Mr. Rishi Singhal
My name is Rishi Singhal and I am a Consultant Upper GI surgeon. I was appointed as a consultant in 2014 having completed my training in West Midlands. My main areas of interest included oesophagi-gastric cancer surgery, Bariatric surgery and Anti-reflux surgery. I was quite lucky having being trained at Birmingham Heartlands Hospital which is a referral centre of anti-reflux surgery.
The LINX procedure
Initially when I was introduced to LINX, I was quite sceptical on this device as I suspect many of the other surgeons would have been. This was because I had been trained to do fundoplications, had good results with the procedure and couldn’t really look beyond it. After having performed a few LINX insertions, the feedback from the patients positively reinforced what I had read and understood from peers about the LINX.
The LINX to my mind has a lot of distinct advantages over fundoplication. Patients can get onto onto a normal diet almost immediately after surgery. They don’t usually complain of gas bloat or excessive flatulence as they do with fundoplications. Most importantly, they can almost eat anything without practising any dietary restrictions. Since my first LINX implantation, I have operated on patients from Japan and US further reinforcing the reduced need for follow up and improved patient outcomes following this procedure.
What does the operation consist of?
Before the procedure begins, you will be placed under general anaesthesia. The surgeon will then make 4 or 5 small incisions in your stomach to gain access to the lower oesophageal sphincter (LOS). The surgeon will perform a small amount of dissection to the tissue surrounding the LOS, to create a small tunnel in which the LINX® device will be placed. A sizing tool is passed around the LOS to measure the diameter of the oesophagus, before the appropriate sized device is introduced into the tunnel created. The procedure generally takes less than an hour and starts working immediately. Your surgeon will normally discharge you the following day and you will be encouraged to start eating normal food immediately. Typically, you will be able to resume your normal daily activities in less than a week.