Steven D. Wexner

Steven D. Wexner is an American surgeon and physician.[1] He is Director of the Digestive Disease Center at Cleveland Clinic Florida, where he has worked since 1988.[2][3] He has received numerous regional, national, and international research awards.[4] Through his multiple academic appointments, Wexner personally trains 15-20 surgeons each year, and he educates thousands more around the world through conferences and lectures.[5] However he also maintains a clinical practices and continuing research.[6] He also serves as Symposium Director of the Annual International Colorectal Disease Symposium, held each year in Fort Lauderdale, Florida.

Steven D. Wexner
Born
United States
EducationWeill Cornell Medicine (MD)
Columbia University
OccupationSurgeon
Medical career
FieldColorectal Surgery
InstitutionsCleveland Clinic Florida
Websitemy.clevelandclinic.org/staff/202-steven-wexner

Education

Wexner received his bachelor's degree from Columbia University in 1978. He earned his MD in 1982 from Weill Cornell Medicine. He completed a general surgery residency in 1987 at Roosevelt Hospital (now Mount Sinai West).[7] In 1988 he completed a fellowship in colon and rectal surgery at the University of Minnesota Medical School in Minneapolis, MN.

Career

In 1993, Wexner was named Chairman of the Department of Colorectal Surgery at Cleveland Clinic Florida. While at Cleveland Clinic he also served as Chairman of the Division of Research and Education from 1996 to 2007, as well as Chief of Staff from 1997 to 2007. He served as Chief Academic Officer from 2007 to 2012. In 2012 He was appointed the Director of the Digestive Diseases Center at Cleveland Clinic Florida.[8]

Wexner holds academic appointments as Affiliate Professor at Florida Atlantic University; Clinical Professor at Florida International University; Affiliate Professor of Surgery at the University of South Florida, Tampa, Florida; Professor of Surgery at the Ohio State University; Clinical Professor of Surgery at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University; Affiliate Professor of Surgery at the University of Miami Miller School of Medicine; Professor of Surgery, University of Siena, Siena, Italy; Visiting Professor, Faculty of Medicine, the Hebrew University of Jerusalem, Hadassah Medical Center, Jerusalem, Israel; and Visiting Professor at the University of Belgrade in Serbia.[9]

Wexner is one of the founders of the National Accreditation Program for Rectal Cancer (NAPRC).[10] The accreditation program was formed in 2017 with the American College of Surgeon's Commission on Cancer to implement nationwide educational and medical standards for the best treatment of rectal cancer.[11]

Innovation and research

J-Pouch Procedures

Much of Wexner's work has been focused on improving surgical techniques for the avoidance of permanent stomas in patients with colorectal cancer, ulcerative colitis, and fecal incontinence. He introduced a popular modification to the technique for creating an ileo-anal pouch , or j-pouch for ulcerative colitis, in which double stapling is used in place of sutures to improve results.[12] He also popularized the colonic j-pouch for patients with rectal cancer.[13] The J-pouch, an alternative to a permanent ileostomy or colostomy, allows patients who have had their colons removed to continue to have regular bowel movements without an ostomy bag. This is now the standard of care for patients with rectal carcinoma across the country and world.[8]

Incontinence and Constipation Scores

The Wexner Incontinence Score is the most common score used to determine the severity of incontinence before and after surgery for anal incontinence.[14] The Wexner Incontinence Score is based on the research of Wexner and his associate J. Marcio N. Jorge, MD. The scoring system takes into account the frequency of incontinence, alterations a patient makes to cope with incontinence, and lifestyle modifications.

Wexner's research has also developed the Wexner Constipation Score, occasionally known as the Cleveland Clinic Constipation Score.[7] The score measures the severity of constipation by taking into consideration a number of factors, which his research found to correlate with objective physiologic findings. Information on these factors is collected from each patient's subjective reports, and they are given a score. This score allows for appropriate and consistent diagnosis and treatment. The factors include the frequency and completeness of bowel movements, the difficulty of evacuation, the type of assistance used (if any), the patient's level of pain, and duration of constipation.[15]

In 1996, Wexner and colleagues released a method of scoring perianal disease activity for patients with Crohn's Disease. The goal of the scoring system is to utilize a patient's medical history and the results of physical examination to predict the likelihood of success of surgical intervention.[16] Prior to the development of this method, doctors lacked reliable indices of disease activity or prognostic implications from surgery.

