SurgOne P.C.

Denver Esophageal and Stomach Center

 A Center Specializing in the Treatment of Esophageal and Stomach Disorders

Minimally Invasive Surgery

                                                Dr. Kurian is dedicated to providing his patients with the least invasive procedures available. 
                          Minimally invasive procedures utilize advanced surgical techniques to ensure patient safety and a quick recovery.

Anti-Reflux Procedures

Stretta

The Stretta procedure is a minimally invasive endoscopic surgery performed through the mounth. This surgery is used to treat Gastroesophageal Relfux Disease (GERD). The Lower Esophageal Spincter (LES) is stimulated via radio-frequency energy. The LES is remodeled to prevent acidic gastric contents from injuring the sensitive esophageal lining. This is an outpatient procedure done at the hospital. 

LINX

The LINX device is placed during a laparoscopic surgery (small incisions through the abdomen). A small metallic bracelet is placed around the Lower Esophageal Sphincter (LES) to prevent GERD. This procedure is done at the hospital and most people go home within 24 hours.

Fundoplication

A fundoplication is a laparoscopic surgery where small incisions are made through the abdomen. This surgery is used to treat GERD. A portion of the stomach is wrapped around the Lower Esophageal Sphincter (LES) to create a stronger LES. If the patient has a hiatal hernia, it will be repaired during this surgery as well. This procedure is done at the hospital and most people go home within 24 hours.

Esophageal Procedures

Esophageal Dilation

This procedure stretches the esophagus endoscopically (through the mouth). The esophagus can be stretched to different sizes. This procedure is done at the surgery center or hospital and is an outpatient procedure.

Radio Frequency Ablation

This is an endoscopic (through the mouth) procedure used to treat Barrett's Esophagus or Inlet Patches. A small device is used to burn abnormal cell growth in the esophagus. This procedure is done at the hospital as an outpatient procedure.

POEM

Per Oral Endoscopic Myotomy is performed to treat Achalasia. This is a minimally invasive endoscopic surgery performed through the mouth. The muscle of the Lower Esophageal Sphincter (LES) is cut.  Food and fluid can enter the stomach without difficulty, allowing patients to swallow better. This procedure is done at the hospital and most people go home within 24 hours.

Heller Myotomy

This is a laparoscopic procedure (small incisions through the abdomen) where the muscle of the Lower Esophageal Sphincter (LES) is cut to allow fluid and food to enter the stomach. This is done to treat Achalasia and difficulty swallowing. This procedure is done with a fundoplication to prevent GERD.  This procedure is done at the hospital and is an inpatient procedure.

Cricopharyngeal Myotomy

This procedure treats Zenker's diverticulum. This is an endoscopic procedure (through the mouth) in which a muscle at the top of the esophagus is cut to improve swallowing. This procedure is done at the hospital and most people go home within 24 hours. 

Gastroparesis Procedures

G-Tube and/or J-Tube

These are feeding tubes that are placed when a patient does not have adequate nutrition due to inability to tolerate a normal diet. These tubes are placed via a minimally invasive surgery (either endoscopically or laparoscopically). A G-Tube is placed in the stomach and a J-Tube is placed in the small bowel. The patient may need one or both tubes placed. This procedure is most often done at the hospital as an inpatient procedure.

Enterra

This is a device placed for Gastroparesis patients that suffer from nausea and vomiting. This device is placed laparoscopically (small incisions through the abdomen). The device stimulates the stomach to reduce nausea and vomiting. The device settings can be adjusted in the clinic after Enterra placement. This procedure is done at the hospital as an inpatient procedure.

Pyloroplasty

This procedure is done laparoscopically (small incisions through the abdomen) to open the valve at the end of the stomach. This is done when the stomach is not emptying properly. This procedure can be done by itself or in conjunction with a fundoplication. This procedure is done at the hospital as an inpatient procedure.

Gastrectomy (Stomach Removal)

This is a laparoscopic procedure done for End Stage Gastroparesis. Part of the stomach is removed and a small pouch is left. Patients are required to follow a post-operative diet to maintain adequate nutrition. Patients will need monitoring of their nutritional status annually.  This procedure is done at the hospital as an inpatient procedure.

Cancer Procedures

ESD/EMR

Esophageal Submucosal Dissection (ESD) or Esophageal Mucosal Resection (EMR) is an endoscopic (through the mouth) procedure used to treat abnormal cell growth in the esophagus. Abnormal cells growing in the mucosa of the esophagus are removed and set to pathology for further evaluation. This procedure is performed at the hospital as an inpatient procedure.

Esophagectomy (Esophagus Removal)

For patients diagnosed with esophageal cancer, an esophagectomy is performed to remove the esophagus. This a laparoscopic procedure (small incisions through the abdomen) by which the esophagus is removed and lymph nodes are evaluated for cancer involvement. This procedure is performed at the hospital as an inpatient procedure.

Gastrectomy (Stomach Removal)

For patients diagnosed with gastric cancer, a gastrectomy is performed to remove the cancerous portion of the stomach. This a laparoscopic procedure (small incisions through the abdomen) by which all or a portion of the stomach is removed and lymph nodes are evaluated for cancer involvement. This procedure is performed at the hospital as an inpatient procedure.

General Surgical Procedures

Inguinal Hernia

This procedure is laparoscopic, or open, depending on the size of the groin hernia. Mesh may or may not be used to help close the hernia defect. This procedure is usually done at the surgery center as an outpatient procedure.

Ventral/Umbilical Hernia

This procedure is laparoscopic, or open, depending on the size of the hernia. Mesh may or may not be used to help close the hernia defect. This procedure is usually done at the surgery center as an outpatient procedure.

Cholestectomy (Gallbladder Removal)

This is a laparoscopic procedure (small incisions through the abdomen) to remove the gallbladder. This is done for patients that have stones, inflammation, or pain related to their gallbladder. This procedure is done at the surgery center or hospital and most people go home within 24 hours.

Appendectomy (Appendix Removal)

This is a laparoscopic procedure (small incisions through the abdomen) to remove the Appendix. This is done for patients that have inflammation or infection of the appendix requiring removal. This procedure is done at the hospital and most people go home within 24 hours.

Colon Resection

This is a laparoscopic (small incisions through the abdomen) or open procedure to remove  a portion of the bowel. This is done for patients diagnosed with diverticulitis/diverticulosis, obstruction of the bowel, or twisting of the bowel.  This procedure is done at the hospital as an inpatient procedure