Esophageal and Gastric Surgery and Hernia Repair

Since 1992, thousands of patients have received surgical treatment for achalasia, esophageal tumors and cancer, gastroesophageal reflux disease (GERD), hiatal hernia, stomach cancer, and ulcer disease at the Emory Gastroesophageal Center, making it one of the leading referral centers of its type in the country.

Available laparoscopic and/or open surgical procedures include:

  • Catheterless/wireless esophageal pH testing
  • Endoscopic plication for Reflux
  • Esophagectomy
  • Gastrectomy
  • Heller myotomy for achalasia
  • Hiatal hernia repair
  • Small intestine resection
  • Nissen Fundoplication for Reflux

Spotlight on Hiatal Hernia Repair

Having been involved in some of the world's most extensive multi-institutional studies of laparoscopic ventral and inguinal hernia repair, the Emory Hernia Institute is a referral/consultation center for difficult paraesophageal hernias, inguinal and incisional and abdominal wall hernia cases from throughout the southeastern U.S. Open methods are available as well.

Paraesophageal hernias, in which the stomach has pushed through the diaphragm and into the chest cavity, are rare and challenging surgical problems. Typically found in women age 50 and older, paraesophageal hernias may take many years to develop and tend to grow larger over time. Most people with paraesophageal hernias experience few, if any, symptoms, and in most of these cases, the hernia need not be repaired. However, in some cases, the hernia has twisted into the chest and surgery is recommended to repair the hernia and minimize potential complications. Generally, this repair can be accomplished laparoscopically, even for very large hernias, thereby enhancing patient recovery.

The surgeons at Emory Healthcare have extensive experience in successfully treating paraesophageal hernias. Over the past 20 years, the team has treated hundreds of patients with giant paraesophageal hernias, completing more than 300 in the last five years alone, making our team international experts in this area.

In addition, the surgical team has developed a key innovation in which they combine the techniques of weight-loss surgery with giant paraesophageal hernia repairs. This has reduced the risk of recurrence in patients who are obese or who have delayed stomach emptying — both being key factors in recurrence of the paraesophageal hernias.

As part of our comprehensive, cross-disciplinary approach, the Emory Gastroesophageal Treatment Center partners with referring gastroenterologists to perform state-of-the-art testing, enabling patients to have their evaluations conducted close to home by their local gastroenterologists.

For general and GI surgery appointments and information, please call 404-778-5673, or contact Emory HealthConnection℠ at 404-778-7777 or 1-800-75-EMORY.