Outpatient Cancer Center Prepares for Opening Optimizing Care of Patients with Cancer

PATIENT CARE / EDUCATION / RESEARCH / COMMUNITY SERVICE NEWS UPDATE FROM THE DEPARTMENT OF SURGERY STONY BROOK UNIVERSITY MEDICAL CENTER FALL-WINTER 2006 NUMBER 20 Outpatient Cancer Center Prepares for Opening Optimizing Care of Patients with Cancer

In this issue . . . Introducing Our New Faculty — Burn Surgeon, Intensivist, General Surgeon — Plastic Surgeon — Vascular Surgeon

New Plastic & Cosmetic Surgery Center Minimally Invasive Approaches — Treatment of Sleep Apnea & Snoring — Tonsillectomy & Adenoidectomy — STARR Procedure For The Stony Brook University Cancer Center is preparing In addition, the Stony Brook Obstructed Defecation to move its outpatient services into a new facility located University Pain Management Syndrome adjacent to the Ambulatory Surgery Center on the campus Center will be moved into New Cardiovascular of Stony Brook University Medical Center. This move will the facility and offers com- Clinical Trials bring the outpatient cancer services of the hospital and prehensive management and Pediatric Surgery those in our East Setauket offices, including the Carol M. treatment of chronic pain for Outcomes Data Baldwin Breast Care Center, to one convenient location. outpatients. Donation from Former NICU Patient The new Outpatient Imaging Center located in the facility The director of the Cancer is equipped with a full range of advanced diagnostic services Center, Martin S. Karpeh, Jr., Residency Update & Alumni News and state-of-the-art equipment for timely, comprehensive MD, professor of surgery and results. Use of a wide spectrum of imaging systems, includ- chief of surgical oncology, Division Briefs— And More! ing ultrasound, MRI, CT, and PET scanning, and radio- comments: graphic imaging, adds flexibility to diagnostic procedures and will speed up diagnoses for patients. “Providing the best quality surgical oncology requires coordinated planning Performing Laparoscopic between medical and radiation oncologist. Surgery for Pancreatic Cancer Complete surgical resection Advancing Minimally of a patient’s tumor is often Invasive Surgery for Cancer just the first step in the Pancreatic cancer is a disease comprehensive treatment Traditionally, there are two of this person’s cancer. with a generally poor prognosis. major “open” operations done The new Cancer Center will Delay in onset of symptoms to remove pancreatic cancers improve communication leads to initial diagnoses in dependent on their location. between doctors of more advanced disease. Surgery multiple specialties, which is the only hope for potential Laparoscopic pancreatic cancer results in better treatment cure, but is only available to resection (tumor removal) is planning for the patient.” patients whose disease has not now being championed by a spread outside of the pancreas. continued on Page 7 continued on Page 2 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Outpatient Cancer Center Preparing to Open continued from Page 1

While the inner workings breast, skin, lung, hemato- of the new facility bring logic, pediatric, gynecologic, outpatient services and spe- and neurologic cancers. In cialty care into one dynamic addition, an on-site cancer setting, the design of the Clinical Trials Office will building places a premium manage newly launched on comfort, convenience, clinical trials conducted by “Having our outpatient services in one location, includ- and space. This is beneficial the disease-specific teams. ing imaging services, will cultivate the Cancer Center’s to patients and provides for a clinical strategy to build a ‘Center of Excellence,’” says pleasant and efficient work- Other strategies to advance Dr. Martin S. Karpeh, Jr., professor of surgery and chief ing environment. the Stony Brook University of surgical oncology, who also serves as director of the Cancer Center as a “Center Stony Brook University Cancer Center. “The outpatient The spacious and modern fa- of Excellence” include a center also will give students a wonderful opportunity cility offers easy access, ample research and business plan. to learn how modern oncology should be practiced. parking and valet services, These plans, along with the And we expect to involve students more in cancer out- bright and spacious treat- clinical strategy, are part of reach programs by helping with patient education.” ment areas, tranquil lobbies, an ongoing three-point plan and on-site food services. A aimed at developing rela- community resource center tionships with community POST-OP is published by the Department of Surgery will provide patient educa- physicians and hospitals, Stony Brook University Medical Center tion. invigorating the multidis- Stony Brook, New York ciplinary team approach to Editor-in-Chief The new location is also an patient care, and providing a John J. Ricotta, MD optimum setting for the mul- model teaching environment Writer/Editor tidisciplinary collaboration for healthcare professionals. Jonathan Cohen, PhD of 11 disease-specific cancer Contributing Editor management teams in areas Andrew E. Toga, MBA, MPH that include gastrointestinal Advisory Board (upper and lower GI tract), Alexander B. Dagum, MD Cedric J. Priebe, Jr., MD Martin S. Karpeh, Jr., MD Todd K. Rosengart, MD head and neck, prostate and Arnold E. Katz, MD Marc J. Shapiro, MD other urologic cancers, and Margaret A. McNurlan, PhD

All correspondence should be sent to: Dr. Jonathan Cohen Writer/Editor, POST-OP Department of Surgery Health Sciences Center T19 Stony Brook, NY 11794-8191 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY INTRODUCING NEW FACULTY

