Conversation: The conversation between human and AI assistant.
[|Human|] sir, my patient is periampullary adenocarcinoma with locally advanced stage, given gencitabin 1000 mg and oxaplatin 100 mg  4 days back, now total bilirubin is 2.2 in comparison to 1.5 before application of chemo, alkaline phosphate comes down to 612 from 685, other LFT parameters elevated moderately, kindly comment on state of health of my patient,
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. Your patients have periampullary adenocarcinoma. He is taking gemcitabin and explain. Explain can cause transient elevations of liver enzymes. You should keep close watch on liver enzymes. If level increase further than it can be due to explain toxicity, and you need to stop explain. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.