Scott R. Steele
@ScottRSteeleMD
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President, Main Campus @ClevelandClinic; Colorectal Surgery; MBA @caseweatherhead; @BehindtheKnife; @ascrs_1; @DCRjournal; @ClinicsColorect
Cleveland, OH
Joined May 2017
Very honored to have over 150 authors from around the world contribute to this amazing project. Thank you so much to so many for making this come to fruition! @justinmaykel @AmyLightnerMD @JISBMD
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#quickcase following admission for Acute onset abdominal pain and CT as shown, intraoperative findings demonstrate 100cm of bowel as pictured. What is your longer term plan for underlying cause?
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#quickcase during a right colectomy you have an air leak at the ileocolic anastomosis. How do you proceed with the situation on the operation? Do you air leak for a right?
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Congratulations @DavidLiskaMD for being named @ClevelandClinic Dept of #ColorectalSurgery Chair! We are so excited and look forward to our future!
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I will admit to being a #prouddad - her first #marathon @Philly_Marathon - to run together (3:46!) was a lifetime memory. @HBAthletics @ClevelandClinic #DTD
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Proud of the history and impact of @ClevelandClinic #colorectalsurgery department research as well as the great things now and to come!
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#quickcase #colorectalsurgery. A young patient is brought in with a gunshot to the left flank. He is initially unstable and HR now 110 and SBP 93 after 2L. In the OR you find tail of pancreas, small bowl x2 and sigmoid colon injury as shown. How do you proceed?
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#quickcase. Mid-40s healthy patient with homogeneous granular lateral extension lesion of 45 X 35 mm in the middle third of the ascending colon-Kudo glandular pattern IV. What’s your approach?
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#qickcase #colorectalsurgery you encounter the lesion below in the proximal ascending colon on a 46 yo healthy patient on screening #colonoscopy. How do you proceed?
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Thank you to my co-editors @UMASSColorectal @justinmaykel @ClevelandClinic @CleveClinicFL @SWexner and so many authors to name in a few characters. Great to see this work come to fruition!
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#quickcase. Mid 60s patient on screening colonoscopy undergoes #EMR resection of this polyp at distal ascending colon. Pathology with focus of adenocarcinoma amongst TVA with HGD. Margins cannot be assessed with piecemeal. What next?
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#quickcase. Patient presents from home with initial diarrhea then obstipation. How do you proceed immediate and after?
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#colorectalsurgery #inaminute consult @ClevelandClinic @CleveClinicFL @SWexner discusses gaining length for distal anastomoses
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Extremely happy to announce @AmyLightnerMD is joining our @ClevelandClinic @CleClinicMD #colorectalsurgery team. #IBD 🌎 #teamwork #collaboration
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A very Merry Christmas and happy holidays🎄🎁 to all. Nice to wake up to a snowy winter day here in #cleveland.
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#quickcase. Following a trans anal excision of a polyp (right above the dentate line), the pathology returns with anal adenocarcinoma with microscopic positive margin. How do you proceed?
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#quickcase 1 week post-segmental small bowel resection for #SBO your patient has increasing pain, fevers, ileus and rising WBC. You give IVF and abx and CT shown. HR 110s and SBP 100s. How do proceed?
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#quickcase #colorectalsurgery a young patient with a prior total proctocolectomy presents with recurrent #stomal #prolapse of the #ileostomy. What now?
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Okay taking the family to @taylorswift13 was incredible and she was admittedly amazing! Even found time to trade bracelets.
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#quickcase #colorectalsurgery during a diagnostic laparoscopy for abdominal pain after extensive negative work up (including a colonoscopy), you find this isolated lesion on the lateral abdominal wall. Path with adenoCa consistent with colonic. What now?
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Thank you @SWexner. Honored for the opportunity in this incredible institution @ClevelandClinic and to collaborate with so many amazing people!.
Huge congratulations @ScottRSteeleMD on your very well deserved new leadership role @CleClinicMD @ClevelandClinic @ASCRS_1 @DCRjournal @BehindTheKnife @SurgJournal @ClinicsColorect @ABCRSorg @AmCollSurgeons @OhioACS @SAGES_Updates @SSATNews @SocSurgOnc
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#colorectalsurgery #inaminute consult with @AntoninoSpin @HumanitasMilano tips on performing the ideal ileocolonic anastomosis
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Introducing #colorectalsurgery #inaminute consult regarding useful tips from providers all over the world regarding colorectal disease . @ClevelandClinic
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As we approach #VeteransDay, this was a wonderful quote. Thank you to all who have served in any capacity
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#quickcase #colorectalsurgery. Following a proctectomy and stapled anastomosis your flex sig in the OR to test air leak (neg) is shown. How do you proceed?
