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Dive into the research topics where Matthew R. Goede is active.

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Featured researches published by Matthew R. Goede.


Surgery for Obesity and Related Diseases | 2014

Improvement in gastroesophageal reflux disease symptoms after various bariatric procedures: Review of the Bariatric Outcomes Longitudinal Database☆

Pradeep K. Pallati; Abhijit Shaligram; Valerie Shostrom; Dmitry Oleynikov; Corrigan L. McBride; Matthew R. Goede

BACKGROUND The prevalence of gastroesophageal reflux disease (GERD) in the morbidly obese population is as high as 45%. The objective of this study was to compare the efficacy of various bariatric procedures in the improvement of GERD. METHODS The Bariatric Outcomes Longitudinal Database is a prospective database of patients who undergo bariatric surgery by a participant in the American Society of Metabolic and Bariatric Surgery Center of Excellence program. GERD is graded on a 6-point scale, from 0 (no history of GERD) to 5 (prior surgery for GERD). Patients with GERD severe enough to require medications (grades 2, 3, and 4) from June 2007 to December 2009 are identified; the resolution of GERD is noted based on 6-month follow-up. RESULTS Of a total of 116,136 patients, 36,938 patients had evidence of GERD preoperatively. After excluding patients undergoing concomitant hiatal hernia repair or fundoplication, there were 22,870 patients with 6-month follow-up. Mean age was 47.6±11.1 years, with an 82% female population. Mean BMI was 46.3±8.0 kg/m(2). Mean preoperative GERD score for patients with Roux-en-Y gastric bypass (RYGB) was 2.80±.56, and mean postoperative score was 1.33±1.41 (P<.0001). Similarly, adjustable gastric banding (AGB, 2.77±.57 to 1.63±1.37, P<.0001) and sleeve gastrectomy (SG, 2.82±.57 to 1.85±1.40, P<.0001) had significant improvement in GERD score. GERD score improvement was best in RYGB patients (56.5%; 7955 of 14,078) followed by AGB (46%; 3773 of 8207) and SG patients (41%; 240 of 585). CONCLUSION All common bariatric procedures improve GERD. Roux-en-Y gastric bypass is superior to adjustable gastric banding and sleeve gastrectomy in improving GERD. Also, the greater the loss in excess weight, the greater the improvement in GERD score.


Surgical Endoscopy and Other Interventional Techniques | 2011

Dexterous miniature robot for advanced minimally invasive surgery

Amy Lehman; Nathan A. Wood; Shane Farritor; Matthew R. Goede; Dmitry Oleynikov

This study demonstrates the feasibility of using a miniature robot to perform complex, single-incision, minimal access surgery. Instrument positioning and lack of triangulation complicate single-incision laparoscopic surgery, and open surgical procedures are highly invasive. Using minimally invasive techniques with miniature robotic platforms potentially offers significant clinical benefits. A miniature robot platform has been designed to perform advanced laparoscopic surgery with speed, dexterity, and tissue-handling capabilities comparable to standard laparoscopic instruments working through trocars. The robotic platform includes a dexterous in vivo robot and a remote surgeon interface console. For this study, a standard laparoscope was mounted to the robot to provide vision and lighting capabilities. In addition, multiple robots could be inserted through a single incision rather than the traditional use of four or five different ports. These additional robots could provide capabilities such as tissue retraction and supplementary visualization or lighting. The efficacy of this robot has been demonstrated in a nonsurvival cholecystectomy in a porcine model. The procedure was performed through a single large transabdominal incision, with supplementary retraction being provided by standard laparoscopic tools. This study demonstrates the feasibility of using a dexterous robot platform for performing single-incision, advanced laparoscopic surgery.


American Journal of Surgery | 2013

Emergent cholecystostomy is superior to open cholecystectomy in extremely ill patients with acalculous cholecystitis: a large multicenter outcome study

Anton Simorov; Ajay Ranade; Jeremy Parcells; Abhijit Shaligram; Valerie Shostrom; Eugene Boilesen; Matthew R. Goede; Dmitry Oleynikov

BACKGROUND Morbidity and mortality are very high for critically ill patients who develop acute acalculous cholecystitis (AAC). The aim of this study was to compare outcomes in extremely ill patients with AAC treated with percutaneous cholecystostomy (PC), laparoscopic cholecystectomy (LC), or open cholecystectomy (OC), which were also analyzed together in the LC-plus-OC (LO) group. METHODS Discharge data from the University HealthSystem Consortium database were accessed using International Classification of Diseases codes. The University HealthSystem Consortiums Clinical Data Base/Resource Manager allows member hospitals to compare patient-level, risk-adjusted outcomes. Multivariate regression models for extremely ill patients undergoing PC or LO for the diagnosis of AAC were created and analyzed. RESULTS A total of 1,725 extremely ill patients were diagnosed with AAC between October 2007 and June 2011. Patients undergoing PC (n = 704) compared with the LO group (n = 1,021) showed decreased morbidity (5.0% with PC vs 8.0% with LO, P < .05), fewer intensive care unit admissions (28.1% with PC vs 34.6% with LO, P < .05), decreased length of stay (7 days with PC vs 8 days with LO, P < .05), and lower costs (