Dr. Steven Sandoval Dr. Sami U. Khan Dr. Apostolos K. Tassiopoulos

Burn Surgeon, Intensivist, Plastic Surgeon Vascular Surgeon General Surgeon Sami U. Khan, MD, has joined our Division Apostolos K. Tassiopoulos, MD, FACS, has Steven Sandoval, MD, has joined our Divi- of Plastic and Reconstructive Surgery as joined our Division of Vascular Surgery as as- sion of General Surgery, Trauma, Surgical assistant professor of surgery. He comes to sistant professor of surgery. Dr. Tassiopoulos Critical Care, and Burns as assistant profes- Stony Brook from a private practice on Long comes to Stony Brook from Rush University in sor of surgery. Dr. Sandoval is a graduate Island, in which he specialized in plastic and Chicago, where he was an assistant profes- of our residency in surgical critical care, reconstructive surgery. sor of cardiovascular surgery, and a senior who distinguished himself here. He came attending vascular surgeon at the John H. to Stony Brook after completing a fellow- Board certified in surgery, Dr. Khan’s practice Stroger Jr. Hospital of Cook County. ship in burn care at the Burn Center of Weill at Stony Brook will include general plastic Cornell Medical Center in New York. and reconstructive surgery, with an emphasis Board certified in both general surgery and on cosmetic surgery and breast reconstruc- vascular surgery, Dr. Tassiopoulos’ practice at Dr. Sandoval’s practice at Stony Brook will tion. Stony Brook will include minimally invasive include traumatology and the surgical man- endovascular surgery for the management agement of injured patients, as well as the Dr. Khan’s research interests include the areas of aortic aneurysms, lower extremity vascular management of major burns in adults and of reconstruction of complicated wounds disease, carotid disease, and venous disease; children. He will play an active role in the and patient safety related to cosmetic sur- minimally invasive percutaneous closure for care of patients at our Burn Center. gery and body contouring. varicose veins; treatment of spider veins (laser and sclerotherapy); surgery for stroke In addition, Dr. Sandoval will practice gen- Dr. Khan received his medical doctorate from prevention (carotid endarterectomy), aortic eral surgery, with emphasis on the manage- the Medical College of Georgia in 1996. He aneurysms, lower extremity vascular recon- ment of diseases of the gastrointestinal completed his residency training in general struction, and dialysis access. system and the endocrine system. surgery at the Medical Center of Delaware (Wilmington), and his training in plastic Dr. Tassiopoulos received his medical doctor- Dr. Sandoval received his medical doctorate surgery at the Mayo Clinic. ate from Aristotle University Medical School from Ross University School of Medicine in Thessaloniki, Greece, in 1989. He subse- (graduating with high honors) in 1998. He Dr. Khan subsequently completed an ad- quently served for two years as a general then went to the Hospital of the Univer- ditional fellowship in cosmetic surgery and medical officer in the Hellenic Air Force of sity of Pennsylvania, in Philadelphia, to do breast reconstruction in Charlotte, NC. Greece. In 1992, he moved to Houston, TX, his surgical internship. He completed his to pursue a one-year postdoctoral fellowship residency training in general surgery at For consultations/appointments in cardiovascular surgery at Baylor College of Maimonides Medical Center, in Brooklyn, with Dr. Khan, please call Medicine. He then completed his residency graduating in 2004. (631) 444-4666. training in general surgery at SUNY Upstate Medical University in 1999, and went on to Before coming to Stony Brook in July 2005, complete his training in vascular surgery at Dr. Sandoval completed his burn fellowship Loyola University. at the William and Randolph Hearst Burn Center at Weill Cornell Medical Center. For consultations/appointments with Dr. Tassiopoulos, please call For consultations/appointments (631) 444-2565. with Dr. Sandoval, please call (631) 444-2565.

NEW FACULTY PHOTOS BY MEDIA SERVICES | STONY BROOK UNIVERSITY DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Patient Selection Performing the Pillar Procedure And Efficacy Of An Effective, First-Line Treatment Pillar Implant For Sleep Apnea and Snoring Technique

OBJECTIVE: Pillar implant tech- In addition to interrupted Many patients soon report In addition, more than 80% nique (PIT) is a simple, office- based procedure with minimal sleep and daytime fatigue, a noticeable, lasting reduc- of clinical trial patients— morbidity that was introduced in sleep apnea can lead to major tion in mild obstructive sleep and their partners—would 2003 to treat snoring and mild/ health problems such as heart apnea and snoring. In long- recommend the Pillar moderate obstructive sleep apnea/ disease, high blood pres- term (one year) clinical stud- procedure. hypopnea syndrome (OSAHS). We sure, and stroke. Disruptive ies, obstructive sleep apnea studied the: (1) success rate using subjective symptoms and objec- THE PROCEDURE ITSELF snoring also can contribute was reduced in nearly 80% of tive polysomnographic improve- to conflict and stress for both the patients; for patients suf- The Pillar implant ad- ment; (2) success rate based on sleep partners. Now there’s fering from disruptive snor- dresses one of the anatomical BMI, OSAHS severity and Fried- a simple, minimally invasive ing, bed partner satisfaction components of sleep apnea man tongue position (FTP); and option for treating mild was as high as 90%. Patients and snoring: the soft palate. (3) its value as an adjunctive or obstructive sleep apnea and also experienced less daytime During the procedure, three revision procedure. snoring. sleepiness. tiny synthetic biocompat- STUDY DESIGN AND SETTING: ible inserts are placed in the Retrospective review of 125 pa- Our otolaryngology (ENT) Unlike surgical treatments, soft palate to help reduce the tients who underwent the PIT for specialists have been using the Pillar procedure is per- vibration that causes snoring snoring and OSAHS. Patients were the newly developed Pillar formed in a single office visit and the ability of the soft pal- grouped: Group I had PIT only (n = 29); Group II received adjunctive procedure this past year, and using local anesthetic, and ate to obstruct the airway. nasal procedures (n = 37), Group find it to be a safe and effec- is completely reversible. The III received adjunctive oropha- tive method for treating mild procedure places three small Once in place, the inserts add ryngeal procedures (n = 55); and sleep apnea and snoring. This inserts in the patient’s soft structural support to the soft Group IV had failed previous UPPP new treatment is now among palate located at the back of palate. Over time, the body’s (n = 4). the innovative treatments the roof of the mouth. The natural tissue response to the RESULTS: Overall subjective they use for this problem, procedure stiffens the pal- inserts increases the structural and objective “cure” rates were in addition to more invasive ate, preventing or lessening integrity of the soft palate. 88.0% and 34.4%, respectively. treatments for moderate and blockages of the airway— Group IIb had the best objective severe cases of it. effectively treating mild Pillar inserts are made of cure rate of 46.7%. Neither AHI obstructive sleep apnea and material used in implant- nor BMI correlated with outcome measures, whereas FTP did cor- substantially reducing the able medical devices for relate. (FTP I and II had improved intensity of snoring in most more than 50 years. They are success vs FTP III and IV.) Ten individuals. designed to be invisible, and patients had partial extrusion of should not be felt or interfere the PIT. These were removed and with swallowing or speech. new PIT were carried out at a later Many patients resume date. normal diet and activities CONCLUSIONS: Based on a the same day they have the short-term study, the Pillar im- procedure. plant is an effective treatment for snoring and OSAHS in selected For consultations/appoint- patients and can be combined ments with our otolaryngol- with adjunctive procedures to ogy specialists, please call treat OSAHS. (631) 444-4121. Friedman M, Vidyasagar R, Bliznikas D, Joseph THE PILLAR PROCEDURE IS NJ. Patient selection and efficacy of Pillar implant technique for treatment of snoring and obstructive — Less invasive and less painful than sleep apnea/hypopnea syndrome. Otolaryngology- other surgical procedures Head and Neck Surgery 2000;134:187-96. — Completed in a single office visit — FDA-cleared and clinically proven, with results comparable to more aggressive surgical procedures DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Good News For Pediatric Minimally Traumatic Removal Surgery Patients Virtual Pre-Surgical Tour Of Tonsils and Adenoids Now Available Less Pain and Faster Recovery

