Endoluminal Suturing Shows Promise in Overcoming Weight Gain/Insufficient Weight Loss Following Initial Bariatric Surgery
UCSF Department of Surgery, Bariatric Surgery Program - July 08, 2014
UCSF bariatric surgeons Matthew Y.C. Lin, M.D. and Stanley J. Rogers, M.D. are helping to pioneer a novel incisionless endoscopic approach called endoluminal suturing for patients who either gained or failed to lose sufficient weight following bariatric surgery, a phenomenon know as WR/IWL that occurs in 1 in 5 or 20% of patients. Over time, the initial gastric bypass anatomy may enlarge or dilate allowing food to empty faster, greatly reducing the efficacy of the initial surgery. Standard therapy has been to re-operate laparoscopically to restore the initial restrictive anatomy, but often times these surgeries must be converted to an open procedure, one that carries significant risk for the patient. Principal investigators in the UCSF Bariatric Surgery Program are now testing a novel and innovative approach that allows restoration of the restrictive anatomy necessary to reverse WR/IWL without a surgical incision. Initial clinical trials showed high patient satisfaction, with favorable preliminary safety and efficacy outcomes. The ongoing clinical study and related efforts of UCSF bariatric surgeons were highlighted in the December 2013 issue of San Francisco Medicine, Journal of the San Francisco Medical Society.
Peter C. Muskat, M.D., FACS Begins Tenure as Chief of the UCSF Department of Surgery at SFGH
UCSF Department of Surgery - June 18, 2014
Peter C. Muskat, M.D. FACS, recently assumed the leadership of the UCSF Department of Surgery at San Francisco General Hospital and Trauma Center (SFGH) as its new Chief of Surgery. Dr. Muskat has also been appointed as Vice-Chair of the UCSF Department of Surgery. Among his many accomplishments, Dr. Muskat has had an extraordinary military career, serving as chief surgical consultant for development of the Expeditionary Medical Support hospital (used extensively during the Afghanistan and Iraq wars), and as Chief of General Surgery and Chairman of the Department of Surgery, 59th Medical Wing, Lackland Air Force Base, Texas. Following his retirement from the Air Force, Dr. Muskat became the Trauma Director for the University of Cincinnati Medical and Associate Professor of Surgery, guiding them through two successful verifications as a Level 1 trauma center by the American College of Surgeons.
General Surgery Residents Bian Wu, Victoria Lyo, and Evan Werlin Winners in 1st NorCal ACS Laparoscopic Competition
Department of Surgery Residency Program - May 22, 2014
General surgery residents Bian Wu, M.D. (left), Evan Werlin, M.D. (center) and Victoria Lyo, M.D. (right), coached by Matthew Y.C. Lin, M.D., Assistant Professor Surgery, Division of General Surgery, were winners of the the first laparoscopic competition held at the Northern California Chapter of the American College of Surgeons educational meeting on May 17, 2014. The event was a regional competition between teams consisting of three residents from UCSF, Stanford, UC Davis, UCSF East Bay and UCSF Fresno. The surgical techniques were variations on tasks from the Fundamentals of Laparoscopic Surgery Curriculum. Residents were graded on time and precision by attending surgeons. The group ably represented the Department Surgery with distinction, reflecting the Department's commitment to rigorous training as underscored by its Surgical Skills Center.
SF trauma surgeon reaches out to young offenders
Trauma System News - April 28, 2014
Wraparound Project, a violence prevention program founded by trauma surgeon Rochelle Dicker, MD, was profiled in a recent KPIX report. Dicker founded the program in 2002 to address the risk factors that lead to repeat violence. The program focuses on young trauma patients who are victims of violent injury. Case managers leverage this critical moment to help patients change their lives. The Wraparound Project is based at San Francisco General Hospital, a Level I trauma center. Since its launch, the program has graduated 350 participants and cut reinjury rates from 16% to 4% Note: Quoted text from Tramua System News.
Jefferson Award Winner Dr. Rochelle Dicker Helps Young Offenders Move Away From Violence
SAN FRANCISCO (KPIX 5) - April 14, 2014
"San Francisco General Hospital said a third of the shooting, stabbing and beating victims it treats return to the emergency room, injured from yet another crime. But one doctor has come up with a way to stop the revolving door of violence. This week’s Jefferson Award winner, (Rochelle Dicker, M.D.), said there is a teachable moment when a badly injured young offender is open to change." The Jefferson Award is given for public service. Note: Quoted text from KPIX article other than the supplied link.
