Preoperative biliary drainage – better stents in specialised centres are needed

John Neoptolemos and Christopher Halloran

A recent trial concluded that preoperative biliary drainage (PBD) in patients with pancreatic head cancer increases complications but is unlikely to change clinical practice. The difference in the outcomes reported was because of excessive complications in the PBDgroup using plastic stents. We argue that these patients need treatment in regional pancreatic cancer centres using low occlusion metal stents.

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