Validity of surgical bypass in un-resectable pancreatic cancer

ABSTRACT

To evaluate the efficacy of surgical bypass as a palliative procedure in patients with pancreatic cancer. This prospective descriptive analytical study was conducted at Liaquat University of Medical and Health Sciences, Jamshoro, Sind, Pakistan from January 2005 to December 2010. All patients with obstructed jaundice and gastric outlet obstruction, later on diagnosed as pancreatic cancer are included in the study. LFT'S, Blood CP, Ultrasound abdomen, CT scan abdomen, and x-ray chest were performed in all patients. Surgical treatment was planned after assessing the resectability of the tumor. The variables studied included presentation, procedure performed, post operative complications and follow up after discharge from the hospital. The Chi square test is applied and data were statistically analyzed on SPSS v17. Forty three patients with a mean age of 62.09 +/- 6.782, with advance carcinoma of head of pancreas were operated and bypass surgical palliation was done. The morbidity, mortality and efficacy of various surgical bypass operations are evaluated. Bilio-gastric bypass still offers a reasonably safe and effective method of billiary decompression and duodenal obstruction caused by inoperable pancreatic cancer