Alex Forero-Torres, MD, PhD, FACS

MD, PhD, FACS, ESCP. Emergency Surgery. Colorectal Surgery. Laparoscopic Surgery

[Dr. Mateo Avila @drteoa]

ACG Clinical Guideline: Colonic Diverticulitis
🇪🇸 Guía ACG 2026: diverticulitis colónica

La TC es clave en el primer episodio o en cuadros severos.

Permite confirmar diagnóstico, descartar otras causas de dolor y diferenciar diverticulitis no complicada vs complicada.

🧠 Idea clave:
La clínica sola no basta; la TC guía el manejo.

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Management of perforated peptic ulcer: What you need to know https://t.co/Hk1BemHYXh

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Appendectomy is one of the most common on-call general surgery emergencies which is usually managed with expedited surgery. Our data shows that slight delays to operation (6-24 hours) may allow for similar outcomes as expedited surgery in both children and adults.

@UAlberta; @UAlbertaSurgery; @sukhdeepjatana_

https://t.co/terlyn3Xiu

[Jose Ramos Vivas @joseramosvivas]

Especial médicos🩺⚕️🏥👨🏻‍⚕️👩🏻‍⚕️.
Os dejo esta carta en JAMA. Se la pondré a mis alumnos en la próxima clase:
He elegido estas frases :
👇🏻⏰
«La medicina puede tener un significado extraordinario. Pero no puede sustituir el estar presente en tu propia vida. El mundo puede necesitarnos como médicos. Pero las personas que nos aman nos necesitan como nosotros mismos. Y ese es el rol que nadie más puede llenar.»

«La residencia refuerza la lección de que las instituciones están diseñadas para perdurar más allá de los individuos. En cambio, las familias no.»

«Creo en formar a la próxima generación. Creo en el significado de este trabajo. Lo que ha cambiado es mi disposición a absorber el desgaste sin cuestionarlo.»

«Ya no estoy dispuesta a seguir posponiendo la vida. La medicina exige mucho. Y nosotros damos profundamente. Pero no puede tomarlo todo.»

«El significado de mi trabajo es profundo. El significado de mi presencia en casa es irremplazable.»

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Among all patients with splenic trauma, SAE increases mortality risk by 41%. In adults this is likely offset by a reduction in odds of NOM failure, a benefit not seen in elderly patients. SAE should be cautiously used in the elderly due to lack of protection against NOM failure.

https://t.co/fodMqjQLcQ

[JAMA Surgery @JAMASurgery]

The 2025 WSES #Appendicitis guidelines recommend risk stratification and imaging for diagnosis, outpatient antibiotics for uncomplicated cases, and laparoscopic surgery within 24 hours for surgical management. https://t.co/rXeNJKsPDW

[Annals of Surgery @AnnalsofSurgery]

How should bile leaks after subtotal cholecystectomy be managed?
While subtotal cholecystectomy can prevent bile duct injury, postoperative bile leak remains a challenge. https://t.co/EuR1rTkwsx

[JAMA Surgery @JAMASurgery]

Viewpoint: #MandM conferences benefit surgeon moral development by fostering personal responsibility, reflection, and a mindset for improvement in #Surgery.

https://t.co/ahSq5bkzFM

[JAMA Surgery @JAMASurgery]

Laparoscopic adhesiolysis for #SmallBowelObstruction was not superior to open surgery for long-term recurrence, incisional hernia incidence, or quality of life at 5-year follow-up, confirming both as viable options.

https://t.co/TdzKDMWDMe

[BJS @BJSurgery]

Second victim syndrome in surgeons: systematic review and meta-analysis of the impact of adverse events on surgeons
➡️https://t.co/X5fSi2xyiW

🩺 Second victim syndrome (SVS) describes the psychological and psychosomatic distress experienced by surgeons after adverse care events
📚 This systematic review & meta-analysis (36 studies) shows high prevalence of symptoms: anxiety 56%, guilt 54%, sleep disturbance 51%, and sadness 48%
💬 The most common coping strategies were talking with colleagues (73%) and family or friends (52%)
⚠️ Impact was influenced by sex, level of experience, and severity of the adverse event, identifying vulnerable subgroups
🤝 SVS contributes to burnout and attrition, underscoring the need for peer support, resilience training, and supportive institutional cultures that normalize emotional responses and encourage help-seeking

Work by James Bryan , Adele Ketley , Kate Cavanagh , Carly Bisset , Susan Moug , Lynda Wyld , Jenna Morgan

#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology
#Some4COLoprocto

[Ville Sallinen @villesallinen]

New guidelines for diagnosis and treatment of acute appendicitis from @WSESurgery published in @JAMASurgery!

https://t.co/a2I1owoxEN

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

In this analysis of TQIP data, injured older adults had longer time to surgery for hemorrhage control than younger adults. This disparity highlights a need to streamline decisions regarding surgical intervention for older adults in hemorrhagic shock.

