Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile
Giovanni Marchegiani

@gio_marchegiani

Pancreas Surgeon @UniPadova 😷 @BJSOpen Editor 🗞️ @ISGPS_news Secretary 🎓 @YouppiePancreas Coordinator @EAHPBA board 🪡@MGHSurgery @PancreasVerona trained

ID: 948112554882199552

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

1,1K Tweet

10,10K Followers

699 Following

PANC-PALS (@panc_pals) 's Twitter Profile Photo

What a pleasure to host University of Padova PANC-PALS local PI, Giovanni Marchegiani, at our HQ this week! 💜 Great discussions followed by a drink by the East River 😎 #PANCPALS

What a pleasure to host University of Padova PANC-PALS local PI, <a href="/Gio_Marchegiani/">Giovanni Marchegiani</a>, at our HQ this week! 💜

Great discussions followed by a drink by the East River 😎

#PANCPALS
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

Hora est! 🎓 PhD cerimony in 🇳🇱 is just something different… with two ⭐️⭐️ like Ammar Asrar Javed, MD PhD 🇺🇸 and Joe Habib then it’s glorious! Thank you for having me in this fantastic IPMN journey between 🇺🇸 and 🇪🇺 Looking forward to the next steps (and to be as tall as Marc Besselink 😂)

Hora est! 🎓 PhD cerimony in 🇳🇱 is just something different… with two ⭐️⭐️ like <a href="/ammar_asrar/">Ammar Asrar Javed, MD PhD 🇺🇸</a> and Joe Habib then it’s glorious! 

Thank you for having me in this fantastic IPMN journey between 🇺🇸 and 🇪🇺

Looking forward to the next steps (and to be as tall as <a href="/MarcBesselink/">Marc Besselink</a> 😂)
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

🚨 FOLFIRINOX vs. GEM Nab Paclitaxel for LAPC 💉 171 pts median PFS 9 months better in FOLFIRINOX group 🎯 FOLFIRINOX improves PFS significantly compared with gemcitabine and is well tolerated in LAPC 🔥ascopubs.org/doi/10.1200/JC…

🚨 FOLFIRINOX vs. GEM Nab Paclitaxel for LAPC 

💉 171 pts median PFS 9 months better in FOLFIRINOX group 

🎯 FOLFIRINOX improves PFS significantly compared with gemcitabine and is well tolerated in LAPC

🔥ascopubs.org/doi/10.1200/JC…
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

Turning ambitious ideas 💡 into reality with Livia Archibugi my_UEG and EPC-Europ Pancr Club !!! 🟢 The quality indicators in pancreas cancer project is now up and running.. to elevate the level of care in Europe and beyond! Thank you to all the amazing experts for participating! 🚀

Turning ambitious ideas 💡 into reality with <a href="/ArchibugiLivia/">Livia Archibugi</a> <a href="/my_ueg/">my_UEG</a>  and <a href="/EurPancClub/">EPC-Europ Pancr Club</a> !!!

🟢 The quality indicators in pancreas cancer project is now up and running.. to elevate the level of care in Europe and beyond! 

Thank you to all the amazing experts for participating! 🚀
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

🔵 Surgery for chronic pancreatitis across Europe 🇪🇺 22 centres in 13 countries 🪡 200 surgeries 💊 50% did opiod before 🤒 14% major morbidity / 1.4% mortality 👍 Pain relieved 72% 😎 Reported good pain relief and improvements in quality-of-life academic.oup.com/bjs/article/11…

🔵 Surgery for chronic pancreatitis across Europe 🇪🇺 22 centres in 13 countries

🪡 200 surgeries 💊 50% did opiod before 

🤒 14% major morbidity / 1.4% mortality 
👍 Pain relieved 72%
😎 Reported good pain relief and improvements in quality-of-life

academic.oup.com/bjs/article/11…
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

Anatomically resectable 🆚 biologically borderline PDAC 🩻 886 pts with identical imaging appearance 🪡 With upfront surgery 🧪 Biologically BR had worse DSS (54 vs. 27 months) ✌️different entities ✌️different approaches academic.oup.com/bjsopen/articl…

Anatomically resectable 🆚 biologically borderline PDAC 

🩻 886 pts with identical imaging appearance 

🪡 With upfront surgery 🧪 Biologically BR had worse DSS (54 vs. 27 months) 

✌️different entities ✌️different approaches 

academic.oup.com/bjsopen/articl…
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

✂️ Arterial resection and divestment 🔟 year comparative study 🇯🇵 Analysis of 200 PDAC + artery 👗 Divestment (120 cases) most used in first 5 years 🎖️Last 5 years ⬆️ Neoadjuvant chemo + resection ⬇️ complications 👍 academic.oup.com/bjsopen/articl…

