Wolfgang Gaertner
@GaertnerWB
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Husband/Father, colorectal surgeon, cancer crusher, life long learner, guitar aficionado, proudly πΊπΈπ²π½π¨π¦ π©πͺ
Minneapolis, MN
Joined October 2015
@GaertnerWB @smcrca @ScottRSteeleMD @DrMikeValente @TAMISYoda @LilianaBordei @luciacolorectal @draivs one of the richest cities in terms of culture (including great Mexican cuisine)!
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Gracias #oaxaca. Incredible meeting, people, culture and of courseβ¦Mezcal! @smcrca @ScottRSteeleMD @DrMikeValente @TAMISYoda @LilianaBordei @luciacolorectal @draivs
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Indeed! Great meeting @smcrca
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Wonderful #MSCRS meeting in beautiful Oaxaca. Learning from no other than global leaders and educators. Thank you for inviting! π²π½
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@AdventHealthCFL Orlando Colorectal Congress started strong. Day 1 was packed and full of substance... Now deep into day 2, the engagement is off the charts. The conversations, questions, and debates are so active weβre doing our best to contain it and stay on time. Exactly the
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@GaertnerWB That IRC pic looks like someone using those old fashioned cigarette lighters from cars.
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β¦@ColonCancerDocβ© George Chang delivering a phenomenal grand rounds on rectal cancer as the Inaugural Williams Family Professor. β¦@UCincySurgβ© β¦@uc_healthβ© β¦@uofcincyβ© β¦@cincysurgeryβ© #rectalcancer
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The injection is incorrectly depicted. Stay away from IRC.
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#AudioVisualAbstract : Patterns of Preoperative #TumorMarkers Can Predict Resectability and Prognosis of #PeritonealMetastases : A Clustering Analysis https://t.co/QrH2diyGbe
@scalpelmomma
@SyedAAhmad5
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And 95%+ of the times you find nothing on the specimen until something shows up after a couple years π¬βΉοΈ
@GaertnerWB @ASCRS_1 @ScottRSteeleMD @juliomayol @SeanLangenfeld Problem occurs when you go back and scar is gone. I had this happen just the other day!
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YES!
#DCRJournal Visual Abstract | Reevaluating Preoperative Type and Screen: Identifying When It Is Necessary for Elective Colorectal Surgery: https://t.co/mT1fq82Lio
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@GaertnerWB @ASCRS_1 @ScottRSteeleMD @SeanLangenfeld After a conversation about uncertainty with the patient, if he accepts minimal residual risk, close endocopic surveillance. If not, segmental colectomy. Shared decision based on risk tolerance
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@GaertnerWB @ASCRS_1 @ScottRSteeleMD @juliomayol Observation vs endoscopic re-excision based on your assessment of the initial polypectomy and the scar it left behind. I'm surprised to hear "at least T1" if they have a negative margin. Shouldn't be much uncertainty about muscularis involvement. In these cases, I want to know
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@GaertnerWB @ASCRS_1 @ScottRSteeleMD @juliomayol @SeanLangenfeld Great discussion on this topic at the recent @escp_tweets meeting in Paris. ISAR1 study under way.
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49 yo with 15mm sigmoid adenoma s/p snare polypectomy (well done). Path: at least T1 adenoCa within a serrated adenoma with 1mm cancer margin, positive margin for conventional dysplasia. No high-risk features. Next step? @ASCRS_1 @ScottRSteeleMD @juliomayol @SeanLangenfeld
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I say this in the OR all the time: βits because Iβve made that mistake alreadyβ
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