{"id":3253,"date":"2023-02-22T01:35:02","date_gmt":"2023-02-22T01:35:02","guid":{"rendered":"http:\/\/pah.lightflex.com.my\/?page_id=3253"},"modified":"2025-11-12T18:10:08","modified_gmt":"2025-11-12T10:10:08","slug":"upper-gastrointestinal-surgeries","status":"publish","type":"page","link":"https:\/\/pah.com.my\/id\/clinical-services\/upper-gastrointestinal-surgeries\/","title":{"rendered":"MDT for Upper Gastrointestinal Surgeries"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3253\" class=\"elementor elementor-3253\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-258b422 elementor-section-content-bottom elementor-reverse-tablet elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"258b422\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d2c6ac5\" data-id=\"d2c6ac5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-fd8989a elementor-section-content-top elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fd8989a\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-38779c8\" data-id=\"38779c8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-39ae0f4 elementor-invisible elementor-widget elementor-widget-shortcode\" data-id=\"39ae0f4\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><nav class=\"breadcrumbs\" aria-label=\"Breadcrumb\"><a href=\"https:\/\/pah.com.my\/id\">Home<\/a><\/nav><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-b06dae8 elementor-widget elementor-widget-heading\" data-id=\"b06dae8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.13.3 - 22-05-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">MDT for Upper Gastrointestinal Surgeries<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8113e1c elementor-widget elementor-widget-image\" data-id=\"8113e1c\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.13.3 - 22-05-2023 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"170\" height=\"20\" src=\"https:\/\/pah.com.my\/wp-content\/uploads\/2023\/02\/LIFE.png\" class=\"attachment-large size-large wp-image-204\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8945377 elementor-widget elementor-widget-heading\" data-id=\"8945377\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-heading-title elementor-size-default\">At Penang Adventist Hospital, we practise multidisciplinary approach for our cancer patients and in other relevant areas such as gastrointestinal diseases. The Multidisciplinary Team (MDT) is made up of professionals from different clinical backgrounds, including surgeons, oncologists, radiologists, nuclear medicine specialists and other medical professionals, to contribute their best advice for the benefit of our patients. We believe healthcare towards our patient should be patient-centric with holistic approach. <br><br>Hence our multidisciplinary team also consists of psychologists to help patients cope with their emotional and psychological needs, as well as dietitians to help patients on diet planning for their nutritional well-being. <br><br>\n\nBelow are the types of gastrointestinal diseases. <br><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8327a91\" data-id=\"8327a91\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-45f2a89 elementor-widget elementor-widget-image\" data-id=\"45f2a89\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/pah.com.my\/wp-content\/uploads\/2023\/04\/mdt-featured.jpg\" class=\"attachment-large size-large wp-image-8378\" alt=\"\" srcset=\"https:\/\/pah.com.my\/wp-content\/uploads\/2023\/04\/mdt-featured.jpg 500w, https:\/\/pah.com.my\/wp-content\/uploads\/2023\/04\/mdt-featured-300x300.jpg 300w, https:\/\/pah.com.my\/wp-content\/uploads\/2023\/04\/mdt-featured-150x150.jpg 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fb3ad47 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fb3ad47\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cf569f6\" data-id=\"cf569f6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1e04905 elementor-widget elementor-widget-heading\" data-id=\"1e04905\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Malignant diseases\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b5d81f