The goal of a fundoplication is to prevent stomach contents from returning to the esophagus. This operation is a accomplished by wrapping the upper portion of the stomach around the lower portion of the esophagus, tightening the outlet of the esophagus as it empties into the stomach. After a fundoplication, food and fluids can pass into the stomach but are prevented from returning to the esophagus and causing symptoms of esophageal reflux. A large skin incision may not be required. In most cases, a fundoplication can be performed by a pediatric surgeon using a small telescope and miniaturized instruments placed through three to four band-aid sized incisions on the abdomen.
- Why is fundoplication necessary?
- How is a fundoplication performed?
- How long will my child remain in the hospital after the operation?
- Homecare after fundoplication
- Diet recommendations after fundoplication
Why is fundoplication necessary?
Fundoplication is recommended for children who have complications or persistent symptoms related to gastroesophageal reflux (GER) that are not improved by medication. Symptoms of gastroesophageal reflux include vomiting, esophagitis (heart burn) gastroesophageal stricture, recurrent pneumonia, breathing problems, and inadequate growth. Before an operation is performed your child may have one or more tests confirming GER, such as a pH probe study or esophogram.
How is a fundoplication performed?
Fundoplication is performed in two to three hours with a two to three day hospital stay following surgery. Postoperative, during your child's hospitalization, he/she will receive intravenous fluids and pain medication. As soon as your child feels well enough he/ she will be allowed to eat, drink and take pain medication by mouth (usually 1-2 days after surgery). In some patients a gastrostomy tube is placed into the stomach to allow feedings to be administered and air to be released. Air release is called "venting". It may be hard for your child to burp for many weeks after a fundoplication. Venting allows air to leave the stomach, which decreases bloating and keeps your child comfortable. During your child's hospital stay, the bedside nurse will teach you how to vent, care for and use the gastrostomy tube.
In most fundoplication operations, there is very little blood loss. You child will receive blood only in the rare case of an extreme emergency. If you wish to provide a directed donation of blood, contact our office, 1-2 weeks in advance of the operation.
How long will my child remain in the hospital after the operation?
Most children are ready to go home in two to three days after the operation.