Rubén Caiña Ruiz

Cirujano General y del Aparato Digestivo

[Gobierno Cantabria @cantabriaes]

💚 La consulta de #estomaterapia de #Sierrallana, distinguida por su nivel de excelencia en la atención integral, personalizada y humanizada de las personas ostomizadas por @OstomiasSEDE

ℹ️👉🏻 https://t.co/Iag4NPLbG2

[Gobierno Cantabria @cantabriaes]

💙 @HUnivValdecilla incorpora con éxito la técnica quirúrgica #Refluxstop para el tratamiento del #reflujogastroesofágico y se convierte así en uno de los 1️⃣7️⃣ centros de España que aplican esta innovadora técnica mínimamente invasiva

ℹ️👉🏻 https://t.co/RhGDN7ISKg

[eldiariomontanes.es @dmontanes]

🥼 La huelga médica paraliza los hospitales de #Cantabria con «un seguimiento masivo» https://t.co/NehcEabYnh

[Giovanni Marchegiani @Gio_Marchegiani]

Distal pancreatectomy 🧐 to drain or not to drain !?

🪡 1.2k resections at @MGHSurgery

🛁 Fluid colletions in 1/2 who received CT scan but 70% asymptomatic ❌ and 25% POPF

🐳 Surgical drains led to higher rates of POPF

The dilemma continues... 🤯

https://t.co/6Vmt3FnkCq

[eldiariomontanes.es @dmontanes]

👨‍⚕️↔️👨‍🎨 El médico de Valdecilla Carlos Armiñanzas publica un libro didáctico con un enfoque innovador e ilustrado por él con dibujos manga
https://t.co/uPwACWEjDZ

[Giovanni Marchegiani @Gio_Marchegiani]

Perioperative Corticosteroids 💊 to reduce complications in pancreas surgery ?!

🧐 Meta analysis 5 studies / 1.4k pts

Corticosteroids 🫸🫷 not associated to a decrease in morbidity / fistula / mortality

💡 What about mitigation strategis in high risk!?

https://t.co/Py8dNH8SGT

[European Journal of Surgical Oncology @ejsotweets]

Surgical management of pancreatic neuroendocrine tumors – An EYSAC and E-AHPBA international survey of current practice

@AndreasBrandl8 @SStattner @EYSAC1 @EAHPBA
@ESSOnews @OncologyAdvance

https://t.co/mZlclB63w6

[Wim Ceelen @WimCeelen]

New review paper - Pathophysiology of Peritoneal Metastasis @DemuytereJesse @sernst @ISSPP1 https://t.co/VX2NnQi8AA

[DR AFTAB AHMED @DRAFTABAHMED7]

Commonly encountered origin and position of cystic artery during Laparoscopic Cholecystectomy:
𝗥𝗲𝗳: Safe Laparoscopic Cholecystectomy © 2022 Mohammad Ibrarullah and Sadiq S Sikora

[Gobierno Cantabria @cantabriaes]

Costa Quebrada ya es Geoparque Mundial de la #UNESCO un esfuerzo colectivo en el que @cantabriaes ha trabajado codo con codo con la asociación en un esfuerzo compartido que ha dado sus frutos

[BJS @BJSurgery]

Neoadjuvant 177Lu-DOTATATE for non-functioning pancreatic neuroendocrine tumours (NEOLUPANET): multicentre phase II study
➡️ https://t.co/Kqk9HD3b7z

🏥NEOLUPANET was a multicentre, single-arm, phase II trial, conducted between March 2020 and February 2023 at eight Italian institutions
Patients- non-functioning pancreatic neuroendocrine tumours (NF-PanNETs) at high risk of recurrence, with positive uptake on 68Ga-labelled DOTA PET
They underwent neoadjuvant 177Lu-labelled DOTA0-octreotate (177Lu-DOTATATE) therapy followed by surgical resection ➡️ acceptable complication rate, with no postoperative death. The majority of patients had a partial response without any progressive disease

