Collection
Hepatobiliary & Colorectal Surgery
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
For suspected bile leak, CT scan showing fluid in the gallbladder fossa should be tapped by radiology to confirm bile, followed by pigtail catheter placement and immediate ERCP. — Jeff Ponsky, Cholecystitis- Drs Jeffrey Ponsky and Rae Hanke · 21:11
Gallstone Disease & Cholecystitis1 item
Cholecystitis- Drs Jeffrey Ponsky and Rae Hanke
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This video didactic lecture discussing everything cholecystitis has been provided by Drs Jeffrey Ponsky and Rachel (Rae) Hanke as well as the incredible surgical app and resource Stay Current: Pediatric Surgery as they work to develop addit
video24:33 · Jul 2026
Laparoscopic Cholecystectomy2 items
StayCurrent Forums
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Jeffrey Ponsky, Professor Emeritus of Surgery and Nathaniel Soper, Chairman of Surgery, go back to the basics on Laparoscopic Cholecystectomy on this episode of the StayCurrent Forum.
video · Jul 2026
StayCurrent Forums - Laparoscopic Cholecystectomy
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Jeffrey Ponsky, Professor Emeritus of Surgery and Nathaniel Soper, Chairman of Surgery, go back to the basics on Laparoscopic Cholecystectomy on this episode of the StayCurrent Forum.
podcast · Jul 2026
Pediatric Biliary Stones2 items
Update Course Rewind: Pediatric Biliary Stones - Preventing Gallstone Pancreatitis 2024
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In this session from the 12th Annual Update Course in Pediatric Surgery, Drs. David Vitale, Luke Neff, and Jeffrey Ponsky explore strategies for preventing gallstone pancreatitis in pediatric patients with biliary stones. This session is cl
video3:53 · Jul 2025
Update Course Rewind: Pediatric Biliary Stones - Preventing Gallstone Pancreatitis 2024
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Update Course Rewind: Pediatric Biliary Stones - Preventing Gallstone Pancreatitis 2024 | Podcast Episode on RSS.com Sign up free Features Resources Pricing Podcasts Sign up free Sign In Stay Current in Pediatric Surgery... Update Course Re
podcast3:53 · Jul 2026
Intraoperative Complications1 item
Intra-operative Bile Leak During Cholecystectomy
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This talk was presented at the How I Deal with Complications in HPB Surgery session by Jeffrey Ponsky on Friday, March 18, 2022 during the SAGES 2022 Annual Meeting in Denver, Colorado
video · Jul 2026
Surgeons learning laparoscopic inguinal hernia repair should avoid bilateral and recurrent hernias during their learning curve, although these patients might benefit most, they have the highest risk. — Michael Rosen, Inguinal Hernia With M. Rosen · 28:40
Inguinal Hernia With M. Rosen
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An interactive discussion about inguinal hernia between Jeffrey Ponsky, MD and Michael Rosen, MD. Dr. Rosen is professor of surgery at Cleveland Clinic Lerner
podcast31:05 · Jul 2026
For total mesorectal excision, the circumferential resection margin should be one to two millimeters; if threatened, this is an indication for neoadjuvant therapy or extended resection. — Conor Delaney, Colorectal Cancer · 9:03
Colorectal Cancer
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An interactive discussion about colorectal cancer between Jeffrey Ponsky, MD and Conor Delaney, MD, PhD. Dr. Delaney, is the chairman of the Digestive Disease
podcast26:42 · Jul 2026
Staycurrent Forums
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Jeffrey Ponsky, Professor Emeritus of Surgery and Stephanie Walsh, Associate Professor of Surgery and Pediatrics, talk about obesity in children and what to do
podcast · Jul 2026
StayCurrent Forums Trailer
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GlobalCastMD is revealing brand new content that is different from our normal youtube videos or podcasts that take a deep dive into Pediatric Surgery! Rod Gerardo along with Jeffrey Ponsky are interviewing people from around the globe, resi
video · Jul 2026
Commercial Audio Only (1080p)
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GlobalCastMD is revealing brand new content that is different from our normal youtube videos or podcasts that take a deep dive into Pediatric Surgery! Rod Gerardo along with Jeffrey Ponsky are interviewing people from around the globe, resi
podcast0:37 · Jul 2026
Featured picks for families are being prepared — the summaries above are written for you.
Expert statements from the recordings in this collection.
