Upper Gastrointestinal Surgery
The diagnosis and management of disease of the oesophagus, stomach, duodenum, small bowel. Patients often present with indigestion symptoms (dyspepsia) and a common diagnostic procedures would be a gastroscopy to look at the internal lining of the oesophagus, stomach and duodenum for ulcers, inflamation or cancer.
Operations would include anti-reflux surgery for acid reflux (GORD) and hiatus hernia or the treament of achalasia.
The diagnosis and management of disease of the gall bladder, bile duct, liver, pancreas and spleen. The commonest condition is gallstones which can give rise to various types of severe upper abdominal pain and a common diagnostic procedure would be an ultrasound scan to make a diagnosis.
The most common operation is a cholecystectomy but others include bile duct exploration for stones and removal of the spleen for heamatological disorders.
This is the use of minimally invasive (keyhole) techniques to perform operations. In my practice all the following procedures are performed laparoscopically where appropriate;
Surgery of the gall bladder (cholecystectomy) and bile duct
Anti reflux surgery (Nissen Fundoplication)
Surgery for Achalasia (Heller's cardiomyotomy)
Groin (inguinal and femoral) and ventral hernia repair
Division of adhesions
Laparoscopy for diagnostic purposes