BJS

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Work by Sjöholm Kajsa, Peltonen Markku, Jacobson Peter, Andersson-Assarsson Johanna C, Ahlin Sofie, Adméus Lucas, Arnetorp Ida, Engström My, Taube Magdalena, Carlsson Lena M S, Svensson Per-Arne

💡 Higher alcohol-related harms occur post-MBS, notably gastric bypass. Data support preoperative screening, postoperative monitoring, and early AUD treatment; Vigilance and long-term follow-up are needed for VBG and banding.

📊 AUD: ↑ after GBP (HRadj 5.07); Alcohol-related mortality: ↑ after GBP (sub-HR 6.18) and VBG; Banding: mortality increase non-significant

🎯 Examines the association of metabolic bariatric surgery with AUD and alcohol-related deaths under 35 in Sweden.
🧮 Prospective controlled cohort; 2007 MBS vs 2040 controls; 25.2-year follow-up. Outcomes: AUD diagnoses and alcohol-related mortality (patient & death registers).

Alcohol use disorder and alcohol-related mortality after metabolic bariatric surgery: prospective controlled cohort study
➡️doi.org/10.1093/bjs/znaf211

#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social

Work by Floris F E Bruinsma, Simon W Nienhuijs, Ronald S L Liem, Jan Willem M Greve, Perla J Marang-van de Mheen, the Dutch Audit for Treatment of Obesity Research Group 🇳🇱

However, the relative impact of each factor has remained unclear. In an analysis of six key MBS outcomes among 30 610 patients, hospital-level factors accounted for the largest share of the explained variance across all outcomes, followed by surgeon-level and then patient-level factors

Variation in outcomes after metabolic bariatric surgery (MBS) is influenced by multiple factors, including patient characteristics, surgeon expertise, and hospital practices

Variation in outcomes after metabolic bariatric surgery: multilevel analysis to assess the contribution of patient, surgeon, and hospital factors
➡️ doi.org/10.1093/bjs/...

#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques #StepUp4CRC #ERAS #Crohn #proctology #TeachMeColoproctology #Some4COLoprocto @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social

Work by Yung Lee, Francis Nguyen, Sama Anvari, Amber O Molnar, Aristithes G Doumouras, Michael Walsh, Dennis Hong

💪 Mortality ↓52% (HR 0.48) and major adverse kidney events ↓53% (HR 0.47) after median 7.7 years.
👩‍⚕️ Benefits strongest in women, >55 yrs, BMI >40 kg/m² — supporting MBS as a powerful option in high-risk CKD.

🧠 CKD & obesity often coexist, driving morbidity and mortality.
⚕️ In a cohort of 1538 patients (563 surgical, 975 controls; 🇨🇦 Ontario 2010–2016), metabolic bariatric surgery (MBS) cut risks dramatically.

Impact of bariatric surgery on patients with chronic kidney disease and severe obesity: multiple-linked population-based cohort study
➡️ doi.org/10.1093/bjs/...

Risk factors and clinical consequences of interval cancers arising within faecal immunochemical testing-based colorectal cancer screening programme Bowel cancer screening uses an initial faecal immunochemical test (FIT) with a positivity threshold set so that the colonoscopy workload generated is manag

Risk factors and clinical consequences of interval cancers arising within faecal immunochemical testing-based colorectal cancer screening programme
➡️ doi.org/10.1093/bjso...

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@bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social

... Koen C M J Peeters, Hein Putter, Annet G H Roodvoets, Cornelis J H van de Velde, Per J Nilsson, Corrie A M Marijnen

#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen

Work by Ilaria Prata, Max D Tanaka, Bengt Glimelius, Iris D Nagtegaal, Regina G H Beets-Tan, Lennart K Blomqvist, Alice M Couwenberg, Boudewijn van Etten, Geke A P Hospers, Elma Meershoek-Klein Kranenbarg, ...

The difference in LRR between TNT and CRT mainly occurred in patients treated with sphincter-preserving surgery
Baseline information on the original tumour bed should be considered when determining the surgical approach after total neoadjuvant treatment

Factors influencing locoregional recurrence rates in locally advanced rectal cancer after total neoadjuvant treatment versus chemoradiotherapy in the RAPIDO trial The difference in LRR between TNT and CRT mainly occurred in patients treated with sphincter-preserving surgery. Baseline information on the original tumou

Factors influencing locoregional recurrence rates in locally advanced rectal cancer after total neoadjuvant treatment versus chemoradiotherapy in the RAPIDO trial
➡️ doi.org/10.1093/bjs/...

#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social

Work by Mwayi Kachapila, Stephen Tabiri, Mark Monahan, Francis A Abantanga, Anita Eseenam Agbeko, Fareeda Agyei, Aneel Bhangu, Dion G Morton, Tracy E Roberts, Virginia Ledda, Mike Ohene-Yeboah, Raymond Oppong

💡 Even with high dropout rates, NSPs achieved nearly 4× the surgical output, supporting task sharing as a cost-effective, scalable way to expand access to safe hernia surgery in Ghana.

🩺 NSPs performed 4,625 hernia repairs versus 784 by a surgeon, at total costs of €624k vs €110k, with similar per-procedure costs (€135 vs €140).

🇬🇭 Over one million inguinal hernias in Ghana went untreated between 2012–2022 due to limited surgical capacity.
👨🏾‍⚕️ A decision-analytic model compared 12 trained non-surgeon physicians (NSPs) with one surgeon over six years.

Task sharing in elective inguinal hernia surgery in Ghana: a workforcemodel comparing surgeons and physicians
➡️https://doi.org/10.1093/bjs/znaf173

Single and double faecal immunochemical test strategies are effective in risk stratification for patients with symptoms of per rectal bleeding suggestive of colorectal cancer Faecal immunochemical testing (FIT) is effective in detecting colorectal cancer (CRC), even in patients with per rectal bleeding (PRB), a symptom tradition

Single and double faecal immunochemical test strategies are effective in risk stratification for patients with symptoms of per rectal bleeding suggestive of colorectal cancer
➡️ doi.org/10.1093/bjso...
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#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques #StepUp4CRC #ERAS #Crohn #proctology #TeachMeColoproctology #Some4COLoprocto @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social