T J Howard

Summary

Affiliation: Indiana University
Country: USA

Publications

  1. pmc Small pancreatic and periampullary neuroendocrine tumors: resect or enucleate?
    Susan C Pitt
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202 5124, USA
    J Gastrointest Surg 13:1692-8. 2009
  2. ncbi request reprint Efficacy of venous reconstruction in patients with adenocarcinoma of the pancreatic head
    Thomas J Howard
    Pancreas Research Group and the Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA
    J Gastrointest Surg 7:1089-95. 2003
  3. ncbi request reprint Declining morbidity and mortality rates in the surgical management of pancreatic necrosis
    Thomas J Howard
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    J Gastrointest Surg 11:43-9. 2007
  4. pmc Impact of pancreatic head resection on direct medical costs in patients with chronic pancreatitis
    T J Howard
    Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA
    Ann Surg 234:661-7. 2001
  5. ncbi request reprint A margin-negative R0 resection accomplished with minimal postoperative complications is the surgeon's contribution to long-term survival in pancreatic cancer
    Thomas J Howard
    Pancreas Research Group, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA
    J Gastrointest Surg 10:1338-45; discussion 1345-6. 2006
  6. ncbi request reprint Quality of life after bilateral thoracoscopic splanchnicectomy: long-term evaluation in patients with chronic pancreatitis
    Thomas J Howard
    Department of Surgery, Indiana University School of Medicine, Emerson Hall 523, 545 Barnhill Drive, Indianapolis, IN 46202, USA
    J Gastrointest Surg 6:845-52; discussion 853-4. 2002
  7. doi request reprint Mechanisms of primary operative failure and results of remedial operation in patients with chronic pancreatitis
    Thomas J Howard
    Department of Surgery and Division of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA
    J Gastrointest Surg 12:2087-95; discussion 2095-6. 2008
  8. ncbi request reprint Influence of bactibilia after preoperative biliary stenting on postoperative infectious complications
    Thomas J Howard
    Department of Surgery, Indiana University School of Medicine, Indianapolis, USA
    J Gastrointest Surg 10:523-31. 2006
  9. ncbi request reprint Use of a new sealing device to simplify jejunal resection during pancreaticoduodenectomy
    Thomas J Howard
    Pancreas Research Group and the Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    Am J Surg 190:504-6. 2005
  10. ncbi request reprint Pancreatic disorders in children: relationship of postoperative morbidity and the indication for surgery
    Aaron Rabinovich
    Indiana University School of Medicine and Riley Children s Hospital, Indianapolis, Indiana 46202 5125, USA
    Am Surg 72:641-3. 2006

Collaborators

Detail Information

Publications51

  1. pmc Small pancreatic and periampullary neuroendocrine tumors: resect or enucleate?
    Susan C Pitt
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202 5124, USA
    J Gastrointest Surg 13:1692-8. 2009
    ..The aim of this study was to compare the outcomes of enucleation versus resection in patients with small pancreatic, ampullary, and duodenal neuroendocrine tumors (NETs)...
  2. ncbi request reprint Efficacy of venous reconstruction in patients with adenocarcinoma of the pancreatic head
    Thomas J Howard
    Pancreas Research Group and the Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA
    J Gastrointest Surg 7:1089-95. 2003
    ..Kalpan-Meier life table analysis shows similar survival curves when compared to a contemporary cohort of patients who do not undergo venous reconstruction...
  3. ncbi request reprint Declining morbidity and mortality rates in the surgical management of pancreatic necrosis
    Thomas J Howard
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    J Gastrointest Surg 11:43-9. 2007
    ..04) were significantly less in group II patients. Current methods of surgical management utilizing IAP guidelines have resulted in a decreased operative morbidity, mortality, and hospital length of stay in patients with PN...
  4. pmc Impact of pancreatic head resection on direct medical costs in patients with chronic pancreatitis
    T J Howard
    Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA
    Ann Surg 234:661-7. 2001
    ....
  5. ncbi request reprint A margin-negative R0 resection accomplished with minimal postoperative complications is the surgeon's contribution to long-term survival in pancreatic cancer
    Thomas J Howard
    Pancreas Research Group, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA
    J Gastrointest Surg 10:1338-45; discussion 1345-6. 2006
    ..Long-term survival in patients with pancreatic cancer after resection remains poor. Achieving a margin negative resection (R0) with no postoperative complications are prognostic variables that can be affected by the surgeon...
