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Esophagectomy is a major surgery that removes a portion or all of the oesophagus, typically for oesophageal cancer or cancer of the gastro-oesophageal junction (GEJ). Additionally, it might be advised in some non-cancer disorders including advanced Barrett's oesophagus with high-grade dysplasia, infrequently for non-malignant strictures, or in emergency scenarios like severe esophageal damage or perforation.
Consult a professional if you have progressive difficulty swallowing (dysphagia), particularly with solid foods, unexplained weight loss, chronic reflux/heartburn that is not eased by medication, regurgitation or vomiting, or chest pain/discomfort while swallowing. Additionally, if you get prolonged hoarseness, a chronic cough, blood in your vomit, or black stools, you should get medical help.
Esophagectomy preparation consists of a complete medical fitness assessment, endoscopy with biopsy, CT/PET-CT staging, and, in some cases, EUS, as well as heart testing (ECG/echo), lung function tests (PFT), and blood tests for liver and kidney function.
Esophagectomy is a general anaesthetic procedure that involves removing the diseased section of the oesophagus, as well as any adjacent lymph nodes. The digestive tract is then rebuilt by making a new link (anastomosis) with the residual oesophagus, typically with a stomach pull-up (and in certain circumstances, colon interposition). A feeding tube (jejunostomy) may be inserted to provide nourishment during recovery, and it may be carried out via minimally invasive thoracoscopic/laparoscopic, abdominal–chest, or abdominal–neck techniques.
Depending on the surgical technique (open vs. minimally invasive), the intricacy of the condition, and whether reconstruction is necessary, an esophagectomy typically takes four to eight hours.
A major surgical procedure is an esophagectomy. Among the potential issues are:
- Bleeding
- Infection (pneumonia, chest wound infection)
- Anastomotic leak (surgical connection leak)
- Breathing difficulties brought on by lung involvement
- Damage to the vocal cord nerve (hoarseness)
- Clots of blood (DVT/PE)
- Narrowing at the anastomosis, or stricture
- Acid reflux and problems swallowing
- Delayed emptying of the stomach
- Chronic nutritional deficiencies
Esophagectomy has several significant advantages, including being a curative therapeutic option for resectable esophageal cancer, removing diseased tissue and thereby lowering the chance of cancer spread, and facilitating swallowing and food transit. It can improve general quality of life after recovery and boost long-term survival in appropriate cancer situations.
Depending on the patient's health, recovery usually entails ICU monitoring for one to three days, followed by an overall hospital stay of seven to fourteen days (longer if complications occur). Pain management, chest physical therapy, and a stepwise eating schedule-beginning with tube feeding, moving on to liquids, soft foods, and finally normal intake-are all part of post-operative care.
The success of an esophagectomy is determined by factors such as cancer stage, the patient's lung function and overall health, hospital and surgeon experience, early diagnosis, and suitable treatment planning. Esophagectomy can offer excellent long-term survival benefits in early and locally advanced cases when paired with chemo-radiotherapy when necessary, particularly in highly specialised centres.
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Medicana Konya Hospital
Konya, Turkey
Medicana Konya Hospital located in Konya, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Providing services in a closed area of 30.000 m2
- It has a total of 80 physicians (including 32 specialist physicians), 37 academicians, 8 practitioners, 1 psychologist and 2 Dieticians
- General and Neonatal Intensive Care Units
- Total bed capacity for 223 beds with 49 in general intensive care, 7 in cardiovascular surgery intensive care, 9 beds in coronary intensive care unit, 41 in NICU and 117 service beds
- Operating rooms are equipped with the latest medical technologies & state-of-the-art equipment like IT, MRI (1.5 Tesla), Mammography, Ultrasonography, etc.
- Laboratories and Imaging Units
- UHA Unit for International Patients
- Pharmacies on Duty
- Hospital rooms are categorized as Standard rooms and Suite rooms
- Rooms are fully equipped with basic needs of a patient and their relatives, like TV, Mini Fridge, Nurse call system, telephone, central air conditioning ventilation system, etc.
- 24-hour cafeteria
- Parking lot
- Mens & Womens Place of worship
NMC Royal Hospital, DIP
Dubai, United Arab Emirates
2.9 ( 4 Reviews )
NMC Royal Hospital, DIP located in Dubai, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The hospital has a total area of 17,695 sq. meters
- 73 beds in VIP suites, Private rooms and Sharing rooms
- 40 Consultation rooms
- 4 Operation Theatres
- 1 Labour room
- 2 Delivery rooms
- ICU with Isolation bed
- Neonatal Intensive Care Unit with Isolation bed
- Emergency with Isolation bed
- 24x7 Ambulance service
- 24x7 Community Pharmacy
- 24x7 Emergency Services
- Parking for visitors and patients
- Outpatient services
- Nursery
NMC Specialty Hospital - Al Ain
Abu Dhabi, United Arab Emirates
NMC Specialty Hospital - Al Ain located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Capacity for more than 82 beds
- 7 Intensive Care beds
- 13 Nursery beds
- A well-equipped laboratory where tests are carried out by a centralized computerized system
- The hospital has tied up with Biomnis, France for rare investigations and tests not available locally
- Radiology Department with cutting-edge technology- a patient friendly open MRI (1.0 tesla), 64-Slice Spiral CT Scanner, 4-D Ultrasound with Color Doppler, Bone Densitometry, Mammogram, and Digital X-Ray systems backed by a fully integrated PACS system
- 24-hour Emergency Clinic
- 24-hour Ambulance Services
- 24-hour New Medical Center Pharmacy
- 100+ Doctors
- 350+ paramedical personnel and nursing staff
Medicana Bursa Hospital
Bursa, Turkey
Medicana Bursa Hospital located in Bursa, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Covers an indoor area of 40,000 sqm
- 22-storey building
- Capacity of 300 beds (100 intensive care beds and 200 single rooms)
- Intensive care units with general intensive care units (reanimation)
- Operating rooms are available for all kinds of surgeries
- Cardiovascular surgery ICU
- Neonatal ICU (NICU)
- Coronary ICU
- Emergency room
- Bursa Hospital provides a 5-star hotel comfort to its patients and their relatives
- Cinema and Conference hall with Medical explanations
- Rest areas
- Cafeteria
- Game and Hobby sections for children
- Dining room (designed for 1000 employees)
- Terrace Rest Area
Shanti Mukand Hospital
Delhi, India
5.0 ( 1 Reviews )
Shanti Mukand Hospital located in New Delhi, India is accredited by ISO, NABH. Also listed below are some of the most prominent infrastructural details:
- Most medical and surgical disciplines are covered in the hospital in terms of treatment.
- The diagnostics of the hospital are up to date with the latest technologies in a specialised dedicated wing called as SMH Imaging Center.
- Some important specialties available in the hospital are Orthopedics, Oncology (SMH Cancer Center), Neurology, Cardiac Care, Pediatrics etc.
- Physiotherapy services are available for patients.
- There is a specific Dialysis unit known as SMH Dialysis Center.
- There is a bed capacity of 200.
- Modular Operation theatres as well as provisions for minimally invasive procedures.
- Critical care and emergency care departments are also present.
VPS Lakeshore Hospital
Kochi, India
VPS Lakeshore Hospital located in Kochi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- Advanced hi-tech healthcare facility
- Innovative diagnostic & therapeutic medical technologies
- Diagnostic endoscopy of nose, esophagoscopy, Laryngoscopy, Bronchoscopy
- Cardiac department- Coronary Artery Bypass Grafting, Total Arterial Coronary Revascularization, Heart Valve Repairs and
- Replacements, Surgery for Heart Failure, Intracardiac Repair of Congenital Anomalies of the Heart, Surgery for Atrial Fibrillation
- Neurosurgery department: Keyhole Surgery for disc & other spine disorders, such as Spine Tumors, Navigation-guided, and Endoscopic Brain Tumor Surgery, Minimally invasive Brain Surgery, Advanced Head Injury Management with the ICP Monitoring
- State-of-the-art-hemodialysis Units
- Kidney Transplantation is done with Laparoscopic Donor Nephrectomy
- 24 hour rapid TAT team equipped with four specialists have increased survival and decreased patient morbidity
- Joint preservation techniques include autologous chondrocyte implantation
- Cutting edge operation theaters & world-class transplant ICUs
- Urology department: 3D Laparoscopy, Minimally Invasive Surgery, Ureteroscopy, RIRS, Endourology: PCNL
- Objective swallowing evaluation services such as functional endoscopic evaluation of Swallowing & Video Fluoroscopic Swallow
Acibadem Bakirkoy Hospital
Istanbul, Turkey
Acibadem Bakirkoy Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- This hospital has as many as 102 beds with intensive care beds (27), operating theatres (7).
- There is also one heliport in the hospital that is used for the purpose of emergency transfer within the hospital.
- The operating theatres as well as inpatient facilities have been upgraded vis. a vis. technology and infrastructure in the year 2008 and 2009 and both outpatient as well as inpatient were upgraded as recently as in the year 2017.
- A very well developed Neonatal Intensive care unit.
- Some popular specialties and departments of Acibadem Bakirkoy Hospital, Istanbul, Turkey are Cardiology, Dermatology, Endocrinology, Family medicine, Gastroenterology, Nephrology, Neurology and Oncology.
