EC-patients frequently need the services of a gastroenterologist whenever surgery is involved or when palliative treatment is needed in advanced cases.

Post Surgery

After an esophogectomy with gastric pull up, the joint between the stub of the esophagus and the remnant of the stomach (called the anastimosis) may constrict. This constriction frequently alarms EC-patients who think that the EC has returned. In some cases this is true but in far more cases, the anastimosis has developed scar tissue, or is slightly out of alignment or is bent and constricted for any of a number of reasons. Swallowing becomes restricted and possibly uncomfortable. This in turn may result in reduced food intake and weight loss. Opening the anastimosis (dilations) can greatly relieve these problems at very little additional risk or discomfort.

1. Can you explain how dilation opens the anastimosis? How much risk is there that it will tear the anastimosis?
2. How permanent are dilations? Can I expect to have a series of dilations? Will dilations be a permanent part of my life from now on?
3. Is there any sign of the tumor reoccurring? If so, have you taken a biopsy? When will I know the result? Who do I call for the result?
4. Will I need sedation? Will I be able to drive a car after the procedure? Will the procedure be done in your office or at a local hospital?

Palliative Treatment

5. Can you explain the various options I have for opening a wider passage in my esophagus such as radiation or chemical ablation versus simple dilation? How often can you dilate?
6. Will I need sedation? Will I be able to drive a car after the procedure? Will the procedure be done in your office or at a local hospital?