Esophageal problems are among the most complex problems affecting the body. It requires evaluation by an expert handling these problems on a routine basis. The common problems affecting the esophagus that is our Food pipe are
Gastro Esophageal Reflux disease
It is one of the most common diseases affecting the humans. Though not life threatening, it is a major cause of poor quality of life
A specialised test called 24 hr pH and Impedance study is done to evaluate this condition accurately and plan treatment. To know more about study kindly click here
Esopahgeal motility disease
This is the condition where in the function of the food pipe to pass food down to the stomach is affected. The normal peristaltic contractions of the muscle of the esophagus becomes abnormal.
Achalasia Cardia is one of the most common esophageal motility disorders. To know more about it kindly click here
It can be diagnosed by a test called Esophageal Manometry. This test is very important to diagnose the motility disorders accurately and thus help in planning further treatment. To know more about Esophageal manometry kindly click here
Esophageal cancers are the type of cancer which need multi-disciplinary treatment policy. Usually they present with Dysphagia (Difficulty in swallowing) and weight loss. To diagnose it we need to get and endoscopy and biopsy. Once confirmed a full work up under the care of expert surgeon with a CT scan of Chest, abdomen and Pelvis and sometimes a PET CT scan is indicated. One we evaluate the stage of the disease and it is in curable stage, Neo-adjuvant therapy is planned. This is followed by re-evaluation and then surgery. Further treatment would depend on the final biopsy. In case the at initial diagnosis the disease is advanced, curative treatment may not be possible. Such patients are considered for palliative treatment which means treating their current problems with no aim for cure. Endoscopic stenting and radiotherapy are generally used to treat dysphagia so that patients nutrition can be managed.
Surgery for esophgeal cancer is now a days commonly done by minimal invasive method (with Laparoscopy and Thoracoscopy), improving the outcome and recovery of such major procedure.