A wait-and-see strategy with subsequent self-expanding metal stent on demand is superior to prophylactic bypass surgery for unresectable periampullary cancer.
(2016) In HPB 18(1). p.107-112- Abstract
- A patient with unresectable periampullary malignancy found at laparotomy has traditionally received a prophylactic double bypass (biliary and duodenal), associated with considerable morbidity. With modern endoscopic treatments, surgical bypass has become questionable. This study aims to compare the two strategies. Sahlgrenska University Hospital (SU) performs a double bypass (DoB) routinely, and Skåne University Hospital Lund (SUL) secures biliary drainage endoscopically and treats only symptomatic duodenal obstruction (Wait and See, WaS).
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/8577396
- author
- Williamsson, Caroline LU ; Wennerblom, Johanna ; Tingstedt, Bobby LU and Jönsson, Claes
- organization
- publishing date
- 2016
- type
- Contribution to journal
- publication status
- published
- subject
- in
- HPB
- volume
- 18
- issue
- 1
- pages
- 107 - 112
- publisher
- Elsevier
- external identifiers
-
- pmid:26776858
- wos:000368950800015
- pmid:26473999
- pmid:26776858
- scopus:84976352031
- ISSN
- 1477-2574
- DOI
- 10.1016/j.hpb.2015.08.009
- language
- English
- LU publication?
- yes
- id
- 2efb582c-5081-4769-aba8-174822b81cf8 (old id 8577396)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/26776858?dopt=Abstract
- http://www.ncbi.nlm.nih.gov/pubmed/26473999?dopt=Abstract
- date added to LUP
- 2016-04-01 10:06:32
- date last changed
- 2022-04-12 02:00:22
@article{2efb582c-5081-4769-aba8-174822b81cf8, abstract = {{A patient with unresectable periampullary malignancy found at laparotomy has traditionally received a prophylactic double bypass (biliary and duodenal), associated with considerable morbidity. With modern endoscopic treatments, surgical bypass has become questionable. This study aims to compare the two strategies. Sahlgrenska University Hospital (SU) performs a double bypass (DoB) routinely, and Skåne University Hospital Lund (SUL) secures biliary drainage endoscopically and treats only symptomatic duodenal obstruction (Wait and See, WaS).}}, author = {{Williamsson, Caroline and Wennerblom, Johanna and Tingstedt, Bobby and Jönsson, Claes}}, issn = {{1477-2574}}, language = {{eng}}, number = {{1}}, pages = {{107--112}}, publisher = {{Elsevier}}, series = {{HPB}}, title = {{A wait-and-see strategy with subsequent self-expanding metal stent on demand is superior to prophylactic bypass surgery for unresectable periampullary cancer.}}, url = {{http://dx.doi.org/10.1016/j.hpb.2015.08.009}}, doi = {{10.1016/j.hpb.2015.08.009}}, volume = {{18}}, year = {{2016}}, }