Surviving Oesophageal Cancer

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Hi , I’m new to this site but wanted to share my experience of living with oesophageal cancer. I realise that I’m one of the lucky ones in that my cancer was caught relatively early and was therefore operable.

I was diagnosed with cancer of the oesophagus in February 2007 and after many tests and two sessions of chemotherapy I underwent an Ivor Lewis operation, which is major surgery to remove the cancer, and lasted around seven hours. I responded well throughout and remained only five days in intensive care before being moved to a general ward and released a week later.

Since then, I’ve continued to do well but suffer from dumping syndrome as a result of the surgery. This is an unpleasant side-effect that causes fatigue, sweating and nausea after eating. Also, I now have to have vitamin B12 injections every three months as my body can no longer process this essential vitamin.

All in all, I feel ok and have remained positive all the way through. I realise I’m extremely lucky and count my blessings every day.

I’ve read so many negative reports about this type of cancer so I felt I had to share something positive for those of you who have, or know someone with, Oesophageal cancer.

All the best

Crystal

  • FormerMember
    FormerMember
    Hi Crystal
    congratulations on your two years,and thank you for all the advice that you have given to all who have joined this site for help, insparation and most of all hope which you have given to many, myself included ,Bill is now home doing ok but finding tierdness a problem one minute he is watching telly then the next he is fast asleep,we have now started to call him sleeping beauty,he hasn't answered to it yet but we will keep trying and another thing the pain control that he takes makes him talk in his sleep, I am going to record him then play it back to him when he wakes up then he will believe me it can be so funny what he says.I am only now able to relax now that he is home and I can look after him myself and know that if I need reasurance I will find here with all the friends that I have made on this site.
    Nora x
  • Hi Mermaid
    I hope things have settled down a bit for you, it is hard to have to deal with all these new things. Just getting into some kind of routine takes time and sometimes things happen to upset that routine which causes stress. You have a lot on your mind and need to rest as well, so anything not essential can wait and the main thing is to spend good time with your husband. xx

    Hi Jane & Nick
    If there are really good moments in the day for each of you I imagine they are the ones you spend together. It’s good that you can take a day at a time because some days are going to be so good you’ll smile a lot. Of course, there will be not so good days, awful days, but you seem to me to have humour and spirit and I hope these qualities can help you both through some of the bad days. xx

    Hi Pansy
    Many thanks for your lovely words. How is sleeping beauty doing today? If you can wake him up for long enough he might like to sit outside and get some of this glorious sunshine and Vitamin D into him. It will really help to ease those aches and pains as long as he doesn’t overdo the sunbathing. I think by the sound of it he’s in really good hands, as you sound a very capable lady and his recovery will go well at home with you to look after him. xx

    To Everyone else, you’re all in my thoughts and I hope all is going as well as it can for each of you. Take care. xx
    Sunny day to all.
    Crystal xx

  • FormerMember
    FormerMember

    Since my Ivor Lewis in Apr 2008 I have had trouble with coughing and choking while trying to eat and an uncomfortable and sometimes painful feeling in my right lung. I know there can be complications with the lungs after the operation and I signed the consent form to this effect. I have only been to see the consultant a handful of times since the operation and each time I have complained about the coughing, chocking and persistent lung problem.

    On the last visit I was referred to the ENT department as it was thought that the chocking may be down to vocal cord damage, I was skeptical about this but went along to the ENT dept so they could put a camera up through my noise and down my throat to check the cord which checked out ok. I asked the ENT consultant if the chocking could be down to the Vegas nerve, he replied that bruising of the nerve during the operation can cause some of my symptoms but was more concerned that I may aspirating into my lung which he said could be potentially fatal. From my research into this problem it is my understanding that if it is acid from my stomach getting into the lung I can develop an abscess or pneumonia if tiny bits of food is lodging in the lung and turning bad.

