Steven D. Wexner

Steven D. Wexner is an American surgeon and physician. He is Director of the Digestive Disease Center at Cleveland Clinic Florida, in Weston, Florida.[1]

Medical Contributions

In 1993, Dr. Wexner was named Chairman of the Department of Colorectal Surgery at Cleveland Clinic Florida. Previous appointments at Cleveland Clinic Florida include Chairman of the Division of Research and Education (1996 – 2007), Chief of Staff (1997 – 2008), and Chief Academic Officer (2008 – 2012). Dr. Wexner is one of the founders of the National Accreditation Program for Rectal Cancer (NAPRC).[2] 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 optimal treatment of rectal cancer. [3]

J-Pouch Procedures

Much of Dr. Wexner’s work has been focused on improving surgical techniques for the avoidance of permanent stomas in patients with rectal 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.[4] He also popularized the colonic j-pouch for patients with rectal cancer.[5] 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.

Incontinence and Constipation Scores

Dr. Wexner’s research with J. Marcio N. Jorge, MD is the basis for the Wexner Incontinence Score, the most common score used to determine the severity of incontinence before and after surgical interventions for anal incontinence.[6] In addition to the frequency of incontinence, the scoring system takes into account lifestyle modifications and alterations a patient makes to cope with incontinence. The score measures the severity of constipation by considering the frequency and completeness of bowel movements, difficulty of evacuation, the type of assistance used (if any), the level of pain and the patient's history of constipation. Dr. Wexner’s research has also been used in the development of the Wexner Constipation Score, also known as the Cleveland Clinic Constipation Score.[7]

References

  1. ↑ "Steven Wexner, MD". Cleveland Clinic. Cleveland Clinic. Retrieved 18 July 2018.
  2. ↑ "Developing the National Accreditation Program for Rectal Cancer". Consult QD. Consult QD. 11 May 2018. Retrieved 18 July 2018.
  3. ↑ "National Accreditation Program for Rectal Cancer". American College of Surgeons. American College of Surgeons. Retrieved 18 July 2018.
  4. ↑ Bach, Simon P; Mortensen, Neil J (28 June 2007). "Ileal pouch surgery for ulcerative colitis". World Journal of Gastroenterology : WJG. pp. 3288–3300. doi:10.3748/wjg.v13.i24.3288.
  5. ↑ "Steven Wexner". f1000.com. f1000.com. Retrieved 18 July 2018.
  6. ↑ Nevler, A. (27 February 2014). "The epidemiology of anal incontinence and symptom severity scoring". Gastroenterology Report. pp. 79–84. doi:10.1093/gastro/gou005. Retrieved 18 July 2018.
  7. ↑ Agachan, Feran; Chen, Teng; Pfeifer, Johann; Reissman, Petachia; Wexner, Steven. "A Constipation Scoring System to Simplify Evaluation and Management of Constipated Patients" (PDF). Cleveland Clinic Florida. Cleveland Clinic Florida. Retrieved 18 July 2018.
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