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TSR_042716_CH0014.pdf
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Final Accepted Manuscript
Affiliation
Department of Surgery, Banner-University Medical Center, University of ArizonaIssue Date
2016-12Keywords
Palliative careSupportive care
Obstructive jaundice
Gastric outlet obstruction
Palliative triangle
Celiac block
Biliary-enteric bypass
Endoscopic biliary stent
Metadata
Show full item recordPublisher
W B SAUNDERS CO-ELSEVIER INCCitation
Palliative Care for Pancreatic and Periampullary Cancer 2016, 96 (6):1415 Surgical Clinics of North AmericaRights
© 2016 Elsevier Inc. All rights reserved.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Most patients with pancreatic cancer will present with metastatic or locally advanced disease. Unfortunately, most patients with localized disease will experience recurrence even after multimodality therapy. As such, pancreatic cancer patients arrive at a common endpoint where decisions pertaining to palliative care come to the forefront. This article summarizes surgical, endoscopic, and other palliative techniques for relief of obstructive jaundice, relief of duodenal or gastric outlet obstruction, and relief of pain due to invasion of the celiac plexus. It also introduces the utility of the palliative care triangle in clarifying a patient's and family's goals to guide decision making.Note
12 month embargo; Available online 16 November 2016ISSN
00396109Version
Final accepted manuscriptSponsors
UTMB Clinical and Translational Science Award [UL1TR000071]; NIH T-32 Grant [5T32DK007639]; AHRQ [1R24HS022134]; Cancer Prevention and Research Institute Grant [RP140020]Additional Links
http://linkinghub.elsevier.com/retrieve/pii/S0039610916520532ae974a485f413a2113503eed53cd6c53
10.1016/j.suc.2016.07.012