Max Hospital, Patparganj, New Delhi
Elevate Health Solutions, Rajouri Garden, New Delhi
Max Hospital, Vaishali, Ghaziabad
Specialised care for oesophageal cancer / food-pipe cancer with minimally invasive androbotic surgery,personalised protocols & multidisciplinary support in Delhi NCR.
Esophageal cancer is a disease in which malignant (cancer) cells form in the tissues of the esophagus. Smoking, heavy alcohol use, and Barrett esophagus can increase the risk of esophageal cancer. Signs and symptoms of esophageal cancer include: difficulty in swallowing (dysphagia), weight loss, heartburn, coughing or hoarseness. What treatments you receive for esophageal cancer are based on the type of cells involved in your cancer, your cancer's stage, your overall health and your preferences for treatment. Surgery is the most common treatment for cancer of the esophagus. Part of the esophagus may be removed in an operation called an esophagectomy or upper portion of stomach may also need to be removed (esophagogastrectomy).Chemotherapy drugs are typically used before (neoadjuvant) or after (adjuvant) surgery in people with esophageal cancer. Chemotherapy is often combined with radiation therapy. Targeted drug therapy or immunotherapy are also used to fight esophageal cancer.
Contact Info: +91-9868352888 | +91-9971449288
The oesophagus (food-pipe) carries food from the throat to the stomach. Cancer of the oesophagus arises when abnormal cells in this tube grow uncontrollably, impacting swallowing, leading to symptoms such as difficulty swallowing, weight loss or persistent heartburn. Early detection significantly improves outcomes.
Dr Vivek Mangla completed his MBBS & MS at Maulana Azad Medical College and MCh in GI Surgery at AIIMS, New Delhi. He has undergone training in advanced laparoscopic and robotic GI-oncology surgery in the UK and USA. With more than two decades of experience, he combines technical expertise with compassionate patient-centred care.
Treatment for food pipe cancer is possible. It is most effective when the disease is detected at an early stage. Timely treatment using advanced medical technologies plays a crucial role in controlling and potentially curing the cancer even in stage III esophageal cancer. However, if esophageal cancer is diagnosed in Stage IV, the chances of a complete cure are significantly lower. The patient's age and overall health also play an important role in determining the treatment outcome. Today, several advanced treatment options are available, including surgery, chemotherapy, radiation therapy, targeted therapy, and immunotherapy, which can help treat and manage esophageal cancer effectively.
Although food pipe (esophageal) cancer does not spread rapidly in every case, it can progress quickly in some patients. If the cancer is not detected early and treatment is not started on time, the risk of it spreading increases significantly. When diagnosed at an advanced stage, especially Stage III or Stage IV, it may spread rapidly to nearby tissues, lymph nodes, and other organs. However, if detected in Stage I or Stage II, timely treatment can help prevent its spread. Common symptoms of esophageal cancer include difficulty in swallowing, unexplained weight loss, and a sensation of food getting stuck while swallowing. If any of these symptoms occur, it is important to consult a specialist immediately so that appropriate treatment can begin without delay.
Several advanced treatment options are now available for food pipe (esophageal) cancer, and the most appropriate treatment is selected based on the patient's condition. Depending on the stage of the cancer, the patient's age, overall health, and other clinical factors, treatment may include robotic surgery, minimally invasive surgery, immunotherapy, targeted therapy, and precision medicine besides chemotherapy and radiotherapy. Before choosing any treatment approach, it is essential to consult a cancer specialist and undergo appropriate diagnostic tests. Following the recommended treatment plan and continuing regular follow-up care as advised by the specialist are equally important for achieving the best possible outcome and recovery.
Difficulty in swallowing does not necessarily indicate cancer; it can also be caused by other common ailments. A thorough examination is required to accurately diagnose the condition, and only after consulting a specialist can it be determined whether or not it is cancer of the food pipe. However, if the difficulty in swallowing is accompanied by rapid weight loss, persistent pain during swallowing, or the problem persists for a long time, these could be symptoms of cancer. It is essential to seek expert advice before drawing any conclusions.
Robotic surgery is considered a modern and effective treatment approach that has proven beneficial in the management of cancer. It is also regarded as an excellent treatment option for food pipe (esophageal) cancer. The procedure involves smaller incisions, less blood loss, reduced pain, and a comparatively faster recovery. If the cancer is detected at an early stage, robotic surgery can effectively remove it and may help reduce the risk of recurrence. Although robotic surgery is designed to minimize the risk of complications, no surgical procedure is completely complication free. Therefore, it should always be considered based on the advice and recommendation of a qualified specialist.
After food pipecancer surgery, patients need to pay the greatest attention to their diet and lifestyle. They should avoid spicy, fried, oily, very hot, or hard foods, as well as alcohol and smoking. Meals should be consumed only as advised by the doctor, and all prescribed medications should be taken regularly. For initial few days, patients should avoid excessive physical exertion and refrain from lifting heavy weights. Additionally, it is essential to follow all the precautions and post-operative instructions provided by the treating doctor to ensure a smooth recovery.
It is not necessary that every food pipe (esophageal) tumor is cancerous. Only some tumors are malignant. Whether a tumor is cancerous or benign can only be determined through proper medical evaluation and diagnostic tests. If a patient experiences sudden weight loss, difficulty swallowing, or persistent pain, they should consult a doctor immediately. Ignoring these symptoms can lead to serious complications, so timely diagnosis and appropriate treatment are essential.
It is difficult to accurately predict how long an individual patient will live after treatment for food pipe (esophageal) cancer. Survival depends on several factors, including the stage of the cancer, the patient's age, and overall health, response to treatment, diet, medications, and physical well-being after treatment. If the cancer is detected at an early stage, timely and appropriate treatment significantly increases the chances of recovery and long-term survival. On the other hand, if the cancer is diagnosed at an advanced stage, the chances of successful treatment are considerably lower. Therefore, it is best to begin treatment under the care of an experienced specialist as soon as the disease is diagnosed.
After food pipe (esophageal) cancer surgery, patients need to pay the greatest attention to their diet and lifestyle. They should avoid spicy, fried, oily, very hot, or hard foods, as well as alcohol and smoking. Meals should be consumed only as advised by the doctor, and all prescribed medications should be taken regularly. Patients should undergo routine follow-up check-ups on time and stay in regular contact with their doctor. They should avoid excessive physical exertion and refrain from lifting heavy weights. Additionally, it is essential to follow all the precautions and post-operative instructions provided by the treating doctor to ensure a smooth recovery.