SURGERY RESEARCH for Brendon - Please post if you have had surgery to remove your esophagus - Please

To everyone -
I'm doing a little research on the Minimally Invasive Surgery...or other surgeries that are available. Please respond and let me know the following:

1. What stage your cancer (or your loved ones) was in?
2. What treatment you had prior or after surgery?
3. What surgery you had?
4. What complications did you endure with your surgery?
5. Whether or not they removed your entire esophagus?
6. And how long has it been since you had your surgery?

As all of you know...time is of the essence when making a treatment decisions. Brendon is just about finished with his first week of raditation and chemo... We have to make some choices!!!

Thank you in advance everyone for your input!!!

Susie

P.S. William - I know some of the answers to these questions about you...but would appreciate if you could still answer my questions. I have contacted Dr. Luketig and will be having a conference call with him. I just want to make sure I have as much knowledge as possible on all the different surgeries available. Thank you!
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Comments

  • sandy1943
    sandy1943 Member Posts: 824
    Hi Susie, I was diagnosed in
    Hi Susie, I was diagnosed in Nov.2007 with stage 111 T3N1. I had pre op chemo only-no radiation. Ivor Lewis surgery was in May'08. I spent 13 days in the hospital. I didn't have any serious complications. The ivor Lewis is rough. My incision was down the front and also around the shoulder blade under the arm in the back. I had 10 inches of the esophagus and 1/3 of my stomach removed.Because of a node testing positive, I started chemo again after surgery, but because of complications, it was stopped. All my scans since then have been good.

    I did very well with the surgery, but knowing what I have learned,I encourage you to please look into the MIE. Recovery is a lot shorter and not as painful. It's really good that you are looking at all the options. I wish I had seen this site before my surgery.

    We all have to adjust to new eating habits, sleeping elevated, and maybe some dilations,
    ( I'm going for my 4th soon), but it was worth it to feel as good as I do now-NORMAL!

    Good luck and my prayers are with you, as you continue looking at all your options,
    Sandra
  • cmn412
    cmn412 Member Posts: 69
    good luck and god bless.
    Susie,

    I know how hard it is to walk this walk right now, and I do not want or like to give advice to anyone but I would strongly recommend that if you can have the surgery DO have it. If you don’t and it comes back you may not have a choice.

    I know how hard it is but both my brother and I had the surgery and we are doing fine. Yes he has had some problems with stretching and stents. But he is alive.

    I did not have problems except my body did not want to wake up (bowels) and start working. But all is well now. You do have to learn how and what to eat. I eat to much sometimes and I lose it a lot.

    Everyone is different and you can not say what will or will not happen, but we can say that this is the best chance we have to be cured. Please don’t let your husband gamble with his life. Take the best chance at survival he has.

    I had the MIE in Feb 2010 they took most of the esophageal and 60% of my stomach. My brother had the other one where they opened up his chest. His surgery was in April 2010. Because we were both going through the same thing at the same time and I am in North Carolina and he in PA I didn’t get all the facts sometimes.

    Any ways
    God bless

    Callie Newman
    09/02/2009 T2N0M0 – Stage IIA
    09/2009 -11/2009 Chemo Cisplatin and , 5 FU
    02/05/2010 MIE at Duke Medical
    Dr T. Pappas and Dr M. Onaitis
  • Tina Blondek
    Tina Blondek Member Posts: 1,500 Member
    Great Job
    Hey Susie
    High five girl! You are doing great with this research. I am glad to hear that you have spoken to Dr. Lukeitch. He is one of the best in his field. There are many other survivors who have had this surgery.
    I know they will be responding to you. From what I have learned, the MIE is the way to go. Good luck with your research. Hugs to you and Brendon. We are all praying for you.
    Tina in Va
  • linda1120
    linda1120 Member Posts: 389
    answers to questions
    1. What stage your cancer (or your loved ones) was in? Stage III
    2. What treatment you had prior or after surgery? Cisplatin & 5fu 2 treatments over 2 months
    3. What surgery you had? MIE at Oregon Health & Science University Hospital, Portland, Or
    4. What complications did you endure with your surgery? husbands complications were due to his heart issues (went into A-Fib) he also had pneumonia after surgery
    5. Whether or not they removed your entire esophagus? Yes, the entire esophagus was removed and the tumor had completely shrunk from the chemo & radiation. All 20 lymph nodes came back clean!
    6. And how long has it been since you had your surgery? Jim's surgery was January 5, 2011

    The MIE is the way to go. If Jim had had the Ivor Lewis he wouldn't be alive today. His heart would not have been able to handle it. Be sure and go to a cancer center that does a lot of MIE's.

