Colorectal Surgery Review

An academic, sponsor-free audio review of core concepts in colon and rectal surgery. Using the power of A.I., created by Dr. Allen Kamrava, Associate Teaching Faculty at Cedars-Sinai Medical Center, this series is designed for residents, fellows, and practicing surgeons to stay current with concise, evidence-based updates. Covering textbook foundations, landmark trials, and evolving ASCRS guidelines, each episode delivers practical surgical education for the commute, workout, or even to wind down at night. Learn more at https://drkamrava.com/podcast

Colorectal Surgery Review is a education podcast hosted by Unknown Host, with 58 episodes on record and a Required Pod Score of 80. PitchCentric scores this show on Booking Probability, Listen Score, and live audience signals refreshed every 24 hours.

Unknown Host hosts Colorectal Surgery Review, a education show with 58 episodes published.

Our AI reads these to draft pitches. Use them as grounding for a pitch that cites a real guest and a specific topic.

• 

  Colorectal Surgery Review

  Enhanced Recovery After Colorectal Surgery (ERAS)

  Aug 17, 202645 min

  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 Surgeons (SAGES) Clinical Practice Guidelines for Enhanced Recovery After Surgery (ERAS) . In this episode, we move past basic ERAS concepts to explore the precise physiological mechanisms, statistical realities, and trial data behind modern perioperative pathways. Whether you are updating hospital protocols, optimizing patient pathways, or prepping for recertification and board exams, this review delivers the evidence-based details you need. Preoperative Optimization & Stoma Education: Implementing structured ileostomies pathways to prevent dehydration and AKI—reducing readmission rates from 15.5% down to 0%. Fasting & Carbohydrate Loading: Ditching the "NPO after midnight" rule for clear liquids up to 2 hours pre-induction. Why complex carbohydrates (maltodextrin) prevent post-op insulin resistance and why simple sugars are avoided. Pre-op Nutrition vs. Immunonutrition: Weight-based protein supplementation (1.2–1.5 g/kg/day) for malnourished patients and why commercial immunonutrition shakes remain controversial in non-industry-funded trials. Bowel Prep & C. diff Reduction: The strong Grade 1B mandate for combining Mechanical Bowel Preparation (MBP) with oral antibiotics (Neomycin + Metronidazole/Erythromycin) to decimate mucosal biofilms and cut SSIs in half. Intraoperative SSI Bundles: Swiss-cheese risk management, including dedicated wound-closure trays, mandatory glove/gown changes before facial closure, normothermia, and tight glycemic control. Analgesia & The NSAID Leak Debate: Why Diclofenac dramatically increases anastomotic leak rates due to enterohepatic circulation, while Ketorolac and COX-2 inhibitors remain safe. Plus, why routine thoracic epidurals and gabapentinoids are falling out of favor in minimally invasive cases. Fluid Management & Hemodynamics: Moving away from "bone-dry" fluid restriction to preserve the endothelial glycocalyx. The chemistry of why Normal Saline causes hyperchloremic metabolic acidosis and renal vasoconstriction, and how Goal-Directed Hemodynamic Therapy (GDHT) prevents fluid overload. Hardware & Post-Op Care: Evidence against routine NG tubes and pelvic drains, accepting post-op oliguria down to 0.2 mL/kg/hr without fluid boluses, and accelerating bowel return with sham feeding (gum) and coffee. Early Discharge Pathways: Criteria from the RECOVER MI trial allowing selected low-risk patients to safely go home on Post-Op Day 1 before the return of bowel function.