Patents
  • US patent 20090281560A1, Wexner, Steven D. & Regadas, Francisco Sergio Pinheiro, "Method for anastomosis surgery using zip-ties", published 2009-11-12
  • WO patent 2010030707A1, Regadas, Francisco Sergio Pinheiro & Wexner, Steven D., "Surgical string applicator for anastomosis surgery and method of use", published 2010-03-18
  • US patent 7954251B2, Wexner, Steven D.; Nunes, Rogean R. & Regadas, Francisco Sergio Pinheiro, "Multifunctional airway evaluator for orotracheal intubation", published 2011-06-07
  • US patent 7954251B2, Wexner, Steven D.; Nunes, Rogean R. & Regadas, Francisco Sergio Pinheiro, "Multifunctional airway evaluator for orotracheal intubation", published 2012-03-06
  • US patent 8211129B2, Regadas, Francisco Sergio Pinheiro & Wexner, Steven D., "Method for anastomosis surgery using zip-ties", published 2012-07-03
  • US patent D682425S1, Wexner, Steven D.; Nunes, Rogean R. & Regadas, Francisco Sergio Pinheiro, "Airway evaluator for orotracheal intubation", published 2013-05-14
  • US patent 9526502B2, Regadas, Francisco Sergio Pinheiro & Wexner, Steven D., "Surgical string applicator for anastomosis surgery", published 2016-12-27
  • US patent 20170056020A1, Regadas, Francisco Sergio Pinheiro & Wexner, Steven D., "Surgical string applicator for anastomosis surgery and method of use", published 2017-03-02

Honors and Awards

In 1999, Wexner was awarded an FRCS from the Royal College of Surgeons in Edinburgh, Scotland. In 2000 he was awarded an FRCS ad eundum from the Royal College of Surgeons in England. In 2008 he was elected to the Royal College of Surgeons of England by a unanimous vote of its council. This is the highest distinction conferred by the council. In 2015, Wexner was awarded honorary membership in the European Surgical Association and the European Society of Coloproctology.[8]

In 2013, Wexner was awarded an honorary foreign membership in the Argentina Society of Coloproctology. In 2012, Wexner was awarded the degree of PhD honoris causa by the University of Belgrade. In 2003, The American Jewish Committee presented Wexner with the prestigious Maimonides Award. In 2013, he was awarded Professor Emeritus of I.M. Sechenov First Moscow State Medical University. In 2016, Wexner was recognized by Cleveland Clinic Florida as a Master Clinician.

In 2017, Wexner was awarded an honorary membership into the Society of General Surgery of Peru, honorary fellowship in the Royal College of Surgeons in Ireland, and Honorary Clinical Senior Lecturer at the University College London. On June 5, 2019, Wexner was award an Honorary Fellowship by the Royal College of Physicians and Surgeons of Glasgow, Scotland.

Publications

Dr. Wexner is the co-editor-in-chief of Surgery.[17] He has served on the editorial team for over 25 textbooks and has published 250 textbook chapters. He is also a reviewer for 31 journals and is on 33 editorial boards.

Dr. Wexner has also authored numerous articles over his career. He recently published two more in The American Surgeon, which focused on the authors' experiences treated patients during the COVID-19 pandemic:

  • Wexner, Steven D.; Cortés-Guiral, Delia; Spinelli, Antonio; Mayol, Julio (2020). "Lessons Learned and Experiences Shared From the Front Lines: Milan and Madrid". The American Surgeon. 86 (6): 577–584. doi:10.1177/0003134820924396.
  • Wexner, Steven D.; Cortés-Guiral, Delia; Mortensen, Neil; Darzi, Ara (2020). "Lessons Learned and Experiences Shared From the Front Lines: United Kingdom". The American Surgeon. 86 (6): 585–590. doi:10.1177/0003134820925087.

