Teaching Experience
Clinical: Minimally invasive colorectal surgery, IBD surgery, Low Anterior Resection Syndrome (LARS), functional and reconstructive proctology.
Research: Surgical outcomes and quality, education and guideline development, neoplasia, and functional results following colorectal surgery.
Local and international investigator in multicentre studies including ADiFaS, DAMASCUS, COMPASS, EAGLE, CovidSurg-3, INTESTINE, WORLD, and CANDID.
Lead author in ESCP T1 rectal cancer guidelines; co-investigator in COREAL project.
Garoufalia Z, Machairas N, Kostakis ID, Zormpala A, Kouraklis G, Dimitroulis
D. A seemingly innocent wound in an octogenarian. Surgery. 2018
Dec;164(6):1388-1389. doi: 10.1016/j.surg.2018.07.006. Epub 2018 Aug 25. PMID:
30154019.
Garoufalia Z, Aggelis A, Antoniou EA, Kouraklis G, Vagianos C. Operating on
Jehovah’s Witnesses: A Challenging Surgical Issue. J Relig Health. 2022
Jun;61(3):2447-2457. doi: 10.1007/s10943-020-01175-5. Epub 2021 Jan 8. PMID:
33417056.
Garoufalia Z, Papadopetraki A, Karatza E, Vardakostas D, Philippou A,
Kouraklis G, Mantas D. Insulin-like growth factor-I and wound healing, a
potential answer to non-healing wounds: A systematic review of the literature
and future perspectives. Biomed Rep. 2021 Aug;15(2):66. doi:
10.3892/br.2021.1442. Epub 2021 Jun 8. PMID: 34155450; PMCID: PMC8212444.
Garoufalia Z, Gefen R, Emile SH, Zhou P, Silva-Alvarenga E, Wexner SD.
Financial and Inpatient Burden of Adhesion-Related Small Bowel Obstruction: A
Systematic Review of the Literature. Am Surg. 2023 Jun;89(6):2693-2700. doi:
10.1177/00031348221126952. Epub 2022 Sep 14. PMID: 36113044.
Garoufalia Z, Gefen R, Emile SH, Silva-Alvarenga E, Horesh N, Freund MR,
Wexner SD. Gracilis muscle interposition for complex perineal fistulas: A
systematic review and meta-analysis of the literature. Colorectal Dis. 2023
Apr;25(4):549-561. doi: 10.1111/codi.16427. Epub 2022 Dec 7. PMID: 36413086.
Garoufalia Z, Freund MR, Gefen R, Meyer R, DaSilva G, Weiss EG, Wexner SD.
Does Completeness of the Mesorectal Excision Still Correlate With Local
Recurrence? Dis Colon Rectum. 2023 Jul 1;66(7):898-904. doi:
10.1097/DCR.0000000000002551. Epub 2023 Jan 4. PMID: 36649177.
Garoufalia Z, Wexner SD. Indocyanine Green Fluorescence Guided Surgery in
Colorectal Surgery. J Clin Med. 2023 Jan 7;12(2):494. doi: 10.3390/jcm12020494.
PMID: 36675423; PMCID: PMC9865296.
Garoufalia Z, Mavrantonis S, Emile SH, Gefen R, Horesh N, Freund MR, Wexner
SD. Surgical treatment of stomal prolapse: A systematic review and meta-analysis
of the literature. Colorectal Dis. 2023 Jun;25(6):1128-1134. doi:
10.1111/codi.16548. Epub 2023 Mar 25. PMID: 36965087.
Garoufalia Z, D’Andrea A, Horesh N, Emile SH, Gefen R, Wexner SD.
Laparoscopic retro-ileal pull-through technique for coloanal anastomosis- a
video vignette. Colorectal Dis. 2023 Jun;25(6):1319. doi: 10.1111/codi.16554.
Epub 2023 Mar 27. PMID: 36974447.
Garoufalia Z, Pellino G. Social media as a disruptor for academic
congresses. Surgery. 2023 Oct;174(4):1087-1091. doi: 10.1016/j.surg.2023.06.015.
Epub 2023 Jul 21. PMID: 37481419.
