DOCSLIB.ORG

James Patrick O'leary, M.D., F.A.C.S

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
James Patrick O'leary, M.D., F.A.C.S CURRICULUM VITAE JAMES PATRICK O’LEARY, M.D., F.A.C.S. Executive Associate Dean for Clinical Affairs & Associate Vice President for Medical Affairs Florida International University, College of Medicine EDUCATION 1963 B.S., Belmont Abbey College, Belmont, North Carolina 1967 M.D., University of Florida, Gainesville, Florida 1968 Intern, Boston City Hospital, First Surgical Service, Boston, Massachusetts 1968-1971 Resident, General Surgery, Shands Teaching Hospital, University of Florida, Gainesville, Florida 1971-1972 Administrative Chief Resident in General Surgery, University of Florida, Gainesville, Florida PROFESSIONAL APPOINTMENTS 1972-1975 Assistant Professor, Department of Surgery, College of Medicine, University of Florida, Gainesville, Florida 1975-1978 Associate Professor, Department of Surgery, College of Medicine, University of Florida, Gainesville, Florida 1978-1984 Professor of Surgery, Vanderbilt University, School of Medicine, Nashville, Tennessee 1978-1984 Chief, Surgical Service, Veterans Administration Medical Center, Nashville, Tennessee 1984-1989 Seeger Chair in Surgery, Baylor University Medical Center, Dallas, Texas 1984-1989 Clinical Professor, University of Texas Southwestern Medical School, Dallas, Texas 1989-2007 The Isidore Cohn Jr., M.D. Professor and Chairman Department of Surgery, Louisiana State University Medical Center, New Orleans, Louisiana 2001-2006 Associate Dean, Clinical Affairs, LSU Health Sciences Center, New Orleans, Louisiana 2001-2004 Interim Dean, LSU Health Sciences Center, New Orleans, LA 2005-2006 CEO, LSU HealthCare Network, New Orleans, LA 2007-Present Professor and Chairman Emeritus, Department of Surgery, Louisiana State University Medical Center, New Orleans, Louisiana 2007-Present Executive Associate Dean of Clinical Affairs and Assistant VP for Strategic Development, FIU College of Medicine, Miami, FL James Patrick O’Leary, MD Curriculum Vitae 2 BOARD CERTIFICATIONS 1968 National Board of Medical Examiners 1974 American Board of Surgery MEDICAL LICENSURE 10/31/84-2/28/03 Texas, No. G7700 10/26/89 Louisiana, No. 08185R 01/08/79 Tennessee, No. MD11614 12/1/73-12/1/85 Florida, No. ME14088 03/19/09 Florida, No. ME104010 AWARDS/HONORS ENDOWED CHAIRS 1984-1989 Seeger Professor of Surgery, Baylor University Medical Center, Dallas, TX 1989-2007 The Isidore Cohn, Jr. Professor of Surgery, LSU, New Orleans, LA UNIVERSITY OF FLORIDA 1967 Alpha Omega Alpha 1967 John Gorrie Award: Student with Greatest Promise, University of Florida Medical School 1971 Hugh M. Hill Award, Outstanding House-staff Teacher 1977 President, University of Florida, Medical Alumni Association 1986 President, Woodward Society 1995 Distinguished Alumni Wall of Fame 2009 President-elect, Woodward Society 2010 President, Woodward Society BELMONT ABBEY COLLEGE 1963 Salutatorian of Graduating Class 1984-1990 Board of Trustees Chairman, Academic Affairs Committee Executive Committee Member, Student Affairs Committee 1999 Doctor of Humane Letters 2003-2010 Board of Trustees 2005 Distinguished Alumni Wall of Fame NATIONAL/REGIONAL/LOCAL 1978 President, University of Florida, National Alumni Association 1983 Chairman, Surgery Section, Southern Medical Association 1987-1989 President, American Society for Bariatric Surgery James Patrick O’Leary, MD Curriculum Vitae 3 1996 President, New Orleans Surgical Society 1996 President, Southeastern Surgical Congress 1998 President, Association of Program Directors in Surgery 2000-2001 President, LA Chapter, American College of Surgeons (ACS) 2001-2003 Chairman, Executive Committee, Board of Governors, American College of Surgeons 2001-2002 1st Vice-President, Southern Surgical Association 2005 1st Vice President, American College of