✂️ Arterial resection and divestment 🔟 year comparative study 

🇯🇵 Analysis of 200 PDAC + artery 

👗 Divestment (120 cases) most used in first 5 years

🎖️Last 5 years ⬆️ Neoadjuvant chemo + resection ⬇️ complications 👍 

academic.oup.com/bjsopen/articl…
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

Postop ⬆️ amylasemia and acute pancreatitis 🧪 systematic review and meta analysis 🐳 POH predicts POPF ⚡️ PPAP causes POPF, DGE, PPH and mortality 👉 Check amylase early and get ready to mitigate 🧯postop complications! sciencedirect.com/science/articl…

Postop ⬆️ amylasemia and acute pancreatitis 🧪 systematic review and meta analysis 

🐳 POH predicts POPF 

⚡️ PPAP causes POPF, DGE, PPH and mortality

👉 Check amylase early and get ready to mitigate 🧯postop complications! 

sciencedirect.com/science/articl…
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

🚨 From ASCO 2025 👉 Preop chemo with PAXG 🆚 mFOLFIRINOX for extending event-free survival (EFS) in resectable or BR PDAC (phase 3 CASSANDRA trial) 🆙 PAXG 3-year EFS 31% vs. 13% P = .003 🫸 Immature analysis for survival but.. future practice changing?! 🧐

🚨 From <a href="/ASCO/">ASCO</a> 2025 

👉 Preop chemo with PAXG 🆚 mFOLFIRINOX for extending event-free survival (EFS) in resectable or BR PDAC (phase 3 CASSANDRA trial)

🆙 PAXG 3-year EFS 31% vs. 13% P = .003

🫸 Immature analysis for survival but.. future practice changing?! 🧐
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

IPMN 🍇 without HRS and long term risk of cancer development 🇯🇵 2.5k pts > 5 years surveillance 🫧 IPMN size and growth predict cancer within 5 years 🤏 MPD diameter at 5 years predicts cancer after 5 years gut.bmj.com/content/74/6/9…

IPMN 🍇 without HRS and long term risk of cancer development 

🇯🇵 2.5k pts &gt; 5 years surveillance

🫧 IPMN size and growth predict cancer within 5 years

🤏 MPD diameter at 5 years predicts cancer after 5 years 

gut.bmj.com/content/74/6/9…
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

☘️ We are ready to welcome 🤗 you in Dublin 🇮🇪 for a glorious E-AHPBA 2025!!! Stay tuned for 4 days of science, surgery and friendship!

☘️ We are ready to welcome 🤗 you in Dublin 🇮🇪 for a glorious <a href="/EAHPBA/">E-AHPBA</a> 2025!!! 

Stay tuned for 4 days of science, surgery and friendship!
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

🔥 Hot takes from E-AHPBA 2025 🇮🇪 🇳🇴 Knut Jørgen Labori on resectable PDAC - reflections after the NORPACT trial 🚨 Which are the non surgical elements of neoadjuvant chemo?! How do they affect our practice ?! 🧐 Very thoughtful one!

🔥 Hot takes from <a href="/EAHPBA/">E-AHPBA</a> 2025 🇮🇪 

🇳🇴 <a href="/knutjla/">Knut Jørgen Labori</a> on resectable PDAC - reflections after the NORPACT trial 

🚨 Which are the non surgical elements of neoadjuvant chemo?! How do they affect our practice ?!

🧐 Very thoughtful one!
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

🔥 Hot takes from E-AHPBA 2025 🇮🇪 🇳🇱 Bas Groot Koerkamp on the challenges of BR and LA PDAC 💉 How long should chemo be delivered for?! When to consider a chemoswitch?! 🟰 No Benefit (yet) of Folfirinox over GEM-Nab in survival 🧪 If CA19.9 not meaningful consider FdgPET

🔥 Hot takes from <a href="/EAHPBA/">E-AHPBA</a> 2025 🇮🇪

🇳🇱 <a href="/BasGrootKoerkam/">Bas Groot Koerkamp</a> on the challenges of BR and LA PDAC

💉 How long should chemo be delivered for?! When to consider a chemoswitch?! 

🟰 No Benefit (yet) of Folfirinox over GEM-Nab in survival 

🧪 If CA19.9 not meaningful consider FdgPET
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

🔔 The new European Multi-societal Guidelines on pancreas cancer have reached now an advanced status and will be finalized soon 3️⃣0️⃣ Societes under the auspices of E-AHPBA and #ESSO 3️⃣9️⃣ evidence based recommendations 👏 To the amazing young doctors and Phds involved!!!

