The Colon Club

In the setting of locally advanced CRC which has spread to a small/medium part of the peritoneum but nowhere else in the body and is causing local small bowel issues, partial blockage.

Are there options for HIPEC in this setting considering there are no other metastases.

Can emergency HIPECs be arranged at short time instance, as in within 1-2 weeks.

All the best.

How old is the person who needs to have this procedure done? How healthy is the person? Is the person currently on chemo? HIPEC surgery is MAJOR surgery. It's not something that can be done at a local hospital. It would have to be done at a major cancer hospital. Do you have access to that type of hospital? If you do that would be the first step, get a consult with them.

On a side note, could you provide info below your signature line, Generally info about the person who is dealing with the cancer. I'm not sure if it's you, or a possible parent, or maybe a sibling. You can see mine to get an idea. Good luck,

Lee

P.S. to add, sometimes Dr(s) can do a temporary colostomy to relive symptoms.

40 y/o
Diag Nov 2016 stage IIIc, surgery, colostomy, 2 lymph involved
6 months FOLFOX
NED
Nov 2018 recurrence , surgery , some spread to pertineum
Jan-June 2019 Folfiri+Cetux
Clear scans
August 2019: small bowel inflammation, partial blockage symptoms

Can you get HIPEC within a few weeks? I expect so. Is it an option for you? There's no way for me to know. Selecting patients is very complicated. My husband had his done by an amazing and compassionate surgeon at the Moffitt Cancer Center in Tampa, Florida. His name is Dr. Sean Dineen. Dr. Dineen is very aggressive, so he's more likely to take more difficult patients. As a result, he can't brag about the same success rates as other surgeons, who take the easier cases. I can't say enough good things about him. I hope this is helpful.

Hang in there. Get through another day. We don't know how your story ends so don't let any of those doctors give you an expiration date. (Some of them love to do that. I think they have betting pools.)

Wewillfight wrote:In the setting of locally advanced CRC which has spread to a small/medium part of the peritoneum but nowhere else in the body and is causing local small bowel issues, partial blockage.

Are there options for HIPEC in this setting considering there are no other metastases.

Can emergency HIPECs be arranged at short time instance, as in within 1-2 weeks.

All the best.

Are you positive it’s the peri-mets causing the blockage? My blockage was caused by scar tissue from colostomy surgery, I had no peri Mets,

Looks likely to be diffuse cancer causing blockage but no definitive answer yet. Still mostly blocked with NG tube in now for 5 days, complete bowel rest, TPN and just about managed pain.

Scans indeterminate but not resolving conservatively which points to cancer.

Patient had some peritoneal involved 6 months ago.

Thanks

Wewillfight wrote:Looks likely to be diffuse cancer causing blockage but no definitive answer yet. Still mostly blocked with NG tube in now for 5 days, complete bowel rest, TPN and just about managed pain.

Scans indeterminate but not resolving conservatively which points to cancer.

Patient had some peritoneal involved 6 months ago.

Thanks

My dad has bowl obstruction and on tpn. What's your nutrient intake now?

Nate

Does he have extensive peri mets?

Venting g-tube and Tpn could provide symptom resolution and perhaps offer some time for chemo if desired.

Good luck in your fight