| Theme |
Pancreatic Cancer : Up-to-date |
| Title |
Palliative Intervention for Unresectable Pancreatic Cancer |
| Author |
Yoshihide Kanno |
Department of Gastroenterology, Sendai City Medical Center |
| Author |
Naotaka Fujita |
Department of Gastroenterology, Sendai City Medical Center |
| Author |
Yutaka Noda |
Department of Gastroenterology, Sendai City Medical Center |
| Author |
Go Kobayashi |
Department of Gastroenterology, Sendai City Medical Center |
| Author |
Kei Ito |
Department of Gastroenterology, Sendai City Medical Center |
| Author |
Takashi Obana |
Department of Gastroenterology, Sendai City Medical Center |
| Author |
Jun Horaguchi |
Department of Gastroenterology, Sendai City Medical Center |
| Author |
Shinsuke Koshita |
Department of Gastroenterology, Sendai City Medical Center |
| Author |
Takahisa Ogawa |
Department of Gastroenterology, Sendai City Medical Center |
| [ Summary ] |
Pancreatic cancer often causes biliary obstruction, gastric outlet obstruction (GOO), and intractable pain. Endoscopic transpapillary biliary stent deployment is the palliative method of choice for biliary obstruction rather than percutaneous drainage and surgical bypass. For GOO, surgical bypass (gastrojejunostomy) is the treatment of choice for patients with long life expectancies. Endoscopic stenting is employed for patients with shorter life expectancies. To relieve cancer induced pain, celiac plexus neurolysis (CPN) in addition to ordinary pain control with drugs, is effective. Recently, CPN has been performed with real-time guidance of endosonography, resulting in procedural simplification and improved safety. |