things that I've made a mistake on and others have in the, in the past is when you grab that post. Exterior, the greater curved part that's on the left. If you grab it too low to do your wrap, you're actually, uh, too high on the right and too low on the left, and you're actually trapping a portion of the fundus up above, and, and that's wrong. So, the geometry is critically important.

quote · Gastroesophageal Reflux Disease

▶ Ep 13 · 15:35

the most important part of the operation is taking the time to get the geometry of that wrap. And if you actually put it together and look at it and it doesn't look right, don't be afraid to take it down and reestablish it.

quote · Gastroesophageal Reflux Disease

▶ Ep 7 · 2:17

wait a minute, as long as we're looking, let's take out a polyp. Let's put a metal wire around these polyps and apply electricity and take them out.

quote · Achalasia

▶ Ep 2 · 2:13

From an ERCP standpoint, unless there's a persistent biliary obstruction or cholangitis, we're not jumping in to go do this case right away.

quote · ALL

▶ Ep 7 · 2:37

if we saw veins in the rectum, and we call them hemorrhoids and we banded them, why can't we do the same thing in the esophagus?

quote · Achalasia

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Jeff's statements about Achalasia 50 statements

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Endoscopy and Surgery

▶ Ep 7 · 0:59

quote modern endoscopy really began, I believe modern endoscopy began with the Basil Hersowitz in the late 1950s when he, uh, integrated flexible fiber optic, uh, technology using, uh, uh, fiber optics and uh. And the fiber fiber optic uh uh cables uh to produce, uh, the endoscopic instruments which could go through the mouth or the rectum to produce uh images. ↗

▶ Ep 7 · 0:59

clinical Modern endoscopy began with Basil Hersowitz in the late 1950s when he integrated flexible fiber optic technology to produce endoscopic instruments which could go through the mouth or rectum to produce images. ↗

▶ Ep 7 · 1:29

clinical Surgeons and gastroenterologists were involved in endoscopy from the very beginning. ↗

▶ Ep 7 · 1:50

clinical Gastroenterologists such as Gene Oberholt and Jerry Way developed diagnostic applications of endoscopy. ↗

▶ Ep 7 · 2:08

clinical Surgeons saw the therapeutic applications of endoscopy. ↗

▶ Ep 7 · 2:08

quote Surgeons were involved in a different way because surgeons saw the therapeutic applications of endoscopy. ↗

▶ Ep 7 · 2:17

quote wait a minute, as long as we're looking, let's take out a polyp. Let's put a metal wire around these polyps and apply electricity and take them out. ↗

▶ Ep 7 · 2:17

clinical Hiromi Shia and Bill Wolf developed polypectomy by putting a metal wire around polyps and applying electricity to remove them. ↗

▶ Ep 7 · 2:37

quote if we saw veins in the rectum, and we call them hemorrhoids and we banded them, why can't we do the same thing in the esophagus? ↗

▶ Ep 7 · 2:37

clinical Greg Stigman applied the principle of banding hemorrhoids in the rectum to esophageal varices. ↗

▶ Ep 7 · 2:50

clinical Michael Godard and Jeff Ponsky applied surgical principles of percutaneous techniques to place feeding tubes using the endoscope to guide the procedure. ↗

▶ Ep 7 · 3:20

clinical Nipsa Hendra, a surgeon in Germany, developed the first stenting of the bile duct. ↗

▶ Ep 7 · 3:31

quote Surgeons have been involved in the advances in endoscopy, particularly the therapeutic advances. ↗

▶ Ep 7 · 3:31

opinion Surgeons have been involved in the advances in endoscopy, particularly the therapeutic advances. ↗

▶ Ep 7 · 4:30

quote I can't imagine a bariatric or gastrointestinal surgeon today. Who doesn't want to look at their anastomosis and test their anastomosis after they've done it. ↗

▶ Ep 7 · 4:30

clinical Bariatric and gastrointestinal surgeons today use endoscopy to look at their anastomoses and test them after surgery. ↗

