DISCUSSION Esophageal cancer is the eighth most common cancer and sixth most common cause of death from cancer worldwide. . Neoadjuvant chemoradiotherapy has recently become the focus of interest in an effort to prolong survival and reduce recurrence rates in patients with esophageal cancer. The objective of this study is to determine National cancer institute experience about the role of preoperative chemoradiotherapy followed by esophagectomy for esophageal and gastro-esophageal carcinomas and its pathological outcome, resectability and the survival rate. Patients ' age distribution for esophageal and gastro-esophageal junction carcinoma showed a peak from 51-60 years in our study. This distribution is comparable to the 2 peaks incidence…
Esophageal Cancer is the growth of a tumor in the lining of the esophagus, a hollow tube that connects the mouth to the stomach. The esophagus is a necessary organ that allows food to travel to the stomach where it can be broken down into nutrients for the body to use (Esophageal Cancer, mayoclinic.org). When discussing esophageal cancer, it is important to understand what can cause the growth of a tumor in the esophagus, what the potential risk factors are, the symptoms, how this cancer can be…
lb)) in the past year. The patient is referred to a gastroenterologist, who identifies a mass at the proximal third of the esophagus on upper endoscopy. Biopsy of the lesion is seen below: Which of the following is the most appropriate next step in the management of this patient? A. CT of the chest, abdomen, and pelvis B. Esophageal stent placement C. Initiate neoadjuvant chemotherapy in preparation for surgical resection D. Palliative radiation therapy to the proximal esophagus E.…
where it becomes inflamed. The inflammation occurs when acid in the stomach flows backwards causing irritation in the esophagus. The lower esophageal sphincter also known as LES is affected by this disease. The LES is a ring of muscles between the esophagus and the stomach. In normal digestion…
activities are less likely to be diagnosed with Alzheimer’s disease (Park, Gutchess, Meade, & Stine-Morrow, 2007). JW does have GERD, Barrett’s esophagus, and a hiatal hernia; he tries maintains a proper diet and takes medication which allows him to function most days without complaints. An actual nursing problem encountered by JW is, pain related to esophageal reflex and esophageal inflammation. Factors that may be contributing to this problems is his intake of caffeinated beverages,…
chemicals" (p.876). These interactions lead to the production of "mucus, acid, enzymes, hormones, intrinsic factor, and gastroferrin" (p. 876). Normally, acid is produced when gastrin signals histamine to activate the histamine receptors (Huether & McCance, 2012). Acid is used to break down food, kill microorganisms, and "convert pepsinogen to pepsin" (p. 876). All of these normal reactions and interactions facilitate digestion. Alterations in this pathophysiology can lead to disruption in…
Always consult a medical doctor or patient care specialist before using omeprazole capsules. (-- removed HTML --) Indications and Usage (-- removed HTML --) Omerprazole is indicated to treat esophageal diseases and stomach ulcers. It works by decreasing the acid which is being produced by the stomach. It relieves from symptoms such as heartburn, cough and swallowing problems. This drug helps in healing stomach and esophagus from the acid damage, further aids in preventing from ulcers and…
Barrett’s esophagus is a complication in the esophagus from a reflux disease predisposing patients to esophageal adenocarcinoma. Esophageal adenocarcinoma is a tumor in the esophagus that has increased up more than 7-fold over the past few decades. Since there has been such a significant increase in esophageal adenocarcinoma, the topic of endoscopic screening and surveillance for GERD and Barrett’s esophagus is being heavily debated. Barrett’s esophagus is a result of chronic gastro-esophageal…
profile, random blood glucose, total and differential leucocytic count in ascetic fluid samples and alpha fetoprotein for patients with focal lesions. Radiological investigations A) Pelvi-abdominal ultrasonography for confirmation of liver cirrhosis, detection of hepatic focal lesions and ascites. B) Triphisic abdominal CT for diagnosis of HCC in suspected patients. Upper GIT endoscopy Pentax EPK- I 5000 videoscope was used for diagnostic and therapeutic management. Endoscopy was performed…
TN, a 67 year-old male, was diagnosed with esophageal adenocarcinoma in December 2015 after being admitted to Frye Regional Medical Center (FRMC) with a left iliac wing fracture related to metastatic cancer earlier that month. The primary location of the cancer was determined to be the distal esophagus after an esophagogastroduodenoscopy (EGD) and cell biopsy was completed. He then presented to FRMC in January 2016 with post-prandial nausea, vomiting, and anorexia related to chemotherapy…