BJS Open
@bjsopen.bsky.social
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BJS Open is an openaccess journal from the BJS foundation and BJS Academy, featuring high-quality surgicalresearch, with a current Impact Factor of 3.4 (2024)
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bjsopen.bsky.social
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
bjsopen.bsky.social
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.
bjsopen.bsky.social
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.
bjsopen.bsky.social
👏👏👏Qingjiang Hu, Manabu Ohashi, Motonari Ri, Rie Makuuchi, Tomoyuki Irino, Masaru Hayami, Takeshi Sano, Souya Nunobe
bjsopen.bsky.social
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.
bjsopen.bsky.social
Unexpected horizontal tumour spread, proximally and distally, significantly predicts poor survival and recurrence in oesophagogastric junction cancer.
bjsopen.bsky.social
👏👏👏Maziar Nikberg, Viktor Åkerlund, Torbjörn Swartling,@PamelaBuchwald, Kenneth Smedh, HAPIrect Collaborative Study Group
bjsopen.bsky.social
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.
bjsopen.bsky.social
👏👏👏Shuai Zhang, Hongwei Guo, Cuntao Yu, Xiaogang Sun, Jing Sun, Xiangyang Qian
bjsopen.bsky.social
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.
bjsopen.bsky.social
👏👏👏Cameron I Wells, William Xu, Chris Varghese, Sameer Bhat, Wal Baraza, Chris Harmston, Greg O’Grady, Ian P Bissett
bjsopen.bsky.social
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.
bjsopen.bsky.social
FTR rates varied widely depending on the complications and timeframes included, significantly affecting benchmarking across hospitals.
bjsopen.bsky.social
This national cohort study examined how different definitions of failure to rescue (FTR) affect reported rates and hospital rankings after major gastrointestinal and hepatobiliary cancer surgery.
bjsopen.bsky.social
👏👏👏Suvi Rasilainen, Mohamud Aden, Antti J Kivelä, Sakari Pakarinen, Jukka Rintala, Susanna Niemeläinen, Ilona Helavirta, Salla Moilanen, Anne Mattila, Tarja Pinta, Kapo Saukkonen, Pälvi Vento, Niko Turkka, Pasi Pengermä, Jenny Häggblom, Tom Scheinin
bjsopen.bsky.social
Elective sigmoidectomy after endoscopic detorsion is preferred as it carries the lowest mortality risk. Necrotic bowel, dependency, and co-morbidities predict death for both sigmoid and caecal volvulus.
bjsopen.bsky.social
Surgery should be recommended for colonic volvulus where co-morbidity, patient preference, and functional status allows. Surgically unfit patients have poorer outcomes.
bjsopen.bsky.social
👏👏👏Daniel Krstic, Moritz Sparn, Dimitrios Chatziisaak, Pascal Burri, Rene Warschkow, Bruno Schmied, Dieter Hahnloser, Lukas Marti, Walter Brunner, Stephan Bischofberger, TLC-COLA collaborative group
bjsopen.bsky.social
highlighting gaps between evidence-based recommendations and actual practice. The results indicate a need for strategies to improve guideline uptake and standardize care in coloanal anastomosis.