Gastroenterology Surgery
29 Mayıs 2023

Which diseases are treated in Gastroenterology Surgery?

In the gastroenterology surgery unit; esophageal diseases (reflux that cannot be regressed with medical treatment, hiatal hernia-stomach hernia, achalasia), stomach and duodenum (duodenal) diseases (cancer, morbid obesity, metabolic surgery, all kinds of tumors), small and large intestine diseases (ulcerative colitis, Crohn's disease, cancers), anus and anal canal diseases (fissure, fistula, hemorrhoids, incontinence, prolapse, abscess), liver, pancreas, gallbladder and biliary tract diseases (liver cancer, hydatid cyst, gallbladder stones and polyps, pancreatic cancer) , pancreatic pseudocyst and all kinds of cysts) are evaluated by specialists and surgical treatments are performed.

Which cancers are treated in gastroenterology surgery?

 Cancers of the digestive system are treated in this section. These; stomach cancer, colon cancer, rectum cancer, pancreatic cancer, liver cancer, gallbladder cancer, small intestine cancer and intra-abdominal cancer. Gastroscopy and colonoscopy, which are used for the diagnosis and screening of colon and stomach cancers, which are among the most common cancers, are performed in our department for high-risk people (such as those with a family history of cancer, severe weight loss) and people over 50 years of age.

The main applications in our department are:  Advanced laparoscopy applications

Laparoscopic obesity (obesity) and metabolic surgery (Type 2 Diabetes) surgeries
Surgical operations can be applied for obesity and metabolic (Type 2 diabetes patients with surgical indications) conditions such as sleeve gastrectomy, Gastric Bypass (roux ny and mini gastric bypass). In order to perform these surgical procedures, a planning and approval process is required together with endocrinology. The application of these procedures accompanied by laparoscopy in patients with surgical indications minimizes the negative effects that may occur in terms of patient health and comfort.

Laparoscopic gastroesophageal reflux, achalasia and hiatal hernia surgeries
Gastroesophageal reflux, which develops as a result of the deterioration of the structure between the esophagus and the stomach in the gastrointestinal tract and the escape of the stomach contents into the esophagus, achalasia that develops due to the disruption of peristaltic movements that allow the food to progress in the digestive tract as it should, and hernias that may occur in the esophagus and stomach (hiatal hernia) advanced laparoscopic applications of gastroenterology surgery is treated with.

Laparoscopic colectomy, laparoscopic anterior and lower anterior resections
Surgical operations may be required in cases where it is deemed necessary in colorectal diseases such as Crohn's disease or ulcerative colitis, in the areas where the disease develops intensively, or in case of any complications (such as stenosis, fistula, bleeding, cancer suspicion) despite the treatments. In these cases, laparoscopic colectomy, anterior and lower anterior resections offer much faster recovery compared to open surgical operations.

Laparoscopic splenectomy
Removal of the spleen as a result of hematological diseases or injuries is called splenectomy. In spklenectomies performed with advanced laparoscopic applications, a much smaller incision is applied compared to open operations and the hospital stay is shortened.

Laparoscopic appendectomy

Appendicitis, which develops acutely and is a very common disease, is a condition that requires emergency operation. Appendectomy, which was previously performed in the form of open surgery, is now performed with advanced laparoscopic applications with a closed method, with developing medicine, and patients who have undergone the operation can return to their daily lives within 1-2 days, provided that they avoid the movements that will force themselves.

Laparoscopic cholecystectomy
In cases such as sand and stones formed in the gallbladder and associated inflammation, obstruction and jaundice, the only and definitive solution is a cholecystectomy operation to be performed in addition to appropriate antibiotic and drug treatments. Cholecystectomy, in which the gallbladder is removed, can be performed quickly today by making small incisions with the laparoscopic method.

Laparoscopic Inguinal Hernia Surgery (TAPP, TEP)
Compared to classical surgeries in inguinal hernias, laparoscopic surgeries are much more advantageous in terms of early and long-term pain and patient comfort. In addition, better cosmetic results are obtained in patients.

