Pancreatic adenocarcinoma is a leading cause of cancer death in the UK. 80% of patients with pancreatic cancer present with unresectable disease.  There is considerable regional variation in the diagnostic pathway for patients with pancreatic and other peri-ampullary cancers, and differing strategies for the management of malignant biliary obstruction.

The aim of this study is to map the management pathway including investigations, biliary decompression and surgery from presentation to 90-day outcome for patients with pancreatic or peri-ampullary cancers as well as those with malignant biliary obstruction.

Study Design

This will be a multi-centre, national, prospective study utilising the trainee led collaborative research model. All participants will receive pubmed citeable authorship of any resulting publication as part of our corporate authorship policy.

We are looking for Consultants, SpRs and other junior doctors to participate from as many hospitals (HPB surgical services are not required) as possible. Over 100 sites have expressed an interest so far.

If you are interested please register at: https://ricochetstudy.wixsite.com/ricochet/register-now

Or Email: Ricochetstudy@gmail.com