Andries Ryckx

General oncologic and colorectal surgeon. . Garage Philosopher. Ultrarunner. Promoting social media in medicine.

[Dr Luis Felipe Cabrera Vargas MD FACS @PipeCabreraV]

Myths and legends in surgery! Bowel sounds are not reliable signs for intestinal transit! @pferrada1 @SWexner @TomVargheseJr Only in @DCRjournal !

[Journal of the American College of Surgeons (JACS) @acsJACS]

POTTER calculator accurately predicts postoperative outcomes in emergency general surgery patients undergoing laparotomy.

📖:https://t.co/jTjOM0oILt

[Dr Harish N L @Harish_SurgOnc]

Anastomotic Leaks: Where Do We Stand? 🤔
By Oded Zmora
🔹 Nitinol spring – no evidence
🔹 Reinforcement (Bioabsorbable membrane, glue) – ❌ No benefit
🔹 SealG (Alginate sealant) – 🔬 Pilot study ↓ leaks, needs larger data
📸 Perfusion Imaging:
🔹 Meta-analysis – ICG ↓ to 7.3%

[Dr Harish N L @Harish_SurgOnc]

🔍 CME in 2025: Key Insights Dr Hermann Kessler
🔹 Colon vs Rectal Cancer Lessons from Hohenberger
🔹 Rationale: Avoid spillage, enhance lymphadenectomy
🔹 Mobilization Matters
📌 Bokey etal: Anatomical plane-based dissection
📌 West et al:Better planes = Improved survival(1/2)

[Dr Harish N L @Harish_SurgOnc]

🚀 Innovations to Avoid Double Stapling (DS) in Rectal Anastomosis by @AntoninoSpin

🔹 DS is widely used but has drawbacks: dog ears, non-uniform anastomosis & higher leak rates.
🔹 FDA: DS is suboptimal.
🔹 Simplified stapling for rectosigmoid/upper rectal tumors.
(1/3)

[Dr Harish N L @Harish_SurgOnc]

HIPEC in CRC by @DeliaCortesGuir
Key Insights

🔬 HIPEC in CRC - controversial
📈 Netherlands trial & Cashin et al → 🔥 survival benefit

❌ PRODIGE 7 → 🚫 no benefit
❌ COLOPEC, PROPHYLOCHIP 🚫 no benefit with oxaliplatin
(1/3)

[Ameer Farooq MD MPH FRCSC @ameerfarooq]

For anyone who missed the webinar, we have it uploaded to the @coldsteelpod YouTube channel: https://t.co/MdpiIqQr4W

@MarkSoliman @surgeonapp1 @CAGS_ACCG @QueensGenSurg @ASCRS_1 @OAGS1 @UofTSurgery @UHN @SEAMOKingston @UAlberta_FoMD @CRSVirtualEd @jdimick1

Stay tuned for more!

[DCRjournal @DCRjournal]

Outcomes in Robotic-assisted Compared to Laparoscopic-assisted Colorectal Surgery in Newly Established Colorectal Tertiary Center: Our Experience and Challenges Faced: https://t.co/znuqjiKHni

[Ville Sallinen @villesallinen]

COLLISION trial 🇳🇱 just out @TheLancetOncol

1st RCT: Ablation vs surgery for small (<3cm, <10 mets) colorectal liver mets

☑️Overall survival similar

☑️Slightly better local control per tumor in ablation group!

☑️Less adverse events in ablation group

https://t.co/GMTxAVPfzz

[Annals of Coloproctology @AColoproctology]

This study suggests using an early warning score of 2.4 and a CRP level of 180 mg/L on postoperative day 3 following colon surgery with anastomosis as threshold values to prompt investigation and treatment of AL. https://t.co/j8uclp4Kmg

[Emory Gastroenterology and Hepatology Fellowship @EmoryGastroHep]

Happy New Year from the Emoroid Digest ! 🎆

Check out this visual summary of the AGA Clinical Practice Update on Management of Ostomies by Dr. Ikenna Kingsley Emelogu

@AmerGastroAssn

[David Larson, MD MBA @DrDavidLarson]

#ERP has been a Game Changer in Patient Care at @MayoClinic @MayoClinicSurg @MayoCancerCare . Thanks to @Ibrahim_Gomaa95 and Research Team

[Elisa Paoluzzi Tomada @PaoluzziTomadaE]

🎉Happy New Year! Excited to share our guide on robotic TME
@TechColoproctol, outlining key tractions for each step. https://t.co/EaZnpd4VFl
Thank you to unique mentors:
@JGMAzevedo,@LauraFz_MD, Prof @AntoninoSpin
and Prof. Amjad Parvaiz!

[Sameh Emile, MD, FACS @dr_samehhany81]

My 🌂 review concluded that "However, the lack of robust data from well-designed multicenter randomized trials may prevent drawing firm conclusions on the oncologic benefits of CME".
Glad to see robust evidence to complete the conclusion. @ZGaroufalia https://t.co/YVS5Eez48y

[Sean Langenfeld @SeanLangenfeld]

The #RELARC trial was highly-anticipated, but scarcely-discussed online when it was published this Fall.

This was a massive effort from 17 hospitals in China that randomized >1000 patients with right-sided colon cancer to either CME or the more-traditional D2 dissection.

They found no benefit to CME in terms of 3-year DFS or OS.

I would love to hear the thoughts of both pro-CME and anti-CME surgeons.

Also, happy holidays to everyone!

https://t.co/NPhzh7LvFO

[Andries Ryckx @AndriesRyckx]

@SeanLangenfeld @SWexner @HoudiniMD @BergamaschiRob1 @jendavidsmd @ScottRSteeleMD @NajjiaMahmoud @DCREdInChief @JohnRTMonsonMD Couldnt agree more. Think also lower leak rates when rectal anastomosis.

[Deepak Madhu @drdeepakmadhu]

✳️Colonoscopic surveillance in inherited polyposis syndromes✳️

🇪🇺 ESGE Guideline

✅FAP
✅AFAP
✅MUTYH
✅Peutz Jeghers
✅ Juvenile polyposis
✅ Serrated polyposis

Image courtesy: https://t.co/NOF5wVCyF6

[DCRjournal @DCRjournal]

#DCRJournal Didactic Video Recap |

Robotic Right Colectomy with Complete Mesocolic Excision, D3 Lymph Node Dissection and Intracorporeal Anastomosis: https://t.co/FCHqEEdOmx

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

[Steven D Wexner MD, PhD @SWexner]

Bowel preparation before elective right colectomy: Multitreatment machine-learning analysis on 2,617 patients https://t.co/PV9EnX7WAt @SurgJournal “…. mechanical bowel preparation with oral antibiotics is associated with a decrease in surgical-site infections after elective right colectomy compared with no bowel preparation.”

[Arsalan @AIwithArsalan]

ChatGPT cheatsheet to finish hours of works in seconds