Gastric Procedures

Since the advent of H2-receptor blockers and proton pump inhibitors elective surgery for ulcer disease is unusual, but in emergency surgery for complications such as perforation and gastric outlet obstruction, laparoscopic procedures are appropriate. These procedures include primary repair with omental patch for perforation and gastrojejunostomy bypass in cases of obstruction. Dr. Iraniha has one of the largest series of laparoscopic repair of perforated ulcer in emergency conditions. These patients have all potential advantages of laparoscopic surgery, including less post-operative pain, faster recovery, less hospital stay and faster return to work. Management of bleeding ulcer by laparoscopic techniques has not been reported. Laparoscopic gastrectomy for benign and malignant gastric tumors has been undertaken and is potentially feasible in a stable patient.