- Gastroesophageal reflux and treatments
- Esophageal and GI Pathology
- Cardiac, Anesthesia and Surgical Outcomes
- Pancreatic and Hepatic Oncology Research
- Dysphagia Assessment and Management
- Helicobacter pylori-related gastroenterology studies
- Gallbladder and Bile Duct Disorders
- Eosinophilic Esophagitis
- Esophageal Cancer Research and Treatment
- Frailty in Older Adults
- Gastrointestinal disorders and treatments
- Congenital Diaphragmatic Hernia Studies
- Gastrointestinal motility and disorders
- Health Systems, Economic Evaluations, Quality of Life
- Gastric Cancer Management and Outcomes
- Hernia repair and management
- Pancreatitis Pathology and Treatment
- Hip and Femur Fractures
- AI in cancer detection
- Colorectal Cancer Surgical Treatments
- Tracheal and airway disorders
- Appendicitis Diagnosis and Management
- Breast Cancer Treatment Studies
- Diet and metabolism studies
- Nutrition and Health in Aging
University of South Florida
2016-2025
Tampa General Hospital
2014-2025
University of Tampa
2018-2023
McCann Associates (United States)
2020
Dan L Duncan Comprehensive Cancer Center
2017
American Congress of Obstetricians and Gynecologists
2015
American College of Surgeons
2005-2015
American College of Financial Services
2012-2015
USA Mitchell Cancer Institute
2015
University of South Alabama
2015
BACKGROUND America’s aging population has led to an increase in the number of elderly patients necessitating emergency general surgery. Previous studies have demonstrated that increased frailty is a predictor outcomes medicine and surgical patients. We hypothesized use modification Canadian Study Health Aging Frailty Index would be morbidity mortality older than 60 years undergoing METHODS Data were obtained from National Surgical Quality Improvement Program Participant Use Files database...
The Gastroesophageal Reflux Disease-Health Related Quality of Life (GERD-HRQL) instrument was introduced approximately 10 years ago to provide a quantitative method measuring symptom severity in gastroesophageal reflux disease (GERD). Since that time the has been used assess treatment response medication, endoscopic procedures, and surgery for GERD. However, development progressed over course several years, there is no one source which reviews this progress. purpose article summarize testing...
To test by randomized prospective multicenter trial the hypothesis that pancreaticoduodenectomy (PD) without use of intraperitoneal drainage does not increase frequency or severity complications.Some surgeons have abandoned drains placed during pancreas resection.We 137 patients to PD with (n = 68, drain group) and 69, no-drain compared safety this approach spectrum complications between 2 groups.There were no differences cohorts in demographics, comorbidities, pathology, pancreatic duct...
The increasing number of elderly and comorbid patients undergoing surgical procedures raises interest in better identifying at increased risk morbidity mortality, independent age. Frailty has been identified as a predictor complications.To establish the implications frailty mortality inpatient otolaryngologic operations.Retrospective review medical records.National Surgical Quality Improvement Program (NSQIP) participating hospitals.NSQIP participant use files were used to identify 6727...
Prediction of postoperative complications has been based on assessing comorbidities. However, the evaluation these comorbidities not consistently identified those at higher risk complications, primarily due to inability assess how affect functional status. We hypothesized that preoperative measures patients' health status can predict complications.A sample patients undergoing general surgical operations were reviewed for age, gender, diagnosis (for severity), complexity), number...
Colectomy patients experience a broad set of adverse outcomes. Complications requiring critical care support are common in this group. We hypothesized that as frailty increases, the risk Clavien class IV and V complications will increase colectomy patients.Using National Surgical Quality Improvement Program (NSQIP) participant use files for 2005-2009, we identified who underwent laparoscopic open colectomies by Current Procedural Terminology code. Using classification postoperative...
In Brief Objective: To determine the utility of adding oral nonabsorbable antibiotics to bowel prep prior elective colon surgery. Summary Background Data: Bowel preparation colectomy remains controversial. We hypothesized that mechanical with (compared without) was associated lower rates surgical site infection (SSI). Methods: Twenty-four Michigan hospitals participated in Surgical Quality Collaborative–Colectomy Best Practices Project. Standard perioperative data, process measures, and...
Objective: The objective of this study was to test the hypothesis that distal pancreatectomy (DP) without intraperitoneal drainage does not affect frequency grade 2 or higher complications. Background: use routine drains during DP is controversial. Prior study, no prospective trial focusing on has been reported. Methods: Patients undergoing for all causes at 14 high-volume pancreas centers were preoperatively randomized placement a drain drain. Complications and their severity tracked 60...
The efficacy of per oral endoscopic myotomy (POEM) in non-achalasia esophageal motility disorders such as esophagogastric junction outflow obstruction (EGJOO), diffuse spasm (DES), and jackhammer esophagus (JE) has not been well demonstrated. aim this international multicenter study was to assess clinical outcomes POEM patients with disorders, namely DES, JE, EGJOO, a large cohort patients.This retrospective at 11 centers. Consecutive who underwent for or JE between 1/2014 9/2016 were...