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

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Topic overview

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.

Key takeaways

  • 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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How to cite: GlobalCastMD. Where have all the fundoplications gone? A look at changes in national practice in England (April 2012–March 2024). GlobalCastMD Medical Library. 2025-09-27. https://library.globalcastmd.com/article/11054

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