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Esophagectomy - open - Risks

Alternative Names

Trans-hiatal esophagectomy; Trans-thoracic esophagectomy; En bloc esophagectomy; Removal of the esophagus - open; Ivor-Lewis operation

Risks:

Esophagectomy 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 still growing
  • You are older than 60 - 65
  • You are a heavy smoker
  • You are obese
  • You have lost a lot of weight from your cancer
  • You are on corticosteroids

Risks for any anesthesia are:

Risks for any surgery are:

Risks for this surgery are:

  • Acid reflux
  • Injury to the stomach, intestines, lungs, or other organs during surgery
  • Leakage of the contents of your esophagus or stomach where the surgeon joined them together
  • Narrowing of the connection between your stomach and esophagus
  • Reviewed last on: 1/26/2011
  • Shabir Bhimji, MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Maish 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.

National Cancer Institute. Esophageal Cancer Treatment PDQ. Updated 01/24/2011.

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