    God Bless Susie! I thought of you tonight as Jim's feeding tube was clogged over and over! The coke finally did the trick.

    Linda
  • Susie_Brendon
    Susie_Brendon Member Posts: 128
    linda1120 said:

    answers to questions
    1. What stage your cancer (or your loved ones) was in? Stage III
    2. What treatment you had prior or after surgery? Cisplatin & 5fu 2 treatments over 2 months
    3. What surgery you had? MIE at Oregon Health & Science University Hospital, Portland, Or
    4. What complications did you endure with your surgery? husbands complications were due to his heart issues (went into A-Fib) he also had pneumonia after surgery
    5. Whether or not they removed your entire esophagus? Yes, the entire esophagus was removed and the tumor had completely shrunk from the chemo & radiation. All 20 lymph nodes came back clean!
    6. And how long has it been since you had your surgery? Jim's surgery was January 5, 2011

    The MIE is the way to go. If Jim had had the Ivor Lewis he wouldn't be alive today. His heart would not have been able to handle it. Be sure and go to a cancer center that does a lot of MIE's.

    God Bless Susie! I thought of you tonight as Jim's feeding tube was clogged over and over! The coke finally did the trick.

    Linda

    Thanks for the Smile
    Good morning everyone!!!!
    Thank you sooo much for the replies I have recieved so far. I have a couple of weeks to make one of the biggest decisions in Brendon's life. He told me yesterday that he counts on me to find the BEST place and BEST surgery for him. He's not much into reading about his disease or doing research. Luckily for me...I thrive for knowledge, so I know he is in good hands.

    Please tell me more because I have read several places that after surgery, you can not lie flat anymore?? What's this about? and Why?

    Linda - you made me laugh first thing this morning! Thank you!!! I'm glad the coke did the trick! Brendon actually got a new feeding tube pump...it's a "two-liner"...(or whatever you call it! lol) Pumps water every two hours to clean it while doing the feedings..so hopefully, I won't be pulling my hair out anymore!

    To those reading this string of posts that haven't let me know about your surgery choice, please let me know. I am counting on ya all!!

    Happy Friday everyone!! The assignment for today is to laugh!

    Susie
  • Susie_Brendon
    Susie_Brendon Member Posts: 128

    Great Job
    Hey Susie
    High five girl! You are doing great with this research. I am glad to hear that you have spoken to Dr. Lukeitch. He is one of the best in his field. There are many other survivors who have had this surgery.
    I know they will be responding to you. From what I have learned, the MIE is the way to go. Good luck with your research. Hugs to you and Brendon. We are all praying for you.
    Tina in Va

    Thanks Tina
    Even though I sometimes don't understand everything I read...I'm soooo much more knowledgeable about EC than I was on Feb 1st when Brendon was diagnosed. The more we all know, the better choices we can make for our loved ones. Thanks for your continued support and prayers!
    Susie
  • paul61
    paul61 Member Posts: 1,391 Member
    Ivor Lewis
    Susie,

    I am a 62 year old male. I was in excellent health when I went to my primary care physician for what I thought was just recurrent acid reflux. I was sent for an endoscopy.

    1. I was diagnosed as Stage I later changed to Stage IIB
    2. I had no treatment prior to surgery (they originally thought I was Stage I until they evaluated the pathology from surgery)

    3. I had Ivor Lewis surgery
    4. My major complication was that I developed an infection in both surgical incisions in the hospital. This extended my hospital stay by two days while they treated the infection with IV antibiotics. I was in the hospital for 12 days in total, with three of those days in the ICU.

    5. Three quarters of my esophagus was removed (I had a tumor at the gastro-esophageal junction)

    6. It has been 15 months since my surgery.

    My most significant issue was that since I did not have treatment for my tumor prior to surgery and active cells were found in the post surgical pathology (The reason for my change in Staging from Stage I to Stage IIB) I had to do six rounds of chemotherapy while recovering from surgery. This extended my recovery time significantly.

