Anyone experience lung collapse after esophagectomy?

Posted by ajax2026 @ajax2026, Feb 16 2:25pm

Hello, my brother had his Ivor Lewis Feb 3, 2026. everything was sailing along. he went home seven days after the surgery and he had his first bandage change Friday feb 13 at a CLSC clinic. he was told everything looked great. Long story short his lung has collapsed. He's on his way back into surgery, somethings leaking. I read someone's post here that had this happen too, it was a setback but he got through ok and is doing well but i dont know how to find my way back to the post. has anyone else had this happen too. many thanks, Christina

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

Profile picture for earle @earle

Well, I can certainly use help. I forewent surgery, so esophagus is still normal length. My stricture is 3 centimeters long, about 1/3 of the way down my esophagus, which is exactly where the tumor was. Left to what it normally wants to do, the residual scar tissue almost closes my esophagus. Mine was almost closed, post-treatment, and the GE doc dilated it to 12 mm. That was near the beginning of November. Last week, it had almost closed and he dilated it to 15 mm and said he'd see me in 3 months. Of course, my first thought was that it would be closed again by then. I had chemo with proton radiation at MD Anderson. Basically, the tumor was replaced with scar tissue. So far, I'm testing cancer-free, but I'm less than a year post-treatment, so I take that with a grain of salt. I had heard of self-dilation, but my gag reflex is the worst my ENT has ever seen. I'd be interested in learning how you overcame that to be able to dilate yourself...

Jump to this post

@earle if you read my posts you might get some guidance and I am happy to talk to you if you qant to discuss further and send you my number.

You can overcome the gag reflex with practice.

REPLY
Profile picture for manuelo @manuelo

Hi Linda, basically what you do in a self dilation is you stick a silicon tube down your throat and past the point of the stricture. It will make you gag and it is not pleasant at all but once you get the hang of it, it becomes easier. You need to do at least the first dilation with a doctor that has the experience to do it. He also needs to tell you what size dilators you can use. Feel free to contact me if you want to discuss it and I will send you my number so I can give you much more info. It is great to be able to do your own dilation. Take care!

Manuel

Jump to this post

@manuelo Thank you Manuel. I’ll wait and see what happens and post if anything changes.

REPLY
Profile picture for lindainca @lindainca

@manuelo Thank you Manuel. That is approximately where my join was done. Before surgery I had a stricture at that point that several times closed to the point I couldn’t even swallow water. They did an endoscopy with dilation each week for three weeks, but it would not stay dilated. They could only dilate it to 8mm max, thus their conclusion that it was time for esophagectomy. I can swallow food pretty well, but it seems like the opening may be narrowing. How do you do a self dilation?

Jump to this post

@lindainca , basically what you do in a self dilation is you stick a silicon tube down your throat and past the point of the stricture. It will make you gag and it is not pleasant at all but once you get the hang of it, it becomes easier. You need to do at least the first dilation with a doctor that has the experience to do it. He also needs to tell you what size dilators you can use. Feel free to contact me if you want to discuss it and I will send you my number so I can give you much more info. It is great to be able to do your own dilation. Take care!

REPLY
Profile picture for earle @earle

Well, I can certainly use help. I forewent surgery, so esophagus is still normal length. My stricture is 3 centimeters long, about 1/3 of the way down my esophagus, which is exactly where the tumor was. Left to what it normally wants to do, the residual scar tissue almost closes my esophagus. Mine was almost closed, post-treatment, and the GE doc dilated it to 12 mm. That was near the beginning of November. Last week, it had almost closed and he dilated it to 15 mm and said he'd see me in 3 months. Of course, my first thought was that it would be closed again by then. I had chemo with proton radiation at MD Anderson. Basically, the tumor was replaced with scar tissue. So far, I'm testing cancer-free, but I'm less than a year post-treatment, so I take that with a grain of salt. I had heard of self-dilation, but my gag reflex is the worst my ENT has ever seen. I'd be interested in learning how you overcame that to be able to dilate yourself...

Jump to this post

@earle if you are going to attempt self dilation you need to discuss with a doctor that knows how to do it. Every stricture is different. Mine is only 1.5 cm long and I did have surgery so mine is where they joined the stomach with esophagus. Anyway, discuss with your doctor to see if self dilation is viable for you but it seems to me it should be. My endoscopist dilated me to 20mm every time sonI bought three bougies, one 17mm, one 18.5mm, and one 20mm.

I started with the 17mm for a few occasions and after that I did one after the other in one session every five days or so. After a few months I quit doing dilations and I stayed open. Since then I do a tuneup every four months or so.

Send me a dm if you want more details. I can talk too if you prefer.

REPLY

Thanks for the reply. I did intend to talk to the doctor. He is fairly young, so IDK what his experience is with self-dilation...

REPLY
Please sign in or register to post a reply.