Gastroesophageal Surgery Program

Gastroesophageal Surgery Program

Massachusetts General Hospital's Gastroesophageal Surgery Program offers advanced surgical options to treat the complete range of gastroesophageal conditions, including gastric and esophageal cancers and benign esophageal disease.
Request an appointment Refer a patient

Call to refer a patient or request an appointment: 617-724-1020

Overview

Surgeons in the Massachusetts General Hospital Gastroesophageal Surgery Program specialize in complex surgical techniques to treat gastric and esophageal cancers and benign esophageal disease. This specialization requires rigorous advanced training and a highly focused clinical practice dedicated to gastroesophageal disease management.

Our surgeons offer innovative and minimally invasive procedures, such as magnetic sphincter augmentation (LINX® procedure) for the treatment of gastroesophageal reflux disease (GERD), endoscopic myotomy (POEM) for the treatment of achalasia, endoscopic approaches to Zenker’s diverticulum and minimally invasive esophagectomy for the treatment of esophageal cancer.

Multidisciplinary Gastroesophageal Care

Our surgeons work closely with physicians in the Swallowing and Heartburn Center in the Digestive Healthcare Center and the Tucker Gosnell Center for Gastrointestinal Cancers within the Mass General Cancer Center.

Members of the care team work collaboratively to provide comprehensive, personalized treatment for cancer patients and other patients with complex gastroesophageal conditions.

Conditions We Treat

Research demonstrates that high-volume surgical experience results in improved outcomes for patients. Each year, our surgeons perform high volumes of surgical procedures for conditions including:

  • Achalasia: An esophageal disorder that makes swallowing difficult, often causing weight loss and other undesirable outcomes. It occurs when the muscle at the bottom of the esophagus that normally functions as a valve fails to relax, preventing food from entering the stomach
  • Esophageal cancer: Cancer that develops in the esophagus, the muscular tube that connects the throat to the stomach
  • Esophageal diverticulum: A pouch of stretched tissue that branches out from the esophagus. The most common location for this condition is the cervical esophagus, referred to as Zenker’s diverticulum
  • Gastric cancer: Stomach cancer, including hereditary diffuse gastric cancer (HDGC) syndrome
  • Gastroesophageal reflux disease (GERD): A digestive disorder that is caused by gastric acid flowing from the stomach into the esophagus
  • Gastrointestinal stromal tumors (GISTs): Tumors of the gastrointestinal tract (including the esophagus, stomach and gastroesophageal junction)
  • Hiatal hernia: A condition that occurs when the upper part of the stomach pushes up into the chest through a small opening in the diaphragm, resulting in retention of acid and other contents that can easily back up (reflux or regurgitate) into the esophagus
  • Paraesophageal hernia: A type of hiatal hernia where the stomach pushes through the diaphragm alongside the esophagus to lie in the chest 

Learn more about the procedures we perform

Leaders in Gastroesophageal Surgery

Our surgeons have achieved a number of landmark milestones in treating gastroesophageal conditions. They are among the few in the country who can treat cancers of the stomach and esophagus in a completely minimally invasive manner. Our surgeons are accomplished researchers who are at the forefront of the latest surgical and medical innovations, sharing knowledge and expertise to more quickly develop procedures that can dramatically improve their patients’ quality of life.

Our surgeons were also among the first to perform antireflux surgery and repair hiatal hernias laparoscopically. We employ new minimally invasive procedures to treat a number of conditions using natural orifice transluminal endoscopic surgery, more commonly known as NOTES. During these procedures, an endoscope is passed through a natural orifice of the body, where an internal incision is made to the stomach, bladder or colon. The technique avoids any external incisions or scars.

Easy Access for Patients & Referring Physicians

We pair patients and referring physicians with an experienced care coordinator who helps assess patient needs and coordinates all necessary appointments and tests. 

All requests are triaged the same day, and the patient and referring physician will be called back to schedule an appointment within one business day. Patients and referring physicians may request an appointment online or call 617-724-1020 to speak with our care coordinator.