🔔 The new European Multi-societal Guidelines on pancreas cancer have reached now an advanced status and will be finalized soon 

3️⃣0️⃣ Societes under the auspices of <a href="/EAHPBA/">E-AHPBA</a> and #ESSO 3️⃣9️⃣ evidence based recommendations 

👏 To the amazing young doctors and Phds involved!!!
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

My invited talk at E-AHPBA 2025 🇮🇪 was about IPMN 🍇 and related carcinoma A very slippery 🧽 topic!!! Indeed 2️⃣ different entities in 1️⃣… IPMN derived cancer follow distinct 🧬 pathways 🆚 conventional PDAC but are way less explored (NOT a single RCT) 👉 knowledge gap!

My invited talk at <a href="/EAHPBA/">E-AHPBA</a> 2025 🇮🇪 was about IPMN 🍇 and related carcinoma 

A very slippery 🧽 topic!!!

Indeed 2️⃣ different entities in 1️⃣… 

IPMN derived cancer follow distinct 🧬 pathways 🆚 conventional PDAC but are way less explored (NOT a single RCT) 👉 knowledge gap!
Liudmyla Pererva (@liudmylapererva) 's Twitter Profile Photo

Fantastic report on the hot topic 🔥 by the unrivaled Giovanni Marchegiani! Valuable insights from the top expert on IPMN 💯🔝💡! Truly impressive, as expected 💪🏼!!! E-AHPBA #EAHPBA2025 #EAHPBA25 #EAHPBA #PancreaticCancer #IPMN #PancreaticSurgery

Fantastic report on the hot topic 🔥 by the unrivaled <a href="/Gio_Marchegiani/">Giovanni Marchegiani</a>!

Valuable insights from the top expert on IPMN 💯🔝💡!

Truly impressive, as expected 💪🏼!!!

<a href="/EAHPBA/">E-AHPBA</a>

#EAHPBA2025 #EAHPBA25 #EAHPBA #PancreaticCancer #IPMN #PancreaticSurgery
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

✨ Highlights from JSHBPS2025 第37回日本肝胆膵外科学会学術集会 🇯🇵 🎙️ Inspiring YosukeInoueHPB on Central Vascular ligation in PD 🌿 SMA is approached from both 👉 right and 👈 left side 🔪 Open approach right anterior 🤖 Robot approach left posterior 🤯 Absolute masterclass of surgical oncology 👏

✨ Highlights from <a href="/jshbps2025/">JSHBPS2025 第37回日本肝胆膵外科学会学術集会</a> 🇯🇵 

🎙️ Inspiring <a href="/YosukeInoueHPB/">YosukeInoueHPB</a> on Central Vascular ligation in PD

🌿 SMA is approached from both 👉 right and 👈 left side 

🔪 Open approach right anterior
🤖 Robot approach left posterior 

🤯 Absolute masterclass of surgical oncology 👏
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

You just can’t stop learning from Japanese surgeons 🇯🇵 !!! 🫀Meticulous anatomy study + 🪡 outstanding surgical technique… what else?! 🙏 Thank you JSHBPS2025 第37回日本肝胆膵外科学会学術集会 for such an amazing human and professional experience

You just can’t stop learning from Japanese surgeons 🇯🇵 !!!

🫀Meticulous anatomy study + 🪡 outstanding surgical technique… what else?! 

🙏 Thank you <a href="/jshbps2025/">JSHBPS2025 第37回日本肝胆膵外科学会学術集会</a> for such an amazing human and professional experience
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

🚨 New Impact Factors for HPB surgery science are out! 🚨 🥇JAMA Surgery 14.9 🥈BJS 8.8 🥉Annals of Surgery 6.4 And following… ⭐️ BJS Open 4.5 Ann Surg Oncol 3.5 JACS 3.4 EJSO 2.9 Surgery 2.7 Surg Endosc 2.7 WJS 2.5 HPB 2.4 Langenbeck’s 1.8 Thanks Ville Sallinen 🏆

🚨 New Impact Factors for HPB surgery science are out! 🚨 

🥇JAMA Surgery 14.9
🥈BJS 8.8
🥉Annals of Surgery 6.4

And following… 

⭐️ BJS Open 4.5

Ann Surg Oncol 3.5
JACS 3.4
EJSO 2.9
Surgery 2.7
Surg Endosc 2.7
WJS 2.5
HPB 2.4
Langenbeck’s 1.8

Thanks <a href="/villesallinen/">Ville Sallinen</a> 🏆