Hiatal Hernia Repair

Treats:

Hiatal hernia (stomach pushes through diaphragm)

Symptoms:

Heartburn or acid reflux
Chest pain or pressure
Trouble swallowing
Regurgitation of food or acid
Bloating or shortness of breath 

Procedure:

This procedure moves the stomach back into its proper position below the diaphragm and tightens the opening to prevent it from slipping again. It is often performed using minimally invasive techniques such as laparoscopy or robotic-assisted surgery. 

Fundoplication (Nissen, Toupet) 

Treats:

Severe acid reflux (GERD) or symptoms from hiatal hernia

Symptoms:

Frequent heartburn
Sour taste in the mouth
Chest discomfort
Cough or hoarseness
Worsening symptoms when lying down 

Procedure:

This surgery strengthens the valve between the stomach and esophagus by wrapping the upper part of the stomach around the lower esophagus. It helps prevent acid reflux and is often done alongside hiatal hernia repair. 

Gastrostomy Creation (Feeding Tube) 

Treats:

Long-term feeding difficulties due to swallowing disorders or neurological conditions 

Symptoms:

Difficulty swallowing
Inadequate nutrition
Frequent aspiration
Inability to maintain weight or nutrition 

Procedure:

A feeding tube is placed directly into the stomach through a small abdominal incision,providing a safe and effective way to deliver nutrition when eating by mouth is not possible or safe.

Partial Gastrectomy 

Treats:

Bleeding ulcers, tumors, or severe inflammation in the stomach

Symptoms:

Stomach pain or pressure
Bleeding in the stool or vomit
Poor appetite or early fullness
Unexplained weight loss 

Procedure:

In this procedure, part of the stomach is surgically removed. The remaining portion is reconnected to the digestive tract to allow normal digestion. It may be performed using open or minimally invasive techniques. 

Gastric Bypass 

Treats:

Severe obesity and related health issues (diabetes, sleep apnea, etc.)

Symptoms:

Obesity with difficulty losing weight through diet and exercise
Fatigue, joint pain, or shortness of breath
High blood pressure or blood sugar
Sleep apnea 

Procedure:

This weight-loss procedure creates a smaller stomach pouch and reroutes part of the small intestine. It limits food intake and reduces calorie absorption, often leading to significant weight loss and health improvement.

Pyloromyotomy 

Treats:

Pyloric stenosis (tight muscle at the stomach outlet)

Symptoms:

Forceful vomiting after eating
Dehydration
Poor feeding or weight loss (in infants)
Feeling of fullness or bloating 

Procedure:

This procedure involves splitting the thickened muscle at the outlet of the stomach (pylorus) to allow food to pass into the small intestine more easily. It is most commonly performed in infants but may be needed in adults with scarring or blockage.

EGD (Upper Endoscopy) 

Evaluates:

Conditions in the esophagus, stomach, and upper small intestine

Symptoms:

Heartburn
Trouble swallowing
Nausea or vomiting
Unexplained upper abdominal pain
Gastrointestinal bleeding 

Procedure:

An EGD is a diagnostic test using a camera to look at the upper digestive tract. It helps identify ulcers, inflammation, reflux damage, or other conditions. Biopsies may be taken if needed. You’ll be sedated for comfort and recovery is fast.

Heller Myotomy 

Treats:

Achalasia (a disorder where the esophagus cannot move food properly)

Symptoms:

Difficulty swallowing
Food feeling “stuck”
Regurgitation
Chest pain not related to heart issues
Weight loss 

Procedure:

This surgery involves cutting the tight muscle at the bottom of the esophagus to help food and liquid pass more easily into the stomach. It is usually done using minimally invasive or robotic techniques and may be combined with a partial fundoplication.