Oesophageal Cancer Treatment
Whether you are suffering from oesophageal cancer or not, you should know that it is a treatable disease and there are treatment options. The most common type of treatment for oesophageal cancer is chemotherapy, but other options include radiation and surgery.
Acid reflux causes oesophageal cancer
GERD, or gastroesophageal reflux disease, is a condition in which the acid from the stomach regurgitates up into the esophagus. The acid can lead to a burning sensation in the esophagus and other gastrointestinal symptoms. The condition can be treated with over-the-counter antacids and with prescription medications. If GERD is not treated, it can lead to a condition called Barrett’s esophagus. This condition is a precursor to esophageal cancer and can be prevented before it occurs.
Acid reflux is one of the main risk factors for esophageal cancer. The acid can damage the cells in the esophagus and cause them to become malignant. The risk is increased with age, obesity, smoking, and being overweight. The risk also increases with the presence of Barrett’s esophagus. If you are at risk for esophageal cancer, you may want to have regular endoscopies.
There are two types of esophageal cancer: adenocarcinoma and squamous cell carcinoma. Adenocarcinoma usually occurs in the lower part of the esophagus, while squamous cell carcinoma occurs in the esophagus’s flat, lining cells. In both cases, esophageal cancer symptoms are often associated with eating small amounts of food, smoking, and consuming alcohol. However, there are other factors that affect the risk of esophageal cancer, including the presence of a hiatal hernia, being overweight and smoking.
Acid reflux is a condition that occurs when the esophagus is exposed to stomach acid for an extended period of time. The condition occurs when the lower esophageal sphincter (LES), which prevents acid from backing up into the esophagus, is not tight enough. The LES can also be weakened by certain foods, such as dairy products and processed meats.
GERD is more common in people who are overweight, and it is also more common in men. It can be treated with lifestyle changes, such as quitting smoking and eating less processed food.
The most common type of esophageal cancer, adenocarcinoma, occurs in the mucosa of the esophagus, a long tube that carries food from the mouth to the stomach. Symptoms include pain when swallowing and a burning feeling in the chest. If you experience these symptoms, you should consult with your doctor.
Adenocarcinoma is the most common form of esophageal cancer and is often found in older men. It can also occur in women, although the risk is lower. It is often associated with smoking, alcohol consumption, and a diet rich in processed meats and sugary foods.
Squamous cell carcinoma, on the other hand, is a less common form of esophageal tumor. Squamous cell cancers are found in people who are overweight, have a history of smoking, and are prone to developing acid reflux. Squamous cell tumors are also associated with heavy alcohol consumption. However, the link between squamous cell cancer and acid reflux is not well established, and most studies have not yet tested the relationship.
Chemotherapy treatment
Depending on the stage of oesophageal cancer, treatment may include surgery, chemotherapy, and radiation therapy. Treatment is usually given in a series of sessions. The treatment plan is developed by a multidisciplinary team. The goal of advanced oesophageal cancer treatment is to control cancer’s symptoms and help the patient live longer.
Surgery may be used to remove cancerous tumors in the esophagus or in the mucosa surrounding the esophagus. The surgeon may also remove a margin of healthy tissue around cancer. Surgery also helps to reduce the risk of cancer coming back. Surgery can also be used as an adjunct to chemotherapy and radiation therapy.
Depending on the type of oesophageal cancer, chemotherapy may be given before or after surgery. Chemotherapy is given through a thin tube that passes down the throat. Chemotherapy drugs kill and slow cancer cells. Common chemotherapy drugs include capecitabine, docetaxel, fluorouracil, epirubicin, and cisplatin. Chemotherapy is given in cycles every one to three weeks.
Chemotherapy treatment for oesophageal cancer may include chemoradiation, immunotherapy, or targeted therapy. Cancer cells produce proteins that make it hard to recognize them. Targeted therapy destroys specific proteins in oesophageal cancer cells and is often used in combination with chemotherapy. Cancers that have spread to other parts of the body may also be treated with immunotherapy.
If oesophageal cancer has not spread to the deeper layers of the esophagus, surgery is usually the best option for treating cancer. This procedure is typically used to remove tumors that are located in the first layer of the esophagus. If cancer has spread to the upper part of the esophagus, chemoradiation may be used as the main treatment. This may be used to shrink cancer before surgery or to reduce the risk of cancer coming back.
