Rubén Caiña Ruiz

💙 @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👉🏻 bit.ly/4iWC3GP

🥼 La huelga médica paraliza los hospitales de #Cantabria con «un seguimiento masivo» leer.eldiariomontanes.es/dffm72

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... 🤯 journals.lww.com/annalsofsurger…

👨‍⚕️↔️👨‍🎨 El médico de Valdecilla Carlos Armiñanzas publica un libro didáctico con un enfoque innovador e ilustrado por él con dibujos manga leer.eldiariomontanes.es/1s75s2

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!? link.springer.com/article/10.124…

Surgical management of pancreatic neuroendocrine tumors – An EYSAC and E-AHPBA international survey of current practice @AndreasBrandl8 @SStattner @EYSAC1 @EAHPBA @ESSOnews @OncologyAdvance bit.ly/3NINL9x

New review paper - Pathophysiology of Peritoneal Metastasis @DemuytereJesse @sernst @ISSPP1 onlinelibrary.wiley.com/doi/10.1002/js…

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

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

Neoadjuvant 177Lu-DOTATATE for non-functioning pancreatic neuroendocrine tumours (NEOLUPANET): multicentre phase II study ➡️ doi.org/10.1093/bjs/zn… 🏥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

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 ➡️ doi.org/10.1093/bjs/zn… 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

Effects of limb lengths in gastric bypass surgery ➡️ doi.org/10.1093/bjs/zn… - 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

Patients undergoing subtotal cholecystectomy have longer length of stay, independent of need for endoscopic retrograde cholangiography. journals.lww.com/journalacs/ful…

#AudioVisualAbstract : Timing to Surgery and Lymph Node Upstaging in #GastricCancer : An NCDB Analysis @makiriascosm @RasaZarnegarMD rdcu.be/dQu3p @AnishJayJain @SyedAAhmad5

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.

Robotic chole Lap chole

Remission of obstructive sleep apnea is high among patients undergoing sleeve gastrectomy or Roux-en-Y gastric bypass. Full article at: journals.lww.com/journalacs/ful…

Impact of small-bite (5 mm) fascial closure on the incidence of incisional hernia following open colorectal cancer surgery: #RCT ➡️doi.org/10.1093/bjs/zn… 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

Read @young_bjs 'Acute threat of Life' series! 5⃣ Small bowel obstruction doi.org/10.1093/bjs/zn… - 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

Interesante revisión sobre el cáncer de colon en @TheLancet: 🌍 La incidencia en adultos mayores está ⬇️ en países de ingresos altos, pero está ⬆️ en economías emergentes y en adultos jóvenes (<50 años) 🌟 Destaca la importancia del diagnóstico temprano y las estrategias de prevención. El cribado poblacional es clave 💉 Avances recientes en terapias sistémicas y opciones quirúrgicas han mejorado significativamente la supervivencia global y la esperanza de vida 🧬 Selección de tratamientos basados en biomarcadores moleculares 🔮 El ADN tumoral circulante (ADNtc), el microbioma y la inteligencia artificial (IA) ofrecen nuevas oportunidades para la detección temprana y el tratamiento personalizado 🔗 doi.org/10.1016/s0140-… #CCR