Where have all the fundoplications gone? A look at changes in national practice in England (April 2012–March 2024)

jpedsurg.org

Fundoplication (FP) and transgastric jejunal tubes (GJ) are treatments for gastro-oesophageal reflux disease (GORD) where medical management has failed. GJ is less invasive than FP but requires regular radiological replacement of the tubes. We aim to assess trends in paediatric FP and GJ in England.

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Article · Sep 2025 · 1 min read

In brief

This study examines 12-year trends in surgical management of pediatric gastro-oesophageal reflux disease in England, comparing fundoplication rates with transgastric jejunal tube placement. The analysis reveals shifting practice patterns between invasive surgical intervention and less-invasive tube-based approaches for refractory GORD in children.

Fundoplication and transgastric jejunal tubes are surgical options for pediatric GORD refractory to medical management.
GJ tubes are less invasive than fundoplication but require regular radiological replacement.
National practice patterns in England show evolving trends in FP and GJ use over a 12-year period (2012-2024).
Understanding these trends helps inform clinical decision-making for managing severe pediatric GORD.

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