In his capacity at Regent for the American College of Surgeons, Dr. Wexner has also conducted a series of interviews with other surgeons from around the world called A Surgeon's Voice.[18]. The interviews focus on these surgeons' experiences with the COVID-19 pandemic and their unique perspectives as medical professionals.


Wexner also published studies which resulted in the eponymous Wexner Incontinence Score and the Wexner Constipation Score, as well as the Pilarsky Wexner Perianal Crohn's Score:

Selected Books
  • David E. Beck (Author), Steven D. Wexner (Author), Janice F. Rafferty (Author) (2019). Gordon and Nivatvongs' Principles and Practice of Surgery for the Colon, Rectum, and Anus, 4th ed. Thieme. ISBN 1626234299
  • David E. Beck, Scott R. Steele, Steven D. Wexner (2019). Fundamentals of Anorectal Surgery, 3rd ed. Springer Nature Switzerland. ISBN 3319659650
  • Steven D. Wexner (Author), James W. Fleshman (Author) (2019). Colon and Rectal Surgery: Abdominal Operations (Master Techniques in Surgery), 2nd ed. Wolters Kluwer. ISBN 1496347234
  • Steven D. Wexner (Author), James W. Fleshman (Author) (2019). Colon and Rectal Surgery: Anorectal Operations (Master Techniques in Surgery), 2nd ed. Wolters Kluwer. ISBN 1496348575
  • David E. Beck, Steven D. Wexner, et al. (2014). The ASCRS Manual of Colon and Rectal Surgery, 2nd ed. Springer New York.
  • Andrew P. Zbar, Robert D. Madoff, Steven D. Wexner (2013). Reconstructive Surgery of the Rectum, Anus and Perineum. Springer. ISBN 1848824122
  • Steven D. Wexner, Andrew P. Zbar, Mario Pescatori (2010). Complex Anorectal Disorders: Investigation and Management. Springer. ISBN 1849968969
  • Andrew P. Zbar, Steven D. Wexner (2010). Coloproctology (Springer Specialist Surgery Series). Springer. ISBN 1848827555
  • N. Stollman, Steven D. Wexner (2007). Disease of the Colon, 1st ed. Informa Healthcare. ISBN 0824729994
  • Steven D. Wexner, Graeme S. Duthrie (2006). Constipation: Etiology, Evaluation and Management. Springer. ISBN 1849968969
  • G. Davila, G. Ghoneim G, Steven D. Wexner (2006). Pelvic Floor Dysfunction, 1st ed. Springer. ISBN 1852337303
  • Steven D. Wexner et al. (2006). Diverticular Disease: Emerging Evidence in Common Conditions, 1st ed. Springer. ISBN 1849968969
  • Steven D. Wexner, Andrew P. Zbar, Mario Pescatori (2005). Complex Anorectal Disorders. Investigation and Management, 1st ed. Springer. ISBN 185233-6900
  • Steven D. Wexner (Section Ed.), B. MacFadyen (Section Ed) (2004). Laparoscopic Surgery of the Abdomen. Springer-Verlag. ISBN 978-0-387-98468-1
  • P. Boulos, Steven D. Wexner (2000). Current Challenges in Colorectal Surgery, 1st ed. W. B. Saunders. ISBN 0-7020-2559-3
  • Steven D. Wexner, (1999). Protocols in General Surgery: Laparoscopic Colorectal Surgery. ISBN 0471240303

