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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 소화기인터벤션의학회 International Journal of Gastrointestinal Intervention International Journal of Gastrointestinal Intervention 제7권 제2호
- 발행연도
- 2018.1
- 수록면
- 67 - 73 (7page)
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초록· 키워드
오류제보하기
Pancreatic cancer is a leading cause of cancer-related morbidity and mortality, but any meaningful improvement in its prognosis remains elusive. The lack of early diagnostic methods means that many patients only present when symptoms develop, such as obstructive jaundice. Once a diagnosis of pancreatic cancer has been made in a patient with obstructive jaundice, then a decision should be made if the patient is a candidate for surgical resection. Patients who are candidates for surgical resection generally do not need preoperative biliary drainage, unless they present with cholangitis, or if they require neo-adjuvant chemotherapy. If preoperative biliary drainage is to be done, then patient factors and local expertise should guide appropriate interventions. The evidence for endoscopic retrograde cholangiopancreatography as a first-line therapy for biliary decompression is strong; However, the use of percutaneous transhepatic biliary drainage as well as endoscopic ultrasound-guided biliary drainage has generally not been found to be inferior. Finally, to ensure ongoing patency and minimize complications, an appropriate self-expanding metal stent should ideally be placed.
목차
등록된 정보가 없습니다.
참고문헌 (41)
참고문헌 신청
Siegel RL / 2018 / Cancer statistics, 2018 / CA Cancer J Clin 68:7~30
Rahib L / 2014 / Projecting cancer incidence and deaths to 2030 : the unexpected burden of thyroid, liver, and pancreas cancers in the United States / Cancer Res 74:2913~2921
Karakas Y / 2018 / Recent advances in the management of pancreatic adenocarcinoma / Expert Rev Anticancer Ther 18:51~62
Kanji ZS / 2013 / Diagnosis and management of pancreatic cancer / CMAJ 185:1219~1226
Konstantinidis IT / 2013 / Pancreatic ductal adenocarcinoma: is there a survival difference for R1 resections versus locally advanced unresectable tumors? What is a “true” R0 resection / Ann Surg 257:731~736
Rahib L / 2014 / Projecting cancer incidence and deaths to 2030 : the unexpected burden of thyroid, liver, and pancreas cancers in the United States / Cancer Res 74:2913~2921
Karakas Y / 2018 / Recent advances in the management of pancreatic adenocarcinoma / Expert Rev Anticancer Ther 18:51~62
Kanji ZS / 2013 / Diagnosis and management of pancreatic cancer / CMAJ 185:1219~1226
Konstantinidis IT / 2013 / Pancreatic ductal adenocarcinoma: is there a survival difference for R1 resections versus locally advanced unresectable tumors? What is a “true” R0 resection / Ann Surg 257:731~736
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