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Indian J Palliat Care. 2019 Oct-Dec;25(4):514-516. doi: 10.4103/IJPC.IJPC_94_19.

Symptom Palliation in Advanced GallBladder Cancer: An Institutional Experience.

Author information

Department of Surgery, AIIMS, Rishikesh, Uttarakhand, India.
Department of Radiation Oncology, AIIMS, Rishikesh, Uttarakhand, India.
Department of Radiodiagnosis, AIIMS, Rishikesh, Uttarakhand, India.



Palliation of symptoms of patients with advanced carcinoma gallbladder (GB).

Materials and Methods:

Sixty-two newly diagnosed patients of unresectable advanced and metastatic GB cancers were enrolled, and following clinicoradiological assessment patients were considered for palliative symptom management.


The most common presenting symptom was pain in 57 (92%) patients. Obstructive jaundice was observed in 29 (46.7%) patients. Patients were considered for percutaneous biliary drainage/internal stenting, therapeutic ascitic tapping, and pain control. Patients with good performance status were considered for palliative chemotherapy.


Patients with advanced carcinoma GB were managed with various palliative procedures with the aim to improve the quality of life of patients because of jaundice, loss of appetite, nausea, pain, etc. Symptoms are distressing for patients.


Advanced gallbladder cancer; obstructive jaundice; palliation

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