Minimally Invasive Bypass Surgery for Palliation in Pancreatic Carcinoma

  • Adrian Park
  • D. W. Birch


It is an unfortunate fact that the outlook for patients with cancer of the pancreas remains grim despite the considerable research and clinical attention focused on the disease. Pancreatic cancer (PC) is the fifth leading cause of cancer-related deaths in the United States. By most accounts, only 10% to 15% of all patients with PC are resectable for cure at initial presentation. It follows that any discussion of PC must include palliative options to provide patients relief from the ravages of the disease. Palliation for PC is directed at three primary problems: biliary obstruction, duodenal obstruction, and pain. It should be emphasized that significant progress has been made in terms of operative outcomes of patients undergoing pancreaticoduodenectomy with curative intent. As well, encouraging advances have been reported in the long-term survival of patients with resected PC.1 Unfortunately, these advances have occurred in that relatively static minority (12–15%) of patients with potentially curable disease. Thus, for the foreseeable future clinicians will need to choose from an array of options the best palliation for the majority of their patients with PC.


Pancreatic Carcinoma Gastric Bypass Pancreatic Carcinoma Minimally Invasive Surgery Metal Stents 
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© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Adrian Park
  • D. W. Birch

There are no affiliations available

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