Esophagectomy
About this test
Esophagectomy is a surgical procedure to remove some or all of the tube connecting the mouth to the stomach, called the esophagus. The esophagus is then reconstructed using part of another organ, usually the stomach. Esophagectomy is a common treatment for advanced esophageal cancer . It's sometimes used for a condition known as Barrett esophagus if precancerous cells are present.
Why it's done
Esophagectomy is the main surgical treatment for esophageal cancer. It is done either to remove the cancer or to relieve symptoms. During an open esophagectomy, the surgeon removes all or part of the esophagus through a cut in the neck, chest, belly or a combination. The esophagus is reconstructed using another organ, most commonly the stomach, but sometimes the small or large intestine. In some circumstances, esophagectomy can be done with minimally invasive surgery. This includes laparoscopy or robot-assisted techniques. Sometimes, a combination of these approaches may be used. When the individual situation is appropriate, these procedures are done through several small cuts. This can result in reduced pain and faster recovery than conventional surgery.
Risks and complications
Esophagectomy carries a risk of complications, which may include: Respiratory complications, such as pneumonia. Bleeding. Infection. Cough. Leakage from the surgical connection of the esophagus and stomach. Changes in your voice. Acid or bile reflux. Nausea, vomiting or diarrhea. Difficulty swallowing, called dysphagia. Heart issues, including atrial fibrillation. Death.
How to prepare
Your doctor and team will discuss concerns you may have about your surgery. If you have cancer, your doctor may recommend chemotherapy or radiation or both, followed by a period of recovery, before an esophagectomy. These decisions will be made based on the stage of your cancer, and staging must be complete prior to any discussion about treatment before surgery. If you smoke, your doctor will ask you to quit and may recommend a program to help you quit. Smoking greatly increases your risk of complications after surgery.
Understanding your results
Most people report improved quality of life after esophagectomy, but some symptoms usually continue. Your doctor will likely recommend comprehensive follow-up care to prevent complications after surgery and to help you adjust your lifestyle. Follow-up care includes: Lung therapy, known as pulmonary rehabilitation, to prevent breathing problems. Pain management to treat heartburn and problems with swallowing. Nutritional assessments to help with weight loss. Psychosocial care if needed.
Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.