Dear Rosina,
Welcome to this board. I was very fortunate to find this board when my mother was diagnosed with cholangiocarcinoma back in August 2015. This disease can be particularly isolating because it is so uncommon, and furthermore being in a smaller country like Australia means there is even less of us going through this that can offer advice and support.
I have read of many patients who have undergone chemo due to being inoperable and then become a candidate for surgery after some shrinkage with chemo, so keep this in mind as a motivator for your brother during his chemo! Hopefully as he is young and (hopefully) in good health otherwise he will tolerate chemo quite well. May I ask what chemo regimen he is having? My mum is currently having gem/cis (she has also completed FOLFIRINOX in the past) and because she is still considered ‘young’ (50 years old) and she was in very good health otherwise she has tolerated all her chemo very well other than the occasional mild side effect. Please keep this in mind also
All the best for your brother and your family at this difficult time. Please keep us updated!