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ISBN9 78-1-4511-8631-4
I.M ulhollMaincdh,a We.l,e dit. or
[DNLM:1 .S urgiPcraolc eduOrpeesr,a tivtel-aAsWeOs .5 17]
RD32
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2014029876
This wiosrp kr ovid"eads iasn,dt" h ep ubilshdeirs claainmyas n da lwla rranteixepsr,e ss
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responsfiobrtl heeu se tohfiw so rki ncludailnmlge dicjadulg menatsn df ora nyr esulting
diagnoasnidts r eatments.
Givecno ntinuroaupsi,ad d vancienms e dicsacli enacnedh ealitnhf ormatiinodne,p endent
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consual vta rieotfsy o ruceWsh.e np rescribing medicatpirooenfs,s ihoenaaralelta shdc are
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PAR1T OPERTAIVTEEC HNIQUES RobeJrt. C erfoMlDi,oF A,C SF,C CP RobeErt. G lasgoMwD ,
INT HORACIACN D ProfeosfSs uorrg ery AssocPiraotfee ssor
ESOPHAGESAULR GERY ChiTehfo racic Surgery SectCihoine f
JameHs.E stEensd owCehda fiorr DepartomfSe unrtg ery
MarcEo.A llaMiDx,P, h D LunCga ncReers earch GastroinatnedGs etnienSraualrl g ery
PostdocFteolrlaolw UniveorfsA iltayb aamtBa i rmingham DivisoifGo enn eSruarlg ery
DepartomfSe unrtg aenrdCy e ntfeorr SchooofMl e dicine VicCeh airman
EsophaDgiesaela ses BirmingAhlaamb,a ma ClinOipcearla tainodQn usa lity
PritSzckheoroo fMl e dicine UniveorfsU ittayh
UniveorfsC ihtiyc ago MikKe. C henM,D SaLlatk Cei tUyt,a h
ChicaIglol,i nois Professor
VicCeh airman CatherGion,MeD
ScotAt.A ndersMoDn , DepartomfSe unrtg ery Resident
AssisPtraonfteo sfSs uorrg ery Director DepartomfSe unrtg ery
DepartomfSe unrtg ery DivisoifPo end iaSturrigce ry DivisoifVo ans cuSluarrg ery
DivisoifPo end iaSturrigce ry UniveorfsA iltayb aamtBa i rmingham UniveorfsP iittyt sMbeudrigCchea nlt er
UniveorfsA iltayb aamtBa i rmingham SchooofMl e dicine PittsbPuerngnhs,y lvania
SchooofMl e dicine ChildHroesnp'isot fAa lla bama
PediaSturrigce ry BirmingAhlaamb,a ma TylGerre ndMaD,
HousOef ficer
ChildHroesnp'isot fAa lla bama
BirmingAhlaamb,a ma MarkJ. E ichlMDe r, DepartomfSe unrtg ery
Instructor SectoifGo enn eSruarlg ery
ShandHaa leByl ackmMoDn,M, P H MinimIanlvlyaa sniBdva er iaFterlilco w UniveorfsM iitcyh iHgeaanl Styhs tem
Associateo fPS ruorfgeesrsyo r DepartomfSe unrtg ery AnnA rboMri,c higan
DepartomfTe hnotr aScuircg ery DivisoifGo enn eSruarlg ery
MayCol inic OregHoena l&t Shc ience UniversWiitly liGarmi sMDt ,
Roche,Ms itnenresota PortlOarnedg,o n AssocPiraotfeeo sfOs toorl aryngology
DepartomfOe tnotl aryngology
NathaBloiuet eMDt , AwadE I-shArMyD, DivisoifHo ena &d NecSku rgery
Resident Resident EmorUyn iversity
CentHroes pitdaell 'iUenri vdeer site DepartomfGe ennte Sruarlg ery AtlaGnetoar,g ia
