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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Terminal Bowel Cancer

My son has terminal bowel cancer. He has a perforation and has an infection. This is being treated with Iv antibiotics. There is no chance of surgery. Is this course of treatment likely to work? If antibiotics don t work is there any further course of action to be taken.
Thu, 4 Dec 2014
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Oncologist, Surgical,  's  Response
If there is a perforation of the bowel through the cancer your son is suffering from, then it is unlikely to heal with antibiotics alone. The treatment is only surgical repair of the perforation. I hope there is a very strong reason for not operating upon him, since the situation is life threatening in the absence of surgery. The infection also will continue to spread as long as the perforation persists. A remote possibility is that the perforation seals on its own and then the antibiotics take care of the infection, but that scenario is very rare.
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Suggest Treatment For Terminal Bowel Cancer

If there is a perforation of the bowel through the cancer your son is suffering from, then it is unlikely to heal with antibiotics alone. The treatment is only surgical repair of the perforation. I hope there is a very strong reason for not operating upon him, since the situation is life threatening in the absence of surgery. The infection also will continue to spread as long as the perforation persists. A remote possibility is that the perforation seals on its own and then the antibiotics take care of the infection, but that scenario is very rare.