Upper GI Surgery in Pune

Upper GI Surgery


Dr. Samrat Jankar, a leading surgical gastroenterologist in Pune, specializes in providing a wide range of complex GI tract surgeries. With years of experience and vast knowledge in this field, the doctor is an expert in traditional and advanced laparoscopic surgeries, which are minimally invasive techniques.

Dr. Samrat is considered to be the best laparoscopic surgeon in Pune for his expertise in handling complex cases with ease. Some of the upper gastrointestinal surgeries offered by the doctor are Laparoscopic Fundoplication, Laparoscopic Diaphragmatic Hernia Repair, Laparoscopic TVGJ, Lap Duodenal Perforation Repair, Lap Cancer Surgery for the Stomach and Esophagus, and many more.


When do you need upper gastrointestinal (GI) surgery?

Dr. Samrat usually recommends upper gastrointestinal surgery if you suffer from heartburn, abdominal pain, acid regurgitation, bloating, and difficulty in swallowing which are not getting relieved by medical therapy.

These symptoms are caused due to several conditions, such as:

Inflammation of the stomach or duodenum

H. Pylori infection 

Peptic ulcers

Gastroesophageal reflux disease (GERD)

Esophageal or stomach cancer


Different types of Upper GI Surgeries


Laparoscopic Fundoplication: Laparoscopic Fundoplication is a minimally invasive procedure that is used to treat gastroesophageal reflux disease (GERD), also known as acid reflux. You may need this surgery if medications and lifestyle changes do not improve your condition.

Gastroesophageal reflux disease (GERD) is a condition wherein the stomach acids frequently flow back into your esophagus. If left untreated, it can cause serious complications.

During fundoplication, the surgeon will wrap the upper part of the stomach around the lower part of the esophagus and sew it in place. This will tighten the valve between the stomach and the esophagus and prevent the acid from backing up in the esophagus.

The surgeon will make a few small incisions in the abdomen during laparoscopic fundoplication surgery from which the camera and surgical instruments are inserted to operate on you from the outside.

After laparoscopic fundoplication surgery, you will be kept in the hospital for a day and will be discharged after you start drinking liquid. You can resume your normal activities after a week, depending on your overall health.


Laparoscopic Diaphragmatic Hernia Repair: Diaphragmatic hernia is basically a congenital disability where there is a hole in the baby’s diaphragm. The organs in the abdomen can move through this hole into the baby’s chest.

Whereas, the diaphragmatic hernia is a rare condition in adults. Mostly the onset of adult diaphragmatic hernia is related to trauma and injury.

Diaphragmatic hernias, whether congenital or acquired, may need urgent surgery. During the procedure, the surgeon will move the abdominal organs from the chest and place them back in the abdomen. Then he will repair the diaphragm and reinforce the strength of the diaphragm with mesh.


Laparoscopic TVGJ: Truncal vagotomy and gastrojejunostomy (TVGJ) are one of the best options in the surgical management of chronic duodenal ulcer (Peptic ulcer).

Dr. Samrat Jankar, a renowned gastroenterologist in Pune, is an expert in this procedure. Truncal vagotomy and gastroenterostomy surgery are also used for gastric outlet obstruction.

During truncal vagotomy, the surgeon will cut off one or more branches of the main vagus nerve that travel down through your esophagus to your stomach and other digestive organs. It helps to reduce stomach acids.

Gastrojejunostomy is a minimally invasive procedure that is done to create a direct connection between your stomach and the jejunum (the middle portion of the small intestine), bypassing the starting portion of the small intestine.


Lap Duodenal Perforation Repair: Duodenal Perforation is a transmural injury to the duodenal wall. It may occur due to peptic ulceration, trauma, iatrogenic causes, duodenal diverticula, autoimmune conditions, infectious disease, tumor, or chemotherapy. It may cause acute pain or less severe symptoms related to fistula or abscess formation.

Minimally invasive techniques like laparoscopic surgeries are a safe and effective alternative to conventional open surgery. Further, the laparoscopic approach significantly reduces postoperative complications and hospital stay.


Lap Cancer Surgery for Stomach and Esophagus: Like any other part of our body, even the GI tract is prone to cancers. It includes stomach cancer, esophageal cancer, and GE junction cancers. Surgery is the most common treatment.

Dr. Samrat Jankar, a leading hernia specialist in Pune and a gastroenterologist provides the best surgical treatment for stomach and esophageal cancers. He is highly proficient in Lap cancer surgery for the stomach and esophagus.

During lap assisted transhiatal esophagectomy, the surgeon will insert a laparoscope through a small incision near the navel. Then through other small incisions in the abdomen, the instruments used for the surgery are inserted.


The surgeon cuts the esophagus from the stomach, and the stomach is then pulled through the hiatus in the diaphragm and connected to the cut portion of the esophagus.

You will have to stay for a few days in the hospital after the surgery.

Relevant Questions

Q. What is incarcerated hernia?

A section of the intestine or abdominal tissue that becomes trapped in the sac of a hernia—the bulge of soft tissue that pushes through a weak place in the abdominal wall—is known as an incarcerated hernia. Stool may not be able to pass through the intestine if a section of it is trapped.


Incarcerated inguinal hernias usually cause swelling in the groin region, and some may show redness. If bowel obstruction has occurred, some additional symptoms may include sudden onset of pain, lack of appetite, irritability, and nausea or vomiting.

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Q. Hii I am an 18 year old male. I had an endoscopy 2 months ago which showed H.Pylori gastritis. My doc has prescribed me esomeprazole, antacids and rebamipide for 15 days. Is there any particular way I have to take these meds? Any possible interaction between the antacid and rebamipide?? My doc has not instructed me properly.

  • Esoprazole should be taken before eating. 
  • Antacids should be taken after a meal.
  • Rebamipide must be taken after eating.


You must use the HP kit for at least 15 days if you have H pylori gastritis. Further diagnosis needs to be done by Gastroenterologist for the analysis of gastrointestinal issues

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