    Best Regards,

    Paul Adams
    McCormick, South Carolina

    DX 10/22/2009 T2N1M0 Stage IIB
    12/03/2009 Ivor Lewis
    2/8 through 6/14/2010 Adjuvant Chemo Cisplatin, Epirubicin, 5 FU
    6/21/2010 CT Scan NED

    Life may not be the party we hoped for, but while we are here we might as well dance!
  • Susie_Brendon
    Susie_Brendon Member Posts: 128
    paul61 said:

    Ivor Lewis
    Susie,

    I am a 62 year old male. I was in excellent health when I went to my primary care physician for what I thought was just recurrent acid reflux. I was sent for an endoscopy.

    1. I was diagnosed as Stage I later changed to Stage IIB
    2. I had no treatment prior to surgery (they originally thought I was Stage I until they evaluated the pathology from surgery)

    3. I had Ivor Lewis surgery
    4. My major complication was that I developed an infection in both surgical incisions in the hospital. This extended my hospital stay by two days while they treated the infection with IV antibiotics. I was in the hospital for 12 days in total, with three of those days in the ICU.

    5. Three quarters of my esophagus was removed (I had a tumor at the gastro-esophageal junction)

    6. It has been 15 months since my surgery.

    My most significant issue was that since I did not have treatment for my tumor prior to surgery and active cells were found in the post surgical pathology (The reason for my change in Staging from Stage I to Stage IIB) I had to do six rounds of chemotherapy while recovering from surgery. This extended my recovery time significantly.

    Best Regards,

    Paul Adams
    McCormick, South Carolina

    DX 10/22/2009 T2N1M0 Stage IIB
    12/03/2009 Ivor Lewis
    2/8 through 6/14/2010 Adjuvant Chemo Cisplatin, Epirubicin, 5 FU
    6/21/2010 CT Scan NED

    Life may not be the party we hoped for, but while we are here we might as well dance!

    Thanks Paul!
    I appreciate your success story with the Ivor Lewis surgery! It's so helpful to get everyone's insites on such a HUGE decision! Almost overwhelming at times. God Bless.
    Susie
  • sandy1943
    sandy1943 Member Posts: 824

    Thanks for the Smile
    Good morning everyone!!!!
    Thank you sooo much for the replies I have recieved so far. I have a couple of weeks to make one of the biggest decisions in Brendon's life. He told me yesterday that he counts on me to find the BEST place and BEST surgery for him. He's not much into reading about his disease or doing research. Luckily for me...I thrive for knowledge, so I know he is in good hands.

    Please tell me more because I have read several places that after surgery, you can not lie flat anymore?? What's this about? and Why?

    Linda - you made me laugh first thing this morning! Thank you!!! I'm glad the coke did the trick! Brendon actually got a new feeding tube pump...it's a "two-liner"...(or whatever you call it! lol) Pumps water every two hours to clean it while doing the feedings..so hopefully, I won't be pulling my hair out anymore!

    To those reading this string of posts that haven't let me know about your surgery choice, please let me know. I am counting on ya all!!

    Happy Friday everyone!! The assignment for today is to laugh!

    Susie

    Susie, I don't know the
    Susie, I don't know the medical terms; but there is a flap in the lower esophagus that keeps acid from coming up into the throat. This is removed with surgery. By sleeping elevated, it keeps the acid from coming up. I have a 7 inch wedge and a pillow. AS long as I stay on it, I have no problem. If I roll off, I'll be in the recliner the rest of the night. Some people have invested in beds that can be raised.
    Other things help--Like not eating anything for a few hours before going to bed, and learning what foods to avoid.
    This is just one of the life changing things, But it is an easy adjustment.
    Prayers, Sandra
  • skyhawk
    skyhawk Member Posts: 19
    I was dx 4-15-08 at the age
    I was dx 4-15-08 at the age of 43. I was a firefighter at the time of dx and in great physical shape. At dx, I was T3N1M0. I decided to seek a 2nd opinion and travel to MD Anderson in Houston. I was prescribed 5 weeks of chemo along with 28 days of radiation before potential surgery. I done so good with chemo, I opted for 2 more weeks of it.

    I had a repeat CT/PET after 5 weeks with nothing showing. Now, he gave the choice of MIE, or IL. He told me the MIE was easier, but I can no doubt see more witht he IL and will take out more nodes with the IL, but it is your choice. I told him I was in shape, so the IL didn't scare me, so lets do it.

