Comprehensive Approach to the Patient with Neoplasia of the Duodenal-Biliary-Pancreatic Confluence.

Abstract This paper analyzes the various factors involved in the high incidence of duodenal-biliary-pancreatic junction neoplasia. Its overall objective is to provide a study from the perspective of the Science, Technology, and Society approach and to argue the need for an organizational technological innovation project that provides comprehensive management of patients with duodenal-biliary-pancreatic junction neoplasia and the application of Fast-track surgery for the Whipple procedure as a treatment for these patients. The socio-environmental factors that play the most important role in the origin of duodenal-biliary-pancreatic junction neoplasia and that can be modified by the community are described. Finally, the genesis of a comprehensive approach to the management of duodenal-biliary-pancreatic junction neoplasia as a health problem is argued, using the Science, Technology, and Society approach. This can contribute to its solution by achieving an adequate interrelationship between the different levels of medical care. This will provide a novel approach to early patient management. Keywords: Neoplasia of the duodenal-biliary-pancreatic junction, Early diagnosis, Science-technology-society.