Esophageal Cancer Treatment in Bangalore
Cancer is one of the toughest battles of life. However, with the proper treatment, everything is possible. At MACS Clinic, Dr. Sandeep Nayak, one of the best surgical oncologists in India, offers world-class and personalized cancer treatment to each patient. He specializes in diagnosing and treating a broad spectrum of malignancies, including esophageal cancer.
Fighting cancer, whether esophageal or another type, can be exhausting, but it is never something you have to do alone. Dr. Sandeep Nayak is committed to assisting his patients regardless of their situation. At MACS Clinic, he endeavors to provide comprehensive and result-oriented esophageal cancer treatment in Bangalore, India.
Moreover, Dr. Sandeep Nayak has expertise in laparoscopic and robotic cancer surgeries. Thanks to these cutting-edge surgical techniques, cancer treatment in Bangalore is more successful and less invasive than ever before.
If you are looking for the most-effective esophageal cancer treatment in Bangalore, India, this article can help.
Dr. Sandeep Nayak
MBBS, MRCSEd, DNB (Gen Surg),
MNAMS (Gen Surg), DNB (Surgical Oncology),
Fellowship in Laparoscopic and Robotic Onco-Surgery.
Dr Nayak is one of the leading senior Surgical Oncologists (cancer surgeon) of Bangalore. He is one of the pioneers of Laproscopic (laparoscopic) cancer treatment (surgery).
Dr Bharath G.
MBBS, MS, M.Ch
- EDUCATION
MBBS from KIMS, Bangalore
MS from NHLMMC, Ahmedabad
M.Ch Surgical oncology from Tata Memorial hospital,Mumbai
- WORK EXPERIENCE
Assistant Professor in RRMCH, Bangalore
The Advantages Of Robotic & Laparoscopic Cancer Surgery Include
Least Pain and Discomfort
Less Blood Loss
Least Pain and Discomfort
Avoid Unnecessary Major Surgery
Quick Return to Normal Life and Work
Get All the Advantages of Robotic Surgery
Better Vision Quality for the Surgeon
Better Preservation of Pelivic Nerves maintaining the Sexual & Urinary Functions
Cosmetically better (Smallest Wound and Scars)
Least Wound Complications, Less Risk of Wound Infections After Colostomy.
Apart from above the advantages specific to esophageal cancer include
Symptoms And Diagnosis of Esophageal Cancer
Colonic cancers can come with anemia due to slow loss of blood or with obstruction to bowel. However, these symptoms occur only when the disease is infiltrated locally. Screening methods are available that can detect colonic and rectal cancer before symptoms appear (stage 0). When detected early, these cases can be cured with much simpler surgery.
Screening methods are available to detect esophageal cancer before symptoms appear (stage 0). These cases, if detected early, can be treated with much less invasive surgery. There are no early symptoms for esophageal cancer.
The most common symptoms that appear after the disease grows are:
Endosopic examination of the esophagus and stomach provides the tissue sample for confirmation of the cancer. After a thorough diagnosis, depending on the type and stage of cancer, Dr. Sandeep Nayak determines the most appropriate and effective esophageal cancer treatment in Bangalore, India.
What is Esophageal Cancer?
The esophagus, also known as the food pipe or gullet, is a muscular tube that connects the throat (pharynx) to the stomach. The oesophagus is around 40 cm long and passes from the neck to the abdomen.
The esophagus runs inside the chest, behind the windpipe (trachea), the heart, and in front of the spine. It is divided into three sections within the chest to facilitate treatment: upper, middle, and lower thoracic (chest) esophagus.
Just before entering the stomach, the esophagus passes through the diaphragm. Esophageal cancer develops from the innermost lining, the mucosa.
Esophageal cancer can occur in two forms adenocarcinoma and squamous cell carcinoma. Squamous cell carcinoma is more common in the neck, upper and middle thoracic portions of the esophagus, whereas adenocarcinoma is more common in the lower end.
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Surgery for Treatment of Esophageal Cancer
Dr. Sandeep Nayak, a competent surgical oncologist in Bangalore, India, has extensive experience performing cancer surgeries using minimally invasive procedures, resulting in shorter hospitalization and faster patient recovery.
The most common surgery utilized to treat esophageal cancer is esophagectomy (trans-thoracic esophagectomy, trans-hiatal esophagectomy, thoracoabdominal esophagectomy, etc.).
During the surgery, the doctor removes the esophagus. Then, the surgeon connects the remaining healthy part of the esophagus to the stomach so that the patient can swallow normally. Sometimes the stomach or a section of the intestine is used to make the connection. The surgeon also removes the lymph nodes surrounding the esophagus.
Based on the location of the tumour and the surgeon’s expertise, esophagectomy can be performed in various ways. Team MACS employs Video-Assisted Thoracoscopic Surgery (VATS), Minimally Invasive Esophagectomy, or Thoraco-laparoscopic Esophagectomy to achieve the best results. These surgeries can be performed more comfortably with the help of a robot.
Surgeries for Supportive Care
Palliative or supportive surgery may help patients eat and ease swallowing difficulties when curative surgery is not possible or is delayed due to chemotherapy or radiotherapy
- Feeding tube insertion (usually jejunostomy) is done so that a person can receive nutrition directly into the stomach or intestine. This procedure can be combined with staging laparoscopy in case of tumors of the lower esophagus or junction of the stomach and esophagus. This may be done before chemotherapy and radiation therapy to ensure that the patient can eat enough food to maintain their weight and strength during treatment.
- Put an esophageal stent into the esophagus (SEMS). An esophageal stent is a metal mesh device that is expanded to keep the esophagus open.
Staging & Treatment of Esophageal Cancer
Stage 0 & I
These cancers are limited to the innermost layer (mucosa) and the layer just deep to it but not reaching the muscle layer. At this stage, the cancer is usually not symptomatic. These are diagnosed mostly by chance (unless in a screening program). These are treated with endoscopic surgery or esophagectomy, depending on additional investigations.
Stage II
In most of these patients, surgery may be the initial treatment. Another option often opted for is giving chemotherapy with radiation therapy followed by surgery. However, surgery is the only treatment that can cure this cancer.
This increases the chance of cure but increases the risk of complications during and after surgery. The surgeon takes the decision based on the findings. Chemotherapy alone before surgery helps in some cases only.
