Upper GI Surgery


The Division of Esophago-Gastric Surgery is one of the most advanced centres for Upper G.I diseases in India. The department carries out all major Esophago-gastric procedures by Laparoscopic & Robotic approaches, including ‘CANCER’ surgery.
Our division is headed by one of the most renowned and dynamic surgeons in the field of Esophago-gastric surgery – Dr.C.Palanivelu, who has performed more than 1000 laparoscopic esophagus and stomach cancer surgeries successfully.
GEM Hospital is the first in the world to perform Thoraco-Laparoscopic Esophagectomy in ‘prone position’ for esophageal cancer and our technique is now being followed in most of the major centers across the globe.
At GEM Hospital, our skilled surgeons ensure not only life-saving interventions for conditions like esophageal, stomach, or pancreatic cancer but also an enhanced quality of life for those dealing with GERD or peptic ulcer disease. Beyond expertise, our hospital is a beacon of precision and attentive care, navigating the intricacies of the upper GI tract with proficiency, dedication, and advanced knowledge. Experience healthcare redefined at GEM Hospital, where your well-being is our paramount priority.

Upper GI surgery may be necessary to treat a variety of conditions, including

  • Cancer of the esophagus, stomach, small intestine, or pancreas
  • Gastroesophageal reflux disease (GERD)
  • Hiatal hernia
  • Peptic ulcer disease
  • Gallbladder disease
  • Pancreatitis

The benefits of upper GI surgery at GEM Hospital

  • GEM Hospital has some of the most advanced facilities for upper GI surgery.
  • We work with each patient to develop a personalized treatment plan that meets their individual needs.
  • We are committed to providing our patients with the safest possible care.
If you are considering upper GI surgery, it is important to talk to your doctor about the risks and benefits of the procedure. Upper GI surgery is a complex procedure, but it can offer life-saving benefits to patients with certain conditions. Our team of experts at GEM hospital are here to answer your questions and help you decide if upper GI surgery is the right option for you.


  • Gastroesophageal Reflux Disease (GERD)
  • Hiatus hernia
  • Achalasia Cardia & other motility disorders of the esophagus
  • Corrosive esophago-gastric injuries (acid / alkali ingestion)
  • Stomach / Gastric cancers, GISTs, NETs
  • Esophageal Cancers
  • GE Junction tumors


  • Upper G.I Endoscopy (OGD)
  • Rapid Urease test for H.Pylori
  • Narrow Band Imaging (NBI) – for early cancer detection
  • High Resolution Esophageal Manometry with Impedence
  • 24 hour pH study
  • Endoscopic Ultrasound (EUS)
  • Barium/Gastrograffin Swallow & Follow-through Studies
  • Ultrasound of Abdomen (USG)
  • Multidetector Computerized CT Scan with Cancer Specific Protocols


  • Laparoscopic Antireflux Procedures, Redo Antireflux Surgery – eg. Nissen’s fundoplication
  • Laparoscopic Hiatal / Paraesophageal Hernia Repair
  • Laparoscopic Surgery for Achalasia Cardia, Redo- Heller’s Myotomy
  • Laparoscopic surgeries for corrosive esophago-gastric injuries
  • Laparoscopic Trucal Vagotomy & Gastrojejunostomy (TVGJ)
  • Laparoscopic Surgery for benign diseases like leiomyoma, diverticulum & duplication cysts of esophagus
  • Robotic/Laparoscopic surgery for Esophageal &Stomach Cancers
  • Robotic/Laparoscopic Resection of Gastrointestinal Stromal Tumours (GIST) & Neuroendocrine Tumours(NET)


Open esophagectomy is associated with considerable morbidity in terms of respiratory complications and prolonged hospital stay.
Dr. C. Palanivelu innovated a ‘prone position technique’ of Thoraco-laparoscopic esophagectomy, which reduced overall morbidity and encouraged early discharge from hospital.
This is the most popular approach currently and is being followed as a standard of care globally.

“GEM technique of Esophagectomy is recognized as the World's Best”


  • Dr C. Palanivelu (Head of UGI Dept) MS, MCh, FRCS
  • Dr Palanisamy Senthilnathan MS, DNB (G.I. Surgery),FRCS, FACS, FMAS
  • Dr Sreeram Seshadri MS, DNB (G.I. Surgery)


MS, MCh, DNB, FACS, FRCS(Hon) Ed.,
  • Chairman – GEM Hospital and Research Centre
  • Professor & Director – Institute of Gastroenterology & Minimal Access Surgery
  • Managing Trustee – GEM Digestive Diseases Foundation – Charitable Trust


MS, DNB, MRCS, DNB (GI Surgery)
Head, Department of HPB Surgery,Department of Minimal Access Surgery & Liver Transplantation


M.S., DrNB (SGE), FMAS, Post Doctoral Fellowship (PDF) in Minimally Invasive Esophageal Surgery
Consultant Surgical Gastroenterology & Hepatobiliary Pancreatic Surgery
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