Endoscopic palliation for pancreatic cancer with expandable metal stents.
Pancreatic cancer is generally not amenable to curative resection. Consequently, therapeutic efforts for these patients are most commonly directed at palliation of symptoms. Historically, surgery has been considered the most effective method of providing relief for biliary and/or enteric obstruction. However, less invasive methods have become available that can provide effective relief of jaundice and duodenal obstruction. Surgeons should still play an integral role in the management of these patients. We present a case report in which self-expanding metallic stents were used to relieve obstruction of the bile duct and duodenum in a patient with unresectable pancreatic cancer.
Department of General Surgery, St. Vincent Hospital and Health Care Center, 8402 Harcourt Rd. Indianapolis, IN 46260, USA. jonspitz@AOL.com
J D
JD
Spitz
M E
ME
Arregui
D002768:Choledochostomy / Q000009:adverse effects*; D002779:Cholestasis / Q000209:etiology / Q000601:surgery; D004380:Duodenal Obstruction / Q000209:etiology / Q000601:surgery; D004386:Duodenum / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D015607:Stents / Q000706:statistics & numerical data; D013523:Surgical Equipment / Q000706:statistics & numerical data