Montreal UniveorfsA iltayb aamtBa i rmingham
UniveorfsM iotnyt real BirmingAhlaamb,a ma MaryT .H awnM,D ,M PH
ProfeCshsiooerfGf, a stroinStuersgteirnya l
MontrQeuaelb,eC ca,n ada
PeteFre rsoMDn , DepartomfSe unrtg ery
BretBtr oussMaDr d, ProfeosfTs hoorr aScuircg ery DivisoifGo ans troinStuersgteirnya l
Resident DepartomfCe anrtd iothSourragceircy UniveorfsA iltayb aamtBa i rminSgchhaomo l
DepartomfSe unrtg ery UniveorfsP iittyt sSbcuhrogoohfMl e dicine ofM edicine
UABS chooofMl e dicine PittsbPuerngnhs,y lvania BirmingAhlaamb,a ma
BirmingAhlaamb,a ma AlexanTd.He irl lMeD l,
LukMe. F unkMD,, M PH
AssisPtraonfte ssor
WilliRa.Cm a rroMDl,lF ,A CS Assistanto fPS ruorfgeesrsyo r
DepartomfOe tnotl aryngolaongdy -Head
GeorWg.eB arbJerPr.r ofeosfSs uorrg ery MinimaIlnlvyaa sniBdva er iaSturrigce ry NecSku rgery
DivisoifOo tno laryngology UniveorfsW iitsyc onsin DivisoifLo anr yngology
Director MadisWoins,c onsin JohHnosp kiUnnsi veSrcshiotooyfMl e dicine
SectoifHo ena adn Nde cOkn cology BaltimMoarrey,l and
UniveorfsA iltayb aamtBa i rmingham
SchooofMl e dicine JohGn. H unteMrD ,
BirmingAhlaamb,a ma ProfeasnsdCo hra ir
DepartomfSe unrtg ery
DivisoifGo enn eSruarlg ery
OregHoena l&t Shc ieUnnciev ersity
PortlOarnedg,o n
v
Vi CONTRIBUTIANUGT HORS
RyanL evyMD, KlauMso nkemulMlDe,Pr h,D , ShajPaent eMrD ,
Assistanto fPT rhoofreaSscusirocgr e ry FASGE AssisPtraonfte ssor
DepartomfCe anrtd iothSourragceircy Professor DepartomfGe anstt roenterology
UniveorfsP iittyt sSbcuhrogoohfMl e dicineD epartomfGe anst troenterologyB asHiilr schEonwdiotszc Coepnitocef r
PittsbPuerngnhs,y lvania BasHiilr schEonwdiotszc Coepnitocef r EndoscEoxpciecl lence
EndoscEoxpciecl lence UniveorfsA iltayb aamtBa i rminSgchhaomo l
MoishLei bermMaDn,P, h D UniveorfsA iltayb aamtBa i rminSgchhaomo l ofM edicine
Director ofM edicine BirmingAhlaamb,a ma
CHUME ndoscTorpaicch eobraonndc hiBailr mingAhlaamb,a ma
OesophaCgeenatle r C.D aniSemli tMhD,
DivisoifTo hno raScuircg ery EllHe.nM orroMwD, ProfeosfSs uorrg ery
AssisPtraonfteo sfSs uorrg ery SeniFoerl low DepartomfSe unrtg ery
UniveorfsM iotnyt real ActiInngs tructor MayCol inic
MontrQeuaelb,eC ca,n ada CentfeoErrs ophaagnedGa als tSruircg eryJ acksonFvliolrlied,a
UniveorfsW iatsyh inMgetdoinc ine
JuleLsi nMD,, F ACS SeatWtalseh,i ngton CameroTn.S tocMkD,
AssisPtraonfte ssor Resident
DepartomfSe unrtg ery ChristoRp.Mh oerrs MeD, DivisoifTo hno raScuircg ery
SectoifTo hno raScuircg ery DepartomfSe unrtg ery MassachGuesneetHrtoassl p ital
UniveorfsM iitcyh iHgeaanl Styhs tem DivisoifTo hno racic Surgery BostMoans,s achusetts
AnnA rboMri,c higan MassachGuesneetHrtoassl p ital
BostMoans,s achusetts ElizabAe.Wt ahr neMrD,
JameDs. L uketiMDc h, SeniFoerl low
ProfeosfTs hoorr aScuircg ery JasoLne onaMrude ssMeD, ActiInngs tructor
