Table 99Clinical review protocol summary for the review of optimal treatment of biliary obstruction

PopulationPatients with biliary obstruction:
  • Resectable pancreatic cancer
  • Borderline resectable pancreatic cancer
  • Unresectable or metastatic pancreatic cancer
Intervention
  • Biliary stent placement
  • Plastic stents
  • Self-expandable metallic/metal stents (fully covered, partially covered, uncovered)
  • Preoperative biliary drainage followed by resection
  • Biliary bypass Surgery
  • Surgical resection without stenting
ComparisonBest supportive care
Each Other
Outcomes
  • Relief of obstruction
  • Relief of symptoms
  • Treatment-related mortality
  • Treatment related morbidity
  • Treatment-related complications
  • Overall Survival
  • Time to definitive treatment
  • Health Related Quality of Life
  • Patient experience
  • PROMS

From: 9, Interventions to relieve biliary and duodenal obstruction

Cover of Pancreatic cancer in adults: diagnosis and management
Pancreatic cancer in adults: diagnosis and management.
NICE Guideline, No. 85.
National Guideline Alliance (UK).
Copyright © NICE 2018.

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