Surgical Clinics of North America Journal Impact Factor & Information

Publisher: WB Saunders

Journal description

Each issue of Surgical Clinics reviews new diagnostic and management techniques for a single clinical problem--and makes them simple to apply. Its concise, comprehensive, and its editors and authors are respected experts.

Current impact factor: 1.93

Impact Factor Rankings

2015 Impact Factor Available summer 2015
2013 / 2014 Impact Factor 1.932
2012 Impact Factor 2.019
2011 Impact Factor 2.142
2010 Impact Factor 2.335
2009 Impact Factor 2.076
2008 Impact Factor 1.365
2007 Impact Factor 1.269
2006 Impact Factor 1.656
2005 Impact Factor 1.763
2004 Impact Factor 1.722
2003 Impact Factor 1.589
2002 Impact Factor 1.651
2001 Impact Factor 1.492
2000 Impact Factor 1.252
1999 Impact Factor 2.061
1998 Impact Factor 1.744
1997 Impact Factor 1.525

Impact factor over time

Impact factor

Additional details

5-year impact 2.00
Cited half-life 0.00
Immediacy index 0.14
Eigenfactor 0.00
Article influence 0.61
Website Surgical Clinics website
Other titles The Surgical clinics of North America, Surgical clinics
ISSN 1558-3171
OCLC 1714309
Material type Periodical, Internet resource
Document type Journal / Magazine / Newspaper, Internet Resource

Publisher details

WB Saunders

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Pre-print allowed on any website or open access repository
    • Voluntary deposit by author of authors post-print allowed on institutions open scholarly website including Institutional Repository, without embargo, where there is not a policy or mandate
    • Deposit due to Funding Body, Institutional and Governmental policy or mandate only allowed where separate agreement between repository and the publisher exists.
    • Permitted deposit due to Funding Body, Institutional and Governmental policy or mandate, may be required to comply with embargo periods of 12 months to 48 months .
    • Set statement to accompany deposit
    • Published source must be acknowledged
    • Must link to journal home page or articles' DOI
    • Publisher's version/PDF cannot be used
    • Articles in some journals can be made Open Access on payment of additional charge
    • NIH Authors articles will be submitted to PubMed Central after 12 months
    • Authors who are required to deposit in subject-based repositories may also use Sponsorship Option
    • 'WB Saunders' is an imprint of 'Elsevier'
  • Classification
    ​ green

