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Upper GI Surgery guides

20 plain-English, evidence-linked guides in Upper GI Surgery, with clinical review status shown on each page.

Anti-reflux surgery (Nissen fundoplication) (Fundoplication for gastro-oesophageal reflux disease (GORD))An operation to strengthen the valve between the gullet and stomach, used for severe or hard-to-control acid reflux (GORD), usually by wrapping the top of the stomach around the lower gullet.Gastric (stomach) polyp removal (Endoscopic gastric polypectomy (removal of stomach polyps), sometimes by endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD))A procedure, usually done during a gastroscopy, to remove one or more growths (polyps) from the lining of the stomach and send them to the laboratory to be checked.Gastric balloon insertion (Intragastric balloon insertion (endoscopic placement of a fluid- or gas-filled balloon in the stomach))A temporary soft balloon placed in the stomach, usually during a gastroscopy, to help you feel full sooner and support weight loss alongside a diet and lifestyle programme.Gastric band removal or adjustment (Removal or adjustment of a laparoscopic adjustable gastric band)Tightening, loosening or taking out an adjustable gastric band placed for weight loss, usually because it is too tight, too loose, causing problems, or no longer helping.Gastric band surgery (Laparoscopic adjustable gastric banding (LAGB))An operation that places an adjustable silicone band around the top of the stomach to create a small pouch, so you feel full sooner and eat less as part of a weight-management plan.Gastric bypass (Roux-en-Y) (Roux-en-Y gastric bypass (RYGB))A weight-loss operation that creates a small stomach pouch and reroutes the small bowel, so you eat less and absorb fewer calories, used for severe obesity and weight-related illness.Gastric sleeve (sleeve gastrectomy) (Laparoscopic sleeve gastrectomy (LSG))A weight-loss operation that removes most of the stomach, leaving a narrow tube, so you feel full sooner and eat less, used for severe obesity and weight-related illness.Heller's myotomy (achalasia surgery) (Laparoscopic Heller's myotomy (cardiomyotomy) with partial fundoplication for achalasia)A keyhole operation for achalasia that cuts the tight muscle at the lower end of the gullet so food and drink can pass into the stomach more easily, usually with a partial wrap to limit acid reflux.Keyhole (laparoscopic) anti-reflux surgery (Laparoscopic fundoplication for gastro-oesophageal reflux disease (GORD))The keyhole way of doing anti-reflux surgery: strengthening the valve between the gullet and stomach through several small cuts, used for severe or hard-to-control acid reflux (GORD).LINX reflux management (Magnetic sphincter augmentation (laparoscopic insertion of a magnetic ring) for gastro-oesophageal reflux disease (GORD))A keyhole procedure that places a small ring of magnetic beads around the lower gullet to support the weak valve and reduce acid reflux (GORD), as an alternative to a fundoplication wrap.Oesophageal cancer surgery (Surgery for oesophageal cancer)An overview of the operations used to treat oesophageal (gullet) cancer, from removing very early cancers through to removing all or part of the oesophagus, as part of a wider specialist treatment plan.Oesophageal dilatation (Endoscopic oesophageal dilatation (balloon or bougie dilatation of the oesophagus))A procedure done during a gastroscopy to gently stretch a narrowed part of the gullet (oesophagus) so that food and drink can pass more easily.Oesophageal stent insertion (Oesophageal stent insertion (self-expanding metal stent))A procedure, usually done at endoscopy with sedation, to place a tube (stent) that holds open a narrowed oesophagus so swallowing is easier, most often to relieve symptoms in advanced cancer.Oesophagus removal (oesophagectomy) (Oesophagectomy)A major operation to remove all or part of the oesophagus (gullet), most often to treat oesophageal cancer, after which the surgeon rebuilds the food pipe, usually from the stomach.Partial stomach removal (partial gastrectomy) (Partial gastrectomy)An operation to remove part of the stomach, most often to treat cancer in the lower stomach, leaving a smaller stomach that is reconnected to the digestive system.PEG feeding tube insertion (Percutaneous endoscopic gastrostomy (PEG))Placing a feeding tube directly into the stomach through the skin, using a camera, so food, fluids and medicines can be given when eating or swallowing is unsafe or not enough.Repair of a perforated ulcer (Surgical repair of a perforated peptic ulcer)An emergency operation to close a hole that has formed where a stomach or duodenal ulcer has burst through the wall, and to clean the abdomen.Revisional bariatric surgery (Revisional (redo) weight-loss surgery)A second weight-loss operation to correct a problem from a previous one, or to change to a different procedure, when the first has caused complications or is no longer working.Stomach cancer surgery (Surgery for gastric (stomach) cancer)An overview of the operations used to treat stomach (gastric) cancer, from removing very early cancers through to removing part or all of the stomach, as part of a wider specialist treatment plan.Stomach removal (gastrectomy) (Gastrectomy)An operation to remove all or part of the stomach, most often to treat stomach cancer, after which the surgeon reconnects the digestive system.

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