Part 2 – Planning Esophagus Surgery After Pre-Surgery Therapy | Dr Pavan Addala | GI Focus | Day 2 скачать в хорошем качестве

Part 2 – Planning Esophagus Surgery After Pre-Surgery Therapy | Dr Pavan Addala | GI Focus | Day 2

In Part 2, Dr. Pavan Addala continues by detailing intraluminal assessment after NACRT, emphasizing endoscopy to evaluate tumor or ulcer persistence, scar tissue formation, and pathological response. He highlights the bite-on-bite biopsy technique for deeper sampling to reduce false negatives and the role of endoscopic ultrasound in staging early lesions (T1/T2), evaluating regional lymph nodes, and guiding targeted biopsies. Endoscopy also becomes essential for active surveillance in patients who opt out of surgery. He explains the selective role of bronchoscopy—mainly in suspected tracheobronchial involvement, airway compression, or fistula detection—while noting its limitations for routine staging. Timing of surgery is critical, with six to eight weeks post-NACRT recommended to balance improved pathological response with minimized risks of tumor progression, fibrosis, and surgical complications. Delays beyond ten weeks increase morbidity, leak rates, and technical challenges due to radiation-induced changes. Surgical difficulties post-NACRT include fibrosis, inflammation, higher bleeding risk, recurrent laryngeal nerve injury, and conduit necrosis in irradiated fields, especially for gastroesophageal junction tumors. Preoperative optimization, careful case selection, and strict timing help mitigate these risks. This concludes the session by Dr. Pavan Addala on Surgery After NACRT: Assessment, Timing, Surgical Difficulties. Yashoda Hospitals: Pioneering Healthcare Excellence in Hyderabad Yashoda Hospitals is among India's leading healthcare providers, renowned for its advanced medical technology and world-class facilities. Guided by visionary leadership, the Yashoda Group of Hospitals has emerged as a center of excellence in healthcare, delivering top-quality medical care to all segments of society. With cutting-edge equipment, a team of expert doctors, and a commitment to compassionate care, Yashoda Hospitals ensures that patients receive the best possible treatment for all their health needs. For more information on medical treatment, call us at +91-8929967127 Chat with us in WhatsApp with our experts: https://api.whatsapp.com/send?phone=9... Stay Informed with the Latest Health News: Yashoda Hospitals brings you the most recent updates in medical advancements and healthcare. From groundbreaking treatments to expert tips on healthy living, we keep you updated on the latest in the healthcare industry. Always Get an Expert Second Opinion Before deciding on your Treatment/Surgery. Get a free online second opinion: https://www.yashodahospitals.com/free... Check Our Health Info Updates: https://www.yashodahospitals.com/blog/ Connect with Us Online: Website: https://www.yashodahospitals.com/ Like us on Facebook:   / yashodahospitals   Follow us on Twitter:   / yashodahospital   Connect on LinkedIn:   / yashodahospitals   Follow us on Instagram:   / yashoda.hospitals   #GIFocus #EsophagealCancer #NACRT #CancerSurgery #Esophagectomy #UpperGI #SurgicalOncology #GIOncology #DrPavanAddala #YashodaHospitals