Sergei Dolgopolov MD General Surgeon NYC
Valery Dronsky MD General Surgeon NYC
Roman Grinberg MD General Surgeon NYC
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Surgical Experts Dedicated to Improving Lives


In the light of events associated with COVID-19 we would like to assure our patients that our office continues to function at full capacity. We will continue to take care of our patients in full compliance with current rules and regulations.


At Lenox Hill Surgeons, our dedicated team of nyc surgeons and medical professionals provide compassionate care with the highest ethical & professional standards. In our state of the art facility, we offer surgical services using only the most cutting edge and current procedures and treatments.We specialize in general surgery, including extensive experience in performing hernia repair surgery. Our expertise is in minimally invasive surgery and robotic surgery. Minimally invasive and robotic surgery often allow patients to experience easier recovery than traditional open surgery. They also allow for more precise and less traumatic surgery. When robotic and minimally invasive surgery is not an option, we are also skilled and experienced in traditional open surgical procedures.

All of our doctors are experienced and skilled surgeons having undergone extensive training in school, residency and fellowships. They all practice medicine with ethical behavior, compassion and superb bedside manner. In the operating room they all exhibit precise mechanical abilities, analytical thinking and the ability to visualize tissue in three dimensions. These innate and learned skills allow our surgeons to be some of the most dexterous and skilled professionals in all of New York City and the Country.

Call us: 646-846-1136

Lenox Hill Surgeons

Recent Awards

Healthgrades Americas 100 Best Doctors Awards

Americas 100 best cardiac care award | HealthgradesAmerica’s 100 Best Hospitals for Cardiac Care Award™ (2021, 2020, 2019)
Superior clinical outcomes in heart bypass surgery, coronary interventional procedures, heart attack treatment, heart failure treatment, and heart valve surgery.
Americas 100 best coronary intervention award | HealthgradesAmerica’s 100 Best Hospitals for Coronary Intervention Award™ (2021, 2020, 2019)
Superior clinical outcomes in coronary intervention procedures (angioplasty with stent).
Americas 100 best general surgery award | HealthgradesAmerica’s 100 Best Hospitals for General Surgery Award™ (2021, 2020, 2019)
Superior clinical outcomes in bowel obstruction treatment, colorectal surgeries, gallbladder removal, esophageal/stomach surgeries, and small intestine surgeries.

Click to see all of our Healthgrades best doctors awards

 


2019-best-gastrointestinal-surgeons-award-new-york-NY-awards
Award for Best Gastrointestinal Surgeons in NY for 2019.

Monthly Archives: October 2019

Gastroesophageal Reflux Disease (GERD)

What is gastroesophageal reflux disease (GERD)? If you have experienced acidity or heartburn many times, you are not alone. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) reports that 20 percent of American population gets affected by Gasteresphageal reflux diseases (GERD).

More than 15 million adults in the US, especially pregnant women, suffer from heartburn daily. GERD is essentially mild acid reflux that may occur twice a week. However, some people may also experience severe acid reflux, at least once a week.

What Causes GERD to Occur?

Your digestive system is home to several digestive enzymes and acid. Normally, when you eat something, the lower esophageal sphincter (LES), i.e., the lining of the stomach, opens. It allows the food to enter the stomach and then closes. This helps to obstruct the food or any acidic enzymes from flowing back to the esophagus. However, sometimes the LES does not close properly.

As a result, the acid and digestive stomach enzymes flow back into the esophagus. The frequent backward flow of stomach acid, i.e., the acid reflux, may irritate LES, thereby weakening the lining. Hence, if your acid reflux returns multiple times every week, you probably have GERD (Gastroesophageal Reflux Disease).

Symptoms of GERD

The occurrence of the following signs or symptoms may indicate that you are likely to have GERD.

  • A sharp or burning sensation in your chest behind the breast bone
  • The sensation, also called heartburn, may get worse when you eat, lie down or bend.
  • Tightness in the upper abdomen or chest
  • Difficulty in swallowing
  • Food or sour liquid regurgitation, i.e., the backflow of stomach juices in your oral cavity
  • Sore throat
  • Developing a sour taste at the back of the mouth

Some people may have nighttime acids reflux and are likely to experience sleep disruption, chronic cough, laryngitis, and worsening asthma. Also, the chest pain may radiate toward the neck at night.

Diagnosis

People, who are obese, have connective tissue disorders, Hiatal hernia, gallbladder diseases, are prone to having GERD. Similarly, pregnant women are prone to the condition.

For the diagnosis of GERD, your doctor may conduct the following tests (as per requirement):

  • X-Ray of the Upper Digestive system: the patient gets a barium solution to drink and the doctor conducts an X-ray test to examine the esophagus.
  • Esophageal manometry: the doctor inserts a flexible tube into your esophagus to measure the rhythmic contraction of your esophageal muscles when you swallow
  • Esophageal pH monitoring: the surgeon inserts a monitor into your esophagus to measure the pH level. Usually, the doctor keeps the patient under observation for one day to see when the acid stomach enters the monitor.
  • Upper Endoscopy: the surgeon threads a flexible tube with a tiny camera down your throat to examine your esophagus and stomach. He/she may also collect a sample of the tissue (biopsy).

Treatments

Changing your lifestyle may help relieve the symptoms of GERD. For instance, reducing or abandoning smoking may help. Also, including a balanced diet and avoiding fatty food and certain beverages may work. In mild acid reflux cases, over-the-counter medications can be a good option. Also, your doctor may recommend prescription medications. However, if medicines prove to be of little help, your doctor may suggest a surgical procedure.

