Giovanni Marchegiani(@Gio_Marchegiani) 's Twitter Profileg
Giovanni Marchegiani

@Gio_Marchegiani

Pancreas Surgeon @UniPadova ๐Ÿ˜ท @BJSOpen Editor ๐Ÿ—ž๏ธ @ISGPS_news Secretary ๐ŸŽ“ @YouppiePancreas Coordinator @EAHPBA board ๐Ÿชก@MGHSurgery @PancreasVerona trained

ID:948112554882199552

linkhttp://www.linkedin.com/in/giovanni-marchegiani-930850ab/ calendar_today02-01-2018 08:43:42

1,2K Tweets

8,6K Followers

659 Following

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Every year we perform countless MRI/MRCP for IPMNs ๐Ÿ‡โ€ฆ

โ˜ข๏ธ Can we use a short protocol for their surveillance?! ๐Ÿคทโ€โ™‚๏ธ

๐ŸฅŠ Interobserver agreement among radiologists says.. finally the time has come!

๐Ÿ†“ link to paper ๐Ÿ‘‰sciencedirect.com/science/articlโ€ฆ

Every year we perform countless MRI/MRCP for IPMNs ๐Ÿ‡โ€ฆ โ˜ข๏ธ Can we use a short protocol for their surveillance?! ๐Ÿคทโ€โ™‚๏ธ ๐ŸฅŠ Interobserver agreement among radiologists says.. finally the time has come! ๐Ÿ†“ link to paper ๐Ÿ‘‰sciencedirect.com/science/articlโ€ฆ
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๐Ÿ”ช A whipple is not a whipple without Henleโ€™s trunk ๐Ÿชต identificationโ€ฆ

๐Ÿ‘‰Do you know all its variants ?! ๐Ÿ‘ˆ

๐ŸŽฏ Check them all out here !!! โ€ฆ and have a great (and safe) next whipple you all!!!

๐Ÿ”ช A whipple is not a whipple without Henleโ€™s trunk ๐Ÿชต identificationโ€ฆ ๐Ÿ‘‰Do you know all its variants ?! ๐Ÿ‘ˆ ๐ŸŽฏ Check them all out here !!! โ€ฆ and have a great (and safe) next whipple you all!!!
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God save the ... spleen! ๐Ÿซ˜

Distal Pancreatectomy for body PDAC: is Splenectomy necessary? ๐Ÿง

๐Ÿ‡ซ๐Ÿ‡ท PSM analysis spleen preserving had โฌ‡๏ธ harvested LN but ...

๐Ÿณ Less POPF and CCI
๐Ÿชฝ Same risk recurrence / survival

link.springer.com/article/10.124โ€ฆ

God save the ... spleen! ๐Ÿซ˜ Distal Pancreatectomy for body PDAC: is Splenectomy necessary? ๐Ÿง ๐Ÿ‡ซ๐Ÿ‡ท PSM analysis spleen preserving had โฌ‡๏ธ harvested LN but ... ๐Ÿณ Less POPF and CCI ๐Ÿชฝ Same risk recurrence / survival link.springer.com/article/10.124โ€ฆ
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I have never seen so many YOUNG HPB surgeons as at AICEP E-AHPBA ๐Ÿ‡ฎ๐Ÿ‡น ๐Ÿ˜ณ!!!

The future of our surgery looks finally bright, indeed! ๐Ÿ’ซ

Thank you for these special days, and congrats to Gaetano Corvino for winning the Robot ๐Ÿค– contest (@HoggNDMD you should be proud ๐Ÿฅนโ€ฆ)

I have never seen so many YOUNG HPB surgeons as at @Aicep4 @EAHPBA ๐Ÿ‡ฎ๐Ÿ‡น ๐Ÿ˜ณ!!! The future of our surgery looks finally bright, indeed! ๐Ÿ’ซ Thank you for these special days, and congrats to @GaetanoCorvino2 for winning the Robot ๐Ÿค– contest (@HoggNDMD you should be proud ๐Ÿฅนโ€ฆ)
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A neglected though fundamental topic in pancreas cancer and surgical oncology: ๐Ÿ‘‰ palliative surgery ๐Ÿ‘ˆ

๐Ÿ‘˜ Palliative derives from Latin โ€œpalliumโ€ meaning โ€œcapeโ€ aimed at protecting

๐Ÿ™ Alleviate symptoms in patient with serious, life-limiting illness

academic.oup.com/bjs/article-abโ€ฆ

A neglected though fundamental topic in pancreas cancer and surgical oncology: ๐Ÿ‘‰ palliative surgery ๐Ÿ‘ˆ ๐Ÿ‘˜ Palliative derives from Latin โ€œpalliumโ€ meaning โ€œcapeโ€ aimed at protecting ๐Ÿ™ Alleviate symptoms in patient with serious, life-limiting illness academic.oup.com/bjs/article-abโ€ฆ
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๐Ÿ’ฅ Pancreas2000 Course ๐Ÿ”Ÿ thatโ€™s a wrap ๐Ÿ’ฅ

At the stunning ChampalimaudF ๐Ÿ‡ต๐Ÿ‡น for an inspiring last meeting with top notch faculty and mentees.