@ajordoobadi @CSPH_BWH

https://t.co/trWuk1YWPO

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

85% of blunt liver can be managed nonoperatively. Failure of NOM is common in grade 4 and 5 injury. We suggest 6 Ps for operative management: PUSH-PACK-PRINGLE-PHONE-PUSH BACK-PIVOT. Basic maneuvers control bleeding in > 85% . Advanced operative maneuvers are described.

https://t.co/1hnDWfj4Ho

[UnNeurocx @Unneurocx]

Se puede decir más alto, pero no más claro.

[JAMA Surgery @JAMASurgery]

Percutaneous cholecystostomy should serve as a bridge to interval cholecystectomy in patients with contraindications to immediate surgery, specifically those with sepsis and acute cholecystitis, with IC ideally performed 8-13 weeks post-PC. https://t.co/5gCx9utFrF

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

New EAST guideline for management of acute incarcerate or strangulated inguinal hernias! #EAST #Hernia #AcuteCareSurgery

@EAST_Trauma; @mfarrellmd; @jordanmkirsch; @notoriousRBGmd; @Alistair_MD; @ajperezmdmph

https://t.co/0E3xABaQmw

[DCRjournal @DCRjournal]

#DCRJournal FREE Article of the Week is OUT! A Predictive Model for Anastomotic Complications After Sphincter-Preserving Surgery for Rectal Cancer: Integrating Clinical and Anatomical Risk Factors: https://t.co/YIX9r94wyo

[BJS Open @BjsOpen]

Management of right-sided obstructing colon cancers: scoping review
➡️https://t.co/2P96QQiIJp

Right-sided obstructing colon cancers are usually managed with emergency resection, which comes with high morbidity, limiting access to adjuvant chemotherapy. This study provides an up-to-date review of the current literature supporting alternative approaches via the bridge-to-surgery (BTS) approach. Current available evidence is non-randomized and limited by retrospective study design. Although BTS appears favourable, studies are poorly powered, meaning the current evidence is insufficient to support BTS approaches.

👏👏👏Daniel M Baker, Kelsey Aimar, Sam Jacobs, @wannabehawkeye
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery @young_bjs @OUPMedicine #emergency #acutecare #ileus #SoMe4Trauma #emgensurg @WSESurgery @NELANews #EmLap @ASGBI_MA #colorectalsurgery #colorectalcancer @FightCRC @ACPGBI @ACPGBI_EduTrain @Dukes_Club @ESCP_studies @escp_tweets @YouESCP

[DCRjournal @DCRjournal]

#DCRJournal Visual Abstract | International Consensus on Reporting Anastomotic Leaks After Colorectal Cancer Surgery: The CoReAL Reporting Framework: https://t.co/y5iAQyZ9iF

[BJS Open @BjsOpen]

Management and risk factors for colonic volvulus: retrospective national cohort study
➡️https://t.co/50em6YZaFi

Surgery should be recommended for colonic volvulus where co-morbidity, patient preference, and functional status allows. Surgically unfit patients have poorer outcomes. Elective sigmoidectomy after endoscopic detorsion is preferred as it carries the lowest mortality risk. Necrotic bowel, dependency, and co-morbidities predict death for both sigmoid and caecal volvulus.

👏👏👏Suvi Rasilainen, Mohamud Aden, Antti J Kivelä, Sakari Pakarinen, Jukka Rintala, Susanna Niemeläinen, Ilona Helavirta, Salla Moilanen, Anne Mattila, Tarja Pinta, Kapo Saukkonen, Pälvi Vento, Niko Turkka, Pasi Pengermä, Jenny Häggblom, Tom Scheinin
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery @young_bjs @OUPMedicine #colorectalsurgery #ileus