    8-12-08, we done the IL. I was out of surgery at 4:30 that afternoon, and at midnight, I was up walking. I done so well, I never was in ICU, etc. I got out of the hospital onthe 8th day. I have had no complications at all. My path was clear with 1 node of 44 showing scattered cells. He then showed me a study from MDA that post op chemo had no benefit other than to weaken your immune system either further, so I opted out of that. That is what the surgery is for, to take care of the few remaining cells if there are any. Now if there are floating cells, then they are floating cells. I was doing no more chemo after surgery after I read the study.

    On Nov 9, less than 3 months after IL, I was back full duty as a firefighter and 8 months after IL, I hiked 50 miles ont he Applachian Trail with a 35lb pack on my back. I now don't ever think about the surgery, because I look back and it seemed so simple to me. I now can eat a full 2 plates of food, 2 hamburgers, and do whatever I want to. NOW I KNOW EVERYONE DON'T ENJOY THESE RESULTS.

    I know that I am not out of the woods by any means, but I am enjoying life as before and seldom think about cancer anymore. I have decided if it shows its head again, I will deal with it then. I go back to MDA April 15 for scans and that is also my 3 yrs since dx. If my scans are good, then we will only scan yearly from here on.

    That is my story and I hope it helps you make decisions. Just remember, there are lots of complications with the IL, but I had a very experienced surgeon and had no complications at all.
  • GerryS
    GerryS Member Posts: 227 Member
    Here's my info, I hope it helps.....
    Susie
    Diagnosed at age 57, Stage II, N1.M0 Feb. 25, 2010
    Surgery in March "10
    followed by 2 months of chemo, cisplatin and 5FU
    Ivor Lewis surgery at Mayo MN.
    Surgery required several (4-5) months of recovery. Loss of 60+ lbs. Some back pain at incision but getting less all the time. Eating very well now, slow and steady, weight has stabalized.
    Removed entire esophagus
    CT scan Aug '10 clean NED
    CT scan Feb '11 clean NED

    Best of luck to you and you have my prayers.

    Gerry
  • cjmac49
    cjmac49 Member Posts: 100
    I was Diagnosed in March of 2008
    1. My cancer stage. T2N0M0
    2. Treatment you had prior to surgery? Chemo (cisplatin 5FU) 30 radiation treatments
    3. What surgery you had? Minimally Invasive Esophagectomy (MIE) at Beth Israel Deaconess MC in Boston
    4. What complications did you endure with your surgery? None noteworthy.
    5. Whether or not they removed your entire esophagus? All removed sue to cancer and extensive Barretts
    6. And how long has it been since you had your surgery? 940 days.
  • Donna70
    Donna70 Member Posts: 852 Member
    cjmac49 said:

    I was Diagnosed in March of 2008
    1. My cancer stage. T2N0M0
    2. Treatment you had prior to surgery? Chemo (cisplatin 5FU) 30 radiation treatments
    3. What surgery you had? Minimally Invasive Esophagectomy (MIE) at Beth Israel Deaconess MC in Boston
    4. What complications did you endure with your surgery? None noteworthy.
    5. Whether or not they removed your entire esophagus? All removed sue to cancer and extensive Barretts
    6. And how long has it been since you had your surgery? 940 days.

    Susie here is my info
    Hi Susie,
    I was diagnosed Stage III with one positive node, T3N1MO in July, 2009.
    I had Cisplatin and 5 FU and radiation before Ivor Lewis surgery at St. Joseph's Towson MD.
    Surgery was 12/8/09. Had a positive node found during surgery everything else was destroyed by the radiation and chemo. Had post op chemo of Taxotere. My complication was lung damage from the radiation and surgery. Does not happen to many people. Now I have asthma and COPD and have to do inhalers. So I am having clear scans and now on an every 6 month schedule and it has been a year and 3 months. I can eat almost anything, just not extremely spicy stuff. My hubby is always kidding me about how much I eat. I am now up 137 lbs and would recommend surgery to anyone who can have it. I consider myself one of the very lucky ones and just wish it could be for everyone. take care,
    Donna70
  • cindyhils
    cindyhils Member Posts: 27
    hey guys,
    1. My stage

