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Bile duct cancer Q&As

Published by Bupa's health information team, November 2008.

Answers to questions about bile duct cancer

This section contains answers to common questions about this topic. Questions have been suggested by health professionals, website feedback and requests via email.

How would I know if I have been infected by a liver fluke parasite?

It's only possible to be infected by the liver fluke parasite in certain countries and you would have had symptoms.

Explanation

The two main types of liver fluke parasite that are linked to bile duct cancer are Clonorchis sinensis and Opisthorchis felineus. They cause inflammation and scarring in the bile duct. Clonorchis sinensis is only found in Eastern Asia, and Opisthorchis felineus is found in Eastern Europe and Northern Asia. You usually get this from eating raw fish which contains the parasite. The symptoms of an infection include a swollen abdomen (tummy), diarrhoea, loss of appetite and indigestion. You may have felt something moving in your abdomen (where your liver is) in your body. If you are concerned that you have, or have had this, speak to your doctor.

Further information

Sources

  • Eddleston M, Davidson R, Wilkinson R, Pierini S. Oxford Handbook of Tropical Medicine. 2nd ed. Oxford: Oxford University Press;372
  • Souhami R, TJ, Cancer and its management. 5th ed. Oxford: Blackwell, 2005
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If I have surgery, how long will I need to stay in hospital?

It depends on how big the cancer is and what it's affecting.

Explanation

If the cancer has spread to a number of areas, more complicated surgery may be needed such as Whipple's surgery. This involves the removal of the bile duct, part of the stomach, part of the small bowel, the pancreas, the gallbladder and surrounding lymph nodes.

You may need to stay in the intensive care unit for a few days after your operation then continue your stay on a general surgical ward for up to two weeks. Ask your doctor how long he or she expects you to stay in hospital for your particular treatment.

Further information

Sources

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If the bile duct cancer can't be cured, what will happen?

You will be given palliative treatment which treats the symptoms you have but may not cure you. This will help you feel better day to day.

Explanation

Surgery is generally the only way to remove the cancer. Your doctor might choose treatments such as chemotherapy, radiotherapy and photodynamic therapy to shrink the tumour, or help ease your symptoms if it can't be cured.

You may need to have a small hollow tube called a stent put in place during a small operation. The stent is about five to 10 cm long and is as thick as the plastic casing of a ballpoint pen. A stent prevents bile building up in the body and is usually replaced every three to four months. Bile will pass into the bloodstream from the liver if it doesn't flow to the bowel. This will cause the symptoms of jaundice you may have had when your cancer was diagnosed, such as yellowed skin, dark urine and pale faeces. Too much bile can be toxic in your body if it isn't removed. Your doctor will be able to explain how your treatment will help your symptoms.

Further information

Sources

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Related topics

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This information was published by Bupa's health information team and is based on reputable sources of medical evidence. It has been peer reviewed by Bupa doctors. The content is intended for general information only and does not replace the need for personal advice from a qualified health professional.

Publication date: November 2008

 

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