{"id":198,"date":"2019-11-16T07:02:45","date_gmt":"2019-11-16T07:02:45","guid":{"rendered":"https:\/\/zeepedia.com\/?p=198"},"modified":"2020-02-12T07:54:32","modified_gmt":"2020-02-12T07:54:32","slug":"bile-duct","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/diseases\/bile-duct\/","title":{"rendered":"Bile Duct"},"content":{"rendered":"\n<p>Gallbladder cancer is unusual.\u00a0About 400 people a year get the disease.\u00a0Most are over 65.\u00a0Cancer of the biliary tract has usually spread to the body when the disease is detected.\u00a0Then there is a treatment that can slow down and relieve the disease for some time but it cannot be rid of.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is gallbladder cancer?<\/h2>\n\n\n\n<p>Gallbladder cancer means that you have a cancerous tumor somewhere in the biliary tract.&nbsp;The biliary tract begins in the liver and ends in the duodenum.&nbsp;The gallbladder is part of the biliary tract.<\/p>\n\n\n\n<p>The disease usually spreads to lymph nodes located near the biliary tract and to the liver.&nbsp;It is unusual for metastases in other parts of the body.&nbsp;Metastases are the same as daughter tumors.<\/p>\n\n\n\n<p>It is common for gallbladder cancer to spread at an early stage before it has begun to produce symptoms.\u00a0Then you can&#8217;t get rid of the disease.<\/p>\n\n\n\n<p>All <strong>bile duct<\/strong> tumors are not cancer.\u00a0There may be tumors that have not yet developed into cancer and even benign tumors.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What is bile?<\/h3>\n\n\n\n<p>Bile is a liquid needed for digestion.\u00a0It is formed in the liver and flows through the biliary tract to the gallbladder.\u00a0It is stored there until the food comes out of the stomach into the duodenum.\u00a0Then the bile also runs into the duodenum.\u00a0Here you can read more about the digestive organs.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How does cancer occur?<\/h3>\n\n\n\n<p>The body consists of many billions of cells.&nbsp;The cells divide to form new cells so that the body can function.&nbsp;Sometimes it gets wrong when a cell divides.&nbsp;Usually, it does nothing or the cell can stop the error from spreading to more cells at the next cell division.&nbsp;But sometimes it doesn&#8217;t work.&nbsp;Then more and more altered cells can be formed for each cell division.&nbsp;Eventually, cancer cells can form and become a cancerous tumor.&nbsp;The cancer cells divide uncontrollably and do not die when they should.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms of biliary tract cancer<\/h2>\n\n\n\n<p>Initially, biliary tract cancer usually does not produce any symptoms, although sometimes jaundice can occur.&nbsp;The symptoms that come later may also be due to many other illnesses and disorders.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Jaundice early symptom in some<\/h3>\n\n\n\n<p>The first clear sign of biliary tract cancer may be the symptoms commonly called jaundice or icterus:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The urine becomes darker.<\/li><li>The whites of the eyes and the skin turn yellowish.<\/li><li>It can start to scratch the skin a lot.<\/li><\/ul>\n\n\n\n<p>Jaundice in cancer of the biliary tract is due to the fact that the cancerous tumor has become so large that it prevents the bile from flowing through the biliary tract.&nbsp;Then the bile dye bilirubin goes directly into the blood and causes the skin and eyes to turn yellowish and it starts to itch on the body.<\/p>\n\n\n\n<p>For the most part, jaundice has completely different causes than gallbladder cancer, such as gallstones or hepatitis.\u00a0Hepatitis is an inflammation of the liver caused by viruses.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Abdominal pain or discomfort or nausea<\/h3>\n\n\n\n<p>It can hurt or feel uncomfortable high up in the stomach.&nbsp;You may also feel ill.&nbsp;It is much more common for the symptoms to have causes other than cancer of the biliary tract.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Involuntary weight loss and decreased appetite<\/h3>\n\n\n\n<p>You can lose weight without knowing why.&nbsp;This may be because the cancer tumor prevents the body from absorbing nutrition properly.&nbsp;You may also lose the desire to eat.&nbsp;It is not known what this is due to.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Fatigue and fatigue<\/h3>\n\n\n\n<p>You may feel tired and powerless without knowing why.\u00a0In <em>bile duct<\/em> cancer it may be due to the metabolism being affected.<\/p>\n\n\n\n<p>Feeling tired and tired can have many causes other than cancer.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Fever and chills<\/h3>\n\n\n\n<p>You may have a fever and chills.\u00a0This may be because the cancer tumor prevents the bile from flowing into the intestine.\u00a0Then bacteria can grow in the bile.\u00a0It can lead to blood poisoning, which is also called\u00a0sepsis.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">When and where should I seek care?<\/h2>\n\n\n\n<p>If you think you have biliary tract cancer,\u00a0contact a\u00a0\u00a0health care\u00a0provider.\u00a0You can contact many receptions by logging in.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">If it&#8217;s in a hurry<\/h3>\n\n\n\n<p>If you get yellow eye whites or yellowish skin at the same time as you get fever and chills, seek care at an emergency room.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Investigations<\/h2>\n\n\n\n<p>You can tell your doctor about your complaints and how long you have had them.&nbsp;The doctor also feels on the stomach.<\/p>\n\n\n\n<p>Several of the symptoms of cancer of the biliary tract are the same as in many other diseases.\u00a0Therefore, the investigation of your complaints may, for example, begin with the colon being x-rayed or the stomach being examined with gastroscopy.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ultrasound examination in jaundice<\/h3>\n\n\n\n<p>If you have jaundice, an ultrasound examination on the body can show if there is anything that prevents the bile from flowing between the liver and the duodenum.\u00a0You need to be examined more if the doctor suspects that it is cancer.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Substances in the blood are examined<\/h3>\n\n\n\n<p>Blood tests can show how the liver and biliary tract work or if there are tumor markers in the blood.\u00a0Tumor markers are substances that may be more abundant in the blood in cancer but also in other diseases.\u00a0The measurement value is helpful when the doctor is to make a diagnosis based on the examinations that have been done.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Investigations to diagnose and diagnose the disease<\/h3>\n\n\n\n<p>There are various ways to examine the obstacle in the biliary tract.&nbsp;If you have cancer, it is also important to chart where it grows and how it develops.&nbsp;It matters what kind of treatment you can get.&nbsp;Often contrast agents are needed to make the images as clear as possible.&nbsp;You may also need to submit cell samples or tissue samples.&nbsp;You may need to be examined in one or more ways:<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Computer tomography or examination with a magnetic camera<\/h4>\n\n\n\n<p>Examination with computer tomography or magnetic camera can give an answer as to whether you have a cancerous tumor and whether it has spread.\u00a0There is also a special kind of magnetic camera study called MRCP to examine the biliary tract.\u00a0The studies are done with contrast agents.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">ERCP &#8211; endoscope examination<\/h4>\n\n\n\n<p>The inside of the biliary tract can be examined with\u00a0\u00a0ERCP technology.\u00a0The examination is done with an endoscope.\u00a0It is a flexible, hollow, tubular instrument that is inserted through the mouth.\u00a0Before the examination, you are\u00a0anesthetized or given sedatives.\u00a0You also get local anesthesia in the throat.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Ultrasound Endoscope &#8211; EUS<\/h4>\n\n\n\n<p>Endoscopy with ultrasound goes to much like ERCP but makes it possible to examine both the outside and the inside of the biliary tract.\u00a0The doctor can also examine, for example, nearby lymph nodes and see if there are liver metastases and take cell samples.\u00a0Sometimes contrast agents are needed.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">PTC<\/h4>\n\n\n\n<p>Examination with PTC technology means that the doctor inserts a needle through the skin, liver and into a biliary tract.\u00a0There, the doctor injects contrast agents.\u00a0Then the biliary tract is x-rayed.\u00a0You are anesthetized\u00a0before the examination.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The investigation is conducted according to a standardized course of care<\/h3>\n\n\n\n<p>You will be examined according to a standardized course of care if the doctor suspects you may have biliary tract cancer.<\/p>\n\n\n\n<p>Standardized care is a way of organizing the investigation so that it goes as quickly as possible.\u00a0Among other things, there are times set for the surveys you may need to do.<\/p>\n\n\n\n<p>The doctor who writes the referral tells you why you should be investigated according to a standardized course of care, what it means and when you can be told if you have cancer or not.<\/p>\n\n\n\n<p>It is often quick to get calls for examinations in a standardized course of care.\u00a0It is good if you are clear about how the staff most safely reach you so that you do not miss any time.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">A group of specialists advises after the investigation<\/h3>\n\n\n\n<p>A group of different specialists advises on all people who have been diagnosed with biliary tract cancer.\u00a0Your doctor will contact the specialists so that they can suggest the treatment that they believe will be best for you based on the examinations that have been done.\u00a0Your doctor will tell you what the specialists suggest.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment for the disease can be removed<\/h2>\n\n\n\n<p>Surgery is the only treatment that can remove the disease.&nbsp;You can be operated on so that you get rid of the cancerous tumor if it has not spread and if you feel well otherwise.&nbsp;Sometimes the operation is supplemented with cytostatic treatment.<\/p>\n\n\n\n<p>Approximately one in five people can be offered an attempt at surgery.\u00a0Sometimes it is only during the operation that cancer has spread.\u00a0Then the surgery is interrupted and you receive braking treatment instead.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Then the operation goes on<\/h3>\n\n\n\n<p>The operation often means that a fairly large portion of the liver must be removed.\u00a0Cancer can spread to nearby lymph nodes and therefore they are also removed.\u00a0Even a piece of the pancreas may need to be removed.\u00a0The bile ducts that remain are linked to the intestine.\u00a0The surgery is done either with\u00a0a peephole technique or by a cut in the abdomen.\u00a0You are\u00a0anesthetized\u00a0before surgery.\u00a0What is removed is sent to the laboratory for analysis.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Preparatory examinations and treatment<\/h4>\n\n\n\n<p>Before an operation, careful preparation is needed.&nbsp;For example, the heart and lungs need to be examined so that the doctor can make sure your body is able to cope with the operation.<\/p>\n\n\n\n<p>Sometimes you may need a preparatory treatment that allows the liver to grow so that there is enough left over it, although a large part should be removed during the cancer surgery.&nbsp;The treatment is called port vein embolism.&nbsp;It is done three to six weeks before the cancer surgery.<\/p>\n\n\n\n<p>First, you\u00a0sleep.\u00a0Then the doctor inserts a narrow plastic tube into the vein that leads blood to the part of the liver to be removed.\u00a0An agent is injected through the tube and clogs the vein.\u00a0Then the hose is removed.\u00a0It is common to be able to go home the day after treatment.<\/p>\n\n\n\n<p>After a few weeks, you will be examined with computed tomography or magnetic camera so that the doctor can see that the treatment has made the liver grow.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Talk to the doctor<\/h4>\n\n\n\n<p>You need to talk to the doctor a lot before making a decision about surgery so that you feel prepared and motivated.&nbsp;Both surgery and the time after surgery are demanding and there is a risk of various complications.&nbsp;There is also a risk that the disease will return, despite the operation.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Different how long you need to stay in the hospital<\/h4>\n\n\n\n<p>How long you need to stay in the hospital depends on how you feel and how big the operation was.\u00a0Some may leave the hospital after four to five days.\u00a0Others need to stay for two to three weeks.\u00a0Sometimes it starts to leak bile where you have been operated on.\u00a0It usually ends by itself after a few days but you need to stay a little longer at the hospital.\u00a0You also need to stay longer if you get a fever.\u00a0Fever may be due to an infection.\u00a0Then you get antibiotics.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Return visit after one month<\/h4>\n\n\n\n<p>Most people may come on an initial visit about a month after their stay in the hospital.&nbsp;The doctor is examining you.&nbsp;Sometimes an X-ray examination may be needed.&nbsp;You will know what the analysis shows of what was removed.&nbsp;This is important for continued treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Treatment with cytostatics<\/h3>\n\n\n\n<p>You may need treatment with cytostatics after surgery.\u00a0Chemotherapy is the cell-inhibiting drug that reduces the risk that the disease will come back.\u00a0You receive treatment at the hospital at regular intervals for six months.\u00a0Between treatment sessions, you can be at home.\u00a0It varies from person to person how many treatment sessions are needed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What can I do for myself?<\/h2>\n\n\n\n<p>The treatments can be stressful.&nbsp;You can cope better and recover faster if you take care of yourself so you feel as good as you can.&nbsp;Here are some things you can do that are of great importance:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Avoid alcohol and smoking<\/h3>\n\n\n\n<p>If you smoke or drink alcohol, try to refrain.\u00a0It reduces the risk of complications when receiving treatment.\u00a0There is help available if you need it.\u00a0Talk to your doctor or\u00a0contact nurse.\u00a0Here you can read more about help and support for quitting smoking before an operation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Eat as well as you can<\/h3>\n\n\n\n<p>Try to get enough nutrition.\u00a0You may need to eat frequently and even before going to bed to sleep.\u00a0It can be difficult if you feel bad or get saturation feelings quickly.\u00a0You can get dietary advice from a dietician.\u00a0There are also medicines that can increase appetite and reduce nausea.\u00a0Here you can read more about food in cancer.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Physical activity<\/h3>\n\n\n\n<p>Touch yourself as much as you can.\u00a0It can also help if you feel very tired.\u00a0It is common in cancer.\u00a0You can get help from a physiotherapist or physiotherapist who can suggest exercises that are right for you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Post-checks and risk of relapse<\/h2>\n\n\n\n<p>You may have a relapse.\u00a0This means that gallbladder cancer will come back.\u00a0Therefore, you may go on a return visit for a few years.\u00a0It is different how long you need to go on a return visit.\u00a0It is common to go more often in the beginning.<\/p>\n\n\n\n<p>On the return visits, you leave a\u00a0\u00a0blood sample and be examined with computed tomography or magnetic camera.\u00a0You should also be informed if there is something special you need to think about and if there are any problems that may come up when you are finished.\u00a0Feel free to ask if it is something you are wondering about.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Life after gallbladder cancer<\/h2>\n\n\n\n<p>About a month after the treatment, most people can continue with life almost like before cancer.\u00a0You can still be extra tired.\u00a0Somebody movements can be troublesome.<\/p>\n\n\n\n<p>Life can feel different after <strong>treatment for cancer<\/strong>.\u00a0You always have the experience of what you have been with.\u00a0It can be painful periodically, but usually, it gets better &#8211; although it can take time.\u00a0Some feel vulnerable and worried long after treatment is over.<\/p>\n\n\n\n<p>Sometimes contact with others in the same situation can feel empowering.\u00a0The ideal association\u00a0\u00a0Palema is for you who have or have had gallbladder cancer or who are related.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment if the disease cannot be removed<\/h2>\n\n\n\n<p>It is common for the disease to have already spread when it is detected.&nbsp;Then it can not get rid of.&nbsp;Most often, you cannot get rid of the disease if you have a relapse.&nbsp;Relapse means that the disease recurs after surgery.<\/p>\n\n\n\n<p>Then you can instead get the treatment that can slow down cancer for a while and that relieves pain.\u00a0It is called palliative care.\u00a0The purpose of health care is that you should be able to have as good and active life as possible in every way, despite the illness.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Treatment that can curb the disease<\/h3>\n\n\n\n<p>Cytostatic therapy can curb the disease for a limited time in about two out of three people.\u00a0The treatment is demanding.\u00a0Therefore, it depends on how you feel if you can get curative treatment with cytostatic drugs.\u00a0Braking cytostatic treatment you get in hospital.\u00a0Between treatment sessions, you do not have to be in the hospital.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Treatment that can relieve pain<\/h3>\n\n\n\n<p>When the disease is no longer curable, you receive treatment that relieves.&nbsp;On the&nbsp;Help and Support&nbsp;page&nbsp;&nbsp;&nbsp;you can read more about what help you can get if you need psychological, existential or social support.<\/p>\n\n\n\n<p>Here are examples of bodily problems you can get and what treatment is available:<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Jaundice and itching<\/h4>\n\n\n\n<p>Jaundice can, among other things, cause it to start itching a lot on the body.\u00a0This is because the cancerous tumor blocks the bile duct.\u00a0Usually, it helps to get a small tube inserted into the <span style=\"text-decoration: underline;\">bile duct<\/span>.\u00a0The tube is called a stent and allows the bile to drain into the duodenum as it should.\u00a0The tube is inserted during an\u00a0\u00a0ERCP examination.\u00a0Another way to divert the bile is through external drainage.\u00a0This means that a thin plastic tube is inserted so that the bile can either run past the cancer tumor and into the duodenum or into a bag attached to the tube outside the stomach.\u00a0External drainage is inserted during a PTC investigation.\u00a0You can read more about PTC investigations in the Investigations and Investigations chapter.<\/p>\n\n\n\n<p>It usually takes a few weeks before jaundice disappears completely after the tube or outer drainage is inserted.\u00a0Sometimes there will be a stop in the pipe or outer drainage.\u00a0You notice it by becoming more yellow again or getting a fever and chills which are signs of infection.\u00a0Then you may need a new ERCP or PTC examination to replace or clean the pipe or outer drain.<\/p>\n\n\n\n<p>Alcoholic liquor or a cold conditioner or a cool shower can relieve it if it continues to itch even if you have received a stent or external drainage.\u00a0Lubricate with moisturizing cream if you have dry skin.\u00a0Medicines with antihistamines can relieve the itching if neither cream nor other agents help.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">If you are in pain<\/h4>\n\n\n\n<p>There are many types of effective help if you are in pain.&nbsp;There are pain-relieving drugs in the form of tablets or patches where the medicine is taken up through the skin.&nbsp;Pain relief is also available as a drop directly into the blood.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Weight loss, nausea, and constipation<\/h4>\n\n\n\n<p>The disease can cause you to lose your appetite and lose weight.&nbsp;You may feel sick and vomit.&nbsp;You may also have trouble with constipation.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Help against weight loss<\/h5>\n\n\n\n<p>A dietitian can give you dietary advice and make sure you get special nutritional drinks against weight loss.\u00a0You can get a nutritional solution that drips directly into your blood if you need it.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Help against nausea<\/h5>\n\n\n\n<p>There are medicines for nausea.\u00a0Nausea may be due to the cancerous tumor compressing the duodenum so that the food cannot pass.\u00a0Then the duodenum can be widened with a small tube, also called a stent.\u00a0It is inserted using\u00a0gastroscopy.\u00a0It is also possible to perform an operation to transfer part of the intestine past the cancer tumor so that the food can pass.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Helps against constipation<\/h5>\n\n\n\n<p>If you get constipation, it may be because you need more fluid.&nbsp;It is good if you can drink more water and have the opportunity to move.&nbsp;Morphine or other morphine-like drugs can also cause you to become constipated.&nbsp;You should have access to laxative against constipation if you get morphine.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Fatigue &#8211; fatigue<\/h4>\n\n\n\n<p>You may feel very tired and that it does not help to rest.\u00a0It is common in cancer and is called fatigue.\u00a0Fatigue can have several causes.\u00a0For example, you may have an infection or need more nutrition.\u00a0You may also have anemia.\u00a0Then you can get iron medicine or a\u00a0\u00a0blood transfusion if needed.\u00a0Fatigue can also be due to a\u00a0\u00a0depression that you need treatment for.<\/p>\n\n\n\n<p>Physical activity can alleviate fatigue.\u00a0Touch yourself the way you can and do.\u00a0Avoid resting for a long time.\u00a0Rather rest several short moments.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Where can I get soothing care?<\/h4>\n\n\n\n<p>You can get soothing care at home or at a hospital, for example.\u00a0It depends on what care you need and what you want yourself.\u00a0You can read more in the text about palliative care.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Be involved and influence your care<\/h2>\n\n\n\n<p>You have the right to be involved in your care as far as possible.&nbsp;The healthcare staff should tell you what treatment options are available.&nbsp;They should make sure you understand what the different options mean, what side effects are available and where you can get treatment.&nbsp;This way you can help decide on your treatment.<\/p>\n\n\n\n<p>Ask questions if you don&#8217;t understand.&nbsp;You can also ask for information printed so that you can read it peacefully.<\/p>\n\n\n\n<p>You can make a care plan together with the contact nurse, the doctor and other staff.\u00a0The care plan should contain information that is important to you, such as contact information and how to get the rehabilitation you need&#8230;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">You can get a new medical assessment<\/h3>\n\n\n\n<p>You may get a\u00a0\u00a0new medical assessment from another doctor if you have a life-threatening or particularly serious illness.\u00a0Obtaining another doctor&#8217;s assessment can help you, for example, if you are unsure of which treatment or treatment is best for you.\u00a0<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Getting a cancer message<\/h2>\n\n\n\n<p>You can respond in many ways to a cancer message.