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PAUL T. CIRANGLE M.D., F.A.C.S.
MINIMALLY INVASIVE/ADVANCED LAPAROSCOPIC
GASTROINTESTINAL AND BARIATRIC SURGERY
1700 CALIFORNIA ST, #280
SAN FRANCISCO, CA 94109
OFFICE 866-957-3627
FAX 415-820-5946

EDUCATION

Washington University in St. Louis, Bachelor of Arts - May, 1983
- Graduated with Honors (Cum Laude)
- 3 Year ROTC Scholarship

Uniformed Services University of the Health Sciences, F. Edward Hebert School of Medicine, Doctor of Medicine - May, 1988 - Graduated top 20% of class.

POST GRADUATE TRAINING

Letterman Army Medical Center, San Francisco, CA
Categorical Surgical Internship - 7/88 - 6/89
Junior Surgical Resident - 7/89 - 6/91

Case Western Reserve School of Medicine, Cleveland, OH
Senior Surgical Resident - 7/91 - 6/92
Chief Surgical Resident - 7/92 - 6/93

POST RESIDENCY EXPERIENCE

Evans Army Community Hospital, Ft. Carson, CO
Staff Attending Surgeon - 7/93 - 7/98
Director, Intensive Care Unit - 7/97 - 7/98
Co-Chair, Critical Care Committee - 7/97 - 7/98
Commander Chemical and Biologic - 9/95 - 9/96
Response Team

Memorial Hospital, Colorado Springs, CO - 9/95 - 8/01
Trauma Surgeon, Level 2 Trauma Center
with Pediatric Commitment

Tripler Army Medical Center, Honolulu, HI - 7/98 - 8/01

Assistant Professor of Surgery - USUHS
Staff Attending Surgeon/Surgical Endoscopy
Director, Minimally Invasive Surgery

The Queens Medical Center, Honolulu, HI - 10/01 - 08/2003
Staff Attending Surgeon, University of Hawaii
Clinical Assistant Professor of Surgery
Surgical Residency Program
Trauma Surgeon, Level 2 Trauma Center

Kapiolani Medical Center at Pali Momi, Aiea, HI - 11/01 - Present
Medical Director, Minimally Invasive
Surgery Center of the Pacific and The
Surgical Weight Loss Center of Hawaii

California Pacific Medical Center - UCSF Teaching Hospital - 3/02 - Present
Laparoscopic Associates of San Francisco
Minimally Invasive/Laparoscopic and
Bariatric Surgery.
Co-Director, Fellowship in Minimally Invasive
and Advanced Laparoscopic Surgery

CERTIFICATION

American Board of Surgery (General Surgery)
Certificate #39316
Recertification 10/2002
Pediatric Advanced Life Support (PALS) Instructor
Advanced Trauma Life Support (ATLS) Instructor
and Course Director
Advance Cardiac Life Support (ACLS)

ACADEMIC APPOINTMENTS

Clinical Instructor of Surgery - 9/93 - 9/94
Uniformed Services University of the Health Sciences
Clinical Assistant Professor of Surgery - 9/94 - 6/99
Uniformed Services University of the Health Sciences
Assistant Clinical Professor of Surgery - 7/99 - 8/03
University of Hawaii, John A. Burns School of Medicine
Assistant Professor of Surgery - 7/99 - Present
Uniformed Services University of the Health Sciences

SOCIETY MEMBERSHIP

American Society for Metabolic and Bariatric Surgery - Faculty
American College of Surgeons - Fellow
International College of Surgeons - Fellow
Society of American Gastrointestinal Endoscopic Surgeons - Active
- Legislative Committee
- Program Committee
- Chairman, Public Information Committee
Society for Laser Medicine and Surgery - Fellow
American Medical Association - Active
San Francisco Medical Society - Active
Society for Surgery of the Alimentary Tract - Active

LICENSURE

California Medical License #G 68894
Ohio Medical License #61788
Colorado Medical License #34117
Hawaii Medical License #11507

PUBLICATIONS AND PRESENTATIONS


Canfield AJ, Hetz S, Shriver JP, Servis HT, Hovenga TL, Cirangle PT, Burlingame BS, Biliary Dyskinesia - A Study of More Than 200 Patients and Review of the World Literature, The Journal of Gastrointestinal Surgery 1998, 2: 443-448

Cirangle PT, Fetal Exposure to Alcohol, and its Effects on Brain Weight in Rats, Honors Thesis, Washington University in St. Louis, 1983

Cirangle PT, Extra Hepatic Proximal Bile Duct Tumors - A Twenty Year Retrospective Analysis, Presented at the Gary P Wratten Military Surgical Conference, April 1991

Cirangle PT, Effects of Severe Malnutrition and Hypoalbuminemia on Gastrointestinal Anastomosis, Presented at the Gary P Wratten Military Surgical Conference, May 1991

Cirangle PT, Surgical Management of Massive Thyroid Enlargement, Presented at the Cleveland Surgical Society Annual Resident Competition, April 1993

