Can you please outline the possible risks (and benefits) of Fundoplication surgery? I am in contact with a mom who is embarking on the surgery for her eight-year-old daughter.
A fundoplication is a major operation which entails all the complications of being in the hospital and having surgery. There is a significant chance (as high as 20%) that the child may have dysmotility after surgery such as gagging, bloating, retching, or diarrhea. Sometimes the “Nissen” is too tight and must be dilated. It can also be too loose and not help the problem. If there was another problem contributing to the GER (gastroesophageal reflux) such as poor gastric emptying, the stomach still can’t empty and can’t vomit either. Most of the dysmotility resolves over several months, but may not. Otherwise, the procedure may work perfectly well for many years.
Legal Disclaimer: Please take note that the CdLS Foundation’s Ask the Expert service is comprised of volunteer professionals in various areas of focus. Response times may vary and a response is not guaranteed. Answers are not considered a medical, behavioral, or educational consultation. Ask the Expert is not a substitute for the care and attention your child’s personal physician, psychologist, educational consultant, or social worker can deliver.