🚨PRODIGE23🚨
Long term results now published!
T3-4 rectal adenocarcinoma
Randomized:
CRT➡️🔪➡️FOLFOX
mFOLFIRINOX ➡️ CRT➡️🔪➡️FOLFOX
✅✅✅Improved OS!!!
Looking forward to JANUS clarifying if TNT with FOLFIRINOX vs. FOLFOX improves cCR and/or DFS/OS
https://t.co/8As1EhDnup
🔥Appendicitis and CT scans🔥
Is your practice evidence-based, or just based on previous difficult cases? The new RIFT-2 paper is published today in https://t.co/Zu7Hld11Z8
Here is why I CT scan nearly every patient with a medium/high risk of appendicitis 🧵:
https://t.co/lanKo43NEl
Interesting RCT from @JCO_ASCO evaluating the impact of upfront primary tumor resection on overall survival for patients with unresectable stage IV colon cancer.
It's no surprise to most of us that colectomy does not improve OS.
The study highlights the extreme difficulty in patient accrual to answer these complex questions.
It also confirms that upfront colectomy is not a free lunch, as 24% of these patients did not go on to receive chemotherapy (which correlated with postop complications).
https://t.co/jjwvL7hiRA
https://t.co/a1YwatfUE9
The St Mark’s Fellowships 2024/25 are out for grabs. Apply now! Robotic/ Complex Cancer/ IBD & robotics/ pelvic floor and Intestinal Rehabilitation. The finishing school is waiting for you.
Double-blinded MOBILE2-trial found that mechanical bowel preparation and oral antibiotics reduced the rate of overall morbidity, surgical site infections and anastomotic leaks compared to mechanical bowel preparation only prior anterior rectal resection. https://t.co/1mVNqwWmMx
This will, without doubt, be one of the finest moments of my career. So very humbled to receive this award. Far too many people to thank here. Huge congratulations to my fellow nominees and to the ASiT committee. Let keep the work going
We are so excited to be hosting Pelvex in London this year. We are looking forward to vibrant discussions with pelvic exenteration community. See you in London. Register now.
https://t.co/GoE6K2iACe
Pelvic exenteration surgery technical approaches to the five anatomical compartments of the pelvis
➡️https://t.co/5XV214OLal
#CuttingEdgeBlog article by Professor Michael Solomon providing further insight into the research letter and video vignette published in @BJSurgery:
➡️https://t.co/Sf4ue9Q72I
#LeadingSurgicalEducation #LowerGI
@RPA_IAS@SOuRCe_RPA@paulo_sutt@evanscolorectal
🚨🚨🚨
Rectal Cancer Tweetorial!!
Rectal cancer is a highly heterogeneous disease with rapid evolution in practice.
Let's review current data to generate a pragmatic, patient-centric, approach to management!
#GI24#GIonc#RadOnc
Thank you @ASCO for the opportunity!🙏🏽
1/
Is the risk of distant metastasis higher in those rectal cancer pts undergoing surgery for local regrowth compare to those undergoing upfront surgery for near complete response after chemoradiation? Find out in #DCRJournal: https://t.co/SjMTBdoL7W
@Swexner@me4_so@ACPGBI
Save the date for the @ACPGBI 'IBD Midlands' day 20 Nov23 in Birmingham w/ @MidOxIBD
Bringing together surgeons, gastroenterologists & patients to discuss the latest advances in IBD
Plus, launch of @OCEaN_Trial (EEN + Crohn's Surgery)!
#IBDMidlands#OCEANtrial@austin_acheson
Near-complete response following neoadjuvant therapy in rectal cancer: resect now? https://t.co/SQwzkoxtzO
Sometimes a bit of balance in organ-preservation may be the safest approach to our patients…@guilhermepc91@DrCarlosCerdan@BJSurgery
🚨🚨🚨 PROSPECT Trial has landed!
Congratulations to all investigators, @ALLIANCE_org, for this important trial!
This study is important, will shape, and SHOULD alter practice for OPERATIVELY managed patients with favorable risk LA- rectal cancer.
https://t.co/e8B4m9mIrS
🧵 NEW: Should junior doctors get a 35% pay rise??
Most unions are timid about broaching double figure pay rise demands: not the BMA.
But the fact is, the NHS doesn’t have the pull it once did - and doctors can double their salary overseas @thetimes
https://t.co/DLeqB5Pq4p