&nbsp;It is common to need a lot of time to talk to your doctor and other healthcare professionals about what the message means.&nbsp;If possible, please let a relative accompany you.&nbsp;The related person can act as a support and help to remember what has been said.<\/p>\n\n\n\n<p>In many hospitals, there are special nurses called contact nurses who should be especially accessible to the sick person and to their relatives.\u00a0The contact nurse can provide support and also help with various practical things.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">You can get help in several places<\/h3>\n\n\n\n<p>Talk to the contact nurse or the hospital&#8217;s curator if you feel anxious or have questions.<\/p>\n\n\n\n<p>You can also contact, for example, the Cancer Counseling, the Cancer Foundation or a patient association.&nbsp;Palema is a patient association for people with cancer of the pancreas, liver or esophagus.&nbsp;There you can get in touch with one or more people who have their own experience with gallbladder cancer.<\/p>\n\n\n\n<p>It is common for it to feel easier once treatment has begun and you know what is going to happen.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Children need to know<\/h3>\n\n\n\n<p>A child under the age of 18 has the right to receive information and support based on his or her own needs if a close adult becomes ill.&nbsp;It is the responsibility of care.&nbsp;If you want to tell the child yourself about the disease, you can get help with what to say.&nbsp;Often it is good to make children as involved as possible, no matter how big or small they are.&nbsp;That doesn&#8217;t mean you have to tell everything.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Being related<\/h2>\n\n\n\n<p>It can feel difficult to be close to someone who is sick.&nbsp;It is common to want to support while you yourself have a strong concern and feel bad.<\/p>\n\n\n\n<p>If you have people close to you, they can be a support.&nbsp;Often it will be easier for them to help you if you tell them how it feels.&nbsp;You can also talk to the&nbsp;contact nurse&nbsp;if you are close and need supportive calls.<\/p>\n\n\n\n<p>You can get relief if you help take care of or support the sick person.&nbsp;You can also get support, for example in the form of calls or help with practical things.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is the cause of gallbladder cancer?<\/h2>\n\n\n\n<p>There is no clear cause of gallbladder cancer, although there are things that can increase the risk.&nbsp;Here are some examples:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>inflammation of the biliary tract, for example in the disease sclerosing cholangitis<\/li><li>chemicals and environmental toxins, such as dioxin<\/li><li>fluid-filled vesicles in the bile ducts called cysts and which one can have from birth.<\/li><\/ul>\n\n\n\n<p>Gallstones can increase the risk of gallbladder cancer, but it is very uncommon to get gallbladder cancer due to gallstones.<\/p>\n\n\n\n<p>Hepatitis B, hepatitis C, diabetes, obesity, smoking, and alcohol may increase the risk of getting biliary tract cancer, but it has not been clarified.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The care that can reduce the risk of biliary tract cancer<\/h2>\n\n\n\n<p>Sclerosing cholangitis and cysts in the biliary tract can cause symptoms similar to biliary tract cancer.&nbsp;You may have regular check-ups if examinations of your symptoms show that you have sclerosing cholangitis.<\/p>\n\n\n\n<p>Cysts causing symptoms may need surgery to reduce the risk of cancer.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gallbladder cancer is unusual. About 400 people a year get the disease. Most are over 65. Cancer of the biliary tract has usually spread to the body when the disease is detected. Then there is treatment that can slow down and relieve the disease for some time but it cannot be rid of.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2,22,542],"tags":[219,44,222,221,220],"class_list":["post-198","post","type-post","status-publish","format-standard","hentry","category-diseases","category-cancer","category-types-of-cancer","tag-bile-duct","tag-cancer","tag-symptoms-of-biliary-tract-cancer","tag-what-is-bile","tag-what-is-gallbladder"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/198","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=198"}],"version-history":[{"count":8,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/198\/revisions"}],"predecessor-version":[{"id":3641,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/198\/revisions\/3641"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=198"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=198"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=198"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}