| SL No | Subtypes | Recommendations by - ACS, SSO. | Non-surgical options -A | Surgical Options -B |
|---|---|---|---|---|
| 1. | Early stage tumors | Consider surgery | Consider surgery if resources are available | |
| 2 | Borderline resectable or locally advanced inoperable | Neoadjuvant treatment | Consider for neoadjuvant chemotherapy | Defer surgery until progression or emergency indications |
| 4 | Emergency indication- Obstructive jaundice/ GOO | Prefer endoscopic procedures, if fails consider for surgery | Prefer endoscopic procedures, if fails consider for surgery | |
| 5 | Asymptomatic PNET, GIST, high risk IPMN’s | Defer surgery | Defer surgery |
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