Gastrointestinal Surgery

The Gastrointestinal Surgery offers quaternary level surgical care to patients with Gastroenterological diseases including cutting edge contemporary care for cancers of oesophagus, stomach, colon, pancreas, gallbladder and liver. The team delivers comprehensive treatment for many complex abdominal operations using the advanced skill-sets and multidisciplinary approach.  Our highly talented and motivated GI surgeons to deliver Advanced Minimally Invasive Laparoscopic, Robotic and conventional operations for treating GI cancers, weight loss and other complex diseases of the abdomen. The Minimally Invasive Laparoscopic and Robotic surgery approach means safer operations with less pain, fewer wound infections, shorter hospital stay and early return to work and productive life.

In order to retain its identity as a leading unit of excellence for providing cutting edge GI surgical care to patients, the Gastro-Intestinal Surgery Team invests heavily in academics and research. Members of the Gastro-Intestinal Surgery Team have published research in many indexed journals and have been invited to deliver lectures and talks at National and International forums.

Surgical Gastroenterology is a major thrust area of the Institute for Digestive & Liver Diseases. It is recognised by the National Board of Medical Examinations for conducting two postgraduate courses- a two-year fellowship in advanced Minimal Access Surgery and a three year super specialization degree course in Surgical Gastroenterology. 
 

What Is Gastrointestinal Surgery?

Gastrointestinal surgery is a type of surgical treatment performed to treat chronic diseases of the parts of the body involved in digestion. The surgical process is used to remove various benign and cancerous growths in the digestive tract. This includes the whole digestive system comprising oesophagus, stomach, small intestine, large intestine, liver, gallbladder, pancreas and rectum.

What Are The Various Indicators Of Gastrointestinal Surgery?

Some of the major symptoms of gastrointestinal disease which may warrant surgery are as follows:
Upper GI complaints include:

  • Chest pain and heartburn
  • Recent loss of appetite and weight
  • Halitosis
  • Hiccups
  • Nausea and vomiting
  • Dyspepsia
  • Chronic and recurrent abdominal pain
  • Lump in the throat
  • Rumination

Lower GI complaints include:

  • Diarrhoea
  • Gas and bloating
  • Constipation
  • Abdominal pain
  • Rectal pain 
  • Bleeding along with stools

What Are The Various Conditions We Treat Under Gastrointestinal Surgery?

The unit is recognised as a Centre of Excellence for surgery. Some of the major conditions we treat with Gastrointestinal Surgery include:

  • Pancreatic Cancer
  • Gallbladder Cancer
  • Liver Cancer
  • Inflammatory Bowel Disease
  • Portal Hypertension
  • Re-operational / Revision Surgery
  • Enterocutaneous Fistulas
  • Weight loss (Bariatric) Surgery

Other diseases include:

  • Achalasia
  • Gastroesophageal reflux disease (GERD)
  • Neoplasms of the stomach, duodenal, pancreas, and biliary tract
  • Treat stomach ulcers
  • Hernias
  • Portal Hypertension
  • Rectal prolapse
  • Gallbladder disease
  • Diverticular disease of the colon
  • Abdominal masses
  • Barrett's Oesophagus
  • Acute and Chronic Pancreatitis

Are You A Candidate For Gastrointestinal Surgery?

A doctor might evaluate the patient’s current medical condition to know whether he will be benefited from Gastrointestinal Surgery or not. You may be a candidate for surgery if you experience any of the following symptoms or if the final diagnosis is amenable to surgical treatment.

  • Difficulty in swallowing food or liquid or passing it from the mouth to the stomach
  • Pain anywhere between the chest and the groin
  • Abdominal discomfort that precedes the act of vomiting (sometimes blood in vomit)
  • Leakage of faeces from the bowel due to poor bowel control
  • Acid reflux spills into the oesophagus with the burning sensation
  • The frequent passing of watery stools
  • The stomach appears feels full or swollen, (due to a build-up of gas, fluid or ingested food)
  •  Blood in the stools

A person qualifies for bariatric surgery if he/she has:

  • BMI ≥ 40
  • BMI ≥ 35 with at least one or more obesity-related co-morbidities, such as type 2 diabetes or severe sleep apnea
  • Inability to achieve a healthy weight loss, in spite of trying other methods like dieting and exercise for weight loss.

What Are The Various Diagnosis Tests Required Prior To Gastrointestinal Surgery?

Before recommending the surgery, a doctor might ask for investigation which may include one or more of the following tests. These tests help in providing the right diagnosis and determining your fitness for surgery.

  • Blood Tests
  • Upper GI Endoscopy
  • Colonoscopy
  • Anorectal Manometry 
  • Capsule Endoscopy
  • Flexible Sigmoidoscopy
  • Balloon-Assisted Enteroscopy
  • Angiography
  • Imaging Tests
    • Normal X-Rays
    • Barium X-Rays
    • Computed Tomography Scan (CT Scan)
    • Magnetic Resonance Imaging (MRI)
    • CT Scan
    • Ultrasound scanning

What Is The General Procedure For Gastrointestinal Surgery?

Preoperative Work-up
A doctor will evaluate the patient and counsel him/her for the possible complications that may arise during the Gastrointestinal Surgical procedure/ Laparoscopic Surgery and might prescribe some investigations listed above. The doctor may also prescribe relevant medications to reduce the risk prior to the procedure. The patient must not eat anything the night before the surgery. 
Operative Steps for Laparoscopic and Robotic Surgery

  • STEP 1: The area of the body Gastrointestinal Surgical procedure has to be performed is numbed using general anaesthesia and the patient goes to sleep
  • STEP 2: The surgeon makes a few small incisions in the abdomen and uses thin tube-like Laparoscope having a camera on its tip, to see inside the body. 
  • STEP 3: The surgeon inserts the camera in one cut and surgical instruments in other cuts. Depending upon the reason for which the surgical procedure is performed, the affected part is removed from the body.
  • STEP 4: After removing the affected part the remaining part is reconnected and the incision is closed with stitches.

What Are The Benefits of Minimally Invasive Gastrointestinal Surgery?

The minimally invasive approach comes with many advantages such as:

  • Quicker recovery
  • Shorter hospital stay
  • Reduced recurrence rate
  • Reduced rate of infection
  • Minimal scarring
  • Quicker return to normal activities and work

Are There Any Complications Involved?

Any surgery might be with mild complicated, by:

  • Infection at the site of the incision
  • Soreness and pain during recovery
  • Bleeding 
  • Reaction to anaesthesia and dye

The risks and benefits of surgery are always explained by the doctor in detail before the operation. The benefits of surgery are always more than the risk factors associated with it.

Find Complete Relief from BLK Experts

If you think you are facing similar conditions, or have suffered from them in the past, please contact the BLK Hospital team to schedule an appointment at : +91-11-30403040

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