elementor-widget elementor-widget-image\" data-id=\"2b5d81f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"170\" height=\"20\" src=\"https:\/\/pah.com.my\/wp-content\/uploads\/2023\/02\/LIFE.png\" class=\"attachment-large size-large wp-image-204\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eff31db elementor-widget elementor-widget-text-editor\" data-id=\"eff31db\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.13.3 - 22-05-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h6>A. Gastric Cancer<\/h6><p>The treatment of gastric cancer is complex and involves multiple specialists from different expertise to provide holistic care for the patient. Our medical team utilise Enhanced Recovery After Surgery (ERAS) in Gastric Cancer and Oesophagus &amp; Cardioesophageal Junction Cancer treatment, with the objective of reducing the length of hospital stay, reducing post-surgical complications and overall cost.<\/p><h5>Multidisciplinary Team Involved in Gastric Cancer Care:<\/h5><h6>1. Endoscopist:<\/h6><h6>Diagnostic Gastroscopy<\/h6><ul><li>Narrow Band Imaging (NBI) endoscopy technology for visualisation of early gastric lesions.<\/li><li>Endoscopic Ultrasound (EUS) is desirable for biopsy (currently not available in any northern region private institution).<\/li><\/ul><h6>Therapeutic Endoscopy<\/h6><ul><li>Endoscopic stenting for palliation of gastric outlet obstruction.<\/li><li>Endoscopic enteral nutrition tube placement.<\/li><\/ul><div>\u00a0<\/div><h6>2. Radiologist:<\/h6><ul><li>Conventional contrasted CT scan for staging.<\/li><\/ul><div>\u00a0<\/div><h6>3. Nuclear Medicine Specialist:<\/h6><ul><li>PET-CT whole body with IV contrast for advanced staging.<\/li><\/ul><div>\u00a0<\/div><h6>4. Upper Gastrointestinal Surgeon:<\/h6><ul><li>Conventional Laparotomy, Radical Gastrectomy &amp; D2 Lymphadenectomy<\/li><li>Minimal Invasive (Laparoscopic) Radical Gastrectomy &amp; D2 Lymphadenectomy<\/li><\/ul><div>\u00a0<\/div><h6>5. Oncologist:<\/h6><ul><li>Pre-operative (neoadjuvant) chemotherapy for advanced cancer.<\/li><li>Pre-operative (adjuvant) chemotherapy or chemoradiotherapy cancer treatment.<\/li><li>Palliative care.<\/li><\/ul><div>\u00a0<\/div><h6>6. Dietician:<\/h6><ul><li>Optimisation of pre-operative nutrition.<\/li><li>Post-operative (post-gastrectomy) nutrition care.<\/li><\/ul><div>\u00a0<\/div><h5>B. Oesophagus &amp; Cardioesophageal Junction Cancer<\/h5><h5>Multidisciplinary Team Involved in Oesophagus &amp; Cardioesophageal Junction Cancer Care:<\/h5><h6>1. Endoscopist:<\/h6><h6>Diagnostic Esophagoscopy<\/h6><ul><li>Narrow Band Imaging (NBI) endoscopy technology for visualisation of early gastric lesions.<\/li><li>Endoscopic Ultrasound (EUS) is desirable for biopsy (currently not available in any northern region private institution).<\/li><\/ul><div>\u00a0<\/div><h6>Therapeutic endoscopy<\/h6><ul><li>Endoscopic stenting for palliation of esophagus obstruction.<\/li><li>Endoscopic enteral nutrition tube placement.<\/li><\/ul><div>\u00a0<\/div><h6>2. Nuclear Medicine Physician:<\/h6><ul><li>PET-CT whole body with IV contrast for staging.<\/li><\/ul><div>\u00a0<\/div><h6>3. Upper Gastrointestinal Surgeon:<\/h6><ul><li>Conventional radical esophagogastrectomy with 2 or 3-field lymphadenectomy.<\/li><li>Minimal invasive radical esophagogastrectomy with 2 or 3 field lymphadenectomy.<\/li><\/ul><div>\u00a0<\/div><h6>4. Oncologist:<\/h6><ul><li>Pre-operative (neoadjuvant) chemotherapy for advanced cancer.<\/li><li>Pre-operative (adjuvant) chemotherapy or chemoradiotherapy cancer treatment.<\/li><li>Palliative care.<\/li><\/ul><div>\u00a0<\/div><h6>5. Dietician:<\/h6><ul><li>Optimisation of pre-operative nutrition.<\/li><li>Post-operative (post-esophagogastric resection) nutrition care.