▶ Ep 7 · 4:42

clinical Surgeons use endoscopy to stent leaks or perform therapeutic stenting of strictures. ↗

▶ Ep 7 · 4:59

quote Endoscopy for surgeons is a technique that they use to augment their surgical procedures. ↗

▶ Ep 7 · 4:59

opinion Endoscopy for surgeons today is a technique used to augment surgical procedures. ↗

▶ Ep 7 · 5:07

clinical Not all surgeons perform ERCP. ↗

▶ Ep 7 · 5:12

clinical Surgeons in bariatric surgery use endoscopy daily to assess surgical results, look for leaks, stent leaks, place drainage tubes, and improve treatment of complications. ↗

▶ Ep 7 · 5:31

quote Endoscopy is, is part of what we do as surgeons today. ↗

▶ Ep 7 · 5:31

opinion Endoscopy is part of what surgeons do today. ↗

▶ Ep 7 · 6:05

opinion Surgeons were the leaders in developing advanced endoscopic techniques because they asked what therapeutic procedures could be performed through the endoscope. ↗

▶ Ep 7 · 6:22

clinical Endoscopic submucosal dissection can be used to remove T2 tumors and extensive spreading tumors of the colon without the need for surgery. ↗

▶ Ep 7 · 6:38

clinical Emory Gorgon at the Cleveland Clinic has extensive experience in endoscopic submucosal dissection, including in the colon. ↗

▶ Ep 7 · 6:50

clinical Pre-malignant and early malignant lesions in the esophagus can be removed endoscopically. ↗

▶ Ep 7 · 6:54

clinical Division of esophageal muscles to treat achalasia can be performed endoscopically where surgery was previously required. ↗

▶ Ep 7 · 7:09

quote It's not to remove surgery to replace it, but to augment it, to choose the right procedure for the right patient. ↗

▶ Ep 7 · 7:09

opinion Endoscopic techniques augment surgery rather than replace it, allowing selection of the right procedure for the right patient. ↗

▶ Ep 7 · 7:35

opinion The only place surgeons and gastroenterologists fail is when they fail to work together. ↗

▶ Ep 7 · 7:35

quote The only place we fail is when we fail to work together. ↗

▶ Ep 7 · 7:39

quote The surgeon and the gastroenterologist must work together. ↗

▶ Ep 7 · 7:45

opinion The gastroenterology community excels at endoscopic ultrasound, which has led to tremendous therapeutic advances. ↗

▶ Ep 7 · 7:50

opinion The ultimate potential of endoscopic ultrasound will not be reached unless surgeons and gastroenterologists work together. ↗

▶ Ep 7 · 8:03

clinical At the Cleveland Clinic, surgeons and gastroenterologists work together, combining surgical and endoscopic techniques. ↗

▶ Ep 7 · 8:26

opinion Collaboration between surgeons and gastroenterologists augments the ability of endoscopy and extends the capacity of the specialty. ↗

▶ Ep 7 · 8:37

opinion In 10 years, the field will not recognize what is being done today in endoscopy. ↗

▶ Ep 7 · 8:37

quote In 10 years from now, we won't even recognize what we are doing today. ↗

▶ Ep 7 · 8:56

opinion Transmural surgery will be possible in the future, including performing resections of pieces of bowel, removing tumors, and sewing up the lumen endoscopically. ↗

▶ Ep 7 · 8:56

quote I think that transmural surgery, transmural working through it and sewing it up, we'll be able to do resections of pieces of bowel and take out tumors and then sew up the lumen. No problem. ↗

▶ Ep 7 · 9:18

opinion Gastrointestinal anastomoses will be performed endoscopically or using combined endoscopic and percutaneous techniques in the future. ↗

▶ Ep 7 · 9:32

opinion Surgical complications will be managed endoscopically in the future using ultrasound and endoscopy. ↗

