Early postoperative risk stratification in patients with pancreatic fistula after pancreaticoduodenectomy surgjournal.com/article/S0039-… Sarah Powell-Brett Alessio Marchetti MD Giampaolo Perri Prof Keith Roberts Giovanni Marchegiani Robert Sutcliffe Steven D Wexner MD, PhD Julio Mayol Syed A. Ahmad Shimul A. Shah #SoMe4Surgery

Predict Pancreatic Fistula 🐳 using only preoperative data and Machine Learning 🤖 🇺🇸 ACS-NQIP American College of Surgeons 9k whipples 4 models identified 🔝 predictors as BMI, 🤏 small duct, NO chemo / adenocarcinoma 👏 Great tool, when would you apply it ?! 🧐 link.springer.com/article/10.124…

NOW OF: In the final 10-yr survival analysis of the OVHIPEC-1 ph 3 RCT of cytoreductive surgery w/o vs w/ HIPEC in pts with adv ovarian cancer, median PFS was 10·7 months (95% CI 9·6–12·0) vs 14·3 months (12·0–18·5); HR 0·63 [95% CI 0·48–0·83], p=0·0008). thelancet.com/journals/lanon…

#TraineeTuesdays Retrospective analysis of the HART trial data found that incisional hernia rates at 1 year were greater when abdominal closure was performed by trainees. #SoMe4Surgery🧐 Jared Torkington

Funny week 🌟 data showing better outcomes with female surgeons 😱 president of the RCS implies that women get easier cases 🧐 data showing shocking sexual assault stats in surgery 🤦🏻‍♀️ The Times and The Sunday Times gives validity to old bloke saying it's all banter and put up Women in Surgery

Our PERFECT trial finally out in The Lancet ! Pragmatic Nordic 🇫🇮🇳🇴 multicenter RCT comparing appendectomy within 24h versus 8h. 1803 patients! No difference in rate of perforated appendicitis (9% vs 8%). 👉 Allows to postpone appendectomy to daytime. authors.elsevier.com/a/1hluDV-4XL3R-

Presentation Bingo

Great work from Lewis Hall, Picking up prizes AUGIS Exciting trial incoming *PHAGOS* 🔪 metabolomic surgery and oesophagogastric resection 🤔 ? true incidence of PEI 💊 could PERT be beneficial Sheraz Markar Tom Wiggins Prof Keith Roberts James Halle-Smith

Looking forward to seeing these in print, and delighted with the dietetic content with Sinead Duggan

Can we get a drumroll please?! 🥁🥁🥁 It is indeed that time of the year again! ASiT is proud to present you our Swann-Morton #SilverScalpel 2024 nominees! 👏🏻👏🏽👏🏿

Guy's and St Thomas' Chelsea and Westminster Hospital Portsmouth Hospitals University NHST Our next nominee for the #SilverScalpel 2024 award is a Consultant Colorectal and Paediatric Surgeon at Birmingham Heartlands Hospital - we present to you Mr Mark Dilworth! 👏 #NoTrainingToday #NoSurgeonsTomorrow has never been more true 🎯

Sarah Powell-Brett presenting her research on novel diagnostic test in PEI. Very exciting data after lots of hard work. Absolute pleasure to have supervised her PhD. Thank you

Investigating less recognised causes of PEI 🥳 Excellent output from an iBSc with Prof Keith Roberts 👏 Lewis Hall. More to come.

Great to see this out there, 💩 PEI after non pancreatic UGI surgery. ⬆️ Especially BPD/DS or gastrectomy 💊 Improvements with PERT 🧐 Should we be treating Lewis Hall Prof Keith Roberts Sheraz Markar Tom Wiggins James Halle-Smith academic.oup.com/bjs/advance-ar…

Pancreatic exocrine insufficiency 💊 after non pancreas upper GI surgery - meta analysis Incidence 3️⃣6️⃣ % 😳 Most patients (80%) responding positively to pancreatic enzyme replacement 🇮🇹 Of note there is currently a shortage of enzymes in Italy 😰 academic.oup.com/bjs/advance-ar…

Neoadjuvant FOLFIRINOX 🤜🤛upfront surgery for resectable pancreatic cancer NORPACT-1 out 🔥 now The Lancet Gastroenterology & Hepatology 📈 Median OS 25 vs. 38 months and resection rate did not differ 💉 60% neoadjuvant group had severe adverse event 🚨 🫵Comments?🧐 👉 sciencedirect.com/science/articl…