BJS Open

Sustained transaminase elevation after pancreatoduodenectomy defines a liver perfusion failure phenotype associated with markedly increased morbidity and mortality ➡️ doi.org/10.1093/bjsope… Liver perfusion failure (LPF) following partial or total pancreatoduodenectomy lacks a consensus definition, contributing to systematic underreporting of an ischaemic complication with substantial clinical consequence. This single-centre analysis of 815 consecutive patients resected between 2014 and 2017 tested four candidate definitions and identified an alanine aminotransferase/aspartate aminotransferase elevation ≥ 200 U/l on two consecutive postoperative days (LPF_2d) as the most clinically discriminative model, with an overall LPF rate of 9.9% and the highest area under the curve (0.738) among the models evaluated. Moderate or severe LPF was associated with higher rates of liver-specific complications (40.4% versus 2.9%), postoperative liver failure (30.8% versus 1.6%), major complications (48.1% versus 14.6%) and 90-day mortality (21.2% versus 2.9%). Multivariable analysis identified coeliac axis stenosis, arterial resection of the coeliac trunk and/or hepatic artery, and operative duration as independent risk factors, supporting preoperative arterial imaging assessment and structured early postoperative transaminase surveillance in complex pancreatic resection. 👏👏👏 Mohammed Al-Saeedi, Julian M Deisenhofer, Hendrik B Sauer, Leonie Frank-Moldzio, Alina S Ritter, Tom Bruckner, Gabriel A Salg, Ali Ramouz, Philipp Mayer, Thomas Hank, Arianeb Mehrabi, Martin Loos, Thilo Hackert, Markus W Büchler, Oliver Strobel #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #HPBSurgery #PancreaticSurgery #LiverSurgery #SurgicalOutcomes #PancreaticCancer

🤝 Transforming patient outcomes through collaborative surgical research: the past and the future Professor Dion Morton delivers his @BJSurgery Lecture presented at the Surgical Research Society Annual Meeting in January 2026. ▶️ Watch now: bjsacademy.com/bjs-academy/co… #SurgicalResearch #CollaborativeResearch #EvidenceBasedSurgery #SurgicalEducation #MedicalEducation #SRS #BJSLecture #BJSAcademy @SocSARS

Seeing the unseen: a theory of sexual misconduct perception in the surgical workplace ➡️ doi.org/10.1093/bjs/zn… Sexual misconduct is experienced very differently across the surgical workforce - but why do colleagues working in the same department often perceive completely different realities? This study introduces the Lateral View X-ray theory, showing how personal experience, power, and workplace culture shape what individuals see—or fail to see Understanding these different perspectives is essential to improving responses and driving meaningful cultural change Work by Rebecca A Fisher , Philippa C Jackson , Greta McLachlan , Carrie Newlands , Christopher T Begeny , Rosalind Searle #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #SoMe4Trauma #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Angiography-guided thyroidectomy was both cost-saving and health-improving compared with conventional thyroidectomy in a Spanish National Health System model. ➡️ doi.org/10.1093/bjsope… Postoperative hypoparathyroidism is the most frequent complication of total thyroidectomy and imposes lifelong monitoring, supplementation, and quality-of-life burden. This model-based economic evaluation compared angiography-guided thyroidectomy, in which indocyanine green fluorescence maps parathyroid arterial supply before dissection, with conventional total thyroidectomy from the perspective of the Spanish National Health System, using a state-transition Markov model over a 35-year horizon with 3.5% annual discounting and a willingness-to-pay threshold of €30 000 per quality-adjusted life-year. Angiography-guided thyroidectomy was associated with lower lifetime costs (€563.7 million versus €613.2 million) and greater health benefit (310 997 versus 299 107 QALYs), yielding 11 889 incremental QALYs and an incremental net monetary benefit of €406.2 million (95% uncertainty interval €381.7 million to €431.5 million). Dominance persisted across deterministic, probabilistic, scenario, and bootstrap analyses, with breakeven activity of approximately 147 thyroidectomies per centre per year. The findings inform procurement, training, and adoption decisions for fluorescence-guided endocrine surgery in publicly funded systems, subject to recalibration to local pricing and baseline complication rates. 👏👏👏 Pablo Moreno-Llorente, Marta Ruiz, Arantxa García-Barrasa, Marta Recasens-Subias, Itziar Larrañaga, Thiago Carnaval, Sebastián Videla #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #EndocrineSurgery #Thyroidectomy #Hypoparathyroidism #FluorescenceGuidedSurgery #HealthEconomics

