St Paul's Hospital - Providence Health CareGeneral Surgery

Carl J. Brown, M.D., M.Sc., F.R.C.S.C.

Carl J. Brown

Dr. Carl Brown is a colorectal surgeon and the current Head of the Division of General Surgery at St. Paul's Hospital.  He is also President of the Providence Health Care Medical Staff Association.

Dr. Brown completed medical school at McMaster University in 1995.  He completed general surgery training at the University of Calgary in 2003 and subsequently worked as a general surgeon at the Peter Lougheed Centre in Calgary.  In 2004, he moved to Toronto to train as a subspecialist in Colorectal Surgery.  Concurrent with his fellowship, Dr. Brown completed his master's degree in clinical research at the University of Toronto.  In 2006, Dr. Brown was recruited to St. Paul’s Hospital and the University of British Columbia.

Dr. Brown is the chairman of the Research and Outcomes Evaluation Committee at the British Columbia Cancer Agency and an active member of the Colorectal Cancer Outcomes Unit. He is a member of the Surgical Oncology Network of British Columbia Executive.  The goal of these groups is to improve the outcomes of patients with colorectal cancer through research initiatives.

Furthermore, Dr. Brown is on the executive of the Evidence Based Reviews in Surgery group and an advisor for the Canadian Cancer Society Network of Expert Reviewers. Dr. Brown is also a member of the Health for Humanity medical group and has donated time to perform surgery in Guatemala and volunteered as a general surgeon on call for the Olympic Athlete’s Village during the Vancouver 2010 Winter Olympics.  In 2012, Dr. Brown was named one of the “top 40 under 40” in Vancouver by Business in Vancouver magazine.

Dr. Brown has published several studies on surgery for colorectal cancer, the ileal pouch procedure and surgery for Crohn's disease and he has taught courses in laparoscopic colorectal cancer surgery and transanal endoscopic microsurgery.

Publications

Journals

Brown CJ, Buie WD: Perioperative stress dose steroids: are they necessary?  J Am Coll Surg, Dec 2001;193(6):678-86.

Brown CJ, Falck VB, MacLean AR: Angiosarcoma of the colon – case report and review of the literature. Dis Col Rectum Dec 2004;47(12): 2202-7.

Brown CJ, MacLean AR, Asano T, O’Conner B, MacRae H, Cohen Z, McLeod RS: Crohn’s disease and indeterminate colitis and the ileal pouch anal anastomosis – outcomes and patterns of failure.  Dis Colon Rectum 2005 Aug;48(8):1542-9.

Brown CJ, Dubreill D, Santoro L, Liu M, O’Connor B, McLeod RS: Lateral internal sphincterotomy is superior to topical nitroglycerin for healing chronic anal fissure and does not compromise long-term fecal continence: 6 year follow up of a multi-center randomized controlled trial.  Dis Colon Rectum, 2007 Apr;50(4):442-8.

Harvey A, Nixon J, Zhang H, Brown CJ: Comparison of data extraction from standardized versus traditional narrative operative reports for database related research and quality control.  Surgery 2007 June; 141(6):708-14.

Maizlin ZV, Mason AC, Brown CJ, Brown JA: CT findings of normal and inflamed appendix in groin hernia.  Emerg Radiol 2007 June; 14(2):97-100.

Brown CJ: Strictureplasty in Crohn’s disease.  Op Tech in Gen Surg 2007.

Brown CJ, Jaffer H, Jaffer N, Burul C, McLeod RS: Spinal epidural abscess as a complication of inflammatory bowel disease – report of two cases and review of the literature.  Can J Gastroenterol 2008 Feb;22(2):177-80.

Brown CJ, Raval MJ: Advances in minimally invasive surgery in the treatment of colorectal cancer.  Expert Rev Anticancer Ther 2008; 8(1):111-23.

Hogan BA, Brown CJ, Brown JA: Cecal volvulus in pregnancy: report of a case and review of the safety and utility of medical diagnostic imaging in the assessment of the acute abdomen during pregnancy.  Emerg Radiol, 2008 Mar; 15(2):127-31.

Murata A, Brown CJ, Raval M, Phang PT: Impact of short-course radiotherapy and low anterior resection on quality of life and bowel function in primary rectal cancer. Am J Surg. 2008 May;195(5):611-5; discussion 615.

Brown CJ, Fenech DS, McLeod RS: Reconstructive techniques after rectal resection for rectal cancer.  Cochrane Database Syst Rev. 2008 Apr 16;(2):CD006040.

Rouse HC, Godoy MCB, Lee W-K, Phang PT, Brown CJ, Brown JA: Imaging findings of unusual anorectal and perirectal pathology: a multi-modality approach. Clinical radiology 2008;63(12):1350-60.

Brown CJ, Garcia-Aguilar J, Phang PT; Evidence-Based Reviews in Surgery Group.  Canadian Association of General Surgeons, the American College of Surgeons, the Canadian Society of Colorectal Surgeons, and the American Society of Colon and Rectal Surgeons: evidence-based reviews in surgery-colorectal surgery.  Dis Colon Rectum. 2009 Jan;52(1):1-3.