DepartomfCe anrtd iothSourragceircy Fellow CentfeoErrs opha&g Geaaslt Sruircg ery
UniveorfsP iittyt sSbcuhrogoohfMl e dicineT horaScuircg ery SurgSipceacli Caelnttieers
PittsbPuerngnhs,y lvania EmorUyn iveSrcshiotooyfMl e dicine UniveorfsW iatsyh inMgetdoincC aeln ter
EmorUyn iveHrossiptiyt al DepartomfSe unrtg ery
RyaAn. M ackMeD, AtlaGnetoar,g ia DivisoifGo enn eSruarlg ery
ClinIincsatlr uctor UniveorfsW iatsyh inMgetdoinc ine
DepartomfCe anrtd iothSourragceircy DaviDd.O delMlD,,M MSc SeatWtalseh,i ngton
UniveorfsP iittyt sSbcuhroogofM l e dicineA ssisPtraonfte ssor
PittsbPuerngnhs,y lvania DepartomfCe anrtd iothSourragceircy BenjamWieni M,D
DivisoifTo hno raacnidFc o reSguurtg ery AssisPtraonfte ssor
JohCnh ristoMpchAeurl iffe, UniveorfsP iittyt sSbcuhrogoohfMl e dicineD ivisoifCo anr diothSourragceircy
MD,P hD PittsbPuerngnhs,y lvania UniveorfsA iltayb aamtBa i rminSgchhaomo l
Resident ofM edicine
UniveorfsA iltayb aamtBa i rmingham BranKt.O elschlMaDg er, BirmingAhlaamb,a ma
SchooofMl e dicine Director
Birmingham, Alabama CentfeoErrs opha&g Geaaslt Sruircg ery C.M elW ilcoMxD,,M PH,F ASGE
SurgSipceacli Caelnttieers Professor
W.S cotMte lviMnD , UniveorfsW iatsyh inMgetdoinCc eanlt er DepartomfGe anst troenterology
ProfeosfSs uorrg ery ByeErnsd owPerdo feisnEs soorp hagealB asHiilr schEonwdiotszc Coepnitocef r
Chief Surgery EndoscEoxpciecl lence
DivisoifGo enn earnaGdla strointestDienpaalr tomfSe unrtg ery UniveorfsA iltayb aamtBa i rminSgchhaomo l
Surgery DivisoifGo enn eSruarlg ery ofM edicine
Director UniveorfsW iatsyh inSgcthoonoo fMl e dicinBei rmingAhlaamb,a ma
CentfeoMrri nimaIlnlvyaS suirvgee ry SeatWtalseh,i ngton
DepartomfSe unrtg ery SamT .W indhaIml,Ml D,
TheOh iSot ate University MarkO rringMDe r, AssocPiraotfee osfSs uorrg ery
ColumbOuhsi,o Profe,Ss escotroifTo hno raScuircg ery Co-Director
UniveorfsM iitcyh iHgoasnp itals SurgIinctaeln CsairUvene i t
RobeEr.tM erriMtDt , AnnA rb,oM richigan Sectoifo nB uTrrnasu,ma an,dS urgical
AssocPiraotfee osfSs uorrg ery CritCiacrael
DivisoifTo hno racic Surgery MarcGo. P attMDi , DepartomfGe ennte Sruarlg ery
TheO hiSot aUtnei veWresxinteyr ProfeosfSs uorrg ery UniveorfsA iltayb aamtBa i rmingham
MediCceanlt er DepartomfSe unrtg aenrdCy e ntfeorr SchooofMl e dicine
ColumbOuhsi,o EsophaDgiesaela ses BirmingAhlaamb,a ma
PritSzckheoroo fMl e dicine
DouglMaisn niMcDh,,F A CS UniveorfsC ihtiyc ago JameWsi semaMnD,
AssisPtraonfteo sfSs uorrg ery ChicaIglol,i nois Resident
DepartomfSe unrtg ery HoustMoent hoHdoisspti tal
DivisoifCo anr diothSourragceircy HoustToenx,a s
UniveorfsA iltayb aamta BirmiSncghhoaoml
ofM edicine
BirmingAhlaamb,a ma
CONTRIBUTIANUGT HORS Vii
KirPk.W ithroMwD , AshlAeuyg spurDgaevri MsD, MattheMw.H uttMeDr,,M PH
