Jun 10 2009

Esophageal cancer is common amongst alcoholics and smokers

I recently heard that an uncle of mine has been suffering from esophageal cancer for about a year and a half.  My first reaction was, I’m amazed he has even survived that long.  My second reaction was, yet another one in the family with cancer.  Finally, it must have been his drinking.  I do not recall this uncle smoking or drinking when I was younger, and it was very probable that he didn’t or he managed to hide it well.  However, as he got older and underwent a midlife crisis, he became a heavy smoker and especially, drinker.  He always appeared at functions drunk or extremely red-faced.  That included my wedding and my mother’s funeral.

Alcohol-related illnesses are extremely costly.  Similarly, smoking-related illnesses are a huge burden to the medical system.  The combination, therefore, is enormous.  But, though esophageal cancer is not rare, it does not get the same attention as other alcohol and smoking-related illnesses, namely, cirrhosis and lung cancer, respectively.  But cancers of the stomach and esophagus are very common amongst smokers and drinkers.  That is because the toxins from cigarettes and alcohol come in direct contact with the lining in the esophagus and stomach, causing damage.

My uncle has undergone surgery to remove the tumour.  It is possible that he has managed to survive because all the tumour has been removed.  He had had a feeding tube prior to the surgery and it was removed right after.  Yet, he still has difficulty swallowing and eats very little.  Consequently, he is very weak; though reports are that he  is improving somewhat. His immediate family are frustrated because they feel he is not putting in much effort to eat and walk.  Yet, it must be remembered that cancer weakens a person, and tumours have been shown to produce a chemical that causes depression.

Surgery is one option for esophageal and stomach cancers.  However, sometimes the tumours are too extensive to be entirely removed.  As a result, sometimes radiation is offered.  Yet, radiation has its own risks, especially scarring and the possibility of radiation-induced tumours.  Which ever course is taken, feeding tubes will often be necessary to provide adequate nutrition.  With increasing ethical problems regarding feeding tubes, decisions to have the tubes placed and/or removed need to be made early on.

Having been physically and emotionally separated from my family for many years now, I do not have the inside scoop on my uncle’s condition.  However, I have been able to make contact with several family members recently and I’m sure they’ll keep me updated. Unfortunately, as with many other cancers, the survival rate is low for esophageal cancer, so I can only look forward to hearing more bad news.