Re: Phil's update Fri. Sept.23

[Guest guest]

In a message dated 9/23/2005 8:28:14 AM Eastern Standard Time,

flipper759@... writes:

How the test is performed

This test is usually done in the hospital. The throat is sprayed with a

local anesthetic. A sedative and pain killer are given through a vein. A

special

flexible tube (endoscope) is inserted through the mouth into the duodenum

(the portion of the small intestine that is closest to the stomach).

A catheter is advanced through the endoscope and inserted into the

pancreatic or biliary ducts. A contrast agent is injected into these ducts

and x-rays

are taken to evaluate their caliber, length and course. Narrowing, stones,

and tumors can be identified.

Special instruments can be placed through the scope and into the ducts to

open the entry of the ducts into the bowel, stretch out narrow segments,

remove

or crush stones, take tissue samples, and drain obstructed areas.

Mild to severe inflammation of the pancreas is the most common complication

and may require hospital care, even surgery. Bleeding can occur when the

papilla has to be opened to remove stones or put in stents. This bleeding

usually

stops on its own, but occasionally, transfusion may be required or the

bleeding may be directly controlled with endoscopic therapy.

A puncture or perforation of the bowel wall or bile duct is a rare problem

that can occur with therapeutic ERCP. Infection can also result, especially

if

the bile duct is blocked and bile cannot drain. Treatment for infection

requires antibiotics and restoring drainage. Finally, reactions may occur

to any

of the medications used during ERCP, but fortunately these are usually minor

Amazing what they can do, isn't it??? Good luck to Phil with this

procedure!!

Lots of hugs and prayers, Donelle

Caregiver to Glenn

[Guest guest]

In a message dated 9/23/2005 8:28:14 AM Eastern Standard Time,

flipper759@... writes:

How the test is performed

This test is usually done in the hospital. The throat is sprayed with a

local anesthetic. A sedative and pain killer are given through a vein. A

special

flexible tube (endoscope) is inserted through the mouth into the duodenum

(the portion of the small intestine that is closest to the stomach).

A catheter is advanced through the endoscope and inserted into the

pancreatic or biliary ducts. A contrast agent is injected into these ducts

and x-rays

are taken to evaluate their caliber, length and course. Narrowing, stones,

and tumors can be identified.

Special instruments can be placed through the scope and into the ducts to

open the entry of the ducts into the bowel, stretch out narrow segments,

remove

or crush stones, take tissue samples, and drain obstructed areas.

Mild to severe inflammation of the pancreas is the most common complication

and may require hospital care, even surgery. Bleeding can occur when the

papilla has to be opened to remove stones or put in stents. This bleeding

usually

stops on its own, but occasionally, transfusion may be required or the

bleeding may be directly controlled with endoscopic therapy.

A puncture or perforation of the bowel wall or bile duct is a rare problem

that can occur with therapeutic ERCP. Infection can also result, especially

if

the bile duct is blocked and bile cannot drain. Treatment for infection

requires antibiotics and restoring drainage. Finally, reactions may occur

to any

of the medications used during ERCP, but fortunately these are usually minor

Amazing what they can do, isn't it??? Good luck to Phil with this

procedure!!

Lots of hugs and prayers, Donelle

Caregiver to Glenn

[Guest guest]

Narice, It is wonderful that Phil is still not having any reactions

other then being a little tired. From what I have heard that it may

take up to two weeks to get a rash from the chemo. Hopefully if it

does occur it is not to irritating for Phil. I am Praying that he has

good results from this chemo. And of course Praying for him on

Tuesday having the procedure to eleveate the jaundice. Am Praying

that it is all uphill from here on in. Ingrid

> Phil is scheduled for an ERCP endoscopy to open his bile duct on

Tuesday

> Sept. 27.

> I have included information on the procedure below my message.

> The " fun " never ends huh? This should resolve the jaundice and

hopefully be

> the last of the big stuff for a while.

>

> There has still been no real reaction to the new chemo. Not even

the acne

> like stuff.

> He does tire faster but other than that he feels pretty good.

> As always your prayers are needed and appreciated

> Narice and Phil

> --------------------------------------------------------------------

----------

> --------------------------------------------------------

>

>

>

> Endoscopic retrograde cholangiopancreatography

> Definition

> Endoscopic retrograde cholangiopancreatography (ERCP) is an

endoscopic

> procedure used to identify stones, tumors, or narrowing in the

bile ducts.

>

> How the test is performed

> This test is usually done in the hospital. The throat is sprayed

with a

> local anesthetic. A sedative and pain killer are given through a

vein. A special

> flexible tube (endoscope) is inserted through the mouth into the

duodenum

> (the portion of the small intestine that is closest to the

stomach).

> A catheter is advanced through the endoscope and inserted into the

> pancreatic or biliary ducts. A contrast agent is injected into

these ducts and x-rays

> are taken to evaluate their caliber, length and course. Narrowing,

stones,

> and tumors can be identified.

> Special instruments can be placed through the scope and into the

ducts to

> open the entry of the ducts into the bowel, stretch out narrow

segments, remove

> or crush stones, take tissue samples, and drain obstructed areas.

