Preoperative Biliary Stents in Pancreatic Cancer — Proceed with Caution

Authors:
  • TBTodd H. Baron
    Todd H. Baron
  • RKRichard A. Kozarek
    Richard A. Kozarek
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Abstract
Pancreatic cancer is a common and deadly disease that is diagnosed in more than 40,000 patients annually in the United States, where it is the fourth leading cause of cancer-related death. Cancer of the pancreatic head causes biliary obstruction by encasing the distal bile duct in tumor. The only potentially curative option is surgical resection (pancreaticoduodenectomy, commonly referred to as the Whipple procedure).As originally conceived, the Whipple procedure was performed as a two-stage operation. The first stage involved biliary bypass to relieve obstructive jaundice, and the second stage was performed weeks to months later to resect the tumor and . . .

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