Kevin J. Chan

Upper Gastrointestinal | Bariatric Surgeon Clinical interest: Reflux, Hiatus Hernia, Achalasia, Oesophagogastric oncology, Metabolic Surgery

[RACSurgeons @RACSurgeons]

A quick thank you to everyone involved in this week. It might be time to head back to Melbourne for me - but it’s been an absolute pleasure and privilege running socials and can’t wait to see you all again soon! #RACS22

[Kevin J. Chan @DrKevinJChan]

Informative and thought provoking keynote lecture on “Improving quality & safety in Bariatric surgery”.

Thanks @AmirGhaferi

#RACS22 #ASC22

[Kevin J. Chan @DrKevinJChan]

Thank you @YJanjigianMD for the great overview on updates in systemic therapy for oesophagogastric cancer.

The one plus of the pandemic is that we can engage with experts on the other side of the globe thru virtual meetings.

#ASC22 #RACS22

[Kevin J. Chan @DrKevinJChan]

Great opening day to the Brisbane #ASC22 #RACS22. Inspiring talks from @smgriffin3. Glad he could make the trip down under!

[Obesity Surgery Journal @JournalObesity]

@IfsoSecretariat position statement on role of upper endoscopy before and after #BariatricSurgery in open access: https://t.co/6uXsWqyx8K

[Kevin J. Chan @DrKevinJChan]

Conversion of OAGB to RYGB for refractory bile reflux. 32 (1.2%) of 2780 patients required conversion with only 2 having persistent reflux. Rare complication that can be safely managed.

#bariatricsurgery #bilereflux #reflux #OAGB #RYGB @JournalObesity

https://t.co/1QWf8vbb5X

[Kevin J. Chan @DrKevinJChan]

Long-term follow-up of obese patients undergoing anti-reflux surgery. No difference in short-term results, but worse long-term control of reflux. Should consider RYGB in this cohort of patients.

https://t.co/nIY0IP2a4B

#UGI #Reflux #GORD #GERD #bariatricsurgery #RYGB

[Kevin J. Chan @DrKevinJChan]

Retrospective review showing 30% incidence of recurrent biliary event if no elective cholecystectomy after percutaneous cholecystostomy.

If medically fit and recovered from acute episode, should be offered cholecystectomy.

#lapchole #cholecystectomy #gallbladder #percchole

[Journal of Gastrointestinal Surgery (JoGS) @JournalofGISurg]

Institutional analysis by Hung et al describing the natural history for patients with percutaneous cholecystostomy, risks for biliary events and mortality

https://t.co/en2Zntkh3p

@JournalofGISurg @SSATNews @timpawlik @HodinRichard @heatheryeomd

[RACSurgeons @RACSurgeons]

Unprecedented times call for unprecedented measures - read about #COVID19 and the impact on surgical training in Australia in the latest edition of #SurgicalNews: https://t.co/FA7RQtDx9y

[Kevin J. Chan @DrKevinJChan]

Lap band erosion is a known complication of gastric banding.

Symptoms can include vomiting, upper abdo pain, port site infections, loss of restriction and weight regain.

#ugi #bariatricsurgery #lapband #lapbanderosion

[Kevin J. Chan @DrKevinJChan]

Closure of mesenteric defects post RYGB reduces the risk of internal hernias.

I routinely close Petersen defect and the enteroenterostomy mesenteric defect to prevent this serious complication. You?

#ugi #bariatricsurgery #rygb ⁦@JournalObesity⁩ https://t.co/tWzCWjSJbt

[Kevin J. Chan @DrKevinJChan]

~40% sleeve gastrectomy specimens are H. Pylori positive. Post-op improvement in GERD / dyspepsia symptoms with eradication.

Is pre-op endoscopy considered essential??

#bariatricsurgery #reflux #GORD ⁦@JournalObesity⁩ https://t.co/tBaWwDUfA3

[Kevin J. Chan @DrKevinJChan]

An update on 👉🏻 Giant hiatus hernias and reflux.

https://t.co/b9KItYNmGv

#hiatushernia #gianthiatushernia #UGI #GORD #GERD #reflux

[Kevin J. Chan @DrKevinJChan]

Suffering from reflux? To find out more about reflux & hiatus hernias, click on this link 👉 https://t.co/9BtSGODFxZ

# UGI #reflux #hiatushernia #herniasurgery

[Kevin J. Chan @DrKevinJChan]

Giant hiatus hernia and left atrial compression. Repairing the hernia improves exercise capacity. #hiatushernia #UGI #reflux

@JACCJournals

https://t.co/LApgZ4fcvk

[RACSurgeons @RACSurgeons]

Latest #COVID19 update – Statements on the reintroduction of #electivesurgery, guidelines, webinars, #COVID19 tracing app in Australia and more.

Full update: https://t.co/kAZ9QWBwHE

[Brittany K. Bankhead MD @BBankheadMD]

For @AnnalsofSurgery:
GI manifestations of #COVID19

•141 ICU pts at MGH
•74% with a GI complication
•Incl: severe ileus, Ogilvie’s, non-classic mesenteric ischemia

#medtwitter #SoMe4Surgery @MGHSurgery @AcademicSurgery @SAGES_Updates
Team @TraumaMGH

[BJS @BJSurgery]

#EarlyView BJS #SystematicReview receiving a lot of attention in the media and on #SoMe4Surgery:

"Role of #bariatricsurgery in reducing the risk of colorectal cancer: a #metaanalysis" - @altmetric of 100!

🔗https://t.co/yRFW7nnUFg

[SOARD Journal @SOARD_JOURNAL]

Marginal ulcers after laparoscopic Roux-en-Y gastric bypass:
incidence of 10.8% ; Smoking at every intensity is associated with an extraordinary risk of MU formation after LRYGB and therefore. #obsmuk #soard20 #bariatricsurgery #obesity
https://t.co/1KV1FUnGEg

[DrTamerBaki @Tamerbaki]

OUTCOME OF IDIOPATHIC INTRACRANIAL HYPERTENSION FOLLOWING LAPAROSCOPIC... https://t.co/utb6spebaB @ASMBS @SOARD_JOURNAL my article ; looking at a new subset of patients that we very rarely encounter.