Kunal Kochar

Colon and Rectal Surgeon | L M Prasad MD SC | Advocate Lutheran General Hospital | Clinical Assistant Professor of Surgery @University of Illinois at Chicago.

[Steven D Wexner MD, PhD @SWexner]

@ColorectalDis https://t.co/5znf9u7agO “The pressure values obtained with Anopress correlated well with those of conventional manometry. The Anopress has the advantage of being less time consuming, user friendly, and better tolerated by patients.”

[JS Trepanier @TrepanierJS]

Interesting. First time I read about data supporting reinforcement of the staple line. Even though I almost always do it... as I was taught. @kocharkunal1 #colorectalsurgery

[Kunal Kochar @kocharkunal1]

@TrepanierJS 👍

[DCRjournal @DCRjournal]

@DCRjournal September #VisualAbstract #11
#colorectalresearch

RCT of ERAS in Elderly:
https://t.co/sXknSgsVDx

@SWexner @debby_keller @JISBMD @ScottRSteeleMD @KyleCologne @drtracyhull @BehindTheKnife @ACPGBI @escp_tweets @3isac

[Steven D Wexner MD, PhD @SWexner]

Modified frailty index predicts early outcomes after colorectal surgery: an ACS‐NSQIP study https://t.co/rx2HxHgZdo @ColorectalDis @AmCollSurgeons #NSQIP

[Edward Jones MD, FACS, FASGE @edwardljonesII]

Interestingly, even though the rate of pathologic complete response (pCR) was higher in the 12wk group, the rate of sphincter preservation was lower. The true benefit of a pCR is unclear to me - does this consistently translate into longer disease free survival?

[Steven D Wexner MD, PhD @SWexner]

https://t.co/zpxdkfMWPs “Extending the interval between CRT and surgery from 8 weeks to 12 weeks resulted in a two‐fold increase in pCR rate without any difference in mortality and morbidity.” @ColorectalDis @kolorektal

[John Monson MD FRCS FACS FASCRS @JohnRTMonsonMD]

No benefits for robot? - Long-term oncologic after robotic versus laparoscopic right colectomy: a prospective randomized study | ⁦@TAMISYoda⁩ ⁦@AdventHealthCFL⁩ ⁦@fascrs_updates⁩ https://t.co/tmODqV9gXY

[Kunal Kochar @kocharkunal1]

Dr. Cintron celebrating 50th year of Cook County, Colon & Rectal surgery fellowship. ⁦@GGanttMD⁩ ⁦@Nathy_Mantilla⁩ #colorectal #colorectalsurgery #chicago ⁦@AbcarianAriane⁩

[Kunal Kochar @kocharkunal1]

Dr. Abcarian giving ‘pearls of wisdom’ to graduating fellows. ⁦@GGanttMD⁩ ⁦@Nathy_Mantilla⁩ #colorectal #chicago ⁦@J_EstradaMD⁩

[Debby Keller, MD @debby_keller]

Updates on current #rectalcancer trials from @DrGarciaAguilar in the Rectal Cancer Symposium @fascrs_updates #ASCRS19

[enriquez-navascues @jmenritz]

FOxTROT: an international randomised controlled trial in 1052 patients (pts) evaluating neoadjuvant chemotherapy (NAC) for colon cancer. https://t.co/7eCdeX6E6U

[Kunal Kochar @kocharkunal1]

It sure does.

[Jan P Kaminski MDMBA @JanPKaminskiMD]

It turns out SIZE DOES MATTER in RCT. Great course on Critical review of literature. #ASCRS19 @fascrs_updates Thank you for excellent table moderation @R_Perez_MD . @amirbastawrous @SWexner @J_EstradaMD @kocharkunal1 @PhilFleshnerMD @KarenZaghiyanMD

[Steven D Wexner MD, PhD @SWexner]

Mark your calendars now for our next international interactive @CleClinicMD @CleveClinicFL @AAHealth Innovations in Surgery videoconference @AdventistHC @ColumbiaSurgery @ColumbiaCRS @DukeSurgery @hopkinssurgery @McGillGenSurg @McGColorectal @imperialcollege @ShaareZedekMed

[Joaquin Estrada MD @J_EstradaMD]

I think these guys took it too literal when their doctor said “it’s really important for you to get your colonoscopy”

@DrAndrewAlbert @DrFlicker @ASGEendoscopy @JanPKaminskiMD @kocharkunal1 @SWexner @GGantt @JohnRTMonsonMD

[Joaquin Estrada MD @J_EstradaMD]

We are not just technicians, we are leaders! Hospital leadership should embrace the contributions that surgeons make to health care quality, safety, operational &cost efficiency
@SWexner @JanPKaminskiMD @kocharkunal1 @AmCollSurgeons @fascrs_updates @ColonCancerDoc @AntoniodeLacy

[John Monson MD FRCS FACS FASCRS @JohnRTMonsonMD]

@RPedrazaMD @J_EstradaMD @JanPKaminskiMD @kocharkunal1 @GGantt @SWexner Interesting that the many studies of RCT decision issues And equipoise continually show patients believe the “new” treatment must be better and often refuse to be randomized as a consequence! Humans are complex! @FergaljFleming @patsyllamd @fascrs_updates @ACPGBI @FHCCRS

[Jan P Kaminski MDMBA @JanPKaminskiMD]

Propensity controlled models do nothing to balance unmeasured characteristics, which may result in unmeasured confounding variables being present, thus biasing results. Prospective, randomized, blinded trials would be more likely to change my clinical practice for this issue.

[Steven D Wexner MD, PhD @SWexner]

Association Between Postoperative Delirium and Long-term Cognitive Function After Major Surgery https://t.co/EleveJfL1G “Preoperative cognitive impairment alone should not preclude patients from undergoing indicated surgical procedures” @JAMASurgery @JAMANetwork