Upper GI Surgery

OVERVIEW

The Division of Esophago-Gastric Surgery is one of the most advanced centres for Upper G.I diseases in India. The department carries out all major Esophago-gastric procedures by Laparoscopic & Robotic approaches, including ‘CANCER’ surgery.

Our division is headed by one of the most renowned and dynamic surgeons in the field of Esophago-gastric surgery – Dr.C.Palanivelu, who has performed more than 1000 laparoscopic esophagus and stomach cancer surgeries successfully.

GEM Hospital is the first in the world to perform Thoraco-Laparoscopic Esophagectomy in ‘prone position’ for esophageal cancer and our technique is now being followed in most of the major centers across the globe.

At GEM Hospital, our skilled surgeons ensure not only life-saving interventions for conditions like esophageal, stomach, or pancreatic cancer but also an enhanced quality of life for those dealing with GERD or peptic ulcer disease. Beyond expertise, our hospital is a beacon of precision and attentive care, navigating the intricacies of the upper GI tract with proficiency, dedication, and advanced knowledge. Experience healthcare redefined at GEM Hospital, where your well-being is our paramount priority.

Upper GI surgery may be necessary to treat a variety of conditions, including

Cancer of the esophagus, stomach, small intestine, or pancreas
Gastroesophageal reflux disease (GERD)
Hiatal hernia
Peptic ulcer disease
Gallbladder disease
Pancreatitis

The benefits of upper GI surgery at GEM Hospital

GEM Hospital has some of the most advanced facilities for upper GI surgery.
We work with each patient to develop a personalized treatment plan that meets their individual needs.
We are committed to providing our patients with the safest possible care.

If you are considering upper GI surgery, it is important to talk to your doctor about the risks and benefits of the procedure. Upper GI surgery is a complex procedure, but it can offer life-saving benefits to patients with certain conditions. Our team of experts at GEM hospital are here to answer your questions and help you decide if upper GI surgery is the right option for you.

DISEASES TREATED

Gastroesophageal Reflux Disease (GERD)
Hiatus hernia
Achalasia Cardia & other motility disorders of the esophagus
Corrosive esophago-gastric injuries (acid / alkali ingestion)
Stomach / Gastric cancers, GISTs, NETs
Esophageal Cancers
GE Junction tumors

DIAGNOSTIC MODALITIES

Upper G.I Endoscopy (OGD)
Rapid Urease test for H.Pylori
Narrow Band Imaging (NBI) – for early cancer detection
High Resolution Esophageal Manometry with Impedence
24 hour pH study
Endoscopic Ultrasound (EUS)
Barium/Gastrograffin Swallow & Follow-through Studies
Ultrasound of Abdomen (USG)
Multidetector Computerized CT Scan with Cancer Specific Protocols

SURGERIES PERFORMED

Laparoscopic Antireflux Procedures, Redo Antireflux Surgery – eg. Nissen’s fundoplication
Laparoscopic Hiatal / Paraesophageal Hernia Repair
Laparoscopic Surgery for Achalasia Cardia, Redo- Heller’s Myotomy
Laparoscopic surgeries for corrosive esophago-gastric injuries
Laparoscopic Trucal Vagotomy & Gastrojejunostomy (TVGJ)
Laparoscopic Surgery for benign diseases like leiomyoma, diverticulum & duplication cysts of esophagus
Robotic/Laparoscopic surgery for Esophageal &Stomach Cancers
Robotic/Laparoscopic Resection of Gastrointestinal Stromal Tumours (GIST) & Neuroendocrine Tumours(NET)

Dr. PALANIVELU’S TECHNIQUE of Esophagectomy

Open esophagectomy is associated with considerable morbidity in terms of respiratory complications and prolonged hospital stay.

Dr. C. Palanivelu innovated a ‘prone position technique’ of Thoraco-laparoscopic esophagectomy, which reduced overall morbidity and encouraged early discharge from hospital.

This is the most popular approach currently and is being followed as a standard of care globally.