
Sarah Powell-Brett
@DrSfpb
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Gen Surg SpR West Midlands, currently OOP HPB research fellow with @unibirmingham @uhbtrust, clinging onto vague semblance of a life #backcounty
Joined May 2013
Neoadjuvant FOLFIRINOX ๐ค๐คupfront surgery for resectable pancreatic cancer NORPACT-1 out ๐ฅ now @LancetGastroHep ๐ Median OS 25 vs. 38 months and resection rate did not differ ๐ 60% neoadjuvant group had severe adverse event ๐จ ๐ซตComments?๐ง ๐ https://t.co/zhikhG8XQN
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Pancreatic exocrine insufficiency ๐ after non pancreas upper GI surgery - meta analysis Incidence 3๏ธโฃ6๏ธโฃ % ๐ณ Most patients (80%) responding positively to pancreatic enzyme replacement ๐ฎ๐น Of note there is currently a shortage of enzymes in Italy ๐ฐ https://t.co/5Io5xelwpD
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Great to see this out there, ๐ฉ PEI after non pancreatic UGI surgery. โฌ๏ธ Especially BPD/DS or gastrectomy ๐ Improvements with PERT ๐ง Should we be treating @_lewis_hall @UHB_HPB
@MarkarSheraz @TomWiggins23 @jameshallesmith
https://t.co/byG6QbmCXF
academic.oup.com
The aim of this study was to carry out a systematic review and meta-analysis of pancreatic exocrine insufficiency after non-pancreatic upper gastrointestin
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Investigating less recognised causes of PEI ๐ฅณ Excellent output from an iBSc with @UHB_HPB ๐ @_lewis_hall. More to come.
Surreal to this in print in BJS! PEI after non-pancreatic UGI surgery โ๏ธNearly 1/4 patients develop PEI post bariatric surgery โ๏ธ... with over half patients after OG resection ๐ฉ FE-1 most common test used ๐ PERT improved symptoms over 3/4 https://t.co/F43E807E0J
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@GSTTnhs @ChelwestFT @PHU_NHS 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! ๐ #NoTrainingToday #NoSurgeonsTomorrow has never been more true ๐ฏ
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Can we get a drumroll please?! ๐ฅ๐ฅ๐ฅ It is indeed that time of the year again! ASiT is proud to present you our Swann-Morton #SilverScalpel 2024 nominees! ๐๐ป๐๐ฝ๐๐ฟ
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Early postoperative risk stratification in patients with pancreatic fistula after pancreaticoduodenectomy https://t.co/7ZFElCTksS
@DrSfpb @alemarche055 @Giampaolo_Perri @UHB_HPB @Gio_Marchegiani @liveRPancSurg
@SWexner @juliomayol @SyedAAhmad5 @shimulshah73
#SoMe4Surgery
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Looking forward to seeing these in print, and delighted with the dietetic content with @SineadNDuggan
Professor Enrique Dominguez-Munoz presenting statenents for the upcomong guideline for pancreatic exocrine insufficiency at UEGW in Copenhagen - publication of the comprehensive guideline is expected in the start of 2024 @my_ueg @EurPancClub
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Great work from @_lewis_hall, Picking up prizes @Augishealth Exciting trial incoming *PHAGOS* ๐ช metabolomic surgery and oesophagogastric resection ๐ค ? true incidence of PEI ๐ could PERT be beneficial @MarkarSheraz @TomWiggins23 @UHB_HPB @jameshallesmith
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Our PERFECT trial finally out in @TheLancet ! Pragmatic Nordic ๐ซ๐ฎ๐ณ๐ด multicenter RCT comparing appendectomy within 24h versus 8h. 1803 patients! No difference in rate of perforated appendicitis (9% vs 8%). ๐ Allows to postpone appendectomy to daytime. https://t.co/AK77BsrTtG
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Funny week ๐ data showing better outcomes with female surgeons ๐ฑ president of the RCS implies that women get easier cases ๐ง data showing shocking sexual assault stats in surgery ๐คฆ๐ปโโ๏ธ @thetimes gives validity to old bloke saying it's all banter and put up @WomenSurgeonsUK
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#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. #SoMe4Surgery๐ง @TorkiJ
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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 10ยท7 months (95% CI 9ยท6โ12ยท0) vs 14ยท3 months (12ยท0โ18ยท5); HR 0ยท63 [95% CI 0ยท48โ0ยท83], p=0ยท0008). https://t.co/QWlQVN08GP
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Predict Pancreatic Fistula ๐ณ using only preoperative data and Machine Learning ๐ค ๐บ๐ธ ACS-NQIP @AmCollSurgeons 9k whipples 4 models identified ๐ predictors as BMI, ๐ค small duct, NO chemo / adenocarcinoma ๐ Great tool, when would you apply it ?! ๐ง https://t.co/wN2ETyOIR8
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