Table 3.

Reasons for initially resectable patients not undergoing surgery after PBD.

Progression of cancer (N=11)

Development of metastases (+/- local progression) on repeat CT scan associated with pathway delays (N=11)

Progression of frailty (N=5)

Developed a non-biliary infection, and failed to recover to a level of fitness for surgery (N=2)

Deteriorated, and became too frail for surgery (N=2)

Needed cardiac valve replacement, relisted but progressed (N=1)

PBD related complication (N=7)

Developed cholangitis, and then died (N=3)

Developed cholangitis followed by disease progression and death (N=1)

Developed renal failure, and then died (N=1) Deteriorated due to renal failure after PBD, and became too frail for surgery (N=1)

Developed pancreatitis, and then died (N=1)