🎥How can junior doctors make a meaningful impact in global health, global surgery and advocacy? Don't miss Tatenda Mbanje’s inspiring presentation, first delivered at International Surgery Week 2026 in Mexico City. Whether you're just starting your career or looking to broaden your impact, this is a session not to miss. ▶️ Watch now: buff.ly/hIu5xaA #GlobalSurgery #GlobalHealth #SurgicalEducation #MedicalEducation #Surgery #YoungBJS #BJSAcademy #Advocacy #FutureSurgeons @IASSSoc

Impact of thromboprophylaxis timing and duration on thromboembolism and bleeding in metabolic bariatric surgery ➡️doi.org/10.1093/bjsope… Optimal timing and duration of thromboprophylaxis in metabolic bariatric surgery remain uncertain despite guideline recommendations based largely on expert consensus. This nationwide registry-based cohort study used data from the Scandinavian Obesity Surgery Registry, including 83,801 primary bariatric procedures performed in Sweden between 2008 and 2023, to evaluate associations between thromboprophylaxis timing and duration and the risk of venous thromboembolism (VTE) and bleeding. The overall incidence of VTE was low (0.1%), while intraoperative and postoperative bleeding occurred in 0.7% and 1.6% of patients, respectively. Postoperative initiation of thromboprophylaxis was associated with a significantly lower risk of intraoperative bleeding compared with preoperative initiation (odds ratio 0.52; 95% confidence interval 0.37–0.74), with no corresponding increase in VTE risk. Neither the timing nor the duration of thromboprophylaxis was significantly associated with VTE or postoperative bleeding. These findings support postoperative initiation of thromboprophylaxis as a strategy that may reduce bleeding risk without compromising thromboembolic protection in this population. 👏👏👏Martin Löfling Skogar, Martina Azzurra Branciforte, Erik Stenberg #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #BariatricSurgery #VTEprevention #Thromboprophylaxis #MetabolicSurgery #GeneralSurgery @IfsoSecretariat

Metastatic lymph node burden and invasive tumour features inform first recurrence patterns after curative-intent resection for intrahepatic cholangiocarcinoma ➡️ doi.org/10.1093/bjs/zn… Pathological features after iCCA resection can predict recurrence patterns, supporting risk-adapted postoperative surveillance. Work by Kizuki Yuza , Odysseas P Chatzipanagiotou , Christian Hobeika , Federico Aucejo , Hugo P Marques , Tom Hugh , Feng Shen , Shishir K Maithel , Bas Groot Koerkamp , Irinel Popescu , Matthew J Weiss , Guillaume Martel , Carlo Pulitano , George Poultsides , Andrea Ruzzenente , Todd W Bauer , Ana Gleisner , Itaru Endo , Timothy M Pawlik #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery

Have you read it yet? 🐺 The radiologist who cried wolf 👀 When every scan is flagged as urgent… is anything really urgent? In the latest instalment of his popular series 'A view from the dark side', radiologist Dr Paul McCoubrie explores the growing challenge of "the radiologist who cried wolf"—how alert fatigue, defensive reporting, and inbox overload can create unintended risks for surgeons and patients alike. A thought-provoking read on communication, clinical responsibility, and finding the balance between caution and clarity in modern healthcare. 🔗 Read now: buff.ly/LRAUKtL #Surgery #Radiology #PatientSafety #MedicalEducation #Healthcare #ClinicalPractice #BJSAcademy

Sexual harassment, sexual assault and rape by colleagues in the surgical workforce, and how women and men are living different realities: observational study using NHS population-derived weights ➡️ doi.org/10.1093/bjs/zn… Sexual misconduct in surgery remains a serious and under-recognized issue In this nationwide UK study, women were significantly more likely than men to experience sexual harassment, sexual assault and rape by colleagues, while reporting low confidence in how accountable organisations respond These findings highlight the urgent need for meaningful cultural change Work by Christopher T Begeny , Homa Arshad , Tamzin Cuming , Daljit K Dhariwal , Rebecca A Fisher , Marieta D Franklin , Philippa C Jackson , Greta M McLachlan , Rosalind H Searle , Carrie Newlands #WomenInSurgery #Surgery #MedTwitter #Healthcare #MedicalEducation #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Interested in becoming a peer reviewer for @BJSurgery ?

