Oesophageal Cancer: SYMPTOMS
Oesophageal Cancer: SYMPTOMS:
* Dysphagia
* Odynophagia (Pain when swallowing)
* Sensation of food sticking in the chest or throat
* Progressive from solids to liquids
* Vomiting or regurgitation of saliva or food
uncontaminated by gastric secretions
*Change in dietary habits
*Weight loss – correlates with dysphagia, diet changes,
tumour related anorexia
*Hiccups
Oesophageal Cancer: Treatment Side Effects
Oesophageal Cancer: Treatment Side Effects:
- Nausea/vomiting
- Taste changes
- Diarrhoea
- Constipation
- Oesophagitis
- Odynophagia
- Indigestion
- Fatigue
Stents: Dietary Management:
Stents: Dietary Management:
- No dietary intake for ~ 4 hours after insertion
- Frequent fluid intake whilst eating
- No evidence to support fizzy drinks, could cause
problems with acid reflux
-Modify education depending on:-
Extent of tumour
Ability to chew
Continuing dysphagia
Position/Posture of patient
Liquid→Soft/smooth→soft→normal
Chew well
Sit upright
Avoid rushing food
Plenty of fluids
Stenting has the risk of _________ perforation
Stenting has the risk of TUMOUR perforation
What is an oesophagectomy?
An oesphagectomy is the removal of part of the oesophagus. It is the main procedure performed in the treatment of oesophageal cancer.
What is Anastomosis?
Anastomosis is a surgical connection between two structures.
What can partial/total oesophagectomy/ oesophago-gastrectomy due to cancer lead to:
Partial/total oesophagectomy/oesophago-gastrectomy due to
cancer can lead to:
- Poor appetite & early satiety (if stomach involved)
- Nausea & reflux
- Dysphagia (anastomatic healing)
- Food aversions (pre-surgery scares)
