Dr. Kishore V. Dange is a distinguished General and Laparoscopic Surgeon based in Mumbai. With an MS in General Surgery, Dr. Dange has established himself as a trusted and skilled practitioner, providing comprehensive surgical care to his patients.

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Upper GI Surgery

Upper GI surgery refers to surgical procedures performed on the upper part of the gastrointestinal (GI) tract, which includes the esophagus, stomach, and duodenum (the first part of the small intestine). These surgeries address a range of conditions, from cancers to ulcers and reflux diseases. The goal is to treat diseases, relieve symptoms, or correct anatomical abnormalities in this region.

Common Conditions Treated by Upper GI Surgery:
  • Esophageal Cancer: Malignant tumors in the esophagus.
  • Gastric (Stomach) Cancer: Cancer that originates in the stomach.
  • Peptic Ulcers: Sores that develop on the lining of the stomach or duodenum, often caused by infection or medication.
  • Gastroesophageal Reflux Disease (GERD): Chronic acid reflux causing damage to the esophagus.
  • Hiatal Hernia: A condition where part of the stomach pushes through the diaphragm into the chest cavity.
  • Obesity: In cases where weight loss surgery (bariatric surgery) is needed.
  • Benign Tumors: Non-cancerous growths in the upper GI tract.
  • Bleeding Disorders: Conditions causing bleeding in the upper GI tract.
Types of Upper GI Surgery:

1. Esophagectomy

  • Description: Removal of part or all of the esophagus.
  • Indications: Typically performed for esophageal cancer or severe esophageal disease.

2. Gastrecomy

  • Description: Removal of part or all of the stomach.
  • Indications: Often used for gastric cancer, severe ulcers, or other significant stomach issues.

3. Antireflux Surgery (Fundoplication)

  • Description: A procedure to treat GERD by reinforcing the lower esophageal sphincter.
  • Indications: Used for patients with severe GERD that does not respond to medication.

4. Hiatal Hernia Repair

  • Description: Surgical correction of a hiatal hernia.
  • Indications: Performed when the hernia causes symptoms or complications.

5. Bariatric Surgery (Weight Loss Surgery)

  • Description: Procedures to help with weight loss by modifying the stomach and/or intestines.
  • Types: Includes gastric bypass (Roux-en-Y), sleeve gastrectomy, and adjustable gastric banding (Lap-Band).
  • Indications: For patients with severe obesity and related health issues.

6. Gastric Bypass Surgery

  • Description: A type of bariatric surgery that creates a small stomach pouch and reroutes the small intestine.
  • Indications: Used for weight loss and management of obesity-related conditions.

7. Endoscopic Procedures

  • Description: Minimally invasive techniques using an endoscope to perform surgery or treat conditions.
  • Indications: Used for some cases of peptic ulcers, early-stage cancers, or benign tumors.
Benefits of Upper GI Surgery:
  • Symptom Relief: Effective treatment for pain, bleeding, or obstruction.
  • Disease Management: Can cure or manage cancer and other serious conditions.
  • Improved Quality of Life: Relief from chronic conditions like GERD and obesity.

Upper GI surgery is a critical part of treating various conditions affecting the upper digestive tract, aiming to improve patient outcomes and quality of life. The choice of surgical approach depends on the specific condition, patient health, and surgeon recommendations.