BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuAnti-reflux surgery - children - discharge Fundoplication - children - discharge; Nissen fundoplication - children - discharge; Belsey (Mark IV) fundoplication - children - discharge; Toupet fundoplication - children - discharge; Thal fundoplication - children - discharge; Hiatal hernia repair - children - discharge; Endoluminal fundoplication - children - dischargeYour child had surgery to treat gastroesophageal reflux disease (GERD). GERD is a condition that causes acid, food, or liquid to come up from the stomach into the esophagus. This is the tube that carries food from the mouth to the stomach.SurgeryAnti-reflux surgery is surgery to tighten the muscles at the bottom of the esophagus (the tube that carries food from the mouth to the stomach). Pro...Read Article Now Book Mark Article Now that your child is going home, follow the surgeon's instructions on how to care for your child at home. Use the information below as a reminder.When Your Child Was in the HospitalDuring the operation, the surgeon wrapped the upper part of your child's stomach around the end of the esophagus.The surgery was done in one of these ways:Through an incision (cut) in your child's upper belly (open surgery) With a laparoscope (a thin tube with a tiny camera on the end) through small incisions By endoluminal repair (like a laparoscope, but the surgeon goes in through the mouth) Your child may also have had a pyloroplasty. This is a procedure that widened the opening between the stomach and small intestine. The doctor may have also placed a g-tube (gastrostomy tube) in the child's belly for feeding.What to Expect at HomeMost children can go back to school or daycare as soon as they feel well enough and when the surgeon feels it is safe.Your child should avoid heavy lifting or strenuous activity, such as gym class and very active play, for 3 to 4 weeks. You may ask your child's doctor for a letter to give to the school nurse and teachers to explain restrictions your child has. Your child may have a feeling of tightness when swallowing. This is from the swelling inside your child's esophagus. Your child may also have some bloating. These should go away in 6 to 8 weeks.Recovery is faster from laparoscopic surgery than from open surgery.You will need to schedule a follow-up appointment with your child's primary care provider or gastroenterologist and with the surgeon after the surgery.Care at HomeYou'll help your child get back to a regular diet over time.Your child should have started on a liquid diet in the hospital. After the doctor feels your child is ready, you can add soft foods. Once your child is taking soft foods well, talk with your child's doctor about returning to a regular diet.If your child had a gastrostomy tube (G-tube) placed during surgery, it can be used for feeding and venting. Venting is when the G-tube is opened to release air from the stomach, similar to burping.The nurse in the hospital should have shown you how to vent, care for, and replace the G-tube, and how to order G-tube supplies. Follow instructions on G-tube care. G-tubeYour child's gastrostomy tube (G-tube) is a special tube in your child's stomach that will help deliver food and medicines until your child can chew ...Read Article Now Book Mark Article If you need help with the G-tube at home, contact either your surgeon, primary care provider, or the home health care nurse who works for the G-tube supplier.For pain, you can give your child over-the-counter pain medicines such as acetaminophen (Tylenol) and ibuprofen (Advil, Motrin). If your child is still having pain, call your child's doctor.Wound CareIf sutures (stitches), staples, or glue were used to close your child's skin:You may remove the external dressings (bandages) and allow your child to take a brief shower the day after surgery unless your doctor tells you differently. Butterfly strips or glue should be left in place and not removed until your doctor says it is OK. If taking a shower isn't possible, you can give your child a sponge bath. If strips of tape were used to close your child's skin:Cover the incisions with plastic wrap before showering for the first week. Tape the edges of the plastic carefully to keep water out. Do not try to wash the tape off. They will fall off after about a week. Do not allow your child to soak in a bathtub or hot tub or go swimming until your child's doctor tells you it is OK.When to Call the DoctorCall your child's provider if your child has:A fever of 101°F (38.3°C) or higher Incisions that are bleeding, red, warm to the touch, or have a thick, yellow, green, or milky drainage A swollen or painful belly Nausea or vomiting for more than 24 hours Problems swallowing that keep your child from eating Problems swallowing that do not go away after 2 or 3 weeks Pain that pain medicine is not helping Trouble breathing A cough that does not go away Any problems that make your child unable to eat If the G-tube is accidentally removed or falls out Open ReferencesReferencesHolcomb GW. Gastroesophageal reflux. In: Holcomb GW, Murphy JP, St. Peter SD, eds. Holcomb and Ashcraft's Pediatric Surgery. 7th ed. Philadelphia, PA: Elsevier; 2020:chap 28.Vandenplas Y. Gastroesophageal reflux. In: Wylie R, Hyams JS, Kay M, eds. Pediatric Gastrointestinal and Liver Disease. 6th ed. Philadelphia, PA: Elsevier; 2021:chap 21.AllVideoImagesTogA Closer Look Pneumonia(In-Depth)Gallstones and gallbladder disease(In-Depth)Sinusitis(In-Depth)Related Information Gastroesophageal reflux disease(Condition)Anti-reflux surgery - children(Surgery)Gastroesophageal reflux - discharge(Discharge)Heartburn - what to ask your doctor (Doctor Questions)Gastroesophageal reflux disease and heartburn(In-Depth) Review Date: 1/11/2021 Reviewed By: Robert A. Cowles, MD, Associate Professor of Surgery (Pediatrics), Yale University School of Medicine, New Haven, CT. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.