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What Patients Need to Know About Hilar Cholangiocarcinoma and Liver Transplant

Tue. Aug 11, 2015 at 12:00 pm CST

Recorded, Aug. 11 2015.  This webinar is on hilar cholangiocarcinoma (cancer of the bile ducts). Julie Heimbach, MD, Liver Transplant Program Surgical Director, and Sumera Rizvi, MBBS, Gastroenterology and Hepatology Fellow, discussed hilar cholangiocarcinoma symptoms, diagnosis, and treatment options, including liver transplantation. A question and answer session followed the presentation. 

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Tags: webinar, hilar cholangiocarcinoma, liver transplant

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liljeanie

liljeanie wrote:

Should I have an ERCP to see if I have cancer? IMPRESSION: 1. Findings within the liver and biliary tree consistent with patient's history of primary sclerosing cholangitis. There is enhancement and thickening of the biliary tree in the hilar [...] View full text  

Posted Tue, Nov 3 at 8:23pm CST

LaurenSpiceland

Lauren Spiceland replied:

Our doctors are now longer taking questions from this webinar. You might try posting your question on our Connect transplant or cancer pages: https://connect.mayoclinic.org/group/transplants/ and https://connect.mayoclinic.org/group/cancer/. Someone with a similar experience may have some insight. Or, you can visit this page to learn more about making an appointment at Mayo Clinic: http://www.mayoclinic.org/appointments.

Best of luck!

Posted Wed, Nov 4 at 10:02am CST

Question from Periscope: I’ve had multiple pancreatic and cbd surgeries. Am I at risk for cancer of my cbd?

Posted Mon, Aug 24 at 10:47am CST

LaurenSpiceland

Lauren Spiceland replied:

Purely from the standpoint of having had bile duct surgery, the overall risk of developing bile duct cancer is low. The risk would depend upon the underlying condition for which the surgery was performed. It may be higher risk for patients with a history of choledochal cysts depending on the type of surgery that was performed.

Posted Mon, Aug 24 at 10:48am CST

Question from Periscope: What about enhanced recovery/fast track programs and cholangiocarcinoma?

Posted Mon, Aug 24 at 10:47am CST

LaurenSpiceland

Lauren Spiceland replied:

Regarding recovery following liver transplantation or surgical resection for cholangiocarcinoma, protocols which are helpful for fast recovery of patients with abdominal surgery would also pertain to patients with cholangiocarcinoma. We have these protocols in place for our patients at Mayo Clinic, and likely at other centers as well.

Posted Mon, Aug 24 at 10:47am CST

Question from Periscrope: Is chemotherapy for bile duct cancer useless?

Posted Mon, Aug 24 at 10:46am CST

LaurenSpiceland

Lauren Spiceland replied:

Selected patients derive benefit from chemotherapy for cholangiocarcinoma or bile duct cancer. However, the results are often non-durable. Further studies are necessary to identify medical therapies that are more effective.

Posted Mon, Aug 24 at 10:46am CST

Anonymous wrote:

Will they ever consider paired donors like they do with kidneys? Instead of knowing your living donor.

Posted Tue, Aug 11 at 12:51pm CST

LaurenSpiceland

Lauren Spiceland replied:

Yes—this may be a consideration as centers get more experience with living liver donation.

Posted Mon, Aug 24 at 10:44am CST

Domino liver transplant - why is it not considered more frequently?

Posted Tue, Aug 11 at 12:46pm CST

Anonymous wrote:

Does a river fluke infection increase the risk for CCA? If Yes, can this person avail of liver transplant under ideal conditions?

Posted Tue, Aug 11 at 12:46pm CST

1winddancer

Ginny wrote:

I was diagnosed with IDPMN about 20 no the ago via ESU . They also said I have 6 precancerous pancreatic cysts thru out the pancreas. How worried should I be?

Posted Tue, Aug 11 at 12:43pm CST

LaurenSpiceland

Lauren Spiceland replied:

This depends on the size and endoscopic ultrasound characteristics of the pancreatic cysts. Recent guidelines have been published by the American Gastroenterology Association (http://www.gastrojournal.org/article/S0016-5085(15)00100-6/abstract). You can review these with your local physician to ensure that appropriate follow-up occurs.

Posted Mon, Aug 24 at 10:45am CST

billyvaisberg

billyvaisberg wrote:

How important is waiting times for a cadaveric transplant?

Posted Tue, Aug 11 at 12:41pm CST

Anonymous wrote:

What is your opinion on the role of dietary nitrate intake as a risk factor for cholangiocarcinoma?

Posted Tue, Aug 11 at 12:40pm CST

Anonymous wrote:

Is there anything I can do to slow down the progression of my tumor?

Posted Tue, Aug 11 at 12:39pm CST

Anonymous wrote:

Why do you recommend chemotherapy and radiation therapy before liver transplant?

Posted Tue, Aug 11 at 12:37pm CST

Anonymous wrote:

Why does hilar cholangiocarcinoma mostly affect older people?

Posted Tue, Aug 11 at 12:36pm CST

Anonymous wrote:

Is there an age limit for a living liver donor?

Posted Tue, Aug 11 at 12:34pm CST

Anonymous wrote:

Is there an age limit for a liver transplant?

Posted Tue, Aug 11 at 12:33pm CST

Anonymous wrote:

My tumor is resectable. Would it not be better to just go for a liver transplant now?

Posted Tue, Aug 11 at 12:28pm CST

Anonymous wrote:

Is liver transplant an option for other types of cholangiocarcinoma?

Posted Tue, Aug 11 at 12:20pm CST

We're now live. Press the play button to watch Dr. Heimbach and Dr. Rizvi discuss hilar cholangiocarcinoma. And post your questions here!

Posted Tue, Aug 11 at 12:04pm CST

chloe54

Vickie wrote:

I hope you won't mind me asking but with a benign narrowed hepatic duct, high up in the liver would you operate even though it is difficult or do a transplant if the person has been in severe pain for [...] View full text  

Posted Tue, Aug 11 at 3:22am CST

Looking forward to the webinar tomorrow! Post your questions here.

Posted Mon, Aug 10 at 1:06pm CST