Massive thanks to @IntuitiveSurg at the inaugural Women in Da Vinci Surgery event
Amazing speakers, embodying the ethos of “lift while you climb”
Onwards and upwards for female robotic surgeons bringing the best to our teams and patients through shared experience and community
Development and validation of an anastomotic risk score for use in a randomized clinical trial on defunctioning stoma use in low anterior resection for rectal cancer - https://t.co/PutU66UHvS @ColorectalDis open access @ACPGBI@escp_tweets@coloproctoaec
✂️Appendicectomy for Maintenance of Remission in Ulcerative Colitis: The ACCURE Trial
🌸Previous observational studies suggested a protective effect of appendicectomy on UC.
🌸 ACCURE Trial: First randomized controlled trial to evaluate appendicectomy as an adjunctive therapy.
Type: Pragmatic, open-label, multicenter, randomized controlled trial.
Countries: Netherlands, Ireland, UK.
Patients: 197 with UC in clinical remission but recent relapse.
Intervention Group: Appendicectomy + standard therapy.
Control Group: Standard therapy alone.
Outcome Measured: Proportion of patients with disease relapse at 1 year.
🌸 Relapse Rate:
Appendicectomy Group: 36%
Control Group: 56%
Relative Risk: 0.65 (95% CI 0.47–0.89
p-value: 0.005
🌸 Strengths
Randomized controlled trial design.
Multinational, real-world setting.
Statistically significant reduction in relapse rate.
🌸 Limitations
🧨Open-label design (risk of bias-performance bias,participation bias and detection bias).
🧨No sham surgery control.
🧨Short follow-up period (1 year).
🧨 Mechanism of action not fully explored.
🌸 Clinical Implications
Appendicectomy may be a viable adjunct in patients with frequent UC relapses.
Should be considered case-by-case, balancing benefits vs surgical risks.
Not yet a standard of care.
🌸 Reference
The ACCURE Trial, The Lancet Gastroenterology & Hepatology, 2025.
https://t.co/RncrXHAWr0
Many of you know I love timelines & I have been updating the one on IBD trials/studies for some time🧵
The landscape is changing fast & there isnt enough space here to share all the content
As such I have created a website to collect it all and to make it interactive
The latest in @Dukes_Club fundamentals video series demonstrating a stepwise approach to lap TME as demonstrated by @MrJTJenkins is now available. @ACPGBI @Ethicon @ColorectalDis@YouESCP
➡️https://t.co/XX9kNvYwX7
3D male pelvis model
https://t.co/pMyNjtcViy
@ManchesterMed Thank you to the society and Mr Aziz. Extremely honoured to receive the scholarship and look forward to reporting back on my experience 🇦🇺
🚂 #TraineeTuesday
🔎 Diverticular Disease 🔍
Starting from diverticulosis vs diverticular disease to Hinchey via DIABOLO & AVOD
It's all in @escp_tweets❗Guidelines for the Management of Diverticular Disease of the Colon❗
https://t.co/GxsXKzNw3V
@YouESCP@Dukes_Club
"This is sometimes said by people who have no understanding of health at all... and when they say it, it's usually because they want to make a political point."
Prof. Chris Whitty responds to concerns that the NHS is prioritising Covid other serious health issues such as cancer.