Assistanto fPS ruorfgeesrsy or Resident Assistanti nSP urrogfeersys or
DivisoifOo tno laryngology UniveorfsA iltayb aamtBa i rmingham HarvaMredd iSccahlo ol
UniveorfsA iltayb aamtBa i rmingham SchooofMl e dicine AssocViiastieSt uirngge on
BirmingAhlaamb,a ma BirmingAhlaamb,a ma DepartomfSe unrtg ery
GenearnadGl a stroinStuersgteirnya l
PAR2T OPERTAIVTEEC HNIQUES ElizabAe.Dt ohv eMcD, MassachGuesneetHrtoassl p ital
ING ASRTOINTESTINALA dvanced MinimaanlBdla yr iIantvraiBscoi svteMo ans,s achusetts
SURGERY SurgFeerlyl ow
DepartomfSe unrtg ery KamaMl. .Fl taMnDi ,
WaddaBh.A I-RefaMiD,eF ,A CS VanderUbniilvte rsity ChioefSf u rgery
Chief NashvTielnlnee,s see VAB ostHoena lthScyasrtee m
SurgOinccaoll ogy ProfeosfSs uorrg ery
MedStGaero rgeUtnoiwvne Hrossiptiyt alV ikaDsu dejMaD , BostUonni versity
Surgeon-in-Chief DepartomfSe unrtg ery BostMoans,s achusetts
LombaCrodmip reheCnasnicCveeern ter UniveorfsM iitnyn esota
WashingDtCo n, MinneapMoilninse,s ota PatrGi.cJ ka cksMoDn,F, A CS
AssocPiraotfee osfSs uorrg ery
MelisMs.Aa l varez-DoMwDn inMga.r yT .H awnM,D ,M PH ChioefGf a stroinStuersgteirnya l
Resident Profe,Cs hsiooerfGf a stroinStuersgteirnyaM le dStGaero rgeUtnoiwvne Hrossiptiyt al
DepartomfCe onlto reScutragle ry DepartomfSe unrtg ery WashingDtCo n,
DigesDtiisveeIa nsset itute DivisoifGo ans troinStuersgteirnya l
CleveCllainFndli ocr ida UniveorfsA iltayb aamtBa i rmingham J.S pencLeirl MeDs ,
WestFolno, rida SchooofMl e dicine Resident
BirmingAhlaamb,a ma DepartomfSe unrtg ery
RebeccBa.Bh a ucoMmD, UniveorfsA iltayb aamtBa i rmingham
Resident TodHde nifoMrD,dF ,A CS SchooofMl e dicine
DepartomfGe ennte Sruarlg ery Chief BirmingAhlaamb,a ma
VanderUbniilvteM resdiitCcyea nlt er DivisoifGo ans troinatneMdsi tniinmaall ly
NashvTielnlnee,s see InvaSsuirvgee ry OzanaRn.M eirelMDe s,
CarolMiendaisCc eanlt er GenearnadGl a stroinStuersgteirnya l
SusaMn. C eraMD,, F ACSF,A SCRS ClinPircoafle osfSs uorrg ery DepartomfSe unrtg ery
ClinPircoafle ssor DepartomfGe ennte Sruarlg ery MassachGuesneetHrtoassl p ital
ChioefSf t aff UniveorfsN iotrytC ha rolSicnhaoo ofl BostMoans,s achusetts
DepartomfCe onlto reScutragle ry Medicine
PhysiRceigainosHn eaall thScyasrtee m ChapHeillN lo,r tCha rolina MarcovalMeerliiMosD ,,F ACS
PhysiRceigainosMn eadli Gcarlo up AssisPtraonfteo sfSs uorrg ery
NaplFelso,r ida MartJi.nH eslMiDn,,M S HA DepartomfSe unrtg ery
ClinPircoafle ssor Professor NewY orUkn iveSrcshiotooyfMl e dicine
DepartomfCe onlto reScutragle ry SurgOinccaoll ogy NewY orNke,w Y ork
DigesDtiisveeIa nsset itute DepartomfSe unrtg ery
CleveCllainFndli ocr ida DivisoifGo enn eSruarlg ery FilMiupy somMsD,
WestFolno, rida Chief SeniSourr geon
SectoifSo unr gOinccaoll ogy DepartomfGe ennte Sruarlg ery
