Esophagectomy: What is life like Afterwards?

Posted by bakerwd4 @bakerwd4, Jul 28, 2024

Hello, my dad was diagnosed with esophageal cancer in March. His tumor is very small and isolated, thankfully! He has been a champ and has finished chemo and radiation. His esophagectomy is scheduled in a couple of weeks. He and the rest of my family are starting to feel the fear and reality of this procedure. My dad's not a big talker but I know he is scared. I would love to connect with others to learn about what life has been like after this surgery so I can help support my dad. I am also hoping to get him involved with some support groups with others who have experienced the surgery. It would be so beneficial for him to connect with others who have been through what he is going through. Any insight on post-surgery recovery and life would be very appreciated!

Interested in more discussions like this? Go to the Esophageal Cancer Support Group.

You may have missed my posts about post surgery coughing? I too had Esophagectomy surgery last December. Mine was at UCLA. I developed a dry, persistent cough that worsened as time went on, so four weeks post surgery my surgeon recommended re-admission to the hospital for a CT scan. The scan showed a lot of fluid surrounding my left lung. The inserted a drain in my left side (a fairly simple procedure, not requiring general anesthesia), and over the next two days more than a liter of fluid drained out. The cough was gone as soon as the fluid was gone, and I have had no recurrence. I would make sure your husband’s team looks at whether he has fluid in his chest cavity. Good luck to you both.

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Does anyone have a cough after going through chemotherapy & radiation as well as surgery? My husband’s surgery was back in December. He has never gotten rid of the cough. Last visit he was told he is cancer free. Scans coming up soon and I’m feeling a little uneasy.

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Hello from Tasmania, Sorry to hear about your father’s illness - it’s a worrying time for all family members. On the positive side, it sounds like his cancer has been picked up early before invading surrounding tissue and metastasising. The best situation from a prognosis point of view.
I’m 2 years post surgery and while life is different, it’s actually pretty good. It seems that everyone has their own story to tell which no doubt reflects a wide range of treatment after effects and outcomes. There’s no getting away from the fact that an esophagectomy is a very invasive procedure that will involve extended recovery time, the first month or so being the toughest. However, it’s nothing people can’t manage and improvements are noticeable right from the start.
The best advice I was given is to make sure you’re as fit as possible throughout the process - it makes a real difference. Post surgery lifestyle changes include small, frequent meals, sleeping with upper body elevated and a need for care with the food you eat and when you do so ( keep bedtime clear of food for a few hours). A positive outlook and family support are also important. This site is helpful to get input from many people with lived experience.
All the best for your father’s surgery. Regards Geoff

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Profile picture for colecarp @colecarp

The Ivor Lewis surgery is quite complex. Just like most of us I had radiation and chemo treatments prior to the surgery. Had mine done in Tampa/Moffitt with Dr. Fontaine and his team January 28th 2025. Clear margins after surgery. So it’s been a year since surgery and eating will be forever different. I lost 60 pounds, maintaining at 180lbs for now, finally some energy back, eating smaller meals but hard to get used to it because I’m a tall big guy that loved to eat. Great team at Moffitt 5 star accommodations. My digestive system still acts up with diarrhea controlled somewhat. Most times when eating I have a stomach ache most likely from over eating. Good luck.

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Hi @colecarp
Hope you are doing well and glad to hear you are one year after surgery! My dad will receive care at Moffit, happy to hear you had a positive experience there. Did you also do radiation/chemo there ?

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Profile picture for dzpetralia @dzpetralia

@gdj my husband is about to ‘have’ this procedure and he is freaking out a bit. If you’re still available, could we connect please?

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@dzpetralia , how is your husband doing? How are YOU doing?

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Profile picture for gdj @gdj

I’m one year out from surgery, doing well. Hasn’t been easy, but not awful either.

He will handle it well, I bet.

I’m happy to talk if you want to do that. I try to help where I can.

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@gdj my husband is about to ‘have’ this procedure and he is freaking out a bit. If you’re still available, could we connect please?

