Palliation With Endoscopic Metal Stents May Be Preferable to Surgical Intervention for Patients With Obstructive Pancreatic Head Adenocarcinoma

作者: Alexandros Kofokotsios , Konstantinos Papazisis , Ioannis Andronikidis , Achilleas Ntinas , Dimitrios Kardassis

DOI: 10.9738/INTSURG-D-14-00274.1

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摘要: The aim of this study was to evaluate the efficacy endoscopically placed metal stents in comparison with operative procedures, patients obstructive pancreatic head cancer. Endoscopic stenting techniques and materials for gastrointestinal malignancies are constantly improving. Despite evolution, many still consider procedures be gold standard palliation unresectable This is a retrospective 52 who were diagnosed (biliary, duodenal, or both) adenocarcinoma head. Twenty-nine (endoscopy group) underwent endoscopic stenting. Eleven (bypass biliodigestive bypass. Twelve (Whipple Whipple operation curative intent; however, histopathology revealed R1 resection (palliative Whipple). T4 disease identified 13 (44.8%), 7 (63.6%), 3 (25%) endoscopy, bypass, groups, respective...

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