Surgeons (ACS) 2008-2010 Vice Chairman, Residency Review Committee for Surgery, Accreditation Council of Graduate Medical Education TEACHING AWARDS 1970 Hugh Hill Award, Outstanding House-staff Teacher, University of Florida 1973 Teaching Excellence Award, Phase A 1974 Faculty Award, Medical School Class of 1974 1975 Excellence in Medical Education, University of Florida 1977 Hippocratic Award, Outstanding Teacher, University of Florida Medical School 1981 Shovel Award, Outstanding Teacher, Vanderbilt University, Nashville, Tennessee 1991 & 1994 Outstanding Faculty Teaching Award, Aesculapian Society, LSU School of Medicine, New Orleans, Louisiana 1992 Excellence in Medicine, AOA Award, LSU School of Medicine 1995 Wall of Fame, University of Florida 2003 Distinguished Service Award, Southern Medical Association MEMBERSHIPS Alumni Association, University of Florida American Board of Surgery - Diplomat American College of Surgeons - Fellow American Medical Association American Society for Bariatric Surgery American Society for Parenteral and Enteral Nutrition American Surgical Association Association for Academic Surgery Association for Gnotobiotics Association for Surgical Education Association of Veterans Administration Surgeons Board of the Louisiana Veterans Research Corporation Collegium Internationale Chirurgiae Digestivae Edward R. Woodward Society Florida Association of General Surgeons Florida Medical Association Louisiana Medical Association Nashville Academy of Medicine Davidson County Medical Society Nashville Surgical Society New Orleans Surgical Society Orleans Parish Medical Society H. William Scott, Jr. Society James Patrick O’Leary, MD Curriculum Vitae 4 Societe Internationale de Chirurgie Society for Surgery of the Alimentary Tract Society of University Surgeons Southeastern Surgical Congress Southern Medical Association Southern Surgical Association Southern Surgeons Club Surgical Association of Louisiana Tennessee Medical Society Texas Surgical Society HONORARY MEMBERSHIPS 1988 The Midwest Surgical Society 1991 The Central New York Surgical Society 1992 The Virginia Surgical Association 1993 Minneapolis Surgical Society 2000 William H. Moretz Surgical Society 2004 Los Angeles Surgical Society 2005 The Harwell Wilson Surgical Society 2008 The North Pacific Surgical Association OTHER PROFESSIONAL APPOINTMENTS 1972-1978 Attending Physician, Shands Teaching Hospital 1972-1978 Attending Physician, Gainesville Veterans Administration Media Center 1978-1984 Attending Physician, Vanderbilt University Medical Center, Nashville, TN 1978-1984 Chief of Surgery, VA Medical Center, Nashville, TN 1984-1989 Attending Physician, Baylor University Medical College, Dallas, TX 1984-1989 Attending Physician, Parkland Memorial Hospital, Dallas, Texas 1989-2007 Attending Physician, MCLNO, Charity Hospital, New Orleans, LA 1989-2007 Consultant, Surgery, New Orleans Veterans Administration Medical Center University of Florida, Gainesville, Florida 1970-1978 Member, Medical Practice Committee, Shands Teaching Hospital 1972-1974 Associate Director, Emergency Room, Shands Teaching Hospital 1972-1976 Advisor (Secretary-Treasurer), University of Florida Chapter, AOA 1972-1978 Member, Infectious Disease Committee 1973-1978 Member, Dean Advisory Committee on Student Affairs 1973-1978 Chief, Area Clinical Physician, Ambulant Wing, Shands Teaching Hospital 1973-1978 Member, Curriculum Advisory Committee – Phase C 1973-1978 Member, Steering Committee of Faculty Council 1974 Class Advisor, Class of 1974, College of Medicine 1974-1978 Chairman, Phase C Committee, Medical Curriculum 1974-1978 Member, Curriculum Committee, College of Medicine 1975-1978 Member, Teaching Laboratory Resources Advisory Committee 1975-1978 Secretary, University of Florida Health Center Faculty Association 1976-1978 Chairman, Committee on Medical Education for the