Cirujano Oncólogo. Especialista en Cirugía de Vías Digestivas.
Caracas, Venezuela
Joined April 2010
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Daraxonrasib or Chemotherapy in Previously Treated Metastatic Pancreatic Cancer | New England Journal of Medicine nejm.org/doi/full/10.1056/NE…
Ruben D Hernandez C retweeted
Still my favorite 3D reconstruction of a pancreatic tissue.
Using the CODA workflow, we mapped a billion individual cells in 3D.
Red: pre-cancer lesions
Navy blue: ducts
Light blue: islets of Langerhans
Purple: acini
Green: blood vessels
More here: nature.com/articles/s41586-0…
Ruben D Hernandez C retweeted
#AudioVisualAbstract : #MultimodalTherapy May be Key to Improving Survival for Octogenarians Undergoing #Pancreaticoduodenectomy for #PancreaticDuctalAdenocarcinoma : An American Multicenter Analysis @sarbhays
rdcu.be/eQAhl
@Laleh_Melstrom
@SyedAAhmad5
Ruben D Hernandez C retweeted
(Let’s keep using this social in the best possible way … ) 🫢
🟠 Recurrence after PDAC resection is sadly a fact
🔵 @EAHPBA study on 333 pts reveals routine imaging in post op 👍 vs. symptomatic FU
💡Prompt access chemo = better survival
jamanetwork.com/journals/jam…
Targeted Pancreatic Cancer Screening May Save Lives medscape.com/viewarticle/tar… medscape.com/viewarticle/tar…
NCCN Guidelines® Insights: Cervical Cancer, Version 1.2024 doi.org/10.6004/jnccn.2023.0… actualización con especial énfasis en terapias dirigidas en base al perfil molecular del tumor, en recurrencias, y carcinomas avanzados refractarios a tratamiento convencional.
Ruben D Hernandez C retweeted
🚨🚨🚨🚨🚨
Are you a pancreatic surgeon managing pancreatic cancers & complex postop issues?
Or enroute to be one?
This thread is for you!
🧵🧵🧵
Complications of the #Whipple operation & how best to manage them
#MedTwitter
#PancreaticCancerAwarenessMonth
@ISGPS_news
¿Eres Oncólogo Clínico? En Cáncer ductal de Páncreas, cual esquema de quimio neoadyuvante prefieres en función de riesgo/beneficio?
9%Gencitabina / Oxaliplatin
9%Gemcitabina sola
73%FOLFIRINOXm
9%Gem/Paclitaxel nab
11 votes • Final resultsEn Cáncer Ductal de Cabeza de Páncreas, en tumores borderline <180° de compromiso vascular de VMS, ustedes prefieren...
10%Cirugía de entrada
90%Stent y Quimio neoady
0%Cuidados Paliativos
0%No tratar / No hacer nada
10 votes • Final results Ruben D Hernandez C retweeted
La teoría del médico era correcta. Estaba seguro que detrás del edema, había una deficiencia de vitamina B, pero tenía que comprobarlo. Tras hacerlo, la levadura fluyó en mayor cantidad en todo el campo.
Un incansable buscador de evidencias, eso era Archibald Leman Cochrane.
Ruben D Hernandez C retweeted
Severity of Pancreatic Leak in Relation to Gut Restoration After Pancreaticoduodenectomy: The Role of the Roux-en-Y Configuration
journals.lww.com/aosopen/Ful…
@AnnalsofSurgery
Ruben D Hernandez C retweeted
Preserved flow in the hepatic artery is confirmed during clamping of the GDA to detect cases in which hepatic artery flow is significantly dependent on SMA–celiac axis collaterals. (Keith Lillemoe,William Jarnagin)
Ruben D Hernandez C retweeted
Noninvasive diffuse main-duct intraductal papillary mucinous neoplasms & total #pancreatectomy: Outcomes:
▶️For ~1/4 : ⬆️disease in remnant pancreas / 1/3 required resections
▶️No cancer deaths
✔️Partial resection = a safe approach?
May @HPBJournal
hpbonline.org/article/S1365-…
Ruben D Hernandez C retweeted
Galipán, enero de 2001.
Galipán, mayo de 2005.
Galipán, octubre de 2011.
Galipán, diciembre de 2020.
¿Así o más claro lo que está pasando en El Ávila?
Ruben D Hernandez C retweeted
Will a flexible approach to neoadjuvant treatment work better for pancreatic cancer patients with tumors that can be removed surgically? A clinical trial at @MedicalCollege aims to find out. letswinpc.org/clinical-trial…
Ruben D Hernandez C retweeted
Hoy es el #DiaMundialDeLaOstomia de la bolsita que llevo conmigo hará ya 14 años…
Vosotros no la veis, pues se esconde tras la ropa, pero que algo sea invisible no significa que no exista.
¿Nos ayudáis a ser menos invisibles?
