Combined biliary and gastric bypass in the palliative treatment of pancreatic carcinoma

ABSTRACT

This study presented experiences in the palliative treatment of advanced pancreatic carcinoma. During the last 7 years, 33 patients with unrespectable pancreatic tumor underwent combined biliary and gastric bypass. It was found that cholecystojejunostomy is the simplest option, but followed by the highest incidence of recurrent jaundice. Both choledochoduodenostomy and choledochojejunostomy can be carried out with reasonable safety and remain useful options for patients with potentially resectable tumors. Hepaticojejunostomy had the best results and can be used if the expected time of palliation is relatively long. Gastric bypass does not increase the operative morbidity and offers the best chance of avoiding re-operation