Tijmen Koëter

Gastro-intestinal and Lung surgeon |PhD rectal cancer

[Tijmen Koëter @tijmen89]

@JanColpaert1 @escp_tweets @ColoRobotica @EllenEetvelde @M_GomezRuiz @YouESCP @SamTou22 Congrats!

[Tijmen Koëter @tijmen89]

@luciacolorectal @SWexner @LilianaBordei @drtracyhull @ScottRSteeleMD @andreluzmoreira @FezaRemziMD @GaertnerWB @MarkSoliman @RoelHompes @nlavellaneda @eloiespin @JohnMarksMD @AntoninoSpin I do a diverting loop transversostomy in obstructed left sided cancer, followed by lap sigmoidectomy with anastomosis in about 6-8 wks after work up with CT and endoscopy.

[Tijmen Koëter @tijmen89]

@nirhoresh @dr_samehhany81 @nlavellaneda @SWexner @Neil_J_Smart @MarkSoliman @debby_keller @CleveClinicFL @AnnalsofSurgery I believe u should do a (lap) Hartman if needed, but consequently should consider reversal of that procedure if needed. Threshold for reversal however seems rather high..

[Tijmen Koëter @tijmen89]

@jshabbir @ZimNl @dr_samehhany81 @UpdatesSurgery @SWexner @Neil_J_Smart @CantarellaDr @MarkSoliman If u don’t dare to cut it

[Tijmen Koëter @tijmen89]

@venky72 @HospitalsApollo @Apollo_Chennai @ACPGBI @EAES_eu @escp_tweets @NHSuk @SWexner @vincentobiasMD @ManishChandSurg @AnupamSibal @ACSInterntl @ASCRS_1 Whats the advantage of starting at 5 AM?

[Tijmen Koëter @tijmen89]

@IvoKnotnerus @individet79 @FamSluijs @XanderKoolman Wil niet de wijsneus uithangen maar is dit gecorrigeerd voor case-mix?

[Tijmen Koëter @tijmen89]

@Doc_Box @doktertweets Waarom willen er zo weinig praktijkhouder worden? Lijkt me juist zo’n mooie uitdaging om dat in deze tijden aan te gaan!

[Tijmen Koëter @tijmen89]

@rbarbosa91 since the presence of appendicolith, would pursue surgical approach next with removal of appendix

[Tijmen Koëter @tijmen89]

@topknife Yes to close the defect of stapled anastomosis. Less dependent of first assistant handling

[David Zimmerman @ZimNl]

My good friend colorectal surgeon @HdeVriesNL and his wonderful family are going to provide (surgical) community service in Peru for the next three years and are in dire need of crowdfunding! I hope some of you will help him out! https://t.co/9MM6JLp676

[Annals of Surgical Oncology @AnnSurgOncol]

Locally Recurrent #RectalCancer : Toward a Second Chance at Cure? A Population-Based, Retrospective Cohort Study @HiddeSwartjes @tijmen89 @rihs_edu https://t.co/YkoH9aiDvz #VisualAbstract

[Tijmen Koëter @tijmen89]

@DerbyPBunit @Innov_Medicine @BehindTheKnife @MISIRG1 @SAGES_Updates @imedverse @MedicalAdv @rbarbosa91 @altaf_awan12 @ib9994 @javlatif @JoosHeisterkamp mooi filmpje!

[Tijmen Koëter @tijmen89]

@drkeithsiau @Drfahadalnajjar it’s almost always correct

[Tijmen Koëter @tijmen89]

@traucritsurgeon @Asiritrauma1 Robot is not helpful in subtle handling of the appendix?

[Tijmen Koëter @tijmen89]

@dr_samehhany81 @SWexner @nirhoresh @ZGaroufalia @Neil_J_Smart @des_winter @MarkSoliman What about abandoning a diverting ileostomy after LAR? That seems safe as well. Morbidity of ileostomy is significant.

[Tijmen Koëter @tijmen89]

@SamAtallahMD @SeanLangenfeld @justinmaykel @JohnMarksMD @caycedomarula @juliomayol @SWexner @ASCRS_1 @SAGES_Updates Few data on SCRT and cCR surprisingly. Seems to be around 12%. We described our single center experience: https://t.co/vwm3jPOuPi

[Tijmen Koëter @tijmen89]

@EzraTeitelbaum @EricKnauerMD @mj_pucci @cutitoutPODCAS1 @JHawksworthMD @amber_shada Pressure with a gauze for 10 mins..

[Tijmen Koëter @tijmen89]

@IvoKnotnerus @liekemarsman Kun je dan laten zien dat dit ook daadwerkelijk tot kwaliteitsverbetering leidt? Registreren onder het mom van kwaliteit is anders wel een erg makkelijk argument.

[Tijmen Koëter @tijmen89]

@sleighcastle Cautery + loops, far more cost-effective compared to ligasure + stapler

[Tijmen Koëter @tijmen89]

@mrnigeldsouza Laparoscopic St Marks?