Gastrointestinal system diseases
Benign and malignant tumors of the

stomach Tumors formed in the gastric mucosa can be benign or malignant. After investigating the type, size and cancer tendency, gastric tumors should be surgically removed by specialists of gastroenterology clinics in most cases.
Surgical procedures for diaphragmatic hernia and reflux disease
Diaphragmatic hernias and gastroesophageal reflux diseases, which can be observed in all age groups from newborn to adulthood, can be completely eliminated with the help of surgical operations or their effects can be minimized.

Surgical diseases of the small intestine
Surgical operations are absolutely necessary in the treatment of obstruction, adhesions, ulcer formation, tumors, fistulas, diverticulum and hernias in the small intestines. In order to protect the working health of the digestive system, surgical operations are applied meticulously.

Laparoscopic and classical surgeries of colon and rectum cancers

Benign tumors detected in the colon and rectum are usually surgically removed according to the physician's recommendation, taking into account their size. Malignant tumors are usually removed with the help of surgical interventions, regardless of their size. It is also examined whether it spreads to any other tissue and, if necessary, additional treatments are applied.

Surgical procedures for inflammatory bowel diseases (Crohn's and ulcerative colitis)
The course of treatment in inflammatory bowel diseases such as Crohn's and ulcerative colitis is usually decided by evaluating many factors such as the patient's age, the level of the disease and the symptoms observed. In advanced cases, surgical operation may be required to remove part of the small and large intestine.

Surgery for pancreatic cysts and tumors

Cysts and tumors may occur in the pancreas due to various reasons. In some cases, these tumors can be kept under follow-up if they do not pose any danger to the patients. In some cases, it is taken with the help of surgical operations if deemed necessary by the physician.

Surgical treatment of all kinds of liver tumors
Liver tumors are formations that can be seen frequently, heal spontaneously in some cases or do not cause any problems in the patient, and in some cases, they tend to become cancerous and cause more serious problems. Considering the size and malignancy of these tumors, they are removed with the help of surgical operation when deemed necessary.

Surgical procedures in cystic diseases of the liver
Parasitic (infection-induced) cysts and non-parasitic (structural or cancer-related) cysts formed in the liver are removed with the help of surgical operations if they are dangerous or if deemed necessary by the physician.

Surgical treatment of stones and tumors of the gallbladder and ducts
Stones and tumors formed in the gallbladder can cause obstruction of the biliary tract, leading to various problems and infections. For this reason, tumors formed according to the gallbladder or its region are removed by the specialists of the gastroenterology surgery department with the help of surgical operations.

Surgical treatment in hematological, cystic and tumoral diseases of the spleen
Hematological diseases, cystic and tumoral problems are among the diseases that can be seen in the spleen. In case of these diseases, in addition to drugs and other interventional methods, gastroenterology surgery can be used if necessary. The most common of these is the removal of the spleen, called a splenectomy.

Endoscopy applications

Diagnostic gastroscopy and colonoscopy
Gastroscopy and colonoscopy applications are needed in the diagnosis and treatment of some diseases. In the examination of stomach diseases, gastroscopy, and in the examination of colorectal diseases, endoscopic applications called colonoscopy are preferred.

Percutaneous endoscopic gastrostomy (PEG)
In order to ensure healthy and adequate nutrition in patients who cannot be fed by oral (oral) or nasal route (nasogastric) method, a feeding tube that can directly access the stomach is opened with the percutaneous endoscopic gastrostomy (PEG) method, with an operation to be performed in gastroenterology surgery clinics.

Laparoscopic surgery in abdominal wall and surgical site hernias
Gastroenterology surgery practices are used in the treatment of adhesions and similar problems in the abdominal wall and surgical site hernias. Laparoscopy technique can be used for these procedures if the patient's health status and disease allow.

If you have a gastrointestinal system disease that requires surgical operation, you can apply to the gastroenterology surgery clinic and undergo detailed examinations by specialist physicians, and plan your treatment and operation process if your physician deems it necessary.


Our doctors:

Dr. Ramazan Saygin Kerimoglu

Dr. Mustafa Saracoglu