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Dr Luigi Sussman - General and Laparoscopic Surgeon

Private Service, General Surgery

Gastrointestinal Disorders

Conditions of the gut dealt with by general surgery include disorders of the oesophagus, stomach, small bowel, large bowel and anus.

These range from complex conditions such as ulceration or cancer in the bowel through to fairly minor conditions such as haemorrhoids. Many of the more major conditions such as bowel cancer will require surgery, or sometimes treatment with medication, chemotherapy or radiotherapy.


Gastro-oesophageal Reflux Disease (GORD) is caused by the backflow (reflux) of food and stomach acid into the oesophagus (the tube that connects the mouth to the stomach) from the stomach. This happens when the valve between the stomach and the lower end of the oesophagus is not working properly. The main symptom of GORD is heartburn (a burning feeling in the stomach and chest).

Laparoscopic Nissen Fundiplication is a surgical procedure for GORD that involves wrapping the top part of the stomach (fundus) around the lower end of the oesophagus. The valve between the stomach and the oesophagus is also replaced or repaired.

Spleen Removal  The spleen is a soft fleshy organ in the upper left abdomen that is involved in the formation and cleansing of blood. It may need to be removed if it becomes enlarged, has a tumour or cyst, or in the presence of certain blood disorders.

Laparoscopic Splenectomy involves cutting the spleen free from its attachments and removing it through several small abdominal incisions.
Appendicitis  The appendix is a small worm-like tube attached to the intestine in the lower right abdomen. If it becomes blocked or infected it can cause appendicitis, which is recognised by pain on the right side of the abdomen, nausea and vomiting.
 Laparoscopic Appendicectomy is the removal of the appendix using surgical instruments inserted through incisions in the lower right abdomen.

This page was last updated at 11:20AM on September 13, 2021.