ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2016
Early surgical bypass versus endoscopic stent placement in pancreatic cancer.
Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Double Stenting for Malignant Biliary and Duodenal Obstruction: A Systematic Review and Meta-Analysis.Clinical and translational gastroenterology · 2020Pooled it
- Surgical Palliation for Advanced Pancreas Cancer.The Surgical clinics of North America · 2024Review
- Revolutionizing palliative care: Electrocautery-enhanced lumen-apposing metal stents in endoscopic-ultrasound-guided biliary drainage for malignant obstructions.World journal of gastrointestinal surgery · 2024Article
- Endoscopic-ultrasound-guided biliary drainage with placement of electrocautery-enhanced lumen-apposing metal stent for palliation of malignant biliary obstruction: Updated meta-analysis.World journal of gastrointestinal surgery · 2024Article
- IS THERE A ROLE FOR BILIODIGESTIVE BYPASS SURGERY IN TREATING CHOLESTASIS IN ADVANCED PANCREATIC CANCER?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024Article
- ASO Author Reflections: Preoperative Biliary Drainage Before Pancreatic Surgery.Annals of surgical oncology · 2023Article
- Safety and outcomes of endoscopic ultrasound-guided drainage for malignant biliary obstruction using cautery-enabled lumen-apposing metal stent.Endoscopy international open · 2020Article
- Lumen-apposing metal stents for malignant biliary obstruction: Is this the ultimate horizon of our experience?World journal of gastroenterology · 2019Review
- Regional and racial variations in the utilization of endoscopic retrograde cholangiopancreatography among pancreatic cancer patients in the United States.Cancer medicine · 2019Article
- Success and safety of endoscopic treatments for concomitant biliary and duodenal malignant stenosis: A review of the literature.World journal of gastrointestinal surgery · 2019Review
- Palliative therapy in pancreatic cancer-palliative surgery.Translational gastroenterology and hepatology · 2019Review
- Current role of palliative interventions in advanced pancreatic cancer.World journal of gastrointestinal surgery · 2018Review
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
introductionThe optimal treatment for biliary obstruction in pancreatic cancer remains controversial between surgical bypass and endoscopic stenting.
methodsRetrospective analysis of unresected pancreatic cancer patients in the Healthcare Cost and Utilization Project Florida State Inpatient and Ambulatory Surgery databases (2007-2011). Propensity score matching by procedure. Primary outcome was reintervention, and secondary outcomes were readmission, overall length of stay (LOS), discharge home, death and cost. Multivariate analyses performed by logistic regression.
resultsIn a matched cohort of 622, 20.3% (63) of endoscopic and 4.5% (14) of surgical patients underwent reintervention (p < 0.0001) and 56.0% (174) vs. 60.1% (187) were readmitted (p = 0.2909). Endoscopic patients had lower median LOS (10 vs. 19 days, p < 0.0001) and cost ($21,648 vs. $38,106, p < 0.0001) as well as increased discharge home (p = 0.0029). No difference in mortality on index admission. On multivariate analysis, initial procedure not predictive of readmission (p = 0.1406), but early surgical bypass associated with lower odds of reintervention (OR = 0.233, 95% CI 0.119, 0.434). DISCUSSION: Among propensity score-matched patients receiving bypass vs. stenting, readmission and mortality rates are similar. However, candidates for both techniques may experience fewer subsequent procedures if offered early biliary bypass with the caveats of decreased discharge home and increased cost/LOS.
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