A5102773399- Colorectal Cancer Surgical Treatments
- Diverticular Disease and Complications
- Inflammatory Bowel Disease
- Colorectal and Anal Carcinomas
- Gastric Cancer Management and Outcomes
- Colorectal Cancer Screening and Detection
- Anorectal Disease Treatments and Outcomes
- Microscopic Colitis
- Stoma care and complications
- Cardiac, Anesthesia and Surgical Outcomes
- Gastrointestinal disorders and treatments
- Hernia repair and management
- Colorectal Cancer Treatments and Studies
- Intestinal and Peritoneal Adhesions
- Appendicitis Diagnosis and Management
- Esophageal and GI Pathology
- Autoimmune and Inflammatory Disorders
- Enhanced Recovery After Surgery
- Genetic factors in colorectal cancer
- Surgical site infection prevention
- Eosinophilic Esophagitis
- Pelvic floor disorders treatments
- Minimally Invasive Surgical Techniques
- Intraperitoneal and Appendiceal Malignancies
- Pelvic and Acetabular Injuries
Mayo Clinic in Florida
2019-2025
Jacksonville College
2020-2025
WinnMed
2000-2025
South University
2024
University Hospital Southampton NHS Foundation Trust
2024
Mayo Clinic
1998-2022
Cleveland Clinic
2011-2020
Mayo Clinic Hospital
2020
American Society of Anesthesiologists
2020
American Society of Colon and Rectal Surgeons
2010-2019
This study evaluates factors associated with a pathologic complete response (pCR) after neoadjuvant chemoradiation for rectal cancer.Approximately 20% of cancer patients undergoing achieve pCR, which has been decreased local recurrence and improved recurrence-free survival. Means predicting pCR remain incompletely defined.A total 306 consecutive stage II or III who underwent then surgery between 1997 2007 were identified from single-institution. Sixty-four concurrent inflammatory bowel...
The American Society of Colon and Rectal Surgeons (ASCRS) is dedicated to ensuring high-quality patient care by advancing the science, prevention, management disorders diseases colon, rectum, anus. Clinical Practice Guidelines Committee composed society members who are chosen because they have demonstrated expertise in specialty colon rectal surgery. This committee was created lead international efforts defining quality for conditions related anus develop clinical practice guidelines based...
Consensus abstract Background The management of primary rectal cancer beyond total mesorectal excision planes (PRC-bTME) and recurrent (RRC) is challenging. There global variation in standards no guidelines exist. To achieve cure most patients require extended, multivisceral, exenterative surgery, conventional planes. aim the Beyond TME Group was to consensus on definitions principles management, identify areas research priority. Methods Delphi methodology used consensus. consisted invited...
PURPOSE: The aim of this study was to determine rates complications and extent benefits for laparoscopic-assisted colectomy compared with open in patients older than age 75. METHODS: Forty-two undergoing (1992-1998) were matched 42 gender, age, year surgery, operating surgeon, procedure. Health status (American Society Anesthesiology score), previous abdominal conversion rate, surgical outcome, need assistance at admission dismissal (independence vs. home nursing facilities) reviewed....
PURPOSE: Substantial and successful effort has been focused on decreasing the risk of local failure after rectal cancer surgery through use adjuvant therapies. Our study examined data from studies conducted by United States cooperative groups to investigate impact surgical pathologic variables in outcomes. PATIENTS AND METHODS: Surgical reports 673 patients with stage II/III enrolled onto three clinical trials were reviewed for tumor variables. Additional information individual institutions...
Consensus abstract Background The management of primary rectal cancer beyond total mesorectal excision planes (PRC-bTME) and recurrent (RRC) is challenging. There global variation in standards no guidelines exist. To achieve cure most patients require extended, multivisceral, exenterative surgery, conventional planes. aim the Beyond TME Group was to consensus on definitions principles management, identify areas research priority. Methods Delphi methodology used consensus. consisted invited...
