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 which can be completed with minimally invasive/robotic approaches in appropriate patients.
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 sometimes 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: The nerves of the abdominal wall are injected at the time of surgery and the nerves between the ribs are frozen to improve pain control early after surgery.
- Hospital Stay: Patients are admitted to a private room on our Oncology ward where they are closely monitored by experienced nurses.
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.
Esophageal Cancer Support Group
When facing a esophageal cancer diagnosis, it's crucial to have access to a support network and group. We are committed to being your trusted partner throughout your cancer journey, offering a wide range of services tailored to meet your unique needs.
-
Cancer Support Groups
Cancer support groups are gatherings that provide a secure environment for those impacted by the disease to talk about their feelings and experiences with other cancer patients.
Minimally Invasive Diagnostics
The interventional endoscopy team works closely with our system's cancer care providers. Our team helps diagnose patients by collecting tissue samples and closely staging GI tract malignancies. These procedures help doctors craft better treatment plans and manage early GI tract cancer cases.
-
Interventional Endoscopy Team
Lee Health's interventional endoscopy team has brought the latest therapeutic endoscopic procedures, devices, and technology to the Fort Myers area.
Our surgical oncology surgeons and specialists provide advanced cancer care close to home, using the latest techniques to deliver personalized treatment. Our goal is to help patients thrive with high-quality care, right here in Southwest Florida.
-
-
-
-
-
-
-
Ashley LaPierre PA-C
Lee Physician Group
Why 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.
