Source: Cleveland Clinic

During Surgery: The Day of Your Procedure

An esophagectomy usually takes around 3 to 6 hours. Before surgery, you’ll be given anaesthesia which will put you to sleep so you don’t experience any pain.

1. Depending on the type of oesophagectomy, your surgeon will make small cuts into your neck, chest, abdomen, or a combination to access your oesophagus.
2. Then, your surgeon will remove the diseased or damaged part of your oesophagus.
3. Your surgeon will pull up your stomach or small intestine up into your chest or neck area and reconnect it to the remaining oesophagus.
4. In some cases, the stomach may be reshaped into a tube to help with digestion.
5. A feeding tube (jejunostomy tube) may be placed into your small intestine to provide nutrition while you recover.
6. The incisions will be closed with stitches or staples and covered with dressings.
7. You’ll be moved to the recovery room, where your vital signs will be closely monitored as you wake up from anaesthesia.

After Surgery: The Road to Recovery

Recovery from an esophagectomy is a gradual process that requires patience and commitment. Initially, you’ll spend time in the intensive care unit where your medical team will closely monitor your vital signs and ensure you’re healing properly.

As you progress, you’ll move to a regular hospital room where you’ll begin the process of relearning how to eat and drink. Your care team will guide you through each step, from taking small sips of water to eventually eating solid foods again.

How long is the recovery after an oesophagectomy?

It may take 1 or 2 years to adjust to life after the surgery. However, everyone is different. Your condition prior to the surgery affects this recovery period.

Potential Complications

When to Seek Help

Call your care team if you experience:

• Worsening pain or fevers
• Warmth or redness around the incisions
• Weakness
• Shortness of breath
• Heart racing
• Diarrhea or black stools
• Burning in your throat
• Persistent cough
• Jaundice
• Trouble swallowing
• Uncontrollable weight loss

Get immediate medical attention if you:

• Have trouble swallowing or breathing
• Vomit blood
• Have severe pain (including chest pain)

Book an Appointment With Island Hospital Today

At Island Hospital, our oncologists, experienced nurses, and dedicated paramedical support are ready to guide you throughout your esophagectomy surgery.

From precise diagnostic testing to advanced treatments to compassionate support services, our Clinical Oncology and Haemato-Oncology Centre is fully-equipped to help you fight back against cancer.

Moreover, our Gastroenterology Centre provides comprehensive high-end care for a wide range of gastrointestinal disorders. We aim to provide the best treatment and care for your digestive system.

Schedule an appointment with our specialists today. Should you have any enquiries on the treatment, services, or facilities at Island Hospital, feel free to contact us.

FAQ

What is the bowel prep before esophagectomy?

Bowel preparation before esophagectomy usually involves dietary restrictions and the use of laxatives to clear the intestines. This reduces the risk of infection and complications if part of the colon is used to reconstruct the esophagus.

What is the most common cause of death after esophagectomy?

The most common cause of death after esophagectomy is respiratory complications, such as pneumonia or acute respiratory distress syndrome (ARDS). These issues often result from surgical stress, anesthesia, or pre-existing lung conditions.

What is a preoperative esophagectomy risk score?

A preoperative esophagectomy risk score is a clinical tool used to estimate a patient’s risk of complications or mortality after surgery. It considers factors like age, nutrition, lung function, and comorbidities to guide surgical planning and patient counseling.

What is the quality of life after esophagectomy?

Quality of life after esophagectomy often improves over time but may be affected by changes in eating habits, digestive issues, and fatigue. Most patients adapt well, especially with support from dietitians and rehabilitation programs.

However, it’s important to note that everyone’s experiences are different. Talk to your doctor about any concerns and questions.

What are the digestive problems after esophagectomy?

Common digestive problems after esophagectomy include difficulty swallowing, acid reflux, dumping syndrome, and early satiety. These issues arise due to changes in anatomy and can often be managed with diet modifications and medication.