Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions

Douglas G. Adler, MD

Question 15: Do Patients With Pancreatic Cancer And Jaundice Need To Have An Endoscopic Retrograde Cholangiopancreatography Preoperatively? (continued)

Todd H. Baron, MD

The question of whether or not patients with pancreatic cancer and jaundice need to have an endoscopic retrograde cholangiopancreatography (ERCP) preoperatively has long been debated. Surgery for pancreatic cancer can either be curative or palliative. Curative resection is undertaken when there appears to be a tumor that is amenable to complete resection. Palliative surgery is performed when the tumor appears unresectable and is used to relieve biliary and/or gastric outlet obstruction via biliary enteric anastomosis (biliary bypass) and gastrojejunal anastomosis (duodenal bypass)…
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