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Esophagectomy

At Lee Health, we provide expert care for esophageal cancer and related conditions through advanced procedures like esophagectomy. This complex surgery offers patients a new chance at improved health and quality of life, supported by our skilled surgical team and compassionate care.

An esophagectomy is a surgical procedure to remove part or all of the esophagus and the top portion of the stomach. The remaining stomach is reshaped into a tube and connected to the lower part of the esophagus, ensuring the digestive tract remains functional. Nearby lymph nodes are also removed as part of the procedure to ensure comprehensive care.

The Esophagectomy Procedure

The operation is conducted in two phases:

  • Abdominal Phase: The stomach is prepared to function as the new esophagus. A feeding tube (J-tube) is placed in the small intestine to provide nutrition during recovery.
  • Chest Phase: The tumor is removed, and the reshaped stomach is brought into the chest to connect with the esophagus. Chest tubes are inserted to drain fluid and air from the lungs.

What to Expect During Surgery

  • Duration: Surgery typically lasts 3-5 hours, including repositioning between the two phases.
  • Anesthesia and Pain Control: An epidural catheter is placed before surgery to manage pain during the first few days of recovery.
  • Hospital Stay: Most patients spend the first night in the intensive care unit (ICU) for close monitoring.

Recovery in the Hospital

Post-Surgery Care:

  • A nasogastric (NG) tube helps keep the stomach empty.
  • A urinary catheter (Foley) and chest tubes are in place to manage fluid and air.
  • Pain Management and Mobility:
  • Pain control and walking are prioritized from the first day after surgery.
  • Mobility reduces complications and accelerates recovery.

Nutrition:

  • Tube feeds through the J-tube begin as your digestive system shows signs of activity.
  • An upper GI test is performed on day 4-5 to ensure the esophagus-stomach connection is healing properly.
  • You will gradually transition from liquid to thicker diets.

Discharge and Life After Surgery

Patients are discharged when they can:

  • Drink enough liquids for hydration.
  • Manage pain with oral medication.
  • Maintain bowel function.
  • Feel confident in their recovery progress.

Nutrition:
You may rely on tube feeds for partial or full nutrition initially, with adjustments made during follow-up visits as your ability to eat improves.

Returning to Normal:
Recovery after esophagectomy takes time and effort, but most patients can eventually return to normal activities and enjoy a good quality of life.

Choose Lee Health

Our experienced surgeons use advanced techniques to perform esophagectomy with precision and care. We are committed to helping you recover safely and regain your health. From surgery to follow-up care, our team is with you every step of the way.

If you or a loved one is considering esophagectomy, contact Lee Health to learn more about your treatment options and how we can support you through your journey.