Alice Cattelani MD

General Surgery Resident @PancreasVerona 😷 @UniVerona @my_ueg

[BJS Open @BjsOpen]

Drain management after pancreatoduodenectomy: risk-stratified dynamic algorithm
➡️https://t.co/u8ORxSJqWh

This multicentre study of 788 patients undergoing pancreatoduodenectomy (PD) evaluates the reliability of drain fluid amylase (DFA) as a predictor of postoperative pancreatic fistula among high-risk (HR) and non-HR-PD. We found that, whereas early drain removal guided by DFA and serum enzymes is safe in non-HR-PD, DFA accuracy is reduced in HR-PD until postoperative day 5, when combined DFA and C-reactive protein levels allow safe drain removal. These findings support a dynamic, risk-based drain management protocol tailored to pancreatic fistula risk.

👏👏👏@Giampaolo_Perri , @BannoneElisa , @iisifrigerio , Riccardo Pellegrini , Martina Guerra , Roberta Vella , @CattelaniAlice , Elvira Adinolfi , @prof_cillo , @pancreassurg , @Gio_Marchegiani
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #some4hpb #some4tpl @hpb_so #PancreaticCancer #PancreaticSurgery @YouppiePancreas @German_PancClub @surgery_hps #PancreasClub2023 @PancreasClub @DPCG_official @pancreatitis_nl @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe

[Pancreas Verona @PancreasVerona]

🥂Congratulations on your certification in surgery! @naomi__in @angenepi @alessiasci1993 @cattelanialice @gaetanocorvino2 @alemarche055 @RM_montorsi @crovetto_a @gio93tomson @tommi_olio After 5 years of residency, it’s your time to shine ✨

[Roberto Maria Montorsi @R_Montorsi]

🧪 ICG reveals what we cannot see 🔍

💚 Bright stump = safe
🖤 Dark stump = POPF danger zone 🚧

📊 OR 8.83 — not a small number! 🧨

🚨 High-quality studies are urgently needed ‼️

🤝 Promising results are born from multicenter collaboration 🔗

https://t.co/uLltMYPto1

[Giovanni Marchegiani @Gio_Marchegiani]

🔔 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 @EAHPBA and #ESSO 3️⃣9️⃣ evidence based recommendations

👏 To the amazing young doctors and Phds involved!!!

[Giovanni Marchegiani @Gio_Marchegiani]

🪐 The REDISCOVER Guidelines for BR and LA PDAC - part 2 🚀

💡 Unanswered questions / future perspectives include

🥀 Resection of SMA !?
🧐 Management of LA PDAC in unfit for chemo / elevated CA 19.9
💉 Numbers of chemo cycles
💥 Ablation therapies role

https://t.co/zm6UBBe9yj

[Giovanni Marchegiani @Gio_Marchegiani]

Postoperative Hyperamilasemia (POH) 🧪 is an early predictor od POPF after distal pancreatectomy

🇮🇹🇸🇪🇳🇴 1.2 k DP - POH 18% / POPF 29%

🐳 POPF doubled once POH diagnosed (46%)

🧑‍🔬 POH early predicts POPF severity and additional morbidity / mortality

👉https://t.co/K4zWKyeOkZ

[AISP @AISP_Pancreas]

E tu cosa puoi fare ?! 🤨

In realtà tutti possiamo fare tanto!!! 😎 aiutaci a costruire assieme un futuro migliore, aiuta la ricerca!!! 🌳

Scopri di più su @Valsecchifdn e https://t.co/JHgKqdvHA2

🪻Insieme possiamo fare la differenza!!!

[Giovanni Marchegiani @Gio_Marchegiani]

Postoperative acute pancreatitis (PPAP) any role for protease inhibitors 🧯 as a mitigation strategy?!

↔️ Propensity score matching analysis

🙅‍♂️ No role for gabexate mesylate once postop iper amylasemia (POH) occurs

👩‍🚒 so… how to mitigate POH?!

👉https://t.co/nhrlKnTzlf

[Alessio Marchetti MD @alemarche055]

Protease inhibitors ineffective to prevent PPAP

🚨Need for new ⚒️ to 🚿 POH and prevent PPAP

👉 https://t.co/xnEsF6N68w

[EPC-Europ Pancr Club @EurPancClub]

The Italian delegation is on fire 🔥 at #EPC2023 🇮🇹 @AISP_Pancreas

[Giovanni Marchegiani @Gio_Marchegiani]

🧨 Risk models for pancreatic cyst diagnosis 🍇

🩻 Clinical decision-making still based mostly on morphology 🙄

Correct identification 🧐 of malignancy-associated characteristics ⬇️ significant diagnostic errors

Biomarkers will optimize risk models 🧬

https://t.co/83wkVxaOaW

[IHPBA @IHPBA]

📢Meet your #IHPBAECG Leadership Council

We round up our introductions with the fellowship representative:

@Giampaolo_Perri
a clinical fellow @HpbKarolinska in Stockholm 🇸🇪

[Giovanni Marchegiani @Gio_Marchegiani]

❓ How to feed a patient once POPF develops ❓

📸 Prospective snapshot of current practice 300 PD

🐳 80% of POPF treated with combination of TPN and EN for a median of 30 days

😱 Standardization of POPF nutrition routes urgently needed

🆓 full text 👉https://t.co/jEGFKJemZ4

[Alice Cattelani MD @CattelaniAlice]

STAF meeting in Bologna, great experience 🙌🏻 @StafMembers @GuiDeS81 @Alessiasci1993 @Giulieeeett @Maki_vaccaro

[Alessia Scirpoli @Alessiasci1993]

Great talks in Bologna with STAF!Many interesting discussions from residents and young specialists about the emergency and the trauma surgery such as inspiration to build a multidisciplinary team-work!Here you see @CattelaniAlice discussing to improve surgery residents’ educatio

[Giovanni Marchegiani @Gio_Marchegiani]

Less than 4 years after his pancreas cancer surgery our biker Adamo is back in business 🏍️ …

… and he is pushing us over the next finish line 🏁!!!

🕵️ Can you spot the @PancreasVerona logo !?

[Giovanni Marchegiani @Gio_Marchegiani]

🍾 What a gathering of the @ISGPS_news and @EAHPBA in Athens today !!!

🎶 Loads of inspiring lectures and discussions

🩸 Happy for giving my two cents to the discussion about intraoperative blood loss... we're still far away from proper standardization!!!

[ISGPS @ISGPS_news]

And the night continues with a pancreas blues 🎶….

[ISGPS @ISGPS_news]

We are almost ready to host a very special event in Athens 🇬🇷 on November 19th

Stay tuned for more!

[Giovanni Marchegiani @Gio_Marchegiani]

🦓 Surgery for multiple insulinoma of the pancreas in a 20 y/o patient with MEN

☢️ 1 lesion in the head, 2 body tail

🦯 MPD stent placed endoscopically before surgery to secure duct

🧀 Deep enucleation + spleen preserving distal pancreatectomy

👉https://t.co/45DfF0A5Et

[Giovanni Marchegiani @Gio_Marchegiani]

🥇@EAHPBA gold course in HPB Surgery debate

Main duct dilation 🤜🤛 main duct IPMN : not always the same entity!

🕵🏻‍♂️ If no other features, remember misdiagnosis (chronic pancreatitis)

📏 Duct size not always predictor in surveilled cases

Read more 👉https://t.co/yeByB2n5Vo