Biliary palliation for unresectable pancreatic adenocarcinoma: surgical bypass or self-expanding metal stent?
نویسندگان
چکیده
منابع مشابه
Choledochoduodenal fistula after biliary placement of a self-expanding metallic stent for palliation of pancreatic cancer.
A 56-year-old manwith pancreatic cancer underwent palliative placement of a biliary self-expanding metallic stent (SEMS) for obstructive jaundice after chemoradiation (nine cycles over 5 months). He presentedwithmelena but denied abdominal pain, nausea/vomiting, or hematemesis. Hemoglobin concentration was 6.5g/dL and serum bilirubin 1.0mg/dL (normal: 13.8–17.2g/dL and <1.9mg/dL, respectively)....
متن کاملSurgical palliation of unresectable pancreatic carcinoma.
The decision to perform surgical versus nonoperative palliation for unresectable pancreatic cancer is influenced by a number of factors. In most cases, patient symptoms clearly dictate the management. In patients with symptoms of duodenal obstruction at the time of presentation, surgery is the only option. In patients with obstructive jaundice alone, the options for management must be weighed a...
متن کاملPercutaneous transhepatic self-expanding metal stents for palliation of malignant biliary obstruction.
BACKGROUND Malignant biliary obstruction is often inoperable at presentation and has a poor prognosis. Percutaneously placed self-expanding metal stents (SEMS) have been widely used for palliation of malignant biliary obstruction as an alternative to major bypass surgery or when endoscopic drainage is not technically feasible. The success rate, procedural complications and outcomes in patients ...
متن کاملCholedochoduodenostomy for palliation in unresectable pancreatic cancer.
OBJECTIVE To determine whether choledochoduodenostomy provides adequate long-term palliation of obstructive jaundice in unresectable pancreatic cancer. DESIGN Consecutive case series. SETTING Tertiary referral center. PATIENTS From 1980 to 1997, 79 consecutive patients (45 men, 34 women; mean age, 67.8 years) with biopsy-proved pancreatic cancer found to be unresectable at operation. IN...
متن کاملSuccessful Palliation of a Malignant Cologastric Fistula with a Covered Self-Expanding Metal Stent
When patients present with malignant cologastric fistulas, the tumor stage is often advanced and management is only palliative. We report the case of a 75-year-old man with a symptomatic cologastric fistula arising from an advanced tumor in the transverse colon, previously stented owing to malignant obstruction. An 8-cm-long covered self-expanding metal stent (COMVI enteral colonic stent; Taewo...
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ژورنال
عنوان ژورنال: HPB
سال: 2020
ISSN: 1365-182X
DOI: 10.1016/j.hpb.2019.08.014