The Child Life Program at The new “coblation” procedure is a gentler pro-

Stony Brook University Medical cedure, compared with conventional methods, MEDIA SERVICES | STONY BROOK UNIVERSITY Center is proud to announce the launch of its new online for removing both tonsils and adenoids, and it Pre-Surgical Tour for children offers a faster and easier recovery. and their families. The purpose of the tour is to provide patients Traditionally, tonsils and ade- Coblation does not remove who are scheduled for surgery noids are removed by cutting the tonsils or adenoids by a chance to see and know what Dr. Denise C. Monte to expect. or burning, which can cause heating or burning, leaving extensive pain and damage to the healthy tissue surround- The website follows a 9-year- surrounding healthy tissue. ing the tonsils unaffected. old girl named Jamie during her Dr. Monte has been per- initial doctor’s visit, getting ready The innovative approach of forming this procedure since to come to the hospital, during Coblation is an advanced her preoperative preparation, technology that combines coblation results in less pain spring 2005, and is currently into the operating room, onto gentle radiofrequency energy and a more rapid recovery training other members of the pediatrics inpatient unit, and in a natural salt solution—to for most patients, compared our otolaryngology-head and finally through discharge. quickly and safely remove with the traditional surgery. neck surgery service in this tonsils and adenoids. technique. The virtual tour can be accessed at: Denise C. Monte, MD, as- www.stonybrookhospital. Because traditional proce- sistant professor of surgery Dr. Monte’s patients and their com/childlife/preoptour dures use high levels of heat (otolaryngology-head and families say they are extremely to remove the tonsils and neck surgery), is our pediatric satisfied with the results of the The descriptive yet non- adenoids, damage to sur- otolaryngologist, and has coblation operation they had threatening narrative, been specially trained to per- at Stony Brook. accompanied by full-color rounding healthy tissue is pictures, offers a comprehensive common. form coblation tonsillectomy For consultations/appoint- virtual experience for what and adenoidectomy. ments with Dr. Monte, please children and their family call (631) 444-4121. members will encounter “This is a revolution in when coming to Stony Brook tonsillectomy and ad- University Medical Center. enoidectomy surgery. Further, the tour provides Traditionally, postopera- answers to many common tive pain had been a great concern with this pro- questions that arise before cedure,” says Dr. Denise surgery. C. Monte, our pediatric otolaryngologist. For more information about how children can be appropri- “With the coblation tech- ately prepared for surgery, or for nique, the children are in any other questions relating to less pain, and this differ- the services that the Child Life ence has been noticed by Program provides, please call the nursing staff of the re- (631) 444-3840. covery room, the inpatient pediatric ward, and our outpatient office, as well ArthroCare ENT as by parents. Coblation is now my preferred method of performing tonsillectomy and adenoidectomy.” Tonsillectomy with coblation device (left). DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Stapled Transanal Rectal Resection (STARR) The procedure was originally described and invented in For Obstructed Defecation Syndrome Europe. To date, approximately By Marvin L. Corman, MD 300 surgeons have been trained to perform the STARR Chronic constipation is among the most common reasons for patients to solicit medical procedure throughout the advice. In the United States alone, the cost of over-the-counter laxatives is estimated at close world, and approximately to one-half billion dollars per year. Older individuals and women are particularly likely to 5,000 operations have been suffer from this complaint. Usually, the treatment of constipation includes appropriate dietary performed. counseling, a regimen of activity, and often the use of laxatives, enema, or suppositories. In the United States, there There are a number of pathologic causes of constipation, so it is critically important for are a limited number of the patient to undergo appropriate investigations. There is, however, an interesting, albeit surgeons who have been uncommon, condition which affects primarily women (90%) and which produces symptoms trained and who have of difficulty in eliminating—the so-called obstructed defecation syndrome (ODS). experience with the STARR procedure. Stony Brook University Medical Center ODS is a condition, The etiology and muscle, the muscle that is one of the select few often associated with pathophysiology of ODS controls bowel action. In hospitals in the country anatomical anomalies are poorly understood. The other words, the muscle where this operation is of the pelvic floor, that characteristic complaint is fails to relax, and the patient performed. affects thousands of that of an inability to effect cannot eliminate. Those people in the United evacuation by straining, patients who present with Patients are typically States—primarily women. and yet the patient does not this symptom complex hospitalized from one to three It produces symptoms of necessarily report that she or and who don’t respond to days. Results of the European inability to effect bowel experience and that of surgeons evacuation. he is having a problem with a conservative measures may hard bowel movement. be candidates for the stapled in the United States suggest Those with ODS know transanal rectal resection that STARR significantly that neither adequate It is suggested that ODS (STARR) procedure. reduces ODS symptoms nutrition and exercise nor requires two or more of and significantly improves medications resolve their the following symptoms: ABOUT THE PROCEDURE the quality of life for ODS problem. Biofeedback prolonged and unsuccessful The STARR procedure patients. works occasionally. straining at stool, a feeling is undertaken through But now, ODS can be of incomplete evacuation, the rectum. During the Furthermore, researchers have effectively treated by a the requirement for manual procedure a device that documented that the benefits minimally invasive surgical assistance, and the regular simultaneously cuts and of the STARR procedure option known as the were sustained at the one- STARR procedure. use of laxatives and enemas. staples tissue is placed transanally to remove any year follow-up, and European investigators have reported Stony Brook University In order to identify and excess tissue and to reinforce Medical Center is the confirm the appropriateness the rectum. No external benefit in patients after a 20- regional northeast of this specific surgical incisions are created. The month evaluation. training center for the approach, an x-ray is surgeon uses two circular STARR procedure, through required. This study is staplers to produce a As with any surgical a new program directed called a defecogram. circumferential transanal procedure, there are risks and by Marvin L. Corman, MD, Thickened barium is full-thickness resection of the complications that may be professor of surgery. instilled into the rectum. It lower rectum. associated with the STARR is then eliminated while the procedure. Complications that may occur include The combination of the radiologist performs a video bleeding, leaks from the examination. two stapled resections aims rectum, infection, urinary to correct the structural retention, incontinence, fistula The classical finding is the abnormalities associated formation, or dyspareunia inappropriate, paradoxical with ODS; namely, rectal (painful intercourse). Pain also contraction of the sphincter intussusception, rectocele, may persist for a time but is and mucosal prolapse. continued on Page 15 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Performing Laparoscopic Surgery for Pancreatic Cancer continued from Page 1

