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Foregut Cancer Program

When it comes to diagnosing and treating cancers and conditions of the esophagus and stomach, the Providence foregut cancer team offers the highest quality surgical and medical care. Our experts are dedicated to finding and using the best treatments for these cancers, while standing by your side every step of the way.


Foregut Cancer Program

When it comes to diagnosing and treating cancers and conditions of the esophagus and stomach, the Providence foregut cancer team offers the highest quality surgical and medical care. Our experts are dedicated to finding and using the best treatments for these cancers, while standing by your side every step of the way.

Meet the Team

At Providence, you'll have access to a vast network of dedicated and compassionate providers who offer personalized care by focusing on treatment, prevention and health education.

Why Providence?

Our Providence Foregut team has a record of developing groundbreaking procedures and treatments that become the standard for esophageal and stomach cancer care. We offer many diagnostic procedures not offered elsewhere in the state.

Our team includes fellowship-trained foregut surgeons, medical oncologists and radiation oncologists that are some of the best in the United States. They collaborate with gastroenterologists, radiologists and pathologists to accurately diagnose your cancer and determine your personal treatment plan.

Our experienced foregut cancer nurse navigator acts as your advocate. They will help you navigate your treatment from beginning to end.

We incorporate oncology nutrition, rehabilitation, and other supportive care services into your treatment to ensure you recover as quickly and fully as possible.

The foregut is the upper section of the digestive tract.

Cancerous conditions
  • Esophageal cancer
  • Stomach cancer (gastric cancer)
Non-cancerous conditions

We partner closely with Providence Digestive Health Institute for the diagnosis and treatment of many foregut conditions. Our foregut surgeons work with gastroenterologists to treat:

  • Gastroesophageal reflux disease (GERD)
  • Barrett’s Esophagus
  • Hiatal hernias
  • Paraesophageal hernias
  • Motility and swallowing disorders

Learn More at Providence Digestive Health Institute

Some people with foregut cancers may experience signs and symptoms. If you experience any of the following, tell your doctor. These may be due to cancer or could be a sign of another medical condition.

Common signs and symptoms of esophageal cancer
  • Difficulty and pain with swallowing, especially when eating or drinking
  • Pressure or burning in your chest
  • Frequent choking on food
  • Heartburn or indigestion
  • Vomiting
  • Unexplained weight loss
  • A lingering cough that won’t go away
  • Pain behind the breastbone or in your throat
Symptoms and signs of stomach cancer
  • Unexplained weight loss
  • Loss of appetite
  • Stomach pain
  • Feeling full after eating small meals
  • Heartburn or indigestion
  • Nausea and vomiting
  • Blood in the stool
Common risk factors

There are some risk factors that can make people more likely to develop esophageal cancer. These include:

  • Tobacco use
  • Alcohol use
  • Personal history of Gastroesophageal Reflux Disease (GERD)
  • Personal history of Barrett’s Esophagus
  • Being overweight
  • Personal history of Achalasia
  • Inherited conditions, such as Tylosis and Plummer-Vinson syndrome
  • HPV infection

Risk factors that may increase the likelihood of developing stomach cancer include:

  • Gender; men are more likely to develop stomach cancer
  • Helicobacter pylori infection may lead to pre-cancerous changes in the stomach lining
  • Being overweight
  • Diets high in processed or grilled meats, high in salt-preserved foods, and low in fruit
  • Tobacco use
  • Alcohol use
  • Previous stomach surgery
  • Stomach polyps, such as adenomas
  • Pernicious anemia
  • Inherited cancer syndromes, such as Hereditary diffuse gastric cancer (HDGC), Lynch syndrome, GAPPS, Li-Fraumeni syndrome and PJS

We have a range of diagnostic procedures to accurately diagnose cancers of the esophagus and stomach. These include:

  • Upper endoscopy (EGD)
  • Endoscopic ultrasound
  • Barium swallow study
  • Confocal laser endomicroscopy: This procedure uses a high-powered microscope at the end of an endoscope to give real-time information that can help diagnose cancer.
  • Endoscopic Mucosal Resection (EMR) & Endoscopic Submucosal dissection (ESD): These endoscopic procedures are advanced therapeutic techniques that precisely remove small growths, such as cancers or other tumors, from the lining of the esophagus or stomach before they grow larger and require major surgery.
  • Comprehensive imaging with PET scans, CT scans and MRI

If you have been diagnosed with esophageal or stomach cancer, your treatments may include:


Our foregut surgeons use many methods to treat cancers. They often use minimally invasive techniques that help you recover sooner. These include:

  • Endoscopic removal of small tumors
  • Minimally invasive procedures such as esophagectomy and gastrectomy
  • Reconstructions, including colon interpositions and photodynamic therapy or stenting. These may be used for large tumors that obstruct organ function.
Medical Oncology

Our medical oncologists also conduct cancer research. They offer a broad range of therapies and clinical trials. The most common treatments include chemotherapy, immunotherapy and targeted therapies. These can be used separately or together to target your cancer.

