Consultant Upper GI Surgeon
Expert Reflux Treatment in Devon
Specialist diagnosis and minimally invasive treatment for acid reflux and heartburn
Consultant-led care at Mount Stuart Hospital and Torbay Hospital
What is Reflux?
Acid reflux occurs when stomach acid flows back into the oesophagus due to weakness or dysfunction of the valve between the oesophagus and stomach.
This can cause symptoms such as heartburn, regurgitation, chest discomfort, and difficulty swallowing, and may lead to inflammation if untreated.
Symptoms of Acid Reflux
Common symptoms associated with reflux
Heartburn
Burning sensation in the chest
Regurgitation
Acid or food backing up
Belching
Frequent burping or excess gas
Bloating
Uncomfortable fullness or abdominal distension
Acid sensation
Sensation of acid rising when bending or lying flat
When to Seek Specialist Advice
Symptoms not controlled with lifestyle changes or medication
New onset dyspepsia without clear cause
Worsening symptoms despite long-term treatment
Preference to avoid lifelong medication
Investigation and Diagnosis
Accurate diagnosis is essential for effective treatment. Mr Kostalas uses gold-standard investigations to fully understand your condition.
Gastroscopy
Direct visual examination of the oesophagus and stomach using a thin, flexible camera.
24-Hour Acid Monitoring
Measures acid levels in your oesophagus over a full day to identify patterns and triggers.
Oesophageal Motility Testing
Assesses the function and movement of your oesophagus to identify any motility disorders.
"These gold-standard investigations allow fully personalised treatment planning."
Investigation Locations
Mount Stuart Hospital
Torquay
Torbay Hospital
GI Physiology Lab
Treatment Options
Lifestyle Adjustments
Dietary modifications, weight management, and sleep positioning can significantly reduce symptoms for many patients.
Medication
Proton pump inhibitors and other medications can effectively control acid production and manage symptoms.
Surgical Treatment
Minimally invasive keyhole surgery tailored to each patient for long-term symptom relief.
- Minimally invasive
- Tailored to patient
- Long-term relief
When is Surgery Recommended?
Medication Not Tolerated
Side effects or adverse reactions prevent continued medical therapy
Persistent Symptoms
Ongoing reflux symptoms despite optimal medical management
Patient Preference
Desire to avoid long-term medication and achieve a permanent solution
Surgery may be the right choice when other treatments have not provided adequate relief or are not suitable for your circumstances.
"Modern anti-reflux surgery offers excellent outcomes with minimal recovery time for appropriately selected patients."
Mr Marcos Kostalas
Consultant Upper GI Surgeon
Procedure Locations
Mount Stuart Hospital
Private care in a modern, patient-focused facility in Torquay
Torbay Hospital
NHS facilities with comprehensive surgical support services
Reflux Surgery with Mr Kostalas
Every patient receives a personalised approach, with careful consideration of your symptoms, lifestyle, and treatment goals.
Personalised approach to every patient
Full diagnostic pathway handled
Individualised treatment decisions
Expert minimally invasive techniques
Why Choose Mr Kostalas
Consultant-level expertise with a commitment to exceptional patient care
Consultant-Level Expertise
Fully qualified Consultant Upper GI Surgeon with extensive NHS and private practice experience.
Minimally Invasive Specialist
Advanced training in keyhole surgery techniques for faster recovery and better outcomes.
Evidence-Based Approach
Treatment recommendations grounded in the latest research and clinical guidelines.
Personalised Care
Every treatment plan is tailored to your specific symptoms, lifestyle, and preferences.
Excellent Patient Outcomes
Strong track record of successful treatments
and high patient satisfaction scores.
Begin Your Journey
Take Control of Your Reflux Symptoms
If you are experiencing ongoing reflux or heartburn, early assessment can significantly improve outcomes.