{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T09:46:15Z","timestamp":1725443175886},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:p>ABSTRACT  Background: The cholecistojejunal bypass is an important resource to treat obstructive jaundice due to advanced pancreatic cancer.  Aim: To assess the early morbidity and mortality of patients with pancreatic cancer who underwent cholecystojejunal derivation, and to assess the success of this procedure in relieving jaundice.  Method: This retrospective study examined the medical records of patients who underwent surgery. They were categorized into early death and non-early death groups according to case outcome.  Results:  51.8% of the patients were male and 48.2% were female. The mean age was 62.3 years. Early mortality was 14.5%, and 10.9% of them experienced surgical complications. The cholecystojejunostomy procedure was effective in 97% of cases. There was a tendency of increased survival in women and patients with preoperative serum total bilirubin levels below 15 mg\/dl.  Conclusion: Cholecystojejunal derivation is a good therapeutic option for relieving jaundice in patients with advanced pancreatic cancer, with acceptable rates of morbidity and mortality.<\/jats:p>","DOI":"10.1590\/0102-6720201700030009","type":"journal-article","created":{"date-parts":[[2017,10,4]],"date-time":"2017-10-04T19:35:11Z","timestamp":1507145711000},"page":"201-204","source":"Crossref","is-referenced-by-count":2,"title":["TWELVE YEARS OF EXPERIENCE USING CHOLECYSTOJEJUNAL BY-PASS FOR PALLIATIVE TREATMENT OF ADVANCED PANCREATIC CANCER"],"prefix":"10.1590","volume":"30","author":[{"given":"Marcos Belotto de","family":"OLIVEIRA","sequence":"first","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruna do Nascimento","family":"SANTOS","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9 de","family":"MORICZ","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adhemar Monteiro","family":"PACHECO-JUNIOR","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo Altenfelder","family":"SILVA","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renata D\u2019Alpino","family":"PEIXOTO","sequence":"additional","affiliation":[{"name":"Ant\u00f4nio Erm\u00edrio de Moraes Oncology Center,  Brazil; Nove de Julho University,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T\u00e9rcio De","family":"CAMPOS","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"2","key":"ref1","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/j.jpainsymman.2013.03.013","article-title":"A meta-analysis of randomized trials immediate stent placement vs. surgical bypass in the palliative management of malignant biliary obstruction","volume":"47","author":"Glazer ES","year":"2014","journal-title":"J Pain Symptom Manage"},{"key":"ref2","year":"2016"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1590\/0102-6720201600010005","article-title":"The largest western experience with hepatopancreatoduodenectomy lessons learned with 35 cases","volume":"29","author":"Fernandes Ede S","year":"2016","journal-title":"Arq Bras Cir Dig"},{"issue":"12","key":"ref4","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1097\/MEG.0b013e3282f16206","article-title":"Do the benefits of metal stents justify the costs A systematic review and meta-analysis of trials comparing endoscopic stents for malignant biliary obstruction","volume":"19","author":"Moss AC","year":"2007","journal-title":"Eur J Gastroenterol Hepatol"},{"issue":"7","key":"ref5","doi-asserted-by":"crossref","first-page":"1745","DOI":"10.1245\/s10434-009-0410-z","article-title":"Surgical treatment of resectable and borderline resectable pancreatic cancer expert consensus statement by Evans et al","volume":"16","author":"Adams RB","year":"2009","journal-title":"Ann Surg Oncol"},{"issue":"21","key":"ref6","doi-asserted-by":"crossref","first-page":"3496","DOI":"10.1200\/JCO.2007.15.8634","article-title":"Preoperative gemcitabine-based chemoradiation for patients with resectable adenocarcinoma of the pancreatic head","volume":"26","author":"Evans DB","year":"2008","journal-title":"J Clin Oncol"},{"issue":"4","key":"ref7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1000267","article-title":"Preoperative\/neoadjuvant therapy in pancreatic cancer a systematic review and meta-analysis of response and resection percentages","volume":"7","author":"Gillen S","year":"2010","journal-title":"PLoS Med"},{"issue":"2","key":"ref8","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1590\/0102-6720201600020007","article-title":"Solid pseudopapillary neoplasm of the pancreas","volume":"29","author":"Carlotto JR","year":"2016","journal-title":"Arq Bras Cir Dig"},{"issue":"2","key":"ref9","first-page":"123","article-title":"Surgical management of unresectable carcinoma of the pancreas","volume":"91","author":"Sarr MG","year":"1982","journal-title":"Surgery"},{"issue":"3","key":"ref10","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/0022-4804(82)90092-0","article-title":"Biliary obstruction and host defense failure","volume":"32","author":"Holman Jr JM","year":"1982","journal-title":"J Surg Res"},{"issue":"5","key":"ref11","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1097\/00000658-198505000-00003","article-title":"Effective palliation of malignant biliary duct obstruction","volume":"201","author":"Malangoni MA","year":"1985","journal-title":"Ann Surg"},{"issue":"1","key":"ref12","first-page":"75","article-title":"Management of patients with obstructive jaundice: experience in a developing country","volume":"21","author":"Rahman GA","year":"2011","journal-title":"Nig Q J Hosp Med"},{"issue":"4","key":"ref13","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1007\/s005340170010","article-title":"Surgical bypass versus metallic stent for unresectable pancreatic cancer","volume":"8","author":"Maosheng D","year":"2001","journal-title":"J Hepatobiliary Pancreat Surg"},{"issue":"2","key":"ref14","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1111\/j.1477-2574.2008.00015.x","article-title":"Surgical bypass vs endoscopic stenting for pancreatic ductal adenocarcinoma","volume":"11","author":"Scott EN","year":"2009","journal-title":"HPB (Oxford)"},{"key":"ref15","first-page":"65","article-title":"Surgical palliation for malignant obstructive jaundice our experience.. 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