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Profile picture for ajax2026 @ajax2026

p.s. i forgot to ask if they used a stent to help heal the sprinkler? from your description though it sounds like they opted to do a feeding tube while it healed. Also, could you remind me what year you had your esophagectomy. I'm sure you said, but sometimes i have trouble finding past post. i hope your having a great day 🙂!

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@ajax2026 Hi, sorry your brother is still feeling tired. He needs to eat, rest, do some walking and use the breathing exercise machine. He should get better soon. I wanted a stent so bad cause of my strictures but ended up doing a bunch of endoscopy sessions and then my own dilations. As for the leak it healed on its own. They just had me off food and very little ice to munch on for a few days. It was torture but I cheated and smuggled buckets of ice and I would gooble it like the cookie monster 🙂

I think the leak healed in the last 7 days I spent at hospital cause they had me eating soft food then. I kept the jtube for a couple of months after that. I eat EVERYTHING know and I thank God for my lucky stars. I am very vital and strong now and happy to be alive and living a normal life.
I am sure your brother will get better too. 🙂

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Profile picture for dkoehne @dkoehne

I had my procedure in April of 2023. It is a tough surgery but with a good team (I had a great one!) very survivable. Released from the hospital to home after about 12 days and by aggressively working with the Physical Therapist in the hospital I was able to get around the house with the help of my wife, slowly, from Day 1. If anything, we overprepared for my release by purchasing a walker and putting rails around a toilet that I didn't really need. A week of shuffling around the house, then eventually the driveway and withing a few weeks very slow walks around the block. Transitioned from broth to very soft scrambled eggs and soup within 10 days of release.
The surgery does change your body drastically. For me it was continued weight loss. I was 67 at the time of surgery, 6 ft. tall and weighed a tubby 230 lbs. before I started having swallowing difficulties and probably about 215 at surgery. Post release from the hospital probably 185 and this morning 155 lbs. and still slowly losing weight. Appetite is suppressed and my stomach of course is much smaller. A few months post surgery I developed Dumping Syndrome which is common. Now my blood sugar is all over the map after every snack, spiking very high and dropping quickly to dangerous lows. I wear a Libre 3 in arm glucose monitor and keep glucose gel and tablets near me at all times to react to the lows. An enormous pain in the ass but manageable. I used to love craft breweries and good Scotch but my body no longer tolerates alcohol. Not the worst thing in the world but not how I pictured retirement. I've learned to sleep with my head elevated on an adjustable bed.
The positives: more years of life with my beautiful wife and my grandchildren. I walk my dog every day, ride my bike every morning. No more chemo port messing up the lines of my t-shirt.
I've posted in this forum before my two firm rules going into the surgery: Express your gratitude every minute to every staff member at the hospital. There will be lots of blood draws and bandage changes and blood pressure checks. Those people are saving your life and I was astounded overhearing patients screaming at them in other rooms. I made sure they knew I appreciated every finger-prick. Most importantly take advantage of every opportunity they give you to walk around after surgery. You absolutely won't want to get out of bed. No exception, move and build strength. ASK night nurses to let you walk. It really pays off.
You've got this.

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@dkoehne spot on my friend, deff life changing, did chemo/radiation, dec jan a year ago,surgery 4/25...almost 1 year very life changing, only 170 to start and lost 30 lbs,elevated bed no alcohol, 65 years old,widowed on learning myself, treatments took care of cancer,but like everyone said it will come back so did surgery, thank the lord and all my medical staff for helping me,deff new life but still do some trucking, cut split lot wood walk couple miles a day,the acid reflux and belching is out of control, just did scope and there was food in there...they dilated to 18 and gonna go back down in couple months after 48 hrs liquid diet and dilate again with botox injection also...may take care of some issues..

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p.s. i forgot to ask if they used a stent to help heal the sprinkler? from your description though it sounds like they opted to do a feeding tube while it healed. Also, could you remind me what year you had your esophagectomy. I'm sure you said, but sometimes i have trouble finding past post. i hope your having a great day 🙂!

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