>

>

> Mild to severe inflammation of the pancreas is the most common

complication

> and may require hospital care, even surgery. Bleeding can occur

when the

> papilla has to be opened to remove stones or put in stents. This

bleeding usually

> stops on its own, but occasionally, transfusion may be required or

the

> bleeding may be directly controlled with endoscopic therapy.

>

> A puncture or perforation of the bowel wall or bile duct is a rare

problem

> that can occur with therapeutic ERCP. Infection can also result,

especially if

> the bile duct is blocked and bile cannot drain. Treatment for

infection

> requires antibiotics and restoring drainage. Finally, reactions

may occur to any

> of the medications used during ERCP, but fortunately these are

usually minor

[Guest guest]

Narice, It is wonderful that Phil is still not having any reactions

other then being a little tired. From what I have heard that it may

take up to two weeks to get a rash from the chemo. Hopefully if it

does occur it is not to irritating for Phil. I am Praying that he has

good results from this chemo. And of course Praying for him on

Tuesday having the procedure to eleveate the jaundice. Am Praying

that it is all uphill from here on in. Ingrid

> Phil is scheduled for an ERCP endoscopy to open his bile duct on

Tuesday

> Sept. 27.

> I have included information on the procedure below my message.

> The " fun " never ends huh? This should resolve the jaundice and

hopefully be

> the last of the big stuff for a while.

>

> There has still been no real reaction to the new chemo. Not even

the acne

> like stuff.

> He does tire faster but other than that he feels pretty good.

> As always your prayers are needed and appreciated

> Narice and Phil

> --------------------------------------------------------------------

----------

> --------------------------------------------------------

>

>

>

> Endoscopic retrograde cholangiopancreatography

> Definition

> Endoscopic retrograde cholangiopancreatography (ERCP) is an

endoscopic

> procedure used to identify stones, tumors, or narrowing in the

bile ducts.

>

> How the test is performed

> This test is usually done in the hospital. The throat is sprayed

with a

> local anesthetic. A sedative and pain killer are given through a

vein. A special

> flexible tube (endoscope) is inserted through the mouth into the

duodenum

> (the portion of the small intestine that is closest to the

stomach).

> A catheter is advanced through the endoscope and inserted into the

> pancreatic or biliary ducts. A contrast agent is injected into

these ducts and x-rays

> are taken to evaluate their caliber, length and course. Narrowing,

stones,

> and tumors can be identified.

> Special instruments can be placed through the scope and into the

ducts to

> open the entry of the ducts into the bowel, stretch out narrow

segments, remove

> or crush stones, take tissue samples, and drain obstructed areas.

>

>

> Mild to severe inflammation of the pancreas is the most common

complication

> and may require hospital care, even surgery. Bleeding can occur

when the

> papilla has to be opened to remove stones or put in stents. This

bleeding usually

> stops on its own, but occasionally, transfusion may be required or

the

> bleeding may be directly controlled with endoscopic therapy.

>

> A puncture or perforation of the bowel wall or bile duct is a rare

problem

> that can occur with therapeutic ERCP. Infection can also result,

especially if

> the bile duct is blocked and bile cannot drain. Treatment for

infection

> requires antibiotics and restoring drainage. Finally, reactions

may occur to any

> of the medications used during ERCP, but fortunately these are

usually minor

[Guest guest]

If we can keep the pancreatic inflamation/irritation to a minimum, this will

be his road to recovery. I think this jaundice is giving him more problems

than the chemo.

They told us to pack an overnight bag and frankly it wouldn't bother me if

they kept him JUST overnight for observation. Better safe than sorry. However

I'm fairly optimistic that things will go just fine.

Narice

Amazing what they can do, isn't it??? Good luck to Phil with this

procedure!!

Lots of hugs and prayers, Donelle

Caregiver to Glenn

[Non-text portions of this message have been removed]

[Guest guest]

If we can keep the pancreatic inflamation/irritation to a minimum, this will

be his road to recovery. I think this jaundice is giving him more problems

than the chemo.

They told us to pack an overnight bag and frankly it wouldn't bother me if

they kept him JUST overnight for observation. Better safe than sorry. However

I'm fairly optimistic that things will go just fine.

Narice

Amazing what they can do, isn't it??? Good luck to Phil with this

procedure!!

Lots of hugs and prayers, Donelle

Caregiver to Glenn

[Non-text portions of this message have been removed]

[Guest guest]

Narice & Phil. Thank you for the update! Praying for the ERCP

endoscopy. And for all. hagd

~Deb from Kansas

> Phil is scheduled for an ERCP endoscopy to open his bile duct on

Tuesday

> Sept. 27.

> I have included information on the procedure below my message.

> The " fun " never ends huh? This should resolve the jaundice and

hopefully be

> the last of the big stuff for a while.

>

> There has still been no real reaction to the new chemo. Not even

the

acne

> like stuff.

> He does tire faster but other than that he feels pretty good.

> As always your prayers are needed and appreciated

> Narice and Phil