Advanced Stomach & Duodenum Surgeries by Dr. Santhosh R

The stomach and duodenum (the first part of the small intestine) are central to digestion. Diseases affecting these organs, such as cancers, ulcers, or blockages, not only cause severe discomfort but can also threaten overall health. Modern surgical techniques offer effective solutions, and with laparoscopic and robotic surgery, recovery is faster, safer, and less painful.

Dr. Santhosh R provides advanced surgical care for a wide range of stomach and duodenal conditions, combining medical expertise with a patient-centered approach.

Advanced Surgical Expertise in Gastric and Upper GI Care by Dr. Santhosh R

1. Surgery for Stomach & Gastroesophageal Junction (GEJ) Cancers

Cancers of the stomach and gastroesophageal junction (GEJ) are among the most challenging gastrointestinal malignancies. These cancers often require major, highly specialized surgery to remove the tumor completely while preserving essential digestive functions.

Dr. Santhosh R is skilled in performing complex gastric and GEJ cancer surgeries using both open and minimally invasive (laparoscopic/robotic) techniques. His goal is to achieve complete cancer clearance, functional preservation, and improved quality of life for each patient.

Procedure: Radical Gastrectomy with D2 Lymph Node Dissection

This is the standard-of-care surgery for gastric cancer. It involves partial or complete removal of the stomach, along with D2 lymph node dissection to ensure all potential microscopic cancer spread is removed.

Key Advantages:

• Thorough tumor removal with oncological precision
• Improved long-term survival and reduced recurrence
• Reconstruction of digestive continuity for normal food passage
• Performed via minimally invasive or open approach, depending on cancer stage

Postoperative Care:

Patients are provided with detailed nutritional guidance, early mobilization support, and rehabilitation plans for smooth recovery and return to normal activities.

2. Laparoscopic Surgery for Ulcer Complications & Gastric Outlet Obstruction

Chronic stomach ulcers can lead to serious complications such as perforation, bleeding, or gastric outlet obstruction (a blockage at the stomach’s exit).

Dr. Santhosh R offers laparoscopic surgical correction for these conditions, ensuring patients experience less pain, smaller scars, and faster recovery compared to traditional open surgery.

Procedures May Include:

• Laparoscopic closure of ulcer perforations
• Resection or bypass for obstructed pylorus
• Repair of bleeding ulcers and control of hemorrhage

Benefits:

• Minimal postoperative discomfort
• Quicker return to oral diet
• Shorter hospital stay
• Excellent long-term symptom relief

3. Laparoscopic Duodenal Perforation Repair

A duodenal perforation is a surgical emergency that occurs when an ulcer creates a hole in the duodenum, causing leakage of stomach contents into the abdominal cavity.

Prompt treatment is essential to prevent infection and sepsis. Dr. Santhosh R performs laparoscopic repair of duodenal perforations using advanced minimally invasive techniques.

Advantages of Laparoscopic Repair:

• Smaller incisions and minimal tissue trauma
• Reduced postoperative infection risk
• Faster healing and early recovery
• Lower risk of wound-related complications

This life-saving procedure, when performed early, ensures excellent survival outcomes and minimal postoperative morbidity.

4. Laparoscopic Vagotomy & Seromyotomy (Taylor’s Procedure)

For patients suffering from recurrent or non-healing peptic ulcers not responding to medical therapy, vagotomy and seromyotomy offer effective surgical relief. Vagotomy involves cutting selective branches of the vagus nerve to reduce acid secretion, while seromyotomy allows better drainage and healing of the stomach.

Performed Laparoscopically, this procedure provides:

• Effective control of acid secretion
• Long-term ulcer healing and symptom relief
• Minimal blood loss and quicker recovery
• Reduced hospital stay and faster return to normal routine

5. Roux-en-Y Gastric Bypass

The Roux-en-Y Gastric Bypass (RYGB) is a proven surgery for both obesity management and specific complex gastric conditions, including severe reflux or post-ulcer complications.

In this procedure, a small stomach pouch is created and connected directly to the small intestine, bypassing a major portion of the stomach and duodenum.

Benefits of Roux-en-Y Gastric Bypass:

• Significant and sustained weight loss
• Marked improvement in Type 2 Diabetes, hypertension, and metabolic syndrome
• Effective control of reflux and gastric stasis in select cases
• Minimally invasive with quicker recovery
• Long-term improvement in overall metabolic health

6. Laparoscopic / Robotic Sleeve Gastrectomy

Sleeve Gastrectomy is one of the most common bariatric (weight loss) surgeries worldwide and is also beneficial for selected gastric disorders.

In this surgery, about 75–80% of the stomach is removed, leaving behind a narrow, tube-like “sleeve” that reduces food intake and decreases hunger hormone production.

Advantages:

• Effective, sustained weight loss with improvement in obesity-related diseases
• Reduced appetite due to lower ghrelin (hunger hormone) levels
• Minimally invasive performed via a laparoscopic or robotic approach
• Quick recovery, minimal scarring, and short hospital stay
• Can serve as a first-stage procedure for high-risk patients

7. Laparoscopic / Robotic Surgery for GIST & Stomach Lymphomas

Gastrointestinal Stromal Tumors (GISTs) and primary gastric lymphomas are rare but require highly precise surgical management.

Dr. Santhosh R specializes in performing laparoscopic and robotic resections for these tumors, ensuring complete removal while preserving stomach function and adjacent organs.

Benefits:

• Organ-preserving, precise tumor removal
• Faster recovery with minimal pain
• Excellent visualization and precision using advanced imaging systems
• Reduced intraoperative bleeding and postoperative complications
• Better cosmetic outcomes due to smaller incisions

These surgeries are often combined with targeted therapies or chemotherapy, coordinated through a multidisciplinary oncology team for optimal outcomes.

Why Choose Dr. Santhosh R?

• Expert in Advanced Cancer & Bariatric Surgery: Handling complex cancers and obesity-related surgeries.
• Minimally Invasive Approach: Laparoscopic and robotic techniques for faster recovery and minimal scarring.
• Comprehensive Care: Treating cancers, ulcers, emergencies, and functional disorders of the stomach and duodenum.
• Patient-Centric: Each surgical plan is customized to suit the patient’s condition and lifestyle needs.

Take Control of Your Digestive Health

From life-threatening emergencies like perforations to long-term conditions such as cancer and obesity, advanced surgical options can make a life-changing difference. Dr. Santhosh R offers world-class stomach and duodenal surgery with precision, safety, and compassion.

Schedule your consultation today and take the first step toward recovery and better health.