Acibadem Hospital Taksim
Istanbul, Turkey
0.5 ( 1 Reviews )
Acibadem Hospital Taksim located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- With 93 beds, 6 operating theatres, Acibadem Hospital, Taksim, Istanbul, Turkey is a well equipped healthcare facility.
- It has exceptional infrastructure which is at par with the best in the world.
- The ICU of this hospital comprises 10 beds, which is inclusive of isolation room beds (2).
- Also, when we talk of Neonatal ICU, it consists of 7 beds inclusive of an isolation room bed.
- Robot-assisted Surgery and Radiology departments are a sign of the technological advancement in the hospital.
- The Physical Medicine and Rehabilitation department ensures a seamless transition through the recovery period.
Acibadem Maslak Hospital
Istanbul, Turkey
Acibadem Maslak Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Beds are 210 in number including 27 intensive care beds with 15 sterile operation rooms, and 9 advanced-level rooms
- Smart building technology of the hospital
- Number of doctors in this hospital are 170.
- Thyroid Clinic, Stroke Center, Obesity Clinic, Reproductive Health Center, and a fully equipped radiotherapy center are all the additional facilities present in the Acibadem Maslak Hospital, Istanbul, Turkey.
- There is also a seamlessly operating International Patient Center which enables functions like registrations, orientations, admissions, presenting medical information to International patients, appointments, visa, travel, transfer and accomodation arrangements.
- Translation and interpreter services are available as is multilingual staff.
- The hospital has moved with the times and all its systems are electronically upgraded.
Acibadem Fulya Hospital
Istanbul, Turkey
Acibadem Fulya Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The hospital has cutting edge infrastructure and all latest amenities.
- Equipment like Whole body MR scanner, 4D Ultrasound system for Breast Cancer screening, 3D Imaging and Navigation System for Prostate Biopsy, Posturography (Balance) Device, and EBUS.
- Everything that makes healthcare delivery a 360* process is present in Acibadem Fulya Hospital, Istanbul, Turkey like diagnostic services, insurance, language interpretation services, travel and lodging arrangements.
- Clinic Laboratory, Dialysis, Gastrointestinal Endoscopy Laboratory, Pulmonary Function Laboratory, Radiology and Sleep Laboratory are also present.
- Intensive Care Units (ICU) are also available in the Acibadem Fulya Hospital, Istanbul, Turkey.
- There are many popular specialties and departments present in Acibadem Fulya Hospital, Istanbul, Turkey, which is a multidisciplinary healthcare organisation. Some are Cardiology, Neurology, Cardiology, Cardiovascular Surgery, Dermatology, Ear, Nose and Throat (Otolaryngology) etc.
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+99Process Involved for Esophagectomy
- Endoscopy, biopsy, CT/PET, and staging
- Tumour board multidisciplinary evaluation
- Optimising diet and pulmonary rehabilitation prior to surgery
- Neoadjuvant radiation or chemotherapy, if applicable
- Surgery for an esophagectomy
- ICU and the healing process after surgery
- Progression of the diet, rehabilitation, and monitoring
- Depending on the pathology result, adjuvant therapy may be necessary.
- Esophageal cancer (adenocarcinoma/squamous cell carcinoma)
- Cancer of the gastro-oesophageal junction
- Barrett's esophageal severe dysplasia (selected cases)
- Rarely, complicated esophageal injuries or strictures
Esophagectomy types include:
- Esophagectomy Transhiatal
- Transthoracic Esophagectomy
- Three-phase esophagectomy (McKeown)
- Esophagectomy by Ivor Lewis
- Esophagectomy with Minimal Invasion (MIE)
- Esophagectomy with robotic assistance
International patients typically need the following in order to receive treatment in {country}:
- A valid visa and passport
- Reports on verified diagnoses (biopsy, scans)
- Records of medical fitness
- Informed consent forms that have been signed
- Approvals for insurance (if applicable)
A patient might be eligible for esophagectomy if:
- Without distant metastases, cancer is localised and treatable.
- Both general anaesthesia and major surgery are appropriate for this patient.
- Sufficient lung and cardiac health
- Nutritional status can aid in healing.
- Biopsy and endoscopy
- Placement of a feeding jejunostomy
- Separation of lymph nodes
- Chemotherapy/radiation
- Stricture dilatation (if necessary later)
- Provides the best probability of cure in resectable instances.
- Enhances the ability to swallow following recuperation
- Allows for precise lymph node evaluation staging.
- Increases survival when paired with cancer treatment.
After esophageal surgery, patients can expect:
- Progressive improvement in feeding and swallowing
- Dietary adjustments are required (small, frequent meals)
- Potential drugs for reflux management
- Frequent monitoring for recurrence (if cancer-related)
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