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An oesophagectomy is a surgical procedure to remove your food pipe. There are various types of oesophagectomy according to the stage and position of the cancer. One type is where the surgeon removes all or some parts of the oesophagus. Another type is known as oesophageal-gasterectomy, where the surgeon removes the top part of your stomach and the part of the oesophagus containing cancer. A colectomy is a surgical procedure to remove all or part of your colon and parts of your large intestine present at the end of your digestive tract. It is necessary to prevent diseases and conditions that affect your colon. With our expert lineup of general surgeons, we offer you the best oesophagectomy gastrectomy and colectomy in Bhubaneswar.
Discover advanced surgical solutions for Oesophagectomy, Gastrectomy, and Colectomy at Manipal Hospitals in Bhubaneswar, offering expert care for gastrointestinal conditions.
A Colectomy is a surgical process that carries serious complications. All these risks are based on your general health. The complications are:
Bleeding
Blood clots in the leg, also known as deep vein thrombosis can occur
Blood clots in your lungs (known as pulmonary embolism)
Chances of infection
Tears in the suture
Reaction to anaesthesia
Two main types of Esophagectomy are
A Transhiatal Esophagectomy (THE) is performed on your neck and abdomen simultaneously.
A Transthoracic Esophagectomy (TTE) involves opening the thorax.
Sometimes, as per your medical condition and your histological data, the removed oesophagus is replaced by another hollow structure, just like the patient’s colon. Apart from these traditional surgical options, recent advancements have given the best non-invasive surgical option, which is performed Laparoscopically and Thoracoscopically.
After the surgery, the patient will have some limitations and trouble with a normal diet, and they can only have softer foods for their diet. The patient needs to chew their food very well or grind their food before eating.
It is one of the major surgeries and possesses many possible risks. Most of them are serious.
After your Esophagectomy, you can eat the following recommended foods:
Dairy options: up to 2 cups of milk per day; yoghurt; soy milk; cottage cheese.
Meat and proteins: tender, lean, ground well-cooked meat, tofu, well-cooked fish, well-cooked eggs, smooth peanut butter.
Grain foods: refined grain with less than 2 grams of fibre, wheat, whole grain, oatmeal, pasta, etc.
Vegetables: well-cooked vegetables, mashed potatoes.
Fruits: juice without pulp; peeled fruits without pulp; canned fruit in light syrup.
Fats/oil: canola oil, olive oil.
The food options to be avoided are:
Large amounts of dairy products cause bloating and diarrhoea
Tough meat, fried, crunchy meat, beans
Nuts seeds
Whole grain foods such as whole wheat flour and popcorn
Gas-producing vegetables: broccoli, onions, sprouts, raw vegetables, cooked greens, beans, and potato chips
Dried fruits, citrus fruits, berries, and pineapples
High-fat food with lots of butter in it and cheese sauce
Caffeinated alcoholic carbonated beverages, hot drinks, and citrus beverages
It is advised to maintain your nutrition before your surgery. A cancer special care team will work with you, including a dietician, to make sure you have adequate nutrition in your body. If you can eat and swallow properly, you will be on a protein-rich diet and supplements. The goal is to maintain your weight as much as possible throughout your treatment.
Once you are done with your surgery, you will likely be able to get out of the hospital bed and walk easily for about 48 hours. The maximum number of days you will be in the hospital is about eight days. You will be discharged once you are healthy enough to walk and eat on your own. You will be discharged from the hospital with a feeding tube.
If you do not meet the nutrition requirements and are malnourished, then this condition makes it impossible for you to swallow. You will likely have a feeding tube before you undergo Chemotherapy, Radiation Therapy, or Surgery.
The survival rate after total Colectomy surgery is about 93% for 90 days and an 85% life expectancy rate for 1 year.
When your entire colon is removed, the surgeon will use a portion of your small intestine to create a pouch directly in your anus. That will allow you to expel waste normally.
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