It is difficult to treat this weight loss, especially loss of muscle mass. Nutritional supplements such as Ensure may be of benefit. Occasionally a PEG feeding tube is placed in the stomach during endoscopy. Pain Very common especially during advanced disease Often caused by the tumor growing large enough to push against surrounding organs and nerves. May worsen after eating or when lying down.
Opiates are very effective if taken regularly and at correct dosage.
Opiates frequently cause constipation and may be taken with laxatives. If pain persists, a celiac nerve block may be considered. This involves the injection of alcohol into the nerves near the pancreas to block the sensation of pain. The injection can be given through the skin, during surgery or during an endoscopic ultrasound. Osteomalacia as a result of malnutrition Vitamin supplements.