Surgical Management of Pediatric Gastroesophageal Reflux Disease

<table class="table-group" id="tab4"><tr><td><table class="table"><tr><td class="thead-hr" colspan="2"><hr/></td></tr><tr><td align="left">Gastroesophageal junction (GEJ) mobilization with identification of main vagi trunks</td><td align="center"> </td></tr><tr><td align="left">Hiatal dissection and creation of retroesophageal window</td><td align="center"> </td></tr><tr><td align="left">Division of short gastric vessels/gastrosplenic ligament</td><td align="center"> </td></tr><tr><td align="left">Crural approximation</td><td align="center"> </td></tr><tr><td align="left">Creation of a 360° wrap  with a bougie in place</td><td align="center"> </td></tr><tr class="table-tr"><td colspan="2"><hr class="tbody-hr"/></td></tr></table></td></tr></table>

Essential steps to the laparoscopic Nissen. See Figures <a href="../fig1/">1</a>–<a href="../fig3/">3</a> for images of these steps.

Gastroenterology Research and Practice

tab4

Table 4

Table 4: Surgical Management of Pediatric Gastroesophageal Reflux Disease 