Patient Education Cancer of the Pancreas: A Care Guide | Page 16

Other Procedures The stent can then be inserted into the bile duct. Sometimes the stent becomes clogged after several months and needs to be cleared. Larger stents can be placed in the small intestine if it is in danger of being blocked. If the stent cannot be placed, you may go to interventional radiology, where they will place an external drain called a biliary drainage tube. Stent Bilirubin passes from the liver through the gallbladder to the intestine. If the common bile duct is blocked by a tumor, the bilirubin cannot pass through normally. Pain and digestive problems can occur. Blockages may also cause the level of bilirubin in the blood, stool, or urine to be very high (yellow jaundice). A blockage can be treated with surgery or stent placement. A stent (small tube) may be placed during an endoscopy. The endoscope is passed through the mouth and stomach into the small intestine. Celiac Axis Block (CAB) Sometimes pancreatic cancer involves nerves, causing severe chronic pain. This procedure can be done in surgery or interventional radiology and may be effective in pain relief. 15