Rami Makhoul

[Rami Makhoul @RMakhoul]

Comparison of Rubber Band Ligation and Hemorrhoidectomy in... : Diseases of the Colon & Rectum https://t.co/ckZd5Rp9Ss

[Techniques in Coloproctology Journal @TechColoproctol]

**TCOL Alert!** Editor’s Pick of the Month
Ileal Pouch Anastomosis for Ulcerative Colitis: What are the differences between two-stage and three-stage procedures?
Stay tuned for this month's virtual discussion in Techniques in Coloproctology, hosted by Dr. Kotze, and the authors!

[Rami Makhoul @RMakhoul]

What Are Your Intentions? : Journal of the American College of Surgeons https://t.co/eAgXtLQ5Zm

[DCRjournal @DCRjournal]

#DCRJournal visual abstract | Anastomotic Leakage in Relation to Type of Mesorectal Excision and Defunctioning Stoma Use in Anterior Resection for Rectal Cancer: https://t.co/LjcZaiy8dM

@JohnRTMonsonMD @jendavidsmd @ScottRSteeleMD @Swexner @me4_so @ACPGBI @drtracyhull @ASCRS_1

[DCRjournal @DCRjournal]

Parastomal Hernia Rates and Exercise Following Ostomy Surgery as shown in this #DCRJournal visual abstract recap.

https://t.co/cRoz6S3igs

@KyleCologne @SeanLangenfeld @JohnRTMonsonMD @jendavidsmd @ScottRSteeleMD @Swexner @me4_so @ACPGBI @drtracyhull @ASCRS_1

[Rami Makhoul @RMakhoul]

Incidence of Recurrence and Time to Recurrence in Stage I to III Colorectal Cancer https://t.co/G3TIHTq6sX #colon #Cancer #CancerAwareness #CancerResearch

[Rami Makhoul @RMakhoul]

Incidence of Recurrence and Time to Recurrence in Stage I to III Colorectal Cancer https://t.co/neTUn5WLQ1 #Cancer #cancerawareness #cancercolorectal #Cancers #cancersurvivor #CancerResearch

[Rami Makhoul @RMakhoul]

Undiagnosed US Cancer Cases During the COVID-19 Pandemic https://t.co/L83NPlAKlz #cancerawareness #Cancer #cancercolorectal #CancerResearch

[Rami Makhoul @RMakhoul]

Incidence of Recurrence and Time to Recurrence in Stage I to III Colorectal Cancer https://t.co/jR7hIfTaca #Cancer #colon #surgery

[Colorectal Disease @ColorectalDis]

🎁#CodiSundays☀️

🌎 @escp_tweets & @colorectaldis look at:

🙌🤲hands teaching method🤲🙌

🏥applied to anorectal surgery anatomy🏥

🔗link🔗

https://t.co/vVCpwQHqLE

#SoMe4Surgery #colorectalsurgery

[BJS Open @BjsOpen]

Primary entry trocar design and entry-related complications at laparoscopy in obese patients: meta-analysis
https://t.co/vMyww0K1Ak
Our latest systematic review and meta-analysis reports the frequency of resultant visceral and vascular complications, at first entry and by entry device type, in specified obese classes of patients undergoing laparoscopic abdominal surgery.
#SoMe4Surgery #SurgEd #MedTwitter
@BJSAcademy @BJSurgery @juliomayol @young_bjs

[BJS Open @BjsOpen]

Global cost of postoperative ileus following abdominal surgery: meta-analysis

https://t.co/VU14LMc6yq

Background
Following abdominal surgery, postoperative ileus is a common complication significantly increasing patient morbidity and cost of hospital admission. This is the first systematic review aimed at determining the average global hospital cost per patient associated with postoperative ileus.

Methods
A systematic search of electronic databases was performed from January 2000 to March 2023. Studies included compared patients undergoing abdominal surgery who developed postoperative ileus to those who did not, focusing on costing data. The primary outcome was the total cost of inpatient stay. Risk of bias was assessed using the Newcastle–Ottawa assessment tool. Summary meta-analysis was performed.

