I had Ivor Lewis in June due to adenocarcinoma at lower junction. I went to go in September 2017 after problems swallowing certain food. This progressively became worse to the point I could only manage clear soup that was passed through blender and sieved .
After several visits to go and hospital to see consultant and endoscopy, barium swallow and cabinetry I was told I had achalasia in February. I was then referred by consultant to see a different consultant who decided he wanted to look inside himself rather than refer to previous endoscopy and so in April he did, and I was admitted as emergency case due to collapsing on endoscopy unit due to not being able to eat for 5 months. 2 days later I was told I had cancer. This was the first time it was even mentioned as a possibility.
In my case and I am sure mine is not normal it was assumed I had a treatable condition until biopsy revealed cancer, I had already had numerous biopsies and was diagnosed in 2017 with barrets and sliding hiatus hernia. My point is the obvious way to improve survival rates is start with early assumption that cancer could be evident and go straight for scan. This could rule cancer out or prove it is there and this in my case would have saved 8 months of tests and allowed curative treatment to start so much earlier and giving the patient the best possible chance of a positive outcome. I had 8 month delay in diagnosis despite my wife pleading with consultant and A+ E department to help me , even after diagnosis the consultants kept me on gastro ward for 7 weeks before a decision was made to give me Ivor Lewis op.