    I had the bedside swallow test carried out which has turned out to be inconclusive and have been referred for a video fluoroscopy test where they can record the swallow in more detail. I was wondering if anyone else had a similar problem, and if so what was the outcome, or is it just something I am going to have to live with?

  • Hi Bad Year
    What stands out in what you say here is in the last sentence where the swallow test had been inconclusive. As you know, the swallow test checks for anastomotic leak, which can be a real issue and sometimes a major concern after an oesophagectomy. I’m not medically qualified to offer an opinion, but my immediate thought is that it should be checked out as soon as possible, as seems to be the case as you have now been referred for a video fluoroscopy. Perhaps you have the tiniest perforation which never showed up before, but I’m only surmising and of course only the medics will eventually be able to offer a diagnosis and treatment. I’ve never heard of this occurring so long after surgery. My first thought was that perhaps the larynx had been damaged, thus causing the choking, but that would not explain the pain in the lung. Anyway, the main thing is that you’re getting it checked out and hopefully all will be resolved with appropriate treatment.
    I wish you good luck on this and hope it goes well.
    Crystal xx
  • FormerMember
    FormerMember

    Hi Chrystal

    Firstly congratulations on your 2 year mile stone, I am so glad you are doing well, bar the irritating problems you have mentioned in other posts, thanks for being here to help out like you do.

    I will keep you posted about the outcome of these tests, I agree it would be very weird if it were anastomotic leakage after all this time. I have managed to cut out most of the sweet things out of my diet and am just about managing to hold my weight steady so if it were not for this irritating problem I am still having, which I must say has been improving over the last few weeks, things would be getting back to normal. I am feeling that life is most defiantly worth living again, one thing is for sure I won’t be sitting around this summer wrapped in a blanket!

    Thanks again

  • FormerMember
    FormerMember

    Hello all

    Its a while since my last post - I haven't been too well - a trip back into hospital with intractable vomiting, then 2 weeks at home with no appetite at all. It was pretty grim, and I got very depressed. Feeling better now though, and my GP has persuaded me to try antidepressants, which I started 10 days ago.

    I went to see the oncologist last Friday. He discussed the biopsy report with us. There were no nodes involved and the margins each side of the tumour were clear. However, there was one small part where the knife came very close to the tumour and he said that there is a small risk of microscopic cancer cells being left behind. He then went on to offer a course of radiotherapy (5 days a week for 5 weeks) combined with low dose chemo.

    I don't want to have radiotherapy - the side effects are not nice at all and I have had enough of feeling ill. Besides that, the last time I saw my surgeon he confirmed that he had got everything out but he said that the oncologists would probably want to do radiotherapy. He actually advised me against it, saying ' I know what I saw at operation and I know we cleared everything with good margins'. He did advise chemo tho, and the oncologists said that I could have chemo alone, but that it wouldn't be low dose, which means another 9 week course. I can cope with chemo, I didn't do too badly with the pre-op course.

    I have discussed it no end with John and my daughters and they support my decision. I have a few days to let them know what I want to do. In the meantime, I'd be interested to know your thoughts on it?



    Nick and Jane

    I'm so sorry to hear your news. I'd love to be as brave as you two. You are both in my thoughts x

    Crystal

    Hope you're ok. Thanks for your e-mail. I'll reply soon as. x

    Woody
    Hope you're still doing well x

    Rumbler
    Hope you are too. x

    Hugs and kind thoughts to all

    Netty

  • Hi Netty
    It’s good to see you up and about so to speak and to know that you’re getting on top of the various side-effects of the surgery. I know how hard you’ve struggled with some of these post-surgery issues and how brave and undaunted you’ve shown yourself to be in dealing with them. I take my hat off to you Netty.
    I don’t blame you for not wanting radiotherapy, neither would I, and if your surgeon has advised against it then personally I’d go along with that. I’m sure your surgeon is absolutely confident in his handiwork and only he can know for sure how close the knife came to contamination. However, he is advising chemo, as is the oncologist, so this leaves you with an important decision to make, and which, if I’ve read your message correctly, you’ve reached your decision and decided to have the chemo treatment. If that is correct then I think you’ve made the right choice. If there were a slender chance that the cancer could return then I personally would definitely opt for the chemo. Whatever you’ve decided Netty, the main thing is that your family totally supports your decision, and that in my book is all that matters, because they want what is best for you.
    Let us know what you’re going to do and I wish you good luck and all the best.
    Love Crystal xx

