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Esophageal Cancer Prevention (PDQ®): Prevention - Patient Information [NCI] - Esophageal Cancer Prevention

Avoiding risk factors and increasing protective factors may help prevent cancer.

Avoiding cancer risk factors may help prevent certain cancers. Risk factors include smoking, being overweight, and not getting enough exercise. Increasing protective factors such as quitting smoking, eating a healthy diet, and exercising may also help prevent some cancers. Talk to your doctor or other health care professional about how you might lower your risk of cancer.

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The following risk factors may increase the risk of esophageal cancer:

Tobacco and alcohol use

Squamous cell carcinoma of the esophagus is strongly linked with all types of tobacco and alcohol use. Stopping smoking can help lower the risk of this type of cancer.

Gastric reflux and Barrett esophagus

Adenocarcinoma of the esophagus is strongly linked to gastroesophageal reflux disease (GERD). GERD is a condition in which the contents of the stomach back into the lower part of the esophagus. GERD may irritate the esophagus and, over time, cause Barrett esophagus. Barrett esophagus is a condition that affects the cells lining the lower part of the esophagus. These cells change or are replaced with abnormal cells, which can lead to adenocarcinoma of the esophagus.

It is not known if surgery or other medical treatment to stop gastric reflux lowers the risk of adenocarcinoma of the esophagus. Clinical trials are being done to see if surgery or medical treatments can prevent Barrett esophagus.

The following protective factors may decrease the risk of esophageal cancer:

Avoiding tobacco and alcohol use

Many studies have shown that the risk of esophageal cancer is lower in people who do not use tobacco and alcohol.


A diet high in green and yellow fruits and vegetables and cruciferous vegetables (such as cabbage, broccoli, and cauliflower) may lower the risk of squamous cell carcinoma of the esophagus.

Nonsteroidal anti-inflammatory drugs

Some studies have shown that the use of nonsteroidal anti-inflammatory drugs (NSAIDs) may lower the risk of esophageal cancer. NSAIDS include aspirin and other drugs that reduce swelling and pain. Use of NSAIDs, however, increases the risk of heart attack, heart failure, stroke, bleeding in the stomach and intestines, and kidney damage.

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