#PancChat Transcript
Healthcare social media transcript of the #PancChat hashtag.
– ().
See #PancChat Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Let's Win Pancreatic Cancer 💜 @letswinpc Welcome to #PancChat! Tonight we're discussing Surgical Intervention for #PancreaticCancer. |
 | PanCAN @PanCAN RT @letswinpc: #PancChat starts in 15 minutes! Join us tonight to discuss Surgical Intervention for Pancreatic Cancer! https://t.co/9PhBOlKkWn |
| Let's Win Pancreatic Cancer 💜 @letswinpc We're joined tonight by @NirajGusani @drallysonocean @shaalanbeg @Aiims1742 @lustgartenfdn and @PanCAN. #PancChat |
 | Shaalan Beg MD MBA FASCO @ShaalanBeg Im a GI Medical Oncologist in Dallas Texas. Im looking forward to hearing from surgical experts in tonight's #PancChat |
 | Dr. Allyson Ocean @drallysonocean So grateful my #surgery colleagues are joining tonight for #pancchat! Welcome!!! https://t.co/4OD6uMs7hM |
| PanCAN @PanCAN RT @letswinpc: Welcome to #PancChat! Tonight we're discussing Surgical Intervention for #PancreaticCancer. |
| Let's Win Pancreatic Cancer 💜 @letswinpc To participate in tonight's chat, the questions will be asked Q1, Q2, Q3. Answers will correspond with A1, A2, A3. Make sure you use the hashtag #PancChat so we don't miss your comments and questions! |
| PanCAN @PanCAN RT @letswinpc: We're joined tonight by @NirajGusani @drallysonocean @shaalanbeg @Aiims1742 @lustgartenfdn and @PanCAN. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @drallysonocean: So grateful my #surgery colleagues are joining tonight for #pancchat! Welcome!!! https://t.co/4OD6uMs7hM |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @ShaalanBeg: Im a GI Medical Oncologist in Dallas Texas. Im looking forward to hearing from surgical experts in tonight's #PancChat |
 | Niraj J. Gusani, MD 🇺🇸 @NirajGusani Welcome everyone! Niraj Gusani - Surgical Oncologist & #PancreaticCancer hater from @PennStHershey @PSU_Surgery - delighted to be here discussing one of my favorite topics! #PancChat https://t.co/p0jNe6KmfT |
| Let's Win Pancreatic Cancer 💜 @letswinpc Q 1. What is the role of surgery in the treatment of #PancreaticCancer? #PancChat |
 | Lustgarten Foundation @lustgartenfdn #PancChat provides general information about #PancreaticCancer, treatments for the disease, and ways to manage treatments. The participants cannot give specific medical advice. We recommend that you discuss what you learn with your doctor. |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @drallysonocean: So grateful my #surgery colleagues are joining tonight for #pancchat! Welcome!!! https://t.co/4OD6uMs7hM |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: Welcome everyone! Niraj Gusani - Surgical Oncologist & #PancreaticCancer hater from @PennStHershey @PSU_Surgery - delighted to be here discussing one of my favorite topics! #PancChat https://t.co/p0jNe6KmfT |
| Lustgarten Foundation @lustgartenfdn A1.1 In early stages of #PancreaticCancer, surgery may be an option if the surgeon believes that all of the cancer can be removed. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @lustgartenfdn: #PancChat provides general information about #PancreaticCancer, treatments for the disease, and ways to manage treatments. The participants cannot give specific medical advice. We recommend that you discuss what you learn with your doctor. |
| Let's Win Pancreatic Cancer 💜 @letswinpc A1.1 Surgery is most commonly done to remove pancreatic cancer. It may be suggested as a potentially curative treatment or as a palliative measure to improve a patient's quality of life. #PancChat |
| Dr. Allyson Ocean @drallysonocean This is the only time that #haters are allowed-- when it comes to #pancreaticcancer!#pancchat #pancsm #pancaware https://t.co/4Z3obOHnMM |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @lustgartenfdn: A1.1 In early stages of #PancreaticCancer, surgery may be an option if the surgeon believes that all of the cancer can be removed. #PancChat |
 | Anirban Maitra @Aiims1742 #Pathologist from Houston Call me if you need a margin assessment #PancChat https://t.co/KFU9T488Uo |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @lustgartenfdn: A1.1 In early stages of #PancreaticCancer, surgery may be an option if the surgeon believes that all of the cancer can be removed. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc A1.2 In early stages of pancreatic cancer, surgery may be an option if the cancer is localized and has not spread to any blood vessels, distant lymph nodes or other organs, such as the liver or lung. #PancChat https://t.co/fwWzfIMkDS |
| Let's Win Pancreatic Cancer 💜 @letswinpc @Aiims1742 We're looking forward to what goodies you might have tonight! #pancchat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani A1 - #Surgery is one of the primary forms of treatment for #PancreaticCancer. In combination with chemotherapy (& sometimes radiation), #SurgicalIntervention can lead to #Cure ! #PancChat https://t.co/Z9b4jPhZxI |
| Let's Win Pancreatic Cancer 💜 @letswinpc A1.3 “If the cancer has spread to nearby lymph nodes that are routinely removed during a given surgical procedure, surgery will usually still be possible.” #PancChat https://t.co/7lzoQWy2fZ |
 | Monica-Amit Mishra @PancanMonica @Aiims1742 What is margin assessment #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc @ACSalami @SurgeryEinstein Thank you for joining us tonight! We're looking forward to chatting with you! #PancChat |
| PanCAN @PanCAN A1. For eligible #pancreaticcancer patients, surgery is the best option for long-term survival. #PancChat https://t.co/GumbEuFRjT |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani always... A good pathologist is key - even in #PancChat ! https://t.co/yMhyK8Gm3U |
 | Chris Sinsabaugh @casinsab RT @NirajGusani: A1 - #Surgery is one of the primary forms of treatment for #PancreaticCancer. In combination with chemotherapy (& sometimes radiation), #SurgicalIntervention can lead to #Cure ! #PancChat https://t.co/Z9b4jPhZxI |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @drallysonocean: This is the only time that #haters are allowed-- when it comes to #pancreaticcancer!#pancchat #pancsm #pancaware https://t.co/4Z3obOHnMM |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.1.4 If a patient does not qualify for surgery, other procedures may be performed for symptom relief. This could include treatment for pain and obstruction of the bile or pancreatic ducts or of the intestines. #PancChat |
| Lustgarten Foundation @lustgartenfdn A1.2 When #PancreaticCancer is found in a later stage, other types of surgical procedures may be performed to relieve symptoms, such as pain and obstruction of the bile or pancreatic ducts or of the intestines. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @PanCAN: A1. For eligible #pancreaticcancer patients, surgery is the best option for long-term survival. #PancChat https://t.co/GumbEuFRjT |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani True - there is a role for #SurgicalIntervention even in palliative settings for #PancreaticCancer, usually less radical operations designed to help improve symptoms and #QualityOfLife (#QOL) #PancChat https://t.co/Y87xQnLYVn |
| Let's Win Pancreatic Cancer 💜 @letswinpc A1.5 Dr. John Chabot from @nyphospital feels getting a second surgical opinion, especially for cases of so-called borderline resectable or locally advanced pancreatic cancer, is vital. #PancChat https://t.co/mTIKheS9N1 |
| Let's Win Pancreatic Cancer 💜 @letswinpc That's a good question. We will leave that answer to folks like @NirajGusani! #PancChat https://t.co/2lvvpGYgkB |
 | Heidi Creighton 🇫🇮 @HeidiCreighton RT @NirajGusani: Join us tonight at 8pmET for #PancChat - tonight we will be discussing "Surgical Intervention for #PancreaticCancer." I am delighted to co-host this forum with @drallysonocean @ShaalanBeg @Aiims1742 along with @letswinpc @pancan & @lustgartenfdn #pancsm https://t.co/4E5e4Aq8ob |
| Shaalan Beg MD MBA FASCO @ShaalanBeg Surgery is the only potential curative treatment for Pancreatic cancer #PancChat - but 1) very few patients are candidate for surgery and 2) most patients who have surgery see their cancer come back |
| Lustgarten Foundation @lustgartenfdn RT @ShaalanBeg: Surgery is the only potential curative treatment for Pancreatic cancer #PancChat - but 1) very few patients are candidate for surgery and 2) most patients who have surgery see their cancer come back |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @NirajGusani: True - there is a role for #SurgicalIntervention even in palliative settings for #PancreaticCancer, usually less radical operations designed to help improve symptoms and #QualityOfLife (#QOL) #PancChat https://t.co/Y87xQnLYVn |
| Let's Win Pancreatic Cancer 💜 @letswinpc Q2. Which patients qualify for surgery for #PancreaticCancer? #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @letswinpc: A.1.4 If a patient does not qualify for surgery, other procedures may be performed for symptom relief. This could include treatment for pain and obstruction of the bile or pancreatic ducts or of the intestines. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: True - there is a role for #SurgicalIntervention even in palliative settings for #PancreaticCancer, usually less radical operations designed to help improve symptoms and #QualityOfLife (#QOL) #PancChat https://t.co/Y87xQnLYVn |
 | Pooja Prasad @Pooja_Prasad29 @Aiims1742 You do the main job that directs any future treatments that may be required post-op! Oh, and I'm Pooja, a surgical trainee/resident from the UK! Joining in for #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @lustgartenfdn: A1.2 When #PancreaticCancer is found in a later stage, other types of surgical procedures may be performed to relieve symptoms, such as pain and obstruction of the bile or pancreatic ducts or of the intestines. #PancChat |
 | Inspire @InspireIsHealth RT @lustgartenfdn: #PancChat is TONIGHT at 8pm EST! Join us as we discuss Surgical Intervention for #PancreaticCancer with @letswinpc @drallysonocean @ShaalanBeg @Aiims1742 @NirajGusani and @PanCAN. #pancsm https://t.co/2s22GVk2kX |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @PanCAN: A1. For eligible #pancreaticcancer patients, surgery is the best option for long-term survival. #PancChat https://t.co/GumbEuFRjT |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Important distinction - for most cancers, we only operate with curative intent if think we can remove all of the tumor. Little role for taking out only some or parts of the tumor. #PalliativeSurgery has a different focus - relief of symptoms #PancChat https://t.co/b3tMmy20wj |
| Dr. Allyson Ocean @drallysonocean Margin assessment is when the pathologist tells us if the edge of the tissue is free of cancer or not. If a margin is involved, it means that there are cancer cells left inside most likely. #pancchat https://t.co/SAJOYGpXh6 |
| Let's Win Pancreatic Cancer 💜 @letswinpc @Pooja_Prasad29 @Aiims1742 Welcome! Thank you for joining us! We're so happy you are here! #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.2.1 Many early stage patients with resectable or locally advanced pancreatic cancer are surgical candidates. #PancChat |
| Lustgarten Foundation @lustgartenfdn A2.1 Patients with resectable or locally advanced #PancreaticCancer are usually surgical candidates, since their tumors lie within the pancreas or are confined to the area around it. #PancChat |
 | william1987 @williamwang1987 Surgery or chemo 1st? How do surgeons choose the path? #PancChat |
| PanCAN @PanCAN A2. ~30-50 percent of #pancreaticcancer patients who are eligible for surgery are told they're ineligible. We @PanCAN strongly recommend patients see a surgeon who performs a high volume of pancreatic surgeries (>15 per year) to determine eligibility. #PancChat |
| PanCAN @PanCAN A2. In general, if #pancreaticcancer has not spread to another organ and does not involve major blood vessels around the pancreas, it may be able to be removed by surgery. Pancreatic cancer that can be removed by surgery is referred to as resectable. #PancChat https://t.co/wVR9YGVxtm |
| PanCAN @PanCAN A2. Contact Patient Central for a list of high-volume #pancreaticcancer surgeons (and other specialists) near you: https://t.co/utp7o25JHA #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: Important distinction - for most cancers, we only operate with curative intent if think we can remove all of the tumor. Little role for taking out only some or parts of the tumor. #PalliativeSurgery has a different focus - relief of symptoms #PancChat https://t.co/b3tMmy20wj |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.2.2 These patients’ tumors lie within the pancreas or are confined to the area around it. #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani It's true - #PancreaticCancer is a tough business - in most cases, even with excellent surgery and aggressive chemo/radiation, the tumor comes back. Still #SurgicalIntervention offers hope for #Cure #PancChat https://t.co/SomEqkFEbZ |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @PancanMonica @Aiims1742 'Negative Margin' means 100% of the cancer was taken out.. not 99% of the cancer #PancChat |