The future of pancreatology is in good hands! ๐Ÿ™Œ

โ€ฆ see you at EPC-Europ Pancr Club in Santiago ๐Ÿ‡ช๐Ÿ‡ธ!!!

๐Ÿ’ฅ Pancreas2000 Course ๐Ÿ”Ÿ thatโ€™s a wrap ๐Ÿ’ฅ At the stunning @ChampalimaudF ๐Ÿ‡ต๐Ÿ‡น for an inspiring last meeting with top notch faculty and mentees. The future of pancreatology is in good hands! ๐Ÿ™Œ โ€ฆ see you at @EurPancClub in Santiago ๐Ÿ‡ช๐Ÿ‡ธ!!!
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Celebrating ๐ŸŽ‰ the brand new Swiss chapter of E-AHPBA ๐Ÿ‡จ๐Ÿ‡ญin Lausanne

Merci beaucoup Emmanuel Melloul for the warm hospitality in the city of Olympic Games at Visceral CHUV ๐Ÿ”๏ธ

Celebrating ๐ŸŽ‰ the brand new Swiss chapter of @EAHPBA ๐Ÿ‡จ๐Ÿ‡ญin Lausanne Merci beaucoup @EmmanuelMelloul for the warm hospitality in the city of Olympic Games at @VisceralChuv ๐Ÿ”๏ธ
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So, this has been published by Elsevier as many already knowโ€ฆ ๐Ÿคทโ€โ™‚๏ธ

Nothing against the use of ChatAI per se butโ€ฆ what about the peer review process?!

๐Ÿค” Can the current system remain the same?! Thoughts ๐Ÿ’ญ?!

So, this has been published by @ElsevierConnect as many already knowโ€ฆ ๐Ÿคทโ€โ™‚๏ธ Nothing against the use of @_ChatAI_ per se butโ€ฆ what about the peer review process?! ๐Ÿค” Can the current system remain the same?! Thoughts ๐Ÿ’ญ?!
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Do you drain ๐Ÿ’ฆ a distal pancreatectomy?! ๐Ÿง

๐Ÿšจ Practice changing RCT The Lancet Gastroenterology & Hepatology ๐Ÿ‡ณ๐Ÿ‡ฑ ๐Ÿ‡ฎ๐Ÿ‡น 282 pts

โœ‹ NO drain better outcomes!

โฌ‡๏ธ Major Morbidity 15% vs. 20%
โฌ‡๏ธ POPF 12% vs. 27%

๐Ÿ‘‰Drainless DP new standard! ๐Ÿ‘ˆ

๐Ÿ†“ download ๐Ÿ‘‰sciencedirect.com/science/articlโ€ฆ

Do you drain ๐Ÿ’ฆ a distal pancreatectomy?! ๐Ÿง ๐Ÿšจ Practice changing RCT @LancetGastroHep ๐Ÿ‡ณ๐Ÿ‡ฑ ๐Ÿ‡ฎ๐Ÿ‡น 282 pts โœ‹ NO drain better outcomes! โฌ‡๏ธ Major Morbidity 15% vs. 20% โฌ‡๏ธ POPF 12% vs. 27% ๐Ÿ‘‰Drainless DP new standard! ๐Ÿ‘ˆ ๐Ÿ†“ download ๐Ÿ‘‰sciencedirect.com/science/articlโ€ฆ
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The new episode of Gastroenterology journal ๐Ÿ“ club is online!

๐Ÿ‘‰ youtu.be/Qkc4UmM7AGw?siโ€ฆ

๐ŸŽ™๏ธ The role for follow-up discontinuation in BD-IPMN ๐Ÿ‡

Thank you ๐Ÿ‡บ๐Ÿ‡ธ guys for having me!

The new episode of @AGA_Gastro journal ๐Ÿ“ club is online! ๐Ÿ‘‰ youtu.be/Qkc4UmM7AGw?siโ€ฆ ๐ŸŽ™๏ธ The role for follow-up discontinuation in BD-IPMN ๐Ÿ‡ Thank you ๐Ÿ‡บ๐Ÿ‡ธ guys for having me!
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Surveillance for BD-IPMN ๐Ÿ‡ latest evidence from literature included in Guidelines!

๐Ÿซง BD-IPMN < 2 cm and no WF ๐Ÿ‘‰ less frequent surveillance recommended

โœ‹ STOP surveillance after 5 years of stability considering life expectancy ๐Ÿ™ˆ

๐Ÿ†“ full text ๐Ÿ‘‰ sciencedirect.com/science/articlโ€ฆ

Surveillance for BD-IPMN ๐Ÿ‡ latest evidence from literature included in Guidelines! ๐Ÿซง BD-IPMN < 2 cm and no WF ๐Ÿ‘‰ less frequent surveillance recommended โœ‹ STOP surveillance after 5 years of stability considering life expectancy ๐Ÿ™ˆ ๐Ÿ†“ full text ๐Ÿ‘‰ sciencedirect.com/science/articlโ€ฆ
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Pancreatic cystic neoplasms ๐Ÿ‡ in Gastroenterology always a good news!

