Upper GI & Surgical Care.
Anti-reflux surgery, hiatus hernia repair, gallbladder surgery, hernia repair, and oesophageal and gastric cancer surgery.
Performed by Upper GI surgeons within a single clinical team.
Laparoscopic and open Upper GI surgery, in a single surgical service.
If your symptoms have not resolved on medication, or surgery has been recommended, you are in the right place.
Most present with reflux, hiatus hernia, gallstones, hernia, or a recent diagnosis of upper gastrointestinal cancer.
Referrals are accepted from GPs and gastroenterologists. Self-referral is also appropriate.
This pathway includes patients with:
- Reflux not controlled on PPI medication
- Confirmed hiatus hernia
- Symptomatic gallstones
- Inguinal, umbilical or abdominal wall hernia
- Oesophageal or gastric cancer
- Dysphagia or persistent upper abdominal pain
Considered procedure by procedure, against your history and imaging.
Laparoscopic fundoplication
Nissen or Toupet wrap, selected based on manometry and symptom profile.
Hiatus hernia repair
Crural repair with fundoplication. Mesh used where indicated.
Heller myotomy
Surgical treatment for achalasia with partial fundoplication.
Laparoscopic cholecystectomy
Day-stay or overnight gallbladder removal for symptomatic gallstones.
Inguinal and abdominal wall hernia repair
Open or laparoscopic approach, selected based on anatomy and prior history.
Gastrectomy and oesophagectomy
Resection for malignancy, coordinated within a multidisciplinary cancer service.
From the first consultation through to follow-up. The same surgeon, throughout.
Consultation
A surgeon reviews symptoms, imaging and prior investigations. A plan is documented at the time of consultation.
Investigations
Gastroscopy, manometry, pH testing, CT or ultrasound where required. Only investigations necessary to make a surgical decision.
Preparation
Pre-operative assessment with nursing and anaesthesia. Written instructions provided prior to admission.
Surgery
Laparoscopic approach where appropriate. Day-stay to short admission for benign disease. Extended admission for cancer surgery with ICU or HDU support where required.
Follow-up
Structured post-operative review. Cancer patients remain within a coordinated oncology pathway.
The same surgeon, from first conversation onward.
Care is delivered by the same surgical, nursing and allied health team.
- Surgeon
- Anaesthetist
- Nurse
- Dietitian
- Physician where indicated
Most upper gastrointestinal conditions require a defined intervention. The role of assessment is to determine whether that intervention is necessary.
For many patients, this is a single procedure performed well. For others, the right decision is to hold off.
From the first consultation through structured follow-up. Day-stay procedures, complex resections, and everything in between.
Send your imaging across, and we will review it before your visit.
A clinician will advise whether further assessment or intervention is required.