Topic: Update on my dad
Dad was diagnosed with extrahepatic bile duct cancer in 2005/6. Resection was attempted but deemed too complicated. We sought no further treatment just good diet and family support. Dad has had regular stent changes and the occassional ascites drainage done and a bout with sepsis. 3 weeks ago he was unable to tolerate a few sips of water without wanting to vomit. ERCP revealed tumor obstructing his pyloric valve therefore his stomach was not emptying food or fluid into his small intestine. The doctor drained 3 litres of fluid from his stomach and also placed a stent in his pyloric valve. This gqave dad immediate relief and he started eating and drinking again. However the Dr was unable to pass his scope through the pyloric stent so was unable to clean his internal bile stents, he did pass through a smaller scope but was unable to see the stent protruding from the bile duct into the duodenum. He said that tumor seems to have covered the ducts. So dads been in hospital for 2 1/2 weeks. He had ascites drainage over the weekend and was scheduled to go for percutaneous bile drainage today as his bilirubin is up and his eyes are yellow. Fortunately the radiologist is the head of the dept. and was able to pass a stent percutaneously through his existing stents so bile can drain internally into the duodenum. Dad will probably have to stay in hosp. for a day or two then we will bring him home. One of his CT scans showed portal vein thrombosis which may be contributing to his ascites. Dr will put him on heparin and hopefully the clot will be reabsorbed, Dr said this could take upto 4 months. We have been informed about palliative care, mobile lab will come to take his blood to monitor his warfarin level. So hopefully now because dad can eat again we can fill him with lots of good stuff and put some weight back on him. He still feels strong, gets tired often but goes out in the garden to take alook at his veggies and plays with his grand kids. The fight continues.