Both at the same time. She could not swallow for a few weeks and then could not even drink water. The doctor was shocked when the camera would not even go down her throat. Thankfully she got it soon. She only had to take a 25% chemo and after six weeks she had the OP. She lost her stomach to 80% and a quarter of her esophogus. They cut her up the middle and took out the stomach, then closed her back up. Then, they opened her right side from floating rib to her shoulder blade, spread her ribs, pulled her liver out, deflated her right lung, remove her esophogus, sewed the rest back together with the rest of her stomach, re-inflated her lung, re-inserted her liver and put a total of 48 tacks into her poor body. She had the most beautiful stomach and belly button...now it is a battlefield with trenches and a crooked belly button. She still has muscle pains around the whole OP area but, can eat what she wants if she chews well and swallows slowly and needs digestion help in certain tablets. After the OP, she went from 110 lbs. down to under 90 lbs. in only six weeks and it took over a year to get back up toher now 105 lbs. Thank you so much for the prayers, the world does not know how many miracles come from prayers.