Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
132 Doctors are Online

Stage IV esophageal cancer spread to lymph nodes, blocked bile ducts, bilirubin 14

My brother has stage 4 esophagus cancer that has spread to lymph nodes bones etc. he now has blocked bile ducts and his bilirubin is at 14 and has been there for at least a week. He is getting worse every day,is not eating much.I think his liver is failing.He will not get better I know,but I hope he does not suffer this way for long. What can we expect to happen from this point on?
Asked On : Tue, 27 Mar 2012
Answers:  2 Views:  201
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Topics
Oncologist, Radiation 's  Response
Best supportive case is the only answer as bone metastasis is stage 4 and , best supportive care means relieve of pain of bone spread and relieve of jaundice. for bone pain, patient can be prescribe radiation therapy of short course followed by routine NSAID Pain killer and Morphin tablets by registered Oncologist, and for relieve of raised bilirubin because of obstructed bile duct by palliative 5FU based chemotherapy after radiotherapy treatment provided general condition permits it.but in real sense its dismal disease we can only give symptomatic relief not any else except minimal 2-3 month survival with good quality of life.
Answered: Tue, 27 Mar 2012
I find this answer helpful

1 Doctor agrees with this answer

Oncologist, Surgical Dr. Mohammed Ibrahim M's  Response

I am very sorry for your brother. He is already in the final stages of esophageal cancer and because of it only palliative treatment is possible to reduce his symptoms. If an endoscope can be passed through the cancer mass in the esophagus then a procedure called ERCP stenting for the blocked bile duct and a esophageal stenting for the block in the esophagus can be done. But both these stenting procedures are very costly and technically very challenging.

Dr. Mohammed Ibrahim
Surgical Oncologist
Answered: Mon, 7 May 2012
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor