Esophageal Cancer Prevention

Esophageal cancer occurs when cancer cells develop in your esophagus, the long tube that passes food from your throat to your stomach. Esophageal cancer often begins in the cells that form the lining of your esophagus. Although the cancer can occur anywhere within your esophagus, it’s more common in the United States for it to appear in the lower portion, where the esophagus connects to the stomach. Also, more men get esophageal cancer than women.

There are two main types of esophageal cancer: squamous cell carcinoma and adenocarcinoma. Cancer that develops from squamous cells can appear along your entire esophagus. Adenocarcinoma cancer develops from gland cells that replace damaged squamous cells in your lower esophagus. Most likely, the damage was caused by exposure to too much stomach acid and chronic reflux is a risk factor for this condition.  Screening with upper endoscopy when recommended in appropriate patients can be an important tool for esophageal cancer prevention.

Why You May Need Esophageal Cancer Screening

Gastroesophageal reflux disease (GERD), commonly known as heartburn, can have serious repercussions if it is chronic and untreated. GERD can lead to a host of medical issues including difficulty swallowing, Barrett’s esophagus (sometimes a pre-cancerous condition), ulcers and esophageal cancer. Esophageal cancer is the seventh leading cause of cancer death in the U.S. Patient’s with chronic reflux or other risk factors may need screening for barrett’s esophagus with an upper endoscopy by a gastroenterologist for full evaluation and treatment to rule out a more serious underlying condition.

If you suffer from frequent heartburn and have any of these other symptoms, make an appointment to see Dr. Khodadadian in our  Upper East Side or Midtown  NYC gastroenterology office for an evaluation:

  • Chest pain
  • Fatigue
  • Hoarse voice
  • Painful cough
  • Unexplained weight loss
  • Difficulty Swallowing

Catching the disease early increases your chances of surviving the cancer exponentially. Early-stage cancer is treatable, but in the early stages, the cancer often shows no symptoms. Esophageal cancer prevention can therefore save your life.

Evaluation for Esophageal Cancer or Barrett’s Esophagus Screening

The first step to prevention is to determine the current condition of your esophagus. To accomplish this, Dr. Khodadadian has to visually examine your esophagus for damage. One way to do this is through an upper endoscopy.  The advantage of an upper endoscopy test is that it gives Dr. Khodadadian the ability to collect a biopsy or tissue sample.

For the best results and the safest procedure, you should start with an empty stomach. Don’t eat or drink anything, including water, for 6–12 hours before your procedure. Dr. Khodadadian will tell you exactly when to start fasting, as the timing can vary.

Medication Questions

Tell Dr. Khodadadian about any medications you’re currently taking, particularly insulin, aspirin products or antiplatelet agents, anticoagulants (such as blood thinners like warfarin or heparin), arthritis medications, iron supplements or clopidogrel. Also discuss any medication allergies you may have, as well as any medical conditions, such as heart or lung disease.

You should continue to take your medications as usual unless the doctor specifically informs you not to. Some medications can interfere with your preparation or with the examination, so he may ask you to adjust your normal dosage before your procedure.

 Upper Endoscopy used for Esophageal Cancer Screening

For an upper endoscopy procedure, our anesthesiologist will give you anesthesia to help you relax. Then you’ll lie on your side.

Once you’re sedated or relaxed, Dr. Khodadadian passes the endoscope through your mouth, into your esophagus and to your stomach, if necessary. Since the endoscope doesn’t interfere with your breathing, you may feel only slight discomfort. Many patients, in fact, fall asleep during the procedure.

Dr. Khodadadian also can use upper endoscopy to collect a biopsy. He’ll send the sample to a laboratory to distinguish between benign (or non-cancerous) tissues and malignant (or cancerous) tissues.

If Dr. Khodadadian doesn’t find any malignant tissue in your esophagus, he can discuss with you the diet and lifestyle changes that will help prevent cancer from appearing. If he finds a condition like Barrett’s esophagus, he can take the necessary steps to ensure that cancer doesn’t develop and put you on an appropriate surveillance program.

Recovering from Upper Endoscopy used for Esophageal Cancer Screening

After the procedure, your recovery will be monitored while you wait for the medications to wear off. Your throat may feel a little sore, and the air introduced into your stomach during the procedure can cause you to feel slightly bloated. These are both minor and temporary conditions.

You can eat after the procedure unless the doctor tells you otherwise. He’ll explain what he found in your esophagus during the exam, although you likely will have to wait for the laboratory results of any biopsy.

If you’ve received sedatives, you must have a responsible friend or relative drive you home and stay with you for several hours. Even if you feel alert, your judgment and reflexes may be impaired for the rest of the day.

Upper endoscopy Complications

Complications are rare, especially when a trained and experienced gastroenterologist like Dr. Khodadadian performs the procedure. A perforation or tear in your gastrointestinal tract lining that may require surgery is extremely rare and unlikely.

Other complications are minor. You can experience minor bleeding where a biopsy was taken. This bleeding may last for a few days, but it’s nothing to worry about.

You should contact Dr. Khodadadian immediately if you have a fever after the test, have trouble swallowing, experience increasing throat, chest or abdominal pain or if you notice any prolonged bleeding, including internal bleeding that reveals itself in black stools.

Important Reminder: This information is only intended to provide guidance, not definitive medical advice. Please consult a doctor about your specific condition. Only a trained, experienced physician like Dr. Khodadadian can determine an accurate diagnosis and proper treatment.

As a best in class NYC gastroenterologist, Dr. Shawn Khodadadian provides highly personalized and comprehensive care. His philosophy regarding the doctor/patient relationship is based on trust and has earned him one of the most respected reputations in NYC.

For more information about esophageal cancer prevention or to schedule a consultation with the GI doctor, Dr. Shawn Khodadidan, please contact our NYC office.

Dr. Shawn Khodadadian
Manhattan Gastroenterology
983 Park Ave, Ste 1D
New York, NY 10028
(212) 427.8761