Doctor insights on:
Post Esophagectomy Diet
Refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
Removal of esophagus: The esophagus carries food and liquid from the mouth to the stomach. Any word ending with the suffix "-ectomy" means removal, as in appendectomy, tonsillectomy, etc. Esophagectomy is usually reserved for patients with esophageal cancer, but may rarely be used for other benign forms of obstruction. The stomach can be mobilized and pulled up into the chest to replace the esophagus. ...Read more
Thoracic surgeons: The society of thoracic surgeons does, in fact, have a list: http://www. Sts. Org/membership/membership-directory. Additionally, you can contact your state's closest medical school, ask to be directed to the department of thoracic surgery, and ask for a referral near where you live. Good luck and be well. ...Read more
Possibly...: Dumping syndrome implies bolus emptying of the stomach into the duodenum with associated release of digestive hormones & insulin. The esophagus does not play a role in this syndrome. But if you have had a gastric pull-up procedure (where the stomach is now in your chest to take the place of the removed esophagus, undoubtedly its motility has been altered & as such dumping syndrome may be modified. ...Read more
Expertise: Esophagectomy or removal of the esophagus for cancer is a difficult operation. However, the surgeons who have good outcomes are the ones who expertise with the procedure. Things to look out for: do they do more than 12-15 esophagectomies per year? To they have a post-op care pathway? Are their nurses skilled in the care of the esophagectomy patient? Do they have a plan for when you go home? And do they explain things to you and your family clearly? ...Read more
Multiple options: The pain is likely to be because of the incision, caused by injury or pressure on an intercostal nerve, which runs under each rib. This can resolve over time, or will take medication or some other form of intervention to heal. The last resort would be an intercostal nerve ablation, which renders the area numb. ...Read more
Can you tell me about an esophagectomy because of high grade dysplasia and how is quality of life after it?
Not bad: Make significant number of patients with HGD have cancer when the resected esophgus is examined pathologically. Resection is the gold standard for treatment and 5 year survival approaches 100%. Quality of life is influenced by the resection technique and skill/experience of the surgeon. Choose a center that has extensive experience and good outcomes. ...Read more
Can you tell me about surgical procedure for esophagectomy. What skin prep and meds are used during surgery?
Ivor Lewis procedure: Esophagectomy is usually performed for lesions of lower esophagus and require esophagogastrectomy usually performed thoracoabdominally. Thru abdomen and right chest. A transesphageal ultra sound is performed to define penetration of mucosal tumor into muscularis and nodes. Pre op RT and chemo are essential to get best chance for cure. ...Read more
What do you suggest if my husband had an esophagectomy. A very long surgery. He was intubated for two days. Now his epiglottis wont?
Patience: The vocal cords and epiglottis have been irritated by the tube used while he was intubated. This should clear up after 2-10 days. Seldom is there any permanent damage. If problems persist, a visualization of the cords is a relatively easy procedure. ...Read more
Can be serious: Esophageal problems causing dysphagia are usually related to strictures. Depending on where the problem arises, various procedures to relieve the blockage are available. This includes laser reopening, various forms of dilatation or a plasty type of procedure to widen the stricture site. Removal of the esophagus is usually relegated to carcinoma of the esophagus and is a large procedure. ...Read more
I had Esophagectomy, stage 3 cancer 1 year ago. Check-up showed a cloudiness in the lower half of lobe of lung. Said will check in 6 months! Safe???
I had a total Esophagectomy 4 years ago due to acid reflux. I still have acid reflux to this day even worse. Can I get throat cancer from the reflux?
