Foregut surgery

About our services

At UW Health, we understand the importance of providing comprehensive care for your digestive health.

Our team of experienced surgeons specializes in foregut surgery, which focuses on the upper gastrointestinal tract. We are dedicated to helping you find relief from conditions affecting your esophagus, stomach, and related areas. With state-of-the-art facilities and a patient-centered approach, we are here to support you on your journey towards improved digestive wellness.

We prioritize patient-centered care, ensuring that you receive individualized attention throughout your journey. Here's what you can expect from our foregut surgery team:

  • Comprehensive evaluations: Our experienced surgeons will conduct thorough evaluations, including a review of your medical history, physical examinations and diagnostic tests to accurately diagnose your condition.

  • Personalized treatment plans: We believe in tailoring treatment plans to meet your unique needs. Our team will discuss all available options with you, ensuring you are fully informed and involved in the decision-making process.

  • Minimally invasive techniques: Whenever appropriate, we utilize minimally invasive surgical approaches, such as laparoscopy, to reduce scarring, minimize discomfort and promote faster recovery.

  • Cross-functional collaboration: Our surgeons work closely with a team of health care professionals, including gastroenterologists, nutritionists and nurses, to provide comprehensive care and support before, during and after surgery.

  • Ongoing support: We are committed to your long-term well-being. Our team will provide follow-up care, monitor your progress and address any concerns or questions you may have.


Help for common and complex upper GI issues

We provide specialized care for various foregut conditions, including:

Our team offers surgical interventions for managing GERD, such as fundoplication, transoral incisionless fundoplication (TIF), the LINX Reflux Management System and other endoscopic anti-reflux procedures.

We specialize in repairing hiatal hernias, a condition where part of the stomach pushes through the diaphragm. Our surgeons utilize advanced techniques to ensure a successful repair and minimize the risk of recurrence.

Our experts are skilled in treating achalasia, a disorder affecting the esophagus that causes difficulty swallowing. We provide a range of treatment options, including paroral endoscopic myotomy (POEM), laparoscopic Heller myotomy, endoscopic dilation and Botox, to improve esophageal function.

Our team offers comprehensive evaluations and treatments for esophageal motility disorders, such as esophageal diverticula, jackhammer esophagus and esophageal spasm. Our team will work with you to develop a personalized treatment plan tailored to your specific needs.

Evaluation methods include high resolution manometry, impedance testing, traditional and wireless pH testing and Functional Luminal Impedance Planimetry (EndoFLIP).

We offer gastric stimulator implants, endoscopic pyloromyotomy and surgical removal of the stomach.


Surgical solutions for upper GI conditions

Foregut surgery includes a range of procedures that target conditions affecting the upper digestive system. These surgeries are designed to alleviate symptoms and improve overall function. Our expert surgeons employ minimally invasive techniques whenever possible, ensuring shorter recovery times and fewer complications for our patients. When lifestyle modifications and medications are not effective, our team provides surgical solutions.

Here are some of the treatments we provide:

Examples of minimally invasive procedures we perform include laparoscopic fundoplication for GERD and laparoscopic paraoesophageal hernia repair for hiatal hernias.

For patients diagnosed with achalasia or certain esophageal motility disorders, a peroral endoscopic myotomy may be recommended. During the procedure, a flexible endoscope is inserted through the mouth and into the esophagus, allowing the surgeon to create a small incision and perform a myotomy, which involves cutting the muscle fibers to relieve obstruction. POEM offers a less invasive alternative to traditional surgical approaches, with the potential for shorter hospital stays, faster recovery and improved swallowing function for patients.

The LINX system is a minimally invasive treatment option for patients with GERD who are seeking an alternative to long-term medication use. It involves placing a small, flexible band of magnetic beads around the lower esophageal sphincter to prevent acid reflux while allowing food to pass through.

In some cases, endoscopic interventions can effectively treat foregut conditions. These procedures are performed using a thin, flexible tube equipped with a camera and specialized instruments. Examples include endoscopic dilation for strictures and endoscopic mucosal resection for certain esophageal conditions.

Gastric stimulation therapy is a treatment for patients suffering from chronic nausea and vomiting caused by gastroparesis, a condition that affects the normal movement of the stomach. This innovative therapy involves the surgical placement of a small device, called a neurostimulator, in the abdomen. The neurostimulator delivers mild electrical pulses to the stomach, helping to alleviate symptoms and improve quality of life.

POP is an incisionless way to improve stomach emptying. Patients with gastroparesis can see improvements in nausea, vomiting and bloating after this procedure.

TIF is an endoscopic procedure designed to treat gastroesophageal reflux disease (GERD) by reconstructing the anti-reflux barrier. This incisionless technique uses an endoscope equipped with specialized tools. TIF helps restore the natural function of the esophagus and reduces acid reflux, offering patients a potential alternative to traditional surgical approaches with fewer complications, shorter recovery times and improved quality of life.

Meet our team

Expert, personalized care

Our team


Find a location near you

Our foregut surgery team is based in Madison, Wis., with clinics on the east side and downtown.

Patient support and services

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