| Dr. Allyson Ocean @drallysonocean RT @PanCAN: A2. ~30-50 percent of #pancreaticcancer patients who are eligible for surgery are told they're ineligible. We @PanCAN strongly recommend patients see a surgeon who performs a high volume of pancreatic surgeries (>15 per year) to determine eligibility. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @PanCAN: A2. In general, if #pancreaticcancer has not spread to another organ and does not involve major blood vessels around the pancreas, it may be able to be removed by surgery. Pancreatic cancer that can be removed by surgery is referred to as resectable. #PancChat https://t.co/wVR9YGVxtm |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @ShaalanBeg: @PancanMonica @Aiims1742 'Negative Margin' means 100% of the cancer was taken out.. not 99% of the cancer #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: It's true - #PancreaticCancer is a tough business - in most cases, even with excellent surgery and aggressive chemo/radiation, the tumor comes back. Still #SurgicalIntervention offers hope for #Cure #PancChat https://t.co/SomEqkFEbZ |
| Monica-Amit Mishra @PancanMonica RT @PanCAN: A2. In general, if #pancreaticcancer has not spread to another organ and does not involve major blood vessels around the pancreas, it may be able to be removed by surgery. Pancreatic cancer that can be removed by surgery is referred to as resectable. #PancChat https://t.co/wVR9YGVxtm |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Our friends at @PanCAN have excellent resources for #PancreaticCancer patients - here is their page on #Surgery - https://t.co/JhfjXLrmpW #PancChat https://t.co/8ljGeq74UX |
| Ibrahim Abouniaj @ibabouniaj #pancchat If someone has mets to the liver and after chemo they are NED. Will they be considered for surgery then or is it still questionable interms of benefiting? | |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.2.3 Learn more about the stages of #PancreaticCancer #PancChat https://t.co/r7VymkW8hR |
| Lustgarten Foundation @lustgartenfdn RT @letswinpc: A.2.3 Learn more about the stages of #PancreaticCancer #PancChat https://t.co/r7VymkW8hR |
| Let's Win Pancreatic Cancer 💜 @letswinpc @williamwang1987 Thank you for joining us tonight, William! We're going to tag @NirajGusani @drallysonocean @ShaalanBeg for this one! #PancChat |
| Monica-Amit Mishra @PancanMonica RT @ShaalanBeg: @PancanMonica @Aiims1742 'Negative Margin' means 100% of the cancer was taken out.. not 99% of the cancer #PancChat |
| Lustgarten Foundation @lustgartenfdn A2.2 Your doctor will determine your stage through diagnostic tests and provide you with the appropriate treatment options. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc Tagging @NirajGusani @drallysonocean @ShaalanBeg @Aiims1742 #PancChat https://t.co/qONwjBOXGO |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani @ShaalanBeg @PancanMonica @Aiims1742 Yes - after #Surgery (and sometimes during...) we ask our #Pathology colleagues to tell us if the "edges" of our surgical resection specimen are free of tumor - hence determining whether there is #PancreaticCancer at the 'margin' #PancChat |
| Monica-Amit Mishra @PancanMonica @ShaalanBeg @Aiims1742 Thanks @ShaalanBeg #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @pancanology @lustgartenfdn Pancreatic cancer is different because scans often over/underestimate the tumor's extent and may not give the surgeon a accurate idea of what to expect #PancChat |
| Monica-Amit Mishra @PancanMonica RT @NirajGusani: Our friends at @PanCAN have excellent resources for #PancreaticCancer patients - here is their page on #Surgery - https://t.co/JhfjXLrmpW #PancChat https://t.co/8ljGeq74UX |
| Dr. Allyson Ocean @drallysonocean This is a hard question to answer but the data unfortunately shows that surgery won't benefit. However, sometimes surgery is done to give patients a chance at longer outcomes. #pancchat https://t.co/2V7sDXIvm6 |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: @ShaalanBeg @PancanMonica @Aiims1742 Yes - after #Surgery (and sometimes during...) we ask our #Pathology colleagues to tell us if the "edges" of our surgical resection specimen are free of tumor - hence determining whether there is #PancreaticCancer at the 'margin' #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Traditionally it was always #Surgery first. Now, more & more we are giving #Chemotherapy first (sometimes with #Radiation) to shrink the tumor, make it easier to resect, etc. Need a #Multidisciplinary team to make the best decision #PancChat https://t.co/7WhmV966Nw |
| Let's Win Pancreatic Cancer 💜 @letswinpc @PancanMonica @ShaalanBeg @Aiims1742 It was a great question, Monica! #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @ShaalanBeg: @pancanology @lustgartenfdn Pancreatic cancer is different because scans often over/underestimate the tumor's extent and may not give the surgeon a accurate idea of what to expect #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc Q3. What types of surgery are there for #PancreaticCancer? #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @Pooja_Prasad29 @Aiims1742 Welcome to #pancchat @Pooja_Prasad29 Im very interested to hear about surgical perspectives from across the pond |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @drallysonocean: This is a hard question to answer but the data unfortunately shows that surgery won't benefit. However, sometimes surgery is done to give patients a chance at longer outcomes. #pancchat https://t.co/2V7sDXIvm6 |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @NirajGusani: Important distinction - for most cancers, we only operate with curative intent if think we can remove all of the tumor. Little role for taking out only some or parts of the tumor. #PalliativeSurgery has a different focus - relief of symptoms #PancChat https://t.co/b3tMmy20wj |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @drallysonocean: Margin assessment is when the pathologist tells us if the edge of the tissue is free of cancer or not. If a margin is involved, it means that there are cancer cells left inside most likely. #pancchat https://t.co/SAJOYGpXh6 |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Yes - only rarely would we ever consider #Surgery for Stage IV #PancreaticCancer - tumor with spread to other organs #PancChat https://t.co/cK1QJtpBo9 |
| Lustgarten Foundation @lustgartenfdn A3.1 Surgical options for #PancreaticCancer include a pancreaticoduodenectomy, also called the Whipple Procedure, a distal pancreatectomy, and palliative surgery, which is utilized when the cancer has spread. #PancChat |
| Monica-Amit Mishra @PancanMonica RT @NirajGusani: Traditionally it was always #Surgery first. Now, more & more we are giving #Chemotherapy first (sometimes with #Radiation) to shrink the tumor, make it easier to resect, etc. Need a #Multidisciplinary team to make the best decision #PancChat https://t.co/7WhmV966Nw |
 | Erika J. Boardman 🔯💙🦖🇿🇦 @jd2b1999 RT @lustgartenfdn: #PancChat provides general information about #PancreaticCancer, treatments for the disease, and ways to manage treatments. The participants cannot give specific medical advice. We recommend that you discuss what you learn with your doctor. |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @williamwang1987 Takes a team to decide the right path.. nowadays most centers opt for chemo first but it varies from pt to pt #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @PanCAN: A2. In general, if #pancreaticcancer has not spread to another organ and does not involve major blood vessels around the pancreas, it may be able to be removed by surgery. Pancreatic cancer that can be removed by surgery is referred to as resectable. #PancChat https://t.co/wVR9YGVxtm |
| Monica-Amit Mishra @PancanMonica RT @NirajGusani: Yes - only rarely would we ever consider #Surgery for Stage IV #PancreaticCancer - tumor with spread to other organs #PancChat https://t.co/cK1QJtpBo9 |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @PanCAN: A2. ~30-50 percent of #pancreaticcancer patients who are eligible for surgery are told they're ineligible. We @PanCAN strongly recommend patients see a surgeon who performs a high volume of pancreatic surgeries (>15 per year) to determine eligibility. #PancChat |
| PanCAN @PanCAN RT @NirajGusani: @ShaalanBeg @PancanMonica @Aiims1742 Yes - after #Surgery (and sometimes during...) we ask our #Pathology colleagues to tell us if the "edges" of our surgical resection specimen are free of tumor - hence determining whether there is #PancreaticCancer at the 'margin' #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Good data from @MDAndersonNews and others showing survival benefit even with vascular resection. Adds to morbidity, of course #PancChat https://t.co/5D6ISH18Jk |
| PanCAN @PanCAN RT @ShaalanBeg: @williamwang1987 Takes a team to decide the right path.. nowadays most centers opt for chemo first but it varies from pt to pt #PancChat |
| PanCAN @PanCAN RT @NirajGusani: Yes - only rarely would we ever consider #Surgery for Stage IV #PancreaticCancer - tumor with spread to other organs #PancChat https://t.co/cK1QJtpBo9 |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @lustgartenfdn: A3.1 Surgical options for #PancreaticCancer include a pancreaticoduodenectomy, also called the Whipple Procedure, a distal pancreatectomy, and palliative surgery, which is utilized when the cancer has spread. #PancChat |
| PanCAN @PanCAN RT @NirajGusani: Traditionally it was always #Surgery first. Now, more & more we are giving #Chemotherapy first (sometimes with #Radiation) to shrink the tumor, make it easier to resect, etc. Need a #Multidisciplinary team to make the best decision #PancChat https://t.co/7WhmV966Nw |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @ShaalanBeg: @williamwang1987 Takes a team to decide the right path.. nowadays most centers opt for chemo first but it varies from pt to pt #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: Good data from @MDAndersonNews and others showing survival benefit even with vascular resection. Adds to morbidity, of course #PancChat https://t.co/5D6ISH18Jk |
| william1987 @williamwang1987 @NirajGusani Is there any research or statistics that chemo 1st more effective than surgery 1st? #PancChat |
| Dr. Allyson Ocean @drallysonocean RT @NirajGusani: Good data from @MDAndersonNews and others showing survival benefit even with vascular resection. Adds to morbidity, of course #PancChat https://t.co/5D6ISH18Jk |
| PanCAN @PanCAN RT @NirajGusani: Our friends at @PanCAN have excellent resources for #PancreaticCancer patients - here is their page on #Surgery - https://t.co/JhfjXLrmpW #PancChat https://t.co/8ljGeq74UX |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @pancanology negative is good progression is bad insignificant is good significant is bad #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc Let's try that again. There are quite a few #ClinicalTrials exploring pre-surgical treatment options #PancChat https://t.co/GLIDU2BJiS https://t.co/mMrIsDt8mn |
| Lustgarten Foundation @lustgartenfdn RT @letswinpc: Let's try that again. There are quite a few #ClinicalTrials exploring pre-surgical treatment options #PancChat https://t.co/GLIDU2BJiS https://t.co/mMrIsDt8mn |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @ShaalanBeg: @pancanology negative is good progression is bad insignificant is good significant is bad #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @ACSalami @letswinpc so true! long term follow up is follow up.. and I mean beyond 30 days #PancChat |
| william1987 @williamwang1987 @ShaalanBeg There is no such team in developing countries, you will put the path on god and luck #PancChat |
| Dr. Allyson Ocean @drallysonocean #clinicaltrials are ongoing now to answer this question. In certain patients, I believe that chemo first is necessary before surgery. #pancchat https://t.co/sTNkvi5gf3 |
| Dr. Allyson Ocean @drallysonocean unremarkable is good too #pancchat https://t.co/uIRLZRQncj |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Imp. to remember that there is still a lot of #Nihilism abt #PancreaticCancer in general & #SurgicalIntervention in particular. But at high volume centers we offer excellent outcomes and a chance for #Cure - All pts should see an experienced #Surgeon #PancChat https://t.co/q0NvmLxNC0 |
