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Risk factors

By Mayo Clinic staff

Living with cancer newsletter

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It's thought that chronic irritation of your esophagus may contribute to the DNA changes that cause esophageal cancer. Factors that cause irritation in the cells of your esophagus and increase your risk of esophageal cancer include:

  • Drinking alcohol
  • Having bile reflux
  • Chewing tobacco
  • Having difficulty swallowing because of an esophageal sphincter that won't relax (achalasia)
  • Drinking very hot liquids
  • Eating few fruits and vegetables
  • Eating foods preserved in lye, such as lutefisk, a Nordic recipe made from whitefish, and some olive recipes
  • Having gastroesophageal reflux disease (GERD)
  • Being obese
  • Having precancerous changes in the cells of the esophagus (Barrett's esophagus)
  • Undergoing radiation treatment to the chest or upper abdomen
  • Smoking

Other risk factors include

  • Being male
  • Being between the ages of 45 and 70
References
  1. Swanson S. Surgical management of localized esophageal cancer. http://www.uptodate.com/home/index.html. Accessed March 3, 2011.
  2. Esophageal cancer. Fort Washington, Pa.: National Comprehensive Cancer Network. http://www.nccn.org/professionals/physician_gls/PDF/esophageal.pdf. Accessed March 4, 2011.
  3. Esophageal cancer treatment (PDQ) health professional version. National Cancer Institute. http://www.cancer.gov/cancertopics/pdq/treatment/esophageal/healthprofessional/allpages. Accessed March 4, 2011.
  4. Esophageal cancer screening (PDQ) health professional version. National Cancer Institute. http://www.cancer.gov/cancertopics/pdq/screening/esophageal/healthprofessional/allpages. Accessed March 4, 2011.
  5. Eating hints for cancer patients: Before, during and after treatment. National Cancer Institute. http://www.cancer.gov/cancertopics/coping/eatinghints. Accessed March 4, 2011.
  6. Lagergren J, et al. Oesophageal cancer. British Medical Journal. 2010;341:1207.
  7. Management of esophageal cancer. Current Problems in Surgery. 2010;47:845.
  8. NCCN guidelines: Esophageal and esophagogastric junction cancers. National Comprehensive Cancer Network. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp. Accessed March 4, 2011.
  9. Gan S, et al. Advances in clinical practice: New endoscopic and surgical treatment options for early esophageal adenocarcinoma. Journal of Gastroenterology and Hepatology. 2010;50:1478.
  10. Campbell NP, et al. World Journal of Gastroenterology. Neoadjuvant treatment of esophageal cancer. 2010;16:3793.
DS00500 May 12, 2011

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