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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Related Experiment Video

Updated: Feb 19, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
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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
Summary
This summary is machine-generated.

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.

Keywords:
ChildrenFundoplicationGastroesophageal refluxMinimally invasiveNissenPediatricsReflux

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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.