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A huge thank you to all our @BehindTheKnife contributors, guests, and listeners. 10 Million! Who would have thought sitting down to record the first one. Big ups to my partners @Kniery_Bird @BinghamMd @mcclellanjm @georgoff #DTD!
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#quickcase #colorectalsurgery you are asked to see a patient with high ileostomy output (2-4L/day) despite fiber, lomotil, Imodium, and paregoric. What next?
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Congratulations @slsteinmd1 @UHhospitals on a great book that walks both beginners and advanced surgeons through tips and tricks for lap colectomy!
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#quickcase #colorectalsurgery. A mid40s healthy patient presents with #constipation. Scope shows an upper rectal narrowing for 4 cm. No other abnormalities and no prior surgeries. Able to get through with Peds scope. BX nonspecific inflammation. MRI with thickening. What now?
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#colorectalsurgery #inaminute consult @ClevelandClinic @DrMikeValente discusses tips and strategy for dealing with enterocutaneous fistulas
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#quickcase #colorectalsurgery during a left colectomy you are mobilizing the splenic flexure and note brisk bleeding from both the retroperitoneum and capsule - what now?
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#quickcase following a laparoscopic colon surgery, how long do you expect to see this as “expected”? In a patient with an ileus 4 days out, how to you proceed?
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#colorectalsurgery #inaminute consult @UniversityLeeds @ACPGBI @JGColorectal @jim_tiernan tips on low dissection & transection in the pelvis
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#quickcase. A mid 20s female presents with chronic non-healing posterior fissure. Tried GTN, ca channel blockers, Botox and had a prior LIS. Normal pressures on manometry. What now?
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Lots of great COVID information out there. A bit of #colorectalsurgery education with an image from @ClevelandClinic Joe Pangrace. Difficulty with length after left side resection?
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Great to be out at @wpsa1 annual event @ClevelandClinic celebrating our incredible women colleagues and leaders!
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#quickcase mid 20s patient with recurrent #pilonidal sinus. Drains, painful: no abscess. Only I&D in the past. How do you proceed?
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Honored to have @OSUCCC_James @OhioStateSurg @MattKaladyMD as our @ClevelandClinic 2nd Annual Ian Lavery Master Clinician in Colorectal Surgery Lecturer #rectalcancer #weisscenter
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#colorectalsurgery #inaminute consult. @ClevelandClinic James Church walks through flaps for #fistulas
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#quickcase #surgerylive. Young male in 30s with partially obstructive rectosigmoid cancer and CT staging as below. How to you work through this scenario? Chemo? Surgery? Liver first? Combined? What if LBO? Stent/resect/divert? @ClevelandClinic
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#quickcase #ColorectalSurgery During a splenic flexure mobilization, the splenic capsule starts to bleed from the inferior pole. Coagulation and pressure don’t help. What next?
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We are extremely excited to have @AJKesh join us @ClevelandClinic #colorectalsurgery department! Looking forward to all the great things to come!
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#quickcase #colorectalsurgery following anterior resection your patient has an initial 4 pt drop in hgb to 7.3. They are now pod5, hemodynamically stable but with an ileus. CT as shown with large hematoma. Wbc 9. How do you proceed.
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#quickcase #colorectalsurgery you are in the OR for presumed appendicitis on a 53 yo patient with abdominal fluid (CT read) and on laparoscopy see a dilated appendix and mucin in the abdomen and omentum. No solid lesions. Scope 3 years ago normal. How do you proceed?
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We @BehindTheKnife are so excited to have over 1,000,000 downloads of our podcast! Thank you to all our listeners! #DTD
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#colorectalsurgery #inaminute consult @ClevelandClinic @MattKaladyMD discusses work-up for #Lynch syndrome #weisscenter #hereditaryneoplasms @CleClinicMD
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@ClevelandClinic @arikanters celebrating #WomenInMedicine / wonderful to have her stay with us - #quality, #cancer, complex fistulas, academic surgery, #positivity !
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Great to have @jendavidsmd @umassmemorial @UMassSurgery @UMASSColorectal here @ClevelandClinic to discuss building #genderequity in #surgery
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#quickcase. You are asked to see a 57 yo diabetic obese patient with a deep post anal space abscess. Your approach is?
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#colorectalsurgery #inaminute consult @ColorectalDis EIC @Neil_J_Smart discusses tips and approaches to #parastomal #hernia
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#colorectalsurgery #inaminute consult with @BoutrosMarylise @mcgillu - incredible overview of what to do with your patients with low anterior resection syndrome #LARS
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#quickcase #colorectalsurgery #generalsurgery. Despite multiple attempts at nonop treatment, your patient with prior resection x2 has a high grade SBO. Intraop you find dense matted adhesions. Several enterotomies occur getting in. How do you proceed?
