Oncologic Surgeon and Reflux / Esophageal Specialist
Renee M
Doctor Bhayani is a great surgeon, he has done 2 operations on me in the past year and I would recommend him highly. He is very friendly and has a good bedside manner.
Gastric issues like ulcers, polyps, cancer, and gastroparesis can be effectively diagnosed and treated by the experienced surgeons at Association of South Bay Surgeons. Treatment includes minimally invasive laparoscopic and endoscopic surgery that allows for a fast recovery.
Gastroesophageal Reflux Disease, commonly known as GERD, causes major problems with digestion and overall health. The Association of South Bay Surgeons helps patients deal with the most severe cases of GERD that require specialized surgical correction. To learn more about how surgical intervention can help GERD, contact the offices today.
Our board-certified & fellowship-trained surgeons are skilled at diagnosing and treating esophageal diseases, including:
Gastric issues like ulcers, polyps, cancer, and gastroparesis can be effectively diagnosed and treated by the experienced surgeons at Association of South Bay Surgeons. Treatment includes minimally invasive laparoscopic and endoscopic surgery that allows for a fast recovery.
Gastric ulcers are ulcers that develop due to stomach acid. An ulcer causes damage to the gut lining, and it typically looks like a tiny crater. Ulcers are often caused by an infection, and are thus typically treated with an acid suppressant medication and antibiotics. However, ulcers can be far more serious. A serious gastric ulcer causes bleeding or internal perforations. Ulcers of this type usually require surgical treatment for a satisfactory resolution.
In gastroparesis, the stomach isn’t able to empty food properly. This can cause a number of serious problems in the long term, including poor control of blood sugar, unwanted weight loss, fermentation of food stuck in the stomach, hardening of food into a bezoar that can’t be passed into the intestines, and regular vomiting of food that hasn’t been digested yet. People who suffer from gastroparesis can sometimes be treated with conservative therapy like dietary changes and medication. However, serious cases of gastroparesis may require surgical correction.
Gastric cancer causes malignant cells to develop within the stomach lining. There are many possible types of gastric cancer, including adenocarcinomas, lymphomas, carcinoid tumors, and stromal tumors. Gastric cancer develops quietly, often causing no major symptoms until it’s very advanced. Surgical gastrectomy (resection) is the most effective treatment for gastric cancer. A subtotal (partial) surgical gastrectomy is a procedure in which the lower part of the stomach is removed. This procedure is used only if the gastric cancer is isolated near the intestines. In a total gastrectomy, the entire stomach is surgically removed, and the esophagus is then surgically connected to the small intestine. If it’s caught early enough, this surgery can be a cure. If the cancer isn’t diagnosed until later, it still offers significant symptom relief.
Many gastric surgeries can be performed as minimally invasive laparoscopic procedures. The advantages of these procedures include faster recovery, less pain, less bleeding, and smaller incision size. The team of radiologists, gastroenterologists, pathologists, and medical and radiation oncologists at Association of South Bay Surgeons work together to find the best surgical treatment option for each patient.
We are experienced in minimally invasive / laparoscopic & endoscopic gastric surgery such as:
Gastroesophageal Reflux Disease, commonly known as GERD, causes some major problems with digestion and overall health. The Association of South Bay Surgeons helps patients deal with the most severe cases of GERD that require specialized surgical correction. To learn more about how surgical intervention can help GERD, contact the offices today.
GERD otherwise known as reflux or heartburn is a common condition affecting one of every five Americans. Reflux is when acid from the stomach enters the esophagus (the tube that connects the mouth to the stomach). There can be many conditions that cause this. Most commonly is lower esophageal sphincter weakness that does not provide an adequate pressure valve preventing stomach fluid from entering back into the esophagus. (Please see the diagrams below) There are many medications that can treat the symptoms of reflux disease. Medications like Tums, Zantac or Prilosec do help symptoms however these medications do not correct the problem. These medications you will have to take life long and are not without long-term risks. Long term acid exposure to the esophagus can lead to cancer. If you have symptoms of reflux or heartburn or are on medications seeking another treatment please give us a call for a prompt evaluation. There is a way to live without medications and symptoms of heartburn.
Medical management with the use of medications such as Zantac or Prilosec. Long term use of these medications can lead to osteoporosis, dementia, vitamin/mineral deficiencies, kidney disease, and increase risk for serious bowel infections (C. Dif Colitis)
Surgical repair. Depending on whether the stomach is in its normal position or has slipped into the chest will determine how to recreate the valve preventing acid from escaping the stomach into the esophagus. The goal of surgery is creating the valve. This can be done by wrapping the stomach around itself called a fundoplication or with titanium-link magnet beads called LINX.
Reflux surgery is done by laparoscopic (keyhole) technique with small incisions and a video camera. Surgery takes about 1-2 hours and requires 1 to 2 days in the hospital.
Patients usually return home 1-2 days after surgery. All patients will be on a modified liquid diet for 1-2 weeks during the recovery process and the diet advanced to normal shortly thereafter. Most patients have mild surgery incision site pain and muscle discomfort lasting 3-5 days and usually resume full physical activity within 4 weeks.
*All opinions expressed are the sole viewpoint of the individual patient, and as such should not be treated as medical advice. Results will vary for every individual.*
Oncologic Surgeon and Reflux / Esophageal Specialist
Bariatric & Complex Surgery