| Let's Win Pancreatic Cancer 💜 @letswinpc @williamwang1987 @ShaalanBeg We hope to see that change, William. The @worldpcc is working hard to spread the work of other pancreatic cancer organizations world wide and reach followers in all countries. #PancChat |
| Lustgarten Foundation @lustgartenfdn RT @NirajGusani: Imp. to remember that there is still a lot of #Nihilism abt #PancreaticCancer in general & #SurgicalIntervention in particular. But at high volume centers we offer excellent outcomes and a chance for #Cure - All pts should see an experienced #Surgeon #PancChat https://t.co/q0NvmLxNC0 |
| Monica-Amit Mishra @PancanMonica @NirajGusani @MDAndersonNews Could you please explain what vascular resection is for folks who might not be familiar with the jargon? Thanks! #PancChat @PanCAN |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @drallysonocean: unremarkable is good too #pancchat https://t.co/uIRLZRQncj |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Yes - we try to get everyone on a #ClinicalTrial so that we can answer these important #PancreaticCancer questions with data rather than opinions #PancChat https://t.co/WYTmwq3Eet |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @NirajGusani: Imp. to remember that there is still a lot of #Nihilism abt #PancreaticCancer in general & #SurgicalIntervention in particular. But at high volume centers we offer excellent outcomes and a chance for #Cure - All pts should see an experienced #Surgeon #PancChat https://t.co/q0NvmLxNC0 |
| Let's Win Pancreatic Cancer 💜 @letswinpc Q3.a. What is a pancreaticoduodenectomy a/k/a the Whipple Procedure? #PancChat |
| Ibrahim Abouniaj @ibabouniaj @NirajGusani @MDAndersonNews How about NanoKnife. Is that ever considered for Stage 4 if there are few detectable mets on scans? #PancChat | |
| Monica-Amit Mishra @PancanMonica RT @letswinpc: @williamwang1987 @ShaalanBeg We hope to see that change, William. The @worldpcc is working hard to spread the work of other pancreatic cancer organizations world wide and reach followers in all countries. #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @NirajGusani: Our friends at @PanCAN have excellent resources for #PancreaticCancer patients - here is their page on #Surgery - https://t.co/JhfjXLrmpW #PancChat https://t.co/8ljGeq74UX |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.3.1 There are a few types of surgery for #PancreaticCancer. One is the pancreaticoduodenectomy a/k/a the Whipple Procedure. #PancChat https://t.co/KIjRxUHtlY |
| Lustgarten Foundation @lustgartenfdn A3.1a The Whipple Procedure is the most common surgery performed to treat #PancreaticCancer. It involves removing the pancreatic head and associated structure. #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani #Medical #Cancer word salad - we make it hard for the average person to understand our language! #PancChat https://t.co/LajFv1vqXH |
| Lustgarten Foundation @lustgartenfdn RT @letswinpc: A.3.1 There are a few types of surgery for #PancreaticCancer. One is the pancreaticoduodenectomy a/k/a the Whipple Procedure. #PancChat https://t.co/KIjRxUHtlY |
| Pooja Prasad @Pooja_Prasad29 @ACSalami @letswinpc Definitely! In the UK, we have been looking at centralization and effects of undertaking more complex + extensive resections at such centres. #PancChat |
| PanCAN @PanCAN A3 #Whipple is most common #pancreaticcancer surgery, performed when tumor in head of pancreas. Removes head of pancreas, gallbladder, part of sm. intestine (duodenum), surrounding lymph nodes & sometimes small portion of lower stomach (pylorus). https://t.co/b05BNPbsei #PancChat https://t.co/BEHYcpdPTo |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.3.2.a Generally this surgery involves the removal of the gallbladder, common bile duct, part of the duodenum, and the head of the pancreas. Sometimes the last portion of the stomach is removed as well. #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Getting there - some trials are ongoing. Good retrospective data - Mokdad et al - https://t.co/W2fp1emELk and others. #PancChat https://t.co/YeTZhFklyJ |
| PanCAN @PanCAN RT @ShaalanBeg: @pancanology negative is good progression is bad insignificant is good significant is bad #PancChat |
| william1987 @williamwang1987 Im not sure about this, but If not mistaken, some surgeons willing to do surgery even the cancer has touched blood vessel, some not, how do you see this as surgeon? #PancChat |
| Dr. Allyson Ocean @drallysonocean This is one of the trials now for borderline resectable #pancreaticcancer: https://t.co/2iWJKehsou #pancchat https://t.co/JF7IL485Vz |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani @drallysonocean It's remarkably good! #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @PanCAN: A3 #Whipple is most common #pancreaticcancer surgery, performed when tumor in head of pancreas. Removes head of pancreas, gallbladder, part of sm. intestine (duodenum), surrounding lymph nodes & sometimes small portion of lower stomach (pylorus). https://t.co/b05BNPbsei #PancChat https://t.co/BEHYcpdPTo |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @Pooja_Prasad29: @ACSalami @letswinpc Definitely! In the UK, we have been looking at centralization and effects of undertaking more complex + extensive resections at such centres. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc A3.3a Three new connections are made in the operating room: bile duct to small intestine (hepaticojejunostomy); stomach or duodenum to the small intestine (gastrojejunostomy or duodenojejunostomy); and the pancreatic duct to the small intestine (pancreatojejunostomy) #PancChat |
| Lustgarten Foundation @lustgartenfdn A3.2a There are two types of Whipple Procedures that can be performed. In the first, the lower part of the stomach is removed. In the second, more commonly performed procedure, the entire stomach and first portion of the duodenum remain intact. #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @PancanMonica @NirajGusani @MDAndersonNews @PanCAN If cancer is invading a blood vessel, the surgeon can sometimes remove the blood vessel and put it back together again #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: Getting there - some trials are ongoing. Good retrospective data - Mokdad et al - https://t.co/W2fp1emELk and others. #PancChat https://t.co/YeTZhFklyJ |
| Lustgarten Foundation @lustgartenfdn RT @letswinpc: A3.3a Three new connections are made in the operating room: A3.3a Three new connections are made in the operating room: bile duct to small intestine (hepaticojejunostomy); stomach or duodenum to the small intestine (gastrojejunostomy or duodenojejunostomy); and the pancreatic duct to the small intestine (pancreatojejunostomy) #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @drallysonocean: This is one of the trials now for borderline resectable #pancreaticcancer: This is one of the trials now for borderline resectable #pancreaticcancer: https://t.co/2iWJKehsou #pancchat https://t.co/JF7IL485Vz |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @letswinpc: A3.3a Three new connections are made in the operating room: A3.3a Three new connections are made in the operating room: bile duct to small intestine (hepaticojejunostomy); stomach or duodenum to the small intestine (gastrojejunostomy or duodenojejunostomy); and the pancreatic duct to the small intestine (pancreatojejunostomy) #PancChat |
| PanCAN @PanCAN RT @letswinpc: A3.3a Three new connections are made in the operating room: A3.3a Three new connections are made in the operating room: bile duct to small intestine (hepaticojejunostomy); stomach or duodenum to the small intestine (gastrojejunostomy or duodenojejunostomy); and the pancreatic duct to the small intestine (pancreatojejunostomy) #PancChat |
| Monica-Amit Mishra @PancanMonica RT @ShaalanBeg: @PancanMonica @NirajGusani @MDAndersonNews @PanCAN If cancer is invading a blood vessel, the surgeon can sometimes remove the blood vessel and put it back together again #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc A3.4a There is also Pylorus Preserving Whipple procedure which preserves the pylorus (where the stomach empties into the duodenum) #PancChat |
| Monica-Amit Mishra @PancanMonica RT @letswinpc: A3.3a Three new connections are made in the operating room: A3.3a Three new connections are made in the operating room: bile duct to small intestine (hepaticojejunostomy); stomach or duodenum to the small intestine (gastrojejunostomy or duodenojejunostomy); and the pancreatic duct to the small intestine (pancreatojejunostomy) #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: #Medical #Cancer word salad - we make it hard for the average person to understand our language! #PancChat https://t.co/LajFv1vqXH |
| PanCAN @PanCAN RT @NirajGusani: Yes - we try to get everyone on a #ClinicalTrial so that we can answer these important #PancreaticCancer questions with data rather than opinions #PancChat https://t.co/WYTmwq3Eet |
| Anirban Maitra @Aiims1742 @drallysonocean The first randomized trial of Neoadjuvant v adjuvant only trial in #PancreaticCancer - small study from Italy shows benefit of former. More definitive trials with current regimens ongoing. #PancChat https://t.co/KGU1h66mZY |
| Monica-Amit Mishra @PancanMonica RT @drallysonocean: This is one of the trials now for borderline resectable #pancreaticcancer: This is one of the trials now for borderline resectable #pancreaticcancer: https://t.co/2iWJKehsou #pancchat https://t.co/JF7IL485Vz |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani In general, many of us are moving toward upfront #Chemotherapy in these cases, but sometimes there is good reason to operate first if it can be done safely... #PancChat #PancreaticCancer #Surgery https://t.co/yDA4cNCf2i |
| Let's Win Pancreatic Cancer 💜 @letswinpc @ibabouniaj @NirajGusani @MDAndersonNews Right now, NanoKnife is in trials for locally advanced pancreatic cancer. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc Q3.b. What is a Distal Pancreatectomy? #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @Aiims1742: @drallysonocean The first randomized trial of Neoadjuvant v adjuvant only trial in #PancreaticCancer - small study from Italy shows benefit of former. More definitive trials with current regimens ongoing. #PancChat https://t.co/KGU1h66mZY |
| Pooja Prasad @Pooja_Prasad29 @pancanology In addition to op, recovery, benefits+risks- QUALITY OF LIFE is important. Ask re diet, simple exercise that can be done at home to improve day to day living, points of contact for concerns. Ask anything really...the patient is at the epicentre of care provided #PancChat |
| PanCAN @PanCAN RT @Aiims1742: @drallysonocean The first randomized trial of Neoadjuvant v adjuvant only trial in #PancreaticCancer - small study from Italy shows benefit of former. More definitive trials with current regimens ongoing. #PancChat https://t.co/KGU1h66mZY |
| Shaalan Beg MD MBA FASCO @ShaalanBeg A Medical Oncologist had a Whipple last year and chronicled his journey https://t.co/G5kF3pNVsf @marklewismd #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc We would love to see this procedure. #PancChat https://t.co/7dlCEWSQmo |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @lustgartenfdn: A3.2a There are two types of Whipple Procedures that can be performed. In the first, the lower part of the stomach is removed. In the second, more commonly performed procedure, the entire stomach and first portion of the duodenum remain intact. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @drallysonocean: This is one of the trials now for borderline resectable #pancreaticcancer: This is one of the trials now for borderline resectable #pancreaticcancer: https://t.co/2iWJKehsou #pancchat https://t.co/JF7IL485Vz |
| Lustgarten Foundation @lustgartenfdn RT @ShaalanBeg: A Medical Oncologist had a Whipple last year and chronicled his journey https://t.co/G5kF3pNVsf @marklewismd #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani A3 Whipple is the operation needed in 2/3 of #PancreaticCancer patients - involves removal of the pancreatic head, duodenum, bile duct, gallbladder, and bottom of stomach with complex reconstruction afterwards #PancChat https://t.co/XbQPTKvTEQ |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.3.1.b A distal pancreatectomy is when the removal of the left portion (tail and body) of the pancreas. This procedure can also involve removal of the spleen. #PancChat |
| Lustgarten Foundation @lustgartenfdn A3.1b A distal pancreatectomy is when the tail and body of the #pancreas are removed, along with the entire spleen. #PancChat |
