Related Experiment Video

Updated: Dec 27, 2025

Robotic Myotomy and Partial Fundoplication for Achalasia
11:19

Robotic Myotomy and Partial Fundoplication for Achalasia

Published on: August 11, 2023

1.8K

Laparoscopic Fundoplication for the Surgical Management of Gastroesophageal Reflux Disease in Children

Charlene Dekonenko1, George W Holcomb1

  • 1Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|March 5, 2020
PubMed

Insights

Gastroesophageal reflux disease (GERD) in infants requires treatment when symptoms persist or complications arise. Laparoscopic fundoplication is reviewed for severe pediatric GERD cases unresponsive to medical therapy.

Area of Science:

  • Pediatric gastroenterology
  • Surgical interventions
  • Infant health

Background:

  • Gastroesophageal reflux (GER) is common in infants and usually resolves by early childhood.
  • Gastroesophageal reflux disease (GERD) is diagnosed when GER causes persistent, troublesome symptoms or complications.
  • GERD significantly impacts quality of life, necessitating medical or surgical intervention.

Purpose of the Study:

  • To review recent literature on indications for laparoscopic fundoplication in pediatric GERD.
  • To evaluate the outcomes of laparoscopic fundoplication for managing pediatric GERD.
  • To identify severe GERD symptoms and complications that warrant surgical treatment.

Main Methods:

  • Literature review of recent studies on pediatric GERD management.
  • Analysis of indications for surgical intervention, specifically laparoscopic fundoplication.
  • Assessment of outcomes associated with laparoscopic fundoplication in children.

Main Results:

  • Medical management is the initial approach for GERD.
  • Surgical treatment, including laparoscopic fundoplication, is indicated for severe GERD symptoms.
  • Severe symptoms include aspiration pneumonia, apneic episodes, failure to thrive, and esophagitis.

Conclusions:

  • Laparoscopic fundoplication is an effective surgical option for severe pediatric GERD.
  • Indications for surgery are clearly defined by persistent troublesome symptoms and complications.
  • Outcomes of laparoscopic fundoplication support its role in managing refractory pediatric GERD.

More Related Videos

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery04:14

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Published on: September 22, 2023

817
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

5.7K

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...
604
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
733
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...
339
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
665
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...
432
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
365