Mark W. Onaitis, Kirk Ludwig, Ruy Pérez-Tamayo, Marcia R. Gottfried, Linda Russell, Phillip P. Shadduck, Theodore N. Pappas, Hilliard F. Seigler, Douglas S. Tyler,
... North CarolinaSearch for more papers by this authorTheodore Pappas MD, Theodore Pappas MD Department of Surgery, Duke University Medical ... North CarolinaSearch for more papers by this authorTheodore Pappas MD, Theodore Pappas MD Department of Surgery, Duke University Medical Center, ...
Tópico(s): Colorectal and Anal Carcinomas
2006 - Wiley | Journal of Surgical Oncology
G. Zavos, Paris Pappas, Theodore Karatzas, Nikolaos P. Karidis, John Bokos, Konstantinos Stravodimos, Eleni Theodoropoulou, John Boletis, A. Kostakis,
Urological complications after renal transplantation increase morbidity, delay graft function, and occasionally lead to graft and/or patient loss. The aim of this study was to analyze the causes of and therapeutic approaches to urological complications in renal transplantation as they related to patient outcomes. A series of 1525 consecutive renal transplantations were performed over a 24-year period. Renal grafts were obtained in 814 cases from living-related and in 711 from cadaveric donors. A ...
Tópico(s): Pediatric Urology and Nephrology Studies
2008 - Elsevier BV | Transplantation Proceedings
John Pappas, Theodore Besterman,
Tópico(s): Historical Philosophy and Science
1968 - Johns Hopkins University Press | MLN
... Hajime Ariga, Jun Zheng, Kirk Ludwig, Christopher Mantyh, Theodore N. Pappas, and Toku Takahashi1 August 2008 | American Journal of ... MMCHajime Ariga, Kenji Imai, Cindy Chen, Christopher Mantyh, Theodore N. Pappas, and Toku Takahashi1 March 2008 | American Journal of ...
Tópico(s): Infant Health and Development
1969 - American Physiological Society | American Journal of Physiology-Legacy Content
Steven I. Hanish, Theodore N. Pappas,
... for publication July 27, 2004. Address for reprints: Theodore N. Pappas, Department of Surgery, DUMC Box 3479, Durham, NC ...
Tópico(s): Trauma Management and Diagnosis
2007 - Lippincott Williams & Wilkins | Journal of Trauma and Acute Care Surgery
Demetrios Moris, Theodore N. Pappas,
... cholecystectomy – Author's replyWe thank Dimitrios Moris and Theodore Pappas for their comments and suggestions to further optimise ...
Tópico(s): Pancreatic and Hepatic Oncology Research
2019 - Elsevier BV | The Lancet
Demetrios Moris, Erik K. Paulson, Theodore N. Pappas,
Acute appendicitis is the most common abdominal surgical emergency in the world, with an annual incidence of 96.5 to 100 cases per 100 000 adults.The clinical diagnosis of acute appendicitis is based on history and physical, laboratory evaluation, and imaging. Classic symptoms of appendicitis include vague periumbilical pain, anorexia/nausea/intermittent vomiting, migration of pain to the right lower quadrant, and low-grade fever. The diagnosis of acute appendicitis is made in approximately 90% ...
Tópico(s): Diverticular Disease and Complications
2021 - American Medical Association | JAMA
Stepan M. Esagian, Georgios Sidéris, Muath Bishawi, Ioannis A. Ziogas, Ruediger W. Lehrich, John P. Middleton, Paul V. Suhocki, Theodore N. Pappas, Konstantinos P. Economopoulos,
Tópico(s): Acute Kidney Injury Research
2020 - Springer Science+Business Media | Journal of Nephrology
Alice Wang, John Yerxa, Suresh Agarwal, Megan C. Turner, Vanessa T. Schroder, Linda M. Youngwirth, Sandhya Lagoo‐Deenadayalan, Theodore N. Pappas,
Tópico(s): Gastric Cancer Management and Outcomes
2020 - Elsevier BV | Current Problems in Surgery
Michael E. Lidsky, Paul J. Speicher, Brian Ezekian, Edwin W. Holt, Daniel P. Nussbaum, Anthony W. Castleberry, Alexander Perez, Theodore N. Pappas,
Outcomes following the inability to control the cystic duct due to a hostile triangle of Calot during cholecystectomy remain unknown. The purpose of this study was to analyze the safety and efficacy of subtotal cholecystectomy, with attention to the necessity for secondary interventions.Sixteen thousand five hundred ninety six cholecystectomies from January 2002 to August 2014 were reviewed, identifying patients managed with subtotal cholecystectomy, defined as the inability to isolate/transect ...
