UPPER GASTRO-INTESTINAL SURGERY 

This refer to surgery of the oesophagus, stomach or both.


BARIATRIC AND METABOLIC SURGERY 

Weight loss surgery offers a long term weight loss solution for certain individuals with a BMI of more than 40 or a BMI of more than 35 with medical risk factors. A laparoscopic vertical sleeve gastrectomy or laparoscopic Roux-en-Y Gastric bypass are both highly effective treatments.

Metabolic surgery refers to these operations used to treat Diabetes if certain criteria are met by a multi disciplinary team.


OESOPHAGUS CANCER

The most common indication for resection of the oesophagus (oesophagectomy) or resection of the stomach or part thereof (gastrectomy). 

Cancer of the stomach is best managed by a D2 gastrectomy where the lymphnodes are removed to ensure improved outcomes. This can be done with open or laparoscopic surgery. 

Oesophagus cancers are managed mostly in team with an oncologist. Irresectable cancer can be stented with Self Expandable Metal Stent (SEMS). For those who have resectable cancers, options exist to manage the cancer by means of combined laparoscopy, thoracoscopy or open procedures. 


BENIGN OESOPHAGUS PROBLEMS

ACHALASIA

Achalasia is a functional motility problem of the oesophagus which can be treated with proven modalities of laparoscopic myotomy or endoscopic balloon dilatation

GASTRO OESOPHAGEAL REFLUX DISEASE (GORD)

GORD or more commonly known as acid reflux or heartburn can be managed by surgery but is less common nowadays. Hiatus hernia repair may require a laparoscopic Nissen fundoplication and remedial surgery for selected cases. This is a common procedure performed in my practice for a select group of patients that satisfy the required criteria. 


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