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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment To Reduce Bilirubin In Case Of Liver Metastasis

my husband is 68yrs,his weigh is at 142,hes 5ft 7,hes had pancreotic cancer in the 3rd stage,he had a whipple procesure done about a yr.and 1/2 ago.Now its come back with leisions on his liver,one in the middle of his liver.therefore they can't operate.and no other chemo can be done until hes able to process or drain his bilirubin it, was high as 15 but now down to a 12, he has a stint on the side of his liver down to the small intestines,and one drain on the outside of his body.Im hopeing to fine a way to drain this bilirubin before his liver failswere both willing to do whatever it takes,please if i can get help let me no thank you georgina
posted on Fri, 14 Mar 2014
Twitter Wed, 11 Mar 2015 Answered on
Twitter Wed, 11 Mar 2015 Last reviewed on
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Radiologist,  's  Response
Hi,
Thanks for writing in.

Sorry to hear about the disease progress in your husband. I observe that he is already having measures in place to control his raised bilirubin level. Liver metastasis and the pancreatic cancer can itself cause obstruction to the flow of bile from the liver causing obstructive jaundice. In such cases, an external and internal drain is put in place to drain the excess bile out. If the internal drain is blocked then making repeat attempts at normalizing the external passage is one of the probable solutions and his doctor will surely consider doing that. The stent placement and block can also be assessed to see if any improvement in internal drainage is possible. Please do not worry.
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Suggest Treatment To Reduce Bilirubin In Case Of Liver Metastasis

Hi, Thanks for writing in. Sorry to hear about the disease progress in your husband. I observe that he is already having measures in place to control his raised bilirubin level. Liver metastasis and the pancreatic cancer can itself cause obstruction to the flow of bile from the liver causing obstructive jaundice. In such cases, an external and internal drain is put in place to drain the excess bile out. If the internal drain is blocked then making repeat attempts at normalizing the external passage is one of the probable solutions and his doctor will surely consider doing that. The stent placement and block can also be assessed to see if any improvement in internal drainage is possible. Please do not worry.