How to reduce the occurrence of complications during esophageal cancer treatment

What's going on lately Is the situation getting better?

In recent years, the incidence of esophageal cancer is also relatively high, and the first rate of esophageal cancer is not very high, so its harm cannot be ignored.

The esophagus is the passage through which food is transported, and we are very worried about what we should do if we have esophageal cancer and cannot swallow food in the esophagus? What are the complications of esophageal cancer? Let's find out.

Complication 1: Respiratory tract infection

Esophageal cancer patients are generally middle-aged and elderly, aged after 50 years old, if esophageal cancer patients are accompanied by lung diseases, such as chronic obstructive pulmonary disease, bronchitis, etc.

These primary diseases will produce a large amount of sputum, but patients with esophageal cancer often feel very sore throat and are reluctant to cough up sputum, so sputum and some secretions will cause bronchitis, which is easy to be complicated by pneumonia and atelectasis.

Patients often have fever, cough, etc. due to infection, and if the lung infection does not heal for a long time, it will have a negative impact on esophageal cancer, and the two are in a vicious circle.

Complication 2: Affects the digestion and emptying of food

Some low-level esophageal cancers require a part of the gastric mucosa to be removed after surgery, resulting in affected gastric function, weakened gastric motility, prolonged time for food digestion and absorption, and some patients have symptoms of gastric distention, stomach pain, nausea, and vomiting.

According to this complication, it is recommended that everyone eat small and frequent meals in the diet, the diet should be digested, if there is a serious disorder of gastric emptying, gastrointestinal decompression if necessary, etc., and give enteral and parenteral nutritional support, and the diet should be light in life.

Complication 3: Postoperative anastomotic stenosis or anastomotic leakage

The esophagus is a hollow organ that surgically amputates a portion of the esophagus and then snaps the ends together.

If the patient has a scar constitution, then the anastomosis produces scar tissue, resulting in a narrow anastomosis, and the patient has difficulty swallowing or even unable to swallow. The solution is esophageal dilation or endoluminal stent dilation.

Of course, it is also possible that the anastomosis is not well occupied, that is, the ends do not grow together and there is a leakage, which requires another surgical anastomosis.

There are many complications of esophageal cancer surgery, and patients should observe and feel their own physical condition.

What are the best ways to treat esophageal cancer?

The correct method is very important, and surgery plus chemoradiotherapy can be appropriately selected for advanced cancer.

Generally speaking, advanced esophageal cancer adopts conservative **, radioactive and chemical**, but it is very toxic and needs to be combined with traditional Chinese medicine**.

For patients who are unable to undergo surgery and cannot withstand chemoradiotherapy, Chinese medicine can be taken alone.

Traditional Chinese medicine can regulate the body's immunity, and surgical Chinese medicine conditioning can restore the immune system function of postoperative patients.

In addition, traditional Chinese medicine and chemotherapy have synergistic and attenuating effects, and have a protective effect on the digestive tract reaction and hematopoietic function inhibition caused by chemotherapy.

Everyone should understand the incidence of esophageal cancer, and treat the symptoms in a timely manner. **, choose the right method, the combination of traditional Chinese and Western medicine** effect will be better.

Causes aspiration pneumonia: aspiration and aspiration pneumonia due to esophageal obstruction, patients may have symptoms of fever and systemic toxicity.

Cachexia: In advanced cases, prolonged starvation leads to negative nitrogen balance and weight loss, which has a direct impact on the incidence of complications and surgical mortality after esophageal cancer resection.

Symptoms of bleeding or hematemesis: some esophageal cancer patients have vomiting, and some esophageal cancer patients have hematemesis due to tumor invasion of large blood vessels, and occasionally have massive bleeding.

Esophageal cancer expert Pang Yan recommends a comprehensive approach to combine traditional technology with biological technology to achieve the best solution.

Hello, the main complications after esophageal cancer surgery are: reflux esophagitis; functional gastric emptying disorder; respiratory tract infection after esophageal cancer; severe diarrhea after esophageal cancer; Anastomal fistula.

Hello, esophageal cancer is often accompanied by various degrees of complications after surgery, and the postoperative complications of esophageal cancer are conducive to the postoperative recovery of esophageal cancer patients, and the common postoperative complications of esophageal cancer mainly include reflux esophagitis, respiratory tract infection, functional thoracic and gastric emptying disorders and severe diarrhea.

