Laparoscopic Esophageal Surgery in Delhi By The Top Surgeon Dr. Neeraj Goel

1. LaparoscopicEsophagealSurgery WhatIsLaparoscopic EsophagealSurgery? Laparoscopicesophagealsurgeryistheminimallyinvasiveproceduretomanage various esophagealdiseasesthatarenotgettingimprovedwithconservative treatmentoptions.Thediseases thatcanbetreatedwithlaparoscopic surgery includegastroesophagealreflux,esophagealtrauma,esophagealcancer, and Barrett’s esophagus.Thesurgeon,duringesophagectomy,removes completeor a portionofesophagus.Laparoscopicsurgeryoffers severaladvantagesoverthe traditionalopensurgery. • WhatAreThe Diseases TreatedWith Laparoscopic EsophagealSurgeryInDelhi? • Thereareseveraldiseasesthatcanbetreatedwithlaparoscopicesophageal surgery.Thedoctorwilladviseyoutoundergothissurgerywhenthesymptomsare • notmanagedthroughnon-invasivetreatments.Someofthediseaserequiring laparoscopicsurgeryare: • Gastroesophagealreflux:Acidispresentinthestomachthatperformseveralfunctions • including digestion.Innormalhealthypeople,theacidislimitedto thestomach.However,in somecases,theacid flowbackinto theesophagusresultingin heartburnandpain.This

2. conditionisknownasgastroesophagealacidreflux.Insever,chroniccondition,the doctor may optfor laparoscopicsurgery. • Achalasia:Achalasia istherare neurologicaldisorder.Inthiscondition,the abilityofthe • esophagustomovethe fooddown intothe stomachislost.Asaresult,thefoodgest accumulatedintothe esophagusandreturnintothemouth.Althoughitisnotpossible to curethedisease,thedoctormanagesthesymptomsbyperforming thelaparoscopic surgery. • Severetrauma:Incasesofsevere trauma oftheesophagus,thesurgeon may • performlaparoscopicsurgery.The trauma ofthe esophagusmaybe dueto penetration of thebluntobject,ingesting causticmaterial,oresophagealperforation. • Barrett’sEsophagus:Thereisavalve between the esophagusandthe stomachthat • preventthe foodtotravelbackintotheesophagus.However,withtime,in somepatientsthe loweresophagealsphincter(valve)failsresultingintheinflammationandreddeningofthe liningofesophagusduetoacidreflux.Thisisknownas Barrett’sesophagus.Peoplewith thisconditionareatincreasedriskofdevelopingesophagealcancer. Ifthe doctordiagnoses thepresence ofanyprecancerouscells, hemayadvise to have alaparoscopicsurgeryto removethosecells. • Esophageal cancer: Esophageal cancer initiates from the esophageal tissues. Men are at increasedriskfordevelopingtheesophagealcancer.Thecancermostlystartsfromtheinner • lining ofesophagus. Thesymptoms ofesophagealcancerincludehoarsevoice, chest pain, anddifficultyswallowing.Thesurgeonmayeitherremoveapart ofcompleteesophagus • throughlaparoscopic surgery. • Paraesophagealhernia:Itisa typeofhiatalhernia.Itisadangerouscondition.Duringthis condition,apartofstomachprotrudesintotheesophagus.The surgeonmay • performlaparoscopicsurgerytotreatthiscondition. • WhatAre TheVariousTypesOfLaparoscopic EsophagealSurgeryInDelhi? • MosthospitalsinDelhihavetherequiredinfrastructuretoperformlaparoscopic • esophagealsurgery.However,youshouldoptforthebestlaparoscopicGIsurgeon in Delhi.Some ofthelaparoscopicesophagealsurgeryavailablein Delhi are: • Laparoscopicanti-refluxsurgery:Itisalsoknownas Nissenfundoplication.Thissurgery • isused for themanagement ofgastroesophagealrefluxdisease.Duringthissurgery,the doctor managesthe disease bydevelopingavalvemechanismatthe distalend ofthe esophagus. • Laparoscopic esophageal myotomy:Thedoctorperformsthisprocedure tomanagethe difficultyinswallowing.ThisprocedureisalsoknownasLaparoscopicHellermyotomy.

3. Dysphagia may be due to tight esophageal sphincter. The surgeon opens the sphincter by removingthethickmusclebetweenthestomachandesophagus. • Laparoscopic esophagectomy:Thisprocedureisgenerallyperformedtotreatesophageal • cancer, severe damage to esophagus, and esophageal trauma. During this procedure, the doctor removes either a portion or complete esophagus. The esophagus is then recreated eitherwiththestomachorfrom thelargeintestine. • What AreThe Advantages OfLaparoscopicEsophageal Surgery? • Thereareseveraladvantagesofthelaparoscopicesophagealsurgeryoverthe • traditionalopensurgery.Thetraditionalopensurgeryhassignificantcomplications ascomparedtolaparoscopicsurgery.Theriskofdamagetootherorgansis also highinopensurgeryascomparedtolaparoscopicsurgery,The patientshavefewer bleedingrisk,lesstissuedamage,lowpost-operativepain,lessscar,lessrecovery time, andreduced stayat hospital. • HowTheDoctorPerformLaparoscopic Esophageal SurgeryInDelhi? • Thelaparoscopicsurgeryis aminimallyinvasivesurgery.Thedoctormakesasmall • incisionontheesophagusattheplacewherehehad toperformthesurgery.The doctor,toviewtheinternaltissuesandorgans,insertsthe laparoscope(asmalllong tube withacameraatthe otherend).Aftervisualizingthetissuesandorgantobe operated, the doctor creates few small incisions to insert the instrument. The doctor thenperformsthesurgery.Afterthesurgery, thedoctorclosesthewoundwiththe stitchesand securethemwithbandages. • What ToExpectBefore TheLaparoscopic Esophageal Surgery? • Yourdoctormayperformcomprehensiveevaluationofyourhealth.Thedoctorwill recordyourbloodpressure,checkyourbloodfordiabetes,andperformvitaltests • thathelphimtodetermineif youareeligibleforsurgery.Thedoctor,priortosurgery, alsoadvisesyouregardingthefoodandotheractivities.Youmustfollowallthe • instructionsofyourdoctor.Informyourdoctor aboutallthemedicinesyouaretaking.

4. Yourdoctormay askyouto stopcertain medicinesthoseincreasesyour riskof bleeding. HowDoIGetMore InformationAboutTheLaparoscopic EsophagealSurgeryInDelhi? You shouldseekinformationfromthebestlaparoscopicsurgeon inDelhiaboutyour diseaseandthebesttreatmentoption.Youjusthavetofillthebelowformalongwith thedetailsofyourconditionorthesymptomsyouareexperiencing.