Nissen Fundoplication

This procedure is a surgical treatment for GERD (Gastroesophageal Reflux Disease) in which the upper portion of the stomach is wrapped around the lower esophagus in order to prevent stomach contents from leaking back into the esophagus. Fundoplication is only recommended for children whose symptoms have not improved following other types of treatment. These symptoms include:

  • Esophagitis
  • Failure to grow
  • Recurrent pneumonia
  • Chronic lung disease
  • Anemia
  • Narrowing of the esophagus

Before and After the Test

Since the doctor will make an incision in your belly (after giving you medicine to help you sleep), you should follow all doctor’s orders closely the day prior to the procedure.

Following the procedure, you will need to stay in the hospital for several days to heal. You may also need to change your diet by eating only soft foods until fully healed and by chewing your food more thoroughly and slowly. Sometimes, even a G-tube is placed in the stomach for a few months to help with recovery after this procedure (see section on “Gastronomy Tube Placement and Changes”).

When to Call the Doctor

Have your parents contact the doctor after you get home if you experience:

  • Vomiting
  • Difficulty swallowing
  • Gagging a lot
  • Fever greater than 101 degrees F under the arm or 102 degrees F rectally
  • Signs of infection including redness, swelling, or green or yellow discharge from the incision site


Image above from F.U.N.D.O.