Foregut Surgery
Trusted expertise in treating complex foregut issues, including reflux, hiatal hernias, and gastric tumors
Speciality
Foregut Surgery
Foregut surgery refers to a group of surgical procedures aimed at treating conditions affecting the upper portion of the gastrointestinal tract, specifically the esophagus, stomach, and duodenum (the first part of the small intestine).
Explore Comprehensive Foregut Care – From Diagnosis to Recovery
Conditions Requiring Foregut Surgery
- Gastroesophageal Reflux Disease (GERD)
- Hiatal Hernia
- Achalasia
- Esophageal Cancer
- Peptic Ulcers
- Benign Tumors
Types of Available Foregut Surgery
- Fundoplication (Nissen Fundoplication)
- Esophagectomy
- Robotic / Laparoscopic Hiatal Hernia Repair
- Vagotomy
- Gastric Bypass and Sleeve Gastrectomy
Read FAQs below to know more
Frequently Asked Questions (FAQs)
What is Foregut Surgery?
Foregut surgery refers to a group of surgical procedures aimed at treating conditions affecting the upper portion of the gastrointestinal tract, specifically the esophagus, stomach, and duodenum (the first part of the small intestine).
The foregut is a critical part of the digestive system that plays a vital role in the breakdown and absorption of nutrients. Disorders in this area can cause significant discomfort and disrupt a person’s quality of life.
Dr. Kapoor’s team specializes in foregut surgery, offering advanced and minimally invasive procedures to treat a wide range of conditions affecting the foregut. From GERD and hiatal hernias to tumors and motility disorders, we provide effective treatment options tailored to meet each patient’s needs.
When is Foregut Surgery Needed?
Foregut surgery may be recommended when non-surgical treatments, such as medications and lifestyle changes, fail to effectively manage or resolve digestive issues. Common conditions that may require foregut surgery include:
- Gastroesophageal Reflux Disease (GERD): Chronic acid reflux that can lead to heartburn, chest pain, and damage to the esophagus.
- Hiatal Hernia: A condition where part of the stomach pushes through the diaphragm into the chest cavity, which can cause reflux and discomfort.
- Achalasia: A disorder that affects the ability of the esophagus to move food into the stomach, causing swallowing difficulties.
- Esophageal Cancer: Cancer in the esophagus that may require surgical removal of part or all of the organ.
- Peptic Ulcers: Sores in the stomach or duodenum that can lead to bleeding, perforation, or obstruction.
- Benign Tumors: Non-cancerous growths in the esophagus or stomach that may require removal if they cause obstruction or other complications.
What are the types of Foregut surgeries that are available?
Dr. Kapoor’s team performs a variety of foregut surgeries, each designed to address specific conditions. Some of the most common procedures include:
- Fundoplication (Nissen Fundoplication): Often used for patients with GERD, this procedure involves wrapping the top of the stomach around the lower esophagus to strengthen the lower esophageal sphincter. This helps prevent acid reflux and can significantly alleviate symptoms.
- Esophagectomy: In cases of esophageal cancer or advanced diseases that affect the esophagus, part or all of the esophagus may need to be removed. The remaining part of the esophagus is then reconnected to the stomach, or a portion of the intestine may be used to create a new pathway for food.
- Robotic/Laparoscopic Hiatal Hernia Repair: This minimally invasive surgery is used to repair a hiatal hernia by pulling the stomach back into its proper place and tightening the diaphragm. It can also involve fundoplication to prevent acid reflux.
- Vagotomy: A vagotomy involves cutting some of the vagus nerve branches to reduce stomach acid production. This procedure is often performed to treat ulcers that haven’t responded to other treatments.
- Gastric Bypass and Sleeve Gastrectomy: In some cases, patients suffering from obesity-related conditions such as GERD or other foregut disorders may benefit from bariatric procedures like gastric bypass or sleeve gastrectomy, which can alleviate both reflux and weight-related health problems.
What should somebody expect before, during, and after surgery?
Before Surgery:
Before undergoing foregut surgery, patients will undergo a thorough evaluation that includes diagnostic tests such as endoscopy, imaging studies, and sometimes a barium swallow. These tests help the surgeon identify the condition and plan the best surgical approach.
During Surgery:
Most foregut surgeries are performed laparoscopically, using small incisions and a camera to minimize trauma and promote faster recovery. Laparoscopic procedures typically result in less pain, shorter hospital stays, and quicker returns to normal activities compared to traditional open surgery.
After Surgery:
Post-surgery, patients will need to follow a specific diet and lifestyle modifications to ensure proper healing. Follow-up appointments will be scheduled to monitor recovery and prevent complications. Recovery time varies depending on the type of surgery, but many patients can resume normal activities within a few weeks.
What are the long-term outcomes and benefits of foregut surgery?
The benefits of foregut surgery extend beyond immediate symptom relief. Many patients experience long-term improvements in their quality of life, including better digestion, improved weight management, and a reduction in chronic pain or discomfort.
For example, patients who undergo a successful fundoplication often find significant relief from acid reflux and can discontinue medications they previously relied on.
For those with cancer or severe esophageal disorders, surgery can provide life-saving benefits and help restore normal digestive function. With proper care, many patients are able to return to their daily activities and enjoy a better quality of life.
If you are dealing with chronic digestive issues or have been diagnosed with a foregut-related condition, don’t wait to seek treatment. Dr. Kapoor’s team is here to provide the support you need and guide you through the surgical process.
