Endoscopic Palliation

  • Nathan Schmulewitz
Part of the M. D. Anderson Solid Tumor Oncology Series book series (MDA)

Pancreatic duct adenocarcinoma will be diagnosed in nearly 34,000 persons in the United States this year, and almost the same number will die of their disease (1). Pancreatic cancer has an overall survival rate of <4% (2), and even in patients with tumors truly limited to the pancreas and without nodal disease, actuarial 5-year survival rates are 18–24% (3). In fact, nearly 85% of patients are deemed unsuitable for potentially curative resection at time of diagnosis (4–6). Therefore, palliation of symptoms and/or imminent morbidity is the cornerstone of care for most patients with pancreatic cancer. Furthermore, the absence of therapeutic interventions is a predictor of decreased survival (7). With these facts as a backdrop, this chapter discusses the role of endoscopic interventions in the management of advanced pancreatic malignancy.


Pancreatic Cancer Biliary Obstruction Metal Stents Celiac Trunk Metallic Stents 
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.


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Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Nathan Schmulewitz
    • 1
  1. 1.Division of GastroenterologyUniversity of CincinnatiCincinnatiUSA

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