Fundoplication (timing of)

What is a good age and/or weight to have stomach surgery for reflux?

Most babies outgrow reflux. Children with CdLS often don’t outgrow it. We do surgery when medical therapy fails. Failure includes:
1. Growth failure from vomiting
2. Respiratory disease from GER
3. Refractory esophagitis on biopsy

I would do aggressive medical therapy first, including medication and dripping feeds into the stomach or small intestine. The smaller you are and the more “complicated” a patient you may be, the worse you do with surgery. A fundoplication has at least a 20% serious complication rate in children with special needs.

CP/TK 7-13-10

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.


Answer Published On: October 18th, 2018 7:41 PM