Esophageal Cancer | Advanced Esophageal Cancer | Treatment | Dr. Nikhil Agrawal | Delhi

In this informative video, Dr. Nikhil Agrawal, Director of Gastrointestinal Onco-surgery at Max Superspeciality Hospital, Saket, New Delhi, discusses the various treatment options for esophageal cancer, focusing on how they differ based on the stage of the tumor, its location, and the overall health of the patient.

Topics Covered:

1. Localized Esophageal Cancer:

∆ Upper Esophageal Cancers:
Treated primarily with radiation and chemotherapy.

∆ Middle and Lower Esophageal Cancers:
A multimodal approach is used, which includes:
- Surgery:
Esophagectomy (removal of the esophagus), and the creation of a stomach conduit.
- Surgical techniques: Robotic or laparoscopic surgery.
Chemotherapy with or without radiotherapy before surgery, based on cancer type.

∆ Squamous Cell Cancer:
Standard treatment: Neoadjuvant chemotherapy or chemoradiotherapy, followed by surgery.

∆ Adenocarcinoma:
Preoperative treatment includes only chemotherapy.

∆ Chemotherapy and radiotherapy:
- Chemotherapy: Uses drugs to target and kill cancer cells.
- Radiotherapy: Uses high-energy X-rays to destroy cancer cells.

2. Treatment of Advanced Esophageal Cancer:

∆ Palliative treatment is the focus for advanced cases where surgery is not an option due to tumor spread or patient health.

∆ Dysphagia management:
- Esophageal stents can be used to keep the esophagus open, improving the patient's ability to swallow.

∆ Palliative chemotherapy:
- Used to relieve symptoms and potentially extend the patient’s life.

Watch the full video to know more.

Disclaimer-
The information provided in this video is for educational purposes only. Always consult with a qualified healthcare professional regarding any medical concerns or conditions. Individual health situations may vary, and the content discussed in this video should not be used as a substitute for diagnosis or treatment.

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