  6. ncbi request reprint Quality of life after bilateral thoracoscopic splanchnicectomy: long-term evaluation in patients with chronic pancreatitis
    Thomas J Howard
    Department of Surgery, Indiana University School of Medicine, Emerson Hall 523, 545 Barnhill Drive, Indianapolis, IN 46202, USA
    J Gastrointest Surg 6:845-52; discussion 853-4. 2002
    ..Bilateral thoracoscopic splanchnicectomy appears to work best in patients who have had no prior operative or endoscopic interventions...
  7. doi request reprint Mechanisms of primary operative failure and results of remedial operation in patients with chronic pancreatitis
    Thomas J Howard
    Department of Surgery and Division of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA
    J Gastrointest Surg 12:2087-95; discussion 2095-6. 2008
    ..Resection and drainage operations achieve long-term pain relief in approximately 85% of patients with chronic pancreatitis (CP). In patients who develop recurrent pain, a few data exist on the long-term results of remedial operations...
  8. ncbi request reprint Influence of bactibilia after preoperative biliary stenting on postoperative infectious complications
    Thomas J Howard
    Department of Surgery, Indiana University School of Medicine, Indianapolis, USA
    J Gastrointest Surg 10:523-31. 2006
    ..Jaundiced patients can undergo preoperative biliary stenting while maintaining an acceptable postoperative morbidity rate...
  9. ncbi request reprint Use of a new sealing device to simplify jejunal resection during pancreaticoduodenectomy
    Thomas J Howard
    Pancreas Research Group and the Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    Am J Surg 190:504-6. 2005
    ....
  10. ncbi request reprint Pancreatic disorders in children: relationship of postoperative morbidity and the indication for surgery
    Aaron Rabinovich
    Indiana University School of Medicine and Riley Children s Hospital, Indianapolis, Indiana 46202 5125, USA
    Am Surg 72:641-3. 2006
    ..Pancreatic surgery in children is associated with a very low mortality (1.6%) and morbidity equal to that of adult patients. Unique types of morbidities occur with each category of disease state...
  11. ncbi request reprint Management of chylothorax after thoracoscopic splanchnicectomy
    D J Selzer
    Department of Surgery, Indiana University School of Medicine, Indianapolis 46202, USA
    J Laparoendosc Adv Surg Tech A 9:273-6. 1999
    ..On the basis of this experience, we advocate early thoracoscopic reintervention in patients with chylothorax after thoracoscopic splanchnicectomy...
  12. ncbi request reprint Roux-en-Y internal drainage is the best surgical option to treat patients with disconnected duct syndrome after severe acute pancreatitis
    T J Howard
    Department of Surgery, Indiana University School of Medicine, Indianapolis, Ind, USA
    Surgery 130:714-9; discussion 719-21. 2001
    ..CONCLUSIONS: RNY internal drainage, when technically feasible, is the best surgical option to treat disconnected duct syndrome after SAP...
  13. ncbi request reprint CT vs MRCP: optimal classification of IPMN type and extent
    Joshua A Waters
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    J Gastrointest Surg 12:101-9. 2008
    ..CT scanning commonly serves as the primary imaging modality before surgery. We hypothesized MRCP provides better characterization of IPMN type/extent, which more closely matches actual pathology...
  14. ncbi request reprint The multifaceted role of radiology in small bowel obstruction
    Kumaresan Sandrasegaran
    Department of Radiology, Indiana University School of Medicine, Indianapolis, IN 46202 5257, USA
    Semin Ultrasound CT MR 24:319-35. 2003
    ..The meaning of frequently used but poorly defined terms in describing intestinal obstruction is clarified and illustrated...
  15. doi request reprint Does type of pancreaticojejunostomy after pancreaticoduodenectomy decrease rate of pancreatic fistula? A randomized, prospective, dual-institution trial
    Adam C Berger
    Department of Surgery, Thomas Jefferson University, Jefferson Pancreas, Biliary and Related Cancer Center, Philadelphia, PA 19107, USA
    J Am Coll Surg 208:738-47; discussion 747-9. 2009
    ..We tested the hypothesis that a duct to mucosa pancreaticojejunostomy would reduce the PF rate...
  16. ncbi request reprint Pancreatic cystic neuroendocrine tumors: preoperative diagnosis with endoscopic ultrasound and fine-needle immunocytology
    Marshall S Baker
    Department of Surgery, Indiana University School of Medicine, IU Medical Center Cancer Pavilion RT 130D, 535 Barnhill Drive, Indianapolis, IN 46202, USA
    J Gastrointest Surg 12:450-6. 2008
    ..This report represents the largest series of CNETs treated to date, documents the role of EUS in preoperative diagnosis, and describes current management...