Other Selected Articles


2020
  • Sharp, S.P.; Malizia, R.; Skancke, M.; Arsoniadis, E.G.; Ata, A.; Stain, S.C.; Valerian, B.T.; Lee, E.C.; Wexner, S.D. (August 2020). "A NSQIP analysis of trends in surgical outcomes for rectal cancer: what can we improve upon?". American Journal of Surgery. 220 (2): 401–407. doi:10.1016/j.amjsurg.2020.01.004.
  • Wexner, Steven; Keller, Deborah; Berho, Mariana; Brown, Gina; Hull, Tracy; Moeslein, Gabriela (July 2020). "A narrative celebrating the recent contributions of women to colorectal surgery". Surgery. doi:10.1016/j.surg.2020.06.024.
  • Wexner, Steven; Skancke, Matthew; Sharp, Stephen; Maron, David (July 2020). "Elevated Prevalence of Nodal Positivity in Carcinoid Tumors of the Appendix <2cm Negatively Impacts Overall Survival". Colorectal Disease. doi:10.1111/codi.15287.
  • Rusch, V.W.; Wexner, S.D. (July 2020). "The American College of Surgeons responds to COVID-19". Journal of the American College of Surgeons. doi:10.1016/j.jamcollsurg.2020.06.020. (Epublished ahead of print)
  • Wexner, S.D.; Cortes-Guiral, D.; Gilshtein, H.; Kent, I.; Reymond, M. (June 2020). "COVID-19: Impact on colorectal surgery". Colorectal Diseases. 22 (6): 635–640. doi:10.1111/CODI.15112.
  • Poh, K.S.; Qureshi, S.; Hong, Y.K.; Moreno, T.; Stocchi, L.; Hull, T.; Maron, D.J.; Wexner, S.D.; daSilva, G. (May 2020). "Multivariate prediction of intraoperative abandonment of ileal pouch anal anastomosis". Diseases of the Colon and Rectum. 63 (5): 639–645. doi:10.1097/dcr.0000000000001617.
  • Kolarsick, P.A.; Sacchi, M.; Spinelli, A.; Wexner, S.D. (March 2020). "Minimizing the impact of colorectal surgery in the older patient: the role of minimally invasive surgery in the geriatric population". European Journal of Surgical Oncology. 46 (3): 333–337. doi:10.1016/j.ejso.2019.12.019.
  • Keller, D.; Berho, M.; Perez, R.; Wexner, S.D.; Chand, M. (March 2020). "The multidisciplinary management of rectal cancer". Nature Reviews Gastroenterology and Hepatology. 17: 414–429. doi:10.1038/s41575-020-0275-y.


2019
  • Wexner, Steven D.; Talamini, Mark A. (August 2019). "EAES/SAGES consensus conference on acute diverticulitis: a paradigm shift in the management of acute diverticulitis". Surgical Endoscopy. 33: 2724–2725. doi:10.1007/s00464-019-06998-2.
  • Gorgun, Enre; Cengiz, Turgut Bora; Wexner, Steven D.; et al. (August 2019). "Does laparoscopic ileal pouch-anal anastomosis reduce infertility compared with open approach?". Surgery. 166 (4): 670–677. doi:10.1016/j.surg.2019.04.045.
  • Emile, Sameh Hany; Elfeki, Hossam; Shalaby, Mostafa; Sakr, Ahmad; Sileri, Peirpaolo; Wexner, Steven D. (April 2019). "Outcome of laparoscopic ventral mesh rectopexy for full-thickness external rectal prolapse". Surgical Endoscopy. 33 (8): 2444–2455. doi:10.1007/s00464-019-06803-0.

Professional Memberships and Positions

From 2011–2012, Wexner served as president of the American Society of Colon and Rectal Surgeons,[19] for which he gave a Presidential Address in 2012.[20] Prior to that, from 2010–2011 he served as president of the American Board of Colon and Rectal Surgery.[21] He also served as president of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) from 2006–2007.[22] In 2007 he delivered the SAGES Presidential Address entitled "Trials and tribulations in the history of surgical innovation." [23]

Additionally, Wexner is currently on the Board of Regents of the American College of Surgeons.[24] Within this organization he is on the executive committee for the Commission on Cancer,[25] and he is the chair of the National Accreditation Program for Rectal Cancer.[26]

Wexner has served as the president of other professional organizations, including the American Society of Colon and Rectal Surgeons Research Foundation, the Florida Gastroenterologic Society, and South Florida Chapter of the American College of Surgeons.[5]

