- Colorectal Cancer Surgical Treatments
- Pancreatic and Hepatic Oncology Research
- Colorectal and Anal Carcinomas
- Gastric Cancer Management and Outcomes
- Abdominal Trauma and Injuries
- Colorectal Cancer Screening and Detection
- Cutaneous Melanoma Detection and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Gastrointestinal disorders and treatments
- Esophageal and GI Pathology
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Nonmelanoma Skin Cancer Studies
- Appendicitis Diagnosis and Management
- Esophageal Cancer Research and Treatment
- Pancreatitis Pathology and Treatment
- Hepatocellular Carcinoma Treatment and Prognosis
- Trauma and Emergency Care Studies
- Diverticular Disease and Complications
- Aortic aneurysm repair treatments
- Abdominal Surgery and Complications
- Ultrasound and Hyperthermia Applications
- Anorectal Disease Treatments and Outcomes
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Colorectal Cancer Treatments and Studies
- Gallbladder and Bile Duct Disorders
University of Colorado Denver
2015-2024
University of Colorado Anschutz Medical Campus
2016-2023
SMEC (Australia)
2023
University of Colorado Hospital
2022
University of Tennessee at Chattanooga
2020
Denver VA Medical Center
2017
American College of Surgeons
2017
May Institute
2015-2016
University of Colorado Health
2013-2015
Denver Health Medical Center
2013-2015
BACKGROUND There is currently no scoring system for rib fractures that relates detailed anatomic variables to patient outcomes. Our objective was develop and validate a radiographic fracture based on computed tomographic chest findings. METHODS We reviewed our trauma registry from September 2012 April 2014 all blunt patients with one or more visualized tomography. identified the following six candidate tested their individual associations pneumonia, respiratory failure, tracheostomy: (1)...
To compare short-term and oncologic outcomes of patients with cancer who underwent open pancreaticoduodenectomy (OPD) versus minimally invasive (MIPD) using the National Cancer Database.MIPD, including laparoscopic robotic approaches, has continued to gain acceptance despite prior reports increased mortality when compared OPD.Patients pancreatic diagnosed from 2010 2015 undergoing curative intent resection were selected Database. Patients submitted OPD those MIPD. Laparoscopic approaches...
Chest CT is more sensitive than a chest X-ray (CXR) in diagnosing rib fractures; however, the clinical significance of these fractures remains unclear.The purpose this study was to determine added diagnostic use performed after CXR patients with either known or suspected secondary blunt trauma.Retrospective cohort trauma at level I center that had both and chest. The finding ≥ 3 additional ≤ on considered clinically meaningful. Student's t-test chi-square analysis were used for comparison.We...
BACKGROUND: In patients with ulcerative colitis who undergo IPAA, a diverting ileostomy is used to diminish the severity of anastomotic complications. Typically, closed after an interval 2 4 months. The safety earlier closure pouch surgery unknown. OBJECTIVE: This study aimed compare postoperative outcomes in randomly assigned early (7–12 days) or late (≥8 weeks) ileal construction. DESIGN: was multicenter, prospective randomized trial. SETTING: conducted at colorectal surgical units select...
BACKGROUND: In patients with rectal cancer achieving a pathologic complete response after neoadjuvant chemoradiotherapy and total mesorectal excision, the benefit of adjuvant therapy is unclear. OBJECTIVE: To assess chemotherapy on survival among following chemoradiation. DESIGN: Retrospective cohort study. SETTING: National Cancer Database (2004-2017). PATIENTS: Patients clinical stage 2 or 3 adenocarcinoma who underwent chemoradiation (50-50.4 Gy in 25-28 fractions) followed by excision...
BACKGROUND: Total neoadjuvant therapy in rectal cancer may increase pathological complete response rates, potentially allowing for a nonoperative approach. OBJECTIVE: The objective of this study was to identify patient and tumor characteristics that predict following total therapy. DESIGN: This retrospective cohort study. SETTINGS: conducted at university-based National Cancer Institute–designated Comprehensive Center. PATIENTS: patients include those with stage 2 or 3 adenocarcinoma....
To compare outcomes in patients receiving neoadjuvant stereotactic body radiation therapy (SBRT) with those intensity-modulated (IMRT) for pancreatic adenocarcinoma.We analyzed SBRT borderline resectable (BRPC) and locally advanced cancer (LAPC) (2012-2016). Differences baseline characteristics, perioperative outcomes, progression-free survival (PFS), overall (OS) were compared.Seventy-five (82.4%) received 16 (17.6%) IMRT. There no differences surgical resection rates the (n = 38, 50.7%)...
In Brief BACKGROUND: Stage-specific survival for colon cancer improves when more lymph nodes are reported in the surgical specimen. This has led to a minimum standard of identifying 12 as quality indicator. OBJECTIVE: The aim this study was determine whether addition Schwartz solution increases node yield and impacts pathologic staging. DESIGN: is prospective cohort study. SETTING: conducted an academic medical center. PATIENTS: Included were 104 consecutive patients with colorectal cancer....
Background and Objectives Neoadjuvant chemoradiation for rectal cancer is associated with lower local recurrence rates. The objective of this study to assess the impact neoadjuvant therapy on perioperative complications in patients cancer. Methods Using ACS‐NSQIP database (2005‐2012), a propensity score was used match 3592 receiving undergoing surgery alone. association between outcomes evaluated. Results Among all patients, overall morbidity significantly higher group ( n = 1170, 29.9%)...