Commercial Audio Only (1080p)
The speaker is Rod Gerardo from Cincinnati Children's
The new content format differs from existing YouTube videos and podcasts that go deep in the weeds with pediatric surgery
Dr. Jeff Ponsky will co-conduct interviews with Rod Gerardo
Interview subjects will include residents, fellows, and attendings from around the globe
Topics will cover resident wellness, general surgery concepts, and new technologies
Episodes will be available on the Stay Current Pediatric Surgery app and social media channels
Update Course Rewind: Pediatric Biliary Stones - Preventing Gallstone Pancreatitis 2024
The patient is a 16-year-old currently undergoing treatment for acute lymphoblastic leukemia (ALL) who presents with right upper quadrant pain, neutropenia, markedly elevated liver function tests, and ultrasound findings consistent with acute cholecystitis and choledocholithiasis.
In this neutropenic and thrombocytopenic patient, the approach taken was to start antibiotics and address the elevated liver function tests.
The patient spontaneously passed the stone, LFTs came back down, counts recovered, and he proceeded to elective cholecystectomy.
Luke Neff1:31
Gallstone pancreatitis is inflammation of the pancreas triggered by a gallstone obstructing the bile duct, which can also impede pancreatic drainage, preventing pancreatic enzymes from reaching the small intestine and leading them to accumulate and damage the pancreas.
From an ERCP standpoint, unless there's a persistent biliary obstruction or cholangitis, ERCP is not performed right away in gallstone pancreatitis.
Jeff Ponsky2:13
When symptoms are improving in gallstone pancreatitis (biochemical normalization is not required), the approach is to proceed to cholecystectomy with intraoperative cholangiogram and coordinate with ERCP availability in case it might be needed.
Studies show that if you wait one day when a patient comes in with acute biliary pancreatitis and the amylase/lipase go up, then you do ERCP because the stone is impacted; but most of the time the levels will go right down as the stone passes spontaneously, and you can proceed to cholecystectomy.
David Vitale2:38
Most stones can be cleared, some stones pass spontaneously, and good clinical judgment with local resources must be factored into management decisions.
In neutropenic and thrombocytopenic patients with cholecystitis and choledocholithiasis, initial conservative management with antibiotics can be effective, particularly when spontaneous stone passage occurs.
For gallstone pancreatitis, early ERCP is typically reserved for cases with persistent biliary obstruction or cholangitis, as many patients improve without intervention.
The timing of cholecystectomy in gallstone pancreatitis should be based on clinical improvement rather than complete biochemical normalization, with intraoperative cholangiogram and ERCP coordinated as needed.
The 12th annual update course in pediatric surgery introduced a new classification system with three categories: Green Circle for established practice, Blue Square for promising newer practice, and Black Diamond for early adopter practice only.
A 16-year-old male with acute lymphoblastic leukemia (ALL), neutropenic and thrombocytopenic, presented with right upper quadrant pain, markedly elevated liver function tests, and ultrasound findings consistent with acute cholecystitis and choledocholithiasis.
David Vitale0:53
Over 50% of the live and virtual audience poll opted to start antibiotics and address the elevated liver function tests in the neutropenic thrombocytopenic patient.
Dr. Neff's patient spontaneously passed the stone, LFTs came back down, counts recovered, and the patient proceeded to elective cholecystectomy.
David Vitale1:27
Gallstone pancreatitis is inflammation of the pancreas triggered by a gallstone obstructing the bile duct, which can also impede pancreatic drainage, preventing pancreatic enzymes from reaching the small intestine and leading them to accumulate and damage the pancreas.
Luke Neff1:39
Some surgeons will do cholecystectomy within a few days for gallstone pancreatitis, while others will wait for a week.
From an ERCP standpoint, unless there's a persistent biliary obstruction or cholangitis, ERCP is not performed right away for gallstone pancreatitis.
Luke Neff2:15
When symptoms are improving in gallstone pancreatitis, cholecystectomy with intraoperative cholangiogram can proceed without waiting for biochemical normalization, coordinating with ERCP availability if needed.
David Vitale2:24
Studies have shown that if amylase and lipase levels go up when a patient comes in with acute biliary pancreatitis and then start going down, the stone has likely passed and the patient can proceed to cholecystectomy.
Luke Neff2:38
If amylase and lipase continue to rise one day after presentation with acute biliary pancreatitis, ERCP should be performed because the stone is likely impacted.
Luke Neff2:38
Most biliary stones can be cleared, and some stones pass spontaneously, requiring good clinical judgment.
David Vitale2:59
Local resources and what is available must be factored into management decisions for biliary stones.
In neutropenic and thrombocytopenic patients with cholecystitis and choledocholithiasis, initial conservative management with antibiotics can be effective, particularly when spontaneous stone passage occurs.