Barry Sheppard

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Tracheobronchial disruption is one of the less common injuries associated with blunt thoracic trauma. This injury can be life threatening, however, and failure to diagnose it early can lead to disastrous acute or delayed complications. Nine cases of tracheobronchial disruption in the setting of nonpenetrating thoracic trauma were seen at four Los Angeles(More)
OBJECTIVE AND METHODS A retrospective chart review was performed on all patients undergoing orthotopic cardiac allograft transplant at Oregon Health Sciences University. Our purpose was to evaluate the incidence of gastrointestinal complications in these patients, and to assess the effect of immunosuppression. RESULTS From December, 1985, to June, 1994,(More)
OBJECTIVES A single randomized trial established lobectomy as the standard of care for the surgical treatment of early-stage non-small cell lung cancer. Recent advances in imaging/staging modalities and detection of smaller tumors have once again rekindled interest in sublobar resection for early-stage disease. The objective of this study was to compare(More)
OBJECTIVE To compare long-term survival rates of patients with first, primary, clinical stage IA nonsmall cell lung cancer from a large cohort undergoing computed tomography screening with and without mediastinal lymph node resection (MLNR) under an Institutional Review Board-approved common protocol from 1992 to 2014. BACKGROUND Assessing survival(More)
A case of a giant atypical carcinoid tumor is discussed. The tumor occurred in a 33-year-old man who presented with pleuritic chest pain and shortness of breath. Details of his preoperative evaluation, metastatic work-up, and use of tumor embolization are described. The operative procedure and use of cardiopulmonary support to achieve appropriate margins(More)
OBJECTIVE Surgical management is a critical component of computed tomography (CT) screening for lung cancer. We report the results for US sites in a large ongoing screening program, the International Early Lung Cancer Action Program (I-ELCAP). METHODS We identified all patients who underwent surgical resection. We compared the results before (1993-2005)(More)
Tricuspid valve surgery has been associated with a high operative mortality. This study reviewed 51 patients who underwent 53 tricuspid valve procedures between 1975 and 1989. Most patients (82%) had evidence of rheumatic heart disease. Twenty-six patients (51%) had 42 previous cardiac operations, most involving the mitral valve. Eighty-two percent of(More)
PURPOSE To identify characteristic computed tomographic (CT) and computer-derived features of hamartomas manifesting as small pulmonary nodules. METHODS Individuals with a diagnosis of hamartoma were identified among participants in the International Early Lung Cancer Action Program and were included if there thin section CT images that included the(More)
BACKGROUND Intraoperative enteroscopy is an effective diagnostic and therapeutic method in selected patients with obscure gastrointestinal (GI) bleeding. The passage of a colonoscope orally and then rectally or the use of multiple enterotomies, has been used to completely inspect the small bowel. However, the development of dedicated enteroscopes allows(More)