The University of Chicago Medicine has many experts who specialize in minimally invasive surgery for esophageal problems. Our surgeons take a team approach in the diagnosis and treatment of all esophageal conditions, and work closely with other esophageal care experts as part of the Center for Esophageal Diseases.
Esophageal Conditions Treated with Minimally Invasive Surgery
An esophagectomy is a procedure that removes the esophagus due to esophageal cancer or high-grade dysplasia. It is usually performed laparoscopically, thoracoscopically or using a combination of the two techniques. Surgeons at UChicago Medicine have been using this minimally invasive approach to treat esophageal cancer since 2006 and have the most expertise in the region. Patients undergoing this surgery are generally able to leave the hospital sooner and return to their normal activities more quickly than with traditional open surgery. Other benefits include less pain and scarring and a faster recovery.
Gastroesophageal reflux disease (GERD), often called acid reflux, is usually treated with dietary modifications and daily medications that suppress acid production by the stomach. Sometimes, lifestyle changes or medications do not lead to sustained improvement for some patients. Other patients require daily medication. Surgery can be a very effective treatment for both of these groups. Our surgeons perform anti-reflux procedures — commonly referred to as Nissen fundoplication — using laparoscopic techniques. Usually patients are discharged the day after surgery without antacid medications. In addition, our surgeons are often able to revise or repair unsuccessful anti-reflux procedures performed at other facilities using a minimally invasive approach.
Certain types of very large hiatal hernias — known as paraesophageal hernias, in which the stomach slides into the chest — can interfere with eating and breathing and sometimes result in severe complications. This condition generally requires surgical repair and is usually treated using laparoscopy or, under special circumstances, may require opening up the chest through the rib cage.
Motility disorders affect the strength and coordination of esophageal muscle contractions. One particular disorder — achalasia — was treated in the past with endoscopic therapies that provided relief in about 75 percent of patients. With the laparoscopic techniques used at UChicago Medicine, it is possible to improve symptoms of achalasia in about 95 percent of patients. The procedure usually requires an overnight stay in the hospital.
Eating Again After Achalasia
Eating and drinking became increasingly difficult for Dorian Brantley. Gastroenterologists diagnosed achalasia — a rare digestive disorder that affects the muscles between the esophagus and the stomach. Irving Waxman, MD, performed an incisionless procedure to correct the problem. Now, Brantley is back to enjoying all her favorite foods again.Read Dorian's Story
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