James talks to Associate Professor Charbel Sandroussi about nutrition. Nutrition is an important topic that many junior (and senior) doctors don’t know much about.
Summary Writer: George McClintock
Editor: James Edwards
Interviewee: Charbel Sandroussi
Associate Professor Charbel Sandroussi is a Specialist Surgeon in hepatobiliary, upper gastrointestinal, transplantation and general surgery at Royal Prince Alfred and the Mater Hospitals in Sydney. Charbel’s clinical interests are live donor liver transplantation, complex liver and pancreas resection including major vascular resection and organ preservation techniques in oncology. He has published and presented on transplantation and hepatobiliary surgery. Charbel’s research interests are in complex vascular resection for cancer, the impact of neoadjuvant and adjuvant treatment on the recurrence of hepatocellular cancer after resection and transplantation and downstaging of pancreas cancers that are borderline for resection.
With Associate Professor Charbel Sandroussi, Consultant Upper GI Surgeon at Royal Prince Alfred Hospital, New South Wales, Australia
Nutrition is an important topic that many junior (and senior) doctors do not know much about.
You are asked to review a patient on the upper GI surgical ward, who has developed a post-operative ileus and remains nil by mouth.
As a junior doctor you find that one of your regular blood tests has come back for a patient on TPN and you find that the potassium is low at 2.8, the magnesium is 0.6 and the phosphate is 0.5. What do you think has occurred and what is the appropriate management?
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