Industrial Worker Requires Gastrointestinal Surgery Following On-Site Accident

Case Overview

This case involves a 43-year-old female industrial worker who was involved in an on-site accident. She was admitted to the hospital with severe abdominal trauma, broken sternum, and head trauma. On her third day in the hospital, it was determined that she had an obstruction of the small bowel. The patient subsequently required resection of about 40 cm of her small bowel. Following her surgery, the patient continued to suffer from a range of gastrointestinal complications. An expert gastroenterologist was sought to review the patient’s medical records and determine the extent of the injury and how it may impact the patient in years to come.

Questions to the Gastroenterology expert and their responses

Please explain why you're qualified to serve as an expert witness on this engagement.

I am a board certified gastroenterologist and internist, and I have completed an additional fellowship in clinical nutrition and small bowel disorders. I see patients who have a variety of small bowel problems, including prior small bowel resections.

Are you able to determine the long-term consequences of having a large section of small intestine removed?

There are a variety of gastrointestinal and nutritional problems that patients are at risk for when small bowel is resected. The types of problems depend on a number of factors: the location of bowel removed, the length removed, the type of surgery performed, how the anastomosis was created (and if there was an ostomy involved), surrounding medical circumstances (ischemia, infection, etc), prior medical problems, medication use, etc. Follow-up care is also important to ensure both adequate surgical healing as well as medical therapy for whatever gastrointestinal and nutrition-related problems occur. With a thorough review of the medical records, I would be able to opine on the long-term consequences of this patient's small bowel resection post trauma.

About the expert

This highly qualified expert is board certified in internal medicine and gastroenterology and has been practicing for 7+ years. He completed both his residency and fellowship trainings focusing on gastroenterology and small bowel disorders at the University of Chicago. He has published 12+ peer-reviewed journal articles and delivered a lecture before the Illinois Surgical Society on the management of intestinal failure and short bowel syndrome. Currently, he is an assistant professor of gastroenterology and hepatology at a major university, where he is also the medical director of nutrition support.

E-020842

Specialties:

Gastroenterology

Dr. Wendy Ketner is a distinguished medical professional with a comprehensive background in surgery and medical research. Currently serving as the Senior Vice President of Medical Affairs at the Expert Institute, she plays a pivotal role in overseeing the organization's most important client relationships. Dr. Ketner's extensive surgical training was completed at Mount Sinai Beth Israel, where she gained hands-on experience in various general surgery procedures, including hernia repairs, cholecystectomies, appendectomies, mastectomies for breast cancer, breast reconstruction, surgical oncology, vascular surgery, and colorectal surgery. She also provided care in the surgical intensive care unit.

Her research interests have focused on post-mastectomy reconstruction and the surgical treatment of gastric cancer, including co-authoring a textbook chapter on the subject. Additionally, she has contributed to research on the percutaneous delivery of stem cells following myocardial infarction.

Dr. Ketner's educational background includes a Bachelor's degree from Yale University in Latin American Studies and a Doctor of Medicine (M.D.) from SUNY Downstate College of Medicine. Moreover, she is a member of the Board of Advisors for Opollo Technologies, a fintech healthcare AI company, contributing her medical expertise to enhance healthcare technology solutions. Her role at Expert Institute involves leveraging her medical knowledge to provide insights into legal cases, underscoring her unique blend of medical and legal acumen.