Recurrence after 14 years??

cdee,  First congrats on 14 years past resection, secondly, do you have any other G.I. conditions such as PSC  ?  This could create symptoms you describe, also, scar tissue can build up where the bile duct was sewn back together causing bilary restriction . Blood tests and imaging are in order. I am surprised they would order an MRCP and not an MRI, which is much less risky and more detailed. If what you describe is pancreatitis and they try to stick a probe into your bile duct it could be a disaster. Every time someone goes though your intestine to the bile duct they risk infecting the common bile duct with intestinal bacteria. I am not a doctor or a nurse, yet I have read many posts and I have seen what goes wrong. A bile duct restriction this long after surgery is unlikely to be a recurrence, my oncologist told me the medical records show the longest time on record between resection and recurrence is 7 years , after that it is the formation of a new cancer . So do not let panic speed you to a possibly harmful procedure. You are a miracle, do not let the system screw things up for you. Go to a center that is known for expertise in this rare cancer. Be your own advocate and I wish you the best, Pat