Cirangle PT, High Velocity Water Impact Trauma, Presented at the First Annual Military Surgical Conference of Central America and Mexico, August 1994

Cirangle PT, Marlex Plug Herniorraphy, The New Gold Standard? Presented at:
1) The Gary P. Wratten Military Surgical Conference, April 1997
2) Surgical Grand Rounds, Vanderbilt University, Nashville, TN, March 1998
3) Surgical Grand Rounds, Erlanger Medical Center, University of Tennessee, Chattanooga, TN, March 1998

Cirangle PT, Bard PerFix(tm) Plug Herniorrhaphy; A Three year Review and Comparison, Presented at the North American Section of the International College of Surgeons, July 1997

Cirangle PT, GERIB - Gastroesophageal Reflux Induced Bronchospasm - Treatment Comparison and Issues, presented at the Pan-Pacific Surgical Association Annual Meeting February 1, 2000

Cirangle PT, Ultrasonography in Trauma, Presented at the Course in Clinical Ultrasonography, Tripler Army Medical Center November 1998, December 1999, December 2001

Cirangle PT, Diagnostic and Interventional Breast Ultrasonography, Presented at the Course in Clinical Ultrasonography, Tripler Army Medical Center November 1998

Cirangle PT, Endorectal/Laparoscopic Ultrasonography, Presented at the Course in Clinical Ultrasonography, Tripler Army Medical Center November 1998, December 2001

Cirangle PT, Sawyer MJ, Total Laparoscopic Roux-en-Y Gastric Bypass For Morbid Obesity - Early Results Employing Intracorporeal Hand-Sewn Anastomosis, Presented at the 7th World Congress of Endoscopic Surgery Singapore, June 2000

Cirangle PT, Sawyer MJ, Gastroesophageal Reflux Induced Asthma/Bronchospasm (GERIAB) - Surgical Treatment is More Efficacious and Cost Effective, Presented at the 7th World Congress of Endoscopic Surgery Singapore, June 2000, and The Straehley Surgical Symposium Honolulu, November 2000

Cirangle PT, Telian S, Radiographic Comparison of Gastric Pouch Volume and Anastomotic Area of Laparoscopic versus Open Roux-en-Y Gastric Bypass Procedures, Presented at the 8th World Congress of Endoscopic Surgery, New York, NY, March 2002 Submitted for publication Surgical Endoscopy, Ultrasound and Interventional Techniques

Cirangle PT, Jossart G, Lee C Laparoscopic Biliopancreatic Diversion In: Controversies in Laparoscopic Surgery; Edited by Gagner, M in Press
Hastings PR, Cirangle PT, Biological Attack - Prophylaxis and Triage of Victims, Presented at The University of Hawaii School of Public Health, Biological Terrorism Seminar, September 22, 1998

Lane JM, Mallari PM, Singh N. Smith RR, Lim RB, Dykes TE, Cirangle PT, Kavolius JP, Sawyer MAJ. Ultrasound in General Surgery Practice. In: Proceedings of the 7th World Congress of Endoscopic Surgery. Bologna, Monduzzi Editore: 2000, pp.845-849

La Porta AJ, Cirangle PT, Dietz D, Kessman P, Canfield AJ, Carmain T, Hotard M, Bean D, Hoyer E, Torok P, Real Time Ultrasound Image Fusion with Archived C.T. Data for Surgical Planning and Therapy Guidance Society of American Gastrointestinal Endoscopic Surgeons, Poster Session March 1999

Lee CM, Cirangle PT, Jossart GH. Totally laparoscopic versus hand-assisted duodenal switch: results in fewer wound-related complications. World Congress of Endoscopic Surgery, Cancun, Mexico. 2/2/04-2/7/04.

Lee CM, Cirangle PT, Jossart GH. Isolated laparoscopic vertical sleeve gastrectomy for superobese or high-risk patients results in weight loss with minimal morbidity. World Congress of Endoscopic Surgery, Cancun, Mexico. 2/2/04-2/7/04.

Lee CM, Cirangle PT, Jossart GH. Totally laparoscopic duodenal switch with hand-sewn retrocolic duodenoenterostomy: experience with 52 patients. World Congress of Endoscopic Surgery, Cancun, Mexico. 2/2/04-2/7/04.

Lee CM, Cirangle PT, Jossart GH. Comparison of BMI-matched patients undergoing laparoscopic isolated vertical sleeve gastrectomy versus laparoscopic roux-en-Y gastric bypass. World Congress of Endoscopic Surgery, Cancun, Mexico. 2/2/04-2/7/04.

Lee CM, Cirangle PT, Jossart GH. Totally laparoscopic duodenal switch with hand-sewn retrocolic duodenoenterostomy. Video Presentation. Society of American Gastrointestinal Endoscopic Surgeons, Denver, CO. 3/31/04-4/3/04.

