News

What's New in the Department of Surgery

Studies Conflict Regarding Anesthesia in Infants

New data on potential effects of anesthesia on fetal and infant brain development raised concerns at the October Clinical Congress of the American College of Clinical Surgeons. Steven Stylianos, MD, Chief of the Division of Pediatric Surgery at Columbia University Medical Center and Surgeon-in-Chief at NYP/Morgan Stanley Children’s Hospital interprets the new studies, along with Lena S. Sun, MD, Chief, Division of Pediatric Anesthesiology at NYP/Morgan Stanley Children’s Hospital and a leading authority in this field.
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What's New in the Department of Surgery

Pediatric Intestinal Transplantation and Liver Disease

NYP/Morgan Stanley Children’s Hospital has one of the most advanced pediatric intestinal transplantation and rehabilitation programs in the country. “We have developed new protocols using induction therapy and in last four years, have achieved 100 percent one-year patient survival,” reports Mercedes Martinez, MD, Director of the Intestinal Transplant Program at the Center for Liver Disease. “We also are developing new research studying mechanisms of rejection in these patients. We also have one of the most comprehensive programs in the nation for pediatric liver transplantation with better than expected outcomes for patients and graft survival, at one month, three years and five years.”
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In December 2016, a retrospective study from the Mayo Clinic indicated that a surgeon can safely be responsible for two overlapping procedures when critical parts of the procedures are not coincident. The study of overlapping operations showed no difference in patient outcomes, but increased effectiveness and time management. Paul Kurlansky, MD, Associate Director of Columbia’s Center for Innovation and Outcomes Research at NYP/Columbia, stresses that there is a big difference between overlapping and concurrent operations. With overlapping procedures, "surgeons cannot be booked to perform critical parts of two operations at the same time," he said. Craig Smith, MD, surgeon-in-chief, NYP/Columbia told Medscape Medical News has been performing overlapping operations routinely for more than 30 years, and he believes his judgment should be trusted with regard to when and how to do them.
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A recent study published in Circulation shows that patients who take their medication faithfully have dramatically better long-term outcomes, regardless of whether they have CABG or PCI. However, among the non-adherent group, CABG patients fared better with fewer major adverse cardiac events in the years after surgery. “This study shows how important it is to get to know your patients and find out how well they comply with medication,” says Paul Kurlansky, MD, who led the study and is currently director of research for Columbia HeartSource.
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NYP/Columbia was among the first to offer patients access to Heartmate 3, the newest LVAD technology, in a clinical trial testing it against current standard of treatment, the Heart Mate II. In a randomized study reported in New England Journal of Medicine and presented at American Heart Association in November 2016, lead investigator Yoshifumi Naka, MD, PhD, reported fewer complications with the Heartmate 3, noting a marked improvement over Heartmate II.
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Not sure how to use cancer fighting spices in your everyday cooking? Try this Overnight Oats with turmeric and ginger in honor of Pancreatic Cancer Awareness Month!
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What you choose to eat and drink is crucial for improving symptoms from short bowel syndrome, enhancing absorption of nutrients and preventing dehydration. A few simple guidelines can make a big difference in your health.
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What's New in the Department of Surgery

The 4th Annual ECMO Awareness Fundraiser

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What's New in the Department of Surgery

JJSS Welcomes Our 2016 Graduates

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