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Endoscopic Intervention

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Abstract

Any attempt to treat pancreatic cancer aggressively usually creates a frustrating and difficult situation for clinicians, as their patients with advanced pancreatic cancer can suffer from pain, biliary obstruction, and intestinal obstruction. The expected survival is mostly short in locally advanced/metastatic pancreatic cancer patients. The role of endoscopic intervention in pancreatic cancer patients is largely palliation of the later manifestation of the disease, whereas endoscopy also has a role in preoperative biliary drainage of potentially resectable cancer of the pancreatic head in selected patients. Endoscopic biliary stenting using various stent is now accepted as a primary option for the palliation of biliary obstruction by pancreatic cancer. Endoscopic insertion of duodenal stents also has demonstrated adequate safety and high technical success. Endoscopic ultrasound-guided celiac plexus/ganglia neurolysis significantly improves pain relief and the quality of life in patients with advanced pancreatic cancer. Pancreatic duct stenting can also be performed for pain of pancreatic duct obstructive quality. Initial endoscopic approach to palliation should be attempted in the preoperatively identified unresectable disease. Surgery remains an effective method of palliation when endoscopic or percutaneous palliation is not feasible or failed.

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Author information

Authors and Affiliations

  1. Department of Internal Medicine, Hallym University College of Medicine, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea

    Sung-Hoon Moon MD, PhD

  2. Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 388-1, Pungnap-2dong, Songpa-gu, Seoul, 138-736, Republic of Korea

    Myung-Hwan Kim MD, PhD

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  1. Sung-Hoon Moon MD, PhD
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  2. Myung-Hwan Kim MD, PhD
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Correspondence to Myung-Hwan Kim MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Surgery, Seoul National University, College of Medicine, Seoul, Korea (Republic of)

    Sun-Whe Kim

  2. Department of Surgery, Wakayama Medical University, Wakayama, Japan

    Hiroki Yamaue

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© 2017 Springer-Verlag Berlin Heidelberg

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Moon, SH., Kim, MH. (2017). Endoscopic Intervention. In: Kim, SW., Yamaue, H. (eds) Pancreatic Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47181-4_39

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  • DOI: https://doi.org/10.1007/978-3-662-47181-4_39

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-47180-7

  • Online ISBN: 978-3-662-47181-4

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