Prashant Sinha, MD

Esophageal and Foregut

There is a large under recognized need for high quality diagnosis and care of patients with persistent acid reflux, heartburn and difficulty swallowing. Difficulty or pain on swallowing can sometimes also be a clue to nerve and muscle disorders and may also be an indicator of cancer. While many patients respond to antacid therapy, many do not get full relief, and a vast majority are not tested or diagnosed properly. We hope to enhance access to high quality testing including manometer, pH testing and to advanced endoscopy to diagnose, detect and treat many conditions whether benign or cancerous. Our clinically oriented research hopes to advance our access to a large segment of Brooklyn, Queens and Staten Island that are underrepresented and to study their outcomes.

Our patients benefit from one of three procedures to treat persistent heartburn: minimally invasive fundoplication (Nissen), LINX, and TIF.

Early cancers or pre-cancers can be treated with removal using endoscopy or ablation for very early lesions and minimally invasive surgery within the framework of our Perlmutter Comprehensive Cancer program.

Complex Hernias and Functional Recovery

Our other area of clinical research is on another under recognized problem. Many people develop large, complex and debilitating hernias that cause significant job loss, back pain and debility. Many of these patients are not treated due to complexity and many due to added factors like being over weight or smoking, heart disease and diabetes. We offer a comprehensive hernia program to tackle the individual holistically so that we can safely achieve outcomes that are important to the patient, whether it is improvement in their overall health, resolving pain or returning to work. We use many tools including complex muscle reconstruction, physical therapy, laparoscopy and robotic techniques. We follow our patients over their recovery and beyond to ensure they are meeting their desired goals.