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  1. R M Charnley,
  2. R C Spiller,
  3. J Doran
  1. Departments of Surgery and Gastroenterology, University Hospital, Nottingham NG7 2UH.

    EDITOR, - It has been common practice, particularly in Britain, for patients with cancer of the pancreatic head and for some patients with periampullary cancer (which carries a much better prognosis) to be denied surgical assessment. Paul Ellis and David Cunningham rightly state that “patients with pancreatic cancer should not be denied the surgical option, and assessment by an experienced pancreatic surgeon …

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