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The spectrum of patients is unusual, because many elderly and ill patients were referred for non-operative management. Operative by-pass, percutaneous and endoscopic prostheses gave similar overall results, with a mean survival of about 6 months. Patients with tumours of the papilla of Vater treated by endoscopy or surgery fared well; 11 of 18 were alive at follow-up. Median survival after resection of other tumours was 17 months. These results underline the need for randomized clinical trials, which are now in progress.<\/jats:p>","DOI":"10.1002\/bjs.1800701006","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T22:51:10Z","timestamp":1172875870000},"page":"584-586","source":"Crossref","is-referenced-by-count":68,"title":["Management of malignant obstructive jaundice at The Middlesex Hospital"],"prefix":"10.1093","volume":"70","author":[{"given":"J W C","family":"Leung","sequence":"first","affiliation":[{"name":"The Middlesex Hospital , London W1N 8AA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Emery","sequence":"additional","affiliation":[{"name":"The Middlesex Hospital , London W1N 8AA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P B","family":"Cotton","sequence":"additional","affiliation":[{"name":"The Middlesex Hospital , London W1N 8AA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R C G","family":"Russell","sequence":"additional","affiliation":[{"name":"The Middlesex Hospital , London W1N 8AA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A G","family":"Vallon","sequence":"additional","affiliation":[{"name":"The Middlesex Hospital , London W1N 8AA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R R","family":"Mason","sequence":"additional","affiliation":[{"name":"The Middlesex Hospital , London W1N 8AA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1983,10,1]]},"reference":[{"key":"2024092714550079700_bib1","first-page":"361","article-title":"Ultrasonically guided percutaneous fine needle biopsy of the pancreas","volume":"140","author":"Hancke","year":"1975","journal-title":"Surg. 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