Tópico(s): Pediatric Hepatobiliary Diseases and Treatments
2017 - Elsevier BV | HPB
There has been much discussion in the medical literature about the importance of empathy and physician communication style in medical practice. Empathy has been shown to have a very real positive effect on patient outcomes. Most of the existing literature speaks to its role in medical education, with relatively little empiric study about empathy in the surgical setting.Review of empathy and its importance as it pertains to the surgeon-patient relationship and improving patient outcomes, and the ...
Tópico(s): Patient-Provider Communication in Healthcare
2017 - Elsevier BV | Journal of surgical education
Victoria A. Bendersky, Mohan K. Mallipeddi, Alexander Perez, Theodore N. Pappas,
Abstract: Acute pancreatitis is a common disease that can progress to gland necrosis, which imposes significant risk of morbidity and mortality. In general, the treatment for pancreatitis is a supportive therapy. However, there are several reasons to escalate to surgery or another intervention. This review discusses the pathophysiology as well as medical and interventional management of necrotizing pancreatitis. Current evidence suggests that patients are best served by delaying interventions for ...
Tópico(s): Pancreatic and Hepatic Oncology Research
2016 - Dove Medical Press | Clinical and Experimental Gastroenterology
Mohamed A. Adam, Samantha M. Thomas, Linda M. Youngwirth, Theodore N. Pappas, Sanziana A. Roman, Julie Ann Sosa,
There is increasing interest in expanding use of minimally invasive pancreaticoduodenectomy (MIPD). This procedure is complex, with data suggesting a significant association between hospital volume and outcomes.To determine whether there is an MIPD hospital volume threshold for which patient outcomes could be optimized.Adult patients undergoing MIPD were identified from the Healthcare Cost and Utilization Project National Inpatient Sample from 2000 to 2012. Multivariable models with restricted cubic ...
Tópico(s): Gallbladder and Bile Duct Disorders
2016 - American Medical Association | JAMA Surgery
John Scarborough, Jessica R. Schumacher, Theodore N. Pappas, C. Cameron McCoy, Brian R. Englum, Suresh Agarwal, Caprice C. Greenberg,
Background Because preoperative risk factor modification is generally not possible in the emergency setting, complication prevention represents an important focus for quality improvement in emergency general surgery (EGS). The objective of our study was to determine the overall impact that specific postoperative complications have in this patient population. Study Design Our study sample consisted of patients from the 2012–2013 ACS-NSQIP database who underwent an EGS procedure. We used population ...
Tópico(s): Pelvic and Acetabular Injuries
2016 - Lippincott Williams & Wilkins | Journal of the American College of Surgeons
Georgia M. Beasley, Theodore N. Pappas, Allan D. Kirk,
Attending surgeons performing concurrent operations in 2 separate rooms with qualified surgical trainees assigned to the individual rooms constitutes a longstanding common practice in academic medical centers. This practice has been increasingly questioned and at times reflexively changed without full consideration of the relevant issues. Although there are minimal data specifically defining the appropriateness of concurrent workflows in academic medical centers, its common practice suggests an ...
Tópico(s): Healthcare Operations and Scheduling Optimization
2015 - Lippincott Williams & Wilkins | Annals of Surgery
John Scarborough, Theodore N. Pappas, Kyla M. Bennett, Sandhya Lagoo‐Deenadayalan,
To describe the outcomes of elderly patients with do-not-resuscitate (DNR) status who undergo emergency general surgery and to improve understanding of the relationship between preoperative DNR status and postoperative mortality.Preoperative DNR status has previously been shown to predict increased postoperative mortality, although the reasons for this association are not well understood.Patients 65 years or older undergoing emergency operation for 1 of 10 common general surgical diagnoses were extracted ...
Tópico(s): Trauma and Emergency Care Studies
2012 - Lippincott Williams & Wilkins | Annals of Surgery
Ryan S. Turley, Kirk L. Peterson, Andrew S. Barbas, Eugene P. Ceppa, Erik K. Paulson, Dan G. Blazer, Bryan M. Clary, Theodore N. Pappas, Douglas S. Tyler, Richard L. McCann, Rebekah R. White,
Once thought to have unresectable disease, pancreatic cancer patients with portal venous involvement are now reported to have comparable survival after pancreaticoduodenectomy (PD) with vascular reconstruction (VR) as compared with patients without vascular involvement. We hypothesize that a multidisciplinary approach involving a vascular surgeon will minimize morbidity and improve patency of VRs.We identified 204 patients who underwent PD for pancreatic adenocarcinoma from 1997 to 2008. Patients ...