  ListenShow Notes
• 

  Colorectal Surgery Review

  ASCRS Guidelines: Anal Squamous Cell Cancer Management

  Aug 10, 202654 min

  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 this episode, we dive into the virology, staging nuances, landmark trial data, and treatment paradigms every practicing surgeon, oncologist, and board candidate needs to master. Key Topics Covered in This Episode: Etiology & Risk Factors: The oncogenic role of HPV (serotypes 16 & 18), the field defect within the anal transitional zone (ATZ), and independent risk factors such as cigarette smoking and immunosuppression. Anatomic Classification: Distinguishing anal canal vs. perianal lesions using gluteal distraction and the strict 5 cm distance rule. Pathology & Biomarkers: Implementing the LAST two-tiered terminology (LSIL vs. HSIL), why the term "Bowen's disease" is obsolete, and using p16 and Ki-67 biomarkers to guide diagnosis. Screening & High-Resolution Anoscopy (HRA): Addressing the low specificity of anal cytology swabs, the mechanism of aceto-white staining during HRA, and when expectant management is acceptable. HPV Vaccination Rule: Why secondary HPV vaccination is not recommended for treating existing dysplasia (Grade 2A). Staging Pitfalls: Why anal SCC staging relies on maximum diameter rather than depth of wall invasion, and why sphincter muscle invasion does not upgrade a tumor to T4. Definitive Chemoradiation (The Nigro Protocol): The shift away from primary APRs, radiation dosing limits, and trial evidence (RTOG 9811 & ACT II) proving why 5-FU + Mitomycin C remains superior to Cisplatin. Surgical Exceptions & Survivorship: Narrow criteria for wide local excision alongside essential pre-treatment counseling for fertility preservation and post-radiation vaginal stenosis.

  ListenShow Notes
• 

  Colorectal Surgery Review

  Ambulatory Anorectal Surgery Explained

  Aug 3, 202640 min

  Join us for a comprehensive clinical review of the 2015 American Society of Colon and Rectal Surgeons (ASCRS) Clinical Practice Guidelines for Ambulatory Anorectal Surgery . In this episode, we break down the most relevant surgical directives and statistical realities to help you optimize patient care from the moment of selection to the final post-discharge follow-up. If you are looking to update your clinical practice, reduce unnecessary testing, or prep for your board exams, this evidence-based dissection will help you streamline your ambulatory cases. Key Topics Covered in This Episode: Patient Selection & Pre-op Testing: Why routine preoperative testing (like CBCs and ECGs) is discouraged for healthy patients, and how to properly stratify risk using ASA physical status classifications. Anesthesia & Positioning: The clinical benefits of local anesthesia with IV sedation, and the specific physiological contraindications (such as obesity, late pregnancy, and severe COPD) for the prone jackknife position. VTE Prophylaxis: Unpacking the extremely low baseline risk (0.15%) of venous thromboembolism in anorectal procedures and identifying when mechanical prophylaxis is genuinely warranted. Pain Management: A look into multimodal pain control strategies, the prolonged efficacy of Liposomal Bupivacaine, the debate over topical GTN ointments for sphincter spasms, and why routine systemic antibiotics are actively discouraged. Postoperative Urinary Retention (POUR): The neurological mechanics behind urinary retention following pelvic surgery and the crucial importance of perioperative IV fluid restriction (under 1 liter). Discharge Protocols: Navigating standardized discharge criteria (like the Modified Aldrete or PADSS scores) to avoid premature discharges and dangerous post-op complications.

  ListenShow Notes
• 

  Colorectal Surgery Review

  Rectal Prolapse

  Jun 9, 202626 min

  Reviews the Broden and Snellman theory of rectal prolapse as a progressive internal intussusception. The episode clarifies the misnomer of solitary rectal ulcer syndrome—where true ulcers only appear in 23% of cases—and outlines its precise operative indications. Crucially, it highlights registry data showing that perineal approaches (Altemeier, Delorme) carry a four-times greater relative mortality risk in frail elderly patients compared to minimally invasive abdominal rectopexy, upending decades of surgical dogma.

  ListenShow Notes
• 

  Colorectal Surgery Review

  Treatment of Difficult-Obstructive Defecation

  Jun 4, 202642 min

  Unpacks Obstructive Defecation Syndrome (ODS), starting with the absolute necessity of pelvic floor biofeedback over surgical intervention for dyssynergic defecation. It details the strict millimeter-based grading systems for structural defects like rectoceles and enteroceles. The operative discussion highlights the abandonment of the STARR procedure due to a 40% long-term recurrence rate, instead favoring laparoscopic ventral mesh rectopexy for internal prolapse and transvaginal native tissue repairs for rectoceles.

  ListenShow Notes

Based on semantic analysis of episode topics and host coverage, this show is a strong guest fit for executives in:

Industry fit is computed by PitchCentric using vector embeddings of the show's episode catalog.