Everyday Life Six to Eight Months After Esophagectomy for Cancer: A Qualitative Study

Abstract

Background/aim: This study sought to explore the life situation of male patients at a critical stage after surgery for esophageal cancer and to enlighten their need for support from healthcare providers during their return to daily life.

Patients and methods: In-depth and semi-structured interviews were conducted with six patients following surgery for esophageal cancer. The interview data were analyzed via inductive thematic analysis.

Results: The patient quality of life was seriously impacted by their remaining symptoms six to eight months after surgery. Challenges associated with eating and uncontrolled diarrhea were reported to be the most demanding symptoms, limiting social activities and hindering the patients' attempts to resume their former identity. In many cases, the patients were dependent on their spouses with regard to the activities of daily life. Being surgically treated for a cancer with a potentially poor prognosis was experienced as akin to living in limbo. Uncertainty regarding their future health posed challenges for the patients in terms of their vocational life and general life planning.

Conclusion: Patients may require additional support in coping with their new life situation following surgery for esophageal cancer. The heavy burden on a patient spouse should also be recognized from the time of hospital discharge. Moreover, patients may benefit from closer follow-up by healthcare providers, including support groups to help cope with insecurity and fear of relapse.

Keywords: Esophagectomy; cancer survivorship; eating disorder; follow-up; qualitative methods.