Florida Association of General Surgeons 1976-1978 Councilor, University of Florida Chapter, AOA James Patrick O’Leary, MD Curriculum Vitae 5 1976-1978 Member, Faculty Senate 1976-1978 Member, Medical School Admissions Committee 1976-1978 Member, Promotions and Tenure Committee, College of Medicine 1977 Class Advisor, Class of 1977, College of Medicine Vanderbilt University Medical Center, Nashville, Tennessee 1978-1984 Councilor, Vanderbilt University, AOA Chapter 1979-1984 Member, Curriculum Committee 1981-1984 Member, Admissions Committee 1981-1984 Member, Commission and Public Service Committee, Nashville Academy of Medicine 1981-1984 Member, Faculty Senate 1981-1984 Member, Transfusion Committee 1982-1983 Member, Ambulatory Services Committee 1983 Member, Nominating Committee, Nashville Surgical Society 1983-1984 Chairman, Commission and Public Service Committee, Nashville Academy of Medicine 1983-1984 Member, Search Committee, Orthopaedic Surgery Baylor University Medical Center, Dallas, Texas 1984-1988 Member, G.I. Site Tumor Committee 1984-1988 Member, Surgical Advisory Committee 1985-1986 Member, Legislative Task Force on Colon/Rectal Cancer, State of Texas 1985-1989 Director, Surgical Education 1985-1989 Program Director, Surgical Residency Program 1985-1989 Member, Committee on Medical Education 1985-1989 Member, Animal Care Committee 1985-1989 Member, Laser Committee 1985-1989 Member, Transplant Candidate Selection Committee 1987-1989 Member, Intensive Care Unit Committee Louisiana State University School of Medicine, New Orleans, Louisiana 1989-2002 Member, Administrative Council 1990-2007 Member, Surgery Committee, Charity Hospital 1990-2007 Member, Quality Assessment Committee, Charity Hospital 1991-1994 Chairman, Department of Surgery, University Hospital 1990-1996 Advisor/Secretary-Treasurer, Louisiana Beta Chapter, AOA 1992-1997 Member, A Steering Committee for Cardiothoracic Surgery 1992-1994 Member, Executive
Load more

Recommended publications
  • Bariatric Surgery and Kidney-Related Outcomes
    WORLD KIDNEY DAY MINI SYMPOSIUM ON KIDNEY DISEASE AND OBESITY Bariatric Surgery and Kidney-Related Outcomes Alex R. Chang1,2, Morgan E. Grams3,4 and Sankar D. Navaneethan5,6 1Kidney Health Research Institute, Geisinger Health System, Danville, Pennsylvania, USA; 2Department of Epidemiology and Health Services Research, Geisinger Health System, Danville, Pennsylvania, USA; 3Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA; 4Divison of Nephrology, Johns Hopkins Uni- versity, Baltimore, Maryland, USA; 5Selzman Institute for Kidney Health, Section of Nephrology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA; and 6Section of Nephrology, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA The prevalence of severe obesity in both the general and the chronic kidney disease (CKD) populations continues to rise, with more than one-fifth of CKD patients in the United States having a body mass index of $35 kg/m2. Severe obesity has significant renal consequences, including increased risk of end-stage renal disease (ESRD) and nephrolithiasis. Bariatric surgery represents an effective method for achieving sustained weight loss, and evidence from randomized controlled trials suggests that bariatric surgery is also effective in improving blood pressure, reducing hyperglycemia, and even inducing diabetes remis- sion. There is also observational evidence suggesting that bariatric surgery may diminish the long-term risk of kidney function decline and ESRD. Bariatric surgery appears to be relatively safe in patients with CKD, with postoperative complications only slightly higher than in the general bariatric surgery popula- tion. The use of bariatric surgery in patients with CKD might help prevent progression to ESRD or enable selected ESRD patients with severe obesity to become candidates for kidney transplantation.
