We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Management of malignant obstructive jaundice at The Middlesex Hospital.
- Authors
Leung, J. W. C.; Emery, R.; Cotton, P. B.; Russell, R. C. G.; Vallon, A. G.; Mason, R. R.
- Abstract
A total of 180 patients with malignant obstructive jaundice have been treated by 5 different methods: surgical resection; surgical by-pass; percutaneous prosthesis; endoscopic prosthesis; and endoscopic sphincterotomy (for papillary tumours). The spectrum of patients is unusual, because many elderly and ill patients were referred for non-operative management. Operative by-pass, percutaneous and endoscopic prostheses gave similar overall results, with a mean survival of about 6 months. Patients with tumours of the papilla of Vater treated by endoscopy or surgery fared well; 11 of 18 were alive at follow-up. Median survival after resection of other tumours was 17 months. These results underline the need for randomized clinical trials, which are now in progress.
- Publication
British Journal of Surgery, 1983, Vol 70, Issue 10, p584
- ISSN
0007-1323
- Publication type
Article
- DOI
10.1002/bjs.1800701006