Preoperative Management of Jaundice

Savio Barreto, John Windsor

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Obstructive jaundice occurs in many patients with pancreatic head cancers. While routine preoperative biliary drainage was practiced in 1980s and 1990s, mounting evidence highlighting the risks of preoperative biliary drainage on surgical outcomes has raised questions about the advisability of routine drainage. Today, selective endoscopic drainage is preferred, most often using a Self-Expanding Metallic Stent (SEMS). This chapter will provide the reader with a detailed overview of preoperative biliary drainage for resectable pancreatic head cancer addressing various aspects including its history, rationale and indications, technical variations with respective advantages and disadvantages.
Original languageEnglish
Title of host publicationTextbook of Pancreatic Cancer
EditorsKjetil Soreide, Stefan Stattner
PublisherSpringer-Nature
Chapter41
Pages631-648
Number of pages18
ISBN (Electronic)978-3-030-53786-9
ISBN (Print)978-3-030-53785-2
DOIs
Publication statusPublished - 2021

Keywords

  • Jaundice
  • Drainage
  • Stent
  • Endoscopic percutaneous cholangiography
  • Cholangitis
  • Percutaneous biliary drainag
  • Morbidity
  • Mortality
  • Microbiology
  • Outcomes

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