    [Show full text]
  • Technic VERTICAL GASTROPLASTY WITH
    ABCDDV/802 ABCD Arq Bras Cir Dig Technic 2011;24(3): 242-245 VERTICAL GASTROPLASTY WITH JEJUNOILEAL BYPASS - NEW TECHNICAL PROCEDURE Gastroplastia vertical com desvio jejunoileal - novo procedimento técnico Bruno ZILBERSTEIN, Arthur Sergio da SILVEIRA-FILHO, Juliana Abbud FERREIRA, Marnay Helbo de CARVALHO, Cely BUSSONS, Henrique JOAQUIM, Fernando RAMOS From Gastromed-Instituto Zilberstein, São ABSTRACT - Introduction - Vertical gastroplasty is increasingly used in the surgical Paulo, SP, Brasil. treatment of morbid obesity, being used alone or as part of the duodenal switch surgery or even in intestinal bipartition (Santoro technique). When used alone has only a restrictive character. Method - Is proposed association of jejunoileal bypass to vertical gastroplasty, in order to give a metabolic component to the procedure and eventually empower it to medium and long term. Eight morbidly obese patients were operated after removal of adjustable gastric band or as a primary procedure associated to vertical banded gastroplasty with jejunoileal bypass laterolateral and anastomosis between the jejunum 80 cm from duodenojejunal angle and the ileum at 120 cm from ileocecal valve, by laparoscopy. Results - The patients presented themselves without complications both in trans or in the immediate postoperative period, and also in the months that followed. The evolution BMI showed a significant reduction ranging from 39.57 kg/m2 to 28 kg/m2. No patient reported diarrhea or malabsorptive disorder in HEADINGS - Sleeve gastrectomy. Jejunoileal the period. Conclusion - It can be offered a new therapeutic option, with restraining diversion. Obesity. Surgery. and metabolic aspects, in which there are no consequences as the ones founded in procedures with duodenal diversion or intestinal transit alterations.
    [Show full text]
  • Immunoelectrophoretic Studies on Human Small
    Gut: first published as 10.1136/gut.21.8.662 on 1 August 1980. Downloaded from Gut, 1980, 21, 662-668 Immunoelectrophoretic studies on human small intestinal brush border proteins: cellular alterations in the levels of brush border enzymes after jejunoileal bypass operation H SKOVBJERG, E GUDMAND-H0YER, 0 NOREN, AND H SJOSTROM From the Department ofBiochemistry C, The Panum Institute, Medical-gastroenterological Department C, and Surgical-gastroenterological Department D, Herlev Hospital, University of Copenhagen, Denmark SUMMARY The amounts of lactase (EC 3.2.1.23), sucrase (EC 3.2.1.48), maltase (EC 3.2.1.20), microvillus aminopeptidase (microsomal EC 3.4.11.2), and dipeptidyl peptidase IV (EC 3.4.14. x) in biopsies from proximal jejunum and distal ileum were studied by quantitative crossed immuno- electrophoresis and enzymatic assays in obese patients one and six months after jejunoileal bypass operation and compared with peroperative levels. They were related to DNA and protein content. The protein/DNA ratio fell 28-43 % postoperatively. Except for ileal lactase and sucrase all enzymes showed decreased levels when expressed per mg protein and an even more pronounced decrease when related to DNA. Lactase and sucrase levels in ileum were increased or unchanged. A constant correlation between the amount of immunoreactive enzyme protein and enzymatic activity was shown for all enzymes except maltase. The results suggest that the bypass operation is followed http://gut.bmj.com/ by an increased amount of enterocytes devoid of or low in enzymatic activity and protein content. The amounts of lactase and sucrase in ileum are increased in relation to the other enzymes.
