Gastroesophageal Reflux, Fundoplication, and Dumping: Literature Review and Case Study

Issues in Comprehensive Pediatric Nursing 07/2009; 12(5). DOI: 10.3109/01460868909038046


This article describes a very uncommon phenomenon that can result from surgery to correct gastroesophageal reflux (GER). Although, GER is a common illness in infants, the methods of management and nursing care are diverse. Review of the literature on GER and dumping are discussed and a case study of a girl with dumping following a fundoplication is presented.

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    ABSTRACT: In cases of severe gastroesophageal reflux with failed medical management over a period of 3 to 6 months and/or extreme aggravation of respiratory disease, surgical intervention is necessary. The operative choice in infants and the most commonly used and successful surgery for the control of gastroesophageal reflux is the Nissen fundoplication. Care of the infant with a Nissen fundoplication should be focused on meeting the needs of the infant and the family. An understanding of the disease process, effects of fundoplication, and family process are essential for the nurse practitioner in planning care for these infants and their families.
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