Esophageal Cancer after Bariatric Surgery

Posted by snickers124 @snickers124, Apr 28, 2023

Has anyone developed Esophageal/Stomach Cancer and had Surgery, after they had a Ruex-n-Y gastric bypass... I had the gastric bypass 13 years ago, and now have cancer at the junction of the Esophagus and Stomach Pouch... What type of surgery did you have after the Radiation and Chemo... All replies needed for me to decide on surgery, or are there other options ???????

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@glowgirl22

Hi Snickers, I had a Roux-en-Y gastric bypass in 2017. I had a history of Barretts Esophagus for 30+ years with monitoring every 2 years. I had no other medical problems to complicate matters.
I was diagnosed in November2022 with adenocarcinoma of the esophagus. Stage 3. I had 28 radiation TX and 5 rounds of Chemo and on April 6,,2023 I had an Ivor-Lewis esophagectomy. I will admit the surgery and 10 day hospital stay was no day at the beach however I had an excellent outcome with a "complete pathological response" Meaning the combined surgery and therapies worked.. It is not an easy choice to make and I suggest you consider a major medical center for your surgery.
Yes the "j" tube is annoying but tolerable.
The surgeon and I both feel that the weight loss surgery was not a factor in my diagnosis.

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Hi Glowgirl. Thank you sooo much for your reply. It is the feedback that I needed. You mentioned selecting a major medical center. I selected a surgeon with Mayo, Jacksonville. ??

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@glowgirl22

Hi Snickers, I had a Roux-en-Y gastric bypass in 2017. I had a history of Barretts Esophagus for 30+ years with monitoring every 2 years. I had no other medical problems to complicate matters.
I was diagnosed in November2022 with adenocarcinoma of the esophagus. Stage 3. I had 28 radiation TX and 5 rounds of Chemo and on April 6,,2023 I had an Ivor-Lewis esophagectomy. I will admit the surgery and 10 day hospital stay was no day at the beach however I had an excellent outcome with a "complete pathological response" Meaning the combined surgery and therapies worked.. It is not an easy choice to make and I suggest you consider a major medical center for your surgery.
Yes the "j" tube is annoying but tolerable.
The surgeon and I both feel that the weight loss surgery was not a factor in my diagnosis.

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Where was your surgery done?

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My surgery was done at Johns Hopkins Hospital in Baltimore. Dr Steven Broderick and Dr Richard Batterferano.

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@snickers124

Hi Glowgirl. Thank you sooo much for your reply. It is the feedback that I needed. You mentioned selecting a major medical center. I selected a surgeon with Mayo, Jacksonville. ??

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Good choice. Make sure that your surgeon explains the procedure to you. Some of it sounds scary but it is better to know what you are up against. Also, because you have had the bariatric surgery, you have a good idea of how to eat "small" and controlling your intake.

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@snickers124

That’s kinda what I figured. This is one of the reasons I’ve not committed to surgery until now.

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I’ve had the surgery and the feeding tube was removed 3 months after surgery. My advice is don’t be concerned with the feed tube as part of your surgery decision. Ive been a cancer free survivor for 18 months now and face having the j tube back in to gain weight and nutrients. Hoping your treatment goes well anymore questions happy to share my experience

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@dsh33782

@snickers124 Welcome. I was diagnosed with esophageal cancer last August when a cancerous tumor was found in my lower esophagus. The docs decided to start with chemo, and after 3 treatments, the tumor has shrunk 40%. I have since had 28 treatments of radiation and chemo, and am hoping for a report that the cancer is now gone following endoscopy and PET scan next week. I would be happy to answer any questions you may have about my experience. Let me know if I can help answer questions about side affects etc?

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I had difficulty swallowing, left it a long time before I went to a doctor. Was diagnosed with esophageal cancer stage 3. This was at the very top of the esophagus. I wasn’t able to have surgery because it would’ve been too close to my voice box etc. I had lots of radiation and chemo. This is now in the past about 7 years ago.

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Good morning, so did you lose a lot of weight to where you were at the point where you couldn’t even drink liquids either my dad‘s going through this he finally goes and sees the oncologist today for the first time because he is just very very tired and stuff has lost so much weight

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@bmccord44

Good morning, so did you lose a lot of weight to where you were at the point where you couldn’t even drink liquids either my dad‘s going through this he finally goes and sees the oncologist today for the first time because he is just very very tired and stuff has lost so much weight

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When I was going through the symptoms of having problems swallowing liquids and solids, I did lose a few pounds but not that much. At some point I developed a very bad cold that wouldn’t go away, constantly blowing my nose and a very sore throat. It went on for over 6 weeks. I have always been in the medical field, and I had the terrifying feeling that I must have EC. I had so much denial. I finally went to an ENT for my cold, because I still was in deep denial about the swallowing. When everything he prescribed didn’t get the cold to go away, he finally wrote the order for scans and biopsy. All this happened in 2016. Three years after this ordeal started I was told that I was cured. I have not had any problem since then and I am through with all the surveillance exams. What I am left with his peripheral neuropathy in my hands and fingers and lower forearms. Also my voice was hoarse for about four years. Best of luck to your daddy

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