How long should surgery be delayed in a patient with localized, resectable pancreatic cancer who developed acute pancreatitis following EUS guided biopsy?

Topics: Gastrointestinal Cancers • Medical Oncology • Liver and Pancreas Tumors • Gastroenterology • Pancreatic Cancer

And if delayed, should chemotherapy be started?

Answer from: Medical Oncologist at Academic Institution

This is a great question, and the answer is yes, it should be delayed to avoid surgical complications, healing, etc. In such scenarios, surgery might be delayed up to 2 months or longer even, depending on the time to recovery. In our practice, we employ a neoadjuvant approach for these patients and ...

Comments

Medical Oncologist at NYU Long Island School of Medicine
Thank you so much for this discussion. How soon af...

Medical Oncologist at Cedars-Sinai
Typically once they start clinically improving, we...

Medical Oncologist at Case Western Reserve University
Often, the patient is clinically improved from pan...

Answer from: Radiation Oncologist at Community Practice

These can be challenging cases. The American Radium Society multidisciplinary GI committee recently reviewed this scenario and the consensus was initial systemic therapy followed by re-assessment prior to further local therapy (RT or surgery)Jethwa et al., PMID 38131628 I’d favor 3-4 mont...

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