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Pancreas Cancer

same as my mom! was posted 03/01/2003 09:03 am by ilsabe
E-mail Address: ilsabe.lampe@gmx.net

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Michael, seems your mom is going through exactly the same thing as mine: my mom went into hospital 2 weeks ago slightly jaundiced, bilirubin count about 5 times normal (she already had several stents place to relieve bile and last sep she had a connection done directly between gall ways and small intestine). Same thing, they thought the liver was blocked with bile. Now of course I don't know what exact course the doctors decide to take with your mother by mine had an internal metal stent (sounds more dramatic than it is!) inserted yesterday, through liver, tumor and all to small intestine, approx 6-8 cm long (err....I think approx 3 inches). Before that, she had an external drain for about a week to provide immediate relief for the bile, it looks a bit scary but really it's ok, she had a bag hanging by her bed where the bile would go into, eventually as the excess bile was drained the bag didn't fill anymore and the bile started flowing into the intestine the way it's supposed to. I may add her liver scans are clean as well so do not jump to conclusions here thinking it's mets - it could very well be partly chemo's fault as far as I am concerned, my mom didn't handle chemo well (but I am no doc so just speculations here - I am sure someone will correct me!!). NAUSEA: watch it closely, it may actually be due to the bile problem. My mother had terrible nausea and hasn't been able to eat for days but the procedure has helped a lot. ALSO make sure her pain is under control!! My mother wasn't properly pain medicated and the docs now say this caused the nausea, her dosis was upped yesterday and NO nausea and happily eating this morning! She was in quite some pain, due to enlarged liver and bile flowing over the liver (??) to the intestine. So pain control is an important thing. They will inject contrast fluid into the stent on Monday to check the passage and then slowly remove the external drain on Tuesday. It seems to me to be a fairly routine procedure but of course with some attention involved because of the vital organ involved, the liver. I hope all goes well with your mother. If you have any specific questions you are welcome to email me. Keep us posted. Ilsabe. ps. I may add the surgeon said these metal stents usually last fine for years, they may get clogged but can be cleaned and they can place new metal stents inside them. The only drawback is you can't remove a metal stent but then again, there is usually no choice when the bile is blocked. The surgeon said it's really quite a good solution. don't worry.

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