Dr. Vandana Andrews
General Practitioner
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
My father, aged over 77, has a lump or maybe a tumor or inorganic cysts in the food pipe esophagus right over the stomach. He is struggling to eat or drink. If he does, then he most likely vomits it. He has weakened a lot. The doctor suggested two ways to solve the problem: surgery to remove the stomach or feed him via a pipe directly running to the intestine. My main question is, as the doctor suggested, these two ways only; he is old and has become very weak. I am unsure which method would be better. Please suggest other ways if there are any. I am tense. Your guidance will help a lot.
Thank you.
Hi,
Welcome to icliniq.com.
When faced with a lump or tumor in the esophagus that is causing difficulty in eating and drinking, the two options your doctor mentioned are commonly considered:
1. Surgery to remove the stomach: This procedure, known as an esophagectomy, involves removing part or all of the esophagus and reconnecting the remaining portion to the stomach or the small intestine. This option may be suitable for certain cases, but it's important to consider your father's overall health, age, and ability to tolerate surgery.
2. Feeding tube directly to the intestine: This option involves placing a feeding tube, such as a gastrostomy or jejunostomy tube, to provide nutrition directly into the stomach or small intestine. This can help ensure your father receives the necessary nutrients while bypassing the area of obstruction.
The second option might be better for him, seeing his age.
It is crucial to have a detailed discussion with the doctor to understand each option's potential benefits, risks, and expected outcomes. They will consider your father's overall health, the extent of the condition, and his ability to tolerate different treatments.
Thank you.
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General Practitioner
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