| PanCAN @PanCAN A3.b. A distal #pancreatectomy is a #pancreaticcancer surgery in which the body and tail portions of the pancreas are removed. In many cases, the spleen is also removed. https://t.co/b05BNPbsei #PancChat https://t.co/3XXW5Z3vMQ |
| Let's Win Pancreatic Cancer 💜 @letswinpc @williamwang1987 RT @ShaalanBeg If cancer is invading a blood vessel, the surgeon can sometimes remove the blood vessel and put it back together again #PancChat |
| Monica-Amit Mishra @PancanMonica RT @Aiims1742: @drallysonocean The first randomized trial of Neoadjuvant v adjuvant only trial in #PancreaticCancer - small study from Italy shows benefit of former. More definitive trials with current regimens ongoing. #PancChat https://t.co/KGU1h66mZY |
| PanCAN @PanCAN RT @ShaalanBeg: @PancanMonica @NirajGusani @MDAndersonNews @PanCAN If cancer is invading a blood vessel, the surgeon can sometimes remove the blood vessel and put it back together again #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @PanCAN: A3.b. A distal #pancreatectomy is a #pancreaticcancer surgery in which the body and tail portions of the pancreas are removed. In many cases, the spleen is also removed. https://t.co/b05BNPbsei #PancChat https://t.co/3XXW5Z3vMQ |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @pancanology @NirajGusani yes.. but we are talking about different blood vessels for cancer resections vs transplant #pancchat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani A3 Whipple procedure for #PancreaticCancer used to be considered a tour-de-force - one of the hardest operations. Still challenging but now it's quite routine and in high-volume centers, done with excellent outcomes! #PancChat https://t.co/X3iZrgVAMg |
| Lustgarten Foundation @lustgartenfdn RT @NirajGusani: A3 Whipple procedure for #PancreaticCancer used to be considered a tour-de-force - one of the hardest operations. Still challenging but now it's quite routine and in high-volume centers, done with excellent outcomes! #PancChat https://t.co/X3iZrgVAMg |
| PanCAN @PanCAN RT @NirajGusani: A3 Whipple procedure for #PancreaticCancer used to be considered a tour-de-force - one of the hardest operations. Still challenging but now it's quite routine and in high-volume centers, done with excellent outcomes! #PancChat https://t.co/X3iZrgVAMg |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @PanCAN: A3.b. A distal #pancreatectomy is a #pancreaticcancer surgery in which the body and tail portions of the pancreas are removed. In many cases, the spleen is also removed. https://t.co/b05BNPbsei #PancChat https://t.co/3XXW5Z3vMQ |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @letswinpc: A.3.1.b A distal pancreatectomy is when the removal of the left portion (tail and body) of the pancreas. This procedure can also involve removal of the spleen. #PancChat |
| Dr. Allyson Ocean @drallysonocean RT @NirajGusani: A3 Whipple procedure for #PancreaticCancer used to be considered a tour-de-force - one of the hardest operations. Still challenging but now it's quite routine and in high-volume centers, done with excellent outcomes! #PancChat https://t.co/X3iZrgVAMg |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @NirajGusani: A3 Whipple is the operation needed in 2/3 of #PancreaticCancer patients - involves removal of the pancreatic head, duodenum, bile duct, gallbladder, and bottom of stomach with complex reconstruction afterwards #PancChat https://t.co/XbQPTKvTEQ |
 | Apoorve Nayyar @apoorvenayyar RT @NirajGusani: Traditionally it was always #Surgery first. Now, more & more we are giving #Chemotherapy first (sometimes with #Radiation) to shrink the tumor, make it easier to resect, etc. Need a #Multidisciplinary team to make the best decision #PancChat https://t.co/7WhmV966Nw |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: A3 Whipple procedure for #PancreaticCancer used to be considered a tour-de-force - one of the hardest operations. Still challenging but now it's quite routine and in high-volume centers, done with excellent outcomes! #PancChat https://t.co/X3iZrgVAMg |
| Apoorve Nayyar @apoorvenayyar RT @NirajGusani: Imp. to remember that there is still a lot of #Nihilism abt #PancreaticCancer in general & #SurgicalIntervention in particular. But at high volume centers we offer excellent outcomes and a chance for #Cure - All pts should see an experienced #Surgeon #PancChat https://t.co/q0NvmLxNC0 |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: A3 Whipple is the operation needed in 2/3 of #PancreaticCancer patients - involves removal of the pancreatic head, duodenum, bile duct, gallbladder, and bottom of stomach with complex reconstruction afterwards #PancChat https://t.co/XbQPTKvTEQ |
| Apoorve Nayyar @apoorvenayyar RT @NirajGusani: Good data from @MDAndersonNews and others showing survival benefit even with vascular resection. Adds to morbidity, of course #PancChat https://t.co/5D6ISH18Jk |
| Lustgarten Foundation @lustgartenfdn #PancChat provides general information about #PancreaticCancer, treatments for the disease, and ways to manage treatments. The participants cannot give specific medical advice. We recommend that you discuss what you learn with your doctor. |
| Monica-Amit Mishra @PancanMonica @letswinpc Will YouTube have some clippings of this surgery? #PancChat @PanCAN |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @ShaalanBeg: A Medical Oncologist had a Whipple last year and chronicled his journey https://t.co/G5kF3pNVsf @marklewismd #PancChat |
| PanCAN @PanCAN RT @ShaalanBeg: A Medical Oncologist had a Whipple last year and chronicled his journey https://t.co/G5kF3pNVsf @marklewismd #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani A3 - yes - done for about 1/3 of (resectable) #PancreaticCancer patients - left (or distal) pancreatectomy involves removal of 2/3 of the pancreas as well as lymph nodes and usually the spleen #PancChat https://t.co/X8ZToEcew0 |
| Let's Win Pancreatic Cancer 💜 @letswinpc Q4. Why is surgical intervention so difficult for #PancreaticCancer? #PancChat |
| Anirban Maitra @Aiims1742 @aprettyace A #PancreaticCancer that is non-metastatic is not necessarily operable. A radiologist & surgeon (typically together) will evaluate resectable status & based on relationships to blood vessels classify the tumor as: resectable, borderline resectable, or locally advanced. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc Mark's surgical team at @Intermountain actually live-tweeted his Whipple. You can read the thread here: #PancChat https://t.co/UxwwylEMuf https://t.co/fOF4GpGEbg |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani In high-volume centers, left (distal) pancreatectomy is routines done (even for #PancreaticCancer ) via minimally invasive surgical techniques #PancChat https://t.co/fGPIuJBZwd |
| PanCAN @PanCAN A4. Surgery is difficult because of where the #pancreas is located, deep in the abdomen, & how many organs it is involved with. Unfortunately, most patients are diagnosed when their #pancreaticcancer has already spread & surgery is not an option. #PancChat https://t.co/LVUXpNVfXN |
| Apoorve Nayyar @apoorvenayyar RT @Aiims1742: @drallysonocean The first randomized trial of Neoadjuvant v adjuvant only trial in #PancreaticCancer - small study from Italy shows benefit of former. More definitive trials with current regimens ongoing. #PancChat https://t.co/KGU1h66mZY |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.4.1 #PancreaticCancer has few early warning symptoms, by the time a patient is diagnosed with pancreatic cancer, the disease is often already in an advanced stage. #PancChat |
| Lustgarten Foundation @lustgartenfdn A4.1 Since #PancreaticCancer has few early warning symptoms, most patients are diagnosed when the cancer has spread. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc @PancanMonica @PanCAN It's quite possible. Just make sure it's from a trusted source a some of the @youtube videos related to #PancreaticCancer are sensationalist at best. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: In high-volume centers, left (distal) pancreatectomy is routines done (even for #PancreaticCancer ) via minimally invasive surgical techniques #PancChat https://t.co/fGPIuJBZwd |
 | Wungki Park, MD MS @CentralParkWMD RT @Aiims1742: @drallysonocean The first randomized trial of Neoadjuvant v adjuvant only trial in #PancreaticCancer - small study from Italy shows benefit of former. More definitive trials with current regimens ongoing. #PancChat https://t.co/KGU1h66mZY |
| william1987 @williamwang1987 After surgery, what chemo to choose? Why dont use folfirinox or gem+abraxane? I know gem+xeloda statistic is good, but the most effective to treat pancan are folfirinox and gem+abraxane #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @Aiims1742: @aprettyace A #PancreaticCancer that is non-metastatic is not necessarily operable. A radiologist & surgeon (typically together) will evaluate resectable status & based on relationships to blood vessels classify the tumor as: resectable, borderline resectable, or locally advanced. #PancChat |
| Monica-Amit Mishra @PancanMonica RT @PanCAN: A4. Surgery is difficult because of where the #pancreas is located, deep in the abdomen, & how many organs it is involved with. Unfortunately, most patients are diagnosed when their #pancreaticcancer has already spread & surgery is not an option. #PancChat https://t.co/LVUXpNVfXN |
| Let's Win Pancreatic Cancer 💜 @letswinpc A4.2 Pancreatic operations are complex because the pancreas is located deep in the abdomen just in front of the spine. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc A4.3 The pancreas is also a delicate organ, rich in digestive enzymes that can cause inflammation around it. #PancChat |
| Lustgarten Foundation @lustgartenfdn A4.2 .@AmericanCancer estimates that fewer than 1 in 5 #PancreaticCancer cases are confined to the pancreas. #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani @pancanology Agree - still 40% morbidity in the best of hands. I am on the #WhippleWarriors facebook group for exactly that reason - to learn from patients about their ACTUAL outcomes. Would love to join the other group as well! #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @aprettyace boy, it took a long time for oncologists to see the value in waiting: doing chemo while we wait allows 1) a chance for better margins 2) any hidden metastasis to reveal themselves and prevent futile surgery.. I will say this approach is not perfect and needs trials too! #PancChat |
 | Frank Ingram, MD @Chucktowndoc Ingram here...You’re friendly neighborhood pathologist in NC. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: A3 - yes - done for about 1/3 of (resectable) #PancreaticCancer patients - left (or distal) pancreatectomy involves removal of 2/3 of the pancreas as well as lymph nodes and usually the spleen #PancChat https://t.co/X8ZToEcew0 |
| Dr. Allyson Ocean @drallysonocean Many times people only talk about the bad outcomes...the good ones get less press. #pancchat https://t.co/QAfslQV6cL |
| Let's Win Pancreatic Cancer 💜 @letswinpc A4.4 There are also several important blood vessels that run just behind the pancreas. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.4.5 @americancancer estimates that fewer than 1 in 5 pancreatic cancer cases are confined to the pancreas. #PancChat |
| Apoorve Nayyar @apoorvenayyar RT @NirajGusani: It's true - #PancreaticCancer is a tough business - in most cases, even with excellent surgery and aggressive chemo/radiation, the tumor comes back. Still #SurgicalIntervention offers hope for #Cure #PancChat https://t.co/SomEqkFEbZ |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @Aiims1742: @aprettyace A #PancreaticCancer that is non-metastatic is not necessarily operable. A radiologist & surgeon (typically together) will evaluate resectable status & based on relationships to blood vessels classify the tumor as: resectable, borderline resectable, or locally advanced. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc Thanks for joining us, Frank! #PancChat https://t.co/qup3Fcio5U |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @letswinpc: Mark's surgical team at @Intermountain actually live-tweeted his Whipple. You can read the thread here: Mark's surgical team at @Intermountain actually live-tweeted his Whipple. You can read the thread here: #PancChat https://t.co/UxwwylEMuf https://t.co/fOF4GpGEbg |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani @letswinpc @PancanMonica @PanCAN @YouTube Check out a live-tweet stream regarding recent Whipple on a @marklewismd - an oncologist himself: https://t.co/JqOkDnXKw4 amazing story! #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @drallysonocean: Many times people only talk about the bad outcomes...the good ones get less press. #pancchat https://t.co/QAfslQV6cL |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.4.6 This video from @weillcornell’s Dr. Rohit Chandwani also offers a good explanation of pancreatic surgery. #PancChat https://t.co/O4t6r6qNgE |