  17. ncbi request reprint Pancreatic duct strictures are a common cause of recurrent pancreatitis after successful management of pancreatic necrosis
    Thomas J Howard
    Pancreas Research Group, Department of Surgery, Indiana University School of Medicine, Indianapolis 46202, USA
    Surgery 136:909-16. 2004
    ..The purpose of this study is to review our clinical experience managing recurrent pancreatitis in patients after successful pancreatic debridement...
  18. ncbi request reprint Radiology of small bowel obstruction: contemporary approach and controversies
    D D T Maglinte
    Department of Radiology, Indiana University Medical Center, 550 N University Boulevard, Room UH 0279, Indianapolis, IN 46202, USA
    Abdom Imaging 30:160-78. 2005
    ..This article examines the changes related to the use of imaging in the diagnosis and management of patients with this potentially dangerous problem and revisits pertinent controversies...
  19. doi request reprint Acute superior mesenteric-portal vein thrombosis after pancreaticoduodenectomy: treatment by operative thrombectomy
    Nicholas J Zyromski
    Department of Surgery, Indiana University School of Medicine, Indianapolis, Ind 46202, USA
    Surgery 143:566-7. 2008
  20. ncbi request reprint Intraductal papillary mucinous neoplasms: predictors of malignant and invasive pathology
    C Max Schmidt
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    Ann Surg 246:644-51; discussion 651-4. 2007
    ..Determine whether size and other preoperative parameters predict malignant or invasive intraductal papillary mucinous neoplasia (IPMN)...
  21. ncbi request reprint Does the type of pancreaticojejunostomy after Whipple alter the leak rate?
    Chad G Ball
    Department of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, Indianapolis 46202, USA
    Adv Surg 44:131-48. 2010
    ..The truth remains that an individual surgeon's mastery of a specific anastomotic technique, in conjunction with a large personal experience, is likely to be the best predictor of a low pancreas leak rate following pancreatoduodenectomy...
  22. doi request reprint Effect of hospital volume, surgeon experience, and surgeon volume on patient outcomes after pancreaticoduodenectomy: a single-institution experience
    C Max Schmidt
    Department of Surgery, Indiana University School of Medicine, 980 W Walnut Street, Indianapolis, IN 46202, USA
    Arch Surg 145:634-40. 2010
    ..To determine the importance of hospital volume, surgeon experience, and surgeon volume in performing pancreaticoduodenectomy (PD)...
  23. doi request reprint Small-bowel obstruction: state-of-the-art imaging and its role in clinical management
    Dean D T Maglinte
    Department of Radiology, Indiana University Medical Center, Indianapolis, Indiana 46202 5253, USA
    Clin Gastroenterol Hepatol 6:130-9. 2008
    ..This review focuses on modern imaging techniques and their role in both the diagnosis and treatment of patients with SBO...
  24. ncbi request reprint Total pancreatectomy (R0 resection) improves survival over subtotal pancreatectomy in isolated neck margin positive pancreatic adenocarcinoma
    C Max Schmidt
    Department of Surgery and Indiana University Cancer Center, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    Surgery 142:572-8; discussion 578-80. 2007
    ..In patients undergoing pancreaticoduodenectomy (PD) for pancreatic adenocarcinoma (PC), conversion to total pancreatectomy (TP) may be necessary to achieve R0 resection...
  25. ncbi request reprint PGE(2) in pancreatic cyst fluid helps differentiate IPMN from MCN and predict IPMN dysplasia
    C Max Schmidt
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
    J Gastrointest Surg 12:243-9. 2008
    ..PGE(2) level may also be an indicator of malignant progression of IPMN before ductal obstruction by tumor. Prospective evaluation will be necessary to evaluate the clinical role of PGE(2) level in pancreatic fluid...
  26. doi request reprint Spontaneous duodenal hematoma: a rare cause of upper gastrointestinal tract obstruction
    Brent R Weil
    Department of Surgery, Indiana University School of Medicine, Indianapolis, USA
    Arch Surg 143:794-6. 2008
    ..Here we report a case of a 75-year-old man who spontaneously developed an intramural duodenal hematoma with no apparent inciting event or risk factors...
  27. ncbi request reprint Fatty pancreas: a factor in postoperative pancreatic fistula
    Abhishek Mathur
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    Ann Surg 246:1058-64. 2007
    ..To determine whether patients who develop a pancreatic fistula after pancreatoduodenectomy are more likely to have pancreatic fat than matched controls...