Results
Of the 2071 studies identified, 88 papers were assessed for full eligibility. The systematic review included nine studies (2005–2022), investigating 1 860 889 patients undergoing general, colorectal, gynaecological and urological surgery. These studies showed significant variations in the definition of postoperative ileus. Six studies were eligible for meta-analysis showing an increase of €8233 (95 per cent c.i. (5176 to 11 290), P < 0.0001, I2 = 95.5 per cent) per patient with postoperative ileus resulting in a 66.3 per cent increase in total hospital costs (95 per cent c.i. (34.8 to 97.9), P < 0.0001, I2 = 98.4 per cent). However, there was significant bias between studies. Five colorectal-surgery-specific studies showed an increase of €7242 (95 per cent c.i. (4502 to 9983), P < 0.0001, I2 = 86.0 per cent) per patient with postoperative ileus resulting in a 57.3 per cent increase in total hospital costs (95 per cent c.i. (36.3 to 78.3), P < 0.0001, I2 = 85.7 per cent).

Conclusion
The global financial burden of postoperative ileus following abdominal surgery is significant. While further multicentre data using a uniform postoperative ileus definition would be useful, reducing the incidence and impact of postoperative ileus are a priority to mitigate healthcare-related costs, and improve patient outcomes.

#SoMe4Surgery #SurgEd #MedTwitter #systematicreview @BJSAcademy
@BJSurgery @juliomayol @young_bjs

[Dominik Bettenworth @BettenworthDb]

Efficacy and safety of advanced oral small molecules for inflammatory bowel disease: Systematic review and meta-analysis. @vipuljairath
https://t.co/r80V9GzMX2

Fig 2: JAK inhibitors for inducing clinical remission in UC
@Y_ECCO_IBD @DignassAxel @RajaAtreya @I_Blumenstein

[DCRjournal @DCRjournal]

#DCRJournal examines Germline CA Risk Profiles of Young-Onset #ColorectalCancer: https://t.co/BWpn87QvxW - what do you think about this visual abstract?

@ColonCancerDoc @MDAnderson @JISBMD @ConorDelaneyMD @justinmaykel @KarimAlavi @KyleCologne @dubaicolorectal @SamAtallahMD

[Colorectal Disease @ColorectalDis]

#CoDiSundays☕️📖

#PROMS - Do current QoL questionnaires cover all areas of patients' major concerns after #colorectalcancer #surgery?

@BoutrosMarylise @MISIRG1 @CRSVirtualEd @HumanitasCRS @MarkBagnallSurg

Read #openaccess here👇
https://t.co/18zqCFRtW5

[SURGERY Journal @SurgJournal]

Preoperative assessment of blood supply and its role in predicting anastomotic leak

https://t.co/pO4kZoJtby

@SualehMKhan @AlaaEl_Hussuna

@SWexner @juliomayol @SyedAAhmad5 @debby_keller @ScottRSteeleMD @ManishChandSurg @nlavellaneda @GianlucaPellino

#SoMe4Surgery

[Avery Walker, MD, FACS, FASCRS @Averywalker21]

@JeffSternberg1 this is becoming my go to for Pilonidal disease. Patient did amazingly well and very happy. Thanks!! Head over to @surgeonapp1 to watch Dr. Sternberg discuss The Cleft Procedure for Pilonidal disease. https://t.co/q5i8v2wDLq

[Rami Makhoul @RMakhoul]

Early ileocecal resection for Crohn’s disease is associated with impro... https://t.co/OtxVSFoKb9 #Colon #surgery #crohns

[Sameh Emile, MD, FACS @dr_samehhany81]

Important finding from meta-analysis in @ColorectalDis, marginal artery may be absent at splenic flexure in up to 18% of people. Implications for anastomosis?
#ColorectalSurgery
@SWexner @nirhoresh @ZGaroufalia @juliomayol @MarkSoliman @Neil_J_Smart https://t.co/G2MCIzjcdu

[Dr. Nina Niu Sanford @NiuSanford]

Better pCR but worse local recurrence w short course TNT in RAPIDO is counterintuitive.

This piece suggests could be due to fragmentation.

Fragmentation occurs after prolonged delay between RT and surgery and leads to pockets of isolated tumor cells including outside mesorectum.

So RO resection (even pCR), but still residual cancer - hence local recurrence.

A good read.

https://t.co/ioImiltXqO