Devon KM, Brown CJ, Burnstein M, McLeod RS.  Cancer of the anus complicating perianal Crohn's disease.  Dis Colon Rectum. 2009 Feb;52(2):211-6.

Chung W, Kazemi P, Ko D, Sun C, Brown CJ, Raval M, Phang T: Anal fistula plug and fibrin glue versus conventional treatment in repair of complex anal fistulas.  Am J Surg. 2009 May;197(5):604-8.

Aird L, Tiwari P, Brown CJ: Midgut Volvulus in the Adult Patient.  Can J Surg 2009 Aug; 52(4): 343-4.

Chan TW, Brown CJ, Ho CC, Gill S: Primary tumor resection in patients presenting with metastatic colorectal cancer: analysis of a provincial population-based cohort. Am J Clin Oncol. 2010 Feb;33(1):52-5.

Prabhu-Lobo K, Enns R, Brown CJ: Intermittent obstruction resulting from multiple intestinal webs.  Can J Gastro February 2010, Volume 24 Issue 2: 101-102.

Maizlin Z, Brown CJ, Phang PT, Brown JA: Can CT replace MRI in pre-operative assessment of the circumferential resection margin in rectal cancer?  Dis Colon Rectum 2010 Mar;53(3):308-14.

Chung W, Ko D, Sun C, Raval MJ, Brown CJ, Phang PT: Outcomes of anal fistula surgery in patients with inflammatory bowel disease.  Am J Surg. 2010 May;199(5):609-13.

Aslani N, Brown CJ: Hernia. Does mesh offer an advantage over tissue in the open repair of umbilical hernias?  A systematic review and meta-analysis.  2010 Oct;14(5):455-62.

Phang PT, McGahan CE, McGregor G, MacFarlane JK, Brown CJ, Raval MJ, Cheifetz R, Hay JH: Effects of change in rectal cancer management on outcomes in British Columbia.  Can J Surg. 2010 Aug;53(4):225-31.

Brown C, Poritz L, Stephen W: Evidence Based Reviews in Surgery Group. Canadian Association of General Surgeons, the American College of Surgeons, the Canadian Society of Colorectal Surgeons, and the American Society of Colon and Rectal Surgeons: evidence based reviews in surgery - colorectal surgery. Dis Colon Rectum. 2010 Apr;53(4):483-5.

Krajewski S, Brown J, Phang PT, Raval M, Brown CJ: Impact of computed tomography of the abdomen on clinical outcomes in patients with acute right lower quadrant pain: a meta-analysis.  Can J Surg. 2011 Feb;54(1):43-53.

Phang PT, Woods R, Brown CJ, Raval M, Cheifetz R, Kennecke H: Effect of systematic education courses on rectal cancer treatments in a population.  Am J Surg. 2011 May;201(5):635-9.

Brown CJ, Finlayson SR, Taylor MC: Evidence Based Reviews in Surgery Group. CAGS and ACS Evidence Based Reviews in Surgery. Access to emergency operative care: a comparative study between the Canadian and American health care systems.  Can J Surg. 2011 Dec;54(6):403-6.

Ahmadi N, McKenzie ME, Maclean A, Brown CJ, Mastracci T, McLeod RS: Evidence-Based Reviews in Surgery Steering Group. Teaching evidence based medicine to surgery residents-is journal club the best format?  A systematic review of the literature. J Surg Educ. 2012 Jan-Feb;69(1):91-100.

Brown CJ, Gallinger S, Church J: Members of the Evidence-Based Reviews in Surgery Group. Long-term effects of aspirin on colorectal cancer. J Am Coll Surg. 2012 Jun;214(6):1023-6.

Aird LN, Brown CJ: Systematic review and meta-analysis of electrocautery versus scalpel for surgical skin incisions. Am J Surg. 2012 Aug;204(2):216-21.

Aslani N, Lobo-Prabhu K, Heidary B, Phang T, Raval MJ, Brown CJ: Outcomes of laparoscopic colon cancer surgery in a population-based cohort in British Columbia: are they as good as the clinical trials? Am J Surg. 2012 Oct;204(4):411-5.

Sidhu RS, Halwani Y, Brown CJ, Hameed M Doyle J, Pachev G: Assessing residents’ surgical skills in the operating room: utility of a universal global rating scale.  Am J Surg 2013 (in press).

 

Book Chapters

Brown CJ, McLeod RS: Perianal Crohn’s Disease, Challenges in Inflammatory Bowel Disease, 2nd Ed. Jewell DP, Warren BF, Mortensen NJ (eds), Blackwell Science, Oxford, 2006.

Brown CJ, McLeod RS: Colorectal Polyps, Current Surgical Therapy, 10th Ed.  Cameron J. Mosby/Elsevier, Philadelphia, 2010.

Gill S, Brown CJ, Bathe O, Miller R: Colon Cancer, Gastrointestinal Oncology: Therepeutic Principles 2010.  Blanke C, Talamonti MS, Roedel R (eds).