few surgeons, who have the To date, Dr. Watkins has advanced skills to perform it, performed 14 laparoscopic in order to provide patients with pancreatic resections, four of the advantages of the minimally which were done for cancer. Laparoscopic pancreatic surgery invasive approach, compared “The numbers are generally represents the latest advances in with these conventional low because these are unusual minimally invasive surgery. operations. cases,” he explains. Only the most experienced laparoscopic surgeons are Four of these resections were able to do it. done by Dr. Watkins here at Stony Brook, including a cystic At Stony Brook, our surgeons can tumor nearly 8 inches in size, not only perform laparoscopic since he joined our faculty in pancreatic surgery, but are among 2004. the nation’s leaders in this kind of minimally invasive surgery. Dr. Watkins also uses the Our surgeons have more experience MEDIA SERVICES | STONY BROOK UNIVERSITY laparoscopic approach to treat diseases of the pancreas other performing laparoscopic pancreatic surgery than any other surgeons on than cancer. Long Island. BENEFITS OF LAPAROSCOPIC PANCREATIC CANCER Dr. Kevin T. Watkins SURGERY Laparoscopy offers the possibil- In June, Kevin T. Watkins, MD, ity to improve recovery time assistant professor of surgery and restore normal functional Lesions in the tail of the pan- and director of our Center for activities more rapidly. Since the creas are potentially amenable Minimally Invasive Surgery, life expectancy of patients with to a laparoscopic approach to performed the first laparoscopic pancreatic cancer is usually less resection. Although reports of pancreatic cancer resection at than one year, these improve- these operations being per- Stony Brook—the first operation ments in recovery should lead formed have been published in of its kind done on Long Island. to significant increases in quality the medical literature, no large of life. series with long-term outcome The patient was a significant results have yet been reported. risk for surgery because of In addition, a faster recovery numerous co-morbid illnesses. will mean that patients may Our efforts at Stony Brook to He had his resection performed, start other forms of treatment, advance cancer care with the and was discharged from the including chemotherapy, in most sophisticated form of hospital without complication. a more expeditious fashion, laparoscopic surgery reflects our compared with conventional commitment to excellence in This patient has been able to surgery. patient care. start his systemic chemotherapy, which he is tolerating well. And Moreover, because laparoscopic For consultations/appoint- he has also been able to return surgery results in less physi- ments with Dr. Watkins, to his usual lifestyle. ologic stress to the body, these please call (631) 444-4545. patients may have a better A national leader in the field chance of responding to the of laparoscopic surgery, Dr. therapy. Watkins performed his first laparoscopic pancreatic cancer The majority of pancreatic resection in 2002, before cancers occur in the head of the any reports of this operation pancreas. Surgical removal of were published in the medical this area requires an extensive literature. He is now working operation that, at this point, is to publish his long-term results not practical laparoscopically, at with this operation. least to improve recovery times. DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

In June, our proposal for a residency program in Residency Update colon and rectal surgery was approved by the Since the class of 1975 entered the profession of surgery, 173 physicians have Accreditation Council completed their residency training in general surgery at Stony Brook. The for Graduate Medical alumni of our residency program now practice surgery throughout the United Education. The one-year residency, directed by States, as well as in numerous other countries around the world—and we’re Marvin L. Corman, MD, proud of their diverse achievements and contributions to healthcare. professor of surgery, is now fully accredited, Our nonpyramidal residency program fulfills the standards for professional ex- and it commenced in July with its first resident, cellence adopted by the American Board of Surgery, and leads to eligibility for Brett Ruffo, MD, one of board certification. As of now, six (formerly five) surgical residents are selected this year’s graduates of each year through the National Resident Matching Program. our residency in general surgery at Stony Brook. 2006 Graduating Residents Name Career Direction General Surgery Victor Cruz, MD Colorectal surgery fellowship at St. Mark’s Hospital, Salt Lake City, UT Andrew Monteleone, MD Private practice in Middleton, NY Aleksandr Reznichenko, MD Minimally invasive surgery fellowship in Houston, TX Brett Ruffo, MD Colorectal surgery fellowship at Stony Brook U Hiroshi Sogawa, MD Transplantation fellowship at Mt. Sinai Medical Center, New York, NY

Otolaryngology Paul Bell, MD Private practice in Garden City, NY

Vascular Surgery Jason K. Lee, MD Private practice in Seattle, WA

Critical Care Solomon A. David, MD Critical care at North Shore University Hospital, Manhasset, NY Steven Sandoval, MD Assistant professorship in surgery at Stony Brook U

New Chief Residents Name Medical School (Grad. Year) Our accredited residency in otolaryngology Wei Chen, MD SUNY Downstate Medical Center (’02) was established in 1993 by our Division of Julia Gotte, MD Christian-Albrechts-U (’99) Otolaryngology-Head and Neck Surgery, and Roger Kim, MD Northwestern U (’00) since then, ten otolaryngology-head and neck Paul Kochupura, MD SUNY Upstate Medical U (’01) surgeons have been trained at Stony Brook. Kristen Rezak, MD Ross U (’01) Our accredited vascular surgery residency Incoming Residents/All Categorical PGY-1* (fellowship) was established in 1980 by our Name Medical School (Grad. Year) Division of Vascular Surgery, and since then, Christy Adamsky, MD Stony Brook U (’06) 26 vascular surgeons have been trained at Neeta Chaudhary, MD Buffalo U (’06) Stony Brook. Cristina Dracea, MD Stony Brook U (’06) James Jen, MD Stony Brook U (’06) Our accredited residency (fellowship) in surgical Kathleen Llewellyn, MD New York Medical College (’06) critical care was established in 2000 by our Scott Sequeira, MD Boston U (’05) Section of Trauma/Surgical Critical Care, and since then, nine surgeons have been trained in surgical * As of July 1, 2006. critical care at Stony Brook. DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Dr. John Ricotta (far left) and Dr. Eugene Mohan (far right) with our 2006 graduating chief residents (from left to right), Drs. Hiroshi Sogawa, Victor Cruz, Andrew Monteleone, and Aleksandr Reznichenko, at the graduation banquet held in June at Flowerfield, St. James, NY. (Dr. Brett Ruffo, also a graduating chief resident, is not seen here because he was at the hospital Our graduating otolaryngology where his wife was delivering their first child.) resident, Dr. Paul Bell (right), with Dr. Arnold Katz.

Photos by Gerald Bushart, Department of Surgery. (above) Our graduating vascular surgery Background image from resident, Dr. Jason Lee (second from left), Fritz Kahn’s Das Leben with (from left to right) Drs. John Ricotta, des Menschen (The Life of Man), 1931. National Cheng Lo, Apostolos Tassiopoulos, and Library of Medicine. Antonios Gasparis. While the interior of the body is often visualized as a landscape or terrain, (above right) Our graduating critical care here the perspective is an anatomical landscape from residents, Drs. Steven Sandoval (left) and the inside of the nostril looking out. Solomon David (center), with Dr. Marc Shapiro.

(right) Dr. Kristen Rezak (center) was the recipient of the 2006 David J. Kreis Jr. Award for Excellence in Trauma Surgery. Established in 2000, this annual award is presented to a senior (fourth-year) surgical resident by the Trauma Section in honor of the late Dr. Kreis, who was the founding chief of our trauma service, and who served with distinction on our faculty until his untimely death. 10 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY 11 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Alumni News

