Irish Journal of Medical Science

, Volume 159, Issue 7, pp 213–214 | Cite as

Duodenal Obstruction in advanced pancreatic carcinoma: How effective is Gastroenterostomy in palliation?

  • J. Geoghegan
  • P. V. Delaney
  • T. J. Egan


Gastro-enterostomy produces variable and often disappointing results in the management of duodenal obstruction due to advanced pancreatic carcinoma. In a series of 51 patients who had palliative surgery for carcinoma of the pancreas five required a gastro-enterostomy. Three of these subsequently had difficulty with gastric emptying. The problem of gastro-enterostomy failure in palliation of pancreatic carcinoma is discussed.


Gastric Emptying Metoclopramide Pancreatic Carcinoma Gastroparesis Gastric Motility 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Blievemicht, S., Neifield, J., Tern, J. et al. The role of prophylactic gastro-enterostomy for unresectable peri-ampullary carcinoma. Surg. Gynaecol. Obstet. 1980: 151, 794.Google Scholar
  2. 2.
    Sarr, M., Gladen, H., Beart, R. et al. Role of gastro-enterostomy in patients with unresectable pancreatic carcinoma. Surg. Gynaecol. Obstet. 1981: 152, 597–600.Google Scholar
  3. 3.
    Brooks, D., Osteen, R., Gray, et al. Evaluation of palliative procedures for pancreatic cancer. Am. J. Surg. 1981: 141, 430–3.PubMedCrossRefGoogle Scholar
  4. 4.
    Meinke, W.,Twomey, P., Guernsey, J. Gastric outlet obstruction after palliative surgery for cancer of the head of the pancreas. Arch. Surg. 1983: 118, 550–3.PubMedGoogle Scholar
  5. 5.
    Wongsuwanpom, J., Basse, E. Palliative surgical treatment of 68 patients with carcinoma of the head of the pancreas. Surg. Gynaecol. Obstet. 1983: 56, 73.Google Scholar
  6. 6.
    Schantz, S., Schickler, W., Evan, T., Coffey, R. Palliative gastro-enterostomy for pancreatic cancer. Am. J. Surg. 1984: 147, 793–6.PubMedCrossRefGoogle Scholar
  7. 7.
    Slabber, J., Weiss, S., Mohinddin, M. et al. Impact of radiotherapy on palliative gastroenterostomy in pancreatic cancer. Ann. Surg. 1985: 202, 725–7.CrossRefGoogle Scholar
  8. 8.
    Scouthen, J. Operative therapy for pancreatic carcinoma. Am. J. Surg. 1986: 151, 626–30.CrossRefGoogle Scholar
  9. 9.
    Dunn, E. The impact of technology and imroved perioperative management upon survival from carcinoma of the pancreas. Surg. Gynaecol. Obstet. 1978: 164, 237–44.Google Scholar
  10. 10.
    Shivshanker, K., Bennett, R., Haymie, T. Tumour associated gastroparesis: Correction wth Metoclopramide. Am. J. Surg. 1983: 145, 221–5.PubMedCrossRefGoogle Scholar
  11. 11.
    Parkin, J., Goldberg, R., Sfakitamakis, G. et al. Pancreatic carcinoma is associated with delayed gastric emptying. Dig. Dis.Sci. 1986: 31, 265–7.CrossRefGoogle Scholar
  12. 12.
    Kelly, K., Morley, K., Wilbur, B. Effect of corporal and antral gastrojejunostomy on canine gastric emptying of solid spheres and liquids. Br. J. Surg. 1973: 60, 880–4.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • J. Geoghegan
    • 1
  • P. V. Delaney
    • 1
  • T. J. Egan
    • 1
  1. 1.Department of SurgeryLimerick Regional HospitalDooradoyle, LimerickRepublic of Ireland

Personalised recommendations