Endoscopic and operative palliation strategies for pancreatic ductal adenocarcinoma.

Abstract:

:Malignant biliary obstruction, duodenal, and gastric outlet obstruction, and tumor-related pain are the complications of unresectable pancreatic adenocarcinoma that most frequently require palliative intervention. Surgery involving biliary bypass with or without gastrojejunostomy was once the mainstay of treatment in these patients. However, advances in non-operative techniques-most notably the widespread availability of endoscopic biliary and duodenal stents-have shifted the paradigm of treatment away from traditional surgical management. Questions regarding the efficacy and durability of endoscopic stents for biliary and gastric outlet obstruction are reviewed and demonstrate high rates of therapeutic success, low rates of morbidity, and decreased cost. Surgery remains an effective treatment modality, and still produces the most durable relief in appropriately selected patients.

journal_name

Semin Oncol

journal_title

Seminars in oncology

authors

Stark A,Hines OJ

doi

10.1053/j.seminoncol.2014.12.014

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

163-76

issue

1

eissn

0093-7754

issn

1532-8708

pii

S0093-7754(14)00285-1

journal_volume

42

pub_type

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