🏥 Scheduled intravenous acetaminophen versus thoracic epidural analgesia for postoperative pain control after minimally invasive gastrectomy: multicentre randomized non-inferiority trial 📜 Some 140 patients were included, and patients receiving intravenous acetaminophen had comparable pain scores when compared to thoracic epidural analgesia (risk difference -4.1 per cent; 95 per cent confidence interval -24.3 to 16.6). Secondary outcomes including rescue analgesic use, patient satisfaction, and recovery were comparable. 🗨️ Scheduled IV acetaminophen was non-inferior to epidural analgesia, challenging the need for routine epidural use after minimally invasive gastrectomy. -Jenny Moon ➡️ bjsacademy.com/bjs-academy/ra… #rct Published in @BJSOpen

Hospital-level structural, staffing, and system characteristics are associated with variation in failure to rescue after surgery. ➡️ doi.org/10.1093/bjsope… Failure to rescue (FTR), defined as death following a postoperative complication, is a key driver of between-hospital variation in surgical mortality, yet the institutional characteristics underlying this variation remain inconsistently described. This systematic review and meta-analysis synthesised 111 observational studies encompassing more than 137 million surgical patients and 301 hospital-level factors across structural, staffing, and system domains. Lower FTR was associated with larger hospitals (OR 0.85, 95% c.i. 0.74 to 0.97), greater intensive care unit capacity (OR 0.80, 0.71 to 0.90), and teaching status (OR 0.88, 0.83 to 0.93), while nursing resources showed the most consistent associations, including patient-to-nurse ratios (OR 1.07, 1.03 to 1.10) and more favourable work environments (OR 0.93, 0.90 to 0.95). Safety-net hospital status was associated with higher FTR (OR 1.22, 1.03 to 1.45), with substantial heterogeneity across analyses. Postoperative mortality appears closely linked to institutional capacity to detect and manage complications, underscoring the role of adequate resourcing and system organisation in improving surgical outcomes. 👏👏👏 Cameron I Wells, Surya Akash Boppana, Chris Varghese, William Xu, Greg O'Grady, Ian P Bissett #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #SystematicReview #MetaAnalysis #EvidenceBasedSurgery #FailureToRescue #PatientSafety

Multimodal prehabilitation and perioperative immune function in patients undergoing abdominal cancer surgery ➡️ doi.org/10.1093/bjs/zn… This study suggests that multimodal prehabilitation influences basal immune function, leading to a less inflammatory state However, as no significant differences in immune function were observed between the prehabilitation and control groups on POD1, the impact of prehabilitation on postoperative immune function may be limited Work by Lotte M C Jacobs , Luuk D Drager , Lucas T van Eijk , Leonie S Helder , Leo A B Joosten , Dieuwke Strijker , Cornelis J H M van Laarhoven , Baukje van den Heuvel , Michiel C Warlé #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

A Bayesian, electronic medical record–derived algorithm enables near-real-time monitoring of postoperative complication rates after major colorectal surgery ➡️doi.org/10.1093/bjsope… Conventional surgical quality assurance programmes, including large national registries, are resource-intensive and rely on frequentist methods that report adverse events months after they occur, limiting their capacity to inform timely intervention. This retrospective cohort study developed an artificial intelligence–assisted algorithm to extract surgical outcomes directly from the electronic medical record and applied Bayesian binomial models with non-informative priors to estimate the posterior probability of complications among 747 patients who underwent major colorectal operations at a single academic health system between 2016 and 2024. Postoperative ileus (7.4%) and anastomotic leak (3.9%) were the most frequent complications, whereas postoperative bleeding was rare (0.3%); across the ten tracked complications, the number of events triggering chart review ranged from two in 2016 to six in 2022, with no more than three excess complications in any single year. Applying an 80% posterior probability threshold for exceeding institution-derived benchmarks produced a manageable volume of cases for review, whereas a conventional 95% threshold flagged almost none, illustrating the limitations of fixed-α rules under repeated monitoring. The authors conclude that a Bayesian event-probability tracker provides a low-cost, statistically valid approach to near-real-time outcome surveillance that could be integrated into existing electronic medical record systems with minimal additional infrastructure. 👏👏👏Edward H Livingston, Ami Hayashi, Kyle D Klingbeil, Anne Y Lin #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #ColorectalSurgery #CRCSurg #QualityImprovement #PatientSafety #SurgicalOutcomes

