NCCN Guidelines for Patients
Esophageal Cancer, Version 1.2016
Treatment guide: Adenocarcinoma
lists follow-up care after esophagectomy.
Follow-up care is started when there are no signs
of cancer after treatment. Which tests are advised
is based on how far the tumor has grown into the
For all early cancers, updates of your medical history
and physical exams should be done regularly. Blood
tests are only done when needed.
Surgery and radiation can narrow your esophagus.
Thus, you may have trouble swallowing afterward. In
this case, your esophagus can be stretched using a
small balloon or tube guided down your throat to the
After cancer treatment, it may also be helpful to meet
with a nutritionist. A nutritionist can make sure you
are getting enough food to eat and are eating enough
Endoscopy and imaging tests are advised to look
for any new tumors. Upper GI endoscopy may be
needed on a regular basis if Barrett’s esophagus
wasn’t fully removed. For T1b tumors, imaging tests
may reveal cancer growth.