EugenAe.C hoMiD,, F ACS UniveorfsA iltayb aamtBa i rmingham AZM ariMai ddelares
AssisPtraonfteo sfSs uorrg ery SchooofMl e dicine GhenBte,l gium
DepartomfSe unrtg ery BirmingAhlaamb,a ma
SectoifSo unr gOinccaoll ogy ElliNoetw manM,D, F ACS
ThUen iveorfsC ihtiyc Maegdoi cine MichaDe.Hl o lzmaMDn,,M PH,F ACS AssocPiraotfeeo sfSs uorrg ery
ChicaIglol,i nois Associate ofPS ruorfgeesrsyo r DepartomfSe unrtg ery
Chief NewY orUkn iveGrrsoiutSpyu rgical
JohDn. C hristMeDi n, DivisoifGo enn eSruarlg ery Associates
AssocPiraotfee ssor VanderUbniilvteM resdiitcCyae ln ter NewY orUkn iveSrcshiotooyfMl e dicine
DepartomfSe unrtg ery NashvTielnlnee,s see NewY orNke,w Y ork
DivisoifGo ans troinStuersgteirnya l
UniveorfsA iltayb aamtBa i rmingham JohDna niHeuln teIrlM,lD , PavlKo.sP apasavMDa,sF ,AC S
SchooofMl e dicine MinimaIlnlvyaF seilvleo w SectoifMo ent abaonlBdia cr iaSturrigce ry
BirmingAhlaamb,a ma DepartomfSe unrtg ery DepartomfSe unrtg ery
DivisoifGo enn eSruarlg ery HartfHoorsdp ital
RonalHd.C lemenMtDs,F, A CS UniveorfsA iltayb aamtBa i rmingham HartfCoorndn,e cticut
ProfeosfSs uorrg ery SchooofMl e dicine
Director BirmingAhlaamb,a ma MichaDe.Pl a uMlD,, M PH
CentfeoSrru rgWieciaglLh ots s DepartomfGe ennte arnaVdla scular Surgery
DepartomfSe unrtg ery Dartmouth-Hitchcock
VanderUbniilvte rsity ConcoNredwH, a mpshire
NashvTielnlnee,s see
viii CONTRIBUTIANUGT HORS
JohRno lanPdo rterfiJerlM.Dd,,, MarkD .S awyeMrD, DaviLd.B artlMeDt t,
MSPHF,A CS AssisPtraonfteo sfSs uorrg ery DepartomfSe unrtg ery
AssocPiraotfee ssor DepartomfSe unrtg ery Chief
DepartomfSe unrtg ery DivisoifGo enn earnadGl a stroenteroDliovgiisocifS o unr gOinccaoll ogy
DivisoifGo enn eSruarlg ery Surgery UniveorfsP iittyt sMbeudrigCchea nlt er
UniveorfsA iltayb aamtBa i rmingham MayoCl inic PittsbPuerngnhs,y lvania
SchooofMl e dicine Roche,Ms itnenresota
BirmingAhlaamb,a ma KeviEn.B ehrnMsD ,
EriGc.S heuM,D, D Phil EdwaRr.dW oodwaPrrdo feasnsdo r
BenjamKi.Pn o uloMsDe,M, P H,F ACS MinimaIlnlvya sive/SBuarrgFieearltylr oiwc ChairomfaS nu rgery
AssocPiraotfee ssor DepartomfSe unrtg ery DepartomfSe unrtg ery
DivisoifGo enn eSruarlg ery MassachGuesneetHrtoassl p ital DivisoifGo enn eSruarlg ery
AssocDiiarteec tor BostMoans,s achusetts UniveorfsF iltoyrC iodlal oefMg eed icine
GastroinEtnedsotsicSnouapilyt e GainesFvliolrlied,a
VanderUbniilvteM resdiitCcyea nlt er DarrSe.nT ishlMDe,rF ,AC S
NashvTielnlnee,s see DepartomfSe unrtg ery KfiBre n-DaMvDi d,
SectoifMo ent abaonlBdia cr iaSturrigce ryA ssisPtraonfteo sfSs uorrg ery
SushanRtehd dMyD, Director DivisoifGo enn eSruarlg ery
AssisPtraonfteo sfSs uorrg ery BariaSturrigPcer royg ram UniveorfsF iltoyrC iodlal oefMg eed icine
DepartomfSe unrtg ery HartfHoorsdp ital GainesFvliolrlied,a
