Hi I am 49 years of age and 6 years post op, after being diagnosed with stage 3 oesophageal cancer.
In the early part of 2018 aged 43 I underwent the ivor lewis procedure accompanied by pre and post op chemotherapy, my treatment finished in mid 2019
Eating is a huge subject here and I wanted to share my experiences.
Pre op I could barely eat or drink and was looking at soft foods like mince and potato ect. And towards the end I had to blend all my food while my nutrition was assisted with an NG (nasogastric) feed tube.
After surgery this was replaced with a PEG (percutaneous endoscopic gastrostomy) feed for a few weeks while I recovered.
Post op my feeding habits were hit and mis and seamed to take ages to get back to normal although I still struggled with portion control, pre op I was a big eater.
It does get easier, or you just adapt I’m not quite sure.
What I eat today, except portion size is no different from before my surgery. Milk is my only change in diet and I now use a lactose free variety. I tend to avoid regularly eating tuff meats like beef, but this is down to slow gastric emptying.
Some other symptoms I experienced were “early dumping syndrome” this has all but passed now and I don’t remember the last time I had an episode
I still have the occasional symptoms of “late dumping” and have found that shortbread or a chocolate bar helps while the effects pass.
All this was hampered by Slow gastrial emptying syndrome, this in its self cussed fatigue and even today I have days where I struggle with energy. I continue to take medication to help with this.
Most people I have spoke too all say about the rib pain and OMG does it hurt, but what a small sacrifice to pay, the pain by the way does get better and after a year or so for me it got easier and now I get no pain, just the odd twinge now and then but is more of a discomfort rather than pain.
During my treatment I was able to continue working although after the op I was off work for about 12 weeks. I work for a car manufacturer as a fire fighter which in its self is a challenging job, but I was lucky to be able to return to normal duties, although it took a while. So there is hope.
I hope this helps someone through what is a challenging time and I hope you all well in your journeys to recovery.
on a last note PTSD is a side effect and I struggled in the early days, it’s fair to say that mental health shouldn’t be ignored if your suffering then talk to someone about it, it does help.
OMG thank you!! I really needed to read this!!
I came off this forum for a while, as although I'm now almost a year to the day post-op, and am on the SARONG study for follow-up in the intensive cohort, so have already had 3 clear scans, my mental health isn't good right now. I am SO anxious about it returning, and I know a couple on here who had treatment around the time I did are facing recurrence. It sent me into a total spin.
I'm so glad I've read your story, and will stay away again, safe in the knowledge someone has posted a 6 year post op success story. You wouldn't believe how much better I feel for reading this.
I have no reason to think mine is coming back. I actually feel healthier and fitter than I have in years, and although I had complications straight after my op, since it, apart from the odd late dumping which has been entirely my fault (gluttony - I have a sweet tooth lol), I've been incredibly lucky and can eat really well now, and my weight stabilised at a healthy weight shortly after my last chemo. Physically I feel great. Mentally not so great, and this is something I will mention at my next SARONG appointment next month.
Every little twinge sets me off in a tail spin, and unfortunately I have bad arthritis in my joints (had my 2nd hip replacement just 3 months before diagnosis) so of course in my head the aches and pains aren't arthritis any more, but are cancer again :-( I genuinely am smiling now though - 6 years - wow, well done!! And thank you... really, really... thank you :-)
And yes, I will be mentioning my anxieties to my team at Southampton. They have been, and still are, absolutely amazing. I'm due to see them next month after another CT scan and endoscopy. Can't wait to get that milestone out of the way, I'll be one year clear then, hopefully *fingers crossed*. That will also help me.
Nicky your welcome, the anxiety will and does get better, even more so for you having the additional scans ect, every time you hear good news it will build the trust you’ve lost in your self and those extra scans ect will help you cope with the intrusive thoughts of it returning.
Just take each day as it comes and I can’t wait to read your 5 year celebration post.
interesting to see that the flot offered is the golden treatment, the nurse told me this is what i would have, the oncologist looked surprised, now i am worried because of the fact we went to pals as we came out of the oncologist appointment stressed, confused, its cheesed then off. paraying i can still be offered this, is it normal to offer a patient the offer of surgery even though they dont know what the hell is going on, and just sign the documents. wish every day wasnt a school day!!
I don’t know anything about FLOT I was never offended it, my chemotherapy was ECF
The treatment they offer you can vary and there are countless different factors your oncology needs to factor in. The fact you’ve already received treatment could be a massive factor. I’d try and not get to involved in what other people have had your oncologist should be the one to support you with this. Or even your nurse specialist.
It must be so difficult for you at the minute, hopefully you can find the answers you need.
Morning Nicky. I’ve just read your post and just wanted to support everything you have said. I too am coming up for a year post op. I’m also getting a bit jittery of late. I have just lost my Father who I have been caring for since May. I think this did keep my mind away from wandering as looking after him (and my Mum) consumed a lot of my head space. I wasn’t offered any trial just quarterly appointments with surgeon, then oncologist and I know that they’re always at the end of a phone if I have any concerns. Anyway, thanks for posting. Take care. Julie
Possibly because your treatment predates the studies that demonstrate FLOT regimen for resectable cancer has superiority over the standard care at the time. Is why you do not have an awareness of it? I think Universal acceptance of FLOT in this first line setting began around 2019.
Another on this site wondered if FLOT was the “experimental medicine” that Noddy Holder credits with saving his life in his high profile press release that he is a Survivor. Because the dates of his treatment coincide with the FLOT experimental trials.
I of course had to ask the question of my MTD as it is the same as Noddy’s. I coukd tell by the Surgeon’s face he has been asked this many times and expects to be asked many times more. And of course as I already knew, patient confidentiality prevents him from saying.
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