Page 7 - Family Help
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Understanding oesophageal (gullet) cancer

                  (Jejunostomy tube) to be inserted into your small bowel for extra nutrition. Your
                  Dietitian will discuss this further with you.

                  An oesophagectomy
                  This operation involves the removal of part or most of the oesophagus and
                  possibly part of the stomach, the amount of each varies according to the position
                  and size of the tumour. The stomach is then moved into the chest and joined to
                  the remainder of the oesophagus. The join may be near the neck or slightly lower
                  but usually most of the stomach will be in the chest. Very occasionally the bowel is
                  used to replace the oesophagus instead of the stomach.

                                 A: Before surgery     B: Following an oesophagectomy

                  Keyhole Surgery
                  Some patients are offered keyhole (laparoscopic) surgery for part of their
                  operation – either the abdominal part only, or both the abdominal and chest parts.
                  Doing the operation in this way means you will only have a small opening or
                  openings instead of one larger cut. Despite the smaller cuts, you should not
                  underestimate the seriousness of your operation.

                  The stomach
                  The stomach forms part of the digestive system. The upper part is joined to the
                  oesophagus and the lower part is joined to the beginning of the small bowel (see
                  illustration on page 1).

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