Gastroenterologist. St Antonius Hospital. Dutch Pancreatitis Study Group. HPB and Hepatology.

Joined August 2013
“Vanishing needle tract” in endoscopic ultrasound–guided tissue acquisition sciencedirect.com/science/ar…
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Uncomplicated Choledocholithiasis in Elderly Patients: A Target Trial emulation comparing observation and ERCP. sciencedirect.com/science/ar…
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More guidance on WHAT immunosuppressant should be your nr. 1️⃣ choice in autoimmune hepatitis! 👉🏻 Azathioprine versus mycophenolate mofetil in treatment-naive autoimmune hepatitis: 3 year follow up of the CAMARO trial sciencedirect.com/science/ar…
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Very hot topic in scientific publishing! Presentation from our editorial board! @UEGJournal @my_ueg
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Important to work on your own (digestive) health during meetings… Post-meeting 🏃 on the beautiful Montjuïc! @my_ueg
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Just what you need after a lovely breakfast! A full session on (infected) 🦠pancreatic necrosis! @my_ueg
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✋ Discontinuing surveillance of Trivial IPMN is safe! Out in @UEGJournal 👍 25% would be discharged / No HGD missed! 💸 Money saved depend on local health care system 🍇 Prospective evaluation ongoing with @MarcBesselink @DeMadaria and others 🙋🏼‍♂️ onlinelibrary.wiley.com/doi/…
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Should we follow up micronutrients in patients with chronic pancreatitis? And what predicts deficiencies?? 👉🏻sciencedirect.com/science/ar…
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robert verdonk retweeted
⏱️Immediate necrosectomy is not superior to an on-demand in #NecrotizingPancreatitis 🔸No clear benefit in clinical/technical success 🔸Adverse events & mortality similar 🔸Fewer stent migrations overall, not in RCT-only analysis 📖 #OpenAccess 👉 bit.ly/4jMrdpi
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robert verdonk retweeted
🧬Familial/germline #PancreaticCancer risk is not linked to higher pancreatic fat 🔸AI matched expert radiologists closely 🔸Pancreatic fat: 25.8% vs 26.9% in controls 🔸Fat was linked to age, male sex, diabetes & BMI 📖 #OpenAccess 👉 bit.ly/47ehhxw @my_ueg
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robert verdonk retweeted
💧Lactated Ringer’s remains the reference fluid for post-ERCP pancreatitis (#PEP) prevention 🔸PEP: 12.4% with lactated Ringer’s vs 11.5% acetate fluid 🔸No severe PEP or fluid overload 🔸Two-thirds completed hydration within 4h 📖 #OpenAccess 👉 bit.ly/4e5KKxi
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Failed ERCP? EUS guided or percutaneous approach? Seems EUS superior in this trial from 🇩🇪 and 🇪🇸👉🏻 eref.thieme.de/ebooks/1438-8…
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Seems we can take bit more time ⏰ before removing LAMS after peri-pancreatic drainage 👉🏻 thieme-connect.com/products/…
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robert verdonk retweeted
🧭 International consensus set standards for EUS-guided choledochoduodenostomy with LAMS 🔸Preferred over percutaneous drainage after failed ERCP 🔸CBD ≥15 mm preferred 🔸Oral intake within 24h after uncomplicated procedures 📖 #OpenAccess 👉 bit.ly/4jlz1OG
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robert verdonk retweeted
🩺 EUS-guided gallbladder drainage shows high success in acute cholecystitis 🔸98.2% technical & 93.5% clinical success 🔸Transduodenal access with fewer events & recurrences 🔸LAMS>10 mm with fewer recurrences & lower mortality 📖 #OpenAccess 👉 bit.ly/4dvynKM
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Treat exocrine dysfunction! BUT don’t expect it to 🔽 pain 👉🏻Impact of non-enteric-coated pancreatic enzyme replacement therapy (NEPERT) on pain in patients with chronic pancreatitis: a double-blind, parallel-group, placebo-controlled, randomised trial gut.bmj.com/content/early/20…
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Does type 2 diabetes cause exocrine dysfunction? 🧐 👉🏻 Type 2 diabetes mellitus is not associated with a clinically relevant exocrine pancreatic phenotype. sciencedirect.com/science/ar…
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