Specialty Areas
- Colon Cancer
- Rectal cancer – neoadjuvant therapy, surgery and non-operative management
- Anal cancer
- Colon polyps
- Diverticulitis
- Ulcerative colitis and Crohn’s disease
- Hemorrhoids
- Fissures
- Abscess
- Fistula
- Condyloma
- Pilonidal cysts
- Inherited colorectal cancer and hereditary colorectal cancer syndromes
- Intestinal stomas
- Rectal prolapse
- Constipation
- Fecal incontinence
Common Procedures
- Surgeries for rectal cancer
- Diverticulitis
- Ulcerative colitis
- Crohn’s disease
- Anorectal procedures
- Creation and removal intestinal stomas
- Laparoscopic procedures
- Transanal endoscopic microsurgery
- Robotic
- Colonoscopy
- Hemorrhoidectomy
Common Diagnoses Treated
- Colon Cancer
- Rectal cancer – neoadjuvant therapy, surgery and non-operative management
- Anal cancer
- Colon polyps
- Diverticulitis
- Ulcerative colitis and Crohn’s disease
- Anorectal diseases – Hemorrhoids, Fissures, Abscess, Fistula, Condyloma, Pilonidal cysts
- Inherited colorectal cancer and hereditary colorectal cancer syndromes
- Intestinal stomas
- Rectal prolapse
- Constipation
- Fecal incontinence
Board Certifications
American Board of Surgery
American Board of Colon and Rectal Surgery
Degrees
Medical School: Temple University School of Medicine, Philadelphia, PA, 2005
Graduate School: Clinical Research and Transitional Medicine, Temple University, Philadelphia, PA, 2010
Residency
General Surgery Residency, Temple University Hospital, Philadelphia, PA, 2012
Fellowship
Colon and Rectal Surgery Fellowship, Washington University School of Medicine, St. Louis, MO, 2013
Professional Memberships
American College of Surgeons
American Society of Colon and Rectal Surgeons
Society of American Gastrointestinal and Endoscopic Surgeons
Awards and Honors
1992 – Magna Cum Laude, The Pennsylvania State University, Hanover, NH
Areas of Research Interest
Inflammatory bowel disease (IBD)
Colorectal cancer
Patient Outcomes
Enhanced Recovery after Surgery
Rectal cancer
Cost reduction of care for colon cancer
Clinical Trials
- “How well does pre-operative biopsy correlate with pathology after transanal endoscopic microscurgey (TEMS)”
(Short Title: Pre-operative biopsy and TEMS) - “A phase II multicenter randomized trial evaluating 3-year disease-free survival …”
(Short Title: NOM) - “A phase III, randomized, double blind, parallel group, placebo controlled, international, multicentre study to assess efficacy and safety of Cx601, adult allogeneic expanded adipose-derived stem cells (eASC), for the treatment of complex perianal fistula(s) in patients with Crohn’s disease over a period of 24 weeks and a follow-up period up to 52 weeks.”
(Short Title: ADMIRE-CD II CX601-0303) - “Washington University Inherited Colorectal Cancer and Polyposis Registry”
(Short Title: ICCP Registry) - “A Phase 1b, Multicenter, Randomized, Blinded, Placebo-controlled Study to Evaluate the Efficacy of Guselkumab in Subjects with Familial Adenomatous Polyposis”
(Short Title: Janssen – CNTO1959COR1001) - “Preoperative Evaluation, Clinicopathologic Factors, Management Strategies, and Outcomes of Colon and Rectal Cancer: A Multi-Institutional Experience”
(Short Title: Colorectal Cancer Multi-Institute) - “A Multi-Center Prospective Comparison of Intracorporeal and Extracorporeal Anastomoses for Minimally Invasive Right Colectomy”
(Short Title: Prospective Right Colectomy) - “Pilot study of ultrasound and Photoacoustic Imaging of Colon and Rectal Tumor Tissue”
(Short Title: Photoacoustic colon imaging) - “Short versus long interval to loop ileostomy reversal after ileal pouch surgery in patients with ulcerative colitis”
(Short Title: SLIRPS Trial) - “Ileal Pouch after Liver Transplant (I-PALT) Multicenter Study”
(Short Title: I-PALT) - “Novel Assessment of the Role of Surgery in Recurrent Diverticulitis: A Prospective, Observational Study of Observation versus Surgery in Recurrent Diverticulitis”
(Short Title: NARSID) - “A Phase 1b, Multicenter, Randomized, Blinded, Placebo-controlled Study to Evaluate the Efficacy of Guselkumab in Subjects with Familial Adenomatous Polyposis”
(Short Title: Janssen – CNTO1959COR1001) - “A phase 2, multicenter, randomized, double-blind, placebo-controlled study of naldemedine in patients undergoing surgeries that include a bowel resection or bowel transection”
(Short Title: Shionogi) - “Transdisciplinary Team Science in Colorectal Cancer Prognosis: The ColoCare Study”
Innovations
Non-operative management of colorectal cancer
Publications
Hospital Affiliations
Barnes-Jewish Hospital
Barnes-Jewish West County Hospital
Patients Seen At
Barnes-Jewish West County Hospital
Medical Building 4
1044 North Mason Road
Suite 310
St. Louis, MO 63141
Telephone: 314-454-7177
Fax: 888-425-7946
To request an appointment with Dr. Silviera, please call (314) 454-7177 or request an appointment online.