Tópico(s): Pancreatitis Pathology and Treatment
2012 - Elsevier BV | Annals of Vascular Surgery
Syamal D. Bhattacharya, Steven N. Vaslef, Theodore N. Pappas, John Scarborough,
Our objective was to study outcomes associated with open inguinal herniorrhaphy performed under locoregional (LR) versus general anesthesia (GA). National Surgical Quality Improvement Program (NSQIP) data from 2005 to 2009 was queried to capture patients undergoing initial unilateral inguinal herniorrhaphy. We excluded patients with incarcerated/strangulated hernia or those undergoing a concomitant procedure. Outcomes were anesthesia and operative times, postoperative admission, and 30-day morbidity. ...
Tópico(s): Pelvic and Acetabular Injuries
2012 - SAGE Publishing | The American Surgeon
Eugene P. Ceppa, Rebecca Burbridge, Kristy L. Rialon, Philip Omotosho, Dawn M. Emick, Paul S. Jowell, Malcom Stanley Branch, Theodore N. Pappas,
In Brief Objective: The objective of this study was to compare the effectiveness, morbidity, and mortality associated with endoscopic ampullectomy (EA) and surgical ampullectomy (SA). Background: The proposed management of benign ampullary lesions includes local resection (EA or SA) and en bloc resection (pancreaticoduodenectomy). Most agree that en bloc resection entails a significant morbidity and mortality. No study has previously compared EA and SA for the treatment of benign ampullary lesions. ...
Tópico(s): Pancreatitis Pathology and Treatment
2012 - Lippincott Williams & Wilkins | Annals of Surgery
Anthony W. Castleberry, Rebekah R. White, Sebastián G. de la Fuente, Bryan M. Clary, Dan G. Blazer, Richard L. McCann, Theodore N. Pappas, Douglas S. Tyler, John Scarborough,
Tópico(s): Gallbladder and Bile Duct Disorders
2012 - Springer Science+Business Media | Annals of Surgical Oncology
James C. Padussis, Sabino Zani, Dan G. Blazer, Douglas S. Tyler, Theodore N. Pappas, John Scarborough,
Placement of a feeding jejunostomy tube (FJ) is often performed during pancreaticoduodenectomy (PD). Few studies, however, have sought to determine whether such placement affects postoperative outcomes after PD.This is a retrospective analysis of the National Surgical Quality Improvement Program (NSQIP) database to determine the 30-d-postoperative mortality rate, major complication rate, and overall complication rate of jejunostomy tube placement at the time of PD. Univariate and multivariate comparison ...
Tópico(s): Clinical Nutrition and Gastroenterology
2012 - Elsevier BV | Journal of Surgical Research
John Scarborough, Kyla M. Bennett, Theodore N. Pappas,
In Brief Objective: To determine whether resident participation impacts complication rates after appendectomy. Background: The effect of resident participation on postoperative outcomes has not been well defined. Methods: Data from the National Surgical Quality Improvement Program Participant User File from 2005 through 2009 were used to assess the association between resident participation during appendectomy and postoperative complication rates. Multivariate logistic regression analysis was used ...
Tópico(s): Appendicitis Diagnosis and Management
2012 - Lippincott Williams & Wilkins | Annals of Surgery
John Scarborough, Mitchell W. Cox, Leila Mureebe, Theodore N. Pappas, Cynthia K. Shortell,
Tópico(s): Cardiac, Anesthesia and Surgical Outcomes
2012 - Lippincott Williams & Wilkins | Journal of the American College of Surgeons
Katia Papalezova, Douglas S. Tyler, Dan G. Blazer, Bryan M. Clary, Brian G. Czito, Herbert I. Hurwitz, Hope E. Uronis, Theodore N. Pappas, Christopher G. Willett, Rebekah R. White,
Abstract The objective of this study was to compare survival between all patients with radiographically resectable adenocarcinoma of the proximal pancreas who underwent preoperative chemoradiation therapy (PRE‐OP CRT) or surgical exploration first (SURGERY) with “intention to resect.” Pancreatic cancer patients who undergo resection after PREOP CRT live longer than patients who undergo resection without PREOP CRT, a difference that may be attributable to patient selection. We retrospectively identified ...