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Multiple new endoluminal devices and therapies have been devised to create a more effective antireflux barrier in patients with gastroesophageal reflux disease (GERD). Most of these therapies have been abandoned, because they were ineffective and/or had significant adverse effects. However, there are currently two therapies (Stretta, EsophyX) that have US Food and Drug Administration approval and continue to be used in select patients with GERD. The clinical management of GERD, disease complications, endoluminal techniques, evidence for efficacy, and controversies concerning endoluminal therapy for GERD are reviewed and discussed. Published by Elsevier Inc.
    Surgical Clinics of North America 06/2015; 63(3). DOI:10.1016/j.suc.2015.02.016
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    ABSTRACT: Esophageal achalasia is a primary esophageal motility disorder characterized by the absence of esophageal peristalsis and failure of the lower esophageal sphincter to relax in response to swallowing. This article reviews the most clinically relevant aspects of diagnosis and management of patients with achalasia, focusing on the several treatment modalities available. At present, laparoscopic Heller myotomy with partial fundoplication is considered the gold standard for the treatment. Endoscopic procedures such as endoscopic botulinum toxin injection and pneumatic dilatation should be considered as primary treatment modalities only in frail patients. Peroral endoscopic myotomy is a new approach with promising short-term results. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 06/2015; 95(3). DOI:10.1016/j.suc.2015.02.009
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    ABSTRACT: There has been recent interest in minimally invasive esophagectomy (MIE), which has the theoretic advantages of being less traumatic, with a shortened postoperative recovery and fewer cardiopulmonary complications, compared with open approaches. In addition, enhanced visualization afforded by high-definition imaging and magnification may facilitate a safer approach, with a resultant reduction in blood loss and complications. MIE has been adopted in many centers. This article describes the history of MIE in the context of benign disease, the surgical technique, and the outcomes of minimally invasive approaches compared with those of the open approach. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 06/2015; 95(3). DOI:10.1016/j.suc.2015.02.012
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    ABSTRACT: Minimally invasive surgery is the mainstay of treatment for symptomatic hiatal hernia. Laparoscopic paraesophageal hernia (PEH) repair includes certain key steps such as complete reduction of the hernia sac, identification of both crura and the gastroesophageal junction, obtaining at least 3 cm of intra-abdominal esophageal length, tension-free re-approximation of the crura utilizing an absorbable mesh onlay, creation of an anti-reflux procedure, and diagnostic endoscopy at the end of the procedure. This article reviews various aspects of managing a patient who presents with a paraesophageal hernia and examines the current controversies in surgical technique with regards to laparoscopic PEH repair. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 06/2015; 95(3). DOI:10.1016/j.suc.2015.02.008
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    ABSTRACT: Barrett esophagus is a change in the normal squamous epithelium of the esophagus to specialized columnar-lined epithelium. Barrett esophagus is of interest to surgeons in that it is associated with gastroesophageal reflux disease (GERD) and is a risk factor for esophageal adenocarcinoma. Beyond that, nearly every other aspect of Barrett esophagus has been an area of controversy among surgeons, gastroenterologists, pathologists, and epidemiologists. The purpose of this article is to review the disease Barrett esophagus with emphasis on current clinical management. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 06/2015; 95(3). DOI:10.1016/j.suc.2015.02.011
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    ABSTRACT: Postoperative pulmonary complications (PPCs) occur frequently among general surgical patients. The spectrum of illness is broad and includes preventable causes of morbidity and death. Careful preoperative evaluation can identify undiagnosed and undertreated illness and allow for preoperative intervention. Optimization of patient, surgical, and anesthetic factors is crucial in the prevention of PPCs. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 04/2015; 95(2). DOI:10.1016/j.suc.2014.11.002
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    ABSTRACT: "Venous thromboembolism (VTE) remains a significant risk for all surgical patients, despite validated guidelines. Development of VTE remains a high risk in hospitalized surgical patients, leading to complications in up to 30%. The stratification of patient risk factors and subsequent utilization of a validated prophylaxis and treatment regimen is, therefore, of utmost importance. Familiarity with the current guidelines and recommendations ultimately results in decreased morbidity, mortality, and health care costs. This article discusses the risk factors for developing VTE and management strategies based on the currently available guidelines." Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 04/2015; 95(2). DOI:10.1016/j.suc.2014.11.005
  • [Show abstract] [Hide abstract]
    ABSTRACT: The diagnosis of esophageal motility disorders has been greatly enhanced with the development of high-resolution esophageal manometry studies and the Chicago Classification. Both hypomotility disorders and hypercontractility disorders of the esophagus have new diagnostic criteria. For the foregut surgeon, new diagnostic criteria for esophageal motility disorders have implications for decision-making during fundoplication and may expand the role of surgical therapy for esophageal achalasia by clarifying diagnostic criteria. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 04/2015; 95(3). DOI:10.1016/j.suc.2015.02.003
  • [Show abstract] [Hide abstract]
    ABSTRACT: Despite remarkable advances in the knowledge of infection and human response to it, sepsis continues to be one of the most common challenges surgeons and critical care providers face. Surgeons confront the problem of infection every day, in treating established infections or reacting to a consequence of surgical intervention. Infections after surgery continue to be a problem despite massive efforts to prevent them. Patients rely on the surgeon's ability to recognize infection and treat it. Also, preventing nosocomial infection and antibiotic resistance is a primary responsibility. This article describes diagnostic and therapeutic measures for sepsis in the perioperative surgical patient. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 04/2015; 95(2):355-365. DOI:10.1016/j.suc.2014.10.006
