PANCREATIC CANCER GASTRIC OUTLET OBSTRUCTION

I am full of many many emotions right now. The GI Dr from another hospital did find an obstruction where Larry's stomach meets with the small intestine. The tumor has not grown within but is pressing on all his organs. He installed a stent that will hopefully allow him to eat and drink(with limitations) now. All I want is for Larry to regain his spirit and some strength. To feel that he is no longer starving to death as he kept telling me throughout the day.

The next steps will still be his decision. I just do not how I could return to his Dr's and hospital. Yet I will if that is what he decides.

I do not know what to do with the anger I have right now. How could I possibly keep quiet about this. Why didn't they find the obstruction?  9 days in the hospital and I could not get the pancreatic GI Dr to come in for a consult. Why didn't the GI Dr who gave him the endoscopy see it? Experience levels make that much of a difference? Aren't they trained to look for obstructions? What about his Oncologist? He claims that he works mainly with PC patients. Why didn't he know to look for this?

Gastric Outlet Obstruction

Pancreatic cancer is the most common malignancy causing GOO. A common manifestation of end stage pancreatic cancer, gastric outlet obstruction results from a tumor growing into the duodenum. In a 2011 article in the journal "Surgical Endoscopy," Dr. Y.T. Wong notes that gastric outlet obstruction is seen in 15 percent of patients with pancreatic cancer. The preferred treatment for biliary obstruction in pancreatic cancer is endoscopic duodenal stenting.  Most are able to tolerate a liquid diet immediately and go home.

Read more: http://www.livestrong.com/article/172967-end-stages-of-pancreatic-cancer/#ixzz25ou5ZGsI