Arrange for someone to drive you home from the hospital and to help you at home.
Eat a light meal the night before. Do not eat or drink anything after midnight.
Your doctor may ask you to:
Use an enema to clear your intestines
Follow a special diet.
Take antibiotics or other medicines.
Shower using antibacterial soap the night before the surgery.
will be used. It will block any pain and keep you asleep through the surgery. A tube will be placed in your windpipe to help you breathe.
Description of the Procedure
Depending on the area that needs to be removed, the doctor will make an incision in the neck or abdomen using one of these techniques:
One large incision (open procedure)—The doctor will locate the diseased area and remove it.
Several small incisions (robot-assisted procedure)—A tiny camera and small surgical instruments will be inserted through the incisions. Looking at the esophagus on a monitor, the doctor will locate and remove the diseased area.
A "replacement" esophagus will be formed with part of the stomach. The remainder of the esophagus will be attached to this new esophagus. In some cases, lymph nodes in the area will also be removed. One or more chest tubes will be placed to drain fluids.
Lastly, the incisions will be closed with stitches or staples.
How Long Will It Take?
About six hours
How Much Will It Hurt?
You will feel pain as the anesthesia wears off. Ask your doctor about medicine to help with the pain.
Average Hospital Stay
This procedure is done in a hospital setting. The usual length of stay is 1-2 weeks. Your doctor may choose to keep you longer if complications arise.
You will not be able to eat or drink anything during the first week after surgery. You will get nutrition through a feeding tube. Within 7-14 days, you will have a swallowing test to check for leaks. If there are no leaks, your diet will gradually progress from clear liquids to soft, solid meals. You will probably be able to return to a normal diet after about a month. Your stomach will be smaller, so you will need to eat smaller portions.
Your doctor will encourage you to walk every day. Avoid heavy lifting for 6-8 weeks.
You will also need to do deep breathing exercises. You may be given an incentive spirometer. This is a device to help you breath deeply.
Call Your Doctor
After you leave the hospital, call your doctor if any of the following occurs:
Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
Pain that you cannot control with the medicines you have been given
Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
Cough, shortness of breath, or chest pain
Constipation or diarrhea
Pain and/or swelling in your feet, calves, or legs
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a