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Open Pediatric Nissen Fundoplication


An open Nissen fundoplication is surgery to treat your child's gastroesophageal reflux disease (GERD). During this surgery, the top part of your child's stomach is wrapped around the lower part of his esophagus. This helps prevent stomach acid from moving up into his esophagus.



  • Pain medicine: Your child may need medicine to take away or decrease pain. Know how often your child should get the medicine and how much. Watch for signs of pain in your child. Tell caregivers if his pain continues or gets worse. To prevent falls, stay with your child to help him get out of bed.
  • Antibiotics: This medicine is given to fight an infection caused by bacteria. Give your child this medicine exactly as ordered by his healthcare provider. Do not stop giving your child the antibiotics unless directed by his healthcare provider. Never save antibiotics or give your child leftover antibiotics that were given to him for another illness.
  • Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell him or her if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.

Soft foods:

Your child may need to eat soft foods for several weeks after surgery. Soft foods include puddings, applesauce, and mashed potatoes. Ask your child's healthcare provider how long your child needs to eat soft foods.

Gastrostomy tube:

Your child may have a gastrostomy tube. This tube is placed in your child's stomach during surgery. It is used to give liquids, food, or medicine, and let air or fluids out of your child's stomach. Ask for more information about how to use and care for the tube.

Follow up with your child's healthcare provider as directed:

Write down your questions so you remember to ask them during your child's visits.

Contact your child's healthcare provider if:

  • Your child has a fever.
  • Your child has chills, a cough, or feels weak and achy.
  • Your child has nausea or vomiting.
  • Your child is irritable and cries more than usual.
  • You have questions or concerns about your child's condition, surgery, or care.

Seek care immediately or call 911 if:

  • Blood soaks through your child's bandage.
  • Your child says he feels very full and cannot burp.
  • Your child's wound has pus or a bad smell coming from it.
  • Your child has trouble swallowing or cannot eat or drink.
  • Your child's abdomen becomes tender and hard.
  • Your child cannot have bowel movements.
  • Your child's bowel movements are black, bloody, or look like tar.
  • Your child's vomit is greenish, looks like coffee grounds, or has blood in it.

© 2017 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.