Diagnostic accuracy of staging laparoscopy (SL) and development of a simple predictive score for peritoneal disease (PD) in advanced #gastriccancer ➡️doi.org/10.1093/bjs/zn… Sstaging laparoscopy demonstrates excellent diagnostic accuracy for detecting PD in advanced #gastriccancer The proposed four-factor predictive score provides a simple and practical tool for estimating PD risk, potentially allowing for more selective and rational use of SL Work by Kensuke Kudou , Tomoyuki Irino , Motonari Ri , Masaru Hayami , Souya Nunobe #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4UGI #uppergi #esophagealcancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Multi-outcome prognostic modelling for older adults after trauma: development and validation of the Older Trauma Outcome Predictor (OTOP) model ➡️doi.org/10.1093/bjsope… This study developed and validated the Older Trauma Outcome Prediction (OTOP) model, the first prognostic tool designed to predict multiple inpatient outcomes in older trauma patients. Using data from more than 105 000 patients in the Western Australia Trauma Registry, OTOP accurately predicted mortality, surgical intervention, intensive care unit (ICU) admission, length of hospital stay, medical complications, and discharge destination. The model demonstrated excellent performance for mortality, surgery, and ICU admission and outperformed existing mortality-focused tools. OTOP provides a clinically useful framework for early risk stratification and supports more informed decision-making and resource planning for the care of older trauma patients. 👏👏👏Mayura Iddagoda , Michelle Trevenen , Dieter G Weber , Christopher Etherton-Beer , Leon Flicker #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery

No increased risk of cancer death after endovascular aortic repair in a nationwide population-based cohort study ➡️doi.org/10.1093/bjs/zn… EVAR was not associated with an increased risk of dying of cancer, but with an increased risk of being diagnosed with a new cancer Work by Fredrik Lilja , Anders Wanhainen , Kevin Mani #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #vascularsurgery #vascular #Ischemia @vascularsurgery

Female patients expect more information when undergoing surgery: nationwide survey- and register-based study ➡️ doi.org/10.1093/bjs/zn… These results show a possible sex-based disparity in perceived sufficiency of perioperative information, with higher dissatisfaction reported by females These findings suggest that perioperative counselling may need to be tailored to better meet female patients’ informational needs Work by Evy Á Lakjuni Guttesen , Anders Gram-Hanssen, Hugin Reistrup , Jacob Rosenberg , Jason J Baker #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Implications and risk of new versus persisting intraductal papillary mucinous neoplasms after pancreatic surgery: meta-analysis ➡️doi.org/10.1093/bjsope… Recurrence rate of intraductal papillary mucinous neoplasms (IPMN)-derived pancreatic cancer is high and warrants close surveillance policies. The majority of ‘recurring’ non-invasive IPMNs are de novo , metachronous lesions. Standardized reporting, distinguishing true recurrence from de novo development and progression of residual disease is essential to stratify recurrence risk and optimize surveillance protocols accurately. 👏👏👏Anouk J van Bodegraven , Katharina M Marstaller-Walz , Virginia Padoan , Danhui Heo , Giampaolo Perri , George L Burchell , Martin Loos , Christoph W Michalski , @MarcBesselink , Umberto Cillo , Ingmar F Rompen , @Gio_Marchegiani #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery @YouppiePancreas @German_PancClub @surgery_hps #PancreasClub2023 @PancreasClub @DPCG_official @pancreatitis_nl @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe

Hospital costs associated with complications following pancreatoduodenectomy: systematic review ➡️doi.org/10.1093/bjsope… This systematic review, including 46 studies encompassing 111 215 patients from 13 countries, quantified the hospital costs of complications following pancreatoduodenectomy, with all figures adjusted for inflation and purchasing power parity to 2023 Dutch euros. Clinically relevant complications imposed substantial financial burdens, with grade B postoperative pancreatic fistula adding €1998–€25 228 and grade C up to €112 824, while delayed gastric emptying, postpancreatectomy haemorrhage, biliary leak, and higher Clavien–Dindo grades similarly escalated costs. The authors conclude that these contemporary cost estimates can inform the design of cost-effective prophylactic and therapeutic interventions aimed at improving patient outcomes while optimising healthcare resource allocation. 👏👏👏Michiel F G Francken , Joey de Hondt , Faridi S Jamaludin , Martijn W J Stommel , Bert A Bonsing , Hjalmar C van Santvoort , Bas Groot Koerkamp , Olivier R Busch , Marcel G W Dijkgraaf , @MarcBesselink for the Dutch Pancreatic Cancer Group #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #some4hpb @YouppiePancreas @German_PancClub @surgery_hps #PancreasClub2023 @PancreasClub @DPCG_official @pancreatitis_nl @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe