This discussion resonates strongly with me. At 78, I am diagnosed with Stage 3 adenocarcinoma, with no apparent spreading beyond 2 layers of esophageal wall and a total blockage of my stomach necessitating a J-Tube and 17 hrs/day nutrition to maintain weight. We are fortunate to live near a comprehensive cancer treatment/research center featuring a highly experienced minimally invasive surgery program. I will start a chemo + radiation regimen in two weeks and will perhaps face the choice of surgery/no surgery others are discussing here. I am very active generally and enjoy home vegetable/fruit gardening on a fairly intensive scale. My best wishes to others who will face/have faced this decision, and especially those who report on their outcomes.