With the development of interventional radiology and endoscopy, the practice of inserting expandable metallic stents for malignant @entity1087 has become widespread. Many studies have compared surgical bypass with @entity691 stents, or metallic stents with @entity691 stents. However, few data are available on the comparison of surgical bypass and metallic stents. The aim of this study was to compare the @entity1 's postprocedure course and the cost performance of surgical bypass and metallic stents in @entity1 with unresectable @entity788 . The parameters analyzed were the rates of procedural and therapeutic success, duration of hospital stay, prevalence of early and late complications, cost performance, and prognosis. The rates of procedural and therapeutic success were excellent with both palliative treatments. With surgical bypass, there was a low prevalence of late complications, but @entity9727 sometimes occurred in @entity1 without gastric bypass. With metallic stents, there was shorter hospitalization and lower cost, but a higher prevalence of late complications. @entity432 tended to occur in @entity1 with uncovered metallic stents. There was no difference in the prognosis between the two palliative treatments. Thus, in consideration of the poor prognosis of @entity788 , in @entity1 with unresectable @entity788 , insertion of covered metallic stents would be preferable to surgical bypass, because of the subsequent short hospitalization and the low cost. On the other hand, in @entity1 with a relatively long expected prognosis, or in those with existing @entity9727 , biliary bypass with gastrojejunostomy may provide an advantage.

Surgical bypass versus metallic stent for unresectable XXXX .

@entity691 :: ('MESH:D020959', 'Chemical') :: ['polyethylene'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreatic cancer'] @entity1087 :: ('MESH:D007565', 'Disease') :: ['jaundice'] @entity9727 :: ('MESH:D004380', 'Disease') :: ['duodenal obstruction'] @entity432 :: ('MESH:D001157', 'Disease') :: ['Stent occlusion']
@entity788 :: (MESH:D010190,Disease) :: ['pancreatic cancer']
