Oesophageal Cancer Surgery
Understanding Oesophageal Cancer
Oesophageal cancer originates from the cells within the oesophagus, a long, hollow tube that connects the throat to the stomach. This tube facilitates the passage of swallowed food from the throat to the stomach for digestion.
Typically, oesophagal cancer starts in the inner lining of the oesophagus and can develop anywhere along its length.
It is an increasing concern worldwide. Primarily, two main types of oesophageal cancer are squamous cell carcinoma (SCC) and Adenocarcinoma.
Both types require similar treatment pathways, often involving a multidisciplinary team (MDT) of surgeons, medical oncologists, radiation oncologists, radiologists, and allied health professionals such as physiotherapists, dietitians, and nursing staff.
Causes of Oesophageal Cancer
Oesophageal cancer can develop due to several factors, including:
- Obesity: Excess BMI or body weight is a significant risk factor.
- Gastroesophageal Reflux Disease (GERD): Chronic acid reflux can damage the lining of the oesophagus.
- Smoking: Tobacco use is a well-known cause of many types of cancer, including oesophageal cancer.
- Alcohol Consumption: Excessive alcohol consumption increases the cancer risk.
Symptoms of Oesophageal Cancer
The symptoms of oesophageal cancer can be subtle initially but tend to progress as the disease advances. Common symptoms include:
- Difficulty Swallowing (Dysphagia): This usually starts with difficulty swallowing solid foods and can progress to difficulty swallowing liquids.
- Weight Loss: Unintentional weight loss that may be a common symptom due to reduced oral intake.
- Lump in the oesophagus: Some patients may feel a lump in their throat or chest.
If you are noticing any of the above symptoms of oesophageal cancer surgery, Contact Dr Sherif Awad.
Diagnosis and Tests
If oesophageal cancer is suspected, a series of diagnostic tests will be conducted, including:
- Upper GI Endoscopy (Gastroscopy): This procedure involves inserting an endoscope down the throat to examine the oesophagus and obtain biopsies.
- CT and PET Scans: These imaging tests help determine the extent of the disease.
- Laparoscopy (Keyhole approach surgery): In some cases, a minimally invasive procedure is used to obtain further biopsies.
- Echocardiogram and Respiratory Function Tests: These tests ensure the patient is fit for surgery.

Treatment of Oesophageal Cancer
Treatment usually involves a combination of therapies tailored to the individual patient. Common treatments include:
- Chemotherapy and Radiotherapy: Often administered before surgery to shrink the tumour.
- Surgical Removal of the oesophagus: The mainstay of treatment for localised oesophageal cancer.
The Surgical Procedure
The surgery to remove oesophageal cancer involves several steps:
- Abdominal Phase: The surgeon starts by freeing up the stomach to allow its formation into a narrow tube.
- Thoracic (Chest) Phase: The patient is positioned on their side, and the surgeon makes an incision under the shoulder blade to access the chest. The remaining part of the oesophagus is removed, and the stomach tube is pulled up into the chest to replace it.
Advanced Surgical Techniques
Dr Sherif utilises advanced surgical techniques, including laparoscopic (keyhole) approaches, which offer several benefits, such as reduced recovery times and less post-operative pain. Dr Sherif is also skilled in the removal of GIST tumours (Gastrointestinal Stromal tumours), providing comprehensive care for complex oesophagal and gastrointestinal conditions.
FAQs
Oesophageal cancer can be caused by factors such as obesity, GORD, smoking, and excessive alcohol consumption.
Symptoms include difficulty swallowing, unintentional weight loss, and a lump in the oesophagus.
Oesophageal cancer commonly spreads to nearby lymph nodes and tissues.
Laparoscopic surgery involves small incisions and specialised instruments, offering a minimally invasive option for many procedures.
Oesophageal cancer treatment requires expert care and a multidisciplinary approach. Dr Sherif provides top-tier treatment for oesophageal cancer surgery in Derby from diagnosis to recovery.
If you or a loved one are experiencing symptoms or have been diagnosed with oesophageal cancer, consult with Dr Sherif to explore your treatment options.
Why Choose Dr Sherif Awad for Oesophageal Cancer Treatment?
Dr Sherif Awad is a leading expert in oesophageal cancer surgery, known for his compassionate care and commitment to patient outcomes. Here are a few reasons to choose Dr Sherif:
- Expertise: Dr Sherif has extensive experience in performing oesophageal cancer surgeries using the latest techniques.
- Multidisciplinary approach: He collaborates with a team of specialists to provide comprehensive care.
- Patient-centered Care: Dr Sherif prioritises patient comfort and recovery, offering personalized treatment plans.
- Advanced techniques: Utilisation of laparoscopic approaches ensures minimal invasiveness and faster recovery.