Management of malignant obstructive jaundice at The Middlesex Hospital

Joseph Leung, R. Emery, P. B. Cotton, R. C. Russell, A. G. Vallon, R. R. Mason

Research output: Contribution to journalArticlepeer-review

68 Scopus citations


A total of 180 patients with malignant obstructive jaundice have been treated by 5 different methods: surgical resection; surgical by-pass; percutaneous prosthesis; endoscopic prosthesis; and endoscopic sphincterotomy (for papillary tumours). The spectrum of patients is unusual, because many elderly and ill patients were referred for non-operative management. Operative by-pass, percutaneous and endoscopic postheses gave similar overall results, with a mean survival of about 6 months. Patients with tumours of the papilla of Vater treated by endoscopy or surgery fared well; 11 of 18 were alive at follow-up. Median survival after resection of other tumours was 17 months. These results underline the need for randomized clinical trials, which are now in progress.

Original languageEnglish (US)
Pages (from-to)584-586
Number of pages3
JournalBritish Journal of Surgery
Issue number10
StatePublished - 1983
Externally publishedYes

ASJC Scopus subject areas

  • Surgery


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