Posted By Posting
Dec 07, 1998
Anonymous
Need information on surgery
Our doctor just mentioned that surgery might be the best option since our son is ten months old and still has reflux. The surgery closes the flap on the top of the stomach so he can't throw up. But I don't understand how he will be able to eat. How does this work?
Dec 07, 1998
Anonymous
Surgery
What happens in the fundoplication is the upper portion of the stomach is wrapped around the lower esophageal sphincter (LES). This strengthens the LES severely limiting the ability to burp and vomit. However, swallowing and eating are still possible, although it takes some children months before they are back to their regular eating habits. The inability to burp and vomit may also depend on the type of surgery. For more information, try looking on the surgery newsletter on this Web site. Also, a ten month old may still outgrow reflux. Depending on your child's overall health, you may want to wait a while to see if your baby's condition improves.
Jan 21, 1999
Anonymous
surgery
I have a 3.5 YO who still has his reflux and the GI still believes he has a chance to outgrow it. The GI's won't consider surgery (and neither will we) unless it becomes either life threatening or is threatening to do permanent damamge to him. Talk to your doctor some more and if you aren't happy with the answers talk to another doctor. Sometimes you have to listen to the doctors then follow your instincts. My best advice, learn everything you can about reflux and make an educated decision. PAGER did a big newsletter on the pros and cons of surgery, excellent source of info.
Mar 27, 1999
Anonymous
RE: Surgery
My son had a fundoplication at 3 and a half. He was diagnosed with reflux at birth and was very severe. Whether or not to have the surgery is a hard decision. Make sure you know all the side effects and look at the pros and cons. My son had bleeding ulcers by 6 months and we still waited and tried meds hoping he would outgrow it (our GI is very conservative). We had no option since by the time he had the surgery, he could no longer swallow due to strictures. So, if I had to do it again ,I would (in his case) but I would still wait. Make sure you know about dumping syndrome and also that the surgery is in no way guaranteed. My son was in the hospital for a month after the surgery and on a G-tube for 4 months. Managed to stay off meds for all of about 6 months and now he is 6 years old and I just got home from the hospital this afternoon. He was admitted for an endoscopy and pH probe and we will get the biopsy results next week. Also, if an ESMO has not been done yet, you may want to look into that. Sometimes, from what I have been told, if the motility is really off, the fundo doesnt help much. I dont know how severe your child is, I would only do the surgery in a severe case and if it is not life threatening, I would definitely wait. The side effects can be hell and there are no guarantees.
Check with your
doctor first!