Esophageal Cancer

Treatment is planned with oesophagectomy, neoadjuvant chemoradiotherapy and, where necessary, innovative gastric or colonic pull-up reconstruction, according to the level of the tumour and its stage.

• Patients with complaints of difficulty swallowing, food sticking and weight loss
• Those with a diagnosis of chronic reflux and Barrett's oesophagus
• Those in whom a suspicious lesion is detected at endoscopy
• Symptomatic individuals with a history of smoking and heavy alcohol use

1. 1

   Pre-Assessment & Diagnosis

   The diagnosis is confirmed and the stage of the disease clarified through a detailed history, physical examination and the necessary imaging and laboratory tests.

2. 2

   Planning & Preparation

   An anaesthesia consultation, bleeding profile and review of any accompanying conditions are carried out; a multidisciplinary council decision is taken when needed.

3. 3

   Procedure / Operation

   The procedure is performed with the technique most suitable for the patient (laparoscopic, robotic or open); tissue integrity and oncological principles are preserved.

4. 4

   Follow-up & Monitoring

   Early mobilization, pain control and wound monitoring are provided; suture removal and a general assessment check-up are planned after discharge.

After an oesophagectomy, eating habits are restructured; small meals and eating in an upright position are recommended.