Hi, Thanks for writing in. Gullet cancer is another name for cancer of the esophagus. Since the cancer is involving the esophagus, it will help to know if the disease is in the proximal, mid or distal portion. The symptoms differ by the region of involvement. Largely all patients experience difficulty in swallowing and eating. In the upper third of esophagus patients complaining of pain and difficulty swallowing like lump in the throat. In the mid third esophagus cancer there is dragging pain in the region behind the heart and in lower esophageal cancer there is regurgitation of food. He should be provided adequate supportive care if the cancer is not operable Operability depends on the stage of cancer and if the wall of esophagus has not breached then it is stage I or II disease and surgery is possible. If the cancer has involved the wall and adjacent structures then there is stage III or IV disease. A metallic stent might be inserted in the lumen of the esophagus to help him swallow food comfortably