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Fundoplication

Bethany J Slater1, Steven S Rothenberg1

  • 1Pediatric Surgery, Rocky Mountain Hospital for Children, 2055 High Street, Suite 370, Denver, CO 80205, USA.

Clinics in Perinatology
|November 13, 2017
PubMed

Insights

Gastroesophageal reflux disease (GERD) in infants can cause feeding issues and respiratory problems. Surgical intervention, like Nissen fundoplication, is considered for severe cases unresponsive to conservative treatments.

Area of Science:

  • Pediatric Gastroenterology
  • Infant Health
  • Surgical Innovation

Background:

  • Gastroesophageal reflux disease (GERD) is prevalent in infants, presenting with symptoms like regurgitation, feeding irritability, failure to thrive, and respiratory issues.
  • Conservative management, including dietary changes and postural adjustments, is the initial approach.
  • Antireflux medications are considered if conservative measures are insufficient.

Purpose of the Study:

  • To outline the indications for surgical intervention in infants with GERD.
  • To describe the standard surgical procedure for GERD in pediatric patients.

Main Methods:

  • Review of current treatment guidelines and surgical standards for infant GERD.
  • Description of the laparoscopic Nissen fundoplication procedure.

Main Results:

  • Surgical intervention is indicated for neonates and infants experiencing poor weight gain, failure to thrive, acute life-threatening events, or persistent respiratory symptoms.
  • Laparoscopic Nissen fundoplication is the established surgical standard of care.

Conclusions:

  • Laparoscopic Nissen fundoplication is an effective surgical treatment for severe pediatric GERD.
  • The procedure involves a 360° posterior wrap of the gastric fundus around the lower esophagus.

Keywords:
ChildrenFundoplicationGastroesophageal refluxMinimally invasiveNissenPediatricsReflux

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