Nissen Fundoplication

It is a surgical procedure that exerts pressure in your lower esophagus. The surgeon folds the top of your stomach (partially or completely) around the esophagus. Thus, the stomach is tightened to prevent acid reflux. The surgeon may perform the procedure through conventional open surgery or a laparoscope. However, most surgeons prefer minimally invasive surgery.

Stretta Procedure

It is yet another minimally invasive surgical procedure. The surgeon threads into the esophagus with a small tube and uses radiation to tight the barrier between the esophagus and stomach.

LINX surgery

The surgeon folds a ring of tiny titanium beads around the junction of the esophagus and the stomach. The magnetic force between the beads helps keep the junction closed, thereby preventing the acid reflux. However, the band allows the food to pass through. The surgeons use minimally invasive surgery to implant the Linx device.

So, if you’re facing heartburn or acid reflux frequently and the symptoms are severe, you should seek medical help immediately. Our highly professional team of surgeons at Lenox Hill Surgeons has expertise in minimally invasive surgery. For consultation, appointment or surgery, contact us today.

LENOX HILL SURGEONS
646-846-1136

Dysphagia

Doo you have Dysphagia? Do you often choke or cough while swallowing food? Do you take more time than others to chew or swallow your food? Is the swallowing process painful for you? If yes, then you possibly have Dysphagia, or swallowing difficulties.

You may not have faced such problems before as swallowing problems are common in older people. However, dysphagia may occur at any point in life. Eating too fast or not properly chewing the food may cause swallowing difficulties occasionally. In case of persistent dysphagia, it is better to seek medical help.

Types of Dysphagia

People who have this condition may face problems swallowing certain foods or liquids. In extreme cases, people may not be able to swallow food at all or have to cut it into smaller pieces to avoid swallowing difficulty.

Esophageal dysphagia: After you start swallowing the food, you may feel that the food is not passing down the throat. Instead, it seems as though it has stopped in your chest.

Oropharyngeal dysphagia: Your throat muscles may become weak due to a certain condition, thereby causing swallowing difficulties. You may frequently choke or gag while swallowing, or sense that the food is going up to your nose or down the windpipe. Oropharyngeal dysphagia may lead to pneumonia.

Symptoms

The signs that suggest you are likely to have dysphagia include:

  • Coughing or choking while eating or drinking
  • Pain while swallowing (odynophagia)
  • Sensation that the food has stopped in your throat or chest
  • Persistent saliva drooling
  • Food regurgitation (sometimes through the nose)
  • Being hoarse when eating or drinking
  • Frequent heartburn
  • a sudden weight loss
  • Frequent chest infections, such as pneumonia

Causes

Swallowing difficulties may be a result of several medical conditions interfering in the swallowing process. Some of the problems that may cause dysphagia are:

  • Neurological Damage: Your oral muscles may become dysfunctional due to stroke or injury, thereby making it difficult to swallow food.
  • Achalasia: When the sphincter muscle does not relax properly, it may cause food regurgitation
  • Esophagus Stricture: Esophagus narrows down due to acid reflux or presence of tumor in the esophagus. The large food pieces get trapped in the narrowed esophagus, causing dysphagia.
  • Neurological Disorders: Certain neurological problems may also slow down your swallowing ability. These include Parkinson’s disease, multiple sclerosis, and muscular dystrophy.
  • Cancer Treatment: Chemotherapy may inflame or scar your esophagus.

Diagnosis

To devise the best treatment plan for your swallowing difficulties, your doctor may perform certain physical exams and tests to find the root cause. Besides CT scan and MRI, you may undergo:

Cineradiography/ Barium X-ray: The X-ray requires the patient to drink a barium solution. After that, the surgeon threads an X-ray machine with a camera in the patient’s esophagus.

Manometry: The purpose of this test is to evaluate the esophageal muscle contractions while swallowing.

Upper Endoscopy: The surgeon inserts an endoscope into the esophagus that captures the images of the internal structure. The doctor may collect tissue samples (biopsies) of the esophagus to check for a possible esophageal stricture, inflammation, or tumor.

Treatment

If you are facing dysphagia due to neurological disorders, the doctor will recommend some swallowing therapies and modification in the diet. Sometimes, in extreme dysphagia, the doctor may suggest feeding tubes for the patient.

For the swallowing difficulties because of the esophagus, the doctor may prescribe medicines or go for a surgical procedure.

  • Esophageal dilation: The surgeon may carry out a laparoscopic procedure for narrowed or scarred esophagus. With the help of an endoscope, the doctor will examine your esophagus. Using the images as a reference, the surgeon will then insert a balloon in the narrowed esophagus to expand its width (dilation).
  • Laparoscopic Heller Myotomy: This procedure helps cut the sphincter if it does not work (open and release food) properly.
  • Esophageal Cancer: Tumor in the esophagus requires the partial or complete resection of the esophagus through a surgery. The surgeon may either go with the traditional surgical procedure or perform a laparoscopy. If you have esophageal cancer, the surgeon may pass flexible tubes or stents in your esophagus as an alternative to balloons.

Whether you have minor swallowing difficulties or severe dysphagia that requires surgery, make sure to seek the help of the best surgeons. We, at Lenox Hill Surgeons, use the cutting edge treatments and have expertise in minimally invasive surgery.

Contact us today to book an appointment.

LENOX HILL SURGEONS
646-846-1136