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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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Batra Hospital
Delhi, India
- More than 35 years of trusted healthcare service
- Multi-specialty tertiary care with over 30 departments
- Comprehensive preventive, diagnostic, and therapeutic care under one roof
- International patient coordination team for seamless overseas care
Sri Ramachandra Medical Centre
Chennai, India
2.9 ( 1 Reviews )
Sri Ramachandra Medical Centre located in Chennai, India is accredited by ISO, JCI, NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- The best minds in healthcare including specialists, and other healthcare professionals work together to treat patients with simple to complex and critical conditions.
- The number of inpatients and outpatients (annually) are 35,000 and 2,50,000 respectively.
- A wide range of surgical specialties, sub specialties are available in Sri Ramachandra Medical Centre Chennai.
- The bed capacity of the hospital is 800 which is inclusive of 200 Intensive Care Unit beds.
- Blood Bank and Eye Bank are available on a 24/7 basis.
Jaypee Hospital
Noida, India
Jaypee Hospital located in Noida, India is accredited by ISO, NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- 525 beds in the first phase
- 150 Critical Care beds
- 325 ward beds with Suite, Deluxe, Twin Sharing, and Economy options
- 18 Modular OTs
- 4 Cardiac Catheterization Lab with unqie Hybrid Operating Room
- 24 bedded Advanced Neonatal ICUs20 bedded Dialysis Units
- 2 Linear Accelerator (IMRT, VMAT, I
- GRT), Wide Bore CT Simulator, one Brachytherapy Suite
- True Beam STx Linear Accelerator
- 2 MRI (3.0 Tesla) with High-Intensity Focused Ultrasound
- 64 Slice PET CT, Gamma Camera, Dual Head 6 Slice SPECT CT
- 256 Slice CT Scan, CT Simulation
- Amongst the few GOLD LEED-certified hospital buildings in India
- Appointment Scheduling
- Flow motion 64 Slice PET CT technology
- Pick and drop facility from/to the Airport
- Foreign exchange facility
- Treatment packages
- Visa assistance
- Admission in the hospital
- Wi-Fi/internet service in the room
- Travel arrangement for patient & attendant after discharge
- Tele-consults after discharge
- Dedicated Guest House for International Patients maintained by Jaypee Hospital
- In-house translators for patient’s comfort
- Assistance in getting doctor’s opinion
- Registration with the Foreigners Regional Registration Office
- Accommodation arrangements after discharge
- Accommodation arrangement for the accompanying attendant
- Customized diet for patient and attendant
- Laundry services
- Prayer room
- Dialysis facility for 60 patients
- Cadaver organs
- Blood bank facilities
- Advanced Laboratory facilities
- Diagnostic and Radiology facilities
- High-end Ultrasound facilities
Aakash Healthcare Super Speciality Hospital
Delhi, India
Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- One of the biggest tertiary care hospitals in India
- Facility is fusion of state of the art technology, competent clinicians, and world-class infrastructure
- 230 beds
- 70 bedded medical and surgical and Critical Care Unit
- Ward Bed Options- Twin, Deluxe, Sharing and Economy
- Pneumatic Tube System
- Ambulance Services 24x7
- 15 Bedded dialysis unit
- Advanced Neonatal ICU
- Advanced imaging services, including magnetic resonance imaging, computed tomography scanning, digital mammography, ultrasound
- 8 modular OTs
- Flat Panel Cath Labs
- LASIK - SMILE Suite
- Wellness Lounge
- State-of-the-art diagnostic equipment
- 15 Dialysis beds
- 24x7 ‘Trauma & Emergency Center
- Dedicated blood bank
- 24x7 comprehensive patient care.
- Deployed high-end technologies & smart digital system
- Robust Hospital Information Systems to meet complex medical needs of patients
- Robotic assisted surgeries
- International Patients Lounge
- Airport Pick-up and Drop
- Accommodation and Food for Attendant
- Language Interpreter Services
- 4 triage beds, a dedicated sample collection room, 6 observation beds, and highly skilled emergency staff
- Robotic knee replacement surgery
- ATM
- Lounge for visitors
- Internet Access: The whole facility is Wi-Fi enabled
- Travel Desk: Provides an all-round patient care.
