Health Condition 1: null- patient with surgical obstructive jaundice secondary to periampullary or pancreatic tumor with good functional status ( ECOG 0,1,2)
Conditions
Interventions
Intervention1: STENTING: stenting will be done followed by surgery after 4 weeks once the bilirubin level falls below 5 mg%
Control Intervention1: surgery: surgery will be done with bilirubin 10 to 20
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1. Good performance status (Eastern Cooperative Oncology Group â?? performance status 0,1,2). 2. Cases of lower end tumors with obstructive jaundice. 3. Bilirubin ( >=10 mg/dl and 4. Imaging : Dual phase CT scan showing no evidence of distant metastasis, local tumor ingrowth into portal vessels or mesenteric vessels (as defined by the tumor surrounding the vessel for at least 180 degrees of the circumference)
Exclusion criteria
Exclusion criteria: 1. Age >70 years 2. Presence of cholangitis/infection,renal impairment , poor nutritional status 3. Preoperative biliary drainage by any means ( surgical, endoscopic or percutaneous ) 4. Previous chemotherapy 5. Gastric outlet obstruction : vomiting, nausea and/or oral intake less than one L /day
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| post op mortality and morbidityTimepoint: post op mortality and morbidity | — |
Secondary
| Measure | Time frame |
|---|---|
| quality of life survival procedure related complicationTimepoint: till survival | — |
Countries
India
Contacts
Public ContactDrPeush Sahni
AIIMS
Outcome results
None listed