
Oeso-gastric Surgery
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Oeso-gastric Surgery in Tunisia
Oeso-gastric surgery encompasses various surgical methods used to treat pathologies affecting the esophagus and stomach. The proposed surgical solutions treat esophageal cancer, stomach cancer, and hiatal hernia. Here’s what you need to know about the treatments offered for oeso-gastric surgery in Tunisia.
Esophageal and Stomach Surgery: What treatments are offered?
The chosen surgical treatment depends on the patient’s pathology and the affected part of the digestive system. Following a complete and thorough diagnosis, the surgeon will confirm the appropriate treatment for the patient. Here are some of the procedures offered for esophageal and stomach surgery in Tunisia:
- Esophagectomy: As the name suggests, esophagectomy involves surgically removing the esophagus, either partially or completely. The remaining part of the esophagus will be connected to the stomach, and in some cases, the stomach will replace the removed esophagus. This operation is performed to treat esophageal cancer.
- Gastrectomy: To treat stomach cancer, one of the best solutions is to perform a gastrectomy, which is the removal of the stomach. Depending on the progression of the tumor and its location, the surgeon will perform either a total gastrectomy (total stomach removal) or a partial gastrectomy (partial stomach removal), via an incision in the abdominal area.
- Hiatal Hernia Treatment: A hiatal hernia occurs when a part of the stomach (or the entire stomach in some cases) moves up through the esophageal opening of the diaphragm. There are two types of hiatal hernias: sliding hernia, which constitutes the vast majority of cases, and rolling hernia (paraesophageal hernia). Initially, medical treatment may be prescribed to treat heartburn caused by the hernia; however, if the heartburn persists, and to avoid potentially serious complications of a paraesophageal hernia, surgical intervention is considered. The surgical procedure will reposition the stomach under the diaphragm, but also reduce the diameter of the hiatus, to prevent recurrence of the phenomenon.
Price of Oeso-gastric Surgery in Tunisia
The price of oeso-gastric surgery in Tunisia can vary depending on several factors such as the type of procedure, the level of complexity, the materials used, the chosen hospital, and the surgeon performing the procedure. In general, oeso-gastric surgery in Tunisia is less expensive than in other countries, but it is important not to choose a hospital or surgeon solely based on price, but also on their experience and reputation. It is recommended to thoroughly research the various hospitals and surgeons available in Tunisia before making a decision.
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Oeso-gastric Surgery: What you need to know before the operation
To undergo digestive surgery, you will need to compile a complete medical file and provide scans or MRIs of the area to be treated. You will also need to provide blood tests and undergo medical examinations that will be communicated to you by your surgeon. A meeting with the anesthesiologist must be scheduled before the operation. The surgeon will explain how to prepare well a few weeks before the operation, as well as the day before your arrival at the clinic (before a hiatal hernia operation, for example, the surgeon may give you some breathing exercises to do). The surgeon will also explain the principle and procedure of the surgical procedure indicated for you.
Oeso-gastric Surgery: How does the operation proceed?
For oeso-gastric surgery, the procedure will be performed under general anesthesia; the duration will depend on the chosen procedure, the surgical steps performed, as well as the size and position of the tumor. During an esophagectomy, the esophagus will be removed by making large incisions, usually either in the thorax or in the abdomen (the part of the body where the incisions will be made will depend on the location of the tumor). The same principle will be applied in the case of a gastrectomy: a large incision will be made in the abdominal area to remove part or all of the stomach. During hiatal hernia surgery, which is performed using laparoscopy (5 small incisions will be made during the operation), the objective will be to reposition the stomach in the abdominal cavity, and to create a valve to prevent acid reflux into the esophagus.
What are the post-operative consequences?
A few days of hospitalization will be necessary: in general, you will have to stay in Tunisia for at least 7 days after the operation. The total duration of your convalescence in the clinic will be communicated to you once the surgeon has decided on the surgical procedure that suits you. You may experience some pain and some pulling sensations, particularly in the area of the body that has been treated. The surgeon may prescribe some analgesics to relieve the pain; these sensations will eventually disappear after a few weeks after your discharge from the clinic. Like any other surgical operation, risks are never to be excluded, even if they are quite rare: healing problems, hemorrhage, problems related to anesthesia… you should take the time to discuss with your surgeon the potential complications following the operation before going to the operating room, and ask him all the questions you have concerning your intervention.
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Organize your medical stay with TDS
The Tunisia Destination Santé team is always at your disposal if you need more information about our services or if you need our assistance to organize your stomach or esophageal surgery stay in Tunisia. We help you put together your medical file and put you in touch with the best specialists depending on the type of operation to be performed. Feel free to contact us by calling us or by filling out our online form.
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Frequently Asked Questions
Oeso-gastric surgery, particularly procedures involving the lower esophagus, can impair esophageal motility by altering the function of the esophageal muscles. Disorders such as dysphagia or esophageal spasms may occur, sometimes requiring additional treatments or dietary adjustments.
Gastroesophageal reflux disease (GERD) is a potential risk after certain oeso-gastric surgeries, such as partial gastrectomy. The alteration of the stomach and esophageal anatomy can lead to a failure of the lower esophageal sphincter, increasing the risk of GERD.
Long-term impacts on nutrient absorption may include deficiencies in vitamins and minerals, particularly vitamin B12, iron, and calcium. This is often due to a reduction in the surface area of the stomach or intestine involved in absorption, requiring supplements and regular monitoring.
Yes, some oeso-gastric surgeries can alter the production of digestive juices by removing parts of the stomach that produce gastric acids and digestive enzymes. This may require replacement enzymes to aid digestion.
Success criteria include resolution of initial symptoms (such as reflux or pain), absence of postoperative complications, good quality of life, and effective digestive function. Regular follow-ups with endoscopy and imaging may be necessary to evaluate these criteria.
Oeso-gastric surgery can disrupt the balance of the intestinal flora by altering the intestinal environment, which can lead to digestive disorders such as bloating or infections. Probiotic supplementation may be recommended to restore a balanced microbiome.
Potential side effects on respiratory function may include complications such as pneumonia or atelectasis, especially after major procedures involving the esophagus. Respiratory rehabilitation and postoperative breathing exercises are essential to minimize these risks.
Parenteral nutrition plays a crucial role in recovery after oeso-gastric surgery by providing the necessary nutrients when oral feeding is insufficient or impossible. This helps prevent malnutrition and promotes tissue healing.
Oeso-gastric surgery may require significant changes in eating habits, such as eating smaller, more frequent meals, and avoiding certain foods that may cause irritation or blockages. Postoperative nutritional education is essential to adapt these habits.
Surgical revision options may include additional procedures to correct complications or failures of the initial surgery. This may involve techniques such as endoscopic dilation, stenting, or even more invasive surgery to correct structural problems.