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What else can I help you with?
Will you ever eat normally after a esophagectomy?
no
What is the prognosis for patients of esophagectomy and esophagogastrectomy?
Because 75% of all esophagectomy patients and 100% of all esophagogastrectomy patients will have metastatic disease, morbidity and mortality rates for these procedures are high.
For what purpose is an esophagectomy most often performed?
to treat early-stage cancer of the esophagus before the cancer has spread (metastasized) to the stomach or other organs. Esophagectomy is also a treatment for esophageal dysphasia (Barrett's esophagus),
What are the common incisional approaches of esophagectomy?
chest incision; Ivor-Lewis, a side entry through the fifth rib; three-hole esophagectomy, which uses small incisions in the chest and abdomen to accommodate the use of instruments; and transhiatal
What is the medical term meaning surgical removal of the esopaghus?
Esophagectomy is surgical removal of all or part of the esophagus.
What are the advantages of the vagal-sparing esophagectomy?
This procedure preserves the branches of the vagus nerve that supply the stomach, with only minimal alteration of the size of the stomach and the nerves that control acid production and digestive functions.
What is medical procedure code 43107?
CPT code; Surgery / Digestive System / Excision; Total or near total esophagectomy without thoracotomy; with pharngyogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal).
What procedure is involved in a laparoscopic esophagectomy?
performed through several small incisions on the chest and abdomen with the camera-tipped laparoscope and a video monitor to guide removal of the esophagus or tumor along with nearby lymph glands
What is the medical term meaning surgical removal or all or part of the stomach and esophagus?
Partial or total gastrectomyGastrectomySurgical removal of all or part of the stomach is called a gastrectomy, but often when you want to indicate that only a part of the stomach was removed you would use hemigastrectomy.GastrectomyGastrectomygastrectomy
Esophagectomy - open?
DefinitionAn esophagectomy is surgery to remove part or all of the esophagus, the tube that moves food from your throat to your stomach. After it is removed, the esophagus is rebuilt from part of your stomach or part of your large intestine.Most of the time, esophagectomy is done to treat cancer of the esophagus.Alternative NamesTrans-hiatal esophagectomy; Trans-thoracic esophagectomy; En bloc esophagectomy; Removal of the esophagus - openDescriptionThere are many ways to do this surgery. Talk with your doctor about what type of surgery is best for you. It will depend on where in your esophagus the cancer is, how much it has spread, and how healthy you are.Laparoscopy is one way to do this surgery. A laparoscope is a tiny camera that is inserted into your belly through a small incision. See also: Esophagectomy - minimally invasiveOpen surgery is another way to do an esophagectomy. Two ways to do an esophagectomy using open surgery are:Trans-hiatal esophagectomy:Your surgeon will make 2 large incisions (cuts), one in your neck area and one in your upper belly.Your surgeon will close off part of your stomach with staples and cut this section off. This part of your stomach will be used to form a new section of your esophagus. It will replace the part of your esophagus that will be removed.Your surgeon will remove the part of your esophagus where the cancer or other problems are.Your surgeon will join together your rebuilt esophagus and stomach in your neck.Lymph nodes in your neck and chest may also be removed if cancer has spread to them.Trans-thoracic esophagectomy:Your surgeon will make 2 incisions, one in your chest and one in your upper belly.Your surgeon will close off part of your stomach with staples and cut this section off. This part of your stomach will be used to form a new section of your esophagus. It will replace the part of your esophagus that will be removed.Your surgeon will remove the part of your esophagus where the cancer or other problems are.Your surgeon will join together your rebuilt esophagus and stomach in your neck.Lymph nodes in your neck and chest may also be removed if cancer has spread to them.Your surgeon may also examine and do a biopsy of the lymph nodes in your belly to see if the cancer has spread to them.En bloc esophagectomy is another type of esophagectomy. It is the most invasive of all of these procedures.To do it, your surgeon will make large cuts in your chest and belly. All of your esophagus and part of your stomach will be removed.The rest of your stomach will be reshaped and placed in your chest to replace your esophagus.Your surgeon will also remove all lymph nodes in your chest and belly.Most of these operations take about 3 hours.Why the Procedure Is PerformedThe most common reason for removing part, or