Procedures

Minimally Invasive Procedures

Our surgeons perform minimally invasive procedures that offer shorter recovery times, smaller surgical scars and preservation of the vagus nerve (a nerve that transmits messages from the brain to the stomach):

  • Magnetic sphincter augmentation (LINX): A flexible band of magnetic titanium beads is placed around the esophagus to support the lower esophageal sphincter (the muscle that opens and closes to allow food to enter and stay in the stomach) by restoring the body’s natural barrier to reflux (treatment for GERD)
  • Laparoscopic anti-reflux surgery (treatment for GERD and hiatal hernias)
  • Laparoscopic repair of an enlarged opening in the diaphragm (treatment for hiatal and paraesophageal hernias)
  • Per oral endoscopic myotomy (POEM): Using a specialized endoscopic tool, a small slit is made in the inner lining of the esophagus to tunnel down to the sphincter muscle. The muscle fibers that block the passage of food are divided, and the slit in the esophagus is repaired (treatment for achalasia)
  • Laparoscopic Heller myotomy: Small incisions are made in the abdomen to allow access to the esophageal sphincter muscle, where the muscle fibers that block the passage of food are divided (treatment for achalasia)
  • Endoscopic, transoral treatment for Zenker’s diverticulum: A specialized instrument is passed through the mouth to divide the common wall between the Zenker's diverticulum and the esophagus, opening the diverticulum and splitting the muscle. This approach avoids a traditional neck incision
  • Minimally invasive esophagectomy: The diseased esophageal tissue is removed, and part of the stomach is then used to reconstruct the gastrointestinal tract (treatment for esophageal cancer and some benign esophageal conditions)
  • Laparoscopic procedures (for cancers and GIST tumors of the esophagus, stomach and gastroesophageal junction)

Complex, Open Procedures

Our surgeons perform complex procedures, including:

  • D2 node dissection: Provides a more complete surgical sample of the lymph nodes to ensure thorough diagnosis of gastric cancer
  • Partial and total gastrectomy: Surgical removal of part of or the entire stomach (treatment for gastric cancer)
  • Complex repair of hiatal and paraesophageal hernias

Our Surgeons

  • Ozanan R. Meireles, MD

    617-643-9841

    Accepting New Patients

    Clinical Interests
    • Bariatric and Metabolic Surgery
    • POEM - Endoscopic Esophageal Myotomy (Achalasia)
    • Gastroesophageal reflux disease (GERD)
    • Paraesophageal hernias
    • Laparoscopic / Minimally invasive surgery
    • Upper GI endoscopy and endoluminal procedures
    • Natural orifice translumenal endoscopic surgery (NOTES)
    • Hernias
    Board Certifications
    • Surgery, American Board of Surgery
    Locations
    • Boston: Surgery Department
    • Boston: Weight Center, MGH
  • Christopher R. Morse, MD

    617-726-2811

    Accepting New Patients

    Clinical Interests
    • Esophageal cancer
    • Minimally invasive esophageal resections (esophagectomy)
    • Laparoscopic antireflux surgery/GERD
    • Laparoscopic paraesophageal hernia repair
    • Laparoscopic re-operative antireflux surgery
    • Barrett's esophagus
    • Esophageal cancer, Barrett's esophagus
    • Esophageal disease
    • Esophageal anomalies
    • Lung cancer
    • Minimally invasive pulmonary (lung) resections
    • Airway surgery
    • Thoracic surgery
    • Benign and malignant diseases of the chest
    • Idiopathic Laryngotracheal Stenosis
    Board Certifications
    • Surgery, American Board of Surgery
    • Thoracic Surgery, American Board of Thoracic Surgery
    Locations
    • Boston: Division of Thoracic Surgery
  • John T. Mullen, MD

    617-726-4241

    Accepting New Patients

    Clinical Interests
    • Soft tissue sarcoma
    • Stomach (gastric) cancer
    • Retroperitoneal sarcoma
    • Gastrointestinal stromal tumor (GIST)
    • Carcinoid tumor
    • Desmoid tumor
    • Gastrointestinal cancer
    • Melanoma
    Board Certifications
    • Surgery, American Board of Surgery
    Locations
    • Boston: Surgical Oncology Associates
    • Waltham: Mass General West
  • David William Rattner, MD

    617-726-1893

    Accepting New Patients

    Clinical Interests
    • Laparoscopic / Minimally invasive surgery
    • Colon and Rectal cancer
    • Achalasia
    • Gastroesophageal reflux disease (GERD)
    • Paraesophageal hernias
    • Gastric Cancer
    • Gastrointestinal stromal tumor (GIST)
    • Diverticulitis
    • Hernias
    • Barrett's esophagus
    Board Certifications
    • Surgery, American Board of Surgery
    Locations
    • Boston: Massachusetts General Hospital
    • Danvers: Mass General/North Shore Center for Outpatient Care

Conditions & Diseases

  • Esophageal Cancer

    Esophageal cancer is cancer that develops in the esophagus, the muscular tube that connects the throat to the stomach.