๐Ÿ” Incidentally discovered ๐Ÿ‘‰ Need proper assessment at baseline!

๐Ÿชก Surgery can be harm ๐Ÿ‘‰ Need for accurate patient selection!

๐Ÿ‘ด Follow-up until when ๐Ÿ‘‰ Need new for tools! > (๐Ÿงฌ)

gastrojournal.org/article/S0016-โ€ฆ

Pancreatic cystic neoplasms ๐Ÿ‡ in @AGA_Gastro always a good news! ๐Ÿ” Incidentally discovered ๐Ÿ‘‰ Need proper assessment at baseline! ๐Ÿชก Surgery can be harm ๐Ÿ‘‰ Need for accurate patient selection! ๐Ÿ‘ด Follow-up until when ๐Ÿ‘‰ Need new for tools! > (๐Ÿงฌ) gastrojournal.org/article/S0016-โ€ฆ
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Impact of a non-therapeutic laparotomy ๐Ÿ”ช in patients with locally advanced pancreatic cancer treated with induction (m)FOLFIRINOX

๐ŸŒŽ 600 explored / 28% laparotomy

๐ŸŸฐ Same overall survival / palliative chemo ๐Ÿ’‰

๐Ÿ‘ Exploration of LAPC after chemo

academic.oup.com/bjs/article/11โ€ฆ

Impact of a non-therapeutic laparotomy ๐Ÿ”ช in patients with locally advanced pancreatic cancer treated with induction (m)FOLFIRINOX ๐ŸŒŽ 600 explored / 28% laparotomy ๐ŸŸฐ Same overall survival / palliative chemo ๐Ÿ’‰ ๐Ÿ‘ Exploration of LAPC after chemo academic.oup.com/bjs/article/11โ€ฆ
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A great E-AHPBA masterclass ๐ŸŽ“ in pancreas with โญ๏ธ stellar faculty, amazing friends and โ€ฆwhat an hospitality from Jose Manuel Ramia ๐Ÿ‡ช๐Ÿ‡ธ!!!

And ๐Ÿš˜ I even got a personal NEJM certified driver for my trip Enrique de-Madaria ๐Ÿ˜œ โ€ฆ thank you!!!

A great @EAHPBA masterclass ๐ŸŽ“ in pancreas with โญ๏ธ stellar faculty, amazing friends and โ€ฆwhat an hospitality from @ramia34 ๐Ÿ‡ช๐Ÿ‡ธ!!! And ๐Ÿš˜ I even got a personal @NEJM certified driver for my trip @DeMadaria ๐Ÿ˜œ โ€ฆ thank you!!!
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Is there a microbiome ๐Ÿœ ๐Ÿ› ๐Ÿž in IPMN of the pancreas ๐Ÿ‡?!

๐Ÿงฌ 16S rRNA amplicon sequencing data of cyst fluid

๐Ÿซง No difference with negative controls

๐Ÿ›€ IPMN might represent a sterile environment - bacteria due to invasive procedures (FNA) ๐Ÿ™„

gut.bmj.com/content/early/โ€ฆ

Is there a microbiome ๐Ÿœ ๐Ÿ› ๐Ÿž in IPMN of the pancreas ๐Ÿ‡?! ๐Ÿงฌ 16S rRNA amplicon sequencing data of cyst fluid ๐Ÿซง No difference with negative controls ๐Ÿ›€ IPMN might represent a sterile environment - bacteria due to invasive procedures (FNA) ๐Ÿ™„ gut.bmj.com/content/early/โ€ฆ
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How are guidelines developed?! ๐Ÿง

We are here to help!!! ๐Ÿ˜‰

Join the ๐Ÿ†“ online course on my_UEG and stay tuned for MORE !!!

How are guidelines developed?! ๐Ÿง We are here to help!!! ๐Ÿ˜‰ Join the ๐Ÿ†“ online course on @my_ueg and stay tuned for MORE !!!
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Again on robot ๐Ÿคœ๐Ÿค› open pancreatoduodenectomy โ€ฆ ๐Ÿ‡ณ๐Ÿ‡ฑ nationwide PSM analysis

Median ๐Ÿค– experience 86 cases - 7% conversion

โฌ†๏ธ operative time butโ€ฆ
โฌ‡๏ธ blood loss, infections, hospital stay
โ†”๏ธ POPF, mortality

๐Ÿ‘‰ Minimum 20 RPD / year mortality 3%

academic.oup.com/bjs/article/11โ€ฆ

Again on robot ๐Ÿคœ๐Ÿค› open pancreatoduodenectomy โ€ฆ ๐Ÿ‡ณ๐Ÿ‡ฑ nationwide PSM analysis Median ๐Ÿค– experience 86 cases - 7% conversion โฌ†๏ธ operative time butโ€ฆ โฌ‡๏ธ blood loss, infections, hospital stay โ†”๏ธ POPF, mortality ๐Ÿ‘‰ Minimum 20 RPD / year mortality 3% academic.oup.com/bjs/article/11โ€ฆ
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