NONOPERATIVE VERSUS OPERATIVE TREATMENT OF OBSTRUCTIVE-JAUNDICE IN PANCREATIC-CANCER - COST AND SURVIVAL ANALYSIS
- 1 October 1988
- journal article
- research article
- Vol. 83 (10) , 1132-1139
Abstract
Pancreatic carcinoma is complicated by malignant obstructive jaundice in 40-70% of cases. Patients frequently are old, debilitated, unresectable, and faced with a dismal prognosis. Invasive endoscopic and radiologic procedures in the inoperable patient can provide palliation without the need for surgery, in most cases. Few studies have compared nonoperative palliation with conventional surgical biliary enteric bypass procedures. In a retrospective study of patients with pancreatic carcinoma, we found no difference between operative and nonoperative treatment in survival, total hospitalization, or morbidity and mortality. Cost analysis revealed significant savings with nonoperative treatment.This publication has 13 references indexed in Scilit:
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