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Anti-reflux surgery - children - Risks

Alternative Names

Fundoplication - children; Nissen fundoplication - children; Belsey (Mark IV) fundoplication - children; Toupet fundoplication - children; Thal fundoplication - children; Hiatal hernia repair - children; Endoluminal fundoplication - children

Risks:

Anti-reflux surgery risks include:

  • Damage to the stomach, esophagus, liver, or small intestine. This is very rare.
  • Gas and bloating that makes it hard to burp or throw up. Most of the time, these symptoms slowly get better.
  • Gagging.
  • Painful, difficult swallowing , called dysphagia. For most children, this goes away in the first 3 months after surgery.
  • Rarely, breathing or lung problems, such as a collapsed lung.

Risks for anesthesia include:

Risks for any surgery include:

  • Reviewed last on: 3/17/2011
  • Robert A. Cowles, MD, Assistant Professor of Surgery, Department of Pediatric Surgery, Columbia University College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Brant K. Oelschlager BK, Eubanks TR, Pellegrini CA. Hiatal Hernia and Gastroesophageal Reflux Disease. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 42.

Orenstein S, Peters J, Khan S, Youssef N, Hussain SZ. Gastroesophageal reflux disease (GERD). In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 320.

Lobe TE. The current role of laparoscopic surgery for gastroesophageal reflux disease in infants and children. Surg Endosc. 2007 Feb;21(2):167-74.

Saedon M, Gourgiotis S, Germanos S. Is there a changing trend in surgical management of gastroesophageal reflux disease in children? World J Gastroenterol. 2007 Sep 7;13(33):4417-22.

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