    [Show full text]
  • Cold War Scrapbook Compiled by Frances Mckenney, Assistant Managing Editor
    Cold War Scrapbook Compiled by Frances McKenney, Assistant Managing Editor The peace following World War II was short- lived. Soviet forces never went home, kept occupied areas under domination, and threatened free nations worldwide. By 1946, Winston Churchill had declared, “An iron curtain has descended across the conti- nent.” Thus began a 45-year struggle between the diametrically opposed worldviews of the US and the Soviet Union. In 1948, the USSR cut off land access to free West Berlin, launch- ing the first major “battle” of the Cold War: the Berlin Airlift. Through decades of changes in strategy, tactics, locations, and technology, the Air Force was at the forefront. The Soviet Union was contained, and eventually, freedom won out. Bentwaters. Bitburg. Clark. Loring. Soes- terberg. Suwon. Wurtsmith—That so many Cold War bases are no longer USAF instal- lations is a tribute to how the airmen there did their jobs. While with the 333rd Tactical Fighter Training Squadron at Davis-Monthan AFB, Ariz., in 1975, Capt. Thomas McKee asked a friend to take this “hero shot” of him with an A-7. McKee flew the Corsair II as part of Tactical Air Command, at Myrtle Beach AFB, S.C. He was AFA National President and Chairman of the Board (1998-2002). Assigned to the 1st Strategic Reconnaissance Squadron, Beale AFB, Calif., RSO Maj. Thomas Veltri (right) and Maj. Duane Noll prepare for an SR-71 mission from RAF Mildenhall, UK, in the mid- 1980s. Veltri’s most memora- ble Blackbird sortie: “We lost an engine in the Baltic, north of Gotland Island, and ended up at 25,000 feet, with a dozen MiGs chasing us.” Retired Lt.
    [Show full text]
  • Hepatic Complications of Bariatric Surgery : the Reverse Side of the Coin
    REVIEW 505 Hepatic complications of bariatric surgery : the reverse side of the coin U. Vespasiani-Gentilucci*1, F. Vorini*1, S. Carotti2, A. De Vincentis1, G. Galati1, P. Gallo1, N. Scopinaro3, A. Picardi1 (1) Internal Medicine and Hepatology Unit ; (2) Laboratory of Microscopic and Ultrastructural Anatomy, CIR ; University Campus Bio-Medico of Rome, Italy; (3) Department of Surgery, Ospedale San Martino, University of Genoa, Italy. Abstract Indeed, several studies demonstrated an association between weight loss and regression of nonalcoholic fatty Background : Even if the jejunoileal bypass has been definitely abandoned due to the high rate of hepatic complications, cases of liver disease (NAFLD) and non-alcoholic steatohepatitis liver injury after the new bariatric procedures are still reported. We (NASH) (5,9-11), and others proved a significant rate of aimed to review the available literature concerning liver damage fibrosis – and even cirrhosis – regression after bariatric associated with the older and newer types of bariatric surgeries. Methods : An extensive literature search of MEDLINE was surgery (12). On the other side, from the middle ’70s, performed using different combinations of the following terms: several reports have focused on the high rate of hepatic “bariatric surgery OR biliopancreatic diversion OR jejunoileal complications following the first widely diffused bariatric bypass OR roux-en-y gastric bypass OR vertical banded gastro- plasty OR laparoscopic adjustable gastric banding” AND “hepatic/ technique, the jejunoileal
    [Show full text]
  • A History of Bariatric Surgery the Maturation of a Medical Discipline
    A History of Bariatric Surgery The Maturation of a Medical Discipline Adam C. Celio, MD, Walter J. Pories, MD* KEYWORDS Bariatric Obesity Metabolic surgery Intestinal bypass Gastric bypass Gastric sleeve Gastric band Gastric balloon KEY POINTS The history of bariatric surgery, one of the great medical advances of the last century, again documents that science progresses not as a single idea by one person, but rather in small collaborative steps that take decades to accept. Bariatric surgery, now renamed “metabolic surgery,” has, for the first time, provided cure for some of the most deadly diseases, including type 2 diabetes, hypertension, severe obesity, NASH, and hyperlipidemias, among others, that were previously considered incurable and for which there were no effective therapies. With organization, a common database, and certification of centers of excellence, bariat- ric surgery, once one of the most dangerous operations, is now performed throughout the United States with the same safety as a routine cholecystectomy. RECOGNITION Obesity is now a worldwide public health problem, an epidemic, with increasing inci- dence and prevalence, high costs, and associated comorbidities.1 Although the genes from our ancestors were helpful in times of potential famine, now in times of plenty, they have contributed to obesity.1–4 The history of obesity is related to the history of food; the human diet has changed considerably over the last 700,000 years. Our an- cestors at one time were hunter-gatherers, consuming large and small game along with nuts and berries. Their diets were high in protein and their way of life was stren- uous; they were well suited for times of famine.