▶ Ep 7 · 9:42

opinion New modalities will be integrated into endoscopy to deal with biliary disease, colonic disease, pancreatic disease, gastric disease, and inflammatory bowel disease. ↗

▶ Ep 7 · 10:25

quote The robot refines our maneuvers. It, it helps us to perform what we do better. And more exactly. ↗

▶ Ep 7 · 10:25

opinion The robot refines surgical maneuvers and helps perform procedures better and more exactly. ↗

▶ Ep 7 · 10:35

quote I was a a critic of the robot in the laparoscopic surgery when it first began. It was expensive, and I thought unnecessary. Now I would say we must integrate robotics into everything we do. ↗

▶ Ep 7 · 10:35

opinion Jeff Ponsky was initially a critic of robotics in laparoscopic surgery when it first began because it was expensive and he thought it unnecessary. ↗

▶ Ep 7 · 10:47

opinion Robotics must be integrated into everything surgeons do. ↗

▶ Ep 7 · 10:52

opinion Robotics will be used with flexible endoscopy just as it has been used with colorectal and intestinal surgery. ↗

Jeff's statements about ALL 3 statements

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Update Course Rewind: Pediatric Biliary Stones - Preventing Gallstone Pancreatitis 2024

▶ Ep 2 · 1:40

quote And I want to bring up one other scenario too for the audience, which is gallstone pancreatitis, which I think is a little bit different than our conventional show up with a stone in the duct. ↗

▶ Ep 2 · 2:13

clinical From an ERCP standpoint, unless there's a persistent biliary obstruction or cholangitis, ERCP is not performed right away in gallstone pancreatitis. ↗

▶ Ep 2 · 2:13

quote From an ERCP standpoint, unless there's a persistent biliary obstruction or cholangitis, we're not jumping in to go do this case right away. ↗

Jeff's statements about Choledocholithiasis 27 statements

Open the Choledocholithiasis collection →

Choledocholithiasis: Diagnosis and management

▶ Ep 2 · 1:04

quote We get laboratory tests and imaging. ↗

▶ Ep 2 · 1:43

quote Certainly if a patient comes in with deep jaundice or cholangitis, Remember that's jaundice, fever, right upper quadrant pain, sometimes sepsis, or the patient has what looks like gallstone pancreatitis. That's jaundice, abdominal pain, and elevated pancreatic enzymes. Those patients have to be looked at very carefully and are potential candidates to relieve common bile duct obstruction with emergency ERCP. ↗

▶ Ep 2 · 1:43

clinical Patients with deep jaundice or cholangitis (jaundice, fever, right upper quadrant pain, sometimes sepsis) are potential candidates for emergency ERCP to relieve common bile duct obstruction. ↗

▶ Ep 2 · 1:43

clinical Patients with gallstone pancreatitis (jaundice, abdominal pain, and elevated pancreatic enzymes) are potential candidates for emergency ERCP. ↗

▶ Ep 2 · 2:07

clinical If a patient's pancreatitis improves the next day, there is no rush to do the ERCP. ↗

▶ Ep 2 · 2:10

quote There is no rush to do the ERCP. ↗

▶ Ep 2 · 2:35

quote The first thing to do in the management of a patient with suspected common bile duct stones is to get an intraoperative cholalangiogram. ↗

▶ Ep 2 · 2:35

clinical The first thing to do in the management of a patient with suspected common bile duct stones is to get an intraoperative cholangiogram. ↗

▶ Ep 2 · 4:27

clinical You can flush or push tiny stones through the papilla of Vater using glucagon to relax the papilla. ↗

▶ Ep 2 · 4:27

clinical You can dilate the cystic duct with a balloon or ureteral dilator and then pass a choledochoscope or basket for transcystic stone removal. ↗

▶ Ep 2 · 4:27

clinical Transcystic exploration is amenable to small stones, usually in the distal duct. ↗

