Doctor insights on:
How Long Does It Usually Take To Recover After Esophageal Surgery
Will a peg tube help my 64 yr old mother gain weight? Had esophageal surgery and lost 90lbs since jan. Says she has no appetite. 140lbs now
Stabilize, then gai: With esophageal surgery, it is probably hard for you mother to eat, or eat sufficient amounts, to maintain weight. Not to mention that esophageal cancer takes a toll on the body as well. The purpose of the PEG feeding tube is to get food & medicine to the stomach so as to stabilize your mother's condition. Once her weight has stabilized, then you can take steps to try to gain weight. ...Read more
General Anesthesia: Any surgery on the esophagus is done with some form of general anesthesia. This may be supplemented by the use of a thoracic epidural to assist you with postoperative pain control. Your anesthesiologist will be available to answer any specific questions before your surgery. Good luck. ...Read more
Hours/days not more: Esophageal atresia prevents a kid from receiving fluids & maintaining normal metabolic balance. While awaiting surgery, mouth secretions can build up in the remnant and transfer into the lungs causing pneumonia.Stabalization with IV fluids, suction & close monitoring is reasonable until the kid can be moved to a center where surgery can procede. Further delays deminish the chances for good outcome. ...Read more
Dad has cirrhosis of the liver and had esophageal variceal bleeding, how long does he have after surgery?
It really depends on the underlying cause. If you have had a repair of esophageal atresia, there can be areas of swelling that may impinge on the airway. I would recommend seeing your physician and having pulmonary function testing and a TB test.
A virtual appt is available online. ...Read more
What can I do if my dad has barretts esophagus, what will happen if he does not have the recommeded surgery?
How much time do the bands last after esophageal varices surgery. Do you have to have them replaced?
Esophageal banding: Esophageal banding essentially puts a "rubber band" like device around an enlarged blood vessel in the esophagus that is bleeding or at risk for bleeding. This banding essentially cuts off the blood supply. After this is performed the band will eventually fall off in a few days to a week. You might see the band pass in your stool. If you had banding done you may need again sometime in the future. ...Read more
Yes: Most hernias can be fixed at the same time as esophagectomy. ...Read more
Yes.: Barrett's esophagus is a condition that arises due to chronic acid reflux or gerd. It increases the likelihood of developing esophageal cancer. There is a procedure called halo which can cure barrett's without major surgery. The more important step is to get his reflux fixed by either a tif (transoral incisionless fundoplication) or a laparoscopic nissen fundoplication. ...Read more
Several: For barrett's without dysplasia, or low grade dysplasia, acid reduction and endoscopic surveillance is fine. For small flat areas of high grade dysplasia, endoscopic options include endoscopic mucosal resection and radiofrequency ablation, for long segments of high grade dysplasia and very nodular high grade dysplasia the risk of hidden cancer is high and esophagectomy is the best option. ...Read more
Standard: Read "Military Medical Standards for Enlistment & Commission" @ http://usmilitary. About. Com/od/joiningthemilitary/a/abdominal. Htm ** Don't know enough about situation to advise you. ...Read more
Is there dysplasia?: The key issue with barrett's is whether there is any dysplasia. Dysplasia is an abnormality of the cells of the esophagus that have a distinct microscopic appearance. High-grade dysplasia (hgd) requires rx (surgical or endoscopic); low-grade dysplasia (lgd) warrants very close surveillance. Ironically, anti-reflux surgery has not led to a regression in barrett's changes as one would think. ...Read more
Sort of: Its not uncommon to have changes in short term memory, concentration and some cognitive function after major surgery. The stress of surgery diverts the body's nutrients towards healing (catabolic state or "fight or flight") as opposed to higher brain function. This is usually self limiting, and will get better the further out you are from surgery. ...Read more
Maybe 0: Patients who undergo surgery for esophageal cancer are generally enrolled in a surveillance program. This may entail chest ct scans every 4 months for 2 years, than every 6 months for 1 year, then once a year. Suspicious things on ct scan can be followed up with a pet scan. Routine surveillance endoscopy is not necessary, unless used for addressing symptoms. ...Read more
Is putting dilators on narrowed esophagus due to chemo and radiation is permanent solution and is it surgery?
Surgery for GERD: In 2008, a british study conducted by grant compared surgery vs medical therapy in patients with gerd. The investigators reported that by 12 months, 38% of those who had surgery were taking reflux medication, compared with 90% of those on medical management. Long-term results of antireflux surgery have shown that, at 10 years, 90% of patients are symptom-free and only a minority still take meds. ...Read more
Many possibilities: Any medical decision is not black or white. There are many variables that need considered. The doctor is trying to make the best decision for you based on guidelines, but to make the decision he or she have to relly on information gathered by many sources. Your physical exam, x-rays, invasive tests like esophagoscopies etc. As all information accumulates the decision may change accordingly. ...Read more
Close followup: Both the surgeon, medical oncologist and radiation oncologist must be involved in your followup care. Depending on the stage, you may involve all 3 of these specialists who will mainly follow you by physical exams, ct scans and occasionally pet/ct scans. ...Read more
I need surgery on my esophagus (duplication cyst). This is a rare condition in adults and I am trying to find an experienced surgeon in georgia. Any suggestions (here or nationally)? It's big surgery.
Emory School of Med: I would think you could find what you need through emory university school of medicine in atlanta. If not, there would be referral sources that they could provide. ...Read more
Maybe: Therapy for esophageal cancer is dependent on the stage. There are IV relative stages. In the physically fit patient, the upfront therapy for stage I and iia is surgery. For stages iib and iii, the therapy of choice is chemoradiation followed by surgery. For stage iv, chemotherapy +/- radiation and no surgery. In the patient in poor physical condition, chemoradiotherapy without surgery. ...Read more
I have an anterior osteophytic ridge that pushed against my esophagus, effacing the mid and right lateral lumen. An ENT recommended surgery. Should i?
Maybe: In my 23 years of practice I have operated on two people with osteophytes so large that it impaired their swallowing. I have probably seen hundreds of x-rays showing enlarged osteophytes causing an impression upon the esophagus in patients with swallowing difficulty. In almost all cases we were able to come up with other treatments to help their swallowing. I strongly recommend a second opinion. ...Read more
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