Esophagus Cancer Updates
Is Palliative Resection Justified for Esophageal Cancer Patients Post-Chemoradiotherapy?
Is Palliative Resection Justified for Esophageal Cancer Patients Post-Chemoradiotherapy?
July 14, 2024
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Maulana Azad Medical College, Delhi, GB Pant Hospital, Delhi
Holds the highest degrees in Oncology - DrNB, MCh
Having 15+ years of experience in treating
11750+ Patients have been successfully
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15+ years of work experience as a liver cancer specialist
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There are two types of esophagus cancer:
Esophageal cancer can occur in different locations, including:
Upper Esophagus:
Esophageal cancer can develop in the upper part of the esophagus, near the throat. This area is also known as the cervical esophagus.
Middle Esophagus:
The middle part of the esophagus is a common site for esophageal cancer, located between the upper and lower portions.
Lower Esophagus:
Esophageal cancer can occur in the lower part of the esophagus, near the junction where the esophagus meets the stomach. This region is referred to as the gastroesophageal junction.
There are various symptoms of esophageal cancer, including:
Difficulty Swallowing (Dysphagia):
Trouble swallowing is a common symptom of esophageal cancer.
Unintentional Weight Loss:
Losing weight without intending to can be a sign of esophageal cancer.
Persistent or Worsening Heartburn or Acid Reflux:
Long-lasting or worsening heartburn and acid reflux may indicate esophageal issues.
Chest Pain or Discomfort:
Feeling pain or discomfort in the chest can be a symptom of esophageal cancer.
Chronic Cough or Hoarseness:
A persistent cough or hoarseness may be associated with esophageal cancer.
Frequent Choking on Food:
Having difficulty with food getting stuck or frequent choking can be a symptom.
Painful or Uncomfortable Swallowing (Odynophagia):
Experiencing pain or discomfort while swallowing is a potential symptom.
Chronic Indigestion or Stomach Discomfort:
Long-lasting indigestion or persistent stomach discomfort can be a sign.
Regurgitation of Food or Sour Liquid:
Bringing back food or sour liquid may indicate issues with the esophagus.
Fatigue or Weakness:
Feeling consistently tired or weak can be associated with esophageal cancer.
There are three major treatments for food-pipe cancer include:
Surgery:
Surgical removal of the cancerous tissue is a common treatment approach. This may involve removing a portion of the esophagus (subtotal esophagectomy) or, in more advanced cases, removing the entire esophagus (total esophagectomy).
Radiation Therapy:
High-energy X-rays or other types of radiation are used to kill cancer cells and shrink tumors. Radiation therapy may be used before surgery to shrink tumors, after surgery to kill remaining cancer cells, or as the primary treatment in certain cases.
Chemotherapy:
Anti-cancer drugs are administered to destroy cancer cells. Chemotherapy can be used as a standalone treatment or in combination with other treatments, such as surgery or radiation therapy.
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Robotic surgery for esophageal cancer offers several benefits compared to traditional surgical methods. Here are some advantages:
Robotic systems provide surgeons with enhanced precision and control during procedures. This allows for more accurate removal of cancerous tissues while minimizing damage to healthy surrounding structures.
Robotic surgery is often less invasive than traditional open surgery. Smaller incisions are made, reducing trauma to the body. This can result in less pain, quicker recovery times, and shorter hospital stays for patients.
The robotic system provides high-definition, 3D visualization of the surgical site. This enhanced view allows surgeons to navigate through complex anatomical structures more easily, improving the overall accuracy of the procedure.
Patients undergoing robotic surgery for esophageal cancer may experience a faster recovery compared to traditional surgery. The reduced trauma to tissues and smaller incisions contribute to a quicker return to normal activities.
The precision of robotic surgical instruments often leads to reduced blood loss during the procedure. This can be particularly beneficial for patients who may have concerns about blood transfusions or related complications.
Smaller incisions in robotic surgery mean a lower risk of postoperative infections. The reduced exposure of internal organs to external contaminants contributes to a lower likelihood of infections during the recovery period.
Stent placement is a procedure where a small, expandable tube (stent) is inserted into a narrowed or blocked passage in the body. In the gastrointestinal tract, stents are often used to open up narrow areas like the esophagus, bile ducts, or colon. The stent acts as a scaffold, keeping the passage open and allowing for the normal flow of fluids or substances. This procedure can bring relief from symptoms, restore proper function, and alleviate complications caused by obstructions or strictures in the gastrointestinal system.
Is Palliative Resection Justified for Esophageal Cancer Patients Post-Chemoradiotherapy?
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Esophageal cancer is treated by a team of doctors, including surgical oncologists, medical oncologists & radiation oncologists.
Treatment options for esophageal cancer include surgery, radiation therapy, chemotherapy, targeted therapy, immunotherapy, and palliative care. The specific approach depends on the stage and individual factors.
Esophageal cancer can be curable, especially if detected early. The potential for a cure depends on factors such as the stage, location, and overall health of the patient.
The last stage of esophageal cancer, stage 4 or advanced/metastatic cancer, indicates spread to distant organs or lymph nodes. Palliative care focuses on symptom relief and improving quality of life.
Robotic surgery uses robotic arms and instruments controlled by a surgeon to perform minimally invasive procedures with enhanced precision, visualization, and dexterity.
The success rate of robotic surgery for cancer varies depending on factors such as cancer type, stage, surgeon expertise, and patient health. It has shown promising results in terms of improved outcomes and reduced complications.
Yes, robotic surgery is available in Dr. Harsh Shah’s Esophageal cancer hospital in India. Various hospitals and medical centers, including Apollo Hospital in Bhat, Gandhinagar, offer robotic-assisted procedures with specialized robotic surgery centers and trained surgeons.