Oesophageal Surgery
About Dr. Ashish Kale
Dr. Ashish Rasik Kale is a renowned General Surgeon in Gurgaon and currently practices at W Pratiksha Hospital, Gurgaon. For the past 13 years, Dr. Ashish Rasik Kale has worked as a Top Surgeons and gained proficient skills and knowledge in the segments.
What is This?
Refers to initial (primary) and corrective (revisional) surgeries of the esophagus, often performed for:
GERD
Achalasia
Motility disorders
Failed previous surgery (e.g., failed fundoplication)
Primary Surgery Examples:
Fundoplication (for reflux)
Heller Myotomy (for achalasia)
POEM (endoscopic option for achalasia)
Esophagectomy (for cancer or severe damage)
Revisional Surgery:
Performed when:
Symptoms return or worsen
Complications from initial surgery (e.g., tight wrap, dysphagia)
Recurrent hiatal hernia
Types:
Redo Fundoplication
Conversion to Roux-en-Y gastric bypass (in obese patients with failed reflux surgery)
Stent placement (in non-surgical candidates or for palliation)
Risks:
Higher than primary surgery due to scar tissue and anatomical changes
Requires experienced surgical team
Summary Table:
| Condition | Key Issue | Symptoms | Common Surgery |
|---|---|---|---|
| Achalasia | LES fails to relax | Dysphagia, regurgitation | Heller Myotomy, POEM |
| Hiatal Hernia | Stomach bulging into chest | Heartburn, reflux | Hernia repair + Fundoplication |
| Esophageal Diverticula | Pouch in esophagus | Regurgitation, choking | Diverticulectomy, myotomy |
| Esophageal/Stomach Cancer | Malignant tumors | Swallowing issues, weight loss | Esophagectomy, Gastrectomy |
| Esophageal Revisional Surgery | Failed prior surgery |