William B Robb

Interview with @carel_leroux on BBC Radio 5: #SAXENDA All You Need to Know. #ObesityIsNotYourFault itsnotyourfault.ie/home/interview…

Check out this presentation taking place at SSO 2020! 94: Adjuvant Nivolumab in Resected Esophageal or Gastroesophageal Junction Cancer Following Neoadjuvant Chemoradiation Therapy: First Results of the CheckMate 577 Study Link: cdmcd.co/b43MY9

@MarthaRobb @BBCNewsNI Really well said @MarthaRobb - this looks like an imposing piece and one that makes a statement to perpetuate division rather than a symbol of regeneration and reciprocity

Stormont's unionist leaders have criticised a decision not to erect a stone marking Northern Ireland's centenary at Parliament Buildings. bbc.in/3eXvJAd

Long term follow up of the MIRO trial has been just published. We have a thought for pr christophe mariette who conducted this important study. #fregat @CHU_Lille

@MarkarSheraz @RichardvHill Congrats Sheraz... Need more and more believers!

Delighted to be awarded the UGIRA fellow for 2022, to undertake robotic UGI training with @RichardvHill and j.ruurda in Utrecht, Netherlands.

@LFerri123 I am not sure that we need to select like this for MIE / RAMIE. Infact doesnt the evidence suggest (not show) that our resection radicality is improved with a minimially invasive approach. Reverting to open surgery for larger tumours .... still justifiable? Not convinced.

At McGill, as I imagine elsewhere, there is certainly some selection bias in whom gets MIE vs Open for which large administrative or population-based datasets may not have the granularity to comment. Large bulky tumours -> open. Small tumours, good response -> MIE

@EwenGriffiths @roux_group @UpperGIResearch @T4UGIS @OGAAudit @MarkarSheraz @UpperGIResUK MIE or RAMIE.. Dissection radicality✅ , Improved Lymph Node yield✅, Quicker recovery✅, Less morbidity when past learning curve✅, Improved Textbook Outcomes✅, Earlier return to baseline QoL✅ - may not have definitive trial evidence to show improved survival ..but it's coming

Any thoughts why survival is improved with minimal access oesophagectomy? Is it more nodes? Is it R0 rates? Is it something else? Is it just some sort of bias? pubmed.ncbi.nlm.nih.gov/33480612/ @roux_group @UpperGIResearch @T4UGIS @OGAAudit @MarkarSheraz @UpperGIResUK

@mr_javed_sultan @RichardvHill @OGAAudit @ISDE_net @ArulImmanuel @T4UGIS @LFerri123 @BilalAlkhaffaf @MarkarSheraz Partial hiatal closure plus omentopexy my standard now Jav... one MORE advantage of robotic thoracic phase is ability to close crura neatly round conduit from above at end of case so no fear of it being too tight....

@MarthaRobb @SustransNI I like it Martha!

@columeastwood Very sad to hear of Seamus Mallon's death. Always a fair, courageous and strong voice of reason and moderation throughout difficult years. A force for peace and rejection of violence. Ar dheis Dé go raibh a anam.

Seamus Mallon was an Irish Patriot. He lived for our country and has left an indelible mark on the lives of everyone who enjoys the peace he helped forge. I'm proud to have called him a friend. My prayers are with Orla, Mark and Lara. sdlp.ie/news/2020/sdlp…

@mr_javed_sultan @SalfordRoyalNHS @Augishealth @ISDE_net @NOGUnewcastle @MarkarSheraz @EwenGriffiths @ArulImmanuel For us surgery alone at present. Anyone consider organ preservation and simply a standard lymphadenectomy?

@MarkarSheraz @ravi__vohra @BJSurgery @John_H_Saunders @yanni_fady @MattD_NHS @TOGU35315399 @nottmhospitals @asgbi @Augishealth @AUGISt_UK @roux_group @TeamNUH Agree with that Sheraz. Data stronger and stronger that post op sepsis from whatever source impacts recurrence and survival. Leaks clearly a major cause of sepsis...

@ravi__vohra @BJSurgery @John_H_Saunders @yanni_fady @MattD_NHS @TOGU35315399 @nottmhospitals @asgbi @Augishealth @AUGISt_UK @roux_group @TeamNUH We did this in our previous paper excluded all 90 day deaths and showed leak was associated with reduced survival and increased locoregional recurrence. journals.lww.com/annalsofsurger…

Always worried about leaks after #oesophageal #gastric #cancer #surgery & survival. New @BJSurgery study suggests it is not leaks that result in poorer 5-yr survival but severe non-leak periop complications. Need to prehab patients! doi.org/10.1002/bjs.11…

@AliGunerMD Great job Ali. Image capture can control for each surgeons concept of what D2 lymphadenectomy is... This house believes we can get the same image without the trauma of the surgeons hand in the photograph... #minimallyinvasivegastrectomy #ERAS #modernisingsurgery

Mount Errigal, Donegal at Winter time! 😮🍀

@Vam_Jag @UHNM_NHS Agree Vam. Wrote the review as surprised that many surgeons anecdotally still use stents during neoadj tx and I always suspected that SEMS may improve ability to swallow but not improve nutrition with potential negative oncological effects. ..

@WillBrysonRobb Never use stents @UHNM_NHS in patients with potentially curative disease. Favour naso-jej tube or feeding jej. The risk of perforation has always put me off!

Do you use stents to relieve dysphagia during neoadjuvant treatment? Maybe not such a good idea.... Use of esophageal stents to relieve dysphagia during neoadjuvant therapy prior to esophageal resection: a systematic review academic.oup.com/dote/advance-a…

Don't miss the Diseases of the Esophagus #EditorsChoice systematic review on "Perioperative prehabilitation and rehabilitation in esophagogastric malignancies". Read this and other great research on the #DOTE website @OUPMedicine bit.ly/2ONYul9

Getting patients #fitforsurgery and improving quality of life. Halfway point for our PERIOP-OG trial and recruitment should conclude July 2020.#prehabilitation #ERAS #esophagealcancer #gastriccancer @hseNCCP @IrishCancerSoc @LollipopDayIE @paulcullenit

Let's all share Guy Verhofstadt's relief that Prime Minister Johnson didn't end up dying in a ditch....🤣

More evidence that both surgical quality and an uncomplicated recovery impacts on our patients' survival. #lymphadenectomy #ERAS #nutrition #prehabilitation #minimallyinvasivesurgery ... they all play their role. #marginalgains insights.ovid.com/pubmed?pmid=31…