C Randall Cooper, MD, FACS, FASCRS

Turning 45? It’s time to put colorectal cancer screening on your radar. A colonoscopy can detect cancer early—when it’s most treatable—and help prevent it by removing precancerous polyps before they become a problem. Schedule today.

Just out - 5 year data from the SCREESCO trial comparing screening colonoscopy at age 60 vs FIT vs nothing. Screening doubles the rate of curable cancers found. nature.com/articles/s4159…

This sort of presentation of data is completely misleading. The low life expectancy in the US is attributable to trauma and substance abuse deaths. The high death rate for those problems relates to poor public policy and not medical care. Life expectancy in the US for medical care sensitive conditions, such as heart, disease and cancer are among the highest in the world.

Would add “severe or refractory disease, fistulizing perianal disease, and dysplasia/cancer” to “when to refer to surgery” Multidisciplinary care is key! @AmyLightnerMD @ASCRS_1 @MNCRSurgery @SWexner @SeanLangenfeld @HolubarStefan

How to close the stoma skin after stoma reversal surgery: Circular (purse-string) vs primary skin closure! Systematic review and meta analysis by @GianlucaPellino et al! @pferrada1 @SWexner @juliomayol @TomVargheseJr @CiruAndes2

Large single institution series of pts undergoing the Deloyers technique for restoration of bowel continuity. Read more in this month's #DCRJournal: bit.ly/4bBp7mf @lfsobrado @drtracyhull @ClevelandClinic

Actually the Medicare conversion factor is the boss of inflation. Hasn’t given physicians a pay raise for their work in nearly 34 yrs. 🤦🏽‍♂️😤 @AmerMedicalAssn ama-assn.org/system/files/c…

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? journals.lww.com/annalsofsurger… ascopubs.org/doi/pdf/10.120…

➡️ Sequential – primary first, then liver 🔄 Combined – simultaneous resection 🔁 Reverse (Liver-first) – better survival in those completing treatment ✅ #CRLM #LiverMetastases #SurgicalOncology #ColorectalCancer @SWexner @BoutrosMarylise @DCRjournal @escp_tweets #ICDS25 (2/2)

#DCRJournal Didactic Video | Open Deloyers Procedure: bit.ly/4iebbl5 @SeanLangenfeld @Neil_J_Smart @TAMISYoda @Schadi_CRS @Doc_Brown44 @slsteinmd1 @MarkSoliman @rahila_essani @JohnRTMonsonMD @juliomayol @drjamestaylor @KarasJoshua @MaloneyNell @Averywalker21 @ncairl

Open inguinal anatomy v2. @BehindTheKnife

One week for bacteremia!! Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections | New England Journal of Medicine nejm.org/doi/full/10.10…

This is why button batteries should be kept away from children 🔋⚠️

Perioperative management of DOACs 📌 📸: jamanetwork.com/journals/jama/…

Today my team sat down with our insurance broker. My health insurance premium for my employees went up 30% for our renewal. The government cut their pay to me and all doctors by 3.37% this year for the first two months then reduced the cut to 1.66% for the remainder of the year. I’m tired of paid mouthpieces telling Congress and Americans that doctors are the reason for our high healthcare costs. If you agree with me, share this post and let your friends and colleagues know where the money in healthcare is going. Hint: it isn’t to doctors

Results of NICHE 2 Study. 👇🏼👇🏼 Neoadjuvant Immunotherapy in Locally Advanced Mismatch Repair–Deficient Colon Cancer ⁦@NEJM⁩ nejm.org/doi/full/10.10…

locations of digestion and absorption of nutrients @ManualOMedicine #Meded #medx #Nutrition #nutrients

Double-blinded MOBILE2-trial found that mechanical bowel preparation and oral antibiotics reduced the rate of overall morbidity, surgical site infections and anastomotic leaks compared to mechanical bowel preparation only prior anterior rectal resection. ja.ma/3VouoaE

If you’re 45 you should get screened. If you have bleeding you should talk to a colorectal surgeon or gastroenterologist about getting a colonoscopy.

Alarming new findings offer more evidence of a puzzling rise in colorectal cancer in patients under 50 and the challenges of reaching them with timely screening. trib.al/KWWVUwk