Newsletters - February 2010

Message from the Chairman

The Department of Surgery newsletter serves as a source of clinical and scientific information provided by the residents and faculty of the Medical College of Wisconsin.

by Douglas B. Evans, MD
Donald C. Ausman Family Foundation Professor of Surgery;
Chairman, Department of Surgery, Medical College of Wisconsin

As the Department of Surgery newsletter enters its second year, we begin with two articles from our nationally recognized Division of Trauma and Critical Care: Panna Codner, MD, reviews the current surgical management of pancreatic injuries and Travis Webb, MD, examines data on the use of laparoscopy in caring for acutely injured patients. Minimally invasive surgery is no longer considered just for elective operations.

Dennis Foley, MD, FACR, reviews the controversial and often misunderstood topic of radiation exposure from diagnostic imaging studies, especially computed tomography (CT) scans. Dr. Foley provides the data necessary for us to understand the risk associated with repeated CT imaging.

Weight gain and obesity remain a national health crisis. Bradley Javorsky, MD, from the Division of Endocrinology describes the approach taken to managing obesity at Froedtert & The Medical College of Wisconsin. Dr. Javorsky works closely with a multidisciplinary team of healthcare providers caring for obese patients, a team that includes James Wallace, MD, PhD, and Matthew Goldblatt, MD, FASC, in the Department of Surgery. Expect to read more about the management of this complex and all-too-frequent problem in many future editions of Surgery Update.

Few diseases are more challenging for the patient, the family and treating physicians than inflammatory bowel disease (IBD). Complications of the disease, its treatment (immune modulating and suppressive medications, surgery, etc.) and the frequent youth of the patient add great complexity to all medical decision making. Tom Sato, MD, reviews the approach he and his colleagues take to the IBD patient at Children’s Hospital of Wisconsin.

Tina Yen, MD, MS, is a National Institutes of Health funded clinician/scientist in the Department of Surgery who works closely with Ann Nattinger, MD, (interim chair, Department of Medicine) studying a variety of outcomes measures in breast cancer. Dr. Yen describes her research approach to the complication of postoperative lymphedema.

For those of you who care for breast cancer patients, note the number “five” in her article— a number with obvious clinical implications and a much lower number than I would have guessed — therein the tremendous value of such research.

Finally, Robert Ausman, MD, and Jon Mayer, MBA, describe the exciting creation of Medical College of Wisconsin Department of Surgery — Today and Tomorrow. We invite all of you to take advantage of this new educational opportunity.

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