Doctor insights on:
Surgeon Perform Esophagectomy Cancer
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 moreSee 1 more doctor answer
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...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
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
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 moreSee 2 more doctor answers
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
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
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
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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