Esophago Gastric Cancer

Esophago Gastric Cancer

Esophago-Gastric Cancer

Comprehensive Care for Esophageal and Stomach Cancers by Dr. Bharat Dua

Cancers of the esophagus and stomach (gastric region) are among the most challenging gastrointestinal cancers. However, with modern diagnostic tools and advanced treatment approaches, outcomes have improved remarkably. Under the expert guidance of Dr. Bharat Dua, patients receive personalized, precise, and compassionate care for esophago-gastric cancers — ensuring the best possible recovery and quality of life.

Understanding Esophago-Gastric Cancer

Esophago-gastric cancer refers to cancers that begin in the esophagus (food pipe) or the stomach — two vital parts of the digestive system that connect and work together to move and digest food.

• Esophageal cancer begins in the lining of the esophagus, the tube that carries food from the throat to the stomach.
   
• Gastric (stomach) cancer starts in the stomach lining, often in the inner layer, and can spread to other parts of the digestive tract or nearby organs.
   

These cancers may present similar symptoms, and early detection plays a crucial role in improving treatment success.

Common Symptoms to Watch For

Esophago-gastric cancers can develop quietly in the early stages. However, as they grow, they often cause noticeable symptoms such as:

• Difficulty or pain while swallowing
   
• Persistent indigestion or heartburn
   
• Loss of appetite or feeling full quickly
   
• Unexplained weight loss
   
• Chest pain or discomfort behind the breastbone
   
• Nausea or vomiting
   
• Black or bloody stools (a sign of internal bleeding)
   
• Fatigue and weakness
   

If you or a loved one experience these symptoms for more than a few weeks, it’s important to consult an expert like Dr. Bharat Dua for prompt evaluation and diagnosis.

Risk Factors and Causes

The exact cause of esophago-gastric cancer is often complex and involves multiple factors. However, several known risk factors can increase the chances of developing these cancers:

• Tobacco and alcohol use
   
• Long-term acid reflux (GERD) or Barrett’s esophagus
   
• Helicobacter pylori (H. pylori) infection
   
• Diet high in smoked, pickled, or salty foods
   
• Obesity
   
• Family history of gastrointestinal cancers
   
• Previous stomach surgery or chronic inflammation
   

Awareness of these risk factors and maintaining a healthy lifestyle can significantly reduce cancer risk.

Diagnosing Esophago-Gastric Cancer

Early and accurate diagnosis is essential for successful treatment. Dr. Bharat Dua uses advanced diagnostic technologies to detect esophageal and gastric cancers at the earliest possible stage. The diagnostic process may include:

• Endoscopy: A flexible tube with a camera is passed down the throat to examine the esophagus and stomach lining directly.
   
• Biopsy: A small tissue sample is taken during endoscopy to check for cancer cells under a microscope.
   
• Imaging Tests: CT scans, PET scans, or MRI help determine the stage, spread, and size of the tumor.
   
• Endoscopic Ultrasound (EUS): Provides detailed images to evaluate the depth of the tumor and involvement of nearby lymph nodes.
   
• Blood Tests: Assess overall health and detect tumor markers.
   

This comprehensive diagnostic approach enables Dr. Bharat Dua to create an individualized treatment plan tailored to each patient’s unique condition.

Treatment Options for Esophago-Gastric Cancer

Treatment for esophageal and gastric cancer depends on several factors, including the stage, location, and overall health of the patient. Dr. Bharat Dua follows a multidisciplinary and evidence-based approach, combining advanced technologies and compassionate care to achieve the best outcomes.

1. Radiation Therapy

Radiation therapy uses high-energy X-rays or beams to destroy cancer cells.

• External Beam Radiation Therapy (EBRT) precisely targets cancerous areas while sparing healthy tissues.
   
• Techniques like IMRT (Intensity-Modulated Radiation Therapy), IGRT (Image-Guided Radiation Therapy), and SBRT (Stereotactic Body Radiation Therapy) enhance accuracy and effectiveness.
   Radiation therapy may be used:
   
• Before surgery (to shrink tumors)
   
• After surgery (to eliminate remaining cells)
   
• As a primary treatment for patients who can’t undergo surgery
   

2. Chemotherapy

Chemotherapy involves using anti-cancer drugs to kill or stop the growth of cancer cells. It can be administered:

• Before surgery (neoadjuvant therapy) to reduce tumor size
   
• After surgery (adjuvant therapy) to prevent recurrence
   
• Along with radiation (chemoradiation) for enhanced results
   

3. Surgery

Surgical removal of the tumor remains an essential treatment for early-stage or localized esophago-gastric cancers. Depending on the tumor site, surgery may involve:

• Esophagectomy: Removal of part or all of the esophagus
   
• Gastrectomy: Removal of part or all of the stomach
   

Dr. Bharat Dua collaborates closely with experienced surgeons to ensure seamless, coordinated care.

4. Targeted Therapy and Immunotherapy

In advanced cases, targeted therapy and immunotherapy offer newer, more precise treatment options.

• Targeted drugs attack specific genetic changes in cancer cells.
   
• Immunotherapy boosts the immune system’s ability to recognize and destroy cancer cells.
   

These modern therapies often improve survival rates and enhance quality of life for patients with advanced or recurrent disease.

Life After Treatment: Support and Recovery

Recovery from esophago-gastric cancer treatment involves both physical and emotional healing. Dr. Bharat Dua provides continuous support during and after treatment.

Post-treatment care includes:

• Regular follow-ups and imaging to monitor recovery
   
• Nutritional guidance to manage changes in digestion
   
• Rehabilitation programs to regain strength
   
• Counseling and support for emotional well-being
   

With proper follow-up care, many patients lead active, fulfilling lives after treatment.

Why Choose Dr. Bharat Dua for Esophago-Gastric Cancer Care

Dr. Bharat Dua is a highly experienced Radiation Oncologist known for his expertise in managing complex gastrointestinal cancers with precision and compassion. His holistic approach combines advanced technology with a deep understanding of patient needs.

Key Highlights:

• Specialized expertise in gastrointestinal and upper digestive cancers
   
• Access to advanced radiotherapy techniques (IMRT, IGRT, SBRT, SRS)
   
• Multidisciplinary collaboration for comprehensive care
   
• Personalized treatment planning for every patient
   
• Focus on comfort, safety, and long-term wellness
   

When you choose Dr. Bharat Dua, you’re not just getting a treatment plan — you’re getting a partner who walks with you through every step of your cancer journey.