Our Summary

This study looked at the outcomes for patients aged 80 and above who underwent a certain type of surgery called Minimally Invasive Esophagectomy (MIE) for esophageal cancer. The researchers reviewed data collected over four years, during which 184 of these surgeries were performed. Of these, 12 were on patients aged 80 or above. The results showed that the surgery was generally safe for this age group, with no deaths occurring within 30 or 90 days of the operation. Some patients did experience complications like chest infections, leakage from where the esophagus was connected back together, and irregular heart rhythms. However, the benefits of the surgery seemed to outweigh these risks, as patients lived for an average of over a year after the operation. Therefore, the study concludes that this type of surgery should be considered as a treatment option for esophageal cancer in patients aged 80 and above.

FAQs

  1. What is the Minimally Invasive Esophagectomy (MIE) surgery for esophageal cancer?
  2. What kind of complications can patients aged 80 and above experience after undergoing MIE surgery?
  3. How long did patients live on average after undergoing MIE surgery for esophageal cancer in this study?

Doctor’s Tip

One helpful tip a doctor might give to a patient about esophagectomy is to follow a strict diet plan after the surgery. This may include starting with a liquid diet and gradually progressing to soft foods and eventually solid foods as tolerated. It is important to eat small, frequent meals to prevent any discomfort or complications. Additionally, it is crucial to stay hydrated by drinking plenty of fluids throughout the day. Following a nutritious diet can aid in the healing process and promote overall health and well-being.

Suitable For

Patients who are typically recommended esophagectomy are those with esophageal cancer that has not spread to other parts of the body, and who are otherwise healthy enough to undergo surgery. In this particular study, patients aged 80 and above were considered for esophagectomy, showing that even older patients can benefit from this type of surgery. Additionally, patients with conditions such as Barrett’s esophagus, severe gastroesophageal reflux disease (GERD), or other benign conditions of the esophagus may also be recommended esophagectomy in certain cases. Ultimately, the decision to recommend esophagectomy will depend on the individual patient’s overall health, the stage of their cancer, and other factors that may impact the success of the surgery.

Timeline

Before esophagectomy:

  • Patient is diagnosed with esophageal cancer and undergoes various tests and consultations with healthcare providers
  • Patient and medical team discuss treatment options, including surgery
  • Patient undergoes pre-operative preparation, which may include imaging tests, blood work, and other evaluations
  • Patient may need to make lifestyle changes and follow a specific diet in preparation for surgery

After esophagectomy:

  • Patient undergoes the surgical procedure, which involves removal of part or all of the esophagus
  • Patient stays in the hospital for a period of time to recover and receive post-operative care
  • Patient may experience side effects and complications such as pain, difficulty swallowing, and infection
  • Patient undergoes post-operative follow-up appointments and may receive additional treatments such as chemotherapy or radiation therapy
  • Patient gradually recovers and adjusts to life without a full esophagus, including changes in diet and eating habits

Overall, the patient’s journey before and after esophagectomy involves a significant amount of preparation, treatment, and recovery, with the goal of improving their quality of life and potentially extending their lifespan.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with esophagectomy, particularly for patients aged 80 and above?

  2. How will my recovery process look like after undergoing an esophagectomy? What can I expect in terms of pain management, rehabilitation, and returning to normal activities?

  3. Will I need any additional treatments, such as chemotherapy or radiation therapy, following the surgery?

  4. What is the success rate of esophagectomy for patients in my age group, and how does it compare to other treatment options?

  5. How many esophagectomy procedures have you performed, and what is your experience and success rate with patients in my age group?

  6. Are there any specific lifestyle changes or dietary modifications I should make before or after the surgery to improve my outcomes?

  7. What are the long-term effects of esophagectomy, and how will it impact my quality of life in the years following the procedure?

  8. How frequently will I need to follow up with you after the surgery, and what signs or symptoms should I watch out for that may indicate complications or a need for further treatment?

  9. Are there any clinical trials or newer treatment approaches that I should consider for my esophageal cancer, in addition to or instead of esophagectomy?

  10. Can you provide me with any additional resources or support services that may help me navigate the decision-making process and recovery journey associated with esophagectomy?

Reference

Authors: Sdralis E, Davakis S, Syllaios A, Mpaili E, Lorenzi B, Charalabopoulos A. Journal: J BUON. 2020 Jan-Feb;25(1):520-526. PMID: 32277678