Husband, Father, Colorectal Surgeon @SummitHealthHQ, Former Chief Resident @ColumbiaSurgery, Colorectal Surgery Grad @CleveClinicFL | Following/RT≠endorsement.

Joined June 2017
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C Randall Cooper, MD, FACS, FASCRS retweeted
Turning 45? It’s time to put colorectal cancer screening on your radar. A colonoscopy can detect cancer early—when it’s most treatable—and help prevent it by removing precancerous polyps before they become a problem. Schedule today.
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C Randall Cooper, MD, FACS, FASCRS retweeted
Just out - 5 year data from the SCREESCO trial comparing screening colonoscopy at age 60 vs FIT vs nothing. Screening doubles the rate of curable cancers found. nature.com/articles/s41591-0…
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C Randall Cooper, MD, FACS, FASCRS retweeted
25 Oct 2025
This sort of presentation of data is completely misleading. The low life expectancy in the US is attributable to trauma and substance abuse deaths. The high death rate for those problems relates to poor public policy and not medical care. Life expectancy in the US for medical care sensitive conditions, such as heart, disease and cancer are among the highest in the world.
Life expectancy: 🇨🇭84.2 🇯🇵84.1 🇸🇪83.4 🇦🇺83.1 🇫🇷83.1 🇧🇪82.5 🇳🇱82 🇨🇦81.7 🇦🇹81.6 🇬🇧81.1 🇩🇪80.6 🇺🇸78.4 There is no reason why the richest country in the history of the world should have a lower life expectancy than every other major country on earth. Medicare for All now.
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C Randall Cooper, MD, FACS, FASCRS retweeted
Would add “severe or refractory disease, fistulizing perianal disease, and dysplasia/cancer” to “when to refer to surgery” Multidisciplinary care is key! @AmyLightnerMD @ASCRS_1 @MNCRSurgery @SWexner @SeanLangenfeld @HolubarStefan
🚨 New ACG Crohn’s Guidelines (2025) ▪️Scope at 6–12 mo post-op ▪️Early advanced therapy = key ▪️Anti-TNF, IL-23, JAKi > mesalamine ▪️High-risk = smoking, prior surgery, penetrating dz ▪️Surgery for abscess >2cm or strictures 🔗 bit.ly/acg-crohns-2025
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C Randall Cooper, MD, FACS, FASCRS retweeted
How to close the stoma skin after stoma reversal surgery: Circular (purse-string) vs primary skin closure! Systematic review and meta analysis by @GianlucaPellino et al! @pferrada1 @SWexner @juliomayol @TomVargheseJr @CiruAndes2
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C Randall Cooper, MD, FACS, FASCRS retweeted
21 Mar 2025
Large single institution series of pts undergoing the Deloyers technique for restoration of bowel continuity. Read more in this month's #DCRJournal: bit.ly/4bBp7mf @lfsobrado @drtracyhull @ClevelandClinic
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C Randall Cooper, MD, FACS, FASCRS retweeted
Actually the Medicare conversion factor is the boss of inflation. Hasn’t given physicians a pay raise for their work in nearly 34 yrs. 🤦🏽‍♂️😤 @AmerMedicalAssn ama-assn.org/system/files/cf…
12 Mar 2025
Arizona Iced Tea is the final boss of inflation
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C Randall Cooper, MD, FACS, FASCRS retweeted
Interesting @AnnalsofSurgery phase II study looking at the impact of a single cycle of neoadjuvant pembrolizumab on outcomes for stage I-III MMR-deficient colon cancers. Final results from this "RESET-C" study also included as a @JCO_ASCO abstract. 84 patients received 1 cycle and underwent surgery 3-5 weeks later: -60% had clinical stage III disease -44% had a pCR (61% of stage I-II patients and 33% of stage III patients) -57% had a "major pathologic response." Is the future of dMMR colon cancer non-operative? journals.lww.com/annalsofsur… ascopubs.org/doi/pdf/10.1200…
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C Randall Cooper, MD, FACS, FASCRS retweeted
➡️ Sequential – primary first, then liver 🔄 Combined – simultaneous resection 🔁 Reverse (Liver-first) – better survival in those completing treatment ✅ #CRLM #LiverMetastases #SurgicalOncology #ColorectalCancer @SWexner @BoutrosMarylise @DCRjournal @escp_tweets #ICDS25 (2/2)
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C Randall Cooper, MD, FACS, FASCRS retweeted
Open inguinal anatomy v2. @BehindTheKnife
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C Randall Cooper, MD, FACS, FASCRS retweeted
24 Sep 2024
This is why button batteries should be kept away from children 🔋⚠️
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C Randall Cooper, MD, FACS, FASCRS retweeted
12 Aug 2024
Perioperative management of DOACs 📌 📸: jamanetwork.com/journals/jam…
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C Randall Cooper, MD, FACS, FASCRS retweeted
Today my team sat down with our insurance broker. My health insurance premium for my employees went up 30% for our renewal. The government cut their pay to me and all doctors by 3.37% this year for the first two months then reduced the cut to 1.66% for the remainder of the year. I’m tired of paid mouthpieces telling Congress and Americans that doctors are the reason for our high healthcare costs. If you agree with me, share this post and let your friends and colleagues know where the money in healthcare is going. Hint: it isn’t to doctors
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C Randall Cooper, MD, FACS, FASCRS retweeted
locations of digestion and absorption of nutrients @ManualOMedicine #Meded #medx #Nutrition #nutrients
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C Randall Cooper, MD, FACS, FASCRS retweeted
Double-blinded MOBILE2-trial found that mechanical bowel preparation and oral antibiotics reduced the rate of overall morbidity, surgical site infections and anastomotic leaks compared to mechanical bowel preparation only prior anterior rectal resection. ja.ma/3VouoaE
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If you’re 45 you should get screened. If you have bleeding you should talk to a colorectal surgeon or gastroenterologist about getting a colonoscopy.
2 Mar 2023
Alarming new findings offer more evidence of a puzzling rise in colorectal cancer in patients under 50 and the challenges of reaching them with timely screening. trib.al/KWWVUwk
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C Randall Cooper, MD, FACS, FASCRS retweeted
2 Mar 2023
Alarming new findings offer more evidence of a puzzling rise in colorectal cancer in patients under 50 and the challenges of reaching them with timely screening. trib.al/KWWVUwk
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