#ESCP24

🚨Attention🚨

Don't miss out on the chance to attend the

🔝 colorrectal congress‼️

Registration is now open👇

Young ESCP Colorectal Disease Steven D Wexner MD, PhD Antonino Spinelli Eloy Espín ZoeGaroufalia Nicolas Avellaneda Vittoria Bellato Gianluca Pellino ErmanAytac David Zimmerman Jan Colpaert

📚Recent #OpenAccess article in Colorectal Disease
'Human factors in pelvic exenteration: themes in high-performing teams' contributed by Prof Frank Frizelle, Dr Tamara Glyn & Dr Andrew McCombie onlinelibrary.wiley.com/doi/10.1111/co…
#Research #Publication

Watch COR2ED 📺, where oncologists discuss how to optimise later-line treatments in patients with metastatic #CRC . Follow their discussion on treatment selection & side effects management to maintain quality of life & prolong treatment duration.
👉 cor2ed.com/gi-connect/pro…

Don’t miss the second episode in our four part series AIS Channel on anastomotic leaks with Neil Smart Colorectal Disease editor-in-chief and Cleveland Clinic Florida staff and alumni Dana Hayden Isacco Montroni Sameh Emile, MD, FACS Giovanna Da Silva

Risk prediction algorithms for prolonged postoperative ileus: open access Colorectal Disease onlinelibrary.wiley.com/doi/full/10.11…

Happy to share our latest video with Eren Esen, MD, MS Daniel Wong Bashar Safar Chady Atallah
Robotic removal of a presacral cyst - Colorectal Disease Colorectal Disease - Wiley Online Library onlinelibrary.wiley.com/doi/10.1111/co…

Laparotomia Latam the new Cx Colorrectal Colaborativa LATAM European Society of Coloproctology Stuty on urgent abdominal procedures flying!
200 recruited patients, 120 centers signed up!

More info: redcap.link/LATAM-URG

Pat Tejedor Antonio Caycedo-Marulanda MD, MSc. felipe bellolio MVM Neil Smart Colorectal Disease SURGERY Journal Richard Brady

Rob vs Lap for extended rectal resections - Is there an advantage for robotics?
Read our propensity-matched analysis Colorectal Disease
pubmed.ncbi.nlm.nih.gov/38235927/
@ACPGBI ASCRS_1 European Society of Coloproctology ISUCRS Neil Smart European Society of Surgical Oncology (ESSO) Young ESCP SoMe4Surgery Tata Memorial Hospital Cancer Research Institute - ACTREC DCRjournal

Ostomy continence devices: a systematic review of the literature and meta‐analysis Cleveland Clinic Florida #colorectalsurgery in Colorectal Disease onlinelibrary.wiley.com/doi/full/10.11…

Sean Langenfeld Colorectal Disease Steven D Wexner MD, PhD Sharmila Dissanaike Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 Justin B. Dimick Haytham Kaafarani Samuel Eisenstein Debby Keller, MD Gianluca Pellino Brilliant work from Carly Bisset, rising ⭐️ #colorectalsurgery & with the amazing susan moug supervising. It’s such an important topic & one @ACPGBI takes very seriously. Can be helped by mentorship & initiatives such as Early Years Consultant Network Jeremy Williamson Ioanna Panagiotopoulou Nicola Dames Jared Torkington

Interesting Colorectal Disease study from our colleagues across the pond that explores an exceptionally important topic: the impact that #AnastomoticLeaks have on the surgeon's wellness and future decision-making.

We all quietly carry around our small cemeteries, but the most proven…

Classification and stratification in pilonidal sinus disease: findings from the PITSTOP cohort onlinelibrary.wiley.com/doi/full/10.11… OPEN ACCESS Colorectal Disease European Society of Coloproctology @ACPGBI Coloproctología-AEC

...possibly as no-one agreed on common treatments for each case!

Which is what we see in Pitstop, surveys, etc.

7/8

2) We wanted to know if the classification correlated with #PROMS at baseline (concurrent) or post-surgery (predictive).

-Class seems related to pain at baseline, and health utility worse in class 3 (infracoccygeal disease).
-Few differences seen post-surgery...

6/8

1) It showed fairly good agreement between groups. Agreement between photograph raters was higher than between those assessing from a photograph and those assessing in real life.

5/8

And this shows you how it compares to other classification systems. Almost all look at laterality, recurrence, and some look at associated abscess. All look at similar ideas, just measured differently. It suggests the tool has some face validity.

3/8

We wanted to know 2 more things about this tool:
1) Did raters classify cases consistently?
-By asking surgeons to classify photos from the cohort.
2) Did classification correlate with #PROMS ?#
-By exploring class & baseline and post-treatment PROMs

4/8

...

This is the International Pilonidal Society (IPS) system we used in this study, primary vs recurrent and pit extension were key domains.

2/8

How do you classify pilonidal disease (or any surgical disease)? Chances are you are using a tool with limited validity. In PITSTOP Study we wanted to look at how well a tool performed...

(link to open access paper at end of thread)

🧵1/8
#some4surgery #surgicalresearch

In summary, we think the IPS tool shows:
✅Face validity
✅Inter-rater reliability
✅Concurrent validity

If we are going to address the challenges in the literature, adoption of this classification (now tested), should be considered.

onlinelibrary.wiley.com/doi/10.1111/co…

Colorectal Disease