Surgery is the preferred method for esophageal cancer, and surgery should be performed in time for patients with early-stage esophageal cancer who do not have special circumstances. Although the tumor can be removed after surgery, complications are easy to occur after surgery, which seriously affect the effect and even lead to direct death of the patient, so it is necessary to do a good job in the prevention and treatment of postoperative complications of esophageal cancer.

1) Chylothorax.

Chylothorax can develop after injury to the thoracic duct during surgery.

The prevention and control measures are conservative**, that is, no fat, high sugar, high protein diet, intrathoracic injection of adhesion agents, etc. For patients who do not respond to conservative **, thoracotomy and ligation of the chest catheter can be performed.

2) Empyema. The incidence of simple empyema is not high, and it is mostly caused by poor postoperative drainage and effusion infection.

The prevention and control measures are to strengthen anti-infection** after surgery and maintain smooth drainage.

3) Pulmonary complications.

These include pneumonia, atelectasis, and respiratory failure. Patients with long-term smoking and emphysema are particularly susceptible. Pulmonary complications usually occur 3 to 4 days after surgery.

Patients who have cough and sputum restriction due to pain after surgery are also prone to pneumonia and atelectasis.

Prevention and control measures are to encourage the patient to cough and produce sputum, and at the same time apply expectorant drugs and antibiotics to prevent infection, and if necessary, endotracheal intubation or tracheoscopy for suctioning.

4) anastomotic complications.

For example, anastomotic leaks, in which intrathoracic anastomotic leaks have a higher mortality rate. Its occurrence is mainly related to factors such as excessive anastomotic tension, stapler nail detachment, local infection, poor blood flow at the suspected land anastomosis, malnutrition or diabetes mellitus, anemia and other factors.

The prevention and treatment measures are to select the surgical indications, make preoperative preparations, supplement nutrition, and improve anastomosis skills.

5) Cardiac complications.

Including arrhythmias, heart failure, myocardial infarction, and sudden death.

The prevention and treatment measures are to first conduct a comprehensive evaluation of patients with heart disease before surgery, and to give ECG monitoring and corresponding internal medicine in time after these complications are found.

6) Other complications.

Including diaphragmatic hernia, gastric torvulus, pseudomembranous enteritis, etc., it is relatively rare.

Esophageal cancer experts from Henan Institute of Modern Medicine Hospital reminded that the prevention and treatment measures are to take the best measures immediately once these complications are found, otherwise it is easy to lead to the failure of esophageal cancer surgery. For patients with diaphragmatic hernia and gastric torsion, a second thoracotomy may be considered if necessary.

After the operation, the hungry oak should be lighter, eat meat appropriately, and eat more high-protein such as milk in the liquid limbs. Eat hot food. Prevent bacterial infections and try not to catch a cold. For more than a few weeks after surgery, appropriate exercise can enhance physical fitness and improve immune function.

Hello. Esophageal cancer prevention measures: do not eat moldy and spoiled food; Do not eat excessively hot and hot food, and drink tea and porridge below 50; Prevent water pollution and improve water quality; Do not smoke or drink strong alcohol; Replenish trace elements needed by the human body; Eat more fruits and vegetables and increase your intake of vitamin C.

Surveillance of susceptible populations, popularization of cancer prevention knowledge, and raising awareness of cancer prevention. Esophageal cancer and diet 1. Don't eat too much meat, because the fat content in meat is high, you can eat more fish and shrimp to meet the body's protein needs. 2. Pickles, salted meat and other foods contain carcinogens nitrite, which should be eaten less.

3. Moldy rice, noodles, peanuts and other foods contain carcinogenic aflatoxin, once found, they should be discarded. 4. Before cooking rice and porridge, wash the rice to reduce the damage to the body caused by mildew. 5. Frying food often will increase the pollution of the kitchen and make people prone to lung cancer.

6. The stored water in the tank should be updated every 2 or 3 days, and the roots should not be retained, because the bacteria in the sediment at the bottom of the tank can reduce the nitrate in the water to carcinogenic nitrite. 7. Eat more fiber-rich foods, such as celery, leeks, fresh dates, sweet potatoes, etc. 8. Smoked fish, meat, sausages and other foods contain carcinogenic tobacco tar and should be eaten sparingly.

Don't put too much oil in the stir-fry, studies have shown that the occurrence of breast cancer, colorectal cancer, and ovarian cancer is related to too much fat intake. 9. Don't try to buy fresh or rotten vegetables and fruits cheaply.