BY BATYA SWIFT YASGUR
Frontline Medical News
Patients with suspected adhesive small bowel obstruction have shorter hospi- talization times and fewer complications when admitted directly to a surgical
service, rather than being admitted to the
medical hospitalist service, according to researchers at Virginia Mason Medical Center
Although adhesive small bowel obstruction
(ASBO) is a potential surgical emergency, it
is increasingly managed by medical hospital-
ists because of the presumption that these
patients will probably not require surgery.
Dr. Phillip A. Bilderback and his colleagues
investigated whether the value of care delivered in the medical hospital service (MHS)
was comparable to the value of care delivered
in the surgical service (SS) (J Am Coll Surg.
The researchers reviewed 555 consecutive
admissions with presumed ASBO from 2008
to 2012, grouping them according to admit-
Cut to the chase: Admit ASBO
patients directly to surgical
From the Editor
BY LAYTON F. “BING” RIKKERS, M.D., FACS
Peering out from 28 foors above the busy, early morn- ing streets of downtown Chicago, I was entranced by the view. The rising sun in the east created a shimmering, iridescent play of light on the waters of Lake Michigan that extended as far as the eye could see. The room
I was in also commanded my attention. Several rows of
desks, each with a computer screen, faced a single elevated
line of chairs for the leaders of the deliberations that were
about to take place. Above this row on the front wall of
this imposing room is emblazoned the seal of our College
with its mission statement, “The ACS is dedicated to improving the care of the surgical patient and to safeguarding
standards of care in an optimal and ethical practice environment,” to remind those in the room of the ultimate
purpose in serving this professional organization. So the
Regents room and view appeared to me, a newcomer to
these meetings of the leadership of the American College
I hope I can convince you in the paragraphs that follow
that this mission and its execution by Regents, Governors,
and Fellows of the ACS, are every bit as noble as the architecture of the room and the view it afords.
VOL. 11 • NO. 10
Pre s orte d Sta n d ard
banon Jct. K Y
A C S Surgery N e ws C H A N G E SE R VIC E R E Q U ES T E D
151 Fairchild Ave.,
S uite 2,
Plainvie w, N Y 11803-1709
See College Â page 7
10 l Practice Management
Medicare 2016 fee schedule:
What you need to know.
13 l Commentary
Dr. Joseph V. Sakran offers some advice on
the art of negotiation and getting the most out
of your next contract.
21 l Endocrine Surgery
New Cushing’s disease
guidelines emphasize medical
and surgical teamwork.
Online & In-Depth
Monitoring Patients on Opioids
View an interview with Dr. Melissa B. Weimer
on consistency in managing patients on opioids.
( http://goo.gl/iyVMvL) See ASBO Â page 11
It’s all about service.