title: Carcinoma of the pancreas and periampullary region: a clinical study in a district general hospital.
abstract: One hundred patients with pancreatic and periampullary carcinoma have been reviewed. Diabetes mellitus may be an early presentation. Painless jaundice has a relatively good prognosis. Fifteen patients have had curative procedures with a 31 per cent operative mortality. Mortality is influenced by age and serum bilirubin levels. Where palliative procedures are undertaken, this should include biliary diversion and gastro-enterostomy.
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D014670:Ampulla of Vater; D001650:Bile Duct Neoplasms / Q000150:complications; D001652:Bile Ducts / Q000601:surgery; D001663:Bilirubin / Q000097:blood; D002769:Cholelithiasis / Q000150:complications; D003093:Colitis, Ulcerative / Q000150:complications; D048909:Diabetes Complications; D004386:Duodenum / Q000601:surgery; D005260:Female; D005763:Gastroenterostomy; D006801:Humans; D007565:Jaundice / Q000150:complications; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010179:Pancreas / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000150:complications / Q000401:mortality / Q000601:surgery; D011183:Postoperative Complications; D006113:United Kingdom
chemical_list: D001663:Bilirubin