Medical College of Wisconsin
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Advanced Endoscopic Techniques for the Diagnosis of Pancreatic Cancer and Management of Biliary and GastricOutlet Obstruction. Surg Oncol Clin N Am 2021 Oct;30(4):639-656

Date

09/14/2021

Pubmed ID

34511187

DOI

10.1016/j.soc.2021.06.005

Scopus ID

2-s2.0-85111001118

Abstract

Following high-quality imaging studies for staging, endoscopic ultrasound examination fine needle aspiration/biopsy is the preferred modality for tissue diagnosis of pancreatic cancer. Endoscopic retrograde cholangiopancreatography with metal stent placement is used for palliation of malignant biliary obstruction. Metal stents can be placed in patients with resectable pancreatic cancer in whom surgery is going to be delayed. For palliation of gastric outlet obstruction, endoscopic enteral stenting is often selected because of its less invasiveness. Endoscopic ultrasound-guided biliary drainage for malignant biliary obstruction or gastrojejunostomy for gastric outlet obstruction are emerging less invasive techniques as compared with palliative surgery.

Author List

Nakai Y, Smith Z, Chang KJ, Dua KS

Authors

Kulwinder S. Dua MD Professor in the Medicine department at Medical College of Wisconsin
Zachary Smith DO Associate Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Cholangiopancreatography, Endoscopic Retrograde
Cholestasis
Endosonography
Gastric Outlet Obstruction
Humans
Palliative Care
Pancreatic Neoplasms
Stents
Treatment Outcome