landmann

[landmann @landmann]

Great article on how Colorectal Screening Saves Lives in today's Jax Times-Union: Colon cancer hitting young people more, prompts need for earlier exams https://t.co/YkTiJOXTp9 #colorectalcancer #colonoscopysaveslives #colorectalsurgery @fascrs_updates

[landmann @landmann]

6-string life lessons by Eric Church. Worth the listen - whether you’re a Tar Heel, Duke-y, Vols (I’m mid-way currently) or just plain ol’ son, daughter, mom, dad, brother or sister or spouse. (And check out the ASL translator - she’s lovin’ it!)

[landmann @landmann]

@BojanRadojici10 Please share

[landmann @landmann]

@paulswaney3 Thank you. Would appreciate copy of these!

[landmann @landmann]

Official Pharmacy of @ASCRS_1 …? And yes, they’ll compound your fissure ointment.

[History Defined @historydefined]

One of the greatest commercials of all time.

[JAMA Surgery @JAMASurgery]

Elevated preoperative HbA1c was associated with increased risks of complications, readmissions, and mortality in general surgery patients, supporting routine HbA1c screening for all surgical candidates, regardless of diabetes history. https://t.co/HarYg1S1Jf

[landmann @landmann]

@Averywalker21 @rbarbosa91 @SeanLangenfeld @ASCRS_1 @TomVargheseJr @whitfieldlewis6 @OGdukeneurosurg @NeilFlochMD Audible bleeding

[landmann @landmann]

It should be our future. It takes quite a significant amount of time, effort, and money to write ONE question. This method would streamline that and make it better and cheaper! @ABCRSorg @ASCRS_1

[Sean Langenfeld @SeanLangenfeld]

@landmann This could certainly be our future!

[landmann @landmann]

@SeanLangenfeld what you’re saying is we no longer need board question writers, but enough of a large cohort of examiners to take the exam and have 1-2 people re-examine the questions where there was discordance between the proposed AI-generated correct answer and the majority human answers.

[Myriam Chalabi @MyriamChalabi]

Great overview by @michael_overman of pMMR #CRC and efforts to modulate for immunotherapy response. Important to learn from negative studies, but also consider that responses might be different in earlier disease stages.
#ESMOAmbassadors #ESMOGI25

[landmann @landmann]

Meet future @ascrs1 leader, Nicholas Taylor, @AbingtonSurg GenSurg Resident, applying for CRS fellowship this coming year. Great privilege collaborating with residents on research projects for advancing future of CRS. #ASCRS25 #endcancerjax @BaptistMDAnderson @BaptistHealthJx

[landmann @landmann]

@SeanLangenfeld @NEJM @MSKCancerCenter I’m starting my monoclonal Ab + CRISPR/stem cell top fellowship this July… in all seriousness, this is tremendous for patients - not just cancer, but IBD and other formerly surgically extirpatively cured disease. Great advances in the future!!!

[landmann @landmann]

@SeanLangenfeld @SWexner @JohnRTMonsonMD @ASCRS_1 @ABCRSorg @justinmaykel @htpapaco @SoniaRamMD

[landmann @landmann]

Great point. We just started another trial investigating organ preservation in dMMR colon cancers (ClinicalTrials NCT05961709).

The equally relevant question: what is the future of CRS?! Operative volumes for diverticulitis ⬇️, Crohn’s and IPAA for UC ⬇️, rectal cancer ⬇️.

[Sean Langenfeld @SeanLangenfeld]

Interesting @AnnalsofSurgery phase II study looking at the impact of a single cycle of neoadjuvant pembrolizumab on outcomes for stage I-III MMR-deficient colon cancers.

Final results from this "RESET-C" study also included as a @JCO_ASCO abstract.

84 patients received 1 cycle and underwent surgery 3-5 weeks later:
-60% had clinical stage III disease

-44% had a pCR (61% of stage I-II patients and 33% of stage III patients)

-57% had a "major pathologic response."

Is the future of dMMR colon cancer non-operative?

https://t.co/7boRqDovRq

https://t.co/YB51oJF9VN

[landmann @landmann]

Is CRS going to become, by necessity of lower volumes/experience, more regionalized/specialized? Will it be more functional/physiological/QoL surgery (hemorrhoids, prolapse, fistula) and sporadic/recurrent/refractory IBD & CA’s? What impact on residency positions/future/growth?

[landmann @landmann]

@SeanLangenfeld @AnnalsofSurgery @JCO_ASCO @jdimick1 @Neil_J_Smart @des_winter @SWexner @debby_keller @TomVargheseJr @juliomayol @ASCRS_1 @escp_tweets We just started another trial investigating organ preservation in dMMR colon cancers (ClinicalTrials NCT05961709).

The equally relevant question: what is the future of CRS?! Operative volumes for diverticulitis ⬇️, Crohn’s and IPAA for UC ⬇️, rectal cancer ⬇️ and now dMMR CA.

[landmann @landmann]

@realdocspeaks @DrFerdowsi @Tesla The only problem with that: as the old joke of the OB-GYN-turned-mechanic goes, you can’t do anything through the muffler on Tesla’s.

[landmann @landmann]

@The_AdProfessor Clearly it says: “Take 2 aspirin and call me in the morning.” Or may “Eat more veggies!” I’m writing as a physician with better handwriting! 😛

[landmann @landmann]

@RamPathakMD @drjkaouk @AshTewariMD @AmerUrological @RamPathakMD : Very nice dissection, with novel approach and application of new technology @IntuitiveSurg Sp robot. Specimen and anastomosis looks nice!

[landmann @landmann]

@FarazKh65499316 Kind of like the NiTiRing (nitinol). Conceptually great. Need to study past trials and consider points of and reasons for failure. I wish them success - it’s great to have options!

[landmann @landmann]

Great work by Heleen Driessens, Allard G Wijma, Carlijn I Buis, Maarten W Nijkamp, Gertrude J Nieuwenhuijs-Moeke, Joost M Klaase #colorectalsurgery #prehabilitation #eras #endcancer

[landmann @landmann]

Excellent work in @BJSurgery on critical issue facing patients undergoing surgery (or other intensive treatments). Also notable for discussing financial POSITIVE impacts on patients and health systems. Upfront investments yield long term positive outcomes/gains. #eras #prehab

[BJS @BJSurgery]

Prehabilitation: tertiary prevention matters
➡️ https://t.co/it2OmndEQy

#prehabilitation is unquestionably positioned to achieve the Quadruple Aim:
1⃣ Enhancing the quality of care through tertiary prevention
2⃣ Curbing costs
3⃣ Incorporating and improving patients’ experience
4⃣ Fostering satisfaction among healthcare professionals engaged in delivering prehabilitation programmes.
Patients stand to gain significantly, as they receive patient-centred care that offers guidance throughout an otherwise uncertain preoperative waiting interval, ultimately transforming it into a valuable phase of effective preparation under their own control.

Great work by Heleen Driessens, Allard G Wijma, Carlijn I Buis, Maarten W Nijkamp, Gertrude J Nieuwenhuijs-Moeke, Joost M Klaase

#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @des_winter @evanscolorectal @robhinchliffe1 @bplwijn @ksoreide @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @asgbi @eurohernias @SEIQuirurgica @ESCP_tweets @YouESCP