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Cancers 2011, 3(2), 1947-1956; doi:10.3390/cancers3021947

Endoscopic Palliation for Pancreatic Cancer

Received: 1 March 2011 / Revised: 1 April 2011 / Accepted: 1 April 2011 / Published: 13 April 2011
(This article belongs to the Special Issue Pancreatic Cancer)
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Pancreatic cancer is devastating due to its poor prognosis. Patients require a multidisciplinary approach to guide available options, mostly palliative because of advanced disease at presentation. Palliation including relief of biliary obstruction, gastric outlet obstruction, and cancer-related pain has become the focus in patients whose cancer is determined to be unresectable. Endoscopic stenting for biliary obstruction is an option for drainage to avoid the complications including jaundice, pruritus, infection, liver dysfunction and eventually failure. Enteral stents can relieve gastric obstruction and allow patients to resume oral intake. Pain is difficult to treat in cancer patients and endoscopic procedures such as pancreatic stenting and celiac plexus neurolysis can provide relief. The objective of endoscopic palliation is to primarily address symptoms as well improve quality of life.
Keywords: pancreatic adenocarcinoma; biliary obstruction; gastric outlet obstruction; endoscopy; stents; palliation pancreatic adenocarcinoma; biliary obstruction; gastric outlet obstruction; endoscopy; stents; palliation
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Bakhru, M.; Tekola, B.; Kahaleh, M. Endoscopic Palliation for Pancreatic Cancer. Cancers 2011, 3, 1947-1956.

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