Dr. Noel L. Smith (’78) Nolke L, Azakie A, Ricordi, senior associate dean Annuloplasty System in an reports that he is currently Anagnostopoulos PV, Alphonso for research and a longtime FDA-regulated clinical trial N, Karl TR. The Lecompte located in Manhattan maneuver for relief of airway colleague of the honoree, called the RESTOR-MV (downtown—one block compression in absent said: “Dr. Tzakis has not just (see page 11). west of Thomas Paine pulmonary valve syndrome. Ann performed more than 4,000 Park), where he is in private Thorac Surg 2006;81:1802-7. transplants in his lifetime; Dr. Kelly M. James (’93) practice. Shih CY, Sapru A, Oishi P, Azakie he’s really made a mark has been appointed the A, Karl TR, Harmon C, Asija R, on the lives of the people trauma medical director at Dr. Victor A. Gallo (’79) has Adatia I, Fineman JR. Alterations he’s treated throughout the Centerpoint Medical Center, in plasma B-type natriuretic joined the voluntary faculty peptide levels after repair of years.” Dr. Tzakis is director now under construction of the Department’s newly congenital heart defects: a of the Division of Liver in Independence, MO. established residency in colon potential perioperative marker. and GI Transplantation, Scheduled to open in the J Thorac Cardiovasc Surg and rectal surgery, along 2006;131:632-8. and an internationally spring of next year, the with fellow alums Dr. Paul renowned clinical innovator new 257-bed hospital A. Hartendorp (’86) and A specialist in surgical willing to push the limits will replace Independence Dr. Dean P. Pappas (’99). treatments for highly of what medical science can Regional Health Center Dr. Gallo is the residency complex heart problems in accomplish. and the Medical Center of program’s on-site training newborns and children, Dr. Independence. director at Winthrop-Uni- Karl joined the UCSF School Dr. Aaron H. Chevinsky versity Hospital; his private of Medicine and UCSF (’88) is an associate professor Dr. Colleen J. Jambor practice in colorectal surgery Children’s Hospital as chief of surgery at New Jersey (’02) has joined Johnson is in Garden City, NY. of pediatric cardiothoracic Medical School, and chief Memorial Hospital Medical surgery in 2001. of surgical oncology at Staff in Enfield, CT, and is Dr. Tom R. Karl (’81), Morristown Memorial now in practice at Johnson professor and chief of Dr. Andreas G. Tzakis Hospital, where he is co- Professional Associates, pediatric cardiothoracic (’83), a pioneering transplant director of the Carol G. PC. In her new practice, surgery at the University of surgeon, recently received Simon Cancer Center. In Dr. Jambor offers an array California-San Francisco the annual James W. November, he served as of plastic surgery procedures (UCSF), continues to McLamore Outstanding a member of the faculty to help patients achieve distinguish himself not only Service Award given by of the New York General the desired results. These as a clinician, but also as a the University of Miami, Surgery Board Review include abdominoplasty scholar. Among his recently where he is a distinguished Course, sponsored by the (tummy tuck); breast lift, published articles are the member of the surgical Department of Surgery at augmentation and reduction; following: faculty. The McLamore Columbia University, and liposuction; and medical skin Outstanding Service Award held in Teaneck, NJ. He care such as Botox, Restalyne, Karl TR, Horton SB, Brizard C. gave lectures on oncology, and collagen injections; Postoperative support with the recognizes a member of centrifugal pump ventricular the university community including melanoma and laser hair removal; and assist device (VAD). Semin who has gone above and sarcoma, and pancreatic microdermabrasion. After Thorac Cardiovasc Surg Pediatr cancer (non-endocrine). her residency at Stony Brook, Card Surg Annu 2006;9:83-91. beyond the call of duty in service to the university. Dr. Jambor completed both Alphonso N, Anagnostopoulos Dr. Tzakis was honored for Dr. Christopher M. Genco a plastic surgery residency PV, Azakie A, Karl TR. his extraordinary clinical (’89), a cardiothoracic and an aesthetic and Undiagnosed coronary fistula surgeon practicing at the breast surgery fellowship causing low cardiac output work and for his service to syndrome after pediatric heart his patients, who are his Michigan Cardiovascular at the Cleveland Clinic of surgery. Eur J Cardiothorac Surg Institute in Saginaw, MI, is Cleveland, OH. 2006;30:397-9. biggest supporters. Several of his patients attended the a participating investigator award ceremony. Dr. Camillo in the national multicenter study of the Coapsys 10 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY 11 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Division Briefs

New Referral Guide: Cardiothoracic Surgery minimally invasive off-pump standard therapy for coronary Surgical Services at Stony Dr. Todd K. Rosengart, heart surgery to now include artery bypass grafting Brook professor of surgery and chief patients with mitral valve (CABG). To obtain a free copy of the of cardiothoracic surgery, disease. new referral guide (third was recently appointed to The overall study goal is edition) for all surgical the council of the New to assess the optimum services of Stony Brook In addition, Dr. Rosengart University Physicians, please York Society for Thoracic is one of the two principal revascularization treatment call (631) 444-9829. Surgery. investigators here (with Dr. for patients with three- Frank C. Seifert, associate vessel coronary artery Dr. Rosengart is now professor of surgery) in the disease or left main disease conducting a couple multicenter, multinational by randomizing patients to of clinical trials of new clinical trial called SYNTAX either percutaneous coronary therapeutic approaches. He (SYNergy between intervention with TAXus is one of the two principal percutaneous coronary stents or CABG. investigators at Stony intervention with TAXus and Dr. Thomas For more information about Brook (with cardiac surgery). the RESTOR-MV trial and V. Bilfinger, professor of the SYNTAX trial, please call surgery) participating in the Changes in the treatment (631) 444-1820. nationwide effort to evaluate of coronary artery the Coapsys Annuloplasty disease both surgically Our minimally invasive System in an FDA-regulated and percutaneously heart valve surgery program have rendered the clinical trial called the has recently been established. major randomized trials RESTOR-MV. historical. Furthermore, In one of the first cases under the restrictive criteria of this program, the Stony This newly developed previous trials excluded Brook cardiac surgery team technology makes possible most patients treated in repaired the mitral valve via the repair of a patient’s daily practice. a 4-inch “mini-thoracotomy” damaged mitral valve during incision placed under the minimally invasive off-pump Although coronary right breast. bypass surgery. surgery is still considered the current, evidence- The use of this As part of the RESTOR- based, gold-standard technologically advanced MV trial, the Coapsys treatment of left main operation further reflects and three-vessel coronary device is implanted on a the current trend here and disease, the added benefit beating heart during an of drug-eluting stents has at other top heart centers off-pump bypass procedure. further expanded the use nationwide, where patients The device is intended to of percutaneous coronary requiring valve repair or reduce the amount of blood intervention beyond less replacement surgery now To submit alumni news online and flowing backwards from complex populations in have a minimally invasive to find current mailing addresses the left ventricle (mitral daily practice. procedure. of our alumni, please visit the Department’s website at www. regurgitation). It is also uhmc.sunysb.edu/surgery designed to improve cardiac The SYNTAX trial aims A growing body of function and potentially to compare the safety and clinical evidence indicates GENERAL SURGERY ALUMNI reduce overall treatment efficacy of a certain type of that minimally invasive Please send your e-mail ad- costs. drug-eluting coronary stent techniques may soon dress—for inclusion in the Alumni for patients with three-vessel become standard for patients Directory—to Jonathan.Cohen@ This new procedure will or left main disease with requiring surgical treatment StonyBrook.edu likely extend the promise of what has previously been the of valvular heart disease. By 12 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY 13 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