▶ Ep 2 · 4:56

quote It is not difficult to do a laparoscopic common bile duct exploration. ↗

▶ Ep 2 · 5:08

clinical You can use Fogarty balloons or baskets and eventually choledochoscope, both upward and downward, to clear stones from the common bile duct. ↗

▶ Ep 2 · 5:08

clinical For laparoscopic common bile duct exploration, you make a small incision (perhaps 1 centimeter) in the anterior surface of the common bile duct. ↗

▶ Ep 2 · 5:58

clinical After CBD exploration, take out the gallbladder and put a drain in the foramen of Winslow. ↗

▶ Ep 2 · 5:58

clinical For T-tube placement, you use a 12 or 14 T tube, cut the back wall off, slice it longitudinally, put it into the abdomen and place its arms into the duct both proximally and distally. ↗

▶ Ep 2 · 5:58

clinical Use a dissolvable suture such as Vicryl or chromic to put a stitch one distal to the tube and one proximal to the tube. ↗

▶ Ep 2 · 6:55

quote I think a surgeon has to choose what makes him most comfortable. ↗

▶ Ep 2 · 6:55

clinical A surgeon should consider converting to open CBD exploration when the inflammation is great, when unfamiliar with laparoscopic suturing techniques, or when exposure is not good. ↗

▶ Ep 2 · 7:25

clinical In open technique, you do a Kocher maneuver where you take down the lateral peritoneum lateral to the duodenum so you can put traction on the common duct by holding the duodenum and pancreatic head. ↗

▶ Ep 2 · 8:22

clinical For transduodenal sphincteroplasty when stones are impacted at the papilla, you make a duodenotomy over the papilla, take small clamps and go into the 11 o'clock position and open the papilla a few millimeters at a time, similar to endoscopic sphincterotomy. ↗

▶ Ep 2 · 8:22

epidemiological Transduodenal sphincteroplasty is not very common anymore. ↗

▶ Ep 2 · 9:37

clinical Essential instruments for CBD exploration include cholangiogram catheters, contrast material, dilating balloons for the cystic duct, balloons and baskets for the common duct, and a choledochoscope. ↗

▶ Ep 2 · 9:37

clinical Many instruments for CBD exploration can be obtained from the urology cart because they use similar items for the ureter and ureteral stones. ↗

▶ Ep 2 · 9:37

opinion The choledochoscope is an inexpensive tool which makes laparoscopic or open common bile duct exploration very easy. ↗

▶ Ep 2 · 10:49

quote I think that the trainees should understand that cholidocholithiasis is a disease that belongs to the surgeons, and to use ERCP as an adjunct is perfectly appropriate, but the surgeon should be comfortable in the end of the day doing exploration and management of common bile duct stones. ↗

▶ Ep 2 · 10:49

opinion Choledocholithiasis is a disease that belongs to the surgeons, and to use ERCP as an adjunct is appropriate, but the surgeon should be comfortable doing exploration and management of common bile duct stones. ↗

Jeff's statements about Foundations of Minimally Invasive & Endoscopic Surgery 50 statements

Open the Foundations of Minimally Invasive & Endoscopic Surgery collection →

Endoscopy and Surgery

▶ Ep 16 · 0:59

▶ Ep 16 · 1:29

clinical Surgeons and gastroenterologists were involved in endoscopy from the very beginning. ↗

▶ Ep 16 · 1:50

clinical Gastroenterologists such as Gene Oberholt and Jerry Way developed diagnostic applications of endoscopy. ↗

▶ Ep 16 · 2:08

quote Surgeons were involved in a different way because surgeons saw the therapeutic applications of endoscopy. ↗

▶ Ep 16 · 2:08

clinical Surgeons saw the therapeutic applications of endoscopy. ↗

▶ Ep 16 · 2:17

clinical Hiromi Shia and Bill Wolf developed polypectomy by putting a metal wire around polyps and applying electricity to remove them. ↗

▶ Ep 16 · 2:17

quote wait a minute, as long as we're looking, let's take out a polyp. Let's put a metal wire around these polyps and apply electricity and take them out. ↗