    [Show full text]
  • Incidence and Risk Factors for Cholelithiasis After Bariatric Surgery
    Obesity Surgery (2019) 29:2110–2114 https://doi.org/10.1007/s11695-019-03760-4 ORIGINAL CONTRIBUTIONS Incidence and Risk Factors for Cholelithiasis After Bariatric Surgery Hernán M. Guzmán1 & Matías Sepúlveda1,2 & Nicolás Rosso 3 & Andrés San Martin2 & Felipe Guzmán4 & Hernán C. Guzmán1,2 Published online: 17 April 2019 # Springer Science+Business Media, LLC, part of Springer Nature 2019 Abstract Background Obesity and rapid weight loss after bariatric surgery (BS) are independent risk factors for development of choleli- thiasis (CL), a prevalent disease in the Chilean population. This study aimed to determine the incidence of CL in obese Chilean patients 12 months after BS and identify risk factors for development of gallstones. Methods Retrospective study of patients who underwent BS in 2014. Patients with preoperative negative abdominal ultrasound (US) for CL and follow-up for at least than 12 months were included. Patients underwent US at 6 months and 12 months. We analyzed sex, age, hypertension, dyslipidemia, type 2 diabetes mellitus, body mass index (BMI), surgical procedure, percentage of excess BMI loss (%EBMIL) at 6 months, and BMI at 6 months. Results Of 279 patients who underwent bariatric surgery during 2014, 66 had previous gallbladder disease and 176 met the inclusion criteria (82.6%), while 54.6% were female. The mean age was 37.8 ± 10.5 years and preoperative BMI was 37.5 kg/m2. BMI and %EBMIL at 6 months were 27.8 ± 3.3 kg/m2 and 77.9 ± 33.6%, respectively. At 12 months after BS, CL was found in 65 patients (36.9%). Hypertension turned out to be protective against occurrence of gallstones at 1 year with an OR 0.241.
    [Show full text]
  • Colon Adenocarcinoma After Jejunoileal Bypass for Morbid Obesity Lee Morris1,*, Ilimbek Beketaev1, Roberto Barrios2, and Patrick Reardon1
    Journal of Surgical Case Reports, 2017;11, 1–4 doi: 10.1093/jscr/rjx214 Case Report CASE REPORT Colon adenocarcinoma after jejunoileal bypass for morbid obesity Lee Morris1,*, Ilimbek Beketaev1, Roberto Barrios2, and Patrick Reardon1 1Department of Surgery, Houston Methodist, Houston, TX, USA and 2Department of Pathology and Genomic Medicine, Houston Methodist, Houston, TX, USA *Correspondence address: Department of Surgery, Houston Methodist, 6550 Fannin Street, Suite 2435, Houston, TX 77030, USA. Tel: +1-713-790-3140; Fax: +1-713-790-3235; E-mail: [email protected] Abstract Jejunoileal bypass (JIB) was developed as a surgical treatment for morbid obesity in the early 1950s. However, this procedure is now known to be associated with multiple metabolic complications and has subsequently been abandoned as a viable bariatric procedure. Some of these known complications include renal stone formation, liver failure, migratory arthritis, fat- soluble deficiencies, blind-loop syndrome and severe diarrhea. Additionally, there have been animal models suggesting colon dysplasia after JIB. To our knowledge however, in humans, no colon cancers have been attributed to JIB in the litera- ture. Here we report a 63-year-old morbidly obese female who had a JIB surgery in 1973 and subsequently was found to have numerous sessile colonic polyps throughout her colon and adenocarcinoma of the ascending colon without any family his- tory of colonic polyposis syndromes or colon cancer. INTRODUCTION our best knowledge, the first case of a colon adenocarcinoma following JIB surgery in humans. Bariatric surgery has proven to be the most efficacious treat- ment for morbid obesity and resolution of obesity-related comorbidities [1].
