Nik Machairas

520 posts

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Nik Machairas

Nik Machairas

@nmachair

Assistant Professor @UOAofficial MD, PhD, FACS HPB Surgery / Liver Transplant / 🧬🦀🔪 @UOAofficial x @RoyalFreeNHS x @MayoClinic

Athens, Greece Beigetreten Ocak 2017
1.4K Folgt1.5K Follower
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E-AHPBA
E-AHPBA@EAHPBA·
🙌BRAND NEW 🙌 Explore the future of HPB surgical education with the E-AHPBA Online Academy — expert-led webinars, interactive modules & global collaboration to advance your practice. Read more - eahpba.org/e-ahpba-online…
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Giovanni Marchegiani
Giovanni Marchegiani@Gio_Marchegiani·
🧬 RNA neoantigen vaccines prime long-lived CD8+ T cells in pancreatic cancer 🎯 A milestone one in @Nature 🎯 🦠 Responders with vaccine induced t-cells have prolonged RFS compared to non responders 💉 Vaccine for PDAC not a dream anymore?! nature.com/articles/s4158…
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Giovanni Marchegiani
Giovanni Marchegiani@Gio_Marchegiani·
👀 Premiere of new IF 2023 released! 🥇JAMA Surg 15.7 🥈Int J Surg 12.5 🥉BJS 8.6 4️⃣ Annals of Surgery 7.5 JACS 3.8 BJS Open 3.5 Surgery 3.2 WJS 2.3 Langebecks Arch Surg 2.1 🫵 Comments ?! 🤔
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Salvatore Paiella
Salvatore Paiella@Totuccio1983·
@Gio_Marchegiani @MauroPodda2 @BjsOpen @villesallinen @des_winter @BJSAcademy @nmachair @young_bjs @juliomayol @JBMatthews @ksoreide Pip/Tazo is in the @WHO Watch category of the AWaRe classification and it should not be used deliberately! It’s a lazy way of treating SSI. More appropriate to tailor the treatment based on bile stenting, preop bile culture, and rectal swab colonization with MDR! @heatherevansmd
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Giovanni Marchegiani
Giovanni Marchegiani@Gio_Marchegiani·
Antibiotics 💊 for prophylaxis during pancreatoduodenectomy 🙋🏻‍♀️ … did you change your practice? 💉 Pip/Tazobactam ⬇️ surgical site infections and major complications New meta-analysis supporting 🇺🇸 trials just published! 👉academic.oup.com/bjsopen/articl…
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Jayant Kumar (he/him/his)
Jayant Kumar (he/him/his)@JayKumar_MD_PhD·
We express our sincere gratitude for your attention and interest in our recently published study @BjsOpen titled "Piperacillin/tazobactam for surgical prophylaxis during pancreatoduodenectomy: a meta-analysis ." We are hopeful that the findings from this study will contribute towards enhancing the outcomes of the whipple procedure. @hollylneville @mhshospital @imperialcollege @UChicago @uchicagosurgery @cuttingman_fung @MauroPodda2 @nmachair @RArasaradnam @FraVirdis
BJS Open@BjsOpen

Piperacillin/tazobactam for surgical prophylaxis during pancreatoduodenectomy: meta-analysis ➡️doi.org/10.1093/bjsope… Piperacillin/tazobactam as antimicrobial prophylaxis significantly lowers the risk of postoperative surgical-site infections, major surgical complications (complications classified as Clavien–Dindo grade greater than or equal to III), clinically relevant postoperative pancreatic fistulas (grades B and C), and mortality, hence supporting the implementation of piperacillin/tazobactam for surgical prophylaxis in current practice. 👏👏👏@JayKumar_MD_PhD, Isabella Reccia, Adriano Carneiro, Mauro Podda, Francesco Virdis, Nikolaos Machairas, David Nasralla, Ramesh P Arasaradnam, Kenneth Poon, Christopher J Gannon, John J Fung, Nagy Habib, Omar Llaguna #SoMe4Surgery #MedTwitter #SurgEd #Surgery @me4_so @for_surgery @for_surgeons @modern_surgeon @surggpt #some4hpb #some4tpl @hpb_so #PancreaticCancer #Pancreatitis @YouppiePancreas @German_PancClub @surgery_hps #PancreasClub2023 @PancreasClub @EurPancClub @P_C_E_ @dice_europe @DPCG_official @pancreatitis_nl @PanCAN #PanCANawareness

