Palliative therapy concepts for pancreatic carcinoma.

[Palliative therapy concepts for pancreatic carcinoma]. Chirurg. 2018 Aug 09;: Authors: Brunner M, Grützmann R, Weber GF Abstract The majority of patients with ductal pancreatic adenocarcinoma are already in a locally advanced or metastatic stage at the time of diagnosis and require palliative therapy. Interventional and operative measures are available for the restoration of biliary outflow in bile duct obstruction and the continuity of the upper intestinal lumen in duodenal or gastric outlet obstruction. In the presence of tumor-related pain, pain therapy according to the World Health Organization (WHO) scheme or a truncus coeliacus blockade, in cachexia a nutritional therapy and in thromboembolic events an anticoagulant therapy are used. An individualized palliative chemotherapy regimen should be selected for each patient, taking into account the patient's general condition and the side effects profile of the chemotherapeutic agents. Radiochemotherapy and local ablative therapies should currently only be used within the framework of studies. A palliative resection is not recommended according to current knowledge. PMID: 30094706 [PubMed - as supplied by publisher]
Source: Der Chirurg - Category: Surgery Authors: Tags: Chirurg Source Type: research

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Source: Strahlentherapie und Onkologie - Category: Cancer & Oncology Source Type: research
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Source: Strahlentherapie und Onkologie - Category: Cancer & Oncology Source Type: research
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