    [Show full text]
  • Nutritional Markers Following Duodenal Switch for Morbid Obesity
    Obesity Surgery, 14, pp-pp Nutritional Markers following Duodenal Switch for Morbid Obesity Robert A. Rabkin MD, FACS; John M. Rabkin, MD, FACS; Barbara Metcalf, RN; Myra Lazo, MS, PA-C; Michael Rossi, PA-C; Lee B. Lehman- Becker, BA Pacific Laparoscopy, San Francisco, CA, USA Background: Laparoscopic duodenal switch with gas- Introduction tric reduction (LapDS) is a minimally invasive hybrid operation combining moderate intake restriction with moderate malabsorption for treatment of morbid obe- The duodenal switch (DS) was first performed by sity. In LapDS, both the quantity of food ingested and Hess 19881 and Marceau et al2 in 1990, and a the efficiency of digestion are reduced. laparoscopic approach (LapDS) was first imple- Methods: A cohort of 589 sequential LapDS mented by the author in 1999.3,4 The DS combines patients had laboratory studies drawn annually. Serum markers for calcium, iron and protein metabo- moderate malabsorption with moderate restriction lism and for hepatic function were analyzed using via reduced stomach capacity, yet preserves normal SAS statistical software. stomach functioning. While quality of life is diffi- Results: There were 95 men and 494 women. Mean cult to study, most postoperative patients report that age was 44 years, mean BMI 50 kg/m2 and mean pre- they continue to be able to ingest normally and operative weight 142 kg. Although mean hemoglobin enjoy eating. decreased below reference and mean parathyroid hormone (PTH) increased above reference, similar to The DS and the LapDS are identical in internal abnormal values reported after Roux-en-y gastric anatomy and are fashioned as shown in Figure 1.
    [Show full text]
  • Effect of Gastric Bypass Surgery on Kidney Stone Disease
    Effect of Gastric Bypass Surgery on Kidney Stone Disease Brian R. Matlaga,* Andrew D. Shore, Thomas Magnuson, Jeanne M. Clark, Roger Johns and Martin A. Makary From the Departments of Urology, Surgery, Anesthesiology and Medicine, the Johns Hopkins University School of Medicine, and the Departments of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, Maryland Purpose: Recent studies have demonstrated that mineral and electrolyte abnor- Abbreviations malities develop in patients who undergo bariatric surgery. While it is known and Acronyms that these abnormalities are a risk factor for urolithiasis, the prevalence of stone BCBS ϭ Blue Cross Blue Shield disease after bariatric surgery is unknown. We evaluated the likelihood of being BMI ϭ body mass index diagnosed with or treated for an upper urinary tract calculus following Roux-en-Y ϭ gastric bypass surgery. JI jejunoileal Materials and Methods: We identified 4,639 patients who underwent Roux-en-Y RYGB ϭ Roux-en-Y gastric bypass gastric bypass surgery and a control group of 4,639 obese patients who did not have surgery in a national private insurance claims database in a 5-year period (2002 to Submitted for publication October 15, 2008. 2006). All patients had at least 3 years of continuous claims data. Our 2 primary Supported by The Hariri Family Foundation, and Mr. and Mrs. Chad and Nissa Richinson. outcomes were the diagnosis and the surgical treatment of a urinary calculus. The data set used in this study was originally Results: After Roux-en-Y gastric bypass surgery 7.65% (355 of 4,639) of patients created for a different research project on patterns were diagnosed with urolithiasis compared to 4.63% (215 of 4,639) of obese of obesity care within selected BCBS plans.