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#quickcase #colorectalsurgery POD 1 from lap right for Cecal volvulus (left) your 82 yo pt begins to have multiple bloody BM. He is in lovenox for a mechanical valve. HR 90s (on beta blockers) BP 100s, hgb 8 with 2U. Additionally CT demonstrates right image. How do you proceed?
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You are caring for a mid 50s patient with recurrent #diverticulitis and a 3.3cm pericolonic abscess that IR says is non drainable. Pt has been on abx for 2 weeks and stable as outpatient. Repeat CT as shown. What now?
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#colorectalsurgery #inaminute consult @DeliaCortesGuir tips on #carcinomatosis #hipec #cytoreductivesurgery
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Our first #colorectalsurgery #inaminute consult. @ClevelandClinic @ASCRS_1 past president @drtracyhull about #rectovaginalfistulas
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Middle Aged female with chronic constipation and failed multiple otc & prescription meds with sitz marker shown. Now what?
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So excited to be here in Cairo for the Egyptian Colorectal Surgery Congress. What an incredible day —seeing things I have imagined since a child right in front of you. Huge thank you to our host family Drs. Hassab!
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#colorectalsurgery #inaminute consult with @ClevelandClinic @AmyLightnerMD on #stemcell therapy for #ColorectalDisease @CleClinicMD
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#quickcase. You are seeing a patient with a history of repeated ischemic colitis for colectomy. Do you specifically evaluate the blood vessels or collateral circulation? If so, how? If not, why not?
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A 58-year-old asx patient on screening colonoscopy found the cecal appendage partially everted to a length of 1 cm or partially invaginated. This same finding is visualized on CT- nothing else. Mother with a history of colon cancer at age 56. What next?
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#colorectalsurgery #inaminute consult @ucl @uclh @thelondonclinic @ManishChandSurg discusses the role of #ArtificialInteligence in #surgery
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We are very proud and happy for @MattKaladyMD and wish him the best @OSUSurgery. No better person to lead. Thank you for all the wonderful years @ClevelandClinic.
After a national search, I am thrilled to announce that @MattKaladyMD from @ClevelandClinic will join @OSUSurgery as next Division Director of Colon & Rectal Surgery. An expert on colon #cancer & hereditary syndromes, he is NIH funded in CRC genetics. Welcome! #buckeyebound
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#quickcase. #surgery You are called for a perineal trauma and impalement injury from a fall. The sphincter is disrupted along with a oelvic FX and soft tissue defect in the groin- though no vascular injury. Hemodynamically stable -How do you proceed?
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#quickcase. Mid 40s female with #constipation and straining and bloating. Transit studies prolonged while on multiple laxatives. Defecography shown. Now what?
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Packed house with standing room only at #ACS2019 for #Anastomoticleak symposium. Incredible panel and audience!
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#colorectalsurgery #inaminute consult with @ClevelandClinic @DavidLiskaMD on tips for surgical management of #FAP #weisscenter
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Looking forward to seeing you all virtually #ASCRS21 coming up for our @ASCRS_1 annual meeting. Check out some of the great things out of @ClevelandClinic @CleClinicMD with talks by @drtracyhull @HolubarStefan @DavidLiskaMD @AmyLightnerMD @EmreGorgunMD @SVogler33 & more
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Congratulations @BradleyJChampa1 for his new role as #CMO of @ClevelandClinic Fairview! #collaboration #vision #PatientsFirst
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#colorectalsurgery #inaminute consult @ClevelandClinic @BradleyJChampa1 tips on lap #colectomy and vessel ligation
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#quickcase #colorectalsurgery you are in the OR for a colon volvulus and find the bowel as below. Distal bowel is normal and proximal is dilated but healthy. How do you proceed?
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Hard to believe another year has passed. Congratulations to Class of 2019 and welcome 2020! @ClevelandClinic #colorectalsurgery
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#quickcase #colorectalsurgery 52 yo with 2 bouts of uncomplicated #diverticulitis past year and 2 others past 3 years. Scope normal except for tics and CT below. Intermittent LLQ pain and diarrhea. In your office for recommendations- you say?
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Another great lecture by @RoelHompes on managing #anastomoticleaks. Another world class Visiting Professor @ClevelandClinic
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Wonderful to have a world renown ESD expert @EmreGorgunMD here to spend extra time to train our fellows in advanced endoluminal surgery. @ClevelandClinic
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#quickcase #colorectalsurgery. You are asked to see a patient with a tender area on the right buttock and noted to have a perforated extraperitoneal rectal cancer. No fistula on exam. AVSS. Wbc 18k. No other mets. How do you proceed?
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One last thank you to all who got a chance to visit #cleveland #ASCRS19 @fascrs_updates. Wonderful meeting and great chance to #collaborate and catch up with friends. See you #ASCRS20 in #Boston
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