My DW had a small bowel obstruction on Jan 23. After spending 8 days in community hospital, where we had been told it was either due to adhesion or peritoneal mets, she was transferred to her cancer center and had surgery. It turned out to be an internal hernia into the descending mesocolon, a complication that rarely occurs after low anterior resection. Unfortunately due to the 8 days wait, she had to have 120cm jejunum removed. Hopefully that won't hurt her ability to get nutrition, but I am worried about that. At the community hospital, all they would offer was a palliative care or hospice referral, despite having a ECOG Performance Status of 0-1. It made me so angry. Even if she can't be cured, she has a lot of living to do!
DW Dx 7/15, 41 yo, st IV, 3+ liver mets: 11.3 cm, 7cm, 3cm. MSS.
KRAS, APC, SMAD4, TP53 mut.
7/15-10/15: FOLFOX+bev. x8
11/15-12/15: SIRT (Y90)
1/16: Toxic Hepatitis, chemo break
4/16: Liver resec. fail
5/16-7/16: FOLFIRI x6
8/16: Liver resec.
8/16-11/16: FOLFIRI x6
2/17: IMRT/Xeloda x25
6/17: CT: Progression. Peri, Lung, Liver mets. FOLFIRI x6
9/17: FOLFIRI+Bev x5.
11/17: CT: Stable. 5FU+bev. maintenance till 1/18
1/18: Surgery for SBO due to internal hernia