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Surgeon Performs Stomach Surgery Without Incisions

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Bayhealth Medical Center

It’s another step in the evolution of minimally invasive surgeries: For the first time in Delaware, a surgeon has performed a complex stomach surgery without making incisions.

Last month, Bayhealth Surgeon Rahul Singh, MD, successfully completed a fundoplication to treat two patients suffering from Gastroesophageal Reflux Disease (GERD). In a fundoplication, the gastric fundus (upper part) of the stomach is wrapped, or plicated, around the lower end of the esophagus and stitched in place, reinforcing the closing function of the lower esophageal sphincter. The procedure effectively creates a valve at the LES to prevent reflux from the stomach back up to the esophagus.

Fundoplications typically require abdominal incisions for the surgeon to access the stomach, and patients usually need a two to three day hospitalization and at least a week for full recovery.

However, Dr. Singh performed an incisionless fundoplication on both patients by inserting a special device over an endoscope (Esophyx 2) through the mouth, down the esophagus, all the way to the stomach. The special procedure was completed successfully and both patients were released without complications after just an overnight hospitalization.

According to Dr. Singh, one of his patients was a 57-year-old female who had been taking anti-reflux medication for many years but no longer wanted to take the pills. The other patient, a 60-year-old female, was another long-time GERD sufferer indicated she was “sick” of taking medication to stop her reflux. Within days after their incisionless fundoplication, both patients were back to routine activities within a few days.

“This is truly a significant step forward for GERD patients who can benefit from a procedure that is minimally invasive, dramatically reduces their pain and shortens their recovery time,” said Dr. Singh.

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