Esophagectomy - discharge
Trans-hiatal esophagectomy - discharge; Trans-thoracic esophagectomy - discharge; Minimally invasive esophagectomy - discharge; En bloc esophagectomy - discharge; Removal of the esophagus - discharge
When You Were in the Hospital
Your esophagus is a tube that moves food from your throat to your stomach. You had surgery to remove part, or all, of your esophagus. The remaining part of your esophagus and your stomach were rejoined.
If you had surgery that used a laparoscope, several small incisions (cuts) were made in your belly or chest. If you had open surgery, larger cuts were made in your belly or chest.
What to Expect at Home
You will probably have a feeding tube for 1 to 2 months after surgery. This will help you get enough calories to help you gain weight. You will also be on a special diet when you first get home.
Your stools may be looser, and you may have bowel movements more often than before your surgery.
Do not lift anything heavier than about 3 pounds for:
- 2 weeks after laparoscopic surgery
- 6 to 8 weeks after open surgery
You may walk 2 or 3 times a day, go up or down stairs, or ride in a car. You will need time to rest after being active. If it hurts when you do something, stop doing that activity. If you have large incisions, press a pillow over them when you cough or sneeze.
Make sure your home is safe as you are recovering.
Your doctor will give you a prescription for pain medicines. Get it filled when you go home so you have it when you need it. Take your pain medicine when you start having pain. Waiting too long to take it will allow your pain to get worse than it should.
You will be using a feeding tube when you go home. You will probably use it only at nighttime. The feeding tube will not interfere with your normal daytime activities. You will start having clear liquids, and then your diet will slowly progress. See also: Diet and eating after esophagectomy
You will need to do deep-breathing exercises when you get home. Ask your doctor or nurse to show you how.
If you are a smoker and are having trouble quitting, talk with your doctor about medicines you can try and stop-smoking programs in your area you can go to.
You may have some skin soreness around your feeding tube. If you connect your tube in your neck, you may have some leakage of fluid there. Your surgeon will tell you how to take care of this.
Change your dressings (bandages) every day until your doctor says you no longer need to keep your incisions bandaged. Wash the wound area with mild soap and water. See also: Surgical wound care
You may remove the wound dressings and take a shower if sutures (stitches), staples, or glue were used to close your skin. Do not try to wash off tape (Steri-Strips) or glue. They will come off on their own in about a week.
Do not soak in a bathtub, hot tub, or swimming pool until your doctor tells you it is okay.
After your surgery, you will need close follow-up:
- You will see your surgeon 2 or 3 weeks after getting home. Your surgeon will check your wounds and see how you are doing with your diet.
- You will meet with a dietitian to go over your tube feedings and your diet.
- You will see your oncologist, the doctor who treats your cancer.
When to Call the Doctor
Call your doctor or nurse if:
- Your temperature is above 101 °F.
- Your incisions are bleeding, red, warm to the touch, or have a thick, yellow, green, or milky drainage.
- Your pain drugs do not help ease your pain.
- It is hard to breathe.
- You have a cough that does not go away.
- You cannot drink or eat.
- Your skin or the white part of your eyes turns yellow.
- Your stools are loose or you're having diarrhea.
- You are vomiting after eating.
Maish M. Esophagus. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 41.
Reviewed By: Robert A. Cowles, MD, Assistant Professor of Surgery, Columbia University College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.