Related Experiment Video

Updated: Jun 13, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
11:19

Robotic Myotomy and Partial Fundoplication for Achalasia

Published on: August 11, 2023

Laparoscopic fundoplication for gastroesophageal reflux disease in infants and children

Tadashi Iwanaka1, Yutaka Kanamori, Masahiko Sugiyama

  • 1Department of Pediatric Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Surgery Today
|April 29, 2010
PubMed

Insights

Minimally invasive laparoscopic antireflux surgery for children is increasingly common for gastroesophageal reflux disease (GERD). This review examines its indications, procedures, complications, and training needs for safe and effective pediatric surgical care.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Gastroenterology

Background:

  • Minimally invasive surgical procedures in children have risen significantly over the past 15 years.
  • Laparoscopic fundoplication is a common procedure for gastroesophageal reflux disease (GERD), with distinct patient populations in adults and children.
  • In Japan, laparoscopic fundoplication is standard even for children with neurological impairment, though indications are debated.

Purpose of the Study:

  • To review the current status of laparoscopic antireflux surgery in infants and children.
  • To analyze the indications, available procedures, potential complications, and necessary training for this surgical approach.

Main Methods:

  • Review of current literature and clinical practices regarding pediatric laparoscopic antireflux surgery.
  • Analysis of data pertaining to indications, surgical techniques, outcomes, and safety profiles.
  • Examination of training requirements for surgeons performing these procedures on pediatric patients.

Main Results:

  • Laparoscopic fundoplication is increasingly utilized in pediatric populations, including those with neurological impairments.
  • The specific indications and optimal patient selection for pediatric laparoscopic antireflux surgery remain subjects of ongoing discussion and research.
  • Ensuring adequate surgical training is crucial for minimizing complications and maximizing the effectiveness of these procedures.

Conclusions:

  • Laparoscopic antireflux surgery is a growing field in pediatric surgery, requiring careful consideration of indications and patient factors.
  • Standardization of training and ongoing evaluation of outcomes are essential for the safe and effective application of these techniques in children.
  • Further research is needed to refine indications and optimize surgical approaches for pediatric GERD management.

More Related Videos

Technical Considerations and Approach to Redo Foregut Surgery04:14

Technical Considerations and Approach to Redo Foregut Surgery

Published on: September 22, 2023

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Related Concept Videos

Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Gastroesophageal Reflux Disease01:25

Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (GERD) is the backward flow of stomach contents (acid, pepsin, or bile) into the esophagus, causing mucosal inflammation known as esophagitis. It results from failure of antireflux mechanisms, mainly the lower esophageal sphincter (LES), influenced by mechanical and physiological factors.Etiology and Risk FactorsGERD develops when LES function is weakened or when intra-abdominal pressure increases. Risk factors include aging, obesity, and sliding hiatal hernia,...
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...