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NCCN Guidelines for Patients


Esophageal Cancer, Version 1.2016


Treatment guide: Adenocarcinoma

Early cancer

Guide 18

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

esophageal wall.

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

right spot.

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

healthy foods.

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.