Garoufalia Z, Emile SH, Gefen R, Watson K, Emolo J, Horesh N, DaSilva G,
Weiss EG, Wexner SD. Intracorporeal Vessel Ligation in Laparoscopic Right
Colectomy for Cancer is Associated with Increased Lymph Node Yield. World J
Surg. 2023 Dec;47(12):3356-3362. doi: 10.1007/s00268-023-07181-4. Epub 2023 Sep
20. PMID: 37728776.
Garoufalia Z, Emile SH, Zhou P, Gefen R, Horesh N, Strassmann V, Ray-Offor
E, DaSilva G, Wexner SD. Stapler size independently predicts postoperative
complications following stapled ileocolic anastomosis: A retrospective cohort
study. Colorectal Dis. 2024 Feb;26(2):348-355. doi: 10.1111/codi.16841. Epub
2023 Dec 29. PMID: 38158622.
Garoufalia Z, Bellato V, Cunha MF, Avellaneda N, Dudi-Venkata NN, Gallardo
C, Meyer J, Zaffaroni G, Christensen P, Aytac E, Brady RRW, Pellino G; European
Society of Coloproctology ESCP Operation Equal Access Working Group. A narrative
on diversity, equity, and inclusion in surgery: insights from the European
Society of Coloproctology and identification of points for action. Updates Surg.
2024 Apr;76(2):529-537. doi: 10.1007/s13304-023-01685-3. Epub 2024 Jan 27. PMID:
38280108; PMCID: PMC10995079.
Garoufalia Z, Rogers P, Meknarit S, Mavrantonis S, Aeschbacher P, Ray-Offor
E, Emile SH, Gefen R, Dourado J, Horesh N, Wexner SD. Trans‑anal minimally
invasive surgery (TAMIS) versus rigid platforms for local excision of early
rectal cancer: a systematic review and meta-analysis of the literature. Surg
Endosc. 2024 Aug;38(8):4198-4206. doi: 10.1007/s00464-024-11065-6. Epub 2024 Jul
18. PMID: 39026004; PMCID: PMC11289048.
Garoufalia Z, Emile SH, Meknarit S, Gefen R, Horesh N, Zhou P, Aeschbacher
P, Strassmann V, Wexner SD. A systematic review and meta-analysis of high-
quality randomized controlled trials on the role of prehabilitation programs in
colorectal surgery. Surgery. 2024 Nov;176(5):1352-1359. doi:
10.1016/j.surg.2024.07.009. Epub 2024 Aug 15. PMID: 39147666.
Garoufalia Z. The promise of indocyanine green in colorectal surgery.
Lancet Gastroenterol Hepatol. 2024 Oct;9(10):897-898. doi:
10.1016/S2468-1253(24)00235-8. Epub 2024 Aug 13. PMID: 39151437.
Garoufalia Z, Meknarit S, Emile SH, Gefen R, Horesh N, Zhou P, Rogers P,
DaSilva G, Wexner SD. Technical risk factors for benign anastomotic strictures
in colorectal and/or coloanal anastomosis: A retrospective case-control study.
Colorectal Dis. 2024 Nov;26(11):1996-2002. doi: 10.1111/codi.17184. Epub 2024
Oct 2. PMID: 39358883.
Garoufalia Z, Emile SH, Wexner SD. Reply to the comment on “A systematic
review and meta-analysis of high-quality randomized controlled trials on the
role of prehabilitation programs in colorectal surgery”. Surgery. 2025
Apr;180:109129. doi: 10.1016/j.surg.2024.109129. Epub 2025 Jan 22. PMID:
39848900.
Garoufalia Z, Emile SH, Horesh N, Perets M, Kahana N, Wexner SD. A scoping
literature review on the surgical management of splenic flexure tumors. Scand J
Surg. 2025 Oct 24:14574969251387491. doi: 10.1177/14574969251387491. Epub ahead
of print. PMID: 41133372.
Garoufalia Z, Gefen R, Emile SH, Silva-Alvarenga E, Freund MR, Horesh N,
Wexner SD. Outcomes of graciloplasty in the treatment of fecal incontinence: a
systematic review and meta-analysis of the literature. Tech Coloproctol. 2023
Jun;27(6):429-441. doi: 10.1007/s10151-022-02734-6. Epub 2022 Dec 7. PMID:
36479654.

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