  • Gastroesophageal Reflux Disease (GERD) / Heartburn

    Gastroesophageal reflux disease (GERD) is a digestive disorder that is caused by gastric acid flowing from the stomach into the esophagus.

  • Hiatal Hernia

    A hiatal hernia occurs when the upper part of the stomach pushes up into the chest through a small opening in the diaphragm, the muscle that separates the stomach from the chest.

  • Stomach Cancer

    Stomach cancer, also known as gastric cancer, is cancer that starts in any part of the stomach.

News

  • Getting Back to Active: Bob's Story - 12/1/2014, Mass General

    Bob Hazelton lived with chronic acid reflux for years and was diagnosed with esophageal cancer in 2011. After his surgical team at Massachusetts General Hospital performed a minimally invasive esophagectomy, Bob has a healthy esophagus and is getting back to his active lifestyle.

  • New procedure is easy to swallow - 6/7/2013, Mass General

    The MGH offers its first per-oral endoscopic myotomy (POEM) procedure, a new surgical treatment for achalasia.

  • Magnetic esophageal sphincter device benefits patients with GERD - 2/21/2013, Mass General

    The New England Journal of Medicine publishes the three-year results of a study of the safety and effectiveness of a new device for treatment of gastroesophageal reflux disease (GERD).

  • Three months after surgery, patient has new lease on life - 1/11/2013, Mass General

    The MGH was the first hospital in New England to offer a new procedure in which a flexible bracelet of magnetic titanium beads is laparoscopically implanted around the esophagus to help treat GERD.

  • Frequently asked questions: LINX® system - 9/24/2012, Mass General

    David Rattner, MD, chief of the Division of Gastrointestinal and General Surgery at the Mass General Digestive Healthcare Center, answers frequently asked questions (FAQ) about the LINX® Reflux Management System, a new treatment option for gastroesophageal reflux disease (GERD).

  • Massachusetts General Hospital offers new, less invasive treatment for GERD - 7/20/2012, Mass General

    Massachusetts General Hospital introduces an innovative procedure for patients experiencing symptoms of GERD. A bracelet of magnetic beads can help the lower esophageal sphincter to resist gastric pressures and prevent reflux.

Video

  • Endoscopic Mucosal Resection

    Endoscopic Mucosal Resection

    Endoscopic mucosal resection (EMR) is a specialized endoscopic technique used by gastroenterologists at the Massachusetts General Hospital Digestive Healthcare Center to diagnose and remove large areas of early gastrointestinal cancers.

  • Radiofrequency Ablation Treatment

    Radiofrequency Ablation Treatment

    Radiofrequency ablation (RFA) is an FDA-approved endoscopic technique used by specialists at the Massachusetts General Hospital Barrett's Esophagus Treatment Center to treat Barrett's esophagus.

  • LINX® Reflux Management System

    LINX Reflux Management System

    LINX® Reflux Management System is an innovative minimally invasive procedure used by Massachusetts General Hospital surgeons to treat appropriately selected patients experiencing symptoms of gastroesophageal reflux disease (GERD). For more information, visit massgeneral.org/LINX

  • Per Oral Endoscopic Myotomy (POEM)

    Per Oral Endoscopic Myotomy (POEM)

    Per oral endoscopic myotomy (POEM) is a minimally invasive procedure used by surgeons at Massachusetts General Hospital to treat eligible patients experiencing symptoms of achalasia. For more information, visit massgeneral.org/POEM

  • Minimally Invasive Esophagectomy (MIE)

    Minimally Invasive Esophagectomy (MIE)

    Minimally invasive esophagectomy (MIE) is a procedure performed by Massachusetts General Hospital surgeons using small incisions to remove a diseased esophagus and reconstruct the gastrointestinal tract. For more information, visit massgeneral.org/MIE

Contact

Contact Us

Gastroesophageal Surgery Program

55 Fruit Street, Blake 1570Massachusetts General Hospital Boston, MA 02114
  • Near Public Transit
  • Handicapped Accessible
Request an appointment Refer a patient

Call to refer a patient or request an appointment: 617-724-1020

Related Content

Back to Top