Esophageal Surgery – Hiatal Hernia, Acid Reflux

Esophageal Surgery


In frequent years the incidence of gastroesophageal reflux, hiatal hernias, esophageal cancer and other benign or malignant processes of the esophagus have significantly increase and surgical therapy has become an important part of the treatment.  Finding a surgeon that has the  skills and experience to diagnosed and treat this issues is crucial in order to obtain adequate results.

Dr. Angel Caban and Dr. George Rossidis have treated hundreds of patients with esophageal pathology. Training and teaching at high volume academic institutions gave Dr. Caban and Dr. Rossidis all the experience necessary to treat patients with esophageal diseases.  In the Marion County and North Central Florida area Dr. Caban and Dr. Rossidis are the go to surgeons if you require surgical intervention for reflux, esophageal hernias or cancer.

acid reflux
acid reflux surgery ocala, laparoscopic fundoplication

Surgical Therapy for Gastroesophageal Reflux

Approximately 10-40% of americans treated for gastroesophageal reflux have either incomplete or no response to medical therapy.  The surgical gold standard to treat this patients is a Laparoscopic Nissen Fundoplication.

As seen on the side image a Nissen Fundoplication consist of a 360 degree wrap to reinforced the weak lower esophageal sphincter (LES). This procedure is commonly performed throughout the USA but is not always done correctly.  In order to get adequate results consulting an experience surgeon is crucial.

Dr. Caban and Dr. Rossidis have ample experience performing this procedures using minimally invasive techniques. Schedule your appointment today and improve your quality of life by improving your esophageal reflux.

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Acid Reflux Surgery


Laparoscopic Repair of Hiatal Hernias

The hiatus is the natural orifice in the diaphragm were the esophagus goes through and meets the stomach. If this orifice widens the stomach will work his way into the chest causing a hiatal or paraesophageal hernia.  Small hernias are usually asymptomatic, but larger hernias can cause reflux, difficulty swallowing, regurgitation of undigested food and/or abdominal/chest pain.

For symptomatic hernias a laparoscopic repair can be indicated. In many occasions a fundoplication is also performed.

paraesophageal hernia, laparoscopic hiatal hernia repair

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Hiatal Hernia Repair


Esophageal Surgery for Cancer

Approximately 15K cases of esophageal cancer are diagnosed in the United States every year. Most of this cases are seen in male patients. Esophageal cancer has a high mortality rate, but if diagnosed on time and treated correctly the survival rate can be increase dramatically.

With the advances in Minimally Invasive Surgery is now possible to perform surgery for esophageal cancer with faster recovery, less pain, lower morbidity and mortality when compared to open surgery.

Dr. Caban and Dr. Rossidis were trained to do this procedures at the University of Florida by Dr. Kfir Ben-David (One of the leaders in laparoscopic esophagectomy) and since then we have performed many of this cases with great outcomes.

Dr. Caban recently performed the first Minimally Invasive Ivor-Lewis Esophagectomy in Marion County. This was a great accomplishment for our community in Ocala, because previously this patients had to travel away from home and family to undergo such procedures.

  • laparoscopic hiatal hernia ocala florida

Hiatal Hernia: Do I need mine fixed?

Introduction to Hiatal Hernia:   An estimated 10% of the adult population in the United...
  • acid reflux, surgery, ocala florida,

Acid Reflux – Acid Reflux Surgery – Laparoscopic

Have you suffered of Heartburn, Acid Reflux or GERD?  Have you consider Surgery to treat...

When Performing Esophageal Surgery, Experience Matters.  

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(352) 291-0239