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Marcello Di Martino
Marcello Di Martino@MarcDiMartino·
First paper from Novara @UniAvogadro Data from #MANCTRA-1 highlight the relevance of ➡  Socioeconomic inequity by HDI (local factors) ➡ Adherence to clinical guidelines (local protocol) on 🔥 Clinical outcomes Massive 🙏to promoters & collaborators! hpbonline.org/article/S1365-…
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Giovanni Marchegiani
Giovanni Marchegiani@Gio_Marchegiani·
💫 Building the next gen of HPB Surgeons ✨ Read about the new @EAHPBA programs 👩‍🎓 Early Career Group 🖥️ Online Academy 🧙‍♂️ Mentorship Program and... fellowships! The future is (finally) already here! 👉sciencedirect.com/science/articl…
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Pancreas Verona
Pancreas Verona@PancreasVerona·
Tribute to Claudio Bassi by our chairman @SalviaRobi at the @IHPBA meeting in Cape Town. Claudio truly believed in young generations and created a training system for pancreatic surgery that is still unique natuonwide. We prouldy carry your legacy on ❤️😷 @EAHPBA @AHPBA @APHPBA
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Pancreas Verona
Pancreas Verona@PancreasVerona·
🚨PANDORINA, a binational 🇳🇱🇮🇹RCT of drain 🆚 no drain in distal pancreatectomy out in @LancetGastroHep ! ✅Major morbidity 20% vs 15% ✅POPF 27% vs 12% ➡️A no-drain policy is safe and reduced POPF and should be the new standard approach @DPCG_official thelancet.com/journals/langa…
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Salvatore Paiella
Salvatore Paiella@Totuccio1983·
Out now! How many patients fail to access adjuvant therapy after surgery for resectable #PancreaticCancer?25%🥧! Why?(Data from 317 pts) 1) 🩹Postop compl 2) 🧑‍⚕️Oncologist's choice 3) 💊Comorbidities Less likely: - 👵Elderly - 💧POPF @PancreasVerona @EAHPBA @IHPBA @AnnSurgOncol
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Nik Machairas
Nik Machairas@nmachair·
👉 In PancreasGroup.org 2 we now seek to investigate aspects contributing to FTR on a hospital and institutional level, across various Human Development Index countries, aiming to further improve patient care and safety in pancreatic surgery 🌏🌍🌎
PancreasGroup.org@PancreasGroup

🚨PancreasGroup.org 2 💡Survey on Hospital Factors Affecting Failure to Rescue in Pancreatic Surgery Participate now! 👉pancreasgroup.org/survey ✅ Complete the online Survey ⏰10min ✅ Stay anonymous ✅ No need for ethics approval ✅ PubMed citable co-authorship

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Giovanni Marchegiani
Giovanni Marchegiani@Gio_Marchegiani·
🎁 It's that time of the year... 🎄 Best of Pancreas Wrapped 2023!!! 🍾 1⃣ January 2023: Pancreatic cysts when to stop surveillance !? 👇👇👇
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Giovanni Marchegiani@Gio_Marchegiani

Pancreatic cysts 🧐 When to Stop Surveillance ?! 🔥 A burning issue on @AmJGastro 🛑 STOP of follow-up depends on interval stability and size either after 5 or 10 years Oversurveillance discouraged 🤜🤛 More evidence needed !!! Your practice ?! 😱 journals.lww.com/ajg/Fulltext/9…

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Nik Machairas
Nik Machairas@nmachair·
Outcomes from the @PancreasGroup are now publsihed in @BJSurgery ! 🚨Get ready for PancreasGroup 2, coming soon! pancreasgroup.org
Giovanni Marchegiani@Gio_Marchegiani

Today a great @BJSurgery meeting and tomorrow is the World Pancreatic Cancer day 💜 😢 Pancreas surgery still associated to poor outcomes worldwide 🌍 In low human development index countries 🔺failure to rescue 🛟 Urgent measures needed! 🆓 access! academic.oup.com/bjs/advance-ar…

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Entdecken

@Nature @AnnSurgOncol @SocSurgOnc @OhioStateSurg @timpawlik @johnntanasis @Gio_Marchegiani @BjsOpen