Gastro surgery

The gastro surgery consists of a plastic surgeon stapling the top of the stomach into a very small pouch and connecting the small intestine directly to that pouch, bypassing the remainder of the stomach altogether.

The result of this plastic surgery is a two ounce pouch that can hold about a tenth of the food that the person used to consume before the surgery.

The are two gastric surgery procedures :

The gastrointestinal surgery includes surgery of the abdomen, it was called general surgery. It currently includes surgery for obesity, gallbladder, hernias, colorectal surgery and digestive oncology, thyroid surgery, proctology and emergencies (appendicitis, occlusions, abscesses ...). Gastroenterology deals with problems of digestion (gastro-oesophageal reflux, gastric or duodenal ulcer), transit disorders (diarrhea or constipation), abdominal pain, as well as problems of pancreatitis or gallbladder. Some general inflammatory diseases are responsible for digestive symptoms (chronic inflammatory diseases of the intestine, such as Crohn's disease or ulcerative colitis). Currently, the majority of interventions in gastrointestinal surgery are performed by laparoscopy or video-surgery. The doctor will only make 3 to 4 small incisions to introduce a camera and instruments by blowing gas into the abdomen. The surgeon carries out the intervention by looking at a screen.

Any surgery, can present risks during the procedure (anesthetic risks, hemorrhages, infections, etc.) and complications. It is also the role of the surgeon to clearly explain the details, the difficultiesand the risks of the surgical intervention that will be performed. The surgeon intervenes at different stages: the preoperative examination, in particular to predict the extent of the intervention; the surgery itself: they can then perform a laparotomy (which involves incising the abdomen), or a laparoscopy (the surgery is then performed with closed belly, through an optical and inserted instruments in the wall of the abdomen), as well as the post-operative follow-up.

Reflux surgery:

The gastroesophageal reflux disease, known as GERD causes burns in the middle of the thorax favoured by certain positions (leaning forward, lying down). A cough may appear at the end of the night. Some patients describe real regurgitations.

Sometimes it is the sensation of discomfort with swallowing which predominates.

This surgery is carried out under general anesthesia and under laparoscopy it is a matter of "lowering" the stomach into the abdominal cavity, tightening the Diaphragmatic orifice through which passes the esophagus and making an "anti-return" valve by plicating the upper part of the stomach. After the GERD procedure, the patient can only drink the following day. Patients are allowed to eat 2 days after the surgery. It is recommended to eat small amounts, mixed in each 3 to 5 times a day for a period of one month. A swallowing difficulty may persist for the first weeks which will gradually be reduced in due time. Although there are several advantages to laparoscopic anti-reflux surgery, this procedure may not be appropriate for all patients. It is important to note that a complete medical examination is needed before hand. As a result, the surgeon, specialized in laparoscopic GERD surgery, will determine the best technique that fits the patient’s condition and needs.

Cholecystectomy:

Gallbladder ablation, also known as cholecystectomy, is a surgical procedure that involves removing the gallbladder, a pear-shaped organ just below the liver, on the right side of the abdomen. It stores the bile, a digestive fluid made and secreted by the liver, and pours it directly into the duodenum (digestive tract), via the common bile duct. Cholecystectomy is a common surgical procedure. It is performed under general anesthesia. There are two ways to remove the gallbladder: laparoscopic cholecystectomy is the least invasive method. This involves making 4 small incisions in the abdomen (near the navel) through which the doctor can introduce the necessary devices for the procedure. Laparotomy cholecystectomy is more invasive than the previous method. The doctor makes an incision of about 10 centimetres on the right side of the abdomen. The muscle and the tissue are spread apart to reveal the gallbladder. Once removed, the doctor sutures the incision.