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SAGES has signed on with other medical organizations representing physicians who provide essential care for patients to express their concerns with the proposed changes to the Medicaid program being considered by Congress. sages.org/physician-medi… SOM - Surgery

This is the future, remember it Reversible endoscopic gastroduodenal bypass SAGES is in Tampa in 2026! Saurabh Chandan, MD thieme-connect.de/products/ejour…

Strange things are afoot

SAGES is in Tampa in 2026!

You ought to be able to submit papers to 3 journals at the same time, which you would assign a rank to. If your paper got accepted by choice 2 or 3, then the ‘higher’ journals would have a month to make a counter-offer. This would get stuff published (many) months earlier? 🤷‍♂️

What happened here?

CT scan of a patient with difficulty swallowing. What’s the diagnosis?

Laparoscopic Infracolic Necrosectomy & Roux-en-Y Cystjejunostomy with Cholecystostomy and CBDE 🟢8 wks post index admission 🟢WCC/CRP/Albumin normal 🔴Concomitant procedures in select pts ➡️MDT approach 🔴Nutrition optimised pre-op 🔴Advanced lap skills critical ➡️Robotic

SAGES recently updated the Laparoscopy Preparation and Troubleshooting Guide in collaboration with the Association of periOperative Registered Nurses (AORN). You can view the guide and download a PDF at sages.org/laparoscopy-pr…

New! Dissemination of Surgical Clinical Practice Guidelines - Evaluating SAGES’ Strategies for Distribution sages.org/publications/g…

One of my favorite Dr. Ingram pearls: "Every condition has conservative management. You just do nothing. Often doesn't work." Emory Surgery Edward Lin Maria Russell Ken Cardona Car_Wreck_Doctor Christian Vercler Adriana C Gamboa, MD MSc SAGES is in Tampa in 2026!

Agree 100%. And while all of us have made errors in judgement, it’s disheartening to see some don’t learn from their repeated mistakes. We can spin the “informed consent” conversation, and “giving someone a shot” is not an acceptable way to rationalize bad decisions.

Tell your Senators to support S. 1640 today! This legislation, if passed, would temporarily reverse the 2.83% cut and provide a 2% positive payment update, an increase equivalent to roughly half of the Medicare Economic Index (MEI) for 2025. physiciansgrassrootsnetwork.org/be-heard?vvsrc…

General surgeons please stop doing robotic choles, please we are all begging you.

Sravan Panuganti, DO, FACOS My robotic choles have great outcomes & I will keep doing them. It’s a great & indicated operation. This actually shows that the most feared outcome is NOT any different with robotic vs lap chole. The higher overall complication rate is much more likely related to selection bias.

SAGES 2025 virtual meeting content and CME credits are now available online! Previously registered attendees can access virtual content (at no additional cost) at sages2025.org/get-the-app/. New attendees can register at web.cvent.com/event/ccdafb78…

Sravan Panuganti, DO, FACOS No offense, because I love your posts, but is it fair for you to decide the utility of a tool/technology for another specialty in which you don't have experience? Am I qualified to decide which urologic surgeries require the robot?

Sean Langenfeld Sravan Panuganti, DO, FACOS Actually, it might be. The 🤖 is not an unlimited resource, like packs of gauze 4x4’s. If surgeon X has the 🤖 for 6 hours, then surgeon Y cannot have the 🤖 for those 6 hours. For now, there will have to be multidisciplinary dialogue about its use.

Ron Barbosa MD FACS Sean Langenfeld Sravan Panuganti, DO, FACOS You are both correct. Yes resource utilization and robot allocation is a multidisciplinary discussion. However, the actual subject experts are the ones to adjudicate the *clinical* utility. For example, I’m not a G-Bag surgeon, but drains after CCY seem more a reflection of case

Enjoy the holiday weekend and this SAGES 2025 mashup!