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  1. AU="Chahine, A Alfred"
  2. AU=Pruimboom Leo
  3. AU="Naama, Moriyah"
  4. AU=Khan Israr
  5. AU="Ansary, Delwar"
  6. AU="Gamerra, Mario"
  7. AU="Eric M. Yoshida"
  8. AU="Raj, Rahul"
  9. AU="Semaan, Marie"
  10. AU="Trafton, Jodie"
  11. AU="Victoria Walker-Sperling"
  12. AU="Song, Wuqi"
  13. AU="Pham, K.‐C"
  14. AU="Boria Alegre, Felix"
  15. AU="Vecsey-Nagy, Milán"
  16. AU=Bazak Remon
  17. AU="Shaaban, Mahmoud"
  18. AU="Perminow, Gøri"
  19. AU="Akrim, Faraz"
  20. AU="Haider, Najm"
  21. AU="Jain, Divyanu"
  22. AU="Halpert, Richard"
  23. AU="Alkorta, Ibon"
  24. AU="Kwon, Kyungmi"
  25. AU="Bernardo Salasnich"
  26. AU="Hassan, Zurina"
  27. AU="Belarbi, M"
  28. AU="Rout, Ranjeet K"
  29. AU="Moreira, Catarina"
  30. AU=Warn-Cramer Bonnie J
  31. AU="Morral, Núria"
  32. AU="Silman, Miles R."
  33. AU="Palfi Salavat, Mădălina-Casiana"
  34. AU="Mohamed, Eid"
  35. AU="Hudson, Lance"
  36. AU="Imane Mihoub" AU="Imane Mihoub"
  37. AU="D. M. Wuchenich"

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  1. Artikel ; Online: The Use of the Perioperative Nutrition Score in Postoperative Pediatric Inflammatory Bowel Disease Patients.

    Howk, Amy A / Smith, Savannah R / Polireddy, Karunesh / Sauer, Cary G / Kugathasan, Subra / Glasson, Julie / Chahine, A Alfred

    Journal of pediatric surgery

    2023  Band 58, Heft 6, Seite(n) 1195–1199

    Abstract: Background and objectives: Preoperative malnutrition is associated with increased postoperative morbidity. The perioperative nutrition score (PONS) was developed to identify patients at risk of malnutrition. We sought to assess the correlation between ... ...

    Abstract Background and objectives: Preoperative malnutrition is associated with increased postoperative morbidity. The perioperative nutrition score (PONS) was developed to identify patients at risk of malnutrition. We sought to assess the correlation between preoperative PONS and postoperative outcomes in pediatric inflammatory bowel disease (IBD) patients.
    Methods: We performed a retrospective cohort study of IBD patients, less than 21 years of age, who underwent elective bowel resection between June 2018 and November 2021. Patients were divided based upon whether they met PONS criteria. The primary outcome was postoperative surgical site infections.
    Results: 96 patients were included. Sixty-one patients (64%) met at least one PONS criteria, while 35 patients (36%) met none. PONS positive patients more frequently received preoperative TPN supplementation (p < .001). There was no difference in preoperative oral nutritional supplementation between groups. Patients that screened positive for PONS had a longer hospital stay (p = .002), more readmissions (p = .029), and more surgical site infections (p = .002).
    Conclusions: Our data highlight the prevalence of malnutrition in the pediatric IBD population. Patients who screened positive had worse postoperative outcomes. Further, very few of these patients received preoperative optimization with oral nutritional supplementation. There is a need for standardization of nutritional evaluation to improve preoperative nutritional status and postoperative outcomes.
    Level of evidence: III.
    Type of study: Retrospective Cohort.
    Mesh-Begriff(e) Humans ; Child ; Nutritional Status ; Retrospective Studies ; Surgical Wound Infection ; Inflammatory Bowel Diseases/complications ; Inflammatory Bowel Diseases/surgery ; Malnutrition ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control
    Sprache Englisch
    Erscheinungsdatum 2023-02-18
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2023.02.015
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  2. Artikel ; Online: Enterobius vermicularis

    Sosin, Michael / Kent, Johnathan R / Chahine, A Alfred

    Journal of laparoendoscopic & advanced surgical techniques. Part A

    2019  Band 29, Heft 5, Seite(n) 717–719

    Abstract: Enterobius ... ...

