Hello @bubbledalmia and welcome to the NETs discussion on Mayo Connect. I can understand why you question the liver metastasis given the clear lymph nodes and blood vessels. This sounds like a good question to ask the oncologist. Have you addressed that in a follow up appointment?

Regarding the discomfort, gas and unsettled bowel movements, that is also a good question for the surgeon during your follow up appointment. However, as I have had three surgeries of the upper digestive tract for NETs, I know that given you are only two months post-surgery, it might take some more time for your digestive tract to accept this new normal.

After any type of digestive tract surgery, small frequent meals, that are low in quantity as well as quality (low fat, broiled fish, chicken, veggies that are well-cooked) all part of the best eating plan. What type of eating plan have you had since your surgery?

If this continues to remain a problem for you, it might be wise to ask for a referral to a registered dietician. I have had two consults with a registered dietician post-surgery and those consults have been very helpful in my understanding of the best eating plan.

Have you considered seeing a registered dietician? Your surgeon or oncologist can most likely make that referral for you.