Oesophageal Cancer Treatment in London
Diagnosis, staging and surgical treatment of oesophageal cancer with minimally invasive and robotic techniques
Oesophageal cancer is a serious condition affecting the food pipe (oesophagus) and requires prompt specialist assessment.
Treatment may involve a combination of investigations, staging, and surgery, including laparoscopic (keyhole) and robotic techniques, depending on the stage and individual patient factors.
What is Oespophageal Cancer?
Oesophageal cancer develops in the lining of the oesophagus and can affect swallowing and digestion.
There are two main types:
- Adenocarcinoma
- Squamous cell carcinoma
Symptoms of Oesophageal Cancer
The most common symptom is difficulty swallowing (dysphagia).
This may:
- Start occasionally
- Gradually become more frequent
- Progress from difficulty swallowing liquids to solid food
Other symptoms to be aware of
- Vomiting blood
- Black or tarry stools
- Persistent tiredness (lethargy)
- Iron deficiency anaemia due to slow blood loss
These symptoms can develop gradually and may not always be obvious in early stages.
When should you seek medical advice?
If you experience progressive difficulty swallowing or unexplained weight loss, it is important to seek medical advice promptly.
Initial investigations typically include:
Urgent endoscopy
Followed by imaging such as a CT scan, if required
How is oesophageal cancer diagnosed?
Diagnosis involves a combination of tests, including:
- Endoscopy
- Biopsy
- CT scan
- PET scan
- Endoscopic ultrasound (EUS)
These investigations confirm the diagnosis and help determine the stage of the disease.
Other symptoms to be aware of
- Vomiting blood
- Black or tarry stools
- Persistent tiredness (lethargy)
- Iron deficiency anaemia due to slow blood loss
These symptoms can develop gradually and may not always be obvious in early stages.
Staging determines:
The size and extent of the tumour
Whether the cancer has spread
The most appropriate treatment approach
Accurate staging is essential before considering surgery.
Treatment depends on the stage and individual patient factors and may include:
- Chemotherapy
- Radiotherapy
- Surgery
- Combined (multimodal) treatment
Laparoscopic (keyhole) surgery
Laparoscopic (keyhole) surgery is a minimally invasive approach used in the surgical treatment of oesophageal cancer. The procedure is performed through small incisions using specialised instruments and a camera, allowing the surgeon to operate with precision while reducing trauma to surrounding tissues. In selected patients with oesophageal cancer, laparoscopic techniques may be used as part of an oesophagectomy, offering benefits such as reduced pain, faster recovery, and shorter hospital stay.
Robotic-assisted surgery
Robotic-assisted surgery is an advanced form of minimally invasive surgery used in the treatment of oesophageal cancer. Using the da Vinci surgical system, the surgeon operates from a console with enhanced 3D visualisation and greater instrument control. This approach can be particularly beneficial in complex oesophageal cancer surgery, allowing for increased precision in delicate anatomical areas and supporting improved surgical outcomes in selected cases.
Multidisciplinary approach
Oesophageal cancer is managed through a multidisciplinary team (MDT), involving:
- Surgeons
- Oncologists
- Radiologists
- Specialist nurses
This ensures a comprehensive and personalised treatment plan.
Why choose Mr Ash Rohatgi
Mr Ash Rohatgi is a Consultant Upper GI Surgeon in London with experience in managing oesophageal conditions, including cancer.
His approach focuses on:
Careful patient selection
Minimally invasive surgical techniques
Individualised treatment planning
Ashish is friendly, helpful and kind and went above and beyond my expectations in helping when my daughter was ill ( away at University). Sets a standard others should aim for. Highly professional and friendly
Book a consultation
If you are experiencing symptoms such as difficulty swallowing, unexplained weight loss or persistent reflux, a specialist assessment is important. A consultation with Mr Ash Rohatgi, Consultant Upper GI Surgeon in London, includes a full evaluation of your symptoms, appropriate investigations such as endoscopy and imaging, and a clear diagnosis. Where needed, treatment options including minimally invasive and robotic surgery for oesophageal cancer will be explained clearly to help you make an informed decision about your care.
Frequently asked questions
Early symptoms may include difficulty swallowing, persistent reflux, and unexplained weight loss. Symptoms often develop gradually.
No. Difficulty swallowing can have several causes, but progressive symptoms should always be investigated.
Not always. Treatment depends on the stage of the cancer and may include chemotherapy, radiotherapy, or combined approaches.
Yes. Robotic-assisted surgery can be used in selected cases, particularly where greater precision is beneficial.
You can book a consultation online using the booking system or by calling directly. A specialist consultation will help determine the most appropriate treatment for your condition.
Consultation fees may vary depending on the type of appointment. For full details, please see the fees and services page or contact directly.