    Abstract Enterobius vermicularis
    Mesh-Begriff(e) Abdominal Pain/surgery ; Acute Disease ; Animals ; Appendectomy ; Appendicitis/parasitology ; Appendicitis/surgery ; Appendix/parasitology ; Appendix/surgery ; Child ; Colic/parasitology ; Colic/surgery ; Enterobiasis/parasitology ; Enterobiasis/surgery ; Enterobius ; Female ; Humans ; Incidence ; Nausea ; Postoperative Period ; Retrospective Studies ; Vomiting
    Sprache Englisch
    Erscheinungsdatum 2019-02-05
    Erscheinungsland United States
    Dokumenttyp Case Reports ; Journal Article
    ZDB-ID 1381909-4
    ISSN 1557-9034 ; 1092-6429
    ISSN (online) 1557-9034
    ISSN 1092-6429
    DOI 10.1089/lap.2018.0693
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  3. Artikel ; Online: Implementation of an Online Intraoperative Assessment of Technical Performance for Surgical Trainees.

    Faber, David A / Hinman, Johanna M / Knauer, Eric M / Hechenbleikner, Elizabeth M / Badell, I Raul / Lin, Edward / Srinivasan, Jahnavi K / Chahine, A Alfred / Papandria, Dominic J

    The Journal of surgical research

    2023  Band 291, Seite(n) 574–585

    Abstract: Introduction: Assessment of surgical resident technical performance is an integral component of any surgical training program. Timely assessment delivered in a structured format is a critical step to enhance technical skills, but residents often report ... ...

    Abstract Introduction: Assessment of surgical resident technical performance is an integral component of any surgical training program. Timely assessment delivered in a structured format is a critical step to enhance technical skills, but residents often report that the quality and quantity of timely feedback received is lacking. Moreover, the absence of written feedback with specificity can allow residents to seemingly progress in their operative milestones as a junior resident, but struggle as they progress into their postgraduate year 3 and above. We therefore designed and implemented a web-based intraoperative assessment tool and corresponding summary "dashboard" to facilitate real-time assessment and documentation of technical performance.
    Materials and methods: A web form was designed leveraging a cloud computing platform and implementing a modified Ottawa Surgical Competency Operating Room Evaluation instrument; this included additional, procedure-specific criteria for select operations. A link to this was provided to residents via email and to all surgical faculty as a Quick Response code. Residents open and complete a portion of the form on a smartphone, then relinquish the device to an attending surgeon who then completes and submits the assessment. The data are then transferred to a secure web-based reporting interface; each resident (together with a faculty advisor) can then access and review all completed assessments.
    Results: The Assessment form was activated in June 2021 and formally introduced to all residents in July 2021, with residents required to complete at least one assessment per month. Residents with less predictable access to operative procedures (night float or Intensive Care Unit) were exempted from the requirement on those months. To date a total of 559 assessments have been completed for operations performed by 56 trainees, supervised by 122 surgical faculty and senior trainees. The mean number of procedures assessed per resident was 10.0 and the mean number per assessor was 4.6. Resident initiation of Intraoperative Assessments has increased since the tool was introduced and scores for technical and nontechnical performance reliably differentiate residents by seniority.
    Conclusions: This novel system demonstrates that an online, resident-initiated technical assessment tool is feasible to implement and scale. This model's requirement that the attending enter performance ratings into the trainee's electronic device ensures that feedback is delivered directly to the trainee. Whether this aspect of our assessment ensures more direct and specific (and therefore potentially actionable) feedback is a focus for future study. Our use of commercial cloud computing services should permit cost-effective adoption of similar systems at other training programs.
    Mesh-Begriff(e) Internship and Residency ; Clinical Competence ; Education, Medical, Graduate/methods ; Feedback ; Educational Measurement/methods ; General Surgery/education
    Sprache Englisch
    Erscheinungsdatum 2023-08-02
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2023.07.008
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: Development and repair of aorto-esophageal fistula following esophageal button battery impaction: A case report.

    Sinclair, Elizabeth M / Stevens, James P / McElhanon, Barbara / Meisel, Jonathan A / Santore, Matthew T / Chahine, A Alfred / Riedesel, Erica L

    Journal of pediatric surgery case reports

    2021  Band 66

    Abstract: Background: Complications from esophageal button battery impactions remain a real fear for practicing pediatric gastroenterologists and surgeons. This case describes a child who developed an aorto-esophageal fistula 25 days after initial battery ... ...

