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Related Concept Videos

Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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  1. Home
  3. Research Domains
  5. Biomedical And Clinical Sciences
  7. Oncology And Carcinogenesis
  9. Predictive And Prognostic Markers
  11. Surveillance After Surgery For Pancreatic Cancer: A Global Scoping Review Of Guidelines And A Nordic Survey Of Contemporary Practice.
  1. Home
  3. Research Domains
  5. Biomedical And Clinical Sciences
  7. Oncology And Carcinogenesis
  9. Predictive And Prognostic Markers
  11. Surveillance After Surgery For Pancreatic Cancer: A Global Scoping Review Of Guidelines And A Nordic Survey Of Contemporary Practice.

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Surveillance after surgery for pancreatic cancer: a global scoping review of guidelines and a nordic Survey of contemporary practice.

Daniel Ansari1, Kjetil Søreide2,3, Bodil Andersson1

  • 1Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden.

Scandinavian Journal of Gastroenterology
|July 12, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Limited evidence supports routine long-term surveillance after pancreatic cancer surgery. While most Nordic centers perform follow-up, practices for pancreatic cancer surveillance vary significantly among institutions.

Keywords:
Pancreatic cancerguidelineslead time biasrecurrence

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Gastroenterology

Background:

  • Pancreatic cancer recurrence is common after surgical resection.
  • Postoperative surveillance strategies aim to detect recurrence early.

Purpose of the Study:

  • To evaluate the evidence for routine surveillance after pancreatic cancer surgery.
  • To analyze current surveillance practices in Nordic countries.

Main Methods:

  • Conducted a scoping review of global clinical practice guidelines and research studies.
  • Performed a survey of 20 pancreatic units across four Nordic countries.

Main Results:

  • Guidelines offered inconsistent recommendations; research had low evidence levels.
rescue therapy
surveillance
survival
  • 75% of Nordic units practice routine postoperative surveillance, with variations in methods (CA 19-9, CT) and duration (up to 5 years).
  • Active surveillance is recommended in Sweden and Denmark, but not Norway; Finland lacks national guidelines.

    • Conclusions:

    • Evidence for routine 5-year surveillance post-pancreatic cancer surgery is limited.
    • Nordic countries exhibit diverse surveillance protocols, indicating a need for standardized approaches.