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Post Whipple Nutrition / Digestion

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Subject: Post Whipple nutrition / digestion
Date: 02/11/2007

My Mother had a Whipple procedure in Sept. 2005 for bile duct cancer.  There was involvement of one lymph node on the pancreas.  She had subsequent radiation and chemotherapy although the chemo regime was shortened due to extremely bad side-effects.  She has also had colon cancer in 2001 and ended up with a permanent colostomy.

Her problem now is very bad diarrhea with an oily/fat discharge.  The oily discharge causes her colostomy appliance to come loose from her abdomen several times per day.  It appears to dissolve the seal material.  Her appetite is good, but she does not put on any weight due to the extreme diarrhea.  She takes the pancreatic enzymes with every meal.  She has also had several month long courses of IV antibiotics due to a an abcess near her sacral area caused by earlier radiation from the colon cancer.  She gas been off of the antibiotics for 4 weeks, but the oily diarrhea only seems to get worse.

Any suggestions would be appreciated.

Thanks

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