Journal
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
Volume 23, Issue 7, Pages 1036-1045Publisher
WILEY
DOI: 10.1111/j.1440-1746.2008.05471.x
Keywords
outcome; pancreatic cancer; pancreatic surgery; pancreatology; prognosis
Categories
Ask authors/readers for more resources
Despite advances in the understanding and treatment of pancreatic cancer in the last two decades, there is a persisting nihilistic attitude among clinicians. An alarmingly high rate of under-utilization of surgical management for operable pancreatic cancer was recently reported in the USA, where more than half of patients with stage 1 operable disease and no other contraindications were not offered surgery as therapy, denying this group of patients a 20% chance of long-term survival. These data indicate that a nihilistic attitude among clinicians may be a significant and reversible cause of the persisting high mortality of patients with pancreatic cancer. This article examines the modern management of pancreatic cancer, in particular, the advances in surgical care that have reduced the mortality of pancreatectomy to almost that of colonic resection, and outlines a strategy for improving outcomes for patients with pancreatic cancer now and in the future.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available