Esophageal cancer is a serious malignancy affecting the food pipe (esophagus) that connects the throat to the stomach. It is increasingly being diagnosed in India, particularly among individuals with long-standing acid reflux, smoking habits, or certain dietary patterns. Early detection and timely surgical intervention can significantly improve patient outcomes.

If you're seeking expert guidance on esophageal cancer treatment in Ahmedabad, this article by Dr. Maunil Tomar, a leading GI and HPB oncosurgeon, provides an overview of the disease, its symptoms, diagnosis, and the most effective treatment strategies.

📌 What Is Esophageal Cancer?

Esophageal cancer develops in the lining of the esophagus and can occur in two primary forms:

• Squamous Cell Carcinoma – Often linked to smoking and alcohol, typically affects the upper/middle esophagus.

• Adenocarcinoma – More common in the lower esophagus, often associated with chronic acid reflux or Barrett’s esophagus.

This cancer can rapidly progress if not caught early, often requiring specialized GI oncosurgical expertise.

⚠️ Risk Factors of Esophageal Cancer

Some of the major risk factors include:

• Long-standing GERD (acid reflux)

• Smoking and heavy alcohol use

• Obesity

• Barrett’s esophagus

• Diet low in fruits and vegetables

• Age above 50

• Achalasia or other motility disorders

If you have any of these risk factors, periodic screening with endoscopy may be advised.

🚨 Common Symptoms of Esophageal Cancer

In early stages, symptoms may be subtle. As the disease progresses, patients may experience:

• Difficulty swallowing (dysphagia)

• Chest pain or burning sensation

• Unintended weight loss

• Hoarseness or chronic cough

• Regurgitation of food

• Vomiting with or without blood

• Fatigue and weakness

Persistent symptoms should prompt an evaluation by a gastroenterologist or GI cancer specialist in Ahmedabad.

🔬 Diagnosis of Esophageal Cancer

Prompt diagnosis is key to successful treatment. Investigations may include:

• Upper GI Endoscopy (EGD) – To visualize and biopsy the tumor

• Endoscopic Ultrasound (EUS) – For staging and depth assessment

• CT Scan / PET-CT – For metastasis evaluation

• Barium Swallow Study – To assess esophageal narrowing or obstruction

Dr. Maunil Tomar offers advanced endoscopic diagnostics in Ahmedabad, aiding in early and accurate diagnosis.

🛠️ Treatment of Esophageal Cancer

Treatment depends on the tumor's stage, location, and overall health of the patient. Multimodal therapy is often required, including:

1. Surgery

• Esophagectomy – Removal of the affected portion of the esophagus, with reconstruction using stomach or colon.

• Minimally Invasive Esophagectomy (MIE) – Laparoscopic/Thoracoscopic approach, enabling faster recovery.

2. Neoadjuvant Chemoradiation

• Preoperative therapy to shrink tumors and improve surgical outcomes.

3. Endoscopic Treatments

• For very early-stage cancers, endoscopic mucosal resection (EMR) or submucosal dissection (ESD) may be effective.

4. Palliative Options

• In advanced cases: stent placement, feeding tube insertion, or targeted therapy to maintain nutrition and quality of life.

📞 When to See a Specialist?

If you’re experiencing swallowing difficulty, weight loss, or chronic reflux symptoms, don't delay. Early evaluation can save lives. Schedule a consultation with Dr. Maunil Tomar – leading GI cancer surgeon in Ahmedabad, for expert diagnosis and personalized cancer care.

🗂️ Commonly Treated Conditions Related to Esophageal Cancer

• Barrett’s esophagus

• Esophageal strictures

• Reflux esophagitis

• Esophageal perforation

• Esophageal motility disorders

• Achalasia with dysplasia