My 57 year old dad was just diagnosed with stage IV pancreatic cancer. He has had no pain, no jaundice, and only a small amount of weight loss. His only symptom was sudden onset diabetes. He is very healthy. An attempt at a Whipple was made, but unfortunately at the time of resection, several very small liver metastases were noted. The final pathology was mucinous adenocarcinoma. A palliative gastrojejunostomy and hepaticojejunostomy were performed as was a celiac plexus neurolysis procedure. At this point, we are interested in pursuing chemotherapy.