  • FormerMember
    FormerMember
    Hi Netty,

    Glad you are feeling a bit better now. I would agree to try the chemo. It will cover all your body anyway whereas the radiotherapy would only cover one small area so hopefully the chemo will kill any lurkers that may be left behind. Everyone is different though. My husband has had both and with radiotherapy he was very lucky and had no side effects. He didn't even tell his work and just stopped a bit earlier each day (he was the boss so had good excuses), drove over an hour, had the radiotherapy and then back home and back out to work the next day! I know I couldn't have done it. However chemo just floors him.

    We were told 2 months ago that my husband only had about 6 months left and yesterday we were offered more chemo but we just don't know what to do. If we don't decide by Monday then the oncologist says it will be too late and not worthwhile. But chemo makes him very ill and on top of all the other symptons he has just with his cancer I think it will be too much. They also can't say how long it would extend his life but I feel if it would only be a month or two then is it worthwhile ruining the quality of his life just for an extra few weeks. Quantity or quality? Why should we have to make all these horrible decisions about life and death? I phoned the hospice for their advise today and they were very helpful and suggest maybe trying one cycle and seeing how he is and if he is bad then just stopping it. But I don't know whether I can cope with any more which sounds very selfish but he is not able to do very much for himself at the moment, is sick a lot, can't walk, is in pain, has bedsores, very bad cough due to the spread of disease to his lungs, etc, etc. The list is endless. What a decision to make! We also have two little boys aged 4 and 3 who have a very difficult time at the moment missing out on parties, days out etc and this would get worse. I bought a book to read to the eldest one about what cancer means and I think he kind of understood it but when we asked him what he would feel if his daddy died he said he would need to get a new daddy with better hair!!! Kids! He didn't mean it in a bad way - he is just young and doesn't really understand. Daddy hasn't been around much and when he is he isn't able to play with them anyway and thats what kids measure isn't it? When I read the book I asked him if it made him angry that daddy was ill and he said it was okay as I took him out and played with it. It is so desperately sad! We are also having problems with the GP prescribing actiq for my husband. He has mentioned before how expensive it is and my husband uses a lot. When I got his repeat prescription a couple of days ago they gave me 2 days supply!! After 3 phonecalls they still haven't sorted it and eventually I just burst into tears. If it isn't one thing its another. I phoned the hospice though and they were mad so they are going to take it up with the GP and hopefully they will sort it. As if I don't have enough to do without running to the chemist every day.

    Sorry for just hijacking your question Netty! I am pleased to hear you have a very supportive family and that makes a huge difference. Like the doctors said to my husband if you get very ill and can't tolerate it you can stop however a few months of illness just now could add many happy ill free years to your life judging by what you have said the surgeon said after the op. My husband had his op 3.5 years ago and his disease was spread a lot further into nodes etc. Take care and let us know what you decide.

    Hi Crystal,

    Hope you too are doing well.

    Gayle x
  • FormerMember
    FormerMember
    Hi Everyone

    Nick lost his battle 28/5/09 and we have had the funeral today to say goodbye. Thank you to all for the support you gave us and good luck for the future.

    Jane xxx
  • Jane
    I’m so terribly sorry to hear this very sad news. It seems so sudden and Nick was putting up such a brave fight, you both were. My heart goes out to you Jane. You have my deepest sympathy and condolences to your family. You’ll be in my thoughts in the coming days and if at any time you want to send me a message, please do. I hope you find comfort in your family and friends, and you know that you also have friends here anytime you need to talk. ((((Jane))))Love Crystal xx