| Lustgarten Foundation @lustgartenfdn A4.3 The surgery itself is difficult because of the localization of the organ. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: @letswinpc @PancanMonica @PanCAN @YouTube Check out a live-tweet stream regarding recent Whipple on a @marklewismd - an oncologist himself: https://t.co/JqOkDnXKw4 amazing story! #PancChat |
| Lustgarten Foundation @lustgartenfdn RT @letswinpc: A.4.6 This video from @weillcornell’s Dr. Rohit Chandwani also offers a good explanation of pancreatic surgery. #PancChat https://t.co/O4t6r6qNgE |
 | Dr. Bishoy M. Faltas @FaltasLab RT @drallysonocean: Many times people only talk about the bad outcomes...the good ones get less press. #pancchat https://t.co/QAfslQV6cL |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @ShaalanBeg: @aprettyace boy, it took a long time for oncologists to see the value in waiting: @aprettyace boy, it took a long time for oncologists to see the value in waiting: doing chemo while we wait allows 1) a chance for better margins 2) any hidden metastasis to reveal themselves and prevent futile surgery.. I will say this approach is not perfect and needs trials too! #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc Q5. What is the role of surgeon/center experience in performance of this operation? #PancChat |
| PanCAN @PanCAN RT @letswinpc: A.4.5 @americancancer estimates that fewer than 1 in 5 pancreatic cancer cases are confined to the pancreas. #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @letswinpc @Intermountain I remember that day, I was rounding at our hospital. waiting for updates on @marklewismd surgery on twitter #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Agree - a huge issue - up to 40% of patients may need enzyme supplementation. Important to discuss upfront BEFORE surgery #PancChat https://t.co/PvzKNYd99c |
 | randye ringler @randyeringler #pancchat Assuming that the "clock" re survival/recurrence starts after the successful surgical removal of the pc, how long should one wait to have any other operations re stress on the body/possible spread of cancer? |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.5.1 Surgery for pancreatic cancer is complex. It is important for patients to seek treatment at a high-volume surgical center and to find out how often their surgeon performs this procedure. #PancChat |
| Lustgarten Foundation @lustgartenfdn A5.1 Removing a pancreatic tumor can be a complex procedure, which is why it is important for patients to be treated at a high-volume surgical center and by a surgeon who performs these procedures often. #PancChat |
| Dr. Allyson Ocean @drallysonocean #PancChat If someone is going to have surgery for #pancreaticcancer, try to enroll in a #precisionmedicine program or #clinicaltrial before surgery so that the tumor can be investigated after it is removed. Sometimes an #organoid can be made. |
| Lustgarten Foundation @lustgartenfdn RT @drallysonocean: #PancChat If someone is going to have surgery for #pancreaticcancer, try to enroll in a #precisionmedicine program or #clinicaltrial before surgery so that the tumor can be investigated after it is removed. Sometimes an #organoid can be made. |
| Let's Win Pancreatic Cancer 💜 @letswinpc @ShaalanBeg @Intermountain @marklewismd I think we were all sitting on the edge of our seats waiting for the next tweet. All day. #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Pretty much - lots of trials - no significant differences. Lots of anecdotes about why/how one is better. #PancChat https://t.co/wzLzAb20zH |
| Anirban Maitra @Aiims1742 @DerekAOReilly @lustgartenfdn @letswinpc Welcome Dr. O’Reilly - all the way from Manchester England! Also joining us this late evening @Pooja_Prasad29 Great to have your perspectives. #PancChat |
| PanCAN @PanCAN A5. Data shows that high-volume surgeons at high-volume hospitals have higher success rates, fewer complications. We strongly recommend a high-volume surgeon (>15 surgeries/year) perform surgery. Patient Central can provide list of surgeons: https://t.co/utp7o25JHA #PancChat https://t.co/4zzHeU8ymB |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @aprettyace Survivorship after pancreatic surgery is a big deal-hence the reason to avoid futile surgeries. but your raise a very good point about medication coverage.. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.5.2 Studies have indicated that patients treated at high-volume surgical centers often better surgical outcomes than those treated at low-volume centers. #PancChat https://t.co/WGEdNWax33 https://t.co/IEv8CCY5wo |
| Dr. Allyson Ocean @drallysonocean A5: IT'S THE MOST IMPORTANT DETERMINANT OF A SUCCESSFUL OUTCOME- EXPERIENCE MATTERS #pancchat https://t.co/bP1IJKB1tV |
| Let's Win Pancreatic Cancer 💜 @letswinpc This is important to note. #PancChat https://t.co/lhijCCOK13 |
| Monica-Amit Mishra @PancanMonica @NirajGusani @letswinpc @PanCAN @YouTube @marklewismd I actually did! :) #PancChat @PanCAN |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @drallysonocean: A5: A5: IT'S THE MOST IMPORTANT DETERMINANT OF A SUCCESSFUL OUTCOME- EXPERIENCE MATTERS #pancchat https://t.co/bP1IJKB1tV |
| PanCAN @PanCAN A5. "Experienced surgical clinics are tuned in to the warning signs of complications and know how to address them quickly and effectively," -Dr Jason Fleming @MoffittNews. Read more about #pancreaticcancer surgeons: https://t.co/k8VluDuRrl #PancChat https://t.co/zAiXCcIjIt |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @PanCAN: A5. Data shows that high-volume surgeons at high-volume hospitals have higher success rates, fewer complications. We strongly recommend a high-volume surgeon (>15 surgeries/year) perform surgery. Patient Central can provide list of surgeons: https://t.co/utp7o25JHA #PancChat https://t.co/4zzHeU8ymB |
| Lustgarten Foundation @lustgartenfdn A5.2 Studies have indicated that patients treated at a high-volume surgical center that sees 15-20 #PancreaticCancer patients a year, often have fewer complications than those treated at low-volume centers. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc It is indeed great to have your perspectives and we're thrilled you are here tonight. #pancChat https://t.co/03X29gDejt |
| Monica-Amit Mishra @PancanMonica RT @PanCAN: A5. "Experienced surgical clinics are tuned in to the warning signs of complications and know how to address them quickly and effectively," -Dr Jason Fleming @MoffittNews. Read more about #pancreaticcancer surgeons: https://t.co/k8VluDuRrl #PancChat https://t.co/zAiXCcIjIt |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @williamwang1987 We have been burnt by regimens which work in stage 4 end up failing in adjuvant (after surgery) trials. As it stands right now, we do not know if GA or FFX work after surgery #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani It's a huge topic of debate (especially on blogs and FB) - truth is that we don't fully understand these symptoms - likely gas/adhesions but not easy to study or treat. Again - a great case of speaking to patients upfront about possible effects on #QOL after surgery #PancChat https://t.co/UOvsOcvyUk |
| PanCAN @PanCAN RT @NirajGusani: Agree - a huge issue - up to 40% of patients may need enzyme supplementation. Important to discuss upfront BEFORE surgery #PancChat https://t.co/PvzKNYd99c |
| Lustgarten Foundation @lustgartenfdn RT @drallysonocean: A5: A5: IT'S THE MOST IMPORTANT DETERMINANT OF A SUCCESSFUL OUTCOME- EXPERIENCE MATTERS #pancchat https://t.co/bP1IJKB1tV |
| Monica-Amit Mishra @PancanMonica RT @drallysonocean: A5: A5: IT'S THE MOST IMPORTANT DETERMINANT OF A SUCCESSFUL OUTCOME- EXPERIENCE MATTERS #pancchat https://t.co/bP1IJKB1tV |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @letswinpc: A4.3 The pancreas is also a delicate organ, rich in digestive enzymes that can cause inflammation around it. #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @NirajGusani: It's a huge topic of debate (especially on blogs and FB) - truth is that we don't fully understand these symptoms - likely gas/adhesions but not easy to study or treat. Again - a great case of speaking to patients upfront about possible effects on #QOL after surgery #PancChat https://t.co/UOvsOcvyUk |
 | Mo @moghaddar RT @drallysonocean: A5: A5: IT'S THE MOST IMPORTANT DETERMINANT OF A SUCCESSFUL OUTCOME- EXPERIENCE MATTERS #pancchat https://t.co/bP1IJKB1tV |
| Let's Win Pancreatic Cancer 💜 @letswinpc There is a period of adjustment and some of the change is permanent. This is where working with your care team (especially a nutritionist, etc,) can help you get on the right track. Grabbing an article for you, hang on. #PancChat https://t.co/ZpmFWPSro6 |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Very good data on volume-outcome relationships in #PancreaticCancer surgery - still not clear if it's the surgeon, hospital, team, system etc - likely all of the above play a role. #PancChat https://t.co/sKORhKMx7I |
| Let's Win Pancreatic Cancer 💜 @letswinpc Q6. How often are there complications after surgery? #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @NirajGusani: Very good data on volume-outcome relationships in #PancreaticCancer surgery - still not clear if it's the surgeon, hospital, team, system etc - likely all of the above play a role. #PancChat https://t.co/sKORhKMx7I |
| Anirban Maitra @Aiims1742 @drallysonocean The ALL CAPS are warranted. In #PancreaticCancer outcomes - hospital volume & surgeon experience is paramount. Famous @NEJM study cited 4,000 times: #PancChat https://t.co/MxC3Xlpp3s |
| Let's Win Pancreatic Cancer 💜 @letswinpc This is a good resource on how to eat after a Whipple https://t.co/i4mIW5T8HQ #PancChat https://t.co/ZpmFWPSro6 |
| Lustgarten Foundation @lustgartenfdn RT @Aiims1742: @drallysonocean The ALL CAPS are warranted. In #PancreaticCancer outcomes - hospital volume & surgeon experience is paramount. Famous @NEJM study cited 4,000 times: #PancChat https://t.co/MxC3Xlpp3s |
| Lustgarten Foundation @lustgartenfdn RT @letswinpc: This is a good resource on how to eat after a Whipple https://t.co/i4mIW5T8HQ #PancChat https://t.co/ZpmFWPSro6 |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @letswinpc: This is a good resource on how to eat after a Whipple https://t.co/i4mIW5T8HQ #PancChat https://t.co/ZpmFWPSro6 |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani That's it - there are good data to show that even after complications, experienced teams can help the patient recover and avoid worsening problems which can be life-threatening #PancChat https://t.co/lBtFimJe5h |
| Lustgarten Foundation @lustgartenfdn RT @NirajGusani: That's it - there are good data to show that even after complications, experienced teams can help the patient recover and avoid worsening problems which can be life-threatening #PancChat https://t.co/lBtFimJe5h |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @PanCAN: A5. "Experienced surgical clinics are tuned in to the warning signs of complications and know how to address them quickly and effectively," -Dr Jason Fleming @MoffittNews. Read more about #pancreaticcancer surgeons: https://t.co/k8VluDuRrl #PancChat https://t.co/zAiXCcIjIt |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.6.1 There is always a risk for surgical complications with any surgery, however patients under the care of an experienced surgeon have a lower risk of post-operative complications. #PancChat |
| Lustgarten Foundation @lustgartenfdn A6.1 While the Whipple Procedure is a complex surgery, under the care of an experienced surgeon the risk of post-operative complications is low. #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani This concept is called "Failure to Rescue" (FTR) - high volume centers have lower FTR for #PancreaticCancer #PancChat https://t.co/lBtFimJe5h |
| Let's Win Pancreatic Cancer 💜 @letswinpc There can be long-term survivorship without surgery. Marisa is a 20-year stage IV pancreatic cancer survivor: https://t.co/2Y1CzQZ2zg #PancChat |
| Lustgarten Foundation @lustgartenfdn RT @letswinpc: There can be long-term survivorship without surgery. Marisa is a 20-year stage IV pancreatic cancer survivor: There can be long-term survivorship without surgery. Marisa is a 20-year stage IV pancreatic cancer survivor: https://t.co/2Y1CzQZ2zg #PancChat |
| PanCAN @PanCAN A6. After the #Whipple, the common complication is delayed gastric emptying, when stomach takes too long to empty contents. Usually, after 7-10 days the stomach begins to empty well enough that regular eating can be resumed. 1/2 #PancChat https://t.co/iZaQHVVKJd |
