[Medical behaviors and cancer of the exocrine pancreas].
A French national enquiry examined 4,530 cases of cancer of the exocrine pancreas treated from 1982 to 1989. Ultrasonography was performed in 98% of cases. Other radiological or biological investigations varied from one department to another (P < 0.001). Of 769 patients seen in Gastroenterology departments, 47% (range: 0 to 72%) were operated on. Of 3,761 patients undergoing operation, surgical techniques differed significantly from one department to another (P < 0.001). Resections were performed in 21% (range: 2 to 45%) of cases. Causes of unresectability, choice of biliary bypass, indications for gastrojejunostomy, and use of splanchnicectomy varied from one surgical department to another (P < 0.01). Wide variance in therapeutic policies may be explained by differences in local indications or surgical expertise, giving support to the need for a consensus conference to discern the indications of the available therapeutic alternatives for cancer of the exocrine pancreas.
Huguier
M
M
Service de Chirurgie Digestive, Hôpital Tenon, Paris.
Baumel
H
H
Manderscheid
J C
JC
Bernard
J P
JP
Joly
I
I
Patouillard
B
B
Sauvet
P
P
Blanc
P
P
D015904:Biliopancreatic Diversion; D006801:Humans; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D011859:Radiography; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014463:Ultrasonography
Comportements médicaux et cancer du pancréas exocrine.