| Autor: |
van Heek, N. T., van Geenen, R. C. I., Busch, O. R. C., Gouma, D. J. |
| Přispěvatelé: |
Surgery |
| Jazyk: |
angličtina |
| Rok vydání: |
2002 |
| Zdroj: |
Acta gastro-enterologica Belgica, 65(3), 171-175. Universa Press |
| ISSN: |
0001-5644 |
| Popis: |
Mostly, patients with peri-pancreatic cancer (including pancreatic, ampullary and distal bile duct tumors) are diagnosed in a stage in which curative resection is not possible. The median survival rate of patients with non resectable peri-pancreatic cancer varies between 6 and 12 months. During this period palliative treatment is necessary, which should focus on major symptoms as obstructive jaundice, duodenal obstruction and pain. Controversy exists about how to provide optimal palliative treatment. Both surgical and non surgical palliative procedures relief obstructive jaundice. From early retrospective and prospective randomized studies it is known that in the early phase after treatment, more complications are found after surgical palliation, whereas in the late phase more complications are seen after endoscopic palliation. Because more recent studies clearly showed improved results after surgical palliation, current recommendations probably should be that patients with a suspected poor short-term survival ( |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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