练磊副主任医师
中山大学附属第六医院 胃肠肛门外科
擅长
肛瘘,肛裂,痔,结直肠肿瘤,胃肿瘤,炎症性肠病
简介
练磊,男,副主任医师,副研究员,博士,党政办副主任,广东省中西医学会炎症性肠病学组委员。 2000-2005年中山大学中山医学院五年制临床医学,2005-2007年,中山大学附属第一医院胃肠外科硕士研究生,2007-2010年,中山大学附属第六医院胃肠外科博士研究生,2007-2010年,美国克利夫兰医院消化疾病中心结直肠外科,Research Fellow 【临床及科研经验】毕业于中山大学医学院临床医学系,2010年获博士学位。 于2007年7月-2010年3月在美国克利夫兰临床医疗中心(Cleveland Clinic)以及其附属Lerner研究中心(Lerner Research Institute)进行临床科研工作,主要研究方向为炎症性肠病以及结直肠肿瘤的治疗。发表SCI论文34篇(第一作者13篇)、中文文章7篇。 在炎症性肠病包括溃疡性结肠炎和克罗恩病的诊治方面在国内及国外均受到规范化的临床训练,积累了较丰富的临床经验,同时专注于痔瘘裂、结直肠肿瘤的临床诊治。在炎症性肠病患者手术必要性、手术时机的把握、手术方式的选择等方面有一定经验。在储袋炎、癌变的危险因素、储袋失败的风险预测等研究方面取得了一定成绩。 现任《Journal of Inflammatory Bowel Disease》、《Gastroenterology Research and Practice》、《BMC Gastroenterology》、《Chinese Medical Journal》特邀审稿人及《中华胃肠外科杂志》英文编辑。“结直肠炎症与肿瘤的基础与临床系列研究”获2011年广东省科技进步一等奖(排名第5)。 奖励和荣誉: “结直肠炎症与肿瘤的基础与临床系列研究”获2011年广东省科技进步一等奖(排名第5)。【科研项目】 1.“脂肪来源间充质干细胞(ADSC)治疗克罗恩病的实验研究”,2011年度高校基本科研业务费“中山大学青年教师培育计划”(医科)。(主持) 2.“炎症性肠病癌变的关键结点及其靶向干预”,2011年国家自然基金重大研究计划培育项目,编号:91029702,60万元,(参与) 3.“组织免疫微环境与结直肠肿瘤侵袭、转移的关系研究”,2011年国家自然科学基金,编号:81072046,35万元,(参与) 4.“直接手术切除与新辅助治疗后再手术切除治疗局部复发直肠癌的多中心随机对照临床研究”,中山大学5010计划,200万,(参与) 5.2010年中山大学研究生教育教学改革研究项目:融合通识教育理念,探索医学研究生英文专业交流能力的培训机制。(参与)2010.08.01-2011.07.30 6.2008年广东省自然科学基金8151008901000207:结直肠肿瘤干细胞的分离鉴定及其免疫原性的研究(参与)2008.9-2010.9 7.2006年,广东省科技计划项目:低位直肠癌保功能手术的中国标准建立。(参与)2007.1-2009.12 发表文章-英文: 1.Lian L, Serclova Z, Fazio VW, Kiran RP, Remzi F, Shen B. Clinical features and management of postoperative pouch bleeding after ileal pouch-anal anastomosis (IPAA). J Gastrointest Surg.2008 Nov;12(11):1991-4. Impact factor: 2.311 2.Lian L, Fazio V, Shen B. Endoscopic treatment for pill bezoars after continent ileostomy. Dig Liver Dis. 2009 Jul;41(7):e26-8. Impact factor: 2.577 3.Lian L, Kiran RP, Remzi FH, Lavery IC, Fazio VW. Outcomes for patients developing anastomotic leak after ileal pouch-anal anastomosis: does a handsewn vs. stapled anastomosis matter? Dis Colon Rectum. 2009 Mar;52(3):387-93. Impact factor: 2.615 4.Lian L, Fazio VW, Remzi FH, Shen B, Dietz D, Kiran RP. Outcomes for patients undergoing continent ileostomy after a failed ileal pouch-anal anastomosis. Dis Colon Rectum. 2009 Aug;52(8):1409-14; Impact factor: 2.311 5.Lian L, Fazio VW, Lavery IC, Hammel J, Remzi FH, Shen B. Evaluation of association between precolectomy thrombocytosis and the occurrence of inflammatory pouch disorders. Dis Colon Rectum. 2009 Nov;52(11):1912-8. Impact factor: 2.311 6.Lian L, Kalady M, Geisler D, Kiran R. Laparoscopic colectomy is safe and leads to significant reduction in length of stay in octogenarians. Surgical Endoscopy. 2010 Aug;24(8):2039-43. Impact factor: 3.231 7.Lian L, Shen B. Crohn’s disease of the pouch. Current Medical Literature-Gastroenterology 2010; 29(1):1-17. Review 8.Lian L, Geisler D, Shen B. Endoscopic needle knife treatment of chronic presacral sinus at the anastomosis at an ileal pouch-anal anastomosis. Endoscopy. 2010 Jan;42(S 02):E14. Impact factor: 6.091 9.Lian L, Fazio VW, Hammel J,Shen B. Impact of narcotic use on requirement of colectomy in inpatients with ulcerative colitis. Dis Colon Rectum. 2010 Sep;53(9):1295-300. Impact factor: 2.311 (co-corresponding author) 10.Lian L, Moore L, Wu XJ, He XS, Lan P, Shen B. Different clinical characteristics in hispanic and non-hispanic whites with ileal pouch-anal anastomosis: A case-control study. Inflamm Bowel Dis. 2011 Apr;17(4):1003-7. Impact factor: 4.975 11.Lian L, Remzi FH, Kiran RP, Fazio VW, Shen B. Clinical implication of false-positive celiac serology in patients with ileal pouch. Dis Colon Rectum. 2010 Oct;53(10):1446-51. Impact factor: 2.615 12.Lian L, Wu XR, He XS, Zou YF, Wu XJ, Lan P, Wang JP. Extraperitoneal vs. intraperitoneal route for permanent colostomy: a meta-analysis of 1,071 patients. Int J Colorectal Dis. 2012 Jan;27(1):59-64. (通讯作者) Impact factor: 2.4 13.Lian L, Menon KV, Shen B, Remzi F, Kiran RP. Inflammatory bowel disease complicated by primary sclerosing cholangitis and cirrhosis: is restorative proctocolectomy safe? Dis Colon Rectum. 2012 Jan;55(1):79-84. 14.Obusez EC, Lian L, Kariv R, Burke C, Shen B. Diagnostic yield of colonoscopy for constipation as the sole indication. Colorectal Dis. 2011 May 12. doi: 10.1111/j.1463-1318.2011.02664.x. [Epub ahead of print] Impact factor: 2.438 15.Lu H, Lian L, Navaneethan U, Shen B. Clinical Utility of C-reactive Protein in Patients with Ileal Pouch-anal Anastomosis. Inflamm Bowel Dis. 2010 Oct;16(10):1678-84. Impact factor: 4.975 16.Shen L, Lian L, Goldblum JR, Remzi FH. Development of de novo celiac disease after restorative proctocolectomy and ileal pouch-anal anastomosis. Inflamm Bowel Dis. 2009 Aug;15(8):1131-2. Impact factor: 4.975 17.Shen L, Lian L, Fazio VW. Large-volume late-onset pelvic fluid collection after ileal pouch-anal anastomosis. Inflamm Bowel Dis. 2009 Apr;15(4):485-6. Impact factor: 4.975 18.Obusez EC, Lian L, Oberc A, Shen B. Multimedia article. Successful endoscopic wire-guided balloon dilatation of angulated and tight ileal pouch strictures without fluoroscopy. Surg Endosc. 2011 Apr;25(4):1306. Impact factor: 3.231 19.Kiran RP, Lian L, Lavery IC. Does a subcentimeter distal resection margin adversely influence oncologic outcomes in patients with rectal cancer undergoing restorative proctectomy? Dis Colon Rectum. 2011 Feb;54(2):157-63. Impact factor: 2.615 20.Vogel JD, Lian L, Kalady MF, Campos-Lobato LF, Alves-Ferreira PC, Remzi FH. Hand-Assisted Laparoscopic Right Colectomy: How Does It Compare to Conventional Laparoscopy? J Am Coll Surg. 2011 Mar;212(3):367-72. Impact factor: 3.651 21.Shen B, Lian L, Kiran RP, Queener E, Lavery IC, Fazio VW, Remzi FH. Efficacy and safety of endoscopic treatment of ileal pouch strictures. Inflamm Bowel Dis. 2011 Feb 23. Impact factor: 4.975 22.Kariv R, Remzi FH, Lian L, Bennett AE, Kariv Y, Fazio VW, Lavery IC, Shen B. Preoperative Colorectal Neoplasia Increases the Risk for Pouch Neoplasia in Patients with Restorative Proctocolectomy. Gastroenterology. 2010 Sep;139(3):806-12. Impact factor: 12.9 24.Shen B, Yu C, Lian L, Remzi FH, Kiran RP, Fazio VW, Kattan MW.Prediction of late-onset pouch failure in patients with restorative proctocolectomy with a nomogram. J Crohns Colitis. 2012 Mar;6(2):198-206. 