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Indian Journal of Surgery, Vol. 67, No. 3, May-June, 2005, pp. 170 Letter To Editor Health-related quality-of-life Narula IM S 237, Goms Defence Colony Gautam Marg, Vaishali Nagar,
Jaipur - 302 021 Code Number: is05054 Dear Editor, The author has covered this upcoming subject in a very concise and comprehensive manner.[1] It has been clearly mentioned that surgical by-pass is still relevant in the palliation of malignant obstructive jaundice, in the better interest of the patient, especially in the under developed countries. Although the endoscopic stenting is a desired palliative procedure, the paucity of technical expertise, nonavailability of adequate set up, and cost factor remain the limiting factors. In these circumstances, cholecysto-jejunostomy, gastrojejunostomy, and jejuno-jejunostomy still remain the standard procedure. References
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