Endoscopic palliative treatment of pancreatic cancer

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Annals of Gastroenterology
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2007 (EN)
Endoscopic palliative treatment of pancreatic cancer (EN)

Xinopoulos, D. Dimitroulopoulos, D.

Pancreatic cancer is a significant clinical challenge worldwide. Despite advances in surgical techniques and new chemotherapy drugs less than 5% of all patients survive past 5 years and at the time of diagnosis almost 85% of patients are unsuitable candidates for curative resection of the tumor. Thus, most of them will need palliative treatment. Endoscopic palliative treatment of pancreatic cancer is primarily directed at relief of obstructive jaundice and duodenal obstruction. Obstructive jaundice occurs in the vast majority of patients with unresectable pancreatic carcinoma and endoscopic palliation is considered now as the method of choice for all the cases that are not candidates for possible curative resection. On the other hand, endoscopic placement of an expandable metal enteral stent in cases with duodenal obstruction due to pancreatic cancer, is a relatively new technique that must be performed in selected patients with advanced disease. Key words: pancreatic cancer, endoscopic palliation, obstructive jaundice, duodenal obstruction, stent, endoprosthesis (EN)




Hellenic Society of Gastroenterology (EN)

Annals of Gastroenterology; Volume 18, No 4 (2005) (EN)

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