Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Postfundoplication Complications in Children.

Susan R. Orenstein1, Carlo Di Lorenzo

  • 1Pediatric Gastroenterology, Children's Hospital of Pittsburgh, One Children's Place, Pittsburgh, PA 15213-2583, USA. orensts@chplink.chp.edu

Current Treatment Options in Gastroenterology
|September 19, 2001
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

GERD management in neonatal ICU infants: study protocol for a randomized controlled trial comparing maturation, added rice starch formula and proton pump inhibitors.

BMC pediatrics·2026
Same author

Rumination syndrome and eosinophilic esophagitis in children: Defining the relationship.

Journal of pediatric gastroenterology and nutrition·2026
Same author

The rumination severity index: Development and evaluation of a scoring tool for rumination syndrome.

Journal of pediatric gastroenterology and nutrition·2026
Same author

Partial Ear Reconstruction Using Septal Cartilage Graft and Skin Expansion.

The Journal of craniofacial surgery·2026
Same author

International Forum on Visceral Myopathy 2024: Advances in the Knowledge of the Disease.

Neurogastroenterology and motility·2026
Same author

American Gastroenterological Association-North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Pediatric Functional Constipation Clinical Care Pathway.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association·2026

Preventing postfundoplication complications is key. Careful preoperative evaluation and tailored surgical techniques are crucial for managing gastroesophageal reflux disease (GERD) and preventing adverse outcomes.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Patient Safety

Background:

  • Postfundoplication complications can significantly impact patient outcomes.
  • Identifying non-reflux causes of symptoms preoperatively is essential.
  • Failure to respond to pharmacotherapy suggests GERD may not be the primary issue.

Purpose of the Study:

  • To outline strategies for the optimal prevention and management of postfundoplication complications.
  • To emphasize the importance of accurate preoperative diagnosis and surgical tailoring.
  • To provide guidance on evaluating and treating complications when they arise.

Main Methods:

  • Preoperative elimination of non-reflux symptom causes.
  • Careful tailoring of fundoplication based on patient-specific factors (e.g., LES pressure, swallowing parameters).

Related Experiment Videos

  • Diagnostic evaluation of complications using barium fluoroscopy, endoscopy, pH monitoring, and other indicated modalities.

    • Main Results:

    • Optimal fundoplication requires a specific lower esophageal sphincter (LES) pressure range to balance reflux prevention and dysphagia.
    • Infants may need gastrostomy tubes for venting; pyloroplasty debated for children with delayed gastric emptying.
    • Conservative management, pharmacotherapy, endoscopic dilation, or surgical revision are options for managing complications.

    Conclusions:

    • Preoperative prevention through accurate diagnosis and tailored surgery is the optimal approach to postfundoplication complications.
    • A thorough re-evaluation is necessary when complications occur.
    • A stepwise approach involving conservative measures, pharmacotherapy, and potentially surgical intervention is recommended for managing existing complications.