Thursday, October 4, 2007

Palliative upper GI bypass

Biliary bypass adds 2-5 months life
Surgical bypass procedure of choice cf stenting in patient fit for surgery with > 4month life expectancy, although failure rate still 25%

Obviously need GB filling on ERCP before cholecystojejunostomy

20% patients with pancreatic cancer will develop gastric outlet obstuction

Hydration important in jaundiced patients

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