General Surgery / Colon Recto & Ano

Guayaquil, Ecuador
Joined October 2011
Se los recomiendo muy rico preparan el café en @ihopecuador Solo hagan la prueba y me dejan sus comentarios
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Guillermo Perez Ch retweeted
Thank you @BehindTheKnife ! I know everyone is already listening to these podcasts, but this one is a true banger. If you're interested in purely technical tips and tricks for a difficult TME, you won't regret it. Dr @JasonLizalekMD did a great job being a humble host. Asking questions like "show me what it's like to be in the correct medial plane," and "teach me wrong from right on how to construct a difficult low pelvic anastomosis." Such a great time. Thank you! @ASCRS_1 @AmCollSurgeons @AmBdSurg @DCRjournal
YOU'VE GOT TO HAVE STANDARDS. Cancer standards. On today's pod, we cover @AmCollSurgeons op standards for Total Mesorectal Excision for Rectal Cancer with the fantastic @JasonLizalekMD @seanlangenfeld ➡️ behindtheknife.org/podcast/o…
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Extraperitoneal tunneling reduced postoperative pelvic drain displacement from 47.0% to 4.5% after rectal cancer surgery, without increasing operative time or complications. DOI: doi.org/10.3393/ac.2025.0153…
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Both linear and circular stapling were safe and feasible. Linear stapling was associated with shorter hospitalization and faster recovery, while circular stapling required fewer staplers. Prospective validation is needed. DOI: doi.org/10.3393/ac.2025.0124…
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Guillermo Perez Ch retweeted
With #ACSCC26 fast approaching, it's a good time to share the new @ASCRS_1 2026 #CPG on #Diverticulitis This group effort, hot off the press in the October @DCRjournal issue, was expertly led by @alexhawkinsmd Don't forget to catch us in DC as well at PS102 (This Sunday at 1245, Ballroom C. Hottest ticket in town!) Yes, the CPG discusses omission of antibiotics for uncomplicated disease, but there are so many other great topics: Emergency surgery: -Which patients should receive a protected anastomosis during emergency surgery for peritonitis. -Colectomy preferred over lap lavage for most patients Elective surgery: -Selective approach to elective surgery for pelvic abscesses as well as immunocompromised patients -Avoidance of colo-colonic anastomoses, as this is associated with high rates of recurrence. -The threshold for elective surgery is not based on an arbitrary number of attacks, but instead individualized based on QUALITY OF LIFE! -One third of patients have chronic symptoms after an episode of diverticulitis, and surgery is effective at improving their QOL. Link to the CPG: journals.lww.com/dcrjournal/… @AmCollSurgeons @BoutrosMarylise @a_bham18 @Thomascurran27 @ianmpaquette @tlhedr0 @GaertnerWB
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Guillermo Perez Ch retweeted
How do clinical practice guidelines translate from evidence to the realities of patient care? In this episode of Gut Check, Meghana and Biddy explore how Clinical Practice Guidelines inform decision-making in colorectal surgery, when there may be reason to deviate from recommendations, and how surgeon judgment helps tailor evidence-based guidance to the individual patient. 🔗 Tune in to hear their discussion: bit.ly/3YzjpvG @PubMEG
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Un artículo que me parece especialmente útil para la práctica clínica: la AGA propone 9 indicadores de calidad para el diagnóstico y manejo del SII, buscando reducir tanto el infradiagnóstico como las pruebas de bajo valor. Entre ellos: diagnóstico positivo, serología celíaca en SII-D/SII-M, calprotectina fecal en SII-D, evitar colonoscopias rutinarias sin signos de alarma, tratamiento dietético, terapias cerebro-intestino y evitar opioides centrales. Una idea clave: el SII no debería seguir siendo un “diagnóstico de exclusión”. Hung KW, et al. AGA Institute Quality Indicator Development for Irritable Bowel Syndrome. Gastroenterology. 2025;168:612-622. DOI: 10.1053/j.gastro.2024.11.003
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Guillermo Perez Ch retweeted
"Laparoscopic En Bloc Para-aortic Lymphadenectomy Up to the Renal Vein for Colorectal Cancer: How I Do It?" Read more in #DCRJournal: bit.ly/4wfnbso
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🎨 Showcasing Surgical Ideas Through Art! ✨ Following last year’s inaugural contest, we are delighted to present 58 entries submitted to the 2nd JSES Surgical Illustration Contest. From anatomy to surgical techniques, please enjoy these outstanding illustrations showcasing a wide range of ideas and innovations in endoscopic surgery. #JSES #WCESJSES2026 @IFSES_WCES @SAGES_Updates @EAES_eu @ELSA_surgeons
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Guillermo Perez Ch retweeted
Johnson & Johnson anunció hoy que la @US_FDA le otorgó autorización a su 🤖 #OTTAVA™, el primer sistema robótico integrado a la mesa de operaciones. La primer competencia real para el DaVinci de @IntuitiveSurg #Cirujanos
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Guillermo Perez Ch retweeted
#DCRJournal Didactic Video Recap | Robotic Right Colectomy with Complete Mesocolic Excision, D3 Lymph Node Dissection and Intracorporeal Anastomosis: bit.ly/3StB4m6 @jendavidsmd @ScottRSteeleMD @Swexner @me4_so @ACPGBI @drtracyhull @ASCRS_1 @FicheraAlessand
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Guillermo Perez Ch retweeted
#DCRJournal Didactic Video | Laparoscopic Left Hemicolectomy (IMV-Preserving) with ICG Lymph Node Detection: bit.ly/4p3mW1u
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Guillermo Perez Ch retweeted
#DCRJournalLatAm is back for July! See the topic discussed and be sure to register here: bit.ly/3SgYI7D
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Intestino Irritable - CU ⭐️
Sobre los GLP-1 en la Enfermedad Inflamatoria Intestinal 🔗doi.org/10.1093/ecco-jcc/jja…
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NASDAQ:$MYNZ 📈 Discover the Future of Cancer Detection!

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¿Cómo debemos manejar las lesiones subepiteliales del tracto digestivo? ¿Cuándo está justificada su resección endoscópica? Estas son algunas de las cuestiones que se abordarán en la mesa "Lo más relevante en Endoscopia y comunicaciones orales" del #SEPD2026, una sesión centrada en la actualización de conocimientos y en la práctica clínica basada en la evidencia. 📅 Sábado, 13 de junio 🕘 09:00 - 10:30 h 📍 Sevilla 🔹 Caracterización de las lesiones subepiteliales mediante ecoendoscopia 🔹 Estrategias de seguimiento 🔹 Indicaciones actuales de la resección endoscópica Más información: congresosepd.com/ #SEPD2026 #EndoscopiaDigestiva #Ecoendoscopia #PatologíaDigestiva #Gastroenterología @Ana__Bejarano
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Guillermo Perez Ch retweeted
In 20 anni di congressi ho assistito a due standing ovation. La prima per un farmaco che ho contribuito a sviluppare. La seconda adesso.
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Guillermo Perez Ch retweeted
📢 Encuesta nacional sobre exenteración pélvica en cáncer de recto! Queremos conocer la situación actual en España y contar con todos los centros, tanto si realizáis esta cirugía como si no🙏 ⏱️ Solo 3–5 min! 👉 survio.com/survey/d/-exenter… ¡Gracias por participar! @AECP_FAECP
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🍄‍🟫 El cáncer colorrectal en personas jóvenes probablemente se debe a una desregulación metabólica Fuente: nature.com/articles/s41574-0…
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