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Gastrointestinal Surgery

The digestive system is an intricate system that can be disrupted by disease, diet and emotional stress. While some digestive problems can be remedied with medicine and lifestyle changes, others require surgery. AnMed Health physicians use cutting edge technology, such as gastrointestinal ultrasound, to diagnose and treat digestive conditions. Gastrointestinal ultrasound provides more detailed images of the digestive system than other imaging studies. It allows physicians to examine your esophageal and stomach linings, as well as your upper and lower digestive tract.

The primary role of the digestive system is to help the body break down and absorb food. Also known as the gastrointestinal (GI) tract, it includes the mouth, esophagus, stomach, small intestine, large intestine — also called the colon — rectum, and anus. Tiny glands in the mouth, stomach, and small intestine produce juices to help digest food. The digestive system also contains a layer of smooth muscle that moves food along the tract.

Using minimally invasive techniques, AnMed Health surgeons are experts in treating a variety of GI problems including:

Sometimes called acid reflux or heartburn, GERD is a condition where stomach acids reflux or "back up" from the stomach into the esophagus. People often describe heartburn as a harsh, burning sensation. Transoral Incisionless Fundoplication (TIF) is an incision-less procedure for treating people with acid reflux disease. Using a special device, the surgeon reconstructs the anti-reflux valve at the entrance of the esophagus into the stomach to prevent reflux. TIF represents the latest step in the treatment of acid reflux disease.

The Division of GI Surgery is dedicated to providing comprehensive surgical care for patients with basic and complex gastrointestinal diseases. Patients are referred to our surgeons from across the Southeastern United States for management of a variety of benign and malignant GI disorders via open and laparoscopic approaches, including:

  • Repair of primary, recurrent, and complex abdominal wall hernias
  • Gastroesophageal reflux disease, hiatal hernias, and achalasia
  • Weight-loss surgeries
  • Gallbladder disease
  • Colon and rectal cancer
  • Crohn's disease and ulcerative colitis
  • Enterocutaneous fistula and short bowel syndrome
  • Anorectal disease including rectal prolapse, incontinence
  • Nutrition and metabolism
  • Comprehensive list of Surgical diagnoses

Hepatobiliary Disease

Hepatobiliary disease is any disorder of the hepatobiliary system that impairs its normal function. The disease can range from minor infection or scarring to serious conditions such as cancer. The organs of the hepatobiliary system are the liver, gallbladder and bile ducts. 

The liver is one of the largest organs of the human body and is situated in the upper right portion of your abdomen. It performs some of the body’s vital functions including:

  • Production of bile juice
  • Storing sugars in the form of glycogen
  • Purifying blood from harmful substances
  • Making proteins that help in blood clotting

The gallbladder is a small organ below the liver that stores a fluid called bile, necessary for fat digestion. The bile duct carries bile from the gallbladder to the small intestine.

Colorectal Cancer

Colorectal cancer, also known as bowel cancer, colon cancer, or rectal cancer, is any cancer that affects the colon and rectum.

The American Cancer Society (ACS) expects to see around 104,270 new cases of colon cancer and 45,230 new cases of rectal cancer in the United States in 2021.

Colorectal cancer is the thirdTrusted Source most common cancer in the U.S. and the second cause of cancer-related deaths.

The incidence varies around the world. It is more commonTrusted Source in countries with a higher economic status, but according to a 2021 analysisTrusted Source, it is also more likely to affect individuals with a low income.

Fatality rates have been falling due to medical advances. Also, the 2021 analysis observes that numbers of diagnoses are rising among people younger than 50 years old, possibly due to improvements in screening.

In this article, learn about the symptoms of colorectal cancer and the treatments. Also, find out about the risk factors, some of which are avoidable.

Symptoms

Colorectal cancer may not cause symptoms in the early stages. If it does, they may include:

  • changes in bowel habits
  • diarrhea or constipation
  • a feeling that the bowel does not empty properly
  • blood in feces that makes it look dark brown or black
  • bright red blood from the rectum
  • abdominal pain and bloating
  • feeling full, even when a long time has passed since a meal
  • fatigue or tiredness
  • unexplained weight loss
  • anemia

If a doctor finds signs of anemia during a routine medical check, they may suggest screening for colorectal cancer. Others receive the diagnosis after routine screening. Around 40% of people with this type of cancer receive the diagnosis when the disease is in an early stage.

The symptoms can be similar to those of many other health conditions. Anyone who has concerns about these symptoms should seek medical advice.

Hernia

A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. For example, the intestines may break through a weakened area in the abdominal wall.

Many hernias occur in the abdomen between your chest and hips, but they can also appear in the upper thigh and groin areas.

Most hernias aren’t immediately life-threatening, but they don’t go away on their own. Sometimes they can require surgery to prevent dangerous complications.

Symptoms

The most common symptom of a hernia is a bulge or lump in the affected area. For example, in the case of an inguinal hernia, you may notice a lump on either side of your pubic bone where your groin and thigh meet.

You may find that the lump disappears when you’re lying down. You’re more likely to feel your hernia through touch when you’re standing up, bending down, or coughing. Discomfort or pain in the area around the lump may also be present.

Some types of hernia, such as hiatal hernias, can have more specific symptoms. These can include things like heartburn, trouble swallowing, and chest pain.

In many cases, hernias have no symptoms. You may not know you have a hernia unless it shows up during a routine physical or a medical exam for an unrelated problem.

Laparoscopy

Laparoscopy, also known as diagnostic laparoscopy, is a surgical diagnostic procedure used to examine the organs inside the abdomen. It’s a low-risk, minimally invasive procedure that requires only small incisions.

Laparoscopy uses an instrument called a laparoscope to look at the abdominal organs. A laparoscope is a long, thin tube with a high-intensity light and a high-resolution camera at the front. The instrument is inserted through an incision in the abdominal wall. As it moves along, the camera sends images to a video monitor.

Laparoscopy allows your doctor to see inside your body in real time, without open surgery. Your doctor also can obtain biopsy samples during this procedure.

Anorectal Disorder

Anorectal disorders are a group of medical disorders that occur at the junction of the anal canal and the rectum. Our surgeons are specially trained in diagnosing and treating a wide range of disorders of the rectum including diarrhea, hemorrhoids, abscesses, fistula, fissures, anal itching, warts and rectal prolapse. 

How are anorectal disorders diagnosed and treated?

Your physican will perform an exam to determine the best course of treatment. Often times treatment is available in an office setting. If after your examination, your physician determines that treatment will be more involved, you will be scheduled for a procedure in either an endoscopy center or outpatient facility.  Our on-site schedulers will assist you with scheduling your procedure, and answering any questions you may have.

Gallbladder Disease

The gallbladder is a small pear-shaped sac located underneath your liver. Your gallbladder’s main function is to store the bile produced by your liver and pass it along through a duct that empties into the small intestine. Bile helps you digest fats in your small intestine.

Inflammation causes the majority of gallbladder diseases due to irritation of the gallbladder walls, which is known as cholecystitis. This inflammation is often due to gallstones blocking the ducts leading to the small intestine and causing bile to build up. It may eventually lead to necrosis (tissue destruction) or gangrene.