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why would a feeding tube be inserted in the duodenum and not the stomach on a patient with esophageal cancer

A 44-year-old member asked:
Dr. Michael Thompson
20 years experience Hematology and Oncology
Surgery location: Short answer from a non-surgeon. The percutaneous endoscopic gastrostomy (peg) feeding tube may interfere with a potential esophageal surgery more tha ... Read More
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1 thank
Dr. David Cooke
22 years experience Thoracic Surgery
To avoid stomach: When your esophagus is removed due to cancer (esophagectomy) in order to eat again, your stomach may be used to replace your esophagus (stomach condui ... Read More

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A 31-year-old member asked:
Dr. Craig Carter
40 years experience Thoracic Surgery
Better tolerated: Two major reasons. First, the stomach is the preferred organ substitute for esophageal cancer surgery, and second, duodenal feedings are generally bet ... Read More
A 31-year-old female asked:
Dr. Sewa Legha
50 years experience Medical Oncology
Treat the GERD: If the GERD is treated properly with antacids, there is very little risk of developing Barretts. There is very remote if any chance of developing Gast ... Read More
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2 thanks
A 35-year-old member asked:
Dr. Andrew Turrisi
47 years experience Radiation Oncology
Not nice: Local growth may prevent swallowing even one's own saliva. The idea of gastric tube feeding seems a solution, but prolongs a life of suffering. Esophc ... Read More
A 52-year-old member asked:
Dr. Amir Faridi
Specializes in Hematology and Oncology
Chemotherapy: Chemotherapy used for esophageal cancer is usually platinum based, different combination. Either cisplatinum/ 5 fu or carbo/ taxol (paclitaxel). There ... Read More
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5 thanks
A 39-year-old female asked:
Dr. Mankanwal Sachdev
22 years experience Gastroenterology
Not sure: In sorry for your loss. Esophageal cancer can be very aggressive. I have seen patients die as quickly as two weeks after diagnosis. It's a tough one a ... Read More
2
2 thanks
A 16-year-old female asked:
Dr. Jack Rubin
48 years experience Nephrology and Dialysis
GERD: You should see your physician and have an appointment set up with a gastroenterologist. You say that you have had gerd for 17 years and you list your ... Read More
2
2 thanks
A 44-year-old member asked:
Dr. Charles Cattano
39 years experience Gastroenterology
PEG tube handling: Everyone's different, based on reasons the peg tube was placed, duration of anticipated use, calorie requirements of the patient, patency of stomach o ... Read More
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1 thank
A 29-year-old male asked:
Dr. Rebecca Gliksman
38 years experience Internal Medicine
Intestinal metaplasi: Depends on type of metaplasia, also if H pylori positive ( please get checked and treated) Metaplasia can be reversed with eradication of H pylori a ... Read More
A 37-year-old member asked:
Dr. Creighton Wright
56 years experience General Surgery
Cachexia: Cannot eat weight loss cachexia saliva overflow aspiration weakness pain miserable I am sorry to say.

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