Question 129 · LEK · Pancreatic cancer

Which of the following is the best option of surgical palliative treatment in the case of a non-resectable tumor of the head of the pancreas that causes mechanical jaundice and duodenal obstruction?

  1. A. bypass anastomoses: gastric-intestinal, intestinal-intestinal and ductal- or bladder-intestinal.
  2. B. cholecystostomy.
  3. C. nutritional gastrostomy.
  4. D. attempt of non-radical tumor resection.
  5. E. diagnostic laparotomy only.
Hint

Good palliation should solve both problems at once: the blocked bile flow and the blocked gastric outlet.

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