Trends in Fundoplication Volume for Pediatric Gastroesophageal Reflux Disease

Analysis of 2010-2019 data reveals a three-fold decline in institutional fundoplication volume for pediatric GERD, with mean cases dropping from 50 to 17 annually. This trend parallels a two-fold decrease in fellow case logs, raising implications for surgical training and potentially reflecting evolving management strategies for severe reflux in children.