    [Show full text]
  • Human Radiation Studies: Remembering the Early Years
    HUMAN RADIATION STUDIES: REMEMBERING THE EARLY YEARS Oral History of Medical Physicist Katherine L. Lathrop and Physician Paul V. Harper Conducted January 26, 1995 United States Department of Energy Office of Human Radiation Experiments 12b1211 September 1995 FOREWORD N DECEMBER1993, U.S. Secretary of Energy Hazel R. O’Leary announced her Openness Initiative. As part of this initiative, the Department of Energy ,undertook an effort to identify and catalog historical documents on radiation experiments that had used human subjects. The Office of Human Radiation Ex- periments coordinated the Department search for records about these experiments. An enormous volume of historical records has been located. Many of these records were disorganized; often poorly cataloged, if at all; and scattered across the country in holding areas, archives, and records centers. The Department has produced a roadmap to the large universe of pertinent information: Human Radiation Experiments: The Department of Energy Roadmap to the Story and the Records (DOEEH-0445, February 1995). The collected documents are also acces- sible through the Internet World Wide Web under http : //www. ohre.doe. gov . The passage of time, the state of existing records, and the fact that some decision- making processes were never documented in written form, caused the Department to consider other means to supplement the documentary record. In September 1994, the Office of Human Radiation Experiments, in collaboration with Lawrence Berkeley Laboratory, began an oral history project to fulfill this goal. The project involved interviewing researchers and others with firsthand knowledge of either the human radiation experimentation that occurred during the Cold War or the institutional context in which such experimentation took place.
    [Show full text]
  • The Bulletin of the Pierce County Medical Society 1958
    HIILLETIN-, PIERCE COUNTY MEDICAL SOCIETY VOL. XXIX—No. 5 TACOMA, WASH. JANUARY - 1958 BULLETIN of the Pierce County M edical Society, Pierce County Medical Society 1 9 5 8 O FFICERS P resident...................... .................................................. Herman S. Judd President-Elect .........................................................J. W. Bowen, Jr. H ap - py b irth - day Vice-President.......................................................... Chris C. Reynolds Secretary-Treasurer.................... Arnold J. Herrmann Executive Secretary ................................................ Judy Gordon TRU STEES Paul E. Bondo Herman S. Judd Happy Birthday J. W. Bowen, Jr. George S. Kittredge Douglas Buttorff Philip C. Kyle Robert W. Florence Robert E. Lane January Hillis F. Griffin Chris C. Reynolds Arnold J. Herrmann Wayne W. Zimmerman D ELEGATES 1 GEORGE KUNZ Douglas Buttorff Louis P. Hoyer, Jr, Philip Grenley Charles E. Kemp 2 HILLIS GRIFFIN Arnold J. Herrmann Frank Maddison 3 BURTON BROWN ALTERNATE DELEGATES Robert W. Florence Frederick J. Selnvind RALPH HUFF Murray L. Johnson Don G. Willard Wendell G. Peterson Wayne W. Zimmerman 4 EDMUND KANAR COMMITTEES 5 NORMAN MAGNUSSEN E thics BERNARD OOTKIN Robert E. Lane, Chairman M. R. Hosie Richard T. Davis PAUL SMITH G rievance Hillis F. Griffin, Chairman 7 ROBERT FERGUSON Gerald C. Kohl Miles Parrott House and Attendance - GEORGE HESS John S. May, Chairman James E. Hazelrigg Dudley W. Houtz GEORGE RACE L ib rary 9 CARLISLE DIETRICH I. A. Drues, Chairman John M. Havlina Hugh A. Larkin 10 WILLIAM BURROW S Bernard R. Rowen Stanley W. Tuell Program D. MARLATT T. R. Haley, Chairman William P. Hauser David F. Dye 12 WILLIAM TODD Herbert C. Kennedy Public Health 16 ROBERT GIBSON Bernard A. Bader, Chairman Theodore Apa W.
    [Show full text]