Laparoscopic Fundoplication for the Surgical Management of Gastroesophageal Reflux Disease in Children
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In brief
In brief
This review examines laparoscopic fundoplication as surgical treatment for pediatric GERD when medical management fails or severe complications arise. Indications include aspiration pneumonia, failure to thrive, esophagitis, and life-threatening events that significantly impact quality of life.
Written by the GCMD Library team from the article.
Gastroesophageal reflux (GER) is common in infants generally resolving in early childhood. However, gastroesophageal reflux disease (GERD) is diagnosed when persistent troublesome symptoms and/or complications of GER develop. These symptoms and complications can significantly affect the quality of life, thus requiring medical or surgical treatment. Medical management is typically trialed, but operative treatment is indicated with severe symptoms such as aspiration pneumonia, apneic episodes, bradycardia, apparent life-threatening events, severe vomiting, failure to thrive, esophagitis, stricture, and failed medical therapy. We review the recent literature on the indications and outcomes for laparoscopic fundoplication in the management of pediatric GERD.