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

Caroline Williamsson; Johanna Wennerblom; Bobby Tingstedt; Claes Jönsson

doi:10.1016/j.hpb.2015.08.009

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

Caroline Williamsson, Johanna Wennerblom, Bobby Tingstedt, Claes Jönsson

Surgery (Lund)

Research output: Contribution to journal › Article › peer-review

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).

Original language	English
Pages (from-to)	107-112
Journal	HPB
Volume	18
Issue number	1
Early online date	2015 Oct 16
DOIs	https://doi.org/10.1016/j.hpb.2015.08.009
Publication status	Published - 2016

Subject classification (UKÄ)

Surgery

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10.1016/j.hpb.2015.08.009

1 Doctoral Thesis (compilation)

Perioperative aspects of pancreaticoduodenectomy
Williamsson, C., 2017, Lund: Lund University: Faculty of Medicine. 94 p.
Research output: Thesis › Doctoral Thesis (compilation)

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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 Sk{\aa}ne University Hospital Lund (SUL) secures biliary drainage endoscopically and treats only symptomatic duodenal obstruction (Wait and See, WaS).",

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AU - Jönsson, Claes

PY - 2016

Y1 - 2016

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AB - 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).

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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.

Abstract

Subject classification (UKÄ)

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Research output

Perioperative aspects of pancreaticoduodenectomy

Cite this