Surgery for Obesity and Related Diseases | 2011

Differences in outcomes of laparoscopic gastric bypass

Manish M. Tiwari; Matthew R. Goede; Jason F. Reynoso; Albert W. Tsang; Dmitry Oleynikov; Corrigan L. McBride

40,516 with PC vs


Surgical Clinics of North America | 2009

Catheter-Related Bloodstream Infection

Matthew R. Goede; Craig M. Coopersmith

53,011 with LO, P < .05). Although perioperative outcomes of PC compared with LC were statistically similar, PC had lower costs compared with LC (


Surgical Endoscopy and Other Interventional Techniques | 2010

Multipurpose surgical robot as a laparoscope assistant.

Carl A. Nelson; Xiaoli Zhang; Bhavin C. Shah; Matthew R. Goede; Dmitry Oleynikov

40,516 vs 51,596, P < .005). Multivariate regression analysis showed that LC (n = 822), compared with OC (n = 199), had lower mortality (odds ratio [OR], .3; 95% confidence interval [CI], .1 to .6), lower morbidity (OR, .4; 95% CI, .2 to .7), reduced intensive care unit admission (OR, .3; 95% CI, .2 to .5), and similar 30-day readmission rates (OR, 1.0; 95% CI, .6 to 1.5). Also, decreased length of stay (7 days with LC vs 8 days with OC) and costs (


Langenbeck's Archives of Surgery | 2015

Acute acalculous cholecystitis in the critically ill: risk factors and surgical strategies

Charles Treinen; Daniel Lomelin; Crystal Krause; Matthew R. Goede; Dmitry Oleynikov

51,596 with LC vs


American Journal of Surgery | 2009

Does type of mesh used have an impact on outcomes in laparoscopic inguinal hernia

Bhavin C. Shah; Matthew R. Goede; Robert Bayer; Shelby L. Buettner; Stacy J. Putney; Corrigan L. McBride; Dmitry Oleynikov

61,407 with OC) were observed, with a 26% conversion rate to an open procedure. CONCLUSIONS On the basis of this experience, extremely ill patients with AAC have superior outcomes with PC. LC should be performed in patients in whom the risk for conversion is low and in whom medical conditions allow. These results show PC to be a safe and cost-effective bridge treatment strategy with perioperative outcomes superior to those of OC.


Surgery for Obesity and Related Diseases | 2010

Primary and revisional laparoscopic adjustable gastric band placement in patients with hiatal hernia

Jason F. Reynoso; Matthew R. Goede; Manish M. Tiwari; Albert W. Tsang; Dmitry Oleynikov; Corrigan L. McBride

BACKGROUND Although several risk factors affecting weight loss outcomes with bariatric procedures have been identified, the effect of age, gender, race, and illness severity on postoperative outcomes of laparoscopic gastric bypass has not been extensively examined. METHODS The University HealthSystem Consortium database is an administrative and financial database that provides information on the inpatient stay. A retrospective analysis of patient outcomes was performed using 4-year discharge data from the University HealthSystem Consortium database. RESULTS A total of 37,765 patients underwent laparoscopic gastric bypass. The women exhibited significantly reduced mortality, morbidity, intensive care unit (ICU) admissions (9.87% male versus 6.73% female; P <.001), duration of hospitalization (2.72 ± 4.03 d for men versus 2.59 ± 2.88 d for women; P <.001), and hospital costs (


Jsls-journal of The Society of Laparoendoscopic Surgeons | 2013

Impact of Advanced Laparoscopy Courses on Present Surgical Practice

Jared Houck; Courtni M. Kopietz; Bhavin C. Shah; Matthew R. Goede; Corrigan L. McBride; Dmitry Oleynikov

17,346 ±

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Dmitry Oleynikov

University of Nebraska Medical Center

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Corrigan L. McBride

University of Nebraska Medical Center

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Bhavin C. Shah

University of Nebraska Medical Center

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Jason F. Reynoso

University of Nebraska Medical Center

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Manish M. Tiwari

University of Nebraska Medical Center

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Albert W. Tsang

University of Nebraska Medical Center

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Valerie Shostrom

University of Nebraska Medical Center

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Craig M. Coopersmith

Washington University in St. Louis

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Jon S. Thompson

University of Nebraska Medical Center

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Linda Potash

University of Nebraska Medical Center

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