Routine dilatation and scans ?

[kierank]

I a m 2.5 years post Ivor Lewis . I have had 6 monthly or so scans and all has been clear so far . I have had one dilatation at the early stages and looking back i am not sure if i needed that . My surgeon consultant has now scheduled a routine dilatation - I wonder is there any need or benefit as i thankfully am not having any swallowing difficulties ? Also what is typical practice for scans ?

[haward]

Very good to hear that you remain clear. I'm four and a half years on with no scans and no dilatation. I've had two endoscopies. If you can swallow with no problems i'd ask why they want to dilate.

[kierank in reply to haward]

Thanks Haward for reply and I will take your advice

Kieran

[kiddy]

Hi I would question why you need it. Did something show up on your last scan? I too had one dilation at the beginning after the op. Mine was because my stomach wasnt emptying and the contents were coming out into the nasel bag. Sorry dont know what it was called.

I had two 6mth scans after. On my second it showed some enlarged lymph nodes. I then had two more scans which thankfully showed it was infection not 2nd cancer.

Many hospitals dont scan tho. I was under 2 hospitals 1 for oncology who scan. The other for op who dont scan. Good Luck

Debbie

[kierank in reply to kiddy]

Thanks Debbie . It is a year ago since I seen my consultant and I have not raised any queries and or had any issues thankfully . It is slightly awkward when something like this comes up with ones consultant ! Best of luck to you

Kieran

[Hidden]

Dilatation can ease the swallowing / digestion process, but you do not want to be dilated too much because there might be a greater risk of upwards flow from the lower parts of the digestion system. So it would be sensible to ask exactly why it is needed, and whether this could be postponed if you are not suffering problems like the after effects of scarring.

After a while, regular scanning for potential recurrence of cancer tends not to take place these days; the follow-up visits are becoming much more tailored to a particular patient's needs, eg digestion issues etc. Some people do get so anxious about recurrence of cancer that they need the reassurance of a scan to move forward. With others, it is left to the patient's own judgement and instinct as to whether a scan is needed.

[kierank in reply to Hidden]

Hello Alan

Thanks very much for that and I think your advice is spot on for me . Kieran