  28. ncbi request reprint Disconnection of the pancreatic duct: an important but overlooked complication of severe acute pancreatitis
    Kumaresan Sandrasegaran
    Department of Radiology, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    Radiographics 27:1389-400. 2007
    ..Early recognition of disconnected pancreatic duct obviates unnecessary and potentially harmful drainage procedures...
  29. ncbi request reprint Pancreaticoduodenectomy: a 20-year experience in 516 patients
    C Max Schmidt
    Department of Surgery, University Hospital, Indiana University School of Medicine, Indianapolis, USA
    Arch Surg 139:718-25; discussion 725-7. 2004
    ..Pancreaticoduodenectomy (PD) is a safe procedure for a variety of periampullary conditions...
  30. ncbi request reprint Improved outcomes in postoperative and pancreatitis-related visceral pseudoaneurysms
    Nicholas J Zyromski
    Department of Surgery, Indiana University, Indianapolis, IN 46202, USA
    J Gastrointest Surg 11:50-5. 2007
    ..Early recognition and prompt angiographic occlusion leads to improved outcomes...
  31. ncbi request reprint Small-bowel complications of major gastrointestinal tract surgery
    Kumaresan Sandrasegaran
    Department of Radiology, Indiana University Medical Center, Indianapolis, IN 46202, USA
    AJR Am J Roentgenol 185:671-81. 2005
    ..Gastrointestinal complications of major abdominal surgery often require radiologic assessment. The purpose of this article is to review the expected imaging findings and complications after commonly performed gastric and pancreatic surgery...
  32. ncbi request reprint Current concepts in imaging of small bowel obstruction
    Dean D T Maglinte
    Department of Radiology, Indiana University Medical Center, 550 North University Boulevard, UH0279, Indianapolis, IN 46202 5243, USA
    Radiol Clin North Am 41:263-83, vi. 2003
    ..The meaning of frequently used but poorly defined terms in describing intestinal obstruction is clarified and illustrated...
  33. ncbi request reprint CT of acute biliopancreatic limb obstruction
    Kumaresan Sandrasegaran
    Department of Radiology, Indiana University School of Medicine, UH 0279, 550 N University Blvd, Indianapolis, IN 46202, USA
    AJR Am J Roentgenol 186:104-9. 2006
    ..Given its high morbidity and rate of reoperation, it is useful to make this specific diagnosis instead of reporting the findings as postoperative small bowel obstruction...
  34. ncbi request reprint Disconnected pancreatic duct syndrome: imaging findings and therapeutic implications in 26 surgically corrected patients
    Mark Tann
    Department of Radiology, Indiana University School of Medicine, 550 N University Boulevard, RM0279, Indianapolis, IN 46202 5253, USA
    J Comput Assist Tomogr 27:577-82. 2003
    ..The purpose of our study is to describe accurately the imaging features of CT scanning and endoscopic retrograde pancreatography (ERCP) that define the DPDS...
  35. ncbi request reprint Classification of small bowel Crohn's subtypes based on multimodality imaging
    Dean D T Maglinte
    Department of Radiology, Indiana University School of Medicine, University Hospital and Outpatient Center, 550 North University Boulevard, Room 0279, Indianapolis, IN 46202 5253, USA
    Radiol Clin North Am 41:285-303. 2003
    ..The imaging modalities used should be able to classify the small bowel Crohn's subtypes and should be reflected in the radiologists' reports...
  36. ncbi request reprint Preoperative predictors of malignancy in pancreatic intraductal papillary mucinous neoplasms
    Chad A Wiesenauer
    Department of Surgery, Indiana University School of Medicine, USA
    Arch Surg 138:610-7; discussion 617-8. 2003
    ..Malignant intraductal papillary mucinous neoplasms (IPMNs) can be predicted before surgery...
  37. ncbi request reprint Surgery for chronic pancreatitis: cross-sectional imaging of postoperative anatomy and complications
    Kumaresan Sandrasegaran
    Department of Radiology, Indiana University Medical Center, 550 N University Blvd, UH 0279, Indianapolis, IN 46202, USA
    AJR Am J Roentgenol 184:1118-27. 2005
    ..It is important to carefully assess the upper abdominal arteries to detect subtle but potentially lethal complications...
  38. doi request reprint Pancreatic necrosectomy: North American mortality is much lower than expected
    Purvi Y Parikh
    Department of Surgery, Indiana University, Indianapolis, IN, USA
    J Am Coll Surg 209:712-9. 2009
    ..But no national data have been available for patients with necrotizing pancreatitis. In 2007, a CPT code specific for debridement of pancreatic necrosis became available...
