Cancers of the esophagus (food pipe to the stomach) are usually one of two types: squamous cell (associated with smoking and alcohol) and adenocarcinoma (more associated with Barrett's Esophagus). Signs and symptoms include: difficulty swallowing, pain and anemia, however, this cancer is more often asymptomatic until late, when it is difficult to cure. Evaluation includes barium swallow and upper endoscopy. The treatment is usually surgical, although there is often a role for chemotherapy with radiation. Sometimes, if the narrowing is severe, a plastic or metal stent (expandable tube) can be used to open the food pipe up to allow the patient to continue eating. In selected cases, the new plastic stents can allow for continued oral feeding during radiation as opposed to the traditional feeding tube (PEG) which pierces from skin into stomach.