minimizing the operative Dr. Watkins continues to edge use of laparoscopy of the American Society of incision and the amount expand our armamentarium further demonstrates our Colon and Rectal Surgeons of trauma and pain, these in advanced minimally commitment to excellence (ASCRS), in recognition of techniques generally shorten invasive surgery. In addition in patient care, as well as our his significant contributions the postoperative recovery to performing laparoscopic commitment to advancing to the specialty. The time and, thereby, offer pancreatic cancer surgery the art of surgery itself. ceremony took place at the considerable benefits to (see cover story), he recently society’s annual meeting held patients. has performed laparoscopic Otolaryngology-Head in Seattle. and Neck Surgery esophageal surgery in a Dr. Prajoy P. Kadkade General Surgery, Trauma, patient who had multiple , Also at the ASCRS meeting, Surgical Critical Care, and pulmonary complications assistant professor of surgery, Dr. Corman took part Burns recently became a diplomate Dr. Kevin T. Watkins, as- from her age and pre-op in a symposium on the status. (fellow) of the American optimal therapy for fecal sistant professor of surgery, College of Surgeons (FACS). now serves as director of our incontinence, where he Dr. Watkins has also made a presentation titled Center for Minimally Inva- Dr. Arnold E. Katz performed laparoscopic , “The Optimal Patient for sive Surgery, which provides professor of surgery and chief a wide range of basic and liver resection for ruptured the Secca Procedure.” liver tumor in a patient of otolaryngology-head and Over the past several years, advanced laparoscopic surgi- neck surgery, has published cal care. who did exceedingly evaluation and treatment of well. This leading- the second edition of his fecal incontinence have made slide lecture titled Local significant progress. Several Flaps for Reconstruction of new treatment options, the Face [co-authors: Siegel such as the Secca procedure DM, Grande DJ, Martinez that Dr. Corman performs, R]. This instructional have been developed and Our new Plastic and Cosmetic Surgery Center, which work, issued as a CD by treatment can be tailored opened in August, offers cosmetic services plus vein the American Academy of according to patients’ treatments. An aesthetician will be there as well, to Otolaryngology-Head and symptoms and underlying perform facials, chemical peels, microdermabrasion, Neck Surgery Foundation, pathophysiology. and other procedures. stresses interdisciplinary approaches to reconstruction Dr. Martin S. Karpeh, Jr., All our surgeons are board certified, with specialty of common defects that professor of surgery and chief training in their respective fields of expertise that result from MOHS excision of surgical oncology, was include plastic and reconstructive surgery, cosmetic of skin malignancies. again selected for inclusion surgery, and vascular surgery. in the “Best Doctors” listing Dr. Maisie L. Shindo , of New York Magazine (June Our cosmetic services include: associate professor of surgery 19, 2006), representing the and director of head and top 2% of physicians in the — Botox/Restylane neck oncology, was again New York Metropolitan area. — Breast augmentation selected for inclusion in the — Breast lift “Best Doctors” listing of Dr. Brian J. O’Hea, — Eyelid rejuvenation New York Magazine (June assistant professor of surgery — Face & forehead lifts 19, 2006), representing the and director of the Carol — Hair transplantation top 2% of physicians in the M. Baldwin Breast Care — Laser hair removal New York Metropolitan area. — Liposuction Center, was again selected for inclusion in the “Best — Microdermabrasion Surgical Oncology — Nose reshaping Doctors” listing of New York Dr. Marvin L. Corman, — Spider & varicose vein treatments Magazine (June 19, 2006), — Total body contouring professor of surgery, in representing the top 2% of — Tummy tuck June was honored as an physicians in the New York inaugural member — Plus more of the Metropolitan area. John A. Hill Legacy Circle FROM “THE BIRTH OF VENUS” BY SANDRO BOTTICELLI (1484-86)

24 RESEARCH WAY | SUITE 100 | EAST SETAUKET, NY | (613) 444-4666 12 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY 13 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Dr. David E. Rivadeneira, Dr. Rivadeneira continues to assistant professor of surgery, serve as chair of the awards Clinical Trial of Treatments recently became a diplomate committee of the American For Peripheral Vascular Disease (fellow) of the American Society of Colon and Patient Volunteers Needed College of Surgeons (FACS) Rectal Surgeons, and as the and also the American institution representative for Stony Brook has been selected as one of 15 sites nationwide to Society of Colon and Rectal the Association of Academic participate in a prospective randomized trial of medical therapy, Surgeons (FASCRS). Surgeons. supervised exercise, and angioplasty for the treatment of patients with intermittent claudication due to disease of the aorta and iliac arteries. In June, Dr. Rivadeneira gave Vascular Surgery an invited keynote address on Dr. John J. Ricotta, The CLEVER study (CLaudication: Exercise Versus Endoluminal laparoscopic colon surgery, professor and chairman of Revascularization) is sponsored by the National Institutes of Health in which he is widely known surgery and chief of vascular (NIH) through the Heart and Blood Institute, and is the first study to compare three forms of therapy for claudication in a prospective for his expertise, at the surgery, was again selected randomized fashion. International Congress of for inclusion in the “Best Latin American Laparoscopic Doctors” listing of New York Eligible patients should be age 50 or above and have disabling Surgeons (Asociación Latino Magazine (June 19, 2006), claudication due to aortic or iliac disease. They should be candidates Americana de Cirugía representing the top 2% of for participating in treadmill exercise and should not have a history Endoscópica; ALACE), held physicians in the New York of congestive heart failure (cilostazol will be part of medical therapy). in Miami. Metropolitan area. All patients will have a thorough vascular evaluation and a program aimed at risk factor reduction. Cilostazol will be provided at no cost An active instructor of At the Annual Clinical to all patients for the 18-month duration of the study. laparoscopic colon surgery Congress of the American throughout the country, Dr. College of Surgeons, held in Patients randomized to exercise will undergo supervised graduated treadmill exercise three times per week for 6 months, followed by 12 Rivadeneira has served as September in Chicago, Dr. months of a home walking program. teaching faculty at multiple Ricotta gave a presentation laparoscopic colon courses, titled “Operative Challenges Angioplasty and stenting will be performed using standard including courses held at with Ruptured Abdominal techniques. New York Presbyterian- Aortic Aneurysms,” offering Cornell, University of surgeons guidance on how to The primary endpoint of this study will be degree of improvement in maximum walking distance. In addition to free medication, patients Massachusetts, University avoid complications. will receive a small stipend to cover their costs of travel for follow-up of Miami, and the latest evaluations. Annual Clinical Congress of the American College of For more information about the CLEVER study, Surgeons in Chicago. please call the research study nurse at (631) 444-5454.