  39. ncbi request reprint Prophylactic antibiotics alter the bacteriology of infected necrosis in severe acute pancreatitis
    Thomas J Howard
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
    J Am Coll Surg 195:759-67. 2002
    ....
  40. ncbi request reprint Endoscopic snare papillectomy for tumors of the duodenal papillae
    Chi Liang Cheng
    Division of Gastroenterology Hepatology, Department of Surgery, Indiana University Medical Center, Indianapolis 46202, USA
    Gastrointest Endosc 60:757-64. 2004
    ..Tumors of the major and the minor duodenal papillae can be malignant or premalignant, and traditionally are treated by surgical excision. This study evaluated the safety and the outcome of endoscopic snare resection of such tumors...
  41. ncbi request reprint Can pancreaticoduodenectomy be used to palliate selective metastatic malignancies? Case report of malignant fibrous histiocytoma
    Mindy M Ho
    Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA
    J Gastrointest Surg 9:934-7. 2005
  42. ncbi request reprint Pancreatic mucinous adenocarcinoma with peritoneal metastases
    Wee Chian Lim
    Department of Medicine, Division of Gastroenterology and Hepatology, Indiana University Medical Center, Indianapolis, Indiana, USA
    Gastrointest Endosc 62:140-1. 2005
  43. doi request reprint Clinical framework to guide operative decision making in disconnected left pancreatic remnant (DLPR) following acute or chronic pancreatitis
    Kariuki P Murage
    Departments of Surgery and Radiology, Indiana University School of Medicine, Indianapolis, IN, USA
    Surgery 148:847-56; discussion 856-7. 2010
    ..Optimal operative treatment, either distal pancreatectomy (DP) or internal drainage (ID), remains unknown. This paper critically evaluates our operative experience in patients with DLPR...
  44. ncbi request reprint New concepts in staging and treatment of locally advanced pancreatic head cancer
    Chandana G Lall
    Department of Radiology, Indiana University Medical Center, UH 0279, 550 N University Blvd, Indianapolis, IN 46202, USA
    AJR Am J Roentgenol 189:1044-50. 2007
    ..As a result, the imaging criteria to determine which patients are candidates for potentially curative resection are evolving...
  45. ncbi request reprint Analysis of Ki-67 antigen expression, DNA proliferative fraction, and survival in resected cancer of the pancreas
    Katie J Stanton
    Department of Surgery, Indiana University School of Medicine, and Roudebush VA Medical Center, 545 Barnhill Drive, EM 244, Indianapolis, IN 46202, USA
    Am J Surg 186:486-92. 2003
    ..MIB-1 identifies the Ki67 antigen present in nuclei of cells in all phases of the cell cycle except G0...
  46. doi request reprint The burden of incisional hernia in necrotizing pancreatitis: how can we improve?
    Hayder H Al-Azzawi
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
    Am J Surg 199:310-4; discussion 314. 2010
    ..However, no published data exist regarding the incidence of IH in NP. The aim of the current study was to define the incidence of and identify risk factors for developing IH after pancreatic debridement...
  47. ncbi request reprint Frequency of biliary complications after laparoscopic cholecystectomy detected by ERCP: experience at a large tertiary referral center
    Mubashir H Khan
    Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA
    Gastrointest Endosc 65:247-52. 2007
    ..Although a learning curve phenomenon was attributed to biliary injuries early after its introduction, we were interested in trends in biliary injury rates over time as laparoscopic cholecystectomy has become a mature technology...
  48. doi request reprint Pancreatic surgery: evolution at a high-volume center
    Kathryn M Ziegler
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    Surgery 148:702-9; discussion 709-10. 2010
    ..Therefore, the aims of this report are to determine whether the pancreatic operations or the spectrum of disease have evolved at a high-volume center...
  49. doi request reprint Annular pancreas: dramatic differences between children and adults
    Nicholas J Zyromski
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    J Am Coll Surg 206:1019-25; discussion 1025-7. 2008
    ..In addition, no large analysis has compared children and adults. Recently, prenatal diagnosis and advances in imaging have led to increased experience with this condition...
  50. doi request reprint Intervention in necrotizing pancreatitis: an evidence-based review of surgical and percutaneous alternatives
    Edward L Bradley
    Department of Clinical Sciences, Florida State University College of Medicine, Tallahassee, FL, USA
    J Gastrointest Surg 12:634-9. 2008
    ..Cooperative evidence-based multiinstitutional studies will be required to address the validity of these proposals...
  51. pmc As good as it gets: the study of prophylactic antibiotics in severe acute pancreatitis
    Thomas J Howard
    Ann Surg 245:684-5. 2007