Don’t Forget the Foregut


Dr. Johnson is a general surgeon who among other things, specializes in the surgical treatment of diseases of the foregut.  The foregut, also known as the upper gastrointestinal (GI) tract, consists of the esophagus, stomach, and upper small intestines. Many conditions and diseases that affect the upper GI tract are very different from those that afflict the rest of the GI tract (such as the colon).The surgical procedures that are performed to address these upper GI diseases require a unique set of skills, techniques, and approaches.

Many recent studies have demonstrated that for certain procedures, surgeons who specialize achieve the best results. Because Dr. Johnson specializes in minimally invasive robotic and laparoscopic treatment for conditions of the esophagus and stomach, he is often referred difficult cases involving the foregut. Smaller incisions and less abdominal wall trauma contribute to shorter hospitalizations, less pain, and quicker recovery than is observed following open procedures. Laparoscopic techniques have been widely adopted in a variety of foregut procedures. The laparoscope has allowed surgeons to visualize areas that are more difficult to see in standard open procedures, but there are still some limitations inherent to a laparoscopic approach. The visualization during laparoscopic surgery is typically two dimensional and limited by camera operator fatigue and abrupt movements.

Da Vinci robotic foregut surgery represents the state-of-the art approach for surgical treatment for many upper GI disorders. Certified in da Vinci robotic surgery, Dr. Johnson uses this minimally invasive surgical technique with much success. Surgical robots allow the surgeon to overcome many of the limitations associated with laparoscopy. Ergonomics are improved as the surgeon sits at a console remote from the patient and manipulates controls for the surgical instruments. The computer allows for very fine and precise movements of the articulated surgical instruments providing agility similar or better than the human wrist and hand. In addition, high-definition, three-dimensional visualization provides image detail and depth superior to that of a standard laparoscopic system. The camera is also manipulated by a robotic arm controlled by the operating surgeon. These features translate to certain advantages during complex foregut procedures when compared to a standard laparoscopic approach.

If foregut surgery has been recommended for you, call for an appointment at (702) 369-7152 or click on Contact above to reach us on line.

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