The American Joint Committee on Cancer and the College of Pathologists provide guidelines for reporting pathologic response to neoadjuvant treatment rectal cancer. clinical relevance these tumor regression grading is undefined.This study evaluates prognostic significance Cancer/College grading.This a retrospective cohort based data from prospectively maintained colorectal cancer database. cohorts were defined by grade.This was performed at single tertiary referral center.Five hundred...
The purpose of this study was to report our large, single-center experience transabdominal ileal pouch-anal anastomoses (IPAA) redo surgery for a failed initial IPAA.IPAA fail from 3% 15% the times, mainly due technical or inflammatory conditions. There is limited information about surgical, functional, and quality-of-life (QOL) outcomes IPAA, especially in large series patients.Patients undergoing IPAA between 1983 2014 were evaluated. Primary endpoints morbidity surgery, proportion...
CT enterography (CTE) is a technique that provides detailed images of the small bowel by using low Hounsfield unit oral contrast media. This study was designed to correlate CTE findings with operative in patients Crohn's disease.We performed retrospective all disease or colon, who had and subsequent colon surgery within three months after examination. stricture, fistula, inflammatory mass, abscess, combinations these abnormalities were compared findings. Specialist radiologists...
Long-term consequences of anastomotic leak after restorative proctectomy for rectal cancer, in terms bowel function and quality life, have been poorly delineated.The purpose this study is to evaluate the impact leak, when intestinal continuity can still be maintained, on life patients undergoing cancer resection with low colorectal or coloanal anastomoses.From 1980 2010, 864 cancers were identified from a prospective database. Anastomotic detected by combination clinical, radiographic,...
Objective: The aim of the study was to compare value (outcomes/costs) proctectomy in patients with rectal cancer by 3 approaches: open, laparoscopic, and robotic. Background: role minimally invasive is controversial. In era value-based medicine, costs must be considered along outcomes. Methods: Primary undergoing curative intent at our institution between 2010 2014 were included. Patients grouped approach [open surgery, laparoscopic robotic surgery (RS)] on an intent-to-treat basis. Groups...
BACKGROUND: The impact of the specific incision used for specimen extraction during laparoscopic colorectal surgery on incisional hernia rates relative to other contributing factors remains unclear. OBJECTIVE: This study aimed assess relationship between extraction-site location and after surgery. DESIGN: was a retrospective cohort (January 2000 through December 2011). SETTINGS: conducted at high-volume, specialized department. PATIENTS: All patients undergoing elective resection were...
The association between the presence of granulomas in mesenteric lymph node (MLN) and postoperative recurrent Crohn's disease (CD) is unknown. Our aim was to assess predictive value MLN as well bowel wall for recurrence CD.Patients with CD who underwent index ileocolonic resection 2004 2012 were included. Surgical pathology reports reviewed location granulomas. status confirmed by re-review surgical specimen from randomly sampled patients an expert pathologist. Both univariable multivariable...
Abstract Background Both saline and lactated Ringer’s solutions are commonly given to surgical patients. However, hyperchloremic acidosis consequent administration may provoke complications. The authors therefore tested the primary hypothesis that a composite of in-hospital mortality major postoperative complications is less common in patients solution than normal saline. Methods conducted an alternating cohort controlled trial which adults having colorectal orthopedic surgery were either or...
Abstract Background and Aims Patients with Crohn’s disease undergoing ileocolectomy primary anastomosis are often at increased risk of anastomotic leak. We aimed to determine whether diverting ileostomy was protective against leak after ileocolic resection for using a large international registry. Methods analysed the National Surgical Quality Improvement Program Colectomy Module from 2012 2016. Multivariable logistic regression analysis propensity-score matching were used identify...
Preoperative chemoradiotherapy can lead to pathologic complete response of rectal cancer. This study was designed determine the relationship between postchemoradiotherapy T stage (ypT stage) and nodal metastases evaluate whether primary tumor results in sterilization mesorectal lymph nodes.Clinicopathological data from 1997 2007 a prospectively maintained colorectal cancer database were examined. Inclusion criteria patients with extraperitoneal who underwent preoperative subsequent radical...