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A wait-and-see strategy with subsequent self-expanding metal stent on demand is superior to prophylactic bypass surgery for unresectable periampullary cancer.

Williamsson, Caroline LU ; Wennerblom, Johanna; Tingstedt, Bobby LU and Jönsson, Claes (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:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
HPB
volume
18
issue
1
pages
107 - 112
publisher
Informa Healthcare
external identifiers
  • pmid:26776858
  • wos:000368950800015
  • pmid:26473999
  • scopus:84952815030
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
2016-02-03 17:39:54
date last changed
2017-09-12 10:55:53
@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    = {Informa Healthcare},
  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},
  volume       = {18},
  year         = {2016},
}