Also at the ACS Clinical Congress, Dr. Rivadeneira was a participant in the symposium “When Things Go Wrong: Optimizing Outcomes in the Operating Room”; the title of his presentation was “Laparoscopic Misadventures.” 14 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY 15 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Cedric J. Priebe, Jr., MD, professor of surgery and chief of 1988 Stony Brook NICU Grad pediatric surgery, performed the five procedures. “As a tiny premature infant Chris had a complex obstruction of his Graduates from High School swallowing tube called long-gap esophageal atresia,” said Dr. New Eagle Scout Expresses Gratitude Priebe. 18 Years Later through Donation “He required a staged approach to his repair which also In June, the neonatal intensive care unit (NICU) at Stony involved operative relief of airway obstruction and esophageal Brook University Medical Center received an unexpected reflux. He received excellent care from the entire Stony Brook donation and letter of gratitude from a 2006 high school nursing and doctor team. It was gratifying to hear how well he graduate/1988 NICU graduate named Christopher Burke has matured. His generosity and remembrance of the NICU who spent eight months in the unit 18 years ago. are a tribute to his fine character and parental guidance.”

Christopher, now a resident of Melbourne, FL, was born Staffed with a team of seven perinatologists (doctors at 32 weeks with an esophageal atresia, a disorder of the specializing in the care of women with high-risk pregnancies), digestive system in which the esophagus does not develop six neonatologists (doctors who specialize in the care of properly. His condition required five surgeries and an eight- newborns), 11 neonatal nurse practitioners and more than month stay in the NICU. 100 specially trained nurses, Stony Brook University Medical Following is the content of Christopher Burke’s Center is home to Suffolk County’s only Regional Perinatal recent letter to the NICU staff: Center that cares for up to 50 critically ill newborns at a time.

Each year, the NICU admits more than 825 premature, sick and injured babies; 400 of those admissions were less than 37 My name is Christopher Burke, I was born on October 14, 1 1987, and spent 8 months in the company of your staff. I weeks gestation and 456 of them were less than 5 2 pounds. was born 2 months pre-mature with an esophageal atresia. More than 150 infants and 125 high-risk pregnant women are I required five surgeries all of which were performed by Dr. transferred annually from other hospitals in the region to the Priebe. The care I received and the care my family received is Regional Perinatal Center at Stony Brook. the reason for this letter.

Currently, I am a healthy 18-year-old graduating high school this May. I plan to attend the University of Central Florida and major in Forensic Analysis. On March 5, 2005, I received my Eagle Scout rank in Boy Scouts. This is the highest rank a Scout can achieve and took many long hours of study and commitment.

Traditionally, during their Eagle Scout Court of Honor scouts choose a charity or organization to donate to rather than accept gifts. I chose the NICU unit at Stony Brook Hospital. If it were not for the doctors and nurses on staff at the time of my birth, I would not be here. I am not sure if any of them are still there but enclosed is picture of me at birth and a current photo as well.

Enclosed please find the donations totaling $930 from my Eagle Scout Court of Honor. It is my request that these funds go directly to the infants in your care. Please purchase any needed supplies (blankets, hats, toys, etc) for them.

I realize that these children are too small to know what they are receiving, but I am sure that their parents will appreciate it. I know that I spent Easter and Christmas with you and my family was grateful when there were toys and blankets placed in my bed.

