Ben Jugmohan

Devoted husband & proud father. South African hepato-biliary and gastro-intestinal surgeon. Founder of Sandton Surgery. o-0114637277, [email protected]

[Annals of Hepato-Biliary-Pancreatic Surgery @Journal_AHBPS]

Timing of laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreatography in cholelithiasis patients: A systematic review and meta-analysis
🌷https://t.co/aBKAW9i1Uv
2023 Aug;27(1) Napaphat Poprom
#Laparoscopic_cholecystectomy
#Cholelithiasis #Meta_analysis

[Shravan Sharad Nadkarni @OncoShravan]

🚨🚨🚨🚨🚨

Are you a pancreatic surgeon managing pancreatic cancers & complex postop issues?

Or enroute to be one?

This thread is for you!

🧵🧵🧵

Complications of the #Whipple operation & how best to manage them

#MedTwitter

#PancreaticCancerAwarenessMonth

@ISGPS_news

[Marc Besselink @MarcBesselink]

Whats happening with the volume and methodological quality of #RCTs in #Surgery ? @BJSurgery

🗝️ Volume past decade ↔️
🗝️ Methodological quality ⬆️ ✅
🗝️Absolute Volume ⬆️⬆️ in Asia, China 🇨🇳. Nr 2 🇺🇸, nr 3 🇯🇵, nr 4 🇳🇱
🗝️ Leading in Relative Volume 🇫🇮 🇳🇱, quality 🇬🇧 🇳🇱

Open Access: https://t.co/E4yVIXToN2
#surgery #SoMe4Surgery #trials #Research #EBM

[JAMA Surgery @JAMASurgery]

More familiar surgeon-anesthesiologist dyads can yield better outcomes for complex GI surgery: each surgery done together is associated with 5% lower odds of morbidity for the next patient. https://t.co/QLqtkQm2dm @HalletJulie @DrTonyEskander @propelresearch

[Hepatoma Research @HepatomaRes]

❗❗Hot off the press
✅Review: "Surgical management of intrahepatic cholangiocarcinoma" by Dr. Samantha M. Ruff and Dr. Timothy M. Pawlik

#icca #surgery #lymphadenectomy #meded

Feel free to read https://t.co/Z1tg5mq647 via @HepatomaRes

[S. George Barreto @sgeorgebarreto]

A Core set of Quality Performance Indicators for HPB Procedures: A Global Consensus for Hepatectomy, Pancreatectomy, and Complex Biliary Surgery. Led by J. Koea & B. Woodhouse (https://t.co/W41IPkJ8Hj @IHPBA @ksoreide @hpbsurgeon1 @HenryPittMD @jwindsor3

[Enrique de-Madaria @DeMadaria]

1/3
What is the definition of microlithiasis and biliary sludge?

Have a look at this consensus led by @JuliaMayerle @MZorniak @SimonSirtl @georg25985747
@Gut_BMJ
👇🏼👇🏼
https://t.co/0RlehJqnTf

[JAMA @JAMA_current]

Study findings support the use of piperacillin-tazobactam as perioperative antimicrobial prophylaxis for open pancreatoduodenectomy. https://t.co/vI0fBMTas5

[Giovanni Marchegiani @Gio_Marchegiani]

☀️ Sunday read of the day: Neoadjuvant therapy for PDAC

🥇 Surgery + adjuvant chemo most effective treatment. 5-year OS 30–50% can be expected

💉 Neoadjuvant increases resectability / survival in BR and LAPC

🧬 Personalized treatment needed ASAP

https://t.co/pWmnWZfo2s

[Syed A. Ahmad @SyedAAhmad5]

Should GDA involvement be considered borderline resectable for pancreas cancer?

⁦@AnnSurgOncol⁩ ⁦@IHPBA⁩ ⁦@DrJashDatta⁩ ⁦@NbmerchantMD⁩ ⁦@mkatzmd⁩ ⁦@TheNotoriousHPB⁩ https://t.co/WaylKalpCb

[Giovanni Marchegiani @Gio_Marchegiani]

Should ALL mucinous cystic neoplasms 🥑 of the pancreas be resected?! 🤔

Guidelines 🤜🤛 Meta Analysis 4k pts

😱 Malignancy 16%
🦀 Size 65 mm and mural nodules are predictors

👀 Surveillance has definelty a role in MCN, at least at 1st observation

https://t.co/3NR3waBheY

[Giovanni Marchegiani @Gio_Marchegiani]

Setting the standards 📐 of common bile duct and pancreatic duct

🌱 CBD up to 8 mm < 65 y/o and up to 11 mm in ≥65 y/o

🍡 PD diameters up to 3 mm in <65 y/o and up to 4 mm in ≥65 y/o

Landmark open access @Gut_BMJ paper 👏 kudos to authors ! 👉
https://t.co/hGEkfeVeRc

[Skye C. Mayo, MD, MPH @drymtn]

https://t.co/DicAqSxUr8 Thank you @JAMASurgery for giving @OHSUAnesthesia #BrandonTogioka & me the opportunity to reflect on recent work from @HalletJulie & colleagues https://t.co/vPCoSfhoeC studying the impact of the Surgeon-Anesthesiologist Dyad in complex GI Cancer Surgery

[Syed A. Ahmad @SyedAAhmad5]

When should mucinous cystic neoplasms of the pancreas be resected? ⁦@SurgJournal⁩ ⁦@SWexner⁩ ⁦@ZhiVenFongMD⁩ ⁦@motazqadan⁩ https://t.co/syxwBUT9qg

[AANZHPBA @ANZHPBAinc]

ANZHPBA JC paper #2
Liver Transplantation as a New Standard of Care in Patients With Perihilar Cholangio? Results From an Intl Benchmark Study

@JulieHeimbach @dewojt @dpfoley11 @Cfondevila @Eric_Vibert @stevenckim @ajl_md @imranjanwar @AnnalsofSurgery

https://t.co/iv4wV1hNIC

[Marc Besselink @MarcBesselink]

Two pancreatoduodenectomies on a single operating day by one team: efficient or risky?

Outcome in @amsterdamumc between 1st and 2nd PD per day comparable ✅ Also 1st/2nd PD comparable to a “standalone” PD ✅

(Note: single center, high volume, retrosp.) https://t.co/w9xgz5aioL

[Giovanni Marchegiani @Gio_Marchegiani]

Interrupted 🤜🤛 continuous suture technique for biliary-enteric anastomosis 🪡 a RCT

⌛️ Interrupted longer time (22 vs. 12 min)
🌱 Anastomosis equally safe

👩‍🎓 What is your practice!? Choosing depending on size !? How do you train residents?!

https://t.co/2pZVDyi1Jr

[Giovanni Marchegiani @Gio_Marchegiani]

Does management influence POPF 🐳 grade ?!

Basically by definition, it does 👍

🤨 should we now focus on optimal BL management ?!

Check out our bicentric analysis 🇮🇹 🇬🇧 on @SurgJournal

[Daniel Mahncke @MnkeDaniel]

This PDF is the most valuable investing resource of all time.

Most people won’t take the time to read it.

I understand, it can take months.

But it’s worth more than any MBA.

If you’re truly dedicated to learn investing, read it:

https://t.co/ypNv9QeUx9