- 24x7 pharmacy
Aster Medcity
Kochi, India
- 670 bed facility
- 24 hours Emergency and Trauma Care
Aster Centres of Excellence
- Cardiac Sciences
- Orthopaedics & Rheumatology
- Neurosciences
- Nephrology & Urology
- Oncology
- Gastroenterology
- Integrated Liver Care
- Womens Health
- Child & Adolescent Health
- Multi Organ Transplant
- Diagnostic Technology used for increasing the efficiency of diagnostic procedures.
- Streamlined Application of Therapeutic Technology
- Minimal Access Robotic Surgery (MARS) which makes use of the da Vinci Surgical System is applied by the specialists in Aster Medcity, Kochi, Kerala.
- ORI Fusion Digital Integrated Operation Theatres which applies Karlstorz OR1 Fusion system.
- Completely digital Anesthesia facility
- Pharmacy which possesses completely Automated Drug Dispensing
Pushpawati Singhania Research Institute
Delhi, India
Pushpawati Singhania Research Institute located in New Delhi, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- Multi-bed hospital with state-of-art infrastructure
- Advanced medical equipment
- High-tech labs
- Modular operation theaters
- Cath labs with Clarity Platform, 128 channel CARTO 3 version 4 with ICE mapping facility, FD 10 Prucka 2D EP system
- High-end Intensive Coronary Care Unit
- Dedicated Pre-Post Cath Unit
- Multislice CT Scan, 1.5 Tesla MRI
- 24 *7*365 functional cardiac Cath lab & operation theatre
- Fifteen bedded Coronary Care Unit
- 3D, 4D Echo & Trans-oesophageal Echo, Non Invasive cardiology (Holter, TMT, Echo, 24hrs ambulatory BP Monitoring
- Radio Frequency Ablation like Complex Arrhythmia such as ischemic VT, AF with 3 D Mapping imaging
- RFA using ICE Intra-cardiac Echo
- Well-equipped inpatient and intensive care services
- Ultra-modern Blood Bank Facility
- Advanced Physiotherapy center, 24/7 Emergency &Trauma services
- Gastroenterology department equipped with Capsule endoscopy, Endoscopic retrograde cholangiopancreatography, Single balloon enteroscopy, High resolution esophageal and anorectal manometry, Endoscopic ultrasound, and hydrogen breath test
Sustained low-efficiency daily dialysis and Continuous Renal Replacement Therapy - Exhaled Nitric oxide (FeNO) and allergy testing for the management of asthma
- Conventional PAP/ Liquid PAP/ HPV-DNA test for the patients with the High risk of cervical cancer
Medicana Camlica Hospital
Istanbul, Turkey
4.2 ( 2 Reviews )
Medicana Camlica Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 150 bedded Hospital
- Specialty-based clinics
- Fully-equipped patient rooms
Memorial Sisli Hospital
Istanbul, Turkey
Memorial Sisli Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Operates in a closed area of 53,000 sqm
- Capacity of 252 beds
- 13 Operating rooms
- 4 Intensive Care Units (KVC, General, Coronary, Neonatal)
- 3 Laboratories
- Organ Transplantation Center
- IVF Center
- Genetic Center
- Stroke Center
- Breast Health and Disease Center
- Oncology Center
- Da Vinci Robotic Surgery Center
- Bone Marrow Transplantation Center
Hisar Intercontinental Hospital
Istanbul, Turkey
Architecture of the Hospital designed as per the comfort of patients-
- Consisting of 8 floors, 212 bed capacity
- 75m2 suite rooms
- 35 thousand m2 closed area
- 7 operating rooms
- 53 polyclinics
- 54 Departments
- Hotel-like patient rooms
- Intensive care units consisting of 33 beds
- Hyperbaric Oxygen Center inside the hospital
- PYXIS computerized medicine system working with fingerprint
- Social waiting areas
- Indoor and Outdoor Cafeterias & Restaurants
NMC Specialty Hospital
Abu Dhabi, United Arab Emirates
NMC Specialty Hospital located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 104 Patient Rooms/Wards
- 7 Operating Rooms
- Laboratory endowed with centrally computerized System
- 24-hour Emergency Department
- 24-hour Pharmacy
- 24-hour Ambulance Services
- Radiology Department offering state-of-the-art equipment, including MRI (1.5 Tesla), 64-slice spiral CT Scanner, 4-D Ultrasound with color Doppler, Bone Densitometry, Digital Mammogram with CAD System, and Digital X-Ray Systems with fully integrated PACS
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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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