HIPEC in #Gastric#Cancer by Dr Brian Badgwell @UTMDAnderson#gicsm
Option: HIPEC, IP, PIPAC, NIPS
When? In select fit pts, CC-0 feasible:
Mets ✅ Early ❌
SACT 1st ✅
Good response ✅
PCI<7
Ascites ❌
✅ Data(low qual): CYTOCHIP, pooled data
❌ Data: GASTRIPEC, PERISCOPE
European Guidelines on Multidisciplinary Management of Obstructed Defecation Syndrome—ESCP, UEG, ESGAR, EAGEN, ESGENA, ESNM and ESPCG https://t.co/pH5vkE0oS2 @my_ueg
Recurrence and mortality after non-operative management of acute gallstone disease: nationwide registry study
➡️https://t.co/Pd3UqiWaho
Non-operative management of acute cholecystitis, cholangitis and biliary pancreatitis carries a risk of recurrence, and definitive surgery is often deferred in patients with comorbidity. This nationwide registry cohort study identifies 82 101 patients treated non-operatively for gallstone complications between 2006 and 2019, and applies competing risk models accounting for death from other causes. Cumulative recurrence at three years was 19.8% for cholecystitis, 23.0% for cholangitis and 22.5% for pancreatitis. The authors suggest that early cholecystectomy merits consideration in patients with an acceptable operative risk.
👏👏👏Maria Söderström, Olov Norlén, Fredrik Linder, Erik Osterman
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery #GeneralSurgery #EmergencySurgery #AcuteCare #HPBSurgery
للمهتمين بالبحث العلمي 📚
جهزت لكم ملخص شامل لجميع خطوات المراجعات المنهجية، مع مقاطع تعليمية ومصادر إضافية تحصلونها في الدرايف.
احفظوه راح تحتاجونه 🫡
https://t.co/pUq5S5Wabi
#BrainDeath, or death as determined by neurologic criteria, can be difficult for families to understand because patients may still have a pulse, warm skin, chest rise with mechanical ventilation, or reflexive movements.
💡 This JAMA Insights article discusses how simple, direct, and precise language may help clinicians communicate that brain death is legal death and reduce confusion during evaluation and determination.
https://t.co/kvk9HNkW88
"They clear the same anatomical area"
A rose by another name...
#PancreaticCancer#Pancreatoduodenectomy
Beyond East and West: Anatomical Convergence of Radical Dissection Techniques in Pancreatoduodenectomy - Faria‐Teixeira - ANZ Journal of Surgery - Wiley Online Library https://t.co/yiVtKvQW8k
After liver resection for colorectal metastases following neoadjuvant therapy, early recurrence occurred in 25.8% of low-risk patients versus 57.6% of high-risk patients, based on a combined anatomical and histologic response score. https://t.co/vR6V0yQBhv
Many clinicians still follow the old 2017 flowchart for GB polyps. ≥10mm = surgery.
Current evidence: We are performing TOO MANY cholecystectomies.
>95% of <15mm are pseudopolyps (cholesterolosis), not true adenomas.
1/5 🧵
#Surgery#MedTwitter#GallbladderPolyp
Excited to share our latest review in the @JournalofGISurg !
We explore the diagnosis and management of perforated and complicated cholecystitis
Grateful to our collaborators!
🔗 https://t.co/yeDd5Innhb