If you’ve been struggling with persistent reflux, a known hernia, or are considering bariatric surgery for weight management, it can be hard to know when it’s time to speak to a surgeon. Many of these conditions start with a visit to your GP, but for some people, a referral to an upper gastrointestinal (GI) surgeon like Dr Alex Craven can offer more treatment options and long-term relief.
In this article, we explain what upper GI surgery involves, when it might be appropriate, and what to expect if you’re referred.
What is an Upper GI Surgeon?
An upper gastrointestinal surgeon is a specialist doctor trained to diagnose and treat conditions affecting the oesophagus (food pipe), stomach, and upper part of the small intestine. They often see patients with:
- Chronic or severe acid reflux (GORD)
- Hiatus or paraesophageal hernias
- Gallbladder issue
- Obesity requiring surgical weight management
- Difficulty swallowing or other upper digestive symptoms
Not everyone who sees a surgeon needs an operation — in many cases, the consultation is to confirm a diagnosis, discuss options, and offer expert guidance.
Reflux (GORD): When Medication Isn’t Enough
Gastro-oesophageal reflux disease (GORD) occurs when stomach acid flows back into the oesophagus, often causing heartburn, regurgitation, or a sour taste in the mouth. While lifestyle changes and medications like proton pump inhibitors (PPIs) help many people, others continue to have symptoms despite treatment.
You might benefit from a surgical opinion if you:
- Have symptoms that persist despite medication
- Prefer not to rely on long-term medication
- Have side effects from reflux medications
- Experience reflux-related complications like inflammation, ulcers, or strictures
Surgical options such as fundoplication may help strengthen the valve between the stomach and oesophagus to prevent reflux.
Hernias: More Than a Bulge
Hiatal and paraesophageal hernias occur when part of the stomach pushes through the diaphragm into the chest cavity. These can cause reflux, chest discomfort, trouble swallowing, or breathlessness.
Not all hernias need surgery right away, but it’s important to monitor symptoms and have regular check-ins with your GP. If symptoms become frequent or severe, your doctor may suggest a surgical consultation to explore whether repair is appropriate.
Bariatric Surgery: A Tool for Long-Term Weight Management
If you’ve been trying to lose weight through diet and lifestyle changes but haven’t achieved long-term results, you’re not alone. Bariatric surgery (such as gastric sleeve or bypass procedures) may be an option for people with obesity who meet certain health criteria.
Bariatric surgery is more than just weight loss — it can also improve or resolve conditions like:
- Type 2 diabetes
- High blood pressure
- Sleep apnoea
- Joint pain and mobility issues
A referral to an upper GI surgeon is the first step in assessing your suitability and understanding the full risks and benefits.
What to Expect at Your First Appointment
Meeting with an upper GI surgeon doesn’t automatically mean surgery. It’s an opportunity to:
- Discuss your health history and symptoms
- Review previous test results
- Understand your options — surgical and non-surgical
- Ask questions in a supportive setting
Dr Alex Craven is known for his thoughtful, collaborative approach and will guide you through what’s right for your situation.
How to Get a Referral
To see Dr Craven, you’ll need a referral from your GP or another specialist. If you’re experiencing ongoing digestive symptoms or are interested in exploring bariatric surgery, speak to your doctor about whether a referral to an upper GI surgeon is appropriate.
Take the Next Step
Your digestive health is important, and there are options available if you’re not finding relief. If you think you may benefit from a surgical opinion, ask your GP about referring to Dr Alex Craven for expert advice and personalised care.
Disclaimer: This article is for general information only and does not replace individual medical advice. Please speak to your doctor or healthcare provider for guidance tailored to your situation.
