Oesophageal Primary & Revisional Surgery in Dubai
In the world of digestive health, the oesophagus, a muscular tube connecting the throat to the stomach, plays a vital role in transporting our nourishment.
However, when disorders or complications arise requiring surgical intervention, the realm of Oesophageal Primary and Revisional Surgery in Dubai takes centre stage.
Oesophageal Primary Surgeries in Dubai:
Oesophageal surgery encompasses a range of procedures that involve the oesophagus, a muscular tube connecting the throat to the stomach.
Oesophageal primary surgery in Dubai is typically performed as the initial treatment for conditions affecting the oesophagus, such as
- Gastroesophageal Reflux Disease (GERD)
- Achalasia
- Oesophageal Diverticula
- Hiatal Hernia
- Oesophageal Cancer
What are Different Oesophageal Primary Surgeries in Dubai?
There are several primary surgeries performed on the oesophagus in Dubai:
- Fundoplication: Fundoplication is a surgical solution for GERD and hiatal hernias, where the surgeon wraps the upper stomach around the lower oesophagus, thus preventing acid reflux. This is the commonest procedure which is done laparoscopically for reflux disease.
- Transoral Incisionless Fundoplication: TIF is a minimally invasive procedure for treating GERD. Special devices are used by surgeons to reconstruct the anti-reflux barrier at the gastroesophageal junction, thereby decreasing the occurrence of stomach acid reflux.
- Surgery for hiatal hernia and paraesophageal hiatal hernia: Depending on the size of hernia and its association with reflux disease the hernia on its own may need dealing with surgery using the keyhole method. It is likely to be a challenging operation with large hernias and should be done by experts in the field.
- Heller Myotomy: It is a minimally invasive surgical approach used to treat achalasia. The procedure entails creating small incisions in the abdomen to address the tightness between the stomach and oesophagus.
- Oesophagectomy: Oesophagectomy is a surgical procedure that involves removing part or all of the oesophagus. It may be recommended in advanced situations when all other treatment methods have failed. It is also known as oesophagus cancer surgery.
- Esophageal Diverticulectomy: This surgery is performed to remove a diverticulum, a pouch that forms in the wall of the oesophagus. It is used to treat oesophageal diverticula.
Oesophageal Revisional Surgeries in Dubai:
Oesophageal revisional surgery refers to a secondary or subsequent surgical procedure performed on the oesophagus after initial surgery.
This may be necessary due to various reasons, including
- Complications arising from the primary surgery
- Recurrence of symptoms
- Need for adjustments to address ongoing issues
What are Common Oesophageal Revisional Surgery Performed?
Common oesophageal revisional surgeries can vary depending on the complications or issues that arise after the initial surgery.
Here are some common types of oesophageal revisional surgery in Dubai:
- Redo-fundoplication: This revisional surgery involves revisiting and potentially reinforcing or recreating the fundoplication wrap around the oesophagus.
- Conversion to gastric bypass: when multiple attempts at surgery for reflux such as revisional fundoplication fail, a gastric bypass may be the only and best solution for refractory reflux. This has to be done by an expert in the field who has appropriate training and more importantly understanding of the disease.
- Heller Myotomy Revision: Heller myotomy is a surgical procedure used to treat achalasia by cutting the muscle at the lower end of the oesophagus. Revisional surgery may be necessary if there are complications or if symptoms persist.
- Revisional Hiatal Hernia Repair: Revisional surgery may be required if there are complications or recurrence of hiatal hernias after an initial repair. This may involve reinforcing the hiatus or adjusting the previous hernia repair.
The most important factor in deciding the outcome of revisional surgeries as the understanding of the cause of the problem, appropriate investigation to plan a treatment and setting realistic goals with discussions and communication with the patient. It no longer is a surgical exercise but a complete package of understanding, investigation, setting realistic expectations and performing surgery. It is also important that the surgeon, the infrastructure and the team already to deal with any complications that may arise from these complex operations.
Contact Dr Balaji for Oesophageal Primary & Revisional Surgery In Dubai
Experience top-tier oesophageal primary and revisional surgery in Dubai with Dr. Balaji Nagammapudur, a highly skilled consultant surgeon specialising in oesophageal treatments.
With a dedicated focus on patient well-being and extensive expertise in oesophagal procedures, Dr. Balaji ensures comprehensive care. Embark on your path to optimal well-being by scheduling a consultation.
Contact Dr Balaji for personalised and expert care. Your journey to a healthier future begins today.
FAQs
Primary surgery is recommended for conditions like severe reflux (GERD), tumours, or achalasia when initial treatments are ineffective. It aims to address the root cause and improve symptoms.
Preparations involve medical assessments, imaging tests, and discussions with your surgeon. Follow pre-surgery instructions, including fasting, medication adjustments, and lifestyle modifications.
In some cases, lifestyle changes may help manage symptoms, but surgery might be the most effective option for certain conditions. Consult with a specialist to determine the best course of action.
Oesophageal cancer surgery is one of the primary treatments for oesophageal cancer. Depending on the stage, it may be combined with chemotherapy and/or radiation therapy for a comprehensive approach.