Christian Macutkiewicz he/him 🏳️‍🌈

Celebrating #BurnsNight with haggis, neeps & tatties (pimped with cavolo nero) & onion gravy. Great #Scottish comfort food. Happy Burns Night to all my Scottish friends, colleagues & family (yes my mum’s ancestry is Scottish) @asgbi.bsky.social @sages.org @rcsed.bsky.social @rcpsglasgow.bsky.social

I agree with everything you say. But my feed is full of rubbish these days and I don’t often see what the heavy hitters are saying. The Royal College of Surgeons of England has stepped away from X and so I’m seeing what the community thinks. Twitter was an excellent place to spread latest papers.

Excited to announce that we are expanding our strategic partnerships with @stryker_st to bring their expertise in surgical education, ICG Fluorescence and AI to our congress in Brighton and future educational webinars. Watch this space!

True Incidence of Appendiceal Neoplasms in Patients Presenting with Complicated Appendicitis: A Call for a Revised Management Algorithm - Annals of Surgical Oncology Background Prior studies suggest an association between complicated appendicitis and underlying appendiceal neoplasms, but the reported incidence varies widely. This study aimed to determine the incidence and predictors of appendiceal neoplasms among patients with radiographically diagnosed complicated appendicitis. Methods This study analyzed adult patients with radiologic diagnoses of complicated appendicitis (perforation, abscess, phlegmon, gangrene, or mucocele) at a tertiary center (2010–2024). To ensure diagnostic accuracy, an expert surgeon reviewed radiologic images with uncertain findings. The appendiceal neoplasm rate was calculated. Multivariable logistic regression identified preoperative predictors of neoplasm. Results Among 1690 patients with acute appendicitis, 387 (23 %) had a diagnosis of complicated appendicitis. Of these patients, 304 (78.6 %) underwent surgical treatment, whereas 56 (14.5 %) were managed nonoperatively. The rate of appendiceal neoplasms among patients with complicated appendicitis was 16.1 %. The most common tumor type was mucinous neoplasm (54 %), followed by neuroendocrine tumor (19 %) and adenocarcinoma (13 %). The incidence of appendiceal neoplasms varied significantly based on radiologic findings, with the highest rate observed in cases with mucocele (58 %), followed by abscess (18 %), phlegmon (16 %), and perforated appendicitis (12 %). After adjustment for confounders, older patient age, larger appendiceal diameter, lymphadenopathy, peritoneal enhancement, and absence of fat-stranding were significantly associated with a higher likelihood of neoplasm. Conclusion Appendiceal neoplasms were identified in 16.1 % of patients presenting with complicated appendicitis, representing a notably high incidence in this population. In the context of growing nonoperative management, radiologic and clinical predictors may need to be considered to guide decisions regarding surgery and follow-up evaluation.

High Appendiceal Neoplasm Rate in Complicated Appendicitis

by Foroutani L, Wang JJ (...) Adam MA et 9 al. in Ann Surg Oncol #Surgery #SurgSky #GeneralSurgery #MedSky

🪡 read our summary here
📖 read the article:

So the X platform’s algorithms are pretty hateful right now so testing to see whether BlueSky is the way to go for @asgbi.bsky.social and medicine as this gives the best Twitter-like engagement and immediacy that other platforms don’t but also for @sages.org @rcsed.bsky.social @rcsed.bsky.social

I’ve bought my tickets! Help Pancreatic Cancer UK and buy yours!

Aiming for a career in surgery? This course aims to introduce medical students and FY1 doctors participants to safe basic surgical techniques that are common to all surgical practices. Attendance at this course will also give you the opportunity to apply for a one year FREE... https://bit.ly/4qHBODd

Don’t forget to submit your abstracts for the @ASGBI Congress in Brighton. It’s going to be a fun-packed Congress with so many great sessions, training village and masterclasses to suit all interests and levels! Join us there!

Don’t forget to submit your abstracts for the @ASGBI Congress in Brighton. It’s going to be a fun-packed Congress with so many great sessions, training village and masterclasses to suit all interests and levels! Join us there!

A lovely morning walk with Rupert listening to a fantastic #DesertIslandDiscs @BBCRadio4 with @GarethSouthgate Such a warm, humble and inspirational man. I wish him all the best in his leadership quest! Happy Sunday everyone #Leadership #Wellbeing #Rupert #Bulldog

Happy Thanksgiving to all my American family, friends, and colleagues. Hope you find your turkey and enjoy your feast! #Thanksgiving2024 @SAGES_Updates

🔵 ISGPS papers you should know

3️⃣ Postpancreatectomy hemorrhage (PPH)

🩸 PPH is defined by 3 parameters

⌛️ Onset
🗺️ Location
☠️ Severity

www.surgjournal.com/article/S003...

#HPBSky #SurgSky

🔵 ISGPS papers you should know

4️⃣ Definition of a standard #lymphadenectomy in surgery for pancreatic ductal adenocarcinoma 🍒

www.surgjournal.com/article/S003...

#SurgSky #MedSky #HPBSky

I like this 👇🏻 #Wellbeing #Positivity

A little winter wonderland this morning with Rupert. He loves the ice and cold, as do I. Have a great day everyone. #WellbeingWednesday #Chorlton #Manchester #Bulldog

Not long. We are in the process of doing it

Welcome to @ericpaulimd.bsky.social for what will hopefully be a welcome change to the awful algorithms of X and some engagement from the #Medical and #Surgical community #Surgery

Still have to pinch myself that this is real. What an absolute honour to be the new President @asgbi Thank you so much for a wonderful evening surrounded by so many mentors, friends and colleagues. I look forward to an exciting, fruitful and collaborative future! #Blessed