Tópico(s): Neuroendocrine Tumor Research Advances
2012 - Wiley | Journal of Surgical Oncology
Josef G. Hadeed, Mark D. Walsh, Theodore N. Pappas, Ivo A. Pestana, Douglas S. Tyler, Howard Levinson, Christopher R. Mantyh, Danny O. Jacobs, Sandhya A. Lagoo-Deenadalayan, Detlev Erdmann,
Plastic surgeons are increasingly involved in the repair of complex ventral hernias. Although this typically involves recurrent incisional hernias, operative strategies can be applied to most abdominal wall defects, including chronic wounds with or without exposed mesh, enterocutaneous fistulas, or hernias associated with significant pannus formation.This is a retrospective review of a single institution/single surgeon experience of complex ventral hernia repair performed over a 5-year period. Patients ...
Tópico(s): Urological Disorders and Treatments
2011 - Lippincott Williams & Wilkins | Annals of Plastic Surgery
Sebastián G. de la Fuente, Kyla M. Bennett, Theodore N. Pappas, John Scarborough,
Conflicting data exist regarding the safety of pancreatic resections in elderly patients. In this study we compared early complication and mortality rates between patients younger and older than 80 years of age who underwent pancreaticoduodenectomy using a validated national database.The National Surgical Quality Improvement Program (NSQIP) database for 2005-2009 was used for this retrospective analysis. The primary outcome measures for our analysis were 30-day postoperative mortality, major complication ...
Tópico(s): Colorectal Cancer Screening and Detection
2011 - Elsevier BV | HPB
John Scarborough, Theodore N. Pappas, Mitchell W. Cox, Kyla M. Bennett, Cynthia K. Shortell,
This study was conducted to determine the potential effect of surgical trainee participation during infrainguinal bypass procedures on postoperative graft patency rates.Data from the National Surgical Quality Improvement Program (NSQIP) Participant User Files from 2005 through 2009 were retrospectively reviewed, using propensity score matching, to identify all patients undergoing infrainguinal bypass grafting procedures, excluding those who had prior operation ≤30 days of the index procedure. A separate ...
Tópico(s): Peripheral Artery Disease Management
2011 - Elsevier BV | Journal of Vascular Surgery
John Scarborough, Kyla M. Bennett, Theodore N. Pappas,
Abstract Background Although black patients with acute appendicitis have been shown to be less likely than whites to undergo laparoscopic appendectomy, it is unknown whether they suffer increased complications after surgical management of acute appendicitis. Methods A retrospective analysis of all patients undergoing appendectomy for acute appendicitis from 2005 through 2009, using the National Surgical Quality Improvement Program database, was conducted. Rates of serious and overall morbidity were compared ...
Tópico(s): Intraperitoneal and Appendiceal Malignancies
2011 - Elsevier BV | The American Journal of Surgery
Andrew S. Barbas, Ryan S. Turley, Eugene P. Ceppa, Srinevas K. Reddy, Dan G. Blazer, Bryan M. Clary, Theodore N. Pappas, Douglas S. Tyler, Rebekah R. White, Sandhya A. Lagoo,
Objectives To compare outcomes and the use of multimodality therapy in young and elderly people with pancreatic cancer undergoing surgical resection. Design Retrospective, single‐institution study. Setting National Cancer Institute/National Comprehensive Cancer Network cancer center. Participants Two hundred three individuals who underwent pancreaticoduodenectomy for pancreatic adenocarcinoma at Duke University Medical Center comprised the study population. Participants were divided into three groups ...
Tópico(s): Renal cell carcinoma treatment
2011 - Wiley | Journal of the American Geriatrics Society
Kyla M. Bennett, John Scarborough, Theodore N. Pappas, Thomas B. Kepler,
In Brief Objective: To evaluate the impact of patient socioeconomic status (SES) on operative mortality within the context of associated factors. Summary of Background Data: Outcomes disparities among surgical patients are a significant concern. Previous studies have suggested that the correlation between SES and outcomes is attributable to other patient- or hospital-level explanatory factors such as race or hospital wealth. These studies have typically focused on a single explanation for the existence ...
Tópico(s): Healthcare cost, quality, practices
2010 - Lippincott Williams & Wilkins | Annals of Surgery