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

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 ...

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 months of syste...