Colon Polyps and Colorectal Cancer

Immediate diagnosis and treatment are available with colonoscopy for polyps which are considered as precursors of colorectal cancers. Treatment with low complication rates is possible as minimally invasive endoscopic methods are in use. Some polyps that are considered to be difficult to treat endoscopically should be evaluated and identified during colonoscopy, and appropriate treatment method can be selected accordingly. In the treatment of lesions that cannot be removed endoscopically, in the presence of suspected malignancy, surgical procedure in accordance with the oncological principles involving lymph node dissection can be performed laparoscopically with low complication rates.</p

Social Media and its Impact on the General and Colorectal Surgery Communities

Since early in the year 2020, the Coronavirus disease-19 (COVID-19) pandemic has evolved and is affecting every aspect of life, including surgical healthcare worldwide. Surgical practice and surgery have been affected mostly due to their dependency on practical education.1&nbsp;Social media, which is increasingly being used nowadays, has been supporting surgical education through free educational contents, video platforms, easy to communicate mentorship facilities and international collaborations without borders. Therefore, on the popular social media site twitter, surgical experts formed “SoMe4Surgery” and embedded twitter communities like “SoMe4Proctology”. They use hashtags (#) and tweet with hashtags like “#SoMe4Surgery, #SoMe4ColorectalSurgery”, etc.2&nbsp;One of this popular online educational platforms was created by young academic surgeons and handled by residents from El Bosque University, Bogota, Colombia. These young surgeons have as primary aim to support the free share of surgical learning by tagging well-known surgical experts to the daily surgical cases and educational materials that are sent by tweeting the related literature, studies and surgical illustrations. Great incorporation has been seen by responses to daily surgical cases when many surgeons have been reported their own comments, and a tremendous educational era has been seen inter-continentally.3</p

Life Long Learning Preferences of General Surgeons After Covid-19 : Hybrid ModelGenel Cerrahların Covid-19 Sonrasında Yaşam Boyu Öğrenme Tercihleri : Hibrit Model

Aim: For a surgeon during his professional career; Increasing their knowledge and experience, improving their professional skills and sharing their knowledge and experience is a necessity rather than a choice. The COVID-19 pandemic has revealed new choices in the concept of lifelong learning, with virtual meetings scheduled by surgeons using videoconferencing applications over the internet. In this study, we evaluated the compliance of general surgeons to webinars during the COVID-19 outbreak and their future training expectations with a questionnaire. Design: A questionnaire of 20 questions was prepared. The questionnaire was administered questions without aiming to obtain the personal information of the participants. . This survey was announced on the social media application Twitter. Survey questions were answered by 108 participants. Results: In the survey participated by surgeons, we concluded that short-term presentations, edited surgery videos and question-answer activities will be preferred more, and webinars held in the evening will be preferred more than those planned at the weekend. During the pandemic, it was determined that surgeons preferred free webinars and attended more national and international meetings compared to the pre-pandemic period. Respondents stated that they would prefer hybrid meetings in the future. Results: Considering the results of our social media-mediated survey: there is an intense participation in online seminars by surgeons. We also concluded that in the near future, surgeons will prefer hybrid training models rather than face-to-face training to improve and update themselves.</p

Spontaneous enteroatmospheric fistula in a patient with COVID-19 disease

Coronavirus 2019 (COVID-19) disease patients present with upper respiratory symptoms; however, thesepatients may show gastrointestinal symptoms on arrival at the hospital. This finding requires an abdominalphysical examination and imaging for 33% of patients. Enteroatmospheric fistulas (EAF) may form aconnection between the external environment and the gastrointestinal tract and usually presents variousdifficulties in controlling the disease without surgical intervention. Its management requires a high level ofclinical expertise to control and treat the fistula. In this case report, spontaneous EAF and its managementare presented in a 65-year-old morbidly obese female patient who spontaneously had EAF during herhospitalization for COVID-19.&nbsp;</p

Agreement between video-based clinician-rated tools and patient-reported outcomes on gait assessment in individuals with multiple sclerosis

PurposeTo our knowledge, no studies compared the video-clinician-based tools and patient-reported questionnaires in assessing gait and balance in people with MS (pwMS). The present study investigated the correlation and agreement between video-clinician-based objective measurement tools and patient-reported outcome measures (PROMs) in gait and balance evaluation.MethodsA prospective cross-sectional study was conducted with 55 pwMS. Video analysis-based gait was evaluated by the Tinetti Gait Assessment (TGA), Gait Assessment and Intervention Tool (GAIT), and Functional Ambulation Classification Scale (FACS) by the clinician. Participants' self-reported gait and balance were assessed with the Multiple Sclerosis Walking Scale-12 (MSWS-12) and Activity-Specific Balance Confidence Scale (ABC).ResultsThere was a moderate positive correlation between ABC with TGA and FACS (r(1): 0.552, r(2): 0.510, p 0.001). ABC was strongly correlated with GAIT (r: - 0.652, p 0.001). A moderate positive correlation was observed between MSWS-12 with TGA and FACS (r(1): - 0.575, r(2): - 0.524, p 0.001). In addition, there was a strong positive correlation between MSWS-12 and GAIT (r: - 0.652, p 0.001). Clinician-rated tools and PROMs were within the agreement limits regarding the unstandardized beta values p 0.001).ConclusionsClinician-based gait and balance tools demonstrate consistent results with PROMs in pwMS. Considering the low cost and practical use of PROMs, in cases where video-based clinician-based measurements cannot be provided (time, space, and technical inadequacies), questionnaires can provide concordant results at moderate and severe levels compared with objective tools