Palliative Care for Pancreatic and Periampullary Cancer

Jennifer A. Perone, Taylor S. Riall, Kelly Olino

Research output: Contribution to journalReview article

15 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1415-1430
Number of pages16
JournalSurgical Clinics of North America
Volume96
Issue number6
DOIs
StatePublished - Dec 1 2016

Keywords

  • Biliary-enteric bypass
  • Celiac block
  • Endoscopic biliary stent
  • Gastric outlet obstruction
  • Obstructive jaundice
  • Palliative care
  • Palliative triangle
  • Supportive care

ASJC Scopus subject areas

  • Surgery

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