title: [Medical behaviors and cancer of the exocrine pancreas].
abstract: 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.
authors.affiliation: Service de Chirurgie Digestive, Hôpital Tenon, Paris.
authors.forename: M
authors.initials: M
authors.lastname: Huguier
authors.forename: H
authors.initials: H
authors.lastname: Baumel
authors.forename: J C
authors.initials: JC
authors.lastname: Manderscheid
authors.forename: J P
authors.initials: JP
authors.lastname: Bernard
authors.forename: I
authors.initials: I
authors.lastname: Joly
authors.forename: B
authors.initials: B
authors.lastname: Patouillard
authors.forename: P
authors.initials: P
authors.lastname: Sauvet
authors.forename: P
authors.initials: P
authors.lastname: Blanc
mesh_terms: D015904:Biliopancreatic Diversion; D006801:Humans; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D011859:Radiography; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014463:Ultrasonography
vernacular_title: Comportements médicaux et cancer du pancréas exocrine.