| PanCAN @PanCAN A6. Most serious potential complication of #Whipple procedure is abdominal infection due to leakage where the pancreas is connected to small intestine, called pancreatic leak or fistula. Occurs in ~10% patients & usually managed by draining tubes & antibiotics. #PancChat |
| PanCAN @PanCAN A6. If delayed gastric emptying continues, the patient may require feedings through a feeding tube that bypasses the stomach or goes through a vein. 2/2 #PancChat |
| Pooja Prasad @Pooja_Prasad29 Interesting lessons from across the pond. Is there a role to offer ALL patients (resectable or otherwise) enzyme supplementation? We have a nutritional interest group here in the UK @nigps who work tirelessly to promote enzyme insufficiency among this pt group. #PancChat https://t.co/ebeozjyNC1 |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani only for people at high familial risk - screen program often alternate between MRI and EUS. #PancChat https://t.co/lpjFeAVpZr |
| Let's Win Pancreatic Cancer 💜 @letswinpc And here is Marisa's My Treatment story: https://t.co/0M0toVrSRl #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.6.2 Potential complications could include pancreatic leaking from the various connections among organs that the surgeon has to make, risk of infection, and bleeding. #PancChat |
| Lustgarten Foundation @lustgartenfdn A6.2 According to the @MayoClinic, the Whipple Procedure can take anywhere from 4-12 hours to perform. #PancChat https://t.co/QdnFd7lU7N |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @PanCAN: A6. If delayed gastric emptying continues, the patient may require feedings through a feeding tube that bypasses the stomach or goes through a vein. 2/2 #PancChat |
| Lustgarten Foundation @lustgartenfdn RT @letswinpc: And here is Marisa's My Treatment story: And here is Marisa's My Treatment story: https://t.co/0M0toVrSRl #PancChat |
| Monica-Amit Mishra @PancanMonica RT @PanCAN: A6. Most serious potential complication of #Whipple procedure is abdominal infection due to leakage where the pancreas is connected to small intestine, called pancreatic leak or fistula. Occurs in ~10% patients & usually managed by draining tubes & antibiotics. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @PanCAN: A6. After the #Whipple, the common complication is delayed gastric emptying, when stomach takes too long to empty contents. Usually, after 7-10 days the stomach begins to empty well enough that regular eating can be resumed. 1/2 #PancChat https://t.co/iZaQHVVKJd |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Yes, but important to realize that this is exceedingly rare... #PancChat https://t.co/1AYNbgoh90 |
| Monica-Amit Mishra @PancanMonica RT @NirajGusani: only for people at high familial risk - screen program often alternate between MRI and EUS. #PancChat https://t.co/lpjFeAVpZr |
| Let's Win Pancreatic Cancer 💜 @letswinpc A6.3 A pancreatic fistula is an abnormal communication between the pancreas and other organs due to leakage of pancreatic secretions from damaged pancreatic ducts. #PancChat |
| Lustgarten Foundation @lustgartenfdn A6.3 Potential complications could include a pancreatic fistula, or leakage of pancreatic juices, which usually does not require patients to be re-operated on and should heal on its own. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc Agree, 100%. But hope is important to all. #PancChat https://t.co/obFww3qzz4 |
| Dr. Allyson Ocean @drallysonocean Show this to all patients who are unable to have surgery... #PancChat https://t.co/gpyEyZXpNg |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @lustgartenfdn: A6.2 According to the @MayoClinic, the Whipple Procedure can take anywhere from 4-12 hours to perform. #PancChat https://t.co/QdnFd7lU7N |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.6.4 Gastroparesis, or gastric stasis, is a disorder of delayed gastric emptying in the absence of mechanical obstruction. #PancChat |
| Lustgarten Foundation @lustgartenfdn A6.4 The other complication is gastroparesis, a paralysis of the stomach, which could occur in up to 25% of patients and last 4-6 weeks before the stomach returns to its normal function. #PancChat https://t.co/7aUIyXYmdh |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: only for people at high familial risk - screen program often alternate between MRI and EUS. #PancChat https://t.co/lpjFeAVpZr |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani A6 - all in all, even in experienced hands, risk of complications after #PancreaticCancer surgery is 30-40% - so best to be prepared for all possibilities. That's where experience and familiarity play a role... #PancChat https://t.co/j30wxINL5Q |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @Pooja_Prasad29 @nigps very cool! as @aprettyace pointed out that's unfortunately not case in the US and PERT enzyme supplementation is somewhat of a luxury here... #PancChat |
| Lustgarten Foundation @lustgartenfdn RT @NirajGusani: A6 - all in all, even in experienced hands, risk of complications after #PancreaticCancer surgery is 30-40% - so best to be prepared for all possibilities. That's where experience and familiarity play a role... #PancChat https://t.co/j30wxINL5Q |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @Pooja_Prasad29: Interesting lessons from across the pond. Is there a role to offer ALL patients (resectable or otherwise) enzyme supplementation? We have a nutritional interest group here in the UK @nigps who work tirelessly to promote enzyme insufficiency among this pt group. #PancChat https://t.co/ebeozjyNC1 |
| PanCAN @PanCAN RT @letswinpc: Agree, 100%. But hope is important to all. #PancChat https://t.co/obFww3qzz4 |
| Let's Win Pancreatic Cancer 💜 @letswinpc Q7. What are the possible long-term effects of having surgery? #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Yes - 6 months at least - to minimize risk of ulceration at the stomach-intestinal anastomosis (hookup) #PancChat https://t.co/aBHZTNoGpG |
 | Madhusree⚕️ Singh, MD @thinkalot RT @NirajGusani: A6 - all in all, even in experienced hands, risk of complications after #PancreaticCancer surgery is 30-40% - so best to be prepared for all possibilities. That's where experience and familiarity play a role... #PancChat https://t.co/j30wxINL5Q |
| Dr. Allyson Ocean @drallysonocean Yes, that happens sometimes. Marisa is the second person I have seen with 2 #BRCA mutations. #PancChat https://t.co/K7obOEEkdx |
| Let's Win Pancreatic Cancer 💜 @letswinpc .@nigps is such a great resource for UK patients. This can only help, especially when dealing with enzyme insufficiency #PancChat https://t.co/Jg2CUlJlNd |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @drallysonocean: Show this to all patients who are unable to have surgery... #PancChat https://t.co/gpyEyZXpNg |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.7.1 Possible long-term effects could include problems digesting some foods (which can cause weight loss), insufficient pancreatic enzymes, and new-onset diabetes. #PancChat |
| Lustgarten Foundation @lustgartenfdn A7.1 Some complications from surgery may include problems digesting different foods, insufficient pancreatic enzymes, leaking after surgery, infection, or bleeding. #PancChat |
| PanCAN @PanCAN A7. After #pancreaticcancer surgery, many patients must take pancreatic enzymes to help digest food properly. Check out 6 important facts about #pancreaticenzymes: https://t.co/EbGJlpV6cj #PancChat |
| PanCAN @PanCAN A7. After #pancreaticcancer surgery, it can take a few months to a year to feel “normal” again. It takes time for digestive system to start working again, and some patients must make permanent diet changes to reduce symptoms like diarrhea, gas, stomach pain. #PancChat https://t.co/ELjsfqQNsS |
| Pooja Prasad @Pooja_Prasad29 @ShaalanBeg @nigps @aprettyace Hmmm...I'm thinking it's cost related? Or supply..? #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc @pancanology Marisa's tests were done at two different times, years apart. The first one was done at a small lab; the second was years later at a much larger lab. #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @letswinpc: .@nigps is such a great resource for UK patients. This can only help, especially when dealing with enzyme insufficiency #PancChat https://t.co/Jg2CUlJlNd |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @PanCAN: A7. After #pancreaticcancer surgery, it can take a few months to a year to feel “normal” again. It takes time for digestive system to start working again, and some patients must make permanent diet changes to reduce symptoms like diarrhea, gas, stomach pain. #PancChat https://t.co/ELjsfqQNsS |
 | Richard Dunne, MD @DrR_DUNNE A7. After surgery, patients with #pancreaticcancer may have less of appetite and need to eat frequent small meals #nutrition #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc Important numbers to know and remember. #PancChat https://t.co/OlIDjI5TOO |
| Let's Win Pancreatic Cancer 💜 @letswinpc A7.2 Other complications could include changes in bowel habits (diarrhea) and fatigue. #PancChat |
| Lustgarten Foundation @lustgartenfdn A7.2 It is possible to get diabetes after surgery, which could be temporary or permanent. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @DerekAOReilly: |
| Lustgarten Foundation @lustgartenfdn RT @DrR_DUNNE: A7. After surgery, patients with #pancreaticcancer may have less of appetite and need to eat frequent small meals #nutrition #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani The pancreas is normally soft and very hard to secure with sutures/staple. That's why it tends to leak often after surgery. A cherished maxim in surgery is 'Don't "mess' with the pancreas' (surgeons might use a more colorful term for "mess") #PancChat https://t.co/cj5GQSTU9P |
| PanCAN @PanCAN RT @Aiims1742: @drallysonocean The ALL CAPS are warranted. In #PancreaticCancer outcomes - hospital volume & surgeon experience is paramount. Famous @NEJM study cited 4,000 times: #PancChat https://t.co/MxC3Xlpp3s |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: The pancreas is normally soft and very hard to secure with sutures/staple. That's why it tends to leak often after surgery. A cherished maxim in surgery is 'Don't "mess' with the pancreas' (surgeons might use a more colorful term for "mess") #PancChat https://t.co/cj5GQSTU9P |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.7.3 Patients should talk to their care team about the possible complications they could experience and how they can work together to manage them. #PancChat |
| PanCAN @PanCAN RT @NirajGusani: The pancreas is normally soft and very hard to secure with sutures/staple. That's why it tends to leak often after surgery. A cherished maxim in surgery is 'Don't "mess' with the pancreas' (surgeons might use a more colorful term for "mess") #PancChat https://t.co/cj5GQSTU9P |
| Dr. Allyson Ocean @drallysonocean Data show that most patients are underdosed with pancreatic enzymes. Great to have GI experts and nutritionists involved. #pancchat https://t.co/RhElluIln9 |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @Pooja_Prasad29 @nigps @aprettyace cost.. today i heard about out of pocket costs of $400 to $1200 per MONTH for pancreatic enzyme supplementation .. this is with insurance #PancChat unsustainable! |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @drallysonocean: Data show that most patients are underdosed with pancreatic enzymes. Great to have GI experts and nutritionists involved. #pancchat https://t.co/RhElluIln9 |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @DrR_DUNNE: A7. After surgery, patients with #pancreaticcancer may have less of appetite and need to eat frequent small meals #nutrition #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Yes - again a role for preoperative counseling about the potential side-effects, complications, & long-term effects of surgery - change in ability to eat (usually short term) is definitely high on the list! #PancChat https://t.co/SiNPcZDBg1 |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @letswinpc: A7.2 Other complications could include changes in bowel habits (diarrhea) and fatigue. #PancChat |
| Lustgarten Foundation @lustgartenfdn A7.3 Patients should ask their surgeons about what complications they could experience and how they will be handled. #PancChat |
| Monica-Amit Mishra @PancanMonica @PanCAN How soon is chemo usually given to a patient after Whipple? I understand every case is different #PancChat @PanCAN |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @lustgartenfdn: A7.3 Patients should ask their surgeons about what complications they could experience and how they will be handled. #PancChat |
 | pbkovler @pbkovler RT @Aiims1742: #Pathologist from Houston Call me if you need a margin assessment #PancChat https://t.co/KFU9T488Uo |
