Surgical Procedures for Esophageal Cancer
- Reaction to anesthesia or other medications used during surgery
- Serious infections in the chest and/or abdomen
- Leakage from any of the surgical connections that have been made
- Subdiaphragmatic abscess—This refers to an accumulation of pus beneath the diaphragm as a result of intestinal leakage. It usually requires surgical drainage and intensive treatment with antibiotics.
- Anastomotic fistula—Leakage of air and infected material into the chest or abdomen occurring through an abnormal passage. This condition can be worsened by the presence of stomach acid. It requires surgical drainage with removal of all foreign material and intensive treatment with antibiotics.
- Adult respiratory distress syndrome (ARDS)— Prevents the lungs from adequately exchanging oxygen.
- Disseminated intravascular coagulation (DIC)—Abnormalities of blood clotting cause uncontrollable bleeding.
- Kidney failure
- Circulatory collapse—The heart and blood vessels may cease supporting blood pressure. Intensive treatment is required to keep organs and the patient alive until effective blood circulation can resume on its own.
- Sepsis—A potentially fatal systemic reaction to infection.
- Reaction to anesthesia or medication
Maintaining a Channel Through the Esophagus
- Laser fulguration through an endoscope—Tissue that is obstructing the passageway is burned away. This appears to be the most promising of these methods. The effectiveness and specificity of laser treatments can be enhanced by giving you certain chemicals that localize in the cancer tissue and make it more sensitive to the laser. This is called photodynamic therapy (PDT).
- Dilation of the esophagus by passing probes of increasing diameter through the narrowing passageway—This can be done either blindly or through endoscopy. Endoscopy is the insertion of a fiberoptic tube with a lighted tip (an endoscope) through the mouth and down through the gastrointestinal (GI) tract to allow the doctor to view the entire passageway from mouth to stomach.
- Tubular metal devices—These can be placed to bypass the tumor.
- Failure to open an adequate channel
- Perforation of the esophagus
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9/18/2007 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed.ebscohost.com/about/about-us: Küchler T, Bestmann B, et al. Impact of psychotherapeutic support for patients with gastrointestinal cancer undergoing surgery: 10-year survival results of a randomized trial. J Clin Oncol. 2007;25:2702-2708.
- Reviewer: Michael Woods, MD
- Review Date: 05/2015 -
- Update Date: 05/20/2015 -