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Indian Journal of Medical and Paediatric Oncology
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Year : 2005  |  Volume : 26  |  Issue : 4  |  Page : 74-83

Palliative therapy for gallbladder cancer

Department of Gastroenterology, and Gastroenterology Surgery AIIMS New Delhi-110029

Correspondence Address:
S Saluja
Department of Gastroenterology, and Gastroenterology Surgery AIIMS New Delhi-110029

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Source of Support: None, Conflict of Interest: None

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Pain, obstructive jaundice and gastric outlet obstruction are common symptoms of advanced GB cancer. Presently Endoscopic stenting is commonly used for biliary drainage in patients with obstructive jaundice. It has less morbidity and mortality and is cheaper than surgical methods used in the past. For effective relief of pain it is advisable to follow WHO guidelines. Coeliac plexus neurolysis can provide effective palliation in patients who don't get adequate relief with narcotic analgesics. Gastric outlet obstruction in GB cancer is due to direct infiltration of first and second part of duodenum. Such patients can be benefited with gastrojejunostomy or endoscopically placed enteral stents. In this article, we have elaborated all the common procedures done for the palliative treatment of carcinoma gallbladder.

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