| Let's Win Pancreatic Cancer 💜 @letswinpc 100% unsustainable especially if factoring in other expenses such as co-pays, deductibles, and out of pocket expenses for treatment. #PancChat https://t.co/fH6riLtkaH |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @ShaalanBeg: @Pooja_Prasad29 @nigps @aprettyace cost.. today i heard about out of pocket costs of $400 to $1200 per MONTH for pancreatic enzyme supplementation .. this is with insurance #PancChat unsustainable! |
| Monica-Amit Mishra @PancanMonica RT @drallysonocean: Data show that most patients are underdosed with pancreatic enzymes. Great to have GI experts and nutritionists involved. #pancchat https://t.co/RhElluIln9 |
| Let's Win Pancreatic Cancer 💜 @letswinpc Q8. If surgery is not a possibility, what are other treatment options? #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @lustgartenfdn: A7.3 Patients should ask their surgeons about what complications they could experience and how they will be handled. #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @letswinpc: A.7.3 Patients should talk to their care team about the possible complications they could experience and how they can work together to manage them. #PancChat |
| Monica-Amit Mishra @PancanMonica @ShaalanBeg @Pooja_Prasad29 @nigps @aprettyace Geez! This is unbelievable #PancChat @PanCAN |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani We aim for starting #chemotherapy 4-6 weeks afte surgery, but it can be delayed if there are ongoing post-surgical issues #PancChat https://t.co/UW9jchLdpk |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.8.1 For patients who are not surgical candidates, treatment options might include palliative surgery and neoadjuvant therapy such as chemotherapy and radiation to help control the cancer. #PancChat |
| Lustgarten Foundation @lustgartenfdn A8.1 For patients who are not candidates for surgery, there are other treatment options, such as neoadjuvant therapy and palliative surgery. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc @pancanology 100% on the platinum. Ken is a firm beliver! #PancChat https://t.co/YQgCWRisdp |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @letswinpc: @pancanology 100% on the platinum. Ken is a firm beliver! #PancChat https://t.co/YQgCWRisdp |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @lustgartenfdn: A8.1 For patients who are not candidates for surgery, there are other treatment options, such as neoadjuvant therapy and palliative surgery. #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @NirajGusani: We aim for starting #chemotherapy 4-6 weeks afte surgery, but it can be delayed if there are ongoing post-surgical issues #PancChat https://t.co/UW9jchLdpk |
| PanCAN @PanCAN A8. Other #pancreaticcancer treatment options include chemotherapy, radiation therapy, targeted therapy & immunotherapy prescribed by a doctor or in a #clinicaltrial. Learn more about #treatment options here: https://t.co/8Yphs3A487 #PancChat https://t.co/CAkXm76ePb |
| Let's Win Pancreatic Cancer 💜 @letswinpc A8.2 Adjuvant therapy is often used after primary treatments, such as surgery or radiation. Adjuvant therapy given before the main treatment is called neoadjuvant therapy. #PancChat |
| Lustgarten Foundation @lustgartenfdn A8.2 Palliative surgery can help alleviate symptoms including, jaundice, nausea, vomiting, and pain in order to improve a patient’s quality of life. #PancChat |
| PanCAN @PanCAN A8. All #pancreaticcancer patients may also consider #molecularprofiling. Every pancreatic tumor is different. We @PanCAN strongly recommend molecular profiling of your tumor to help determine the best treatment options. Learn more: https://t.co/k3hZKw70B8 #PancChat |
| Pooja Prasad @Pooja_Prasad29 @ShaalanBeg @nigps @aprettyace Ah. This is where we are INCREDIBLY lucky in the UK to have the wonderful #NHS where our patients don't need to pay for this. I'm sure @DerekAOReilly will agree that the health service structure means we are able to offer this option more readily...#PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: We aim for starting #chemotherapy 4-6 weeks afte surgery, but it can be delayed if there are ongoing post-surgical issues #PancChat https://t.co/UW9jchLdpk |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @lustgartenfdn: A8.2 Palliative surgery can help alleviate symptoms including, jaundice, nausea, vomiting, and pain in order to improve a patient’s quality of life. #PancChat |
| Richard Dunne, MD @DrR_DUNNE We aim to start #chemo 4-8 weeks post-surgery with most starting between 6-8 weeks. You are right it is different from person to person all depends on recovery from surgery #PancChat #pancreaticcancer https://t.co/i34neWkWXG |
| Monica-Amit Mishra @PancanMonica RT @letswinpc: @pancanology 100% on the platinum. Ken is a firm beliver! #PancChat https://t.co/YQgCWRisdp |
| Dr. Allyson Ocean @drallysonocean When a surgeon turns down a patient for surgery, please provide #hope by discussing #clinicaltrials and referring patients to resources like @letswinpc @lustgartenfdn and @PanCAN #pancchat https://t.co/0AzFXlPpfo |
| Let's Win Pancreatic Cancer 💜 @letswinpc @Lulu_Lapin @NirajGusani Thank you for sharing your Mother's story with us. How is she doing now? #PancChat |
| Lustgarten Foundation @lustgartenfdn RT @drallysonocean: When a surgeon turns down a patient for surgery, please provide #hope by discussing #clinicaltrials and referring patients to resources like @letswinpc @lustgartenfdn and @PanCAN #pancchat https://t.co/0AzFXlPpfo |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @drallysonocean: When a surgeon turns down a patient for surgery, please provide #hope by discussing #clinicaltrials and referring patients to resources like @letswinpc @lustgartenfdn and @PanCAN #pancchat https://t.co/0AzFXlPpfo |
| PanCAN @PanCAN RT @DrR_DUNNE: We aim to start #chemo 4-8 weeks post-surgery with most starting between 6-8 weeks. You are right it is different from person to person all depends on recovery from surgery #PancChat #pancreaticcancer https://t.co/i34neWkWXG |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.8.3 Palliative surgery might be performed to help alleviate symptoms including, jaundice, itching, GI upset (nausea/vomiting) and other conditions associated with pancreatic cancer. #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani @letswinpc A8. Options for patients who cannot undergo curative #Surgery include #chemotherapy, #radiation, or both. Newer #ClinicalTrials are testing other drugs including #Immunotherapy. All patients should have symptom control incl. treatments for jaundice, pain, nausea, etc #PancChat |
| PanCAN @PanCAN RT @letswinpc: A8.2 Adjuvant therapy is often used after primary treatments, such as surgery or radiation. Adjuvant therapy given before the main treatment is called neoadjuvant therapy. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: @letswinpc A8. Options for patients who cannot undergo curative #Surgery include #chemotherapy, #radiation, or both. Newer #ClinicalTrials are testing other drugs including #Immunotherapy. All patients should have symptom control incl. treatments for jaundice, pain, nausea, etc #PancChat |
| PanCAN @PanCAN RT @drallysonocean: When a surgeon turns down a patient for surgery, please provide #hope by discussing #clinicaltrials and referring patients to resources like @letswinpc @lustgartenfdn and @PanCAN #pancchat https://t.co/0AzFXlPpfo |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @drallysonocean: When a surgeon turns down a patient for surgery, please provide #hope by discussing #clinicaltrials and referring patients to resources like @letswinpc @lustgartenfdn and @PanCAN #pancchat https://t.co/0AzFXlPpfo |
| Let's Win Pancreatic Cancer 💜 @letswinpc @DrR_DUNNE Thanks for joining us, RIchard! #PancChat |
| Dr. Allyson Ocean @drallysonocean Parp inhibitors are also options for patients with #BRCA mutations. @LguzzardiM #PancChat https://t.co/JBayxlc0Pz |
| Let's Win Pancreatic Cancer 💜 @letswinpc A8.4 Palliative surgery can help you experience a better quality of life, prevent treatment interruptions and reduce liver damage. #PancChat |
| Lustgarten Foundation @lustgartenfdn A8.3 Our Lustgarten @SU2C funded researcher, Dr. David Ryan, is working to increase surgical intervention for borderline resectable and locally advanced #PancreaticCancer patients through neoadjuvant treatment, used to shrink the tumor prior to surgery. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @drallysonocean: Parp inhibitors are also options for patients with #BRCA mutations. @LguzzardiM #PancChat https://t.co/JBayxlc0Pz |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani True - but we used to have to do #Palliative surgery much more often. Now our #Gastroenterology colleagues can do wonderful things with palliation of jaundice, difficulties, eating, pain, etc. #PancChat https://t.co/EWS00W1a4o |
| Let's Win Pancreatic Cancer 💜 @letswinpc @DerekAOReilly @Aiims1742 @lustgartenfdn @Pooja_Prasad29 @Aiims1742 keeps us all on our toes! He's the magical genie of #PancreaticCancer twitter. #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc A.8.5 There are quite a few #ClinicalTrials underway which make pancreatic tumors that are on the borderline of removability better candidates for surgery #PancChat https://t.co/GLIDU2BJiS |
| Lustgarten Foundation @lustgartenfdn A8.4 Other non-surgical options may include, radiation therapy, chemotherapy, targeted therapy, and participation in a clinical trial. #PancChat |
| Anirban Maitra @Aiims1742 Thank you Derek! Means a lot. #PancChat https://t.co/M8FSpdv0u8 |
| Lustgarten Foundation @lustgartenfdn RT @letswinpc: A.8.5 There are quite a few #ClinicalTrials underway which make pancreatic tumors that are on the borderline of removability better candidates for surgery #PancChat https://t.co/GLIDU2BJiS |
| Richard Dunne, MD @DrR_DUNNE A8 my experience is that palliative bypass surgery helpful in only select settings-delays start of #chemo and may not improve quality of life in some cases. should be avoided and replaced by stenting if necessary and prompt initiation of chemotherapy #PancChat #pancreaticcancer https://t.co/GCxlr2mNZz |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: True - but we used to have to do #Palliative surgery much more often. Now our #Gastroenterology colleagues can do wonderful things with palliation of jaundice, difficulties, eating, pain, etc. #PancChat https://t.co/EWS00W1a4o |
 | Lisa M Guzzardi, RN @LguzzardiM RT @letswinpc: @pancanology 100% on the platinum. Ken is a firm beliver! #PancChat https://t.co/YQgCWRisdp |
 | Victoria Crass @vcrass RT @letswinpc: There can be long-term survivorship without surgery. Marisa is a 20-year stage IV pancreatic cancer survivor: There can be long-term survivorship without surgery. Marisa is a 20-year stage IV pancreatic cancer survivor: https://t.co/2Y1CzQZ2zg #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg @pancanology Surgery for stage 4 is V V V rare.. studies are exploring radiation for some patients w limited mets. but truly exploratory #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @DrR_DUNNE: A8 my experience is that palliative bypass surgery helpful in only select settings-delays start of #chemo and may not improve quality of life in some cases. should be avoided and replaced by stenting if necessary and prompt initiation of chemotherapy #PancChat #pancreaticcancer https://t.co/GCxlr2mNZz |
| Let's Win Pancreatic Cancer 💜 @letswinpc Are there any final questions? #PancChat |
| Lustgarten Foundation @lustgartenfdn RT @letswinpc: Are there any final questions? #PancChat |
| Monica-Amit Mishra @PancanMonica RT @NirajGusani: True - but we used to have to do #Palliative surgery much more often. Now our #Gastroenterology colleagues can do wonderful things with palliation of jaundice, difficulties, eating, pain, etc. #PancChat https://t.co/EWS00W1a4o |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani @letswinpc @Lulu_Lapin Wow great to hear she is a 7-year #Survivor ! Thanks for sharing her story. Recovery from #Surgery can be quite difficult but with newer surgical & anaesthetic techniques, we are slowly but surely doing better! #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @ShaalanBeg: @pancanology Surgery for stage 4 is V V V rare.. studies are exploring radiation for some patients w limited mets. but truly exploratory #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @DerekAOReilly: |
| Lisa M Guzzardi, RN @LguzzardiM RT @drallysonocean: A5: A5: IT'S THE MOST IMPORTANT DETERMINANT OF A SUCCESSFUL OUTCOME- EXPERIENCE MATTERS #pancchat https://t.co/bP1IJKB1tV |