    Abstract Background: Complications from esophageal button battery impactions remain a real fear for practicing pediatric gastroenterologists and surgeons. This case describes a child who developed an aorto-esophageal fistula 25 days after initial battery ingestion and survived due to prompt placement of an aortic stent via minimally invasive surgery, avoiding an open procedure.
    Case presentation: A 6-year-old female presented acutely with a mid-esophageal button battery impaction witnessed by her parents. Presenting symptoms included chest pain and emesis. Button battery location and size were confirmed on X-ray. She underwent removal with flexible esophagogastroduodenoscopy (EGD) and rigid esophagoscopy. She was admitted to the hospital and received conservative medical management, with serial cross-sectional imaging via chest MRIs to assess the evolution of her injury according to available national guidelines, and was discharged after 12 days of close inpatient monitoring. Despite these measures the patient represented 25 days post-ingestion with hematemesis from a new aorto-esophageal fistula, requiring emergent cardiac catheterization with successful, life-saving aortic stent placement. She remained admitted for an additional 12 days of monitoring as her diet was advanced slowly post-catheterization. Since this second hospitalization she continues to do well, with outpatient follow-up by multiple subspecialists.
    Conclusions: This case highlights the continued uncertainty regarding the risk of developing this complication, as well as gaps in the current literature and guidelines for managing these patients following ingestion and esophageal injury. It also details the unique course following development of this complication and its surgical repair.
    Sprache Englisch
    Erscheinungsdatum 2021-01-07
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article
    ZDB-ID 2715451-8
    ISSN 2213-5766
    ISSN 2213-5766
    DOI 10.1016/j.epsc.2021.101782
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  5. Artikel ; Online: E-Mailed Conference Synopses as a Tool for Resident and Faculty Development.

    LaSalle, Elizabeth E / Fitzgibbons, Shimae C / Chahine, A Alfred

    Journal of surgical education

    2017  Band 75, Heft 4, Seite(n) 861–869

    Abstract: Objective: This study aims to investigate the utility and success of daily conference synopses emails ("Daily Dispatches") sent to surgical attending physicians, fellows, and residents to foster resident and faculty development.: Design: Emails were ... ...

    Abstract Objective: This study aims to investigate the utility and success of daily conference synopses emails ("Daily Dispatches") sent to surgical attending physicians, fellows, and residents to foster resident and faculty development.
    Design: Emails were distributed by the surgical residency program director (PD), summarizing each day of a surgical conference. Two prospective electronic surveys were administered to surgical residents, fellows, and attending surgeons to evaluate the value of this Daily Dispatch method.
    Setting: Institutional; Medstar Georgetown University Hospital, Department of Surgery, Washington, DC.
    Participants: Email synopses were sent to surgical attendings, fellows and residents. Pilot survey was distributed to 60 participants, main survey sent to 74 participants.
    Results: The response rate for the pilot survey was 41.6% (25/60). When asked about the mode of delivery, 96% of respondents wanted to maintain the email medium when compared to a lecture, paper handout, or the use of social media. The response rate for the main survey was 31.1% (23/74). Almost all (91%) respondents reported reading the emails. Within this group, 70% "agreed" or "strongly agreed" that the emails were useful. Furthermore, 90% reported learning "at least one new thing" and 80% confirmed these "emails provide meaningful content they would not otherwise obtain".
    Conclusion: Individualized daily synopsis emails highlighting relevant content provided meaningful information from conferences to non-attendees. The emails were well received and useful. Daily Dispatches meet an important need in dissemination of information traditionally gathered only by the rate-limiting step of conference attendance.
    Mesh-Begriff(e) Adult ; Congresses as Topic ; Education, Medical, Continuing/methods ; Education, Medical, Graduate/methods ; Electronic Mail ; Faculty, Medical ; Female ; General Surgery/education ; Humans ; Internship and Residency ; Male ; Surveys and Questionnaires
    Sprache Englisch
    Erscheinungsdatum 2017-12-21
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2277538-9
    ISSN 1878-7452 ; 1931-7204
    ISSN (online) 1878-7452
    ISSN 1931-7204
    DOI 10.1016/j.jsurg.2017.11.002
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  6. Artikel ; Online: Defining the Applicant Pool for Postgraduate Year-2 Categorical General Surgery Positions.

    Stover, Weston / Gill, Sujata / Schenarts, Kim / Chahine, A Alfred

    Journal of surgical education

    2017  Band 75, Heft 4, Seite(n) 870–876

    Abstract: Objective: In the spring of 2010, a categorical general surgery postgraduate year (PGY)-2 position became available at our academic medical center secondary to attrition of a PGY-1 resident. We sought to study the unique characteristics of applicants to ...

    Abstract Objective: In the spring of 2010, a categorical general surgery postgraduate year (PGY)-2 position became available at our academic medical center secondary to attrition of a PGY-1 resident. We sought to study the unique characteristics of applicants to that position and to describe the selection process with hopes to stimulate additional studies about the unique challenges of recruiting applicants into advanced standing positions.
    Design: Applications were received via e-mail and reviewed to characterize the applicant pool. An Excel spreadsheet was used to organize data. Characteristics assessed included United States Medical Licensing Examination (USMLE) scores, Educational Commission for Foreign Medical Graduates status, Alpha Omega Alpha Honor Society status, sex, academic performance, number of case logs, volunteer and job experience, leadership roles, research experience including submissions, and advanced degrees. These characteristics were compared to those of the PGY-1 applicants through the Match that year.
    Setting: Academic medical center.
    Participants: Applicants for a categorical general surgery PGY-2 position in 2010.
    Results: A total of 129 applicants provided the requested documents. There were 104 males, 25 females, no Alpha Omega Alpha Honor Society candidates, and 82 international candidates. Of all, 46 candidates experienced academic difficulties. Quantitative averages include USMLE 1: 214.17, USMLE 2: 215.74, American Board of Surgery In Training Examination (ABSITE) percentile = 51.96, ABSITE 2 = 46.00, grand total case log: 192.10. Advanced degrees included 2 MBAs, 6 MPHs, and 7 nonphysiology MSs. The selection process to fill the position started on 3/25/2010 when the announcement was published and ended on 5/11/2010 when the offer of acceptance was sent. The selected applicant integrated well with the peers and just graduated from our residency as one of the leaders of the graduating class.
    Conclusions: Although the attrition rate in general surgery remains high, there is a dearth of literature about how best to replace residents. The hardship of replacing residents highlights the importance of studying this group to improve the recruitment process and the quality of replacement residents. The selection process was time consuming and presented its own challenges given the lack of a computerized system for screening. It lasted nearly 7 weeks requiring faculty time commitment to mine through application data/e-mails, correspond with applicants, conduct interviews, and ultimately select an applicant for the position. This is the first study to investigate the applicant pool to advanced standing positions in general surgery and we present it as a pilot study to stimulate further research efforts.
    Mesh-Begriff(e) Academic Medical Centers ; Biomedical Research ; Clinical Competence ; Educational Measurement ; Educational Status ; Electronic Mail ; Female ; General Surgery/education ; Humans ; Internship and Residency ; Leadership ; Male ; Personnel Selection/methods ; United States
    Sprache Englisch
    Erscheinungsdatum 2017-12-11
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2277538-9
    ISSN 1878-7452 ; 1931-7204
    ISSN (online) 1878-7452
    ISSN 1931-7204
    DOI 10.1016/j.jsurg.2017.11.006
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  7. Artikel ; Online: A case of small intestinal cast causing SBO in complicated intestinal graft-versus-host disease.

    Grant, Christa N / Nellis, Eric D / Chahine, A Alfred

    Pediatric surgery international

    2014  Band 30, Heft 6, Seite(n) 685–688

    Abstract: We report an unusual case of small bowel obstruction caused by an intestinal cast in an 8-year-old female who developed intestinal graft-versus-host disease (GVHD) following two unrelated bone marrow transplants for aplastic anemia, and highlight the ... ...

    Abstract We report an unusual case of small bowel obstruction caused by an intestinal cast in an 8-year-old female who developed intestinal graft-versus-host disease (GVHD) following two unrelated bone marrow transplants for aplastic anemia, and highlight the pathophysiology, common presentations, and surgical complications of intestinal GVHD from the surgeons' perspective.
    Mesh-Begriff(e) Anemia, Aplastic/therapy ; Bone Marrow Transplantation ; Child ; Fatal Outcome ; Female ; Graft vs Host Disease/complications ; Humans ; Intestinal Obstruction/diagnostic imaging ; Intestinal Obstruction/etiology ; Intestinal Obstruction/surgery ; Intestine, Small ; Pneumatosis Cystoides Intestinalis/diagnostic imaging ; Pneumatosis Cystoides Intestinalis/etiology ; Pneumatosis Cystoides Intestinalis/surgery ; Tomography, X-Ray Computed
    Sprache Englisch
    Erscheinungsdatum 2014-05-08
    Erscheinungsland Germany
    Dokumenttyp Case Reports ; Journal Article
    ZDB-ID 632773-4
    ISSN 1437-9813 ; 0179-0358
    ISSN (online) 1437-9813
    ISSN 0179-0358
    DOI 10.1007/s00383-014-3515-9
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  8. Artikel ; Online: Indications and outcomes for tunneled central venous line placement via the axillary vein in children.

    Linden, Allison F / Corvin, Chase / Garg, Keva / Ricketts, Richard R / Chahine, A Alfred

    Pediatric surgery international

    2017  

    Abstract: Purpose: To assess the indications, safety and outcomes of tunneled central venous catheters (CVCs) placed via a cutdown approach into the axillary vein in children, an approach not well described in this population.: Methods: A retrospective cohort ... ...

