Esophageal cancer treatment in Bangalore & Cost


Dr Adarsh M Patil 1 copyDr Adarsh M Patil mbbs ms  Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.

He has experience of treating numerous Esophageal cancer patients in Bangalore .

He believes in that Patient safety comes first and strives to provide exceptional service to patients.

 Call Now ! –+91- 9972446882

 Book Appointment

Esophageal carcinoma

Carcinoma of the esophagus represents 1% of all cancers in the United States and causes 1.8% of cancer deaths.

Risk factors

  • Risk factors cancer include African American race, alcohol and cigarette use, tylosis, achalasia, caustic esophageal injury, Plummer-Vinson syndrome, nutritional deficiencies, and ingestion of nitrosamines and fungal toxins. Geographic location also represents a risk factor, likely as a result of local dietary customs, with a high incidence noted in certain areas of China, South Africa, Iran, France, and Japan.
  • Risk factors also  include Caucasian race, chronic GERD, and Barrett’s esophagus.

Symptoms of esophageal cancer 

  • Most patients with early-stage disease are asymptomatic or may have symptoms of reflux. Symptoms of esophageal cancer are dysphagia, odynophagia, and weight loss. Symptoms that are suggestive of unresectability include hoarseness, abdominal pain, persistent back or bone pain, hiccups, and respiratory symptoms (cough, aspiration pneumonia), which suggest possible esophagorespiratory fistula formation. Approximately 50% of presenting patients have unresectable lesions or distant metastasis, which is largely responsible for the generally poor prognosis.
 Esophageal cancer treatment in Bangalore

Diagnostic tests-

  • The diagnosis is suggested by a barium swallow and confirmed with esophagoscopy and biopsy or brush cytology.
Staging-A system for staging esophageal cancer allows assignment of patients to groups with similar prognosis, helps determine if local or systemic therapy is needed, and allows comparison of response to different types of therapy (Table 11-1). Evaluation for lymph node and distant-organ metastatic disease is often accomplished with CT scan. Whole body imaging with positron emission tomographic scanning has shown great promise, particularly for detection of metastatic disease. Endoscopic ultrasonography is more accurate in determining the depth of wall invasion and the involvement of peritumoral lymph nodes. Upper esophageal and midesophageal lesions require bronchoscopy to evaluate the airway for involvement by tumorfor esophageal cancer treatment in Bangalore.
Table 11-1. TNM (tumor, node, metastasis) staging system for esophageal cancer
Definition of TNM
T: Primary tumor
Tx Primary tumor cannot be assessed (cytologically positive tumor not evident radiographically or endoscopically)
T0 No evidence of primary tumor (e.g., after treatment with radiation and chemotherapy)
Tis Carcinoma in situ
T1 Tumor invades the submucosa
T2 Tumor invades the muscularis propria
T3 Tumor invades periesophageal tissue
T4 Tumor invades contiguous structures
N: Regional lymph nodes
Nx Regional nodes cannot be assessed
N0 No regional node metastasis
N1 Regional node metastasis
M: Distant metastasis
Mx Distant metastasis cannot be assessed
M0 No distant metastasis
M1a Upper thoracic esophagus metastatic to cervical lymph nodes
Lower thoracic esophagus metastatic to celiac lymph nodes
M1b Metastases to nonregional lymph nodes or other distant sites
Stage Grouping
Stage 0 Tis N0 M0
Stage I T1 N0 M0
Stage IIA T2 N0 M0
T3 N0 M0
Stage IIB T1 N1 M0
T2 N1 M0
Stage III T3 N1 M0
T4 Any N M0
Stage IVA Any T Any N M1a
Stage IVB Any T Any N M1b
Adapted with permission from Fleming ID, Cooper JS, Henson DE, et al., eds. AJCC Cancer Staging Manual. 5th ed. Philadelphia: Lippincott Raven, 1997:65–69.

Dr Adarsh M Patil 1 copyDr Adarsh M Patil mbbs ms  Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.

He has experience of treating numerous Esophageal cancer patients in Bangalore .

He believes in that Patient safety comes first and strives to provide exceptional service to patients.

  Call Now ! –+91- 9972446882

Esophageal cancer treatment in Bangalore

Esophageal cancer surgery in Bangalore-

  • Surgical resection remains a mainstay of curative treatment for vigorous patients with localized disease. It offers the best opportunity for cure and provides substantial palliation when cure is not possible. Resection and esophageal replacement also offer reliable relief of dysphagia. The overall 5-year survival rate for esophageal cancer treatment in Bangalore is 20% to 30%, with higher rates for patients with lower stages of disease.
  • Options for resection include a standard transthoracic esophagectomy, a transhiatal esophagectomy, or an en bloc esophagectomy. Total esophagectomy with a cervical esophagogastric anastomosis and subtotal resection with a high intrathoracic anastomosis have become the most common resections and produce the best long-term functional results as well as the best chance for curefor esophageal cancer treatment in Bangalore. Esophagogastrectomy with anastomosis to the distal half of the esophagus is seldom used because troublesome postoperative reflux symptoms are common.
  • Options for esophageal replacement include the stomach, colon, and jejunumfor esophageal cancer treatment in Bangalore.

Esophageal cancer surgery cost in Bangalore-

The average cost of Esophageal cancer surgery in bangalore is between 80,000 to 2,00,000

Radiotherapy

  • Radiotherapy is used worldwide for attempted cure and palliation of patients with squamous cell esophageal cancer deemed unsuitable for resection. The 5-year survival rate is 5% to 10%. Palliation of dysphagia is successful temporarily in 80% of patients but rarely provides complete long-term relief. Combination therapy involving radiation and concurrent administration of 5-fluorouracil with mitomycin C or cisplatin has been suggested to improve results and has replaced radiation alone in most current protocols for esophageal cancer treatment in Bangalore.
  • The goal of palliative treatment is the relief of obstruction and dysphagia.
  • Radiotherapy and chemotherapy work best in patients with squamous cell carcinoma, particularly when it is located above the carina. Adenocarcinoma is less responsive to radiation, and the acute morbidity of external-beam irradiation of the epigastric area, in terms of nausea and vomiting, is substantial.
    Esophageal bypass procedures have been tried, but the morbidity and mortality of such procedures are excessivefor esophageal cancer treatment in Bangalore.

Stenting for Esophageal cancer treatment.

  • Intraluminal prostheses have been developed to intubate the esophagus and stent the obstruction. Self-expanding wire-mesh stents, often with a soft silicone (Silastic) coating, have been used with greater ease of insertion and satisfactory results. None of these prostheses allow normal swallowing, and, in most cases, little more than a pureed diet can be tolerated for esophageal cancer treatment in Bangalore. The two methods for insertion are (1) peroral (push technique) and (2) via a laparotomy (pull technique). Of these, the peroral route is associated with fewer complications. Potential complications include perforation, erosion or migration of the tube, and obstruction of the tube by food or proximal tumor growth for esophageal cancer treatment in Bangalore.
  • Endoscopic laser techniques can restore an esophageal lumen successfully 90% of the time, with only a 4% to 5% perforation rate.

Esophageal cancer treatment in India.

India is one of the best destinations for quality and cost effective Esophageal cancer treatment .

Dr Adarsh M Patil 1 copyDr Adarsh M Patil mbbs ms  Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.

He has experience of treating numerous Esophageal cancer patients in Bangalore .

He believes in that Patient safety comes first and strives to provide exceptional service to patients.

Call Now ! –+91- 9972446882

Book Appointment