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    Asked by lucky1571 on Friday, February 15, 2013

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    Had mini whipple on dec. 14th 2012. Stage 2 pancreatic ca, head of pancreas. Delayed gastric empting post. Lot of vomiting for a few weeks. Tpn for nutrition via picc line every night. Have been able to eat small portions like scrambled eggs, chicken, tuna, turkey, liquids more difficult due alot of bile acid reflux. I am taking medicine for the acid. I really have to watch the foods I eat. Will be starting chemo at the end of the month for 3 months, 1 day a week with one week off, than radiation for 5 and half weeks with chemo, than 1 more month of chemo. My tumor was removed but, one lymph node had a small amt. of cells. So the doctors say this is the standard treatment for a cure. Has anybody gone thru this type of treatment for pancreatic ca after surgery? Thanks

    5 Answers from the Community

    5 answers
    • Peroll's Avatar

      Lucky, while I have colon cancer not pancreatic cancer the trreatment regime with surgery followed by chemo and/or radiation is standard for a lot of cancers. While they took out all known cancer with the surgery a tumor has to be at least 4 mm in size to be soptted on a PET or CT scan and a 1 mm tumor has about a billion cancer cells in it. The objective is to kill any cancer cells that may have been sneaky and got away from the surgery. It is easiest to do this when there are fewer of them than later if they grow bigger and stronger. So the staqndars treatment is to give you chemo and and radiation to do the best to get them right now. I realize that the treatment is tough but it is much better than having the cancer return. Good Luck and let us know if you have any more questions or need other help.

      over 4 years ago
    • JMS's Avatar

      Hi lucky1571. I too have Stage II pancreatic cancer and had a (full) Whipple last April. The treatment course that your doctors have outlined for you is pretty much the same one that mine recommended for me: 6 IV chemo treatments (with Gemzar); then 43 days of radiation treatment (5 days a week) and a pill form of chemo (called Xeloda - 7 days a week); then after about a 4-week hiatus, another round of IV chemo that consisted of 12 infusions. I have just completed the treatments (as of last Wednesday). For me, the first round of chemo wasn't too bad (mostly just tired and nauseous), but it was the radiation/chemo stage that was by far the most challenging. Actually administering the radiation isn't bad, but the effects are cumulative and it begins to catch up with you after about 2 weeks. Eating and drinking can present challenges because of internal burns from the radiation, but doctors can prescribe "magic mouthwash" and Carafate (both liquid form medicines) that will soothe things somewhat. The final round of chemo was different from the first one in that all of the internal burns hadn't yet healed and so it was a bit more uncomfortable. All-in-all, I survived it in one piece. I'd be happy to respond to any specific questions you have as you go through treatments. Good luck - will be pulling for you. JMS

      over 4 years ago
    • carm's Avatar

      Hello lucky1571,
      I have attached a link to a website called chemotherapyadvisor.com and on the right of the home page about half way down is a list of the regimens used for each type of cancer. Pancreatic cancer is listed under the Gastrointestinal Cancers, and there is a portion of the regimen list that discusses options after surgery with radiotherapy. It is a great site and free to join. It has many different patient hand-outs that might serve useful to you. Best of luck to you, Carm RN.


      over 4 years ago
    • chargerdeb's Avatar

      My husband had a full whipple in Nov. He is in his second round of chemo to be followed with radiation & chemo. He is 72, and is not having too many issues with the chemo. Gets tired about the 3rd day after, and has had conspitation, but has that under control. Good luck!

      over 4 years ago
    • tibby150's Avatar

      I had the Whipple almost 2 years ago.wow i can't believe I can say that...it went by so quickly.I would have to say that i experienced everything that you have mentioned and believe it or not it does get better.I do remember that delayed gastric emptying...small meals is the answer...too much too fast it just doesn't move and then you end up vomiting.Things are so much better now but maybe once a month or so I do vomit from something i ate.If you have any more specific questions just holler.

      over 4 years ago

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