Surveillance of IPMN 🍇 based on competing risk analysis

👴 Age 🏥 Comorbidities 🫧 Relevant changes

🔴 75 y/old + CACI > 3 predict malignancy BUT ... death for any cause was 15% !!!

👗 Surveillance should be accordingly taylored

🆓 read 👉 gut.bmj.com/content/early/…

The EDS my_UEG postgraduate course is always a real blast 💥 🇵🇹

👩‍🎓🧑‍🎓A massive Università di Padova delegation and even the best poster award for our Riccardo Pellegrini … I am so proud 🥹

🧧 'Teacher open the door, you enter by yourself' 🐉

Thank you, China!

Every year we perform countless MRI/MRCP for IPMNs 🍇…

☢️ Can we use a short protocol for their surveillance?! 🤷‍♂️

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

🆓 link to paper 👉sciencedirect.com/science/articl…

🔪 A whipple is not a whipple without Henle’s trunk 🪵 identification…

👉Do you know all its variants ?! 👈

🎯 Check them all out here !!! … and have a great (and safe) next whipple you all!!!

God save the ... spleen! 🫘

Distal Pancreatectomy for body PDAC: is Splenectomy necessary? 🧐

🇫🇷 PSM analysis spleen preserving had ⬇️ harvested LN but ...

🐳 Less POPF and CCI
🪽 Same risk recurrence / survival

link.springer.com/article/10.124…

I have never seen so many YOUNG HPB surgeons as at AICEP E-AHPBA 🇮🇹 😳!!!

The future of our surgery looks finally bright, indeed! 💫

Thank you for these special days, and congrats to Gaetano Corvino for winning the Robot 🤖 contest (@HoggNDMD you should be proud 🥹…)

A neglected though fundamental topic in pancreas cancer and surgical oncology: 👉 palliative surgery 👈

👘 Palliative derives from Latin “pallium” meaning “cape” aimed at protecting

🙏 Alleviate symptoms in patient with serious, life-limiting illness

academic.oup.com/bjs/article-ab…

💥 Pancreas2000 Course 🔟 that’s a wrap 💥

At the stunning ChampalimaudF 🇵🇹 for an inspiring last meeting with top notch faculty and mentees.

The future of pancreatology is in good hands! 🙌

… see you at EPC-Europ Pancr Club in Santiago 🇪🇸!!!

Celebrating 🎉 the brand new Swiss chapter of E-AHPBA 🇨🇭in Lausanne

Merci beaucoup Emmanuel Melloul for the warm hospitality in the city of Olympic Games at Visceral CHUV 🏔️

So, this has been published by Elsevier as many already know… 🤷‍♂️

Nothing against the use of ChatAI per se but… what about the peer review process?!

🤔 Can the current system remain the same?! Thoughts 💭?!

Do you drain 💦 a distal pancreatectomy?! 🧐

🚨 Practice changing RCT The Lancet Gastroenterology & Hepatology 🇳🇱 🇮🇹 282 pts

✋ NO drain better outcomes!

⬇️ Major Morbidity 15% vs. 20%
⬇️ POPF 12% vs. 27%

👉Drainless DP new standard! 👈

🆓 download 👉sciencedirect.com/science/articl…

The new episode of Gastroenterology journal 📝 club is online!

👉 youtu.be/Qkc4UmM7AGw?si…

🎙️ The role for follow-up discontinuation in BD-IPMN 🍇

Thank you 🇺🇸 guys for having me!

Surveillance for BD-IPMN 🍇 latest evidence from literature included in Guidelines!

🫧 BD-IPMN < 2 cm and no WF 👉 less frequent surveillance recommended

✋ STOP surveillance after 5 years of stability considering life expectancy 🙈

🆓 full text 👉 sciencedirect.com/science/articl…

Pancreatic cystic neoplasms 🍇 in Gastroenterology always a good news!

🔍 Incidentally discovered 👉 Need proper assessment at baseline!

🪡 Surgery can be harm 👉 Need for accurate patient selection!

👴 Follow-up until when 👉 Need new for tools! > (🧬)

gastrojournal.org/article/S0016-…

Impact of a non-therapeutic laparotomy 🔪 in patients with locally advanced pancreatic cancer treated with induction (m)FOLFIRINOX

🌎 600 explored / 28% laparotomy

🟰 Same overall survival / palliative chemo 💉

👍 Exploration of LAPC after chemo

academic.oup.com/bjs/article/11…

A great E-AHPBA masterclass 🎓 in pancreas with ⭐️ stellar faculty, amazing friends and …what an hospitality from Jose Manuel Ramia 🇪🇸!!!

And 🚘 I even got a personal NEJM certified driver for my trip Enrique de-Madaria 😜 … thank you!!!

Is there a microbiome 🐜 🐛 🐞 in IPMN of the pancreas 🍇?!

🧬 16S rRNA amplicon sequencing data of cyst fluid

🫧 No difference with negative controls

🛀 IPMN might represent a sterile environment - bacteria due to invasive procedures (FNA) 🙄

gut.bmj.com/content/early/…