Precision Oncology

Providence Molecular Genomics Lab uses gene sequencing to determine the unique traits of your cancer. This information gives your doctor insights about what treatments will be most successful.

Radiation Oncology

Radiation is often used in combination with medical oncology and surgery to further shrink your cancer. Providence offers multiple types of radiation therapy, including MRI guided stereotactic body therapy (MR Linac). MR Linac precisely targets the tumor and reduces the damage to healthy tissue. Soon, foregut cancer trials with MR Linac will be available at Providence Portland, the only center in the Pacific Northwest with this cutting-edge technology.

Oncology Nutrition

Nutrition is an important part of care for people with esophageal and stomach cancer. Your ability to eat may be affected by surgery or other treatments. Our oncology dietitians are specially trained to support your healing and nutritional needs.

Nurse Navigation

Our oncology nurse navigator will act as your advocate throughout your cancer treatment. Nurse navigators help you understand your diagnosis and treatment. They will help coordinate your care, provide education, and connect you with support services when needed.

Learn more

To learn more about available treatments for conditions such as GERD, Achalasia and Barrett’s Esophagus, please visit the Providence Digestive Health Institute website.

At Providence, you’ll have access to support resources that can complement and enhance your treatment. Our support teams can also connect you with resources to address the emotional, physical and financial stressors that come with a cancer diagnosis.

Our care and support services include:

  • Oncology social work
  • Financial counseling
  • Support groups and wellness classes
  • Integrative medicine (acupuncture, naturopathy, massage)
  • Oncology palliative care
  • Peer support

See Our Full List of Support Services

Why Choose Us for Your Cancer Care?

We know that every patient is unique. No two patients – or their treatment plans – are alike. This is why we take a highly personalized approach to cancer care, and we always put our patients first. Our cancer specialists are at the forefront of innovative, state-of-the-art technologies and treatment options.  We partner with you to develop specialized treatment plans that fit your needs and provide the best outcomes. At Providence Cancer Institute of Oregon, some of our advanced treatments include:

  • Complete genomic sequencing to determine the unique genetic composition of your cancer and the most effective treatments 
  • World-class immunotherapy capabilities, including adoptive cell therapy, CAR T-cell therapy, TIL therapy and high-dose IL-2 
  • Targeted therapies, including oral and infusion chemotherapy
  • State-of-the-art, minimally invasive surgical options, including robotic- assisted surgery and advanced surgical oncology research through biomedical engineering technology
  • A comprehensive Radiation Oncology Program, with state-of-the-art external beam and internal radiation therapy treatments, including the only MRI linear accelerator in the Pacific Northwest, Gamma Knife Perfexion, HDR Brachytherapy and more
  • A robust clinical trials portfolio of early phase studies developed by our world-renowned researchers and cooperative group studies sponsored by the National Cancer Institute
  • Genetic counseling and testing for cancer risk assessment, prevention, early detection and treatment planning
  • An award-winning Cardio-Oncology Program to minimize the cardiovascular side effects of cancer treatments
  • Evidence-based complementary medicine such as naturopathy, massage therapy and acupuncture through our Integrative Medicine Program

You will have access to unsurpassed support at every stage of your treatment, adding an extra dimension of care to help fight cancer. Our oncology nurse navigators, social workers, dietitians and spiritual care providers help guide you through treatment and promote health on every level — body, mind and spirit. As an added layer of support, our Oncology Resource Specialists provide free, personalized assistance to patients, families and care partners. These caregivers will help you navigate and use the many resources available throughout the community and through Providence.

Learn more about our cancer support services.

Cancer doesn’t discriminate, but access to great cancer care hasn’t always been the same for everyone. At Providence, we are deeply committed to making sure every patient we treat has access to the best cancer care. We value, respect and support the racial, ethnic, religious, gender, sexual and spiritual identities of each member of our diverse community, and we never turn a patient away. Instead, we work to make sure every patient is treated equally and with dignity – whoever you are, and wherever you are in your journey.

When you become a patient at Providence, you become part of a collaborative cancer-care network. Our care often exceeds national measures for patient outcomes. We have award-winning doctors, scientists, researchers and caregivers across 51 hospitals in seven states. The skills of your local team and the power of this network add up to the best, most compassionate care. And if you need to meet with a specialist outside your area, we have telehealth technology to help. Our network and superior care are among the reasons 6,000 newly diagnosed cancer patients choose Providence Cancer Institute of Oregon each year.

Through our pioneering research, we have helped make cancer immunotherapy a new standard of care. Our globally renowned team of physician researchers and scientists at Earle A. Chiles Research Institute offers hope to patients and families.


Part of Providence Cancer Institute of Oregon

Providence Cancer Institute is a leading provider of cancer care in Oregon, and part of the largest community-based cancer-care network in the United States. Regardless of where you go for care, you have an entire team of cancer experts working together to provide a personalized, whole-person approach to your care. At Providence we see more than a cancer diagnosis, we see the life in you and are committed to helping you live well again.

Learn More About the Providence Cancer Institute of Oregon

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