25.Kariv R, Plesec TP, Gaffney K, Lian L, Fazio VW, Remzi FH, Lopez R, Goldblum JR, Shen B. Pyloric gland metaplasia and pouchitis in patients with ileal pouch-anal anastomoses. Aliment Pharmacol Ther 2010 Apr;31(8):862-73. Impact factor: 3.710 26.He XS, Anne B, Lian L, Shen B. Recurrent cytomegalovirus infection in ileal pouch-anal anastomosis. Inflamm Bowel Dis. 2010 Jun;16(6):903-4. Impact factor: 4.975 27.Kirat HT, Kiran RP, Lian L, Remzi FH, Fazio VW. Influence of stapler size used at ileal pouch-anal anastomosis on anastomotic leak, stricture, long-term functional outcomes, and quality of life. Am J Surg. 2010 Jul;200(1):68-72. Impact factor: 2.605 28.Shen B, Bennett AE, Navaneethan U, Lian L, Shao Z, Kiran RP, Fazio VW, Remzi FH. Primary sclerosing cholangitis is associated with endoscopic and histologic inflammation of the distal afferent limb in patients with ileal pouch-anal anastomosis. Inflamm Bowel Dis. 2010 Dec 27. [Epub ahead of print] Impact factor: 4.975 29.Joyce MR, Fazio VW, Hull TT, Church J, Kiran RP, Mor I, Lian L, Shen B, Remzi FH. Ileal pouch prolapse: prevalence, management, and outcomes. J Gastrointest Surg. 2010 Jun;14(6):993-7. Impact factor: 2.311 30.Song XM, Wang L, Zhan WH, Wang JP, He YL, Lian L, Cai GF, Zhou HF, Huang BY, Lan P. Right hemicolectomy combined with pancreatico- duodenectomy for the treatment of colon carcinoma invading the duodenum or pancreas. Chin Med J (Engl) 2006 Oct 20;119(20):1740-3. Impact factor: 0.858 31.Wu XJ, Wang JP, Wang L, He XS, Zou YF, Lian L, Zhang LJ, Lan P. Increased rate change over time of a sphincter-saving procedure for lower rectal cancer. Chin Med J (Engl) 2008 Apr 5;121(7):636-9. Impact factor: 0.858 32.Wu XR, He XS, Chen YF, Yuan RX, Zeng Y, Lian L, Zou YF, Lan N, Wu XJ, Lan P. High expression of CD73 as a poor prognostic biomarker in human colorectal cancer. J Surg Oncol. 2012 Jan 27. doi: 10.1002/jso.23056. 33.Shen B, Sanmiguel C, Bennett A, Lian L, Larive B, Remzi F, Fazio V, Soffer E. Irritable pouch syndrome is characterized by visceral hypersensitivity. Inflamm Bowel Dis. 2011 Apr;17(4):994-1002. [Epub ahead of print] Impact factor: 4.975 34.Wang Y, Bennett AE, Cai H, Lian L, Shen B. Evaluation of Upper and Lower Gastrointestinal Histology in Patients with Ileal Pouches. J Gastrointest Surg. 2011 Nov 4. [Epub ahead of print] 35.Salcedo L, Lian L, Jiang HH, Sopko N, Penn M, Damaser M, Zutshi M. Low current electrical stimulation upregulates cytokine expression in the anal sphincter. Int J Colorectal Dis. 2011 Oct 18. [Epub ahead of print] Impact factor: 2.645 36.Obusez E, Lian L, O’Shea R, Shen B. Impact of Ileal Pouch-anal Anastomosis Surgery on the Outcome of Orthotopic Liver Transplantation for Primary Sclerosing Cholangitis. 发表文章-中文: 0.练磊,兰平.储袋炎研究现状.中华胃肠外科杂志.2007年第10卷第3期. 1.宋新明,何裕隆,李明哲,练磊,詹文华,黄奕华,兰平,彭俊生,汪建平.凯途双吻合器对直肠癌低前切除术吻合口的影响.结直肠肛门外科.2008年14卷2期. 2.练磊,沈博.克罗恩病术后复发的治疗.医学新知. 2010年20卷01期 3.邹一丰,张珑娟,吴小剑,何晓生,练磊,刘雷,汪建平,兰平. 猪-人-鼠嵌合体动物模型的建立及介导人T细胞对猪异种抗原的耐受.中国病理生理杂志. 2009年2期. 4.兰平,练磊. 消化道造口、储袋与重建. 中华普通外科学文献(电子版). 2010,4(3):188-193 5.兰平,练磊,何晓生. 克罗恩病并发肠梗阻的外科治疗的术式选择. 中华普通外科手术学杂志(电子版) 6.兰平,练磊. 溃疡性结肠炎的外科治疗。中华胃肠外科杂志。 7.兰平,练磊. 肠造口及其相关问题。 8.练磊,沈博. 储袋炎及回肠肛管储袋功能障碍的诊断与治疗。 出版专著: 1.《炎症性肠病外科治疗策略》参编 2.《大肠良性疾病外科治疗》 参编 3.《肛肠外科手术学》参编