Laparoscopic biliary and enteric bypass

Very few patients with a periampullary neoplasm present with resectable dis ease. Consequently, various operative and non-operative techniques have bee n developed to palliate pa patients with unresectable periampullary disease . Laparoscopic biliary (cholecystojejunostomy) and enteric bypass (gastroje junostomy) are reasonable options as compared to their open counterparts fo r operative palliation. However, only a limited number of carefully selecte d patients meet selection criteria for laparoscopic palliation. (C) 1999 Wi ley-Liss, Inc.