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    Palliative Care for Pancreatic and Periampullary Cancer

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    Name:
    TSR_042716_CH0014.pdf
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    Description:
    Final Accepted Manuscript
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    Author
    Perone, Jennifer A.
    Riall, Taylor S.
    Olino, Kelly
    Affiliation
    Department of Surgery, Banner-University Medical Center, University of Arizona
    Issue Date
    2016-12
    Keywords
    Palliative care
    Supportive care
    Obstructive jaundice
    Gastric outlet obstruction
    Palliative triangle
    Celiac block
    Biliary-enteric bypass
    Endoscopic biliary stent
    
    Metadata
    Show full item record
    Publisher
    W B SAUNDERS CO-ELSEVIER INC
    Citation
    Palliative Care for Pancreatic and Periampullary Cancer 2016, 96 (6):1415 Surgical Clinics of North America
    Journal
    Surgical Clinics of North America
    Rights
    © 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 2016
    ISSN
    00396109
    DOI
    10.1016/j.suc.2016.07.012
    Version
    Final accepted manuscript
    Sponsors
    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/S0039610916520532
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.suc.2016.07.012
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