Leading gastrointestinal cancer surgeon discusses methods to determine the stage of esophageal cancer. It is important for surgical treatment planning. Correct tumor staging is key to radical esophageal carcinoma treatment. Ultrasound and CT scan are used to identify esophageal carcinoma spread. These diagnostic tests find lymph nodes involvement. “Usual esophagus-stomach anastomosis leakage rates are up to 30%. With our method of esophageal reconstruction, we have leakage rates of below 10%.”

Esophageal cancer treatment options and staging. Dr. Anton Titov, MD. Leading cancer surgeon explains staging in esophageal carcinoma to select the best treatment. Dr. Martin Schilling, MD. Stage 2, stage 3 stage 4 esophageal cancer treatment options. Correct staging allows better surgery with less complications. Dr. Martin Schilling, MD. Medical second opinion clarifies stage 4 colorectal cancer diagnosis. Medical second opinion helps to decide if liver metastases surgery is possible in stage 4 colon cancer. Best treatment for advanced stage 4 colon cancer with liver metastatic lesions. Medical second opinion from leading expert helps to find the best treatment for stage 4 colorectal cancer with liver metastases. Dr. Anton Titov, MD. Get medical second opinion on advanced colorectal cancer and be confident that your treatment is the best. Dr. Martin Schilling, MD. Best colorectal cancer treatment center for liver metastases. Video interview with leading surgeon in gastrointestinal cancer treatment surgery. Esophageal cancer treatment options and staging. Dr. Anton Titov, MD. Let's start with esophageal cancer. You have more than 30 years of experience. You treat the esophageal cancer by surgical operation. Dr. Martin Schilling, MD. Esophageal cancer is a disease that often is discovered that the locally advanced stage. The treatment of esophageal carcinoma could be difficult from a surgical perspective. Dr. Anton Titov, MD. Could you please review your treatment strategy for esophageal cancer? Please discuss in particular the surgical aspects of esophageal cancer treatment. Dr. Martin Schilling, MD. Esophageal cancer, Gastric cancer, Pancreatic cancer, Liver cancer and Colon cancer surgeon, Switzerland. Treatment of esophageal cancer starts out with proper staging of the esophageal tumor. You have to know the size of the local esophageal tumor. You have to know extension of tumor into lymph nodes and potential metastases. Staging of esophageal cancer is usually done with help of several diagnostic tests. It is CT scan, Endoscopy, Ultrasound, and PET CT scan. This is what we do. Treatment depends on the stage of the esophageal cancer tumor. Therapy also depends on lymph node involvement in advanced esophageal cancer. We would usually pretreat esophageal cancer patients with chemotherapy and radiation therapy. This is usually followed by surgical operation to remove esophageal carcinoma. The extent of esophageal cancer surgery depends on the patient's condition. Dr. Martin Schilling, MD. But it is always true that the surgical operation for esophageal carcinoma has to be radical. Surgeon always has to aim at a complete resection of esophageal cancer tumor. Dr. Anton Titov, MD. You do surgical operation through the abdomen. Then the diaphragm. Or you can do esophageal cancer surgery through the thorax (chest) of the patient. These are two different methods to resect esophageal cancer. Dr. Anton Titov, MD. You developed a particular surgical technique. Dr. Martin Schilling, MD. You use it in the reconstruction of the esophagus. You published extensively on the reconstruction of the esophagus after resection of esophageal carcinoma. Can you discuss that method of esophagus reconstruction? Dr. Martin Schilling, MD. Esophageal cancer, Gastric cancer, Pancreatic cancer, Liver cancer and Colon cancer surgeon, Switzerland. One of the major complications of esophageal cancer resection is this. It is the breakdown of the suture between the esophagus and stomach. Or separation of sutures between esophagus and the intestines. Intestines are pulled to the esophagus. Dr. Martin Schilling, MD. This is mainly due to poor blood supply to the stomach. We developed a technique of esophageal reconstruction after cancer surgery. It maintains most of the blood supply to the stomach without compromising radical nature of surgery. Dr. Anton Titov, MD. You applied that esophageal reconstruction technique to your esophageal cancer patients. You also published the results of your esophageal reconstruction method. Dr. Anton Titov, MD. What results have you obtained after esophageal cancer surgery? Dr. Martin Schilling, MD. Esophageal cancer, Gastric cancer, Pancreatic cancer, Liver cancer and Colon cancer surgeon, Switzerland. There are many published series of esophageal cancer treatment. Usually they reported esophageal-stomach anastomosis leakage rates of up to 30%. Our method of esophageal reconstruction is much better. We have leakage rates of below 10%. Dr. Anton Titov, MD. That is very significant. Your method of esophageal reconstruction after cancer surgery gives 3 times better results than on average. Dr. Martin Schilling, MD. Esophageal cancer, Gastric cancer, Pancreatic cancer, Liver cancer and Colon cancer surgeon, Switzerland. That is correct. That's correct. Dr. Martin Schilling, MD. Esophageal cancer treatment options and staging. Video interview with leading Swiss gastrointestinal cancer surgeon. What are key decisions for best therapy.