Great work by Stefano Partelli, Luca Landoni, Mirco Bartolomei, Alessandro Zerbi, Chiara Maria Grana, Ugo Boggi, Giovanni Butturini, Riccardo Casadei, Roberto Salvia, Massimo Falconi

#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 #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma

[BJS @BJSurgery]

Effect of tailoring biliopancreatic limb length based on total small bowel length VS. standard limb length in one anastomosis gastric bypass: 1-year outcomes of the TAILOR #RCT superiority trial
➡️ https://t.co/o1Z6HOxbbu

Tailoring the BP limb based on TSBL does not demonstrate superiority over a standard BP limb of 150 cm in terms of %TWL at 1 year
One year after surgery, this tailored approach does not exhibit superiority over a fixed biliopancreatic limb length in terms of percentage total weight loss

Great work by Nienke Slagter, Lindsy van der Laan, Loek J M de Heide, Ewoud H Jutte, Mirjam A Kaijser, Stefan L Damen, André P van Beek, Marloes Emous

#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 #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial

[BJS @BJSurgery]

Effects of limb lengths in gastric bypass surgery
➡️ https://t.co/70gwQrjKjB

- Roux-en-Y gastric bypass (RYGB) surgery is one of the most commonly performed bariatric surgeries with good and sustainable long-term results
- Suboptimal clinical response or recurrent weight gain after laparoscopic RYGB occur in up to 35% of patients
- There is no consensus on the ideal limb lengths for the RYGB and a number of variations of this operation have been introduced
- Recent evidence suggests that a longer biliopancreatic limb (BPL) has the potential to be more effective compared to the standard RYGB with a shorter BPL length

Great work by Adisa Poljo, Ralph Peterli, Marko Kraljević

#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 #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial

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

Patients undergoing subtotal cholecystectomy have longer length of stay, independent of need for endoscopic retrograde cholangiography.

https://t.co/KTN40r9O8U

[Annals of Surgical Oncology @AnnSurgOncol]

#AudioVisualAbstract : Timing to Surgery and Lymph Node Upstaging in #GastricCancer : An NCDB Analysis @makiriascosm @RasaZarnegarMD

https://t.co/feboRaolYC

@AnishJayJain
@SyedAAhmad5

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Practical classification of pancreatic cystic lesions

When a cystic pancreatic lesion is detected, the first step is to decide whether the lesion is most likely a pseudocyst or a cystic neoplasm.

[SSAT @SSATNews]

Robotic chole Lap chole

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

Remission of obstructive sleep apnea is high among patients undergoing sleeve gastrectomy or Roux-en-Y gastric bypass.

Full article at: https://t.co/J93hNVw8yz

[BJS @BJSurgery]

Impact of small-bite (5 mm) fascial closure on the incidence of incisional hernia following open colorectal cancer surgery: #RCT
➡️https://t.co/7IIuPYOsRX

1⃣The small-bite suture technique reduced the development of incisional hernias in midline incisions after open colorectal cancer surgery by threefold compared with the conventional-bite technique
2⃣ The small-bite technique led to fewer surgical-site infections

Great work by Cumhur Ozcan, Tahsin Colak, Ozgur Turkmenoglu, Mustafa Berkesoglu, Elif Ertas

#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 @eurohernias #hernia #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP

[BJS @BJSurgery]

Read @young_bjs 'Acute threat of Life' series!
5⃣ Small bowel obstruction
https://t.co/6APOjUK4Nw

- Small bowel obstruction is common and is associated with a mortality risk of 10%
- Small bowel obstruction management depends on timely diagnosis, effective resuscitation, and targeted treatment strategies to prevent complications
- Cross-sectional CT imaging is the investigation of choice
- The most common causes of small bowel obstruction include adhesions, hernias, and malignancy
- The need for surgical intervention in small bowel obstruction is dependent on the severity of the clinical presentation and the underlying aetiology

Great work by Josephine Walshaw, Henry G Smith, Matthew J Lee

#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 #SoMe4Trauma #emgensurg @WSESurgery @NELANews #EmLap @ASGBI_MA #some4peds