My DW was hospitalized Monday, and the CT scans show that portions of her small bowel are "matted with tumor" so they do not believe she will have any significant resolution of her obstruction. Therefore they recommended, and my DW accepted, having a venting G-Tube placed. The procedure was under conscious sedation by interventional radiology, and it was successful. She had the NG tube removed from her nose so that was a relief. However, since the bowel obstruction is now essentially permanent, she can't have any more chemo, and we have been given an estimate of 1-3 months to live. I plan to take leave from work to care for her full time. Sad times. At least her pain and nausea are well controlled now and she is comfortable.
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 x5
1/18-2/18: Surgery for SBO
5/18: ascites, acute liver injury