General, Minimally Invasive & Thoracic Surgery

Instructions For Your Child After A Fundoplication

A fundoplication is a surgical procedure designed to prevent reflux of stomach contents into the esophagus.  The procedure narrows the outlet of the esophagus by tightening or “wrapping” the part of the esophagus that connects to the stomach.  In the first 2-3 weeks after the surgery there will be significant swelling at the surgical site, which can initially narrow the esophagus.  Children may experience the feeling of food getting “stuck” in the esophagus which will improve and go away with time. 

It is very important that the post-operative guidelines listed below be followed closely to ensure the best outcome and the least discomfort after this surgery.  It is sometimes difficult to get a child to cooperate with these guidelines.  However, not following these guidelines can mean that food can get trapped in the esophagus causing retching, gagging, vomiting and discomfort.

During the first 2 weeks following surgery:

Fluids:

• We suggest milk, juices, punch or powdered drinks (including nutritional supplements/protein drinks).
• NO carbonated beverages.
• Avoid frozen drinks as they can cause esophageal spasm and discomfort.
• Offer very small amounts of fluids (1-2) ounces at first.  Wait 15-30 minutes in between each feed, slowly increasing the amount of fluid, then slowly begin to offer fluids ad lib as tolerated.

Soft Solid Foods:

• We suggest pudding, yogurt, applesauce, and soups.  Each should be smooth, without chunks.  These foods should be pureed if there are larger pieces; including fruit, vegetables and noodles.
• Mashed potatoes – thinned with milk or gravy.
• Well-cooked rice with gravy or sauce (no chunks).
• Softened, partially melted ice cream.

Recommendations for eating after the first 2 weeks following surgery:

• When eating, take small bites of food, chew well, and take sips of fluids periodically while eating.
• Sit upright while eating, stay in a sitting position for 15-60 minutes after eating.
• Avoid eating 2-3 hours before going to sleep.
• Stop eating when you feel full.
• Avoid using straws, slurping food, chewing gum, or sucking on ice as this can contribute to gas buildup and lead to pain.

Please call to speak with your surgeon or the nurse practitioner if you have any questions or concerns about your child.