ABSTRACT
Laparoscopic fundoplication has become the gold standard for the correction of gastroesophageal reflux and is one of the commonest elective pediatric laparoscopic procedures performed today. The indications for laparoscopic fundoplication are the same as those for open fundoplication, and include failure of medical treatment, recurrent aspiration, esophagitis, and, in some centers, proven gastroesophageal reflux disease in patients with recurrent respiratory illness or asthma. The main indication for fundoplication in children today is reflux in neurologically impaired children, a legacy of complications from being very low-birth-weight infants.