<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e64d07a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e64d07a\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7a1328a\" data-id=\"7a1328a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e3749cf elementor-widget elementor-widget-heading\" data-id=\"e3749cf\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Benign Diseases\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-efcbc2e elementor-widget elementor-widget-image\" data-id=\"efcbc2e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"170\" height=\"20\" src=\"https:\/\/pah.com.my\/wp-content\/uploads\/2023\/02\/LIFE.png\" class=\"attachment-large size-large wp-image-204\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0888fa0 elementor-widget elementor-widget-text-editor\" data-id=\"0888fa0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h5>I. Refractory Gastroesophageal Reflux Disease (GERD)<\/h5>\n<p>At Penang Adventist Hospital, we provide one-stop treatment for Refractory Gastroesophageal Reflux Disease (GERD) and Oesophageal Motility Disorder (Achalasia), including wholistic medical and surgical treatment, as well as management of mortality disorder. We gather different specialists such as gastroenterologists, radiologists, endoscopists, upper gastrointestinal surgeons, and dietitians to provide holistic care for our patients.<\/p>\n<h5>Multidisciplinary Team Involved in GERD Care:<\/h5>\n<h6>1. Gastroenterologist:<\/h6>\n<ul>\n<li>Diagnostic upper endoscopy<\/li>\n<\/ul>\n<div>&nbsp;<\/div>\n<h6>2. Radiologist:<\/h6>\n<ul>\n<li>Videofluoroscopy barium swallow study<\/li>\n<\/ul>\n<div>&nbsp;<\/div>\n<h6>3. Upper Gastrointestinal Surgeon:<\/h6>\n<h5>Diagnostic Upper Endoscopy<\/h5>\n<h6>Therapeutic Endoscopy<\/h6>\n<ul>\n<li>Endoscopic Balloon Radiofrequency Ablation for Pre-cancerous Barrett\u2019s Oesophagus.<\/li>\n<\/ul>\n<div>&nbsp;<\/div>\n<h6>Oesophageal Function Study<\/h6>\n<ul>\n<li>Oesophagus high-resolution impedance manometry (HRiM).<\/li>\n<li>Ambulatory pH-Impedance study.<\/li>\n<\/ul>\n<div>&nbsp;<\/div>\n<h6>Anti-reflux Surgery<\/h6>\n<ul>\n<li>Laparoscopic Hiatal Hernia Repair &amp; Fundoplication<\/li>\n<\/ul>\n<div>&nbsp;<\/div>\n<h6>4. Dietitian:<\/h6>\n<ul>\n<li>Post-anti-reflux surgery nutrition care.<\/li>\n<\/ul>\n<h5>II. Oesophageal Motility Disorder (Achalasia)<\/h5>\n<h5>Multidisciplinary Team Involved in Oesophageal Motility Disorder Care:<\/h5>\n<h6>1. Endoscopist:<\/h6>\n<h6>Therapeutic Endoscopy<\/h6>\n<ul>\n<li>Endoscopic serial balloon dilatation<\/li>\n<\/ul>\n<div>&nbsp;<\/div>\n<h6>2. Upper Gastrointestinal Surgeon:<\/h6>\n<h6>Therapeutic Endoscopy<\/h6>\n<ul>\n<li>Peroral Endoscopic Myotomy (POEM)<\/li>\n<\/ul>\n<div>&nbsp;<\/div>\n<h6>Minimally Invasive Surgery<\/h6>\n<ul>\n<li>Laparoscopic Heller\u2019s Cardiomyotomy Dietitian<\/li>\n<\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>MDT for Upper Gastrointestinal Surgeries At Penang Adventist Hospital, we practise multidisciplinary approach for our cancer patients and in other relevant areas such as gastrointestinal diseases. The Multidisciplinary Team (MDT) is made up of professionals from different clinical backgrounds, including surgeons, oncologists, radiologists, nuclear medicine specialists and other medical professionals, to contribute their best advice [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":41,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"specialty":[],"elibrary-tag":[],"article-tag":[],"event-tag":[],"news-tag":[],"class_list":["post-3253","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>MDT for Upper Gastrointestinal Surgeries - Penang Adventist Hospital | People Centered Healthcare Services<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pah.com.my\/id\/clinical-services\/upper-gastrointestinal-surgeries\/\" \/>\n<meta property=\"og:locale\" content=\"id_ID\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"MDT for Upper Gastrointestinal Surgeries - Penang Adventist Hospital | People Centered Healthcare Services\" \/>\n<meta property=\"og:description\" content=\"MDT for Upper Gastrointestinal Surgeries At Penang Adventist Hospital, we practise multidisciplinary approach for our cancer patients and in other relevant areas such as gastrointestinal diseases. 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