▶ Ep 16 · 2:37

quote if we saw veins in the rectum, and we call them hemorrhoids and we banded them, why can't we do the same thing in the esophagus? ↗

▶ Ep 16 · 2:37

clinical Greg Stigman applied the principle of banding hemorrhoids in the rectum to esophageal varices. ↗

▶ Ep 16 · 2:50

clinical Michael Godard and Jeff Ponsky applied surgical principles of percutaneous techniques to place feeding tubes using the endoscope to guide the procedure. ↗

▶ Ep 16 · 3:20

clinical Nipsa Hendra, a surgeon in Germany, developed the first stenting of the bile duct. ↗

▶ Ep 16 · 3:31

quote Surgeons have been involved in the advances in endoscopy, particularly the therapeutic advances. ↗

▶ Ep 16 · 3:31

opinion Surgeons have been involved in the advances in endoscopy, particularly the therapeutic advances. ↗

▶ Ep 16 · 4:30

quote I can't imagine a bariatric or gastrointestinal surgeon today. Who doesn't want to look at their anastomosis and test their anastomosis after they've done it. ↗

▶ Ep 16 · 4:30

clinical Bariatric and gastrointestinal surgeons today use endoscopy to look at their anastomoses and test them after surgery. ↗

▶ Ep 16 · 4:42

clinical Surgeons use endoscopy to stent leaks or perform therapeutic stenting of strictures. ↗

▶ Ep 16 · 4:59

quote Endoscopy for surgeons is a technique that they use to augment their surgical procedures. ↗

▶ Ep 16 · 4:59

opinion Endoscopy for surgeons today is a technique used to augment surgical procedures. ↗

▶ Ep 16 · 5:07

clinical Not all surgeons perform ERCP. ↗

▶ Ep 16 · 5:12

clinical Surgeons in bariatric surgery use endoscopy daily to assess surgical results, look for leaks, stent leaks, place drainage tubes, and improve treatment of complications. ↗

▶ Ep 16 · 5:31

opinion Endoscopy is part of what surgeons do today. ↗

▶ Ep 16 · 5:31

quote Endoscopy is, is part of what we do as surgeons today. ↗

▶ Ep 16 · 6:05

opinion Surgeons were the leaders in developing advanced endoscopic techniques because they asked what therapeutic procedures could be performed through the endoscope. ↗

▶ Ep 16 · 6:22

clinical Endoscopic submucosal dissection can be used to remove T2 tumors and extensive spreading tumors of the colon without the need for surgery. ↗

▶ Ep 16 · 6:38

clinical Emory Gorgon at the Cleveland Clinic has extensive experience in endoscopic submucosal dissection, including in the colon. ↗

▶ Ep 16 · 6:50

clinical Pre-malignant and early malignant lesions in the esophagus can be removed endoscopically. ↗

▶ Ep 16 · 6:54

clinical Division of esophageal muscles to treat achalasia can be performed endoscopically where surgery was previously required. ↗

▶ Ep 16 · 7:09

quote It's not to remove surgery to replace it, but to augment it, to choose the right procedure for the right patient. ↗

▶ Ep 16 · 7:09

opinion Endoscopic techniques augment surgery rather than replace it, allowing selection of the right procedure for the right patient. ↗

▶ Ep 16 · 7:35

quote The only place we fail is when we fail to work together. ↗

▶ Ep 16 · 7:35

opinion The only place surgeons and gastroenterologists fail is when they fail to work together. ↗

▶ Ep 16 · 7:39

quote The surgeon and the gastroenterologist must work together. ↗

▶ Ep 16 · 7:45

opinion The gastroenterology community excels at endoscopic ultrasound, which has led to tremendous therapeutic advances. ↗

▶ Ep 16 · 7:50

opinion The ultimate potential of endoscopic ultrasound will not be reached unless surgeons and gastroenterologists work together. ↗