Cancer may cause symptoms such as nausea, vomiting, and stomach pain. The goal of palliative care is to relieve these symptoms and provide support to the patient. In addition, there are new treatments that can reduce the symptoms and increase the chances of survival. These treatments can be used for both advanced and stage I cancer. If a patient is not healthy enough to undergo surgery, a feeding tube may be used to provide nutrition to the patient. Feeding tubes can be placed directly into the small intestine or stomach to provide nutrition.
There are many other treatment modalities used to reduce the symptoms and prolong the patient’s life. These treatments may include immunotherapy, targeted therapies, and radiation therapy. The treatment plan is developed based on the patient’s age, health, and stage of cancer.
Before beginning chemotherapy treatment, the patient should be given an examination and blood tests to make sure that cancer has not spread. The doctor will also work out the chemotherapy dose based on the patient’s weight and blood cell levels. A PET scan will also be performed to check whether the chemotherapy treatment is working. If the cancer is not responding to treatment, the doctor may change the medication.
Palliative care
Symptom management and care for oesophageal cancer patients is a critical part of cancer treatment. Patients with advanced cancer experience a loss of function, emotional effects, and loss of familiar daily habits. Moreover, they experience loneliness and a lack of continuity. For these reasons, health care professionals need to provide patients with practical and emotional support. They need to help patients reflect on their life with cancer and end-of-life care.
Oesophageal cancer is a deadly disease with a high rate of mortality. Its prognosis is poor, and its aggressive nature means that its treatment is challenging. Patients may experience symptoms that make them lose their appetite, lose weight, have difficulty breathing, and become weak. However, palliative care can relieve these symptoms, so patients can get back to living a normal life.
The goal of palliative care is to relieve symptoms and provide support for the patient and family. It may involve pain management, chemotherapy, radiation therapy, and medication. In addition, palliative care may include physical, emotional, and spiritual support.
Patients are encouraged to participate in clinical trials, which test new treatments or drug combinations. Some types of cancer may be treated with clinical trials, such as oesophageal cancer.
Patients with oesophageal cancer have to deal with symptoms, which may include pain, nausea, vomiting, and diarrhea. They may also have to undergo chemotherapy or radiation therapy, which may include a drug to destroy cancer cells. This may be prescribed by a medical oncologist. Other treatment options include surgery or cryotherapy, which destroys cancer cells by freezing them. In addition, patients may have to undergo intravenous fluids and antibiotics.
Patients with advanced oesophageal cancer are referred to a palliative care team. These doctors may perform clinical trials, but patients need to understand their options and decide what is best for them. They may also need to report side effects and problems. This helps doctors and nurses to treat them quickly.
Patients with advanced cancer often feel like they are excluded from the health system and are in need of support. Their care team must provide a holistic, individualized approach that is appropriate for their needs. They also need to feel supported in coping with emotional concerns and existential concerns. They need to know that they are valued and respected, and their healthcare professionals must help them preserve their dignity.
While living with oesophageal cancer can be challenging, it can be a source of relief, especially when the disease is curable. Several types of treatments are available, and patients can decide which ones work best for them. They may also need to undergo testing to see if their cancer has spread. These tests can also be used to check the function of the liver and kidneys.
While living with oesophageal adenocarcinoma can be difficult, patients can still live a full life, with the help of a palliative care team. They can learn breathing exercises and other special breathing techniques. They can also talk with their doctors about their treatment options, which may include surgery, chemotherapy, and radiation therapy.
Health Sources:
Health A to Z. (n.d.). HSE.ie. https://www2.hse.ie/az/
U.S. National Library of Medicine. (n.d.). https://www.ncbi.nlm.nih.gov/
Directory Health Topics. (n.d.). https://www.healthline.com/directory/topics
Health A-Z. (2022, April 26). Verywell Health. https://www.verywellhealth.com/health-a-z-4014770
Harvard Health. (2015, November 17). Health A to Z. https://www.health.harvard.edu/health-a-to-z
Health Conditions A-Z Sitemap. (n.d.). EverydayHealth.com. https://www.everydayhealth.com/conditions/