Rigid Endoscopy

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I've posted here before recently about my symptoms and investigations. It all came about after a barium swallow showed a possible lump on upper right swallow. This turned out to be not a lump, but other symptoms have become prevelant:

- sore on right hand side below adams apple

- some blood drops in mucus on some mornings

- soreness varies, but generally present for about 6-8 months

- soreness can radiate to right ear

- can feel like acid reflux 'cold' pain like feeling in shoulder area also

- pre-existing condition which gives me fragile tissues and inability to swallow solids (Ehlers Danlos Syndrome, no peristalsis in oesophagus)

I was examined on three occassions by different ENT's using a nasal scope. Each examination was clear. One of those was done in the local hospital, and one in the National ENT Hospital UCLH London. The London person said they would expect to see something on the nasal scope, but did an MRi with contrast to make sure. This was clear and they discharged me.

The local hospital is still pushing for a rigid endoscopy. The risks associated with this procedure scare me, as my condition, I am told, makes me more susceptible to complications during a genreal aneasthetic and also preforation of the throat. I saw the local ENT on a private appointment, who would be the person,doing the procedure, to try to underline the risks (no one seems familiar with my condition), but he said it should be done, even though he doesn't think its anything sinister based on my previous examinations.

I live my life clinging on to the little swallowing I have left (due to my pre-exisiting condition). I live on liquids, for the past 10 years, which we have to blend. I"ve been fending off a feeding tube for that time. I'm worried that this procedure could put that in danger. And yet my soreness continues (allbeit a little less than it was).

The ENT's surgeons secretary want me to call her to talk about dates for the procedure.

I'm stuck between a rock and a hard place. HELP!

  • Hi and I feel for you with your decision.  I suspect a few of us have to make similar decisions.  Twice I have made the decision between having chemo & RT with no evidence of the cancer being still present.  In those cases I chose not to have the treatment as I valued a) my, then, quality of life and b) if I was going to use my one shot for CRT then I wanted a positive target to hit.

    That is not the same as your choice, but I suspect the thought process is similar.  You have to look at the evidence presented as to why you need the scoping and what the benefits may be vs a sensible approach to the downsides if it goes wrong.

    Alas, only you can make that choice.  I feel from what you have said you are almost there in that decision, but can't quite make it.

    Take some time, don't be rushed by the hospital.  Discuss with your family.

    I can't help you with your decision, but I am comfortable with the 2 choices I made, even though in the end a few years late the cancer re-emerged and I went through CRT.

    Peter
    See my profile for more details of my convoluted journey
  • Thanks Peter. I hope you are doing well nowadays. I'm intriged as to you saying I am almost there in my decision - which way?

  • I was examined on three occassions by different ENT's using a nasal scope. Each examination was clear. One of those was done in the local hospital, and one in the National ENT Hospital UCLH London. The London person said they would expect to see something on the nasal scope, but did an MRi with contrast to make sure. This was clear and they discharged me.

    That would be good enough for me

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I wrote a blog about my cancer. just click on the link below 

    https://todaymycoffeetasteslikechristmasincostarica.com 

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

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  • Good evening JBloggs, I agree with Dani, i went through 3 big operations, and after my second i lost the ability to swallow whole food and have a permanent PEG feeding tube although i can swallow tinned soups that have been blended so no lumps are present along with tea, coffee etc. I had three years of operations along with radio and chemo and although i cannot swallow or speak i have not regretted what i went through and trusted my Consultant throughout. Good luck.

                                                                                   Chris

    Its sometimes not easy but its worth it ! 

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  • Hi JBlogs

    That is a tough decision to make. Like Chris I have had 3 lots of cancer but in my jaw at different times over the years. With the second lot of cancer initially it was an inconclusive result after a biopsy but my surgeon was fairly certain it was cancer. He took my case to the team he meets with where they discuss patient's cases. I was given 2 options, go ahead and have surgery (it was going to be a big surgery) or wait and see. I opted for 'wait and see' as I knew that this surgery would be a life changer for me. I got an extra few months before it became really clear that it was cancer but I was always glad that I waited for that time and had a few more months of 'normal' life. I had a great holiday in that time where I could eat normally. If you are uncertain what to do you could take the 'wait and see' approach until things become clearer. I wouldn't be rushed into things.

    Lyn

    Sophie66