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Oesophagectomy Gastrectomy and Colectomies in Broadway

Oesophagectomy Gastrectomy and Colectomies

Oesophagectomy Gastrectomy and Colectomies in Broadway

Oesophagectomy is a surgical intervention used for treating oesophageal cancer, achalasia, or, rarely, the oesophagus damaged by acid reflux, swallowing acids, or during medical interventions. The procedure involves removing a part or all of the oesophagus. Given the oesophagus’s role in the digestive system, extensive measures are taken to reconstruct the digestive tract after its removal.

Gastrectomy is a procedure where the stomach is partially or completely removed to treat stomach cancer. Since the stomach plays a crucial role in storing and breaking down food, undergoing this surgery can significantly alter your diet and eating habits.

Colectomy is a surgical technique to remove all or part of the colon. It is recommended for patients with colon cancer, inflammatory bowel disease, or other severe disorders affecting the colon. Post-surgery, you may expect changes in your dietary or bowel habits.

The gastrointestinal system is a crucial part of the digestive mechanism involved in the breakdown and digestion of food and the absorption of nutrients. Any issue that arises in these organs can cause digestive disorders and impact the patient’s quality of life. The team at Manipal Hospitals provides the best after procedure care for Oesophagectomy Gastrectomy and Colectomies in Broadway .

FAQ's

You might have to undergo the following tests before surgery:

  • Endoscopy

  • CT or PET scan

  • Echocardiogram

  • Lung function tests

  • Cardio-pulmonary exercise test

Your healthcare provider will determine if you are an ideal candidate for surgery. Inform your doctor about any medication you take or allergies. Some of the medications you are taking need to be modified to prevent their intervention during surgery. Avoid smoking for at least two weeks before surgery. On the day before surgery, you may need to fast for 8 hours. 

The procedure is performed under general anesthesia. Before the surgical intervention, the surgeon will use a flexible endoscope to view any changes in the stomach or esophagus that may influence the operation. 

 

The first stage of the procedure involves freeing up the stomach for them to be moved to the chest. The second stage of the operation is executed near the chest, primarily on the right side. The lungs are collapsed on that side to allow the surgeon to reach the esophagus to remove the damaged parts.

 

If most of the esophagus is removed, then a third stage of operation is performed. The surgeon removes the highest part of the esophagus and attaches the stomach higher in the neck.
 

You will be administered anesthesia before the procedure. A nasogastric tube is placed through the nose to help suction out stomach contents. An incision is made in the abdomen to remove a part or all of the stomach. 

If a part of the stomach is removed, the small intestine is attached to the remaining stomach, whereas if the entire stomach is removed, then the small intestine is directly attached to the esophagus. 

A Gastrectomy procedure may typically take around 5 hours, depending on the surgical approach used. This procedure is a major operation, and our operating team will take the utmost care and time to ensure a successful clinical outcome.

You will be administered general anesthesia just before the surgery. An open or laparoscopic approach may be employed for Colectomy. The surgeon makes an incision in your abdomen and separates your colon from surrounding tissues using special instruments. A part of or entire colon may be removed depending on the extent of damage.

The surgeons will then reattach the remaining part of the colon if only some parts are removed. If the colon tissues are extensively removed, then the remaining colon is attached to the small intestine. 

An opening (stoma) is created in your abdomen to allow the stool to pass outside. One end of your remaining colon, or small intestine, is attached to this opening. You will have to wear a bag outside of the stoma to collect the stools. In some cases, when the colon and rectum have been completely removed, the small intestine is attached to the anus.

Recovery from a Colectomy may take approximately six weeks. Most patients can resume their normal routine within two weeks. However, you must avoid straining yourself during the recovery phase. Doctors advise you to walk around after surgery to promote faster healing.

You will have to stay in the hospital for at least a week following surgery. Our doctors will prescribe the necessary pain medications to control your pain levels. We also monitor your nutrition levels and ease you into consuming light meals before discharge.

As with any surgery, there are associated risks. Some of the identified risks are:

  • Bleeding

  • Blood clots

  • Infection

  • Anastomotic leak

  • Heart problems

  • Stroke

Your doctor will discuss potential risks associated with the procedure before the surgery.

You will not be allowed to eat or drink anything immediately after the surgery to allow your body to heal. During this time, intravenous fluids will be administered on a daily basis. After 5 to 7 days following surgery, an X-ray will be taken to assess the healing, after which you can eat or drink.

A feeding tube is placed soon after surgery anywhere in the digestive tract, depending on the procedure used. When you are able to tolerate fluids, solids will be gradually introduced. The feeding tube is removed after the completion of Chemotherapy or three months after surgery. However, you must remember that after the procedure, you must consume small amounts of food often.

For individuals who have undergone Colectomy, dieticians recommend consuming a low-fibre diet and plenty of fluids for a month after surgery.

If you have any of the following symptoms, you need to contact your healthcare provider immediately: 

  • Redness, swelling, and discharge at the incision site

  • Pain in the abdomen that gets worse with time

  • Signs of infection

Home Broadway Specialities Organ-transplant Oesophagectomy-gastrectomy-and-colectomies

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