DivisoifGo enn eSruarlg ery HartfCoorndn,e cticut MichEa.eD le bakVeAMy e diCceanlt er
SectoifSo unr gOinccaoll ogy BaylCoorl loefMg eed icine
UniveorfsA iltayb aamta BirminghamK ristoWpihlelri aMmD s, HoustToenx,a s
SchooofMl e dicine MinimaIlnlvyaS suirvgeFe erlyl ow
BirmingAhlaamb,a ma DepartomfGe anstt roinatneds tinalN eiHl.B hayaMnDi,,M H S
MinimaIlnlvyaS suirvgee ry ClinIincsatlr oufcS tuorrg ery
MichaJe.Rl o seMnD, CarolMiendaisCc eanlt er PenSnt aMtiel tSo.Hn e rshMeeyd iCceanlt er
ProfeosfSs uorrg ery CharlNootrtteCh,a rolina PenSnt aHteer shCeoyl loefMg eed icine
ChiDeifv,i soifGo Ian n dG eneSruarlg ery HershPeeyn,n sylvania
DirecCtaosCreo, m preheHnesrinCvieean terP AR3T OPREATIEVT ECHNIQUES
CasMee diCceanlt er INH EAPTO-PANCTREOA WaltLe.rB ifMfDl,.F A CS
ClevelOahnido, BILIASRUYR GERY ProfeosfSs uorrg ery
AssocDiiarteeco tfSo urr gery
GeorgAe.S aroJsriM.,D, DaviBd.A damsM,D, F ACS AssisDtiarnetoc ftP oart ienta nSQda ufaeltiyt y
Professor ProfeasnsHdoe ra d Denver HealCtehn tMeerd ical
RobeHr.Ht u xP rofessor DivisoifGo ans troinatneLdsa tpianraols cUonpiivce orfsC iotlyo rDaednov er
DepartomfSe unrtg ery Surgery SchooofMl e dicine
DivisoifGo enn eSruarlg ery Director AuroCroal,o rado
UniveorfsF iltoyrC iodlal oefMg eed icine DigesDtiisveeaC seenst er
VicCeh airfmoaErnd ucaStuirogne ry MediUcnailv eorfsS iotuyCt ahr olina MarkB loomstMoD,nF ,A CS
ResidPernocgyr am CharleSsotuoCtnah,r olina Director
Director SurgOinccaoll Foeglyl owPsrhoigpr am
SurgReersyi dPernocgyr am ReiBd.A damsM,D AssocPiraotfee osfSs uorrg ery
NortFhl oridaG/eSooruVgtAih a ClauAd.Je e ssPurpo feosfSs uorrg ery DepartomfSe unrtg ery
MedicCaeln ter DepartomfSe unrtg ery DivisoifSo unr gOinccaoll ogy
GainesFvliolrlied,a Chief TheO hiSot ate UnWievxenresri ty
DivisoifSo unr gOinccaoll ogy MediCceanlt er
MichaGe.Sl a rMrD, HepatobainlPdia anrcyr Seuartgiecr y ColumbOuhsi,o
JameCs.M assPorno feosfSs uorrg ery UniveorfsV iitryg HienailaSt yhs tem
DepartomfSe unrtg ery CharlottVeisrvgiilnliea, RichaJr.Bd o lMdD,
DivisoifGo enn earnadGl a stroenterologic Professor
Surgery MegaBn .A ndersMoDn , Chief
MayoCl inic Resident DepartomfSe unrtg ery
RochesMtienrn,e sota DepartomfSe unrtg ery DivisoifSo unr gOinccaoll ogy
UniveorfsC iotlyo rado UCD avMiesd iCceanlt er
JohKn. S aundeMrDs,F ,A CS AuroCroal,o rado SacramCeanltiof,o rnia
AssisPtraonfteo sfSs uorrg ery
DepartomfSe unrtg ery CarltCo.Bn a rneJtrtM.,D, , F ACS BriaAn.B oonMeD,
NewY orUkn iveSrcshiotooyfMl e dicine DirecotfSo urr gOinccaoll ogy Resident
NewY orNke,w Y ork DenvHeera lMtehd iCceanlt er DepartomfGe ennte Sruarlg ery
ProfeosfSs uorrg ery UniveorfsP iittyt sMbeudrigCchea nlt er
UniveorfsC iotlyo rDaednov Secrh ooofl PittsbPuerngnhs,y lvania
Medicine
AuroCroal,o rado