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    ABSTRACT: Despite the multiple causes of the shock state, all causes possess the common abnormality of oxygen supply not meeting tissue metabolic demands. Compensatory mechanisms may mask the severity of hypoxemia and hypoperfusion, since catecholamines and extracellular fluid shifts initially compensate for the physiologic derangements associated with patients in shock. Despite the achievement of normal physiologic parameters after resuscitation, significant metabolic acidosis may continue to be present in the tissues, as evidenced by increased lactate levels and metabolic acidosis. This review discusses the major endpoints of resuscitation in clinical use. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 04/2015; 95(2):319-336. DOI:10.1016/j.suc.2014.10.004
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    ABSTRACT: Hyperglycemia is a common finding in surgical patients during the perioperative period. Factors contributing to poor glycemic control include counterregulatory hormones, hepatic insulin resistance, decreased insulin-stimulated glucose uptake, use of dextrose-containing intravenous fluids, and enteral and parenteral nutrition. Hyperglycemia in the perioperative period is associated with increased morbidity, decreased survival, and increased resource utilization. Optimal glucose management in the perioperative period contributes to reduced morbidity and mortality. To readily identify hyperglycemia, blood glucose monitoring should be instituted for all hospitalized patients. Published by Elsevier Inc.
    Surgical Clinics of North America 04/2015; 95(2):337-354. DOI:10.1016/j.suc.2014.11.003
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article reviews the key diagnostic studies for the preoperative evaluation of gastroesophageal reflux disease (GERD) and their relevance to the diagnosis. Also discussed is how these diagnostic studies can help guide the physician in choosing the optimal treatment modality for the patient. Treatment options are significantly underused. Despite the availability of multiple treatments on the market, medications remain the primary treatment modality offered to patients. The preoperative assessment for treatment of GERD now includes not only confirmation of the diagnosis of GERD but also the determination of the cause of GERD to tailor the appropriate treatment option to the patient. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 04/2015; 95(3). DOI:10.1016/j.suc.2015.02.013
  • [Show abstract] [Hide abstract]
    ABSTRACT: In the presence of long-standing and severe gastroesophageal reflux disease, patients can develop various complications, including a shortened esophagus. Standard preoperative testing in these patients should include endoscopy, esophagography, and manometry, whereas the objective diagnosis of a short esophagus must be made intraoperatively following adequate mediastinal mobilization. If left untreated, it is a contributing factor to the high recurrence rate following fundoplications or repair of large hiatal hernias. A laparoscopic Collis gastroplasty combined with an antireflux procedure offers safe and effective therapy. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 04/2015; 95(3). DOI:10.1016/j.suc.2015.02.015
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    ABSTRACT: Benign esophageal and paraesophageal masses and cysts are a rare but important group of pathologies. Although often asymptomatic, these lesions can cause a variety of symptoms and, in some cases, demonstrate variable biological behavior. Contemporary categorization relies heavily on endoscopic ultrasound and other imaging modalities and immunohistochemical analysis when appropriate. Minimally invasive options including endoscopic, laparoscopic, and thoracoscopic methods are increasingly used for symptomatic or indeterminate lesions. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 03/2015; 95(3). DOI:10.1016/j.suc.2015.02.005
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    ABSTRACT: Patient satisfaction with primary antireflux surgery is high, but a small percentage of patients experience recurrent reflux and dysphagia, requiring reoperation. The major anatomic causes of failed fundoplication are slipped fundoplication, failure to identify a short esophagus, and problems with the wrap. Minimally invasive surgery has become more common for these procedures. Options for surgery include redo fundoplication with hiatal hernia repair if needed, conversion to Roux-en-Y anatomy, or, as a last resort, esophagectomy. Conversion to Roux-en-Y anatomy has a high rate of success, making this approach an important option in the properly selected patient. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 03/2015; 95(3). DOI:10.1016/j.suc.2015.02.014
  • Surgical Clinics of North America 02/2015; 95(2). DOI:10.1016/j.suc.2015.02.002
  • Surgical Clinics of North America 02/2015; 95(2). DOI:10.1016/j.suc.2015.02.001
  • [Show abstract] [Hide abstract]
    ABSTRACT: The older population only represents 13.7% of the US population but has grown by 21% since 2002. The centenarian population is growing at a faster rate than the total US population. This unprecedented growth has significantly increased surgical demand. The establishment of quality and performance improvement data has allowed researchers to focus attention on the older patient population, resulting in an exponential increase in studies. Although there is still much work to be done in this field, overlying themes regarding the perioperative management of elderly patients are presented in this article based on a thorough literature review. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 01/2015; 95(2). DOI:10.1016/j.suc.2014.12.001
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    ABSTRACT: Clinical trials have provided guidance in developing triggers for transfusing in the hemodynamically stable patient. These studies have identified that improved outcomes can be obtained in the massively transfused patient when platelets and fresh frozen plasma are transfused with packed red blood cells. Studies that characterize the complications of transfusions, such as transfusion-related acute lung injury and poor cancer-related outcomes, are discussed. Emerging data that characterize the risk factors associated with transfusion-related acute lung injury and suggest metastasis and local recurrence occur at a higher rate in the transfused patient are discussed. Hematologic disorders commonly encountered by surgeons are discussed. Copyright © 2015 Elsevier Inc. All rights reserved.
    Surgical Clinics of North America 12/2014; 95(2). DOI:10.1016/j.suc.2014.11.004
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    ABSTRACT: Perioperative nutrition is a vitally important yet often overlooked aspect of surgical care. Significant disparity exists between evidenced-based recommendations and practices encouraged by traditional surgical teaching. The metabolic response to surgical stress is complex. Poor nutrition has been demonstrated to correlate with adverse surgical outcomes. Perioperative nutrition encompasses preoperative, intraoperative, and postoperative care. Preoperative nutritional assessment identifies at-risk patients who benefit from supplementation before surgery. Prehabilitation seeks to prepare patients for the impending surgical stress. Immunonutrition seems to provide a benefit, although its precise mechanisms are unknown. This article provides a review of the current state of perioperative nutrition. Published by Elsevier Inc.
    Surgical Clinics of North America 12/2014; 95(2). DOI:10.1016/j.suc.2014.10.003