▶ Ep 16 · 8:03

clinical At the Cleveland Clinic, surgeons and gastroenterologists work together, combining surgical and endoscopic techniques. ↗

▶ Ep 16 · 8:26

opinion Collaboration between surgeons and gastroenterologists augments the ability of endoscopy and extends the capacity of the specialty. ↗

▶ Ep 16 · 8:37

opinion In 10 years, the field will not recognize what is being done today in endoscopy. ↗

▶ Ep 16 · 8:37

quote In 10 years from now, we won't even recognize what we are doing today. ↗

▶ Ep 16 · 8:56

quote I think that transmural surgery, transmural working through it and sewing it up, we'll be able to do resections of pieces of bowel and take out tumors and then sew up the lumen. No problem. ↗

▶ Ep 16 · 8:56

opinion Transmural surgery will be possible in the future, including performing resections of pieces of bowel, removing tumors, and sewing up the lumen endoscopically. ↗

▶ Ep 16 · 9:18

opinion Gastrointestinal anastomoses will be performed endoscopically or using combined endoscopic and percutaneous techniques in the future. ↗

▶ Ep 16 · 9:32

opinion Surgical complications will be managed endoscopically in the future using ultrasound and endoscopy. ↗

▶ Ep 16 · 9:42

opinion New modalities will be integrated into endoscopy to deal with biliary disease, colonic disease, pancreatic disease, gastric disease, and inflammatory bowel disease. ↗

▶ Ep 16 · 10:25

opinion The robot refines surgical maneuvers and helps perform procedures better and more exactly. ↗

▶ Ep 16 · 10:25

quote The robot refines our maneuvers. It, it helps us to perform what we do better. And more exactly. ↗

▶ Ep 16 · 10:35

quote I was a a critic of the robot in the laparoscopic surgery when it first began. It was expensive, and I thought unnecessary. Now I would say we must integrate robotics into everything we do. ↗

▶ Ep 16 · 10:35

opinion Jeff Ponsky was initially a critic of robotics in laparoscopic surgery when it first began because it was expensive and he thought it unnecessary. ↗

▶ Ep 16 · 10:47

opinion Robotics must be integrated into everything surgeons do. ↗

▶ Ep 16 · 10:52

opinion Robotics will be used with flexible endoscopy just as it has been used with colorectal and intestinal surgery. ↗

Jeff's statements about Gastroesophageal Reflux Disease 6 statements

Open the Gastroesophageal Reflux Disease collection →

Gastroesopheal Reflux Disease

▶ Ep 8 · 15:17

clinical Common technical error in Nissen is grabbing the greater curve too low on the left side, which traps fundus above the wrap and creates improper geometry ↗

▶ Ep 8 · 15:17

quote One of the things that I've made a mistake on and others have in the, in the past is when you grab that post. Exterior, the greater curved part that's on the left. If you grab it too low to do your wrap, you're actually, uh, too high on the right and too low on the left, and you're actually trapping a portion of the fundus up above, and, and that's wrong. So, the geometry is critically important. ↗

▶ Ep 8 · 17:06

quote For once, I might have to agree with you. You might do it better than I do. ↗

▶ Ep 8 · 26:00

clinical Alternative approach for pseudoachalasia is to open the wrap at 180 degrees and perform large Heller myotomy between the opened sides without complete takedown ↗

Gastroesophageal Reflux Disease

▶ Ep 13 · 15:18

clinical The geometry of the wrap is the most important part of the operation; surgeons should take time to ensure proper geometry and not be afraid to take down and reestablish the wrap if it does not look right ↗

▶ Ep 13 · 15:35

quote the most important part of the operation is taking the time to get the geometry of that wrap. And if you actually put it together and look at it and it doesn't look right, don't be afraid to take it down and reestablish it. ↗

Jeff's statements about Hepatobiliary & Colorectal Surgery 3 statements

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Update Course Rewind: Pediatric Biliary Stones - Preventing Gallstone Pancreatitis 2024