New Breast Cancer Results Illustrate Promise and Potential of I-SPY 2 Trial
UCSF News - April 07, 2014
"In an innovative clinical trial led by UC San Francisco, the experimental drug neratinib along with standard chemotherapy was found to be a beneficial treatment for some women with newly diagnosed, high-risk breast cancer.Additionally, researchers learned that an algorithm used in the adaptive, randomized trial known as I-SPY 2 was highly effective at predicting the success of the treatment regimen in the patients who have HER2-positive/HR-negative disease"...............“What is so exciting about the graduations is that we’re proving unconditionally that the standing trial mechanism can efficiently evaluate multiple drugs and identify the specific populations for which the agents are most effective,” said Laura Esserman, MD, MBA, professor of surgery and director of the Carol Franc Buck Breast Care Center at the UCSF Helen Diller Family Comprehensive Cancer Center. Esserman is the co-principal investigator of I-SPY 2, which is underway at 20 cancer research centers in the United States and Canada. * Quoted excerpts above from UCSF News Story by Elizabeth Fernandez
Mechanical Forces Driving Breast Cancer Lead to Key Molecular Discovery
UCSF Department of Surgery - March 27, 2014
"The stiffening of breast tissue in breast-cancer development points to a new way to distinguish a type of breast cancer with a poor prognosis from a related, but often less deadly type, UC San Francisco researchers have found in a new study. The findings, published online March 16 in Nature Medicine, may lead eventually to new treatment focused not only on molecular targets within cancerous cells, but also on mechanical properties of surrounding tissue, the researchers said.In a mouse model of breast cancer, scientists led by Valerie Weaver, PhD, professor of surgery and anatomy and director of the Center for Bioengineering and Tissue Regeneration at UCSF, identified a biochemical chain of events leading to tumor progression..............." * Quoted excerpts above from UCSF News
Scientists Transform Skin Cells into Functioning Liver Cells
UCSF News - February 23, 2014
A recent paper in the journal Nature by a research team including Associate Professor Holger Willenbring, M.D., Ph.D. and Senior Resident Jack Harbell, M.D., a former postdoctoral fellow in the Willenbring lab, reports a new method of cellular reprogramming withpotential for treating liver disease: "The power of regenerative medicine now allows scientists to transform skin cells into cells that closely resemble heart cells, pancreas cells and even neurons. However, a method to generate cells that are fully mature – a crucial prerequisite for life-saving therapies – has proven far more difficult. But now, scientists at the Gladstone Institutes and UC San Francisco have made an important breakthrough: they have discovered a way to transform skin cells into mature, fully functioning liver cells that flourish on their own, even after being transplanted into laboratory animals modified to mimic liver failure..............." * Excerpt above from UCSF News Center article
Serious Bicycle Accidents May Be Dramatically Underreported
New York Times Health & Science - October 21, 2013
Many in the bicycling and public health community view bicycling as no more dangerous than other sports. Rochelle Dicker, M.D. a trauma surgeon in the UCSF Department of Surgery at San Francisco General Hospital (SFGH) decided to put the conventional wisdom to the test. She and colleagues, who treat some of the worst bicycling injuries, reviewed hospital and police records for 2,504 bicyclists treated at SFGH. Notably, they found an underreporting of serious bicycling accidents in police records, the primary source of statistics on injury data.
Ankit Sarin, M.D., MHA Joins Department of Surgery Faculty
UCSF Department of Surgery - October 08, 2013
Ankit Sarin, M.D., MHA recently joined the Department as a member of the Division of General Surgery and Section of Colorectal Surgery. Dr. Sarin is colorectal surgeon specializing in the surgery of the colon, rectum, anus and related GI tract. His surgical practice is based primarily at the UCSF Helen Diller Family Comprehensive Cancer Care Center at UCSF Mt. Zion. His areas of expertise include colon and rectal cancer, inflammatory bowel disease, diverticular disease, benign anal & rectal disease and pelvic floor disorders. He also specializes in advanced minimally invasive techniques including laparoscopy, robotics, transanal endoscopic microsurgery and sacral nerve stimulation in the treatment of such disorders.
Endocrine Society Highlights Mentorship Commitment of Dr. Aditi Bhargava
Endocrine Society, UCSF Department of Surgery - August 01, 2013
Aditi Bhargava, Ph.D., Associate Professor in the Department of Surgery at the University of California San Francisco (UCSF) Center for the Neurobiology of Digestive Diseases, recently shared her perspective on engaging young people through mentoring and committee service. Bhargava, a dedicated mentor to students participating in the Society’s early career programs, currently serves as a member of the Research Aff airs Core Committee and previously served on the Minority Aff airs Committee (MAC).
"On the morning of July 6, M. Margaret Knudson, M.D., chief of surgery at SFGH, worked with Campbell and others on site to begin assembling a team that would be ready to triage patients upon their arrival. Knudson used lessons she learned as a visiting surgeon treating injured soldiers at both Landstuhl Regional Medical Center in Germany and Balad Air Force Hospital in Iraq to quickly treat the most critically injured."
Fast Thinking by Dr. Frank Primus, UCSF General Surgery Resident, Stops Runaway Bus
KTVU.com and Wires - June 20, 2013
Frank Primus, M.D., a general surgery resident at UCSF, acted decisively, if not heroically, in stopping a runaway Muni bus after it was clipped by a car near the San Franciso's Panhandle district last Thursday evening. Dr. Primus, a passenger on the bus, saw that despite the impact of the collision, the bus continued to glide towards Fell St., a busy thoroughfare. Primus then ran to the front of the bus and applied the brakes himself after determining the bus driver was too dazed to do so. He then instructed the driver to to turn off the ignition and put the bus in park. Dr. Primus' fast and decisive thinking averted the potentially serious injury to other passengers and those in the path of the bus.
Carlos Corvera, M.D. Installed as 64th President of UCSF Naffziger Surgical Society
UCSF Department of Surgery - June 15, 2013
Carlos Corvera, M.D. was recently installed as the 64th President of the UCSF Naffziger Surgical Society. The Society, an organization dedicated to surgical excellence, is comprised of graduates of the UCSF General Surgery Residency Program and other Department of Surgery faculty who joined at the invitation of the Society. The Naffziger Society has long served as a forum that fosters collaboration between surgeons in diverse settings, from academic medicine to bustling community practices, nationally, internationally, and in the developing world.