Overview
Lasting relief for reflux, hiatal hernias, and motility problems.
Foregut surgery treats conditions of the esophagus and upper stomach — most commonly chronic acid reflux (GERD), hiatal hernias, and motility disorders like achalasia. For many patients, medication is the right starting point. When medications stop working, cause side effects, or fail to address the underlying anatomy, surgery can offer long-term relief.
We perform foregut procedures using robotic and laparoscopic technique whenever possible, with the goal of restoring normal anatomy and function. Every patient is evaluated with appropriate testing — endoscopy, manometry, pH study, imaging — before any procedure is offered.
Conditions we treat
- Chronic acid reflux (GERD) unresponsive to medication
- Hiatal and paraesophageal hernias
- Achalasia and other motility disorders
- Gastric volvulus
- Esophageal strictures
- Barrett’s esophagus (in coordination with GI)
- Recurrent aspiration related to reflux
Procedures performed
- Nissen fundoplication (full wrap)
- Toupet and Dor partial fundoplications
- Robotic hiatal hernia repair
- Heller myotomy for achalasia
- LINX magnetic sphincter augmentation (in selected patients)
- Repair of complex paraesophageal hernias
What to expect
Foregut patients typically have a one-night hospital stay, return to a soft diet for two to four weeks, and resume normal activity within one to three weeks. We coordinate closely with our gastroenterology colleagues throughout — both for diagnostic testing before surgery and for any ongoing care after.