| Monica-Amit Mishra @PancanMonica RT @ShaalanBeg: @pancanology Surgery for stage 4 is V V V rare.. studies are exploring radiation for some patients w limited mets. but truly exploratory #PancChat |
| Dr. Allyson Ocean @drallysonocean We are also studying the role of high-dose #VitaminC in #BRCA mutated #pancreaticcancer. Stay tuned for #clinicaltrials #pancchat https://t.co/wgr1lMH8yy |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Important work - we all want to see more patients get to #Surgery for #PancreaticCancer #PancChat https://t.co/dzsatAfreD |
| PanCAN @PanCAN RT @letswinpc: Are there any final questions? #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @DrR_DUNNE: A8 my experience is that palliative bypass surgery helpful in only select settings-delays start of #chemo and may not improve quality of life in some cases. should be avoided and replaced by stenting if necessary and prompt initiation of chemotherapy #PancChat #pancreaticcancer https://t.co/GCxlr2mNZz |
| Anirban Maitra @Aiims1742 @lustgartenfdn @SU2C This is the trial https://t.co/AIy7HpgyHa We hope to also open this at @MDAndersonNews in the future #PancChat |
| Lustgarten Foundation @lustgartenfdn RT @NirajGusani: Important work - we all want to see more patients get to #Surgery for #PancreaticCancer #PancChat https://t.co/dzsatAfreD |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @DerekAOReilly: |
| Dr. Allyson Ocean @drallysonocean RT @letswinpc: @DerekAOReilly @Aiims1742 @lustgartenfdn @Pooja_Prasad29 @Aiims1742 keeps us all on our toes! He's the magical genie of #PancreaticCancer twitter. #PancChat |
| Lustgarten Foundation @lustgartenfdn RT @Aiims1742: @lustgartenfdn @SU2C This is the trial https://t.co/AIy7HpgyHa We hope to also open this at @MDAndersonNews in the future #PancChat |
| Lisa M Guzzardi, RN @LguzzardiM @drallysonocean Let the truth be told! #PancChat |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @Aiims1742: @lustgartenfdn @SU2C This is the trial https://t.co/AIy7HpgyHa We hope to also open this at @MDAndersonNews in the future #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @Aiims1742: @lustgartenfdn @SU2C This is the trial https://t.co/AIy7HpgyHa We hope to also open this at @MDAndersonNews in the future #PancChat |
 | John olshansky @OlshanskyJohn RT @drallysonocean: When a surgeon turns down a patient for surgery, please provide #hope by discussing #clinicaltrials and referring patients to resources like @letswinpc @lustgartenfdn and @PanCAN #pancchat https://t.co/0AzFXlPpfo |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: Important work - we all want to see more patients get to #Surgery for #PancreaticCancer #PancChat https://t.co/dzsatAfreD |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani @DerekAOReilly @Aiims1742 @lustgartenfdn @letswinpc @Pooja_Prasad29 A #PancreaticCancer savant... I learn somethings from every @Aiims1742 tweet! #PancChat |
| Monica-Amit Mishra @PancanMonica RT @Aiims1742: @lustgartenfdn @SU2C This is the trial https://t.co/AIy7HpgyHa We hope to also open this at @MDAndersonNews in the future #PancChat |
| Richard Dunne, MD @DrR_DUNNE RT @lustgartenfdn: A8.3 Our Lustgarten @SU2C funded researcher, Dr. David Ryan, is working to increase surgical intervention for borderline resectable and locally advanced #PancreaticCancer patients through neoadjuvant treatment, used to shrink the tumor prior to surgery. #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @letswinpc: A.8.5 There are quite a few #ClinicalTrials underway which make pancreatic tumors that are on the borderline of removability better candidates for surgery #PancChat https://t.co/GLIDU2BJiS |
| Let's Win Pancreatic Cancer 💜 @letswinpc @Lulu_Lapin @NirajGusani That is great news! Thank you for sharing and please do let us know how we can ever be of service. #PancChat |
| Dr. Allyson Ocean @drallysonocean Let's share Mom's story of hope on @letswinpc! #spreadhope #wagehope #socialmedia #crowdsourcing #PancChat https://t.co/afgshtdkUL |
| Let's Win Pancreatic Cancer 💜 @letswinpc Thank you for joining tonight's #PancChat! Our next chat is Tuesday, May 15 at 8pm EDT / 5pm PDT on "Why Pancreatic Cancer Research is Important" |
| Lustgarten Foundation @lustgartenfdn RT @letswinpc: Thank you for joining tonight's #PancChat! Our next chat is Tuesday, May 15 at 8pm EDT / 5pm PDT on "Why Pancreatic Cancer Research is Important" |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @LguzzardiM: @drallysonocean Let the truth be told! #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc @NirajGusani @DerekAOReilly @Aiims1742 @lustgartenfdn @Pooja_Prasad29 He really needs "Pancreatic Cancer Savant" on a t-shirt to wear in the lab, or to the grocery store. #PancChat |
| Anirban Maitra @Aiims1742 @letswinpc Signing off with an ode to the great Dr. John Cameron @HopkinsMedicine who has trained a generation of #PancreaticCancer surgeons in the US and abroad. This was the @baltimoresun piece in 2012 when he completed his 2000th surgery. #PancChat https://t.co/DdfslqaYzi |
| Monica-Amit Mishra @PancanMonica RT @letswinpc: Thank you for joining tonight's #PancChat! Our next chat is Tuesday, May 15 at 8pm EDT / 5pm PDT on "Why Pancreatic Cancer Research is Important" |
| Let's Win Pancreatic Cancer 💜 @letswinpc @Lulu_Lapin @NirajGusani We would love to feature her treatment on our site. Everyone can learn from each story! #PancChat |
 | Linda Knudsen @knudsen_linda RT @letswinpc: A.4.5 @americancancer estimates that fewer than 1 in 5 pancreatic cancer cases are confined to the pancreas. #PancChat |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Nope - my fingers are numb.... Thanks everyone for joining tonight's #PancChat - appreciate the discussion and great points! #PancreaticCancer #Surgery is such an important & under-discussed topic! Good night! https://t.co/5fcZyHPGNW |
| Let's Win Pancreatic Cancer 💜 @letswinpc Wow. What a way to sign off. #PancChat https://t.co/hKOMToyMGP |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: Nope - my fingers are numb.... Thanks everyone for joining tonight's #PancChat - appreciate the discussion and great points! #PancreaticCancer #Surgery is such an important & under-discussed topic! Good night! https://t.co/5fcZyHPGNW |
| Let's Win Pancreatic Cancer 💜 @letswinpc @ACSalami @NirajGusani Thank you for joining us! #PancChat |
| Dr. Allyson Ocean @drallysonocean Thank you everyone for participating in this information-packed #pancchat!! Love seeing more global tweeters. Hope to see you all @worldpancreatic meeting in May! |
| Lustgarten Foundation @lustgartenfdn RT @drallysonocean: Thank you everyone for participating in this information-packed #pancchat!! Love seeing more global tweeters. Hope to see you all @worldpancreatic meeting in May! |
| Linda Knudsen @knudsen_linda RT @PanCAN: A4. Surgery is difficult because of where the #pancreas is located, deep in the abdomen, & how many organs it is involved with. Unfortunately, most patients are diagnosed when their #pancreaticcancer has already spread & surgery is not an option. #PancChat https://t.co/LVUXpNVfXN |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani Yep - American Surgery is replete with leaders who trace their lineage to Dr. Cameron. I trained with two of his best residents - both now Chairs of Surgery #PancChat https://t.co/mO2DJ05zL1 |
| PanCAN @PanCAN Thank you all for joining us for tonight's #PancChat! Please join us Tuesday, May 15 at 8pm EDT / 5pm PDT on "Why Pancreatic Cancer Research is Important", with @letswinpc @lustgartenfdn @Aiims1742 @NirajGusani @drallysonocean @ShaalanBeg |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @drallysonocean: Thank you everyone for participating in this information-packed #pancchat!! Love seeing more global tweeters. Hope to see you all @worldpancreatic meeting in May! |
| Shaalan Beg MD MBA FASCO @ShaalanBeg What a great discussion on pancreatic cancer surgery - #PancChat is growing stronger every month w great turn out tonight! Thank you @letswinpc for organizing this! |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @NirajGusani: Yep - American Surgery is replete with leaders who trace their lineage to Dr. Cameron. I trained with two of his best residents - both now Chairs of Surgery #PancChat https://t.co/mO2DJ05zL1 |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @drallysonocean: Thank you everyone for participating in this information-packed #pancchat!! Love seeing more global tweeters. Hope to see you all @worldpancreatic meeting in May! |
| Lustgarten Foundation @lustgartenfdn RT @ShaalanBeg: What a great discussion on pancreatic cancer surgery - #PancChat is growing stronger every month w great turn out tonight! Thank you @letswinpc for organizing this! |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani @drallysonocean @worldpancreatic Cool - where? #PancChat |
| Dr. Allyson Ocean @drallysonocean #PIONEER #legend #PancChat https://t.co/n7hWYic6Ds |
| Lisa M Guzzardi, RN @LguzzardiM RT @PanCAN: Thank you all for joining us for tonight's #PancChat! Please join us Tuesday, May 15 at 8pm EDT / 5pm PDT on "Why Pancreatic Cancer Research is Important", with @letswinpc @lustgartenfdn @Aiims1742 @NirajGusani @drallysonocean @ShaalanBeg |
| Niraj J. Gusani, MD 🇺🇸 @NirajGusani RT @PanCAN: Thank you all for joining us for tonight's #PancChat! Please join us Tuesday, May 15 at 8pm EDT / 5pm PDT on "Why Pancreatic Cancer Research is Important", with @letswinpc @lustgartenfdn @Aiims1742 @NirajGusani @drallysonocean @ShaalanBeg |
| Let's Win Pancreatic Cancer 💜 @letswinpc @NirajGusani Enjoy your evening! #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc @NirajGusani @drallysonocean @worldpancreatic Miami! #PancChat |
| PanCAN @PanCAN RT @Aiims1742: @letswinpc Signing off with an ode to the great Dr. John Cameron @HopkinsMedicine who has trained a generation of #PancreaticCancer surgeons in the US and abroad. This was the @baltimoresun piece in 2012 when he completed his 2000th surgery. #PancChat https://t.co/DdfslqaYzi |
| Let's Win Pancreatic Cancer 💜 @letswinpc @NirajGusani @drallysonocean @worldpancreatic Technically Coral Gables. #PancChat |
| PanCAN @PanCAN RT @drallysonocean: Thank you everyone for participating in this information-packed #pancchat!! Love seeing more global tweeters. Hope to see you all @worldpancreatic meeting in May! |
| Let's Win Pancreatic Cancer 💜 @letswinpc RT @PanCAN: Thank you all for joining us for tonight's #PancChat! Please join us Tuesday, May 15 at 8pm EDT / 5pm PDT on "Why Pancreatic Cancer Research is Important", with @letswinpc @lustgartenfdn @Aiims1742 @NirajGusani @drallysonocean @ShaalanBeg |
| Shaalan Beg MD MBA FASCO @ShaalanBeg RT @PanCAN: Thank you all for joining us for tonight's #PancChat! Please join us Tuesday, May 15 at 8pm EDT / 5pm PDT on "Why Pancreatic Cancer Research is Important", with @letswinpc @lustgartenfdn @Aiims1742 @NirajGusani @drallysonocean @ShaalanBeg |
| Lisa M Guzzardi, RN @LguzzardiM RT @drallysonocean: We are also studying the role of high-dose #VitaminC in #BRCA mutated #pancreaticcancer. Stay tuned for #clinicaltrials #pancchat https://t.co/wgr1lMH8yy |
| Pooja Prasad @Pooja_Prasad29 @ShaalanBeg @letswinpc Thanks for organising this. Good to hear from senior colleagues globally and hear perspectives + identify ways in which we can improve care for #pancreaticcancer patients #PancChat. Good Night!! |
 | Pop Life @SophiaHonora RT @Aiims1742: @letswinpc Signing off with an ode to the great Dr. John Cameron @HopkinsMedicine who has trained a generation of #PancreaticCancer surgeons in the US and abroad. This was the @baltimoresun piece in 2012 when he completed his 2000th surgery. #PancChat https://t.co/DdfslqaYzi |
| Lustgarten Foundation @lustgartenfdn Thank you everyone for an informative #PancChat this month! Join us next month on Tuesday, May 15 at 8pm EDT / 5pm PDT on "Why #PancreaticCancer Research is Important" with @letswinpc @Aiims1742 @NirajGusani @drallysonocean @ShaalanBeg and @PanCAN |
| Lisa M Guzzardi, RN @LguzzardiM RT @drallysonocean: When a surgeon turns down a patient for surgery, please provide #hope by discussing #clinicaltrials and referring patients to resources like @letswinpc @lustgartenfdn and @PanCAN #pancchat https://t.co/0AzFXlPpfo |
| Let's Win Pancreatic Cancer 💜 @letswinpc @aprettyace We are so grateful you joined us and are advocating for others in your Dad's memory. It's a beautiful testimony! #PancChat |
| Let's Win Pancreatic Cancer 💜 @letswinpc @pancanology We can teach him how to Tweet! #PancChat |
| Dr. Allyson Ocean @drallysonocean RT @Aiims1742: @drallysonocean The ALL CAPS are warranted. In #PancreaticCancer outcomes - hospital volume & surgeon experience is paramount. Famous @NEJM study cited 4,000 times: #PancChat https://t.co/MxC3Xlpp3s |
#PancChat content from Twitter.