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

The failed fundoplication.

Jacob C Langer1

  • 1University of Toronto, Department of Pediatric General Surgery, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada.

Seminars in Pediatric Surgery
|May 3, 2003
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

Beyond the pull-through: A multi-institutional study of long-term surgical and functional outcomes in total colonic hirschsprung disease - A pediatric colorectal and pelvic learning consortium (PCPLC) study.

Journal of pediatric surgery·2026
Same author

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne·2025
Same author

Managing obesity in children: a clinical practice guideline.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne·2025
Same author

Correlation of Genetic Mutation With Outcomes in Children With Hereditary Spherocytosis Undergoing Partial Splenectomy: A Multicentre Study.

Journal of pediatric surgery·2025
Same author

Effectiveness of surgical interventions for managing obesity in children and adolescents: A systematic review and meta-analysis framed using minimal important difference estimates based on GRADE guidance to inform a clinical practice guideline.

Pediatric obesity·2024
Same author

Pullthrough pitfalls in treating Hirschsprung disease.

World journal of pediatric surgery·2024
Same journal

The EXTra-uterine Environment for Neonatal Development (EXTEND) - future treatment for prematurity and potentially other congenital disease.

Seminars in pediatric surgery·2026
Same journal

Appendicitis as a model for pediatric surgical quality improvement and standardization.

Seminars in pediatric surgery·2026
Same journal

From FOB to PICU: military trauma systems that changed pediatrics.

Seminars in pediatric surgery·2026
Same journal

Long-term follow-up after surgery for congenital anomalies: A time to complication analysis.

Seminars in pediatric surgery·2026
Same journal

Radio-surgical decision-making in hepatoblastoma in the post-PHITT era: SIOPEL consensus recommendations.

Seminars in pediatric surgery·2026
Same journal

Seminars in pediatric sugery pediatric metabolic and bariatric surgery.

Seminars in pediatric surgery·2026
See all related articles

Fundoplication surgery for pediatric gastroesophageal reflux (GER) can fail, especially in high-risk children. Careful patient selection and surgical technique are key to preventing and managing fundoplication failure to improve quality of life.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Outcomes

Background:

  • Fundoplication is the standard surgical treatment for pediatric gastroesophageal reflux (GER).
  • Despite its success, fundoplication carries risks of complications and failure, particularly in high-risk pediatric populations.
  • Failure can manifest as persistent symptoms, surgical complications, or anatomical issues like para-esophageal hernia.

Purpose of the Study:

  • To review strategies for preventing and managing failed fundoplication in children.
  • To emphasize the importance of patient selection and surgical technique in optimizing outcomes.
  • To outline treatment options for children experiencing fundoplication failure.

Main Methods:

  • Review of current literature and clinical practices regarding pediatric fundoplication.

Related Experiment Videos

  • Analysis of factors contributing to fundoplication failure in high-risk pediatric patients.
  • Discussion of surgical and non-surgical management options for failed fundoplication.

    • Main Results:

    • Careful patient selection, individualized surgical approaches, and meticulous technique are crucial for preventing fundoplication failure.
    • High-risk factors include associated anomalies, motility disorders, chronic pulmonary disease, and young infant age.
    • Treatment options for failed fundoplication include medical management, jejunal feeding, revision surgery, or esophagogastric dissociation.

    Conclusions:

    • Preventing fundoplication failure through optimized surgical planning and execution is paramount.
    • Revision of failed fundoplication requires adherence to the same principles of careful patient selection and technique.
    • The ultimate goal of GER treatment in children is to enhance their and their family's quality of life.