    hey guys,
    1. My stage was IIa
    2. I had two treatments of cisplatin AND 2 treatments of 5-FU fanny pack, along with 28 radiation treatments, no postop chemo
    3. I had THE surgery at mayo in rochester./Transhiatal esophagectomy
    4 I had an unusual complication 4 days after surgery.. i had a vein wrapped around my new stomach cutting off circulation and i had to have another emergency surgery to figure it out.
    5 my esophagus and part of my stomach with 12 lymph nodes were removed. all were cancer free.
    6. I was diagnosed august 09 and had surgery dec. 09 so it has been almost 15 months since surgery.
    good luck i know you are getting a lot of info to process but its great you are taking it all in.
  • cclambert
    cclambert Member Posts: 30
    1. What stage your cancer
    1. What stage your cancer (or your loved ones) was in? T1N1M0
    2. What treatment you had prior or after surgery? No treatment prior to surgery,
    after surgery I had 4 rounds of Cisplatin and 5 FU
    3. What surgery you had? Open Transhiatal Esophagectomy at MD Anderson
    4. What complications did you endure with your surgery? I developed pnuemonia the
    day after surgery, was on a vent for 3 days in ICU
    5. Whether or not they removed your entire esophagus? They removed 2/3 of the
    esophagus and 1/3 of the stomach, along with 23 lymph nodes
    6. And how long has it been since you had your surgery? Surgery was on Dec 21, 2010
    I feel great, can eat anything I like, I have more energy than I had when
    when I was younger. Life is good
  • sandy1943
    sandy1943 Member Posts: 824
    Hi Susie and Brendon, I was
    Hi Susie and Brendon, I was reading all the different answers and have to admit I have shed a few tears. As you can see, everyone goes through treatment and surgery differently; but the survivors of this desease are growing. It's up to us as suvivors to get the word out for people to not ignore what is sometimes vague sypmtons.
    Brendon is so fortunate to have someone that wants to know all the facts. EC is so much a part of our lives. It touches all our family, and knowledge is so important.
    Praying for you both,
    Sandra
  • Susie_Brendon
    Susie_Brendon Member Posts: 128
    cclambert said:

    1. What stage your cancer
    1. What stage your cancer (or your loved ones) was in? T1N1M0
    2. What treatment you had prior or after surgery? No treatment prior to surgery,
    after surgery I had 4 rounds of Cisplatin and 5 FU
    3. What surgery you had? Open Transhiatal Esophagectomy at MD Anderson
    4. What complications did you endure with your surgery? I developed pnuemonia the
    day after surgery, was on a vent for 3 days in ICU
    5. Whether or not they removed your entire esophagus? They removed 2/3 of the
    esophagus and 1/3 of the stomach, along with 23 lymph nodes
    6. And how long has it been since you had your surgery? Surgery was on Dec 21, 2010
    I feel great, can eat anything I like, I have more energy than I had when
    when I was younger. Life is good

    AMAZING!
    Ahhh such a wonderful read!!! I'm so glad that you are doing so well!!! It's refreshing to read good biographies like this!

    Susie
  • Susie_Brendon
    Susie_Brendon Member Posts: 128
    cjmac49 said:

    I was Diagnosed in March of 2008
    1. My cancer stage. T2N0M0
    2. Treatment you had prior to surgery? Chemo (cisplatin 5FU) 30 radiation treatments
    3. What surgery you had? Minimally Invasive Esophagectomy (MIE) at Beth Israel Deaconess MC in Boston
    4. What complications did you endure with your surgery? None noteworthy.
    5. Whether or not they removed your entire esophagus? All removed sue to cancer and extensive Barretts
    6. And how long has it been since you had your surgery? 940 days.

    LOVE IT!
    I LOVE LOVE LOVE your reply.... 940 days!!!!!
    Congrats for being a 940 day cancer survivor!!!!!!

    Thank you for your information! I'm keeping notes on all of this and we will make the big decision this week as to what surgery we want...and where we want to go!!

    SUSIE
  • Susie_Brendon
    Susie_Brendon Member Posts: 128
    cjmac49 said:

    I was Diagnosed in March of 2008
    1. My cancer stage. T2N0M0
    2. Treatment you had prior to surgery? Chemo (cisplatin 5FU) 30 radiation treatments
    3. What surgery you had? Minimally Invasive Esophagectomy (MIE) at Beth Israel Deaconess MC in Boston
    4. What complications did you endure with your surgery? None noteworthy.
    5. Whether or not they removed your entire esophagus? All removed sue to cancer and extensive Barretts
    6. And how long has it been since you had your surgery? 940 days.

    :-) Ooops!
    Okay...I commented back to you...BUT...I guess I hit the wrong reply button...

    Just call me a newbie still on this site!!!

    Scroll down!! You will know I was talking to you!!!!
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