all, of your esophagus is to treat cancer. You may also have radiation therapy or chemotherapy before or after surgery.Surgery to remove the lower part of your esophagus may also be done to treat:Pre-cancerous changes in the tissue of your esophagus. This condition is called high-grade dysplasia.Achalasia, a condition where the esophagus doesn't work wellRisksEsophagectomy is major surgery and has many possible risks. Some of them are serious. You should discuss these risks with your surgeon.The risks from this surgery, or for problems after surgery, may be greater than normal if:You are unable to walk even for short distances. This increases the risk of blood clots, lung problems, and pressure sores.You are an older child who is still growing.You are older than 60 to 65.You are a heavy smoker.Risks for any anesthesia are:Allergic reactions to medicinesBreathing problemsRisks for any surgery are:Blood clots in the legs that may travel to the lungsInfection, including in the surgical wound, lungs (pneumonia), bladder, or kidneyBlood lossHeart attack or stroke during surgeryRisks for this surgery are:Injury to the stomach, intestines, lungs, or other organs during surgeryLeakage of the contents of your esophagus or stomach where the surgeon joined them togetherNarrowing of the connection between your stomach and esophagusBefore the ProcedureYou will have many doctor visits and medical tests before you have this surgery. Some of these are:A complete physical examinationVisits with your doctor to make sure other medical problems you may have, such as diabetes, high blood pressure, and heart or lung problems, are under controlNutritional counselingA visit or class to learn what happens during the surgery, what you should expect afterward, and what risks or problems may occur afterwardIf you are a smoker, you should stop several weeks before the surgery. Your doctor or nurse for can help.Always tell your doctor or nurse:If you are or might be pregnantWhat drugs, vitamins, and other supplements you are taking, even ones you bought without a prescriptionIf you have been drinking a lot of alcohol, more than 1 or 2 drinks a dayDuring the week before your surgery:You may be asked to stop taking drugs that make it hard for your blood to clot. Some of these are aspirin, ibuprofen (Advil, Motrin), vitamin E, warfarin (Coumadin), and clopidogrel (Plavix),or ticlopidine (Ticlid).Ask your doctor which drugs you should still take on the day of your surgery.Prepare your home for after the surgery.On the day of your surgery:Do not eat or drink anything after midnight the night before your surgery.Take the drugs your doctor told you to take with a small sip of water.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureMost people stay in the hospital for 7 to 14 days after an esophagectomy. How long you stay will depend on what type of surgery you had. You may spend 1 to 3 days in the intensive care unit (ICU) right after surgery.You will stay in the hospital for 10 to 14 days after en bloc esophagectomyDuring your hospital stay, you will:Be asked to sit on the side of your bed and walk on the same day you had surgeryNot be able to eat for at least the first 2 to 3 days after surgery. After that, you will begin with liquids. You will be fed through a feeding tube that goes into your intestine.Have a tube coming out of the side of your chest to drain fluids that build upWear special stockings on your feet and legs to prevent blood clotsReceive shots to prevent blood clotsReceive pain medicine through an IV or take pills. You may receive your pain medicine through a special pump. With this pump, you press a button to deliver pain medicine when you need it. This allows you to control the amount of pain medicine you get.Do breathing exercisesOutlook (Prognosis)Many people recover well from this surgery and can eat a fairly normal diet after they recover. Talk with your doctor about the best way to treat cancer.ReferencesMaish M. Esophagus. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 41.
Will bleach flush your system of methanphetamines?
NO! Consumption of bleach WILL NOT flush anything out of your system other than the contents of your stomach and colon. Bleach is corrosive and major damage can occur to the esophagus. So if you'd like to spend an evening sitting on the toilet and vomiting.... and risk having to have an esophagectomy and being "tube fed" for the rest of your life....you still WILL NOT pass a drug screen. I don't know how this rumor ever got started but I have seen first hand what can happen to you. Meth has ingredients like antifreeze, battery acid, drain cleaner, lighter fluid...etc. Mixing bleach with any one of these ingredients can cause an explosion. The best way to flush the human body is to eat healthy, stay hydrated, and exercise. Your metabolism will greatly influence the amount of time it takes to flush it out.
Esophagectomy - minimally invasive?
