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Esophageal Cancers

At GastroDoxs Houston, our expert team specializes in comprehensive esophageal cancer screening, diagnosis, and personalized care, offering cutting-edge, advanced endoscopic treatments and multidisciplinary support to patients throughout the Greater Houston area to ensure optimal outcomes and compassionate, locally accessible services.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What Is Esophageal Cancer?

Esophageal cancer begins in the tube that carries food from your throat to your stomach. The two main types are squamous cell carcinoma, which often appears in the upper or middle esophagus, and adenocarcinoma, typically found lower down near the stomach. Early stages can be subtle, so timely evaluation by a GI specialist is crucial.

Common Symptoms

Signs of esophageal cancer may not be obvious at first. As the disease progresses, you might experience:

  • Difficulty swallowing solids or liquids (dysphagia)
  • Persistent heartburn or acid reflux
  • Unexplained weight loss
  • Chest pain, pressure, or burning
  • Hoarseness, scratchy throat, or chronic cough
  • Vomiting blood or passing black, tarry stools

Causes

Several factors can increase the risk of developing esophageal cancer:

  • Long-standing gastroesophageal reflux disease (GERD)
  • Barrett's esophagus (precancerous lining changes)
  • Tobacco use and heavy alcohol consumption
  • Overweight or obesity
  • Poor diet low in fruits and vegetables
  • Regularly drinking very hot beverages or exposure to certain chemicals
  • A history of benign esophageal tumors or growths
Treatment

Treatment Options for Esophageal Cancer in Houston

Treatment includes endoscopic, surgical, systemic, and supportive approaches:

  • Endoscopic therapy: Endoscopic mucosal resection or ablation to remove small, early-stage tumors.
  • Surgery (esophagectomy): Removal of part or all of the esophagus with reconstruction to restore swallowing.
  • Chemotherapy: Systemic drugs before (neoadjuvant) or after (adjuvant) surgery to shrink the tumor and kill residual cancer cells.
  • Radiation therapy: Targeted high-energy beams, often combined with chemotherapy, to destroy cancerous tissue.
  • Targeted and immunotherapy: Newer agents in clinical trials or approved for advanced disease to block cancer growth pathways or boost the immune response.
  • Nutrition & swallow therapy: Dietitian-guided meal planning, enteral feeding when needed, and exercises to maintain safe swallowing and strength.
  • Palliative care: Symptom management-pain relief, stent placement for strictures, and supportive services to improve quality of life.

Why Choose GastroDoxs?

Facing worrisome symptoms like persistent heartburn or trouble swallowing? Our Houston GI specialists deliver expert diagnostics-advanced endoscopy, imaging and biopsy-paired with personalized treatment plans for esophageal health. We focus on compassionate, patient-centered care and work closely with top cancer and nutrition experts to guide you every step of the way. Don't wait-book your appointment today and take control of your digestive health.

1.5K

Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is a non-cancerous esophageal tumor?

Non-cancerous esophageal tumors, also called benign tumors, are abnormal growths that do not invade surrounding tissues or spread to other parts of the body. Although they aren't malignant, they can still cause symptoms like difficulty swallowing or pain. We often remove and biopsy these growths to confirm they remain harmless and to relieve any discomfort.

Can esophagitis turn into cancer?

Esophagitis itself rarely becomes cancer. However, chronic inflammation-especially from long-term acid reflux-can lead to changes in the esophageal lining (Barrett's esophagus) and increase the risk of cancer over time. Treating esophagitis promptly and monitoring your esophageal health helps minimize this risk.

Are esophageal polyps dangerous?

Most esophageal polyps are benign and do not pose a serious threat. That said, some polyps can undergo abnormal changes if left unchecked. We recommend endoscopic removal and microscopic examination of polyps to ensure they aren't precancerous and to prevent future complications.

Can ulcers become cancer?

Esophageal ulcers infrequently turn into cancer. Persistent or non-healing ulcers, however, may hide more serious conditions and should be evaluated with a biopsy. Treating the underlying cause-such as acid reflux or infection-also helps reduce any potential cancer risk.

How do doctors test for esophageal cancer?

Diagnosis typically begins with an upper endoscopy, where a thin, flexible tube with a camera is guided down the throat to visualize the esophagus. If suspicious areas are seen, a small tissue sample (biopsy) is taken for laboratory analysis. Additional imaging tests, like CT or PET scans, may be used to determine the extent of disease.

Who should get checked for esophageal issues?

Anyone experiencing persistent heartburn, difficulty swallowing, unexplained weight loss, chest pain, or prolonged cough should see a GI specialist. People with long-term acid reflux, Barrett's esophagus, or a family history of esophageal cancer are also encouraged to undergo regular screenings.

Can I prevent esophageal cancer?

You can lower your risk by maintaining a healthy weight, avoiding tobacco and excessive alcohol, eating a balanced diet rich in fruits and vegetables, and seeking early treatment for acid reflux. Routine check-ups and endoscopic monitoring further help detect any abnormalities before they progress.

What is Barrett's esophagus?

Barrett's esophagus is a condition in which chronic acid exposure causes the normal lining of the esophagus to change. It is not cancer, but it does raise the risk of developing esophageal adenocarcinoma. Regular surveillance endoscopies are recommended to watch for precancerous changes.

What is recovery like after esophageal surgery?

After procedures such as an esophagectomy, patients typically remain in the hospital for 7-10 days. Complete recovery takes several weeks and often involves swallow therapy, nutritional support, and gradual dietary adjustments. Most patients return to normal activities with careful follow-up care.

Is care at GastroDoxs covered by insurance?

Yes, GastroDoxs accepts most major insurance plans. Our administrative team will verify your coverage, explain any out-of-pocket costs, and assist you through the billing process so you can focus on your health and recovery.

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