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References
  1. "Biosketch" (PDF). els-jbs-prod-cdn.jbs.elsevierhealth.com. Retrieved 2020-07-26.
  2. "Steven Wexner, MD". Cleveland Clinic. Cleveland Clinic. Retrieved 18 July 2018.
  3. "Steven D. Wexner, MD, PhD(Hon), FACS, FRCSEng, FRCSEd, FRCSI(Hon), FRCSGlasg(Hon), Author at The Bulletin". The Bulletin. Retrieved 2020-02-09.
  4. "CV" (PDF). www.siccr.org. Retrieved 2020-07-26.
  5. "Steven D. Wexner, M.D. | LEADING BIOSCIENCES INC".
  6. Beck, David E. (November 2007). "Steven D. Wexner, M.D." Clinics in Colon and Rectal Surgery. 20 (4): 265. doi:10.1055/s-2007-991024. PMC 2780216.
  7. "Steven D. Wexner, M.D. | LEADING BIOSCIENCES INC". Retrieved 2020-02-09.
  8. Publishing, Science World. "World Journal of Gastroenterology, Hepatology and Endoscopy - Science World Publishing - Open Access Journals – Open Access Publishing". Science World Publishing | Science World Publishing | Science World Journals | Open Access Journals.
  9. "Steven Wexner". PracticeUpdate.
  10. "Developing the National Accreditation Program for Rectal Cancer". Consult QD. Consult QD. 11 May 2018. Retrieved 18 July 2018.
  11. "National Accreditation Program for Rectal Cancer". American College of Surgeons. American College of Surgeons. Retrieved 18 July 2018.
  12. Bach, Simon P; Mortensen, Neil J (28 June 2007). "Ileal pouch surgery for ulcerative colitis". World Journal of Gastroenterology. 13 (24): 3288–3300. doi:10.3748/wjg.v13.i24.3288. PMC 4172708. PMID 17659667.
  13. "Steven Wexner". f1000.com. f1000.com. Retrieved 18 July 2018.
  14. Jorge, Marcio J. N.; Wexner, Steven D. (January 26, 1993). "Etiology and management of fecal incontinence". Diseases of the Colon & Rectum. 36 (1): 77–97. doi:10.1007/BF02050307 – via journals.lww.com.
  15. Agachan, Feran; Chen, Teng; Pfeifer, Johann; Reissman, Petachia; Wexner, Steven D. (June 1, 1996). "A constipation scoring system to simplify evaluation and management of constipated patients". Diseases of the Colon & Rectum. 39 (6): 681–685. doi:10.1007/BF02056950 – via Springer Link.
  16. Pikarsky, Alon J.; Gervaz, Pascal; Wexner, Steven D. (July 1, 2002). "Perianal Crohn Disease: A New Scoring System to Evaluate and Predict Outcome of Surgical Intervention". Archives of Surgery. 137 (7): 774–778. doi:10.1001/archsurg.137.7.774 – via jamanetwork.com.
  17. "Home Page: Surgery". www.surgjournal.com.
  18. https://www.facs.org/covid-19/surgeons-voice/colleagues
  19. "Past Presidents | ASCRS". fascrs.org.
  20. Wexner, Steven D. (November 2012). "Presidential Address". Diseases of the Colon and Rectum. 55 (11): 1101–1110. doi:10.1097/DCR.0b013e31826a4f08.
  21. "General booklet" (PDF). www.abcrs.org. Retrieved 2020-07-26.
  22. "SAGES Past Presidents". SAGES.
  23. Wexner, Steven D. (June 26, 2009). "Trials and tribulations in the history of surgical innovation: SAGES 2007 presidential address". Surgical Endoscopy. 23 (6): 1171–1179. doi:10.1007/s00464-009-0472-9. PMID 19412629 – via PubMed.
  24. https://www.facs.org/about-acs/governance/board-of-regents
  25. "CoC Executive Committee Member". American College of Surgeons.
  26. "NAPRC Governance Committees". American College of Surgeons.
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