Please accept this gift and my appreciation for all that you have done for me and all you will continue to do for others. God Bless you all. 14 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY 15 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Providing the Best of Care Our Electronic Physician Directory In Pediatric Surgery The Department provides a physician directory as part of its website— We are very proud of the results in pediatric surgery to which we please visit us at the following address to find information about our contribute at Stony Brook University Medical Center. As measured individual surgeons (see sample below), as well as our programs in by the University HealthSystem Consortium (UHC), the hospital- patient care, education, research, and community service: wide pediatric surgical mortality rate at Stony Brook over the past three and a half years is consistently lower than national and state www.uhmc.sunysb.edu/surgery averages. The table here presents data the UHC gathered from its membership. MD: University of Pennsylvania (1965). Residency Training: General Pediatric Surgical Mortality Rates: 2003-2006 Surgery, Boston City Hospital Year Stony Brook NY State* National† (Harvard University). 2003 0.58% 1.22% 1.46% Board Certification: Colon and Rectal Surgery; Surgery. 2004 0.65% 1.28% 1.72% Specialties: Management of 2005 0.58% 0.97% 1.76% diseases of the small bowel, colon, rectum, and anus, including 2006‡ 0.75% 1.59% 1.35% colon, rectal, and anal cancer, diverticulitis, familial polyposis, * The statewide comparison group comprises Albany Medical Center; Mount ulcerative colitis, Crohn’s disease, Sinai Medical Center (New York); New York-Presbyterian Hospital (Columbia U/Cornell U); New York U Medical Center; Rochester General Hospital (U of ileoanal reservoir (J-pouch), Rochester); Strong Memorial Hospital (Rochester); SUNY Downstate Medical Dr. Marvin L. Corman colon polyps, prolapse, anorectal Center/University Hospital (Brooklyn); University Hospital of the SUNY abscess, fistula, fissure, and Upstate Medical U (Syracuse). hemorrhoids (including stapled hemorrhoidectomy), obstructed † The nationwide comparison group comprises Emory University Hospital defecation syndrome (STARR procedure), and fecal incontinence, (Atlanta); Mount Sinai Medical Center (New York); New York-Presbyterian Hospital (Cornell U); New York U Medical Center; Stanford Hospital and including Secca procedure (see patient information), artificial anal Clinics; U of California-Los Angeles Healthcare Hospitals; U of California- sphincter, and muscle transplant. San Francisco Medical Center; U of Chicago Hospitals; U of North Carolina Additional: Fellow, American Society of Colon and Rectal Surgeons; Hospitals; Vanderbilt U Medical Center (Nashville). fellow, Society for Surgery of the Alimentary Tract; member, American ‡ January through June. Surgical Association, New York Society of Colon and Rectal Surgeons, and New York Surgical Society; see selected recent publications (click Formed in 1984, the UHC is an alliance of academic health centers here for online abstracts/full text of journal articles via National Library situated mainly in the United States. As a membership organization, of Medicine); see curriculum vitae. UHC provides its 96 full members and 139 associate members with Honors: John C. Goligher Memorial Medal of the Association specific products and services to improve clinical, operational and of Coloproctology, Great Britain and Ireland, and the Section of financial performance. The UHC mission is to advance knowledge, Coloproctology, Royal Society of Medicine (1999); First Prize Medical foster collaboration, and promote change to help members succeed Book Award of the American Medical Writers Association for the with their respective patient populations. textbook, Colon and Rectal Surgery; Piedmont Proctologic Society Award (1978). Language Spoken: English. Consultations/Appointments: 631-444-2565. Some Recent Publications* Stapled Transanal Rectal Resection (STARR) Brenner B, Shah M, Karpeh M, Gonen M, Karpeh MS Jr. Preface. Surg Oncol Clin N Am Brennan M, Coit D, Klimstra D, Tang L, 2006;15:xiii-xv. continued from Page 6 Kelsen D. A phase II trial of neoadjuvant Lydic ML, McNurlan M, Bembo S, Mitchell cisplatin-fluorouracil followed by L, Komaroff E, Gelato M. Chromium postoperative intraperitoneal floxuridine- picolinate improves insulin sensitivity usually self-limited. Individuals who believe that they may leucovorin in patients with locally in obese subjects with polycystic ovary advanced gastric cancer. Ann Oncol syndrome. Fertil Steril 2006;86:243-6. 2006;17:1404-11. Patel KN, Shaha AR. Poorly differentiated and have ODS should consult their primary care physician. It Caso G, Garlick BA, Sasvary D, Garlick PJ anaplastic thyroid cancer. Cancer Control [abstract]. Nutrients attenuate depressive 2006;13:119-28. would not be surprising, however, if the physician may be effect of metabolic acidosis on muscle Patel KN, Singh B. Genetic considerations protein synthesis in rats. FASEB J 2006; in thyroid cancer. Cancer Control unfamiliar with this condition and how it is evaluated and 20:A1044. 2006;13:111-18. Caso G, Garlick PJ, Ballou LM, Vosswinkel Rosengart TK, Sweet JJ, Finnin E, Wolfe P, treated. JA, Gelato MC, McNurlan MA. The Cashy J, Hahn E, Marymont J,Sanborn increase in human muscle protein T. Stable cognition after coronary artery synthesis induced by food intake is bypass grafting: comparisons with similar when assessed with the constant percutaneous intervention and normal For more information regarding ODS, STARR, infusion and flooding techniques. J Nutr controls. Ann Thorac Surg 2006;82:597- 2006;36:1504-10. 607. Caso G, Vosswinkel JA, Garlick PJ, Mileva I, Shibata D, Mori Y, Cai K, Zhang L, Yin J, Elahi A, constipation in general, or to download a brochure that can Gelato MC, McNurlan MA. Response Hamelin R, Wong YF, Lo WK, Chung TK, of human muscle protein to feeding: a Sato F, Karpeh MS Jr, Meltzer SJ. RAB32 help patients talk about ODS with their physician, visit comparison of methods [abstract]. FASEB hypermethylation and microsatellite J 2006;20:A8. instability in gastric and endometrial www.starrinfo.com. Imoberdorf R, Garlick PJ, McNurlan MA, adenocarcinomas. Int J Cancer Casella GA, Marini JC, Turgay M, Bartsch 2006;119:801-6. P, Ballmer PE. Skeletal muscle protein For consultations/appointments with Dr. Corman, synthesis after active or passive ascent * The names of faculty authors to high altitude. Med Sci Sports Exerc please call (631) 444-2565. 2006;38:1082-7. appear in boldface. Please visit the Department of Surgery website at www.uhmc.sunysb.edu/surgery Stony Brook Surgical Associates BREAST CARE GENERAL/GASTROINTESTINAL PLASTIC AND TRAUMA/SURGICAL (631) 444-4550 (tel) SURGERY RECONSTRUCTIVE SURGERY CRITICAL CARE (631) 444-6348 (fax) (631) 444-4545 (tel) (631) 444-4666 (tel) (631) 444-2565 (tel) Martyn W. Burk, MD, PhD (631) 444-6176 (fax) (631) 444-4610 (fax) (631) 444-6176 (fax) Louis T. Merriam, MD Louis T. Merriam, MD Balvant P. Arora, MD Louis T. Merriam, MD Brian J. O’Hea, MD Michael F. Paccione, MD Duc T. Bui, MD Michael F. Paccione, MD Colette R.J. Pameijer, MD James A. Vosswinkel, MD Alexander B. Dagum, MD Steven Sandoval, MD Kevin T. Watkins, MD Steven M. Katz, MD Marc J. Shapiro, MD BURN CARE Sami U. Khan, MD James A. Vosswinkel, MD (631) 444-2565 (tel) (631) 444-2565 (tel) (631) 444-6176 (fax) (631) 444-6176 (fax) PODIATRIC SURGERY VASCULAR SURGERY Steven Sandoval, MD Steven Sandoval, MD (631) 444-4545 (tel) (631) 444-2565 (tel) Marc J. Shapiro, MD Marc J. Shapiro, MD (631) 444-4539 (fax) (631) 444-8824 (fax) Valerie A. Brunetti, DPM Cheng H. Lo, MD CARDIOTHORACIC SURGERY OTOLARYNGOLOGY-HEAD John J. Ricotta, MD AND NECK SURGERY (ENT) (631) 444-1820 (tel) SURGICAL ONCOLOGY Apostolos K. Tassiopoulos, MD (631) 444-4121 (tel) (631) 444-8963 (fax) (631) 444-2565 (tel) (631) 444-4189 (fax) Thomas V. Bilfinger, MD, ScD (631) 444-6348 (fax) (631) 444-4545 (tel) Prajoy P. Kadkade, MD Irvin B. Krukenkamp, MD Marvin L. Corman, MD (631) 444-8824 (fax) Arnold E. Katz, MD Allison J. McLarty, MD Martin S. Karpeh, Jr., MD Antonios P. Gasparis, MD Denise C. Monte, MD Todd K. Rosengart, MD Colette R.J. Pameijer, MD Kepal N. Patel, MD Frank C. Seifert, MD OFFICE LOCATIONS Ghassan J. Samara, MD (631) 444-4545 (tel) Maisie L. Shindo, MD Stony Brook University COLON AND RECTAL SURGERY (631) 444-6348 (fax) Medical Center (631) 444-2565 (tel) Martyn W. Burk, MD, PhD Level 5, Suite 5 PEDIATRIC SURGERY (631) 444-6348 (fax) Brian J. O’Hea, MD Nicolls Road (631) 444-4545 (tel) Kepal N. Patel, MD Stony Brook, NY 11794 Marvin L. Corman, MD (631) 444-2565 (tel) (631) 444-8824 (fax) David E. Rivadeneira, MD Thomas K. Lee, MD (631) 444-8973 (fax) (631) 444-4545 (tel) William B. Smithy, MD Cedric J. Priebe, Jr., MD (631) 444-6348 (fax) Kevin T. Watkins, MD Surgical Care Center & Richard J. Scriven, MD David E. Rivadeneira, MD Breast Care Center TRANSPLANTATION 37 Research Way William B. Smithy, MD East Setauket, NY 11733 (631) 444-2209 (tel) (631) 444-4545/-4550 (tel) (631) 444-3831 (fax) (631) 444-4539/-6348 (fax) John J. Ricotta, MD Wayne C. Waltzer, MD Plastic and Cosmetic Surgery Center 24 Research Way, Suite 100 The State University of New York at Stony Brook is an equal opportunity/ East Setauket, NY 11733 affirmative action educator and employer. This publication can be made (631) 444-4666 (tel) available in an alternative format upon request. (631) 444-4610 (fax)

DEPARTMENT OF SURGERY Nonprofit Organization STONY BROOK UNIVERSITY U.S. Postage MEDICAL CENTER PAID Stony Brook, NY 11794-8191 Stony Brook University Permit #65