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Medical Director at Sanjivani Cancer Care
Robotic & Laparoscopic Onco Surgeon

MS, DNB, FNB (MAS), FEBS (Europe), FRCSEd (UK), MCh and MS Fellowship in Robotic Oncosurgery and HIPEC (UK)

Dr. Aditya Manke has a vast experience of more than 10 years in cancer surgeries. He was instrumental in establishing Northern Maharashtra's first Laparoscopic & Robotic Cancer surgery unit at HCG Cancer Centre Nashik & also one of the first surgeons to introduce HIPEC treatment.

His core interest is in managing Gastrointestinal, Gynaecological, Urological and Thoracic cancers with special focus on Robotic & Laparoscopic surgery.

Dr Aditya Manke has written Blog on ESOPHAGEAL CANCER… Risk factors, Symptoms and Treatments


Esophageal cancer is the one which is found in esophagus or more commonly called as food pipe which connects your mouth with the stomach.

Esophageal cancer is 5th most commonly observed cancer and mainly found in men. In year 2020, India had 68180 new cases of esophagus . At the same time, there were 58342 deaths were recorded. Five year prevalence is around 4.97 cases per one lakh population.

Risk Factors for Esophageal cancer:

  • Smoking
  • Alcohol intake
  • Obesity
  • Long term Acidity or dyspeptic symptoms
  • Men are 3 times more likely than females

Symptoms of Esophageal Cancer:

  • Difficulty in swallowing solids, liquids, or both
  • Persistent heartburn or acidity
  • Unusual weight loss
  • Pain in the throat or lower part of the chest while swallowing.

Tests to Diagnose Esophageal Cancer

Gastroscopy or OGD Scopy:
It is the most common investigation tool is which examines inner liner of esophagus and detects presence of cancerous growth, tumour, ulcer or narrowing of the esophagus. If suspected, a biopsy sample can be taken during the endoscopy for further confirmation of presence of cancer. Gastroscopy also helps to examine other near by organs like the stomach or duodenum where the small bowel starts.

Healthy Esophagus
Cancerous Esophagus

CT Scan / PET Scan: After confirmation of cancer on the biopsy a CT Scan of the Chest with Abdomen or a whole body Pet scan is usually done to see the extent of your disease and to check if the disease has spread to any other organs like Liver/Lung/ Bones etc. This is called as a Staging CT/Pet scan based on which your treatment regimen would be decided.

Staging of Esophageal Cancer :

Based on the Radiological finding on the scan the Disease is classified in the following stages:

  • Stage 1 & 2 : Cancer is limited to the esophagus only
  • Stage 3 : Cancer has spread from the esophagus to the surrounding lymph nodes and adjacent structures like the wind pipe or heart.
  • Stage 4 : Cancer has spread to other organs like the Lungs, Liver or Bones.
Sanjivani Cancer Care Stages

Treatment of Esophageal Cancer :

Treatment of esophageal cancer involves surgery, chemotherapy as well as radiation. Type of treatment and duration depends on the stage of the cancer.

  • Stage 1 & 2 : Surgery followed by Chemotherapy and Radiation
  • Stage 3 : Chemotherapy to downstage disease followed by Surgery or Radiation.
  • Stage 4 : Only chemotherapy

Surgery for Esophageal Cancer :

Traditionally the surgery of esophageal cancer has been through an open approach where big cuts are made to the patients chest wall, abdominal wall and neck. Because of this the surgery was often associated with higher complications as well as prolonged recovery period due to the multiple and large cuts taken on different parts of the body.

Now the surgery has being performed through a laparoscopic or a robotic approach where instead of large cuts the same surgery is done by making small cuts which has resulted in less pain post-surgery leading to early recovery and lesser complications.

The following diagram shows the difference between the open as well as laparoscopic Esophageal cancer resection.:

For any type of Cancer consultation,surgery,or treatment, contact Dr Aditya Manke on the below address
  • Address : Sanjivani Cancer Care, 1st Floor Rajesh CHS, Near Vandana ST Stand, Opp ICICI Bank,
    Naupada, Thane – 400602, Maharashtra, INDIA
  • Tel no : +91-8779475032 / 8420030304
  • Landline No. : +91-22-25407474
  • Email :