CGH Upper Gastrointestinal (GI) and Bariatric Surgery Service looks after patients with problems related to the stomach and oesophagus (gullet). We also perform weight-loss surgery as part of the CGH Weight Management Programme.
Evaluation and management of benign upper GI conditions
Problems of the oesophagus and stomach may present in a number of ways, such as upper abdominal pain / discomfort, feeling of bloatedness or indigestion, heartburn and regurgitation, or swallowing difficulty.
These may point to conditions such as:
- Gastritis / duodenitis
- H. pylori infection
- Peptic ulcer disease
- Gastroesophageal reflux disease (heartburn)
- Oesophageal motility disorders
We use various techniques in the evaluation of these conditions. These include:
- Upper GI endoscopy
- Oesophageal pH monitoring
- Oesophageal manometry
Evaluation and management of oesophageal / gastric tumours
Cancers of the upper GI tract may present as seemingly mild conditions such as abdominal discomfort, feeling of fullness after eating a small amount, or as swallowing difficulty. Using the techniques mentioned, we can evaluate the symptoms and diagnose conditions such as oesophageal and gastric cancers or benign tumours.
The surgical options available include:
- Radical subtotal and total gastrectomy with lymph node clearance
- Oesophagectomy
- Minimal access surgery (keyhole surgery) for resection or enucleation of benign of gastric and oesophageal tumours
Bariatric Surgery
The CGH Bariatric Surgery Service offers weight-loss surgery in conjunction with a proper diet and exercise regimen. This has been proven to help morbidly obese patients lose weight and improve obesity-related medical conditions like diabetes mellitus, hypertension and obstructive sleep apnoea.
Bariatric or obesity surgery is suitable for:
- the morbidly obese with BMI >37.5 (based on BMI values for Asians)
- the morbidly obese with BMI >32.5 (based on BMI values for Asians) with other medical complications of obesity such as sleep apnoea, diabetes, hypertension.
- those who are unsuccessful in any weight reduction attempts with or without medical supervision.
A variety of weight-loss operations are available, including laparoscopic gastric banding, sleeve gastrectomy and gastric bypass.
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