    Abstract Purpose: To assess the indications, safety and outcomes of tunneled central venous catheters (CVCs) placed via a cutdown approach into the axillary vein in children, an approach not well described in this population.
    Methods: A retrospective cohort study was performed on pediatric patients who received CVCs via open cannulation of the axillary vein or one of its tributaries between January 2006 and October 2016 at two hospitals.
    Results: A total of 24 axillary CVCs were placed in 20 patients [10 male (42%); mean weight 7.0 kg (SD 2.9); mean age 10 months (SD 6)]. The most common indications for axillary vein access included neck or chest wall challenges (tracheostomies or chest wall wounds) (n = 18). The median duration of line placement was 140 days (IQR 146). The most common indications for removal were completion of therapy (n = 7, 39%) and infection (n = 5, 28%). There were no early complications. Long-term complications included infection (n = 5) or catheter malfunction (n = 3).
    Conclusions: Tunneled CVC placement via a cutdown approach into the axillary vein or its tributary can be an effective alternative approach to obtain long-term vascular access in children. Outcomes may be comparable to lines placed in traditional internal jugular and subclavian vein locations.
    Sprache Englisch
    Erscheinungsdatum 2017-06-27
    Erscheinungsland Germany
    Dokumenttyp Journal Article
    ZDB-ID 632773-4
    ISSN 1437-9813 ; 0179-0358
    ISSN (online) 1437-9813
    ISSN 0179-0358
    DOI 10.1007/s00383-017-4099-y
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  9. Buch: Surgical pitfalls

    Evans, Stephen R. T / Chahine, A. Alfred

    prevention and management

    2009  

    Verfasserangabe [edited by] Stephen R.T. Evans ; section editors, A. Alfred Chahine ... [et al.]
    Mesh-Begriff(e) Intraoperative Complications/prevention & control ; Surgical Procedures, Operative/adverse effects ; Medical Errors/prevention & control ; Risk Factors ; Risk Management ; Evidence-Based Medicine
    Sprache Englisch
    Umfang xxi, 899 p. :, ill., ports.
    Verlag Saunders/Elsevier
    Erscheinungsort Philadelphia, PA
    Dokumenttyp Buch
    ISBN 9781416029519 ; 1416029516
    Datenquelle Katalog der US National Library of Medicine (NLM)

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  10. Buch ; Online: Surgical pitfalls

    Chahine, A. Alfred / Evans, Stephen R. T

    prevention and management

    2009  

    Abstract: This book provides a unique visual and comprehensive approach to intra-operative technical errors and covers identification, consequences, repair and prevention of those errors. Detailed analyses of all reported complications for more than 80 major ... ...

    Körperschaft ScienceDirect (Online service)
    Verfasserangabe [edited by] Stephen R.T. Evans; section editors, A. Alfred Chahine ... [et al.]
    Abstract This book provides a unique visual and comprehensive approach to intra-operative technical errors and covers identification, consequences, repair and prevention of those errors. Detailed analyses of all reported complications for more than 80 major operations help you minimize the risk of errors in surgical procedures ranging from general, thoracic, vascular, and pediatric ... to colorectal, endocrine, breast and trauma. A practical approach provides you with the essential guidance you need to make the best clinical decisions. Offers in-depth guidance on the prevention, management, and consequences of complications and pitfalls that occur before, during, and after surgery, all in one convenient resource. Organizes sections according to area of surgery for fast reference. Features a templated outline for specific procedures, allowing you to quickly review the associated pitfalls. Presents over 800 illustrations, including full-color intraoperative and postoperative photos, which enable you to follow the progression of a surgery and watch out for "problem areas," while color line drawings help you visualize complex procedures
    Mesh-Begriff(e) Evidence-Based Medicine ; Intraoperative Complications/prevention and control ; Medical Errors/prevention & control ; Risk Factors ; Risk Management ; Surgical Procedures, Operative/adverse effects
    Schlagwörter Surgical errors
    Sprache Englisch
    Umfang Online-Ressource (xxi, 899 p), ill. (chiefly col.), 29 cm
    Verlag Saunders/Elsevier
    Erscheinungsort Philadelphia, PA
    Dokumenttyp Buch ; Online
    Anmerkung Includes bibliographical references and index
    ISBN 1416029516 ; 1437719538 ; 9781416029519 ; 9781437719536
    Datenquelle Ehemaliges Sondersammelgebiet Küsten- und Hochseefischerei

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