Very unlikely: If the entire esophagus was removed, the chances of getting Barretts esophagus from the continued reflux is very unlikely. Having said that, if you are still having symptoms, it bears periodic evaluation to see how severe the inflammation is. You also should be treating the reflux to keep the symptoms under control. Good luck. ...Read more
Timing: Timing of swallowing liquids with regards of performance of gastric tube anastomosis is important. Enough time is allowed for anastomotic healing before trying to swallow any food or liquid. Depending on how good the gastric tube drainage is you may be able to swallow easy. The wound healing process is similar for all wounds. By 21 days wounds develop 1/3 of base tensile strenght. ...Read more
Mediterranean diet: A good diet really isn't a diet b/c diets are temporary. Instead, look to make a lifestyle change. With that said, recent randomized controlled trial demonstrated ability of mediterranean diet to prevent heart disease. Check out http://alvinblin. Blogspot. Com/2013/02/mediterranean-diet-prevents-heart. Html. Just remember that this needs to become a way of life. And don't forget to get/stay active. ...Read more
Mediterranean diet: Mediterranean diet is only one that has solid research demonstrating benefit. Plus there's no commercial benefit or conflict of interest. Lots of variations given number of cultures & ethnicities surrounding that body of water. Basically eat lots of non-starchy vegetables, chicken & fish, nuts, olive oil, wine in moderation. Rarely eat red meat or processed foods. Check out http://goo. Gl/phfhr. ...Read more
Diet depends on your medical conditions and what you want in your body. The usda food guide is a safe way to find balanced nutrition by focusing on the food groups that are most vital to our health. Seek your doctor's help to tailor a diet plan that is personalized just for you and your needs.
http://fnic. Nal. Usda. Gov/nal_display/index. Php? Info_center=4&tax_level=2&tax_subject=256&topic_id=1348. ...Read more
No sugar Yes veggies: One can make meals out of veggies. Some veggies can be raw, others can be cooked... lots of variety! Grains have carbs, yet can be counted as veggies, so brown rice, corn, etc..., are ok. Beans have protein (fruits don't really have protein). By stretching the definition of veggies, she can even include "fruit veggies" such as tomatoes and cucumbers (things that have seeds are officially fruits). ...Read more
Accountability: I agree with dr. Ferdowski that diets are difficult, but lasting lifestyle changes will be more helpful to you. Most also need accountability with others, for what you're doing for yourself. For this you could work with a health coach. There are also groups such as weight watchers, overeaters anonymous, and tops (taking off pounds sensibly) with regular meetings. Helps keep you on track. ...Read more
Crash diet: A crash diet is not a scientific term. It is generally used to denote a diet that is employed to give rapid weight loss for some specifi goal e.g. Losing weight for an upcoming social function. Crash diets are usually unhealthy diets and are usually unwise to participate in. ...Read more
The best plan is not a temporary diet but long-term changes. Sugars & simple carbs from grains esp cause weight gain. I like dr. Furhman's diet:http://www. Drfuhrman. Com/library/what-is-a-nutritarian-diet. Aspx
Dr. Weil has useful info: www. Huffingtonpost. Com/andrew-weil-md/carbohydrates-weight-loss_b_1937312.html- see his "discuss that" link in his article. Exercise is also important. Good luck! ...Read more
Make a daily food, water, and physical activity planner. Be accounatble for everything you put in your mouth. Build up to 10-12 glasses of water daily. Eat protein at every meal. Lots of veggies, lean protein, and good fats. Minimize extra carbs, nothing white! No alcohol until you reach your normal weight. Eat a good protein breakfast and eat multiple meals.
Exercise daily 40 minutes. Sleep 8 hrs. ...Read more
Old classic: This is decades old and there's no magic -- nobody's going to overeat grapefruit. Perhaps you'd have even better results with a fitness-focused lifestyle (it's fun and you make friends) and a less bizarre diet with plenty of yellow and green vegetables and fresh fruits. It's something you could make part of the rest of a new life. Cheers. ...Read more
Avoid refined carbs: Helpful weight loss diets have natural foods that take time to chew but contain few calories. Examples include carrots, celery, and iceberg lettuce (little/no salad dressing). When shopping for fruits, buy small ones no bigger than a tennis ball, because fruits have sugar. Drinks without calories include water and green tea. A calorie is a calorie, but surely avoid sugar & simple starch calories. ...Read more
Eat good food:
Real diets do not work long term. The object is to learn about good food vs empty caloric food and then choose wisely. Starving or sticking to a tasteless diet will not fly. So, select wisely, eat in moderation and balance your food intake with exercise. Being healthy is a life time endeavor; however, we only get one body. Treat it well!
www. Artofplasticsurgery. Com. ...Read more
The esophagus carries food and liquid from the mouth to the stomach. Any word ending with the suffix "-ectomy" means removal, as in appendectomy, tonsillectomy, etc. Esophagectomy is usually reserved for patients with esophageal cancer, but may rarely be used for other benign forms of obstruction. The stomach can be mobilized and pulled up into the chest ...Read more
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