▶ Ep 1 · 1:40

▶ Ep 1 · 2:13

quote From an ERCP standpoint, unless there's a persistent biliary obstruction or cholangitis, we're not jumping in to go do this case right away. ↗

▶ Ep 1 · 2:13

clinical From an ERCP standpoint, unless there's a persistent biliary obstruction or cholangitis, ERCP is not performed right away in gallstone pancreatitis. ↗

Jeff's statements about Pancreatitis 6 statements

Open the Pancreatitis collection →

Update Course Rewind: Pediatric Biliary Stones - Preventing Gallstone Pancreatitis 2024

▶ Ep 24 · 1:40

▶ Ep 24 · 2:13

clinical From an ERCP standpoint, unless there's a persistent biliary obstruction or cholangitis, ERCP is not performed right away in gallstone pancreatitis. ↗

▶ Ep 24 · 2:13

quote From an ERCP standpoint, unless there's a persistent biliary obstruction or cholangitis, we're not jumping in to go do this case right away. ↗

▶ Ep 24 · 2:13

quote From an ERCP standpoint, unless there's a persistent biliary obstruction or cholangitis, we're not jumping in to go do this case right away. ↗

▶ Ep 24 · 2:13

clinical From an ERCP standpoint, unless there's a persistent biliary obstruction or cholangitis, ERCP is not performed right away in gallstone pancreatitis. ↗

Jeff's statements about Upper Gastrointestinal & Foregut Surgery 2 statements

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Gastroesophageal Reflux Disease

▶ Ep 6 · 15:18

▶ Ep 6 · 15:35

Summaries Jeff gave as host · 11 summaries

Recaps of other experts' statements, not Jeff's own clinical position.

Summaries Jeff gave as host · Gastroesophageal Reflux Disease 7 summaries

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Gastroesopheal Reflux Disease

▶ Ep 8 · 4:31

host summary Jeff Ponsky summarizes what Dr. Michael Rosen said: Barrett's esophagus may be subtle and asymptomatic, with risk of progression through low-grade and high-grade dysplasia to gastric cancer ↗

▶ Ep 8 · 11:47

host summary Jeff Ponsky summarizes what Dr. Michael Rosen said: Manometry before routine reflux surgery now identifies achalasia cases that were previously missed when manometry was not standard practice ↗

▶ Ep 8 · 31:57

host summary Jeff Ponsky summarizes what Dr. Michael Rosen said: There is some evidence that bilateral vagal injury may not require pyloroplasty ↗

Gastroesophageal Reflux Disease

▶ Ep 13 · 2:56

host summary Jeff Ponsky summarizes what Dr. Michael Rosen said: PPIs are preferred over H2 blockers because they are more effective at reducing gastric acid secretion and require less frequent dosing ↗

▶ Ep 13 · 5:50

host summary Jeff Ponsky summarizes what Dr. Michael Rosen said: Bravo study is preferred over traditional pH probe because it is easier for the patient (no nasal tube) and provides 48 hours of pH data ↗

▶ Ep 13 · 12:03

host summary Jeff Ponsky summarizes what Dr. Michael Rosen said: Patients with achalasia can present with heartburn due to stasis and fermentation of food in the esophagus ↗

▶ Ep 13 · 25:22

host summary Jeff Ponsky summarizes what Dr. Michael Rosen said: Treatment options for pseudoachalasia include taking down the Nissen, performing a Heller myotomy with Dor fundoplication, or taking down the Nissen, doing a long Heller, and converting to a Toupet ↗

Summaries Jeff gave as host · Upper Gastrointestinal & Foregut Surgery 4 summaries

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Gastroesophageal Reflux Disease

▶ Ep 6 · 2:56

▶ Ep 6 · 5:50

▶ Ep 6 · 12:03

host summary Jeff Ponsky summarizes what Dr. Michael Rosen said: Patients with achalasia can present with heartburn due to stasis and fermentation of food in the esophagus ↗

▶ Ep 6 · 25:22