DefinitionMinimally invasive esophagectomy is surgery to remove part or all of the esophagus, the tube that moves food from your throat to your stomach. After it is removed, the esophagus is rebuilt from part of your stomach or part of your large intestine.Most of the time, esophagectomy is done to treat cancer of the esophagus.Alternative NamesMinimally invasive esophagectomy; Robotic esophagectomy; Removal of the esophagus - minimally invasiveDescriptionThere are many ways to do this surgery. Talk with your doctor about what type of surgery is best for you. It will depend on where in your esophagus your cancer is, how much it has spread, and how healthy you are.Laparoscopy is one way to do this surgery:Your surgeon will make 3 to 4 small incisions (cuts) in your upper belly, chest, or lower neck. These cuts will be less than a ?-inch long.The laparoscope, with a camera on the end, will be inserted through 1 of the cuts into your upper belly. Video from the camera will appear on a monitor in the operating room. Other medical instruments will be inserted through the other cuts.Your surgeon will close off part of your stomach with staples and cut this section off. This part of your stomach will be used to form a new section of your esophagus. It will replace the part of your esophagus that will be removed.Your surgeon will remove the part of your esophagus where your cancer or other problems are.Your surgeon will join together your rebuilt esophagus and stomach in your neck or chest. Where they are joined will depend on how much of your esophagus was removed.Lymph nodes in your chest may also be removed if your cancer has spread to them. Your surgeon will remove them through a cut at the lower part of your neck.Some medical centers do esophagectomies using robotic surgery. In this type of surgery, a small camera and other instruments are inserted through the small incisions. Your surgeon will do the surgery while operating a computer and watching the monitor. The surgeon controls the instruments and camera with a computer program. See also: Robotic surgeryThese surgeries usually take around 3 hours.Why the Procedure Is PerformedThe most common reason for removing part, or all, of your esophagus is to treat cancer. You may also have radiation therapy or chemotherapy before or after surgery.Surgery to remove the lower part of your esophagus may also be done to treat:Pre-cancerous changes in the tissue of your esophagus. This condition is called high-grade dysplasia.Achalasia, a condition where the esophagus doesn't work wellRisksEsophagectomy is major surgery and has many possible risks. Some of them are serious. You should discuss these risks with your surgeon.The risks from this surgery, or for problems after surgery, may be greater than normal if:You are unable to walk even for short distances. This increases the risk of blood clots, lung problems, and pressure sores.You are an older child who is still growing.You are older than 60 to 65.You are a heavy smoker.Risks for any anesthesia are:Allergic reactions to medicinesBreathing problemsRisks for any surgery are:Blood clots in the legs that may travel to the lungsInfection, including in the surgical wound, lungs (pneumonia), bladder, or kidneyBlood lossHeart attack or stroke during surgeryRisks for this surgery are:Injury to the stomach, intestines, lungs, or other organs during surgeryLeakage of the contents of your esophagus or stomach where the surgeon joined them togetherNarrowing of the connection between your stomach and esophagusBefore the ProcedureYou will have many doctor visits and medical tests before you have this surgery. Some of these are:A complete physical examinationVisits with your doctor to make sure other medical problems you may have, such as diabetes, high blood pressure, and heart or lung problems, are under controlNutritional counselingA visit or class to learn what happens during the surgery, what you should expect afterward, and what risks or problems may occur afterwardIf you are a smoker, you should stop several weeks before the surgery. Your doctor or nurse for can help.Always tell your doctor or nurse:If you are or might be pregnantWhat drugs, vitamins, and other supplements you are taking, even ones you bought without a prescriptionIf you have been drinking a lot of alcohol, more than 1 or 2 drinks a day.During the week before your surgery:You may be asked to stop taking drugs that make it hard for your blood to clot. Some of these are aspirin, ibuprofen (Advil, Motrin), vitamin E, warfarin (Coumadin), and clopidogrel (Plavix),or ticlopidine (Ticlid).Ask your doctor which drugs you should still take on the day of your surgery.Prepare your home for after the surgery.On the day of your surgery:Do not eat or drink anything after midnight the night before your surgery.Take the drugs your doctor told you to take with a small sip of water.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureMost people stay in the hospital for 7 to 14 days after an esophagectomy. How long you stay will depend on what type of surgery you had. You may spend 1 to 3 days in the intensive care unit (ICU) right after surgery.During your hospital stay, you will:Be asked to sit on the side of your bed and walk on the same day you had surgeryNot be able to eat for at least the first 2 to 3 days after surgery. After that, you will begin with liquids. You will be fed through a feeding tube that goes into your intestine.Have a tube coming out of the side of your chest to drain fluids that build upWear special stockings on your feet and legs to prevent blood clotsReceive shots to prevent blood clotsReceive pain medicine through an IV or take pills. You may receive your pain medicine through a special pump. With this pump, you press a button to deliver pain medicine when you need it. This allows you to control the amount of pain medicine you get.Do breathing exercisesOutlook (Prognosis)Many people recover well from this surgery and can eat a fairly normal diet after they recover. Talk with your doctor about the best way to treat your cancer.ReferencesMaish M. Esophagus. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 41.
