[Locally advanced pancreatic adenocarcinoma with biliary compression: need for early drainage].

Autor:	Deflandre LA; Service de gastroentérologie, CHU Sart-Tilman, 4000 Liège, Belgique., Loly JP; Service de gastroentérologie, CHU Sart-Tilman, 4000 Liège, Belgique., Leclercq P; Service de gastroentérologie, CHU Sart-Tilman, 4000 Liège, Belgique., Loly C; Service de gastroentérologie, CHU Sart-Tilman, 4000 Liège, Belgique., Louis É; Service de gastroentérologie, CHU Sart-Tilman, 4000 Liège, Belgique., Gast P; Service de gastroentérologie, CHU Sart-Tilman, 4000 Liège, Belgique.
Jazyk:	francouzština
Zdroj:	Revue medicale suisse [Rev Med Suisse] 2018 Aug 22; Vol. 14 (615), pp. 1443-1447.
Abstrakt:	The incidence of pancreatic cancer is increasing, but proportion of resectable cases and survival do not increase. Then, our care strategies have to be optimized. Chemotherapy is the principal treatment of locally advanced pancreatic cancer. When the tumour triggers biliary obstruction, chemotherapy-associated morbidity increases, and biliary drainage becomes crucial. Gold-standard is endoscopic retrograde cholangiography, which could be impossible when duodenum or papilla are involved by the tumour. Other options are percutaneous radiologic drainage, surgical double by-pass or EUS-guided drainage. When EUS-guided procedures are available, they are proposed today as the best options. Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu