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BJS Open @bjsopen.bsky.social · 1d

👏👏👏Adam D Gerrard, Roberta Garau, Yasuko Maeda, Alastair Thomson, Evropi Theodoratou, Malcolm G Dunlop, Farhat V N Din

BJS Open @bjsopen.bsky.social · 1d

Almost half of these interval CRCs had a detectable FIT level at screening but below the threshold (10–79 µg haemoglobin per g). All-cause mortality was significantly greater for interval CRCs compared with screen-detected lesions.

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BJS Open @bjsopen.bsky.social · 1d

For people with negative bowel screening who were diagnosed with colorectal cancer (CRC) within 2 years (interval CRC), the median wait was 13 months for diagnosis. Women, older patients, and those from greater socioeconomic backgrounds had a higher interval CRC rate.

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BJS Open @bjsopen.bsky.social · 1d

Bowel cancer screening uses an initial faecal immunochemical test (FIT) with a positivity threshold set so that the colonoscopy workload generated is manageable.

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BJS Open @bjsopen.bsky.social · 1d

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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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

doi.org

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BJS Open @bjsopen.bsky.social · 3d

👏👏👏Adam D Gerrard, Yasuko Maeda, Colin Noble, Frances Gunn, Lorna Porteous, Rebecca Cheesbrough, Alastair Thomson, Malcolm G Dunlop, Farhat V N Din, Edinburgh Colorectal Group

BJS Open @bjsopen.bsky.social · 3d

There were very good return rates of tests, and the workload of colorectal investigations fell as a result of reassurance and watch and wait for double-negative tests. The use of a second test identifies colorectal cancers that would be missed with a single test.

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BJS Open @bjsopen.bsky.social · 3d

A double-faecal immunochemical testing pathway was implemented in secondary care for all patients with symptoms suspicious for colorectal cancer.

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BJS Open @bjsopen.bsky.social · 3d

Clinical impact of double-faecal immunochemical testing following implementation into standard triage and investigation of primary care referrals in patients with lower gastrointestinal symptoms
➡️ doi.org/10.1093/bjso...

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BJS Open @bjsopen.bsky.social · 5d

The study supports using double FIT strategies in patients with PRB to safely guide investigation urgency and potentially reduce unnecessary invasive procedures.

👏👏👏Fatima Shah, Frances Gunn, Malcolm G Dunlop, Edinburgh Colorectal Group, Farhat V N Din, Adam D Gerrard

BJS Open @bjsopen.bsky.social · 5d

Patients with PRB showed higher FIT positivity and greater sensitivity for CRC detection, particularly with a single FIT; no CRCs were missed when two FITs were both negative.

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BJS Open @bjsopen.bsky.social · 5d

Faecal immunochemical testing (FIT) is effective in detecting colorectal cancer (CRC), even in patients with per rectal bleeding (PRB), a symptom traditionally excluded from FIT use.

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BJS Open @bjsopen.bsky.social · 5d

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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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

doi.org

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BJS Open @bjsopen.bsky.social · 6d

👏👏👏Qingjiang Hu, Manabu Ohashi, Motonari Ri, Rie Makuuchi, Tomoyuki Irino, Masaru Hayami, Takeshi Sano, Souya Nunobe

BJS Open @bjsopen.bsky.social · 6d

Intraoperative assessment of the discrepancy between gross and pathological margins proximally (ΔPM) and distally (ΔDM), combined with clinical factors, may help surgeons optimize surgical strategies.

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BJS Open @bjsopen.bsky.social · 6d

Unexpected horizontal tumour spread, proximally and distally, significantly predicts poor survival and recurrence in oesophagogastric junction cancer.

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BJS Open @bjsopen.bsky.social · 6d

Oncological impact of unexpected horizontal tumour spread in oesophagogastric junction cancer
➡️ doi.org/10.1093/bjso...

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Oncological impact of unexpected horizontal tumour spread in oesophagogastric junction cancer

Unexpected horizontal tumour spread, proximally and distally, significantly predicts poor survival and recurrence in oesophagogastric junction cancer. Intr

doi.org

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BJS Open @bjsopen.bsky.social · 9d

👏👏👏Maziar Nikberg, Viktor Åkerlund, Torbjörn Swartling,@PamelaBuchwald, Kenneth Smedh, HAPIrect Collaborative Study Group

BJS Open @bjsopen.bsky.social · 9d

Both Hartmann’s procedure and intersphincteric abdominoperineal excision are viable surgical options for patients unsuitable for anastomosis. Surgeons should use the technique in they are most confident with and experienced in.

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BJS Open @bjsopen.bsky.social · 9d

Postoperative complications in Hartmann’s procedure versus intersphincteric abdominoperineal excision in rectal cancer: randomized clinical trial (HAPIrect)
➡️ doi.org/10.1093/bjso...
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Postoperative complications in Hartmann’s procedure versus intersphincteric abdominoperineal excision in rectal cancer: randomized clinical trial (HAPIrect)

Both Hartmann’s procedure and intersphincteric abdominoperineal excision are viable surgical options for patients unsuitable for anastomosis. Surgeons shou

doi.org

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BJS Open @bjsopen.bsky.social · 10d

👏👏👏Shuai Zhang, Hongwei Guo, Cuntao Yu, Xiaogang Sun, Jing Sun, Xiangyang Qian

BJS Open @bjsopen.bsky.social · 10d

The treatment of thoracoabdominal aortic aneurysm through open surgery is still an important method and remains difficult. The NABV strategy, as a safe and reproducible technique, minimizes the risk of complications associated with spinal cord injury when implemented at experienced medical centres.

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BJS Open @bjsopen.bsky.social · 10d

Evaluating normothermic artery bypass and visceral-anastomosis-first strategy in thoracoabdominal aortic aneurysm repair: propensity-weighted analysis
➡️ doi.org/10.1093/bjso...

Evaluating normothermic artery bypass and visceral-anastomosis-first strategy in thoracoabdominal aortic aneurysm repair: propensity-weighted analysis

Normothermic artery bypass and visceral-anastomosis-first strategy for thoracoabdominal aortic aneurysm repair can lower the risk of spinal cord injury com

doi.org

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BJS Open @bjsopen.bsky.social · 12d

👏👏👏Cameron I Wells, William Xu, Chris Varghese, Sameer Bhat, Wal Baraza, Chris Harmston, Greg O’Grady, Ian P Bissett

BJS Open @bjsopen.bsky.social · 12d

A broader definition that included 19 complications and 90-day mortality captured all postoperative deaths and most closely aligned with overall mortality, highlighting the importance of standardization when using FTR as a surgical quality metric.

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