Brief Answer: More patience, compliance Detailed Answer: Hi and thanks for the query, I understand perfectly how disturbing and preoccupying this situation could be. I would like to start by stating that recurrent ascitis is a very common feature associated with pancreatic disease. Response to chemotherapy or radiotherapy, especially under circumstances of proven pancreatic cancer are generally not very predictable. results are actually different on a case by case basis. some patients respond faster than others. However, starting chemotherapy and radiotherapy appropriately and on time usually are associated with more spectacular outcomes. Therapy, even appropriate in advanced disease usually is associated with mediocre results. The clinical scenario you describe, in my opinion would require that you exercise some patience as far as expected outcomes are concerned. A few more sessions of draining of ascitic fluid might be required. Compliance to therapy and medical recommendations are however compelling. You would actually need to be patient, and what your husband is experiencing, I am afraid, is not very rare with this disease. Kind regards as I wihs you and him the best of health. Kind regards. DR Bain

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