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	<title>Esophageal Conditions and Treatments | UCLA Center For Esophageal Disorders - Los Angeles, CA</title>
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												<h1 class="pagetitle" id="pagetitle"><strong>Esophageal Conditions and Treatments</strong></h1>
											
										
										
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			<b>Esophageal Treatments</b><hr>
		
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						<div class="metadetail"><b>Transhiatal Esophagectomy</b></div>
					
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			<h2>Transhiatal Esophagectomy</h2>
			<p><strong>What is a Transhiatal   Esophagectomy?  <a href="workfiles/treatments/procedure_transhiatal.pdf" target="_blank">PDF Version</a></strong><br />
    A Transhiatal Esophagectomy is done in   patients who are being treated for end-staged achalasia or early-staged cancer   of the esophagus. The surgery is done through the abdomen and the neck. An   incision is made on the abdominal wall and small incision is placed in the left   neck. The stomach and esophagus are mobilized and the stomach is cut into the   shape of a tube using surgical staples. The esophagus and cut portion of the   stomach are pulled out through the neck incision and removed. The newly shaped   stomach is brought up through the chest and sewn to the small piece of the   esophagus that is left behind in the neck. The stomach will now function as the   esophagus used to.</p>
<p><strong>Will I need to have   anesthesia?</strong><br />
    Yes.</p>
<p><strong>How long will it   last?</strong><br />
    The surgery takes about 4 hours.</p>
<p><strong>Will anything be removed,   replaced, etc?</strong><br />
    Yes, the esophagus is removed and replaced   with the stomach.</p>
<p><strong>Where will the incision(s) be   made?</strong><br />
    An incision is made on the abdominal wall and a small   incision is made in the left neck.</p>
<p><strong>Will any devices/sutures/staples   be implanted and will they need to be removed?</strong><br />
    Permanent   sutures will be used to sew the esophagus to the stomach and surgical staples   will be used to fashion the stomach into a tube.</p>
<p><strong>Will I have any tubes or drains   after surgery?</strong><br />
    Yes, you will have a small tube coming out of   your nose that drains the fluid in your stomach. It will be removed 5 days after   surgery. A small drain will be in your neck and will be removed 1-2 weeks after   surgery in the doctor&rsquo;s office. You will have a small feeding tube in your   stomach that you will go home with and use it to supplement your feeding and   medications. It will be removed approximately 2 months after surgery once you   are eating well and gaining weight.</p>
<p><strong>How long is the stay in the   hospital?</strong><br />
    You will need to stay in the hospital for 5-10   days. You may spend 1 nights in the intensive care unit depending on how well   you recover.</p>
<p><strong>How long before I will be eating   solid foods?</strong><br />
    For the first two weeks after surgery you will   be drinking liquids only. In the second week you will start to eat soft foods.   By 2 weeks you can eat a normal diet.</p>
<p><strong>How long before I am back to my   normal levels of exercise?</strong><br />
    It is recommended that you refrain   from strenuous activities and heavy lifting for about 2 months. You may return   to work after 4 weeks if your work does not require heavy lifting or strenuous   activities.</p>
<p><strong>When will I be back to my normal   routine?</strong><br />
    Usually by 2 months you can return to your normal   routine.</p>
<p><strong>What follow up is   necessary?</strong><br />
    A follow up visit 2 weeks and again at 3 months   after surgery is necessary. Further follow up is at the discretion of the   surgeon.</p>
<p><strong>How will this affect my life in   the long-term? </strong><br />
    After some time your life will return to   normal. You will always notice a change in your bowel habits including looser   stools and more frequent meals. You may notice that some foods are more   difficult to eat than others. Your doctor will advise you as to what foods to   avoid.</p>
However, some permanent alteration in lifestyle are recommended:<br />
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            <td>Small frequent meals, avoiding   steak or heavy meats. </td>
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            <td>Elevate head of bed 30 degrees   at all times. </td>
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