Lee CM, Cirangle PT, Jossart GH. Totally laparoscopic versus hand-assisted duodenal switch: results in fewer wound-related complications. Society of American Gastrointestinal Endoscopic Surgeons, Denver, CO. 3/31/04-4/3/04. (Poster)

Lee CM, Cirangle PT, Jossart GH. Isolated laparoscopic vertical sleeve gastrectomy for superobese or high-risk patients results in weight loss with minimal morbidity. Society of American Gastrointestinal Endoscopic Surgeons, Denver, CO. 3/31/04-4/3/04. (Poster)

Lee CM, Cirangle PT, Jossart GH. Totally laparoscopic duodenal switch with hand-sewn retrocolic duodenoenterostomy: experience with 52 patients. Society of American Gastrointestinal Endoscopic Surgeons, Denver, CO. 3/31/04-4/3/04. (Poster)

Lee CM, Cirangle PT, Jossart GH. Totally laparoscopic versus hand-assisted duodenal switch: results in fewer wound-related complications. World Congress on Endoscopic Surgery, Cancun, Mexico. 2/2/04-2/7/04.

Lee CM, Cirangle PT, Jossart GH. Comparison of BMI-matched patients undergoing laparoscopic isolated vertical sleeve gastrectomy versus laparoscopic roux-en-Y gastric bypass. American Society of Bariatric Surgery 21st Annual Meeting, San Diego, CA. 6/13/04-6/18/04.

Lee CM, Cirangle PT, Jossart GH. Laparoscopic vertical sleeve gastrectomy, a novel bariatric operation: superior to established bariatric operations? Submitted American College of Surgeons 90th Clinical Congress, Papers Session, New Orleans, LA, 10/10/04-10/14/04.

Lee CM, Cirangle PT, Jossart GH. 'Bariatric surgery failure rate': a proposed measure of efficacy following morbid obesity operations. Submitted American College of Surgeons 90th Clinical Congress, Surgical Forum, New Orleans, LA, 10/10/04-10/14/04.

Lee CM, Cirangle PT, Jossart GH. Outcomes comparison of morbidly obese patients of similar BMI undergoing laparoscopic roux-en-Y gastric bypass or biliopancreatic diversion with duodenal switch. Submitted American College of Surgeons 90th Clinical Congress, Surgical Forum, New Orleans, LA, 10/10/04-10/14/04.

Lim RB, Mallari PM, Kunasz MG, Smith RR, Singh N, Cirangle PT, Sawyer MAJ. Ultrasound-Guided Interventions. In: Proceedings of the 7th World Congress of Endoscopic Surgery. Bologna, Monduzzi Editore: 2000. pp.841-844

Lim RB, Meyer MS, Cirangle PT, Kavolius JP, Sawyer MAJ, Ultrasound in a General Surgery Training Program: The First Hundred Examinations, Presented at the 44th Annual Convention of the American Institute of Ultrasound in Medicine, 2-5 April, 2000

Lim RB, Wong SYT, Cirangle PT, Kunasz MG, Meyer MS, Fitzsimmons TR, Birkmire-Peters DP, Sawyer MAJ. Telementored Cholecystectomy. In: Proceedings of the 7th World Congress of Endoscopic Surgery. Bologna, Monduzzi Editore: 2000, pp.309-313

Matsumoto CS, Freeman IH, Robie DK, Cirangle PT, Johnson EA, Sawyer MAJ, Telementored Laparoscopic Cholecystectomy: A Pilot Study. Presented at the Gary P. Wratten Military Surgical Conference, May 1999

Sawyer MA, Birkmire-Peters DP, Cirangle PT, Robie DK, Telementored Laparoscopic Cholecystectomy: A Pilot Study. Presented at the annual meeting of the Society of Laparoendoscopic Surgeons Endo Expo 99, December, 1999

Sawyer MA, Lim RB, Wong BS, Cirangle PT, Birkmire-Peters D, Telementored Laparoscopic Cholecystectomy: A Pilot Study. Medicine Meets Virtual Reality 2000, J.D. Westwood et al (Editors), IOS Press, 2000

Telian S, Cirangle PT, Radiographic Evaluation of Gastric Pouch Size (Volume) and Gastrojejunostomy Cross-Sectional Area in Patients Who have undergone Roux-en-Y Gastric Bypass Using a Mathematical Model - Comparison of Laparoscopic Procedures Vs. Open Surgery,
1) Presented at the Gary P. Wratten Surgical Symposium April, 2001.
2) Submitted for publication, Current Surgery.

Telian S, Cirangle PT Radiographic Comparison of Gastric Pouch Volume and Anastomotic Area of Laparoscopic versus Open Roux-en-Y Gastric Bypass Procedures, Accepted for Presentation at the American College of Surgeons Hawaii Chapter Annual Meeting, Honolulu, HI August, 2002

Zagorski S, Cirangle PT, Jennings C, Delaplain C, Kim P, Kavolius J, Sestamibi Imaging in the Detection of Breast Cancer, Presented before:
1) The Hawaiian Surgical Association, August 1998
2) The Gary P. Wratten Military Surgical Conference, May 1999

Zagorski S, Cirangle PT, Delaplain C, Kim S, Kavolius J, Sestamibi Scintimammography in the Evaluation of Breast Pathology, Current Surgery September/October 1999, 56(7/8): 438-440

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